"宿州市医疗服务价格目录(2020)

"总说明:"1.
本目录医疗服务价格项目,共计4666项.
其中:"医保支付分类:1为完全支付类,共3360项;2为部分支付类,共256项;3为不予支付类,共1050项.

"医保统计分类:A为治疗类,共2904项;B为检查类,共1634项;C为综合类,共128项.

"2.
本目录为宿州市一、二、三级公立医疗机构最高收费标准(省级医保行政部门另有政策规定的除外)"一、综合医疗服务类""本类说明:"1.
本类包括一般医疗服务、一般检查治疗(一般治疗操作)、社区卫生服务及预防保健项目和其他医疗服务项目.
共计四类153项.
本类编码为100000000.

"2.
多科室共同使用的医疗服务项目列入本类之中,如护理、抢救、注射、换药等.

"3.
有下列情况之一者不另收诊察费:(1)由医生指定在院内换号诊断;(2)取化验及各种检查结果.

"4.
门诊医药费用清单和住院病人医药费用明细清单不得另外收费.
"5.
床位费、取暖和空调费按"计入不计出"原则计收.
"6.
产科新生儿不得收取住院诊察费.
"7.
收取重症监护后,不得再收取新生儿监护(测)和分级护理.
"8.
妇科检查用的一次扩阴器、垫单、一次性手套等可按每人次3元收取成本费,耳鼻喉科按每人次1元、口腔科按每人次5元收取器械耗损费.
经省医疗保障、卫生健康等主管部门核实,口腔科使用牙科手机特殊消毒仪(仅指预真空压力蒸气灭菌器)可按每次每机头加收5元消毒费.

"项目编码","项目名称","项目内涵","除外内容","计价","价格(元)",,,"计价说明","支付分类","统计分类",,,,"单位","一级医疗机构","二级医疗机构","三级医疗机构",,,"A","综合医疗服务""AA","一般医疗服务""150100001","乡镇卫生院和社区卫生服务中心","含挂号费、急诊挂号费;门诊病历手册;普通门诊诊查费、急诊诊查费;门急诊留观诊查费;医护人员提供(技术劳务)的诊疗服务,包括营养状况评估、儿童营养评估、营养咨询;用药指导与观察,药物的配置;过滤器、采血器、注射器、一次性输液器等消耗材料;包括肌肉注射、皮下注射、皮内注射、静脉注射、静脉采血、心内注射、动脉加压注射、动脉采血、静脉输液、输血、小儿静脉输液、小儿头皮输液、小儿输血等.
","药物、血液和血制品","人次","11元/人,医保基金支付9元,个人自付2元",,,"1、将政府举办的基层医疗机构及一体化管理的行政村卫生室和社区卫生服务站的挂号费、诊查费、注射费(含静脉输液费,不含药品费)以及药事服务成本合并为一般诊疗费.
2、对已合并到一般诊疗费里的原收费项目,不得再另外收费或变相收费.
3、对于一个疗程内需要提供多次间断性诊疗服务的情形(如换药、针灸、理疗、推拿等)只收取首次一般诊疗费.
4、不得加收躺椅费、留观诊查费、降温取暖费等其他任何费用;5.
未规范开通使用"智医助理"开展诊疗活动,按照其他收费政策要求执行.
",,,"一体化管理的行政村卫生室和社区卫生服务站","含挂号费、急诊挂号费;门诊病历手册;普通门诊诊查费、急诊诊查费;门急诊留观诊查费;医护人员提供(技术劳务)的诊疗服务,包括营养状况评估、儿童营养评估、营养咨询;用药指导与观察,药物的配置;过滤器、采血器、注射器、一次性输液器等消耗材料;包括肌肉注射、皮下注射、皮内注射、静脉注射、静脉采血、心内注射、动脉加压注射、动脉采血、静脉输液、输血、小儿静脉输液、小儿头皮输液、小儿输血等.
","药物、血液和血制品","人次","7元/人,医保基金支付6元,个人自付1元",,,"1、将政府举办的基层医疗机构及一体化管理的行政村卫生室和社区卫生服务站的挂号费、诊查费、注射费(含静脉输液费,不含药品费)以及药事服务成本合并为一般诊疗费.
2、对已合并到一般诊疗费里的原收费项目,不得再另外收费或变相收费.
3、对于一个疗程内需要提供多次间断性诊疗服务的情形(如换药、针灸、理疗、推拿等)只收取首次一般诊疗费.
4、不得加收躺椅费、留观诊查费、降温取暖费等其他任何费用;5.
未规范开通使用"智医助理"开展诊疗活动,按照其他收费政策要求执行.

"AAA","诊察费""AAAA-AAAD","西医诊察费""AAAA0001","普通门诊诊察费","指主治及以下医师提供的普通门诊诊疗服务.
挂号,初建病历(电子或纸质病历),核实就诊者信息,就诊病历传送,病案管理.
询问病情,听取主诉,病史采集,向患者或家属告知,进行一般物理检查,书写病历,开具检查单,根据病情提供治疗方案(治疗单、处方)等.
由患者需要提供病历本的,按进价销售.
",,"次",,"5","6","市属医疗机构机构价格.
依据《宿州市物价局、市卫生局、市人社局关于县级公立医院诊查费价格的通知》(宿价业〔2015〕47号)规定,县级公立医院要与市属医院保持合理比价关系,推动分级诊疗制度的实施,县级公立医院普通门诊诊察费每人次5元.
","3","C""AAAA0002","副主任医师门诊诊察费","指由副主任医师在专家门诊提供技术劳务的诊疗服务.
挂号,初建病历(电子或纸质病历),核实就诊者信息,就诊病历传送,病案管理.
询问病情,听取患者主诉,病史采集,向患者或家属告知,进行一般物理检查,书写病历,开具检查单,根据病情提供治疗方案(治疗单、处方)等病情诊治和健康指导.
",,"次",,"14","15","市属医疗机构机构价格.
依据《宿州市物价局、市卫生局、市人社局关于县级公立医院诊查费价格的通知》(宿价业〔2015〕47号)规定,县级公立医院要与市属医院保持合理比价关系,推动分级诊疗制度的实施,县级公立医院副主任医师门诊诊察费每人次10元.
","3","C""AAAA0003","主任医师门诊诊察费","指由主任医师在专家门诊提供技术劳务的诊疗服务.
挂号,初建病历(电子或纸质病历),核实就诊者信息,就诊病历传送,病案管理.
询问病情,听取患者主诉,病史采集,向患者或家属告知,进行一般物理检查,书写病历,开具检查单,根据病情提供治疗方案(治疗单、处方)等病情诊治和健康指导.
",,"次",,"14","16","市属医疗机构机构价格.
依据《宿州市物价局、市卫生局、市人社局关于县级公立医院诊查费价格的通知》(宿价业〔2015〕47号)规定,县级公立医院要与市属医院保持合理比价关系,推动分级诊疗制度的实施,县级公立医院主任医师门诊诊察费每人次10元.
","3","C""AAAA0004","知名专家门诊诊察费","指由知名专家在专家门诊提供技术劳务的诊疗服务.
挂号,初建病历(电子或纸质病历),核实就诊者信息,就诊病历传送,病案管理.
询问病情,听取患者主诉,病史采集,向患者或家属告知,进行一般物理检查,书写病历,开具检查单,根据病情提供治疗方案(治疗单、处方)等病情诊治和健康指导.
",,"次",,"34","40","指享受国务院津贴、省政府津贴和江淮名医、省学术带头人、省名中医和省国医名师.
每半日诊察不超过20人次.
","3","C""AAAA0005","方便门诊诊察费","指单纯购药及慢性病病人定期检查等不需提供新的治疗方案的.
",,"次","1","1","1",,"3","C""AAAB0001","急诊诊察费","指各级急诊医师在护士配合下于急诊区域24小时提供的急诊诊疗服务.
挂号,初建病历(电子或纸质病历),核实就诊者信息,就诊病历传送,病案管理.
急诊医师询问病情,听取主诉,病史采集,向患者或家属告知,进行一般物理检查,书写病历,开具检查单,提供治疗方案(治疗单、处方)等服务,记录病人生命体征.
必要时开通绿色通道.
",,"次",,"14","15",,"3","C""AAAC0001","门/急诊留观诊察费","挂号,初建病历(电子或纸质病历),核实就诊者信息,就诊病历传送,病案管理.
在门/急诊留观室内,医护人员根据病情需求随时巡视患者,观察患者病情及生命体征变化,病史采集,向患者或家属告知,准确记录并提出相应的治疗方案,及时与患者家属交待病情.
必要时进行抢救工作.
",,"次",,"14","15",,"3","C""AAAD0001","住院诊查费",,,"日","15","19","22","6岁以下儿童加收30%","1","C""AAAG0001","普通门诊中医辨证论治","指由主治及以下中医或中西医结合医师在中医普通门诊提供的诊疗服务.
通过望闻问切收集中医四诊信息,依据中医理论进行辨证,分析病因、病位、病性及病机转化,作出证候诊断,提出治疗方案.
含挂号费.
",,"次",,"12","13","市属医疗机构机构价格.
依据《宿州市物价局、市卫生局、市人社局关于县级公立医院诊查费价格的通知》(宿价业〔2015〕47号)规定,县级公立医院要与市属医院保持合理比价关系,推动分级诊疗制度的实施,县级公立医院普通门诊中医辨证论治每人次7元.
","3","C""AAAG0002","副主任医师门诊中医辨证论治","指由具有副高级职称的中医或中西医结合医师在中医专家门诊提供的诊疗服务.
通过望闻问切收集中医四诊信息,依据中医理论进行辨证,分析病因、病位、病性及病机转化,作出证候诊断,提出治疗方案.
含挂号费.
",,"次",,"18","20","市属医疗机构机构价格.
依据《宿州市物价局、市卫生局、市人社局关于县级公立医院诊查费价格的通知》(宿价业〔2015〕47号)规定,县级公立医院要与市属医院保持合理比价关系,推动分级诊疗制度的实施,县级公立医院副主任医师门诊中医辨证论治每人次12元.
","3","C""AAAG0003","主任医师门诊中医辨证论治","指由具有正高级职称的中医或中西医结合医师在中医专家门诊提供的诊疗服务.
通过望闻问切收集中医四诊信息,依据中医理论进行辨证,分析病因、病位、病性及病机转化,作出证候诊断,提出治疗方案.
含挂号费.
",,"次",,"21","23","市属医疗机构机构价格.
依据《宿州市物价局、市卫生局、市人社局关于县级公立医院诊查费价格的通知》(宿价业〔2015〕47号)规定,县级公立医院要与市属医院保持合理比价关系,推动分级诊疗制度的实施,县级公立医院主任医师门诊中医辨证论治每人次12元.
","3","C""AAAG0005","知名专家门诊中医辨证论治","指由知名专家在中医专家门诊提供的诊疗服务.
通过望闻问切收集中医四诊信息,依据中医理论进行辨证,分析病因、病位、病性及病机转化,作出证候诊断,提出治疗方案.
含挂号费.
",,"次",,"45","50","指享受国务院津贴、省政府津贴和江淮名医、省学术带头人、省名中医和省国医名师.
每半日诊察不超过20人次.
其中省国医名师每人次100元.
","3","C""AAAG0004","国医大师门诊中医辨证论治","指由国家授予"国医大师"称号的专家在中医专家门诊提供的诊疗服务.
通过望闻问切收集中医四诊信息,依据中医理论进行辨证,分析病因、病位、病性及病机转化,作出证候诊断,提出治疗方案.
含挂号费.
",,"次",,"234","260","复诊200","3","C""AAAH0001","急诊中医辨证论治","指由各级中医、中西医结合医务人员提供的24小时急诊急救中医诊疗服务.
通过望闻问切收集中医四诊信息,依据中医理论进行辨证,分析病因、病位、病性及病机转化,作出证候诊断,提出治疗方案.
含挂号费.
",,"次",,"14","15",,"3","C""AAAJ0001","门/急诊留观中医辨证论治","指由中医、中西医结合医务人员对急诊留观患者提供的中医诊疗服务.
通过望闻问切收集中医四诊信息,依据中医理论进行辨证,分析病因、病位、病性及病机转化,作出证候诊断,提出治疗方案.
含挂号费.
",,"日",,"14","15",,"3","C""AAAK0001","住院中医辨证论治","指由中医、中西医结合医务人员对住院患者提供的中医诊疗服务.
通过望闻问切收集中医四诊信息,依据中医理论进行辨证,分析病因、病位、病性及病机转化,作出证候诊断,提出治疗方案.
",,"日","17","22","25","6岁以下儿童加收30%.
","1","C""1105","体检费""110500001","体检费","含内、外(含皮肤)、五官等科的常规检查;写总检报告.
","影象、特殊检查及化验","次","16","18","20","不另收挂号费及诊查费,妇检(含宫颈刮片)每人次加收10元.
","3","C""110500001a","驾驶员健康体检","项目和范围按照公安部91号令规定执行,包含身高、视力、辩色力、听力、上肢、下肢、躯干、颈部、视野等,并出具体检报告,同时为驾驶员建立信息挡案、进行人像采集等提供人性化服务.
",,"人次","32","36","40",,"3","C""1106","救护车费","含来回里程","监护费用",,"10","10","10","五公里内10元,超过五公里每公里加2元","3","C""1107","取暖费"候诊、手术、检查治疗不另收取暖费.
在实际供暖期间内按实际住院床日收取.
一级和二级医疗机构参照三级执行.

"110700001","单人间","",,"床日","15","15","15",,"3","C""110700002","双人间","",,"床日","6","6","6",,"3","C""110700003","三人间","",,"床日","4","4","4",,"3","C""110700004","四人及以上","",,"床日","3","3","3",,"3","C""1108","空调降温费","指病房空调降温",,,,,,"候诊、手术、检查治疗不另收降温费.
在实际降温期间内按实际住院床日收取.

"110800001","单人间","",,"床日","15","15","15",,"3","C""110800002","双人间","",,"床日","6","6","6",,"3","C""110800003","三人间","",,"床日","4","4","4",,"3","C""110800004","四人及以上","",,"床日","3","3","3",,"3","C""1109","床位费"床位费基础上加收规定的医疗废弃物处置费(医疗废弃物未集中处理的地方不得收取).
原单独核定医疗机构床位费价格的、以及按照皖价医【2013】80号、81号核定价格的,从其规定.

