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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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Tree new procedure codes were added to private reimbursement schedule in England in July 2018

The Clinical Coding and Schedule Development (CCSD) develops and maintains procedural and diagnostics nomenclature for private payers in England. Once codes are added to the Schedule, a rivate insurance company can develop reimbursement tariff for these procedures and tests.

The following procedure codes were implemented in July with a recommended adoption date of 1stnNovember 2018:

  • Percutaneous paravalvular leak closure (K3501)
  • Endoscopic vacuum therapy for colorectal anastomotic leakage (H3335)
  • Phonomicrosurgery for vocal cord lesions, nodules, polyps, or cysts (E3450)

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