As you all know, when performing a radical cystectomy, sometimes we need to do a lymph node dissection at the same time. If you want to do this in a correct way the lymph node dissection is a demanding and time consuming procedure.
After discussing the renumeration for these surgeries within the BLUG board, our secretary Axel Feyaerts asked the RIZI/INAMI working group for interpretation of the nomenclature rules if both procedures could be coded at the same time. This was then discussed at the RIZIV/INAMI and it was ruled that you can combine the tarification of the radical cystectomy (260433 or 262334) with a pelvic lymph node dissection (240472) at 50%. (in accordance with article 15, §4 of the nomenclature code)
We then asked if the same rule also applied to the lymph node dissection together with a radical prostatectomy and wo got confirmation from the RIZIV/INAMI that the tarification of a radical prostatectomy (261800) can indeed be combined with a pelvic lymph node dissection (240472), again of course at 50%.
We wanted to inform you about these important confirmations and we feel that this is a correct acknowledgement of the extra work we put in, trying to correctly treat our patients.
We also hope that this can end or prevent further discussion and bring some harmonisation in het way these procedures are coded
For the BLUG, Peter Dekuyper President
Les documents officiels sont repris sur la page réservée aux membres, dans la rubrique Documents - Règles interprétatives