|
Table id |
Value |
Description |
Explanation |
|
Claim002 |
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|
Medical care action classification codes |
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|
110 |
Initial examination fee |
Each item of A000 "Initial examination fee" in Chapter 1 of comments in Medical Department point table |
|
|
120 |
Follow-up examination fee |
Each item of A001 "Follow-up examination fee" and A001-2 "Designated functional hospital outpatient examination fee" in Chapter 1 of comments in Medical Department point table |
|
|
130 |
Guidance fee |
Each item of "Guidance control" in Chapter 2, Section 1, of comments in Medical Department point table |
|
|
140 |
Home care fee |
Each item of "Home medical care" in Chapter 2, Section 2, of comments in Medical Department point table |
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|
|||
|
|
210 |
Oral medicine fee |
Items related to oral medicine in Chapter 2, Section 5, Subsection 1, "Medicine preparation fee," and Subsection 3, "Medicine fee," in comments of Medical Department point table |
|
|
|
|
Excludes item covering medicine preparation fees related to narcotics and poison. |
|
|
220 |
Medicine dosage |
Items related to medicine dosage in Chapter 2, Section 5, Subsection 1, "Medicine preparation fee," and Subsection 3, "Medicine fee," in comments of Medical Department point table |
|
|
|
|
Excludes item covering medicine preparation fees related to narcotics and poison. |
|
|
230 |
External use |
Items related to external use in Chapter 2, Section 5, Subsection 1, "Medicine preparation fee," and Subsection 3, "Medicine fee," in comments of Medical Department point table |
|
|
|
|
Excludes item covering medicine preparation fees related to narcotics and poison. |
|
|
240 |
Prescription writing fee |
Items of Chapter 2, Section 5, Subsection 2, "Prescription writing fee," in comments of Medical Department point table. Excludes items related to narcotics and poison. |
|
|
250 |
Narcotic/poison markup |
Items related to narcotics and poison in Chapter 2, Section 5, Subsection 1, "Medicine preparation fee," and Subsection 2, "Prescription writing fee," in comments of Medical Department point table |
|
|
260 |
Basic fee for medicine preparation technology |
Items of Chapter 2, Section 5, Subsection 6, "Basic fee for medicine preparation technology," in comments of Medical Department point table |
|
|
270 |
Prescription fee |
Items of Chapter 2, Section 5, Subsection 5, "Prescription fee," in comments of Medical Department point table |
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|
|||
|
|
310 |
Hypodermic/intramuscular injection |
Items of G000, "Hypodermic/intramuscular injection," in Chapter 2, Section 6, Subsection 1, "Injection fee," and Subsection 2, "Medicine fee," in comments of Medical Department point table |
|
|
320 |
Intravenous injection |
Items of G001, "Intravenous injection," in Chapter 2, Section 6, Subsection 1, "Injection fee," and Subsection 2, "Medicine fee," in comments of Medical Department point table |
|
|
330 |
Other injection |
Items other than G000 and G001 in Chapter 2, Section 6, Subsection 1, "Injection fee," and items of Subsection 2, "Medicine fee," in comments of Medical Department point table |
|
|
340 |
Self-injection |
Self-injected medicines such as insulin in Chapter 2, Section 6, "Dosage of injected medicine," in comments of Medical Department point table |
|
|
|||
|
|
410 |
Treatment fee |
Items of Chapter 2, Section 9, Subsection 1, "Treatment fee," in comments of Medical Department point table |
|
|
480 |
Treatment material |
Items of Chapter 2, Section 9, Subsection 3, "Designated insured medical supplies fee," in comments of Medical Department point table |
|
|
490 |
Treatment medicine |
Items of Chapter 2, Section 9, Subsection 2, "Medicine fee," in comments of Medical Department point table |
|
|
|||
|
|
510 |
Surgery fee |
Items of Chapter 2, Section 10, Subsection 1, in comments of Medical Department point table |
|
|
520 |
Blood transfusion fee |
tems of Chapter 2, Section 10, Subsection 2, in comments of Medical Department point table |
|
|
530 |
Plaster cast fee |
Items of Chapter 2, Section 10, Subsection 3, in comments of Medical Department point table |
|
|
540 |
Anesthesia fee |
