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骨科-健保資訊
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健保部分給付項目「陶瓷人工髖關節」及「骨髓內固定」之相關規定說明
(一)部分給付差額資訊公開(人工髖關節及骨髓內固定).pdf
(二)本院使用品項之相關資訊如下：
| 陶瓷人工髖關節 |
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| 特材代碼 |
品名規格/健保使用規範 |
廠牌 |
健保給付點數 |
病患自付
差額 |
| FBHBCCERA1Z1 |
席萊斯股骨系統-(陶瓷半人工髖關節組含陶瓷股骨頭) |
Zimmer/西美 |
35,195 |
37,430 |
| FBHBCCERA1Z1 |
西羅索陶瓷半人工髖關節組 |
Zimmer/西美 |
35,195 |
37,430 |
| FBHBCCERA3Z1 |
席萊斯股骨系統-(百優陶瓷半人工髖關節組含百優陶瓷股骨頭) |
Zimmer/西美 |
35,195 |
67,985 |
| FBHBCCERA3Z1 |
內外側錐形人工股骨修補系統-(百優陶瓷半人工髖關節組含百優陶瓷股骨頭) |
Zimmer/捷邁 |
35,195 |
65,663 |
| FBHHCCERA2Z1 |
百優人工髖關節系統(百優陶瓷股骨頭-首次型) |
Zimmer/捷邁 |
4,352 |
63,683 |
| FBHHCCERA2Z1 |
重建型百優陶瓷股骨頭 |
Zimmer/捷邁 |
4,352 |
64,450 |
| FBHLCCERA2Z1 |
重建型百優陶瓷髖臼內杯Revision Biolox Delta IT Liner |
Zimmer/捷邁 |
4,018 |
35,883 |
| FBHLE34998Z1 |
“捷邁”今適穩人工髖臼系統–賦活抗氧化襯墊“ZIMMER” G7 ACETABULAR SYSTEM: VIVACIT-E LINER |
Zimmer/捷邁 |
4,018 |
93,424 |
| FBHPCCERA3Z1 |
百優全陶瓷全人工髖關節組(With M/L Taper THR) |
Zimmer/捷邁 |
39,396 |
100,019 |
| FBHPCCERA3Z1 |
百優螺釘固定式陶瓷全人工髖關節組(With CLS System) |
Zimmer/捷邁 |
39,396 |
96,462 |
| FBHPCCERA4Z1 |
"捷邁"康內特人工髖關節系統:陶瓷全人工髖關節組(陶瓷HEAD+陶瓷LINER)(搭配組合式股骨柄) "ZIMMER"M/L TAPER HIP PROSTHESIS W/KINECTIV TECHNOLOGY |
Zimmer/捷邁 |
49,319 |
105,000 |
| FBHPCCERA5Z1 |
百優半陶瓷全人工髖關節組Biolox Head Total Hip system |
Zimmer/捷邁 |
39,396 |
65,019 |
| FBHPCCERA5Z1 |
席萊斯全人工髖關節股骨系統(含百優陶瓷股骨頭)CLS THR system (with Biolox Delta IT Head) |
Zimmer/捷邁 |
39,396 |
67,000 |
| FBHPCCERA6Z1 |
"捷邁"百優人工髖關節系統:陶瓷股骨柄組合式(陶瓷HEAD) "ZIMMER"BIOLOX CERAMIC FEMORAL HEADS:BIOLOX DELTA CERAMIC TOTAL HIP SYSTEM |
Zimmer/捷邁 |
49,319 |
67,000 |
| FBHPEVTMA1BM |
今適穩維他命Ｅ陶瓷人工髖關節系統(ML)G7 Vitamin E Ceramic Total Hip System(ML) |
Biomet/邦美 |
39,396 |
157,265 |
| FBHPEVTMA1BM |
今適穩維他命Ｅ陶瓷人工髖關節系統(CLS)G7 Vitamin E Ceramic Total Hip System(CLS) |
Biomet/邦美 |
39,396 |
157,265 |
| FBHPEVTMA5BM |
"邦美"今適穩組合式維他命Ｅ陶瓷人工髖關節系統 "BIOMET" G7 KINECTIV VITAMIN E CERAMIC TOTAL HIP SYSTEM |
Biomet/邦美 |
49,319 |
157,265 |
| FBHRCCERA2Z1 |
"捷邁"百優人工髖關節系統:重建型(陶瓷HEAD) "ZIMMER"BIOLOX CERAMIC FEMORAL HEADS:BIOLOX DELTA CERAMIC REVISION HIP SYSTEM |
Zimmer/捷邁 |
52,796 |
68,935 |
| FBHRCCERA3Z1 |
"捷邁"百優人工髖關節系統:重建型(陶瓷HEAD+陶瓷LINER) "ZIMMER"BIOLOX CERAMIC FEMORAL HEADS:BIOLOX DELTA CERAMIC REVISION HIP SYSTEM |
