The LAP, or liste des actes et prestations, is a set of coding nomenclatures enabling medical and nursing staff to precisely identify a procedure or service in order to calculate its tarification as well as the amount reimbursed by the Assurance Maladie.

The LAP lists procedures performed in town or hospital medicine, in both the public and private sectors.

The list of acts and services (LAP) is made up of three nomenclatures:

• the classification commune des actes médicaux (CCAM), for acts performed by doctors;
• the nomenclature générale des actes professionnels (NGAP), for acts performed by dental surgeons, midwives and medical auxiliaries;
• the nomenclature des actes de biologie médicale (NABM), for medical biology acts.

The CCAM comprises almost 7,500 acts.

Financing by the Assurance Maladie of procedures performed by healthcare professionals (doctors, dental surgeons, midwives, medical auxiliaries, medical biologists, etc.) on the basis of a precise pricing system, which associates each procedure with a code, and the amount of the Assurance Maladie contribution.

The procedures for registration on the LAP are carried out by healthcare professionals.There are no specific procedures to be carried out by DM manufacturers.

If your digital DM is strongly linked to one of the LAP procedures, the healthcare professional who purchases your digital solution will be indirectly financed.

Some procedures listed on the LAP, involve the use of medical devices (DM), digital or otherwise. In these cases, Assurance Maladie has taken the cost of these DMs into account when setting the reimbursement amount.

This means that the amount of reimbursement by Assurance Maladie for LAP procedures "covers" the cost of the DMs involved in these procedures.

For example:

• The amount reimbursed by Assurance Maladie for "a blood test measuring sugar levels", takes into account the cost of DM associated with the procedure: needle, syringe, compresses, etc.
• The amount reimbursed by Assurance Maladie for "radiology, computer design of custom-made prostheses (osteoarticular) performed from a scan" includes the cost of the procedure and that of the digital DM used to design the prosthesis.

The cost of the DM is covered through the medical act that uses it.

Fixed by one of the LAP nomenclatures (CCAM, NGAP, NABM).

Being a medical device:

• CE-marked
• distributed in towns or hospitals
• necessary to perform a procedure listed on the LAP

Directly purchased by a healthcare professional or facility:

• physician, midwife, dental surgeon or paramedic
• hospital, private clinic, etc.

In the city (private practice), or in hospitals and care facilities.