Texte 2023043852
Article 1er.L'annexe 1rejointe à l'arrêté royal du 23 mars 2019 portant exécution de l'article 37, § 16bis, alinéa 1er, 3°, et alinéa 4, de la loi relative à l'assurance obligatoire soins de santé et indemnités, coordonnée le 14 juillet 1994, en ce qui concerne les pansements actifs, est complétée par ce qui suit:
| Code | Dénomination/Benaming | Conditionne-ment: | Conditionne-ment: | Type | Observa-tions/Opmer-kingen | Prijs | Basis van | TMInterventionmajorée | TMOrdi-naires | Code * | Prijs * |
| nombre / | dimensions / | Prix | tegemoetk. | I | II | Prix * | |||||
| Verpakking: | Verpakking: | Base de | |||||||||
| aantal | afmetingen | rembours. | |||||||||
| 41551205 | AQUACEL Ag + Extrahydrofibre | 10 | (5 x 5 cm) | Hydrofibre/Hydrofiber+ AG | M | 20,26 | 20,26 | 16,21 | 16,21 | 7115983 | 1,1950 |
| 4151221 | AQUACEL Ag + Extrahydrofibre | 5 | (15 x 15 cm) | Hydrofibre/Hydrofiber+ AG | M | 56,37 | 56,37 | 45,10 | 45,10 | 7115991 | 8,4820 |
| 4313755 | KerraCelT Ref. CWL116610x(10x10cm) | 10 | 10x10 cm | Hydrofibre/Hydrofiber | M | 40,09 | 40,09 | 32,07 | 32,07 | 7115942 | 3,6390 |
| 4313722 | KerraCelT Ref. CWL103210 x (5x5cm) | 10 | 5x5 cm | Hydrofibre/Hydrofiber | M | 13,84 | 13,84 | 11,07 | 11,07 | 7115959 | 1,1370 |
| 4313789 | KerraCelT Ref. CWL10345x(15x15cm) | 5 | 15x15 cm | Hydrofibre/Hydrofiber | M | 43,83 | 43,83 | 35,06 | 35,06 | 7115967 | 8,1480 |
| 4313797 | KerraCelT Ref. CWL10355x(2x45cm) | 5 | 2x45 cm | Hydrofibre/Hydrofiber | M | 24,91 | 24,91 | 19,93 | 19,93 | 7115975 | 4,0940 |
| 3553484 | HYDROTAC transparent 10 x (10x10cm) | 10 | 10x10cm | Hydrogel en plaque/Hydrogel in plaatvorm | M | 35,11 | 35,11 | 28,09 | 28,09 | 7116494 | 3,0330 |
| 3960648 | PERMAFOAM classic 10 x (15x15cm) | 10 | (15x15cm) | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 55,93 | 55,93 | 44,74 | 44,74 | 7116189 | 5,1950 |
| 3960655 | PERMAFOAM classic 10 x (10x20cm) | 10 | (10 x 20 cm) | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 61,06 | 61,06 | 48,85 | 48,85 | 7116197 | 5,6930 |
| 3960663 | PERMAFOAM classic 10 x (20x20cm) | 10 | (20 x 20 cm) | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 91,85 | 91,85 | 73,48 | 73,48 | 7116205 | 8,6820 |
| 3960689 | PERMAFOAM classic border 10 x (10x10cm) | 10 | (10x10cm) | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 35,11 | 35,11 | 28,09 | 28,09 | 7116213 | 3,0330 |
| 3960705 | PERMAFOAM classic border 10 x (15x15cm) | 10 | (15x15cm) | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 55,93 | 55,93 | 44,74 | 44,74 | 7116221 | 5,1950 |
| 2643526 | HYDROTAC Concave 10 x (18x18,5cm) | 10 | 18x18,5cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 78,1 | 78,1 | 62,48 | 62,48 | 7116239 | 7,3470 |
| 3323730 | HYDROTAC Sacral 10 x (22x22cm) | 10 | 22x22cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 109,09 | 109,09 | 87,272 | 87,272 | 7116247 | 10,3560 |
