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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 codes added to the private reimbursement schedule in England

09 Jan 2023

In December 2022, the Clinical Coding and Schedule Development (CCSD) working group, which develops and maintains procedural and diagnostics nomenclatures for private payers in England, published Bulletin 187, with changes to be implemented no later than February 8, 2023.

Five new procedure codes were introduced concerning orthopedic, surgical procedures, and men’s health. Some examples of new codes are presented below:

  • W0516 Interpositional silastic arthroplasty of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints – single digit;
  • M7081 Endoscopic insertion of temporary, ischemic-incising device into prostate.

No new in-vitro diagnostic codes were introduced.

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). Contact us to get a free, three-month, no-obligation trial.