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Facility Standards
Facility Standards
（2026年1月1日現在）
Coefficient by medical institution
| Coefficient by medical institution |
1.5548 |
| Basic coefficient |
1.0718 |
| Emergency correction coefficient |
0.0254 |
| Functional evaluation coefficient (I) |
0.3961 |
| Functional evaluation coefficient (II) |
0.0615 |
Facility standards (basic medical fees)
- Medical DX Promotion System Development Premium
- Acute phase general hospitalization fee 1
- Acute care system supplement 1
- Emergency medical management surcharge
- Hyperacute stroke premium
- Medical record management system surcharge 1
- Physician administrative work assistance system surcharge 1
- Acute phase nursing support system surcharge 1 (nighttime nursing support system surcharge, nursing support system enhancement surcharge 1, nighttime 100:1 acute phase nursing support system surcharge)
- Nighttime nursing staff allocation bonus 1
- Treatment environment premium
- Special surcharge for medical environment for seriously ill patients
- Sterile treatment room management surcharge 1, 2
- Palliative care treatment premium (individual nutritional dietary management premium)
- Nutrition support team surcharge
- Medical Safety Measures Premium 1 (Medical Safety Measures Regional Collaboration Premium 1)
- Infection control improvement supplement 1 (strengthened guidance supplement)
- Patient support system enhancement premium
- Initial support enhancement for severely ill patients
- Report management system addition
- Pressure ulcer high-risk patient care premium
- High-risk pregnancy management premium
- High-risk delivery management premium
- Respiratory care team surcharge
- Postoperative pain management team surcharge
- Generic drug use system premium 1
- Biosimilar Use System Premium
- Ward pharmacy business implementation surcharge 1 (pharmacy business improvement surcharge), Ward pharmacy business implementation surcharge 2
- Data submission additional 2
- Admission and discharge support surcharge 1 (hospitalization support surcharge, regional collaboration medical plan surcharge, comprehensive function evaluation surcharge)
- Dementia care premium 1
- Delirium high-risk patient care premium
- Mental illness treatment system premium
- Urinary independence support premium
- Regional medical system assurance premium
- Specific intensive care unit management fee 1 (early mobilization, rehabilitation surcharge, early nutritional intervention management surcharge, pediatric surcharge)
- High-care unit inpatient medical management fee 1 (early nutrition intervention management surcharge)
- Stroke care unit inpatient medical management fee (early nutritional intervention management surcharge)
- Neonatal intensive care unit management fee 1
- Pediatric inpatient medical management fee 1 (additional fees specified in Note 2, childcare support system addition, after-hours reception system strengthening addition 1, nursing assistance system enhancement addition)
- Pediatric inpatient medical management fee 4
- Basic fee for short-term stay surgery etc. 1
Facility standards (special medical fees)
- Outpatient nutrition and dietary counseling fee (Note 3)
- Remote monitoring surcharge stipulated in Note 5 of the cardiac pacemaker guidance and management fee
- Diabetic complications management fee
- Cancer pain relief guidance and management fee
- Cancer patient guidance and management fee A, B, C, D
- Outpatient palliative care management fee
- Post-transplant patient guidance and management fees (I and II) (in the case of organ transplants and hematopoietic stem cell transplants)
- Diabetes dialysis prevention guidance and management fee
- Pediatric musculoskeletal disease guidance and management fee
- Mastitis prevention care and guidance fee
- Gynecological specific disease treatment management fee
- Renal replacement therapy guidance and management fee
- Lower limb wound treatment management fee
- Chronic kidney disease dialysis prevention guidance and management fee
- Community-linked pediatric nighttime and holiday medical care fee 2
