439/2008 Sb.
The DECREE
of 11 December. December 2008,
amending the Decree of the Ministry of health no. 134/1998 Coll.
the list of medical procedures with point values in the
as amended
The Ministry of health shall determine in accordance with section 17 paragraph. 5 of Act No. 48/1997
Coll., on public health insurance and amending and supplementing certain
related laws, as amended by law No 245/2006 Coll.:
Article. (I)
Annex to Decree No. 134/1998 Coll. issuing the list of health
performance with point values, as amended by Decree No. 55/2000 Coll., Decree
No. 135/2000 Coll., Decree No 449/2000 Coll., Decree No. 101/2002 Sb.
Decree No 291/2002 Coll., Decree No. 493/2005 Coll., Decree No.
620/2006 Coll. and Decree No. 331/2007 Coll., as follows:
"Annex to Decree No. 134/1998 Coll.
1. The TEXT PART of the
Chapter 1
Explanation of basic terms used in the list of medical procedures with
point values
1. list of performance
list of medical procedures with point values
2. health performance
the basic unit of the list, describing the comprehensive activities in the provision of
health care (performance)
3. the category of performance
the category of remuneration-performance rank performance between the performances of fully paid, paid
under certain conditions and unpaid from public health insurance
4. copyright expertise
expertise that designed and expertly guarantees health performance
5. the number of performance
a five-digit number uniquely identifying the performance within the
performance
6. the name of the performance
a brief text articulates clearly the essence of performance
7. performance description
text, expanding the performance name describing the performance and, where applicable, its
the implementation of
8. place restrictions OM
restrictions on reporting the performance of the place of his execution
9. limitations OF frequencies
the reporting frequency performance limitations of its implementation in relation to the
one of the insured person and one or more time periods
10. time of performance
performance time in minutes. Author's expertise is crucial for the performance
assign a minute overhead rates. The total value of the minute performance overhead
is calculated as the product of time and performance overhead rates applicable to the minute
performance of the author's expertise (see Chapter 7). Time performance expresses the
period of time, after which the Department is carrying out the performance fully busy.
11. Nobel Nobel performance
a health professional who participates in the implementation of the exercise. For the performance of
are assigned to the personal costs one bearer of performance, only exceptionally
multiple holders (operating performances and the like). If the holder of the performance
at least one doctor or another university employee, are not fundamentally to
the performance of assigned personal cost of paramedical personnel
(they are included in the reimbursement of indirect costs-overhead).
12. time of performance of the wearer
the time that is given to a healthcare worker employed by the implementation of the just
This single performance
13. the wage of the wearer's performance index INDX
the index, which characterizes the qualifications of the wearer to perform performance and
the difficulty of the performance
14. points of performance point value
the sum of all direct costs for performance (cost of the wearer
performance, special-purpose devices and their specific maintenance,
When you perform the exercise directly consumed medical supplies and
implementation of the performance directly consumed medicines) calculated in
crowns and expressed in points
15. ZUM
separately charged medical supplies that can be separately charged to the
If the performance was reasonably consumed in the performance of
16. ZULP
separately charged to the medicinal product, which may be separately billed to perform,
If it was reasonably consumed in the performance of
17.
the length of the day
18. ZP
medical devices
Chapter 2
General rules for performance reporting
1. REPORTING PROCEDURES
1. Once executed the performance shall be borne by health insurance for one
the insured person only one medical facility.
2. If it is not in the name of performance, a description of the performance, in chapter additional rules
performance reporting or performance in the frequency restrictions noted,
paid by the health insurance for the insured's individual performance of one
one medical facility in one day only once. The performances
performed on paired organs will pay health insurance for one
the insured person on the same day twice, if they have been made on both sides, therefore,
on the right and left of the authority, if it is not otherwise provided for performance. The performances
carried out on the individual teeth will pay health insurance for
one insured person in one day once on each tooth, which was
the performance is made.
3. If Only because of the sudden changes in health condition of the insured person occurs
the new treatment (new in the doctor's Office the same doctor visit or a visit
practitioner or LSPP) is possible for insured persons in the Bill
further treatment of the use of the corresponding performance by actually again
the care provided.
4. Performance shall be borne by health insurance only if filled with all
the content of the performance.
5. all health care, which was reported through the
health care performance, including the days of the health insurance company, the
be properly documented in the medical record of the policyholder. Write to the
documentation is an integral part of all health interventions.
6. the performance may be banned only if executed completely. Partially
conducted by the performance of the health insurance company cannot be banned.
7. Performance cannot be banned, if it is part of another reported
performance.
8. When one visiting hours can one insured person only one
the performance of clinical examination skills.
9. If the medical device reports on one visit at the same time two
the performances, which according to the list of performance not be shown together, it is
health insurance is entitled to performance reported wrongly neuhradit.
10. If you can be referred to in the list of performance charged performance more than once,
can be charged only as many times as he was filled with the entire time his
implementation referred to in the list. The start time and the end time of
the performance is a necessary part of the medical record of the patient. If
You cannot start and end time of performance documentation to conclusively determine
shall be reimbursed by health insurance company performance in number one.
11. When reporting performance associated with the transplantation of tissues and organs
According to section 35a of the Act No. 48/1997 Coll., on public health insurance, in
as amended, the frequency limit applies to each
the donor.
2. COPYRIGHT EXPERTISE
1. the Author of the health expertise that reflects performance
professional company suggested the health and is responsible for the performance of his professional
the contents of the.
2. In the performance of the said copyright expertise are not binding for the
the contractual relationship between medical institutions and health insurance company.
3. the category of PERFORMANCE
1. The performance of the s P is from public health insurance fully
paid.
2. Performance categories Q is from public health insurance paid,
only if is not banned, along with performances of complex, repetitive complex,
targeted or control examinations.
3. Performance with the categories W from public health insurance is paid for
certain conditions. If not otherwise stated, the performance of this
the implementation of the health condition of the performance indicator.
4. Performance with categories from is from public health insurance paid to
the consent of the competent medical health insurance.
4. PLACE RESTRICTIONS
1. Performance limits and is paid from public health
insurance only if it was done on an outpatient basis.
2. The performance of the restriction point (H) is paid from public health
insurance only if it was made during the hospitalization, or if it
allows the State of health of the patient within the day care on the bed
3. place with restricted Performance is paid from public health
insurance only if it was made on a specialized workplace.
4. place the restricted Performance SA is paid from public health
insurance only if it was done as an outpatient on specialized
the workplace.
5. place the restricted Performance SH is paid from public health
insurance only if it was made during hospitalization to specialist
workplace, or if it allows the patient's State of health in the framework of the
day care on the bed.
6. Performance, which is not a limit point is paid from the public
health insurance without the restrictions of the place of execution.
5. limitation of FREQUENCY
Limit frequency is related to the insured's always one, one or
multiple time periods and one medical facility.
If the performance is recorded one medical facility on the one
the policyholder more frequently than is specified in the limitation of the frequency is a health
the insurance company shall be entitled to performance pay in the amount of the limiting frequency, if
review the doctor decides otherwise.
Each period frequency restrictions are for the purpose of providing
health care is defined as follows:
Week:
for a period of one week is considered to be a continuous period lasting for 7 days
Month:
for a period of one month is considered as a continuous period lasting 4 weeks, that is.
28 days
3 months, quarters (1/3 or 1/month 1 quarter)
: for the period of 1 quarter is considered to be a continuous period lasting for 89 days.
Tolerated deviation from that period is a maximum of 5 days.
Year:
for a period of one year is considered to be a continuous period lasting for 365 days.
Tolerovatelná derogation from that period is a maximum of 15 days.
6. holders of the PERFORMANCE
Outputs are listed four categories of rightholders. They are:
1. a physician, dentist, pharmacist ^ 1)
2. clinical psychologist, clinical speech therapist and physical therapist ^ 2)
3. other college-educated worker in health ^ 2)
4. nelékařský medical worker-NLZP ^ 2)
In performance are further listed the times each of the carriers and their payroll
the indexes.
Wage indexes express the degree of qualification of the wearer.
Compliance with the qualification of the wearer, used in the calculation is not a necessary condition
payment of the performance of a particular medical device.
6.1. Indexes of physicians, dentists and pharmacists
For wearers of performance-doctors, dentists and pharmacists are set out
three degrees of wage index. They are:
1. The Index of 1-intensity matches the performance qualification of doctor, dental
doctor or pharmacist with competence to practise the profession-
the symbol L1, the index value 1
2. Index 2-performance corresponds to the demands of the qualifications of the doctor or the
as a pharmacist with competence to practise the profession without vocational
supervision on the basis of the certificate-the symbol of the L2 cache, the index value of 1.8
3. The Index of 3-performance corresponds to the demands of the qualification of doctor, dental
doctor or pharmacist with specialised competences-the symbol of L3,
the index value of 3.5
6.2. Indices of clinical psychologists, clinical speech therapists, vision
therapists and physiotherapists-VNP
For wearers of performance-clinical psychology, clinical speech therapists, vision
therapists and physiotherapists are set three levels of wage index.
They are:
1. The Index of 1-intensity performance corresponds to the qualifications of non-medical
the health care worker with a university education with a professional
competence to practise the profession or in the case of a physical therapist with a higher
vocational education-the symbol of K1, the index value 1
2. Index 2-performance corresponds to the demands of the non-medical qualifications
the health care worker with a university education with a specialized
competence or, in the case of a physical therapist with a certificate for the performance of
the medical profession without mentorship-the symbol of the K2, the value
index of 2.5
3. The Index of 3-performance corresponds to the demands of the non-medical qualifications
the health care worker with a university education with a specialized
the competence, where appropriate, with other specialized competence or, in
If a physiotherapist certified to practise the profession without vocational
supervision, and establishing special professional competence-the symbol of the K3,
the index value of 3.5
6.3. The indexes of the JOP
For wearers of performance-other college-educated workers in the
health care (JOP) are laid down in tdva of the degree of wage index. Are
it:
1. The Index of 1-intensity performance corresponds to the qualifications of the JOP is obtained
professional qualifications in the relevant field-the symbol of J1, the index value 1
2. Index 2-performance corresponds to the demands of the qualifications of the JOP is
specialization education or accredited qualification rate is
competence for the exercise of the medical profession-a symbol of J2, the value
index of 2.5
6.4. The indexes NLZP
For wearers of performance-non-medical health professionals (NLZP)
set of three degrees of wage index. They are:
1. The Index of 1-intensity performance corresponds to the qualifications of the medical
the worker is eligible to exercise the medical profession under the professional
supervision or direct line (FROM UNDER the)-symbol S1, the index value of 1.08
2. Index 2-performance corresponds to the demands of the qualifications of the medical
the worker is eligible to exercise the medical profession without vocational
supervision (PARAMEDICAL PERSONNEL)-the symbol of S2, the index value of 1.8
3. The Index of 3-performance corresponds to the demands of the qualifications of the medical
the worker is eligible to exercise the medical profession without vocational
surveillance specialist qualifications in the relevant field (PARAMEDICAL PERSONNEL with
the specialization) or specific competence-symbol
S3, the index value of 2.25
4. Index 4-intensity performance corresponds to the qualifications of the medical
a worker with a university education, specialized qualifications
or special expertise-the symbol of the S4, the index value of 2.5
VNP.
7. ZUM and ZULP
7.1. The reporting of ZUM
1. the performance may be reported separately posted material only
If the performance is annotated "ZUM Yes."
2. As a separately charged material (ZUM) can be banned only for the performance of
material when you perform the exercise clearly consumed.
3. If the material is consumed whole, may be reported to the performance
its proportional part.
7.2. Reporting ZULP
1. the performance may be reported separately posted a medicinal product only
If the performance is annotated "ZULP Yes."
2. Blood products, blood derivatives and radiopharmaceuticals can be
reported as ZULP regardless of whether it is for performance of annotated
"ZULP Yes."
3. As a separately charged for the medicinal product performance may be banned
only medicinal product when the performance clearly consumed.
4. If the medicinal product is not consumed whole, may be to the performance
reported its proportional part.
7.3. As ZUM or cannot expel ZULP:
1. Medicinal products, medical equipment and medical devices,
that can be used to prescribe to the recipe or a voucher.
2. Medicinal products and medical equipment that is included directly in the value
performance (value PMAT and PLP) or aggregated in ošetřovacího day or
performance of clinical examination.
3. Medicinal products reimbursable drug flat.
4. Medicinal products, medical equipment and medical devices
obtained in any other way than by purchasing (pharmacological studies, corporate,
research grants, sponsorship donations and the like)
8. INSTITUTIONAL CARE (HOSPITALIZATION)
8.1. acceptance for hospitalization
On receipt of the insured's hospitalisation has comprehensive performance
examination of relevant expertise. If the beneficiary in this device
hospitalized in the last three months before the adoption and when
adoption of a banned performance of clinical examination of this expertise, you can report the
only the targeted examination.
8.2. release from hospitalization
When the release of the insured's hospitalisation has targeted performance
examination of relevant expertise.
8.3. The nursing staff
The nursing staff is divided into four categories:
1. health care professionals qualified to practise the profession without vocational
supervision with appropriate specialised competence (hereinafter referred to as "PARAMEDICAL PERSONNEL with
the specialization "),
2. health care professionals qualified to practise the profession without vocational
supervision without specialised competence (hereinafter referred to as "PARAMEDICAL PERSONNEL"),
3. health care workers eligible for the exercise of the medical profession
under expert supervision with graduation (hereinafter referred to as "OUT FROM UNDER"), this group
includes, inter alia, the medical profession, medical assistant, and
4. other health care workers eligible for health care performance
the profession under the professional supervision (hereinafter referred to as "FROM UNDER-graduate").
The ratio of jobs health care workers and PARAMEDICAL PERSONNEL FROM UNDER Chapter 7
depends on the scope of the activities of the health care workers so that the
provided nursing care within the health care provided by
the specific legislation governing the eligibility of health
personnel. ^ 3)
The designation of a specialised competence ARIP referred to in Chapter 7.1.1,
means of obtaining specialized competence in the field of nursing care
in anaesthetics, resuscitation and intensive care in case of care
adults and children over 10 years of age, or in the field of nursing care in
Pediatrics, focusing on intensive care in Pediatrics in the case care
children over 1 year of age.
In Chapter 7.1.2 ARIP means obtaining specialized competence in
the field of nursing care in Pediatry focusing on intensive care in
neonatology.
In Chapter 7.1.3. and 7.1.4. means of obtaining specialized
competence in the field of nursing care in Anaesthesiology and resuscitation
and intensive care in any focus or without focus in case care
for adults and children above 10 years of age, or scope. Nursing care in the
Pediatrics in the case of care for children over 1 year of age or in the field
Nursing care in Pediatry focusing on intensive care in
in the case of Neonatology care of children up to 1 year of age.
9. The VISIT
Condition report of the visit is the the documentation record indicating the date and
time of the visit.
9.1. general practitioner Visits the patient
Visits to a physician for a patient to be reported by specific performance. In addition to these
performances are recorded performances of clinical examination and other performances by
the rules in force.
A visit to the GP for a patient, you can report the following
performances:
1. Visit a physician for a patient
2. A visit to the doctor for the patient during the period between 19 and 22 hour ago
3. A visit to the doctor for the patient during the period between 22 and 6 hour
4. Visit a physician for a patient in a working day or on the day of
the work of peace
The above performances can, in addition to the procedures referred to in point 2 and 3,
combine.
9.2. The visit of specialists for the patient
A visit to the doctor for the patient may report in addition to the general practitioner also
another doctor, but only if it is made on the basis
written request of a medical practitioner of the registering of the patient. In the case of
visits in the period from 19 to 06 hours or working day and
holiday, the application must contain the date and time of the visit.
A visit to the doctor with a patient, you can report the following performances:
1. The visit of specialists for the patient
2. A visit to the doctor for the patient during the period between 19 and 22 hour ago
3. A visit to the doctor for the patient during the period between 22 and 6 hour
4. Visit a physician for a patient in a working day or on the day of
the work of peace
The above performances can, in addition to the procedures referred to in point 2 and 3
combine.
The performance of the patient pays a visit to a specialist health insurance only
If the visit is requested by a medical practitioner. This performance can be
report and during a visit to a specialist in social care or similar
environment, but only on one inhabitant of this Institute in one day.
9.3. The visit of the nurses and a physical therapist
Visit the sisters recorded the performances of copyright expertise 911, 914, 921
and 925.
Visit the sisters recorded the performances of copyright expertise, based on 911
a written indication of the registering of the medical practitioner, the copyright
expertise 902, 914, 921 and 925 on the basis of a written indication of the attending
doctor
The performance of the sisters in the period from 22 to 06 hours hours can together with
the performance only if it was made on the basis of written indications
the attending doctor. This indication shall in this case always contain
the date and time of the performance.
The performance of the nurses in the working day or working day can be
stations along with performance only if it was made on the
a written indication of the attending doctor. This indication shall in
this case, always include the date of execution of the performance.
9.4. The time spent on transportation
The doctor's time spent for patient transport within the framework of the visit, you can report the
always finished every 10 minutes. At 1 km distance you can report
most 2 minutes time.
10. Administrative PERFORMANCES
10.1. Performance Detailed listing of documentation is recorded:
the activity of the registering of a doctor associated with the acquisition of a statement of health
documentation of patient care when passing into another of the registering
doctor.
10.2. The contents of the Detailed listing of performance documentation is primarily:
1. review the medical records of the patient
2. make a copy of the dossier or of the dossier in the range statement
necessary for ensuring the continuity of hospital care
3. sending of the statement of the newly registrujícímu doctors
10.3. The performance of administrative tasks of the medical practitioner shall be recorded:
activity associated with preventive, diagnostic, or, dispensární
therapeutic care, if it takes place without a clinical examination of the patient and the
If it is not a consultation practitioner family members.
Along with the performances of the Detailed listing of documentation and administrative tasks
practitioner may not be on the same day reported no additional performances
the clinical examination.
10.4. performance of the exposure and their inability to work, or
the request for support in the care of a family member is reported:
Administrative act by which the work of incompetent evidence and issue their
incapacity or issue a request for support in the care of the
Member of the families.
The performance shows a doctor that incapacity, respectively.
care for a family member.
11. the minimum CONTACT
11.1. The performance of the minimum contact with the exhibits:
Contact a physician, clinical psychologist or a clinical therapist with
the patient before diagnostic or therapeutic exercise, if not
filled with the contents of the performance audit examination.
11.2. The content of the performance the minimum contact is mainly:
1. history of purposefully focused to the following diagnostic or
therapeutic care
2. evaluation of the subjective difficulties in relation to the following diagnostic
or therapeutic care
3. the decision on the date for more control
4. the provision of adequate information, the family court or the sick man
the representatives of the
5. writing a medical report-award
6. administrative activities associated with the performance of
7. a record of the entire process into medical documentation
12. TELEPHONE CONSULTATION
The performance of telephone consultations doctor patient hours can dial-up
contacts between the patient and the physician only if the immediately
related to prevention, dispensing, or diagnostic therapies.
This performance report, if the patient can actively contact the doctor, and
If the doctor contacts the patient actively, even if there is a dial-up
the contact between the doctor and family members or legal representatives
the patient or other persons concerned with the patient.
The performance of telephone consultations doctor patient may report only
doctor. If the doctor is a doctor, the authorising
This performance report only if directly linked to the
the problem for which the patient into care took over. For the mental disciplines
is defined by the different performance dial-up information.
13. LSPP
When a medical first aid service shows the doctor of clinical performance
examination expertise 001, 002 and 014 always depending on the age of the patient.
If the patient is younger than 18 years of age, are the performances of the expertise in 002
other cases, the performances of the expertise of 001.
Further exhibits all of the actually and in its entirety the performances made in the
respect for the applicable rules.
When a medical first aid service cannot have comprehensive and performance
repeated comprehensive examination.
14. HOME HEALTH CARE
The performances of the home health care medical facilities providing exhibit
Home health care.
The performances of the home health care hours can only
1. in the indication of the registering of the medical practitioner or the registering
practitioner for children and adolescents
2. in the indication of the physician during hospitalization and after time
a necessary, but not more than 14 days after their hospitalization.
Prescription home health care the authorising a general practitioner or
authorising a practical doctor for children and adolescents has a force of not more than 3
of the month.
15. performance of STATIM
If the doctor indicates performance immediately (statim) is an integral
part of this indication in the medical record documentation. The performance is
indicated by the statim only for reasons of health, not technical-
organizational.
Chapter 3
The performances of the clinical examination
The performances of the clinical examinations are essential performance, which
health care facilities reported health insurers health care
provided to the insured.
The performances of the clinical examination is divided into comprehensive examination, repeated
comprehensive examination, targeted examination, inspection and testing
consultation examination.
To the performance of clinical examinations are according to individual copyright
aggregated and scuba skills material cost performance
aggregated to the clinical examination. This is a performance, which is in the
list of performances in the category designation exercising "Q-cannot be
stations with the clinical examination ".
1. REPORTING of CLINICAL EXAMINATION
1. When one visiting hours can only be one of clinical performance
examination.
2. The clinical examination cannot combine administrative
performance and the performance of dial-up information, with the exception of the administrative
performance issue or their evidence the work of incompetent, respectively.
the request for support in the care of a sick member of the family.
