อัตราค่าผ่าตัด

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11.1

�����

71011

11.1.1

��ÿ�鹤׹�վ

����

900

- ������������ͧ Defibrillation   

- �������� ���  ET tube

11.2

��õ�Ǩ�ѡ�ҷҧ����ҷ�Է��

71121

11.2.1

Lumbar puncture

����

200

11.3

�� �� �� ��١

71210

11.3.1

Remove eye FB

����

70

71211

11.3.2

I & D �ҧ��/��ҧ

����

90

71220

11.3.3

��â�����ҹ����д٨ͻ���ҷ��

����

50

71230

11.3.4

�������š�����͡�ҡ��

����

100

71240

11.3.5

�������š�����͡�ҡ��١

����

120

������ Fiber optic

71241

11.3.6

Nasal packing, anterior

����

120

71242

11.3.7

Nasal packing, anterior and posterior

����

1,000

����������ʴ� packing

71250

11.3.8

Nasal endoscope

����

800

71260

11.3.9

�������š�����͡�ҡ��

����

120

������ Fiber optic

71270

11.3.10

Direct FOL laryngoscopy

����

1,000

71271

11.3.11

Direct laryngoscopy with remove FB

����

1,400

71272

11.3.12

Microdirect laryngoscopy with or without laser therapy

����

1,500

11.4

�ҧ�Թ������лʹ

71310

11.4.1

����������ʹ���� (Intubation/���������)

����

180

- ����ػ�ó�/��ʴ���� Airway

- ������ ET tube

71320

11.4.2

Rigid bronchoscope

����

1,200

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

71321

11.4.3

Rigid bronchoscope with FB removal/ dilatation

����

1,400

��������Ҵ���

71322

11.4.4

Laryngo-esophago-bronchoscope

����

2,050

71330

11.4.5

FOL Bronchoscopy

����

1,800

- �繡��ͧ��Ǩ VDO

- ��������Ҵ���

71331

11.4.6

FOL Bronchoscopy & biopsy

����

1,900

71332

11.4.7

FOL Bronchoscope with remove FB

2,100

71333

11.4.8

FOL Bronchoscopy & treatment(laser, heat)

����

2,600

71340

11.4.9

��лʹ (Diagnostic thoracocentesis)

����

200

71341

11.4.10

����к����ҹ��㹪�ͧ�ʹ�͡ (Chest Drain)

����

400

��������� chest drain (���� 3101)  

71342

11.4.11

�Ѵ����ͺت�ͧ�ʹ (Pleural Biopsy)

����

300

11.5

���������ʹ���ʹ

       �ѵ�����ä���㨵��仹�� ���Ҥ����Ҩ��·����� �������ç ���������ͧ��͵���ҵðҹ set ����Ǫ�ѳ�������� �� Thouhy bose,Indeflater, Needle pucture, Manifold, Connector, Dome, Contrast media, Torguer device, etc. �����ʴط���������¡���ػ�ó�㹡�úӺѴ�ѡ���ä (�����Ǵ��� 2) �� Introducer sheath, Guide wire, Balloon for PTCA, Guide wire for PTCA ����������¡���ػ�ó�ӺѴ�ѡ���ä ����� 4302, 4303, 4307, 4308, 4309, 4310, 4313, 4802

71410

11.5.1

����Դ��ʹ���ʹ�� (Cut down)

����

800

����ػ�ó�/��ʴ� �� ��� Cut down �Ҫ� �ا���      �Ҧ������       �������� ���

71411

11.5.2

����Դ��ʹ���ʹᴧ

����

400

71412

11.5.3

����ǹ��ʹ���ʹ�������д�� 

����

350

71413

11.5.4

��ö�������¹���ʹ   

����

700

������ Set

71420

11.5.5

������ Double lumen catheter

����

450

������������ Double lumen cath

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

71421

11.5.6

������ Permanent catheter

����

1,000

������������Permanent cath

71422

11.5.7

�������ǹ���� (Pulmonary wedge pressure)

����

900

��������� Pulm wed pressure

71430

11.5.8

��й��㹪�ͧ�������� 

����

900

㹡óշ��������� Set (���� 4423)  

����������ͧ Monitor

71431

11.5.9

Pericardiocentesisand drainage

����

5,000

�������� Set    ����� 4423

71432

11.5.10

Myocardial biopsy

����

3,000

��� Set Myotome

71440

11.5.11

Coronary angiography (CAG)

����

15,000

71441

11.5.12

Percutaneous transluminal coronary agiographyand stent implantation

����

50,000

������ Stent ����ԡ�����з�ǧ ��ä�ѧ��˹� ����ӹǹ������ԧ

71442

11.5.13

Additional coronary arteries

����

16,500

㹡�÷� PTCA ������� stent ���������鹨ҡ����á

71450

11.5.14

Right & Left heart catheterization

����

15,000

������ Lab

71451

11.5.15

Ablation

����

100,000

���Ҩ��·����� �������ǹ����ͧ �ԡ����

71452

11.5.16

PTMC

����

55,000

71453

11.5.17

ASD

����

140,000

71454

11.5.18

PDA

����

80,000

71460

11.5.19

Temporary Pacemaker

����

10,000

������������ͧ ��е������

71461

11.5.20

Permanent Pacemaker

����

10,000

����������ͧ��е�� ��������ԡ������Ǵ��� 2

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

71470

11.5.21

IABP

����

10,000

- ������������ͧ��ʹ����ѡ��

- ��������� 4424

11.6

�ҧ�Թ�����

71510

11.6.1

��з�ͧ��ҹ���͡ (Abdominal Paracentesis)

����

200

71511

11.6.2

��ôٴ˹ͧ�ҡ�շ��Ѻ (Liver Aspiration)

����

250

71512

11.6.3

�����Ъ�����͵Ѻ�觵�Ǩ��Ҹ� (Liver Biopsy)

����

250

71520

11.6.4

�����ͧ��Ǩ��ͧ��ͧ (Peritoneoscopy)

����

700

71530

11.6.5

Esophagoscopy

����

1,300

- �繡��ͧ��Ǩ VDO

- ��������Ҵ���

71531

11.6.6

Esophagoscopy with remove FB

����

1,400

71532

11.6.7

������ Zengstaken Intubation

����

450

�����þ�Һ�Ŵ������

71540

11.6.8

Gastroduodenoscopy

����

1,300

�繡��ͧ��Ǩ VDO

��������Ҵ���

71541

11.6.9

Gastroduodenoscopy & biopsy

����

1,500

71542

11.6.10

Esophago-gastroscope with banding

����

1,900

��������� Banding

71543

11.6.11

Gastroscope & adrenaline injection

����

1,600

����� Adrenaline

71544

11.6.12

Gastroduodenoscopy & sclerotherapy (laser, heat)

����

2,900

����ػ�ó� �� ���/���� Probe �����

71545

11.6.13

Endoscopic ultrasound

����

3,000

 

71550

11.6.14

�����ͧ��Ǩ����˹ѡ (Proctoscopy)

����

40

 

71551

11.6.15

�����ͧ��Ǩ����˹ѡ��Ыԡ��´� (Proctosigmoidoscopy fiberoptic)

����

1,000

71552

11.6.16

Banding Hemorrhoid

����

250

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

71560

11.6.17

Colonoscopy (�����ͧ��Ǩ������˭�)

����

2,300

71561

11.6.18

Colonoscopy & biopsy

����

2,500

�¡�Դ��Ҫ������

71562

11.6.19

Colonoscopy & Polypectomy

����

3,300

71570

11.6.20

��÷� Endoscopic Retrograde Cholangio Pancreatography(ERCP)

����

6,500

����ػ�ó��鹰ҹ㹡���ԹԨ���   ��� catheter ��� GW ��������ҿ��������ػ�ó����͡���ѡ�� �� stent, brush, balloon,  sphincterostomy

11.7

�ҹ�ä���зҧ�Թ�������

71610

11.7.1

��ҵѴ���������觾��٨���Ҹ���Ҿ 

����

900

��������ҵ�Ǩ��Ҹ�

71620

11.7.2

�����ҧ䵷ҧ��ͧ��ͧ (Peritoneal Dialysis)���������Ǥ���  - ������ Tro cath

����

1,100

��������� Tro cath ���� 5603

71621

11.7.3

�����ҧ䵷ҧ��ͧ��ͧ (Peritoneal Dialysis)���������Ǥ���  - ��һ�Ժѵԡ�� 24 ������� (Manual)

����

900

��������ҹ������ҧ�

71622

11.7.4

�����ҧ䵷ҧ��ͧ��ͧ (Peritoneal Dialysis)���������Ǥ���  - ��һ�Ժѵԡ�� 24 ������� (Machine)

����

2,500

71630

11.7.5

�����ҧ䵷ҧ��ͧ��ͧ ���������� (CAPD)  - ��������� Tenchkoff (CAPD)

����

1,400

��������� Tenchkoff ���� 5604, 5605

71631

11.7.6

�����ҧ䵷ҧ��ͧ��ͧ ���������� (CAPD)  - ��һ�Ժѵԡ�äǺ�����н֡�͹������

����

1,400

��������������»�Ժѵ���

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

71640

11.7.7

���������� (Hemodialysis)  - Acute Hemodialysis

����

3,500

����ػ�ó��鹰ҹ  ��ʴ�������ͧ     ��ǡ�ͧ Blood line ���ᷧ  �Ҿ�鹰ҹ �͡��ਹ ��� monitor

71641

 11.7.8

���������� (Hemodialysis) - Chronic Hemodialysis)

����

2,000

����ѡ�Ҿ�Һ��㹡�ÿ͡���ʹ���Ҩ��� �����С����з�ǧ��ä�ѧ � �ѹ��� 31 �.�. 2548

11.8

�ٵ�����Ǫ����

71650

11.8.1

��Ҥ�ʹ���Էҧ��ͧ��ʹ ��������

����

1,000

71651

11.8.2

��Ҥ�ʹ��ҡ鹷ҧ��ͧ��ʹ

����

1,300

71652

11.8.3

��Ҥ�ʹ������ͧ��ͪ��� (Vac/forcep)

����

1,300

71653

11.8.4

��ǧá

����

350

71660

11.8.5

��ҵ�Ǩ����移ҡ���١

����

70

71661

11.8.6

Colposcopic examination (��Ǩ���¡��ͧ)

����

250

71662

11.8.7

Culdocentesis

����

170

71670

11.8.8

Cryosurgery (�����¤������)

����

160

71671

11.8.9

����ٴ�ҡ/㹪�ͧ��ʹ����俿��

����

250

71672

11.8.10

����ٴ�ҡ/㹪�ͧ��ʹ������ Podiphyllin ���� Trichloacetic acid

����

130

71673

11.8.11

��ҽշ��ҡ��ͧ��ʹ/Incission and drain of Bartholin abscess

����

300

71674

11.8.12

Marsupialization of Bartholin cyst

����

350

71680

11.8.13

Endometrial biopsy

����

150

71681

11.8.14

��������ǧ

����

0

������Է���Ѻ�Դ�ͺ����������ǹ����ͧ

71682

11.8.15

��������ǧ�͡

����

0

71683

11.8.16

Artificial Insemination

����

0

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

71690

11.8.17

��ҽѧ�Ҥ��

����

0

������Է���Ѻ�Դ�ͺ����������ǹ����ͧ

71691

11.8.18

�������ҽѧ�͡

����

0

11.9

�ä����������ٹ�Է������ä���

71710

11.9.1

��й���͡�ҡ���

����

150

71711

11.9.2

��éմ����Ң��

����

120

11.10

���˹ѧ

71810

11.10.1

��õѴ����������͡���ԹԨ����ä (Skin Biopsy)

����

200

71811

11.10.2

���ͺ���˹ѧ (Patch test �ش�� 7-10 ���ҧ)

����

100

���������

71820

11.10.3

��éմ����Ҽ��˹ѧ���͡���ѡ���ä (Intralesional injection)

����

60

71821

11.10.4

����ѡ�Ҵ��¡�è�� �� Podophyllin

����

130

71822

11.10.5

��è�����俿��

����

250

71830

11.10.6

����ŷ����

����

350

����ش��� ��� ���� ������ 1 ��� �Ҫ� (�����������Դ�����)

