Evidence gap analysis
Strategic analysis of the sufficiency of evidence to obtain reimbursement and HTA approval in Europe and recommendations about evidence generation
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New procedure and diagnostic codes added to the private reimbursement schedule in England
On April 15, 2024, the Clinical Coding and Schedule Development (CCSD) working group, which develops and maintains procedural and diagnostics nomenclatures for private payers in England, published Bulletins 195 and 091 with changes to be implemented no later than June 12, 2024.
Ninety new procedure codes and five new diagnostic codes were implemented in ENT, gastrointestinal, in-vitro diagnostics, nephrology and urology, neurology and neurosurgery, pulmonary and airways, orthopedics, robotic surgery, men's health, and general surgery fields. Some examples of newly added procedure codes are provided below:
- F4307 Transoral robotic assisted vertical supra-glottic laryngectomy (as sole procedure);
- E1921 Robotic assisted partial pharyngectomy;
- E2331 Robotic assisted removal of lesion of para-pharyngeal space;
- F3441 Robotic assisted tonsillectomy (and bilateral);
- M6193 Robotic assisted radical prostatectomy using bilateral nerve-sparing technique, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy);
- M6194 Robotic assisted radical prostatectomy through the rectovesical pouch, using a bilateral nerve- and ligamentsparing technique, reconstruction of bladder neck, including bilateral pelvic lymphadenectomy (including cystoscopy);
- 0593B Plasma Guanidinoacetate (GUAP);
- 3029G 72-Gene Multicancer Panel;
- 0594B Aldosterone: Renin Ratio (ARR);
- 0050G Pheochromocytoma and paraganglioma (NGS of 17 genes);
- 0051G Urine Guanidinoacetate - (GUAN).
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