This page is part of the 臺灣核心實作指引(TW Core IG) (v0.2.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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: 臺灣健保署醫療服務給付項目-檢驗值集 - TTL Representation

Active as of 2022-07-01

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "laboratory-category-tw"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"CodeSystem-medical-service-payment-tw.html\"><code>https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-01076B\">01076B</a></td><td style=\"color: #cccccc\">尿中無機砷檢查</td><td>「尿中無機砷檢查」值需呈現「尿中無機砷總量」檢驗值(即三價砷、五價砷、MMA、DMA、肌酸酐之檢驗值合計數)</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-01077B\">01077B</a></td><td style=\"color: #cccccc\">試壓耐氧檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-01078B\">01078B</a></td><td style=\"color: #cccccc\">血清銦檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06001C\">06001C</a></td><td style=\"color: #cccccc\">酸鹼度反應</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06002C\">06002C</a></td><td style=\"color: #cccccc\">比重檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06003C\">06003C</a></td><td style=\"color: #cccccc\">尿蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06004C\">06004C</a></td><td style=\"color: #cccccc\">尿糖</td><td>尿糖試紙檢查比照申報</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06005C\">06005C</a></td><td style=\"color: #cccccc\">尿膽素原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06006C\">06006C</a></td><td style=\"color: #cccccc\">尿膽紅素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06007C\">06007C</a></td><td style=\"color: #cccccc\">尿酮體</td><td>血中丙酮檢查比照申報</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06008C\">06008C</a></td><td style=\"color: #cccccc\">班尼迪克特反應</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06009C\">06009C</a></td><td style=\"color: #cccccc\">尿沉渣</td><td>包括紅血球、白血球、圓柱體、上皮細胞、粘液、淋巴球、寄生虫等無染色標本檢查</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06010C\">06010C</a></td><td style=\"color: #cccccc\">本周氏蛋白試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06011B\">06011B</a></td><td style=\"color: #cccccc\">乳糜尿之確定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06012C\">06012C</a></td><td style=\"color: #cccccc\">尿一般檢查(包括蛋白、糖、尿膽元、膽紅素、尿沈渣、比重、顏色、混濁度、白血球酯脢、潛血、酸鹼度及酮體)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06013C\">06013C</a></td><td style=\"color: #cccccc\">尿生化檢查(包括蛋白、糖、尿膽元、膽紅素、比重、顏色、混濁度、酸鹼度、白血球酯脢及酮體)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06014B\">06014B</a></td><td style=\"color: #cccccc\">酸鹼度(酸鹼儀)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06015C\">06015C</a></td><td style=\"color: #cccccc\">亞硝酸鹽檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06016B\">06016B</a></td><td style=\"color: #cccccc\">脂肪染色</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06017B\">06017B</a></td><td style=\"color: #cccccc\">白血球酯脢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06503B\">06503B</a></td><td style=\"color: #cccccc\">尿滲透壓檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06504C\">06504C</a></td><td style=\"color: #cccccc\">懷孕試驗-乳膠凝集法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06505C\">06505C</a></td><td style=\"color: #cccccc\">懷孕試驗-酵素免疫法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06508B\">06508B</a></td><td style=\"color: #cccccc\">紫質類檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06509B\">06509B</a></td><td style=\"color: #cccccc\">Porphobilinogen 檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06510C\">06510C</a></td><td style=\"color: #cccccc\">巴拉刈定性檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06511C\">06511C</a></td><td style=\"color: #cccccc\">四次尿糖</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06512B\">06512B</a></td><td style=\"color: #cccccc\">尿液糞紫質檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-06513B\">06513B</a></td><td style=\"color: #cccccc\">尿液新陳代謝障礙檢測</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07001C\">07001C</a></td><td style=\"color: #cccccc\">糞便潛血化學法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07002C\">07002C</a></td><td style=\"color: #cccccc\">糞便中膽紅素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07003C\">07003C</a></td><td style=\"color: #cccccc\">阿米巴檢驗 (直接法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07004C\">07004C</a></td><td style=\"color: #cccccc\">澱粉質染色</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07005C\">07005C</a></td><td style=\"color: #cccccc\">中性脂肪染色</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07006C\">07006C</a></td><td style=\"color: #cccccc\">脂肪酸染色</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07007C\">07007C</a></td><td style=\"color: #cccccc\">酸鹼值</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07008C\">07008C</a></td><td style=\"color: #cccccc\">糞便中尿膽素原</td><td>93.6.14健保醫字第0930060063號公告中文名稱修正。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07009C\">07009C</a></td><td style=\"color: #cccccc\">糞便一般檢查(包括外觀、蟲卵、潛血反應、硬度、顏色、消化能力、紅、白血球、粘液等)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07010B\">07010B</a></td><td style=\"color: #cccccc\">胰蛋白酶</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07011C\">07011C</a></td><td style=\"color: #cccccc\">寄生蟲卵-直接抹片檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07012C\">07012C</a></td><td style=\"color: #cccccc\">寄生蟲卵-濃縮法</td><td>93.6.14健保醫字第0930060063號公告英文名稱修正。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07013C\">07013C</a></td><td style=\"color: #cccccc\">寄生蟲卵-計數法</td><td>含培養費用</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07015C\">07015C</a></td><td style=\"color: #cccccc\">還原物質測定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07016C\">07016C</a></td><td style=\"color: #cccccc\">蟯蟲膠片</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07017B\">07017B</a></td><td style=\"color: #cccccc\">APT檢測試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-07018C\">07018C</a></td><td style=\"color: #cccccc\">糞便白血球檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08001C\">08001C</a></td><td style=\"color: #cccccc\">紅血球計數</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08002C\">08002C</a></td><td style=\"color: #cccccc\">白血球計數</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08003C\">08003C</a></td><td style=\"color: #cccccc\">血色素檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08004C\">08004C</a></td><td style=\"color: #cccccc\">血球比容值測定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08005C\">08005C</a></td><td style=\"color: #cccccc\">紅血球沈降速度測定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08006C\">08006C</a></td><td style=\"color: #cccccc\">血小板計數</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08007C\">08007C</a></td><td style=\"color: #cccccc\">血中寄生蟲檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08008C\">08008C</a></td><td style=\"color: #cccccc\">網狀紅血球計數</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08009C\">08009C</a></td><td style=\"color: #cccccc\">紅血球形態</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08010C\">08010C</a></td><td style=\"color: #cccccc\">嗜酸性白血球計算</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08011C\">08011C</a></td><td style=\"color: #cccccc\">全套血液檢查I(八項)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08012C\">08012C</a></td><td style=\"color: #cccccc\">全套血液檢查Ⅱ(七項)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08013C\">08013C</a></td><td style=\"color: #cccccc\">白血球分類計數</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08014C\">08014C</a></td><td style=\"color: #cccccc\">血液一般檢查(白血球,紅血球及血色素)</td><td>同時實施此三項檢查,須以此項申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08015C\">08015C</a></td><td style=\"color: #cccccc\">紅斑性狼瘡細胞</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08016C\">08016C</a></td><td style=\"color: #cccccc\">紅斑性狼瘡因子</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08017B\">08017B</a></td><td style=\"color: #cccccc\">血清黏度</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08018C\">08018C</a></td><td style=\"color: #cccccc\">出血時間</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08019C\">08019C</a></td><td style=\"color: #cccccc\">出血時間</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08020C\">08020C</a></td><td style=\"color: #cccccc\">凝血時間</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08021C\">08021C</a></td><td style=\"color: #cccccc\">血塊收縮試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08022B\">08022B</a></td><td style=\"color: #cccccc\">纖維蛋白原測定(定性)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08023B\">08023B</a></td><td style=\"color: #cccccc\">纖維蛋白原測定(定量)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08024B\">08024B</a></td><td style=\"color: #cccccc\">纖維蛋白原測定(免疫比濁法)</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08025B\">08025B</a></td><td style=\"color: #cccccc\">凝血脢時間</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08026C\">08026C</a></td><td style=\"color: #cccccc\">凝血酶原時間 (一段式)</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08027B\">08027B</a></td><td style=\"color: #cccccc\">骨髓細胞形態判讀</td><td>1.Hematopathology2.淋巴檢查比照申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08028B\">08028B</a></td><td style=\"color: #cccccc\">胚胎血色素量值</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08029B\">08029B</a></td><td style=\"color: #cccccc\">H血紅素檢查</td><td>93.6.14健保醫字第0930060063號公告中文名稱修正。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08030C\">08030C</a></td><td style=\"color: #cccccc\">血紅素電泳</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08031B\">08031B</a></td><td style=\"color: #cccccc\">紅血球脆性試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08032B\">08032B</a></td><td style=\"color: #cccccc\">漢姆斯酸性血清試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08033B\">08033B</a></td><td style=\"color: #cccccc\">自動溶血試驗</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08034B\">08034B</a></td><td style=\"color: #cccccc\">毛細管抵抗測定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08035C\">08035C</a></td><td style=\"color: #cccccc\">血漿凝固時間</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08036C\">08036C</a></td><td style=\"color: #cccccc\">部分凝血活脢時間</td><td>註:屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方及執行始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08037B\">08037B</a></td><td style=\"color: #cccccc\">纖維蛋白降解產物-定性</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08038B\">08038B</a></td><td style=\"color: #cccccc\">纖維蛋白降解產物-定量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08039B\">08039B</a></td><td style=\"color: #cccccc\">半定量血塊收縮試驗</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08040B\">08040B</a></td><td style=\"color: #cccccc\">變性血色素檢查</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08041B\">08041B</a></td><td style=\"color: #cccccc\">糖水試驗</td><td>含半定量</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08042C\">08042C</a></td><td style=\"color: #cccccc\">骨髓鐵染色</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08043C\">08043C</a></td><td style=\"color: #cccccc\">蘇丹B染色</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08044B\">08044B</a></td><td style=\"color: #cccccc\">白血球鹼性磷酸解酶染色</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08045B\">08045B</a></td><td style=\"color: #cccccc\">凝塊溶解試驗</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08046B\">08046B</a></td><td style=\"color: #cccccc\">硫酸魚精蛋白副凝固試驗</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08047B\">08047B</a></td><td style=\"color: #cccccc\">過氧化酶染色</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08048B\">08048B</a></td><td style=\"color: #cccccc\">特異性酯酶染色</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08049B\">08049B</a></td><td style=\"color: #cccccc\">非特異性酯酶染色</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08050B\">08050B</a></td><td style=\"color: #cccccc\">酸性磷酸酶染色</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08051B\">08051B</a></td><td style=\"color: #cccccc\">肝糖染色試驗</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08052B\">08052B</a></td><td style=\"color: #cccccc\">胚胎血色素染色</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08053B\">08053B</a></td><td style=\"color: #cccccc\">漢斯氏體染色</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08054B\">08054B</a></td><td style=\"color: #cccccc\">血色素A2測定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08055B\">08055B</a></td><td style=\"color: #cccccc\">凝血酶原消耗試驗</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08056B\">08056B</a></td><td style=\"color: #cccccc\">部份凝血激素取代試驗</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08057B\">08057B</a></td><td style=\"color: #cccccc\">第二因子測定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08058B\">08058B</a></td><td style=\"color: #cccccc\">第五因子測定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08059B\">08059B</a></td><td style=\"color: #cccccc\">第七因子測定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08060B\">08060B</a></td><td style=\"color: #cccccc\">第八因子測定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08061B\">08061B</a></td><td style=\"color: #cccccc\">第九因子測定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08062B\">08062B</a></td><td style=\"color: #cccccc\">第十因子測定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08063B\">08063B</a></td><td style=\"color: #cccccc\">尿素溶解試驗</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08064B\">08064B</a></td><td style=\"color: #cccccc\">凝血酶原轉化試驗(包括測Ⅲ、Ⅶ、Ⅹ)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08065B\">08065B</a></td><td style=\"color: #cccccc\">終端去氧轉化酶染色</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08066B\">08066B</a></td><td style=\"color: #cccccc\">優球蛋白溶解時間</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08067B\">08067B</a></td><td style=\"color: #cccccc\">第八因子之抑制因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08068B\">08068B</a></td><td style=\"color: #cccccc\">凝血酶時間矯正試驗</td><td>93.6.14健保醫字第0930060063號公告開放表別,中文名稱修訂。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08069B\">08069B</a></td><td style=\"color: #cccccc\">血小板凝集試驗</td><td>包括 ADP, collagen(膠原)及 epinephrin(腎上腺素)等三項以上。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08070B\">08070B</a></td><td style=\"color: #cccccc\">血小板留滯試驗</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08071B\">08071B</a></td><td style=\"color: #cccccc\">細胞化學染色</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08072B\">08072B</a></td><td style=\"color: #cccccc\">抗凝血 Ⅲ</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08073B\">08073B</a></td><td style=\"color: #cccccc\">Isopropanol HR stability test</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08074B\">08074B</a></td><td style=\"color: #cccccc\">活化再鈣化凝血時間</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08075C\">08075C</a></td><td style=\"color: #cccccc\">血液滲透壓</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08076B\">08076B</a></td><td style=\"color: #cccccc\">鋅化原紫質檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08077B\">08077B</a></td><td style=\"color: #cccccc\">蛋白C</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08078B\">08078B</a></td><td style=\"color: #cccccc\">α2抗胞漿素</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08079B\">08079B</a></td><td style=\"color: #cccccc\">D雙合體試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08080B\">08080B</a></td><td style=\"color: #cccccc\">第十一因子測定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08081B\">08081B</a></td><td style=\"color: #cccccc\">第十二因子測定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08082C\">08082C</a></td><td style=\"color: #cccccc\">全套血液檢查 III(五項)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08083C\">08083C</a></td><td style=\"color: #cccccc\">平均紅血球血紅素量</td><td>不得與 08011C、08012C重複申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08084C\">08084C</a></td><td style=\"color: #cccccc\">平均紅血球血紅素濃度</td><td>不得與 08011C、08012C重複申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08085B\">08085B</a></td><td style=\"color: #cccccc\">血漿黏度</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08086B\">08086B</a></td><td style=\"color: #cccccc\">全血黏度</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08087B\">08087B</a></td><td style=\"color: #cccccc\">尿液纖維蛋白原分解物含量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08088B\">08088B</a></td><td style=\"color: #cccccc\">混合性凝血酶原時間</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08089B\">08089B</a></td><td style=\"color: #cccccc\">活化凝血時間</td><td>不得合併施行08026C及08036C。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08090B\">08090B</a></td><td style=\"color: #cccccc\">血漿血色素電泳</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08091B\">08091B</a></td><td style=\"color: #cccccc\">等電點血色素電泳分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08092B\">08092B</a></td><td style=\"color: #cccccc\">混合性部份凝血活酶時間</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08093B\">08093B</a></td><td style=\"color: #cccccc\">不穩定性血紅素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08094B\">08094B</a></td><td style=\"color: #cccccc\">尿甘酸化物酶染色</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08095B\">08095B</a></td><td style=\"color: #cccccc\">第二因子抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08096B\">08096B</a></td><td style=\"color: #cccccc\">第五因子抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08097B\">08097B</a></td><td style=\"color: #cccccc\">第七因子抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08098B\">08098B</a></td><td style=\"color: #cccccc\">第十二因子抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08099B\">08099B</a></td><td style=\"color: #cccccc\">第十三因子抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08100B\">08100B</a></td><td style=\"color: #cccccc\">第二因子之抑制因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08101B\">08101B</a></td><td style=\"color: #cccccc\">第五因子之抑制因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08102B\">08102B</a></td><td style=\"color: #cccccc\">第七因子之抑制因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08103B\">08103B</a></td><td style=\"color: #cccccc\">第九因子之抑制因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08104B\">08104B</a></td><td style=\"color: #cccccc\">第十因子之抑制因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08105B\">08105B</a></td><td style=\"color: #cccccc\">第十一因子之抑制因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08106B\">08106B</a></td><td style=\"color: #cccccc\">第十二因子之抑制因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08107B\">08107B</a></td><td style=\"color: #cccccc\">G型免疫球蛋白次群定量</td><td>含IgG1、IgG2、IgG3、IgG4</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08109B\">08109B</a></td><td style=\"color: #cccccc\">蛇毒素試驗時間</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08111B\">08111B</a></td><td style=\"color: #cccccc\">輔因子活力</td><td>適應症為凝血異常,疑有Von-willebrands disease者。