第二部份:代碼說明 -...

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B-I 錄 第二部份:代碼說明 評鑑等級……………………………………………………………….….B-1 權屬別及型態別其代號與名稱…………………………………………..B-3 案件分類………………………………………………………….……….B-8 案件分類補充說明……………………………………………….……….B-12 健保卡就醫序號………………………………………………….……….B-17 部分負擔代號及相關規定……………………………………….……….B-21 就醫科別及細分科……………………………………………….……….B-29 特定治療項目代號……………………………………………….……….B-31 就醫日期及治療結束日期補充說明………………………….………….B-36 給付類別………………………………………………………….……….B-38 處方調劑方式……………………………………………………..………B-39 ※本譯碼簿僅供參考,資料描述或代碼說明資訊如有異動,請逕自全民健康保險 局網站(http://www.nhi.gov.tw/ )查閱。

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  • B-I

    ..B-1

    ..B-3

    ..B-8

    ..B-12

    ..B-17

    ..B-21

    ..B-29

    ..B-31

    ..B-36

    ..B-38

    ..B-39

    http://www.nhi.gov.tw/

  • B-1

    01 89 02 89 03 88 89

    /

    04 89 05 89 06 07 08 09 17 (

    ) 89

    19 ()

    89

    21 ()

    22 ()

    31

    94.1

    32

    94.1

    33 94.1 34

    94.1

    35

    94.1

    36 94.1 37

    94.1

  • B-2

    38

    94.1

    39 94.1 40

    94.1

    41

    94.1

    42

    94.1

    43

    94.1

    98 99 XX

  • B-3

    01

    02

    04

    05 ()

    06

    07 ()

    08

    09

    10

    11

    12

    13

    14

    15

    17

    18

    21

    22

    23

    24

    25 ()

    26 ()

    27 ()

    28

    29

    30

    31

    32

    33

    34

    35

    37

    38

    40 41 42 45

    01-08

    01

    02

    03

    04

    05

    06

    07

    08 ()

    09

  • B-4

    11-13

    11

    12

    13

    21-24

    21

    22

    23

    24

    41-43

    41

    42

    43

  • B-5

    51-5362 51

    52

    53

    62

    54-5861

    54

    55

    56

    57

    58

    61

    59-60

    59

    60

    01

    02

    03

    04

    05 104

    06 104

    07

    08

    09

    11

    12

    13

    14

    16

  • B-6

    71

    72

    73

    74

    75

    76

    77

    78

    79

    01

    02

    03

    04

    05

    06

    07

    08

    09 ()

    10

    00

    81

    82

    83

    84

    85

    86

    87

    88

    08

    09

  • B-7

    91

    92

    93

    94

    95

    96

    97

    98

    xx

    01

    02

    03

    04

    05

    06

    07

    00

    xx

  • B-8

    01 02 03 04

    05 06 08 09 61 62 63 65 85/5 66 85/11 67

    88/1

    71 90/2 87/7 71

    97/6

    72 90/2 87/7 73 90/2 87/7 76 91/1 77 91/9 78 92/6 79

    94/2/1

    81 84

    96/7

    91 87/194/2

  • B-9

    92 65

    87/1095/1

    93 90.07

    90/7

    94 90.07

    90/7

    E1 90/11 HN

    98/8 98/9

    11 12 13 14

    91/1

    15 99/1/12 16

    91/1

    19 21 22 23

    93/7

    24 25

    92/5

    26

    93/7

    27

    93/7 97/1

    28

    88/9

    29

    1

  • B-10

    2 3 88/8/1 4 DOTS

    90/11

    5 B 90/2 87/7

    7 D 1 2 3 1.

    2.

    3.

    95 1 94 12 15 0940060505 042V08

    96 1

    C1

    4 90/12 92/10

    90/11

    5 Tw-DRGs A: 22-1 Tw-DRGs B22-2 Tw-DRGs

    99/1

    6 98/9 A1 A2

    A3

  • B-11

    A4

    NCR

    M AZ 97/3/26 B1

    (009 )

    96/1

    C1 AIDS 94 12 150940060505 042 V08

    C2

  • B-12

    84/6/22

    ( ) ( )

    ( )

    ( ) ()

    87/2/4 870000877

    01

    84/6/22

    01

    90/6/20 0900022434

  • B-13

    90/12/31 0900016279

    91/1/1 1. (1) 1

    25 (2) 2 50 (3) 3 75

    2. (1)1 30 (2) 2 60 (3) 3 85

    02 90/6/20 0900022434

    1.

    2.

    02

    03 90/6/20 0900022434

    87/11/2 8704551

    1.

    04 2.

    04

    04

    90/6/20 0900022434

    1.

    2.

