福建省基本医疗保险可予支付(含部分自付)费用的医疗服...

1福建省基本医疗保险可予支付（含部分自付）费用的医疗服务项目序号自付比例项目编码项目名称1110200001-1普通门诊诊查费—住院医师2110200001-2普通门诊诊查费—主治医师3110200001-3普通门诊诊查费—副主任医师4110200001-4普通门诊诊查费—主任医师5110200003急诊诊查费6110200004门急诊留观诊查费7110200005住院诊查费8110300001急诊监护费9110400001院前急救费10110900001-3普通病房床位费—三人间11110900001-4普通病房床位费—四人及以上间1220%110900002层流洁净病房床位费1320%110900003监护病房床位费14110900004特殊防护病房床位费15110900005急诊观察床位费16111000002-1院内会诊—主任医师17111000002-2院内会诊—副主任医师18120100001重症监护19120100002特级护理20120100003Ⅰ级护理21120100004Ⅱ级护理22120100005Ⅲ级护理23120100006特殊疾病护理24120100009精神病护理25120100010气管切开护理26120100011吸痰护理27120100012造瘘护理28120100013动静脉置管护理29120200001大抢救30120200002中抢救31120200003小抢救32120300001氧气吸入33120300001-1低流量吸氧34120300001-2中心吸氧35120300001-3高频吸氧36120400001肌肉注射37120400002静脉注射38120400003心内注射39120400004动脉加压注射40120400005皮下输液41120400006静脉输液42120400009静脉切开置管术43120400010静脉穿刺置管术44120400011中心静脉穿刺置管术45120400012动脉穿刺置管术46120400013抗肿瘤化学药物配置247120500001大清创缝合48120500002中清创缝合49120500003小清创缝合50120600001特大换药51120600002大换药52120600003中换药53120600004小换药54120700001雾化吸入55120800001鼻饲管置管56120900001胃肠减压57121000001洗胃58121100001一般物理降温5910%121100002特殊物理降温60121300001冷热湿敷61121400001引流管冲洗62121500001灌肠63121500002清洁灌肠64121600001导尿65121700001肛管排气66130500001传染病访视67130600001家庭病床建床费68130600002家庭病床巡诊费69130800001建立健康档案70140100001尸体料理71210101001普通透视72210101002食管钡餐透视73210101003床旁透视与术中透视74210101004C型臂术中透视75210102001X线摄影5×7吋76210102002X线摄影8×10吋77210102003X线摄影10×12吋78210102004X线摄影11×14吋79210102005X线摄影12×15吋80210102006X线摄影14×14吋81210102007X线摄影14×17吋82210102008X线摄影牙片83210102009X线摄影咬合片84210102010曲面体层摄影(颌全景摄影)85210102011头颅定位测量摄影86210102012眼球异物定位摄影87210102013乳腺钼靶摄片8×10吋88210102014乳腺钼靶摄片18×24吋89210102015数字化摄影(DR)90210103001气脑造影91210103002脑室碘水造影92210103003脊髓(椎管)造影93210103004椎间盘造影94210103005泪道造影95210103006副鼻窦造影96210103007颞下颌关节造影97210103008支气管造影98210103009乳腺导管造影99210103010唾液腺造影100210103011下咽造影101210103012食管造影102210103013上消化道造影3103210103014胃肠排空试验104210103015小肠插管造影105210103016口服法小肠造影106210103017钡灌肠大肠造影107210103018腹膜后充气造影108210103019口服法胆道造影109210103020静脉胆道造影110210103021经内镜逆行胰胆管造影(ERCP)111210103022经皮经肝胆道造影(PTC)112210103023T管造影113210103024静脉泌尿系造影114210103025逆行泌尿系造影115210103026肾盂穿刺造影116210103027膀胱造影117210103030子宫造影118210103032四肢淋巴管造影119210103033窦道及瘘管造影120210103034四肢关节造影12120%210200001磁共振平扫12220%210200002磁共振增强扫描12320%210200003脑功能成象12420%210200004磁共振心脏功能检查12520%210200005磁共振血管成象(MRA)12620%210200006磁共振水成象(MRCP，MRM，MRU)12720%210200007磁共振波谱分析(MRS)12820%210200008磁共振波谱成象（MRSI)12920%210200009临床操作的磁共振引导13020%210300001X线计算机体层(CT)平扫13120%210300002X线计算机体层(CT)增强扫描13220%210300003脑池X线计算机体层(CT)含气造影13320%210300004X线计算机体层(CT)成象13420%210300005临床操作的CT引导135210500001红外热象检查136210500002红外线乳腺检查137220100001A型超声检查138220100002临床操作的A超引导139220100003眼部A超140220201001单脏器B超检查141220201003胸腹水B超检查及穿刺定位142220201004胃肠充盈造影B超检查143220201005大肠灌肠造影B超检查144220201007浅表组织器官B超检查145220201008床旁B超检查146220201009临床操作的B超引导147220202001经阴道B超检查148220202002经直肠B超检查149220202003临床操作的腔内B超引导150220203001胃充盈及排空功能检查151220203002小肠充盈及排空功能检查152220203003胆囊和胆道收缩功能检查153220203005膀胱残余尿量测定15420%220301001彩色多普勒超声常规检查15520%220301002浅表器官彩色多普勒超声检查15620%220302001颅内段血管彩色多普勒超声15720%220302002球后全部血管彩色多普勒超声15820%220302003颈部血管彩色多普勒超声415920%220302004门静脉系彩色多普勒超声16020%220302005腹部大血管彩色多普勒超声16120%220302006四肢血管彩色多普勒超声16220%220302007双肾及肾血管彩色多普勒超声16320%220302008左肾静脉“胡桃夹”综合征检查16420%220302010脏器声学造影16520%220302011腔内彩色多普勒超声检查16620%220302012临床操作的彩色多普勒超声引导16720%220400001颅内多普勒血流图(TCD)16820%220500001脏器灰阶立体成象16920%220500002能量图血流立体成象170220600001普通心脏M型超声检查171220600002普通二维超声心动图172220600003床旁超声心动图17320%220600004心脏彩色多普勒超声17410%220600005常规经食管超声心动图17510%220600006术中经食管超声心动图17610%220600007介入治疗的超声心动图监视177220600010左心功能测定17820%220700001计算机三维重建技术(3DE)179220700002声学定量(AQ)180220700003彩色室壁动力(CK)181220700004组织多普勒显象(TDI)182220700005心内膜自动边缘检测183220700006室壁运动分析184220700007心肌灌注超声检测185220800001黑白热敏打印照片186220800002彩色打印照片187220800008超声计算机图文报告18810%230100001脏器动态扫描18910%230100002脏器静态扫描19010%230200001脑血管显象19110%230200002脑显象19210%230200003脑池显象19310%230200004脑室引流显象19410%230200005泪管显象19510%230200006甲状腺静态显象19610%230200007甲状腺血流显象19710%230200008甲状腺有效半衰期测定19810%230200009甲状腺激素抑制显象19910%230200011甲状旁腺显象20010%230200012静息心肌灌注显象20110%230200013负荷心肌灌注显象20210%230200014静息门控心肌灌注显象20310%230200015负荷门控心肌灌注显象20410%230200016首次通过法心血管显象20510%230200017平衡法门控心室显象20610%230200018平衡法负荷门控心室显象20710%230200019急性心肌梗塞灶显象20810%230200020动脉显象20910%230200021门脉血流测定显象21010%230200022门体分流显象21110%230200023下肢深静脉显象21210%230200024局部淋巴显象21310%230200025肺灌注显象21410%230200026肺通气显象521510%230200027唾液腺静态显象21610%230200028唾液腺动态显象21710%230200029食管通过显象21810%230200030胃食管返流显象21910%230200031十二指肠胃返流显象22010%230200032胃排空试验22110%230200033异位胃粘膜显象22210%230200034消化道出血显象22310%230200035肝胶体显象22410%230200036肝血流显象22510%230200037肝血池显象22610%230200038肝胆动态显象22710%230200039脾显象22810%230200040胰腺显象22910%230200041小肠功能显象23010%230200042肠道蛋白丢失显象23110%230200043肾上腺皮质显象23210%230200044地塞米松抑制试验肾上腺皮质显象23310%230200045肾动态显象23410%230200046肾动态显象＋肾小球滤过率(GFR)测定23510%230200047肾动态显象＋肾有效血浆流量(ERPF)测定23610%230200048介入肾动态显象23710%230200049肾静态显象23810%230200050膀胱输尿管返流显象23910%230200051阴道尿道瘘显象24010%230200052阴囊显象24110%230200053局部骨显象24210%230200054骨三相显象24310%230200055骨密度测定24410%2302