71831

11.10.7

�ʹ���

����

300

71832

11.10.8

��� Sebaceous cyst

����

500

71833

11.10.9

����ٴ

����

300

71834

11.10.10

��ҽ�

����

300

71835

11.10.11

�ҹ�һ��

����

80

11.11

���Ե�Է��

71840

11.11.1

������䢡�д١ (Bone marrow aspiration)

����

300

71841

11.11.2

��õѴ�������䢡�д١ (Bone marrow biopsy)

����

400

11.12

��õ�Ǩ�ѡ�ҷҧ�Ե�Ǫ

71910

11.12.1

�Ӫ�ͤ俿�ҵ�ͤ���ͤ���Ẻ Unmodified

����

100

71911

11.12.2

�Ӫ�ͤ俿�ҵ�ͤ���ͤ���Ẻ Modified

����

300

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

11.13

�ѧ�������ѡ��: Non-vascular Intervention

72610

11.13.1

PTBD (�Ҥ����Ҩ���)

����

13,000

����ػ�ó��鹰ҹSet introducer access ��� PTBD (����¡�÷���ѧ����������Ǵ��� 2)

72611

11.13.2

PTBD with stent (�Ҥ����Ҩ���)

����

17,000

������ Stent

72612

11.13.3

Stent implantation (�Ҥ����Ҩ���)

����

8,000

������ Stent

72901

11.13.4

Guided fine needle aspiration under fluoroscope, U/S, or CT guidance

����

600

- �����ʴ� Setsterile ������ Syringes �繵�

- ���������������ͧ����ѧ���ԹԨ���

72902

11.13.5

Guided biopsy under fluoroscope, U/S, or CT guidance

����

2,300

- �����ʴ� Setsterile ��� Set semiautomatic needle 

- ���������������ͧ����ѧ���ԹԨ���

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

11.14

�ѧ�������ѡ��: Vascular Intervention   and other interventions

          ��¡���ѧ�������ԹԨ��¡���� Vascular Intervention ��з��͡�˹�ͨҡ����˹�� Non-vacular Intervention ���Դ�Ҥҵ������ͧ����ѧ���ԹԨ��·����  ���ԡ�Ǫ�ѳ����������� �� ����ػ�ó�㹡�úӺѴ �ѡ���ä �����Ǵ��� 2

��Դ����ͧ

72940

11.14.1

Fluoroscope

����

1,700

�Ҥҹ��ӹdz������� 2 �������  ��� Set ��鹰ҹ��ѵ���� �ا���  Mask   ��һ� ����ͤ���  ������͡��ਹ ����ͧ����Ѵ�ѭ�ҳ�վ������

72941

11.14.2

DSI

����

5,000

72942

11.14.3

DSA 1 plane

����

12,000

72943

11.14.4

DSA 2 planes

����

18,000

72999

���� ���͡�˹�ͨҡ��¡�õ����Ǣ�� 11.1-11.14 ��ҧ��  �������¡�÷��   �������ö��º��§��

100

����ԡ�����ԧ  ��Ҥ�����Թ   ����˹� ���

����������ö��������

            ����ԡ����ѵ�ҷ��ʶҹ��Һ�����¡��㹻� 2548 �¡�äԴ�鹷ع����ç㹡����ҵѴ ���Դ੾�Ф�ҵͺ᷹������Թ�͡������ҳ ��觤Դ���ѵ�������� 50 �ͧ����ç��������С�äԴ��Ҽ�ҵѴ���Դ���

            1. ���������Ǫ�ѳ�������Ҿ�鹰ҹ�����㹡�ü�ҵѴ �� �ش��ҵѴ �ا��� ���� ��� ��մ��ҵѴ �������ž�鹰ҹ �繵�

            2. �����觡�����ҧ (�����ͧ��ҵѴ) ��§��ҵѴ ����ͧ�������ػ�ó�����㹡�ü�ҵѴ �� Set ��ҵѴ ��һ���м�Ҥ���㹡�ü�ҵѴ��駶������������ͧ ����ͧ��� ����ͧ Suction ���ͧ���¡�ü�ҵѴ �繵�

��駹�� ��������������������ػ�ó�㹡�úӺѴ�ѡ���ä����������¡�õ����С����з�ǧ��ä�ѧ ��� �� 0417/77 ����Ǫ�ѳ�������ҷ�����������������¡�þ�鹰ҹ�ͧ��÷��ѵ���ù��� �� gel foam

            ��äԴ�ҤҤ�Ҽ�ҵѴ���Դ����ѵ�����ش���� �� ��÷Ӽ�ҵѴ�Դ��ͧ��ͧ���͵Ѵ�����͡ (Explore laparotomy and splenectomy (54.11 + 41.5)) �ҡ�Ҥ� Splenectomy ��ҡѺ 6,000 �ҷ����Ҥ� Explore laparotomy ��ҡѺ 3,150 �ҷ ���Դ੾���Ҥ� Splenectomy (6,000 �ҷ) ��ҹ�� ������Դ�ҤҢͧ Explore laparotomy (3,150 �ҷ) ����Ѻ�Ҥ� Splenectomy (6,000 �ҷ) 

            �óա�÷��ѵ�����ҡ����˹�����ҧ������ѹ� Operative fields ���ǡѹ ���Ŵ����ѵ���ê�Դ�����������§������ 25 �ͧ�Ҥҷ������� ��  ��÷� Cesarian section  (4,100 �ҷ) �����Ѻ��÷� Incidental appendectomy (2,550 �ҷ) ��� Tubal ligation (1,600 �ҷ) ���Դ�Ҥҷ���٧�������Ҥ���ѡ����Ҥҷ���ӡ������Ҥ��ͧ (4,100 + (0.25 x 2,550) + (0.25 x 1,600))

            㹡óշ���繡�ü�ҵѴ��ҧ���˹觡ѹ ���Դ�Ҥ��¡����ѵ���ù��� �� ��ҵѴ��ͧ������Ѻ��ҵѴ���� ���Դ�Ҥ���ҵѴ��ͧ��м�ҵѴ���ҵ���Ҥҷ���˹�

            ����Ѻ��÷��ѵ���÷���繡�������������� �� Cosmetic blepharoplasty (08.36), Augmentation rhinoplasty (21.85), Face lift (86.82) �繵� ���������ö�ԡ���������� ������Է���Ѻ�Դ�ͺ����������ǹ����ͧ

PROCEDURES

ICD-9-CM

˹���

�Ҥ�

1. OPERATIONS ON THE NERVOUS SYSTEM (01-05)

Incision and excision of skull, brain, and cerebral meninges

01

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Open biopsy of cerebral meninges

01.12

����

Open biopsy of brain

01.14

����

Biopsy of skull

01.15

����

Incision and drainage of cranial sinus

01.21

����

Reopening of craniotomy site

01.23

����

Cranial decompression

01.24

����

Craniotomy with removal of epidural abscess

01.24

����

Craniotomy with removal of extradural hematoma

01.24

����

Craniotomy with removal of foreign body of skull

01.24

����

Burr hole with irrigation and drainage

01.24

����

Sequestrectomy of skull

01.25

����

Drainage of intracranial hygroma

01.31

����

Drainage of subarachnoid abscess (cerebral)

01.31

����

Drainage of subdural empyema

01.31

����

Drainage of subdural hematoma

01.31

����

Division of brain tissue (lobotomy)

01.32

����

Drainage of intracerebral hematoma

01.39

����

Decortication of (cerebral) meninges

01.51

����

Hemispherectomy

01.52

����

Lobectomy of brain

01.53

����

Curettage of brain

01.59

����

Debridement of brain

01.59

����

Marsupialization of brain cyst

01.59

����

Excision of brain tumor

01.59

����

Excision of lesion of skull

01.6

����

Other operations on skull, brain, and cerebral meninges

02

Opening of cranial suture

02.01

����

Decompression of skull fracture

02.02

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Repair of skull with flap

02.03

����

Pericranial graft (autogenous) (heterogenous)

02.04

����

Insertion of skull plate

02.05

����

Revision of bone flap of skull

02.06

����

Removal of skull plate

02.07

����

Simple suture of dura mater of brain

02.11

����

Closure of fistula of cerebrospinal fluid

02.12

����

Dural graft

02.12

����

Repair of encephalocele including synchronous cranioplasty

02.12

����

Subdural patch

02.12

����

Ligation of middle meningeal artery

02.13

����

Ventriculostomy

02.2

����

Extracranial ventricular shunt

02.3 (1-5, 9)

����

Revision of ventriculoperitoneal shunt at ventricular site

02.42

����

Removal of ventricular shunt

02.43

����

Repair of brain

02.92

����

Operations on spinal cord and spinal canal structures

03

Decompression of spinal canal (laminectomy)

03.09

����

Exploration of spinal nerve root

03.09

����

Anterior decompression of spinal canal

03.09

����

Rhizotomy

03.1

����

Biopsy of spinal cord or spinal meninges

03.32

����

Excision or destruction of lesion of spinal cord or spinal meninges

03.4

����

Repair of spinal meningocele

03.51

����

Repair of spinal myelomeningocele

03.52

����

Reduction of fracture of vertebrae

03.53

����

Lysis of adhesions of spinal cord and nerve roots

03.6

����

Operations on cranial and peripheral nerves

04

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Suture of cranial and peripheral nerves

04.3

����

Decompression of facial nerve

04.42

����

Release of carpal tunnel

04.43

����

Cranial or peripheral nerve graft

04.5

����

Hypoglossal-facial anastomosis

04.71

����

Accessory-facial anastomosis

04.72

����

Repair of facial nerve

04.74

����

Repair of digital nerve

04.74

����

Operations on sympathetic nerves or ganglia

05

Biopsy of sympathetic nerve or ganglion

05.11

����

Cervical sympathectomy

05.22

����

Lumbar sympathectomy

05.23

����

2. OPERATIONS ON THE ENDOCRINE SYSTEM (06-07)

Operations on thyroid and parathyroid glands

06

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Reopening of wound of thyroid field for control of (postoperative) hemorrhage

06.02

����

Exploration neck by incision

06.09

����

Open biopsy of thyroid gland

06.12

����

Biopsy of parathyroid gland

06.13

����

Complete removal of one lobe of thyroid (with removal of isthmus or portion of other lobe)

06.2

����

Hemithyroidectomy

06.2

����

Excision of lesion of thyroid

06.31

����

Subtotal thyroidectomy

06.39

����

Complete thyroidectomy

06.4

����

Partial substernal thyroidectomy

06.51

����

Complete substernal thyroidectomy

06.52

����

Excision of thyroid by submental route

06.6

����

Excision of thyroid by transoral route

06.6

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Excision of thyroglossal duct or tract

06.7

����

Complete parathyroidectomy

06.81

����

Partial parathyroidectomy

06.89

����

Division of thyroid isthmus

06.91

����

Ligation of thyroid vessels

06.92

����

Suture of thyroid gland

06.93

����

Autotransplantation of parathyroid tissue

06.95

����

Operations on other endocrine glands

07

Unilateral adrenalectomy

07.22

����

Bilateral adrenalectomy

07.3

����

Thymectomy by median sternotomy

07.80

����

Total excision of thymus

07.82

����

3. OPERATIONS ON THE EYE (08-16)

Operations on eyelids

08

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Incision of lid margin

08.01

����

Severing of blepharorrhaphy

08.02

����

Biopsy of eyelid

08.11

����

Excision of chalazion

08.21

����

Excision of minor lesion of eyelid

08.22

����

Excision involving one-fourth or more of lid margin, partial-thickness

08.23

����

Excision involving one-fourth or more of lid margin, full-thickness

08.24

����

Repair of blepharoptosis by frontalis muscle technique with suture

08.31

����

Repair of blepharoptosis by frontalis muscle technique with fascial sling

08.32

����

Repair of blepharoptosis by resection or advancement of levator muscle or aponeurosis

08.33

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Repair of blepharoptosis by other levator muscle techniques

08.34

����

Repair of blepharoptosis by tarsal technique

08.35

����

Corrective blepharoplasty

08.36

����

Cosmetic blepharoplasty

08.36

����

0

Reduction of overcorrection of ptosis

08.37

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Correction of lid retraction

