"深圳市宝安纯中医治疗医院医疗服务项目和价格公示表2020-1-16"

"序号","项目编码","项目名称","计价单位","项目内涵","除外内容","说明","政府指导价格(一档)","记账标志""1","110200001","普通门诊诊查费","次","指医护人员提供(技术劳务)的诊疗服务",,,"25","医保记账""2","110200002-1","名专家","次","指:①享受政府津贴的专家,②省级名老、名中医",,,"100","医保记账""3","110200002-2","主任医师","次",,,,"50","医保记账""4","110200002-3","副主任医师","次",,,,"33","医保记账""5","110200003","急诊诊查费","次","指医护人员提供的24小时急救、急症的诊疗服务",,,"45","医保记账""6","110200004","门急诊留观诊查费(含诊查、护理)","日",,,,"50","医保记账""7","110200005","住院诊查费","日","指医务人员技术劳务性服务",,"入院当日按一日计算收费,出院当日不计收费(计入不计出)","60","医保记账""8","110300001","⊙急诊监护费(含监护、床位、诊查、护理)","日",,,"符合监护病房条件和管理标准,超过半日不足24小时按一日计算,不足半日按半日计算","120","医保记账""9","110300001*1","⊙急诊监护费((半日)含监护、床位、诊查、护理)","半日",,,"符合监护病房条件和管理标准,超过半日不足24小时按一日计算,不足半日按半日计算","60","医保记账""10","110400001","⊙院前急救费","次","包括内脏衰竭、外伤、烧伤、中毒、溺水、电击等现场急救.
","化验、特殊检查、治疗、药物、血液","除救护车费外,不得收取其他费用","48","医保记账""11","110500001","体检费","次","含内、外(含皮肤)、五官、妇科(含宫颈刮片)的常规检查,写总检报告.
","影像、化验及特殊检查","不另收诊查费","35","医保记账""12","110500001-1","一般健康体检","次",,,,"45","医保记账""13","110500001-2","学龄前儿童、高校及中小学学生体检","次",,,,"15","医保记账""14","110500001-3","公务员招考体检","次","含深圳市公务员招考体检规定检查项目",,"限深圳市公务员招考体检","500","自费""15","110600001","救护车费","车/次","指急救范围地段内","院前急救","跨越急救范围地段每超一公里加收4元,需要担架员提供抬护服务的加收24元","70","自费""16","110600001*1","救护车跨越急救范围地段加收","公里",,,,"4","自费""17","110600001*2","担架员抬护服务(随车出诊)","车/次",,,,"24","自费""18","110900000*1","空气负压病房加收","床/日",,,,"8","医保记账""19","110900000*2","病房使用医用空气隔离装置加收","床/日",,,,"52","医保记账""20","110900001*1","母婴同室加收","床/日",,,,"16","医保记账""21","110900001-1a","A级单人房","床/日",,,,"108","医保记账""22","110900001-1a*2","A级肿瘤单人房","床/日",,,,"114","医保记账""23","110900001-1a*3","A级烧伤单人房","床/日",,,,"114","医保记账""24","110900001-1a*4","A级传染科单人房","床/日",,,,"114","医保记账""25","110900001-1a*5","A级精神科单人房","床/日",,,,"114","医保记账""26","110900001-1b","A级双人房","床/日",,,,"60","医保记账""27","110900001-1b*2","A级肿瘤双人房","床/日",,,,"66","医保记账""28","110900001-1b*3","A级烧伤双人房","床/日",,,,"66","医保记账""29","110900001-1b*4","A级传染科双人房","床/日",,,,"66","医保记账""30","110900001-1b*5","A级精神科双人房","床/日",,,,"66","医保记账""31","110900001-1c","A级三人以上病房","床/日",,,,"43","医保记账""32","110900001-1c*2","A级肿瘤三人以上病房","床/日",,,,"49","医保记账""33","110900001-1c*3","A级烧伤三人以上病房","床/日",,,,"49","医保记账""34","110900001-1c*4","A级传染科三人以上病房","床/日",,,,"49","医保记账""35","110900001-1c*5","A级精神科三人以上病房","床/日",,,,"49","医保记账""36","110900001-2a","B级单人房","床/日",,,,"57","医保记账""37","110900001-2a*2","B级肿瘤单人房","床/日",,,,"63","医保记账""38","110900001-2a*3","B级烧伤单人房","床/日",,,,"63","医保记账""39","110900001-2a*4","B级传染科单人房","床/日",,,,"63","医保记账""40","110900001-2a*5","B级精神科单人房","床/日",,,,"63","医保记账""41","110900001-2b","B级双人房","床/日",,,,"42","医保记账""42","110900001-2b*2","B级肿瘤双人房","床/日",,,,"48","医保记账""43","110900001-2b*3","B级烧伤双人房","床/日",,,,"48","医保记账""44","110900001-2b*4","B级传染科双人房","床/日",,,,"48","医保记账""45","110900001-2b*5","B级精神科双人房","床/日",,,,"48","医保记账""46","110900001-2c","B级三人房","床/日",,,,"37","医保记账""47","110900001-2c*2","B级肿瘤三人房","床/日",,,,"43","医保记账""48","110900001-2c*3","B级烧伤三人房","床/日",,,,"43","医保记账""49","110900001-2c*4","B级传染科三人房","床/日",,,,"43","医保记账""50","110900001-2c*5","B级精神科三人房","床/日",,,,"43","医保记账""51","110900001-2d","B级四人以上病房","床/日",,,,"32","医保记账""52","110900001-2d*2","B级肿瘤四人以上病房","床/日",,,,"38","医保记账""53","110900001-2d*3","B级烧伤四人以上病房","床/日",,,,"38","医保记账""54","110900001-2d*4","B级传染科四人以上病房","床/日",,,,"38","医保记账""55","110900001-2d*5","B级精神科四人以上病房","床/日",,,,"38","医保记账""56","110900001-3a","C级单人房","床/日",,,,"47","医保记账""57","110900001-3a*2","C级肿瘤单人房","床/日",,,,"53","医保记账""58","110900001-3a*3","C级烧伤单人房","床/日",,,,"53","医保记账""59","110900001-3a*4","C级传染科单人房","床/日",,,,"53","医保记账""60","110900001-3a*5","C级精神科单人房","床/日",,,,"53","医保记账""61","110900001-3b","C级双人房","床/日",,,,"37","医保记账""62","110900001-3b*2","C级肿瘤双人房","床/日",,,,"43","医保记账""63","110900001-3b*3","C级烧伤双人房","床/日",,,,"43","医保记账""64","110900001-3b*4","C级传染科双人房","床/日",,,,"43","医保记账""65","110900001-3b*5","C级精神科双人房","床/日",,,,"43","医保记账""66","110900001-3c","C级三人房","床/日",,,,"32","医保记账""67","110900001-3c*2","C级肿瘤三人房","床/日",,,,"38","医保记账""68","110900001-3c*3","C级烧伤三人房","床/日",,,,"38","医保记账""69","110900001-3c*4","C级传染科三人房","床/日",,,,"38","医保记账""70","110900001-3c*5","C级精神科三人房","床/日",,,,"38","医保记账""71","110900001-3d","C级四人以上病房","床/日",,,,"27","医保记账""72","110900001-3d*2","C级肿瘤四人以上病房","床/日",,,,"33","医保记账""73","110900001-3d*3","C级烧伤四人以上病房","床/日",,,,"33","医保记账""74","110900001-3d*4","C级传染科四人以上病房","床/日",,,,"33","医保记账""75","110900001-3d*5","C级精神科四人以上病房","床/日",,,,"33","医保记账""76","110900001-4a","D级单人房","床/日",,,,"37","医保记账""77","110900001-4a*2","D级烧伤单人房","床/日",,,,"43","医保记账""78","110900001-4a*3","D级肿瘤单人房","床/日",,,,"43","医保记账""79","110900001-4a*4","D级传染科单人房","床/日",,,,"43","医保记账""80","110900001-4a*5","D级精神科单人房","床/日",,,,"43","医保记账""81","110900001-4b","D级双人房","床/日",,,,"32","医保记账""82","110900001-4b*2","D级烧伤双人房","床/日",,,,"38","医保记账""83","110900001-4b*3","D级肿瘤双人房","床/日",,,,"38","医保记账""84","110900001-4b*4","D级传染科双人房","床/日",,,,"38","医保记账""85","110900001-4b*5","D级精神科双人房","床/日",,,,"38","医保记账""86","110900001-4c","D级三人房","床/日",,,,"27","医保记账""87","110900001-4c*2","D级肿瘤三人房","床/日",,,,"33","医保记账""88","110900001-4c*3","D级烧伤三人房","床/日",,,,"33","医保记账""89","110900001-4c*4","D级传染科三人房","床/日",,,,"33","医保记账""90","110900001-4c*5","D级精神科三人房","床/日",,,,"33","医保记账""91","110900001-4d","D级四人以上病房","床/日",,,,"22","医保记账""92","110900001-4d*2","D级肿瘤四人以上病房","床/日",,,,"28","医保记账""93","110900001-4d*3","D级烧伤四人以上病房","床/日",,,,"28","医保记账""94","110900001-4d*4","D级传染科四人以上病房","床/日",,,,"28","医保记账""95","110900001-4d*5","D级精神科四人以上病房","床/日",,,,"28","医保记账""96","110900001-5","新生儿床位","床/日",,,,"16","医保记账""97","110900002-1","层流洁净病房","床/日","指达到规定洁净级别、有层流装置的层流洁净间,采用全封闭管理,有严格消毒隔离措施及对外通话系统",,,"280","医保记账""98","110900002-2","层流洁净简易病房","床/日","指达到规定洁净级别、有层流装置的层流洁净间,有严格消毒隔离措施",,,"100","医保记账""99","110900003","监护病房床位费","床/日","指配有中心监护台、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",,,"100","医保记账""100","110900004","特殊防护病房床位费","床/日","指核素内照射治疗病房",,"单人间124元/日","100","医保记账""101","110900004*1","特殊防护病房床位费(单人间)","床/日","指核素内照射治疗病房",,,"124","医保记账""102","110900005","门急诊观察床位费","床/日",,,"符合病房条件和管理标准的门急诊观察床,按病房有关标准计价;床位费以日计价,不足半日按半日计价","10","医保记账""103","110900005*1","门急诊观察床位费(半日)","床/半日",,,"符合病房条件和管理标准的门急诊观察床,按病房有关标准计价;床位费以日计价,不足半日按半日计价","5","医保记账""104","111000001","院际会诊","次",,,"会诊专家差旅费由患者支付的,由医患双方协商.
","260","自费""105","111000002","院内会诊","次",,,,"20","医保记账""106","111000003","远程会诊","小时",,,,"800","自费""107","120100000*1","使用防褥疮气垫(床)加收","日",,"药物、特殊仪器,一次性水枕头,一次性胸带,一次性腹带",,"7","医保记账""108","120100001","⊙重症监护(不另收级别护理和一般专项护理)","小时","含24小时室内有专业护士监护,监护医生、护士严密观察病情、监护生命体征、随时记录病情、作好重症监护记录","一次性氧饱和探头","不另收级别护理和一般专项护理","12","医保记账""109","120100002","特级护理","小时","含24小时设专人护理,严密观察病情、测量生命体征、记特护记录、进行护理评估、制定护理计划","一次性氧饱和探头",,"9","医保记账""110","120100003","Ⅰ级护理","日","含需要护士每小时巡视观察一次,观察病情变化,根据病情测量生命体征,进行护理评估及一般性生活护理、作好卫生宣教及出院指导",,,"24","医保记账""111","120100004","Ⅱ级护理","日","含需要护士每两小时巡视一次,观察病情变化及病人治疗、检查、用药后反应,测量体温、脉搏、呼吸,协助病人生活护理,作好卫生宣教及出院指导",,,"16","医保记账""112","120100005","Ⅲ级护理","日","含需要护士每日巡视2-3次,观察、了解病人一般情况,测量体温、脉搏、呼吸,作好卫生宣教及出院指导",,,"6","医保记账""113","120100006","特殊疾病护理(不另收级别护理费)","日","指气性坏疽、破伤风、艾滋病等特殊传染病和耐药菌感染、器官及骨髓移植患者的护理;含严格消毒隔离及一级护理内容",,"不另收级别护理费","48","医保记账""114","120100007","新生儿护理(不另收级别护理费)","日","含新生儿洗浴、脐部残端处理、口腔、皮肤及会阴护理、喂养材料",,"不另收级别护理费","52","医保记账""115","120100008-1","新生儿抚触","次",,,,"16","医保记账""116","120100008-2","新生儿肛管排气","次",,,,"16","医保记账""117","120100008-3","新生儿呼吸道清理","次",,,,"16","医保记账""118","120100008-4","新生儿药浴","次",,,,"16","医保记账""119","120100008-5","新生儿油浴","次",,,,"16","医保记账""120","120100008-6","新生儿剪舌系带","次",,,,"16","医保记账""121","120100009","精神病护理(不另收级别护理费)","日",,,"不另收级别护理费","31","医保记账""122","120100010","气管切开护理","日","含吸痰、药物滴入、定时消毒、更换套管及纱布.
包括气管插管护理","一次性引流管,一次性气管套管,一次性吸痰管,人工鼻(湿热交换器)","不可同时收取吸痰护理费","72","医保记账""123","120100010*1","气管插管护理","日","含吸痰、药物滴入、定时消毒、更换套管及纱布.
包括气管插管护理","一次性引流管,一次性气管套管,一次性吸痰管,人工鼻(湿热交换器)","不可同时收取吸痰护理费","72","医保记账""124","120100011","吸痰护理(含叩背、吸痰;不含雾化吸入)","次","含叩背、吸痰;不含雾化吸入",,"一天收费最高不得超过一档95.
6元、二档92.
6元、三档89.
6元、四档83.
6元","7","医保记账""125","120100011*1","持续吸痰护理","日",,,,"95.
600078125","医保记账""126","120100012","造瘘护理","次","包括肠造护理","一次性造瘘管、造口袋",,"12","医保记账""127","120100012*1","肠造口护理","次",,,,"12","医保记账""128","120100013","动静脉置管护理(含换药、封管)","次","含换药、封管",,"静脉留置针护理(含换药、封管)多个部位多个留置针护理的,一档13元/日、二档12.
6元/日、三档12.
3元/日、四档11.
5元/日收费,不得另收冲管、封管用生理盐水和注射器费用","13","医保记账""129","120100013*1","静脉留置针护理(含换药、封管)","日","含换药、封管",,,"13","医保记账""130","120100014-1","口腔护理","次",,,,"10","医保记账""131","120100014-2","⊙会阴冲洗","次","包括会阴抹洗","一次性扩阴器、一次性冲洗器",,"10","医保记账""132","120100014-2*1","⊙会阴抹洗","次",,"一次性扩阴器、一次性冲洗器",,"10","医保记账""133","120100014-3","床上洗发","次",,,,"15","医保记账""134","120100014-4","擦浴","次",,,,"25","医保记账""135","120100015","⊙机械辅助排痰","次","指无力自主排痰的机械振动辅助治疗",,"一天收费最高不得超过36元","12","医保记账""136","120100015*1","⊙机械辅助排痰(一天收费最高不得超过36元)","天","指无力自主排痰的机械振动辅助治疗",,,"36","医保记账""137","120100016S","压疮护理","次","指使用压疮评估表确定压疮分级及危险因素,对存在的压疮隐患给予相应处理措施,不含换药","长效抗菌材料","每天收费不超过144元","12","医保记账""138","120100016S*1","压疮护理(每天收费不超过144元)","天","指使用压疮评估表确定压疮分级及危险因素,对存在的压疮隐患给予相应处理措施,不含换药","长效抗菌材料",,"144","医保记账""139","120100017S","糖尿病足护理","次","指导患者足部皮肤保养、足部运动、预防足外伤、剪趾甲等措施,正确处理鸡眼、脚癣及局部溃疡,不含换药","长效抗菌材料",,"30","医保记账""140","120200001","⊙大抢救","日","指1.
成立专门抢救班子;2.
主管医生不离开现场;3.
严密观察病情变化;4.
抢救涉及两科以上及时组织院内外会诊;5.
专人护理、配合抢救",,,"96","医保记账""141","120200002","⊙中抢救","日","指1.
成立专门抢救小组;2.
医生不离开现场;3.
严密观察病情变化;4.
抢救涉及两科以上及时组织院内会诊;5.
专人护理,配合抢救",,,"60","医保记账""142","120200003","⊙小抢救","日","指1.
专门医生现场抢救病人;2.
严密观察记录病情变化;3.
抢救涉及两科以上及时请院内会诊;4.
有专门护士配合",,,"40","医保记账""143","120300001*1","氧气吸入加压给氧加收","小时",,,,"5","医保记账""144","120300001-1","⊙低流量给氧","小时",,,,"4","医保记账""145","120300001-2","⊙中流量给氧","小时",,,,"5","医保记账""146","120300001-3","⊙高流量给氧","小时",,,,"6","医保记账""147","120300001-4","⊙氧气创面治疗","小时",,,,"6","医保记账""148","120400000*1","使用微量泵或输液泵每小时加收","每小时",,,,"1.
20000061035156","医保记账""149","120400001","⊙肌肉注射","次","包括皮下、皮内注射",,,"2.
5","医保记账""150","120400001*1","⊙皮下注射","次",,,,"2.
3","医保记账""151","120400001*2","⊙皮内注射","次",,,,"2.
40000122070313","医保记账""152","120400002","⊙静脉注射","次","包括静脉采血",,,"3.
70000244140625","医保记账""153","120400002*1","⊙静脉采血","次",,,,"5.
9000048828125","医保记账""154","120400003","⊙心内注射","次",,,,"10.
5","医保记账""155","120400004","⊙动脉加压注射","次","包括动脉采血",,,"12.
5","医保记账""156","120400004*1","⊙动脉采血","次",,,,"21.
90001953125","医保记账""157","120400005","皮下输液","次",,,,"暂不定价","医保记账""158","120400006*1","静脉输液连续输液第二组起","组",,,,"1.
90000122070312","医保记账""159","120400006*2","静脉输血连续输血第二组起","组",,,,"1.
20000061035156","医保记账""160","120400006*4","持续化疗药物治疗","日","指电脑控制多种药物持续化疗",,,"278.
5","医保记账""161","120400006-1","⊙住院静脉输液","组",,,,"13.
800009765625","医保记账""162","120400006-1*1","⊙住院静脉输血","组",,,,"9.
3","医保记账""163","120400006-2","⊙门诊静脉输液","组",,,,"21.
80001953125","医保记账""164","120400006-2*1","⊙门诊静脉输血","组",,,,"16.
300009765625","医保记账""165","120400007","⊙小儿头皮静脉输液","组",,,"连续输液第二组起每组只收一档1.
9元、二档1.
9元、三档1.
8元、四档1.
7元,使用微量泵或输液泵每小时加收1.
2元(不分档次)","18.
800009765625","医保记账""166","120400008-1","⊙静脉高营养治疗配置","袋(瓶)",,,,"23.
70001953125","医保记账""167","120400008-2","⊙肠内营养液配置","瓶(袋)",,,,"4","医保记账""168","120400009","⊙静脉切开置管术","次",,,,"70","医保记账""169","120400010","⊙静脉穿刺置管术","次","指使用PICC导管进行的外周静脉穿刺","导管、血管鞘",,"42","医保记账""170","120400011-1","⊙中心静脉穿刺置管术","次","包括深静脉穿刺置管术","中心静脉套件、测压套件、透明敷贴",,"70","医保记账""171","120400011-1*1","⊙深静脉穿刺置管术","次",,,,"70","医保记账""172","120400011-2","⊙中心静脉测压","次",,,,"7","医保记账""173","120400012","⊙动脉穿刺置管术",,,,,"75.
2000390625","医保记账""174","120400013-1","⊙抗肿瘤化学药物配置","组","指在普通药物配置间内进行的抗肿瘤药物配置",,,"18.
700009765625","医保记账""175","120400013-2a","⊙抗肿瘤化学药物集中配置","组","包括全静脉营养液",,,"18.
700009765625","医保记账""176","120400013-2a*1","⊙全静脉营养液集中配置","组",,,,"18.
700009765625","医保记账""177","120400013-2b","⊙其他药物集中配置","组",,,,"4.
70000244140625","医保记账""178","120500001","⊙大清创缝合(缝合11针以上)","次",,,"缝合11针以上","270","医保记账""179","120500001*1","⊙术后创口二期缝合术(缝合11针以上)","次",,,"缝合11针以上","270","医保记账""180","120500002","⊙中清创缝合(缝合6-10针)","次",,,"缝合6-10针","200","医保记账""181","120500002*1","⊙术后创口二期缝合术(缝合6-10针)","次",,,"缝合6-10针","200","医保记账""182","120500003","⊙小清创缝合(缝合1-5针)","次",,,"缝合1-5针","108","医保记账""183","120500003*1","⊙术后创口二期缝合术(缝合1-5针)","次",,,"缝合1-5针","108","医保记账""184","120500004S","⊙超声清创术","10c㎡","指超声清创机清创,含清创后创面包扎",,"不足10c㎡按10c㎡计价,每增加1c㎡加收7元","70","医保记账""185","120500004S*1","⊙超声清创术(每增加1c㎡加收)","1c㎡","指超声清创机清创,含清创后创面包扎",,,"7","医保记账""186","120600001","⊙特大换药","次",,,"创面50(不含)c㎡以上或长度25(不含)cm以上","55","医保记账""187","120600001*1","⊙外擦药物治疗(创面50(不含)c㎡以上或长度25(不含)cm以上)","次",,,"创面50c㎡以上","55","医保记账""188","120600001*2","⊙封包换药(创面50(不含)c㎡以上或长度25(不含)cm以上)","次",,,"创面50c㎡以上","55","医保记账""189","120600001*3","⊙外敷药物治疗(创面50(不含)c㎡以上或长度25(不含)cm以上)","次",,,,"55","医保记账""190","120600002","⊙大换药","次",,,"创面30(不含)-50(含)c㎡或长度15(不含)-25(含)cm","28","医保记账""191","120600002*1","⊙外擦药物治疗(创面30(不含)-50(含)c㎡或长度15(不含)-25(含)cm)","次",,,"创面31~50c㎡","28","医保记账""192","120600002*2","⊙封包换药(创面30(不含)-50(含)c㎡或长度15(不含)-25(含)cm)","次",,,"创面31~50c㎡","28","医保记账""193","120600002*3","⊙外敷药物治疗(创面30(不含)-50(含)c㎡或长度15(不含)-25(含)cm)","次",,,,"28","医保记账""194","120600003","⊙中换药","次",,,"创面15(不含)-30(含)c㎡或长度10(不含)-15(含)cm","20","医保记账""195","120600003*1","⊙外擦药物治疗(创面15(不含)-30(含)c㎡或长度10(不含)-15(含)cm)","次",,,"创面15~30c㎡","20","医保记账""196","120600003*2","⊙封包换药(创面15(不含)-30(含)c㎡或长度10(不含)-15(含)cm)","次",,,"创面15~30c㎡","20","医保记账""197","120600003*3","⊙外敷药物治疗(创面15(不含)-30(含)c㎡或长度10(不含)-15(含)cm)","次",,,,"20","医保记账""198","120600004","⊙小换药","次",,,"创面15(含)c㎡以下或长度10(含)cm以下","14","医保记账""199","120600004*1","⊙外擦药物治疗(创面15(含)c㎡以下或长度10(含)cm以下)","次",,,"创面14c㎡以下","14","医保记账""200","120600004*2","⊙封包换药(创面15(含)c㎡以下或长度10(含)cm以下)","次",,,"创面14c㎡以下","14","医保记账""201","120600004*3","⊙外敷药物治疗(创面15(含)c㎡以下或长度10(含)cm以下)","次",,,,"14","医保记账""202","120700001","⊙雾化吸入","次","包括超声、高压泵、氧气雾化、蒸气雾化吸入及机械通气经呼吸机管道雾化给药","药物、一次性雾化器","氧气雾化吸入加收4元","7","医保记账""203","120700001*1","⊙超声雾化吸入","次",,,,"7","医保记账""204","120700001*2","⊙高压泵雾化吸入","次",,,,"7","医保记账""205","120700001*3","⊙氧气雾化吸入","次",,,,"11","医保记账""206","120700001*4","⊙蒸气雾化吸入","次",,,,"7","医保记账""207","120700001*5","⊙机械通气经呼吸机管道雾化给药","次",,,,"7","医保记账""208","120800000*1","鼻饲管置管使用各种泵每小时加收","小时",,"药物和一次性胃肠管",,"1.
20000061035156","医保记账""209","120800001-1","⊙鼻饲管置管","次",,,,"20","医保记账""210","120800001-2","⊙注食、注药、十二指肠灌注","日",,"注食器、灌食器",,"11","医保记账""211","120800002","⊙肠内高营养治疗(含肠营养配置)","日","指经腹部造瘘置管.
特指不能进食的病人.
","营养泵管",,"42","医保记账""212","120900001","⊙胃肠减压(含留置胃管抽胃液及间断减压)","日",,"一次性胃管","引流管引流12元/日·部位,负压引流机加收24元/日","12","医保记账""213","120900001*1","⊙引流管引流","日/部位",,"一次性胃管",,"12","医保记账""214","120900001*2","⊙负压引流机加收","日",,"一次性胃管",,"24","医保记账""215","121000001","⊙洗胃(含插胃管及冲洗)","次",,"药物、一次性胃管、一次性胃食道插管导引管","使用洗胃机加收14元/次","48","医保记账""216","121000001*1","⊙洗胃(使用洗胃机)(含插胃管及冲洗)","次",,,,"62","医保记账""217","121100001-1","⊙酒精擦浴","次",,,,"18","医保记账""218","121100001-2","⊙冰袋降温","次","包括冰帽降温",,"冰袋降温一日最高不得超过36元","2.
40000122070313","医保记账""219","121100001-2*1","⊙冰袋降温(持续)(最高不超过36元)","天",,,,"36","医保记账""220","121100001-2*2","⊙冰帽降温","次",,,"冰袋降温一日最高不得超过36元","2.
40000122070313","医保记账""221","121100001-2*3","⊙冰帽降温(持续)(最高不超过36元)","日",,,,"36","医保记账""222","121100002","⊙特殊物理降温(指使用专用设备降温)","小时","包括特殊物理升温.
指使用专用设备升、降温",,,"7","医保记账""223","121100002*1","⊙特殊物理升温(指使用专用设备升温)","小时",,,,"7","医保记账""224","121200001","⊙坐浴","次",,"药物",,"3","医保记账""225","121300001","⊙冷热湿敷","次",,"药物",,"3","医保记账""226","121400001-1","⊙引流管冲洗","次","包括结肠造瘘冲洗",,,"14","医保记账""227","121400001-1*1","⊙结肠造瘘冲洗","次",,,,"14","医保记账""228","121400001-2","⊙引流管更换","次",,,"拔除引流管减半收费","18","医保记账""229","121400001-2*1","⊙拔除引流管","次",,,,"9","医保记账""230","121500001","⊙灌肠","次","包括一般灌肠、保留灌肠、三通氧气灌肠",,,"20","医保记账""231","121500001*1","⊙灌肠(保留灌肠)","次",,,,"20","医保记账""232","121500001*2","⊙灌肠(三通氧气灌肠)","次",,,,"20","医保记账""233","121500002","⊙清洁灌肠(指经肛门清洁灌肠)","次","指经肛门清洁灌肠",,"回流灌肠加收18元","36","医保记账""234","121500002*3","⊙回流灌肠","次",,,,"54","医保记账""235","121600001-1","⊙导尿","次",,,,"61.
2000390625","医保记账""236","121600001-2","⊙留置导尿","日",,,,"3.
5","医保记账""237","121600001-3","⊙持续尿量监测","小时","指持续监测记录每小时尿量","精密计尿器",,"1.
20000061035156","医保记账""238","121600003","⊙膀胱冲洗","次",,,,"27.
80001953125","医保记账""239","121600004","⊙持续膀胱冲洗","日","包括加压持续冲洗","生理盐水",,"85.
800078125","医保记账""240","121600004*1","⊙加压持续膀胱冲洗","日",,,,"85.
800078125","医保记账""241","121700001","⊙肛管排气","次",,,,"9","医保记账""242","121800001S-1","特大伤口负压辅助愈合治疗创面(400C㎡(含)以上)","次",,,"创面400C㎡(含)以上","1900","医保记账""243","121800001S-2","⊙大型伤口负压辅助愈合治疗(创面200C㎡(含)-400C㎡)","次",,,"创面200C㎡(含)-400C㎡","1400","医保记账""244","121800001S-3","⊙中型伤口负压辅助愈合治疗创面(100C㎡(含)-200C㎡)","次",,,"创面100C㎡(含)-200C㎡","800","医保记账""245","121800001S-4","⊙小型伤口负压辅助愈合治疗创面(100C㎡以下)","次",,,"创面100C㎡以下","600","医保记账""246","130100001","婴幼儿健康体检","次",,,,"15","自费""247","130200001","儿童龋齿预防保健","次","含4岁至学龄前儿童按齿科常规检查",,,"5","自费""248","130300001","家庭巡诊","次","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",,,"47","自费""249","130400001","围产保健访视","次","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)",,,"32","医保记账""250","130500001","传染病访视","次","含指导家庭预防和疾病治疗、康复",,,"32","自费""251","130600001","家庭病床建床费","次","含建立病历和病人全面检查",,,"100","医保记账""252","130600002","家庭病床巡诊费","次","含定期查房和病情记录",,,"77","医保记账""253","130700001","出诊","人/次","包括急救出诊",,"按医护人员数计价","38","自费""254","130800001","建立健康档案","次",,,,"7","自费""255","130900001","健康咨询","次","指个体健康咨询",,,"7","自费""256","130900002","疾病健康教育","人次","指群体健康教育",,,"3","自费""257","130900003S","优生遗传咨询","半小时",,,"不得少于半小时","54","自费""258","140100001","尸体料理","次","指尸体常规清洁处理及包裹;不含专业性尸体整容",,"特殊传染病人尸体料理加收118元","80","自费""259","140100001*1","尸体料理(特殊传染病人)","次",,,,"198","医保记账""260","140100002","专业性尸体整容","次","指伤残尸体整容",,,"暂不定价","自费""261","140100003","尸体存放","日",,,"存放一日内不得收费","36","自费""262","140100004","离体残肢处理","次","包括死婴处理",,,"42","自费""263","140100004*1","死婴处理","次",,,,"42","自费""264","200000000*1","影像数据光盘","张",,,,"5","自费""265","210101001","普通透视","每个部位","包括胸、腹、盆腔、四肢等",,,"6","医保记账""266","210101001*1","胸部透视(使用影像增强器或电视屏)","每个部位",,,,"9","医保记账""267","210101001*2","腹部透视(使用影像增强器或电视屏)","每个部位",,,,"9","医保记账""268","210101001*3","盆腔透视(使用影像增强器或电视屏)","每个部位",,,,"9","医保记账""269","210101001*4","四肢透视(使用影像增强器或电视屏)","每个部位",,,,"9","医保记账""270","210101002","食管钡餐透视(含胃异物、心脏透视检查)","次",,,,"12","医保记账""271","210101002*1","食管钡餐透视(使用影像增强器或电视屏)","次",,,,"18","医保记账""272","210101003","床旁透视与术中透视","半小时","包括透视下定位",,,"40","医保记账""273","210101003*1","透视下定位(使用影像增强器或电视屏)","半小时",,,,"60","医保记账""274","210101003*2","床旁透视与术中透视(使用影像增强器或电视屏)","半小时",,,,"60","医保记账""275","210101004","C型臂术中透视","半小时","包括透视下定位",,,"40","医保记账""276","210101004*1","C型臂术中透视(使用影像增强器或电视屏)","半小时",,,,"60","医保记账""277","210101004*2","C型臂透视下定位(使用影像增强器或电视屏)","半小时",,,,"60","医保记账""278","210102000*1","一张胶片每增加1次曝光加收","曝光次数",,,,"5","医保记账""279","210102000*2","体层摄影按层加收","层",,,,"10","医保记账""280","210102000*3","床旁摄片加收","次",,,,"50","医保记账""281","210102001","5*7吋","片数",,,,"12","医保记账""282","210102001*1","5*7吋(激光片)","次",,,,"15.