Items of Chapter 2, Section 11, Subsections 1 and 2, in comments of Medical Department point table |
|
|
580 |
Surgery material |
Items of Chapter 2, Section 10, Subsection 5, and Section 11, Subsection 4, in comments of Medical Department point table |
|
|
590 |
Surgery medicine |
Items of Chapter 2, Section 10, Subsection 4, and Section 11, Subsection 3, in comments of Medical Department point table |
|
|
|||
|
|
610 |
Laboratory test fee |
Items of Chapter 2, Section 3, Subsection 1, "Laboratory test fee," in comments of Medical Department point table |
|
|
620 |
Pathological test fee |
Items of Chapter 2, Section 3, Subsection 2, "Pathological test fee," in comments of Medical Department point table |
|
|
630 |
Biological test fee |
Items of Chapter 2, Section 3, Subsection 3, "Biological test fee," in comments of Medical Department point table |
|
|
640 |
Other test fee |
Items of Chapter 2, Section 3, Subsection 4, "Diagnostic puncture and sampling fee," in comments of Medical Department point table |
|
|
680 |
Test material |
Items of Chapter 2, Section 3, Subsection 6, "Designated insured medical supplies fee," in comments of Medical Department point table |
|
|
690 |
Test medicine |
Items of Chapter 2, Section 3, Subsection 5, "Medicine fee," in comments of Medical Department point table |
|
|
|||
|
|
710 |
X-ray diagnosis fee |
Items of Chapter 2, Section 4, Subsection 1, "X-ray diagnosis fee," in comments of Medical Department point table |
|
|
|
|
Excludes E003, "Contrast medium injection procedure," in same subsection. |
|
|
720 |
Nuclear medicine diagnosis fee |
Items of Chapter 2, Section 4, Subsection 2, "Nuclear medicine diagnosis fee," in comments of Medical Department point table |
|
|
730 |
Computer tomography diagnosis fee |
Items of Chapter 2, Section 4, Subsection 3, "Computer tomography diagnosis fee," in comments of Medical Department point table |
|
|
740 |
Procedure fee/other |
E003, "Contrast medium injection procedure," in Chapter 2, Section 4, Subsection 1, "X-ray diagnosis fee," in comments of Medical Department point table |
|
|
780 |
X-ray material |
Items of Chapter 2, Section 4, Subsection 5, "Designated insured medical supplies fee," in comments of Medical Department point table |
|
|
790 |
X-ray pharmaceutical |
Items of Chapter 2, Section 4, Subsection 4, "Medicine fee," in comments of Medical Department point table |
|
|
|||
|
|
810 |
Physical therapy |
Items of Chapter 2, Section 7, "Rehabilitation," in comments of Medical Department point table |
|
|
820 |
Psychotherapy |
Items of Chapter 2, Section 8, "Psychiatric Department/specialized therapy fee," in comments of Medical Department point table |
|
|
830 |
Radiation therapy fee |
Items of Chapter 2, Section 12, "Radiation therapy," in comments of Medical Department point table |
|
|
840 |
Other |
Other |
|
|
|||
|
|
910 |
Room fee |
Hospitalization environment fee from Chapter 1, A002, "Hospital charges," in comments of Medical Department point table |
|
|
920 |
Nursing fee |
Nursing fee from Chapter 1, A002, "Hospital charges," in comments of Medical Department point table |
|
|
930 |
Meal fee |
Alimentotherapy charge |
|
|
940 |
Medical management fee |
Items of Chapter 1, A003, "Medical management fee upon admission," in comments of Medical Department point table |
|
|
950 |
Partial charge upon admission |
Partial charge upon admission |
|
|
951 |
Partial charge for pharmaceuticals |
Partial charge for pharmaceuticals |
|
|
952 |
Partial charge for meals |
Partial charge for meals |
|
|
953 |
Other partial charges |
Other partial charges |
|
|
960 |
Room differential |
Room differential |
|
|
970 |
Serious illness surcharge |
Serious illness surcharge from Chapter 1, A002, "Hospital charges," in comments of Medical Department point table |
|
|
980 |
ICU surcharge |
Items of Chapter 1, A004, "Designated hospital charges," in comments of Medical Department point table |
|
|
990 |
Hospital charges/other (such as hospital gown rental) |
Other |
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|
|||
|
|
011 |
Childbirth fee |
|
|
|
012 |
Document fee |
|
|
|
013 |
Container fee |
|
|
|
014 |
Privately paid medical examination |
|
|
|
015 |
State-of-the-art medical care |
|
|
|
019 |
Other cash expenses borne by patient |
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