3. in the case of copyright expertise, for which there are more clinical performance
examination of the reporting physician uses the power of its
eligibility.
4. performance of the clinical examination can be combined with performances of the guestbook
the service.
2. COMPREHENSIVE EXAMINATION
The performance of a comprehensive examination of the exhibits:
1. the examination of a patient in taking care of the medical practitioner,
practitioner for children and adolescents, a gynecologist-obstetrician and
practitioner dentist
2. the examination of a patient when taking into regular long-term care
outpatient specialist doctor and, if the
a specific doctor to interrupt care longer than two years
3. the examination of a patient to receive the hospital treatment, if hospitalization
renewal of hospitalization in the same workplace in the last three
the months of
2.1. The content of the performance of a comprehensive examination is mainly:
1. a detailed personal history, including family, work and social
2. evaluation of the subjective difficulties
3. evaluation of the preceding examination of the clinical, laboratory and
Imaging
4. the overall objective of the examination, the physician, internal and
surgery, including the examination of the rectal exam
5. the measurement of height, weight, blood pressure, pulse, respiratory rate,
or the speed of the exhale peakflowmetrem
6. the basic orientation of preventive Oncology examination
7. a diagnostic sheet and conclusion
8. the decision of a further diagnostic procedure, including the request of other
clinical, laboratory or Imaging tests
9. the decision on the therapeutic procedure, including prescription medications or ZP
10. the implementation of small therapeutic exercise
11. the decision on the date for more control
12. the provision of the relevant information, or ill family
legal representatives
13. psychotherapeutic interview
14. individual health education
15. patient education
16. writing medical news-award
17. administrative activities associated with the performance of, the provision of information
practical doctors, including a record of the consent or dissent of a patient with
the proposed diagnostic-therapeutic procedures
18. write about the whole procedure to the medical documentation
3. REPEATED COMPREHENSIVE EXAMINATION
Repeated examination may show only a comprehensive practitioner for
adults, a general practitioner for children and adolescents and the general dentist-
dentist.
3.1. Performance of repeated complex examination shall be recorded
preventive examination conducted by a medical practitioner for adults or
a general practitioner for children and adolescents, or practical dentist-
client.
3.2. The content of the examination is repeated performance of the complex:
1. a detailed personal history, including family, work and social with the
the emphasis on the changes since the last comprehensive or repeated complex
examination of the
2. evaluation of the subjective difficulties
3. evaluation of the preceding examination of the clinical, laboratory and
Imaging
4. the overall objective of the examination, including examination by a medical practitioner
rectal exam, by a medical practitioner for children and adolescents testing guidance
senses and psychomotor development
5. the measurement of height, weight, blood pressure, pulse, respiratory rate,
or the speed of the exhale peakflowmetrem
6. the basic orientation of preventive Oncology examination
7. a diagnostic sheet and conclusion
8. the decision of a further diagnostic procedure, including the request of other
clinical, laboratory or Imaging tests
9. the decision on the therapeutic procedure, including prescription medications or ZP
10. the implementation of small therapeutic exercise
11. the decision on the date for more control
12. the provision of the relevant information, or ill family
legal representatives
13. psychotherapeutic interview
14. individual health education
15. patient education
16. writing medical news-award
17. administrative activities associated with the performance reporting (mandatory, request
health and transport), the provision of practical information
doctors, including the record of the patient's consent or disagreement with the proposed
diagnostic-therapeutic procedures
18. write about the whole procedure to the medical documentation.
4. TARGETED EXAMINATION
4.1. The performance of the targeted examination shall be recorded:
1. examination of the patient's treating physician focused on subjective
the difficulties
2. the examination of the patient's treating physician in the regular care when
a significant change in the course of the disease
3. dispensární the patient's treating physician examination
4. the admission of the patient to a hospital, since the last hospitalization on
the same Department to run more than three months
5. the release of the patient from hospitalizations
6. the examination of a patient associated with exposure draft on a comprehensive and
contributory Spa care or a stay in ozdravovně
7. the patient's preoperative examination
8. preventive gynaecological examination
4
2. The content of the performance of the targeted examination is mainly:
1. history of purposefully aimed to subjective patient problems related
to the examination or to the request of the doctor
2. evaluation of the subjective difficulties
3. evaluation of the preceding examination of the clinical, laboratory and
Imaging
4. the objective of the examination to the patient's subjective problem
(relating to the examination) or to the request of the sending
doctor
5. the measurement of height, weight, blood pressure, pulse, respiratory rate,
the speed of the peakflowmetrem if the exhalation in relation to the subjective
problem the patient or to the request of the doctor
6. the basic orientation of preventive Oncology examination
7. a diagnostic sheet and conclusion
8. the decision of a further diagnostic procedure, including the prescription of other
clinical, laboratory or Imaging tests
9. the decision on the therapeutic procedure, including prescription medications or ZP
10. the implementation of small therapeutic exercise
11. the decision on the date for more control
12. the provision of the relevant information, or ill family
legal representatives
13. psychotherapeutic interview
14. individual health education
15. patient education
16. writing medical news-award
17. administrative activities associated with the performance reporting (mandatory, request
health and transport), the provision of practical information
doctors, including the record of the patient's consent or disagreement with the proposed
diagnostic-therapeutic procedures
18. write about the whole procedure to the medical documentation
5. the control EXAMINATION
5.1. Performance check is recorded:
1. the examination of a patient when a doctor checks the progress of, or
the result of treatment
2. the examination of a patient in their treatment of the treating physician
3. the examination of a patient when their incapacity for treating
doctor
4. examination of the patient's treating physician in the course of the stabilized
disease
5. the examination of a patient before providing a therapeutic Act
5.2. The content of the performance audit examination is mainly:
1. history of purposefully focused to the course or the outcome of treatment
2. evaluation of the subjective difficulties and their changes
3. evaluation of the preceding examination of the clinical, laboratory and
Imaging
4. the objective of the examination to the course or the outcome of treatment
5. the measurement of height, weight, blood pressure, pulse, respiratory rate,
the speed of the peakflowmetrem if the exhalation in relation to the course of disease
or the outcome of treatment
6. diagnostic sheet and conclusion
7. the decision on the date for more control
8. the provision of adequate information, the family court or the sick man
the representatives of the
9. psychotherapy interview
10. individual health education
11. patient education
12. writing medical news-award
13. administrative activities associated with the performance reporting (mandatory, request
about the medical transport, and the like)
14. write about the whole procedure to the medical documentation
6. CONSULTING the EXAMINATION
Consultation examination shows the same performance as the targeted examination
the relevant expertise. As consulting the examination can be recorded
only the targeted examination carried out by a physician with specialized
qualifications. Examination carried out by a physician with lower qualifications cannot
be reported. The exception is a clinical psychologist and clinical speech therapist, if
performs consultation examination.
The doctor cannot report the consultation examination.
6.1. the Konziliárním the examination shall be recorded:
Examination of the patient's attending physician requested to the extent necessary for the
obtain the diagnostic conclusion-answers to a question raised
sending the treating physician.
6.2. Content of konziliárního examination is mainly:
1. history of purposefully aimed to subjective patient problems related
to the examination or to the request of the doctor
2. evaluation of the subjective difficulties
3. evaluation of the preceding examination of the clinical, laboratory and
Imaging
4. the objective of the examination to the patient's subjective problem
(relating to the examination) or to the request of the sending
doctor
5. the measurement of height, weight, blood pressure, pulse, respiratory rate,
the speed of the peakflowmetrem if the exhalation in relation to the subjective
problem the patient or to the request of the doctor
6. the basic orientation of preventive Oncology examination
7. a diagnostic sheet and conclusion
8. the decision on the further procedure, including the prescription of other diagnostic
clinical, laboratory or Imaging tests in the range of
How to obtain diagnostic conclusion-answers the question
the highest transmitting the treating physician
9. recommendation of the therapeutic process
10. the recommendations of the term further checks or transfer to the care of
11. the provision of the relevant information, or ill family
legal representatives
12. psychotherapeutic interview
13. the individual health education
14. patient education
15. writing medical news-award
16. administrative activities associated with the performance reporting (mandatory, request
health and transport), the provision of practical information
doctors, including the record of the patient's consent or disagreement with the proposed
diagnostic-therapeutic procedures
17. write about the whole procedure to the medical documentation.
Chapter 4
Additional rules for the reporting of performance by the tuple
Copyright expertise
1.001-PRACTICAL MEDICINE for ADULTS
---------------------------------------
The performance of the
number name
---------------------------------------
01441 determination of glucose glukometrem
---------------------------------------
shall be recorded:
1. to verify the changes in the levels of glucose in the suspicion of decompensation
diabetic
2. determining the postprandial glucose in people that do not have the option of
selfmonitoringu and if you can't be venosní the blood while
collection of the biochemical tests.
3. in the case of persons for the DM, when untreated character difficulties is suspected of
decompensation diabetes.
Performance cannot be recorded as screening examination in preventive and
dispenzárních inspection and if the blood is collected for the purpose of venosní
biochemical examination.
Other skills: 002, 003, 101, 103 and 104.
2.002-the practical MEDICINE for children and adolescents
The performance of the
-------------------------------------------
number name
-------------------------------------------
02230 quantitative determination of CRP (POCT)
-------------------------------------------
You can have only documented participation on the initial vocational
certified training workshop held on this method at an accredited
workplace in cooperation of the professional companies and workplaces
providing postgraduate education by single methodology. When
the implementation of the recommendations of the professional performance will be respected by the
the implementation of laboratory examinations in deseases and will ensure
internal quality control, including a properly maintained her record and participation in
interlaboratory comparison testing system (external evaluation
the quality).
3.014-dentistry
During the visit, which was planned under the previous clinical
You cannot declare additional performance examination clinical examination.
3.1 the combination performance
The performances
--------------------------------------------------------------------------------
number name
--------------------------------------------------------------------------------
a comprehensive examination of the Input 04010
Dental treatment, the patient's 04060 registered under the age of 6 years
Dental treatment, the patient's registered 04061 aged from 6 to 12 years
Dental treatment, the patient's registered 04062 aged from 12 to 18 years
--------------------------------------------------------------------------------
Unable to report at the same time.
The performances
--------------------------------------------------------------------------------
number name
--------------------------------------------------------------------------------
04640 Surgical equipment tooth uncomplicated
04650 Surgical equipment complicated tooth
04710 Suture the tooth extraction wound-on
04720 Building postextrakčního hemorrhage
--------------------------------------------------------------------------------
You cannot have the same time to perform on the same tooth.
4.015-ORTHODONTICS
4.1 the combination performance
The performances
--------------------------------------------------------------------------------
number name
--------------------------------------------------------------------------------
Remove and establish an arc 05611
05619 Removing hard apparatus and device-per tooth
Zábrus tooth from 05711 orthodontic reasons-on the tooth
--------------------------------------------------------------------------------
You cannot have simultaneously with performance of clinical examinations outside the minimum performance
contact.
The performances
--------------------------------------------------------------------------------
number name
--------------------------------------------------------------------------------
05021 Orthodontic control of type I.
05029 Orthodontic control II. the type of the
--------------------------------------------------------------------------------
You can have the most three times in one calendar quarter, for active
treatment, however, once the most in one calendar quarter, for retention and before
Active treatment.
5.101-INTERNAL MEDICINE
Performance nutrition
--------------------------------------------------------------------------------
number name
--------------------------------------------------------------------------------
11501 Enteral nutrition
11502 Drinking and gastric defined nutrition
11503 Special Enteral nutrition (oligopeptidická)
11504 Additional total parenteral nutrition
11505 Special parenteral nutrition
11506 Full parenteral nutrition
--------------------------------------------------------------------------------
You cannot show one day at a time, you can declare a maximum of one performance nutrition
one patient and one day.
6.102-ANGIOLOGY
The performance of the
--------------------------------------------------------------------------------
number name
--------------------------------------------------------------------------------
12220 Doppler examination of the peripheral arteries or veins (one leg)
You cannot have simultaneously with the performance
--------------------------------------------------------------------------------
number name
--------------------------------------------------------------------------------
ULTRASONIC Doppler examination of the blood vessels 09141 without (B) view
89515 UZ duplex examination of only one vessel, the morfolog. and Doppler
89517 UZ duplex. examination of two or more vessels, morfolog. and Doppler
--------------------------------------------------------------------------------
The performances of the show cannot be simultaneously. plethysmographic
7.104-ENDOCRINOLOGY
7.1 Dynamic tests
All dynamic tests shall be reported in Endocrinology performance
--------------------------------------------------------------------------------
number name
--------------------------------------------------------------------------------
14110 Dynamic tests in Endocrinology
--------------------------------------------------------------------------------
The performance of the dynamic tests in Endocrinology hours can one patient
not more than twice in one day.
The performance of the dynamic tests in Endocrinology to report for each test only
Once in a quarter.
The performance of the dynamic tests in Endocrinology:
1. test with clonidinem
2. test with cholinergikem
3. synactenový test
4. adiuretinový test
5. clonidinový supresní test
6. glukagonový test
7. test with growth hormone
8. test with salt solution infused hypertonického
9. test with insulin provocation
10. also in the glucose tolerance test.
11. pentagastrinová stimulation kalcitoninu
12. argininový test
13. dexamethazonový test
8.105-GASTROENTEROLOGY
8.1 stress test in Gastroenterology
All of the stress tests in Gastroenterology, show performance
--------------------------------------------------------------------------------
number name
--------------------------------------------------------------------------------
15130 stress test in Gastroenterology
--------------------------------------------------------------------------------
In the exercise stress test in Gastroenterology is not included any
Parenteral application, donation of blood, the introduction of the probe. These activities can be
report separate performance. A test substance can kick as ZUM.
The exercise stress test in Gastroenterology can report only one in
one day.
The exercise stress test in Gastroenterology, it is possible for a single test
Repeat the most once per quarter.
The exercise stress test in Gastroenterology:
1. examination of the gastric chemistry
2. pankreozymin-sekretinový test
3. the paba test
4. xylosový test
5. test with vitamin and
6. tolbudamidový test
9.107-CARDIOLOGY
9.1 Indication
The performance of the
------------------------------------------------------------
number name
------------------------------------------------------------
17129 Neinvasivní ambulatory blood pressure monitoring
------------------------------------------------------------
Typically, you can declare a patient which is:
1. suspected resistant hypertension
2. suspected episodic hypertension
3. suspected phenomenon of the white mantle
4. suspicion of hypotensive States
5. suspicion of diabetic autonomic dysautonomii
6. the suspect masked hypertension
7. the need to verify the effectiveness of the treatment changes (max 3 times a year)
Final evaluation of AMTK contains:
1. Evaluation of the 24 hours. the average blood pressure, an assessment of its
deviations from the standards.
2. the evaluation of the average daily and night blood pressure assessment
their event. abnormalities.
3. assessment of the diurnálního the rhythm of blood pressure.
4. assessment of the presence of major hypertenzních peaků, event. their
correlation with subjective problems of the patient.
5. assessment of the presence of the event. the phenomenon of white coats.
6. the recommendations relating to the existing treatment of hypertension.
5.7 Combination performance
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
17299 Levostranná catheterization heart
17303 Pravostranná catheterization of the heart outside the cath lab
17300 Pravostranná catheterization heart at katetrizačním Hall
17302 double-sided cardiac catheterization
-------------------------------------------------------------------------------
Unable to report at the same time.
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
17127 Endomyokardiální biopsy transvaskulární
-------------------------------------------------------------------------------
It is possible to combine all the performances of the catheterization of the heart.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
17320 Acute test parenterálních of pharmaceuticals by stimulation of halls and chambers already or in the
introduced in the new introduction of the electrode (electrode should be attributable to the performance of the
temporary cardiac pacing)
17231 Endokardiální Accessory pathway mapping or arytmogenního focus
-------------------------------------------------------------------------------
can be declared only with the performances
number name
-------------------------------------------------------------------------------
17123 Elektrogram Hissova volume, ascending the stimulation of halls and Chambers, with
evaluation of the ante-and retrográdního management and recovery time the sinus
node
-------------------------------------------------------------------------------
or
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
17234 Programmed stimulation fibrillation and/or chambers, electrical testing
the stability of the myocardium (adds performance Elektrogram Hissova volume-
the number 17123)
-------------------------------------------------------------------------------
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
17244 24 hour telemetry monitoring outside of the ICU
17303 Pravostranná catheterization of the heart outside the cath lab
17250 Introduction ezofageální ECG electrodes, including registration
17252 Transezofageální ECG test stimulus
-------------------------------------------------------------------------------
You cannot have simultaneously with the treatment days intensive and intensive care.
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
17115 Coronary aterectomie, including Rotary
-------------------------------------------------------------------------------
You cannot have simultaneously with performance of angiography.
10.108-NEPHROLOGY
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
18521 Acute hemodialysis
18522 Chronic hemodialysis
18530 Hemofiltrace
18550 Hemodiafiltrace
18511 Acute peritoneal dialysis
-------------------------------------------------------------------------------
You cannot have the same time in one day with one patient.
11.109-RHEUMATOLOGY
In the case of pulsed corticosteroids treatment for hospitalization can be reasonably
report submitted to corticosteroids as ZULP ošetřovacího performance of the day. For
Pulse treatment of corticosteroids for these purposes is seen as the treatment doses
exceeding the equivalent of 500 mg of Hydrocortisonu a day and 1.7 m2
body surface.
12.205-TUBERCULOSIS and respiratory diseases-TRN
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
25213 Spirometry (usually by the method of flow-volume)
-------------------------------------------------------------------------------
You cannot have simultaneously with the treatment days intensive and intensive care.
Examination of the outlet velocity peakflowmetrem is part of the clinical
examination.
12.1 Bronchoscopy
Bronchoskopické diagnostic and therapeutic acts hours can mainly
the performances
number name
-------------------------------------------------------------------------------
25111 Rigid bronchoscopy, diagnostic or therapeutic, including
premedication
25113 Flexible bronchoscopy, diagnostic or therapeutic, including
premedication
-------------------------------------------------------------------------------
The above performance Bronchoscopy may be further from actually carried out
the procedure of reporting a further performances:
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
25115 Remove foreign body from the lower respiratory tract
25117 Targeted aspiration or biopsy material endobronchiálního kartáčková
Bronchoalveolar lavage 25119
25121 Endobronchiální excision
25122 Perbronchiální puncture
25118 Transbronchiální pulmonary biopsy
25123 Instillation treatment and diagnostic products into the lower respiratory
paths
25125 Endobronchiální laser performance
the use of cryotherapy for a Bronchoscopy 25127
76111 Introduction afterloadingových probes or balloon probes or drains to
implementation of bronchografie
25131 Application endobronchiální prosthesis
-------------------------------------------------------------------------------
The performances referred to in the previous paragraph can be to the basic performance
Bronchoscopy stations only if filled with their content and
at the same time, if the total time of the procedure exceeds the time of basic performance. For more
the performances (of the same or other) of the performances referred to in the previous paragraph can be
Furthermore, if the total time attributed to the procedure reached the sum of the times of the basic and
all relative. The performances so you can report only if completely
filled with their time.
If, for reasons of the non-fulfillment of the time could not report performance, even though he was actually
executed, can be to the basic performance of Bronchoscopy stations actually
consumed ZUM or the competent performance of ZULP referred to.
7.6 Spirometry
Indicative spirometry may be recognised only if it has been made
doctor (he was filled with the contents of the performance), write the documentation is required.
Other functional tests in the author's expertise, THORN may be
recorded only on the basis of written indications of the attending physician or
the doctor performing the corresponding consultation examination.
13.222-TRANSFUSION MEDICINE
8.1 Performance imunoadsorpce
Indicator criteria are, in particular:
-A homozygous familial hypercholesterolaemia
-Insulated or prevailing hypercholesterolaemia in primary or
secondary prevention
-Dilated cardiomyopathy
-Primary and secondary thrombotic trombocytopenická purpura
-Stem Transplantation of hematopoietic cells incompatible in
under the system of the surface characters of red cell Abo
-Hemophilia A and B with the inhibitor against f. VIII or IX.
-Idiopathic trombocytopenická purpura
-Aloimunní thrombocytopenia
-Myasthenia gravis
-Pemphigus
-The transplantation of solid organs in the event of incompatibilities in the system
surface characters of red blood cells or AB0 graft rejection.
-Adsorption of fibrin and Fibrinogen in all cases where the
a serious failure of the refractory to standard medical procedures
with implications for the health of the patient (e.g., sudden hearing loss, persistent ulcus
of lower leg, degeneration of the macula with severe impairment of vision, etc.
14.301-PAEDIATRICS
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
31050 Needed the cooperation of the children's doctor in demanding X-RAY or other
examinations
-------------------------------------------------------------------------------
You can show only the time of constitutional emergency services.
15.302-the children's CARDIOLOGY
The condition for performance reporting
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
heart Catheterization at 32610 child up to 1 year
32620 Catheterization of the heart for a child up to 6 years
-------------------------------------------------------------------------------
is the equipment of the workplace dvouprojekčním X-RAY apparatus. These performances cannot be
exhibit at the same time.
16.304-NEONATOLOGY
Examination of the newborn after birth is recorded performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
31022 Targeted examination of children's doctor 2
31012 Targeted examination of children's doctor 1
Copyright expertise, 301.