600009765625","医保记账""283","210102001*10","5*7吋眼眶侧位","次",,,,"15.
600009765625","医保记账""284","210102001*11","5*7吋眼眶薄骨照片","次",,,,"15.
600009765625","医保记账""285","210102001*12","5*7吋视N孔(双侧)","次",,,,"62.
4000390625","医保记账""286","210102001*13","5*7吋颞颌关节张闭位","次",,,,"62.
4000390625","医保记账""287","210102001*14","5*7吋鼻骨","次",,,,"15.
600009765625","医保记账""288","210102001*15","5*7吋颈椎张口位","次",,,,"15.
600009765625","医保记账""289","210102001*16","5*7吋膝关节正侧位","次",,,,"31.
20001953125","医保记账""290","210102001*17","5*7吋膑骨双轴位","次",,,,"31.
20001953125","医保记账""291","210102001*18","5*7吋踝关节正侧位","次",,,,"31.
20001953125","医保记账""292","210102001*19","5*7吋足正斜位","次",,,,"31.
20001953125","医保记账""293","210102001*2","5*7吋(感绿片)","次",,,,"15.
600009765625","医保记账""294","210102001*20","5*7吋跟骨轴位","次",,,,"15.
600009765625","医保记账""295","210102001*21","5*7吋跟骨侧位","次",,,,"15.
600009765625","医保记账""296","210102001*22","5*7吋肘关节正侧","次",,,,"31.
20001953125","医保记账""297","210102001*23","5*7吋腕关节正侧","次",,,,"31.
20001953125","医保记账""298","210102001*24","5*7吋手正斜位","次",,,,"31.
20001953125","医保记账""299","210102001*25","5*7吋手指正斜位","次",,,,"20.
60001953125","医保记账""300","210102001*26","5*7吋双侧茎骨正侧","次",,,,"62.
4000390625","医保记账""301","210102001*27","5*7婴儿胸平片","次",,,,"15.
600009765625","医保记账""302","210102001*3","5*7吋颧弓切线位","次",,,,"15.
600009765625","医保记账""303","210102001*4","5*7吋单下颌骨正侧","次",,,,"31.
20001953125","医保记账""304","210102001*5","5*7吋乳突徐氏梅氏","次",,,,"62.
4000390625","医保记账""305","210102001*6","5*7吋茎突正位","次",,,,"15.
600009765625","医保记账""306","210102001*7","5*7吋茎突侧位","次",,,,"15.
600009765625","医保记账""307","210102001*8","5*7吋眼球异物定位照片","次",,,,"31.
20001953125","医保记账""308","210102001*9","5*7吋眼眶正位","次",,,,"15.
600009765625","医保记账""309","210102002","8*10吋","片数",,,,"15","医保记账""310","210102002*1","8*10吋(激光片)","片数",,,,"19.
5","医保记账""311","210102002*10","8*10吋颈椎正侧","次",,,,"39","医保记账""312","210102002*11","8*10吋颈椎双斜","次",,,,"39","医保记账""313","210102002*12","8*10吋骶骼关节正位","次",,,,"19.
5","医保记账""314","210102002*13","8*10吋单侧髋关节正位","次",,,,"19.
5","医保记账""315","210102002*14","8*10吋单侧髋关节侧位","次",,,,"19.
5","医保记账""316","210102002*15","8*10吋双踝正位","次",,,,"19.
5","医保记账""317","210102002*16","8*10吋足正侧","次",,,,"39","医保记账""318","210102002*17","8*10吋双肩关节正位","次",,,,"39","医保记账""319","210102002*18","8*10吋锁骨正位","次",,,,"19.
5","医保记账""320","210102002*19","8*10吋小儿胸平片","次",,,,"19.
5","医保记账""321","210102002*2","8*10吋(感绿片)","片数",,,,"19.
5","医保记账""322","210102002*20","8*10吋小儿胸侧位片","次",,,,"19.
5","医保记账""323","210102002*21","8*10吋婴儿胸腹片","次",,,,"19.
5","医保记账""324","210102002*3","8*10吋副鼻窦瓦氏位","次",,,,"19.
5","医保记账""325","210102002*4","8*10吋副鼻窦侧位","次",,,,"19.
5","医保记账""326","210102002*5","8*10吋蝶鞍照片","次",,,,"19.
5","医保记账""327","210102002*6","8*10吋内听道","次",,,,"19.
5","医保记账""328","210102002*7","8*10吋颈椎侧位","次",,,,"19.
5","医保记账""329","210102002*8","8*10吋颈椎过伸","次",,,,"19.
5","医保记账""330","210102002*9","8*10吋颈椎过屈","次",,,,"19.
5","医保记账""331","210102003","10*12吋","片数","包括7*17吋",,,"20","医保记账""332","210102003*1","10*12吋(激光片)","片数",,,,"26","医保记账""333","210102003*10","10*12吋腰椎正侧","次",,,,"52","医保记账""334","210102003*11","10*12吋腰椎双斜","次",,,,"52","医保记账""335","210102003*12","10*12吋腰椎正位","次",,,,"26","医保记账""336","210102003*13","10*12吋腰椎侧位","次",,,,"26","医保记账""337","210102003*14","10*12吋腰椎过屈过伸","次",,,,"52","医保记账""338","210102003*15","10*12吋骶尾椎正侧","次",,,,"52","医保记账""339","210102003*16","10*12吋胸骨正位","次",,,,"26","医保记账""340","210102003*17","10*12吋胸骨斜位","次",,,,"26","医保记账""341","210102003*18","10*12吋上腹部正位","次",,,,"26","医保记账""342","210102003*19","10*12吋盆腔正位","次",,,,"26","医保记账""343","210102003*2","10*12吋(感绿片)","片数",,,,"26","医保记账""344","210102003*20","10*12吋双膝正位","次",,,,"26","医保记账""345","210102003*21","10*12吋双足正位","次",,,,"26","医保记账""346","210102003*22","10*12吋足正位","次",,,,"26","医保记账""347","210102003*23","10*12吋足侧位","次",,,,"26","医保记账""348","210102003*24","10*12吋肩关节正位","次",,,,"26","医保记账""349","210102003*25","10*12吋肩关节侧位","次",,,,"26","医保记账""350","210102003*26","10*12吋肩胛骨正位","次",,,,"26","医保记账""351","210102003*27","10*12吋肩胛骨侧位","次",,,,"26","医保记账""352","210102003*28","10*12吋肱骨正侧","次",,,,"26","医保记账""353","210102003*29","10*12吋尺桡骨正侧","次",,,,"31","医保记账""354","210102003*3","10*12吋头颅正侧位","次",,,,"52","医保记账""355","210102003*30","10*12吋双尺桡骨正位","次",,,,"31","医保记账""356","210102003*31","10*12吋双手腕正位","次",,,,"31","医保记账""357","210102003*32","7*17吋","片数",,,,"20","医保记账""358","210102003*33","7*17吋(感绿片)","片数",,,,"26","医保记账""359","210102003*34","7*17吋(激光片)","片数",,,,"26","医保记账""360","210102003*4","10*12吋头颅正位","次",,,,"26","医保记账""361","210102003*5","10*12吋头颅侧位","次",,,,"26","医保记账""362","210102003*6","10*12吋颅底位","次",,,,"26","医保记账""363","210102003*7","10*12吋汤底位","次",,,,"26","医保记账""364","210102003*8","10*12吋胸椎正位","次",,,,"26","医保记账""365","210102003*9","10*12吋胸椎正侧","次",,,,"52","医保记账""366","210102004","11*14吋","片数",,,,"23","医保记账""367","210102004*1","11*14吋(激光片)","片数",,,,"29.
90001953125","医保记账""368","210102004*2","11*14吋(感绿片)","片数",,,,"29.
90001953125","医保记账""369","210102005","12*15吋","片数",,,,"25","医保记账""370","210102005*1","12*15吋(激光片)","片数",,,,"32.
5","医保记账""371","210102005*2","12*15吋(感绿片)","片数",,,,"32.
5","医保记账""372","210102005*3","12*15吋胸部侧位","次",,,,"32.
5","医保记账""373","210102005*4","12*15吋胸部单斜位","次",,,,"32.
5","医保记账""374","210102005*5","12*15吋胫腓骨正侧位","次",,,,"37.
5","医保记账""375","210102006","14*14吋","片数",,,,"25","医保记账""376","210102006*1","14*14吋(激光片)","片数",,,,"32.
5","医保记账""377","210102006*2","14*14吋(感绿片)","片数",,,,"32.
5","医保记账""378","210102006*3","14*14吋骨盆正位","次",,,,"32.
5","医保记账""379","210102006*4","14*14吋骨盆侧位","次",,,,"32.
5","医保记账""380","210102006*5","14*14吋双侧髋关节正位","次",,,,"32.
5","医保记账""381","210102007","14*17吋","片数",,,,"30","医保记账""382","210102007*1","14*17吋(激光片)","片数",,,,"39","医保记账""383","210102007*2","14*17吋(感绿片)","片数",,,,"39","医保记账""384","210102007*3","14*17吋胸部正位(心脏)","次",,,,"39","医保记账""385","210102007*4","14*17吋腹部正位","次",,,,"39","医保记账""386","210102007*5","14*17吋腹部侧位","次",,,,"39","医保记账""387","210102007*6","14*17吋股骨正侧位","次",,,,"44","医保记账""388","210102007*7","14*17吋双胫腓骨正位","次",,,,"39","医保记账""389","210102008","牙片","片数",,,,"9","医保记账""390","210102008*1","牙片(感绿片)","片数",,,,"11.
700009765625","医保记账""391","210102009","咬合片","片数",,,,"18","医保记账""392","210102009*1","咬合片(感绿片)","片数",,,,"23.
40001953125","医保记账""393","210102010","曲面体层摄影(颌全景摄影)","片数",,,,"30","医保记账""394","210102010*1","曲面体层摄影(颌全景摄影)感绿片","片数",,,,"39","医保记账""395","210102011","头颅定位测量摄影","片数","包括四肢、体部",,,"50","医保记账""396","210102011*1","头颅定位测量摄影(感绿片)","片数",,,,"65","医保记账""397","210102011-1","四肢定位测量摄影","片数",,,,"50","医保记账""398","210102011-2","体部定位测量摄影","片数",,,,"50","医保记账""399","210102012","眼球异物定位摄影","片数","不含眼科放置定位器操作",,,"23","医保记账""400","210102012*1","眼球异物定位摄影(感绿片)","片数",,,,"29.
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,,"40","医保记账""576","210102015-2*57","CR肩胛骨正位*(1)","次",,,,"40","医保记账""577","210102015-2*58","CR胸锁关节正位*(1)","曝光次数",,,,"40","医保记账""578","210102015-2*59","CR胸锁关节斜位*(1)","曝光次数",,,,"40","医保记账""579","210102015-2*6","CR胸片部正位(5岁以下婴幼儿)*(1)","次",,,,"40","医保记账""580","210102015-2*60","CR乳腺双斜位*(2)","次",,,,"70","医保记账""581","210102015-2*61","CR乳腺双正侧位*(4)","次",,,,"130","医保记账""582","210102015-2*62","CR腹部正位*(1)","次",,,,"40","医保记账""583","210102015-2*63","CR腹部侧位*(1)","次",,,,"40","医保记账""584","210102015-2*64","CR盆腔(膀胱)正位*(1)","曝光次数",,,,"40","医保记账""585","210102015-2*65","CR盆腔(膀胱)正侧位*(2)","曝光次数",,,,"70","医保记账""586","210102015-2*66","CR盆腔(膀胱)正位+双斜位*(3)","曝光次数",,,,"100","医保记账""587","210102015-2*67","CR骨盆正位*(1)","曝光次数",,,,"40","医保记账""588","210102015-2*68","CR骨盆侧位*(1)","次",,,,"40","医保记账""589","210102015-2*69","CR髂骨后斜位*(1)","曝光次数",,,,"40","医保记账""590","210102015-2*7","CR胸片部正侧位(5岁以下婴幼儿)*(2)","次",,,,"70","医保记账""591","210102015-2*70","CR髂骨双斜位*(2)","曝光次数",,,,"70","医保记账""592","210102015-2*71","CR单侧髋关节正位*(1)","次",,,,"40","医保记账""593","210102015-2*72","CR单侧髋关节侧位*(1)","次",,,,"40","医保记账""594","210102015-2*73","CR髋关节双正位*(1)","曝光次数",,,,"40","医保记账""595","210102015-2*74","CR髋关节正侧位*(2)","曝光次数",,,,"70","医保记账""596","210102015-2*75","CR骶髂关节正位*(1)","曝光次数",,,,"40","医保记账""597","210102015-2*76","CR骶髂关节双斜位*(2)","曝光次数",,,,"70","医保记账""598","210102015-2*77","CR骶髂关节正位+双斜位*(3)","曝光次数",,,,"100","医保记账""599","210102015-2*78","CR耻骨正位*(1)","曝光次数",,,,"40","医保记账""600","210102015-2*79","CR坐骨正位*(1)","曝光次数",,,,"40","医保记账""601","210102015-2*8","CR头颅切线位*(1)","次",,,,"40","医保记账""602","210102015-2*80","CR肩关节正位*(1)","次",,,,"40","医保记账""603","210102015-2*81","CR肩关节正侧位*(2)","次",,,,"70","医保记账""604","210102015-2*82","CR双肩关节正位*(2)","次",,,,"70","医保记账""605","210102015-2*83","CR肱骨正侧位*(2)","次",,,,"70","医保记账""606","210102015-2*84","CR肘关节正侧位*(2)","曝光次数",,,,"70","医保记账""607","210102015-2*85","CR挠尺骨正侧位*(2)","曝光次数",,,,"70","医保记账""608","210102015-2*86","CR双尺桡骨正位*(2)","次",,,,"70","医保记账""609","210102015-2*87","CR双股骨正侧位*(4)","次",,,,"130","医保记账""610","210102015-2*88","CR腕关节正侧位*(2)","曝光次数",,,,"70","医保记账""611","210102015-2*89","CR腕、掌指关节双正位*(1)","曝光次数",,,,"40","医保记账""612","210102015-2*9","CR头颅汤氏位*(1)","次",,,,"40","医保记账""613","210102015-2*90","CR腕关节蝶式位*(1)","次",,,,"40","医保记账""614","210102015-2*91","CR股骨正侧位*(2)","曝光次数",,,,"70","医保记账""615","210102015-2*92","CR双膝关节正位*(1)","曝光次数",,,,"40","医保记账""616","210102015-2*93","CR双膝关节正侧位*(4)","次",,,,"130","医保记账""617","210102015-2*94","CR膝关节正侧位*(2)","曝光次数",,,,"70","医保记账""618","210102015-2*95","CR膑骨轴位*(1)","次",,,,"40","医保记账""619","210102015-2*96","CR膑骨双轴位*(2)","次",,,,"70","医保记账""620","210102015-2*97","CR胫腓骨双正位*(1)","曝光次数",,,,"40","医保记账""621","210102015-2*98","CR胫腓骨正侧位*(2)","曝光次数",,,,"70","医保记账""622","210102015-2*99","CR双胫腓骨正侧位*(4)","次",,,,"130","医保记账""623","210102016","计算机X线摄影(ComputedRadiography,CR)","曝光次数","含图象增强、数据采集、存贮、图象显示","胶片","第2次以上曝光按30元/次计收","50","医保记账""624","210102017","非血管介入临床操作数字减影(DSA)引导","次",,,,"905","医保记账""625","210103001","气脑造影","次",,,,"69","医保记账""626","210103002","脑室碘水造影","次",,,,"69","医保记账""627","210103003","脊髓(椎管)造影","次",,,,"69","医保记账""628","210103004","椎间盘造影","次",,,,"69","医保记账""629","210103005","泪道造影","单侧",,,,"35","医保记账""630","210103006","副鼻窦造影","单侧",,,,"23","医保记账""631","210103007","颞下颌关节造影","单侧",,,,"23","医保记账""632","210103008","支气管造影","单侧",,,,"92","医保记账""633","210103009","乳腺导管造影","单侧",,,,"23","医保记账""634","210103010","唾液腺造影","单侧",,,,"23","医保记账""635","210103011","下咽造影","次",,,,"23","医保记账""636","210103012","食管造影","次",,,,"46","医保记账""637","210103013","上消化道造影(含食管、胃、十二指肠造影)","次",,,,"58","医保记账""638","210103014","胃肠排空试验","次","指钡餐透视法",,,"70","医保记账""639","210103015","小肠插管造影","次",,,,"80","医保记账""640","210103016","口服法小肠造影(含各组小肠及回盲部造影)","次",,,,"80","医保记账""641","210103017","钡灌肠大肠造影(含气钡双重造影)","次",,,,"69","医保记账""642","210103018","腹膜后充气造影","次",,,,"23","医保记账""643","210103019","口服法胆道造影","次",,,,"12","医保记账""644","210103020","静脉胆道造影","次",,,,"23","医保记账""645","210103021","经内镜逆行胰胆管造影(ERCP)","次",,"导丝、切开刀",,"300","医保记账""646","210103022","经皮经肝胆道造影(PTC)","次",,,,"200","医保记账""647","210103023","T管造影","次","包括各种留置管造影",,,"50","医保记账""648","210103023*1","各种留置管造影","次",,,,"50","医保记账""649","210103024","静脉泌尿系造影","次",,,,"60","医保记账""650","210103025","逆行泌尿系造影","次",,,,"58","医保记账""651","210103026","肾盂穿刺造影","单侧",,,,"70","医保记账""652","210103027","膀胱造影","次",,,,"52","医保记账""653","210103028","阴茎海绵体造影","次",,,,"46","医保记账""654","210103029","输精管造影","单侧",,,,"46","医保记账""655","210103030","子宫造影","次",,,,"69","医保记账""656","210103031","子宫输卵管碘油造影","次",,,,"53","医保记账""657","210103032","四肢淋巴管造影","单肢",,,,"80","医保记账""658","210103033","窦道及瘘管造影","次",,,,"40","医保记账""659","210103034","四肢关节造影","每个关节",,,,"40","医保记账""660","210103035","四肢血管造影","单肢",,,,"80","医保记账""661","210200001-1","磁共振平扫(0.
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5T以下)","每部位",,,,"400","医保记账""663","210200001-1*10","胸椎磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""664","210200001-1*11","腰椎磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""665","210200001-1*12","双髋关节磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""666","210200001-1*13","膝关节磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""667","210200001-1*14","颞颌关节磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""668","210200001-1*15","鼻咽磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""669","210200001-1*16","副鼻窦磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""670","210200001-1*17","内耳磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""671","210200001-1*18","下腹磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""672","210200001-1*19","盆腔磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""673","210200001-1*2","眼眶磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""674","210200001-1*20","踝关节磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""675","210200001-1*21","四肢磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""676","210200001-1*22","骨盆磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""677","210200001-1*23","其他磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""678","210200001-1*24","口腔磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""679","210200001-1*25","骶椎磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""680","210200001-1*27","乳腺磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""681","210200001-1*28","磁共振平扫(0.
5T以下)后马上又做增强扫描加收15%","每部位",,,,"60","医保记账""682","210200001-1*3","垂体磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""683","210200001-1*4","中耳磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""684","210200001-1*5","颈部磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""685","210200001-1*6","胸部磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""686","210200001-1*7","心脏磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""687","210200001-1*8","上腹磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""688","210200001-1*9","颈椎磁共振平扫(0.
5T以下)","每部位",,,,"400","医保记账""689","210200001-2","磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""690","210200001-2*1","颅脑磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""691","210200001-2*10","胸椎磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""692","210200001-2*11","腰椎磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""693","210200001-2*12","双髋关节磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""694","210200001-2*13","膝关节磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""695","210200001-2*14","颞颌关节磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""696","210200001-2*15","鼻咽磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""697","210200001-2*16","副鼻窦磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""698","210200001-2*17","内耳磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""699","210200001-2*18","下腹磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""700","210200001-2*19","盆腔磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""701","210200001-2*2","眼眶磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""702","210200001-2*20","踝关节磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""703","210200001-2*21","四肢磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""704","210200001-2*22","骨盆磁共振平扫((0.
5T-1.
5T)","每部位",,,,"700","医保记账""705","210200001-2*23","其他磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""706","210200001-2*24","口腔磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""707","210200001-2*25","骶椎磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""708","210200001-2*27","乳腺磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""709","210200001-2*28","磁共振平扫(0.
5T-1.
5T)后马上又做增强扫描加收15%","每部位",,,,"105","医保记账""710","210200001-2*3","垂体磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""711","210200001-2*4","中耳磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""712","210200001-2*5","颈部磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""713","210200001-2*6","胸部磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""714","210200001-2*7","心脏磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""715","210200001-2*8","上腹磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""716","210200001-2*9","颈椎磁共振平扫(0.
5T-1.
5T)","每部位",,,,"700","医保记账""717","210200001-3","磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""718","210200001-3*1","颅脑磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""719","210200001-3*10","胸椎磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""720","210200001-3*11","腰椎磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""721","210200001-3*12","双髋关节磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""722","210200001-3*13","膝关节磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""723","210200001-3*14","颞颌关节磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""724","210200001-3*15","鼻咽磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""725","210200001-3*16","副鼻窦磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""726","210200001-3*17","内耳磁共振平扫((1.
5T以上)","每部位",,,,"800","医保记账""727","210200001-3*18","下腹磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""728","210200001-3*19","盆腔磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""729","210200001-3*2","眼眶磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""730","210200001-3*20","踝关节磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""731","210200001-3*21","四肢磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""732","210200001-3*22","骨盆磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""733","210200001-3*23","其他磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""734","210200001-3*24","口腔磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""735","210200001-3*25","骶椎磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""736","210200001-3*27","乳腺磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""737","210200001-3*28","磁共振平扫(1.
5T以上)后马上又做增强扫描加收15%","每部位",,,,"120","医保记账""738","210200001-3*3","垂体磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""739","210200001-3*4","中耳磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""740","210200001-3*5","颈部磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""741","210200001-3*6","胸部磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""742","210200001-3*7","心脏磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""743","210200001-3*8","上腹磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""744","210200001-3*9","颈椎磁共振平扫(1.
5T以上)","每部位",,,,"800","医保记账""745","210200002-1","磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""746","210200002-1*1","颅脑磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""747","210200002-1*10","胸椎磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""748","210200002-1*11","腰椎磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""749","210200002-1*12","双髋关节磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""750","210200002-1*13","膝关节磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""751","210200002-1*14","颞颌关节磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""752","210200002-1*15","鼻咽磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""753","210200002-1*16","副鼻窦磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""754","210200002-1*17","内耳磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""755","210200002-1*18","下腹磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""756","210200002-1*19","盆腔磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""757","210200002-1*2","眼眶磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""758","210200002-1*20","踝关节磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""759","210200002-1*21","四肢磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""760","210200002-1*22","骨盆磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""761","210200002-1*23","口腔磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""762","210200002-1*24","骶椎磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""763","210200002-1*26","乳腺磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""764","210200002-1*27","其他磁共振增强增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""765","210200002-1*3","垂体磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""766","210200002-1*4","中耳磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""767","210200002-1*5","颈部磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""768","210200002-1*6","胸部磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""769","210200002-1*7","心脏磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""770","210200002-1*8","上腹磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""771","210200002-1*9","颈椎磁共振增强扫描(0.
5T以下)","每部位",,,,"500","医保记账""772","210200002-2","磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""773","210200002-2*1","颅脑磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""774","210200002-2*10","胸椎磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""775","210200002-2*11","腰椎磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""776","210200002-2*12","双髋关节磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""777","210200002-2*13","膝关节磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""778","210200002-2*14","颞颌关节磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""779","210200002-2*15","鼻咽磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""780","210200002-2*16","副鼻窦磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""781","210200002-2*17","内耳磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""782","210200002-2*18","下腹磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""783","210200002-2*19","盆腔磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""784","210200002-2*2","眼眶磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""785","210200002-2*20","踝关节磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""786","210200002-2*21","四肢磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""787","210200002-2*22","骨盆磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""788","210200002-2*23","口腔磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""789","210200002-2*24","骶椎磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""790","210200002-2*26","乳腺磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""791","210200002-2*27","其他磁共振增强增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""792","210200002-2*3","垂体磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""793","210200002-2*4","中耳磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""794","210200002-2*5","颈部磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""795","210200002-2*6","胸部磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""796","210200002-2*7","心脏磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""797","210200002-2*8","上腹磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""798","210200002-2*9","颈椎磁共振增强扫描(0.
5-1.
5T)","每部位",,,,"800","医保记账""799","210200002-3","磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""800","210200002-3*1","颅脑磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""801","210200002-3*10","胸椎磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""802","210200002-3*11","腰椎磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""803","210200002-3*12","双髋关节磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""804","210200002-3*13","膝关节磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""805","210200002-3*14","颞颌关节磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""806","210200002-3*15","鼻咽磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""807","210200002-3*16","副鼻窦磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""808","210200002-3*17","内耳磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""809","210200002-3*18","下腹磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""810","210200002-3*19","盆腔磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""811","210200002-3*2","眼眶磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""812","210200002-3*20","踝关节磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""813","210200002-3*21","四肢磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""814","210200002-3*22","骨盆磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""815","210200002-3*23","口腔磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""816","210200002-3*24","骶椎磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""817","210200002-3*26","乳腺磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""818","210200002-3*27","其他磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""819","210200002-3*3","垂体磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""820","210200002-3*4","中耳磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""821","210200002-3*5","颈部磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""822","210200002-3*6","胸部磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""823","210200002-3*7","心脏磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""824","210200002-3*8","上腹部磁共振增强扫描(1.
5T以上)","每部位",,,,"900","医保记账""825","210200002-3*9","颈椎磁共振增强扫描(1.
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,"210300002*16","胸椎X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""907","210300002*17","骶骨(含骶、尾骨)X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""908","210300002*18","双髋关节X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""909","210300002*19","膝关节X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""910","210300002*2","眼眶X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""911","210300002*20","肢体X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""912","210300002*21","鼻咽X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""913","210300002*22","垂体X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""914","210300002*23","乳突X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""915","210300002*24","内耳X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""916","210300002*25","踝关节X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""917","210300002*27","其它X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""918","210300002*28","头部血管X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""919","210300002*29","心脏血管X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""920","210300002*3","视神经管X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""921","210300002*30","胸部血管X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""922","210300002*31","上腹血管X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""923","210300002*33","下腹血管X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""924","210300002*34","盆腔血管X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""925","210300002*35","四肢血管X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""926","210300002*4","颞骨X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""927","210300002*5","鞍区X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""928","210300002*6","副鼻窦X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""929","210300002*7","鼻骨X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""930","210300002*8","颈部X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""931","210300002*9","胸部X线计算机体层(CT)增强扫描","每个部位",,,,"400","医保记账""932","210300003","脑池X线计算机体层(CT)含气造影(含临床操作)","每个部位",,,,"暂不定价","医保记账""933","210300004","X线计算机体层(CT)成像","每个部位","指用于心脏冠状动脉三维成象",,,"320","医保记账""934","210300005","临床操作的CT引导","每半小时",,,,"150","医保记账""935","210400001","院外影像学会诊","次","包括X线片、MRI片、CT片、核医学会诊",,,"150","自费""936","210400001*1","院外影像学会诊(X线片)","次",,,,"150","自费""937","210400001*2","院外影像学会诊(MRI片)","次",,,,"150","自费""938","210400001*3","院外影像学会诊(CT片)","次",,,,"150","自费""939","210400001*4","院外影像学会诊(核医学)","次",,,,"150","自费""940","210500001","红外热像检查","每个部位","包括远红外热断层检查",,,"20","医保记账""941","210500001*1","远红外热断层检查","每个部位",,,,"20","医保记账""942","210500002","红外线乳腺检查","单侧",,,,"46","医保记账""943","210500003","计算机断层扫描激光乳腺成像","单侧",,,"双侧加收50%","680","医保记账""944","210500003*1","计算机断层扫描激光乳腺成像-双侧","双侧",,,,"1020","医保记账""945","220000000*1","超声检查(住院患者病床旁检查加收)","人次",,"适用于腔道检查的杀菌型耦合剂","医务人员携带设备至住院患者病床旁进行的检查加收20元/人次","20","医保记账""946","220100001","A型超声检查","每个部位",,,,"10","医保记账""947","220100002","临床操作的A超引导","半小时",,,,"暂不定价","医保记账""948","220100003","眼部A超","单侧",,,,"10","医保记账""949","220201001","单脏器B超检查","每个脏器",,"图象记录、造影剂",,"12","医保记账""950","220201002","B超常规检查","次","包括胸部(含肺、胸腔、纵隔);腹部(含肝、胆、胰、脾);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);肾上腺;男性生殖系统",,,"40","医保记账""951","220201002*1","胸部(含肺、胸腔、纵隔)B超常规检查","次",,,,"40","医保记账""952","220201002*2","腹部(含肝胆胰脾)B超常规检查","次",,,,"40","医保记账""953","220201002*3","胃肠道B超常规检查","次",,,,"40","医保记账""954","220201002*4","泌尿系(含双肾、输尿管、膀胱、前列腺)B超常规检查","次",,,,"40","医保记账""955","220201002*5","妇科(含子宫、、膀胱及周围组织)B超常规检查","次",,,,"40","医保记账""956","220201002*6","产科(含胎儿及宫腔)B超常规检查","胎次",,,,"40","医保记账""957","220201002*7","肾上腺B超常规检查","次",,,,"40","医保记账""958","220201002*8","男性生殖系统B超常规检查","次",,,,"40","医保记账""959","220201003","胸腹水B超检查及穿刺定位","次","包括胸水B超检查及穿刺定位、腹水B超检查及穿刺定位.
