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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 in Belgian Nomenclature came into force in December 2019

The health benefit Nomenclature of the Belgian National Institute for Health and Disability Insurance (INAMI/RIZIV) includes the benefits (with specific hospital and ambulatory codes) that are reimbursed by the compulsory health care insurance, wholly or partially. The Nomenclature and its changes are published in the Belgian Official Gazette.

On November 7, 2019, the Nomenclature was updated. The update brought changes in chapter V of Nomenclature, regarding the creation of new codes and modification of existing codes.

The changes of the following articles of the Nomenclature will come into force since December 1, 2019:

Key changes in the clinical biology (24) article:

  • New code 542953-542964 “Determination of bone loss” was added
  • Conditions for reimbursement of this code were added
  • Minor modifications of existing codes were made

Key changes in the anesthesiology (12) article:

  • Minor modifications of existing code were made

Key changes in the radiotherapy and radium therapy - nuclear medicine (18) article:

  • New code 433392-433403 “Determination of bone loss” was added
  • Conditions for reimbursement of this code were added

Key changes in the intervention services (34) article:

  • Minor modifications of reimbursement conditions were made

See the full details here.

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