- Regional collaboration nighttime and holiday medical treatment fees
- In-hospital triage implementation fee
- Emergency transport nursing system surcharge 1 as defined in "Note 3" of the nighttime and holiday emergency transport medical management fee
- Outpatient radiation treatment fee
- Outpatient oncology chemotherapy treatment fee 1
- Collaboration enhancement surcharge (outpatient oncology chemotherapy treatment fee)
- Nicotine addiction management fee
- Consultation support supplement stipulated in "Note 3" of the medical treatment/work balance support guidance fee
- Open Hospital Joint Guidance Fee (II)
- Cancer treatment coordination plan formulation fee
- Outpatient urinary independence guidance fee
- Hepatitis interferon treatment plan fee
- Mental collaboration instruction fee (II)
- Drug management guidance fee
- Medical device safety management fee 1
- Medical device safety management fee 2
- Emergency patient transport fee
- Note 2 for home visit nursing and guidance fees for patients at home and for residents of the same building
- Home care support hospital
- Remote monitoring surcharge stipulated in Note 2 of the home continuous positive airway pressure therapy guidance and management fee
- Home tumor treatment electric field therapy guidance and management fee
- Continuous glucose monitor addition and subcutaneous continuous glucose monitoring
(When using a continuous glucose monitor linked to an intermittent syringe pump)
(When using a continuous glucose monitor that is not linked to an intermittent injection syringe pump)
- Facility standards stipulated in Note 1 of Genetic Testing
- Facility standards stipulated in Note 2 of chromosome testing
- Bone marrow minimal residual disease measurement
- BRCA1/2 genetic testing (using tumor cells as samples)/(using blood as samples)
- Congenital metabolic disorder testing
- Anti-HLA antibody (screening test) and anti-HLA antibody test (antibody specificity identification test)
- HPV nucleic acid detection and HPV nucleic acid detection (simple genotype determination)
- Simultaneous detection of multiple viral and bacterial nucleic acids (excluding SARS-CoV-2 nucleic acid detection)
- Simultaneous detection of multiple viral and bacterial nucleic acids (cerebrospinal fluid)
- Specimen testing management surcharge (I)
- Specimen testing management surcharge (IV)
- International Standard Inspection Management Add-on
- Genetic counseling premium
- Timed walking test and shuttle walking test
- Fetal echocardiography
- Head-up tilt test
- Artificial pancreas testing, artificial pancreas therapy
- EEG test judgment fee 1
- Neurological examination
- Hearing aid fitting test
- Low vision examination judgment fee
- Contact lens examination fee 1
- Pediatric food allergy challenge test
- Oral and intravenous provocation tests
- Transjugular liver biopsy
- CT fluoroscopic bronchoscopy fee
- Transbronchial cryobiopsy
- Imaging diagnosis management surcharge 2
- Remote imaging diagnosis
- Positron emission tomography (excluding amyloid PET imaging agents)
- Positron emission tomography (PET) imaging (only when an amyloid PET imaging agent is used)
- Combined positron emission tomography/computed tomography (excluding cases using amyloid PET imaging agents)
- Combined positron emission tomography and computed tomography (only when an amyloid PET imaging agent is used)
- CT and MRI scans
- Coronary CT scan fee
- Fractional flow reserve computed tomography
- Cardiac MRI imaging fee
- Breast MRI imaging fee
- Pediatric sedation MRI fee
- Anti-cancer drug prescription management premium
- Outpatient chemotherapy premium 1
- Sterile preparation processing fee
- Cardiovascular disease rehabilitation fee (I)
- Rehabilitation fee for cerebrovascular disease etc. (I)
- Musculoskeletal rehabilitation fee (I)
- Respiratory rehabilitation fee (I)
- Cancer patient rehabilitation fee
- Holiday surcharge for procedures listed in Chapter 2, Part 9, General Provisions for Procedures, Item 5 of the Medical Fee Schedule 1
