江西省基本医疗保险诊疗项目、医疗服务设施范围和支付标准目录.xls

江江西西省省基基本本医医疗疗保保险险诊诊疗疗项项目目、服服务务设设施施目目录录（20112011版版）服服务务项项目目医医保保编编码码财财务务分分类类服服务务项项目目编编码码项项目目名名称称项项目目内内涵涵69011010000100000000A110100001挂号费含门诊、急诊及其为患者提供就诊设施条件、病历档案袋、诊断书、收费清单69011010000101000000A110100001a门诊病历手册69011010000102000000A110100001b就诊卡69011010000103000000A110100001c计算机预约挂号60011020000100000000C110200001普通门诊诊查费指医护人员提供(技术劳务)的诊疗服务，包括营养善评估、儿童营养评估、营养咨询61011020000200000000C110200002专家门诊诊查费指高级职称医务人员提供(技术劳务)的诊疗服务，包括营养善评估、儿童营养评估、营养咨询60011020000300000000C110200003急诊诊查费指医护人员提供的24小时急救、急症的诊疗服务，包括营养善评估、儿童营养评估、营养咨询60011020000400000000C110200004门急诊留观诊查费含诊查、护理等，包括营养善评估、儿童营养评估、营养咨询60011020000500000000C110200005住院诊查费指医务人员技术劳务性服务，包括营养善评估、儿童营养评估、营养咨询61011030000100000000E110300001急诊监护费含监护、床位、诊查、护理60011040000100000000E110400001院前急救费包括内脏衰竭、外伤、烧伤、中毒、溺水、电击等现场急救；不含出诊费、诊查费、监护费69011050000100000000D110500001体检费含内、外（含皮肤）、妇（含宫颈刮片）、五官等科的常规检查、写总检报告69011060000100000000L110600001救护车费含来回里程；不含院前急救69011070000100000000L110700001病房取暖费69011070000101000000L110700001a干部病房69011080000100000000L110800001病房空调降温费69011080000101000000L110800001a干部病房空调降温费60011090000100000000B110900001病房床位费（限价）含病床、床头柜、座椅(或木凳)、床垫、棉褥、棉被(或毯)、枕头、床单、病人服装、热水瓶、洗脸盆、废品袋(或篓)、大小便器等；使用一次性床被单、洗脸盆、大小便器等由病人自愿购买。61011090000200000000B110900002层流洁净病房床位费指达到规定洁净级别、有层流装置,风淋通道的层流洁净间；采用全封闭管理，有严格消毒隔离措施及对外通话系统61011090000300000000B110900003监护病房床位费指配有中心监护台、心电监护仪及其他监护抢救设施，符合ICU、CCU标准的单人或多人监护病房，相对封闭管理。61011090000400000000B110900004特殊防护病房床位费指核素内照射治疗病房等61011090000500000000B110900005急诊观察床位费69011100000100000000E111000001院际会诊包括营养会诊60011100000200000000E111000002院内会诊包括营养会诊69011100000300000000E111000003远程会诊包括营养会诊61012010000100000000H120100001重症监护含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，作好重症监护记录及各种管道与一般性生活护理，含压疮护理、放疗后皮肤护理61012010000200000000H120100002特级护理含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，作好各种管道与一般性生活护理，含压疮护理、放疗后皮肤护理60012010000300000000H120100003级护理含需要护士每15-30分钟巡视观察一次，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，含压疮护理、放疗后皮肤护理60012010000400000000H120100004级护理含需要护士定时巡视一次，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，含压疮护理、放疗后皮肤护理60012010000500000000H120100005级护理含需要护士每日巡视23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，含压疮护理、放疗后皮肤护理61012010000600000000H120100006特殊疾病护理指气性坏疽、破伤风、艾滋病等特殊传染病的护理，含严格消毒隔离及一级护理内容，含压疮护理、放疗后皮肤护理60012010000700000000H120100007新生儿护理含新生儿洗浴、脐部残端处理、口腔、皮肤及会阴护理，含压疮护理、放疗后皮肤护理61012010000701000000H120100007a早产儿或病儿护理含压疮护理、放疗后皮肤护理61012010000800000000H120100008新生儿特殊护理包括新生儿干预、抚触、肛管排气、呼吸道清理、药浴、油浴等，含压疮护理、放疗后皮肤护理60012010000900000000H120100009精神病护理，含压疮护理、放疗后皮肤护理60012010000901000000H120100009a精神病护理（狂躁性精神病护理加收），含压疮护理、放疗后皮肤护理60012010001000000000H120100010气管切开护理含吸痰、药物滴入、定时消毒、更换套管及纱布，含压疮护理、放疗后皮肤护理，包括气管插管护理60012010001100000000H120100011吸痰护理含叩背、吸痰，不含雾化吸入，含压疮护理、放疗后皮肤护理61012010001200000000H120100012造瘘护理，含压疮护理、放疗后皮肤护理60012010001300000000H120100013动静脉置管护理，含压疮护理、放疗后皮肤护理60012010001400000000H120100014一般专项护理（口腔护理、褥疮护理、会阴冲洗）包括口腔护理、褥疮护理、会阴冲洗.69012010001401000000H120100014a一般专项护理（其他）包括床上洗发、擦浴等，含压疮护理、放疗后皮肤护理等69012010001402000000H120100014b一般专项护理（使用医用气垫床加收）使用医用气垫床加收61012010001500000000H120100015机械辅助排痰指无力自主排痰的机械震动辅助治疗60012020000100000000E120200001大抢救指 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。