B Y TCNG HA X HI CH NGHA VIT NAMc lp T do Hnh phc

S:27/2013/TT-BYT H Ni, ngy18thng09nm2013

THNG Tban hnh danh mc vt t y t thuc phm vi thanh ton ca qu bo him y t_______________________________________Cn c Khon 2 iu 21Lutbo him y t ngy 14 thng 11 nm 2008;Cn c Ngh nh s62/2009/N-CP ngy 27 thng 7 nm 2009 ca Chnh ph quy nh chi tit v hng dn thi hnh mt s iu ca Lut bo him y t;Cn c Ngh nh s 63/2012/N-CP ngy 31 thng 8 nm 2012 ca Chnh ph quy nh chc nng, nhim v, quyn hn v c cu t chc ca B Y t;Cn c Khon 3 iu 7 Thng t lin tch s09/2009/TTLT-BYT-BTC ngy 14 thng 8 nm 2009 ca lin B Y t BTi chnh hng dn thc hin bo him y t;B trng B Y t ban hnh Thng t ban hnh Danh mc vt t y t thuc phm vi thanh ton ca Qu bo him y t,iu 1. Danh mc vt t y t1.Ban hnh km theo Thng t ny Danh mc vt t y t thuc phm vi thanh ton ca Qu bo him y t, baogm cc loi vt t y t tiu hao thng thng, vt t y t thay th nhn to, cc thit b, dng c chuyn mn (sau y gi tt l vt t y t) c s dng trong chn on, iu tr v phc hi chc nng, nhm p ng yu cu chuyn mn nghip v v cht lng dch v khm bnh, cha bnh.2.Danh mcvt t y t ban hnh km theo Thng t ny l c s Qu bo him y t thanh ton chi ph v vt t y t c s dng cho ngi bnh c th bo him y t ti cc c s khm bnh, cha bnh bo him y t.iu 2. Xy dng Danh mc vt t y t thuc phm vithanh ton ca Qu bo him y t i vi tng c s khm bnh, cha bnh1.Cn c xy dng Danh mc vt t y t thuc phm vi thanh ton ca Qu bo him y t i vi tng c s khm bnh, cha bnh:a)Danh mc vt t y t quy nh ti Khon 1 iu 1 Thng t ny;b)Tuyn iu tr v phm vi chuyn mn k thut ca c s khm bnh, cha bnh c cp c thm quyn ph duyt theo quy nh v phn tuyn chuyn mn k thut ca B Y t.2.Vic la chn vt t y t xy dng Danh mc vt t y t s dng ti cc c s khm bnh, cha bnh c thc hin theo nguyn tc bo m yu cu chuyn mn k thut v cht lng dch v khm bnh, cha bnh; c chi ph, gi thnh hp l.3.Cn c cc loi vt t y t c th c mua sm, c s khm bnh, cha bnh tng hp danh mc vt t y t s dng ti c s ca mnh (theo mu ti Ph lc ban hnh km theo Thng t ny) gi Bo him x hi thng nht lm c s thanh ton.4.Trong thi gian 15 ngy lm vic, k t ngy nhn c Danh mc vt t y t do c s khm bnh, cha bnh gi n, Bo him x hi c trch nhim kim tra v tr li bng vn bn; trng hp khng ng phi nu r l do.5.Trng hp cn thay i hay b sung loi vt t y t vo Danh mc vt t y t thng nht vi Bo him x hi, c s khm bnh, cha bnh v Bo him x hi c trch nhim thc hin thng nht Danh mc vt t y t b sung theo quy nh ti Khon 3, Khon 4 iu ny.iu 3. Nguyn tc p dng v cch thc thanh ton1.Nguyn tc chung:a)Chi ph vt t y t c Qu bo him y t thanh ton theo s lng thc t c s dng cho ngi bnh, s lng vt t y t s dng cho ngi bnh c tnh theo n v tnh ca tng loi vt t y t quy nh trong Danh mc vt t y t ban hnh km theo Thng t ny;b)Mc gi Bo him x hi p dng thanh ton chi ph vt t y t s dng cho ngi bnh bo him y t:-i vi c s khm bnh, cha bnh Nh nc: c tnh theo gi mua vo ca n v theo quy nh ca php lut v mua sm vt t y t;-i vi c s khm bnh, cha bnh t nhn: c tnh theo gi mua vo ca n v nhng khng c cao hn gi mua vo thp nht ca c s khm bnh, cha bnh Nh nc trn cng a bn tnh, thnh ph trc thuc Trung ng (sau y gi tt l tnh) theo quy nh ca php lut v mua sm vt t y t. Trng hp c s khm bnh, cha bnh Nh nc trn a bn tnh khng s dng loi vt t y t th Bo him x hi p dng mc gi thp nht m Qu bo him y t thanh ton i vi c s khm bnh, cha bnh Nh nc thanh ton i vi loi vt t y t ;

c)Cc loi vt t y t c kt cu v tnh vo gi ca dch v k thut, gi ngy ging iu tr hoc gi thu trn gi theo ca bnh theo quy nh v gi dch v khm bnh, cha bnh th Qu bo him y t khng thanh ton ring;

d)i vi nhng loi vt t y t cha c kt cu v tnh vo gi ca cc dch v k thut, gi ngy ging iu tr hoc gi thu trn gi theo ca bnh th Qu bo him y t thanh ton ring theo nguyn tc quy nh ti im a Khon 1 iu ny; s tin thanh ton chi ph vt t y t ca tng ngi bnh khng vt qu mc hng theo quy nh ca Lut bo him y t v cc vn bn hng dn v quyn li v mc hng bo him y t i vi tng nhm i tng;

)Cc loi vt t y t c xp theo chuyn khoa nu c s dng trong cc chuyn khoa khc th vn c Qu bo him y t thanh ton;

e)Qu bo him y t khng thanh ton i vi cc loi vt t y t c trong Danh mc vt t y ttrong cc trng hp: c ngun ti chnh khc chi tr; c s dng trong cc dch v k thut khng thuc phm vi quyn li bo him y t theo quy nh ca Lut bo him y t v cc vn bn hng dn thc hin Lut bo him y t.