- Overtime addition for treatments listed in Section 5 of Chapter 2, Part 9, General Rules for Treatments of Medical Fee Schedule 1
- Late-night surcharge for procedures listed in Section 5 of Chapter 2, Part 9, General Rules for Procedures of Medical Fee Table 1
- Epidural autologous blood injection
- Artificial kidney (chronic maintenance dialysis 1)
- Introductory period premium 2 and renal replacement therapy performance premium
- Dialysis fluid quality assurance premium and chronic maintenance diafiltration premium
- Lower limb peripheral arterial disease guidance and management premium
- LDL apheresis therapy for diabetic nephropathy with severe proteinuria due to refractory hypercholesterolemia
- Plasma exchange therapy for the treatment of antibody-mediated rejection after transplantation
- Stoma complication premium
- Locomotion treatment (using a robotic suit)
- Sentinel lymph node addition
- autologous fat injection
- Reconstruction surgery using tissue expanders (only for breast (reconstruction surgery))
- Ossification of the posterior longitudinal ligament surgery (anterior approach)
- Intradiscal enzyme injection therapy
- Brain stimulator implantation (including intracranial electrode implantation) and brain stimulator replacement
- Spinal cord stimulator implantation and spinal cord stimulator replacement
- Adhesive spinal arachnoiditis surgery (spinal arachnoid removal operation)
- Sacral nerve stimulator implantation and sacral nerve stimulator exchange (fecal overactive bladder)
- Glaucoma surgery (insertion of glaucoma treatment implants (with plates))
- Glaucoma surgery (outflow reconstruction (intraocular method) and lens reconstruction combined with intraocular drain insertion)
- Glaucoma surgery (filtering bleb reconstruction (needle method))
- Cyclophotocoagulation (limited to those using an intraocular endoscope)
- Vitrectomy including retinal attachments (using an intraocular endoscope)
- Transcanal endoscopic tympanoplasty
- Implantation of bone conduction hearing aid (direct vibration type)
- Middle ear implantation
- Cochlear implantation, bone conduction hearing aid implantation, and bone conduction hearing aid replacement
- Eustachian tube prosthesis insertion
- Endoscopic nasal and paranasal sinus surgery type V (extended sinus surgery) and transnasal endoscopic surgery for malignant tumors of the nasal sinuses (limited to those involving skull base dissection and reconstruction)
- Laparoscopic surgery for malignant pharyngeal tumors (including surgery for malignant soft palate tumors)
- Laparoscopic surgery for malignant laryngeal tumors
- 頭頸部悪性腫瘍光線力学療法
- Breast cancer sentinel lymph node addition 1 and sentinel lymph node biopsy (combined)
- Breast cancer sentinel lymph node addition 2 and sentinel lymph node biopsy (alone)
- Breast cancer surgery (areola-sparing mastectomy (without axillary dissection) and areola-sparing mastectomy (with axillary dissection))
- Breast reconstruction using gel-filled breast implants (after mastectomy)
- Thoracoscopic surgery for mediastinal malignant tumors (when using endoscopic surgical support equipment)
- Thoracoscopic surgery for benign mediastinal tumors (when using endoscopic surgical support equipment)
- Thoracoscopic lung resection (segmentectomy and lobectomy, or resection of more than one lung lobe using endoscopic surgical support equipment)
- Thoracoscopic surgery for malignant lung tumors (when endoscopic surgical support equipment is used for segmental resection)
- Thoracoscopic surgery for malignant lung tumors (lobectomy or surgery for more than one lobe using endoscopic surgical support equipment)
- Thoracoscopic surgery for lung cancer (lung resection with bronchoplasty)
- Radiofrequency ablation for malignant lung tumors and intrathoracic soft tissue tumors
- Thoracoscopic surgery for esophageal malignant tumors (when using endoscopic surgical support equipment)
