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Evidence gap analysis

Strategic analysis of the sufficiency of evidence to obtain reimbursement and HTA approval in Europe and recommendations about evidence generation

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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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New version of NABM nomenclature released

On October 9, 2024, the new version of the Nomenclature of Medical Biology Procedures (NABM 93) was released in France. Five new codes were introduced.

Some examples are provided below:

  • 4510 "EGFR gene mutation detection test in non-small cell lung cancer for targeted therapy [Companion test]” (coefficient B - 950);
  • 4511 “KRAS and NRAS gene mutation detection test in colorectal cancers for targeted therapy [Companion test]” (coefficient B - 1475).

Other changes included modification of the wording for several codes.

See the details in French here (NABM) and here (Decision on companion Dx codes).

This news is just one of about 300 market access news collected by our team in the premium subscription service Market Access Monitor every week from more than 80 organizations. Access our paid service to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news). Access is organized as an online Database and email alert formats. Contact us to get a free, three-month, no-obligation trial.