岳阳公立医院首批按病种收费标准表171229.doc

附件2：岳阳市公立医院首批按病种收费标准表 计价单位：元 专业序号病种编码主要诊断主诊断编码主要操作/治疗方式主要操作/治疗方式编码收费标准除外内容一类二类神经系统疾病1BZ00001全面惊厥性癫痫持续状态G41内科抗癫痫治疗760064002BZ00002急性缺血性脑梗死I63发病4.5小时内采取静脉溶栓治疗99.1020500174003BZ00003慢性硬膜下血肿I62.0颅内血肿钻孔引流术01.09 or 01.24 or 01.31 or 01.3917000143004BZ00004三叉神经痛（单侧）G50.0显微镜下三叉神经根血管减压术04.412900024400内分泌、营养及代谢疾病5BZ00005结节性甲状腺肿E04.1-E04.9直视下甲状腺单侧双侧次全切除术06.39013 or 06.390041000084006BZ00006甲状腺癌C73直视下甲状腺单双侧腺叶切除+淋巴清扫(06.2-06.4）and（40.2-40.5）1500012600眼和附器疾病7BZ00007原发性急性闭角型青光眼H40.202 or H40.203 or H40.206 or H40.207小梁切除术或虹膜周边切除术12.64 or 12.14550046008BZ00008老年性白内障（单眼）H25白内障超声乳化吸除+人工晶状体I期植入术13.41 and 13.7136003000人工晶体9BZ00009单纯性孔源性视网膜脱离H33.002单眼巩膜环扎术14.415000420010BZ00010单纯性孔源性视网膜脱离H33.002单眼巩膜外加压术12.880015000420011BZ00011翼状胬肉H11.0单眼局麻下翼状胬肉切除组织移植术11.392300200012BZ00012慢性泪囊炎H04.401经鼻内镜鼻腔泪囊吻合术09.81003 or 09.8100430002500耳和乳突疾病13BZ00013分泌性中耳炎H65全麻下单侧鼓膜置管术20.016200530014BZ00014慢性化脓性中耳炎H66.1-H66.3经耳内镜I型鼓室成形术19.4 004 and 18.119300790015BZ00015慢性化脓性中耳炎H66.1-H66.3经外耳道型鼓室成形术19.521200010200人工听小骨鼻咽喉疾病16BZ00016慢性扁桃体炎（双侧）J35.0全麻下扁桃体切除术伴或不伴腺样体切除术28.2 or 28.37000590017BZ00017鼻中隔偏曲J34.2经鼻内镜鼻中隔偏曲矫正术21.5 003 or 21.5 0046500550018BZ00018声带息肉J38.102经支撑喉镜声带肿物切除术（不含显微镜下手术）30.09016200520019BZ00019慢性鼻窦炎J32经鼻内镜鼻窦开放术（4个窦及以下）22.2 or 22.41003 or 22.42004-009 or 22.51002 or 22.520048800740020BZ00020喉癌C32喉全切除术30.3 or 30.4320002720021BZ00021喉癌C32喉次全切除术30.292800023800口腔、颌面疾病22BZ00022单侧一度唇裂Q36.904唇皮下裂修复术27.544500380023BZ00023甲状舌管囊肿Q89.241甲状舌管囊肿切除术06.773006200呼吸系统疾病24BZ00024初治菌阳肺结核A15.0-A15.1结核病定点医院住院治疗7500630025BZ00025肺脓肿伴肺炎J85.1内科住院治疗126001070026BZ00026支气管肺癌C34经胸腔镜肺叶切除术（含淋巴结清扫）32.41450003820027BZ000027肺良性肿瘤D14.3经胸腔镜肺肿瘤切除术32.20 or 32.25 or 32.28400003400028BZ00028支气管扩张J47直视下肺叶或肺段切除术32.49290002460029BZ00029支气管扩张J47经胸腔镜肺或肺段切除术32.413000025500呼吸系统疾病30BZ00030自发性气胸J93.0-J93.1胸腔闭式引流34.040039000750031BZ00031胸腺肿瘤C37 or D09.3 or D15.0 or