全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項1

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全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項特材代碼中英文品名支付點數 CKU0362433AN URETERAL CATHETER 166 CKU036243NAN URETERAL CATHETER 166 CKU0362453AN URETERAL CATHETER 166 CKU036245NAN URETERAL CATHETER 166 CKU0362500AN URETERAL CATHETER 166 CKU036251NAN URETERAL CATHETER CYLINDERAL 4:8CH 70CM 斑馬線導管 166 CKU0362930AN URETERAL CATHETER 166 CKU036313NAN URETERAL CATHETER 166 CKUB101000CK URETeRAL BALLOON dilator CATHETER 65CM 5FR,7FR 4032 CKUB101415CK BALLOON URETERAL(UREThERAL 自 980401 起改為 URETERAL) DILATOR SETS 5:7FR 65CM(CATH+GUIDE WIRE) 5068 CKUB107835CK "COOK"URETEROSCOPY BALLOON CATHETER(CATHETER+GUIDE WIRE) 輸尿管氣球導管 5068 CKUB121810SB PASSPORT urological BALLOON dilatation catheter with hydro plus bonded hydrogel coating 5068 CKUB122510MV UROMAX ULTRA HIGH PRESSURE URETERAL CATHETER W/SHEATH 5068 CKUB128005CK COOK UPJ OCCLUSION BALLOON CATHETER SETS(CATH+GUIDE WIRE) 5068 CKUB18884NBA UROFORCE BALLOON DILATION CATHETER 4032 CKUB1AUBS1CK COOK ASCEND AQ URETERAL DILATION BALLOON CATHETER 4CM:10CM 4032 CKUB1TB221SB TRILOGY LOW PROFILE URETERAL BALLOON CATHETER 4032 CKUD126100SB BOSTON SCIENTIFIC AMPLATZ TYPE GRADUATED RENAL DILATOR SET 953 CKUD126120SB "BOSTON SCIENTIFIC"AMPLATZ TYPE GRADUATED RENAL STYLET/SHEATH 695 CKUD160300AN RENAL DILATOR W/SHEATH 695 CKUD200008CL SILICON NEPHROSTOMY DILATOR 腎擴張造廔導管 117 CKUD200012CL SILICON NEPHROSTOMY DILATOR 腎擴張造廔導管 164 CKUD200016CL SILICON NEPHROSTOMY DILATOR 腎擴張造廔導管 234 CKUD200040AN PTFE DILATOR 4:9FR 117 CKUD200120AN PTFE DILATOR 12:14FR 164 CKUD20012DAN "ANGIOMED"DILATATION SET 12FR 擴張器組 164 164
全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項特材代碼中英文品名支付點數 CKUD200160AN PTFE DILATOR 16FR 234 CKUS163206CL SILICON CHOLANGICAL BALLOON CATHETER 6:8FR 612 CKUS22614NSB AMPLATZ TYPE RENAL SHEATH SET 820 CKUS26015NSB "BOSTON SCIENTIFIC"AMPLATZ TYPE RENAL SHEATH SET/INDIVIDUAL SHEATHS 820 CKUS2AMPV1CK TFE SHEATHS FOR AMPLATZRENAL DILATORS 10:36FR,16:40CM 820 CLPA102000E5 SINGLE TITANIUM EPOXY PERITONEAL PORT(P+C+N)※ 限化學治療及癌症未期之疼痛治療使用 9370 CLPA102000HJ PERITONEAL SYSTEM PORT-A-CATH (P+C+N)( 含動脈 , 腹膜及靜脈系統 ) 9370 CLPA104150HJ PROPORT IMPLANTABLE VENOUS ACCESS SYSTEMS(P+C+N) 9370 CLPA104151HJ PROPORT IMPLANTABLE VENOUS ACCESS SYSTEMS(P+C+N+I+GW+GRIPPER NEEDLE) 10464 CLPA105041AR 1 LUMEN PICC RADIOLOGY SELDINGER ACCESS SET(CATHETER+NEEDLE+DILATOR+GUIDE WIRE) 3050 CLPA105052AR DUAL LUMEN PICC RADIOLOGY SELDINGER ACCESS SET(C+G+I+T-PORT) 3500 CLPA10604NBA MRI SINGLE LUMEN IMPLANTED PORTS(PORT+C+N)* 9370 CLPA10615NBA MRI DUAL-LUMEN IMPLANTED PORTS(PORT+C+N)* 9700 CLPA107500BA X-PORT ISP IMPLANTED PORT (P+C+N)* 9370 CLPA107530BA X-PORT ISP IMPLANTED PORT (P+C+N+I)* 10370 CLPA108050E5 TI DUAL PORT (P+C+N) 型號 21-8065,67 自 90/10/1 生效 ※ 限癌症化療及癌症未期之疼痛治療使用 9700 CLPA108050HJ DUAL LUMEN TITANIUM PORT (P+C+N) 9500 CLPA108052E5 DUAL LUMEN TITANIUM PORT (P+C+N+I)※ 限化學治療及癌症未期之疼痛治療使用 10700 CLPA108052HJ DUAL LUMEN TITANIUM PORT (P+C+N+I) 10700 CLPA108066E5 TITANIUM DUAL LUMEN PORT-A SYSTEM(C+G+N+I+GRIPPER NEEDLE) 10794 CLPA108066HJ DUAL LUMEN TITANIUM PORT (P+C+N+I+GRIPPER NEEDLE) 10794 CLPA115103CL SINGLE TITANIUM SUBCUTANEOUSLY IMPLANTED PORT(PORT+CATH+NEEDLE) 9370 CLPA11PS0TCK VITAL-PORT VASCULAR ACCESS SYSTEMS(P+C+N+I+GW) 10370 CLPA120011US SINGLE TITANIUM CHEMOSITE LOW PROFILE PORT 7FR (P+C+N+I) 10370 CLPA120020US SINGLE TITANIUM CHEMOSITE VENOUS PORT(PORT+CATH+NEEDLE) 9370 CLPA120021US SINGLE TITANIUM CHEMOSITE LOW PROFILE PORT 9FR(P+C+N+I) 10370 165
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全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項1

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