Operation Fee and Insurance Charge of Hallux Valgus Surgery.
- Author:
Ha Heon SONG
1
;
Dae Moo SHIM
;
Dong Churl KIM
;
Seok Hyun KWEON
;
Jong Yun KIM
Author Information
1. Department of Orthopedic Surgery, Wonkwang University Hospital School of Medicine, Iksan, Korea. h2song@wonkwang.ac.kr
- Publication Type:Original Article
- Keywords:
Hallux valgus;
Operation fee
- MeSH:
Arthrodesis;
Cerebral Palsy;
Fees and Charges*;
Financing, Organized;
Flatfoot;
Hallux Valgus*;
Hallux*;
Head;
Insurance*;
Insurance, Health;
Joints;
Metatarsal Bones;
National Health Programs;
Osteotomy;
Tendon Transfer
- From:Journal of Korean Foot and Ankle Society
2006;10(2):238-241
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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%'.
