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["附件4"]
["修订医疗服务价格项目表"]
["序号","财务分类","项目编码","项目名称","项目内涵","除外内容","计价单位","说明"]
[1,null,1102,"2．诊查费                           ","包括含营养状况评估、儿童营养评估、营养咨询、优生咨询。含门诊、急诊及其为患者提供候诊就诊设施条件、诊断书、收费收据。",null,null,"门诊注射、换药、针灸、理疗、推拿、血透、放射治疗按疗程收取一次诊查费。病历手册：16开以上每本1.5元，其他每本1元。"]
[2,"F",120100006,"特殊疾病护理","指甲类传染病、按甲类管理的乙类传染病、气性坏疽、破伤风、艾滋病等特殊传染病和耐药菌感染、器官及骨髓移植患者、核素剂量≥30mCi治疗患者的护理；含严格消毒隔离及一级护理内容。",null,"日","不另收级别护理费。"]
[3,"F",120100013,"动静脉置管护理","含换药、封管、拔管。","三通管,肝素锁,无针密闭输液接头，透明敷贴、预充式导管冲洗器","次","静脉留置针护理（含换药、封管）**元/日，不得另收冲管、封管用生理盐水和注射器费用；多个部位多个留置针护理的，按**元/日收费。"]
[4,"E",120900001,"胃肠减压","含留置胃管抽胃液及间断减压。","一次性胃管","日","引流管引流**元/日·部位，负压引流机加收**元/日"]
[5,null,1214,"14．引流管冲洗"]
[6,"E","121400001-2","引流管更换",null,"一次性引流装置","次","拔除引流管减半收费"]
[7,"E",121600004,"持续膀胱冲洗","包括加压持续冲洗持续腹腔冲洗。","一次性膀胱冲洗材料、生理盐水","日"]
[8,null,210102,"1.2 X线摄影","含曝光、冲洗、诊断和胶片等。",null,null,"1．一张胶片每增加1次曝光加收**元；2．体层摄影按层加收**元；3．床旁摄片加收**元；4．使用感绿片加收 30％ ；5.激光片加收30%；"]
[9,"D",210200003,"脑磁共振功能成象像","指使用APT、SWI、ASL、DWI、PWI、DTI、BOLD、DCE等方法。",null,"次"]
[10,"D",220301001,"彩色多普勒超声常规检查","包括胸部(含肺、胸腔、纵隔)、腹部(含肝、胆、胰、脾、)、腹膜后间隙软组织（含淋巴结）、胃肠道、泌尿系(含双肾、输尿管、膀胱、前列腺)、妇科(含子宫、附件、膀胱及周围组织)、产科(含胎儿及宫腔)、男性生殖系统（含睾丸、附睾、输精管、精索、前列腺）、肾上腺、腔内彩色多普勒超声检查。",null,"部位","胎儿产前诊断每胎次加收**元。彩色多普勒超声监测**元/次,每天收费最高不超过**元。"]
[11,"D",220301002,"浅表器官彩色多普勒超声检查",null,null,"每个部位","计价部位分为1．双眼及附属器；2．双涎腺及颈部淋巴结；3．甲状腺及颈部淋巴结；甲状腺、甲状旁腺及其引流区域淋巴结；4．乳腺（双侧）及其引流区淋巴结；5．上肢或下肢软组织；6．阴囊、双侧睾丸、附睾；7．颅腔；8．体表包块； 9．关节； 10．其他。"]
[12,"D",220400001,"颅内多普勒血流图(TCD)",null,null,"次  "]
[13,"D",220600005,"常规经食管超声心动图","含心房、心室、心瓣膜、大动脉等结构及血流显象；含普通心脏M型超声检查、普通二维超声心动图。包括术中超声心动图、介入治疗的超声心动图监视",null,"次"]
[14,"D",220600010,"左心功能测定","指普通心脏超声检查或彩色多普勒超声检查；含心室舒张容量(EDV)、射血分数(EF)、短轴缩短率(FS)、每搏输出量(SV)、每分输出量(CO)、心脏指数(CI)等。",null,"次"]
[15,"H","250303020S","血浆脂蛋白磷脂酶A2（Lp-PLA2）测定",null,null,"项","指酶联免疫法"]
[16,"H",270700003,"脱氧核糖核酸(DNA)测序","仅适用Sanger测序技术。",null,"项"]
[17,null,3,"三、临床诊疗类","5.（1）使用双电极电凝器(PK)刀加收800元，使用双极电凝钳加收600元，使用氩气刀加收100元，每台手术的临床诊疗项目服务价格（不含三大类和31、32、33大类说明的加收及麻醉项目）1500元以下的使用超声刀、等离子刀、血管闭合系统加收500元，1500-2500元的使用超声刀、等离子刀、血管闭合系统加收1000元，2500元以上的使用超声刀、等离子刀、血管闭合系统加收1500元；                                                \n（2）使用动力钻、磨、锯加收300元，使用骨动力系统加收600元；\n（3）使用电动取皮刀加收200元；\n（4）使用螺旋水刀加收700元；                                \n（5）使用血管解剖刀加收**元"]
[19,"D",310100013,"术中颅神经监测",null,null,"次"]
