What is Decree of the Ministry of Health No. 263 / 1993 Coll.?

Decree of the Ministry of Health No. 263 / 1993 Coll., amending and supplementing Decree of the Ministry of Health of the Czech Republic No. 258 / 1992 Coll., which publishes a list of health performance with point values — Decree of the Ministry of Health amending and supplementing Decree of the Ministry of Health of the Czech Republic No. 258 / 1992 Coll., which publishes a list of health performance with points.

Is Decree of the Ministry of Health No. 263 / 1993 Coll. still valid?

Yes, Decree of the Ministry of Health No. 263 / 1993 Coll. is still valid and effective.

Decree of the Ministry of Health No. 263 / 1993 Coll. - Decree of the Ministry of Health amendin...

Q: When it became Decree of the Ministry of Health No. 263 / 1993 Coll. effectiveness?

Decree of the Ministry of Health No. 263 / 1993 Coll. became effective 26.10.1993.

263

DECLARATION

Ministry of Health

of 30 September 1993

amending and supplementing Decree of the Ministry of Health of the Czech Republic No. 258 / 1992 Coll., which publishes a list of health performance with points

The Ministry of Health shall, following a conciliation procedure with the General Health Insurance Company, representatives of other health insurance companies, representatives of contractual health institutions, the Czech Medical Chamber, the Czech Dental Chamber and representatives of professional scientific companies pursuant to § 13 paragraph 3 of the Act of the Czech National Council No. 550 / 1991 Coll., on General Health Insurance:

Čl. I

Decree of the Ministry of Health of the Czech Republic No. 258 / 1992 Coll., which publishes a list of health performance with points, is amended as follows:

1. In Paragraph 1 (3), "Kčs' is replaced by" Kč '.

2. In the list of health performances with point value1), the word "Kčs' is replaced by the word" Kč 'and the amendments listed in the Annex, which is part of this decree, are made.

Čl. II

Point values of health performance under this decree shall be used for the evaluation of health performance for 1993, if this is more favourable to the health establishment.

Čl. III

This decree shall take effect on the day of its publication.

Minister:

MUDr.

Annex to Decree No 263 / 1993 Coll.

Changes and additions to the list of health performance with point values

1. In the chapter Explanation of the basic terms used in the list:

(a) the current text is replaced by the following:

„Omezení (O)

Údaj omezení uvedený v 1. sloupci a nultém řádku tabulkové části Seznamu výkonů. Označuje omezení práva vykázat výkon jen na některou složku zdravotnického zařízení nebo na některý typ vyúčtování. Omezení je uváděno pod číslem kódu ve sloupci 1.

„H“

znamená, že výkon bude proplácen pouze tehdy, bude-li proveden při hospitalizaci pacienta a vykázán na hospitalizačním účtu.

„A“

znamená, že výkon bude proplácen jen tehdy, bude-li proveden ambulantně a vykázán na ambulantním účtu.“;

(b) the current text under the heading "Payment category" shall be added to the following sentence: "The method of payment is shown in the list of performances in the eighth column marked" K. "';

(c) the words "or performances whose categorisation has not yet been proposed or discussed" shall be deleted under the heading "unmarked."

2. In Chapter Rules on the reporting of performance for a health insurance undertaking:

(a) in part (a) general rules:

1. the whole item "accounting for foreigners" is deleted;

2. the following sentence shall be added under the heading "Targeted examination": "Codes targeted by a doctor shall also show the issue of a proposal for comprehensive and contributory spa care. The proposed physician shall be fully covered by the health insurance undertaking within the applicable list of health performance. ';

3. under the heading "Separate performance of nurses and NZP in hospital and medical practice" the following sentence shall be added at the end:

"Reporting of blood collection performance codes (20006, 20007, 20009) for the PMI is permitted at workplaces which are adequately and technically equipped and not part of the office operation of outpatient or berth for blood collection and processing. ';

(b) Part (b) Outpatient care:

1. the heading "home care" reads:

"In the indication of home care by the doctor, the performance, frequency of execution, the exact time period of implementation must be defined and this must be entered in the patient's medical documentation. ';

