목차204 행

건강보험요양급여비용의 내역 ·········································································· 3

제1부 행위 급여 일반원칙 ··········································································· 61

Ⅰ. 일반기준 ······························································································ 61

Ⅱ. 요양기관 종별가산율 ········································································· 63

Ⅲ. 차등수가 ···························································································· 65

Ⅳ. 예외규정 ···························································································· 66

제1장 기본진료료 ···················································································· 67

제1절 기본진료료 ······························································································· 87

제2절 통합관리료 ····························································································· 122

제2장 검사료 ························································································· 123

(별 표) ············································································································· 125

제1절 검체 검사료 ··························································································· 127

∙ 일반진단검사 ······························································································ 129

∙ 혈액질환검사 ······························································································ 133

∙ 수혈검사 ····································································································· 140

∙ 일반화학검사 ······························································································ 142

∙ 내분비진단검사 ··························································································· 147

∙ 심뇌혈관질환검사 ······················································································· 152

∙ 종양검사 ····································································································· 154

∙ 대사검사 ····································································································· 158

∙ 약물･중독검사 ···························································································· 162

∙ 임신관련 검사 ···························································································· 166

∙ 감염검사 ····································································································· 167

∙ 면역검사 ····································································································· 183

제2절 병리 검사료 ····························································································· 192

∙ 조직병리검사 ······························································································ 192

∙ 세포병리검사 ······························································································ 194

∙ 특수병리검사 ······························································································ 196

∙ 사람유전자 분자유전검사 ············································································ 197

제3절 기능 검사료 ····························································································· 201

∙ 호흡기 기능검사 ························································································· 201

∙ 신경계 기능검사 ························································································· 203

∙ 평형기능검사 ······························································································ 214

∙ 청각기능검사 ······························································································ 216

∙ 신장 및 비뇨기 검사 ·················································································· 218

∙ 외피, 근골 기능 검사 ················································································· 220

∙ 시기능검사 ································································································· 222

∙ 내분비 기능 검사 ······················································································· 226

∙ 소화기 기능 검사 ······················································································· 231

∙ 알레르기 검사 ···························································································· 233

∙ 순환기 기능 검사 ······················································································· 235

∙ 생식, 임신 및 분만 ···················································································· 242

∙ 핵의학 기능 검사 ······················································································· 244

∙ 치아 검사 ··································································································· 245

(별 표 1) 신경인지기능검사 ············································································· 246

(별 표 2) 증상 및 행동 평가 척도 ·································································· 253

제4절 내시경, 천자 및 생검료 ········································································· 258

∙ 내시경 ········································································································ 258

∙ 천자 ··········································································································· 263

∙ 일반생검 ····································································································· 265

제5절 초음파 검사료 ························································································ 268

∙ 기본초음파 ································································································· 268

∙ 진단초음파 ································································································· 268

∙ 유도 초음파 ······························································································· 273

∙ 특수 초음파 ······························································································· 273

제1절 방사선일반영상진단료 ············································································· 276

제2절 방사선특수영상진단료 ············································································· 290

∙ 소화기계 ····································································································· 292

∙ 중추신경계 ································································································· 293

∙ 비뇨생식기계･유방 ······················································································ 294

∙ 기타부위 ····································································································· 295

∙ 전산화단층영상진단 ···················································································· 296

∙ 자기공명영상진단 ······················································································· 302

∙ 혈관조영촬영 ······························································································ 327

제3절 핵의학영상진단 및 골밀도검사료 ···························································· 331

제4절 방사선치료료 ·························································································· 340

∙ 방사선 치료 ··································································································· 344

제4장 투약 및 조제료 ··········································································· 349

제5장 주사료 ························································································· 357

제1절 주사료 ···································································································· 358

제2절 채혈 및 수혈료 ······················································································ 361

제6장 마취료 ························································································· 367

제1절 마취료 ···································································································· 370

제2절 치과마취료 ····························································································· 373

제3절 신경차단술료 ·························································································· 374

제4절 신경파괴술료 ·························································································· 378

제7장 이학요법료 ·················································································· 381

제1절 기본물리치료료 ······················································································ 381

제2절 단순재활치료료 ······················································································ 383

제3절 전문재활치료료 ······················································································ 385

제4절 기타 이학요법료 ····················································································· 389