60012020000200000000E120200002中抢救指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60012020000300000000E120200003小抢救指 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60012030000100000000E120300001氧气吸入包括低流量给氧、中心给氧、氧气创面治疗61012030000102000000E120300001b氧气吸入（袋装氧气）包括高频给氧，氧气袋60012040000100000000E120400001肌肉注射包括皮下、皮内注射69012040000101000000E120400001a肌肉注射（快速过敏皮试试验加收）包括皮下、皮内注射60012040000200000000E120400002静脉注射60012040000201000000E120400002a静脉注射（小儿加收）60012040000202000000E120400002b静脉采血60012040000300000000E120400003心内注射60012040000400000000E120400004动脉加压注射包括动脉采血60012040000500000000E120400005皮下输液（第一组）60012040000501000000E120400005a皮下输液（第二组起）第二组起收费标准60012040000600000000E120400006静脉输液（第一组）包括输血、注药60012040000601000000E120400006a静脉输液（第二组起）第二组起收费标准69012040000602000000E120400006b静脉输液（使用微量泵或输液泵加收）包括输血、注药69012040000603000000E120400006c静脉输液（使用一次性自动止液器加收）包括输血、注药60012040000700000000E120400007小儿头皮静脉输液（第一组）包括输血、注药60012040000701000000E120400007a小儿头皮静脉输液（第二组起）第二组起收费标准69012040000702000000E120400007b小儿头皮静脉输液（使用微量泵或输液泵加收）包括输血、注药60012040000800000000E120400008静脉高营养治疗含静脉营养配置60012040000900000000E120400009静脉切开置管术60012040001000000000E120400010静脉穿刺置管术60012040001100000000E120400011中心静脉穿刺置管术包括深静脉穿刺置管术60012040001200000000E120400012动脉穿刺置管术60012040001300000000E120400013抗肿瘤化学药物配置69012040007c00000000E12040007c小儿头皮静脉输液（使用一次性自动止液器加收）包括输血、注药69012040600000000000CX 120406000血液及血液成分61012040601000000000CX 120406010冰冻红细胞（异体血）61012040601100000000CX 120406011冰冻红细胞（自体血）61012040601200000000CX 120406012去白细胞红细胞悬液61012040601300000000CX 120406013去白细胞浓缩红细胞61012040601400000000CX 120406014单采少白细胞的血小板61012040601500000000CX 120406015洗涤单采血小板61012040601600000000CX 120406016单采粒细胞61012040601800000000CX 120406018RH阴性红细胞悬液61012040601900000000CX 120406019RH阴性浓缩红细胞61012040602000000000CX 120406020RH阴性冰冻血浆61012040602200000000CX 120406022机采去淋巴细胞61012040602300000000CX 120406023造血干细胞冷冻保存61012040602400000000CX 120406024外周血干细胞采集61012040602500000000CX 120406025自体血采集及4。C保存61012040602600000000CX 120406026病毒灭活冷沉淀凝血因子69012040602700000000L120406027用血服务费61012040610000000000CX 120406100全血61012040610100000000CX 120406101全血61012040617000000000CX 120406170RH阴性全血61012040617100000000CX 120406171RH阴性全血61012040620000000000CX 120406200洗涤红细胞61012040621000000000CX 120406210病毒灭活血浆61012040621100000000CX 120406211病毒灭活血浆61012040630000000000CX 120406300去白细胞红细胞61012040640000000000CX 120406400红细胞悬液61012040650000000000CX 