2. the entry "LDN 'is as follows:

"In the field of the payment of performance for patients hospitalized in LDN, - health insurance companies pay the performance of a doctor who is not an employee of LDN. ';

3. the entry "spa care" is deleted;

(c) in (c) Bed care:

1. the following sentence shall be added to the entry "day of treatment":

"For the treatment day type 11 of constitutional professional long-term care code No 88811, a higher score may be discussed with the health insurance undertaking on the basis of economically justified costs. ';

2. the heading "patient status category" shall be as follows:

"The category is reported for all hospitalised patients according to the code list in the Performance List on page 262. Category 1 shall be provided for the codes for which the TISS marking is indicated. Category 1 is reported when a newborn is present in the neonatal ward. In case the device does not have a special separation for premature and pathological neonates and it is not possible to report the type of treatment on 88813, it is necessary to report to category 4 code 88812 in the premature or pathological neonates. For paediatric patients with whom an escort is hospitalised in the ward, a higher category cannot be reported due to the age of the child. ';

3. under the heading "Reimbursement of medicines directly administered during hospitalisation," the second sentence is deleted and replaced by the following:

"The medicines provided shall be paid on a flat-rate basis per patient and treatment day, depending on the expertise and type of bed facilities. ';

(d) for part (c) Bed care, a new part (d) shall be included, including the title:

"(d) Reporting and method of payment of certain health performance

Restrictions

Restrictions on reporting of certain performance

1) The LSPP examination may be reported (except for dentists. LSPP) only by the expertise codes 001, 002 and 899. Power codes 00101, 00102, 00201, 00202 cannot be used.

2) Proceedings with code 26007 to 26015 as well as codes 89536, 89537, 89544, 26101 to 26106 may be reported only if the patient is hospitalized in an ARO or intensive care unit. When staying on the ARO or ICU, codes of all the performances that have been performed shall be reported on the 1st day (patient intake date). The hospitalized patient category is reported according to the patient's health status categories 1-5. From the 2nd day of hospitalization to the ARO or ICU, intensive care codes with TIISS points may be reported, further to the TIISS points of the following performance, which were carried out on that day, codes 25101, 25102, 25103, 25104, 25105, 26028, 26033, 26036, 26037, 32115, 30021.

3) When the patient is admitted to hospitalisation, the receiving physician shall report the code for a comprehensive examination of the relevant expert. For an interval of less than three months from the last hospitalisation and if the previous documentation is available, the code of the targeted examination shall be reported.

(4) Upon release of the patient, including processing of the release report, the code of the targeted examination of the relevant expertise shall be reported.

5) The autopsy report shall be reported separately by code No 80001.

6) Preventive care

Preventive examination in an adult can be reported by the performing practitioner to the maximum extent of "repeat comprehensive examination" (code 00102). For children and adolescents, a preventive examination may be performed by a general practitioner for children and young persons up to a maximum of "repeated comprehensive examination" according to the age of the child, codes 00202 and 00212 respectively. In the field of gyno, a preventive examination may be reported within a maximum "targeted examination" (code 06302). The code "Preventive Performance '(80161) shall be given at the same time as these codes. In the field of dentistry, a preventive examination in children and adolescents shall be reported as a" control pedostomatology test' by code 91070 at the same time the code "preventive systematic examination of the teeth of children and adolescents' (91061) shall be given. In adults and pregnant patients, a preventive dental examination shall be reported as a" control comprehensive examination 'of code 91020 at the same time as the code "preventive performance' 80161.

Reporting of acupuncture performance

1. report performance 22801 and 89293 only a physician with competence in this activity is entitled. Code 22801 includes detailed anamnoses, selection of points, pulse diagnostics, needle application, patient monitoring. Other performance shall be reported under code 89293.

2. Codes 22802 and 22803 may be reported only by physicians who have competence in this activity.

3. The professional competence to perform the performance referred to in points 1 and 2 shall be acquired by doctors according to special regulations (since the Ministry of Health and Health) by the Institute for the Further Training of Doctors and pharmacists.

