Decree No. 354 / 2017 Coll.

Decree amending Decree No. 134 / 1998 Coll., which publishes a list of health performance with points, as amended

Valid Order Effective from 01.01.2018
Contents
354
DECLARATION
of 19 October 2017
amending Decree No. 134 / 1998 Coll., issuing a list of health performance with points, as amended
According to Article 17 (4) of Act No. 48 / 1997 Coll., on Public Health Insurance and on the amendment and addition of certain related laws, as amended by Act No. 245 / 2006 Coll., Act No. 261 / 2007 Coll., Act No. 298 / 2011 Coll., Act No. 369 / 2011 Coll., the Constitutional Court's finding, published under Act No. 238 / 2013 Coll., and Act No. 200 / 2015 Coll.:
Čl. I
Decree No. 134 / 1998 Coll., which publishes the list of health performances with point values, as amended by Decree No. 55 / 2000 Coll., Decree No. 135 / 2000 Coll., Decree No. 449 / 2000 Coll., Decree No. 101 / 2002 Coll., Decree No. 291 / 2002 Coll., Decree No. 493 / 2005 Coll., Decree No. 620 / 2006 Coll., Decree No. 331 / 2007 Coll., Decree No. 439 / 2008 Coll., Decree No. 467 / 2012 Coll., Decree No. 472 / 2009 Coll., Decree No. 497 / 2010 Coll., Decree No. 411 / 2011 Coll., Decree No. 467 / 2012 Coll., Decree No. 467 / 2012 Coll., Decree No. 472 / 2013 Coll., Decree No. 238 / 2013 Coll.
1. The last sentence of Chapter 2 (6) of the Annex shall read as follows: "Compliance with the capacity of the wearer indicated in the performance is not a condition for his recognition if the exercise is carried out by a health care professional who is entitled to do so under other legislation."
2. In the Annex to Chapter 4, point 2, including the title:
"2.002 - PRACTICIC DOCUMENTS FOR KIDS AND SUPPORT
Performance
číslonázev
02230Kvantitativní stanovení CRP (POCT)
may be reported only if, in the course of its implementation, the recommendations of professional companies on the conduct of laboratory tests under the POCT regime are respected and internal quality control is ensured, including a properly kept record of it and participation in the system of inter-laboratory comparative tests (external quality assessment) once a year. ';
3. In the Annex to Chapter 4, the following point 47a is inserted after point 47:
"47a. 926 - HOUSEHOLD PATIENT DURING TERMINAL STATION
Proceeds
číslonázev
80090Agregovaný výkon domácí paliativní péče o pacienta v terminálním stavu (dále jen „domácí paliativní péče“) - klinicky nestabilní pacient
80091Agregovaný výkon domácí paliativní péče - klinicky nestabilní pacient se závažnými symptomy
It is the provision of palliative care in your own social environment to a terminally ill patient.
All health services provided per day are included in the aggregated performance (i.e. medical and nurse performance complex, possibly a psychologist or other specialists invited to the console, transport of the doctor and nurse to the patient regardless of distance, treatment of related complications, medicinal products, consumables, amortization and maintenance costs, including overhead). No other performance or treatment day unrelated to home palliative care may be reported for performance.
Based on the evaluation of the patient 's condition according to the severity of the symptoms (ESAS), the respective aggregated performance is reported daily.'
4. In the Annex to Chapter 4, point 49.8 is added at the end of point 49, including the title:
"49.8. Urgent income care
Performance
číslonázev
09566Péče na urgentním příjmu
can be reported by the provider of bed care in the expertise 101 - internal medicine, 501 - surgery, 603 - gyno and obstetrics, 708 - anesthesiology and intensive medicine and 301 - pediatric medicine, which has established an emergency intake department.
The urgent income department is:
(a) staffed in accordance with Decree No. 99 / 2012 Coll., on the requirements for minimum staff security of health services, as amended by Decree No. 287 / 2013 Coll., with the physical presence of specialists of relevant expertise in the emergency reception department being ensured; and
(b) factually and technically equipped in accordance with Decree No. 92 / 2012 Coll., on the requirements for minimum technical and material equipment of health care facilities and home care contact centres, and it also has beds equipped for continuous monitoring of vital functions of patients, where patients can stay for at least 2 hours - so-called observational beds.
The health service provider in the emergency reception department provides comprehensive diagnostic care leading to a decision on the follow-up, while ensuring monitoring of the patient's condition and therapeutic actions needed to mitigate acute problems and to avoid imminent deterioration of health, including possible support for failing vital functions. In addition, the health service provider in the emergency income department provides income to the bedside ward or recommendations for further treatment after release for outpatient treatment. In addition, the urgent reception department shall keep records of the implementation of the patient sorting system according to the urgency of the treatment. '.