| 2643500 | HYDROTAC Sacral 3 x (22x22cm) | 3 | 22x22cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 47 | 47 | 37,6 | 37,6 | 7116254 | 14,4267 |
| 4111662 | HYDROTAC Comfort 10 x (20x20cm) | 10 | 20x20cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 91,85 | 91,85 | 73,48 | 73,48 | 7116262 | 8,6820 |
| 2643468 | HYDROTAC Comfort 3 x (20x20cm) | 3 | 20x20cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 40,09 | 40,09 | 32,072 | 32,072 | 7116270 | 12,1300 |
| 2643450 | HYDROTAC Comfort 10 x (15x20cm) | 10 | 15x20cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 71,32 | 71,32 | 57,056 | 57,056 | 7116288 | 6,6890 |
| 2643443 | HYDROTAC Comfort 3 x (15x20cm) | 3 | 15x20cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 32,62 | 32,62 | 26,096 | 26,096 | 7116296 | 9,0967 |
| 3323714 | HYDROTAC Comfort 10 x (15x15cm) | 10 | 15x15cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 55,93 | 55,93 | 44,744 | 44,744 | 7116304 | 5,1950 |
| 2643435 | HYDROTAC Comfort 3 x (15x15cm) | 3 | 15x15cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 27,02 | 27,02 | 21,616 | 21,616 | 7116312 | 6,8233 |
| 3349958 | HYDROTAC Comfort 10 x (8x15cm) | 10 | 8x15cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 40,09 | 40,09 | 32,072 | 32,072 | 7116320 | 3,6390 |
| 2643427 | HYDROTAC Comfort 10 x (12,5x12,5cm) | 10 | 12,5x12,5cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 49,83 | 49,83 | 39,864 | 39,864 | 7116338 | 4,6030 |
| 2643419 | HYDROTAC Comfort 3 x (12,5x12,5cm) | 3 | 12,5x12,5cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 24,37 | 24,37 | 19,496 | 19,496 | 7116346 | 5,9267 |
| 2805794 | HYDROTAC Comfort 10 x (10x20cm) | 10 | 10x20cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 61,06 | 61,06 | 48,848 | 48,848 | 7116353 | 5,6930 |
| 2805802 | HYDROTAC Comfort 10 x (6,5x10cm) | 10 | 6,5x10cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 26,39 | 26,39 | 21,112 | 21,112 | 7116361 | 1,9720 |
| 2643401 | HYDROTAC Comfort 10 x (8x8cm) | 10 | 8x8cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 26,14 | 26,14 | 20,912 | 20,912 | 7116379 | 1,9410 |
| 2643286 | HYDROTAC 10 x (diam 6cm) | 10 | diam 6cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 14,7 | 14,7 | 11,76 | 11,76 | 7116387 | 0,7150 |
| 4111993 | HYDROTAC 10 x (20x20cm) | 10 | 20x20cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 91,85 | 91,85 | 73,48 | 73,48 | 7116395 | 8,6820 |
| 2643393 | HYDROTAC 3 x (20x20cm) | 3 | 20x20cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 40,09 | 40,09 | 32,072 | 32,072 | 7116403 | 12,1300 |
| 2643377 | HYDROTAC 10 x (15x20cm) | 10 | 15x20cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 71,32 | 71,32 | 57,056 | 57,056 | 7116411 | 6,6890 |
