I've just visited my dentist and I've received an invoice with several codes and their corresponding tariffs: what do these codes mean?

On this page, I can use a practical tool to understand the codes on my invoice and check the corresponding tariffs.

In Luxembourg, the tariffs for acts and services provided by doctors and healthcare professionals are set by different nomenclatures, each containing specific codes.

I check the tariffs for acts and services

This search tool lets me find, from the code indicated by the healthcare provider on the invoice (for example C1, DC1, etc.), the description of the act, the nomenclature to which it belongs and its normal tariff (this is not the amount reimbursed).

The codes and tariffs displayed are those currently applicable.

I enter the code I'm interested in and click on SEARCH. The results are provided in French.

All I need to know about nomenclatures

What is a nomenclature of acts and services?

A nomenclature is an official text containing:

  • General invoicing rules for the healthcare provider.
  • A table of all the acts and services that the provider may invoice.

Each act and service included in this table is identified by:

  • Its code.
  • Its description.
  • Its standard tariff.

How many nomenclatures are there and where can I find them?

Acts and services are classified by nomenclature, which includes the following specialities:

To consult a nomenclature in its entirety, I click on the one that interests me.

What is the reimbursement rate for the various acts?

The rate at which acts and services are covered or reimbursed depends on the nomenclature to which they belong, in other words, the type of healthcare provider.

Examples

  • Code C1 :
    • Nomenclature: Doctors' nomenclature
    • Description: Consultation with a general practitioner
    • Rate of reimbursement for adults: 88%.
  • Code ZK11 :
    • Nomenclature: Nomenclature of masseur-physiotherapists
    • Description: Complex orthopaedic rehabilitation
    • Rate of reimbursement for adults: 70% (acts related to a common pathology)
I consult the REIMBURSEMENTS section for detailed information on the different rates of reimbursement.

Can the nomenclatures' tariffs be adjusted by healthcare providers?

In some cases, acts and services may be subject to a mark-up or mark-down. In these cases, a suffix is added to the code.

The suffixes currently in force are:

Suffix

Explanation

Coefficient

E

 Urological endoscopy acts and pneumological endoscopy acts may be increased by ten per cent, if they are performed on children under 14 years of age. Gastroenterology endoscopy acts may be increased by ten per cent if they are performed on children under 6 years of age (art 8, nomenclature for doctors and dentists)

1.10

N,D or F

If the technical act is performed urgently between 8 p.m. and 7 a.m. or on a Sunday or statutory holiday, its fee is increased by one hundred per cent. The doctor notes the increased rate on the fee statement by adding the letter "N" (night), "D" (Sunday), or "F" (public holiday) to the act code. (art 8, nomenclature des médecins et médecins-dentistes)

2.00

B

The same operation performed on both sides is to be regarded as a bilateral operation. If it is performed in one session, the fee for the unilateral operation is increased by fifty per cent and the doctor notes the increased fee on the bill of fees by completing the act code with the letter "B". (art 9, nomenclature des médecins et médecins-dentistes)

 1.50

R

When, during the same session, several technical acts are performed on the same person by the same doctor, the latter is entitled to the fee for the act with the highest coefficient as well as fifty per cent of the fee for the second act and, where applicable, the third act. There is no charge for acts following the third act. The doctor will note the reduced fee in application of this article on the statement of fees by adding the letter "R" to the code for the act (art 9, nomenclature des médecins et médecins-dentistes)

0.50

P

If the complexity of the operation requires operative assistance, this is set at thirty per cent of the coefficient for the operative act in question. On his bill of fees, the doctor notes the code of the act(s) followed by the letter "P" (art 11, nomenclature des médecins et médecins-dentistes)

0.30

V

Anesthetic acts are increased by 25% if the anaesthetic is performed on a person aged over seventy-five or on a child under fourteen. In this case, he completes the procedure code with the letter "V". (art 12, nomenclature des médecins et médecins-dentistes)

1.25

A

Anesthesia is to be charged by the specialist anaesthetist at a rate corresponding to forty-five per cent of the coefficient for the act in question. On his bill of fees, the specialist anaesthetist notes the code of the act(s) completed by the letter "A" (art 12, nomenclature des médecins et médecins-dentistes)

0.45

L

In the case of local anaesthesia, the fee for the act to which the anaesthesia relates is increased by fifteen per cent. On the statement of fees the doctor completes the procedure code with the letter "L". (art 13, nomenclature des médecins et médecins-dentistes)

1.15

What do CP codes on my invoice mean?

In some cases, my doctor or dentist may charge me an additional fee for personal convenience (convenance personnelle, CP). These supplements for personal convenience are not reimbursed/covered by the CNS.

The CNS distinguishes between:

  • Personal convenience related to an appointment
  • Personal convenience related to the treatment received
  • Personal conveniences related to hospitalisation in a single room

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