"110900001","普通病房床位费","含病床、床头柜、座椅(或木凳)、床垫、棉褥、棉被(或毯)、枕头、床单、病人服装、热水瓶、痰盂、拖鞋、废品袋(或篓)、洗脸盆、大小便器(非一次性使用)","一次性脸盆及大小便具",,,,,"1.
病房应基本配置的日常生活用品,不另收费;2.
医院应负责病房环境,配置用品和配备病人使用物品的清洁卫生,消毒工作,不准另列项收费;3.
病人办理出入院手续,住院病历,更衣,被服换洗,测量身高,体重,呼吸,脉搏,血压,出入量记录等,不准另列项收费;4.
病人住院期间医护人员查房,病人转科,护送检查,护送治疗等均不另列项收费;5.
需要严格隔离,消毒损耗大的传染病科,肿瘤科,精神病科,烧伤科,允许在同等同级病床的收费标准的基础上每天分别加收2元,3元,5元;6.
抢救室病床收费按同等同级病房标准收费,不准按监护病房收费;7.
住院床费以天数计算,一律计入不计出(入院当天按一天计算,出院当天不计收费)"11090000101","单人间","",,"床日","24","27","30","母婴同室的婴儿床位费按母亲床位费的50%收取","1","C""11090000102","双人间","",,"床日","16","18","20","母婴同室的婴儿床位费按母亲床位费的50%收取","1","C""11090000103","三人间","",,"床日","12","14","15","母婴同室的婴儿床位费按母亲床位费的50%收取","1","C""11090000104","四人及以上","",,"床日","8","9","10","母婴同室的婴儿床位费按母亲床位费的50%收取","1","C""110900002","层流洁净病房床位费","1.
指达到规定洁净级别、有层流装置、风淋通道的层流洁净间;2.
指采用全封闭管理,有严格消毒隔离措施及对外通话系统.
",,"床日","240","270","300","层流洁净级别百级执行此价格,层流洁净级别为万级的为200元/床日,层流洁净级别为百万级的为100元/床日","1","C""110900003","监护病房床位费","指配有中心监护,心电监护仪及其它监护抢救设施,符合ICU,CCU标准的单人或多人监护病房,相对封闭管理.
",,"床日","48","54","60","保留普通床位另计价","1","C""110900004","特殊防护病房床位费","指核素内照射治疗病房等",,"床日","40","45","50",,"1","C""110900005","急诊留观床位费","含诊查、护理、床位费",,"日","8","9","10","符合病房条件和管理标准的急诊观察床,按病房有关标准记价.
床位费以日计算,不足半日按半日计.
","1","C""110900006","干部病房","含取暖、降温",,,,,,"指省级医疗机构干部病房.
市、县级医疗机构干部病房价格由同级医保、卫生健康部门核定.
",,"11090000601","套间","",,"床日",,,"100",,"2","C""11090000602","单人间","",,"床日",,,"80",,"2","C""11090000603","双人间","",,"床日",,,"40",,"2","C""1110","会诊费","包括营养会诊""11100001","院际会诊""1110000101","专家会诊","",,"次","160","180","200","外埠会诊加收1倍,急诊会诊加收50元.
","2","C""1110000102","主治医师","",,"次","80","90","100","外埠会诊加收1倍,急诊会诊加收20元.
","2","C""11100002","院内会诊","",,"次",,,,"应征得病人或家属同意,并经院领导批准.
",,"1110000201","专家会诊","",,"次","12","16","18","6岁以下儿童加收30%.
","1","C""1110000202","主治医师","",,"次","4","5","5",,"1","C""AADD0001","同步远程病理会诊","通过网络传输的实时医院之间的病理会诊.
不含图像的采集、数字化转换.
",,"次","240","270","300",,"3","C""AADD0002","非同步远程病理会诊","通过网络传输的非实时医院之间的病理会诊.
不含图像的采集、数字化转换.
",,"次","224","252","280",,"3","C""AADG0001","远程会诊","指临床各专业会诊.
开通网络计算机系统,通过远程视频系统提供医学资料,对患者的病情进行研讨的多学科、多专家的会诊诊治.
",,"小时","480","540","600",,"3","C""AADN0001","远程中医辨证论治会诊","开通网络计算机系统,通过计算机系统提供医学资料,由中医、中西医结合专家对患者的病情进行研讨的会诊诊治,综合中医四诊信息,依据中医理论进行辨证,分析病因、病位、病性及病机转化,作出证候诊断,提出治疗方案.
",,"小时","480","540","600",,"3","C""AC","护理""ACA","分级护理""120100005(ACAA001)","三级护理","指生活完全自理、病情稳定的患者、处于康复期患者的护理.
每3小时巡视患者,观察患者病情变化,根据患者病情测量患者生命体征,根据医嘱,正确实施治疗,用药,指导患者完成生理需求及康复.
完成健康教育及心理护理,书写护理记录.
含术前备皮.
",,"日","13","17","19","6岁以下儿童加收30%.
","1","C""120100004(ACAB001)","二级护理","指病情稳定、生活部分自理的患者或行动不便的老年患者的护理.
每2-3小时巡视患者,观察患者病情变化,根据患者病情测量患者体温、脉搏、呼吸等生命体征,根据医嘱正确实施治疗,用药,根据患者身体状况,实施护理措施和安全措施,对患者提供适宜的照顾和康复,完成健康指导及心理护理.
书写护理记录.
含术前备皮.
",,"日","18","23","26","6岁以下儿童加收30%.
","1","C""120100003(ACAC001)","一级护理","指病情趋向稳定的重症患者、手术后或者治疗期间需要严格卧床、生活完全不能自理或生活部分自理、病情随时可能发生变化的患者的护理.
每小时巡视患者,观察患者病情变化,根据病情每日测量患者体温、脉搏、呼吸等生命体征,根据医嘱正确实施治疗,用药,正确实施口腔护理,压疮预防和护理,管路护理等护理措施,实施安全措施,对患者提供适宜的照顾和康复,健康指导.
含术前备皮.
",,"日","24","31","34","6岁以下儿童加收30%.
","1","C""120100002(ACAD001)","特级护理","指病情危重、重症监护、复杂或大手术后,严重外伤和大面积烧伤,使用呼吸机辅助呼吸,实施连续性肾脏替代治疗,及其它生命体征不稳定患者的护理.
严密观察患者病情变化和生命体征的改变,监测患者的体温、脉搏、呼吸、血压,根据医嘱正确实施治疗,用药,准确测量24小时出入量,正确实施口腔护理,压疮预防和护理,管路护理等措施,实施安全措施,保持患者的舒适和功能体位,实施床旁交接班,完成健康教育及心理护理,书写特护记录.
含术前备皮.
",,"日","85","90","100","收取特级护理不得再收取口腔护理、压疮预防和护理、管路护理等专项护理费用.
不足半日的,减半收取.
","1","C""ACB","专项护理""120100007(ACBA001)","新生儿护理","评估新生儿适应环境能力,新生儿口腔护理,喂养,称体重,脐部残端护理,臀部护理,换尿布,观察排泄物形态并记录,洗浴,新生儿床位清洁消毒.
含新生儿抚触.
",,"日","15","19","22","不执行加收30%儿科扶持政策","1","C""120100008(ACBB001)","早产儿护理","评估早产儿病情,核对医嘱、患儿日龄等信息,准备暖箱,水槽中加适量蒸馏水,设置适宜温度,监护早产儿面色、呼吸、体温、心率变化及各器官功能的成熟情况,定期做暖箱消毒并送细菌培养标本,记录.
含新生儿护理及暖箱的应用等.
不含实验室检验.
",,"日","26","27","30",,"1","C""120100009(ACBC001)","精神病人护理","指用于精神病患者的护理.
随时巡视患者,观察患者情绪变化,根据患者病情测量患者体温,脉搏,呼吸等生命体征,根据医嘱,正确实施治疗,用药,对患者提供适宜的照顾和康复,健康指导,完成健康教育及心理护理,做好记录.
",,"日","24","30","34",,"1","C""311503003(ACBC002)","精神科监护","指对急性、冲动、自杀、伤人、毁物的病人及有外走、妄想、幻觉和木僵的病人实施监护.
监护并记录的内容包括:生命体征,意识状态,精神状况,认知,情感,意向行为,对治疗合作度,安全,进食,排泄,一般生活自理,药物不良反应及躯体合并症等.
",,"小时","1.
20000061035156","1.
30000122070313","1.
5",,"1","C""120100006(ACBD001)","一般传染病护理","指经消化道、呼吸道、接触等传播的传染病的护理.
评估病情、既往史及合作情况等,洗手,戴口罩、帽子,穿隔离衣,戴手套,做好解释取得配合,患者用物擦拭消毒,患者分泌物及污物严格消毒处理,每日房间空气消毒,定期做隔离环境的细菌学采样检测,协助患者外出检查时做好防护.
",,"日","21","27","30","6岁以下儿童加收30%.
","1","C""120100006(ACBD002)","严密隔离护理","指烈性传染病的护理.
评估病情及合作情况等,洗手,戴口罩、帽子,穿消毒隔离衣及隔离鞋,戴手套,戴防护眼镜,做好解释取得配合,禁止探视,设置警示牌,患者分泌物,呕吐物及排泄物严格消毒处理,污染敷料装入袋中,做好标记集中焚烧,每日房间及用物消毒,定期做隔离环境的细菌学采样检测.
",,"日","68","72","80",,"1","C""120100006(ACBD003)","保护性隔离护理","指用于抵抗力低或极易感染患者的护理.
了解患者病情及血象,评估病情及合作情况等,洗手,戴口罩、帽子,穿隔离衣,戴手套,做好解释取得配合,注意保护患者,患者用物经消毒后带入房间,餐具每日消毒,便后清洁肛门,每日房间紫外线空气消毒,定期做隔离环境的细菌学采样检测,限制探视.
",,"日","26","27","30",,"1","C""120100008(ACBE001)","新生儿治疗浴","评估新生儿情况、日龄,调节操作台温度及环境湿度,核对医嘱及患儿信息,检查患儿皮肤情况,用无菌注射器配制治疗浴液,按新生儿沐浴顺序进行治疗浴,治疗浴毕擦干皮肤,再次检查皮肤情况及效果,操作毕为患儿穿衣,处理用物,记录.
",,"次","7","7","8",,"1","C""311202007(ACBF001)","新生儿监测","开启监护仪,连接病人,调节心率和呼吸报警上下限及报警音量,连接血压袖带,调节血压报警限和测量间隔时间,启动测量开关,连接经皮血氧探头,调节血氧报警限.
","电极片","小时","7","7","8",,"1","C""120100013(ACBG001)","动脉置管护理","评估患者病情等,核对患者信息并做好解释取得配合,准备用物,使用无菌注射器吸取抗凝剂或生理盐水定时冲管保持管道通畅,取适当体位,调整零点,测压,观察穿刺点,更换无菌敷料保持干燥清洁,固定导管,做好健康教育和心理护理.
",,"日","17","18","20",,"1","C""120100013(ACBG002)","静脉置管护理","指中心静脉置管护理、PICC置管护理.
核对患者信息,评估患者病情、合作程度及置管周围皮肤情况等,解释其目的取得配合,观察管路通畅情况,测量外管路长度等,必要时测量臂围,严格无菌操作进行消毒,防止留置管阻塞和管路感染,使用无菌注射器或一次性封管针脉冲式正压封管,严禁提前配置冲管液当日用于多人封管,更换无菌敷料并固定、再次测量管路长度、记录、做好健康教育和心理护理.
",,"日","13","14","15",,"1","C""120100010(ACBH001)","口腔护理","评估患者病情、合作程度及口腔状况,核对患者信息,做好解释取得配合,取适当体位,打开消毒口腔护理包,清点棉球,漱口,检查口腔,观察有无口腔黏膜疾患,必要时通知医生,按需要选择漱口液,按顺序清洁口腔,再次漱口并检查口腔,再次清点棉球,协助患者恢复舒适体位,处理用物,观察患者生命体征并记录,做好健康教育及心理护理.
",,"次","7","7","8",,"1","C""120100010(ACBJ001)","气管切开护理","评估患者病情、意识状态、气管切开周围皮肤情况等,核对患者信息,做好解释取得配合,监测并保持气囊的压力,必要时人工气道内药物滴入(打开人工气道,吸气相时滴入药物,观察用药后效果并记录),随时清理呼吸道分泌物,局部消毒,更换敷料,保持气管切开处清洁干燥,固定,观察伤口有无感染并记录,做好健康教育及心理护理.
",,"日","21","23","25",,"1","C""120100010(ACBJ002)","气管切开套管更换","评估患者病情、意识状态、气管切开周围皮肤情况,核对患者信息,做好解释取得配合,准备用物,取出并更换套管,套管消毒,评价并记录,做好健康教育及心理护理.
","气管切开套管","次","13","14","15",,"1","C""120100010(ACBJ003)","气管插管护理","评估患者病情、意识状态、气管插管深度及导管型号等,核对患者信息,做好解释取得配合,监测并保持气囊的压力,必要时人工气道内药物滴入(打开人工气道,吸气相时滴入药物,观察用药后效果并记录),随时清理呼吸道分泌物,必要时使用呼吸过滤器保持气道温湿度,更换固定胶布,无菌牙垫及无菌敷料,保持固定带清洁干燥,观察气管外置长度并记录,做好健康教育及心理护理.
",,"日","17","18","20",,"1","C""120100011(ACBJ004)","吸痰护理","评估患者病情、意识状态、呼吸道分泌物情况等,核对患者信息,做好解释取得配合,连接吸引器调整负压,取适当体位,戴无菌手套,检查连接好的无菌吸痰管通畅,将吸痰管插入气道,缓慢旋转提取进行抽吸,调整氧气流量,观察患者生命体征及痰液性质,协助患者采取舒适体位,评价吸痰效果,记录,完成健康教育及心理护理.
",,"次","9","9","10",,"1","C""120100011(ACBJ005)","呼吸机吸痰护理","评估患者病情、意识状态及呼吸道分泌物情况等,核对患者信息,做好解释取得配合,连接吸引器调整负压,取适当体位,遵医嘱滴入化痰药,观察患者生命体征,呼吸机消警,给纯氧2分钟,戴无菌手套,检查连接好的无菌吸痰管通畅,打开气道,按无菌操作原则将吸痰管插入气道,缓慢旋转提取进行抽吸(时间小于15秒),再次给纯氧2分钟,观察患者生命体征及痰液性质,评价吸痰效果,记录,完成健康教育及心理护理.
",,"次","10","11","12",,"1","C""121400001(ACBK001)","引流管护理","指各种引流管护理,包括引流管冲洗.
评估患者病情及引流情况等,核对患者信息,解释其目的取得配合,准备用物,取适当体位,戴手套,合理暴露伤口,观察引流液的量、色及性质,严格无菌操作原则用蘸有消毒液的棉签消毒,更换无菌敷料,倾倒引流液,观察患者生命体征,预防并发症,处理用物,记录,做好健康教育及心理护理.
含胃、小肠、胆囊、膀胱、肾等造瘘管护理.
",,"日","9","9","10",,"1","C""120100012(ACBL001)","造口护理","指回肠、结肠造口,尿路造口的护理.
评估患者病情、合作程度、造口周围皮肤情况等,核对患者信息,做好解释取得配合,造口周围皮肤、排泄物及并发症的观察和处理,根据造口缺血坏死、皮肤黏膜分离、造口回缩、造口狭窄、造口脱垂、造口旁疝、造口周围皮肤问题、出血等选择适宜的敷料、药物和造口用品,并清洁皮肤及造口,测量造口大小,剪裁无菌底盘,粘贴底盘,固定无菌造口袋,记录,做好健康教育和心理指导.
","造口底盘、造口袋","日","10","11","12",,"1","C""120100012(ACBM001)","肛周护理","指对肛周脓肿、大便失禁等患者进行的肛周护理.
观察肛周皮肤黏膜,肛周换药,湿敷.
",,"次","9","9","10",,"1","C""120100014(ACBN001)","压疮护理","指使用压疮评估表确定压疮分级及危险因素,评估病情、压疮伤口类型,对有发生压疮危险的患者采取定时翻转,取适当体位,必要时采取保护措施.
核对患者信息,做好解释取得配合,取适当体位,根据伤口干湿组织范围大小等,选择相应的无菌伤口敷料和药物,暴露创面,用生理盐水清理创面去除坏死组织,用蘸有消毒液的棉签消毒周围皮肤,测量创面大小并确定压疮分期,如有腔隙或窦道用装有生理盐水的无菌注射器(或头皮针)冲洗,按无菌操作原则换药,观察受压部位情况防止压疮再次发生或加重,处理用物,并记录,做好健康教育和心理护理.
必要时报告医生请求相关科室会诊.
","功能性敷料","日","9","9","10",,"1","C""AB","一般治疗操作","本节项目六岁以下儿童加收不超过30%"ABA","注射""ABAA0001(120400001)","皮内注射","指皮内注射治疗或药物皮内注射试验.
核对医嘱及患者信息,检查注射器及药物,用无菌注射器配制药物,取舒适体位,选择注射部位,皮肤消毒(直径大于5厘米),再次核对患者信息,将药物注入皮内组织,拔针后按压注射部位并第三次核对患者信息,处理用物,用药后观察用药反应,做好健康教育及心理护理,必要时记录.
",,"次","4","5","5",,"1","A""ABAB0001(120400001)","皮下注射","核对医嘱及患者信息,检查注射器及药物,用无菌注射器配制药物,取适当体位,选择并确定注射部位,皮肤消毒(直径大于5厘米),再次核对患者信息,将药物注入皮下组织,拔针后按压注射部位并第3次核对患者信息,协助患者恢复舒适体位,处理用物,用药后观察用药反应,做好健康教育及心理护理,必要时记录.
",,"次","4","5","5",,"1","A""ABAC0001(120400001)","肌肉注射","核对医嘱及患者信息,检查注射器及药物,使用无菌注射器配制药物,取适当体位,选择并确定注射部位,皮肤消毒(直径大于5厘米),再次核对患者信息,将药物注入肌肉组织,拔针后按压注射部位并核对患者信息,协助患者恢复舒适体位,处理用物,用药后观察用药反应,做好健康教育及心理护理,必要时记录.
",,"次","4","5","5",,"1","A""ABAD0001(120400002)","静脉注射","核对医嘱及患者信息,用无菌注射器配制药物,取适当体位,选择注射部位,皮肤消毒(直径大于5厘米),再次核对患者信息,将药物注入静脉(Tennon氏囊下),拔针后按压注射部位并第3次核对患者信息,协助患者恢复舒适体位,处理用物,用药后观察用药反应,做好健康教育及心理护理,必要时记录.
",,"次","5","5","6",,"1","A""ABB","采血""ABBA0001(120400004)","动脉采血","确定采血动脉穿刺点后,消毒,以连接无菌注射器的无菌针头垂直进针穿刺动脉,见鲜红色动脉血进入无菌注射器并达到检测需要的血量后,退出穿刺针,以无菌棉签压迫穿刺点止血,以胶塞封闭注射器针头以隔绝空气,将血样以冰袋或冰壶保存送检.
",,"次","21","23","25",,"1","A""ABBB0001(120400002)","静脉采血","核对医嘱及患者信息,评估患者,取适当体位,选择穿刺部位,皮肤消毒(直径大于5厘米),用无菌采血针静脉穿刺并固定,将适量血缓慢流入采血管,拔针后按压穿刺部位,将血缓慢注入采血管,再次核对患者信息,协助患者采取舒适体位,处理用物,标本送检,做好健康教育及心理护理.
",,"次","6","6","7",,"1","A""ABC","静脉输注""ABCA0001(120400006)","静脉输液","评估患者及穿刺部位等,核对医嘱及患者信息,用无菌注射器配制药物,连接无菌输液器或避光输液器,取适当体位使用无菌压脉带,选择穿刺部位,皮肤消毒(直径大于5厘米),排气,再次核对患者信息,头皮针穿刺,用无菌敷料进行固定,调节滴速并第3次核对患者信息,协助患者恢复舒适体位,处理用物,观察输液反应.
必要时留置针置管护理、健康教育及心理护理,记录.
如需连续输注几组液体,要核对患者信息,注意药物之间的配伍禁忌,密切观察输液反应,协助患者舒适体位.
含输液过程中各种药物注入.
","留置针,专用输液器(一次性避光输液器,一次性精密过滤输液器,一次性使用自动止液输液器)","次","10","11","12","住院患者原则上一日只能计费一次,根据病情需要可增加一次,医嘱确诊的危重病人,每日不得超过三次.
一次性精密过滤输液器仅在输注化疗药物、中成药及儿童输液使用.
","1","A""ABCB0001(120400006)","输液泵辅助静脉输液","指使用输液泵或微量泵辅助静脉输液、注射.
评估患者及穿刺静脉情况等,核对医嘱及患者信息,用无菌注射器配制药物,检查输液泵,用输液管连接输液泵装置,排尽空气,将无菌泵管置于输液泵上,开机并调节输液泵,取适当体位,选择注射部位,皮肤消毒(直径大于5厘米),再次核对患者信息,用无菌头皮针穿刺,无菌敷料固定,设定速度并第3次核对患者信息,协助患者恢复舒适体位,处理用物,用药后观察,做好健康教育及心理护理,必要时记录.
含输液过程中各种药物注入.
","留置针,专用输液器(一次性避光输液器,一次性精密过滤输液器,一次性使用自动止液输液器)","日","51","54","60","不足半日按半日收费.
一次性精密过滤输液器仅在输注化疗药物、中成药及儿童输液使用.
","1","A""ABCC0001(330603008)","经烧伤创面静脉穿刺术","穿刺皮肤消毒,根据解剖位置,触摸确定血管位置,穿刺静脉放置并固定留置管.
","留置针","次","85","90","100",,"1","A""ABCD0001(120400006)","静脉输血","评估患者及穿刺部位等,血制品检查,核对医嘱及患者信息,严格查对制度,解释其目的取得配合,取适当体位,连接无菌输血器,选择穿刺部位,皮肤消毒(直径大于5厘米),排气,再次核对患者信息,用头皮针穿刺并固定,遵医嘱输液前输注生理盐水,用无菌注射器给予抗过敏药物,输入血制品,调节滴速,生理盐水冲管,并第3次核对患者信息,观察有无输血反应及血压变化,协助患者恢复舒适体位,输血毕血袋低温保存24小时,记录,做好健康教育及心理护理.
","留置针","次","26","27","30","以1袋血液为基价,每增加1袋加收不超过40%","1","A""ABCE0001(120400006)","加压快速输血","指用于经人工或加压设备快速补充血容量的患者.
评估患者及穿刺部位等,血制品检查,将血制品置于加压装置,核对医嘱及患者信息,严格查对制度,解释其目的取得配合,取适当体位,连接无菌输血器,选择穿刺部位,皮肤消毒(直径大于5厘米),排气,再次核对信息,选择穿刺针,进行静脉穿刺,无菌敷料固定,调节滴速,遵医嘱用输血前输注生理盐水,无菌注射器给予抗过敏药物,快速输入血制品,守护患者观察有无输血反应及血压变化等,生理盐水冲管并第3次核对患者信息,协助患者采取舒适体位,血袋低温保存24小时,记录,做好健康教育及心理护理.
","留置针","次","27","29","32","同上","1","A""ABCF0001(120400008)","全胃肠外营养深静脉输注","指经深部静脉置管的高营养治疗.
评估患者病情及静脉置管管路情况等,营养液配制,核对医嘱及患者信息,解释其目的取得配合,观察敷料情况及静脉置管局部情况,再次核对患者信息,连接无菌输液器,用无菌注射器吸取生理盐水,检查管通畅并输注全胃肠外营养液,取适当体位,选择穿刺静脉置管管腔并消毒,排气,连接管路,调节滴速,保持管路通畅,无菌敷料(或贴膜)固定,协助患者恢复舒适体位,第三次核对患者信息,30-60分钟巡视并充分摇匀袋内液体及药物,观察并记录,封管,处理用物,做好健康教育及心理护理.
",,"日","53","56","62","不得与静脉输液同时收取","1","A""ABCG0001(120400008)","外周静脉营养输注","将机体所需要的高营养混合液(指碳水化合物、氨基酸、脂肪乳、电解质、维生素、微量元素和水等全营养混合液),遵医嘱通过外周静脉匀速注入机体内,从而达到对机体进行营养代谢支持目的的高营养治疗,评估患者病情及静脉置管管路情况,在无菌操作原则下进行营养液配制,核对医嘱及患者信息,解释其目的取得配合,观察敷料,管路及静脉置管局部情况,无菌敷料,贴膜固定管路,再次核对患者信息,连接无菌输液器,用无菌注射器吸取生理盐水,检查管通畅并输注全胃肠外营养液,取适当体位,第三次核对患者信息,适时巡视并充分摇匀袋内液体或药物,同时做好患者病情观察,预防并发症,记录出入液量,封管,处理用物,做好健康教育及心理护理等工作.
",,"日","53","56","62","同上","1","A""ABCH0001(120400008)","输液泵辅助全胃肠外营养深静脉输注","指经深部静脉置管的高营养治疗.
评估患者病情及静脉置管管路情况等,药物及营养液配制,核对医嘱及患者信息,解释其目的取得配合,检查输液泵,用无菌泵管连接输液装置,排尽空气,将无菌泵管置于输液泵上,开机并调节输液泵,观察敷料情况及置管局部情况,再次核对患者信息,用无菌注射器吸取生理盐水,检查管通畅并输注全胃肠外营养液,取适当体位,选择穿刺管腔并消毒,排气,连接管路,调节滴速,保持管路通畅,无菌敷料(或贴膜)固定,协助患者恢复舒适体位,第三次核对患者信息,30-60分钟巡视并充分摇匀袋内液体及药物,观察并记录,封管,处理用物,做好健康教育及心理护理.
",,"日","68","72","80","同上","1","A""ABCJ0001(120400013)","抗肿瘤化疗药物/肠外营养液集中配置","指在集中配液中心进行的对抗肿瘤化疗药物或肠外营养液的配置.
遵医嘱,核对治疗方案,准备药物,穿无菌防护服,戴无菌手套及无菌防护眼镜,打开层流柜,严格按无菌操作原则将药物加入相应的无菌液体中,再次核对患者信息.
必要时将药物放入特殊装置,处理用物.
",,"日","17","18","20","此项为辅加操作项目","1","A""ABCK0001(311202010)","新生儿换血术","术前准备(给镇静剂、备皮),入换血室,在辐射抢救台上铺巾,断脐,插脐静脉导管,反复抽取和推注血液,术中监测中心静脉压4次,术前后留取血样检查,术毕拔管,脐部压迫止血.
不含监护.
",,"次","425","450","500","以100毫升血量为基价,每增加100毫升加收不超过5%;不得加收小儿费用.
","1","A""ABD","静脉置管术""ABDA0001(120400011)","经外周静脉置入中心静脉导管术","评估患者病情、合作程度及穿刺血管情况等,核对医嘱及患者信息,取适当体位,检查导管,测量导管插入长度,选择穿刺部位,皮肤消毒(直径10厘米),无菌注射器预冲导管,静脉穿刺,送导管至预计长度,撤导丝,抽回血并冲管,修剪长度安装连接器,连接肝素帽并正压封管,无菌敷料固定,处理用物,观察患者反应并记录,做好健康教育及心理护理.
不含超声引导、X线检查.
","中心静脉导管","次","43","45","50",,"1","A""ABDB0001(311202008)","新生儿脐血管置管术","选择合适的脐导管并测量所需插入长度,消毒术野皮肤,铺巾,切断脐带残端,暴露脐血管(动脉或静脉),插入导管至所需刻度,抽回血并推注输液,缝合固定,接输液器.
不含监护.
","特殊缝线","次","43","45","50","不得再加收小儿费用.
","1","A""ABE","清创缝合""ABEA0001(120500003)","清创(缝合)术(小)","指符合下列任一情况者:表浅切伤,裂伤,刺伤,伤口长度1-5厘米(含5厘米)等.
消毒铺巾,清除血肿,冲洗,切口及表浅软组织缝合.
",,"次","34","36","40",,"1","A""ABEA0002(120500002)","清创(缝合)术(中)","指符合下列任一情况者:轻微污染伤口,软组织轻度损伤,皮肤轻度损伤或缺损,异物存在,伤口长度5-10厘米等.
消毒铺巾,伤口探查,扩大切口,清除坏死组织及异物,冲洗,缝合伤口.
必要时置引流管引出并固定.
",,"次","68","72","80",,"1","A""ABEA0003(120500001)","清创(缝合)术(大)","指符合下列任一情况者:严重污染伤口,软组织严重损伤,皮肤严重损伤或缺损,特殊感染伤口,二期清创,多发异物伤口,血管、神经、肌肉、骨骼、关节严重损伤伤口,化学武器创口,伤口长度大于10厘米等.
消毒铺巾,伤口探查,扩大切口,切开深筋膜,清除坏死组织及异物,冲洗,新鲜伤口逐层缝合.
必要时置引流管引出并固定,包扎伤口.
不含神经、血管、肌腱吻合.
",,"次","128","135","150",,"1","A""ABF","换药""ABFA0001(120600004)","换药(小)","指符合下列任一情况者:清洁伤口,缝合3针以内伤口拆线(含皮内连续缝合拆线)等.
消毒铺巾,更换敷料、引流物,包扎固定.
",,"次","17","18","20",,"1","A""ABFA0002(120600003)","换药(中)","指符合下列任一情况者:污染伤口,缝合3-10针伤口拆线,轻度烧伤伤口,单个褥疮,深静脉置管伤口,有引流管的伤口等.
消毒铺巾,更换敷料、引流物,包扎固定.
",,"次","26","27","30",,"1","A""ABFA0003(120600002)","换药(大)","指符合下列任一情况者:感染伤口,缝合11-30针伤口拆线,中度烧伤伤口,多个褥疮,皮瓣移植物伤口,大棉垫1-2块,渗出50-100毫升伤口等.
消毒铺巾,更换敷料,引流物,包扎固定.
",,"次","43","45","50",,"1","A""ABFA0004(120600001)","换药(特大)","指符合下列任一情况者:特殊感染伤口,缝合30针以上伤口拆线,重度及特重度烧伤伤口,多个褥疮感染,体表大于10%的皮瓣移植物及化学武器伤口,特殊部位伤口(会阴、切口裂开、内脏、软组织及皮下),纱布需50块以上者,大棉垫3块以上,渗出大于100毫升伤口等.
消毒铺巾,更换敷料,引流物,包扎固定.
",,"次","68","72","80",,"1","A""ABG","胃肠治疗操作""ABGA0001(120900001)","胃肠减压","根据病情需要连续观察,评估患者病情及腹部体征等,核对医嘱及患者信息,解释其目的取得配合,取适当体位,插入胃肠减压管,连接胃肠减压装置,调节负压,协助患者恢复舒适体位,随时观察患者症状体征,观察胃液的量及性质,记录,做好健康教育及心理护理.
",,"日","13","14","15",,"1","A""ABGB0001(120800001)","胃管置管术","评估患者病情及合作程度等,核对医嘱及患者信息,解释其目的取得配合,适当检查床头,取适当体位,选择并清洁鼻腔,测量插入深度,用麻醉润滑剂润滑消毒胃管前端约10厘米,插入胃管,检查患者口腔情况,注入液体前听取气过水声,用注射器抽吸胃液,确认胃管位置,固定外管封口并作标记,协助患者采取舒适体位,处理用物,观察患者反应并记录,做好健康教育及心理护理.
","三腔胃管","次","26","27","30",,"1","A""ABGC0001(121000001)","人工洗胃","评估患者病情,中毒程度及有无禁忌症等,准备洗胃液,核对医嘱及患者信息,解释其目的取得配合,取适当体位,防止误吸,选择并清洁鼻孔,测量插入深度,用麻醉润滑剂润滑胃管前端约10厘米,插入胃管,用注射器注气听气过水声抽吸胃液,确认胃管位置,固定并作标记,注射器吸尽胃内容物,注入洗胃液约200毫升后抽出,反复冲洗至洗净,拔胃管,漱口,清洁面部,处理用物,评价并记录,做好健康教育及心理护理.
",,"次","43","45","50",,"1","A""ABGC0002(121000001)","电动洗胃","评估患者病情,中毒程度及有无禁忌症等,连接好洗胃机装置,准备洗胃液,核对医嘱及患者信息,解释其目的取得配合,取适当体位,选择并清洁鼻孔,测量插入深度,用麻醉润滑剂润滑胃管前端约10厘米,插入胃管,用注射器确认胃管位置,固定并作标记,将胃管与洗胃机连接,接通电源吸尽胃内容物,反复冲洗至洗净,拔胃管,处理用物,清洁洗胃机(包括进水和出水管路),评价并记录,做好健康教育及心理护理.
",,"次","43","45","50",,"1","A""ABGC0003(121000001)","漏斗胃管洗胃","评估患者病情,中毒程度及有无禁忌症等,准备洗胃液,核对医嘱及患者信息,解释其目的取得配合,取适当体位,选择并清洁鼻孔,测量插入深度,用麻醉润滑剂润滑胃管前端约10厘米,插入胃管,用注射器确认胃管位置,固定并作标记,将漏斗低于胃的位置吸尽胃内容物,再将洗胃液约300-500毫升注入高过头30-50厘米的漏斗后吸出,反复冲洗至洗净,拔胃管,处理用物,评价并记录,做好健康教育及心理护理.
",,"次","43","45","50",,"1","A""ABGC0004(121000001)","负压吸引器洗胃","评估患者病情,中毒程度及有无禁忌症等,准备洗胃液,核对医嘱及患者信息,解释其目的取得配合,取适当体位,选择并清洁鼻孔,测量插入深度,用麻醉润滑剂润滑胃管前端约10厘米,插入胃管,用注射器确认胃管位置,固定并作标记,开吸引器吸尽胃内容物后关闭,开输液管输入洗胃液约300-500毫升后关闭,反复冲洗至洗净,拔胃管,处理用物,评价并记录,做好健康教育及心理护理.
",,"次","43","45","50",,"1","A""ABGC0005(311202006)","新生儿洗胃","测量插入深度,放置胃管,腹部听诊确定位置,注入生理盐水洗胃,重复数次,直至胃液清亮.
",,"次","41","43","48","不得再加收儿童费用","1","A""ABGD0001(120800002)","肠内营养灌注","指经鼻置入胃管,小肠营养管,小肠造瘘,胃造瘘药物灌注或要素饮食灌注.
评估患者病情及管路情况,核对医嘱及患者信息,配制营养液或药物等,调节适宜温度,解释其目的取得配合,取适当体位,注入少量温开水冲洗管路,调节速度(必要时用营养泵),用无菌注射器(或无菌营养泵管或无菌营养袋)注入药物(或要素饮食),确定管路位置并妥善固定,观察腹部体征,排泄情况及相关并发症等,灌注完毕冲洗管路,记录,做好健康教育及心理护理.
",,"次","24","31","35",,"1","A""ABGE0001(121500001)","一般灌肠","评估患者病情及腹胀程度等,核对医嘱及患者信息,解释其目的取得配合,排空膀胱,备好灌肠装置,配好灌肠液,屏风遮挡,取适当体位,合理暴露臀部,用麻醉润滑剂润滑肛管前端,并用温水促进肛门括约肌松弛,嘱病人深呼吸,插入肛管适宜深度,并固定,松开止血钳灌入所需灌肠液,夹闭肛管并拔出,嘱患者平卧规定时间后排便,协助患者恢复舒适体位,处理用物,观察患者反应并记录,做好健康教育及心理护理.
",,"次","30","32","35",,"1","A""ABGE0002(121500001)","保留灌肠治疗","评估患者病情及腹胀程度等,核对医嘱及患者信息,解释其目的取得配合,排空膀胱,备好灌肠装置,配好灌肠液,屏风遮挡,取适当体位,合理暴露臀部,用麻醉润滑剂润滑肛管约5-10厘米,插肛管约10-15厘米并固定,松开止血钳将灌肠液滴入最多200毫升,夹闭肛管并拔出,嘱患者平卧尽可能至少1小时后排便,处理用物,观察患者反应并记录,做好健康教育及心理护理.
",,"次","34","36","40",,"1","A""ABGE0003(121500001)","三通氧气灌肠治疗","评估,核对患者信息,做好解释取得配合,备好三通氧气灌肠装置,调节室温,屏风遮挡,摆体位,必要时给予解痉止痛或基础麻醉,合理暴露臀部,润滑肛管前端,插入肛管,注气约25-30毫升至肛管气囊,稍向下牵拉肛管以固定,调节安全阀旋钮,设定灌肠时最大耐压值,将气体注入结肠,观察氧气表上的压力值,X线透视下观察结肠内气体前进的情况至套叠复位,拔管,协助患者恢复舒适体位,处理用物,观察并记录,做好健康教育及心理护理.
不含X线检查.
",,"次","38","41","45",,"1","A""ABGE0004(121500002)","清洁灌肠","评估患者病情及腹胀程度等,核对医嘱及患者信息,解释其目的取得配合,排空膀胱,备好灌肠装置,配好灌肠液,屏风遮挡,取适当体位,合理暴露臀部,用麻醉润滑剂润滑肛管约5-10厘米,缓慢插入,边进管边观察病人的疼痛反应,插肛管约10-15厘米并固定,松开止血钳灌肠500-1000毫升,夹闭肛管并拔出,患者排便后重复以上操作过程至大便为清水样便,处理用物,观察并记录,做好健康教育及心理护理.
",,"次","34","36","40",,"1","A""ABGF0001(121500002)","经口全消化道清洁洗肠","配置洗肠液,评估患者病情及合作程度等,核对医嘱及患者信息,解释其目的,协助患者饮用(1小时内饮完),观察有无腹痛、呕吐、排便情况,必要时重复饮用口服洗肠液,记录,做好健康教育及心理护理.
",,"次","13","14","15",,"1","A""ABGG0001","人工辅助通便","评估患者病情及腹胀程度等,核对医嘱及患者信息,解释其目的取得配合,屏风遮挡,取适当体位,合理暴露臀部,戴手套,用指润滑剂涂抹手指,手工协助排便或挤入开塞露或甘油灌肠剂或栓剂插入肛门,处理用物,观察并记录,做好健康教育及心理护理.
",,"次","13","14","15",,"1","A""ABGH0001(121700001)","肛管排气","评估患者病情及腹胀情况,肛门及皮肤情况等,核对患者信息,解释其目的取得配合,调节室温,屏风遮挡,取适当体位,连接好肛管排气装置,戴手套,用麻醉润滑剂润滑无菌肛管前端,润滑肛门使肛门括约肌松弛,插肛管约15-18厘米(新生儿约5-7厘米)并固定,观察患者情况,连接灌肠袋观察液面水泡情况,保留约20分钟后拔肛管,协助患者恢复舒适体位,处理用物,评价并记录,做好健康教育及心理护理.
",,"次","17","18","20",,"1","A""ABH","导尿与冲洗""ABHA0001(121600001)","导尿","评估患者病情,膀胱充盈情况等,核对医嘱及患者信息,解释其目的取得配合,屏风遮挡,取适当体位,会阴擦洗,打开无菌导尿包,戴无菌手套,用麻醉润滑剂润滑导尿管,按顺序消毒,确定尿道口,插入尿管,观察尿液颜色、量及性质等,引流完毕拔出,擦净会阴,协助患者恢复舒适体位,处理用物,评价并记录,做好健康教育及心理护理.
",,"次","26","27","30",,"1","A""ABHA0002","导尿管留置","评估患者病情,膀胱充盈情况等,核对患者信息,解释其目的取得配合,屏风遮挡,取适当体位,会阴擦洗,打开无菌导尿包,戴无菌手套,用麻醉润滑剂润滑导尿管,按顺序消毒,确定尿道口,插入尿管,并注入5-10毫升无菌注射用水再回抽2毫升待有阻力后固定,接通无菌尿袋,观察尿液颜色,量及性质等,及时倾倒尿液.
必要时更换无菌尿袋,协助患者恢复舒适体位,处理用物,评价并记录,做好健康教育及心理护理.
","专用导尿管","日",,,"","留置导尿第一次按规定的导尿标准收取,以后每日收1元;更换引流袋3元(含引流袋费用).
在本项目核定价格后,本计价说明取消.
","3","A""ABHA0003(121600001)","导引法导尿术","常规消毒,铺无菌巾,应用前端有孔的金属导尿管插进膀胱,通过内腔放入一根细的导丝,拔出金属导尿管,通过导丝放入双腔气囊导尿管,置入后导尿管球囊注水固定.
",,"次","43","45","50",,"1","A""ABHB0001(121600002)","膀胱冲洗","评估患者病情及自理程度等,核对医嘱及患者信息,解释其目的取得配合,准备冲洗药物及用物,屏风遮挡,取适当体位,戴无菌手套,将棉垫垫于尿管接头处,分开尿管与引流袋连接处,消毒尿管末端,用无菌膀胱冲洗器吸取冲洗液,从尿管末端注入膀胱后吸出,如此反复操作,冲洗毕夹闭尿管30分钟后排空膀胱,必要时更换无菌引流袋,观察冲洗过程中患者反应,冲洗情况及冲洗出的液体颜色、性质及量并记录,处理用物,做好健康指导及心理护理.
",,"次","17","18","20",,"1","A""ABHB0002(121600003)","持续膀胱冲洗","评估患者病情,自理程度及有无禁忌症等,核对医嘱及患者信息,解释其目的取得配合,准备冲洗药物及用物,屏风遮挡,取适当体位,戴无菌手套,用输血器连接冲洗液并排气,连接冲洗入口,冲洗出口处接无菌引流袋(或引流瓶),遵守持续冲洗原则细管冲入粗管冲出,根据引流液颜色调节冲洗速度,观察患者生命体征,冲洗情况,引流液颜色、性质及量并记录,冲洗毕协助患者恢复舒适体位,处理用物,做好健康指导及心理护理.
",,"日","30","32","35",,"1","A""ABL","物理降温""ABLA0001(121100001)","擦浴降温","指酒精或温水擦浴.
评估患者病情等,备酒精,核对患者信息,解释其目的取得配合,调节室温,屏风遮挡,头部放冰袋,足底用热水袋,按上-下及前-后的顺序擦拭全身,撤去冰袋和热水袋,协助患者穿衣并恢复舒适体位,30分钟后测量体温,观察并记录,做好健康教育及心理护理.
",,"次","9","9","10",,"1","A""ABLB0001(121100001)","贴敷降温","指使用冰袋、冰囊或降温贴贴敷于皮肤表面进行降温.
评估患者病情等,备好冰装入冰袋,核对患者信息,解释其目的取得配合,将冰袋放入布套内,置于患者所需部位,开始计时,保护易冻伤部位,冷敷后取下冰袋,观察有无冻伤,协助患者恢复舒适体位,30分钟后测量体温,处理用物,观察并记录,做好健康教育及心理护理.
",,"次","17","18","20",,"1","A""ABLC0001(121100001)","冰帽降温","指冰帽及冰枕头部降温.
评估患者病情等,备好冰装入冰帽,核对患者信息,解释其目的取得配合,将冰帽放入布套内,将冰帽置于患者头部,开始计时,保护耳部,随时观察患者神志,体温及冰帽使用安全性,取下冰帽,协助患者恢复舒适体位,处理用物,观察并记录,做好健康教育及心理护理.
",,"次","9","9","10",,"1","A""ABLD0001(121100002)","冰毯降温","评估患者病情等,核对患者信息,解释其目的取得配合,准备冰毯机,取适当体位,将冰毯置于患者合适部位,将温度传感器放于腋下,打开冰毯机,设置温度及循环流量,调节降温范围,监测降温效果及皮肤情况,观察患者反应及生命体征变化,处理用物,记录.
",,"次","17","18","20",,"1","A""ABM","抢救""ABMA0001(120200001、120200002、120200003)","危重病人抢救","指因病情变化需要,由医师负责组织的抢救进行抢救.
负责医师不离开现场,采取紧急救治措施,迅速开放必要的通道,严密监测生命体征,神志等,观察和记录患者出入量,及时完成各种治疗,护理,根据患者病情需要组织院内外会诊.
适时对患者进行健康教育及心理护理,填写病危或病重通知单,并向家属交代患者病情,做好抢救记录.
",,"日","340","360","400",,"1","A""ABMB0001(311202005)","新生儿人工呼吸","吸引口咽分泌物,面罩复苏气囊加压通气,听诊双肺呼吸音并观察病人情况,操作1-2分钟后无缓解,立即气管插管正压通气.
含气管插管.
不含监护.
",,"次","51","54","60","不得再加收儿童费用","1","A""ABMC0001(311202012)","新生儿辐射抢救治疗","使用辐射抢救台对新生儿进行治疗.
预热,设置箱温,放置体温探头,抢救治疗.
",,"小时","2.
60000244140625","2.
70000244140625","3","不得再加收儿童费用","1","A""ABN","院前急救""ABNA0001(110400001)","院前危急重症抢救","指院前医务人员对危重急症患者(由于各种原因造成危及生命、不采取抢救措施难以缓解的疾病,如心脏骤停、休克、昏迷、急性呼吸衰竭、急性心衰、多发严重创伤等)提供现场诊察、防护、救治及途中监护的医疗技术劳务性服务.
",,"次","43","45","50",,"1","A""ABP","重症监护"收取重症监护不得再收取分级护理费用",,"ABPA0001(110300001)","急诊室重症监护","指急诊室内专业护士连续监护.
医生护士严密观察病情变化,密切观察血氧饱和度、呼吸、血压、脉压差、心率、心律及神志、体温、出入量等变化,发现问题及时调整治疗方案,预防并发症的发生,并作好监护,治疗及病情记录,随时配合抢救.
",,"日","102","108","120","不足半日按半日收费","1","A""ABPB0001(120100001)","重症监护","指重症监护室内连续监测.
医生护士严密观察病情变化,密切观察血氧饱和度、呼吸、血压、脉压差、心率、心律及神志、体温、出入量等变化,发现问题及时调整治疗方案,预防并发症的发生,并作好监测,治疗及病情记录,随时配合抢救.
",,"小时","6","8","9",,"1","A""ABZ","其它""ABZA0001(120100015)","机械辅助排痰","评估患者病情,意识状态及呼吸系统情况等,核对患者信息,解释其重要性取得配合,检查排痰机功能状态,取适当体位,根据病情设置排痰机的强度频率及时间,用机械辅助排痰仪,按解剖部位依次震动不同部位,观察患者反应,生命体征变化等,协助患者排痰,评价患者排痰效果及痰液性质,用物处理,记录,做好健康教育和心理护理.
",,"次","13","14","15",,"1","A""ABZB0001(121300001)","冷湿敷法","评估患者病情及皮肤情况等,核对患者信息,解释其目的取得配合,铺橡胶单和治疗巾,局部冷湿敷15-20分钟(反复更换湿敷布2-3分钟/次),协助患者穿衣并恢复舒适体位,处理用物,观察并记录,做好健康教育及心理护理.
",,"次","4","5","5",,"1","A""ABZC0001(121300001)","热湿敷法","评估患者病情及皮肤情况等,核对患者信息并解释其目的取得配合,铺橡胶单和治疗巾,局部热敷,15-20分钟,协助患者穿衣并恢复舒适体位,处理用物,观察并记录,做好健康教育及心理护理.
",,"次","4","5","5",,"1","A""ABZD0001(121200001)","坐浴","评估患者病情及会阴、肛周皮肤情况等,核对医嘱及患者信息,解释其目的取得配合,备坐浴液,调节室温,屏风遮挡,协助患者将会阴部浸在液体中20-30分钟,擦干会阴部或肛门周围,处理用物,观察并记录,做好健康教育及心理护理.
",,"次","4","5","5",,"1","A""ABZE0001(120100014)","会阴擦洗","指会阴擦洗或会阴冲洗.
评估患者病情及合作程度等,核对患者信息,做好解释取得配合,协助患者排空膀胱,屏风遮挡,取适当体位,垫清洁棉垫及坐便器,打开消毒会阴擦洗或冲洗包,按顺序擦洗或冲洗,擦干会阴部,协助患者恢复舒适体位,必要时协助更衣,处理用物,评价并记录,做好健康教育及心理护理.
",,"次","10","11","12",,"1","A""ABZF0001(120100014)","阴道冲洗","评估患者病情及会阴情况等,核对医嘱及患者信息,解释其目的取得配合,协助患者排空膀胱,无菌注射器配制冲洗液,准备冲洗装置,取适当体位,连接冲洗管,排气,将冲洗管插入阴道进行冲洗,协助患者坐起排空残留液并穿好衣服,处理用物并记录,做好健康教育和心理指导.
",,"次","17","18","20",,"1","A""ABZG0001(121400001)","引流管更换","更换无菌引流袋或引流装置,固定,观察患者生命体征,预防并发症,处理用物,记录,做好健康教育及心理护理.
","专用引流管","次",,,"","更换引流装置加收3元.
在本项目核定价格后,本计价说明取消.
","3","A""1203","氧气吸入","包括低流量给氧、中心给氧、氧气创面治疗.
","一次性鼻导管、鼻塞、面罩.
",,,,,"间断吸氧按小时计算.
加压给氧每小时加收1元.

"120300001","中心吸氧","",,"小时","2.
10000122070312","2.
3","2.
5",,"1","A""120300002","低流量吸氧","",,"小时","1.
70000122070312","1.
80000122070313","2",,"1","A""120300003","高频吸氧","",,"小时","3.
40000244140625","3.
60000244140625","4",,"1","A""1207","雾化吸入""120700001","雾化吸入","包括超声、高压泵、氧化雾化、蒸气雾化吸入及机械通气经呼吸机管道雾化给药.
","药品","次","4","5","5","高压泵、氧化雾化加收50%.
小儿上浮30%.
","1","A""13","社区卫生服务及预防保健项目","","药物、化验、检查",,,,,,,"1301","婴幼儿健康体检""130100001","婴幼儿健康体检","",,"次","4","5","5",,"3","C""1302","儿童龋齿予防保健""130200001","儿童龋齿予防保健","含4岁至学令前儿童按齿科常规检查",,"次","4","5","5",,"3","C""1303","家庭巡诊""130300001","家庭巡诊","含了解服务对象健康状况、指导疾病治疗和康复、进行健康咨询","交通费","次","9","9","10",,"3","C""1304","围产保健访视""130400001","围产保健访视","含出生至满月访视,对围产期保健进行指导,如母乳喂养、产后保健等","交通费","次","9","9","10",,"3","C""1305","传染病访视""130500001","传染病访视","指导家庭预防和疾病治疗、恢复","交通费","次","9","9","10",,"3","C""1306","家庭病床""130600001","家庭病床建床费","含建立病历和病人全面检查",,"次","4","5","5",,"3","C""130600002","家庭病床巡诊","含定期查房和病情记录","交通费","次","9","9","10",,"3","C""1307","出诊费","包括急救出诊",,"次",,,,,,"130700001","副主任医师及以上","",,"次","13","14","15",,"3","C""130700002","主治医师及以下","",,"次","9","9","10",,"3","C""1308","建立健康档案""130800001","建立健康档案","",,"次","3","4","4",,"3","C""1309","疾病健康教育或咨询""130900001","健康咨询","指个体健康咨询",,"次","4","5","5",,"3","C""130900002","疾病健康教育","指群体健康教育",,"人次","2","2","2",,"3","C""14","其他医疗服务项目""140100001","尸体料理","指尸体常规清洁处理及包裹,不含专业性尸体整容",,"次","43","45","50","特殊传染病人尸体料理加收50","3","C""140100002","专业性尸体整容","伤残尸体整容",,"次","60","63","70",,"3","C""140100003","尸体存放","",,"日","26","27","30",,"3","C""140100004","离体残肢处理","包括死婴处理",,"次","26","27","30",,"3","C""二、医技诊疗类""本类说明:"1.
医技诊疗类包括医学影像、超声检查、核医学、放射治疗、检验、血型与配血、病理检查,7个二级分类,总分类码为2,二级分类码为21—27.
本类项目数共计1152项.

"2.
使用放射免疫学方法的各种检验项目不统一列在核医学类下,请在检验类查找.

"3.
"核医学内照射治疗类"(分类码2306)项目均为开放性核素治疗.
封闭性核素治疗项目列入"放射治疗"类之"后装治疗"类中(分类码2404)"4.
肿瘤的非放射性物理治疗项目(如射频热疗、高强度超声聚焦治疗等)列入"放射治疗"类中(分类码2407)"5.
肿瘤细胞的化疗药物敏感实验项目列于"临床微生物学检查"类之"药物敏感试验"类中(分类码250502)"6.
组织器官移植所需的各项检验(HLA检查等)列入"血型与配血"类中,项目编码为260000023—260000026.

"7.
检验类项目均以检查目的立项.
因许多检验项目可用成本差异悬殊的多种技术方法实现,本规范将成本差异悬殊的技术方法分档列在检验类项目的说明栏目中,并按所列不同,方法分别定价.

"8.
因教学、科研、操作失误以及仪器性能差错等原因,需要重新检验、检查的项目,不得再向患者收费.

