Rijksinstituut voor ziekte- en invaliditeitsverzekering. - Interpretatieregels betreffende de nomenclatuur van de geneeskundige verstrekkingen Op voorstel van de Technische geneeskundige raad van 14
Rijksinstituut voor ziekte- en invaliditeitsverzekering. - Interpretatieregels betreffende de nomenclatuur van de geneeskundige verstrekkingenOp voorstel van de Technische geneeskundige raad van 14 maart 2023 en in uitvoering van artikel 22, 4° bis, van de wet betreffende de verplichte verzekering voor geneeskundige verzorging en uitkeringen, gecoördineerd op 14 juli 1994, heeft het Comité van de Verzekering voor geneeskundige verzorging op 27 maart 2023 de hierna gaande beslissingen genomen:Interpretatieregels betreffende de verstrekkingen van artikel 25 van de nomenclatuur van de geneeskundige verstrekkingen:De interpretatieregel 04 wordt opgeheven.INTERPRETATIEREGEL 07VRAAGWat gebeurt met de immuniteit wanneer een nieuwe ingreep volgt op een ingreep tijdens hetzelfde opnemingstijdvak?Wat gebeurt met de immuniteit wanneer de opneming wordt onderbroken of wanneer de rechthebbende wordt overgebracht naar een andere dienst?ANTWOORDa) Wanneer, tijdens een zelfde opnemingstijdvak, verscheidene therapeutische heelkundige of orthopedische bewerkingen of verloskundige verstrekkingen elkaar opvolgen, maakt elke nieuwe ingreep een einde aan de vorige immuniteitsperiode en doet een nieuwe immuniteitsperiode van vijf dagen ingaan.De zware heelkundige bewerkingen, bedoeld in artikel 25, § 2, a), 2°, derde lid van de nomenclatuur van de geneeskundige verstrekkingen hebben evenwel geen immunisatie van het honorarium voor toezicht gedurende vijf dagen tot gevolg. (Die uitzonderingsregel blijft van toepassing wanneer een niet in artikel 25, § 2, a), 2°, derde lid, van de nomenclatuur bedoelde heelkundige bewerking, een ingreep inzake zware heelkunde voorafgaat of erop volgt).b) Er wordt geen einde gemaakt...
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