-------------------------------------------------------------------------------
Examination of the newborn during the release of recorded performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
a comprehensive examination of the children's doctor 31021 2
a comprehensive examination of the children's doctor 31011 1
Copyright expertise, 301.
-------------------------------------------------------------------------------
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
34310 catheterization of umbilical artery or vein
-------------------------------------------------------------------------------
You cannot have simultaneously with the treatment days intensive and intensive care.
17.309-SEXOLOGY
10.6 Examination of fertility
Examination of fertility is reported performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
39022 Targeted examination of the sex therapist
-------------------------------------------------------------------------------
10.7 the combination with the performances of psychotherapy
With the performance of a clinical examination, you cannot report the performance of psychotherapy.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
39111 Falometrie, vulvometrie
39113 Native semen analysis
-------------------------------------------------------------------------------
You cannot have simultaneously with performance of clinical examinations outside the minimum performance
contact.
18.402-clinical ONCOLOGY
In the performance of copyright expertise Clinical Oncology is the local anesthesia
zakalkulována in performance, and therefore with the performances of this authorial expertise
cannot show the performances of local anesthesia.
19.403-RADIATION ONCOLOGY
In the performance of copyright expertise, radiotherapy is local anesthesia
zakalkulována in performance, and therefore with the performances of this authorial expertise
cannot show the performances of local anesthesia.
11.9 the combination performance
The performances of copyright expertise, 403-radiotherapy cannot be in one day
one patient reported at the same time.
19.2 the planning of radiotherapy.
Performance planning radiotherapy cannot be reported at the same time in one cycle
treatment. This is the performance:
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
43113 X-RAY therapy Planning or Cs137
43217 Planning radiotherapy Co60 or plasma
43219 Planning radiotherapy Co60 or plasma using the TPS
43423 planning of brachytherapy
43425 brachytherapy Planning with the use of TPS
-------------------------------------------------------------------------------
the combination of power FROM 12.0 reanimation and intensive care
Along with the performances of the show cannot be FROM the brachytherapy intensive and
intensive care.
This is the performance:
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
43421 intrakavitární Brachytherapy
43419 intrakavitární Brachytherapy with automatic afterloadingem
43417 interstitial Brachytherapy manual
43415 interstitial Brachytherapy with automatic afterloadingem
-------------------------------------------------------------------------------
20.404-DERMATOLOGY
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
44007 Venerologické epidemiologicko-psychological investigation and detect
sexually transmitted diseases
-------------------------------------------------------------------------------
hours can only when newly identified disease of sexually transmitted disease.
21.407-NUCLEAR MEDICINE
The performances of copyright expertise, 407-nuclear medicine cannot be reported
at the same time with the performance of any application, or with the performance of the minimum contact.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
a comprehensive examination of an expert in 47021 nuclear medicine
47022 Targeted examination of an expert in nuclear medicine
Control examination by an expert in 47023 nuclear medicine
-------------------------------------------------------------------------------
You cannot have simultaneously with other performances of copyright expertise, 407-nuclear
medicine.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
47125 Kardioangiografie First Pass
47133 Radionuclide ventriculography resting
-------------------------------------------------------------------------------
You can kick twice in one day on one patient only in combination with
stress test. Performance cannot be reported at the same time with the performances of quantification
dynamic or tomografického tests.
For the performance of
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
47129 Perfuzní myocardial scintigraphy in peace
-------------------------------------------------------------------------------
You can sleep when you repeat examination in one calendar day kick ZULP
only once.
22.501-surgery
13.7 use of Intraoperative sonografu
The use of intraoperative sonografu surgeon has the
performance. Performance cannot be in one day with one patient to repeat.
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
the use of Intraoperative 51611 sonografu surgeon
-------------------------------------------------------------------------------
You cannot have simultaneously with another performance of sonographic examination.
13.8 Exenterace pelvic organs
Performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
51810 Exenterace pelvic organs
-------------------------------------------------------------------------------
the exhibit front, rear, and total exenterace.
13.9 Laparoscopy and thorakoskopie
Laparoscopic and thorakoskopické diagnostic and therapeutic feats in
surgery, thoracic surgery and Gynecology recorded performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
the performance of laparoscopic and 51711 thorakoskopický
-------------------------------------------------------------------------------
This performance cannot be combined with the performance of
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
Diagnostic and videothorakoskopie videolaparoskopie 51713
-------------------------------------------------------------------------------
The performance of laparoscopic and thorakoskopický (number 51711) hours can once
in the following cases:
1. targeted puncture authority or bearings
2. targeted sampling biopsy
3. aspirate peritoneal lavage and cavity
4. adhesion Lysis through 10 cm2
5. bonding authority
6. cholangiografie
7. subfasciální ligation of venous couplings
8. jejunostomie
9. endosonografie
10. coagulation in a small Pan
11. removal of endometriosis of first and second instance
12. sterilization
13. puncture the oocyte
14. transfer of gametes or embryos into the fallopian tube
The performance of laparoscopic and thorakoskopický (number 51711) can be in one day
report the most twice in cases:
1. power on the lymphatic system
2. appendektomie
3. unilateral hernioplastika primary
4. esofagokardiomyotomie
5. revision of the bile ducts
6. the destruction of the tumor, or metastasis
Meckel's diverticulum resection of 7.
8. local excision of the liver
9. lumbar sympathectomy
10. choledocholithotomie
11. resection of ovarian cancer
12. enukleace simple cysts
13. salpingotomie linear
14. salpingectomy
15. ovarektomie
16. adnexektomie
17. salpingo (fimbrio) ovariolýza
18. myomektomie to subserózní, pedunkulovaný, 5 cm to 5 cm fibroid
19. suture of uterus after iatrogenic perforation
20. foreign body extraction of abdominal cavity
21. transsekce sakrouterinních ligament
22. ventrosuspense according to Gilliam-Schautaovariopexe, ovarian dekapsulace
(drilling)
23. the drainage of abscess
24. adheziolýza first instance
The performance of laparoscopic and thorakoskopický (number 51711) can be in one day
report the most cases three times:
1. simple cholecystectomy
2. appendektomie in the peritonitidě
3. review at peritonitidě of uncertain origin or trauma
4. suture of perforated ulcer gastroduodena
5. a colostomy
6. the antirefluxní sculpture
7. hernioplastika recurrent hernia
8. lymfadenektomie pelvic
9. trunkální vagotomie
10. transrectal endoscopic operation
11. the evacuation of hematoma or empyemu of the lung
12. unilateral thoracic sympathectomy
13. supracervikální hysterectomy (LSH)-uterine pregnancy less than 12
weight 400 grams of weeks or
14. the laparoscopically assisted vaginal hysterectomy (LAVH)-uterus
less than 12 weeks of pregnancy or weight 400 grams
15. neostomie and fimbrioplastika
16. place the round ligaments helikoidním-ventrosuspense
17. Douglas ' space reconstruction from Moschowitze
18. the removal of endometriosis, ovarian endometriomata third degree
19. the second level adheziolýza
20. varikokély laparoscopic surgery
The performance of laparoscopic and thorakoskopický (number 51711) can be in one day
report the most four times in cases:
1. hernioplastika double-sided primary
2. suture the intestine as a separate exercise
3. the revisions to the acute pancreatitis and drainage of the abscess
4. lymfadenektomie paraaortální
5. wedge-shaped lung resection
6. enukleace tumor of the lung
7. pleurektomie abrasion
8. the laparoscopically assisted vaginal hysterectomy (LAVH)-uterus
more than 12 weeks of pregnancy or weight 400 grams
9. supracervikální hysterectomy (LSH)-uterus greater than pregnancy 12
weight 400 grams of weeks or
10. adheziolýza the third degree
11. resection of pelvic abscess
12. suspension of the operation for incontinence
13. myomektomie over 5 inches subserozní and intramural
14. retinovaného laparoscopic surgery of the testicle-only after the approval of the
review a doctor
The performance of laparoscopic and thorakoskopický (number 51711) can be in one day
report the most five times in the cases:
1. anastomosa on the digestive tract as a separate exercise
2. the fundoplication
3. gastric banding
4. supraselektivní vagotomie
5. gastroenterocystoanastomóza by Jurasze
6. adrenalektomie
7. resection of small intestine
8. total laparoscopic hysterectomy (TLH)
9. the extensive adheziolýza of the fourth degree
10. Microsurgical reanastomosa tubes
11. Microsurgical neostomie or fimbriolýza
12. ureteru dissection
The performance of laparoscopic and thorakoskopický (number 51711) can be in one day
report the most six times in the cases:
1. colon resection
2. ezofagokardiomyotomie with fundoplikací
3. nephrectomy
4. removal of tumor of the mediastinum
5. the decortication lungs
6. pneumonectomy
7. Lung Lobectomy
8. bilobectomy lung
9. the pelvic lymfadenektomie
10. lifting operations for vaginal prolapse
11. suspension of operation for prolapse of uterus NET
The performance of laparoscopic and thorakoskopický (number 51711) can be in one day
report the most seven times in the cases:
1. resection of the stomach BI
2. liver resection
3. paraaortální lymfadenektomie
4. neovaginy laparoscopic surgery
The performance of laparoscopic and thorakoskopický (number 51711) can be in one day
report the most eight times in the cases:
1. stomach resection BII
2. low anterior resection of the rectum
3. of Splenectomy
4. the laparoscopically assisted vaginal hysterectomy or total
laparoscopic hysterectomy and pelvic lymfadenektomie
5. the laparoscopically assisted vaginal hysterectomy and radical
pelvic lymfadenektomie
The performance of laparoscopic and thorakoskopický (number 51711) can be in one day
report the most nine times in cases:
1. total gastrectomy
2. radical hysterectomy and pelvic Wertheim type lymfadenektomie
3. laparoscopic radical lymfadenektomie paraaortální and parakavální
If the performance of laparoscopic and thorakoskopický (number 51711) reported
repeatedly, the general rule should be observed: performance may be banned
only if carried out in full, even in the whole time.
The performance of laparoscopic and thorakoskopický (number 51711) hours can
for the second time only if a request was filled with twice the time.
If it is made a laparoscopic diagnostic or therapeutic
performance in surgery, which is not in the list above,
the workplace performance of laparoscopic and thorakoskopický (number 51711) in the number of
corresponding to the duration of the exercise carried out by the real grounds.
The start time and end time of the performance the performance of laparoscopic and
thorakoskopický (number 51711) is an essential part of health
documentation of the patient (operating inserts). If you cannot start time and
their performance from the documentation clearly specify, shall pay a health
the insurance company performance in number one.
13.9 shared another Performance expertise
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
Biopsy needle 51231 mammy, one or more
51233 Excision of tumor tissue for the mammy or sampling biopsy
51235 Partial resection of the mammy, wedge-shaped or with or without biopsy or
simple mastectomy
51237 mammy with radical resection wedge-shaped by deleting the axillárních lymph nodes
or radical mastectomy
51239 Radical tooth clipping axillárních or inquinálních lymph nodes
-------------------------------------------------------------------------------
may show also the workplace of Gynecology.
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
51850 Převaz wounds in method and C.
-------------------------------------------------------------------------------
may show also the Inpatient Diabetes Department associated with podiatrickými
outpatient departments, in an indication of diabetic foot syndrome
14.0 Sternotomy, thorakotomie
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
55250 Sternotomy, thorakotomie
-------------------------------------------------------------------------------
You cannot have any other operating performance on the chest. This performance is to
other operating performance on the chest.
23.506-NEUROSURGERY
14.4 operation Extension
The operating time can be extended in the neurosurgery performance report
performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
56178 Extension performance craniotomy and resection, Lobectomy, where appropriate, for
tumor or metastasis
-------------------------------------------------------------------------------
This performance can report if the duration of the operation has exceeded the time performance
at least 30 minutes. The performance report may be repeated only if the time
by the time the operation operation exceeded the performance of 240 minutes,
each completed time performance.
14.4 Kranioplastika
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
56135 Kranioplastika acrylic, Plexiglas, metal or bone plate
-------------------------------------------------------------------------------
Unable to show along with the other nitrolebním operating performance. If it is within the
such performance kranioplastika performed, hours can only be adequate ZUM.
ZUM to operating performance can be reported only in the quantities actually spotřebovaném
not in multiples when multiples of the performance.
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
56113 Intracranial durální reconstruction
-------------------------------------------------------------------------------
You cannot have simultaneously with other intracranial operating performances.
24.601-PLASTIC SURGERY
Treatment and převaz and special performances.
The performances of copyright expertise 601 without restrictions place can only
When you perform operating Auditorium.
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
Exstirpace glands of periareolárního 61447 cut for gynecomastia
-------------------------------------------------------------------------------
You can report only on the basis of the indications endokrinologa.
If the treatment of the defect reported by another power, not at the same time report the performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
51818 Treatment and převaz wounds, skin and subcutaneous conditions over the 30 cm2
09237 Treatment and převaz wounds from 1 cm2 10 cm2
09241 Treatment and převaz wounds 10 cm2 to 30 cm2
-------------------------------------------------------------------------------
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
61113 Revision, excision and suture the skin and subcutaneous tissue injury and, possibly, fascie5-
10 cm
61115 Revision, excision and suture the skin and subcutaneous tissue injury and possibly the fascia over the
10 cm
-------------------------------------------------------------------------------
You cannot have simultaneously with other operating performances in the same localization. The performances
hours can only when performing wound with a sterile solution of washings and applications
cladding.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
61113 Revision, excision and suture the skin and subcutaneous tissue injury and possibly fascia 5-
10 cm
61123 excision of skin lesions from 2 to 10 cm2, without the conclusion resulting from the defect
61125 Excision of skin léza over 10 cm2, without the conclusion resulting from the defect
61129 excision of skin lesion, suture of from 2 to 10 cm
61131 excision of skin lesion, suture of more than 10 cm
-------------------------------------------------------------------------------
You cannot have simultaneously with performance of clinical examinations outside of the performance
minimum contact.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
Reconstruction of šlachového 61211 loops
61213 Implantation of Silicon in the tendon defect
Reconstruction of the flexor muscle tendon graft 61215
61217 Transposice tendon flexor muscle
Tenolýza of an extensor muscle 61219
Reconstruction of the extenzorového apparatus 61221 finger
-------------------------------------------------------------------------------
can be reported once on each operational approach.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
61231 Implantation of artificial MP joint, or IP
61235 Arthrodéza MP or IP joint
61239 6 phalanges or metakarpu
61245 Fenestration of the tendon sheath
-------------------------------------------------------------------------------
can be reported once on each finger.
25.602-POPÁLENINOVÁ MEDICINE
15.6 the treatment and převaz Burns
Treatment and převaz Burns, you can report the performances:
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
62120 Burns-treatment and převaz (the nose, face, lip, ear, scalp, neck,
CAP)
62140 Burns-treatment and převaz of the first finger of the hand or foot
62141 Burns-treatment and převaz finger and foot of each of the next
62130 Burns-treatment and převaz of the first finger of the hand or foot
62131 Burns-treatment and převaz of the finger of the hand and the foot each other
62150 Burns-treatment and převaz other 5% of the body surface
62160 Burns-treatment and převaz the other 5-10% of the body surface
62170 Burns-treatment and other převaz 10-15% of body surface
62180 Burns-treatment and převaz the other 15-20% of the body surface
62110 Převaz burns in a range up to 10% of the body surface and ev. shower (without
the use of creams and artificial shelters)
62112 Převaz burns in the range above 10% of the body surface and ev. shower (without
the use of creams and artificial shelters)
-------------------------------------------------------------------------------
If a burn is greater than 20% of the body surface, the performances can be combined
so that they will be shown a maximum of two performances. If the scorch mark where applicable
more than 40% of the surface of the body, you can report the corresponding number of performances
15-20% and after a performance.
Burns on his head and neck, fingers and dorsu of the hands or feet
show individual performance. If the treated one dorsum (finger)
reports performance "... the first ...". If it is treated with more of the TDCA (fingers),
reports the power "... first..." and the number of performances
"... each other...".
Condition reporting other performances is of course compliance with the total
the time of the surgery.
The area of Burns, whose treatment was reported in separate performances
(on the head and neck, fingers and dorsu of the hands or feet), not to the
the area, which is reported by the performances of "... the other...".
25.2 Nekrektomie
Nekrektomii can be used to report the performances:
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
62320 Nekrektomie to 5% of the body surface-tangential or fascial
62330 Nekrektomie 5-10% of the body surface-tangential or fascial
62340 Nekrektomie 10-15% of the surface of the body-tangential or fascial
62350 Nekrektomie 15-20% of the body surface-tangential or fascial
-------------------------------------------------------------------------------
If nekrektomie is greater than 20% of the body surface, the performances can be
combined so that they will be shown a maximum of two performances. If it is, where appropriate,
nekrektomie more than 40% of the surface of the body, you can report the corresponding
the number of performances of 15-20% and after a performance.
The above performances cannot report the chemical nekrektomii. There can be
show the same performances as a treatment for burns.
15.7 the subscription dermoepidermálních grafts
Subscription dermoepidermálních grafts can report performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
Subscription to the dermoepidermálního graft 62610 1% of the surface area of the body
62640 Subscription dermoepidermálního graft 1-5% of the surface area of the body
62660 Subscription dermoepidermálního graft 5-10% of the surface area of the body
62670 Subscription dermoepidermálního graft 10-15% of the surface area of the body
62680 Subscription dermoepidermálního graft is 15-20% of the surface area of the body
-------------------------------------------------------------------------------
If the graft is more than 20% of the body surface, the performances can be
combined so that they will be shown a maximum of two performances. If it is, where appropriate,
the subscription of the graft greater than 40% of the surface of the body, you can report the corresponding
the number of performances of 15-20% and after a performance.
15.8 Skin Grafts
Skin grafts (for Burns and other skin loss) can be
report the performances:
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
62410 Graft in burn-other, to 1% of the surface of the body (and other skin
defektech
62430 Graft when Burns (and other skin loss)-finger of the hand or foot
62420 Graft when Burns (and other skin loss)-face
62421 Graft when Burns (and other skin loss)-neck or scalp
62440 Graft when Burns (and other skin loss)-Palm, dorsum of hand
or feet or other 5% of the body surface
62460 Graft when Burns (and other skin loss) the other 5-10% of the surface
the body of the
62470 Graft when Burns (and other skin loss) the other 10-15%
the surface of the body
62480 Graft when Burns (and other skin loss) the other 15-20%
the surface of the body
-------------------------------------------------------------------------------
If the area of the graft is more than 20% of the body surface, the performances can be
combined so that they will be shown a maximum of two performances. If it is, where appropriate,
surface graft greater than 40% of the surface of the body, you can report the corresponding
the number of performances of 15-20% and after a performance.
The area of Burns, whose treatment was reported in separate performances
(on the head and neck, fingers and the palms of your hands or dorsu or legs)
not counted in the area, which is reported by the performances of "... the other...".
15.8 on Xeno-transplantation
You can report performance on Xeno-transplantation:
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
62510 on Xeno-transplantation into the 1% of the body surface
62520 on Xeno-transplantation 1-5% of the body surface
-------------------------------------------------------------------------------
If the area on Xeno-transplantation is greater than 5% of the body surface, the performances
can be combined so that they will be shown the most four performances of up to 1% and
the corresponding number of outputs 1-5%.
15.9 the artificial skin Integra for extensive burns and Reconstructive procedures
For performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
62410 Graft in burn-other, to 1% of the body surface
62420 Graft when Burns (and other skin loss)-face
62421 Graft when Burns (and other skin loss)-neck or scalp
62430 Graft when Burns (and other skin loss)-finger of the hand or foot
62440 Graft when Burns (and other skin loss)-Palm, dorsum of hand
or feet or other 5% of the body surface
62460 Graft in burn-the other 5-10% of the surface of the body (and other skin
defektech)
62470 Graft in burn-other, 10-15% of the surface of the body (and other skin
defektech)
62480 Graft in burn-other, 15-20% of the surface of the body (and other skin
defektech)
-------------------------------------------------------------------------------
can be used in a patient with deep Burns, does not have a complicating disease
reducing the chance of survival and the sum of age and deep burns to
100, and for reconstruction in the localization of the face, neck, hands, feet,
When the limits of the neck, the Axilla, groin, kubity, knees and fingers, and
patients is the lack of a full fledged of the cover to subscribe
transplants must report the reimbursement as a biosyntetickou skin., ZUM
26.603-gyneacology and obstetrics
16.2 the combination performance
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
63587 Pertubace therapy
Test Tubes patency 63591
-------------------------------------------------------------------------------
Unable to report at the same time.
The performance of the
-------------------------------------------------------------------------------
number name
63594 Primary laparotomy, for ovarian cancer ca
-------------------------------------------------------------------------------
You cannot have the same time to any other operating performance.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
63313 Amnioskopie
63323 Removing blood sample from the header of the fetus (using amnioskopu)
-------------------------------------------------------------------------------
Unable to report at the same time.
The performances
-------------------------------------------------------------------------------
number name
63315 Fetoskopie
Fetoskopie with the collection of the tissue 63317 fetus
-------------------------------------------------------------------------------
Unable to report at the same time.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
63312 Oxytocinový stress test
63117 Kardiotokografické monitoring of mothers during childbirth
-------------------------------------------------------------------------------
Unable to report at the same time.
