대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제10권2호
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- Pages.238-241
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- 2006
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
무지 외반증의 수술비 및 보험
Operation Fee and Insurance Charge of Hallux Valgus Surgery
- 송하헌 (원광대학교 의과대학 정형외과학교실) ;
- 심대무 (원광대학교 의과대학 정형외과학교실) ;
- 김동철 (원광대학교 의과대학 정형외과학교실) ;
- 권석현 (원광대학교 의과대학 정형외과학교실) ;
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김종윤
(원광대학교 의과대학 정형외과학교실)
- Song, Ha-Heon (Department of Orthopedic Surgery, Wonkwang University Hospital School of Medicine) ;
- Shim, Dae-Moo (Department of Orthopedic Surgery, Wonkwang University Hospital School of Medicine) ;
- Kim, Dong-Churl (Department of Orthopedic Surgery, Wonkwang University Hospital School of Medicine) ;
- Kweon, Seok-Hyun (Department of Orthopedic Surgery, Wonkwang University Hospital School of Medicine) ;
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Kim, Jong-Yun
(Department of Orthopedic Surgery, Wonkwang University Hospital School of Medicine)
- 발행 : 2006.12.01
초록
Purpose: The purpose of this study was to figure out the appropriate and systemic insurance charge for the hallux valgus operations. Materials and Methods: 5 Hospitals for hallux valgus operations were analyzed how they have been charging the national health insurance corporation for their operation fees and how to use the estimated guide and authoritive interpretation through the guide book of health insurance medical treatment grant expense and the guide book of Health insurance medical treatment. Results: There are nothing for guiding principle of hallux valgus operations in both books but a guide of Mcbride operation which is approved 'JA-93-KA and JA-31' for operation fee. So majority of hospitals have charged operation fee depending on their own interpretations they like. According to the guide books, there was a authoritive interpretation that simultaneous operation of osteotomy and tendon transfer for cerebral palsy and flat foot can be eatimated as 'osteotomy+JA-93-NA'. Conclusion: Distal soft tissue procedure should be approved as 'JA-93-NAx100%+JA-31x50%' according to the the estimated guide and authoritive interpretation if transected adductor hllucis is transfered to first metatarsal head. So distal chevron osteotomy could be 'JA-30-1-RAx100%+JA-31x50%', proximal metatarsal osteotomy could be 'JA- 93-NAx100%+JA-31-50%+JA-30-1-RAx50%', first metatarsocuneiform joint arthrodesis could be 'JA-93-NAx100%+ JA-31x50%+JA-73-RAx50%'.