Annex D. Current unbundled Tc-99m payments in Germany and Japan
Germany
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Table A D.1. Unbundled Tc-99m billing codes and prices for office-based specialists paid FFS according to the German national uniform value scale (EBM)
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EBM Version 3rd quarter 2018
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EBM Billing Code |
Description |
Price (EUR) |
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40500 |
Material costs related to the provision of services in accordance with EBM billing codes 17310 or 17320 when using 99mTc pertechnetate (thyroid) |
1.50 |
|
40502 |
Material costs related to the provision of services in accordance with EBM billing codes 17310 or 17311 when using 99mTc phosphonates (bone / skeleton) |
19.00 |
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40504 |
Material costs related to the provision of the service according to the EBM billing code 17310 using 99mTc macroaggregates (lung) |
29.00 |
|
40506 |
Material costs related to the provision of the service according to EBM billing code 17310 using 99mTc aerosol (lung) |
133.00 |
|
40508 |
Material costs related to the provision of the service according to the EBM billing code 17310 using 99mTc-HMPAO, 99mTc-ECD (brain) |
205.00 |
|
40510 |
Material costs related to the provision of services according to the EBM billing codes 17310 or 17340 when using 99mTc-DMSA, 99mTc-DTPA (kidney) |
40.00 |
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40512 |
Material costs related to the provision of the service according to according to the EBM billing code 17310 using 99mTc-DTPA (brain) |
40.00 |
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40514 |
Material costs related to the provision of the service according to the EBM billing code 17340 when using 99mTc-MAG3 (kidney) |
92.00 |
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40516 |
Material costs related to the provision of services according EBM billing codes 17310 or 17351 using 99mTc colloid (liver) |
42.00 |
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40518 |
Material costs related to the provision of the service according to EBM billing code 17351 using 99mTc IDA compounds (bile) |
42.00 |
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40520 |
Material costs related the provision of services according to EBM billing codes 17330, 17331 and 17310 using 99mTc-labeled perfusion markers (heart, thyroid) |
76.00 |
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40522 |
Material costs related to the provision of services according to EBM billing codes 17332, 17333 and 17350 using of 99mTc-labeled auto-erythrocytes (heart, liver, abdominal bleed search) |
60.00 |
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40524 |
Material costs related to the provision of services according to EBM billing codes 17310 or 17311 when using 99mTc-labeled ligands (tumor localization) |
375.00 |
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40526 |
Material costs related to the provision of services according to EBM billing codes 17310, 17311 or 17350 using 99mTc-labeled antibodies (bone marrow, inflammation localization) |
382.00 |
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40528 |
Material costs related to the provision of services according to EBM billing codes 17310 or 17311 using 99mTc-labeled micro- / nanocolloids (lymph node diagnostics) |
70.00 |
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40530 |
Material costs related to the provision of the service according EBM billing code 17351 using a 99mTc-labeled test meal (gastrointestinal motility) |
40.00 |
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Note: Prices reflect national reference values and may vary by federal state. |
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Source: Translated by the Authors from the German national uniform value scale (EBM) (KBV, 2018, pp. 220-21[1]) |
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Japan
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Table A D.2. Radiopharmaceutical products and reimbursement prices in the national fee schedule
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Pharmaceutical name |
Company name |
Standard unit |
2018 price (JPY) |
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Asialoscinti Injectable |
Nihon Medi-Physics Co., Ltd |
10MBq |
826 |
|
Ultra-Techne Kow |
FUJIFILM Toyama Chemical Co., Ltd. |
10MBq |
261 |
|
Cardiolite Daiichi |
FUJIFILM Toyama Chemical Co., Ltd. |
One dose |
29 764 |
|
Cardiolite injection Daiichi |
FUJIFILM Toyama Chemical Co., Ltd. |
370MBq/syringe |
25 333 |
|
600MBq/syringe |
48 683 |
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740MBq/syringe |
50 115 |
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Sodium Pertechnetate (99mTc) Injection |
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10MBq |
280 |
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Technescinti Injectable - 20M |
