Procedure coding

On June 29, 2026, the Belgian National Institute for Health and Disability Insurance (INAMI/RIZIV) published an update on the ongoing reform of the Nomenclature of healthcare services, including progress across key phases, methodological developments, and timelines. The reform aims to separate physician remuneration from practice costs and is scheduled for publication on October 1, 2028, with national implementation planned from January 1, 2029.

On June 29, 2026, the document "Changes and innovations in the 2027 LKF model" was published. The document summarizes the most significant changes and innovations in the LKF model for inpatient and outpatient care. The procedure codes expected to be introduced in 2027 mainly concern cardiovascular, diagnostic imaging, e-Health, neuromodulation, and surgical procedures.

The application window for changes in the Swiss Classification of Surgical Procedures (CHOP) is open from June 1 to September 14, 2026. The application window for changes in the SwissDRG system is open from June 1 to July 13, 2026. The eligible applicants in both processes are limited to system stakeholders.

From June 1, 2026, certain responsibilities will be transferred from the National Board of Health and Welfare (Socialstyrelsen) to the Swedish eHealth Agency (E-hälsomyndigheten). These include responsibility for managing classifications, including procedure coding (KVA) and diagnosis coding (ICD-10-SE). Responsibility for the diagnosis-related groups (DRG) system will remain with the National Board of Health and Welfare.

On May 1, 2026, the Dutch Healthcare Authority (NZa) published the first release of the 2027 DRG package (RZ27a). Seven new procedure codes, one new diagnosis code, two new supplementary payments (OZPs), and 23 DRGs will be implemented across multiple fields, including gastrointestinal, gynecology, pulmonology, men’s health, and in-vitro diagnostics (pathology).

On February 13, 2026, the Ministry of Health published an experimental version (so-called "Gamma") of new classification systems for diagnosis and procedure coding under the NSIS-CLASS project, launching the transition from ICD-9-CM. These systems will become mandatory for coding diagnoses and procedures from January 1, 2027, following a testing phase and the release of the final (“Delta”) versions by the end of 2026, with updates planned at least every two years.

The application window for changes in the Swiss Classification of Surgical Operations (CHOP) will open on June 1, 2026. Interested parties can submit applications until September 14, 2026. The announcement of the 2026 CHOP application period resumes the application process, which was cancelled for the year 2025.

In early February 2026, the French National Authority for Health (HAS) opened the call for applications for the evaluation of medical procedures and in-vitro diagnostic (IVD) tests to be included in its 2027 working program. The deadline for submission is May 4, 2026.

From February 1 to April 30, 2026, the OAAT AG (the entity managing the new Swiss outpatient reimbursement system) is accepting applications for the modifications of the TARDOC and Outpatient flat rates. Submitted proposals will be reviewed within the annual tariff development process, validated by the OAAT Board of Directors, and subsequently submitted to the Federal Council for final approval and publication.

On December 19, 2025, the Dutch Healthcare Authority (NZa) published the draft release of the 2027 DRG package (RZ27a). Seven new procedure codes, one new diagnosis code, and one new supplementary payment (OZP) are expected to be implemented across in-vitro diagnostics, obstetrics and gynecology, gastroenterology, urology, and other technology groups.

On December 19, 2025, an order was issued registering the Symplicity Spyral renal denervation catheter in Title V of the List of Reimbursable Products and Services (LPPR), enabling add-on reimbursement for medical devices used in hospital settings. The Symplicity Spyral received a positive opinion for LPPR registration in December 2023, following transitional coverage under the French innovative payment scheme known as pre-LPPR since December 2022.

On December 10, 2025, the Ministry of Health published the Decree for the update of classification systems for diagnosis and procedure coding, effective in 2027, with updates scheduled at least every two years and the continued use of ICD-10-IM until the transition to ICD-11. Implementation will proceed through a pilot phase in 2025 and a nationwide rollout in 2026, supported by conversion tools from ICD-9-CM to ensure continuity, with ICD-9-CM entirely discontinued as of January 1, 2027.