Thông tư số 35/2021/TT-BYT

BOYTE CONG HOA xA HOI CHU NGHiA VIET NAM . . . DQel~p - TV do - H~nh phuc S6: 35 /2021/TT-BYT Ha N(Ji, ngay 31- thang;ktnam 2021 THONGTl1 Sua dBi, bB sung khoan 1 Di~u 9 Thong to' sA30/2020/TT-BYT ngay 31 thang 12 nam 2020 cua BQtruong BQY t~ quy djnh chi ti~t va huong din bi~n phap thi hanh mQt sAdi~u ciia Ngh] djnh sA146/20181ND-CP ngay 17 thang 10 nam 2018 cua Chinh phii quy djnh chi ti~t va hmrng din bi~n phap thi hanh mQtsAdi~u ciia Lu~t Bao hi~m y t~ Can ctr LUQtBao hiim y ti ngay 14 thang 11 nam 2008 dii duoc sua d6i, b6 sung mot s6 diJu thea LUQtBao hiim y ti ngay 13 thang 6 ndm 2014; Can cu Nghi dinh s6 146/2018/ND-CP ngay 17 thang 10 ndm 2018 cua Chinh phu quy dinh chi tiit va huang dJn bien phap thi hanh. mot s6diJu cua LUQt Bao hiim y ti; Can ctr Nghi dinh s6 75/2017/ND-CP ngay 20 thang 6 nam 2017 cua Chinh phu quy dtnh chuc nang, nhi¢m v¥, quyJn h(;mva co cdu t6 chuc cua B(J Y ti; Theo dJ nght cua V¥ truimg V¥ Bao hiim y ti, B(J truimg B(J Y dban hanh Thong tu sua d6i, b6 sung khoan 1 DiJu 9 Thong tu s6 30/2 02O/TT-BYT ngay 31 thang 12 nam 2020 cua B(J truimg B(J Y ti quy dtnh chi tiit va huang dJn bi¢n phap thi hanh m(Jt s6 diJu cua Nght dtnh s6 146/2018/ND-CP ngay 17 thang 10 nam 2018 cua Chinh phu quy dtnh chi tiit va huang dJn bi¢n phap thi hanh m(Jts6 diJu cua LUQtBao hiim y d. Di~u 1. Sua d6i, b6 sung khofm 1 DiSu 9 Thong tu s6 30/2020/TT-BYT ngay 31 thang 12 nam 2020 cua B9 truOngB9 Y tS quy dinh chi tiSt va huang d~n bi~n phap thi hanh m9t s6 diSu cua Nghi dinh s6 146/2018/Nf)-CP ngay 17 thang 10 nam 2018 cua Chinh phu quy dinh chi tiSt va huang d~n bi~n phap thi hanh m9t s6 diSu cua Lu~t Bao hiSm y tS nhu sau: "1. Vi~c chuySnth\fc hi~n dich V\l c~n lam sang dugc th\fc hi~ntheo nguyen t~c phil hgp vOi yeu c~u vS chuyen mon ky thu~t trong kham b~nh, chua b~nh, bao dam quySn 19icua ngum tham gia bao hiSm y ts va theo danh m\lc nhu sau: a) Dich V\lc~nlam sang thu9Cdanh m\lc dich V\lky thu~t y tS dugc co quan nha nuac co th~m quySnphe duy~t cho co sa kham b~nh, chua b~nhva dang dugc th\fc hi~n tC;lico sa kham b~nh, chua b~nh nhung tC;lithai diSm chi dinh su d\lng cho nguai b~nh, co sa kham b~nh, chua b~nh do khong th\fc hi~n dugc; b) Dich V\lc~n lam sang khong thu9Cdanh m\lCdich V\l kY thu~t y tS dugc co quan nha nuac co th~mquySnphe duy~tcho co sa kham b~nh,chua b~nhnhung -- 1 of 6 -- 2 thirc t@c~n thiet cho cac heat d<)ngchuyen mon theo quy dinh cua B<)tnrong B<)Y t@vS quan ly, ch~n doan va diSu tri trong kham benh, chua benh thi duoc quy bao hiem y t@thanh toan d6i voi cac tnrong hQ'PdiSu tri noi tni tir tuyen huyen tro Ien, tnr tnrong hQ'Pquy dinh tai diem c khoan nay; c) Dich