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Type a question about TARDOC, outpatient flat rates, cumulation rules, or ICD-10 codes. Kodia answers in seconds — and every code is clickable, so you can check the official source yourself.

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Every code is cited

Answers reference the exact TARDOC positions, outpatient flat rates, and ICD-10 codes they rely on — click any code to read the official entry.

Rules checked for you

Cumulation tables, qualifications, intrinsic values, and limitations are checked automatically, so you do not have to cross-reference the tariff browser and multiple documents manually.

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Kodia Chat in action

An example of a referenced answer

See how Kodia Chat structures an answer and presents the positions, rules, and sources used.

KodiaKodia Chat
  • Which TARDOC codes for a diabetic patient with a foot wound?
  • Which qualifications are required to bill AK.05.0020 (chronic care management, diabetes)?
  • How to bill if the foot wound requires a skin graft or more complex reconstruction?
  • Which ICD-10 codes to document a diabetic foot with a wound?
TARDOC 1.4c
Which TARDOC codes for a diabetic patient with a foot wound?
Which TARDOC codes for a diabetic patient with a foot wound?
Kodia

No flat rate exists for this scenario: billing is entirely fee-for-service under TARDOC.

1. Medical consultation

CodeDescriptionPointsType
AA.00.0010Medical consultation, first 5 min19.20Base code
AA.00.0020+ each additional minute3.84/minAdd-on (+)

Covers history, general clinical examination, prescriptions — everything without its own specific tariff. Example, 20 min: AA.00.0010 × 1 + AA.00.0020 × 15.

2. Wound treatment

The MK.15 codes apply according to the nature of the wound. They take place in the surgical examination and treatment room — a functional unit distinct from the consultation room.

Open / chronic wound — typical of the diabetic foot

CodeDescriptionPointsType
MK.15.0060Debridement of open wound, without complex structures, first 4 cm²50.99Main
MK.15.0080+ per additional 4 cm²17.00Add-on (+)
MK.15.0070+ Finishing (dressing + instructions), per 1 min4.25/minAdd-on (+)
MK.15.0070: max 5 units per session. MK.15.0080: photo documentation with scale required.

Acute wound with primary closure

CodeDescriptionPointsType
MK.15.0030Wound treatment, first cm (primary closure)21.24Main
MK.15.0050+ per additional cm—Add-on (+)
MK.15.0040+ Finishing (dressing + instructions), per 1 min—Add-on (+)

3. Change time — mandatory

CodeDescriptionPoints
AR.00.0020Change time, surgical examination and treatment room10.68

Flat amount, max 1× per session, qualification 9999 (any physician).

4. Chronic care management, diabetes (paramedical)

CodeDescriptionPointsType
AK.05.0020Paramedical CCM services, diabetes mellitus, per 1 min1.68/minMain

This code notably covers:

  • Adapted advice on diabetes and its complications
  • Clinical foot examination, vibration test (tuning fork), monofilament test
  • Training on hypoglycemia, diet, physical activity, insulin
Important conditions:
  • Reserved for paramedical staff (federal certificate in ambulatory-medicine coordination + odamed module)
  • Cannot be billed during the medical consultation (before/during/after = included in the consultation)
  • Maximum 450 units per 360 days
  • Not applicable in telemedicine or in the patient's absence

5. Paramedical wound care (alternative)

CodeDescriptionPoints
AK.00.0080Wound care and dressing change by paramedical staff, per 1 min1.73/min
Only billable if the care is NOT provided as part of a medical consultation.

Cumulation — summary

PairResult
AA.00.0010 + MK.15.0060✓ Billable together
AA.00.0010 + AK.05.0020✓ Billable together
MK.15.0060 + AK.00.0080✓ Billable together

Sample invoice (consultation + debridement)

CodeQtyDescription
AA.00.00101Consultation, first 5 min
AA.00.002015+ 15 additional min (20-min consultation)
AR.00.00201Change time, surgery room
MK.15.00601Debridement of open wound, first 4 cm²
MK.15.0080N+ per additional 4 cm² (if wound > 4 cm²)
MK.15.0070≤5+ Finishing (dressing + instructions)

Alternatives

CA.00.0010 / CA.00.0020 Family-physician consultation (same points as AA, but reserved for the qualifications general internal medicine, pediatrics, etc.). Preferable when the physician holds the corresponding qualification.

MK.15.0030 Use instead of MK.15.0060 when the wound is acute and requires primary closure (suture), rather than debridement of an open chronic wound.

AK.00.0080 Relevant for later wound-care sessions performed by paramedical staff only, without a simultaneous medical consultation.

Referenced codes

AA.00.0010AA.00.0020MK.15.0060MK.15.0070MK.15.0080MK.15.0030MK.15.0040MK.15.0050AR.00.0020AK.00.0080AK.05.0020CA.00.0010CA.00.0020

Similar questions

Which qualifications are required to bill AK.05.0020 (chronic care management, diabetes)?How to bill if the foot wound requires a skin graft or more complex reconstruction?Which ICD-10 codes to document a diabetic foot with a wound?
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Q

"What's the right ICD-10 code for this diagnosis?"

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