Cost-effective reimbursement analysis for medical technologies in Europe
Procedure coding, payment mechanism, reimbursement tariffs, policy, and HTA considerations in 14 EU countries
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The preliminary version of the 2027 OPS procedure coding classification released in Germany
On August 14, 2026, the BfArM (Federal Institute for Drugs and Medical Devices) published the preliminary version of the 2027 OPS procedure coding classification. The OPS, together with the ICD-10-GM (International Statistical Classification of Diseases and Related Health Problems, 10th revision, German Modification), forms the basis for the reimbursement systems in inpatient and outpatient care in Germany.
Multiple content updates and new procedure codes were introduced, primarily in chapters 5 “Operations” and 8 “Non-operative therapeutic measures”. Also, changes were made in chapter 1 “Diagnostic measures”. The newly introduced procedure codes mainly relate to cardiovascular, endoscopy, interventional radiology, radiation therapy, and surgical procedures.
For instance, some newly introduced or expanded OPS codes relate to epicardial endoscopic bipolar radiofrequency ablation in cardiac arrhythmias, including isolation of the pulmonary veins, posterior wall of the left atrium, and other cardiac structures.
New codes have also been introduced for endoscopic closure of incisional hernias with component separation and prosthetic or biological materials, differentiated by defect size, as well as for radiation therapy planning with prefractional plan adjustment, including online adaptive radiotherapy.
In addition, existing coding for coronary angiography with intracoronary pressure measurements will be expanded to include the determination of coronary flow reserve and microvascular resistance.
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