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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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The updated LPPR list for add-on reimbursement published in France

On January 18, 2021, a new version of the List of Reimbursable Products and Services (LPPR) was published. It contains new devices included in the LPPR list in November-December 2020, as well as other modifications made during this period.

Some examples of the newly introduced codes for medical devices in the updated version of the LPPR List can be found below.

Cardiovascular area:

  • Coronary endoprostheses coated with everolimus SYNERGY XD by BOSTON SCIENTIFIC under the codes 3163903, 3148418, 3154382, 3118222, 3184147, 3108169, 3114017, 3182898, which differ depending on the diameter of the endoprosthesis. The reimbursement tariff is €630, regardless of the diameter.

Neuromodulation area:

  • Remote control for deep brain stimulation systems ACTIVA TELECOMMANDE PATIENT ACTIVA (Medtronic) under the code 3438702. The reimbursement tariff is €698.68.

Orthopedics area:

  • 3145466 Highly cross-linked polyethylene insert, MEDACTA, HIGHCROSS, 22.2mm diameter insert with the reimbursement tariff of €83.06;
  • 3118140 Hip, dual mobility, J&J, BI-MENTUM PRESSFIT CUP, standard non-cemented cup with the reimbursement tariff of €540.22;
  • 3175384 Knee, meniscal implant, absorbable or non-absorbable anchor, ARTHREX, FIBERSTITCH with the reimbursement tariff of €207.57.

Peripheral vascular area:

  • 3141416 Thoraco-abdominal vascular endoprosthesis, Cook, ZENITH T-BRANCH with the reimbursement tariff of €11,115;
  • 3113450 Vascular endoprosthesis, Cook, ZENITH UNIVERSAL DISTAL BODY with the reimbursement tariff of €2,700;
  • 3159652 Multibranch aortic endoprosthesis, Cook, Multibranch ZENITH with the reimbursement tariff of €14,400;
  • 3154904 Fenestrated aortic endoprosthesis, Cook, Fenestrated ZENITH with the reimbursement tariff of €14,400.

The new version of the LPPR list can be downloaded here.

This news is just one of about 300 market access news collected by our team in the subscription services "HTA Alerts" and "Reimbursement Alerts" every two weeks from more than 80 organizations. Access our paid subscription services to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news). First EU issues of both newsletters are available for download free-of-charge.

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