- Esophageal suture (perforation, injury) (endoscopic), endoscopic gastroduodenal perforation and fistula closure, gastrostomy closure (endoscopic), small intestinal fistula closure (endoscopic), colic fistula closure (endoscopic), renal (renal pelvic) enteric fistula closure (endoscopic), ureteral enteric fistula closure (endoscopic), vesicoenteric fistula closure (endoscopic), and vaginal enteric fistula closure (endoscopic)
- Percutaneous coronary angioplasty (using special catheters) (using high-speed rotational percutaneous transluminal atherectomy catheters), (using excimer laser angioplasty catheters), (using atherectomy ablation angioplasty catheters)
- Thoracoscopic valvuloplasty
- Thoracoscopic valve replacement
- Transcatheter valve replacement (transapical aortic valve replacement and percutaneous aortic valve replacement)
- Arrhythmia surgery Left atrial appendage closure (transcatheter surgery)
- Percutaneous septal myocardial ablation
- Pacemaker implantation and replacement
- Pacemaker implantation and replacement (leadless pacemaker)
- Biventricular pacemaker implantation and biventricular pacemaker replacement (in the case of myocardial electrodes) (in the case of transvenous electrodes)
- Implantable cardioverter defibrillator implantation, implantable cardioverter defibrillator replacement, and transvenous electrode removal
(When using transvenous leads) (When using myocardial leads)
- Implantation of a biventricular pacing implantable cardioverter defibrillator and replacement of a biventricular pacing implantable cardioverter defibrillator
(In the case of transvenous electrodes) (In the case of myocardial electrodes)
- Intraaortic balloon pumping (IABP)
- Percutaneous circulatory support (using a pump catheter)
- Percutaneous transluminal angioplasty of the lower extremities
- Laparoscopic lymph node dissection (para-aortic)
- Laparoscopic lymph node dissection (lateral)
- Endoscopic antireflux mucosal resection
- Laparoscopic gastrectomy (simple resection (when endoscopic surgical support equipment is used)) and laparoscopic gastrectomy (malignant tumor surgery (when endoscopic surgical support equipment is used))
- Laparoscopic proximal gastrectomy (simple resection (when endoscopic surgical support equipment is used)) and laparoscopic proximal gastrectomy (malignant tumor surgery (when endoscopic surgical support equipment is used))
- Laparoscopic total gastrectomy (simple total gastrectomy (when endoscopic surgical support equipment is used)) and laparoscopic total gastrectomy (malignant tumor surgery (when endoscopic surgical support equipment is used))
- Balloon-occluded retrograde transvenous embolization
- Laparoscopic gallbladder malignant tumor surgery (with gallbladder bed resection)
- Surgery for malignant bile duct tumors (limited to those involving pancreaticoduodenectomy and liver resection (lobar or higher))
- Extracorporeal shock wave gallstone lithotripsy
- Laparoscopic liver resection
- Laparoscopic liver resection (when using endoscopic surgical support equipment)
- Extracorporeal shock wave lithotripsy
- Laparoscopic pancreatic tumor removal
- Laparoscopic pancreatic body and tail tumor resection
- Laparoscopic pancreatic body and tail tumor resection (when using endoscopic surgical support equipment)
- Colonic submucosal dissection for early stage malignant tumors
- Laparoscopic colon cancer resection (using endoscopic surgical support equipment)
- Endoscopic small bowel polypectomy
- Laparoscopic rectal resection/amputation (limited to resection, low anterior resection, and amputation) (when using endoscopic surgical support equipment)
- Extracorporeal shock wave lithotripsy for kidney and ureteral stones
- Laparoscopic renal malignant tumor surgery (using endoscopic surgical support equipment) and laparoscopic ureteral malignant tumor surgery (using endoscopic surgical support equipment)
- Laparoscopic pyeloplasty (when using endoscopic surgical support equipment)
- Living donor kidney transplantation
- Bladder hydrodistension and Hanna type interstitial cystitis surgery (transurethral)
- Laparoscopic bladder cancer surgery
- Laparoscopic bladder cancer surgery (when using endoscopic surgical support equipment)
- Artificial urethral sphincter implantation/replacement
