岳阳公立医院首批按病种收费标准表171229文档格式.docx

1、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单眼巩膜外加压术12.8800111BZ00011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 09.810042500耳和乳突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

2、镜I型鼓室成形术19.4 004 and 18.119300790015BZ00015经外耳道型鼓室成形术19.521200010200人工听小骨鼻咽喉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 004650018BZ00018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）30.0901520019BZ00019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

3、 22.42004-009 or 22.51002 or 22.520048800740020BZ00020喉癌C32喉全切除术30.3 or 30.4320002720021BZ00021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06.77300呼吸系统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1070026BZ00026支气管肺癌C

4、34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32.492460029BZ00029经胸腔镜肺或肺段切除术300002550030BZ00030自发性气胸J93.0-J93.1胸腔闭式引流34.04003900031BZ00031胸腺肿瘤C37 or D09.3 or D15.0 or D38.4胸腺肿瘤切除术07.83-07.8432BZ00032原发性支气管肺癌直视下肺癌切除术32.29

5、or 32.39 or 32.49 or 32.594300026500循环系统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体外循环下室间隔缺

6、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88.55-88.5740BZ00040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（35.2

7、2 or 35.21） and 39.61560004760041BZ00041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 37.8220000起搏器43BZ00043双腔永久起搏器安置术37.83215001820044BZ00044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I47.21237.26 and 37.34001血液、造血器官、免疫系统疾病46BZ00046儿童

8、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）47BZ00047儿童急性淋巴细胞白血病（ALL）-初治患者C91.0消化系统48BZ00048胃癌C16腹腔镜下根治性近端胃大部切除术43.5 and 54.2100149BZ00049直视下根治性近端胃大部切除术43.53650050BZ00050直视下根治性远端胃大部切除术（43.6 001-43.6 006） or 43.7 00151BZ00051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53BZ

9、00053急性阑尾炎K35.9腹腔镜下阑尾切除术47.0154BZ00054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48.3600155BZ00055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 17.125400人造补片56BZ00056直视下腹股沟斜疝修补术53.02001 or 53.02005 or 53.044400370057BZ00057下肢静脉曲张I83经皮大隐静脉腔内激光闭合术38.5900358BZ00058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 0

10、6.3901359BZ00059胆囊息肉K82.808腹腔镜（胆道镜）下胆囊切除术51.2360BZ00060胆囊结石伴急性胆囊炎（无胆管炎）K80.0 直视下胆囊切除术51.2261BZ00061腹腔镜下胆囊切除术62BZ00062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 51.221360063BZ00063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K80.11100

11、0920066BZ00066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）45.7345.793360068BZ00068腹腔镜下半结肠切除术（含淋巴结清扫）17.33 or 17.393450069BZ00069直肠癌C20直视下会阴直肠癌根治术（Miles手术）（含淋巴结清扫）48.5270BZ00070腹腔镜下会阴直肠癌根治术（Miles手术）（含淋巴结清扫）48.513660071BZ00071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 o

12、r 45.6-45.772BZ00072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47.0973BZ00073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 45.43008-45.43012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 55.51004285002420075BZ00075C64 腹腔镜下肾部分切除术（含淋巴结清扫）55.4 00176BZ00076膀胱癌C67腹腔镜下根治性膀胱全切术+盆腔淋巴结清扫术

13、57.71003 and （40.3 or 40.5）77BZ00077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57.491270078BZ00078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60.2900280BZ00080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

14、脉曲张（单侧）I86.1直视下精索静脉曲张高位结扎术63.1 00282BZ00082睾丸鞘膜积液N43.0-N43.3 or P83.5直视下睾丸鞘膜翻转术61.4900183BZ00083前列腺癌C61经尿道前列腺切除术60.22500021000女性生殖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 65.3186BZ00086卵巢良性肿瘤D27腹腔镜下卵巢肿瘤切除术87BZ00087直视下卵巢肿瘤切除

15、术65.39 or 65.22 or 65.2988BZ00088输卵管妊娠O00.1直视下单侧输卵管切除术66.620018000670089BZ00089腹腔镜下单侧输卵管切除术66.62002960090BZ00090腹腔镜下单侧输卵管开窗术66.01001 or 66.0200291BZ00091子宫平滑肌瘤D25直视下全子宫切除术68.4911500970092BZ00092腹腔镜下子宫肌瘤切除术68.29004 or 68.29005 or 68.29008 or 68.29010 or 68.2901193BZ00093子宫粘膜下平滑肌瘤D25.0宫腔镜下子宫肌瘤切除术68.29

16、014 or 68.29015 or 68.29017560094BZ00094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 65.632020095BZ00095直视下全子宫广泛性切除术+双附件切除（68.69 or 68.79） and 65.611680096BZ00096腹腔镜全子宫切除术或子宫广泛性切除术68.4118500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）!=74肌肉骨骼系统和结缔组织疾病98BZ00098腰椎间盘突出症M51.202

17、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 80.5103499BZ00099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 81.47013100BZ00100股骨颈骨折S72.0全髋人工关节置换术81.5121400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

18、（含人工材料）79.71 or 79.81 or 81.82） and 80.2122300102BZ00102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）79.35104BZ00104无菌性股骨头坏死M87.851直视下全髋人工关节置换术皮肤、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 85.44其他106BZ001

19、06-1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每月4200-2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支付比例支付金额60%4560384040%3040256070%143501218050%1025087001190010010715020300170801450012200600050403360105008820330027602200184021601800144012002520168016101400920800