# Nurse Teleexpertise 2026: Definition & Billing > Nurse teleexpertise: what an IDEL can request, how it differs from telecare and assisted teleconsultation, and 2026 billing (10 EUR requesting party). [ Back to blog ](/en/blog) # Nurse Teleexpertise: Definition, Framework and Billing (2026) P Promotal MedConnect June 16, 2026 8 min read [Image: Nurse Teleexpertise: Definition, Framework and Billing (2026)] Can a nurse request a physician's opinion remotely about a patient and bill for it? Yes — that is exactly what **teleexpertise** allows. Since telemedicine was opened to all health professionals, a nurse (an IDEL or an advanced-practice nurse) can ask a physician for an opinion on a patient's situation — without that patient being present during the exchange. This article clarifies what teleexpertise is, how it differs from [nurse-assisted teleconsultation](https://promotal-medconnect.com/teleconsultation-assistee) and from telecare, the nurse's exact role, how connected equipment feeds a solid request for an opinion, and what to keep in mind about 2026 billing. ## What is teleexpertise? Teleexpertise is one of the telemedicine acts defined by the French Public Health Code. Its purpose is to let a health professional remotely request the opinion of one or more medical professionals, on the basis of their particular training or skills, using the health information related to a patient's care. Its most important feature: teleexpertise takes place **between health professionals, without the patient present**. The physician consulted is not in direct contact with the patient. It also does not require video transmission: in practice the exchange goes through a secure health messaging system (MSSanté), with documents, photos or traces transmitted. That is precisely what distinguishes it from teleconsultation, where the physician sees and examines the patient remotely by video. ## Requesting and responding party: who does what Two roles structure the act: - **The requesting party** is the health professional who *asks for* the opinion. This can be a physician… but also a paramedical professional, including a **nurse**. - **The responding party** is the medical professional who *gives* the opinion: in practice a physician (and, in some cases, a midwife). This is the expert consulted. In concrete terms, a nurse can be the **requesting party** of a teleexpertise but not the responding party: the nurse asks for the opinion, but does not provide it as a medical expert. The responding party draws up a report, archives it in the patient record, and sends it to the requesting party. Responsibility for the appropriateness of the act lies with the responding professional. ## Teleexpertise, assisted teleconsultation, telecare: don't confuse them Three practices are regularly mixed up. Here is the reading grid: PracticeActorsPatient present?Nature TeleconsultationPhysician ↔ patient (video)Yes, remotelyTelemedicine act Assisted teleconsultationRemote physician + patient assisted on site by a nurseYes, physically assistedA variant of teleconsultation TeleexpertiseRequesting professional ↔ responding physician**No**Telemedicine between professionals — medical opinion TelecareNurse ↔ patient (video), no physicianYes, remotelyTelecare act [Nurse-assisted teleconsultation](https://promotal-medconnect.com/teleconsultation-assistee) is therefore not teleexpertise: the patient is indeed present, assisted by the IDEL who performs the clinical examination while the physician consults remotely. Telecare is a care act performed remotely by the nurse *themselves*, without a physician. Teleexpertise is the only one of the three where the patient is not in the loop at the time of the act. To go further on assistance, see our [guide to nurse-assisted teleconsultation](https://promotal-medconnect.com/blog-posts/teleconsultation-assistee-infirmier-idel-guide-2026). ## The nurse's role in teleexpertise Opening teleexpertise to medical auxiliaries, including nurses, results from **Amendment 9** to the convention. On the nursing side, payment for the requesting nurse's teleexpertise was set out by Amendment 9 to the nursing convention. The IDEL or the advanced-practice nurse can therefore request a structured medical opinion: a dermatology opinion on a chronic wound that is not improving, reading a trace, or guidance when faced with an unexpected clinical sign during a home or nursing-home round. To organise this activity by role, see the [telemedicine solution for nurses and IDELs](https://promotal-medconnect.com/solutions/infirmiers). ## Billing: what the nurse charges in 2026 For teleexpertise, the billing markers to remember are simple: - **Requesting party (physician or nurse): 10 EUR** per teleexpertise, up to a maximum of **3 acts per patient per year**. - **Responding party (the physician who gives the opinion): 25 EUR**. Teleexpertise is now open to **all patients**: the former restriction to priority patients only (long-term conditions, nursing homes, underserved areas, etc.) has been lifted. It is covered 100% by Assurance Maladie, with no upfront payment, no excess fees and no combination, and it is not subject to the 20% remote-activity cap that applies to telecare. For details on nurse payment, see our [dedicated page on nurse billing and payment](https://promotal-medconnect.com/blog-posts/cotation-teleconsultation-assistee-infirmier-2026). ### Don't confuse it with assisting a teleconsultation When the nurse *assists* a