Zimmer/捷邁 |
52,796 |
101,157 |
| FBHREVTMA1BM |
"邦美"今適穩維他命Ｅ陶瓷重建型人工髖關節系統 "BIOMET" G7 VITAMIN E CERAMIC REVISION TOTAL HIP SYSTEM |
Biomet/邦美 |
52,796 |
160,249 |
| FBHLE37044Z1 |
捷邁雙動式隆傑與賦活聚乙烯人工髖關節襯墊-雙動式賦活聚乙烯人工髖關節襯墊(抗氧化超耐磨天然維他命E)"ZIMMER" DUAL MOBILITY LONGEVITY AND |
ZIMMER |
4,018 |
107,232 |
| ※凡符合傳統人工髖關節組之適應症者，如自願選用陶瓷人工髖關節組時，則按傳統人工髖關節組給付，超過部分由病患自付。 |
骨髓內固定
| 特材代碼 |
品名規格/健保使用規範 |
廠牌 |
健保給付點數 |
病患自付差額 |
| FBN05A2FN0S1 |
"信迪思"第二代順行股骨髓內釘植入物-股骨順行髓內釘組"SYNTHES"EXPERT A2FN ANTEGRADE FEMORAL NAIL IMPLANTS |
SYNTHES(或MATHYS) |
19,036 |
49,714 |
| FBN05ETN00S1 |
"信迪思"萬向脛骨髓內釘系統-中空脛骨髓內釘組"SYNTHES"EXPERT TIBIA NAIL SYSTEM: EXPERT™ TIBIAL NAIL , CANNULATED, TITANIUM ALLOY |
SYNTHES(或MATHYS) |
19,036 |
50,964 |
| FBN05FM492Z1 |
“捷邁”骨釘系統-股骨組“ZIMMER” NATURAL NAIL SYSTEM-FEMORAL SET |
ZIMMER |
19,036 |
55,964 |
| FBN05MHN01S1 |
"信迪思"多方向鎖定肱骨髓內釘系統(組)"SYNTHES"MULTILOC HUMERAL NAILING SYSTEM |
SYNTHES(或MATHYS) |
19,036 |
49,714 |
| FBN05TB495Z1 |
“捷邁”骨釘系統-脛骨組“ZIMMER” NATURAL NAIL SYSTEM- |
ZIMMER |
19,036 |
55,964 |
| FBNG122572Z1 |
“捷邁”人工骨髓內釘-髓內釘組 “Zimmer” Natural Nail System Cephalomedullary Nail-CM SET |
ZIMMER |
19,036 |
57,868 |
| FBNG1TRMCVS1 |
“信迪思”骨科增強用骨水泥“SYNTHES” TRAUMACEM V+ BONE CEMENT， INJECTABLE |
SYNTHES(或MATHYS) |
20,000 |
25,000 |
| FBNG1LSCTCS1 |
“信迪思”進階型股骨近端髓內釘系統-長髓內釘螺釘組“SYNTHES”TFN-ADVANCED PROXIMAL FEMORAL NAILING SYSTEM(TFNA)-LONG NAIL WITH SCREW SET |
SYNTHES(或MATHYS) |
19,036 |
68,964 |
| FBNG1LBDTCS1 |
“信迪思”進階型股骨近端髓內釘系統-長髓內釘刀片組“SYNTHES”TFN-ADVANCED PROXIMAL FEMORAL NAILING SYSTEM(TFNA)-LONG NAIL WITH |
SYNTHES(或MATHYS) |
19,036 |
68,964 |
| FBN05FRN00S1 |
"信迪思"股骨重建髓內釘(組)"SYNTHES"FEMORAL RECON NAIL |
SYNTHES(或MATHYS) |
19,036 |
65,964 |
| FBN053297X34 |
“西曼”骨髓內釘系統 -西菲克斯解剖型肱骨鎖定髓內釘組“CHM” INTRAMEDULLARY NAIL SYSTEM-HUMERAL NAIL(SET) |
西曼ChM |
19,036 |
62,214 |
| FBN053265X34 |
“西曼”骨髓內釘系統 -西菲克斯解剖型脛骨鎖定髓內釘組“CHM” INTRAMEDULLARY NAIL SYSTEM-TIBIAL NAIL (SET) |
西曼ChM |
19,036 |
62,214 |
| FBN053510X34 |
“西曼”骨髓內釘系統 -西菲克斯解剖型股骨鎖定髓內釘組“CHM” INTRAMEDULLARY NAIL SYSTEM-ANATOMICAL FEMORAL NAIL(SET) |
西曼ChM |
19,036 |
62,214 |
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(三)健保醫療材料實施部分給付內容，請連結到→ 這裡
更新日期:2025/04/22 公告單位:健保系統課
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