331/2007 Sb.
DECREE
of 12 October. December 2007,
amending Decree of the Ministry of health no. 134/1998 Coll.,
She claims to be a list of medical procedures with point values
as amended
The Ministry of health shall lay down pursuant to § 17 para. 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., which gives you-the list
medical procedures with point values, as amended by Decree No 55/2000
Coll., Decree No. 135/2000 Coll., Act No. 458/2000 Coll., Decree No.
101/2002 Coll., Decree No 291/2002 Coll., Act No. 493/2005 Coll. and
Decree No. 621/2006 Coll., reads 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 procedures
list of medical procedures with point values
2.
health performance
the basic unit of a list describing the comprehensive activities in the provision of
health care (performance)
3.
performance category
category of payment performance-sorts performance between the performances of fully paid, paid for by
under certain conditions and unpaid public health insurance
4.
Copyright expertise
expertise that designed and expertly guarantees health performance
5.
the number of performance
a five-digit number that uniquely identifies the performance within a list
performance
6.
the name of the performance
a brief text articulates clearly the essence of performance
7.
a description of the performance
the text name of the performance, describing the evolving performance and, where applicable, its
the implementation of
8.
OM restrictions place
limitations for reporting the performance of the place of its implementation
9.
Of frequency constraint
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 to the performance
assign a minute overhead rates. The total value of the minute performance overhead
is calculated as the product of time and minute performance overhead rates applicable to
performance of the author's expertise (see Chapter 7). Time performance expresses the
the time that is the workplace carrying out performance fully utilized.
11.
recipient of the recipient of the performance
a health professional who participates in the implementation of the exercise. For the performance of
personnel costs are assigned to one of the wearer power, only in exceptional cases
multiple holders (operating performances, and so on). If the holder of the performance
at least one doctor or another university employee, are not fundamentally to
the performance of assigned personnel costs medium-sized health care workers
(they are contained in the payment of indirect costs-overhead).
12.
time time the bearer of performance
the time after which the health professional employed by the implementation of the just
This single performance
13.
Wage index INDX wearers performance
the index, which characterizes the wearer's qualification to perform performance and
the difficulty of implementation performance
14.
performance point value points
the sum of all direct costs for performance (cost of the wearer
performance, the cost of single-purpose devices and their specific maintenance,
When you perform the exercise directly consumed medical supplies and
design 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 posted a medicine that can be separately billed to perform,
If it was justified in the performance of consumed
17.
FROM
treatment day
18.
ZP
medical devices
Chapter 2
General rules for performance reporting
1. REPORTING PROCEDURES
1. Once executed the performance of paid health insurance for one
the insured person only one medical facility.
2. If it is not in the title, description, performance, performance in chapter additional rules
for reporting performance or limiting the frequency of performance, unless otherwise indicated
shall be borne by health insurance individual performances for one insured person
one medical facility in one day only once. The performances
performed on paired organs to pay health insurance for one
of the insured person on the same day twice, if they have been made on both sides, i.e.
on the right and left of the institution, unless otherwise provided for in the performance. The performances
carried out on the individual teeth will pay health insurance for
one of the insured person in one day once on each tooth, on which it was
the performance is made.
3. only if due to sudden changes in the health condition of the insured person occurs
the new treatment (new in the Office the same doctor visit or a visit
a medical practitioner or for the insured person LSPP) is possible when accounting
further treatment to use the corresponding performance by actually again
provided care.
4. Performance shall be borne by health insurance company only if it was filled with the entire
the content of the performance.
5. all health care, which was reported through the
medical procedures including treatment days health insurance company, you must
be properly documented in the medical record of the insured person. Write to the
documentation is an integral part of all medical procedures.
6. the performance may be banned only if it was carried out completely. Partially
conducted by performance health insurance cannot be banned.
7. Performance cannot be banished, if it is part of another reported
performance.
8. When one of the visiting hours can only one per insured person
the performance of clinical examination of a single expertise.
9. If a medical device reports on one visit at the same time two
performances that according to the list of performance not be shown together, it is
health insurance company authorized to exercise reported wrongly neuhradit.
10. If the list of performances can be charged more than once, performance
may be charged only as many times as it was filled with all the time its
perform the specified in the list. The start time and the end time of
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 limitation of frequency apply to each
the donor.
2. the AUTHOR'S EXPERTISE
1. the author's expertise of the health performance expresses that
professional company suggested health performance and is responsible for its technical
the contents of the.
2. in the list of performances given copyright expertise are not binding for the
the contractual relationship between medical institutions and health insurance.
3. the category of PERFORMANCE
1. The performance of the s P public health insurance is fully
paid.
2. Performance with the category Q is public health insurance paid,
only if it is not banned, along with performances of complex, repetitive complex,
targeted or control examination.
3. The performance of the W is the category of public health insurance paid for
certain conditions. If not stated otherwise, performance is affected by this
condition of execution of medical indications.
4. Performance with categories from is public health insurance paid to
the consent of the competent medical health insurance.
4. restrictions on the PLACE of
1. the exercise of limited space and is paid from public health
insurance only if it was done on an outpatient basis.
2. the place of Performance-restricted H is paid from public health
insurance only if it was made during hospitalization, or if it
It allows the patient's State of health in the context of a day care on the bed
3. The performance of the restricted area 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 on an outpatient basis to a specialized
workplace.
5. Performance-restricted place SH is paid from public health
insurance only if it was made in a specialised
workplace, or if the health of the patient within the
dunking on the bed.
6. Performance that does not limit the place mentioned, is paid from the public
health insurance without restriction to the place of execution.
5. limitation of FREQUENCY
Limit frequency is related to one of the insured person, always one or
multiple time periods and one medical facility.
If performance is reported by one medical facility on the one
the insured person more often than specified in the limitations of frequencies is a health
the insurance company shall be entitled to performance pay in the amount of the limiting frequency, if
review your doctor decides otherwise.
Each period frequency restrictions are for the purpose of providing
health care defined as follows:
Week:
over a period of one week is considered to be a continuous period lasting for 7 days
Month:
for the period of one month is treated as a continuous period lasting four weeks, i.e..
28 days
3 months quarter
(1/3 or 1/month 1 quarter): for the period of 1 quarter shall be deemed to
continuous time lasting 89 days.
Year:
for the 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 PERFORMANCE
Outputs are listed four categories of holders of power. They are:
1. the doctor, dentist, pharmacist ^ 1)
2. clinical psychologist, clinical speech therapist and physical therapist ^ 2)
3. other college-educated worker in health ^ 2)
4. nursing worker ^ 2)
In performance are further listed the holders and their payroll
indexes.
Wage indexes express the level of qualification of the wearer.
The performances whose bearer is another specialist in health
may have also been suitably qualified doctor.
Compliance with the wearer's qualification 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 performance-doctors, dentists and pharmacists are set out
three degrees of wage index. They are:
1. The Index of 1-performance corresponds to the demands of the qualifications as a doctor, dental
doctor or pharmacist with competence to practise the profession and with the
practice within 24 months-the symbol L1, the index value 1
2. Index of difficulty corresponds to 2-performance qualifications as a doctor, dental
doctor or pharmacist with competence to practise the profession and with the
practice over 24 months-the symbol of the L2 cache, the index value of 1.8
3. The Index of difficulty of the performance qualification corresponds to 3 doctors, dentists,
or pharmacist with specialised competences-a symbol of L3, the value
index of 3.5
6.2. Indices of clinical psychologists, speech therapists and physical therapists, clinical
For performance-clinical psychology, clinical speech and language therapists and
physiotherapists are provided for four degrees of wage index. They are:
1. Index of difficulty corresponds to 3-performance qualifications of clinical
a psychologist with a special preparation of the end-in clinical psychology
attestation, clinical speech pathologist with a special preparation of the end-in the
Clinical speech therapy attestation or healthcare professional with any other
a university degree in the field of physiotherapy-J1, symbol value
index 1
2. Index 4-performance corresponds to the qualifications of clinical demands
a psychologist with a special preparation of the end-in clinical psychology
the attestation or clinical speech pathologist with a special preparation of the end-in the
Clinical speech therapy attestation and performance of diagnostic and
therapeutic procedures-the symbol (J) 1, the index value of 1.3
3. The Index of difficulty of the exercise 5 corresponds to the qualifications of clinical
a psychologist with the attestation in clinical psychology with additional qualifications or
set the length of the practice or clinical speech pathologist with the attestation in clinical
speech therapy with other skilled or determined the length of practice-a symbol of J1,
the index value of 1.8
4. Index 6-performance requirements performance corresponds to the qualifications of clinical
a psychologist with the attestation in clinical psychology with exceptional qualifications and
set the length of the practice or clinical speech pathologist with the attestation in clinical
speech therapy with exceptional qualifications and determined the length of practice-a symbol
J1, the index value of 3.0
6.3. The indexes JVŠ
For performance-other college-educated workers in the
Health (JVŠ) is provided for the five degrees of the wage index. They are:
1. The Index of 1-performance qualification corresponds to the demands of the JVŠ after graduation-
symbol index value of J0, 0.5
2. Index of difficulty corresponds to 2-performance qualification JVŠ with practice 24
months-a symbol of J0, the index value of 0.8
3. The Index of difficulty corresponds to 3-performance qualifications-of-JVŠ
Special training in relevant activities of the attestation-the symbol of J1,
the index value of 1.0
4. Index 4-intensity performance corresponds to the qualifications of the end-JVŠ
Special training in the appropriate field and 5 years of practice of attestation
in the clinic-a symbol of J1, index value 1.3
5. Index 5-performance matches the qualification demands of end-JVŠ
Special training in relevant activities of the attestation and 10 years ago
practice in the clinic-a symbol of J2, the index value of 1.8
6.4. Indexes the CAP
For performance-intermediate health professionals (Cap) have been
laid down three degrees of wage index. They are:
1. Index of difficulty of the exercise the 7-corresponds to the qualifications of the CAP in the end
the boarding practice-a symbol S1, the index value of 0.6
2. Index 8-performance matches the qualification demands of the CAP after their
the boarding practice-a symbol of S2, the index value of 1.0
3. The Index of difficulty of the performance of 9-corresponds to the qualifications of the CAP after their
of higher specialized studies (PSS)-a symbol of S3, the index value
1.4
7. ZUM and ZULP
7.1. The reporting of ZUM
1. the performance may be reported separately posted material only
If the performance of the 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, the performance can be reported to the
prorated.
7.2. Reporting ZULP
1. the performance may be reported separately posted a medicine only
then, if the performance of the annotated "ZULP Yes."
2. Blood products, blood products and radiopharmaceuticals can be
reported as ZULP regardless of whether performance of the annotated
"ZULP Yes."
3. as a separately charged medicine can be banished to the performance
only medicinal product when you perform the exercise clearly consumed.
4. If there is no medicinal product may be used whole, for the performance of
reported its proportional part.
7.3. As a ZUM or you cannot declare ZULP:
1. medicinal products, medical equipment and medical devices,
that can be used to prescribe to the recipe or a voucher.
2. Medicines and medical material included directly in the value
performance (value PMAT and PLP) or aggregated into the treatment of the day or
performance of clinical examination.
3. medicinal products paid for by the drug.
4. medicinal products, medical equipment and medical devices
obtained in any other way than by purchasing (pharmacological studies, corporate,
research grants, donations and the like)
8. INSTITUTIONAL CARE (HOSPITALIZATION)
8.1. Acceptance for hospitalization
Upon receipt of the insured for hospitalization are showing the performance of complex
examination of relevant expertise. If the insured person in this type of equipment
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 targeted examination.
8.2. Release from hospitalization
Upon release of the insured's hospitalisation is reported 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
supervisors with the appropriate specialist qualifications (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 professionals qualified for the medical profession
under expert supervision with a graduation certificate (hereinafter referred to as "OUT FROM UNDER"), this group
includes, among other health profession the Medical Assistant, and
4. other health care workers eligible for health
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 in Chapter 7,
depends on the scope of activities of health workers so as to
provided nursing care within the health care provided by
the specific legislation governing eligibility of medical
workers. ^ 3)
Specialized qualifications ARIP marking 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 for
adults and children above 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 of care
for adults and children above 10 years of age, or scope. Nursing care in the
Pediatrics in the case of caring 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 under 1 year of age.
9. The VISIT
A condition of recognition of the visit is the the documentation record indicating the date and
time of the visit.
9.1. general practitioner Visits the patient visits the doctor for a patient
to show special performances. In addition to these performances are recorded performances
clinical examination and other performances according to the valid rules.
A visit to the general practitioner, the patient can report the following
performances:
1. visit a medical practitioner in 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 10 and 06 o'clock
4. visit a physician for a patient in a non-working day or on the day of
the work of peace
The above performances can, in addition to the powers set out in paragraph 2 and 3,
combine.
9.2. The visit of specialists for the patient's visit to the doctor, the patient may
In addition to the general practitioner also reported another attending physician, but only
If the visit is made on the basis of a written application of a practical
the doctor of the registering of the patient. In the case of visits during the period from 19 to 06
hours or non-working day and a holiday, the application must
contain the date and time of the visit.
A visit to the doctor, the patient can be reported in the following performances:
1. visit a specialist in 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 10 and 06 o'clock
4. visit a physician for a patient in a non-working day or on the day of
the work of peace
The above performances can, in addition to the powers set out in section 2 and 3
combine.
The performance of a visit to a specialist, the patient pays the health insurance company only
If the visit is requested by a medical practitioner. This performance can be
report when you visit a specialist in social care or other similar
environment, but only per capita this institution 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 a registered medical practitioner, author
expertise 902, 914, 921 and 925 on the basis of a written indication of the treating
doctor
The performance of the sisters in the period from 22 to 06 hours hours can carried out together with the
performance only if it was made on the basis of written indications
the treating physician. This indication in this case must always include
date and time of the performance.
The performance of the sisters in the non-working day or the working day can be
report, together with the performance carried out only if it was made on the
a written indication of the treating physician. This indication shall
this case, always include the date of execution of the performance.
9.4. The time spent on transportation
The doctor's time spent in the patient transport within the framework of the visit hours can
for every completed 10 minutes. At 1 km distance you can kick
most 2 minutes time.
10. ADMINISTRATIVE PERFORMANCES
10.1. Performance detailed listing of documentation is recorded:
the activities of a registered medical practitioner associated with the acquisition of the statement of health
documentation for the passing of the patient to the care of another of the registering of the doctor
.
10.2. A detailed statement of the contents of performance documentation is primarily:
1. review the medical records of the patient
2. make copies of the documentation or extract from the documentation to the extent
needed to ensure the continuity of medical 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
If it is not a consultation practitioner family members.
Along with a detailed listing of documentation and administrative tasks
a medical practitioner must not be on the same day reported no additional performances
clinical examinations.
10.4. performance of the exposure and their incapacity to work, or
the request for support in the care of a family member is reported:
Administrative act of exposing evidence unable to work, and their
incapacity for work or the issuance of a request for support in the care of the
Member of the family.
The performance shows that the treating physician, inability to work, respectively.
family member care benefit issue.
11. the minimum CONTACT
11.1. The exercise of minimal contact is recorded:
Contact a physician, clinical psychologist or therapist with clinical
the patient before diagnostic or therapeutic exercise, if not
populated with the contents of the performance audit examination.
11.2. The content of the performance minimal 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. a decision on a date for the next inspection
4. the provision of adequate information, the family or the sick man to a legal
the representatives of the
5. drafting medical reports-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 the prevention, diagnosis or therapy, dispensing.
This performance can be reported if the patient actively contacts 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 caring for the patient.