D38.4胸腺肿瘤切除术07.83-07.84280002380032BZ00032原发性支气管肺癌C34直视下肺癌切除术32.29 or 32.39 or 32.49 or 32.594300026500循环系统疾病33BZ00033动脉导管未闭Q25.0经皮穿刺动脉导管未闭封堵术（含封堵材料）39.79008190001600034BZ00034房间隔缺损Q21.1体外循环下房间隔缺损缝合术35.71 and 39.61390003300035BZ00035房间隔缺损Q21.1体外循环下房间隔缺损补片修补术（含补片材料）39.61 and (35.61 or 35.51001)410003480036BZ00036室间隔缺损Q21.0体外循环下室间隔缺损缝合术35.72 and 39.61310002630037BZ00037室间隔缺损Q21.0体外循环下室间隔缺损补片修补术（含补片材料）(35.62 or 35.53001) and 39.61360003060038BZ00038风湿性心脏病二尖瓣病变I05体外循环下二尖瓣置换术（35.23 or 35.24） and 39.615500046700人工瓣膜39BZ00039冠心病不稳定性心绞痛I20.0 or I20.1 or I20.802冠状动脉造影检查88.55-88.5710000840040BZ00040主动脉瓣病变I06 or I35 or Q23.0-Q23.1or Q23.804 or Q23.807 or Q23.810 or Q23.812 or Q23.901体外循环下主动脉瓣置换术（35.22 or 35.21） and 39.615600047600人工瓣膜41BZ00041急性ST段抬高心肌梗死I21.0-I21.3经皮冠状动脉支架置入术36.06-36.072400020400支架42BZ00042病态窦房结综合征I49.5单腔永久起搏器安置术37.81 or 37.822000017000起搏器43BZ00043病态窦房结综合征I49.5双腔永久起搏器安置术37.832150018200起搏器44BZ00044室上性心动过速I47.112经血管心脏射频消融术37.34001245002080045BZ00045室性心动过速I47.212经血管心脏射频消融术37.26 and 37.340012450020800血液、造血器官、免疫系统疾病46BZ00046儿童急性早幼粒细胞白血病（APL）-初治患者C92.4初治化疗（含化疗药物）330002800047BZ00047儿童急性淋巴细胞白血病（ALL）-初治患者C91.0初治化疗（含化疗药物）2800023800消化系统疾病48BZ00048胃癌C16腹腔镜下根治性近端胃大部切除术43.5 and 54.21001450003820049BZ00049胃癌C16直视下根治性近端胃大部切除术43.5430003650050BZ00050胃癌C16直视下根治性远端胃大部切除术（43.6 001-43.6 006） or 43.7 001400003400051BZ00051胃癌C16腹腔镜下根治性远端胃大部切除术43.6 007 or 43.7 005435003690052BZ00052胃十二指肠溃疡K25-K27腹腔镜下远端胃大部切除术43.6 007 or 43.7 005280002380053BZ00053急性阑尾炎K35.9腹腔镜下阑尾切除术47.019000760054BZ00054直肠息肉或直肠良性肿瘤K62.1 or D12.8内镜下行直肠病损切除48.360014500380055BZ00055单侧腹股沟斜疝K40.903腹腔镜下腹股沟斜疝修补术53.02010 or 53.02011 or 17.1264005400人造补片56BZ00056单侧腹股沟斜疝K40.903直视下腹股沟斜疝修补术53.02001 or 53.02005 or 53.0444003700人造补片57BZ00057下肢静脉曲张I83经皮大隐静脉腔内激光闭合术38.590036500550058BZ00058原发性甲状腺功能亢进E05.0直视下单双侧甲状腺次全切除术06.39004 or 06.39013120001020059BZ00059胆囊息肉K82.808腹腔镜（胆道镜）下胆囊切除术51.2310000840060BZ00060胆囊结石伴急性胆囊炎（无胆管炎）K80.0 