The performances
-------------------------------------------------------------------------------
number name
63598 Puncture Douglas ' space
63592 Puncture Douglas ' space with incisions and drainage
-------------------------------------------------------------------------------
Unable to report at the same time.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
63540 Electro-diathermokoagulace cervix
Test Tubes patency 63591
63532 Subscription material with the vagina, cervix and cervical neck
63311 amniotic water transabdominální amniocentézou
63521 Hymenotomie, hymenectomie
63511 Excision of the vulva
-------------------------------------------------------------------------------
Unable to report at the same time.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
63579 Hysterectomie and adnexectomie with omentectomií for malignancy
63596 Total omentektomie
-------------------------------------------------------------------------------
Unable to report at the same time.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
63133 Manual equipment retained placenta
63127 Sectio caesarea
63129 Sectio caesarea and sterilization
63131 Sectio caesarea with the subsequent hysterectomií
-------------------------------------------------------------------------------
Unable to report at the same time.
16.3 Kolposkopické examination
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
63061 Kolposkopické examination of the basic
-------------------------------------------------------------------------------
You can have at the same time with the performances targeted and control examinations, but cannot be
exhibit at the same time with the power of a comprehensive examination.
16.3 the birth
The individual performances of the show at the same time the management of childbirth cannot be
27.604-CHILDREN'S GYNECOLOGY
16.8 the combination performance
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
64215 Irrigation virginální vagina with cure
-------------------------------------------------------------------------------
You cannot have simultaneously with performance of clinical examinations outside the minimum performance
contact.
28.606-ORTHOPEDICS
The treatment of one anatomical site cannot be with one patient in a
calendar day more as a performance fixation.
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
66031 Preventive examination of the hip joint in infants
-------------------------------------------------------------------------------
You cannot have simultaneously with performance of clinical examination and with the performances of sonography.
Performance reporting is a condition of the sonografický device.
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
66317 revision surgery of the spine-anterior-posterior-implant removal
-------------------------------------------------------------------------------
cannot be recorded as a separate performance, showing at the same time with the performance of the operating
access to standard, front or rear.
29.701-OTORHINOLARYNGOLOGY
18.1 use of kryokauteru and laser
If the surgical performance in the field of ENT used laser or
kryokauter, you can report the performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
71825 Kryokauter in ENT á 10 minutes
71821 Laser in ENT á 10 minutes
-------------------------------------------------------------------------------
Both performances can be reported at the same time. These performances can be for single patient
individually and in combination have repeatedly, always for every
completed 10 minutes.
18.1 Balloon tamponade of the nose and nasopharynx when bleeding
Performance number 71630 balloon tamponade of the nose and nasopharynx when bleeding-
may be reported in these indications:
Malignant Neoplasm of palate C05
C11 Malignant Neoplasm of the nasopharynx
(C) 18.6 Malignant Neoplasm nasal cavity
Malignant Neoplasm C31 side cavities
C81 Hodgkin's disease
C82 No-Hodgkin Lymphoma follicular (Nodular)
C83 non-Hodgkin's Lymphoma (diffusion)
C84 Peripheral and cutaneous T-cell lymphomas
C85 non-Hodgkin's lymphoma, other and unspecified types of
C91 Lymphoid leukemia
C92 Myeloid Leukemia
(C) Acute leukaemia monocytární 93.0
(C) 59.0 acute leukemia cell of undetermined type
(D) 6.6 Benign neoplasm of the nasopharynx-nasopharynx
(D) 11.2 lymfangiom any localization and Hemangioma
(D) 38.5 Aplastic anemia, NS
D66 Hereditary deficiency of factor VIII.
D67 Hereditary factor IX deficiency.
D68 Other coagulation defects
D69 Purpura and other hemorrhagic conditions
I10 Essential (primary) hypertension
N18 chronic renal failure
With Fracture of cranial base of 02.1-fractura baseos cranii
Fracture of the nasal bone with 02.2
Fracture of the base of the eye sockets with the 02.3-fractura baseos orbitae
With 02.4 fracture of facial bone (zygomatic)-fractura frustrated-and zygomatici
the upper jaw-maxillae
T 50.3 hemorrhage and hematoma complicating performance, n.e.c.
From 31.8 Chemoterapeutický cycle for neoplasm
18.2 Nystagmografická examination
The performances of the nystagmografických examination cannot be in one day show
at the same time.
18.3 the combination performance
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
71641 Submukosní resection of nasal septum
71649 Resection spins or kristy nasal septum
-------------------------------------------------------------------------------
Unable to report at the same time.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
71661 maxillary sinus Lavage
71663 puncture of maxillary sinus
-------------------------------------------------------------------------------
Unable to report at the same time.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
71113 Caloric test
71115 Examination semispontánních vestibulárních phenomena
71117 Optokinetický test
Gustometrie 71119
71121 Posturography
71123 Rotational tests to investigate disorders of balance
71511 Lavage cerumina or removal of foreign body from the ear canal
71615 Excision of one nasal polyp
71211 Biopsy from the nose
71611 Exemption the foreign body from the nose-simple
71623 therapy of epistaxis kauterizací
71625 Front nasal tamponade performed professionally otorhinolaryngologem
71661 maxillary sinus Lavage
71713 Indirect laryngoskopie with removal of lesion or foreign body
hypofaryngu or laryngu
71781 Probing, dilation, rinse of the salivary glands
71580 Clear trepanning cavity
71525 Local excision, removal of the polyp from the ear canal
71719 Exchange tracheostomické cannula
71614 Anemizace with suction of the paranasal sinuses
71212 Diafanoskopie sinusitis
71613 Intramukozní injections into the nasal mucosa as a separate exercise
71565 Politzerace
-------------------------------------------------------------------------------
You cannot have simultaneously with performance of clinical examinations outside the minimum performance
contact.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
71641 Submukozní resection of nasal septum
71651 Septoplasty
-------------------------------------------------------------------------------
You cannot have simultaneously with the performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
71649 Resection spins or kristy nasal septum
-------------------------------------------------------------------------------
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
71787 Incision, drainage of the peritonzilárního event. faryngeálního abscess or
hematoma
71789 dilation of the incision when peritonzilárním abscess
-------------------------------------------------------------------------------
Unable to report at the same time.
30.702 FONIATRIE
18.7 the combination performance
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
72113 Examination for hearing correction hearing aid defects (the first)
72115 Examination for hearing AIDS control
-------------------------------------------------------------------------------
You cannot have simultaneously with performance of clinical examinations outside the minimum performance
contact
31.705-OPHTHALMOLOGY
In the performance of copyright expertise of Ophthalmology is the local anesthesia
zakalkulována in performance, and therefore with the performances of this authorial expertise
cannot show the performances of local anesthesia.
19.3 Ophthalmoscopy
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
75137 Ophthalmoscopy in arteficiální mydriáze (1) direct ophthalmoscopy
75121 Ophthalmoscopy in arteficiální mydriáze indirect binocular
oftalmoskopem (1)
75153 Biomicroscopic fundus in mydriáze (1)
-------------------------------------------------------------------------------
Unable to show at the same time, with the exception of doctor-specialist sítnicového.
19.4 exam
The performance of a comprehensive examination, and thus includes the ophthalmologist with this performance
You cannot simultaneously have the following performances:
number name
-------------------------------------------------------------------------------
75139 intraocular pressure Schiotzovým tonometrem (1)
75137 Ophthalmoscopy in arteficiální mydriáze direct ophthalmoscopy (1)
-------------------------------------------------------------------------------
19.4 the combination performance
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
75113-stress tests for glaucoma both eyes
75131 Gonioscopy (1)
75135 Exoftalmometrie or Schimerův test or examination barvocitu tables
or pupilometrie or Amslerovou the grid
75137 Ophthalmoscopy in arteficiální mydriáze direct ophthalmoscopy (1)
75139 intraocular pressure Schipotzovým tonometrem (1)
75141 Tonometry aplanační (1)
75143 Perimeter static (1)
75145 Perimeter kinetic or kampimetr (1)
75387 Eyelash eyelid or Kryoepilace one elektroepilace
75389 hair removal with tweezers, Eyelash eyelid incision of acute chalázia
75153 Biomicroscopic fundus in mydriáze-1 eye
75157 Objective examination of refraction of both eyes and prescription glasses into the distance and into
near
75385 tooth clipping of one chalázia, the exemption with case
-------------------------------------------------------------------------------
You cannot have simultaneously with performance of clinical examinations outside the minimum performance
contact.
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
Application of radioactive 75225 seals
-------------------------------------------------------------------------------
cannot show with performances at the innovative reanimation and intensive days
care.
32.706-UROLOGY
19.9 the combination performance
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76235 Extracorporeal Shockwave litotrypse solitárního nephrolithotomy
76237 Extracorporeal litotrypse multiple odlitkového or nephrolithotomy
Shockwave
-------------------------------------------------------------------------------
You cannot have the same kidney at the same time.
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76235 Extracorporeal Shockwave lithotrypse solitárního nephrolithotomy
76237 Extracorporeal lithotrypse multiple odlitkového or nephrolithotomy
-------------------------------------------------------------------------------
Unable to report in one year on the same kidney.
20.0 Cystometrie
Cystometrie in urology, has power
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76127 Cystometrie filling
-------------------------------------------------------------------------------
This performance is recognised as fulfilling the cystometrie water, so filling cystometrie
gas. The performance report may be the most one for one day.
20.1 Cystouretroskopie
For the performance of
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76531 Cystouretroskopie
-------------------------------------------------------------------------------
can be attributed to the performances of:
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
Photocoagulation laser 76561 tumor
76565 Biopsy ev. extraction of foreign body of bladder-, konkrement, stent
Application to walls 76567 Therapeutics bladder ev. urethra
-------------------------------------------------------------------------------
20.1 Catheterization ureteru
The performance of the
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76215 Catheterization ureteru
-------------------------------------------------------------------------------
is added to the performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76531 Cystouretroskopie
-------------------------------------------------------------------------------
Performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76215 catheterization ureteru
-------------------------------------------------------------------------------
is reported as a diagnostic catheterization ureteru and endoscopic
extraction of tripse from ureteru, nephrolithotomy nephrolithotomy in the ureter,
Endoscopic discise ureteru stricture, endoscopic biopsy of the ureteru
including coagulation and the introduction of the stent into the ureteru. In the case of tripse and
the introduction of the stent can be ureteru report twice the performance of catheterization.
20.2 Pyelotomie, nefrotomie, operating nephrostomy
Nefrotomie with extraction of nephrolithotomy, or with nefrostomií, the operating
nephrostomy and pyelolitotomie are reported in one performance.
20.3 of the percutaneous extraction of urinary stones
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76545 Percutaneous extraction of one or more of urinary stones without tripse
76547 Percutaneous nephrolithotomy with extraction tripsí
-------------------------------------------------------------------------------
are added to the performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76543 Nefroskopie percutaneous (without cystoscopy and probing the ureter)
-------------------------------------------------------------------------------
The performances
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76545 Percutaneous extraction of one or more of urinary stones without tripse
76547 Percutaneous nephrolithotomy with extraction tripsí
-------------------------------------------------------------------------------
Unable to report at the same time. These performances cannot be with one patient in one day
more than once.
20.3 excision of Spermatocele or Hydrocele
Excision of Spermatocele or Hydrocele recorded one performance
-------------------------------------------------------------------------------
number name
-------------------------------------------------------------------------------
76451 excision of Spermatocele or Hydrocele
-------------------------------------------------------------------------------
33.708-ARO-ANAESTHESIOLOGY, resuscitation and intensive MEDICINE
Performance number 78116 and 78990-Anesthesia with controlled ventilation á 20 min
78231 number and 78995-Epidural or subarachnoideální anesthesia á 20
min. hours can only with the following operating performance category
difficulty (D):
1. Delete (vytnutí) of brain tissue
2. Deletion of the (vytnutí) brain abscess
3. The outer mouth of the cerebral ventricles and tanks
4. Repair of bone fragments kalvy
5. Reparations hard diapers brain
6. The deletion of the epidural or subdurálního blood streaming or
abscess
7. Přetětí, destruction or excision of the brain inside the skull of a nerve
8. brain Stereotaxic release nerve
9. Open skull for postoperative bleeding
10. The operation on the arteries of the brain
11. Removal of pituitary gland
12. Excision of pituitary gland
13. Excision of the pineal gland caused
14. The primary or revision of operational decompression of cervical and thoracic spine
15. The primary and revision excision of cervical, thoracic and lumbar intervertebral
intervertebral discs
16. Combined front and rear operating fuse cervical vertebrae
17. Transorální cervical fuse (with or without the introduction of prosthesis)
18. The primary or revision fuse the joint of the spine
19. The primary excision of lumbar intervertebral disc front access
20. Decompression fractures of the spine
21. The fixation of fractures of the spine
22. Partial spinal cord vytětí
23. The operations of the spinal cord
24. Edit meningomyelokély
25. The exclusion of bearing damage stored subdurálně
26. The exclusion of the tumor of spinal cord
27. The blockade of plexus coeliacus
28. Reversible blockade of the nervus planchnicus
29. The rear dorsal root ganglia blockage of the roots
30. Intrathekální neurolýza
31. Injedce local anesthetics or glycerol to the trigeminal ganglia
32. "diagnostic Lumbar sympathectomy-a local anesthetic
33. The lumbar sympathectomy therapy-neurolýza
34. Two-sided reconstruction of eyelid
35. Vytětí flat with access inside the vitreous tamponádou
36. The reconstruction of the external ear canal
37. the second operation příštitných bodies
38. Breast reconstruction using the TRAMS
39. Sculpture of the chest wall
40. the removal of the thymus gland
41. Edit a ruptured diaphragm
42. Zřasení (paralysed) paralyzed diaphragm
43. treatment of congenital diaphragmatic hernia
44. Thorakoskopické performance
45. the removal of one lung
46. the removal of a lobe of the lung (including vytětí segment)
47. The open vytětí of the injured party (sick) the bearing of the lungs
48. Decortication (removal of the pleura or poplicnice)
49. Delete poplicnice for pneumothorax
50. Percutaneous transluminal coronary arteries or sculpture
angioplasty (including lasser)
51. Percutaneous transluminal síňokomorového removal of a node
52. Examination of a conversion of the heart
53. Cardiac pacemaker (Pacemaker) established bloodletting
54. The establishment and location of the pacemaker for tachycardia
55. The contrasting radiologic heart (including coronary blood vessels)
56. Incise and excise of pericardium
57. The decompression of the heart of the packing
58. Percutaneous transluminal patent ductus arteriosus introduction of prosthetic limbs for
59. operations on the lung artery Transluminal
60. Vytětí of carotid artery
61. Carotid Artery Bypass
62. The operation on cerebral artery
63. the Bypass of the subclavian artery
64. Vytětí part of the subclavian artery and its patch
65. other adjustments to the subclavian artery
66. the renal artery Bypass
67. Vytětí of the renal artery
68. The open operation on the arteries of the ilických
69. The open operation femoral artery
70. A substitute popliteal artery aneurysm
71. Mikrotepenný or vein graft
72. Microsurgical repair of artery
73. Correction of tepenožilní fistula
74. The partial vytětí of the esophagus
75. Open vytnutí damaged (ill) place of the esophagus
76. Bypass Surgery of the esophagus
77. The revision of the duodenal anastomosis
78. the adjustment of the esophagus
79. Arteficiální input into the esophagus
80. The intersection of muscle of the esophagus
81. operation Hellerova
82. The total vytětí of the stomach
83. The total excise colon and small bowel anastomosis on
the rectum
84. the Anastomosis of the small intestine to the anus and create výchlipky
(stack)
85. Vytnutí of the rectum with kolonoanální anastomosou and colostomy
86. Vytnutí of the rectum and anus
87. Vytnutí of the rectum using clamps
88. Vytnutí of the rectum and the outer mouth of colon
89. the removal of the adrenal glands on both sides
90. The partial vytnutí of the liver
91. The elimination of hepatic tumor
92. Edit (correction) to the liver
93. Laparoscopic performance
94. the adjustment on the bile duct
95. The incomplete vytnutí of the pancreas
96. treatment of congenital diaphragmatic hernia
97. A laparotomy and edit multiple visceral injury
98. Vytětí kidney and surrounding tissue
99. Percutaneous nephrolithotomy ledvinného removal
100. The creation of the ureter from the intestine
101. Two-sided ureterolýza
102. Total vytětí bladder (with the creation of the intestine)
103. Vytětí uterus and appendages, and the removal of the tissue surrounding the abdominal approach
104. The radical vytnutí the external genitalia of women including the removal of
the inguinal lymph nodes
105. The implantation of the prosthesis on the lower limb
Performance number 78117 and 78991-Anesthesia with controlled ventilation á 20 min
78232 78996-number and an epidural or subarachnoideální anesthesia á 20
min. hours can only with the following operating performance category
difficulty: E
1. Vytnutí in the mozkomozečkovém angle tumor
2. Ligation or zasvorkování cerebral artery aneurysm
3. Reinforcement of the cerebral artery aneurysm
4. Fuse the vertebrae for skoliosu or kyfosu Harringtonovým instrumentariem
5. the Radiation destruction
6. Vytětí combined with the removal of the vitreous membrane (the introduction of the internal
the packing)
7. Total and partial pharyngectomie
8. Total laryngectomie
9. partial laryngectomie
10. reconstruction of larynx with graft
11. Partial vytětí of the trachea
12. reconstruction of trachea
13. operations on the open heart
14. Closed valve protětí
15. Therapeutic transluminal operations on heart bag
16. coronary artery Bypass graft, including obtaining
17. Revision of the coronary artery
18. The coronary artery angioplasty
19. the correction of anomalies of coronary arteries
20. The operation of the transfer of the heart
21. The map guided (guided) surgery ventricular arrhythmias
22. Removal of pacemaker and bypass the implementation
23. Correction of truncus arteriosus
24. The patent ductus arteriosus for correction
25. Create a short circuit in the pulmonary artery from the aorta using inline dentures
26. Connecting the pulmonary artery to aorta itself
27. The creation of a short circuit in the pulmonary artery from the subclavian artery vřazením
dentures
28. The connection to the pulmonary arteries from the subclavian artery
29. treatment of pulmonary artery
30. The operation of the pulmonary artery
31. Delete embolu from the pulmonary blood vessels
32. Replacement aneurysmatického segment of the aorta (aneurysm)
33. the planned replacement of the ascending aorta
34. the planned replacement of the aortic arch
35. the Bypass section of the aorta
36. The revision of compensation (prosthesis) aorta
37. The plastic adjustment of the aorta
38. Ligation or clip an aneurysm cerebral artery
39. The reinforcement of the cerebral artery aneurysm
40. Vytětí part of the visceral (visceral) branches of the abdominal aorta and its
replacement
41. The open operation on the visceral branches of the abdominal aorta
42. Vytětí esophagus and stomach
43. The total removal of the esophagus and intestine replacement
44. Vytnutí of the colon, rectum and anus, and artificial external orifices
the small intestine
45. Vytnutí the entire liver lobe
46. Total vytnutí of the pancreas
47. Kidney Transplantation
48. Exenterace of the Pan
20.6 hyperbaric oxygen therapy
Performance number 78841-hyperbaric oxygen therapy in hyperbaric chamber-
izokomprese-acute indications-it is possible to report:
------------------------------------------------------------
Indication Of Diagnosis
------------------------------------------------------------
What poisoning the T 58
With smoke gases T 37.2
------------------------------------------------------------
Decompression illness T 70.3
T 44.1
------------------------------------------------------------
Gas embolism T 49.1
T 49.7
T 50.8
T 51.4
------------------------------------------------------------
Acute traumatic ischemia muscle T 79.5-6
------------------------------------------------------------
The crushing injuries to limbs T 06.3-4
T 04.2-9
------------------------------------------------------------
Severe anaerobic or mixed bacterial infection and 25.5-9
soft tissues, fasciitida, myonecrosis, plynatá and 29.8
blight N 31.0
L 03.9
------------------------------------------------------------
Reperfúzní syndrome after invazívním vascular performance T 50.9
T 51.5
------------------------------------------------------------
Replantace limb T 54.1-2
------------------------------------------------------------
Performance number 78843-hyperbaric oxygen therapy in hyperbaric chamber-
izokomprese-chronic indications-is it possible to kick in that
the maximum number of per year:
-----------------------------------------------------------
Indication Of Diagnosis Of Max.
number/
year
-----------------------------------------------------------
Postraditional damage Y 52.3 60 x
(osteoradionekróza, necrosis of soft from 57.4
tissues-enteritis, cystitis,
proctitis, larynx, CNS, etc.), the prevention of
in a surgical procedure-implantation
the irradiated tissues, extraction of a tooth
-----------------------------------------------------------
Diabetic defects (E) 6.5 80 x
(E) 6.5
(E) 7.1
(E) 11.5
-----------------------------------------------------------
Ischémické ulcers and defects and 43.6 80 x
Despite the persistent provided and 44.0
optimal treatment
-----------------------------------------------------------
Neuroblastoma IV.st. (C) 29.2-9-30
-----------------------------------------------------------
Sudden Deafness (H) 56.1-5 40 x
(H) 56.5-9
(H) 51.8
-----------------------------------------------------------
Tinnitus (H) 57.8 30 x
-----------------------------------------------------------
Problematic skin grafts and free T 53.9 40 x
muscular lobes
-----------------------------------------------------------
Refractory chronic osteomyelitis M 60 x 53.4-8
-----------------------------------------------------------
Algoneurodystrofie M 55.3 40 x
-----------------------------------------------------------
Selected non-healing of the infected defects and 51.7 80 x
Despite optimal treatment provided L 88
T 54.3-5
-----------------------------------------------------------
(H) acute retinal artery closures 21.1-9 30 x
-----------------------------------------------------------
Burns over 20% of TBSA st. 2 and more T 12.4-40 x
(with the exception of the head, hands and perineum) 20.4
Postanoxická encephalopatie G 57.8 60 x
-----------------------------------------------------------
Cystoidní pneumatóza of the bowel to 39.6 40 x
-----------------------------------------------------------
20.6 the interpretation of items TISS
33.2.1 the basic rules
The system is a method to identify the SINGLE, severity of the disease, and it indirectly
According to the size of the treatment effort. It is based on the quantification of activities
nursing staff. Assigns the specified capacity point
the values from 1-4 as an expression of their complexity and time demands.
