In November 2021, the National Board of Health and Welfare released an annual update of the Swedish procedure coding classification (Classification of Health Care Measures, KVÅ) that will come into force in January 2022. KVÅ includes two parts – medical procedures (KMÅ) and surgical procedures (KKÅ) divided into chapters based on anatomical principles. In 2022, six new surgical procedure codes will be introduced. Furthermore, structural changes will be made in Chapter V "Operations on the aorta, peripheral vessels, and lymphatic system," introducing two new sub-chapters with 318 new codes. A total of 53 new medical procedure codes (KMÅ) will be added.

In October 2021, two clinical guidelines on inguinal hernia developed by the collaboration of All-Russian public organization "Society of Herniologists" and Russian Society of Surgeons and postoperative ventral hernia developed by the collaboration of All-Russian public organization "Society of Herniologists" and Russian Society of Surgeons were released in Russia.

In October 2021, the National Institute for Health and Care Excellence (NICE) published three new Interventional Procedure Guidance (genicular artery embolization for pain from knee osteoarthritis, laparoscopic renal denervation for loin pain hematuria syndrome, percutaneous endovascular forearm arteriovenous fistula creation for hemodialysis access), and one new Medical Technologies Guidance (DyeVert Systems for reducing the risk of acute kidney injury in coronary and peripheral angiography). Also, two new clinical guidelines were published.

Since October 2021, it is necessary to have the unique device identifier (UDI) of the various models and commercial references of the devices currently on the "intra-DRG" list in order to make it possible to collect and transmit the information relating to the use of these devices in health care establishments.

In late October 2021, the BfArM (Federal Institute for Drugs and Medical Devices) has published the final version of the 2022 OPS procedure coding classification. The OPS, together with the ICD-10-GM (International Statistical Classification of Diseases and Related Health Problems, 10th revision, German Modification), forms the basis for the reimbursement systems in outpatient and inpatient care.

In November 2021, NHSX announced projects to improve digital pathways awarded for funding from the newly created Adoption Fund. Funding opportunities will support Integrated Care Systems (ICSs) with initiatives to test out digital pathways across various specialty areas, including gastroenterology, musculoskeletal, and cardiology. A total of 35 applications were successful and will share funding of £6.5 million.

At the request of the Minister for Medical Care, the Sensible Care program, launched in 2013 by the Dutch Healthcare Institute, is replaced by the Appropriate Care program in order to improve the organization of medical care and optimize health care costs in the Netherlands. The ongoing 29 projects under the Sensible Care program will continue in the context of the Appropriate Care program.

On October 15, 2021, the Government of the Russian Federation released the decree on the plan for implementation of the ICD-11 classification of disease during the period of 2021-2024. In order to perform the transition, the working committees under the supervision of the Ministries of the Russian Federation will be created. The final changes should enter into force before 2025.

On October 7, 2021, the Treatment Council (Behandlingsråd), a new body for assessing treatments and health technologies that became fully operational in late May 2021, has decided to initiate its first assessment. It will concern the use of metal stents in the treatment of chronic ureteral strictures.

In early October 2021, three more health apps were introduced in the Directory of digital health applications (DiGAs) at the Federal Office for Drugs and Medical Devices (BfArM) and thus became reimbursable. These apps can be prescribed by physicians and psychotherapists and will be reimbursed by health insurers. In total, 23 health apps are now available at the DiGA Directory.

In late September 2021, the Clinical Coding and Schedule Development (CCSD) working group, which develops and maintains procedural and diagnostics nomenclature for private payers in England, has published Bulletins 0179 and 0076 with changes to be implemented no later than January 01, 2022. Four new procedure codes related to gynecology, robotic surgery in the pulmonology area, and orthopedics, and four new diagnostic codes were introduced.

On February 1, 2022, the Dutch Healthcare Institute (ZIN) will start accepting project idea applications for rounds 7 and 8 of the Promising Care subsidy scheme that will be awarded in 2023. Round 7 will be opened on February 1, 2022, and round 8 will begin on July 5, 2022.