Sie sind auf Seite 1von 245

00001000000000001000000000000000000000000000000000000000ABREVIATURAS

00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00002000000000003000000000000000000000000000000000000000ADEMAS DE LAS ABREVIATURAS
QUE APARECEN SEALADAS EN EL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00003000000000003000000000000000000000000000000000000000TEXTO, SE HAN USADO LAS
SIGUIENTES:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00004000000000003000000000000000000000000000000000000000AC =
ACIDO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00005000000000003000000000000000000000000000000000000000A.C. =
ADEMAS CODIGO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00006000000000003000000000000000000000000000000000000000C/U =
CADA UNO/A
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00007000000000003000000000000000000000000000000000000000COD. =
CODIGO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00008000000000003000000000000000000000000000000000000000COD. ADIC. =
CODIGO ADICIONAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00009000000000003000000000000000000000000000000000000000C/S =
CON O SIN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00010000000000003000000000000000000000000000000000000000DREN. =
DRENAJE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00011000000000003000000000000000000000000000000000000000EXP. =
EXPOSICIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00012000000000003000000000000000000000000000000000000000EXTIRP. =
EXTIRPACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00013000000000003000000000000000000000000000000000000000EXTRAC. =
EXTRACCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00014000000000003000000000000000000000000000000000000000L.C.R. =
LIQUIDO CEFALORRAQUIDEO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00015000000000003000000000000000000000000000000000000000OP. =
OPERACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00016000000000003000000000000000000000000000000000000000PROC. =
PROCEDIMIENTO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00017000000000003000000000000000000000000000000000000000PROC. AUT. =
PROCEDIMIENTO AUTONOMO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00018000000000003000000000000000000000000000000000000000PROC. QUIR. =
PROCEDIMIENTO QUIRURGICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00019000000000003000000000000000000000000000000000000000RECEP. =
RECEPTOR/A
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00020000000000003000000000000000000000000000000000000000REPAR. =
REPARACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00021000000000003000000000000000000000000000000000000000REPAR. QUIR. =
REPARACION QUIRURGICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00022000000000003000000000000000000000000000000000000000RESEC. =
RESECCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00023000000000003000000000000000000000000000000000000000R.N. =
RECIEN NACIDO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00024000000000003000000000000000000000000000000000000000SIM. =
SIMILAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00025000000000003000000000000000000000000000000000000000TRAT. =
TRATAMIENTO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00026000000000003000000000000000000000000000000000000000TRAT. QUIR. =
TRATAMIENTO QUIRURGICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00027000000000003000000000000000000000000000000000000000VAC. =
VACIAMIENTO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00028010000000001000000000000000000000000000000000000000I.- SOLO MODALIDAD LIBRE
ELECCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00029010000000001000000000000000000000000000000000000000GRUPO : 01
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00030010000000001000000000000000000000000000000000000000ATENCION ABIERTA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00031010100100005000000000000000000000000000000000000000CONSULTA MEDICA ELECTIVA
00088300003530000945000041500011060000576000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00032010100200005000000000000000000000000000000000000000CONSULTA MEDICA DE
NEUROLOGO, NEUROCIRUJANO,
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00033010100200015000000000000000000000000000000000000000OTORRINOLARINGOLOGO,
GERIATRA U ONCOLOGO, ENDOCRINOLOGO,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00034010100200025000000000000000000000000000000000000000REUMATOLOGO Y DERMATOLOGO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00035010120100005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN DERMATOLOGIA
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00036010120200005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN GERIATRIA
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00037010120300005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN NEUROCIRUGIA
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00038010120400005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN OFTALMOLOGIA
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00039010120500005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN OTORRINOLARINGOLOGIA
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00040010120600005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN REUMATOLOGIA
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00041010120700005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN ENDOCRINOLOGIA ADULTO
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00042010120800005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN ENDOCRINOLOGIA
PEDIATRICA0012150000486000158000008510001944000121500000000000000000000000000000000
00000000000000000000000000000000000000000000000000000
00043010120900005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN NEUROLOGIA ADULTOS
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00044010121000005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN NEUROLOGIA PEDIATRICA
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00045010121100005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN ONCOLOGIA MEDICA
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00046010100300005000000000000000000000000000000000000000CONSULTA MEDICA
ESPECIALIDADES
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00047010130100005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN CARDIOLOGIA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00048010130200005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN HEMATOLOGIA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00049010130300005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN INFECTOLOGIA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00050010130400005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN INMUNOLOGIA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00051010130500005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN MEDICINA FAMILIAR
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00052010130600005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN MEDICINA FISICA Y
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00053010130600015000000000000000000000000000000000000000REHABILITACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00054010130700005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN MEDICINA INTERNA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00055010130800005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN OBSTETRICIA Y
GINECOLOGIA001357000054300000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000
00056010130900005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN PEDIATRIA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00057010131000005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN TRAUMATOLOGIA Y
ORTOPEDIA00135700005430000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000000000000
00058010131100005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN UROLOGIA
00121500004860001580000085100019440001215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00059010131200005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN CIRUGIA GENERAL
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00060010131300005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN CIRUGIA DE CABEZA,
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00061010131300015000000000000000000000000000000000000000CUELLO Y MAXILOFACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00062010131400005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN CIRUGIA CARDIOVASCULAR
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00063010131500005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN CIRUGIA DE TORAX
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00064010131600005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN CIRUGIA PLASTICA Y
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00065010131600015000000000000000000000000000000000000000REPARADORA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00066010131700005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN CIRUGIA PEDIATRICA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00067010131800005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN CIRUGIA VASCULAR
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00068010131800015000000000000000000000000000000000000000PERIFERICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00069010131900005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN COLOPROCTOLOGIA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00070010132000005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN DIABETOLOGIA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00071010132100005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN ENFERMEDADES
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00072010132100015000000000000000000000000000000000000000RESPIRATORIAS ADULTO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00073010132200005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN ENFERMEDADES
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00074010132200015000000000000000000000000000000000000000RESPIRATORIAS PEDIATRICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00075010132300005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN GASTROENTEROLOGIA ADULTO
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00076010132400005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN GASTROENTEROLOGIA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00077010132400015000000000000000000000000000000000000000PEDIATRICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00078010132500005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN GENETICA CLINICA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00079010132600005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN NEFROLOGIA ADULTO
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00080010132700005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN NEFROLOGIA PEDIATRICO
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00081010132800005000000000000000000000000000000000000000CONSULTA MEDICA DE
ESPECIALIDAD EN NEONATOLOGIA
00135700005430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00082010100400005000000000000000000000000000000000000000VISITA MEDICA DOMICILIARIA
EN HORARIO HABIL
00104300005220001513000099200020170001496000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00083010100500005000000000000000000000000000000000000000VISITA MEDICA DOMICILIARIA
EN HORARIO INHABIL
00156600007830002275000149200030340002251000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00084010100600005000000000000000000000000000000000000000ASISTENCIA DE CARDIOLOGO A
CIRUGIAS NO CARDIACAS
00169800008490002207000135800027170001868000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00085010100700005000000000000000000000000000000000000000ATENCION MEDICA DEL RECIEN
NACIDO EN SALA DE PARTO O
00169800008490002207000135800027170001868000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00086010100700015000000000000000000000000000000000000000PABELLON QUIRURGICO C/S
REANIMACION CARDIO-RESPIRATORIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00087010100800005000000000000000000000000000000000000000VISITA POR MEDICO TRATANTE
A ENFERMO HOSPITALIZADO
00104300005220001513000099200020170001496000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00088010100900005000000000000000000000000000000000000000VISITA POR MEDICO
INTERCONSULTOR (O EN JUNTA MEDICA C/U) A
00104300005220001513000099200020170001496000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00089010100900015000000000000000000000000000000000000000ENFERMO HOSPITALIZADO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00090010101000005000000000000000000000000000000000000000ATENCION MEDICA DIARIA A
ENFERMO HOSPITALIZADO
00084200004210000898000047700010540000633000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00091010102000005000000000000000000000000000000000000000ATENCION MEDICA INTEGRAL
00196100007840000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00092020000000001000000000000000000000000000000000000000GRUPO : 02
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00093020000000001000000000000000000000000000000000000000ATENCION CERRADA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00094020210100005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
MEDICINA Y ESPECIALIDADES (SALA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
000950202101000150000000000000000000000000000000000000003 CAMAS O MAS DE PENSIONADO
O MEDIO PENSIONADO).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00096020210200005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
MEDICINA Y ESPECIALIDADES (SALA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
000970202102000150000000000000000000000000000000000000002 CAMAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00098020210300005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
MEDICINA Y ESPECIALIDADES (SALA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
000990202103000150000000000000000000000000000000000000001 CAMA SIN BAO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00100020210400005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
MEDICINA Y ESPECIALIDADES (SALA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
001010202104000150000000000000000000000000000000000000001 CAMA CON BAO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00102020210500005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
CIRUGIA (SALA 3 CAMAS O MAS DE
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00103020210500015000000000000000000000000000000000000000PENSIONADO O MEDIO
PENSIONADO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00104020210600005000000000000000000000000000000000000000DIA CAMA HOSPITALIZACION
CIRUGIA (SALA 2 CAMAS)
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00105020210700005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
CIRUGIA (SALA 1 CAMA SIN BAO)
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00106020210800005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
CIRUGIA (SALA 1 CAMA CON BAO)
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00107020210900005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
PEDIATRIA (SALA 3 CAMAS O MAS
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00108020210900015000000000000000000000000000000000000000DE PENSIONADO O MEDIO
PENSIONADO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00109020211000005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
PEDIATRIA (SALA 2 CAMAS)
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00110020211100005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
PEDIATRIA (SALA 1 CAMA SIN
BAO)000608000030400000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000
00111020211200005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
PEDIATRIA (SALA 1 CAMA CON
BAO)000608000030400000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000
00112020211300005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
OBSTETRICIA Y GINECOLOGIA (SALA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
001130202113000150000000000000000000000000000000000000003 CAMAS O MAS DE PENSIONADO
O MEDIO PENSIONADO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00114020211400005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
OBSTETRICIA Y GINECOLOGIA (SALA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
001150202114000150000000000000000000000000000000000000002 CAMAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00116020211500005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
OBSTETRICIA Y GINECOLOGIA (SALA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
001170202115000150000000000000000000000000000000000000001 CAMA SIN BAO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00118020211600005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
OBSTETRICIA Y GINECOLOGIA (SALA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
001190202116000150000000000000000000000000000000000000001 CAMA CON BAO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00120020220100005000000000000000000000000000000000000000DIA CAMA HOSPITALIZACION
ADULTO EN UNIDAD DE CUIDADO
00453500022680000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00121020220100015000000000000000000000000000000000000000INTENSIVO (U.C.I.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00122020220200005000000000000000000000000000000000000000DIA CAMA HOSPITALIZACION
PEDRIATICA EN UNIDAD DE CUIDADO
00453500022680000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00123020220200015000000000000000000000000000000000000000INTENSIVO (U.C.I).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00124020220300005000000000000000000000000000000000000000DIA CAMA HOSPITALIZACION
NEONATAL EN UNIDAD DE CUIDADO
00453500022680000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00125020220300015000000000000000000000000000000000000000INTENSIVO (U.C.I.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00126020230100005000000000000000000000000000000000000000DIA CAMA HOSPITALIZACION
ADULTO EN UNIDAD DE TRATAMIENTO
00218000010900000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00127020230100015000000000000000000000000000000000000000INTERMEDIO (U.T.I)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00128020230200005000000000000000000000000000000000000000DIA CAMA HOSPITALIZACION
PEDIATRICA EN UNIDAD DE
00218000010900000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00129020230200015000000000000000000000000000000000000000TRATAMIENTO INTERMEDIO
(U.T.I)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00130020230300005000000000000000000000000000000000000000DIA CAMA HOSPITALIZACION
NEONATAL EN UNIDAD DE TRATAMIENTO
00218000010900000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00131020230300015000000000000000000000000000000000000000INTERMEDIO (U.T.I)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00132020200400005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
SALA CUNA
00036400001820000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00133020200500005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
INCUBADORA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00134020200600005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
PSIQUIATRIA
00037900001900000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00135020200700005000000000000000000000000000000000000000DIA CAMA PSIQUIATRICA
DIURNA
00030200001510000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00136020200800005000000000000000000000000000000000000000DIA CAMA DE OBSERVACION
00036400001820000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00137020200900005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
CLINICA DE RECUPERACION
00034600001730000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00138020201000005000000000000000000000000000000000000000DIA CAMA DE HOSPITALIZACION
AISLAMIENTO
00120900006050000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00139030000000001000000000000000000000000000000000000000GRUPO : 03
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00140030000000001000000000000000000000000000000000000000EXAMENES DE LABORATORIO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00141030100000002000000000000000000000000000000000000000I.- SANGRE, HEMATOLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00142030100100005000000000000000000000000000000000000000ACIDIFICACION DEL SUERO,
TEST DE HAM
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00143030100200005000000000000000000000000000000000000000ACIDO FOLICO O FOLATOS
00037100001860000482000029700005940000409000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00144030100300005000000000000000000000000000000000000000ADENOGRAMA, ESPLENOGRAMA,
MIELOGRAMA C/U
00046100002310000599000036900007380000508000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00145030100400005000000000000000000000000000000000000000ADHESIVIDAD PLAQUETARIA
00032700001640000425000026200005230000360000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00146030100500005000000000000000000000000000000000000000AGLUTININAS ANTI RHO
00033200001660000432000026600005310000365000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00147030100600005000000000000000000000000000000000000000AGREGACION PLAQUETARIA
00033200001660000432000026600005310000365000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00148030100700005000000000000000000000000000000000000000ANTICOAGULANTES CIRCULANTES
O ANTICOAGULANTE LUPICO
00033200001660000432000026600005310000365000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00149030100800005000000000000000000000000000000000000000ANTITROMBINA III
00033200001660000432000026600005310000365000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00150030100900005000000000000000000000000000000000000000AUTO-HEMOLISIS TEST, CON Y
SIN GLUCOSA
00045500002280000592000036500007280000501000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00151030101000005000000000000000000000000000000000000000CELULAS DEL LUPUS, CADA
MUESTRA
00019900001000000259000016000003180000219000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00152030101100005000000000000000000000000000000000000000COAGULACION, TIEMPO DE
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00153030101200005000000000000000000000000000000000000000COAGULO, TIEMPO DE
RETRACCION DEL
00006300000320000082000005100001010000070000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00154030101300005000000000000000000000000000000000000000COAGULO, TIEMPO DE LISIS
DEL
00004400000220000057000003500000700000048000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00155030101400005000000000000000000000000000000000000000COOMBS DIRECTO, TEST DE
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00156030101500005000000000000000000000000000000000000000COOMBS INDIRECTO, PRUEBA DE
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00157030101600005000000000000000000000000000000000000000CUERPOS DE HEINZ
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00158030101700005000000000000000000000000000000000000000DESHIDROGENASA GLUCOSA-6-
FOSFATO EN ERITROCITOS
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00159030101800005000000000000000000000000000000000000000DESHIDROGENASA 6-
FOSFOGLUCONATO EN ERITROCITOS
00033700001690000438000027000005390000371000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00160030101900005000000000000000000000000000000000000000DREPANOCITOS, INVESTIGACION
DE
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00161030102000005000000000000000000000000000000000000000EUGLOBULINAS, TIEMPO DE
LISIS DE
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00162030102100005000000000000000000000000000000000000000FIBRINOGENO
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00163030102200005000000000000000000000000000000000000000TEST DE NEUTRALIZACION
PLAQUETARIA
00033200001660000432000026600005310000365000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00164030102300005000000000000000000000000000000000000000FACTOR III PLAQUETARIO
00025500001280000332000020500004080000281000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00165030102400005000000000000000000000000000000000000000FACTOR V
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00166030102500005000000000000000000000000000000000000000FACTORES VII, VIII, IX, X,
XI, XII, XIII, C/U
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00167030102600005000000000000000000000000000000000000000FERRITINA
00042100002110000547000033700006740000464000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00168030102700005000000000000000000000000000000000000000FIBRINOGENO, PRODUCTOS DE
DEGRADACION DEL
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00169030102800005000000000000000000000000000000000000000FIERRO SERICO
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00170030102900005000000000000000000000000000000000000000FIERRO, CAPACIDAD DE
FIJACION DEL (INCLUYE FIERRO SERICO)
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00171030103000005000000000000000000000000000000000000000FIERRO, CINETICA DEL (CADA
DETERMINACION)
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00172030103100005000000000000000000000000000000000000000FIERRO, PRUEBA DE
SOBRECARGA
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00173030103200005000000000000000000000000000000000000000GELACION POR ETANOL
00007600000380000099000006100001220000084000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00174030103300005000000000000000000000000000000000000000GRUPOS MENORES TIPIFICACION
O DETERMINACION DE OTROS
00020200001010000263000016200003230000222000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00175030103300015000000000000000000000000000000000000000SISTEMAS SANGUINEOS (KELL,
DUFFY, KIDD Y OTROS) C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00176030103400005000000000000000000000000000000000000000GRUPOS SANGUINEOS AB0 Y RHO
(INCLUYE ESTUDIO DE FACTOR DU
00018500000930000241000014900002960000204000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00177030103400015000000000000000000000000000000000000000EN RH NEGATIVOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00178030103500005000000000000000000000000000000000000000HAPTOGLOBINA CUANTITATIVA
00030800001540000400000024600004930000339000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00179030103600005000000000000000000000000000000000000000HEMATOCRITO (PROC. AUT.)
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00180030103700005000000000000000000000000000000000000000HEMOGLOBINA A2 CUANTITATIVA
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00181030103800005000000000000000000000000000000000000000HEMOGLOBINA EN SANGRE TOTAL
(PROC. AUT.)
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00182030103900005000000000000000000000000000000000000000HEMOGLOBINA FETAL
CUALITATIVA
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00183030104000005000000000000000000000000000000000000000HEMOGLOBINA FETAL
CUANTITATIVA EN ERITROCITOS
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00184030104100005000000000000000000000000000000000000000HEMOGLOBINA GLICOSILADA
00035000001750000455000028000005600000385000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00185030104200005000000000000000000000000000000000000000HEMOGLOBINA PLASMATICA
00007600000380000099000006100001220000084000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00186030104300005000000000000000000000000000000000000000HEMOGLOBINA TERMOLABIL
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00187030104400005000000000000000000000000000000000000000HEMOGLOBINA, ELECTROFORESIS
DE (INCLUYE HB. TOTAL)
00037100001860000482000029700005940000409000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00188030104500005000000000000000000000000000000000000000HEMOGRAMA (INCLUYE
RECUENTOS DE LEUCOCITOS Y ERITROCITOS,
00023000001150000299000018400003680000253000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00189030104500015000000000000000000000000000000000000000HEMOGLOBINA, HEMATOCRITO,
FORMULA LEUCOCITARIA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00190030104500025000000000000000000000000000000000000000CARACTERISTICAS DE LOS
ELEMENTOS FIGURADOS Y VELOCIDAD DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00191030104500035000000000000000000000000000000000000000ERITROSEDIMENTACION)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00192030104600005000000000000000000000000000000000000000HEMOLISINAS
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00193030104700005000000000000000000000000000000000000000HEMOLISIS CON SUCROSA, TEST
DE
00022700001140000295000018200003630000250000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00194030104800005000000000000000000000000000000000000000HEMOSIDERINA MEDULAR
00007600000380000099000006100001220000084000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00195030104900005000000000000000000000000000000000000000HEPARINA, CUANTIFICACION DE
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00196030105000005000000000000000000000000000000000000000ISOINMUNIZACION, DETECCION
DE ANTICUERPOS IRREGULARES
00025500001280000332000020500004080000281000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00197030105000015000000000000000000000000000000000000000(PROC. AUT.).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00198030105100005000000000000000000000000000000000000000ISOINMUNIZACION, DETECCION
E IDENTIFICACION DE ANTICUERPOS
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00199030105100015000000000000000000000000000000000000000IRREGULARES.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00200030105200005000000000000000000000000000000000000000ISOPROPANOL, TEST DE
00018800000940000244000015000003010000207000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00201030105300005000000000000000000000000000000000000000METAHEMALBUMINA
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00202030105400005000000000000000000000000000000000000000METAHEMOGLOBINA
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00203030105500005000000000000000000000000000000000000000MURAMINIDASA EN ERITROCITOS
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00204030105600005000000000000000000000000000000000000000PIRUVATOQUINASA EN
ERITROCITOS
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00205030105700005000000000000000000000000000000000000000PROTAMINA SULFATO,
DETERMINACION DE
00007600000380000099000006100001220000084000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00206030105800005000000000000000000000000000000000000000PROTOPORFIRINAS EN
ERITROCITOS
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00207030105900005000000000000000000000000000000000000000PROTOMBINA, TIEMPO DE O
CONSUMO DE (INCLUYE INR, RELACION
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00208030105900015000000000000000000000000000000000000000INTERNACIONAL NORMALIZADA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00209030106200005000000000000000000000000000000000000000RECUENTO DE BASOFILOS
(ABSOLUTO)
00007600000380000099000006100001220000084000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00210030106300005000000000000000000000000000000000000000RECUENTO DE EOSINOFILOS
(ABSOLUTO)
00007500000380000098000006100001200000083000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00211030106400005000000000000000000000000000000000000000RECUENTO DE ERITROCITOS,
ABSOLUTO (PROC. AUT.)
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00212030106500005000000000000000000000000000000000000000RECUENTO DE LEUCOCITOS,
ABSOLUTO (PROC. AUT.)
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00213030106600005000000000000000000000000000000000000000RECUENTO DE LINFOCITOS
(ABSOLUTO)
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00214030106700005000000000000000000000000000000000000000RECUENTO DE PLAQUETAS
(ABSOLUTO)
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00215030106800005000000000000000000000000000000000000000RECUENTO DE RETICULOCITOS
(ABSOLUTO O PORCENTUAL)
00007600000380000099000006100001220000084000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00216030106900005000000000000000000000000000000000000000RECUENTO DIFERENCIAL O
FORMULA LEUCOCITARIA (PROC.AUT.)
00014100000710000183000011300002260000156000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00217030107000005000000000000000000000000000000000000000RESISTENCIA GLOBULAR
OSMOTICA
00023000001150000299000018400003680000253000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00218030107100005000000000000000000000000000000000000000SACAROSA, PRUEBA DE LA
00007600000380000099000006100001220000084000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00219030107200005000000000000000000000000000000000000000SANGRIA, TIEMPO DE (IVY)
(NO INCLUYE DISPOSITIVO ASOCIADO )
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00220030107400005000000000000000000000000000000000000000SOBREVIDA DEL ERITROCITO
(CR 51 O SIMILAR)
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00221030107500005000000000000000000000000000000000000000SUBGRUPO ABO Y RH FENOTIPO
- GENOTIPO RH, C/U
00020200001010000263000016200003230000222000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00222030107600005000000000000000000000000000000000000000THORN, PRUEBA DE (NO
INCLUYE ACTH)
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00223030107700005000000000000000000000000000000000000000TINCION DE ESTEARASA
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00224030107800005000000000000000000000000000000000000000TINCION DE FOSFATASAS
ALCALINAS O ACIDAS
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00225030107900005000000000000000000000000000000000000000TINCION DE GLICOGENO O PAS
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00226030108000005000000000000000000000000000000000000000TINCION DE LIPIDOS
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00227030108100005000000000000000000000000000000000000000TINCION DE PEROXIDASAS
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00228030108200005000000000000000000000000000000000000000TRANSFERRINA
00040800002040000530000032600006530000449000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00229030108300005000000000000000000000000000000000000000TROMBINA, TIEMPO DE
00014100000710000183000011300002260000156000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00230030108400005000000000000000000000000000000000000000TROMBOPLASTINA, TIEMPO DE
GENERACION DE (TGT)
00046100002310000599000036900007380000508000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00231030108500005000000000000000000000000000000000000000TROMBOPLASTINA, TIEMPO
PARCIAL DE (TTPA,TTPK O SIMILARES)
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00232030108600005000000000000000000000000000000000000000VELOCIDAD DE
ERITOSEDIMENTACION, (PROC. AUT.)
00004300000220000056000003500000690000048000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00233030108700005000000000000000000000000000000000000000VITAMINA B12, ABSORCION DE
(CO 57 O SIMILAR)
00089400004470001162000071500014300000983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00234030108800005000000000000000000000000000000000000000VOLEMIA (INCLUYE VOLUMEN
GLOBULAR TOTAL, VOLUMEN PLASMATICO
00089400004470001162000071500014300000983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00235030108800015000000000000000000000000000000000000000TOTAL Y VOLUMEN SANGUINEO
TOTAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00236030108900005000000000000000000000000000000000000000VON WILLEBRAND, AG DE
(FACTOR VIII AG.)
00066800003340000868000053400010690000735000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00237030109000005000000000000000000000000000000000000000COFACTOR DE RISTOCETINA
00066800003340000868000053400010690000735000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00238030109100005000000000000000000000000000000000000000PROTEINA C
00224300011220002916000179500035890002468000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00239030109200005000000000000000000000000000000000000000PROTEINA S
00247900012400003223000198400039660002727000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00240030109300005000000000000000000000000000000000000000RESISTENCIA PROTEINA C
00162700008140002115000130200026030001790000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00241030200000002000000000000000000000000000000000000000II.- SANGRE, EXAMENES
BIOQUIMICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00242030200100005000000000000000000000000000000000000000ACETONA CUALITATIVA
00006300000320000082000005100001010000070000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00243030200200005000000000000000000000000000000000000000ACIDO CITRICO
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00244030200400005000000000000000000000000000000000000000ACIDO LACTICO
00029500001480000384000023700004720000325000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00245030200500005000000000000000000000000000000000000000ACIDO URICO, EN SANGRE
00012100000610000157000009700001940000134000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00246030200700005000000000000000000000000000000000000000ALDOLASA
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00247030200800005000000000000000000000000000000000000000AMILASA, EN SANGRE
00018400000920000239000014700002940000202000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00248030200900005000000000000000000000000000000000000000AMINOACIDOS, CUALITATIVO EN
SANGRE
00043400002170000564000034700006940000477000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00249030201000005000000000000000000000000000000000000000AMONIO
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00250030207000005000000000000000000000000000000000000000APOLIPOPROTEINAS (AI.B U
OTRAS)
00050100002510000651000040100008020000552000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00251030201100005000000000000000000000000000000000000000BICARBONATO (PROC.AUT.)
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00252030201200005000000000000000000000000000000000000000BILIRRUBINA TOTAL
(PROC.AUT.)
00010100000510000131000008100001620000112000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00253030201300005000000000000000000000000000000000000000BILIRRUBINA TOTAL Y
CONJUGADA
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00254030201400005000000000000000000000000000000000000000BROMOSULFTALEINA, PRUEBA DE
(NO INCLUYE EL MEDICAMENTO),
00023000001150000299000018400003680000253000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00255030201400015000000000000000000000000000000000000000ADEMAS 2 COD. 03-07-011 O
03-07-012
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00256030201500005000000000000000000000000000000000000000CALCIO EN SANGRE
00010400000520000135000008300001660000114000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00257030201600005000000000000000000000000000000000000000CALCIO IONICO, INCLUYE
PROTEINAS TOTALES
00020200001010000263000016200003230000222000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00258030201700005000000000000000000000000000000000000000CAROTENO
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00259030201800005000000000000000000000000000000000000000CAROTENO, PRUEBA DE
SOBRECARGA DE, ADEMAS 2 CODIGOS 03-07-
00037000001850000481000029600005920000407000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00260030201800015000000000000000000000000000000000000000011 O 03-07-012.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00261030201900005000000000000000000000000000000000000000CERULOPLASMINA
00025400001270000330000020300004060000279000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00262030202000005000000000000000000000000000000000000000COBRE
00011900000600000155000009600001900000131000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00263030206700005000000000000000000000000000000000000000COLESTEROL TOTAL
(PROC.AUT.)
00010600000530000138000008500001700000117000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00264030206800005000000000000000000000000000000000000000COLESTEROL HDL (PROC. AUT.)
00015500000780000202000012500002480000171000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00265030202100005000000000000000000000000000000000000000COLINESTERASA EN PLASMA O
SANGRE TOTAL
00023000001150000299000018400003680000253000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00266030202200005000000000000000000000000000000000000000CREATINA
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00267030202300005000000000000000000000000000000000000000CREATININA EN SANGRE
00010100000510000131000008100001620000112000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00268030202400005000000000000000000000000000000000000000CREATININA, DEPURACION DE
(CLEARENCE) (PROC.AUT.)
00022700001140000295000018200003630000250000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00269030202500005000000000000000000000000000000000000000CREATINQUINASA CK - MB
MIOCARDICA
00037000001850000481000029600005920000407000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00270030202600005000000000000000000000000000000000000000CREATINQUINASA CK - TOTAL
00028100001410000365000022500004500000310000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00271030202700005000000000000000000000000000000000000000TROPONINA
00074100003710000963000059300011860000816000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00272030202800005000000000000000000000000000000000000000DEPURACIONES (CLEARANCE)
EXOGENAS DE HIPURAN, ROJO CONGO,
00042000002100000546000033600006720000462000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00273030202800015000000000000000000000000000000000000000MANITOL E INULINA, C/U (NO
INCLUYE MEDICAMENTO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00274030202900005000000000000000000000000000000000000000DESHIDROGENASA
HIDROXIBUTIRICA (HBDH)
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00275030203000005000000000000000000000000000000000000000DESHIDROGENASA LACTICA
TOTAL (LDH)
00017200000860000224000013800002750000189000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00276030203100005000000000000000000000000000000000000000DESHIDROGENASA LACTICA
TOTAL (LDH), CON SEPARACION DE
00046000002300000598000036800007360000506000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00277030203100015000000000000000000000000000000000000000ISOENZIMAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00278030203200005000000000000000000000000000000000000000ELECTROLITOS PLASMATICOS
(SODIO, POTASIO, CLORO) C/U
00009300000470000121000007500001490000103000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00279030203300005000000000000000000000000000000000000000ENZIMA CONVERTIDORA DE
ANGIOTENSINA I
00046000002300000598000036800007360000506000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00280030203400005000000000000000000000000000000000000000PERFIL LIPIDICO (INCLUYE:
COLESTEROL TOTAL, HDL, LDL, VLDL
00048200002410000627000038600007710000530000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00281030203400015000000000000000000000000000000000000000Y TRIGLICERIDOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00282030203500005000000000000000000000000000000000000000FARMACOS Y/O DROGAS;
NIVELES PLASMATICOS DE (ALCOHOL,
00043300002170000563000034700006930000477000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00283030203500015000000000000000000000000000000000000000ANOREXIGENOS,
ANTIARRITMICOS, ANTIBIOTICOS, ANTIDEPRESIVOS,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00284030203500025000000000000000000000000000000000000000ANTIEPILEPTICOS,
ANTIHISTAMINICOS, ANTIINFLAMATORIOS Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00285030203500035000000000000000000000000000000000000000ANALGESICOS, ESTIMULANTES
RESPIRATORIOS, TRANQUILIZANTES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00286030203500045000000000000000000000000000000000000000MAYORES Y MENORES, ETC.)
C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00287030203600005000000000000000000000000000000000000000FENILALANINA
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00288030203700005000000000000000000000000000000000000000FOSFATASAS ACIDAS TOTALES
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00289030203800005000000000000000000000000000000000000000FOSFATASAS ACIDAS TOTALES Y
FRACCION PROSTATICA.
00023000001150000299000018400003680000253000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00290030203900005000000000000000000000000000000000000000FOSFATASAS ALCALINAS CON
SEPARACION DE ISOENZIMAS
00044400002220000577000035500007100000488000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00291030203900015000000000000000000000000000000000000000HEPATICAS, INTESTINALES,
OSEAS. C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00292030204000005000000000000000000000000000000000000000FOSFATASAS ALCALINAS
TOTALES
00010400000520000135000008300001660000114000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00293030204100005000000000000000000000000000000000000000FOSFOLIPIDOS
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00294030204200005000000000000000000000000000000000000000FOSFORO (FOSFATOS) EN
SANGRE
00013600000680000177000010900002180000150000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00295030204300005000000000000000000000000000000000000000GALACTOSA
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00296030204400005000000000000000000000000000000000000000GALACTOSA, CURVA DE
TOLERANCIA,(MINIMO CUATRO
00046800002340000608000037400007490000515000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00297030204400015000000000000000000000000000000000000000DETERMINACIONES) (NO
INCLUYE LA GALACTOSA QUE SE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00298030204400025000000000000000000000000000000000000000ADMINISTRA) (INCLUYE LOS
VALORES DE TODAS LAS TOMAS DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00299030204400035000000000000000000000000000000000000000MUESTRAS NECESARIAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00300030204500005000000000000000000000000000000000000000GAMMA
GLUTAMILTRANSPEPTIDASA (GGT)
00017900000900000233000014400002860000197000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00301030204600005000000000000000000000000000000000000000GASES Y EQUILIBRIO ACIDO
BASE EN SANGRE (INCLUYE: PH, O2,
00028300001420000368000022700004530000312000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00302030204600015000000000000000000000000000000000000000CO2, EXCESO DE BASE Y
BICARBONATO), TODOS O CADA UNO DE LOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00303030204600025000000000000000000000000000000000000000PARAMETROS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00304030204700005000000000000000000000000000000000000000GLUCOSA EN SANGRE
00009900000500000129000008000001580000109000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00305030204800005000000000000000000000000000000000000000GLUCOSA, PRUEBA DE
TOLERANCIA A LA GLUCOSA ORAL (PTGO),
00046200002310000601000037000007390000508000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00306030204800015000000000000000000000000000000000000000(DOS DETERMINACIONES; NO
INCLUYE LA GLUCOSA QUE SE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00307030204800025000000000000000000000000000000000000000ADMINISTRA; INCLUYE EL
VALOR DE LAS DOS TOMAS DE MUESTRAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00308030205000005000000000000000000000000000000000000000ADENOSINDEAMINASA EN SANGRE
U OTRO FLUIDO BIOLOGICO.
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00309030205100005000000000000000000000000000000000000000LACTOSA, CURVA DE
TOLERANCIA, (MINIMO CUATRO
00046800002340000608000037400007490000515000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00310030205100015000000000000000000000000000000000000000DETERMINACIONES) (NO
INCLUYE LA LACTOSA QUE SE ADMINISTRA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00311030205100025000000000000000000000000000000000000000(INCLUYE LOS VALORES DE
TODAS LAS TOMAS DE MUESTRAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00312030205100035000000000000000000000000000000000000000NECESARIAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00313030205200005000000000000000000000000000000000000000LEUCINAMINOPEPTIDASA (LAP).
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00314030205300005000000000000000000000000000000000000000LIPASA
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00315030206900005000000000000000000000000000000000000000LIPIDOS TOTALES (PROC.AUT.)
00013600000680000177000010900002180000150000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00316030205400005000000000000000000000000000000000000000LIPOPROTEINAS,
ELECTROFORESIS DE (INCLUYE LIPIDOS TOTALES)
00051100002560000664000040900008180000563000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00317030205500005000000000000000000000000000000000000000LITIO
00023000001150000299000018400003680000253000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00318030205600005000000000000000000000000000000000000000MAGNESIO
00023000001150000299000018400003680000253000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00319030205700005000000000000000000000000000000000000000NITROGENO UREICO Y/O UREA,
EN SANGRE
00010000000500000130000008000001600000110000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00320030205800005000000000000000000000000000000000000000OSMOLALIDAD, SANGRE EXAMEN
BIOQUIMICO
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00321030207500005000000000000000000000000000000000000000PERFIL BIOQUIMICO
(DETERMINACION AUTOMATIZADA DE 12
00065000003250000845000052000010400000715000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00322030207500015000000000000000000000000000000000000000PARAMETROS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00323030205900005000000000000000000000000000000000000000PROTEINAS FRACCIONADAS
ALBUMINA/GLOBULINA (INCLUYE CODIGO
00017600000880000229000014100002820000194000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0032403020590001500000000000000000000000000000000000000003-02-060)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00325030206000005000000000000000000000000000000000000000PROTEINAS TOTALES O
ALBUMINAS, C/U, EN SANGRE
00011300000570000147000009100001810000125000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00326030206100005000000000000000000000000000000000000000PROTEINAS, ELECTROFORESIS
(INCLUYE COD. 03-02-060)
00048600002430000632000038900007780000535000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00327030207600005000000000000000000000000000000000000000PERFIL HEPATICO (INCLUYE
TIEMPO DE PROTROMBINA, BILIRRUBINA
00080700004040001049000064600012910000888000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00328030207600015000000000000000000000000000000000000000TOTAL Y CONJUGADA,
FOSFATASAS ALCALINAS TOTALES, GGT,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00329030207600025000000000000000000000000000000000000000TRANSAMINASAS GOT/AST Y
GPT/ALT)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00330030206300005000000000000000000000000000000000000000TRANSAMINASAS, OXALACETICA
(GOT/AST), PIRUVICA (GPT/ALT),
00014800000740000192000011800002370000163000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00331030206300015000000000000000000000000000000000000000C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00332030206400005000000000000000000000000000000000000000TRIGLICERIDOS (PROC.AUT.)
00013700000690000178000011000002190000151000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00333030206500005000000000000000000000000000000000000000VITAMINAS A, B, C, D, E,
ETC., C/U.
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00334030206600005000000000000000000000000000000000000000XILOSA, PRUEBA DE ABSORCION
(NO INCLUYE LA XILOSA QUE SE
00024200001210000315000019400003870000266000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00335030206600015000000000000000000000000000000000000000ADMINISTRA )
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00336030300000002000000000000000000000000000000000000000III.- HORMONAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00337030300000003000000000000000000000000000000000000000A.- EN SANGRE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00338030300100005000000000000000000000000000000000000000ADENOCORTICOTROFINA (ACTH)
00063800003190000829000051000010210000702000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00339030300200005000000000000000000000000000000000000000ALDOSTERONA
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00340030300300005000000000000000000000000000000000000000ANDROSTENEDIONA
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00341030300400005000000000000000000000000000000000000000ANGIOTENSINA
00049900002500000649000040000007980000549000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00342030300500005000000000000000000000000000000000000000CATECOLAMINAS
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00343030300600005000000000000000000000000000000000000000CORTISOL
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00344030300700005000000000000000000000000000000000000000CRECIMIENTO, HORMONA DE
(HGH) (SOMATOTROFINA)
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00345030300800005000000000000000000000000000000000000000DEHIDROEPIANDROSTERONA
SULFATO (DHA, DHEA)
00053900002700000701000043200008620000593000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00346030300900005000000000000000000000000000000000000000ERITROPOYETINA
00039200001960000510000031400006270000431000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00347030301000005000000000000000000000000000000000000000ESTRIOL EN SANGRE
00040800002040000530000032600006530000449000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00348030301100005000000000000000000000000000000000000000ESTRONA
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00349030301200005000000000000000000000000000000000000000GASTRINA
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00350030301300005000000000000000000000000000000000000000GLUCAGON
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00351030301400005000000000000000000000000000000000000000GONADOTROFINA CORIONICA,
SUB-UNIDAD BETA (INCLUYE
00040200002010000523000032200006430000442000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00352030301400015000000000000000000000000000000000000000TITULACION SI CORRESPONDE)
(ELISA, RIA O IRMA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00353030301400025000000000000000000000000000000000000000QUIMIOLUMINISCENCIA U OTRA
TECNICA).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00354030301500005000000000000000000000000000000000000000HORMONA FOLICULO
ESTIMULANTE (FSH)
00040200002010000523000032200006430000442000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00355030301600005000000000000000000000000000000000000000HORMONA LUTEINIZANTE (LH)
00040200002010000523000032200006430000442000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00356030304700005000000000000000000000000000000000000000IGF1 O SOMATOMEDINA - C
(INSULINE LIKE GROWTH FACTOR)
00095600004780001243000076500015300001052000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00357030304800005000000000000000000000000000000000000000IGFBP3, IGFBP1 (INSULIN
LIKE GROWTH FACTOR BINDING
00095600004780001243000076500015300001052000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00358030304800015000000000000000000000000000000000000000PROTEINS) C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00359030301700005000000000000000000000000000000000000000INSULINA
00039500001980000514000031700006320000435000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00360030303100005000000000000000000000000000000000000000INSULINA, CURVA DE (MINIMO
DOS DETERMINACIONES E INCLUYE
00106600005330001386000085300017060001173000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00361030303100015000000000000000000000000000000000000000TODAS LAS TOMAS DE MUESTRA
NECESARIAS. NO INCLUYE LA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00362030303100025000000000000000000000000000000000000000GLUCOSA QUE SE ADMINISTRA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00363030301800005000000000000000000000000000000000000000PARATHORMONA, HORMONA
PARATIROIDEA O PTH.
00062200003110000809000049800009950000684000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00364030301900005000000000000000000000000000000000000000PROGESTERONA
00040200002010000523000032200006430000442000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00365030302000005000000000000000000000000000000000000000PROLACTINA (PRL)
00040200002010000523000032200006430000442000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00366030302100005000000000000000000000000000000000000000RENINA
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00367030304600005000000000000000000000000000000000000000SHBG (SEX-HORMONE BINDING
GLOBULIN)
00094100004710001223000075300015060001036000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00368030302200005000000000000000000000000000000000000000TESTOSTERONA EN SANGRE
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00369030302300005000000000000000000000000000000000000000TESTOSTERONA LIBRE EN
SANGRE
00049900002500000649000040000007980000549000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00370030302400005000000000000000000000000000000000000000TIROESTIMULANTE (TSH),
HORMONA (ADULTO, NIO O R.N.)
00035000001750000455000028000005600000385000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00371030302500005000000000000000000000000000000000000000TIROGLOBULINA
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00372030302600005000000000000000000000000000000000000000TIROXINA LIBRE (T4L)
00040200002010000523000032200006430000442000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00373030302700005000000000000000000000000000000000000000TIROXINA O
TETRAYODOTIRONINA (T4)
00035000001750000455000028000005600000385000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00374030302800005000000000000000000000000000000000000000TRIYODOTIRONINA (T3)
00035000001750000455000028000005600000385000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0037503030290000500000000000000000000000000000000000000017 - HIDROXIPROGESTERONA
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00376030303000005000000000000000000000000000000000000000ESTRADIOL (17-BETA)
00039500001980000514000031700006320000435000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00377030300000003000000000000000000000000000000000000000B.- EN ORINA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00378030303200005000000000000000000000000000000000000000AC. VAINILLILMANDELICO,
CUANTITATIVO
00037500001880000488000030100006000000413000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00379030303300005000000000000000000000000000000000000000ANGIOTENSINA
00049200002460000640000039400007870000541000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00380030303400005000000000000000000000000000000000000000CATECOLAMINAS
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00381030303500005000000000000000000000000000000000000000CORTISOL LIBRE URINARIO
00045000002250000585000036000007200000495000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00382030303600005000000000000000000000000000000000000000ESTRIOL
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00383030303900005000000000000000000000000000000000000000GONADOTROFINA CORIONICA,
SUB-UNIDADA BETA; TITULACION POR
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00384030303900015000000000000000000000000000000000000000(ELISA; RIA O IRMA;
QUIMIOLUMINISCENCIA U OTRA TECNICA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00385030304200005000000000000000000000000000000000000000TETRAHIDRODESOXICORTISOL
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0038603030430000500000000000000000000000000000000000000017 - CETOESTEROIDES
00040800002040000530000032600006530000449000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0038703030440000500000000000000000000000000000000000000017 -
HIDROXICORTICOESTEROIDES
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00388030400000002000000000000000000000000000000000000000IV.- GENETICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00389030400100005000000000000000000000000000000000000000CARIOGRAMA EN SANGRE POR
CULTIVO DE LINFOCITOS (INCLUYE
00360700018040004689000288600057710003968000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00390030400100015000000000000000000000000000000000000000MINIMO 25 MITOSIS CON
BANDEO G Y EVENTUALMENTE Q,R,C,NOR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00391030400100025000000000000000000000000000000000000000(MONTAJE DE 3 METAFASES
BANDEADAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00392030400200005000000000000000000000000000000000000000CARIOGRAMA CON TECNICAS
ESPECIALES ( INCLUYE MUESTRA DE
00385300019270005009000308300061650004239000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00393030400200015000000000000000000000000000000000000000SANGRE O DE MEDULA OSEA,
TRATAMIENTO CON FUDR, BROMURO DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00394030400200025000000000000000000000000000000000000000ETIDIO, MEDIO DEFICIENTE EN
ACIDO FOLICO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00395030400300005000000000000000000000000000000000000000CARIOGRAMA EN FIBROBLASTOS
POR CULTIVO DE TROFOBLASTO,
00385300019270005009000308300061650004239000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00396030400300015000000000000000000000000000000000000000LIQUIDO AMNIOTICO, PIEL U
OTROS BANDEOS G Y EVENTUALMENTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00397030400300025000000000000000000000000000000000000000Q,R,C,NOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00398030400400005000000000000000000000000000000000000000CROMATINA SEXUAL X E Y,
CORPUSCULO DE BARR Y CORPUSCULO
00057500002880000748000046100009200000633000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00399030400400015000000000000000000000000000000000000000FLUORESCENTE DE MUCOSA
BUCAL, LIQUIDO AMNIOTICO, ETC. C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00400030400400025000000000000000000000000000000000000000(ANALISIS EN 300 Y 100
CELULAS RESPECTIVAMENTE), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00401030400500005000000000000000000000000000000000000000DERMATOGLIFOS, TOMA DE
IMPRESION PALMAR, ANALISIS
00061100003060000794000048900009780000673000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00402030400500015000000000000000000000000000000000000000CUALITATIVO Y CUANTITATIVO
CON DIVERSAS MEDICIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00403030500000002000000000000000000000000000000000000000V.- INMUNOLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00404030500000003000000000000000000000000000000000000000A.- INMUNOQUIMICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00405030500100005000000000000000000000000000000000000000ALFA -1- ANTITRIPSINA
CUANTITATIVA
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00406030500200005000000000000000000000000000000000000000ALFA -2- MACROGLOBULINA
00040100002010000521000032100006420000442000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00407030500300005000000000000000000000000000000000000000ALFA FETOPROTEINAS
00040200002010000523000032200006430000442000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00408030500400005000000000000000000000000000000000000000TAMIZAJE DE ANTICUERPOS
ANTI ANTIGENOS NUCLEARES
00080000004000001040000064000012800000880000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00409030500400015000000000000000000000000000000000000000EXTRACTABLES (A- ENA: SM,
RNP, RO, LA, SCL- 70 Y JO- 1)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00410030500500005000000000000000000000000000000000000000ANTICUERPOS ANTINUCLEARES
(ANA), ANTIMITOCONDRIALES, ANTI
00056100002810000729000044900008980000618000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00411030500500015000000000000000000000000000000000000000DNA (ADNA), ANTI MUSCULO
LISO, ANTICENTROMERO, U OTROS,
C/U.0000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000
00412030500600005000000000000000000000000000000000000000ANTICUERPOS ATIPICOS,
PANNEL DE IDENTIFICACION.
00072500003630000943000058100011600000798000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00413030500700005000000000000000000000000000000000000000ANTICUERPOS ESPECIFICOS Y
OTROS AUTOANTICUERPOS
00045000002250000585000036000007200000495000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00414030500700015000000000000000000000000000000000000000(ANTICUERPOS ANTITIROIDEOS:
ANTICUERPOS ANTIMICROSOMALES Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00415030500700025000000000000000000000000000000000000000ANTITIROGLOBULINAS Y OTROS
ANTICUERPOS: PROSTATICO,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00416030500700035000000000000000000000000000000000000000ESPERMIOS, ETC.) C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00417030500800005000000000000000000000000000000000000000ANTIESTREPTOLISINA O, POR
TECNICA DE LATEX
00036200001810000471000029000005790000398000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00418030500900005000000000000000000000000000000000000000ANTIGENO CARCINOEMBRIONARIO
(CEA)
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00419030507000005000000000000000000000000000000000000000ANTIGENO PROSTATICO
ESPECIFICO
00070400003520000915000056300011260000774000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00420030517000005000000000000000000000000000000000000000ANTIGENO CA 125, CA 15-3 Y
CA 19-9, C/U
00071400003570000928000057100011420000785000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00421030501000005000000000000000000000000000000000000000BETA-2-MICROGLOBULINA
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00422030501100005000000000000000000000000000000000000000COMPLEJOS INMUNES
CIRCULANTES
00045000002250000585000036000007200000495000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00423030501200005000000000000000000000000000000000000000COMPLEMENTO C1Q, C2, C3,
C4, ETC., C/U
00036200001810000471000029000005790000398000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00424030501300005000000000000000000000000000000000000000COMPLEMENTO HEMOLITICO (CH
50)
00045000002250000585000036000007200000495000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00425030501400005000000000000000000000000000000000000000CRIOGLOBULINAS,
PRECIPITACION EN FRIO (CUALITATIVA) O
00008700000440000113000007000001390000096000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00426030501400015000000000000000000000000000000000000000CUANTITATIVA C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00427030501500005000000000000000000000000000000000000000DEPOSITO DE COMPLEJOS
INMUNES POR INMUNOFLUORESCENCIA.
00053900002700000701000043200008620000593000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00428030501600005000000000000000000000000000000000000000DEPOSITO DE COMPLEMENTO POR
INMUNOFLUORESCENCIA (C3, C4),
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00429030501600015000000000000000000000000000000000000000C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00430030501700005000000000000000000000000000000000000000DEPOSITO DE FIBRINOGENO POR
INMUNOFLUORESCENCIA
00053900002700000701000043200008620000593000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00431030501800005000000000000000000000000000000000000000DEPOSITO DE INMUNOGLOBULINA
POR INMUNOFLUORESCENCIA (IGG,
00054700002740000711000043800008750000602000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00432030501800015000000000000000000000000000000000000000IGA, IGM) C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00433030501900005000000000000000000000000000000000000000FACTOR REUMATOIDEO POR
TECNICA DE LATEX U OTRAS SIMILARES
00020600001030000268000016500003300000227000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00434030502000005000000000000000000000000000000000000000FACTOR REUMATOIDEO POR
TECNICA DE SCAT, WAALER ROSE,
00035600001780000463000028500005700000392000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00435030502000015000000000000000000000000000000000000000NEFELOMETRICAS Y/O
TURBIDIMETRICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00436030502100005000000000000000000000000000000000000000INHIBIDOR DE C1Q, C2 Y C3,
C/U
00036200001810000471000029000005790000398000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00437030502200005000000000000000000000000000000000000000INMUNOELECTROFORESIS DE
CADENAS LIVIANAS KAPPA O LAMBDA
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00438030502200015000000000000000000000000000000000000000LIBRES (BENCE JONES) O
UNIDAS, C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00439030502300005000000000000000000000000000000000000000INMUNOELECTROFORESIS DE
INMUNOGLOBULINAS CADENAS PESADAS
00036200001810000471000029000005790000398000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00440030502300015000000000000000000000000000000000000000(IGG, IGA, IGM ) C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00441030502400005000000000000000000000000000000000000000INMUNOELECTROFORESIS DE
INMUNOGLOBULINAS IGD E IGE C/U
00040100002010000521000032100006420000442000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00442030502500005000000000000000000000000000000000000000INMUNOFIJACION DE
INMUNOGLOBULINA, C/U.
00062300003120000810000049900009970000686000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00443030502600005000000000000000000000000000000000000000INMUNOGLOBULINA IGA
SECRETORA
00035000001750000455000028000005600000385000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00444030502700005000000000000000000000000000000000000000INMUNOGLOBULINAS IGA, IGG,
IGM, C/U
00036200001810000471000029000005790000398000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00445030502800005000000000000000000000000000000000000000INMUNOGLOBULINAS IGE, IGD
TOTAL, C/U
00041500002080000540000033300006640000457000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00446030502900005000000000000000000000000000000000000000INMUNOGLOBULINAS IGE, IGG
ESPECIFICAS, C/U
00040800002040000530000032600006530000449000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00447030503000005000000000000000000000000000000000000000PROTEINA C REACTIVA POR
TECNICA DE LATEX U OTRAS SIMILARES
00033900001700000441000027200005420000373000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00448030503100005000000000000000000000000000000000000000PROTEINA C REACTIVA POR
TECNICAS NEFELOMETRICAS Y/O
00046800002340000608000037400007490000515000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00449030503100015000000000000000000000000000000000000000TURBIDIMETRICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00450030503200005000000000000000000000000000000000000000PROTEINAS BENCE JONES POR
ELECTROFORESIS (INCLUYE
00047100002360000612000037700007540000519000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00451030503200015000000000000000000000000000000000000000PROTEINURIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00452030503400005000000000000000000000000000000000000000QUIMIOTAXIS-LEUCOTAXIS
00054100002710000703000043300008660000596000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00453030508100005000000000000000000000000000000000000000ANTICUERPO ANTIENDOMISIO
(EMA, ANTIMEMBRANA BASAL
00084200004210001095000067400013470000926000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00454030508100015000000000000000000000000000000000000000GLOMERULAR (GBM),
ANTIRETICULINA, POR IFI C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00455030518100005000000000000000000000000000000000000000ESTUDIO DE ANTICUERPO
ANTITRANSGLUTAMINSA (TTG)
00085400004270001110000068300013660000939000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00456030508200005000000000000000000000000000000000000000ANTICUERPOS ANTICITOPLASMA
DE NEUTROFILOS (ANCA), C-ANCA Y
00125300006270001629000100300020050001379000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00457030508200015000000000000000000000000000000000000000P-ANCA, POR IFI
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00458030508300005000000000000000000000000000000000000000DETERMINACION DE ISOTIPOS
DE ANTICUERPOS ANTICITOPLASMA DE
00053200002660000692000042600008510000585000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00459030508300015000000000000000000000000000000000000000NEUTROFILOS (G-M-A-C'3),
POR IFI, C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00460030508400005000000000000000000000000000000000000000ANTICUERPOS
ANTICARDIOLIPINAS POR ELISA (ISOTIPOS G-M-A),
00095700004790001244000076600015310001053000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00461030508400015000000000000000000000000000000000000000C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00462030508500005000000000000000000000000000000000000000ANTICUERPOS ANTI MLK-1, POR
IFI.
