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 CLPA120022US SINGLE TITANIUM CHEMOSITE LOW PROFILE PORT(PORT+CATH+NEEDLE) 9370 CLPA120023US SINGLE TITANIUM CHEMOSITE LOW PROFILE PORT(PORT+CATH+NEEDLE) 9370 CLPA120024US SINGLE TITANIUM CHEMOSITE LOW-PROFILE PORT(P+C+N) 9370 CLPA120025US SINGLE TITANIUM CHEMOSITE LOWPROFILE VENOUS PORT 9FR(P+C+N+I) 10370 CLPA120026US SINGLE TITANIUM CHEMOSITE LOW-PROFILE PORT(PORT+CATH+NEEDLE) 9370 CLPA120027US SINGLE TITANIUM CHEMOSITE LOW-PROFILE PORT(PORT+CATH+NEEDLE) 9370 CLPA120044US SINGLE TITANIUM CHEMOSITE PORT(PORT+CATH+NEEDLE) 9370 CLPA120045US SINGLE TITANIUM CHEMOSITE PORT 9FR(P+C+N+I) 10370 CLPA120066US SINGLE LUMEN TITANIUM CHEMOSITE VENOUS PORT 9FR(P+C+N+I) 10370 CLPA120067US SINGLE TITANIUM CHEMOSITE ARTERIAL PORT(PORT+CATH+NEEDLE) 9370 CLPA120085US SINGLE TITANIUM CHEMOSITE VENOUS PORT(PORT+CATH+NEEDLE) 9370 CLPA120092US SINGLE TITANIUM CHEMOSITE VENOUS PORT 7FR(P+C+N+I) 10370 CLPA120115US SINGLE TITANIUM CHEMOSITE LOW-PROFILE ARTERIAL PORT(P+C+N) 9370 CLPA12130NE5 SINGLE TITANIUM PORT-A CATHETER(P+C+N) 9370 CLPA130000BB SINGLE TITANIUM MBS CELSITE PORT(PORT+CATH+NEEDLE) 9370 CLPA130026BB SINGLE TITANIUM EPOXY CELSITE PORT(PORT+CATH+NEEDLE), 型號 :04430379 自 940701 起刪除 9370 CLPA130050BB SINGLE TITANIUM EPOXY CELSITE ARTERIAL PORT(P+C+N) 9370 CLPA130069BB SINGLE TITANIUM EPOXY CELSITE PERITONEAL PORT(P+C+N) 9370 CLPA130085BB SINGLE TITANIUM EPOXY CELSITE PORT(PORT+CATH+NEEDLE) 9370 CLPA13008NYP "PEROUSE"POLYSITE IMPLANTABLE PORT(PORT+CATH) 植入式血管輸注器 * 9285 CLPA130092BB CLPA130100BB "B.BRAUN"CELSITE IMPLANTABLE PORTS (PORT+CATH+NEEDLE+INTRODUCER) 舒載皮下植入式注射座組 *, "B.BRAUN "CELSITE IMPLANTABLE DOUBLE PORTS (P+C+N+I+GRIPPER NEEDLE) 舒載皮下植入式雙槽注射座 * 10370 10794 CLPA130166HD HDC V-CATH SINGLE LUMEN PICC SET (C+N+D+G) 3050 CLPA130395BB CELSITE IMPLANTABLE PORT ,STANDARD (P+C+N+I)* 10370 CLPA130893BB CELSITE IMPLANTABLE PORT ,SMALL (P+C+N+I)*( 型號 04436962 文號 :920036552)( 型號 04436806 自 940701 起刪除 ) 10370 CLPA132045BB SINGLE TITANIUM MBS CELSITE PORT(PORT+CATH+NEEDLE+INTRODUCER) 10370 166
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 CLPA133718BB CELSITE IMPLANTABLE PORT ,STANDARD (P+C+N+I)*, 型號 :4433718 自 940701 起刪除 10370 CLPA135000HD HDC V-CATH SINGLE LUMEN PICC SET (C+N+D+G) 3050 CLPA135575HD HDC V-CATH SINGLE LUMEN PICC SET(C+N+D+G) 3050 CLPA136008HD HDC V-CATH SINGLE LUMEN PICC SET(C+N+D+G) 3050 CLPA138008HD HDC V-CATH SINGLE LUMEN PICC SET(C+N+D+G) 3050 CLPA139008HD HDC V-CATH DUAL LUMEN PICC SET(C+N+D+G) 3500 CLPA139266HD HDC V-CATH DUAL LUMEN PICC SET(C+N+D+G) 3500 CLPA139450HD HDC V-CATH DUAL LUMEN PICC SET(C+N+D+G) 3500 CLPA139550HD HDC V-CATH DUAL LUMEN PICC SET(C+N+D+G) 3500 CLPA140040HD HDC V-CATH SINGLE LUMEN PICC SET(C+N+D+G) 3050 CLPA14009NE5 SINGLE TITANIUM PORT-A CATHETER(PORT+C+N+I+GRIPPER NEEDLE) 10464 CLPA14024NE5 TI SINGLE PORT-A(P+C+N) 型號 21-4022,64,70,72,84 自 90/10/1 生效 ※ 限癌症化療及癌症未期之疼痛治療使用 9370 CLPA14025NE5 SINGLE PORT-A CATH(P+C+N+I) ( 型號 21-4023,63,65,85,3020 自 90/10/01 生效 ) 10370 CLPA14025NHJ TITANIUM PORT-A-CATH (P+C+N+I) 10370 CLPA14071NE5 TITANIUM SINGLE LUMEN PORT-A SYSTEM(C+G+N+I+GRIPPER NEEDLE) 10464 CLPA14072NHJ "SMITHS"IMPLANTABLE ACCESS SYSTEM 內植用輸液管 (P+C+N+I+GRIPPER NEEDLE)* 10464 CLPA14130NBA SINGLE LUMEN PER-Q-CATHETER WITH GUIDWIRE 2.0:5.0FR 2960 CLPA145458SB CLPA145468SB VAXCEL PERIPHERALLY INSERTED CENTRAL CATHETER(PICC) WITH PASV VALVE TECHNOLOGY(SINGLE LUMEN,3:5FR,60CM )(C+N+D+G)* VAXCEL PERIPHERALLY INSERTED CENTRAL CATHETER(PICC) WITH PASV VALVE TECHNOLOGY(DUAL LUMEN,4:6FR,60CM )(C+N+D+G)* 3050 3500 CLPA150276HD HDC V-CATH DUAL LUMEN PICC SET(C+N+D+G) 3500 CLPA15105KHZ VORTEX VTX TITANIUM VASCULAR ACCESS PORTS(P+C+N+I)* 10370 CLPA160260DV SINGLE PLASTIC HICKMAN PORT(PORT+CATH+NEEDLE) 9370 CLPA160284BA SINGLE MRI PLASTIC PORT W/GROSHONG 3-WAY(P+C+N) ( 型號 0604510 自 91/07/01 生效 ) 9370 CLPA161548BA MRI DUAL PORT W/GROSHONG CATHETER(PORT+CATH+NEEDLE) 9700 CLPA161635PF ARTERIAL PORT-CATH(PORT+CATH+NEEDLE+INTRODUCER) 10370 CLPA161636PF SINGLE LUMEN PFM VASCULAR ACCESS SYSTEM JET (C+G+N+I+GRIPPER NEEDLE)* 10464 167
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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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