国家医保局印发消化系统和疝、甲乳类立项指南

Core Insights - The National Healthcare Security Administration (NHSA) has issued guidelines for pricing projects related to digestive system medical services and hernia and thyroid surgeries, aiming to enhance diagnostic quality and standardize pricing practices [1] Group 1: Standardization of Pricing - The guidelines integrate existing projects to promote standardized pricing, addressing the complexity of the digestive system and its treatments [2] - A new unified pricing unit for "gastrointestinal pressure measurement" has been established, allowing for multiple pressure tests to be charged under one fee, enhancing compatibility of diagnostic and treatment projects [2] Group 2: Transparency in Charges - The guidelines clarify the pricing for lymph node dissection, which is often performed alongside other treatments, to reduce billing disputes [3] - For example, the pricing structure for colon cancer treatment now distinctly separates charges for partial colon resection, extensive radical resection, and abdominal lymph node dissection, providing clear billing guidance [3] Group 3: Differentiation of Surgical Complexity - The guidelines categorize hernia surgeries into "routine" and "complex" based on surgical difficulty, reflecting clinical value [4] - Specific cases, such as large hernias or those requiring significant surgical intervention, are classified under complex hernia repair fees, allowing for a more nuanced pricing approach [4] - The classification system also applies to thyroid surgeries, where individual patient anatomy may increase surgical difficulty, ensuring appropriate pricing standards are established [4]