00159300007970002071000127500025490001753000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00463030508600005000000000000000000000000000000000000000ANTICUERPOS ANTIGLIADINA
(ENFERMEDAD CELIACA), POR ELISA
00084200004210001095000067400013470000926000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00464030508600015000000000000000000000000000000000000000(ISOTIPOS G-M, C/U).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00465030518200005000000000000000000000000000000000000000REACCION DE POLIMERASA EN
CADENA (P.C.R.), VIRUS INFLUENZA,
00231600011580000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00466030518200015000000000000000000000000000000000000000VIRUS HERPES,
CITOMEGALOVIRUS, HEPATITIS C, MYCOBACTERIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00467030518200025000000000000000000000000000000000000000TBC, C/U (INCLUYE TOMA
MUESTRA HISOPADO NASOFARINGEO).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00468030500000003000000000000000000000000000000000000000B.- INMUNOCELULARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00469030503500005000000000000000000000000000000000000000CRIOAGLUTININAS
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00470030503600005000000000000000000000000000000000000000CRIOHEMOLISINAS
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00471030503700005000000000000000000000000000000000000000DIGESTION FAGOCITICA
NITROBLUE-TETRAZOLIUM CUALITATIVO Y
00046000002300000598000036800007360000506000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00472030503700015000000000000000000000000000000000000000CUANTITATIVO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00473030503800005000000000000000000000000000000000000000FAGOCITOSIS: INGESTION Y
DIGESTION (KILLING) DE LEVADURAS
00094800004740001232000075800015170001043000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00474030503800015000000000000000000000000000000000000000POR POLIMORFONUCLEARES.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00475030503900005000000000000000000000000000000000000000FAGOCITOSIS: INGESTION Y
DIGESTION (KILLING) DE BACTERIAS
00094800004740001232000075800015170001043000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00476030503900015000000000000000000000000000000000000000POR POLIMORFONUCLEARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00477030504000005000000000000000000000000000000000000000INMUNOADHERENCIA DE
LEUCOCITOS MACROFAGOS
00037000001850000481000029600005920000407000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00478030504100005000000000000000000000000000000000000000INTRADERMOREACCION (PPD,
HISTOPLASMINA, ASPERGILINA, U
00036400001820000473000029100005820000400000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00479030504100015000000000000000000000000000000000000000OTROS, INCLUYE EL VALOR DEL
ANTIGENO Y REACCION DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00480030504100025000000000000000000000000000000000000000CONTROL), C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00481030508000005000000000000000000000000000000000000000ESTUDIO PARA
HIPERSENSIBILIDAD RETARDADA
00159300007970002071000127500025490001753000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00482030504200005000000000000000000000000000000000000000LIF O MIF
00046000002300000598000036800007360000506000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00483030504300005000000000000000000000000000000000000000LINFOCITOS B
(INMUNOFLUORESCENCIA)
00042000002100000546000033600006720000462000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00484030504400005000000000000000000000000000000000000000LINFOCITOS B (ROSETAS EAC)
Y LINFOCITOS T (ROSETAS E) C/U.
00041400002070000538000033100006620000455000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00485030504500005000000000000000000000000000000000000000LINFOCITOS T "HELPER"
(OKT4) O SUPRESORES (OKT8) CON
00046000002300000598000036800007360000506000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00486030504500015000000000000000000000000000000000000000ANTISUERO MONOCLONAL, C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00487030504600005000000000000000000000000000000000000000LINFOCITOS T TOTALES ( OKT3
Y/O OKT11) CON ANTISUERO
00046000002300000598000036800007360000506000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00488030504600015000000000000000000000000000000000000000MONOCLONAL O
INMUNOFENOTIPIFICACION DE POBLACIONES Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00489030504600025000000000000000000000000000000000000000SUBPOBLACIONES CELULARES
( ANTIGENOS O MARCADORES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00490030504600035000000000000000000000000000000000000000INMUNOCELULARES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00491030504700005000000000000000000000000000000000000000LINFOTOXINAS HUMANAS,
DETECCION DE
00063800003190000829000051000010210000702000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00492030504800005000000000000000000000000000000000000000REACCION CUTANEA 16
ALERGENOS POR ESCARIFICACION (INCLUYE
00046000002300000598000036800007360000506000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00493030504800015000000000000000000000000000000000000000EL VALOR DE LOS ANTIGENOS).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00494030504900005000000000000000000000000000000000000000TRANSFORMACION
LINFOBLASTICA A DROGAS, ANALISIS DE
00180900009050002352000144800028940001990000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00495030504900015000000000000000000000000000000000000000TRANSFORMACION ESPONTANEA
CON ESTIMULO INESPECIFICO Y CON
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00496030504900025000000000000000000000000000000000000000DIFERENTES CONCENTRACIONES
DE LA DROGA EN 1000 CELULAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00497030500000003000000000000000000000000000000000000000C.- HISTOCOMPATIBILIDAD
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00498030505200005000000000000000000000000000000000000000ANTICUERPOS
LINFOCITOTOXICOS (PRA) POR
00062900003150000818000050400010060000692000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00499030505200015000000000000000000000000000000000000000MICROLINFOCITOTOXICIDAD
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00500030505300005000000000000000000000000000000000000000AUTOCROSSMATCH CON
LINFOCITOS T Y B
00112500005630001463000090100018000001238000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00501030505600005000000000000000000000000000000000000000ALOCROSSMATCH CON
LINFOCITOS TOTALES
00068800003440000894000055000011010000757000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00502030505700005000000000000000000000000000000000000000ALOCROSSMATCH CON
LINFOCITOS T Y B
00183600009180002387000146900029380002020000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00503030505800005000000000000000000000000000000000000000CULTIVO MIXTO DE LINFOCITOS
00452700022640005885000362200072430004980000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00504030506000005000000000000000000000000000000000000000TIPIFICACION HLA B-27.
00127600006380001659000102100020420001404000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00505030506200005000000000000000000000000000000000000000TIPIFICACION HLA - DR
SEROLOGICA
00510400025520006635000408300081660005614000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00506030506300005000000000000000000000000000000000000000TIPIFICACION HLA - A, B
SEROLOGICA
00638000031900008294000510400102080007018000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00507030506400005000000000000000000000000000000000000000SEROTECA Y MANTENCION EN LA
BASE A RECEPTORES CADAVER
00140900007050000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00508030508700005000000000000000000000000000000000000000ANTICUERPOS
LINFOCITOTOXICOS CON IDENTIFICACION DE
00116700005840001517000093400018670001284000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00509030508700015000000000000000000000000000000000000000INMUNOGLOBULINAS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00510030508800005000000000000000000000000000000000000000ESPECIFICIDAD DE
ANTICUERPOS.
00366300018320004762000293100058610004030000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00511030600000002000000000000000000000000000000000000000VI.- EXAMENES
MICROBIOLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00512030600000003000000000000000000000000000000000000000A.- BACTERIAS Y HONGOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00513030600000003000000000000000000000000000000000000000A.1 EXAMENES
MICROSCOPICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00514030600100005000000000000000000000000000000000000000BACILOSCOPIA ZIEHL-NEELSEN
POR CONCENTRACION DE LIQUIDOS
00019500000980000254000015700003120000215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00515030600100015000000000000000000000000000000000000000(ORINA U OTROS), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00516030600200005000000000000000000000000000000000000000BACILOSCOPIA ZIEHL-NEELSEN,
C/U
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00517030600400005000000000000000000000000000000000000000EXAMEN DIRECTO AL FRESCO,
C/S TINCION (INCLUYE TRICHOMONAS)
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00518030600500005000000000000000000000000000000000000000TINCION DE GRAM
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00519030600600005000000000000000000000000000000000000000ULTRAMICROSCOPIA (INCLUYE
TOMA DE MUESTRAS)
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00520030600000003000000000000000000000000000000000000000A.2 CULTIVOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00521030600000003000000000000000000000000000000000000000(INCLUYE LA IDENTIFICACION
BIOQUIMICA Y SEROLOGICA CUANDO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00522030600000013000000000000000000000000000000000000000CORRESPONDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00523030600700005000000000000000000000000000000000000000COPROCULTIVO, C/U
00032000001600000416000025600005120000352000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00524030600800005000000000000000000000000000000000000000CULTIVO CORRIENTE (EXCEPTO
COPROCULTIVO, HEMOCULTIVO Y
00026500001330000345000021300004240000292000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00525030600800015000000000000000000000000000000000000000UROCULTIVO) C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00526030600900005000000000000000000000000000000000000000HEMOCULTIVO AEROBIO, C/U
00032600001630000424000026100005220000359000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00527030601000005000000000000000000000000000000000000000HEMOCULTIVO ANAEROBIO, C/U
00053700002690000698000043000008590000591000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00528030601100005000000000000000000000000000000000000000UROCULTIVO, RECUENTO DE
COLONIAS Y ANTIBIOGRAMA (CUALQUIER
00028000001400000364000022400004480000308000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00529030601100015000000000000000000000000000000000000000TECNICA) (INCLUYE TOMA DE
ORINA ASEPTICA) (NO INCLUYE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00530030601100025000000000000000000000000000000000000000RECOLECTOR PEDIATRICO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00531030600000003000000000000000000000000000000000000000A.3 CULTIVOS
ESPECIFICOS PARA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00532030601200005000000000000000000000000000000000000000CULTIVO PARA ANAEROBIOS
(INCLUYE COD. 03-06-008)
00051100002560000664000040900008180000563000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00533030601300005000000000000000000000000000000000000000CULTIVO ESPECIFICO PARA
BORDETELLA
00048400002420000629000038700007740000532000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00534030601400005000000000000000000000000000000000000000CULTIVO PARA CAMPYLOBACTER,
YERSINIA, VIBRIO, C/U
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00535030601500005000000000000000000000000000000000000000CULTIVO PARA DIFTERIA
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00536030601600005000000000000000000000000000000000000000NEISSERIA GONORRHOEAE
(GONOCOCO)
00022900001150000298000018400003660000252000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00537030601700005000000000000000000000000000000000000000CULTIVO PARA LEVADURAS
00020700001040000269000016600003310000228000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00538030611700005000000000000000000000000000000000000000CULTIVO PARA HONGOS
FILAMENTOSOS
00023600001180000307000018900003780000260000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00539030601800005000000000000000000000000000000000000000CULTIVO PARA BACILO DE
KOCH, (INCLUYE OTRAS MICOBACTERIAS)
00033400001670000434000026700005340000367000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00540030601900005000000000000000000000000000000000000000CULTIVO PARA LEGIONELLA
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00541030602000005000000000000000000000000000000000000000CULTIVO PARA LISTERIA
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00542030602100005000000000000000000000000000000000000000NEISSERIA MENINGITIDIS
(MENINGOCOCO)
00022900001150000298000018400003660000252000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00543030602200005000000000000000000000000000000000000000CULTIVO Y TIPIFICACION DE
MICOBACTERIAS
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00544030602300005000000000000000000000000000000000000000CULTIVO DE MYCOPLASMA Y
UREAPLASMA, C/U
00047300002370000615000037900007570000521000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00545030600000003000000000000000000000000000000000000000A.4 ANTIBIOGRAMA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00546030602400005000000000000000000000000000000000000000ANTIBIOGRAMA DE ANAEROBIOS
(MINIMO 4 FARMACOS)
00033700001690000438000027000005390000371000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00547030602500005000000000000000000000000000000000000000ANTIBIOGRAMA BACILO DE KOCH
(CADA FARMACO)
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00548030602600005000000000000000000000000000000000000000ANTIBIOGRAMA CORRIENTE
(MINIMO 10 FARMACOS) (EN CASO DE
00021400001070000278000017100003420000235000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00549030602600015000000000000000000000000000000000000000UROCULTIVO NO CORRESPONDE
SU COBRO; INCLUIDO EN EL VALOR 03-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0055003060260002500000000000000000000000000000000000000006-011)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00551030602700005000000000000000000000000000000000000000ANTIBIOGRAMA DE ESTUDIO DE
SENSIBILIDAD POR DILUCION (CIM)
00059000002950000767000047200009440000649000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00552030602700015000000000000000000000000000000000000000(MINIMO 6 FARMACOS) (EN
CASO DE UROCULTIVO, NO CORRESPONDE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00553030602700025000000000000000000000000000000000000000SU COBRO; INCLUIDO EN EL
VALOR CODIGO 03-06-011)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00554030602800005000000000000000000000000000000000000000ANTIFUNGIGRAMA (MINIMO 4
FARMACOS ANTIHONGOS)
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00555030600000003000000000000000000000000000000000000000A.5 OTROS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00556030602900005000000000000000000000000000000000000000AUTOVACUNAS, INCLUYE
CULTIVO Y PREPARACION DE MINIMO 10
00051100002560000664000040900008180000563000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00557030602900015000000000000000000000000000000000000000AMPOLLAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00558030603000005000000000000000000000000000000000000000PODER BACTERICIDA DEL SUERO
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00559030603100005000000000000000000000000000000000000000PREPARACION DE VACUNAS UNI
O POLIVALENTES MANTENIDAS EN
00033700001690000438000027000005390000371000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00560030603100015000000000000000000000000000000000000000STOCK (MINIMO 5 AMPOLLAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00561030609000005000000000000000000000000000000000000000TEST RAPIDO DE DETECCION DE
STREPTOCOCCUS.
00042600002130000554000034100006820000469000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00562030600000003000000000000000000000000000000000000000A.6 SEROLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00563030600000003000000000000000000000000000000000000000(DETERMINACION DE ANTIGENOS
O ANTICUERPOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00564030603200005000000000000000000000000000000000000000ASPERGILOSIS, CANDIDIASIS,
HISTOPLASMOSIS U OTROS HONGOS
00037900001900000493000030400006060000417000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00565030603200015000000000000000000000000000000000000000POR INMUNODIAGNOSTICO C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00566030603300005000000000000000000000000000000000000000BRUCELLA, REACCION DE
AGLUTINACION PARA (WRIGHT-HUDLESON) O
00011800000590000153000009400001890000130000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00567030603300015000000000000000000000000000000000000000SIMILARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00568030603400005000000000000000000000000000000000000000CLAMIDIAS POR
INMUNOFLUORESCENCIA, PEROXIDASA, ELISA O
00041900002100000545000033600006700000461000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00569030603400015000000000000000000000000000000000000000SIMILARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00570030603500005000000000000000000000000000000000000000LINFOGRANULOMA VENEREO,
PSITACOSIS, TIFUS EXANTEMATICO,
00035400001770000460000028300005660000389000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00571030603500015000000000000000000000000000000000000000MYCOPLASMA POR
INMUNODIAGNOSTICO, C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00572030603600005000000000000000000000000000000000000000MONONUCLEOSIS, REACCION DE
PAUL BUNNELL, ANTICUERPOS
00018400000920000239000014700002940000202000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00573030603600015000000000000000000000000000000000000000HETEROFILOS O SIMILARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00574030603700005000000000000000000000000000000000000000MYCOPLASMA IGG, IGM, C/U.
00037000001850000481000029600005920000407000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00575030603800005000000000000000000000000000000000000000R.P.R.
00020100001010000261000016100003220000222000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00576030603900005000000000000000000000000000000000000000TIFICAS, REACCIONES DE
AGLUTINACION (EBERTH H Y O,
00028200001410000367000022600004510000310000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00577030603900015000000000000000000000000000000000000000PARATYPHI A Y B) (WIDAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00578030604000005000000000000000000000000000000000000000TIFUS EXANTEMATICO,
REACCION DE AGLUTINACION PARA (WEIL-
00011800000590000153000009400001890000130000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00579030604000015000000000000000000000000000000000000000FELIX)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00580030604100005000000000000000000000000000000000000000TREPONEMA PALLIDUM FTA -
ABS, MHA-TP C/U
00037900001900000493000030400006060000417000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00581030604200005000000000000000000000000000000000000000V.D.R.L.
00023500001180000306000018900003760000259000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00582030600000003000000000000000000000000000000000000000B. PARASITOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00583030600000003000000000000000000000000000000000000000B.1 MACRO Y
MICROSCOPICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00584030604300005000000000000000000000000000000000000000ARTROPODOS MACROSCOPICOS Y
MICROSCOPICOS (IMAGOS Y/O PUPAS
00022900001150000298000018400003660000252000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00585030604300015000000000000000000000000000000000000000Y/O LARVAS), DIAGNOSTICO DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00586030604500005000000000000000000000000000000000000000COPROPARASITARIO SERIADO
CON TECNICA PARA CRYPTOSPORIDIUM
00067700003390000880000054200010830000745000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00587030604500015000000000000000000000000000000000000000SP O PARA DIANTAMOEBA
FRAGILIS (INCLUYE LOS CODIGOS 03-06-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00588030604500025000000000000000000000000000000000000000048 Y/O 03-06-059 MAS
APLICACION DE TECNICA DE FROTIS CON
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00589030604500035000000000000000000000000000000000000000TINCION TRICROMICA O
TINCION ZIEHL-NEELSEN EN POR LO MENOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
005900306045000450000000000000000000000000000000000000003 MUESTRAS, SEGUN
CORRESPONDA).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00591030604600005000000000000000000000000000000000000000COPROPARASITARIO SERIADO
PARA FASCIOLA HEPATICA (INCLUYE
00136100006810001769000108900021780001498000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00592030604600015000000000000000000000000000000000000000DIAGNOSTICO DE GUSANOS
MACROSCOPICOS Y EXAMEN MICROSCOPICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00593030604600025000000000000000000000000000000000000000DE 10 MUESTRAS SEPARADAS
POR METODO DE TELEMANN Y DE OTRAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0059403060460003500000000000000000000000000000000000000010 MUESTRAS SEPARADAS Y
SIMULTANEAS CON LAS ANTERIORES POR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00595030604600045000000000000000000000000000000000000000TECNICA DE SEDIMENTACION)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00596030604700005000000000000000000000000000000000000000COPROPARASITARIO SERIADO
PARA ISOSPORA Y SARCOCYSTIS
00037000001850000481000029600005920000407000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00597030604700015000000000000000000000000000000000000000(INCLUYE DIAGNOSTICO DE
GUSANOS MACROSCOPICOS Y EXAMEN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00598030604700025000000000000000000000000000000000000000MICROSCOPICO DE 3 MUESTRAS
SEPARADAS )
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00599030604800005000000000000000000000000000000000000000COPROPARASITOLOGICO SERIADO
SIMPLE (INCLUYE DIAGNOSTICO DE
00023700001190000308000019000003790000261000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00600030604800015000000000000000000000000000000000000000GUSANOS MACROSCOPICOS Y
EXAMEN MICROSCOPICO POR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00601030604800025000000000000000000000000000000000000000CONCENTRACION DE TRES
MUESTRAS SEPARADAS METODO TELEMANN )
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00602030604800035000000000000000000000000000000000000000(PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00603030604900005000000000000000000000000000000000000000DIAGNOSTICO DE PARASITOS EN
JUGO DUODENAL Y/O BILIS, EXAMEN
00022600001130000294000018100003620000249000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00604030604900015000000000000000000000000000000000000000MACROSCOPICO Y MICROSCOPICO
(DIRECTO Y/O CONCENTRACION, C/S
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00605030604900025000000000000000000000000000000000000000TINCION)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00606030605000005000000000000000000000000000000000000000DIAGNOSTICO PARASITARIO EN
EXUDADOS, SECRECIONES Y OTROS
00022900001150000298000018400003660000252000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00607030605000015000000000000000000000000000000000000000LIQUIDOS ORGANICOS (NO
ESPECIFICADOS MAS ADELANTE), EXAMEN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00608030605000025000000000000000000000000000000000000000MACRO Y MICROSCOPICO DE
(INCLUYE CONCENTRACION Y/O TINCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00609030605000035000000000000000000000000000000000000000CUANDO PROCEDA), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00610030605100005000000000000000000000000000000000000000GRAHAM, EXAMEN DE (INCLUYE
DIAGNOSTICO DE GUSANOS
00016200000810000211000013000002590000178000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00611030605100015000000000000000000000000000000000000000MACROSCOPICOS Y EXAMEN
MICROSCOPICO DE 5 MUESTRAS
SEPARADAS)0000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000
00612030605200005000000000000000000000000000000000000000GUSANOS MACROSCOPICOS,
DIAGNOSTICO DE (PROC. AUT.)
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00613030605300005000000000000000000000000000000000000000HEMOPARASITOS, DIAGNOSTICO
MICROSCOPICO DE (MINIMO 10
00068600003430000892000054900010980000755000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00614030605300015000000000000000000000000000000000000000FROTIS Y/O GOTAS GRUESAS,
C/S EXAMEN DIRECTO AL FRESCO),
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00615030605300025000000000000000000000000000000000000000CADA SESION.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00616030605400005000000000000000000000000000000000000000HEMOPARASITOS, DIAGNOSTICO
POR TECNICA DE STROUT O SIMILAR
00090400004520001175000072300014460000994000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00617030605400015000000000000000000000000000000000000000EN HASTA 10 TUBOS
CAPILARES, CADA SESION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00618030605600005000000000000000000000000000000000000000RASPADO DE PIEL, EXAMEN
MICROSCOPICO DE ("ACAROTEST"): DE 6
00030800001540000400000024600004930000339000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00619030605600015000000000000000000000000000000000000000A 10 PREPARACIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00620030605700005000000000000000000000000000000000000000TENIAS POST TRAT.,
DIAGNOSTICO Y BUSQUEDA DE ESCOLEX DE
00022600001130000294000018100003620000249000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00621030605800005000000000000000000000000000000000000000XENODIAGNOSTICO (CADA
APLICACION DE 2 CAJAS, CON 6 NINFAS
00138200006910001797000110600022110001520000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00622030605800015000000000000000000000000000000000000000POR LO MENOS C/U,
EXAMINADAS A LOS 20 Y/O 30 DIAS Y HASTA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00623030605800025000000000000000000000000000000000000000POR 60 DIAS MAS SI
PROCEDE).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00624030605900005000000000000000000000000000000000000000COPROPARASITOLOGICO SERIADO
SIMPLE (INCLUYE DIAGNOSTICO DE
00030600001530000398000024500004900000337000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00625030605900015000000000000000000000000000000000000000GUSANOS MACROSCOPICOS Y
EXAMEN MICROSCOPICO POR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00626030605900025000000000000000000000000000000000000000CONCENTRACION DE TRES
MUESTRAS SEPARADAS METODO PAFS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00627030605900035000000000000000000000000000000000000000(PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00628030600000003000000000000000000000000000000000000000B.2. SEROLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00629030600000003000000000000000000000000000000000000000(DETERMINACION DE ANTIGENOS
Y ANTICUERPOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00630030606000005000000000000000000000000000000000000000DOBLE DIFUSION ("ARCO
QUINTO") (HIDATIDOSIS Y OTRAS), C/U
00030800001540000400000024600004930000339000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00631030606100005000000000000000000000000000000000000000ELISA INDIRECTA (CHAGAS,
HIDATIDOSIS, TOXOCARIASIS Y
00042000002100000546000033600006720000462000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00632030606100015000000000000000000000000000000000000000OTRAS), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00633030606200005000000000000000000000000000000000000000FIJACION DEL COMPLEMENTO
(DISTOMATOSIS, TOXOPLASMOSIS,
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00634030606200015000000000000000000000000000000000000000CISTICERCOSIS Y OTRAS) C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00635030606300005000000000000000000000000000000000000000FLOCULACION EN BENTONITA,
LATEX, PRECIPITINAS O SIMILAR
00022900001150000298000018400003660000252000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00636030606300015000000000000000000000000000000000000000(TRIQUINOSIS,HIDATIDOSIS Y
OTROS), C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00637030606400005000000000000000000000000000000000000000HEMAGLUTINACION INDIRECTA
(TOXOPLASMOSIS, CHAGAS,
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00638030606400015000000000000000000000000000000000000000HIDATIDOSIS Y OTRAS), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00639030606500005000000000000000000000000000000000000000INMUNOELECTROFORESIS O
CONTRAINMUNOELECTROFORESIS
00042000002100000546000033600006720000462000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00640030606500015000000000000000000000000000000000000000(HIDATIDOSIS, DISTOMATOSIS,
AMEBIASIS Y OTRAS), C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00641030606600005000000000000000000000000000000000000000INMUNOFLUORESCENCIA
INDIRECTA (TOXOPLASMOSIS, CHAGAS,
00042000002100000546000033600006720000462000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00642030606600015000000000000000000000000000000000000000AMEBIASIS Y OTRAS), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00643030600000003000000000000000000000000000000000000000C. VIRUS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00644030600000003000000000000000000000000000000000000000C.1 CULTIVOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00645030606800005000000000000000000000000000000000000000AISLAMIENTO DE VIRUS
(ADENOVIRUS, CITOMEGALOVIRUS,
00051100002560000664000040900008180000563000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00646030606800015000000000000000000000000000000000000000COXSAKIE, HERPES,
INFLUENZA, POLIO, SARAMPION Y OTROS), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00647030600000003000000000000000000000000000000000000000C.2 SEROLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00648030600000003000000000000000000000000000000000000000(DETERMINACION DE ANTIGENOS
O ANTICUERPOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00649030606900005000000000000000000000000000000000000000ANTICUERPOS VIRALES,
DETERM. DE (ADENOVIRUS,
00043700002190000568000035000006990000481000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00650030606900015000000000000000000000000000000000000000CITOMEGALOVIRUS, HERPES
SIMPLE, RUBEOLA, INFLUENZA A Y B;
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00651030606900025000000000000000000000000000000000000000VIRUS VARICELA-ZOSTER;
VIRUS SINCICIAL RESPIRATORIO;
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00652030606900035000000000000000000000000000000000000000PARAINFLUENZA 1, 2 Y 3;
EPSTEIN BARR Y OTROS), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00653030616900005000000000000000000000000000000000000000ANTICUERPOS VIRALES,
DETERM. DE H.I.V.
00041700002090000542000033400006670000459000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00654030607000005000000000000000000000000000000000000000ANTIGENOS VIRALES DETERM.
DE (ADENOVIRUS, CITOMEGALOVIRUS,
00039500001980000514000031700006320000435000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00655030607000015000000000000000000000000000000000000000HERPES SIMPLE, RUBEOLA,
INFLUENZA Y OTROS), (POR CUALQUIER
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00656030607000025000000000000000000000000000000000000000TECNICA EJ:
INMUNOFLUORESCENCIA), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00657030617000005000000000000000000000000000000000000000ANTIGENOS VIRALES DETERM.
DE ROTAVIRUS, POR CUALQUIER
00039500001980000514000031700006320000435000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00658030617000015000000000000000000000000000000000000000TECNICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00659030627000005000000000000000000000000000000000000000ANTIGENOS VIRALES DETERM.
DE VIRUS SINCICIAL, POR CUALQUIER
00043100002160000560000034500006900000475000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00660030627000015000000000000000000000000000000000000000TECNICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00661030607100005000000000000000000000000000000000000000FIJACION DE COMPLEMENTO,
REACCION (ADENOVIRUS,
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00662030607100015000000000000000000000000000000000000000CITOMEGALOVIRUS, HERPES
SIMPLE, INFLUENZA, RUBEOLA Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00663030607100025000000000000000000000000000000000000000OTROS), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00664030607200005000000000000000000000000000000000000000REACCION DE
SERONEUTRALIZACION PARA: VIRUS POLIO, ECHO,
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00665030607200015000000000000000000000000000000000000000COXSAKIE, C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00666030607300005000000000000000000000000000000000000000VIRUS HEPATITIS A, ANTICORE
00042000002100000546000033600006720000462000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00667030607400005000000000000000000000000000000000000000VIRUS HEPATITIS A,
ANTICUERPOS IGM DEL
00059100002960000768000047300009460000651000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00668030607500005000000000000000000000000000000000000000VIRUS HEPATITIS B,
ANTICUERPO DEL ANTIGENO E DEL
00051100002560000664000040900008180000563000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00669030607600005000000000000000000000000000000000000000VIRUS HEPATITIS B, ANTICORE
TOTAL DEL (ANTI HBC TOTAL)
00054600002730000710000043700008740000601000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00670030607700005000000000000000000000000000000000000000VIRUS HEPATITIS B, ANTIGENO
DE SUPERFICIE O ANTIGENO
00040900002050000532000032800006540000450000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00671030607700015000000000000000000000000000000000000000AUSTRALIANO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00672030607800005000000000000000000000000000000000000000VIRUS HEPATITIS B, ANTIGENO
E DEL (HBEAG)
00051100002560000664000040900008180000563000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00673030608000005000000000000000000000000000000000000000VIRUS HEPATITIS B, ANTICORE
IGM DEL (ANTI HBC IGM)
00056700002840000737000045400009070000624000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00674030608100005000000000000000000000000000000000000000VIRUS HEPATITIS C,
ANTICUERPOS DE (ANTI HCV)
00062800003140000816000050200010050000691000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00675030700000002000000000000000000000000000000000000000VII.- PROCEDIMIENTOS O
DETERMINACIONES DIRECTAMENTE CON EL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00676030700000012000000000000000000000000000000000000000PACIENTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00677030700000003000000000000000000000000000000000000000(NO INCLUYE LOS FARMACOS NI
LOS EXAMENES BIOQUIMICOS QUE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00678030700000013000000000000000000000000000000000000000CORRESPONDAN)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00679030700100005000000000000000000000000000000000000000DIETILENDIAMINA
TETRAACETATO DE SODIO CROMO (EDTA CR 51)
00046100002310000599000036900007380000508000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00680030700200005000000000000000000000000000000000000000PRUEBA DE LA SED (VOLUMEN,
DENSIDAD, OSMOLALIDAD SERIADA EN
00040800002040000530000032600006530000449000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00681030700200015000000000000000000000000000000000000000SANGRE Y ORINA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00682030700300005000000000000000000000000000000000000000PRUEBA DE SOBRECARGA DE
ALMIDON
00025100001260000326000020100004020000277000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00683030700400005000000000000000000000000000000000000000PRUEBA DE SOBRECARGA DE
INSULINA O TOLBUTAMIDA
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00684030700500005000000000000000000000000000000000000000REACCION CUTANEA DE PARCHE
C/U
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00685030700600005000000000000000000000000000000000000000SOBRECARGA HIDRICA
00011400000570000148000009100001820000125000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00686030700700005000000000000000000000000000000000000000TEST DEL SUDOR
(PROCEDIMIENTO COMPLETO)
00108200005410001407000086600017310001190000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00687030700800005000000000000000000000000000000000000000VASOPRESINA TEST O
SIMILARES (INCLUYE ADEMAS MEDICIONES DE
00033700001690000438000027000005390000371000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00688030700800015000000000000000000000000000000000000000DIURESIS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00689030700000003000000000000000000000000000000000000000TOMA DE MUESTRAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00690030700000003000000000000000000000000000000000000000(INCLUYE PROCEDIMIENTO Y EL
MATERIAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00691030700000003000000000000000000000000000000000000000DE SANGRE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00692030700900005000000000000000000000000000000000000000ARTERIAL EN ADULTOS
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00693030701000005000000000000000000000000000000000000000ARTERIAL EN NIOS Y
LACTANTES
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00694030701100005000000000000000000000000000000000000000VENOSA EN ADULTOS
00006400000320000083000005100001020000070000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00695030701200005000000000000000000000000000000000000000VENOSA EN NIOS Y LACTANTES
00006300000320000082000005100001010000070000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00696030701300005000000000000000000000000000000000000000CON TECNICA ASEPTICA PARA
HEMOCULTIVO, C/U
00009500000480000124000007700001520000105000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00697030701400005000000000000000000000000000000000000000CAPILAR ( ADULTOS, NIOS Y
LACTANTES )
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00698030700000003000000000000000000000000000000000000000DE ORINA, EXUDADOS,
SECRECIONES Y LIQUIDOS DE CAVIDADES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00699030700000013000000000000000000000000000000000000000SEROSAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00700030701600005000000000000000000000000000000000000000PUNCION TRAQUEAL
00017900000900000233000014400002860000197000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00701030701700005000000000000000000000000000000000000000PUNCION VESICAL EN RECIEN
NACIDOS
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00702030701800005000000000000000000000000000000000000000PUNCION MEDULAR OSEA
00089400004470001162000071500014300000983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00703030702300005000000000000000000000000000000000000000ASPIRADOS NASOFARINGEO PARA
ADULTO Y NIO.
00017400000870000226000013900002780000191000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00704030700000003000000000000000000000000000000000000000DE JUGOS DIGESTIVOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00705030701900005000000000000000000000000000000000000000DUODENAL Y/O BILIS
00037900001900000493000030400006060000417000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00706030702000005000000000000000000000000000000000000000GASTRICO PARA BACILO DE
KOCH O SIMILARES (1 MUESTRA)
00013100000660000170000010500002100000145000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00707030702100005000000000000000000000000000000000000000GASTRICO FRACCIONADO (TEST
HISTAMINA;INSULINA)
00068800003440000894000055000011010000757000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00708030702200005000000000000000000000000000000000000000PANCREATICO
00038400001920000499000030700006140000422000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00709030800000002000000000000000000000000000000000000000VIII.- EXAMENES DE
DEPOSICIONES, EXUDADOS, SECRECIONES Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00710030800000012000000000000000000000000000000000000000OTROS LIQUIDOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00711030800000003000000000000000000000000000000000000000A. DEPOSICIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00712030800100005000000000000000000000000000000000000000AZUCARES REDUCTORES
(BENEDICT-FEHLING O SIMILAR)
00009000000450000117000007200001440000099000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00713030800200005000000000000000000000000000000000000000BALANCE GRASO (VAN DE
KAMER) MUESTRA DE TRES O MAS DIAS
00097100004860001262000077700015540001069000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00714030800300005000000000000000000000000000000000000000GRASAS NEUTRAS (SUDAN III)
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00715030800400005000000000000000000000000000000000000000HEMORRAGIAS OCULTAS,
(BENCIDINA, GUAYACO O TEST DE WEBER Y
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00716030800400015000000000000000000000000000000000000000SIMILARES), CUALQUIER
METODO, C/MUESTRA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00717030800500005000000000000000000000000000000000000000LEUCOCITOS FECALES
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00718030800600005000000000000000000000000000000000000000PH
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00719030800700005000000000000000000000000000000000000000PORFIRINAS, C/U
00014800000740000192000011800002370000163000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00720030800800005000000000000000000000000000000000000000UROBILINOGENO CUANTITATIVO
00015100000760000196000012100002420000167000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00721030800000003000000000000000000000000000000000000000B. EXUDADOS, SECRECIONES Y
OTROS LIQUIDOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00722030800000003000000000000000000000000000000000000000(AMNIOTICO, ARTICULAR,
ASCITICO, BRONQUIAL, DIGESTIVO,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00723030800000013000000000000000000000000000000000000000GINECOLOGICO, L.C.R.,
NASAL, PERICARDICO, PLEURAL, SEMINAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00724030800000023000000000000000000000000000000000000000U OTROS ).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00725030800000003000000000000000000000000000000000000000B.1 EXAMENES GENERALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00726030800900005000000000000000000000000000000000000000CELULAS NEOPLASICAS EN
FLUIDOS BIOLOGICOS
00032400001620000421000025900005180000356000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00727030801000005000000000000000000000000000000000000000CITOLOGICO C/S TINCION
(INCLUYE EXAMEN AL FRESCO, RECUENTO
00023000001150000299000018400003680000253000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00728030801000015000000000000000000000000000000000000000CELULAR Y CITOLOGICO
PORCENTUAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00729030801100005000000000000000000000000000000000000000DIRECTO AL FRESCO C/S
TINCION, (INCLUYE TRICHOMONAS)
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00730030801200005000000000000000000000000000000000000000ELECTROLITOS (SODIO,
POTASIO, CLORO), C/U
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00731030801300005000000000000000000000000000000000000000EOSINOFILOS, RECUENTO DE
00006300000320000082000005100001010000070000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00732030801400005000000000000000000000000000000000000000FISICO-QUIMICO (INCLUYE
ASPECTO, COLOR, PH, GLUCOSA,
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00733030801400015000000000000000000000000000000000000000PROTEINA, PANDY Y FILANCIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00734030801500005000000000000000000000000000000000000000GLUCOSA EN EXUDADOS,
SECRECIONES Y OTROS LIQUIDOS
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00735030801600005000000000000000000000000000000000000000MUCINA, DETERMINACION DE
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00736030801700005000000000000000000000000000000000000000PH, (PROC. AUT.)
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00737030801800005000000000000000000000000000000000000000PROTEINAS TOTALES O
ALBUMINA (PROC. AUT.) C/U
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00738030801900005000000000000000000000000000000000000000PROTEINAS, ELECTROFORESIS
DE (INCLUYE PROTEINAS TOTALES)
00048600002430000632000038900007780000535000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00739030800000003000000000000000000000000000000000000000B.2 EXAMENES ESPECIALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00740030800000003000000000000000000000000000000000000000B.2.1. L.C.R.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00741030802000005000000000000000000000000000000000000000BANDAS OLIGOCLONALES
(INCLUYE ELECTROFORESIS DE L.C.R.,
00165900008300002157000132800026540001825000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00742030802000015000000000000000000000000000000000000000SUERO E INMUNOFIJACION)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00743030802100005000000000000000000000000000000000000000GLUTAMINA
00015100000760000196000012100002420000167000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00744030802200005000000000000000000000000000000000000000INDICE IGG/ALBUMINA
(INCLUYE DETERM. DE IGG Y ALBUMINA EN
00092000004600001196000073600014720001012000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00745030802200015000000000000000000000000000000000000000L.C.R.Y SUERO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00746030800000003000000000000000000000000000000000000000B.2.2. LIQUIDO ARTICULAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00747030802300005000000000000000000000000000000000000000ESTUDIO DE CRISTALES (CON
LUZ POLARIZADA)
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00748030800000003000000000000000000000000000000000000000B.2.3. LIQUIDOS
GASTROINTESTINALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00749030800000003000000000000000000000000000000000000000A) JUGO GASTRICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00750030802400005000000000000000000000000000000000000000ACIDEZ TITULABLE, PH,
VOLUMEN (UNA MUESTRA)
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00751030802500005000000000000000000000000000000000000000PRUEBA DE ESTIMULACION
MAXIMA CON HISTAMINA, MINIMO 5
00045500002280000592000036500007280000501000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00752030802500015000000000000000000000000000000000000000MUESTRAS (NO INCLUYE LA
HISTAMINA NI EL ANTIHISTAMINICO).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00753030800000003000000000000000000000000000000000000000B) JUGO PANCREATICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00754030802600005000000000000000000000000000000000000000VOLUMEN, ANHIDRIDO
CARBONICO, AMILASA Y LIPASA.
00046100002310000599000036900007380000508000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00755030800000003000000000000000000000000000000000000000C) JUGO DUODENAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00756030802700005000000000000000000000000000000000000000CRISTALES DE COLESTEROL
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00757030802800005000000000000000000000000000000000000000LIPIDOS BILIARES
00015100000760000196000012100002420000167000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00758030800000003000000000000000000000000000000000000000B.2.4. LIQUIDO SEMINAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00759030802900005000000000000000000000000000000000000000ESPERMIOGRAMA (FISICO Y
MICROSCOPICO, CON O SIN OBSERVACION
00031000001550000403000024800004960000341000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00760030802900015000000000000000000000000000000000000000HASTA 24 HORAS).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00761030803000005000000000000000000000000000000000000000FOSFATASA ACIDA PROSTATICA
00022700001140000295000018200003630000250000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00762030803100005000000000000000000000000000000000000000FRUCTOSA, CONSUMO DE
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00763030800000003000000000000000000000000000000000000000B.2.5. LIQUIDO AMNIOTICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00764030803300005000000000000000000000000000000000000000CELULAS ANARANJADAS (PROC.
AUT.)
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00765030803400005000000000000000000000000000000000000000CONTAMINANTES (MECONIO Y
SANGRE)(PROC. AUT.)
00009000000450000117000007200001440000099000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00766030803500005000000000000000000000000000000000000000CREATININA (PROC. AUT.)
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00767030803600005000000000000000000000000000000000000000FOSFATIDIL GLICEROL Y/O
FOSFATIDIL INOSITOL
00051300002570000667000041100008210000565000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00768030803700005000000000000000000000000000000000000000INDICE DE BILIRRUBINA
(PRUEBA DE LILEY)
00011400000570000148000009100001820000125000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00769030803800005000000000000000000000000000000000000000INDICE
LECITINA/ESFINGOMIELINA
00046100002310000599000036900007380000508000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00770030803900005000000000000000000000000000000000000000MADUREZ FETAL COMPLETA
(FISICO; CELULAS ANARANJADAS,
00046100002310000599000036900007380000508000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00771030803900015000000000000000000000000000000000000000BILIRRUBINA, TEST DE
CLEMENTS, CREATININA, CONTAMINANTES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00772030804000005000000000000000000000000000000000000000TEST DE CLEMENTS (PROC.
AUT.)
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00773030800000003000000000000000000000000000000000000000B.2.6. CERVICO UTERINO
VAGINAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00774030804100005000000000000000000000000000000000000000COLPOCITOGRAMA
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00775030804200005000000000000000000000000000000000000000CRISTALIZACION Y FILANCIA
DE MOCO CERVICAL
00005100000260000066000004100000820000057000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00776030804300005000000000000000000000000000000000000000MOCO-SEMEN, PRUEBA DE
COMPATIBILIDAD
00017900000900000233000014400002860000197000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00777030804400005000000000000000000000000000000000000000FLUJO VAGINAL O SECRECION
URETRAL, ESTUDIO DE (INCLUYE TOMA
00062000003100000806000049600009920000682000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00778030804400015000000000000000000000000000000000000000DE MUESTRA Y CODIGOS 03-06-
004, 03-06-005, 03-06-008, 03-06-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00779030804400025000000000000000000000000000000000000000017 Y 03-06-026)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00780030900000002000000000000000000000000000000000000000IX.- EXAMENES ORINA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00781030900100005000000000000000000000000000000000000000ACIDO ASCORBICO
00018200000910000237000014600002910000200000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00782030900200005000000000000000000000000000000000000000ACIDO DELTA AMINOLEVULINICO
00037100001860000482000029700005940000409000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00783030900300005000000000000000000000000000000000000000ACIDO FENILPIRUVICO (PKU,
CUALITATIVO)
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00784030900400005000000000000000000000000000000000000000ACIDO URICO O UREA EN ORINA
(CUANTITATIVO)
00016400000820000213000013100002620000180000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00785030900500005000000000000000000000000000000000000000ACIDO 5 HIDROXIINDOLACETICO
CUANTITATIVO
00038500001930000501000030900006160000424000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00786030900600005000000000000000000000000000000000000000AMILASA CUANTITATIVA EN
ORINA
00020200001010000263000016200003230000222000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00787030900700005000000000000000000000000000000000000000AMINOACIDOS EN ORINA
(CUALITATIVO)(EXCEPTO FENILALANINA,
00037100001860000482000029700005940000409000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00788030900700015000000000000000000000000000000000000000PKU)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00789030900800005000000000000000000000000000000000000000CALCIO CUANTITATIVO EN
ORINA
00015100000760000196000012100002420000167000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00790030900900005000000000000000000000000000000000000000CALCULO URINARIO (EXAMEN
FISICO Y QUIMICO)
00032000001600000416000025600005120000352000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00791030901000005000000000000000000000000000000000000000CREATININA CUANTITATIVA EN
ORINA
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00792030901100005000000000000000000000000000000000000000CUERPOS CETONICOS
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00793030901200005000000000000000000000000000000000000000ELECTROLITOS (SODIO,
POTASIO, CLORO) C/U, EN ORINA
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00794030901300005000000000000000000000000000000000000000MICROALBUMINURIA
CUANTITATIVA
00022600001130000294000018100003620000249000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00795030901400005000000000000000000000000000000000000000EMBARAZO, DETECCION DE
(CUALQUIER TECNICA)
00019500000980000254000015700003120000215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00796030904000005000000000000000000000000000000000000000FENILQUETONURIA (PKU),
CUANTITATIVO
00017700000890000230000014200002830000195000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00797030901500005000000000000000000000000000000000000000FOSFORO CUANTITATIVO EN
ORINA
00015100000760000196000012100002420000167000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00798030901600005000000000000000000000000000000000000000GLUCOSA (CUANTITATIVO), EN
ORINA
00010000000500000130000008000001600000110000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00799030903500005000000000000000000000000000000000000000HEMOSIDERINA
00008600000430000112000006900001380000095000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00800030901700005000000000000000000000000000000000000000HIDROXIPROLINA EN ORINA
00034400001720000447000027500005500000378000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00801030901800005000000000000000000000000000000000000000MELANOGENURIA (TEST DE
CLORURO FERRICO)
00014100000710000183000011300002260000156000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00802030901900005000000000000000000000000000000000000000MUCOPOLISACARIDOS
00046100002310000599000036900007380000508000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00803030902000005000000000000000000000000000000000000000NITROGENO UREICO O UREA EN
ORINA (CUANTITATIVO)
00006300000320000082000005100001010000070000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00804030902100005000000000000000000000000000000000000000NUCLEOTIDOS CICLICOS (CAMP,
CGM, U OTROS) C/U
00037100001860000482000029700005940000409000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00805030902200005000000000000000000000000000000000000000ORINA COMPLETA, (INCLUYE
COD. 03-09-023 Y 03-09-024)
00014300000720000186000011500002290000158000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00806030902300005000000000000000000000000000000000000000ORINA, FISICO-QUIMICO
( ASPECTO, COLOR, DENSIDAD, PH,
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00807030902300015000000000000000000000000000000000000000PROTEINAS, GLUCOSA, CUERPOS
CETONICOS, UROBILINOGENO,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00808030902300025000000000000000000000000000000000000000BILIRRUBINA, HEMOGLOBINA Y
NITRITOS) TODOS O CADA UNO DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00809030902300035000000000000000000000000000000000000000LOS PARAMETROS (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00810030902400005000000000000000000000000000000000000000ORINA, SEDIMENTO (PROC.
AUT.)
00008300000420000108000006700001330000092000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00811030902500005000000000000000000000000000000000000000OSMOLALIDAD
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00812030902600005000000000000000000000000000000000000000OSMOLARIDAD, EXAMEN DE
ORINA
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00813030902700005000000000000000000000000000000000000000PORFIRINAS, C/U
00015500000780000202000012500002480000171000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00814030902800005000000000000000000000000000000000000000PROTEINA (CUANTITATIVA), EN
ORINA
00013300000670000173000010700002130000147000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00815030902900005000000000000000000000000000000000000000PROTEINAS DE BENCE-JONES
PRUEBA TERMICA
00009100000460000118000007300001460000101000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00816030903000005000000000000000000000000000000000000000UROBILINOGENO
(CUANTITATIVO)
00015100000760000196000012100002420000167000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00817040000000001000000000000000000000000000000000000000GRUPO : 04
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00818040000000001000000000000000000000000000000000000000IMAGENOLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00819040000000003000000000000000000000000000000000000000SALVO QUE SE ESPECIFIQUE LO
CONTRARIO, LOS VALORES ANOTADOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00820040000000013000000000000000000000000000000000000000NO INCLUYEN : MEDICAMENTOS,
INYECCIONES, ENEMAS DE LIMPIEZA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00821040000000023000000000000000000000000000000000000000NI MEDIOS DE CONTRASTE, CON
EXCEPCION DEL BARIO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00822040000000003000000000000000000000000000000000000000I.- EXAMENES RADIOLOGICOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00823040100000002000000000000000000000000000000000000000A.- EXAMENES RADIOLOGICOS
SIMPLES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00824040100100005000000000000000000000000000000000000000RADIOGRAFIA DE LAS
GLANDULAS SALIVALES "SIALOGRAFIA"
00175000008750002275000140000028000001925000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00825040100000003000000000000000000000000000000000000000CUELLO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00826040100200005000000000000000000000000000000000000000RADIOGRAFIA DE PARTES
BLANDAS, LARINGE LATERAL, CAVUM
00073300003670000953000058700011730000807000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00827040100200015000000000000000000000000000000000000000RINOFARINGEO (RINOFARINX).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00828040100000003000000000000000000000000000000000000000TORAX
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00829040100400005000000000000000000000000000000000000000RADIOGRAFIA DE TORAX,
PROYECCION COMPLEMENTARIA (OBLICUAS,
00052800002640000686000042200008450000581000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00830040100400015000000000000000000000000000000000000000SELECTIVAS U OTRAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00831040100600005000000000000000000000000000000000000000ESTUDIO RADIOLOGICO DE
CORAZON (INCLUYE FLUOROSCOPIA,
00158100007910002055000126500025300001740000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00832040100600015000000000000000000000000000000000000000TELERRADIOGRAFIAS FRONTAL Y
LATERAL CON ESOFAGOGRAMA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00833040100800005000000000000000000000000000000000000000RADIOGRAFIA DE TORAX
FRONTAL O LATERAL CON EQUIPO MOVIL
00078500003930001021000062900012560000864000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00834040100800015000000000000000000000000000000000000000FUERA DEL DEPARTAMENTO DE
RAYOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00835040100900005000000000000000000000000000000000000000RADIOGRAFIA DE TORAX SIMPLE
FRONTAL O LATERAL
00078500003930001021000062900012560000864000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00836040107000005000000000000000000000000000000000000000RADIOGRAFIA DE TORAX
FRONTAL Y LATERAL
00144400007220001877000115500023100001588000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00837040100000003000000000000000000000000000000000000000GLANDULAS MAMARIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00838040101000005000000000000000000000000000000000000000MAMOGRAFIA BILATERAL
00167400008370002176000133900026780001841000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00839040111000005000000000000000000000000000000000000000MAMOGRAFIA UNILATERAL
00099600004980001295000079700015940001096000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00840040113000005000000000000000000000000000000000000000MAMOGRAFIA PROYECCION
COMPLEMENTARIA (AXILAR U OTRAS)
00038000001900000494000030400006080000418000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00841040101100005000000000000000000000000000000000000000MARCACION PREOPERATORIA DE
LESIONES DE LA MAMA
00175000008750002275000140000028000001925000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00842040101200005000000000000000000000000000000000000000RADIOGRAFIA DE MAMA, PIEZA
OPERATORIA
00052800002640000686000042200008450000581000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00843040100000003000000000000000000000000000000000000000ABDOMEN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00844040101300005000000000000000000000000000000000000000RADIOGRAFIA DE ABDOMEN
SIMPLE
00070400003520000915000056300011260000774000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00845040101400005000000000000000000000000000000000000000RADIOGRAFIA DE ABDOMEN
SIMPLE, PROYECCION COMPLEMENTARIA
00052800002640000686000042200008450000581000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00846040101400015000000000000000000000000000000000000000(LATERAL Y/O OBLICUA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00847040100000003000000000000000000000000000000000000000APARATO DIGESTIVO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00848040101500005000000000000000000000000000000000000000COLANGIOGRAFIA INTRA O
POSTOPERATORIA (POR SONDA T, O
00146400007320001903000117100023420001610000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00849040101500015000000000000000000000000000000000000000SIMILAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00850040101800005000000000000000000000000000000000000000ENEMA BARITADO DEL COLON
(INCLUYE LLENE Y CONTROL POST-
00295200014760003838000236200047230003247000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00851040101800015000000000000000000000000000000000000000VACIAMIENTO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00852040101900005000000000000000000000000000000000000000ENEMA BARITADO DEL COLON O
INTESTINO DELGADO, DOBLE
00332300016620004320000265900053170003656000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00853040101900015000000000000000000000000000000000000000CONTRASTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00854040102000005000000000000000000000000000000000000000ESOFAGOGRAMA (INCLUYE
PESQUISA DE CUERPO EXTRAO)
00131400006570001708000105100021020001445000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00855040102000015000000000000000000000000000000000000000(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00856040102100005000000000000000000000000000000000000000RADIOGRAFIA DE ESOFAGO,
ESTOMAGO Y DUODENO, RELLENO Y/O
00292300014620003800000233900046770003216000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00857040102100015000000000000000000000000000000000000000DOBLE CONTRASTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00858040102200005000000000000000000000000000000000000000ESTUDIO RADIOLOGICO DE
DEGLUCION FARINGEA
00131400006570001708000105100021020001445000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00859040102300005000000000000000000000000000000000000000ESTUDIO RADIOLOGICO DEL
INTESTINO DELGADO
00234500011730003049000187700037520002580000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00860040102400005000000000000000000000000000000000000000RADIOGRAFIA DE ESOFAGO,
ESTOMAGO Y DUODENO, SIMPLE EN NIOS
00216400010820002813000173100034620002380000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00861040100000003000000000000000000000000000000000000000APARATO UROGENITAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00862040102700005000000000000000000000000000000000000000PIELOGRAFIA DE ELIMINACION
O DESCENDENTE: INCLUYE RENAL Y
00318600015930004142000254900050980003505000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00863040102700015000000000000000000000000000000000000000VESICAL SIMPLES PREVIAS, 3
PLACAS POST INYECCION DE MEDIO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00864040102700025000000000000000000000000000000000000000DE CONTRASTE, CONTROLES DE
PIE Y CISTOGRAFIA PRE Y POST
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00865040102700035000000000000000000000000000000000000000MICCIONAL.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00866040102800005000000000000000000000000000000000000000RADIOGRAFIA RENAL SIMPLE
(PROC. AUT.)
00067500003380000878000054100010800000743000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00867040102900005000000000000000000000000000000000000000RADIOGRAFIA VESICAL SIMPLE
O PERIVESICAL (PROC. AUT.)
00058100002910000755000046500009300000640000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00868040100000003000000000000000000000000000000000000000CRANEO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00869040103000005000000000000000000000000000000000000000RADIOGRAFIA AGUJEROS
OPTICOS, AMBOS LADOS
00116700005840001517000093400018670001284000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00870040103100005000000000000000000000000000000000000000RADIOGRAFIA DE CAVIDADES
PERINASALES, ORBITAS,
00078500003930001021000062900012560000864000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00871040103100015000000000000000000000000000000000000000ARTICULACIONES
TEMPOROMANDIBULARES, HUESOS PROPIOS DE LA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00872040103100025000000000000000000000000000000000000000NARIZ, MALAR, MAXILAR, ARCO
CIGOMATICO Y CARA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00873040103200005000000000000000000000000000000000000000RADIOGRAFIA DE CRANEO
FRONTAL Y LATERAL
00082900004150001078000066400013260000912000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00874040103300005000000000000000000000000000000000000000RADIOGRAFIA DE CRANEO
PROYECCION ESPECIAL DE BASE DE
00058100002910000755000046500009300000640000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00875040103300015000000000000000000000000000000000000000CRANEO (TOWNE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00876040103400005000000000000000000000000000000000000000RADIOGRAFIA DE GLOBO
OCULAR, ESTUDIO DE CUERPO EXTRAO
00146400007320001903000117100023420001610000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00877040103500005000000000000000000000000000000000000000RADIOGRAFIA DE OIDO, UNO O
AMBOS
00105900005300001377000084800016940001165000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00878040104000005000000000000000000000000000000000000000RADIOGRAFIA DE SILLA TURCA
FRONTAL Y LATERAL
00096500004830001255000077300015440001062000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00879040100000003000000000000000000000000000000000000000COLUMNA VERTEBRAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00880040104200005000000000000000000000000000000000000000RADIOGRAFIA DE COLUMNA
CERVICAL O ATLAS-AXIS (FRONTAL Y
00078500003930001021000062900012560000864000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00881040104200015000000000000000000000000000000000000000LATERAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00882040104300005000000000000000000000000000000000000000RADIOGRAFIA DE COLUMNA
CERVICAL (FRONTAL, LATERAL Y
00140200007010001823000112200022430001542000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00883040104300015000000000000000000000000000000000000000OBLICUAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00884040104400005000000000000000000000000000000000000000RADIOGRAFIA DE COLUMNA
CERVICAL FLEXION Y EXTENSION
00078500003930001021000062900012560000864000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00885040104400015000000000000000000000000000000000000000(DINAMICAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00886040104500005000000000000000000000000000000000000000RADIOGRAFIA DE COLUMNA
DORSAL O DORSOLUMBAR LOCALIZADA,
00092400004620001201000073900014780001016000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00887040104500015000000000000000000000000000000000000000PARRILLA COSTAL ADULTOS
(FRONTAL Y LATERAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00888040104600005000000000000000000000000000000000000000RADIOGRAFIA COLUMNA LUMBAR
O LUMBOSACRA
00135600006780001763000108500021700001492000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00889040104700005000000000000000000000000000000000000000RADIOGRAFIA COLUMNA LUMBAR
O LUMBOSACRA FLEXION Y
00116700005840001517000093400018670001284000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00890040104700015000000000000000000000000000000000000000EXTENSION (DINAMICAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00891040104800005000000000000000000000000000000000000000RADIOGRAFIA COLUMNA LUMBAR
O LUMBOSACRA, OBLICUAS
00078500003930001021000062900012560000864000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00892040104800015000000000000000000000000000000000000000ADICIONALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00893040104900005000000000000000000000000000000000000000RADIOGRAFIA DE COLUMNA
TOTAL, PANORAMICA CON FOLIO GRADUADO
00105500005280001372000084500016880001161000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00894040104900015000000000000000000000000000000000000000 FRONTAL O LATERAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00895040105100005000000000000000000000000000000000000000RADIOGRAFIA DE PELVIS,
CADERA O COXOFEMORAL
00060900003050000792000048800009740000670000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00896040115100005000000000000000000000000000000000000000RADIOGRAFIA DE PELVIS,
CADERA O COXOFEMORAL DE RN, LACTANTE
00060900003050000792000048800009740000670000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00897040115100015000000000000000000000000000000000000000O NIO MENOR DE 6 AOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00898040105200005000000000000000000000000000000000000000RADIOGRAFIA DE PELVIS,
CADERA O COXOFEMORAL, PROYECCIONES
00058100002910000755000046500009300000640000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00899040105200015000000000000000000000000000000000000000ESPECIALES; (ROTACION
INTERNA, ABDUCCION, LATERAL,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00900040105200025000000000000000000000000000000000000000LAWENSTEIN U OTRAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00901040105300005000000000000000000000000000000000000000RADIOGRAFIA DE SACROCOXIS O
ARTICULACIONES SACROILIACAS.
