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["泉州市中医骨伤类和中医特殊疗法类医疗服务价格项目及公立医疗机构价格表"]
["序号","项目代码","项目名称","归集\n口径","服务产出","价格构成","计价\n单位","计价说明","价格\n(市级)","价格\n(县级)","价格\n(基层)","医保\n属性","医保限定支付范围","个人先行自付比例"]
[null,"43","（三）中医骨伤","使用说明:\n1.本类别以中医骨伤为重点，按照中医骨伤治疗方式的服务产出设立价格项目。医疗机构、医务人员实施中医骨伤过程中有关创新改良，采取“现有项目兼容”的方式简化处理，直接按照对应的整合项目执行即可。\n2.“价格构成”指项目价格应涵盖的各类资源消耗，用于确定计价单元的边界，是各级医疗保障部门制定调整项目价格考虑的测算因子，不应作为临床技术标准理解，不是实际操作方式、路径、步骤、程序的强制性要求，价格构成中包含，但个别临床实践中非必要、未发生的，无需强制要求公立医疗机构减计费用。所列“设备投入”包括但不限于操作设备、器具及固定资产投入。\n3.“加收项”指同一项目以不同方式提供或在不同场景应用时，确有必要制定差异化收费标准而细分的一类子项。\n4.“扩展项”指同一项目下以不同方式提供或在不同场景应用时，只扩展价格项目适用范围、不额外加价的一类子项，子项的价格按主项目执行。\n5.“基本物耗”指原则上限于不应或不必要与医疗服务项目分割的易耗品，包括但不限于各类消杀灭菌用品、标签、储存用品、清洁用品、个人防护用品、垃圾处理用品、冲洗液、润滑剂、棉球、棉签、纱布（垫）、护（尿）垫、手术巾（单）、治疗巾（单）、中单、治疗护理盘(包）、手术包、注射器、防渗漏垫、悬吊巾、压垫、棉垫、可复用的操作器具、各种针具刀具等。基本物耗成本计入项目价格，不另行收费。除基本物耗以外的其他耗材，按照实际采购价格零差率另行收费。\n6. “每关节”是指单个大关节（肩、肘、腕、髋、膝、踝）、颈椎、胸椎、腰椎、单侧手掌部关节、单侧足部关节、单侧颞颌关节、单侧肩锁关节、胸锁关节。\n7.“儿童”是指6岁及以下未成年人。\n8. 涉及“包括……”“……等”的，属于开放型表述，所指对象不仅局限于表述中列明的事项，也包括未列明的同类事项。"]
[1,"014300000010000","手法整复术（关节脱位）","治疗费","通过手法（或辅助器械）使脱位或紊乱关节复位。","所定价格涵盖摆位、整复、包扎、必要时固定等步骤，以及必要时使用辅助器械所需的人力资源和基本物质资源消耗。","每关节","指（趾）间关节脱位、下颌关节脱位、桡骨头半脱位减半收取。",495,446,380,"医保",null,null,500,450,380]
["分项","014300000010000","手法整复术（指（趾）间关节脱位、下颌关节脱位、桡骨头半脱位）","治疗费",null,null,"每关节",null,247.5,223,190,"医保",null,null,250,225,190]
["分项","014300000010001","手法整复术（关节脱位）-儿童（加收）","治疗费",null,null,"每关节","指（趾）间关节脱位、下颌关节脱位、桡骨头半脱位减半收取。",148.5,134,114,"医保",null,null,150,135,114]
["分项","014300000010001","手法整复术（指（趾）间关节脱位、下颌关节脱位、桡骨头半脱位）-儿童（加收）","治疗费",null,null,"每关节",null,{"v":74.5,"d":"74.50"},{"v":67,"d":"67.00"},57,"医保",null,null,75,67.5,57]
[2,"014300000020000","手法整复术（复杂关节脱位）","治疗费","通过手法（或辅助器械）使脱位复杂关节复位。","所定价格涵盖摆位、整复、包扎、必要时固定等步骤，以及必要时使用辅助器械所需的人力资源和基本物质资源消耗。","每关节","“复杂关节脱位”指寰枢椎、髋关节、骨盆等关节脱位以及陈旧性脱位。",990,892,760,"医保",null,null,1000,900,760]
["分项","014300000020001","手法整复术（复杂关节脱位）-儿童（加收）","治疗费",null,null,"每关节","“复杂关节脱位”指寰枢椎、髋关节、骨盆等关节脱位以及陈旧性脱位。",297,268,228,"医保",null,null,300,270,228]
[3,"014300000030000","手法整复术（骨伤）","治疗费","通过正骨手法（或辅助器械）使骨折或韧带损伤复位。","所定价格涵盖摆位、整复、包扎、必要时固定等步骤，以及必要时使用辅助器械所需的人力资源和基本物质资源消耗。","每处骨折","掌（跖）、指（趾）骨折减半收取",495,446,380,"医保",null,null,500,450,380]