The performance of telephone consultations doctor patient may report only
the attending physician. If the attending physician is not authorising doctor
This performance report only if directly related to the
the problem for which the patient into care took over.
For psychiatric fields is defined by the different performance of dial-up
information.
13. LSPP
When the first aid medical service physician clinical performance shows
examination expertise 001, 002 and 014 always depending on the age of the patient.
If the patient is under 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 the first aid medical service cannot have comprehensive and performance
repeated comprehensive examination.
14. HOME HEALTH CARE
The performances of home health care medical facilities providing exhibit
Home health care.
The performances of home health care hours can only be
1. the indication of a registered medical practitioner or a registered
a general practitioner for children and adolescents
2. in the indication of the treating physician during hospitalization, and for a period of
a necessary, but not more than 14 days after their hospitalisation.
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 on grounds of health, not technical-
organizational.
Chapter 3
The performances of the clinical examination
Clinical examinations of the performance are the basic procedures, which
medical equipment show health insurance health care
provided to the insured.
The performances of the clinical examination is divided into comprehensive examination,
comprehensive examination, targeted screening, diagnosis
consultation examination.
To the performance of clinical examinations are according to individual copyright
aggregated material and device expertise cost performance
aggregated to the clinical examination. This is a performance that is in
list of performances in the performance category marked "Q-cannot be
reporting clinical examination ".
1. REPORTING of CLINICAL EXAMINATION
1. When one of the visiting hours can only be one of clinical performance
examination.
2. With clinical examinations cannot be combined administrative
performance and the performance of dial-up, with the exception of administrative information
performance issue or their evidence is unable to work, respectively.
the request for support in the care of a sick family member.
3. in the case of copyright expertise, for which there are more clinical performance
examination of it showing the doctor because the performance of its
eligibility.
4. performance of 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. examination of the patient when taking care of a general practitioner,
practitioner for children and adolescents, the gynecologist-obstetrician and
GP dentist
2. the examination of the patient upon receipt into regular long-term care
ambulatory supervision
3. the examination of the patient while receiving hospitalization, if hospitalization
There had been no hospitalization at the same site in the last three
months
2.1. the performance of the 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, by a medical practitioner, internal and
surgery, including the examination of the rectal exam
5. measurement of height, weight, blood pressure, pulse, respiratory rate,
Alternatively, the peakflowmetrem a/c speed
6. the basic orientation of preventive Oncology examination
7. diagnostic sheet and conclusion
8. the decision on the further procedure, including the diagnostic request additional
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 a date for the next inspection
12. the provision of adequate information, the family or the sick man
legal representative
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
to the physician, including a record of the consent or dissent of a patient with
the proposed diagnostic-therapeutic procedures
18. write about the whole procedure to medical documentation
3. repeated COMPREHENSIVE EXAMINATION
Repeated comprehensive examination may show only a general practitioner for
adults, a general practitioner for children and adolescents and a convenient dentist-
dentist.
3.1. Performance of repeated complex examination shows preventive
Tour conducted by a general practitioner for adults or practical
a doctor for children and adolescents, or practical dentist-
client.
3.2. performance of repeated Content a comprehensive examination is mainly:
1. a detailed personal history including family, work and social with the
an emphasis on the changes since the last comprehensive or repeated complex
examination
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 orientation examination
the senses and psychomotor development
5. measurement of height, weight, blood pressure, pulse, respiratory rate,
Alternatively, the peakflowmetrem a/c speed
6. the basic orientation of preventive Oncology examination
7. diagnostic sheet and conclusion
8. the decision on the further procedure, including the diagnostic request additional
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 a date for the next inspection
12. the provision of adequate information, the family or the sick man
legal representative
13. psychotherapeutic interview
14. individual health education
15. patient education
16. writing medical news-award
17. administrative activities associated with the performance reporting (mandatory, requisition
about medical transport, and so on), the provision of information to the
doctors, including the record of the patient's consent or disagreement with the proposed
diagnostic and therapeutic procedures
18. write about the whole procedure to the health record.
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 in
a significant change in the course of the disease
3. dispensární patient examination by the treating physician
4. the admission of a patient to hospital treatment 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 the patient associated with exposure to the proposal on a comprehensive and
contributory Spa care or a stay in ozdravovně
7. the patient's preoperative examination
8. preventive inspection of the gynaecological
4.2. Content of a targeted examination performance is mainly:
1. history of purposefully aimed to subjective patient related issues
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. an objective examination aimed to the subjective problems of the patient
(relating to the examination) or to the requirement of the
doctor
5. measurement of height, weight, blood pressure, pulse, respiratory rate,
peakflowmetrem if the exhalation rate in relation to the subjective
problem sending to the request of the patient or doctor
6. the basic orientation of preventive Oncology examination
7. 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 a date for the next inspection
12. the provision of adequate information, the family or the sick man
legal representative
13. psychotherapeutic interview
14. individual health education
15. patient education
16. writing medical news-award
17. administrative activities associated with the performance reporting (mandatory, requisition
about medical transport, and so on), the provision of information to the
doctors, including the record of the patient's consent or disagreement with the proposed
diagnostic and therapeutic procedures
18. write about the whole procedure to medical documentation
5. CONTROL EXAMINATION
5.1. Performance control examination shall be recorded:
1. examination of the patient, when the attending physician examines the progress or
the result of treatment
2. the examination of a patient when their treatment by the treating physician
3. the examination of a patient when their incapacity by the treating
doctor
4. examination of the patient's treating physician in the course of the stabilized
disease
5. the examination of the patient prior to the provision of therapeutic action
5.2. The content of the performance audit examination is mainly:
1. history of specifically aimed 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. an objective examination aimed to progress or of the result of treatment
5. measurement of height, weight, blood pressure, pulse, respiratory rate,
peakflowmetrem if the exhalation rate in relation to the course of disease
or the outcome of treatment
6. diagnostic sheet and conclusion
7. the decision on a date for the next inspection
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, requisition
about medical transport, and so on)
14. write about the whole procedure into the medical record
6. CONSULTATION EXAMINATION
Consultation examination is recorded the same performance as a targeted examination
the relevant expertise. As the examination may be reported consulting
only targeted examination carried out by a physician with specialized
the comp. 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 attending physician is unable to report the
consultation examination.
6.1. Konziliárním examination is recorded:
Patient examination requested by the treating physician to the extent necessary for the
How to obtain diagnostic conclusion-answers to question
the sending by the treating physician.
6.2. Content of konziliárního examination is mainly:
1. history of purposefully aimed to subjective patient related issues
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. an objective examination aimed to the subjective problems of the patient
(relating to the examination) or to the requirement of the
doctor
5. measurement of height, weight, blood pressure, pulse, respiratory rate,
peakflowmetrem if the exhalation rate in relation to the subjective
problem sending to the request of the patient or doctor
6. the basic orientation of preventive Oncology examination
7. 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 to the question
resting the sending by the treating physician
9. the recommendations of the therapeutic procedure
10. the recommendations of the term further check or transfer to the care of
11. the provision of adequate information, the family or the sick man
legal representative
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, requisition
about medical transport, and so on), the provision of information to the
doctors, including the record of the patient's consent or disagreement with the proposed
diagnostic and therapeutic procedures
17. write about the whole procedure to the health record.
Chapter 4
Additional rules for reporting performance sorted by individual
Copyright expertise
1.001-PRACTICAL MEDICINE for ADULTS
The performance of the
number name
01441 determination of glucose meter
shall be recorded:
1. to verify the changes in the levels of glucose in the suspicion of
decompensation diabetic
2. determination of postprandial blood glucose in people who do not have
the ability to selfmonitoringu and if you cannot be venosní
blood biochemical examinations in the current subscription.
3. in the case of persons for the DM, when untreated character difficulties is suspected
from decompensation diabetes.
Performance cannot be recorded as screening examination in preventive and
dispenzárních examination and if it is collected for the purpose of blood venosní
biochemical examination.
2.002-PRACTICAL MEDICINE for children and adolescents
The performance of the
number name
02230 quantitative determination of CRP (POCT)
You can report only when supported by participation in initial vocational training certified
about this method workshop held at an accredited workplace in cooperation of professional
companies and workplaces providing post-graduate education according to the uniform
methodology. In the implementation of the performance will be respected the recommendations of expert
companies on the implementation of the laboratory examination in deseases and will ensure
internal quality control, including a properly maintained her record and participation in the system
interlaboratory comparison tests (external quality assessment).
3.014-dentistry
During the visit, which was planned under the previous clinical examination
You cannot report the additional performance of clinical examination.
3.1 the combination performance
The performances
number name
Entrance comprehensive examination 04010
04060 registered patient dental treatment under the age
6 years
04061 dental treatment the patient is registered in the age from
6 to 12 years
04062 dental treatment the patient is registered in the age from
12 to 18 years
Unable to show at the same time.
The performances
number name
04640 Surgical equipment tooth uncomplicated
04650 tooth complicated surgical supplies
04710 Suture on the tooth extraction wound-
04720 Building postextrakčního hemorrhage
You cannot have at the same time when you 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 apparatus and devices for the hard-per tooth
Zábrus tooth from 05711 orthodontic reasons-per tooth
Unable to show at the same time, with clinical examinations outside the minimum performance
contact.
The performances
number name
05021 Orthodontic control of type I.
05029 Orthodontic review II. the type of the
You can report 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 report 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 (on the one
extremity)
Unable to show at the same time with the performance
number name
09141 UZ Doppler examination of blood vessels without (B) view
89515 UZ duplex examination of only one vessel, morfolog. aDopplerovské
89517 UZ duplex. examination of two or more vessels, morfolog. and Doppler
The performances of the show at the same time you cannot. plethysmographic
7.104-ENDOCRINOLOGY
7.1 Dynamic tests
All dynamic tests performance shall be reported in Endocrinology
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
for one quarter.
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 the IV hypertonického salt
9. test with insulin provocations
10. i. v. glucose tolerance test
11. pentagastrinová stimulation of calcitonin
12. argininový test
13. dexamethazonový test
8.105-GASTROENTEROLOGY
8.1 load test in Gastroenterology
All load tests in Gastroenterology, show performance
number name
15130 stress test in Gastroenterology
In the performance of the load test in the Gastroenterology is not included any parenteral
application, blood collection, the introduction of the probe. These activities can be reported by a separate
performance. A test substance can be reported as a ZUM.
The exercise stress test in Gastroenterology can be reported only one in one
the date.
The exercise stress test in Gastroenterology for one test, it is possible to repeat the most
once per quarter.
The exercise stress test in Gastroenterology are recognised:
1. examination of stomach 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. the phenomenon of suspected white coat
4. suspicion of hypotensive States
5. suspicion of diabetic autonomic dysautonomii
6. suspicion of masked hypertension
7. the need to verify the effectiveness of the change in treatment (up to 3 times per year)
Final evaluation of AMTK generally contains:
1. evaluation of 24hrs. the average blood pressure assessment
his deviations from the standards.
2. the evaluation of the average day and night blood pressure,
assessment of their event. abnormalities.
3. assessment of blood pressure diurnálního rhythm.
4. assessment of the presence of significant hypertensive peaků,
event. their correlation with subjective problems of the patient.
5. assessment of the presence of the event. the phenomenon of white coat.
6. the recommendations relating to the existing treatment for hypertension.
5.7 Combination performance
The performances
number name
17299 Left heart catheterization
17303 right-sided cardiac catheterization out of cath lab
17300 right-sided cardiac catheterization at katetrizačním Hall
17302 double-sided cardiac catheterization
Unable to show at the same time.
The performance of the
number name
17127 Endomyokardiální biopsy transvaskulární
can be combined with all the performances of the catheterization of the heart.
The performances
number name
17320 Acute test of parenteral pharmaceuticals and stimulation or
Chambers in the already established bias (at a new introduction
the electrode should be attributable to the performance of temporary cardiac pacing)
17231 Endokardiální Accessory pathway mapping or arrhythmic
focus
may only be declared with the performances
number name
17123 Elektrogram Hissova volume, rising stimulation Hall and
Chambers, with a rating of the ante-and out the management and recovery
the period of the sinus node
or
number name
17234 Programmed stimulation fibrillation and/or chambers, testing
electrical stability (adds performance Elektrogram
Hissova volume-number 17123)
The performance of the
number name
17244 24 hour telemetry tracking outside of the ICU
17303 right-sided cardiac catheterization out of cath lab
17250 introduction of oesophageal electrodes, including registration of ECG
17252 Transezofageální ECG test stimulus
You cannot have the same time as treatment days intensive care and resuscitation.
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 Hemofiltration
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 pulse treatment with corticosteroids for hospitalization can be reasonably administered
corticosteroids report as to the performance of the treatment the day ZULP. For pulse treatment
corticosteroids for these purposes is considered as treatment doses exceeding the equivalent of
500 mg Hydrocortisonu a day and 1.7 m2 body surface area.
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 the same time as treatment days intensive care and resuscitation.
Examination of the exhalation of the speed peakflowmetrem is part of the clinical examination.
12.1 Bronchoscopy
Bronchoscopic diagnostic and therapeutic actions can be reported especially performances
number name
25111 Rigid Bronchoscopy diagnostic or therapeutic, including
premedication
25113 diagnostic or therapeutic Flexible Bronchoscopy
including premedication
The above performance Bronchoscopy may be further from actually carried out the procedure
report the next performances:
number name
25115 Remove foreign body from the lower respiratory tract infections
25117 Targeted aspiration endobronchiálního material or a brush
biopsy
Bronchoalveolar lavage 25119
25121 including Endobronchial biopsy
25122 Perbronchiální puncture
25118 Transbronchial lung biopsy
25123 Instillation of diagnostic and therapeutic products into the lower
the respiratory tract
25125 including Endobronchial laser power
25127 Use cryotherapy when a Bronchoscopy
76111 Introduction afterloadingových probes or probes or balónkových
blood vessels to perform the bronchografie
25131 Applications including endobronchial prosthesis
The performances referred to in the previous paragraph can be to the basic performance of Bronchoscopy
report only if it was filled with their content and at the same time, if the total time
the operation has exceeded the time of basic performance. Other performances (same or different) from the performance
referred to in the previous paragraph can be attributed, if the total time of the procedure
reached the sum of the times of the basic and all relative. Performances can be reported
only if it was completely filled with their time.
If, for reasons of the non-fulfillment of the time cannot be reported, even if the performance was actually
executed, can be to the basic performance of Bronchoscopy kick actually consumed
ZUM ZULP referred to the competent or performance.
12.2 Spirometry
Indicative spirometry may be recognised only if it has been performed by the doctor
(it was filled with the contents of the performance), write the documentation is required.
Other functional tests in the author's expertise THORN may be shown
only on the basis of a written indication of the treating physician or a physician performing the
the corresponding consultation examination.
13.222-TRANSFUSION MEDICINE
13.1 the performances of imunoadsorpce
Indicator criteria are, in particular:
-Homozygous familial hypercholesterolaemia
-Isolated or prevailing hypercholesterolaemia in primary
or secondary prevention
-Dilated cardiomyopathy
-Primary and secondary thrombotic thrombocytopenic purpura
-Stem Transplantation of hematopoietic cells incompatible
under the system of surface characters of red blood cells the AB0
-Hemophilia A and B with an inhibitor against f. VIII or IX.
-Idiopathic thrombocytopenic purpura
-Aloimunní thrombocytopenia
-Myasthenia gravis
-Pemphigus
-Solid organ transplants in the event of incompatibilities in the
the system of surface characters of red blood cells or AB0 graft rejection.
Fibrin and Fibrinogen-adsorption in all cases where the
fatal failure of the microcirculation 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 cooperation paediatrician in demanding X-RAY or
other examinations
can be reported only at the time of the constitutional emergency services.
