Procedure coding

On July 1, 2025, the National Institute for Health and Disability Insurance (INAMI/RIZIV) updated Nomenclature to recognize the new professional title "orthopedic technologist", replacing the former specialties of "bandaging specialist" and "orthotist". Two Articles were repealed, and three new Articles have been introduced, detailing reimbursement for services in bandagery, orthotics, prosthetics, and orthopedic footwear services.

In April 2025, the French National Authority for Health (HAS) opened the application period for including medical procedures and in-vitro diagnostic tests in its 2026 evaluation working program. The application deadline is July 8, 2025.

On May 15, 2025, the Swiss Federal Statistics Office announced that the 2025 application process for the further development of the Swiss Classification of Surgical Procedures (CHOP), which would result in changes in the CHOP 2027, is cancelled due to the federal government's cost-saving measures. The CHOP and Coding Manual for 2027 will only be developed based on deferred applications.

On May 01, 2025, the Dutch Healthcare Authority (NZa) published the first release of the 2026 DRG package (RZ26a). Three new procedure codes, seven new supplementary payments (OZPs), one new diagnosis code, and two new DRGs will be implemented across in-vitro diagnostics, obstetrics and gynecology, neurology and neurosurgery, cardiovascular and other technology groups.

On December 24, 2024, the decision of the National Union of Health Insurance Funds (UNCAM) regarding the update of the CCAM Classification of procedure codes was published in the Official Journal of the French Republic. Changes include registration of three new procedure codes, modification of billing notes for certain procedures, and amendment of modifiers. The updates are expected to come into force on February 1, 2025.

In late November – early December 2024, the application period for 2026 ICD-10-GM (German modification of ICD-10 diagnosis codes), OPS (procedure codes), and DRG changes was opened by the Federal Institute for Drugs and Medical Devices (BfArM) and the Institute for Hospital Remuneration Systems (INeK), respectively.

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.

On October 24, 2024, the BfArM (Federal Institute for Drugs and Medical Devices) published the final version of the 2025 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 outpatient and inpatient care in Germany. Multiple new procedure codes were introduced in several fields, including cardiovascular, endoscopic, peripheral vascular, and robotic surgery.

On October 01, 2024, the Dutch Healthcare Authority (NZa) published the second release of the 2025 DRG package (RZ25b). Three new procedure codes, four new supplementary payments (OZPs), 18 new diagnosis codes, and two new DRGs will be implemented across gastroenterology, surgery, diagnostic imaging, molecular diagnostics, and other areas.

The application window for changes in the Swiss classification of surgical procedures (CHOP) will open on June 3, 2024. The eligible applicants can submit applications until September 15, 2024.

On December 18, 2023, the updated version of the laboratory test nomenclature was published by the Finnish Institute for Health and Welfare (THL) to come into force on January 1, 2024. Sixty new codes were introduced concerning in-vitro diagnostics and functional diagnostic tests in the cardiology, pulmonology, and gastroenterology fields.

The Danish Health Data Authority quarterly updates the Health Care Classification System (SKS). In December 2023, the latest code changes were published to come into force on January 1, 2024. Nine new surgical procedure codes and four new medical (MedTech-related) procedure codes concerning cardiovascular, gastrointestinal, interventional radiology, men’s health, peripheral vascular, radiotherapy, and dermatology were introduced.