The score is obtained as the sum of the point values of each diagnostic,
monitoring aléčebných operations, which were conducted for the patient
the last 24 hours.
33.2.2 Assumptions
Each list item is a separate Act, which is exactly
the defined activity. If the operation is carried out and recorded in the medical
documentation is included in the evaluation. Some of the items are in a logical
relationship-related is always the only specialised activities, which can be
provide in different intensity. controlled ventilation (4 points),
deepened ventilation (3 points), spontaneous ventilation (2 points)
oxygen therapy (1 point). In such cases, shall be counted in the score always
the Act with the highest point value.
All items can be divided into 2 groups:
* single and
* recurring tasks
In the event that a one-time act follows the Act of repeated frequency, is
can be counted on the day of execution to score both acts (e.g. thoracic puncture
+ drainage of the chest, etc.).
In addition to the accuracy of the reported acts for TISS, whose sum constitutes the type of
power FROM the TISS, is for the recognition of the legitimacy of the reported
at the same time necessary:
1. Supporting the management of medical documentation in accordance with the Decree MZCR
No 385/2006 Coll., on the medical documentation, as amended and in
accordance with the applicable Decree issuing the list of health interventions
(Chapter 2)
2. The management of the separate forms are skórováním patient at TISS
items
3. Filling content performance FROM obligatorního TISS
4. Fulfilment of the prescribed kind, human resources, technical and
Instrumentation set out a list of medical procedures for the
each group FROM the TISS
33.2.3 list of performances with commentary
33.2.3.1 Group 4 points
1. cardiac arrest and/or emergency defibrillation during the last 48
hours-hours can in two consecutive days
2. controlled ventilation (ventilation is fully ensured by the device)
3. application of the pronační position for the controlled ventilation (can be combined with the above
referred to the code)
4. balloon tamponade or massive bleeding varices
the gastrointestinal tract with numerous benches. The bleeding is accompanied by:
the result of the urgent endoscopic examination of the GIT and clinical record
the State with the proven hypovolemického shock marks in health
documentation, the result of KO and a reasoned consumption of applied blood
derivatives.
5. transport the patient with the support of vital functions outside the care
unit. Applies only to situations when the patient is already admitted to the ICU bed
or ARO-does not apply to the situation of the transportation of the patient from another
workplace ZZ, for example. from the Hall, etc., to take on the care unit
or bed ICU or ARO.
6. the administration of blood and blood derivatives or spare solutions pressure
(at least 4 blood drives/30 minutes
7. Swan-Ganzův catheter
8. the use of elimination techniques, including peritoneal dialysis 1 x a day.
Applies to all types of elimination techniques (e.g. plasmaferesy,
amunoabsorbce, etc.). This item is necessary to report and when you use the code
78813 (CVVH)
9. cardiac pacemaker, including chronic, if active
10. induced hypothermia-under 33rd. (C)
11. treatment of the patient with morbid obesity (weight 40% and more
proper body weight)
12. monitoring of intracranial pressure
13. transfuse platelets
14. IAB balloon balloon counterpulsation
15. emergency operating performances in the previous 24 hours-this means a sudden
events all etiology
16. the DPL GIT (i.e. lavage of the stomach and Enteral dialysis) for bleeding and
intoxikací-1/24 hours
17. urgent endoscopy
18. vasoactive substances-more than 1. I.e. medicinal products
affect system blood pressure (not e.g.. Piracetam, xantiny, etc.)
33.2.3.2 Group 3 points
1. parenteral nutrition to the central vein (all combinations of sugars with
amino acids), including the nutrition in renal, liver or heart
the failure of
2. inactive pacemaker (in a State of alert)-the record of the
examination of the stimulation of the 1/24 hours. The same applies to the ICD.
3. the drainage of body cavities, requiring active sucking-with the exception of Redon.
drainage. Can also be used in patients with 3 or more drains, including multiple
drainage mainly with this waste and bilancováním, without an active suction.
4. other types of ventilation support, including non-invasive techniques
(e.g., continuous positive airway pressure ventilation with
pressure support, etc.)
5. invasivní continuous measurement of ox in the bulbus v. jugularis
6. infuse solutions of concentrated kalia to the central vein-at least 80
mmol/24 hours. It is not a fundamental quantity, but the fact that the condition is complied with
continuous application entering the concentrated solution of kália-i.e. 7,5%
the solution.
7. intubation during the last 24 hours. Report is correct in the case of: 1)
in the case of intubation be performed on the bed in the ICU and the ARO not if the
Intubation outside the care unit (e.g. in transport outside or
the care unit) or 2) in the case of Exchange trachestomické cannula
on the bed
8. suction from the trachea blindly in securing the airway intubation
or the tracheostomickou cannula
9 hours diuresa
10. examination of the numerous statimová (subscriptions)-more than 4 per 24 hours. In addition to the
the frequency must be satisfied the basic condition of point 15 of Chapter 2 of the list
medical procedures, according to which the performance of statim in case
an integral part of this indication is in the health record documentation and
performance is indicated only for reasons of health, not technical
organizational.
11. the frequent transfers of blood derivatives-more than 5/24 hours. Cannot be
show along with Act lock for transfusion 4 points-see below
12. the bolus in the drugs out of the planned surgery. It must be
actually be a bolus administration which must have the reasoning in
in the medical records documentation resulting from sudden changes in
the application of health requiring pharmaceuticals.
13. vasoactive drug-1 preparation. I.e. medicinal products which affect the
systemic blood pressure (not e.g.. Piracetam, Xantiny, etc.)
14. continual infuse antiarrhythmics
15. cardioversion for arrhythmia
16. use of equipment on active influence body temperature (cooling and
heating) or physical therapy methods hyperpyrexia-cannot be combined
with the induced hypothermia (4b).
17. an arterial catheter
18. the acute 48 hour to capture-you can report in two consecutive
consecutive days
19. the measurement of the heart issue any method including non-invasive
methods
20. diuresy support an overload of diuretics or fluids submission
osmoticky active substances and the quantity in at least adequate in 1 mg
Furosemidu/kg/24-hour event. 0.25 g 20% Manitolu/kg/24 h
21. the active treatment of metabolic disorders (acidosis-alkalózy) filing
concentrated solutions
22. urgent thoracentesis, pericardium-when drenáži can be combined with
"the drainage of body cavities" (3 (b))
23. the active anticoagulant treatment for the first 48 hours (incl. Rheodextranu and
low molecular weight heparinů). Can also be used in patients with chronic
antikoagulací, which suddenly change the health status requires a change
dosage or type of anticoagulant therapy
24. the monitoring of the nitrobřišního pressure at least 6 hours
25. protection of the patient more than 2 i. v. antibiotics
26. the treatment of cramps or metabolic encephalopathy (48 hours from onset)-
You can kick in two consecutive days
27. complicated orthopedic traction. Can be used with clinical conditions, where it is
justified in treating the patient's active participation of more than one person and
at least one doctor, for example. the Hello traction, the pánec, etc.
33.2.3.3 Group 2 points
1. measurement of central venous pressure at least AA 6 hours
2.2 peripheral catheters in i.
3. hemodialysis in patients in the chronic dialyzačním of the programme
4. the collection of continuous analgesia (at least 8 hours) including care of catheter
5. spontaneous ventilation or endotracheal tracheostomickou cannula
6. the nutrition sondová to all parts of the digestive tract nutritionally defined
diet
7. replacement of large fluid loss-infuse over maintenance need in
a total of at least 4500ml/24 hours. all fluid parenterally submitted
8. parenteral chemotherapy
9. determine the values of the vital functions after 1 pm, including neurological
the status of the record or the Glasgow coma scale score, Ramsey
pupillary size and reaction
10. frequent bandaging, IE. more than 4/24 hours or impossible using
Special cover materials
33.2.3.4 Group 1 point
1. monitoring of the ECG or SaO2 were studied
2. monitoring vital functions after 1 hour
3.1 peripheral i. v. catheter, or kick in the care of the Central
catheter
4. chronic anticoagulation therapy
5. the standard measurement of income and issues-4 x/24hod.
6. statimová laboratory testing, basic condition must be true
point 15 of Chapter 2, according to which the performance of statim in case
an integral part of this indication is in the health record documentation and
performance is indicated only for reasons of health, not technical
organizational.
7. intermittent i. v. medication according to the doctor's Office (not the actual infusion
solutions)
8. routine impossible-not for acts for which they are listed in the
Group operations for 1 and 2 points for specific tasks (dekubitus care,
tracheostomy, etc.)
9. standard orthopaedic traction, for example. Extensions and other, what cannot be
under the complicated traction (Act 3)
10. care of the tracheostomy
11. care dekubitus (not prevention)
12. a permanent urinary catheter, or with respect to the care of cystostomii
13. oxygen therapy
14. submission of 1 to 2 antibiotics and. in.
15. chest physiotherapy-carried out by a physiotherapist or a professional
with the relevant certificate entitling to its implementation (will show you
intensive care Department is only in the case that the physiotherapist or
CAP with a certificate of his tribal employee)
16. extensive perfusion, the packing, the colostomy, including abdominal lavage
cavity
17. the decompression of the gastrointestinal tract (gastric, rectal probe
tube)
18. parenteral nutrition in peripheral veins (at least two components of
trio of sugars, fats, proteins)
34.709-EMERGENCY MEDICINE (EMS)
The performance of the
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
06713 Pre-hospital emergency care, eventually tracking transport
the patient's medical volunteer 15 minutes
-------------------------------------------------------------------------
cannot be the same show at the same time for a quarter of an hour with any other power, in addition to
transport performance.
35.801-clinical BIOCHEMISTRY
The performance of the
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
81211 Glucose urine qualitative
-------------------------------------------------------------------------
You cannot have simultaneously with performance of clinical examination and with the performances
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
81347 analysis of urine chemically and microscopically
Analysis of the urine chemically 09123
-------------------------------------------------------------------------
The performances
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
81709 Laboratory dialysis lipoprotein fractions
81711 Spectrophotometric Determination of conjugated dienů
Separation of ultracentrifugací 81713
-------------------------------------------------------------------------
shall be carried out in patients followed up in specialized
counselling for disorders metabolism of lipids and in ambulances preventive
Cardiology. It is of secondary prevention
atherosclerotic complications, with KV 40% risk over 10 years, with heavy
forms of hyperlipoproteinémie and Dyslipidemia in patients, refractory
the treatment, in patients with type 2 DM
-------------------------------------------------------------------------
The performance of the
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
81719 Metanefriny quantitatively at the same time in the blood and in the urine
-------------------------------------------------------------------------
You can perform only in workplaces with a link to endokrinologická Center
-------------------------------------------------------------------------
The performance of the
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
81729 PAPP-A (pregnancy plasmatický protein-A)
-------------------------------------------------------------------------
investigating the workplace only, which meet the following requirements:
-implementing workplaces are in the registry, screening of congenital
developmental defects (VVV) at the reference laboratory for Clinical Biochemistry
MINISTRY OF HEALTH of the CZECH REPUBLIC in Prague-osvědční is issued for 1 year by recommendation No 3 ČSKB and
Czech society of nuclear medicine-section imunoanalytických methods
-meet the requirements according to recommendation No 3 for the successful implementation of the
imunoanalytického screening of congenital developmental defects (VVV) in the second
trimester of pregnancy
-are involved in the system of external quality control, are linked to
Department of medical genetics and are staffed and equipped with terms.
36.807-PATHOLOGICAL ANATOMY
22.4 the combination performance
The performances
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
87110 Autopsy standard
87113 Autopsy technically difficult
87111 Dissection partial
-------------------------------------------------------------------------
Unable to report at the same time.
22.5 diagnosis
Determination of the sonogram or biopsy diagnosis and cytological diagnosis is always on
a topographical code.
22.6 the preparation cytological Staining
Performance number 87433 copyright expertise cannot be reported in the case of 823
gynecological cytology. For these purposes, shows a performance number 95115
Copyright expertise in number one on 817 one preparation.
37.809-diagnostic radiology
In the performance of copyright expertise of radio is the local anesthesia
zakalkulována in performance, and therefore with the performances of this authorial expertise
cannot show the performances of local anesthesia. For the performance of
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
89339 Stereotactic biopsy or stereotactic localization nehmatné
lesions of the breast
-------------------------------------------------------------------------
can the performance of local anesthesia report.
In X-RAY films is the payment of the remuneration for their curves in chemical processing.
The performance of the
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
89419 Needle angiography
-------------------------------------------------------------------------
cannot show with performances at the same time arranged or selective angiography.
The performance of the
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
89421 pressure measurement during angiography
-------------------------------------------------------------------------
Unable to report at the same time with the performances of koronarografickými, ventrikulografickými
and PTCA.
For the performance of
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
89437 PTCA more coronary arteries
-------------------------------------------------------------------------
It is possible to recognise as a set of AG ZUM only, not attached to the performance of the
on the performances of:
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
89431 Selective coronary angiography a coronary artery (bypass)
89433 Follow-up selective coronary angiography or coronary artery bypass surgery
89429 Selective coronary angiography both coronary arteries
-------------------------------------------------------------------------
The performance of the
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
89312 dvoufotonová Densitometry
-------------------------------------------------------------------------
hours can only indicate when the attending physician that the patient has
in the care for bone disease.
38.817-laboratory of CLINICAL CYTOLOGY
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
95109 Cervikovaginální cytology-cervical cancer screening
-------------------------------------------------------------------------
Unable to report in the context of prevention at the same time with other performance skills
817 and 823. If it is in the context of the cervical cancer screening initiatives
for gynecologist removed the material from the cervikovaginální area is its
the processing and evaluation of reported performance number 95109 exclusively. The performance of the
cervikovaginální cytology can also declare expertise 823.
This screening exercise can be reported once a year for a maximum of
one patient.
Other cytological performances and 823 817 indicated skills expertise
603 and 604 is possible only for the examination of material collected from a
other areas than the cervix.
39.901-CLINICAL PSYCHOLOGY
In one calendar month cannot be recorded at the same time comprehensive and
targeted examination a clinical psychologist.
Clinical examination of 2 may report only a clinical psychologist is
specialized competence.
The performance of the
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
37121 Psychodiagnostics with intensive intervention, á psychoterapeutickým
90 minutes
-------------------------------------------------------------------------
may report only a clinical psychologist with specialized qualifications and
specializing in systematic psychotherapy.
40.902-PHYSIOTHERAPIST
The performance of the
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
21711 School back-the prevention of recurrences of vertebral disease
-------------------------------------------------------------------------
hours can only be for the current participation of the doctor and physical therapist.
24.9 the individual therapeutic physical exercise (LTV)
The performances of the individual can be reported at the same maximum LTV to total
time 60 minutes per patient twice in one calendar day.
The performance of the
-------------------------------------------------------------------------
number name
-------------------------------------------------------------------------
21215 therapeutic physical training – mentoring and on-the-job training to the patient and his
members of the family
-------------------------------------------------------------------------
You cannot have one calendar day with one patient at a time
other performances of the LTV.
25.0 physical therapy
Performance physical therapy can be reporting a maximum of two and a maximum of four
total in one calendar day.
41.910-PSYCHOTHERAPY
25.5 the indication
The performances of psychotherapy can be reported only if indicated
doctor-psychiatrist, treating physician with
psychotherapeutic skills or clinical psychologist with
psychotherapeutic skills or authorising a general practitioner.
Indications are valid for a maximum of three consecutive
calendar months.
25.6 the reporting
The performances of psychotherapy may be only psychotherapists with
specializing in systematic psychotherapy (doctors, including psychiatrists and
clinical psychologists).
The performances
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
35610 Psychotherapy group, type I, for a group of max. 9 persons á 120 min.
35620 Psychotherapy group, type II, for a group of 10-14 people-s 120
min.
----------------------------------------------------------------------------
Unable to report in one calendar quarter, at the same time.
The performance of the
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
35650 Family systematic psychotherapy á 30 minutes
----------------------------------------------------------------------------
hours can only be on one family member-of the patient.
----------------------------------------------------------------------------
The performance of the
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
37125 Emergent psychotherapy á 60 minutes
----------------------------------------------------------------------------
You can show a generally when:
1. urgent States in acute psychosocial crisis as a result of claims
exceptional living circumstances on the psyche (death, loss of relationship,
victims of violent crime, the survivors of the tragic accidents, bulk
calamities and natural disasters, serious social conflicts-the consequences
wars, political repression and migration on the psyche) F x 43.
2. urgent States in acute mental health problems as a result of
internal psychological vulnerability (F) 41st x-F 42. x, F 44. x-F 49
3. urgent States in dekompenzovaných of chronic psychiatric
patients who are in a period of stabilization of psychological status of the proportionate
in a way adapted to the normal life in the Community (F) 2 x-3 x, 5 x F F-F 9
The performance also includes the treatment of psychic reactions in mass fatalities.
Performance reporting is subject to specialization in a systematic psychotherapy
doctors, including psychiatrists and clinical psychologists.
In the case of the trip to the place of performance of the crisis is possible to exhibit together with the
09521 performance (the time spent on transport) without prior recommendations
a general practitioner. Performance cannot be reported on the same day, together with the
the performance of individual systematic 35520-psychotherapy, with performances
expertise of the 305-Psychiatry (the combination is only possible with the performances of 35050-
telephone consultation, psychiatrist or clinical psychologist in the care of
his patient, 35113-social investigation and objective history of the
the patient's environment and 35117-interview a psychiatrist, child and
adolescent psychiatrist, clinical psychologist, or sexuologa with the family
and other persons) and all the performances of the 306-children's expertise
Psychiatry, alcoholism treatment, 308-309-901-Clinical Sexology,
Psychology and 931-child clinical psychology.
25.7 Reporting performance in production
In the production with the psychoterapeutickým program can be the performances of psychotherapy
combined with the performance of the control, pedopsychiatrického and mental health
psychological or pedopsychologického examination OF: 1/1 week
the performances targeted psychiatric, and psychological pedopsychiatrického
or pedopsychologického examination OF: 1/1 on the treatment program (in the
the case of psychological or pedopsychologického examination about
restrictions on one examination, not on one performance).
Institution with the psychoterapeutickým program-for the payment group
psychological care in the clinic with ošetřovacím day 00041
stations either performance 35610-psychotherapy group, type I with OF: 3/1 day
or performance group-psychotherapy 35620, type II. also with OF: 3/1 day.
For the remuneration of group psychotherapeutic care in the clinic can be with
ošetřovacím day report performance of either 00042 35610-psychotherapy
the group, type I with OF: 2/1 day or performance 35620-psychotherapy
the group, the type II. also with OF: 2/1 day. In one quarter can be on
the basis of the medical indications (and after the registration of the documentation) go from
psychotherapy 35610 on psychotherapy 35620 times or vice versa. In
If that is part of the treatment program, the community can further report
the performance group-psychotherapy 35630, type III. with OF: 2/1 day. Other than the
referred to the frequency limit for the payment of group psychotherapeutic care
the clinic does not apply. On the basis of indications (referred to in documentation) can be
report the performance of individual psychotherapy (35520) or family (35650).
Referred to the performances of psychotherapy can be reported with ošetřovacím day 00041
for a maximum period of 3 months from the initiation of the treatment in the clinic. After this
the time of the audit, if the treatment is approved by a doctor only in the
If this is the dg. F00-group Means (organic mental
disorders), F20-F29 (psychosis, schizophrenia), F30-F39
(mood disorder), F42 (obsessive compulsive disorder), (F) 37.5 (border
personality disorders) and F10-F16 with the numeral 2 in fourth place
(some of the drug with the syndrome of dependence), and that the present
psychotherapeutic care in the clinic had a demonstrable effect.
25.7 the combination with clinical examinations
The performances of psychotherapy cannot be combined with the performance of the clinical examination.
42.911-the PERFORMANCES of GENERAL NURSES
The performances of copyright expertise 911 reported sisters working in surgeries
practical and other treating physicians. The condition is the practical
doctors patient registration, other physicians must be indicating
a doctor at the patient's attending physician. The doctor treating the patient
can indicate performance of nurses only in connection with the problem, for which the
took the patient's care.