直视下胆囊切除术51.2210000840061BZ00061胆囊结石伴急性胆囊炎（无胆管炎）K80.0 腹腔镜下胆囊切除术51.23120001020062BZ00062胆管结石伴胆囊炎（无胆管炎）K80.4直视下胆总管切开取石+胆囊切除51.41 and 51.221600013600消化系统疾病63BZ00063胆管结石伴胆管炎（无胆囊炎）K80.3腹腔镜下胆总管切开取石术51.88003260002200064BZ00064血栓性外痔I84.3局麻下血栓性外痔切除术49.474000340065BZ00065胆囊结石伴慢性胆囊炎K80.1腹腔镜下胆囊切除术51.2311000920066BZ00066贲门失弛缓症K22.0经胃镜食管下段贲门肌层切开术42.7 and 54.210018500720067BZ00067结肠癌C18直视下半结肠切除术（含淋巴结清扫）45.7345.79400003360068BZ00068结肠癌C18腹腔镜下半结肠切除术（含淋巴结清扫）17.33 or 17.39410003450069BZ00069直肠癌C20直视下会阴直肠癌根治术(Miles手术)（含淋巴结清扫）48.52400003360070BZ00070直肠癌C20腹腔镜下会阴直肠癌根治术(Miles手术)（含淋巴结清扫）48.51435003660071BZ00071急性肠套叠K56.1直视下肠套叠手术复位或肠切除术46.80-46.82 or 45.6-45.710000840072BZ00072急性化脓性阑尾炎（含阑尾穿孔或阑尾周围脓肿）K35.0-K35.1直视下阑尾切除术47.0910000840073BZ00073结肠息肉或结肠良性肿瘤D12.2-D12.7 or K51.4 or K63.5内镜下结肠病损或息肉切除术45.42 or 45.43008-45.4301240003400肾脏和泌尿道疾病74BZ00074肾癌C64腹腔镜下根治性肾切除术（含淋巴结清扫）55.51003 or 55.51004285002420075BZ00075肾癌C64 腹腔镜下肾部分切除术（含淋巴结清扫）55.4 001320002720076BZ00076膀胱癌C67腹腔镜下根治性膀胱全切术+盆腔淋巴结清扫术57.71003 and (40.3 or 40.5)400003400077BZ00077膀胱肿瘤C67 or D09.0 or D30.3 or D41.4膀胱镜下经尿道肿瘤电切治疗57.49150001270078BZ00078单侧肾盂输尿管结石伴或不伴肾积水N13.2 or N20.2经尿道输尿管镜激光碎石取石术56.0 004 or 56.0 0091400011800男性生殖系统疾病79BZ00079良性前列腺增生N40经尿道前列腺切除术TURP手术60.29002160001360080BZ00080肾结石伴或不伴肾积水N13.2 or N20.0经皮肾镜激光碎石取石术55.04003180001520081BZ00081精索静脉曲张（单侧）I86.1直视下精索静脉曲张高位结扎术63.1 0025200440082BZ00082睾丸鞘膜积液N43.0-N43.3 or P83.5直视下睾丸鞘膜翻转术61.490015200440083BZ00083前列腺癌C61经尿道前列腺切除术60.22500021000女性生殖系统疾病84BZ00084子宫肌腺症N80.003腹腔镜下经腹子宫次全/全部切除术68.31 or 68.41128001080085BZ00085卵巢囊肿N83.0-N83.2腹腔镜下卵巢囊肿剥除术/单侧卵巢切除65.24-65.25 or 65.31120001000086BZ00086卵巢良性肿瘤D27腹腔镜下卵巢肿瘤切除术65.24-65.25 or 65.31120001000087BZ00087卵巢良性肿瘤D27直视下卵巢肿瘤切除术65.39 or 65.22 or 65.2910000840088BZ00088输卵管妊娠O00.1直视下单侧输卵管切除术66.620018000670089BZ00089输卵管妊娠O00.1腹腔镜下单侧输卵管切除术66.620029600800090BZ00090输卵管妊娠O00.1腹腔镜下单侧输卵管开窗术66.01001 