Deep brain stimulation

Series
Neuromodulation
Status
Published
Date
Number of report
036

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The report presents a summary of the reimbursement situation for deep brain stimulation. Indications include Parkinson’s disease, dystonia, essential tremor, cluster headache, and epilepsy.

Sample pages are provided for an older version of the report. Before delivery to the client, the report is updated to the current state (e.g., 2022 coding, tariffs, and policy considerations). 

Clinical scenarios include uni- and bi-lateral implantation of electrodes, implantation of DBS system, adjustment/programming of stimulator, removal of stimulator, and replacement of battery of pulse generation.

The only reimbursement within public / statutory health insurance systems is considered.

The report includes essential information about reimbursement, including:

  • Brief country-specific overview of reimbursement system
  • Procedure coding for technology
  • Diagnosis coding
  • Payment mechanism for technology
  • Reimbursement tariffs for technology
  • Restrictions on indications or scenarios for the use of technology
  • Policy considerations by payers and policy-makers about technology

Reimbursement information is provided for the following geographies:

  • Austria
  • Belgium
  • Denmark
  • England (UK)
  • Finland
  • France
  • Germany
  • Italy
  • The Netherlands
  • Norway
  • Sweden
  • Switzerland

It is also possible to add analysis in Czech Republic, Finland, Hungary, Romania, Russia and Turkey.

Manufacturers of the deep brain stimulation devices include:

  • Medtronic (Activa)
  • Abbot Vscular (Infinity, Brio, Libra)
  • Boston Scientific (GUIDE DBS, Vercise)
  • Neuropace (RNS System)
  • Aleva Neurotherapeutics (directSTIM, spiderSTIM)
  • Deep Brain Innovations (DBI) (TOPS)
  • Beijing Pins Medical Co (PINS brain pacemaker)
  • SceneRay Corporation (DBS system)
  • Med-Ally (VersaStim IPG Platform)

Table of content is not available at this moment.

17

Nov 2022

In November 2022, an annual update of the Swedish procedure coding system (Classification of Health Care Measures, KVÅ) was released to come into force from January 2023. A total of 119 new surgical procedure codes and 98 new medical procedure codes will be introduced concerning cardiovascular, diagnostic imaging, eHealth, endocrinology, endoscopy, ENT, gastrointestinal, IVD, nephrology and urology, peripheral vascular, and others.

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08

Nov 2022

In October 2022, the National Institute for Health and Care Excellence (NICE) published two new Interventional Procedure Guidance (YAG laser vitreolysis for symptomatic vitreous floaters, transcutaneous electrical stimulation of the supraorbital nerve for treating and preventing migraine), one Medical Technologies Guidance (Magtrace and Sentimag system for locating sentinel lymph nodes for breast cancer) and three new Medtech Innovation Briefings (O2matic PRO 100, Daylight, Signatera). Also, one new clinical guideline was published on osteoarthritis.

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07

Oct 2022

On September 22, 2022, the Austrian version of the DRG system (LKF) 2023 model with the relevant supplementary documents was published in Austria. The document "Changes and innovations in the 2023 LKF model" summarizes the most significant changes and innovations in the LKF model for inpatient and outpatient care. The newly added procedure codes mainly concern cardiovascular, extracorporeal treatments, and peripheral vascular fields.

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06

Oct 2022

The French National Authority for Health 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 in September 2022. Thirty-eight recommendations were published in relation to the registration, modification of registration conditions, and renewal of registration for devices in the List of reimbursable products and services. Opinions concern cardiovascular and peripheral vascular, neurovascular and neuromodulation, orthopedic, endocrine, ENT, dermatological, and spine-related devices, as well as digital care and medical aids.

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04

Oct 2022

In September 2022, the National Institute for Health and Care Excellence (NICE) published three new Interventional Procedure Guidance (removal, preservation and subsequent reimplantation of ovarian tissue, prostatic urethral temporary implant insertion, neurostimulation of lumbar muscles), and one new Medtech Innovation Briefings (iTind). Also, one Medical Technologies Guidance and three Medtech-related clinical guidelines were updated.

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