Hearing and vestibular examination

Any method of hearing and vestibular apparatus examination is calculated and designed as a bilateral examination.

The hearing check, e.g. after aeration, after perforation of the drum, etc., is an integral part of the basic output and cannot be reported by a separate code.

Performing a sonographic examination of the foetus in pregnant women (section 809 - radiodiagnostic)

1) The first screening of the fetus is carried out until approximately 12 weeks after P. M.

This test is reported by code No: 17104 - pelvic sonographic examination.

2) The second examination is performed at about 18-24 weeks.

This examination is reported by code No: 17106 - special ultrasound examination to rule out morphological defects in the fetus.

3) The third examination is then carried out at week 30-34 for indication and use of code 17106. When UZ is clinically indicated, more frequent UZ tests may be permitted to be reimbursed. The validity of the indications shall be assessed by the medical examiner.

Reporting of selected dental performance

For the following dental performance codes, no more than 1 code can be reported simultaneously during one visit to the patient in the surgery (a dental practitioner or other dental specialist) or one visit to the patient:

91 010	vstupní komplexní vyšetření
91 020	kontrolní komplexní vyšetření
91 030	cílené vyšetření
91 060	komplexní pedostomatolog. vyšetření
91 070	kontrolní pedostomatolog. vyšetření
91 040	komplexní parodontolog. vyšetření
91 050	kontrolní parodontolog. vyšetření.“.

3. In the chapter "Processes marked with" W "- the explanation of the" special scheme "in terms of remuneration by the health insurance undertaking" is entered in heading II. The performance of non-doctors shall be supplemented by the following codes:

"89823 performance will be paid (on the basis of the supplement to the health insurance contract) to the laboratory workplace where separation is carried out if the sample is no longer processed but sent to another workplace for its own examination.

89824 the same restriction as 89823 '.

4. the following Chapter shall be inserted after the chapter "Processes marked with" Z "- the explanation of the" special scheme "in terms of remuneration by the health insurance undertaking:

"Reporting of separately charged material in orthopaedic performance

The following material is reported as ZUM (no price dependence):

Osteosynthetic material applied to the patient during surgery, i.e. spiked splints, wires, screws, nails, entrapment. It is also an external fixation apparatus.

The operational performance shall be accounted for by division into groups II-VII.

- used screws, nails and wires are charged as disposable ZUM

- The Ilizar apparatus is charged as a disposable ZUM

- for Poldi fixators, 20% of the price of the parts used is written off as ZUM

- 10% of the price of the parts used, such as ZUM (orthofix, Vagner and analog), for one-plane import apparatus

- for external spine fixators, including hallo traction, 10% shall be written off as ZUM. '

5. In the chapter "LIST OF PERFORMANCE ':

1. the amounts indicated in the column for direct material (Pmat) are amended as follows:

u odbornosti		Kód	Pmat
„107	kardiologie	10043	5 Kč
606	ortopedie	20014	16 Kč
		89705	16 Kč
		89707	16 Kč
801	klinická biochemie	50004	193 Kč
603	gynekologie a porodnictví	89467	70 Kč“.

2. The amounts set out in the column "POST 'are amended as follows:

u odbornosti		Kód	BODY
„305	psychiatrie	22101	159
		22102	61
		22103	21
		22105	159
701	otorinolaryngologie	89366	560
899	universální lékařské výkony - bez vazby na odbornost	07902	54
899	universální lékařské výkony - bez vazby na odbornost	07904	54
901	klinická psychologie	9101	119
		9102	24
		9103	9
		9104	9
		9105	119
		9106	238
		9107	119
		9108	238
		9109	119
		9110	119
		9111	119
		9112	93
		9113	93
902	rehabilitační pracovník - absolvent VŠ	9220	28
902	rehabilitační pracovník - absolvent VŠ	9250	28
903	klinická logopedie	9301	58
903	klinická logopedie	9312	16
918	rehabilitační pracovník - absolvent SZŠ	9201	39
		9202	19
		9203	12
		9204	39
		9205	28
		9206	58
		9209	58
		9227	12
		9228	28
		9230	28
		9231	28
		9232	28
		9233	28
		9244	28
		9247	28“.