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08112B\">08112B</a></td><td style=\"color: #cccccc\">血小板第三因子呈現試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08113B\">08113B</a></td><td style=\"color: #cccccc\">血小板第四因子呈現試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08114B\">08114B</a></td><td style=\"color: #cccccc\">β-血凝球蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08115B\">08115B</a></td><td style=\"color: #cccccc\">血栓質生成試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08116B\">08116B</a></td><td style=\"color: #cccccc\">組織胞漿素元活化因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08117B\">08117B</a></td><td style=\"color: #cccccc\">胞質素元活化因子抑制劑</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08118B\">08118B</a></td><td style=\"color: #cccccc\">Von willebrand factor</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08119B\">08119B</a></td><td style=\"color: #cccccc\">黏著試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08120B\">08120B</a></td><td style=\"color: #cccccc\">凝血酵素碎片1+2</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08122B\">08122B</a></td><td style=\"color: #cccccc\">蛋白S</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08123B\">08123B</a></td><td style=\"color: #cccccc\">蛋白C抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08124B\">08124B</a></td><td style=\"color: #cccccc\">蛋白S抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08125B\">08125B</a></td><td style=\"color: #cccccc\">血中肝素濃度測定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08126B\">08126B</a></td><td style=\"color: #cccccc\">狼瘡抗凝血因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08127C\">08127C</a></td><td style=\"color: #cccccc\">平均紅血球容積</td><td>不得與 08011C、08012C、08082C重複申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08128B\">08128B</a></td><td style=\"color: #cccccc\">骨髓細胞形態判讀合併細胞分類計數</td><td>1.Hematopathology 2.淋巴檢查比照申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08129C\">08129C</a></td><td style=\"color: #cccccc\">胰島素血清檢驗</td><td>93.6.14健保醫字第0930060063號公告增列本項。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08130C\">08130C</a></td><td style=\"color: #cccccc\">骨質特異性鹼性磷酸酶</td><td>適應症同33064B。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08131C\">08131C</a></td><td style=\"color: #cccccc\">血小板功能閉鎖時間-膠原蛋白/腎上腺素</td><td>註:不得與08018C、08019C、08069B同時申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08132C\">08132C</a></td><td style=\"color: #cccccc\">血小板功能閉鎖時間-膠原蛋白/二磷酸腺苷酸</td><td>註:不得與08018C、08019C、08069B同時申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08133B\">08133B</a></td><td style=\"color: #cccccc\">胱蛋白C</td><td>適應症:1.第一型及第二型糖尿病患者腎臟功能監測2.腎臟移植病患腎功能監測3.具急性腎衰竭風險者之早期腎功能監測。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-08134B\">08134B</a></td><td style=\"color: #cccccc\">連續血糖監測</td><td>1.適應症：第一型糖尿病(領有重大傷病證明)、新生兒糖尿病，或因Near-total pancreatectomy所致糖尿病等個案，且須符合下列任一條件：(1)血糖過度起伏且最近六個月兩次糖化血色數(HbA1c)值都大於(含)8%。(2)低血糖無感症。(3)常有嚴重低血糖，須他人協助治療，最近三個月有因低血糖曾至急診診治或住院。(4)懷孕。2.支付規範：(1)限門診使用，若為住院使用應事前審查。(2)一年至多執行兩次，且間隔三個月以上。若一年執行超過兩次者，須事前審查。(3)限糖尿病共同照護網醫療機構申報，執行檢查人員和判讀醫師、營養師、衛教師必須參加過有關連續血糖監測之訓練課程。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09001C\">09001C</a></td><td style=\"color: #cccccc\">總膽固醇</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09002C\">09002C</a></td><td style=\"color: #cccccc\">血中尿素氮</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09003C\">09003C</a></td><td style=\"color: #cccccc\">尿素氮、尿</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09004C\">09004C</a></td><td style=\"color: #cccccc\">三酸甘油脂</td><td>93.6.14健保醫字第0930060063號公告中文名稱修正。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09005C\">09005C</a></td><td style=\"color: #cccccc\">血液及體液葡萄糖</td><td>尿液除外</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09006C\">09006C</a></td><td style=\"color: #cccccc\">醣化血紅素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09008B\">09008B</a></td><td style=\"color: #cccccc\">酚磺鈦</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09009C\">09009C</a></td><td style=\"color: #cccccc\">三碘甲狀腺原氨酸攝取率</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09010C\">09010C</a></td><td style=\"color: #cccccc\">四碘甲狀腺素生化法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09011C\">09011C</a></td><td style=\"color: #cccccc\">鈣</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09012C\">09012C</a></td><td style=\"color: #cccccc\">磷</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09013C\">09013C</a></td><td style=\"color: #cccccc\">尿酸</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09014C\">09014C</a></td><td style=\"color: #cccccc\">肌氨酸</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09015C\">09015C</a></td><td style=\"color: #cccccc\">肌酸酐、血</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09016C\">09016C</a></td><td style=\"color: #cccccc\">肌酐、尿</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09017C\">09017C</a></td><td style=\"color: #cccccc\">澱粉脢、血</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09018B\">09018B</a></td><td style=\"color: #cccccc\">粘性蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09019B\">09019B</a></td><td style=\"color: #cccccc\">r-球蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09020C\">09020C</a></td><td style=\"color: #cccccc\">鐵</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09021C\">09021C</a></td><td style=\"color: #cccccc\">鈉</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09022C\">09022C</a></td><td style=\"color: #cccccc\">鉀</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09023C\">09023C</a></td><td style=\"color: #cccccc\">氯</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09024C\">09024C</a></td><td style=\"color: #cccccc\">二氧化碳</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09025C\">09025C</a></td><td style=\"color: #cccccc\">血清麩胺酸苯醋酸轉氨基脢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09026C\">09026C</a></td><td style=\"color: #cccccc\">血清麩胺酸丙酮酸轉氨基脢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09027C\">09027C</a></td><td style=\"color: #cccccc\">鹼性磷酯酶</td><td>93.6.14健保醫字第0930060063號公告修訂中英文名稱,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09028C\">09028C</a></td><td style=\"color: #cccccc\">酸性磷酯酶</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09029C\">09029C</a></td><td style=\"color: #cccccc\">膽紅素總量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09030C\">09030C</a></td><td style=\"color: #cccccc\">直接膽紅素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09031C\">09031C</a></td><td style=\"color: #cccccc\">麩胺轉酸脢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09032C\">09032C</a></td><td style=\"color: #cccccc\">肌酸磷化脢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09033C\">09033C</a></td><td style=\"color: #cccccc\">乳酸脫氫脢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09034B\">09034B</a></td><td style=\"color: #cccccc\">酚四溴鈉試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09035C\">09035C</a></td><td style=\"color: #cccccc\">總鐵結合能力</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09036B\">09036B</a></td><td style=\"color: #cccccc\">腦燐脂膽固醇結合試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09037C\">09037C</a></td><td style=\"color: #cccccc\">血氨</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09038C\">09038C</a></td><td style=\"color: #cccccc\">白蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09039C\">09039C</a></td><td style=\"color: #cccccc\">球蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09040C\">09040C</a></td><td style=\"color: #cccccc\">全蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09041B\">09041B</a></td><td style=\"color: #cccccc\">血液氣體分析</td><td>1.包括PH.PCO2.PO2及HCO3等測定在內2.本項不得加計急診加成</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09042C\">09042C</a></td><td style=\"color: #cccccc\">攝護腺酸性磷酸酶</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09043C\">09043C</a></td><td style=\"color: #cccccc\">高密度脂蛋白-膽固醇</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09044C\">09044C</a></td><td style=\"color: #cccccc\">低密度脂蛋白-膽固醇</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09046B\">09046B</a></td><td style=\"color: #cccccc\">鎂</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09047B\">09047B</a></td><td style=\"color: #cccccc\">銅</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09048B\">09048B</a></td><td style=\"color: #cccccc\">鋅</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09049B\">09049B</a></td><td style=\"color: #cccccc\">鉛</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09050B\">09050B</a></td><td style=\"color: #cccccc\">乳糖</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09051C\">09051C</a></td><td style=\"color: #cccccc\">葡萄糖六磷酸脫氫酶</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09052B\">09052B</a></td><td style=\"color: #cccccc\">香莢杏仁酸定量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09053B\">09053B</a></td><td style=\"color: #cccccc\">17酮類固醇類</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09054B\">09054B</a></td><td style=\"color: #cccccc\">17氫氧根腎上腺酮</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09055B\">09055B</a></td><td style=\"color: #cccccc\">尿動情激素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09056B\">09056B</a></td><td style=\"color: #cccccc\">5-氫氧靛基醋酸</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09057B\">09057B</a></td><td style=\"color: #cccccc\">胺基左旋醣酸</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09058B\">09058B</a></td><td style=\"color: #cccccc\">胺基左旋醣酸脫氫酵素</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09059B\">09059B</a></td><td style=\"color: #cccccc\">乳酸</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09060B\">09060B</a></td><td style=\"color: #cccccc\">丙銅酸</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09061B\">09061B</a></td><td style=\"color: #cccccc\">肌酸磷化同功酶</td><td>93.6.14健保醫字第0930060063號公告中文名稱修訂。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09062B\">09062B</a></td><td style=\"color: #cccccc\">乳酸脫氫同功酶</td><td>93.6.14健保醫字第0930060063號公告開放表別,中文名稱修訂。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09063B\">09063B</a></td><td style=\"color: #cccccc\">D型木糖吸收試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09064C\">09064C</a></td><td style=\"color: #cccccc\">解脂酶</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09065B\">09065B</a></td><td style=\"color: #cccccc\">蛋白電泳分析</td><td>包括血清及體液</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09066B\">09066B</a></td><td style=\"color: #cccccc\">脂蛋白電泳分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09067B\">09067B</a></td><td style=\"color: #cccccc\">鹼性磷酸酯電泳分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09068B\">09068B</a></td><td style=\"color: #cccccc\">澱粉脢電泳分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09069B\">09069B</a></td><td style=\"color: #cccccc\">血清醛縮酶</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09070B\">09070B</a></td><td style=\"color: #cccccc\">羥基丁酸鹽脫氫酶</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09071C\">09071C</a></td><td style=\"color: #cccccc\">肌酸磷酸酶(MB同功酶)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09072B\">09072B</a></td><td style=\"color: #cccccc\">異枸櫞酸去氫酶</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09073B\">09073B</a></td><td style=\"color: #cccccc\">維生素A定量</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09074B\">09074B</a></td><td style=\"color: #cccccc\">維生素C定量</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09075B\">09075B</a></td><td style=\"color: #cccccc\">後腎上腺髓素</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09076B\">09076B</a></td><td style=\"color: #cccccc\">5-核酸解酶</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09077B\">09077B</a></td><td style=\"color: #cccccc\">兒茶酚胺測定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09078B\">09078B</a></td><td style=\"color: #cccccc\">結石分析</td><td>註:1.限泌尿道結石申報。2.同一患者,間隔時間應為兩年(含)以上。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09079C\">09079C</a></td><td style=\"color: #cccccc\">麝香混濁反應</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09080C\">09080C</a></td><td style=\"color: #cccccc\">硫酸鋅混濁反應</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09081C\">09081C</a></td><td style=\"color: #cccccc\">殘餘氯定量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09082B\">09082B</a></td><td style=\"color: #cccccc\">蔗糖溶血分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09083B\">09083B</a></td><td style=\"color: #cccccc\">膽素脂脢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09084B\">09084B</a></td><td style=\"color: #cccccc\">β脂蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09085C\">09085C</a></td><td style=\"color: #cccccc\">白胺酸胺脢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09086C\">09086C</a></td><td style=\"color: #cccccc\">N-乙醯胺基葡萄糖甘脢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09087B\">09087B</a></td><td style=\"color: #cccccc\">甲狀腺素結合容量</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09088B\">09088B</a></td><td style=\"color: #cccccc\">先天代謝異常有關之酵素定量檢查</td><td>1.限衛生福利部委託具優生保健諮詢中心之醫院申請實施。2.限由小兒科遺傳專科醫師主持。3.本項目如已申請衛生福利部補助者,本保險不另支付該次檢查費用。4.如做為一般性篩檢者,非屬本保險給付範圍。5.每單項酵素檢查400點,酵素定量檢查總點數以3500點為上限。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09089B\">09089B</a></td><td style=\"color: #cccccc\">有機酸定量檢查</td><td>1.限衛生福利部委託具優生保健諮詢中心之醫院申請實施。2.限由小兒科遺傳專科醫師主持。3.本項目如已申請衛生福利部補助者,本保險不另支付該次檢查費用。4.如做為一般性篩檢者,非屬本保險給付範圍。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09090B\">09090B</a></td><td style=\"color: #cccccc\">有機酸定性檢查</td><td>1.限衛生福利部委託具優生保健諮詢中心之醫院申請實施。2.限由小兒科遺傳專科醫師主持。3.本項目如已申請衛生福利部補助者,本保險不另支付該次檢查費用。4.如做為一般性篩檢者,非屬本保險給付範圍。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09091B\">09091B</a></td><td style=\"color: #cccccc\">經皮測黃疸值</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09092B\">09092B</a></td><td style=\"color: #cccccc\">游離膽固醇</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09093B\">09093B</a></td><td style=\"color: #cccccc\">肝臟機能ICG色素檢查</td><td>限肝臟手術前之評估使用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09094B\">09094B</a></td><td style=\"color: #cccccc\">尿液鐵</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09095B\">09095B</a></td><td style=\"color: #cccccc\">總脂肪</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09096B\">09096B</a></td><td style=\"color: #cccccc\">胺基酸定性檢查</td><td>1.限衛生福利部委託具優生保健諮詢中心之醫院申請實施。2.限由小兒科遺傳專科醫師主持。3.本項目如已申請衛生福利部補助者,本保險不另支付該次檢查費用。4.如做為一般性篩檢者,非屬本保險給付範圍。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09097B\">09097B</a></td><td style=\"color: #cccccc\">G6PD定量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09098B\">09098B</a></td><td style=\"color: #cccccc\">心肌旋轉蛋白T</td><td>本項與心肌旋轉蛋白I檢驗,限擇一施行申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09099C\">09099C</a></td><td style=\"color: #cccccc\">心肌旋轉蛋白I</td><td>1.本項與心肌旋轉蛋白T檢驗,限擇一施行申報。2.屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09100B\">09100B</a></td><td style=\"color: #cccccc\">尿液蛋白電泳</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09101B\">09101B</a></td><td style=\"color: #cccccc\">蔗糖確認試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09102B\">09102B</a></td><td style=\"color: #cccccc\">腺甘脫胺脢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09103C\">09103C</a></td><td style=\"color: #cccccc\">胰島素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09104C\">09104C</a></td><td style=\"color: #cccccc\">胎盤生乳激素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09105C\">09105C</a></td><td style=\"color: #cccccc\">黃體脂酮免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09106C\">09106C</a></td><td style=\"color: #cccccc\">游離甲狀腺素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09107C\">09107C</a></td><td style=\"color: #cccccc\">游離三碘甲狀腺素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09108C\">09108C</a></td><td style=\"color: #cccccc\">生長激素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09109C\">09109C</a></td><td style=\"color: #cccccc\">17-氫氧基黃體脂酮免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09110B\">09110B</a></td><td style=\"color: #cccccc\">骨原蛋白免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09111C\">09111C</a></td><td style=\"color: #cccccc\">甲狀腺球蛋白</td><td>除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09112C\">09112C</a></td><td style=\"color: #cccccc\">甲狀腺刺激素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09113C\">09113C</a></td><td style=\"color: #cccccc\">皮質素免疫分析</td><td>1.游離皮質素(Free cortisol)比照申報。2.屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09114B\">09114B</a></td><td style=\"color: #cccccc\">醛類脂醇酵素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09115B\">09115B</a></td><td style=\"color: #cccccc\">降血鈣素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09116B\">09116B</a></td><td style=\"color: #cccccc\">抗利尿激素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09117C\">09117C</a></td><td style=\"color: #cccccc\">甲狀腺原氨酸免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09118B\">09118B</a></td><td style=\"color: #cccccc\">碳-副甲狀腺素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09119B\">09119B</a></td><td style=\"color: #cccccc\">促腎上腺皮質素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09120C\">09120C</a></td><td style=\"color: #cccccc\">催乳激素免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09121C\">09121C</a></td><td style=\"color: #cccccc\">睪丸酯醇免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09122C\">09122C</a></td><td style=\"color: #cccccc\">Intact副甲狀腺素免疫分析</td><td>除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09123B\">09123B</a></td><td style=\"color: #cccccc\">MM-副甲狀腺素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09124B\">09124B</a></td><td style=\"color: #cccccc\">血漿腎素活性免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09125C\">09125C</a></td><td style=\"color: #cccccc\">濾泡刺激素免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09126C\">09126C</a></td><td style=\"color: #cccccc\">黃體化激素免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09127C\">09127C</a></td><td style=\"color: #cccccc\">二氫基春情素免疫分析</td><td>0960053235</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09128C\">09128C</a></td><td style=\"color: #cccccc\">C-胜鏈胰島素免疫分析</td><td>除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09129C\">09129C</a></td><td style=\"color: #cccccc\">維生素B12免疫分析</td><td>屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09130C\">09130C</a></td><td style=\"color: #cccccc\">葉酸免疫分析</td><td>註:1.屬西醫基層總額部門院所,限貧血病人病因檢查申報,一年不得超過一次。2.屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方及執行始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09131C\">09131C</a></td><td style=\"color: #cccccc\">春情素醇酵素免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09132B\">09132B</a></td><td style=\"color: #cccccc\">胃泌激素免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09133B\">09133B</a></td><td style=\"color: #cccccc\">環磷酸腺酐酸免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09134C\">09134C</a></td><td style=\"color: #cccccc\">糞便潛血免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09135B\">09135B</a></td><td style=\"color: #cccccc\">乳酸-丙酮酸檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09136B\">09136B</a></td><td style=\"color: #cccccc\">缺糖型式運鐵蛋白之分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09137B\">09137B</a></td><td style=\"color: #cccccc\">血清酮體定量分析</td><td>1.適應症:糖尿病酮酸中毒。2.不得同時申報06007C。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09138C\">09138C</a></td><td style=\"color: #cccccc\">直接及總膽紅素比值</td><td>不得同時申報編號09029C及09030C</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-09139C\">09139C</a></td><td style=\"color: #cccccc\">醣化白蛋白(GA)</td><td>1.適應症:(1)糖尿病合併慢性腎病變。(2)因血液疾病導致HbA1c無法反映血糖控制者。(3)懷孕糖尿病人及妊娠糖尿病人。(4)血糖數值顯示控制不良,但HbA1c數值仍於良好範圍者。(5)禁忌症:血中白蛋白濃度&lt;3g/dL。2.支付規範:(1)不得同時申報編號09006C。(2)一年限申報四次,若為懷孕糖尿病人、妊娠糖尿病人或當年度為糖尿病及初期慢性腎臟病照護整合方案新收案個案,一年限申報六次。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10001B\">10001B</a></td><td style=\"color: #cccccc\">銀</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10002B\">10002B</a></td><td style=\"color: #cccccc\">鋁</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10003B\">10003B</a></td><td style=\"color: #cccccc\">砷</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10004B\">10004B</a></td><td style=\"color: #cccccc\">金</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10005B\">10005B</a></td><td style=\"color: #cccccc\">鎘</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10006B\">10006B</a></td><td style=\"color: #cccccc\">鈷</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10007B\">10007B</a></td><td style=\"color: #cccccc\">鉻</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10008B\">10008B</a></td><td style=\"color: #cccccc\">汞</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10009B\">10009B</a></td><td style=\"color: #cccccc\">錳</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10010B\">10010B</a></td><td style=\"color: #cccccc\">鎳</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10011B\">10011B</a></td><td style=\"color: #cccccc\">鉬</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10012B\">10012B</a></td><td style=\"color: #cccccc\">鋅(原子吸收光譜法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10501C\">10501C</a></td><td style=\"color: #cccccc\">卡巴馬平</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10502B\">10502B</a></td><td style=\"color: #cccccc\">二苯妥因</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10503B\">10503B</a></td><td style=\"color: #cccccc\">甲乙琥珀亞胺</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10504B\">10504B</a></td><td style=\"color: #cccccc\">滅殺除癌</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10505B\">10505B</a></td><td style=\"color: #cccccc\">普卡因胺</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10506B\">10506B</a></td><td style=\"color: #cccccc\">立克菌星</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10507B\">10507B</a></td><td style=\"color: #cccccc\">乙苯嘧啶二酮</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10508B\">10508B</a></td><td style=\"color: #cccccc\">水楊酸</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10509B\">10509B</a></td><td style=\"color: #cccccc\">茶鹼</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10510C\">10510C</a></td><td style=\"color: #cccccc\">發爾波克</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10511C\">10511C</a></td><td style=\"color: #cccccc\">長葉毛地黃</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10512B\">10512B</a></td><td style=\"color: #cccccc\">Amikacin</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10515B\">10515B</a></td><td style=\"color: #cccccc\">力多卡因</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10516B\">10516B</a></td><td style=\"color: #cccccc\">奎尼丁</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10517B\">10517B</a></td><td style=\"color: #cccccc\">Disopyramide</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10518B\">10518B</a></td><td style=\"color: #cccccc\">健大黴素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10519B\">10519B</a></td><td style=\"color: #cccccc\">托不拉黴素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10520C\">10520C</a></td><td style=\"color: #cccccc\">鋰鹽</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10521B\">10521B</a></td><td style=\"color: #cccccc\">Imipramine</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10522B\">10522B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-Cyclosporine-A</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10523B\">10523B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-二苯環丙氨</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10524B\">10524B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-Desipramine</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10525B\">10525B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-Phenobarbital (luminal)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10526B\">10526B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-Diazepam (valium)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10527B\">10527B</a></td><td style=\"color: #cccccc\">苯重氮基鹽類濃度(定量)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10529B\">10529B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-普潘奈</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10530B\">10530B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-Dibekacin</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10531B\">10531B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-Vancomycin</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10532B\">10532B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-氯黴素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10533B\">10533B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-康絲菌素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10534B\">10534B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-Nortriptyline</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10535B\">10535B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-三環抗鬱劑</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10536B\">10536B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-FK-506</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10537C\">10537C</a></td><td style=\"color: #cccccc\">Sirolimus 全血濃度測定</td><td>93.6.14健保醫字第0930060063號公告增列本項。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10801B\">10801B</a></td><td style=\"color: #cccccc\">毒物試驗(定性)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10802B\">10802B</a></td><td style=\"color: #cccccc\">巴比妥酸鹽</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10803B\">10803B</a></td><td style=\"color: #cccccc\">乙醯對氨基酚</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10804B\">10804B</a></td><td style=\"color: #cccccc\">一氧化碳血紅素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10805B\">10805B</a></td><td style=\"color: #cccccc\">氰化物</td><td>93.6.14健保醫字第0930060063號公告英文名稱修正。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10806B\">10806B</a></td><td style=\"color: #cccccc\">甲醇</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10807B\">10807B</a></td><td style=\"color: #cccccc\">乙醇</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10808B\">10808B</a></td><td style=\"color: #cccccc\">高鐵血紅素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10809B\">10809B</a></td><td style=\"color: #cccccc\">血中農藥中毒濃度測定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10810B\">10810B</a></td><td style=\"color: #cccccc\">安非他命檢測(免疫分析)</td><td>限鑑別診斷用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10811B\">10811B</a></td><td style=\"color: #cccccc\">嗎啡檢測(免疫分析)</td><td>限鑑別診斷用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10812B\">10812B</a></td><td style=\"color: #cccccc\">古柯鹼檢測(免疫分析)</td><td>限鑑別診斷用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10813B\">10813B</a></td><td style=\"color: #cccccc\">大麻檢測(免疫分析)</td><td>限鑑別診斷用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10814B\">10814B</a></td><td style=\"color: #cccccc\">天使塵檢測(免疫分析)</td><td>限鑑別診斷用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10815B\">10815B</a></td><td style=\"color: #cccccc\">有機磷濃度確認分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10816B\">10816B</a></td><td style=\"color: #cccccc\">乙醯膽鹼脢紅血球(定量)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10817B\">10817B</a></td><td style=\"color: #cccccc\">乙醇-酒後非駕駛</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10818B\">10818B</a></td><td style=\"color: #cccccc\">乙醇-酒後駕駛</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-10819C\">10819C</a></td><td style=\"color: #cccccc\">殺鼠藥分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11001C\">11001C</a></td><td style=\"color: #cccccc\">ABO血型測定檢驗</td><td>1.同一醫療院所門、住診限申報一次2.接受不同血型之骨髓或周邊血液幹細胞移植術後之病人不限申報一次。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11002C\">11002C</a></td><td style=\"color: #cccccc\">交叉配合試驗</td><td>1.冷凍沈澱品(cryoprecipitate)、凝血脢(thrombin)、血漿(plasma)不得申報交叉試驗。2.每一血袋限申報一次</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11003C\">11003C</a></td><td style=\"color: #cccccc\">RH(D)型檢驗</td><td>1.同一醫療院所門、住診限申報一次。2.接受不同血型之骨髓或周邊血液幹細胞移植術後之病人不限申報一次。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11004C\">11004C</a></td><td style=\"color: #cccccc\">不規則抗體篩檢</td><td>每次輸血前限申報一次</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11005B\">11005B</a></td><td style=\"color: #cccccc\">不規則抗體鑑定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11006B\">11006B</a></td><td style=\"color: #cccccc\">不規則抗體之沖出及鑑定</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11007B\">11007B</a></td><td style=\"color: #cccccc\">血小板抗體</td><td>註:適應症1.兩次以上輸血仍無法提升血小板數目(輸血小板無療效),懷疑免疫因素引起。2.血小板低下症鑑別診斷,如NAITP、AITP、TTP、DITP、PTP、ITP等。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11008B\">11008B</a></td><td style=\"color: #cccccc\">特殊血型-Lewis antigen</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11009B\">11009B</a></td><td style=\"color: #cccccc\">特殊血型-D、E、C、e、c</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11010B\">11010B</a></td><td style=\"color: #cccccc\">特殊血型-特殊血型三大群以上</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11011B\">11011B</a></td><td style=\"color: #cccccc\">輸血反應探測</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-11012B\">11012B</a></td><td style=\"color: #cccccc\">HLA符合試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12001C\">12001C</a></td><td style=\"color: #cccccc\">梅毒試驗</td><td>S.T.S檢查比照申報</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12002B\">12002B</a></td><td style=\"color: #cccccc\">傷寒凝集試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12003C\">12003C</a></td><td style=\"color: #cccccc\">抗鏈球菌溶血素O效價測定—溶血抑制法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12004C\">12004C</a></td><td style=\"color: #cccccc\">抗鏈球菌溶血素O 效價測定-免疫比濁法</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12005B\">12005B</a></td><td style=\"color: #cccccc\">鏈球菌激脢試驗</td><td>Streptokinase檢查比照申報</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12006B\">12006B</a></td><td style=\"color: #cccccc\">布魯氏菌凝集素試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12007C\">12007C</a></td><td style=\"color: #cccccc\">α-胎兒蛋白檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12008B\">12008B</a></td><td style=\"color: #cccccc\">冷凝集反應</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12009C\">12009C</a></td><td style=\"color: #cccccc\">類風濕性關節炎因子試驗-乳膠凝集法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12010C\">12010C</a></td><td style=\"color: #cccccc\">類風濕性關節炎因子試驗—被動血球凝集法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12011C\">12011C</a></td><td style=\"color: #cccccc\">類風濕性關節炎因子試驗-免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12012B\">12012B</a></td><td style=\"color: #cccccc\">冷凝球蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12013C\">12013C</a></td><td style=\"color: #cccccc\">C反應性蛋白試驗—乳膠凝集法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12014C\">12014C</a></td><td style=\"color: #cccccc\">C反應性蛋白試驗-免疫擴散法</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12015C\">12015C</a></td><td style=\"color: #cccccc\">C反應性蛋白試驗-免疫比濁法</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12016C\">12016C</a></td><td style=\"color: #cccccc\">砂眼披衣菌抗原-酵素免疫法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12017B\">12017B</a></td><td style=\"color: #cccccc\">砂眼披衣菌抗原-螢光法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12018C\">12018C</a></td><td style=\"color: #cccccc\">梅毒螺旋體抗體試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12019B\">12019B</a></td><td style=\"color: #cccccc\">螢光梅毒螺旋體抗體吸附試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12020C\">12020C</a></td><td style=\"color: #cccccc\">肺炎黴漿菌抗體試驗</td><td>除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12021C\">12021C</a></td><td style=\"color: #cccccc\">癌胚胎抗原檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12022C\">12022C</a></td><td style=\"color: #cccccc\">乙型人類絨毛膜促性腺激素</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12023B\">12023B</a></td><td style=\"color: #cccccc\">人體阿米巴體抗體檢驗</td><td>93.6.14健保醫字第0930060063號公告中文名稱修正。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12024B\">12024B</a></td><td style=\"color: #cccccc\">免疫球蛋白G—單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12025B\">12025B</a></td><td style=\"color: #cccccc\">免疫球蛋白G—免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12026B\">12026B</a></td><td style=\"color: #cccccc\">免疫球蛋白A—單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12027B\">12027B</a></td><td style=\"color: #cccccc\">免疫球蛋白A—免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12028B\">12028B</a></td><td style=\"color: #cccccc\">免疫球蛋白M—單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12029B\">12029B</a></td><td style=\"color: #cccccc\">免疫球蛋白M—免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12030B\">12030B</a></td><td style=\"color: #cccccc\">免疫球蛋白D</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12031C\">12031C</a></td><td style=\"color: #cccccc\">免疫球蛋白E</td><td>詳見91.04.23健保醫字第0910007178號公告.91.05.01起修訂適用表別為基層適用.