08.38

����

Repair of entropion or ectropion by suture technique

08.42

����

Repair of entropion or ectropion with wedge resection

08.43

����

Repair of entropion or ectropion with lid reconstruction

08.44

����

Repair of entropion or ectropion 2 ��ҧ

08.49

����

Canthotomy

08.51

����

Blepharorrhaphy

08.52

����

Canthorrhaphy

08.52

����

Tarsorrhaphy

08.52

����

Reconstruction of eyelid with skin flap or graft

08.61

����

Reconstruction of eyelid with mucous membrane flap or graft

08.62

����

Reconstruction of eyelid with hair follicle graft

08.63

����

Reconstruction of eyelid with tarsoconjunctival flap

08.64

����

Eyelid  reconstruction, Z-plasty 1 ��ҧ

08.70

����

Eyelid  reconstruction, Z-plasty 2 ��ҧ

08.70

����

Reconstruction of eyelid involving lid margin, partial-thickness

08.71

����

Reconstruction of eyelid involving lid margin, full-thickness

08.73

����

Linear repair of laceration of eyelid or eyebrow

08.81

����

Repair of laceration involving lid margin, partial-thickness

08.82

����

Repair of laceration involving lid margin, full-thickness

08.84

����

Lower eyelid rhytidectomy

08.86

����

Upper eyelid rhytidectomy

08.87

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Eletrolysis

08.91

����

Operations on lacrimal system

09

Incision of lacrimal cyst (with drainage)

09.0

����

Biopsy of lacrimal gland

09.11

����

Biopsy of lacrimal sac

09.12

����

Excision of lesion of lacrimal gland

09.21

����

Partial dacryoadenectomy

09.22

����

Total dacryoadenectomy

09.23

����

Refixation of lacrimal gland

09.3

����

Probing of lacrimal punctum

09.41

����

Probing of lacrimal canaliculi

09.42

����

Probing of nasolacrimal duct

09.43

����

Dacryocystorhinostomy (DCR) with insertion of tube or stent

09.44

����

Repair of canaliculus and punctum with/without silicone  intubation

09.44

����

Incision of lacrimal punctum

09.51

����

Incision of lacrimal sac

09.53

����

Excision of lacrimal sac and passage

09.6

����

Repair of punctual ectropion 1 ��ҧ

09.71

����

Repair of punctual ectropion 2 ��ҧ

09.71

����

Repair of canaliculus

09.73

����

Dacryocystorhinostomy [DCR]

09.81

����

Conjunctivodacryocystorhinostomy [CDCR]

09.82

����

Obliteration of lacrimal punctum

09.91

����

Operations on conjunctiva

10

Removal of embedded foreign body from conjunctiva by incision

10.0

����

Biopsy of conjunctiva

10.21

����

Excision of lesion or tissue of conjunctiva

10.31

����

Repair of symblepharon with free graft

10.41

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Repair fornixes with graft (Mucosa graft)

10.42

����

Repair fornixes with silicone rod

10.43

����

Lysis of adhesions of conjunctiva and eyelid

10.5

����

Repair of laceration of conjunctiva

10.6

����

Subconjunctival injection

10.91

����

Operations on cornea

11

Magnetic removal of embedded foreign body from cornea

11.0

����

Scraping of cornea for smear or culture

11.21

����

Biopsy of cornea

11.22

����

Excision of pterygium with corneal graft

11.32

����

Excision of pterygium

11.39

����

Suture of corneal laceration

11.51

����

Repair of corneal laceration or wound with conjunctival flap

11.53

����

Keratoplasty

11.60

����

Keratoprosthesis

11.73

����

Tattooing of cornea

11.91

����

Operations on iris, ciliary body, sclera, and anterior chamber

12

Removal of intraocular foreign body from anterior segment of eye

12.0 (0-2)

����

Iridectomy (basal) (peripheral) (total)

12.14

����

Diagnostic aspiration of anterior chamber of eye

12.21

����

Lysis of goniosynechiae

12.31

����

Lysis of anterior synechiae by injection of air or liquid

12.32

����

Lysis of posterior synechiae

12.33

����

Lysis of corneovitreal adhesions

12.34

����

Excision of lesion of iris

12.42

����

Excision of lesion of ciliary body

12.44

����

Goniotomy without goniopuncture

12.52

����

Trabeculotomy ab externo

12.54

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Cyclodialysis

12.55

����

Trephination of sclera with iridectomy

12.61

����

Iridencleisis and iridotasis

12.63

����

Trabeculectomy ab externo

12.64

����

Postoperative revision of scleral fistulization procedure

12.66

����

Cyclodiathermy

12.71

����

Cyclocryotherapy

12.72

����

Cyclophotocoagulation

12.73

����

Suture of laceration of sclera

12.81

����

Excision or destruction of lesion of sclera

12.84

����

Paracentesis of anterior chamber

12.91

����

Injection into anterior chamber

12.92

����

Removal or destruction of epithelial downgrowth from anterior chamber

12.93

����

Operations on lens

13

Intracapsular extraction of lens

13.1 (1, 9)

����

Extracapsular extraction of lens by linear extraction technique

13.2

����

Extracapsular extraction of lens by simple aspiration (and irrigation) technique

13.3

����

Phacoemulsification and aspiration of cataract

13.41

����

Mechanical phacofragmentation and aspiration of cataract by posterior route

13.42

����

Discission of secondary membrane [after cataract]

13.64

����

Excision of secondary membrane [after cataract] Capsulectomy

13.65

����

Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage

13.71

����

Secondary insertion of intraocular lens prosthesis

13.72

����

Operations on retina, choroid, vitreous, and posterior chamber

14

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Removal of foreign body from posterior segment of eye

14.0 (0-2)

����

Destruction of chorioretinal lesion by cryotherapy

14.22

����

Repair of retinal tear by cryotherapy

14.32

����

Scleral buckling with implant

14.41

����

Scleral buckling with vitrectomy

14.49

����

Repair of retinal detachment with cryotherapy

14.52

����

Removal of surgically implanted material from posterior segment of eye

14.6

����

Removal of vitreous, anterior approach

14.71

����

Aspiration of vitreous by posterior sclerotomy

14.72

����

Mechanical vitrectomy by anterior approach

14.73

����

Injection of vitreous substitute

14.75

����

Operations on extraocular muscles

15

Biopsy of extraocular muscle or tendon

15.01

����

Operations on one extraocular muscle involving temporary detachment from globe

15.1 (1-9)

����

Lengthening procedure on one extraocular muscle

15.21

����

Shortening procedure on one extraocular muscle

15.22

����

Operations on two or more extraocular muscles involving temporary detachment from globe, one or both eyes

15.3

����

Transposition of extraocular muscles

15.5

����

Revision of extraocular muscle surgery

15.6

����

Repair of injury of extraocular muscle

15.7

����

Operations on orbit and eyeball

16

Orbitotomy with bone flap

16.01

����

Diagnostic aspiration of orbit

16.22

����

Removal of ocular contents with synchronous implant into scleral shell

16.31

����

Enucleation of eyeball with synchronous implant into Tenon's capsule with attachment of muscles

16.41

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Exenteration of orbit with removal of adjacent structures

16.51

����

Exenteration of orbit with therapeutic removal of orbital bone

16.52

����

Secondary insertion of ocular implant

16.61

����

Removal of ocular or orbital implant

16.7 (1-2)

����

Repair of wound of orbit

16.81

����

Repair of rupture of eyeball

16.82

����

Retrobulbar injection of therapeutic agent

16.91

����

Excision of lesion of orbit

16.92

����

4. OPERATIONS ON THE EAR (18-20)

Operations on external ear

18

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Excision of preauricular sinus

18.21

����

Excision of preauricular cyst

18.21

����

Excision of preauricular remnant [appendage]

18.29

����

Radical excision of lesion of external ear

18.31

����

Amputation of external ear

18.39

����

Suture of laceration of external ear

18.4

����

Surgical correction of prominent ear

18.5

����

Reattachment of amputated ear

18.72

����

Plastic repair of external ear (�óըҡ�غѵ��˵�)

18.79

����

Reconstructive operations on middle ear

19

Stapedectomy

19.1 (1, 9)

����

Revision of stapedectomy

19.2 (1, 9)

����

Myringoplasty

19.4

����

Type II tympanoplasty

19.52

����

Type III tympanoplasty

19.53

����

Type IV tympanoplasty

19.54

����

Type V tympanoplasty

19.55

����

Revision of tympanoplasty

19.6

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Other operations on middle and inner ear

20

Myringotomy

20.0 (0, 9)

����

Simple mastoidectomy

20.41

����

Radical mastoidectomy

20.42

����

Excision of lesion of middle ear

20.51

����

Fenestration of inner ear

20.6 (1, 2)

����

Revision of mastoidectomy

20.92

����

5. OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)

Operations on nose

21

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Control of epistaxis by posterior (and anterior) packing

21.02

����

Control of epistaxis by ligation of ethmoidal arteries

21.04

����

Control of epistaxis by (transantral) ligation of the maxillary artery

21.05

����

Control of epistaxis by excision of nasal mucosa and skin grafting of septum and lateral nasal wall

21.07

����

Biopsy of nose

21.22

����

Local excision or destruction of intranasal lesion

21.31

����

Nasal polypectomy

21.31

����

Local excision or destruction of skin lesion of nose

21.32

����

Submucous resection of nasal septum

21.5

����

Closed reduction of nasal fracture

21.71

����

Open reduction of nasal fracture

21.72

����

Suture of laceration of nose

21.81

����

Total nasal reconstruction

21.83

����

Revision rhinoplasty

21.84

����

Rhinoseptoplasty

21.84

����

Augmentation rhinoplasty

21.85

����

0

Other rhinoplasty (�óըҡ�غѵ��˵�)

21.87

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Repair of septal perforation

21.88

����

Operations on nasal sinuses

22

Open biopsy of nasal sinus

22.12

����

Intranasal antrotomy

22.2

����

Radical maxillary antrotomy

22.31

����

Frontal sinusotomy

22.41

����

Frontal sinusectomy

22.42

����

Excision of lesion of maxillary sinus with Caldwell-Luc approach

22.61

����

Ethmoidectomy

22.63

����

Sphenoidectomy

22.64

����

Closure of nasal sinus fistula

22.71

����

Other operations on teeth, gums, and alveoli

24

Apical alveolotomy

24.0

����

Biopsy of gum

24.11

����

Biopsy of alveolus

24.12

����

Gingivoplasty

24.2

����

Excision of lesion or tissue of gum

24.31

����

Suture of laceration of gum

24.32

����

Excision of dental lesion of jaw

24.4

����

Alveoloplasty

24.5

����

Exposure of tooth

24.6

����

Application, insertion, or fitting of arch bars

24.7

����

Removal of arch bars

24.8

����

Extension or deepening of buccolabial or lingual sulcus

24.91

����

Operations on tongue

25

Excision or destruction of lesion or tissue of tongue

25.1

����

Partial glossectomy

25.2

����

Complete glossectomy

25.3

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Radical glossectomy

25.4

����

Suture of laceration of tongue

25.51

����

Lingual frenotomy

25.91

����

Lingual frenectomy

25.92

����

Lysis of adhesions of tongue

25.93

����

Operations on salivary glands and ducts

26

Incision of salivary gland or duct

26.0

����

Open biopsy of salivary gland or duct

26.12

����

Excision of lesion of salivary gland

26.2

����

Marsupialization of salivary gland cyst

26.21

����

Superficial parotidectomy

26.31

����

Total parotidectomy

26.32

����

Maxillary gland resection

26.32

����

Submandibular gland resection

26.32

����

Suture of laceration of salivary gland

26.41

����

Repair of Stensen's duct

26.49

����

Probing of salivary duct

26.91

����

Other operations on mouth and face

27

Drainage of facial region (abscess)

