Orthopedic procedures

In December 2024, the National Institute for Health and Care Excellence (NICE) published three new Interventional Procedures Guidance (Direct skeletal fixation of limb prostheses using an intraosseous transcutaneous implant, MRI-guided focused ultrasound subthalamotomy and thalamotomy for treating Parkinson’s), one new Diagnostic Guidance (Home-testing devices for diagnosing OSAHS) and one new Early Value Assessment (Digital technologies to support self-management of COPD).

On December 12, 2024, the entity managing the DRG system in Switzerland, SwissDRG, published the final (billing) version of the 2025 DRG system. In total, 23 new DRGs related to cardiovascular, gastrointestinal, nephrology and urology, neurology and neurosurgery, obstetrics and gynecology, orthopedics, pulmonary and airways, and some other areas were introduced. Also, 17 new add-on reimbursement categories were implemented.

On October 31, 2024, the Swiss Federal Statistics Office (UFS) released the systematic version of the procedure code (CHOP) nomenclature for 2025. The nomenclature is now available in German, Italian, and French languages and will come into force on January 1, 2025. Multiple new procedure codes were introduced in various fields, including endoscopy, extracorporeal treatments, in-vitro diagnostics, interventional radiology, obstetrics and gynecology, orthopedics, and radiotherapy.

In October 2024, the annual update of the Swedish procedure coding system (Classification of Health Care Measures, KVÅ) was released to come into force on January 1, 2025. A total of 55 new surgical procedure codes and 43 new medical procedure codes were introduced concerning diagnostic imaging, endoscopy, ENT, men’s health, nephrology and urology, gynecology, orthopedics, pulmonology, and some other areas.

In September 2024, the National Institute for Health and Care Excellence (NICE) published one new Interventional Procedures Guidance concerning single-step scaffold insertion for repairing symptomatic chondral knee defects.

In July 2024, the Dutch Organization for Health Research and Development (ZonMw) awarded thirteen projects under the 2025 round of the Efficiency Research program, including one project on e-health, one project on extracorporeal treatments, one project in orthopedics, one project in neurology, one project in urology, two projects in obstetrics and gynecology, one project in radiotherapy and one project in the cardiovascular area.

In early July 2024, Dutch Organization for Health Research and Development (ZonMw) awarded seventeen projects under the Efficiency Research program, including four projects on e-health, two projects on diagnostic imaging techniques, two projects in orthopedics, one project on abdominal surgery, one project in gynecology, and one project in the cardiovascular area.

In June 2024, the National Institute for Health and Care Research (NIHR) in England released three MedTech-related assessments in its Health Technology Assessment (HTA) Journal, which concerned management for non-acute anterior cruciate ligament injury, laparoscopic cholecystectomy, and antenatal/newborn screening programs. HTA Journal publishes research reports on the effectiveness, costs, and broader impact of health technologies for those who use, manage, and provide care in the NHS and informs National Institute for Health and Care Excellence (NICE) guidance.

In June 2024, the National Institute for Health and Care Excellence (NICE) published one new Interventional Procedures Guidance concerning minimally invasive percutaneous surgical techniques with internal fixation for correcting hallux valgus.

The Danish Health Authority has initiated a process of assessing the national clinical recommendations. Work is set to start in 2024. Recommendations in diagnostic imaging, endoscopy, endocrine, ENT, gastrointestinal, nephrology and urology, neurology and neurosurgery, neuromodulation, obstetrics and gynecology, ophthalmology, orthopedics, pulmonary and airways, radiotherapy, spine, and some other fields are considered for reassessment.

In March 2024, the Health Sciences Institute in Aragon (IACS) is working on several HTAs, including evaluations in diagnostic imaging, IVD, as well as clinical guidelines in endocrine, orthopedics, nephrology and urology, and some other fields.

In March 2024, the Evaluation and Planning Service of the Canary Islands Health Service (SESCS) is working on several HTAs, including evaluations in the cardiovascular, endocrine, neurology and neurosurgery, orthopedics, surgical procedures, and some other fields.