Classification Commune des Actes Médicaux is a French medical classification for clinical procedures. Starting in 2005, the CCAM serves as the reimbursement classification for clinicians. The CCAM was evaluated using OpenGALEN tools and technologies. This classification is used to establish
In private practice and hospital fees for acts performed during technical consultations
In private clinics, the fees for procedures performed
In public and private hospitals, the DRG and its pricing of hospital stays provided to health insurance as part of T2 A.
The choice of acts of this nomenclature is up to the Evaluation Commission of Acts Professionals of the High Authority of Health It coexists with the Nomenclature Générale des Actes Professionnels.
Structure
In the version V2, the ACPC 7623 codes included. Each is accompanied by wording to clarify its meaning unambiguously followed by its price in euros and tariff details.
Code Principal
Explicit hierarchical coding. This code and / or its title in the presence of personally identifiable information may impair the protection of people and lift the confidentiality of those who entrust themselves to organizations and managed care organization. Each code comprises the four letters and three numbers.
The first letter refers to a large anatomical unit;
The second letter indicates the body in the unit corresponding to the first letter;
The third letter denotes the action performed;
The fourth letter identifies the surgical approach or technique used.
The next three digits are used to differentiate between acts with four identical letters keys. e.g. HHFA001: Appendectomy, for the first quadrant HH. F A. 001 Action Technical topography Counter
Hierarchical ACPC
CCAM codes are structured in a tree whose top-level comprises 19 chapters, organized mainly by large anatomical structure or function:
The second level separates the diagnostic and therapeutic procedures, it is optionally followed by one or more sub-levels.
Modifiers acts and association
Some acts may receive more than their one or more main code details called Modifiers. A modifier is information associated with a label that identifies a particular criterion for the performance of an act or his recovery. It applies to a specific list of acts. Modifiers are explicitly allowed in respect of each of the acts concerned. The application of a modifier leads to a rate increase of the act. Only modifiers can be charged in connection with acts that have a tariff. The description of these modifiers is found in Article III-2 of Book III of the General Provisions official. Four modifiers than can be priced by deed. In the context of pricing, the association of acts is the realization of several acts at the same time, for the same patient by the same doctor, since there is no incompatibility between these acts. Codes 1,2,3,4 or 5 and their application rates of these associations are listed in Article III-3 of Paper III.
Versions of CCAM
Version 22 of theTechnicalACPC will be applicable on September 30, 2013 for clinics and public hospitals. Version 21 shall be in use until that date. The construction of theclinical ACPC' on intellectual activities that is to say without tools or technical movement provided by the medical convention of 2005 was due to start before 2007. A survey of clinicians from FIFG is announced for late 2010.