[20,"E",310100029,"经皮穿刺三叉神经半月节射频温控热凝术","含CT定位、神经感觉定位、射频温控治疗、测定疗效范围、局部加压；不含术中影像学检查、全麻。包括感觉根射频温控热凝、经皮穿刺蝶腭神经节/上颌神经干射频治疗术。",null,"次"]
[21,"E",310300102,"角膜异物剔除术","包括结膜异物剔除术",null,"次"]
["主项目","E",310402025,"鼻部特殊治疗",{"$nulls":3}," "]
[22,"E","310402025-7","等离子射频消融治疗",null,null,"次"]
[23,"E",310607001,"高压氧舱治疗","含治疗压力为2个大气压以上含治疗压力为1个大气压以上2.5个大气压（不含2.5）以下(超高压除外)、舱内吸氧用面罩、头罩和安全防护措施、舱内医护人员监护和指导；不含舱内心电、呼吸监护和药物雾化吸入等。",null,"次"]
[24,"E",310607002,"单人舱治疗","包括纯氧舱。",null,"次"]
[25,"E",310702004,"射频消融术","含X光影相；包括冷冻消融术。","射频导管,动脉穿刺套针","次"]
[26,"D",310901001,"食管测压","含上、下食管括约肌压力测定、食管蠕动测定、食管及括约肌长度测定、药物激发试验、打印报告；不含动态压力监测。",null,"次"]
[27,"E",310902006,"经胃镜特殊治疗","含取异物、粘膜切除、粘膜血流量测定、止血、息肉肿物切除等病变及内镜下胃食道返流治疗、药疗、化疗、硬化剂治疗。","圈套器、钛夹","次","微波、激光、电凝、电切、射频、氩气刀分别加收**元。"]
[28,"E",310903007,"经内镜肠道球囊扩张术",null,"球囊","次"]
[29,"E",310903008,"经内镜肠道支架置入术","包括取出术。","支架","次"]
[30,"E",310903010,"经肠镜特殊治疗","含取异物、粘膜切除、粘膜血流量测定、止血、息肉肿物切除等病变。",null,"次","微波、激光、电凝、电切、射频、氩气刀加收**元。"]
[31,"D",310904002,"肛门直肠测压","含直肠5-10cm置气囊、肛门内括约肌置气囊、直肠气囊充气加压、扫描计录曲线、内括约肌松驰反射、肛门内括约肌长度、最大缩窄压、最大耐宽量、最小感应阈测定。",null,"次"]
[32,"D",310904003,"肛门镜检查活检","含活检检查、穿刺。",null,"次"]
[33,"E",310905020,"经内镜胰胆管扩张术＋支架置入术","不含X线监视。","支架、导管、导丝、球囊扩张器  ","次"]
[34,"E",311201019,"宫腔填塞",null,null,"次"]
[35,"D","311501001-19","长谷川痴呆测验评定","采用各类量表对痴呆患者进行评定、测验。",null,"次","每月收费不超过一次。"]
[36,"D","311501002-7","社会功能评估缺陷筛选量表  ","指各类社会功能量表。",null,"次"]
[37,"D","311501003-20","儿童发育量表(PEP)","指各类发育量表。",null,"次","一个住院周期收费不超过二次。"]
[38,"E",320200003,"经皮超选择性动脉造影术","不含脑血管及冠状动脉，包括经皮超选择性静脉造影术。",null,"次","同一血管系统（动脉系统、静脉系统），选择性和超选择性造影术不得同时收取。"]
[39,"E",320500001,"冠状动脉造影术",null,null,"次"]
[40,"E",320600010,"脊髓动脉造影术","包括选择性脊神经根造影术。",null,"次"]
[42,"G",330100015,"麻醉中监测","含心电图、脉搏氧饱和度、心率变异分析、ST段分析、无创血压、有创血压、中心静脉压、呼气末二氧化碳、氧浓度、呼吸频率、潮气量、分钟通气量、气道压、肺顺应性、呼气末麻醉药浓度、体温、肌松、脑电双谱指数、脑氧饱和度。",null,"小时","脑电意识深度监测（指使用脑电意识深度监测系统，对麻醉或重症监护的病人进行的连续意识监测）120元/小时，双通道每次加收20元。"]
[45,"G",330201009,"颅骨修补术","包括假体植入、修补材料取出术。","修补材料","次"]
[46,"G",330300003,"甲状旁腺大部切除术","包括甲状旁腺全部切除术。",null,"次"]
[47,"G",330404010,"角膜移植术","包括穿透、板层。","供体；粘弹剂；真空环钻","次"]
[48,"G",330409014,"眶内肿物摘除术","包括前路摘除及侧劈开眶术、眶尖部肿物摘除术、泪道肿物切除术。",null,"次","侧劈开眶加收20%。"]
[49,"G",330604024,"颌骨囊肿摘除术","不含拔牙、上颌窦根治术、包括颌骨囊肿开窗治疗术。",null,"次"]
[50,"G",330701022,"喉良性肿瘤切除术","包括咽肿瘤。",null,"次"]
[51,"G",330703014,"胸廓畸形矫正术",null,null,"次"]