The performances of copyright expertise, 911 may be shown only if the
If the nurse outside the doctor's Office.
The performances of copyright expertise and skill performance copyright 911 925 cannot be
exhibit at the same time, with the exception of performance number 06135 and 06137.
26.2 Infusion Therapy
The performance of the
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
06115 Supervision over the course of infusion therapy á 30 minutes
----------------------------------------------------------------------------
may be reported together with the performance
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
06113 Complex-ordinované infusion therapy after written credentials
the treating physician to ensure hydration, energy sources
and treatment of pain
----------------------------------------------------------------------------
only if the time of the procedure exceeds 60 minutes (time to complete both performances).
43.913-GENERAL NURSE in social services
General nurse in social services means a general nurse
providing health care to the insured in residential institutions
social services and medical care in a hospital
insurance policy holders, who are placed in them from other than health
reasons.
In the provision of health care to those insured are provided
health care on the basis of a physician's Office by the competent
the performances of the expertise of the 913.
44.914-PSYCHIATRIC NURSE
The performances
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
35811 Introduction/their individual psychiatric rehabilitation,
consultations, administrative activity of psychiatric nurses
35815 Psychiatric Rehabilitation of individual
35821 Off crisis intervention carried out by a psychiatric nurse
----------------------------------------------------------------------------
will be reimbursed after the previous indication of a psychiatrist. The performances are indicated for
schizophrenia, schizophrenic with delusional disorders (F20-F29), mood disorder (F30-
F39) and obsessive compulsive disorder (F42).
The performance of the
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
35811 Introduction/their individual psychiatric rehabilitation,
consultations, administrative activity of psychiatric nurses
----------------------------------------------------------------------------
It will be shown only at the start or end of rehabilitation, regular revision
a rehabilitation plan or, in the case of team consultation the patient's condition. The validity of the
the indication is one month. The exercise can be performed for a maximum period of 12 consecutive
consecutive months, possible extension of the treatment subject to approval the review by a doctor.
The performance of the
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
35815 Psychiatric Rehabilitation of individual
----------------------------------------------------------------------------
will be banned during rehabilitation, a maximum of 3 x in during
one week. The performance is intended for regular rehabilitation according to the approved
the rehabilitation plan. Force indication is one month. Performance can be
perform for a maximum period of 12 consecutive months, possible extension of the
the treatment shall be subject to approval of the revision by the doctor.
The performance of the
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
35821 Off crisis intervention carried out by a psychiatric nurse
----------------------------------------------------------------------------
will be reported only in the acute decompensation of the patient. Force indication
one week without the possibility of extension.
45.921-MIDWIFE
Copyright expertise 921 may be visiting the service performances
the number and skill 06135 06137 copyright 911.
46.925-HOME HEALTH CARE
The performances of copyright expertise 925 only medical establishment
providing home health care.
The performances of copyright expertise 925 may be shown on the basis of the written
indication of a medical practitioner, or a maximum of 14 calendar days after the
their hospitalization on the basis of the indications of the attending doctor for
hospitalization.
Written indication to the home health care must include the time range
the indicated care corresponding to the four types of care visits.
The performances of copyright expertise and skill performance copyright 911 925 cannot be
exhibit at the same time, with the exception of performance number 06135 and 06137
Performance Care visits-type I to IV. can be reported individually
or in combination, however, the three most care visits in the
one day.
The performance of the
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
06311 Introduction, their home health care, administrative activities
nurses in home health care
----------------------------------------------------------------------------
hours can only twice from one cycle of continuous home health
care, however, most twice in three months.
Own home health care is primarily a performance of Care
visit.
These performances can be reported at the same time with the performances of the material, i.e. with
performances:
1. the examination of the State of the patient's sister in their own social environment
2. the collection of biological material
3. ordinované parenteral Therapy Program to ensure hydration,
energy sources and the treatment of pain
4. Treatment of Ostomy
5. Topical treatments
6. Klysma, perfusion, catheterization, lavage, treatment of permanent catheters
7. application of inhalation and therapeutic therapy p. o., s. c. i. m. i. a., UV
event. other methods of application therapy or drug instillation
8. Training and coaching application insulin
and with the performance of Physical assistance in the provision of home health care.
47.927-ORTHOPTIST
The performances of the ortoptická exercise of active, passive and pleoptická carried out
ortoptistou can be reported at the same time, more than six in one
calendar day.
48.999-PERFORMANCE without the AUTHOR'S EXPERTISE
The performances of copyright expertise 999 are intended for all clinical
the workplace.
29.9 the time spent on transportation
The performance of the
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
09521 Time doctor spent for patient transport within the framework of the visit of Ah
10 minutes ago
----------------------------------------------------------------------------
must not be banned, along with the performance of transport.
visit to the facilities of 30.0 social services
The performance of the
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
09519 a visit to a specialist in the patient
----------------------------------------------------------------------------
If this is a visit in the establishment of social services or similar
environment, you can kick in one day only to one client of this
equipment, the performance of the clinical examination shall be recorded separately.
30.0 vein Cannulation
Performance
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
09220 peripheral vein Cannulation, including infusion
----------------------------------------------------------------------------
You cannot report subscriptions. This performance cannot be reported along with the performances of the infusion.
30.1 UZ examination
The performances
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
09135 UZ examination only one authority in several levels
09137 UZ examination of two bodies in several levels
09139 UZ examination three or more organs in several levels
----------------------------------------------------------------------------
You can report only if the photographer was made.
30.1 telephone consultations
The performance of the
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
09513 physician patient telephone consultations
----------------------------------------------------------------------------
shall be borne by the insurance company only to doctors, that is for the issue
the treating physician. This performance report can be only such
the telephone consultation, which is related to the prevention, dispensing,
diagnostic or treatment.
30.2 Treatment and bandaging
Treatment and převaz wounds has achievements:
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
09237 Treatment and převaz wounds from 1 cm to 10 cm
09241 Treatment and převaz wounds from 10 to 30 cm2
51818 Treatment and převaz wounds, skin and subcutaneous conditions over the 30 cm2
09239 suture of small wounds to 5 cm
----------------------------------------------------------------------------
For performance reporting is a crucial area of the wound, not area.
These performances cannot be reported in a single day at the same time for one site.
For these purposes are for sites considered: head, neck, chest, abdomen,
the back, buttocks, each limb.
Burns are reported as well as wounds, or special performances
the skill of burns medicine.
49. The PERFORMANCES of the INSTRUMENT ONLY
30.5 the operating microscope
The use of the operating microscope can report performance
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
the use of the operating microscope 56419 à 15 minutes
----------------------------------------------------------------------------
This performance was defined by the author's specialties of neurosurgery. Was
calculated with the use of the operating microscope in the acquisition value 3
million CZK. This performance may be the workplace of all disciplines.
When you use the microscope operating 30.6 performance
If it is in operating performance in the ENT microscope, can be used to report performance
----------------------------------------------------------------------------
number name
----------------------------------------------------------------------------
When you use the microscope 71823 operating performance á 10 minutes
----------------------------------------------------------------------------
This skill can be performance copyright 999 for single patient report
repeatedly, always finished every 10 minutes.
Chapter 5
The length of the days
Care days (FROM) are recorded in the patient's hospitalization on the
inpatient Department of the medical device or when the stay of a patient in
Clinic, or a day care on the bed. In one calendar day
It is possible to declare for one insured person not more than one FROM the.
Date of admission to hospital and the day of their hospital treatment shall be reported
as one of the.
FROM is reported according to the expertise of the Department FROM the shows.
1. The LENGTH of the DAYS
1.00001 is recorded on acute beds expertise 101, 102, 103, 104,
105, 106, 107, 108, 109, 201, 202, 205, 206, 207, 209, 210, 303, 401,
402, 403, 404, 405, 406, 407.
2.00002 is recorded on acute beds expertise 015, 501, 502, 503,
504, 505, 506, 507, 601, 602, 603, 604, 605, 606, 607, 701, 702, 704,
705, 706, 707, 708.
3.00003 shall be recorded on the acute beds expertise 301, 302.
4.00005 is reported to the nursing beds all specialties.
5.00006 is recorded on acute beds Department expertise 305, 306,
308, 309.
6.00010 is reported on acute beds Department of expertise of 203.
7. the reported acute 00011 beds spinal units.
8.00012 is recorded on the beds Department for newborns.
9.00021 is recorded on the beds of psychiatric expert medical
the institutes.
10.00001 is recorded on the beds of rehabilitation of the professional medical
the institutes.
11.00023 is reported on berths specialised therapeutic institutes:
and phthisiology.
12. liabilities 00024 beds of other specialised therapeutic institutes.
13.00025 shall be recorded on the beds of spinal rehabilitation units
specialised therapeutic institutes.
14.00026 is recorded on the beds of children's psychiatric expert
therapeutic institutes.
15.00027 is reported on the beds of children's rehabilitation specialist
therapeutic institutes.
16.00028 liabilities beds children's specialised therapeutic institutes
pneumology.
17.00029 liabilities other specialised therapeutic beds for children
the institutes.
18.00030 showing on the beds in the special facilities of the Hospice
the type of the
19.00031 is recorded for one day stay accompanied by the patient in 6 years
age.
20.00032 is recorded for one day stay accompanied by the patient over 6 years
age.
21. When is reported day 00040 care on a bed.
22.00041 is recorded for one day stay of a patient in the clinic, if
the length of stay has reached at least 8 hours. In the case of the institution with
psychoterapeutickým program as a reason for admission to the institution
If the length of stay of dosáhle at least 6 hours.
23.00042 is recorded for one day stay of a patient in the clinic with
frakcionovaným program, if the length of stay is 3 hours.
24.00051 is Care day intensive care of patient with 50 and more
points under the scoring system therapeutic interventions (Therapeutic
Intervention Scoring System-hereinafter TISS).
25.00052 is the length of a day of intensive care for the patient with a SINGLE 40-49
points.
26. Day Care is 00053 resuscitation of patient care with a SINGLE, 30-39
points.
27.00055 intensive care Day Care is a higher level of patient with
TISS 20-29 points.
28. Day Care is 00057 intensive care of patient with lower
TISS 15-19 points.
29. The length of day is 00058 intensive care of patient with lower
TISS 9-14 points.
30. is the length of day 00061 resuscitation care for infants, children and adolescents.
31. Day Care is 00062 resuscitation in pediatric cardiology and
Pediatric Cardiac surgery.
32.00065 is intensive care Day Care for infants, children and adolescents-
a higher degree.
33.00068 is intensive care Day Care for infants, children and adolescents-
a lower degree.
34. Neonatal Care day 00071 is intensive care-higher
the degree.
35. Neonatal Care day 00072 is intensive care-lower
the degree.
36.00075 is the Day Care neonatal intensive care-a higher degree.
37.00078 is intensive care neonatal Care day-lower level.
38. Obstetrical Care is 00080 day intensive care
39. Obstetrical Care is 00082 day care intermediární
40. at the request of 00098 pass is the patient.
41. is a get-out-of-00099 therapeutic reasons.
2. In the PERFORMANCE of IT is included:
1. all the rounds, which practitioners
2. the activities of the health care workers eligible to practise the profession without
mentorship after obtaining vocational and specialized competence
(hereinafter ZPSZ), health care workers, non-medical professions
health care workers eligible to practise the profession without vocational
supervision after obtaining the professional competence (hereinafter referred to as PARAMEDICAL PERSONNEL), health
workers eligible to practise the profession under expert supervision, or
direct line (FROM UNDER the) If you do not have your own health.
3. administrative activities outside activities included in the other performances
4. organizational activities of managers
5. constitutional emergency service (except FROM 00005, 00031, 00032, 00040,
00098 00099) and
6. food drive (except FROM 00012, 00040 00041 00042,,,,, 00051 00052
00053, 00061 00062, 00071 00072,,, 00075, 00078, 00098 00099) and
7. directly consumed medical supplies (except FROM 00031, 00032,
00041 00042, 00098 00099), and
8. directly consumed medicines (only FROM reanimation,
the intensive and intermediární care, care provided in special
inpatient Hospice facilities, and type of spinal units)
9. special purpose equipment (only FROM reanimation, intensive and
intermediární care and spinal units)
Outputs from, outside FROM the resuscitation and intensive care is not included
resuscitation and intensive care.
3. THERE SHALL BE ADDED to the PERFORMANCE FROM:
1. the remuneration for the performance of the aggregate in the ošetřovacího of the day-according to expertise,
with the exception of day care on the bed.
2. remuneration directly consumed in medicinal products (except FROM the
reanimation, intensive and intermediární care, care provided in
Special inpatient Hospice facilities, and type of spinal
units)
3. the part of the reimbursement of indirect costs (overhead) bed medical
device
The performances of the aggregated performance of health insurance does not pay on the day
the patient is hospitalized, and even in-patient medical facility,
where the patient is hospitalized, or other medical facilities.
In the event that medical devices requires the implementation of performance
the aggregated into FROM another medical facility, the application
on the implementation of the performance that a patient is hospitalised persons. The pull
performance pay, requiring medical device it medical
the device, which has carried out performance in the amount of the corresponding payment from the public
health insurance.
3.1. the remuneration for the performance in the aggregate FROM
To each from 00001, 00002 00003, 00006, 00010, 00012, plus
the remuneration for the performance in the aggregate by by expertise, in that he was FROM
banned.
The remuneration for the performance in the aggregate FROM it is subject to degressive rate according to
the same rules as their own. If it is reported FROM the subject to the
a degressive rate is the value of the remuneration for the aggregated performance determined in accordance with
individual FROM (A to E). If it is reported FROM the degressive rate
, the value is not subject to remuneration for the performance of the aggregated into values FROM the specified
rate (B).
---------------------------------------- ------------------------
Expertise and agreg agreg (B) (C) (D) agreg agreg agreg E
points points points points points
---------------------------------------- ------------------------
101 332 276 221 221 138
102 306 255 204 204 128
103 326 271 217 217 136
104 232 194 155 155 97
105 242 201 161 161 101
106 217 181 145 145 90
107 364 304 243 243 152
108 234 195 156 156 97
109 177 147 118 118 74
201 76 63 51 51 32
202 263 219 175 175 110
203 270 225 180 180 112
205 270 225 180 180 112
206 54 45 36 36 22
207 157 131 105 105 65
209 197 165 132 132 82
210 226 189 151 151 94
301 208 173 138 138 87
302 364 304 243 243 152
303 209 174 139 139 87
304 89 74 60 60 37
305 40 34 27 27 17
306 28 23 19 19 12
308 34 28 22 22 14
309 23 19 16 16 10
401 207 172 138 138 86
402 254 212 169 169 106
403 135 112 90 90 56
404 132 110 88 88 55
405 55 46 37 37 23
407 49 41 33 33 20
501 225 187 150 150 94
502 195 162 130 130 81
503 195 163 130 130 81
504 227 189 151 151 94
505 249 207 166 166 104
506 162 135 108 108 68
507 230 191 153 153 96
601 77 64 51 51 32
602 232 194 155 155 97
603 342 285 228 228 143
604 352 294 235 235 147
605 141 117 94 94 59
606 157 131 105 105 65
607 70 59 47 47 29
701 127 106 85 85 53
702 25 20 16 16 10
704 98 82 66 66 41
705 76 63 51 51 32
706 212 177 141 141 88
707 167 139 111 111 69
708 473 394 315 315 197
---------------------------------------- ------------------------
The explanatory notes to the table:
Expertise expertise, which is reported by the
agreg and points of point value of remuneration for the performance in the aggregate from the type and
(B) point value agreg points of the remuneration for the performance in the aggregate from the type B
agreg C points point value of remuneration for the performance in the aggregate from the type C
agreg D points point value of remuneration for the performance in the aggregate from the type D
agreg E points point value of remuneration for the performance in the aggregate from the type E
3.2 Payment directly consumed in medicinal products
The amount of the reimbursement of medicinal products directly consumed to FROM lékový (fee
to FROM) will be established on the basis of the contract between the medical establishment and
the health insurance company.
3.3 reimbursement of indirect costs FROM
see Chapter 7-"indirect costs".
4. the DOWNWARD RATE FROM
Remuneration FROM the listed below shall be subject to degressive rate.
Descending FROM the rate applies on from 00001, 00002 00003, and, 00006 00010.
5. The VALUES FROM the
5.1 FROM subject to degressive rate
------------------------------------------
FROM points points points points Points
AND (B) (C) (D) (E)
------------------------------------------
00001 933 778 622 622 389
------------------------------------------
00002 942 785 628 628 393
------------------------------------------
00003 1108 923 738 738 461
------------------------------------------
00006 1298 1082 865 865 541
------------------------------------------
00010 1197 998 798 798 499
------------------------------------------
Relegation zone:
And to 1.2 = (B)
C = 0.8 (B)
D = 0.8 (B)
E = 0.5 B
5.2 FROM not subject to degressive rate
--------------------------
FROM points
--------------------------
00005 498
00011 3656
00012 781
00021 661
00022 655
00023 556
00024 556
00025 2542
00026 661
00027 655
00028 556
00029 556
00030 1004
00031 79
00032 79
00040 656
00041 175
00042 87
00051 31 872
00052 27 872
00053 23 872
00055 11 803
00057 6 582
00058 5 382
00061 25 872
00062 32 084
00065 14 723
00068 6 754
00071 28 871
00072 24 641
00075 13 578
00078 6 218
00080 6 476
00082 5 987
00098 0
00099 0
--------------------------
6. The AVERAGE LENGTH of HOSPITALIZATION
For the purposes of the payment of the determined are descending the average length
hospitalization for individual branches and the number of each type FROM when
the average length of hospitalization.
6.1 average length of hospitalization for individual scopes
---------------------------------------------------------------------------
The Scope Of The SDH-+
---------------------------------------------------------------------------
Allergology and Clinical Immunology 13 2 2
anaesthesiology, resuscitation and 6 2 2
intensive medicine (ARO)
Hyperhidrosis 18 2 2
foniatrie 19 2 2
rehabilitation and physical medicine 23 5 5
Geriatrics 24 3 3
Gynecology and obstetrics 7 1 1
surgery 9 2 2
internal medicine 12 3 2
thoracic surgery 8 1 8
Cardiology 8 1 1
Clinical haematology 14 4 4
Clinical Oncology 12 2 12
neurosurgery 11 2 2
Neurology 14 4 4
nuclear medicine 11 2 2
Ophthalmology 8 2 1
Orthopedic prosthetics 19 3 3
orthopaedics 12 3 2
Otorhinolaryngology and Audiology 6 1 1
children's medicine, 7 2 2
plastic surgery 10 3 2
popáleninová medicine 14 2 2
infectious medicine, 11 3 3
Psychiatry 30 7 5
Radiation Oncology 15 2 6
Rheumatology 26 7 5
Dentistry and oral 8 1 1
and maxillofaciální surgery
Pneumology and phthisiology 19 6 4
Traumatology 9 2 2
Urology 9 3 2
---------------------------------------------------------------------------
The explanatory notes to the table:
The average length of hospitalization of the SDH
About-the maximum allowed deviation of downward
+ The maximum permitted deviation upwards
In the contract between the health insurance company and medical facilities can be
the average length of hospitalization, agree by way of derogation to the extent permitted
derogations to the downward (a shortening of the average duration of hospitalisation) or
up (extending the average length of hospitalization).
If the scope is not listed in the table, the average length of hospitalization
agreed between the medical facility and health insurance company.
6.2 the numbers FROM each type of
For the purposes of descending rates FROM these numbers are determined by the individual
types for the average length of hospitalization.
---------------------------------------
SDH AND (B) (C) (D)
---------------------------------------
3 1 1 1 3
4 2 1 1 4
5 2 1 2 5
6 2 2 2 6
7 3 2 2 7
8 3 2 3 8
9 3 3 3 9
10 4 3 3 10
11 4 3 4 11
12 4 4 4 12
13 5 4 4 13
14 5 4 5 14
15 5 5 5 15
16 6 5 5 16
17 6 5 6 17
18 6 6 6 18
19 7 6 6 19
20 7 6 7 20
---------------------------------------
The explanatory notes to the table:
The average length of hospitalization of the SDH in days
And the number from the type and
(B) the number of type B
(C) the number of type C
(D) the number of type D
When the average length of hospitalization for 3 days to show all the days of the type
In the case of longer and the average length of hospitalization than 20 days shall
by the same mechanism, the calculation of the days for the different types of ošetřovacího
of the day.
When exceeding twice the average length of hospitalisation is agreed
payment ošetřovacího day performed by the type of E.
On the basis of the contract between the in-patient medical facility and health
the insurance company can extend the payment from the D-type, for radiotherapy and scopes
Oncology, where appropriate, of the type (B), and to the entire period of hospitalization.
7. the rules of REPORTING FROM the
FROM the resuscitation and intensive care can be reported only at the workplace,
that meets the minimum personnel and technical equipment. Recipient of the performance
with higher qualifications can replace the wearer's performance with lower qualifications.
7.1 Minimum personnel equipment
7.1.1 FROM neonatal intensive care in addition to
It is about FROM 00051 00052, 00053, 00061 00062, and.
