Parkinson's surgery fee medical insurance
Counties (cities, districts) Medical Security Bureau (branch), the city health insurance fund management center, the city's designated medical institutions: According to the Jiangsu Provincial Department of Human Resources and Social Security "on the standardization of" Parkinson's "deep brain electrical stimulation treatment of medical insurance treatment and management of the notice" provisions, based on the provincial drug (medical consumables) sunshine procurement platform prices of relevant consumables and medical institutions and the relevant supply enterprises negotiation, combined with the actual, now clear "stereotactic deep brain electrical stimulation of the medical insurance fee" in our city, is hereby defined as the "stereotactic deep brain electrical stimulation of the medical insurance fee". (Medical consumables) sunshine procurement platform relevant consumables listed prices and medical institutions and relevant supply enterprises negotiation, combined with the city's actuality, is now clear that the city's "stereotactic deep brain electrical stimulation implantation" (hereinafter referred to as DBS surgery) used in the special medical materials medical insurance treatment payment matters are as follows: First, a medical insurance year, implantable Extension wire (fee code 330201061-1), each set of health insurance payment limit of 3600 yuan; dual-channel neurostimulator (fee code 330201061-2), each set of health insurance payment limit of 191102 yuan; single-channel neurostimulator (fee code 330201061-2), each set of health insurance payment limit of 56810 yuan; implanted puncture electrodes (fee code 330201061-2), each set of health insurance payment limit of 56810 yuan; implanted electrode ( Fee code 330201061-3), each set of Medicare payment limit of 10089 yuan. The above special medical materials above the limit price of the part of the insured at their own expense, within the limit price of the part of the actual amount in accordance with the city's special medical materials of basic medical insurance and major medical (supplemental) insurance provisions. Second, the medical institutions to carry out DBS surgical project, according to the provisions of the implantable extension wire, implantable puncture electrode, nerve stimulator three kinds of special medical material costs, and then shall not be charged chargers, controllers, tools, and other medical material costs, shall not be dependent on other surgical projects to collect fees. Third, the city health insurance agencies to carry out timely system maintenance to ensure that insured patients directly network settlement and enjoy the relevant health insurance treatment. Before the realization of the direct network settlement function, the city's insured patients in the city of fixed-point medical institutions incurred the relevant costs can be manually settled. The city's insured patients in foreign medical sporadic reimbursement, while the implementation of the above payment regulations. Fourth, in order to protect the insured patients related to health insurance treatment in an orderly and timely manner, the city designated medical institutions to carry out DBS surgery, must be filed with the Municipal Bureau of Medical Protection. This notice is effective from the date of issuance. In the future, if there are new national and provincial regulations, according to national and provincial regulations. Yangzhou Municipal Bureau of Medical Protection 2021 June 7