"9.
不论以任何形式取检验、检查等结果,均不得收取费用.
"21","(一)医学影像""2101","1.
X线检查""210101","X线透视检查"使用影像增强器或电视屏加收5元追加摄片另计价.
",,"210101001","普通透视","包括胸、腹、盆腔、四肢等",,"每个部位","3","4","5",,"1","B""210101002","食管钡餐透视","含胃异物或心脏透视检查,含造影剂",,"次","10","13","15",,"1","B""210101003","床旁透视与术中透视","包括透视下定位",,"半小时","28","36","40","不足半小时按半小时计.
","1","B""210101004","C型臂术中透视","包括透视下定位",,"半小时","105","135","150","不足半小时按半小时计.
","1","B""210102","X线摄影","含曝光、冲洗、胶片等",,,,,,"床旁摄片加收不超过30元.
",,"210102008","牙片","",,"张","7","9","10",,"1","B""210102009","咬合片","",,"张","10","13","15",,"1","B""210102010","曲面体层摄影(颌全景摄影)张","42","54","60",,"1","B""210102011","头颅定位测量摄影","",,"张","42","54","60",,"1","B""210102012","眼球异物定位摄影","不含眼科放置定位器操作",,"张","21","27","30",,"1","B""210102013","乳腺钼靶摄片8*10吋","",,"张","14","18","20",,"1","B""210102014","乳腺钼靶摄片18*24吋","",,"张","21","27","30",,"1","B""210102015","数字化摄影(CR)","含胶片、数据采集、存贮、图象显示",,"曝光次数","28","36","40",,"1","B""210102015a","数字化摄影(DR)","含胶片、数据采集、存贮、图象显示",,"曝光次数","42","54","60",,"1","B""210102016","计算机X线摄影ComputedRadiography,CR)","含胶片、图象增强、数据采集、存贮、图项显示",,"曝光次数",,,"",,"3","B""210102017","非血管介入临床操作数字减影(DSA)引导","","手术治疗","次","560","720","800",,"2","A""210102018","X线诊断","各种常规X线检查的读片,报告书写和报告审核",,"每个部位","14","18","20","同一检查部位不同方位摄片只能收取一次","1","C""210103","X线造影","含临床操作和造影剂过敏试验、胶片、一次性插管","造影剂",,,,,"使用数字化X线机加收50%",,"210103001","气脑造影","",,"次","56","72","80",,"1","B""210103003","脑室碘水造影","",,"次","42","54","60",,"1","B""210103004","脊髓(椎管)造影","",,"次","42","54","60",,"1","B""210103005","椎间盘造影","",,"次","42","54","60",,"1","B""210103006","泪道造影","",,"单侧","35","45","50",,"1","B""210103007","副鼻窦造影","",,"单侧","35","45","50",,"1","B""210103008","颞下颌关节造影","",,"单侧","28","36","40",,"1","B""210103009","支气管造影","",,"单侧","56","72","80",,"1","B""210103010","乳腺导管造影","",,"单侧","49","63","70",,"1","B""210103011","唾液腺造影","",,"单侧","35","45","50",,"1","B""210103012","下咽造影","",,"次","35","45","50","鼻咽造影参照执行","1","B""210103013","食管造影","",,"次","35","45","50",,"1","B""210103014","上消化道造影","含食管、胃、十二指肠造影",,"次","42","54","60",,"1","B""210103015","胃肠排空试验","指钡餐透视法",,"次","35","45","50",,"1","B""210103016","小肠插管造影","",,"次","56","72","80",,"1","B""210103017","口服法小肠造影","含各组小肠及回盲部造影",,"次","42","54","60",,"1","B""210103018","钡灌肠大肠造影","含气钡双重造影",,"次","56","72","80",,"1","B""210103019","腹膜后充气造影","",,"次","70","90","100",,"1","B""210103020","口服法胆道造影","",,"次","35","45","50",,"1","B""210103021","静脉胆道造影","",,"次","56","72","80",,"1","B""210103022","经内窥镜逆行胰胆管造影(ERCP)次","210","270","300",,"2","B""210103023","经皮经肝胆道造影(PTC)次","56","72","80",,"1","B""210103024","T管造影","",,"次","56","72","80",,"1","B""210103025","静脉泌尿系造影","",,"次","49","63","70",,"1","B""210103026","逆行泌尿系造影","",,"次","35","45","50",,"1","B""210103027","肾盂穿刺造影","",,"单侧","49","63","70",,"1","B""210103028","膀胱造影","",,"次","35","45","50",,"1","B""210103029","阴茎海绵体造影","",,"次","35","45","50",,"1","B""210103030","输精管造影","",,"单侧","35","45","50",,"1","B""210103031","子宫造影","",,"次","42","54","60",,"1","B""210103032","子宫输卵管碘油造影","",,"次","56","72","80",,"1","B""210103033","四肢淋巴管造影","",,"单肢","56","72","80",,"1","B""210103034","窦道及瘘管造影","",,"次","49","63","70",,"1","B""210103035","四肢关节造影","",,"每个关节","56","72","80",,"1","B""210103036","四肢血管造影","",,"单肢",,,"",,"3","B""210103037","X线造影诊断","各种X线造影检查的造影透视操作读片,报告书写和报告审核",,"每个计价单位","28","36","40","同一计价单位检查涉及多个部位只能收取一次","1","C""2102","2.
磁共振扫描(MRI)","含胶片、扫描、冲洗、数据存储介质、护理操作","造影剂、麻醉及其药品",,,,,"1.
计价部位分颅脑,眼眶,垂体,中耳,颈部,胸部,心脏,上腹,颈椎,胸椎,腰椎,双髋关节,膝关节,其他;2.
计价场强:以场强1T为基价,经同级医保、卫生健康主管部门核实,不足1T的按65%收费,超过1T的加收20%,大于等于3T加收40%;3.
经同级医保、卫生健康行政主管部门核准后收费.
二手磁共振机,其收费标准按不超过50%收费.
",,"210200001","磁共振平扫","",,"每部位","245","315","351","平扫后马上做增强扫描的,按增强扫描50%收","2","B""210200002","磁共振增强扫描","",,"每部位","277","356","396","使用高压注射器增强扫描、可加收双筒高压注射剂针筒费用140元.
","2","B""210200003","功能成象","",,"每部位","302","388","432","对需要使用高压注射器增强扫描,可加收双筒高压注射剂针筒费用140元.
","2","B""210200004","磁共振心脏功能检查","",,"每部位","302","388","432","对需要使用高压注射器增强扫描,可加收双筒高压注射剂针筒费用140元.
","2","B""210200005","磁共振血管成象(MRA)每部位","277","356","396","增强MRA可加收双筒高压注射剂针费用140元.
","2","B""210200006","磁共振水成象(MRCP,MRM,MRU)每部位","277","356","396",,"2","B""210200007","磁共振波谱分析(MRS)每测定区域","302","388","432",,"2","B""210200008","磁共振波谱成象(MRSI)每部位","352","453","504",,"2","B""210200009","临床操作的磁共振引导","","扫描费","每半小时","302","388","432","不足半小时按半小时收费","2","B""210200010","MRI诊断","各种MRI平扫,增强以及相关后处理的读片、报告书写和报告审核",,"每部位","28","36","40","同一检查部位的不同扫描顺序(包括平扫、增强及后处理)只能收取一次","1","C""2103","3.
X线计算机体层(CT)扫描","含胶片、扫描、冲洗、数据存储介质","造影剂、麻醉及其药品",,,,,"1.
计价部位分颅脑,眼眶,视神经管,鞍区,副鼻窦,鼻骨,颈部,胸部,心脏,上腹,下腹,盆腔,椎体(每三个椎体),双髋关节,膝关节,肢体,其他.
2.
使用心电或呼吸设备加收20元;3.
经同级价格、卫生行政主管部门核准后收费,二手机按50%收费.
",,"210300001","X线计算机体层(CT)平扫","",,"每部位",,,,"相同扫描参数做两个部位以上的,第二个部位起减半收费.
",,"210300001a","普通CT平扫","",,"每部位","31","40","45",,"1","B""210300001b","螺旋CT平扫","",,"每部位","75","97","108",,"1","B""210300001c","单次多层CT平扫","",,"每部位","126","162","180","大于等于16排加收15%","1","B""210300002","X线计算机体层(CT)增强扫描","",,"每部位",,,,"1.
相同扫描参数做两个部位以上的,第二个部位起减半收费;2.
平扫后马上做增强扫描的,按增强扫描50%收;3.
多期增强扫描第二期起减半收费.
4.
使用高压注射器增强时.
可加收单筒高压注射剂针筒费用70元.
",,"210300002a","普通CT增强","",,"每部位","63","81","90",,"1","B""210300002b","螺旋CT增强","",,"每部位","100","129","144",,"1","B""210300002c","单次多层CT增强","",,"每部位","138","178","198","大于等于16排加收15%","1","B""210300003","脑池X线计算机体层(CT)含气造影","含临床操作",,"每部位","63","81","90",,"1","B""210300004","X线计算机体层(CT)图像后处理","指用于血管、胆囊、CTVE、骨三维成象、MPR等",,"每部位","201","259","288","仅限于螺旋CT机以上使用","2","B""210300005","临床操作的CT引导","",,"半小时","126","162","180","不足半小时按半小时收费","1","B""210300006a","CT心脏冠脉成像",,,"次","283","364","405","使用128层CT扫描加收50%.
可另外加收双筒高压注射剂针筒费用140元.
","2","B""210300006b","CT灌注扫描",,,"次","252","324","360","使用128层CT扫描加收50%;可加收双筒高压注射剂针筒费用140元.
","2","B""210300006c","CTA",,,"次","252","324","360","使用128层CT扫描加收50%;可加收双筒高压注射剂针筒费用140元.
","2","B""210300007","CT诊断","各种CT扫描、增强以及相关后处理的读片、报告书写和报告审核",,"每个部位","28","36","40","同一个检查部位的不同扫描顺序(包括平扫、增强及后处理)只能收取一次","1","C""2104","医学影像学会诊""210400001","院外影像学会诊","医疗机构根据患者的病情需要或患者要求,邀请其他医疗机构影像专家现场协助完善对X线片、MRI片、CT片的诊断.
",,"次","35","45","50","适用于X线、CT以及MRI片检查,指导副主任医师以上专家会诊.
","1","C""210400002","影像远程诊断","医疗机构将影像学检查的所有病例通过通讯、计算机及网络技术发送给其他医疗机构,由受邀方影像学专家进行影像诊断并出具诊断报告.
",,,,,"","根据X线、CT以及MRI检查类型不同,按相应类别的诊断费标准执行.
邀请方医院付费,影像远程诊断费用与常规诊断费用不得重复向患者收取","3","C""210400003","影像远程会诊","医疗机构根据患者的病情需要或患者要求,将影像学检查的部分疑难复杂病例运用通讯、计算机及网络技术发给其他医疗机构,由受邀方的影像专家进行的影像诊断并出具会诊报告.
",,,"35","45","50","适用于X线、CT以及MRI检查类型,根据"谁主张谁支付"的原则决定支付方,患者主张由患者支付,医院主张由医院支付","3","C""210400004","同步远程交互式影像会诊","医疗机构根据患者的病情需要或患者要求,提供多次影像学检查数据以及相关临床资料,通过远程视频系统与受邀方影像专家交互式沟通,进行综合影像会诊服务",,,"140","180","200","以半小时为一次,不足半小时按半小时收费","2","C""2105","其他""210500001","红外热象检查","包括远红外热断层检查",,"每个部位","21","27","30",,"1","B""210500002","红外线乳腺检查","",,"单侧","28","36","40",,"1","B""210500003","计算机断层扫描激光乳腺成像","",,"单侧",,,"","双侧加收","3","B""210500004","乳腺电子触诊检查","乳腺疾病早期诊断",,"次","56","72","80",,"2","B""210500005","补充打印胶片","因患者原因丢失或损毁胶片,要求重新打印胶片",,"张",,,"","按胶片成本收取""22","(二)超声检查"医用超声耦合剂自2017年3月20日不得另外收取",,"2201","A超","","图象记录",,,,,,,"220100001","A型超声检查",,,"每个部位","4","5","5",,"1","B""220100002","临床操作的A超引导","",,"半小时/占机时间",,,"",,"3","B""220100003","眼科A超","",,"单侧","4","5","5",,"1","B""2202","B超","","图象记录、造影剂;"220201","各部位一般B超检查""220201001","单脏器B超检查","",,"每脏器","15","16","18","每增加一个脏器加收5元","1","B""220201002","B超常规检查","",,"每部位(系统、科)","31","32","36","计价部位分为:1.
胸部(含肺、胸腔、纵隔)、2.
腹部(含肝、胆、胰、脾、双肾)、3.
胃肠道、4.
泌尿系(含双肾、输尿管、膀胱、前列腺)、5.
妇科(含子宫、、膀胱及周围组织)、6.
产科(含胎儿及宫腔,双胎及以上均按单胎收取费用).
同时检查两个部位以上的,第二部位起减半收费.
","1","B""220201003","胸、腹水B超检查及穿刺定位","不含活检",,"次","31","32","36",,"1","B""220201004","胃肠充盈造影B超检查","含胃、小肠及其附属结构",,"次","38","41","45",,"1","B""220201005","大肠灌肠造影B超检查","含大肠及其附属结构",,"次","38","41","45",,"1","B""220201006","输卵管超声造影","含临床操作,含宫腔、双输卵管","一次性导管","次","38","41","45",,"1","B""220201007","浅表组织器官B超检查","",,"每个部位","31","32","36","1、每增加一个部位,加收5元.
2、计价部位分为:(1)双眼及附属器;(2)双涎腺及颈部淋巴结;(3)甲状腺及颈部淋巴结;(4)乳腺及其引流区淋巴结;(5)四肢软组织;(6)阴囊、双侧睾丸、附睾;(7)小儿颅腔;(8)膝关节;(9)体表肿物","1","B""220201008","床旁B超检查","",,"半小时","在相应B超检查收费基础上,加收18元","在相应B超检查收费基础上,加收18元","在相应B超检查收费基础上,加收18元","术中B超检查参照执行","1","B""220201009","临床操作的B超引导","",,"半小时","在相应B超检查收费基础上,加收27元","在相应B超检查收费基础上,加收27元","在相应B超检查收费基础上,加收27元",,"1","B""220202","腔内B超检查""220202001","经阴道B超检查","含子宫及双",,"次","44","56","63","辅助生殖患者减半收费","1","B""220202002","经直肠B超检查","含前列腺、精囊、直肠、尿道",,"次","53","56","63",,"1","B""220202003","临床操作的腔内B超引导","",,"次","在相应B超检查收费基础上,加收27元","在相应B超检查收费基础上,加收27元","在相应B超检查收费基础上,加收27元",,"1","B""220203","B超脏器功能评估""220203001","胃充盈及排空功能检查","指造影法,含造影剂",,"次","15","16","18",,"1","B""220203002","小肠充盈及排空功能检查","指造影法,含造影剂",,"次","15","16","18",,"1","B""220203003","胆囊和胆道收缩功能检查","指造影法,含造影剂",,"次","15","16","18",,"1","B""220203004","胎儿生物物理相评分","含呼吸运动、肌张力、胎动、羊水量、无刺激试验",,"次","20","21","23",,"1","B""220203005","膀胱残余尿量测定","",,"次","15","16","18",,"1","B""2203","彩色多普勒超声检查","","图象记录、造影剂",,,,,,,"220301","普通彩色多普勒超声检查""220301001","彩色多普勒超声常规检查","包括胸部(含肺、胸腔、纵隔)、腹部(含肝、胆、胰、脾、双肾)、胃肠道、泌尿系(含双肾、输尿管、膀胱、前列腺)、妇科(含子宫、、膀胱及周围组织)、产科(含胎儿及宫腔,双胎及以上均按单胎收取费用)、男性生殖系统(含睾丸、附睾、输精管、精索、前列腺)",,"部位","77","81","90","膜腹后肿物加收;同时检查两个部位以上的,第二个部位起减半收费.
","1","B""220301002","浅表器官彩色多普勒超声检查","",,"每部位","77","81","90","计价部位分为:1.
双眼及附属器、2.
双涎腺及颈部淋巴结、3.
甲状腺及颈部淋巴结、4.
乳腺及其引流区淋巴结、5.
上肢或下肢软组织、6.
阴囊、双侧睾丸、附睾、7.
颅腔、8.
体表包块、9.
关节、10.
其他、11.
同时检查两个部位以上的,第二个部位起减半收费.
","1","B""220302","彩色多普勒超声特殊检查""220302001","颅内段血管彩色多普勒超声","",,"次","115","122","135",,"1","B""220302002","球后全部血管彩色多普勒超声","",,"次","115","122","135",,"1","B""220302003","颈部血管彩色多普勒超声","颈动、颈静脉、椎动脉分别参照执行",,"次","115","122","135",,"1","B""220302004","门静脉系彩色多普勒超声","",,"次","92","97","108",,"1","B""220302005","腹部大血管彩色多普勒超声","",,"次","92","97","108",,"1","B""220302006","四肢血管彩色多普勒超声","",,"单肢","92","97","108","增加一个肢体加收60元","1","B""220302007","双肾及肾血管彩色多普勒超声","",,"次","92","97","108",,"1","B""220302008","左肾静脉"胡桃夹"综合征检查","",,"次","92","97","108",,"1","B""220302009","药物血管功能试验","指阳痿测定等","药物","次","92","97","108",,"1","B""220302010","脏器声学造影","包括肿瘤声学造影","造影剂","次","114","121","135",,"1","B""220302011","腔内彩色多普勒超声检查","经阴道、经直肠分别参照执行",,"次","94","121","135","辅助生殖患者减半收费","1","B""220302012","临床操作的彩色多普勒超声引导","",,"半小时","在相应B超检查收费基础上,加收27元","在相应B超检查收费基础上,加收27元","在相应B超检查收费基础上,加收27元",,"1","B""2204","多普勒检查","指单纯伪彩频谱多普勒检查,不具备二维图象和真彩色多普勒功能","图象记录、造影剂",,,,,,,"220400001","颅内多普勒血流图(TCD)次","92","97","108",,"1","B""220400002","四肢多普勒血流图","",,"单肢","38","41","45",,"1","B""220400003","多普勒小儿血压检测","",,"次","12","13","14",,"1","B""EDDL9001","多普勒踝臂指数测定","采用标准仰卧位,使用多普勒超声探头辅助测量上臂和踝部(胫后动脉或足背动脉)的收缩压,分别使用踝部和上臂的收缩压最高值,踝臂指数的计算为足背动脉或胫后动脉收缩压的最高值与两上臂收缩压的最高值之比.
",,"次","34","36","40",,"1","B""2205","三维超声检查""220500001","脏器灰阶立体成象","",,"每个脏器","77","81","90",,"1","B""220500002","能量图血流立体成象","",,"每个部位","77","81","90",,"1","B""2206","心脏超声检查","","图象记录、造影剂",,,,,,,"220600001","普通心脏M型超声检查","指黑白超声仪检查,含常规基本波群",,"次","15","16","18",,"1","B""220600002","普通二维超声心动图","指黑白超声仪检查,含心房、心室、心瓣膜、大动脉等超声检查",,"次","38","41","45","含M型、二维","1","B""220600003","床旁超声心动图","指黑白超声仪检查,含心房、心室、心瓣膜、大动脉等超声检查",,"次","在相应B超检查收费基础上,加收27元","在相应B超检查收费基础上,加收27元","在相应B超检查收费基础上,加收27元",,"1","B""220600004","心脏彩色多普勒超声","含各心腔及大血管血流显像",,"次","115","122","135","胎儿检查酌情加收100元,三维加收90元","1","B""220600005","常规经食管超声心动图","含房、室、心瓣膜、大动脉结构及血流显象",,"次","168","178","198",,"1","B""220600006","术中经食管超声心动图","含术前检查或术后疗效观察",,"半小时","92","97","108",,"1","B""220600007","介入治疗的超声心动图监视","",,"半小时","138","146","162",,"1","B""220600008","右心声学造影","指普通二维心脏超声检查,含心腔充盈状态、分流方向、分流量与返流量等检查",,"次","61","65","72",,"1","B""220600009","负荷超声心动图","指普通心脏超声检查,包括药物注射或运动试验器械;不含心电与血压监测","药物","次","92","97","108",,"1","B""220600010","左心功能测定","指普通心脏超声检查或彩色多普勒超声检查;含心室舒张容量(EDV)、射血分数(EF)、短轴缩短率(FS)、每搏输出量(SV)、每分输出量(CO)等",,"次","61","65","72","单项测定每项10元","1","B""2207","其他心脏超声诊疗技术""220700001","计算机三维重建技术(3DE)单幅图片","46","49","54",,"1","B""220700002","声学定量(AQ)次","31","32","36",,"1","B""220700003","彩色室壁动力(CK)次","31","32","36",,"1","B""220700004","组织多普勒显象(TDI)次","31","32","36",,"1","B""220700005","心内膜自动边缘检测","",,"次","31","32","36",,"1","B""220700006","室壁运动分析","",,"次","31","32","36",,"1","B""220700007","心肌灌注超声检测","",,"次","77","81","90",,"1","B""2208","图象记录附加收费项目"患者不需要照片,不收费.
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不含必要时使用的心电监护和抢救.
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含各种图像记录过程及记录介质,核素药物制备等和注射、临床穿刺插管和介入性操作,图像融合;不含必要时使用的心电监护和抢救.

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未获得国家卫生健康委配置规划许可的,不得收费.
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定标器检测换能器输出能量,制备超声偶和介质,在麻醉或镇静镇痛下,安放封水装置,皮肤脱气,固定病人,成像系统定位病灶,计算机辅助治疗计划系统(TPS)获得治疗剂量分布和给予方式.
照射中,当B超显示靶区灰度增加到一定值或MRI温度图显示≥60°,停止照射.
消融后立刻根据超声灰度增加区域或增强MRI的无灌注区估计消融体积.
四周内可根据增强MRI或CT、放射性核素显像或超声造影确定消融的体积.
图文报告.
含超声监控.
不含术中监护、MRI监控、超声引导、造影学引导、治疗前和治疗后立即的MRI增强扫描.
",,"次","8160","8640","9600","肿瘤直径小于或等于5厘米为一个计价单位,超过范围加收2000元.
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样本类型:血液.
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样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次","50","50","50",,"1","B""250403013","丙型肝炎RNA测定","指PCR技术检查",,"项","60","60","60","全自动免疫定量分析加收100%","1","B""250403014(Anti-HCV)","丙型肝炎抗体测定","指酶标法",,"项","25","25","25","化学发光法90元","1","B""250403015(Anti-HDV)","丁型肝炎抗体测定",,,"项","25","25","25",,"1","B""250403016(HDVAg)","丁型肝炎抗原测定",,,"项","25","25","25",,"1","B""250403017(Anti-HEV)","戊型肝炎抗体测定","指各种免疫学方法,IgG、IgM分别参照执行",,"项","25","25","25","每项测定计费一次,荧光探针法加收150%","1","B""250403018(Anti-HGVIgG)","庚型肝炎IgG抗体测定",,,,"25","25","25","荧光探针法加收150%","1","B""250403019","人免疫缺陷病毒抗体测定(Anti-HIV)","指单扩法",,"项","25","25","25","各种免疫学方法加收100%;印迹法加收200%","1","B""250403020","弓形体抗体测定","IgG、IgM每项测定计费一次",,"项","18","18","18","金标法40元,进口试剂加收20%","1","B""250403021","风疹病毒抗体测定","IgG、IgM每项测定计费一次",,"项","18","18","18","金标法40元,进口试剂加收20%","1","B""250403022","巨细胞病毒抗体测定","IgG、IgM每项测定计费一次",,"项","18","18","18","金标法40元,进口试剂加收20%","1","B""250403023","单纯疱疹病毒抗体测定","IgG、IgM每项测定计费一次",,"项","18","18","18","金标法40元,进口试剂加收20%","1","B""250403024","单纯疱疹病毒抗体测定","指各种免疫学方法.
Ⅰ型、Ⅱ型分别参照执行",,"项","20","20","20","每项测定计费一次;荧光探针法加收150%","1","B""250403025","EB病毒抗体测定","包括IgA、IgG、IgM、EBV-CA、EA、NA",,"项","18","18","18","每项测定计费一次;进口试剂加20%","1","B""250403026","呼吸道合胞病毒抗体测定","",,"项","18","18","18","进口试剂加20%","1","B""250403027","呼吸道合胞病毒抗原测定","",,"项","20","20","20",,"1","B""250403028","副流感病毒抗体测定","",,"项","18","18","18","进口试剂加20%","1","B""250403029","天疱疮抗体测定","",,"项","18","18","18","进口试剂加20%","1","B""250403030","水痘带状疱疹病毒抗体测定","",,"项","18","18","18","进口试剂加20%","1","B""250403031","腺病毒抗体测定","",,"项","18","18","18","进口试剂加20%","1","B""250403032","人轮状病毒抗原测定","",,"项","18","18","18","进口试剂加20%","1","B""250403033","流行性出血热病毒抗体测定","IgG、IgM分别参照执行",,"项","18","18","18","进口试剂加20%","1","B""250403034","狂犬病毒抗体测定","",,"项","18","18","18","进口试剂加20%","1","B""250403035","病毒血清学试验","指各种免疫学方法.
脊髓灰质炎病毒、柯萨奇病毒、流行性乙型脑炎病毒、流行性腮腺炎病毒、麻疹病毒分别参照执行",,"项","18","18","18","进口试剂加20%","1","B""250403036","嗜异性凝集试验","",,"项","10","10","10",,"1","B""250403037","冷凝集试验","",,"项","10","10","10",,"1","B""250403038","肥达氏反应","",,"项","10","10","10",,"1","B""250403039","外斐氏反应","",,"项","10","10","10",,"1","B""250403040","斑疹伤寒抗体测定","",,"项","","","",,"3","B""250403041","布氏杆菌凝集试验","",,"项","15","15","15",,"1","B""250403042","细菌抗体测定","指各种免疫学方法.
结核杆菌、破伤风杆菌、百日咳杆菌、军团菌、幽门螺杆菌分别参照执行",,"项","25","25","25","每项测定计费一次;荧光探针法加收150%","1","B""250403043","抗链球菌溶血素O测定(ASO)","指凝聚法",,"项","10","10","10","免疫法加收100%","1","B""250403044","抗链球菌透明质酸酶试验","",,"项","","","",,"3","B""250403045","鼠疫血清学试验","",,"项","","","",,"3","B""250403046","芽生菌血清学试验","",,"项","","","",,"3","B""250403047","耶尔森氏菌血清学试验","",,"项","","","",,"3","B""250403048","组织胞浆菌血清学试验","",,"项","","","",,"3","B""250403049","野兔热血清学试验","",,"项","","","",,"3","B""250403050","肺炎支原体血清学试验","",,"项","20","20","20",,"1","B""250403051","沙眼衣原体肺炎血清学试验","",,"项","20","20","20",,"1","B""250403052","立克次体血清学试验","",,"项","80","80","80",,"1","B""250403053","梅毒密螺旋体抗体测定","",,"项","20","20","20",,"1","B""250403054","快速血浆反应素试验(RPR)项","15","15","15",,"1","B""250403055","不加热血清反应素试验","",,"项","","","",,"3","B""250403056","钩端螺旋体病血清学试验","",,"项","","","",,"3","B""250403057","莱姆氏螺旋体抗体测定","",,"项","","","",,"3","B""250403058","念珠菌病血清学试验","",,"项","","","",,"3","B""250403059","曲霉菌血清学试验","",,"项","","","",,"3","B""250403060","新型隐球菌荚膜抗原测定","",,"项","","","",,"3","B""250403061","孢子丝菌血清学试验","",,"项","","","",,"3","B""250403062","球孢子菌血清学试验","",,"项","","","",,"3","B""250403063","猪囊尾蚴抗原和抗体测定","",,"项","","","",,"3","B""250403064","肺吸虫抗原和抗体测定","",,"项","","","",,"3","B""250403065","各类病原体DNA测定","",,"项","","","","每个病原体为一个计价单位","3","B""CLAE8000","病原体核糖核酸扩增定性检测","样本类型:各种标本.
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",,"项","150","150","150","每个病原体为一个计价单位","1","B""250403066","HC2HPV、人乳头瘤病毒核酸检测","高危型HPV检测",,"次","340","340","340",,"2","B""250403067","埃可病毒抗体检测","",,"项","","","",,"3","B""250403068","尿液人类免疫缺陷病毒I型(HIV-I)抗体测定包括病毒RNA定量测定",,,"项","","","",,"3","B""250403069","严重急性呼吸综合征冠状病毒抗体测定包括IgG、IgM","",,"项","","","",,"3","B""250403070","单纯疱疹病毒抗原测定","",,"项","","","",,"3","B""250403071","丙型肝炎病毒(HCV)基因分型","",,"项","","","",,"3","B""250403072","乙型肝炎病毒(HBV)基因分型","",,"项","140","140","140",,"1","B""250403073","庚型肝炎病毒核糖核酸定性(HGV-RNA)",,,"项","","","",,"3","B""250403074","TT病毒抗体检测","",,"项","","","",,"3","B""250403075","鹦鹉热衣原体检测","",,"项","","","",,"3","B""250403076","肺炎衣原体抗体检测","",,"项","","","",,"3","B""250403077","白三烯B4水平测定","包括白三烯E4",,"项","","","",,"3","B""250403078","幽门螺杆菌快速检测","",,"项","","","",,"3","B""250403079","13碳尿素呼气试验","",,"项","130","130","130",,"1","B""250403080","幽门螺杆菌粪便抗原检查","",,"项","","","",,"3","B""250403081","粪便空肠弯曲菌抗原测定","",,"项","","","",,"3","B""CGLB1000","甲型流感病毒抗原检测","样本类型:鼻咽拭子样本、咽拭子样本.
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",,"次","40","40","40",,"1","B""CGBV5000","流感病毒核糖核酸检测","包括甲型流感、乙型流感、副流感、禽流感等流感病毒核糖核酸检测.
样本类型:鼻咽拭子样本、咽拭子样本.
样本采集、签收、处理(据标本类型不同进行相应的前处理),提取模板RNA,与阴、阳性对照及质控品同时扩增,分析扩增产物,判断并审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次","100","100","100",,"1","B""CGLY1000","丙型肝炎核心抗原测定","样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次","70","70","70",,"1","B""250404","肿瘤相关抗原测定""250404001","癌胚抗原测定(CEA)","指各种免疫学方法",,"项","15","15","15","1、化学发光法、时间分辨法加收50%;2、进口设备和试剂加收100%","1","B""250404002","甲胎蛋白测定(AFP)","指各种免疫学方法",,"项","15","15","15","1、化学发光法、时间分辨法加收50%;2、进口设备和试剂加收100%","1","B""250404003","副蛋白免疫学检查","",,"项","","","",,"3","B""250404004","碱性胎儿蛋白测定(BFP)项","20","20","20",,"1","B""250404005","总前列腺特异性抗原测定(TPSA)","指各种免疫学方法",,"项","30","30","30","化学发光法加收100%","1","B""250404006","游离前列腺特异性抗原测定(FPSA)","指各种免疫学方法",,"项","30","30","30","化学发光法加收100%","1","B""250404007","复合前列腺特异性抗原(CPSA)测定","",,"项","30","30","30",,"1","B""250404008","前列腺酸性磷酸酶测定(PAP)",,,"项","30","30","30","化学发光法加收100%","1","B""250404009","神经元特异性烯醇化酶测定(NSE)","指各种免疫学方法",,"项","30","30","30","化学发光法加收100%","1","B""250404010","细胞角蛋白19片段测定(CYFRA21-1)","指各种免疫学方法",,"项","30","30","30","化学发光法加收100%","1","B""250404011","糖类抗原测定","指各种免疫学方法.
CA-27、CA-29、CA-50、CA-125、CA15-3、CA130、CA19-9、CA24-2、CA72-4等分别参照执行",,"每种抗原","40","40","40","每项测定计费一次;化学发光法加收100%","1","B""250404012","鳞状细胞癌相关抗原测定(SCC)","指各种免疫学方法",,"项","30","30","30","化学发光法加收100%","1","B""250404013","肿瘤坏死因子测定(TNF)","指各种免疫学方法",,"项","30","30","30","化学发光法加收100%","1","B""250404014","肿瘤相关抗原测定","MG-Ags、TA-4分别参照执行",,"项","30","30","30","每项测定计费一次","1","B""250404015","铁蛋白测定","包括各类标本",,"项","40","40","40",,"1","B""250404016","显形胶质蛋白(AP)测定","",,"项","","","",,"3","B""250404017","恶性肿瘤特异生长因子测定","",,"项","50","50","50",,"1","B""CGSD1000","肿瘤相关物质测定","指对小分子糖蛋白类、糖脂类及羟脯氨酸类物质的测定.
样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次","60","60","60","包括胃蛋白酶原1、胃蛋白酶原2测定","1","B""CGSE1000","人附睾分泌蛋白(HE4)测定","样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次","130","130","130",,"1","B""CGSF1000","高尔基体蛋白73(GP73)测定","样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
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样本采集,样本签收,无菌体液培养,细菌及真菌鉴定.
审核结果,录入实验室信息系统或人工登记,发送报告;实验室消毒,按规定处理废弃物;接受临床相关咨询.
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制配菌悬液,混匀后加入配套药物瓶,孵育,自动判读生长结果.
不含培养.
审核结果,录入实验室信息系统或人工登记,发送报告;实验室消毒,按规定处理废弃物;接受临床相关咨询.
",,"项","60","60","60","每一种抗菌药物为一个计价单位","1","B""250502005","厌氧菌药敏试验","",,"项","20","20","20",,"1","B""250502006","血清杀菌水平测定","",,"项","50","50","50",,"1","B""250502007","联合药物敏感试验","",,"项","50","50","50",,"1","B""250502008","抗生素最小抑/杀菌浓度测定","",,"项","","","",,"3","B""250502009","体液抗生素浓度测定","包括氨基糖甙类药物等",,"项","","","",,"3","B""250502010","肿瘤细胞化疗药物敏感实验","",,"组","","","",,"3","B""250503","其它检验试验""250503001","肠毒素检测","",,"项","","","",,"3","B""250503002","细菌毒素测定","",,"项","","","",,"3","B""250503003","病原体乳胶凝集试验快速检测","",,"项","","","",,"3","B""CJCR9000(250303003)","B族链球菌检测","样本类型:分离株.
取标本或新鲜菌落分别与试剂盒内试剂作用,观察结果,人工判读结果.
审核结果,录入实验室信息系统或人工登记,发送报告;实验室消毒,按规定处理废弃物;接受临床相关咨询.
",,"次","140","140","140",,"1","B""250503004","细菌分型","各种细菌分别参照执行",,"项","20","20","20",,"1","B""250503005","内毒素鲎定性试验","",,"项","20","20","20",,"1","B""250503006","内毒素鲎定量测定","",,"项","30","30","30","免疫比浊法125","1","B""250503007","0—129试验","",,"项","20","20","20",,"1","B""250503008","β—内酰胺酶试验","",,"项","20","20","20",,"1","B""250503009","超广谱β-内酰胺酶试验","",,"项","20","20","20",,"1","B""250503010","耐万古霉素基因试验","包括基因A、B、C",,"项","","","",,"3","B""250503011","DNA探针技术查meeA基因","",,"项","","","",,"3","B""CLFE8000","化学药物用药指导的基因检测","可检测CYP2C9、CYP2C19、CYP2D6、CYP3A4基因等.
样本采集、签收、处理(据标本类型不同进行相应的前处理),提取基因组DNA,与质控品、阴阳性对照和内参同时扩增,分析扩增产物或杂交或测序等,进行基因分析,判断并审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项","320","320","320","每个位点为一个计价单位","2","B""250503012","梅毒荧光抗体FTA-ABS测定","",,"项","","","",,"3","B""2506","临床寄生虫学检查""250601","寄生虫镜检""250601001","粪寄生虫镜检","含成虫、原虫及虫卵",,"次","4","4","4",,"1","B""250601002","粪寄生虫卵集卵镜检","",,"次","5","5","5",,"1","B""250601003","粪寄生虫卵计数","",,"次","8","8","8",,"1","B""250601004","寄生虫卵孵化试验","",,"次","8","8","8",,"1","B""250601005","血液虐原虫检查","",,"项","10","10","10",,"1","B""250601006","血液微丝蚴检查","",,"项","5","5","5",,"1","B""250601007","血液回归热螺旋体检查","",,"项","5","5","5",,"1","B""250601008","血液黑热病利一集氏体检查","",,"项","10","10","10",,"1","B""250601009","血液弓形虫检查","",,"项","5","5","5",,"1","B""250602","寄生虫免疫学检查""250602001","各种寄生虫免疫学检查","",,"项","","","",,"3","B""2507","遗传疾病的分子生物学诊断""250700001","外周血细胞染色体检查","",,"项","100","100","100",,"1","B""250700002","脆性X染色体检查","",,"项","","","",,"3","B""250700003","血高分辨染色体检查","",,"项","","","",,"3","B""250700004","血姐妹染色体互换试验","",,"项","","","",,"3","B""250700005","脐血染色体检查","",,"项","","","",,"3","B""250700006","进行性肌营养不良基因分析","",,"项","","","",,"3","B""250700007","肝豆状核变性基因分析","",,"项","","","",,"3","B""250700008","血友病甲基因分析","",,"项","","","",,"3","B""250700009","脆X综合症基因诊断","",,"项","","","",,"3","B""250700010","唐氏综合征筛查","",,"次","200","200","200",,"2","B""250700011","性别基因(SRY)检测","",,"项","","","",,"3","B""250700012","脱氧核糖核酸(DNA)倍体分析","",,"次","100","100","100",,"1","B""250700013","染色体分析","各种标本分别参照执行",,"项","200","200","200",,"2","B""250700014","培养细胞的染色体分析","包括各种标本,含细胞培养和染色体分析",,"项","100","100","100",,"1","B""250700015","苯丙氨酸测定(PKU)","新生儿疾病筛查(荧光法)",,"项","20","20","20",,"1","B""250700016","血苯丙酮酸定量","",,"项","","","",,"3","B""250700017","白血病融合基因分型","(含)BCR-ABL、AML1-ETO/MTG8、PML-RARα、TEL-AML1、MLL-ENL、PBX-E2A等",,"每种","280","280","280",,"2","B""250700018","Y染色体无精因子微缺失检测","多重PCR法",,"次","260","260","260","同时分析15个位点","2","B""26","(六)血型与配血""260000001","ABO红细胞定型","指血清定型(反定)",,"次","5","5","5",,"1","B""260000002","ABO血型鉴定","指正定法与反定法联合使用",,"次","10","10","10","1.
卡式法加收100%,2.
进口卡式法试剂加收260%","1","B""260000003","ABO亚型鉴定","",,"每个亚型","10","10","10",,"1","B""260000004","Rh血型鉴定","指仅鉴定RhD(o),不查其他抗原",,"次","10","10","10","1.
卡式法加收100%,2.
进口卡式法试剂加收260%","1","B""260000005","Rh血型其他抗原鉴定","含Rh血型的C、c、E、e抗原鉴定",,"每个抗原","15","15","15","微柱法加收5元","1","B""260000006","特殊血型抗原鉴定","以下特殊血型抗原鉴定:P血型、Ii血型、Lewis血型、MNSs血型、Lutheran血型、Kell血型、Duffy血型、Kidd血型、Diego血型、Auberger血型、Sid血型、Colton血型、Yt血型、Dombrock血型、Vel血型、Scianna血型、Xg血型、Gerbich血型、Wright血型、Stoltzfus血型等分别参照执行",,"每个抗原","20","20","20",,"1","B""260000007","血型单特异性抗体鉴定(不规则抗体筛查)次","40","40","40","1.
以常规鉴定的8种谱红细胞为基数,如需增加其他谱红细胞时加收20%,2.
进口卡式法试剂加收35%","1","B""260000008","血型抗体特异性鉴定(吸收试验)次","40","40","40",,"1","B""260000009","血型抗体特异性鉴定(放散试验)次","30","30","30",,"1","B""260000010","血型抗体效价测定","",,"每个抗体","20","20","20",,"1","B""260000011","盐水介质交叉配血","",,"次","5","5","5",,"1","B""260000012","特殊介质交叉配血","指用于发现不全抗体;白蛋白法、Liss法、酶处理法、抗人球蛋白法、凝集胺法等分别参照执行",,"每侧","10","10","10","1.
卡式法加收100%2.
进口卡式法试剂加收120%","1","B""260000013","疑难交叉配血","以下情况的交叉配血:ABO血型亚型不合、少见特殊血型、有血型特异性抗体者、冷球蛋白血症、自身免疫性溶血性贫血等",,"每侧","20","20","20","微柱法加收100%;按实际情况加收相应特殊血型鉴定费用5元","1","B""260000014","唾液ABH血型物质测定","",,"次","20","20","20",,"1","B""260000015","RH阴性确诊实验","",,"次","15","15","15",,"1","B""260000016","白细胞特异性和组织相关融性(HLA)抗体检测","",,"次","30","30","30",,"1","B""260000017","血小板特异性和组织相关融性(HLA)抗体检测","",,"次","30","30","30",,"1","B""260000018","红细胞系统血型抗体致新生儿溶血病检测","含ABO血型鉴定、Rh血型鉴定、直接抗人球、间接抗人球蛋白试验、放散实验.
指抗人球蛋白法",,"次","80","80","80","微注法加收100%","1","B""260000019","血小板交叉配合试验","指凝集胺法",,"次","30","30","30",,"1","B""260000020","淋巴细胞毒试验","一般试验和快速试验分别参照执行",,"次","50","50","50",,"1","B""260000021","群体反应抗体检测","",,"次","500","500","500",,"2","B""260000022","人组织相容性抗原Ⅰ类(HLA-Ⅰ)分型","包括可溶性HLA-I",,"组","200","200","200","基因配型加收100%","2","B""260000023","人组织相容性抗原Ⅱ类(HLA-Ⅱ)分型","",,"组","200","200","200",,"2","B""27","(七)病理检查""2701","尸体解剖与防腐处理""270100001","尸检病理诊断","含7岁及以上儿童及成人尸解、尸检后常规缝合处理、尸检标本的组织病理诊断、尸检废弃物处理;不含组织病理学诊断中使用的特殊病理技术、尸检后对遗体的特殊处理,如:遗体火化或掩埋;肢体离断或大面积撕裂尸体的复杂修复与整容等",,"次","880","990","1100","1、传染病人和特异性感染病尸体加收200元;2、局部解剖按全身解剖计费","2","B""270100002","儿童及胎儿尸检病理诊断","指7岁以下儿童及胎儿尸解,其余同尸检病理诊断",,"次","640","720","800",,"2","B""270100003","尸体化学防腐处理","含各种手术操作及消耗材料;废弃物处理","防腐药品","次","240-400","270-450","300-500",,"1","B""2702","细胞病理学检查与诊断","不含采集标本的临床操作、细胞病理学标本的非常规诊断技术,如:电镜检查、组织化学与免疫组化染色、图象分析技术、流式细胞术、计算机细胞筛选技术、分子病理学检查",,,,,,"以两张涂(压)片为基价,超过两张者,每张加收10元",,"270200001","体液细胞学检查与诊断","包括胸水、腹水、心包液、脑脊液、精液、各种囊肿穿刺液、唾液、龈沟液的细胞学检查与诊断",,"例","48","54","60","需塑料包埋的标本加收10元","1","B""270200002","拉网细胞学检查与诊断","指食管、胃等拉网细胞学检查与诊断",,"例","40","45","50",,"1","B""270200003","细针穿刺细胞学检查与诊断","指各种实质性脏器的细针穿刺标本的涂片(压片)检查及诊断",,"例","88","99","110","包括操作和器械","1","B""270200004","脱落细胞学检查与诊断","子宫内膜、宫颈、阴道、痰、乳腺溢液、窥镜刷片及其他脱落细胞学的各种涂片检查及诊断加口腔粘液涂片分别参照执行",,"例","40","45","50",,"1","B""270200005","细胞学计数","支气管灌洗液、脑脊液等细胞的计数;不含骨髓涂片计数分别参照执行",,"例","24","27","30",,"1","B""2703","组织病理学检查与诊断","不含采集标本的临床操作、组织病理学标本的非常规诊断技术,如:电镜检查、组织化学与免疫组化染色、图象分析技术、流式细胞术、计算机细胞筛选技术、分子病理学检查等""270300001","穿刺组织活检检查与诊断","肝、肾、乳腺、体表肿块等穿刺组织活检及诊断分别参照执行",,"例","104","117","130","以两个蜡块为基价,超过两个者,每个加收10元","1","B""270300002","内镜组织活检检查与诊断","各种内镜采集的小组织标本的病理学检查与诊断分别参照执行",,"例","104","117","130","以两个蜡块为基价,超过两个者,每个加收10元","1","B""270300003","局部切除活检检查与诊断","切除组织、咬取组织、切除肿块部分组织的活检分别参照执行",,"每个部位","104","117","130","以两个蜡块为基价,超过两个者,每个加收10元","1","B""270300004","骨髓组织活检检查与诊断","指骨髓组织标本常规染色检查",,"例","80","90","100","以两个蜡块为基价,超过两个者,每个加收10元","1","B""270300005","手术标本检查与诊断","",,"例","128","144","160","以两个蜡块为基价,超过两个者,每个加收10元;需塑料包埋的标本加收10元","1","B""270300006","截肢标本病理检查与诊断","上下肢截肢标本等分别参照执行",,"每肢、每指(趾)","104","117","130","以两个蜡块为基价,超过两个者,每个加收10元","1","B""270300007","牙齿及骨骼磨片诊断(不脱钙)例",,,"",,"3","B""270300008","牙齿及骨骼磨片诊断(脱钙)例",,,"",,"3","B""270300009","颌骨样本及牙体牙周样本","",,"例","104","117","130","以两个蜡块为基价,超过两个者,每个加收10元;不脱钙直接切片加收10元","1","B""270300010","全器官大切片与诊断","",,"例","224","252","280",,"2","B""2704","冰冻切片与快速石蜡切片检查与诊断","不含非常规的特殊染色技术",,,,,,"特异性感染标本加收30元",,"270400001","冰冻切片检查与诊断","",,"例","240","270","300","每加送一次,加收100元","2","B""270400002","快速石蜡切片检查与诊断","包括快速细胞病理诊断",,"例","192","216","240","每加送一次,加收80元","2","B""2705","特殊染色诊断技术""270500001","特殊染色及酶组织化学染色诊断","",,"每个标本,每种染色","80","90","100",,"1","B""BEBA0001(270500002)","免疫组织化学染色诊断","石蜡包埋组织于切片机切片,进行二甲苯脱蜡,系列乙醇水化,微波炉、高压锅或蛋白酶抗原修复,血清封闭,一抗反应(多克隆或单克隆),酶标记二抗,亲合物或多聚物反应,显色,判读结果.
新鲜冷冻组织,细胞涂片,组织印片参照相应方法制片.
含处理上述技术过程中所产生的废液、废物的处理.
",,"每标本/每种染色","80","90","100","全自动法加收80元.
","1","B""270500003","免疫荧光染色诊断","",,"每个标本,每种染色","64","72","80",,"1","B""2706","电镜病理诊断","均含标本制备""270600001","普通透射电镜检查与诊断","",,"每个标本","280","315","350",,"2","B""270600002","免疫电镜检查与诊断","",,"每个标本","280","315","350",,"2","B""270600003","扫描电镜检查与诊断","",,"每个标本","256","288","320",,"2","B""2707","分子病理学诊断技术""270700001","原位杂交技术","",,"项","240","270","300",,"2","B""270700002","印记杂交技术","Southern,Northern,Western等杂交技术分别参照执行",,"项",,,"",,"3","B""BDAF0001(270700002)","组织/细胞荧光定量核糖核酸(RNA)多聚酶链式反应检查诊断","甲醛固定组织,石蜡包埋组织,新鲜或冷冻组织,离心收集细胞;组织粉淬机匀浆化,或切片机切片,或离心收集细胞洗涤,对上述处理样本进行组织裂解,经反复离心及相应化学试剂去除蛋白,回收RNA,于荧光PCR仪行荧光素逆转录-PCR反应,分析结果,诊断.
含上述技术过程中所产生的废液、废物的处理.
",,"项","388","436","485",,"2","B""270700003","脱氧核糖核酸(DNA)测序","",,"项",,,"",,"3","B""2708","其他病理技术项目""270800001","病理体视学检查与图象分析","流式细胞术、显微分光光度技术等分别参照执行",,"次","80","90","100",,"1","B""270800002","宫颈细胞学计算机辅助诊断","",,"次",,,"",,"3","B""270800003","膜式病变细胞采集术","指细胞病理学检查中使用的特殊膜式细胞采集方法",,"次",,,"",,"3","B""270800004","液基薄层细胞制片术","液基细胞学薄片技术(ThinPrep)和液基细胞学超薄片技术(AutoCyte)分别参照执行.
含图文报告.
",,"次","120","135","150",,"1","B""270800005","病理大体标本摄影","",,"每个标本","40","45","50","积累科研资料的摄影不得计费","1","B""270800006","显微摄影术","",,"每个视野","36","40","45","积累科研资料的摄影不得计费","1","B""270800007","疑难病理会诊","",,"次","240","270","300","由高级职称病理医师主持的专家组会诊","2","B""270800008","普通病理会诊","",,"次",,,"","不符合疑难病理会诊条件的其他会诊","3","B""270800009","甲基转移酶检查","",,"份","480","540","600",,"2","B""三、临床诊疗类""本类说明:"1.
本类包括神经系统、内分泌系统、眼、耳鼻咽喉、口腔颌面、呼吸系统、心脏及血管系统、血液及淋巴系统、消化系统、泌尿系统、男、女性生殖系统、肌肉骨骼系统、体被系统、精神心理卫生15个第三级分类,共973项.

