Core Insights - The National Healthcare Security Administration (NHSA) has upgraded the insurance coding system for traditional Chinese medicine (TCM) decoction pieces, providing each piece with a new "insurance ID" to meet the evolving needs of the healthcare system and support the high-quality development of the TCM industry [1][2] Group 1: New Coding System - The new coding system assigns a unique insurance identification code to each TCM decoction piece, which plays a crucial role in billing, reimbursement, and fund supervision [1] - The updated system includes over ten thousand codes covering more than 3,000 types of TCM materials and 22 categories of different effects, achieving a "national one-code universal" standard [1] Group 2: Enhancements in Transparency - The revision retains four core elements while adding two new key codes: the "Authentic Medicinal Material Identification Code" and the "TCM Decoction Piece Enterprise Code," which enhance transparency regarding the origin and production of the materials [2] - The Authentic Medicinal Material Identification Code acts as a geographical certification label, allowing easy identification of local varieties like Yunnan Sanqi and Sichuan Chuanbei [2] Group 3: Future Developments - The NHSA plans to continuously improve the TCM decoction piece information database and ensure timely updates from related enterprises, while also making this information publicly accessible [2] - A coding scheme for traceability codes is under broad consultation, aiming to further standardize and refine the management of TCM decoction pieces [2]
中药饮片医保编码身份升级!道地药材、生产厂家一码掌握
Ren Min Ri Bao·2026-01-10 00:06