["分项","014300000030000","手法整复术（掌（跖）、指（趾）骨折）","治疗费",null,null,"每处骨折",null,247.5,223,190,"医保",null,null,250,225,190]
["分项","014300000030001","手法整复术（骨伤）-儿童（加收）","治疗费",null,null,"每处骨折","掌（跖）、指（趾）骨折减半收取",148.5,134,114,"医保",null,null,150,135,114]
["分项","014300000030001","手法整复术（掌（跖）、指（趾）骨折）-儿童（加收）","治疗费",null,null,"每处骨折",null,{"v":74.5,"d":"74.50"},67,57,"医保",null,null,75,67.5,57]
[4,"014300000040000","手法整复术（复杂骨伤）","治疗费","通过正骨手法（或辅助器械）使复杂骨折或韧带损伤复位。","所定价格涵盖摆位、整复、包扎、必要时固定等步骤，以及必要时使用辅助器械所需的人力资源和基本物质资源消耗。","每处骨折","“复杂骨伤”指脊柱、骨盆、关节内等骨折以及陈旧性、粉碎性骨折。",1090,980,835,"医保",null,null,1100,990.0000000000001,835]
["分项","014300000040001","手法整复术（复杂骨伤）-儿童（加收）","治疗费",null,null,"每处骨折","“复杂骨伤”指脊柱、骨盆、关节内等骨折以及陈旧性、粉碎性骨折。",327,294,250.5,"医保",null,null,330,297,250.5]
[5,"014300000050000","小夹板固定术","治疗费","通过小夹板等各种外固定方式对骨折部位进行包扎固定。","所定价格涵盖摆位、固定等步骤所需的人力资源和基本物质资源消耗。","部位","掌（跖）、指（趾）骨折的小夹板固定按30%收取",190,180,160,"医保"]
["分项","014300000050000","小夹板固定术（掌（跖）、指（趾）骨折）","治疗费",null,null,"部位",null,57,54,48,"医保"]
["分项","014300000050001","小夹板固定术-儿童（加收）","治疗费",null,null,"部位","掌（跖）、指（趾）骨折的小夹板固定按30%收取",57,54,48,"医保"]
["分项","014300000050001","小夹板固定术（掌（跖）、指（趾）骨折）-儿童（加收）","治疗费",null,null,"部位",null,17.1,16.2,14.4,"医保"]
[6,"014300000060000","小夹板调整术","治疗费","根据患者复诊情况对小夹板等外固定装置进行调整。","所定价格涵盖观察、调整等步骤所需的人力资源和基本物质资源消耗。","部位",null,60,55,45,"医保"]
["分项","014300000060001","小夹板调整术-儿童（加收）","治疗费",null,null,"部位",null,18,16.5,13.5,"医保"]
[7,"014300000070000","中医复位内固定术","手术费","使用各种针具、钉具，以内固定方式复位固定骨折部位。","所定价格涵盖摆位、消毒、进针、牵拉复位、撬拨、包扎固定等步骤所需的人力资源和基本物质资源消耗。","每处骨折",null,1050,990,890,"医保"]
["分项","014300000070001","中医复位内固定术-儿童（加收）","手术费",null,null,"每处骨折",null,315,297,267,"医保"]
[8,"014300000080000","手法松解术","治疗费","通过理筋、松筋、弹拨等手法疏通经络、松解粘连、滑利关节。","所定价格涵盖摆位、手法疏通等步骤，以及必要时使用辅助器械所需的人力资源和基本物质资源消耗。","次","不与同部位中医推拿同时收费。关节错缝术参照手法松解术并市级按100元收取、县级按95元收取、基层按85元收取。",325,290,245,"医保"]
["分项","014300000080000","手法松解术（关节错缝术）","治疗费",null,null,"次",null,100,95,85,"医保"]
["分项","014300000080001","手法松解术-儿童（加收）","治疗费",null,null,"次","不与同部位中医推拿同时收费。儿童关节错缝术参照手法松解术并市级按30元收取、县级按28.5元收取、基层按25.5元收取。",97.5,87,73.5,"医保"]