00087600004380001139000070100014020000964000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00902040100000003000000000000000000000000000000000000000EXTREMIDADES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00903040105400005000000000000000000000000000000000000000RADIOGRAFIA DE BRAZO,
ANTEBRAZO, CODO, MUECA, MANO, DEDOS,
00070400003520000915000056300011260000774000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00904040105400015000000000000000000000000000000000000000PIE (FRONTAL Y LATERAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00905040105500005000000000000000000000000000000000000000RADIOGRAFIA DE CLAVICULA.
00081500004080001060000065300013040000897000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00906040105600005000000000000000000000000000000000000000RADIOGRAFIA EDAD OSEA:
CARPO Y MANO
00058100002910000755000046500009300000640000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00907040105700005000000000000000000000000000000000000000RADIOGRAFIA EDAD OSEA :
RODILLA FRONTAL
00058100002910000755000046500009300000640000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00908040105800005000000000000000000000000000000000000000ESTUDIO RADIOLOGICO DE
ESCAFOIDES
00087600004380001139000070100014020000964000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00909040105900005000000000000000000000000000000000000000ESTUDIO RADIOLOGICO DE
MUECA O TOBILLO FRONTAL LATERAL Y
00082000004100001066000065600013120000902000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00910040105900015000000000000000000000000000000000000000OBLICUAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00911040106000005000000000000000000000000000000000000000RADIOGRAFIA DE HOMBRO,
FEMUR, RODILLA, PIERNA, COSTILLA O
00082000004100001066000065600013120000902000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00912040106000015000000000000000000000000000000000000000ESTERNON FRONTAL Y LATERAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00913040106200005000000000000000000000000000000000000000RADIOGRAFIA DE PROYECCIONES
ESPECIALES OBLICUAS U OTRAS EN
00058100002910000755000046500009300000640000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00914040106200015000000000000000000000000000000000000000HOMBRO, BRAZO, CODO,
RODILLA, ROTULAS, SESAMOIDEOS, AXIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00915040106200025000000000000000000000000000000000000000DE AMBAS ROTULAS O
SIMILARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00916040106300005000000000000000000000000000000000000000RADIOGRAFIA DE TUNEL
INTERCONDILEO O RADIO-CARPIANO
00058100002910000755000046500009300000640000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00917040100000003000000000000000000000000000000000000000PROCEDIMIENTO FLUOROSCOPICO
DE APOYO:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00918040106400005000000000000000000000000000000000000000APOYO FLUOROSCOPICO A
PROCEDIMIENTOS INTRAOPERATORIOS Y/O
00058100002910000755000046500009300000640000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00919040106400015000000000000000000000000000000000000000BIOPSIA (NO INCLUYE EL
PROC.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00920040200000002000000000000000000000000000000000000000B.- EXAMENES RADIOLOGICOS
COMPLEJOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00921040200000003000000000000000000000000000000000000000EN CIERTOS EXAMENES
COMPLEJOS, EN COLABORACION CON OTROS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00922040200000013000000000000000000000000000000000000000MEDICOS, CUYOS CODIGOS Y
HONORARIOS SE INCLUYEN EN LOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00923040200000023000000000000000000000000000000000000000PROCEDIMIENTOS DE CADA
ESPECIALIDAD; SI UN MISMO MEDICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00924040200000033000000000000000000000000000000000000000EFECTUA EL EXAMEN
RADIOLOGICO Y SU PROCEDIMIENTO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00925040200000043000000000000000000000000000000000000000CORRESPONDIENTE, COBRARA
AMBOS CODIGOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00926040200000003000000000000000000000000000000000000000GLANDULAS MAMARIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00927040200500005000000000000000000000000000000000000000GALACTOGRAFIA, UN LADO
(A.C. 20-01-012) (3 EXP.)
00084100004210001093000067300013460000926000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00928040200000003000000000000000000000000000000000000000ABDOMEN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00929040200800005000000000000000000000000000000000000000COLANGIOPANCREATOGRAFIA
ENDOSCOPICA (A.C.18-01-018; 5-7
EXP)0022480001124000292200017980003597000247300000000000000000000000000000000000000
00000000000000000000000000000000000000000000000
00930040200900005000000000000000000000000000000000000000FISTULOGRAFIA (A.C. 18-01-
020) (3 EXP.)
00056300002820000732000045100009010000620000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00931040200000003000000000000000000000000000000000000000APARATO UROGENITAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00932040201100005000000000000000000000000000000000000000HISTEROSALPINGOGRAFIA (A.C.
20-01-013) (4 EXP.; INCLUYE
00171800008590002233000137400027490001890000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00933040201100015000000000000000000000000000000000000000PRUEBA DE COTTE TARDIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00934040201200005000000000000000000000000000000000000000PIELOGRAFIA ASCENDENTE
(A.C. 19-01-015) (3 EXP.)
00187400009370002436000149900029980002061000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00935040201400005000000000000000000000000000000000000000URETRO Y/O
CISTOURETROGRAFIA MICCIONAL RETROGRADA (A.C. 19-
00187400009370002436000149900029980002061000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0093604020140001500000000000000000000000000000000000000001-016) ( 5 EXP.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00937040200000003000000000000000000000000000000000000000COLUMNA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00938040201500005000000000000000000000000000000000000000ARTROGRAFIA FACETARIA
00280900014050003652000224800044940003090000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00939040201600005000000000000000000000000000000000000000DISCOGRAFIA
00280900014050003652000224800044940003090000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00940040200000003000000000000000000000000000000000000000ARTICULARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00941040201700005000000000000000000000000000000000000000NEUMOARTROGRAFIA DE CADERA,
HOMBRO, CODO, MUECA, ETC., C/U
00224800011240002922000179800035970002473000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00942040201700015000000000000000000000000000000000000000(A.C. 21-01-002) (8 EXP.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00943040201800005000000000000000000000000000000000000000NEUMOARTROGRAFIA DE RODILLA
(A.C. 21-01-002) (14 EXP.)
00280900014050003652000224800044940003090000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00944040200000003000000000000000000000000000000000000000CARDIOVASCULARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00945040201900005000000000000000000000000000000000000000ANGIOGRAFIA SELECTIVA DE
CAROTIDA EXTERNA O INTERNA (A.C 17-
00249800012490003247000199800039970002748000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0094604020190001500000000000000000000000000000000000000001-024 )
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00947040202000005000000000000000000000000000000000000000ANGIOGRAFIA SELECTIVA
MEDULAR (A.C 17-01-024)
00249800012490003247000199800039970002748000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00948040202200005000000000000000000000000000000000000000ANGIOPLASTIA INTRALUMINAL
CORONARIA. PROCEDIMIENTO
00436800021840005678000349400069890004805000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00949040202200015000000000000000000000000000000000000000RADIOLOGICO. (A.C.17-01-
031)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00950040202300005000000000000000000000000000000000000000ANGIOPLASTIA INTRALUMINAL
PERIFERICA. PROCEDIMIENTO
00312000015600004056000249600049920003432000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00951040202300015000000000000000000000000000000000000000RADIOLOGICO. (A.C. 17-01-
032)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00952040202400005000000000000000000000000000000000000000AORTOGRAFIA CON AOT O
CINEANGIOGRAFIA (A.C. 17-01-022)
00340600017030004428000272500054500003747000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00953040202500005000000000000000000000000000000000000000ARTERIOGRAFIA DE CADA
EXTREMIDAD, (A.C.17-01-023)
00224800011240002922000179800035970002473000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00954040202700005000000000000000000000000000000000000000ARTERIOGRAFIA SELECTIVA CON
AOT O CINEANGIOGRAFIA
00396300019820005152000317100063410004360000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00955040202700015000000000000000000000000000000000000000(PULMONAR, RENAL, TRONCO
CELIACO O SIMILAR) C/U. (A.C. 17-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0095604020270002500000000000000000000000000000000000000001-024)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00957040202900005000000000000000000000000000000000000000ARTERIOGRAFIA CAROTIDA
VERTEBRAL POR CATETERIZACION (DE LA
00249800012490003247000199800039970002748000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00958040202900015000000000000000000000000000000000000000SUBCLAVIA AXILAR, HUMERAL O
FEMORAL) (A.C. 11-01-013)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00959040203000005000000000000000000000000000000000000000CINECORONARIOGRAFIA (A.C.
17-01-019)
00340600017030004428000272500054500003747000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00960040203100005000000000000000000000000000000000000000EMBOLIZACION O BALONIZACION
(A.C. DE LA ANGIOGRAFIA
00187400009370002436000149900029980002061000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00961040203100015000000000000000000000000000000000000000CORRESPONDIENTE) (INCLUYE
CONTROL RADIOLOGICO INMEDIATO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00962040203200005000000000000000000000000000000000000000INSTALACION DE CATETER O
SONDA INTRACARDIACA, CONTROL POR
00168800008440002194000135000027010001857000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00963040203200015000000000000000000000000000000000000000RADIOLOGO DE (A.C. 17-01-
020, 17-01-021, 17-01-011 O 17-01-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00964040203200025000000000000000000000000000000000000000014, SEGUN CORRESPONDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00965040203300005000000000000000000000000000000000000000VENTRICULOGRAFIA DERECHA
Y/O IZQUIERDA (A.C. 17-01-011, 17-
00340600017030004428000272500054500003747000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0096604020330001500000000000000000000000000000000000000001-020 O 17-01-021 O 17-01-
041 O 17-01-42 O 17-01-43, SEGUN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00967040203300025000000000000000000000000000000000000000CORRESPONDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00968040200000003000000000000000000000000000000000000000FLEBOGRAFIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00969040203500005000000000000000000000000000000000000000CAVOGRAFIA (A.C. 17-01-025)
00168800008440002194000135000027010001857000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00970040203800005000000000000000000000000000000000000000FLEBOGRAFIA EXTREMIDAD
INFERIOR O SUPERIOR, UN LADO (A.C.
00153000007650001989000122400024480001683000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0097104020380001500000000000000000000000000000000000000017-01-026) CADA EXTREMIDAD.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00972040204000005000000000000000000000000000000000000000FLEBOGRAFIA ORBITARIA O
YUGULAR (A.C. 11-01-015, 11-01-018
00249800012490003247000199800039970002748000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00973040204000015000000000000000000000000000000000000000O 12-01-028 SEGUN
CORRESPONDA), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00974040204100005000000000000000000000000000000000000000FLEBOGRAFIA SELECTIVA
(SUPRARRENAL Y SIMILARES) (A.C. 17-01-
00168800008440002194000135000027010001857000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00975040204100015000000000000000000000000000000000000000027)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00976040200000003000000000000000000000000000000000000000MIELOGRAFIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00977040205000005000000000000000000000000000000000000000MIELOGRAFIA POR PUNCION
LUMBAR CON CONTRASTE HIDROSOLUBLE
00249800012490003247000199800039970002748000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00978040205000015000000000000000000000000000000000000000(A.C. 11-01-025)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00979040300000002000000000000000000000000000000000000000II.- TOMOGRAFIA AXIAL
COMPUTARIZADA (TAC)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00980040300000003000000000000000000000000000000000000000(LOS VALORES DE LAS
PRESTACIONES NO INCLUYEN EL MEDIO DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00981040300000013000000000000000000000000000000000000000CONTRASTE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00982040300100005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
CRANEO ENCEFALICA
00495900024800006447000396800079340005455000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00983040300200005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
HIPOTALAMO-HIPOFISIS
00552700027640007185000442200088430006080000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00984040300300005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
FOSA POSTERIOR
00455800022790005925000364600072930005014000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00985040300400005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA
CORTES CORONALES COMPLEMENTARIOS
00167400008370002176000133900026780001841000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00986040300600005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
TEMPORAL-OIDO
00455800022790005925000364600072930005014000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00987040300700005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
ORBITAS MAXILOFACIAL
00552700027640007185000442200088430006080000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00988040300800005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
COLUMNA CERVICAL
00605300030270007869000484300096850006659000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00989040300900005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
COLUMNA DORSAL O LUMBAR
00552400027620007181000441900088380006076000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00990040301000005000000000000000000000000000000000000000CADA ESPACIO ADICIONAL (10
CORTES 2-4 MM.)
00158000007900002054000126400025280001738000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00991040301200005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
CUELLO, PARTES BLANDAS
00455800022790005925000364600072930005014000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00992040301300005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
TORAX TOTAL
00714400035720009287000571500114300007858000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00993040301400005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
ABDOMEN (HIGADO, VIAS Y
00668700033440008693000535000106990007356000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00994040301400015000000000000000000000000000000000000000VESICULA BILIAR, PANCREAS,
BAZO, SUPRARRENALES Y RIONES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00995040301600005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
PELVIS
00425300021270005529000340300068050004679000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00996040301700005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA DE
EXTREMIDADES
00386000019300005018000308800061760004246000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00997040310100005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA
ANGIO DE ENCEFALO
00577200028860007504000461800092350006349000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00998040310200005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA
ANGIO DE TORAX
00821000041050010673000656800131360009031000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
00999040310300005000000000000000000000000000000000000000TOMOGRAFIA COMPUTARIZADA
ANGIO DE ABDOMEN
00781700039090010162000625400125070008599000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01000040400000002000000000000000000000000000000000000000III.- ULTRASONOGRAFIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01001040400000003000000000000000000000000000000000000000(MINIMO 6 IMAGENES
DIFERENTES PARA ECOTOMOGRAFIAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01002040400000003000000000000000000000000000000000000000A.- EQUIPOS SIMPLES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01003040400200005000000000000000000000000000000000000000ECOGRAFIA OBSTETRICA
00053600002680000697000042900008580000590000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01004040400000003000000000000000000000000000000000000000B.- EQUIPOS DE MEDIANA A
ALTA RESOLUCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01005040400300005000000000000000000000000000000000000000ECOGRAFIA ABDOMINAL
(INCLUYE HIGADO, VIA BILIAR, VESICULA,
00196800009840002558000157400031490002165000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01006040400300015000000000000000000000000000000000000000PANCREAS, RIONES, BAZO,
RETROPERITONEO Y GRANDES VASOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01007040400400005000000000000000000000000000000000000000ECOGRAFIA COMO APOYO A
CIRUGIA, O A PROCEDIMIENTO (DE
00121300006070001577000097100019410001335000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01008040400400015000000000000000000000000000000000000000TORAX, MUSCULAR, PARTES
BLANDAS, ETC.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01009040400500005000000000000000000000000000000000000000ECOGRAFIA TRANSVAGINAL O
TRANSRECTAL
00109500005480001424000087700017520001205000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01010040400600005000000000000000000000000000000000000000ECOGRAFIA GINECOLOGICA,
PELVIANA FEMENINA U OBSTETRICA CON
00104300005220001356000083500016690001148000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01011040400600015000000000000000000000000000000000000000ESTUDIO FETAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01012040400700005000000000000000000000000000000000000000ECOGRAFIA TRANSVAGINAL PARA
SEGUIMIENTO DE OVULACION,
00152300007620001980000121900024370001676000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01013040400700015000000000000000000000000000000000000000PROCEDIMIENTO COMPLETO (6-8
SESIONES )
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01014040400800005000000000000000000000000000000000000000ECOGRAFIA PARA SEGUIMIENTO
DE OVULACION, PROCEDIMIENTO
00152300007620001980000121900024370001676000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01015040400800015000000000000000000000000000000000000000COMPLETO (6 A 8 SESIONES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01016040400900005000000000000000000000000000000000000000ECOGRAFIA PELVICA MASCULINA
(INCLUYE VEJIGA Y PROSTATA)
00109500005480001424000087700017520001205000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01017040401000005000000000000000000000000000000000000000ECOGRAFIA RENAL
(BILATERAL), O DE BAZO
00136800006840001778000109400021890001505000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01018040400000003000000000000000000000000000000000000000C.- EQUIPOS DE ALTA
RESOLUCION.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01019040401100005000000000000000000000000000000000000000ECOGRAFIA ENCEFALICA (RN O
LACTANTE)
00136800006840001778000109400021890001505000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01020040401200005000000000000000000000000000000000000000ECOGRAFIA MAMARIA BILATERAL
(INCLUYE DOPPLER)
00136800006840001778000109400021890001505000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01021040401300005000000000000000000000000000000000000000ECOGRAFIA OCULAR, UNO O
AMBOS OJOS.
00136800006840001778000109400021890001505000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01022040401400005000000000000000000000000000000000000000ECOGRAFIA TESTICULAR (UNO O
AMBOS) (INCLUYE DOPPLER)
00136800006840001778000109400021890001505000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01023040401500005000000000000000000000000000000000000000ECOGRAFIA TIROIDEA (INCLUYE
DOPPLER)
00136800006840001778000109400021890001505000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01024040401600005000000000000000000000000000000000000000ECOGRAFIA VASCULAR
PERIFERICA, ARTICULAR O DE PARTES
BLANDAS0013680000684000177800010940002189000150500000000000000000000000000000000000
00000000000000000000000000000000000000000000000000
01025040400000003000000000000000000000000000000000000000D.- EQUIPOS CON DOPPLER.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01026040411800005000000000000000000000000000000000000000ECOGRAFIA VASCULAR
(ARTERIAL Y VENOSA) PERIFERICA
00448400022420005829000358700071740004932000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01027040411800015000000000000000000000000000000000000000(BILATERAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01028040411900005000000000000000000000000000000000000000ECOGRAFIA DOPPLER DE VASOS
DEL CUELLO
00448400022420005829000358700071740004932000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01029040412000005000000000000000000000000000000000000000ECOGRAFIA TRANSCRANEANA
00448400022420005829000358700071740004932000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01030040412100005000000000000000000000000000000000000000ECOGRAFIA ABDOMINAL O DE
VASOS TESTICULARES
00448400022420005829000358700071740004932000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01031040412200005000000000000000000000000000000000000000ECOGRAFIA DOPPLER DE VASOS
PLACENTARIOS
00448400022420005829000358700071740004932000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01032040500000002000000000000000000000000000000000000000IV.- RESONANCIA MAGNETICA
(INCLUYE MEDIO DE CONTRASTE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01033040500100005000000000000000000000000000000000000000RESONANCIA MAGNETICA CRANEO
ENCEFALICA
01531700076590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01034040500200005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
HIPOTALAMO - HIPOFISIS
01531700076590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01035040500300005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
ORBITAS
01452800072640000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01036040500400005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
ARTICULACIONES TEMPOROMANDIBULARES
01452800072640000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01037040500500005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
COLUMNA CERVICAL
01531700076590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01038040500600005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
COLUMNA DORSAL
01531700076590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01039040500700005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
COLUMNA LUMBAR
01531700076590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01040040500800005000000000000000000000000000000000000000ANGIOGRAFIA POR RESONANCIA
01531700076590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01041040500900005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
TORAX
01531700076590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01042040501000005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
ABDOMEN
01531700076590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01043040501100005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
PELVIS
01531700076590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01044040501200005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
ABDOMEN Y PELVIS
02297600114880000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01045040509800005000000000000000000000000000000000000000COLANGIORESONANCIA
01026100051310000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01046040501300005000000000000000000000000000000000000000RESONANCIA MAGNETICA DE
RODILLA
01256000062800000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01047040501400005000000000000000000000000000000000000000RESONANCIA MAGNETICA
EXTREMIDAD SUPERIOR (UNO O MAS
01256000062800000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01048040501400015000000000000000000000000000000000000000SEGMENTOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01049040501500005000000000000000000000000000000000000000RESONANCIA EXTREMIDAD
INFERIOR (UNO O MAS SEGMENTOS)
01256000062800000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01050040501600005000000000000000000000000000000000000000RESONANCIA COLUMNA TOTAL
(CERVICAL, DORSAL, LUMBAR)
02756900137850000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01051050000000001000000000000000000000000000000000000000GRUPO : 05
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01052050000000001000000000000000000000000000000000000000MEDICINA NUCLEAR Y
RADIOTERAPIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01053050000000003000000000000000000000000000000000000000I.- MEDICINA NUCLEAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01054050100000002000000000000000000000000000000000000000A.- PROCEDIMIENTOS
DIAGNOSTICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01055050100000003000000000000000000000000000000000000000(INCLUYE VALOR DEL
RADIOFARMACO O RADIOISOTOPOS Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01056050100000013000000000000000000000000000000000000000PROCEDIMIENTO
CORRESPONDIENTE, SALVO QUE SE ESPECIFIQUE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
010570501000000030000000000000000000000000000000000000001.- ESTUDIOS
ENDOCRINOLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01058050110000005000000000000000000000000000000000000000CAPTACION I-131 A LAS 2 Y/O
24 HORAS
00180700009040002349000144600028910001988000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01059050110100005000000000000000000000000000000000000000CINTIGRAFIA TIROIDEA,
CUALQUIER RADIOISOTOPO
00180700009040002349000144600028910001988000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01060050110200005000000000000000000000000000000000000000CINTIGRAFIA GLANDULAS
PARATIROIDES (NO INCLUYE MIBI)
00271100013560003524000216900043380002983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
010610501000000030000000000000000000000000000000000000002.- ESTUDIOS
OSTEOARTICULARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01062050110300005000000000000000000000000000000000000000CINTIGRAFIA OSEA COMPLETA
PLANAR O MEDULA OSEA (A.C.
00487900024400006343000390400078060005367000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
010630501103000150000000000000000000000000000000000000000501133, CUANDO
CORRESPONDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01064050110400005000000000000000000000000000000000000000CINTIGRAFIA OSEA TRIFASICA
(INCLUYE MEDICIONES FASE PRECOZ
00723000036150009399000578400115680007953000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01065050110400015000000000000000000000000000000000000000Y TARDIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
010660501000000030000000000000000000000000000000000000003.- ESTUDIOS
CARDIOVASCULARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01067050110500005000000000000000000000000000000000000000SPECT CARDIACO STRESS Y
REPOSO (NO INCLUYE HONORARIOS
01314000065700017082001051200210240014454000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01068050110500015000000000000000000000000000000000000000MEDICO CARDIOLOGO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01069050110600005000000000000000000000000000000000000000VENTRICULOGRAFIA CARDIACA
ISOTOPICA
00406800020340005288000325400065090004475000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01070050110700005000000000000000000000000000000000000000POOL SANGUINEO,
ARTERIOGRAFIA ISOTOPICA C/U
00180700009040002349000144600028910001988000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01071050110800005000000000000000000000000000000000000000LINFOCINTIGRAFIA ISOTOPICA
(NO INCLUYE PROCEDIMIENTO)
00542000027100007046000433600086720005962000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01072050110900005000000000000000000000000000000000000000POOL SANGUINEO SPECT
00542000027100007046000433600086720005962000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
010730501000000030000000000000000000000000000000000000004.- ESTUDIOS DIGESTIVOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01074050111000005000000000000000000000000000000000000000CINTIGRAFIA GLANDULAS
SALIVALES O DACRIOCINTIGRAFIA
00271100013560003524000216900043380002983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01075050111100005000000000000000000000000000000000000000ESTUDIO MOTILIDAD ESOFAGICA
Y/O REFLUJO GASTROESOFAGICO
00406800020340005288000325400065090004475000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01076050111200005000000000000000000000000000000000000000VACIAMIENTO GASTRICO
LIQUIDO O SOLIDO
00723000036150009399000578400115680007953000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01077050111300005000000000000000000000000000000000000000CINTIGRAFIA VESICULA Y VIA
BILIAR
00813100040660010570000650500130100008945000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01078050111400005000000000000000000000000000000000000000DETECCION DE SITIO DE
SANGRAMIENTO DIGESTIVO CON GLOBULOS
00903700045190011748000723000144590009941000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01079050111400015000000000000000000000000000000000000000ROJOS MARCADOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01080050111500005000000000000000000000000000000000000000DETECCION DIVERTICULO
MECKEL
00271100013560003524000216900043380002983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01081050111600005000000000000000000000000000000000000000SPECT HEPATOESPLENICO,
EVALUACION HEMANGIOMA O HIPERPLASIA
00813100040660010570000650500130100008945000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01082050111600015000000000000000000000000000000000000000(INCLUYE MEDICIONES FASE
PRECOZ Y TARDIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
010830501000000030000000000000000000000000000000000000005.- ESTUDIOS
NEFROUROLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01084050111700005000000000000000000000000000000000000000CINTIGRAFIA RENAL CON
D.M.S.A.
00271100013560003524000216900043380002983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01085050111800005000000000000000000000000000000000000000ESTUDIO DINAMICO RENAL CON
TC 99 - DTPA
00406800020340005288000325400065090004475000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01086050111900005000000000000000000000000000000000000000ESTUDIO DINAMICO RENAL CON
TC 99 - MAG 3
00704800035240009162000563800112770007753000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01087050112000005000000000000000000000000000000000000000CISTOGRAFIA ISOTOPICA
INDIRECTA
00271100013560003524000216900043380002983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01088050112100005000000000000000000000000000000000000000CISTOGRAFIA ISOTOPICA
DIRECTA, A.C. 19-01-022
00271100013560003524000216900043380002983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
010890501000000030000000000000000000000000000000000000006.- ESTUDIOS PULMONARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01090050112200005000000000000000000000000000000000000000CINTIGRAFIA PULMONAR
PERFUSION O VENTILACION O DIFUSION,
C/U00271100013560003524000216900043380002983000000000000000000000000000000000000000
0000000000000000000000000000000000000000000000
01091050112300005000000000000000000000000000000000000000CINTIGRAFIA Y ESTUDIO
ASPIRACION PULMONAR
00271100013560003524000216900043380002983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
010920501000000030000000000000000000000000000000000000007.- ESTUDIOS SISTEMA
NERVIOSO CENTRAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01093050112400005000000000000000000000000000000000000000SPECT CEREBRAL DE PERFUSION
(NO INCLUYE RADIOFARMACO)
00542000027100007046000433600086720005962000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01094050112500005000000000000000000000000000000000000000ESTUDIO DINAMICO SISTEMA
NERVIOSO (RADIOCISTERNOGRAFIA,
00542000027100007046000433600086720005962000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01095050112500015000000000000000000000000000000000000000FISTULA L.C.R,
RADIOVENTRICULOGRAFIA, CONTROL VALVULA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01096050112500025000000000000000000000000000000000000000DERIVATIVA, SUB-DUROGRAFIA
ISOTOPICA), C/U (NO INCLUYE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01097050112500035000000000000000000000000000000000000000PROCEDIMIENTO).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
010980501000000030000000000000000000000000000000000000008.- ESTUDIOS DE INFECCIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01099050112600005000000000000000000000000000000000000000CINTIGRAFIA EVALUACION
INFECCIONES (LEUCOCITOS, INFECTON,
00542000027100007046000433600086720005962000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01100050112600015000000000000000000000000000000000000000GRANULOCITOS U OTROS) (NO
INCLUYE RADIOFARMACO NI
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01101050112600025000000000000000000000000000000000000000PROCEDIMIENTO).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01102050112700005000000000000000000000000000000000000000CINTIGRAFIA CON GALIO-67
PLANAR INFECCION (NO INCLUYE
00542000027100007046000433600086720005962000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01103050112700015000000000000000000000000000000000000000RADIOISOTOPO) (A.C.
0501133, CUANDO CORRESPONDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
011040501000000030000000000000000000000000000000000000009.- ESTUDIOS ONCOLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01105050112800005000000000000000000000000000000000000000DETECCION Y/O MARCACION DE
GANGLIO CENTINELA, NO INCLUYE,
00542000027100007046000433600086720005962000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01106050112800015000000000000000000000000000000000000000PUNCION NI DETECCION CON
GAMMAPROBE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01107050112900005000000000000000000000000000000000000000CINTIGRAFIA CON GALIO-67
PLANAR Y SPECT, PARA ESTUDIO DE
01355100067760017616001084100216820014907000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01108050112900015000000000000000000000000000000000000000TUMORES (NO INCLUYE
RADIOISOTOPO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01109050113000005000000000000000000000000000000000000000EXPLORACION SISTEMICA CON
I-131 (INCLUYE MEDICIONES FASE
00813100040660010570000650500130100008945000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01110050113000015000000000000000000000000000000000000000PRECOZ Y TARDIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01111050113100005000000000000000000000000000000000000000ESTUDIO GLANDULAS MAMARIAS
(MAMOCINTIGRAFIA) (NO INCLUYE
00361300018070004697000289100057810003975000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01112050113100015000000000000000000000000000000000000000MIBI)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01113050113200005000000000000000000000000000000000000000ESTUDIO DE TUMORES
(ANTICUERPOS MONOCLONALES, OCTREOSCAN,
01084300054220014096000867500173490011928000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01114050113200015000000000000000000000000000000000000000DMSA PENTAVALENTE,
PROSTACINT U OTROS) (NO INCLUYE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01115050113200025000000000000000000000000000000000000000RADIOISOTOPO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01116050113300005000000000000000000000000000000000000000SPECT - TOMOGRAFIA POR
EMISION FOTON UNICO, CUALQUIER
00406800020340005288000325400065090004475000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01117050113300015000000000000000000000000000000000000000ORGANO (NO INCLUYE
RADIOISOTOPO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0111805010000000300000000000000000000000000000000000000010.- DENSITOMETRIA OSEA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01119050113400005000000000000000000000000000000000000000DENSITOMETRIA OSEA A FOTON
DOBLE, COLUMNA Y CADERA
00271100013560003524000216900043380002983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01120050113400015000000000000000000000000000000000000000(UNILATERAL O BILATERAL) O
CUERPO ENTERO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0112105010000000300000000000000000000000000000000000000011.- EXAMEN Y ESTUDIO PET-
CT (INCLUYE CONTRASTE Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01122050100000013000000000000000000000000000000000000000RADIOFARMACO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01123050113500005000000000000000000000000000000000000000PET-CT
05726600286330000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01124050200000002000000000000000000000000000000000000000B.- PROCEDIMIENTOS
TERAPEUTICOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01125050200000002000000000000000000000000000000000000000RADIOISOTOPOS (NO INCLUYE
PROCEDIMIENTO MEDICO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01126050200100005000000000000000000000000000000000000000DOSIS TERAPEUTICAS CON I-
131 HASTA 30 MCI.
00632200031610008219000505800101150006954000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01127050200200005000000000000000000000000000000000000000DOSIS TERAPEUTICAS CON I-
131 ENTRE 31 A 100 MCI.
01219800060990015857000975800195170013418000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01128050200300005000000000000000000000000000000000000000DOSIS TERAPEUTICAS CON I-
131 ENTRE 101 A 200 MCI.
02168400108420028189001734700346940023852000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01129050200400005000000000000000000000000000000000000000DOSIS TERAPEUTICAS CON I-
131 ENTRE 201 A 300 MCI.
03117200155860040524002493800498750034289000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01130050200500005000000000000000000000000000000000000000TERAPIA PALIATIVA DEL DOLOR
CON RADIOISOTOPOS (NO INCLUYE
00271100013560003524000216900043380002983000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01131050200500015000000000000000000000000000000000000000RADIOFARMACO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01132050300000003000000000000000000000000000000000000000II.- RADIOTERAPIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01133050300000003000000000000000000000000000000000000000LA UNIDAD RAD SE CONSIDERA
COMO TAL O SU EQUIVALENTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01134050300000013000000000000000000000000000000000000000BIOLOGICO (GRAY * O
SIMILAR) SEGUN SEA LA TECNICA EMPLEADA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01135050300000023000000000000000000000000000000000000000PARA TODOS LOS CASOS, LOS
VALORES CORRESPONDEN A LA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01136050300000033000000000000000000000000000000000000000PLANIFICACION, SIMULACION Y
TRATAMIENTO INTEGRAL, EL CUAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01137050300000043000000000000000000000000000000000000000INCLUYE LA SUBSTANCIA
RADIOACTIVA, LA IRRADIACION EN UNA O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01138050300000053000000000000000000000000000000000000000MAS ZONAS ANATOMICAS, EN
SESIONES CONTINUAS, DIARIAS O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01139050300000063000000000000000000000000000000000000000SEMANALES SEGUN
CORRESPONDA. INCLUYEN, ADEMAS, EL CONTROL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01140050300000073000000000000000000000000000000000000000CLINICO Y EL TRATAMIENTO DE
LAS COMPLICACIONES DERIVADAS DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01141050300000083000000000000000000000000000000000000000LAS IRRADIACIONES, HASTA 20
DIAS DESPUES DE FINALIZADAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01142050300000093000000000000000000000000000000000000000ESTAS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01143050300000002000000000000000000000000000000000000000BRAQUITERAPIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01144050300100005000000000000000000000000000000000000000ENDOCAVITARIA O
INTERSTICIAL (RADIUM, CESIO O IRIDIUM)
00809700040490010526000647800129550008907000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01145050300300005000000000000000000000000000000000000000SUPERFICIAL (ESTRONCIO)
00303800015190003949000243000048610003342000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01146050400000002000000000000000000000000000000000000000RADIOTERAPIA CON ACELERADOR
LINEAL DE ELECTRONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01147050400100005000000000000000000000000000000000000000RADIOTERAPIA, CANCER DE
ESOFAGO PRE O POSTOPERATORIO
01901400095070024718001521100304220020915000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01148050400200005000000000000000000000000000000000000000RADIOTERAPIA, CANCER DE
ESOFAGO SIN INTERVENCION QUIR.
02852000142600037076002281600456320031372000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01149050400300005000000000000000000000000000000000000000RADIOTERAPIA, CANCER DE
MAMA SIN INTERVENCION QUIR.
03802700190140049435003042200608430041830000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01150050400400005000000000000000000000000000000000000000RADIOTERAPIA, CANCER DE
MAMA, TRAT. POSTOPERATORIO
03063600153180039827002450900490180033700000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01151050400400015000000000000000000000000000000000000000(TUMORECTOMIA; MASTECTOMIA
PARCIAL, TOTAL O RADICAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01152050400500005000000000000000000000000000000000000000RADIOTERAPIA, CANCER DE
ORGANOS DE ABDOMEN Y/O PELVIS,
03063600153180039827002450900490180033700000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01153050400500015000000000000000000000000000000000000000EXCEPTO UTERO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01154050400600005000000000000000000000000000000000000000RADIOTERAPIA, CANCER DE
ORGANOS DE CABEZA Y/O CUELLO
03063600153180039827002450900490180033700000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01155050400700005000000000000000000000000000000000000000RADIOTERAPIA, CANCER DE
PIEL
01901400095070024718001521100304220020915000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01156050400800005000000000000000000000000000000000000000RADIOTERAPIA, CANCER DE
PULMON O ESOFAGO TORACICO
01901400095070024718001521100304220020915000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01157050400900005000000000000000000000000000000000000000RADIOTERAPIA, CANCER DE
TESTICULO
03063600153180039827002450900490180033700000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01158050401000005000000000000000000000000000000000000000RADIOTERAPIA, CANCER
UTERINO (CUELLO Y/O ENDOMETRIO)
02270700113540029519001816600363310024978000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01159050401100005000000000000000000000000000000000000000RADIOTERAPIA, LEUCEMIA
TRATAMIENTO DE
01426200071310018541001141000228190015688000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01160050401200005000000000000000000000000000000000000000RADIOTERAPIA, LINFOMA
MALIGNO IRRADIACION GANGLIONAR TOTAL
04595200229760059738003676200735230050547000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01161050401300005000000000000000000000000000000000000000RADIOTERAPIA, LINFOMAS
MALIGNOS, TRAT. PARCIAL.
02270700113540029519001816600363310024978000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01162050401400005000000000000000000000000000000000000000RADIOTERAPIA, PALIATIVO EN
CANCER METASTASICO (CUALQUIER
01135800056790014765000908600181730012494000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01163050401400015000000000000000000000000000000000000000LOCALIZACION) (MINIMO 2.500
RADS. EN CADA ZONA ANATOMICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01164050401400025000000000000000000000000000000000000000SIMULTANEA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01165050401500005000000000000000000000000000000000000000RADIOTERAPIA, SARCOMA OSEO
O DE PARTES BLANDAS
02270700113540029519001816600363310024978000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01166050401600005000000000000000000000000000000000000000RADIOTERAPIA, TUMORES DEL
SISTEMA NERVIOSO CENTRAL
02852000142600037076002281600456320031372000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01167050500000002000000000000000000000000000000000000000TELECOBALTOTERAPIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01168050500100005000000000000000000000000000000000000000TELECOBALTOTERAPIA, CANCER
DE ESOFAGO PRE O POSTOPERATORIO
01426200071310018541001141000228190015688000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01169050500200005000000000000000000000000000000000000000TELECOBALTOTERAPIA, CANCER
DE ESOFAGO SIN INTERVENCION
QUIR.022707001135400295190018166003633100249780000000000000000000000000000000000000
000000000000000000000000000000000000000000000000
01170050500300005000000000000000000000000000000000000000TELECOBALTOTERAPIA, CANCER
DE MAMA, TRAT. POSTOPERATORIO
02302800115140029936001842200368450025331000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01171050500300015000000000000000000000000000000000000000(TUMORECTOMIA; MASTECTOMIA
PARCIAL, TOTAL O RADICAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01172050500400005000000000000000000000000000000000000000TELECOBALTOTERAPIA, CANCER
DE MAMA SIN INTERVENCION QUIR.
02878600143930037422002302900460580031665000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01173050500500005000000000000000000000000000000000000000TELECOBALTOTERAPIA, CANCER
DE ORGANOS DE ABDOMEN Y/O
02302800115140029936001842200368450025331000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01174050500500015000000000000000000000000000000000000000PELVIS, EXCEPTO UTERO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01175050500600005000000000000000000000000000000000000000TELECOBALTOTERAPIA, CANCER
DE ORGANOS DE CABEZA Y CUELLO
02302800115140029936001842200368450025331000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01176050500700005000000000000000000000000000000000000000TELECOBALTOTERAPIA, CANCER
DE PIEL
01452100072610018877001161700232340015974000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01177050500800005000000000000000000000000000000000000000TELECOBALTOTERAPIA, CANCER
DE PULMON O ESOFAGO TORACICO
01452100072610018877001161700232340015974000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01178050500900005000000000000000000000000000000000000000TELECOBALTOTERAPIA, CANCER
DE TESTICULO
02302800115140029936001842200368450025331000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01179050501000005000000000000000000000000000000000000000TELECOBALTOTERAPIA, CANCER
UTERINO (CUELLO Y/O ENDOMETRIO)
01721600086080022381001377300275460018938000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01180050501100005000000000000000000000000000000000000000TELECOBALTOTERAPIA,
LEUCEMIA, TRAT. DE
00951000047550012363000760800152160010461000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01181050501200005000000000000000000000000000000000000000TELECOBALTOTERAPIA, LINFOMA
MALIGNO IRRADIACION GANGLIONAR
03326900166350043250002661600532300036596000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01182050501200015000000000000000000000000000000000000000TOTAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01183050501300005000000000000000000000000000000000000000TELECOBALTOTERAPIA,
LINFOMAS MALIGNOS, TRAT. PARCIAL
01721600086080022381001377300275460018938000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01184050501400005000000000000000000000000000000000000000TELECOBALTOTERAPIA,
PALIATIVO EN CANCER METASTASICO
00861300043070011197000689100137810009475000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01185050501400015000000000000000000000000000000000000000(CUALQUIER LOCALIZACION)
MINIMO 2.500 RADS EN CADA ZONA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01186050501400025000000000000000000000000000000000000000ANATOMICA SIMULTANEA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01187050501500005000000000000000000000000000000000000000TELECOBALTOTERAPIA, SARCOMA
OSEO O DE PARTES BLANDAS
01742700087140022655001394200278830019170000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01188050501600005000000000000000000000000000000000000000TELECOBALTOTERAPIA, TUMORES
DEL SISTEMA NERVIOSO CENTRAL
02270700113540029519001816600363310024978000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01189050600000002000000000000000000000000000000000000000ROENTGENTERAPIA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01190050600100005000000000000000000000000000000000000000ANTIINFLAMATORIA
00570100028510007411000456100091220006272000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01191050600200005000000000000000000000000000000000000000CANCER DE PIEL
00570100028510007411000456100091220006272000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01192050600300005000000000000000000000000000000000000000PALIATIVO EN CANCER
METASTASICO
00570100028510007411000456100091220006272000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01193060000000001000000000000000000000000000000000000000GRUPO : 06
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01194060000000001000000000000000000000000000000000000000KINESIOLOGIA Y FISIOTERAPIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01195060100000003000000000000000000000000000000000000000I.- PROCEDIMIENTOS
DIAGNOSTICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01196060100100005000000000000000000000000000000000000000EVALUACION KINESIOLOGICA:
MUSCULAR, ARTICULAR, POSTURAL,
00015200000760000198000012200002430000167000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01197060100100015000000000000000000000000000000000000000NEUROLOGICA Y FUNCIONAL
(MAXIMO 2 POR TRATAMIENTO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01198060100300005000000000000000000000000000000000000000* EVALUACION BIOMECANICA
INSTRUMENTAL
00029400001470000382000023500004700000323000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01199060100000003000000000000000000000000000000000000000II.-PROCEDIMIENTOS
TERAPEUTICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01200060100000003000000000000000000000000000000000000000(SOLO PUEDEN UTILIZARSE
HASTA 3 PROCEDIMIENTOS DE C/U DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01201060100000013000000000000000000000000000000000000000LAS PRESTACIONES SIGUIENTES
POR PACIENTE. SI SE NECESITAN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01202060100000023000000000000000000000000000000000000000MAS, DEBERAN FUNDAMENTARSE
POR EL MEDICO TRATANTE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01203060100000003000000000000000000000000000000000000000A.- FISIOTERAPIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01204060100000003000000000000000000000000000000000000000A.1.TERAPIA CALORICA
SUPERFICIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01205060100400005000000000000000000000000000000000000000* PISCINA TEMPERADA
(INCLUYE EJERCICIOS) (PROC.AUT.)
00029400001470000382000023500004700000323000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01206060100500005000000000000000000000000000000000000000* RADIACION INFRARROJA,
HORNO, BAO PARAFINA, COMPRESAS
00007300000370000095000005900001170000081000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01207060100500015000000000000000000000000000000000000000HUMEDAS, C/U (PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01208060100600005000000000000000000000000000000000000000* TANQUE DE HUBBARD CON
EJERCICIOS (HIPER O HIPO-TERMAL
00028200001410000367000022600004510000310000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01209060100600015000000000000000000000000000000000000000SOBRE 1.000 LTS DE
CAPACIDAD) (PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01210060100700005000000000000000000000000000000000000000* TURBION, TANQUE CON
REMOLINO (HIPER O HIPOTERMAL,BAO DE
00016700000840000217000013400002670000184000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01211060100700015000000000000000000000000000000000000000CONTRASTE) (PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01212060101000005000000000000000000000000000000000000000* TERAPIA POR RADIACION
ULTRAVIOLETA. (PROC.AUT.)
00007700000390000100000006200001230000085000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01213060100000003000000000000000000000000000000000000000A.2.TERAPIA CALORICA
PROFUNDA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01214060100800005000000000000000000000000000000000000000* LASERTERAPIA (PROC.AUT.)
00017700000890000230000014200002830000195000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01215060100900005000000000000000000000000000000000000000* ONDA CORTA (ULTRATERMIA),
MICROONDAS, C/U (PROC.AUT.)
00015100000760000196000012100002420000167000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01216060101100005000000000000000000000000000000000000000* TERAPIA POR ONDAS
MECANICAS (PROC. AUT.)
00016700000840000217000013400002670000184000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01217060100000003000000000000000000000000000000000000000A.3.ELECTROTERAPIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01218060101200005000000000000000000000000000000000000000* ANALGESIA TRANSCUTANEA
(TENS) (PROC.AUT.)
00009300000470000121000007500001490000103000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01219060101300005000000000000000000000000000000000000000* ESTIMULACION ELECTRICA
(INTERFERENCIAL, DIADINAMICAS,
00015100000760000196000012100002420000167000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01220060101300015000000000000000000000000000000000000000EXPONENCIALES, GALVANICA,
FARADICA, ULTRAEXCITANTE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01221060101300025000000000000000000000000000000000000000(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01222060101400005000000000000000000000000000000000000000* IONTOFORESIS (PROC.AUT.)
00007700000390000100000006200001230000085000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01223060101500005000000000000000000000000000000000000000* RETROALIMENTACION
NEUROMUSCULAR (MIOFEEDBACK) (PROC.AUT.)
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01224060100000003000000000000000000000000000000000000000A.4 MECANOTERAPIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01225060101600005000000000000000000000000000000000000000* COMPRESION NEUMATICA
(MASAJE COMPRESIVO) (PROC.AUT.)
00009900000500000129000008000001580000109000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01226060102700005000000000000000000000000000000000000000* TRACCION CERVICAL Y/O
LUMBAR (MECANICA O MANUAL)
00008300000420000108000006700001330000092000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01227060102700015000000000000000000000000000000000000000(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01228060100000003000000000000000000000000000000000000000B.- KINESITERAPIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01229060102900005000000000000000000000000000000000000000ATENCION KINESIOLOGICA
INTEGRAL
00042800002140000556000034200006850000471000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01230060101700005000000000000000000000000000000000000000* EJERCICIOS RESPIRATORIOS
Y PROCEDIMIENTOS DE
00021300001070000277000017100003410000235000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01231060101700015000000000000000000000000000000000000000KINESITERAPIA TORACICA
(VENTILACION PULMONAR LOCALIZADA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01232060101700025000000000000000000000000000000000000000ESTIMULACION DE LA TOS,
BLOQUEOS TORACICOS, VIBRACIONES,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01233060101700035000000000000000000000000000000000000000PERCUSIONES Y TAPOTEOS)
(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01234060102800005000000000000000000000000000000000000000* ENTRENAMIENTO
CARDIORESPIRATORIO (SESIONES INDIVIDUALES,
00015800000790000205000012600002530000174000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01235060102800015000000000000000000000000000000000000000MINIMO 30 MINUTOS)
(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01236060101800005000000000000000000000000000000000000000* PRUEBA DE ESFUERZO O
ENTRENAMIENTO ERGOMETRICO
(PORC.AUT.)000195000009800002540000157000031200002150000000000000000000000000000000
000000000000000000000000000000000000000000000000000000
01237060101900005000000000000000000000000000000000000000* ENTRENAMIENTO FUNCIONAL
CON AYUDAS TECNICAS (ORTESIS,
00017700000890000230000014200002830000195000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01238060101900015000000000000000000000000000000000000000AYUDAS DE DESPLAZAMIENTO,
ETC.) (PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01239060102000005000000000000000000000000000000000000000* ENTRENAMIENTO PROTESICO
EXTREMIDADES (PROC.AUT.)
00015100000760000196000012100002420000167000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01240060102100005000000000000000000000000000000000000000* MANIPULACION OSTEOPATICA
(LIBERACION ARTICULAR,
00011100000560000144000008900001780000123000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01241060102100015000000000000000000000000000000000000000MANIPULACION VERTEBRAL)
(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01242060102200005000000000000000000000000000000000000000* MASOTERAPIA, POR SESION
(PROC.AUT.)
00019500000980000254000015700003120000215000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01243060102300005000000000000000000000000000000000000000* ORIENTACION Y
ENTRENAMIENTO DE PERSONAS CON BAJA VISION O
00029400001470000382000023500004700000323000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01244060102300015000000000000000000000000000000000000000CON CEGUERA (PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01245060102400005000000000000000000000000000000000000000* REEDUCACION MOTRIZ
(EJERCICIOS TERAPEUTICOS PARA
00012400000620000161000009900001980000136000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01246060102400015000000000000000000000000000000000000000RECUPERACION MUSCULAR,
CAPACIDAD DE TRABAJO, COORDINACION,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01247060102400025000000000000000000000000000000000000000GIMNASIA ORTOPEDICA,
REEDUCACION FUNCIONAL, DE MARCHA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01248060102400035000000000000000000000000000000000000000(INDIVIDUAL Y POR SESION,
MINIMO 30 MINUTOS) (PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01249060102500005000000000000000000000000000000000000000* TECNICAS DE FACILITACION,
TECNICAS DE INHIBICION (KABAT
00011600000580000151000009300001860000128000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01250060102500015000000000000000000000000000000000000000Y/O BOBATH) (PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01251060102600005000000000000000000000000000000000000000* TECNICAS DE RELAJACION
(ENTRENAMIENTO AUTOGENO SCHULTZ -
00026100001310000339000020900004180000288000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01252060102600015000000000000000000000000000000000000000JACOBSON O SIMILAR)
(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01253060103000005000000000000000000000000000000000000000* MANIOBRAS
PERMEABILIZACION DE LA VIA AEREA (PROC.AUT.)
00007700000390000100000006200001230000085000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01254060103100005000000000000000000000000000000000000000ATENCION KINESIOLOGICA
INTEGRAL, AL ENFERMO HOSP. EN UTI O
00105800005290001375000084600016930001164000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01255060103100015000000000000000000000000000000000000000INTERMEDIO (MAX. 1 DIARIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01256060100000003000000000000000000000000000000000000000* TODAS ESTAS PRESTACIONES
PUEDEN SER EJECUTADAS Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01257060100000013000000000000000000000000000000000000000COBRADAS POR KINESIOLOGOS,
POR PRESCRIPCION ESCRITA DE UN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01258060100000023000000000000000000000000000000000000000MEDICO CIRUJANO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01259070000000001000000000000000000000000000000000000000GRUPO : 07
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01260070000000001000000000000000000000000000000000000000MEDICINA TRANSFUSIONAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01261070000000003000000000000000000000000000000000000000TRANSFUSION DE
HEMOCOMPONENTES. COBRO DE ACTO TRANSFUSIONAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01262070000000013000000000000000000000000000000000000000POR CADA 4 UNIDADES DE
GLOBULOS ROJOS O PLASMA, Y POR CADA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
012630700000000230000000000000000000000000000000000000006 UNIDADES DE
CRIOPRECIPITADOS O PLAQUETAS. INCLUYE EL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01264070000000033000000000000000000000000000000000000000TRATAMIENTO DE LAS
COMPLICACIONES MEDICAS INMEDIATAS. NO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01265070000000043000000000000000000000000000000000000000INCLUYE PREPARACION DE
HEMOCOMPONENTES NI ESTUDIOS PREVIOS,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01266070000000053000000000000000000000000000000000000000SALVO QUE EL PROCEDIMIENTO
TRANSFUSIONAL ASI LO EXPLICITE.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01267070000000003000000000000000000000000000000000000000PREPARACION DE
HEMOCOMPONENTES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01268070200100005000000000000000000000000000000000000000PREPARACION DE GLOBULOS
ROJOS, PLASMA, PLAQUETAS O
00097400004870000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01269070200100015000000000000000000000000000000000000000CRIOPRECIPITADOS (INCLUYE
ENTREVISTA, SELECCION DEL DONANTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01270070200100025000000000000000000000000000000000000000Y LA PREPARACION DEL
RESPECTIVO HEMOCOMPONENTE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01271070200200005000000000000000000000000000000000000000OBTENCION Y PREPARACION
AUTOMATIZADA DE PLAQUETAS EN
02011500100580000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01272070200200015000000000000000000000000000000000000000DONANTE UNICO, CON MAQUINA
SEPARADORA CELULAR (PROC.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01273070200200025000000000000000000000000000000000000000COMPLETO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01274070000000003000000000000000000000000000000000000000ESTUDIOS PREVIOS A
TRANSFUSION POR TIPO DE HEMOCOMPONENTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01275070200300005000000000000000000000000000000000000000SET DE EXAMENES POR UNIDAD
DE GLOBULOS ROJOS
00133500006680000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01276070200300015000000000000000000000000000000000000000TRANSFUNDIDA (INCLUYE
CLASIFICACION ABO Y RHO, VDRL, HIV,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01277070200300025000000000000000000000000000000000000000VIRUS HEPATITIS B ANTIGENO
DE SUPERFICIE, ANTICUERPOS DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01278070200300035000000000000000000000000000000000000000HEPATITIS C, HTLV - I Y
II, CHAGAS, PRUEBA DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01279070200300045000000000000000000000000000000000000000COMPATIBILIDAD
ERITROCITARIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01280070200400005000000000000000000000000000000000000000SET DE EXAMENES POR UNIDAD
TRANSFUNDIDA DE PLASMA O DE
00110700005540000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01281070200400015000000000000000000000000000000000000000PLAQUETAS O DE
CRIOPRECIPITADOS, C/U (INCLUYE CLASIFICACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01282070200400025000000000000000000000000000000000000000ABO Y RHO, VDRL, HIV, VIRUS
HEPATITIS B ANTIGENO DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01283070200400035000000000000000000000000000000000000000SUPERFICIE, ANTICUERPOS DE
HEPATITIS C, HTLV - I Y II,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01284070200400045000000000000000000000000000000000000000CHAGAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01285070200500005000000000000000000000000000000000000000PRUEBA DE COMPATIBILIDAD
POR UNIDAD DE GLOBULOS ROJOS
00023800001190000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01286070200500015000000000000000000000000000000000000000(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01287070000000003000000000000000000000000000000000000000PROCEDIMIENTOS
TRANSFUSIONALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01288070200600005000000000000000000000000000000000000000TRANSFUSION EN ADULTO
(ATENCION AMBULATORIA, ATENCION
00075700003790000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01289070200600015000000000000000000000000000000000000000CERRADA SIEMPRE QUE LA
ADMINISTRACION SEA CONTROLADA POR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01290070200600025000000000000000000000000000000000000000PROFESIONAL ESPECIALISTA,
TECNOLOGO MEDICO O MEDICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01291070200600035000000000000000000000000000000000000000RESPONSABLE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01292070200700005000000000000000000000000000000000000000TRANSFUSION EN NIO
(ATENCION AMBULATORIA, ATENCION CERRADA
00088000004400000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01293070200700015000000000000000000000000000000000000000SIEMPRE QUE LA
ADMINISTRACION SEA CONTROLADA POR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01294070200700025000000000000000000000000000000000000000PROFESIONAL ESPECIALISTA,
TECNOLOGO MEDICO O MEDICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01295070200700035000000000000000000000000000000000000000RESPONSABLE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01296070200800005000000000000000000000000000000000000000TRANSFUSION EN ADULTO O
NIO EN PABELLON (CON ASISTENCIA
00129600006480000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01297070200800015000000000000000000000000000000000000000PERMANENTE DEL MEDICO O
TECNOLOGO MEDICO RESPONSABLE) (NO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01298070200800025000000000000000000000000000000000000000CORRESPONDE SU COBRO CUANDO
SEA CONTROLADA POR MEDICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01299070200800035000000000000000000000000000000000000000ANESTESISTA, POR ESTAR
INCLUIDA EN EL VALOR DE SUS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01300070200800045000000000000000000000000000000000000000HONORARIOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01301070200900005000000000000000000000000000000000000000EXSANGUINEO TRANSFUSION EN
RECIEN NACIDO POR VIA UMBILICAL
00588600029430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01302070200900015000000000000000000000000000000000000000(INCLUYE PROC. COMPLETO DE
EXTRACCION Y ADMINISTRACION,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01303070200900025000000000000000000000000000000000000000ADEMAS DEL SET DE EXAMENES
PREVIOS A LA TRANSFUSION)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01304070201000005000000000000000000000000000000000000000EXSANGUINEO TRANSFUSION EN
ADULTO O NIO (INCLUYE PROC.