2.p dng v thanh ton trong mt s trng hp c th:

a)i vi cc loi vt t y t kh nh lng khi s dng, cha quy nh nh mc s dng ti thiu: c s khm bnh, cha bnh xy dng v thng nht vi Bo him x hi v nh mc s dng ti thiu cho cc dch v k thut c s dng loi vt t y tny theo nguyn tc bo m s lng thc hin dch v k thut, ph hp vi ch lu gi, bo qun v thun li trong thanh ton;

b)i vi cc vt t y t c n v tnh l b m c nhiu hng mc hay b phn i km th cc vt t y t i km u c thanh ton bo him y t. Nu gi ca cc loi vt t y t i km c tnh ring l th thanh ton theo gi tng loi; nu gi c tnh trn gi theo n v l b th khng tch ring tng loi thanh ton thm.

Trng hp ch s dng mt phn hay mt b phn ca b th thanh ton theo gi thnh ca b phn c s dng cho ngi bnh nu c gi ring ca tng b phn; nu khng c gi ring cho tng b phn c s dng th cn c vo gi mua sm v tnh cht c th ca tng b phn, c s khm bnh, cha bnh v Bo him x hi trao i, thng nht mc thanh ton cho b phn ;

c)Thanh ton i vi cc loi vt t y t s dng trong cc dch v k thut cao, chi ph ln theo Danh mc dch v k thut cao, chi ph ln do B Y t quy nh:

-Trng hp chi ph ca cc loi vt t y t ny bao gm trong gi dch v k thut th khng tnh ring thanh ton theo nguyn tc quy nh ti im c Khon 1 iu ny;

-Trng hp cha bao gm trong gi dch v k thut th Qu bo him y t thanh ton ring theo nguyn tc quy nh ti im d Khon 1 iu ny nhng khng vt qu mc hng quy nh i vi trng hp c s dng dch v k thut cao, chi ph ln;

d)i vi cc loi vt t y t s dng nhiu ln:

-i vi cc vt t y t c th ti s dng m c hng dn v quy trnh ti s dng, s ln ti s dng ca B Y t th thc hin theo hng dn ca B Y t;

-i vi cc vt t y t c th ti s dng m cha c hng dn v quy trnh ti s dng, s ln ti s dng ca B Y t hoc ca nh sn xut th Gim c bnh vin cn c vo yu cu chuyn mn, thc t s dng, theo xut ca Hi ng thuc v iu tr v thng nht vi Bo him x hi quyt nh v s ln ti s dng. Gi thanh ton mi ln s dng l nh nhau v c xc nh bng tng gi tr vt t y t cng vi chi ph hp, sy, kh khun ca cc ln ti s dng chia cho tng s ln s dng;

) i vi nhng vt t y t c nhiu chng loi, nhiu mc gi khc nhau, di gi rng nh khp, khp nhn to, a m, t sng nhn to, xng nhn to, my to nhp, my to nhp c v khng c ph rung cy vo c th, thy tinh th nhn to:

Gim c bnh vin cn c vo yu cu chuyn mn, thc t s dng, theo xut ca Hi ng thuc v iutr v thng nht vi Bo him x hi la chn, quyt nh cc loi vt t y t ph hp, p ng yu cu chuyn mn v kh nng chi tr ca Qu bo him y t;

e)i vi thy tinh th nhn to Toric: Ch s dng trong phu thut thay thy tinh th c km theo lon th gic mc.

iu 4. T chc thc hin1.C s khm bnh, cha bnh c trch nhim:

a)Xy dng v thng nht vi Bo him x hi Danh mc vt t y t s dng ti c s. Trng hp khng thng nht c th bo co c quan qun l cp trn trc tip gii quyt;

b)Cung ng y , kp thi, ng quy nh, p ng nhu cu iu tr ca ngi bnh bo him y t theo Danh mc vt t y t xy dng, khng ngi bnh phi t mua;

c)Khi xy dng gi dch v khm bnh, cha bnh phi lit k y cc loi vt t y t cn thit thc hin dch v k thut v ghi r loi vt t y t no cha bao gmtrong gi dch v k thut thanh ton ring theo quy nh ti Thng t ny;

d)Qun l vic ch nh s dng vt t y t hp l, tit kim; thanh ton kp thi, ng chng loi, ng s lng v ng gi;

) Tng hp, thng k y , chnh xc cc loi vt t y t s dng cho ngi bnh thanh ton vi Bo him x hi theo cc mu biu do B Y t ban hnh.

2.S Y t tnh, thnh ph trc thuc Trung ng c trch nhim:

a)Ch o, hng dn, kimtra, thanh tra vic thc hin cc quy nh ca Thng t ny v cc vn bn quy phm php lut khc c lin quan n hot ng xy dng Danh mc vt t y t, mua sm, cung ng vt t y t, thanh ton chi ph s dng vt t y t ca cc c s khm bnh, chabnh thuc thm quyn qun l;

b)Ban hnh Danh mc vt t y t s dng ti Trm y tx, phng, th trn trn a bn c giao qun l.

3.Bo him x hi c trch nhim:

a)Kim tra v c vn bn tr li y , kp thi v Danh mc vt t y t c Qu bo him y t thanh ton ti c s khm bnh, cha bnh;

b)Thc hin thanh ton theo ng quy nh ca Thng t ny v cc vn bn quy phm php lut khc c lin quan;

c)Phi hp gii quyt vng mc pht sinh trong qu trnh t chc thc hin.

