Hyperbare Zuurstoftherapie: Rapid Assessment - KCE
Hyperbare Zuurstoftherapie: Rapid Assessment - KCE
Hyperbare Zuurstoftherapie: Rapid Assessment - KCE
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88 Hyperbaric Oxygenation Therapy <strong>KCE</strong> Reports 74<br />
Item<br />
Table 36. Overview of covered indications and fee-for-service<br />
Description Fee/Benefit<br />
13015 HBOT, for treatment of<br />
Fee: $230.05<br />
soft tissue radionecrosis or<br />
Benefit: 75%/85%<br />
chronic or recurring wounds where hypoxia can be<br />
demonstrated,<br />
13020<br />
for a period in the hyperbaric chamber of between 1 hour 30 minutes and<br />
3 hours<br />
This item is funded on an interim basis and will cease on 31 October 2010.<br />
HBOT, for treatment of<br />
Fee: $233.70<br />
decompression illness,<br />
Benefit: 75%/85%<br />
gas gangrene,<br />
air or gas embolism;<br />
diabetic wounds including diabetic gangrene and diabetic foot<br />
ulcers;<br />
necrotising soft tissue infections including necrotising fasciitis or<br />
Fournier's gangrene; or<br />
for the prevention and treatment of osteoradionecrosis,<br />
13025<br />
for a period in the hyperbaric chamber of between 1 hour 30 minutes and<br />
3 hours<br />
HBOT for treatment of<br />
Fee: $104.50<br />
decompression illness,<br />
Benefit: 75%/85%<br />
air or gas embolism,<br />
13030<br />
for a period in the hyperbaric chamber greater than 3 hours - per hour<br />
(or part of an hour)<br />
HBOT performed in a comprehensive hyperbaric medicine facility where Fee: $147.60<br />
the medical practitioner is pressurised in the hyperbaric chamber for the<br />
purpose of providing continuous life saving emergency treatment, including<br />
any associated attendance - per hour (or part of an hour)<br />
Benefit: 75%/85%<br />
6.7<br />
Source: Medicare Benefits Schedule : http://www9.health.gov.au/mbs/search.cfm<br />
INTERNATIONAL COMPARISON: CONCLUSION<br />
There is no clear agreement on the use of HBOT when comparing the use of this<br />
therapy across countries. The acceptance of HBOT is mainly based on consensus for<br />
several indications. In proportion to the number of inhabitants and area, Belgium has a<br />
relatively large capacity of HBOT centres. With an area of about 30 500 km², Belgium<br />
has on average one HBOT centre per ~2 500 km². This is on average one centre per<br />
3 700, 13 600, 15 500, 20 300 and 640 800 km² for the Netherlands, UK, US, France,<br />
and Australia respectively. In proportion to the number of inhabitants, only the US has a<br />
higher proportion of HBOT centres which are mainly monoplace chambers. This<br />
corresponds to about one centre per 875 000 inhabitants in Belgium. In contrast, there<br />
is on average one HBOT centre per 1.5, 1.7, 2.3, and 3.3 million inhabitants for the<br />
Netherlands, Australia, France, and the UK respectively.<br />
Key points<br />
• Internationally, reimbursement levels vary and reimbursed indications<br />
are mainly consensus based<br />
• Compared to surrounding countries, HBOT capacity is relatively high in<br />
Belgium