15.302-the children's CARDIOLOGY
The condition for the recognition of performance
number name
32610 Catheterization of the heart for a child up to 1 year
32620 Catheterization of the heart for a child up to 6 years
is workplace equipment 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 examinations of the child's doctor 2
31012 Targeted examinations of the child's doctor 1
Copyright expertise, 301.
Examination of the newborn infant at discharge is recorded performance
number name
a comprehensive examination of the child's doctor 31021 2
a comprehensive examination of the child's doctor 31011 1
Copyright expertise, 301.
The performance of the
number name
34310 catheterization of umbilical artery or vein
You cannot have the same time as treatment days intensive care and resuscitation.
17.309-SEXOLOGY
10.6 Investigation of fertility
Examination of fertility is reported performance
number name
39022 Targeted examination of the sex therapist
17.2 the combination with the performances of psychotherapy
With clinical examinations cannot report on the performances of psychotherapy.
The performances
number name
39111 Falometrie, vulvometrie
39113 Native semen analysis
Unable to show at the same time, with clinical examinations outside the minimum performance
contact.
18.402-clinical ONCOLOGY
About authorial expertise Clinical Oncology is local anesthesia
zakalkulována in performance, and therefore with the performances of this authorial expertise cannot be
show the performances of local anesthesia.
19.403-RADIATION ONCOLOGY
About author professionalism radiotherapy is local anesthesia zakalkulována
in the output, and therefore with the performances of this authorial expertise cannot show performances
local anesthesia.
19.1 the combination performance
The performances of copyright expertise, 403-radiotherapy cannot be in one day at one
the patient's exhibit at the same time.
19.2. Radiotherapy planning.
The performances of the show at the radiotherapy planning cannot be in one cycle of treatment.
This is a performance:
number name
43113 X-RAY therapy Planning or Cs137
43217 radiotherapy planning Co60 or accelerator:
43219 radiotherapy planning using Co60 or accelerator:
TPS
43423 planning of brachytherapy
43425 brachytherapy Planning with the use of TPS
the combination of power FROM 19.3 resuscitation and intensive care
Along with the performances of brachytherapy and cannot be reported FROM intensive resuscitation.
This is a performance:
number name
43421 Brachytherapy intracavitary
43419 Brachytherapy intracavitary with automatic afterloadingem
43417 interstitial Brachytherapy manual
43415 interstitial Brachytherapy with automatic afterloadingem
20.404-DERMATOLOGY
The performance of the
number name
Venerologické epidemiologicko-44007 psychological investigation and
detect sexually transmitted diseases
hours can only be when a newly identified disease of sexually transmitted disease.
21.407-NUCLEAR MEDICINE
The performances of copyright expertise, 407-nuclear medicine cannot have simultaneously with the
performance of any application, even with the power of minimal contact.
The performances
number name
47021 comprehensive examination by an expert in nuclear medicine
47022 Targeted examination by an expert in nuclear medicine
47023 control examination by an expert in 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
can be reported twice in one day on one patient only in combination with
the load test run. Performance cannot be reported at the same time with the performances of quantification
dynamic or tomografického tests.
For the performance of
number name
47129 and/or perfusion scintigraphy of the myocardium at rest
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 same performance.
Performance cannot be in one day with one patient to repeat.
The performance of the
number name
the use of Intraoperative sonografu surgeon 51611
Unable to show at the same time with another performance of sonographic examination.
13.8 Exenterace pelvic organs
Performance
number name
51810 Exenterace pelvic organs
the exhibit front, back, and total exenterace.
13.9 Laparoscopy and thorakoskopie
Laparoscopic and thorakoskopické diagnostic and therapeutic performance in surgery,
in the 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 videolaparoskopie and videothorakoskopie 51713
The performance of laparoscopic and thorakoskopický (number 51711) can be reported once in the
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. cholangiography
7. subfasciální ligation of venous couplings
8. jejunostomie
9. endosonografie
10. coagulation in a small Pan
11. removal of endometriosis and the first and second instance
12. sterilization
13. puncture oocyte
14. transfer of gametes or embryos into the fallopian tube
The performance of laparoscopic and thorakoskopický (number 51711) can be in a single day report
most twice in cases:
1. power on the lymphatic system
2. appendektomie
3. hernioplastika single-sided primary
4. esofagokardiomyotomie
5. revision of the bile ducts
6. the destruction of the tumor or metastasis
Meckel's diverticulum resection 7
8. local excision of the liver
9. lumbar sympathectomy
10. choledocholithotomie
11. resection of ovarian cancer
12. simple enukleace cysts
13. salpingotomie linear
14. salpingectomy
15. ovarektomie
16. adnexektomie
17. salpingo (fimbrio) ovariolýza
18. myomectomy to 5 cm subserózní, pedunkulovaný fibroid to 5 cm
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 the abscess
24. adheziolýza first instance
The performance of laparoscopic and thorakoskopický (number 51711) can be in a single day report
most three times in the cases:
1. simple cholecystectomy
2. appendektomie at peritonitidě
3. revision of uncertain origin when peritonitidě or trauma
4. suture of perforated ulcer gastroduodena
5. a colostomy
6. the antirefluxní sculpture
7. hernioplastika recurrent hernia
8. the pelvic lymphadenectomy
9. trunkální vagotomie
10. transrectal endoscopic operation
11. the evacuation of hematoma or empyemu lungs
12. unilateral thoracic sympathectomy
13. supracervikální hysterectomy (LSH)-the uterus is smaller than
pregnancy 12 weeks or weighing 400 grams
14. the laparoscopically assisted vaginal hysterectomy (LAVH)-
the uterus is less than 12 weeks of pregnancy or weight 400 grams
15. neostomie and fimbrioplastika
16. place the rounded ligaments helikoidním-ventrosuspense
17. of Douglas ' space from Moschowitze
18. removal of endometriosis of the third degree, ovarian
endometriomata
19. the second level adheziolýza
20. laparoscopic surgery varikokély
The performance of laparoscopic and thorakoskopický (number 51711) can be in a single day report
four times in most cases:
1. hernioplastika double-sided primary
2. suture the intestine as a separate exercise
3. revision in acute pancreatitis, and drainage of the abscess
4. paraaortální lymphadenectomy
5. wedge resection of lung
6. enukleace tumor of the lung
7. pleurektomie abrasion
8. the laparoscopically assisted vaginal hysterectomy (LAVH)-
the uterus is greater than 12 weeks pregnancy or weight 400 grams
9. supracervikální hysterectomy (LSH)-uterus greater than
pregnancy 12 weeks or weighing 400 grams
10. adheziolýza the third degree
11. resection of pelvic abscess
12. suspension of operation for incontinence
13. over 5 inches subserozní myomectomy and intramural
14. laparoscopic surgery of testicle-retinovaného only after
the approval of the review a doctor
The performance of laparoscopic and thorakoskopický (number 51711) can be in a single day report
most five times in the cases:
1. anastomosa in the digestive tract as a separate exercise
2. the fundoplication
3. gastric banding
4. supraselektivní vagotomie
5. gastroenterocystoanastomóza by Jurasze
6. adrenalectomy
7. small bowel resection
8. total laparoscopic hysterectomy (TLH)
9. extensive adheziolýza fourth degree
10. Microsurgical reanastomosa tube
11. Microsurgical neostomie or fimbriolýza
12. dissection of ureter syndrome
The performance of laparoscopic and thorakoskopický (number 51711) can be in a single day report
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 lymphadenectomy
10. lifting operations for vaginal prolapse
11. suspension of operation for uterine prolapse NET
The performance of laparoscopic and thorakoskopický (number 51711) can be in a single day report
most seven times in the cases:
1. resection of the stomach BI
2. liver resection
3. paraaortální lymphadenectomy
4. laparoscopic surgery neovaginy
The performance of laparoscopic and thorakoskopický (number 51711) can be in a single day report
most eight times in the cases:
1. resection of the stomach BII
2. low anterior resection of the rectum
3. Splenectomy
4. the laparoscopically assisted vaginal hysterectomy or
total laparoscopic hysterectomy and pelvic lymphadenectomy
5. the laparoscopically assisted radical vaginal hysterectomy
and pelvic lymphadenectomy
The performance of laparoscopic and thorakoskopický (number 51711) can be in a single day report
most nine times in cases:
1. total gastrectomy
2. radical hysterectomy of Wertheim and pelvic
lymphadenectomy
3. laparoscopic radical paraaortální and lymphadenectomy
parakavální
If the performance of laparoscopic and thorakoskopický (number 51711) reported
repeatedly, the general rule should be observed: performance may be recorded only if the
He was executed in its entirety, even in the whole time. The performance of laparoscopic and
thorakoskopický (number 51711) can be reported for a second time only if it was filled with
the requirement to double the time.
If it is made a laparoscopic diagnostic or therapeutic performance in
surgery, which is not in the list above, the entity shall recognise the workplace Performance
Laparoscopic and thorakoskopický (number 51711) in the number of the corresponding real
reasonable duration carried out performance.
The start time and end time of the performance the performance of laparoscopic and thorakoskopický (number
51711) is an essential part of the patient's medical documentation (operating).
If you cannot start and end time of performance documentation to conclusively determine
shall be reimbursed by health insurance company performance in number one.
13.9 shared another Performance expertise
The performances
number name
51231 Biopsy needle mammy, one or more
51233 Excision tumor mammy or subscribe to a tissue for biopsy
51235 Partial or wedge-resection with or without biopsy mammy
or a mastectomy, simple
Wedge resection of the mammy 51237 radical removal
axillárních lymph nodes or radical mastectomy
51239 Radical tooth clipping axillárních or inquinálních lymph nodes
may show also the workplace of Gynecology.
14.0 Sternotomy, thorakotomie
The performance of the
number name
55250 Sternotomy, thorakotomie
You cannot have any other operating performance in the chest. This performance is to
other operating performance on your chest is not included.
23.506-NEUROSURGERY
23.1 the extension of operation
Prolonged duration of the operating performance in the neurosurgery report performance
number name
Extend the performance of craniotomy and 56178 resection, or
Lobectomy for tumor or metastasis
This performance can be reported if the time of the operation has exceeded the time performance of at least
about 30 minutes. Performance can be reported repeatedly only if carried out by time
the operation has exceeded the time of 240 minutes of operation performance, that is, for 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 appropriate ZUM.
ZUM to operating performance can be reported only in a truly how much quantity,
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 performance.
24.601-PLASTIC SURGERY
Treatment or re-applying, and special performances.
The performances of copyright expertise without restrictions place 601 can be reported only when the
implementation of the operating the Conference room.
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 there is a defect reported by other treatment performance, report performance cannot be at the same time
number name
09243 Treatment or re-applying the wounds over the 30 cm2
09237 Treatment or re-applying wounds from 1 cm2 to 10 cm2
09241 Treatment or re-applying wounds up to 30 cm2 10 cm2
The performances
number name
61113 Revision, excision and suture of skin and subcutaneous tissue injury and, where appropriate,
fascie5-10 cm
61115 Revision, excision and suture of skin and subcutaneous tissue injury and, where appropriate,
fascia above 10 cm
You cannot have simultaneously with other operating performances in the same localization.
Performances can be reported only when you perform a rinse the wound with a sterile solution and
application tiles.
The performances
number name
61113 Revision, excision and suture of skin and subcutaneous tissue injury and, where appropriate,
fascia 5-10 cm
61123 excision of skin lesions from 2 to 10 cm2, without closing resulting from the
the defect
61125 Excision of skin léza over 10 cm2, without closing resulting from the
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
Unable to show at the same time, with clinical examinations outside the minimum performance
contact.
The performances
number name
Reconstruction of šlachového 61211 loops
61213 Implantation of silicone tendon defect
Reconstruction of the tendon of the flexor muscle graft 61215
61217 Transposice tendon flexor muscle
Tenolýza of an extensor muscle 61219
Reconstruction of the extenzorového apparatus 61221 finger
You can report once for each operational approach.
The performances
number name
61231 Implantation of artificial MP joint, or IP
61235 Arthrodéza MP or IP joint
His phalanx of Metacarpus or 61239
61245 Fenestration tendon sheath
can be reported once on each finger.
25.602-POPÁLENINOVÁ MEDICINE
15.6 Treatment or re-applying Burns
Treatment or re-applying burns can report the performances:
number name
62120 Burns-treatment or re-applying (nose, face, lip, ear,
scalp, neck, eyelid)
62140 Burns-treatment or re-applying the first successful hand or foot
62141 Burns-treatment or re-applying a successful hand and legs of each
next
62130 Burns-treatment or re-applying the first finger of a hand or foot
62131 Burns-treatment or re-applying a finger of the hand and foot of each
next
62150 Burns-treatment or re-applying the rest up to 5% of the body surface
62160 Burns-treatment or re-applying the other 5-10% of the body surface
62170 Burns-treatment or re-applying the other 10-15% of body surface
62180 Burns-treatment or re-applying the other 15-20% of the body surface
62110 or re-applying burns in the range of up to 10% of the body surface and ev.
shower (without the use of creams and artificial shelters)
62112 or re-applying 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 the
they will be shown a maximum of two performances. If a scorch mark where more than 40% of the
the surface of the body, can recognise the number of performances of 15-20% and the other one
performance.
Burns on his head and neck, fingers and dorsu hands or feet shall be reported
separate performances. If the treated one dorsum (finger), is reported by the performance ".
. . the first ... ". If it is treated more dors (fingers), the entity shall recognise the power "...
the first ... "and then the appropriate number of performances of". .. each additional ... " .
Condition reporting other performances is, of course, comply with the total time
the procedure.
Surface Burns, whose treatment was reported in separate performances (on the head and
the neck, fingers and hands or feet) dorsu is not included in the area that is
reported performances of "... the other ... ".
25.2 Nekrektomie
Nekrektomii can be used to report on performance:
number name
62320 Nekrektomie up 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 body surface-tangential or
fascial
62350 Nekrektomie to 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 the
they will be shown a maximum of two performances. If it is possibly greater than 40% nekrektomie
from the surface of the body, can recognise the number of performances of 15-20% and the other one
performance.
The above performances cannot report the chemical nekrektomii. Here you can report
the same performance as the treatment of burns.
15.7 the subscription dermoepidermálních grafts
Subscription to the dermoepidermálních grafts can be used to report on performance
number name
Subscription dermoepidermálního graft into 62610 1% of body surface area
62640 Subscription dermoepidermálního graft 1-5% of the body surface area
62660 Subscription dermoepidermálního graft 5-10% of the surface area
the body of the
62670 Subscription dermoepidermálního graft 10-15% of body surface area
62680 Subscription graft dermoepidermálního 15-20% of the surface area
the body of the
If the graft is more than 20% of the body surface, the performances can be combined so that the
they will be shown a maximum of two performances. If a subscription is possibly greater than 40% of the graft
from the surface of the body, can recognise the number of performances of 15-20% and the other one
performance.
15.8 Skin Grafts
Skin grafts (for Burns and other skin loss) can be used to report on performance:
number name
62430 Graft when Burns (and other skin loss)-finger
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 hands or feet or other 5% of the body surface
62412 Graft when Burns (and other skin loss) the other 5-
10% of the body surface
When you Graft 62413 Burns (and other skin loss) the other 10-
15% of the body surface
62414 Graft when Burns (and other skin loss) the other 15-
20% of the body surface
If the graft is the area of more than 20% of the body surface, the performances can be combined,
they will be shown a maximum of two performances. If it is possibly more than the graft area
40% of the surface of the body, you can report the corresponding number of performances of 15-20% and more
one performance.