120406500浓缩红细胞61012040660000000000CX 120406600血小板、白细胞61012040670000000000CX 120406700Rh阳性冷沉淀凝血因子61012040680000000000CX 120406800新鲜冰冻血浆61012040690000000000CX 120406900单采血小板61012040700000000000CX 120407000Rh阴性合成血61012040710000000000CX 120407100Rh阴性冷沉淀61012040720000000000CX 120407200年轻红细胞61012040730000000000CX 120407300普通冰冻血浆61012040740000000000CX 120407400去白细胞RH阴性冰冻红细胞61012040750000000000CX 120407500去白细胞RH阴性全血61012040760000000000CX 120407600去白细胞普通冰冻血浆61012040770000000000CX 120407700去白细胞全血61012040780000000000CX 120407800去白细胞新鲜冰冻血浆61012040790000000000CX 120407900Rh阴性冰冻红细胞60012050000100000000E120500001大清创缝合含敷料、清创包。包括术后创口二期缝合术。60012050000200000000E120500002中清创缝合含敷料、清创包。包括术后创口二期缝合术。60012050000300000000E120500003小清创缝合含敷料、清创包。包括术后创口二期缝合术。60012060000100000000E120600001特大换药包括拆线换药(含敷料、换药包)、外擦药物治疗60012060000200000000E120600002大换药包括拆线换药(含敷料、换药包)、外擦药物治疗60012060000300000000E120600003中换药包括拆线换药(含敷料、换药包)、外擦药物治疗60012060000400000000E120600004小换药包括拆线换药(含敷料、换药包)、外擦药物治疗60012070000100000000E120700001雾化吸入61012070000101000000E120700001a超声雾化61012070000102000000E120700001b高压泵、氧气雾化包括机械通气经呼吸机管道雾化给药60012080000100000000E120800001鼻饲管置管含胃肠营养滴入60012080000101000000E120800001a鼻饲管置管（注食、注药、十二指肠灌注加收）注食、注药、十二指肠灌注加收61012080000200000000E120800002肠内高营养治疗指经腹部造瘘置管的胃肠营养治疗，含肠营养配置。特指不能进食的病人60012090000100000000E120900001胃肠减压含留置胃管抽胃液及间断减压；包括负压引流、引流管引流60012100000100000000E121000001 洗胃61012100000101000000E121000001a 洗胃（机器洗胃加收）机器洗胃加收60012110000100000000E121100001一般物理降温包括酒精擦浴及冰袋等方法61012110000200000000E121100002特殊物理降温指使用专用降温设备等方法69012120000100000000E121200001坐浴69012130000100000000E121300001冷热湿敷60012140000100000000E121400001引流管冲洗换药、特殊药物、一次性电动脉冲冲洗吸引器60012140000101000000E121400001a胸、腹腔冲洗换药、特殊药物、一次性电动脉冲冲洗吸引器61012140000102000000E121400001b持续冲洗换药、特殊药物、一次性电动脉冲冲洗吸引器60012150000100000000E121500001灌肠包括一般灌肠、保留灌肠、三通氧气灌肠61012150000200000000E121500002清洁灌肠包括经肛门清洁灌肠及经口全消化道清洁洗肠60012160000100000000E121600001导尿包括一次性导尿和留置导尿60012160000101000000E121600001a导尿（留置导尿次日起计价）留置导尿次日起每日收费60012160000200000000E121600002膀胱冲洗61012160000300000000E121600003持续膀胱冲洗包括加压持续冲洗60012170000100000000E121700001肛管排气含一次性肛管及手套、垫单69013010000100000000D130100001婴幼儿健康体检含挂号、诊查、评估69013020000100000000D130200001儿童龋齿预防保健含4岁至学龄前儿童按齿科常规检查69013030000100000000E130300001家庭巡诊含了解服务对象健康状况、指导疾病治疗和康复、进行健康咨询69013040000100000000E130400001围产保健访视含出生至满月访视，对围产期保健进行指导，如母乳喂养、产后保健等69013050000100000000E130500001传染病访视含指导家庭预防和疾病治疗、康复60013060000100000000L130600001家庭病床建床费含建立病历和病人全面检查60013060000200000000E130600002家庭病床巡诊费含定期查房和病情记录69013070000100000000E130700001出诊69013080000100000000L130800001建立健康档案69013090000100000000L130900001健康咨询指个体健康咨询69013090000200000000L130900002疾病健康教育指群体健康教育69014010000100000000L140100001尸体料理指尸体常规清洁处理及包裹，不含专业性尸体整容69014010000200000000L140100002专业性尸体整容指伤残尸体整容69014010000300000000L140100003尸体存放69014010000400000