Minimally invasive endoluminal procedures for gastro-esophageal reflux disease (GERD)

Series
Procedures on upper gastrointestinal tract
Status
Published
Date
Number of report
021

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Report presents summary of reimbursement situation for procedures to treat gastro-esophageal reflux disease (GERD) in European countries.           

Four minimally invasive procedures are considered in the report:

  • Radiofrequency ablation
  • Endoscopic plication and suturing
  • Injection of bulking agents

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 devices for endoluminal treatment of gastro-esophageal reflux disease (GERD) include:

Radiofrequency ablation

  • Mederi Therapeutics (Stretta System)
  • Medtronic (Barrx radiofrequency ablation system)

Endoscopic plication and suturing

  • Apollo Endosurgery (OverStitch Endoscopic Suturing System)
  • C.R.Bard (EndoCinch device)
  • Endogastric Solutions (EsophyX System)
  • Medigus (SRS Endoscopic Stapling System)
  • Medtronic (Gatekeeper Reflux Repair System)

Injection of bulking agents

  • Carbon Medical Technologies (Durasphere GR)

Endoscopic augmentation of the lower oesophageal sphincter using hydrogel implants

  • Boston Scientific (Enteryx Device)
  • Medtronic (Gatekeeper Reflux Repair System)

    Table of content is not available at the moment.

    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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