| 3323748 | HYDROTAC 10 x (15x15cm) | 10 | 15x15cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 55,93 | 55,93 | 44,744 | 44,744 | 7116429 | 5,1950 |
| 2643369 | HYDROTAC 3 x (15x15cm) | 3 | 15x15cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 27,02 | 27,02 | 21,616 | 21,616 | 7116437 | 6,8233 |
| 2643344 | HYDROTAC 10 x (12,5x12,5cm) | 10 | 12,5x12,5cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 49,83 | 49,83 | 39,864 | 39,864 | 7116445 | 4,6030 |
| 4111712 | HYDROTAC 10 x (10x20cm) | 10 | 10x20cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 61,06 | 61,06 | 48,848 | 48,848 | 7116452 | 5.6930 |
| 2643351 | HYDROTAC 3 x (10x20cm) | 3 | 10x20cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 24,93 | 24,93 | 19,944 | 19,944 | 7116460 | 6,0667 |
| 2643302 | HYDROTAC 10 x (10x10cm) | 10 | 10x10cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 35,11 | 35,11 | 28,088 | 28,088 | 7116478 | 3,0330 |
| 2643294 | HYDROTAC 3 x (10x10cm) | 3 | 10x10cm | (Pseudo)Schuimver-band/Pansement (pseudo)mousse | M | 15,6 | 15,6 | 12,48 | 12,48 | 7116486 | 3,7933 |
Art. 2.A l'annexe 1rejointe au même arrêté, les lignes suivantes:
| Code | Dénomination/Benaming | Conditionne-ment: | Conditionne-ment: | Type | Observa-tions/Opmer-kingen | Prijs | Basis van | TMInterventionmajorée | TMOrdi-naires | Code * | Prijs * |
| nombre / | dimensions / | Prix | tegemoetk. | I | II | Prix * | |||||
| Verpakking: | Verpakking: | Base de | |||||||||
| aantal | afmetingen | rembours. | |||||||||
| 1544691 | SUPRASORB "G" | 5 | (10 x 10 cm) | Hydrogel en plaque/Hydrogel in plaatvorm | M | 20,77 | 20,77 | 16,62 | 16,62 | 7102882 | 3,0320 |
| 1544709 | SUPRASORB "G" | 3 | (20 x 20 cm) | Hydrogel en plaque/Hydrogel in plaatvorm | M | 40,09 | 40,09 | 32,07 | 32,07 | 7102890 | 12,1300 |
| 1544683 | SUPRASORB "G" | 5 | (5 x 7,5 cm) | Hydrogel en plaque/Hydrogel in plaatvorm | M | 9,74 | 9,74 | 7,79 | 7,79 | 7103518 | 1,4220 |
| 2324317 | SUPRASORB "H" | 10 | (10 x 10 cm) | Hydrocolloïde | M | 40,71 | 40,71 | 32,57 | 32,57 | 7102932 | 3,7150 |
| 1544576 | SUPRASORB "H" | 5 | (14 x 14 cm) | Hydrocolloïde | M | 38,03 | 38,03 | 30,42 | 30,42 | 7102908 | 6,7780 |
| 1544568 | SUPRASORB "H" | 5 | (14 x 16 cm) | Hydrocolloïde | M | 42,02 | 42,02 | 33,62 | 33,62 | 7102924 | 7,7480 |
| 1544493 | SUPRASORB "H" | 5 | (15 x 15 cm) | Hydrocolloïde | M | 42,16 | 42,16 | 33,73 | 33,73 | 7102957 | 7,7820 |
| 1544501 | SUPRASORB "H" | 5 | (20 x 20 cm) | Hydrocolloïde | M | 55,65 | 55,65 | 44,52 | 44,52 | 7102916 | 10,5120 |
| 1544535 | SUPRASORB "H" dun | 10 | (10 x 10 cm) | Hydrocolloïde | M | 38,61 | 38,61 | 30,89 | 30,89 | 7102932 | 3,4590 |
| 1544519 | SUPRASORB "H" dun | 10 | (5 x 10 cm) | Hydrocolloïde | M | 27,95 | 27,95 | 22,36 | 22,36 | 7102965 | 2,1610 |
| 1544527 | SUPRASORB "H" dun | 10 | (5 x 20 cm) | Hydrocolloïde | M | 38,61 | 38,61 | 30,89 | 30,89 | 7102940 | 3,4590 |