27.0

����

Drainage of Ludwig's angina

27.0

����

Incision of palate

27.1

����

Biopsy of bony palate

27.21

����

Biopsy of uvula and soft palate

27.22

����

Biopsy of lip

27.23

����

Local excision or destruction of lesion or tissue of bony palate

27.31

����

Wide excision or destruction of lesion or tissue of bony palate

27.32

����

Labial frenectomy

27.41

����

Wide excision of lesion of lip

27.42

����

Suture of laceration of lip

27.51

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Closure of fistula of mouth

27.53

����

Repair of cleft lip

27.54

����

Full-thickness skin graft to lip and mouth

27.55

����

Attachment of pedicle or flap graft to lip and mouth

27.57

����

Suture of laceration of palate

27.61

����

Correction of cleft palate

27.62

����

Correction of cleft palate by push-back operation

27.62

����

Revision of cleft palate repair

27.63

����

Repair of uvula

27.73

����

Labial frenotomy

27.91

����

Operations on tonsils and adenoids

28

Incision and drainage of tonsil and peritonsillar structures

28.0

����

Tonsillectomy without adenoidectomy

28.2

����

Tonsillectomy with adenoidectomy

28.3

����

Adenoidectomy without tonsillectomy

28.6

����

Control of hemorrhage after tonsillectomy and adenoidectomy

28.7

����

Removal of foreign body from tonsil and adenoid by incision

28.91

����

Excision of lesion of tonsil and adenoid

28.92

����

Operations on pharynx

29

Excision of branchial cleft cyst or vestige

29.2

����

Suture of laceration of pharynx

29.51

����

Closure of branchial cleft fistula

29.52

����

6. OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)

Excision of larynx

30

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Marsupialization of laryngeal cyst

30.01

����

Excision of lesion of vocal cords

30.09

����

Hemilaryngectomy

30.1

����

Complete laryngectomy

30.3

����

Radical laryngectomy

30.4

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Other operations on larynx and trachea

31

Temporary tracheostomy

31.1

����

Mediastinal tracheostomy

31.21

����

Laryngoscopy and other tracheoscopy

31.42

����

Open biopsy of larynx or trachea

31.45

����

Suture of laceration of larynx

31.61

����

Suture of laceration of trachea

31.71

����

Tracheoesophageal fistulectomy

31.73

����

Revision of tracheostomy

31.74

����

Tracheoplasty with artificial larynx

31.75

����

Lysis of adhesions of trachea or larynx

31.92

����

Laryngoplasty

31.98

����

Excision of lung and bronchus

32

Thoracotomy with resection of thoracic tumor

32.29

����

Segmental resection of lung

32.3

����

Lobectomy

32.4

����

Complete pneumonectomy

32.5

����

Other operations on lung and bronchus

33

Fiber-optic bronchoscopy

33.22

����

Rigid bronchoscopy

33.23

����

Closed [endoscopic] biopsy of bronchus

33.24

����

Open biopsy of bronchus

33.25

����

V.A.T.S. with biopsy of lung

33.27

����

V.A.T.S. with bleb resection mass, lung biopsy

33.27

����

Open lung biopsy

33.28

����

Artificial pneumothorax for collapse of lung

33.32

����

Thoracoplasty

33.34

����

Suture of laceration of bronchus

33.41

����

Closure of bronchial fistula

33.42

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Closure of laceration of lung

33.43

����

Thoracotomy, with Repair Bronchus

33.48

����

Unilateral lung transplantation

33.51

����

Bronchial dilation

33.91

����

Operations on chest wall, pleura, mediastinum, and diaphragm

34

Extrapleural drainage

34.01

����

Exploratory thoracotomy with or without biopsy

34.02

����

Thoracotomy

34.02

����

Video Assist Thoracic surgery (V.A.T.S.)

34.02

����

Revision of intercostal catheter (chest tube) (with lysis of adhesions)

34.04

����

Insertion of intercostals catheter for drainage

34.04

����

Rib resection and drainage

34.09

����

Thoracotomy, with stop bleeding

34.09

����

Median sternotomy

34.1

����

V.A.T.S. (Video Assisted Thoracic Surgery)

34.21

����

Mediastinoscope

34.22

����

Biopsy of chest wall

34.23

����

V.A.T.S. With biopsy of chest wall, pleura, mediastinum, diaphragm

34.23

����

V.A.T.S. with pleural biopsy

34.24

����

Open mediastinal biopsy

34.26

����

Biopsy of diaphragm

34.27

����

V.A.T.S. with biopsy of diaphragm

34.27

����

Excision or destruction of lesion or tissue of mediastinum

34.3

����

Excision or destruction of lesion of chest wall

34.4

����

V.A.T.S. with decortication of lung

34.5

����

V.A.T.S. with decortication of lung

34.51

����

Decortications

34.51

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Suture of laceration of chest wall

34.71

����

Repair of pectus carinatum (with implant)

34.74

����

Repair of pectus excavatum (with implant)

34.74

����

Excision of lesion or tissue of diaphragm

34.81

����

Suture of laceration of diaphragm

34.82

����

Closure of fistula of diaphragm

34.83

����

Repair or plication of diaphragm

34.84

����

Repair diaphragm

34.84

����

Implantation of diaphragmatic pacemaker

34.85

����

V.A.T.S. with chemical pleurodesis

34.92

����

Repair of pleura

34.93

����

7. OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)

Operations on valves and septa of heart

35

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Closed mitral valvulotomy

35.02

����

Open heart valvuloplasty of aortic valve without replacement

35.11

����

Open heart valvuloplasty of mitral valve without replacement

35.12

����

Open heart valvuloplasty of pulmonary valve without replacement

35.13

����

Open heart valvuloplasty of tricuspid valve without replacement

35.14

����

Repair of aortic valve with tissue graft  (autograft) (heterograft) (homograft)

35.21

����

Repair of aortic valve with replacement prosthetic (partial) (synthetic) (total)

35.22

����

Repair of mitral valve with tissue graft (autograft) (heterograft) (homograft)

35.23

����

Repair of mitral valve with replacement prosthetic (partial) (synthetic) (total)

35.24

����

Repair of pulmonary valve with tissue graft (autograft) (heterograft) (homograft)

35.25

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Repair of pulmonary valve with replacement prosthetic (partial) (synthetic) (total)

35.26

����

Repair of tricuspid valve with tissue graft  (autograft) (heterograft) (homograft)

35.27

����

Repair of tricuspid valve with replacement prosthetic (partial) (synthetic) (total)

35.28

����

Single Valve Repair/Replacement

35.2 (1-8)

����

Redo Valve

35.2 (1-8)

����

Annuloplasty

35.33

����

Bentall's operation

35.39

����

Blalock operation

35.42

����

Correction of atrial septal defect with prosthesis

35.51

����

Repair of atrial septal defect with prosthesis, closed technique

35.52

����

Repair of ventricular septal defect with prosthesis

35.53

����

Correction of ventricular septal defect with prosthesis

35.53

����

Repair of ventricular septal defect with tissue graft

35.62

����

Total repair of tetralogy of Fallot

35.81

����

TOF

35.81

����

Operations on vessels of heart

36

CABG (Coronary Artery Bypas Graft)

36.1 (0-9)

����

CABG x 4

36.14

����

Other operations on heart and pericardium

37

Pericardial window

37.12

����

Subxiphoid window

37.12

����

Pericardial biopsy

37.24

����

V.A.T.S. with pericardiectomy

37.31

����

Pericardiectomy

37.31

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Repair of heart and pericardium

37.4

����

Heart transplantation

37.51

����

Pacemaker implantation (permanent) epicardium lead

37.67

����

Insertion or replacement of epicardial lead [electrode] into epicardium

37.74

����

Open chest cardiac massage

37.91

����

Incision, excision, and occlusion of vessels

38

Embolectomy

38.0 (0-9)

����

Thrombectomy

38.0 (0-9)

����

Endarterectomy with embolectomy

38.1(0-6,8)

����

Endarterectomy with patch graft

38.1(0-6,8)

����

Endarterectomy with thrombectomy

38.1(0-6,8)

����

Biopsy of blood vessel

38.21

����

Excision of blood vessel (lesion) with anastomosis, upper limb vessels

38.33

����

Coarctation

38.34

����

Excision of blood vessel (lesion) with anastomosis, abdominal arteries

38.36

����

Excision of blood vessel (lesion) with anastomosis, lower limb arteries

38.38

����

Excision of aneurysm (arteriovenous) or blood vessel  (lesion) with replacement, upper limb vessels

38.43

����

Thoracic aortic aneurysm resection

38.44

����

Thoracoabdominal aortic aneurysm resection

38.44

����

Abdominal aortic aneurysm resection

38.44

����

Excision of aneurysm (arteriovenous) or blood vessel  (lesion) with replacement, lower limb arteries

38.48

����

Ligation and stripping of varicose veins

38.5 (0-9)

����

PA banding

38.85

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

PDA

38.85

����

Ligation of blood vessel, hepatic artery

38.86

����

Other operations on vessels

39

Blalock' s shunt

39.0

����

Anastomosis portacaval

39.1

����

Anastomosis splenic and renal veins

39.1

����

Aorta-subclavian-carotid bypass

39.22

����

Aorta-renal bypass

39.24

����

Aorta-iliac-femoral bypass

39.25

����

Bypass aortoceliac

39.26

����

Anastomosis for renal dialysis, forearm loop graft

39.27

����

Anastomosis for renal dialysis, forearm straight graft

39.27

����

Anastomosis for renal dialysis, arm straight graft

39.27

����

Formation of (peripheral) arteriovenous fistula for renal [kidney] dialysis

39.27

����

Bypass (graft) axillary-brachial

39.29

����

Bypass (graft) axillary-femoral [axillofemoral] (superficial)

39.29

����

Bypass (graft) brachial

39.29

����

Bypass (graft) femoral-femoral

39.29

����

Bypass (graft) femoroperoneal

39.29

����

Bypass (graft) femoropopliteal (arteries)

39.29

����

Bypass (graft) femorotibial (anterior) (posterior)

39.29

����

Suture of artery

39.31

����

Suture of vein

39.32

����

Revision of arteriovenous shunt for renal dialysis

39.42

����

Removal of arteriovenous shunt for renal dialysis

39.43

����

Revision of anastomosis of blood vessel

39.49

����

Repair of arteriovenous fistula

39.53

����

Embolization of carotid cavernous fistula

39.53

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Repair of arteriovenous fistula by clipping, intracranial

39.53

����

Repair of arteriovenous fistula by ligation and division, PDA

39.53

����

Fenestration of dissecting aneurysm of thoracic aorta

39.54

����

Repair of blood vessel with tissue patch graft

39.56

����

Repair of blood vessel with synthetic patch graft

39.57

����

8. OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM (40-41)

Operations on lymphatic system

40

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Biopsy of lymphatic structure

40.11

����

Excision of deep cervical lymph node

40.21

����

Excision of internal mammary lymph node

40.22

����

Excision of axillary lymph node

40.23

����

Excision of inguinal lymph node

40.24

����

Excision of cystic hygroma

40.29

����

Regional lymph node excision

40.3

����

Radical neck dissection, unilateral

40.41

����

Radical neck dissection, bilateral

40.42

����

Radical excision of axillary lymph nodes

40.51

����

Radical excision of periaortic lymph nodes

40.52

����

Radical excision of iliac lymph nodes

40.53

����

Radical groin dissection

40.54

����

Closure of fistula of thoracic duct

40.63

����

Ligation of thoracic duct

40.64

����

Operations on bone marrow and spleen

41

Open biopsy of spleen

41.33

����

Partial splenectomy

41.43

����

Total splenectomy

41.5

����

Splenorrhaphy

41.95

����

9. OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)

Operations on esophagus

42

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Incision of esophageal web

42.01

����

Cervical esophagostomy

42.11

����

Open biopsy of esophagus

42.25

����

Local excision of esophageal diverticulum

42.31

����

Esophagogastrectomy

42.40

����

Partial esophagectomy

42.41

����

Total esophagectomy

42.42

����

Intrathoracic esophagoesophagostomy

42.51

����

Intrathoracic esophagogastrostomy

42.52

����

Intrathoracic esophageal anastomosis with interposition of small bowel

42.53

����

Intrathoracic esophageal anastomosis with interposition of colon

42.55

����

Antesternal esophagogastrostomy

42.62

����

Antethoracic esophagojejunostomy

42.64

����

Antethoracic esophagocolostomy

42.66

����

Esophagomyotomy

42.7

����

Suture of laceration of esophagus

42.82

����

Closure of esophagostomy

42.83

����

Ligation of esophageal varices

42.91

����

Dilation of esophagus

42.92

����

Incision and excision of stomach

43

Gastrotomy

43.0

����

Gastrostomy

43.19

����

Pyloromyotomy

43.3

����

Proximal gastrectomy

43.5

����

Billroth I operation

43.6

����

Billroth II operation

43.7

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Partial gastrectomy with jejunal transposition