"2.
在临床各系统诊疗项目中的"XX术"是指以诊疗为主要目的非手术操作方式的服务项目.

"3.
诊疗中所需的特殊医用消耗材料(如特殊穿刺针、消融电极、特殊导丝、导管、支架、球囊、特殊缝线、特殊缝针、钛夹、扩张器、一次性内窥镜活体取样钳等)、药品、化学粒子均为除外内容.
凡在项目内涵中已含的不再单独收费.

"4.
在同一项目中使用激光、射频、微波、冷冻、超声聚焦、臭氧、离子、红外、电切、汽化、电灼、电凝、电化学等方法分别计价.

"5.
诊疗中采用各种内镜治疗的可在原价基础上酌情加收.
"31临床诊疗说明","临床各系统诊疗""3101","神经系统""310100001","脑电图","含深呼吸诱发,至少8导",,"次","34","36","40","术中监测按每小时20元计价","1","B""310100002","特殊脑电图","包括特殊电极(鼻咽、蝶骨、皮层等)、特殊诱发",,"次","60","63","70",,"1","B""310100003","脑地形图","含二维脑电地形图(至少16导)",,"次","68","72","80",,"1","B""310100004","动态脑电图","包括24小时脑电视频监测或脑电Holtel",,"次","213","225","250","脑电Holtel与动态脑电图等价","2","B""310100005","脑电图录象监测","含摄像观测患者行为及脑电图监测",,"小时","26","27","30",,"1","B""310100006","脑磁图",,,"次",,,"",,"3","B""310100007","神经传导速度测定","含感觉神经与运动神传导速度、包括重复神经电刺激",,"每条神经","17","18","20",,"1","B""310100008","神经电图","含检查F波、H反射、瞬目反射及重复神经电刺激",,"每条神经","13","14","15",,"1","B""310100009","体感诱发电位","包括上肢体感诱发电位检查应含头皮、颈部、Erb氏点记录,下肢体感诱发电位检查应含头皮、腰部记录",,"次/单肢","51","54","60",,"1","B""310100010","运动诱发电位","含大脑皮层和周围神经刺激",,"次","51","54","60",,"1","B""310100011","事件相关电位","包括视觉、体感刺激P300与听觉P300",,"次","51","54","60",,"1","B""310100012","脑干听觉诱发电位","",,"次","51","54","60",,"1","B""FCZ05101(310100013)","术中神经电生理监测","局部消毒,电生理监测人员根据病情依照国际10-20标准于标准监测点埋入一次性皮下针电极,应用神经电生理监测仪于麻醉前监测初始多指标参考值,术中切除占位性病变、夹闭动脉瘤及阻断血管时持续重复行神经电生理监测,操作结束后再次行神经电生理监测以获得连续监测结果.
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2小时测尿量,查血尿肌酐和钙磷,含结果分析",,"每试验项目","43","45","50",,"1","B""310204004","磷清除试验","含固定钙磷饮食,双蒸水饮用,连续两日饮水后1、3小时测尿量,查血尿肌酐和钙磷及结果分析",,"每试验项目","43","45","50",,"1","B""310204005","低钙试验","含低钙饮食、尿钙测定",,"每试验项目","26","27","30",,"1","B""310204006","低磷试验","含低磷饮食,血钙、磷及尿磷测定3次",,"每试验项目","26","27","30",,"1","B""310205","胰岛功能试验""310205001","葡萄糖耐量试验","含5次血糖测定;包括口服和静脉",,"每试验项目","34","36","40",,"1","B""310205002","馒头餐糖耐量试验","含4次血糖测定",,"每试验项目","26","27","30",,"1","B""310205003","可的松糖耐量试验","含5次血糖测定",,"每试验项目","43","45","50",,"1","B""310205004","胰岛素释放试验","含5次血糖和/或胰岛素测定,与口服葡萄糖耐量试验或馒头餐试验同时进行;包括C肽释放试验",,"每试验项目","30","32","35",,"1","B""310205005","胰高血糖素试验","含7次血糖、胰岛素测定",,"每试验项目","26","27","30",,"1","B""310205006","甲苯磺丁脲(D860)试验","含血糖、胰岛素测定6次、床旁监护",,"每试验项目","26","27","30",,"1","B""310205007","饥饿试验","含24小时或2.
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依据位置试验的结果确定耳石症的诊断,明确受累半规管的位置和侧别,根据诊断结果进行耳石手法复位,如为垂直半规管良性阵发性位置性眩晕(BPPV).
选用Epley手法复位法、水平半规管BPPV采用翻滚复位法,如多个不同半规管同时受累,则选用综合耳石复位法.
治疗中,可能出现恶心呕吐等不同程度迷走神经兴奋症状.
复位过程中通过红外成像系统观察眼震情况判断耳石复位情况.
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包括额、眼、上唇及下唇四个功能区;2.
每功能区均含双侧",,"每区","13","14","15","每功能区均含双侧","1","B""310504004","腭咽闭合功能检查","包括鼻咽纤维镜进行鼻音计检查、语音仪检查、计算机语音检查;不含反馈治疗",,"次","68","72","80",,"1","B""310505","正颌外科手术前设计""310505001","正颌外科手术设计与面型预测","包括1.
VTO技术:含X线头影测量、颌骨模板模拟手术及术后效果的预测,2.
电子计算机技术:含电子计算机专家系统行X线头影测量与诊断、手术模拟与术后效果的预测","录象带、计算机软盘、照相及胶片","次","408","432","480",,"2","B""310505002","云纹仪检查","包括正位、侧位及斜位等各种位置的云纹照相及测量","化妆品、照相底片及冲印","次","102","108","120",,"1","B""310505003","模型外科设计","含面弓转移、上架、模型测量及模拟手术拼对等","石膏模型制备","次","153","162","180",,"1","B""310505004","带环制备","含代型制作、带环的焊接、锤制、圆管焊接等技术","石膏模型制备、分牙及牙体预备、粘接带环等","每个","31","32","36",,"1","B""310505005","唇弓制备","含唇弓弯制、焊接等技术,以及钢丝、焊媒等材料","方弓丝、予成牵引弓、唇弓及其他特殊材料","每根","51","54","60","特殊要求唇弓费用加收20元","1","B""310505006","牙合导板制备","含导板制作、打磨、抛光,以及自凝牙托粉、单体、分离剂等",,"每个","122","130","144","特殊要求导板费用加收25元","1","B""310506","口腔关节病检查""310506001","颞颌关节系统检查设计","含专业检查表,包括颞颌关节系统检查;不含关节镜等特殊检查","特殊检查","每人次","43","45","50","唾液量、流速、缓冲能力检查另收","1","B""310506002","颞颌关节镜检查","",,"次","34","36","40",,"1","B""310506003","关节腔压力测定","",,"每人次",,,"",,"3","B""310507","正畸检查""310507001","错畸形初检","含咨询、检查、登记、正畸专业病历",,"次","34","36","40",,"3","B""310507002","错牙合畸形治疗设计","包括1.
牙模型测量:含手工模型测量牙弓长度、拥挤度或三维牙模型计算机测量;2.
模型诊断性排牙:含上下颌模型排牙;3.
X线头影测量:含手工或计算机X线测量分析","模型制备、X线检查","次","102","108","120",,"3","B""310507003","固定矫治器复诊处置","含常规检查及矫治器调整","更换弓丝及","次","31","32","36",,"3","B""310507004","活动矫治器复诊处置","含常规检查及弹簧加力","各种弹簧和其他","次","26","27","30",,"3","B""310507005","功能矫治器复诊处置","含常规检查及调整","其他材料及","次","26","27","30",,"3","B""310507006","特殊矫治器复诊处置","含常规检查及调整;包括推杆式矫治","其他材料及","次","31","32","36","使用舌侧矫正器加收50%","3","B""310507007","错畸形正中位检查","含蜡堤制作塑料基托,确定正确的正中位位置",,"次","26","27","30",,"3","B""310508","口腔修复检查""310508001","光仪检查","包括:1.
光仪力测量;2.
牙列接触状态检查;3.
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60000244140625",,"3","A""310510002","氟防龋治疗","包括局部涂氟、氟液含漱、氟打磨","特殊材料","每牙","10","11","12",,"3","A""310510003","牙脱敏治疗","包括氟化钠、酚制剂等药物","高分子脱敏剂","每牙","5","5","6","使用激光脱敏仪加收100%","3","A""310510004","口腔局部冲洗上药","含冲洗、含漱、牙周袋内上药、粘膜病变部位上药","特殊药物","每牙","5","5","6",,"3","A""310510005","不良修复体拆除","包括不良修复体及不良充填体",,"每牙","15","16","18",,"3","A""310510006","牙开窗助萌术","包括各类阻生恒牙",,"每牙","30","32","36",,"3","A""310510007","口腔局部止血","包括各种口腔内局部出血的清理创面、填塞或缝合","特殊填塞或止血材料","每牙","8","8","9",,"3","A""310510008","激光口内治疗","包括1.
根管处置;2.
牙周处置;3.
各种斑、痣、小肿物、溃疡治疗",,"每部位","15","16","18","视病变范围增大加收50%","3","A""310510009","口内脓肿切开引流术","",,"次","20","22","24",,"1","A""310510010","牙外伤结扎固定术","含牙根折、挫伤、脱位的局麻、复位、结扎固定及调;不含根管治疗","特殊结扎固定材料","每牙","20","22","24",,"1","A""310510011","拆除固定装置","包括去除由各种原因使用的口腔固定材料",,"每牙","10","11","12",,"1","A""310510012","口腔活检术","含口腔软组织活检",,"次",,,"",,"3","A""310511","牙体牙髓治疗""310511001","简单充填术","含备洞、垫底、洞型设计、国产充填材料;包括I、V类洞的充填","特殊材料","次","31","32","36",,"1","A""310511002","复杂充填术","含龋齿的特殊检查(如检知液、光纤透照仪等)、备洞、垫底、洞形设计和充填;包括II、III、IV类洞及大面积缺损的充填、化学微创祛龋术","特殊材料","次","41","43","48",,"1","A""310511003","牙体桩钉固位修复术","含备洞、垫底、洞形设计、打桩(钉)、国产充填材料;大面积缺损的充填","各种特殊材料、桩/钉","次","51","54","60",,"1","A""310511004","牙体缺损粘接修复术","含牙体预备、酸蚀、粘接、充填","各种材料","次","41","43","48",,"1","A""310511005","充填体抛光术","含各类充填体的修整、抛光",,"每牙","2","2","2.
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取根管内充物;2.
疑难根管口的定位;3.
不通根管的扩通;4.
取根管内折断器械","特殊仪器及器械","次","51","54","60","使用显微镜、超声仪等特殊仪器加收25元","1","A""310511022","髓腔穿孔修补术","包括髓腔或根管穿孔","特殊材料","次","20","22","24","使用特殊仪器加收10元","1","A""310511023","根管壁穿孔外科修补术","含翻瓣、穿孔修补","根管充填及特殊材料","每根管","61","65","72","使用特殊仪器加收50元","1","A""310511024","牙槽骨烧伤清创术","指牙髓治疗药物所致的烧伤;含去除坏死组织和死骨、上药",,"次","20","22","24",,"1","A""310511025","根管内固定术","含根管预备","特殊固定材料","每根管","36","38","42",,"1","A""310511026","劈裂牙治疗","包括1.
取劈裂牙残片,2.
劈裂牙结扎","根管治疗","每牙","20","22","24",,"1","A""310511027","后牙纵折固定术","含麻醉固定、调","根管治疗及特殊固定材料","每牙","51","54","60",,"1","A""310512","儿童牙科治疗""310512001","根尖诱导成形术","指年青恒牙牙根继续形成;含拔髓(保留牙乳头)、清洁干燥根管、导入诱导糊剂、充填","特殊充填材料","每根管","41","43","48",,"1","A""310512002","窝沟封闭","指预防恒前磨牙及磨牙窝沟龋;含清洁窝沟、酸蚀、涂封闭剂、固化、调磨","特殊窝沟封闭剂","每牙","20","22","24",,"3","A""310512003","乳牙预成冠修复","含牙体预备、试冠、粘结;包括合金冠修复乳磨牙大面积牙体缺损或做保持器的固位体","特殊材料","每牙","82","86","96",,"1","A""310512004","儿童前牙树脂冠修复","含牙体预备、试冠、粘结;包括树脂冠修复前牙大面积牙体缺损(外伤及龋患)","特殊材料","每牙","51","54","60",,"1","A""310512005","制戴固定式缺隙保持器","指用于乳牙早失,使继承恒牙正常萌出替换;含试冠、牙体预备、试带环、制作、粘结、复查","特殊材料、印模、模型制备、下颌舌弓、导萌式保持器、丝圈式保持器","件","153","162","180",,"1","A""310512006","制戴活动式缺隙保持器","指恒牙正常萌出替换","印模、模型制备","件","102","108","120",,"1","A""310512007","制戴活动矫正器","包括乳牙列或混合牙列部分错畸形的矫治","印模、模型材料、特殊矫正装置","颌","204","216","240",,"1","A""310512008","前牙根折根牵引","指根折位于龈下经龈切及冠延长术后不能进行修复治疗而必须进行牙根牵引,含1.
外伤牙根管治疗;2.
制作牵引装置.
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60000244140625",,"1","A""310513002","龈下刮治","包括龈下超声刮治或手工刮治",,"每牙","6","6","7","后牙龈下刮治加收2元","1","A""310513003","牙周固定","含结扎材料;包括结扎与联合固定","特殊材料如树脂、高强纤维","每牙","15","16","18",,"1","A""310513004","去除牙周固定","包括去除各种牙周固定材料",,"每牙","4","4","4.
80000244140625",,"1","A""310513005","牙面光洁术","包括洁治后抛光;喷砂","特殊材料","每牙","2","2","2.
40000122070313",,"1","A""310513006","牙龈保护剂塞治","含牙龈表面及牙间隙","特殊保护剂","每牙","4","4","4.
80000244140625",,"1","A""310513007","急性坏死性龈炎局部清创","包括局部清创、药物冲洗及上药","特殊药物","每牙","10","11","12",,"1","A""310513007a","急性坏死性龈炎药物冲洗","",,"每牙","10","11","12",,"1","A""310513007b","急性坏死性龈炎上药","",,"每牙","10","11","12",,"1","A""310513008","根面平整术","包括手工根面平整",,"每牙","10","11","12","超声根面平整加收5元/牙","1","A""310514","粘膜治疗","",,"次",,,,,,"310514001","口腔粘膜病系统治疗设计","",,"次","15","16","18",,"1","A""310514002","口腔粘膜雾化治疗","","特殊药物","次","10","11","12",,"1","A""310514003","口腔粘膜病特殊治疗","包括1.
红外线光照治疗;2.
微波治疗;3.
冷冻治疗;4.
频谱治疗",,"次","10","11","12",,"1","A""310514003a","口腔粘膜病红外线光照治疗","",,"次","10","11","12",,"1","A""310515","口腔颌面外科治疗""310515001","颞下颌关节复位","指限制下颌运动的手法复位",,"次","36","38","42",,"1","A""310515002","冠周炎局部治疗","含药液冲洗盲袋及上药",,"每牙","15","16","18",,"1","A""310515003","干槽症换药","含清理拔牙创、药物冲洗、骨创填塞","特殊材料及药物","每牙","15","16","18",,"1","A""310515004","涎腺导管扩大术","",,"次","36","38","42",,"1","A""310515005","腮腺导管内药物灌注治疗","",,"次","15","16","18",,"1","A""310515006","面神经功能训练","含面神经周围支支配区共十项面部表情运动功能的示教及训练",,"次","10","11","12",,"1","A""310515007","腭裂术后语音训练治疗","包括常规语音治疗、鼻咽纤维镜反馈治疗、鼻音计反馈治疗、听说反馈治疗、腭电图仪反馈治疗;不含制作腭托","特殊材料","次","31","32","36",,"1","A""310515008","口腔颌面部各类冷冻治疗","包括口腔及颌面部各类小肿物的冷冻治疗",,"每部位","26","27","30",,"1","A""310516","口腔关节病治疗""310516001","颞颌关节腔内封闭治疗","包括封闭治疗或药物注射",,"单侧","20","22","24",,"1","A""310516002","关节腔灌洗治疗","",,"单侧","20","22","24",,"1","A""310516003","调磨垫","",,"每次","15","16","18",,"1","A""310516004","关节镜手术治疗","包括颞下颌关节活检术或颞下颌关节盘复位术或骨关节病刨削术","特殊材料","单侧","612","648","720",,"1","A""310517","固定修复","","各种特殊材料:冠、嵌体、桩核、根帽、贴面、桩冠、固定桥及特殊粘接材料和模型制备",,,,,,,"310517001","冠修复","含牙体预备,药线排龈蜡记录,测色,技工室制作全冠,试戴修改全冠;包括全冠、半冠、3/4冠",,"每牙","102","108","120","精密加收40元,锤体减收20元,种植体冠修复加收10元","1","A""310517002","嵌体修复","含牙体预备,药线排龈,制取印模、模型,蜡记录,技工室制作嵌体,试戴修改嵌体;包括嵌体、高嵌体、嵌体冠",,"每牙","122","130","144",,"1","A""310517003","桩核、根帽修复","含牙体预备,记录,制作蜡型,技工室制作桩核、根帽,试戴修改桩核、根帽",,"每牙","82","86","96",,"1","A""310517004","贴面修复","含牙体预备,药线排龈,测色,技工室制作贴面,试戴贴面",,"每牙","122","130","144",,"1","A""310517005","桩冠修复","含牙体预备,记录,制桩蜡型,技工室制作桩,试桩,制冠蜡型,技工室制作完成桩冠,试戴桩冠;包括简单桩冠,铸造桩冠",,"每牙","122","130","144","烤瓷铸造桩冠加收200元","1","A""310517006","固定桥","含牙体预备和药线排龈,蜡记录,测色,技工室制作固定桥支架,固定桥支架试戴修改、技工室制作完成固定桥,固定桥试戴修改,金属固位体电解蚀刻处理;包括双端、单端固定桥、粘结桥(马里兰桥)",,"每牙","153","162","180","铸造加收70元","1","A""310517007","固定修复计算机辅助设计","包括计算机辅助设计制作全冠、嵌体、固定桥",,"次","102","108","120",,"1","A""310517008","咬合重建","全牙列固定修复咬合重建,改变原关系,升高垂直距离咬合分析,X线头影测量,研究模型设计与修整,牙体预备,转移面弓与上颌架,复杂冠桥修复",,"次","153","162","180","特殊设计费加收30%","1","A""310517009","粘结","含嵌体、冠、桩核粘结(酸蚀、消毒、粘固)、国产粘结剂(水门汀氧化锌)",,"次","10","11","12",,"1","A""310518","可摘义齿修复",,"各种特殊材料:活动桥、个别托盘、义齿、咬合板、软衬、局部义齿、总义齿、特制暂基托、附着体和模型制备、印模及模型材料",,,,,,,"310518001","活动桥","包括普通弯制卡环、整体铸造卡环及支托活动桥",,"每牙","61","65","72","每增加牙、卡环增加30元","3","A""310518002","塑料可摘局部义齿","含牙体预备,制作双重印模,模型,咬合关系记录,技工室制作义齿排牙蜡型,试排牙,技工室制作完成义齿,义齿试戴、修改,咬检查;包括普通弯制卡环塑料可摘局部义齿,无卡环塑料可摘局部义齿,普通覆盖义齿,弹性隐形义齿",,"每牙","82","86","96","每增加牙、卡环增加30元","3","A""310518003","铸造可摘局部义齿","含牙体预备,制双重印模、模型,模型观测,蜡咬合关系记录,技工室制作铸造支架,试支架及再次蜡咬合关系记录,技工室制作义齿排牙蜡型,试排牙,技工室制作完成义齿,义齿试戴、修改,咬合检查;包括覆盖义齿",,"每牙","255","270","300","每增加牙加收40元、每增加卡环加收50元","3","A""310518004","美容义齿","含各类义齿的基础上特殊造型、设计制作;包括双牙列义齿,化妆义齿",,"每牙","82","86","96","每增加牙加收40元、每增加卡环加收50元","3","A""310518005","即刻义齿","含拔牙前制作印模,制作模型及特殊修整,各类义齿的常规制作及消毒;包括拔牙前制作,拔牙后即刻或数日内戴入的各类塑料义齿和暂时义齿",,"每牙","61","65","72","每增加牙加收40元、每增加卡环加收50元","3","A""310518006","附着体义齿","含牙体预备制个别托盘,双重印模,模型,咬合关系记录,模型观测,固位体平行度测量,平行研磨,试排牙,试附着体,复诊三次调改义齿;包括可摘义齿,固定义齿,活动固定联合修复",,"每牙","122","130","144","活动固定联合修复是指胶连式塑料可摘义齿、铸造可摘义齿、总义齿的基本结构以外加用各种附着体","3","A""310518007","总义齿","含义齿设计,制个别托盘,制作双重印模、模型、托,正中关系记录,面弓转移,试排牙,总义齿试戴、修改,咬检查,调整咬;包括覆盖义齿,无唇翼义齿","铸造金属基托、金属加强网","单颌","306","324","360",,"3","A""310519","修复体整理""310519001","拆冠、桥","包括锤造冠、铸造冠",,"每牙","10","11","12","铸造冠拆除加收5元","3","A""310519002","拆桩","包括预成桩、各种材料的桩核",,"每牙","10","11","12",,"3","A""310519003","加焊","包括锡焊、金焊、银焊、激光焊接","焊接材料","每2mm缺隙","10","11","12","激光焊接加收2元,大于2mm的加收2元","3","A""310519004","加装饰面","包括桩冠、桥体","特殊材料","每牙","25","27","30",,"3","A""310519005","烤瓷冠崩瓷修理","包括粘结、树脂修补","特殊材料","每牙","41","43","48",,"3","A""310519006","调改义齿","含检查、调、调改外形、缓冲基托、调整卡环",,"次","15","16","18",,"3","A""310519007","取局部牙合关系记录","指义齿组织面压痛衬印检查;含取印模、检查用衬印材料等","特殊衬印材料","次","10","11","12",,"3","A""310519008","取正中牙合关系记录","",,"次","31","32","36",,"3","A""310519009","加人工牙","","各种人工牙材料","每牙","20","22","24",,"3","A""310519010","义齿接长基托","包括边缘、游离端、义齿鞍基","各种基托材料","次","20","22","24",,"3","A""310519011","义齿裂纹及折裂修理","含加固钢丝","各种材料","次","20","22","24",,"3","A""310519012","义齿组织面重衬","包括硬衬、软衬","各种材料费(自凝塑料、热凝塑料、光固化树脂、软塑料、橡胶)","每厘米","10","11","12",,"3","A""310519013","加卡环","包括加钢丝、铸造卡环;含单臂、双臂、三臂卡环","各种卡环材料(钢丝弯制卡环,铸造钴铬合金、贵金属合金卡环)","每卡环","15","16","18",,"3","A""310519014","增加铸造基托","","各种基托材料(钢、金合金)","5+5","30","32","36",,"3","A""310519015","加牙合支托","","各种支托材料(钢丝支托、扁钢丝支托、铸造钴铬合金支托、铸造金合金支托)","次","15","16","18",,"3","A""310519016","加铸牙合面","",,"次","40","43","48",,"3","A""310519017","增加加固装置","包括加固钢丝、网","各种加固装置材料(金属丝,扁钢丝,尼龙网、预成不锈钢网、铸造不锈钢网、金网)","次","71","76","84",,"3","A""310519018","加连接杆","","各种材料(预成杆、铸造不锈钢杆、铸造金杆)","次","30","32","36",,"3","A""310519019","塑料牙合面加高咬合","","材料费(自凝塑料、热凝塑料)","次","15","16","18",,"3","A""310519020","弹性假牙龈","",,"每牙","15","16","18",,"3","A""310519021","镀金加工","",,"每牙",,,"",,"3","A""310519022","铸造加工","指患者自带材料加工;包括所有铸造修复体",,"每件",,,"",,"3","A""310519023","配金加工","",,"每牙",,,"",,"3","A""310519024","黄金材料加工","","材料","每牙","41","43","48",,"3","A""310519025","加磁性固位体","","材料","每牙","61","65","72",,"3","A""310519026","附着体增换","包括附着体增加或更换","附着体材料","每附着体","61","65","72",,"3","A""310520","颞下颌关节病治疗""310520001","垫牙合","含牙体预备,调,制印模、模型,蜡合记录,技工室制作;不含疗效分析专用设备检查,铸造支架、垫材料、咬合板材料(塑料,树脂,铸造不锈钢,铸造金合金,铸造不锈钢或铸造金合金网+塑料,铸造不锈钢或铸造金合金网+树脂)","件",,"102","108","120",,"1","A""310520002","肌松弛治疗","",,"次","10","11","12",,"1","A""310521","颌面缺损修复""310521001","腭护板导板矫治","含牙体预备;模型设计及手术预备;技工制作;临床戴入","腭护板、导板材料、模型设备","件","82","86","96","间接法制作加收40元,加放射治疗装置加收60元","1","A""310521002","义颌修复","含:1.
阻塞口鼻孔,制印模、模型;2.
制作个别托盘;3.
牙体预备、制工作印模、模型;4.
制作阻塞器和恒基托;5.
临床试戴阻塞器和恒基托,确定关系,取连带恒基托及颌位关系的印模,灌制新模型;6.
技工制作中空阻塞器及义颌;7.
临床试戴义颌及试排牙;8.
技工完成义颌及义齿;9.
临床试戴、修改义颌及义齿;包括中空阻塞器、义齿、义耳、义鼻、义眼","义颌、义齿、义耳、义鼻、义眼等材料","每区段","184","194","216","1、上或下颌骨一侧全切加收90元.
2、分段或分区双重印模加收100%","1","A""310521003","软腭抬高器治疗","含:1.
试戴上颌腭托、加制软腭部印模、灌制模型;2.
模型预备、制作抬高软腭部分;3.
临床戴入及调整抬高高度;包括制作上颌腭托;舌不良运动矫治器、咽阻塞器","各种材料(铁钛合金丝、软塑胶、光敏树脂)模型制备","次","204","216","240","咽阻塞器加收加收40元","1","A""310521004","骨折后义齿夹板固位及板治疗","包括上或下颌骨骨折","义齿夹板材料","单颌","122","130","144",,"1","A""310522","正畸治疗","","特殊粘接材料",,,,,,,"310522001","乳牙期安氏I类错正畸治疗","包括:1.
含乳牙早失、乳前牙反的矫治;2.
使用间隙保持器、活动矫治器","功能矫治器","次","204","216","240","前牙或后牙开、严重深覆加收150元","3","A""310522002","替牙期安氏I类错活动矫治器正畸治疗","包括替牙障碍、不良口腔习惯的矫治","活动矫治器增加的其他部件","次","153","162","180","阻生齿开窗矫治加收150元","3","A""310522003","替牙期安氏I类错固定矫治器正畸治疗","包括使用简单固定矫治器和常规固定矫治器治疗","简单固定矫治器增加的其他弓丝或","次","1020","1080","1200",,"3","A""310522004","恒牙期安氏I类错固定矫治器治疗","包括拥挤不拔牙病例、牙列间隙病例和简单拥挤双尖牙拔牙病例","口外弓、上下颌扩弓装置及其他附加装置、隐形固定器特殊材料","次","1224","1296","1440","1.
伴开、深覆等疑难病例加收400元;2.
阻生齿开窗矫治病例加收250元;3.
拔牙病例加收","3","A""310522005","乳牙期安氏II类错正畸治疗","包括:1.
乳牙早失、乳前牙反的矫治;2.
使用间隙保持器、活动矫治器治疗","功能矫治器","单颌","204","216","240",,"3","A""310522006","替牙期安氏II类错口腔不良习惯正畸治疗","包括简单固定矫治器或活动矫治器","口外弓或其他远中移动装置、活动矫治器的增加其他部件、鄂杆","次","816","864","960",,"3","A""310522007","替牙期牙性安氏II类错活动矫治器正畸治疗","包括:含替牙障碍、上颌前突;","使用口外弓、使用Frankel等功能矫治器、咬合诱导","次","306","324","360","前牙反前牙或后牙开严重深覆加收200元","3","A""310522008","替牙期牙性安氏II类错固定矫治器正畸治疗","包括简单固定矫正器和常规固定矫正器","口外弓、上下颌扩弓装置及其他附加装置、使用常规固定矫治器","次","1224","1296","1440","前牙反、前牙或后牙开、严重深覆加收200元","3","A""310522009","替牙期骨性安氏II类错正畸治疗","包括:1.
严重上颌前突;2.
活动矫治器治疗或简单固定矫治器","使用口外弓上下颌扩弓装置及其他附加装置、使用常规固定矫治器、使用Frankel、ActivatorTwin-Block等功能矫治器及Herbst矫治器","次","1326","1404","1560","前牙反前牙或后牙开严重深覆加收200元","3","A""310522010","恒牙早期安氏II类错功能矫治器治疗","包括:1.
严重牙性II类错和骨性II类错;2.
使用Frankel功能矫治器II型或Activator功能矫治器;其他功能矫治器","Activator增加扩弓装置、口外弓、腭杆","次","612","648","720","前牙或后牙开、严重深覆加收200元","3","A""310522011","恒牙期牙性安氏II类错固定矫治器治疗","1.
含上下颌所需带环、弓丝、托槽;2.
包括牙性安氏II类错拥挤不拔牙病例和简单拥挤拔牙病例","口外弓、上下颌扩弓装置及其他辅助性矫治装置、鄂杆","次","1428","1512","1680","1.
伴前牙严重开、深覆加收200元;2.
阻生齿开窗矫治、磨牙拔除矫治加收200元","3","A""310522012","恒牙期骨性安氏II类错固定矫治器拔牙治疗","包括骨性安氏II类错拔牙病例","口外弓、上下颌扩弓装置及其他辅助性矫治装置","次","1428","1512","1680","1.
伴前牙严重开、深覆等复杂疑难病例加收50元;2.
阻生齿开窗矫治、磨牙拔除矫治加收200元","3","A""310522013","乳牙期安氏III类错正畸治疗","包括:1.
乳前牙反;2.
使用活动矫治器或下颌连冠式斜面导板治疗功能矫治器","次",,"306","324","360","全牙弓乳牙反加收200元","3","A""310522014","替牙期安氏III类错正畸治疗","1.
包括前牙反;2.
使用活动矫治器上颌扩弓装置、功能矫治","次",,"408","432","480","全牙弓反加收200元","3","A""310522014a","前牙反牙合","",,"次","408","432","480",,"3","A""310522014b","使用活动矫治器","",,"次","408","432","480",,"3","A""310522015","恒牙早期安氏III类错功能矫治器治疗","包括:1.
严重牙性III类错和骨性III类错;2.
使用rankel功能矫治器III型;其他功能矫治器颏兜","次",,"1020","1080","1200","伴开、深覆等疑难病加收200元","3","A""310522016","恒牙期安氏III类错固定矫治器治疗","包括:牙性安氏III类错拥挤不拔牙病例和简单拥挤拔牙病例","上颌扩弓装置及其他附加装置","次","1020","1080","1200","1.
全牙弓反加收200元;2.
伴开、深覆等复杂疑难病加收200元;3.
磨牙拔除矫治加收200元.
","3","A""310522017","恒牙期骨性安氏III类错固定矫治器拔牙治疗","包括骨性安氏III类错拔牙病例","前方牵引器、头帽颏兜、上颌扩弓装置及其他附加装置","次","1326","1404","1560",,"3","A""310522018","牙周病伴错畸形活动矫治器正畸治疗","包括局部牙周炎的正畸治疗",,"次","102","108","120","重度牙周炎的正畸治疗加收50元","1","A""310522019","牙周病伴错畸形固定矫治器正畸治疗","包括局部牙周炎的正畸治疗",,"次","1530","1620","1800","1.
伴开、深覆等疑难病加收200元;2.
拔牙矫治加收200元",,"310522020","创伤正畸治疗","包括:1.
由咬合因素引起的创伤;2.
用活动矫治器或固定矫治器治疗",,"次","1326","1404","1560",,"1","A""310522021","单侧唇腭裂序列正畸治疗","包括:单侧牙槽突裂、无骨骼畸形和面部畸形、腭托使用的正畸治疗;不含替牙期植骨前后的正畸治疗","乳牙期用于解除后牙反前牙反的活动矫治器或固定矫治器、恒牙期用于解除后牙反、前牙反的活动矫治器或固定矫治器、颈牵引、低位头帽牵引等附加装置","次","1530","1620","1800","双侧完全性唇腭裂加收500元","1","A""310522022","早期颜面不对称正畸治疗","包括:1.
替牙期由错引起或颜面不对称伴错的病例;2.
使用活动矫治器和固定矫治器",,"次","1326","1404","1560",,"1","A""310522023","恒牙期颜面不对称正畸治疗","包括:1.
恒牙期由错引起或颜面不对称伴错的早期正畸治疗;2.
用活动矫治器或固定矫治器","活动矫治器增加部件或其他附加装置","次","1224","1296","1440",,"1","A""310522024","其他颅面畸形正畸治疗","包括:1.
Crouzon综合征、Apert综合征、Treacher-Collins综合征;2.
用活动矫治器或固定矫治器治疗","活动矫治器增加其他部件、固定矫治器增加其他附加装置另加","次","2040","2160","2400",,"1","A""310522025","颞下颌关节病正畸治疗","包括:1.
颞下颌关节的弹响、疼痛、关节盘移位等的正畸治疗;2.
用活动矫治器或固定矫治器治疗",,"次","102","108","120",,"1","A""310522026","正颌外科术前术后正畸治疗","包括:1.
安氏II类、III类严重骨性错、严重骨性开、严重腭裂、面部偏斜及其他颅面畸形的正颌外科术前、术后正畸治疗;2.
使用固定矫治器治疗",,"次","510","540","600",,,"310522027","睡眠呼吸暂停综合征(OSAS)正畸治疗","包括各种表现的睡眠呼吸暂停及相应错的正畸治疗","常规OSAS矫治器以外的","次","122","130","144",,"1","A""310522028","正畸保持器治疗","含取模型、制作用材料","特殊材料及固定保持器、正位器、透明保持器","次","153","162","180",,"1","A""310523","口腔种植","","模型制备",,,,,,,"310523001","种植模型制备","含取印模、灌模型、做蜡型、排牙、上架","唇侧Index材料","单颌","122","130","144",,"1","A""310523002","外科引导板","含技工室制作、临床试戴","唇侧Index材料、光固化基板、热压塑料板、自凝塑料、金属套管","单颌","61","65","72",,"1","A""310523003","种植过渡义齿","含技工室制作、临床试戴","义齿修复材料、进口软衬材料","每牙","61","65","72",,"1","A""310523004","种植体-真牙栓道式附着体","含牙体预备、个别托盘制作、再取印模、灌模型、记录、面弓转移上架、技工室制作、切开、激光焊接、烤瓷配色和上色、临床试戴","义齿修复材料、进口软衬材料、栓道材料、基台、附着体、支架","每牙","510","540","600",,"1","A""310523005","种植覆盖义齿","","1.
全口杆卡式;2.
磁附着式3.
套筒冠","次","510","540","600",,"1","A""310523006","全口固定种植义齿","烤瓷","贵金属","每牙","510","540","600",,"1","A""310523007","颜面赝复体种植修复","含个别托盘制作、技工制作、激光焊接、配色、临床试戴;包括眼或耳或鼻缺损修复或颌面缺损修复","个别托盘材料、基台、贵金属包埋材料、进口成型塑料、金属材料、激光焊接材料、硅胶材料","每种植体","612","648","720",,"1","A""3106","呼吸系统""310601","肺功能检查","使用肺功能仪检查""310601001","肺通气功能检查","含潮气量、肺活量、每分通气量、补吸、呼气量、深吸气量、用力肺活量、一秒钟用力呼吸容积;含最大通气量",,"次","51","54","60",,"1","B""310601002","肺弥散功能检查","包括一口气法,重复呼吸法",,"项","34","36","40",,"1","B""310601003","运动心肺功能检查","不含心电监测",,"项","68","72","80","因病情变化未能完成本试验者,亦按本标准计价","1","B""310601004","气道阻力测定","包括阻断法;不含残气容积测定",,"项","34","36","40",,"1","B""310601005","残气容积测定","包括体描法,氦气平衡法,氮气稀释法,重复呼吸法",,"项","34","36","40",,"1","B""310601006","强迫振荡肺功能检查","",,"项","51","54","60",,"1","B""310601007","第一秒平静吸气口腔闭合压测定","",,"项","9","9","10",,"1","B""310601008","流速容量曲线(V—V曲线)","含最大吸气和呼气流量曲线",,"项","26","27","30",,"1","B""310601009","二氧化碳反应曲线","",,"项","17","18","20",,"1","B""310601010","支气管激发试验","",,"项","68","72","80",,"1","B""310601011","运动激发试验","含通气功能测定7次;不含心电监测",,"项","128","135","150",,"1","B""310601012","支气管舒张试验","含通气功能测定2次",,"项","85","90","100",,"1","B""FJE02407(310601013)","呼出气一氧化氮测定","患者首先深呼气,然后口含一次性细菌过滤器及一氧化氮过滤器,在呼出气一氧化氮测定仪上深吸气后,以一定呼气流速匀速呼气持续10秒钟,人工报告.
",,"次","170","180","200","含多次测量","2","B""310602","其他呼吸功能检查""310602001","床边简易肺功能测定","",,"次","9","9","10","即肺通气功能测定","1","B""310602002","肺阻抗血流图","",,"次","9","9","10",,"1","B""310602003","呼吸肌功能测定","含最大吸气、呼气压、膈肌功能测定",,"次","43","45","50",,"1","B""310602004","动态呼吸监测(呼吸Holter)次","43","45","50",,"1","B""310602005","持续呼吸功能检测","含潮气量、气道压力、顺应性、压力容积、Pol、最大吸气压",,"小时","4","5","5",,"1","B""310602006","血气分析","含血液PH、血氧和血二氧化碳测定以及酸碱平衡分析",,"次","34","36","40","ICU床旁快速血气分析40","1","B""310602007","肺循环血流动力学检查","",,"次",,,"",,"3","B""310603","辅助呼吸","含氧气吸入""310603001","呼吸机辅助呼吸","含高频喷射通气呼吸机","CO2监测、肺功能监测","小时","15","16","18",,"1","B""310603002","无创辅助通气","包括持续气道正压(CPAP)、双水平气道正压(BIPAP)",,"小时","12","13","14",,"1","B""310603003","体外膈肌起搏治疗","",,"小时","15","16","18",,"1","B""310604","呼吸系统其他诊疗""310604001","睡眠呼吸监测","含心电、脑电、肌电、眼动、呼吸监测和血氧饱和度测定",,"次","213","225","250","进口仪器500元","2","B""310604002","睡眠呼吸监测过筛试验","含口鼻呼吸、胸腹呼吸、血氧饱和度",,"次","85","90","100",,"1","B""310604003","人工气胸术","",,"次","10","11","12",,"1","B""310604004","人工气腹术","",,"次","10","11","12",,"1","B""310604005","胸腔穿刺术","含抽气、抽液、注药",,"次","61","65","72",,"1","B""310604006","经皮穿刺肺活检术","包括胸膜活检","CT、X线、B超引导","每处","204","216","240",,"2","B""310605","呼吸系统窥镜诊疗","","照像",,,,,"使用电子纤维内镜加收30%",,"310605001","硬性气管镜检查","",,"次","85","90","100",,"1","B""310605002","纤维支气管镜检查","包括针吸活检、支气管刷片",,"次","153","162","180",,"1","B""FJD01603(310605002)","超声支气管镜检查","咽部麻醉、润滑,插入超声支气管镜,观察气道变化,将超声水囊充满,观察支气管壁及壁外结构,定位后进行经支气管淋巴结针吸活检.
标本送细胞学和组织学等检查.
不含病理学检查、活检.
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70000122070312","1.
80000122070313","2",,"1","B""310701028","血氧饱和度监测","",,"小时","2.
60000244140625","2.
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图文报告.
不含活检.
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",,"次","51","54","60","测查时间60分钟以上,使用电脑自测的量表加收50%.
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本类包括静脉、动脉、门脉、心脏、冠脉、脑血管介入6项第三级分类,共计58项.