vu c~n lam sang khong thuoc danh muc dich vu kY thuat y t@duoc co quan nha mroc co tham quyen phe duyet cho co sa kham benh, chua benh nhung tlnrc t@c~n thi@tcho cac heat d<)ngchuyen mon theo quy dinh cua B<)tnrong B<)Y t@vS quan ly, chan doan va diSu tri trong kham benh, chua benh d6i voi mot s6 benh truySn nhiSm, g6m: Lao, Viem gan B, Viem gan C, HIV IAIDS, SARS-Co V- 2, S6t xu§.t huy@tthi duQ'c quy bao hiSm y t@thanh toan d6i vai cac truemg hQ'P kham b~nh, chua b~nh ngo~i tru va n<)itru tir tuy@nhuy~n tra len d6i vai cac dich V\lkY thu~t xet nghi~m trong Ph\ll\lc ban hanh kern theo Thong tu nay. Nguai dUng d~u co sa kham b~nh, chua b~nh bao hiSm y t@can cu chuc nang, nhi~m V\l, ph~m vi ho~t d<)ng chuyen mon duQ'c c§.p co th~m quYSn phe duy~t va cac quy dinh t~i cac diSm a, b va c khoan nay dS l~p danh sach cac dich V\lc~n lam sang c~n chuySn va gui d@ncO'quan bao hiSm xa h<)inO'iky hQ'Pd6ng kham b~nh, chua b~nh bao hiSm y t@dS bi@tva ky b6 sung ph\ll\lc hQ'Pd6ng kham b~nh, chua b~nh bao hiSm y t@truac khi thgc hi~n.". :Di~u2. Hi~u i,!c tbi banb Thong tu nay co hi~u 19c thi hanh kS tiI ngay 15 thang 02 nam 2022. :Di~u3. Tnicb nbiem tbi banb . V\l truang V\l Bao hiSm y t@,Chanh Van phong B<),Chanh Thanh tra B<),V\l truang cac V\l, C\lCtruang cac C\lC, T6ng C\lCtruang T6ng C\lCthu<)cB<)Y t@va cac cO'quan, t6 chuc, ca nhan co lien quan chiu tnich nhi~m thi hanh Thong tu nay. Trong qua trinh thlJc hi~n, n@uco kho khan, vu6ng m~c, dS nghi cac cO' quan, t6 chuc, ca nhan phan anh kip thai vS B<)Y t@(V\l Bao hiSm y t@)dS xem xet, giai quy@t/. Noi nh9-n: - Uy ban Xii hQi cua Qu6c hQi; - Van phong Chinh phil (Cong baa; C6ng thong tin di~n tu CP); - BQ, co quan ngang bQ, co quan thuQc Chinh phu; - Ki~m toan nha nu6c; - BQ Tu phap (CI,ICKi~m tra VBQPPL); - BQ truemg (d~ baa cao); - Cac Thu truemg BQ Y ts; - Baa hi~m xii hQi Vi~t Nam; - UBND tinh, thanh ph6 tIVc thuQc Trung uang; - So' Y tS tinh, thanh ph6 tIVc thuQc Trung uang; - Y tS cac BQ, nganh; - Cac dan vi tn.rc thuQc BQ; - Cac VI,I,CI,IC,T6ng CI,lC,Van phong BQ, Thanh tra BQ; - C6ng thong tin di~n tu BQ Y tS; - Hi~p hQi B~nh vi~n illnhan Vi~t Nam; - Luu: VT, PC, BH (05 ban). KT. BO TRUONG THUTRUONG TrAn Van TbuAn -- 2 of 6 -- Phu luc DANH MUC DICH VU CAN LAM SANG . . .. (Ban hanh kem thea Thong tus6:3S" 2021ITT-BYTngay¥-thangj.J..;ziim 2021 cua B(J truimg B(J Y ti) MaDanh Ma muc Icy thu~t STT Ten djch vy xet nghiem c~n Himsang nrong duong theo TT43, TT50, TT21 1. Xet nghiem dSm s6 IUQ11gCD3 - CD4 - CD8 22.0342.1225 22.342 2. HIV do tai IUQ11gReal-time PCR 24.0179.1719 24.179 3. HIV do tai IUQ11gh~ thong tu d9ng 24.0180.1662 24.180 4. HIV DNA Real-time PCR 24.0178.1719 