Endoscopic biliary procedures

Series
Gastrointestinal
Status
Published
Date
Number of report
073

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The report presents a summary of reimbursement situation for a number of diagnostic and therapeutic endoscopic biliary procedures in Europe, including:

  • Endoscopic retrograde cholangiopancreatography (with or without biopsy)
  • Peroral cholangioscopy (with or without biopsy)
  • Endoscopic sphincterotomy of sphincter of Oddi
  • Endoscopic retrograde insertion of stent into bile duct 
  • Endoscopic retrograde insertion of tubal prosthesis into bile duct 
  •  Endoscopic retrograde extraction of calculus from bile duct
  •  Endoscopic dilation of bile duct
  •  Endoscopic retrograde lithotripsy of calculus of bile duct
  •  Endoscopic retrograde photodynamic laser therapy of lesion of bile duct 

The following indications will be considered depending on the type of procedure:

  • cholangitis;
  • cholelithiasis;
  • cholangiocarcinoma.

The report will cover different types of settings.

The only reimbursement within public / statutory health insurance systems is considered. The results will be provided for hospital settings.

Report includes essential information about reimbursement and national funding, including:

  • Brief overview of reimbursement system for medical devices
  • Procedure coding for technology
  • Diagnosis coding
  • Payment mechanism for technology
  • Reimbursement tariffs for technology
  • Restrictions in indications or scenarios for 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)
  • France
  • Germany
  • Italy
  • Netherlands
  • Norway
  • Sweden
  • Switzerland

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

Manufacturers of treatment of endoscopic biliary procedures:

  • Boston Scientific (SpyGlass, Extractor)
  • Cook Medical (Common Bile Duct Exploration Set)
  • ConMed (Gore Viabil, Fit, TruPass, ACE)
  • Innovex Medical (Balloon Dilation Catheter)
  • ISOMed (ISOMed)
  • Edwards Lifesciences (Fogarty, Fogarty irrigation catheter, Cholangiography catheter)
  • Envaste Limited (Maohe)
  • Fujifilm (Double-Balloon)
  • Karl Storz (Silver Scope, HyDome)
  • Medtronic (biliary stent - Protege)
  • Olympus (CHF-BP30)
  • Pentax Medical (FCP‑9P)
  • Polydiagnost (PolyScope)
  • Stryker (Pinpoint)
  • Teleflex Medical OEM (Dilatation catheter)

Table of content is not available at the moment. Report is still ongoing.

06

Jul 2021

In June 2021, the National Institute for Health and Care Excellence (NICE) published two new Interventional Procedure Guidance (laser lithotripsy for difficult-to-treat bile duct stones and percutaneous insertion of a closure device to repair a paravalvular leak around a replaced mitral or aortic valve), one new Medical Technologies Guidance (Plus Sutures for preventing surgical site infection), and four new Medtech Innovation Briefings (RapidAI for analyzing CT/MRI brain scans, WoundExpress, Magtrace and Sentimag, and SYNE-COV). Also, four clinical guidelines were updated, and two new published.

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28

Jun 2021

In mid-June 2021, the document "Changes and innovations in the 2022 LKF model" (Änderungen und Neuerungen in den LKF-Modellen 2022) was published. The document summarizes the most significant changes and innovations in the LKF model for inpatient and outpatient care. The newly added procedure codes concern mainly the cardiovascular, e-Health, and gastrointestinal area.

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18

Jun 2021

In May 2021, the National Institute for Health and Care Excellence (NICE) published five new Interventional Procedure Guidance (ex-situ machine perfusion for extracorporeal preservation of lungs for transplant, transvaginal laser therapy for stress urinary incontinence and for urogenital atrophy, electrohydraulic lithotripsy for difficult-to-treat bile duct stones, and permanent His-bundle pacemaker for heart failure), one new Medical Technologies Guidance (UroLift for benign prostatic hyperplasia), and two new Medtech Innovation Briefings (Axonics sacral neuromodulation system for faecal incontinence and KODEX-EPD for cardiac imaging during ablation of arrhythmias). Also, three clinical guidelines and two Medical Technologies Guidance were updated.

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09

Jun 2021

For the first time in three years, the Institute for Quality and Efficiency in Health Care (IQWiG) received data within the framework of the early benefit assessment of new examination and treatment methods (NUB) with high-risk medical devices according to §137h of Social Code Book (SGB) V. This involves seven invasive therapeutic cardiovascular, pulmonary, neurological, gastrointestinal, and urological procedures.

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05

Apr 2021

The Danish Health Authority (Sundhedsstyrelsen) updates the Health Care Classification System (Sundheds-væsenets Klassifikations System, SKS) quarterly. It publishes the results on its website two weeks before the implementation, while the files with the changes are sent to the hospital systems. Most of the newly introduced procedure codes concern the gastrointestinal field.

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