"2.
以诊断为目的的第一次介入检查完成之后立即进行介入治疗时,分别计算检查与治疗的费用.

"3.
曾进行过介入检查已明确诊断,仅是作为介入治疗前进行的常规介入检查(第二次)及治疗后的复查(立即进行)时,则检查费按50%收取.

"4.
介入治疗原则上以经一根血管的介入治疗为起点,每增加一根血管的治疗按20%加收.

"5.
""造影剂""全部除外,导丝、导管、球囊、球囊导管、支架、滤网等特殊材料均为除外内容.

"6.
以下介入治疗项目均含局部麻醉费用""32","经血管介入含局麻""3201","静脉介入治疗""320100001","经皮选择性静脉造影术","","腔静脉、肢体静脉、导管、导丝","次","918","972","1080",,"2","A""320100002","经皮静脉内激光成形术","","导管","次","2295","2430","2700",,"2","A""320100003","经皮静脉内滤网置入术","包括经皮静脉内滤网取出术","滤网","次","1721","1823","2025",,"2","A""320100004","经皮静脉球囊扩张术","","球囊、导管","次","2295","2430","2700",,"2","A""320100005","经皮静脉内支架置入术","","支架","次","2869","3038","3375",,"2","A""320100006","经皮静脉内球囊扩张+支架置入术","","支架、球囊管","次","2869","3038","3375",,"2","A""320100007","经皮静脉内旋切术","","导管","次","2180","2309","2565",,"2","A""320100008","经皮静脉内溶栓术","","导管、溶栓导线","次","1721","1823","2025",,"2","A""320100009","经皮静脉内超声血栓消融术","","特殊材料","次","2295","2430","2700",,"2","A""320100010","经皮选择性静脉置管术","包括拔管术",,"次",,,"","拔管术收费酌情减收","3","A""320100011","经颈静脉长期透析管植入术","含缝合线、缝合针、注射器、肝素帽","一次性穿刺针","次","379","401","446",,"1","A""320100012","经皮静脉内血管异物取出术","",,"次",,,"",,"3","A""3202","动脉介入治疗""320200001","经股动脉置管腹主动脉带簿网支架置入术","包括腹主动脉瘤、假性动脉瘤","支架","次","2869","3038","3375",,"2","A""320200002","经皮选择性动脉造影术","不含脑血管及冠状动脉",,"次","1377","1458","1620",,"2","A""320200003","经皮超选择性动脉造影术","不含脑血管及冠状动脉","导管、导丝","次","1721","1823","2025",,"2","A""320200004","经皮选择性动脉置管术、动脉留置鞘管拔出术","包括各种药物治疗栓塞、热灌注栓塞剂,泵",,"次","1377","1458","1620",,"2","A""320200005","经皮动脉斑块旋切术","不含脑血管及冠状动脉",,"次","2295","2430","2700",,"2","A""320200006","经皮动脉闭塞激光再通术","不含脑血管及冠状动脉",,"次","2295","2430","2700",,"2","A""320200007","经皮动脉栓塞术","包括血管瘤、肿瘤等,不含脑血管及冠状动脉","栓塞剂","次","2295","2430","2700",,"2","A""320200008","经皮动脉内超声血栓消融术","","特殊材料","次",,,"",,"3","A""320200009","经皮动脉内球囊扩张术","不含脑血管及冠状动脉","导管、导丝、球囊","次","2295","2430","2700",,"2","A""320200010","经皮动脉支架置入术","包括肢体动脉、颈动脉、肾动脉","支架","次","2868","3037","3375",,"2","A""320200011","经皮动脉激光成形+球囊扩张术","","球囊管","次","3213","3402","3780",,"2","A""320200012","经皮肢体动脉旋切+球囊扩张术","包括旋磨","球囊管","次","3213","3402","3780",,"2","A""320200013","经皮血管瘤腔内药物灌注术","",,"次","2066","2187","2430",,"2","A""3203","门脉系统介入治疗""320300001","经皮肝穿刺肝静脉扩张术","","球囊、导管","次","2295","2430","2700",,"2","A""320300002","肝动脉插管灌注术","","导管及体内放置的投药泵(Port)","次","1721","1823","2025",,"2","A""320300003","经颈内静脉、肝内门腔静脉分流术(TIPS)","不含X线监控及摄片","导管、导丝、支架","次","2525","2673","2970",,"2","A""3204","心脏介入诊疗""320400001","经皮瓣膜球囊成形术","包括二尖瓣、三尖瓣、主动脉瓣、肺动脉瓣球囊成形术、房间膈穿刺术","导管","每个瓣膜","2295","2430","2700",,"2","A""320400002","经皮心内膜心肌活检术","不含病理诊断及其它特殊检查","导管","次","803","851","945",,"2","A""320400003","先心病介入治疗","包括动脉导管未闭、房室间隔缺等","导管、关闭器","次","2525","2673","2970",,"2","A""3205","冠脉介入诊疗""320500001","冠状动脉造影术","","导管","次","1377","1458","1620","同时做左心室造影加收200元","2","A""320500002","经皮冠状动脉腔内成形术(PTCA)","含PTCA前的靶血管造影","指引导管、指引导丝、球囊导管、支架","次","2295","2430","2700","1.
以扩张一支冠脉血管为基价,扩张多支血管酌情加收20%;2.
若冠状动脉造影术后立即进行PTCA术,应视作二次手术分别计价","2","A""320500003","经皮冠状动脉内支架置入术(STENT)","含为放置冠脉内支架而进行的球囊预扩张和支架打开后的支架内球囊高压扩张及术前的靶血管造影","指引导管、指引导丝、球囊导管、支架","次","3443","3645","4050","1.
以扩张一支冠脉血管为基价,扩张多支血管酌情加收20%;2.
若冠状动脉造影术后立即进行STENT术,应视作二次手术分别计价","2","A""320500004","经皮冠状动脉腔内激光成形术(ELCA)","含激光消融后球囊扩张或支架植入及术前的靶血管造影","指引导管、指引导丝、球囊导管、支架","次","3443","3645","4050","1.
以一支冠脉血管为基价,多支血管每支加收400元;2.
若冠状动脉造影术后立即进行激光成形术,应视作二次手术分别计价","2","A""320500005","高速冠状动脉内膜旋磨术","含旋磨后球囊扩张或支架植入及术前的靶血管造影","旋磨术专用导丝和旋磨导管、支架","次","3443","3645","4050","1.
以旋磨一支冠脉血管为基价,旋磨多支血管每支加收20%;2.
若冠状动脉造影术后立即进行旋磨术,应视作二次手术分别计价","2","A""320500006","定向冠脉内膜旋切术","含术前的靶血管造影","旋切导管","次","3213","3402","3780","1.
以旋切一支冠脉血管为基价,旋切多支血管每支加收20%;2.
若冠状动脉造影术后立即进行旋切术,应视作二次手术分别计价","2","A""320500007","冠脉血管内超声检查术(IVUS)","含术前的靶血管造影","血管内超声导管","次","2869","3038","3375",,"2","A""320500008","冠状血管内多普勒血流测量术","含术前的靶血管造影","Doppler导丝","次","2869","3038","3375",,"2","A""320500009","经皮主动脉气囊反搏动术(IABP)","含主动脉气囊植入、反搏动治疗、气囊取出;不含心电、压力连续示波监护","主动脉内反搏动球囊导管","小时",,,"",,"3","A""320500010","冠脉血管内窥镜检查术","","血管内窥镜导管","次","1721","1823","2025",,"2","A""320500011","经皮冠状动脉内溶栓术","含冠脉造影",,"次","2525","2673","2970",,"2","A""320500012","经皮激光心肌血管重建术(PMR)","含冠脉造影","激光导管","次","2295","2430","2700",,"2","A""320500013","冠状动脉内超声溶栓术","含冠脉造影","超声溶栓导管","次","2295","2430","2700",,"2","A""320500014","冠脉内局部放射治疗术","含冠脉造影、同位素放射源及放疗装置的使用",,"次","1721","1823","2025",,"2","A""320500015","冠脉内局部药物释放治疗术","含冠脉造影","局部药物释放导管","次","2754","2916","3240",,"2","A""320500016","肥厚型心肌病化学消融术","","特殊材料","次","2984","3159","3510",,"2","A""3206","脑和脊髓血管介入诊疗""320600001","经股动脉插管全脑动脉造影术","含颈动脉、椎动脉,包括经颈动脉插管","导管","次","2295","2430","2700",,"2","B""320600002","单纯脑动静脉瘘栓塞术","",,"次","2869","3038","3375",,"2","A""320600003","经皮穿刺脑血管腔内球囊成形术","","指引导管、指引导丝、球囊导管","次","2295","2430","2700",,"2","A""320600004","经皮穿刺脑血管腔内支架植入术","","指引导管、指引导丝、球囊导管、支架","次","3213","3402","3780",,"2","A""320600005","经皮穿刺脑血管腔内溶栓术","","指引导管、指引导丝","次","2295","2430","2700",,"2","A""320600006","经皮穿刺脑血管腔内化疗术","","导管","次","1836","1944","2160",,"2","A""320600007","颈内动脉海绵窦瘘栓塞术","","栓塞材料","次","2869","3038","3375",,"2","A""320600008","颅内动脉瘤栓塞术","","栓塞材料","次","3213","3402","3780",,"2","A""320600009","脑及颅面血管畸形栓塞术","","栓塞材料","次","2295","2430","2700",,"2","A""320600010","脊髓动脉造影术","",,"次","2066","2187","2430",,"2","A""320600011","脊髓血管畸形栓塞术","","栓塞材料","次","3213","3402","3780",,"2","A""五、麻醉类(手术治疗)"本类说明:"1.
本类包括麻醉、神经系统、内分泌系统、眼、耳、鼻口咽、呼吸系统、心血管系统、造血及淋巴系统、消化系统、泌尿系统、男女性生殖系统、产科、肌肉骨骼系统、体被系统16个第三级分类的手术项目,共计1811项.

"2.
手术中所需的常规器械和低值医用消耗品,(如一次性无菌巾、口帽、手套、注射器、消毒药品、冲洗盐水、一般缝线、敷料等)在定价时已列入手术成本因素中考虑,均不另行计价.

"3.
手术中所需的特殊医用消耗材料(如医用生物胶、组织器官移植保存液、麻醉吸附器(仅限于吸入或吸静复合全麻)、一次性气管插管套件、透明质酸钠凝胶、可吸收止血材料、一次性冲洗吸引器、永磁速愈贴、特殊穿刺针、特殊导丝、导管、支架、球囊、特殊缝线、钛夹、钛钉、钛板、扩张器、吻合器、缝合器、套扎器、固定器等)、特殊药品、组织器官移植供体、人工植入材料等均为除外内容,凡在项目内涵中已含的不再单独收费.

"4.
使用各腔镜如下:胸腔镜加收300元/台次,腹腔镜加收300元/台次,宫腔镜加收300元/台次,,膀胱镜加收100元/台次,鼻腔内窥镜加收200元/台次,耳内窥镜加收200元/台次,脑室镜(颅内镜)加收500元/台次,脑立体定向仪加收200元/台次.
显微镜购进价格在30万元以上、50万元以下的手术可加收200元/台次;购进价格在50万元以上的手术可加收600元/台次.
电钻加收180元/台次,神经导航系统4500元/台次.

"5.
在同一项目中使用激光、微波、射频、冷冻、各种特殊刀等方法可分别计价.
使用高频电刀加收50元/台次,氩气刀加收200元/台次,超声刀加收1000元/台次,射频刀加收200元/台次,微波刀加收500元/台次,脊柱手术等离子刀加收800元/台次,其他手术使用等离子刀加收400元/台次,关节刨削器刀加收1000元/台次.

"6.
经同一切口进行的两种及以上不同疾病的手术,主要手术按全价收,第二及以后手术按规定价格的50%收取;除项目说明中另有规定外,同一手术时间进行两个切口的两种不同疾病手术,其中第二个切口按规定价格的70%收取;同一开放性手术项目中有两个以上切口的手术,加收20%;双侧器官同时实行的手术,且计价单位为"单侧"的,在相应单侧手术价格基础上加收50%(在说明中已注明的,仍按原规定执行).
以上几种情况,麻醉费不再另外加收.

"7.
同一病情需要再次手术,在该项目价格基础上加收30%"8.
中医传统手术项目如肛肠、中医骨伤,需在中医相应的诊疗项目中查找,不在此重复列项.

"9.
手术中使用开颅钻、胸骨锯或电钻,其价值在5万元以内的,每例手术加收25元;其价值超过5万的,每例手术加收50元.
备注:6岁以下儿童上浮项目,按照皖医保秘〔2020〕110号文件执行.

