New procedure codes in Belgian Nomenclature came into force in April 2019

The health benefit Nomenclature of the Belgian National Institute for Health and Disability Insurance (INAMI/RIZIV) includes the benefits (with specific hospital and ambulatory codes) that are reimbursed by the compulsory health care insurance, wholly or partially. The Nomenclature and its changes are published in the Belgian Official Gazette.

On March 7, 2019, the Nomenclature was updated. The update brought changes in chapter V of Nomenclature, regarding the creation of new codes, deletion, and modification of existing codes.

The changes of the following articles of the Nomenclature will come into force since April 1, 2019:

• Article 24 “Clinical Biology”
• Article 24bis “Clinical Biology”
• Article 14 “Ophthalmology”
• Article 14c “Plastic Surgery”
• Article 12 “Anesthesiology”

Key changes in the clinical biology (24) article:

• Fourty-three new codes regarding biochemistry, microbiology, hematology, immunohematology have been introduced
• Conditions for reimbursement of these codes were added
• Three (3) codes were delisted
• Minor modifications of existing codes were made

Key changes in the clinical biology (24bis) article:

• Seven (7) new codes regarding molecular biology tests have been introduced
• Conditions for reimbursement of these codes were added

Key changes in the ophthalmology (14) article:

• Minor modifications of existing conditions of reimbursement of “Intravitreal injection performed under conditions strict asepsis” (248334-248345) were made

Key changes in the plastic surgery (14c) article:

• Modifications of existing codes
• Modifications of existing conditions for reimbursement

Key changes in the anesthesiology (12) article:

• Modifications of existing codes
• New code (202871-202882) for treatment of acute pain was added

See full details here.

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