New act C45 for teleconsultation in the context of the COVID-19 epidemic

In order to take account of the latest measures taken in the fight against the coronavirus "COVID-19", in particular in the field of public health, a new act of nomenclature for doctors will be introduced for teleconsultation, including the establishment of medical prescriptions or certificates of incapacity for work.

For the practice in a doctor's office, excluding dentists' offices, and in order to limit the transmission of the virus in accordance with the recommendations of the Health Directorate, doctors are encouraged to use teleconsultation methods (telephone, video call applications, etc.). For benign requests from known patients, the doctor will be able to issue a certificate of incapacity for work or a medical prescription.

Thus, a new act C45 labelled "Teleconsultation in the context of the COVID-19 epidemic according to the recommendations of the Health Directorate, including, where appropriate, the establishment of medical prescriptions or declarations of incapacity for work" to be carried out remotely by a general practitioner or a specialist, excluding dentists, is introduced into the nomenclature of medical acts and services provided by doctors.

The tariff for this new act/service is in line with the tariff for a consultation with a general practitioner and a specialist in geriatrics (act C1), as is common practice in other countries.

Consequently, any patient, whether suffering from an acute illness or a chronic disease, may a priori be offered a teleconsultation. However, the use of teleconsultation is solely at the discretion of the physician (excluding dentists) who must judge whether a remote consultation is more appropriate than a face-to-face consultation. The Health Directorate provides the doctors concerned with recommendations of good practice regarding teleconsultation in the context of the COVID-19 epidemic.

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