00339100016960000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01305070201000015000000000000000000000000000000000000000COMPLETO DE EXTRACCION AL
RECEPTOR Y ADMINISTRACION AL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01306070201000025000000000000000000000000000000000000000MISMO, ADEMAS DEL SET DE
EXAMENES PREVIOS A LA TRANSFUSION)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01307070201100005000000000000000000000000000000000000000AUTOTRANSFUSION-PREDEPOSITO
(INCLUYE PROC. COMPLETO, ADEMAS
00495100024760000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01308070201100015000000000000000000000000000000000000000DE LOS EXAMENES PREVIOS)
(CORRESPONDE COBRO DE UNA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01309070201100025000000000000000000000000000000000000000PRESTACION PARA EXTRACCION
DE 2 A 4 UNIDADES DE SANGRE O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01310070201100035000000000000000000000000000000000000000HEMOCOMPONENTES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01311070201200005000000000000000000000000000000000000000SANGRIA (CONSIDERA EL COBRO
DE UNA PRESTACION POR CADA
00070500003530000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01312070201200015000000000000000000000000000000000000000UNIDAD DE SANGRE EXTRAIDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01313070201300005000000000000000000000000000000000000000HEMAFERESIS PROCEDIMIENTO
MANUAL (INCLUYE PROC. COMPLETO)
00173100008660000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01314070201400005000000000000000000000000000000000000000HEMAFERESIS PROCEDIMIENTO
CON MAQUINA SEPARADORA CELULAR
01860700093040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01315070201400015000000000000000000000000000000000000000(INCLUYE PROC. COMPLETO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01316080000000001000000000000000000000000000000000000000GRUPO : 08
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01317080000000001000000000000000000000000000000000000000ANATOMIA PATOLOGICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01318080100100005000000000000000000000000000000000000000CITODIAGNOSTICO CORRIENTE,
EXFOLIATIVA ( PAPANICOLAU Y
00049800002490000647000039800007970000548000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01319080100100015000000000000000000000000000000000000000SIMILARES)(POR CADA ORGANO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01320080100200005000000000000000000000000000000000000000CITOLOGIA ASPIRATIVA (POR
PUNCION); POR CADA ORGANO
00073800003690000959000059000011810000812000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01321080100300005000000000000000000000000000000000000000** ESTUDIO HISTOPATOLOGICO
CON MICROSCOPIA ELECTRONICA (POR
00232200011610003019000185800037150002554000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01322080100300015000000000000000000000000000000000000000CADA ORGANO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01323080100400005000000000000000000000000000000000000000** ESTUDIO HISTOPATOLOGICO
CON TECNICAS DE
00201200010060002616000161000032190002213000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01324080100400015000000000000000000000000000000000000000INMUNOHISTOQUIMICA O
INMUNOFLUORESCENCIA (POR CADA ORGANO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01325080100500005000000000000000000000000000000000000000** ESTUDIO HISTOPATOLOGICO
CON TECNICAS HISTOQUIMICAS
00151300007570001967000121100024210001665000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01326080100500015000000000000000000000000000000000000000ESPECIALES (INCLUYE
DESCALCIFICACION) (POR CADA ORGANO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01327080100600005000000000000000000000000000000000000000ESTUDIO HISTOPATOLOGICO DE
BIOPSIA CONTEMPORANEA (RAPIDA)
00201200010060002616000161000032190002213000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01328080100600015000000000000000000000000000000000000000A INTERVENCIONES
QUIRURGICAS ( POR CADA ORGANO) ( NO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01329080100600025000000000000000000000000000000000000000INCLUYE BIOPSIA DIFERIDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01330080100700005000000000000000000000000000000000000000ESTUDIO HISTOPATOLOGICO CON
TINCION CORRIENTE DE BIOPSIA
00201200010060002616000161000032190002213000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01331080100700015000000000000000000000000000000000000000DIFERIDA CON ESTUDIO
SERIADO (MINIMO 10 MUESTRAS) DE UN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01332080100700025000000000000000000000000000000000000000ORGANO O PARTE DE EL (NO
INCLUYE ESTUDIO CON TECNICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01333080100700035000000000000000000000000000000000000000HABITUAL DE OTROS ORGANOS
INCLUIDOS EN LA MUESTRA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01334080100800005000000000000000000000000000000000000000ESTUDIO HISTOPATOLOGICO
CORRIENTE DE BIOPSIA DIFERIDA (POR
00101400005070001318000081100016220001115000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01335080100800015000000000000000000000000000000000000000CADA ORGANO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01336080100900005000000000000000000000000000000000000000NECROPSIA DE ADULTO O NIO,
CON ESTUDIO HISTOPATOLOGICO
00553200027660007192000442600088510006085000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01337080100900015000000000000000000000000000000000000000CORRIENTE.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01338080101000005000000000000000000000000000000000000000NECROPSIA DE FETO O RECIEN
NACIDO, CON ESTUDIO
00442300022120005750000353900070770004866000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01339080101000015000000000000000000000000000000000000000HISTOPATOLOGICO CORRIENTE.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01340080100000003000000000000000000000000000000000000000** ESTOS EXAMENES PUEDEN
SER SOLICITADOS POR EL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01341080100000013000000000000000000000000000000000000000ANATOMOPATOLOGO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01342090000000001000000000000000000000000000000000000000GRUPO : 09
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01343090000000001000000000000000000000000000000000000000PSIQUIATRIA Y PSICOLOGIA
CLINICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01344090100000002000000000000000000000000000000000000000I.- PSIQUIATRIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01345090100100005000000000000000000000000000000000000000CONTROL PACIENTE
PSIQUIATRICO CRONICO;MAX.2 CONTROLES AL
MES00093200004660001212000074600014910001025000000000000000000000000000000000000000
0000000000000000000000000000000000000000000000
01346090100200005000000000000000000000000000000000000000DESINTOXICACION O
DESHABITUACION EN PACIENTES
00067300003370000875000053900010770000741000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01347090100200015000000000000000000000000000000000000000HOSPITALIZADOS (INCLUYE
TRATAMIENTO DE LA INTOXICACION, DEL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01348090100200025000000000000000000000000000000000000000SINDROME DE PRIVACION Y DE
LAS COMPLICACIONES MEDICAS); POR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01349090100200035000000000000000000000000000000000000000DIA ( MAXIMO 15 )
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01350090100300005000000000000000000000000000000000000000ELECTROSHOCKS E INSULINO-
TERAPIA (EFECTUADA Y CONTROLADA
00067300003370000875000053900010770000741000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01351090100300015000000000000000000000000000000000000000POR EL MEDICO PSIQUIATRA,
INCLUYE TRAT. DE LAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01352090100300025000000000000000000000000000000000000000COMPLICACIONES MEDICAS, C/S
MIORRELAJANTES); CADA SESION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01353090100300035000000000000000000000000000000000000000(MAX.6)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01354090100400005000000000000000000000000000000000000000PRUEBA AVERSIVA CON
DISULFIRANO O SIMILARES (CUALQUIERA)
00067300003370000875000053900010770000741000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01355090100400015000000000000000000000000000000000000000(MAX. 1)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01356090100500005000000000000000000000000000000000000000ATENCION PSIQUIATRICA O
PSICOTERAPIA DE FAMILIA,
00089900004500001169000072000014380000989000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01357090100500015000000000000000000000000000000000000000INDIVIDUAL, DE RELAJACION O
DE MANEJO (CON FAMILIA U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01358090100500025000000000000000000000000000000000000000OTROS);(CADA SESION MINIMO
45')
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01359090100600005000000000000000000000000000000000000000TERAPIA AVERSIVA CON
FARMACOS, C/SESION (MAX. 15)
00067300003370000875000053900010770000741000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01360090100900005000000000000000000000000000000000000000EVALUACION PSIQUIATRICA
PREVIA A TERAPIA (1RA. CONSULTA).
00090200004510001173000072200014430000992000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01361090101000005000000000000000000000000000000000000000PSICOTERAPIA DE PAREJA (POR
CADA MIEMBRO DE LA PAREJA)
00082500004130001073000066100013200000908000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01362090200000002000000000000000000000000000000000000000II.- PSICOLOGIA CLINICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01363090200100005000000000000000000000000000000000000000CONSULTA PSICOLOGO CLINICO
(SESIONES 45')
00070200003510000913000056200011230000772000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01364090200200005000000000000000000000000000000000000000SESION DE PSICOTERAPIA
INDIVIDUAL
00081000004050001053000064800012960000891000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01365090200300005000000000000000000000000000000000000000SESION DE PSICOTERAPIA DE
PAREJA (CON AMBOS MIEMBROS)
00079400003970001032000063500012700000873000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01366090200000003000000000000000000000000000000000000000A.- EVALUACION DE
PERSONALIDAD
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01367090201000005000000000000000000000000000000000000000TEST DE RORSCHACH
00232200011610003019000185800037150002554000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01368090201100005000000000000000000000000000000000000000TEST DE RELACIONES
OBJETALES
00183400009170002384000146700029340002017000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01369090201200005000000000000000000000000000000000000000TEST DE APERCEPCION
TEMATICA, T.A.T., C.A.T.-H O C.A.T.-A.
00183400009170002384000146700029340002017000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01370090201300005000000000000000000000000000000000000000TEST DE EDWARDS
00086200004310001121000069000013790000948000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01371090201400005000000000000000000000000000000000000000TEST DE M.M.P.I.
00086200004310001121000069000013790000948000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01372090200000003000000000000000000000000000000000000000B.- EVALUACION DE NIVEL
INTELECTUAL, DESARROLLO Y FUNCIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01373090201500005000000000000000000000000000000000000000TEST DE WESCHLER, WAIS,
WISC O WPPSI
00134700006740001751000107800021550001482000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01374090201600005000000000000000000000000000000000000000TEST DE DOMINO O TEST DE
RAVEN
00086200004310001121000069000013790000948000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01375090200000003000000000000000000000000000000000000000C.- EVALUACION FUNCIONES
GNOSOPRACTICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01376090201700005000000000000000000000000000000000000000TEST DE BENDER
00086200004310001121000069000013790000948000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01377090201800005000000000000000000000000000000000000000BENDER BIP
00086200004310001121000069000013790000948000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01378090201900005000000000000000000000000000000000000000TEST DE GOLDSTEIN
00134700006740001751000107800021550001482000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01379090202000005000000000000000000000000000000000000000TEST DE LURIA-NEBRASKA
00232200011610003019000185800037150002554000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01380100000000001000000000000000000000000000000000000000GRUPO : 10
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01381100000000001000000000000000000000000000000000000000ENDOCRINOLOGIA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01382100100100005000000000000000000000000000000000000000TERMOGRAFIA (MAMARIA,
TIROIDEA U OTRAS) C/U.
00065400003270000850000052300010460000719000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01383100100000002000000000000000000000000000000000000000PRUEBAS FUNCIONALES.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01384100100000003000000000000000000000000000000000000000INCLUYEN LA VIGILANCIA DE
LA ADMINISTRACION DE LOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01385100100000013000000000000000000000000000000000000000MEDICAMENTOS PROPIOS DE
CADA PRUEBA, LA TOMA DE MUESTRAS,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01386100100000023000000000000000000000000000000000000000EL CONTROL CLINICO DEL
PACIENTE Y EL TRATAMIENTO DE LAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01387100100000033000000000000000000000000000000000000000COMPLICACIONES MEDICAS DE
CADA PRUEBA (NO INCLUYEN FARMACOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01388100100000043000000000000000000000000000000000000000NI LOS EXAMENES QUE
CORRESPONDAN)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01389100100200005000000000000000000000000000000000000000DE ESTIMULACION CON
GLUCAGON, HISTAMINA O SIMILAR.
00040400002020000525000032300006460000444000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01390100100300005000000000000000000000000000000000000000DE ESTIMULACION DE RENINA,
FUROSEMIDA O SIMILAR
00031200001560000406000025000004990000343000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01391100100400005000000000000000000000000000000000000000DE ESTIMULACION HGH EN
ERGOMETRO.
00028200001410000367000022600004510000310000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01392100100500005000000000000000000000000000000000000000DE ESTIMULACION O FRENACION
CON ACTH, CLOMIFENO, GLUCOSA,
00028200001410000367000022600004510000310000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01393100100500015000000000000000000000000000000000000000GNRH, GONADOTROFINAS, L-
DOPA, METOCLOPRAMIDA, METOPIRONA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01394100100500025000000000000000000000000000000000000000TRH, THS, O SIMILARES, C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01395100100600005000000000000000000000000000000000000000DE ESTIMULO
MINERALOCORTICOIDEO Y DE RESPUESTA VASCULAR A
00040400002020000525000032300006460000444000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01396100100600015000000000000000000000000000000000000000ANGIOTENSINA II O III O
SIMILAR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01397100100700005000000000000000000000000000000000000000DE HIPOGLICEMIA CON
INSULINA O TOLBUTAMIDA O SIMILAR.
00040400002020000525000032300006460000444000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01398100100800005000000000000000000000000000000000000000DE INFUSION PROLONGADA DE
ACTH, ARGININA, GNRH O SIMILAR,
00031100001560000404000024900004980000343000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01399100100800015000000000000000000000000000000000000000C/U.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01400100100900005000000000000000000000000000000000000000DE PRIVACION ACUOSA, CON O
SIN ADH
00049600002480000645000039700007940000546000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01401100101000005000000000000000000000000000000000000000DE REGITINA O SIMILAR
00040400002020000525000032300006460000444000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01402100101100005000000000000000000000000000000000000000DE SOBRECARGA DE CALCIO
00040400002020000525000032300006460000444000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01403100101200005000000000000000000000000000000000000000DE SOBRECARGA HIDRICA
00015800000790000205000012600002530000174000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01404110000000001000000000000000000000000000000000000000GRUPO : 11
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01405110000000001000000000000000000000000000000000000000NEUROLOGIA Y NEUROCIRUGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01406110100000002000000000000000000000000000000000000000I.- PROCEDIMIENTOS
DIAGNOSTICOS Y TERAPEUTICOS EN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01407110100000012000000000000000000000000000000000000000NEUROLOGIA Y NEUROCIRUGIA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01408110100000003000000000000000000000000000000000000000PUNCIONES C/S TOMA DE
MUESTRAS C/S INYECCION MEDICAMENTOSA:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01409110100100005000000000000000000000000000000000000100RELLENADO DE BOMBAS DE
ADMINISTRACION DE FARMACOS EN LCR
00094300004720001226000075500015090001038000094300012260001509000000000000000000000
0000000000000000000000000000000000000000000
01410110100200005000000000000000000000000000000000000100PUNCION SUBDURAL
00094300004720001226000075500015090001038000094300012260001509000000000000000000000
0000000000000000000000000000000000000000000
01411110100300005000000000000000000000000000000000000100-LUMBAR C/S MANOMETRIA C/S
QUECKENSTED
00062600003130000814000050100010020000689000062600008140001002000000000000000000000
0000000000000000000000000000000000000000000
01412110114000005000000000000000000000000000000000000000ESCLEROSIS MULTIPLE
REMITENTE RECURRENTE, TRATAMIENTO
89924504496230000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01413110114000015000000000000000000000000000000000000000MEDICO FARMACOLOGICO ANUAL
(INCLUYE INMUNOMODULADORES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01414110114100005000000000000000000000000000000000000000ESCLEROSIS MULTIPLE
REMITENTE RECURRENTE, TRATAMIENTO
02308400115420000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01415110114100015000000000000000000000000000000000000000REHABILITACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01416110114200005000000000000000000000000000000000000000ESCLEROSIS MULTIPLE
REMITENTE RECURRENTE, TRATAMIENTO
BROTE105264005263200000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000
01417110100000003000000000000000000000000000000000000000ELECTRODIAGNOSTICOS:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01418110100400005000000000000000000000000000000000000000E.E.G. DE 16 O MAS CANALES
(INCLUYE EL COD.11-01-006)
00155400007770002020000124300024860001709000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01419110100500005000000000000000000000000000000000000000ELECTROCORTICOGRAFIA
00207100010360002692000165700033140002279000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01420110100600005000000000000000000000000000000000000000ELECTROENCEFALOGRAMA
(E.E.G.) STANDARD Y/O ACTIVADO "SIN
00124200006210001615000099400019870001366000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01421110100600015000000000000000000000000000000000000000PRIVACION DE SUEO"
(INCLUYE MONO Y BIPOLARES,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01422110100600025000000000000000000000000000000000000000HIPERVENTILACION, C/S
REACTIVIDAD AUDITIVA, VISUAL,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01423110100600035000000000000000000000000000000000000000LUMINICA, POR DROGAS U
OTRAS ). EQUIPO DE 8 CANALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01424110100700005000000000000000000000000000000000000000ESTEREO-
ELECTROENCEFALOGRAFIA (INCLUYE UNO O MAS ELECTRODOS
00278800013940003624000223000044610003067000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01425110100700015000000000000000000000000000000000000000ADICIONALES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01426110100800005000000000000000000000000000000000000000MONITOREO EEG INVASIVO CON
ELECTRODOS SUBDURALES
00125700006290001634000100600020110001383000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01427110104000005000000000000000000000000000000000000000E.E.G. EN VIGILIA, SUEO Y
POST-PRIVACION DE SUEO (INCLUYE
00212000010600002756000169600033920002332000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01428110104000015000000000000000000000000000000000000000CODIGO 11-01-006). EQUIPO
DE 8 CANALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01429110104100005000000000000000000000000000000000000000EEG EN VIGILIA, SUEO Y
POST-PRIVACION DE SUEO (INCLUYE
00221700011090002882000177400035470002439000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01430110104100015000000000000000000000000000000000000000CODIGO 11-01-004) EQUIPO DE
16 O MAS CANALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01431110104200005000000000000000000000000000000000000000EEG DIGITAL 20 CANALES (CON
ACTIVACIONES HV Y FE) ESTANDAR
00191100009560002484000152900030580002103000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01432110104200015000000000000000000000000000000000000000O POST PRIVACION DE SUEO
DE 20 A 30 MINUTOS DURACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01433110104300005000000000000000000000000000000000000000EEG DIGITAL 32 CANALES (CON
ACTIVACIONES HV Y FE) ESTANDAR
00286500014330003725000229300045840003152000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01434110104300015000000000000000000000000000000000000000O POST PRIVACION DE SUEO
DE 20 A 30 MINUTOS DURACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01435110104600005000000000000000000000000000000000000000ELECTROENCEFALOGRAMA
DIGITAL DE 32 CANALES CON MAPEO
00310500015530004037000248500049680003416000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01436110104600015000000000000000000000000000000000000000(MAPPING), ANALISIS
ESTADISTICO DE FRECUENCIAS Y DE EVENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01437110104600025000000000000000000000000000000000000000POR AREAS (INCLUYE
ESTIMULOS COGNITIVOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01438110104400005000000000000000000000000000000000000000MONITOREO E.E.G. CONTINUO
DE 24 HRS.
00373500018680004856000298900059760004109000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01439110104500005000000000000000000000000000000000000000POLISOMNOGRAFIA (ESTUDIO
POLIGRAFICO DEL SUEO),
00473600023680006157000378900075780005210000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01440110104500015000000000000000000000000000000000000000(ELECTROENCEFALOGRAMA,
ELECTROCARDIOGRAMA, MONITOREO DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01441110104500025000000000000000000000000000000000000000APNEAS Y
ELECTRONISTAGMOGRAFIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01442110100000003000000000000000000000000000000000000000ELECTROMIOGRAFIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01443110100900005000000000000000000000000000000000000000ELECTROMIOGRAFIA DE FIBRA
UNICA
00188100009410002445000150500030100002070000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01444110101000005000000000000000000000000000000000000000ELECTROMIOGRAFIAS CUALQUIER
REGION, POR EJ.: MUSCULOS
00115100005760001496000092100018420001267000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01445110101000015000000000000000000000000000000000000000FACIALES, FARINGE,
PARAVERTEBRALES, VEJIGA Y PERINE, TEST
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01446110101000025000000000000000000000000000000000000000DE MIASTENIA (INCLUYE EL
ESTUDIO CLINICO Y MUESTREO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01447110101000035000000000000000000000000000000000000000SUFICIENTES PARA
DIAGNOSTICAR NATURALEZA DEL TRASTORNO Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01448110101000045000000000000000000000000000000000000000ESTADO EVOLUTIVO), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01449110101100005000000000000000000000000000000000000000POTENCIALES EVOCADOS EN
CORTEZA ( POR EJ.: AUDITIVO, OCULAR
00115100005760001496000092100018420001267000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01450110101100015000000000000000000000000000000000000000O CORPORALES), C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01451110101200005000000000000000000000000000000000000000VELOCIDAD DE CONDUCCION
(INCLUYE REFLEJO H, ONDA F Y OTROS)
00094300004720001226000075500015090001038000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01452110100000003000000000000000000000000000000000000000PROCEDIMIENTOS PARA
EXAMENES RADIOLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01453110100000003000000000000000000000000000000000000000(SI UN MISMO MEDICO REALIZA
AMBOS PROCEDIMIENTOS, COBRARA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01454110100000013000000000000000000000000000000000000000AMBOS CODIGOS).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01455110100000003000000000000000000000000000000000000000ANGIOGRAFIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01456110101300005000000000000000000000000000000000000100CAROTIDA-VERTEBRAL POR
CATETERIZACION DE LA SUBCLAVIA,
00231100011560003004000184900036980002543000231100030040003698000000000000000000000
0000000000000000000000000000000000000000000
01457110101300015000000000000000000000000000000000000000AXILAR, HUMERAL O FEMORAL.
(A.C. 04-02-029)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01458110101500005000000000000000000000000000000000000100FLEBOGRAFIA ORBITARIA
( A.C. 04-02-040 )
00110300005520001434000088300017650001214000110300014340001765000000000000000000000
0000000000000000000000000000000000000000000
01459110101800005000000000000000000000000000000000000100YUGULOGRAFIA ( A.C. 04-02-
040 )
00110700005540001439000088600017710001218000110700014390001771000000000000000000000
0000000000000000000000000000000000000000000
01460110100000003000000000000000000000000000000000000000VENTRICULO-ENCEFALOGRAFIAS
(NO INCLUYEN LA TREPANACION):
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01461110101900005000000000000000000000000000000000000100NEUMOENCEFALOGRAFIA
FRACCIONADA, POR PUNCION LUMBAR ( A.C.
00132000006600001716000105600021120001452000132000017160002112000000000000000000000
0000000000000000000000000000000000000000000
0146211010190001500000000000000000000000000000000000000004-02-045 )
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01463110102000005000000000000000000000000000000000000100NEUMOENCEFALOGRAFIA
P/PUNCION SUBOCCIPITAL( A.C. 04-02-045 )
00202800010140002636000162200032450002231000202800026360003245000000000000000000000
0000000000000000000000000000000000000000000
01464110100000003000000000000000000000000000000000000000MIELOGRAFIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01465110102500005000000000000000000000000000000000000100POR PUNCION LUMBAR, CON
MEDIO DE CONTRASTE GASEOSO O
00110700005540001439000088600017710001218000110700014390001771000000000000000000000
0000000000000000000000000000000000000000000
01466110102500015000000000000000000000000000000000000000HIDROSOLUBLE (A.C. 04-02-
049 O 04-02-050 S/CORRESP.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01467110100000003000000000000000000000000000000000000000INFILTRACIONES (BLOQUEOS)
DE NERVIOS Y/O RAICES NERVIOSAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01468110102600005000000000000000000000000000000000000100BLOQUEO NERVIO PERIFERICO
EN PUNTO MOTOR
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01469110102700005000000000000000000000000000000000000100BLOQUEO NERVIO TRONCULAR
00128700006440001673000103000020590001416000128700016730002059000000000000000000000
0000000000000000000000000000000000000000000
01470110102800005000000000000000000000000000000000000100DE RAMAS DEL TRIGEMINO O
DEL FACIAL
00066200003310000861000053000010590000728000066200008610001059000000000000000000000
0000000000000000000000000000000000000000000
01471110102900005000000000000000000000000000000000000100DEL GANGLIO ESTRELLADO
00066200003310000861000053000010590000728000066200008610001059000000000000000000000
0000000000000000000000000000000000000000000
01472110103000005000000000000000000000000000000000000100EPIDURAL, CERVICAL, LUMBAR
O SIMILARES, CADA SESION
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01473110103100005000000000000000000000000000000000000100INTERCOSTALES (CUALQUIER
NUMERO)
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01474110103200005000000000000000000000000000000000000100RIZOTOMIA QUIMICA POR MEDIO
DE INYECCION INTRATECAL.
00199100009960002588000159300031860002191000199100025880003186000000000000000000000
0000000000000000000000000000000000000000000
01475110103300005000000000000000000000000000000000000100SUBOCCIPITAL U OTROS
NERVIOS CERVICALES
00066200003310000861000053000010590000728000066200008610001059000000000000000000000
0000000000000000000000000000000000000000000
01476110100000003000000000000000000000000000000000000000ALCOHOLIZACION O
FENOLIZACION DE NERVIOS PERIFERICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01477110100000003000000000000000000000000000000000000000(CUALQUIER NUMERO):
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01478110103400005000000000000000000000000000000000000100INTRAMUSCULAR
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01479110103500005000000000000000000000000000000000000100INTRATECAL
00158100007910002055000126500025300001740000158100020550002530000000000000000000000
0000000000000000000000000000000000000000000
01480110103600005000000000000000000000000000000000000100TRONCULAR
00128700006440001673000103000020590001416000128700016730002059000000000000000000000
0000000000000000000000000000000000000000000
01481110300000002000000000000000000000000000000000000000II.- INTERVENCIONES
QUIRURGICAS. NEUROCIRUGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01482110300000003000000000000000000000000000000000000000A.- CUERO CABELLUDO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01483110300000003000000000000000000000000000000000000000(HERIDAS TUMORES Y QUISTES
BENIGNOS, ABSCESO, FLEGMON DEL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01484110300000013000000000000000000000000000000000000000CUERO CABELLUDO, VEASE
TEGUMENTOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01485110300000003000000000000000000000000000000000000000LESIONES VASCULARES:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01486110300100005024380012190031690019500039010026820207ANEURISMA CIRSOIDEO DE
CUERO CABELLUDO, TRAT. QUIR.
01031300051570013407000825100165010011345000825040107256013200800206260026814003300
2000000000000000000000000000000000000000000
01487110300200005024380012190031690019500039010026820207SINUS PERICRANI, TRAT.QUIR.
01031300051570013407000825100165010011345000825040107256013200800206260026814003300
2000000000000000000000000000000000000000000
01488110300000003000000000000000000000000000000000000000B.- CRANEO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01489110300300005024380012190031690019500039010026820209HUNDIMIENTO SIMPLE,
REPARACION DE
01031300051570013407000825100165010011345000825040107256013200800206260026814003300
2000000000000000000000000000000000000000000
01490110300000003000000000000000000000000000000000000000DEFECTO OSEO:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01491110300400005024380012190031690019500039010026820210CREANEOPLASTIA CON
AUTOINJERTO
01031300051570013407000825100165010011345000825040107256013200800206260026814003300
2000000000000000000000000000000000000000000
01492110300500005024380012190031690019500039010026820210CRANEOPLASTIA CON PROTESIS
(NO INCLUYE EL VALOR DE LA
01031300051570013407000825100165010011345000825040107256013200800206260026814003300
2000000000000000000000000000000000000000000
01493110300500015000000000000000000000000000000000000000PROTESIS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01494110300600005024380012190031690019500039010026820210TUMORES DE CALOTA,EXTIRP.
DE
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01495110300700005024380012190031690019500039010026820209OSTEOMIELITIS, LIMPIEZA
QUIRURGICA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01496110300800005040630020320052820032510065010044700209CRANIECTOMIAS
DESCOMPRESIVAS
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
01497110300900005053060026530068980042450084900058370209REPARACION DE FRACTURA
CRECEDORA
02237500111880029088001790100358000024613001790000232704028640000447500058176007160
0000000000000000000000000000000000000000000
01498110300000003000000000000000000000000000000000000000CRANEOESTENOSIS:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01499110301000005051640025820067130041310082620056800209CRANEOTOMIAS LINEALES
02180800109040028350001744600348930023989001744640226800027914400436160056700006978
6000000000000000000000000000000000000000000
01500110301100005097070048540126190077660155310106780212CRANIECTOMIAS C/S
REMODELACION OSEA
04073800203690052959003259000651810044812003259040423672052144800814760105918013036
2000000000000000000000000000000000000000000
01501110300000003000000000000000000000000000000000000000CIRUGIA REPARADORA CRANEO-
ORBITO-FACIAL:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01502110300000003000000000000000000000000000000000000000- AVANCE FRONTO-ORBITARIO
BILATERAL EN CRANEOESTENOSIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01503110300000013000000000000000000000000000000000000000COMPLEJAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01504110300000003000000000000000000000000000000000000000- REPARACION DE
HIPERTELORISMO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01505110300000003000000000000000000000000000000000000000- REPARACION DE
MENINGOENCEFALOCELE FRONTOETMOIDAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01506110300000003000000000000000000000000000000000000000- CIRUGIA REPARADORA EN
DISPLASIA FIBROSA FRONTOETMOIDAL O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01507110300000013000000000000000000000000000000000000000ESFENOIDAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01508110300000003000000000000000000000000000000000000000( PARTICIPAN TRES O MAS
EQUIPOS DE ESPECIALISTAS; COMO 1ER.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01509110300000013000000000000000000000000000000000000000CIRUJANO: NEUROCIRUJANO, DE
CABEZA Y CUELLO, DE PLASTICA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01510110300000023000000000000000000000000000000000000000MAXILO-FACIAL, OFTALMOLOGO,
OTORRINOLARINGOLOGO U OTROS).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01511110301200005097070048540126190077660155310106780214- HONORARIOS DEL 1ER.
CIRUJANO RESPONSABLE Y SUS AYUDANTES.
04073800203690052959003259000651810044812003259040423672052144800814760105918013036
2000000000000000000000000000000000000000000
01512110301300005000000000000000000000000000000000000200- HONORARIOS C/U DE LOS
OTROS 1ROS. CIRUJANOS Y AYUDANTES
03247400162370042216002597900519580035721002597920337728041566400649480084432010391
6000000000000000000000000000000000000000000
01513110300000003000000000000000000000000000000000000000C.- ENCEFALO Y ENVOLTURAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01514110300000003000000000000000000000000000000000000000PARA CIRUGIA ENDOVASCULAR
NO INDIVIDUALIZADA, SE APLICARAN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01515110300000013000000000000000000000000000000000000000LOS CODIGOS Y VALORES DE
LAS TECNICAS CONVENCIONALES,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01516110300000023000000000000000000000000000000000000000AUMENTANDO EN DOS DIGITOS
EL CODIGO ADICIONAL.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01517110301400005060960030480079250048770097540067060210HEMATOMA O ABSCESO
EXTRADURAL, VACIAMIENTO DE
02363800118190030729001891000378210026002001891040245832030256800472760061458007564
2000000000000000000000000000000000000000000
01518110301500005040630020320052820032510065010044700211REPARACION DE FISTULA DE
LCR
01623700081190021108001299000259790017861001298960168864020783200324740042216005195
8000000000000000000000000000000000000000000
01519110301600005060960030480079250048770097540067060210HEMATOMA, EMPIEMA O
COLECCION SUBDURAL, VACIAMIENTO DE
02363800118190030729001891000378210026002001891040245832030256800472760061458007564
2000000000000000000000000000000000000000000
01520110301700005055850027930072610044690089360061440212QUISTES ARACNOIDALES
ENCEFALICOS, TRAT.
02352000117600030576001881600376320025872001881600244608030105600470400061152007526
4000000000000000000000000000000000000000000
01521110301700015000000000000000000000000000000000000000QUIR.(SUPRASELLARES,
TEMPORALES, CEREBELOSOS, ETC.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01522110301800005024380012190031690019500039010026820209VENTRICULOSTOMIA O
INSTALACION DE DERIVATIVA VENTRICULAR
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01523110301800015000000000000000000000000000000000000000EXTERNA O INSTALACION DE
CAPTOR PARA MEDICION DE PIC O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01524110301800025000000000000000000000000000000000000000PUNCION BIOPSIA O
RESERVORIO PARA ADMINISTRACION DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01525110301800035000000000000000000000000000000000000000MEDICAMENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01526110301900005077310038660100500061850123700085050212ABSCESO CEREBRAL, TRAT.
QUIR.
03264200163210042435002611400522270035906002611360339480041781600652840084870010445
4000000000000000000000000000000000000000000
01527110302000005051640025820067130041310082620056800209HERIDA POR BALA
CRANEOENCEFALICA Y/O EXTIRPACION DE CUERPO
02180800109040028350001744600348930023989001744640226800027914400436160056700006978
6000000000000000000000000000000000000000000
01528110302000015000000000000000000000000000000000000000EXTRAO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01529110302100005040630020320052820032510065010044700210HUNDIMIENTO EXPUESTO,
REPAR. DE
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
01530110302200005071080035540092400056860113730078190212LOBECTOMIAS POR CONTUSION
CEREBRAL
02719900136000035359002176000435180029919002175920282872034814400543980070718008703
6000000000000000000000000000000000000000000
01531110302300005060960030480079250048770097540067060212HEMATOMA INTRACEREBRAL,
VACIAMIENTO DE
02536100126810032969002028900405780027898002028880263752032462400507220065938008115
6000000000000000000000000000000000000000000
01532110300000003000000000000000000000000000000000000000TUMORES Y/O QUISTES Y/O
CAVERNOMA (EXTIRPACION DE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01533110302400005111740055870145260089390178780122910312DE BASE DE CRANEO
04647200232360060414003717800743550051119003204970416648051279300801240104162012819
8006409900833300102559000000000000000000000
01534110302500005111740055870145260089390178780122910312INTRAORBITARIOS
04647200232360060414003717800743550051119003204970416648051279300801240104162012819
8006409900833300102559000000000000000000000
01535110302600005111740055870145260089390178780122910312ENCEFALICOS Y DE HIPOFISIS
04647200232360060414003717800743550051119003204970416648051279300801240104162012819
8006409900833300102559000000000000000000000
01536110300000003000000000000000000000000000000000000000LESIONES VASCULARES,
TRATAMIENTO QUIRURGICO:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01537110302700005091400045700118820073120146240100540313ANEURISMAS, MALFORMACIONES
ARTERIOVENOSAS ENCEFALICAS U
04291900214600055795003433600686700047211002959930384793047358600739980096198011839
7005919900769590094717000000000000000000000
01538110302700015000000000000000000000000000000000000000ORBITARIAS, FISTULAS
DURALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01539110300000003000000000000000000000000000000000000000FISTULA CAROTIDO CAVERNOSA:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01540110302800005050760025380065990040610081220055840210FISTULA CAROTIDO CAVERNOSA
TRATAMIENTO ENDOVASCULAR
02151800107590027973001721400344290023670001721440223784027543200430360055946006885
8000000000000000000000000000000000000000000
01541110302900005060960030480079250048770097540067060312FISTULA CAROTIDO CAVERNOSA,
TRAT.QUIR.
02851300142570037067002281100456210031365001966420255634031462700491600063909007865
7003932800511270062926000000000000000000000
01542110300000003000000000000000000000000000000000000000ANASTOMOSIS Y
REVASCULARIZACION CEREBRAL:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01543110303000005060960030480079250048770097540067060210REVASCULARIZACION
INTRACRANEANA INDIRECTA
02363800118190030729001891000378210026002001891040245832030256800472760061458007564
2000000000000000000000000000000000000000000
01544110303000015000000000000000000000000000000000000000(ENDODUROSINANGIOSIS,
MULTITREPANACION, EMAS, ETC)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01545110303100005111740055870145260089390178780122910213ANASTOMOSIS Y
REVASCULARIZACION CEREBRAL EXTRA-
04590100229510059671003672100734420050492003672080477368058753600918020119342014688
4000000000000000000000000000000000000000000
01546110303100015000000000000000000000000000000000000000INTRACRANEANA (CIRUGIA DE
CAROTIDA: VER CIRUGIA VASCULAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01547110303100025000000000000000000000000000000000000000PERIFERICA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01548110300000003000000000000000000000000000000000000000CIRUGIA DERIVATIVA DE LCR:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01549110303200005040630020320052820032510065010044700211INSTALACION DE DERIVATIVAS
DE LCR (NO INCLUYE VALOR DE LA
01623700081190021108001299000259790017861001298960168864020783200324740042216005195
8000000000000000000000000000000000000000000
01550110303200015000000000000000000000000000000000000000VALVULA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01551110303300005024380012190031690019500039010026820207REVISION O EXTERIORIZACION
DE DERIVATIVA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01552110303400005040630020320052820032510065010044700210VENTRICULOCISTERNOSTOMIA
01652800082640021486001322200264450018181001322240171888021156000330560042972005289
0000000000000000000000000000000000000000000
01553110303500005040630020320052820032510065010044700212FENESTRACION, SEPTOSTOMIA O
COAGULACION PLEXOS COROIDEOS
01652800082640021486001322200264450018181001322240171888021156000330560042972005289
0000000000000000000000000000000000000000000
01554110303500015000000000000000000000000000000000000000(TRAT. ENDOSCOPICO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01555110300000003000000000000000000000000000000000000000MALFORMACIONES:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01556110303600005060960030480079250048770097540067060312CIRUGIA DESCOMPRESIVA DE
FOSA POSTERIOR U OCCIPITO-
02880200144010037443002304200460830031682001986340258227031781400496590064557007945
3003972700516460063563000000000000000000000
01557110303600015000000000000000000000000000000000000000VERTEBRAL EN ARNOL CHIARI,
SIRINGOMIELIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01558110303700005060960030480079250048770097540067060312MENINGO Y
MENINGOENCEFALOCELE OCCIPITAL, REPAR.DE
02880200144010037443002304200460830031682001986340258227031781400496590064557007945
3003972700516460063563000000000000000000000
01559110300000003000000000000000000000000000000000000000NERVIOS CRANEANOS:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01560110303800005081290040650105680065040130060089420212CIRUGIA DESCOMPRESIVA
NEUROVASCULAR.
03293400164670042814002634700526940036227002634720342512042155200658680085628010538
8000000000000000000000000000000000000000000
01561110303900005036700018350047710029360058720040370107NEUROTOMIAS
01239200061960016110000991400198270013631001239200161100019827000000000000000000000
0000000000000000000000000000000000000000000
01562110304000005040630020320052820032510065010044700207NEUROLISIS O
MICROCOMPRESION PERCUTANEA
01652800082640021486001322200264450018181001322240171888021156000330560042972005289
0000000000000000000000000000000000000000000
01563110300000003000000000000000000000000000000000000000CIRUGIA DE LA EPILEPSIA:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01564110304100005060960030480079250048770097540067060312CIRUGIA DE LA EPILEPSIA
(CUALQUIER TECNICA)
02880200144010037443002304200460830031682001986340258227031781400496590064557007945
3003972700516460063563000000000000000000000
01565110300000003000000000000000000000000000000000000000ESTEREOTAXIA Y CIRUGIA
FUNCIONAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01566110304200005081290040650105680065040130060089420212BIOPSIA
03132600156630040724002506100501220034459002506080325792040097600626520081448010024
4000000000000000000000000000000000000000000
01567110304300005095930047970124710076750153490105530212COAGULACION DE NUCLEOS O
VIAS ENCEFALICAS
04060200203010052783003248200649630044662003248160422264051970400812040105566012992
6000000000000000000000000000000000000000000
01568110304400005081290040650105680065040130060089420212IMPLANTACION DE ISOTOPOS
(BRAQUITERAPIA) (NO INCLUYE VALOR
03132600156630040724002506100501220034459002506080325792040097600626520081448010024
4000000000000000000000000000000000000000000
01569110304400015000000000000000000000000000000000000000DEL RADIOFARMACO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01570110304500005060960030480079250048770097540067060212IMPLANTACION DE
ESTIMULADORES INTRACRANEANOS
02593100129660033710002074500414900028525002074480269680033192000518620067420008298
0000000000000000000000000000000000000000000
01571110300000003000000000000000000000000000000000000000D.- COLUMNA Y MEDULA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01572110300000003000000000000000000000000000000000000000(ADEMAS VER GRUPO 21
COLUMNA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01573110304600005040630020320052820032510065010044700211INSTALACION DE
ESTIMULADORES MEDULARES
01652800082640021486001322200264450018181001322240171888021156000330560042972005289
0000000000000000000000000000000000000000000
01574110304700005060960030480079250048770097540067060212DISRRAFIAS ESPINALES:
MENINGOCELE, MIELOMENINGOCELE,
02880200144010037443002304200460830031682002304160299544036866400576040074886009216
6000000000000000000000000000000000000000000
01575110304700015000000000000000000000000000000000000000DIASTEMATOMIELIA, LIPOMA,
LIPOMENINGOCELE, MEDULA ANCLADA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01576110304700025000000000000000000000000000000000000000ETC.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01577110304800005036700018350047710029360058720040370107NEUROTOMIA FACETARIA
PERCUTANEA, INCLUYE BLOQUEO FACETARIO
01239200061960016110000991400198270013631001239200161100019827000000000000000000000
0000000000000000000000000000000000000000000
01578110304900005076720038360099740061380122750084390211HERNIA NUCLEO PULPOSO,
ESTENORRAQUIS, ARACNOIDITIS,
03236100161810042069002588900517780035598002588880336552041422400647220084138010355
6000000000000000000000000000000000000000000
01579110304900015000000000000000000000000000000000000000FIBROSIS PERIRRADICULAR
CERVICAL DORSAL O LUMBAR,
TRAT.QUIR.0000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000
01580110305000005071080035540092400056860113730078190211LAMINECTOMIA DESCOMPRESIVA
02719900136000035359002176000435180029919002175920282872034814400543980070718008703
6000000000000000000000000000000000000000000
01581110306900005064500032250083850051600103200070950211FIJACION DE COLUMNA
(CERVICAL-DORSAL-LUMBAR) CUALQUIER VIA
02692600134630035004002154100430820029619002154080280032034465600538520070008008616
4000000000000000000000000000000000000000000
01582110306900015000000000000000000000000000000000000000ABORDAJE, C/S
OSTEOSINTESIS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01583110305100005053600026800069680042880085760058960209HERIDAS RAQUIMEDULARES,
TRAT. QUIR.
02266700113340029467001813400362670024934001813360235736029013600453340058934007253
4000000000000000000000000000000000000000000
01584110305200005060960030480079250048770097540067060210TUMOR VERTEBRAL, TRAT.
QUIR.
02363800118190030729001891000378210026002001891040245832030256800472760061458007564
2000000000000000000000000000000000000000000
01585110305300005071080035540092400056860113730078190212TUMOR O QUISTE MEDULAR O
INTRARRAQUIDEO, TRAT.QUIR.
02880100144010037441002304100460820031682002304080299528036865600576020074882009216
4000000000000000000000000000000000000000000
01586110305400005082370041190107080065900131790090610212MALFORMACION ARTERIOVENOSA
O FISTULA DURAL MEDULAR,
03477200173860045204002781800556350038249002781760361632044508000695440090408011127
0000000000000000000000000000000000000000000
01587110305400015000000000000000000000000000000000000000TRAT.QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01588110305500005050760025380065990040610081220055840107CORDOTOMIA PERCUTANEA
01652800082640021486001322200264450018181001652800214860026445000000000000000000000
0000000000000000000000000000000000000000000
01589110305600005071080035540092400056860113730078190209MIELOTOMIA, DREZTOMIA
02719900136000035359002176000435180029919002175920282872034814400543980070718008703
6000000000000000000000000000000000000000000
01590110305700005057020028510074130045620091230062720109RIZOTOMIA (CUALQUIER
TECNICA)
01928100096410025065001542500308500021210001928100250650030850000000000000000000000
0000000000000000000000000000000000000000000
01591110300000003000000000000000000000000000000000000000E.- NERVIOS PERIFERICOS Y
PLEXOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01592110305800005030440015220039570024350048700033480207TUMOR DE NERVIO PERIFERICO,
EXTIRP. DE
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01593110305900005081290040650105680065040130060089420210REPARACION PLEXOS C/S
NEUROTIZACION CON TECNICA
03074900153750039974002460000491980033824002459920319792039358400614980079948009839
6000000000000000000000000000000000000000000
01594110305900015000000000000000000000000000000000000000MICROQUIRURGICA E INJERTOS
INTERFASCICULARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01595110306000005040630020320052820032510065010044700210SECCION DE NERVIO,
REPARACION CON INJERTO
01595300079770020739001276300255250017549001276240165912020420000319060041478005105
0000000000000000000000000000000000000000000
01596110306100005033830016920043980027070054130037220208SECCION DE NERVIO,
REPARACION SIN INJERTO
01411600070580018351001129300225860015528001129280146808018068800282320036702004517
2000000000000000000000000000000000000000000
01597110306800005024230012120031500019390038770026660207NEURECTOMIA, CUALQUIER
LOCALIZACION, CADA ZONA QUIRURGICA
00986500049330012825000789300157840010852000789200102600012627200197300025650003156
8000000000000000000000000000000000000000000
01598110306200005040630020320052820032510065010044700210NEUROLISIS CON TECNICA
MICROQUIRURGICA
01595300079770020739001276300255250017549001276240165912020420000319060041478005105
0000000000000000000000000000000000000000000
01599110306300005030440015220039570024350048700033480206NEUROLISIS EXTERNA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01600110306400005032150016080041800025730051440035370208SINDROME DEL ESCALENO,
TRAT. QUIR.
01354000067700017602001083200216640014894001083200140816017331200270800035204004332
8000000000000000000000000000000000000000000
01601110306500005053060026530068980042450084900058370208SINDROME DE COSTILLA
CERVICAL,TRAT.QUIR.
02237500111880029088001790100358000024613001790000232704028640000447500058176007160
0000000000000000000000000000000000000000000
01602110306600005030440015220039570024350048700033480207SINDROME DEL TUNEL DEL
CARPO O DEL TARSO U OTRO, TRAT.
QUIR.010333000516700134330008267001653300113670008266401074640132264002066600268660
033066000000000000000000000000000000000000000000
01603110306700005030440015220039570024350048700033480207TRANSPOSICION CUBITAL,
REPAR. DE
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
01604120000000001000000000000000000000000000000000000000GRUPO : 12
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01605120000000001000000000000000000000000000000000000000OFTALMOLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01606120100000002000000000000000000000000000000000000000I.- PROCEDIMIENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01607120100000003000000000000000000000000000000000000000A.- PROCEDIMIENTOS
DIAGNOSTICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01608120100100005000000000000000000000000000000000000000& CAMPIMETRIA DE
PROYECCION, C/OJO (PROC.AUT.)
00045200002260000588000036200007230000497000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01609120104200005000000000000000000000000000000000000000& CAMPIMETRIA
COMPUTARIZADA, C/OJO
00128000006400001664000102400020480001408000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01610120100200005000000000000000000000000000000000000000& COORDIMETRIA, TEST DE
HESS U OTRO, C/OJO
00024500001230000319000019700003920000270000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01611120100300005000000000000000000000000000000000000000& CUANTIFICACION DE
LAGRIMACION (TEST DE SCHIRMER), UNO
00017000000850000221000013600002720000187000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01612120100300015000000000000000000000000000000000000000O AMBOS OJOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01613120100400005000000000000000000000000000000000000000& CURVA DE TENSION
APLANATICA (POR CADA DIA), C/OJO
00042100002110000547000033700006740000464000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01614120100500005000000000000000000000000000000000000000& DIPLOSCOPIA CUANTITATIVA,
AMBOS OJOS
00024500001230000319000019700003920000270000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01615120100600005000000000000000000000000000000000000000& ELECTROMIOGRAFIA MUSCULOS
OCULARES ADULTOS, C/OJO
00111400005570001448000089100017820001225000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01616120100700005000000000000000000000000000000000000000& ELECTROMIOGRAFIA MUSCULOS
OCULARES NIOS, C/OJO
00111400005570001448000089100017820001225000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01617120100800005000000000000000000000000000000000000000& ELECTROOCULOGRAFIA, AMBOS
OJOS
00083500004180001086000066900013360000919000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01618120100900005000000000000000000000000000000000000000& EXPLORACION
SENSORIOMOTORA: ESTRABISMO, ESTUDIO COMPLETO,
00097500004880001268000078100015600001073000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01619120100900015000000000000000000000000000000000000000AMBOS OJOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01620120101000005000000000000000000000000000000000000000& PERIMETRIA DE GOLDMAN O
PERIMETRIA CINETICA, C/OJO
00083500004180001086000066900013360000919000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01621120101100005000000000000000000000000000000000000000& PRUEBAS DE PROVOCACION
PARA GLAUCOMA (PRUEBA DE OSCURIDAD
00052200002610000679000041800008350000574000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01622120101100015000000000000000000000000000000000000000U OTRAS), UNO O AMBOS OJOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01623120101200005000000000000000000000000000000000000000& RETINOGRAFIA, AMBOS OJOS
00062600003130000814000050100010020000689000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01624120101300005000000000000000000000000000000000000000& TONOGRAFIA ELECTRONICA,
C/OJO
00062600003130000814000050100010020000689000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01625120101400005000000000000000000000000000000000000000& TONOMETRIA APLANATICA
C/OJO
00014200000710000185000011400002270000156000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01626120101500005000000000000000000000000000000000000000& TRATAMIENTO ORTOPTICO Y/
O PLEOPTICO (POR SESION), AMBOS
00031600001580000411000025300005060000348000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01627120101500015000000000000000000000000000000000000000OJOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01628120102700005000000000000000000000000000000000000000EXAMEN OPTOMETRICO C/S
PRESCRIPCION DE LENTES
00094000004700000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01629120100000003000000000000000000000000000000000000000IRIS Y RETINA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01630120101600005000000000000000000000000000000000000100ANGIOGRAFIA DE RETINA O DE
IRIS, (CON FLUORESCEINA O SIM.),
00109500005480001424000087700017520001205000109500014240001752000000000000000000000
0000000000000000000000000000000000000000000
01631120101600015000000000000000000000000000000000000000C/OJO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01632120101700005000000000000000000000000000000000000100ANGIOSCOPIA RETINAL Y/O
IRIS (CON FLUORESCEINA O SIMILAR),
00027600001380000359000022100004420000304000027600003590000442000000000000000000000
0000000000000000000000000000000000000000000
01633120101700015000000000000000000000000000000000000000C/OJO (PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01634120101800005000000000000000000000000000000000000100& ELECTRORRETINOGRAFIA,
C/OJO
00085000004250001105000068000013600000935000085000011050001360000000000000000000000
0000000000000000000000000000000000000000000
01635120101900005000000000000000000000000000000000000100EXPLORACION VITREORRETINAL,
AMBOS OJOS
00050900002550000662000040800008140000560000050900006620000814000000000000000000000
0000000000000000000000000000000000000000000
01636120102000005000000000000000000000000000000000000100& ECOBIOMETRIA CON CALCULO
DE LENTE INTRAOCULAR, AMBOS
OJOS.001748000087400022720001398000279700019230001748000227200027970000000000000000
000000000000000000000000000000000000000000000000
01637120102300005000000000000000000000000000000000000000& POTENCIAL VISUAL EVOCADO
EN ADULTOS, AMBOS OJOS
00111400005570001448000089100017820001225000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01638120102400005000000000000000000000000000000000000000& POTENCIAL VISUAL EVOCADO
EN NIOS, AMBOS OJOS
00125700006290001634000100600020110001383000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01639120104300005000000000000000000000000000000000000000& TOPOGRAFIA CORNEAL
COMPUTARIZADA, C/OJO
00207100010360002692000165700033140002279000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01640120100000003000000000000000000000000000000000000000& ESTOS PROCEDIMIENTOS
PUEDEN SER HECHOS Y COBRADOS POR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01641120100000013000000000000000000000000000000000000000TECNOLOGOS MED., POR
PRESCRIPCION ESCRITA DE MEDICO
CIRUJANO000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000
01642120100000003000000000000000000000000000000000000000PROCEDIMIENTOS PARA
EXAMENES RADIOLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01643120100000003000000000000000000000000000000000000000(SI UN MISMO MEDICO REALIZA
AMBOS PROCEDIMIENTOS, COBRARA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01644120100000013000000000000000000000000000000000000000AMBOS CODIGOS).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01645120102800005000000000000000000000000000000000000100FLEBOGRAFIA ORBITARIA (A.C.
