What services can PHYSICIANS encode via PID starting from March 19, 2024?

Paiement immédiat direct   27 Mar, 2024


Welche Leistungen können ÄRZTE ab dem 19. März 2024 über PID abrechnen?

Physicians' Nomenclature

Starting March 19, 2024, physicians can use all the procedures and services from the physicians' nomenclature within the framework of immediate direct payment (PID), with the following exceptions currently:

  • Procedures not included in the physicians' nomenclature or the CNS-AMMD convention
  • Medical procedures provided under the competence of the accident insurance association
  • Procedures billed to a person benefiting from social third-party payment
  • Procedures subject to ACM or APCM
  • Inpatient hospital treatments or treatments in a day hospital service
  • Medical packages for follow-up in a day psychiatry center (J1 to J4)
  • Horo-kilometric allowances for night service in general medicine (K2)
  • Medical packages for treatments at the National Center for Functional Rehabilitation and Reeducation (J9 and F43)
  • Procedures related to multidisciplinary cancer consultation (P1 to P3)
  • Procedures under the early breast cancer screening program (E20, 8V53)
  • Consultations, examinations, and procedures under the organized colorectal cancer screening program (PDOCCR) (E30, E31, E32, 1G91 to 1G96)
  • Radiotherapy (procedures with codes starting with: KNQ--, KPK--, KQD--, KQQ--, KZQ--, KRQ--, KRB--)
  • Reports to the Medical Control of Social Security (R4, R5, R6, R8, R9, R11, R12)
  • Other procedures: C46, FC45, MR03, R1, R20

Laboratories' Nomenclature

Regarding the nomenclature of procedures and services of medical analysis and clinical biology laboratories, physicians will also be able to bill via PID (immediate direct payment) for the procedures they can perform in their medical office, namely: BC001, BC002, BC042, BC141, BC202, BC203, BC403, BC602, BD701, BG001, BG002, BG003, BG212, BH503, BH991, BH993, BH994, BH995, BH996.

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