or 66.020028000670091BZ00091子宫平滑肌瘤D25直视下全子宫切除术68.4911500970092BZ00092子宫平滑肌瘤D25腹腔镜下子宫肌瘤切除术68.29004 or 68.29005 or 68.29008 or 68.29010 or 68.2901111000920093BZ00093子宫粘膜下平滑肌瘤D25.0宫腔镜下子宫肌瘤切除术68.29014 or 68.29015 or 68.290176700560094BZ00094宫颈癌C53腹腔镜下全子宫广泛性切除术+双附件切除68.61 or 68.71 and 65.63240002020095BZ00095宫颈癌C53直视下全子宫广泛性切除术+双附件切除(68.69 or 68.79) and 65.61200001680096BZ00096宫颈癌C53腹腔镜全子宫切除术或子宫广泛性切除术68.412200018500妊娠、分娩和产褥期疾病97BZ00097胎膜早破（足月）行阴道分娩O42 and Z37.0(O60.1orO60.3单胎顺产接生（非无痛）!=7436003000肌肉骨骼系统和结缔组织疾病98BZ00098腰椎间盘突出症M51.202 or M51.203 or M51.002+G99.2* or M51.101+G55.1* or M51.103+G55.1* or M51.104+G55.1*椎间盘镜下腰椎髓核摘除术80.51033 or 80.51034136001150099BZ00099创伤性半月板损伤S83.2关节镜下半月板成形术/关节镜下半月板切除术（含人工材料）80.6004-80.6006 or 80.6009-80.6011 or 81.47005 or 81.470131500012800100BZ00100股骨颈骨折S72.0全髋人工关节置换术81.512550021400人工关节101BZ00101复发性肩关节脱位M24.4关节镜下肩关节脱位修复术（含人工材料）79.71 or 79.81 or 81.82） and 80.212650022300102BZ00102尺骨鹰嘴骨折S52.011尺骨鹰嘴骨折闭合复位内固定术79.12003 or 79.12005 or 79.12007 or 79.120091550013000103BZ00103股骨干骨折S72.3直视下股骨干骨折开放复位钢板螺丝钉内固定术（含固定材料）79.352650022300104BZ00104无菌性股骨头坏死M87.851直视下全髋人工关节置换术81.512550021500人工关节皮肤、皮下组织、乳腺疾病和烧伤105BZ00105乳腺癌C50直视下乳腺癌改良根治术（非乳房再造）85.43 or 85.441600013600其他106BZ00106-1终末期肾脏病（已确诊）N18.0血液透析(含滤过)或腹膜透析治疗的月总费用（含透析费、透析液、常用药品、常规检查检验费、腹膜平衡试验等费用，不包含发生并发症住院治疗费用。）39.95 or 54.98血液透析每月4700血液透析每月4200BZ00106-2腹膜透析每月3600腹膜透析每月3600附件3：岳阳市公立医院病种费用医保支付表序号主诊断主操作/治疗方式市直职工医保城乡居民医保三级二级三级二级支付比例支付金额支付比例支付金额支付比例支付金额支付比例支付金额1全面惊厥性癫痫持续状态内科抗癫痫治疗60%456060%384040%304040%25602急性缺血性脑梗死发病4.5小时内采取静脉溶栓治疗70%1435070%1218050%1025050%87003慢性硬膜下血肿颅内血肿钻孔引流术70%1190070%1001050%850050%71504三叉神经痛（单侧）显微镜下三叉神经根血管减压术70%2030070%1708050%1450050%122005结节性甲状腺肿直视下甲状腺单侧双侧次全切除术60%600060%504040%400040%33606甲状腺癌直视下甲状腺单双侧腺叶切除+淋巴清扫70%1050070%882050%750050%63007原发性急性闭角型青光眼小梁切除术或虹膜周边切除术60%330060%276040%220040%18408老年性白内障（单眼）白内障超声乳化吸除+人工晶状体I期植入术60%216060