| 1544543 | SUPRASORB "H" dun | 5 | (15 x 15 cm) | Hydrocolloïde | M | 42,16 | 42,16 | 33,73 | 33,73 | 7102999 | 7,7820 |
| 1544550 | SUPRASORB "H" dun | 5 | (20 x 20 cm) | Hydrocolloïde | M | 55,65 | 55,65 | 44,52 | 44,52 | 7102981 | 10,5120 |
| 2324309 | SUPRASORB "H" fijn | 10 | (5 x 5 cm) | Hydrocolloïde | M | 14,81 | 14,81 | 11,85 | 11,85 | 7103898 | 1,0810 |
sont remplacées par les lignes suivantes :
| Code | Dénomination/Benaming | Conditionne-ment: | Conditionne-ment: | Type | Observa-tions/Opmer-kingen | Prijs | Basis van | TMInterventionmajorée | TMOrdi-naires | Code * | Prijs * |
| nombre / | dimensions / | Prix | tegemoetk. | I | II | Prix * | |||||
| Verpakking: | Verpakking: | Base de | |||||||||
| aantal | afmetingen | rembours. | |||||||||
| 3356011 | SUPRASORB "G" | 5 | (10 x 10 cm) | Hydrogel en plaque/Hydrogel in plaatvorm | M | 20,77 | 20,77 | 16,62 | 16,62 | 7102882 | 3,0320 |
| 3356003 | SUPRASORB "G" | 3 | (20 x 20 cm) | Hydrogel en plaque/Hydrogel in plaatvorm | M | 40,09 | 40,09 | 32,07 | 32,07 | 7102890 | 12,1300 |
| 3356029 | SUPRASORB "G" | 5 | (5 x 7,5 cm) | Hydrogel en plaque/Hydrogel in plaatvorm | M | 9,74 | 9,74 | 7,79 | 7,79 | 7103518 | 1,4220 |
| 3945557 | SUPRASORB "H" | 10 | (10 x 10 cm) | Hydrocolloïde | M | 40,71 | 40,71 | 32,57 | 32,57 | 7102932 | 3,7150 |
| 3945649 | SUPRASORB "H" | 5 | (14 x 14 cm) | Hydrocolloïde | M | 38,03 | 38,03 | 30,42 | 30,42 | 7102908 | 6,7780 |
| 3945656 | SUPRASORB "H" | 5 | (14 x 16 cm) | Hydrocolloïde | M | 42,02 | 42,02 | 33,62 | 33,62 | 7102924 | 7,7480 |
| 3945565 | SUPRASORB "H" | 5 | (15 x 15 cm) | Hydrocolloïde | M | 42,16 | 42,16 | 33,73 | 33,73 | 7102957 | 7,7820 |
| 3945573 | SUPRASORB "H" | 5 | (20 x 20 cm) | Hydrocolloïde | M | 55,65 | 55,65 | 44,52 | 44,52 | 7102916 | 10,5120 |
| 3945615 | SUPRASORB "H" dun | 10 | (10 x 10 cm) | Hydrocolloïde | M | 38,61 | 38,61 | 30,89 | 30,89 | 7102932 | 3,4590 |
| 3945599 | SUPRASORB "H" dun | 10 | (5 x 10 cm) | Hydrocolloïde | M | 27,95 | 27,95 | 22,36 | 22,36 | 7102965 | 2,1610 |
| 3945607 | SUPRASORB "H" dun | 10 | (5 x 20 cm) | Hydrocolloïde | M | 38,61 | 38,61 | 30,89 | 30,89 | 7102940 | 3,4590 |
| 3945623 | SUPRASORB "H" dun | 5 | (15 x 15 cm) | Hydrocolloïde | M | 42,16 | 42,16 | 33,73 | 33,73 | 7102999 | 7,7820 |
| 3945631 | SUPRASORB "H" dun | 5 | (20 x 20 cm) | Hydrocolloïde | M | 55,65 | 55,65 | 44,52 | 44,52 | 7102981 | 10,5120 |
| 3945581 | SUPRASORB "H" fijn | 10 | (5 x 5 cm) | Hydrocolloïde | M | 14,81 | 14,81 | 11,85 | 11,85 | 7103898 | 1,0810 |
Art. 3.Le présent arrêté entre en vigueur le premier jour du mois qui suit l'expiration d'un délai de dix jours prenant cours le jour suivant sa publication au Moniteur belge.
Art. 4.Le ministre qui a les Affaires sociales dans ses attributions est chargé de l'exécution du présent arrêté.