Surgical Schedule of Surgeon's Fee Classification_bil_ind v2

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Surgical Schedule of Surgeon's Fee Abdomen 腹部 Appendectomy 闌尾切除術 Intermediate 中型 Removal of, or other operation on gall bladder 膽囊切除或其他膽囊手術 Major 大型 Gastro-enterostomy 胃腸接合術 Major 大型 Resection of

1 Surgical Schedule of Surgeon's Fee Abdomen 腹部 Appendectomy 闌尾切除術 Intermediate 中型 Removal of, or other operation on gall bladder 膽囊切除或其他膽囊手術 Major 大型 Gastro-enterostomy 胃腸接合術 Major 大型 Resection of stomach (partial), bowel or rectum 部份胃腸或直腸切除術 Major 大型 Excision of Rectum - combined synchronous 直腸切除, 同時進行 Super Major 超大型 Oesophagogastrostomy 食道胃造口術 Super Major 超大型 Any operation on the Pancreas 胰臟手術 Super Major 超大型 Total Gastrectomy 胃全切除術 Super Major 超大型 Transplantation of liver 肝移植 Complex Major 繁複大型 Amputations 截斷術 Thigh, leg 大腿小腿 Major 大型 Upper arm, forearm, entire hand or foot, fingers or toes 上臂前臂全部手掌或足手指或腳趾 Intermediate 中型 Fewer than three 手指或腳趾 ( 少於三根 ) Minor 小型 Three or more 手指或腳趾 ( 三根或以上 ) Intermediate 中型 Arteries and Veins 動脈及靜脈 Any operation on the Aorta or iliac Arteries 主動脈或髂動脈手術 Super Major 超大型 Portocaval Anastomosis 門腔靜脈切除接合術 Super Major 超大型 Splenorenal Anastomosis 脾腎靜脈切除接合術 Super Major 超大型 Biliary Tract 肝胆 Hepatoduodenostomy 肝十二指腸切除接合術 Super Major 超大型 Partial Hepatectomy or Resection 肝臟切除 Super Major 超大型 Breast 乳房 Removal of benign tumor or cyst 乳房組織切除 Intermediate 中型 p. 1

2 Surgical Schedule of Surgeon's Fee Simple amputation 單側乳房切除術 Major 大型 Radical amputation 乳房切除術 Major 大型 Chest 胸腔 Complete thoracoplasty, transthoracic approach to stomach, 胸腔成形術由食道, 胸介入胃 Major 大型 diaphragm, esophagus, sympathectomy or laryngectomy 橫闢食道交感神經切除術或喉切除術 Removal of whole lung 肺全切除 Major 大型 Removal of Portion of lung 部分肺切除 Intermediate 中型 Bronchoscopy, esophagoscopy 支氣管鏡, 食道內窺鏡 Minor 小型 Oesophagectomy 食道全切除 Complex Major 繁複大型 Induction of artificial pneumothorax, Initial 誘導或人工氣胸, 初次 Minor 小型 - Refills each ( not more than 12 ) 每次加氣 ( 以十二次為上限 ) Minor 小型 Dislocation, Reduction of 脫位, 修復 Hip, Vertebra, ankle joint, elbow or knee joint (Patella excepted) 股關節踝關節肘關節或膝關節 ( 臏骨脫位除外 ) Minor 小型 Shoulder 肩關節 Minor 小型 Lower jaw, collar bone, wrist or patella 下頜骨鎖骨腕或臏骨 Minor 小型 Any Dislocation involving an open operation 脫位需手術修復 Intermediate 中型 Excision or Fixation by cutting 切除或開刀固定 Shoulder joint, hip joint 肩關節, 股關節 Major 大型 Knee joint, semilunar cartilage, elbow, wrist or ankle joint 膝關節半月狀軟骨肘腕或踝關節 Intermediate 中型 Removal of diseased portion of bone, including curettage 切除骨塊有毛病部份包括刮除術 Intermediate 中型 (alveolar processes excepted) ( 齒槽突除外 ) Ear, Nose or Throat 耳, 鼻或喉 Fenestration, one or both sides 開窗手術 ( 單側或雙側 ) Major 大型 Mastoidectomy, one or both sides, simple 乳突鑿開術 ( 單側或雙側 ) Major 大型 Mastoidectomy, one or both sides, radical 乳突鑿開術 ( 單側或雙側 ), 根治性 Major 大型 Tonsillectomy, adenoidectomy, or both 割除扁桃腺或腺樣增殖體 Intermediate 中型 Sinus operation by cutting (puncture of antrum excepted) 鼻竇開刀手術 ( 竇穿刺手術除外 ) Intermediate 中型 Submucous resection of nasal septum 黏膜下層切除鼻中隔 Minor 小型 Tracheotomy 氣管切開術 Intermediate 中型 p. 2