Surface Burns, whose treatment was reported in separate performances (on the head and
the neck, fingers and palms of your hands or dorsu or legs), is included in the desktop,
that 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
combine in a way that will be reported up to four performances of up to 1%, and the corresponding
the number of 1-5%.
15.9 artificial leather Integra for large burns and Reconstructive
performance
For performance
number name
62410 Graft when Burns-other, up 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
hand or foot
62440 Graft when Burns (and other skin loss)-Palm,
dorsum of hands or feet or other 5% of the body surface
62460 Graft when Burns-other, 5-10% of the surface of the body (and the
other skin defects)
62470 Graft when Burns-other, 10-15% of the surface of the body (and the
other skin defects)
62480 Graft when Burns-other, 15-20% of the surface of the body (and the
other skin defects)
can be used in a patient with deep Burns, if not complicating diseases decreasing
chance of survival and the sum of age and deep burns to 100, and the
Reconstructive procedures in the localization of the face, neck, hands, feet, when the limits of the
the neck, the Axilla, groin, kubity, knees and fingers, and in patients where the
the lack of a full fledged skin to receive the transplant report as ZUM
biosyntetickou replacement skin.
26.603-gyneacology and obstetrics
16.2 the combination performance
The performances
number name
63587 Pertubace therapeutic
Test tube patency 63591
Unable to show at the same time.
The performance of the
number name
63594 Primary laparotomy for ovarian ca
You cannot have simultaneously with any other operating performance.
The performances
number name
63313 Amnioskopie
63323 Removing blood sample from the header of the fetus (using the
amnioskopu)
Unable to show at the same time.
The performances
number name
Fetoskopie 63315
Fetoskopie with the collection of tissues 63317 fetus
Unable to show at the same time.
The performances
number name
63312 Oxytocinový stress test
63117 Kardiotokografické monitor mothers during childbirth
Unable to show at the same time.
The performances
number name
63598 Puncture Douglas ' space
63592 Puncture Douglas ' space with incisions and drainage
Unable to show at the same time.
The performances
number name
63540 electro-diathermokoagulace cervix
Test tube patency 63591
63532 Subscription material with the vagina, cervix and cervical
transabdominal Sampling of amniotic fluid 63311 amniocentézou
63521 Hymenotomie, hymenectomie
63511 Excision of the vulva
Unable to show at the same time.
The performances
number name
63579 Hysterectomie and adnexectomie with omentectomií for malignancy
63596 Total omentektomie
Unable to show 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 show at the same time.
16.3 Colposcopic examination
The performance of the
number name
63061 Colposcopic examination of the basic
You can report at the same time, with targeted and control examination, but you cannot
exhibit at the same time with the power of a comprehensive examination.
26.3 Delivery
The individual performances of the show at the same time the management of childbirth cannot be
27.604-CHILDREN'S GYNECOLOGY
27.1 the combination performance
The performance of the
number name
64215 Irrigation virginální vagina with cure
Unable to show at the same time, with clinical examinations outside the minimum performance
contact.
28.606-ORTHOPEDICS
On the treatment of one anatomical site cannot be one patient in one
calendar day report more than one 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 sonography.
Performance reporting is a condition of the US unit.
The performance of the
number name
66317 revision surgery of the spine-anterior-posterior-removal
the implant
You cannot report as a separate performance, showing at the same time, with the operating
access to the spine of the standard, front or rear.
29.701-OTORHINOLARYNGOLOGY
18.1 Use kryokauteru and laser
If the surgery in ENT area used laser or kryokauter, can be
report on performance
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 in one 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:
C05 Malignant Neoplasm of the palate
Malignant Neoplasm of nasopharynx C11
C30. 0 nasal cavity Malignant Neoplasm
C31 sinus neoplasm Malignant
C81 Hodgkin's disease
C82 non-Hodgkin's Lymphoma (Nodular) Follicular
C83 non-Hodgkin's Lymphoma (diffuse)
C84 Peripheral and cutaneous T-cell lymphomas
C85 non-Hodgkin's lymphoma, other and unspecified types of
C91 Lymphoid leukemia
C92 Myeloid Leukemia
C93. Acute monocytární leukemia 0
C95. 0 unspecified cell type acute leukemia
D10. 6 Benign neoplasm of nasopharynx-nasopharynx
D18. 0 and lymfangiom any localization Hemangioma
D61. 9 aplastic anaemia, 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 02. 1 fracture of cranial dregs-fractura baseos cranii
S02. 2 Fracture of nasal bone
S02. 3 fracture of orbital trash-fractura baseos orbitae
S02. 4 fracture of facial bone (zygomatic)-zygomatici-annexation fractura
and the upper jaw-maxillae
T81. 0 of bleeding and hematoma complicating performance, n.e.c.
Z51. 1 Chemotherapeutic cycle for neoplasm
18.2 Nystagmografická examination
The performances of the nystagmografických examination, you cannot show one day at a 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 show at the same time.
The performances
number name
71661 maxillary sinus Rinse
71663 puncture of maxillary sinus
Unable to show at the same time.
The performances
number name
71113 Caloric test
71115 Examination semispontánních vestibular phenomena
71117 Optokinetický test
Gustometrie 71119
71121 Posturography
71123 Rotational tests of balance disorders
71511 Lavage cerumina or removal of foreign body from the ear canal
71615 Excision of one nasal polyp
71211 Biopsy from the nose
71611 foreign body removal, nose-simple
71623 Therapy epistaxis kauterizací
71625 Front nasal tamponade performed professionally
otorhinolaryngologem
71661 maxillary sinus Rinse
71713 Indirect laryngoscopy with removal of lesion or foreign body
larynx or hypopharynx
71781 instrumental 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 injection into the nasal mucosa as a separate
the performance of the
71565 Politzerace
Unable to show at the same time, with clinical examinations outside the minimum performance
contact.
The performances
number name
71641 Submukozní resection of nasal septum
71651 Septoplasty
Unable to show at the same time 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 show at the same time.
30.702 FONIATRIE
18.7 the combination performance
The performances
number name
72113 examination for hearing correction hearing aid (first)
72115 examination for hearing aid application checklist
Unable to show at the same time, with clinical examinations outside the minimum performance
contact
31.705-OPHTHALMOLOGY
About author professionalism of Ophthalmology is local anesthesia zakalkulována
in the output, and therefore with the performances of this authorial expertise cannot show performances
local anesthesia.
19.3 Ophthalmoscopy
The performances
number name
75137 Ophthalmoscopy in artificial mydriáze (1 St) direct
ophthalmoscopy
75121 Ophthalmoscopy in artificial mydriáze indirect binocular
oftalmoskopem (1 St)
75153 Biomicroscopic fundus in mydriáze (1 St)
Unable to show at the same time, with the exception of doctor-retinal specialists.
19.4 comprehensive examination
The performance of a comprehensive examination of the ophthalmologist has and, therefore, with this performance cannot be
at the same time exhibit, the following performances:
number name
75139 intraocular pressure Schiotzovým tonometer (1 St)
75137 Ophthalmoscopy in artificial mydriáze direct ophthalmoscopy
(1 St)
19.4 the combination performance
The performances
number name
75113-stress tests for glaucoma both eyes
75131 Gonioscopy (1 St)
75135 Exoftalmometrie or Schimerův test or examination
barvocitu or pupilometrie or examination tables
Amslerovou grid
75137 Ophthalmoscopy in artificial mydriáze direct ophthalmoscopy
(1 St)
75139 intraocular pressure Schipotzovým tonometer (1 St)
75141 applanation Tonometry (1 St)
75143 Perimeter static (1 St)
75145 Perimeter kinetic or kampimetr (1 St)
75387 Eyelash eyelid or Kryoepilace one elektroepilace
75389 hair removal with tweezers, Eyelash eyelid incision of acute chalázia
75153 Biomicroscopic fundus in mydriáze-1 St
75157 Objective examination of refraction of both eyes and prescription glasses to
distance and near
75385 tooth clipping of one chalázia, the exemption with case
Unable to show at the same time, with clinical examinations outside the minimum performance
contact.
The performance of the
number name
Application of radioactive 75225 seals
You cannot have simultaneously with performance of treatment days and intensive resuscitation
care.
32.706-UROLOGY
19.9 the combination performance
The performances
number name
76235 litotrypse solitárního konkrementu impact of extracorporeal
wave
76237 Extracorporeal litotrypse multiple myeloma or odlitkového
Shockwave konkrementu
You cannot have the same kidney at the same time.
The performances
number name
76235 lithotrypse solitárního konkrementu impact of extracorporeal
wave
76237 Extracorporeal lithotrypse multiple myeloma or odlitkového
konkrementu
You cannot report in one year on the same kidney.
20.0 Cystometrie
Cystometrie performance is reported in urology
number name
76127 Cystometrie filling
This performance is reported as filling, filling water cystometrie cystometrie
gas. Performance can be reported most one in one day.
32.3 Cystouretroskopie
For the performance of
number name
76531 Cystouretroskopie
can be attributed to the performances of:
number name
Laser Photocoagulation tumour 76561
76565 Biopsy ev. extraction of foreign body of bladder-, konkrement,
the stent
76567 Application into the wall of the bladder Therapeutics ev. the urethra
20.1 Catheterization syndrome
The performance of the
number name
76215 Catheterization syndrome
is added to the performance
number name
76531 Cystouretroskopie
Performance
number name
76215 catheterization syndrome
is recognised as a diagnostic catheterization syndrome, as well as endoscopic extraction
konkrementu of tripse konkrementu syndrome, in the ureter, endoscopic discise
stricture, endoscopic biopsy of the syndrome syndrome including coagulation and introduction
the stent to the syndrome. In the case of tripse and the introduction of the stent can be performance catheterization
syndrome report twice.
20.2 Pyelotomie, nefrotomie, operating nephrostomy
Nefrotomie with konkrementu or with nefrostomií, the operating nephrostomy
and pyelolitotomie are recorded 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 extraction of konkrementu with tripsí
are added to the performance
number name
Nefroskopie percutaneous 76543 (without cystoscopy and probing the ureter)
The performances
number name
76545 Percutaneous extraction of one or more of urinary stones without tripse
76547 Percutaneous extraction of konkrementu with tripsí
Unable to show at the same time. These performances cannot be in 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-ANESTHESIOLOGY, reanimation and INTENZÍVNÍMEDICÍNA
Performance number 78116-Anesthesia with controlled ventilation á 20 min and number-78231
Epidural or subarachnoideální anaesthesia á 20 min. hours can only with
the following operating performance category of difficulty (D):
1. Remove (vytnutí) of brain tissue
2. Deletion of the (vytnutí) brain abscess
3. The external openings of the cerebral ventricles and tanks
4. Repair of bone fragments kalvy
5. Repair of Dura of the brain
6. The deletion of the epidural or subdural blood streaming or abscess
7. Přetětí, destruction or excision
brain nerve inside the skull
8. Stereotactic brain nerve release
9. Open the skull for post-operative bleeding
10. The operations of the brain blood vessels
11. removal of pituitary gland
12. Excision of part of the pituitary gland
1. Excision of the epiphysis
14. The primary or revision operational decompression of cervical and thoracic spine
15. The primary and revision excision of cervical, thoracic and lumbar intervertebral disc
16. Combined front and rear operating fuse of the 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. The decompression of spinal fractures
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 the bearing damage stored subdurálně
26. The exclusion of the tumor of spinal cord
27. The blockade of plexus coeliacus
28. the Bilateral blockade of the nervus planchnicus
29. dorsal root ganglion blockade Back
30. Intrathekální neurolýza
31. Injedce local anaesthetics or glycerol to the trigeminal ganglia
32. "diagnostic Lumbar sympathectomy-a local anesthetic
33. The lumbar sympathectomy therapeutic-neurolýza
34. Double eyelid reconstruction
35. Vytětí flat approach with the inner vitreous tamponádou
36. The reconstruction of the external ear canal
37. the second parathyroid operation
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 angioplasty sculpture (including lasser)
51. Percutaneous transluminal síňokomorového node ablation
52. Examination of the conduction system of the heart
53. cardiac pacemaker (Pacemaker) established bloodletting
54. The establishment and location of the pacemaker for tachycardia
55. A contrasting radiologic heart (including coronary blood vessels)
56. Incise and excise of pericardium
57. cardiac tamponade Decompression
58. Percutaneous transluminal introduction of prosthesis for the ductus arteriosus
59. operations on the pulmonary artery Transluminal
60. Vytětí part of the carotid artery
61. Carotid Artery Bypass
62. The operations of the cerebral artery
63. A Bypass from the subclavian artery
64. Vytětí part of the subclavian artery and its patch
65. other adjustments to the subclavian artery
66. renal artery Bypass
67. Vytětí part 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. The fix for tepenožilní fistula
74. The partial vytětí of the esophagus
75. Open vytnutí damaged (the patient) of the place of the esophagus
76. Bypass Surgery of the esophagus
77. The revision of the duodenal anastomosis
78. the adjustment of the esophagus
79. Artificial entrance to esophagus
80. the Intersection of muscle of the esophagus
81. Hellerova operation
82. The total vytětí of the stomach
83. The total excise colorectal anastomosis of the small intestine to the rectum
84. the Anastomosis of the small intestine to the anus and the creation of the colon (the stack)
85. Vytnutí of the rectum with kolonoanální anastomosou and colostomy
86. Vytnutí of the rectum and anus
87. Vytnutí of the rectum with the use of 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 removal of hepatic tumor
92. Adaptation (correction) in 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. Laparotomy and edit multiple visceral injury
98. Vytětí kidney and surrounding tissue
99. Percutaneous removal of ledvinného konkrementu
100. the creation of the ureter from the intestine
101. Two-sided ureterolýza
102. Total vytětí bladder (with the creation of the refund from the intestine)
103. Vytětí uterus and adnexa, and removal of the tissue surrounding the abdominal approach
104. A radical vytnutí the external genitalia, including the removal of the inguinal lymph nodes of women
105. The implantation of the prosthesis to the lower limb
Performance number 78117-Anesthesia with controlled ventilation á 20 min and number 78232-
Epidural or subarachnoideální anaesthesia á 20 min. hours can only with
the following operating performance category of difficulty (E):
1. Vytnutí in the mozkomozečkovém angle tumor
2. Ligation or zasvorkování aneurysm
cerebral arteries
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 vitreous humor
by removing the membrane (the introduction
internal tamponade)
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 surgery on
heart bag
16. Coronary arteries including obtaining graft
17. Revision of the coronary artery
18. The coronary artery angioplasty
19. correction of anomalies of coronary arteries
20. The operation of the transfer system
heart
21. The map guided (guided) surgery
ventricular arrhythmias
22. removal of pacemaker and
implementation of bypass surgery
23. correction of truncus arteriosus
24. The correction for the ductus arteriosus
25. create a short circuit to the pulmonary arteries from the
the aorta using inline prosthesis
26. The connection of the pulmonary artery to aorta directly
27. creating a short circuit to the pulmonary arteries from the
subclavian artery vřazením prosthesis
28. connection to the pulmonary arteries from the subclavian
the artery
29. treatment of pulmonary artery
30. The operations of the pulmonary artery
31. Delete embolu from the pulmonary blood vessels
32. Replacement aneurysmatického segment
aortic aneurysm)
33. the planned replacement of the ascending aorta
34. the planned replacement of the aortic arch
35. Bypass section of the aorta
36. The revision of the replacements (dentures) aorta
37. The plastic adjustment of the aorta
38. Ligation or clip an aneurysm cerebral
the artery
39. Reinforcement of the cerebral artery aneurysm
40. Vytětí part of the visceral (visceral)
the branches of the abdominal aorta and its compensation
41. The open operation on the visceral
the branches of the abdominal aorta
42. Vytětí esophagus and stomach
43. The total removal of the esophagus and compensation
the gut
44. Vytnutí of the colon, rectum and
the anus and artificial external openings of the small intestine
45. Vytnutí the entire liver lobe
46. Total vytnutí of the pancreas
47. Kidney Transplantation
48. Exenterace of the Pan
33.1 hyperbaric oxygen therapy
Performance number 78841-hyperbaric oxygen therapy in the lock-
izokomprese-acute indications-it is possible to report on:
------------------ -------------
Indication Of Diagnosis
------------------ -------------
What poisoning the T 58
Strate T 59. 9
Decompression sickness T 70. 3
70. 9
Gas embolism T 79. 0
T-80. 0
T 81. 7
T 82. 8
Acute traumatic T 79. 5-6
muscle ischemia
Crushing injury T 06. 3-4
limbs T 04. 2-9
------------------ -------------
Severe anaerobic and 41. 0-9
or mixed, and 48. 0
bacterial infection of the N 49. 9
soft tissue L 03. 9
Fasciitis,
myonecrosis, plynatá gangrene
------------------ -------------
Reperfúzní T 81 syndrome. 9
After invasive T 82. 9
Vascular performance
------------------ -------------
Replantace limb T 87. 0-2
------------------ -------------
Performance number 78843-hyperbaric oxygen therapy in the lock-
izokomprese-chronic indications-it is possible to kick in that the maximum number of
for the year:
------------------------------------ ----- --------------------------------------------------
Indication Of Diagnosis Of Max. number/year
Postraditional damage (osteoradionekróza, Y 84.2
necrosis of soft tissue-cystitis, from 92. 3 60 x
enteritis, proctitis, larynx, CNS, etc.),
prevention in a surgical procedure-
the implantation of the irradiated tissues,
tooth extraction
------------------------------------ ----- --------------------------------------------------
Diabetic defects (E) 10. 4
(E) 10. 5
E 11. 4
E 11. 5 80 x
------------------------------------ ----- --------------------------------------------------
Ischémické ulcers and defects and 70. 2
persistent despite provided even a 70. 8 80 x
optimal treatment
------------------------------------ ----- --------------------------------------------------
Neuroblastoma IV. St. (C) 47. 0-9 x 30 x
------------------------------------ ----- --------------------------------------------------
Sudden Deafness (H) 90. 3-5
(H) 91. 0-9
H 83. 3 x 40
------------------------------------ ----- --------------------------------------------------
Tinnitus H 93. 1 x 30 x
------------------------------------ ----- --------------------------------------------------
Problematic skin grafts and T 86. 8
free muscle flaps 40 x
------------------------------------ ----- --------------------------------------------------
Refractory chronic osteomyelitis M 86. 0-8 60 x
------------------------------------ ----- --------------------------------------------------
Algoneurodystrofie M 89. 0 40 x
------------------------------------ ----- --------------------------------------------------
Selected non-healing of the infected defects and 83. 2
Despite optimal treatment provided L 88
T 87. 4-5 80 x
------------------------------------ ----- --------------------------------------------------
Acute closures of the retinal artery H 34. 0-9 x 30 x
------------------------------------ ----- --------------------------------------------------
Burns over 20% of TBSA St. 2 T 20. 0-32 9 40 x
and more (with the exception of the head,
hands and perineum)
------------------------------------ ----- --------------------------------------------------
Postanoxická encephalopatie G 93. 1 60 x
------------------------------------ ----- --------------------------------------------------
Cystoid macular pneumatóza intestine K63. 8 x 40
------------------------------------ ----- --------------------------------------------------
20.6 the interpretation of items TISS
33.2.1 the basic rules
TISS is the method of system to determine the severity of the disease, and it indirectly by
the size of the treatment effort. It is based on the quantification of activities of the nursing
staff. Assigns the specified capacity point values from 1-4 as an expression
their complexity and time. The score is obtained as the sum of the spot
the values of individual diagnostic, monitoring and treatment of acts that have been
the patient made in the last 24 hours.
