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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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The preliminary version of the 2024 OPS procedure coding classification released in Germany

On August 11, 2024, the BfArM (Federal Institute for Drugs and Medical Devices) published the preliminary version of the 2024 OPS procedure coding classification. The OPS, together with the ICD-10-GM (International Statistical Classification of Diseases and Related Health Problems, 10th revision, German Modification), forms the basis for the reimbursement systems in inpatient and outpatient care in Germany.

Numerous content updates and the inclusion of the new procedure codes concern chapters 5 "Operations" and 8 "Non-operative therapeutic measures". Also, changes were made in chapter 1 “Diagnostic measures”. The examples of newly introduced codes are provided below:

  • 8-835.e0 Ablative measures for cardiac arrhythmias: Use of guidance: Use of endoscopy, endovascular
  • 8-835.e1 Ablative measures for cardiac arrhythmias: Use of guidance: Use of magnetic resonance imaging
  • 1-313.11 Esophageal manometry: High-resolution manometry: Long-term manometry
  • 5-431.23 Gastrostomy: Percutaneous endoscopic (PEG): Using pull (thread-pass) technique without suture fixation, with the jejunal probe
  • 1-279.b0 Other diagnostic catheter examinations of the heart and vessels: Measurement of hepatic venous pressure gradient: Via endovascular access
  • 5-902.n** Free skin transplantation, recipient site: Permanent skin substitute using alloplastic skin substitute material, small area

The final version of the OPS classification is expected to be published at the end of October 2023.

The full details in German can be found 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.