5. In the Annex to Chapter 5, at the end of point 9, the following entries 24 and 25 are added:
"24. Transplant Langerhans islands.
25. ECMO implantation (Extracorporal membrane oxygenation). '
6. In the Annex to Chapter 6, point 1, in the table in row "5 'of the column" Legend', the words "patient in the exercise of protective treatment of constitutional 'are added to the new line.
7. In the Annex to Chapter 7 (1), the first to eighth sentences are as follows:
"For the performance of the author's expertise 001, 002, 005, 006, 101, 102, 103, 104, 105, 106, 107, 108 (excluding nephrological haemolemination methods), 109, 110, 116, 201, 202, 204, 205, 206, 207, 208, 209, 210, 222, 301, 302, 303, 304, 305, 306, 309, 401, 402, 4303, 404, 405, 406, 407, 710, 720, 801, 802, 807, 808, 809, 812, 813, 814, 815, 816, 817, 818, 819, 823, 901, 902, 903, 904, 905, 910, 913, 917, 925, 926, 931 and 999 are assigned as a minimum control rate in one minute execution.
The performance of the author's expertise 115, 117, 215, 312, 413, 697, 806 and 810 is assigned a minute overhead rate of 4,57 points per minute of power.
In addition to the performance of the author's expertise 108 (only the nephrological haemoelimination method), 203, 501, 502, 503, 504, 505, 506, 507, 601, 602, 603, 604, 605, 606, 607, 701, 702, 704, 705, 706, 708, 709, 799, 780, a minute overhead rate of 3,65 points per minute of power time is assigned.
The performance of the author's expertise 511, 512, 513, 514, 515, 516, 517, 611, 612, 613, 614, 615, 616, 711, 714, 715, 716 and 717 is assigned a minute overhead rate of 5,48 points per minute of power.
The performance of the author's expertise 521, 522, 523, 524, 525, 526, 527, 621, 622, 623, 624, 625, 626, 721, 724, 725, 726, 727 and 728 is assigned a minute overhead rate of 7,32 points per minute of power.
The performance of the author's expertise 531, 532, 533, 534, 535, 536, 537, 631, 632, 633, 634, 635, 636, 731, 734, 735, 736 and 737 shall be assigned a minute overhead rate of 10,97 points per minute of power.
The performance of the original expertise 911, 914, 916, 919, 921 and 927 is assigned a minute overhead rate of 2,23 points per minute of power.
The performance of the author's expertise 014 and 015 shall be assigned a minute overhead rate of 3,82 points per minute of power. ';
8. In the Annex to Chapter 7, point 2.1, the words "between 30,36-98,62 'are replaced by the words" between 30,57- 99,31'.
9. In the Annex to Chapter 7, point 2.2, "182,06 points' is replaced by" 183,33 points';
10. In the second sentence of point 2.1.2 of the Annex to Chapter 8, the text "1- 30 km 'is replaced by" 1- 8 km'.
11. In the Annex to Chapter 8, point 7, including the title:
"7. TRANSPORT PERFORMANCE
číslo výkonuNázev výkonubody/1 km
10Přeprava zdravotnického pracovníka v návštěvní službě13,38
12Přeprava lékaře v pohotovostní službě13,60
40Přeprava pacienta v sídle vyššího územního samosprávného celku v pásmu 1 - 8 km27,94
45Přeprava pacienta v pásmu 1 - 30 km22,59
46Přeprava pacienta v pásmu 31 - 60 km20,91
47Přeprava pacienta v pásmu 61 - 130 km19,28
48Přeprava pacienta v pásmu 131 - 450 km18,62
49Přeprava pacienta v pásmu 451 a více km10,11
50Přeprava k pitvě a z pitvy38,45
60Přeprava transfuzních přípravků, speciálních léčivých přípravků, tkání, buněk a orgánů k transplantaci, přeprava lékaře nebo jiného zdravotnického pracovníka ke specializovanému a nezbytnému výkonu31,92
70Jízda vozidly zdravotnické záchranné služby41,93
72Přeprava patologického novorozence a novorozence s nízkou porodní hmotností k nejbližšímu specializovanému poskytovateli41,93
74Přeprava lékaře zdravotnické záchranné služby v setkávacím systému31,92
77Jízda vozidly přepravy pacientů neodkladné péče40,93
80Přeprava infekčního pacienta28,56
Power 40 The transport of a patient in a higher territorial unit in the 1 - 8 km band cannot be combined with the performance 45 Patient transport in the 1 - 30 km band. If the transport distance of the patient is greater than 8 km, the transport of the patient will be reported throughout the performance 45 Transport of the patient in the band 1 - 30 km. '
12. In the Annex to Chapter 001 - General Practical Medicine Performance No. 01443:
"01443 QUANTASTIC DETERMINATION OF THE CURRENT COLLECTION (INR) OF THE CAPITAL SHEET (POCT)
The indication is a secondary prevention of deep vein thrombosis and pulmonary embolism and prevention of large circulation intracranial thrombosis and embolization complications. Not for self-monitoring of patients. Performance cannot be reported if venous blood is taken simultaneously for other laboratory tests. Compliance with the external quality assessment (interlaboratory comparative test system) is a condition once a year.