33.2.2 Assumptions
Each list item is a separate Act that represents a precisely defined
hinnost. If the operation is carried out and recorded in the medical literature, it is
included in the evaluation. Some items are in the logical relation-concern is always
the only specialised activities, which can be provided in different intensity-
for example. controlled ventilation (4 points), deepened ventilation (3 points), spontaneous
ventilation (2 points), oxygen therapy (1 point). In these cases, be counted against
score always act with the highest point value.
All items can be divided into 2 groups:
-disposable and
-recurring tasks
In the case that the one-time action follows, repeated frequency of operation, it is possible in
date of implementation of a score of both acts (eg. thoracic puncture + drainage
chest, etc.).
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 pronační location for controlled ventilation (can be
combined with the above code)
4. balloon tamponade varices or massive bleeding in the
the gastrointestinal tract with numerous benches
5. transport the patient with the support of vital functions outside the
care unit
6. the administration of blood and blood derivatives or replacement solutions
(at least 4 blood pressure units/30 minutes
7. the Swan-Ganz catheter
8. the use of elimination techniques, including peritoneal dialysis 1
x day
9. cardiac pacing, including chronic pacemaker,
If the active
10.-induced hypothermia-below 33 ° C
11. treatment of the patient with morbid obesity (weight 40% and
more appropriate body weight)
12. monitoring of intracranial pressure
13. notable and platelets
14. IAB balloon balloon counterpulsation
15. emergency operating performances in the previous 24 hours. -means the
with a sudden stroke of all etiologies
16. lavage GIT (IE. gastric lavage and Enteral dialysis) for
bleeding and intoxication-1/24 hours
17. urgent endoscopy
18. vasoactive substances-more than 1 drug
33.2.3.2 Group 3 points
1. parenteral nutrition to the central vein (all combinations
sugars with amino acids), including nutrition, renal
liver or heart
the failure of
2. inactive pacemaker (in standby)-record
stimulation of the examination 1/24 hours
3. the drainage of body cavities, requiring active sucking-with the exception of
Redon. drainage
4. other types of ventilation support, including non-invasive
techniques (e.g. continuous positive airway pressure,
ventilation with
pressure support, etc. )
5. the continuous measurement of an invasive ox in the bulbus in.
jugularis
6. solutions of concentrated kalia infuse into the central vein-
at least 80 mmol/24 hours
7. intubation during the last 24 hours.
8. dust extraction from the trachea blindly in the airway
Intubation or the tracheostomickou cannula
9 hours diuresa
10. numerous examination-statimová more than 4 in 24 hours
11. the frequent transfers of blood derivatives-more than 5/24 hours
12. the bolus administration of drugs outside the planned surgery
1. vasoactive drug-1 preparation
2. continuous infuse antiarrhythmic drugs
15. cardioversion for arrhythmia
16. the use of AIDS to active affecting body temperature
(cooling and heating) or physical methods of therapy
hyperpyrexia-cannot be
combined with the induced hypothermia (for 4b.)
5 arterial catheter
18. the acute 48 hours to capture. -can be reported in two
consecutive days
19. measurement of cardiac output by any method, including
non-invasive methods
20. support diuresy when you overload fluids administration of diuretics
or osmotic active substances and in the amount of
because of at least 1 mg
Furosemide/kg/24-hour event. 0.25 g 20% Mannitol/kg
scales/24 h
21. the active treatment of metabolic disorders (acidosis-alkalosis)
administration of concentrated solutions
22. urgent thoracentesis, pericardium-when drenáži can be
combined with "drains the body cavities" (3 (b))
23. the active anticoagulant therapy the first 48 hours. (incl.
Rheodextranu and low molecular weight heparins)
24. Monitoring intra-abdominal pressure
25. protection of the patient more than 2 i. v. antibiotics
26. the treatment of cramps or metabolic encephalopathy (48 hrs. from
boarding)-can be reported in two consecutive days
27. a complicated orthopedic traction
33.2.3.3 Group 2 points
1. measurement of central venous pressure at a minimum of 6 hours
2.2 the peripheral catheters
3. hemodialysis patients in chronic renal program
4. past continuous analgesia (at least 8 hours) including care
about catheter
5. spontaneous ventilation or endotracheal tracheostomickou
cannula
6. the nutrition sondová to all parts of the digestive tract to be nutritionally
defined diet
7. replacement of large fluid loss-infuse over maintenance need
a total of at least 4500ml/24hrs. all parenteral
made of fluids
8. parenteral chemotherapy
9. monitoring values of vital signs after 1 hour. , including
neurological condition record Glasgow coma scale
or Ramsey score,
pupil size and reaction
10. frequent bandaging, IE. more than 4/24 hours, or in the event with
using special cover materials
33.2.3.4 Group 1 point
1. monitoring of the ECG or SaO2 were studied
2. monitoring of vital signs after 1 hour
3.1 the peripheral catheter
4. chronic anticoagulation therapy
5. the standard measurement of receipt and issue-4 x/24hod.
6. laboratory examination statimová
7. intermittent i. in the medication according to the Office. (not
the infusion solutions)
8. routine basis
9. standard orthopedic traction
10. care of tracheostomy
11. care of decubitus ulcer (does not count)
12. a permanent urinary catheter
13. oxygen therapy
14. the administration of 1 to 2 of the antibiotics i. v.
15. chest physiotherapy-carried out by a physiotherapist or
a worker with the appropriate certificate entitling to
the implementation of the (the entity shall recognise the
intensive care departments, only in the case that
physiotherapist or CAP with
the certificate is its tribal employee)
16. extensive irrigations, tamponade, colostomy, including cleansing treatment
abdominal cavity
17. the decompression of the gastrointestinal tract (stomach probe,
a rectal tube)
18. parenteral nutrition into a peripheral vein (at least two components
of sugars, fats, proteins)
34.709-EMERGENCY MEDICINE (EMS)
The performance of the
number name
06713 Pre-hospital emergency care, monitoring or possibly
patient transport medical rescuer à 15 minutes
cannot be for the same quarter of an exhibit at the same time with any other power, in addition to
transport performance.
35.801-CLINICAL BIOCHEMISTRY
The performance of the
number name
81211 Glucose urine qualitative
Unable to show at the same time, with clinical examinations and performance
number name
81347 analysis of urine chemically and microscopically
Analysis of the urine chemically 09123
The performances
number name
81709 Laboratory dialysis lipoprotein fraction
81711 Spectrophotometric Determination of conjugate dienů
Separation of lipoproteins ultracentrifugací 81713
shall be carried out in patients followed-up in specialized guidance or placement
disorders of lipid metabolism and in preventive cardiology out-patient clinics. This is a
sick of secondary prevention of atherosclerotic complication, with KV risk over
40% at 10 years of age, with severe forms of hyperlipoproteinémie and Dyslipidemia patients
refractory to 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
can be performed only in workplaces with a link to the Centre of endocrinological
The performance of the
number name
81729 PAPP-A (pregnancy the plasma protein-A)
investigating the workplace only, which meet the following requirements:
-are in the registry of sites engaged in screening for congenital
(VVV) at the reference laboratory for Clinical Biochemistry MZ ČR in Prague-osvědční
is issued for 1 year according to recommendation 3 ČSKB and the 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 (VVV) in the second trimester of pregnancy
-are involved in the system of external quality control, are linked to the workplace
medical genetics and are staffed and equipped with a mechanically.
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 show at the same time.
22.5 the diagnosis
Determination of diagnosis and biopsy cytological diagnosis is reported per
topography code.
22.6 the cytological Staining slide
Performance number 823 87433 copyright expertise cannot be reported in the case of
gynecological cytology. For these purposes, the performance shows a number 95115 copyright
expertise in one of the 817 one preparation.
37.809-diagnostic radiology
About author professionalism of radio is local anesthesia
zakalkulována in performance, and therefore with the performances of this authorial expertise cannot be
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 of the chemicals on the curves in their processing.
The performance of the
number name
89419 Puncture angiography
Unable to show at the same time, with transparent or selective angiography.
The performance of the
number name
89421 angiography pressure measurement
Unable to show at the same time, with koronarografickými, ventrikulografickými and
PTCA.
For the performance of
number name
89437 PTCA more coronary arteries
It is possible to set report as AG ZUM only if performance does not connect to the performances of:
number name
89431 Selective coronary angiography a coronary artery (ev.
bypass surgery)
89433 Follow-up selective coronary angiography a coronary artery or
bypass surgery
89429 Selective coronary angiography both coronary arteries
The performance of the
number name
89312 dvoufotonová Densitometry
hours can only when the treating physician of the patient in the care for the
the bone disease.
38.817-laboratory of CLINICAL CYTOLOGY
number name
95109 Cervikovaginální-screening of cervical cytology
the neck of the
You cannot have in preventing at the same time with other specializations and 823 817 performances.
If it is in the context of screening for cervical cancer at the gynecologist
removed the material from the cervikovaginální area is the processing and evaluation
reported performance 95109 number only. The performance of the cytology is cervikovaginální
can also declare specializations of 823.
This screening performance can be reported at most once a year for one
of the patient.
Other cytological performances and 823 817 indicated skills proficiency, 603 and 604
It is possible only for the examination of material collected from a different area than the
the cervix.
39.901-CLINICAL PSYCHOLOGY
In one calendar month cannot be recorded at the same time comprehensive and targeted
examination of the clinical psychologist.
Clinical examination of 2 may report only a clinical psychologist with practice over 6 years.
The performance of the
number name
37121 Psychodiagnostics demanding intervention, á psychoterapeutickým
90 minutes
may report only a clinical psychologist with a total length of over 6 years of experience and
specializing in systematic psychotherapy.
40.902-PHYSIOTHERAPIST
The performance of the
number name
21711 School back-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 time a 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 family members
You cannot have one calendar day with one patient at the same time with other
the 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
physician-psychiatrist, doctor with the psychotherapeutic
qualifications or clinical psychologist with psychotherapeutic skills or
authorising a general practitioner. Indication is valid for a maximum period of three
consecutive calendar months.
25.6 the reporting
The performances of psychotherapy can only psychotherapists specialising in
systematic psychotherapy (doctors, including psychiatrists and clinical psychologists).
The performances
number name
35610 Psychotherapy group, type I, for a group of max. 9 people
á 120 min.
35620 Psychotherapy group, type II. for a group of 10-14 people
-á 120 min.
You cannot 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 report generally when:
1. urgent conditions in acute psychosocial crisis as a result of claims
exceptional living circumstances on the psyche (death, loss of relationship, the victim
violent crimes, survivors of the tragic accidents, mishaps and bulk
natural disasters, serious social conflicts-wars, political
oppression and migration on the psyche) (F) 43. x
2. urgent statuses for acute mental health problems as a result of the internal
psychological vulnerability (F) 41. x-F 42. x (F) 44. x-F 49
3. urgent statuses for chronic psychiatric dekompenzovaných
patients who are in a period of stabilization of the mental state in a reasonable manner
adapted to daily life in community (F) 2 x-3 x, 5 x F F-F 9 x
The performance also includes the treatment of psychic reactions in mass fatalities.
Performance reporting is subject to specialization in a systematic psychotherapy for doctors
including psychiatrists and clinical psychologists.
In the case of the trip to the place of performance is possible to report the crisis together with the performance
09521 (the time spent on transport) without the recommendation of a medical practitioner.
Performance cannot be reported on the same day, together with the performance of 35520-individual
systematic psychotherapy, with expertise in Psychiatry (305-combination is
only possible with performances of 35050-telephone consultations psychiatrist or clinical
the psychologist in the care of his patient, 35113-social investigation and the objective
history in the patient's environment and 35117-interview a psychiatrist, child and
adolescent psychiatrist, clinical psychologist, or a sexuologa with your family and
other people) and all the performances of the specializations, 306-308-child psychiatry
treatment of alcoholism, 309-Sexology, clinical psychology and 901-931-children's
Clinical Psychology.
