InEK published the list of DRGs with a share of more than 2/3 (according to sec 3 para 3 of the agreement according to sec 9 para 1 no. 6 KHEntgG regarding the fixed cost degression discount).
Compared to the previous year, the number of DRGs with a material cost share of more than 2/3 has doubled (in 2019: 18 DRGs affected, in 2020: 36 DRGs affected). One of the main reasons is the nursing and care law “Pflegepersonal-Stärkungsgesetz” (PpSG), which outsources all nursing and care costs from the DRGs as of 2020. The composition of costs of the DRGs is thus seriously influenced and the material cost share increases accordingly. In the following basic DRGs, the share of material costs is more than 2/3:
B19, B21, C04, D01, F01, F02, F12, F17, F42, F50, F51, F59, F95, F98, G13, I19, I45, L16, M07, M10, Z64.
The DRGs with a material cost share of more than 2/3 are excluded from the fixed cost degression discount (currently in the amount of 35%) and considered to be non-discountable services.
You can find the list of all affected DRGs on InEK’s website here.
Do not hesitate to contact us if the therapy performed with your product is affected and therefore benefits from the exclusion from the fixed cost degression discount.
Phone: +49 431 800 147 0