KategorieP - hrazen plně
OF 8/3 měsíce,
32/1 rok
OMA - pouze ambulantně
Čas výkonu5
Body163
NositelINDXČas
L225
ZUM
Not ZULP. "
13. In the Annex to Chapter 002 - Practical medicine for children and young people, power No 02222 is inserted after power No 02220:
"02222 TRANSMISSION OF INFECTIONS OF Urinary CEST CULTIVATION ON THIRD MEDIES
Cultivative determination of urinary tract infections by a dip- slide test with three media.
KategorieP - hrazen plně
OF1/1 den
OMA - pouze ambulantně
Čas výkonu10
Body110
NositelINDXČas
L3310
ZUM
Not ZULP. "
14. In the Annex to the Chapter 014 - Clinical Dentistry of Performance Nos 04201 and 04202:
"04201 EXPLANATION OF THE STATE OR TEMPORARY ZUBE - ONE PLAN
The power includes the preparation of the cavite on one platform, application of the mat and plastic filling material with event. by the addition of a matrix or by the use of another device for shaping filler and subsequent polishing of filler. Performance can only be reported when using understated amalgam in the range of the whole teeth, when using a self-polymerizing composite only in the range of canines including. For temporary teeth, children up to and including 15 years of age and pregnant and lactating women, may only be reported with the use of cleavage cement. If the use of cleavage cement is not possible from the point of view of the health status of the insured person, it may be reported with the use of matured amalgam, using a self-polymerizing composite only in the range of canines including.
KategorieW - hrazen za určitých podmínek
OF1 zub/365 dní
OMbez omezení
Čas výkonu20
Body166
NositelINDXČas
L2220
ZUM
ZULP
_
The performance includes the preparation of the cavite on two or more surfaces, application of plastic filling material including a support, attachment of the matrix or use of another filler-forming device, subsequent polishing of the filling. Performance can only be reported when using understated amalgam in the range of the whole teeth, when using a self-polymerizing composite only in the range of canines including. For temporary teeth, children up to and including 15 years of age and pregnant and lactating women, may only be reported with the use of cleavage cement. If the use of cleavage cement is not possible from the point of view of the health status of the insured person, it may be reported with the use of matured amalgam, using a self-polymerizing composite only in the range of canines including.
KategorieW - hrazen za určitých podmínek
OF1 zub/365 dní
OMbez omezení
Čas výkonu35
Body243
NositelINDXČas
L2235
ZUM
Not ZULP. "
15. In the Annex to Chapter 103 - Diabetology, the following power is inserted after power No 13071:
"13073 COLLECTION OF SPECIFIC CONTACT FIXES AND LONG PERFORMANCE OF DIABETIC NOES SYNDROME
Performance follows the treatment of diabetic foot syndrome and the education of a patient with diabetes. Special contact fixation or splint shall be made for relief / stabilisation. Indications for making removable contact fixations / splints are diabetic leg ulceration, Charcot's neuroosteoarthropathy, post-diabetic leg conditions, chronic osteomyelitis without general symptoms.
KategorieP - hrazen plně
OF6/1 končetina/1 rok
OMS - pouze na specializovaném pracovišti
Čas výkonu60
Body777
NositelINDXČas
L3345
S2260
S2260
ZUM yes
Not ZULP. "
16. In the Annex, the following performance No 89312 is added at the end of Chapter 110 - Clinical Osteology:
"89312 DENZITOMETRIA DVOUFOTON
Determination of mineral content in bones or soft tissues in one place. In the case of a full body examination or at two places (where applicable in the lateral projection of the spine), the power shall be given twice, when measured in more than three places. Only if indicated by the treating physician who is responsible for bone disease.
