Core Viewpoint - The National Healthcare Security Administration has revised the coding rules for traditional Chinese medicine (TCM) decoction pieces to enhance the quality development of the TCM industry and adapt to new healthcare business requirements [1][2] Group 1: New Coding System - A new "medical insurance ID" has been assigned to each TCM decoction piece, which serves as a universal key in various aspects such as billing, reimbursement, and fund supervision [1] - The updated coding system includes over 10,000 entries covering more than 3,000 types of TCM materials and 22 categories of different effects, achieving a "national unified code" [1] Group 2: Key Features of the Revision - The revision retains four core elements: identification code, standard classification code, efficacy classification code, and name code, while adding two new key segments: the "authentic medicinal material identification code" and the "decoction piece enterprise code" [1] - The authentic medicinal material identification code acts like a geographical certification label, allowing easy identification of local varieties such as Yunnan Sanqi and Sichuan Chuanbei [1] - The enterprise code ensures precise accountability for production, making manufacturer information clear and traceable, which encourages companies to take responsibility and supports the implementation of centralized procurement for decoction pieces [1] Group 3: Future Developments - The National Healthcare Security Administration plans to continuously improve the TCM decoction piece information database and organize relevant enterprises to update and maintain coding information [2] - A coding scheme for the traceability code of decoction pieces is under broad consultation, aiming to promote more standardized and refined management of decoction pieces in the future [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
Xin Jing Bao·2026-01-10 04:35