24.178 5. HIV khang thuoc giai trinh tu gene 24.0181.1721 24.181 6. HIV Ab test nhanh 24.0169.1616 24.169 7. HIV Ag/ Ab test nhanh 24.0170.2042 24.170 8. HIV Ab miSn dich ban tu d9ng 24.0171.1617 24.171 9. HIV Ab miSn dich tu dong 24.0172.1617 24.172 10. HIV Ag/ Ab miSn dich ban tu dong 24.0173.1661 24.173 11. HIV Ag/ Ab miSn dich nr dong 24.0174.1661 24.174 12. HIV khang dinh (*) 24.0175.1663 24.175 13. HCV do tai IUQ11gReal-time PCR 24.0151.1654 24.151 14. HCV do tai IUQ11gh~ thong nr dong 24.0152.1653 24.152 15. HBsAg dinh IUQ'ng 24.0121.1647 24.121 16. HBV do tai IUQ11gReal-time PCR 24.0136.1651 24.136 17. HBV do tai IUQ11gh~ thong nr d9ng 24.0137.1650 24.137 18. HCV Ab test nhanh 24.0144.1621 24.144 19. HCV Ag/Ab miSn dich ban nr d9ng 24.0147.1622 24.147 20. HCV Ag/Ab miSn dich nr dong 24.0148.1622 24.148 21. HCV Core Ag miSn dich tu dong 24.0149.1652 24.149 -H_d ,'-" -- 3 of 6 -- 2 Mil Danh Mil muc kY thu~t STT Ten djch vy xet nghiem c~n Him sang nrong duong theo TT43, TT50, TT21 22. HCV Ab miSn dich tv d9ng 24.0146.1622 24.146 23. HCV Ab miSn dich ban tu d9ng 24.0145.1622 24.145 24. HCV genotype Real-time PCR 24.0153.1718 24.153 25. Dinh hrong Albumin [Mau] 23.0007.1494 23.7 26. Dinh hrong AFP (Alpha Fetoproteine) [Mau] 23.0018.1457 23.18 27. Dinh hrong PIVKA (Proteins Induced by 22.0077.1233 22.77 Vitamin K Antagonism or Absence) Thai gian prothrombin (PT: Prothrombin 28. Time), (Cac ten khac: TQ; Ty 1~Prothrombin) 22.0001.1352 22.1 bang may nr dong Thai gian prothrombin (PT: Prothrombin 29. Time), (Cac ten khac: TQ; Ty l~ Prothrombin) 22.0002.1352 22.2 bang may ban tir d9ng Thai gian prothrombin (PT: Prothrombin 30. Time), (Cac ten khac: TQ; Ty 1~Prothrombin) 22.0003.1351 22.3 phuong phap thu cong 3l. Dinh Iuong Bilirubin tnrc tiSp [Mau] 23.0025.1493 23.25 32. Dinh hrong Bilirubin gian tiSp [Mau] 23.0026.1493 23.26 33. Dinh hrong Bilirubin toan phan [Mau] 23.0027.1493 23.27 34. HBsAg miSn dich nr dong 24.0119.1649 24.119 35. HBsAb dinh hrong 24.0124.1619 24.124 36. HBc total miSn dich ban tu d9ng 24.0128.1618 24.128 37. HBc total miSn dich tu d9ng 24.0129.1618 24.129 38. HBc IgM miSn dich ban tu d9ng 24.0125.1614 24.125 39. HBc IgM miSn dich tv d9ng 24.0126.1614 24.126 40. HBeAg miSn dich ban nr d9ng 24.013l.1644 24.131 4l. HBeAg miSn dich t\1'd9ng 24.0132.1644 24.132 42. HBeAb miSn dich ban tir dong 24.0134.1615 24.134 ~ -- 4 of 6 -- 3 M§ Danh M§ muc Icy thu~t STT Ten djch vy xet nghi~m c~n lam sang nrong duong theo TT43, TT50, TT21 43. HBeAb miSn dich nr dQng 24.0135.l615 24.135 44. AFB tnrc tiep nhuom Ziehl-Neelsen 24.0017.1714 24.l7 45. AFB tnrc ti@pnhuom huynh quang 24.0018.1611 24.l8 Mycobacterium tuberculosis »:» c~y ". 