New funding category for mechanical thrombectomy

The Independent Health and Aged Care Pricing Authority (IHACPA) has just released its 2023-24 pricing determinations – this is the first publication that specifically references ECR and confirms an increase in funding. This funding will be applicable for procedures from 1 July 2023.

The new pricing is as below; (NOTE: these are averages, and final funding amounts will be influenced by the length of stay, time in ICU, time in ER etc.)

AR-DRG V11.0 Description ALOS (days) AVG Inlier Funding

B08A Endovascular Clot Retrieval, Major Complexity 9.3 $40,936

B08B Endovascular Clot Retrieval, Minor Complexity 4.1 $24,927

The value of this category will continue to change over the coming years as the system captures more cost and clinical data. An important next step is for INRs and stroke units to ensure that they are submitting detailed and accurate cost data to IHACPA.