Classification Commune des Actes Médicaux

Classification Commune des Actes Médicaux is a French medical classification for clinical procedures.[1] Starting in 2005, the CCAM serves as the reimbursement classification for clinicians. The CCAM was evaluated using OpenGALEN tools and technologies.

This classification is used to establish

The choice of acts of this nomenclature is up to the Evaluation Commission of Acts Professionals (CEAP) of the High Authority of Health

It coexists with the Nomenclature Générale des Actes Professionnels (NGAP).[2]


In the version V2, the ACPC 7623 codes included. Each is accompanied by wording to clarify its meaning unambiguously followed by its price in euros and tariff details.

Code Principal

Explicit hierarchical coding. This code and / or its title in the presence of personally identifiable information may impair the protection of people and lift the confidentiality of those who entrust themselves to organizations and managed care organization.

Each code comprises the four letters and three numbers.

The next three digits are used to differentiate between acts with four identical letters keys.

e.g. HHFA001: Appendectomy, for the first quadrant

                      HH. F A. 001
                      Action Technical topography Counter

Hierarchical ACPC

CCAM codes are structured in a tree whose top-level comprises 19 chapters, organized mainly by large anatomical structure or function:

The second level separates the diagnostic and therapeutic procedures, it is optionally followed by one or more sub-levels.

Modifiers acts and association

Some acts may receive more than their one or more main code details called Modifiers. A modifier is information associated with a label that identifies a particular criterion for the performance of an act or his recovery. It applies to a specific list of acts. Modifiers are explicitly allowed in respect of each of the acts concerned. The application of a modifier leads to a rate increase of the act. Only modifiers can be charged in connection with acts that have a tariff. The description of these modifiers is found in Article III-2 of Book III of the General Provisions official. Four modifiers than can be priced by deed.

In the context of pricing, the association of acts is the realization of several acts at the same time, for the same patient by the same doctor, since there is no incompatibility between these acts. Codes 1,2,3,4 or 5 and their application rates of these associations are listed in Article III-3 of Paper III.

Versions of CCAM

Version 22 of the'TechnicalACPC will be applicable on September 30, 2013 for clinics and public hospitals. Version 21 shall be in use until that date.

The construction of theclinical ACPC on intellectual activities that is to say without tools or technical movement provided by the medical convention of 2005 was due to start before 2007. A survey of clinicians from FIFG is announced for late 2010.

Revision history

Learn more about the site Health Insurance = 000310000000's ATIH


  1. Bousquet, C.; Trombert, B.; Souvignet, J.; Sadou, E.; Rodrigues, JM. (2010). "Evaluation of the CCAM Hierarchy and Semi Structured Code for Retrieving Relevant Procedures in a Hospital Case Mix Database.". AMIA Annu Symp Proc. 2010: 61–5. PMC 3041456Freely accessible. PMID 21346941.
  2. Bellanger, MM.; Cherilova, V.; Paris, V. (Dec 2005). "The "Health Benefit Basket" in France.". Eur J Health Econ. Suppl: 24–9. doi:10.1007/s10198-005-0315-0. PMC 1388081Freely accessible. PMID 16267657.

External links

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