"33","手术治疗""3301","麻醉""330100001","局部浸润麻醉","",,"次","27","34","38","表面麻醉每次5元","1","C""330100001a","门诊口腔局部浸润麻醉","",,"次","8","8","9",,"1","C""330100002a","门诊口腔神经阻滞麻醉","",,"小时","40","42","47",,"1","C""330100002","神经阻滞麻醉","颈丛、臂丛、星状神经等各种神经阻滞分别参照执行及侧隐窝阻滞术、侧隐窝臭氧注射等",,"2小时","153","196","218","每增加1小时加收50%","1","C""330100003","椎管内麻醉","腰麻、硬膜外阻滞及腰麻硬膜外联合阻滞分别参照执行","腰麻硬膜外联合套件、硬膜外套件","2小时","266","342","380","腰麻硬膜外联合阻滞加收20%,每增加1小时加收50元,双穿刺点加收30元","1","C""330100004","基础麻醉","含强化麻醉",,"次","32","34","38",,"1","C""330100005","全身麻醉","含气管插管;吸入、静脉或吸静复合以及靶控输注分别参照执行",,"2小时","532","684","760","每增加1小时加收100元","1","C""330100006","血液加温治疗","包括术中加温和体外加温",,"小时","8","8","9",,"1","C""330100007","支气管内麻醉","各种施行单肺通气的麻醉方法及肺灌洗等治疗分别参照执行","双腔管","2小时","599","769","855","每增加1小时加收100元","1","C""330100008","术后镇痛","静脉硬膜外、腰麻硬膜外联合给药及无痛分娩、肠镜、人流、支气管镜分别参照执行","腰麻硬膜外联合套件、镇痛装置","次","81","86","95","腰麻硬膜外联合阻滞加收20%,双穿刺点加收30元","2","C""330100009","侧脑室连续镇痛","","镇痛装置","天","32","34","38",,"2","C""330100010","硬膜外连续镇痛","","镇痛装置","天","40","42","47",,"2","C""330100011","椎管内置管术","神经根脱髓鞘疾病等治疗分别参照执行",,"次","97","103","114",,"1","C""330100012","心肺复苏术","","开胸复苏和特殊气管插管术","次","121","128","142",,"1","C""330100013","气管插管术","指经口插管",,"次","48","51","57",,"1","C""330100014","特殊方法气管插管术","经鼻腔、经口盲探、逆行法,包括纤维喉镜、气管镜置管分别参照执行",,"次","162","171","190",,"1","C""330100015","麻醉中监测","含心电图、脉搏氧饱和度、心率变异分析、ST段分析、无创血压、呼气末二氧化碳、呼吸频率、潮气量、分钟通气量、气道压、肺顺应性、呼气末麻醉药浓度、体温、有创血压、中心静脉压、氧浓度、肌松、脑电双谱指数",,"小时","27","34","38","麻醉苏醒监护参照执行","1","C""HAP05902","麻醉深度电生理监测","连接电极或传感器,使用神经电生理监测仪,根据脑电图、双频谱指数(BIS)、诱发电位等图形数据的变化调节麻醉深度.
","传感器","2小时","32","34","38","2小时后每增加1小时加收20元.
","1","C""330100016","控制性降压","",,"次","40","42","47",,"1","C""HM941301(330100017)","体外循环","全麻下,游离上腔静脉后间隙,套上腔静脉阻断带,游离主肺动脉间隔,分别缝合主动脉荷包,冠脉灌注荷包,上下腔静脉荷包和左心引流荷包,分别套入阻断管,体外循环转机排气,管钳夹闭主动脉和上下腔静脉端,剪开体外循环管道,分别插入主动脉插管,上下腔静脉插管,左心引流管和灌注管,固定并连接到体外循环管道,与体外循环医生核对插管是否连接正确后,转机,降温,游离下腔静脉后间隙,套入下腔静脉阻断带,待体外循环全流量后分别阻断上下腔静脉,从主肺动脉间隙阻断升主动脉,灌停跳液,剪开右心房,心包腔倒冰水心表降温,停跳液灌注完毕.
在体外循环期间替代患者心肺功能,实时监测各项监测指标,根据实际情况添加药物,以维持循环及内环境稳定,保护重要脏器功能.
",,"小时","646","684","760","实行体外循环患者不得再收备体外循环费用.
每增加一个小时加收100元.
","1","C""330100018","镇痛泵体内置入术","含置入和取出;包括化疗泵的置入和取出","泵","次","","","",,"3","A""HBQ62101(330100018)","椎管内镇痛装置置入术","用于癌性疼痛及其它痛性疾病的治疗.
消毒铺巾,穿刺入硬膜外腔或蛛网膜下腔后,经穿刺针向腔内置管并留置,经皮下隧道引出导管,在患者方便的地方埋藏药物持续输注装置,切口处固定敷料,术毕.
密切观察生命体征变化.
不含监测.
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人工报告.
",,"次","19","20","24",,"2","A""340100005","激光疗法","包括原光束、散焦激光疗法",,"每个照射区","14","15","18",,"2","A""LEAYR017","激光光敏治疗","指使用激光器对应用光敏剂的患者进行照射治疗.
仪器准备,药品准备,核对医嘱,评估皮肤,排除禁忌证,告知注意事项,静脉注射光敏剂,48-72小时后进行激光照射,照射区暴露,摆位,佩戴防护眼镜,照射中,观察患者一般情况.
治疗后,查皮肤,记录治疗单.
",,"每个照射区","12","13","15","恶性肿瘤光动力治疗1500元","1","A""340100006","光敏疗法","包括紫外线、激光",,"每个照射区","14","15","18",,"2","A""340100007","电诊断","包括直流电检查、感应电检查、直流一感应电检查、时值检查、强度一时间曲线检查、强度一频率曲线检查、中频脉冲电检查",,"每块肌肉或每条神经","10","10","12",,"1","A""340100008","直流电治疗","包括单纯直流电直疗、直流电药物离子导入治疗、直流电水浴治疗、(单、双、四槽浴)、电化学疗法",,"每个部位","10","10","12",,"1","A""340100009","低频脉冲电治疗","包括感应电治疗、神经肌肉电刺激治疗、失神经肌肉电刺激治疗、间动电疗、经皮神经电刺激治疗、功能性电刺激治疗、银棘状刺激疗法(SSP)",,"次","10","10","12",,"1","A""340100010","中频脉冲电治疗","包括中频脉冲电治疗、音频电治疗、干扰电治疗、动态干扰电治疗、静态干扰电治疗、立体动态干扰电治疗、调制中频电治疗、电脑中频电治疗",,"次","17","18","21",,"1","A""340100011","共鸣火花治疗","",,"每5分钟","7","8","9",,"2","A""340100012","超短波治疗、短波治疗","包括小功率超短波和短波、大功率超短波和短波、脉冲超短波和短波、体腔治疗",,"每个部位","14","15","18",,"2","A""340100013","微波治疗","包括分米波、厘米波、毫米波、微波组织凝固、体腔治疗",,"每个部位","19","20","24",,"2","A""340100014","射频电疗","包括大功率短波、分米波、厘米波",,"次","19","20","24","联合治疗加收","2","A""340100015","静电治疗","包括低压、高压静电治疗、高电位治疗",,"每20分钟","10","10","12",,"2","A""340100016","空气负离子治疗","",,"每30分钟","10","10","12",,"2","A""340100017","超声波治疗","包括单纯超声、超声药物透入、超声雾化",,"每10分钟","10","10","12",,"2","A""340100018","电子生物反馈疗法","包括肌电、皮温、皮电、脑电、心率各种生物反馈",,"次","14","15","18",,"1","A""340100019","磁疗","包括脉冲式、交变等不同机型又分低频磁、高频磁及热点磁、强磁场刺激、热磁振(进口)",,"每20分钟","10","10","12","全身泥疗加收100%","1","A""340100020","水疗","包括药物浸浴、气泡浴、哈伯特槽浴(8字槽)旋涡浴(分上肢、下肢)",,"每20-30分钟","24","26","30",,"2","A""340100021","蜡疗(石蜡疗法)","包括浸蜡、刷蜡、蜡敷",,"每个部位","14","15","18",,"1","A""340100022","泥疗","包括电泥疗、泥敷",,"次","10","10","12",,"2","A""340100023","牵引","包括颈、腰椎土法牵引、电动牵引三维快速牵引、悬吊治疗、脊柱矫正治疗",,"次","19","20","24",,"1","A""340100024","气压治疗","包括肢体气压治疗、肢体正负压治疗",,"每部位","19","20","24",,"1","A""340100025","冷疗","",,"每部位","10","10","12",,"1","A""340100026","电按摩","包括电动按摩、电热按摩、局部电按摩",,"次","10","10","12",,"2","A""340100027","场效应治疗","",,"每部位","10","10","12",,"2","A""340100028","气垫治疗","",,"日","11","12","14",,"1","A""3402","康复""340200001","徒手平衡功能检查","",,"次","19","20","24",,"3","B""340200007","步态分析检查","包括足底压力分析检查",,"次","24","26","30",,"3","B""340200008","言语能力评定","包括一般失语症检查、构音障碍检查、言语失用检查",,"次","19","20","24",,"3","B""340200009","失语症检查","",,"次","48","51","60",,"3","B""340200010","口吃检查","",,"次","19","20","24",,"3","B""340200012","认知知觉功能检查","包括计算定向思维推理检查",,"次","19","20","24","限器质性病变导致的认知知觉功能障碍.
1个疾病过程支付不超过3个月.
","1","B""340200002","仪器平衡功能评定","",,"次","29","31","36",,"3","B""340200003","日常生活能力评定","",,"次","19","20","24","限本目录所列康复项目在具体实施中涉及的日常生活能力评定.
1个疾病过程支付不超过4次.
","1","B""340200005","手功能评定","包括徒手和仪器",,"次","19","20","24","明确手功能障碍患者,总时间不超过90天,评定间隔时间不短于14天.
","1","B""340200004","等速肌力测定","",,"次","19","20","24",,"3","B""340200006","疲劳度测定","",,"次","19","20","24",,"3","B""340200008","言语能力评定","包括一般失语症检查、构音障碍检查、言语失用检查",,"次","19","20","24",,"3","B""340200011","吞咽功能障碍评定","",,"次","14","15","18","一个疾病过程支付不超过三次.
","1","B""340200013","记忆力评定","包括成人记忆成套测试",,"次","14","15","18",,"3","B""340200014","失认、失用评定","",,"次","19","20","24",,"3","B""340200015","职业能力评定","",,"次","14","15","18","法定就业年龄段且有就业意愿,经过PARQ医学筛查适合进行职业功能训练的患者,支付不超过90天.
","1","B""340200016","记忆广度检查","",,"次","14","15","18",,"3","B""340200017","心功能康复评定","",,"次","29","31","36",,"3","B""340200018","肺功能康复评定","",,"次","29","31","36",,"3","B""340200019","人体残伤测定","",,"次","67","71","84",,"3","B""340200020","运动疗法","包括全身肌力训练、各关节活动度训练、徒手体操、器械训练、步态平衡功能训练、呼吸训练",,"次","38","41","48","限器质性病变导致的肌力、关节活动度和平衡功能障碍的患者,1个疾病过程支付不超过3个月;每日支付不超过2次(包括项目合并计算).
与偏瘫、脑瘫或截瘫肢体综合训练同时使用时只支付其中1项.
","1","A""340200021","减重支持系统训练","",,"20分钟/次","19","20","24","由神经、肌肉、骨骼疾患导致的独立行走障碍患者,支付不超过30天.
","1","A""340200022","轮椅功能训练","",,"次","19","20","24",,"3","A""340200023","电动起立床训练","",,"次","19","20","24","住院期间,以减少卧床并发症为治疗目的或者以直立行动为康复目标,支付不超过30天.
","1","A""340200024","平衡功能训练","",,"次","29","31","36","有明确的平衡功能障碍,一个疾病过程支付不超过90天.
","1","A""340200025","手功能训练","徒手","支具","次","19","20","24","有明确的手功能障碍,一个疾病过程支付不超过90天.
","1","A""340200026","关节松动训练","包括小关节(指关节)、大关节",,"次","29","31","36","有明确的手功能障碍,一个疾病过程支付不超过90天.
","1","A""340200027","有氧训练","","氧气","次","14","15","18",,"3","A""340200028","文体训练","",,"次","14","15","18",,"3","A""340200029","引导式教育训练","",,"次","19","20","24",,"3","A""340200030","等速肌力训练","",,"次","19","20","24",,"3","A""340200031","作业疗法","含日常生活动作训练",,"次","38","41","48","限器质性病变导致的生活、工作能力障碍.
1个疾病过程支付不超过3个月;每日支付不超过1次.
存在日常生活活动能力障碍(ADL)的患者,重度患者支付不超过90天,中度患者支付不超过60天,轻度患者支付不超过30天,每14天训练经功能量表评定后取得明确功能进步才可继续支付.
","1","A""340200032","职业功能训练","",,"次","19","20","24","法定就业年龄段且有就业意愿,经过PARQ医学筛查适合进行职业功能训练的患者,支付不超过90天.
","1","A""340200033","口吃训练","",,"次","19","20","24",,"3","A""340200034","言语训练","",,"次","48","51","60","限器质性病变导致的中、重度语言障碍.
1个疾病过程支付不超过3个月;每日支付不超过1次.
","1","A""340200035","儿童听力障碍语言训练","",,"次","19","20","24","6岁以下听力障碍儿童,由取得听觉口语师资格的人员开展,以个别化训练为主要方式,每周最多支付一次,支付不超过一年.
","1","A""340200036","构音障碍训练","",,"次","19","20","24",,"3","A""340200037","吞咽功能障碍训练","",,"次","19","20","24","限中、重度功能障碍;限三级医院康复科或康复专科医院使用.
1个疾病过程支付不超过3个月.
","1","A""340200038","认知知觉功能障碍训练","",,"次","19","20","24","限器质性病变导致的认知知觉功能障碍.
1个疾病过程支付不超过3个月.
","1","A""340200039","康复评定","含咨询",,"次","29","31","36","有明确的功能障碍;评定由3名以上专业人员开展,至少包含两个评估项目;一个住院期间医保支付不超过三次;两次评定间隔时间不短于14天.
","1","B""340200040","偏瘫肢体综合训练","",,"40分钟/次","48","51","60","1个疾病过程支付不超过3个月.
与运动疗法同时使用时只支付其中1项.
","1","A""340200041","脑瘫肢体综合训练","",,"40分钟/次","19","20","24","限儿童.
3岁以前,每年支付不超过6个月;3岁以后,每年支付不超过3个月.
支付总年限不超过5年.
与运动疗法同时使用时只支付其中1项.
","1","A""340200042","截瘫肢体综合训练","",,"40分钟/次","19","20","24","上肢训练支付不超过30天,下肢训练支付不超过20天,髋关节或肩关节离断、高位大腿截肢训练支付不超过90天.
","1","A""七、中医及民族医诊疗类""本类说明:"1、本类包括中医外治、中医骨伤、针刺、灸法、推拿疗法、中医肛肠、中医特殊疗法、中医综合类8个亚类,共计198项.
本类编码为400000000.

"2、与西医相同的诊疗项目,需在相应的西医系统诊疗项目中查找,不在此重复列项.

