#SFHS2613440AFrance renews reimbursement listing for MEDACTA HIGHCROSS hip implant inserts
AI-generated summary for informational purposes only. Not legal advice. See the original source for the authoritative text.
This order renews and updates the reimbursement listing for MEDACTA HIGHCROSS highly cross-linked polyethylene inserts used in certain hip replacement procedures, along with associated dual-mobility acetabular cups. The covered products remain listed under France’s reimbursable medical products and services list until 1 January 2032 for the specified references. The change matters mainly for hospitals, orthopedic surgeons, procurement teams, MEDACTA, and payers. It confirms which product codes, sizes, indications, and references are eligible for reimbursement, especially for patients at high or very high risk of hip dislocation or for revision surgery after repeated dislocations.
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Key Changes
- Renews reimbursement coverage for MEDACTA HIGHCROSS hip implant inserts under specified product codes
- Updates the listed product descriptions, covered indications, and eligible references for 22.2 mm and 28 mm inserts
- Sets the reimbursement end date for the listed HIGHCROSS insert references at 1 January 2032
Obligations
What this law requires
For reimbursement under LPPR code 3145466, HIGHCROSS highly cross-linked polyethylene inserts with diameter 22.2 mm must be used only with a dual-mobility acetabular cup VERSACEM cemented, MPACT DM non-cemented, or VERSAFITCUP DM non-cemented, and with a metallic or ceramic femoral head.
For reimbursement under LPPR code 3145466, use of HIGHCROSS diameter 22.2 mm inserts is covered only for first-intention hip arthroplasty in patients with very high dislocation risk, including severe neurological conditions, neuropsychiatric disorders, addictions, or major neuromuscular deficiencies.
For reimbursement under LPPR code 3145466, use of HIGHCROSS diameter 22.2 mm inserts is covered only for revision arthroplasty in cases of repeated dislocations or in patients with high dislocation risk.
For reimbursement under LPPR code 3145466, only the listed HIGHCROSS references are covered: 01.26.2240MHC, 01.26.2242MHC, 01.26.2244MHC, 01.26.2246MHC, 01.26.2248MHC, 01.26.2250MHC, 01.26.2252MHC, 01.26.2254MHC, 01.26.2256MHC, 01.26.2258MHC, 01.26.2260MHC, 01.26.2262MHC, and 01.26.2264MHC.
For reimbursement under LPPR code 3128108, HIGHCROSS highly cross-linked polyethylene inserts with diameter 28 mm must be used only with a dual-mobility acetabular cup VERSACEM cemented, MPACT DM non-cemented, or VERSAFITCUP DM non-cemented, and with a metallic or ceramic femoral head.