Thursday, June 29, 2006

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case 4: cytochemistry with discount of 70 € cent

  • 90.63.4 ESAME MICROSCOPICO DEL SANGUE PERIFERICO. Caratterizzazione di cellule patologiche (con reaz. citochimiche e citoenzimatiche) € 3.75
  • 90.70.4 leukocytes (white blood cell count and microscopic) [(Sg)]. € 4.45

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Lombardia: guidelines for the correct application of the tariff nomenclature. DIRECTORATE GENERAL HEALTH ORDER 'N. 32731 18/12/2000 (PDF)

"... Where are carried out directly by a specialist laboratory, certain benefits not expressly specified in the prescription (recipe), which is necessary for the conduct of the required or the successful completion of the diagnostic (as indicated below to see specific items, eg.: examination of molecular biology, electrophoresis, drugs of abuse, anti nuclear antibodies, variant DU research, culture tests, HIV serology, etc..) and was possibly exceeded the number of eight performances, should not be obtained from the patient a prescription for further tests to complete the number of services actually provided, must be generated in the detection of a new record in accounting for performance in excess of eight. ... "

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case No. 3: Exemptions in SLR?

Tables of exemptions from the ticket for the disease ( click ) are cross-sectional, not longitudinal.

That is, if an exempt supply (eg urine culture in diabetes, Code 013 exemption. 250; code CULTURE URINE TEST performance 90.94.2 [ urine culture ] Full Search microorganisms and yeast pathogens. Included: bacterial count. click ) reflex generates benefits not provided in the table [eg CULTURE OF BACTERIA SUSCEPTIBILITY 90.85.1 (Kirby Bauer, at least 10 antibiotics). € 6.50; 90.85.2 BACTERIA SUSCEPTIBILITY TO CULTURE (MIC, at least 10 antibiotics) 90.86.1 BACTERIA CULTURE OF BIOCHEMICAL IDENTIFICATION Nas. € 12.45, 90.86.2 BACTERIA CULTURE OF SEROLOGICAL IDENTIFICATION Nas. € 6.95 ; click ], logically they should "inherit" the exemption from the original performance, but that does not appear explicitly in any standard.

Sunday, June 25, 2006

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case # 2: Angiotensin Converting Enzyme (ACE)

ER 19118/DIR The circular of 15 May 1998 reads:
"... Although the tests for the enzyme converting enzyme (ACE) falls between the services considered obsolete, some companies believe that is still outstanding. It is estimated that the test can be performed only in special situations for the diagnosis of pulmonary sarcoidosis and in the presence of specific medical request. Only in this case the determination can be equated with angiotensin II (code 90.08.2
)...." As we have seen, the AO performance of Padua has recovered from those "niche" (click ).
In some regions (Lazio), the code corresponds to 90.08.2 ACE, Angiotensin II does not.
Questions: ACE is a provision obsolete? E 'to be considered as an examination of niche? Rate 90.08.2 (€ 14.25) would be adequate to ACE, or rather it is the rate of Padua (€ 11.00)? The examination Angiotensin II is still in common use?
Links: LabTestsOnline click Analisidelsangue.net click

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case # 1: 90.65.1 FIBRINOGEN FUNCTIONAL. € 2.70

Question: Two methods are in use in laboratories for assay of fibrinogen to the Clauss and PT derived. The title link leads to the guidelines on SISET. The tariff nomenclature refers to both the performance, despite the difference in consumption of reagents, calibration work, quality control, etc. ..?