We would like to inform you about the publication of circular VI No. 2025/80 from the RIZIV/INAMI, which provides guidelines on allegedly unjustified combinations in Article 20 of the nomenclature concerning exercise tests and ergospirometry. This circular raises important questions, particularly regarding the interpretation and retroactive application of the rules. A copy of this (translated) document is attached.
We confirm that we are taking this situation very seriously. An official response, expressing our concern and opposition to the current approach, will be submitted in the coming days to the Medical Evaluation and Inspection Department of the RIZIV/ INAMI .
In this letter, we will:
Clarify the fundamental distinction between spirometry and ergospirometry, in terms of their purpose and nature.
Justify separate billing, in light of the duration and resources involved.
Take a position on the inadequacy of a temporary measure pending the announced reforms of the nomenclature.
Please do not hesitate to share your comments or concrete experiences on this subject with us (email to info@bers.be), so that we can engage in a constructive dialogue with the competent authorities.
We will keep you informed of further developments in this matter.
Kind regards,
Prof. Florence Schleich
President