Procedure coding

On December 19, 2025, the Dutch Healthcare Authority (NZa) published the draft release of the 2027 DRG package (RZ27a). Seven new procedure codes, one new diagnosis code, and one new supplementary payment (OZP) are expected to be implemented across in-vitro diagnostics, obstetrics and gynecology, gastroenterology, urology, and other technology groups.

On December 19, 2025, an order was issued registering the Symplicity Spyral renal denervation catheter in Title V of the List of Reimbursable Products and Services (LPPR), enabling add-on reimbursement for medical devices used in hospital settings. The Symplicity Spyral received a positive opinion for LPPR registration in December 2023, following transitional coverage under the French innovative payment scheme known as pre-LPPR since December 2022.

On December 10, 2025, the Ministry of Health published the Decree for the update of classification systems for diagnosis and procedure coding, effective in 2027, with updates scheduled at least every two years and the continued use of ICD-10-IM until the transition to ICD-11. Implementation will proceed through a pilot phase in 2025 and a nationwide rollout in 2026, supported by conversion tools from ICD-9-CM to ensure continuity, with ICD-9-CM entirely discontinued as of January 1, 2027.

In mid-December 2025, a new version of the Common Classification of Medical Procedures (CCAM v.81), effective January 1, 2026, was published. Multiple changes were implemented, including the introduction of four new procedure codes, the provisional registration of four codes, the deletion of a few codes, the modification of tariffs for numerous activities/phases, and the amendment of existing services.

On October 24, 2025, the BfArM (Federal Institute for Drugs and Medical Devices) published the final version of the 2026 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, endoscopy, peripheral vascular, and orthopedics.

On October 27, 2025, the annual update of the Swedish procedure coding system (KVÅ) was released to come into force on January 1, 2026. A total of 35 new surgical (KKÅ) procedure codes were added in the fields of nephrology and urology, obstetrics and gynecology, interventional radiology, men’s health, and radiotherapy. Furthermore, 90 new medical (KMÅ) procedure codes were introduced concerning diagnostic imaging, radiology, gastrointestinal, and other fields.

In November 2025, NHS England released a final summary of core changes between OPCS-4.10 and OPCS-4.11, a procedure coding classification updated every three years. Multiple changes were implemented, including 572 new four-character (subcategory) codes in various fields, such as cardiovascular, peripheral vascular, diagnostic imaging, endoscopy, gastroenterology, urology and nephrology, obstetrics and gynecology, men’s health, neurology and neurosurgery, pulmonology, orthopedics, spine, interventional radiology, and radiotherapy. OPCS-4.11 is expected to take effect on April 1, 2026.

On October 18, 2025, the Decision of the National Union of Health Insurance Funds (UNCAM) on the update of the list of procedures and services covered by the Health Insurance, including the CCAM Classification, was published. The updates do not include new codes and concern adjustments of tariffs and billing rules for conventional radiology procedures. The Decision also implements the update of technical packages for CT scanners, MRIs, and PET scans set by the Medical Convention.

On August 13, 2025, the BfArM (Federal Institute for Drugs and Medical Devices) published the preliminary version of the 2026 OPS procedure coding classification. The OPS, together with the ICD-10-GM, forms the basis for the reimbursement systems in outpatient and inpatient care in Germany. The final version of the 2026 OPS procedure coding classification is expected to be published at the end of October 2025.

On July 31, 2025, the Swiss Federal Statistics Office (UFS) released the systematic version of the Swiss classification of surgical interventions (CHOP) for 2026. The CHOP classification is now available in German and will come into force on January 1, 2026. Multiple new procedure codes were introduced in various fields, including the cardiovascular, ENT, extracorporeal treatments, interventional radiology, nephrology and urology, orthopedics, peripheral vascular, and radionucleide therapy.

On July 10, 2025, a decision of the National Union of Health Insurance Funds regarding the update of the CCAM Classification of Medical Procedures was published. The update includes the provisional registration of one procedure code for transrectal HIFU destruction of prostate lesions and changes to indications and billing notes for several existing codes. The update takes effect on September 1, 2025.

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.