Hospital and out-patient remote monitoring coding and reimbursement for neurostimulators

Series
Telemedicine and digital health
Status
Published
Date
Number of report
031

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The report presents a summary for a current reimbursement situation for placement and remote monitoring procedures in hospital and out-patient specialist settings for any type of the neurostimulator devices.

This includes:

  • Specific procedure coding and payment for procedures of placing of any neurostimulator devices with a remote monitoring functionality
  • Specific procedure coding and payment for procedures of monitoring, adjustment and reading of data from implants remotely

The focus of the report is to identify availability of specific procedure codes, mentioning remote monitoring feature and provide summary of reimbursement situation for procedures, using remote monitoring functionality.

Understanding of availability of specific procedure codes and reimbursement can drive a development of more tailor-made reimbursement strategy for devices using remote monitoring functionality.

The report gives an understanding of whether a remote monitoring features are specifically coded and reimbursed, but will not answer the question of how implantation and monitoring of neurostimulators is reimbursed if remote monitoring functionality it is not specificallly coded. Also, the report does not provide an overall overview of the reimbursement of neurostimulators, only availability of specific codes for remote monitoring and reimbursement using these codes.

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

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.

Table of content is not available at the moment.

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