不含活检",,,"90","医保记账""960","220201003*1","胸水B超检查及穿刺定位(不含活检)","次",,,,"90","医保记账""961","220201003*2","腹水B超检查及穿刺定位(不含活检)","次",,,,"90","医保记账""962","220201004","胃肠充盈造影B超检查(含胃、小肠及其附属结构)","次",,,,"40","医保记账""963","220201005","大肠灌肠造影B超检查(含大肠及其附属结构)","次",,,,"40","医保记账""964","220201006","输卵管超声造影","次","含临床操作,含宫腔、双输卵管","一次性导管",,"60","医保记账""965","220201007","浅表组织器官B超检查","每个部位",,,"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.
关节;9.
体表肿物","40","医保记账""966","220201007*1","双眼及附属器B超检查","每个部位",,,,"40","医保记账""967","220201007*2","双涎腺及颈部淋巴结B超检查","每个部位",,,,"40","医保记账""968","220201007*3","甲状腺及颈部淋巴结B超检查","每个部位",,,,"40","医保记账""969","220201007*4","乳腺及其引流区淋巴结B超检查","每个部位",,,,"40","医保记账""970","220201007*5","四肢软组织B超检查","每个部位",,,,"40","医保记账""971","220201007*6","阴囊、双侧睾丸、附睾B超检查","每个部位",,,,"40","医保记账""972","220201007*7","小儿颅腔B超检查","每个部位",,,,"40","医保记账""973","220201007*8","关节B超检查","每个部位",,,,"40","医保记账""974","220201007*9","体表肿物B超检查","每个部位",,,,"40","医保记账""975","220201009","临床操作的B超引导","次",,,,"70","医保记账""976","220202001","经阴道B超检查(含子宫及双)","次","含子宫及双",,,"70","医保记账""977","220202002","经直肠B超检查(含前列腺、精囊、尿道、直肠)","次","含前列腺、精囊、尿道、直肠",,,"70","医保记账""978","220202003","临床操作的腔内B超引导","次",,,,"100","医保记账""979","220203001","胃充盈及排空功能检查(指造影法)","次","指造影法",,,"40","医保记账""980","220203002","小肠充盈及排空功能检查(指造影法)","次","指造影法",,,"40","医保记账""981","220203003","胆囊和胆道收缩功能检查(指造影法)","次","指造影法",,,"40","医保记账""982","220203004","胎儿生物物理相评分","次","含呼吸运动、肌张力、胎动、羊水量、无刺激试验",,,"60","医保记账""983","220203005","膀胱残余尿量测定","次",,,,"30","医保记账""984","220301001","彩色多普勒超声常规检查","部位","包括胸部(含肺、胸腔、纵隔)、腹部(含肝、胆、胰、脾)、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)、男性生殖系统(含睾丸、附睾、输精管、精索、前列腺)、肾上腺、腔内彩色多普勒超声检查.
",,"胎儿产前诊断每胎次加收160元.
彩色多普勒超声监测60元/次,每天收费最高不超过180元","120","医保记账""985","220301001*1","胸部彩色多普勒超声常规检查(含肺、胸腔、纵隔)","部位",,,,"120","医保记账""986","220301001*10","彩色多普勒超声胎儿产前诊断加收","胎次",,,,"160","医保记账""987","220301001*11","彩色多普勒超声监测","次",,,,"60","医保记账""988","220301001*12","彩色多普勒超声监测(每天收费最高)","天",,,,"180","医保记账""989","220301001*13","腔内彩色多普勒超声检查","部位",,,,"120","医保记账""990","220301001*2","腹部(含肝、胆、胰、脾)彩色多普勒超声常规检查","部位",,,,"120","医保记账""991","220301001*3","胃肠道彩色多普勒超声常规检查","部位",,,,"120","医保记账""992","220301001*4","泌尿系彩色多普勒超声常规检查(含双肾、输尿管、膀胱、前列腺)","部位",,,,"120","医保记账""993","220301001*5","妇科彩色多普勒超声常规检查(含子宫、、膀胱及周围组织)","部位",,,,"120","医保记账""994","220301001*6","产科彩色多普勒超声常规检查(含胎儿及宫腔)","胎次",,,,"120","医保记账""995","220301001*7","彩色多普勒超声胎儿产前诊断","胎次",,,,"280","医保记账""996","220301001*8","男性生殖系统彩色多普勒超声常规检查(含睾丸、附睾、输精管、精索、前列腺)","部位",,,,"120","医保记账""997","220301001*9","肾上腺彩色多普勒超声常规检查","部位",,,,"120","医保记账""998","220301002","浅表器官彩色多普勒超声检查","每个部位",,,"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(双侧)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","120","医保记账""999","220301002*1","双眼及附属器彩色多普勒超声检查","每个部位",,,,"120","医保记账""1000","220301002*10","其他彩色多普勒超声检查","每个部位",,,,"120","医保记账""1001","220301002*2","双涎腺及颈部淋巴结彩色多普勒超声检查","每个部位",,,,"120","医保记账""1002","220301002*3","甲状腺及颈部淋巴结彩色多普勒超声检查","每个部位",,,,"120","医保记账""1003","220301002*4","乳腺(双侧)及其引流区淋巴结彩色多普勒超声检查","每个部位",,,,"120","医保记账""1004","220301002*5","上肢或下肢软组织彩色多普勒超声检查","每个部位",,,,"120","医保记账""1005","220301002*6","阴囊、双侧睾丸、附睾彩色多普勒超声检查","每个部位",,,,"120","医保记账""1006","220301002*7","颅腔彩色多普勒超声检查","每个部位",,,,"120","医保记账""1007","220301002*8","体表包块彩色多普勒超声检查","每个部位",,,,"120","医保记账""1008","220301002*9","关节彩色多普勒超声检查","每个部位",,,,"120","医保记账""1009","220302001","颅内段血管彩色多普勒超声","次",,,,"70","医保记账""1010","220302002","球后全部血管彩色多普勒超声","次",,"图象记录、造影剂",,"70","医保记账""1011","220302003","颈部血管彩色多普勒超声","二根血管","包括颈动脉、颈静脉及椎动脉",,"每增加两根加收40元","60","医保记账""1012","220302003*1","颈动脉血管彩色多普勒超声","二根血管",,,,"60","医保记账""1013","220302003*2","颈静脉血管彩色多普勒超声","二根血管",,,,"60","医保记账""1014","220302003*3","颈部血管彩色多普勒超声每增加两根加收","二根血管",,,,"40","医保记账""1015","220302003*4","椎动脉彩色多普勒超声(二根血管)","二根血管",,,,"60","医保记账""1016","220302004","门静脉系彩色多普勒超声","次",,,,"60","医保记账""1017","220302005","腹部大血管彩色多普勒超声","次",,,,"70","医保记账""1018","220302006","四肢血管彩色多普勒超声","二根血管",,,"每增加两根加收40元","60","医保记账""1019","220302006*1","四肢血管彩色多普勒超声每增加两根加收","二根血管",,,,"40","医保记账""1020","220302007","双肾及肾血管彩色多普勒超声","次",,,,"60","医保记账""1021","220302008","左肾静脉"胡桃夹"综合征检查","次",,,,"70","医保记账""1022","220302009","药物血管功能试验","次","指用于阳痿测定等","药物",,"120","医保记账""1023","220302010","脏器声学造影","次","包括肿瘤声学造影","造影剂",,"120","医保记账""1024","220302010*1","肿瘤声学造影","次",,,,"120","医保记账""1025","220302012","临床操作的彩色多普勒超声引导","次",,,,"120","医保记账""1026","220400001","颅内多普勒血流图(TCD)","次",,,"药物试验加收50%;声光刺激加收20%","120","医保记账""1027","220400001*1","颅内多普勒血流图(TCD)药物试验加收","次",,,,"60","医保记账""1028","220400001*2","颅内多普勒血流图(TCD)声光刺激加收","次",,,,"24","医保记账""1029","220400002","四肢多普勒血流图","单肢",,,,"70","医保记账""1030","220400003","多普勒小儿血压检测","次",,,,"15","医保记账""1031","220500001","脏器灰阶立体成象","每个脏器",,,,"40","医保记账""1032","220500002","能量图血流立体成象","每个部位",,,,"40","医保记账""1033","220600001","普通心脏M型超声检查","次","指黑白超声仪检查;含常规基本波群",,,"17","医保记账""1034","220600002","普通二维超声心动图","次","指黑白超声仪检查;含心房、心室、心瓣膜、大动脉等超声检查",,,"46","医保记账""1035","220600004","经胸心脏彩色多普勒超声","次","含各心腔及大血管血流显象;含普通心脏M型超声检查、普通二维超声心动图",,"胎儿检查按胎次收费","150","医保记账""1036","220600004*1","经胸心脏彩色多普勒超声(胎儿检查)","胎次","含各心腔及大血管血流显象",,"胎儿检查每胎加收150元","150","医保记账""1037","220600005","常规经食管超声心动图","次","含心房、心室、心瓣膜、大动脉等结构及血流显象;含普通心脏M型超声检查、普通二维超声心动图.
包括术中超声心动图、介入治疗的超声心动图监视",,,"300","医保记账""1038","220600005*1","术中超声心动图","次","含心房、心室、心瓣膜、大动脉等结构及血流显象;含普通心脏M型超声检查、普通二维超声心动图.
包括术中超声心动图、介入治疗的超声心动图监视",,,"300","医保记账""1039","220600005*2","介入治疗的超声心动图监视","次","含心房、心室、心瓣膜、大动脉等结构及血流显象;含普通心脏M型超声检查、普通二维超声心动图.
包括术中超声心动图、介入治疗的超声心动图监视",,,"300","医保记账""1040","220600008","右心声学造影","次","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,包括左心声学造影",,,"80","医保记账""1041","220600008*1","左心声学造影","次",,,,"80","医保记账""1042","220600009","负荷超声心动图","次","指普通心脏超声检查基础上对负荷状态前、中、后各节段心肌运动状态观测,含多次检查录像,静脉药物输注或运动试验(平板、踏车),作出诊断报告.
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每增加一个体位加收50元2.
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每增加一个体位加收50元2.
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如不做肾血流显象时收费减收50元2.
延迟显象加收50元.
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增加时相加收50元;2.
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两个及两个以上部位按全身显像收费.
","4000","医保记账""1171","230400010*1","正电子发射计算机断层-X线计算机体层综合显像(PET/CT)-全身显像","全身",,"核素药物,造影剂",,"6000","医保记账""1172","230500001","脑血流测定(指脑血流仪法)","次","指脑血流仪法",,,"46","医保记账""1173","230500002","甲状腺摄131碘试验","二次",,,"增加测定次数加收20元","58","医保记账""1174","230500002*1","甲状腺摄131碘试验(增加测定次数加收)","次",,,,"20","医保记账""1175","230500003","甲状腺激素抑制试验","二次",,,"增加测定次数加收20元","58","医保记账""1176","230500003*1","甲状腺激素抑制试验(增加测定次数加收)","次",,,,"20","医保记账""1177","230500004","过氯酸钾释放试验","二次",,,"增加测定次数加收20元","58","医保记账""1178","230500004*1","过氯酸钾释放试验(增加测定次数加收)","次",,,,"20","医保记账""1179","230500005","心功能测定(指心功能仪法)","次","指心功能仪法",,,"69","医保记账""1180","230500006","血容量测定","次","指井型伽玛计数器法;含红细胞容量及血浆容量测定",,,"115","医保记账""1181","230500007","红细胞寿命测定","次","指井型伽玛计数器法",,,"115","医保记账""1182","230500008","肾图(指微机肾图)","次","指微机肾图",,"无计算机设备的计费减收20元","58","医保记账""1183","230500008*1","肾图(无计算机设备)","次",,,,"38","医保记账""1184","230500009","介入肾图(指微机肾图)","次","指微机肾图;含介入操作",,"无计算机设备的计费减收20元","80","医保记账""1185","230500009*1","介入肾图(无计算机设备)","次",,,,"60","医保记账""1186","230500010","肾图+肾小球滤过率测定","次",,,,"150","医保记账""1187","230500011","肾图+肾有效血浆流量测定","次",,,,"150","医保记账""1188","230500012","24小时尿131碘排泄试验","次",,,,"50","医保记账""1189","230500013","消化道动力测定","次",,,,"80","医保记账""1190","230500014","14碳呼气试验","次","包括各类呼气试验",,,"92","医保记账""1191","230500014*1","各类呼气试验","次",,,,"92","医保记账""1192","230600001","131碘-甲亢治疗","次",,"核素治疗药物、一次性导管",,"500","医保记账""1193","230600002","131碘-功能自主性甲状腺瘤治疗","次",,,,"460","医保记账""1194","230600003","131碘-甲状腺癌转移灶治疗","次",,"核素治疗药物、一次性导管",,"670","医保记账""1195","230600004","131碘-肿瘤抗体放免治疗","次","包括其他核素标记抗体或多肽的放免治疗",,,"670","医保记账""1196","230600004*1","其他核素标记抗体放免治疗","次",,,,"670","医保记账""1197","230600004*2","多肽的放免治疗","次",,,,"670","医保记账""1198","230600005","32磷-胶体腔内治疗","次",,"核素治疗药物、一次性导管",,"260","医保记账""1199","230600006","32磷-血液病治疗","次",,,,"300","医保记账""1200","230600007","32磷-微球介入治疗","次",,,,"800","医保记账""1201","230600008","90钇-微球介入治疗","次",,,,"800","医保记账""1202","230600009","89锶-骨转移瘤治疗","次",,"核素治疗药物、一次性导管",,"350","医保记账""1203","230600010","153钐-EDTMP骨转移瘤治疗","次",,,,"600","医保记账""1204","230600011","188铼-HEDP骨转移瘤治疗","次",,,,"600","医保记账""1205","230600012","131碘-MIBG恶性肿瘤治疗","次",,,,"800","医保记账""1206","230600013","核素组织间介入治疗","次",,,,"800","医保记账""1207","230600014","核素血管内介入治疗","次",,,,"800","医保记账""1208","230600015","99锝(云克)治疗","次",,,,"40","医保记账""1209","230600016","90锶贴敷治疗","每照射野",,"90锶","以一个探头照射野为基础,每增加1c㎡加收10元","50","医保记账""1210","230600016*1","90锶贴敷治疗(每增加1C㎡加收)","c㎡",,"90锶",,"10","医保记账""1211","230600017","组织间粒子植入术","次","包括放射性粒子植入术、化疗药物粒子植入术","放射性粒子、药物粒子",,"855","医保记账""1212","230600017*1","组织间放射性粒子植入术","次",,"放射性粒子、药物粒子",,"855","医保记账""1213","230600017*2","组织间化疗药物粒子植入术","次",,"放射性粒子、药物粒子",,"855","医保记账""1214","230600018S","32磷贴敷治疗","c㎡",,"32磷","每增加1c㎡加收5元","50","医保记账""1215","230600018S*1","32磷贴敷治疗(每增加1c㎡加收)","c㎡",,"32磷",,"5","医保记账""1216","240100001","人工制定治疗计划(简单)(含剂量计算)","疗程",,,,"100","医保记账""1217","240100001*1","人工制定治疗计划(简单)(疗程中修改计划加收)","疗程",,,,"50","医保记账""1218","240100002","人工制定治疗计划(复杂)","疗程","含治疗计划与剂量计算",,,"280","医保记账""1219","240100002*1","人工制定治疗计划(复杂)(疗程中修改计划加收)","疗程"140","医保记账""1220","240100003","计算机治疗计划系统(TPS)","疗程","指二维TPS",,,"460","医保记账""1221","240100003*1","计算机治疗计划系统(TPS)(疗程中修改计划加收)","疗程"230","医保记账""1222","240100004","特定计算机治疗计划系统","疗程","包括加速器适型、伽玛刀、X刀之TPS、逆向调强TPS及优化",,,"1000","医保记账""1223","240100004*1","特定计算机治疗计划系统(加速器适型)","疗程",,,,"1000","医保记账""1224","240100004*2","特定计算机治疗计划系统(伽玛刀)","疗程",,,,"1000","医保记账""1225","240100004*3","特定计算机治疗计划系统(X刀之TPS)","疗程",,,,"1000","医保记账""1226","240100004*4","特定计算机治疗计划系统(疗程中修改计划加收)","疗程"500","医保记账""1227","240100004*5","特定计算机治疗计划系统(逆向调强TPS及优化)","疗程",,,,"1000","医保记账""1228","240100005","放射治疗的适时监控","次",,,,"50","医保记账""1229","240100006S","计算机正向适形调强治疗计划设计","疗程","含CT图像的输入、靶区勾画、正常组织勾画、布野、正向计划系统优化、剂量计算、计划输出、计划打印,不含CT扫描、治疗计划的验证、模拟摆位、剂量验证",,"4D治疗计划设计3330元","2800","医保记账""1230","240100006S*1","计算机正向适形调强4D治疗计划设计","疗程","含CT图像的输入、靶区勾画、正常组织勾画、布野、正向计划系统优化、剂量计算、计划输出、计划打印,不含CT扫描、治疗计划的验证、模拟摆位、剂量验证",,,"3330","医保记账""1231","240100007S","射野验证照射片","每照射野","含射野验证照片和二维处理过程",,"三维射野验证加收100元","250","医保记账""1232","240100007S*1","射野验证照射片(三维射野验证加收)","每照射野","含射野验证照片和二维处理过程",,,"100","医保记账""1233","240100008S","实时剂量验证","每照射野","指以热释光、剂量胶片、半导体或非晶硅、EPID等方式实时监测剂量,和利用治疗加速器进行探测器校准.
含治疗过程中的以辐射探测技术实测患者接受的吸收剂量",,,"400","医保记账""1234","240100009S","全身照射剂量测量和数据处理","疗程","含根据患者的病况及医生制定的治疗方案,进行个体化的全身照射剂量测量和数据处理",,,"3100","医保记账""1235","240100010S","适形调强治疗剂量验证","次","指通过验证模体、剂量胶片、二维探测器阵列等对患者放疗计划进行一个平面治疗剂量验证.
含剂量测量及处理过程",,"每增加一个平面验证加收20%","2620","医保记账""1236","240100010S*1","适形调强治疗剂量验证(每增加一个平面验证加收20%)","次","指通过验证模体、剂量胶片、二维探测器阵列等对患者放疗计划进行一个平面治疗剂量验证.
含剂量测量及处理过程",,,"524","医保记账""1237","240200001","简易定位","疗程","指使用非专用定位机之定位;包括X线机、B超或CT等",,,"69","医保记账""1238","240200001*1","简易定位(疗程中修改定位加收50%)","疗程"34.
5","医保记账""1239","240200001*2","简易定位(疗程中定位验证加收50%)","疗程",,,,"34.
5","医保记账""1240","240200002","专用X线机模拟定位","疗程",,,,"150","医保记账""1241","240200002*1","专用X线机模拟定位(疗程中修改定位加收50%)","疗程"75","医保记账""1242","240200002*2","专用X线机模拟定位(疗程中定位验证加收50%)","疗程",,,,"75","医保记账""1243","240200003","专用X线机复杂模拟定位","疗程","指非共面4野以上之定位;包括CT机等模拟定位",,"MR、CT、PET等影像扫描除外","450","医保记账""1244","240200003*1","专用X线机复杂模拟定位(疗程中修改定位加收50%)","疗程"225","医保记账""1245","240200003*2","专用X线机复杂模拟定位(疗程中定位验证加收50%)","疗程",,,,"225","医保记账""1246","240300000*1","外照射治疗使用心电门控设备加收","次"100","医保记账""1247","240300000*2","外照射治疗使用呼吸门控设备加收","次"100","医保记账""1248","240300001","深部X线照射","每照射野",,,,"35","医保记账""1249","240300002","60钴外照射(固定照射)","每照射野",,,,"40","医保记账""1250","240300003","60钴外照射(特殊照射)","每照射野","包括旋转、弧形、楔形滤板等方法",,,"55","医保记账""1251","240300003-1","60钴外照射(特殊照射:加300楔形板)","每照射野",,,,"70","医保记账""1252","240300003-2","60钴外照射(特殊照射:加450楔形板)","每照射野",,,,"90","医保记账""1253","240300003-3","60钴外照射(特殊照射:加600楔形板)","每照射野",,,,"110","医保记账""1254","240300004","直线加速器放疗(固定照射)","每照射野",,,,"80","医保记账""1255","240300005","直线加速器放疗(特殊照射)","每照射野","包括旋转、门控、弧形、楔形滤板等方法",,,"95","医保记账""1256","240300005-1","直线加速器放疗(特殊照射:加30°楔形板)","1每照射野",,,,"120","医保记账""1257","240300005-2","直线加速器放疗(特殊照射:加45°楔形板)","1每照射野",,,,"160","医保记账""1258","240300005-3","直线加速器放疗(特殊照射:加60°楔形板)","1每照射野",,,,"190","医保记账""1259","240300006","直线加速器适型治疗","每照射野","指4野以上放疗;包括多叶准直器(MLC)不规则射野放疗",,"1.
实施旋转动态治疗中:(1)超过9个放射野以上,如果每次剂量200(含)cGy以下的,仅按9野计算收费;(2)如果每次超过剂量200cGy以上的,以剂量200cGy为收费基准单位、按超过剂量百分比加计费用,超过200cGy一倍以上的,按一倍加计.
2.
螺旋断层放疗系统实施螺旋动态治疗3800元/次.
","180","医保记账""1260","240300006*1","直线加速器适型治疗(多叶准直器(MLC)不规则射野放疗)","每照射野"180","医保记账""1261","240300006*2","螺旋断层放疗系统实施螺旋动态治疗","次",,,,"3800","医保记账""1262","240300007","X刀治疗","疗程",,,"第二次起,按50%计费","6000","医保记账""1263","240300007*1","X刀治疗(第二次起,按50%计费)","疗程",,,,"3000","医保记账""1264","240300008","伽玛刀治疗(含5个靶点)","次","指颅内良性、恶性肿瘤和血管疾病的治疗,含CT、MRI定位,含特定计算机治疗计划系统,含体架、头架,含5个靶点.
",,"超过5个靶点,每增加1个靶点加收300元,该治疗项目最高不得超过16500元.
未获得卫生部配置规划许可的,不得收费.
","7500","医保记账""1265","240300008*1","伽玛刀治疗(每增加1个靶点)","每靶点",,,,"300","医保记账""1266","240300009","不规则野大面积照射","每照射野",,,,"500","医保记账""1267","240300010","半身照射","每照射野",,,,"1000","医保记账""1268","240300011","全身60钴照射","疗程",,,,"1500","医保记账""1269","240300012","全身X线照射(指用于骨髓移植)","疗程","指用于骨髓移植",,"第二次起,按50%计费","6000","医保记账""1270","240300012*1","全身X线照射(第二次起,按50%计费)","疗程",,,,"3000","医保记账""1271","240300013","全身电子线照射","每照射野","指用于皮肤恶性淋巴瘤治疗",,,"630","医保记账""1272","240300014","术中放疗","次",,,,"3000","医保记账""1273","240300015","适型调强放射治疗(IMRT)","次","不含适型治疗照射",,,"500","医保记账""1274","240300016","快中子外照射","次",,,,"暂不定价","自费""1275","240300017S","60钴适型治疗","每照射野","指按适形照射临床要求进行摆位和体位固定、以多个外置的适形挡块或多叶准直器形成适形照射野,进行三维多野(4野及以上)适形照射.
不含CT影像扫描、三维治疗计划设计","体位固定装置和适形射野挡块制作及外置多叶准直器",,"100","医保记账""1276","240400001","浅表部位后装治疗","次",,,,"350","医保记账""1277","240400002","腔内后装放疗","次",,,,"500","医保记账""1278","240400003","组织间插置放疗","次",,,,"600","医保记账""1279","240400004","手术置管放疗","次",,,,"575","医保记账""1280","240400005","皮肤贴敷后装放疗","次",,,,"500","医保记账""1281","240400006","血管内后装放疗","次",,,,"暂不定价","医保记账""1282","240400007","快中子后装治疗(中子刀)","次",,,,"暂不定价","自费""1283","240500001-1","电子束制模","次",,,,"300","医保记账""1284","240500001-2","适型制模","次",,,,"500","医保记账""1285","240500002","填充模具设计及制作","次",,,,"100","医保记账""1286","240500003-1","补偿物设计及制作(厚度0.
5cm,边长≥15cm)","次",,,,"500","医保记账""1287","240500003-2","补偿物设计及制作(厚度0.
5cm,边长≤15cm)","次",,,,"250","医保记账""1288","240500003-3","补偿物设计及制作(厚度1cm,边长≥15cm)","次",,,,"550","医保记账""1289","240500003-4","补偿物设计及制作(厚度1cm,边长≤15cm)","次",,,,"250","医保记账""1290","240500003-5","补偿物设计及制作(厚度1.
5cm,边长≥15cm)","次",,,,"600","医保记账""1291","240500003-6","补偿物设计及制作(厚度1.
5cm,边长≤15cm)","次",,,,"300","医保记账""1292","240500003-7","补偿物设计及制作(厚度2cm,边长≥15cm)","次",,,,"650","医保记账""1293","240500003-8","补偿物设计及制作(厚度2cm,边长≤15cm)","次",,,,"320","医保记账""1294","240500004-1","面模设计及制作(头颈)","次",,,,"500","医保记账""1295","240500004-2","面模设计及制作(躯干)","次",,,,"800","医保记账""1296","240500005-1","头架","次",,,,"58","医保记账""1297","240500005-2","体架","次",,,,"500","医保记账""1298","240600001","低氧放疗耐力测定","次",,,,"暂不定价","自费""1299","240700001","深部热疗","次","包括超声或电磁波等热疗",,"内生场热疗加收500元","500","医保记账""1300","240700001*1","深部热疗(超声热疗)","次",,,,"500","医保记账""1301","240700001*2","深部热疗(电磁波热疗)","次",,,,"500","医保记账""1302","240700001*3","深部热疗(内生场热疗加收)","次",,,,"500","医保记账""1303","240700002","高强度超声聚焦刀治疗","次","包括各种实体性恶性肿瘤治疗",,,"3000","医保记账""1304","240700002*1","高强度超声聚焦刀治疗(各种实体性恶性肿瘤治疗)","次","包括各种实体性恶性肿瘤治疗",,,"3000","医保记账""1305","240700003","体表肿瘤电化学治疗","次",,,,"暂不定价","自费""1306","240700004S-1","恶性肿瘤光动力治疗(含光敏剂、激光源)","次",,,,"3052","自费""1307","240700004S-2","良性病变光动力治疗(含激光源)","1次",,,"体被肿物3个肿物以内(含3个)为一次,每增加一个肿物加收50元","308","自费""1308","240700004S-2*1","良性病变光动力治疗(体被肿物3个以内)(含激光源)","1次",,,,"308","医保记账""1309","240700004S-2*2","良性病变光动力治疗(每增加一个肿物加收)(含激光源)","1次",,,,"50","医保记账""1310","250101001","血红蛋白测定(Hb)","项",,,"手工法3元;床旁干化学法快速检测24元/项","1","医保记账""1311","250101001*1","血红蛋白测定(Hb)-手工法检测","项",,,"手工法检测3元/项","2","医保记账""1312","250101001*2","血红蛋白测定(Hb)-床旁干化学法快速检测","项",,,"床旁干化学法快速检测24元/项","15","医保记账""1313","250101002","红细胞计数(RBC)","项",,,"手工法3元","2","医保记账""1314","250101002*1","红细胞计数(RBC:手工法)","项",,,,"5","医保记账""1315","250101003","红细胞比积测定(HCT)","项",,,"手工法3元","2","医保记账""1316","250101003*1","红细胞比积测定(HCT:手工法)","项",,,,"5","医保记账""1317","250101004","红细胞参数平均值测定","项","包括平均红细胞体积(MCV)、平均红细胞血红蛋白量(MCH)、平均红细胞血红蛋白浓度(MCHC)",,,"1","医保记账""1318","250101004*1","平均红细胞体积(MCV)","项",,,,"1","医保记账""1319","250101004*2","平均红细胞血红蛋白量(MCH)","项",,,,"1","医保记账""1320","250101004*3","平均红细胞血红蛋白浓度(MCHC)","项",,,,"1","医保记账""1321","250101005-1","网织红细胞计数(Ret:镜检法)","项",,,,"4","医保记账""1322","250101005-2","网织红细胞计数(Ret:仪器法)","项",,,,"11.
5","医保记账""1323","250101005-3","网织红细胞计数(Ret:流式细胞仪法)","项",,,,"23","医保记账""1324","250101006","嗜碱性点彩红细胞计数","项",,,,"3.
