Endoscopic treatment of esophagus

Number of report

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The report presents a summary of reimbursement situation for a number of therapeutic endoscopic procedures on esophagus in Europe, including:

  • Endoscopic mucosal resection of lesion of esophagus;
  • Endoscopic submucosal resection of lesion of esophagus;
  • Endoscopic radiofrequency ablation of lesion of esophagus;
  • Endoscopic injection sclerotherapy to varices of esophagus;
  • Endoscopic balloon dilation of esophagus;
  • Endoscopic insertion of stent into esophagus.

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

  • Barrett’s esophagus;
  • Esophageal cancer;
  • Esophageal varices with bleeding;
  • Esophageal obstruction.

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
  • Czech Republic
  • Denmark
  • England (UK)
  • Finland
  • France
  • Germany
  • Hungary
  • Italy
  • The Netherlands
  • Norway
  • Romania
  • Russia
  • Sweden
  • Switzerland
  • Turkey

Manufacturers of devices for endoscopic treatments of esophagus include:

  • Boston Scientific (Ultraflex, Polyflex)
  • ConMed (Beamer, DuraClip, NAKAO Spider-Net, BiCap)
  • Cook Medical (Duetter)
  • ELLA-CS (Danis, BD, HV Plus, Flexella Plus, Boubella)
  • FUJIFILM (Flush Knife, Clutch Cutter, ST Hood, Endoscopy)
  • Medtronic (Barrx)
  • Olympus (Evis Exera, Evis Lucera Spectrum, EMR kits, DualKnife, FlexKnife, ITknife, HookKnife, QuickClip Pro)
  • Restech (Stretta)
  • SMT group (Niti-S: Mega, Beta, Conio, Cervical, Double)
  • Smith & Nephew (Dyonics)
  • Stryker

Table of content is not available at this moment.


Apr 2021

In March 2021, the National Institute for Health and Care Excellence (NICE) published four new Interventional Procedure Guidance (transcervical ultrasound-guided radiofrequency ablation for symptomatic uterine fibroids, extracorporeal whole liver perfusion, free-functioning gracilis transfer to restore upper limb function, cytoreduction surgery with hyperthermic intraoperative peritoneal chemotherapy), two Medical Technologies Guidance (Danis stent for acute oesophageal variceal bleeding, Alpha-Stim AID for anxiety disorders), two Medtech Innovation Briefings (Sonata system for symptomatic uterine fibroids, Butterfly iQ+ for diagnostic ultrasound), and one Diagnostic Guidance (QAngio XA 3D QFR and CAAS vFFR imaging software for assessing coronary stenosis). Also, five clinical guidelines were updated.

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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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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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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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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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