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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 February 2021, the Clinical Coding and Schedule Development (CCSD) working group, which develops and maintains procedural and diagnostics nomenclature for private payers in England, published Bulletins 0182 and 0079 with changes to be implemented no later than April 10, 2022.

The following new codes were introduced in procedural nomenclature:

  • W3721 Robotic assisted total hip replacement – bilateral;
  • V4121 Anterior correction of idiopathic scoliosis using vertebral body tethering (VBT) (including spinal cord monitoring).

The following new codes were added in diagnostics nomenclature:

  • 9202F Entamoeba histolytica PCR;
  • 9203B IgLON 5 (IGL5);
  • 7008G Sarah Cannon MGP-4;
  • 8210S Skin Biopsy, Immunofluorescence.

One code, C8651 "Fundus autofluorescence imaging", was introduced in both procedural and diagnostic nomenclatures.

See the full details 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). First EU issues of both newsletters are available for download free-of-charge.

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