</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12032B\">12032B</a></td><td style=\"color: #cccccc\">補體1定量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12033B\">12033B</a></td><td style=\"color: #cccccc\">補體3-單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12034B\">12034B</a></td><td style=\"color: #cccccc\">補體3-免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12035B\">12035B</a></td><td style=\"color: #cccccc\">補體3(活化測定)-單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12036B\">12036B</a></td><td style=\"color: #cccccc\">補體3(活化測定)-免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12037B\">12037B</a></td><td style=\"color: #cccccc\">補體4-單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12038B\">12038B</a></td><td style=\"color: #cccccc\">補體4-免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12039B\">12039B</a></td><td style=\"color: #cccccc\">補體-5定量</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12040B\">12040B</a></td><td style=\"color: #cccccc\">α1-抗胰蛋白脢-單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12041B\">12041B</a></td><td style=\"color: #cccccc\">α1-抗胰蛋白脢-免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12042B\">12042B</a></td><td style=\"color: #cccccc\">α1– 粘液蛋白 (免疫比濁法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12043B\">12043B</a></td><td style=\"color: #cccccc\">α2-巨球蛋白-單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12044B\">12044B</a></td><td style=\"color: #cccccc\">α2-巨球蛋白-免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12045B\">12045B</a></td><td style=\"color: #cccccc\">結合蛋白-單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12046B\">12046B</a></td><td style=\"color: #cccccc\">結合蛋白-免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12047B\">12047B</a></td><td style=\"color: #cccccc\">運鐵蛋白-單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12048C\">12048C</a></td><td style=\"color: #cccccc\">運鐵蛋白—免疫比濁法</td><td>12048C除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12049B\">12049B</a></td><td style=\"color: #cccccc\">轉銅素—單向免疫擴散法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12050B\">12050B</a></td><td style=\"color: #cccccc\">轉銅素 免疫比濁法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12051B\">12051B</a></td><td style=\"color: #cccccc\">胞漿蛋白原</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12052B\">12052B</a></td><td style=\"color: #cccccc\">β2-微球蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12053C\">12053C</a></td><td style=\"color: #cccccc\">抗核抗體(間接免疫螢光法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12054B\">12054B</a></td><td style=\"color: #cccccc\">微粒體抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12055B\">12055B</a></td><td style=\"color: #cccccc\">骨骼肌抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12056B\">12056B</a></td><td style=\"color: #cccccc\">粒腺體抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12057B\">12057B</a></td><td style=\"color: #cccccc\">平滑肌抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12058B\">12058B</a></td><td style=\"color: #cccccc\">壁細胞抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12059B\">12059B</a></td><td style=\"color: #cccccc\">嗜異性抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12060C\">12060C</a></td><td style=\"color: #cccccc\">DNA抗體</td><td>註:屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方及執行始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12061B\">12061B</a></td><td style=\"color: #cccccc\">肌球蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12062B\">12062B</a></td><td style=\"color: #cccccc\">冷凝球蛋白</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12063B\">12063B</a></td><td style=\"color: #cccccc\">可抽出的核抗體檢查(定性)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12064B\">12064B</a></td><td style=\"color: #cccccc\">可抽出的核抗體測定— Ro/La 抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12065B\">12065B</a></td><td style=\"color: #cccccc\">EB Capsid Ab</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12066B\">12066B</a></td><td style=\"color: #cccccc\">基底膜帶抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12067B\">12067B</a></td><td style=\"color: #cccccc\">細胞間質抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12068C\">12068C</a></td><td style=\"color: #cccccc\">甲狀腺球蛋白抗體</td><td>註:1.屬西醫基層總額部門院所,適應症:用於甲狀腺低下(自體免疫型)及甲狀腺癌病人。2.屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方及執行始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12069B\">12069B</a></td><td style=\"color: #cccccc\">隱球菌抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12070B\">12070B</a></td><td style=\"color: #cccccc\">冷凝纖維蛋白原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12071B\">12071B</a></td><td style=\"color: #cccccc\">淋巴球表面標記-T細胞及B細胞定量</td><td>單源抗體定量T及B細胞或E及EAC-rosette。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12072B\">12072B</a></td><td style=\"color: #cccccc\">淋巴球表面標記-癌症腫瘤檢驗</td><td>包含成熟T及B細胞檢查,輔助性及抑制性T細胞,殺手細胞及活化細胞之檢查。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12073C\">12073C</a></td><td style=\"color: #cccccc\">淋巴球表面標記-感染性疾病檢驗</td><td>1.包含成熟T及B細胞檢查,輔助性及抑制性T細胞檢查。2.屬西醫基層總額部門院所限由感染科專科醫師開立處方始可申報。3.12073C屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12074B\">12074B</a></td><td style=\"color: #cccccc\">淋巴球表面標記-免疫性疾病檢驗</td><td>包含成熟T及B細胞檢查,輔助性及抑制性T細胞,活化T細胞及其他 HLA之單源抗體檢查。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12075B\">12075B</a></td><td style=\"color: #cccccc\">白血球表面標記</td><td>成熟與不成熟T及B或顆粒球與單核球等單源抗體之使用量≦10種</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12076B\">12076B</a></td><td style=\"color: #cccccc\">淋巴球表面標記-其他疾病</td><td>至少包含五種有關T及B細胞檢查。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12077C\">12077C</a></td><td style=\"color: #cccccc\">CA–125腫瘤標記 (EIA/LIA法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12078C\">12078C</a></td><td style=\"color: #cccccc\">CA–153腫瘤標記 (EIA/LIA法)</td><td>除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12079C\">12079C</a></td><td style=\"color: #cccccc\">CA–199腫瘤標記 (EIA/LIA法)</td><td>除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12080B\">12080B</a></td><td style=\"color: #cccccc\">SCC腫瘤標記 (EIA/LIA法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12081C\">12081C</a></td><td style=\"color: #cccccc\">攝護腺特異抗原(EIA/LIA法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12082B\">12082B</a></td><td style=\"color: #cccccc\">多核形白血球吞噬功能</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12083B\">12083B</a></td><td style=\"color: #cccccc\">多核形白血球殺菌功能</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12084B\">12084B</a></td><td style=\"color: #cccccc\">總B-細胞檢查(包括G.A.M.C四項)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12085B\">12085B</a></td><td style=\"color: #cccccc\">淋巴球變形反應—分裂原刺激</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12086C\">12086C</a></td><td style=\"color: #cccccc\">人類白血球抗原-HLA-B27</td><td>1.保險對象接受器官移植申報12087B及12176B時,除父母、兄弟姐妹等各給付一次外,另確定為捐贈者最高可給付共三次。2.12088B及12177B需俟12087B及12176B檢查後配合相合者,如有需要另行檢查。3. 12086C屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12087B\">12087B</a></td><td style=\"color: #cccccc\">人類白血球抗原-HLA-ABC(多種抗原)</td><td>註:1.保險對象接受器官移植申報12087B及12176B時,除父母、兄弟姐妹等各給付一次外,另確定為捐贈者最高可給付共三次。2.12088B及12177B需俟12087B及12176B檢查後配合相合者,如有需要另行檢查。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12088B\">12088B</a></td><td style=\"color: #cccccc\">人類白血球抗原-HLA-DR(多種抗原)</td><td>註:1.保險對象接受器官移植申報12087B及12176B時,除父母、兄弟姐妹等各給付一次外,另確定為捐贈者最高可給付共三次。2.12088B及12177B需俟12087B及12176B檢查後配合相合者,如有需要另行檢查。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12089B\">12089B</a></td><td style=\"color: #cccccc\">單向混合淋巴球反應</td><td>1.雙向混合淋巴球反應 two-way MLR 比照申報。2.受者對捐者或捐者對受者皆以本項核實申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12090B\">12090B</a></td><td style=\"color: #cccccc\">淋巴球毒殺試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12091B\">12091B</a></td><td style=\"color: #cccccc\">免疫病理檢查--腎組織</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12092B\">12092B</a></td><td style=\"color: #cccccc\">免疫病理檢查--皮膚組織</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12093B\">12093B</a></td><td style=\"color: #cccccc\">免疫病理檢查 --肝組織</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12094B\">12094B</a></td><td style=\"color: #cccccc\">免疫病理檢查--肺組織</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12095B\">12095B</a></td><td style=\"color: #cccccc\">免疫病理檢查--胃組織</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12096B\">12096B</a></td><td style=\"color: #cccccc\">免疫病理檢查--其他</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12097B\">12097B</a></td><td style=\"color: #cccccc\">庫姆氏血中多項抗體檢驗(直接法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12098B\">12098B</a></td><td style=\"color: #cccccc\">庫姆氏血中多項抗體檢驗(間接法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12099B\">12099B</a></td><td style=\"color: #cccccc\">庫姆氏血中單項 IgG 抗體檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12100B\">12100B</a></td><td style=\"color: #cccccc\">庫姆氏血中單項 C3 抗體檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12101B\">12101B</a></td><td style=\"color: #cccccc\">趨化性試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12102B\">12102B</a></td><td style=\"color: #cccccc\">免疫擴滲分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12103B\">12103B</a></td><td style=\"color: #cccccc\">免疫電泳分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12104B\">12104B</a></td><td style=\"color: #cccccc\">CH50 免疫檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12105B\">12105B</a></td><td style=\"color: #cccccc\">單核球移動抑制因子</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12106C\">12106C</a></td><td style=\"color: #cccccc\">結核菌素測驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12107C\">12107C</a></td><td style=\"color: #cccccc\">披衣菌抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12108B\">12108B</a></td><td style=\"color: #cccccc\">體液免疫複合體檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12109B\">12109B</a></td><td style=\"color: #cccccc\">成人T淋巴白血病病毒抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12110B\">12110B</a></td><td style=\"color: #cccccc\">血清前白蛋白定量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12111C\">12111C</a></td><td style=\"color: #cccccc\">微白蛋白 (免疫比濁法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12112B\">12112B</a></td><td style=\"color: #cccccc\">白蛋白(免疫比濁法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12113B\">12113B</a></td><td style=\"color: #cccccc\">脂蛋白脢元B(免疫比濁法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12114B\">12114B</a></td><td style=\"color: #cccccc\">脂蛋白脢元A1 (免疫比濁法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12115B\">12115B</a></td><td style=\"color: #cccccc\">抗凝血原 (免疫比濁法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12116C\">12116C</a></td><td style=\"color: #cccccc\">鐵蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12117B\">12117B</a></td><td style=\"color: #cccccc\">T 淋巴球交叉配合試驗</td><td>1.B 淋巴球交叉配合試驗 B lymphocyte cross-match 比照申報。2.此項檢查必須配合骨髓移植才能實施申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12118B\">12118B</a></td><td style=\"color: #cccccc\">退伍軍人菌抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12120B\">12120B</a></td><td style=\"color: #cccccc\">腫瘤多胜脢抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12121C\">12121C</a></td><td style=\"color: #cccccc\">甲促素結合體抗體</td><td>屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12122B\">12122B</a></td><td style=\"color: #cccccc\">免疫球蛋白E補體結合反應免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12123C\">12123C</a></td><td style=\"color: #cccccc\">C-反應蛋白(毛細管沉澱法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12124B\">12124B</a></td><td style=\"color: #cccccc\">甲狀腺結合球蛋白</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12125C\">12125C</a></td><td style=\"color: #cccccc\">B型鏈球菌抗原 (乳膠凝集法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12126B\">12126B</a></td><td style=\"color: #cccccc\">肺炎雙球菌抗原(乳膠凝集法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12127B\">12127B</a></td><td style=\"color: #cccccc\">B型嗜血桿菌抗原(乳膠凝集法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12128B\">12128B</a></td><td style=\"color: #cccccc\">腦膜炎雙球菌抗原(乳膠凝集法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12129C\">12129C</a></td><td style=\"color: #cccccc\">腦脊髓液快速測定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12130B\">12130B</a></td><td style=\"color: #cccccc\">沙門氏菌抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12131B\">12131B</a></td><td style=\"color: #cccccc\">志賀氏菌抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12132B\">12132B</a></td><td style=\"color: #cccccc\">肺炎披衣菌(TWAR)抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12133B\">12133B</a></td><td style=\"color: #cccccc\">抗β2醣蛋白I抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12134C\">12134C</a></td><td style=\"color: #cccccc\">甲狀腺過氧化酶抗體</td><td>註:1.本項檢查與12054B僅可擇一申報。2.屬西醫基層總額部門院所,適應症:用於甲狀腺低下(自體免疫型)及孕婦甲狀腺功能異常。3.屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方及執行始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12135B\">12135B</a></td><td style=\"color: #cccccc\">抗角質抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12136B\">12136B</a></td><td style=\"color: #cccccc\">DNA分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12137B\">12137B</a></td><td style=\"color: #cccccc\">肌肉炎自體抗體組合</td><td>包括抗t-合成酵素抗體(T-synthetase Ab)、抗訊號測定微抗體(Anti-SRP Antibody)、Mi-2 抗體(Mi-2 Ab)。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12138B\">12138B</a></td><td style=\"color: #cccccc\">腎絲球基底膜抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12139B\">12139B</a></td><td style=\"color: #cccccc\">腦脊髓液新隱形球菌藥物濃度試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12140B\">12140B</a></td><td style=\"color: #cccccc\">T3+DR+, T3+DR-</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12141B\">12141B</a></td><td style=\"color: #cccccc\">劉氏3+8+抗原, 劉氏3+8-細胞</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12142B\">12142B</a></td><td style=\"color: #cccccc\">劉氏2+15+抗原, 劉氏2+15-細胞</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12143B\">12143B</a></td><td style=\"color: #cccccc\">抗原依靠性補體細胞毒殺試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12144B\">12144B</a></td><td style=\"color: #cccccc\">自然毒殺細胞活力試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12145B\">12145B</a></td><td style=\"color: #cccccc\">直接細胞毒殺試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12146B\">12146B</a></td><td style=\"color: #cccccc\">免疫球蛋白G1量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12147B\">12147B</a></td><td style=\"color: #cccccc\">免疫球蛋白G2量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12148B\">12148B</a></td><td style=\"color: #cccccc\">免疫球蛋白G3量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12149B\">12149B</a></td><td style=\"color: #cccccc\">免疫球蛋白G4量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12150B\">12150B</a></td><td style=\"color: #cccccc\">胺基酸定量檢查</td><td>1.限衛生福利部委託具優生保健諮詢中心之醫院申請實施。2.限由小兒科遺傳專科醫師主持。3.本項目如已申請衛生福利部補助者,本保險不另支付該次檢查費用。4.如做為一般性篩檢者,非屬本保險給付範圍。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12151C\">12151C</a></td><td style=\"color: #cccccc\">同半胱胺酸</td><td>除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12152B\">12152B</a></td><td style=\"color: #cccccc\">In vitro IgG, A, M synthesis</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12153B\">12153B</a></td><td style=\"color: #cccccc\">混合淋巴球雙向培養</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12154B\">12154B</a></td><td style=\"color: #cccccc\">可抽出之核抗體Jo-1</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12155B\">12155B</a></td><td style=\"color: #cccccc\">可抽出之核抗體KI,KU(免疫擴滲分析法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12156B\">12156B</a></td><td style=\"color: #cccccc\">Ribosomal-P抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12157B\">12157B</a></td><td style=\"color: #cccccc\">腦脊髓液免疫球蛋白免疫電泳</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12158B\">12158B</a></td><td style=\"color: #cccccc\">尿液免疫球蛋白免疫電泳</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12159B\">12159B</a></td><td style=\"color: #cccccc\">尿液免疫固定電泳分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12160B\">12160B</a></td><td style=\"color: #cccccc\">免疫球蛋白κ/λ</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12161B\">12161B</a></td><td style=\"color: #cccccc\">白血球介質-2</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12162B\">12162B</a></td><td style=\"color: #cccccc\">組織壞死因子</td><td>註:適應症1.類風濕性關節炎、僵直性關節炎、乾癬、乾癬性關節炎、發炎性腸炎、血管炎之特定表現鑑別診斷。2.使用抗腫瘤壞死因子生物製劑藥物者,依臨床狀況監控其疾病狀態及藥物反應。3.特定感染症如結核感染之特定表現及免疫缺損之監控。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12163B\">12163B</a></td><td style=\"color: #cccccc\">第一型人類嗜T細胞抗體(定性)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12164B\">12164B</a></td><td style=\"color: #cccccc\">脂蛋白a</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12165C\">12165C</a></td><td style=\"color: #cccccc\">A群鏈球菌抗原</td><td>屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12166B\">12166B</a></td><td style=\"color: #cccccc\">腦膜炎雙球菌抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12167B\">12167B</a></td><td style=\"color: #cccccc\">組織胞漿菌抗體檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12168B\">12168B</a></td><td style=\"color: #cccccc\">芽生菌抗體檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12169B\">12169B</a></td><td style=\"color: #cccccc\">球孢子菌抗體檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12170B\">12170B</a></td><td style=\"color: #cccccc\">麴菌抗體檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12171B\">12171B</a></td><td style=\"color: #cccccc\">抗嗜中性球細胞質抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12172C\">12172C</a></td><td style=\"color: #cccccc\">尿液肺炎球菌抗原</td><td>除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12173B\">12173B</a></td><td style=\"color: #cccccc\">可抽出的核抗體測定— Sm/RNP 抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12174B\">12174B</a></td><td style=\"color: #cccccc\">可抽出的核抗體測定— Scl-70 抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12175B\">12175B</a></td><td style=\"color: #cccccc\">淋巴球變形反應—抗原刺激</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12176B\">12176B</a></td><td style=\"color: #cccccc\">人類白血球抗原-HLA-ABC(單一抗原)</td><td>註:1.保險對象接受器官移植申報12087B及12176B時,除父母、兄弟姐妹等各給付一次外,另確定為捐贈者最高可給付共三次。2.12088B及12177B需俟12087B及12176B檢查後配合相合者,如有需要另行檢查。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12177B\">12177B</a></td><td style=\"color: #cccccc\">人類白血球抗原-HLA-DR(單一抗原)</td><td>註:1.保險對象接受器官移植申報12087B及12176B時,除父母、兄弟姐妹等各給付一次外,另確定為捐贈者最高可給付共三次。2.12088B及12177B需俟12087B及12176B檢查後配合相合者,如有需要另行檢查。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12178C\">12178C</a></td><td style=\"color: #cccccc\">腎上腺抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12179C\">12179C</a></td><td style=\"color: #cccccc\">Aspergillus 抗原測定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12180C\">12180C</a></td><td style=\"color: #cccccc\">穀醯酸脫梭脢抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12181C\">12181C</a></td><td style=\"color: #cccccc\">乙醯膽鹼抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12182C\">12182C</a></td><td style=\"color: #cccccc\">去氧核糖核酸類定性擴增試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12183C\">12183C</a></td><td style=\"color: #cccccc\">核糖核酸類定性擴增試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12184C\">12184C</a></td><td style=\"color: #cccccc\">去氧核糖核酸類定量擴增試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12185C\">12185C</a></td><td style=\"color: #cccccc\">核糖核酸類定量擴增試驗</td><td>1.屬西醫基層總額部門院所,本項以原支付點數2200點申報。2.