3. For expertise 807 pathology code 89168 reads:

„kód	Čas lékařů	Čas ostatních	P mzdy	P mat.	Body
89168	160	0	101	19	288“.

For expertise 506 neurosurgery code 36036 reads:

„kód	Čas lékařů	Čas ostatních	P mzdy	P mat.	Body
36036	0	0	0	0	0“.

4. In the field of proficiency 014 dentistry general - general practitioner, dental practitioner, the codes indicated are deleted:

91091, 91092, 91111, 91112, 91113, 91121, 91122, 91123, 91131, 91132, 91133, 91140, 91150.

5. For the expert 807 pathology, the performance codes are indicated: 70101, 71101, 74102.

6. For the expertise of the treatment day, the power indicated by code 88832 shall be discharged.

7. The entries in the column marked "K 'are amended as follows:

u odbornosti		kód	K
„603	gynekologie a porodnictví	89449	-
		89450	-
		89467	-
819	laboratorní výkon universální „mezioborový“	89823	W
819	laboratorní výkon universální „mezioborový“	89824	W“.

8. The entries in the column marked "O 'are amended as follows:

u odbornosti		kód	O
„911	- výkony zdravotní sestry v návštěvní službě	9502	A
		9503	A
		9504	A
		9505	A
		9506	A
		9507	A
		9510	A
		9511	A
		9512	A
		9513	A
		9514	A
		9516	A
		9517	A
		9518	A
		9519	A
		9520	A
		9521	A
		9522	A
		9523	A
		9524	A
		9525	A
		9526	A
		9527	A
		9528	A
		9529	A
		9530	A
		9531	A
		9532	A
		9533	A
		9534	A
		9536	A
		9537	A
		9539	A
		9540	A
		9541	A
		9542	A
918	rehabilitace	9235	A
709	zdravotnická záchranná služba (RZP)	07901	A
709	zdravotnická záchranná služba (RZP)	07903	A
899	univerzální lékařské výkony - bez vazby na odbornost	07902	A
899	univerzální lékařské výkony - bez vazby na odbornost	07904	A
949	jiný zdravotnický pracovník s úplným středním odborným vzděláním	9591	A
301	pediatrie	89536	H
		89537	H
		89544	H
304	neonatologie	26101	H
		26102	H
		26103	H
		26104	H
		26105	H
		26106	H
708	ARO a intenzivní péče	26007	H
		26009	H
		26011	H
		26013	H
		26015	H
U ošetřovacích dnů (OD)		88801	H
		88802	H
		88803	H
		88804	H
		88810	H
		88811	H
		88812	H
		88813	H
		88831	H
		88832	H“.

(9) The amounts indicated in the column for Pmat shall be as follows:

u odbornosti	kód	Pmat
„606 ortopedie	31018	71 Kč
	31019	148 Kč
	31020	204 Kč
	31021	264 Kč
	31022	427 Kč
	31023	641 Kč
	31024	148 Kč
	31025	427 Kč
	31026	909 Kč
	31027	427 Kč
	31028	290 Kč
	31029	204 Kč“.

10. For expertise 606 orthopaedic surgery (outpatient performance in local anaesthesia), the column of direct material changes the amount of Pmat for codes:

31011, 31012, 31013, 31017, 31102, 31132, 31135, 31136, 31137, 31152, 31182, 31184, 31209, 31214, 31220, 31313, 31554, 31568, 31708, 31709, 31803, 31804, 31805, 31830, 31868, 31870, 31902, 31907, 31909, 31914, 31923, 31936, 31941, 31942, 31946, 31950, 31959

to the amount of CZK 305.

11. In the field of expertise 606 orthopaedic surgery (less operational performance in hospitalisation), the direct material in the column changes the amount of Pmat for codes:

17, 18, 18, 18, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 19, 35, 35, 35, 35, 35, 35, 35, 35, 35, 35, 31, 35, 31, 31, 31, 31, 31, 35, 35, 31, 35, 35, 35, 35, 35, 35, 35, 35, 35, 35, 35, 35, 35, 35,

to the amount of CZK 617.