43.81

����

Total gastrectomy

43.9 (1,9)

����

Radical gastrectomy

43.99

����

Other operations on stomach

44

Truncal vagotomy

44.01

����

Highly selective vagotomy

44.02

����

Intraoperative gastroscopy

44.11

����

Open biopsy of stomach

44.15

����

Pyloroplasty

44.2 (1, 2, 9)

����

High gastric bypass

44.31

����

Bypass gastroduodenostomy

44.39

����

Bypass gastrojejunostomy

44.39

����

Suture of gastric ulcer site

44.41

����

Suture of duodenal ulcer site

44.42

����

Closure of gastroduodenostomy

44.5

����

Closure of gastrojejunostomy

44.5

����

Suture of laceration of stomach

44.61

����

Closure of gastrostomy

44.62

����

Closure of gastrocolic fistula

44.63

����

Gastropexy

44.64

����

Nissen's fundoplication

44.66

����

Ligation of gastric varices

44.91

����

Reduction of gastric volvulus

44.92

����

Incision, excision, and anastomosis of intestine

45

Incision of small intestine

45.00

����

Incision of duodenum

45.01

����

Incision of large intestine

45.03

����

Esophagogastroduodenoscopy [EGD]

45.13

����

Open biopsy of small intestine

45.15

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Flexible sigmoidoscopy

45.24

����

Rigid sigmoidoscopy

45.24

����

Open biopsy of large intestine

45.26

����

Meckel's diverticulectomy

45.33

����

Segmental resection for multiple traumatic lesions of small intestine

45.61

����

Small bowel resection

45.62

����

Total removal of small intestine

45.63

����

Segmental resection for multiple traumatic lesions of large intestine

45.71

����

Cecectomy

45.72

����

Right hemicolectomy

45.73

����

Resection of transverse colon

45.74

����

Left hemicolectomy

45.75

����

Sigmoidectomy

45.76

����

Total intra-abdominal colectomy

45.8

����

Small-to-small intestinal anastomosis

45.91

����

Duodenoduodenostomy

45.91

����

Anastomosis of small intestine to rectal stump

45.92

����

Large-to-large intestinal anastomosis

45.94

����

Formation of endorectal ileal pouch (H- pouch) (J-pouch)  (S-pouch) with anastomosis of small intestine to anus

45.95

����

Other operations on intestine

46

Loop ileostomy

46.01

����

Loop colostomy

46.03

����

Temporary colostomy

46.11

����

Permanent colostomy

46.13

����

Delayed opening of colostomy

46.14

����

Temporary ileostomy

46.21

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Continent ileostomy

46.22

����

Delayed opening of ileostomy

46.24

����

Duodenostomy

46.39

����

Open feeding enterostomy

46.39

����

Revision of stoma of small intestine

46.41

����

Repair of pericolostomy hernia

46.42

����

Closure of stoma of small intestine

46.51

����

Closure or take-down of cecostomy

46.52

����

Closure or take-down of colostomy

46.52

����

Closure or take-down of sigmoidostomy

46.52

����

Cecocoloplicopexy

46.63

����

Sigmoidopexy (Moschowitz)

46.63

����

Suture of laceration of duodenum

46.71

����

Closure of fistula of duodenum

46.72

����

Suture of laceration of small intestine, except duodenum

46.73

����

Closure of fistula of small intestine, except duodenum

46.74

����

Suture of laceration of large intestine

46.75

����

Closure of fistula of large intestine

46.76

����

Correction of intestinal malrotation

46.80

����

Reduction of intestinal volvulus

46.80

����

Reduction of intussusception

46.80

����

Revision of anastomosis of small intestine

46.93

����

Revision of anastomosis of large intestine

46.94

����

Operations on appendix

47

Laparoscopic appendectomy

47.01

����

Appendectomy

47.09

����

Laparoscopic incidental appendectomy

47.11

����

Incidental appendectomy

47.19

����

Drainage of appendiceal abscess

47.2

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Closure of appendiceal fistula

47.92

����

Operations on rectum, rectosigmoid and perirectal tissue

48

Decompression of imperforate anus

48.0

����

Panas' operation [linear proctotomy]

48.0

����

Proctosigmoidoscopy with biopsy

48.24

����

Open biopsy of rectum

48.25

����

Biopsy of perirectal tissue

48.26

����

Local excision of rectal lesion or tissue

48.35

����

[Endoscopic] polypectomy of rectum

48.36

����

Endorectal pull-through operation

48.41

����

Abdominoperineal pull-through

48.49

����

Abdominoperineal resection of rectum

48.5

����

Transsacral rectosigmoidectomy

48.61

����

Anterior resection of rectum with synchronous colostomy

48.62

����

Low anterior resection

48.63

����

Duhamel resection of rectum

48.65

����

Suture of laceration of rectum

48.71

����

Ripstein repair of rectal prolapse

48.75

����

Proctosigmoidopexy

48.76

����

Repair of old obstetric laceration of rectum

48.79

����

Excision of perirectal tissue

48.82

����

Anorectal myectomy

48.92

����

Posterior sagittal anorectoplasty

48.99

����

Operations on anus

49

Incision of perianal abscess

49.01

����

Excision of perianal skin tags

49.03

����

Anal fistulotomy

49.11

����

Anal fistulectomy

49.12

����

Biopsy of perianal tissue

49.22

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Biopsy of anus

49.23

����

Reduction of hemorrhoids

49.41

����

Excision of hemorrhoids

49.46

����

Evacuation of thrombosed hemorrhoids

49.47

����

Left lateral anal sphincterotomy

49.51

����

Suture of laceration of anus

49.71

����

Gracilis muscle transplant for anal incontinence

49.74

����

Reduction of anal prolapse

49.94

����

Control of (postoperative) hemorrhage of anus

49.95

����

Perineal anoplasty

49.99

����

Operations on liver

50

Incision of abscess of liver

50.0

����

Open biopsy of liver

50.12

����

Marsupialization of lesion of liver

50.21

����

Wedge resection of liver

50.22

����

Enucleation of hepatic lesion

50.29

����

Lobectomy of liver

50.3

����

Liver transplant

50.5 (1,9)

����

Closure of laceration of liver

50.61

����

Operations on gallbladder and biliary tract

51

Open cholecystostomy

51.03

����

Open biopsy of gallbladder or bile ducts

51.13

����

Intraoperative choledochoscopy

51.19

����

Cholecystectomy

51.22

����

Laparoscopic cholecystectomy

51.23

����

Anastomosis of gallbladder to intestine

51.32

����

Choledochoduodenostomy

51.36

����

Choledochojejunostomy

51.36

����

Kasai portoenterostomy

51.37

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Hepaticojejunostomy

51.37

����

Common duct exploration for removal of calculus

51.41

����

Insertion of choledochohepatic tube for decompression

51.43

����

Exploration of common duct

51.51

����

Excision of ampulla of Vater (with reimplantation of common duct)

51.62

����

Excision of Choledochal cyst

51.63

����

Simple suture of common bile duct

51.71

����

Pancreatic sphincterotomy

51.82

����

Transduodenal ampullary sphincteroplasty

51.83

����

Repair of laceration of gallbladder

51.91

����

Revision of anastomosis of biliary tract

51.94

����

Operations on pancreas

52

Drainage of pancreatic cyst by catheter

52.01

����

Open biopsy of pancreas

52.12

����

Pancreaticocystoduodenostomy

52.4

����

Pancreaticocystogastrostomy

52.4

����

Pancreaticocystojejunostomy

52.4

����

Distal pancreatectomy

52.52

����

Radical subtotal pancreatectomy

52.53

����

Total pancreatectomy

52.6

����

Whipple procedure

52.7

����

Simple suture of pancreas

52.95

����

Anastomosis of pancreas (duct) to jejunum

52.96

����

Repair of hernia

53

Herniotomy

53.00

����

Repair of direct inguinal hernia

53.01

����

Repair of indirect inguinal hernia

53.02

����

Repair of direct inguinal hernia with graft or prosthesis

53.03

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Repair of indirect inguinal hernia with graft or prosthesis

53.04

����

Bilateral repair of direct inguinal hernia

53.11

����

Bilateral repair of indirect inguinal hernia

53.12

����

Bilateral repair of inguinal hernia, one direct and one indirect

53.13

����

Bilateral repair of direct inguinal hernia with graft or prosthesis

53.14

����

Bilateral repair of indirect inguinal hernia with graft or prosthesis

53.15

����

Bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis

53.16

����

Unilateral repair of femoral hernia

53.2 (1,9)

����

Bilateral repair of femoral hernia

53.3 (1,9)

����

Repair of umbilical hernia

53.4 (1,9)

����

Incisional hernia repair

53.51

����

Repair of hernia ventral

53.59

����

Incisional hernia repair with prosthesis

53.61

����

Repair of diaphragmatic hernia, abdominal approach

53.7

����

Repair of diaphragmatic hernia, thoracic approach

53.8

����

Plication of the diaphragm

53.81

����

Repair of parasternal hernia

53.82

����

Repair of hernia obturator

53.9

����

Other operations on abdominal region

54

Drainage of abdominal wall

54.0

����

Drainage of extraperitoneal abscess

54.0

����

Drainage of retroperitoneal abscess

54.0

����

Exploratory laparotomy

54.11

����

Reopening of recent laparotomy site for control of hemorrhage

54.12

����

Reopening of recent laparotomy site for exploration

54.12

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Drainage of intraperitoneal abscess or hematoma

54.19

����

Staging laparotomy

54.19

����

Biopsy of abdominal wall or umbilicus

54.22

����

Biopsy of peritoneum

54.23

����

Biopsy of mesentery

54.23

����

Biopsy of omentum

54.23

����

Diagnostic peritoneal lavage

54.25

����

Debridement of abdominal wall

54.3

����

Excision of lesion of mesentery

54.4

����

Excision of lesion of omentum

54.4

����

Excision of lesion of peritoneum

54.4

����

Excision of retroperitoneal lesion

54.4

����

Laparoscopic lysis of peritoneal adhesions

54.51

����

Freeing of adhesions of intestines

54.59

����

Reclosure of postoperative disruption of abdominal wall

54.61

����

Delayed closure of granulating abdominal wound

54.62

����

Suture of laceration of abdominal wall

54.63

����

Repair of gastroschisis

54.71

����

Repair of omphalocele

54.72

����

Reduction of torsion of omentum

54.74

����

Removal of foreign body from peritoneal cavity

54.92

����

Ladd operation

54.95

����

10. OPERATIONS ON THE URINARY SYSTEM (55-59)

Operations on kidney

55

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Nephrotomy

55.01

����

Evacuation of renal cyst

55.01

����

Nephrolithotomy

55.01

����

Nephrostomy

55.02

����

Nephrostolithotomy, percutaneous (nephroscopic)

55.03

����

0

Percutaneous nephrostomy without fragmentation

55.03

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Pyelotomy

55.11

����

Pyelolithotomy

55.11

����

Pyelostomy

55.12

����

Closed [percutaneous] [needle] biopsy of kidney

55.23

����

Partial nephrectomy

55.4

����

Nephroureterectomy

55.51

����

Total nephrectomy (unilateral)

55.51

����

Removal of transplanted or rejected kidney

55.53

����

Transplant of kidney

55.6 (1,9)

����

Nephropexy

55.7

����

Suture of laceration of kidney

55.81

����

Reduction of torsion of renal pedicle

55.84

����

Correction of ureteropelvic junction

55.87

����

Percutaneous aspiration of kidney (pelvis)

55.92

����

Replacement of nephrostomy tube

55.93

����

Bivalve renal calculi with hypothermia

55.99

����

Operations on ureter

56

URSL (Ureteroscopy with litholapaxy)