46. nuoi mOl 24.0019.1685 24.19 tnrong long Mycobacterium tuberculosis " . , ". 47. nuoi cay mOl 24.0020.1684 24.20 tnrong d~c 48. Mycobacterium tuberculosis Mantoux 24.0021.1693 24.21 49. Mycobacterium tubercul osi s khang thuoc 24.0022.1683 24.22 hang 1 moi tnrong d~c 50. Mycobacterium tuberculosis khang thuoc 24.0023.1678 24.23 hang 1 moi tnrong long 51. Mycobacterium tuberculosis khang thuoc 24.0024.1679 24.24 hang 2 moi tnrong d~c 52. Mycobacterium tuberculosis khang thuoc 24.0025.1686 24.25 hang 2 moi tnrong long 53. Mycobacterium tuberculosis khang thuoc 24.0026.1680 24.26 PZA moi tnrong long 54. Mycobacterium tuberculosis dinh danh va 24.0028.1682 24.28 khang RMP Xpert 55. Mycobacterium tuberculosis da khang LPA 24.0029.1681 24.29 56. Mycobacterium tuberculosis sieu khang LPA 24.0030.1688 24.30 57. Mycobacterium tuberculosis PCR h~ thong nr 24.0031.1686 24.31 dQng 58. Mycobacterium tuberculosis Real-time PCR 24.0032.1687 24.32 59. Influenza virus A, B Real-time PCR (*) 24.0244.1670 24.244 60. Coronavirus Real-time PCR 24.0235.1719 24.235 61. x« nghiem SARS-CoV-2 b~ng ky thuat 24.0235.1719. Realtime RT-PCR SC2 ~ -- 5 of 6 -- 4 Mil Danh Mil muc kY thuit STT Ten djch v\I xet nghi~m cin Him sang tUO'Dgdtrong theo TT43, TT50, TT21 62. Enterovirus Real-time PCR 24.0230.1719 24.230 63. Leptospira PCR 24.0081.1719 24.81 64. Neisseria meningitidis PCR 24.0058.1686 24.58 65. Dengue virus IgM/IgG test nhanh 24.0187.1637 24.187 66. JEV IgM mien dich ban tu dong 24.0246.1673 24.246 67. Dengue virus serotype PCR 24.0192.1686 24.192 68. Virus Real-time PCR 24.0115.1719 24.115 69. Chlamydia Real-time PCR 24.0065.1719 24.65 70. Neisseria gonorrhoeae Real-time PCR 24.0052.1719 24.52 71. NTM (Non tuberculosis mycobacteria) nuoi 24.0035.1685 24.35 c:1ymoi tnrong long 72. NTM (Non tuberculosis mycobacteria) nuoi 24.0036.1684 24.36 c:1ymoi tnrong d~c 73. NTM (Non tuberculosis mycobacteria) dinh 24.0037.1691 24.37 danh LPA 74. NTM (Non tuberculosis mycobacteria) dinh 24.0038.1651 24.38 danh Real-time PCR JJ!JIL , r , , r /'." Ghi chu: Cac tu viet tat tai Phu luc: - TT43: Thong tu s6 43/20l3/TT-BYT ngay 11 thang 12 nam 2013 cua BQ tnrong BQ Y tS Quy dinh chi tiSt phan tuyen chuyen mon ky th~t d6i voi h~ thong co sa kham benh, chua benh. - TT50: Thong tu s6 50/20l4/TT-BYT ngay 26 thang 12 nam 2014 cua BQ tnrong BQ Y tS quy dinh viec phan loai ph§.u thuat, thu thuat va djnh mire nhan hrc trong tirng ca ph§.u thuat, thu thuat. - TT21: Thong tu s6 21/2017 ITT -BYT ngay 10 thang 5 nam 2017 cua BQ tnrong BQ Y tS sua d6i b6 sung danh muc ky thuat trong kham benh, chua benh ban himh kern theo Thong nr s6 43/2013/TT-BYT~ -- 6 of 6 --