若執行人類免疫缺乏病毒核酸檢測以14074C申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12186C\">12186C</a></td><td style=\"color: #cccccc\">染色體轉位基因重組之南方墨點法分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12187C\">12187C</a></td><td style=\"color: #cccccc\">短片段重覆序列多型性分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12188C\">12188C</a></td><td style=\"color: #cccccc\">染色體轉位融合基因之反轉錄聚合脢連鎖反應分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12189C\">12189C</a></td><td style=\"color: #cccccc\">肺炎披衣菌IgM</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12190C\">12190C</a></td><td style=\"color: #cccccc\">肺炎披衣菌IgG</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12191C\">12191C</a></td><td style=\"color: #cccccc\">尿液退伍軍人菌抗原</td><td>適應症:1.非典型肺炎。2.一般治療肺炎之抗生素使用後,病情持續惡化者。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12192C\">12192C</a></td><td style=\"color: #cccccc\">前降鈣素原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12193C\">12193C</a></td><td style=\"color: #cccccc\">B型利納肽(B型利納利尿胜肽)</td><td>註:屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方及執行始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12194B\">12194B</a></td><td style=\"color: #cccccc\">代謝產物串聯質譜儀分析</td><td>1.限衛生福利部委託具優生保健諮詢中心之醫院申請實施。2.限由遺傳專科醫師主持。3.本項目如已申請衛生福利部補助者,本保險不另支付該次檢查費用。4.如做為一般性篩檢者,非屬本保險給付範圍。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12195B\">12195B</a></td><td style=\"color: #cccccc\">Her-2/neu 原位雜交</td><td>適應症:1.乳癌中之invasive carcinoma(侵襲性癌)2.本法為IHC染色結果之輔助檢查方法,不可單獨使用3.此法僅適用於Her-2/neu IHC score為2+之乳癌患者。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12196B\">12196B</a></td><td style=\"color: #cccccc\">HLA-B 1502 基因檢測</td><td>1.適應症:癲癇症、三叉神經痛、腎原性尿崩症及雙極性之精神疾患初次需使用含卡馬西平Carbamazepine成份藥物病患申報。2.每人限申報一次,需於健保卡藥物過敏欄註記藥物過敏基因型。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12197B\">12197B</a></td><td style=\"color: #cccccc\">血中藥物濃度測定-Everolimus</td><td>註:1.測定移植病人器官移植後抗排斥用藥Certican濃度。2.罕見疾病結節性硬化症患者經本保險核准使用Everolimus者亦適用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12198C\">12198C</a></td><td style=\"color: #cccccc\">游離攝護腺特異抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12199B\">12199B</a></td><td style=\"color: #cccccc\">人類組織相容複合物Ι類鏈相關基因A抗體篩檢</td><td>1.臟器移植接受者術前評估,且PRA60%以上,限申報1次為原則。2.限臟器移植接受者術後產生排斥現象,且PRA上升,當次排斥限申報1次為原則。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12200B\">12200B</a></td><td style=\"color: #cccccc\">人類白血球群體反應性抗體百分比篩檢試驗</td><td>1.臟器移植接受者術前評估,每6個月內限申報1次為原則。2.限臟器移植接受者術後產生排斥反應時檢測。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12201B\">12201B</a></td><td style=\"color: #cccccc\">抗環瓜氨酸月太抗體</td><td>1.原因不明之關節炎且RF為陰性。2.RF陽性,但仍未符合類風濕診斷,需區分/鑑別是否為其他原因。3.每位患者僅給付一次,疑似RA者,每年最多檢查1次。4.限風濕病專科醫師。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12202C\">12202C</a></td><td style=\"color: #cccccc\">C型肝炎病毒核酸基因檢測-即時聚合酶連鎖反應法</td><td>適應症:1.疑似感染C型肝炎(包含急性、慢性,及未知原因感染者)且C型肝炎核酸病毒量檢測結果為陽性患者。2.未做過基因型檢測的C型肝炎陽性確定患者。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12203B\">12203B</a></td><td style=\"color: #cccccc\">C型肝炎病毒核酸基因檢測-一般聚合酶連鎖反應法</td><td>適應症:1.疑似感染C型肝炎(包含急性、慢性,及未知原因感染者)且C型肝炎核酸病毒量檢測結果為陽性患者。2.未做過基因型檢測的C型肝炎陽性確定患者。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12204B\">12204B</a></td><td style=\"color: #cccccc\">白血球表面標記</td><td>成熟與不成熟T及B或顆粒球與單核球等單源抗體之使用量-11-20種</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12205B\">12205B</a></td><td style=\"color: #cccccc\">白血球表面標記</td><td>成熟與不成熟T及B或顆粒球與單核球等單源抗體之使用量-21-30種</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12206B\">12206B</a></td><td style=\"color: #cccccc\">白血球表面標記</td><td>成熟與不成熟T及B或顆粒球與單核球等單源抗體之使用量-31種以上</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12207B\">12207B</a></td><td style=\"color: #cccccc\">白血病即時定量聚合酶連鎖反應法</td><td>註：1.適應症：(1)含有BCR-ABL1之慢性骨髓性白血病(chronic myelogenous leukemia，CML)與急性白血病。(2)含有PML-RARA、RUNX1-ETO、與CBFB-MYH11之急性骨髓性白血病(acute myeloid leukemia，AML)。2.支付規範：限具有通過CAP (美國病理學會，The College of American Pathologists)或TAF(財團法人全國認證基金會Taiwan Accreditation Foundation)認證之分子實驗室院所申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12208B\">12208B</a></td><td style=\"color: #cccccc\">生長刺激表達基因2蛋白(ST2)</td><td>1.適應症:慢性心臟衰竭NYHA Class III或ACC/AHA Stage D以上且病情急性惡化。2.支付規範:不得同時申報編號12193C。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12209B\">12209B</a></td><td style=\"color: #cccccc\">類胰蛋白酶</td><td>1.適應症：疑過敏性休克，臨床上出現以下任一狀況：(1)急性出現病徵累及皮膚/黏膜組織(如：全身性蕁麻疹、發癢或潮紅、嘴唇-舌-懸雍垂水腫)，且合併血壓下降或終器官失能(如：暈倒、昏厥、大小便失禁)。(2)於接觸可能過敏原後，快速(幾秒至幾小時內)出現血壓下降或終器官失能(如：暈倒、昏厥、大小便失禁)，且出現A至C一項以上病徵：A.累及皮膚/黏膜組織(如：全身性蕁麻疹、發癢或潮紅、嘴唇-舌-懸雍垂水腫)。B.危及呼吸(如：喘、哮鳴-支氣管攣縮)、喘鳴、尖峰流速下降、低血氧)。C.持續腸胃道症狀(如：腹部絞痛、嘔吐)。(3)接觸可能過敏原後血壓快速下降(數分鐘至數小時內)：A.成人血壓下降之定義：收縮壓小於90 mmHg或下降大於其人血壓基礎值30%以上。B.嬰幼兒或兒童血壓下降之定義a.一個月以上至未滿一歲：低於70 mmHg。b.一歲以上至未滿十一歲：低於[70 mmHg + (2 × age)]。c.十一歲以上至未滿十八歲：低於90 mmHg 或收縮壓下降大於其人血壓基礎值30%以上。2.支付規範：執行時點為症狀發生後六小時內及二十四至四十八小時。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12210B\">12210B</a></td><td style=\"color: #cccccc\">水通道蛋白4抗體</td><td>註：1.適應症：(1)泛視神經脊髓炎症候群(Neuromyelitis Optica Spectrum Disorders, NMOSD)之診斷。(2)多發性硬化症(Multiple Sclerosis, MS)、視神經炎(Optical Neuritis, ON)、橫截性脊髓炎(Transverse Myelitis, TM)、自體免疫性腦炎(Autoimmune Encephalitis, AE)之鑑別診斷。2.專科別：過敏免疫風濕科(含兒科)、眼科(含兒科)、神經科(含兒科)。3.檢查次數：除下列情形，每人每年限執行一次。(1)檢測結果為陽性者，不得再檢驗。(2)檢測結果為陰性者，疑似泛視神經脊髓炎症候群且疾病明顯惡化時，得再次檢驗(需於病歷記載)。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12211B\">12211B</a></td><td style=\"color: #cccccc\">異常凝血酶原檢驗</td><td>註:1.適應症:(1)肝硬化之慢性肝炎(含酒精性肝硬化),並符合下列條件之一:A.肝組織切片Metavir F4或Ishak F5以上,另血友病病人及類血友病病人經照會消化系專科醫師同意後,得不作切片。B.超音波診斷為肝硬化併食道或胃靜脈曲張,或肝硬化併脾腫大。C.電腦斷層或磁振造影檢查診斷為肝硬化。(2)肝癌接受根除治療之病人。2.執行頻率:每年兩次。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12212B\">12212B</a></td><td style=\"color: #cccccc\">腦膜炎/腦炎病原體多標的核酸檢測</td><td>1.適應症:疑似有腦膜炎或腦炎徵兆或症狀之病人,且有實驗室檢查相關證據(含腦脊髓液)支持者。2.限急診科、感染科、兒科及神經科專科醫師執行。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-12213B\">12213B</a></td><td style=\"color: #cccccc\">HLA-B* 5801基因檢測</td><td>1.適應症：新使用Allopurinol前且符合下列任一條件者：(1)尿酸製造過多之痛風。(2)經促尿酸排泄藥物使用最大耐受劑量後仍無法控制血液尿酸值6mg/dl以下，需使用Allopurinol者。(3)具促尿酸排泄藥物使用禁忌症，如過敏、腎功能不全、肝功能不全等。(4)具尿酸成分之尿路結石病史。(5)接受化學治療之癌症病人用以預防急性尿酸引起腎病變。2.已連續使用Allopurinol一個月以上或曾使用Allopurinol累計滿三個月以上者，不予給付。3.為確保檢測品質，以LDT執行本項檢測，須具衛生福利部核准之實驗室開發檢測施行計畫。4.每人終生限給付一次，若檢測結果為陰性，且一個月內未開立Allopurinol者，不予給付；另檢測後一個月內未上傳檢測結果者，不予支付。5.內含一般材料費及檢測套組比率為百分之七十五。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13001C\">13001C</a></td><td style=\"color: #cccccc\">痰液一般檢查(含括結晶, 寄生蟲)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13002B\">13002B</a></td><td style=\"color: #cccccc\">阿米巴抗體凝集試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13003B\">13003B</a></td><td style=\"color: #cccccc\">新型隱球菌抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13004B\">13004B</a></td><td style=\"color: #cccccc\">白喉毒力試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13005B\">13005B</a></td><td style=\"color: #cccccc\">披衣菌檢查(定性)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13006C\">13006C</a></td><td style=\"color: #cccccc\">排泄物,滲出物及分泌物之細菌顯微鏡檢查</td><td>1.此項檢查係指對糞便,喀痰,穿刺液,胃液,十二指腸液,膽汁,膿,眼分泌液,鼻腔液,咽喉液,唾液,及其他滲出物中細菌,原蟲等的檢查。2.同一檢體之檢查不論有無染色及方法如何,均限申報一次。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13007C\">13007C</a></td><td style=\"color: #cccccc\">細菌培養鑑定檢查(包括一般細菌、真菌、原蟲等為對象的培養鑑定,抗酸菌除外)</td><td>1.一般厭氧性的培養比照申報。2.13008C除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13008C\">13008C</a></td><td style=\"color: #cccccc\">細菌培養鑑定檢查(包括一般細菌、真菌、原蟲等為對象的培養鑑定,抗酸菌除外),對同一檢體合併實施一般培養及厭氧性培養時加算二分之一</td><td>1.一般厭氧性的培養比照申報。2.13008C除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13009C\">13009C</a></td><td style=\"color: #cccccc\">細菌藥物敏感性試驗-1 菌種</td><td>1.細菌藥物感受性檢查結果,若無法檢測出細菌時,不可申報此項。2.此項之申報是以細菌培養鑑定所鑑定的菌種中實際實施細菌藥物感受性試驗的菌種數來申報。3.試驗的藥物須至少有三分之一以上是第一代之抗生素。4.除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13010C\">13010C</a></td><td style=\"color: #cccccc\">細菌藥物敏感性試驗-2 菌種</td><td>1.細菌藥物感受性檢查結果,若無法檢測出細菌時,不可申報此項。2.此項之申報是以細菌培養鑑定所鑑定的菌種中實際實施細菌藥物感受性試驗的菌種數來申報。3.試驗的藥物須至少有三分之一以上是第一代之抗生素。4.除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13011C\">13011C</a></td><td style=\"color: #cccccc\">細菌藥物敏感性試驗-3 菌種以上</td><td>1.細菌藥物感受性檢查結果,若無法檢測出細菌時,不可申報此項。2.此項之申報是以細菌培養鑑定所鑑定的菌種中實際實施細菌藥物感受性試驗的菌種數來申報。3.試驗的藥物須至少有三分之一以上是第一代之抗生素。4.除山地離島地區外,基層院所限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13012C\">13012C</a></td><td style=\"color: #cccccc\">抗酸菌培養</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13013C\">13013C</a></td><td style=\"color: #cccccc\">抗酸菌鑑定檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13014B\">13014B</a></td><td style=\"color: #cccccc\">抗酸菌藥物敏感性試驗—三種藥物以下</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13015C\">13015C</a></td><td style=\"color: #cccccc\">抗酸菌藥物敏感性試驗—四種藥物以上</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13016B\">13016B</a></td><td style=\"color: #cccccc\">血液培養</td><td>1.限對同一血液檢體合併實施厭氧及需氧檢查且使用血液培養瓶者申報。2.申報本項者,不得另行申報13007C、13008C。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13017C\">13017C</a></td><td style=\"color: #cccccc\">KOH顯微鏡檢查</td><td>1.除山地離島地區外,基層院所限由專任醫師開立處方始可申報。2.屬西醫基層總額部門院所,本項以原支付點數45點申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13018C\">13018C</a></td><td style=\"color: #cccccc\">幽門桿菌檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13019B\">13019B</a></td><td style=\"color: #cccccc\">試管抗藥性試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13020C\">13020C</a></td><td style=\"color: #cccccc\">抗生素敏感性試驗(MIC法) 一菌種【抗微生物藥劑最低抑菌濃度 MIC】</td><td>不得同時申報13009C-13011C。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13021B\">13021B</a></td><td style=\"color: #cccccc\">抗生素敏感性試驗(MIC法) 二菌種【抗微生物藥劑最低抑菌濃度 MIC】</td><td>不得同時申報13009C-13011C。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13022B\">13022B</a></td><td style=\"color: #cccccc\">抗生素敏感性試驗(MIC法) 三菌種以上【抗微生物藥劑最低抑菌濃度 MIC)】</td><td>不得同時申報13009C-13011C。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13023C\">13023C</a></td><td style=\"color: #cccccc\">細菌最低抑制濃度快速試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13024C\">13024C</a></td><td style=\"color: #cccccc\">結核菌檢驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13025C\">13025C</a></td><td style=\"color: #cccccc\">抗酸性濃縮抹片染色檢查</td><td>1.適應症:(1)懷疑分枝桿菌感染。(2)分枝桿菌治療監控。2.相關規範:(1)需在負壓實驗室操作。(2)需附抗酸菌濃縮抹片染色檢查報告。(3)不得與13006C 同時申報。(4)限疾病管制署認可之結核病檢驗機構執行。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13026C\">13026C</a></td><td style=\"color: #cccccc\">抗酸菌培養(限同時使用固態培養基及具自動化偵測功能之液態培養系統)</td><td>1.適應症:(1)懷疑分枝桿菌感染。(2)分枝桿菌治療監控。2.相關規範:(1)需在負壓實驗室操作,且具自動化偵測之液態培養基系統。(2)需附抗酸菌培養報告。(3)不得與13012C 同時申報。(4)限疾病管制署認可之結核病檢驗機構執行。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13028B\">13028B</a></td><td style=\"color: #cccccc\">困難梭狀桿菌抗原快速檢驗(GDH)</td><td>1.結腸炎、偽膜性結腸炎、中毒性巨結腸及結腸穿孔。2.抗生素治療後發生腹瀉症狀。3.懷疑C.difficile群聚感染。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-13029B\">13029B</a></td><td style=\"color: #cccccc\">困難梭狀桿菌毒素A、B快速檢驗(Toxin A/B)</td><td>1.結腸炎、偽膜性結腸炎、中毒性巨結腸及結腸穿孔。2.抗生素治療後發生腹瀉症狀。3.懷疑C.difficile群聚感染。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14001B\">14001B</a></td><td style=\"color: #cccccc\">病毒分離及鑑定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14002B\">14002B</a></td><td style=\"color: #cccccc\">腺病毒補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14003B\">14003B</a></td><td style=\"color: #cccccc\">巨大細胞病毒抗體 補體結合法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14004B\">14004B</a></td><td style=\"color: #cccccc\">巨大細胞病毒抗體 酵素免疫法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14005C\">14005C</a></td><td style=\"color: #cccccc\">單純疱疹病毒I II補體結合抗體(各項)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14006B\">14006B</a></td><td style=\"color: #cccccc\">麻疹病毒抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14007B\">14007B</a></td><td style=\"color: #cccccc\">麻疹病毒IgM抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14008B\">14008B</a></td><td style=\"color: #cccccc\">麻疹病毒補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14009C\">14009C</a></td><td style=\"color: #cccccc\">腮腺炎病毒補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14010B\">14010B</a></td><td style=\"color: #cccccc\">呼吸道融合病毒抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14011B\">14011B</a></td><td style=\"color: #cccccc\">呼吸道融合病毒補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14012B\">14012B</a></td><td style=\"color: #cccccc\">水痘帶狀疱疹病毒補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14013B\">14013B</a></td><td style=\"color: #cccccc\">水痘帶狀疱疹病毒IgM抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14014B\">14014B</a></td><td style=\"color: #cccccc\">肺炎漿胞菌補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14015B\">14015B</a></td><td style=\"color: #cccccc\">副流行性感冒病毒1型抗原</td><td>執行二項(含二項)以上副流行性感冒病毒抗原檢測者,第二項(含二項)以後一律八折支付</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14016B\">14016B</a></td><td style=\"color: #cccccc\">副流行性感冒病毒2型抗原</td><td>執行二項(含二項)以上副流行性感冒病毒抗原檢測者,第二項(含二項)以後一律八折支付。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14017B\">14017B</a></td><td style=\"color: #cccccc\">副流行性感冒病毒1型補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14018B\">14018B</a></td><td style=\"color: #cccccc\">副流行性感冒病毒2型補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14019B\">14019B</a></td><td style=\"color: #cccccc\">副流行性感冒病毒3型補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14020B\">14020B</a></td><td style=\"color: #cccccc\">流行性感冒A型病毒補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14021B\">14021B</a></td><td style=\"color: #cccccc\">流行性感冒B型病毒補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14022B\">14022B</a></td><td style=\"color: #cccccc\">日本腦炎病毒補體結合抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14023B\">14023B</a></td><td style=\"color: #cccccc\">柯沙奇B型病毒抗體(每項)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14024B\">14024B</a></td><td style=\"color: #cccccc\">柯沙奇B型病毒補體結合抗體(B1-B6)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14025C\">14025C</a></td><td style=\"color: #cccccc\">腸內病毒70抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14026C\">14026C</a></td><td style=\"color: #cccccc\">輪狀病毒抗原</td><td>註:屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方及執行始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14027C\">14027C</a></td><td style=\"color: #cccccc\">輪狀病毒抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14028B\">14028B</a></td><td style=\"color: #cccccc\">呼腸弧病毒抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14029B\">14029B</a></td><td style=\"color: #cccccc\">小兒麻痺病毒第1.2.3 型抗體各項</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14030C\">14030C</a></td><td style=\"color: #cccccc\">B型肝炎表面抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14031C\">14031C</a></td><td style=\"color: #cccccc\">B型肝炎表面抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14032C\">14032C</a></td><td style=\"color: #cccccc\">B型肝炎表面抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14033C\">14033C</a></td><td style=\"color: #cccccc\">B型肝炎表面抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14034C\">14034C</a></td><td style=\"color: #cccccc\">B型肝炎e抗原檢查 HBeAg-RPHA 法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14035C\">14035C</a></td><td style=\"color: #cccccc\">B型肝炎e抗原檢查 HBeAg</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14036C\">14036C</a></td><td style=\"color: #cccccc\">B型肝炎E抗體檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14037C\">14037C</a></td><td style=\"color: #cccccc\">B型肝炎核心抗體檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14038C\">14038C</a></td><td style=\"color: #cccccc\">B型肝炎核心抗體免疫球蛋白M檢查 (EIA/LIA法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14039C\">14039C</a></td><td style=\"color: #cccccc\">A型肝炎抗體免疫球蛋白M檢查(EIA/LIA法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14040C\">14040C</a></td><td style=\"color: #cccccc\">A型肝炎抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14041B\">14041B</a></td><td style=\"color: #cccccc\">D型肝炎抗體檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14042B\">14042B</a></td><td style=\"color: #cccccc\">弓漿蟲IgG 抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14043B\">14043B</a></td><td style=\"color: #cccccc\">德國麻疹血球凝集抗體效價(HI法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14044B\">14044B</a></td><td style=\"color: #cccccc\">德國麻疹免疫球蛋白G檢查(EIA/LIA法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14045B\">14045B</a></td><td style=\"color: #cccccc\">德國麻疹免疫球蛋白M檢查(EIA/LIA法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14046B\">14046B</a></td><td style=\"color: #cccccc\">EB病毒囊鞘免疫球蛋白G.M.A.(IFA法)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14047B\">14047B</a></td><td style=\"color: #cccccc\">EB病毒核抗原抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14048B\">14048B</a></td><td style=\"color: #cccccc\">巨細胞病毒核抗原抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14049C\">14049C</a></td><td style=\"color: #cccccc\">後天免疫不全症候群檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14050B\">14050B</a></td><td style=\"color: #cccccc\">後天免疫不全症候群檢查-顆粒凝集法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14051C\">14051C</a></td><td style=\"color: #cccccc\">C型肝炎病毒抗體檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14052B\">14052B</a></td><td style=\"color: #cccccc\">單純疱疹病毒 IgM抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14053B\">14053B</a></td><td style=\"color: #cccccc\">單純疱疹病毒-1或-2抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14054B\">14054B</a></td><td style=\"color: #cccccc\">腮腺炎病毒IgM抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14055B\">14055B</a></td><td style=\"color: #cccccc\">B型肝炎表面抗體效價檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14056B\">14056B</a></td><td style=\"color: #cccccc\">腸病毒71型-IgM抗體快速檢驗試驗</td><td>適應症 1.臨床上出現手足口症或疱疹性咽喉炎症狀之患者。2.臨床上出現病毒性腦膜炎、心肌炎、急性心肺衰竭等疑似腸病毒感染之患者。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14057B\">14057B</a></td><td style=\"color: #cccccc\">流行性感冒嗜血桿菌抗原B檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14058C\">14058C</a></td><td style=\"color: #cccccc\">呼吸融合細胞病毒試驗</td><td>註:屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方及執行始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14059B\">14059B</a></td><td style=\"color: #cccccc\">巨細胞病毒抗原檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14060B\">14060B</a></td><td style=\"color: #cccccc\">第六型人類庖疹病毒抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14061B\">14061B</a></td><td style=\"color: #cccccc\">水痘-帶狀庖疹抗原檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14062B\">14062B</a></td><td style=\"color: #cccccc\">登革熱病毒抗體IgM檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14063B\">14063B</a></td><td style=\"color: #cccccc\">登革熱病毒抗體IgG檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14064C\">14064C</a></td><td style=\"color: #cccccc\">腺病毒抗原檢查</td><td>註:1.