산업재해보상보험 요양급여산정기준(2021.1.1.시행)
1 산업재해보상보험 요양급여 산정기준 ·······························3
[별표 1] 국민건강보험과 달리 적용하는
요양급여의 범위 및 비용산정기준 ········································11
[별표 2] 산재보험에서 추가로 인정하는
요양급여의 범위 및 비용산정기준 ········································15
제 1절 치과보철 ·····················································································15
제 2절 재활보조기구 ··············································································18
제 3절 보험급여청구서 확인 및 진단서 발급수수료 ····························30
제 4절 화상환자에게 인정하는 약제 및 치료재료 등 ··························33
제 5절 재활보조기구 처방 및 검수료 ···················································34
제 6절 이송료 ························································································35
제 7절 치료보조기구 ··············································································37
제 8절 한방 첩약 및 탕전료 ·································································39
제 9절 전신해부에 따른 비용 ·······························································40
제10절 재활치료료 ·················································································41
제11절 냉각부하검사료 ··········································································48
제12절 처치료 ························································································49
제13절 예방접종비용 ·············································································50
별지 서식(제1호~제9호) ·········································································51
2 부 록 ·······················································································61
*산업재해보상보험 관련
▸산업재해보상보험 요양급여 산정기준(고시 제2019-80호) ················65
▸산업재해보상보험 진료비･약제비청구서 등 서식 작성요령 ···············115
▸산재보험 요양급여 산정기준 관련 진료항목별 청구코드 ··················160
*국민건강보험 관련
▸국민건강보험 요양급여의 기준에 관한 규칙(제5조, 제8조, 제9조) ·········183
▸국민건강보험법 시행규칙(제23조, 제26조) ·······································198
▸요양비의 보험급여 기준 및 방법 ·······················································204
▸장애인 전동보장구 급여품목 및 결정가격 고시 ································256
▸장애인 자세보조용구 급여품목 및 결정가격 고시 ····························259
▸장애인 보조기기 보험급여 기준 등 세부사항 ···································262
*기타
▸응급의료에 관한 법률 시행규칙(제2조, 제11조) ······························293
▸응급의료수가기준 ················································································297
▸의료관계 행정처분 규칙 ·····································································301
*참고자료
▸간병대상 ······························································································321
▸보상관련 고시내용 ··············································································324
▸근로복지공단 소속기관 주소 ······························································330
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