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1、附件2:岳阳市公立医院首批按病种收费原则表 计价单位:元 专业序号病种编码重要诊断主诊断编码重要操作/治疗方式重要操作/治疗方式编码收费原则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小时内采用静脉溶栓治疗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
2、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+淋巴打扫(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围切除术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 13.7136
3、003000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11.39230012BZ00012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
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19.52110200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个窦及如下)22.2 o
5、r 22.41003 or 22.4-009 or 22.51002 or 22.58800740020BZ00020喉癌C32喉全切除术30.3 or 30.432720021BZ00021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12600107
6、0026BZ00026支气管肺癌C34经胸腔镜肺叶切除术(含淋巴结打扫)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
7、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)410003480036BZ0
8、0036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积极脉瓣病变I06 or
9、I35 or Q23.0-Q23.1or Q23.804 or Q23.807 or Q23.810 or Q23.812 or Q23.901体外循环下积极脉瓣置换术(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单腔永久起搏器安顿术37.81 or 37.82017000起搏器43BZ00043病态窦房结综合征I49.5双腔永久起搏器安顿术37.832150018200起搏器44BZ00
10、044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小朋友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小朋友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 54.21001450003820049BZ
11、00049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
12、 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53.0 or 53.0 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53.0 or 53.0 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 06.3901311020059BZ00059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51.2311020062BZ00062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