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《中央、军队、武警、省属驻穗非营利性医疗机构医疗服务价格》使用说明一、《中央、军队、武警、省属驻穗非营利性医疗机构医疗服务价格》（以下简称《医疗服务价格》）是根据卫生部、国家中医药管理局、原国家计委制定的《全国医疗服务价格项目规范（试行）》（2001年版）归并的。二、《医疗服务价格》所列医疗服务价格项目为基本医疗服务项目，不包括：特需医疗服务价格项目、非医疗的经营性服务项目、仅用于医学科研目的的项目、技术尚不成熟的新技术服务项目和预防保健机构提供的公共卫生服务项目。三、《医疗服务价格》所列医疗服务价格项目共计3966项，采用五级分类法。其中第一级分为综合医疗服务类、医技诊疗类、临床诊疗类、中医及民族医诊疗类。每类下可设第二至四级分类，第五级为医疗服务价格终极项目。其中临床诊疗类中“临床各系统诊疗”和“手术治疗”两类参照国际疾病分类（ICD-9-CM）的分类格式，按解剖部位从上至下，由近端到远端，由浅层到深层原则排序。项目分类的基本框架举例如下：医疗服务价格项目综合医疗服务类医技诊疗类临床诊疗类中医及民族医诊疗类1234（一级分类）临床各系统诊疗经血管介入性治疗手术治疗物理治疗与康复31323334（二级分类）麻醉神经系统手术内分泌系统手术眼部手术耳部手术……33013302330333043305……（三级分类）眼睑手术泪器手术结膜手术角膜手术虹膜睫状体和前房手术……330401330402330403330404330405……（四级分类）330404001表层角膜镜片镶嵌术（第五级：终极项目）330404002近视性放射状角膜切开术……四、每项医疗服务价格项目设“财务分类”、“编码”、“项目名称”、“项目内涵”、“除外内容”、“计价单位”、“价格”和“说明”八个栏目。1.财务分类财务分类是根据财政部和卫生部颁布的《医院财务制度》规定的医疗收入项目类别确定的，财务分类码采用大写英文字母，其中：A为挂号费、B为床位费、C为诊查费、D为检查费、E为治疗费、F为护理费、G为手术费、H为化验费、I为其他费。2.项目编码项目编码采用顺序码，设为9位。从左至右第1位为一级分类码，第2位为二级分类码，第3－4位为三级分类码，第5－6位为四级分类码，第7－9位为项目顺序码。部分类别项目因分类简单，无第三、四级分类，分类编码记为“00”。3.项目名称为中文标准名称，部分项目名称中在括号内列出西文名称或缩写。4.项目内涵用于规范项目的服务范围、内容、方式和手段。项目内涵使用“含”、“包括”、“不含”三个专用名词进行界定：⑴含：表示在医疗服务项目中应当提供的服务内容，这些服务内容不得单独分解收费。但在特殊情况下，由于患者病情需要只提供其中部分服务内容,也按此项标准计价。⑵包括：在“包括”后面所列的不同服务内容和不同技术方法，均按本项目同一价格标准计价。⑶不含：在“不含”后面所列的服务内容应单独计价。5.除外内容指在医疗服务项目中需要另行收费的药物、特殊医用消耗材料和组织器官移植的供体等。6.计价单位指提供该项目服务时的基本计价方式。7.价格指完成该项目服务可以收取的费用。该价格为中央、军队、武警、省属驻穗非营利性医疗机构医疗服务政府指导价的上限。8.说明指本项目在定价时需要特殊说明的相关事宜。五、关于项目查找的说明为精简项目数量，《医疗服务价格》对于一些服务性质相同且成本相近的项目进行了适当归并。在查找中请注意项目内涵中“包括”的内容。多科室共同使用的项目统一归入综合医疗服务类。临床各系统诊疗类和手术治疗类项目不按临床科室列项，请参照国际疾病分类顺序，按照相应的解剖系统和部位查找。两个以上医技科室均可开展的医技诊疗项目，查找时请注意医技诊疗类的说明。技术尚不成熟的新技术项目，暂不立项。请根据有关规定申请立项，另行定价。六、需要说明的几点问题1.在同一项医疗技术服务项目中，由于增加技术难度、增加（或减少）诊疗范围或使用特殊仪器，可按规定的比例增加（或减少）费用。2.在同一服务内容中，《医疗服务价格》不以设备、试剂的型号和产地分别立项。3.提供各项医疗服务必须按医嘱要求或护理记录进行，无医嘱要求或护理记录的服务项目不得收费。4．监护（监测）收费必须提供监护（监测）记录、监护（监测）结论报告等依据。5．收取各类片费、图文报告费，必须向患者提供胶片（图片）或图文报告，用于教学目的或医院存档目的的胶片（图片）和图文报告不得向患者收费。6．患者需使用“除外内容”中列明的需另外计费的特殊医用消耗材料时，医疗机构应事先征得患者或家属同意，未经患者或家属同意的，不得收费。一.综合医疗服务类·····························································································································1(一)一般医疗服务······································································································································11.挂号费················································································································································12.诊查费·········································································································································13.急诊监护费······································································································································14.院前急救费······································································································································15.体检费······································································································································26.救护车费······································································································································27.取暖费··········································································································································28.空调降温费··········································································································································29.床位费··········································································································································210.会诊费··········································································································································4(二)一般检查治疗······································································································································41.护理费··········································································································································42.抢救费······································································································································63.氧气吸入······································································································································64.注射··········································································································································75.清创缝合······································································································································86.换药··············································································································································87.雾化吸入······································································································································88.鼻饲管置管··········································································································································89.胃肠减压·························································································