3 Surgical Schedule of Surgeon's Fee Any operation on the Inner Ear 內耳手術 Super Major 超大型 Open operation on the Larynx or Pharynx 咽或喉切開術 ( 未進行根治性頸淋巴組織切除術 ) Super Major 超大型 (without radical neck resection) Laryngectomy, with radical neck resection 喉切除術 ( 並進行根治性頸淋巴組織切除術 ) Complex Major 繁複大型 Eye 眼 Operation for detached retina (without vitrectomy) 未進行玻璃體摘除術修補視網膜脫落 Major 大型 Repair of retinal detachment with vitrectomy 以玻璃體摘除術修補視網膜脫落 Complex Major 繁複大型 Cataract, removal of 摘除白內障 Intermediate 中型 Any other cutting operation into the eyeball (through the cornea 任何其他眼球開刀手術 ( 經由角膜或鞏膜進行的手術 ) or sclera) or cutting operation on eye muscles 或眼睛肌肉切開術 Intermediate 中型 Removal of eyeball 剜出眼球術 Intermediate 中型 Fracture Treatment of 骨折治療 Thigh, vertebra or vertebrae, pelvis (coccyx excepted) 大腿一個或多個脊椎盆骨 ( 尾龍骨除外 ) Intermediate 中型 Leg, kneecap, upper arm, ankle (Pott's) 腿膝蓋上臂踝 (Pott's 骨折 ) Minor 小型 Lower jaw (alveolar process excepted), collar bone, shoulder 下頜骨 ( 齒槽突除外 ) 鎖骨肩胛骨前臂手腕(colles blade, forearm, wrist (colles), skull 骨折 ) 頭顱 Minor 小型 Hand, foot 手腳 Minor 小型 Fingers or toes, each 手指或腳趾 ( 每根 ) Minor 小型 Nose 鼻 Minor 小型 Rib or ribs 肋骨 Minor 小型 NOTE: In the case of a compound fracture, or an open operation, the will be upgraded from Minor to Intermediate, or from Intermediate to Major as the case may be. 注意 : 如屬外露骨折或需要開刀手術的骨折, 手術類別將由小型手術提升至中型手術, 或由中型手術提升至大型手術, 根據個別情形而定 GENITO - URINARY TRACT 生殖泌尿系统 Removal of, or cutting into, kidney 切除腎臟或向腎臟開刀 Major 大型 Fixation of kidney 腎臟固定手術 Major 大型 Removal of tumors or stones in ureters or bladder 消除輸尿管或膀胱的腫瘤或結石 - by cutting operation - 進行開刀手術 Major 大型 - by endoscopic means - 使用內窺鏡清除 Minor 小型 p. 3

4 Surgical Schedule of Surgeon's Fee - by extracorporeal shock wave lithotripsy - 進行體外震動波清除 Intermediate 中型 Cystoscopy 膀胱鏡 Minor 小型 Removal of prostate by open operation 剖腹前列腺切除術 Major 大型 Removal of prostate by endoscopic means 使用內窺鏡切除前列腺 Major 大型 Circumcision 包皮環切術 Minor 小型 Vesicocele, hydrocele, orchidectomy or epididymectomy, single 精索靜脈曲張陰囊水囊腫睾丸切除或副睾丸切除 - 單側 Intermediate 中型 - bilateral - 雙側 Intermediate 中型 Hysterectomy 全子宮切除術 Major 大型 Other cutting operations on uterus and its appendages with abdominal approach - 其他子宮切除或其支持結構的切除 Major 大型 Cervix amputation 子宮頸切除術 Major 大型 Dilatation and curettage (non-puerperal), cervix cauterization or conization, polypectomy, or any combined of these 子宮擴張及刮除術 ( 非孕性 ) 子宮頸電灼術或子宮頸錐形切除術 Minor 小型 Vaginal plastic, operation for cystocele or rectocele 子宮頸息肉切除或以上相連手術 Intermediate 中型 Total Cystectomy 膀胱全切除術 Super Major 超大型 Transplantation of ureters 輸尿管移植 Super Major 超大型 Transplantation of kidney 腎臟移植 Super Major 超大型 GOITRE 甲狀腺 Removal of thyroid, subtotal 甲狀腺次全切除術 Intermediate 中型 Removal of adenoma or benign tumor of thyroid 切除甲狀腺瘤或其良性腫瘤 Intermediate 中型 Thyroidectomy, total 甲狀腺全切除術 Major 大型 HEART 心臟 Cardiac Angiogram 心血管成像 Intermediate 中型 Cardiac catheterization 心臟導管檢查術 Intermediate 中型 Cardiac transplantation 心臟移植 Complex Major 繁複大型 Coronary artery bypass graft 冠狀動脈分流補植術 Complex Major 繁複大型 Insertion of cardiac pacemaker 植入心臟起博器 Intermediate 中型 Open operation on heart or thoracic aorta 心臟或胸主動脈的開胸手術 Complex Major 繁複大型 HERNIA 疝氣 p. 4