56.0

����

Ureteral meatotomy

56.1

����

Incision of ureter for removal of calculus

56.2

����

Ureteroscopy

56.31

����

Partial ureterectomy

56.41

����

Total ureterectomy

56.42

����

Ureteroneocystostomy

56.74

����

Ureteroureterostomy

56.75

����

Lysis of intraluminal adhesions of ureter

56.81

����

Suture of laceration of ureter

56.82

����

Closure of ureterostomy

56.83

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Ureteropexy

56.85

����

Dilation of ureteral meatus

56.91

����

Double J insertion

56.99

����

Operations on urinary bladder

57

Transurethral litholapexy

57.0

����

Percutaneous suprapubic cystostomy

57.17

����

Suprapubic cystostomy

57.18

����

Cystolithotomy

57.19

����

Vesicostomy

57.21

����

Revision or closure of vesicostomy

57.22

����

Transurethral cystoscopy

57.32

����

Closed [transurethral] biopsy of bladder

57.33

����

TUR bladder neck

57.49

����

TUR bladder tumor

57.49

����

Excision of urachus

57.51

����

Suprapubic excision of bladder lesion

57.59

����

Partial cystectomy

57.6

����

Total cystectomy

57.7

����

Radical cystectomy

57.71

����

Suture of laceration of bladder

57.81

����

Vaginovesical fistulectomy

57.84

����

V-Y plasty of bladder neck

57.85

����

Ileal bladder

57.87

����

Operations on urethra

58

Urethrotomy

58.0

����

Urethral meatotomy

58.1

����

Biopsy of urethra

58.23

����

Suture of laceration of urethra

58.41

����

Repair of hypospadias or epispadias

58.45

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Urethral meatoplasty

58.47

����

Release of urethral stricture

58.5

����

Dilation of urethra

58.6

����

Other operations on urinary tract

59

Marshall-Marchetti-Krantz operation

59.5

����

Ureteral catheterization

59.8

����

Replacement of ureterostomy tube

59.93

����

Replacement of cystostomy tube

59.94

����

11. OPERATIONS ON THE MALE GENITAL ORGANS (60-64)

Operations on prostate and seminal vesicles

60

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Transurethral resection of prostate (TURP)

60.29

����

Suprapubic prostatectomy

60.3

����

Retropubic prostatectomy

60.4

����

Radical prostatectomy

60.5

����

Operations on scrotum and tunica vaginalis

61

Incision and drainage of scrotum and tunica vaginalis

61.0

����

Biopsy of scrotum or tunica vaginalis

61.11

����

Excision of hydrocele (of tunica vaginalis)

61.2

����

Excision or destruction of lesion or tissue of scrotum

61.3

����

Suture of laceration of scrotum and tunica vaginalis

61.41

����

Reconstruction with rotational or pedicle flaps

61.49

����

Excision of hematocele of tunica vaginalis

61.92

����

Operations on testes

62

Unilateral orchiectomy

62.3

����

Bilateral orchiectomy

62.4 (1,2)

����

Orchiopexy

62.5

����

Suture of laceration of testis

62.61

����

Operations on spermatic cord, epididymis, and vas deferens

63

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

High ligation of spermatic vein

63.1

����

Hydrocelectomy of canal of Nuck

63.1

����

Varicocelectomy

63.1

����

Reduction of torsion of testis or spermatic cord

63.52

����

Vasectomy

63.73

����

Reconstruction of surgically divided vas deferens

63.82

����

Operations on penis

64

Circumcision

64.0

����

Biopsy of penis

64.11

����

Local excision or destruction of lesion of penis

64.2

����

Amputation of penis

64.3

����

Suture of laceration of penis

64.41

����

Reconstruction of penis

64.44

����

Reattachment of amputated penis

64.45

����

Dorsal or lateral slit of prepuce

64.91

����

12. OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)

Operations on ovary

65

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Other biopsy of ovary

65.12

����

Other biopsy of ovary

65.12

����

Laparoscopic biopsy of ovary

65.13

����

Wedge resection of ovary

65.22

����

Laparoscopic wedge resection of ovary

65.24

����

Other laparoscopic local excision or destruction of ovary : cauterization of endometriosis

65.25

����

Other local excision or destruction of ovary :Bisection, Cauterization, Partial excision

65.29

Laparoscopic unilateral oophorectomy

65.31

����

Unilateral oophorectomy

65.39

����

Laparoscopic unilateral salpingo-oophorectomy

65.41

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Unilateral salpingo-oophorectomy

65.49

����

Bilateral oophorectomy

65.5 (1,3)

����

Other removal of remaining ovary

65.52

����

Laparoscopic removal of remaining ovary

65.54

����

Bilateral salpingo-oophorectomy

65.6 (1, 3, 4)

����

Other removal of remaining ovary and tube

65.62

����

Laparoscopic removal of both ovaries and tubes at same operative episode

65.63

����

Laparoscopic removal of remaining ovary and tube

65.64

����

Other simple suture of ovary

65.71

����

Salpingo-oophoroplasty

65.73

����

Laparoscopic simple suture of ovary

65.74

����

Laparoscopic salpingo-oophoroplasty

65.76

����

Other repair of ovary: oophoropexy

65.79

����

Laparoscopic lysis adhesion of ovary and fallopian tube

65.81

����

Other lysis of adhesion of ovary and fallopian tube

65.89

����

Release of torsion of ovary

65.95

����

Operations on fallopian tubes

66

Salpingotomy

66.01

����

Salpingostomy: Conservative operation for ectopic pregnancy

66.02

����

Bilateral endoscopic ligation and crushing of fallopian tubes

66.21

����

Bilateral endoscopic ligation and division of fallopian tubes

66.22

����

Other bilateral endoscopic destruction or occlusion of fallopian tubes

66.29

����

TR

66.32

����

Bilateral destruction or occlusion of fallopian tubes

66.39

����

Total unilateral salpingectomy

66.4

����

Total bilateral salpingectomy

66.51

����

Removal of remaining of fallopian tube

66.52

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Excision or destruction of lesion of fallopian tube

66.61

����

Salpingectomy with removal of tubal pregnancy

66.62

����

Bilateral partial salpingectomy, NOS.

66.63

����

Partial salpingectomy: exp. For Ectopic pregnancy

66.69

����

Simple suture of fallopian tube

66.71

����

Salpingo-salpingostomy

66.73

����

Salpingo-uterostomy

66.74

����

Other repair of fallopian tube: Graft of fallopian tube, Reopening of devided fallopian tube, Salpingoplasty

66.79

����

Salpingoplasty

66.79

����

Insufflation of fallopian tube: with air, dye, gas, saline, Rubin�s test

66.8

����

Unilateral destruction or occlusion of fallopian tube

66.92

����

Burying of fimbriae in uterine wall

66.97

����

Operations on cervix

67

Dilation of cervical canal

67.0

����

Conization of cervix

67.2

����

Destruction of lesion of cervix by cauterization

67.32

����

Destruction of lesion of cervix by cryosurgery

67.33

����

Other excision/destruction of lesion/tissue of cervix

67.39

����

Amputation of cervix: Cervicectomy with synchronous colporrhaphy

67.4

����

Cerclage of isthmus uteri

67.59

����

Suture of laceration of cervix

67.61

����

Repair of fistula of cervix

67.62

����

Repair of fornix

67.69

����

Other incision and excision of uterus

68

Hysterotomy : with removal of hydatidiform mole/fetus

68.0

����

Hysteroscopy

68.12

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Open biopsy of uterus

68.13

����

Open biopsy of uterine ligament

68.14

����

Closed biopsy of uterine ligament: Laparoscopic

68.15

����

Closed biopsy of uterus: Laparoscopic, Hysteroscopic

68.16

����

Division of endometrial synechiae

68.21

����

Incision of excision of congenital septum of uterus

68.22

����

Dilation and curettage for destruction of lesion or tissue of uterus

68.23

����

Uterine myomectomy

68.29

����

Laparoscopic excision or destruction of lesion or tissue of uterus: Myomectomy

68.29

����

Subtotal abdominal hysterectomy

68.3 (1,9)

����

Subtotal abdominal hysterectomy: Supracervical hysterectomy

68.39

����

Total abdominal hysterectomy

68.4

����

Total abdominal laparoscopic hysterectomy: TLH

68.4

����

Laparoscopically assisted vaginal hysterectomy (LAVH)

68.51

����

Vaginal hysterectomy

68.59

����

Vaginal hysterectomy with A-P repair

68.59

����

Radical abdominal hysterectomy

68.6

����

Radical vaginal hysterectomy

68.7

����

Pelvic evisceration: Removal of ovaries, tubes, uterus, vagina, bladder and urethra (with removal of sigmoid colon and rectum)

68.8

����

Other and unspecified hysterectomy

68.9

����

D and C  for termination of  pregnancy

69.01

����

D and C  following delivery and abortion

69.02

����

Other dilatation and curettage: Diagnostic D&C, F/C

69.09

����

Other excision and destruction of uterus and supporting structures

69.19

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Paracervical uterine denervation

69.3

����

Suture of laceration of uterus: esp.:-Ruptured uterus

69.41

����

Other repair of uterus: Repair of old obstetric laceration of uterus

69.49

����

Aspiration curettage of uterus

69.5

����

Menstrual extraction or regulation

69.6

����

Manual replacement of inverted uterus

69.94

����

Removal of cerclage material from cervix

69.96

����

Other operation on supporting structures of uterus

69.98

����

Operations on vagina and cul-de-sac

70

Hymenotomy

70.11

����

Culdotomy

70.12

����

Lysis of intraluminal adhesion of vagina

70.13

����

Other vaginotomy: Devision of vaginal septum, Drainage of hematoma of vaginal cuff

70.14

����

Hymenectomy

70.31

����

Excision or destruction of  lesion of vagina

70.33

����

Obliteration and total excision of vagina: Vaginectomy

70.4

����

Repair of cystocele and rectocele

70.50

����

Repair of cystocele

70.51

����

Repair of cystocele/urethrocele: Anterior colporrhaphy

70.51

����

Repair of rectocele

70.52

����

Repair of rectocele: Posterior  colporrhaphy

70.52

����

Vaginal construction

70.61

����

Vaginal reconstruction

70.62

����

Suture of laceration of vagina:- Repair of fornix

70.71

����

Repair of colovaginal fistula

70.72

����

Repair of rectovaginal fistula

70.73

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Repair of other vaginoenteric fistula

70.74

����

Repair of other  fistula of vagina

70.75

����

Hymenorrhaphy

70.76

����

Vaginal suspension and fixation

70.77

����

Other repair of vagina: Colpoperineoplasty, Repair of old obstetric laceration of vagina

70.79

����

Obliteration of vaginal vault: LeFort operation

70.8

����

Operations on vulva and perineum

71

Lysis of vulvar adhesion

71.01

����

Other incision of vulva and perineum: Enlargement of introitus NOS

71.09

����

Marsupialization of Bartholin's gland (cyst)

71.23

����

Excision or other destruction of Bartholin�s mass

71.24

����

Cauterization of condyloma

71.3

����

Female circumcision

71.4

����

0

Radical vulvectomy

71.5

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Unilateral vulvectomy

71.61

����

Bilateral vulvectomy

71.62

����

Suture of laceration of vulva or perineum

71.71

����

Anterior-posterior repair of perineum

71.79

����

Posterior repair of perineum

71.79

����

13. OBSTETRICAL PROCEDURES (72-75)

Cesarean section and removal of fetus

74

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Classical cesarean section

74.0

����

Low cervical cesarean section

74.1

����

14. OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)

Operations on facial bones and joints

76

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Sequestrectomy of facial bone

76.01

����

Biopsy of facial bone

76.11

����

Local excision or destruction of lesion of facial bone

76.2

����

Hemimandibulectomy

76.31

����

Hemimaxillectomy (with bone graft or prosthesis)