04-02-040)
00110700005540001439000088600017710001218000110700014390001771000000000000000000000
0000000000000000000000000000000000000000000
01646120100000003000000000000000000000000000000000000000B.- PROCEDIMIENTOS
TERAPEUTICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01647120100000003000000000000000000000000000000000000000(ADEMAS ANESTESIA MINIMA SI
CORRESPONDE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01648120100000003000000000000000000000000000000000000000CUERPO EXTRAO CONJUNTIVAL
Y/O CORNEAL, EXTRACCION DE :
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01649120102900005000000000000000000000000000000000000100CUERPO EXTRAO CONJUNTIVAL
Y/O CORNEAL EN ADULTOS
00066200003310000861000053000010590000728000066200008610001059000000000000000000000
0000000000000000000000000000000000000000000
01650120103000005000000000000000000000000000000000000100CUERPO EXTRAO CONJUNTIVAL
Y/O CORNEAL EN NIOS
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01651120100000003000000000000000000000000000000000000000VIA LAGRIMAL, CATETERISMO O
SONDAJE DE:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01652120103100005000000000000000000000000000000000000100VIA LAGRIMAL,CATETERISMO O
SONDAJE EN ADULTOS
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01653120103200005000000000000000000000000000000000000100VIA LAGRIMAL, CATETERISMO O
SONDAJE EN LACTANTES
00165600008280002153000132500026500001822000165600021530002650000000000000000000000
0000000000000000000000000000000000000000000
01654120103300005000000000000000000000000000000000000100VIA LAGRIMAL, CATETERISMO O
SONDAJE EN NIOS
00132000006600001716000105600021120001452000132000017160002112000000000000000000000
0000000000000000000000000000000000000000000
01655120103400005000000000000000000000000000000000000100TOCACION CORNEAL C/YODO Y/O
ETER U OTROS, EN NIOS O
ADULTOS0004740000237000061600003790000758000052100004740000616000075800000000000000
00000000000000000000000000000000000000000000000000
01656120100000003000000000000000000000000000000000000000CRIOCOAGULACION
CONJUNTIVAL, CORNEAL O PALPEBRAL:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01657120103500005000000000000000000000000000000000000102CRIOCOAGULACION
CONJUNTIVAL, CORNEAL O PALPEBRAL EN ADULTOS
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01658120103600005000000000000000000000000000000000000102CRIOCOAGULACION
CONJUNTIVAL, CORNEAL O PALPEBRAL EN NIOS
00110700005540001439000088600017710001218000110700014390001771000000000000000000000
0000000000000000000000000000000000000000000
01659120103700005000000000000000000000000000000000000103GLAUCOMA, CICLODIATERMIA
Y/O CICLOCRIOTERAPIA
00368500018430004791000294900058960004054000368500047910005896000000000000000000000
0000000000000000000000000000000000000000000
01660120103800005000000000000000000000000000000000000100INYECCION RETROBULBAR
00066200003310000861000053000010590000728000066200008610001059000000000000000000000
0000000000000000000000000000000000000000000
01661120103900005000000000000000000000000000000000000103PESTAAS, EXTIRP. POR
ELECTROCOAGULACION (CUALQUIER NUMERO)
00110700005540001439000088600017710001218000110700014390001771000000000000000000000
0000000000000000000000000000000000000000000
01662120104000005000000000000000000000000000000000000103PUNTOS LAGRIMALES;
ELECTROTERMOCOAGULACION
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01663120104100005024380012190031690019500039010026820103SONDAJE VIA LAGRIMAL EN
NIOS (BAJO ANESTESIA GENERAL)
00499600024980006495000399700079940005496000499600064950007994000000000000000000000
0000000000000000000000000000000000000000000
01664120200000002000000000000000000000000000000000000000II.- INTERVENCIONES
QUIRURGICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01665120200000003000000000000000000000000000000000000000(ADEMAS, VEASE CIRUGIA
PLASTICA Y REPARADORA, Y CIRUGIA DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01666120200000013000000000000000000000000000000000000000CABEZA Y CUELLO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01667120200000003000000000000000000000000000000000000000TODAS LAS INTERVENCIONES SE
REFIEREN A UN OJO Y SUS ANEXOS,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01668120200000013000000000000000000000000000000000000000SALVO QUE SE ESPECIFIQUE
OTRA COSA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01669120200000003000000000000000000000000000000000000000A.- VIA LAGRIMAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01670120200100005000000000000000000000000000000000000102INTUBACION
00516800025840006718000413400082690005685000516800067180008269000000000000000000000
0000000000000000000000000000000000000000000
01671120200200005000000000000000000000000000000000000104PUNTOS LAGRIMALES, PLASTIA
DE
00361400018070004698000289100057820003975000361400046980005782000000000000000000000
0000000000000000000000000000000000000000000
01672120200300005030440015220039570024350048700033480104RECONSTITUCION DE
CANALICULOS
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
01673120200000003000000000000000000000000000000000000000B.- SACO Y/O GLANDULA
LAGRIMAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01674120200400005000000000000000000000000000000000000102ABSCESO, VACIAMIENTO Y/O
DRENAJE DE
00206700010340002687000165400033070002274000206700026870003307000000000000000000000
0000000000000000000000000000000000000000000
01675120200500005030440015220039570024350048700033480204DACRIOCISTORRINOSTOMIA
01268400063420016489001014700202940013952001014720131912016235200253680032978004058
8000000000000000000000000000000000000000000
01676120200600005000000000000000000000000000000000000103EXTIRPACION DE
00688500034430008951000550900110160007574000688500089510011016000000000000000000000
0000000000000000000000000000000000000000000
01677120200700005040630020320052820032510065010044700206RECONSTITUCION VIA LAGRIMAL
EN AUSENCIA DEL SACO
01692600084630022004001354100270820018619001354080176032021665600338520044008005416
4000000000000000000000000000000000000000000
01678120200800005040630020320052820032510065010044700206EXTIRPACION TOTAL O PARCIAL
DE LA GLANDULA LAGRIMAL
01652800082640021486001322200264450018181001322240171888021156000330560042972005289
0000000000000000000000000000000000000000000
01679120200900005030440015220039570024350048700033480206TUMOR MALIGNO DEL SACO,
TRAT. QUIR. COMPLETO
01268400063420016489001014700202940013952001014720131912016235200253680032978004058
8000000000000000000000000000000000000000000
01680120200000003000000000000000000000000000000000000000C.- PARPADO Y CEJA
(SUPERIOR O INFERIOR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01681120201000005000000000000000000000000000000000000102ABSCESO, TRAT. QUIR.
00206700010340002687000165400033070002274000206700026870003307000000000000000000000
0000000000000000000000000000000000000000000
01682120201100005000000000000000000000000000000000000103BIOPSIA DE PARPADO Y/O
ANEXOS (PROC. AUT.)
00301300015070003917000241100048210003315000301300039170004821000000000000000000000
0000000000000000000000000000000000000000000
01683120201200005000000000000000000000000000000000000103BLEFAROCHALASIS, PLASTIA DE
00671000033550008723000536800107360007381000671000087230010736000000000000000000000
0000000000000000000000000000000000000000000
01684120201300005000000000000000000000000000000000000105BLEFAROFIMOSIS, PLASTIA DE
01302200065110016929001041800208350014324001302200169290020835000000000000000000000
0000000000000000000000000000000000000000000
01685120201400005000000000000000000000000000000000000103BLEFARORRAFIA CON
BLEFAROTOMIA POSTERIOR
00361400018070004698000289100057820003975000361400046980005782000000000000000000000
0000000000000000000000000000000000000000000
01686120201500005000000000000000000000000000000000000103CANTOPLASTIA
00516800025840006718000413400082690005685000516800067180008269000000000000000000000
0000000000000000000000000000000000000000000
01687120201600005000000000000000000000000000000000000103CHALAZION Y OTROS TUMORES
BENIGNOS (UNO O MAS EN EL MISMO
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
01688120201600015000000000000000000000000000000000000000OJO), TRAT. QUIR. COMPLETO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01689120201700005030440015220039570024350048700033480205COLOBOMA, PLASTIA DE
01073800053690013959000859000171810011812000859040111672013744800214760027918003436
2000000000000000000000000000000000000000000
01690120201800005000000000000000000000000000000000000104ECTROPION, PLASTIA DE
00814600040730010590000651700130340008961000814600105900013034000000000000000000000
0000000000000000000000000000000000000000000
01691120201900005000000000000000000000000000000000000104ENTROPION, PLASTIA DE
00814600040730010590000651700130340008961000814600105900013034000000000000000000000
0000000000000000000000000000000000000000000
01692120202000005000000000000000000000000000000000000104EPICANTO, PLASTIA DE
00814600040730010590000651700130340008961000814600105900013034000000000000000000000
0000000000000000000000000000000000000000000
01693120202100005000000000000000000000000000000000000105PTOSIS, TRAT. QUIR.
01320000066000017160001056000211200014520001320000171600021120000000000000000000000
0000000000000000000000000000000000000000000
01694120202200005000000000000000000000000000000000000103QUISTE DERMOIDE DE LA COLA
DE LA CEJA, RESEC. PLASTICA
00413000020650005369000330400066080004543000413000053690006608000000000000000000000
0000000000000000000000000000000000000000000
01695120202300005030440015220039570024350048700033480105TUMOR MALIGNO, TRAT. QUIR.
COMPLETO
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
01696120202400005000000000000000000000000000000000000103XANTELASMA, TRAT. QUIR.
00316000015800004108000252800050560003476000316000041080005056000000000000000000000
0000000000000000000000000000000000000000000
01697120207100005000000000000000000000000000000000000103HERIDA O DEHISCENCIA DE
SUTURA DE PARPADO, REPARACION.
00496600024830006456000397300079460005463000496600064560007946000000000000000000000
0000000000000000000000000000000000000000000
01698120200000003000000000000000000000000000000000000000D.- CONJUNTIVA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01699120202500005000000000000000000000000000000000000104HERIDA O DEHISCENCIA,
SUTURA DE (PROC.AUT.)
00671000033550008723000536800107360007381000671000087230010736000000000000000000000
0000000000000000000000000000000000000000000
01700120202600005000000000000000000000000000000000000104PTERIGION Y/O
PSEUDOPTERIGION O SU RECIDIVA , EXTIRPACION.
00767000038350009971000613600122720008437000767000099710012272000000000000000000000
0000000000000000000000000000000000000000000
01701120202700005000000000000000000000000000000000000105SIMBLEFARON, RESECCION DE
ADHERENCIAS Y PLASTIA DE
00677000033850008801000541600108320007447000677000088010010832000000000000000000000
0000000000000000000000000000000000000000000
01702120202800005000000000000000000000000000000000000104TUMOR BENIGNO, EXTIRP. DE
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
01703120200000003000000000000000000000000000000000000000E.- ORBITA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01704120202900005000000000000000000000000000000000000104ABSCESO, TRAT. QUIR.
00373300018670004853000298700059730004107000373300048530005973000000000000000000000
0000000000000000000000000000000000000000000
01705120203000005040630020320052820032510065010044700207CORRECCION DE CAVIDAD
ANOFTALMICA TRAT. COMPLETO.
01567000078350020371001253600250720017237001253600162968020057600313400040742005014
4000000000000000000000000000000000000000000
01706120203100005040630020320052820032510065010044700208CUERPO EXTRAO ORBITARIO
(CON ORBITOTOMIA)
01595300079770020739001276300255250017549001276240165912020420000319060041478005105
0000000000000000000000000000000000000000000
01707120203200005071080035540092400056860113730078190211EXANTERACION ORBITARIA O
TUMOR ORBITARIO, TRAT. QUIRURGICO
02931800146590038113002345400469090032250002345440304904037527200586360076226009381
8000000000000000000000000000000000000000000
01708120203200015000000000000000000000000000000000000000COMPLETO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01709120203300005000000000000000000000000000000000000106ORBITOTOMIA ANTERIOR
00803400040170010444000642700128540008837000803400104440012854000000000000000000000
0000000000000000000000000000000000000000000
01710120203400005030440015220039570024350048700033480205ORBITOTOMIA LATERAL
DESCOMPRESIVA
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
01711120207200005024380012190031690019500039010026820206**RECONSTRUCCION DE PAREDES
ORBITARIAS.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01712120200000003000000000000000000000000000000000000000F.- GLOBO Y MUSCULOS
OCULARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01713120203500005000000000000000000000000000000000000105BIOPSIA DE GLOBO OCULAR
(PROC. AUT)
00619900031000008059000496000099180006819000619900080590009918000000000000000000000
0000000000000000000000000000000000000000000
01714120203600005040630020320052820032510065010044700107ENUCLEACION O IMPLANTE DE
PROTESIS OCULAR (PROC.AUT.)
01136700056840014777000909400181870012504001136700147770018187000000000000000000000
0000000000000000000000000000000000000000000
01715120203700005050760025380065990040610081220055840108ENUCLEACION CON IMPLANTE
01549600077480020145001239700247940017046001549600201450024794000000000000000000000
0000000000000000000000000000000000000000000
01716120203800005050760025380065990040610081220055840207ESTRABISMO, TRAT. QUIR.
COMPLETO (UNO O AMBOS OJOS)
01850500092530024057001480500296080020356001480400192456023686400370100048114005921
6000000000000000000000000000000000000000000
01717120203900005040630020320052820032510065010044700107EXANTERACION OCULAR (PROC.
AUT.)
01136700056840014777000909400181870012504001136700147770018187000000000000000000000
0000000000000000000000000000000000000000000
01718120204000005000000000000000000000000000000000000105LESION TRAUMATICA, SUTURA
DE (PROC. AUT.)
00803400040170010444000642700128540008837000803400104440012854000000000000000000000
0000000000000000000000000000000000000000000
01719120200000003000000000000000000000000000000000000000G.- CORNEA Y ESCLEROTICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01720120204100005024380012190031690019500039010026820205CIRUGIA REFRACTIVA,
QUERATOTOMIA RADIAL O SIMILAR CON
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01721120204100015000000000000000000000000000000000000000BISTURI DE DIAMANTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01722120204200005000000000000000000000000000000000000103CRIOTERAPIA Y RECESION
CONJUNTIVAL
00573800028690007459000459000091810006312000573800074590009181000000000000000000000
0000000000000000000000000000000000000000000
01723120204400005000000000000000000000000000000000000104CUERPO EXTRAO, EXTRACCION
QUIR. DE
00241000012050003133000192800038560002651000241000031330003856000000000000000000000
0000000000000000000000000000000000000000000
01724120204500005040630020320052820032510065010044700209GLAUCOMA, TRAT. QUIR. POR
CUALQUIER TECNICA
01595300079770020739001276300255250017549001276240165912020420000319060041478005105
0000000000000000000000000000000000000000000
01725120204600005030440015220039570024350048700033480205HERIDA PENETRANTE CORNEAL O
CORNEO-ESCLERAL O DEHISCENCIA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01726120204600015000000000000000000000000000000000000000DE SUTURA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01727120204700005030440015220039570024350048700033480206QUERATECTOMIA LAMINAR
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01728120204800005064920032460084400051940103870071410208QUERATOPLASTIA. INJERTO
LAMELAR O PENETRANTE. TRAT. QUIR.
02209100110460028718001767300353460024301001767280229744028276800441820057436007069
2000000000000000000000000000000000000000000
01729120204800015000000000000000000000000000000000000000COMPLETO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01730120204900005067720033860088040054180108350074490209QUERATOPROTESIS,
IMPLANTACION DE (NO INCLUYE EL VALOR DE LA
02409500120480031324001927700385520026505001927600250592030841600481900062648007710
4000000000000000000000000000000000000000000
01731120204900015000000000000000000000000000000000000000PROTESIS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01732120205000005030440015220039570024350048700033480206RECUBRIMIENTO CONJUNTIVAL
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
01733120205100005030440015220039570024350048700033480206REHABILITACION SUPERFICIE
OCULAR (CON INJERTO DE MUCOSA)
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
01734120207000005000000000000000000000000000000000000106SINEQUIOTOMIA (PROC. AUT.)
00688500034430008951000550900110160007574000688500089510011016000000000000000000000
0000000000000000000000000000000000000000000
01735120207300005103860051930135020083090166180114250210OPERACION TRIPLE (INJERTO,
FACOERESIS E IMPLANTE DE LENTE
03663700183190047628002931000586190040301002930960381024046895200732740095256011723
8000000000000000000000000000000000000000000
01736120207300015000000000000000000000000000000000000000INTRAOCULAR) (NO INCLUYE
VALOR DE LA PROTESIS).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01737120200000003000000000000000000000000000000000000000H.- IRIS Y CUERPO CILIAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01738120205300005030440015220039570024350048700033480105IRIDECTOMIA PERIFERICA Y/U
OPTICA, (PROC. AUT.)
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
01739120205400005042340021170055040033870067740046570207TUMOR, TRAT. QUIR.
01560700078040020289001248600249710017168001248560162312019976800312140040578004994
2000000000000000000000000000000000000000000
01740120207400005030440015220039570024350048700033480107HERNIA DE IRIS Y/O
FISTULAS,REPARACION DE.
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
01741120200000003000000000000000000000000000000000000000I.- COROIDES, CAMARA
POSTERIOR Y RETINA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01742120205500005030440015220039570024350048700033480104DESGARRO CON O SIN
DESPRENDIMIENTO, DIATERMO Y/O CRIO Y/O
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
01743120205500015000000000000000000000000000000000000000FOTOCOAGULACION (INCLUYE
ENDOFOTOCOAGULACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01744120205500025000000000000000000000000000000000000000INTRAQUIRURGICA )
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01745120205600005050760025380065990040610081220055840208DESPRENDIMIENTO RETINAL,
CIRUGIA CONVENCIONAL
(EXOIMPLANTES)021518001075900279730017214003442900236700017214402237840275432004303
600559460068858000000000000000000000000000000000000000000
01746120205800005030440015220039570024350048700033480104TUMOR, DIATERMO Y/O CRIO
Y/O FOTOCOAGULACION DE
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
01747120205900005030440015220039570024350048700033480104VASCULOPATIA RETINAL
(EXCEPTO RETINOPATIA PROLIFERATIVA)
01010200050510013133000808200161630011112001010200131330016163000000000000000000000
0000000000000000000000000000000000000000000
01748120205900015000000000000000000000000000000000000000DIATERMO Y/O CRIO Y/O
FOTOCOAGULACION ( INCLUYE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01749120205900025000000000000000000000000000000000000000ENDOFOTOCOAGULACION
INTRAQUIRRGICA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01750120206000005071080035540092400056860113730078190208VITRECTOMIA C/RETINOTOMIA
(C/S INYECCION DE GAS O SILICONA)
02949000147450038337002359200471840032439002359200306696037747200589800076674009436
8000000000000000000000000000000000000000000
01751120206100005060960030480079250048770097540067060208VITRECTOMIA CON INYECCION
DE GAS O SILICONA
02421100121060031474001936900387380026633001936880251792030990400484220062948007747
6000000000000000000000000000000000000000000
01752120206200005050760025380065990040610081220055840208VITRECTOMIA CON VITREOFAGO
(PROC. AUT)
02123200106160027602001698600339710023355001698560220816027176800424640055204006794
2000000000000000000000000000000000000000000
01753120207500005050760025380065990040610081220055840107RETINOPEXIA NEUMATICA.
01722000086100022386001377600275520018942001722000223860027552000000000000000000000
0000000000000000000000000000000000000000000
01754120207700005030440015220039570024350048700033480106DESPRENDIMIENTO COROIDEO O
HEMORRAGIA COROIDEA, TRAT. QUIR.
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
01755120200000003000000000000000000000000000000000000000J.- CRISTALINO Y CUERPO
CILIAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01756120200000003000000000000000000000000000000000000000CRISTALINO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01757120206300005045740022870059460036590073180050310207- FACOERESIS INTRACAPSULAR
O CATARATA SECUNDARIA O
01669700083490021706001335800267150018367001335760173648021372000333940043412005343
0000000000000000000000000000000000000000000
01758120206300015000000000000000000000000000000000000000DISCISION Y ASPIRACION DE
MASAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01759120206400005079010039510102710063210126420086920208- FACOERESIS EXTRACAPSULAR
CON IMPLANTE DE LENTE
02582200129110033569002065800413150028404002065760268552033052000516440067138008263
0000000000000000000000000000000000000000000
01760120206400015000000000000000000000000000000000000000INTRAOCULAR (NO INCLUYE EL
VALOR DE LA PROTESIS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01761120206500005071080035540092400056860113730078190210IMPLANTE SECUNDARIO DE
LENTE INTRAOCULAR
02708600135430035212002166900433380029795002166880281696034670400541720070424008667
6000000000000000000000000000000000000000000
01762120206600005024380012190031690019500039010026820105ASPIRACION ESFERULAR C/S
CAPSULOTOMIA
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
01763120207600005047450023730061690037970075920052200108EXTRACCION O CORRECCION DE
DESPLAZAMIENTO DE LENTE
01583600079180020587001266900253380017420001583600205870025338000000000000000000000
0000000000000000000000000000000000000000000
01764120207600015000000000000000000000000000000000000000INTRAOCULAR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01765120200000003000000000000000000000000000000000000000** ESTAS PRESTACIONES SE
AUTORIZAN A CIRUJANOS DENTISTAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01766120200000013000000000000000000000000000000000000000ESPECIALISTAS EN CIRUGIA
BUCAL Y MAXILOFACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01767120200000003000000000000000000000000000000000000000III.- INTERVENCIONES CON
LASER
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01768120205700005000000000000000000000000000000000000104RETINOPATIA PROLIFERATIVA,
(DIABETICA, HIPERTENSIVA, EALES
01635600081780021263001308500261700017992001635600212630026170000000000000000000000
0000000000000000000000000000000000000000000
01769120205700015000000000000000000000000000000000000000Y OTRAS) PANFOTOCOAGULACION
TRAT. COMPLETO (INCLUYE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01770120205700025000000000000000000000000000000000000000ENDOFOTOCOAGULACION
INTRAQUIRURGICA )
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01771120206700005000000000000000000000000000000000000104DISCISION DE CAPSULA
POSTERIOR
00826800041340010748000661400132290009095000826800107480013229000000000000000000000
0000000000000000000000000000000000000000000
01772120206800005000000000000000000000000000000000000104IRIDOTOMIA
00826800041340010748000661400132290009095000826800107480013229000000000000000000000
0000000000000000000000000000000000000000000
01773120206900005000000000000000000000000000000000000104TRABECULOPLASTIA O
IRIDOPLASTIA
00826800041340010748000661400132290009095000826800107480013229000000000000000000000
0000000000000000000000000000000000000000000
01774120207800005000000000000000000000000000000000000105CIRUGIA FOTORREFRACTIVA O
FOTOTERAPEUTICA DE CORNEA,
03603300180170046843002882700576530039637003603300468430057653000000000000000000000
0000000000000000000000000000000000000000000
01775120207800015000000000000000000000000000000000000000CUALQUIER TECNICA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01776130000000001000000000000000000000000000000000000000GRUPO : 13
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01777130000000001000000000000000000000000000000000000000OTORRINOLARINGOLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01778130100000002000000000000000000000000000000000000000I.- PROCEDIMIENTOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01779130100000003000000000000000000000000000000000000000(ADEMAS ANESTESIA COD. 22-
01-001 SI CORRESPONDE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01780130100000003000000000000000000000000000000000000000A.- PROCEDIMIENTOS
DIAGNOSTICOS.-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01781130100000003000000000000000000000000000000000000000BOCA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01782130100100005000000000000000000000000000000000000000ELECTROGUSTOMETRIA
00031600001580000411000025300005060000348000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01783130100000003000000000000000000000000000000000000000FOSAS NASALES Y CAVIDADES
PERINASALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01784130100200005000000000000000000000000000000000000000& RINOMANOMETRIA C/S
VASOCONTRICTOR
00054800002740000712000043800008770000603000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01785130100300005000000000000000000000000000000000000100NASOFARINGOLARINGOFIBROSCOP
IA
00125700006290001634000100600020110001383000125700016340002011000000000000000000000
0000000000000000000000000000000000000000000
01786130100400005000000000000000000000000000000000000100RINOSCOPIA POSTERIOR, CON
NASOFARINGOSCOPIA C/S TOMA DE
00031600001580000411000025300005060000348000031600004110000506000000000000000000000
0000000000000000000000000000000000000000000
01787130100400015000000000000000000000000000000000000000MUESTRAS (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01788130100500005000000000000000000000000000000000000100SINUSOSCOPIA DE CADA SENO
MAXILAR POR PUNCION, C/S BIOPSIA,
00066200003310000861000053000010590000728000066200008610001059000000000000000000000
0000000000000000000000000000000000000000000
01789130100500015000000000000000000000000000000000000000C/S TOMA DE MUESTRAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01790130100000003000000000000000000000000000000000000000LARINGE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01791130100000003000000000000000000000000000000000000000LARINGOSCOPIA Y/O
TRAQUEOSCOPIA DIRECTA C/S TOMA DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01792130100000013000000000000000000000000000000000000000MUESTRA, C/S BIOPSIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01793130100600005000000000000000000000000000000000000100- CON MICROSCOPIO
00156600007830002036000125300025060001723000156600020360002506000000000000000000000
0000000000000000000000000000000000000000000
01794130100700005000000000000000000000000000000000000100- SIN MICROSCOPIO
00125700006290001634000100600020110001383000125700016340002011000000000000000000000
0000000000000000000000000000000000000000000
01795130100000003000000000000000000000000000000000000000OIDO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01796130100000003000000000000000000000000000000000000000AUDIOGRAMA (INCLUYE
AUDIOMETRIA TONAL PURA, DE LA PALABRA Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01797130100000013000000000000000000000000000000000000000PRUEBAS SUPRALIMINALES).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01798130102100005000000000000000000000000000000000000000# AUDIOMETRIA ADULTOS
00062600003130000814000050100010020000689000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01799130100800005000000000000000000000000000000000000000# AUDIOMETRIA NIOS
00073300003670000953000058700011730000807000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01800130100900005000000000000000000000000000000000000000# IMPEDANCIOMETRIA
00046700002340000607000037400007470000514000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01801130101000005000000000000000000000000000000000000000# CALIBRACION DE AUDIFONOS
O IMPLANTES
00035100001760000456000028100005620000387000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01802130101100005000000000000000000000000000000000000000# POTENCIALES EVOCADOS
AUDITIVOS
00115100005760001496000092100018420001267000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01803130101200005000000000000000000000000000000000000000# COCLEOVESTIBULAR CON
ELECTRONISTAGMOGRAFIA
00125700006290001634000100600020110001383000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01804130101500005000000000000000000000000000000000000000# ELECTRONISTAGMOGRAFIA O
VIDEOELECTRONISTAGMOGRAFIA C/S
00045200002260000588000036200007230000497000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01805130101500015000000000000000000000000000000000000000NISTAG.DE POSICION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01806130101600005000000000000000000000000000000000000000# FUNCION TUBARIA
00031600001580000411000025300005060000348000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01807130101700005000000000000000000000000000000000000000# PRUEBA CALORICA
(PROC.AUT.)
00031600001580000411000025300005060000348000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01808130101900005000000000000000000000000000000000000000# TEST DE GLICEROL (CON 3
AUDIOMETRIAS)
00125700006290001634000100600020110001383000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01809130102000005000000000000000000000000000000000000000# VIII PAR, ESTUDIO DE
( EXAMEN COCLEOVESTIBULAR) (INCLUYE
00139100006960001808000111300022260001531000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01810130102000015000000000000000000000000000000000000000AUDIOMETRIA COMPLETA,
EXAMEN CEREBELOSO, DE PARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01811130102000025000000000000000000000000000000000000000CRANEANOS, DE EQUILIBRIO Y
DEL NISTAGMUS ESPONTANEO Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01812130102000035000000000000000000000000000000000000000PROVOCADO, "PRUEBA
CALORICA").
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01813130100000003000000000000000000000000000000000000000& : ESTAS PRESTACIONES
PUEDEN SER HECHAS Y COBRADAS POR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01814130100000013000000000000000000000000000000000000000TECNOLOGOS MEDICOS, POR
PRESCRIPCION ESCRITA DE UN MEDICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01815130100000023000000000000000000000000000000000000000CIRUJANO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01816130100000003000000000000000000000000000000000000000#.- ESTAS PRESTACIONES
PUEDEN SER HECHAS Y COBRADAS POR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01817130100000013000000000000000000000000000000000000000TECNOLOGOS MEDICOS Y
FONOAUDIOLOGOS, POR PRESCRIPCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01818130100000023000000000000000000000000000000000000000ESCRITA DE UN MEDICO
CIRUJANO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01819130100000003000000000000000000000000000000000000000B.- PROCEDIMIENTOS
TERAPEUTICOS.-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01820130100000003000000000000000000000000000000000000000FOSAS NASALES Y CAVIDADES
PERINASALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01821130102400005000000000000000000000000000000000000100SENOS PERINASALES, PUNCION
EVACUADORA C/S TOMA DE MUESTRAS,
00049600002480000645000039700007940000546000049600006450000794000000000000000000000
0000000000000000000000000000000000000000000
01822130102400015000000000000000000000000000000000000000C/S INYECCION DE
MEDICAMENTOS; CADA PUNCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01823130102500005000000000000000000000000000000000000100** TAPONAMIENTO ANTERIOR
(PROC. AUT.)
00033200001660000432000026600005310000365000033200004320000531000000000000000000000
0000000000000000000000000000000000000000000
01824130102600005000000000000000000000000000000000000100** TAPONAMIENTO POSTERIOR
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01825130102700005000000000000000000000000000000000000100VACIAMIENTO CAVID.
PERINASALES (PROETZ Y SIM.) (10
SESIONES)00202800010140002636000162200032450002231000202800026360003245000000000000
0000000000000000000000000000000000000000000000000000
01826130102800005000000000000000000000000000000000000101VASOS Y/O CORNETES,
ELECTROCAUTERIZACION (UNI O BILATERAL)
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01827130100000003000000000000000000000000000000000000000CUERPO EXTRAO EN FOSAS
NASALES, EXTRACCION DE:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01828130102900005000000000000000000000000000000000000100- EN ADULTOS
00047400002370000616000037900007580000521000047400006160000758000000000000000000000
0000000000000000000000000000000000000000000
01829130103000005000000000000000000000000000000000000100- EN NIOS
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01830130100000003000000000000000000000000000000000000000LARINGE Y TRAQUEA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01831130100000003000000000000000000000000000000000000000CUERPO EXTRAO EN LARINGE
Y/O TRAQUEA, EXTRACCION DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01832130100000013000000000000000000000000000000000000000(INCLUYE LA ENDOSCOPIA CON
TUBO RIGIDO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01833130103500005000000000000000000000000000000000000103- EN ADULTOS
00182200009110002369000145800029150002004000182200023690002915000000000000000000000
0000000000000000000000000000000000000000000
01834130103600005000000000000000000000000000000000000103- EN NIOS
00225100011260002926000180100036020002477000225100029260003602000000000000000000000
0000000000000000000000000000000000000000000
01835130100000003000000000000000000000000000000000000000HIPOFARINGE Y/O ESOFAGO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01836130103700005000000000000000000000000000000000000102DILATACION ESOFAGICA POR
SESION
00047400002370000616000037900007580000521000047400006160000758000000000000000000000
0000000000000000000000000000000000000000000
01837130100000003000000000000000000000000000000000000000CUERPO EXTRAO EXTRACCION
(POR TUBO RIGIDO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01838130103800005000000000000000000000000000000000000102- EN NIOS
00199100009960002588000159300031860002191000199100025880003186000000000000000000000
0000000000000000000000000000000000000000000
01839130103900005000000000000000000000000000000000000102- EN ADULTOS
00199100009960002588000159300031860002191000199100025880003186000000000000000000000
0000000000000000000000000000000000000000000
01840130100000003000000000000000000000000000000000000000OIDO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01841130104000005000000000000000000000000000000000000100LESIONES DEL OIDO EXTERNO
Y/O MEDIO, CURACION BAJO
00033200001660000432000026600005310000365000033200004320000531000000000000000000000
0000000000000000000000000000000000000000000
01842130104000015000000000000000000000000000000000000000MICROSCOPIO (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01843130104100005000000000000000000000000000000000000100TROMPA DE EUSTAQUIO,
INSUFLACION INSTRUMENTAL (PROC. AUT.)
00033200001660000432000026600005310000365000033200004320000531000000000000000000000
0000000000000000000000000000000000000000000
01844130100000003000000000000000000000000000000000000000CUERPO EXTRAO EN OIDO,
EXTRACCION DE (INCLUYE TAPON DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01845130100000013000000000000000000000000000000000000000CERUMEN) (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01846130104200005000000000000000000000000000000000000100- EN ADULTOS
00033200001660000432000026600005310000365000033200004320000531000000000000000000000
0000000000000000000000000000000000000000000
01847130104300005000000000000000000000000000000000000100- EN NIOS
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01848130104400005000000000000000000000000000000000000100BIOPSIA OIDO (PROC. AUT.)
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01849130200000002000000000000000000000000000000000000000II.- INTERVENCIONES
QUIRURGICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01850130200000003000000000000000000000000000000000000000EN LOS CASOS DE REALIZACION
DE TECNICAS ENDOSCOPICAS Y EN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01851130200000013000000000000000000000000000000000000000AUSENCIA DE CODIGOS PARA
ELLOS, SE APLICARAN LOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01852130200000023000000000000000000000000000000000000000CORRESPONDIENTES A LAS
TECNICAS CONVENCIONALES. PARA EL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01853130200000033000000000000000000000000000000000000000CODIGO ADICIONAL SE
APLICARA EN ESTOS CASOS, EL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01854130200000043000000000000000000000000000000000000000CORRESPONDIENTE A LA
INTERVENCION CONVENCIONAL, AUMENTADO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01855130200000053000000000000000000000000000000000000000EN DOS DIGITOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01856130200000003000000000000000000000000000000000000000(VEASE, ADEMAS CIRUGIA
PLASTICA Y REPARADORA Y CIRUGIA DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01857130200000013000000000000000000000000000000000000000CABEZA Y CUELLO). TODAS LAS
INTERVENCIONES SOBRE EL OIDO SE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01858130200000023000000000000000000000000000000000000000REFIEREN A UN LADO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01859130200000003000000000000000000000000000000000000000OIDO EXTERNO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01860130200100005000000000000000000000000000000000000100ABSCESO Y/O HEMATOMAS,
TRAT. QUIR.
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
01861130200200005000000000000000000000000000000000000103CUERPO EXTRAO EN CONDUCTO
AUDITIVO EXTERNO, EXTRACCION DE,
00310200015510004033000248200049630003412000310200040330004963000000000000000000000
0000000000000000000000000000000000000000000
01862130200200015000000000000000000000000000000000000000POR VIA RETROAURICULAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01863130200300005024380012190031690019500039010026820204FISTULA PREAURICULAR
COMPLICADA, TRAT. QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01864130200400005000000000000000000000000000000000000103TUMOR BENIGNO, TRAT. QUIR.
00206700010340002687000165400033070002274000206700026870003307000000000000000000000
0000000000000000000000000000000000000000000
01865130200500005030440015220039570024350048700033480204TUMOR MALIGNO, TRAT. QUIR.
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01866130200000003000000000000000000000000000000000000000OIDO MEDIO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01867130200600005040630020320052820032510065010044700207ESTAPEDECTOMIA O
ESTAPEDOSTOMIA
01221900061100015885000977600195500013441000977520127080015640000244380031770003910
0000000000000000000000000000000000000000000
01868130200700005040630020320052820032510065010044700207MASTOIDECTOMIA C/S SECCION
CUERDA DEL TIMPANO
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
01869130200800005024380012190031690019500039010026820103MUCOSITIS TIMPANICA O
MIXIOSIS UNI O BILATERAL, TRAT. QUIR.
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
01870130200900005030440015220039570024350048700033480207OPERACION RADICAL DEL OIDO
C/S SECCION CUERDA DEL TIMPANO
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
01871130201000005030440015220039570024350048700033480207PETROSITIS, TRAT. QUIR.
01296900064850016860001037600207500014266001037520134880016600000259380033720004150
0000000000000000000000000000000000000000000
01872130201100005040630020320052820032510065010044700208RECONSTITUCION FUNCIONAL DE
OIDO RADICALIZADO
01629900081500021189001304000260780017929001303920169512020862400325980042378005215
6000000000000000000000000000000000000000000
01873130201200005030440015220039570024350048700033480207TIMPANOPLASTIA FUNCIONAL
(CUALQUIER TIPO) C/S
MASTOIDECTOMIA012398000619900161170009918001983700136380009918401289360158696002479
600322340039674000000000000000000000000000000000000000000
01874130200000003000000000000000000000000000000000000000OIDO MEDIO Y EXTERNO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01875130201300005040630020320052820032510065010044700207AGENESIA O ESTENOSIS,
RECONSTITUCION PLASTICA
01629900081500021189001304000260780017929001303920169512020862400325980042378005215
6000000000000000000000000000000000000000000
01876130201400005030440015220039570024350048700033480207EXOSTOSIS U OSTEOMA,
RESECCION POR CUALQUIER VIA
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
01877130201500005030440015220039570024350048700033480207NEURECTOMIA DE JACOBSON
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01878130201600005040630020320052820032510065010044700207RECONSTITUCION DE CONDUCTO
AUDITIVO EXTERNO, C/S
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
01879130201600015000000000000000000000000000000000000000TIMPANOPLASTIA (INCLUYE
REVISION DE CADENA OSICULAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01880130201700005040630020320052820032510065010044700307TUMOR GLOMICO, TRAT. QUIR.
01629900081500021189001304000260780017929001124070146131017984800281020036533004496
2002248100292260035970000000000000000000000
01881130200000003000000000000000000000000000000000000000OIDO INTERNO Y NERVIO
ACUSTICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01882130201800005030440015220039570024350048700033480207LABERINTECTOMIA
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
01883130201900005050760025380065990040610081220055840308NEURINOMA DEL ACUSTICO,
TRAT. QUIR. VIA. TRANSLABERINTICA
02123200106160027602001698600339710023355001464270190358023428200366070047590005857
1002928600380720046857000000000000000000000
01884130201900015000000000000000000000000000000000000000Y/O FOSA MEDIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01885130200000003000000000000000000000000000000000000000NERVIO FACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01886130202000005030440015220039570024350048700033480206DESCOMPRESION INTRAOSEA C/S
PLASTIA
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
01887130202100005050760025380065990040610081220055840207LESIONES A NIVEL DEL
CONDUCTO AUDITIVO INTERNO, TRAT. QUIR.
02008400100420026109001606700321340022092001606720208872025707200401680052218006426
8000000000000000000000000000000000000000000
01888130200000003000000000000000000000000000000000000000BOCA Y FARINGE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01889130202200005000000000000000000000000000000000000102** BIOPSIA BUCO-FARINGEA
(PROC. AUT.)
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
01890130202300005000000000000000000000000000000000000102** SECCION SIMPLE Y/O
RESECCION FRENILLO SUBLINGUAL
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
01891130200000003000000000000000000000000000000000000000ABSCESO O FLEGMON DE, TRAT.
QUIR.:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01892130202400005000000000000000000000000000000000000101** - PISO DE LA BOCA
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
01893130202500005000000000000000000000000000000000000101** - PERIAMIGDALIANO
00258800012940003364000207000041410002847000258800033640004141000000000000000000000
0000000000000000000000000000000000000000000
01894130202600005000000000000000000000000000000000000102- RETROFARINGEO O
FARINGOLARINGEO
00258800012940003364000207000041410002847000258800033640004141000000000000000000000
0000000000000000000000000000000000000000000
01895130202700005000000000000000000000000000000000000100** - VESTIBULO BUCAL
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
01896130202800005024380012190031690019500039010026820105ADENOIDECTOMIA (PROC. AUT.)
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
01897130202900005036000018000046800028800057600039600105AMIGDALECTOMIA C/S
ADENOIDECTOMIA, UNI O BILATERAL
00868600043430011292000694900138980009555000868600112920013898000000000000000000000
0000000000000000000000000000000000000000000
01898130203000005000000000000000000000000000000000000101** CALCULOS SALIVALES,
TRAT. QUIR.
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
01899130203100005000000000000000000000000000000000000101** TUMOR BENIGNO DE LA
MUCOSA BUCAL, EXTIRP. C/S BIOPSIA
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
01900130203100015000000000000000000000000000000000000000BUCOFARINGEA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01901130203200005030440015220039570024350048700033480207TUMOR MALIGNO DE LAS
AMIGDALAS, TRAT. QUIR.
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01902130200000003000000000000000000000000000000000000000TUMOR DE LA BASE DE LA
LENGUA, EXTIRPACION DE:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01903130203300005024380012190031690019500039010026820206** - BENIGNO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01904130203400005050760025380065990040610081220055840309- MALIGNO, C/S DISECCION
RADICAL DE CUELLO
02180800109040028350001744600348930023989001504000195518024064200376000048879006016
0003008000391030048128000000000000000000000
01905130203500005040630020320052820032510065010044700308FARINGOPLASTIA
(CUALQ.TECN.), C/S DESPLAZAMIENTO DE
COLGAJOS014805000740300192470011845002368800162860010210301327380163366002552600331
840040841002042100265480032673000000000000000000000
01906130203600005050760025380065990040610081220055840309FIBROANGIOMA DEL
RINOFARINX, TRAT. QUIR.
02123200106160027602001698600339710023355001464270190358023428200366070047590005857
1002928600380720046857000000000000000000000
01907130203700005050760025380065990040610081220055840309GLOSECTOMIA TOTAL C/S
DISECCION RADICAL DE CUELLO
02295200114760029838001836200367230025247001582900205779025326200395720051445006331
6003165800411560050652000000000000000000000
01908130203700015000000000000000000000000000000000000000(OPERACION DE TROTTER O
SIMILAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01909130200000003000000000000000000000000000000000000000NARIZ, SENOS PARANASALES Y
VIAS LAGRIMALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01910130203800005000000000000000000000000000000000000102ABSCESOS Y HEMATOMA DEL
TABIQUE NASAL, TRAT. QUIR.
00229300011470002981000183500036690002523000229300029810003669000000000000000000000
0000000000000000000000000000000000000000000
01911130203900005024380012190031690019500039010026820204ARTERIA ESFENOPALATINA,
CAUTERIZACION POR VIA NASAL
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01912130204000005030440015220039570024350048700033480206ARTERIA MAXILAR INTERNA,
LIGADURA DE (POR VIA TRANSMAXILAR)
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01913130204100005024380012190031690019500039010026820104ARTERIAS ETMOIDALES
ANTERIORES, LIGADURA DE
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
01914130204200005000000000000000000000000000000000000104TURBINECTOMIA O
CAUTERIZACION DE CORNETES, CUALQUIER
TECNICA0025880001294000336400020700004141000284700025880003364000414100000000000000
00000000000000000000000000000000000000000000000000
01915130204300005030440015220039570024350048700033480205CONDUCTO Y/O SENO LAGRIMAL,
OBSTRUCCION DEL, TRAT. QUIR.
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01916130204300015000000000000000000000000000000000000000POR VIA NASAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01917130204400005030440015220039570024350048700033480207ETMOIDECTOMIA ENDO O
EXONASAL
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01918130204500005024380012190031690019500039010026820205**TRATAMIENTO QUIRURGICO DE
LAS FISTULAS BUCO-SINUSALES O
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01919130204500015000000000000000000000000000000000000000BUCO-NASALES Y/O RETIRO
CUERPOS EXTRAOS DEL SENO MAXILAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01920130204600005000000000000000000000000000000000000102FRACT. NASAL RECIENTE,
CERRADA O EXPUESTA, REDUCCION C/S
00212000010600002756000169600033920002332000212000027560003392000000000000000000000
0000000000000000000000000000000000000000000
01921130204600015000000000000000000000000000000000000000INMOVILIZACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01922130204700005030440015220039570024350048700033480206NERVIO VIDIANO, SECCION DEL
(POR CUALQUIER VIA)
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
01923130204800005024380012190031690019500039010026820104PERFORACION DEL TABIQUE,
TRAT. QUIR.
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
01924130204900005000000000000000000000000000000000000103POLIPO NASAL Y/O COANAL,
TRAT. QUIR.
00271400013570003528000217100043420002985000271400035280004342000000000000000000000
0000000000000000000000000000000000000000000
01925130205000005024380012190031690019500039010026820105RINITIS ATROFICA, TRAT. POR
INCLUSION SUBMUCOSA, CON
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
01926130205000015000000000000000000000000000000000000000CUALQUIER MATERIAL, UNI O
BILATERAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01927130205100005030440015220039570024350048700033480206RINOFIMA, TRAT. QUIR.
01067300053370013875000853900170770011741000853840111000013661600213460027750003415
4000000000000000000000000000000000000000000
01928130205200005030440015220039570024350048700033480206RINOPLASTIA Y/O
SEPTOPLASTIA, CUALQUIER TECNICA
01296900064850016860001037600207500014266001037520134880016600000259380033720004150
0000000000000000000000000000000000000000000
01929130205300005036130018070046970028910057810039750206SENO ESFENOIDAL, ABERTURA
POR CUALQUIER VIA
01182200059110015369000945800189150013004000945760122952015132000236440030738003783
0000000000000000000000000000000000000000000
01930130205400005030440015220039570024350048700033480205SENO FRONTAL, TRAT.QUIR.
C/S VACIAMIENTO ETMOIDAL
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01931130205500005030440015220039570024350048700033480206SENO MAXILAR, ANTROSTOMIA
C/S ETMOIDECTOMIA ( OPERACION DE
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01932130205500015000000000000000000000000000000000000000CADWELL LUC Y SIM.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01933130205600005000000000000000000000000000000000000102SINEQUIA NASAL, TRAT. QUIR.
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
01934130205700005030440015220039570024350048700033480205TUMOR NASAL, EXTIRP. POR
RINOTOMIA LATERAL
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01935130205800005030440015220039570024350048700033480105VACIAMIENTO ETMOIDAL POR
VIA NASAL C/S POLIPECTOMIA
00766500038330009965000613300122640008432000766500099650012264000000000000000000000
0000000000000000000000000000000000000000000
01936130200000003000000000000000000000000000000000000000LARINGE Y TRAQUEA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01937130205900005030440015220039570024350048700033480104ARITENOIDECTOMIA VIA
ENDOSCOPICA
00766500038330009965000613300122640008432000766500099650012264000000000000000000000
0000000000000000000000000000000000000000000
01938130206000005030440015220039570024350048700033480206ARITENOIDECTOMIA VIA
EXTERNA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01939130206100005030440015220039570024350048700033480106DECORTICACION DE CUERDAS
VOCALES C/MICROSCOPIO
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
01940130207300005024230012120031500019390038770026660103ESTENOSIS LARINGOTRAQUEALES
Y FARINGEAS, TRAT. QUIR. POR
00559900028000007279000448000089580006159000559900072790008958000000000000000000000
0000000000000000000000000000000000000000000
01941130207300015000000000000000000000000000000000000000VIA ENDOSCOPICA (INCLUYE
LASER)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01942130200000003000000000000000000000000000000000000000CUERDAS VOCALES, TUMORES
BENIGNOS, TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01943130206200005030440015220039570024350048700033480103TUMOR BENIGNO DE CUERDAS
VOCALES, TRAT. QUIRURGICO POR VIA
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
01944130206200015000000000000000000000000000000000000000ABIERTA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01945130206300005030440015220039570024350048700033480103TUMOR BENIGNO DE CUERDAS
VOCALES, TRAT. QUIRURGICO POR VIA
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
01946130206300015000000000000000000000000000000000000000ENDOSCOPICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01947130206400005030440015220039570024350048700033480205CORDECTOMIA, SINEQUIA Y
OTRAS MALFORMACIONES, TRAT.
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01948130206400015000000000000000000000000000000000000000QUIRURGICO POR VIA EXTERNA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01949130206500005051640025820067130041310082620056800206ESTENOSIS LARINGOTRAQUEALES
Y/O FARINGEAS, TRAT. QUIR. POR
02180800109040028350001744600348930023989001744640226800027914400436160056700006978
6000000000000000000000000000000000000000000
01950130206500015000000000000000000000000000000000000000VIA ABIERTA (INCLUYE
RECONSTRUCCION LARINGOTRAQUEAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01951130206600005050760025380065990040610081220055840308LARINGECTOMIA PARCIAL O
SUBTOTAL (CUALQUIER TECNICA)
02180800109040028350001744600348930023989001504000195518024064200376000048879006016
0003008000391030048128000000000000000000000
01952130206700005060960030480079250048770097540067060310LARINGECTOMIA TOTAL MAS
FARINGECTOMIA PARCIAL
02822800141140036696002258200451650031051001946760253076031148200486690063269007787
1003893500506150062297000000000000000000000
01953130206800005081290040650105680065040130060089420313LARINGECTOMIA TOTAL MAS
FARINGECTOMIA TOTAL Y/O
04108100205410053405003286500657300045190002833180368310045331000708290092078011332
8005666300736620090662000000000000000000000
01954130206800015000000000000000000000000000000000000000ESOFAGECTOMIA CERVICAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01955130206900005024380012190031690019500039010026820205LARINGOCELE, TRAT. QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01956130207000005000000000000000000000000000000000000102PAPILOMAS LARINGEOS, TRAT.
QUIR. (POR SESION)
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
01957130207100005030440015220039570024350048700033480205PARALISIS DE CUERDAS
VOCALES, TRAT. QUIR. CUALQUIER TECNICA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
01958130207200005024380012190031690019500039010026820205TRAQUEOSTOMIA (PROC. AUT.)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
01959130200000003000000000000000000000000000000000000000** ESTAS PRESTACIONES SE
AUTORIZAN A CIRUJANOS DENTISTAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01960130200000013000000000000000000000000000000000000000ESPECIALISTAS EN CIRUGIA
BUCAL Y MAXILOFACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01961130300000002000000000000000000000000000000000000000III.- FONOAUDIOLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01962130300100005000000000000000000000000000000000000000EVALUACION DE VOZ
00033200001660000432000026600005310000365000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01963130300200005000000000000000000000000000000000000000EVALUACION DE HABLA
00066400003320000863000053100010620000730000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01964130300300005000000000000000000000000000000000000000EVALUACION DEL LENGUAJE
(INCLUYE VOZ, HABLA Y ASPECTO
00099800004990001297000079800015970001098000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01965130300300015000000000000000000000000000000000000000SEMANTICO, SINTACTICO Y
FONOLOGICO, ETC. E INFORME)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01966130300300025000000000000000000000000000000000000000(INCLUYE 3 SESIONES DE
MINIMO 30')
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01967130300400005000000000000000000000000000000000000000REHABILITACION DE LA VOZ
(MAXIMO 15 SESIONES ANUALES)
00033200001660000432000026600005310000365000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01968130300400015000000000000000000000000000000000000000(CADA SESION MINIMO 30')
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01969130300500005000000000000000000000000000000000000000REHABILITACION DEL HABLA
Y/O DEL LENGUAJE (MAXIMO 30
00033200001660000432000026600005310000365000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01970130300500015000000000000000000000000000000000000000SESIONES ANUALES)(CADA
SESION MINIMO 30')
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01971140000000001000000000000000000000000000000000000000GRUPO : 14
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01972140000000001000000000000000000000000000000000000000CIRUGIA DE CABEZA Y CUELLO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01973140000000003000000000000000000000000000000000000000(ADEMAS VEASE
INTERVENCIONES QUIRURGICAS DE OFTALMOLOGIA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01974140000000013000000000000000000000000000000000000000OTORRINOLARINGOLOGIA Y
CIRUGIA PLASTICA Y REPARADORA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01975140100000002000000000000000000000000000000000000000I.- PROCEDIMIENTOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01976140100000003000000000000000000000000000000000000000TIROIDES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01977140100100005000000000000000000000000000000000000100PUNCION EVACUADORA DE
QUISTE TIROIDEO C/S TOMA DE MUESTRA,
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
01978140100100015000000000000000000000000000000000000000C/S INYECCION DE
MEDICAMENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01979140200000002000000000000000000000000000000000000000II.- INTERVENCIONES
QUIRURGICAS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01980140200000003000000000000000000000000000000000000000TIROIDECTOMIA:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01981140200100005050760025380065990040610081220055840307TIROIDECTOMIA BILATERAL
TOTAL
02123200106160027602001698600339710023355001464270190358023428200366070047590005857
1002928600380720046857000000000000000000000
01982140200200005040630020320052820032510065010044700307TIROIDECTOMIA BILATERAL
SUBTOTAL
01595300079770020739001276300255250017549001100210143027017603400275050035757004400
9002200400286060035207000000000000000000000
01983140200300005050760025380065990040610081220055840309BOCIO INTRATORACICO, TRAT.
QUIR. POR ESTERNOTOMIA
02308500115430030011001846900369360025394001592070206973025473100398020051743006368
3003184100413940050946000000000000000000000
01984140200400005050760025380065990040610081220055840209TIROIDES LINGUAL, TRAT.
