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Cost-efficient European adaptations of global health economic models

Experience with model adaptations in Austria, Belgium, France, Germany, Italy, Norway, Netherlands, Spain, Sweden, the UK

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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 procedure and diagnostic codes added to the private reimbursement schedule in England

In December 2023, the Clinical Coding and Schedule Development (CCSD) working group, which develops and maintains procedural and diagnostics nomenclatures for private payers in England, published Bulletins 193 and 089 with changes to be implemented no later than February 12, 2024.

Five new procedure codes concerning endoscopy, gastrointestinal, and spine were introduced. Some examples of newly added codes are provided below:

  • J3801 Therapeutic ERCP using ultra-slim direct visualisation system (includes forceps biopsy);
  • V2572 Percutaneous Vertebroplasty - 2-3 Levels.

Furthermore, one in-vitro diagnostic test was added to the diagnostic nomenclature. 

See more information here.

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