5","医保记账""1325","250101007","异常红细胞形态检查","项",,,,"5","医保记账""1326","250101008","红细胞沉降率测定(ESR)","项",,,"手工法5元","9","医保记账""1327","250101008*1","红细胞沉降率测定(ESR:手工法)","项",,,,"5","医保记账""1328","250101009","白细胞计数(WBC)","项",,,"手工法6元","2","医保记账""1329","250101009*1","白细胞计数(WBC:手工法)","项",,,,"8","医保记账""1330","250101010","白细胞分类计数(DC)","项",,,"手工法6元","2","医保记账""1331","250101010*1","白细胞分类计数(DC:手工法)","项",,,,"18","医保记账""1332","250101011","嗜酸性粒细胞直接计数","项","包括嗜碱性粒细胞直接计数、淋巴细胞直接计数、单核细胞直接计数",,,"2","医保记账""1333","250101011*1","嗜碱性粒细胞直接计数","项",,,,"2","医保记账""1334","250101011*2","淋巴细胞直接计数","项",,,,"2","医保记账""1335","250101011*3","单核细胞直接计数","项",,,,"2","医保记账""1336","250101012","异常白细胞形态检查","项",,,,"18","医保记账""1337","250101013","浓缩血恶性组织细胞检查","项",,,,"7","医保记账""1338","250101014","血小板计数","项",,,"手工法8元","2","医保记账""1339","250101014*1","血小板计数(手工法)","项",,,,"9","医保记账""1340","250101015-1","血常规(三分类)","次",,,,"15","医保记账""1341","250101015-2","血常规(五分类)","次",,,,"20","医保记账""1342","250101016","出血时间测定(BT)","项",,,,"1","医保记账""1343","250101017","出血时间测定(指测定器法)","项","指测定器法",,,"30","医保记账""1344","250101018","凝血时间测定(CT)(指测定器法)","项","指测定器法",,,"15","医保记账""1345","250101019","红斑狼疮细胞检查(LEC)","项",,,,"9","医保记账""1346","250101020","血浆渗量试验","项",,,,"6","医保记账""1347","250101021","有核红细胞计数","项",,,,"20","医保记账""1348","250101022","异常血小板形态检查","项",,,,"20","医保记账""1349","250102001","尿常规检查","次","指手工操作;含外观、酸碱度、蛋白定性、镜检",,,"3.
5","医保记账""1350","250102002","尿酸碱度测定","项",,,,"0.
600000305175781","医保记账""1351","250102003","尿比重测定","项",,,,"0.
600000305175781","医保记账""1352","250102004","渗透压检查","项","包括尿或血清渗透压检查",,"床边快速渗透压检查12元/次","8","医保记账""1353","250102004*1","尿渗透压检查","项",,,,"8","医保记账""1354","250102004*2","血清渗透压检查","项",,,,"6","医保记账""1355","250102004*3","床边快速渗透压检查","次",,,,"6","医保记账""1356","250102005","尿蛋白定性","项",,,,"0.
600000305175781","医保记账""1357","250102006-1","尿蛋白定量(手工比色法)","项",,,,"6","医保记账""1358","250102006-2","尿蛋白定量(各种化学法)","项",,,,"10","医保记账""1359","250102006-3","尿蛋白定量(免疫比浊法)","项",,,,"18","医保记账""1360","250102007-1","尿本-周氏蛋白定性检查(热沉淀法)","项",,,,"6","医保记账""1361","250102007-2","尿本-周氏蛋白定性检查(免疫电泳法)","项",,,,"10","医保记账""1362","250102008","尿肌红蛋白定性检查","项",,,,"11.
5","医保记账""1363","250102009","尿血红蛋白定性检查","项",,,,"1","医保记账""1364","250102010","尿糖定性试验","项",,,,"1","医保记账""1365","250102011","尿糖定量测定","项",,,,"6","医保记账""1366","250102012","尿酮体定性试验","项",,,,"1","医保记账""1367","250102013","尿三胆检查","项","包括尿二胆检查",,,"3.
5","医保记账""1368","250102013*1","尿二胆检查","项",,,,"3.
5","医保记账""1369","250102014","尿含铁血黄素定性试验","项",,,,"4.
5","医保记账""1370","250102015","尿三氯化铁试验","项",,,,"8","医保记账""1371","250102016","尿乳糜定性检查","项",,,,"4.
5","医保记账""1372","250102017","尿卟啉定性试验","项",,,,"11.
5","医保记账""1373","250102018","尿黑色素测定","项",,,,"1","医保记账""1374","250102019","尿浓缩稀释试验","项",,,,"7","医保记账""1375","250102020","尿酚红排泄试验(PSP)","项",,,,"7","医保记账""1376","250102021-1","尿妊娠试验(乳胶凝集法)","项",,,,"2","医保记账""1377","250102021-2","尿妊娠试验(酶免法)","项",,,,"4.
5","医保记账""1378","250102021-3","尿妊娠试验(金标法)","项",,,,"7","医保记账""1379","250102022","卵泡刺激素(LH)排卵预测","项",,,,"10","医保记账""1380","250102023","尿沉渣镜检","项",,,,"1","医保记账""1381","250102024-1","尿沉渣定量(手工法)","项",,,,"1","医保记账""1382","250102024-2","尿沉渣分析仪","次",,,,"23","医保记账""1383","250102025","尿液爱迪氏计数(Addis)","项",,,,"9","医保记账""1384","250102026","尿三杯试验","项",,,,"10","医保记账""1385","250102027","一小时尿沉渣计数","项",,,,"23","医保记账""1386","250102028","一小时尿细胞排泄率","项",,,,"7","医保记账""1387","250102029","尿沉渣白细胞分类","项",,,,"暂不定价","医保记账""1388","250102030","尿十二小时E/C值测定","项",,,,"暂不定价","医保记账""1389","250102031","尿中病毒感染细胞检查","项",,,,"暂不定价","医保记账""1390","250102032","尿中包涵体检查","项",,,,"2","医保记账""1391","250102033","尿酸化功能测定","项",,,,"暂不定价","医保记账""1392","250102034","尿红细胞位相","项",,,,"20","医保记账""1393","250102035","尿液分析(指仪器法,8-11项)","次","指仪器法,8-11项",,,"9","医保记账""1394","250102036","24小时尿胱氨酸测定","项",,,,"15","医保记账""1395","250102037","尿卟啉定量测定","项",,,,"35","医保记账""1396","250103001","粪便常规(指手工操作;含外观、镜检)","次",,,,"2","医保记账""1397","250103002-1","粪便隐血试验(OB:化学法)","项",,,,"3.
5","医保记账""1398","250103002-1*1","呕吐物隐血试验(OB:化学法)","项",,,,"3.
5","医保记账""1399","250103002-1*2","痰液隐血试验(OB:化学法)","项",,,,"3.
5","医保记账""1400","250103002-1*3","分泌物隐血试验(OB:化学法)","项",,,,"3.
5","医保记账""1401","250103002-1*4","脑脊液隐血试验(OB:化学法)","项",,,,"3.
5","医保记账""1402","250103002-1*5","胸腹水隐血试验(OB:化学法)","项",,,,"3.
5","医保记账""1403","250103002-2","粪便隐血试验(OB:免疫法)","项",,,,"17","医保记账""1404","250103002-2*1","呕吐物隐血试验(OB:免疫法)","项",,,,"17","医保记账""1405","250103002-2*2","痰液隐血试验(OB:免疫法)","项",,,,"17","医保记账""1406","250103002-2*3","分泌物隐血试验(OB:免疫法)","项",,,,"17","医保记账""1407","250103002-2*4","脑脊液隐血试验(OB:免疫法)","项",,,,"17","医保记账""1408","250103002-2*5","胸腹水隐血试验(OB:免疫法)","项",,,,"17","医保记账""1409","250103003","粪胆素检查","项",,,,"3.
5","医保记账""1410","250103004","粪便乳糖不耐受测定","项",,,,"3.
5","医保记账""1411","250103005","粪苏丹III染色检查","项",,,,"8","医保记账""1412","250103006","粪便脂肪定量","项",,,,"12","医保记账""1413","250104001","胸腹水常规检查","次","含外观、比重、粘蛋白定性、细胞计数、细胞分类",,,"24","医保记账""1414","250104002","胸腹水特殊检查","次","包括细胞学、染色体、AgNOR检查",,,"20","医保记账""1415","250104003","脑脊液常规检查(CSF)","次","含外观、蛋白定性、细胞总数和分类",,,"24","医保记账""1416","250104004","精液常规检查","次","含外观、量、液化程度、精子存活率、活动力、计数和形态",,"手工法12元","35","医保记账""1417","250104004*1","精液常规检查(手工法)","次",,,,"20","医保记账""1418","250104005","精液酸性磷酸酶测定","项",,,,"11.
5","医保记账""1419","250104006","精液果糖测定","项",,,,"12","医保记账""1420","250104007","精液α-葡萄糖苷酶测定","项",,,,"20","医保记账""1421","250104008","精子运动轨迹分析","项",,,,"8.
5","自费""1422","250104009","精子顶体完整率检查","项",,,,"8.
5","自费""1423","250104010","精子受精能力测定","项",,,,"8.
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标本采集;2.
标本离心;3.
手工进行加样、加试剂,温育、洗板,通过半自动酶标仪进行测定;4.
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素测定","项",,,,"80","医保记账""2765","250503003","病原体乳胶凝集试验快速检测","项",,,,"80","医保记账""2766","250503004","细菌分型","项","包括各种细菌",,,"30","医保记账""2767","250503005-1","内毒素鲎测定(定性法)","项",,,,"3","医保记账""2768","250503005-2","内毒素鲎测定(定量法)","项",,,,"12","医保记账""2769","250503005-3","内毒素鲎定量测定(动态浊度法)","项","用于临床各种革兰氏阴性杆菌感染",,,"130","医保记账""2770","250503007","O-129试验","项",,,,"23","医保记账""2771","250503008","β-内酰胺酶试验","项",,,,"23","医保记账""2772","250503009","超广谱β-内酰胺酶试验","项",,,,"23","医保记账""2773","250503010","耐万古霉素基因试验","每种基因","包括基因A、B、C",,,"50","医保记账""2774","250503010*1","耐万古霉素基因A试验","项",,,,"50","医保记账""2775","250503010*2","耐万古霉素基因B试验","项",,,,"50","医保记账""2776","250503010*3","耐万古霉素基因C试验","项",,,,"50","医保记账""2777","250503011","DNA探针技术查meeA基因","项",,,,"暂不定价","医保记账""2778","250503012","梅毒荧光抗体FTA-ABS测定","项",,,,"100","医保记账""2779","250503013S","分枝杆菌菌种鉴定(指生物芯片法)","次","样本类型:各种标本.
据标本不同进行相应前处理,提取模板DNA,加入到包括有配制好试剂的反应管中,与阴、阳性对照同时经扩增仪进行PCR,将扩增后的PCR产物变性,然后将变性的扩增产物与配制好的芯片杂交液混合,加入到芯片上进行杂交,杂交完毕后将芯片取出,进行清洗和离心甩干,用芯片扫描仪进行检测,审核检验结果,发出报告,检测后标本留验及无害化处理.
包括1种结核分枝杆菌复合群和16种非结核分枝杆菌等",,"指生物芯片法","246","医保记账""2780","250601001","粪寄生虫镜检","次","包括寄生虫、原虫、虫卵镜检",,,"2","医保记账""2781","250601001*1","粪原虫镜检","次",,,,"2","医保记账""2782","250601001*2","粪寄生虫卵镜检","次",,,,"2","医保记账""2783","250601002","粪寄生虫卵集卵镜检","次",,,,"2","医保记账""2784","250601003","粪寄生虫卵计数","次",,,,"3","医保记账""2785","250601004","寄生虫卵孵化试验","次",,,,"2","医保记账""2786","250601005","血液虐原虫检查","项",,,,"7","医保记账""2787","250601006","血液微丝蚴检查","项",,,,"7","医保记账""2788","250601007","血液回归热螺旋体检查","项",,,,"7","医保记账""2789","250601008","血液黑热病利-集氏体检查","项",,,,"7","医保记账""2790","250601009","血液弓形虫检查","项",,,,"40","医保记账""2791","250601010S","胆汁找虫卵(手工镜检法)","次","手工镜检法",,,"15","医保记账""2792","250602001-1","各种寄生虫免疫学检查(凝集法:血凝法、乳胶法)","项",,,,"10","医保记账""2793","250602001-2","各种寄生虫免疫学检查(一般免疫学法:放免法、酶免法、免疫电泳法、免疫荧光法等)","项",,,,"20","医保记账""2794","250602001-3","各种寄生虫免疫学检查(双扩法)","项",,,,"15","医保记账""2795","250602001-4","各种寄生虫免疫学检查(免疫印迹法)","项",,,,"25","医保记账""2796","250700001","外周血细胞染色体检查","项",,,,"180","医保记账""2797","250700002","脆性X染色体检查","项",,,,"60","医保记账""2798","250700003","血高分辨染色体检查","项",,,,"180","医保记账""2799","250700004","血姐妹染色体互换试验","项",,,,"120","医保记账""2800","250700005","脐血染色体检查","项",,,,"180","自费""2801","250700006","进行性肌营养不良基因分析","项",,,,"120","医保记账""2802","250700007","肝豆状核变性基因分析","项",,,,"120","医保记账""2803","250700008","血友病甲基因分析","项",,,,"120","医保记账""2804","250700009","脆X综合症基因诊断","项",,,,"60","医保记账""2805","250700010-1","唐氏综合症筛查(时间分辨荧光法)","项",,,,"120","医保记账""2806","250700010-1*1","唐氏综合症筛查(化学发光法)","项",,,,"108","医保记账""2807","250700010-1*2","唐氏综合症筛查(荧光原位杂交法)","项",,,,"120","医保记账""2808","250700010-2","胎儿21-三体综合征基因检测筛查","项",,,,"855","医保记账""2809","250700011","性别基因(SRY)检测","项",,,,"暂不定价","自费""2810","250700012","脱氧核糖核酸(DNA)倍体分析","项","含DNA周期分析、DNA异倍体测定、细胞凋亡测定",,,"120","医保记账""2811","250700013","染色体分析","项","包括各种标本",,,"180","医保记账""2812","250700014","培养细胞的染色体分析","项","包括各种标本",,"1.
外周血培养加收500元/次;2.
脐带血、绒毛羊水、骨髓培养加收1000元/次.
","238","自费""2813","250700014*2","外周血培养加收","次",,,,"500","自费""2814","250700014*3","脐带血培养加收","次",,,,"1000","自费""2815","250700014*4","绒毛羊水培养加收","次",,,,"1000","自费""2816","250700014*5","骨髓培养加收","次",,,,"1000","自费""2817","250700015-1","苯丙氨酸测定(PKU:定性)","项",,,,"2","医保记账""2818","250700015-2","苯丙氨酸测定(PKU:定量)","项",,,,"23","医保记账""2819","250700016","血苯丙酮酸定量","项",,,,"暂不定价","医保记账""2820","250700017*1","亚甲基四氢叶酸还原酶基因检测(PCR-RFLP)","次",,,,"380","医保记账""2821","250700017-1","白血病融合基因分型(RT-PCR)","每种",,,,"165","医保记账""2822","250700017-2","白血病融合基因分型(FISH)","每种",,,,"935","医保记账""2823","250700017-3","白血病融合基因分型(实时荧光定量PCR)","每种",,,,"520","医保记账""2824","250700018S","丈夫或无关个体淋巴细胞免疫治疗(LIT)","次","含丈夫外周血抽取及淋巴细胞分离、妻子的注射治疗.
",,,"209","自费""2825","250700019S","肺癌微转移LUNX基因检测","项",,,,"310","自费""2826","250700020S","帕德维利综合征(PWS)基因测定","例","指检测受检者SNRPN基因的来源和甲基化情况,实现对帕德维利综合征(PWS)的分子诊断",,,"338","自费""2827","250700021S-1","Y染色体(AZF基因)微缺失检测(聚合酶链式反应(PCR)法)","项",,,,"315","自费""2828","250700021S-1*1","其他染色体微缺失检测(聚合酶链式反应(PCR)法)","项",,,,"315","医保记账""2829","250700021S-2","Y染色体(AZF基因)微缺失检测(荧光(FISH)法)","项",,,,"900","自费""2830","250700021S-2*1","其他染色体微缺失检测(荧光(FISH)法)","项",,,,"900","医保记账""2831","250700022S","脊髓性肌萎缩症(SMA)基因测定","例","指检测怀疑为脊髓性肌萎缩症(SMA)的病人运动神经元存活(SMN)基因的变异情况和定量分析,实现对SMN基因的检测和SMA的分子诊断",,,"351","自费""2832","250700023S","α地中海贫血的基因突变检查","项",,,,"156","医保记账""2833","250700024S","β地中海贫血的基因突变检查","次",,,,"191","医保记账""2834","250700026S","耳聋基因芯片筛查和诊断","次","含常见9个致聋突变位点的序列分析",,,"480","自费""2835","260000001","ABO红细胞定型","次","指血清定型(反定)",,,"6","医保记账""2836","260000002","ABO血型鉴定(指正定法与反定法联合使用)","次","指正定法与反定法联合使用",,,"11","医保记账""2837","260000002-1","ABO血型鉴定(微柱凝集法)","次",,,,"40","医保记账""2838","260000003","ABO亚型鉴定","每个亚型","含:①ABO正反定型②吸收试验③放散试验④唾液血型物质测定",,,"50","医保记账""2839","260000004","Rh血型鉴定","次","指仅鉴定RhD(o),不查其他抗原",,,"7","医保记账""2840","260000004-1","Rh血型鉴定(微柱凝集法)","次",,,,"30","医保记账""2841","260000005","Rh血型其他抗原鉴定","每个抗原","含Rh亚型血型的(C、c、E、e)抗原鉴定",,,"18","医保记账""2842","260000005-1","Rh血型其他抗原鉴定(微柱凝集法)","每个抗原",,,,"30","医保记账""2843","260000006","特殊血型抗原鉴定","每个抗原","包括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",,,"46","医保记账""2844","260000006*1","特殊血型抗原鉴定(P血型)","每个抗原",,,,"46","医保记账""2845","260000006*10","特殊血型抗原鉴定(Auberger血型)","每个抗原",,,,"46","医保记账""2846","260000006*11","特殊血型抗原鉴定(Sid血型)","每个抗原",,,,"46","医保记账""2847","260000006*12","特殊血型抗原鉴定(Colton血型)","每个抗原",,,,"46","医保记账""2848","260000006*13","特殊血型抗原鉴定(Yt血型)","每个抗原",,,,"46","医保记账""2849","260000006*14","特殊血型抗原鉴定(Dombrock血型)","每个抗原",,,,"46","医保记账""2850","260000006*15","特殊血型抗原鉴定(Vel血型)","每个抗原",,,,"46","医保记账""2851","260000006*16","特殊血型抗原鉴定(Scianna血型)","每个抗原",,,,"46","医保记账""2852","260000006*17","特殊血型抗原鉴定(Xg血型)","每个抗原",,,,"46","医保记账""2853","260000006*18","特殊抗原鉴定血型(Gerbich血型)","每个抗原",,,,"46","医保记账""2854","260000006*19","特殊血型抗原鉴定(Wright血型)","每个抗原",,,,"46","医保记账""2855","260000006*2","特殊血型抗原鉴定(Ii血型)","每个抗原",,,,"46","医保记账""2856","260000006*20","特殊血型抗原鉴定(Stoltzfus血型)","每个抗原",,,,"46","医保记账""2857","260000006*3","特殊血型抗原鉴定(Lewis血型)","每个抗原",,,,"46","医保记账""2858","260000006*4","特殊血型抗原鉴定(MNSs血型)","每个抗原",,,,"46","医保记账""2859","260000006*5","特殊血型抗原鉴定(Lutheran血型)","每个抗原",,,,"46","医保记账""2860","260000006*6","特殊血型抗原鉴定(Kell血型)","每个抗原",,,,"46","医保记账""2861","260000006*7","特殊血型抗原鉴定(Duffy血型)","每个抗原",,,,"46","医保记账""2862","260000006*8","特殊血型抗原鉴定(Kidd血型)","每个抗原",,,,"46","医保记账""2863","260000006*9","特殊血型抗原鉴定(Diego血型)","每个抗原",,,,"46","医保记账""2864","260000007","血型单特异性抗体鉴定","次",,,"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元;2.
抗体筛选试验60元/次","110","医保记账""2865","260000007*1","血型单特异性抗体鉴定(超过常规8种谱红细胞,增加其他谱红细胞加收)","次",,,,"20","医保记账""2866","260000007*2","抗体筛选试验","次",,,,"60","医保记账""2867","260000008","血型抗体特异性鉴定(吸收试验)","次",,,,"28","医保记账""2868","260000009","血型抗体特异性鉴定(放散试验)","次",,,,"28","医保记账""2869","260000010","血型抗体效价测定","每个抗体",,,,"40","医保记账""2870","260000011","盐水介质交叉配血","次",,,,"5","医保记账""2871","260000012-1","特殊介质交叉配血(白蛋白法、Liss法、酶处理法、抗人球蛋白法、凝胺法等)","每个方法",,,,"14","医保记账""2872","260000012-1*1","特殊介质交叉配血(白蛋白法)","每个方法",,,,"14","医保记账""2873","260000012-1*2","特殊介质交叉配血(Liss法)","每个方法",,,,"14","医保记账""2874","260000012-1*3","特殊介质交叉配血(抗人球蛋白法)","每个方法",,,,"14","医保记账""2875","260000012-1*4","特殊介质交叉配血(酶处理法)","每个方法",,,,"14","医保记账""2876","260000012-1*5","特殊介质交叉配血(凝胺法)","每个方法",,,,"14","医保记账""2877","260000012-2","特殊介质交叉配血(微柱凝集法)","每个方法",,,,"46","医保记账""2878","260000013","疑难交叉配血","次","包括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",,"按实际情况加收相应特殊血型鉴定费用","20","医保记账""2879","260000013*1","疑难交叉配血(ABO血型亚型不合)","次",,,,"20","医保记账""2880","260000013*2","疑难交叉配血(少见特殊血型)","次",,,,"20","医保记账""2881","260000013*3","疑难交叉配血(有血型特异性抗体者)","次",,,,"20","医保记账""2882","260000013*4","疑难交叉配血(冷球蛋白血症)","次",,,,"20","医保记账""2883","260000013*5","疑难交叉配血(自身免疫性溶血性贫血等)","次",,,,"20","医保记账""2884","260000014","唾液ABH血型物质测定","次",,,,"40","医保记账""2885","260000015","Rh阴性确诊试验","次",,,,"45","医保记账""2886","260000016","白细胞特异性和组织相关融性(HLA)抗体检测","次",,,,"180","医保记账""2887","260000017","血小板特异性和组织相关融性(HLA)抗体检测","次",,,,"180","医保记账""2888","260000018","红细胞系统血型抗体致新生儿溶血病检测","次",,,,"90","医保记账""2889","260000019","血小板交叉配合试验","次",,,,"90","医保记账""2890","260000020","淋巴细胞毒试验","次","包括一般试验和快速试验",,,"90","医保记账""2891","260000020*1","淋巴细胞毒试验(一般试验)","次",,,,"90","医保记账""2892","260000020*2","淋巴细胞毒试验(快速试验)","次",,,,"90","医保记账""2893","260000021","群体反应抗体检测","次",,,,"600","医保记账""2894","260000022","人组织相容性抗原I类(HLA-I)分型","组","包括可溶性HLA-I",,,"800","医保记账""2895","260000022*1","人组织相容性抗原I类(可溶性HLA-I)分型","组",,,,"800","医保记账""2896","260000023","人组织相容性抗原II类(HLA-II)分型","组",,,,"800","医保记账""2897","270100001","尸检病理诊断","次","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",,"1.
局部解剖诊断按全身解剖计费;2.
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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",,"400","自费""3461","310505002","云纹仪检查","次","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",,"暂不定价","自费""3462","310505003","模型外科设计","次","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",,"200","自费""3463","310505004","带环制备","每个","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",,"40","自费""3464","310505005","唇弓制备","每根","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","特殊要求唇弓费用加收30元","130","自费""3465","310505005*1","唇弓制备(特殊要求唇弓费用加收)","每根",,,,"30","自费""3466","310505006","导板制备","每个","含导板制作、打磨、抛光,以及自凝牙托粉、单体、分离剂等",,"特殊要求颌导板费用加收50元","150","自费""3467","310505006*1","导板制备(特殊要求颌导板费用加收)","每个",,,,"50","自费""3468","310505007S","颌面部缺损计算机辅助设计","次",,,,"500","自费""3469","310506001","颞颌关节系统检查设计","每人次","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",,"唾液量、流速、缓冲能力检查另收20元","60","医保记账""3470","310506001*1","颞颌关节系统检查设计(唾液量、流速、缓冲能力检查另收)","每人次",,,,"20","医保记账""3471","310506002","颞颌关节镜检查","次",,,,"450","医保记账""3472","310506003","关节腔压力测定","每人次",,,,"80","医保记账""3473","310507001","错颌畸形初检","次","含咨询、检查、登记、正畸专业病历",,,"10","自费""3474","310507002","错颌畸形治疗设计","次","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","使用计算机进行三维牙模型测量和X线头影测量加收100元","400","自费""3475","310507002*1","错颌畸形治疗设计(使用计算机进行三维牙模型测量和X线头影测量)","次",,,,"500","自费""3476","310507003","固定矫治器复诊处置","次","含常规检查及矫治器调整","更换弓丝及",,"20","自费""3477","310507004","活动矫治器复诊处置","次","含常规检查及弹簧加力","各种弹簧和其他",,"15","自费""3478","310507005","功能矫治器复诊处置","次","含常规检查及调整","其他材料及",,"15","自费""3479","310507006","特殊矫治器复诊处置","次","含常规检查及调整;包括推杆式矫治","其他材料及","使用舌侧矫正器加收10元","40","自费""3480","310507006*1","特殊矫治器复诊处置(使用舌侧矫正器)","次",,,,"50","自费""3481","310507006*2","特殊矫治器复诊处置(推杆式矫治)","次","含常规检查及调整","其他材料及","使用舌侧矫正器加收10元","40","自费""3482","310507006*3","特殊矫治器复诊处置(推杆式矫治-使用舌侧矫正器)","次","含常规检查及调整","其他材料及",,"50","自费""3483","310507007","错颌畸形正中位检查","次","含蜡堤制作塑料基托",,,"60","自费""3484","310508001","光颌仪检查","次","包括1.
光仪力测量,2.
牙列接触状态检查,3.
咬合仪检查",,,"暂不定价","自费""3485","310508002","测色仪检查","次","指固定修复中牙的比色",,,"20","自费""3486","310508003","义齿压痛定位仪检查","每牙",,,,"暂不定价","自费""3487","310508004","触痛仪检查","次","指颞下颌关节病人肌肉关节区压痛痛域大小的测量",,,"暂不定价","医保记账""3488","310509001","种植治疗设计","次","含专家会诊、X线影像分析、模型分析",,"CT颌骨重建模拟种植设计加收50元","100","自费""3489","310509001*1","种植治疗设计(CT颌骨重建模拟种植设计)","次",,,,"150","自费""3490","310510001","调颌","每牙",,,,"5","医保记账""3491","310510002","氟防龋治疗","每牙","包括局部涂氟、氟液含漱、氟打磨","特殊材料",,"5","医保记账""3492","310510003","牙脱敏治疗","每牙","包括氟化钠、酚制剂等药物","高分子脱敏剂;其他特殊材料","使用激光脱敏仪加收5元","20","医保记账""3493","310510003*1","牙脱敏治疗(使用激光脱敏仪)","每牙",,,,"25","医保记账""3494","310510004","口腔局部冲洗上药","每牙","含冲洗、含漱;包括牙周袋内上药、粘膜病变部位上药",,,"5","医保记账""3495","310510005","⊙不良修复体拆除","每牙","包括不良修复体及不良充填体",,,"20","医保记账""3496","310510005*1","⊙不良充填体拆除","每牙",,,,"20","医保记账""3497","310510006","⊙牙开窗助萌术","每牙","包括各类阻生恒牙",,,"20","医保记账""3498","310510007","⊙口腔局部止血","每牙","包括拔牙后出血、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",,"20","医保记账""3499","310510008","⊙激光口内治疗","每部位","包括1.
根管处置,2.
牙周处置,3.