QUIR. (OP.DE TROTTER O SIMILAR)
02065900103300026857001652800330540022725001652720214856026443200413180053714006610
8000000000000000000000000000000000000000000
01985140200500005030440015220039570024350048700033480306LOBECTOMIA CON O SIN
ISTMECTOMIA O RESECCION PARCIAL
01526600076330019846001221300244260016793001052820136869016845500263210034217004211
4002105700273740033691000000000000000000000
01986140200600005076180038090099030060940121890083800309TIROIDECTOMIA TOTAL
AMPLIADA CON DISECCION RADICAL O
03729600186480048485002983700596740041026002572140334379041154500643030083595010288
6005144300668760082309000000000000000000000
01987140200600015000000000000000000000000000000000000000MODIFICADA DE CUELLO UNI O
BILATERAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01988140200000003000000000000000000000000000000000000000PARATIROIDES (UN LADO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01989140200000003000000000000000000000000000000000000000ADENOMA Y/O HIPERPLASIA,
TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01990140200700005035570017790046240028460056910039130206AUTOTRANSPLANTE DE
PARATIROIDES (OPERACION ASOCIADA A
01499300074970019491001199500239890016493001199440155928019191200299860038982004797
8000000000000000000000000000000000000000000
01991140200700015000000000000000000000000000000000000000ALGUNAS DE LAS PRESTACIONES
DE TIROIDES Y PARATIROIDES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01992140200800005050760025380065990040610081220055840309PARATIROIDECTOMIA O
EXPLORACION PARATIROIDES CON
02065900103300026857001652800330540022725001424760185221022795800356190046305005699
0002849500370440045592000000000000000000000
01993140200800015000000000000000000000000000000000000000EXPLORACION DE MEDIASTINO,
ABORDAJE TRANSTORACICO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01994140200900005040630020320052820032510065010044700307PARATIROIDECTOMIA O
EXPLORACION DE PARATIROIDES (ABORDAJE
01497400074870019466001197900239580016471001032690134248016522700258170033562004130
7002065400268500033046000000000000000000000
01995140200900015000000000000000000000000000000000000000CERVICAL, CLASICO O
MINIMAMENTE INVASIVO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01996140201000005050760025380065990040610081220055840309PARATIROIDES,
REINTERVENCION POR HIPERPARATIROIDISMO
01756300087820022832001405100281010019320001211240157462019380000302810039366004845
0002422500314920038760000000000000000000000
01997140200000003000000000000000000000000000000000000000GLANDULAS SALIVALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01998140200000003000000000000000000000000000000000000000PAROTIDA (UN LADO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
01999140200000003000000000000000000000000000000000000000PAROTIDECTOMIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02000140201100005030440015220039570024350048700033480206PAROTIDECTOMIA PARCIAL
(SUPRAFACIAL)
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02001140201200005040630020320052820032510065010044700207PAROTIDECTOMIA TOTAL
01578200078910020517001262600252510017360001262560164136020200800315640041034005050
2000000000000000000000000000000000000000000
02002140201300005081290040650105680065040130060089420309PAROTIDECTOMIA TOTAL
AMPLIADA (INCLUYE MUSCULOS, GANGLIOS,
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02003140201300015000000000000000000000000000000000000000ARTICULACIONES Y RAMA
VERTICAL DE LA MANDIBULA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02004140201400005040630020320052820032510065010044700309- TOTALIZACION DE
PAROTIDECTOMIA PARCIAL PREVIA
01538300076920019998001230700246130016922001060900137918016974500265220034479004243
6002121800275830033949000000000000000000000
02005140200000003000000000000000000000000000000000000000GLANDULA SUBMANDIBULAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02006140201500005081290040650105680065040130060089420308SUB-MANDIBULECTOMIA
AMPLIADA (INCLUYE PISO DE LA BOCA,
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02007140201500015000000000000000000000000000000000000000MANDIBULA, MUSCULOS,
GANGLIOS Y ARTICULACIONES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02008140201600005030440015220039570024350048700033480206SUB-MANDIBULECTOMIA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02009140200000003000000000000000000000000000000000000000SUB-LINGUAL (UNA O AMBAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02010140201700005024380012190031690019500039010026820105** EXTIRPACION SUBLINGUAL
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
02011140201800005081290040650105680065040130060089420308EXTIRPACION SUBLINGUAL
AMPLIADA (INCLUYE PISO DE BOCA, ARCO
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02012140201800015000000000000000000000000000000000000000MANDIBULAR, MUSCULOS,
GANGLIOS Y ARTICULACIONES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02013140200000003000000000000000000000000000000000000000OTROS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02014140201900005024380012190031690019500039010026820203** ABSCESO PAROTIDEO
SUBMAXILAR Y/O CERVICAL PROFUNDO,
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02015140201900015000000000000000000000000000000000000000TRAT.QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02016140202000005024380012190031690019500039010026820205** CONDUCTOS SALIVALES DE
EXCRECION, REIMPLANTACION ORO-
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02017140202000015000000000000000000000000000000000000000FARINGEA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02018140202100005024380012190031690019500039010026820203** FISTULA SALIVAL, TRAT.
QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02019140202200005024380012190031690019500039010026820102** MUCOCELE O QUISTE
LABIAL, TRAT. QUIR.
00396400019820005153000317100063420004360000396400051530006342000000000000000000000
0000000000000000000000000000000000000000000
02020140202300005024380012190031690019500039010026820206TORTICOLIS CONGENITA, TRAT.
QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02021140200000003000000000000000000000000000000000000000OTRAS ESTRUCTURAS PROFUNDAS
DE CUELLO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02022140202400005024380012190031690019500039010026820206QUISTES Y/O FISTULAS DEL
CONDUCTO TIROGLOSO,Y/O BRANQUIAL,
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02023140202400015000000000000000000000000000000000000000Y/O HIGROMA ,Y/O FISTULA
PREAURICULAR COMPLICADA, Y/U OTROS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02024140202400025000000000000000000000000000000000000000QUISTES Y/O TUMORES
BENIGNOS,TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02025140202500005040630020320052820032510065010044700207TUMORES DEL CUERPO
CAROTIDEO, TRAT.QUIR.
(INCL.PROC.VASCULAR)013085000654300170110010469002093600143940010468001360880167488
002617000340220041872000000000000000000000000000000000000000000
02026140200000003000000000000000000000000000000000000000PIEL Y MUCOSAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02027140202600005000000000000000000000000000000000000102BIOPSIA QUIR., MUCOSA
ORONASOFARINGEA (PROC. AUT.)
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
02028140202700005000000000000000000000000000000000000102BIOPSIA QUIR., PIEL Y
MUCOSA CARA (PROC. AUT.)
00206700010340002687000165400033070002274000206700026870003307000000000000000000000
0000000000000000000000000000000000000000000
02029140200000003000000000000000000000000000000000000000TUMORES MALIGNOS:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02030140202800005030440015220039570024350048700033480206RESECCION CUTANEA
AMPLIADA(INCLUYE MUSCULATURA,GANGLIOS Y
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02031140202800015000000000000000000000000000000000000000HUESOS SUBYACENTES;
DESPLAZAMIENTO DE COLGAJOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02032140202900005000000000000000000000000000000000000103RESECCION CUTANEA SIMPLE
(SUTURA PRIMARIA)
00310200015510004033000248200049630003412000310200040330004963000000000000000000000
0000000000000000000000000000000000000000000
02033140203000005030440015220039570024350048700033480206TUMOR MALIGNO DE LABIO
SUPERIOR O INFERIOR, RESECCION TOTAL
01296900064850016860001037600207500014266001037520134880016600000259380033720004150
0000000000000000000000000000000000000000000
02034140203000015000000000000000000000000000000000000000DEL LABIO Y CIRUGIA
REPARADORA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02035140203100005030440015220039570024350048700033480206TUMOR MALIGNO DE LABIO
SUPERIOR O INFERIOR,RESECCION
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02036140203100015000000000000000000000000000000000000000PARCIAL DEL LABIO Y CIRUGIA
REPARADORA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02037140200000003000000000000000000000000000000000000000NARIZ
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02038140203200005024380012190031690019500039010026820205RESECCION PARCIAL Y CIRUGIA
REPARADORA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02039140203300005030440015220039570024350048700033480206RESECCION TOTAL Y CIRUGIA
REPARADORA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02040140200000003000000000000000000000000000000000000000CAVIDADES PARANASALES Y
HUESO TEMPORAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02041140203400005040630020320052820032510065010044700208RESECCION FRONTO-NASO-
ETMOIDIANA
01308500065430017011001046900209360014394001046800136088016748800261700034022004187
2000000000000000000000000000000000000000000
02042140203500005091400045700118820073120146240100540312EXANTERACION ORBITARIA
AMPLIADA (INCLUYE ETMOIDES,HUESO
03546200177310046101002837000567390039008002445660317938039130300611410079484009782
6004891300635880078261000000000000000000000
02043140203500015000000000000000000000000000000000000000FRONTAL,BASE DE CRANEO
ANTERIOR Y REGION MAXILO-MALAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02044140203600005091400045700118820073120146240100540311HUESO TEMPORAL, EXTIRP.
RADICAL
03546200177310046101002837000567390039008002445660317938039130300611410079484009782
6004891300635880078261000000000000000000000
02045140200000003000000000000000000000000000000000000000MAXILECTOMIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02046140203700005030440015220039570024350048700033480207** PARCIAL (INCLUYE PALADAR
OSEO ; REPARACION PROTESICA)
01296900064850016860001037600207500014266001037520134880016600000259380033720004150
0000000000000000000000000000000000000000000
02047140203800005039640019820051530031710063420043600207** PARCIAL (INCLUYE PALADAR
OSEO; REPARACION CON COLGAJO)
01663900083200021631001331200266220018303001331120173048021297600332780043262005324
4000000000000000000000000000000000000000000
02048140203900005091400045700118820073120146240100540312RADICAL AMPLIADA(INCLUYE
EXANTERACION ORBITARIA Y DE FOSA
03546200177310046101002837000567390039008002445660317938039130300611410079484009782
6004891300635880078261000000000000000000000
02049140203900015000000000000000000000000000000000000000CRANEAL ANTERIOR O MEDIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02050140204000005081290040650105680065040130060089420310RADICAL CLASICA (INCLUYE
EXANTERACION ORBITARIA Y
03648800182440047434002919000583810040137002516420327131040262700629100081783010065
7005032800654260080526000000000000000000000
02051140204000015000000000000000000000000000000000000000REPARACION CON COLGAJO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02052140204100005081290040650105680065040130060089420310RADICAL CLASICA(INCLUYE
EXANTERACION ORBITARIA Y REPARACION
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02053140204100015000000000000000000000000000000000000000PROTESICA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02054140200000003000000000000000000000000000000000000000CAVIDAD ORAL Y OROFARINGEA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02055140204200005000000000000000000000000000000000000206** GLOSECTOMIA PARCIAL,
REPARACION PRIMARIA
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02056140204300005038780019390050410031020062050042660207RESECCION AMPLIA DE TUMOR
MALIGNO Y DISECCION GANGLIONAR
03877900193900050413003102400620460042657003102320403304049636800775580100826012409
2000000000000000000000000000000000000000000
02057140204300015000000000000000000000000000000000000000CERVICAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02058140200000003000000000000000000000000000000000000000RESECCION DE MANDIBULA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02059140204400005040630020320052820032510065010044700207** HEMIMANDIBULECTOMIA
01560700078040020289001248600249710017168001248560162312019976800312140040578004994
2000000000000000000000000000000000000000000
02060140204500005060960030480079250048770097540067060309** MANDIBULECTOMIA TOTAL
02581800129090033563002065400413090028400001780550231469028489000445140057867007122
2003561100462940056978000000000000000000000
02061140204600005091400045700118820073120146240100540313OPERACION "COMANDO"
(INCLUYE EXTIRP. DEL TUMOR,
03890100194510050571003112100622420042792002682820348766042925500670710087191010731
4005365700697530085851000000000000000000000
02062140204600015000000000000000000000000000000000000000HEMIMANDIBULECTOMIA Y
DISECCION GANGLIONAR RADICAL DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02063140204600025000000000000000000000000000000000000000CUELLO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02064140204700005030440015220039570024350048700033480205** PARCIAL
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02065140204800005095930047970124710076750153490105530308RESECCION TRIDIMENSIONAL
INTRA-ORAL O FARINGEA AMPLIADA
04062300203120052810003249900649970044686002801580364207044825500700400091052011206
4005603200728410089651000000000000000000000
02066140200000003000000000000000000000000000000000000000HIPOFARINGE Y ESOFAGO
CERVICAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02067140205000005030440015220039570024350048700033480206FARINGECTOMIA PARCIAL
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02068140200000003000000000000000000000000000000000000000CIRUGIA OSTEOTOMICA SOBRE
LOS MAXILARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02069140205100005024380012190031690019500039010026820206** GENIOPLASTIA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02070140205200005030440015220039570024350048700033480206** OSTEOTOMIAS SEGMENTARIAS
SOBRE MANDIBULA (TIPO KOLE O
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02071140205200015000000000000000000000000000000000000000SIMILARES) O SOBRE LOS
MAXILARES (TIPO WASSMUND,WUNDERER O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02072140205200025000000000000000000000000000000000000000SIMILARES)(INCLUYEN
OSTEOTOMIAS DENTOALVEOLARES)C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02073140205300005040630020320052820032510065010044700207** OSTEOTOMIAS TOTALES
SOBRE LA MANDIBULA (SAGITAL, DE
01710100085510022231001368100273620018812001368080177848021889600342020044462005472
4000000000000000000000000000000000000000000
02074140205300015000000000000000000000000000000000000000RAMAS TIPO ODWEGESER O
SIMILARES) O SOBRE LOS MAXILARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02075140205300025000000000000000000000000000000000000000(TIPO DE FORT I),C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02076140200000003000000000000000000000000000000000000000TRAUMATOLOGIA MAXILO FACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02077140200000003000000000000000000000000000000000000000FRACTURAS DEL MALAR,
MAXILAR SUPERIOR, MANDIBULA Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02078140200000013000000000000000000000000000000000000000ORBITARIAS, UNICAS O
MULTIPLES, EXCLUIDA NARIZ.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02079140200000003000000000000000000000000000000000000000REDUCCION:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02080140205400005000000000000000000000000000000000000104** CON COLOCACION DE ARCOS
Y/O FERULAS Y/O BLOQUEO
00562300028120007310000449900089970006186000562300073100008997000000000000000000000
0000000000000000000000000000000000000000000
02081140205400015000000000000000000000000000000000000000INTERMAXILAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02082140205500005030440015220039570024350048700033480205** CON OSTEOSINTESIS
MULTIPLES,C/S LIGADURAS
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
02083140205500015000000000000000000000000000000000000000CIRCUNFERENCIALES, C/S
SUSPENSIONES, C/S INJERTOS OSEOS U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02084140205500025000000000000000000000000000000000000000OTROS IMPLANTES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02085140205600005030440015220039570024350048700033480204** CON OSTEOSINTESIS UNICA
C/S COLOCACION DE YESO
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02086140205700005081290040650105680065040130060089420210RECONSTRUCCIONES COMPLEJAS
DE LA CARA SIMULTANEAS CON
03074900153750039974002460000491980033824002459920319792039358400614980079948009839
6000000000000000000000000000000000000000000
02087140205700015000000000000000000000000000000000000000PROC.NEUROQUIRURGICO(CRANEO
TOMIAS MAS ABORDAJES Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02088140205700025000000000000000000000000000000000000000TRAT.FACIAL), TIEMPO FACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02089140205800005050760025380065990040610081220055840207RECONSTRUCCIONES DE PARTES
DURAS Y BLANDAS DE LA CARA,
02151800107590027973001721400344290023670001721440223784027543200430360055946006885
8000000000000000000000000000000000000000000
02090140205800015000000000000000000000000000000000000000MEDIANTE ABORDAJES
MULTIPLES Y HEMICORONAL O CORONAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02091140205900005000000000000000000000000000000000000104** REMOCION QUIR. DE ARCOS
Y/O ALAMBRES (PROC. COMPLETO)
00344300017220004476000275500055090003788000344300044760005509000000000000000000000
0000000000000000000000000000000000000000000
02092140206000005000000000000000000000000000000000000103** SIMPLE (PROC.AUT.)
00344300017220004476000275500055090003788000344300044760005509000000000000000000000
0000000000000000000000000000000000000000000
02093140200000003000000000000000000000000000000000000000** ESTAS PRESTACIONES SE
AUTORIZAN A CIRUJANOS DENTISTAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02094140200000013000000000000000000000000000000000000000ESPECIALISTAS EN CIRUGIA
BUCAL Y MAXILOFACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02095150000000001000000000000000000000000000000000000000GRUPO : 15
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02096150000000001000000000000000000000000000000000000000CIRUGIA PLASTICA Y
REPARADORA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02097150000000003000000000000000000000000000000000000000(ADEMAS ANESTESIA COD. 22-
01-001 SI CORRESPONDE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02098150200000003000000000000000000000000000000000000000HERIDAS DE LA CARA
(CORTANTES Y/O CONTUSAS), SUTURA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02099150200000013000000000000000000000000000000000000000PLASTICA (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02100150200100005000000000000000000000000000000000000204- COMPLICADAS: 1 O VARIAS
DE MAS DE 5 CMS. Y/O UBICADAS EN
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02101150200100015000000000000000000000000000000000000000BORDES DE PARPADOS, LABIOS
O ALA NASAL Y/O QUE COMPROMETEN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02102150200100025000000000000000000000000000000000000000MUSCULOS, CONDUCTOS, VASOS
O NERVIOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02103150200200005000000000000000000000000000000000000102- SIMPLES: 1 O VARIAS DE
HASTA 5 CMS. QUE SOLO COMPROMETEN
00258800012940003364000207000041410002847000258800033640004141000000000000000000000
0000000000000000000000000000000000000000000
02104150200200015000000000000000000000000000000000000000PIEL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02105150200300005000000000000000000000000000000000000104IMPLANTE DE SILICONA FACIAL
(CUALQUIER ZONA O ZONAS)
00774700038740010071000619800123950008522000774700100710012395000000000000000000000
0000000000000000000000000000000000000000000
02106150200000003000000000000000000000000000000000000000CICATRICES (CUALQUIER
LOCALIZACION O TAMAO), RESECC.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02107150200000013000000000000000000000000000000000000000PLASTICA DE (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02108150200400005000000000000000000000000000000000000203CICATRICES HASTA 2
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02109150200500005000000000000000000000000000000000000204CICATRICES 3 Y MAS
01147900057400014923000918400183660012627000918320119384014692800229580029846003673
2000000000000000000000000000000000000000000
02110150200000003000000000000000000000000000000000000000INJERTOS PIEL PARCIAL Y/O
MUCOSA (INCLUYE TRATAMIENTO ZONAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02111150200000013000000000000000000000000000000000000000DADORA Y RECEPTORA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02112150200600005000000000000000000000000000000000000103- HASTA 1% SUPERFICIE
CORPORAL RECEPTORA
00258800012940003364000207000041410002847000258800033640004141000000000000000000000
0000000000000000000000000000000000000000000
02113150200700005000000000000000000000000000000000000104- HASTA 5% SUPERFICIE
CORPORAL RECEPTORA
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
02114150200800005000000000000000000000000000000000000105- HASTA 10% SUPERFICIE
CORPORAL RECEPTORA
00746100037310009699000596900119380008208000746100096990011938000000000000000000000
0000000000000000000000000000000000000000000
02115150200900005000000000000000000000000000000000000106- POR CADA 10% ( O SU
FRACCION) ADICIONAL HASTA 50%. (SE
00316000015800004108000252800050560003476000316000041080005056000000000000000000000
0000000000000000000000000000000000000000000
02116150200900015000000000000000000000000000000000000000COBRARA CODIGO AD. 6 UNA
SOLA VEZ POR SUPERFICIE ENTRE 11%
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02117150200900025000000000000000000000000000000000000000Y 50%)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02118150201000005071670035840093170057340114670078840213- 51% Y MAS DE SUPERFICIE
CORPORAL RECEPTORA
02599200129960033790002079400415870028591002079360270320033269600519840067580008317
4000000000000000000000000000000000000000000
02119150201100005000000000000000000000000000000000000208PIEL TOTAL, CUALQUIER
TAMAO (INCLUYE TRATAMIENTO ZONA
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02120150201100015000000000000000000000000000000000000000DADORA Y RECEPTORA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02121150200000003000000000000000000000000000000000000000TOMA DE INJERTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02122150201200005000000000000000000000000000000000000204- CARTILAGO
(AURICULAR,COSTAL O SIMILARES) C/U
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02123150201300005000000000000000000000000000000000000205- OSEO (COSTAL, ILIACO,
TIBIAL O SIMILARES) C/U.
01288600064430016752001030900206180014175001030880134016016494400257720033504004123
6000000000000000000000000000000000000000000
02124150200000003000000000000000000000000000000000000000COLGAJOS (SI SE UTILIZAN
COLGAJOS PARA CORREGIR O RESECAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02125150200000013000000000000000000000000000000000000000LESIONES BENIGNAS O
MALIGNAS SOLO SE COBRARA EL COLGAJO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02126150200000003000000000000000000000000000000000000000PLASTIAS EN Z
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02127150201400005000000000000000000000000000000000000204PLATIAS EN Z, HASTA 3
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02128150201500005024380012190031690019500039010026820205PLASTIAS EN Z, 4 Y MAS
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02129150200000003000000000000000000000000000000000000000COLGAJOS ( ROTACION,
AVANCE, DESLIZAMIENTO, AL AZAR O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02130150200000013000000000000000000000000000000000000000SIMILAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02131150201600005030440015220039570024350048700033480207- COLGAJOS COMPLEJOS
(ABBE,MUSTARDA,CONVERSE,JURI,BAKAMJIAN
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
02132150201600015000000000000000000000000000000000000000O SIMILAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02133150201700005091400045700118820073120146240100540209- COLGAJOS LIBRES CON
MICROANASTOMOSIS (INCLUYE TOMA DEL
03546200177310046101002837000567390039008002836960368808045391200709240092202011347
8000000000000000000000000000000000000000000
02134150201700015000000000000000000000000000000000000000COLGAJO Y LAS SUTURAS
NEUROVASCULARES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02135150201800005050760025380065990040610081220055840207- COLGAJOS MUSCULARES O
MUSCULOCUTANEOS
01779300088970023131001423500284690019573001423440185048022775200355860046262005693
8000000000000000000000000000000000000000000
02136150201900005071080035540092400056860113730078190208- COLGAJOS
OSTEOMUSCULOCUTANEOS
02719900136000035359002176000435180029919002175920282872034814400543980070718008703
6000000000000000000000000000000000000000000
02137150202000005030440015220039570024350048700033480206- COLGAJOS SIMPLES DOS O
MAS
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02138150202100005000000000000000000000000000000000000205- COLGAJO SIMPLE UNICO
00917900045900011933000734400146860010097000734320095464011748800183580023866002937
2000000000000000000000000000000000000000000
02139150200000003000000000000000000000000000000000000000CRANEO Y CARA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02140150202200005040630020320052820032510065010044700206PARALISIS FACIAL,
TRANSPLANTES MUSCULARES
01538300076920019998001230700246130016922001230640159984019690400307660039996004922
6000000000000000000000000000000000000000000
02141150200000003000000000000000000000000000000000000000RIDECTOMIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02142150202300005030440015220039570024350048700033480206RIDECTOMIA CERVICO-FACIAL,
UN LADO
01182200059110015369000945800189150013004000945760122952015132000236440030738003783
0000000000000000000000000000000000000000000
02143150202400005030440015220039570024350048700033480205RIDECTOMIA FRONTAL
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02144150200000003000000000000000000000000000000000000000OREJAS (UN LADO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02145150202500005024380012190031690019500039010026820204ALADAS O EN ASA, CORRECCION
PLASTICA
01644400082220021377001315500263100018088001315520171016021048000328880042754005262
0000000000000000000000000000000000000000000
02146150202600005000000000000000000000000000000000000103LOBULO AURICULAR
PARTIDO,CORRECCION PLASTICA (PROC. AUT)
00258800012940003364000207000041410002847000258800033640004141000000000000000000000
0000000000000000000000000000000000000000000
02147150202700005030440015220039570024350048700033480205MALFORMACION CONGENITA
COMPLEJA, CADA PLASTIA O PLASTIAS EN
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02148150202700015000000000000000000000000000000000000000TIEMPOS DIFERENTES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02149150200000003000000000000000000000000000000000000000NARIZ
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02150150202800005024380012190031690019500039010026820205CORRECCION NASAL PARCIAL
(ALARES,ALARGAMIENTO COLUMELA O
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02151150202800015000000000000000000000000000000000000000SIMILAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02152150200000003000000000000000000000000000000000000000PARPADOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02153150200000003000000000000000000000000000000000000000BLEFAROPLASTIA UNO O AMBOS
PARPADOS:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02154150202900005030440015220039570024350048700033480205BLEFAROPLASTIA UNO O AMBOS
PARPADOS INFERIORES
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02155150203000005025970012990033760020780041550028570205BLEFAROPLASTIA UNO AMBOS
PARPADOS SUPERIORES
01096200054810014251000877000175390012058000876960114008014031200219240028502003507
8000000000000000000000000000000000000000000
02156150200000003000000000000000000000000000000000000000LABIOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02157150203100005030440015220039570024350048700033480205** CORRECCION QUIRURGICA
SECUNDARIA DE QUEILOPLASTIA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02158150203200005030440015220039570024350048700033480205** }QUEILOPLASTIA PRIMARIA,
UN LADO ( PROC. QUIR. COMPLETO
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02159150203200015000000000000000000000000000000000000000POR CUALQUIER TECNICA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02160150200000003000000000000000000000000000000000000000AFECCIONES CONGENITAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02161150203300005030440015220039570024350048700033480205** CIERRE DE PALADAR DURO
Y/O CIERRE DE COMUNICACION ORO-
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02162150203300015000000000000000000000000000000000000000NASAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02163150203400005030440015220039570024350048700033480205** CIERRE MUCOSO VESTIBULO
ORAL O GINGIVO-PERIOSTIO-PLASTIA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02164150203500005030440015220039570024350048700033480205** PLASTIA DE VELO
(CUALQUIER TECNICA)
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02165150203600005024380012190031690019500039010026820205** CIERRE DE MACROSTOMIA,
UN LADO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02166150203700005050760025380065990040610081220055840207** SINDROME DE TREACHER
COLLINS, TRAT. QUIR. DE PARTES
01837100091860023882001469700293940020209001469680191056023515200367420047764005878
8000000000000000000000000000000000000000000
02167150203700015000000000000000000000000000000000000000BLANDAS Y OSTEOPLASTIA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02168150200000003000000000000000000000000000000000000000RECONSTRUCCION
OSTEOPLASTICA REBORDE ALVEOLAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02169150203800005040630020320052820032510065010044700206** - BILATERAL EN UN TIEMPO
01538300076920019998001230700246130016922001230640159984019690400307660039996004922
6000000000000000000000000000000000000000000
02170150203900005030440015220039570024350048700033480205** - UNILATERAL
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
02171150200000003000000000000000000000000000000000000000HIPERTELORISMO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02172150204000005081290040650105680065040130060089420311DISTOPLASIAS ORBITARIAS:
MOVILIZACION UNILATERAL O VERTICAL
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02173150204000015000000000000000000000000000000000000000TIEMPO FACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02174150204100005081290040650105680065040130060089420311EXPANSION O RECONSTRUCCION
DE UN MICRO-ORBITISMO
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02175150204200005091400045700118820073120146240100540312SINDROME DE APERT CROUZON O
SIMILAR: AVANCE FRONTO-ORBITO-
03546200177310046101002837000567390039008002445660317938039130300611410079484009782
6004891300635880078261000000000000000000000
02176150204200015000000000000000000000000000000000000000MAXILAR VIA INTRACRANEANA,
TIEMPO FACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02177150204300005091400045700118820073120146240100540312SINDROME DE APERT CROUZON O
SIMILAR: OSTEOTOMIA TIPO LE
03546200177310046101002837000567390039008002445660317938039130300611410079484009782
6004891300635880078261000000000000000000000
02178150204300015000000000000000000000000000000000000000FORT III O SIMILAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02179150204400005030440015220039570024350048700033480206CORRECCION TELECANTO
01182200059110015369000945800189150013004000945760122952015132000236440030738003783
0000000000000000000000000000000000000000000
02180150204500005081290040650105680065040130060089420311MOVILIZACION ORBITARIA
EXTRACRANEANA
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02181150204600005091400045700118820073120146240100540313MOVILIZACION ORBITARIA
INTRACRANEANA, TIEMPO FACIAL
03546200177310046101002837000567390039008002445660317938039130300611410079484009782
6004891300635880078261000000000000000000000
02182150200000003000000000000000000000000000000000000000CIRUGIA DE LA MAMA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02183150200000003000000000000000000000000000000000000000(UN LADO) (VEASE
GINECOLOGIA Y OBSTETRICIA, COD. 20-02-001
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02184150200000013000000000000000000000000000000000000000AL 20-02-005)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02185150204700005024380012190031690019500039010026820205GINECOMASTIA, CORRECCION
PLASTICA
01040800052040013530000832600166530011449000832640108240013322400208160027060003330
6000000000000000000000000000000000000000000
02186150204800005024380012190031690019500039010026820206MAMOPLASTIA DE AUMENTO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02187150204900005036090018050046920028880057740039700206MAMOPLASTIA DE REDUCCION
01264900063250016444001012000202380013914001011920131552016190400252980032888004047
6000000000000000000000000000000000000000000
02188150205000005030440015220039570024350048700033480206MASTOPEXIA C/S IMPLANTE DE
PROTESIS (NO INCLUYE VALOR DE LA
00978600048930012722000782900156580010765000782880101776012526400195720025444003131
6000000000000000000000000000000000000000000
02189150205000015000000000000000000000000000000000000000PROTESIS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02190150205100005000000000000000000000000000000000000205RECONSTRUCCION AREOLA Y/O
PEZON C/S PLASTIA (PROC. AUT.)
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02191150205200005040630020320052820032510065010044700207RECONSTRUCCION MAMARIA
01423000071150018499001138400227680015653001138400147992018214400284600036998004553
6000000000000000000000000000000000000000000
02192150200000003000000000000000000000000000000000000000ABDOMEN Y PELVIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02193150205300005040630020320052820032510065010044700306LIPECTOMIA ABDOMINAL C/S
TRANSPLANTE DE OMBLIGO
01497400074870019466001197900239580016471001032690134248016522700258170033562004130
7002065400268500033046000000000000000000000
02194150200000003000000000000000000000000000000000000000TRATAMIENTO DE ESCARAS DE
DECUBITO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02195150205400005030440015220039570024350048700033480207CON RESECCION OSEA C/S
COLGAJO DE ROTACION
00978600048930012722000782900156580010765000782880101776012526400195720025444003131
6000000000000000000000000000000000000000000
02196150205500005050760025380065990040610081220055840207CON RESECCION OSEA Y
COLGAJOS MUSCULARES O MUSCULOCUTANEOS
01837100091860023882001469700293940020209001469680191056023515200367420047764005878
8000000000000000000000000000000000000000000
02197150200000003000000000000000000000000000000000000000EXTREMIDADES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02198150200000003000000000000000000000000000000000000000SINDACTILIA, TRAT. QUIR.
CADA ESPACIO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02199150205600005000000000000000000000000000000000000205SINDACTILIA, TRAT. QUIR.
CADA ESPACIO CON INJERTO
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02200150205700005000000000000000000000000000000000000104SINDACTILIA, TRAT. QUIR.
CADA ESPACIO SIN INJERTO
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
02201150205800005000000000000000000000000000000000000105POLIDACTILIA, EXTIRPACION Y
PLASTIA UN LADO
01033000051650013429000826400165280011363001033000134290016528000000000000000000000
0000000000000000000000000000000000000000000
02202150205900005000000000000000000000000000000000000206LIPECTOMIA GLUTEA, UN LADO
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02203150206000005000000000000000000000000000000000000206LIPECTOMIA TROCANTEREA, UN
LADO
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02204150200000003000000000000000000000000000000000000000PROCEDIMIENTOS EN ESCARAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02205150200000003000000000000000000000000000000000000000(QUEMADURAS, LOXOSCELISMO O
SIMILAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02206150200000003000000000000000000000000000000000000000ESCAROTOMIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02207150206100005000000000000000000000000000000000000104ESCAROTOMIA HASTA 10 %
SUPERFICIE CORPORAL
00183800009190002389000147000029410002022000183800023890002941000000000000000000000
0000000000000000000000000000000000000000000
02208150206200005000000000000000000000000000000000000102ESCAROTOMIA POR CADA 10 %
ADICIONAL (O SU FRACCION)
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
02209150200000003000000000000000000000000000000000000000ESCARECTOMIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02210150206300005000000000000000000000000000000000000103ESCARECTOMIA HASTA 1 %
SUPERFICIE CORPORAL
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
02211150206400005000000000000000000000000000000000000104ESCARECTOMIA HASTA 5 %
SUPERFICIE CORPORAL
00573800028690007459000459000091810006312000573800074590009181000000000000000000000
0000000000000000000000000000000000000000000
02212150206500005024380012190031690019500039010026820105ESCARECTOMIA HASTA 10%
SUPERFICIE CORPORAL
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
02213150206600005000000000000000000000000000000000000106ESCARECTOMIA POR CADA 10%
ADICIONAL (O SU FRACCION) (SE
00459300022970005971000367500073490005053000459300059710007349000000000000000000000
0000000000000000000000000000000000000000000
02214150206600015000000000000000000000000000000000000000COBRARA COD. AD. UNA SOLA
VEZ POR SUPERFICIE ENTRE EL 11% Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0221515020660002500000000000000000000000000000000000000050%).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02216150200000003000000000000000000000000000000000000000** ESTAS PRESTACIONES SE
AUTORIZAN A CIRUJANOS DENTISTAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02217150200000013000000000000000000000000000000000000000ESPECIALISTAS EN CIRUGIA
BUCAL Y MAXILOFACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02218160000000001000000000000000000000000000000000000000GRUPO : 16
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02219160000000001000000000000000000000000000000000000000DERMATOLOGIA Y TEGUMENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02220160100000002000000000000000000000000000000000000000PROCEDIMIENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02221160100000003000000000000000000000000000000000000000EN CONSULTA O SALA DE
PROCEDIMIENTO. LA CURACION SIMPLE DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02222160100000013000000000000000000000000000000000000000HERIDAS ESTA INCLUIDA EN LA
CONSULTA. CUANDO SEA NECESARIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02223160100000023000000000000000000000000000000000000000ANESTESIA GENERAL PARA
CUALQUIERA DE ESTOS PROCEDIMIENTOS,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02224160100000033000000000000000000000000000000000000000DEBERA USARSE ANESTESIA
COD. 22-01-001 Y FUNDAMENTARSE EN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02225160100000043000000000000000000000000000000000000000EL PROGRAMA RESPECTIVO. LA
CALIFICACION DE MALIGNO O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02226160100000053000000000000000000000000000000000000000BENIGNO PREOPERATORIA ES
SOLO PRESUNTIVA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02227160111000005000000000000000000000000000000000000100CURETAJE DE LESIONES
VIRALES Y SIMILARES HASTA 10 LESIONES
00198400009920002579000158700031740002182000198400025790003174000000000000000000000
0000000000000000000000000000000000000000000
02228160111000015000000000000000000000000000000000000000POR SESION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02229160111100005000000000000000000000000000000000000100APLICACION DE
INMUNOMODULADORES, QUIMICOS Y SIMILARES HASTA
00132100006610001717000105700021140001454000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0223016011110001500000000000000000000000000000000000000010 LESIONES POR SESION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02231160111200005000000000000000000000000000000000000100FOTOTERAPIA UVB, UVA
LOCALIZADA, POR SESION
00039500001980000514000031700006320000435000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02232160111300005000000000000000000000000000000000000100FOTOTERAPIA UVB, BANDA
ANGOSTA Y UVA POR SESION EN CABINA
00066100003310000859000052900010580000728000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02233160111500005000000000000000000000000000000000000100IMPLANTES SUBCUTANEOS
00145400007270001890000116300023260001599000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02234160111600005000000000000000000000000000000000000100CRIOTERAPIA HASTA 5
LESIONES POR SESION
00132100006610001717000105700021140001454000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02235160111700005000000000000000000000000000000000000100CRIOTERAPIA 6 A 10 LESIONES
POR SESION
00198400009920002579000158700031740002182000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02236160111800005000000000000000000000000000000000000100TUMOR MALIGNO POR
CRIOCIRUGIA (POR CADA LESION) POR SESION
00377500018880004908000302100060400004153000377500049080006040000000000000000000000
0000000000000000000000000000000000000000000
02237160111900005000000000000000000000000000000000000100INYECCION INTRACUTANEA EN
AREAS HASTA 9 CM2 POR SESION
00132100006610001717000105700021140001454000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02238160112000005000000000000000000000000000000000000100TRATAMIENTO ABRASIVO
CUTANEO MECANICO POR SESION
00264500013230003439000211700042320002910000264500034390004232000000000000000000000
0000000000000000000000000000000000000000000
02239160112100005000000000000000000000000000000000000100TRATAMIENTO ABRASIVO
CUTANEO QUIMICO POR SESION
00198400009920002579000158700031740002182000198400025790003174000000000000000000000
0000000000000000000000000000000000000000000
02240160112200005000000000000000000000000000000000000100TRICOGRAMA
00132100006610001717000105700021140001454000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02241160112400005000000000000000000000000000000000000102TRATAMIENTO POR LASER, IPL
O SIMILAR POR AREA HASTA 16 CM2
00330700016540004299000264600052910003638000330700042990005291000000000000000000000
0000000000000000000000000000000000000000000
02242160112400015000000000000000000000000000000000000000POR SESION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02243160112500005000000000000000000000000000000000000102TERAPIA FOTODINAMICA (NO
INCLUYE MEDICAMENTO) POR SESION
00330700016540004299000264600052910003638000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02244160112600005000000000000000000000000000000000000100DERMATOSCOPIA DIGITAL CON
REGISTRO GRAFICO O DIGITAL HASTA
00132100006610001717000105700021140001454000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
022451601126000150000000000000000000000000000000000000005 LESIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02246160200000002000000000000000000000000000000000000000CIRUGIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02247160200000003000000000000000000000000000000000000000EN SALA DE PROCEDIMIENTOS O
PABELLON QUIRURGICO. EL USO DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02248160200000013000000000000000000000000000000000000000ANESTESIA POR OTRO
PROFESIONAL DEBERA SER FUNDAMENTADA Y SE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02249160200000023000000000000000000000000000000000000000UTILIZARA LA ANESTESIA COD.
22-01-001. LA CALIFICACION DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02250160200000033000000000000000000000000000000000000000MALIGNO O BENIGNO
PREOPERATORIA ES SOLO PRESUNTIVA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02251160220100005000000000000000000000000000000000000102** BIOPSIA DE PIEL Y/O
MUCOSA POR CURETAJE O SECCION
00340000017000004420000272000054400003740000340000044200005440000000000000000000000
0000000000000000000000000000000000000000000
02252160220100015000000000000000000000000000000000000000TANGENCIAL C/S ELECTRO X 1
LESION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02253160200000003000000000000000000000000000000000000000EXTIRPACION, REPARACION O
BIOPSIA, TOTAL O PARCIAL, DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02254160200000013000000000000000000000000000000000000000LESIONES BENIGNAS CUTANEAS
POR EXCISION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02255160220200005000000000000000000000000000000000000102- CABEZA, CUELLO, GENITALES
HASTA 3 LESIONES
00600200030010007803000480200096030006602000600200078030009603000000000000000000000
0000000000000000000000000000000000000000000
02256160220300005000000000000000000000000000000000000102- RESTO DEL CUERPO HASTA 3
LESIONES
00400000020000005200000320000064000004400000400000052000006400000000000000000000000
0000000000000000000000000000000000000000000
02257160220400005000000000000000000000000000000000000102- CABEZA, CUELLO Y
GENITALES DESDE 4 Y HASTA 6 LESIONES
01200600060030015608000960500192100013207001200600156080019210000000000000000000000
0000000000000000000000000000000000000000000
02258160220500005000000000000000000000000000000000000102- RESTO DEL CUERPO DESDE 4
Y HASTA 6 LESIONES
00800300040020010404000640300128050008804000800300104040012805000000000000000000000
0000000000000000000000000000000000000000000
02259160220600005000000000000000000000000000000000000102EXTIRPACION DE LESIONES
BENIGNAS POR SEC TANGENCIAL,
00400000020000005200000320000064000004400000400000052000006400000000000000000000000
0000000000000000000000000000000000000000000
02260160220600015000000000000000000000000000000000000000CURETAJE Y/O FULGURACION
HASTA 15 LESIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02261160220700005000000000000000000000000000000000000102TRATAMIENTO POR ELECTRO DE
HEMANGIOMAS O TELANGECTASIAS
00400000020000005200000320000064000004400000400000052000006400000000000000000000000
0000000000000000000000000000000000000000000
02262160220700015000000000000000000000000000000000000000HASTA 15 LESIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02263160200000003000000000000000000000000000000000000000TUMOR MALIGNO POR EXCISION
TOTAL O PARCIAL, CON O SIN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02264160200000013000000000000000000000000000000000000000SUTURA, POR CADA LESION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02265160221100005000000000000000000000000000000000000203- CABEZA, CUELLO, GENITALES
01250500062530016257001000500200080013756001000400130056016006400250100032514004001
6000000000000000000000000000000000000000000
02266160221200005000000000000000000000000000000000000203- RESTO DEL CUERPO
01000400050020013005000800300160060011004000800320104040012804800200080026010003201
2000000000000000000000000000000000000000000
02267160200000003000000000000000000000000000000000000000AMPLIACION DE MARGENES
QUIRURGICOS DE TUMOR MALIGNO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02268160200000013000000000000000000000000000000000000000EXTIRPADO PREVIAMENTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02269160221300005000000000000000000000000000000000000202- CABEZA, CUELLO, GENITALES
O MELANOMA CUALQUIER UBICACION
01000400050020013005000800300160060011004000800320104040012804800200080026010003201
2000000000000000000000000000000000000000000
02270160221400005000000000000000000000000000000000000202- RESTO DEL CUERPO
00750400037520009755000600300120060008254000600320078040009604800150080019510002401
2000000000000000000000000000000000000000000
02271160221500005000000000000000000000000000000000000203TUMORES VASCULARES
PROFUNDOS CARA, CUERO CABELLUDO, CUELLO,
01250500062530016257001000500200080013756001000400130056016006400250100032514004001
6000000000000000000000000000000000000000000
02272160221500015000000000000000000000000000000000000000GENITALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02273160221600005000000000000000000000000000000000000203TUMORES VASCULARES
PROFUNDOS RESTO DEL CUERPO
01000400050020013005000800300160060011004000800320104040012804800200080026010003201
2000000000000000000000000000000000000000000
02274160222100005000000000000000000000000000000000000103HERIDA CORTANTE O CONTUSA
COMPLICADA, REPARACION Y SUTURA
00571200028560007426000457000091390006283000571200074260009139000000000000000000000
0000000000000000000000000000000000000000000
02275160222100015000000000000000000000000000000000000000(UNA O MULTIPLE DE MAS DE 5
CMS. DE LARGO TOTAL Y/O QUE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02276160222100025000000000000000000000000000000000000000COMPROMETA MUSCULOS Y/O
CONDUCTOS Y/O VASOS O SIMILARES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02277160222200005000000000000000000000000000000000000102HERIDA CORTANTE O CONTUSA
NO COMPLICADA, REPARACION Y
00153800007690001999000123000024610001692000153800019990002461000000000000000000000
0000000000000000000000000000000000000000000
02278160222200015000000000000000000000000000000000000000SUTURA (UNA O MULTIPLE
HASTA 5 CMS. DE LARGO TOTAL QUE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02279160222200025000000000000000000000000000000000000000COMPROMETA SOLO LA PIEL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02280160200000003000000000000000000000000000000000000000EXTIRPACION DE LESION
BENIGNA SUBEPIDERMICA, INCLUYE TUMOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02281160200000013000000000000000000000000000000000000000SOLIDO, QUISTE EPIDERMICO Y
LIPOMA POR LESION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02282160222300005000000000000000000000000000000000000202- CARA, CUERO CABELLUDO,
CUELLO, GENITALES
00750400037520009755000600300120060008254000600320078040009604800150080019510002401
2000000000000000000000000000000000000000000
02283160222400005000000000000000000000000000000000000202- RESTO DEL CUERPO
00624900031250008124000500000099980006874000499920064992007998400124980016248001999
6000000000000000000000000000000000000000000
02284160222500005000000000000000000000000000000000000102VACIAMIENTO Y CURETAJE
QUIRURGICO DE LESIONES QUISTICAS O
00400000020000005200000320000064000004400000400000052000006400000000000000000000000
0000000000000000000000000000000000000000000
02285160222500015000000000000000000000000000000000000000ABSCESOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02286160223100005000000000000000000000000000000000000102ONICECTOMIA TOTAL O PARCIAL
SIMPLE
00160000008000002080000128000025600001760000160000020800002560000000000000000000000
0000000000000000000000000000000000000000000
02287160223200005000000000000000000000000000000000000102CIRUGIA REPARADORA UNGUEAL
POR PROCESO INFLAMATORIO
00500200025010006503000400200080030005502000500200065030008003000000000000000000000
0000000000000000000000000000000000000000000
02288160223300005000000000000000000000000000000000000102CORRECCION QUIRURGICA DE
DEFECTO CONGENITO O POR TUMOR
00800300040020010404000640300128050008804000800300104040012805000000000000000000000
0000000000000000000000000000000000000000000
02289160223300015000000000000000000000000000000000000000UNGUEAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02290160224000005000000000000000000000000000000000000101CURACION POR MEDICO,
QUEMADURA O SIMILAR MENOR AL 5%
00111100005560001444000088900017780001223000111100014440001778000000000000000000000
0000000000000000000000000000000000000000000
02291160224000015000000000000000000000000000000000000000SUPERFICIE CORPORAL EN
PABELLON
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02292160224100005000000000000000000000000000000000000103CURACION POR MEDICO,
QUEMADURA O SIMILAR 5 A 10%
00200100010010002601000160100032020002202000200100026010003202000000000000000000000
0000000000000000000000000000000000000000000
02293160224100015000000000000000000000000000000000000000SUPERFICIE CORPORAL EN
PABELLON
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02294160224200005000000000000000000000000000000000000106CURACION POR MEDICO,
QUEMADURA O SIMILAR MAYOR AL 10 %
00360200018010004683000288200057630003962000360200046830005763000000000000000000000
0000000000000000000000000000000000000000000
02295160224200015000000000000000000000000000000000000000SUPERFICIE CORPORAL EN
PABELLON
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02296160200000003000000000000000000000000000000000000000** ESTAS PRESTACIONES SE
AUTORIZAN A CIRUJANOS DENTISTAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02297160200000013000000000000000000000000000000000000000ESPECIALISTAS EN CIRUGIA
BUCAL Y MAXILOFACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02298170000000001000000000000000000000000000000000000000GRUPO : 17
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02299170000000001000000000000000000000000000000000000000CARDIOLOGIA. NEUMOLOGIA.
CIRUGIA CARDIOVASCULAR Y DE TORAX,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02300170000000011000000000000000000000000000000000000000NEUMOLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02301170100000002000000000000000000000000000000000000000I.- CARDIOLOGIA.-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02302170100000003000000000000000000000000000000000000000PROCEDIMIENTOS DIAGNOSTICOS
Y TERAPEUTICOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02303170100000003000000000000000000000000000000000000000ELECTROCARDIOGRAMA (E.C.G.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02304170100100005000000000000000000000000000000000000000E.C.G. DE REPOSO (INCLUYE
MINIMO 12 DERIVACIONES Y 4
00053500002680000696000042900008560000589000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02305170100100015000000000000000000000000000000000000000COMPLEJOS POR DERIVACION)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02306170100200005000000000000000000000000000000000000000- ELECTROCARDIOGRAMA
ESOFAGICO
00076900003850001000000061600012300000846000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02307170100000003000000000000000000000000000000000000000PRUEBA DE ESFUERZO:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02308170100300005000000000000000000000000000000000000000ELECTROCARDIOGRAMA DE
ESFUERZO
00219300010970002851000175500035090002413000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02309170100000003000000000000000000000000000000000000000HAZ DE HIZ, REGISTRO DE
(INCLUYE COLOCACION DE SONDA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02310170100000013000000000000000000000000000000000000000INTRACARDIACA Y REGISTROS
PERTINENTES, ADEMAS CONTROL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02311170100000023000000000000000000000000000000000000000PERMANENTE DEL ESPECIALISTA
Y TRATAMIENTO DE LAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02312170100000033000000000000000000000000000000000000000COMPLICACIONES MEDICAS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02313170100400005000000000000000000000000000000000000000- EN ADULTOS O NIOS
00296600014830003856000237300047460003263000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02314170100500005000000000000000000000000000000000000000- MAPEO EPICARDICO DURANTE
INTERVENCION QUIRURGICA.
00125700006290001634000100600020110001383000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02315170100600005000000000000000000000000000000000000000E.C.G. CONTINUO (TEST
HOLTER O SIMILARES,POR EJ.
00254400012720003307000203500040700002798000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02316170100600015000000000000000000000000000000000000000VARIABILIDAD DE LA
FRECUENCIA CARDIACA Y/O ALTA RESOLUCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02317170100600025000000000000000000000000000000000000000DEL ST Y/O DEPOLARIZACION
TARDIA);20 A 24 HORAS DE REGISTRO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02318170100700005000000000000000000000000000000000000000ECOCARDIOGRAMA DOPPLER,
CON REGISTRO (INCLUYE COD. 17-01-
00485400024270006310000388300077660005339000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02319170100700015000000000000000000000000000000000000000008)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02320170104500005000000000000000000000000000000000000000ECOCARDIOGRAMA
BIDIMENSIONAL DOPPLER COLOR
00540900027050007032000432800086540005950000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02321170105500005000000000000000000000000000000000000103ECOCARDIOGRAMA
BIDIMENSIONAL DOPPLER COLOR TRANSESOFAGICO
00594800029740007732000475800095170006543000594800077320009517000000000000000000000
0000000000000000000000000000000000000000000
02322170100800005000000000000000000000000000000000000000ECOCARDIOGRAMA
BIDIMENSIONAL (INCLUYE REGISTRO MODO M,
00303400015170003944000242700048540003337000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02323170100800015000000000000000000000000000000000000000PAPEL FOTOSENSIBLE Y
FOTOGRAFIA), EN ADULTOS O NIOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02324170100800025000000000000000000000000000000000000000(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02325170100900005000000000000000000000000000000000000000MONITOREO DE PRESION
ARTERIAL CONTINUO
00177700008890002310000142200028430001955000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02326170100000003000000000000000000000000000000000000000PROCEDIMIENTOS
HEMODINAMICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02327170100000003000000000000000000000000000000000000000(INCLUYE CONTROL PERMANENTE
DEL ESPECIALISTA Y TRATAMIENTO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02328170100000013000000000000000000000000000000000000000DE LAS COMPLICACIONES
MEDICAS; NO INCLUYE ESTUDIO QUIMICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02329170100000023000000000000000000000000000000000000000DE GASES; ADEMAS ANESTESIA
COD. 22-01-001 SI CORRESPONDE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02330170101000005000000000000000000000000000000000000100SONDEO CARDIACO DERECHO C/S
TERMODILUCION: EN ADULTOS O
00294800014740003832000235800047170003243000294800038320004717000000000000000000000
0000000000000000000000000000000000000000000
02331170101000015000000000000000000000000000000000000000NIOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02332170101100005000000000000000000000000000000000000100SONDEO CARDIACO IZQUIERDO Y
DERECHO, EN ADULTOS O NIOS
00368500018430004791000294900058960004054000368500047910005896000000000000000000000
0000000000000000000000000000000000000000000
02333170101200005000000000000000000000000000000000000100SONDEO CARDIACO IZQUIERDO:
EN ADULTOS O NIOS
00331200016560004306000265000052990003643000331200043060005299000000000000000000000
0000000000000000000000000000000000000000000
02334170100000003000000000000000000000000000000000000000COLOCACION DE CATETER
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02335170101300005000000000000000000000000000000000000100CATETERISMO EN RECIEN
NACIDO POR ARTERIA UMBILICAL
00132000006600001716000105600021120001452000132000017160002112000000000000000000000
0000000000000000000000000000000000000000000
02336170101400005000000000000000000000000000000000000100INSTALACION DE CATETER
SWAN-GANZ O SIMILAR, EN ADULTOS O
00331200016560004306000265000052990003643000331200043060005299000000000000000000000
0000000000000000000000000000000000000000000
02337170101400015000000000000000000000000000000000000000NIOS (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02338170100000003000000000000000000000000000000000000000OTROS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02339170101500005000000000000000000000000000000000000000DOPPLER CON ERGOMETRIA (POR
SESION)
00087100004360001132000069700013940000959000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02340170101600005000000000000000000000000000000000000000DOPPLER SIMPLE DE VASOS
PERIFERICOS (POR SESION)
00035100001760000456000028100005620000387000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02341170101700005000000000000000000000000000000000000000PLETISMOGRAFIA EN REPOSO,
ESFUERZO C/U (POR SESION)
00111400005570001448000089100017820001225000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02342170101800005000000000000000000000000000000000000000REGISTRO ECOARTERIAL O
ECOVENOSO PERIFERICO C/U (POR
SESION)0015660000783000203600012530002506000172300000000000000000000000000000000000
00000000000000000000000000000000000000000000000000
02343170100000003000000000000000000000000000000000000000PROCEDIMIENTOS PARA
EXAMENES RADIOLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02344170100000003000000000000000000000000000000000000000(SI UN MISMO MEDICO EFECTUA
AMBOS PROCEDIMIENTOS, COBRARA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02345170100000013000000000000000000000000000000000000000AMBOS CODIGOS; ADEMAS
ANESTESIA MINIMA SI CORRESPONDE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02346170101900005000000000000000000000000000000000000104CINECORONARIOGRAFIA DERECHA
Y/O IZQUIERDA (INCLUYE
00478500023930006221000382900076560005264000478500062210007656000000000000000000000
0000000000000000000000000000000000000000000
02347170101900015000000000000000000000000000000000000000VENTRICULOGRAFIA IZQUIERDA)
(A.C. 04-02-030)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02348170102000005000000000000000000000000000000000000104VENTRICULOGRAFIA DERECHA
(INCLUYE SONDEO CARDIACO DERECHO),
00294800014740003832000235800047170003243000294800038320004717000000000000000000000
0000000000000000000000000000000000000000000
02349170102000015000000000000000000000000000000000000000EN ADULTOS O NIOS ( A.C.