4.Vic mua sm vt t y t thc hin theo quy nh ca Thng t s 68/2012/TT-BTC ngy 26/4/2012 ca B Ti chnh quy nh vic u thu mua sm ti sn nhm duy tr hot ng thng xuyn ca c quan nh nc, t chc chnh tr, t chc chnh tr-x hi, t chc chnh tr x hi-ngh nghip, t chc x hi, t chc x hi-ngh nghip, n v v trang nhn dn.

iu 5. Quy nh chuyn tip v iu khon tham chiu1.Trng hp ngi bnh c th bo him y t vo vin trc ngy Thng t ny c hiu lc nhng cn ang iutr ti c s khm bnh, cha bnh th thc hin theo Danh mc vt t y t v cc quy nh ti Thng t ny.

2.i vi cc loi vt t y t c trong cc Danh mc vt t y t ban hnh km theo Quyt nh s 6282/2003/Q-BYT ngy 08/12/2003 ca B trng B Y t v vic ban hnh Danh mc vt t y t tiu hao c Bo him x hi (Bo him y t) thanh ton v Quyt nh s 21/2008/Q-BYT ngy 09/6/2008 ca B trng B Y t v vic ban hnh Danh mc vt t y t tiu hao, vt t y t thay th trong khm, cha bnh c c s khm bnh, cha bnh mua sm, Qu bo him y t tip tc thanh ton cho n khi s dng ht s lng vt t y t c mua smtheo kt qu u thu, cung ng v hp ng k vi nh thu trc ngy Thngt ny c hiu lc thi hnh.

3.Trng hp cc vn bn php lut c dn chiutrong Thng t ny b thay th hoc sa i, b sung th p dng theo cc vn bn thay th hoc sa i, b sung.

iu 6.Hiu lcthi hnh1.Thng t ny c hiu lc thi hnh k t ngy 15 thng 11 nm 2013.

2.Bi b Quyt nh s 6282/2003/Q-BYT ngy 08/12/2003 ca B trng B Y t v vic ban hnh Danh mc vt t y t tiu hao c Bo him x hi (Bo him y t) thanh ton v Quyt nh s 21/2008/Q-BYT ngy 09/6/2008 ca B trng B Y t v vic ban hnh Danh mc vt t y t tiu hao, vt t y t thay thtrong khm bnh, cha bnh k t ngy Thng t ny c hiu lc thi hnh.

Trong qu trnh t chc thc hin, nu c kh khn, vng mc ngh cc c quan, t chc, c nhn phn nh v B Y t (V Bo him y t) xem xt, gii quyt./.

Ni nhn:-Vn phng Chnh ph (V KGVX; Cng bo; Cng thng tin in t);-S Y t cc tnh, thnh ph trc thuc TW;-Y t cc b, ngnh;-Cc V, Cc, Tng cc, VP B, Thanh tra B-BY t;-Cng thng tin in t B Y t;-Lu: VT, BH, PC (02).KT. B TRNGTH TRNGNguyn Th Xuyn

DANH MCVT T Y T THUC PHM VI THANH TON CA QU BO HIM Y T(Ban hnh km theo Thng t s27/2013/TT-BYT ngy 18 thng 9 nm 2013 ca B Y t)

TTM stheo nhmNhm, loi vt t y tn v tnhGhi ch

12345

N01.00.000Nhm 1. Bng, dung dch st khun, ra vt thngKhng thanh ton ring

N01.01.0001.1 Bng

1N01.01.010Bng (gn), bng tm dung dch cc loiGram/kg/gi/cun

2N01.01.020Bng, tm bng v trng cc loi, cc cQue/ci

N01.02.0001.2 Dung dch st khun, ra vt thng

3N01.02.010Dung dch ra tay st khun dng trong khm bnh, thc hin phu thut, th thut, xt nghimml/lt

4N01.02.020Dung dch ra vt thng cc loiml/lt/chai

5N01.02.030Dung dch st khun, kh trng dng cml/lt

6N01.02.040Dung dch st khun, kh trng trong phng xt nghim, bung m, bung bnhml/lt

7N01.02.050Dung dch ty ra dng cml/lt

N02.00.000Nhm 2. Bng, gc, vt liu cm mu, iu tr cc vt thng

N02.01.0002.1 BngKhng thanh ton ring

8N02.01.010Bng bt b, vi/ tt lt b bt cc loi, cc cCun

9N02.01.020Bng chun/ bng n hi cc loi, cc cCun/ming

10N02.01.030Bng c nh khp trong iu tr chn thng chnh hnh cc loi, cc cCun

11N02.01.040Bng cun/ bng c nhn cc loi, cc cCun/ming

12N02.01.050Bng dng trong phu thut, bng b vt thng, vt bng, vt lot cc loi, cc cCun/ming