各种斑、痣、小肿物、溃疡治疗",,,"25","医保记账""3500","310510009","⊙口内脓肿切开引流术","每牙",,,,"30","医保记账""3501","310510010","⊙牙外伤结扎固定术","每牙","含局麻、复位、结扎固定及调;包括牙根折、挫伤、脱位;不含根管治疗","特殊结扎固定材料",,"50","医保记账""3502","310510011","拆除固定装置","每牙","包括去除由各种原因使用的口腔固定材料",,,"5","医保记账""3503","310510012","⊙口腔活检术(含口腔软组织活检)","次",,,"仅做口腔软组织活检100元","220","医保记账""3504","310510012*1","⊙口腔软组织活检","次",,,,"100","医保记账""3505","310510013S","⊙正畸牙开窗术","每牙","含牙龈黏膜切开、翻瓣、去骨,暴露开窗牙齿及必要的缝合和创口处理,不含托槽黏贴",,,"110","自费""3506","310511001","⊙简单充填术","每洞","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",,"30","医保记账""3507","310511002","⊙复杂充填术","每牙","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",,"50","医保记账""3508","310511002*1","⊙复杂充填术(II类洞)","每牙",,,,"50","医保记账""3509","310511002*2","⊙复杂充填术(III类洞)","每牙",,,,"50","医保记账""3510","310511002*3","⊙复杂充填术(IV类洞)","每牙",,,,"50","医保记账""3511","310511002*4","⊙复杂充填术(大面积缺损的充填)","每牙",,,,"50","医保记账""3512","310511002*5","⊙复杂充填术(化学微创祛龋术)","每牙",,"特殊材料",,"50","医保记账""3513","310511003","⊙牙体桩钉固位修复术","每牙","含备洞、垫底、洞形设计、打桩(钉)、充填;包括大面积缺损的充填","各种特殊材料、桩、钉",,"80","自费""3514","310511004","⊙牙体缺损粘接修复术","每牙","含牙体预备、酸蚀、粘接、充填","特殊材料",,"60","医保记账""3515","310511005","⊙充填体抛光术","每牙","包括各类充填体的修整、抛光",,,"3","医保记账""3516","310511006","⊙前牙美容修复术","每牙","含牙体予备、酸蚀、粘接、修复;包括切角、切缘、关闭间隙、畸形牙改形、牙体缺陷和着色牙贴面等","各种特殊材料",,"80","自费""3517","310511007","⊙树脂嵌体修复术","每牙","含牙体预备和嵌体修复","各种特殊材料","高嵌体修复加收40元","80","医保记账""3518","310511007*1","⊙树脂嵌体修复术(高嵌体修复)","每牙",,,,"120","医保记账""3519","310511008","橡皮障隔湿法","次","含一次性橡皮布",,,"15","医保记账""3520","310511009","牙脱色术","每牙","包括氟斑牙、四环素牙、变色牙",,"使用特殊仪器加收10元","30","自费""3521","310511009*1","牙脱色术(使用特殊仪器)","每牙",,,,"40","自费""3522","310511010","牙齿漂白术","每牙","包括内漂白和外漂白",,"使用特殊仪器加收10元","30","自费""3523","310511010*1","牙齿漂白术(使用特殊仪器)","每牙",,,,"40","自费""3524","310511011","⊙盖髓术","每牙","含备洞、间接盖髓或直接盖髓、垫底、安抚;包括龋齿的特殊检查","特殊盖髓剂",,"20","医保记账""3525","310511012","⊙牙髓失活术(含麻醉、开髓、备洞、封药)","每牙","含麻醉、开髓、备洞、封药",,,"35","医保记账""3526","310511013","⊙开髓引流术(含麻醉、开髓)","每牙","含麻醉、开髓",,,"30","医保记账""3527","310511014","⊙干髓术","每牙","含揭髓顶、切冠髓、FC浴、放置干髓剂等",,,"30","医保记账""3528","310511015","⊙牙髓摘除术","每根管","含揭髓顶、拔髓、荡洗根管",,,"15","医保记账""3529","310511016","⊙根管预备","每根管","含髓腔预备、根管预备、根管冲洗",,"使用特殊仪器加收10元","40","医保记账""3530","310511016*1","⊙根管预备(使用特殊仪器)","每根管",,,,"50","医保记账""3531","310511017","⊙根管充填术","每根管",,"特殊充填材料(如各种银尖、钛尖等)","使用特殊仪器(螺旋充填器、热牙胶装置等)加收10元","50","医保记账""3532","310511017*1","⊙根管充填术(使用螺旋充填器、热牙胶装置等)","每根管",,,,"60","医保记账""3533","310511018","⊙显微根管治疗术","每根管","包括显微镜下复杂根管治疗、根尖屏障制备等",,"使用特殊仪器加收100元","200","医保记账""3534","310511018*1","⊙显微根管治疗术(使用特殊仪器)","每根管",,,,"300","医保记账""3535","310511019","⊙髓腔消毒术","每根管","包括1.
髓腔或根管消毒,2.
瘘管治疗",,"使用特殊仪器(微波仪等)加收5元","10","医保记账""3536","310511019*1","⊙瘘管治疗","每根管",,,,"10","医保记账""3537","310511019*2","⊙根管消毒术","每根管",,,,"10","医保记账""3538","310511019*3","⊙根管消毒术(使用特殊仪器(微波仪等))","每根管",,,,"15","医保记账""3539","310511019*4","⊙瘘管治疗(使用特殊仪器(微波仪等))","每根管",,,,"15","医保记账""3540","310511019*5","⊙髓腔消毒术(使用特殊仪器(微波仪等))","每根管",,,,"15","医保记账""3541","310511020","⊙牙髓塑化治疗术(含根管预备及塑化)","每根管","含根管预备及塑化",,,"20","医保记账""3542","310511021","⊙根管再治疗术","每根管","包括1.
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","使用显微镜、超声仪等特殊仪器加收30元","60","医保记账""3543","310511021*1","⊙根管再治疗术(取根管内充物)","每根管",,,,"60","医保记账""3544","310511021*2","⊙根管再治疗术(疑难根管口的定位)","每根管",,,,"60","医保记账""3545","310511021*3","⊙根管再治疗术(不通根管的扩通)","每根管",,,,"60","医保记账""3546","310511021*4","⊙根管再治疗术(取根管内折断器械)","每根管",,,,"60","医保记账""3547","310511021*5","⊙根管再治疗术(使用显微镜、超声仪等特殊仪器加收)","每根管",,,,"30","医保记账""3548","310511022","⊙髓腔穿孔修补术","每根管","包括髓腔或根管穿孔","特殊材料","使用特殊仪器加收10元","30","医保记账""3549","310511022*1","⊙根管穿孔修补术","每根管",,,,"30","医保记账""3550","310511022*2","⊙根管穿孔修补术(使用特殊仪器)","每根管",,,,"40","医保记账""3551","310511022*3","⊙髓腔穿孔修补术(使用特殊仪器)","每根管",,,,"40","医保记账""3552","310511023","⊙根管壁穿孔外科修补术(含翻瓣、穿孔修补)","每根管","含翻瓣、穿孔修补","根管充填及特殊材料","使用特殊仪器加收50元","100","医保记账""3553","310511023*1","⊙根管壁穿孔外科修补术(使用特殊仪器)","每根管",,,,"150","医保记账""3554","310511024","⊙牙槽骨烧伤清创术","次","指牙髓治疗药物所致的烧伤;含去除坏死组织和死骨、上药",,,"40","医保记账""3555","310511025","⊙根管内固定术(含根管预备)","每根管","含根管预备","特殊固定材料",,"70","医保记账""3556","310511026","⊙劈裂牙治疗","每牙","包括1.
取劈裂牙残片,2.
劈裂牙结扎","根管治疗",,"40","医保记账""3557","310511027","⊙后牙纵折固定术(含麻醉固定、调颌)","每牙","含麻醉固定、调颌","根管治疗及特殊固定材料",,"80","医保记账""3558","310512001","⊙根尖诱导成形术","每根管","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",,"80","医保记账""3559","310512002","⊙窝沟封闭","每牙","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",,"30","医保记账""3560","310512003","乳牙预成冠修复","每牙","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",,"60","自费""3561","310512004","儿童前牙树脂冠修复","每牙","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",,"80","医保记账""3562","310512005","制戴固定式缺隙保持器","次","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",,"150","自费""3563","310512006","制戴活动式缺隙保持器","次","指恒牙正常萌出替换","印模、模型制备",,"100","自费""3564","310512007","制戴活动矫正器","次","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",,"300","自费""3565","310512007*1","混合牙列部分错畸形制戴活动矫正器","次",,,,"300","自费""3566","310512007*2","乳牙列部分错畸形制戴活动矫正器","次",,,,"300","自费""3567","310512008","⊙前牙根折根牵引","每牙","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;含外伤牙根管治疗,制作牵引装置","矫正牵引装置材料、复诊更换牵引装置、印模、模型制备",,"300","医保记账""3568","310512009","⊙钙化桥打通术","每根管","含去旧充填体、打通钙化桥","特殊根管充填材料如银尖、钛尖",,"120","医保记账""3569","310512010","全牙列颌垫固定术","单颌","指用于恒牙外伤的治疗;含外伤牙的复位、固定、制作全牙列垫、试戴、复查","特殊材料、印模、模型制备",,"180","自费""3570","310512011","⊙活髓切断术","每牙",,,,"30","医保记账""3571","310513001","⊙洁治","每牙","包括超声洁治或手工洁治;不含洁治后抛光",,,"4","自费""3572","310513002","⊙龈下刮治","每牙","包括龈下超声刮治或手工刮治",,"后牙龈下刮治加收2元","10","医保记账""3573","310513002*1","⊙后牙龈下刮治","每牙",,,,"12","医保记账""3574","310513003","牙周固定(含结扎材料)","每牙","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",,"30","医保记账""3575","310513004","去除牙周固定","每牙","包括去除各种牙周固定材料",,,"5","医保记账""3576","310513005","牙面光洁术","每牙","包括洁治后抛光、喷砂","特殊材料",,"3","自费""3577","310513006","牙龈保护剂塞治","每牙","含牙龈表面及牙间隙","特殊保护剂",,"5","医保记账""3578","310513007","⊙急性坏死性龈炎局部清创","每牙","包括局部清创、药物冲洗及上药",,,"10","医保记账""3579","310513008","⊙根面平整术","每牙","包括手工根面平整",,"超声根面平整加收10元","20","医保记账""3580","310513008*1","⊙超声根面平整术","每牙",,,,"30","医保记账""3581","310514001","口腔粘膜病系统治疗设计","次",,,,"30","医保记账""3582","310514002","口腔粘膜雾化治疗","次",,,,"8","医保记账""3583","310514003-1","口腔粘膜病特殊治疗(红外线治疗)","每部位",,,,"20","医保记账""3584","310514003-2","口腔粘膜病特殊治疗(微波治疗)","每部位",,,,"20","医保记账""3585","310514003-3","口腔粘膜病特殊治疗(冷冻治疗)","每部位",,,,"10","医保记账""3586","310514003-4","口腔粘膜病特殊治疗(频谱治疗)","每部位",,,,"20","医保记账""3587","310514004S","口腔黏膜病变电凝术","次","包括口腔黏膜病损电凝",,,"103","医保记账""3588","310514004S*1","口腔黏膜病损电凝术","次",,,,"103","医保记账""3589","310515001","颞下颌关节复位","次","指限制下颌运动的手法复位.
包括耳石复位",,,"35","医保记账""3590","310515001*1","耳石复位","次","指限制下颌运动的手法复位.
",,,"35","医保记账""3591","310515002","⊙冠周炎局部治疗","每牙","含药液冲洗盲袋及上药",,,"15","医保记账""3592","310515003","⊙干槽症换药","每牙","含清理拔牙创、药物冲洗、骨创填塞","特殊材料",,"20","医保记账""3593","310515004","⊙涎腺导管扩大术","次",,,,"60","医保记账""3594","310515005","⊙腮腺导管内药物灌注治疗","次",,,,"30","医保记账""3595","310515006","面神经功能训练","次","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",,,"30","医保记账""3596","310515007","腭裂术后语音训练治疗","次","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",,"50","自费""3597","310515008","⊙口腔颌面部各类冷冻治疗","每部位","包括口腔及颌面部各类小肿物的冷冻治疗",,,"20","医保记账""3598","310516001","⊙颞颌关节腔内封闭治疗","单侧","包括封闭治疗或药物注射",,,"50","医保记账""3599","310516001*1","⊙颞颌关节腔内药物注射","单侧",,,,"50","医保记账""3600","310516002","⊙关节腔灌洗治疗","单侧",,,,"120","医保记账""3601","310516003","调磨颌垫","每次",,,,"20","医保记账""3602","310516004","⊙关节镜手术治疗","单侧","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","关节下腔治疗加收150元","1500","医保记账""3603","310516004*1","⊙关节镜手术治疗(颞下颌关节活检术)","单侧",,,,"1500","医保记账""3604","310516004*2","⊙关节镜手术治疗(颞下颌关节盘复位术)","单侧",,,,"1500","医保记账""3605","310516004*3","⊙关节镜手术治疗(骨关节病刨削术)","单侧",,,,"1500","医保记账""3606","310516004*4","⊙关节镜手术治疗(关节下腔治疗)","单侧",,,,"1650","医保记账""3607","310517001","冠修复","每牙","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",,"种植体冠修复加收30元","300","自费""3608","310517001*1","冠修复(种植体冠修复)","每牙",,,,"330","自费""3609","310517002","嵌体修复","每牙","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",,,"250","自费""3610","310517003","桩核根帽修复","每牙","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",,,"150","自费""3611","310517004","贴面修复","每牙","含牙体预备,药线排龈,测色,技工室制作贴面,试戴贴面",,,"250","自费""3612","310517005","桩冠修复","每牙","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",,,"暂不定价","自费""3613","310517006","固定桥","单颌","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)",,,"300","自费""3614","310517007","固定修复计算机辅助设计","次","包括计算机辅助设计制作全冠、嵌体、固定桥",,,"暂不定价","自费""3615","310517008","咬合重建","次","含全牙列固定修复咬合重建,改变原颌关系,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;包括复杂冠桥修复",,,"600","自费""3616","310517008*1","咬合重建(复杂冠桥修复)","次",,,,"600","自费""3617","310517009","粘结","每牙","包括嵌体、冠、桩核粘结(酸蚀、消毒、粘固)","特殊粘接剂",,"20","自费""3618","310518001","活动桥","每牙","包括普通弯制卡环、整体铸造卡环及支托活动桥",,,"90","自费""3619","310518002","塑料可摘局部义齿","每牙","含牙体预备,义齿设计,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,咬颌检查;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",,,"60","自费""3620","310518003","铸造可摘局部义齿","每牙","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",,,"100","自费""3621","310518004","美容义齿","每牙","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",,"特殊设计加收15元","50","自费""3622","310518004*1","美容义齿(特殊设计)","每牙",,,,"65","自费""3623","310518005","即刻义齿","每牙","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",,,"40","自费""3624","310518006","附着体义齿","单颌","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",,"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","300","自费""3625","310518007","总义齿","单颌","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",,"300","自费""3626","310519001","拆冠桥","每牙","包括锤造冠",,"铸造冠拆除加收15元","30","自费""3627","310519001*1","拆冠桥(铸造冠拆除)","每牙",,,,"45","自费""3628","310519002","拆桩","每牙","包括预成桩、各种材料的桩核",,,"30","自费""3629","310519003","加焊","每2mm缺隙","包括锡焊、金焊、银焊","焊接材料",">2mm加收5元、激光焊接加收5元","10","自费""3630","310519003*1","加焊(>2mm加收)","每缺隙",,,,"5","自费""3631","310519003*2","加焊(激光焊接加收)","每缺隙",,,,"5","自费""3632","310519004","加装饰面","每牙","包括桩冠、桥体","特殊材料",,"20","自费""3633","310519005","烤瓷冠崩瓷修理","每牙","包括粘结、树脂修补","特殊材料",,"60","自费""3634","310519006","调改义齿","次","含检查、调颌、调改外形、缓冲基托、调整卡环",,,"20","自费""3635","310519007","取局部颌关系记录","次","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",,"20","自费""3636","310519008","取正中颌关系记录","次",,,,"50","自费""3637","310519009","加人工牙","每牙",,"各种人工牙材料",,"30","自费""3638","310519010","义齿接长基托","次","包括边缘、游离端、义齿鞍基","各种基托材料",,"30","自费""3639","310519011","义齿裂纹及折裂修理","次","含加固钢丝","各种材料",,"30","自费""3640","310519012","义齿组织面重衬","每厘米","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)",,"30","自费""3641","310519013","加卡环","每卡环","含单臂、双臂、三臂卡环;包括加钢丝或铸造卡环;","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)",,"30","自费""3642","310519013*1","加钢丝卡环","每卡环",,,,"30","自费""3643","310519013*2","加铸造卡环","每卡环",,,,"30","自费""3644","310519014","增加铸造基托","每件",,"各种基托材料(钢、金合金)",,"50","自费""3645","310519015","加颌支托","次",,"各种颌支托材料(钢丝支托、扁钢丝支托、铸造钴铬合金支托、铸造金合金支托)",,"30","自费""3646","310519016","加铸颌面","次",,,,"50","自费""3647","310519017","增加加固装置","次","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)",,"40","自费""3648","310519018","加连接杆","次",,"各种材料(预成杆、铸造不锈钢杆、铸造金杆)",,"40","自费""3649","310519019","塑料颌面加高咬合","次",,"材料费(自凝塑料、热凝塑料)",,"40","自费""3650","310519020","弹性假牙龈","每牙",,,,"30","自费""3651","310519021","镀金加工","每牙",,,,"100","自费""3652","310519022","铸造加工","每件","指患者自带材料加工;包括所有铸造修复体",,,"100","自费""3653","310519023","配金加工","每牙",,,"仅限患者自备材料","100","自费""3654","310519024","黄金材料加工","每牙",,,,"100","自费""3655","310519025","加磁性固位体","每牙",,,,"150","自费""3656","310519026","附着体增换","每附着体","包括附着体增加或更换","附着体材料",,"120","自费""3657","310520001","垫颌","每件","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、颌垫材料、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)",,"200","医保记账""3658","310520002","肌松弛治疗","次","含放松训练",,,"30","医保记账""3659","310521001","腭护板导板矫治","单颌","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","间接法制作加收50元,加放射治疗装置加收100元","150","自费""3660","310521001*1","腭护板导板矫治(间接法制作加收)","单颌",,,,"50","自费""3661","310521001*2","腭护板导板矫治(加放射治疗装置加收)","单颌",,,,"100","自费""3662","310521002","⊙义颌修复","每区段","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,确定颌关系,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、义眼等专用材料","1.
上或下颌骨一侧全切加收50%;2.
分段或分区双重印模加收100%","600","自费""3663","310521002*1","⊙义颌修复(上或下颌骨一侧全切加收50%)","一侧",,,,"300","自费""3664","310521002*2","⊙义颌修复(分段或分区双重印模加收100%)","每区段",,,,"600","自费""3665","310521003","软腭抬高器治疗","次","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","咽阻塞器加收40元","400","医保记账""3666","310521003*1","软腭抬高器治疗(咽阻塞器)","次",,,,"440","医保记账""3667","310521004","骨折后义齿夹板固位及板治疗","单颌","包括上或下颌骨骨折","义齿夹板材料",,"250","医保记账""3668","310522001","乳牙期安氏I类错正畸治疗","单颌","包括:1.
含乳牙早失、乳前牙反颌的矫治;2.
使用间隙保持器、活动矫治器","功能矫治器","前牙或后牙开颌、严重深覆颌加收20%","1000","自费""3669","310522001*1","乳牙期安氏I类错正畸治疗(前牙或后牙开颌、严重深覆颌加收20%)","单颌",,,,"200","自费""3670","310522002","替牙期安氏I类错颌活动矫治器正畸治疗","单颌","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","阻生齿开窗矫治加收10%","700","自费""3671","310522002*1","替牙期安氏I类错颌活动矫治器正畸治疗(阻生齿开窗矫治加收10%)","单颌",,,,"70","自费""3672","310522003","替牙期安氏I类错颌固定矫治器正畸治疗","双颌","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",,"1500","自费""3673","310522004","恒牙期安氏I类错颌固定矫治器正畸治疗","双颌","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;不含间隙调整后修复","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","单颌探按1800元","3000","自费""3674","310522004*1","恒牙期安氏I类错颌固定矫治器正畸治疗(单颌)","单颌",,,,"1800","自费""3675","310522005","乳牙期安氏II类错颌正畸治疗","单颌","包括:1.
乳牙早失、上頦前突、乳前牙反颌的矫治;2.
使用间隙保持器、活动矫治器治疗","功能矫治器",,"1000","自费""3676","310522006","替牙期安氏II类错颌口腔不良习惯正畸治疗","单颌","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、腭杆",,"1500","自费""3677","310522007","替牙期牙性安氏II类错颌活动矫治器正畸治疗","单颌","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","前牙反颌、前牙或后牙开颌、严重深覆颌加收10%","1500","自费""3678","310522007*1","替牙期牙性安氏II类错颌活动矫治器正畸治疗(前牙反颌、前牙或后牙开颌、严重深覆颌加收)","单颌",,,,"150","自费""3679","310522008","替牙期牙性安氏II类错颌固定矫治器正畸治疗","双颌","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","前牙反颌、前牙或后牙开颌、严重深覆颌加收10%","1800","自费""3680","310522008*1","替牙期牙性安氏II类错颌固定矫治器正畸治疗(前牙反颌、前牙或后牙开颌、严重深覆颌加收10%)","双颌",,,,"180","自费""3681","310522009","替牙期骨性安氏II类错颌正畸治疗","双颌","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","前牙反颌、前牙或后牙开颌、严重深覆颌加收10%","1800","自费""3682","310522009*1","替牙期骨性安氏II类错颌正畸治疗(前牙反颌、前牙或后牙开颌、严重深覆颌加收10%)","双颌",,,,"180","自费""3683","310522010","恒牙早期安氏II类错颌功能矫治器治疗","单颌","包括:1.
严重牙性II类错颌和骨性II类错颌;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","前牙或后牙开颌、严重深覆颌加收10%","1500","自费""3684","310522010*1","恒牙早期安氏II类错颌功能矫治器治疗(前牙或后牙开颌、严重深覆颌加收10%)","单颌",,,,"150","自费""3685","310522011","恒牙期牙性安氏II类错颌固定矫治器治疗","双颌","含上下颌所需带环、弓丝、托槽;包括牙性安氏II类错颌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、腭杆","1.
伴前牙严重开颌、深覆颌加收10%;2.
阻生齿开窗矫治、磨牙拔除矫治加收10%","3000","自费""3686","310522011*1","恒牙期牙性安氏II类错颌固定矫治器治疗(伴前牙严重开颌、深覆颌加收10%)","双颌",,,,"300","自费""3687","310522011*2","恒牙期牙性安氏II类错颌固定矫治器治疗(阻生齿开窗矫治、磨牙拔除矫治加收10%)","双颌",,,,"300","自费""3688","310522012","恒牙期骨性安氏II类错颌固定矫治器拔牙治疗","双颌","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、腭杆","1.
伴前牙严重开颌、深覆颌等复杂疑难病例加收10%;2.
阻生齿开窗矫治、磨牙拔除矫治加收10%","3000","自费""3689","310522012*1","恒牙期骨性安氏II类错颌固定矫治器拔牙治疗(伴前牙严重开颌、深覆颌等复杂疑难病例加收10%)","双颌",,,,"300","自费""3690","310522012*2","恒牙期骨性安氏II类错颌固定矫治器拔牙治疗(阻生齿开窗矫治、磨牙拔除矫治加收10%)","双颌",,,,"300","自费""3691","310522013","乳牙期安氏III类错颌正畸治疗","单颌","包括:1.
乳前牙反颌;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、颏兜","全牙弓乳牙反颌加收10%","800","自费""3692","310522013*1","乳牙期安氏III类错颌正畸治疗(全牙弓乳牙反颌加收10%)","单颌",,,,"80","自费""3693","310522014","替牙期安氏III类错颌正畸治疗","单颌","包括:1.
前牙反颌;2.
使用活动矫治器","上颌扩弓装置、功能矫治、颏兜","全牙弓反颌加收10%","800","自费""3694","310522014*1","替牙期安氏III类错颌正畸治疗(全牙弓反颌加收10%)","单颌",,,,"80","自费""3695","310522015","替牙期安氏III类错颌功能矫治器治疗","双颌","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","伴开颌、深覆颌等疑难病加收10%","1500","自费""3696","310522015*1","替牙期安氏III类错颌功能矫治器治疗(伴开颌、深覆颌等疑难病加收10%","双颌",,,,"150","自费""3697","310522016","恒牙期安氏III类错固定矫治器治疗","双颌","包括牙性安氏III类错颌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","1.
全牙弓反颌加收10%;2.
伴开颌、深覆颌等复杂疑难病加收10%;3.
磨牙拔除矫治加收10%","3000","自费""3698","310522016*1","恒牙期安氏III类错固定矫治器治疗(全牙弓反颌加收10%)","双颌",,,,"300","自费""3699","310522016*2","恒牙期安氏III类错固定矫治器治疗(伴开颌、深覆颌等复杂疑难病加收10%)","双颌",,,,"300","自费""3700","310522016*3","恒牙期安氏III类错固定矫治器治疗(磨牙拔除矫治加收10%)","双颌",,,,"300","自费""3701","310522017","恒牙期骨性安氏III类错颌固定矫治器拔牙治疗","双颌","包括骨性安氏III类错颌拔牙病例","前方牵引器、头帽颏兜、上颌扩弓装置及其他附加装置、特殊材料","隐形材料加收10%","3500","自费""3702","310522017*1","恒牙期骨性安氏III类错颌固定矫治器拔牙治疗(隐形材料加收10%)","双颌",,,,"350","自费""3703","310522018","牙周病伴错颌畸形活动矫治器正畸治疗","双颌","包括局部牙周炎的正畸治疗",,"重度牙周炎的正畸治疗加收10%","1800","自费""3704","310522018*1","牙周病伴错颌畸形活动矫治器正畸治疗(重度牙周炎的正畸治疗加收10%)","双颌",,,,"180","自费""3705","310522019","牙周病伴错颌畸形固定矫治器正畸治疗","双颌","包括局部牙周炎的正畸治疗",,"1.
伴开颌、深覆颌等疑难病加收10%;2.
拔牙矫治加收10%","3000","医保记账""3706","310522019*1","牙周病伴错颌畸形固定矫治器正畸治疗(伴开颌、深覆颌等疑难病加收10%)","双颌",,,,"300","医保记账""3707","310522019*2","牙周病伴错颌畸形固定矫治器正畸治疗(拔牙矫治加收10%)","双颌",,,,"300","医保记账""3708","310522020","创伤正畸治疗","双颌","包括:1.
由咬合因素引起的颌创伤;2.
用活动矫治器或固定矫治器治疗",,,"2400","自费""3709","310522021","单侧唇腭裂序列正畸治疗","双颌","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颌、前牙反颌的活动矫治器或固定矫治器、恒牙期用于解除后牙反颌、前牙反颌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","双侧完全性唇腭裂加收30%","3000","自费""3710","310522021*1","单侧唇腭裂序列正畸治疗(双侧完全性唇腭裂加收30%)","双颌",,,,"900","自费""3711","310522022","早期颜面不对称正畸治疗","双颌","包括:1.
替牙期由错颌引起或颜面不对称伴错颌的病例;2.
使用活动矫治器和固定矫治器",,,"2300","自费""3712","310522023","恒牙期颜面不对称正畸治疗","双颌","包括:1.
恒牙期由错颌引起或颜面不对称伴错颌的早期正畸治疗;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",,"2300","自费""3713","310522024","颅面畸形正畸治疗","双颌","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",,"2300","自费""3714","310522025","颞下颌关节病正畸治疗","双颌","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",,,"2300","自费""3715","310522026","正颌外科术前术后正畸治疗","单颌","包括:1.
安氏II类、III类严重骨性错颌、严重骨性开颌、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",,,"2000","自费""3716","310522027","睡眠呼吸暂停综合征(OSAS)正畸治疗","双颌","包括各种表现的睡眠呼吸暂停及相应错颌的正畸治疗","常规OSAS矫治器以外的",,"500","自费""3717","310522028","正畸保持器治疗","每副","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",,"250","自费""3718","310522029S","阻生磨牙竖直治疗","每牙","含阻生磨牙竖直装置制作及粘结、阻生磨牙颊面管的粘结及正轴辅弓的安置、有咬合干扰者咬合板的制作、阻生磨牙的入列整平及排齐,含一般治疗材料.
不含种植支抗的安置.
",,"每增加一牙加收50%","2000","自费""3719","310522029S*1","阻生磨牙竖直治疗(每增加一牙加收50%)","每牙","含阻生磨牙竖直装置制作及粘结、阻生磨牙颊面管的粘结及正轴辅弓的安置、有咬合干扰者咬合板的制作、阻生磨牙的入列整平及排齐,含一般治疗材料.
不含种植支抗的安置.
",,,"1000","自费""3720","310523001","种植模型制备","单颌","含取印模、灌模型、做蜡型、排牙、上架","唇侧Index材料",,"200","自费""3721","310523002","外科引导合板","单颌","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",,"100","自费""3722","310523003","种植过渡义齿","每牙","含技工室制作、临床试戴","义齿修复材料、进口软衬材料",,"100","自费""3723","310523004","种植体-真牙栓道式附着体","每牙","含牙体预备、个别托盘制作、再取印模、灌模型、颌记录、面弓转移上颌架、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",,"500","自费""3724","310523005","种植覆盖义齿","单颌","包括:1.
全口杆卡式;2.
磁附着式3.