不論何種檢測方式。2.屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方及執行始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14065C\">14065C</a></td><td style=\"color: #cccccc\">流行性感冒A型病毒抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14066C\">14066C</a></td><td style=\"color: #cccccc\">流行性感冒 B 型病毒抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14067B\">14067B</a></td><td style=\"color: #cccccc\">弓漿蟲病毒IgM間接免疫螢光試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14068B\">14068B</a></td><td style=\"color: #cccccc\">帶狀疱疹病毒IgG連酶抗體試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14069B\">14069B</a></td><td style=\"color: #cccccc\">單純性疱疹病毒IgG連酶抗體試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14070B\">14070B</a></td><td style=\"color: #cccccc\">麻疹病毒抗體IgG</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14071B\">14071B</a></td><td style=\"color: #cccccc\">弓漿蟲抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14072B\">14072B</a></td><td style=\"color: #cccccc\">C型肝炎確認檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14073B\">14073B</a></td><td style=\"color: #cccccc\">巨細胞病毒傳訊者核糖核酸pp67</td><td>註:1.本項檢查不得做為例行篩檢檢測用。2.適應症限定為器官移植、骨髓移植患者懷疑巨細胞病毒感染後可能發展為疾病之患者。3.檢查次數:器官移植或骨髓移植後每週或每二週作一次,最多連續作三個月。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14074C\">14074C</a></td><td style=\"color: #cccccc\">HIV 病毒負荷量檢查</td><td>1.限下列任一情境使用(1)人類免疫缺乏病毒感染診斷A.使用時機：抗體初篩檢測(14049C或14050B或14082B)陽性後執行。B.執行頻率：每人每年限一次。C.執行院所：限衛生福利部人類免疫缺乏病毒指定醫事機構或疾病管制署病原體分生檢測認可之健保特約醫事服務機構申報。(2)人類免疫缺乏病毒感染治療監測A.執行院所：限衛生福利部人類免疫缺乏病毒指定醫事機構申報。B.執行頻率：每人每年限四次。2.屬西醫基層總額部門院所限由感染科專科醫師開立處方始可申報。3.屬西醫基層總額部門院所，除山地離島地區外，限由專任醫師開立處方始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14075C\">14075C</a></td><td style=\"color: #cccccc\">HIV-I 抗體檢查(西方墨點法)</td><td>1.限衛生福利部人類免疫缺乏病毒指定醫事機構或疾病管制署西方墨點法認可之健保特約醫事服務機構執行。2.限於14049C、14050B或14082B陽性時,確定診斷用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14076C\">14076C</a></td><td style=\"color: #cccccc\">HIV-II 抗體檢查(西方墨點法)</td><td>1.限衛生福利部人類免疫缺乏病毒指定醫事機構或疾病管制署西方墨點法認可之健保特約醫事服務機構執行。2.限於14049C、14050B或14082B陽性時,確定診斷用。3.HIV-II限於HIV-I檢查時未出現gp120band。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14077C\">14077C</a></td><td style=\"color: #cccccc\">血中白血球巨細胞病毒抗原pp65</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14078C\">14078C</a></td><td style=\"color: #cccccc\">急性E型肝炎抗體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14079C\">14079C</a></td><td style=\"color: #cccccc\">Pavovirus B19 免疫球蛋白G檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14080C\">14080C</a></td><td style=\"color: #cccccc\">Pavovirus B19 免疫球蛋白M檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14081B\">14081B</a></td><td style=\"color: #cccccc\">副流行性感冒病毒3型抗原</td><td>執行二項(含二項)以上副流行性感冒病毒抗原檢測者,第二項(含二項)以後一律八折支付。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14082B\">14082B</a></td><td style=\"color: #cccccc\">人類免疫缺乏病毒抗原及抗體複合型試驗</td><td>不得同時申報14049C。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-14083C\">14083C</a></td><td style=\"color: #cccccc\">HIV 1/2 抗體確認檢驗(抗體免疫層析檢驗法)</td><td>1.使用時機:限於14049C、14050B或14082B陽性時,確定診斷用。2.限衛生福利部人類免疫缺乏病毒指定醫事機構或疾病管制署抗體免疫層析法認可之健保特約醫事服務機構執行。3.不得同時申報14075C、14076C。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-15001C\">15001C</a></td><td style=\"color: #cccccc\">體液細胞檢查</td><td>註:含痰(Sputum),尿(Urine),腹水(Ascites),脊髓液(C.S.F.),胸水(Pleural Effusion),心包膜積水(Pericardial effusion),氣管刷取(bronchial brushing)及氣管沖洗(bronchial washing)等。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-15007C\">15007C</a></td><td style=\"color: #cccccc\">穿刺細胞檢查</td><td>註:1.含甲狀腺(Thyroid),淋巴腺(Lymph node),乳房(Breast),肺臟(Lung),縱膈腔(Mediastinum),肝臟(Liver),胰臟(Pancreas),腫瘤(Mass)穿刺及鼻(Nasal)細胞檢查等。2.屬西醫基層總額部門院所,適應症如下: (1)甲狀腺結節或囊腫之鑑別良/惡性。(2)甲狀腺癌超音波陰影經治療後不消失。3.屬西醫基層總額部門院所,除山地離島地區外,限由專任醫師開立處方及執行始可申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-15017C\">15017C</a></td><td style=\"color: #cccccc\">婦科細胞檢查</td><td>1.子宮頸或陰道抹片同一病人3~6個月內限做1次。2.6個月內需重新施做之適應症:(1)曾罹患過子宮頸癌或癌前病變之婦女(2)最近一次子宮頸抹片檢查結果為異常之婦女(3)免疫功能受抑制的高危險群婦。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-15018B\">15018B</a></td><td style=\"color: #cccccc\">體液細胞檢查加細胞切片</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-15020B\">15020B</a></td><td style=\"color: #cccccc\">支氣管切片奈印</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-15021C\">15021C</a></td><td style=\"color: #cccccc\">薄片細胞學檢查</td><td>子宮頸癌篩檢及診斷不得申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-15022C\">15022C</a></td><td style=\"color: #cccccc\">血液抹片檢查</td><td>註:不得與08009C、08013C同時申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16001C\">16001C</a></td><td style=\"color: #cccccc\">精液分析</td><td>包括 motility, count, morphology, amount,appearance, PH 測定</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16002C\">16002C</a></td><td style=\"color: #cccccc\">腹水分析</td><td>包括蛋白定性、血球計數、白血球分類。Include protein-qualitative、cell count &amp; DC</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16003C\">16003C</a></td><td style=\"color: #cccccc\">胸水分析</td><td>包括蛋白定性、血球計數、白血球分類。Include protein-qualitative、cell count &amp; DC</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16004C\">16004C</a></td><td style=\"color: #cccccc\">胃液分析</td><td>包括數量、顏色、混濁度、粘液、臭氣、PH、Pepsin及乳酸定量、潛血、蟲卵在內</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16005B\">16005B</a></td><td style=\"color: #cccccc\">十二指腸液分析</td><td>包括數量、顏色、混濁度、粘液、臭氣、PH、Pepsin及乳酸定量、潛血、蟲卵在內</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16006C\">16006C</a></td><td style=\"color: #cccccc\">腦脊髓液分析</td><td>包括WBC, RBC, Pandy''s, neutrophil,lymphocyte, eosinophil在內</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16007C\">16007C</a></td><td style=\"color: #cccccc\">膿或分泌物分析</td><td>如同時實施其他生化、血液檢查,比照本標準表已有項目申報</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16008C\">16008C</a></td><td style=\"color: #cccccc\">關節囊液分析--常規檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16009C\">16009C</a></td><td style=\"color: #cccccc\">心胞膜液常規檢查(含蛋白定性、血球計數、白血球分類)</td><td>其他心胞膜液各項檢查,請就實際檢查內容依支付標準生化學、細胞學、細菌學..等各章節所訂項目及點數申報費用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16010C\">16010C</a></td><td style=\"color: #cccccc\">分析肺泡灌洗液之細胞總數及分類</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16011C\">16011C</a></td><td style=\"color: #cccccc\">搖晃試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16012C\">16012C</a></td><td style=\"color: #cccccc\">關節囊液分析--茜素紅S 染色</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-16013C\">16013C</a></td><td style=\"color: #cccccc\">關節囊液分析--偏光鏡檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27001C\">27001C</a></td><td style=\"color: #cccccc\">甲狀腺原氨酸放射免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27002B\">27002B</a></td><td style=\"color: #cccccc\">甲狀腺原氨酸攝取率檢查</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27003B\">27003B</a></td><td style=\"color: #cccccc\">甲狀腺素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27004C\">27004C</a></td><td style=\"color: #cccccc\">甲狀腺刺激素放射免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27005B\">27005B</a></td><td style=\"color: #cccccc\">游離甲狀腺素指數分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27006B\">27006B</a></td><td style=\"color: #cccccc\">皮質素放射免疫分析</td><td>游離皮質素 (free cortisol) 比照申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27007B\">27007B</a></td><td style=\"color: #cccccc\">球蛋白E放射免疫分析</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27008B\">27008B</a></td><td style=\"color: #cccccc\">生長激素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27009B\">27009B</a></td><td style=\"color: #cccccc\">胎盤生乳激素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27010B\">27010B</a></td><td style=\"color: #cccccc\">絨毛膜促性腺激素-乙亞單體</td><td>93.6.14健保醫字第0930060063號公告修訂英文名稱,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27011B\">27011B</a></td><td style=\"color: #cccccc\">催乳激素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27012B\">27012B</a></td><td style=\"color: #cccccc\">春情素醇放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27013B\">27013B</a></td><td style=\"color: #cccccc\">濾胞刺激素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27014B\">27014B</a></td><td style=\"color: #cccccc\">黃體化激素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27015C\">27015C</a></td><td style=\"color: #cccccc\">胰島素放射免疫分析</td><td>胰島素抗體效價 (insulin Ab titer) 比照申報。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27016B\">27016B</a></td><td style=\"color: #cccccc\">胃泌激素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27017B\">27017B</a></td><td style=\"color: #cccccc\">鐵蛋白放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27018B\">27018B</a></td><td style=\"color: #cccccc\">A型肝炎放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27019B\">27019B</a></td><td style=\"color: #cccccc\">二氫基春情素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27020B\">27020B</a></td><td style=\"color: #cccccc\">黃體脂酮放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27021B\">27021B</a></td><td style=\"color: #cccccc\">睪丸脂醇放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27022B\">27022B</a></td><td style=\"color: #cccccc\">C-胜鍊胰島素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27023B\">27023B</a></td><td style=\"color: #cccccc\">免疫球蛋白E補體結合反應</td><td>包括家塵、黴菌、牛乳、蛋(include housedust, fungi, milk, egg etc)。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27024B\">27024B</a></td><td style=\"color: #cccccc\">碳-端副甲狀腺素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27025B\">27025B</a></td><td style=\"color: #cccccc\">MM-副甲狀腺素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27026B\">27026B</a></td><td style=\"color: #cccccc\">Intact副甲狀腺素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27027B\">27027B</a></td><td style=\"color: #cccccc\">游離甲狀腺素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27028B\">27028B</a></td><td style=\"color: #cccccc\">維生素B12 放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27029B\">27029B</a></td><td style=\"color: #cccccc\">葉酸放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27030B\">27030B</a></td><td style=\"color: #cccccc\">攝護腺酸性磷酸鹽酵素放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27031B\">27031B</a></td><td style=\"color: #cccccc\">醛類脂醇放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27032B\">27032B</a></td><td style=\"color: #cccccc\">血漿腎活素活性放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27033C\">27033C</a></td><td style=\"color: #cccccc\">B型肝炎表面抗原放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27034B\">27034B</a></td><td style=\"color: #cccccc\">B型肝炎表面抗體放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27035B\">27035B</a></td><td style=\"color: #cccccc\">B型肝炎e抗原放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27036B\">27036B</a></td><td style=\"color: #cccccc\">B型肝炎e抗體放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27037B\">27037B</a></td><td style=\"color: #cccccc\">B型肝炎核心抗體放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27038B\">27038B</a></td><td style=\"color: #cccccc\">B型肝炎核心抗體免疫球蛋白M檢查</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27039C\">27039C</a></td><td style=\"color: #cccccc\">B型肝炎表面抗體效價檢查</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27040B\">27040B</a></td><td style=\"color: #cccccc\">A型肝炎免疫球蛋白M放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27041B\">27041B</a></td><td style=\"color: #cccccc\">A型肝炎抗體</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27042B\">27042B</a></td><td style=\"color: #cccccc\">D型肝炎抗體</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27043B\">27043B</a></td><td style=\"color: #cccccc\">普卡因醯胺放射免疫分析</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27044B\">27044B</a></td><td style=\"color: #cccccc\">膽汁酸</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27045B\">27045B</a></td><td style=\"color: #cccccc\">環孢靈素A</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27046B\">27046B</a></td><td style=\"color: #cccccc\">全鐵結合量</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27047B\">27047B</a></td><td style=\"color: #cccccc\">未飽合鐵結合量</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27048B\">27048B</a></td><td style=\"color: #cccccc\">毛地黃</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27049C\">27049C</a></td><td style=\"color: #cccccc\">甲-胎兒蛋白</td><td>93.6.14健保醫字第0930060063號公告點數修訂。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27050C\">27050C</a></td><td style=\"color: #cccccc\">胚胎致癌抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27051B\">27051B</a></td><td style=\"color: #cccccc\">β-2微小球蛋白</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27052C\">27052C</a></td><td style=\"color: #cccccc\">攝護腺特異抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27053C\">27053C</a></td><td style=\"color: #cccccc\">CA-125腫瘤標記</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27054B\">27054B</a></td><td style=\"color: #cccccc\">CA-153腫瘤標記</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27055C\">27055C</a></td><td style=\"color: #cccccc\">CA-199腫瘤標記</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27056B\">27056B</a></td><td style=\"color: #cccccc\">抗-SCC 腫瘤標記</td><td>93.6.14健保醫字第0930060063號公告修訂英文名稱,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27057B\">27057B</a></td><td style=\"color: #cccccc\">17α-氫氧基黃體脂酮</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27058B\">27058B</a></td><td style=\"color: #cccccc\">甲狀腺球蛋白抗體</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27059B\">27059B</a></td><td style=\"color: #cccccc\">甲狀腺球蛋白</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27060B\">27060B</a></td><td style=\"color: #cccccc\">甲狀腺素結合球蛋白</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27061B\">27061B</a></td><td style=\"color: #cccccc\">動情激素接受體</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27062B\">27062B</a></td><td style=\"color: #cccccc\">黃體激素接受體</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27063B\">27063B</a></td><td style=\"color: #cccccc\">脂蛋白酶元B分析</td><td>93.6.14健保醫字第0930060063號公告開放表別,中文名稱修訂。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27064B\">27064B</a></td><td style=\"color: #cccccc\">脂蛋白酶元A1分析</td><td>93.6.14健保醫字第0930060063號公告修訂中文名稱及點數,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27065B\">27065B</a></td><td style=\"color: #cccccc\">微白蛋白</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27066B\">27066B</a></td><td style=\"color: #cccccc\">胃液素原Ⅰ</td><td>93.6.14健保醫字第0930060063號公告點數修訂,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27067B\">27067B</a></td><td style=\"color: #cccccc\">前膠原Ⅲ</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27068B\">27068B</a></td><td style=\"color: #cccccc\">降血鈣素</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27069B\">27069B</a></td><td style=\"color: #cccccc\">甲促素結合體抗體</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27070B\">27070B</a></td><td style=\"color: #cccccc\">骨原蛋白</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27071B\">27071B</a></td><td style=\"color: #cccccc\">環磷酸腺甘酸</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27072B\">27072B</a></td><td style=\"color: #cccccc\">抗利尿激素</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27073B\">27073B</a></td><td style=\"color: #cccccc\">去氧核糖核酸抗體</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27074B\">27074B</a></td><td style=\"color: #cccccc\">血清促腎上腺皮質素</td><td>93.6.14健保醫字第0930060063號公告開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27076B\">27076B</a></td><td style=\"color: #cccccc\">腫瘤多胜肽抗原</td><td>93.6.14健保醫字第0930060063號公告中文名稱更正,開放表別。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27077B\">27077B</a></td><td style=\"color: #cccccc\">紅血球生成因子檢驗</td><td>93.6.14健保醫字第0930060063號公告英文名稱更正。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27078B\">27078B</a></td><td style=\"color: #cccccc\">顆粒球-巨噬球集落形成單位</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27079B\">27079B</a></td><td style=\"color: #cccccc\">游離型人類絨毛膜刺激素</td><td>93.6.14健保醫字第0930060063號公告點數修訂。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27080B\">27080B</a></td><td style=\"color: #cccccc\">硫酸-DHEA</td><td>93.6.14健保醫字第0930060063號公告點數修訂。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27081B\">27081B</a></td><td style=\"color: #cccccc\">雄睪酮</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27082B\">27082B</a></td><td style=\"color: #cccccc\">組織多胜肽特異性抗原</td><td>93.6.14健保醫字第0930060063號公告中文名稱更正。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-27083B\">27083B</a></td><td style=\"color: #cccccc\">游離攝護腺特異抗原</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30001C\">30001C</a></td><td style=\"color: #cccccc\">皮膚試驗(每種抗原)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30002C\">30002C</a></td><td style=\"color: #cccccc\">接觸過敏試驗(每種抗原)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30005B\">30005B</a></td><td style=\"color: #cccccc\">痰過敏抹片</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30006B\">30006B</a></td><td style=\"color: #cccccc\">鼻分泌物檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30007B\">30007B</a></td><td style=\"color: #cccccc\">補體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30008B\">30008B</a></td><td style=\"color: #cccccc\">吞噬細胞染色劑還原試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30009B\">30009B</a></td><td style=\"color: #cccccc\">遲發性過敏度皮膚試驗(共四種)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30010B\">30010B</a></td><td style=\"color: #cccccc\">呼吸道激發試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30011B\">30011B</a></td><td style=\"color: #cccccc\">黴菌平板試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30012B\">30012B</a></td><td style=\"color: #cccccc\">免疫複合體</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30013B\">30013B</a></td><td style=\"color: #cccccc\">C1酯化抑制劑定量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30014B\">30014B</a></td><td style=\"color: #cccccc\">P-K試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30015C\">30015C</a></td><td style=\"color: #cccccc\">Shick試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30016B\">30016B</a></td><td style=\"color: #cccccc\">轉移因子之裝備</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30017B\">30017B</a></td><td style=\"color: #cccccc\">轉移因子之注射</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30018B\">30018B</a></td><td style=\"color: #cccccc\">ENA抗體篩檢</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30019B\">30019B</a></td><td style=\"color: #cccccc\">抗Histone</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30020B\">30020B</a></td><td style=\"color: #cccccc\">抗心脂抗體—IgG</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30021C\">30021C</a></td><td style=\"color: #cccccc\">過敏原檢驗(定性)</td><td>限確診為Asthma、過敏性鼻炎者或未滿三歲有異位性皮膚炎。