Updated Convention for reimbursement of kidney dialysis in Belgium

In Belgium, dialysis is reimbursed under a specific agreement (Convention) between the National Institute for Health and Disability Insurance (INAMI-RIZIV) and chronic kidney failure centers starting in 2018. The current update of the Convention came into force on January 1, 2024, and is valid until December 31, 2026. 

The Convention determines reimbursement amounts and conditions for a hospital and for doctors depending on the type of dialysis. The following types of dialysis are covered by the Convention (same as in the previous version):

• Chronic hospital hemodialysis (using hemofiltration/ultrafiltration);
• Chronic home hemodialysis and self-care hemodialysis;
• Chronic hemodialysis in a collective auto-dialysis center;
• Chronic home peritoneal dialysis;
• Pediatric dialysis.

Services are reimbursed via Pseudo-nomenclature codes. 

No significant changes were introduced in the overall reimbursement framework in 2024. Four new Pseudo-nomenclature codes for informing and training patients were added. Some examples of new codes are provided below:

• 471111 Information and training: new dialysis patients;
• 471133 Information and training: home dialysis patients, first year (start);

See the full details here.

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