Reporting performance in the clinic can be reached
In the clinic with the psychoterapeutickým program can be the performances of psychotherapy
combined with the performance of the Psychiatry, pedopsychiatrického and control
psychological or pedopsychologického examination OF: 1/1 week and performances
targeted mental health, pedopsychiatrického and psychological or
pedopsychologického examination OF: 1/1 on the treatment program (in the case of
psychological or pedopsychologického examination, it is always a limitation on one
examination, not on one performance).
Institution with the psychoterapeutickým program-for payment group
psychological care in the clinic can be used with ošetřovacím day report either 00041
35610-psychotherapy group performance, with the type OF: 3/1 day or performance-35620
psychotherapy group, type II. also with OF: 3/1 day. In one quarter can be on
the basis of the medical indications (and after writing the documentation) go from psychotherapy
35610 on psychotherapy 35620 or vice versa. In the case that is part of the
the treatment program, the community can continue to report on the performance of 35630-psychotherapy
Group, type III. with OF: 2/1 day. Other than that specified frequency limitations for
payment of group psychotherapeutic care in the clinic does not apply. On the basis of
indications (referred to in documentation) can be used to report the performance of individual psychotherapy
(35520) or family (35650). Referred to the performances of psychotherapy can be reported with
ošetřovacím for up to date 00041 3 months of initiation of treatment in
Clinic. After this period it will be approved, if treatment review
a doctor only in the case that this is a dg. F00-F09 Group (organic mental
disorders), F20-F29 (psychosis schizophrenic circuit), F30-F39 filters (disorders
mood), F42 (obsessive compulsive disorder), the F60. 3 (borderline disorders
personality) and F10-F16 with the numeral 2 in fourth place (some
drug dependence syndrome), and that the existing psychotherapeutic care in
Clinic had a demonstrable effect.
25.7 the combination with clinical examinations
The performances of psychotherapy cannot be combined with clinical examination.
42.911-the PERFORMANCES of GENERAL NURSES
The performances of copyright expertise 911 exhibit nurses working in surgeries
practical and other nurturing Medecine. The condition is for general practitioners
registration for other doctors must be indicating the doctor at the same time
the patient's treating physician. The patient's treating physician can indicate performance
Sisters only in connection with a problem for which the patient into care took over.
The performances of copyright expertise, 911 may only be declared when a sister
outside of the Office.
The performances of copyright expertise and skill performance copyright 911 925 cannot exhibit
at the same time, with the exception of performances and 06137 06135 number.
26.2 Infusion Therapy
The performance of the
number name
06115 Supervision over the course of a 30-minute infusion therapy á
may be reported together with the performance
number name
06113 Complex-the application of prescribed infusion therapy after written
the credentials of the treating physician to ensure hydration, energy sources and
treatment of pain
only if the time exceeds the operation 60 minutes (complete time both performances).
43.913-GENERAL NURSE in social services
General nurse in the social services means a general nurse providing
health care insurance policy holders in the residential institutions of social services, and in
residential care-medical insurance policy holders, who are placed in them from
other than medical reasons.
When providing nursing and rehabilitative health care for these insureds
the health care provided is reported based on the Office of the attending physician
competent skill performance 913.
44.914-PSYCHIATRIC NURSE
The performances
number name
35811 Introduction/their individual mental health
rehabilitation, consultation, administrative activity
psychiatric nurses
35815 Psychiatric Rehabilitation of individual
35821 Off crisis intervention carried out by a psychiatric nurse
will be reimbursed after the previous indication by a psychiatrist. The performances are indicated for
schizophrenia, schizophrenic with delusional disorders (F20-F29), mood disorder (F30-
F39 filters), and obsessive compulsive disorder (F42).
The performance of the
number name
35811 Introduction/their individual mental health
rehabilitation, consultation, administrative activity
psychiatric nurses
will be reported 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 is subject to approval the review by a doctor.
The performance of the
number name
35815 Psychiatric Rehabilitation of individual
will be banned during rehabilitation, but no more than 3 x in during one
of the week. The performance is intended for regular rehabilitation according to the approved
a rehabilitation plan. Force indication is one month. Performance can be
perform for a maximum period of 12 consecutive months, possible extension of the treatment
the review is subject to approval by your doctor.
The performance of the
number name
35821 Off crisis intervention carried out by a psychiatric nurse
will be reported only in acute decompensation of the patient. Force indication is
one week without the possibility of extension.
45.921-midwifery
Copyright expertise within the 921 Guestbook service exhibit and performance number
06135 and 06137 copyright expertise of 911.
46.925-HOME HEALTH CARE
The performances of copyright expertise 925 show only a medical establishment that provides
Home health care.
The performances of copyright expertise 925 may be shown on the basis of written indications
a medical practitioner, or a maximum of 14 calendar days after their hospitalization
on the basis of the indications of the treating physician for hospitalization.
Written indications for home health care must include the time span indicated by
care of the corresponding four types of treatment visits.
The performances of copyright expertise and skill performance copyright 911 925 cannot exhibit
at the same time, with the exception of performances number 06135 and 06137
Performance Care visits-type I to IV. can be reported individually or in
When combined, however, the three most care visits in one day.
The performance of the
number name
06311 Introduction, their home health care, administrative
the activities of the sisters in the home health care
hours can only twice from one cycle of continuous home health care,
most, however, twice in three months.
Own home health care is recognised primarily performances of Treatment visits.
These performances can be reported at the same time with the performances of the material, i.e. with the performances:
1. the examination of the condition of the patient's sister in the private bathroom
environment
2. the collection of biological material
3. application of parenteral therapy prescribed to ensure
hydration, energy sources and the treatment of pain
4. Treatment of Ostomy
5. Topical treatments
6. Klysma, perfusion, catheterization, washings, treatment of permanent
catheters
7. application of inhalation and therapeutic therapy p. o., s. c. i.
m., i. v., UV event. other ways of application therapy or
instillation of medications
8. Training and coaching application insulin
and with the performance of Physical assistance in providing home
health care.
47.927-ORTHOPTIST
Performance ortoptická use active, passive and pleoptická performed by ortoptistou
You can report 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 departments.
29.9 the time spent on transportation
The performance of the
number name
09521 doctor spent Time in patient transport within the framework of the visit
á 10 minutes
must not be banned, along with the performance of transport.
30.0 visit establishments of social services
The performance of the
number name
09519 a visit to a specialist in a patient
If it is a visit to the social services or similar environment,
hours can in one day only to one client for this device, performance
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 organ in several levels
09137 UZ examination two bodies in several levels
09139 UZ examination three or more organs in several levels
can be reported only if the photographer was made.
30.1 telephone consultations
The performance of the
number name
09513 doctor-patient telephone consultations
shall be borne by the insurance company only to doctors, that is for the issue by the treating
doctor. This performance the hours can only be a telephone consultation, which
related to the prevention, diagnosis, or treatment dispensing.
30.2 Treatment and bandaging
Treatment or re-applying the wounds is recorded performances:
number name
09237 Treatment or re-applying the wounds from 1 cm to 10 cm2
09241 Treatment or re-applying the wound from 10 to 30 cm2
09243 Treatment or re-applying the wounds over the 30 cm2
09239 suture of small wounds to 5 cm
For performance reporting is a crucial area of the wound, rather than dressing area. These
the performances of the show cannot be in one day at the same time for one site. For these purposes,
are considered site: head, neck, chest, abdomen, back, buttocks, each
the limb.
Burns are reported as well as wounds, or special performances of expertise
Burns medicine.
49. performance of the INSTRUMENT ONLY
30.5 the operating microscope
The use of the operating microscope can be used to report on performance
number name
the use of the operating microscope 56419 à 15 minutes
This performance was defined by the author's expertise in neurosurgery. Has been calculated with the
using the operating microscope in the acquisition value of $ 3 million. This performance
may exhibit workplace all scopes.
When you Use the microscope operating 30.6 performance
If the operating performance in the ENT microscope, can be used to report on performance
number name
When you Use the microscope 71823 operating performance á 10 minutes
This skill can be performance copyright 999 one patient reported repeatedly,
for every completed 10 minutes.
¨
Chapter 5
Treatment days
Treatment days (FROM) are recognized during hospitalization of the patient to
inpatient Department of the medical facility or while 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.
Date of acceptance for hospitalization and day of their hospital treatment shall be reported
as one of the.
FROM is reported according to the expertise of the Department FROM exhibits.
1. TREATMENT 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, 709.
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 recorded on acute beds Department expertise of 203.
7. liabilities of acute 00011 beds spinal units.
8.00012 is recorded on the beds Department for newborns.
9.00021 is recorded on the beds of psychiatric specialised therapeutic
the institutes.
10.00001 is reported on the beds of rehabilitation professional treatment
the institutes.
11.00023 is reported on the berths specialised therapeutic institutes of tuberculosis
and respiratory diseases.
12. liabilities 00024 beds of other specialised therapeutic institutes.
13.00025 shall be recorded on the beds spinal rehabilitation units
specialised therapeutic institutes.
14.00026 is recorded on the beds of children's psychiatric expert
therapeutic institutes.
15. liabilities 00027 beds children's rehabilitation specialist
therapeutic institutes.
16.00028 liabilities beds children's specialised therapeutic institutes
Tuberculosis and respiratory diseases.
17.00029 is reported on the beds of other children's specialized
the institutes.
18.00030 liabilities beds in special establishments Hospice
type
19. is recorded for one 00031 day stay accompanied by the patient within 6 years
age.
20.00032 is reported for a one day stay accompanied by the patient over 6 years
age.
21 00040 is reported when the day care on the bed.
22.00041 is reported for a one day stay of a patient in the clinic, if
the length of stay of at least 8 hours. In the case of a
psychoterapeutickým program as a reason for admission to the institution
If the length of stay at dosáhle at least 6 hours.
23.00051 is treatment day resuscitation of patient care with 50 and more
points under the scoring system therapeutic interventions (Therapeutic
Intervention Scoring System-hereinafter referred to as TISS).
24.00052 is the treatment day resuscitation of patient care with TISS 40-49
points.
25.00053 is treatment day resuscitation of patient care with TISS 30-39
points.
26.00055 treatment day intensive care is a higher level of patient with
TISS 20-29 points.
27.00057 is treatment day intensive care of patient with lower
TISS 15-20 points.
28.00058 is treatment day intensive care of patient with lower
TISS 9-14 points.
29. the treatment day 00061 resuscitation care for infants, children and adolescents.
30. the treatment day 00062 resuscitation in pediatric cardiology and
Pediatric Cardiac surgery.
31.00065 is treatment day intensive care for infants, children and adolescents-
a higher degree.
32.00068 is treatment day intensive care for infants, children and adolescents-
a lower degree.
33.00071 is treatment day neonatal resuscitation-higher
the degree.
34.00072 is treatment day neonatal resuscitation-lower
the degree.
35.00075 is the treatment day neonatal intensive care-a higher degree.
36.00078 is neonatal intensive care treatment day-a lower degree.
37.00080 is treatment day natal intensive care
38.00082 is treatment day natal intermediate care
39. at the request of 00098 is a pass to the patient.
40. is a get-out-of-00099 therapeutic reasons.
2. In the PERFORMANCE of IT is included:
1. all the rounds of doctors
2. the activities of health professionals eligible to practise the profession without
professional supervision after obtaining vocational and specialized qualifications
(hereinafter referred to as ZPSZ), health workers of 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 for practising the profession under expert supervision, or
direct line (FROM UNDER) If you don't have your own medical procedures.
3. administrative activity 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. the food allowance unit (except FROM 00012, 00040 00041, 00051 00052,,, 00053,
00061 00062, 00071 00072,,, 00075, 00098 00099 00078, and)
7. directly consumed medical supplies (except FROM 00031, 00032,
00098 00099 00041, and)
8. directly consumed medicines (only FROM the resuscitation,
the intensive and intermediate care, care provided in special
inpatient hospice-type devices and spinal units)
9. special-purpose appliance (only from reanimation, intensive and
intermediate care and spinal units)
In the outputs from, excluding FROM the resuscitation and intensive care is not included
resuscitation and intensive care.
3. the power from there shall be added:
1. the remuneration for the performance of the aggregate to the treatment of the day-based on expertise,
with the exception of day care on the bed.
2. remuneration directly consumed in medicinal products (except FROM the
reanimation, intensive and intermediate care, care provided in
Special inpatient hospice type and spinal devices
units)
3. the part of the reimbursement of indirect costs (overhead) of post operative care medical
device
The performances of the aggregated performance FROM the health insurance company fails to pay on the day
the patient is hospitalized, and even in-patient medical facility,
where the patient is hospitalized, or other medical institutions.
In the case that a medical facility requires the implementation of performance
the aggregated into FROM another medical facility, to request
on the implementation of the performance that a patient is hospitalised persons. Pull
performance pay, requiring medical device healthcare it
the device, which has carried out performance in the amount corresponding to the 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
remuneration for the performance of the aggregate to by by skill, in which it was FROM
banned.
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 who is subject to
a degressive rate is the value of the remuneration for the aggregated performance determined in accordance with
individual (A to E). If it is shown that a degressive rate
is not subject to the value of the remuneration for the performance of aggregated into the value 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
--------- -----------------------------------------------------
Explanatory notes to table:
Expertise expertise that is reported by the
agreg and points of point value of remuneration for the performance of aggregated into from the type and
agreg B points point value of remuneration for the performance of aggregated into FROM type B
(C) points agreg point value of remuneration for the performance in the aggregate from the type C
agreg D points point value of remuneration for the performance of aggregated into FROM type D
agreg E points point value of remuneration for the performance of aggregated into from the type E
3.2 Payment directly consumed in medicinal products
The amount of the reimbursement directly consumed medicines to patients FROM the (lump sum
to FROM) will be established on the basis of the contract between the medical establishment and
health insurance company.
3.3 reimbursement of indirect costs to FROM
see Chapter 7-"indirect costs".
4. the DOWNWARD RATE FROM
Remuneration FROM the listed below shall be subject to degressive rate. The descending rate from the
covers from 00001, 00002, 00003, 00006 and 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 722 602 481 481 301
points points points points points
00002 710 592 474 474 296
points points points points points
00003 851 709 568 568 355
points points points points points
00006 976 813 651 651 407
points points points points points
00010 947 789 631 631 395
points points points points points
----------------------------------------
Relegation zone:
A = 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 366
00011 3 301
00012 596
00021 495
00022 492
00023 437
00024 437
00025 2 000
00026 495
00027 492
00028 437
00029 437
00030 798
00031 71
00032 71
00040 473
00041 97
00051 29 981
00052 25 981
00053 21 981
00055 10 404
00057 5 670
00058 4 470
00061 23 981
00062 30 193
00065 13 324
00068 5 842
00071 26 414
00072 22 184
00075 12 179
00078 5 306
00080 6 022
00082 5 654
00098 0
00099 0
------------------------
6. The average length of HOSPITALIZATION
For the purposes of payment are set out in descending FROM the average length of
hospitalization for industry and number of each type FROM when you
the average length of hospitalization.