KategorieP - hrazen plně
OF3/1 den, 3/1 rok
OMbez omezení
Čas výkonu20
Body191
NositelINDXČas
L3315
S335
ZUM
Not ZULP. "
17. in the Annex to Chapter 117 - cardiology - Group 1 of performances No 17117, 17210, 17620, 17621, 55213, 55219, 89425, 89429, 89431, 89435 and 89437:
"17117 CORONARY STENT / PTCA PERSUMPTION
Intervention catheterization performance in which a stent is introduced into the coronary artery. Add each additional power.
KategorieP - hrazen plně
OFbez omezení
OMS - pouze na specializovaném pracovišti
Čas výkonu30
Body1 803
NositelINDXČas
L3330
ZUM yes
ZULP yes
17210 CATEGORY ALCOHOLIC SEPTAL ABLATION
Performance follows left or double-sided cardiac catheterization, coronary examination and ultrasound of the heart. It is performed under X-ray and ultrasonographic control - transthoracal or oesophageal (they are part of the performance and cannot be reported separately). The performance includes the introduction of a temporary pacing electrode into the right ventricle, continuous ECG monitoring, repeated pressure measurements and intermittent monitoring of basic haemocoagulation parameters. Performance is documented on digital recording.
KategorieP - hrazen plně
OF3/1 rok
OMSH - pouze na spec. prac. při hospitalizaci
Čas výkonu120
Body19 845
NositelINDXČas
L33120
L3360
ZUM yes
ZULP yes
17620 PRIMOIMPLANTATION OF CARDIOVERTER - DEFIBRATOR WITH ENDOVASAL ACCESS ELECTRODES
Implantation of the defibrillator in a patient with malignant ventricular tachyarrhythmias. General anaesthesia applications are reported by independent performance (expertise 708).
KategorieP - hrazen plně
OF1/1 rok
OMS - pouze na specializovaném pracovišti
Čas výkonu150
Body10 248
NositelINDXČas
L33150
ZUM yes
ZULP yes
17621 CARDIOVERTER REIMPLATION - DEFIBRILATOR
Automatic implantable defibrillator in patients with haemodynamically severe ventricular tachyarrhythmias, unaffected by other treatments. The application of general anaesthesia is shown by a separate exercise (expertise 708).
KategorieP - hrazen plně
OF1/1 den
OMS - pouze na specializovaném pracovišti
Čas výkonu100
Body6 350
NositelINDXČas
L33100
ZUM yes
ZULP yes
55213 PRIMOIMPLANTATION OF THE CARDIOSTIMULATOR FOR THE DOUDOUTIN STIMMULATION
KategorieP - hrazen plně
OF1/1 rok
OMS - pouze na specializovaném pracovišti
Čas výkonu120
Body8 909
NositelINDXČas
L33120
ZUM yes
ZULP yes
55219 REIMPLEMENTATION OF THE CARDIOSTIMULATOR WITHOUT RELATED TO LIVES
KategorieP - hrazen plně
OF1/1 rok
OMS - pouze na specializovaném pracovišti
Čas výkonu60
Body4 754
NositelINDXČas
L3360
ZUM yes
ZULP yes
_
Catatrization of the left ventricle of the heart and both coronary arteries, their injection moulding and digital recording documentation. Continuous ECG monitoring, pressure measurements, intermittent monitoring of basic haemocoagulation parameters.
KategorieP - hrazen plně
OF2/1 den
OMS - pouze na specializovaném pracovišti
Čas výkonu90
Body14 643
NositelINDXČas
L3390
ZUM yes
ZULP yes
_
Coronarography of the left and right coronary artery. Documentation for digital recording. Continuous ECG monitoring, pressure measurements, intermittent monitoring of basic haemocoagulation parameters.
KategorieP - hrazen plně
OF2/1 den
OMS - pouze na specializovaném pracovišti
Čas výkonu60
Body8 489
NositelINDXČas
L3360
ZUM yes
ZULP yes
89431 SELECTIVE ANGIOGRAPHY OF SINGLE GAS, APPROACH, OTHER HEARING STRUCTURES, AORTS OR ACCESS CENTIONS
Separate angiographic examination (classical angiography, rotation angiography, digital subtraction angiography) of one coronary artery, bypass or angiographic examination of another cardiac structure, aorta or access vessels, immediately within the diagnostic or interventional cardiological performance of the heart. Documentation for digital recording. Continuous ECG pressure and monitoring, intermittent monitoring of basic haemocoagulation parameters.