13N02.01.060Bng rnCun/ming

14N02.01.070Bng v trng cc loi, cc cCun/ming

N02.02.0002.2 Bng dnhKhng thanh ton ring

15N02.02.010Bng dn mi cc loi, cc cMing

16N02.02.020Bng dnh cc loi, cc cCun/ming

N02.03.0002.3 Gc, bng gc iu tr cc vt tn thng

17N02.03.010Gc alginate cc loiMing

18N02.03.020Gc cc loi, cc cCun/gi/ming

19N02.03.030Gc gn vi bng dnh v khun dng bng cc vt thng, vt m, vt khuMing

20N02.03.040Gc hydrocolloid cc loiMing

21N02.03.050Gc hydrogel cc loiMing

22N02.03.060Gc rnMing

23N02.03.070Gc than hot tnh cc loi (thm ht, khng thm ht)Ming

24N02.03.080Gc xp, ming xp (foam) cc loiMing

25N02.03.090Gc, gc li c tm khng sinh hay cc cht st khunMing

26N02.03.100Ming dn st khun cc loi, cc cMing

N02.04.0002.4 Vt liu cm mu, iu tr cc vt tn thng

27N02.04.010Dung dch xt dng ngoi iu tr phng nga lot do t Chai/l

28N02.04.020Gc cm mu cc loiMing

29N02.04.030Keo (sinh hc) dn da,dn m dng trong phu thutL/ming/kit

30N02.04.040Ming cm mu mi cc loi, cc cMing/thi

31N02.04.050Vt liu cm mu cc loi (sp, bone, surgicel, merocel, spongostan, gelitacel,floseal hemostatic, liotit)Ming/thi/kit

32N02.04.060Vt liu s dng trong iu tr cc tn thng bng phng php ht p lc m (gm: ming xp, u ni, dy dn dch, bng dn c nh)B

N03.00.000Nhm 3. Bm, kim tim, dy truyn, gng tay v cc vt ty t s dng trong chm scngibnh

N03.01.0003.1 Bm tim

33N03.01.010Bm s dng bm thc n cho ngi bnh cc loi, cc cCi

34N03.01.020Bm tim (syringe) dng mt ln cc loi, cc cCi

35N03.01.030Bm tim p lc cc loi, cc cCi

36N03.01.040Bm tim dng cho my tim in t ngCi

37N03.01.050Bm tim dng nhiu ln cc loi, cc cCi

38N03.01.060Bm tim insulin cc loi, cc cCi

39N03.01.070Bm tim lin kim dng mt ln cc loi, cc cCi

40N03.01.080Bm tim my bmCi

N03.02.0003.2 Kim tim

41N03.02.010Bt chch mu cc loiCi

42N03.02.020Kim cnh bm cc loi, cc cCi

43N03.02.030Kim chch mu cc loiCi

44N03.02.040Kim dng cho bung tim truyn cy di daCi

45N03.02.050Kim ly daCi

46N03.02.060Kim ly mu, ly thuc cc loi, cc cCi

47N03.02.070Kim lun mch mu cc loi, cc cCi

48N03.02.080Kim tim dng mt ln cc loi, cc cCi

49N03.02.090Nt chn ui kim lun (c hoc khng c heparin)Ci/ chic

N03.03.0003.3 Kim chc d, sinh thit v cc loi kim khc

50N03.03.010Kim chc d cc loi, cc cCi

51N03.03.020Kim chc ht t bo qua ni soiCi

52N03.03.030Kim chc ht ty xngCi

53N03.03.040Kim dn lu cc loi, cc cCi

54N03.03.050Kim o p lc tnh mch trung tm (CPV)Ci

55N03.03.060Kim dng trong thit b dn sngCi

56N03.03.070Kim gy t, gy m cc loi, cc cCi

57N03.03.080Kim lc thn nhn toCi

58N03.03.090Kim sinh thit dng mt lnCi

59N03.03.100Kim sinh thit dng nhiu lnCi

60N03.03.110Kim sinh thit ty xng dng nhiu lnCi

N03.04.0003.4 Kim chm cuKhng thanh ton ring

61N03.04.010Kim chm cu cc loi, cc cB/ci

N03.05.0003.5 Dy truyn, dy dn

62N03.05.010Dy dn, dy truyn dch cc loi, cc c (bao gm c chc ni, ng ni i km)B

63N03.05.020Dy dn, dy truyn kh cc loi, cc c (bao gm c chc ni, ng ni i km)B

64N03.05.030Dy dn, dy truyn mu, truyn ch phm mu cc loi, cc cB

65N03.05.040Dy ni i km dy truyn cc loi, cc cCi

66N03.05.050Dy truyn dch dng cho my truyn t ngB

67N03.05.060Kha i km dy dn, dy truyn hoc khng i km c dng trong truyn dch, truyn mu, truyn kh cc loi, cc cCi