04-02-033)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02350170102100005000000000000000000000000000000000000104VENTRICULOGRAFIA IZQUIERDA
(INCLUYE EL SONDEO CARDIACO
00331200016560004306000265000052990003643000331200043060005299000000000000000000000
0000000000000000000000000000000000000000000
02351170102100015000000000000000000000000000000000000000IZQUIERDO) , EN ADULTOS O
NIOS (A.C.04-02-033)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02352170100000003000000000000000000000000000000000000000ARTERIOGRAFIAS:(TECNICA DE
SELDINGER O SIMILAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02353170102200005000000000000000000000000000000000000100AORTOGRAFIA, EN ADULTOS O
NIOS (A.C. 04-02-024)
00199100009960002588000159300031860002191000199100025880003186000000000000000000000
0000000000000000000000000000000000000000000
02354170102300005000000000000000000000000000000000000100ARTERIOGRAFIA DE
EXTREMIDADES (CADA EXTREMIDAD) EN
00180800009040002350000144600028930001989000180800023500002893000000000000000000000
0000000000000000000000000000000000000000000
02355170102300015000000000000000000000000000000000000000ADULTOS O NIOS (A.C. 04-
02-025)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02356170102400005000000000000000000000000000000000000100ARTERIOGRAFIA SELECTIVA O
SUPERSELECTIVA (PULMONAR, RENAL,
00265600013280003453000212500042500002922000265600034530004250000000000000000000000
0000000000000000000000000000000000000000000
02357170102400015000000000000000000000000000000000000000TRONCO CELIACO, ETC. ) C/U,
EN ADULTOS O NIOS (A.C. 04-02-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02358170102400025000000000000000000000000000000000000000019 O 04-02-020 O 04-02-
027, S/CORRESPONDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02359170100000003000000000000000000000000000000000000000VENOGRAFIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02360170102500005000000000000000000000000000000000000100CAVOGRAFIA (A.C. 04-02-035)
00180800009040002350000144600028930001989000180800023500002893000000000000000000000
0000000000000000000000000000000000000000000
02361170102600005000000000000000000000000000000000000100FLEBOGRAFIA DE CADA
EXTREMIDAD (A.C.04-02-038)
00106700005340001387000085400017070001174000106700013870001707000000000000000000000
0000000000000000000000000000000000000000000
02362170102700005000000000000000000000000000000000000100FLEBOGRAFIA YUGULAR,
SUPRARRENAL, PORTOGRAFIA
00180800009040002350000144600028930001989000180800023500002893000000000000000000000
0000000000000000000000000000000000000000000
02363170102700015000000000000000000000000000000000000000TRANSHEPATICAS, LUMBAR,
ESPERMATICA, O SIMILAR, C/U (A.C.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0236417010270002500000000000000000000000000000000000000004-02-041)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02365170100000003000000000000000000000000000000000000000OTROS PROCEDIMIENTOS
CARDIOLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02366170103000005000000000000000000000000000000000000100PUNCION EVACUADORA DE
PERICARDIO, C/S TOMA DE MUESTRA C/S
00110700005540001439000088600017710001218000110700014390001771000000000000000000000
0000000000000000000000000000000000000000000
02367170103000015000000000000000000000000000000000000000INYECCION DE MEDICAMENTO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02368170103100005000000000000000000000000000000000000205ANGIOPLASTIA INTRALUMINAL
CORONARIA PROCEDIMIENTO
00662900033150008618000530400106060007292000530320068944008484800132580017236002121
2000000000000000000000000000000000000000000
02369170103100015000000000000000000000000000000000000000CARDIOLOGICO (A.C.04-02-
022)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02370170103200005000000000000000000000000000000000000105ANGIOPLASTIA INTRALUMINAL
PERIFERICA PROCEDIMIENTO
00552500027630007183000442100088400006078000552500071830008840000000000000000000000
0000000000000000000000000000000000000000000
02371170103200015000000000000000000000000000000000000000CARDIOLOGICO (A.C.04-02-
023)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02372170103300005000000000000000000000000000000000000103BIOPSIA ENDOMIOCARDICA
(PROC. COMPLETO)
00496700024840006457000397400079470005464000496700064570007947000000000000000000000
0000000000000000000000000000000000000000000
02373170103400005000000000000000000000000000000000000100CARDIOVERSION
00165600008280002153000132500026500001822000165600021530002650000000000000000000000
0000000000000000000000000000000000000000000
02374170103500005000000000000000000000000000000000000100COLOCACION MARCAPASO
TRANSITORIO,SONDA (PROC. COMPLETO)
00239200011960003110000191400038270002631000239200031100003827000000000000000000000
0000000000000000000000000000000000000000000
02375170103600005000000000000000000000000000000000000100DESFIBRILACION
00165600008280002153000132500026500001822000165600021530002650000000000000000000000
0000000000000000000000000000000000000000000
02376170103700005000000000000000000000000000000000000100PUNCION SUBCLAVIA O YUGULAR
CON COLOCACION DE CATETER
00132000006600001716000105600021120001452000132000017160002112000000000000000000000
0000000000000000000000000000000000000000000
02377170103800005000000000000000000000000000000000000103SEPTOSTOMIA DE RASHKIND O
CON CONTROLADA CON BALON
00736500036830009575000589300117840008102000736500095750011784000000000000000000000
0000000000000000000000000000000000000000000
02378170103900005000000000000000000000000000000000000103TROMBOLISIS ARTERIAL
PERIFERICA
00552500027630007183000442100088400006078000552500071830008840000000000000000000000
0000000000000000000000000000000000000000000
02379170104000005000000000000000000000000000000000000103TROMBOLISIS INTRACORONARIA
01177900058900015313000942400188460012957001177900153130018846000000000000000000000
0000000000000000000000000000000000000000000
02380170104100005000000000000000000000000000000000000104VALVULOPLASTIA MITRAL (A.C.
04-02-033)
01538200076910019997001230600246110016920001538200199970024611000000000000000000000
0000000000000000000000000000000000000000000
02381170104200005000000000000000000000000000000000000104VALVULOPLASTIA AORTICA Y/O
PULMONAR, C/U (A.C. 04-02-033)
00917900045900011933000734400146860010097000917900119330014686000000000000000000000
0000000000000000000000000000000000000000000
02382170104300005000000000000000000000000000000000000104ANGIOPLASTIA DE COARTACION
AORTICA (A.C. 04-02-033)
00917900045900011933000734400146860010097000917900119330014686000000000000000000000
0000000000000000000000000000000000000000000
02383170104600005000000000000000000000000000000000000104ESTUDIO ELECTROFISIOLOGICO
ENDOCARDIACO DE LAS ARRITMIAS
00478500023930006221000382900076560005264000478500062210007656000000000000000000000
0000000000000000000000000000000000000000000
02384170105000005000000000000000000000000000000000000104ABLACION CON CORRIENTE
CONTINUA O RADIOFRECUENCIA DE NODULO
00478500023930006221000382900076560005264000478500062210007656000000000000000000000
0000000000000000000000000000000000000000000
02385170105000015000000000000000000000000000000000000000AURICULO-VENTRICULAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02386170105100005000000000000000000000000000000000000104ABLACION CON CORRIENTE
CONTINUA O CON RADIOFRECUENCIA DE
00765000038250009945000612000122400008415000765000099450012240000000000000000000000
0000000000000000000000000000000000000000000
02387170105100015000000000000000000000000000000000000000VIAS ACCESORIAS Y OTROS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02388170300000002000000000000000000000000000000000000000II.- CIRUGIA
CARDIOVASCULAR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02389170300000003000000000000000000000000000000000000000PARA CIRUGIA
VIDEOENDOSCOPICA NO INDIVIDUALIZADA COMO TAL,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02390170300000013000000000000000000000000000000000000000SE APLICARAN LOS CODIGOS Y
VALORES DE LAS TECNICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02391170300000023000000000000000000000000000000000000000CONVENCIONALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02392170300000003000000000000000000000000000000000000000A. CIRUGIA VASCULAR
PERIFERICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
023931703000000030000000000000000000000000000000000000001.- OPERACIONES SOBRE EL
SISTEMA ARTERIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02394170300100005030440015220039570024350048700033480208EMBOLECTOMIA Y/O
TROMBECTOMIA, UNILATERAL, MIEMBRO SUPERIOR
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02395170300100015000000000000000000000000000000000000000O INFERIOR ( PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02396170300200005050760025380065990040610081220055840207FISTULA ARTERIOVENOSA
CONGENITA O TRAUMATICA, REPAR. QUIR.
01893400094670024614001514700302940020827001514720196912024235200378680049228006058
8000000000000000000000000000000000000000000
02397170300300005024380012190031690019500039010026820207FISTULA ARTERIOVENOSA (DE
BRESCIA O SIMILAR)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02398170300400005024380012190031690019500039010026820207FISTULA ARTERIOVENOSA
DERIVACION EXTERNA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02399170300500005060960030480079250048770097540067060310REPARACION QUIRURGICA DE
VASOS ARTERIALES Y/O VENOSOS INTRA-
02363800118190030729001891000378210026002001630210211924026083400407550052981006520
9003260400423850052167000000000000000000000
02400170300500015000000000000000000000000000000000000000ABDOMINALES O INTRA-
TORACICOS C/S INJERTO (BIOLOGICOS O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02401170300500025000000000000000000000000000000000000000SINTETICOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02402170300600005040630020320052820032510065010044700208REPARACION QUIRURGICA DE
VASOS ARTERIALES Y/O VENOSOS
01595300079770020739001276300255250017549001276240165912020420000319060041478005105
0000000000000000000000000000000000000000000
02403170300600015000000000000000000000000000000000000000PERIFERICOS C/S INJERTO
(BIOLOGICOS O SINTETICOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02404170300000003000000000000000000000000000000000000000ANEURISMAS, TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02405170300700005101580050790132050081260162530111740312ANEURISMA AORTICO ABDOMINAL
TRAT. QUIR.
03729800186490048487002983800596770041028002572270334393041156600643070083598010289
1005144600668790082313000000000000000000000
02406170300800005050760025380065990040610081220055840207ANEURISMAS PERIFERICOS,
TRAT. QUIR.
02065900103300026857001652800330540022725001652720214856026443200413180053714006610
8000000000000000000000000000000000000000000
02407170300900005121880060940158440097500195010134070314ANEURISMAS TORACO-ABDOMINAL
TRAT. QUIR.
04842400242120062951003873900774780053266003339580434145053433100834900108536013358
3006679200868290106866000000000000000000000
02408170300000003000000000000000000000000000000000000000PUENTES (BY PASS) Y OTROS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02409170301000005091400045700118820073120146240100540310PUENTES AORTO BIFEMORAL;
PUENTES DE TRONCOS SUPRA-
AORTICOS035462001773100461010028370005673900390080024456603179380391303006114100794
840097826004891300635880078261000000000000000000000
02410170301100005071080035540092400056860113730078190310PUENTES AORTO-UNIFEMORAL
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02411170301200005071080035540092400056860113730078190312PUENTE AORTO-VISCERAL
(RENAL, MESENTERICO O SIMILAR); C/U
03006900150350039090002405600481100033076002073730269586033179300518430067397008294
8004147400539170066359000000000000000000000
02412170301300005076180038090099030060940121890083800312PUESTES AORTO-ILIACO
02955400147770038420002364300472860032509002038210264966032611000509550066241008152
8004076400529930065222000000000000000000000
02413170301400005071080035540092400056860113730078190310ENDARTERECTOMIA CAROTIDEA,
SUBCLAVIA, VERTEBRAL, FEMORAL, O
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02414170301400015000000000000000000000000000000000000000SIMILAR C/S INJERTO (PROC.
AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02415170301500005040630020320052820032510065010044700310ENDARTERECTOMIA FEMORAL
COMUN, SUPERFICIAL O PROFUNDA,
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02416170301500015000000000000000000000000000000000000000POPLITEA U OTRAS C/S
INJERTO (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02417170301600005050760025380065990040610081220055840311ENDARTERECTOMIA RENAL, C/S
INJERTO (PROC. AUT.)
02065900103300026857001652800330540022725001424760185221022795800356190046305005699
0002849500370440045592000000000000000000000
02418170301700005071080035540092400056860113730078190310FEMORO-TIBIAL O DISTALES
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02419170301800005071080035540092400056860113730078190310FEMORO-POPLITEO
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02420170301900005040630020320052820032510065010044700208LIGADURA TRONCOS
ARTERIALES, (PROC. AUT.)
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02421170302000005071080035540092400056860113730078190310OTRAS DERIVACIONES: FEMORO
FEMORAL, AXILO-HUMERAL, AXILO-
02260500113030029387001808500361680024866001558970202669024943400389740050667006235
9003117900405340049887000000000000000000000
02422170302000015000000000000000000000000000000000000000FEMORAL, CAROTIDOSUBCLAVIO,
AXILO-AXILAR O SIMILARES; C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
024231703000000030000000000000000000000000000000000000002.- OPERACIONES SOBRE EL
SISTEMA VENOSO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02424170302100005081290040650105680065040130060089420312ANASTOMOSIS PORTOCAVA U
OTRAS PORTOSISTEMICAS
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02425170302200005071080035540092400056860113730078190312ANASTOMOSIS VENOSAS
INTRAABDOMINALES
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02426170302300005000000000000000000000000000000000000100DENUDACION VENOSA (PROC.
AUT.)
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
02427170302400005050760025380065990040610081220055840209DERIVACIONES VENOSAS DE
EXTREMIDADES PUENTES VENOSOS
01893400094670024614001514700302940020827001514720196912024235200378680049228006058
8000000000000000000000000000000000000000000
02428170302500005050760025380065990040610081220055840308IMPLANTE FILTROS VENOSOS
02065900103300026857001652800330540022725001424760185221022795800356190046305005699
0002849500370440045592000000000000000000000
02429170302600005024380012190031690019500039010026820205LIGADURA CAYADO SAFENA
INTERNA, UNILATERAL
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02430170302700005040630020320052820032510065010044700205LIGADURA OTROS TRONCOS
VENOSOS (POPLITEO, FEMORAL, ILIACAS,
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02431170302700015000000000000000000000000000000000000000HUMERAL, AXILAR, OTROS);
LIGADURA DE VENAS COMUNICANTES Y/O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02432170302700025000000000000000000000000000000000000000PERFORANTES, Y/O RESECCION
DE PAQUETES VARICOSOS, CUALQUIER
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02433170302700035000000000000000000000000000000000000000TECNICA (UNA EXTREMIDAD);
C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02434170302800005042340021170055040033870067740046570308LIGADURA VENA CAVA INFERIOR
01991200099560025886001593000318590021903001373240178524021971800343310044631005492
9002746500357050043943000000000000000000000
02435170302900005030440015220039570024350048700033480206RESECCION CUTANEO-
APONEUROTICA UNILATERAL (INCLUYE
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
02436170302900015000000000000000000000000000000000000000FASCIOTOMIA INTERNA O
POSTERIOR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02437170303000005024380012190031690019500039010026820206SAFENECTOMIA INTERNA Y/O
EXTERNA, UNILATERAL, O
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02438170303000015000000000000000000000000000000000000000ENDOABLACION POR CUALQUIER
TECNICA (LASER, RADIOFRECUENCIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02439170303000025000000000000000000000000000000000000000O SIMILAR).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02440170303100005030440015220039570024350048700033480206TROMBECTOMIA DE VENAS
PROFUNDAS
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
024411703000000030000000000000000000000000000000000000003.- OPERACIONES SOBRE EL
SISTEMA LINFATICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02442170300000003000000000000000000000000000000000000000LINFATICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02443170303200005040630020320052820032510065010044700207ANASTOMOSIS LINFOVENOSAS
01538300076920019998001230700246130016922001230640159984019690400307660039996004922
6000000000000000000000000000000000000000000
02444170303300005050760025380065990040610081220055840207LINFEDEMA, TRAT. QUIR. UNA
EXTREMIDAD
02123200106160027602001698600339710023355001698560220816027176800424640055204006794
2000000000000000000000000000000000000000000
02445170300000003000000000000000000000000000000000000000GANGLIOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02446170303400005000000000000000000000000000000000000103ADENITIS, TRAT. QUIR.,
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
02447170303500005000000000000000000000000000000000000103BIOPSIA QUIR. GANGLIONAR
(CUALQUIER REGION PERIFERICA
00860500043030011187000688500137680009466000860500111870013768000000000000000000000
0000000000000000000000000000000000000000000
02448170303500015000000000000000000000000000000000000000SUPERFICIAL O PROFUNDA)
(PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02449170300000003000000000000000000000000000000000000000DISECCION Y EXTIRPACION
GANGLIONAR REGIONAL (PROC. AUT.):
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02450170303600005060960030480079250048770097540067060309AXILO-SUPRACLAVICULAR
02363800118190030729001891000378210026002001630210211924026083400407550052981006520
9003260400423850052167000000000000000000000
02451170303700005050760025380065990040610081220055840309CERVICO-TORACICA
02065900103300026857001652800330540022725001424760185221022795800356190046305005699
0002849500370440045592000000000000000000000
02452170303800005058170029090075620046540093070063990309ILEOINGUINAL
02421000121050031473001936800387360026631001669660217055026714500417410054264006678
6003339300434110053429000000000000000000000
02453170303900005050760025380065990040610081220055840309INGUINOESCROTALES
01893400094670024614001514700302940020827001305790169752020892400326450042438005223
1002611600339500041785000000000000000000000
02454170304000005077580038790100850062060124130085340310LUMBO-AORTICOS
02935600146780038163002348500469700032292002024550263193032393100506140065798008098
3004049100526390064786000000000000000000000
02455170304100005071080035540092400056860113730078190310MEDIASTINICOS
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02456170304200005031610015810041090025290050580034780306POPLITEOS
01526300076320019842001221100244210016790001052620136842016842100263160034210004210
5002105200273680033684000000000000000000000
02457170304300005050760025380065990040610081220055840308RADICAL CLASICA O
MODIFICADA DE CUELLO
02065900103300026857001652800330540022725001424760185221022795800356190046305005699
0002849500370440045592000000000000000000000
02458170304400005024380012190031690019500039010026820205YUGULAR SIMPLE
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
024591703000000030000000000000000000000000000000000000004.- SIMPATECTOMIA:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02460170304500005050760025380065990040610081220055840309CERVICO-TORACICA
02065900103300026857001652800330540022725001424760185221022795800356190046305005699
0002849500370440045592000000000000000000000
02461170304600005050760025380065990040610081220055840309LUMBAR
01606900080350020890001285600257100017676001108210144069017731000277050036017004432
8002216400288140035462000000000000000000000
02462170300000003000000000000000000000000000000000000000B. CIRUGIA CARDIACA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02463170300000003000000000000000000000000000000000000000PERICARDIO Y CORAZON
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02464170300000003000000000000000000000000000000000000000EN OPERACIONES SOBRE EL
CORAZON, EL HONORARIO DEL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02465170300000013000000000000000000000000000000000000000CARDIOLOGO POR CONTROL
INTRAOPERATORIO Y HASTA 15 DIAS DEL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02466170300000023000000000000000000000000000000000000000POSTOPERATORIO, SERA EL 25%
DEL HONORARIO DEL PRIMER
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02467170300000033000000000000000000000000000000000000000CIRUJANO. LOS HONORARIOS
DEL MEDICO PERFUSIONISTA, CUANDO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02468170300000043000000000000000000000000000000000000000CORRESPONDA EQUIVALDRAN AL
20% DEL CIRUJANO PRINCIPAL.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02469170304700005081290040650105680065040130060089420312ANASTOMOSIS VASCULARES
SISTEMICOPULMONARES (BLALOCK-POTT-
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02470170304700015000000000000000000000000000000000000000GLENN O SIMILARES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02471170304800005030440015220039570024350048700033480205CAMBIO DE GENERADOR DE
MARCAPASO, SIN CAMBIO DE ELECTRODO
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02472170304900005101580050790132050081260162530111740312COARTACION AORTICA INFANTIL
(PREDUCTAL) TRAT. QUIR.
03213300160670041773002570700514130035347002216070288090035457300554020072022008864
3004432100576180070914000000000000000000000
02473170305000005081290040650105680065040130060089420312COARTACION AORTICA, TRAT.
QUIR.
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02474170305100005081290040650105680065040130060089420310CONDUCTO ARTERIOSO
PERSISTENTE, TRAT. QUIR.
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02475170305200005081290040650105680065040130060089420311FISTULA CORONARIA, TRAT.
QUIR.
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02476170305300005030440015220039570024350048700033480208IMPLANTACION DE MARCAPASO
C/ELECTROD. INTRAVEN. O
EPICARDICO0115340005767001499400092270018454001268700092272011995201476320023068002
99880036908000000000000000000000000000000000000000000
02477170305400005060960030480079250048770097540067060311OPERACION SOBRE ANILLOS
VALVULARES O VASCULARES
02363800118190030729001891000378210026002001630210211924026083400407550052981006520
9003260400423850052167000000000000000000000
02478170305500005060960030480079250048770097540067060310OPERACIONES SOBRE ARTERIA
PULMONAR, CONSTRICCION POR CINTA
02363800118190030729001891000378210026002001630210211924026083400407550052981006520
9003260400423850052167000000000000000000000
02479170305600005081290040650105680065040130060089420310PERICARDIECTOMIA Y/O
EXTIRP. DE QUISTES Y/O TUMORES
03477100173860045202002781700556340038249002398000311738038368200599500077934009592
1004796000623480076737000000000000000000000
02480170305700005081290040650105680065040130060089420310PERICARDIORRAFIA O
MIOPERICARDIORRAFIA EN HERIDAS
PENETRANTE0307490015375003997400246000049198003382400212062027568203392970053016006
89210084824004241200551370067859000000000000000000000
02481170305800005040630020320052820032510065010044700210PERICARDIOTOMIA
01710100085510022231001368100273620018812001368080177848021889600342020044462005472
4000000000000000000000000000000000000000000
02482170305900005081290040650105680065040130060089420310SINEQUIAS PERICARDICAS,
TRAT.QUIR. ( PROC. AUT.)
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02483170300000003000000000000000000000000000000000000000OPERACIONES CARDIACAS
(INCLUYEN LA TOMA DE PUENTES VENOSOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02484170306000005081290040650105680065040130060089420312SIN CIRCULACION
EXTRACORPOREA
02947900147400038323002358400471660032427002033030264297032528200508260066074008132
1004066100528590065057000000000000000000000
02485170300000003000000000000000000000000000000000000000CON CIRCULACION
EXTRACORPOREA:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02486170306100005142220071110184890113780227550156440414- (Y) DE COMPLEJIDAD MAYOR:
INCLUYE REEMPLAZO VALVULAR
06204500310230080659004963700992720068250003760300488843060164800940080122211015041
2007520600977680120330007520600977680120330
02487170306100015000000000000000000000000000000000000000MULTIPLE, TRES O MAS
PUENTES AORTOCORONARIOS Y/O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02488170306100025000000000000000000000000000000000000000ANASTOMOSIS CON ARTERIA
MAMARIA,CORRECCION DE CARDIOPATIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02489170306100035000000000000000000000000000000000000000CONGENITAS COMPLEJAS (POR
EJEMPLO: FALLOT; ATRESIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02490170306100045000000000000000000000000000000000000000TRICUSPIDEA; DOBLE SALIDA
DEL VENTRICULO DERECHO;
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02491170306100055000000000000000000000000000000000000000TRANSPOSICION GRANDES
VASOS; VENTRICULO UNICO O SIMILARES),
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02492170306100065000000000000000000000000000000000000000ANEURISMA AORTICO TORACICO,
TRANSPLANTE CARDIACO Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02493170306100075000000000000000000000000000000000000000CUALQUIER OPERACION
CARDIACA EN LACTANTES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02494170306200005111740055870145260089390178780122910414- (Y) DE COMPLEJIDAD
MEDIANA: INCLUYE COMUNICACION
04474700223740058171003579800715950049222002711940352552043390900677980088138010847
7005423900705100086782005423900705100086782
02495170306200015000000000000000000000000000000000000000INTERVENTRICULAR, REEMPLAZO
UNIVALVULAR, UNO O DOS PUENTES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02496170306200025000000000000000000000000000000000000000AORTOCORONARIOS;ANEURISMA
VENTRICULAR,CORRECCION DE WOLF-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02497170306200035000000000000000000000000000000000000000PARKINSON WHITE Y OTRAS
ARRITMIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02498170306300005091400045700118820073120146240100540414- (Y) DE COMPLEJIDAD
MENOR:INCLUYE COMUNICACION
03558800177940046264002847000569410039147002156850280387034509800539210070097008627
4004313700560780069019004313700560780069019
02499170306300015000000000000000000000000000000000000000INTERAURICULAR SIMPLE,
ESTENOSIS PULMONAR VALVULAR,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02500170306300025000000000000000000000000000000000000000ESTENOSIS MITRAL O SIMILAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02501170300000003000000000000000000000000000000000000000(Y) ESTAS PRESTACIONES
POSEEN CUARTO CIRUJANO Y SU VALOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02502170300000013000000000000000000000000000000000000000CORRESPONDE AL 20% DEL
PRIMER CIRUJANO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02503170400000002000000000000000000000000000000000000000III.- CIRUGIA DE TORAX
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02504170400000003000000000000000000000000000000000000000PARED TORACICA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02505170400100005050760025380065990040610081220055840310CIRUGIA DEL OPERCULO
TORACICO (RESECCION DE PRIMERA
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
02506170400100015000000000000000000000000000000000000000COSTILLA, CUALQUIER
ABORDAJE); UNILATERAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02507170400200005060960030480079250048770097540067060210CIRUGIA TORAX ABIERTO
TRAUMATICO Y/O FIJACION TORAX
02466900123350032070001973600394700027136001973520256560031576000493380064140007894
0000000000000000000000000000000000000000000
02508170400200015000000000000000000000000000000000000000VOLANTE, OSTEOSINTESIS
COSTALES MULTIPLES Y DE ESTERNON (NO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02509170400200025000000000000000000000000000000000000000INCLUYE EL VALOR DE LA
PROTESIS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02510170400300005050760025380065990040610081220055840209FENESTRACION O
TORACOPLASTIA
01606900080350020890001285600257100017676001285520167120020568000321380041780005142
0000000000000000000000000000000000000000000
02511170400400005031610015810041090025290050580034780309REPARACION PECTUM EXCAVATUM
O CARINATUM,(PROC.AUT.)
01526300076320019842001221100244210016790001052620136842016842100263160034210004210
5002105200273680033684000000000000000000000
02512170400500005030440015220039570024350048700033480208RESECCION DE COSTILLAS Y/O
PARED COSTAL Y/O CARTILAGO Y/O
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
02513170400500015000000000000000000000000000000000000000ESTERNON S/PLASTIA (PROC.
AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02514170400600005036130018070046970028910057810039750208RESECCION DE PARED COSTAL
C/PLASTIA (TORACOPLASTIA
01526300076320019842001221100244210016790001221040158736019536800305260039684004884
2000000000000000000000000000000000000000000
02515170400600015000000000000000000000000000000000000000OSTEOPLASTICA DE YORK O
SIMILAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02516170400700005050760025380065990040610081220055840310TORACOFRENOLAPARATOMIA
EXPLORADORA C/S REPARACION
02123200106160027602001698600339710023355001464270190358023428200366070047590005857
1002928600380720046857000000000000000000000
02517170400700015000000000000000000000000000000000000000VISCERAS TORACICAS Y
ABDOMINALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02518170400800005040630020320052820032510065010044700310TORACOFRENOTOMIA
EXPLORADORA
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02519170400900005040630020320052820032510065010044700209TORACOTOMIA EXPLORADORA,
C/S BIOPSIA, C/S DEBRIDACION, C/S
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
02520170400900015000000000000000000000000000000000000000DRENAJE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02521170401000005000000000000000000000000000000000000206TORACOTOMIA MINIMA C/S
RESECCION COSTAL, C/S BIOPSIA, C/S
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02522170401000015000000000000000000000000000000000000000DRENAJE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02523170400000003000000000000000000000000000000000000000MEDIASTINO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02524170401100005030440015220039570024350048700033480208MEDIASTINOTOMIA EXPLORADORA
ANT.O POST.C/S BIOPSIA PROC.AUT
01067300053370013875000853900170770011741000853840111000013661600213460027750003415
4000000000000000000000000000000000000000000
02525170400000003000000000000000000000000000000000000000DRENAJE QUIR. DE MEDIASTINO
(PROC. AUT.):
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02526170401200005024380012190031690019500039010026820207VIA CERVICAL
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02527170401300005035010017510045510028010056020038520208VIA TORACICA
01468800073440019094001175000235010016157001175040152752018800800293760038188004700
2000000000000000000000000000000000000000000
02528170400000003000000000000000000000000000000000000000TIMECTOMIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02529170401400005031610015810041090025290050580034780307TIMECTOMIA VIA CERVICAL
01526300076320019842001221100244210016790001052620136842016842100263160034210004210
5002105200273680033684000000000000000000000
02530170401500005040630020320052820032510065010044700308TIMECTOMIA VIA TORACICA
MEDIOESTERNAL
01824600091230023720001459700291940020071001258340163586020133800314590040897005033
4002516700327170040268000000000000000000000
02531170401600005040630020320052820032510065010044700209CONDUCTO TORACICO, LIGADURA
QUIRURGICA
01710100085510022231001368100273620018812001368080177848021889600342020044462005472
4000000000000000000000000000000000000000000
02532170401700005060960030480079250048770097540067060310TUMORES O QUISTES DE
MEDIASTINO (ANTERIOR O POSTERIOR)
02880200144010037443002304200460830031682001986340258227031781400496590064557007945
3003972700516460063563000000000000000000000
02533170401700015000000000000000000000000000000000000000TRAT. QUIR. C/S DISECCION
GANGLIONAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02534170400000003000000000000000000000000000000000000000DIAFRAGMA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02535170401800005050760025380065990040610081220055840310CIRUGIA DEL DIAFRAGMA CON
CIRUGIA DE VISCERAS ABDOMINALES O
02180800109040028350001744600348930023989001504000195518024064200376000048879006016
0003008000391030048128000000000000000000000
02536170401800015000000000000000000000000000000000000000TORACICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02537170406400005050760025380065990040610081220055840210FRENOPARALISIS TRAT. QUIR.
02161700108090028102001729400345870023779001729360224816027669600432340056204006917
4000000000000000000000000000000000000000000
02538170401900005040630020320052820032510065010044700309HERIDAS TRAUMATICAS, TRAT.
QUIR.
01480500074030019247001184500236880016286001021030132738016336600255260033184004084
1002042100265480032673000000000000000000000
02539170402000005040630020320052820032510065010044700310HERNIOPLASTIA DIAFRAGMATICA
POR VIA TORACICA C/ PROTESIS
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02540170402000015000000000000000000000000000000000000000(NO INCLUYE VALOR DE LA
PROTESIS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02541170402100005040630020320052820032510065010044700309HERNIOPLASTIA DIAFRAGMATICA
POR VIA TORACICA, SIN PROTESIS
01595300079770020739001276300255250017549001100210143027017603400275050035757004400
9002200400286060035207000000000000000000000
02542170402200005040630020320052820032510065010044700310TUMORES, MALFORMACIONES O
QUISTES DEL DIAFRAGMA (NO INCLUYE
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02543170402200015000000000000000000000000000000000000000VALOR DE LA PROTESIS) TRAT.
QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02544170400000003000000000000000000000000000000000000000PLEURA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02545170402300005040630020320052820032510065010044700209CUERPO EXTRAO PLEURAL,
EXTRAC. QUIR.
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
02546170402400005040630020320052820032510065010044700311DECORTICACION
PLEUROPULMONAR (PLEURECTOMIA PARCIAL O TOTAL)
01423000071150018499001138400227680015653000981380127579015702100245340031895003925
5001962800255160031404000000000000000000000
02547170402500005000000000000000000000000000000000000106PLEURODESIS POR PLEUROTOMIA
00573800028690007459000459000091810006312000573800074590009181000000000000000000000
0000000000000000000000000000000000000000000
02548170402600005040630020320052820032510065010044700210PLEURODESIS POR TORACOTOMIA
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
02549170402700005000000000000000000000000000000000000104PLEUROTOMIA UNICA O DOBLE
C/S BIOPSIA CON TROCAR
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
02550170402800005040630020320052820032510065010044700310TUMORES PLEURALES, TRAT.
QUIR.
01423000071150018499001138400227680015653000981380127579015702100245340031895003925
5001962800255160031404000000000000000000000
02551170400000003000000000000000000000000000000000000000TRAQUEA Y BRONQUIO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02552170400000003000000000000000000000000000000000000000(VER ADEMAS
OTORRINOLARINGOLOGIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02553170402900005040630020320052820032510065010044700210BRONCOTOMIA O
TRAQUEOBRONCOTOMIA EXPLORADORA O TERAPEUTICA
01710100085510022231001368100273620018812001368080177848021889600342020044462005472
4000000000000000000000000000000000000000000
02554170402900015000000000000000000000000000000000000000POR TORACOTOMIA (PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02555170403000005060960030480079250048770097540067060311CIRUGIA RUPTURA
TRAQUEOBRONQUIAL O TRATAMIENTO QUIRURGICO
03281600164080042661002625300525060036098002263180294214036211000565790073553009052
8004526300588430072422000000000000000000000
02556170403000015000000000000000000000000000000000000000FISTULA POSTNEUMONECTOMIA
POR ESTERNOTOMIA MEDIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02557170403100005081290040650105680065040130060089420310PLASTIA DE TRAQUEA Y/O
BRONQUIOS C/S RESECCION, C/S
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02558170403100015000000000000000000000000000000000000000PROTESIS (NO INCLUYE EL
VALOR DE LA PROTESIS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02559170403200005060960030480079250048770097540067060311TRATAMIENTO QUIRURGICO
FISTULA BRONQUIAL POR TORACOTOMIA
02249300112470029241001799500359890024743001551240201662024820000387810050416006205
0003102500403320049640000000000000000000000
02560170403300005081290040650105680065040130060089420309TUMORES TRAQUEALES,
EXTIRPACION
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02561170400000003000000000000000000000000000000000000000PULMON (CADA LADO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02562170403400005040630020320052820032510065010044700210ABSCESO PULMONAR, DRENAJE
POR TORACOTOMIA
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
02563170403500005040630020320052820032510065010044700209BIOPSIA PULMONAR POR
TORACOTOMIA
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
02564170403600005040630020320052820032510065010044700209BULAS, TRAT. QUIR.
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
02565170403700005071080035540092400056860113730078190211CIRUGIA DE QUISTE
HIDATIDICO SIN RESECCION PULMONAR
02719900136000035359002176000435180029919002175920282872034814400543980070718008703
6000000000000000000000000000000000000000000
02566170403800005040630020320052820032510065010044700209CUERPO EXTRAO
INTRAPULMONAR, EXTIRP. QUIR.
01652800082640021486001322200264450018181001322240171888021156000330560042972005289
0000000000000000000000000000000000000000000
02567170403900005040630020320052820032510065010044700208HERIDAS DE PULMON, TRAT.
QUIR. (PROC. AUT.)
01423000071150018499001138400227680015653001138400147992018214400284600036998004553
6000000000000000000000000000000000000000000
02568170404000005071080035540092400056860113730078190311LOBECTOMIA O BILOBECTOMIA
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02569170404100005071080035540092400056860113730078190311METASTASIS BILATERAL, TRAT.
QUIR. POR ESTERNOTOMIA
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02570170404200005050760025380065990040610081220055840210METASTASIS UNILATERAL
01779300088970023131001423500284690019573001423440185048022775200355860046262005693
8000000000000000000000000000000000000000000
02571170404300005081290040650105680065040130060089420311NEUMONECTOMIA C/S RESECCION
DE PARED COSTAL
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02572170404400005040630020320052820032510065010044700109NEUMOSTOMIA (PROC. AUT.)
01365700068290017754001092600218510015023001365700177540021851000000000000000000000
0000000000000000000000000000000000000000000
02573170404500005050760025380065990040610081220055840210QUISTECTOMIA SIMPLE
01779300088970023131001423500284690019573001423440185048022775200355860046262005693
8000000000000000000000000000000000000000000
02574170404600005060960030480079250048770097540067060310RESECCIONES SEGMENTARIAS
02363800118190030729001891000378210026002001630210211924026083400407550052981006520
9003260400423850052167000000000000000000000
02575170400000003000000000000000000000000000000000000000ESOFAGO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02576170400000003000000000000000000000000000000000000000CUERPOS EXTRAOS,
EXTRACCION POR ESOFAGOTOMIA (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02577170404700005030440015220039570024350048700033480206- VIA CERVICAL
01067300053370013875000853900170770011741000853840111000013661600213460027750003415
4000000000000000000000000000000000000000000
02578170404800005040630020320052820032510065010044700309- VIA TORACICA
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02579170404900005030440015220039570024350048700033480206ESOFAGOSTOMIA CERVICAL
(PROC. AUT.)
01067300053370013875000853900170770011741000853840111000013661600213460027750003415
4000000000000000000000000000000000000000000
02580170400000003000000000000000000000000000000000000000TUMORES BENIGNOS Y/O
QUISTES. TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02581170405000005030440015220039570024350048700033480209- VIA CERVICAL
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02582170405100005040630020320052820032510065010044700309- VIA TORACICA
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02583170400000003000000000000000000000000000000000000000DIVERTICULOS, TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02584170405200005030440015220039570024350048700033480208- VIA CERVICAL
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02585170405300005040630020320052820032510065010044700308- VIA TORACICA
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02586170405400005050760025380065990040610081220055840308ACHALASIA, TRAT. QUIR.
02065900103300026857001652800330540022725001424760185221022795800356190046305005699
0002849500370440045592000000000000000000000
02587170405500005060960030480079250048770097540067060312ATRESIA ESOFAGICA, TRAT.
QUIR.
02880200144010037443002304200460830031682001986340258227031781400496590064557007945
3003972700516460063563000000000000000000000
02588170405600005081290040650105680065040130060089420312ESOFAGECTOMIA CON
RESTITUCION DEL TRANSITO MEDIANTE
03764000188200048932003011200602240041404002595860337462041533800648970084366010383
4005191700674920083068000000000000000000000
02589170405600015000000000000000000000000000000000000000ESTOMAGO O INTESTINO;
PARCIAL O TOTAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02590170405700005060960030480079250048770097540067060312ESOFAGECTOMIA TOTAL CON
ESOFAGOSTOMIA, GASTROSTOMIA Y
02937600146880038189002350100470020032314002025930263373032415200506480065843008103
8004051900526740064830000000000000000000000
02591170405700015000000000000000000000000000000000000000YEYUNOSTOMIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02592170405800005071080035540092400056860113730078190312ESOFAGOGASTRECTOMIA
PROXIMAL
03293500164680042816002634900526960036229002271380295282036342100567840073821009085
5004542800590570072684000000000000000000000
02593170405900005030440015220039570024350048700033480308PROTESIS O TUBO
ENDOESOFAGICO, COLOCACION DE (PROC. AUT.)
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
02594170406000005071080035540092400056860113730078190311RECONSTITUCION DE TRANSITO
EN SEGUNDO TIEMPO (ESTOMAGO O
02146000107300027898001716800343360023606001480000192400023680000370000048100005920
0002960000384800047360000000000000000000000
02595170406000015000000000000000000000000000000000000000INTESTINO) DE OPERACION
COD. 17-04-057
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02596170406100005060960030480079250048770097540067060209SUTURA HERIDA O PERFORACION
ESOFAGO CERVICAL
02249300112470029241001799500359890024743001799440233928028791200449860058482007197
8000000000000000000000000000000000000000000
02597170406200005071080035540092400056860113730078190311SUTURA HERIDA O PERFORACION
ESOFAGO TORACICO
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02598170406300005042340021170055040033870067740046570308VARICES, LIGADURA DIRECTA
01991200099560025886001593000318590021903001373240178524021971800343310044631005492
9002746500357050043943000000000000000000000
02599170700000002000000000000000000000000000000000000000IV.- NEUMOLOGIA.-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02600170700000003000000000000000000000000000000000000000PROCEDIMIENTOS DIAGNOSTICOS
Y TERAPEUTICOS DEL APARATO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02601170700000013000000000000000000000000000000000000000RESPIRATORIO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02602170700000003000000000000000000000000000000000000000ESPIROMETRIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02603170700100005000000000000000000000000000000000000000- BASAL
00052200002610000679000041800008350000574000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02604170700200005000000000000000000000000000000000000000ESPIROMETRIA BASAL Y CON
BRONCODILATADOR
00087100004360001132000069700013940000959000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02605170700300005000000000000000000000000000000000000000PROVOCACION CON ANTIGENO
(INCLUYE EL ANTIGENO)
00132100006610001717000105700021140001454000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02606170700400005000000000000000000000000000000000000000PROVOCACION CON EJERCICIO,
TEST DE
00132100006610001717000105700021140001454000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02607170700500005000000000000000000000000000000000000000PROVOCACION CON HISTAMINA
(PD 20),TEST DE, (INCLUYE LA
00139300006970001811000111500022290001533000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02608170700500015000000000000000000000000000000000000000ESPIROMETRIA BASAL Y EL
TRATAMIENTO DE LOS EFECTOS ADVERSOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02609170700500025000000000000000000000000000000000000000DE LA HISTAMINA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02610170705000005000000000000000000000000000000000000000PROVOCACION BRONQUIAL CON
HISTAMINA Y/O METACOLINA
00055800002790000725000044600008930000614000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02611170705000015000000000000000000000000000000000000000ABREVIADA, TRES DILUCIONES
PARA REACTIVIDAD BRONQUIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02612170705000025000000000000000000000000000000000000000(INCLUYE ESPIROMETRIA BASAL
Y TRATAMIENTO DE EFECTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02613170705000035000000000000000000000000000000000000000ADVERSOS).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02614170705100005000000000000000000000000000000000000000CURVA DOSIS RESPUESTA A
BRONCODILATADORES.
00111100005560001444000088900017780001223000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02615170700600005000000000000000000000000000000000000000TEST ESPIROMETRICO DE
POSICION LATERAL
00132100006610001717000105700021140001454000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02616170700000003000000000000000000000000000000000000000MEDICION DE LA VENTILACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02617170700000003000000000000000000000000000000000000000(INCLUYE LAS TOMAS DE
MUESTRAS Y LA DETERMINACION DE LOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02618170700000013000000000000000000000000000000000000000GASES ESPIRADOS).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02619170700700005000000000000000000000000000000000000000ANALISIS DE GAS ESPIRADO
00049200002460000640000039400007870000541000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02620170700800005000000000000000000000000000000000000000CAPACIDAD DE DIFUSION,
ESTUDIO DE
00087100004360001132000069700013940000959000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02621170700900005000000000000000000000000000000000000000CAPACIDAD FISICA DEL
TRABAJO
00125700006290001634000100600020110001383000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02622170701000005000000000000000000000000000000000000000CURVA DE LAVADO DE
NITROGENO (N)
00122100006110001587000097700019540001344000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02623170701100005000000000000000000000000000000000000000ESPIROMETRIA BASAL
00069800003490000907000055800011170000768000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02624170701200005000000000000000000000000000000000000000DISTENSIBILIDAD PULMONAR,
(COMPLIANCE), ESTUDIO DE
00105000005250001365000084000016800001155000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02625170701300005000000000000000000000000000000000000000MEDICION DE PRESION DE
OCLUSION
00087100004360001132000069700013940000959000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02626170701400005000000000000000000000000000000000000000MEDICION DE PRESION
INSPIRATORIA MAXIMA (PROC. AUT.)
00035100001760000456000028100005620000387000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02627170701500005000000000000000000000000000000000000000MEDICION DE PRESION TRANS-
DIAFRAGMATICA
00111400005570001448000089100017820001225000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02628170701600005000000000000000000000000000000000000000REGISTRO FLUJOMETRICO, POR
SEMANA
00043800002190000569000035000007010000482000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02629170701700005000000000000000000000000000000000000000RESPUESTA RESPIRATORIA AL
CO2
00174500008730002269000139700027920001920000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02630170701800005000000000000000000000000000000000000000TIEMPO DE TOLERANCIA A LA
FATIGA RESPIRATORIA
00049200002460000640000039400007870000541000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02631170701900005000000000000000000000000000000000000000VENTILACION ALVEOLAR,
ESTUDIO DE (INCLUYE VENTILACION
00296600014830003856000237300047460003263000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02632170701900015000000000000000000000000000000000000000MINUTO Y ALVEOLAR, VOLUMEN
DEL ESPACIO MUERTO Y CUOCIENTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02633170701900025000000000000000000000000000000000000000RESP.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02634170702000005000000000000000000000000000000000000000VOLUMEN RESIDUAL, ESTUDIO
DE MEDICION DE VOLUMENES Y
00184300009220002396000147500029490002028000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02635170702000015000000000000000000000000000000000000000CAPACIDADES
PULMONARES(INCLUYE VOLUMEN RESIDUAL Y CAPACIDAD
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02636170702000025000000000000000000000000000000000000000VITAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02637170700000003000000000000000000000000000000000000000ENDOSCOPIAS: C/S BIOPSIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02638170700000003000000000000000000000000000000000000000LARINGOTRAQUEOBRONCOSCOPIA,
C/S LAVADO ASPIRATIVO O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02639170700000013000000000000000000000000000000000000000BRONCOALVEOLAR, C/S TOMA DE
MUESTRAS, C/S CEPILLADO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02640170700000023000000000000000000000000000000000000000BRONQUIAL, C/S BIOPSIA, C/S
REGISTRO EN VIDEO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02641170702100005000000000000000000000000000000000000103LARINGOTRAQUEOBRONCOSCOPIA
CON FIBROSCOPIO
00313800015690004079000251000050210003452000313800040790005021000000000000000000000
0000000000000000000000000000000000000000000
02642170702200005000000000000000000000000000000000000102LARIGOTRAQUEOSCOPIA CON
TUBO RIGIDO
00125700006290001634000100600020110001383000125700016340002011000000000000000000000
0000000000000000000000000000000000000000000
02643170702300005000000000000000000000000000000000000103MEDIASTINOSCOPIA C/S
BIOPSIA
00313800015690004079000251000050210003452000313800040790005021000000000000000000000
0000000000000000000000000000000000000000000
02644170702400005000000000000000000000000000000000000103PLEUROSCOPIA (TORACOSCOPIA)
C/S BIOPSIA
00174500008730002269000139700027920001920000174500022690002792000000000000000000000
0000000000000000000000000000000000000000000
02645170700000003000000000000000000000000000000000000000GASES EN SANGRE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02646170702500005000000000000000000000000000000000000000PROCEDIMIENTO PARA
DETERMINAR GASOMETRIA ARTERIAL EN REPOSO
00035100001760000456000028100005620000387000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02647170702500015000000000000000000000000000000000000000Y EJERCICIO (ADEMAS 2
CODIGOS 03-02-046).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02648170702600005000000000000000000000000000000000000000PROCEDIMIENTO PARA
DETERMINAR GASOMETRIA ARTERIAL
00024500001230000319000019700003920000270000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02649170702600015000000000000000000000000000000000000000RESPIRANDO O2 PURO (INCLUYE
EL OXIGENO, A.C. 03-02-046)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02650170705400005000000000000000000000000000000000000000SATURACION DE O2 EN REPOSO
Y/O EJERCICIO (CON OXIMETRO) (EN
00027800001390000361000022200004450000306000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02651170705400015000000000000000000000000000000000000000ATENCION CERRADA, INCLUIDA
EN VALOR DIA CAMA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02652170705500005000000000000000000000000000000000000000SATURACION DE O2 EN REPOSO
Y EJERCICIO Y O2 100% (CON
00027800001390000361000022200004450000306000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02653170705500015000000000000000000000000000000000000000OXIMETRO) (EN ATENCION
CERRADA, INCLUIDA EN VALOR DIA CAMA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02654170700000003000000000000000000000000000000000000000PROCEDIMIENTOS PARA
EXAMENES RADIOLOGICOS. (BRONCOGRAFIA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02655170700000013000000000000000000000000000000000000000VER COD. 13-01-022) Y OTROS
PROCEDIMIENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02656170702700005000000000000000000000000000000000000103BRONCOASPIRACION, C/S
LAVADO Y/O COLOCACION DE MEDICAMENTOS
00105000005250001365000084000016800001155000105000013650001680000000000000000000000
0000000000000000000000000000000000000000000
02657170702700015000000000000000000000000000000000000000POR SONDA TRAQUEOBRONQUIAL
(PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02658170702900005000000000000000000000000000000000000100TORACOCENTESIS
EVACUADORA,C/S TOMA DE MUESTRAS C/S
00105000005250001365000084000016800001155000105000013650001680000000000000000000000
0000000000000000000000000000000000000000000
02659170702900015000000000000000000000000000000000000000INYECCION DE MEDICAMENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02660170700000003000000000000000000000000000000000000000AEROSOLTERAPIA
(NEBULIZACION) POR SESION:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02661170703000005000000000000000000000000000000000000000AEROSOLTERAPIA CON AIRE
COMPRIMIDO Y OXIGENO (EN ATENCION
00011900000600000155000009600001900000131000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02662170703000015000000000000000000000000000000000000000CERRADA, INCLUIDA EN VALOR
DIA CAMA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02663170703200005000000000000000000000000000000000000100BIOPSIA PLEURAL (CON AGUJA)
00122100006110001587000097700019540001344000122100015870001954000000000000000000000
0000000000000000000000000000000000000000000
02664170703300005000000000000000000000000000000000000100BIOPSIA PULMONAR (CON
AGUJA) NO INCLUYE LA RADIOLOGIA
00122100006110001587000097700019540001344000122100015870001954000000000000000000000
0000000000000000000000000000000000000000000
02665170703400005000000000000000000000000000000000000103CUERPO EXTRAO DE BRONQUIO,
EXTRACCION POR VIA ENDOSCOPICA
00435300021770005659000348300069650004789000435300056590006965000000000000000000000
0000000000000000000000000000000000000000000
02666170703400015000000000000000000000000000000000000000(INCLUYE LA ENDOSCOPIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02667170703500005000000000000000000000000000000000000000INMUNOTERAPIA POR BCG
00052200002610000679000041800008350000574000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02668170703600005000000000000000000000000000000000000000INMUNOTERAPIA POR SESION
(INCLUYE EL TRATAMIENTO DE
00052200002610000679000041800008350000574000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02669170703600015000000000000000000000000000000000000000REACCIONES ADVERSAS Y EL
VALOR DE LOS ANTIGENOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02670170703700005000000000000000000000000000000000000102INTUBACION TRAQUEAL (PROC.
AUT.)
00087100004360001132000069700013940000959000087100011320001394000000000000000000000
0000000000000000000000000000000000000000000
02671170703800005000000000000000000000000000000000000000ESTUDIO POLISOMNOGRAFICO DE
APNEAS DEL SUEO
00194500009730002529000155700031120002140000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02672170705200005000000000000000000000000000000000000000MONITORIZACION SATURACION
DE O2 DURANTE EL SUEO.
00111100005560001444000088900017780001223000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02673170705300005000000000000000000000000000000000000000ESTUDIO POLISOMNOGRAFICO DE
APNEAS DEL SUEO CON TITULACION
00166800008340002168000133400026690001835000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02674170705300015000000000000000000000000000000000000000DE CPAP
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02675180000000001000000000000000000000000000000000000000GRUPO : 18
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02676180000000001000000000000000000000000000000000000000GASTROENTEROLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02677180100000002000000000000000000000000000000000000000I.-PROCEDIMIENTOS
DIAGNOSTICOS Y TERAPEUTICOS, INCLUYE USO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02678180100000012000000000000000000000000000000000000000DE ANESTESIA TOPICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02679180100000003000000000000000000000000000000000000000ENDOSCOPIAS: POR VIA ORAL
C/S BIOPSIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02680180100100005000000000000000000000000000000000000103GASTRODUODENOSCOPIA
(INCLUYE ESOFAGOSCOPIA).
00293100014660003810000234500046900003225000293100038100004690000000000000000000000
0000000000000000000000000000000000000000000
02681180103700005000000000000000000000000000000000000000UREASA, TEST DE (PARA
HELICOBACTER PYLORI) O SIMILAR
00047400002370000616000037900007580000521000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02682180100200005000000000000000000000000000000000000103ESOFAGOSCOPIA
00110700005540001439000088600017710001218000110700014390001771000000000000000000000
0000000000000000000000000000000000000000000
02683180100300005000000000000000000000000000000000000103ENTEROSCOPIA
00368500018430004791000294900058960004054000368500047910005896000000000000000000000
0000000000000000000000000000000000000000000
02684180100000003000000000000000000000000000000000000000ENDOSCOPIAS POR VIA RECTAL
C/S BIOPSIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02685180100000003000000000000000000000000000000000000000ANO-RECTO-SIGMOIDOSCOPIA
(CON TUBO RIGIDO DE HASTA 30 CMS.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02686180100000013000000000000000000000000000000000000000(ARSCOPIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02687180100400005000000000000000000000000000000000000102ANO-RECTO-SIGMOIDOSCOPIA EN
ADULTOS
00110700005540001439000088600017710001218000110700014390001771000000000000000000000
0000000000000000000000000000000000000000000
02688180100500005000000000000000000000000000000000000102ANO-RECTO-SIGMOIDESCOPIA EN
NIOS (ADEMAS ANESTESIA COD. 22-
00165600008280002153000132500026500001822000165600021530002650000000000000000000000
0000000000000000000000000000000000000000000
0268918010050001500000000000000000000000000000000000000001-001 SI CORRESPONDE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02690180100600005000000000000000000000000000000000000103COLONOSCOPIA LARGA (INCLUYE
SIGMOIDOSCOPIA Y COLONOSCOPIA
00397100019860005162000317700063540004369000397100051620006354000000000000000000000
0000000000000000000000000000000000000000000
02691180100600015000000000000000000000000000000000000000IZQUIERDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02692180100700005000000000000000000000000000000000000103SIGMOIDOSCOPIA Y
COLONOSCOPIA IZQUIERDA CON TUBO FLEXIBLE
00331200016560004306000265000052990003643000331200043060005299000000000000000000000
0000000000000000000000000000000000000000000
02693180100700015000000000000000000000000000000000000000(INCLUYE LA ANO-RECTO-
SIGMOIDOSCOPIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02694180100000003000000000000000000000000000000000000000ENDOSCOPIAS POR OTRAS VIAS
C/S BIOPSIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02695180100800005000000000000000000000000000000000000100- COLEDOCOSCOPIA
INTRAOPERATORIA C/S EXTRACCION DE CALCULOS
00054900002750000714000044000008780000604000054900007140000878000000000000000000000
0000000000000000000000000000000000000000000
02696180100900005000000000000000000000000000000000000104- PERITONEOSCOPIA
TRANSPARIETAL (INCLUYE EL NEUMOPERITONEO)
00202800010140002636000162200032450002231000202800026360003245000000000000000000000
0000000000000000000000000000000000000000000
02697180100000003000000000000000000000000000000000000000REFLUJO GASTRO-ESOFAGICO,
ESTUDIO DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02698180101000005000000000000000000000000000000000000000- BERNSTEIN, TEST DE
00046200002310000601000037000007390000508000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02699180101100005000000000000000000000000000000000000000MANOMETRIA ESOFAGICA
CONVENCIONAL
00165600008280002153000132500026500001822000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02700180101200005000000000000000000000000000000000000000- REFLUJO ACIDO, TEST DE
(GROSSMAN O SIMILAR) O REFLUJO
00114200005710001485000091400018270001256000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02701180101200015000000000000000000000000000000000000000ALCALINO, TEST DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02702180101300005000000000000000000000000000000000000000SONDEO GASTRICO CON
ESTIMULACION DE INSULINA (HOLLANDER)
00099600004980001295000079700015940001096000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02703180101400005000000000000000000000000000000000000000VACIAMIENTO GASTRICO, TEST
DE (GOLDSTEIN O SIMILAR)
00046200002310000601000037000007390000508000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02704180100000003000000000000000000000000000000000000000BIOPSIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02705180101500005000000000000000000000000000000000000100BIOPSIA DE INTESTINO
DELGADO, POR CAPSULA (DE RUBIN,CROSBY
00165600008280002153000132500026500001822000165600021530002650000000000000000000000
0000000000000000000000000000000000000000000
02706180101500015000000000000000000000000000000000000000O SIM.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02707180101600005000000000000000000000000000000000000100- PUNCION BIOPSIA
TRANSPARIETAL DE ORGANOS ABDOMINALES C/U
00154800007740002012000123800024770001703000154800020120002477000000000000000000000
0000000000000000000000000000000000000000000
02708180100000003000000000000000000000000000000000000000PROCEDIMIENTOS PARA
EXAMENES RADIOLOGICOS Y OTROS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02709180100000003000000000000000000000000000000000000000(SI UN MISMO MEDICO REALIZA
AMBOS PROCEDIMIENTOS, COBRARA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02710180100000013000000000000000000000000000000000000000AMBOS CODIGOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02711180101800005000000000000000000000000000000000000103COLANGIOPANCREATOGRAFIA
RETROGRADA C/S PAPILOTOMIA
00471000023550006123000376800075360005181000471000061230007536000000000000000000000
0000000000000000000000000000000000000000000
02712180101900005000000000000000000000000000000000000100DRENAJE DE LA VIA BILIAR
TRANSHEPATICA Y/O PERCUTANEO (A.C.