5 Surgical Schedule of Surgeon's Fee Herniorrhaphy for 疝氣修補術 - single hernia - 一個疝氣 Intermediate 中型 - more than one hernia - 多於一個疝氣 Major 大型 JOINT 關節 Incision into, tapping excepted 治療關節損害的關節切開術 ( 穿刺放液手術除外 ) Minor 小型 Arthroscopic excision of joint structure 關節內窺鏡切除關節組織 Intermediate 中型 LIGAMENTS AND TENDONS 韌帶及腱 Cutting or transplant 割除或移植 - single - 單項 Intermediate 中型 - multiple - 多項 Major 大型 Suturing of tendon 縫合肌腱手術 - single - 單項 Minor 小型 - multiple - 多項 Intermediate 中型 PARACENTESIS 穿刺 Tapping 放液穿刺手術 Minor 小型 PILONIDAL CYST OR SINUS 毛囊腫或竇管 Removal 切除 Intermediate 中型 RECTUM 直腸 Hemorrhoidectomy, external 外痔切除 Intermediate 中型 Internal or Internal and external 內痔及內外痔 Intermediate 中型 Cutting operation for fissure 肛裂開刀 Minor 小型 Cutting operation for thrombosed hemorrhoids 血栓痔切除手術 Minor 小型 Cutting operation for fistula in ano, 肛門瘻管切除手術 - single - 單處 Intermediate 中型 - multiple - 多處 Intermediate 中型 - injections (complete procedure) - 注射療化 ( 整個過程 ) Intermediate 中型 SKULL 頭顱 p. 5

6 Surgical Schedule of Surgeon's Fee Cutting into cranial cavity (trephine excepted) 顱腔開刀手術 ( 環鋸手術除外 ) 並 / 未切除腦腫瘤 Major 大型 Trephine 環鋸手術 Intermediate 中型 Any operation on Brain and Meninges 腦組織或腦膜切開手術 Super Major 超大型 Operation on intra-cranial arterio-venous malformation 顱內畸形血管切除術 Complex Major 繁複大型 SPINE OR SPINAL CORD 脊柱或脊髓 Operation for spinal cord tumor 切除脊髓腫瘤 Major 大型 Operation with removal of portion of vertebra or vertebrae (except coccyx, transverse or spinous process) 脊椎的部份切除手術 ( 尾骨, 橫突或脊椎棘突除外 ) Major 大型 Removal of part or all of coccyx or of transverse or spinous 尾骨橫突或脊椎棘突的部份或全部切除 Major 大型 Any operation on spinal cord or spinal Meninges 脊髓或脊髓膜手術 Super Major 超大型 Rhizotomy 脊髓神經根分流術 Super Major 超大型 TUMOURS 腫瘤 Benign or superficial tumours and cysts or abscesses 良性表皮腫瘤, 水囊腫或膿腫切除 Minor 小型 Malignant tumours of face, lip or skin 面唇或皮膚惡性腫瘤切除 Major 大型 VARICOSE VEINS 靜脈曲張 Injection treatment, complete procedure, one or both legs 注射療法 ( 整個過程 ), 單腿或雙腿 Minor 小型 Cutting operation, complete procedure, one leg 開刀切除 ( 整個過程 ), 單腿 Major 大型 - both legs - 雙腿 Major 大型 (The above is for reference only, please contact us if you require any further information on the surgery classification. 以上資料只供參考, 如有查詢請聯絡本公司 ) p. 6

骨科部實習醫師教學訓練手冊

骨科部實習醫師教學訓練手冊壹簡介骨科部實習醫學生 (Intern) 教學訓練計畫 103 年 08 月修訂床位數 :151 張 ( 單人床 :13 張, 健保床 :28 張 ) 骨科部設有六科 : 骨折創傷科脊椎外科運動醫學科手外科小兒骨科關節重建科骨腫瘤中心台北榮民總醫院創立於 1958