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30022C\">30022C</a></td><td style=\"color: #cccccc\">特異過敏原免疫檢驗</td><td>限確診為Asthma、過敏性鼻炎者或未滿三歲有異位性皮膚炎。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30023B\">30023B</a></td><td style=\"color: #cccccc\">嗜伊紅血球陽離子蛋白檢驗</td><td>包括IgG、IgM。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30024B\">30024B</a></td><td style=\"color: #cccccc\">遲發性過敏度皮膚試驗(共八種)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30025B\">30025B</a></td><td style=\"color: #cccccc\">NBT Test</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30026B\">30026B</a></td><td style=\"color: #cccccc\">鼻誘發試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30027B\">30027B</a></td><td style=\"color: #cccccc\">抗磷脂抗體—IgG</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30028B\">30028B</a></td><td style=\"color: #cccccc\">抗心脂抗體—IgM</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30029B\">30029B</a></td><td style=\"color: #cccccc\">抗磷脂抗體—IgM</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30030C\">30030C</a></td><td style=\"color: #cccccc\">自體血清皮內注射試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30101B\">30101B</a></td><td style=\"color: #cccccc\">肺癌表皮生長因子受體(EGFR)突變體外診斷醫療器材檢測(IVD)</td><td>1.適應症：(1)限復發或轉移性(第Ⅳ期)之非小細胞且非鱗狀上皮肺癌，於使用EGFR標靶藥物前得申請檢測。(2)第ⅢB期及第ⅢC期，經肺癌多專科團隊討論，無法以外科手術完全切除、且不適合放射化學治療，於使用EGFR標靶藥物前得申請檢測。2.支付規範：(1)限使用已確診之腫瘤病理組織或細胞檢體做檢測，並於檢測報告上註明診斷與腫瘤細胞百分比。(2)限具肺癌EGFR基因檢測項目通過CAP(美國病理學家學會，The College of American Pathologists)、TAF(財團法人全國認證基金會，Taiwan Accreditation Foundation)或台灣病理學會之分子實驗室認證之實驗室。(3)執行本項之醫事服務機構應報經保險人核定，如有異動，仍應重行報請核定。(4)限使用食品藥物管理署核准之第三等級醫療器材檢測試劑操作，並於檢測報告上註明方法學與檢測平台。(5)限解剖病理專科醫師簽發報告，並於檢測報告上加註專科醫師證書字號。(6)限符合適應症規範者用藥前之伴隨式檢測，每人終生限給付一次。(7)不得同時申報編號30102B。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30102B\">30102B</a></td><td style=\"color: #cccccc\">肺癌表皮生長因子受體(EGFR)突變實驗室自行研發檢測(LDT)</td><td>1.適應症：(1)限復發或轉移性(第Ⅳ期)之非小細胞且非鱗狀上皮肺癌，於使用EGFR標靶藥物前得申請檢測。(2)第ⅢB期及第ⅢC期，經肺癌多專科團隊討論，無法以外科手術完全切除、且不適合放射化學治療，於使用EGFR標靶藥物前得申請檢測。2.支付規範：(1)限使用已確診之腫瘤病理組織或細胞檢體做檢測，並於檢測報告上註明診斷與腫瘤細胞百分比。(2)限具肺癌EGFR基因檢測項目通過CAP(美國病理學家學會，The College of American Pathologists)、TAF(財團法人全國認證基金會，Taiwan Accreditation Foundation)或台灣病理學會之分子實驗室認證之實驗室。(3)執行本項之醫事服務機構應報經保險人核定，如有異動，仍應重行報請經核定。(4)檢測報告上應註明方法學與檢測平台。(5)限解剖病理專科醫師簽發報告，並於檢測報告上加註專科醫師證書字號。(6)限符合適應症規範者用藥前之伴隨式檢測，每人終生限給付一次。(7)不得同時申報編號30101B。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30103B\">30103B</a></td><td style=\"color: #cccccc\">PD-L1免疫組織化學染色</td><td>註：1.適應症：符合全民健康保險藥物給付項目及支付標準第6編第83條之藥品給付規定第9節抗癌瘤藥物9.69.免疫檢查點PD-1、PD-L1抑制劑之使用條件，且申請時需檢附生物標記(PD-L1)表現量檢測報告之疾病。2.支付規範：(1)限使用食品藥物管理署核准之第三等級醫療器材檢測試劑(IVD)操作，並於檢測報告上註明方法學與檢測平台。(2)應檢附經解剖病理或口腔病理專科醫師簽名與加註專科醫師證書字號之病理報告。(3)限符合適應症規範者用藥前之伴隨式檢測，每人終生限給付一次。(4)申報本項除依通則規定外，尚須上傳檢測試劑代碼，未上傳者不予支付。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30104B\">30104B</a></td><td style=\"color: #cccccc\">All-RAS基因突變分析</td><td>註：1.適應症：符合全民健康保險藥物給付項目及支付標準附件六藥品給付規定第九節抗癌瘤藥物9.27.Cetuximab及9.53.Panitumumab之轉移性直腸結腸癌病人。2.支付規範：(1)本檢測應包含KRAS(外顯子[exon]2、3與4)與NRAS(外顯子2、3與4)之突變分析。(2)限使用已確診之腫瘤病理組織或細胞檢體做檢測，並於檢測報告上註明診斷與腫瘤細胞百分比。(3)限具大腸直腸癌ALL-RAS基因檢測項目通過CAP(美國病理學家學會，The College of American Pathologists)、TAF(財團法人全國認證基金會，Taiwan Accreditation Foundation)或台灣病理學會之分子實驗室認證之實驗室。(4)執行本項之醫事服務機構應報經保險人核定，如有異動，仍應重行報請經核定。(5)檢測報告上應註明方法學與檢測平台。(6)限解剖病理專科醫師簽發報告，並於檢測報告上加註專科醫師證書字號。(7)限符合適應症規範者用藥前之伴隨式檢測，每人終生限給付一次。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30105B\">30105B</a></td><td style=\"color: #cccccc\">間變性淋巴瘤激酶(ALK)突變體外診斷醫療器材檢測(IVD)-IHC法</td><td>1.適應症:(1)限復發或轉移性(第Ⅳ期)之非小細胞且非鱗狀上皮肺癌,於EGFR基因檢測為陰性時,得申請檢測。(2)第ⅢB期及第ⅢC期,經肺癌多專科團隊討論,無法以外科手術完全切除、且不適合放射化學治療,於EGFR基因檢測為陰性時,得申請檢測。2.支付規範:(1)限使用食品藥物管理署核准之第三等級醫療器材檢測試劑操作,並於檢測報告上註明方法學與檢測平台。(2)限解剖病理專科醫師簽發報告,並於檢測報告上加註專科醫師證書字號。(3)限符合適應症規範者用藥前之伴隨式檢測,每人終生限給付一次。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30501C\">30501C</a></td><td style=\"color: #cccccc\">羊齒植物狀試驗(子宮頸)</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30502C\">30502C</a></td><td style=\"color: #cccccc\">子宮頸黏液檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30503B\">30503B</a></td><td style=\"color: #cccccc\">皮脂定量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30504B\">30504B</a></td><td style=\"color: #cccccc\">紫外線致紅劑測試</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30505B\">30505B</a></td><td style=\"color: #cccccc\">電氣解析術</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30506B\">30506B</a></td><td style=\"color: #cccccc\">食道機能檢查</td><td>兒童加成。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30507B\">30507B</a></td><td style=\"color: #cccccc\">二十四小時食道酸鹼度測定</td><td>內含一般材料費及單一使用拋棄式「二十四小時食道酸鹼度單次測量管」材料費。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30508C\">30508C</a></td><td style=\"color: #cccccc\">皮膚貼布試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30509B\">30509B</a></td><td style=\"color: #cccccc\">水泡液抹片檢查及判讀</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30510B\">30510B</a></td><td style=\"color: #cccccc\">APR後膀胱機能測定</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30511B\">30511B</a></td><td style=\"color: #cccccc\">高頻肛門電療法</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30512C\">30512C</a></td><td style=\"color: #cccccc\">碳-13尿素呼氣檢查幽門螺旋桿菌感染</td><td>適應症:1.出血、幼兒、孕婦、衰老等不適合做胃鏡檢查之消化性潰瘍患者治療前之幽門螺旋桿菌感染鑑定檢查。2.證實為潰瘍併幽門螺旋桿菌感染患者為除菌治療後之療效確認與追蹤,第一次於潰瘍治療(含PPI藥物)停藥後一個月施行一次。3.不得同時申報13018C、28016C、28030C及13007C。4.本項檢查採包裹式給付,不論方法皆不得另行申請材料費用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30513C\">30513C</a></td><td style=\"color: #cccccc\">羊水酸鹼度反應</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30514C\">30514C</a></td><td style=\"color: #cccccc\">嘔吐物潛血反應檢查</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30515B\">30515B</a></td><td style=\"color: #cccccc\">肌膜隔間壓力測量</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30516B\">30516B</a></td><td style=\"color: #cccccc\">冷水試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30517C\">30517C</a></td><td style=\"color: #cccccc\">唾液分泌機能檢查</td><td>適應症為原發性或繼發性修格連氏症候群(Sjogren''s syndrom)、老年性唾腺功能低下症及放射治療後唾液腺功能低下症。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30518C\">30518C</a></td><td style=\"color: #cccccc\">甲褶血管鏡檢查</td><td>1.需由免疫風濕科醫師判讀。 2.同一病患一年至多檢查二次3.申報時需附甲褶血管鏡檢查報告。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30519C\">30519C</a></td><td style=\"color: #cccccc\">棉墊試驗</td><td/></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30521B\">30521B</a></td><td style=\"color: #cccccc\">乙醯膽鹼刺激皮膚發汗測試</td><td>適應症:1.皮膚排汗異常。2.異位性皮膚炎。3.交感神經病變或副交感神經病變、糖尿病引起神經病變、週邊神經病變、及其他不明原因之神經病變引發的排汗功能異常。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30522C\">30522C</a></td><td style=\"color: #cccccc\">幽門桿菌糞便抗原檢查</td><td>1.適應症:(1)出血、幼兒、孕婦、衰老等不適合做胃鏡檢查之消化性潰瘍患者治療前之幽門螺旋桿菌感染鑑定檢查。(2)證實為潰瘍併幽門螺旋桿菌感染患者為除菌治療後之療效確認與追蹤,第一次於潰瘍治療(含PPI藥物)停藥後一個月施行一次。2.支付規範(1)不得同時申報13007C、13018C、28016C、28030C及30512C。(2)限試劑抗原屬台灣本土菌株者申報。(3)本項檢查採包裹式給付,不論方法皆不得另行申請材料費用。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30523B\">30523B</a></td><td style=\"color: #cccccc\">多管腔食道內阻抗及酸鹼度測定</td><td>1.適應症:(1)難治之胃食道逆流症典型症狀（如持續的火燒心或胃酸逆流），經上消化道內視鏡或二十四小時食道酸鹼度測定檢查後，經藥物（如質子幫浦抑制劑，PPI）治療至少八週以上反應不佳者。(2)胃食道逆流症非典型症狀（如不明原因胸痛、慢性咳嗽、氣喘、喉嚨異物感或聲音沙啞），經相關專科醫師診查後，經上消化道內視鏡或二十四小時食道酸鹼度測定檢查後，經藥物（如質子幫浦抑制劑，PPI）治療至少八週以上反應不佳者。(3)未滿十九歲兒童及嬰兒胃食道逆流症典型症狀（如持續性嘔吐、火燒心或胃酸逆流），及胃食道逆流症之非典型症狀（如不明原因胸痛、慢性咳嗽、難治性兒童氣喘、喉嚨異物感、聲音沙啞、嬰幼兒呼吸中止或心搏過慢）。(4)未滿十九歲兒童及嬰兒因吞嚥困難，進行胃造瘻術（gastrostomy）之術前評估。(5)吞嚥困難，經上消化道內視鏡檢查或食道攝影檢查評估後，疑似食道蠕動功能異常疾病（如食道弛緩不能症者）。(6)胃食道逆流症患者接受外科逆流手術治療前之評估，及術後仍有符合前述症狀之追蹤。2.支付規範：(1)內含二十四小時食道阻抗酸鹼度單次用測量管。(2)限由消化內、消化外科、消化兒科及胸腔外科專科醫師執行。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30524B\">30524B</a></td><td style=\"color: #cccccc\">使用TRH注射液</td><td>註:1.本項係診斷性用藥,限執行對應檢驗診療項目須併用藥品時申報。2.上述對應檢驗診療項目為09112C、09120C、27004C、27008B、27011B。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30525B\">30525B</a></td><td style=\"color: #cccccc\">使用LH-RH注射液</td><td>註:1.本項係診斷性用藥,限執行對應檢驗診療項目須併用藥品時申報。2.上述對應檢驗診療項目為09125C、09126C、24027B、27008B、27013B、27014B。</td></tr><tr><td><a href=\"CodeSystem-medical-service-payment-tw.html#medical-service-payment-tw-30526B\">30526B</a></td><td style=\"color: #cccccc\">高解析度食道壓力檢查</td><td>1.適應症：(1)吞嚥困難，經上消化道內視鏡檢查或食道攝影檢查評估後，疑似食道蠕動功能異常疾病（如食道弛緩不能症者)。(2)難治性之胃食道逆流症狀（持續的火燒心、胃酸逆流、不明原因胸痛、慢性咳嗽、氣喘、喉嚨異物感或聲音沙啞)，經相關專科醫師診查後，經上消化道內視鏡或二十四小時食道酸鹼度測定檢查後，且經藥物（如質子幫浦抑制劑，PPI）治療八週以上反應不佳者。(3)未滿十九歲兒童及嬰兒胃食道逆流症狀（如持續性嘔吐、火燒心或胃酸逆流、不明原因胸痛、慢性咳嗽、難治性兒童氣喘、喉嚨異物感、聲音沙啞、嬰幼兒呼吸中止或心搏過慢)，經相關專科醫師診治四週以上反應不佳者。(4)未滿十九歲兒童及嬰兒因吞嚥困難，進行胃造瘻術（gastrostomy）之術前評估。(5)食道蠕動功能異常疾病（如食道弛緩不能症）接受內視鏡治療或手術治療後之評估。(6)胃食道逆流症患者接受外科逆流手術治療前之評估，及術後仍有符合前述症狀之追蹤。2.禁忌症：(1)造成食道管腔狹窄或阻塞之良性食道疾病或惡性食道腫瘤。(2)食道破裂。(3)食道出血。(4)急性上呼吸道感染。3.支付規範：(1)執行頻率：每人每年限執行一次，如有接受內視鏡或手術治療者，則最多可執行二次。(2)限內科、外科、兒科、耳鼻喉科及復健科醫師執行。(3)不得同時申報30506B食道機能檢查。(4)內含一般材料費及「微晶片導管」材料費。</td></tr></table></li></ul></div>"
  ] ; # 
  fhir:url [ fhir:v "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "2022-07-01"] ; # 
  fhir:name [ fhir:v "TWMedicalServicePayment"] ; # 
  fhir:title [ fhir:v "臺灣健保署醫療服務給付項目-檢驗值集"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2022-07-01"^^xsd:date] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "衛生福利部" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.mohw.gov.tw/" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "CCYU@mohw.gov.tw" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "臺灣健保署醫療服務給付項目-檢驗值集，參照至[https://www.nhi.gov.tw/Content_List.aspx?n=58ED9C8D8417D00B](https://www.nhi.gov.tw/Content_List.aspx?n=58ED9C8D8417D00B)\r\n資料所屬單位：衛生福利部中央健康保險署。\r\n"] ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"^^xsd:anyURI ] ;
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fhir:code [ fhir:v "09063B" ]       ] [
fhir:code [ fhir:v "09064C" ]       ] [
fhir:code [ fhir:v "09065B" ]       ] [
fhir:code [ fhir:v "09066B" ]       ] [
fhir:code [ fhir:v "09067B" ]       ] [
fhir:code [ fhir:v "09068B" ]       ] [
fhir:code [ fhir:v "09069B" ]       ] [
fhir:code [ fhir:v "09070B" ]       ] [
fhir:code [ fhir:v "09071C" ]       ] [
fhir:code [ fhir:v "09072B" ]       ] [
fhir:code [ fhir:v "09073B" ]       ] [
fhir:code [ fhir:v "09074B" ]       ] [
fhir:code [ fhir:v "09075B" ]       ] [
fhir:code [ fhir:v "09076B" ]       ] [
fhir:code [ fhir:v "09077B" ]       ] [
fhir:code [ fhir:v "09078B" ]       ] [
fhir:code [ fhir:v "09079C" ]       ] [
fhir:code [ fhir:v "09080C" ]       ] [
fhir:code [ fhir:v "09081C" ]       ] [
fhir:code [ fhir:v "09082B" ]       ] [
fhir:code [ fhir:v "09083B" ]       ] [
fhir:code [ fhir:v "09084B" ]       ] [
fhir:code [ fhir:v "09085C" ]       ] [
fhir:code [ fhir:v "09086C" ]       ] [
fhir:code [ fhir:v "09087B" ]       ] [
fhir:code [ fhir:v "09088B" ]       ] [
fhir:code [ fhir:v "09089B" ]       ] [
fhir:code [ fhir:v "09090B" ]       ] [
fhir:code [ fhir:v "09091B" ]       ] [
fhir:code [ fhir:v "09092B" ]       ] [
fhir:code [ fhir:v "09093B" ]       ] [
fhir:code [ fhir:v "09094B" ]       ] [
fhir:code [ fhir:v "09095B" ]       ] [
fhir:code [ fhir:v "09096B" ]       ] [
fhir:code [ fhir:v "09097B" ]       ] [
fhir:code [ fhir:v "09098B" ]       ] [
fhir:code [ fhir:v "09099C" ]       ] [
fhir:code [ fhir:v "09100B" ]       ] [
fhir:code [ fhir:v "09101B" ]       ] [
fhir:code [ fhir:v "09102B" ]       ] [
fhir:code [ fhir:v "09103C" ]       ] [
fhir:code [ fhir:v "09104C" ]       ] [
fhir:code [ fhir:v "09105C" ]       ] [
fhir:code [ fhir:v "09106C" ]       ] [
fhir:code [ fhir:v "09107C" ]       ] [
fhir:code [ fhir:v "09108C" ]       ] [
fhir:code [ fhir:v "09109C" ]       ] [
fhir:code [ fhir:v "09110B" ]       ] [
fhir:code [ fhir:v "09111C" ]       ] [
fhir:code [ fhir:v "09112C" ]       ] [
fhir:code [ fhir:v "09113C" ]       ] [
fhir:code [ fhir:v "09114B" ]       ] [
fhir:code [ fhir:v "09115B" ]       ] [
fhir:code [ fhir:v "09116B" ]       ] [
fhir:code [ fhir:v "09117C" ]       ] [
fhir:code [ fhir:v "09118B" ]       ] [
fhir:code [ fhir:v "09119B" ]       ] [
fhir:code [ fhir:v "09120C" ]       ] [
fhir:code [ fhir:v "09121C" ]       ] [
fhir:code [ fhir:v "09122C" ]       ] [
fhir:code [ fhir:v "09123B" ]       ] [
fhir:code [ fhir:v "09124B" ]       ] [
fhir:code [ fhir:v "09125C" ]       ] [
fhir:code [ fhir:v "09126C" ]       ] [
fhir:code [ fhir:v "09127C" ]       ] [
fhir:code [ fhir:v "09128C" ]       ] [
fhir:code [ fhir:v "09129C" ]       ] [
fhir:code [ fhir:v "09130C" ]       ] [
fhir:code [ fhir:v "09131C" ]       ] [
fhir:code [ fhir:v "09132B" ]       ] [
fhir:code [ fhir:v "09133B" ]       ] [
fhir:code [ fhir:v "09134C" ]       ] [
fhir:code [ fhir:v "09135B" ]       ] [
fhir:code [ fhir:v "09136B" ]       ] [
fhir:code [ fhir:v "09137B" ]       ] [
fhir:code [ fhir:v "09138C" ]       ] [
fhir:code [ fhir:v "09139C" ]       ] [
fhir:code [ fhir:v "10001B" ]       ] [
fhir:code [ fhir:v "10002B" ]       ] [
fhir:code [ fhir:v "10003B" ]       ] [
fhir:code [ fhir:v "10004B" ]       ] [
fhir:code [ fhir:v "10005B" ]       ] [
fhir:code [ fhir:v "10006B" ]       ] [
fhir:code [ fhir:v "10007B" ]       ] [
fhir:code [ fhir:v "10008B" ]       ] [
fhir:code [ fhir:v "10009B" ]       ] [
fhir:code [ fhir:v "10010B" ]       ] [
fhir:code [ fhir:v "10011B" ]       ] [
fhir:code [ fhir:v "10012B" ]       ] [
fhir:code [ fhir:v "10501C" ]       ] [
fhir:code [ fhir:v "10502B" ]       ] [
fhir:code [ fhir:v "10503B" ]       ] [
fhir:code [ fhir:v "10504B" ]       ] [
fhir:code [ fhir:v "10505B" ]       ] [
fhir:code [ fhir:v "10506B" ]       ] [
fhir:code [ fhir:v "10507B" ]       ] [
fhir:code [ fhir:v "10508B" ]       ] [
fhir:code [ fhir:v "10509B" ]       ] [
fhir:code [ fhir:v "10510C" ]       ] [
fhir:code [ fhir:v "10511C" ]       ] [
fhir:code [ fhir:v "10512B" ]       ] [
fhir:code [ fhir:v "10515B" ]       ] [
fhir:code [ fhir:v "10516B" ]       ] [
fhir:code [ fhir:v "10517B" ]       ] [
fhir:code [ fhir:v "10518B" ]       ] [
fhir:code [ fhir:v "10519B" ]       ] [
fhir:code [ fhir:v "10520C" ]       ] [
fhir:code [ fhir:v "10521B" ]       ] [
fhir:code [ fhir:v "10522B" ]       ] [
fhir:code [ fhir:v "10523B" ]       ] [
fhir:code [ fhir:v "10524B" ]       ] [
fhir:code [ fhir:v "10525B" ]       ] [
fhir:code [ fhir:v "10526B" ]       ] [
fhir:code [ fhir:v "10527B" ]       ] [
fhir:code [ fhir:v "10529B" ]       ] [
fhir:code [ fhir:v "10530B" ]       ] [
fhir:code [ fhir:v "10531B" ]       ] [
fhir:code [ fhir:v "10532B" ]       ] [
fhir:code [ fhir:v "10533B" ]       ] [
fhir:code [ fhir:v "10534B" ]       ] [
fhir:code [ fhir:v "10535B" ]       ] [
fhir:code [ fhir:v "10536B" ]       ] [
fhir:code [ fhir:v "10537C" ]       ] [
fhir:code [ fhir:v "10801B" ]       ] [
fhir:code [ fhir:v "10802B" ]       ] [
fhir:code [ fhir:v "10803B" ]       ] [
fhir:code [ fhir:v "10804B" ]       ] [
fhir:code [ fhir:v "10805B" ]       ] [
fhir:code [ fhir:v "10806B" ]       ] [
fhir:code [ fhir:v "10807B" ]       ] [
fhir:code [ fhir:v "10808B" ]       ] [
fhir:code [ fhir:v "10809B" ]       ] [
fhir:code [ fhir:v "10810B" ]       ] [
fhir:code [ fhir:v "10811B" ]       ] [
fhir:code [ fhir:v "10812B" ]       ] [
fhir:code [ fhir:v "10813B" ]       ] [
fhir:code [ fhir:v "10814B" ]       ] [
fhir:code [ fhir:v "10815B" ]       ] [
fhir:code [ fhir:v "10816B" ]       ] [
fhir:code [ fhir:v "10817B" ]       ] [
fhir:code [ fhir:v "10818B" ]       ] [
fhir:code [ fhir:v "10819C" ]       ] [
fhir:code [ fhir:v "11001C" ]       ] [
fhir:code [ fhir:v "11002C" ]       ] [
fhir:code [ fhir:v "11003C" ]       ] [
fhir:code [ fhir:v "11004C" ]       ] [
fhir:code [ fhir:v "11005B" ]       ] [
fhir:code [ fhir:v "11006B" ]       ] [
fhir:code [ fhir:v "11007B" ]       ] [
fhir:code [ fhir:v "11008B" ]       ] [
fhir:code [ fhir:v "11009B" ]       ] [
fhir:code [ fhir:v "11010B" ]       ] [
fhir:code [ fhir:v "11011B" ]       ] [
fhir:code [ fhir:v "11012B" ]       ] [
fhir:code [ fhir:v "12001C" ]       ] [
fhir:code [ fhir:v "12002B" ]       ] [
fhir:code [ fhir:v "12003C" ]       ] [
fhir:code [ fhir:v "12004C" ]       ] [
fhir:code [ fhir:v "12005B" ]       ] [
fhir:code [ fhir:v "12006B" ]       ] [
fhir:code [ fhir:v "12007C" ]       ] [
fhir:code [ fhir:v "12008B" ]       ] [
fhir:code [ fhir:v "12009C" ]       ] [
fhir:code [ fhir:v "12010C" ]       ] [
fhir:code [ fhir:v "12011C" ]       ] [
fhir:code [ fhir:v "12012B" ]       ] [
fhir:code [ fhir:v "12013C" ]       ] [
fhir:code [ fhir:v "12014C" ]       ] [
fhir:code [ fhir:v "12015C" ]       ] [
fhir:code [ fhir:v "12016C" ]       ] [
fhir:code [ fhir:v "12017B" ]       ] [
fhir:code [ fhir:v "12018C" ]       ] [
fhir:code [ fhir:v "12019B" ]       ] [
fhir:code [ fhir:v "12020C" ]       ] [
fhir:code [ fhir:v "12021C" ]       ] [
fhir:code [ fhir:v "12022C" ]       ] [
fhir:code [ fhir:v "12023B" ]       ] [
fhir:code [ fhir:v "12024B" ]       ] [
fhir:code [ fhir:v "12025B" ]       ] [
fhir:code [ fhir:v "12026B" ]       ] [
fhir:code [ fhir:v "12027B" ]       ] [
fhir:code [ fhir:v "12028B" ]       ] [
fhir:code [ fhir:v "12029B" ]       ] [
fhir:code [ fhir:v "12030B" ]       ] [
fhir:code [ fhir:v "12031C" ]       ] [
fhir:code [ fhir:v "12032B" ]       ] [
fhir:code [ fhir:v "12033B" ]       ] [
fhir:code [ fhir:v "12034B" ]       ] [
