1、济宁市医疗保险中医优势住院病种分值表序号国际疾病分类中医病症分类医保2.0(GB21版)主要操作/治疗方式本地病种目录分值ICDTO编码疾病名称医保版中医编码医保版中医名称手术/操作编码手术/操作名称中医优势病种编码原始病种分值中医优势病种分值1a46.x00丹毒A08.01.56丹毒Zya46.X59.0470.852b02.900x001带状疱疹A08.01.33火赤疮zy_b02.9_39.4147.293g45.004后循环缺血A17.07眩晕zy_g45.056.9268.304g51.803面神经炎A07.01.01.中风病zy_g51.8_63.5876.305g51.803面神
2、经炎07.01.01.中风病17.91100毫针治疗zy_g51.8_17.91100100.65120.786i80.902血栓性静脉炎A08.02.16青蛇毒zy_i80.9_42.2050.647jl2.900病毒性肺炎A10.04.02肺风痰喘zyJ12.948.2257.868k35.800x001急性阑尾炎A17.36腹痛zy_k35.8_53.0763.689k60.301高位肛痰A08.03.06肛漏zy_k60.3_85.44102.5310k60.301高位肛疹A08.03.06肛漏17.98124高位复杂肛瘦挂线治疗zy_k60.3_17,9812483.0299.621
3、1k61.001肛周脓肿A08.03.02息肉痔zy_k61.0_70.2784.3212k64.900痔A08.03.01.痔疮zy_k64.9_48.6158.3313130.902湿疹A08.01.01热疮zy_130.9_44.9153.8914ml7.900膝关节病A03.06.05.05损伤疼痛zy_ml7.9_60.6772.8015ml7.900膝关节病A03.06.05.05损伤疼痛17.91100毫针治疗zy_ml7.9_17,91100122.26146.711611147.001+g99.2*椎动脉型颈椎病03.06.04.05.01落枕zym47.061.5973.9
4、117m47.201神经根型颈椎病A03.06.04.05.01落枕zy_m47.2_52.5463.0518m47.201神经根型颈椎病A03.06.04.05.01落枕17.91100毫针治疗zy_m47.2_17,91100120.09144.1119m51.202腰椎间盘突出A17.42腰痛zy_m51.2_57.3868.8620m75.001肩周炎A03.06.05.05损伤疼痛zy_m75.0_51.6762.0021n20.900泌尿系结石A04.05.06瘾闭Zyn20.948.2457.89221173.902女性盆腔炎16.01.积聚类病Zyn73.941.0549.26
5、23s42.202肱骨外科颈骨折A03.06.01.骨折病17.97140肩关节脱位手法整复术zy_s42.2.17.9714098.13117.7624s43.OOO肩关节脱位A03.06.01.骨折病17.97140肩关节脱位手法整复术zy_s43.0_17.9714041.2249.4625s52.200x011孟氏骨折A03.06.01.骨折病zys52.269.2783.1226s52.500x001槎骨远端骨折A03.06.01.骨折病17.972e0槎骨下端骨折手法整复术zy_s52.5_17.972e053.2863.9427s62.301掌骨骨折A03.06.01.骨折病zy_s62.3_78.8494.6128s62.802指骨骨折A03.06.01.骨折病zy_s62.8_64.2577.1029s82.201胫腓骨干骨折03.06.01.骨折病zy_s82.249.1458.9730s92.OOO跟骨骨折A03.06.01.骨折病zy_s92.0_52.0062.40