New material codes and related conditions of reimbursement have been implemented for the following devices:
Ventricular Assist Device
- Devices will be reimbursed by individual price (tariff determined individually for each brand name) when registered in the Nominative lists 36801, 36802 and 36803
- The following procedure codes have been implemented:
- 180331 – 180342 “Univentricular assistance device of the paracorporal type used for first implantation in the case of bridge-to-transplant or bridge-to-decision” with the tariff of €25.694,20;
- 180390 – 180401 “Renewal of univentricular assistance device of the paracorporal type used for first implantation in the case of bridge-to-transplant or bridge-to-decision” with the tariff of €25.694,20;
- 180353 – 180364 “Biventricular assistance device of the paracorporal type used for first implantation in the case of bridge-to-transplant or bridge-to-decision” with the tariff of €46.129,73;
- 180412 – 180423 “Renewal of biventricular assistance device of the paracorporal type used for first implantation in the case of bridge-to-transplant or bridge-to-decision” with the tariff of €46.129,73;
- 180375 – 180386 “Ventricular assist equipment of the implantable type used for first implantation in the case of bridge-to-transplant or bridge-to-decision” with the tariff of €66.469,06;
- 180434 – 180445 “Renewal of ventricular assist equipment of the implantable type used for first implantation in the case of bridge-to-transplant or bridge-to-decision” with the tariff of €66.469,06.
- There are specific conditions of reimbursement for these technologies, provided in paragraphs F-§25 of the List of reimbursable implants and medical devices.
Aortic Endoprotheses
- Devices will be reimbursed with a generic tariff when registered in the Nominative list 32712
- The following procedure codes have been implemented:
- 180493 – 180504 “Extension of iliac bifurcation, in combination with an additional extension or a covered guardian placed at the level of the internal iliac artery, used as part of the delivery of the nomenclature 589595-589606” with the tariff of €4.050,15;
- 180515 – 180526 “Extension of iliac bifurcation, in combination with an additional extension or covered guardian placed at the level of the internal iliac artery, used on the contralateral side as part of the 589595-589606 provision of the nomenclature” with the tariff of €3.037,62.
- There are specific conditions of reimbursement for these technologies, provided in paragraphs G-§04 of the List of reimbursable implants and medical devices.
See full details here.
Subscribe to our newsletter delivered every second week not to miss important reimbursement information.