N03.06.0003.6 Gng tayKhng thanh ton ring

68N03.06.010Gng cao su cc loi, cc ci

69N03.06.020Gng tay chm sc, iu tr ngi bnh cc loi, cc ci

70N03.06.030Gng tay s dng trong thm khm cc loi, cc ci

71N03.06.040Gng tay v trng dng trong thm d chc nng, xt nghim cc loi, cc ci

72N03.06.050Gng tay v trng dng trong th thut, phu thut cc loi, cc ci

N03.07.0003.7 Ti, l v cc loi vt t bao gi khcKhng thanh ton ring

73N03.07.010ng/ dy cho n cc loi, cc cCi/b

74N03.07.020Ti o khi lng mu sau sinh Ci

75N03.07.030Ti, bao gi tit trng cc loiCi

76N03.07.040Ti, l ng thc n, ng dung dch nui dng cc loi, cc cCi

77N03.07.050Ti, l ng thc n, dung dch nui dng tnh mch theo my cc loi, cc cCi

78N03.07.060Ti, l, ct-st (cassette) ng/ o lng cht thi tit, dch x cc loi, cc cCi

79N03.07.070Ti, l, hp ng bnh phm cc loi, cc cCi

N04.00.000Nhm 4. ng thng, ng dn lu, ng ni, dy ni, chc ni, catheter

N04.01.0004.1ng thng

80N04.01.010Ca-nuyn (cannula) cc loi, cc cCi

81N04.01.020ng ca-nuyn (cannula) m kh qun cc loi, cc cCi

82N04.01.030ng ni kh qun s dng mt ln cc loi, cc cB

83N04.01.040ng ni kh qun s dng nhiu ln cc loi, cc cB

84N04.01.050ng nong thanh qun, kh qun cc loi, cc cCi

85N04.01.060ng th 2 nng kh qun cc loi, cc cCi

86N04.01.070ng thng kh hm nhCi

87N04.01.080ng (sonde) th -xy CPAP 2 gngCi

88N04.01.090Thng (sonde) cc loi, cc cCi

N04.02.0004.2ng dn lu, ng ht

89N04.02.010B ra d dy (loi s dng mt ln)B

90N04.02.020ng (sonde) ra d dyCi

91N04.02.030ng dn lu (drain) cc loi, cc cCi

92N04.02.040ng dn lu Kehr cc cCi

93N04.02.050ng ht thaiCi

94N04.02.060ng, dy ht m, dch, kh cc loi, cc cCi/b

95N04.02.070ng/dy ra ht dng cho thit b th thut, phu thutB

N04.03.0004.3ng ni, dy ni, chc ni

96N04.03.010B dy dn dch vo khpB

97N04.03.020B dy lc mu, dy thm phn phc mcB

98N04.03.030B dy th -xy dng mt lnB

99N04.03.040B phn chuyn tip (transfer set) cc loi, cc cCi

100N04.03.050Chc 2 dy c u ni an ton sinh hcB

101N04.03.060u ni,ng ni titanium cc loi, cc cCi

102N04.03.070Dy chy my tim phi nhn toB

103N04.03.080ng Gone (thy tinh) t l qunB

104N04.03.090ng ni, dy ni, chc ni (adapter) dng trong cc thit b cc loi, cc cCi

105N04.03.100ng ni, dy ni, chc ni (adapter) dng trong th thut, phu thut, chm sc ngi bnh cc loi, cc cCi

N04.04.0004.4 Catheter

106N04.04.010ng thng (catheter) cc loi, cc cCi

107N04.04.020ng thng dn ng (guiding catheter) cc loi, cc cCi

108N04.04.030Vi ng thng (micro-catheter) cc loi, cc cCi

N05.00.000Nhm 5. Kim khu, ch khu, dao phu thutKhng thanh ton ring

N05.01.0005.1 Kim khu

109N05.01.010Kim khu cc loi, cc cCi

N05.02.0005.2 Ch khu

110N05.02.010Ch c nh thy tinh th nhn to cc loiSi/cun/tp

111N05.02.020Ch khu c bit cc loi, cc cSi/cun/tp

112N05.02.030Ch khu khng tiu cc loi, cc cSi/cun/tp

113N05.02.040Ch khu lin kim cc loi, cc cSi/tp

114N05.02.050Ch khu tiu chm cc loi, cc cSi/cun/tp

115N05.02.060Ch khu tiu nhanh cc loi, cc cSi/cun/tp

116N05.02.070Ch thp, dy thp dng trong phu thutSi/cun/tp

117N05.02.080Vt liu thay thch khu cc loi, cc cMing

N05.03.0005.3 Dao phu thut

118N05.03.010Bn cc trung tnh cho dao m in s dng mt lnCi

119N05.03.020Cc loi dao, li dao s dng trong phu thut ni soiCi

120N05.03.030Dao m lin cn s dng mt ln cc loi, cc cCi

121N05.03.040u/ li dao m in, dao laser, dao siu mCi

122N05.03.050Dy ca s dng trong th thut, phu thut cc loiSi/dy

123N05.03.060Li bo, li ct dng trong ni soi khp, ct sngCi

124N05.03.070Li dao ct mCi

125N05.03.080Li dao m s dng mt ln cc loi, cc cCi

N06.00.000Nhm 6. Vt liu thay th, vt liu cy ghp nhn to

N06.01.0006.1 Van nhn to

126N06.01.010Mch mu nhn to cc loi, cc cCi/on

127N06.01.020Van dn lu nhn to cc loi, cc cB

128N06.01.030Van tim nhn to; van ng mch nhn toCi

129N06.01.040Vng van tim nhn toCi

N6.02.0006.2 Gi

130N06.02.010Gi (stent) cc loi, cc cCi

N06.03.0006.3 Thy tinh th nhn to

131N06.03.010Thy tinh th nhn to (IOL, toric IOL) cc loi (cng, mm, treo)Ci

N06.04.0006.4 Xng, sn, khp, gn nhn to

132N06.04.010Chm xng nhn to cc loiB

133N06.04.020t sng nhn to, ming ghp ct sng, a m trong phu thut ct sngCi/ming

134N06.04.030Gn nhn toon

135N06.04.040Gm sinh hc dng thay th xng cc loiCi

136N06.04.050Khp, khp (ton phn hoc bn phn) nhn to cc loiB

137N06.04.060Sn nhn toon/ming

138N06.04.070Xng bo qun/ sn phm sinh hc thay th xngCi

139N06.04.080Xng con (dng trong phu thut ti to h thng truyn m)Ci

140N06.04.090Xng nhn toon/ming

N06.05.0006.5 Cc loi ming v, mnh ghp

141N06.05.010Mng v sinh hc khc cc loiMing

142N06.05.020Mnh ghp thot v bnCi

143N06.05.030Ming v khuyt s cc loi, cc cMing

144N06.05.040Ming v tim, v mch mu cc loi, cc cMing

N06.06.0006.6 Cc loi vt liu thay th, vt liu cy ghp nhn to khc

145N06.06.010Cc loi da dngtrong cy ghpTm/ming

146N06.06.020Cc loi mng sinh hc khc dng trong iu trTm/ming

147N06.06.030Keo sinh hc s dngtrong iu trL/tup

148N06.06.040Mng i cc loiTm/ming

149N06.06.050Mng ti to m nhn toCi/ming

150N06.06.060T bo sng/ tbo si nui cy dng trong iu tr bng hay cc tn thng khcTm/ming