KategorieP - hrazen plně
OF2/1 den
OMS - pouze na specializovaném pracovišti
Čas výkonu40
Body6 913
NositelINDXČas
L3340
ZUM yes
ZULP yes
_
Percutaneous transluminal angioplasty of one coronary artery is a dilation of one narrowing on one coronary artery with one balloon. Documentation for digital recording. Continuous pressure measurement, ECG monitoring and intermittent monitoring of basic haemocoagulation parameters. The performance may be based on selective coronarography, may be preceded or followed by intravascular ultrasonic examination (IVUS), optical coherent tomography (OCT) or analysis of fractional flow reserve (FFR).
KategorieP - hrazen plně
OF2/1 den
OMS - pouze na specializovaném pracovišti
Čas výkonu90
Body9 499
NositelINDXČas
L3390
ZUM yes
ZULP yes
89437 PERSUMPTIONAL TRANSLUMINARY ANGIOPLASTIC (PTCA) MORE VARIABLE TEPES OR REPEATED PERSUMPTIONAL TRANSLUMINARY ANGIOPLASTIC THOSE HEAT
Dilation of narrowing to multiple coronary arteries or more lesions on one coronary artery, performed by multiple balloons. Documentation for digital recording. Continuous pressure measurement, ECG monitoring and intermittent monitoring of basic haemocoagulation parameters. The performance may be based on selective coronarography, may be preceded or followed by intravascular ultrasonic examination (IVUS), optical coherent tomography (OCT) or analysis of fractional flow reserve (FFR).
KategorieP - hrazen plně
OF2/1 den
OMS - pouze na specializovaném pracovišti
Čas výkonu120
Body11 584
NositelINDXČas
L33120
ZUM yes
ZULP is. "
18. In the Annex to Chapter 201 - Rehabilitation and Physical Medicine Performance No. 21711:
"21711 ZAD SCHOOL - PREVENTION OF VERTEBROGEN ONEMATIONSHIP
Connecting theoretical and practical knowledge to prevent and treat the movement apparatus - 90 minutes one teaching unit. Performance can only be reported with the participation of a doctor and a physiotherapist.
KategorieP - hrazen plně
OF6/1 život
OMS - pouze na specializovaném pracovišti
Čas výkonu9
Body120
NositelINDXČas
L339
K229
ZUM
Not ZULP. "
19. In the Annex to Chapter 215 - Pneumology and ftizeology - Group 1, Performance No. 25099:
"25099 URGENT FLEXIBILS BRONCHOSCOPY WITH TERAPTIC INTENSION
This is an expedited flexible bronchoscopy under non-standard conditions. Performance is performed when the patient's life is at risk, by severe shortness of breath, when he is suspected of obstructing the airways or haemoptysis.
KategorieP - hrazen plně
OF1/1 den
OMS - pouze na specializovaném pracovišti
Čas výkonu30
Body637
NositelINDXČas
L3330
ZUM
ZULP is. "
20. In the Annex to Chapter 222 - Transfusion medicine the performance No 22339 reads:
"22339 TITRATION OF ANTIERYTROCYPRUS AGENTS
Reaction of the test serum in a gradual 2-fold dilution (12 test tubes) with an antigen-matching erythrocyte suspension in a salt, enzymatic, NAT environment. Frequency limitation does not apply to bone marrow transplantation, organs and post-transfusion reactions.
KategorieP - hrazen plně
OF1/1 týden
OMS - pouze na specializovaném pracovišti
Čas výkonu60
Body413
NositelINDXČas
S2260
ZUM
Not ZULP. "
21. In the Annex to Chapter 501 - Surgery, performances No 51423 and 51817 are deleted.
22. in the Annex to the Capitol 501 - Surgery of Performance No. 51851, 51853, 51855, 51857, 51859, 51861, 51863, 51865, 51867, 51869, 51870, 51871, 51873, 51875 and 51877:
"51851 FIXING LEVEL - HAND, PRESENTATION
Plaster splint is used for fixation in diseases or injuries of the hand or wrist where immobilization is needed. This type of treatment can be used as a temporary or permanent treatment. If the addition of plaster bandage prevents the reaction, it shall show a separate power of 53115.
KategorieP - hrazen plně
OF2/1 den
OMbez omezení
Čas výkonu10
Body117

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Regulation Information

CitationDecree No. 354 / 2017 Coll., amending Decree No. 134 / 1998 Coll., issuing a list of health performance with points, as amended
Regulation TypeOrder
Author-
CollectionCode of Laws
Date of Promulgation30.10.2017
Effective from01.01.2018
Effective until-
Status Valid
Legal Areas: Administrative law Health
The regulation text is for informational purposes only.
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