par Brassinne, Eric
Référence Revue médicale de Bruxelles, 24, 4, page (A203-A209)
Publication Publié, 2003-09
Article révisé par les pairs
Résumé : This article presents a synthesis of different aspects which concern the doctors in the new physiotherapy nomenclature. With reference to the new rules for prescription, these must obligatorily indicate the maximum number of sessions (9 for existing pathologies, 30 for F and E), the diagnosis, the location of the lesions. We explain precisely the different categories of pathological conditions defined by this nomenclature, and the rules concerning them. There are the "existing" pathologies for which 18 sessions will be reimbursed at the optimal rate, from thereon the reimbursement decreases. For the pathological conditions as in List F ("functional" pathologies), the physiotherapist must send a notification to the consulting doctor, he must therefore have in his possession the elements which show that the patient has in effect a pathological condition as in List F. These pathological conditions have been divided into two categories; the acute pathologies (60 sessions reimbursed per year - calendar year); the chronic pathologies (60 sessions per year - civil calendar) during 3 years. For the pathological conditions as in List E, an agreement by the consulting doctor is necessary on the basis of a medical and physiotherapy report. For this category of patient, there are no limitations to the number of sessions. The perinatal physiotherapy is limited to 9 sessions around the time of birth. We also explain the rules concerning the written report of physiotherapy, obligatory once per year for the F and E pathologies, and the possibility for the doctor to prescribe a consultation examination. Also, we inform you of the different possibilities to obtain a second session of daily physiotherapy.