套筒冠","特殊材料",,"1200","自费""3725","310523006","全口固定种植义齿","单颌",,,,"暂不定价","自费""3726","310523007","颜面赝复体种植修复","每种植体","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",,"1000","自费""3727","310601001","肺通气功能检查","次","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,最大通气量",,,"135","医保记账""3728","310601002","肺弥散功能检查","项","包括一口气法、重复呼吸法",,,"115","医保记账""3729","310601003","运动心肺功能检查","项","不含心电监测",,"因病情变化未能完成本试验者,也按本价格收费","175","医保记账""3730","310601004","气道阻力测定","项","包括阻断法;不含残气容积测定",,,"58","医保记账""3731","310601005","残气容积测定","项","包括体描法、氦气平衡法、氮气稀释法、重复呼吸法",,,"58","医保记账""3732","310601006","强迫振荡肺功能检查","项",,,,"150","医保记账""3733","310601007","第一秒平静吸气口腔闭合压测定","项",,,,"35","医保记账""3734","310601008","流速容量曲线(V-V曲线)","项","含最大吸气和呼气流量曲线",,,"69","医保记账""3735","310601009","二氧化碳反应曲线","小时",,,"经皮氧/二氧化碳分压监测7元/小时(固定环、电极膜除外)","6","医保记账""3736","310601009*1","经皮氧监测","小时","固定环、电极膜除外",,,"7","医保记账""3737","310601009*2","经皮二氧化碳分压监测","小时","固定环、电极膜除外",,,"7","医保记账""3738","310601010","支气管激发试验","项",,,,"138","医保记账""3739","310601011","运动激发试验","项","含通气功能测定7次;不含心电监测",,,"230","医保记账""3740","310601012","支气管舒张试验","项","含通气功能测定2次",,,"250","医保记账""3741","310601013","一氧化氮呼气测定","次","含过滤除去空气中的外源性一氧化氮",,,"280","医保记账""3742","310601014S","人工气道压力滴定试验(含睡眠呼吸监测)","次","含睡眠呼吸监测",,,"800","医保记账""3743","310602001","床边简易肺功能测定","次",,,"即肺通气功能测定","50","医保记账""3744","310602002","肺阻抗血流图","次",,,,"暂不定价","医保记账""3745","310602003","呼吸肌功能测定","次","含最大吸气、呼气压、膈肌功能测定",,,"87","医保记账""3746","310602004","动态呼吸监测(呼吸Holter)","次",,,,"6","医保记账""3747","310602005","持续呼吸功能检测","小时","含潮气量、气道压力、顺应性、压力容积、Pol、最大吸气压",,,"5","医保记账""3748","310602006","血气分析","次","含血液PH、血氧和血二氧化碳测定以及酸碱平衡分析",,,"50","医保记账""3749","310602007","肺循环血流动力学检查","次",,,,"暂不定价","医保记账""3750","310603001","呼吸机辅助呼吸","小时","含高频喷射通气呼吸机;不含CO2监测、肺功能监测",,,"28","医保记账""3751","310603002","无创辅助通气","小时","包括持续气道正压(CPAP)、双水平气道正压(BIPAP)",,,"28","医保记账""3752","310603003","体外膈肌起搏治疗","次",,,,"8","医保记账""3753","310604001","睡眠呼吸监测","次","含心电、脑电、肌电、眼动、呼吸监测和血氧饱和度测定",,,"500","医保记账""3754","310604002","睡眠呼吸监测过筛试验","次","含口鼻呼吸、胸腹呼吸、血氧饱和度测定",,,"300","医保记账""3755","310604003","⊙人工气胸术","次",,,,"80","医保记账""3756","310604004","⊙人工气腹术","次",,,,"80","医保记账""3757","310604005","⊙胸腔穿刺术(含抽气、抽液、注药)","次",,"药物、一次性引流装置","胸腔穿刺术后留置管抽液(注药)收50元/次","200","医保记账""3758","310604005*1","⊙胸腔穿刺术后留置管抽液(含抽气、抽液、注药)","次",,"药物、一次性引流装置",,"75","医保记账""3759","310604006","⊙经皮穿刺肺活检术","每处","包括胸膜活检;不含CT、X线、B超引导",,,"300","医保记账""3760","310604006*1","⊙经皮穿刺胸膜活检术","每处",,,,"300","医保记账""3761","310604007S","一氧化氮吸入治疗(含一氧化氮气体)","小时",,,,"40","医保记账""3762","310605000*1","呼吸系统窥镜诊疗(使用电子纤维内镜加收)","次",,,,"150","医保记账""3763","310605001","⊙硬性气管镜检查","次",,,,"120","医保记账""3764","310605002","⊙纤维支气管镜检查","次","含针吸活检、支气管刷片",,"超声支气管镜检查580元(水囊除外),荧光支气管镜检查380元","280","医保记账""3765","310605002*1","⊙超声支气管镜检查(水囊除外)","次","含针吸活检、支气管刷片",,,"580","医保记账""3766","310605002*2","⊙荧光支气管镜检查","次","含针吸活检、支气管刷片",,,"380","医保记账""3767","310605003","⊙经纤支镜治疗","次","含经纤支镜痰吸引、滴药、止血、化疗","药物","取异物加收100元","300","医保记账""3768","310605003*1","⊙经纤支镜取异物治疗","次",,,,"350","医保记账""3769","310605004","⊙经纤支镜粘膜活检术","每个部位",,,,"280","医保记账""3770","310605005","⊙经纤支镜透支气管壁肺活检术","每个部位",,,,"300","医保记账""3771","310605006","⊙经纤支镜肺泡灌洗诊疗术(含生理盐水)","每个肺段",,,,"650","医保记账""3772","310605007","⊙经纤支镜防污染采样刷检查","次","包括经气管切开防污染采样刷检查;不含微生物学检查",,,"330","医保记账""3773","310605007*1","⊙经气管切开防污染采样刷检查","次","不含微生物学检查",,,"330","医保记账""3774","310605008","⊙经纤支镜特殊治疗","次",,,,"650","医保记账""3775","310605008*1","⊙经纤支镜特殊治疗(微波)","次",,,,"500","医保记账""3776","310605008*2","⊙经纤支镜特殊治疗(激光)","次",,,,"500","医保记账""3777","310605008*3","⊙经纤支镜特殊治疗(高频电)","次",,,,"500","医保记账""3778","310605009","⊙经内镜气管扩张术","次",,"球囊管",,"800","医保记账""3779","310605010","⊙经纤支镜支架置入术","次","包括经纤支镜支架取出术","支架,导管,导丝",,"2250","医保记账""3780","310605010*1","⊙经纤支镜支架取出术","次",,,,"2250","医保记账""3781","310605011","⊙经纤支镜引导支气管腔内放疗","次",,"药物",,"1750","医保记账""3782","310605012","⊙经内镜气管内肿瘤切除术","次",,,,"3000","医保记账""3783","310605013","⊙胸腔镜检查(含活检)","次","不含经胸腔镜的特殊治疗",,,"260","医保记账""3784","310605014","⊙纵隔镜检查(含纵隔淋巴结活检)","次",,,,"350","医保记账""3785","310606001","⊙经内镜胸部肿瘤特殊治疗","次","包括食管、气管、支气管、肺良性肿瘤或狭窄的治疗",,,"2250","医保记账""3786","310606001*1","⊙经内镜胸部肿瘤特殊治疗(激光加收)","次",,,,"150","医保记账""3787","310606001*2","⊙经内镜胸部肿瘤特殊治疗(电凝加收)","次",,,,"150","医保记账""3788","310606001*3","⊙经内镜胸部肿瘤特殊治疗(局部注药加收)","次",,,,"75","医保记账""3789","310606001*4","⊙经内镜食管肿瘤特殊治疗","次",,,"激光、电凝加收150元、局部注药加收75元","2250","医保记账""3790","310606001*5","⊙经内镜食管肿瘤特殊治疗(激光加收)","次",,,,"150","医保记账""3791","310606001*6","⊙经内镜食管肿瘤特殊治疗(电凝加收)","次",,,,"150","医保记账""3792","310606001*7","⊙经内镜食管肿瘤特殊治疗(局部注药加收)","次",,,,"75","医保记账""3793","310606001*8","⊙经内镜气管肿瘤特殊治疗","次",,,"激光、电凝加收150元、局部注药加收75元","2250","医保记账""3794","310606001*9","⊙经内镜气管肿瘤特殊治疗(激光加收)","次",,,,"150","医保记账""3795","310606001*10","⊙经内镜气管肿瘤特殊治疗(电凝加收)","次",,,,"150","医保记账""3796","310606001*11","⊙经内镜气管肿瘤特殊治疗(局部注药加收)","次",,,,"75","医保记账""3797","310606001*12","⊙经内镜支气管肿瘤特殊治疗","次",,,"激光、电凝加收150元、局部注药加收75元","2250","医保记账""3798","310606001*13","⊙经内镜支气管肿瘤特殊治疗(激光加收)","次",,,,"150","医保记账""3799","310606001*14","⊙经内镜支气管肿瘤特殊治疗(电凝加收)","次",,,,"150","医保记账""3800","310606001*15","⊙经内镜支气管肿瘤特殊治疗(局部注药加收)","次",,,,"75","医保记账""3801","310606001*16","⊙经内镜肺良性肿瘤及狭窄特殊治疗","次",,,"激光、电凝加收150元、局部注药加收75元","2250","医保记账""3802","310606001*17","⊙经内镜肺良性肿瘤及狭窄特殊治疗(激光加收)","次",,,,"150","医保记账""3803","310606001*18","⊙经内镜肺良性肿瘤及狭窄特殊治疗(电凝加收)","次",,,,"150","医保记账""3804","310606001*19","⊙经内镜肺良性肿瘤及狭窄特殊治疗(局部注药加收)","次",,,,"75","医保记账""3805","310607002","单人舱治疗","次","包括纯氧舱",,,"160","医保记账""3806","310607003","婴儿氧舱治疗","次","包括纯氧舱",,,"120","医保记账""3807","310607004","急救单独开舱治疗","次",,,,"800","医保记账""3808","310607005","舱内抢救","次",,,,"200","医保记账""3809","310607006","舱外高流量吸氧","小时",,"一次性面罩、一次性吸氧管",,"6","医保记账""3810","310701001","常规心电图检查","次","含单通道、常规导联",,"三通道十二通道加收9元;十五导联加收9元、十八导联加收18元.
医务人员携带设备至住院患者病床旁进行的检查加收10元","17","医保记账""3811","310701001*1","常规心电图检查(十五导联加收)","次","含单通道、常规导联",,,"9","医保记账""3812","310701001*2","常规心电图检查(三通道、十二通道加收)","次",,,,"9","医保记账""3813","310701001*3","常规心电图检查(十八导联加收)","次","含单通道、常规导联",,,"18","医保记账""3814","310701001*4","常规心电图检查(医务人员携带设备至住院患者病床旁进行加收)","次","含单通道、常规导联",,,"10","医保记账""3815","310701002","食管内心电图","次",,"一次性导管",,"100","医保记账""3816","310701003","动态心电图(含磁带、电池费用)","次",,,,"287","医保记账""3817","310701004","频谱心电图(含电极费用)","次",,,,"50","医保记账""3818","310701005","标测心电图(含电极费用)","次",,,,"50","医保记账""3819","310701006","体表窦房结心电图","次",,,,"50","医保记账""3820","310701007","心电事件记录(含磁带、电池费用)","次",,,,"46","医保记账""3821","310701008","遥测心电监护(含电池、电极费用)","小时",,,,"10","医保记账""3822","310701009","心电监测电话传输(含电池、电极费用)","日",,,,"100","医保记账""3823","310701010-1","心电图踏车负荷试验(二阶梯)","次",,,,"63","医保记账""3824","310701010-2","心电图踏车负荷试验(平板运动试验)","次",,,,"230","医保记账""3825","310701011","心电图药物负荷试验(含电极费用)","次",,,,"46","医保记账""3826","310701012","心电向量图","次",,,,"80","医保记账""3827","310701013","心音图","次",,,,"23","医保记账""3828","310701014","心阻抗图","次",,,,"17","医保记账""3829","310701015","心室晚电位(含电极费用)","次",,,,"75","医保记账""3830","310701016","心房晚电位(含电极费用)","次",,,,"100","医保记账""3831","310701017","倾斜试验","次",,,,"200","医保记账""3832","310701018","心率变异性分析","次","包括短程或24小时",,,"115","医保记账""3833","310701019","无创阻抗法心搏出量测定","次",,,,"30","医保记账""3834","310701020","无创心功能监测","每监测项目","包括心血流图、心尖搏动图",,,"5","医保记账""3835","310701020*1","无创心功能监测(心血流图)","每监测项目",,,,"5","医保记账""3836","310701020*2","无创心功能监测(心尖搏动图)","每监测项目",,,,"5","医保记账""3837","310701021","动态血压监测","小时","含电池费用;包括运动血压监测",,,"6","医保记账""3838","310701021*1","运动血压监测","小时","含电池费用",,,"6","医保记账""3839","310701022","心电监测","小时",,,,"3.
5","医保记账""3840","310701023","心输出量测定","小时",,"漂浮导管、温度传感器、漂浮导管置入套件","同一天不可与心排血量测定同时收取","10","医保记账""3841","310701024","肺动脉压和右心房压力监测","小时",,"漂浮导管、漂浮导管置入套件",,"20","医保记账""3842","310701025","动脉内压力监测","小时",,"套管针、测压套件",,"20","医保记账""3843","310701026","周围静脉压测定","次",,,,"20","医保记账""3844","310701027","指脉氧监测","小时",,,,"5","医保记账""3845","310701028","血氧饱和度监测","小时",,,,"5","医保记账""3846","310701029S","无创性动脉硬化检测","次","含踝臂指数(ABI)、脉搏波传导速度(PWV)",,,"75","医保记账""3847","310702001-1","有创性血流动力学监测(床旁)(心电、压力连续示波)","小时",,,,"20","医保记账""3848","310702001-2","心排血量测定","次",,"温度传感器",,"380","医保记账""3849","310702002","⊙持续有创性血压监测(含心电、压力连续示波)","小时","含心电、压力连续示波","动脉穿刺套针",,"28","医保记账""3850","310702003","⊙有创性心内电生理检查(含X光影相)","次",,"心导管,动脉穿刺套针",,"2200","医保记账""3851","310702004","⊙射频消融术(含X光影相)","次",,"射频导管,动脉穿刺套针",,"5250","医保记账""3852","310702005","⊙临时起搏器安置术(含X光影相)","次",,"心导管、电极,动脉穿刺套针",,"1000","医保记账""3853","310702006","临时起搏器应用","小时",,"起搏导线",,"6","医保记账""3854","310702007","⊙永久起搏器安置术(含X光影相)","次",,"起搏器、心导管、电极,动脉穿刺套针",,"3000","医保记账""3855","310702008","⊙永久起搏器更换术(含X光影相)","次","包括取出术","起搏器、心导管、电极,动脉穿刺套针",,"2000","医保记账""3856","310702008*1","⊙永久起搏器取出术","次",,,,"2000","医保记账""3857","310702009","⊙埋藏式心脏复律除颤器安置术(含X光影相)","次",,"除颤器、心导管、电极,动脉穿刺套针",,"5175","医保记账""3858","310702010","起搏器功能分析和随访","次",,,,"50","医保记账""3859","310702011","起搏器程控功能检查(含起搏器功能分析与编程)","次",,,,"50","医保记账""3860","310702012","起搏器胸壁刺激法检查","次",,,,"35","医保记账""3861","310702013","⊙体外经胸型心脏临时起搏术","次",,,,"50","医保记账""3862","310702014","⊙经食管心脏起搏术","次",,,,"150","医保记账""3863","310702015","⊙经食管心脏调搏术","次","指超速抑制心动过速治疗",,,"150","医保记账""3864","310702016","⊙心脏电复律术","次",,,,"120","医保记账""3865","310702017","心脏电除颤术","次",,"一次性除颤电极",,"120","医保记账""3866","310702018","体外自动心脏变律除颤术","次","包括半自动","一次性复律除颤电极",,"150","医保记账""3867","310702018*1","体外半自动心脏变律除颤术","次",,,,"150","医保记账""3868","310702019","体外反搏治疗","次",,,,"120","医保记账""3869","310702020","⊙右心导管检查术(含右心造影、X光影相及相片)","次",,"导管、导丝,动脉穿刺针","血氧测定加收50元","2800","医保记账""3870","310702020*1","⊙右心导管检查术+血氧测定","次",,,,"2850","医保记账""3871","310702021","⊙左心导管检查术(含X光影相及相片)","次",,"导管、导丝,动脉穿刺针",,"2800","医保记账""3872","310702022","⊙心包穿刺术","次","包括引流","引流导管","心包穿刺术后留置管抽液(注药)收50元/次","250","医保记账""3873","310702022*1","⊙心包引流术","次",,,,"250","医保记账""3874","310702022*2","⊙心包穿刺术后留置管抽液(注药)","次","包括引流","引流导管",,"50","医保记账""3875","310800001","⊙骨髓穿刺术","次",,,,"150","医保记账""3876","310800002","⊙骨髓活检术","次",,,,"200","医保记账""3877","310800003","混合淋巴细胞培养","每个人","指液闪技术体外细胞培养",,,"暂不定价","医保记账""3878","310800004","采自体血及保存","次","含麻醉下手术采集和低温保存",,"长期低温保存每天10元.
","30","医保记账""3879","310800004*1","采自体血长期低温保存","天",,,,"10","医保记账""3880","310800005","血细胞分离单采","次",,,,"3125","医保记账""3881","310800006","白细胞除滤","次","包括全血或悬浮红细胞、血小板过滤","滤除白细胞输血器",,"20","医保记账""3882","310800007","自体血回收","次","包括术中自体血回输","回收罐",,"200","医保记账""3883","310800007*1","术中自体血回输","次",,"回收罐",,"200","医保记账""3884","310800008","⊙血浆置换术(机采)","次","机采",,"人工置换每200ml/单位120元","2500","医保记账""3885","310800008*1","⊙血浆置换术(人工置换)","200ml/单位",,,,"120","医保记账""3886","310800009","血液照射","次","包括加速器或60钴照射源,照射2000rad±,包括自体、异体",,,"120","医保记账""3887","310800010","血液稀释疗法","次",,,,"100","医保记账""3888","310800011","⊙血液光量子自体血回输治疗","次","含输氧、采血、紫外线照射及回输;包括光量子自体血回输(紫外光照射)及免疫三氧血回输治疗",,,"115","自费""3889","310800011*1","⊙血液光量子自体血回输治疗(紫外光照射)","次","含输氧、采血、紫外线照射及回输",,,"115","自费""3890","310800011*2","⊙血液光量子自体免疫三氧血回输治疗","次","含输氧、采血、紫外线照射及回输",,,"115","自费""3891","310800012","⊙骨髓采集术(含保存)","200ml/单位",,,,"1200","医保记账""3892","310800013","⊙骨髓血回输(含骨髓复苏)","次",,,,"200","医保记账""3893","310800014","⊙外周血干细胞回输","次",,,,"250","医保记账""3894","310800015","骨髓或外周血干细胞体外净化","次","指严格无菌下体外细胞培养法",,,"暂不定价","医保记账""3895","310800016","骨髓或外周血干细胞冷冻保存","天","包括程控降温仪或超低温、液氮保存",,,"200","医保记账""3896","310800017","血细胞分化簇抗原(CD)34阳性造血干细胞分选","次","含所有药物及材料",,,"35000","医保记账""3897","310800018","血细胞分化簇抗原(CD)34阳性造血干细胞移植","次",,,,"1250","医保记账""3898","310800019","配型不合异基因骨髓移植T细胞去除术","次","包括体外细胞培养法、白细胞分离沉降",,,"暂不定价","医保记账""3899","310800020","⊙骨髓移植术","次","含严格无菌消毒隔离措施;包括异体基因、自体基因","供体",,"4500","医保记账""3900","310800021","⊙外周血干细胞移植术","次","含严格无菌消毒隔离措施;包括异体基因、自体基因","供体",,"2500","医保记账""3901","310800022","⊙自体骨髓或外周血干细胞支持治疗","次","指大剂量化疗后;含严格无菌消毒隔离措施",,,"2000","医保记账""3902","310800023","⊙脐血移植术","次","含严格无菌消毒隔离措施;包括异体基因、自体基因","脐血",,"2000","医保记账""3903","310800024","细胞因子活化杀伤(CIK)细胞输注治疗","次","含药物加无血清培养基、体外细胞培养;包括树突状细胞治疗(DC)",,"每次回输1.
5x109细胞数量.
","暂不定价","自费""3904","310800025","⊙淋巴造影术","次",,"导管",,"100","医保记账""3905","310800026","骨髓细胞彩色图像分析","次","含图文报告;包括外周血细胞彩色图像分析",,,"55","医保记账""3906","310800026*1","外周血细胞彩色图像分析","次","含图文报告",,,"50","医保记账""3907","310800027","⊙脾穿刺术","次",,,,"170","医保记账""3908","310800029S","自体T淋巴细胞免疫治疗",,"含自体T淋巴细胞的体外诱导及培养",,,"暂不定价","自费""3909","310800029S-1","自体T淋巴细胞免疫治疗(AAV基因转导)(含自体T淋巴细胞的体外诱导及培养)","1疗程",,,"每疗程回输不少于3.
0×109个特异性自体T淋巴细胞,","暂不定价","自费""3910","310800029S-2","自体T淋巴细胞免疫治疗(基因重组技术修饰)(含自体T淋巴细胞的体外诱导及培养)","次",,,"每次回输不少于3.
0*109个自体T淋巴细胞","暂不定价","自费""3911","310800030S","自体树突状细胞刺激的自体CIK(D-CIK)免疫治疗","次",,,"每次回输1.
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含电极圈、高能电池.
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5","医保记账""4436","311501001-30","检查空间位置记忆广度测定","次",,,,"20","医保记账""4437","311501001-30*1","检查空间位置记忆广度测定(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4438","311501001-31","再认能力测定感统量表","次",,,,"20","医保记账""4439","311501001-31*1","再认能力测定感统量表(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4440","311501001-32","日常生活能力评定量表","次",,,,"20","医保记账""4441","311501001-32*1","日常生活能力评定量表(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4442","311501001-33","智力成就责任问卷","次",,,,"20","医保记账""4443","311501001-33*1","智力成就责任问卷(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4444","311501001-34","丹佛小儿智能发育筛查表","次",,,,"30","医保记账""4445","311501001-34*1","丹佛小儿智能发育筛查表(30分钟内使用电脑自测加收50%)","次",,,,"15","医保记账""4446","311501001-35","比奈智力测定(10岁以下)","次",,,,"35","医保记账""4447","311501001-35*1","比奈智力测定(10岁以下)(30分钟内使用电脑自测加收50%)","次",,,,"17.
5","医保记账""4448","311501001-36","绘人智力测定","次",,,,"23","医保记账""4449","311501001-36*1","绘人智力测定(30分钟内使用电脑自测加收50%)","次",,,,"11.
5","医保记账""4450","311501001-37","思维型、艺术型测定","次",,,,"暂不定价","医保记账""4451","311501001-38","催眠感受性测定","次",,,,"暂不定价","医保记账""4452","311501001-39","Pies-Harris儿童自我意识量表","次",,,,"20","医保记账""4453","311501001-39*1","Pies-Harris儿童自我意识量表(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4454","311501001-4","汉密尔顿抑郁量表","次",,,,"15","医保记账""4455","311501001-4*1","汉密尔顿抑郁量表(30分钟内使用电脑自测加收50%)","次",,,,"7.
5","医保记账""4456","311501001-40","Rutter儿童行为父母/教师问卷","次",,,,"20","医保记账""4457","311501001-40*1","Rutter儿童行为父母/教师问卷(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4458","311501001-41","贝利婴幼儿发展量表(BSID)","次",,,,"30","医保记账""4459","311501001-41*1","贝利婴幼儿发展量表(BSID)(30分钟内使用电脑自测加收50%)","次",,,,"15","医保记账""4460","311501001-42","儿童多动症诊断量表","次",,,,"20","医保记账""4461","311501001-42*1","儿童多动症诊断量表(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4462","311501001-43","儿童孤独症家长评定量表(ABC)","次",,,,"30","医保记账""4463","311501001-43*1","儿童孤独症家长评定量表(ABC)(30分钟内使用电脑自测加收50%)","次",,,,"15","医保记账""4464","311501001-44","儿童社会期望量表(CSD)","次",,,,"20","医保记账""4465","311501001-44*1","儿童社会期望量表(CSD)(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4466","311501001-45","儿童适应行为评定量表","次",,,,"35","医保记账""4467","311501001-45*1","儿童适应行为评定量表(30分钟内使用电脑自测加收50%)","次",,,,"17.
5","医保记账""4468","311501001-46","父母养育方式评价量表(EMBU)","次",,,,"30","医保记账""4469","311501001-46*1","父母养育方式评价量表(EMBU)(30分钟内使用电脑自测加收50%)","次",,,,"15","医保记账""4470","311501001-47","家庭功能评定(FAD)","次",,,,"30","医保记账""4471","311501001-47*1","家庭功能评定(FAD)(30分钟内使用电脑自测加收50%)","次",,,,"15","医保记账""4472","311501001-48","家庭环境量表(FES)","次",,,,"20","医保记账""4473","311501001-48*1","家庭环境量表(FES)(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4474","311501001-49","自杀态度问卷(QSA)","次",,,,"30","医保记账""4475","311501001-49*1","自杀态度问卷(QSA)(30分钟内使用电脑自测加收50%)","次",,,,"15","医保记账""4476","311501001-5","艾森贝格(Asberg)抗抑郁剂副反应量表","次",,,,"20","医保记账""4477","311501001-5*1","艾森贝格(Asberg)抗抑郁剂副反应量表(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4478","311501001-50","快速神经学甄别测验","次",,,,"30","医保记账""4479","311501001-50*1","快速神经学甄别测验(30分钟内使用电脑自测加收50%)","次",,,,"15","医保记账""4480","311501001-51","学习障碍筛查量表","次",,,,"20","医保记账""4481","311501001-51*1","学习障碍筛查量表(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4482","311501001-52","爱丁堡产后抑郁量表","次",,,,"12","医保记账""4483","311501001-52*1","爱丁堡产后抑郁量表(使用电脑自测的量表加收50%)","次",,,,"6","医保记账""4484","311501001-53","盖赛尔发展诊断量表","次",,,,"30","医保记账""4485","311501001-53*1","盖赛尔发展诊断量表(使用电脑自测的量表加收50%)","次",,,,"15","医保记账""4486","311501001-6","躁狂状态评定量表","次",,,,"15","医保记账""4487","311501001-6*1","躁狂状态评定量表(30分钟内使用电脑自测加收50%)","次",,,,"7.
5","医保记账""4488","311501001-7","简明精神病评定量表(BPRS)","次",,,,"35","医保记账""4489","311501001-7*1","简明精神病评定量表(BPRS)(30分钟内使用电脑自测加收50%)","次",,,,"17.
5","医保记账""4490","311501001-8","五分量表","次",,,,"20","医保记账""4491","311501001-8*1","五分量表(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4492","311501001-9","临床总体印象量表(CGI)","次",,,,"20","医保记账""4493","311501001-9*1","临床总体印象量表(CGI)(30分钟内使用电脑自测加收50%)","次",,,,"10","医保记账""4494","311501002-1","阳性和阴性精神症状评定(PANSS)量表","次",,,,"20","医保记账""4495","311501002-1*1","阳性和阴性精神症状评定(PANSS)量表(30-60分钟内使用电脑自测量表加收50%)","次",,,,"10","医保记账""4496","311501002-10","艾森克人格测定(少年版)","次",,,,"23","医保记账""4497","311501002-10*1","艾森克人格测定(少年版)(30-60分钟内使用电脑自测量表加收50%)","次",,,,"11.
5","医保记账""4498","311501002-11","简明智能测查(SM能力测查)","次",,,,"暂不定价","医保记账""4499","311501002-12","图片词汇测验","次",,,,"暂不定价","医保记账""4500","311501002-13","瑞文智力测定","次",,,,"23","医保记账""4501","311501002-13*1","瑞文智力测定(30-60分钟内使用电脑自测量表加收50%)","次",,,,"11.
5","医保记账""4502","311501002-14","格式塔测验","次",,,,"6","医保记账""4503","311501002-14*1","格式塔测验(30-60分钟内使用电脑自测量表加收50%)","次",,,,"3","医保记账""4504","311501002-15","本顿视觉保持测定","次",,,,"12","医保记账""4505","311501002-15*1","本顿视觉保持测定(30-60分钟内使用电脑自测量表加收50%)","次",,,,"6","医保记账""4506","311501002-16","各种个别能力测验","次",,,,"23","医保记账""4507","311501002-16*1","各种个别能力测验(30-60分钟内使用电脑自测量表加收50%)","次",,,,"11.
5","医保记账""4508","311501002-17","康耐尔健康问卷","次",,,,"35","医保记账""4509","311501002-17*1","康耐尔健康问卷(30-60分钟内使用电脑自测量表加收50%)","次",,,,"17.
5","医保记账""4510","311501002-18","洛夏投射测验","次",,,,"50","医保记账""4511","311501002-18*1","洛夏投射测验(30-60分钟内使用电脑自测量表加收50%)","次",,,,"25","医保记账""4512","311501002-19","青少年生活事件量表(ASLEC)","次",,,,"30","医保记账""4513","311501002-19*1","青少年生活事件量表(ASLEC)(30-60分钟内使用电脑自测量表加收50%)","次",,,,"15","医保记账""4514","311501002-2","慢性精神病标准化评定量表","次",,,,"12","医保记账""4515","311501002-2*1","慢性精神病标准化评定量表(30-60分钟内使用电脑自测量表加收50%)","次",,,,"6","医保记账""4516","311501002-20","团体智力测验(人/次)(甲乙式)","次",,,,"30","医保记账""4517","311501002-20*1","团体智力测验(人/次)(甲乙式)(30-60分钟内使用电脑自测量表加收50%)","次",,,,"15","医保记账""4518","311501002-21","希内学习能力测验","次",,,,"50","医保记账""4519","311501002-21*1","希内学习能力测验(30-60分钟内使用电脑自测量表加收50%)","次",,,,"25","医保记账""4520","311501002-22","应付方式问卷","次",,,,"30","医保记账""4521","311501002-22*1","应付方式问卷(30-60分钟内使用电脑自测量表加收50%)","次",,,,"15","医保记账""4522","311501002-3","紧张性生活事件评定量表","次",,,,"20","医保记账""4523","311501002-3*1","紧张性生活事件评定量表(30-60分钟内使用电脑自测量表加收50%)","次",,,,"10","医保记账""4524","311501002-4","老年认知功能量表(SECC)","次",,,,"35","医保记账""4525","311501002-4*1","老年认知功能量表(SECC)(30-60分钟内使用电脑自测量表加收50%)","次",,,,"17.
5","医保记账""4526","311501002-5","强迫症状问卷","次",,,,"20","医保记账""4527","311501002-5*1","强迫症状问卷(30-60分钟内使用电脑自测量表加收50%)","次",,,,"10","医保记账""4528","311501002-6","精神护理观察量表","次",,,,"35","医保记账""4529","311501002-6*1","精神护理观察量表(30-60分钟内使用电脑自测量表加收50%)","次",,,,"17.
5","医保记账""4530","311501002-7","社会功能缺陷筛选量表","次",,,,"20","医保记账""4531","311501002-7*1","社会功能缺陷筛选量表(30-60分钟内使用电脑自测量表加收50%)","次",,,,"10","医保记账""4532","311501002-8","标准化现状检查","次",,,,"暂不定价","医保记账""4533","311501002-9","布雷德(Bleied)痴呆评定量表","次",,,,"暂不定价","医保记账""4534","311501002S-23","缺陷感量表","次",,,,"31","医保记账""4535","311501002S-23*1","缺陷感量表(30-60分钟内使用电脑自测量表加收50%)","次",,,,"15.
5","医保记账""4536","311501002S-24","匹兹堡睡眠质量指数量表","次",,,,"26","医保记账""4537","311501002S-24*1","匹兹堡睡眠质量指数量表(30-60分钟内使用电脑自测量表加收50%)","次",,,,"13","医保记账""4538","311501002S-25","生活满意度评定量表","次",,,,"27","医保记账""4539","311501002S-25*1","生活满意度评定量表(30-60分钟内使用电脑自测量表加收50%)","次",,,,"13.