--------------------------------------------------------------- ----------------------------
worker qualification time
--------------------------------------------------------------- ----------------------------
Head of the specialized competence of 1.0 to the station
doctor specialized capacity 0.6 on the bed
doctor ÚPS ^ 1) specialized capacity 1.0 only for station ^ 2)
Ward nurse-PARAMEDICALS PARAMEDICALS + ARIP ^ 3) 1.0 to the station
sister-PARAMEDICALS ev. OUT FROM UNDER it at least 50% 3.0 ARIP on bed
OUT FROM UNDER-graduate-0.3 on bed
--------------------------------------------------------------- ----------------------------
1) ÚPS means a constitutional emergency
2) doctor in the service of the ÚPS only for intensive care, does not
at the same time for the needs of other parts of Department
3), ARIP means specialisation studies referred to in Chapter 2, General
rules, point 8.3
The continuous availability of the qualified technician within the College
medical equipment.
In each inning must be present one of PARAMEDICAL PERSONNEL is specialized
qualifications of ARIP.
7.1.2 FROM neonatal intensive care
It is about FROM 00071 00072 and.
-------------------------------- -------------------------------- ------------------------
worker qualification time
-------------------------------- -------------------------------- ------------------------
Head of the specialized competence of 1.0 to the station
doctor specialized capacity 0.6 on the bed
doctor ÚPS specialized capacity 1.0 only for station
Ward nurse-PARAMEDICALS PARAMEDICALS + 1.0 ARIP on station
sister-PARAMEDICALS ev. OUT FROM UNDER it at least 50% 4.0 ARIP on bed
OUT FROM UNDER-graduate-0.3 on bed
-------------------------------- -------------------------------- ------------------------
The continuous availability of the qualified technician within the College
medical equipment
In each inning must be present one of PARAMEDICAL PERSONNEL is specialized
qualifications of ARIP.
7.1.3 FROM intensive care of higher degree
It is about FROM 00055, 00065 and 00075.
-------------------------- -------------------------------------------------- -----------------------
worker qualification time
-------------------------- -------------------------------------------------- -----------------------
Head of the specialized competence of 1.0 to the station
doctor qualifications with a certificate on 0.3
doctor ÚPS competence with the practice longer than 24 months only for 1.0 station
Ward nurse-PARAMEDICALS PARAMEDICALS + 1.0 ARIP on station
sister-PARAMEDICALS ev. OUT FROM UNDER it at least 25% 2.2 ARIP on bed
OUT FROM UNDER-graduate-0.2 on bed
-------------------------- -------------------------------------------------- -----------------------
In each inning must be present one of PARAMEDICAL PERSONNEL is specialized
qualifications of ARIP.
7.1.4 FROM intensive care at an earlier stage
This is a FROM a, 00057 00058, 00068 and 00078.
------------------------------ --------------------------------- ----------------------------------------
worker qualification time
------------------------------ --------------------------------- ----------------------------------------
Head of the specialized competence of 0.5 on the station, present day
doctor qualifications with a certificate of 0.2 on bed
doctor ÚPS expertise with experience longer if also provides ÚPS for the standard
than 24 months, so at least 2.0 total
Ward nurse-PARAMEDICALS PARAMEDICALS + 1.0 ARIP on station
sister-PARAMEDICALS ev. OUT FROM UNDER at least one of ARIP, 1.4 on bed
not in haematology
OUT FROM UNDER-graduate-0.1 to bed
------------------------------ --------------------------------- ----------------------------------------
In each inning must be present one of PARAMEDICAL PERSONNEL is specialized
qualifications of ARIP.
7.1.5 Further FROM
Harnesses are converted into one station about 30 beds. U from 00003 on
one station on 25 beds, FROM 00010, 00012 and 00025 on one station
about 20 beds, FROM 10 00032 00031 and beds, and FROM 15 00011 00041
beds and FROM 00082 to 00080 and 3 beds. If it is on the station (in the
Clinic) another number of beds, it is necessary to recalculate the values according to the
the actual number of beds.
------------------------------------------------------- ---------------------------------------
FROM the doctor doctor the doctor the doctor L3 VNP K2 PARAMEDICAL PERSONNEL, FROM UNDER the PARAMEDICAL PERSONNEL FROM UNDER-free
L2 L1 ÚPS with appropriate maturity
specialization
------------------------------------------------------- ---------------------------------------
00001 1 1 0 0.53 0.33 1.33 8.55 3.66
00002 0.33 0.33 0.33 1 0 1.33 8.51 4.33
00003 0.43 1 1 0 3 0.33 1.33 7.61
00006 1 1.5 2 1 2 5 0.33 11.5
00010 0.43 1 0 0 1 0.33 1.33 4.76
00011 1 3 00 0.5 1 2 10 4
00012 0.5 0.5 00 00 00 1 6 00
00031 00 00 00 00 00 0.1 00 00
00032 00 00 00 00 00 0.1 00 00
00041 00 00 00 00 00 00 2 00
00080 0.25 0.6 0.5 1.5 0.5 0 0 0.3
00082 0.25 0.5 0.5 0.6 0 0 0.9 0.3
00098 00 00 00 00 00 000 00
00099 00 00 00 00 00 00 00 00
------------------------------------------------------- ---------------------------------------
FROM BENEATH can be a maximum of 50% of the health workers. In each of the
inning, however, must be present one of PARAMEDICAL PERSONNEL.
7.1.5.1-specialized therapeutic institutes
------------------------------------------------------- ---------------------------------------
FROM the doctor doctor the doctor the doctor L1 L2 VNP K2 PARAMEDICAL PERSONNEL, FROM UNDER the PARAMEDICAL PERSONNEL FROM UNDER-free
L3 or VNP ÚPS with appropriate maturity
specialization
------------------------------------------------------- ---------------------------------------
00005 0.5 00 00 00 1 0 4 6.60
00021 0.33 0.96 0.37 0.12 0 1.33 7.69 6
00022 0.33 0.96 0.37 0.12 0 1.33 8.56 4
00023 0.33 0.96 0.37 0.12 0 1.33 6.56 2
00024 0.33 0.96 0.37 0.12 0 1.33 6.56 2
00025 0.5 0.3 0 0.1 1 3 19 12
00026 0.33 0.96 0.37 0.12 0 1.33 7.69 6
00027 0.33 0.96 0.37 0.12 0 1.33 8.56 4
00028 0.33 0.96 0.37 0.12 0 1.33 6.56 2
00029 0.33 0.96 0.37 0.12 0 1.33 6.56 2
00030 0.2 1.5 0.12 0 00 2 9 5
------------------------------------------------------- ---------------------------------------
The explanatory notes to the table:
VNP-college-educated health professional: nelékařský
clinical psychologist, clinical speech therapist and physical therapist,
specialized competences and specific professional qualifications.
FROM BENEATH can be a maximum of 50% of the health workers. In each of the
inning, however, must be present one of PARAMEDICAL PERSONNEL.
7.2 Minimum technical equipment
7.2.1 FROM the resuscitation and intensive care for adults
7.2.1.1 FROM intensive care to a patient with TISS 30 or more points
It is about FROM 00051 00052 00053, and.
The condition for the reporting of these FROM at least five beds in the workplace and
ensure the following levels of instrumentation on at least two
thirds of the beds of the workplace.
------------------------------------------------------- -----------------
The number of the device
------------------------------------------------------- -----------------
Central station monitoring 1
Central medical gas distribution station 1
Injection dispenser 3 in 1 bed
Defibrillator 2 at the station
At least three channels of ECG unit 1 at the station
Kapnometr-module of CO2 1 on 1 bed
Pacemaker jednodutinový external 1 at the station
Reanimation bed adjustable sideways 1 1 bed
Monitor ECG, SpO2, IBP, TEMP 1 to 2 beds
Modular monitor with 1 on 1 bed
Nebulizátor 1 to 1 bed
Breast Pump 1 on 1 bed
Pulse Oximeter 1 on 1 bed
Anesthesia unit 1 at the station
Infusion pump 2 on 1 bed
Fan 1 on 1 bed
Apparatus for continuous blood purification methods (CVVH, 1 station
CVVHD or CVVHDF)
Kit for emergency resuscitation out of ICU Department 1 station
------------------------------------------------------- -----------------
7.2.1.2 FROM intensive care to a patient with a higher degree of SINGLE 20-29 points
It is about FROM 00055.
The condition for this reporting FROM at least four beds on the
workplace, the equipment listed below and
the provision of intensive care for at least 48 hours at least
one bed.
--------------------------------------------------------- -------------------
The number of the device
--------------------------------------------------------- -------------------
Central station monitoring 1
Central medical gas distribution station 1
Injection dispenser 3 in 1 bed
Defibrillator 1 station
At least three channels of ECG unit 1 at the station
Pacemaker jednodutinový external 1 at the station
Bed intensive 1 on 1 bed
Monitor ECG, SpO2, IBP, TEMP 1 station
Nebulizátor 1 to 1 bed
Breast Pump 1 on 1 bed
Pulse Oximeter 1 on 1 bed
Infusion pump 1 on 1 bed
Fan 1 to 3 beds
--------------------------------------------------------- -------------------
7.2.1.3 FROM intensive care to a patient with a lower degree of TISS 15-19 points
It is about FROM 00057.
The condition for this reporting FROM at least three beds on the
the workplace and the equipment listed below.
----------------------------------------------------- ---------------
the number of the device
----------------------------------------------------- ---------------
Central station monitoring 1
injection dispenser stříkačkový 2 in 1 bed
defibrillator 1 station
At least three channels of ECG unit 1 at the station
pacemaker jednodutinový external 1 at the station
bed intensive 1 on 1 bed
monitor ECG, NIBP 1 on 1 bed
nebulizátor 1 to 2 beds
Breast Pump 1 on 2 beds
pulse oximetry 1 2 beds
infusion pump 1 on 1 bed
1 fan on the station
----------------------------------------------------- ---------------
7.2.1.4 FROM intensive care to a patient with a lower degree of TISS 9-14 points
It is about FROM 00058.
The condition for this reporting FROM at least three beds on the
the workplace and the equipment listed below.
-------------------------------- ---------------
the number of the device
-------------------------------- ---------------
Central station monitoring 1
injection dispenser stříkačkový 1 to 1 bed
defibrillator 1 station
At least three channels of ECG unit 1 at the station
bed intensive 1 on 1 bed
monitor ECG, NIBP 1 on 1 bed
nebulizátor 1 to 3 beds
Breast Pump 1 on 2 beds
Pulse Oximeter 1 to 3 beds
infusion pump 1 on 1 bed
1 fan on the station
-------------------------------- ---------------
7.2.2 FROM the resuscitation and intensive care of infants, children and adolescents
7.2.2.1 FROM intensive care for infants, children and adolescents
It is about FROM 00061.
The condition for this reporting FROM at least five beds in the workplace and
ensure the following levels of instrumentation on at least two
thirds of the beds of the workplace.
----------------------------------------------------------- -----------------
the number of the device
----------------------------------------------------------- -----------------
defibrillator with electrodes for children age 1 to the station
central medical gas distribution station 1
At least three channels of ECG unit 1 at the station
Kit for emergency resuscitation out odd. ICU 1 station
bed intensive 1 on 1 bed
heated bed for children up to 1 year 1 to the station
Monitor vital functions (ECG, resp., SpO2, NIBP, T, 1 on 1 bed
Monitor vital functions-invasive monitoring of 1 on 1 bed
biological pressures (ECG, resp., SpO2, NIBP, T)
Breast Pump 1 on 1 bed
nebulizátor 1 to 3 beds
Pulse Oximeter 1 to 3 beds
anesthesia unit 1 at the station
Mobile X-RAY unit 1 at the station
infusion pump (linear batchers) 3 on 1 bed
volumetric pump 1 on 1 bed
fan for children covering all children age 1 to 1 bed
Group
----------------------------------------------------------- -----------------
For the workplace, where they are reported at all levels of the IP enough to
their equipment was only 1 x X-RAY; 1 x defibrillator; 1 x ECG;
1 x anesthesia apparatus
7.2.2.2 FROM intensive care in pediatric cardiology and pediatric
cardiac surgery
It is about FROM 00062.
The condition for this reporting FROM at least five beds in the workplace and
ensure the following levels of instrumentation on at least two
thirds of the beds of the workplace.
----------------------------------------------------------- -----------------
the number of the device
----------------------------------------------------------- -----------------
blood gases, ions, hematocrit 1 station
Monitor vital functions-invasive monitoring of 1 on 1 bed
biological pressures (ECG, resp., SpO2, NIBP T)
Monitor vital functions (ECG, resp., SpO2, NIBP, T) 1 to 1 bed
anesthesia unit 1 at the station
ECG unit 1 at the station
1 external pacemaker on the station
Esophageal Stimulator 1 to the station
central medical gas distribution 1 on 1 bed
bed intensive 1 on 1 bed
Central monitor station 1
Breast Pump 1 on 1 bed
Mobile X-RAY unit 1 at the station
infusion pump (linear batchers) 3 on 1 bed
volumetric pump 3 on 1 bed
hot-air heating of the patient 1 on station
INDUSTRIAL fan covering all children ages 1 to 1 bed
nebulizátor 1 to 1 bed
----------------------------------------------------------- -----------------
7.2.2.3 FROM intensive care for infants, children and adolescents a higher degree of
It is about FROM 00065.
The condition for this reporting FROM at least four beds on the
workplace, the equipment listed below and
the provision of intensive care for at least 48 hours at least
one bed.
----------------------------------------------------------- -----------------
the number of the device
----------------------------------------------------------- -----------------
defibrillator with electrodes for children age 1 to the station
central medical gas distribution station 1
ECG unit 1 at the station
Kit for emergency resuscitation out odd. ICU 1 station
heated bed for children up to 1 year of age 1 on station
Monitor vital functions (ECG, resp., SpO2, NIBP, T) 1 to 1 bed
Breast Pump 1 on 1 bed
anesthesia unit 1 at the station
Mobile X-RAY unit 1 at the station
infusion pump (linear, volumetric dispenser pumps) 2 on 1 bed
INDUSTRIAL fan covering all children ages 1 to the station
nebulizátor 1 to 1 bed
----------------------------------------------------------- -----------------
7.2.2.4 FROM intensive care for infants, children and adolescents the lower degree of
It is the SINCE 00068.
The condition for this reporting FROM at least three beds on the
the workplace and the equipment listed below.
----------------------------------------------------------- -----------------
the number of the device
----------------------------------------------------------- -----------------
trunk resuscitation 1 station
Monitor vital functions (ECG, resp., SpO2, NIBP, T) 1 to 1 bed
Breast Pump 1 on 1 bed
infusion pump 1 on 1 bed
nebulizátor 1 to 1 bed
----------------------------------------------------------- -----------------
7.2.3 FROM neonatal resuscitation and intensive care
7.2.3.1 FROM neonatal intensive care a higher and a lower degree of
It is about FROM 00071 00072 and.
The condition for the reporting of these FROM at least five beds in the workplace and
ensure the following levels of instrumentation on at least two
thirds of the beds of the workplace.
------------------------------------------------
the number of the device
------------------------------------------------
phototherapy 1 on 1 bed
ventilation unit 1 on 1 bed
------------------------------------------------
7.2.3.2 FROM neonatal intensive care a higher degree of
It is about FROM 00075.
The condition for this reporting FROM at least four beds on the
workplace, the equipment listed below and
the provision of intensive care for at least 48 hours at least
one bed.
------------------------------------------------
the number of the device
------------------------------------------------
incubator SC 1 on 1 bed
monitor ECG, NIBP, SpO2 1 on 1 bed
Oximeter in the incubator of 1 on 1 bed
CPAP device on breathing 1 1 bed
infusion pump 2 on 1 bed
Fan 1 on 1 bed
------------------------------------------------
7.2.3.3 FROM neonatal intensive care less
It is about FROM 00078.
The condition for this reporting FROM at least three beds on the
the workplace and the equipment listed below.
------------------------------------------------
the number of the device
------------------------------------------------
incubator SC 1 on 1 bed
monitor ECG, NIBP, SpO2 1 on 1 bed
CPAP device on breathing 1 1 bed
infusion pump 1 on 1 bed
phototherapy 1 to 3 beds
------------------------------------------------
7.2.3.4 FROM natal intensive care
It is about FROM 00080.
The condition for this reporting FROM at least three beds on the
the workplace and the equipment listed below.
------------------------------------------------
the number of the device
------------------------------------------------
Ultrasonic unit 3 on the station
monitor ECG 3 on the station
bed natal 1 1 bed
monitor KTG 1 on 1 bed
injection dispenser stříkačkový 1 to 1 bed
infusion pump 1 on 1 bed
Oximeter pulse 3 on the station
breast pump 2 on the station
------------------------------------------------
7.2.3.5 FROM obstetric care intermediární
It is about FROM 00082.
The condition for this reporting FROM at least three beds on the
the workplace and the equipment listed below.
------------------------------------------------
the number of the device
------------------------------------------------
Ultrasonic unit 3 on the station
monitor ECG 3 on the station
bed natal 1 1 bed
Monitor 2 to the station KTG
injection dispenser stříkačkový 1 to 1 bed
infusion pump 2 on the station
Oximeter pulse 3 on the station
breast pump 2 on the station
------------------------------------------------
7.3 content of the resuscitation and intensive care
FROM the resuscitation and intensive care hours can only if it was
filled with their content.
7.3.1 the Obligatory content of intensive care
It is about FROM 00051 00052, 00053, 00061 00062, and.
Intensive care is provided by the failure of one or more living
functions.
Obligatorním content FROM the intensive care is:
1. invasive monitoring
2. artificial lung ventilation
7.3.2 Obligatory contents FROM the intensive care of higher degree
It is about FROM 00055 and 00065.
Higher level of intensive care is provided when one or
more life functions.
Obligatorním content FROM the intensive care of higher degree is:
1. permanent non-invasive monitoring of all vital functions, including
record
2. active repeated interventions for malfunction or internal
environment
3. Special documentation
7.3.3 Obligatory content from intensive care at an earlier stage
This is a FROM a, 00057 00058 and 00068.
The lower the degree of intensive care is provided when the impending failure
some of the features.
Obligatorním content FROM the intensive care of lower grade is:
1. a written justification for the indications for the provision of intensive care lower
the degree of a doctor which provide intensive care at an earlier stage
2. the written consent to the provision of intensive care at an earlier stage of the doctor
the receiving patient at the intensive care Department
3. permanent non-invasive monitoring of at least one of the functions of the
4. intravenous infusion treatment
5. the balance of the income and the issue of liquids
7.3.4 the obligatory content of neonatal intensive care
It is about FROM 00071 00072 and.
Obligatorním content FROM 00071 is:
1. ventilation support
2. invasive monitoring
Note: the ventilation support: all modes of mechanical ventilation
requiring intubation or CPAP or mask nostrilami applied
Invasive monitoring of all vital functions: breathing, heartbeat,
invasive blood pressure measurement, monitoring of oxygenation State of consciousness:
SatO2
Obligatorním content FROM: 00072
1. ventilation support
2. non-invasive monitoring
Note: the ventilation support: all modes of mechanical ventilation
requiring intubation or CPAP or mask nostilami applied
Non-invasive monitoring of all vital functions: breathing, heartbeat,
non-invasive measurement of blood pressure, State of consciousness, monitoring
oxygenation: SatO2
7.3.5 the obligatory content of intensive neonatal care higher
the degree of
It is about FROM 00075.
Obligatorním content FROM 00075 is:
1. permanent non-invasive monitoring of at least two vital functions +
oxygenation
2. the repeated intervention for malfunction or internal environment
3. combined or calculated enriched or special Enteral nutrition
probe
Note: the Calculated enriched or special Enteral Nutrition:
fortified breast milk and/or a special formula for premature and
the pathology of newborn and/or liquidní formula for premature and
the pathology of newborn
7.3.6 developing Mandatory content of neonatal intensive care FROM the lower
the degree of
It is about FROM 00078.
Obligatorním content FROM 00078 is:
1. permanent non-invasive monitoring of at least one of the functions of the
2. calculated enriched or special Enteral nutrition
3. termomanagement
Note: Termomanagement: temperature measurement in adequate time
intervals to ensure the termoneutrální environment
8. ZUM REPORTED to OŠETŘOVACÍM DAYS
Unable to show any materials as particularly charged materials
(ZUM), if not stated otherwise.
To FROM the resuscitation and intensive care hours can as ZUM intracranial
sensor for the measurement of intracranial pressure on disposable.
9. REPORTING to OŠETŘOVACÍM DAYS ZULP
The report cannot be separately posted by medicinal products (hereinafter ZULP)
If not stated otherwise.
To show as you can FROM ZULP such medicinal products which are
marked with the symbol "B" in annex No. 2 of Act No. 48/1997 Coll.
To show as you can FROM ZULP such medicinal products which are
marked with the symbol "U" under annex 2 of the Act No. 48/1997 Coll.
This does not apply for FROM 00005, 00021 00022 00023,,, 00026 00027 00024,,,
00028 00029,.
To be recorded as FROM may, with the prior consent of ZULP medical
such medicinal products, which are marked with the symbol "X" referred to in annex
No 2 of Act No. 48/1997 Coll.. This does not apply for FROM 00005, 00021, 00001,
00023 00024, 00026 00027,, 00028 00029,,.