Nihon Medi-Physics Co., Ltd |
10MBq |
280 |
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Technesol |
FUJIFILM Toyama Chemical Co., Ltd. |
10MBq |
280 |
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Technescinti Injectable - 10M |
Nihon Medi-Physics Co., Ltd |
10MBq |
284 |
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Kidneyscinti Kit |
Nihon Medi-Physics Co., Ltd |
One dose |
3 127 |
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Kidneyscinti Tc-99m Injectable |
Nihon Medi-Physics Co., Ltd |
10MBq |
660 |
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Clearbone Kit |
Nihon Medi-Physics Co., Ltd |
One dose |
3 304 |
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Clearbone Injectable |
Nihon Medi-Physics Co., Ltd |
10MBq |
397 |
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Tin Colloid Tc-99m Injectable |
Nihon Medi-Physics Co., Ltd |
10MBq |
N/A |
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Tin Colloid Tc-99m Kit |
Nihon Medi-Physics Co., Ltd |
One dose |
2 643 |
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Cerebrotec Kit |
Nihon Medi-Physics Co., Ltd |
One dose |
20 939 |
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Techne Albumin Kit |
FUJIFILM Toyama Chemical Co., Ltd. |
One dose |
4 251 |
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Techne MAA Kit |
FUJIFILM Toyama Chemical Co., Ltd. |
One dose |
4 237 |
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Techne MAG3 Kit |
FUJIFILM Toyama Chemical Co., Ltd. |
One dose |
25 443 |
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Techne MAG3 Injection |
FUJIFILM Toyama Chemical Co., Ltd. |
200MBq/syringe |
23 564 |
|
300MBq/syringe |
34 652 |
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400MBq/syringe |
45 674 |
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Techne MDP Kit |
FUJIFILM Toyama Chemical Co., Ltd. |
One dose |
3 086 |
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Techne MDP Injection |
FUJIFILM Toyama Chemical Co., Ltd. |
370MBq/syringe |
21 566 |
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555MBq/syringe |
21 566 |
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740MBq/syringe |
28 495 |
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925MBq/syringe |
36 762 |
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Techne DMSA Kit |
FUJIFILM Toyama Chemical Co., Ltd. |
One dose |
3 116 |
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Techne DTPA Kit |
FUJIFILM Toyama Chemical Co., Ltd. |
One dose |
3 110 |
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Techne Pyrophosphate Kit |
FUJIFILM Toyama Chemical Co., Ltd. |
One dose |
3 110 |
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Techne Phytate Kit |
FUJIFILM Toyama Chemical Co., Ltd. |
One dose |
2 545 |
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Neurolite Daiichi |
FUJIFILM Toyama Chemical Co., Ltd. |
One dose |
18 389 |
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Neurolite Injection Daiichi |
FUJIFILM Toyama Chemical Co., Ltd. |
400MBq/syringe |
28 697 |
|
600MBq/syringe |
43 506 |
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Poolscinti Injectable |
Nihon Medi-Physics Co., Ltd |
10MBq |
570 |
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Hepatimage Injectable |
Nihon Medi-Physics Co., Ltd |
10MBq |
796 |
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Myoview for Injection |
Nihon Medi-Physics Co., Ltd |
One dose |
29 556 |
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Myoview Injectable Syringe |
Nihon Medi-Physics Co., Ltd |
296MBq/syringe |
23 795 |
|
592MBq/syringe |
43 401 |
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740MBq/syringe |
48 247 |
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MAGscinti Injectable |
Nihon Medi-Physics Co., Ltd |
222MBq/syringe |
23 514 |
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333MBq/syringe |
34 534 |
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555MBq/syringe |
56 655 |
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Meditec |
Nihon Medi-Physics Co., Ltd |
10MBq |
272 |
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Lungscinti Tc-99m Injectable |
Nihon Medi-Physics Co., Ltd |
10MBq |
531 |
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Note: Status per March 5, 2018 (Notification No. 46 of Ministry of Health, Labour and Welfare), Implementation April 1, 2018. |
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Source: OECD Health Division survey, translated by the Authors from Japanese. The national fee schedule is available at https://www.mhlw.go.jp/topics/2018/04/tp20180401-01.html |
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References
[2] (n.a.) (n.d.), X.
[1] KBV (2018), Einheitlicher Bewertungsmaßstab (EBM) Stand: 3. Quartal 2018 Arztgruppen-EBM: Nuklearmediziner, Kassenärztliche Bundesvereinigung, http://www.kbv.de/media/sp/EBM_Nuklearmediziner_20180701_V1.pdf.
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