Saturday, April 20, 2024

Updating the German Healthcare Coding Landscape: 2025 ICD-10-GM, OPS, and DRG Changes

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The German healthcare coding system started accepting applications for changes in 2025, including ICD-10-GM diagnosis codes, OPS procedure codes, and DRG modifications. From late November to early December in 2023, the Federal Institute for Drugs and Medical Devices (BfArM) and the Institute for Hospital Remuneration Systems (INeK) commenced the application period for the 2025 modifications to the ICD-10-GM (German modification of ICD-10 diagnosis codes), OPS (procedure codes), and DRG (Diagnosis-Related Groups) changes.

German healthcare self-governing partners, acknowledging the importance of external expertise, have tasked the Institute for the Hospital Remuneration System GmbH (InEK) with organizing a structured dialogue to enhance the G-DRG classification system. This process, initiated in November 2023, involves proposals for 2025 changes submitted exclusively through the InEK data portal by March 31, 2024. Early submissions by February 29 allow for inquiries and complex issue clarifications.

Healthcare Coding

Guidelines and Deadlines for Healthcare Coding Proposals in 2025

Specific guidelines exist for proposals related to ICD-10-GM and OPS versions 2025, emphasizing the need for coordinated submissions and concise problem descriptions. Coordination among specialist societies is crucial for significant restructuring proposals. The overarching goal remains aligning changes with the healthcare system’s remuneration framework.

Regarding the 2025 DRG adjustments, the application process is facilitated through the InEK data portal. The deadline for these submissions is March 31, 2024. However, it is advisable to submit applications before February 29, 2024, to allow ample time for InEK to request clarifications if necessary, particularly for more intricate or detailed requests.

 

Resource: Med Tech Reimbursement Consulting, December 26, 2023

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