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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 codes added to the French CCAM Nomenclature

On November 3, 2022, the decision of the National Union of Health Insurance Funds relating to the update of the CCAM Nomenclature of procedure codes was published in the Official Journal of the French Republic. Four new procedure codes were introduced.

In the CCAM sub-chapter, "Bone implant placement on the skull and face", two new codes will be added. For example:

  • LAGA381 "Removal of a bone conduction hearing aid implanted in the temporal bone" with the CCAM fee of €106.35.

In the CCAM sub-chapter 06.03.11, "Other therapeutic procedures on the pleura and lungs", two new codes will be added. For example:

  • GFNH214 "Destruction of 2 or more bronchopulmonary tumors by radiofrequency, by transcutaneous route with CT guidance" with the CCAM fee of €307.20.

The decision takes effect 30 days after its publication. An updated version of the CCAM Nomenclature was not published yet.

See the details in French 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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