5","医保记账""4540","311501003-1","阳性症状评定量表(SAPS)","次",,,,"20","医保记账""4541","311501003-1*1","阳性症状评定量表(SAPS)(60分钟以上使用电脑自测量表加收50%)","次",,,,"10","医保记账""4542","311501003-10","神经心理测验","次",,,,"230","医保记账""4543","311501003-10*1","神经心理测验(60分钟以上使用电脑自测量表加收50%)","次",,,,"115","医保记账""4544","311501003-11","科赫(Kohs)立方体组合测验","次",,,,"12","医保记账""4545","311501003-11*1","科赫(Kohs)立方体组合测验(60分钟以上使用电脑自测量表加收50%)","次",,,,"6","医保记账""4546","311501003-12","明尼苏达多相个性测验","次",,,,"35","医保记账""4547","311501003-12*1","明尼苏达多相个性测验(60分钟以上使用电脑自测量表加收50%)","次",,,,"17.
5","医保记账""4548","311501003-13","艾森克个性测验","次",,,,"23","医保记账""4549","311501003-13*1","艾森克个性测验(60分钟以上使用电脑自测量表加收50%)","次",,,,"11.
5","医保记账""4550","311501003-14","卡特尔16项人格测验","次",,,,"46","医保记账""4551","311501003-14*1","卡特尔16项人格测验(60分钟以上使用电脑自测量表加收50%)","次",,,,"23","医保记账""4552","311501003-15","十六种人格问卷","次",,,,"46","医保记账""4553","311501003-15*1","十六种人格问卷(60分钟以上使用电脑自测量表加收50%)","次",,,,"23","医保记账""4554","311501003-16","专家系统行为观察诊断量表","次",,,,"暂不定价","医保记账""4555","311501003-17","808神经类型测验","次",,,,"23","医保记账""4556","311501003-17*1","808神经类型测验(60分钟以上使用电脑自测量表加收50%)","次",,,,"11.
5","医保记账""4557","311501003-18","比奈智力测定(10岁以上)","次",,,,"35","医保记账""4558","311501003-18*1","比奈智力测定(10岁以上)(60分钟以上使用电脑自测量表加收50%)","次",,,,"17.
5","医保记账""4559","311501003-19","韦氏智力测定(学前、学龄)","次",,,,"58","医保记账""4560","311501003-19*1","韦氏智力测定(学前、学龄)(60分钟以上使用电脑自测量表加收50%)","次",,,,"29","医保记账""4561","311501003-2","阴性症状评定量表(SANS)","次",,,,"20","医保记账""4562","311501003-2*1","阴性症状评定量表(SANS)(60分钟以上使用电脑自测量表加收50%)","次",,,,"10","医保记账""4563","311501003-20","儿童发育量表(PEP)","次",,,,"30","医保记账""4564","311501003-20*1","儿童发育量表(PEP)(60分钟以上使用电脑自测量表加收50%)","次",,,,"15","医保记账""4565","311501003-21","威廉斯创造力倾向测量表","次",,,,"20","医保记账""4566","311501003-21*1","威廉斯创造力倾向测量表(60分钟以上使用电脑自测量表加收50%)","次",,,,"10","医保记账""4567","311501003-25","婴幼儿感觉统合能力发展评定量表测评","次","指婴幼儿感觉功能水平测试,含触觉、本体觉、前庭觉、视知觉、听知觉等,包括感觉问卷",,,"22","医保记账""4568","311501003-25*1","婴幼儿感觉统合能力发展评定量表测评(使用电脑自测量表加收50%)","次","指婴幼儿感觉功能水平测试,含触觉、本体觉、前庭觉、视知觉、听知觉等,包括感觉问卷",,,"11","医保记账""4569","311501003-25*2","婴幼儿感觉问卷评定量表测评","次","指婴幼儿感觉功能水平测试,含触觉、本体觉、前庭觉、视知觉、听知觉等,",,,"22","医保记账""4570","311501003-25*3","婴幼儿感觉问卷评定量表测评(使用电脑自测量表加收50%)","次","指婴幼儿感觉功能水平测试,含触觉、本体觉、前庭觉、视知觉、听知觉等,",,,"11","医保记账""4571","311501003-26","Peabody动作运动发育评估","次","含粗大动作和精细动作发育水平评估",,,"35","医保记账""4572","311501003-26*1","Peabody动作运动发育评估(使用电脑自测量表加收50%)","次","含粗大动作和精细动作发育水平评估",,,"17.
5","医保记账""4573","311501003-27","52项神经运动检查","次",,,,"25","医保记账""4574","311501003-27*1","52项神经运动检查(使用电脑自测量表加收50%)","次",,,,"12.
5","医保记账""4575","311501003-28","幼儿心理问题筛查","次",,,,"20","医保记账""4576","311501003-28*1","幼儿心理问题筛查(使用电脑自测量表加收50%)","次",,,,"10","医保记账""4577","311501003-29","儿童感觉功能评定量表","次",,,,"35","医保记账""4578","311501003-29*1","儿童感觉功能评定量表(使用电脑自测量表加收50%)","次",,,,"17.
5","医保记账""4579","311501003-3","复合性国际诊断问卷(CIDI)","次",,,,"23","医保记账""4580","311501003-3*1","复合性国际诊断问卷(CIDI)(60分钟以上使用电脑自测量表加收50%)","次",,,,"11.
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以扩张一支冠脉血管为基价,扩张多支血管每支血管加收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","3000","医保记账""4718","320500002*1","⊙经皮冠状动脉腔内成形术(PTCA)(扩张多支血管每支血管加收20%)","支",,,,"600","医保记账""4719","320500003","⊙经皮冠状动脉内支架置入术(STENT)(含球囊扩张和靶血管造影)","次","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",,"1.
以扩张一支冠脉血管为基价,扩张多支血管每支血管加收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","4000","医保记账""4720","320500003*1","⊙经皮冠状动脉内支架置入术(STENT)(扩张多支血管每支血管加收20%)","支",,,,"800","医保记账""4721","320500004","⊙经皮冠状动脉腔内激光成形术(ELCA)(含消融后球囊扩张和靶血管造影)","次","含激光消融后球囊扩张和/或支架置入及术前的靶血管造影",,"1.
以一支冠脉血管为基价,多支血管加收20%;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","3750","医保记账""4722","320500004*1","⊙经皮冠状动脉腔内激光成形术(ELCA)(多支血管加收20%)","次",,,"1.
以一支冠脉血管为基价,多支血管加收20%;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","750","医保记账""4723","320500005","⊙高速冠状动脉内膜旋磨术(含旋磨后球囊扩张和靶血管造影)","次","含旋磨后球囊扩张和/或支架置入及术前的靶血管造影",,"1.
以旋磨一支冠脉血管为基价,旋磨多支血管加收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","3750","医保记账""4724","320500005*1","⊙高速冠状动脉内膜旋磨术(旋磨多支血管加收20%)","次",,,"1.
以旋磨一支冠脉血管为基价,旋磨多支血管加收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","750","医保记账""4725","320500006","⊙定向冠脉内膜旋切术(含靶血管造影)","次","含术前的靶血管造影",,"1.
以旋切一支冠脉血管为基价,旋切多支血管加收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","3750","医保记账""4726","320500006*1","⊙定向冠脉内膜旋切术(旋切多支血管加收)","次",,,"1.
以旋切一支冠脉血管为基价,旋切多支血管加收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","500","医保记账""4727","320500007","⊙冠脉血管内超声检查术(IVUS)(含靶血管造影)","次","含术前的靶血管造影",,,"2600","医保记账""4728","320500008","⊙冠状血管内多普勒血流测量术(含靶血管造影)","次","含术前的靶血管造影",,,"2600","医保记账""4729","320500009","⊙经皮主动脉气囊反搏动术(IABP)","小时","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",,"气囊植入植入手术费另收2000元","110","医保记账""4730","320500009*1","⊙经皮主动脉气囊植入手术","次",,,,"2000","医保记账""4731","320500010","⊙冠脉血管内窥镜检查术","次",,,"不含冠脉造影术","3250","医保记账""4732","320500011","⊙经皮冠状动脉内溶栓术(含冠脉造影)","次","含冠脉造影",,,"2500","医保记账""4733","320500012","⊙经皮激光心肌血管重建术(PMR)(含冠脉造影)","次","含冠脉造影",,,"2500","医保记账""4734","320500013","⊙冠状动脉内超声溶栓术(含冠脉造影)","次","含冠脉造影",,,"2500","医保记账""4735","320500014","⊙冠脉内局部放射治疗术","次","含冠脉造影、同位素放射源及放疗装置的使用",,,"2500","医保记账""4736","320500015","⊙冠脉内局部药物释放治疗术(含冠脉造影)","次","含冠脉造影",,,"2500","医保记账""4737","320500016","⊙肥厚型心肌病化学消融术","次",,,,"2500","医保记账""4738","320600001","⊙经股动脉插管全脑动脉造影术","次","含颈动脉、椎动脉;包括经颈动脉插管",,,"2600","医保记账""4739","320600001*1","⊙经颈动脉插管全脑动脉造影术","次",,,,"2000","医保记账""4740","320600002","⊙单纯脑动静脉瘘栓塞术","次",,,,"3000","医保记账""4741","320600003","⊙经皮穿刺脑血管腔内球囊成形术","次",,,,"1500","医保记账""4742","320600004","⊙经皮穿刺脑血管腔内支架置入术","次",,,,"2250","医保记账""4743","320600005","⊙经皮穿刺脑血管腔内溶栓术","次",,,,"750","医保记账""4744","320600006","⊙经皮穿刺脑血管腔内化疗术","次",,,,"750","医保记账""4745","320600007","⊙颈内动脉海绵窦瘘栓塞术","次",,,,"1500","医保记账""4746","320600008","⊙颅内动脉瘤栓塞术","次",,,,"1500","医保记账""4747","320600009","⊙脑及颅内血管畸形栓塞术","次",,,,"1500","医保记账""4748","320600010","⊙脊髓动脉造影术","次",,,,"1500","医保记账""4749","320600011","⊙脊髓血管畸形栓塞术","次",,,,"1500","医保记账""4750","330000000*1","术中采用神经手术导航系统加收","次",,,,"2000","医保记账""4751","330000000*10","术中采用关节镜加收","次",,,,"400","医保记账""4752","330000000*11","术中采用显微镜加收","次",,,,"400","医保记账""4753","330000000*12","术中采用其他内镜加收","次",,,,"200","医保记账""4754","330000000*13","术中采用眼内窥镜加收","次",,,,"1000","医保记账""4755","330000000*14","重复使用的负极板回路垫每台手术加收","次",,,,"120","医保记账""4756","330000000*2","术中采用脑室镜加收","次",,,,"700","医保记账""4757","330000000*3","术中采用鼻内窥镜加收","次",,,,"400","医保记账""4758","330000000*4","术中采用胸腔镜加收","次",,,,"800","医保记账""4759","330000000*5","术中采用经皮肾镜加收","次",,,,"800","医保记账""4760","330000000*6","术中采用胆道镜加收","次",,,,"800","医保记账""4761","330000000*7","术中采用腹腔镜加收","次",,,,"800","医保记账""4762","330000000*8","术中采用宫腔镜加收","次",,,,"400","医保记账""4763","330000000*9","术中采用尿道、膀胱镜加收","次",,,,"200","医保记账""4764","330100001","⊙局部浸润麻醉(含表面麻醉)","次","含表面麻醉",,"表面麻醉5元","25","医保记账""4765","330100001*1","⊙表面麻醉","次",,,,"5","医保记账""4766","330100002","⊙神经阻滞麻醉","2小时","包括颈丛、臂丛、星状神经等各种神经阻滞及侧隐窝阻滞术、侧隐窝臭氧注射等",,"每增加1小时加收50元;小治疗中的神经阻滞麻醉15元/次","400","医保记账""4767","330100002*1","⊙神经阻滞麻醉(颈丛神经)","2小时",,,,"400","医保记账""4768","330100002*2","⊙神经阻滞麻醉(臂丛神经)","2小时",,,,"400","医保记账""4769","330100002*3","⊙神经阻滞麻醉(星状神经)","2小时",,,,"400","医保记账""4770","330100002*4","⊙神经阻滞麻醉(每增一时加收)","小时",,,,"50","医保记账""4771","330100002*5","⊙小治疗中的神经阻滞麻醉","次",,,,"15","医保记账""4772","330100002*6","⊙神经阻滞麻醉(侧隐窝阻滞术)","2小时",,,"每增加1小时加收50元;小治疗中的神经阻滞麻醉15元/次","400","医保记账""4773","330100002*7","⊙神经阻滞麻醉(侧隐窝臭氧注射)","2小时",,,"每增加1小时加收50元;小治疗中的神经阻滞麻醉15元/次","400","医保记账""4774","330100003","⊙椎管内麻醉","2小时","包括腰麻、硬膜外阻滞","腰麻硬膜外联合套件、硬膜外套件","腰麻硬膜外联合阻滞加收100元、每增加1小时加收45元;双穿刺点加收50元","450","医保记账""4775","330100003*1","⊙椎管内麻醉(腰麻)","2小时",,,,"450","医保记账""4776","330100003*2","⊙椎管内麻醉(硬膜外阻滞)","2小时",,,,"450","医保记账""4777","330100003*3","⊙椎管内麻醉(腰麻硬膜外联合阻滞)","2小时",,,,"550","医保记账""4778","330100003*4","⊙椎管内麻醉(每增加1小时加收)","小时",,,,"45","医保记账""4779","330100003*5","⊙椎管内麻醉(双穿刺点加收)","例",,,,"50","医保记账""4780","330100004","⊙基础麻醉(含强化麻醉)","次","含强化麻醉",,,"100","医保记账""4781","330100005-1","⊙全身麻醉(指气管插管,含各种方法的气管插管)","2小时","指气管插管,含各种方法的气管插管",,"每增加1小时加收120元,使用喉罩加收150元,使用气管插管观察用内窥镜加收250元","1400","医保记账""4782","330100005-1*1","⊙全身麻醉(指气管插管,每增加1小时加收)","小时",,,,"120","医保记账""4783","330100005-1*2","⊙全身麻醉(指气管插管)使用喉罩加收","次",,,,"150","医保记账""4784","330100005-1*3","⊙全身麻醉(指气管插管)使用气管插管观察用内窥镜加收","次",,,,"250","医保记账""4785","330100005-2","⊙全身麻醉(指未做气管插管)","2小时","指未做气管插管",,"每增加1小时加收50元","200","医保记账""4786","330100005-2*1","⊙全身麻醉(指未做气管插管,每增加1小时加收)","小时",,,,"50","医保记账""4787","330100006","⊙血液加温治疗","小时","包括术中加温和体外加温","血液加温管路",,"15","医保记账""4788","330100006*1","⊙血液加温治疗(术中加温)","小时",,"血液加温管路",,"15","医保记账""4789","330100006*2","⊙血液加温治疗(体外加温)","小时",,"血液加温管路",,"15","医保记账""4790","330100007","⊙支气管内麻醉","2小时","包括各种施行单肺通气的麻醉方法、肺灌洗等治疗","双腔管、支气管阻塞器、支气管导管","每增加1小时加收120元","1600","医保记账""4791","330100007*1","⊙支气管内麻醉(每增加1小时加收)","小时",,,,"120","医保记账""4792","330100007*2","⊙支气管内麻醉(单肺通气)","小时",,,,"1600","医保记账""4793","330100007*3","⊙肺灌洗治疗","小时",,,,"1600","医保记账""4794","330100008","术后镇痛","次","包括静脉、硬膜外及腰麻硬膜外联合给药、周围神经阻滞,包括分娩","腰麻硬膜外联合套件、镇痛装置",,"115","医保记账""4795","330100008*1","⊙术后镇痛(静脉)","次",,,,"115","医保记账""4796","330100008*2","⊙术后镇痛(硬膜外)","次",,,,"115","医保记账""4797","330100008*3","⊙术后镇痛(腰麻硬膜外联合给药)","次",,,,"115","医保记账""4798","330100008*4","⊙术后镇痛(分娩)","次",,,,"115","医保记账""4799","330100008*5","⊙周围神经阻滞","次",,,,"115","医保记账""4800","330100009","侧脑室连续镇痛","天",,"镇痛装置",,"暂不定价","医保记账""4801","330100010","⊙硬膜外连续镇痛","天","包括静脉连续镇痛、周围神经阻滞连续镇痛","镇痛装置",,"100","医保记账""4802","330100010*1","⊙静脉连续镇痛","天",,"镇痛装置",,"100","医保记账""4803","330100010*2","⊙周围神经阻滞连续镇痛","天",,"镇痛装置",,"100","医保记账""4804","330100011","⊙椎管内置管术","次","包括神经根脱髓鞘等治疗",,,"120","医保记账""4805","330100011*1","⊙椎管内置管术(神经根脱髓鞘治疗)","次",,,,"120","医保记账""4806","330100012","⊙心肺复苏术","次","不含开胸复苏和特殊气管插管术",,,"85","医保记账""4807","330100013","⊙气管插管术(经口)","次","指经口插管","气管插管联合套件,加强型气管导管","使用喉罩加收150元,使用气管插管观察用内窥镜加收250元","100","医保记账""4808","330100013*1","⊙气管插管术(使用喉罩加收)","次",,,,"150","医保记账""4809","330100013*2","⊙气管插管术(使用气管插管观察用内窥镜加收)","次",,,,"250","医保记账""4810","330100014","⊙特殊方法气管插管术","次","包括经鼻腔、经口盲探、逆行法,包括纤维喉镜、气管镜置管","气管插管联合套件、加强型气管导管","使用喉罩加收150元","200","医保记账""4811","330100014*1","⊙特殊方法气管插管术(经鼻腔)","次",,,,"200","医保记账""4812","330100014*2","⊙特殊方法气管插管术(逆行法)","次",,,,"200","医保记账""4813","330100014*3","⊙特殊方法气管插管术(经口盲探)","次",,,,"200","医保记账""4814","330100014*4","⊙特殊方法气管插管术(纤维喉镜)","次",,,,"200","医保记账""4815","330100014*5","⊙特殊方法气管插管术(气管镜置管)","次",,,,"200","医保记账""4816","330100014*6","⊙特殊方法气管插管术(使用喉罩加收)","次",,,,"150","医保记账""4817","330100015*1","⊙麻醉中监测(7项以内)","小时",,,,"30","医保记账""4818","330100015*2","⊙麻醉中监测(8-13项)","小时",,,,"50","医保记账""4819","330100015*3","⊙麻醉中监测(14项以上)","小时",,,,"150","医保记账""4820","330100015*4","⊙脑电意识深度监测","小时",,,,"120","医保记账""4821","330100015*5","⊙双通道脑电意识深度监测加收","次",,,,"20","医保记账""4822","330100016","⊙控制性降压","次",,,,"100","医保记账""4823","330100017","⊙体外循环","2小时",,"氧合器、管道、插管、心肌保护液灌输系统、滤器、血液浓缩器、离心泵、心肌保护液、一次性探头","每增加1小时加收100元","1950","医保记账""4824","330100017*1","⊙体外循环(超两小时每增一小时加收)","小时",,,,"100","医保记账""4825","330100018","⊙镇痛泵体内置入术","次",,,,"1300","医保记账""4826","330100018-1","镇痛泵体内置入术","次","包括化疗泵的置入术","泵","取出术减收50%","1300","医保记账""4827","330100018-1*1","镇痛泵体内取出术","次",,"泵",,"650","医保记账""4828","330100018-1*2","化疗泵的置入术","次",,"泵","取出术减收50%","1300","医保记账""4829","330100018-1*3","化疗泵的取出术","次",,"泵",,"650","医保记账""4830","330100018-2","输液港置入术","次",,"输液港","取出术减收50%","1300","医保记账""4831","330100018-2*1","输液港取出术","次",,"输液港",,"650","医保记账""4832","330100019S-1","⊙全身体外循环热疗(EWBH)","次","填写患者基本资料、摆位要求.
采用全身体外热循环灌注仪治疗,温度测量,热疗范围温度要求40-43℃.
","氧合器、管道、插管、心肌保护液灌输系统、滤器、血液浓缩器、离心泵",,"2510","自费""4833","330100019S-2","⊙区域热循环灌注热疗","次","填写患者基本资料、摆位要求.
采用热循环灌注仪治疗,温度测量,热疗范围温度要求40-45℃.
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下颌角的三角形去骨术或改良下颌升支矢状劈开去骨术,2.
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复位,颌骨骨折悬吊固定术,2.
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腹腔动脉血管架桥术","每根血管","包括肠系膜上、下动脉、双肾动脉架桥;不含体外循环",,,"2500","医保记账""6442","330804012*1","⊙腹主动脉.
腹腔动脉血管架桥术(肠系膜上动脉)","每根血管",,,,"2500","医保记账""6443","330804012*2","⊙腹主动脉.
腹腔动脉血管架桥术(肠系膜下动脉)","每根血管",,,,"2500","医保记账""6444","330804012*3","⊙腹主动脉.
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80015625","自费""8094","331604016","⊙面部外伤清创整形术","次",,,,"834","自费""8095","331604017","⊙半侧颜面萎缩整形术","每侧","不含截骨术",,,"1380","自费""8096","331604018","⊙指甲成形术","每指",,,,"600","自费""8097","331604019","⊙足底缺损修复术","每个部位","包括足跟缺损;不含关节成形",,,"1500","自费""8098","331604019*1","⊙足跟缺损修复术","每个部位",,,,"1500","自费""8099","331604020","⊙橡皮肿整形术","每个部位","不含淋巴管吻合术和静脉移植术",,,"1800","自费""8100","331604021","⊙毛发移植术","每根","包括种发、头皮游离移植;不含头皮缺损修复术",,,"5","自费""8101","331604021*1","⊙毛发移植术(种发)","每根",,,,"5","自费""8102","331604021*2","⊙毛发移植术(头皮游离移植)","每根",,,,"5","自费""8103","331604022","⊙磨削术","50cm2",,,"不足50cm2按50cm2计价","350","自费""8104","331604023","纹饰美容术","每个部位","包括纹眉、纹眼线、唇线等",,,"200","自费""8105","331604023*1","纹饰美容术(纹眉)","每个部位",,,,"200","自费""8106","331604023*2","纹饰美容术(纹眼线)","每个部位",,,,"200","自费""8107","331604023*3","纹饰美容术(纹唇线)","每个部位",,,,"200","自费""8108","331604024","⊙任意皮瓣形成术","每个部位","包括各种带蒂皮瓣;不含岛状皮瓣",,,"1112","医保记账""8109","331604024*1","⊙任意皮瓣形成术(带蒂皮瓣)","每个部位",,,,"1112","医保记账""8110","331604025","⊙轴型组织瓣形成术","每个部位","包括岛状皮瓣(静脉、动脉);不含任意皮瓣、筋膜瓣",,,"2000","医保记账""8111","331604025*1","⊙轴型组织瓣形成术(静脉岛状皮瓣)","每个部位",,,,"2000","医保记账""8112","331604025*2","⊙轴型组织瓣形成术(动脉岛状皮瓣)","每个部位",,,,"2000","医保记账""8113","331604026","⊙筋膜组织瓣形成术","每个部位","包括含轴型、非轴型",,,"1668","医保记账""8114","331604026*1","⊙筋膜组织瓣形成术(轴型)","每个部位",,,,"1668","医保记账""8115","331604026*2","⊙筋膜组织瓣形成术(非轴型)","每个部位",,,,"1668","医保记账""8116","331604027","⊙阔筋膜切取术","次",,,,"810","医保记账""8117","331604028","⊙游离皮瓣切取移植术","次","深度烧伤的早期修复",,,"4500","医保记账""8118","331604029","⊙带蒂筋膜瓣切取移植术","次","深度烧伤的早期修复",,,"1700","医保记账""8119","331604030","⊙带蒂肌皮瓣切取移植术","次","深度烧伤的早期修复",,,"1700","医保记账""8120","331604031","⊙带蒂肌瓣切取移植术","次","深度烧伤的早期修复",,,"1700","医保记账""8121","331604032","⊙带蒂轴型皮瓣切取移植术","次",,,,"1700","医保记账""8122","331604033","⊙带血运骨皮瓣切取移植术","次",,,,"3000","医保记账""8123","331604034","⊙带毛囊皮瓣移植术","次","包括头皮、眉毛",,,"1700","医保记账""8124","331604034*1","⊙带毛囊皮瓣移植术(头皮)","次",,,,"1700","医保记账""8125","331604034*2","⊙带毛囊皮瓣移植术(眉毛)","次",,,,"1700","医保记账""8126","340100001","红外线治疗","每个照射区","包括远、近红外线:TDP、近红外线气功治疗、红外线真空拔罐治疗红外线光浴治疗、远红外医疗舱治疗",,"每区照射20分钟","12","医保记账""8127","340100002","可见光治疗","每个照射区","包括红光照射、蓝光照射、蓝紫光照射、太阳灯照射",,,"11","医保记账""8128","340100002*1","红光照射治疗","每个照射区",,,,"11","医保记账""8129","340100002*2","蓝光照射治疗","每个照射区",,,,"11","医保记账""8130","340100002*3","蓝紫光照射治疗","每个照射区",,,,"11","医保记账""8131","340100002*4","太阳灯照射治疗","每个照射区",,,,"11","医保记账""8132","340100003","偏振光照射","每个照射区",,,,"12","医保记账""8133","340100004","紫外线治疗","每个照射区","包括长、中、短波紫外线、低压紫外线、高压紫外线、水冷式、导子紫外线、生物剂量测定、光化学疗法",,,"12","医保记账""8134","340100005","激光疗法","每个照射区","包括原光束、散焦激光疗法",,,"30","医保记账""8135","340100006","光敏疗法","每个照射区","包括紫外线、激光",,,"15","医保记账""8136","340100007","电诊断","每块肌肉或每条神经","包括直流电检查、感应电检查、直流-感应电检查、时值检查、强度-频率曲线检查、中频脉冲电检查",,,"30","医保记账""8137","340100008","直流电治疗","每部位","包括单纯直流电治疗、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",,,"15","医保记账""8138","340100008*1","单纯直流电治疗","每部位",,,,"15","医保记账""8139","340100008*2","直流电药物离子导入治疗","每部位",,,,"15","医保记账""8140","340100008*3","直流电水浴(单、双、四槽浴)治疗","每部位",,,,"15","医保记账""8141","340100008*4","直流电电化学疗法","每部位",,,,"15","医保记账""8142","340100009","低频脉冲电治疗","每部位","包括感应电治疗、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、温热电脉冲治疗、微机功能性电刺激治疗、银棘状刺激疗法(SSP)",,,"20","医保记账""8143","340100009*1","感应电治疗","每部位",,,,"20","医保记账""8144","340100009*2","神经肌肉电刺激治疗","每部位",,,,"20","医保记账""8145","340100009*3","间动电疗","每部位",,,,"20","医保记账""8146","340100009*4","经皮神经电刺激治疗","每部位",,,,"20","医保记账""8147","340100009*5","功能性电刺激治疗","每部位",,,,"20","医保记账""8148","340100009*6","温热电脉冲治疗","每部位",,,,"20","医保记账""8149","340100009*7","微机功能性电刺激治疗","每部位",,,,"20","医保记账""8150","340100009*8","银棘状刺激疗法(SSP)","每部位",,,,"20","医保记账""8151","340100010","中频脉冲电治疗","每部位","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、立体动态干扰电治疗、调制中频电治疗、电脑中频电治疗",,,"17.
300009765625","医保记账""8152","340100010*1","音频电治疗","每部位",,,,"17.
300009765625","医保记账""8153","340100010*2","干扰电治疗","每部位",,,,"17.
300009765625","医保记账""8154","340100010*3","动态干扰电治疗","每部位",,,,"17.
300009765625","医保记账""8155","340100010*4","立体动态干扰电治疗","每部位",,,,"17.
300009765625","医保记账""8156","340100010*5","调制中频电治疗","每部位",,,,"17.
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5","医保记账""8301","420000001-14","股骨上段骨折整复","次",,,,"375","医保记账""8302","420000001-14*1","股骨上段骨折整复(陈旧性骨折加收100%375","医保记账""8303","420000001-14*2","股骨上段骨折整复(骨折合并脱位加收50%187.
5","医保记账""8304","420000001-15","股骨中下段骨折整复","次",,,,"420","医保记账""8305","420000001-15*1","股骨中下段骨折整复(陈旧性骨折加收100%420","医保记账""8306","420000001-15*2","股骨中下段骨折整复(骨折合并脱位加收50%210","医保记账""8307","420000001-16","胫腓骨整复",,,,,"300","医保记账""8308","420000001-16*1","胫腓骨整复(陈旧性骨折加收100%300","医保记账""8309","420000001-16*2","胫腓骨整复(骨折合并脱位加收50%150","医保记账""8310","420000001-17","踝部骨折整复","次",,,,"225","医保记账""8311","420000001-17*1","踝部骨折整复(陈旧性骨折加收100%225","医保记账""8312","420000001-17*2","踝部骨折整复(骨折合并脱位加收50%112.
5","医保记账""8313","420000001-18","跟骨骨折整复","次",,,,"247.
5","医保记账""8314","420000001-18*1","跟骨骨折整复(陈旧性骨折加收100%247.
5","医保记账""8315","420000001-18*2","跟骨骨折整复(骨折合并脱位加收50%123.
800078125","医保记账""8316","420000001-19","趾或跖骨折整复","次",,,,"82.
5","医保记账""8317","420000001-19*1","趾或跖骨折整复(陈旧性骨折加收100%82.
5","医保记账""8318","420000001-19*2","趾或跖骨折整复(骨折合并脱位加收50%41.
3000390625","医保记账""8319","420000001-19*3","趾或跖骨折整复(掌(跖)、指(趾)脱位按骨折的50%计价)",,,,,"41.
3000390625","医保记账""8320","420000001-2","肱骨外科颈骨整复","次",,,,"154.
5","医保记账""8321","420000001-2*1","肱骨外科颈骨整复(陈旧性骨折加收100%154.
5","医保记账""8322","420000001-2*2","肱骨外科颈骨整复(骨折合并脱位加收50%77.
3000390625","医保记账""8323","420000001-20","骨盆骨折脱位","次",,,,"409.
5","医保记账""8324","420000001-20*1","骨盆骨折脱位(陈旧性骨折加收100%409.
5","医保记账""8325","420000001-20*2","骨盆骨折脱位(骨折合并脱位加收50%204.
