醫療服務給付項目

醫療服務給付項目及支付標準 · 資料來源

診療項目代碼	中文項目名稱	英文項目名稱	健保支付點數	生效起日	生效迄日
90010C	根尖逆充填術	Root-end filling	900	20180801	29101231	詳細
90011C	牙齒再植術	Intentional tooth replantation	1,000	20180801	29101231	詳細
90012C	橡皮障防濕裝置	Rubber dam isolation	150	20180801	29101231	詳細
90013C	根尖成形術或根尖生成術-前牙	Apexification or Apexogenesis-Anterior tooth	500	20180801	29101231	詳細
90014C	根尖成形術或根尖生成術-後牙	Apexification or Apexogenesis-Posterior tooth	1,000	20180801	29101231	詳細
90015C	根管開擴及清創	Access cavity preparation, cleaning and shaping of the root canal system	630	20250501	29101231	詳細
90016C	乳牙根管治療	Endodontic treatment of primary tooth	1,040	20250501	29101231	詳細
90017C	恆牙斷髓處理	Pulpotomy of permanent tooth	600	20180801	29101231	詳細
90018C	乳牙多根管治療	Endodontic treatment of a primary tooth with multiple canals	1,720	20250501	29101231	詳細
90019C	恆牙根管治療（四根）	Endodontic treatment of a permanent tooth with four root canals	6,000	20260401	29101231	詳細
90020C	恆牙根管治療（五根(含)以上）	Endodontic treatment of a permanent tooth with five(and above) root canals	7,500	20260401	29101231	詳細
90021C	特殊狀況—保護性肢體制約	Protective physical restraint for patients with special needs	300	20250501	29101231	詳細
90088C	根管治療轉出醫療院所之轉診費用	Referral fee for Endodontic treatment	200	20180801	29101231	詳細
90091C	難症特別處理-大臼齒(C－Shaped)根管	Management of endodontic difficult case	1,000	20240401	29101231	詳細
90092C	難症特別處理－有額外根管者(1)前牙及下顎小臼齒有超過一根管者。(2)上顎小臼齒有超過二根管者。(3)大臼齒有超過三根管者。(4)以實際超過根管數計算。	Management of endodontic difficult case	1,000	20240401	29101231	詳細
90093C	難症特別處理-根管特別彎曲、根管鈣化，器械斷折（非同一醫療院所)，以根管數計算	Management of endodontic difficult case	1,000	20240401	29101231	詳細
90094C	難症特別處理-根管重新治療在Ｘ光片上root canal內顯現出radioopaque等有obstruction之根管等個案，以根管數計算	Management of endodontic difficult case	1,500	20240401	29101231	詳細
90095C	難症特別處理-符合附表3.3.1標準之多根管根管治療。(雙根管)	Management of endodontic difficult case	1,600	20240401	29101231	詳細
90096C	難症特別處理-符合附表3.3.1標準之多根管根管治療。(三根管)	Management of endodontic difficult case	2,400	20240401	29101231	詳細
90097C	難症特別處理-符合附表3.3.1標準之多根管根管治療。(四根管)	Management of endodontic difficult case	3,200	20240401	29101231	詳細
90098C	難症特別處理-符合附表3.3.1標準之多根管根管治療。(五根及五根以上根管)	Management of endodontic difficult case	4,000	20240401	29101231	詳細
90112C	特殊狀況橡皮障防濕裝置	Rubber dam isolation for patients with special needs	250	20180801	29101231	詳細
91	乳房X光攝影	—	1,245	20250101	29101231	詳細
91001C	牙周緊急處置	Management of periodontal emergencies	150	20220301	29101231	詳細
91002C	牙周敷料每次	Periodontal packing	120	20220301	29101231	詳細
91003C	牙結石清除－局部	Scaling-Localized	165	20240301	29101231	詳細
91004C	牙結石清除－全口	Scaling-Full mouth	660	20240301	29101231	詳細
91005C	口乾症牙結石清除-全口	Full mouth scaling for xerostomia patients	720	20240301	29101231	詳細
91006C	齒齦下括除術(含牙根整平術)-全口	Subgingival curettage (including Root planing)－Full mouth	3,200	20240301	29101231	詳細
91007C	齒齦下括除術(含牙根整平術)-二分之一顎	Subgingival curettage (Root planing)-1/2 arch	800	20240301	29101231	詳細
91008C	齒齦下括除術(含牙根整平術)-局部(3齒以內)	Subgingival curettage (including Root planing)-Localized	400	20240301	29101231	詳細
91009B	牙周骨膜翻開術-局部(牙周囊袋 5mm以上三齒以內)	Periodontal flap operation-Localized	4,530	20250501	29101231	詳細
91010B	牙周骨膜翻開術-三分之一顎(牙周囊袋 5mm以上四齒至六齒)	Periodontal flap operation-1/3 arch	7,530	20250501	29101231	詳細
91011C	牙齦切除術-局部（三齒以內）	Gingivectomy-Localized	940	20250501	29101231	詳細
91012C	牙齦切除術－三分之一顎	Gingivectomy-1/3 arch	1,540	20250501	29101231	詳細
91013C	牙齦切除術-施行根管治療或牙體復形時，所需之牙齦切除術	Gingivectomy for endodontic or restorative purposes	360	20250501	29101231	詳細
91014C	牙周暨齲齒控制基本處置	Plaque control	100	20210701	29101231	詳細
91015C	特定牙周保存治療-全口總齒數九顆至十五顆	Comprehensive periodontal treatment for patients with special needs─9≦ no. of teeth≦15	2,120	20250501	29101231	詳細
91016C	特定牙周保存治療-全口總齒數四顆至八顆	Comprehensive periodontal treatment for patients with special needs─4≦ no. of teeth≦8	1,120	20250501	29101231	詳細
91017C	懷孕婦女牙結石清除-全口	Full mouth scaling for pregnant women	920	20240301	29101231	詳細
91018C	牙周病支持性治療	Supportive periodontal treatment	1,120	20250501	29101231	詳細
91019C	懷孕婦女牙周緊急處置	Management of periodontal disease emergences for pregnant women	500	20220301	29101231	詳細
91020C	牙菌斑去除照護	Dental plaque removal	200	20180801	29101231	詳細
91021C	牙周病統合治療第一階段支付	comprehensive periodontal treatment	1,800	20250501	29101231	詳細
91022C	牙周病統合治療第二階段支付	comprehensive periodontal treatment	5,000	20190301	29101231	詳細
91023C	牙周病統合治療第三階段支付	comprehensive periodontal treatment	3,200	20220301	29101231	詳細
91088C	牙周病轉出醫療院所之轉診費用	Referral fee for Periodontal treatments	200	20180801	29101231	詳細
91089C	糖尿病病人牙結石清除-全口	Full mouth scaling for patients with diabetes mellitus	820	20240301	29101231	詳細
91090C	高風險疾病病人牙結石清除-全口	Full mouth scaling for patients at high risk for dental diseases	820	20240301	29101231	詳細
91091C	特定牙周保存治療-全口總齒數一顆至三顆	Comprehensive periodontal treatment for patients with special needs 1≦ no.of teeth≦3	600	20250501	29101231	詳細