    04

    87/11/2~90/6/19

    09

    05 90/6/20

    0900022434

  • B-14

    06 90/6/20

    0900022434

    08 87/11/2 8704551

    08

    90/6/20 0900022434

    08

    63 90/6/20 0900022434

    81 90/6/20 0900022434

    91 90/6/20 0900022434

    92 90/6/20 0900022434

    86/6/3 86015735

    09

    91/5/6

    09

    87/11/2 8704551

    1. 09

    2.

    09

    90/6/20

    04:

  • B-15

    90/6/20 0900022434

    91/5/6

    88/7/21 880071111

    88/8/1

    30 60 90

    :(

    )(

    )(

    )

    ( )

    ()

    13 07 22

    13 07 22

    A1~AZ A1 A2 A3 A4

    006

    IC06

    1.A1~AZ

    2

    M

    NCR

    B1~BZ B1

    009

    IC08

    S

  • B-16

    C1~CZ C1AIDS

    904

    IC09

    28 042 V08

    C2

  • B-17

    93 ICIC12 11 12 13 14 15

    16

    17 18 19

    93/7

    71 72 73 74 75

    76

    90/6

    77 78 79

    71~79

    93/7

    81 93/7 21 22

    86/4

    23 35

    97/12

    31 32 86/03/31

  • B-18

    35

    00

    41 42 43 44 45 46 47 48 49 50 51~60 00

    01 65

    88/10

    02 90/2~90/4

    90/6/28

    02-04

    06 89/1 07 91/9 08 92/6 09 95/1 10

    97/06

    89 88/2 91~96 90/2 87/7 91 93/7 98

  • B-19

    99 HMO 921

    CTMRI

    88/993/193/7

    HN 98/8/1 1.

    009 2.

    ( 0910023561 IC )

    () ()

    A000 A001

    A010 A011

    A020 A021

    A030 A031

    B000 B001 (, )

    C000 C001

    D000 D001 (HIS)

    D010 D011

    E000 E001

    F000

  • B-20

    G000

    H000 IC

    Z000 Z001

  • B-21

    001 002

    ""

    003

    004

    005

    006

    007 88/7 008

    009

    921

    88/9 921

    011

    801 HMO 86/3 802 88/8/1 901 86/3/1 902

    91/3/1

    903 IC 92/09 904 95/3

  • B-22

    1 006 2 009 3 006 36 00100200900797.2.13 0970001927

    1

    2 A B C D E F G H N Q R S

    3 () 0 1 2(88.08

    91.09 93.01 ) 394/7/15 4 7 94/7/15 4 ()0 2 3

    K00 10

    A00 420 () A00 450 (94/7/15

    A10 100 ( 86 4 ) A12 150 ( 86 5 )

  • B-23

    A12 210 ( 91 9 ) A12 360 ( 94/7/15 ) A13 50 (

    (98.8 )) A20 A23 A30 94/7/15

    A40 7

    94/7/15 B00 210 () B00 300 (94/7/15 ) B10 100 () B10 140 ( 91 9 ) B10 240 94/7/15 ) B13 50 (

    (98.8 )) B20 B23 B30 94/7/15

    B40 7

    94/7/15 C00 150 () C10 50 () C10 80 (94/7/15 ) C13 50 94/7/15

    (98.8 ) C20

    C30 94/7/15

    C23 94/7/15

    C30 94/7/15

    C40 7 94/7/15

    D00 150 ()

  • B-24

    D10 50 () D20 1 293/01

    E00 150 () E10 50 () E13 50 () E20 93.1.1 E23 93.1.1 F00 150 () F10 50 () F13 50 () F20 93.1.1 F23

    93.1.1 G00 150 () G10 50 () G20 93.1.1 H00 150 () H10 50 () H20 93.1.1 1 293/01

    P10 50

  • B-25

    N10 50 P20 () N20 Q10 50 Q20 () R10 50 R20 S10 50 S20

    1 293/01

    84/5/1 100 100 50 50 86/5/1 150 100 50 50 88/8/1

    88/12/1

    90/7/1 500 65 25 49 210 140 50 50

    91/9/1 20% 300

    94/7/15 360 240 80 50 84/3/1 420 210 150 150 94/7/15 450 300 150 150 84/3/1 50 50 50 50 91/9/1 20%

    300 84/3/1 50 50 50 50 91/9/1 20%

    300

  • B-26

    88/8/1

    100 0 101-200 20 201-300 40 301-400 60 401-500 80

    501 100 88 49 I 157 AA 89 25 E 157 AA

    50 100

    1.

    2. 150

    100 50 3. 50

    1. 2. 3. 4. 5.

    1. 2.

    42010A42011B42018C42012C42013A42014B42019C42015C

    1. 2.

