Key Benefits:
Minister of Health and Sports and Minister of Budget, Public Accounts and State Reform,
Vu le social security code, including articles L. 162-17-2-1, L. 324-1 and R. 163-26 to R. 163-30 ;
Vu le Public Health Code ;
Considering the opinion of the High Health Authority of 25 January 2010;
Considering the opinion of the National Health Insurance Union dated 6 October 2010,
Stop:
The products listed in Appendix I to this Order are covered for a period of three years outside the scope of reimbursable goods and services, under theArticle L. 162-17-2-1 of the Social Security Codefor the benefit of patients with Ehers-Danlos syndromes under the conditions specified in annexes II and III.
The medical opportunity to maintain the prescription of the products referred to in section 1 is assessed jointly by the treating physician and the consulting physician within five years of the commencement of the application of the care protocol referred to in theArticle L. 324-1 of the Social Security Code.
The Director of Social Security and the Director General of Health are responsible, each with respect to him, for the execution of this Order, which will be published as well as his annex to the Official Journal of the French Republic.
A N N E X E S
A N N E X E I
(12 inscriptions)
| Compressive clothing custom for large burns | Code LPP |
| Compressive jacket, sleeveless jacket | 2167678 |
| Compressive clothing, shorts | 2185908 |
| Compressive clothing, mitaine | 2127733 |
| Compressive clothing, open or closed gloves | 2112269 |
| Compressive clothing, high sock | 2181945 |
| Supplements to compressive clothing | Code LPP |
| Compressive clothing, sleeveless vest supplement, short sleeve | 2126751 |
| Compressive clothing, sleeveless vest supplement, long sleeve | 2123712 |
| Compressive clothing, sleeveless vest supplement, undercoat | 2106719 |
| Compressive clothing, short supplement, short leg | 2193693 |
| Compressive clothing, short supplement, long leg | 2133248 |
| Compressive clothing, high sock supplement, foot | 2102986 |
| Compressive clothing, supplement, cuff (for open or closed mitt or glove) | 2190602 |
A N N E X E I
MALADES CATEGORY OF PRODUCTS ON ANNEX I AND THERAPETIC INDICATION
| People with hypermobile Ehlers-Danlos syndrome | |
| People with Classic Ehlers-Danlos Syndrome | Symptomatic treatment of joint pain associated with Ehlers-Danlos syndromes |
| People with Cypho-scoliotic Ehlers-Danlos Syndrome | |
| People with arthro-chalasic Ehlers-Danlos syndrome | |
| People with vascular Ehlers-Danlos syndrome | |
A N N E X E I I
GENERAL MODALITIES OF PRESCRIPTION
Condition of prescription and patient monitoring
In accordance withArticle L. 162-17-2-1 of the Social Security Code, for the therapeutic indication referred to in Appendix II, the company(s) distributing the products referred to in Appendix I are required to establish, in connection with the High Health Authority, an observational study for a period of two years, with the main objective of assessing effectiveness. The business(s) must also, at the end of the three-year period referred to in section 1 of this Order, file an application for registration on the list of products and benefits referred to inArticle L. 165-1 of the Social Security Code for the following treatment: symptomatic treatment of joint pain associated with Ehlers-Danlos syndromes.
Technical specifications
The technical specifications are the same as those of compressive clothing in large fogs, with the exception:
– applied pressures: those of compressive clothing used in Ehlers-Danlos syndromes are less than those used for mistled; compression pressures are between 10 and 13.5 mmHg, for a 24 cm perimeter application, and between 6 and 10 mmHg, for a 55 cm perimeter application;
― the extension of the fabric or knitting: for Ehlers-Danlos syndromes, the extension is at least 100% in the width and length.
Terms of limitation and use
Only custom-made clothing are covered. Compressive clothing must be prescribed for each outstanding joint. The prescription is made by doctors from the reference centre, rheumatologists, specialists in physical and rehabilitation doctors or dermatologists.
Compressive clothing is prescribed due to a set of two clothes per patient, per six-month period, renewable as needed. If necessary, gloves and mittens can be renewed within a shorter period than six months. For children under the age of sixteen, regardless of location, they are prescribed for a set of two clothes per patient, per six-month period.
Done in Paris, October 15, 2010.
Minister of Health and Sports,
For the Minister and by delegation:
Deputy Director
Financing
the care system,
K. Julienne
Mission
Deputy Director
Policy on Practices
and health products,
C. Choma
Minister of Budget, Public Accounts
and state reform,
For the Minister and by delegation:
Deputy Director
Financing
the care system,
K. Julienne