fhir:code [ fhir:v "12035B" ]       ] [
fhir:code [ fhir:v "12036B" ]       ] [
fhir:code [ fhir:v "12037B" ]       ] [
fhir:code [ fhir:v "12038B" ]       ] [
fhir:code [ fhir:v "12039B" ]       ] [
fhir:code [ fhir:v "12040B" ]       ] [
fhir:code [ fhir:v "12041B" ]       ] [
fhir:code [ fhir:v "12042B" ]       ] [
fhir:code [ fhir:v "12043B" ]       ] [
fhir:code [ fhir:v "12044B" ]       ] [
fhir:code [ fhir:v "12045B" ]       ] [
fhir:code [ fhir:v "12046B" ]       ] [
fhir:code [ fhir:v "12047B" ]       ] [
fhir:code [ fhir:v "12048C" ]       ] [
fhir:code [ fhir:v "12049B" ]       ] [
fhir:code [ fhir:v "12050B" ]       ] [
fhir:code [ fhir:v "12051B" ]       ] [
fhir:code [ fhir:v "12052B" ]       ] [
fhir:code [ fhir:v "12053C" ]       ] [
fhir:code [ fhir:v "12054B" ]       ] [
fhir:code [ fhir:v "12055B" ]       ] [
fhir:code [ fhir:v "12056B" ]       ] [
fhir:code [ fhir:v "12057B" ]       ] [
fhir:code [ fhir:v "12058B" ]       ] [
fhir:code [ fhir:v "12059B" ]       ] [
fhir:code [ fhir:v "12060C" ]       ] [
fhir:code [ fhir:v "12061B" ]       ] [
fhir:code [ fhir:v "12062B" ]       ] [
fhir:code [ fhir:v "12063B" ]       ] [
fhir:code [ fhir:v "12064B" ]       ] [
fhir:code [ fhir:v "12065B" ]       ] [
fhir:code [ fhir:v "12066B" ]       ] [
fhir:code [ fhir:v "12067B" ]       ] [
fhir:code [ fhir:v "12068C" ]       ] [
fhir:code [ fhir:v "12069B" ]       ] [
fhir:code [ fhir:v "12070B" ]       ] [
fhir:code [ fhir:v "12071B" ]       ] [
fhir:code [ fhir:v "12072B" ]       ] [
fhir:code [ fhir:v "12073C" ]       ] [
fhir:code [ fhir:v "12074B" ]       ] [
fhir:code [ fhir:v "12075B" ]       ] [
fhir:code [ fhir:v "12076B" ]       ] [
fhir:code [ fhir:v "12077C" ]       ] [
fhir:code [ fhir:v "12078C" ]       ] [
fhir:code [ fhir:v "12079C" ]       ] [
fhir:code [ fhir:v "12080B" ]       ] [
fhir:code [ fhir:v "12081C" ]       ] [
fhir:code [ fhir:v "12082B" ]       ] [
fhir:code [ fhir:v "12083B" ]       ] [
fhir:code [ fhir:v "12084B" ]       ] [
fhir:code [ fhir:v "12085B" ]       ] [
fhir:code [ fhir:v "12086C" ]       ] [
fhir:code [ fhir:v "12087B" ]       ] [
fhir:code [ fhir:v "12088B" ]       ] [
fhir:code [ fhir:v "12089B" ]       ] [
fhir:code [ fhir:v "12090B" ]       ] [
fhir:code [ fhir:v "12091B" ]       ] [
fhir:code [ fhir:v "12092B" ]       ] [
fhir:code [ fhir:v "12093B" ]       ] [
fhir:code [ fhir:v "12094B" ]       ] [
fhir:code [ fhir:v "12095B" ]       ] [
fhir:code [ fhir:v "12096B" ]       ] [
fhir:code [ fhir:v "12097B" ]       ] [
fhir:code [ fhir:v "12098B" ]       ] [
fhir:code [ fhir:v "12099B" ]       ] [
fhir:code [ fhir:v "12100B" ]       ] [
fhir:code [ fhir:v "12101B" ]       ] [
fhir:code [ fhir:v "12102B" ]       ] [
fhir:code [ fhir:v "12103B" ]       ] [
fhir:code [ fhir:v "12104B" ]       ] [
fhir:code [ fhir:v "12105B" ]       ] [
fhir:code [ fhir:v "12106C" ]       ] [
fhir:code [ fhir:v "12107C" ]       ] [
fhir:code [ fhir:v "12108B" ]       ] [
fhir:code [ fhir:v "12109B" ]       ] [
fhir:code [ fhir:v "12110B" ]       ] [
fhir:code [ fhir:v "12111C" ]       ] [
fhir:code [ fhir:v "12112B" ]       ] [
fhir:code [ fhir:v "12113B" ]       ] [
fhir:code [ fhir:v "12114B" ]       ] [
fhir:code [ fhir:v "12115B" ]       ] [
fhir:code [ fhir:v "12116C" ]       ] [
fhir:code [ fhir:v "12117B" ]       ] [
fhir:code [ fhir:v "12118B" ]       ] [
fhir:code [ fhir:v "12120B" ]       ] [
fhir:code [ fhir:v "12121C" ]       ] [
fhir:code [ fhir:v "12122B" ]       ] [
fhir:code [ fhir:v "12123C" ]       ] [
fhir:code [ fhir:v "12124B" ]       ] [
fhir:code [ fhir:v "12125C" ]       ] [
fhir:code [ fhir:v "12126B" ]       ] [
fhir:code [ fhir:v "12127B" ]       ] [
fhir:code [ fhir:v "12128B" ]       ] [
fhir:code [ fhir:v "12129C" ]       ] [
fhir:code [ fhir:v "12130B" ]       ] [
fhir:code [ fhir:v "12131B" ]       ] [
fhir:code [ fhir:v "12132B" ]       ] [
fhir:code [ fhir:v "12133B" ]       ] [
fhir:code [ fhir:v "12134C" ]       ] [
fhir:code [ fhir:v "12135B" ]       ] [
fhir:code [ fhir:v "12136B" ]       ] [
fhir:code [ fhir:v "12137B" ]       ] [
fhir:code [ fhir:v "12138B" ]       ] [
fhir:code [ fhir:v "12139B" ]       ] [
fhir:code [ fhir:v "12140B" ]       ] [
fhir:code [ fhir:v "12141B" ]       ] [
fhir:code [ fhir:v "12142B" ]       ] [
fhir:code [ fhir:v "12143B" ]       ] [
fhir:code [ fhir:v "12144B" ]       ] [
fhir:code [ fhir:v "12145B" ]       ] [
fhir:code [ fhir:v "12146B" ]       ] [
fhir:code [ fhir:v "12147B" ]       ] [
fhir:code [ fhir:v "12148B" ]       ] [
fhir:code [ fhir:v "12149B" ]       ] [
fhir:code [ fhir:v "12150B" ]       ] [
fhir:code [ fhir:v "12151C" ]       ] [
fhir:code [ fhir:v "12152B" ]       ] [
fhir:code [ fhir:v "12153B" ]       ] [
fhir:code [ fhir:v "12154B" ]       ] [
fhir:code [ fhir:v "12155B" ]       ] [
fhir:code [ fhir:v "12156B" ]       ] [
fhir:code [ fhir:v "12157B" ]       ] [
fhir:code [ fhir:v "12158B" ]       ] [
fhir:code [ fhir:v "12159B" ]       ] [
fhir:code [ fhir:v "12160B" ]       ] [
fhir:code [ fhir:v "12161B" ]       ] [
fhir:code [ fhir:v "12162B" ]       ] [
fhir:code [ fhir:v "12163B" ]       ] [
fhir:code [ fhir:v "12164B" ]       ] [
fhir:code [ fhir:v "12165C" ]       ] [
fhir:code [ fhir:v "12166B" ]       ] [
fhir:code [ fhir:v "12167B" ]       ] [
fhir:code [ fhir:v "12168B" ]       ] [
fhir:code [ fhir:v "12169B" ]       ] [
fhir:code [ fhir:v "12170B" ]       ] [
fhir:code [ fhir:v "12171B" ]       ] [
fhir:code [ fhir:v "12172C" ]       ] [
fhir:code [ fhir:v "12173B" ]       ] [
fhir:code [ fhir:v "12174B" ]       ] [
fhir:code [ fhir:v "12175B" ]       ] [
fhir:code [ fhir:v "12176B" ]       ] [
fhir:code [ fhir:v "12177B" ]       ] [
fhir:code [ fhir:v "12178C" ]       ] [
fhir:code [ fhir:v "12179C" ]       ] [
fhir:code [ fhir:v "12180C" ]       ] [
fhir:code [ fhir:v "12181C" ]       ] [
fhir:code [ fhir:v "12182C" ]       ] [
fhir:code [ fhir:v "12183C" ]       ] [
fhir:code [ fhir:v "12184C" ]       ] [
fhir:code [ fhir:v "12185C" ]       ] [
fhir:code [ fhir:v "12186C" ]       ] [
fhir:code [ fhir:v "12187C" ]       ] [
fhir:code [ fhir:v "12188C" ]       ] [
fhir:code [ fhir:v "12189C" ]       ] [
fhir:code [ fhir:v "12190C" ]       ] [
fhir:code [ fhir:v "12191C" ]       ] [
fhir:code [ fhir:v "12192C" ]       ] [
fhir:code [ fhir:v "12193C" ]       ] [
fhir:code [ fhir:v "12194B" ]       ] [
fhir:code [ fhir:v "12195B" ]       ] [
fhir:code [ fhir:v "12196B" ]       ] [
fhir:code [ fhir:v "12197B" ]       ] [
fhir:code [ fhir:v "12198C" ]       ] [
fhir:code [ fhir:v "12199B" ]       ] [
fhir:code [ fhir:v "12200B" ]       ] [
fhir:code [ fhir:v "12201B" ]       ] [
fhir:code [ fhir:v "12202C" ]       ] [
fhir:code [ fhir:v "12203B" ]       ] [
fhir:code [ fhir:v "12204B" ]       ] [
fhir:code [ fhir:v "12205B" ]       ] [
fhir:code [ fhir:v "12206B" ]       ] [
fhir:code [ fhir:v "12207B" ]       ] [
fhir:code [ fhir:v "12208B" ]       ] [
fhir:code [ fhir:v "12209B" ]       ] [
fhir:code [ fhir:v "12210B" ]       ] [
fhir:code [ fhir:v "12211B" ]       ] [
fhir:code [ fhir:v "12212B" ]       ] [
fhir:code [ fhir:v "12213B" ]       ] [
fhir:code [ fhir:v "13001C" ]       ] [
fhir:code [ fhir:v "13002B" ]       ] [
fhir:code [ fhir:v "13003B" ]       ] [
fhir:code [ fhir:v "13004B" ]       ] [
fhir:code [ fhir:v "13005B" ]       ] [
fhir:code [ fhir:v "13006C" ]       ] [
fhir:code [ fhir:v "13007C" ]       ] [
fhir:code [ fhir:v "13008C" ]       ] [
fhir:code [ fhir:v "13009C" ]       ] [
fhir:code [ fhir:v "13010C" ]       ] [
fhir:code [ fhir:v "13011C" ]       ] [
fhir:code [ fhir:v "13012C" ]       ] [
fhir:code [ fhir:v "13013C" ]       ] [
fhir:code [ fhir:v "13014B" ]       ] [
fhir:code [ fhir:v "13015C" ]       ] [
fhir:code [ fhir:v "13016B" ]       ] [
fhir:code [ fhir:v "13017C" ]       ] [
fhir:code [ fhir:v "13018C" ]       ] [
fhir:code [ fhir:v "13019B" ]       ] [
fhir:code [ fhir:v "13020C" ]       ] [
fhir:code [ fhir:v "13021B" ]       ] [
fhir:code [ fhir:v "13022B" ]       ] [
fhir:code [ fhir:v "13023C" ]       ] [
fhir:code [ fhir:v "13024C" ]       ] [
fhir:code [ fhir:v "13025C" ]       ] [
fhir:code [ fhir:v "13026C" ]       ] [
fhir:code [ fhir:v "13028B" ]       ] [
fhir:code [ fhir:v "13029B" ]       ] [
fhir:code [ fhir:v "14001B" ]       ] [
fhir:code [ fhir:v "14002B" ]       ] [
fhir:code [ fhir:v "14003B" ]       ] [
fhir:code [ fhir:v "14004B" ]       ] [
fhir:code [ fhir:v "14005C" ]       ] [
fhir:code [ fhir:v "14006B" ]       ] [
fhir:code [ fhir:v "14007B" ]       ] [
fhir:code [ fhir:v "14008B" ]       ] [
fhir:code [ fhir:v "14009C" ]       ] [
fhir:code [ fhir:v "14010B" ]       ] [
fhir:code [ fhir:v "14011B" ]       ] [
fhir:code [ fhir:v "14012B" ]       ] [
fhir:code [ fhir:v "14013B" ]       ] [
fhir:code [ fhir:v "14014B" ]       ] [
fhir:code [ fhir:v "14015B" ]       ] [
fhir:code [ fhir:v "14016B" ]       ] [
fhir:code [ fhir:v "14017B" ]       ] [
fhir:code [ fhir:v "14018B" ]       ] [
fhir:code [ fhir:v "14019B" ]       ] [
fhir:code [ fhir:v "14020B" ]       ] [
fhir:code [ fhir:v "14021B" ]       ] [
fhir:code [ fhir:v "14022B" ]       ] [
fhir:code [ fhir:v "14023B" ]       ] [
fhir:code [ fhir:v "14024B" ]       ] [
fhir:code [ fhir:v "14025C" ]       ] [
fhir:code [ fhir:v "14026C" ]       ] [
fhir:code [ fhir:v "14027C" ]       ] [
fhir:code [ fhir:v "14028B" ]       ] [
fhir:code [ fhir:v "14029B" ]       ] [
fhir:code [ fhir:v "14030C" ]       ] [
fhir:code [ fhir:v "14031C" ]       ] [
fhir:code [ fhir:v "14032C" ]       ] [
fhir:code [ fhir:v "14033C" ]       ] [
fhir:code [ fhir:v "14034C" ]       ] [
fhir:code [ fhir:v "14035C" ]       ] [
fhir:code [ fhir:v "14036C" ]       ] [
fhir:code [ fhir:v "14037C" ]       ] [
fhir:code [ fhir:v "14038C" ]       ] [
fhir:code [ fhir:v "14039C" ]       ] [
fhir:code [ fhir:v "14040C" ]       ] [
fhir:code [ fhir:v "14041B" ]       ] [
fhir:code [ fhir:v "14042B" ]       ] [
fhir:code [ fhir:v "14043B" ]       ] [
fhir:code [ fhir:v "14044B" ]       ] [
fhir:code [ fhir:v "14045B" ]       ] [
fhir:code [ fhir:v "14046B" ]       ] [
fhir:code [ fhir:v "14047B" ]       ] [
fhir:code [ fhir:v "14048B" ]       ] [
fhir:code [ fhir:v "14049C" ]       ] [
fhir:code [ fhir:v "14050B" ]       ] [
fhir:code [ fhir:v "14051C" ]       ] [
fhir:code [ fhir:v "14052B" ]       ] [
fhir:code [ fhir:v "14053B" ]       ] [
fhir:code [ fhir:v "14054B" ]       ] [
fhir:code [ fhir:v "14055B" ]       ] [
fhir:code [ fhir:v "14056B" ]       ] [
fhir:code [ fhir:v "14057B" ]       ] [
fhir:code [ fhir:v "14058C" ]       ] [
fhir:code [ fhir:v "14059B" ]       ] [
fhir:code [ fhir:v "14060B" ]       ] [
fhir:code [ fhir:v "14061B" ]       ] [
fhir:code [ fhir:v "14062B" ]       ] [
fhir:code [ fhir:v "14063B" ]       ] [
fhir:code [ fhir:v "14064C" ]       ] [
fhir:code [ fhir:v "14065C" ]       ] [
fhir:code [ fhir:v "14066C" ]       ] [
fhir:code [ fhir:v "14067B" ]       ] [
fhir:code [ fhir:v "14068B" ]       ] [
fhir:code [ fhir:v "14069B" ]       ] [
fhir:code [ fhir:v "14070B" ]       ] [
fhir:code [ fhir:v "14071B" ]       ] [
fhir:code [ fhir:v "14072B" ]       ] [
fhir:code [ fhir:v "14073B" ]       ] [
fhir:code [ fhir:v "14074C" ]       ] [
fhir:code [ fhir:v "14075C" ]       ] [
fhir:code [ fhir:v "14076C" ]       ] [
fhir:code [ fhir:v "14077C" ]       ] [
fhir:code [ fhir:v "14078C" ]       ] [
fhir:code [ fhir:v "14079C" ]       ] [
fhir:code [ fhir:v "14080C" ]       ] [
fhir:code [ fhir:v "14081B" ]       ] [
fhir:code [ fhir:v "14082B" ]       ] [
fhir:code [ fhir:v "14083C" ]       ] [
fhir:code [ fhir:v "15001C" ]       ] [
fhir:code [ fhir:v "15007C" ]       ] [
fhir:code [ fhir:v "15017C" ]       ] [
fhir:code [ fhir:v "15018B" ]       ] [
fhir:code [ fhir:v "15020B" ]       ] [
fhir:code [ fhir:v "15021C" ]       ] [
fhir:code [ fhir:v "15022C" ]       ] [
fhir:code [ fhir:v "16001C" ]       ] [
fhir:code [ fhir:v "16002C" ]       ] [
fhir:code [ fhir:v "16003C" ]       ] [
fhir:code [ fhir:v "16004C" ]       ] [
fhir:code [ fhir:v "16005B" ]       ] [
fhir:code [ fhir:v "16006C" ]       ] [
fhir:code [ fhir:v "16007C" ]       ] [
fhir:code [ fhir:v "16008C" ]       ] [
fhir:code [ fhir:v "16009C" ]       ] [
fhir:code [ fhir:v "16010C" ]       ] [
fhir:code [ fhir:v "16011C" ]       ] [
fhir:code [ fhir:v "16012C" ]       ] [
fhir:code [ fhir:v "16013C" ]       ] [
fhir:code [ fhir:v "27001C" ]       ] [
fhir:code [ fhir:v "27002B" ]       ] [
fhir:code [ fhir:v "27003B" ]       ] [
fhir:code [ fhir:v "27004C" ]       ] [
fhir:code [ fhir:v "27005B" ]       ] [
fhir:code [ fhir:v "27006B" ]       ] [
fhir:code [ fhir:v "27007B" ]       ] [
fhir:code [ fhir:v "27008B" ]       ] [
fhir:code [ fhir:v "27009B" ]       ] [
fhir:code [ fhir:v "27010B" ]       ] [
fhir:code [ fhir:v "27011B" ]       ] [
fhir:code [ fhir:v "27012B" ]       ] [
fhir:code [ fhir:v "27013B" ]       ] [
fhir:code [ fhir:v "27014B" ]       ] [
fhir:code [ fhir:v "27015C" ]       ] [
fhir:code [ fhir:v "27016B" ]       ] [
fhir:code [ fhir:v "27017B" ]       ] [
fhir:code [ fhir:v "27018B" ]       ] [
fhir:code [ fhir:v "27019B" ]       ] [
fhir:code [ fhir:v "27020B" ]       ] [
fhir:code [ fhir:v "27021B" ]       ] [
fhir:code [ fhir:v "27022B" ]       ] [
fhir:code [ fhir:v "27023B" ]       ] [
fhir:code [ fhir:v "27024B" ]       ] [
fhir:code [ fhir:v "27025B" ]       ] [
fhir:code [ fhir:v "27026B" ]       ] [
fhir:code [ fhir:v "27027B" ]       ] [
fhir:code [ fhir:v "27028B" ]       ] [
fhir:code [ fhir:v "27029B" ]       ] [
fhir:code [ fhir:v "27030B" ]       ] [
fhir:code [ fhir:v "27031B" ]       ] [
fhir:code [ fhir:v "27032B" ]       ] [
fhir:code [ fhir:v "27033C" ]       ] [
fhir:code [ fhir:v "27034B" ]       ] [
fhir:code [ fhir:v "27035B" ]       ] [
fhir:code [ fhir:v "27036B" ]       ] [
fhir:code [ fhir:v "27037B" ]       ] [
fhir:code [ fhir:v "27038B" ]       ] [
fhir:code [ fhir:v "27039C" ]       ] [
fhir:code [ fhir:v "27040B" ]       ] [
fhir:code [ fhir:v "27041B" ]       ] [
fhir:code [ fhir:v "27042B" ]       ] [
fhir:code [ fhir:v "27043B" ]       ] [
fhir:code [ fhir:v "27044B" ]       ] [
fhir:code [ fhir:v "27045B" ]       ] [
fhir:code [ fhir:v "27046B" ]       ] [
fhir:code [ fhir:v "27047B" ]       ] [
fhir:code [ fhir:v "27048B" ]       ] [
fhir:code [ fhir:v "27049C" ]       ] [
fhir:code [ fhir:v "27050C" ]       ] [
fhir:code [ fhir:v "27051B" ]       ] [
fhir:code [ fhir:v "27052C" ]       ] [
fhir:code [ fhir:v "27053C" ]       ] [
fhir:code [ fhir:v "27054B" ]       ] [
fhir:code [ fhir:v "27055C" ]       ] [
fhir:code [ fhir:v "27056B" ]       ] [
fhir:code [ fhir:v "27057B" ]       ] [
fhir:code [ fhir:v "27058B" ]       ] [
fhir:code [ fhir:v "27059B" ]       ] [
fhir:code [ fhir:v "27060B" ]       ] [
fhir:code [ fhir:v "27061B" ]       ] [
fhir:code [ fhir:v "27062B" ]       ] [
fhir:code [ fhir:v "27063B" ]       ] [
fhir:code [ fhir:v "27064B" ]       ] [
fhir:code [ fhir:v "27065B" ]       ] [
fhir:code [ fhir:v "27066B" ]       ] [
fhir:code [ fhir:v "27067B" ]       ] [
fhir:code [ fhir:v "27068B" ]       ] [
fhir:code [ fhir:v "27069B" ]       ] [
fhir:code [ fhir:v "27070B" ]       ] [
fhir:code [ fhir:v "27071B" ]       ] [
fhir:code [ fhir:v "27072B" ]       ] [
fhir:code [ fhir:v "27073B" ]       ] [
fhir:code [ fhir:v "27074B" ]       ] [
fhir:code [ fhir:v "27076B" ]       ] [
fhir:code [ fhir:v "27077B" ]       ] [
fhir:code [ fhir:v "27078B" ]       ] [
fhir:code [ fhir:v "27079B" ]       ] [
fhir:code [ fhir:v "27080B" ]       ] [
fhir:code [ fhir:v "27081B" ]       ] [
fhir:code [ fhir:v "27082B" ]       ] [
fhir:code [ fhir:v "27083B" ]       ] [
fhir:code [ fhir:v "30001C" ]       ] [
fhir:code [ fhir:v "30002C" ]       ] [
fhir:code [ fhir:v "30005B" ]       ] [
fhir:code [ fhir:v "30006B" ]       ] [
fhir:code [ fhir:v "30007B" ]       ] [
fhir:code [ fhir:v "30008B" ]       ] [
fhir:code [ fhir:v "30009B" ]       ] [
fhir:code [ fhir:v "30010B" ]       ] [
fhir:code [ fhir:v "30011B" ]       ] [
fhir:code [ fhir:v "30012B" ]       ] [
fhir:code [ fhir:v "30013B" ]       ] [
fhir:code [ fhir:v "30014B" ]       ] [
fhir:code [ fhir:v "30015C" ]       ] [
fhir:code [ fhir:v "30016B" ]       ] [
fhir:code [ fhir:v "30017B" ]       ] [
fhir:code [ fhir:v "30018B" ]       ] [
fhir:code [ fhir:v "30019B" ]       ] [
fhir:code [ fhir:v "30020B" ]       ] [
fhir:code [ fhir:v "30021C" ]       ] [
fhir:code [ fhir:v "30022C" ]       ] [
fhir:code [ fhir:v "30023B" ]       ] [
fhir:code [ fhir:v "30024B" ]       ] [
fhir:code [ fhir:v "30025B" ]       ] [
fhir:code [ fhir:v "30026B" ]       ] [
fhir:code [ fhir:v "30027B" ]       ] [
fhir:code [ fhir:v "30028B" ]       ] [
fhir:code [ fhir:v "30029B" ]       ] [
fhir:code [ fhir:v "30030C" ]       ] [
fhir:code [ fhir:v "30101B" ]       ] [
fhir:code [ fhir:v "30102B" ]       ] [
fhir:code [ fhir:v "30103B" ]       ] [
fhir:code [ fhir:v "30104B" ]       ] [
fhir:code [ fhir:v "30105B" ]       ] [
fhir:code [ fhir:v "30501C" ]       ] [
fhir:code [ fhir:v "30502C" ]       ] [
fhir:code [ fhir:v "30503B" ]       ] [
fhir:code [ fhir:v "30504B" ]       ] [
fhir:code [ fhir:v "30505B" ]       ] [
fhir:code [ fhir:v "30506B" ]       ] [
fhir:code [ fhir:v "30507B" ]       ] [
fhir:code [ fhir:v "30508C" ]       ] [
fhir:code [ fhir:v "30509B" ]       ] [
fhir:code [ fhir:v "30510B" ]       ] [
fhir:code [ fhir:v "30511B" ]       ] [
fhir:code [ fhir:v "30512C" ]       ] [
fhir:code [ fhir:v "30513C" ]       ] [
fhir:code [ fhir:v "30514C" ]       ] [
fhir:code [ fhir:v "30515B" ]       ] [
fhir:code [ fhir:v "30516B" ]       ] [
fhir:code [ fhir:v "30517C" ]       ] [
fhir:code [ fhir:v "30518C" ]       ] [
fhir:code [ fhir:v "30519C" ]       ] [
fhir:code [ fhir:v "30521B" ]       ] [
fhir:code [ fhir:v "30522C" ]       ] [
fhir:code [ fhir:v "30523B" ]       ] [
fhir:code [ fhir:v "30524B" ]       ] [
fhir:code [ fhir:v "30525B" ]       ] [
fhir:code [ fhir:v "30526B" ]       ] )     ] )
  ] . #