"41","(一)中医外治","","药物",,,,,"6岁以下儿童加收30%.
",,"410000001","贴敷疗法","含药物调配",,"每个创面","10","13","15""410000002","中药化腐清创术","含药物调配",,"每个创面","24","26","30""410000003","中药涂擦治疗","含药物调配",,"10%体表面积","21","27","30""410000004","中药热奄包治疗","含药物调配",,"每个部位","12","13","15""410000005","中药封包治疗","含药物调配",,"每个部位","24","31","35","按每部位面积大小分为特大、大、中、小分别计价(特大>15cm*15cm、大>10cm*10cm,≤15cm*15cm、中>5cm*5cm,≤10cm*10cm、小≤5cm*5cm""410000006","中药熏洗治疗","含药物调配",,"次","28","36","40",,"2","A""410000007","中药蒸汽浴治疗","含药物调配",,"次","35","45","50","每次30分钟,超过30分钟加收10元","2","A""410000008","中药塌渍治疗","含药物调配",,"10%体表面积","21","27","30","大于全身表面积10%加收10元","1","A""410000009","中药熏药治疗","含药物调配",,"次","21","27","30",,"2","A""410000010","赘生物中药腐蚀治疗","含药物调配",,"每个赘生物","16","17","20",,"1","A""410000011","挑治","",,"次","24","26","30",,"1","A""410000012","割治","",,"次","19","20","24",,"1","A""410000013","甲床放血治疗术","指穿透甲板,放出甲下积血",,"每甲",,,"",,"3","A""42","(二)中医骨伤","不含X光透视、麻醉.
部分项目参见肌肉骨骼系统手术",,,,,,"6岁以下儿童加收30%.
",,"420000001","骨折手法整复术","",,"次","140","180","200","陈旧性骨折加收100%;骨折合并脱位的加收50%;掌(跖)、指(趾)骨折按脱位的50%收费","1","A""420000002","骨折橇拨复位术","",,"次","350","450","500",,"1","A""420000003","骨折经皮钳夹复位术","",,"次","576","612","720",,"1","A""420000004","骨折闭合复位经皮穿刺(钉)内固定术","含手法复位、穿针固定",,"次",,,"","四肢长骨干、近关节加收","3","A""420000005","关节脱位手法整复","含手法复位、穿针固定",,"次","280","360","400","陈旧性脱位加收100%;髋关节脱位加收100%;下颌关节脱位、指(趾)间关节脱位按50%收费","1","A""420000006","骨折外固定架固定术","含整复固定","外固定材料","次","420","540","600","复查调整收10%,二次整复不得收费","1","A""420000007","骨折夹板外固定术","含整复固定,包括复查调整、8字绷带外固定术、叠瓦氏外固定术","外固定材料","次","280","360","400","复查调整收10%,二次整复不得收费","1","A""420000008","关节错缝术","",,"次","105","135","150",,"1","A""420000009","麻醉下腰椎间盘突出症大手法治疗","含X光透视、麻醉",,"次","576","612","720",,"1","A""420000010","外固定架使用","",,"日","10","13","15",,"1","A""420000011","关节粘连传统松解术","",,"次","140","180","200","大关节加收50%","1","A""420000012","外固定调整术","包括骨折外固定架、外固定夹板调整",,"次",,,"",,"3","A""420000013","中医定向透药疗法","含仪器使用","药物","部位",,,"",,"3","A""420000014","外固定架拆除术","含器械使用",,"次",,,"",,"3","A""420000015","腱鞘囊肿挤压术","含加压包扎",,"次",,,"",,"3","A""420000016","骨折畸形愈合手法折骨术","含折骨过程、重新整复及固定过程","固定物","次",,,"",,"3","A""420000017","腰间盘三维牵引复位术","指在三维牵引床下完成的复位术",,"次",,,"",,"3","A""PBC","(三)针刺与灸法"6岁以下儿童加收30%.
",,"本节项目计价单位中的"部位"指每个穴位或每个反应点.
"PBCA0101","普通针刺","使用普通毫针,选择一般常用腧穴1-20个,根据病情及腧穴特点选择进针的深度、角度及刺激量,取得所需针感,采用单式补泻手法,决定是否留针、如何留针.
",,"次","30","39","44",,"1","A""PBCA0102","特殊穴位针刺","指在普通针刺的基础上,根据疾病特点,针刺具有一定危险性的特殊穴位,含睛明、承泣、球后、风府、风池、哑门、人迎、天突、冲门、长强、会阴及位于胸胁、背部、肋间的腧穴等.
",,"次","37","48","54","收取"特殊穴位针刺"费后不再收取"普通针刺"费","1","A""PBCA0103","特殊手法针刺","指在普通针刺的基础上,根据疾病特点和病情虚实,采用特殊角度和深度手法以及复式补泻手法进行刺激,含透刺法、烧山火、透天凉、阳中隐阴、阴中隐阳、青龙摆尾、白虎摇头、苍龟探穴、赤凤迎源等.
",,"次","43","46","54","收取"特殊手法针刺"费后不再收取"普通针刺"费","1","A""PBCA0104","针刺运动治疗","医生在运用普通针刺手法时,加让病人配合做特别的动作或由医生帮助病人运动,以获得最佳疗效.
",,"次","21","27","30",,"1","A""PBCA0201","头针治疗","选择头部特定的腧穴或部位,将毫针快速刺入头皮下,当针到达帽状腱膜下层时,采用快速捻转针法(大约200转/分)或抽送提插手法实施操作,出针后要压迫止血.
",,"次","23","29","33",,"1","A""PBCA0301","耳针治疗","按照耳针疗法的取穴原则,在耳部选择1-5个特定穴区,将毫针快速刺入皮下,采用捻转手法实施操作,治疗过程中,必须严格消毒,以防耳部感染.
",,"次","24","26","30",,"1","A""PBCA0401","眼针治疗","按照眼针疗法的取穴原则,在眼周选择1-5个特定穴区,选取适合规格的毫针,采用直刺或平刺法实施操作.
",,"次","26","28","33",,"1","A""PBCA0501","面针治疗","按照面针疗法的取穴原则,在面部选择1-5个特定穴区,选取适合规格的毫针,采用平刺、斜刺或直刺针法实施操作.
",,"次","21","27","30",,"1","A""PBCA0601","鼻针治疗","按照鼻针疗法的取穴原则和方法,在鼻部选择1-5个特定穴区,选取适合规格的毫针,采用平刺、斜刺或直刺针法实施操作.
",,"次","24","26","30",,"1","A""PBCA0701","鼻腔针刺治疗","在鼻镜窥视下将毫针分别刺入双侧鼻腔的鼻甲、鼻丘1-5个特定穴区,取针时用消毒棉球填入鼻孔内止血,30分钟后取出.
",,"次","26","28","33",,"1","A""PBCA0801","口针治疗","按照口针疗法的取穴原则和方法,在口腔黏膜上的1-5个特定穴区,选取适合规格的毫针,采用斜刺、捻转手法实施操作.
",,"次","18","19","22",,"1","A""PBCA0901","舌针治疗","按照舌针疗法的取穴原则和方法,在舌体上的1-5个特定穴区,选取适合规格的毫针进行针刺或采用放血针具放血的方法实施操作.
",,"次","18","19","22",,"1","A""PBCA1001","腹针治疗","按照腹针疗法的取穴原则与方法,在腹部选择1-10个特定穴区,选取适合规格的毫针,采用直刺法实施操作.
",,"次","26","28","33",,"1","A""PBCA1101","手针治疗","按照手针疗法的取穴原则,在手部选择1-5个特定穴区,选取适合规格的毫针,采用平刺、斜刺或直刺法实施操作.
",,"次","18","19","22",,"1","A""PBCA1201","腕踝针治疗","按照腕踝针疗法的取穴原则与方法,在腕踝部选择1-5个特定穴区,选取适合规格的毫针,采用平刺法实施操作.
",,"次","16","17","20",,"1","A""PBCA1301","项针治疗","按照项针疗法的取穴原则与方法,在颈项部选择1-5个特定穴区,选取适合规格的毫针,采用直刺或斜刺法实施操作,要严格掌握针刺的角度、深度.
",,"次","26","28","33",,"1","A""PBCA1401","夹脊针治疗","按照夹脊针疗法的取穴原则与方法,在脊柱两侧选择与疾病相应节段的夹脊穴或刺激点,选取适合规格的毫针,采用直刺法、斜刺法实施操作,要严格掌握针刺的角度、深度.
",,"次","35","37","44",,"1","A""PBCA1501","芒针治疗","选用125-225毫米的特制长针,采用特别的进针方法进针,当针刺达到一定深度后实行捻转手法,按一定的规律结合轻重、快慢、方向的不同要求完成补泻手法.
",,"3个穴位","16","20","23","计价最多不超过6个穴位","1","A""PBCA1601","梅花针治疗","采用梅花针进行穴位和患部局部叩刺,以腕部弹力均匀有节奏叩打皮肤,刺激强度分轻、中、重三种.
",,"次","19","20","24",,"1","A""PBCA1701","火针治疗","按取穴原则进行火针治疗.
将火针由针身向针尖逐渐烧红至发白,对准穴位迅速刺入到一定深度,稍停,随即退出,操作方法有点刺、散刺、浅刺、深刺等,进针、出针均要求快速、准确,应特别注意避开血管、肌腱、神经干及内脏器官,面部慎用.
",,"次","18","19","22",,"1","A""PBCA1801","锋钩针治疗","根据病情,选用特制的锋钩针针具,在选定的腧穴进行割治.
以一手食指、中指按压腧穴处,朝相反方向用力绷紧皮肤,两指之间保持约1厘米宽度,另一手迅速持针刺入皮下,接连勾割3-5次,割断肌纤维或出血,出针后压迫止血.
",,"部位",,,"","计价最多不超过3个部位.
每个穴位或每个反应点为一个部位","3","A""PBCA1901","镵针治疗","选择特制的镵针针具,手持镵针,用其锋利的刀刃在选定的1-3个穴位或反应点处进行划割,根据病情和部位确定划割方向、划割长度和出血程度.
",,"部位",,,"","同上","3","A""PBCA2001","杵针治疗","选用特制的杵针针具,根据辨证取穴进行治疗.
基本手法有:点叩、升降、开阖、运转、分理,并要实施相应的补泻手法.
",,"次","16","17","20",,"1","A""PBCA2101","圆针治疗","选用特制的圆针针具,根据辨证取穴进行治疗.
基本手法是用圆针在体表进行揩摸,要根据病情确定力度、时间.
",,"次","17","18","21",,"1","A""PBCA2201","蜂针治疗","利用活蜂尾针蛰刺进行治疗.
治疗前必须在医生观察下进行试针,无过敏反应才可用本法治疗,用蜂镊夹取公蜂,拔出蜂螫器官,并在数秒钟内用此在选定的腧穴垂直散刺,随刺随拔或刺入留针2-3秒,用力要适中,以免折断,每次用蜂量在10只左右,治疗完毕,留观30分钟.
",,"次","70","75","88",,"1","A""PBCA2301","金针治疗","使用金制针具,针前循按体表,沿经络循行方向,揉按肌肉使之舒展.
指切穴位,右手持针入穴位,可实行捻转补泻手法.
",,"次","26","27","32",,"1","A""PBCA2401","微波针治疗","毫针针刺,运用手法得气后,接通微波治疗仪,根据仪器说明进行操作,将小剂量微波辐射照射穴位,注意要缓调旋钮.
",,"次","21","27","30",,"1","A""PBCA2501","普通电针治疗","在毫针针刺基础上,将电针仪的输出电极连接在毫针针柄上,给予电刺激进行治疗的一种方法.
根据病情,选择适宜的电脉冲波型、变换频率、刺激强度、治疗时间,注意要缓调旋钮.
",,"次","35","45","50","收取"普通电针治疗"费后不再收取"普通针刺"、"特殊穴位针刺"、"特殊手法针刺"费","1","A""PBCA2502","电冷针灸治疗","毫针常规针刺,得气后,接通电子冷热针灸仪,根据疾病性质、病变部位、病势急缓等选择温度、时间,通电后使针体制冷,通电10-15分钟.
",,"次","18","19","22",,"1","A""PBCA2503","电火针治疗","使用电火针仪治疗.
仪器通电,使金属针头快速加热,针头被烧红,调节温度,通电加热在针体刺入穴位之前完成,快速刺入,快速出针,在体内不留针或短暂留针.
",,"次","18","19","22",,"1","A""PBCA2504","电热针灸治疗","具有针刺、火针、灸疗的综合作用.
接通电子冷热针灸仪,电流通过特制的针具产生热量,针尖部的温度可在40-700℃之间,局部75%酒精消毒,针刺入穴位、得气,通电产生热量,留针15-20分钟.
",,"次","18","19","22",,"1","A""PBCA2505","模拟针刺手法电针治疗","通过电脉冲刺激装置,模拟针灸临床常用的多种针刺手法作用于机体,在体现一般电针疗法作用的同时,又有手法运针效果,根据病情选用不同的模拟针刺手法、控制刺激量、确定治疗时间.
",,"次","18","19","22",,"1","A""PBCB","灸法""PBCB0101","艾条灸治疗","手持点燃的艾条对施灸穴位或病灶实施灸疗.
根据病性、病情、患者体质和穴位等确定选用温和灸、雀啄灸或回旋灸,补泻方法及灸量,安置体位,审定穴位所在,密切观察灸处肤色变化和患者神情变化,注意灸处感觉和病情变化,及时调整艾条和灸处皮肤距离及灸量,防止烫伤.
",,"次","23","29","33",,"1","A""PBCB0201","直接灸治疗","根据病性、病情、患者体质和穴位等确定选用化脓灸或非化脓灸、补泻方法、灸量,安置体位、审定穴位所在,密切观察灸处肤色变化和患者神情变化,注意灸处感觉和病情变化,及时调整灸量.
不含换药.
",,"次","27","35","39",,"1","A""PBCB0301","隔物灸治疗","根据病性、病情、患者体质和穴位等,确定使用的间隔药物并对药物进行中药饮片调配临方复杂炮制,安置体位,选择合适的灸量,密切观察灸处肤色变化和患者神情反应,以了解灸处感觉和病情变化,及时调整灸量,防止烫伤.
不含中药饮片调配临方复杂炮制.
",,"次","26","28","33","同一次治疗用几种间隔物不叠加收费","1","A""PBCB0401","温灸器灸法","根据病情,选定腧穴,确定所需艾段和灸量,将艾段放置于温灸器中,安置体位,密切观察灸处肤色变化和患者神情反应,以了解灸处感觉和病情变化,及时调整灸量,防止烫伤.
",,"次","18","19","22",,"1","A""PBCB0501","温针灸治疗","指在普通针刺基础上,再于针柄上放置艾绒,点燃,可根据病情,更换艾绒.
密切注意灸处感觉,防止烫伤.
",,"次","35","45","50","收取"温针灸治疗"费后不再收取"普通针刺"费","1","A""PBCB0601","天灸治疗","选用某些有刺激性的药物,并对药物进行中药饮片调配临方复杂炮制,贴敷在穴位上,使其局部自然发泡,通过刺激穴位达到治疗疾病的目的.
根据病性、病情、患者体质和穴位等确定和制备天灸药物,安置体位,密切观察灸处肤色变化和感觉,及时调整灸疗时间,进行必要的发泡部位处理.
不含中药饮片调配临方复杂炮制.
",,"次","64","68","80","同一次治疗用几种药物不叠加收费","1","A""PBCB0701","灯火灸治疗","取3-4寸长的灯芯草,一端蘸麻油或其它植物油,点燃起火后,迅速有力点触选定穴位,听到"叭"的一声响,旋即将灯芯草离开皮肤,多用于儿童,需要与家长和患儿充分沟通,灸后起泡时,要进行必要的发泡部位处理.
",,"次","18","19","22",,"1","A""PBCB0801","药线点灸治疗","选用特制的药线进行点灸.
药线点燃后,稳健而敏捷地将带有珠火的线头直接点按在穴位上,每穴1壮,轻病快速点灸,重病可点按片刻.
治疗手法分轻、中、重三种操作手法.
",,"次","18","19","22",,"1","A""PBCB0901","督灸治疗","督灸是指于督脉的脊柱段施以隔药灸并使之发泡治疗疾病的一种灸疗方法.
患者裸背俯卧于硬板床上,沿脊柱自下而上常规消毒皮肤,自大椎穴至腰俞穴呈线状撒上特制中药粉,然后覆盖条形桑皮纸,在其上铺垫经过加工的生姜泥或蒜泥呈上窄下宽的梯形状.
最后在梯形的生姜泥上面均匀放置艾绒,点燃艾绒的头、身、尾三点,任其自燃自灭,1壮灸完后再换1壮,连续灸完3壮后移去生姜泥,灸后局部皮肤自然起泡,1天后将泡液放掉.
不含换药.
",,"次","176","187","220",,"1","A""PBCB1001","大灸治疗","大灸是一种以萝卜片与蒜泥为隔物行大面积灸疗的铺灸法.
先灸背腰部,再灸胸腹部,操作方法基本同督灸法,灸完后,十宣放血,并针刺双侧三阴交,泻法,不留针.
不含换药.
",,"次","144","153","180",,"1","A""PBCB1101","雷火灸治疗","选用特制的雷火灸条,将一端点燃,用棉布包裹其烧着的一端,立即紧按于应灸穴位,进行灸熨,灸条冷后再燃再熨,反复灸熨5-10次为度.
",,"次","26","28","33",,"1","A""PBCB1201","太乙神针灸治疗","选用特制的太乙神针灸条,将一端烧着,用棉布包裹其烧着的一端,立即紧按于应灸穴位,进行灸熨,针冷再燃再熨,反复灸熨5-10次为度.
",,"次","26","28","33",,"1","A""PBCC","拔罐法""PBCC0101","普通拔罐治疗","根据病情选定闪罐和/或留罐方法,选用经过消毒的普通罐具在治疗部位皮肤上闪拔和/或留置.
用闪罐法治疗,用闪火法将罐吸拔于应拔部位,随即取下、再吸拔、再取下,反复吸拔至局部皮肤潮红为度,用留罐法治疗,要将吸拔于皮肤上的罐具留置一定时间,使局部皮肤潮红或皮下瘀血后再将罐具取下,操作过程中,要密切关注拔罐部位皮肤的变化,避免不必要的起泡现象.
用留罐法治疗,如果治疗需要起泡,要先征求患者同意.
",,"次","24","26","30",,"1","A""PBCC0201","走罐治疗","在施治部位皮肤上涂抹润滑剂,或用温水或药液,根据病情确定适宜的负压,选用经过消毒的罐具,先将罐吸拔在皮肤上,再按确定的路线、方向、面积,用适宜的力度,在皮肤上来回滑动,直至皮肤紫红为度,推罐时用力要均匀.
",,"次","28","30","35",,"1","A""PBCC0301","水罐治疗","根据病情,确定拔罐的部位和竹罐的规格及数量,将竹罐放入水中或药液中煮沸2-3分钟,然后用镊子将罐倒置夹起,迅速用干毛巾捂住罐口片刻,吸去罐内的水液,趁热将罐迅速吸拔于应拔部位,令其吸牢,并留置一定时间,数个竹罐依次操作.
",,"次","28","30","35",,"1","A""PBCC0401","磁罐治疗","选用带有磁性的罐具,采用普通拔罐疗法技术,通过磁、热、负压作用于人体治疗疾病.
",,"次","28","30","35","不再收取"普通拔罐治疗"费","1","A""PBCC0501","电罐治疗","选用特殊的电罐,利用电动吸引器抽吸,将罐内的空气吸除,调节罐内负压,形成需要的负压,要注意掌握吸力的大小.
",,"次","24","26","30","同上","1","A""PBCC0601","电火罐治疗","选用特制的电火罐治疗仪,将罐吸拔并留置于皮肤,通过罐内红外发热体产生的热力及拔罐形成的负压进行治疗,要注意掌握好适宜的温度、治疗时间.
",,"次","24","26","30","同上","1","A""PBCC0701","真空罐治疗","选用真空罐,通过抽气使罐内形成负压,将罐吸拔并留置于皮肤治疗疾病.
",,"次","24","26","30","不再收取"普通拔罐治疗"费.
带磁真空罐,不再收取"磁罐治疗"费","1","A""PBCD","其它针灸治疗""PBCD0101","穴位放血治疗","根据病情确定穴位,选择放血针具,持针具快速刺入到合适的深度,快速出针,挤出适量的血液,压迫止血,对一般腧穴应充分按揉,使之充血后再行针刺.
",,"次","84","108","120",,"1","A""PBCD0102","静脉放血治疗","根据病情选定某部位较大的静脉,采取相应的措施使静脉充血鼓胀,持放血针具快速刺入,快速出针,适量放血,压迫止血.
",,"部位","15","19","22","计价最多不超过3个部位","1","A""PBCD0201","穴位埋线治疗","皮肤常规消毒可局部麻醉,若采用套管针埋线法治疗,取适当长度的可吸收性外科缝线,放入套管针的前端,后接针芯,用拇指和食指固定拟进针穴位,另一手持针刺入穴位,达到所需深度,施以适当的提插捻转手法,找到针感,退针芯、针管,将可吸收性外科缝线埋植在穴位的肌层或皮下组织内,拔针止血.
若采用埋线针埋线法治疗,取适当长度的可吸收性外科缝线,一手持镊子将线中央置于麻醉点上,另一手持埋线针,缺口向下,以15-45°角刺入,将线推入皮内,持续进针直至线头完全埋入穴位的皮下,再适当进针,拔针止血.
若采用医用缝合针埋线法,一手用持针器夹住穿有可吸收性外科线的皮肤缝合针,另一手捏起两局麻点之间的皮肤,将针从一侧局麻点刺入,穿过肌层或皮下组织,从对侧局麻点穿出,紧贴皮肤剪断两端线头,放松皮肤,轻柔局部,使线头完全进入皮下.
拔针止血.
","特殊缝线","部位","19","25","28","计价最多不超过5个部位.
每个穴位或每个反应点为一个部位.
每次限收套管针埋线法、埋线针埋线法、医用缝合针埋线法的一种","1","A""PBCD0301","穴位注射治疗","根据病情,确定穴位,选择药物及浓度、注射器和注射针型号,确定准确的进针位置,皮肤常规消毒后进行注射,针头刺入穴位得气后,回抽针芯,无回血、无回液即注入一定量的药物,在注射过程中要密切观察患者的反应.
",,"次","15","19","22",,"1","A""PBCD0401","穴位贴敷治疗","选择适宜的药物,并对药物进行中药饮片调配临方复杂炮制,选择贴敷方法,将制备好的药物贴敷于穴位,贴敷一定的时间,密切观察贴敷后皮肤的变化.
",,"次","61","79","88",,"1","A""PBCD0501","浮针治疗","在特定部位循按寻找反应点以确定针刺部位,皮肤严格消毒,选用不同规格的浮针,根据一定的方向,将浮针平刺进入皮下组织,进行扇形平扫刺激,边操作边根据患者症状的改变调整针刺的方向,退出针芯,软管留置于体内,包扎.
",,"部位","18","19","22","计价最多不超过3个部位.
每个反应点为一个部位","1","A""PBCD0601","普通滚针治疗","采用滚刺筒针进行穴位和患部局部皮肤滚刺,使刺激范围形成一个狭长的面,刺激强度分轻、中、重三种.
",,"次","18","19","22",,"1","A""PBCD0602","电滚针治疗","采用滚刺筒针进行穴位和患部局部皮肤滚刺,同时增加电刺激,使刺激范围形成一个狭长的面,刺激强度按电针强度调节.
",,"次","18","19","22",,"1","A""PBCD0701","磁针治疗","将磁片直接或间接贴敷于穴位,通过磁铁产生的磁场作用于人体穴位进行治疗.
",,"次","15","19","22",,"1","A""PBCD0801","皮内针治疗","选择适宜的不同规格、不同形状的一次性皮内针,皮肤常规消毒后进针,用颗粒型皮内针治疗时,一手将腧穴部皮肤向两侧舒张,另一手持镊子夹持针尾平刺入腧穴皮内,用揿钉型皮内针治疗时,一手固定腧穴部皮肤,另一手持镊子夹持针尾直刺入腧穴皮内,其后用胶布粘贴固定,嘱患者每日自行按压3-4次,一般1-3天后出针.
",,"部位","11","15","17","计价最多不超过8个部位.
每个穴位或每个反应点为一个部位","1","A""PBCD0901","激光针治疗","患者裸露被照穴位.
打开激光器后,产生额定值范围的激光束,将光束对准穴位,每穴根据病情照射数十秒至数十分钟.
",,"次","13","15","17",,"1","A""PBCD1001","割治","将割治部位皮肤严格消毒,局部麻醉,用小手术刀划割约0.
5-1厘米的小切口,挑出或挤出少量皮下脂肪并剪去,之后可用止血钳在切口内适当划动刺激,使患者局部出现酸、麻、胀感,消毒包扎止血.
",,"部位","44","47","55","计价最多不超过3个部位","1","A""PBCD1101","针刺麻醉","确定针麻手术方案,选择适当的穴位(体穴或耳穴)针刺,采用捻转、提插的针刺手法,出现得气,并经过一定时间的诱导刺激,在病人处于痛觉迟钝而神志清楚的状态下实行外科手术,直至手术结束.
也可同时加用电针刺激,要选择适当的频率、刺激强度.
",,"次","105","135","150",,"1","A""PBCD1201","经络穴位测评治疗","利用经络测评仪和经络导平仪,通过对人体经络、特定腧穴的测试,测出受阻经络,判断经络、穴位失衡状态,并对其进行定向导通达到治疗目的.
",,"次","14","18","20",,"1","A""PBCD1301","子午流注开穴法","根据阴阳五行、脏腑经络及五输穴理论,依据患者来诊治疗时的日时干支,选取特定穴位,先推算出就诊时的年之干支,再推算出月之干支和日干支,最后推算出时干支,再结合十二经纳干歌、五输穴配合阴阳五行、辨证开穴等理论而确定治疗选用的腧穴.
",,"次","26","28","33","若同时选用"子午流注开穴法"、"灵龟八法开穴法"、"飞腾八法开穴法"中的2-3种方法,只收取一种方法费用","1","A""PBCD1302","灵龟八法开穴法","是运用古代哲学的九宫八卦理论,结合人体奇经八脉气血的会合,取其与奇经相通的8个穴位,按照日时干支的推演数字变化,采用相加、相减的方法,作出按时取穴的一种方法,具体方法是:将日、时干支的数字共同加起来,得出4个数字的和,然后按照阳日用9除,阴日用6除的公式,去除干支的和数,再将它的余数求得八卦所分配的每穴的数字,就是当时应开的腧穴.
",,"次","26","28","33","同上","1","A""PBCD1303","飞腾八法开穴法","以八脉交会穴为基础按时开穴的一种取穴方法,先推出每日时干,再找出纳入卦上之八穴,需要牢记"五子建辰歌"及"飞腾八法歌".
",,"次","26","28","33","同上","1","A""PBCD1401","耳穴压丸治疗","医者一手固定耳廓,另一手用镊子夹取压丸贴压耳穴,并适度按揉,根据病情嘱患者定时按揉.
","磁珠","次","13","14","17",,"1","A""45","(四)推拿疗法""PBD","中医推拿治疗"推拿耗时在20分钟左右",,"PBDA0101","颈椎病推拿治疗","患者坐位,医者用滚法、一指禅推法、拿捏法、按揉法、弹拨法、点压法等在颈项部、枕后部、肩胛部、横突后结节等部位操作,刺激痛点及风池、颈夹脊等穴位,缓解肌紧张,松解粘连,同时可做小幅度旋摇颈椎,施用颈椎斜扳法、颈椎旋转定位扳法、颈椎旋提手法,调整颈椎间关节的错移,恢复颈椎动静力平衡,最后用拿法、分推法、叩击法等结束整理.
",,"次","38","41","45",,"1","A""PBDA0201","寰枢关节失稳推拿治疗","患者坐位或仰卧位或侧卧位,医者用滚法、一指禅推法、弹拨法、揉法在颈项部、枕后部及肩部操作,松解痉挛的颈枕肌群,重点刺激枕寰枢关节旁痛点,施用寰枢关节前屈微调手法,调整失稳的寰枢关节,纠正异常位移,最后以推法、擦法等结束整理.
",,"次","38","41","45","此项不得与"颈椎小关节紊乱推拿治疗"同时收取","1","A""PBDA0301","颈椎小关节紊乱推拿治疗","患者坐位,医者用滚法、一指禅推法、拿捏法、按揉法、弹拨法、点压法等在颈项背部操作,松解椎旁上下软组织,重点刺激旁小关节痛点,施用颈椎斜扳法,纠正颈椎后关节紊乱,最后用拿法、分推法、叩击法等结束整理.
",,"次","38","41","45","此项不得与"寰枢关节失稳推拿治疗"同时收取","1","A""PBDA0401","胸椎小关节紊乱推拿治疗","患者俯卧位,医者用滚法、一指禅推法、揉法、弹拨法在胸背部,松解椎旁上下软组织,重点刺激椎旁小关节痛点.
施用俯卧推按法、旋转按压法、端坐顶推法等,纠正胸椎后关节紊乱,最后以推法、擦法等结束整理.
",,"次","34","36","40",,"1","A""PBDA0501","腰椎小关节紊乱推拿治疗","患者俯卧位,医者用滚法、一指禅推法、按揉法、拿揉法、点压法、弹拨法在腰骶部操作,松解椎旁上下软组织,重点刺激旁小关节痛点.
施用传统腰部斜扳法、腰椎分步斜扳法,纠正腰椎关节紊乱.
最后以屈髋屈膝法等结束整理.
",,"次","34","36","40",,"1","A""PBDA0601","腰椎间盘突出推拿治疗","患者俯卧位,医者用滚法、按揉法、拿揉法、点压法、弹拨法等在腰骶部棘突旁、两侧骶棘肌及下肢部操作,重点刺激棘突旁痛点及肾俞、大肠俞等穴位,缓解肌肉紧张痉挛,松解组织粘连,施用推腰扳肩法、推腰扳腿法、传统腰部斜扳法、腰椎旋转复位法、腰椎分步斜扳法、直腰旋转扳法,调整关节间隙,松解突出物与神经根粘连,最后用牵抖法、屈髋屈膝法结束整理.
",,"次","71","75","83",,"1","A""PBDA0701","第三腰椎横突综合征推拿治疗","患者俯卧位,医者用滚法、按揉法重点在第三腰椎横突处操作,缓解肌紧张,作与第三腰椎横突处条索状硬结垂直方向的弹拨,配合腰部后伸等被动活动,消散瘀结,松解局部粘连.
",,"次","31","32","36",,"1","A""PBDA0801","骶髂关节紊乱症推拿治疗","患者俯卧位,医者用分推法、揉法重点在患侧骶髂关节部操作,放松局部软组织张力.
施用骶髂关节前错位复位手法或骶髂关节后错位复位手法,整复错动关节.
",,"次","32","34","38",,"1","A""PBDA0901","强直性脊柱炎推拿治疗","患者俯卧位,医者用滚法、揉法、弹拨法在脊柱两侧膀胱经、夹脊穴、两侧骶棘肌上操作,松弛紧张的肌肉,施用按脊后伸法、仰卧运髋法、扩胸伸脊法、推擦脊柱法,舒筋通络,滑利关节.
",,"次","32","34","38",,"1","A""PBDA1001","外伤性截瘫推拿治疗","患者先后取仰卧位和俯卧位,医者用滚法、推揉法、按揉法、弹拨法、捏脊法在四肢、背部操作,同时配合腰骶、髋、膝、踝关节的被动运动,舒筋通络,行气活血,促进肢体功能康复.
",,"次","46","49","54",,"1","A""PBDA1101","退行性脊柱炎推拿治疗","松解手法:患者俯卧位,医者用滚法、掌根按揉法、弹拨法在腰脊柱两侧骶棘肌及下肢操作,缓解腰肌痉挛,松解局部粘连,施用腰椎微调手法调整关节,用擦法直擦腰骶部督脉及膀胱经,结束整理.
",,"次","32","34","38",,"1","A""PBDA1201","落枕推拿治疗","患者坐位,医者用滚法、一指禅推法、拿捏法、按揉法、弹拨法等在颈项背部胸锁乳突肌、斜方肌处操作,重点刺激痛点及肩中俞、肩井等穴位,缓解肌肉紧张痉挛,施用颈椎斜扳法或端法等理筋整复,最后用拿揉法、小鱼际叩击法、擦法等结束整理.
",,"次","35","37","41",,"1","A""PBDA1301","四肢关节错缝推拿治疗","医者用拔伸法牵引患肢,配合摇法环转关节,同时在患处按揉、推压、戳按,整复关节间错缝.
",,"次","50","53","59","粉碎骨折加收不超过50%,陈旧性骨折加收不超过100%,骨折合并脱位加收不超过50%","1","A""PBDA1401","项背肌筋膜炎推拿治疗","患者坐位,医者用拿揉法、拇指点压法、按揉法、弹拨法在颈项背部操作,刺激重点穴位及痛点,松解粘连,缓解肌痉挛.
同时配合颈椎屈伸、左右侧屈及旋转等运动,滑利关节.
施用颈胸椎微调手法,理筋整复,滚揉斜方肌和菱形肌,拿揉斜方肌,直擦督脉和膀胱经,结束治疗.
",,"次","30","32","35",,"1","A""PBDA1501","急性腰扭伤推拿治疗","患者俯卧位,医者用滚法、按揉法、拿法、点压法、弹拨法等在腰椎两侧骶棘肌处操作,重点刺激痛点及肾俞、膀胱俞等穴位,缓解肌肉紧张痉挛.
施用腰部后伸扳法、传统腰部斜扳法、腰椎分步斜扳法,理筋整复.
最后用推法、小鱼际擦法、叩击法等结束整理.
",,"次","34","36","40",,"1","A""PBDA1601","腰肌劳损推拿治疗","患者俯卧位,医者用滚法、按揉法、点压法、弹拨法在腰部两侧膀胱经、痛点及肌痉挛处操作,配合腰部后伸被动运动,提高痛阈、松解粘连,施用传统腰部斜扳法、腰椎分步斜扳法,调整关节紊乱,用滚法、揉法、叩打法在腰臀及大腿后外侧操作,结束整理.
",,"次","32","34","38",,"1","A""PBDA1701","梨状肌综合征推拿治疗","患者俯卧位,医者用滚法、掌按揉法沿梨状肌体表投影处操作,用拇指弹拨法于梨状肌肌腹呈垂直方向弹拨,并配合做患髋后伸、外展及外旋等被动运动,最后施擦法擦热局部.
",,"次","31","32","36",,"1","A""PBDA1801","臀上皮神经损伤推拿治疗","患者俯卧位,医者用滚法、按法、揉法在患侧腰臀部及大腿后外侧操作,然后用拇指弹拨法在髂嵴最高点内侧2—3厘米处,做与条索状肌筋呈垂直方向弹拨,整复、松解挛缩变形的肌筋,最后用擦法擦热局部.
",,"次","29","31","35",,"1","A""PBDA1901","肩周炎推拿治疗","患者坐位,医者用滚法、一指禅推法、拿捏法、按揉法、弹拨法在肩前部、三角肌部、腋后部等部位操作,重点刺激痛点及肩井、肩贞等穴位,理筋松解止痛,施用肩关节外展扳法、内收扳法、旋内扳法、上举扳法,松解粘连,滑利关节,改善肩关节的活动范围,用抖法、搓法、拿法等结束整理.
",,"次","32","34","38",,"1","A""PBDA2001","滑囊炎推拿治疗","患者坐位,医者用滚法、按法、揉法、拿法在患部操作,然后用关节摇法、抖法舒筋通络,滑利关节.
",,"次","31","32","36",,"1","A""PBDA2101","肱骨外上髁炎推拿治疗","患者坐位或仰卧位,医者用滚法、按揉法、点压法等在患肢内外侧面操作,重点刺激肱骨外上髁处及曲池、手三里等穴位,舒筋松解,施用拔伸法牵引肘关节,拇指弹拨肱骨外上髁处,配合肘关节的屈伸、前臂的旋转活动,松解局部粘连,恢复肘关节的活动功能,最后用拿法、大鱼际擦法等结束整理.
",,"次","24","25","28",,"1","A""PBDA2201","神经卡压综合征推拿治疗","医者用滚法、揉法、捻法、按法、点法、拨法在患部肌肉、肌腱、筋膜处操作,重点刺激关键穴位及痛点,然后用摇法、拔伸法、分筋法,松解组织粘连,解除神经受压状况.
",,"次","23","24","27",,"1","A""PBDA2301","桡骨茎突狭窄性腱鞘炎推拿治疗","患者取坐位,医者用按揉法、弹拨法在腕关节桡侧疼痛点作横向推揉和弹拨,然后用拔伸法、牵拉法,配合拇指的外展、内收等被动活动,解除粘连,疏通狭窄,最后用擦法擦热局部.
",,"次","23","24","27",,"1","A""PBDA2401","退行性膝关节炎推拿治疗","患者取坐位或卧位,医者用滚法、点穴法、按揉法、弹拨法等在髌韧带、膝髌周围、内外侧副韧带等操作,重点刺激痛点及阳陵泉、血海等穴位,舒筋松解,施用屈膝摇法,同时配合膝关节的屈伸、旋转等被动活动,松解关节粘连,滑利关节,最后用擦法结束整理.
",,"次","31","32","36",,"1","A""PBDA2501","踝关节损伤推拿治疗","患者坐位,医者用拔伸法牵引患足,拇指按揉痛处,并向下捋顺,同时做踝关节的屈伸活动,轻轻归合,使筋回槽,最后用擦法擦热局部.
",,"次","24","25","28",,"1","A""PBDA2601","腕关节损伤推拿治疗","患者坐位,医者用拔伸法牵引患手,拇指按揉痛处,并向下捋顺,同时做腕关节的屈伸活动,轻轻归合,使筋回槽,最后用擦法擦热局部.
",,"次","24","25","28",,"1","A""PBDB0101","头痛推拿治疗","头面及颈部操作:患者坐位或仰卧位,医者用一指禅推法、指按法、指揉法、抹法、双手扫散法、五指拿法、指尖击法在前额部、头顶及印堂、神庭等穴位操作.
颈肩部操作:患者取坐位或俯卧位,用一指禅推法、揉法、拨法、拿法、滚法在项部膀胱经、督脉、项部两侧肌群上操作.
",,"次","30","32","35",,"1","A""PBDB0201","眩晕推拿治疗","头面及颈部操作:患者坐位或仰卧位,医者用一指禅推法、指按法、指揉法、抹法、双手扫散法、五指拿法、指尖击法在前额部、头顶及印堂、攒竹等穴位操作.
颈肩部操作:患者取坐位或俯卧位,用一指禅推法、揉法、拨法、拿法、滚法在项部膀胱经、督脉、项部两侧肌群上操作.
",,"次","30","32","35",,"1","A""PBDB0301","失眠推拿治疗","头面及颈部操作:患者坐位或仰卧位,医者用一指禅推法、指按法、指揉法、抹法、双手扫散法、五指拿法、指尖击法在前额部、头顶及印堂、睛明等穴位操作.
腰背部操作:患者俯卧位,医者用滚法、掌推法在腰背部操作,重点治疗心俞、肝俞、脾俞、胃俞、肾俞、命门等部位.
",,"次","30","32","35",,"1","A""PBDB0401","感冒推拿治疗","头面及颈部操作:患者坐位或仰卧位,医者用一指禅推法、指按法、指揉法、抹法、双手扫散法、五指拿法、指尖击法在前额部、目眶上下、两侧鼻翼及印堂、攒竹、迎香、太阳等穴位操作.
背部操作:用一指禅推法、按揉法在双侧肺俞、定喘穴操作,用擦法擦背部膀胱经(重点擦大杼至膈俞部位).
上肢部操作:用一指禅推法、按揉法、拿揉法、掌推法在上肢太阴经、阳明经往返操作.
",,"次","30","32","35",,"1","A""PBDB0501","咳喘推拿治疗","胸背部操作:患者取坐位或仰卧位或俯卧位,医者用一指禅推法、中指揉法、分推法在天突、膻中、大椎、定喘等穴位及两胁肋部操作.
四肢部操作:患者取坐位或仰卧位,医者用一指禅推法、指按法、指揉法、拿揉法在尺泽、外关、列缺等穴位操作.
",,"次","30","32","35",,"1","A""PBDB0601","心悸推拿治疗","头面部操作操作:医者用一指禅推法、抹法、揉法、按法、拿法在桥弓、风池、百会穴操作.
胸背部操作:医者用一指禅推法、揉法在心俞、肺俞、膻中上操作.
上肢部操作:医者用按揉法、拿法在双侧内关、神门及双上肢部操作.
",,"次","30","32","36",,"1","A""PBDB0701","消渴推拿治疗","患者仰卧位,先用一指禅推法在中脘、天枢、气海、关元进行操作,在神阙穴用松振腹法进行操作,拿揉双下肢前侧,患者俯卧位,在肝俞、肾俞、胰俞(胸8棘突旁开1.
5寸)使用按揉法进行操作,再滚揉臀部及双下肢后侧.
",,"次","30","32","35",,"1","A""PBDB0801","胃脘痛推拿治疗","胃脘部操作:患者取仰卧位,医者用一指禅推法、四指摩法、按揉法在胃脘部操作,重点刺激中脘、气海、天枢、足三里穴等穴位.
背部操作:患者取俯卧位,医者用一指禅推法、按揉法、擦法在背部膀胱经上操作.
肩臂及胁部操作:患者取坐位,医者用一指禅推法、拿法、揉法、按法在肩井、手三里、内关、合谷等穴位上操作.
",,"次","30","32","35",,"1","A""PBDB0901","慢性胆囊炎推拿治疗","背部操作:患者坐位或俯卧位,医者用点法、按法、一指禅推法、擦法在背部膈俞、肝俞、胆俞及压痛点处操作.
胁肋部操作:患者取坐位,医者用一指禅推法、指按法、指揉法在章门、期门穴操作.
四肢部操作:患者取坐位或仰卧位,医者用一指禅推法、点法、按法、揉法在阴陵泉、胆囊、足三里、三阴交等穴位操作.
",,"次","30","32","35",,"1","A""PBDB1001","呃逆推拿治疗","胸腹部操作:患者仰卧位,医者用按法、揉法、摩法在缺盆穴、膻中穴、中脘穴及腹部操作.
背部操作:患者俯卧位,医者用一指禅推法、按揉法、搓法在背部膀胱经操作,重点刺激膈俞、胃俞等穴位.
",,"次","30","32","35",,"1","A""PBDB1101","腹泻推拿治疗","患者取仰卧位,医者用一指禅推法、摩法、按揉法在中脘、天枢、气海、足三里等穴位操作.
患者俯卧位,医者用一指禅推法、按揉法、擦法在脾俞、胃俞、大肠俞、上次髎穴等穴位操作.
患者取坐位,医者用拿法在肩井、曲池、合谷等穴位操作.
",,"次","30","32","35",,"1","A""PBDB1201","便秘推拿治疗","患者取仰卧位,医者用一指禅推法、摩法在中脘、天枢、关元、大横穴等穴位操作.
患者取俯卧位,医者用指按法、揉法、一指禅推法、搓法在背部脾俞、胃俞、肝俞、大肠俞、足三里等穴位及腹部操作.
",,"次","30","32","35",,"1","A""PBDB1301","癃闭推拿治疗","患者取仰卧位,医生用摩法、按揉法在小腹及中极、气海、关元穴等穴位上操作.
医者用摩法、按揉法在两大腿内侧及髀关、五里穴等穴位上操作.
",,"次","30","32","35",,"1","A""PBDB1401","面瘫推拿治疗","患者取坐位或仰卧位,医者用一指禅推法、揉法、按法、擦法在颜面部及印堂、阳白、睛明、四白等穴位操作.
患者取坐位,医生用一指禅推法、拿法在风池及项部操作.
",,"次","30","32","35",,"1","A""PBDB1501","中风后遗症推拿治疗","头面部操作:医者用点揉、拿、一指禅推法及扫散法作用于印堂、神庭、太阳、颊车、地仓、人中等穴及头侧部.
腰背部操作:用滚法、按法、擦法、拍打法重点作用于督脉经、膀胱经及华佗夹脊穴.
四肢部操作:用点揉法、拿法、推法重点作用于阳明经穴,其次膀胱经穴,然后用运动关节类手法作用于患侧关节.
",,"次","51","54","60",,"1","A""PBDC0101","痛经推拿治疗","患者仰卧位,医者用摩法、一指禅推法、揉法在小腹部及气海、关元穴操作.
患者俯卧位,医者用一指禅推法、滚法、擦法在腰部脊柱两旁及骶部操作.
",,"次","30","32","35",,"1","A""PBDC0201","月经不调推拿治疗","患者取仰卧位,医者用一指禅推法、掌摩法在中脘、关元、气海穴上操作.
患者取俯卧位,医者用一指禅推法、按揉在肝俞、脾俞、肾俞穴等穴位上操作.
拿揉足三里、三阴交、血海、阴陵泉穴.
",,"次","30","32","35",,"1","A""PBDD0101","近视推拿治疗","患者仰卧位,医者用一指禅推法、双手拇指端、中指端揉法、抹法在太阳穴、阳白、印堂、睛明、攒竹、鱼腰、养老、光明穴等穴位及上下眼眶操作.
",,"次","30","32","35",,"1","A""PBDD0201","乳蛾推拿治疗","医者用缠法在喉结两旁操作,用揉法、拿法、按揉法在天突、风池、肩井、翳风、合谷等穴位上操作.
",,"次","30","32","35",,"1","A""PBDE0101","小儿肌性斜颈推拿治疗","患儿取坐位或仰卧位,医者用推揉法、拿捏法放松痉挛的胸锁乳突肌,施用牵拉扳颈法,使患儿头部渐渐向健侧肩部倾斜,逐渐拉长患侧胸锁乳突肌,幅度由小到大,最后用推揉法、拿法结束整理.
",,"次","30","32","35",,"1","A""PBDE0201","小儿发热推拿治疗","外感发热处方与操作:开天门、推坎宫、运太阳、清天河水、清肺经.
肺胃实热处方与操作:清肺经、清胃经、清大肠、揉板门、运内八卦、清天河水、退六腑、揉天枢.
阴虚内热处方与操作:揉二马、清天河水、运内劳宫、补脾经、补肺经、揉足三里、推擦涌泉.
气虚发热处方与操作:补脾经、补肺经、运内八卦、摩腹、分手阴阳、揉足三里、揉脾俞、揉肺俞、清天河水、清大肠、捏脊.
",,"次","33","35","39",,"1","A""PBDE0301","小儿腹泻推拿治疗","伤食泻处方与操作:补脾经、推三关、补大肠、揉外劳、揉脐、推上七节骨、揉龟尾、按揉足三里.
寒湿泻处方与操作:补脾经、推三关、补大肠、揉外劳、揉脐、推上七节骨、揉龟尾、按揉足三里.
脾虚泻处方与操作:补脾经、补大肠、推三关、摩腹、揉脐、推上七节骨、揉龟尾、捏脊.
湿热泻处方与操作:清脾经、清胃经、清大肠、清小肠、退六腑、揉天枢、揉龟尾.
",,"次","32","34","38",,"1","A""PBDE0401","小儿咳嗽推拿治疗","风寒咳嗽处方与操作:推攒竹、推坎宫、运太阳、揉耳后高骨、推三关、掐揉二扇门、顺运内八卦、清肺经、推揉膻中、揉乳根、揉乳旁、揉肺俞.
风热咳嗽处方与操作:开天门、推坎宫、运太阳、清肺经、清天河水、推脊柱、推揉膻中、运内八卦、揉肺俞、揉乳根、揉乳旁.
内伤咳嗽处方与操作:补脾经、补肺经、运内八卦、推揉膻中、揉乳根、揉乳旁、揉中脘、揉肺俞、按揉足三里.
",,"次","32","34","38",,"1","A""PBDE0501","小儿疳积推拿治疗","积滞伤脾处方与操作:补脾经、揉板门、推四横纹、运内八卦、揉中脘、分腹阴阳、揉天枢、按揉足三里.
气血两亏处方与操作:补脾经、推三关、揉外劳、运内八卦、掐揉四横纹、按揉足三里、揉中脘、捏脊.
",,"次","32","34","38",,"1","A""PBDE0601","小儿脱肛推拿治疗","气虚处方与操作:补脾经、补肺经、补大肠、推三关、按揉百会、揉龟尾、推上七节骨、捏脊.
实热处方与操作:清脾经、清大肠、清小肠、退六腑、按揉膊阳池、揉天枢、推下七节骨、揉龟尾.
",,"次","33","35","39",,"1","A""PBDE0701","小儿遗尿推拿治疗","补脾经、补肺经、补肾经、推三关、揉外劳、按揉百会、揉丹田、按揉肾俞、按揉三阴交.
",,"次","32","34","38",,"1","A""PBDE0801","小儿便秘推拿治疗","实秘操作:清大肠、退六腑、运内八卦、按揉膊阳池、摩腹、按揉足三里、推下七节骨、搓摩胁肋、揉天枢.
虚秘操作:补脾经、清大肠、推三关、揉上马、按揉膊阳池、揉肾俞、捏脊、按揉足三里.
",,"次","33","35","39",,"1","A""PBDE0901","小儿呕吐推拿治疗","寒吐处方与操作:补脾经、横纹推向板门、揉外劳、推三关、推天柱骨、揉中脘.
热吐操作:清脾胃、清大肠、退六腑、运内八卦、横纹推向板门、推天柱骨、推下七节骨.
伤食吐处方与操作:补脾经、揉板门、横纹推向板门、运内八卦、揉中脘、分腹阴阳、按揉足三里.
惊恐吐处方与操作:清肝经、掐揉五指节、揉小天心、分手阴阳、推天柱骨、运内八卦、横纹推向板门、揉右端正.
",,"次","33","35","39",,"1","A""PBDE1001","小儿厌食推拿治疗","脾胃虚弱处方与操作:补脾经、运内八卦、摩中脘、摩腹、揉脾胃俞、揉足三里、捏脊.
胃阴不足处方与操作:补脾经、补胃经、揉二马、运板门、运内八卦、揉脾胃俞、运内劳宫、清天河水、清大肠.
",,"次","32","34","38",,"1","A""PBDE1101","小儿夜啼推拿治疗","脾脏虚寒处方与操作:补脾经、推三关、摩腹、揉中脘.
心经积热处方与操作:清心经、清小肠、清天河水、揉总筋、揉内劳宫.
惊骇恐惧处方与操作:推攒竹、清肝经、揉小天心、揉五指节.
乳食积滞处方与操作:清补脾经(先清后补)、清大肠、摩腹、揉中脘、揉天枢、揉脐、推下七节骨.
",,"次","32","34","38",,"1","A""PBDE1201","小儿腹痛推拿治疗","寒痛处方与操作:补脾经、揉外劳、推三关、摩腹、掐揉一窝风、拿肚角.
伤食痛处方与操作:补脾经、清大肠、揉板门、运内八卦、揉中脘、揉天枢、分腹阴阳、拿肚.
虫痛处方与操作:揉一窝风、揉外劳、推三关、摩腹、揉脐.
虚寒腹痛处方与操作:补脾经、补肾经、推三关、揉外劳、揉中脘、揉脐、按揉足三里.
",,"次","33","35","39",,"1","A""PBDE1301","小儿流涎症推拿治疗","脾胃湿热处方与操作:清脾经、清胃经、清大肠、清天河水、掐揉四横纹、掐揉小横纹、揉总筋、摩腹(泻法).
脾气虚弱处方与操作:补脾经、补肺经、补肾经、运内八卦、推三关、摩腹(补法)、揉足三里、揉百会、捏脊.
",,"次","32","34","38",,"1","A""PBDE1401","小儿捏脊治疗","用拇指桡侧缘顶住皮肤,食、中指前按,三指同时用力提拿皮肤,双手交替捻动向前或食指屈曲,用食指中节桡侧顶住皮肤,拇指前按,两指同时用力提拿皮肤,双手交替捻动向前.
