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Decree Of 18 December 2003 On The Conditions Of Removal Of The Participation Of The Insured At The Expense Of Care Taken In Application Of Article R. 322 - 8 Of The Code Of Social Security

Original Language Title: Arrêté du 18 décembre 2003 relatif aux conditions de suppression de la participation de l'assuré aux frais de soins pris en application de l'article R. 322-8 du code de la sécurité sociale

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Keywords

HEALTH , SOCIAL SECURITY , PARTICIPATION , SOCIAL ASSURE , SOINS FRAIS , SUPPRESSION , RATE , CALCUL MODE , MALADIAN ASSURANCE , EXONERATION , GENERAL NOMECLATURE ACTE , PROFESSIONNEL ACTE , COEFFICIENT , HOSPITIES

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JORF n°293 of 19 December 2003 page 21721
text No. 38



Order of 18 December 2003 on the conditions for the removal of the insured's participation in the care expenses under section R. 322-8 of the Social Security Code

NOR: SANS0324434A ELI: https://www.legifrance.gouv.fr/eli/arrete/2003/12/18/SANS0324434A/jo/texte


Minister of Health, Family and Persons with Disabilities and Minister of Agriculture, Food, Fisheries and Rural Affairs,
Considering the social security code, including articles R. 162-52 and R. 322-8;
Having regard to the amended Decree of 27 March 1972 setting out the General Nomenclature of Professional Acts of Physicians, Dentists, Midwives and Medical Auxiliaries;
In the light of the opinion of the Board of Care Offer of the National Health Insurance Fund for Employees dated 14 October 2003,
Stop:

Article 1 Learn more about this article...


For the purposes of 1 and 2 of Article R. 322-8 of the Social Security Code, the cumulative rules are determined as follows:
1. The coefficients of each of the therapeutic acts listed in K, KC, KCC, D and DC during the same session may be accumulated under the conditions provided for in Article 11 B of the general provisions of NGAP;
2. The coefficient of a therapeutic act or an invasive diagnostic act rated K, KC, KCC, D and DC can be accumulated with the coefficient of anesthesia performed for the realization of this act;
3. Zn quotes of acts using unsealed radioelements corresponding to the various effects of the same examination may be accumulated;
4. The coefficients of each of the sessions performed in the context of a radiotherapic treatment, or by radioactive isotopes, may be accumulated.

Article 2 Learn more about this article...


For the determination of the coefficient of the acts referred to above, the provisions of the NGAP established by the amended Decree of 27 March 1972 are applied.

Article 3 Learn more about this article...


This Order comes into force on 1 January 2004.

Article 4 Learn more about this article...


The Director of Social Security at the Ministry of Health, Family and Persons with Disabilities and the Director General of the Forest and Rural Affairs at the Ministry of Agriculture, Food, Fisheries and Rural Affairs are responsible, each with respect to it, for the execution of this Order, which will be published in the Official Journal of the French Republic.


Done in Paris, 18 December 2003.


Minister of Health, Family

and persons with disabilities,

Jean-François Mattei

Minister of Agriculture, Food,

and Rural Affairs,

Hervé Gaymard


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