000L140100004离体残肢处理包括死婴处理60021010100100000000D210101001普通透视包括胸、腹、盆腔、四肢等60021010100200000000D210101002食管钡餐透视含胃异物、心脏透视检查61021010100300000000D210101003床旁透视与术中透视包括透视下定位60021010100400000000E210101004C型臂术中透视包括透视下定位60021010200100000000D21010200157吋60021010200200000000D210102002810吋60021010200300000000D2101020031012吋包括717吋60021010200400000000D2101020041114吋60021010200500000000D2101020051215吋60021010200600000000D2101020061414吋60021010200700000000D2101020071417吋60021010200800000000D210102008牙片 60021010200900000000D210102009咬合片 60021010201000000000D210102010曲面体层摄影(颌全景摄影)60021010201100000000D210102011头颅定位测量摄影60021010201200000000D210102012眼球异物定位摄影不含眼科放置定位器操作60021010201300000000D210102013乳腺钼靶摄片 810吋60021010201400000000D210102014乳腺钼靶摄片 1824吋60021010201500000000D210102015数字化摄影(DR)含数据采集、存贮、图像显示60021010201501000000D210102015a数字化摄影(CR)含数据采集、存贮、图像显示60021010300100000000D210103001气脑造影60021010300200000000D210103002脑室碘水造影60021010300300000000D210103003脊髓(椎管)造影60021010300400000000D210103004椎间盘造影60021010300500000000D210103005泪道造影60021010300600000000D210103006副鼻窦造影60021010300700000000D210103007颞下颌关节造影60021010300800000000D210103008支气管造影60021010300900000000D210103009乳腺导管造影60021010301000000000D210103010唾液腺造影60021010301100000000D210103011下咽造影60021010301200000000D210103012食管造影60021010301300000000D210103013上消化道造影含食管、胃、十二指肠造影60021010301400000000D210103014胃肠排空试验指钡餐透视法60021010301500000000D210103015小肠插管造影 60021010301600000000D210103016口服法小肠造影含各组小肠及回盲部造影60021010301700000000D210103017钡灌肠大肠造影含气钡双重造影60021010301800000000D210103018腹膜后充气造影60021010301900000000D210103019口服法胆道造影60021010302000000000D210103020静脉胆道造影61021010302100000000D210103021经内镜逆行胰胆管造影(ERCP)61021010302200000000D210103022经皮经肝胆道造影(PTC)60021010302300000000D210103023T管造影60021010302400000000D210103024静脉泌尿系造影60021010302500000000D210103025逆行泌尿系造影60021010302600000000D210103026肾盂穿刺造影60021010302700000000D210103027膀胱造影60021010302800000000D210103028阴茎海绵体造影60021010302900000000D210103029输精管造影60021010303000000000D210103030子宫造影60021010303100000000D210103031子宫输卵管碘油造影60021010303200000000D210103032四肢淋巴管造影60021010303300000000D210103033窦道及瘘管造影60021010303400000000D210103034四肢关节造影60021010303500000000D210103035四肢血管造影62021020000100000000D210200001磁共振平扫62021020000101000000D210200001a磁共振平扫62021020000102000000D210200001b磁共振平扫62021020000103000000D210200001c磁共振平扫62021020000200000000D210200002磁共振增强扫描62021020000201000000D210200002a磁共振增强扫描62021020000202000000D210200002b磁共振增强扫描62021020000203000000D210200002c磁共振增强扫描62021020000300000000D210200003脑功能成像 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60022010000200000000D220100002临床操作的A超引导60022010000300000000D220100003眼部A超 