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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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Reminder: Deadline for submission of suggestions for DRG change in Denmark

Danish Health Data Protection Agency (Sundhedsdatastyrelsen) calls for submission of the proposals for the change of DRG system with the deadline of the 1st of November 2017. Changes will be considered for implementation from 1st of January 2019. 

Changes in DRG grouping logic can involve:

    • Grouping of new procedure codes

    • Decommissioning / creation of new DRGs

    • Creation of gray zone DRGs (which are valid for both hospital and ambulatory settings)

    • Changes to the current inappropriate grouping

Creation of new hospital or ambulatory DRG requires specific procedure coding (SKS). SKS classification is updated quarterly (January 1, April 1, July 1, October 1). Request for creation of new or change of existing code must be submitted to the Danish Health Data Agency no later than two months before the quarterly update.

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