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.

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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16

Oct 2020

In late September 2020, the Austrian version of the DRG system (LKF) 2021 model with the relevant supplementary documents was published in Austria. For 2021, the main changes include the addition of sixteen new procedure codes and the introduction of two new procedure codes for billing in the day-case settings, update of cases flat rates, and adjustments of the cases daily component calculation.

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23

Sep 2020

In mid-August 2020, the German Federal Institute for Drugs and Medical Devices (BfArM) published the preliminary 2021 version of OPS procedure coding nomenclature. Numerous content updates and new procedure codes inclusion concern the chapters 1 “Diagnostic measures,” 5 “Operations,” and 8 “Non-operative therapeutic measures.” The list of new endoscopy-related procedure codes added under the respective OPS sub-chapters of chapters 1 and 5 is provided below:

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27

Jul 2020

The revised EBM (German Uniform Evaluation Standard) catalog came into force on July 1, 2020. MTRC has compiled the selection of the most significant changes.

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25

May 2020

The German Society for Neurology (DGN) has released a new version of the S1 guideline "Diagnostics and therapy of neurogenic bladder disorders." It is valid until January 2025.

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