",,"次","17","18","20",,"1","A""PBDE1501","分娩性小儿臂丛神经损伤推拿治疗","掐揉五指节、老龙,按揉大椎、秉风、天宗、肩髎、肩井、肩髃、曲池、手三里、合谷,并做肩、肘、腕关节的摇、屈伸活动.
",,"次","33","35","39",,"1","A""PBDF0101","基本手法推拿治疗","施用滚法、一指禅推法、拿法、捏法、揉法、点法、按法、弹法、拨法、摩法、推法、擦法、击法等经络疏通手法在施术部位操作,刺激相关穴位、部位及痛点.
",,"次","14","15","17",,"1","A""PBDF0102","复合手法推拿治疗","在施用单纯理筋手法(经络疏通手法)的基础上加用揉捻法、拿揉法、按揉法、点按法在施术部位操作,刺激相关穴位、部位及痛点.
",,"次","24","25","28","收取"复合手法推拿治疗"费后不再收取"基本手法推拿治疗"费","1","A""PBDF0201","运动关节手法推拿治疗","施用关节的摇法、扳法、拔伸法,滑利关节、松解粘连.
施用关节摇法时,使关节或半关节做被动的环转运动,施用关节扳法时,使关节瞬间突然受力,做被动的旋转或屈伸、展收等运动,施用关节拔伸法时,固定关节或肢体的一端,牵拉另一端,应用对抗的力量使关节得到伸展.
",,"次","17","18","20",,"1","A""PBDF0301","药棒穴位按摩治疗","用特制的木棒蘸上配好的药液,在人体适当的穴位上进行叩击,使拘急之经脉柔润,闭阻之经脉畅通.
",,"3个穴位","15","16","18",,"1","A""PBDF0401","手指点穴治疗","用拇指端、中指端、拇指或食指指间关节点压施术部位或穴位,通经止痛,用于各种痛症.
",,"5个穴位","23","24","27",,"1","A""PBDF0501","中药膏摩","用特制药膏涂在人体适当的穴位,然后点揉、按摩上述穴位,通过药物渗透使拘紧之筋脉柔润,闭阻之筋脉畅通.
",,"次","66","70","78",,"1","A""PBDF0601","足底反射治疗","术者利用足部手法对足部反射区进行刺激,调整人体生理机能,提高免疫系统功能,疏通经络气血,调节神经系统,达到防病、治病、保健、强身的目的.
",,"次","31","33","37",,"1","A""46","(五)中医肛肠"6岁以下儿童加收30%.
",,"460000001","直肠脱出复位治疗(手法复位)次","100","106","125",,"1","A""460000002","直肠周围硬化剂治疗","","药物","次","400","425","500",,"1","A""460000003","内痔硬化剂注射治疗(枯痔治疗)","","药物","每个痔核","216","230","270",,"1","A""460000004","高位、复杂肛瘘挂线治疗","",,"次","768","816","960",,"1","A""460000005","血栓性外痔切除术","",,"次","210","270","300","复杂性加收50%","1","A""460000006","环壮混合痔切除术","","混合痔脱出嵌顿参照执行","次","576","612","720",,"1","A""460000007","混合痔外剥内扎术","",,"次","546","702","780","复杂性加收50%","1","A""460000008","肛周脓肿一次性根治术","",,"次","700","900","1000","复杂性加收50%","1","A""460000009","肛外括约肌折叠术","",,"次","520","553","650",,"1","A""460000010","直肠前突修补术","",,"次","800","850","1000",,"1","A""460000011","肛瘘封堵术","",,"次","320","340","400",,"1","A""460000012","结肠水疗","包括结肠灌洗治疗和肠腔内给药","药物、一次性结肠透析管","次",,,"",,"3","A""460000013","肛周药物注射封闭术","包括肛周皮下封闭、穴位封闭","药物","次",,,"",,"3","A""460000014","手术扩肛治疗","指通过手术扩肛",,"次",,,"",,"3","A""460000015","人工扩肛治疗","包括器械扩肛",,"次",,,"",,"3","A""460000016","化脓性肛周大汗腺炎切开清创引流术","含合并肛门直肠周围脓肿清创引流",,"次",,,"","以肛门为中心,炎症波及半径超过3CM以上者为复杂,另加收","3","A""460000017","肛周坏死性筋膜炎清创术","含合并肛门直肠周围脓肿清创",,"次",,,"","病变范围超过肛周四分之一象限者为复杂,另加收","3","A""460000018","肛门直肠周围脓腔搔刮术","包括双侧及1个以上脓腔、窦道",,"次",,,"","每增加一个病灶,另加收","3","A""460000019","中医肛肠术后紧线术","含取下挂线",,"次",,,"",,"3","A""460000020","混合痔铜离子电化学治疗术","包括内痔","铜离子针","次",,,"",,"3","A""460000021","直肠前突出注射术","指直肠前壁粘膜下层柱状注射","药物","次",,,"",,"3","A""460000022","直肠脱垂注射术","含直肠内注射及直肠外注射","药物","次",,,"",,"3","A""47","(六)中医特殊疗法"6岁以下儿童加收30%.
",,"470000005","小针刀治疗","包括刃针治疗",,"每个部位","50","64","72",,"1","A""470000008","药线引流治疗","含药物调配","药物","3公分","29","31","36",,"1","A""470000009","耳咽中药吹粉治疗","含药物调配","药物","次","12","13","15",,"1","A""470000010","中药硬膏热贴敷治疗","","药物","次","12","13","15",,"1","A""470000011","中药直肠滴入治疗","含药物调配","药物","次","21","27","30",,"1","A""470000012","刮痧治疗","",,"每个部位","10","10","12",,"1","A""470000013","烫熨治疗","",,"每个部位","10","10","12",,"1","A""470000014","医疗气功治疗","",,"次","29","31","36",,"3","A""470000015","体表瘘管切开搔爬术","耳前瘘管、乳腺瘘管分别参照执行",,"次","77","82","96",,"1","A""470000016","足底反射治疗","",,"次","19","20","24",,"1","A""八、新增医疗服务项目""本类说明:"本类包括新增医疗服务项目,共计122项.
"HX943702","3D打印成形术","以数字模型数据为基础,运用可粘合材料,通过逐层打印的方式制造物体模型,通过术前建立患者损伤部位的模型,体外进行手术预演、模拟,进而制定更精确的手术方案及手术流程.
","高温纸、PLA聚乳酸、固体胶等打印耗材.
","次",,,"",,"3","C""FQP01603","经口胆(胰)管镜诊疗术","咽部麻醉、镇静、润滑、消泡,电子十二指肠镜经口插至十二指肠乳头部位,将胆(胰)管镜自十二指肠镜活检通道插入,经乳头开口插入胆管内,通过胆(胰)管镜进行管腔内的直视检查.
图文报告.
不含麻醉、监护、X线检查、活检、病理学检查.
","导丝,导管,一次性切开刀,一次性活检钳.
","次",,,"",,"3","A""FKA03716","立体/正交心电图检查","皮肤清洁处理,安放电极片,连接导联,采集立体心电图、心电向量图、正交心电图、心室晚电位、常规心电图等信息,人工报告.
",,"次",,,"",,"3","B""CGKL1000","人细小病毒B19抗体检测","包括IgG、IgM抗体.
样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CGKM1000","抗缪勒氏管激素(AMH)检测","样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CLDV8000","母血中胎儿游离DNA染色体非整倍体检测","样本类型:血液.
样本采集、签收、信息录入,样本前处理,游离DNA提取,DNA文库制备与标记,高通量测序,数据分析,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物,接受临床相关咨询.
",,"次",,,"",,"3","B""CCFH5000","精子线粒体膜电位检测","样本类型:精液.
样本采集,加入染色剂,混匀孵育,上样.
流式细胞仪分析,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CCFJ5000","诱发精子顶体反应检测","样本类型:精液.
样本采集,加入试剂,37摄氏度孵育30-60分钟,荧光显微镜下观察顶体变化,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CCFK5000","精子透明质酸结合试验","样本类型:精液.
样本采集,洗涤处理后选择精子,加入玻片中,显微镜检查,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CCFL5000","精子络氨酸磷酸化检测","样本类型:精液.
样本采集,加入试剂,孵化,荧光显微镜下观察,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CCFM5000","精子活体染色","样本类型:精液.
样本采集,加入试剂,观察计数活精子与死亡精子,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CCFN5000","精子核蛋白染色","样本类型:精液.
样本采集,加入试剂,孵育培养,显微镜下观察,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CCFP5000","精子DNA碎片检测","样本类型:精液.
样本采集,加入染色剂,混匀孵育,上样.
流式细胞仪分析,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CCFQ5000","精液液化处理","样本类型:精液.
样本采集,按照实际精液量加入1/100的液化剂,巴氏吸管轻轻吹打,混合后37摄氏度孵育30-60分钟,观察精液液化和粘度的变化,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""ACBQ0001","外周静脉置管护理","核对患者信息,评估患者病情,合作程度及置管周围皮肤情况等,解释其目的取得配合;观察穿刺点,评估导管通畅情况等;严格按照无菌操作进行消毒,使用无菌注射器或一次性静脉导管冲洗器脉冲式正压冲管、封管,防止留置针阻塞和管路感染,保持管路通畅,预防不同药物之间的配伍禁忌与交叉反应,减少静脉炎的发生;严禁提前配置冲封管液当日用于多人封管;若有经外周留置针输注全血、成分血或生物制剂时,输液接头应及时更换,减少感染的发生;更换无菌敷料并固定,做好记录、健康教育和心理护理.
","静脉导管冲洗器,输液接头,功能性敷料","日",,,"",,"3","C""MBZRK001","无创数控牵引治疗颈腰椎间盘突出","核对医嘱;询问患者姓名、年龄;排除禁忌证;告知注意事项;测定患者体重;检查牵引装置;患者平卧固定;按医嘱选取治疗体位和牵引节段;按病变节段调整牵引角度;根据患者体重调整牵引重量;使用颈、腰椎无创数控牵引装置对颈腰椎进行牵引治疗;计时;治疗过程中随时观察患者反应;牵引结束后行颈、腰部冷敷及中频电刺激治疗;全部治疗结束,询问患者感觉,记录治疗单.
",,"次",,,"",,"3","A""CGSD1001","热休克蛋白90α(Hsp90α)定量检测","样本类型:血液.
样本采集,加入定量热休克蛋白90α检测试剂进行检测,辅助诊断被检测者的患癌风险,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""HAP05905","动态血红蛋白与容量变异监测","皮肤消毒脱脂,连接传感器至患者示指(避光状态下),动态连续监测血红蛋白、灌注指数、脉搏变异指数等指标,指导围术期输血、输液以优化患者氧供需平衡及容量管理.
",,"次",,,"",,"3","B""HYE89330","微小皮片制备移植术","消毒供皮区,先用电动取皮刀切取0.
1~0.
3mm厚的自体皮,以0.
2mm为宜,以表皮面朝上,真皮面贴于软木盘上,专用切皮机横竖各切割一次便形成196块边长3mmx3mm的微型皮片,专用医用胶水均匀喷洒于微型皮片表皮面上,干燥后将其与所需要扩展倍数的双褶薄纱紧贴并适当加压,使皮片完全黏附在薄纱上,用手捏薄纱横竖拉开完全展开皮片,修剪多余薄纱,放于生理盐水中备用.
清理好切削痂创面,从生理盐水中取出制备好的双褶纱皮片,裁剪合适大小直接贴于创面,皮钉或缝线适当固定,术后常规包扎固定.
","功能性敷料、皮钉及取皮刀片","次",,,"",,"3","B""CEDN2000","人血浆脂蛋白相关磷脂酶A2检测","样品类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CGQJ3000","结核感染T细胞检测","样品类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""HMD62203","植入式给药装置置入术","消毒铺巾,麻醉,皮肤切开,扩张皮下,穿刺置管,留管接港,肝素盐水封管,皮肤缝合.
人工报告.
不含监护、DSA引导.
","中心静脉导管,植入式给药装置,导丝,血管鞘,特殊缝线.
","次",,,"",,"3","C""HAC62102","鞘内镇痛系统植入术","开放静脉,心电监护,侧卧胸膝位,定位,消毒、铺巾,局部麻醉,穿刺至蛛网膜下腔,导丝引导导管植入,麻醉药物推入,麻醉平面良好后,将输注系统埋入患者皮下,用皮下隧道方式将导管与输注系统相连接,缝合皮肤,贴敷贴,术后卧床监护6小时.
","静脉通道,鞘内植入系统(内含:穿刺包,16G无损伤脊柱穿刺针,皮下硅胶囊,永久性植入性蛛网膜下腔导管,永久性植入性硬膜外腔导管,皮下隧道专用导引杆,无阻尼注射器,囊袋专用手术刀(圆刀和尖刀),冈体固定板手,防逆流接头,外置式蝶形针,外接式自控镇痛装置.
速即纱,组织胶水,特殊缝线).
","次",,,"",,"3","C""HM873304","经皮穿刺骶管囊肿抽吸封堵术","开通静脉,心电监护,消毒铺巾,影像引导穿刺骶管囊肿,抽吸,注射生物蛋白胶,拔出穿刺针,固定敷料,术后平卧,观察生命体征6小时.
","静脉通道,穿刺包,影像引导,注射用生物蛋白胶.
","次",,,"",,"3","A""FUD01704","基因芯片胚胎植入前遗传学筛查","PGS检测,激光扫描、软件分析,推断所有染色体及染色体片段数目的缺失和重复,选择染色体正常的胚胎进行移植.
",,"次",,,"",,"3","B""FUA01703","基因芯片产前诊断","活检样本类型:绒毛、羊水细胞、脐带血细胞.
样本采集、签收、处理.
单细胞全基因组扩增,检测样本基因组中DNA情况.
(包括活检样本全基因组扩增,荧光标记和杂交洗片,以及芯片扫描分析),对产前诊断样品进行全基因组扫描检测胎儿染色体疾病.
发送报告,按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""FUA01704","高通量基因测序产前筛查与诊断","样本类型:血液.
样本采集、签收、处理.
通过高通量测序技术,对孕妇外周血中的胎儿游离DNA进行检测,分析检测微量变化,获得染色体数目的信息,对21三体综合征、18三体综合征和13三体综合征进行产前辅助诊断.
发送报告,按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CLDV8000","遗传性皮肤病基因诊断","样本类型:仅限血液和羊水.
样本采集、签收、处理(据标本类型不同进行相应的前处理),提取基因组DNA,与质控品、阴阳性对照和内参同时扩增,分析扩增产物或杂交或测序等,进行基因分析,判断并审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CCBX2000","对羟基苯丙氨酸(酪氨酸)尿液检测","样本类别:尿液.
样本采集、签收、处理,定标和质控,检测样本,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CGCW1001","血管内皮生长因子检测","样本类别:血液.
样本采集、签收、处理,定标和质控,检测样本,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CEEL1000","中性粒细胞明胶酶相关脂质运载蛋白(NGAL)检测","样本类别:血液.
样本采集、签收、处理,定标和质控,检测样本,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""LEFXA002","下肢机器人康复","通过预先设定的程序,在预定的时间内刺激各族肌肉群产生一种协调运动,模拟正常的行走动作,帮助患者完成各种运动的康复训练.
",,"次",,,"",,"3","A""KHS26409","无托槽隐形矫治","通过计算机辅助设计与制作,使用无托槽隐形矫治技术矫治错牙合畸形.
","硅橡胶,石膏,矫治器,粘接剂,","每疗程",,,"",,"3","A""KHS26713","骨量不足的种植义齿修复","引导骨组织再生(GBR)、骨劈开、上颌窦内提升、上颌窦外提升、自体骨移植-Onlay植骨、牵张成骨.
","CBCT数据、印模材料、石膏模型","每牙/每疗程",,,"",,"3","A""KHZ26702","口腔疾病水激光诊疗术","口腔疾病中可以使用水激光的所有相关项目,包括:1.
窝洞预备;2.
酸蚀;3.
骨组织切割;4.
根管预备和消毒软组织;5.
牙周袋内清创术;6.
牙龈漂白、牙龈成形;7.
软组织切开、切除、取活检、脓肿切开引流;8.
系带切除术、纤维瘤切除术;9.
溃疡、疱疹治疗;10.
牙本质脱敏治疗;11.
颞颌关节治疗.
","光纤头","每牙/每部位",,,"",,"3","A""HTC83303","经腹输卵管造口术","消毒铺巾,依次切开皮下,筋膜、肌肉直至腹膜,切开腹膜进入腹腔,,探查盆腔后,提输卵管于手术野,取输卵管远端做"+"形或"米"形切口,经造影管注生理盐水与美蓝液检查输卵管是否通畅,观察输卵管管腔内粘膜皱壁是否丰富,组织是否健康,将输卵管粘膜翻出,在无血管区管壁上作数个短的纵形切开,使之成花瓣状或类似自然伞形态,用4-0肠伤线仔细地将输卵管粘膜面与浆膜面间断缝合,使输卵管的切口边缘无出血,而又有自然伞形态,仔细止血、彻底冲洗、放置引流,关闭腹腔.
","特殊缝线,止血材料,防粘连材料、皮肤胶","次",,,"","双侧加收不超过80%","3","A""HTF73502","经腹子宫内膜异位病灶切除术","消毒铺巾,依次切开皮下,筋膜、肌肉直至腹膜,切开腹膜进入腹腔,依次分离子宫、双侧输卵管、卵巢与周围形成的不同程度的粘连带,基本恢复盆腔脏器的自然解剖位置,剥离卵巢囊肿病灶,重建卵巢,切除子宫宫骶韧带、子宫直肠凹陷处、子宫腺肌瘤等子宫内膜异位病灶,必要时切除子宫或直肠,仔细缝合创面,修复组织、仔细止血、彻底冲洗、放置引流、关闭腹腔","特殊缝线,止血材料,防粘连材料、皮肤胶","次",,,"",,"3","A""HHX41704","数字化种植手术导板","通过CT扫描,计算机辅助设计与制作,以种植体上部修复为导向,引导术中钻头的方向、深度,避开重要的解剖结构,定位精准.
","CBCT数据、印模材料、石膏模型","次",,,"",,"3","C""HAM62604","经口置喉罩术","包括手术室内及手术室外为辅助通气经口置入喉罩术.
术前评估、签字、监护,静脉给药,清理口腔分泌物,经口置入喉罩,听诊双肺呼吸音,置入胃管,确保引流通畅,固定喉罩,连接麻醉机或呼吸机行机械通气.
","一次性使用动静脉留置针,电极,吸氧管,面罩,呼吸管路,喉罩","次",,,"",,"3","C""FKA05711","无创血红蛋白连续监测","利用无创技术连续测量患者总血红蛋白(SpHb)、碳氧血红蛋白(SpCO)、高铁血红蛋白(SpMet)、血氧饱和度(SpO2)和血流灌注指数(PI)等.
","传感器","次",,,"",,"3","B""FPB07602","经内镜食管/胃静脉曲张断流术","内镜下注入组织胶和硬化剂治疗食管胃底静脉曲张",,"次",,,"",,"3","A""FPD02602","经内镜黏膜剥除术(ESD)","插入内镜寻找病变、染色确定病变的边界(包括光学染色和化学染色)、病灶边界的标记、病灶部位的粘膜下注射、表面黏膜高频电刀切开、粘膜下剥离、术中、术后止血(包括电凝止血及止血夹止血)、病灶的切除、创面的缝合、穿孔部位的修补及图文报告.
","导丝,血管夹,吻合器","次",,,"",,"3","A""FPB07604","经内镜异物取出术","采用电子胃肠镜在直视下按照异物形态及大小不同选用适当器械,取出异物或设法让异物通过肠道排除体外;术中及术后严密观察","异物取出","次",,,"",,"3","A""HQA72104","经皮肿瘤射频消融术","将射频手术电极针经皮穿刺到肿瘤病灶部位,通过加热局部组织灭活肿瘤病灶,射频完毕后进行针道消融拔出射频针.
","一次性电极负极板;引流导管","次",,,"",,"3","A""FQT07103","复杂手术可视化诊疗计划、器官与血供系统的三维可视化评估及模拟手术","含脑部,胸部心肺器官可视化诊疗;腹部解剖关系的肝、胆、脾、胰外科手术可视化诊疗;盆腔复杂的肿瘤可视化诊疗;腹部大血管病变手术可视化诊疗.
提供相关部位的三维可视化诊疗图文报告,便于临床医生精准诊疗疾病",,"每个部位/次",,,"","每部位是指脏器部位、与脏器病变相关的血供系统等","3","B""HYA43303","经皮乳腺肿物标记物穿刺置入术","局部皮肤消毒、麻醉,在影像引导下选择穿刺肿物位置,将穿刺针刺入目标组织内,释放标记物,拔出穿刺针.
不含影像定位引导.
","乳腺肿物标记物、穿刺针","次",,,"",,"3","A""HYA73314","乳腺肿物微创旋切术","患者仰卧于手术台上,彩色多普勒超声反复扫查确认肿块位置,用中性油笔于体表标记,设计手术进针点,常规消毒铺巾.
1%利多卡因10ml注射至手术进针点周围皮下、肿块表面皮下、肿块底部相应乳房后间隙及手术针道行局部浸润麻醉,做皮肤小切口,长约0.
5cm.
彩色多普勒超声引导下,通过乳房旋切系统将一次性旋切穿刺针置于肿块底部下方,超声反复探查,确认肿块最大径位于旋切穿刺针槽切除范围内,在超声动态监测下,逐次将肿块切除.
超声多方位探查,局部未见血肿形成,局部加压10分钟,查无活动性出血,局部加压包扎.
不含病理学检查.
","旋切穿刺针、乳腺肿物标记物","次",,,"",,"3","A""HPC86314","经口内镜食管括约肌切开术(POEM)","经口进镜,定位,粘膜下注射,切开,建立隧道,切开固有肌层,隧道内止血,隧道口封闭.
","导丝,血管夹,吻合器","次",,,"",,"3","A""HPC86315","经口内镜粘膜下隧道肿瘤切除术(STER)","经口进镜,寻找及定位瘤体,粘膜下注射,切开,建立隧道,分离瘤体,隧道内止血,隧道口封闭.
","导丝,血管夹,吻合器","次",,,"",,"3","A""HPC86317","结内镜直肠粘膜下肿瘤挖除术","经肛插入电子结肠镜、肠镜检查、寻找病变、病灶边界的标记、病灶部位的粘膜下注射、表面黏膜高频电刀切开、粘膜下剥离、术中、术后止血(包括电凝止血及止血夹止血)、病灶的切除、创面的缝合、穿孔部位的修补及图文报告.
","导丝,血管夹,吻合器","次",,,"",,"3","A""LADZY005","螺旋断层放射治疗(TomoTherapy)","调用治疗计划、摆位、治疗前的图像引导、机器操作和照射治疗.
包括常规分次调强治疗、全身断层调强放疗、大剂量小分次调强治疗.
",,"次",,,"",,"3","A""FUA02703","妊娠期妇女可溶性细胞间粘附分子-1检测","铺一次性检查垫,取平卧位,用棉签取阴道后穹窿分泌物,加入样本稀释液稀释后,用吸管吸出,滴3滴在检测卡取样孔S内,平置3-6分钟,观察结果,检查是否胎膜早破.
",,"次",,,"",,"3","B""FJD01604","荧光支气管镜检查","经口咽部麻醉、润滑、吸氧、心电监护,插入支气管镜后局部麻醉、止血,发现病变部位后切换至荧光,观察病灶红染情况,在荧光红染处进行活检,检查结束后清洗、浸泡、消毒支气管镜.
不含病理学检查、活检.
",,"次",,,"",,"3","B""FPB07603","窄带成像内镜","具窄带成像功能的内镜(NBI)其外形和常规操作与普通内镜基本一致,在操作中可随时切换至NBI模式观察病灶,能更清晰地了解病灶表面的黏膜凹窝形态及血管等,方便对病灶进行定性与靶向活检.
",,"次",,,"",,"3","B""CGDB2000","抗肌炎抗体谱检测","样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CLBX8000","高敏丙型肝炎病毒核糖核酸定量检测","样本类型:各种标本.
样本采集、签收、处理(据标本类型不同进行相应的前处理),提取模板RNA,与标准品、阴阳性对照及质控品同时进行实时荧光扩增,进行定量分析,判断并审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
属于2013版临床检验目录.
",,"次",,,"",,"3","B""CLBY8000","高敏乙型肝炎病毒脱氧核糖核酸定量检测","样本类型:各种标本.
样本采集、签收、处理(据标本类型不同进行相应的前处理),提取模板RNA,与标准品、阴阳性对照及质控品同时进行实时荧光扩增,进行定量分析,判断并审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
属于2013版临床检验目录.
",,"次",,,"",,"3","B""CEKF8000","尿碘检测-全自动法","样本类型:尿液.
利用"碘元素自动检测仪"及"尿碘检测试剂盒"对标本进行快速、简易、自动化定量测定.
检测范围10-2000μg/L,检测灵敏度≤1μg/L,重复性(RSD)≤6%.
",,"次",,,"",,"3","B""CCBX2000","前列腺小体外泄蛋白(PSEP)检测","样本类别:尿液.
样本采集、签收、处理,加免疫试剂,温育,仪器定量测定,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CEAW2000","人β淀粉样蛋白1-42(Aβ1-42)检测","样本类型:血液.
样本采集、签收、处理,定标和质控,检测样本,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CGEY2000","蛋白酪氨酸磷酸酶抗体(IA-2A)","样本类型:血液.
样本采集、签收、处理,被检血清加胶乳试剂,混匀,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项",,,"",,"3","B""CGEY3000","锌转运蛋白8抗体(ZnT-8A)","样本类型:血液.
样本采集、签收、处理,被检血清加胶乳试剂,混匀,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项",,,"",,"3","B""CGKL1000","自身免疫性脑炎抗体谱检测","指对抗NMDA型谷氨酸受体抗体、抗AMPA1型谷氨酸受体抗体、抗AMPA2型谷氨酸受体抗体、抗亮氨酸胶质瘤失活蛋白1抗体、抗接触蛋白相关蛋白2抗体及抗GABA受体B1抗体的测定.
样本类型:血液或脑脊液.
样本采集、签收、处理,样本与抗原基质片反应,加荧光标记抗体,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CGKM1000","抗水通道蛋白-4抗体","样本类型:血液或脑脊液.
样本采集、签收、处理,样本与抗原基质片反应,加荧光标记抗体,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项",,,"",,"3","B""CGKN1000","骨骼肌酪氨酸激酶抗体","样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项",,,"",,"3","B""CGKO1000","14-3-3蛋白","样本类型:脑脊液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项",,,"",,"3","B""CGKP1000","神经元抗原抗体谱检测","指对抗Yo、抗Hu、抗Ri、抗CV2、抗Ma及抗Amphiphysin抗体检测.
样本类型:血液或脑脊液.
样本采集、签收、处理,样本与抗原印迹膜条反应,加标记抗体,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""EDCZZ003","超声弹性成像检查","在二维及彩色多普勒等常规超声基础上补充病灶部位的弹性检查.
配有医学超生影像工作站进行标准切面及可疑图像留存,并作出诊断、图文报告.
包括乳腺触诊成像.
",,"次",,,"",,"3","B""EDCUE005","早孕期胎儿结构筛查","对11-14周胎儿头颅、脊柱、胸部、腹部、四肢等部分结构检查(包含NT值及静脉导管血流评估).
配有医学超声影像工作站进行标准切面及可疑图像留存,并作出诊断、图文报告.
",,"每胎",,,"",,"3","B""EDCUE007","晚孕期常规产前超声检查(产前Ⅱ级超声检查)","对28-34周周胎儿头颅、脊柱、胸部、腹部、四肢等部分结构检查.
配有医学超声影像工作站进行标准切面及可疑图像留存,并作出诊断、图文报告.
",,"每胎",,,"",,"3","B""ABZH0001","气囊压测定","气囊测压表和配件用于给各种气管插管、气管切开插管、双腔支气管插管等的高容量低压气管插管充气、放气及压力检测.
为了使气囊充气量达到恰当的效果,使用气囊测压表测量指导气囊注入气体容积,将气囊携带的针座接三通阀,阀的一侧接气囊测压表上的延长管,注入气体时,根据气囊测压表上显示的数值决定注射气体的量.
","三通阀","次",,,"",,"3","B""ABJC0001","加温湿化高流量鼻导管氧疗","通过空氧混合器提供精确的氧浓度,提供最高达70L/min的流量,提供37°C相对湿度100%气体.
不包含高频吸氧.
","呼吸湿化治疗仪的鼻塞导管、加热呼吸管路","小时",,,"",,"3","A""ECCZZ004","血管斑块易损性分析","利用多序列磁共振血管斑块数据,利用经FDA/CFDA临床应用许可的分析工具,由经过专门培训的医师以斑块结构及斑块成分的定量数据为依据,对血管斑块的易损性进行评估,得出诊断结论.
报告中需包含:斑块易损性的总体结论,斑块结构及斑块成分的总体定量数据,各扫描层面的图像及数据,斑块三维重建图像及斑块的层面融合图像.
医生完成诊断报告.
",,"每斑块",,,"",,"3","B""FDE04904","糖基化终产物无创检测","测定人体手臂皮肤中糖基化终产物的积聚水平,用于糖尿病及其并发症的检测评估.
受检者坐姿,裸露前臂并放置在检测设备上,安全光源照射受检者待检部位.
根据测量结果,内置系统自动出报告,专业医师审核报告.
",,"次",,,"",,"3","B""CCCG3000","钙卫蛋白检测","样本类别:粪便.
样本采集、签收、处理,定标和质控,检测样本,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CEFE8002","1-5脱水葡萄糖醇检测","样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""FGJ01604","电子鼻咽喉镜检查","1%地卡因鼻腔、鼻咽、口腔、下咽黏膜表面麻醉,电子鼻咽喉镜经一侧鼻腔进入,检查鼻腔、鼻咽口咽腔、喉咽腔及下咽梨状窝、黏膜情况,是否有肿物、异物或其它情况.
人工报告.
不含活检.
",,"次",,,"",,"3","B""FFA01708","耳鸣评估","先进行耳鸣问卷测试、音调匹配测试、响度匹配测试、最小掩蔽级(耳鸣掩蔽曲线)测试、残留抑制试验等等,然后根据各种测试结果进行分析、归纳总结.
医生完成诊断报告.
",,"次",,,"",,"3","B""KFN70902","耳鸣声治疗","在治疗过程中使用白噪声发生器、助听器或二合一器械(声发生器和助听器安装在同一器械内)都是可行的,声治疗的临床应用聚焦在抑制对耳鸣的反应和降低耳鸣感知.
",,"次",,,"",,"3","B""FFA01710","视频头脉冲试验","使用高频自然的被动甩头刺激,客观测量头部和眼睛的运动,评估前庭眼反射的增益,快速鉴别和定位受损半规管.
医生完成诊断报告.
",,"次",,,"",,"3","B""HAP05905","喉返神经电生理监测","神经监护专用气管插管经口,将表面电极紧密贴合声带,术中收集声带肌电信号,颈部逐层切开,游离患侧甲状腺,在其后方用探针探查显露喉返神经全程、确定有无损伤,止血,切口逐层缝合.
","神经监护气管插管","小时",,,"",,"3","B""HUE53406","内窥可视人工流产负压吸引术","开启可视操作设备,登入患者信息,进入手术监控界面并连接一次性內窥可视宫腔组织吸引管.
常规冲洗患者外阴及阴道,常规妇科检查,一次性探针探测宫腔深度,一次性渐进式扩宮器依次扩张宮颈后,使用一次性內窥可视宫腔组织吸引管探查子宫,寻找孕囊,在直视导航下应用负压吸引器定点吸取孕囊.
术后使用一次性內窥可视宫腔组织吸引管探宫腔,观察创面,观察宫腔是否吸净或残留并检查吸出物的完整性.
手术过程中可全程拍摄并打印孕囊图片.
吸出物可疑时,需送病理学检查.
不含病理学检查.
项目配备可视操作系统1台(内含高分辨率显示器,主机,打印系统,图像处理系统).
",,"次",,,"",,"3","A""KHM32402","黏膜物理性损伤防护及修复治疗","对因放射、烧、烫伤对口鼻咽部损伤黏膜创面的物理治疗.
","生物多糖抗菌含漱溶胶液","次",,,"",,"3","A""FDZ02702","糖尿病足筛查","通过对被检查者的双足进行视诊,触诊血管搏动,踝反射以及温度觉、痛觉、压力觉、震动觉的检查了解患者是否为糖尿病足病高危人群,甚至是否已患糖尿病足病.
医生完成诊断报告.
",,"次",,,"",,"3","B""ABAF0001","连续动态血糖监测装置安装术","安装动态血糖监测电池调节时间等各项设置,遵医嘱设定,所用一次性动态血糖监测耗材登记,取下腹部最佳植入部位,皮肤消毒待干燥后将一次性血糖监测探头植入皮下,透明贴膜固定并贴上穿刺时间,于别针固定.
","一次性血糖监测探头","次",,,"",,"3","C""CGSM1000","血清HER-2/neu蛋白测定","样本类型,血液,样本采集,签收,处理,被检血清加胶乳试剂,混匀,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告,按规定处理废弃物,接受临床相关咨询.
",,"项",,,"",,"3","B""FUA02704","妊娠期补体因子D子痫前期测定","用尿杯取中段尿液,取样器吸入1mL尿液加入样本稀释液稀释后,用吸管吸出,滴3滴在检测卡取样孔S内,平置10-15分钟,观察结果,检查是否子痫前期.
",,"次",,,"",,"3","B""BCAH0001","全自动单独滴染HE检测","手术切除的方式获得的人体各种组织标本,经过甲醛固定,由初检医师进行大体标本检查和取材,脱钙,由技师进行自动组织处理机脱水,透明,石蜡组织包埋机包埋,组织切片机切片,将切片通全自动单独滴染染色系统,完全替代了之前包括:烤片、脱腊、染色、封片等以往需要大量人工的步骤,从而在不增加人员的基础上,能够完成更大量的标本检测工作,在缩短检测时间的同时获得高品质的染色结果.
为病理医师在显微镜下做出病理诊断,病理报告.
",,,,,"",,"3","B""CEHW1000","氧化低密度脂蛋白测定","检测试剂,一次性吸嘴,低值易耗品,A4纸.
样本类型:新鲜血液.
样本采集,加入试剂,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CEQT1000","肝素结合蛋白(HBP)检测","样本类型:血液.
样本采集、签收、处理,定标和质控,检测样本,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CEAW3000","阿尔茨海默相关神经丝蛋白(AD7C-NTP)检测","样本类型:尿液.
样本采集、签收、处理,定标和质控,检测样本,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CGSM1000","肺癌七种自身抗体谱测定","样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""FES01716","眼底影像数据处理分析","将眼底照片通过互联网上传到服务器,经过计算机分析后回传报告.
自动标注微血管瘤、出血点、以及渗出,并自动统计数量和面积,适用于眼底病变的筛查.
医生完成诊断报告.
",,"单眼",,,"",,"3","B""FPJ01604","肠屏障功能分析","当肠粘膜屏障受损后,肠道内毒素及微生物突破肠屏障导致细菌移位,通过检测血液标本了解肠屏障功能及损伤程度,指导临床.
医生完成诊断报告.
",,"次",,,"",,"3","B""KQH25328","胃肠多功能治疗","根据人体经络学,结合现代数字电子技术,采用美国先进的透皮给药技术,同时具备不同治疗脉冲及远红外热疗、靶向药离子导入等综合治疗功能.
",,"次",,,"",,"3","B""CGKQ1000","抑制素A检测","样本类型:血液.
样本采集、签收、处理,加免疫试剂,温育,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""HPK5052","胆总管探查一期缝合","1、腔镜下解剖第一肝门、分离显露切开胆总管;2、经戳卡孔行胆道镜检查、取石;3、根据胆道镜检查、取石情况选择T管引流或胆总管一期缝合.
","穿刺器;胆道镜取石网篮、碎石电极;可吸收缝线.
","次",,,"",,"3","A""ACB0001","眼部用药护理","评估患者病情、眼部分泌物、结膜充血、眼睑肿胀情况,做好核对解释,取得配合,取舒适体位,操作者洗手,用棉签先擦去眼部分泌物,距眼1-2cm滴一滴眼药水于下穹隆结膜囊内.
嘱患者轻轻闭眼1-2分钟,每2种眼药水之间间隔5-10分钟.
观察用药反应,做好健康教育及心理护理.
",,"日",,,"",,"3","C""KPH70703","肠套叠超声引导下水压灌肠复位","肛门放置肛管,充气后固定,连接灌肠袋,利用水压行肠套叠整复,超声实时监测观察套叠头端复位情况,包含超声实时监测费用.
不含超声检查及超声实时监测.
",,"次",,,"",,"3","A""ABJC0001","一氧化氮治疗","一氧化氮治疗包括(一氧化氮流量控制仪、一氧化氮浓度监测仪、一氧化氮吸入管道).
护士将一氧化氮流量控制仪接入呼吸机供气管道,同时在近患儿呼吸道端Y形接口处连接一氧化氮/二氧化氮浓度监测仪,监测呼吸道一氧化氮和二氧化氮浓度;医生按照操作步骤正确调节需要吸入的一氧化氮流量.
医护人员在使用过程中认真检查呼吸机和一氧化氮仪器,正确连接管道,保证各接头连接紧密;每班认真记录一氧化氮气瓶压力表上的读数和患儿气管插管处吸入一氧化氮和二氧化氮的浓度,确保使用安全.
",,"小时",,,"","不足半小时按半小时收","3","A""EDGLG001","彩色脉搏波速度测量(PWV)","声蓝平台以2,000帧/秒的帧频记录动脉壁的细节运动过程,即每秒2,000幅图像.
类似组织多普勒的颜色算法标示动脉壁的运动过程(红色朝向探头、蓝色背离探头),并计算血管壁扩张和收缩的速度,通过极速捕获和极速计算,动脉壁的细微运动速度和方向都能够被精确显示和测量,并作出相应诊断.
医生完成诊断报告.
",,"次",,,"",,"3","B""EDGWY001","实时剪切波组织弹性成像(SWE)","指乳腺、甲状腺、血管、肌肉、肌腱、软骨、神经、肝脏、胰腺、肾脏、脾脏、泌尿系统、妇科系统等实质性组织或部位的组织弹性测量.
操作者在彩超诊断系统中通过SWE超音速实时剪切波弹性成像,实时对取样框内组织弹性值进行监测以及精确定量测定.
检查实质性组织、部位或局灶性病变的弹性值-即杨氏模量值E(单位kPa)的大小(包括取样框内组织弹性的:平均值、最大值、最小值、标准方差、比值),并作出相应诊断.
",,"次",,,"",,"3","B""HKT72206","房颤冷冻球囊消融术","消毒铺巾,局部麻醉,监护仪监护下,血管造影机X线引导下穿刺动脉或静脉,放置鞘管,进行房间隔穿刺,放置冷冻球囊消融导管及环形标测电极,对四个肺静脉逐个进行降温消融,以电生理刺激仪反复刺激诱发并采用多通道电生理记录仪记录,证实心动过速不能诱发.
不含有创心内电生理检查、监护、DSA引导.
","冷冻消融导管;球囊型冷冻消融导管;可调控型导管鞘.
","次",,,"",,"3","A""CCBX3000","尿11-脱氢血栓烷B2检测","样本类型:尿液.
样本采集,上样,测定,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"次",,,"",,"3","B""CEDN2000","可溶性fms样酪氨酸激酶-1检测","样本类型:血液.
样本采集,上样,测定,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项",,,"",,"3","B""CEDP2000","胎盘生长因子PIGF检测","样本类型:血液.
样本采集,上样,测定,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项",,,"",,"3","B""CLDJ9000","血清抑制素B定量检测","样本类型:血液;样本采集、签收、处理,被检血清加胶乳试剂,混匀,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,,,,"",,"3","B""CLFJ8001","基于高通量靶向功能基因分析用药指导","样本类型:血液、骨髓、胸腹水、组织样本分离肿瘤细胞,制备肿瘤细胞悬液,接种384孔板,采用高通量体系加药,设空白对照组,孵育,培养,离心,去掉上清液,加试剂震荡,用酶标仪测吸光度.
同时检测肿瘤样本化疗敏感基因水平,综合分析后制订给药方案.
含出具用药指导报告.
",,"每个药物",,,"",,"3","B""HSK73404","经尿道前列腺激光汽化剜除术","会阴区消毒,尿道润滑,尿道膀胱镜检查,使用绿激光汽化剜除前列腺组织,止血,膀胱冲洗,留置尿管.
不含膀胱造瘘术.
","光纤","次",,,"",,"3","B""AAED0001","营养干预","营养师制定个性化营养干预方案,通过营养干预手段对特殊人群及代谢失衡患者进行饮食追踪、体重管理、纠正代谢紊乱.
营养医师对营养治疗效果评价及出院前营养状况出具评估报告;出院时营养治疗记录随病历保存.
",,"疗程",,,"",,"3","C""CESD2000","妊娠期妇女胰岛素样生长因子结合蛋白-1检测","铺一次性检查垫,取平卧位,用棉签取阴道后穹窿分泌物,加入样本稀释液稀释后,用吸管吸出,滴3滴在检测卡取样孔S内,平置3-6分钟,观察结果,检查是否胎膜早破.
",,"次",,,"",,"3","B""CLBX5000","结核菌及利福平耐药基因的快速分子鉴定","样本类型:痰液、灌洗液、体液和结核分支杆菌阳性培养物等标本.
含样本采集、签收、处理,质控品和阴阳性对照全自动一体化完成,2小时内判断并审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项",,,"",,"3","B""CGQJ3000","结核抗原检测","样本类型:痰液、灌洗液、体液和结核分支杆菌阳性培养物等标本.
含标本采集、纯化、检测等,判断并审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项",,,"",,"3","B""CJBX8000","自动细胞离心涂片抗酸染色镜检","样本类型:痰液、灌洗液、胸腹水、脑脊液和小便等体液标本.
含标本采集装置、消化灭活处理、自动离心吸附集菌、自动制片染色、显微诊断阅片及多媒体分析、图文报告等,判断并审核结果",,"项",,,"",,"3","B""HQT45105","超声引导下经皮穿刺置管引流术","术前超声评估、精准定位,术前消毒,局部麻醉,超声引导下将穿刺针置入靶部位,引入导丝,导丝就位后、扩皮,顺导丝将引流管导入病变部位,退导丝及鞘管,外固定,必要时调整及冲洗.
","导丝","按部位计费",,,"","按部位加收","3","A""NAAC7602","3D腹腔镜手术治疗","使用光学全高清(1920X1080P,逐行扫描,16:9宽屏比)3D腔镜系统完成手术操作",,,,,"",,"3","A""FPA01605","胃肠传输时间检测Ⅰ","向受检者说明检查注意事项,指导受检者完成吞服一颗或多颗胃肠动力标记物胶囊(Sitzmarks),同时记录吞服时间,受检者在规定时间进行一次或多次X射线拍摄.
通过观察标记物在食道、胃、十二指肠、各组小肠、各段结肠的分布及排出情况,观察、评估、计算后,进行病情分析做出诊断.
不含X线摄影.
",,"次",,,"","项目不含X线摄影","3","B""FAY04711","婴儿全身运动质量评估(GMs)","借助于GMs标准化评估系统对5月龄以内婴儿脑损伤的进行筛查,超早期预测脑瘫等不良神经发育结局.
该系统包含5个部分:基本信息、高危病史、神经系统体检、GMs录像、评估(初评、复评).
将信息逐项录入系统,为患儿录像10~30分钟(包含3个GMs序列),剪辑、保存.
评定师查看录像,分析运动模式及质量,出具报告,解释结果,干预指导.
",,"次",,,"",,"3","C""HX983303","骨科机器人辅助治疗","复位完成后,消毒铺单,罩无菌膜,摆放机器人执行系统位置,安装配套的手术工具包后,采集患部X线图像资料并以影像资料为依据在骨科手术机器人规划系统中完成手术路径规划,驱动机器人执行系统运动到位,在执行系统末端安装导向工具,根据机器人引导,在手术区域完成入点确认、通过导针建立体内手术路径,依据导针置入内植物,影像验证,必要时调整,冲洗缝合.
","内固定材料","次",,,"","本项目在普通手术基础上加收,多部位手术等参照普通手术加价比例酌情加收.
","3","C""KHS25704","生物功能性全口义齿修复术","无牙颌颌位关系、牙槽嵴和黏膜等口腔状况检查,Accu-dent托盘套装取初印模,正中合托盘取上下颌位关系上哥特式弓.
个别托盘硅橡胶取闭口式功能性印模,面弓测量垂直颌位和正中合关系,精确记录和转移至口外全可调合架上,遵照生物功能性全口义齿原则排牙,基托注塑完成全口义齿,试戴调整前牙个性化排列和美学需求.
临床戴牙,调整就位,修改基托,调合,抛光,复诊调整,完成治疗.
需4次治疗完成一个疗程.
","成品牙,基托.
","单颌/疗程",,,"",,"3","A""FPB07603","窄带成像内镜","具窄带成像功能的内镜,外形和常规操作与普通内镜基本一致,在操作中可随时切换至窄带成像内镜模式观察病灶,能更清晰地了解病灶表面的黏膜凹窝形态及血管等,方便对病灶进行定性与靶向活检.
",,"次",,,"",,"3","A""CGKR1000","抗水通道蛋白-4抗体","样本类型:血液或脑脊液.
样本采集、签收、处理,样本与抗原基质片反应,加荧光标记抗体,检测,质控,审核结果,录入实验室信息系统或人工登记,发送报告;按规定处理废弃物;接受临床相关咨询.
",,"项",,,"",,"3","A""九、放开公立医疗机构医疗服务项目""本类说明:"本类包括放开公立医疗机构医疗服务价格项目,共计125项.
实行市场调节价,医疗机构依法自主制定.