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 June 13, 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 196 and 092 with changes to be implemented no later than August 8, 2024.
Five new procedure codes were added concerning endoscopy, ENT, orthopedics, and spine field, as well as seven new codes for in vitro diagnostic tests were introduced. Some examples of newly added procedural and diagnostic codes are provided below:
- E1490 Insertion of biodegradable stent into paranasal sinus (frontal);
- V4020 Spinal stabilisation (without fusion) by implantation of a posterior arthroplasty system;
- 3030G Circulating tumour DNA profile (Guardant360);
- 0056G ClonoSEQ.
See the full details here.
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