岳阳公立医院首批按病种收费标准表171229

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01.09or01.24or01.31or01.3917000143004BZ00004三叉神经痛（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06.39013or06.390041000084006BZ00006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H40.202orH40.203orH40.206orH40.207小梁切除术或虹膜周边切除术12.64or12.14550046008BZ00008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13.41and13.7136003000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09.81003or09.8100430002500-2-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19.4004and18.119300790015BZ00015慢性化脓性中耳炎H66.1-H66.3经外耳道Ⅱ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28.2or28.37000590017BZ00017鼻中隔偏曲J34.2经鼻内镜鼻中隔偏曲矫正术21.5003or21.50046500550018BZ00018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）22.2or22.41003or22.42004-009or22.51002or22.520048800740020BZ00020喉癌C32喉全切除术30.3or30.4320002720021BZ00021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32.20or32.25or32.28400003400028BZ00028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32.413000025500-3-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C37orD09.3orD15.0orD38.4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32.29or32.39or32.49or32.594300026500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35.71and39.61390003300035BZ00035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）39.61and(35.61or35.51001)410003480036BZ00036室间隔缺损Q21.0体外循环下室间隔缺损缝合术35.72and39.61310002630037BZ00037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）(35.62or35.53001)and39.61360003060038BZ00038风湿性心脏病二尖瓣病变I05体外循环下二尖瓣置换术（35.23or35.24）and39.615500046700人工瓣膜39BZ00039冠心病不稳定性心绞痛I20.0orI20.1orI20.802冠状动脉造影检查88.55-88.5710000840040BZ00040主动脉瓣病变I06orI35orQ23.0-Q23.1orQ23.804orQ23.807orQ23.810orQ23.812orQ23.901体外循环下主动脉瓣置换术（35.22or35.21）and39.615600047600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37.81or37.822000017000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37.26and37.340012450020800-4-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43.5and54.21001450003820049BZ00049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（43.6001-43.6006）or43.7001400003400051BZ00051胃癌C16腹腔镜下根治性远端胃大部切除术43.6007or43.7005435003690052BZ00052胃十二指肠溃疡K25-K27腹腔镜下远端胃大部切除术43.6007or43.7005280002380053BZ00053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K62.1orD12.8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53.02010or53.02011or17.1264005400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53.02001or53.02005or53.0444003700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06.39004or06.39013120001020059BZ00059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51.41and51.221600013600-5-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42.7and54.210018500720067BZ00067结肠癌C18直视下半结肠切除术（含淋巴结清扫）45.73—45.79400003360068BZ00068结肠癌C18腹腔镜下半结肠切除术（含淋巴结清扫）17.33or17.39410003450069BZ00069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46.80-46.82or45.6-45.710000840072BZ00072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-D12.7orK51.4orK63.5内镜下结肠病损或息肉切除术45.42or45.43008-45.4301240003400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）55.51003or55.51004285002420075BZ00075肾癌C64腹腔镜下肾部分切除术（含淋巴结清扫）55.4001320002720076BZ00076膀胱癌C67腹腔镜下根治性膀胱全切术+盆腔淋巴结清扫术57.71003and(40.3or40.5)400003400077BZ00077膀胱肿瘤C67orD09.0orD30.3orD41.4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N13.2orN20.2经尿道输尿管镜激光碎石取石术56.0004or56.00091400011800-6-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[