patient during a teleconsultation (the patient is present, the physician consults remotely), this is not teleexpertise but an **assistance act** created by **Amendment 6**. Its billing depends on where it takes place: CodePlace of deliveryFee **TLL**Dedicated / fixed location (nurse's office, multi-professional health centre…)12 EUR **TLD**At the patient's home15 EUR This is distinct from **telecare** (code **TLS**), which falls under **Amendment 9**: a care act performed remotely by the nurse *themselves*, without a physician (for example, remote wound follow-up by video). It is a separate act from assistance; for the eligible acts and the applicable fee, refer to ameli.fr. Note that, like any convention scale, these amounts may change; check the code and the amount in force on ameli.fr before billing. For reference, on the physician's side a general practitioner bills a teleconsultation at **25 EUR** and a specialist at **30 EUR or more**, depending on specialty and sector. ## The connected equipment that makes teleexpertise relevant A teleexpertise is only as good as the data transmitted. This is where connected equipment changes everything: a **12-lead ECG** trace, a sharp dermatology photo taken with the dermatoscope, a vital-signs measurement, an otoscopy image. The more usable the data, the faster and more reliable the responding physician's opinion — this is especially true in [telecardiology](https://promotal-medconnect.com/specialites/tele-cardiologie), where trace quality drives interpretation. The [MedConnect teleconsultation kit](https://promotal-medconnect.com/mallette-telemedecine) carries more than 20 medical-grade connected devices (Cardioline touchECG, Riester Ri-Sonic digital stethoscope, dermatoscope, otoscope, oximeter, vital-signs monitor…), designed for nurses on their rounds. The full range of [teleconsultation equipment](https://promotal-medconnect.com/materiel-telemedecine) also comes as a [telemedicine cart](https://promotal-medconnect.com/chariot-telemedecine) for nursing homes or as an [ultra-light backpack](https://promotal-medconnect.com/sac-telemedecine). Data flows in real time into the [teleexpertise platform](https://promotal-medconnect.com/logiciel/teleexpertise), hosted under HDS (French health-data hosting certification), ISO 27001 certified and GDPR compliant — a decisive point when transmitting health data between professionals. Made in France, in Ernée (Mayenne), by Groupe Eloi (97 years of expertise), the equipment is CE-marked. ## Cost and financing The MedConnect kit is available **from 3,000 EUR before tax**. The cart is quoted on request. Above all, several subsidies ease the investment: Assurance Maladie pays **350 EUR per year** for video-connection equipment and **175 EUR per year** for connected medical devices. And when the project is part of a [CPTS](https://promotal-medconnect.com/solutions/cpts), ARS funding is possible: the net cost can then be brought down to as low as 0 EUR depending on the project. Our [telemedicine financing](https://promotal-medconnect.com/financement-telemedecine) page summarises these schemes, and our [review of CPTS deployment](https://promotal-medconnect.com/blog-posts/teleconsultation-cpts-logiciel-coordination-infirmier-2026) details the territorial organisation. ## FAQ ### Can a nurse bill for a teleexpertise? Yes, as the **requesting party**. The nurse (IDEL or advanced-practice nurse) bills the request for an opinion at 10 EUR, up to 3 acts per patient per year. The nurse cannot be the responding party: the medical opinion is given by a physician (and, in some cases, a midwife), who bills 25 EUR. ### What is the difference between teleexpertise and assisted teleconsultation? In assisted teleconsultation, the patient is present, assisted by the nurse who performs the examination while the physician consults remotely; the nurse then bills an assistance act (TLL in a dedicated location, 12 EUR; TLD at home, 15 EUR). In teleexpertise the patient is **not present**: it is an exchange of opinions between professionals, with no mandatory video, via secure messaging. ### Is video required to perform a teleexpertise? No. Teleexpertise does not require video transmission. It relies on transmitting health information (traces, photos, measurements, documents) via a secure health messaging system (MSSanté), which makes the quality of the connected equipment decisive for the relevance of the opinion. ## Related articles [ [Image: Nurse-Assisted Teleconsultation (IDEL): The Complete 2026 Guide] Nurse-Assisted Teleconsultation (IDEL): The Complete 2026 Guide 8 min read ](/en/blog-posts/teleconsultation-assistee-infirmier-idel-guide-2026)[ [Image: Billing assisted teleconsultation by a nurse (2026)] Billing assisted teleconsultation by a nurse (2026) 7 min read ](/en/blog-posts/cotation-teleconsultation-assistee-infirmier-2026)[ [Image: Teleconsultation in a CPTS: software and nurse coordination] Teleconsultation in a CPTS: software and nurse coordination 8 min read ](/en/blog-posts/teleconsultation-cpts-logiciel-coordination-infirmier-2026) ## Discover our telehealth solutions [ Telehealth platform Video consultation, AI scribe, patient records ](/en/software/telehealth-platform) [ Telehealth cart Integrated diagnostic devices ](/en/telehealth-cart) [ Diagnostic equipment Connected ECG, stethoscope, dermatoscope ](/en/diagnostic-equipment) ### Ready to discover MedConnect? 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