76.39

����

Total mandibulectomy with synchronous reconstruction

76.41

����

Total ostectomy of other facial bone with synchronous reconstruction

76.44

����

Temporomandibular arthroplasty

76.5

����

Closed osteoplasty [osteotomy] of mandibular ramus

76.61

����

Open osteoplasty [osteotomy] of mandibular ramus

76.62

����

Osteoplasty [osteotomy] of body of mandible

76.63

����

Segmental or subapical osteotomy

76.64

����

Segmental osteoplasty [osteotomy] of maxilla

76.65

����

Total osteoplasty [osteotomy] of maxilla

76.66

����

Reduction genioplasty

76.67

����

Augmentation genioplasty

76.68

����

Closed reduction of malar and zygomatic fracture

76.71

����

Open reduction of malar and zygomatic fracture

76.72

����

Closed reduction of maxillary fracture

76.73

����

Open reduction of maxillary fracture

76.74

����

Closed reduction of mandibular fracture

76.75

����

Open reduction of mandibular fracture

76.76

����

Open reduction of alveolar fracture

76.77

����

Open reduction of orbit rim or wall

76.79

����

Bone graft to facial bone

76.91

����

Insertion of synthetic implant in facial bone

76.92

����

Closed reduction of temporomandibular dislocation

76.93

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Open reduction of temporomandibular dislocation

76.94

����

Removal of internal fixation device from facial bone

76.97

����

Incision, excision, and division of other bones

77

Sequestrectomy

77.0 (1-9)

����

Wedge osteotomy

77.2 (1-9)

����

Biopsy of bone

77.4 (1-9)

����

Bunionectomy with soft tissue correction and osteotomy of the first metatarsal

77.51

����

Rib resection

77.61

����

Local excision of lesion or tissue of bone, clavicle

77.61

����

Local excision of lesion or tissue of bone, humerus

77.62

����

Local excision of lesion or tissue of bone, femur

77.65

����

Local excision of lesion or tissue of bone, patella

77.66

����

Local excision of lesion or tissue of bone, tibia and fibula

77.67

����

Local excision of lesion or tissue of bone, tarsals and metatarsals

77.68

����

Local excision of lesion or tissue of bone, pelvic bones

77.69

����

Local excision of lesion or tissue of bone, phalanges (of foot) (of hand)

77.69

����

Excision of bone for graft

77.7 (1-9)

����

Condylectomy

77.8 (1-9)

����

Other operations on bones, except facial bones

78

Bone graft (autogenous) (heterogenous), humerus

78.02

����

Bone graft (autogenous) (heterogenous), radius and ulna

78.03

����

Bone graft (autogenous) (heterogenous), femur

78.05

����

Bone graft (autogenous) (heterogenous), tibia and fibula

78.07

����

Minifixator with insertion of pins/wires/screws into bone, clavicle

78.11

����

Minifixator with insertion of pins/wires/screws into bone, humerus

78.12

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Minifixator with insertion of pins/wires/screws into bone, radius and ulna

78.13

����

Minifixator with insertion of pins/wires/screws into bone, femur

78.15

����

Application of external fixation device, humerus

78.12

����

Application of external fixation device, radius and ulna

78.13

����

Application of external fixation device, femur

78.15

����

Application of external fixation device, tibia and fibula

78.17

����

Application of external fixation device, pelvic bones

78.19

����

Application of external fixation device, phalanges (of foot)  (of hand)

78.19

����

Epiphyseal stapling, femur

78.25

����

Limb lengthening procedures, femur

78.35

����

Removal of external fixator device, humerus

78.62

����

Removal of external fixator device, radius and ulna

78.63

����

Removal of external fixator device, tibia and fibula

78.67

����

Removal of internal fixation device, humerus

78.62

����

Removal of internal fixation device, radius and ulna

78.63

����

Removal of internal fixation device, carpals and metacarpals

78.64

����

Removal of internal fixation device, femur

78.65

����

Removal of internal fixation device, patella

78.66

����

Removal of internal fixation device, tibia and fibula

78.67

����

Removal of internal fixation device, tarsals and metatarsals

78.68

����

Removal of internal fixation device, phalanges (of foot)       (of hand)

78.69

����

Removal of internal fixation device, vertebrae

78.69

����

Reduction of fracture and dislocation

79

Closed reduction of fracture without internal fixation, humerus

79.01

����

Closed reduction of fracture without internal fixation, radius and ulna

79.02

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Closed reduction of fracture without internal fixation, carpals and metacarpals

79.03

����

Closed reduction of fracture without internal fixation, phalanges of hand

79.04

����

Closed reduction of fracture without internal fixation, femur

79.05

����

Closed reduction of fracture without internal fixation, tibia and fibula

79.06

����

Closed reduction of fracture without internal fixation, tarsals and metatarsals

79.07

����

Closed reduction of fracture without internal fixation, phalanges of foot

79.08

����

Closed reduction of fracture with internal fixation, humerus

79.11

����

Closed reduction of fracture with internal fixation, radius and ulna

79.12

����

Closed reduction of fracture with internal fixation, carpals and metacarpals

79.13

����

Closed reduction of fracture with internal fixation, phalanges of hand

79.14

����

Closed reduction of fracture with internal fixation, femur

79.15

����

Closed reduction of fracture with internal fixation, tibia and fibula

79.16

����

Closed reduction of fracture with internal fixation, tarsals and metatarsals

79.17

����

Closed reduction of fracture with internal fixation, phalanges of foot

79.18

����

Open reduction of fracture without internal fixation, humerus

79.21

����

Open reduction of fracture without internal fixation, radius and ulna

79.22

����

Open reduction of fracture without internal fixation, carpals and metacarpals

79.23

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Open reduction of fracture without internal fixation, phalanges of hand

79.24

����

Open reduction of fracture without internal fixation, femur

79.25

����

Open reduction of fracture without internal fixation, tibia and fibula

79.26

����

Open reduction of fracture without internal fixation, tarsals and metatarsals

79.27

����

Open reduction of fracture without internal fixation, phalanges of foot

79.28

����

Open reduction of fracture with internal fixation, humerus

79.31

����

Open reduction of fracture with internal fixation, radius and ulna

79.32

����

Open reduction of fracture with internal fixation, carpals and metacarpals

79.33

����

Open reduction of fracture with internal fixation, phalanges of hand

79.34

����

Open reduction of fracture with internal fixation, neck of femur

79.35

����

Open reduction of fracture with internal fixation, femur

79.35

����

Open reduction of fracture with internal fixation, femuoral condyle

79.35

����

Open reduction of fracture with internal fixation, tibia and fibula

79.36

����

Open reduction of fracture with internal fixation, malleolar

79.36

����

Open reduction of fracture with internal fixation, tarsals and metatarsals

79.37

����

Open reduction of fracture with internal fixation, phalanges of foot

79.38

����

Open reduction of fracture with internal fixation, platella

79.39

����

Open reduction of fracture with internal fixation, clavicle

79.39

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Closed reduction of separated epiphysis, humerus

79.41

����

Closed reduction of separated epiphysis, radius and ulna

79.42

����

Closed reduction of separated epiphysis, femur

79.45

����

Closed reduction of separated epiphysis, tibia and fibula

79.46

����

Open reduction of separated epiphysis, humerus

79.51

����

Open reduction of separated epiphysis, radius and ulna

79.52

����

Open reduction of separated epiphysis, femur

79.55

����

Open reduction of separated epiphysis, tibia and fibula

79.56

����

Debridement of compound fracture, humerus

79.61

����

Debridement of compound fracture, radius and ulna

79.62

����

Debridement of compound fracture, carpals and metacarpals

79.63

����

Debridement of compound fracture, phalanges of hand

79.64

����

Debridement of compound fracture, femur

79.65

����

Debridement of compound fracture, tibia and fibula

79.66

����

Debridement of compound fracture, tarsals and metatarsals

79.67

����

Debridement of compound fracture, phalanges of foot

79.68

����

Closed reduction of dislocation of shoulder

79.71

����

Closed reduction of dislocation of elbow

79.72

����

Closed reduction of dislocation of wrist

79.73

����

Closed reduction of dislocation of hand and finger

79.74

����

Closed reduction of dislocation of hip

79.75

����

Closed reduction of dislocation of knee

79.76

����

Closed reduction of dislocation of ankle

79.77

����

Closed reduction of dislocation of foot and toe

79.78

����

Open reduction of dislocation of shoulder

79.81

����

Open reduction of dislocation of elbow

79.82

����

Open reduction of dislocation of wrist

79.83

����

Open reduction of dislocation of hand and finger

79.84

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Open reduction of dislocation of hip

79.85

����

Open reduction of dislocation of knee

79.86

����

Open reduction of dislocation of ankle

79.87

����

Open reduction of dislocation of foot and toe

79.88

����

Incision and excision of joint structures

80

Arthrostomy, shoulder

80.11

����

Arthrostomy, elbow

80.12

����

Arthrostomy, knee

80.16

����

Arthroscopy, shoulder

80.21

����

Arthroscopy, knee

80.26

����

Aspiration biopsy

80.3 (1-9)

����

Diskectomy

80.51

����

Excision of meniscus of knee

80.6

����

Synovectomy, carpals and metacarpals

80.73

����

Synovectomy, knee

80.76

����

Synovectomy, tarsals and metatarsals

80.77

����

Synovectomy, phalanges of foot

80.78

����

Repair and plastic operations on joint structures

81

Harrington rod fixation for fracture spine

81.0 (0-9)

����

Pedicular screws fixation of spine

81.0 (0-9)

����

Craniocervical fusion by anterior, transoral, or posterior technique

81.01

����

Arthrodesis of C2 level or below anterior (interbody) technique

81.02

����

Arthrodesis of C2 level or below anterolateral technique

81.02

����

Arthrodesis of C2 level or below posterior (interbody) technique

81.03

����

Arthrodesis of C2 level or below posterolateral technique

81.03

����

Lumbar and lumbosacral fusion, posterior technique

81.08

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Ankle fusion

81.11

����

Arthrodesis of hip

81.21

����

Arthrodesis of knee

81.22

����

Arthrodesis of shoulder

81.23

����

Arthrodesis of elbow

81.24

����

Interphalangeal fusion

81.28

����

ACL reconstruction

81.45

����

PCL reconstruction

81.45

����

Open reduction with screw fixation for PCL avulsion

81.45

����

Total hip replacement

81.51

����

Femoral head replacement (hemiarthroplasty)

81.52

����

Bipolar endoprosthesis

81.52

����

Total knee replacement

81.54

����

Total ankle replacement

81.56

����

Total shoulder replacement

81.80

����

Suture of capsule or ligament of upper extremity

81.93

����

Suture of capsule or ligament of ankle and foot

81.94

����

Operations on muscle, tendon, and fascia of hand

82

Removal of rice bodies in tendon sheath of hand

82.01

����

Bursotomy of hand

82.03

����

Excision of lesion of tendon sheath of hand

82.21

����

Suture of tendon sheath of hand

82.41

����

Delayed suture of flexor tendon of hand

82.42

����

Suture of muscle or fascia of hand

82.46

����

Reattachment of tendon of hand

82.53

����

Digital transfer to act as thumb

82.6 (1,9)

����

Plastic operation on hand with graft of muscle or fascia

82.72

����

Repair of cleft hand

82.82

����

Operations on muscle, tendon, fascia, and bursa, except hand

83

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Removal of rice bodies from tendon sheath

83.01

����

Fasciotomy

83.14

����

Release of Volkmann's contracture by fasciotomy

83.14

����

Division of muscle for torticollis

83.19

����

Muscle release

83.19

����

Myotomy for thoracic outlet decompression

83.19

����

Biopsy of soft tissue

83.21

����

Excision of ganglion of tendon sheath, except of hand

83.31

����

Excision of lesion of muscle

83.32

����

Excision of Baker's cyst

83.39

����

Excision of tendon for graft

83.41

����

Excision of muscle or fascia for graft

83.43

����

Scalenectomy

83.45

����

Bursectomy

83.5

����

Suture of tendon sheath

83.61

����

Rotator cuff repair

83.63

����

Achillorrhaphy

83.64

����

Advancement of tendon

83.71

����

Recession of tendon

83.72

����

Reattachment of tendon

83.73

����

Reattachment of muscle

83.74

����

Tendon transfer or transplantation

83.75

����

Tendon graft

83.81

����

Graft of muscle or fascia

83.82

����

Tendon pulley reconstruction

83.83

����

Release of clubfoot

83.84

����

Teno achillis lengthening

83.85

����

Myotenoplasty

83.88

����

Other procedures on musculoskeletal system

84

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Amputation and disarticulation of finger

