#SFHS2613873AFrance Updates Reimbursement Conditions for the RM PRESSFIT VITAMYS Hip Implant
AI-generated summary for informational purposes only. Not legal advice. See the original source for the authoritative text.
This order updates the reimbursement listing for MATHYS Orthopedie’s RM PRESSFIT VITAMYS cementless monoblock hip cup, a medical device used in hip replacement surgery. It replaces the existing description for reimbursement code 3186034 and clarifies the device description, covered medical indications, prescribing conditions, excluded reimbursement codes, covered product references, and the end date for coverage. Hospitals, orthopedic surgeons, procurement teams, and billing teams should use the revised listing when prescribing, purchasing, coding, or claiming reimbursement for this implant. Coverage under this code ends on 1 August 2026, and the implant must be placed by a properly trained and experienced orthopedic surgeon.
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Key Changes
- Replaces the reimbursement nomenclature for code 3186034 covering the RM PRESSFIT VITAMYS cementless hip cup
- Clarifies the medical indications and usage conditions eligible for reimbursement
- Sets the coverage end date for this reimbursement code at 1 August 2026
Obligations
What this law requires
Use reimbursement code 3186034 only for the RM PRESSFIT VITAMYS cementless mixed monoblock acetabular cup described in the revised listing, consisting of a high-molecular-weight polyethylene body with a pure titanium coating and articulating with a metal or ceramic femoral head.
Claim reimbursement for code 3186034 only when the implant is used for one of the covered indications: severe functionally disabling coxopathy insufficiently improved by proper medical treatment after observation; true femoral neck fracture with pre-existing symptomatic coxopathy; true femoral neck fracture without pre-existing symptomatic coxopathy in patients under 85 with Parker score at least 6; or selected extracervical fractures where hip arthroplasty is an alternative to osteosynthesis.
Ensure implantation of the RM PRESSFIT VITAMYS cup reimbursed under code 3186034 is performed by an orthopedic surgeon who is properly trained and experienced in joint prosthetic surgery.
Do not claim reimbursement under codes 3133262, 3163659, or 3161130 for the same coverage when reimbursement is claimed under code 3186034.
Limit reimbursed purchases and claims under code 3186034 to the listed RM PRESSFIT VITAMYS references with internal diameters 28 mm, 32 mm, or 36 mm as specified in the order.