%180040%144040%12009单纯性孔源性视网膜脱离单眼巩膜环扎术60%300060%252040%200040%168010单纯性孔源性视网膜脱离单眼巩膜外加压术60%300060%252040%200040%168011翼状胬肉单眼局麻下翼状胬肉切除组织移植术70%161070%140040%92040%80012慢性泪囊炎经鼻内镜鼻腔泪囊吻合术60%180060%150040%120040%100013分泌性中耳炎全麻下单侧鼓膜置管术60%372060%318040%248040%212014慢性化脓性中耳炎经耳内镜I型鼓室成形术60%558060%474040%372040%316015慢性化脓性中耳炎经外耳道型鼓室成形术60%720060%612040%480040%408016慢性扁桃体炎（双侧）全麻下扁桃体切除术伴或不伴腺样体切除术60%420060%354040%280040%236017鼻中隔偏曲经鼻内镜鼻中隔偏曲矫正术60%390060%330040%260040%220018声带息肉经支撑喉镜声带肿物切除术（不含显微镜下手术）60%372060%312040%248040%208019慢性鼻窦炎经鼻内镜鼻窦开放术（4个窦及以下）60%528060%444040%352040%296020喉癌喉全切除术70%2240070%1904050%1600050%1360021喉癌喉次全切除术70%1960070%1666050%1400050%1190022单侧一度唇裂唇皮下裂修复术70%315070%266023甲状舌管囊肿甲状舌管囊肿切除术60%438060%372040%292040%248024初治菌阳肺结核结核病定点医院住院治疗60%450060%378040%300040%252025肺脓肿伴肺炎内科住院治疗70%882070%749050%630050%535026支气管肺癌经胸腔镜肺叶切除术（含淋巴结清扫）70%3150070%2674070%3150070%2674027肺良性肿瘤经胸腔镜肺肿瘤切除术70%2800070%2380050%2000050%1700028支气管扩张直视下肺叶或肺段切除术70%2030070%1722050%1450050%1230029支气管扩张经胸腔镜肺或肺段切除术70%2100070%1785050%1500050%1275030自发性气胸胸腔闭式引流70%630070%525050%450050%375031胸腺肿瘤胸腺肿瘤切除术70%1960070%1666050%1400050%1190032原发性支气管肺癌直视下肺癌切除术70%3010070%1855070%3010070%1855033动脉导管未闭经皮穿刺动脉导管未闭封堵术（含封堵材料）80%1520080%1280034房间隔缺损体外循环下房间隔缺损缝合术80%3120080%2640035房间隔缺损体外循环下房间隔缺损补片修补术（含补片材料）80%3280080%2784036室间隔缺损体外循环下室间隔缺损缝合术80%2480080%2104037室间隔缺损体外循环下室间隔缺损补片修补术（含补片材料）80%2880080%2448038风湿性心脏病二尖瓣病变体外循环下二尖瓣置换术70%3850070%3269050%2750050%2335039冠心病不稳定性心绞痛冠状动脉造影检查70%700070%588050%500050%420040主动脉瓣病变体外循环下主动脉瓣置换术70%3920070%3332050%2800050%2380041急性ST段抬高心肌梗死经皮冠状动脉支架置入术70%1680070%1428070%1680070%1428042病态窦房结综合征单腔永久起搏器安置术70%1400070%1190050%1000050%850043病态窦房结综合征双腔永久起搏器安置术70%1505070%1274050%1075050%910044室上性心动过速经血管心脏射频消融术70%1715070%1456050%1225050%1040045室性心动过速经血管心脏射频消融术70%1715070%1456050%1225050%1040046儿童急性早幼粒细胞白血病（APL）-初治患者初治化疗（含化疗药物）70%2310070%1960047儿童急性淋巴细胞白血病（ALL）-初