6.1 average length of hospitalization for each scope
-------------------------------------- ----------------------
The Scope Of The SDH O-O +
-------------------------------------- ----------------------
Allergology and Clinical Immunology 13 2 2
Anesthesiology, reanimation 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
obstetrics and Gynecology 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
Tuberculosis and respiratory diseases 19 6 4
Traumatology 9 2 2
Urology 9 3 2
-------------------------------------- ----------------------
Explanatory notes to table:
SDH
the average length of hospitalization
About-
the maximum permitted deviation downwards
O +
the maximum permitted deviation upwards
In the contract between health insurance and medical facilities can be
agree the average length of hospitalization by way of derogation to the extent permitted
deviations in a downward direction (reducing the average duration of hospitalisation) or in the direction of
up (extending the average length of hospitalization).
If the scope is not listed in the table, the average length of hospitalization
agreed between medical institutions and health insurance.
6.2 counts 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
-------------------------------------
Explanatory notes to table:
SDH
the average length of hospitalization in days
And
the number of the type and
(B)
number of type B
(C)
the number of type C
(D)
the number of the type D
At an average length of hospitalization within 3 days of the show all days of
A. in the event of longer average length of hospitalization than 20 days shall be treated
by the same mechanism of calculating days for each type of treatment
of the day.
When exceeding twice the agreed-upon the average length of hospitalization,
reimbursement of treatment delivery carried out according to the type of E.
On the basis of the contract between the in-patient medical facility and health
You can extend the payment from the insurance company of the type D, for radiotherapy and scopes
Oncology, where appropriate, the type (B), up to the entire period of hospitalization.
7. rules of Reporting
FROM the resuscitation and intensive care can be reported only in the workplace,
that meets the minimum personnel and technical equipment. Recipient of the performance
with higher qualifications can replace the bearer of performance with lower qualifications.
7.1 Minimum personnel equipment
7.1.1 FROM the neonatal resuscitation in addition
This is a FROM 00051 00052, 00053, 00061 00062, and.
------------------------------ ------------------------------- -------------------------
worker qualification time
------------------------------ ------------------------------- -------------------------
chief physician specialist competence 1.0 to the station
the attending physician specialized capacity 0.6 on the bed
doctor ÚPS ^ 1) specialized capacity 1.0 only for station ^ 2)
Ward nurse-PARAMEDICAL PERSONNEL of ALL PWPQ + 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
------------------------------ ------------------------------- -------------------------
24/7 availability of College-qualified technician within the
the health care facility.
In each shift must be present one of PARAMEDICAL PERSONNEL with the specialized
a device for ARIP.
1) ÚPS means a constitutional emergency service
2) doctor in the ÚPS only for resuscitation, the station does not serve
at the same time for the needs of other parts of Department
3) ARIP means specialisation studies referred to in Chapter 2, General
the rule, section 8.3
7.1.2 FROM neonatal resuscitation
This is a FROM 00071 00072 and.
----------------------------- --------------------------------- -----------------------
worker qualification time
----------------------------- --------------------------------- -----------------------
chief physician specialist competence 1.0 to the station
the attending physician specialized capacity 0.6 on the bed
doctor ÚPS specialized capacity 1.0 only for station
Ward nurse-PARAMEDICAL PERSONNEL of ALL PWPQ + 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
----------------------------- --------------------------------- -----------------------
24/7 availability of College-qualified technician within the
medical equipment
In each shift must be present one of PARAMEDICAL PERSONNEL with the specialized
a device for ARIP.
7.1.3 FROM the intensive care of higher degree
This is a FROM 00055, 00065 and 00075.
----------------------------- --------------------------------- ---------------------
worker qualification time
----------------------------- --------------------------------- ---------------------
chief physician specialist competence 1.0 to the station
the attending physician competence with the practice of 0.3 to bed
longer than 24 months
doctor ÚPS competence to practice only for 1.0 station
longer than 24 months
Ward nurse-PARAMEDICAL PERSONNEL of ALL PWPQ + 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 to bed
----------------------------- --------------------------------- ---------------------
In each shift must be present one of PARAMEDICAL PERSONNEL with the specialized
a device for ARIP.
7.1.4 FROM intensive care at a later stage
This is a FROM 00057 00058, 00068, and 00078.
----------------------------- --------------------------------- ------------------------------------
worker qualification time
----------------------------- --------------------------------- ------------------------------------
chief physician specialist capacity 0.5 on the station, present day
etřující physician competence with 0.2 praxídelší on bed
than 24 months
doctor ÚPS competence with experience longer if also provides ÚPS for the standard
than 24 months beds, so at least 2.0 total
Ward nurse-PARAMEDICAL PERSONNEL of ALL PWPQ + 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 shift must be present one of PARAMEDICAL PERSONNEL with the specialized
a device for ARIP.
7.1.5 Further FROM
Harnesses are converted into one station about 30 beds. U from 00003 on
one station about 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.
------------------------------------------- ---------------------------------
Doctor doctor doctor the doctor FROM the GCP PARAMEDICALS PARAMEDICAL PERSONNEL, FROM UNDER-
L3 L2 L1 ÚPS with the appropriate FROM BENEATH without
specializes in GCSE
------------------------------------------- ---------------------------------
00001 1 1 0 1.33 8.55 3.66 0.53 0.33
00002 0.33 0.33 0.33 1 0 1.33 8.51 4.33
00003 0.43 1 1 0 3 1.33 7.61 0.33
00006 1 1.5 2 1 2 5 11.5 0.33
00010 0.43 1 0 0 1 0.33 1.33 4.76
00011 1 3 0 0.5 1 2 10 4
00012 0.5 0.5 0 0 0 1 6 0
00031 0 0 0 0 0 0.1 0 0
00032 0 0 0 0 0 0.1 0 0
00041 0 0 0 0 0 0 2 0
00080 0.25 0.6 0.5 0.5 1.5 0.3 0 0
00082 0.25 0.6 0.5 0.5 0.9 0.3 0 0
00098 0 0 0 0 0 0 0 0
00099 0 0 0 0 0 0 0 0
------------------------------------------- ---------------------------------
Explanatory notes to table:
GCP-college-educated health professional: nelékařský
clinical psychologist, clinical speech therapist and physical therapist,
specialized competences and specific professional qualifications.
OUT FROM UNDER can form a maximum of 50% of the health workers. In each
the shift, however, must be present one of PARAMEDICAL PERSONNEL.
7.1.5.1 from-specialized therapeutic institutes
----------------------------------------- ----------------------------------------------------
FROM the doctor doctor the doctor L1 L2 L3 doctor ÚPS VNP PARAMEDICAL PERSONNEL, FROM UNDER the PARAMEDICAL PERSONNEL-without
or GCP with appropriate FROM UNDER the maturity
specialization
----------------------------------------- ----------------------------------------------------
00005 0.5 0 0 0 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 0 2 9 5
----------------------------------------- ----------------------------------------------------
Explanatory notes to table:
GCP-college-educated health professional: nelékařský
clinical psychologist, clinical speech therapist and physical therapist,
specialized competences and specific professional qualifications.
OUT FROM UNDER can form a maximum of 50% of the health workers. In each
the shift, however, must be present one of PARAMEDICAL PERSONNEL.
7.2 minimum technical facilities
7.2.1 FROM the resuscitation and intensive care for adults
7.2.1.1 FROM resuscitation of patient care with TISS 30 or more points
This is a FROM 00051 00052 00053, and.
The condition for the reporting of such 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 3-channel ECG unit 1 at the station
Kapnometr-module of CO2 1 on 1 bed
Pacemaker jednodutinový external 1 at the station
Bed resuscitation adjustable side to side 1 on 1 bed
Monitor ECG, SpO2, IBP, TEMP 1 to 2 beds
Modular monitor with 1 on 1 bed
Nebulizer 1 on 1 bed
Breast Pump 1 on 1 bed
Oximeter-pulse 1 on 1 bed
Anaesthesia apparatus at the station 1
Infusion pump 2 on 1 bed
Fan 1 on 1 bed
Apparatus for continuous blood purification methods (CVVH, CVVHD 1 station
or CVVHDF)
Emergency resuscitation Kit outside the ICU Department 1 the station
-------------------------------------------------------------- ----------------
7.2.1.2 FROM intensive care to a patient with a higher degree of TISS 20-29 points
This is a FROM 00055.
Condition for reporting this FROM at least four beds on the
workplace, the equipment listed below and ensure
the provision of emergency 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 3-channel ECG unit 1 at the station
Pacemaker jednodutinový external 1 at the station
Bed resuscitation 1 on 1 bed
Monitor ECG, SpO2, IBP, TEMP 1 station
Nebulizer 1 on 1 bed
Breast Pump 1 on 1 bed
Oximeter-pulse 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
This is a FROM 00057.
Condition for reporting this FROM at least three beds on the
workplace and equipment listed below.
--------------------------------------------------------- ---------------------
the number of the device
--------------------------------------------------------- ---------------------
Central station monitoring 1
injection dispenser stříkačkový 2 in 1 bed
defibrillator 1 station
At least 3-channel ECG unit 1 at the station
pacemaker jednodutinový external 1 at the station
bed resuscitation 1 on 1 bed
monitor ECG, NIBP 1 on 1 bed
nebulizer 1 to 2 beds
Breast Pump 1 on 2 beds
Oximeter-pulse 1 to 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
This is a FROM 00058.
Condition for reporting this FROM at least three beds on the
workplace and equipment listed below.
---------------------------------------------- ------------------
the number of the device
---------------------------------------------- ------------------
Central station monitoring 1
injection dispenser stříkačkový 1 to 1 bed
defibrillator 1 station
At least 3-channel ECG unit 1 at the station
bed resuscitation 1 on 1 bed
monitor ECG, NIBP 1 on 1 bed
nebulizer 1 to 3 beds
Breast Pump 1 on 2 beds
Oximeter-pulse 1 to 3 beds
infusion pump 1 on 1 bed
1 fan on the station
---------------------------------------------- ------------------
7.2.2 FROM the resuscitation and intensive care for infants, children and adolescents
7.2.2.1 FROM resuscitation care for infants, children and adolescents
This is a FROM 00061.
Condition for reporting this 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 3-channel ECG unit 1 at the station
emergency resuscitation Kit outside the Department. ICU 1 station
bed resuscitation 1 on 1 bed
heated bed for children up to 1 year 1 to the station
Monitor vital signs (ECG, resp., SpO2, NIBP, T, 1 on 1 bed
Monitor vital signs-invasive biological monitoring 1 on 1 bed
pressures (ECG, resp., SpO2, NIBP, T)
Breast Pump 1 on 1 bed
nebulizer 1 to 3 beds
Oximeter-pulse 1 to 3 beds
anaesthesia apparatus at the station 1
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 ages 1 to 1 bed
---------------------------------------------------------------- --------------
For the workplace, where are reported all stages of IP in
their equipment was only 1 X-RAY; 1 defibrillator; 1 ECG;
Once anaesthesia machine
7.2.2.2 FROM resuscitation in pediatric cardiology and pediatric
cardiac surgery
This is a FROM 00062.
Condition for reporting this 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 signs-invasive monitoring 1 on 1 bed
biological pressures (ECG, resp., SpO2, NIBP T)
Monitor vital signs (ECG, resp., SpO2, NIBP, T) 1 to 1 bed
anaesthesia unit 1 at the station
ECG unit 1 at the station
1 external pacemaker on the station
oesophageal Stimulator 1 to the station
central medical gas distribution 1 on 1 bed
bed resuscitation 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 at the station
INDUSTRIAL fan covering all children ages 1 to 1 bed
nebulizer 1 on 1 bed
----------------------------------------------------------- -------------------
7.2.2.3 FROM intensive care for infants, children and adolescents a higher degree of
This is a FROM 00065.
Condition for reporting this FROM at least four beds on the
workplace, the equipment listed below and ensure
the provision of emergency 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
emergency resuscitation Kit outside the Department. ICU 1 station
heated bed for children up to 1 year of age 1 to the station
Monitor vital signs (ECG, resp., SpO2, NIBP, T) 1 to 1 bed
Breast Pump 1 on 1 bed
anaesthesia apparatus at the station 1
Mobile X-RAY unit 1 at the station
infusion pump (linear, volumetric dispenser pump) 2 in 1 bed
INDUSTRIAL fan covering all children ages 1 to the station
nebulizer 1 on 1 bed
----------------------------------------------------------- -------------------
7.2.2.4 FROM intensive care for infants, children and adolescents the lower degree of
It s about FROM 00068.
Condition for reporting this FROM at least three beds on the
workplace and equipment listed below
.
----------------------------------------------------------- -------------------
the number of the device
----------------------------------------------------------- -------------------
trunk resuscitation 1 station
Monitor vital signs (ECG, resp., SpO2, NIBP, T) 1 to 1 bed
Breast Pump 1 on 1 bed
infusion pump 1 on 1 bed
nebulizer 1 on 1 bed
----------------------------------------------------------- -------------------
7.2.3 FROM neonatal resuscitation and intensive care
7.2.3.1 FROM neonatal resuscitation care higher and lower grade
This is a FROM 00071 00072 and.
The condition for the reporting of such 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
the ventilation unit 1 on 1 bed
--------------------------------- -------------
7.2.3.2 FROM neonatal intensive care a higher degree of
This is a FROM 00075.
Condition for reporting this FROM at least four beds on the
workplace, the equipment listed below and ensure
the provision of emergency 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 1 on 1 bed
CPAP device 1 on 1 brass bed
infusion pump 2 on 1 bed
Fan 1 on 1 bed
--------------------------------- -------------
7.2.3.3 FROM neonatal intensive care less
This is a FROM 00078.
Condition for reporting this FROM at least three beds on the
workplace and equipment listed below.
--------------------------------- -------------
the number of the device
--------------------------------- -------------
incubator SC 1 on 1 bed
monitor ECG, NIBP, SpO2, 1 on 1 bed
CPAP device 1 on 1 brass bed
infusion pump 1 on 1 bed
phototherapy 1 to 3 beds
--------------------------------- -------------
7.2.3.4 FROM natal intensive care
This is a FROM 00080.
Condition for reporting this FROM at least three beds on the
workplace and equipment listed below.
--------------------------------- -------------
the number of the device
--------------------------------- -------------
Ultrasonic unit 3 at the station
monitor ECG 3 on the station
bed obstetrical 1 on 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 to the station
--------------------------------- -------------
7.2.3.5 FROM natal intermediate care
This is a FROM 00082.
Condition for reporting this FROM at least three beds on the
workplace and equipment listed below.
--------------------------------- -------------
the number of the device
--------------------------------- -------------
Ultrasonic unit 3 at the station
monitor ECG 3 on the station
bed obstetrical 1 on 1 bed
monitor KTG 2 on station
injection dispenser stříkačkový 1 to 1 bed
pump infusion 2 to the station
Oximeter-pulse 3 on the station
breast pump 2 to 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 contents.
7.3.1 Obligatory content from resuscitation care
This is a FROM 00051 00052, 00053, 00061 00062,, 00071 00072, and.
Resuscitation care is provided when the failure of one or more living
features.
Obligatorním content from the resuscitation care is:
1. invasive monitoring
2. artificial lung ventilation
7.3.2 Obligatory content from the intensive care of higher degree
This is a FROM 00055, 00065 and 00075.
Higher level of intensive care is provided in the event of one or
more vital 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 intervention for impaired function or the internal
environment
3. Special documentation
7.3.3 Obligatory content from intensive care at a later stage
This is a FROM 00057 00058, 00068, and 00078. Intensive care of lower
the degree is granted when the impending failure of many vital functions.
Obligatorním content from the intensive care is lower:
1. a written indication to provide intensive care lower
the degree of a doctor recommending the provision of intensive care at a later stage
2. the written consent to the provision of intensive care at a later stage doctor
the receiving patient at the intensive care departments
3. permanent non-invasive monitoring of one or more vital functions
4. intravenous infusion treatment
5. the receipt and issue of fluid balance
8. ZUM Reported to OšETřOVACíM Days
To not show any of the materials as a separately charged materials
(ZUM), if not stated otherwise.