N07.00.000Nhm 7. Cc loi vt t y t s dng trong mt s chuyn khoa

N07.01.0007.1 Tim mch v X- quang can thip

151N07.01.010B u d siu m trong lng mch (IVUS)B

152N07.01.020B dy truyn dung dch lit tim cc loi, cc cB

153N07.01.030B iu tr ni mch cc loi, cc c, gm:B

+ Kim chc

+ Dy dn

+ Catheter lun cp quang

+ Dy t

154N07.01.040B dng c bt thng lin nh, thng lin tht, bt ng ng mchB

155N07.01.050B dng c t stent graftB

156N07.01.060B dng c iu tr ri lon nhp tim bng RFB

157N07.01.070B dng c iu tr rung nhB

158N07.01.080B dng c o d tr lu lng ng mch vnh v dng c a vo lng mchB

159N07.01.090B dng c dngtrong khoan ph ng mch vnh gm: dy dn cho u mi khoan (rotawire), dung dch bi trn (lubricant rotaglide), u mi khoan (rotalink burr), thit b y v h thng kh nn (rotalink rotablator advancer)B

160N07.01.100B dng c ly huyt khi (ng ht, vi ng thng, khoan huyt khi, gi ko huyt khi)B

161N07.01.110B dng c m ng vo mch mu (kim chc, dy dn, ng c van t vo lng mch introducer, sheat)B

162N07.01.120B dng c nong van timB

163N07.01.130B dng c nt mchB

164N07.01.140B dng c th coilCi

165N07.01.150B dng c thm d in sinh l tim (my, in cc,)B

166N07.01.160B dng c thay van tim qua daB

167N07.01.170B dng c thng tim chp ng mch (ng mch vnh v cc ng mch khc)B

168N07.01.180B dng c thng tim v chp bung tim cc loiB

169N07.01.190B th d cc loi, cc cB

170N07.01.200B tht tnh mch thc qun dng mt lnB

171N07.01.210B tim phi nhn to (ECMO) dng trong hi sc cp cu cc loi, cc c, gm:B

+ Phi nhn to EBS

+ Dy dn, dy kt ni, chc kt ni

+ Qu lc

+ B phn trao i nhit

172N07.01.220Bm p lcCi

173N07.01.230Bm p lc caoB

N03.01.080Bm tim my bmCi

174N07.01.240Bng nong (balloon) cc loi, cc cCi/b

N04.01.010Ca-nuyn (cannula) tim, mch cc loiCi

175N07.01.250Dy bm p lc caoCi

176N07.01.260Dy dn p lc o d tr dng chy ng mch vnh (FFR)B

177N07.01.270Dy dn ng (guide wire) cc loi, cc cCi

178N07.01.280D (amplatzer) cc loiCi/b

179N07.01.290D bo v chng tc mch (angiograt) h lu ng mch vnhCi

180N07.01.300Dng c cnh mch vnhCi

181N07.01.310Dng c th hoc ct vng xon kim loi (dy y coils, dng c ct coils)Ci

182N07.01.320Dng c ng lng mch (angioseal)B

183N07.01.330Dng c ly d vt (multi-snare) trong tim mch cc loi, cc cCi

184N07.01.340Dng c ly mng x va thnh mchCi

185N07.01.350Dng c thi CO2(blower) c ng b sung ncCi

186N07.01.360Dng c treo mm timCi

N06.02.010Gi ni mch (stent) cc loi, cc cCi

187N07.01.370Keo nt mch cc loi (Onyx, Histoacryl..)L/tup

188N07.01.380Kim ht kh gc ng mchCi

189N07.01.390Li lc tnh mchCi

N06.01.010Mch mu nhn to cc loi, cc cCi/on

190N07.01.400My to nhp (gm: my, dy dn, kim thm d)B

191N07.01.410My to nhp c v khng c ph rung cy vo c th (gm my v dy dn)B

N06.05.040Ming v tim, v mch mu cc loi, cc cMing

N04.04.020ng thng dn ng (guiding catheter) cc loi, cc cCi

192N07.01.420Shunt trong lng ng mch vnhCi

N06.01.030Van tim nhn to, van ng mch nhn toCi

193N07.01.430Vt liu nt mch (ht nha PVA, lipiodol,)Ming/thi/l

194N07.01.440Vt liu nt mch DC Bead iu tr ung th ganL

195N07.01.450Vt liu nt mch tm thi (spongel)Ming

196N07.01.460Vi dy dn ng (micro guide wire) cc loi, cc cCi

N04.04.030Vi ng thng (micro-catheter) cc loi, cc cCi

N06.01.040Vng van tim nhn toCi

197N07.01.470Vng xon kim loi (coils, matrix coils) cc loi, cc cCi

N07.02.0007.2 Lc mu, lc mng bng

198N07.02.010B lc mng bng cp cu (s dng mt ln)B

199N07.02.020B lc mng bng/ thm phn phc mc (gm: catheter chuyn dng, u ni titanium, h thng dy ni)B

200N07.02.030B thay mu (s dng mt ln)B

201N07.02.040Qu lc tch huyt tng v b dy dnQu/b

202N07.02.050Qu lc v h thng dy dn trong k thut hp th phn t lin tcB

203N07.02.060Qu lc, mng lc mu v h thng dy dn i km trong siu lc mu, lc mu lin tcQu/b

204N07.02.070Qu lc, mng lc mu v h thng dy dn trong lc mu (hemodialysis) nh k (thn nhn to)B