제8장 정신요법료 ·················································································· 393

제9장 처치 및 수술료 등 ······································································ 397

제1절 처치 및 수술료 ······················································································ 397

(별 표) ············································································································· 402

∙ 기본 처치 ··································································································· 434

∙ 피부 및 연부조직 ······················································································· 441

∙ 근 골 ········································································································· 451

∙ 코 ··············································································································· 478

∙ 후 두 ········································································································· 483

∙ 기관, 기관지 및 폐 ···················································································· 485

∙ 흉 곽 ········································································································· 489

∙ 순 환 기 ···································································································· 492

∙ 비장 및 림프절 ·························································································· 512

∙ 입, 이하선 ·································································································· 514

∙ 인두 및 편도 ······························································································ 517

∙ 식 도 ········································································································· 518

∙ 복막 및 후복막 ·························································································· 521

∙ 위 ··············································································································· 522

∙ 장, 장간막, 허니아 ····················································································· 525

∙ 직장 및 항문 ······························································································ 530

∙ 비 뇨 기 ···································································································· 534

∙ 남성 생식기 ······························································································· 543

∙ 여성 생식기, 임신과 분만 ·········································································· 547

∙ 보조생식술 ································································································· 562

∙ 내분비기 ····································································································· 565

∙ 신 경 ········································································································· 567

∙ 감 각 기 ···································································································· 579

∙ 응급처치 ····································································································· 590

∙ 중재적 방사선시술 ······················································································ 594

∙ 투 석 ········································································································· 607

∙ 유 방 ········································································································· 611

∙ 간 ··············································································································· 613

∙ 담낭 및 담도 ······························································································ 615

∙ 췌 장 ········································································································· 617

∙ 소화기 내시경하 시술 ················································································ 619

∙ 장기이식 ····································································································· 624

∙ 기타 ··········································································································· 627

제2절 캐스트료 ································································································ 628

제10장 치과 처치･수술료 ····································································· 633

(별 표) ············································································································· 635

제1절 치아질환 처치 ························································································ 637

제2절 수술 후 처치, 치주조직의 처치 등 ························································ 642

제3절 구강악안면 수술 ····················································································· 646

제4절 치주질환 수술 ························································································ 654

제5절 보철물의 유지관리 ················································································· 656

제11장 조산료 ······················································································ 657

제12장 보건기관의 진료수가 ································································· 659

제13장 한방 검사료(檢査料) ································································· 663

제1절 시술료(施術料) ······················································································· 666

제2절 처치료(處置料) ······················································································· 669

제3절 한방 정신요법료(精神療法料) ································································· 670

제15장 약국 약제비 ·············································································· 673

제16장 전혈 및 혈액성분제제료 ···························································· 679

제17장 입원환자 식대 ··········································································· 683

제18장 치과의 보철료 ··········································································· 685

제19장 응급의료수가 ············································································· 695

제1절 응급 기본진료료 ····················································································· 695

제2절 응급의료행위 ·························································································· 704

제3절 권역외상센터 응급의료행위 ···································································· 706

(별 표) ············································································································· 709

제20장 치과의 교정치료료 ···································································· 765

제3부 행위 비급여 목록 ··········································································· 771

제1부 질병군 급여 일반원칙 ···································································· 805

제1장 안과 ···························································································· 815

제2장 이비인후과 ·················································································· 818

제3장 외과 ···························································································· 819

제4장 산부인과 ····················································································· 828

제3부 질병군 분류번호 결정요령 ····························································· 855

제1부 요양병원 급여 일반원칙 ································································· 899

제2부 요양병원 환자군, 임종실 급여목록･상대가치점수 및 산정지침 ··················································································· 901

제2부 입원형 호스피스 ············································································· 997

제3부 가정형 호스피스 ·········································································· 1009

제4부 자문형 호스피스 ·········································································· 1013

제5부 연명의료중단등결정 ······································································ 1017

제2부 혁신의료기술 비급여 목록 ··························································· 1027

제1장 분만 ·························································································· 1043

제2장 소아진료 ··················································································· 1047

[부록] 검체검사 위탁에 관한 기준 ························································· 1053

[별첨1] 검사료 항목별 세부내용 1-1. 검체검사료의 각 분류항목별 세부 검사항목 ······························ 1065