Xinhua News Agency, Beijing, January 4 (Reporter Xu Penghang) The National Medical Insurance Administration recently officially issued the "Guidelines for the Pricing of Ophthalmology Medical Services Price Projects (Trial)" to integrate and standardize the price of ophthalmology medical service to help protect eye health.
It is reported that the ophthalmology project approval guide integrates the mapping of 563 technical specification projects into 125, and is divided into three categories: clinical diagnosis and inspection projects, non-surgical treatment projects and surgical projects. Among them, in clinical diagnosis and inspection items, ophthalmic examination items that may have overlapping, such as "introscopic pressure examination" and "introscopic pressure examination (glaucoma excitation)", must not be charged at the same time.
While standardizing and unifying current price projects, the project approval guide implements separate items for complex situations and complex operations with high value and high risk, reflecting differences in technical difficulties. For example, it is clear that the intraocular lens implantation fee is set up, and routine and complex situations are set up according to the patient's condition. To prevent lens displacement, when an intraocular lens is suspended or a tension ring is implanted, the difficulty of the surgery is significantly increased and can be charged according to complex situations.
In view of the particularity of beauty projects in ophthalmic medical services, the project guide clearly states that in the pricing instructions, bag plastic surgery, double eyelid surgery (double eyelid surgery), etc. are commonly used cosmetic plastic surgery projects, for reference in various places when formulating price management methods. In order to actively support the transformation of innovative technologies, the project guide will set the independent item of "femtosecond laser myopia correction surgery" that is currently well-known to the public.
In addition, the project guide also focuses on the myopia and amblyopia problems in children, and set up multiple projects such as "medi-drip optometry", "apparent optometry", and "visual function training" to promote early diagnosis and treatment of children with myopia and amblyopia.
The National Health Insurance Administration stated that the standardized and standardized price project system will further promote medical institutions to effectively make up for the shortcomings and shortcomings in ophthalmic diagnosis and treatment, and provide strong support for the optimization of ophthalmic medical services.
