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The revised EBM catalog came into force in Germany in April 2023
The reimbursement of services in the public outpatient sector in Germany is regulated in the EBM catalog (Einheitlicher Bewertungsmaßstab), updated once a quarter (four times a year). The adaption timeframe of the EBM catalog for a specific code is around five years, but it varies depending on the evidence. The latest EBM (German Uniform Evaluation Standard) catalog came into force on April 1, 2023.
The most significant changes concern introducing the new EBM codes for follow-up and evaluation of the “Invirto” health app, high-frequency endometrium ablation, and reducing the tariff for COVID-19 PCR tests.
The examples of newly introduced EBM codes are provided below:
- 01474 “Additional flat rate for the follow-up and the evaluation of the digital health application (DiGA) Invirto according to the Directory for digital health applications in line with § 139e SGB V for the following indications: agoraphobia with and without the panic disorder (module “Agora”) or panic disorder (module “Panic”) or social phobias (module “Social”)” with a tariff of €7.35;
- 40685 “Flat rate for material costs in connection with performing high-frequency ablation of the endometrium using a mesh electrode in line with code 31319” with a tariff of €1,020.
Also, the tariff for the EBM code 32816 “Nucleic acid detection of the beta coronavirus SARS-CoV-2” now amounts €19.90 (previously - €27.30).
The full details in German can be found here.
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