205N07.02.080Qu lc thn nhn to cc loi, cc cQu

N07.03.0007.3 Mt, Tai Mi Hng, Rng Hm Mt

206N07.03.010B c nh ngoi kiu cc p rng s dng trong iu trB

207N07.03.020B dao cng mc cc c (dng trong phu thut ct dch knh; vng mc) dng mt lnB

208N07.03.030B tin phng nhn to (dng trong ghp gic mc)B

209N07.03.040Cht nhy/ dung dch htr dng trong phu thut t thy tinh th nhn to PhacoL/ng

210N07.03.050Cht nhum mu dng trong phu thut mtL/ml

211N07.03.060u ct dch knh (dng mt ln, nhiu ln) cc loi, cc cCi

212N07.03.070u ct, no amidan nhanh, ct cun mi nhanh dng mt lnCi

213N07.03.080u t in ng ni nhn dng trong phu thut ct dch knh cc cCi

214N07.03.090u kim Phaco cc loiChic

215N07.03.100u lnh ng cng mcChic

216N07.03.110u li ct s dng trong ct thanh qun, ht no mi xoang, no VA dng 1 lnCi

217N07.03.120u Phaco tipCi

218N07.03.130Dy cp; u pht quang laser dng trong phu thut mtCi

219N07.03.140inh nc cng mc cc loiChic

220N07.03.150Ko ni nhnChic

221N07.03.160Kp bc mng ngn trong (dng trong phu thut ct dch knh, vng mc) dng 1 lnCi

222N07.03.170Meroches mi, tai, vch ngnCi

223N07.03.180Nam chm t trong ni nhnB

224N07.03.190ng dn lu/ dng c thng p lc ni nhn dng trong phu thut Glcm (shunt/express Glaucoma filtration device)Ci

N04.03.080ng Gone (thy tinh) t l qunB

225N07.03.200ng Silicon, du Silicon, ai Silicon, tm Silicon dng trong phu thut mtCi/l

226N07.03.210Pince bc mng (dng mt ln hoc nhiu ln) trong phn thut mtChic

N06.03.010Thy tinh th nhn to (IOL, toric IOL) cc loi (cng, mm, treo)Ci

N06.01.020Van dn lu nhn to cc loi, cc cB

227N07.03.220Vng cng bao thy tinh thCi

N06.04.080Xng con (dng trong phu thut ti to h thng truyn m)Ci

N07.04.0007.4 Tiu ha

228N07.04.010B dng c phu thut tr bng dng in cao tn, gm:B

+ B phu thut tr (HCPT)

+ Kp cm mu phu thut tr

+ Dng c ng ngng

+ B dy dn cao tn

229N07.04.020B m thng d dy qua da, gm:B

+ Kim chc

+ ng thng nong

+ Dy gn ming c nh

230N07.04.030B van nong hu mnB

231N07.04.040Dng c (my) ct ni t ng s dng trong k thut Longo (bao gm c vng/ bng ghim khu km theo)B

232N07.04.050Dng c (my) ct, khu ni t ng (bao gm c ghim khu my)B

N06.02.010Gi (stent) thc qun,ng dn mt cc loi, cc cCi

233N07.04.060Lng ct polyp i trng, polyp trc trngCi

234N07.04.070Li iu tr thot v cc loiCi

235N07.04.080Troca nha (dng mtln) dng trong phu thut ni soi tiu ha cc cB/ci

N07.05.0007.5 Tit niu

236N07.05.010Bng n s dng cho dng c ct khu ni trong tit niuCi

237N07.05.020B t dn lu thn qua da, gm:B

+ Kim chc

+ ng thng nong

+ng thng (sonde) J-J

+ ng thng t dn lu ra ngoi

238N07.05.030B dng c dng trong thm phn phc mc cc loiB

239N07.05.040B nong nha km amplatzer dng trong tn si thn qua daB

240N07.05.050B nong niu qun bng nha cc loiB

241N07.05.060u d tn si niu qunCi

242N07.05.070u tn si, in cc tn si cc loiCi

243N07.05.080Dy cp, u pht quang laser trong iu tr u x tuyn tin litCi

244N07.05.090in cc ct, t trong phu thut ni soi ct u tuyn tin litCi

245N07.05.100Thng giDormia trong ni soi ly si niu qunCi

N07.06.0007.6 Chn thng, chnh hnh

246N07.06.010o bt, np bt cc loiCi

247N07.06.020o chnh hnh ct sng cc loi, cc cChic

248N07.06.030B dng c xi mng (gm: kim chc, xi mng, bm p lc y xi mng)B

N06.04.010Chm xng nhn to cc loiB

249N07.06.040inh, np, c, vt, lng dngtrong phu thut xng cc loiCi/b

N06.04.020t sng nhn to, ming ghp ct sng, a m trong phu thut ct sngCi/ming

N06.04.030Gn nhn toon

N06.04.040Gm sinh hc dng thay th xng cc loiCi

N06.04.050Khp,khp (ton phn hoc bn phn) nhn to cc loiB

250N07.06.050Khung, ai, np, thanh lun dng trong chn thng chnh hnh v phc hi chc nng cc loi, cc cCi/b

N06.04.060Sn nhn toon/ming

251N07.06.060Thanh nng ngc cc loi, cc cCi

252N07.06.070Xi-mng (cement) ha hc (dng trong to hnh thn t sng, to hnh vm s, khp)Gram/l