To show as you can FROM ZULP such medicinal products which are
marked with the symbol "K" according to annex No. 2 of Act No. 48/1997 Coll.
This does not apply for FROM 00005, 00021 00022 00023,,, 00026 00027 00024,,,
00028 00029, 00051 00052,,, 00053, 00055, 00057, 00058, 00061, 00065,
00068, 00071 00072,, 00075, 00078.
To show as you can FROM ZULP such medicinal products which are
marked with the symbol "T" referred to in annex No. 2 of Act No. 48/1997 Coll., This
applies only to FROM 00051 00052,, 00053, 00055, 00057, 00058, 00061,
00065, 00068, 00071 00072,, 00075, 00078.
10. performance REPORTING along with the TREATMENT DAYS
Along with FROM the recorded performances of all health, if not further
otherwise noted.
Along with performances FROM the show cannot be health, which is referred to in
The list of medical procedures with point values in the entry restrictions
place
"And as an outpatient-only"
"SA-only to a specialized workplace outpatient"
"And-only outpatient-aggregated into FROM"
"SA-only to a specialized workplace-aggregated FROM the outpatient"
This does not apply for FROM 00040 00041 00042 from,.
Along with FROM the resuscitation and intensive care not show performances
in the following list, even if they were made by another
workplace than workplace resuscitation or intensive care:
1. Drainage of the chest
2. Endotracheal intubation for anesthesia
3. Endotracheal suctioning
4. Enteral nutrition
5. Forceful diuresis
6. Invasive monitoring
7. the central vein Cannulation
8. peripheral vein Cannulation, including infusion
9. pulmonary artery Cannulation and measuring the pressure in impaction
10. Kardioverse
11. Comprehensive metabolic monitor
12. The massive displacement of the refund and the pressurized blood transfusion
13. measurement of heart picking bioimpedancí
14. Oxygen therapy
15. Pulse Oximetry
16. Thoracentesis
17. Puncture pericardium
18. Puncture the trachea with the introduction of the cannula
19. Therapeutic lavage GIT
20. The maintenance of body temperature
21. The introduction of the gastric probes
22. The introduction of the intrajejunální probe.
23. The introduction of the catheter for blood perfusion
24. The introduction of a urinary catheter
25. The introduction of the Sengstagenovy probe
Along with FROM the resuscitation and intensive care cannot be no performances,
If you have made the workplace resuscitation and intensive care, except
performance:
1. Cardiopulmonary Resuscitation
2. in the case of the urgent operational performance of anesthesia
3. the Tracheostomy
4. Continuous venous hemofiltrace
5. Acute peritoneal dialysis
6. Acute hemodialysis
7. Chronic hemodialysis
8. Hemofiltrace
9. Hemodiafiltrace
10. the Bezacetátová biofiltration
11. Plasmapheresis diaphragm
12. Hyperbaric oxygen therapy in a hyperbaric chamber pressurized
13. Supportive treatment air bed
14. performance:
Specialized treatment of haematological patients with allogeneic transplants
bone marrow
Specialized treatment of patients in specialised hematoonkologická
workplaces, including autologous bone marrow transplantation
Allogeneic bone marrow transplantation
Transplantation of autologous bone marrow cells, thawing and the application to the
central venous catheter on Hematology
workplaces
15. performance of parenteral nutrition for performance FROM the intensive care patient
with TISS points to 29 points
16. Převaz method of wound VAC.
11. DAY CARE on the BED
If, after the implementation of the operating performance of invasive or followed by u
the patient only one day care on a bed, with this stay on bed
regardless of the expertise of the Department on the day without ošetřovacím 00040
addition of the remuneration for the performance in the aggregate FROM under section 3.1 (remuneration for
the performances of the aggregated to FROM). At the same time, the rate of contract reports
the overhead cost of the bed medical facility according to Chapter
7.
In outpatient care facilities is to day care on the bed assigned
Director in the lowest point value from the chapter 7 belonging to lůžkovému
medical facility providing acute in-patient care.
As the performance of the so-called. day care on a bed may be shown also
invasive or operating performance with the restriction point "H", "SH", if
filled with the content specified in the list of performance and if the day of their
the execution followed by dunking on a bed declared to the competent
ošetřovacím on the day.
Chapter 6
The category of patient in institutional care
Category of the patient expresses increased intensity of nursing care
provided by the patient.
1. the REPORTING CATEGORIES of the PATIENT
Category of the patient is recorded for all hospitalized patients for
each day of hospitalization, in addition to the date of their hospitalization. The first and
the last day of hospitalization are treated as one day with categories
corresponding to the condition of the patient in the first day of hospitalization. Category
the patient is reported, even with the power of ošetřovacího FROM June-00005
Nursing beds all specialties.
Category 1 patient is recorded in the day, when it is reported by the length of the day
(FROM) a day care on the bed, and the resuscitation or intensive care.
Category 1 patient is reported to the Division for physiological
the newborn. Category 4 can be patient report to the Department for
physiological newborn if the Department
hospitalized premature newborn or pathological newborn,
medical device has established the Department of pathology of newborn
and nedonošence and nedonošenci or patologickému the newborn is not in that day
reported FROM the resuscitation or intensive care. The condition for
the reporting categories of the patient is such a number of ZPSZ, PARAMEDICAL PERSONNEL and FROM UNDER the
the workers at the workplace, which exceeds the standard number of workers
used for the calculation of the value of the FROM and referred to in chapter Care days.
The value of the categories of patient:
---------- ----- ---------------------------------- --------------------------------------------------------------
category name points to the legend
---------- ----- ---------------------------------- --------------------------------------------------------------
00 00 patient on propustce reports every day, when jepacient on propustce
---------- ----- ---------------------------------- --------------------------------------------------------------
1 0 patient patient is independent, self-sufficient basic nursing care
a child over 10 years
---------- ----- ---------------------------------- --------------------------------------------------------------
2 75 patient partially self-sufficient, the patient is partly self-contained, operates with the dopomocí,
It is able to move off the bed with dopomocí or separately on the
wheelchair
child from 6 to 10 years
---------- ----- ---------------------------------- --------------------------------------------------------------
3 150 patient requiring increased surveillance lucid patient, unable to move off the bed or dopomocí
or separately on invalidnímvozíku, requires almost complete
servicing
mentally alterovaný the patient requiring increased surveillance,
where appropriate, the necessary transitional restrictions on the movement or pharmacological
calming
child from 2 to 6 years
---------- ----- ---------------------------------- --------------------------------------------------------------
4 225 patient immobile lucid, totally immobile patient or incontinent,
requires nursing assistance in all operations
child up to 2 years of age
---------- ----- ---------------------------------- --------------------------------------------------------------
5 300 patient unconscious patient is unconscious, or in deliriózním State
---------- ----- ---------------------------------- --------------------------------------------------------------
Chapter 7
Reimbursement of indirect costs
In the calculation of the point values of health, with the exception of performances
transport according to Chapter 8, the entry is not included indirect costs-overheads.
Overhead associated with providing outpatient health care pays health
the insurance company based on time performance and minute overhead rates. Directed by
the performance is calculated as the product of the time in minutes and minute performance overhead
the rates of appropriate for the author's expertise.
Time of performance is indicated in the List of medical procedures with point values
for each performance. The minute the overhead rate for each author
the skill is shown below.
Overhead associated with providing inpatient health care pays health
the insurance company, partly on the basis of the time of performance and minute overhead rates
the remaining part of the Director is assigned to the ošetřovacímu day. The value of the Director
assigned to the days of the ošetřovacím is shown below.
1. The minute overhead rate assigned to the performance of
The performance copyright expertise, 001, 002, 101, 102, 103, 104, 105, 106,
107, 108 (excluding nefrology hemoeliminační method), 109, 201, 202,
204, 205, 206, 207, 208, 209, 210, 222, 301, 302, 303, 304, 305, 306,
308, 309, 401, 402, 403, 404, 405, 406, 407, 710, 801, 802, 804, 805,
807, 808, 809, 812, 813, 814, 815, 816, 817, 818, 819, 822, 823, 901,
902, 903, 904, 910, 917, 925, 931, 999 is assigned the minute overhead
rate of EUR 2.59 point in one minute performance time.
The performance copyright expertise, 115, 117, 215, 312, 413, and 697 810 is
assigned to the minute overhead rate of 3.89 point in one minute of time
performance.
The performance copyright expertise only 108 (Nephrology diseases hemoeliminační
method), 203, 501, 502, 503, 504, 505, 506, 507, 601, 602, 603, 604,
605, 606, 607, 701, 702, 704, 705, 706, 707, 708, 709 is assigned
the minute the overhead rate of 3.10 point in one minute performance time.
The performance copyright expertise, 511, 512, 513, 514, 515, 516, 517, 611,
612, 613, 614, 615, 616, 711, 714, 715, 716 and 717 is assigned to the minute
overhead rate of 4.65 point in one minute performance time.
The performance copyright expertise, 521, 522, 523, 524, 525, 526, 527, 621,
622, 623, 624, 625, 626, 721, 724, 725, 726 and 727 is assigned to the minute
overhead rate of 6.20 point in one minute performance time.
The performance copyright expertise, 531, 532, 533, 534, 535, 536, 537, 631,
632, 633, 634, 635, 636, 731, 734, 735, 736 and 737 is assigned to the minute
overhead rate of 9.30 point in one minute performance time.
The performance copyright expertise, 911, 913, 914, 921, 927, is assigned to the
the minute the overhead rate of 1.88 point in one minute performance time.
The performance copyright expertise, 014, 015, is assigned to the minute overhead
rate of 3.24 point in one minute performance time.
The minute the overhead rate for one minute of time performance of assigned this
the decree to the performances of individual copyright expertise increases always
1. July calendar year by the average annual rate of inflation (measured
index of consumer prices) for the past year published the Czech
the Statistical Office. This minute overhead rates
rounded to two decimal places.
In the contract between the health insurance company and medical facilities can be, on
the basis of economically justified costs, necessary to agree higher
minute overhead rate than is set out in the Decree, but not to the
above 300% of the listed values.
In the contract between the health insurance company and medical facilities can be, on
the basis of economically justified costs, necessary to agree a lower
minute overhead rate than is set out in the Decree, but not to the
above 30% of that value.
2. the Director assigned to FROM the
The next part of the overhead resulting from the different costs of the individual
inpatient health care facility is covered by the general health
insurance in the form directed by the assigned to the performance of ošetřovacího of the day.
2.1 health care facilities providing Inpatient acute in-patient care
In one or several fields of value contracted nasmlouvávají
overhead costs associated with the ošetřovacímu day in the points, and that in the
the range of 25.91-84.20.
Director assigned to the ošetřovacímu date is determined uniformly for the whole
medical device.
2.2 medical facility providing in-patient health care other
This is all about nursing beds, specialized therapeutic institutes,
institutes for long-term patients and special Hospice inpatient facilities
the type of health care facilities, which do not show with treatment
days, in addition to receiving and release testing, any other health
the performances. The value of the Director assigned to the ošetřovacímu day in hospitals is
established on 155.44 point.
The value assigned to this Decree directed by ošetřovacímu day increases
always to 1. July calendar year by the average annual rate of inflation
(the measured index of consumer prices) for the past year published
The Czech Statistical Office. Calculated values of the Director
rounded to two decimal places.
In the contract between the health insurance company and medical facilities can be, on
the basis of economically justified costs, necessary to agree higher
the value assigned to the Director by, than in the Decree, however, not more than
up to 400%.
In the contract between the health insurance company and medical facilities can be, on
the basis of economically justified costs, necessary to agree a lower
the value assigned to the Director by, than in the Decree, however, not more than
up to 30%.
3. the content Director
In the overhead is included:
Material consumption:
fuel
fuels and lubricants out of fuels and lubricants that are included in the
transport performance,
medical material outside of the one that is included as directly
consumed in the performance of or charged separately as ZUM
medicines other than those that are included as directly consumed
in the performance of, or as a separately priced ZULP
foods outside the food paid for by the food drive in ošetřovacím day
General material outside of the one that is included as a directly consumed in the
some of the performances
the material for the outside maintenance is included in the performances in the framework of the
specific maintenance of single-purpose devices
underwear
personal protective equipment for employees
small tangible fixed assets
books and teaching aids
Power consumption:
electrical energy
water (outside the water included as directly consumed in some
performances)
steam
gas
Services:
repair and maintenance of single-purpose devices outside of a specific maintenance
included in the performance
travel of staff
cost of representation
freight
rent
(postage, telephone charges)
supply laundry
cleaning supply
the cost of education, the participation fees
software
other services
Personal expenses:
labour costs outside of labor costs that are included in the performance
other personal expenses out of the costs included in the performance
premiums on health insurance premiums out of the General
health insurance included in the performance
social insurance premiums of workers outside the social insurance
insurance included in the performance
Tax
Other costs (depreciation bad debt, interest, other other
the cost)
Depreciation of intangible and tangible fixed assets outside of the single-purpose
instruments included in the performance
IC cost if they are charged separately (transport, maintenance,
boiler room, kitchen, Administration)
Chapter 8
Transport and refunds of travel expenses
1. transport
Transport means the part of the health care that is provided by the
workplace medical emergency services (EMS), transport
health care services (GST) or other entities that meet the
the conditions laid down in accordance with the specific legislation.
1.1 transport covers
1. the transport of patients
2. transfer patient escorts
3. transport of infectious patients
4. drive vehicles EMS
5. transfer the pathological newborns and infants with low birth
weight
6. air transport
7. conveyance to the autopsy and dissection
8. transport of health care workers in the guestbook service
9. transport practitioners in LSPP
10. transport of transfusion products, special medicinal products,
tissues and organs for transplantation, doctor or other
the health care worker to the specialist and the necessary performance.
1.1.1 Transport patients
Transportation means transportation of the patient to and from medical facilities,
between medical devices and in the framework of the medical equipment
the GST LEGISLATION.
1.1.2 Transport accompaniments patients
Escort the patient means accompanying a person who is not a member of the
the crew of the vehicle, and her presence is with regard to the health status of the
the patient needed.
Escort the patient is reported so that it is added to the number of kilometres
traveled with an escort to the number of kilometres traveled with the patient and is
reported by the health insurance company, for which the patient is insured.
As an accompaniment to the patient is reported only the path with the patient journey
the escorts without the patient's (return) is not paid for from public health
the insurance.
1.1.3. the Infectious transfer of patients
Infectious transfer means the transport of patients with infectious and
parazitárními diseases, carried out under the special scheme provided for in
the hygiene rules.
1.1.4 Secondary transfer
The secondary transportation means transportation of the patient which are not
threatened basic life functions such
medical equipment, which includes personnel, material and
technical equipment needed to provide more health care.
1.1.5 the ride vehicles EMS
The ride vehicles EMS means the right team to the patient and transport
the patient's conditions of pre-hospital emergency care.
1.1.6. Air transport
Air transport of patients in emergency cases is carried out on the basis of the
medical approval.
1.1.7 the autopsy and dissection
Transportation to and from the autopsy, autopsy shows the performance of transport with a fixed rate
at one kilometre. The ride of the nevytíženého vehicles without the deceased is
does not show.
1.2 in the rate per km is included:
1. receipt of request
2. processing and sorting information
3. specify the implementation of vehicle crew
4. ride to the patient and to the deceased when transported to the autopsy and dissection
5. support the loading of the patient and his transport to a medical facility,
where appropriate, the place of destination
6. the professional supervision and necessary care during transport
7. continuous communication with the dispatcher
8. transfer of a patient in a health care facility, or
place of residence or at the place of destination
9. return to the Habitat
10. cleaning, disinfection, and preparation of the vehicle.
2. The TARIFF CONDITIONS
Performance of transport include direct and indirect (overhead) incurred by efficiently
the cost of vehicle traffic in these modes, the movements on one
the patient.
2.1 Transfer of patients
2.1.1. GST reports the number of kilometers traveled in zones according to the paragraph. 7 with the
each specific patient a suitable communications to the destination according to the
indication of a doctor, even if it is transported at the same time more
However, most of the patients, 4 persons, including the accompaniments of the patients.
2.1.2. Transport of patients made to regional cities can GST
be paid in a lump sum. In negotiating a lump-sum to
proceed according to the formula: number of points in the 1-30 km x value of the point x
the average distance per unit of transport in km.
Ride the ambulance without the patient with the underallocated shows.
On the basis of the contract between medical institutions and health insurance company
You can arrange a different payment method than the mileage. In such a
If you can pay the agreed lump sum transfer. When negotiating
the lump sum shall be based on fixed rates for 1 km, the average
the transmission distance in a specific location and workload of ambulances.
2.2 the conveyance of infectious patients
GST reports the number of kilometers traveled with each particular patient,
appropriate communications to a destination, according to the indications of the doctor, even in the
the case, if it is transported at the same time, however, the more patients the most 4.
Nevytíženého ambulance vehicle ride without the patient does not show.
2.3 the ride vehicles EMS
In vehicle mode, and in the case of EMS transport special ambulance
for the transport of premature newborns, and transport products, transfusion
Special medicinal products, tissues and organs for transplantation,
experts to the specialist and the necessary performance, equipment
All mileage in the context of the intervention for the patient, including
drive back to the station, if not interrupted on the way to the next
the intervention.
In addition to the remuneration for the mileage of the vehicle may be covered by the EMS
also flat on one trip. This fee shall be determined by calculating the
based on the established rates for 1 km and the average vehicle EMS
the transmission distance in a specific location.
In a performance vehicle EMS for 1 km (one exit of the vehicle
EMS) are not included in the health practitioner, nor the performances of the performance of other
professional health care workers, which are reported separately.
2.4 Delivery vehicle and ride back to the station
In all cases outside of the movements of the patients, including infectious and transport on
an autopsy and autopsy reports of the device all the mileage, including
delivery of the vehicle and the drive back to the station, if not ride
interrupted journey to the next transfer.
Place and time of the start and their performance must always be stated in the
the relevant documentation.
3. SPECIAL CONDITIONS
Health insurance companies under contract with the medical establishment may
agree:
and individual remittance provisions) section 2.
(b) the increase of the remuneration for the performance) up to an additional 50% in cases of justified
demographic and geographical particularities and the characteristics of the territory,
preventing the utilization of vehicles needed DZS or their economic
operation.
4. REIMBURSEMENT of TRAVEL COSTS to the INSURED in connection with the provision of
PAID FOR BY THE HEALTH CARE
To the right of the patient's private vehicle is paid for according to the appropriate performance
transport in the amount corresponding to the distance of the nearest contract
medical equipment, which is authorized to provide health care
the required type. Charge only the actual number of kilometres traveled with
the specific patient, not the path of the vehicle without the patient.
Payment is made only upon presentation of the card to the policyholder in the issued
the treating physician with an indication of the need for individual transport.
5. REIMBURSEMENT of TRAVEL COSTS to HEALTH CARE PROFESSIONALS in THEIR
GUESTBOOK SERVICE, AND IN HOME HEALTH CARE
Travel expenses when visiting the service of health care workers are
covered by the relevant transport performance medical devices, which
health care in the guestbook service provided.
Health insurance and medical facilities may agree in the contract
the flat-rate compensation of travel costs of health care workers in the
Guestbook service. The flat-rate compensation can be agreed on the time period
or the insured person visited.
The maximum distance, which shall be borne by the travel health insurance
the cost of health-care professionals, it is agreed in the contract between the
medical facilities and health insurance company with regard to the
local conditions and the type of care provided.
6. OTHER FORMS of TRANSPORT
Other forms of transport are not covered by the general health insurance.
7. performance of TRANSPORT
-------- ------------------------------------------------------- -----------
the number of performance Name
performance description of the power points/1 km
-------- ------------------------------------------------------- -----------
10 the right medical worker in the guestbook service 12.26
12 the right doctor in LSPP 12.46
20 to the right patient's private vehicle 5.30
45 the transport patient in zone 1-30 km 20.50
patient Transport in the zone 46 31-60 km 19.00
47 Transportation of the patient in the band 61-130 km 17.50
48 the transport of a patient in a zone of 131 km and more 17.00
50 the autopsy and dissection of 35.00
60 Right transfusion products, Specialty Pharmaceuticals, 30.46
tissues and organs for transplantation, the right doctor or
another medical worker to a specialist
and the necessary performance
70 Ride vehicles EMS 40.07
72 Transport special ambulance for newborn 40.07
Transport nedonošeného or pathological newborn to
the nearest specialized medical equipment
74 the right doctor RLP in meeting system 30.46
80 Transport of infectious patient 26.00
-------- ------------------------------------------------------- -----------
2. List of performance health
_________________
*) Note. ASPI: the Text is available on the website
http://ftp.aspi.cz/opispdf/2008.html#castka142.
Article. (II)
This Decree shall take effect on 1 January 2005. January 1, 2009.
Minister:
Mudr. Julínek, MBA in r.
1) Law No. 95/2004 Coll., on conditions for the acquisition and recognition of professional
competence and specialized competence to perform medical
the professions of doctor, dentist and pharmacist.
2) Law No 96/2004 Coll., on conditions for the acquisition and recognition of eligibility
to the exercise of paramedical professions and to pursue activities
related to the provision of health care and to change some of the
related laws (the law on the paramedical professions).
3) Decree 424/2004 Coll., laying down the activity of health
workers and other professional workers.