    88/12/1

  • B-27

    90/7/1

    100 0 101-200 20 201-300 40 301-400 60 401-500 80 501-600 100 601-700 120 701-800 140 801-900 160 901-1000 180

    1001 200 25-48 50 0 49-156 50 50

    157 100 100

    150 50 50 100 50 50 50 50

    50 50

    ()

    1. 100 2.(

    -

    50

  • B-28

    ) 3. 4. 5.

    1. 2. 3. 4.

    91/9/1 300

  • B-29

    00 96/1 01 EA

    AA AB AC AD AE

    AF AG AH AI

    02

    AJ BA BB BC

    03

    BD CA 04 CB

    05 06 HA 07 08 09 10 11 12 DA 13 14 15 22 88/1/14 23 96/7 40 GA 41

  • B-30

    42 43 44 45 46 47 48 49 60 61 62 63 64 65 66 67 68 69

    81 FA 82 FB

    83 84 2A 2B 1

    2 00 3 2B 2B 4 EA

  • B-31

    01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23

    24 25 26 27 28

    29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54

    55 56

    57 58 59 60

  • B-32

    61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85

    86 (86/1/1) 87 (86/1/1) 88 (86/1/1)89 (86/1/1) 90

    (86/1/1) 91 (86/1/1) 92 (86/1/1) 93 Hypognadism

    (86/7/1) 94

    (86/7/1) 95 (87/4/1) 96 (88/4/1) 97 (88/4/1) ()

    01 121419252732456567697677 23

    A1 A2 A3 A4 A5 A6 A7 A8

    D1 D2 D3

    D4 D5 D6 D7 D8 D9 D0

  • B-33

    88/8

    P1 P2 P3 P4

    P5 P6 P7

    P8 F2 F3

    F4

    91/1 F5

    91/199/01/01 F6

    (91/1) F7

    99/01/01 F8

    99/01/01

    F9 99/01/01

    FA (97/1)

    FC (98.1 )

    FD (98.1 )

    FE

    (98.1 )

    FF (98.1 )

    F2F3FA 14F4F5F6F7F8F9FCFDFEFF FG FH FI FJ FK FL FM FN(99.1 ) 16FPFQFR15( 99.01.12 0990071960 )

    C1 C2 C3 C4 C5 C6 C7 C8

    J8

    C9

    C0

    CA (99.1 ) J1

    (96/7)

  • B-34

    J2 (96/7)

    J3 -

    (97.10 ) J7

    (98.01 )

    E1 (87) E2

    89/3/16

    (99.1 ) E3

    93/01~97/01 E4

    (89/5/17)90/11

    E5 (90/9)

    E6 90/11 E7

    90/11~93/09 E8 95/1 E9 95/10 EA

    (99.1 ) F1

    (90/8) F6

    (91/1) F7 (91/1)

    93/10 G4

    95/04 G5

    93/01 G6

    93/01 G7

    93/01 G8

    92/3/10 G9

    93/01 H1 BC (93/01)H2 -

    (96/7) H3 -

    (96/07) H4

    (97/1) H5 97.8

    H6 -

    (97.10 ) H7 B

    C (99.1 )

    N (90/11) C (90/11)R (90/11)

    E3E4E5E6E7E8

    E9F1NCR H1H5

    E1G5G6G7

    D4 G4G8

    G9

  • B-35

    1.( 1~ 4)

    ()

    2.() (1)()

    678( 6 E1)

    (2) G5~G7 () 5

    (3) BC (4)()~()

    () () ()

    1 G9

    2 ()

    G8 ,

    E1(94.7.1 )

    3 E3~ E9H1NCR

    E1

    4

    G5G6G7 D4

    5 +

    G5G6G7 G8

    D4

    6 +

    E3~ E9NCR

    G5G6G7

    E1

    7 +

    E3~ E9NCR

    G9 E1

    8 +

    E3~ E9NCR

    G8 E1

  • B-36

    1. 2. IC

    0880925088092908809250881005

    3.

    1 2 3 4 5 6 7 8 9

    1085 4 1 11

    1 2 3 4

  • B-37

    1 2 3

    4.

    0406 24 08 28

    003004005006901902903

    5.

    6.

    7.

  • B-38

    1 2 3 4 6 7 8 88/9 9 89/4

    89/7 A - 98/8 89/10/31 B - 98/8

    C 90/11 D E 90/11 F 90/11 M 92/10 7 89A2

  • B-39

    0 1 2 4 86/3/1 5 86/3/1 6 43

    86/3/1

    A 90/7/1 B 90/7/1 C 90/7/1 D 90/7/1 E 90/7/1 F 90/7/1 1. 2. 0126 3. 2 4. 1 5. 6.

    1 7. 4 0 8. 456 456

    G000H000G9G8G8D4