60022010000301000000D220100003a眼部A超60022020100100000000D220201001单脏器B超检查60022020100101000000D220201001a单脏器B超检查（第二个起加收）从第二个脏器起每增加一个脏器加收60022020100200000000D220201002B超常规检查包括胸部(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、附件、膀胱及周围组织)、产科(含胎儿及宫腔)60022020100201000000D220201002aB超常规检查（每增加一个部位加收）每增加一个部位加收60022020100300000000D220201003胸腹水B超检查及穿刺定位60022020100400000000D220201004胃肠充盈造影B超检查含胃、小肠及其附属结构60022020100500000000D220201005大肠灌肠造影B超检查含大肠及其附属结构61022020100600000000D220201006输卵管超声造影含临床操作，含宫腔、双输卵管60022020100700000000D220201007浅表组织器官B超检查61022020100800000000D220201008床旁B超检查包括术中B超检查60022020100900000000D220201009临床操作的B超引导60022020200100000000D220202001经阴道B超检查含子宫及双附件60022020200200000000D220202002经直肠B超检查含前列腺、精囊、尿道、直肠60022020200300000000D220202003临床操作的腔内B超引导60022020300100000000D220203001胃充盈及排空功能检查指造影法60022020300200000000D220203002小肠充盈及排空功能检查指造影法60022020300300000000D220203003胆囊和胆道收缩功能检查指造影法69022020300400000000D220203004胎儿生物物理相评分含呼吸运动、肌张力、胎动、羊水量、无刺激试验60022020300500000000D220203005膀胱残余尿量测定62022030100100000000D220301001彩色多普勒超声常规检查包括胸部(含肺、胸腔、纵隔)、腹部(含肝、胆、胰、脾)、?胃肠道、泌尿系(含双肾、输尿管、膀胱、前列腺)、妇科(含子宫、附件、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）62022030100101000000D220301001a彩色多普勒超声常规检查（腹膜后肿物加收）腹膜后肿物加收62022030100200000000D220301002浅表器官彩色多普勒超声检查62022030200100000000D220302001颅内段血管彩色多普勒超声62022030200200000000D220302002球后全部血管彩色多普勒超声62022030200300000000D220302003颈部血管彩色多普勒超声包括颈动脉、颈静脉及椎动脉62022030200301000000D220302003a颈部血管彩色多普勒超声（每增加两根血管加收）每增加两根血管加收62022030200400000000D220302004门静脉系彩色多普勒超声62022030200500000000D220302005腹部大血管彩色多普勒超声62022030200600000000D220302006四肢血管彩色多普勒超声62022030200601000000D220302006a四肢血管彩色多普勒超声（每增加两根血管加收）每增加两根血管加收62022030200700000000D220302007双肾及肾血管彩色多普勒超声62022030200800000000D220302008左肾静脉“胡桃夹”综合征检查69022030200900000000D220302009药物血管功能试验指用于阳痿测定等69022030201000000000D220302010脏器声学造影包括肿瘤声学造影62022030201100000000D220302011腔内彩色多普勒超声检查包括经阴道、经直肠62022030201200000000D220302012临床操作的彩色多普勒超声引导61022040000100000000D220400001颅内多普勒血流图(TCD)61022040000200000000D220400002四肢多普勒血流图61022040000300000000D220400003多普勒小儿血压检测69022050000100000000D220500001脏器灰阶立体成像69022050000200000000D220500002能量图血流立体成像61022060000100000000D220600001普通心脏M型超声检查指黑白超声仪检查，含常规基本波群61022060000200000000D220600002普通二维超声心动图指黑白超声仪检查，含心房、心室、心瓣膜、大动脉等超声检查61022060000300000000D220600003床旁超声心动图指黑白超声仪检查，含心房、心室、心瓣膜、大动脉等超声检查61022060000400000000D220600004心脏彩色多普勒超声含各心腔及大血管血流显像61022060000401000000D220600004a心脏彩色多普勒超声（胎儿检查加收）含各心腔及大血管血流显像61022060000402000000D220600004b心脏彩色多普勒超声（双胎以上加收）含各心腔及大血管血流显像61022060000500000000D220600005常规经食管超声心动图含心房、心室、心瓣膜、大动脉等结构及血流显像61022060000600000000D220600006术中经食管超声心动图含术前检查或术后疗效观察61022060000700000000D220600007介入治疗的超声心动图监视69022060000800000000D220600008右心声学造影指普通二维心脏超声检查，含心腔充盈状态、分流方向、分流量与返流量等检查61022060000900000000D220600009负荷超声心动图指普通心脏超声检查，包括药物注射或运动试验；不含心电与血压监测61022060001000000000D220600010左心功能测定指普通心脏超声检查或彩色多普勒超声检查，含心室舒张容量(EDV)、射血分数(EF)、短轴缩短率(FS)、每搏输出量(SV)、每分 输出量(CO)、心脏指数(CI)等61