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86 Hyperbaric Oxygenation Therapy KCE Reports 74 6.5 GERMANY 6.5.1 Hyperbaric centres Germany had 82.47 million inhabitants in 2005 on an area of 357 000 km 2 . o According to one source there are approximately 80 multi-person hyperbaric oxygen chambers in Germany p. On the VDD (“Verband Deutscher Druckkammerzentren”) website, 24 member hyperbaric centres are listed (Table 34). Table 34. Members of Verband Deutscher Druckkammerzentren Druckkammerzentrum, Hamburg HBO-Druckkammer-zentrum, Soltau Institut für Hyperbar- u. Tauchmedizin, Berlin Inselklinik Heringsdorf GmbH&Co.KG, Seebad Heringsdorf Druckkammerzentrum, Hannover HBO-Druckkammer-Kassel HBO-Zentrum Mittelhessen GmbH, Wetzlar Institut für HBO u. Tauchmedizin im Fachklinikum, Brandis Sauerstoff-Therapiezentrum ORL-Vitamed GmbH&Co.KG, Düsseldorf Praxis für Hyperbarmedizin Münster Klinik a. Kurpark GmbH Bad Rothenfelde HBO-Zentrum Euregio Aachen DKZ Düren Druckkammer-Medizin KG - Paulusklinik Düren Zentrum für Sauerstoffüberdruck- und Tauch- und Höhenmedizin Frankfurt Druckkammerzentrum Offenbach Druckkammerzentrum Wiesbaden am Rotkreuzkrankenhaus Wiesbaden HBO-Zentrum Rhein-Main, Hofheim OXYMED Privat-Institut Ramstein-Miesenbach Druckkammerzentrum, Heidelberg DCS1 Stuttgart Druckkammerzentrum Freiburg GmbH Freiburg Hyperbares Sauerstoff-Zentrum GmbH München Druckkammer- zentrum, Traunstein Institut f. Überdruck-Medizin Regensburg Source : www.vddhbo.de 6.5.2 Covered indications In Germany, there is an invoicing code for HBOT in the OPS (“Operationen- und Prozedurenschlüssel”) (see Table 35). However, no value has yet been attributed to this code (according to personal communication from the Aachen University Clinic (U. Siekmann, January 2008) and the HBO-Zentrum Euregio Aachen). Therefore, currently, no single indication is nationally reimbursed by the legal insurance. Some hospitals, however, may have local contracts with insurers to reimburse a number of indications at an agreed fee. o Source : OECD demographic data 2007 p Source: http://www.tinnitusformula.com/infocenter/articles/treatments/hyperbaric.aspx
KCE Reports 74 Hyperbaric Oxygenation Therapy 87 Table 35. HBOT code in OPS Germany 8-721 Hyperbare Oxygenation [HBO] 8-721.0 Behandlungsdauer bis 145 Minuten ohne Intensivüberwachung 8-721.1 Behandlungsdauer bis 145 Minuten mit Intensivüberwachung 8-721.2 Behandlungsdauer von 145-280 Minuten mit Intensivüberwachung 8-721.3 Behandlungsdauer über 280 Minuten mit Intensivüberwachung 8-721.4 Behandlungsdauer von 145-280 Minuten ohne Intensivüberwachung 8-721.x Sonstige 8-721.y N.n.bez. Source: http://www.dimdi.de/static/de/klassi/prozeduren/ops301/opshtml2008/fr-ops.htm 6.5.3 Fees for HBOT As mentioned above, there is currently no national fee attributed to the invoicing code for HBOT in the OPS. At the German Diving and Hyperbaric Medical Society, the following fees are charged: • Standard HBO: €180 – 250 • Emergency HBO: < €1 100 • USNTT6: €1 460 6.6 AUSTRALIA 6.6.1 Hyperbaric centres Australia had a population of 20.34 million people in 2005 on an area of 7.69 million km 2 . q In Australia and New Zealand, there are only 12 comprehensive hyperbaric facilities located within hospitals and a number of small free standing facilities. These facilities tend to concentrate on a narrow spectrum of diseases. 1 6.6.2 Covered indications and fees for HBOT Table 36 presents an overview of covered indications and the fee-for-service by Medicare in Australia. q Source: OECD demographic data 2007
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