[52,"G",330801002,"二尖瓣直视成形术","包括各种类型的二尖瓣狭窄或／和关闭不全的瓣膜的处理，如交界切开、腱睫索替代、瓣叶切除、瓣环成形，瓣下结构成形术、瓣叶成形术、人工腱索植入术、狭窄/瓣上狭窄矫治术等。","牛心包片、人工瓣膜","次"]
[53,"G",330801003,"二尖瓣替换术","包括保留部分或全部二尖瓣装置。","人工瓣膜","次"]
[54,"G",330801004,"三尖瓣直视成形术","包括交界切开、瓣环环缩术、瓣下结构成形术、瓣叶成形术、腱索替代术、狭窄/瓣环狭窄矫治术。","人工瓣膜","次"]
[55,"G",330801005,"三尖瓣置换术",null,"人工瓣膜","次"]
[56,"G","330801009","主动脉瓣置换术",null,"人工瓣膜、异体动脉瓣 ","次"]
[57,"G",330801011,"肺动脉瓣置换术",null,"人工瓣膜","次"]
[58,"G",330801017,"房间隔缺损修补术","包括单心房间隔再造术,Ⅰ、Ⅱ孔房缺，房间隔缺损扩大术、房间隔开窗术。",null,"次"]
[59,"G",330801018,"室间隔缺损直视修补术","含缝合法，包括室间隔缺损扩大术、室间隔开窗术。",null,"次"]
[60,"G",330802026,"保留瓣膜的主动脉根部替换术","包括Darid Yacuob David、Yacoub手术。","人工血管","次"]
[61,"G",330802029,"升主动脉替换术","包括升主动脉成形术。","人工血管","次"]
[62,"G",330803012,"左房血栓清除术","包括右房血栓清除术、左室血栓清除术、右室血栓清除术。",null,"次"]
["主项目","G","330804071S","下肢静脉曲张治疗术",null,null,"单侧"]
[63,"G","330804071S-3","微波治疗",null,null,"单侧"]
[64,"G",331007007,"胰体尾切除术","不含血管切除吻合术。",null,"次"]
[65,"G",331008005,"腹壁切口疝修补术","包括腹白线疝或腰疝修补、造口旁疝原位修补术。","补片","次"]
[66,"G",331203004,"精索静脉瘤切除术","包括精索肿物切除术。",null,"次"]
[67,"G",331303017,"广泛性子宫切除+盆腹腔淋巴结清除术",null,null,"次"]
[68,"G",331400019,"子宫颈管环扎术          (Mc-Donald)","指孕期手术。",null,"次"]
[69,"G","331515010","人工桡骨头月骨置换术",null,null,"单侧"]
[70,"G",331505020,"胫骨髁间骨折切开复位内固定术","包括胫骨平台骨折切开复位内固定术。",null,"次"]
[71,"G",331504006,"脊椎结核病灶清除术","包括脊柱感染病灶清除术。",null,"次"]
[72,"G",331506019,"半月板切除术","包括半月板缝合术。",null,"次","激光加收10%。"]
[73,"G",331506020,"膝关节清理术","含包括直视下滑膜切除、软骨下骨修整、游离体摘除、骨质增生清除，指膝、踝、肩、肘、髋、足、手、腕等关节。",null,"次","激光加收10% 单纯游离体摘除术、单纯关节滑膜切除术不得按该项目收费。"]
[74,"G",331510003,"掌骨截骨矫形术","包括指（趾）骨截骨矫形、跖跗截骨术。",null,"次"]
[75,"G",331512007,"股骨延长术","包括肱骨、腓骨、手足部骨、锁骨。",null,"次"]
[76,"G",331520001,"腕关节韧带修补术","包括踝关节韧带。",null,"次"]
[77,"G","331601015S","清扫腋窝保乳术乳腺癌保乳手术","乳腺癌切除，不含残腔边缘活检。",null,"单侧"]
[78,"G",331603014,"微粒自体皮制备",null,null,"1％体表面积"]
[79,"G",331603016,"异体皮制备",null,"低温冷冻皮、新鲜皮","1％体表面积"]
[80,"E",340200021,"减重支持系统训练",null,null,"40分钟/次"]
[81,"E",430000005,"微针针刺","包括舌针、鼻针、腹针、腕踝针、手针、面针、口针、项针、夹脊针、脊俞针、足针、唇针、平衡针、对应点针法，第二掌骨疗法、手象针，足象针，人中针、颊针。",null,"二个穴位","每增加一个穴位加收**元。"]
["主项目","E",480000003,"中药特殊调配"]
[82,"E","480000003-6","水丸调配",null,null,"百克"]
[83,"E","480000003-7","散剂调配",null,null,"百克"]
["备 注：",null,"原项目为省发展改革委 省卫生计生委 省人力资源社会保障厅《关于实施<广东省定价目录（2015年版）>有关医疗服务价格规定的通知》（粤发改价格〔2015〕807号）和省发展改革委 省卫生计生委 省人力资源社会保障厅、省中医药局《关于修订部分医疗服务价格项目的通知》（粤发改价格函〔2017〕2971号）规定项目。"]