12. For expertise 606 orthopaedic (mean operational performance), the direct material in the column changes the amount of Pmat for codes:

316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 316, 3@@

for an amount of CZK 1050.

13. For expertise 606 orthopaedic (large operational performance), the direct material in the column changes the amount of Pmat for codes:

31009, 31121, 31122, 31205, 31304, 31305, 31306, 31307, 31308, 31328, 31343, 31405, 31406, 31416, 31421, 31506, 31507, 31512, 31513, 31517, 31535, 31539, 31540, 31542, 31543, 31544, 31548, 31550, 31551, 31563, 31564, 31565, 31569, 31601, 31612, 31615, 31616, 31617, 31618, 31619, 31620, 31622, 31623, 31624, 31625, 31626, 31627, 31628, 31629, 31630, 31632, 31632, 31632, 31645, 31650, 31650, 31650, 31666, 31663, 31667, 31719, 31719, 31719, 31739, 317@@

to the amount of CZK 2287.

14. For expertise 606 orthopaedic (extremely large operational performance), the direct material in the column changes the amount of Pmat for codes:

31401, 31402, 31403, 31408, 31409, 31415, 31417, 31422, 31424, 31425, 31426, 31427, 31501, 31502, 31504, 31510, 31536, 31547, 31549, 31552, 31559, 31560, 31561, 31659, 31660, 31661, 31662, 31663, 31664, 31665, 31669, 31670, 31671, 31764, 31766, 31927, 31928, 31935, 31938, 31940, 31969, 31970

for an amount of CZK 3242.

15. For expertise 606 orthopaedic (diagnostic arthroscopy), the direct material in the column changes the amount of Pmat for codes:

31310, 31514, 31520, 31672, 31679, 31773, 31806

for an amount of CZK 1366.

16. For expertise 606 orthopaedic (arthroscopic operation), the direct material in the column changes the amount of Pmat for codes:

31311, 31673, 31774 for an amount of CZK 3168.

17. For treatment days, for code No 88811, the amount given in the column of the direct material is replaced by CZK 100 and the figures given in the column of the Body are replaced by 444.

18. For treatment days, the amounts indicated in the column for direct material (Pmat) shall be amended as follows:

kód	Pmat
88801	100
88802	100
88803	100
88804	100
88810	100
88812	60
88813	60
88831	63

(19) The amounts shown in the column for direct material (Pmat) and the points for evaluation listed in the column for Points max. shall be amended as follows:

Doprava - sazba za 1 km
KÓD číslo	Pmat (Kč)	BODY max.
30	3,79	11
31	3,79	11
38	3,79	12
40	3,79	16
48	3,79	17
51	3,36	10
52	1,68	5
53	1,12	4
59	3,36	5
61	3,36	12
62	1,68	7
63	1,12	5
69	3,36	5
70	8,45	42
71	8,45	42
81	3,36	11
82	1,68	6
83	1,12	4
84	3,36	5
86	3,36	13
87	1,68	7
88	1,12	5
89	3,36	5

6. In the chapter "Transport - rate per 1 km 'for code 90, the words:

"the cost of transport of the air rescue service in 1992 does not cover the SAA '.

1) The list is part of Decree No. 258 / 1992 Coll. and is published as a separate annex to the Collection of Laws (special publications a. s. SEVT Praha).

Citation	Decree of the Ministry of Health No. 263 / 1993 Coll., amending and supplementing Decree of the Ministry of Health of the Czech Republic No. 258 / 1992 Coll., which publishes a list of health performance with point values
Regulation Type	-
Author	-
Collection	Code of Laws

Date of Promulgation	26.10.1993
Effective from	26.10.1993
Effective until	-
Status	Valid

Decree of the Ministry of Health No. 263 / 1993 Coll.

Decree of the Ministry of Health amending and supplementing Decree of the Ministry of Health of the Czech Republic No. 258 / 1992 Coll., which publishes a list of health performance with points

Contents

Čl. I

Čl. II

Čl. III

Contents

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