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Reimbursement summary for angioplasty of arteries of lower extremities

This post presents an extract from our reimbursement analysis for angioplasty of arteries lower extremities using plain and drug-coated balloons (DCBs) for peripheral artery disease in England, France and Germany. Plain balloon angioplasty is reimbursement via DRG solely and DCBs are reimbursement via combination of DRG and add-on reimbursement.
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New code for "zanadio" health app for follow-up and evaluation introduced in the German Uniform Evaluation Standard (EBM) catalog

26 Jan 2023

The updated German Uniform Evaluation Standard (EBM) catalog came into force on January 1, 2023. The EBM catalog (Einheitlicher Bewertungsmaßstab) regulates the reimbursement of services in the public outpatient sector in Germany and is updated once a quarter (four times a year). Among other changes, a new code for "zanadio" health app for follow-up and evaluation was introduced in the catalog.

The new code 01473 “Additional flat rate for the follow-up and the evaluation of the digital health application (DiGA) zanadio according to the Directory for digital health applications in line with § 139e SGB V, once in the case of treatment” with a tariff of €7.35 was introduced in the EBM catalog. The billing of the new service is limited to general practitioners and internists with or without a specialization in endocrinology, gastroenterology, and cardiology.

“zanadio” is an application that helps female patients to reduce their weight in the long term by changing their habits in the areas of exercise, nutrition, and other behavior.

The corresponding decision was made by the Evaluation Committee (Bewertungsausschuss) on November 11, 2022.

The full details in German can be found here and here.

This news is just one of about 300 market access news collected by our team in the subscription services "HTA Alerts" and "Reimbursement Alerts" every two weeks from more than 80 organizations. Access our paid subscription services to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news). Contact us to get a free, three-month, no-obligation trial.