- Buried Penis Surgery
- Hydrocele surgery (through inguinal incision)
- Laparoscopic prostate cancer surgery
- Laparoscopic prostate cancer surgery (using endoscopic surgical support equipment)
- Laparoscopic sacrocolpopexy (when using endoscopic surgical support equipment)
- Laparoscopic vaginal hysterectomy (when endoscopic surgical support equipment is used)
- Laparoscopic surgery for uterine malignant tumors (limited to uterine cancer)
- Laparoscopic surgery for uterine malignant tumors (cervical cancer only)
- Laparoscopic surgery for uterine malignant tumors (when endoscopic surgical support equipment is used for uterine cancer)
- Laparoscopic uterine scar repair
- Holiday surcharge for surgery listed in Section 12 of Chapter 2, Part 10, General Rules for Surgery, Medical Fee Table 1
- Overtime surcharge for surgery listed in Section 12 of Chapter 2, Part 10, General Rules for Surgery, Medical Fee Table 1
- Late-night surcharge for surgery listed in Section 12 of Chapter 2, Part 10, General Rules for Surgery, Medical Fee Table 1
- Surgery listed in Section 16 of Chapter 2, Part 10, General Rules for Surgery of the Medical Fee Schedule
- Surgery listed in Section 19 of Chapter 2, Part 10, General Rules for Surgery of the Medical Fee Schedule
(Limited to mastectomy for patients with hereditary breast and ovarian cancer syndrome.)
- Surgery listed in Item 19 of Chapter 2, Part 10, General Rules for Surgery of the Medical Fee Schedule
(Uterine adnexal tumor removal for patients with hereditary breast and ovarian cancer syndrome)
- Remanufactured single-use medical device usage premium
- Blood transfusion management fee I
- Premium for appropriate use of blood transfusions
- Coordination system enhancement surcharge
- Preoperative treatment premium for artificial anus and artificial bladder
- Swallowing function evaluation premium for gastrostomy
- Anesthetic management fee (I)
- Anesthetic management fee (II)
- Perioperative drug management premium
- Radiation therapy dedicated premium
- Outpatient radiation therapy premium
- High-energy radiation therapy
- Single dose increase surcharge
- Intensity-modulated radiation therapy (IMRT)
- Image-guided radiation therapy (IGRT)
- Extracorporeal beam radiation respiratory movement prevention fee
- stereotactic radiotherapy
- Stereotactic radiotherapy respiratory movement countermeasures surcharge (other/motion tracking method)
- Image-guided brachytherapy premium
- Pathological diagnosis management premium 2
- Malignant tumor pathological specimen addition
- Nursing staff treatment improvement evaluation fee 61
- Outpatient/home base-up evaluation fee (I)
- Hospitalization base up assessment fee 78
Dental Facility Standards (Basic and Special)
- Regional Dental Treatment Support Hospital Dental Initial Consultation Fee
- Dental outpatient medical safety measures surcharge 2
- Dental outpatient treatment infection control premium 3
- Special dental treatment cooperation fee
- Regional Dental Treatment Support Hospital Admission Premium
- Comprehensive medical management surcharge and dental treatment medical management fee as stipulated in Note 11 of the dental disease management fee
- Medical equipment safety management fee (dentistry)
- Dental and oral rehabilitation fee 2
- Surgical microscope addition
- Oral mucosal treatment
- Painless cavity formation for carious teeth additional fee
- Dental technician collaboration fee 1 and optical impression dental technician collaboration fee
- CAD/CAM crowns and CAD/CAM inlays
- Maxillary osteotomy (only when bone movement is involved) (only when related to dental treatment)
- Mandibular reconstruction (only when bone movement is involved) (only when related to dental treatment)
- Guided periodontal tissue regeneration surgery
- Additional fee for root surface laser application during surgery
- Apicoectomy Note 3
- Facility standards for laser equipment surcharge
- Crown and bridge maintenance fees
- Dental outpatient/home base-up evaluation fee (I)
Facility Standards Notice
medical science
dentistry