N06.04.070Xng bo qun/ sn phm sinh hc thay th xngCi

N06.04.090Xng nhn toon/ming

N07.07.0007.7 Huyt hc, truyn mu

253N07.07.010B kt tch bch cu/ tch tiu cu/ huyt tngB

254N07.07.020B kt tch t bo gcB

255N07.07.030B kt xc nh ha hp t chcB

N07.02.030B thay mu (s dng mt ln)B

256N07.07.040Phin lc bch cuCi

N08.00.000Nhm 8. Cc loi vt t y t s dng trong chn on, iu tr khc

257N08.00.010Bng (n) ghim khu dng trong phu thut cc loiCi

258N08.00.020Bng p tnh mchCi

259N08.00.030Bng keo th nhitCun

260N08.00.040Bao p lc truyn dch nhanhCi

261N08.00.050Bao bc camera dng trong th thut, phu thutCi

262N08.00.060Bao bc u thit b siu m cc loiCi

263N08.00.070Bao o huyt p s sinh/ ngi ln dng mt lnChic

264N08.00.080B t dn lu dch hoc p xe cc tng (gm: kim chc, ng nong, ng dn lu)B

265N08.00.090B t ng truyn ha cht (kim chc, ng thng, dy dn)B

266N08.00.100B u d dng mt ln cc loiB

267N08.00.110B o p lc ni sB

268N08.00.120B o dung lng kh/ b o kh ng mchB

269N08.00.130B t nhit iu tr khi u (gm: kim t nhit, dy ni, in cc dn)B

270N08.00.140B m kh qun cc loi, cc c (s dng mt ln)B

271N08.00.150Bung tim truyn cy di daB

272N08.00.160u o SpO2(sensor) dng mt lnCi

273N08.00.170u nh sng lnh dng trong th thut, phu thutChic

274N08.00.180u camera trong th thut, phu thutB

275N08.00.190u cn cc loi, cc cCi

276N08.00.200u dy tn si ng mt ni soiCi

277N08.00.210u t, dao hn mch cc loi dng trong th thut, phu thutChic

278N08.00.220u kim ra ht cc loi (nha, dng 1 ln) (dng trong cc phu thut chuyn khoa)Ci

279N08.00.230Dy cp, u o huyt p xm nhp (dome)B

280N08.00.240 li (g, inox, st)Ci

281N08.00.250in cc dn/ ming dn in cc cc loiMing

282N08.00.260Kp (clip, clamp) cc loi, cc cCi

283N08.00.270Kim chc v sinh thit tng cc loi, cc cCi

284N08.00.280Kim chc v sinh thit xng cc loi, cc cCi

285N08.00.290Li ct, t bng sng radio cc loiCi

286N08.00.300Mng tng thngCi

287N08.00.310Mt n (mask) cc loi, cc cCi/chic

288N08.00.320Ming p (opsite) cc c dng trong phu thut, th thutMing

289N08.00.330Mi khoan cc loi dng trong th thut, phu thutMi

290N08.00.340Phin lc kh cc loiCi

291N08.00.350Phin lc vi khun cc loiCi

292N08.00.360Stapler cc loi dng mt ln trong phu thutB

293N08.00.370Tm gi nhit cc loici

N07.04.080Troca nha dng trong ni soi cc cCi

N09.00.000Nhm 9. Cc loi vt t y t thay th s dng trong mt s thit b chn on, iu trKhng thanh ton ring

294N09.00.010Bng n hng ngoiChic

295N09.00.020Bng n t ngoiChic

296N09.00.030Bng pht tia my x tr gia tcCi

297N09.00.040Bt phng x nh du chp SPECT (pen point marker)Ci

N08.00.310Mt n s dng trong x trCi

298N09.00.060PhantomB

299N09.00.070Tm c nh phn thn dng trong x tr gia tcCi

Ghi ch:-Cc nhm hay tiu nhm c ghich "khng thanh ton ring" th Qu bo him y t khng thanh ton ring i vi tt c cc loi vt t y t thuc nhm hay tiu nhm ny v c tnh vthanh ton theo gi ngy ging hoc theo gi dch v k thut.-i vi cc vt t y t thuc nhm khc cn li th thc hin thanh ton theo nguyn tc v hng dn quy nh ti iu 3 ca Thng t.

PH LC 01DANH MC VT T Y TS DNG TI C S KHM BNH, CHA BNH(Ban hnh km theo Thng t s 27/2013/TT-BYT ngy 18/9/2013 ca B Y t)Mu s 01/VTYT(theo TT s /2013/TT-BYT ngy / /2013 ca B Y t)B Y T/S Y TTN C S KHM BNH, CHA BNH-CNG HA X HI CH NGHA VIT NAMc lp T do Hnh phc.., ngy .. thng .. nm ..

DANH MC VT T Y T S DNG TI..(tn c s KCB)STTSTT/ m s theo DM do BYT ban hnhTn VTYTQuy cchNc sn xutHng sn xutn v tnhGi mua vo ()Gi thanh ton BHYT ()Ghi ch

(1)(2)(3)(4)(5)(6)(7)(8)(9)(10)

Nhm

Nhm

Ni nhn:-BHXH tnh/ huyn;-Cc khoa, phng;-Lu VT,.GIM C(k tn, ng du)

PH LC 02DANH MC VT T Y T NGH B SUNG/LOI B(Ban hnh km theo Thng t s 27/2013/TT-BYT ngy 18 thng 9 nm 2013 ca B Y t)Mu s 02/VTYT(theo TT s /2013/TT-BYT ngy / /2013 ca B Y t)B Y T/S Y TTN C S KHM BNH, CHA BNH-CNG HA X HI CH NGHA VIT NAMc lp T do Hnh phc.., ngy .. thng .. nm ..

DANH MC VT T Y T NGH B SUNG/ LOI BSTTSTT/ m stheo DM do BYT ban hnhTn VTYTQuy cchn v tnhGi mua vo ()Gi thanh ton BHYT () ngh BSUNG hoc LOI BL do ngh

(1)(2)(3)(4)(5)(6)(7)(8)(9)

Nhm

Nhm

Ni nhn:- B Y t/ S Y t;-Lu VT,.GIM C(k tn, ng du)