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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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Three new procedure codes and four new diagnostic codes added to the private reimbursement schedule in England

In November 2020, the Clinical Coding and Schedule Development (CCSD) group, which develops and maintains procedural and diagnostics nomenclature for private payers in England, has published Bulletins 0173 and 0070 with changes to be implemented not later than February 01, 2021.

Three new procedure codes were introduced:

  • W3150 “Harvesting and injection of autologous bone marrow aspirate concentrate (BMAC) with collagen cell carrier for osteochondral defects of the knee”
  • Q1704 “Robotic assisted laparoscopic excision of endometriosis, +/-ureterolysis”
  • BT215 “Planning for insertion of low dose rate radioactive treatment (brachytherapy) into prostate tumour”

Four new diagnostic codes were added:

  • 3022G “BRCA 1&2 full sequencing, germline testing”
  • 3023G “BRCA 1&2 full sequencing, somatic testing”
  • 0010B “Anti Gaba A Antibodies (AGAA)”
  • 8418U “Legionella antigen”

See full details here.

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