80015625","医保记账""8326","420000001-3","肱骨干骨折整复","次",,,,"225","医保记账""8327","420000001-3*1","肱骨干骨折整复(陈旧性骨折加收100%225","医保记账""8328","420000001-3*2","肱骨干骨折整复(骨折合并脱位加收50%112.
5","医保记账""8329","420000001-4","肱骨远端骨折整复","次",,,,"240","医保记账""8330","420000001-4*1","肱骨远端骨折整复(陈旧性骨折加收100%240","医保记账""8331","420000001-4*2","肱骨远端骨折整复(骨折合并脱位加收50%120","医保记账""8332","420000001-5","前臂中上段骨折整复","次",,,,"330","医保记账""8333","420000001-5*1","前臂中上段骨折整复(陈旧性骨折加收100%330","医保记账""8334","420000001-5*2","前臂中上段骨折整复(骨折合并脱位加收50%165","医保记账""8335","420000001-6","前臂下段双骨骨折","次",,,,"304.
5","医保记账""8336","420000001-6*1","前臂下段双骨骨折(陈旧性骨折加收100%304.
5","医保记账""8337","420000001-6*2","前臂下段双骨骨折(骨折合并脱位加收50%152.
3","医保记账""8338","420000001-7","蒙氏及加氏骨折整复","次",,,,"232.
5","医保记账""8339","420000001-7*1","蒙氏及加氏骨折整复(陈旧性骨折加收100%232.
5","医保记账""8340","420000001-7*2","蒙氏及加氏骨折整复(骨折合并脱位加收50%116.
300078125","医保记账""8341","420000001-8","前臂单一骨折整复","次",,,,"225","医保记账""8342","420000001-8*1","前臂单一骨折整复(陈旧性骨折加收100%225","医保记账""8343","420000001-8*2","前臂单一骨折整复(骨折合并脱位加收50%112.
5","医保记账""8344","420000001-9","前臂青枝骨折整复","次",,,,"120","医保记账""8345","420000001-9*1","前臂青枝骨折整复(陈旧性骨折加收100%120","医保记账""8346","420000001-9*2","前臂青枝骨折整复(骨折合并脱位加收50%60","医保记账""8347","420000002","骨折橇拨复位术","次",,,,"640.
5","医保记账""8348","420000003","骨折经皮钳夹复位术","次",,,,"暂不定价","医保记账""8349","420000004","骨折闭合复位经皮穿刺(钉)内固定术","次","含手法复位、穿针固定",,"四肢长骨干、近关节加收50%","1050","医保记账""8350","420000004*1","骨折闭合复位经皮穿刺(钉)内固定术(四肢长骨干)加收50%","次","含手法复位、穿针固定",,,"525","医保记账""8351","420000004*2","骨折闭合复位经皮穿刺(钉)内固定术(近关节)加收50%","次",,,,"525","医保记账""8352","420000005-1","肩关节脱位整复","次",,,,"172.
5","医保记账""8353","420000005-1*1","肩关节脱位整复(陈旧性脱位加收100%)","次",,,,"172.
5","医保记账""8354","420000005-10","月骨周围性脱位","次",,,,"102","医保记账""8355","420000005-10*1","月骨周围性脱位(陈旧性脱位加收100%)","次",,,,"102","医保记账""8356","420000005-11","髌骨脱位","次",,,,"247.
5","医保记账""8357","420000005-11*1","髌骨脱位(陈旧性脱位加收100%)","次",,,,"247.
5","医保记账""8358","420000005-12","下颌关节脱位","次",,,,"127.
5","医保记账""8359","420000005-12*1","下颌关节脱位(陈旧性脱位加收100%)","次",,,,"127.
5","医保记账""8360","420000005-2","肘关节脱位整复","次",,,,"69","医保记账""8361","420000005-2*1","肘关节脱位整复(陈旧性脱位加收100%)","次",,,,"69","医保记账""8362","420000005-3","桡骨小头脱位整复","次",,,,"25.
5","医保记账""8363","420000005-3*1","桡骨小头脱位整复(陈旧性脱位加收100%25.
5","医保记账""8364","420000005-4","桡骨小头骨折手法整复","次",,,,"117","医保记账""8365","420000005-4*1","桡骨小头骨折手法整复(陈旧性脱位加收100%)","次",,,,"117","医保记账""8366","420000005-5","腕关节脱臼整复","次",,,,"127.
5","医保记账""8367","420000005-5*1","腕关节脱臼整复(陈旧性脱位加收100%)","次",,,,"127.
5","医保记账""8368","420000005-6","髋关节脱臼整复","次",,,,"172.
5","医保记账""8369","420000005-6*1","髋关节脱臼整复(陈旧性脱位加收100%)","次",,,,"172.
5","医保记账""8370","420000005-7","膝关节脱臼整复","次",,,,"69","医保记账""8371","420000005-7*1","膝关节脱臼整复(陈旧性脱位加收100%)","次",,,,"69","医保记账""8372","420000005-8","趾跗关节脱位整复","次",,,,"49.
5","医保记账""8373","420000005-8*1","趾跗关节脱位整复(陈旧性脱位加收100%)","次",,,,"49.
5","医保记账""8374","420000005-9","踝关节脱臼整复","次",,,,"144","医保记账""8375","420000005-9*1","踝关节脱臼整复(陈旧性脱位加收100%)","次",,,,"144","医保记账""8376","420000006","骨折外固定架固定术","次","含整复固定;","外固定材料",,"682.
5","医保记账""8377","420000007","骨折夹板外固定术","次","含整复固定,包括7字绷带外固定术、叠瓦氏外固定术","外固定材料",,"304.
5","医保记账""8378","420000007*2","骨折7字绷带外固定术","次","含整复固定,包括7字绷带外固定术、叠瓦氏外固定术","外固定材料",,"304.
5","医保记账""8379","420000007*3","骨折叠瓦氏外固定术","次","含整复固定,包括7字绷带外固定术、叠瓦氏外固定术","外固定材料",,"304.
5","医保记账""8380","420000008","关节错缝术","次",,,,"90","医保记账""8381","420000009","麻醉下腰椎间盘突出症大手法治疗(含X光透视、麻醉)","次","含X光透视、麻醉",,,"964","医保记账""8382","420000010","外固定架使用","日",,,,"暂不定价","医保记账""8383","420000011","关节粘连传统松解术","次",,,,"140","医保记账""8384","420000012","外固定调整术","次",,,,"227","医保记账""8385","420000012*1","外固定调整术(骨折外固定架)","次",,,,"227","医保记账""8386","420000012*2","外固定调整术(外固定夹板调整)","次",,,,"227","医保记账""8387","420000013","中医定向透药疗法(含仪器使用)","部位","含仪器使用","药物",,"30","医保记账""8388","420000014","外固定架拆除术(含器械使用)","次","含器械使用",,,"96","医保记账""8389","420000015","腱鞘囊肿挤压术(含加压包扎)","次","含加压包扎",,,"37.
5","医保记账""8390","420000016","骨折畸形愈合手法折骨术","次","含折骨过程、重新整复及固定过程","固定物",,"360","医保记账""8391","420000017","腰间盘三维牵引复位术","次","指在三维牵引床下完成的复位术",,,"161","医保记账""8392","420000018S","肩锁关节整复固定术","次",,"外固定材料",,"235.
5","医保记账""8393","430000001","普通针刺","五个穴位","包括体针、快速针、磁针、金针、姜针、药针等银针、神经干刺激疗法",,"超过五穴每增加一个穴位加收3元","19.
5","医保记账""8394","430000001*1","普通针刺(超过五穴每增加一个穴位加收)","每穴位","包括体针、快速针、磁针、金针、姜针、药针等银针、神经干刺激疗法",,,"3","医保记账""8395","430000002","温针","五个穴位",,"艾条","超过五穴每增加一个穴位加收3元","42","医保记账""8396","430000002*1","温针(超过五穴每增加一个穴位加收)","每穴位",,"艾条",,"3","医保记账""8397","430000003","手指点穴","五个穴位",,,"每增加一个穴位加收3元","26","医保记账""8398","430000003*1","手指点穴(超过五个穴位每增加一个穴位加收)","每穴位",,,,"3","医保记账""8399","430000004","馋针","每个部位",,,,"20","医保记账""8400","430000005","微针针刺","二个穴位","包括舌针、鼻针、腹针、腕踝针、手针、面针、口针、项针、夹脊针、脊俞针、足针、唇针、平衡针、对应点针法,第二掌骨疗法、手象针,足象针,人中针",,"每增加一个穴位加收3元","23.
80001953125","医保记账""8401","430000005*1","微针针刺(超过二个穴位每增加一个穴位加收)","每穴位","包括舌针、鼻针、腹针、腕踝针、手针、面针、口针、项针、夹脊针、脊俞针、足针、唇针、平衡针、对应点针法,第二掌骨疗法、手象针,足象针,人中针",,,"3","医保记账""8402","430000006","锋钩针","次",,,,"15","医保记账""8403","430000007","头皮针","次",,,,"25","医保记账""8404","430000008","眼针","眼/次",,,,"22.
5","医保记账""8405","430000009","梅花针","次","磁圆针",,,"30","医保记账""8406","430000010","火针","三个穴位","包括电火针",,"每增加一个穴位加收5元","21","医保记账""8407","430000010*1","火针(超过三个穴,每增加一个穴位加收)","每穴位","包括电火针",,,"5","医保记账""8408","430000011","埋针治疗","每个穴位","包括穴位包埋、穴位埋线、穴位结扎穴位植线、皮内针","药物",,"30","医保记账""8409","430000011*1","穴位包埋","每个穴位",,,,"30","医保记账""8410","430000011*2","穴位埋线","每个穴位",,,,"30","医保记账""8411","430000011*3","穴位结扎","每个穴位",,,,"30","医保记账""8412","430000011*4","穴位植线","每个穴位",,,,"30","医保记账""8413","430000011*5","皮内针","每个穴位",,,,"30","医保记账""8414","430000012","耳针","单耳","包括耳穴压豆、耳穴埋针、磁珠压耳穴",,,"22.
5","医保记账""8415","430000012*1","耳穴压豆","单耳",,,,"22.
5","医保记账""8416","430000012*2","耳穴埋针","单耳",,,,"22.
5","医保记账""8417","430000012*3","磁珠压耳穴","单耳",,,,"22.
5","医保记账""8418","430000013","芒针","每个穴位",,,,"15","医保记账""8419","430000014","针刺运动疗法","五个穴位","包括辅助运动、石氏醒脑开窍法、大接经法",,"每增加一个穴位加收6元","43","自费""8420","430000014*1","针刺运动疗法(超过5个穴,每增加一个穴位加收)","每个穴位","包括辅助运动、石氏醒脑开窍法",,,"6","自费""8421","430000015","针刺麻醉","次",,,,"142","医保记账""8422","430000016-1","普通电针","二个穴位","包括普通电热针灸、电冷针灸",,"每增加一对加收10元","20","医保记账""8423","430000016-1*1","普通电针(每增加一对加收)","二个穴位",,,,"10","医保记账""8424","430000016-1*2","普通电热针灸","二个穴位",,,,"20","医保记账""8425","430000016-1*3","普通电热针灸(每增加一对加收)","二个穴位",,,,"10","医保记账""8426","430000016-1*4","电冷针灸","二个穴位",,,,"20","医保记账""8427","430000016-1*5","电冷针灸(每增加一对加收)","二个穴位",,,,"10","医保记账""8428","430000016-2","恒温电热针治疗","次","指通过恒温电热针针尖在穴位内部发热,改善经络中的气血运行状态.
每次留针40分钟.
含专用恒温电热针",,,"80","医保记账""8429","430000017","浮针","一个穴位",,,,"22.
5","医保记账""8430","430000018","微波针","二个穴位",,,"每增加一个穴位加收15元","40","医保记账""8431","430000018*1","微波针(超过二个穴,每增加一个穴位加收)","一个穴位",,,,"15","医保记账""8432","430000019","激光针","二个穴位","激光穴位照射","一次性光纤针","每增加一个穴位加收10元","26","医保记账""8433","430000019*1","激光针(超过二个穴,每增加一个穴位加收)","每个穴位","激光穴位照射","一次性光纤针",,"10","医保记账""8434","430000020","磁热疗法","二个穴位",,,"每增加一个穴位加收10元","26","自费""8435","430000020*1","磁热疗法(超过二个穴,每增加一个穴位加收)","每个穴位",,,,"10","自费""8436","430000021","放血疗法","每个穴位","包括穴位放血、静脉放血、三棱针放血、刺络放血",,,"21","医保记账""8437","430000021*1","穴位放血","每个穴位",,,,"21","医保记账""8438","430000021*2","静脉放血","每个穴位",,,,"21","医保记账""8439","430000021*3","三棱针放血","每个穴位",,,,"21","医保记账""8440","430000021*4","刺络放血","每个穴位",,,,"21","医保记账""8441","430000022","穴位注射","二个穴位","穴位封闭、自血疗法","药物","每增加一个穴位加8元","22.
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900625","医保记账""8517","460000017","肛周坏死性筋膜炎清创术","次","含合并肛门直肠周围脓肿清创",,"病变范围超过肛周四分之一象限者为复杂,另加收30%","673","医保记账""8518","460000017*1","复杂肛周坏死性筋膜炎清创术","次","含合并肛门直肠周围脓肿清创",,"病变范围超过肛周四分之一象限者为复杂","874.
900625","医保记账""8519","460000018","肛门直肠周围脓腔搔刮术","次","包括双侧及1个以上脓腔、窦道",,"每增加一个病灶,另加收10%","436","医保记账""8520","460000018*1","肛门直肠周围脓腔搔刮术(双侧及1个以上脓腔)","次",,,"每增加一个病灶,另加收10%","436","医保记账""8521","460000018*2","肛门直肠周围脓腔搔刮术(窦道)","次",,,"每增加一个病灶,另加收10%","436","医保记账""8522","460000018*3","肛门直肠周围脓腔搔刮术每增加一个病灶加收10%","次","包括双侧及1个以上脓腔、窦道",,"每增加一个病灶,另加收10%","43.
6000390625","医保记账""8523","460000019","中医肛肠术后紧线术(含取下挂线)","次","含取下挂线",,"单取挂线60元","161","医保记账""8524","460000019*1","中医肛肠术后紧线术(单取挂线)","次",,,"单取挂线60元","81","医保记账""8525","460000020","混合痔铜离子电化学治疗术","次","包括内痔","铜离子针",,"130","医保记账""8526","460000020*1","内痔铜离子电化学治疗术","次",,"铜离子针",,"130","医保记账""8527","460000021","直肠前突出注射术","次","指直肠前壁黏膜下层柱状注射","药物",,"135","医保记账""8528","460000022","直肠脱垂注射术","次","含直肠内注射及直肠外注射","药物",,"70","医保记账""8529","470000001","白内障针拨术","单眼",,"粘弹剂",,"428","医保记账""8530","470000002","白内障针拨吸出术","单眼",,"粘弹剂",,"648","医保记账""8531","470000003","白内障针拨套出术","单眼",,"粘弹剂",,"648","医保记账""8532","470000004","眼结膜囊穴位注射(含穴位针刺)","单眼","含穴位针刺",,,"52.
5","医保记账""8533","470000005","小针刀治疗","每个部位","包括刃针治疗",,,"70","医保记账""8534","470000005*1","刃针治疗","每个部位","包括刃针治疗",,,"70","医保记账""8535","470000006","红皮病清消术(含药物调配)","次","含药物调配","药物",,"暂不定价","医保记账""8536","470000007","扁桃体烙法治疗","次",,,"鼻中隔烙法治疗加收20%","143","医保记账""8537","470000007*1","扁桃体烙法治疗(鼻中隔烙法治疗加收20%)","次",,,,"28.
60001953125","医保记账""8538","470000008","药线引流治疗(含药物调配)","3公分","含药物调配","药物",,"68","医保记账""8539","470000009","耳咽中药吹粉治疗(含药物调配)","次","含药物调配","药物",,"14","医保记账""8540","470000010","中药硬膏热贴敷治疗","次",,"药物",,"24","医保记账""8541","470000011","中药直肠滴入治疗(含药物调配)","次","含药物调配","药物",,"暂不定价","医保记账""8542","470000012","刮痧治疗","每个部位",,,,"25","医保记账""8543","470000013","烫熨治疗","每个部位","包括砭石热敷、药枕疗法",,,"15","医保记账""8544","470000013*1","烫熨治疗(砭石热敷)","每个部位",,,,"15","医保记账""8545","470000013*2","烫熨治疗(药枕疗法)","每个部位",,,,"15","医保记账""8546","470000014","医疗气功治疗","次",,,,"15","自费""8547","470000015","体表瘘管切开搔爬术","次","包括耳前瘘管、乳腺瘘管",,,"85","医保记账""8548","470000015*1","耳前瘘管切开搔爬术","次",,,,"85","医保记账""8549","470000015*2","乳腺瘘管切开搔爬术","次",,,,"85","医保记账""8550","470000016","足底反射治疗","次",,,,"20","医保记账""8551","470000017S","经络穴位平衡治疗",,"指运用经络导平设备,导通受阻的经络,解除气血瘀滞,平衡机体功能.
每次治疗60分钟.
含导电极及配套固定皮带",,,"80","自费""8552","480000001","辨证施膳指导","次",,,,"18","自费""8553","480000002","脉图诊断",,"指通过使用脉图诊断设备,同步获取中医师指下的运力和患者脉力回馈信息,动态反馈式模拟指感施力技术,准确获取脉搏属性",,,"72","自费""8554","480000003-1","中药特殊调配(煎膏调配)","剂",,,,"42","自费""8555","480000003-2","中药特殊调配(合剂调配)","百克",,,,"19","自费""8556","480000003-3","中药特殊调配(胶囊剂调配)","百克",,,,"42","自费""8557","480000003-4","中药特殊调配(蜜丸调配)","百克",,,,"32","自费""8558","480000003-5","中药特殊调配(水蜜丸调配)","百克",,,,"36","自费""8559","480000004","人工煎药","剂",,,,"2","医保记账""8560","480000005","煎药机煎药","剂",,,,"3","医保记账""8561","480000006","中医辨证论治","次","含诊查费","药物","按医生职称划分档次","暂不定价","医保记账""8562","480000007S","中医体质辨识","次","指通过问诊与分析,诊断就诊者体质、状态和易患疾病",,,"49","自费""8563","480000008S","中医健康调养咨询","次","指提供个性化疾病预防和调治方案(含平衡膳食包括药膳)、情志治疗、自我穴位按摩保健、经络拍打保健、运动保健、调整生活方式等),必要时给予药物、非药物传统疗法等健康干预,以达到疾病早期预防的目的",,,"92","自费""8564","480000009S","膏方诊查",,"指在详细了解就诊者的病史、体质状态后,开出就诊者专用的煎膏、膏滋个性化处方,注明制膏方法,并对膏方做出详细说明不含膏方调配费",,,"131","自费""8565","480000010S","电子扫描整合系统功能检测",,"指通过低电压直流电信号,激活人体各脏器的间质细胞的电生理活性,以数字化形式采集人体功能的信息,对整个机体的各组织、各器官及经络系统进行全面的功能评估.
含一次性检测电极、分析及彩色图文报告",,,"281","自费""8566","480000011S","超倍生物显微系统检测",,"指通过超倍生物显微系统得到细胞组织或病原微生物相关的信息.
含采血、分析及彩色图文报告",,,"156","自费""8567","480000012S","中医经络检测",,"指通过对人体经穴能量的数据信息进行综合分析,评估就诊者健康状况,对存在的疾病做出初步诊断或提出进一步防治建议",,,"50","自费""8568","480000013S","虹膜全息检测",,"指透过眼睛虹膜的形态变化来评估人体健康状况及监测康复过程",,,"62","自费""8569","480000014S","红外热段层扫描(TTM)",,"指利用红外线热辐射接受扫描设备测出热辐射的深度和数值,并根据热源的异常来生成图像,反映人体的疾病状况.
含分析及彩色图文报告",,,"335","自费""8570","480000015S","身体成分分析",,"指采用生物电阻抗技术,检测身体各种组成元素,对身体进行节段分析,正确评估身体状况.
检测项目必需有测试体重、体脂百分比、脂肪重量、肌肉重量、瘦体重、基础代谢率、总能量消耗、细胞重量、细胞内外液、身体质量指数、身体水份重量、蛋白质重量、矿物质重量、内脏脂肪水平、内脏脂肪面积、内脏脂肪重量、皮下脂肪重量、身体年龄、腰臀比、体型评估、内脏脂肪发展预测、浮肿指数、节段肌肉分析、调节目标、研究项目、体成分分析与历史结果对比",,,"42","自费""8571","470000017S","经络穴位平衡治疗",,"指运用经络导平设备,导通受阻的经络,解除气血瘀滞,平衡机体功能.
每次治疗60分钟.
含导电极及配套固定皮带",,,"80","自费""8572","480000001","辨证施膳指导","次",,,,"18","自费""8573","480000002","脉图诊断",,"指通过使用脉图诊断设备,同步获取中医师指下的运力和患者脉力回馈信息,动态反馈式模拟指感施力技术,准确获取脉搏属性",,,"72","自费""8574","480000003-1","中药特殊调配(煎膏调配)","剂",,,,"42","自费""8575","480000003-2","中药特殊调配(合剂调配)","百克",,,,"19","自费""8576","480000003-3","中药特殊调配(胶囊剂调配)","百克",,,,"42","自费""8577","480000003-4","中药特殊调配(蜜丸调配)","百克",,,,"32","自费""8578","480000003-5","中药特殊调配(水蜜丸调配)","百克",,,,"36","自费""8579","480000004","人工煎药","剂",,,,"2","医保记账""8580","480000005","煎药机煎药","剂",,,,"3","医保记账""8581","480000006","中医辨证论治","次","含诊查费","药物","按医生职称划分档次","暂不定价","医保记账""8582","480000007S","中医体质辨识","次","指通过问诊与分析,诊断就诊者体质、状态和易患疾病",,,"49","自费""8583","480000008S","中医健康调养咨询","次","指提供个性化疾病预防和调治方案(含平衡膳食包括药膳)、情志治疗、自我穴位按摩保健、经络拍打保健、运动保健、调整生活方式等),必要时给予药物、非药物传统疗法等健康干预,以达到疾病早期预防的目的",,,"92","自费""8584","480000009S","膏方诊查",,"指在详细了解就诊者的病史、体质状态后,开出就诊者专用的煎膏、膏滋个性化处方,注明制膏方法,并对膏方做出详细说明不含膏方调配费",,,"131","自费""8585","480000010S","电子扫描整合系统功能检测",,"指通过低电压直流电信号,激活人体各脏器的间质细胞的电生理活性,以数字化形式采集人体功能的信息,对整个机体的各组织、各器官及经络系统进行全面的功能评估.
含一次性检测电极、分析及彩色图文报告",,,"281","自费""8586","480000011S","超倍生物显微系统检测",,"指通过超倍生物显微系统得到细胞组织或病原微生物相关的信息.
含采血、分析及彩色图文报告",,,"156","自费""8587","480000012S","中医经络检测",,"指通过对人体经穴能量的数据信息进行综合分析,评估就诊者健康状况,对存在的疾病做出初步诊断或提出进一步防治建议",,,"50","自费""8588","480000013S","虹膜全息检测",,"指透过眼睛虹膜的形态变化来评估人体健康状况及监测康复过程",,,"62","自费""8589","480000014S","红外热段层扫描(TTM)",,"指利用红外线热辐射接受扫描设备测出热辐射的深度和数值,并根据热源的异常来生成图像,反映人体的疾病状况.
含分析及彩色图文报告",,,"335","自费""8590","480000015S","身体成分分析",,"指采用生物电阻抗技术,检测身体各种组成元素,对身体进行节段分析,正确评估身体状况.
检测项目必需有测试体重、体脂百分比、脂肪重量、肌肉重量、瘦体重、基础代谢率、总能量消耗、细胞重量、细胞内外液、身体质量指数、身体水份重量、蛋白质重量、矿物质重量、内脏脂肪水平、内脏脂肪面积、内脏脂肪重量、皮下脂肪重量、身体年龄、腰臀比、体型评估、内脏脂肪发展预测、浮肿指数、节段肌肉分析、调节目标、研究项目、体成分分析与历史结果对比",,,"42","自费""8591","250104044X","诱发精子顶体反应检测","次","包含精液采集,低速离心机,恒温水浴箱,光学显微镜和荧光显微镜,二氧化碳培养箱,超净工作台,精子计数装置.
样本经密度梯度法提取、获能、钙离子载体诱发、洗涤、涂片、干燥、固定、荧光染色、冲洗、封片后,荧光显微镜下观察结果.
不含精液常规分析、精液液化处理等.
",,,"240","自费""8592","250104043X","精子酪氨酸磷酸化检测","次","包含精液采集,低速离心机,恒温水浴箱,光学显微镜和荧光显微镜,二氧化碳培养箱,超净工作台,精子计数装置.
标本经液化、上泳提取,获能、密度调节、涂片、干燥、固定、荧光染色后,冲洗、封片,荧光显微镜下观察结果.
不含精液常规分析、精液液化处理等.
",,,"200","自费""8593","250104042X","精子核蛋白组型转换检测","次","包含精液采集,低速离心机,恒温水浴箱,光学显微镜.
标本经液化、洗涤,浓度调节、制片、染色、干燥后,显微镜下观察结果.
不含精液常规分析、精液液化处理等.
",,,"80","自费""8594","250104040X","精浆酸性磷酸酶定量检测","项","包含精液采集,低速离心机,振荡器,全自动生化仪或酶标比色仪.
标本经液化、稀释、振荡、孵育、比色后,浓度值转换成结果"量/一次射精".
不含精液常规分析、精液液化处理等.
",,,"90","自费""8595","250104039X","精浆果糖定量检测","项","含精液采集,低速离心机,振荡器,全自动生化仪或酶标比色仪.
标本经液化、稀释、去蛋白、振荡、孵育、比色后,浓度值转换成结果"量/一次射精".
不含精液常规分析、精液液化处理等.
",,,"100","自费""8596","250310066X","抗缪勒氏管激素(AMH)测定","项",,,,"320","自费""8597","250104041X","精子DNA完整性检测","次","包含精液采集,低速离心机,恒温水浴箱,干式加热器,反应池,光学显微镜.
样本经制片、变性、裂解、脱水、染色、干燥后,光学显微镜下观察结果.
不含精液常规分析、精液液化处理等.
",,,"200","自费""8598","110200001*1X","专科护理门诊诊查费","次","专科护理门诊护士利用护理门诊平台,以其专有的知识为患者提供健康评估、与治疗相关的护理管理、监测患者健康状况等诊疗服务.
挂号,初建病历,核实就诊信息,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,进行一般护理体查,书写病历,根据病情提供有效地护理和治疗服务.
(不含相关护理治疗操作)",,,"30","自费""8599","110200006X","慢病电子长处方","次","针对需要长期服药的慢病患者,通过网络医院平台了解其病情变化后,规范地开具专科慢病电子处方,缓解患者频繁回医院开药困难.
",,"专科医生开具1周期处方(1月-3月不等),含诊查费.
","30","自费""8600","110500002X","健康管理服务","月","指体检中心、病友服务中心等部门对患者建立健康档案并利用网络通讯或健康课堂等方式,为特定服务对象提供健康教育、慢性病管理、出院后回访等服务.
",,"患者自愿为原则,跟踪体检后的健康服务","50","自费""8601","220301002*11X","甲状旁腺彩色多普勒超声检查","部位",,,"同时进行甲状腺及颈部淋巴结彩色多普勒超声检查时,本项目减半收费.
","120","自费""8602","220302013X","超声弹性成像","部位",,,,"60","自费""8603","230200055*3X","超声骨密度测定","次",,,,"80","自费""8604","250501026*1X","真菌涂片检查(荧光染色镜检)","次","样本类型:痰、其他标本.
样本采集,样本签收,涂片制备,涂片消毒,固定,染色,荧光显微镜镜检,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.
",,,"120","自费""8605","311201057*3X","手法按压通乳治疗","单侧","采用点、按、揉、拿等多种手法相互配合,适用范围广泛,包括哺乳期急性乳腺炎、乳管闭塞、积乳等疾病,解决了由于乳汁淤积引起的疼痛、感染.
",,"单侧每次不少于30分钟,含辅助材料","100","自费""8606","311501001*1X","心境障碍问卷","次",,"使用电脑自测加收50%",,"30","自费""8607","311501002*1X","住院精神病人康复疗效评定量表(IPROS)","次",,,,"50","自费""8608","311503033X","心理调节训练","次",,,,"80","自费""8609","340200000*1X","康复治疗床旁加收","天","住院患者床旁康复治疗",,"指医务人员携带康复设备至住院患者病床旁进行的治疗加收","30","自费""8610","340200034*1X","口肌训练技术","次",,,"每次不少于30分钟","50","自费""8611","340200037*1X","吞咽球囊扩张训练","次",,,"每次不少于30分钟","50","自费""8612","340200043X","疼痛综合评定","次","进行麦吉尔疼痛问卷评定,视觉模拟评分法评定,慢性疼痛状况分级等,对患者疼痛的部位、程度、性质、频率和对日常生活的影响等方面进行综合评定.
人工报告.
",,,"20","自费""8613","450000015X","整脊手法","每部位","含理筋、正骨",,"每次不少于20分钟","230","自费""8614","450000016X","淋巴水肿综合治疗","次","包括淋巴水肿患者皮肤评估测量、伤口治疗、手法引流、压力治疗及功能锻炼健康教育","治疗材料(绷带,敷料)","无","200","自费""8615","470000018X","内热针经皮骨骼肌松解术","每部位","含肌肉与肌筋膜松解","一次性内热针",,"600","自费""8616","331523014X","脊柱侧弯手法矫形石膏固定术","次","针对年龄偏小的中重度早发性脊柱侧弯,借助特殊的脊柱侧弯牵引床,改善脊柱侧弯程度;同时在矫形石膏固定过程中,针对脊柱旋转畸形行胸廓去旋转手法矫正,从三维平面上充分矫正早发性脊柱侧弯.
不含术中C形臂x光机动态监测.
","石膏、衬垫、网套等耗材",,"2000","自费""8617","331604036X","皮肤软组织埋线提升术","次",,,"整形美容项目","1000","自费"