Chronic dialysis
Since August 1, 2016, there has been an agreement with hospitals that have a recognized dialysis center. This agreement regulates the flat rates for the hospitals and patients and also the fees for the doctors.
Dialysis forms
The agreement applies to:
- chronic in-hospital hemodialysis;
- chronic home hemodialysis;
- chronic hemodialysis in a collective autodialysis service;
- chronic outpatient peritoneal dialysis;
- pediatric dialysis.
Diagnosis
Upon a diagnosis of chronic renal insufficiency, the patient should be immediately encouraged to enroll in the renal insufficiency care procedure .
The doctor must:
- inform the patient about:
- forms of dialysis that are possible in his situation;
- possibility of conservative/palliative treatment;
- possibility of transplantation;
- decide in consultation with the patient what the most appropriate choice is, taking into account both medical and socio-economic indications and contraindications.
Patients who are eligible for transplantation are registered on the list for transplantation with the recognized allocation body for organs of human origin (KB 27-01-2012).
Reimbursements
Flat rates for hospitals
- 767594 Hemodialysis in hospital outpatient
- 767616 Hemodialysis in hospital outpatient at night
- 767631 Hemodialysis child in outpatient hospital
- 767686 Hemodialysis child in a hospital other than where admitted
- 767723 Hemodialysis child in hospital of admission
- 767664 Hemodialysis in a hospital other than where admitted
- 767701 Hemodialysis in hospital of admission
- 767734 Hemodialysis at home
- 767756 Autodialysis at home
- 767782 Autodialysis in our own hospital
- 767804 Autodialysis in another hospital
- 767815 – 767826 Peritoneal dialysis at home
- 767830 – 767841 Peritoneal dialysis child at home
- 767955 – 767966 Self-Care Hemodialysis
Current rates can be checked on the Riziv website .
Doctors' fees
- 470293 - 470304 Hemodialysis in hospital
- 470330 - 470341 Autodialysis
- 470352 Home dialysis
- 470315 - 470326 Dialysis at night in the hospital
- 470875 Peritoneal dialysis
- 470890 - 470901 Child: hemodialysis in hospital
- 470912 Child: peritoneal dialysis
- 470934 - 470945 Self-Care Hemodialysis
Current rates can be checked on the Riziv website .
Lump sum reimbursement for the patient
The patient may not be charged for dialysis, except for damage to the equipment due to negligence.
With home dialysis, the patient receives a lump sum payment from the hospital for the increased consumption of water, electricity and telephone. Rates on January 1, 2023:
- 7.52 euros/hemodialysis
- 0.68 euros/day peritoneal dialysis
The hospital does this through a calculated payment of its fixed reimbursement for dialysis. The patient receives a patient invoice on which the amounts are stated in negative form in the 'Supplement' column.
Billing
For overnight dialysis, the dialysis is charged on the day it starts.
Dialysis via hemofiltration and dialysis via ultrafiltration are equated with hemodialysis.
The fees and lump sums are reimbursements per day or per session. This means that only one dialysis provision can be charged per day.
The fee for hemodialysis in hospital (470293 470304 470315 470326 470890 or 470901) cannot be combined with the fee for supervision on the same day.
The amounts for the lump sum reimbursement and fees are invoiced by the hospitals with their monthly settlement to the insurance institutions.