On November 1, 2023, thirteen new procedure codes came into force in the updated Finnish classification of procedures (THL). The introduced codes concerned diagnostic imaging, radiology, neurology, peripheral vascular, and other fields.

The French National Authority for Health (HAS) released new recommendations about add-on reimbursement of medical devices and medical aids from the meetings of the National Commission for Evaluation of Medical Devices and Health Technologies (CNEDiMTS) in October 2023. Twelve recommendations were published in relation to the registration of medical devices in the List of reimbursable products and services (LPPR). Opinions concern cardiovascular, e-health, endocrine, gastrointestinal, neurology and neurosurgery, neuromodulation, and orthopedic devices, as well as medical aids.

In October 2023, the annual update of the Swedish procedure coding system (Classification of Health Care Measures, KVÅ) was released to come into force on January 1, 2024. A total of 70 new surgical procedure codes and 17 new medical procedure codes were introduced concerning endoscopy, ENT, men’s health, nephrology and urology, peripheral vascular, and spine.

In October 2023, the National Institute for Health and Care Excellence (NICE) published two new Interventional Procedure Guidance (percutaneous deep venous arterialisation, vaginal transluminal endoscopic hysterectomy and adnexal surgery) and two Health Technology Evaluations using early value assessment (digital technologies for delivering specialist weight-management services, virtual ward platform technologies for acute respiratory infections). Also, one new clinical guideline was published, and eight were updated.

On October 20, 2023, the Spanish Ministry of Health announced that a budget of 130 million euros was allocated to support the upcoming launch of the Personalized Digital Care Plan. Healthcare digitalization is already a well-established reality that materialized into the Digital Health Strategy with more than 800 million euros budget allocated since 2021 after the COVID-19 pandemic.

In October 2023, the Belgian National Institute for Health and Disability Insurance (INAMI-RIZIV) introduced an updated application procedure for the List of implants and invasive medical devices, including a new application form. The new form is organized according to the PICO (Population-Intervention-Comparator-Outcome) principle.

In October 2023, the Dutch Healthcare Authority (NZa) published a policy rule that defines the amount for academic care contribution and the rules for its allocation in 2024. The policy rule aims to determine the reimbursement for costs that arise for certain healthcare providers because they permanently maintain facilities (staff and infrastructure) that enable them to provide highly specialized and innovative care linked to fundamental patient-centered research.

On October 18, 2023, the Austrian Federal Ministry of Social Affairs, Health, Care and Consumer Protection (BMSGPK) announced that its budget would increase by 3.9 billion to 25.8 billion euros (by 18%) in the coming year. 1.1 billion euros from the budget will be allocated for the health care reform, which will be implemented as part of the financial equalization.

In October 2023, the Clinical Coding and Schedule Development (CCSD) working group, which develops and maintains procedural and diagnostics nomenclatures for private payers in England, published Bulletins with changes to be implemented no later than December 7, 2023. Eight new procedure codes (concerning endoscopy, gastrointestinal, interventional radiology, neurology and neurosurgery, orthopedics, and men's health) and three new diagnostic codes were introduced.

On October 16, 2023, the Innovation Committee at the Federal Joint Committee (G-BA) published the decision recommending the transfer to standard care for another three completed projects. Two projects evaluated the effects of psychotherapy structural reform. The third project analyzed the health risks of long-term use of proton pump inhibitors (drugs that reduce stomach acid production).

On October 20, 2023, the Federal Office of Public Health (FOPH) published six newly initiated health technology assessments, four of which relate to MedTech. These belong to pulmonary, interventional radiology, and physiotherapy technology groups.

In late October 2023, the Basque Office for Health Technology Assessment (OSTEBA) is working on several HTAs, including the evaluations in the cardiovascular, diagnostic imaging, e-health, ENT, ICU/OR, nephrology and urology, IVD, neurovascular, obstetrics and gynecology, surgical procedures, and some other fields.