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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 DRGs in the Norwegian 2019 DRG system

Eleven new DRGs have been introduced in 2019, while three DRGs have been deleted. The following new DRGs have been introduced:

  • 571 “Insertion of intracranial or vagus stimulator” (MDC 1)
  • 104D “Catheter-based implantation of heart valve” (MDC 5)
  • 112P “Percutaneous ablation treatment for cardiac arrhythmia, day surgery” (MDC 5)
  • 112Q “Other percutaneous cardiovascular procedure, day surgery” (MDC 5)
  • 209B “Complicated hip replacement” (MDC 8)
  • 209H “Inserting the prosthesis into the knee” (MDC 8)
  • 209I “Insertion of ankle prosthesis” (MDC 8)
  • 209J “Complicated knee or ankle prosthetic replacement” (MDC 8)
  • 908H “Outpatient consultation on osteoporosis” (MDC 8)
  • 359Q “Intervention on embryo or ICSI, day surgery” (MDC 13)
  • 823R “Minor procedures regarding factors that are important for the health condition / contact with the health service” (MDC 23)

The DRGs that have been deleted are:

  • 104C “Catheter-based aortic valve implant (TAVI)” (MDC 5)
  • 112O “Percutaneous intervention on the heart and large intrathecal vessels, day surgery” (MDC 5)
  • 209G “Insertion of the prosthesis into knee or ankle” (MDC 8)

See full details in Norwegian here.

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