84.01

����

Amputation and disarticulation of thumb

84.02

����

Amputation through hand

84.03

����

Disarticulation of wrist

84.04

����

Forearm amputation

84.05

����

Disarticulation of elbow

84.06

����

Upper arm amputation

84.07

����

Disarticulation of shoulder

84.08

����

Amputation of toe

84.11

����

Amputation through metatarsophalangeal joint

84.11

����

Ray amputation of foot (disarticulation of the metatarsal head of the toe extending across the forefoot just proximal to the metatarsophalangeal crease)

84.11

����

Amputation through foot

84.12

����

Disarticulation of ankle

84.13

����

Amputation below knee

84.15

����

Disarticulation of knee

84.16

����

Amputation above knee

84.17

����

Disarticulation of hip

84.18

����

Thumb reattachment

84.21

����

Finger reattachment

84.22

����

Forearm, wrist, or hand reattachment

84.23

����

Upper arm reattachment

84.24

����

Reamputation of stump

84.3

����

Secondary closure of stump

84.3

����

Trimming of stump

84.3

����

15. OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)

Operations on the breast

85

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Open biopsy of breast

85.12

����

Local excision of lesion of breast

85.21

����

Resection of quadrant of breast

85.22

����

Excision of ectopic breast tissue

85.24

����

Excision of nipple

85.25

����

Unilateral reduction mammoplasty

85.31

����

0

Bilateral reduction mammoplasty

85.32

����

0

Removal of breast tissue with preservation of skin and nipple

85.34

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Unilateral simple mastectomy

85.41

����

Bilateral simple mastectomy

85.42

����

Modified radical mastectomy

85.43

����

Unilateral radical mastectomy

85.45

����

Augmentation mammoplasty

85.5 (0-4)

����

0

Mastopexy

85.6

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Total reconstruction of breast

85.7

����

Suture of laceration of breast

85.81

����

Split-thickness graft to breast

85.82

����

Full-thickness graft to breast

85.83

����

Pedicle graft to breast

85.84

����

Muscle flap graft to breast

85.85

����

Revision of implant of breast

85.93

����

Operations on skin and subcutaneous tissue

86

Incision with removal of foreign body from skin and subcutaneous tissue

86.05

����

Removal of tissue expander(s) from skin or soft tissue other than breast tissue

86.05

����

Escharotomy

86.09

����

Excisional debridement of wound, infection, or burn

86.22

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Tangential excision of burn

86.22

����

Dermabrasion

86.25

����

Ligation of dermal appendage

86.26

����

Debridement of nail, nail bed, or nail fold

86.27

����

Scrub burn

86.28

����

Destruction of skin by laser beam

86.3

����

Wide excision of skin lesion involving underlying or adjacent structure

86.4

����

Replantation of scalp

86.51

����

Closure of skin and subcutaneous tissue

86.59

����

Split-thickness skin graft

86.60

����

Full-thickness skin graft to hand

86.61

����

Full-thickness skin graft to other sites

86.63

����

Cutting and preparation of pedicle grafts or flaps

86.71

����

Advancement of pedicle graft

86.72

����

Attachment of pedicle or flap graft to hand

86.73

����

Attachment of pedicle or flap graft to other sites

86.74

����

Revision of pedicle or flap graft

86.75

����

Repair for facial weakness

86.81

����

Face lift

86.82

����

0

Liposuction

86.83

����

0

Reduction of adipose tissue of abdominal wall (pendulous)

86.83

����

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Relaxation of scar or web contracture of skin

86.84

����

Z-plasty of skin

86.84

����

Correction of syndactyly

86.85

����

Repair of facial wound

86.89

����

Scar revision

86.89

����

Insertion of tissue expander

86.93

����

16. MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)

Diagnostic Radiology

87

�Ҥҵ�����ʶҹ��Һ�����¡��    㹻� 2548

Intraoperative intravenous pyelogram

87.73

����

Intraoperative retrograde pyelogram

87.74

����

Intraoperative retrograde cystourethrogram

87.76

����

Physical therapy, respiratory therapy, rehabilitation, and related procedures

93

Skeletal traction

93.44

����

Adhesive tape traction

93.46

����

Nonoperative removal of foreign body or calculus

98

Removal of intraluminal foreign body from esophagus without incision

98.02

����

Removal of intraluminal foreign body from larynx without incision

98.14

����

Removal of intraluminal foreign body from trachea and bronchus without incision

98.15

����

Removal of intraluminal foreign body from urethra without incision

98.19

����

ESWL

98.51

�����á

ESWL

98.51

���駵����ͧ��ҧ���ǡѹ

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            -   ��Һ�ԡ�þ�Һ�ŷ���� ��� ��Һ�ԡ�þ�Һ�ŷ���� ICU ��� ��þ�Һ�ž�鹰ҹ���Դ���Ҩ���������ѹ ��觤�ͺ������þ�Һ���ҵðҹ���ǹ�������Ǣ�ͧ �� ����Ѵ�ѭ�ҳ�վ ��èѴ�� �������� ��éմ�� ��þ��� ����������¹������ ���������ʹ ���������ʹ �������������·ҧ������ʹ ��ô��ŷ���������к��  ��ôٴ����� ����觵�Ǩ ��ô���л�Ѻ����ػ�ó���ᾷ�� ����紵�� ����Һ������á�Դ  ����������ü�ҹ�ҧ����ҧ ��þ�ԡ��Ǽ����·���������ö��������͵���ͧ�� �繵� 㹡�ù�� �Ҥҷ���˹���Դ����ػ�ó�/��ʴؾ�鹰ҹ�ء���ҧ �� ��� ��� Syringes ���� ��С�äԴ��Һ�ԡ�����Դ�ʹ���ͧ�Ѻ��äԴ�ӹǹ�ѹ�͹

            -   ��Һ�ԡ�áԨ��������ɷ��͡�˹�ͨҡ��Һ�ԡ�þ�鹰ҹ �� ��÷��� ����ǹ������� �繵� 㹡�äԴ��Һ�ԡ���������֧��Ҫش����ͧ��� ����Ҿ�鹰ҹ �����ʴ�������ͧ����

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

12.1

�����

55010

12.1.1

��Һ�ԡ�þ�Һ�ŷ���� (IPD)

�ѹ

300

- �����ԡ�þ�Һ����鹰ҹ����ӨӡѴ�������Ǵ 12 ��������� Syringes ���� - �������Ǫ�ѳ�� ������ͧ���� ��   ��� Suction

55011

12.1.2

��Һ�ԡ�þ�Һ�ŷ���� Semi ICU

�ѹ

500

55012

12.1.3

��Һ�ԡ�þ�Һ�ŷ���� ICU

�ѹ

700

55020

12.1.4

��Һ�ԡ�ü����¹͡ ������Ҫ���

�ѹ

50

- �����ԡ�þ�鹰ҹ������ �����Ӻѵ� ��ᾷ�� ����Ѻ��

- ������ԡ㹡ó������    ��ùѴ�ҷ��ѵ���õ�ҧ� �� ��ҧ�� �մ��       �ӡ���Ҿ  �͡���ʹ��Ǩ���ʹ ���� X-ray �繵�

55021

12.1.5

��Һ�ԡ�ü����¹͡ �͡�����Ҫ���

�ѹ

50

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

55090

12.1.6

��Һ�ԡ�÷���价ҧ���ᾷ�� (IPD)

�ѹ

0

�������ö�ԡ�������������¡��

55091

12.1.7

��һ�֡��ᾷ��੾�зҧ (IPD)

�Ң�

0

12.2

�� �� �� ��١

55210

12.2.1

�����ҧ��/��ҧ (�����¹͡��Щء�Թ)

����

70

�������ö�Դ� �����������������Һ�ԡ�þ�Һ�ŷ����

55211

12.2.2

�紵� (�����¹͡��Щء�Թ)

����

40

55212

12.2.3

��ҧ��͹�ӵ�

����/��ҧ

70

55220

12.2.4

�����ҧ��١/��ҧ

����

70

12.3

�ҧ�Թ����

55310

12.3.1

��ê��·ҧ�Թ���������� (Clear air way) (੾�м����¹͡���ͩء�Թ)

����

(visit)

80

��� Airway

55311

12.3.2

��ôٴ����Шҡ�����ʹ��

(੾�м����¹͡���ͩء�Թ)

����

(visit)

50

- �����ʴ��ػ�ó����� �� O2, �ا��� �繵�

- ��������� Suction

55320

12.3.3

��þ��Ң�����ʹ��

(੾�м����¹͡���ͩء�Թ)

����

(visit)

50

- ����ء���ҧ �� Syringe, Needle, O2, NSS

-  ��������

12.4

�ҧ�Թ�����

55510

12.4.1

����������ҧ�����������

����

70

��������� NG

55511

12.4.2

����������÷ҧ����ҧ

(੾�м����¹͡���ͩء�Թ)

����

60

�������ö�Դ� �����������������Һ�ԡ�þ�Һ�ŷ����

55512

12.4.3

�����ҧ�����������

����

220

���������ͷ������ҧ����3-7 �Ե�

55520

12.4.4

��õ�Ǩ�ҧ����˹ѡ

����

60

�����ʴ�

55521

12.4.5

����ǹ�ب���д��¹������

����

80

����������� 2 �Ǵ

12.5

�к��ҧ�Թ�����������׺�ѹ���

55610

12.5.1

����ǹ������з��

����

90

�������ǹ��й����

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

55611

12.5.2

����ǹ������Ф����

����

90

����������ǹ��жا

55612

12.5.3

�����ҧ�����л������

����

130

���������ͷ������ҧ 3 �Ե�

55620

12.5.4

��õ�Ǩ����

����

100

�������� �ا���

55621

12.5.5

����ǹ��ҧ��ͧ��ʹ

����

200

����ش ��й����

55622

12.5.6

���ͺ� Perinium

����

60

��� Set flush ����� �ا���

12.6

�к����� (�蹼��˹ѧ)/�����к�

55810

12.6.1

��÷������/�����

��

70

��� Set �����

�������� ��� ������� �������㹪ش

���ҧ�� 5-7 ���

55811

12.6.2

��÷����Դ/�Դ����

��

140

������� Top dressing3-7 ���  Sterile glove, Syringe

55812

12.6.3

��÷����Դ��Ҵ�˭� (>15 �ҷ�)

��

270

������� Top dressing 8-12 ���  Sterile glove, Syringe

55820

12.6.4

��������ù�ӷҧ��ʹ���ʹ��

(�����¹͡��Щء�Թ)

����

100

- ��� IV set, T-way, extension, IV catheter  - ��������ù��

55821

12.6.5

��������ù�ӷҧ��ʹ���ʹ��

(�������)

����

0

- ���㹤�Һ�ԡ�þ�Һ�ŷ��������

- ����ԡ੾����ʴ�������Ǫ�ѳ�� ��Ǵ 5

55822

12.6.6

��éմ�� IV (�����¹͡��Щء�Թ)

���

20

������ ��� Syringe

55823

12.6.7

��éմ�� IM (�����¹͡��Щء�Թ)

���

20

55824

12.6.8

��éմ������˹ѧ (�����¹͡��Щء�Թ)

���

20

55825

12.6.9

��Ҽ������������պӺѴ (��ͤ�)

����

100

������¡��

�ӴѺ

��¡��

˹���

�Ҥ�

�����˵�

55830

12.6.10

��õ�Ǩ��ҧ������͢���Ѻ�ͧᾷ��

����

0

������Է���Ѻ�Դ�ͺ ���������ͧ

55840

12.6.11

�������������¼�ҵѴ

����

0

�������ö���ԡ��  �Դ���㹤���ѵ��������

12.7

���� �蹡���й� �Ե�Է��

55910

12.7.1

��Һ�ԡ�����ӻ�֡���¾�Һ�� (<30 �ҷ�)

����

0

�������ö�ԡ��    �Դ���㹤�Һ�ԡ������ѹ

55911

12.7.2

��Һ�ԡ�����ӻ�֡���¾�Һ�� (>30 �ҷ�)

����

0

55999

���� ���͡�˹�ͨҡ��¡�õ����Ǣ�� 12.1-12.7 ��ҧ�� �������¡�÷���������ö��º��§��

100

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