National Health Insurance Administration: 678.93 million supplies code published (with query channel)

On September 8, the State Health Insurance Administration issued a notice showing that the third batch of information on the classification and code database of medical supplies for medical insurance will be published without objection, and the third batch of information on medical supplies will be included in the classification and code database for medical supplies for medical insurance.
According to Saibai Blue equipment combing, the third batch of medical supplies coding related to Medtron, Johnson and Johnson, Abbott, Murray Medical, Shandong Weigao, Shanghai minimally invasive, Nan micro-medicine and other well-known domestic and foreign equipment products.
has now announced three batches of a total of 67,893 consumables code, involving 19.077 million specifications of models.
The third batch of supplies code a total of 5266, involving 752607 specification models, the second batch of supplies code a total of 32,554, involving 9404543 specification models, the first batch of supplies code a total of 30073, involving 8919696 specification models.
According to publicity, medical supplies coding includes first-level classification (subject, category), second-level classification (use, category), third-level classification (site, function, variety), medical insurance generic name, consumables materials, specifications (features, parameters), production enterprise information.
this, on June 27, 2019, the National Health Insurance Administration issued the Notice of the National Health Insurance Administration on the Issue of Guidance on standardization of medical security, and published four information business coding rules and methods, including medical supplies for medical care.
medical supplies information business coding rules are as follows: Part 1: Supplies identification code, in a capital letter "C" indicated.
2: Classification code, according to the medical supplies discipline, use, location, function division.
3rd part: universal name code, the creation of a unified national medical supplies common name code.
4: Product signature, according to the supplies material, specifications and other characteristics assigned to the code.
5: Production enterprise code, according to the medical device registration certificate or filing certificate for the supplies manufacturing enterprises to give the unique code.
rules are not uniform, 6 provinces use 7 kinds of coding to establish this medical supplies classification and code before, China does not seem to have a unified national medical supplies common name and accurate system classification and coding standard system.
China Medical Insurance magazine has published "Medical insurance medical supplies classification and coding standards research" article shows that through the "national medical security information business standardization" survey of provinces and municipalities using medical supplies coding, a total of 32 provinces, municipalities, autonomous regions and 341 co-ordination cities collected information.
found that medical supplies medical supplies medical insurance payment code rules used more complex.
six provinces use seven different medical supplies coding standards, nine provinces use three to six different coding standards, and only four provinces have uniform coding standards, but they use different coding standards.
this, most cities in their provinces and the rest of the provinces use their own self-built flow codes.
7 sets of medical supplies coding version source: "China Medical Insurance" in 2018, the former National Health planning commission health development research center payment system and medical coding research center related to the person in charge of the release of "the establishment of China's medical supplies classification coding system ideas and thinking" article.
The above analysis shows that the access, bidding, procurement, charging, reimbursement and other aspects of medical supplies are responsible for different departments, the State Drug Administration medical device classification is mainly for the risk classification of medical devices and registration management, when the classification framework is too thick, difficult to meet the medical supplies charges, reimbursement, procurement purposes.
such as the National Health Industry Medical Devices, Instruments and Equipment (Commodities, Materials) Classification and Code (WS/T118-1999) has been promulgated for 20 years, has been unable to adapt to the needs of new supplies.
WS/T 118-1999, Medical Device Classification Catalog, LD/T 01-2017, etc. are classified according to the clinical department, can not effectively solve the coding problem of multi-library common supplies.
the classification of disposable medical supplies and coding system on the consumables itself, but because the service charges, only covers the national allowed charges of supplies, so the subclass is incomplete.
Because there is no unified national medical supplies classification coding rules and guidelines, when the existing consumables classification coding system between their own independent, lack of convergence, and enterprise product specifications, models complex and diverse, units of measurement and standards are developed by the enterprises themselves, coupled with the absence of a unified common name for medical supplies, making a multi-code, more than one yard phenomenon is common, a wide variety of medical supplies classification code standards have brought great difficulties to the supervision of medical supplies.
July 31, 2019, the State Council issued the Reform Plan for the Management of High-Value Medical Supplies, which calls for a unified coding system and information platform.
to establish rules for unique identification systems for medical devices.
to gradually unify the classification and coding of high-value medical supplies for national medical insurance, and explore the implementation of high-value medical supplies registration, procurement, use and other links of standardized coding application.
establish a high-value medical supplies price monitoring and centralized procurement management platform, strengthen statistical analysis, and do a good job with the health insurance payment audit platform interconnection.
to establish inter-departmental high-value medical supplies price information sharing and linkage mechanism, strengthen the purchase and sale price information monitoring.
, according to the State Council Information Office, Li Tao, deputy director of the State Administration of Medical Security, said that unified classification and code of medical supplies for medical care is the basis and prerequisite for the management of high-value medical supplies.
According to the survey, the current medical supplies a wide variety, a large number of "small, scattered, chaotic" problems are more prominent, and the name is not standardized, coding is not uniform, the data is difficult to compare.
lack of a unified industry standard and coding system at the national level, which increases the difficulty of bidding and procurement, medical insurance payment, price monitoring, fund supervision and so on.
Li Tao pointed out that the unified classification and coding of medical supplies has an important fundamental role in promoting the fine management of medical insurance, especially the management of high-value medical supplies.
the "three cans" through unified coding and classification, which can be compared, regulated and analyzed.
can be compared through unified classification and coding to achieve mutual recognition of data between local and medical institutions, to promote high-value medical supplies in the region, between medical institutions data comparison, information openness and transparency.
supervision can strengthen the supervision and management of all aspects of production and circulation, and promote all departments to work together to do a good job of supervision.
analysis can realize the data interoperability of high-value medical supplies between the country and the provinces and cities, carry out big data analysis and application, improve governance ability, but also can greatly reduce the pressure and burden of enterprises in the bidding and procurement links to repeat the delivery of product information.
: three batches of medical supplies classification and code data query channels are as follows: the first batch of the second batch of the third batch