Hyperbare Zuurstoftherapie: Rapid Assessment - KCE

KCE Reports 74 Hyperbaric Oxygenation Therapy 81
Table 29. Two acts for HBOT currently recognized in the T2A system
Session for a patient “MCO” (Médecine, Chirurgie
et Obstétrique) (emergency or non emergency)
€137
Intensive Care unit patient €640 added, including all ICU treatments
The CNAM (Caisse Nationale de l’Assurance Maladie) that pilots this reform of
nomenclature currently discusses with the medical hyperbarists how to enrich the
nomenclature in order to better reflect the real costs.
For the public sector, the transition to the T2A is progressively made. In 2008, the tariff
should be fully implemented. For the transition of the liberal sector, provisional “acts”
have been created in the nomenclature, which are equal to the old “acts” of the NGAP
(Table 30).
Table 30. Provisory acts for the liberal sector (in transition to the T2A 100%)
Code Description Tarif acte en €
YYYY144 Séance d'oxygénothérapie hyperbare, en série, avec séance
quotidienne d'une heure, comprenant toute modalité de
surveillance, à une pression de deux à trois bars absolus
(ATA)
YYYY169 Traitement hyperbare avec médecin en dehors du caisson.
Avec ou sans enrichissement en oxygène. Traitement
hyperbare des états de détresse cardiorespiratoire et des
accidents de plongée, comprenant l'ensemble des actes de
réanimation nécessaires
YYYY196 Traitement hyperbare avec médecin à l'intérieur du
caisson. Traitement hyperbare des états de détresse
cardiorespiratoire et des accidents de plongée, comprenant
l'ensemble des actes de réanimation nécessaires
Source: http://www.codage.ext.cnamts.fr/ November 2007
6.3 UNITED KINGDOM
6.3.1 Hyperbaric centres
€28.8 par séance quotidienne
d’une heure par séance et par
patient
€96 par vacation de 6 heures
€192.00 par vacation de 6
heures
The UK had 59.99 million inhabitants in 2005 on an area of 245 000 km 2 . i There are 18
centres member of the British Hyperbaric Association.
In the UK, a distinction is made between four categories of hyperbaric centres,
providing different categories of services:
Table 31. Four categories of hyperbaric centres in the UK
Category Description
Category 1 Facilities should be capable of receiving patients in any diagnostic category who may
require Advanced Life Support either immediately or during hyperbaric treatment.
Category 2 Facilities should be capable of receiving patients in any diagnostic category who are
judged by the referring medical officer not to be likely to require Advanced Life
Support during hyperbaric treatment.
Category 3 Facilities should be capable of receiving emergency referrals of divers and compressed
air tunnel workers. These facilities should also be capable of providing elective
treatment of residual symptoms of decompression illness. Patients may be accepted, in
the name of the Medical Director (whose role is defined in para 24 of the Cox
Report), even when no Hyperbaric Duty Doctor is available at the time of referral
provided, in the view of the referring clinician, the patient's condition demands
immediate action. This does not obviate the need for discussion with the Hyperbaric
Duty Doctor who should attend the patient as soon as is practicable.
Category 4 Facilities should be capable of receiving elective and emergency referrals of patients in
any diagnostic category who are judged by the referring medical officer, on the advice
of the Hyperbaric Duty Doctor, not to be likely to require access during hyperbaric
treatment. Normally monoplace chambers are not suitable for the immediate
treatment of acute decompression illness.
Source: http://www.hyperbaric.org.uk/chamberCategories.htm
i Source: OECD demographic data 2007