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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 implemented by the Dutch Healthcare Authority in 2020

New procedure codes were implemented in the DRG package for 2020 (RZ20):

  • Transprostatic placement of implants for urethral prostatic obstruction, using an implantation system (036522) and transprostatic implant for the reduction of urethral prostatic obstruction (190680)
  • CT examination of the neck, including CTA of the neck (083043) and MRI examination of the neck, including MRA neck (083191)
  • Fecal microbiota transplant (034681)
  • Testicular sperm extraction (TESE) (036773)
  • Monitoring the functioning of cardiac implantable electronic devices (CIEDs) or external cardioversion defibrillator (LifeVest), including any use of the cardioverter (033311)
  • Material codes for pulse generators for deep brain stimulation: implantable rechargeable pulse generator from DBS neurostimulator (190495) and implantable non-rechargeable pulse generator from DBS neurostimulator (190496)
  • Resting (120502) and stress (120502) PET-CT myocardial perfusion with volume, ejection fraction (EF) and flow measurements

Six new procedure codes for molecular diagnostics were implemented, including:

  • Pathological research - molecular diagnostics on tissues and / or cells on genes and / or micro-organisms at the request of primary care or non-DBC registering specialty (050540)
  • Pathological research - simple molecular diagnostics on tissues and / or cells on a limited number of genes and / or micro-organisms (050541)
  • Pathological research - simple molecular diagnostics on tissues and / or cells on multiple genes and / or micro-organisms (050542)
  • Pathological research - complex molecular diagnostics on tissues and / or cells on a limited number of genes (050543)
  • Pathological research - complex molecular diagnostics on tissues and / or cells on multiple genes (050544)
  • Pathological research - complex molecular diagnostics on tissues and / or cells on many genes (050545)

See the full details here.

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