["分项","014300000080001","手法松解术（关节错缝术）-儿童（加收）","治疗费",null,null,"次",null,30,28.5,25.5,"医保"]
[9,"014300000090000","手法挤压术","治疗费","通过抚触挤压腱鞘囊肿，使囊肿破裂。","所定价格涵盖定位、抚触、挤压等步骤所需的人力资源和基本物质资源消耗。","次",null,45,43,36,"医保"]
["分项","014300000090001","手法挤压术-儿童（加收）","治疗费",null,null,"次",null,13.5,12.9,10.799999999999999,"医保"]
[null,"46","（六）中医特殊疗法","使用说明:\n1.本类别以中医特殊疗法为重点，按照中医特殊疗法治疗方式的服务产出设立价格项目。医疗机构、医务人员实施中医特殊疗法过程中有关创新改良，采取“现有项目兼容”的方式简化处理，直接按照对应的整合项目执行即可。\n2“价格构成”指项目价格应涵盖的各类资源消耗，用于确定计价单元的边界，是各级医疗保障部门制定调整项目价格考虑的测算因子，不应作为临床技术标准理解，不是实际操作方式、路径、步骤、程序的强制性要求，价格构成中包含，但个别临床实践中非必要、未发生的，无需强制要求公立医疗机构减计费用。所列“设备投入”包括但不限于操作设备、器具及固定资产投入。\n3.“加收项”指同一项目以不同方式提供或在不同场景应用时，确有必要制定差异化收费标准而细分的一类子项。\n4.“扩展项”指同一项目下以不同方式提供或在不同场景应用时，只扩展价格项目适用范围、不额外加价的一类子项，子项的价格按主项目执行。\n5.“基本物耗”指原则上限于不应或不必要与医疗服务项目分割的易耗品，包括但不限于各类消杀灭菌用品、标签、储存用品、清洁用品、个人防护用品、垃圾处理用品、冲洗液、润滑剂、棉球、棉签、纱布（垫）、护（尿）垫、手术巾（单）、治疗巾（单）、中单、治疗护理盘(包）、手术包、注射器、防渗漏垫、悬吊巾、压垫、棉垫、可复用的操作器具、各种针具刀具等。基本物耗成本计入项目价格，不另行收费。除基本物耗以外的其他耗材，按照实际采购价格零差率另行收费。\n6.“针刀（钩活）疗法”的计价单位为“部位”，具体指：头部、颈部、胸部、腰部、腹部、臀部、四肢大关节及手足，一次部位多次进针的不叠加收费。\n7.“儿童”是指6岁及以下未成年人。\n8.涉及“包括……”“……等”的，属于开放型表述，所指对象不仅局限于表述中列明的事项，也包括未列明的同类事项。"]
[10,"014600000010000","针刀（钩活）疗法","治疗费","使用针刀、铍针、刃针等各种针刀具，对病变组织松解剥离，起到缓解症状或治疗疾病的作用。","所定价格涵盖定位、穿刺、剥离、包扎等人力资源和基本物质资源消耗。","部位",null,83,79,67,"医保"]
["分项","014600000010001","针刀（钩活）疗法-脊柱针刀疗法（加收）","治疗费",null,null,"部位",null,16,15,13,"医保"]
[11,"014600000020000","点穴疗法","治疗费","通过对穴位或局部点压施术，起到缓解症状或治疗疾病的作用。","所定价格涵盖定位、施压等人力资源和基本物质资源消耗。","次",null,33,31,26,"医保"]
[12,"014600000030000","中医烙法","治疗费","通过烙具烙烫病变部位，起到缓解症状或治疗疾病的作用。","所定价格涵盖定位、消毒、烙烫等人力资源和基本物质资源消耗。","次",null,125,115,95,"医保"]
["分项","014600000030001","中医烙法-儿童（加收）","治疗费",null,null,"次",null,37.5,34.5,28.5,"医保"]
[13,"014600000040000","白内障针拨术","治疗费","通过拨障针摘除晶状体混浊部分。","所定价格涵盖散瞳、消毒、开睑、切口、拨障针拨断晶状体悬韧带、晶体压入玻璃体腔、出针、闭合切口、包扎等人力资源和基本物质资源消耗。","单眼",null,475,450,385,"医保"]
[14,"014600000050000","足底反射疗法","治疗费","通过手法对足部反射区进行刺激，起到缓解症状或治疗疾病的作用。","所定价格涵盖泡洗、定位、穴位刺激等人力资源和基本物质资源消耗。","次","不与中医推拿同时收费。",42,40,34,"非医保"]
[15,"014600000060000","红皮病清消治疗","治疗费","针对红皮病病变部位进行清创处理、中药外敷，起到促进皮损愈合的作用。","所定价格涵盖消毒、清创、敷药、包扎等人力资源和基本物质资源消耗。","次",null,65,62.5,53.1,"医保"]