To FROM the resuscitation and intensive care can be reported as ZUM intracranial
sensor for measuring intracranial pressure used.
9. Reporting to OšETřOVACíM ZULP Days
The report cannot be posted separately FROM medicines (ZULP)
If not stated otherwise.
You can report as to FROM ZULP such medicinal products which are
marked with "B" in annex No. 2 of Act No. 48/1997 Coll.
You can report as to FROM ZULP such medicinal products which are
marked with the symbol "U" under annex 2 of the Act No. 48/1997 Coll.. This
not for FROM 00005, 00021 00022 00023,,, 00024, 00026 00027 00028,,,
00029.
You can report as to FROM ZULP with prior approval of the medical
such medicinal products that are marked with the symbol "X" annex
# 2 of Act No. 48/1997 Coll.. This does not apply for FROM 00005, 00021, 00001,
00023 00024, 00026 00027,,, 00028 00029,.
You can report as to FROM ZULP such medicinal products which are
marked with the symbol "K" referred to in annex No. 2 of Act No. 48/1997 Coll.
This does not apply for FROM 00005, 00021 00022 00023,,, 00024, 00026 00027,,
00028 00029, 00051 00052,,, 00053, 00055, 00057, 00058, 00061, 00065,
00068, 00071 00072,, 00075, 00078.
You can report as to 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 only applies to 00051 00052, FROM, 00053, 00055, 00057 00058,,
00061, 00065, 00068, 00071 00072,, 00075, 00078.
10. performance Reporting along with Treatment DAYS
Along with all of the medical procedures are shown, if not further
otherwise noted.
Along with performances FROM the show, not health, which is referred to in
List of medical procedures with point values in the entry restrictions
place
"And as an outpatient-only"
"SA-only to a specialized workplace on an outpatient basis"
"And as an outpatient-only-aggregated into FROM"
"SA-only to a specialized workplace-aggregated FROM the outpatient"
This does not apply for FROM 00040 00041 from.
Along with FROM the resuscitation and intensive care can't report performance
in the following list, or if you have made other
workplace than workplace resuscitation or intensive care:
1. Drainage of the chest
2. Endotracheal intubation for anesthesia not
3. Endotracheal suctioning
4. Enteral nutrition
5. Forced diuresis
6. Invasive monitoring
7. the central vein Cannulation
8. peripheral vein Cannulation including infusion
9. pulmonary artery Cannulation and wedge pressure measurement
10. Kardioverse
11. Comprehensive metabolic monitor
12. The massive volume of compensation and pressurized transfusion
13. measurement of cardiac output 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 gastric probes
22. The introduction of the intrajejunální probe.
23. the introduction of the catheter for intra-arterial perfusion
24. the introduction of the urinary catheter
25. The introduction of the Sengstagenovy probe
Along with FROM the resuscitation and intensive care cannot be no performances,
If you have been made by the Department of resuscitation and intensive care, except
performances:
1. Cardiopulmonary Resuscitation
2. for urgent operating performance of anesthesia
3. the Tracheostomy
4. Continuous venous Hemofiltration
5. Acute peritoneal dialysis
6. acute hemodialysis
7. chronic hemodialysis
8. Hemofiltration
9. Hemodiafiltrace
10. the Bezacetátová biofiltration
11. Plasmapheresis diaphragm
12. Hyperbaric oxygen therapy in a hyperbaric chamber forced air
13. the supportive 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
Autologous bone marrow transplantation, and apps to the thaw
central venous catheter in specialized haematological
workplaces
15. performance of parenteral nutrition for performance FROM the intensive care patient
with TISS points to 29 points.
11. DAY CARE on a BED
If after performing the invasive or operating performance is followed by the
the patient only one day care on a bed, with this stay on bed
regardless of the expertise of workplace ošetřovacím day 00040 without
the addition of remuneration for the performance in the aggregate FROM referred to in point 3.1 (remuneration for
aggregated performance to and from).
At the same time is recorded by contract agreed upon rate of overhead cost
bed medical facility according to Chapter 7.
In the out-patient care devices is to day care on the bed assigned
Director in the lowest point value according to Chapter 7, belonging to lůžkovému
medical facility providing acute in-patient care.
As a so-called performance. dunking on a bed may be shown also
invasive or operating performance with the restriction point "H", "SH", if
populated with the content specified in the list of performance and if on the day of their
the execution followed by dunking on a bed that is reported to the competent
ošetřovacím on the day.
Chapter 6
Category of the patient in care
Category of the patient expresses increased intensity of nursing care
delivered to the patient.
1. The REPORTING CATEGORIES of the PATIENT
Category of the patient is recorded for all hospitalized patients for
every day except the day of their hospitalization hospitalization. The first and
the last day of hospitalisation shall be recorded as a day with categories
corresponding to the condition of the patient in the first day of hospitalization. Category
the patient is reported and with the performance of the treatment of the day FROM 00005-
Nursing beds all specialties.
The patient's category 1 shall be recorded in the day when it is reported by the treatment 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. The patient's category 4 can be reported to the Department for
physiological newborns if the Department
hospitalized premature newborn or pathological newborn,
medical device has established the Department of pathology of newborn
and premature and premature newborns with pathological or not on 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 the
workers at the workplace, which exceeds the standard number of workers
used for calculation of the value of and referred to in chapter treatment days.
The value of the categories of patient:
---------------------------------------------- ---------------------------------------------------------------------
name points category legend
---------------------------------------------- ---------------------------------------------------------------------
0 0 patient on period reports every day, when the patient is in a period of
1 0 patient self-sufficient patient is independent of the základníošetřovatelské care
a child over 10 years
2 75 patient partially self-sufficient patient is partially self-sufficient, to serve with the dopomocí, it is
capable of moving off the bed with dopomocí or separately on disability
trolley
child from 6 to 10 years
3 150 patient requiring increased lucid patient, unable to move off the bed or dopomocí or
the sight alone in a wheelchair, requires almost complete servicing
mentally alterovaný the patient requiring increased surveillance, where appropriate,
necessary transitional restrictions on the movement or pharmacological sedation
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
---------------------------------------------- ---------------------------------------------------------------------
Chapter 7
Reimbursement of indirect costs
In the calculation of the point values of medical procedures, with the exception of performances
transport according to Chapter 8, the entry is not included indirect costs-overheads.
The overhead associated with the provision of out-patient 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 applicable to the performance of the author's expertise.
Performance time is listed in the list of medical procedures with point values
for each performance. The minute overhead rate for each author
proficiency is shown below.
The overhead associated with providing inpatient health care pays health
the insurance company, in part, on the basis of time and minute performance overhead rates
the remainder of the Director is assigned to ošetřovacímu. 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
2.52 point
in one minute of time of 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
3.02 point
in one minute of time of performance.
The performance copyright expertise, 911, 913 914, 921, 927, is assigned to the
the minute the overhead rate of
1.83 point
in one minute of time of performance.
The performance copyright expertise, 014, 015, is assigned to the minute overhead
rate of
3.15 point
in one minute of time of performance.
The minute overhead rate for one minute of time performance of assigned this
the decree to the performances of individual copyright expertise increases always
to 1. July calendar year by the average annual rate of inflation (as measured by
consumer price index) for the past year published the Czech
the Statistical Office. So calculated minute overhead rates
rounded to two decimal places.
In the contract between health insurance and medical facilities can, on
the basis of economically justified costs, necessary to agree higher
the per-minute rate than overhead in the Decree listed, but not to the
300% above the listed values.
In the contract between health insurance and medical facilities can, on
the basis of economically justified costs, necessary to agree a lower
the per-minute rate than overhead in the Decree listed, but not to the
above 30%.
2. the Director assigned to FROM the
The next part of the overhead cost differences resulting from the different
inpatient health care facility is covered by the general health
insurance in the form of overhead associated with the performance of the treatment of the day.
2.1 Inpatient health care facilities that provide acute in-patient care
In one or more contracted fields nasmlouvávají value
overhead costs associated with ošetřovacímu day in points, in the
the range of
25.2-81.9.
Director assigned to the ošetřovacímu date is determined uniformly for the whole
medical device.
2.2 medical facility providing in-patient health care other
It is all about nursing beds, specialized therapeutic institutes,
institutes for long-term patients and special Hospice inpatient facilities
the type of medical equipment that did not show with treatment
days, in addition to the distribution and release of the examination, any other health
the performances. The value of the Director assigned to the ošetřovacímu day in hospitals is
established on 151.2 point.
The value assigned to this Decree to the overhead ošetřovacímu day increases
always to 1. July calendar year by the average annual rate of inflation
(as measured by consumer price index) for the past year published
The Czech Statistical Office. The values thus calculated was directed
rounded to two decimal places.
In the contract between health insurance and medical facilities can, on
the basis of economically justified costs, necessary to agree higher
the value assigned to the overhead FROM than is listed in the Decree, however, not more than
to the amount of 400%.
In the contract between health insurance and medical facilities can, on
the basis of economically justified costs, necessary to agree a lower
the value assigned to the overhead FROM than is listed 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 supplies outside of the one that is included as directly
consumed in the performance or as ZUM charged separately
medicines other than those that are included as directly consumed
outputs or as ZULP charged separately
food excluding food paid for by the food drive in ošetřovacím day
General material outside of the one that is included as directly
consumed in some performances
material for maintenance outside of the one that is included in the performance
in the context of specific maintenance of single-purpose devices
lingerie
personal protective equipment for employees
small tangible fixed assets
books and teaching aids
Power consumption: energy
water (excluding water included as directly consumed in some
performances)
steam
gas
Services:
repair and maintenance of single-purpose devices outside the 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
Personnel costs:
labour costs excluding wage costs that are included in the performance
other personnel costs excluding costs included in the performance
premiums for general health insurance outside of the universal
health insurance included in the performance
social insurance of workers outside the social
insurance included in the performance
Tax
Other costs (depreciation bad debt, interest, other other
the cost)
Depreciation of intangible and tangible fixed assets excluding special-purpose
instruments included in the performance
Internal costs 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 emergency medical 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. the movements of scores of patients
3. infectious ferries patients
4. drive vehicles EMS
5. ferries 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 visitors service
9. transport practitioners in LSPP
10. transport of transfusion products, special medicinal products,
tissues and organs for transplantation, transportation, doctor or other
healthcare professional to a specialist and the necessary performance.
1.1.1 Transport patients
Transporting transporting the patient means to and from medical facilities,
between medical devices and medical devices
the GST.
1.1.2 Transport scores of 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 in a way that is added to the number of kilometres
driven under escort to the number of kilometres driven 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 escort without the patient's (return) is not covered by the public health
insurance.
1.1.3 Infectious ferries patients
Infectious transfer means the transport of patients with infectious and
parasitic diseases, carried out under the special scheme provided for in
the hygiene rules.
1.1.4 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.
1.1.5. Air transport
Air transport of patients in emergency cases is carried out on the basis of
medical approval.
1.1.6 Transport on an autopsy and dissection
Transportation to and from the autopsy, autopsy shows the performance of transport with a fixed rate
at one kilometre. Driving a vehicle without a deceased nevytíženého with
does not show.
1.2 at 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 transport to medical facility,
where appropriate, the place of destination
6. supervision and necessary care during transport
7. ongoing communication with the control centre
8. transfer of a patient in a medical facility, or
place of residence or 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) reasonably incurred
the cost of vehicle traffic in the modes of transfers on the one
of the patient.
2.1 transport of patients
2.1.1. the entity shall recognise the number of kilometres driven DZS in accordance with paragraph 2(b). 7 with the
each specific patient a suitable communications according to the place of destination
indication of a doctor, even if it is transported at the same time more
patients, however, most of 4 people, including scores of patients.
2.1.2. Transport of patients made DZS regional statutory cities can
be paid in a lump sum. In negotiating a lump sum shall be
proceed according to the formula: number of points within zone 1-30 km x value of the point (x)
the average distance per unit of transport in km.
Ride the ambulance without patient 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 established rates for 1 km, average
the transport distance in a specific location and workload of ambulance cars.
2.2 Infectious ferries patients
DZS reports the number of kilometres driven with each particular patient,
an appropriate communication to the destination, according to doctor's indications, even in
the case is transported at the same time more patients, however not 4.
Nevytíženého ambulance vehicle ride without the patient does not show.
2.3 the ride vehicles EMS
In vehicle mode, the EMS and also in the case of special transport ambulance
for the transport of premature newborns and transfusion products, transport
Special medicinal products, tissues and organs for transplantation,
experts to the specialist and the necessary performance, is reported by the device
All mileage in the context of intervention for the patient, including
drive back to the station if it was not interrupted on the way to the next
the intervention.
In addition to the remuneration for the mileage can be paid for by the EMS vehicles ride
also by flat rate per trip. This lump sum shall be determined by calculation
based on the established rates for 1 km and the average vehicle EMS
the transport distance in a specific location. In a performance vehicle
EMS for 1 km (possibly a single exit vehicles EMS) are not included
medical procedures the doctor, nor the performance of other specialized health care
workers, which are reported separately.
2.4 vehicle and ride back to the station
In all cases, excluding transfers of 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 on the way 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 remuneration excluding provisions) section 2.
(b) the increase in remuneration for performance) up to an additional 50% in cases justified
demographic and geographical particularities and the characteristics of the territory,
rendering the necessary Exchange DZS or their economic
operation.
4. Reimbursement of travel Costs to the insured in connection with the provision
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
of the required type. It is only the actual number of kilometres driven with the
particular the patient, not the path of the vehicle without the patient.
Payment is made to the insured person upon presentation of a voucher issued by the
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 health workers are
According to the relevant transport performance covered medical device that
health care in the guestbook service provided.
Health insurance and medical facilities may agree in the contract
flat-rate reimbursement of travel costs of health care workers in the
Guestbook service. Flat-rate compensation can be agreed at the time period
or the insured person visited.
The maximum distance to which is paid by the health insurance travel
the cost of health-care professionals, it is agreed in the contract between
medical facilities and health insurance taking into account 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 health professional in the visitors service 12.26
12 the right doctor in LSPP 12.46
20 patient Transport by private car 5.30
45 the transport of a patient within zone 1-30 km 20.50
patient Transport within zone 46 31-60 km 19.00
47 transportation of the patient in the band 61-130 km 17.50
48 the transport of the patient in the band of 131 km + 17.00
50 Transportation on an autopsy and dissection of 17.50
60 Right transfusion products, Specialty Pharmaceuticals, tissues and organs 30.46
for transplantation, the right doctor or other healthcare
worker to the specialist and the necessary performance
70 Ride vehicles EMS 40.07
72 Transport special ambulance for newborn 40.07
Transport nedonošeného or pathological the 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. the list of medical procedures
_________________
*) Note. ASPI: the list is available on the website
http://ftp.aspi.cz/opispdf/2007.html#castka105.
Article. (II)
This Decree shall enter into force on 1 January 2000. January 1, 2008.
Minister:
Mudr. Julínek, MBA in r.
1) Act No. 95/2004 Coll., on conditions for the acquisition and recognition of professional
competence and specialized competence to perform the medical
the professions of doctor, dentist and pharmacist.
2) § 22-section 24 of Act No. 96/2004 Coll., on conditions for the acquisition and
recognition of the competence for the exercise of paramedical professions and to
the performance of activities related to the provision of health care and amending
certain related laws (the law on the paramedical
occupations)
3) Decree 424/2004 Coll., laying down the activity of health
workers and other professional workers.