治患者初治化疗（含化疗药物）70%1960070%1666048胃癌腹腔镜下根治性近端胃大部切除术70%3150070%2674070%3150070%2674049胃癌直视下根治性近端胃大部切除术70%3010070%2555070%3010070%2555050胃癌直视下根治性远端胃大部切除术70%2800070%2380070%2800070%2380051胃癌腹腔镜下根治性远端胃大部切除术70%3045070%2583070%3045070%2583052胃十二指肠溃疡腹腔镜下远端胃大部切除术70%1960070%1666050%1400050%1190053急性阑尾炎腹腔镜下阑尾切除术60%540060%456040%360040%304054直肠息肉或直肠良性肿瘤内镜下行直肠病损切除60%270060%228040%180040%152055单侧腹股沟斜疝腹腔镜下腹股沟斜疝修补术60%384060%324040%256040%216056单侧腹股沟斜疝直视下腹股沟斜疝修补术60%264060%222040%176040%148057下肢静脉曲张经皮大隐静脉腔内激光闭合术60%390060%330040%260040%220058原发性甲状腺功能亢进直视下单双侧甲状腺次全切除术60%720060%612040%480040%408059胆囊息肉腹腔镜（胆道镜）下胆囊切除术60%600060%504040%400040%336060胆囊结石伴急性胆囊炎（无胆管炎）直视下胆囊切除术60%600060%504040%400040%336061胆囊结石伴急性胆囊炎（无胆管炎）腹腔镜下胆囊切除术60%720060%612040%480040%408062胆管结石伴胆囊炎（无胆管炎）直视下胆总管切开取石+胆囊切除70%1120070%952050%800050%680063胆管结石伴胆管炎（无胆囊炎）腹腔镜下胆总管切开取石术70%1820070%1540050%1300050%1100064血栓性外痔局麻下血栓性外痔切除术60%240060%204040%160040%136065胆囊结石伴慢性胆囊炎腹腔镜下胆囊切除术60%660060%552040%440040%368066贲门失弛缓症经胃镜食管下段贲门肌层切开术60%510060%432040%340040%288067结肠癌直视下半结肠切除术（含淋巴结清扫）70%2800070%2352070%2800070%2352068结肠癌腹腔镜下半结肠切除术（含淋巴结清扫）70%2870070%2415070%2870070%2415069直肠癌直视下会阴直肠癌根治术(Miles手术)（含淋巴结清扫）70%2800070%2352070%2800070%2352070直肠癌腹腔镜下会阴直肠癌根治术(Miles手术)（含淋巴结清扫）70%3045070%2562070%3045070%2562071急性肠套叠直视下肠套叠手术复位或肠切除术60%600060%504040%400040%336072急性化脓性阑尾炎（含阑尾穿孔或阑尾周围脓肿）直视下阑尾切除术60%600060%504040%400040%336073结肠息肉或结肠良性肿瘤内镜下结肠病损或息肉切除术60%240060%204040%160040%136074肾癌腹腔镜下根治性肾切除术（含淋巴结清扫）70%1995070%1694050%1425050%1210075肾癌腹腔镜下肾部分切除术（含淋巴结清扫）70%2240070%1904050%1600050%1360076膀胱癌腹腔镜下根治性膀胱全切术+盆腔淋巴结清扫术70%2800070%2380050%2000050%1700077膀胱肿瘤膀胱镜下经尿道肿瘤电切治疗70%1050070%889050%750050%635078单侧肾盂输尿管结石伴或不伴肾积水经尿道输尿管镜激光碎石取石术70%980070%826050%700050%590079良性前列腺增生经尿道前列腺切除术TURP手术70%1120070%952050%800050%680080肾结石伴或不伴肾积水经皮肾镜激光碎石取石术70%1260070%1064050%900050%760081精索静脉曲张（单侧）直视下精索静脉曲张高位结扎术60%312060%264040%208040%176082睾丸鞘膜积液