The revised EBM catalog for the second quarter of 2024 published in Germany

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 adaptation timeframe of the EBM catalog for a specific code is around five years but varies depending on the evidence. The latest EBM (German Uniform Evaluation Standard) catalog for the second quarter of 2024 was published on April 3, 2024.

The changes introduced mainly concern updating the content of several EBM sections with the respective comments and/or clarifications and introducing the new EBM codes for the services provided within the co-funded study on sleep position therapy in mild to moderate position-dependent obstructive sleep apnea.

The examples of the introduced changes are provided below:

• General practitioners and specialists can now bill pre- and postoperative services (not covered by Hybrid DRGs) via the EBM catalog. The prerequisite for billing preoperative examinations (codes 31010 to 31013 under subsection 31.1.2 of the EBM catalog) is that the services are carried out outside the healthcare facility in which the operation takes place;
• The following codes for the services provided within the co-funded study on sleep position therapy in mild to moderate position-dependent obstructive sleep apnea were introduced in the EBM catalog:
  • 61100 “Flat rate for patient care within the framework of the co-funded study Directive "Sleep position therapy for mild to moderate position-dependent obstructive sleep apnea" with a tariff of €25.06;
  • 61101 “Cardiorespiratory polysomnography as part of the co-funded study Directive "Sleep position therapy for mild to moderate position-dependent obstructive sleep apnea” with a tariff of €378.42;
  • 61102 “Flat rate for the consultation hours required in connection with the implementation of the services from Section 61.8.2” [services listed above] with a tariff of €16.14.

The full details in German can be found here.

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