00202800010140002636000162200032450002231000202800026360003245000000000000000000000
0000000000000000000000000000000000000000000
0271318010190001500000000000000000000000000000000000000004-01-015)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02714180102000005000000000000000000000000000000000000100FISTULOGRAFIA (A.C. 04-02-
009)
00066200003310000861000053000010590000728000066200008610001059000000000000000000000
0000000000000000000000000000000000000000000
02715180102100005000000000000000000000000000000000000100NEUMOPERITONEO POR PUNCION
TRANSPARIETAL
00066200003310000861000053000010590000728000066200008610001059000000000000000000000
0000000000000000000000000000000000000000000
02716180100000003000000000000000000000000000000000000000INTUBACIONES CON SONDA
(INCLUYE SOLO LA COLOCACION; LOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02717180100000013000000000000000000000000000000000000000CONTROLES POSTERIORES SE
COBRARAN COMO CONSULTA O VISITA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02718180100000023000000000000000000000000000000000000000SEGUN CORRESPONDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02719180102200005000000000000000000000000000000000000000INTUBACION SONDA DE
SENGSTAKEN
00073700003690000958000059000011790000811000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02720180102300005000000000000000000000000000000000000000INSTALACION ENDOSCOPICA DE
SONDA NASOGASTRICA
00022100001110000287000017700003540000244000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02721180102400005000000000000000000000000000000000000000INSTALACION ENDOSCOPICA DE
SONDA ENTERAL
00022100001110000287000017700003540000244000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02722180100000003000000000000000000000000000000000000000DILATACION ESOFAGICA, POR
SESION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02723180102500005000000000000000000000000000000000000102DILATACION ESTENOSIS DEL
TRACTO DIGESTIVO POR
00128700006440001673000103000020590001416000128700016730002059000000000000000000000
0000000000000000000000000000000000000000000
02724180102500015000000000000000000000000000000000000000BALON
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02725180102600005000000000000000000000000000000000000102DILATACION ESTENOSIS DEL
TRACTO DIGESTIVO POR
00054900002750000714000044000008780000604000054900007140000878000000000000000000000
0000000000000000000000000000000000000000000
02726180102600015000000000000000000000000000000000000000BUJIA DE HG
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02727180102700005000000000000000000000000000000000000104INSTALACION PROTESIS
PLASTICA (S) EN VIA BILIAR O
00441800022090005743000353400070690004860000441800057430007069000000000000000000000
0000000000000000000000000000000000000000000
02728180102700015000000000000000000000000000000000000000PANCREATICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02729180102800005000000000000000000000000000000000000102CUERPO EXTRAO, EXTRACCION
ENDOSCOPICA
00322400016120004191000257900051580003546000322400041910005158000000000000000000000
0000000000000000000000000000000000000000000
02730180102900005000000000000000000000000000000000000103DEVOLVULACION DE COLON POR
COLONOSCOPIA
00184200009210002395000147400029470002026000184200023950002947000000000000000000000
0000000000000000000000000000000000000000000
02731180103000005000000000000000000000000000000000000101DILATACION ANO-RECTAL, POR
SESION
00027600001380000359000022100004420000304000027600003590000442000000000000000000000
0000000000000000000000000000000000000000000
02732180103100005000000000000000000000000000000000000104POLIPECTOMIA O MUCOSECTOMIA
ENDOSCOPICA ALTA
00370200018510004813000296200059230004072000370200048130005923000000000000000000000
0000000000000000000000000000000000000000000
02733180104500005000000000000000000000000000000000000104POLIPECTOMIA O MUCOSECTOMIA
ENDOSCOPICA BAJA
00660700033040008589000528600105710007268000660700085890010571000000000000000000000
0000000000000000000000000000000000000000000
02734180103200005000000000000000000000000000000000000102ESCLEROTERAPIA DE
HEMORROIDES, CUALQUIER NUMERO
00169900008500002209000136000027180001869000169900022090002718000000000000000000000
0000000000000000000000000000000000000000000
02735180103300005000000000000000000000000000000000000104INYECTOTERAPIA HEMOSTATICA,
HEMOSTASIA MECANICA, HEMOSTASIA
00511500025580006650000409300081840005627000511500066500008184000000000000000000000
0000000000000000000000000000000000000000000
02736180103300015000000000000000000000000000000000000000TERMICA, LIGADURA ELASTICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02737180103400005000000000000000000000000000000000000104EXTRACCION PERCUTANEA DE
CALCULOS BILIARES
00138200006910001797000110600022110001520000138200017970002211000000000000000000000
0000000000000000000000000000000000000000000
02738180103500005000000000000000000000000000000000000102LIGADURA HEMORROIDES
00221200011060002876000177000035390002433000221200028760003539000000000000000000000
0000000000000000000000000000000000000000000
02739180103600005000000000000000000000000000000000000104EXTRACCION ENDOSCOPICA DE
CALCULOS BILIARES O PANCREATICOS
00221200011060002876000177000035390002433000221200028760003539000000000000000000000
0000000000000000000000000000000000000000000
02740180103800005000000000000000000000000000000000000102PUNCION EVACUADORA DE
ABSCESO INTRAABDOMINALES (HEPATICO U
00167900008400002183000134400026860001847000167900021830002686000000000000000000000
0000000000000000000000000000000000000000000
02741180103800015000000000000000000000000000000000000000OTROS), C/S TOMA DE
MUESTRA, C/S INYECCION DE MEDICAMENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02742180104100005000000000000000000000000000000000000100PUNCION DE LIQUIDO
ASCITICO, DIAGNOSTICA
00147300007370001915000117900023570001621000147300019150002357000000000000000000000
0000000000000000000000000000000000000000000
02743180104200005000000000000000000000000000000000000104VACIAMIENTO MANUAL DE
FECALOMA
00239200011960003110000191400038270002631000239200031100003827000000000000000000000
0000000000000000000000000000000000000000000
02744180104300005000000000000000000000000000000000000000MANOMETRIA ANORECTAL
CONVENCIONAL
00153100007660001990000122500024500001685000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02745180200000002000000000000000000000000000000000000000II.- CIRUGIA ABDOMINAL .
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02746180200000003000000000000000000000000000000000000000PARA CIRUGIA
VIDEOLAPAROSCOPICA NO INDIVIDUALIZADA COMO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02747180200000013000000000000000000000000000000000000000TAL, SE APLICARAN LOS
CODIGOS Y VALORES DE LAS TECNICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02748180200000023000000000000000000000000000000000000000CONVENCIONALES.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02749180200000003000000000000000000000000000000000000000PARA EL CODIGO ADICIONAL SE
APLICARA EN ESTOS CASOS, EL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02750180200000013000000000000000000000000000000000000000CORRESPONDIENTE A LA
PRESTACION CONVENCIONAL AUMENTADO EN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02751180200000023000000000000000000000000000000000000000DOS DIGITOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02752180200000003000000000000000000000000000000000000000(CUANDO LA PRESTACION
REQUIERE LAPAROTOMIA, ELLA ESTA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02753180200000013000000000000000000000000000000000000000INCLUIDA EN EL CODIGO
RESPECTIVO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02754180200000003000000000000000000000000000000000000000HERNIAS, TRATAMIENTO
QUIRURGICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02755180200100005040630020320052820032510065010044700308HERNIA DIAFRAGMATICA POR
VIA ABDOMINAL O CUALQUIERA OTRA
01824600091230023720001459700291940020071001258340163586020133800314590040897005033
4002516700327170040268000000000000000000000
02756180200100015000000000000000000000000000000000000000HERNIA CON USO DE PROTESIS
(NO INCLUYE EL VALOR DE LA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02757180200100025000000000000000000000000000000000000000PROTESIS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02758180200200005032760016380042590026210052420036040206HERNIA INCISIONAL O
EVISCERACION POST-OP. SIN RESECCION
01388600069430018052001110900222180015275001110880144416017774400277720036104004443
6000000000000000000000000000000000000000000
02759180200200015000000000000000000000000000000000000000INTESTINAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02760180200300005030440015220039570024350048700033480206HERNIA INGUINAL, CRURAL,
UMBILICAL, DE LA LINEA BLANCA O
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
02761180200300015000000000000000000000000000000000000000SIMILARES, RECIDIVADA O
NO,SIMPLE O ESTRANGULADA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02762180200300025000000000000000000000000000000000000000S/RESECCION INTEST.C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02763180200000003000000000000000000000000000000000000000PARED ABDOMINAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02764180200400005024380012190031690019500039010026820207LAPAROTOMIA EXPLORADORA,
C/S LIBERACION DE ADHERENCIAS, C/S
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02765180200400015000000000000000000000000000000000000000DRENAJE,C/S BIOPSIAS COMO
PROC.AUT.O COMO RESULTADO DE UNA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02766180200400025000000000000000000000000000000000000000HERIDA PENETRANTE ABDOMINAL
NO COMPLICADA O DE UN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02767180200400035000000000000000000000000000000000000000HEMOPERITONEO
POSTOPERATORIO O COMO TRATAMIENTO DE UNA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02768180200400045000000000000000000000000000000000000000PERITONITIS (LAPAROSTOMIA
CONTENIDA -MAXIMO CUATRO-,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02769180200400055000000000000000000000000000000000000000RESUTURAS, ETC.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02770180200500005030260015130039340024210048420033290207ONFALOCELE (HASTA 5 CMS.);
TRAT. QUIR.
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
02771180200600005033830016920043980027070054130037220207ONFALOCELE (MAS DE 5 CMS.);
TRAT. QUIR.
01411600070580018351001129300225860015528001129280146808018068800282320036702004517
2000000000000000000000000000000000000000000
02772180201300005050760025380065990040610081220055840209GASTROSQUISIS
01922400096120024991001537900307580021146001537920199928024606400384480049982006151
6000000000000000000000000000000000000000000
02773180200000003000000000000000000000000000000000000000PERITONEO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02774180200700005030440015220039570024350048700033480308PERITONITIS DIFUSA AGUDA,
TRAT. QUIR. (PROC. AUT.)
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
02775180200000003000000000000000000000000000000000000000TUMOR Y/O QUISTE, TRAT.
QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02776180200800005030440015220039570024350048700033480207TUMOR Y/O QUISTE PERITONEAL
(PARIETAL)
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
02777180200900005040630020320052820032510065010044700308TUMOR Y/O QUISTE
RETROPERITONEAL
01738200086910022597001390600278110019120001198760155842019180000299690038960004795
0002397500311680038360000000000000000000000
02778180200000003000000000000000000000000000000000000000ESTOMAGO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02779180201000005060960030480079250048770097540067060309ANTRECTOMIA Y VAGOTOMIA
TRONCULAR O SELECTIVA (PROC.AUT.)
02249300112470029241001799500359890024743001551240201662024820000387810050416006205
0003102500403320049640000000000000000000000
02780180201100005060960030480079250048770097540067060310DESGASTRECTOMIA Y
NEOANASTOMOSIS, C/S VAGUECTOMIA
02536100126810032969002028900405780027898001749030227373027984800437260056843006996
2003498100454740055970000000000000000000000
02781180201200005040630020320052820032510065010044700307GASTROENTEROANASTOMOSIS,
CUALQUIER TECNICA. (PROC. AUT.)
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02782180201400005030440015220039570024350048700033480206GASTROTOMIA Y/O
GASTROSTOMIA (PROC. AUT.)
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02783180201500005030440015220039570024350048700033480307PERFORACION GASTRICA AGUDA,
TRAT. QUIR. (PROC. AUT.)
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
02784180201600005030440015220039570024350048700033480207PILOROPLASTIA (PROC.AUT.)
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
02785180200000003000000000000000000000000000000000000000GASTRECTOMIA SUB-TOTAL
DISTAL:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02786180201700005060960030480079250048770097540067060309GASTRECTOMIA SUBTOTAL CON
DISECCION GANGLIONAR
02593100129660033710002074500414900028525001788340232482028613800447090058121007153
4003576700464970057228000000000000000000000
02787180201800005050760025380065990040610081220055840309GASTRECTOMIA SUBTOTAL SIN
DISECCION GANGLIONAR
02128900106450027676001703200340620023418001468210190869023491000367050047717005872
8002936400381740046982000000000000000000000
02788180201900005060960030480079250048770097540067060309"DUMPING" Y/O SINDROME ASA
AFERENTE, TRAT. QUIR.
02536100126810032969002028900405780027898001749030227373027984800437260056843006996
2003498100454740055970000000000000000000000
02789180202000005060960030480079250048770097540067060309GASTRECTOMIA SUB-TOTAL CON
VAGOTOMIA
02249300112470029241001799500359890024743001551240201662024820000387810050416006205
0003102500403320049640000000000000000000000
02790180202100005081290040650105680065040130060089420311GASTRECTOMIA SUB-TOTAL
PROXIMAL CON ESOFAGO-GASTRO-
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02791180202100015000000000000000000000000000000000000000ANASTOMOSIS U OTRA
DERIVACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02792180202200005081290040650105680065040130060089420311GASTRECTOMIA TOTAL
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02793180202300005091400045700118820073120146240100540313GASTRECTOMIA TOTAL O
SUBTOTAL AMPLIADA (INCLUYE
03661000183050047593002928800585760040271002524820328227040397300631210082057010099
3005049700656460080794000000000000000000000
02794180202300015000000000000000000000000000000000000000ESPLENECTOMIA Y
PANCREATECTOMIA CORPOROCAUDAL Y DISECCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02795180202300025000000000000000000000000000000000000000GANGLIONAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02796180202400005050760025380065990040610081220055840308GASTROPEXIA Y/U OTRA
CIRUGIA ANTIRREFLUJO, C/S VAGOTOMIA
01922400096120024991001537900307580021146001325790172352021212400331450043088005303
1002651600344700042425000000000000000000000
02797180202500005040630020320052820032510065010044700308VAGOTOMIA SELECTIVA Y
SUPERSELECTIVA C/S DREN. GASTRICO,
01881700094090024462001505400301070020699001297730168703020763400324430042176005190
9002595400337410041527000000000000000000000
02798180202500015000000000000000000000000000000000000000C/S PILOROPLASTIA (PROC.
AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02799180207900005048560024280063130038850077700053420311GASTRECTOMIA TOTAL CON
OSTOMIAS PROXIMAL Y DISTAL
02375900118800030887001900800380140026135001638550213014026216600409640053253006554
1003277100426030052433000000000000000000000
02800180208000005037270018640048450029820059630041000311RECONSTITUCION DE TRANSITO
EN 2 TIEMPO DE OPERACION
01916400095820024913001533100306620021080001321660171814021146200330410042953005286
6002643300343630042292000000000000000000000
02801180208000015000000000000000000000000000000000000000CODIGO 18-02-79.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02802180200000003000000000000000000000000000000000000000HIGADO Y VIAS BILIARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02803180202600005040630020320052820032510065010044700308ABSCESO HEPATICO, TRAT.
QUIR.
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02804180202700005091400045700118820073120146240100540310COLANGIOENTEROANASTOMOSIS
INTRAHEPATICA
03546200177310046101002837000567390039008002445660317938039130300611410079484009782
6004891300635880078261000000000000000000000
02805180202800005050760025380065990040610081220055840308COLECISTECTOMIA C/S
COLANGIOGRAFIA OPERATORIA
01893400094670024614001514700302940020827001305790169752020892400326450042438005223
1002611600339500041785000000000000000000000
02806180208100005056430028220073360045150090290062080310COLECISTECTOMIA POR
VIDEOLAPAROSCOPIA, PROC. COMPLETO
02409700120490031326001927800385550026507001661860216042026589700415470054010006647
4003323700432080053179000000000000000000000
02807180202900005050760025380065990040610081220055840308COLECISTECTOMIA Y
COLEDOCOSTOMIA (SONDA T Y COLANGIOGRAFIA
02123200106160027602001698600339710023355001464270190358023428200366070047590005857
1002928600380720046857000000000000000000000
02808180202900015000000000000000000000000000000000000000POSTOPERATORIA) C/S
COLANGIOGRAFIA OPERATORIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02809180203000005060960030480079250048770097540067060308COLECISTOGASTROANASTOMOSIS
O COLECISTOENTEROANASTOMOSIS
02536100126810032969002028900405780027898001749030227373027984800437260056843006996
2003498100454740055970000000000000000000000
02810180203100005030440015220039570024350048700033480207COLECISTOSTOMIA (PROC.
AUT.)
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
02811180203200005071080035540092400056860113730078190309COLEDOCO O
HEPATOENTEROANASTOMOSIS
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02812180203300005040630020320052820032510065010044700308COLEDOCOSTOMIA
SUPRADUODENAL O HEPATICOSTOMIA (PROC. AUT.)
01738200086910022597001390600278110019120001198760155842019180000299690038960004795
0002397500311680038360000000000000000000000
02813180203400005024380012190031690019500039010026820207COLOCACION DE VALVULA
PERITONEOYUGULAR DERIVATIVA DE
ASCITIS0103410005171001344300082730016546001137600082728010754401323680020682002688
60033092000000000000000000000000000000000000000000
02814180203500005081290040650105680065040130060089420312DESCONEXION ACIGOPORTAL CON
TRANSECCION ESOFAGICA
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02815180203600005071080035540092400056860113730078190312DESCONEXION ACIGOPORTAL SIN
TRANSECCION ESOFAGICA
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02816180203700005040630020320052820032510065010044700208DRENAJE VIA BILIAR
TRANSHEPATICO
01710100085510022231001368100273620018812001368080177848021889600342020044462005472
4000000000000000000000000000000000000000000
02817180203800005059240029620077010047390094780065160309ESFINTEROPLASTIA
TRANSDUODENAL, (PROC. AUT.)
02266700113340029467001813400362670024934001563240203221025011800390810050805006252
9003126500406440050023000000000000000000000
02818180203900005071080035540092400056860113730078190310HEPATECTOMIA SEGMENTARIA
(PROC. AUT.)
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02819180204000005050760025380065990040610081220055840308HERIDA TRAUMATICA DE HIGADO
Y/O VIA BILIAR, TRAT. QUIR.
02065900103300026857001652800330540022725001424760185221022795800356190046305005699
0002849500370440045592000000000000000000000
02820180204100005091400045700118820073120146240100540312LOBECTOMIA HEPATICA (PROC.
AUT.)
03546200177310046101002837000567390039008002445660317938039130300611410079484009782
6004891300635880078261000000000000000000000
02821180204200005050760025380065990040610081220055840309QUISTE HIDATIDICO, UNICO O
MULTIPLE, Y/O
01895200094760024638001516200303230020847001307030169918020912400326760042479005228
1002614100339830041825000000000000000000000
02822180204200015000000000000000000000000000000000000000CISTOYEYUNOANASTOMOSIS,
TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02823180210000005142220071110184890113780227550156440414(Y) TRASPLANTE HEPATICO
06204500310230080659004963700992720068250003760300488843060164800940080122211015041
2007520600977680120330007520600977680120330
02824180200000003000000000000000000000000000000000000000(Y) ESTAS PRESTACIONES
POSEEN CUARTO CIRUJANO Y SU VALOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02825180200000013000000000000000000000000000000000000000CORRESPONDE AL 20% DEL
PRIMER CIRUJANO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02826180200000003000000000000000000000000000000000000000PANCREAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02827180204300005042340021170055040033870067740046570308ABSCESOS, QUISTES,
PSEUDOQUISTES O SIMILARES DE PANCREAS,
01991200099560025886001593000318590021903001373240178524021971800343310044631005492
9002746500357050043943000000000000000000000
02828180204300015000000000000000000000000000000000000000TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02829180204400005040630020320052820032510065010044700308HERIDAS, TRAUMATISMOS DE
PANCREAS, TRAT.QUIR.
01497400074870019466001197900239580016471001032690134248016522700258170033562004130
7002065400268500033046000000000000000000000
02830180204500005071080035540092400056860113730078190310PANCREATECTOMIA PARCIAL
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02831180204600005091400045700118820073120146240100540312PANCREATECTOMIA TOTAL C/S
ESPLENECTOMIA
04119600205980053555003295700659140045316002841100369345045457900710280092336011364
5005682200738690090916000000000000000000000
02832180204700005091400045700118820073120146240100540312PANCREATODUODENECTOMIA
03890100194510050571003112100622420042792002682820348766042925500670710087191010731
4005365700697530085851000000000000000000000
02833180204800005065770032890085500052620105230072350307SECUESTRECTOMIA EN
PANCREATITIS AGUDA
02647900132400034423002118400423660029127001826140237400029217900456530059350007304
5003652300474800058436000000000000000000000
02834180214800005081290040650105680065040130060089420309YEYUNOPANCREATOSTOMIA
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02835180200000003000000000000000000000000000000000000000BAZO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02836180204900005042340021170055040033870067740046570309AUTOIMPLANTE DE BAZO
(INCLUYE ESPLENECTOMIA)
01991200099560025886001593000318590021903001373240178524021971800343310044631005492
9002746500357050043943000000000000000000000
02837180205000005040630020320052820032510065010044700308ESPLENECTOMIA TOTAL O
PARCIAL (PROC. AUT.)
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02838180205100005060960030480079250048770097540067060309OPERACION DE ETAPIFICACION
(INCLUYE ESPLENECTOMIA, BIOPSIAS
02363800118190030729001891000378210026002001630210211924026083400407550052981006520
9003260400423850052167000000000000000000000
02839180205100015000000000000000000000000000000000000000HEPATICAS,DE GANGLIOS
ABDOMINALES Y DE CRESTA ILIACA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02840180205200005040630020320052820032510065010044700308SUTURA ESPLENICA (PROC.
AUT.)
01497400074870019466001197900239580016471001032690134248016522700258170033562004130
7002065400268500033046000000000000000000000
02841180200000003000000000000000000000000000000000000000INTESTINOS DELGADO Y GRUESO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02842180205300005040630020320052820032510065010044700207APENDICECTOMIA Y/O DREN.
ABSCESO APENDICULAR (PROC. AUT.)
01221900061100015885000977600195500013441000977520127080015640000244380031770003910
0000000000000000000000000000000000000000000
02843180205400005030440015220039570024350048700033480207CIERRE DE COLOSTOMIA (PROC.
AUT.)
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
02844180205500005030440015220039570024350048700033480207COLOSTOMIA (PROC. AUT.)
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
02845180205600005040630020320052820032510065010044700208COLOSTOMIA,COMPLICACIONES
TARDIAS,TRAT. QUIR.
01308500065430017011001046900209360014394001046800136088016748800261700034022004187
2000000000000000000000000000000000000000000
02846180205700005030440015220039570024350048700033480207DIVERTICULO DE MECKEL,
TRAT. QUIR.
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02847180205800005038780019390050410031020062050042660207ENTERO-ENTEROANASTOMOSIS O
ENTEROCOLOANASTOMOSIS
(PROC.AUT.)014835000741800192860011869002373600163190011868001542880189888002967000
385720047472000000000000000000000000000000000000000000
02848180205900005030440015220039570024350048700033480206ENTEROTOMIA O ENTEROSTOMIA
(YEYUNOSTOMIA U OTRA)
(PROC.AUT.)010333000516700134330008267001653300113670008266401074640132264002066600
268660033066000000000000000000000000000000000000000000
02849180206000005030440015220039570024350048700033480208ILEOSTOMIA TERMINAL O EN
ASA (PROC. AUT.)
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
02850180206100005030440015220039570024350048700033480207INVAGINACION INTESTINAL,
TRAT. QUIR.
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02851180206200005030440015220039570024350048700033480207PERSISTENCIA CONDUCTO
ONFALOMESENTERICO, TRAT. QUIR.
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02852180206300005030440015220039570024350048700033480207QUISTE URACO, TRAT. QUIR.
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02853180200000003000000000000000000000000000000000000000OCLUSION INTESTINAL, TRAT.
QUIR.:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02854180206500005036130018070046970028910057810039750308OCLUSION INTESTINAL CON
RESECCION
01755300087770022819001404300280850019309001210550157373019369000302640039343004842
2002421100314740038738000000000000000000000
02855180206600005030440015220039570024350048700033480307OCLUSION INTESTINAL SIN
RESECCION
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
02856180206700005071080035540092400056860113730078190309COLECTOMIA PARCIAL O
HEMICOLECTOMIA
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02857180206800005081290040650105680065040130060089420310COLECTOMIA TOTAL ABDOMINAL
03419800170990044457002735800547170037618002358480306600037735800589620076650009434
0004717000613200075472000000000000000000000
02858180206900005081290040650105680065040130060089420310DESCENSO DE COLON
C/CONSERVACION DEL ESFINTER, INCLUYE
03305000165250042965002644000528800036355002279310296310036469000569830074078009117
2004558600592620072938000000000000000000000
02859180206900015000000000000000000000000000000000000000RESECCION DE COLON
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02860180207000005071080035540092400056860113730078190309HARTMANN, OPERACION DE (O
SIMILAR)
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02861180207100005040630020320052820032510065010044700207PERFORACION Y/O HERIDA DE
INTESTINO, UNICA O MULTIPLE,TRAT.
01308500065430017011001046900209360014394001046800136088016748800261700034022004187
2000000000000000000000000000000000000000000
02862180207100015000000000000000000000000000000000000000QUIR (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02863180207200005040630020320052820032510065010044700207QUISTE Y/O TUMOR DEL
MESENTERIO Y/O EPIPLONES, UNICO Y/O
01308500065430017011001046900209360014394001046800136088016748800261700034022004187
2000000000000000000000000000000000000000000
02864180207200015000000000000000000000000000000000000000MULTIPLE, TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02865180207300005071080035540092400056860113730078190309RECONSTITUCION TRANSITO
POST OPERACION DE HARTMANN O SIM.
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02866180207400005040630020320052820032510065010044700308RESECCION DE INTESTINO Y
ENTEROANASTOMOSIS (PROC. AUT.)
01955200097760025418001564200312830021507001348420175297021574500337100043824005393
6002696800350590043149000000000000000000000
02867180208200005033830016920043980027070054130037220308RESECCION INTESTINAL CON
OSTOMIAS PROXIMAL Y DISTAL
01663900083200021631001331200266220018303001147520149179018360000286880037295004590
0002295000298360036720000000000000000000000
02868180207500005077580038790100850062060124130085340309RESECCION INTESTINAL MASIVA
POR TROMBOSIS MESENTERICA U
03263900163200042431002611200522220035903002250970292627036015200562740073157009003
8004501900585260072030000000000000000000000
02869180207500015000000000000000000000000000000000000000OTRA ETIOLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02870180207600005040630020320052820032510065010044700208DUPLICACION INTESTINAL,
TRAT. QUIR.
01710100085510022231001368100273620018812001368080177848021889600342020044462005472
4000000000000000000000000000000000000000000
02871180207700005040630020320052820032510065010044700208MAL ROTACION INTESTINAL,
TRAT. QUIR.
01710100085510022231001368100273620018812001368080177848021889600342020044462005472
4000000000000000000000000000000000000000000
02872180300000002000000000000000000000000000000000000000III.-CIRUGIA PROCTOLOGICA .
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02873180300000003000000000000000000000000000000000000000RECTO Y ANO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02874180300100005024380012190031690019500039010026820205ABSCESO ANORRECTAL COMPLEJO
(IMPLICA HOSPITALIZACION Y
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02875180300100015000000000000000000000000000000000000000ANESTESIA GENERAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02876180300200005000000000000000000000000000000000000104ABSCESO ANORRECTAL SIMPLE ,
TRAT. QUIR.
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
02877180300300005000000000000000000000000000000000000104ABSCESO SACROCOXIGEO,
DRENAJE
00229600011480002985000183700036740002526000229600029850003674000000000000000000000
0000000000000000000000000000000000000000000
02878180300400005000000000000000000000000000000000000105BIOPSIA QUIRURGICA RECTAL
(PROC. AUT.)
00229600011480002985000183700036740002526000229600029850003674000000000000000000000
0000000000000000000000000000000000000000000
02879180300500005000000000000000000000000000000000000104CRIPTECTOMIA Y/O
PAPILECTOMIA (CUALQUIER NUMERO; PROC.
AUT.)002296000114800029850001837000367400025260002296000298500036740000000000000000
000000000000000000000000000000000000000000000000
02880180300000003000000000000000000000000000000000000000CUERPO EXTRAO RECTAL:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02881180300600005040630020320052820032510065010044700208CUERPO EXTRAO RECTAL,
EXTRACCION POR VIA ABDOMINAL
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
02882180300700005000000000000000000000000000000000000104CUERPO EXTRAO RECTAL,
EXTRACCION POR VIA ANAL
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
02883180300000003000000000000000000000000000000000000000DESGARROS Y HERIDAS
ANORRECTALES, TRAT.QUIR. DE:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02884180300800005030440015220039570024350048700033480206DESGARROS Y HERIDAS
ANORRECTALES CON COMPROMISO DEL
ESFINTER011674000583700151760009339001867800128410009339201214080149424002334800303
520037356000000000000000000000000000000000000000000
02885180300900005000000000000000000000000000000000000205DESGARROS Y HERIDAS
ANORRECTALES SIN COMPROMISO DEL
ESFINTER009389000469500122060007512001502200103280007511200976480120176001877800244
120030044000000000000000000000000000000000000000000
02886180301000005000000000000000000000000000000000000105ESFINTEROTOMIA (PROC. AUT.)
00487400024370006336000389900077980005361000487400063360007798000000000000000000000
0000000000000000000000000000000000000000000
02887180301100005000000000000000000000000000000000000206ESTENOSIS ANAL, PLASTIA
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02888180301200005000000000000000000000000000000000000207ESTENOSIS RECTAL, PLASTIA
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
02889180301300005040630020320052820032510065010044700207FECALOMA, TRAT. QUIR.
01595300079770020739001276300255250017549001276240165912020420000319060041478005105
0000000000000000000000000000000000000000000
02890180300000003000000000000000000000000000000000000000FISTULA TRAT. QUIR. DE:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02891180301400005040630020320052820032510065010044700208FISTULA RECTOVESICAL,
TRAT.QUIR.
01710100085510022231001368100273620018812001368080177848021889600342020044462005472
4000000000000000000000000000000000000000000
02892180301500005040630020320052820032510065010044700208FISTULA RECTOVAGINAL,
RECTOURETRAL O URETROVAGINAL,
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
02893180301500015000000000000000000000000000000000000000TRAT.QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02894180301600005024380012190031690019500039010026820206FISTULA ANORRECTAL,
TRAT.QUIR.DE CUALQUIER TIPO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02895180301700005000000000000000000000000000000000000105FISURA ANAL, REPAR. QUIR.
00573800028690007459000459000091810006312000573800074590009181000000000000000000000
0000000000000000000000000000000000000000000
02896180301800005030440015220039570024350048700033480206HEMORROIDECTOMIA (INCLUYE
OTRAS OPERACIONES COMPLEMENTARIAS
01182200059110015369000945800189150013004000945760122952015132000236440030738003783
0000000000000000000000000000000000000000000
02897180301800015000000000000000000000000000000000000000EN CANAL ANAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02898180301900005000000000000000000000000000000000000103HEMORROIDES, TROMBECTOMIA
(PROC. AUT.)
00172600008630002244000138100027620001899000172600022440002762000000000000000000000
0000000000000000000000000000000000000000000
02899180300000003000000000000000000000000000000000000000IMPERFORACION ANAL,
RECONSTITUCION DEL TRANSITO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02900180302000005040630020320052820032510065010044700309IMPERFORACION
ANAL,RECONSTITUCION TRANSITO POR VIA ABDOMINO-
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
02901180302000015000000000000000000000000000000000000000PERINEAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02902180302100005030440015220039570024350048700033480207IMPERFORACION ANAL,
RECONSTITUCION TRANSITO POR VIA
PERINEAL010333000516700134330008267001653300113670008266401074640132264002066600268
660033066000000000000000000000000000000000000000000
02903180302200005031610015810041090025290050580034780309IMPERFORACION ANAL,
RECONSTITUCION TRANSITO POR VIA SAGITAL
01526300076320019842001221100244210016790001052620136842016842100263160034210004210
5002105200273680033684000000000000000000000
02904180302200015000000000000000000000000000000000000000POSTERIOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02905180300000003000000000000000000000000000000000000000INCONTINENCIA ANAL, TRAT.
QUIR. DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02906180302300005024380012190031690019500039010026820206INCONTINENCIA ANAL,
TRAT.QUIR. CON CERCLAJE
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02907180302400005040630020320052820032510065010044700207INCONTINENCIA ANAL,
TRAT.QUIR. CON PLASTIA MUSCULAR
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
02908180300000003000000000000000000000000000000000000000POLIPO RECTAL, TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02909180302500005040630020320052820032510065010044700208POLIPO RECTAL, TRAT.QUIR.
POR VIA ABDOMINAL
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
02910180302600005024380012190031690019500039010026820205POLIPO RECTAL, TRAT.QUIR.
POR VIA ANAL
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
02911180300000003000000000000000000000000000000000000000PROLAPSO RECTAL, TRAT.
QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02912180302700005040630020320052820032510065010044700308PROLAPSO RECTAL, TRAT.QUIR.
POR VIA ABDOMINAL
01652800082640021486001322200264450018181001139860148179018237900284970037045004559
5002279700296360036476000000000000000000000
02913180302800005030440015220039570024350048700033480206PROLAPSO RECTAL, TRAT.QUIR.
POR VIA ANAL
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02914180302900005101580050790132050081260162530111740312PANPROCTOCOLECTOMIA (2
EQUIPOS)
04016600200830052216003213300642660044183002770070360110044321400692520090028011080
3005540100720220088643000000000000000000000
02915180303000005000000000000000000000000000000000000106PRURITO ANAL, TRAT. QUIR.
POR DENERVACION
00516800025840006718000413400082690005685000516800067180008269000000000000000000000
0000000000000000000000000000000000000000000
02916180303100005030440015220039570024350048700033480206QUISTE SACROCOXIGEO, TRAT.
QUIR.
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
02917180303200005071080035540092400056860113730078190311RESECCION ABDOMINO-PERINEAL
DE ANO Y RECTO (2 EQUIPOS)
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
02918180303300005081290040650105680065040130060089420312RESECCION ABDOMINO-PERINEAL
DE ANO Y RECTO AMPLIADA (2
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
02919180303300015000000000000000000000000000000000000000EQUIPOS) (INCLUYE GENITALES
FEMENINOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02920180303400005060960030480079250048770097540067060309RESECCION ANTERIOR DE RECTO
02363800118190030729001891000378210026002001630210211924026083400407550052981006520
9003260400423850052167000000000000000000000
02921180303500005040630020320052820032510065010044700210RESECCION PERINEAL DE ANO Y
RECTO
01652800082640021486001322200264450018181001322240171888021156000330560042972005289
0000000000000000000000000000000000000000000
02922180300000003000000000000000000000000000000000000000EN LAS RESECCIONES
ABDOMINO-PERINEALES DE LAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02923180300000013000000000000000000000000000000000000000INTERVENCIONES 18-03-029,
18-03-032 Y 18-03-033, EL VALOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02924180300000023000000000000000000000000000000000000000CONSIGNADO CORRESPONDE AL
HONORARIO DEL EQUIPO ABDOMINAL.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02925180303600005000000000000000000000000000000000000200A LOS CIRUJANOS DEL EQUIPO
PERINEAL EN CADA INTERVENCION
01721800086090022383001377400275490018940001377440179064022039200344360044766005509
8000000000000000000000000000000000000000000
02926180303600015000000000000000000000000000000000000000ANTERIOR COD.18-03-029, 18-
03-032, Y 18-03-033
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02927180303800005024380012190031690019500039010026820205CONDILOMAS ANALES, TRAT.
QUIR.(PARA ELECTROFULGURACION VER
00774700038740010071000619800123950008522000619760080568009916000154940020142002479
0000000000000000000000000000000000000000000
02928180303800015000000000000000000000000000000000000000COD. 16-01-006)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02929190000000001000000000000000000000000000000000000000GRUPO : 19
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02930190000000001000000000000000000000000000000000000000UROLOGIA Y NEFROLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02931190100000002000000000000000000000000000000000000000I.- PROCEDIMIENTOS
UROLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02932190100000003000000000000000000000000000000000000000(ADEMAS ANESTESIA COD. 22-
01-001 SI CORRESPONDE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02933190100100005000000000000000000000000000000000000100EXPLORACION DE URETRA
ANTERO-POSTERIOR CON BUJIA Y/O
00042100002110000547000033700006740000464000042100005470000674000000000000000000000
0000000000000000000000000000000000000000000
02934190100100015000000000000000000000000000000000000000EXPLORADOR OLIVAR, Y/O
SONDA, Y/O BENIQUE, Y/O MEDICION DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02935190100100025000000000000000000000000000000000000000RESIDUO VESICAL (LA
CALIBRACION DEL MEATO ESTA INCLUIDA EN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02936190100100035000000000000000000000000000000000000000EL VALOR DE LA CONSULTA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02937190100000003000000000000000000000000000000000000000ENDOSCOPIAS C/S BIOPSIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02938190100200005000000000000000000000000000000000000105CISTOSCOPIA CON SONDEO DE
UNO O AMBOS URETERES
00313800015690004079000251000050210003452000313800040790005021000000000000000000000
0000000000000000000000000000000000000000000
02939190100300005000000000000000000000000000000000000104CISTOSCOPIA Y/O
URETROCISTOSCOPIA Y/O URETROSCOPIA
00286000014300003718000228800045760003146000286000037180004576000000000000000000000
0000000000000000000000000000000000000000000
02940190100300015000000000000000000000000000000000000000(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02941190100400005000000000000000000000000000000000000105URETERONEFROSCOPIA
00487900024400006343000390400078060005367000487900063430007806000000000000000000000
0000000000000000000000000000000000000000000
02942190100000003000000000000000000000000000000000000000BIOPSIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02943190100500005000000000000000000000000000000000000102BIOPSIA PROSTATICA
TRANSRECTAL O TRANSPERINEAL CON APOYO
00313800015690004079000251000050210003452000313800040790005021000000000000000000000
0000000000000000000000000000000000000000000
02944190100500015000000000000000000000000000000000000000ECOGRAFICO. CUALQUIER
NUMERO DE MUESTRAS,IINCLUYE BIOPSIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02945190100500025000000000000000000000000000000000000000POR SATURACION (ADEMAS
COD. 04-04-004 Y ANESTESIA 22-01-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02946190100500035000000000000000000000000000000000000000001 SI CORRESPONDE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02947190100600005000000000000000000000000000000000000103RENAL TRANSPARIETAL
00105000005250001365000084000016800001155000105000013650001680000000000000000000000
0000000000000000000000000000000000000000000
02948190100000003000000000000000000000000000000000000000EXAMENES URODINAMICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02949190100700005000000000000000000000000000000000000103CISTOMETRIA (PROC.AUT.)
00146500007330001905000117300023440001612000146500019050002344000000000000000000000
0000000000000000000000000000000000000000000
02950190100800005000000000000000000000000000000000000103ELECTROMIOGRAFIA PERINEAL Y
DEL ESFINTER URETRAL EN ADULTOS
00111400005570001448000089100017820001225000111400014480001782000000000000000000000
0000000000000000000000000000000000000000000
02951190100800015000000000000000000000000000000000000000(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02952190100900005000000000000000000000000000000000000103ELECTROMIOGRAFIA PERINEAL Y
DEL ESFINTER URETRAL EN NIOS
00111400005570001448000089100017820001225000111400014480001782000000000000000000000
0000000000000000000000000000000000000000000
02953190100900015000000000000000000000000000000000000000(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02954190101000005000000000000000000000000000000000000103PERFIL URETRAL (PROC.AUT.)
00146500007330001905000117300023440001612000146500019050002344000000000000000000000
0000000000000000000000000000000000000000000
02955190101100005000000000000000000000000000000000000000UROFLUJOMETRIA (PROC.AUT.)
00094700004740001231000075800015150001042000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02956190103000005000000000000000000000000000000000000103ESTUDIO URODINAMICO
(INCLUYE CISTOMETRIA, EMG PERINEAL Y
00507400025370006596000405900081180005581000507400065960008118000000000000000000000
0000000000000000000000000000000000000000000
02957190103000015000000000000000000000000000000000000000DEL ESFINTER URETRAL,
PERFIL URETRAL Y UROFLUJOMETRIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02958190100000003000000000000000000000000000000000000000PROCEDIMIENTOS PARA
EXAMENES RADIOLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02959190100000003000000000000000000000000000000000000000(SI UN MISMO MEDICO EFECTUA
AMBOS PROCEDIMIENTOS, COBRARA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02960190100000013000000000000000000000000000000000000000AMBOS CODIGOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02961190101200005000000000000000000000000000000000000100CISTOGRAFIA POR SONDA (DE
RELLENO) O POR PUNCION
00092300004620001200000073900014770001016000092300012000001477000000000000000000000
0000000000000000000000000000000000000000000
02962190101200015000000000000000000000000000000000000000HIPOGASTRICA (A.C. 04-01-
027)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02963190101300005000000000000000000000000000000000000100INYECCION DE MEDIO DE
CONTRASTE EN CUERPO CAVERNOSO
00092300004620001200000073900014770001016000092300012000001477000000000000000000000
0000000000000000000000000000000000000000000
02964190101500005000000000000000000000000000000000000105URETEROPIELOGRAFIA
ASCENDENTE (DIRECTA) POR CATETERISMO
00331200016560004306000265000052990003643000331200043060005299000000000000000000000
0000000000000000000000000000000000000000000
02965190101500015000000000000000000000000000000000000000URETERAL UNI O BILATERAL
(INCLUYE LA ENDOSCOPIA) (A.C. 04-
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
0296619010150002500000000000000000000000000000000000000002-012)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02967190101600005000000000000000000000000000000000000100URETROGRAFIA RETROGRADA O
CISTOURETROGRAFIA (MICCIONAL)
00066100003310000859000052900010580000728000066100008590001058000000000000000000000
0000000000000000000000000000000000000000000
02968190101600015000000000000000000000000000000000000000(A.C. 04-02-014)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02969190100000003000000000000000000000000000000000000000PROCEDIMIENTOS TERAPEUTICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02970190101800005000000000000000000000000000000000000100DILATACION URETRA C/S
MASAJE, C/S INSTILACION O INYECCION
00076900003850001000000061600012300000846000076900010000001230000000000000000000000
0000000000000000000000000000000000000000000
02971190101800015000000000000000000000000000000000000000DE MEDICAMENTOS: ANTERIOR
Y/O POSTERIOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02972190101900005000000000000000000000000000000000000100INSTILACION VESICAL
(INCLUYE COLOCACION DE SONDA) PROC.
AUT.0006260000313000081400005010001002000068900006260000814000100200000000000000000
00000000000000000000000000000000000000000000000
02973190102000005000000000000000000000000000000000000100INYECCION DE MEDICAMENTOS
EN EL PENE
00062600003130000814000050100010020000689000062600008140001002000000000000000000000
0000000000000000000000000000000000000000000
02974190102100005000000000000000000000000000000000000102VAC. VESICAL P/PUNCION
HIPOGASTRICA O CISTOSTOMIA P/PUNCION
00122100006110001587000097700019540001344000122100015870001954000000000000000000000
0000000000000000000000000000000000000000000
02975190102200005000000000000000000000000000000000000000VAC. VESICAL POR SONDA
URETRAL, (PROC. AUT.)
00062600003130000814000050100010020000689000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02976190100000003000000000000000000000000000000000000000DIALISIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02977190100000003000000000000000000000000000000000000000(INCLUYEN APLICACION DE LA
TECNICA, CONTROL CLINICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02978190100000013000000000000000000000000000000000000000PERMANENTE Y EL TRATAMIENTO
DE LAS COMPLICACIONES MEDICAS).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02979190102300005000000000000000000000000000000000000000HEMODIALISIS CON INSUMOS
INCLUIDOS
00429500008590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02980190102400005000000000000000000000000000000000000000HEMODIALISIS SIN INSUMOS
00270100005400000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02981190102700005000000000000000000000000000000000000000HEMODIALISIS, TRATAMIENTO
MENSUAL (CON INSUMOS INCLUIDOS)
05796800115940000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02982190102800005000000000000000000000000000000000000000HEMODIALISIS CON
BICARBONATO CON INSUMOS (POR SESION)
00541000010820000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02983190102900005000000000000000000000000000000000000000HEMODIALISIS CON
BICARBONATO CON INSUMOS (TRATAMIENTO
07033100140660000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02984190102900015000000000000000000000000000000000000000MENSUAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02985190102500005000000000000000000000000000000000000000PERITONEODIALISIS POR
SESION (INCLUYE INSUMOS)
00287900005760000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02986190102600005000000000000000000000000000000000000000PERITONEODIALISIS CONTINUA
EN PACIENTE CRONICO (ADULTO O
08639100172780000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02987190102600015000000000000000000000000000000000000000NIOS) (TRATAMIENTO
MENSUAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02988190200000002000000000000000000000000000000000000000II.- CIRUGIA UROLOGICA Y
SUPRARRENAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02989190200000003000000000000000000000000000000000000000TODAS LAS INTERVENCIONES
QUIRURGICAS SE REFIEREN A UN LADO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02990190200000013000000000000000000000000000000000000000CUANDO CORRESPONDA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02991190200000003000000000000000000000000000000000000000RION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02992190200100005030440015220039570024350048700033480208ABSCESO PERINEFRITICO,
VACIAMIENTO
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
02993190200200005077580038790100850062060124130085340311ARTERIAS RENALES,
OPERACIONES SOBRE (PROC. AUT.)
03428700171440044573002743000548590037716002364620307400037833800591160076850009458
4004729200614800075668000000000000000000000
02994190200300005106690053350138700085360170700117360313AUTO O HETEROTRANSPLANTE
04666200233310060661003733000746590051328003218070418352051489000804520104588012872
2006436100836700102978000000000000000000000
02995190200400005093740046870121860074990149980103110313CIRUGIA DE BANCO, (PROC.
COMPLETO)(MICRO-EXTRACORPOREA),
04589500229480059664003671700734320050485003165180411476050642700791290102869012660
7006330300822950101286000000000000000000000
02996190200400015000000000000000000000000000000000000000AUTOTRANSPLANTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02997190200500005066290033150086180053040106060072920208LITIASIS RENAL, TRAT. QUIR.
PERCUTANEO C/S ULTRASONIDO
02798700139940036383002239000447790030786002238960291064035823200559740072766008955
8000000000000000000000000000000000000000000
02998190200500015000000000000000000000000000000000000000(INCLUYE TODO EL
PROCEDIMIENTO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
02999190209000005078640039320102230062910125820086500110TRATAMIENTO INTEGRAL
LITIASIS URINARIA POR VIA LITOTRIPSIA
02672500133630034743002138100427600029398002672500347430042760000000000000000000000
0000000000000000000000000000000000000000000
03000190209000015000000000000000000000000000000000000000EXTRACORPOREA, INCLUYE TODO
PROCEDIMIENTO ADICIONAL.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03001190200600005050760025380065990040610081220055840308LITIASIS RENAL O URETERAL
POR CIRUGIA ABIERTA O
02353400117670030594001882700376540025887001623030210993025968200405760052748006492
1003246100421990051937000000000000000000000
03002190200600015000000000000000000000000000000000000000LAPAROSCOPICA, POR
PIELOTOMIA O NEFROTOMIA MINIMA O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03003190200600025000000000000000000000000000000000000000ANATROFICA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03004190200800005030440015220039570024350048700033480307LUMBOTOMIA EXPLORADORA C/S
DREN., C/S BIOPSIA (PROC. AUT.)
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03005190200900005051900025950067470041520083040057090309NEFRECTOMIA PARCIAL POR
CANCER RENAL, TRAUMATISMO RENAL,
03455400172770044920002764300552860038009002383030309793038128200595760077448009532
1004766100619590076257000000000000000000000
03006190200900015000000000000000000000000000000000000000VIA ABIERTA, LAPAROSCOPICA
O ROBOTICA, INCLUYE DISECCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03007190200900025000000000000000000000000000000000000000GANGLIONAR ETAPIFICADORA O
REDUCTIVA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03008190201000005077580038790100850062060124130085340309NEFRECTOMIA RADICAL POR
CANCER RENAL, TRAUMATISMO RENAL,
03455400172770044920002764300552860038009002383030309793038128200595760077448009532
1004766100619590076257000000000000000000000
03009190201000015000000000000000000000000000000000000000VIA ABIERTA, LAPAROSCOPICA
O ROBOTICA, INCLUYE DISECCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03010190201000025000000000000000000000000000000000000000GANGLIONAR ETAPIFICADORA O
REDUCTIVA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03011190201100005051900025950067470041520083040057090308NEFRECTOMIA POR PATOLOGIA
BENIGNA O MALFORMACION O
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
03012190201100015000000000000000000000000000000000000000TRASPLANTE.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03013190201200005040630020320052820032510065010044700308DRENAJE PERCUTANEO O
ENDOSCOPICO DE HIDRONEFROSIS.
01538300076920019998001230700246130016922001060900137918016974500265220034479004243
6002121800275830033949000000000000000000000
03014190201200015000000000000000000000000000000000000000(PROC.AUTONOMO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03015190201300005050760025380065990040610081220055840308PIELOTOMIA EXPLORADORA Y/O
TERAPEUTICA (INCLUYE LA
02467600123380032079001974100394820027144001701790221234027229000425450055309006807
2003403600442470054458000000000000000000000
03016190201300015000000000000000000000000000000000000000PIELOSTOMIA Y/O
PIELOPLASTIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03017190200000003000000000000000000000000000000000000000SUPRARRENAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03018190201400005071080035540092400056860113730078190309SUPRARRENALECTOMIA
BILATERAL
03006900150350039090002405600481100033076002073730269586033179300518430067397008294
8004147400539170066359000000000000000000000
03019190201500005050760025380065990040610081220055840308SUPRARRENALECTOMIA
UNILATERAL
02353400117670030594001882700376540025887001623030210993025968200405760052748006492
1003246100421990051937000000000000000000000
03020190200000003000000000000000000000000000000000000000URETER
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03021190201600005060960030480079250048770097540067060209ANASTOMOSIS DE LOS URETERES
02363800118190030729001891000378210026002001891040245832030256800472760061458007564
2000000000000000000000000000000000000000000
03022190201700005050760025380065990040610081220055840208FISTULA URETERO-VAGINAL,
TRAT. QUIR.
02065900103300026857001652800330540022725001652720214856026443200413180053714006610
8000000000000000000000000000000000000000000
03023190201800005067900033950088270054320108640074690309NEFROURETERECTOMIA EN
PATOLOGIA TUMORAL O MALFORMACION,
03089500154480040164002471700494320033985002130690276993034091000532670069248008522
8004261400553990068182000000000000000000000
03024190201800015000000000000000000000000000000000000000CUALQUIER VIA O TECNICA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03025190201900005050760025380065990040610081220055840308URETERECTOMIA
02180800109040028350001744600348930023989001504000195518024064200376000048879006016
0003008000391030048128000000000000000000000
03026190202000005040630020320052820032510065010044700207URETERO-LITOTOMIA ABIERTA
01652800082640021486001322200264450018181001322240171888021156000330560042972005289
0000000000000000000000000000000000000000000
03027190202100005050760025380065990040610081220055840105URETERO O NEFRO-LITOTOMIA
ENDOSCOPICA C/URETEROSCOPIA
02672500133630034743002138100427600029398002672500347430042760000000000000000000000
0000000000000000000000000000000000000000000
03028190202100015000000000000000000000000000000000000000RIGIDA O FLEXIBLE, CON O
SIN FRAGMENTACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03029190202200005060960030480079250048770097540067060209URETERECTOMIA,
URETEROPLASTIA, URETERORRAFIA, URETEROLISIS,
02363800118190030729001891000378210026002001891040245832030256800472760061458007564
2000000000000000000000000000000000000000000
03030190202200015000000000000000000000000000000000000000TRANSURETEROANASTOMOSIS,
CUALQUIER VIA O TECNICA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03031190202300005040630020320052820032510065010044700208URETERORRAFIA Y/O
URETEROLISIS C/U
01710100085510022231001368100273620018812001368080177848021889600342020044462005472
4000000000000000000000000000000000000000000
03032190202400005071080035540092400056860113730078190309URETEROSTOMIA
BILATERAL:VESICAL,CUTANEA O INTESTINAL
03236100161810042069002588900517780035598002231790290131035709000557950072533008927
2004463600580260071418000000000000000000000
03033190202500005050760025380065990040610081220055840308URETEROSTOMIA UNILATERAL:
VESICAL, CUTANEA O INTESTINAL
02467600123380032079001974100394820027144001701790221234027229000425450055309006807
2003403600442470054458000000000000000000000
03034190200000003000000000000000000000000000000000000000VEJIGA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03035190202700005040630020320052820032510065010044700208CISTECTOMIA PARCIAL Y/O
TRAT. QUIR. DE DIVERTICULO VESICAL
01595300079770020739001276300255250017549001276240165912020420000319060041478005105
0000000000000000000000000000000000000000000
03036190202800005106690053350138700085360170700117360311CISTECTOMIA RADICAL,
CUALQUIER VIA O TECNICA, INCLUYE
04885300244270063509003908300781650053739003369180437993053906900842290109498013476
7006738300875990107814000000000000000000000
03037190202800015000000000000000000000000000000000000000LINFADENECTOMIA AMPLIADA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03038190202900005071080035540092400056860113730078190309CISTOPLASTIA, PROC.
COMPLETO
03236100161810042069002588900517780035598002231790290131035709000557950072533008927
2004463600580260071418000000000000000000000
03039190203000005030440015220039570024350048700033480207REPARACION VESICAL POR
TRAUMA O DAO DE CUALQUIER TIPO.
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03040190203100005030440015220039570024350048700033480207CISTOSTOMIA C/S EXTRACCION
DE CUERPO EXTRAO O CALCULO
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03041190203200005060960030480079250048770097540067060208EXTROFIA VESICAL, PROC.
COMPLETO
02249300112470029241001799500359890024743001799440233928028791200449860058482007197
8000000000000000000000000000000000000000000
03042190203300005040630020320052820032510065010044700208FISTULA VESICO-CUTANEA, Y/O
VAGINAL, Y/O INTEST.,TRAT.
QUIR.016528000826400214860013222002644500181810013222401718880211560003305600429720
052890000000000000000000000000000000000000000000
03043190203400005030440015220039570024350048700033480208CIRUGIA ABIERTA O
ENDOSCOPICA DE LESIONES CUELLO VESICAL
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
03044190203400015000000000000000000000000000000000000000Y/O HEMOVEJIGA PRIMARIA O
POST CIRUGIA PROSTATA O VEJIGA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03045190203500005040630020320052820032510065010044700207LIGADURA DE ARTERIAS
HIPOGASTRICAS (PROC.AUT.)
01308500065430017011001046900209360014394001046800136088016748800261700034022004187
2000000000000000000000000000000000000000000
03046190203600005081290040650105680065040130060089420310OPERACION DE BRICKER
03408100170410044305002726500545300037490002350420305552037606900587600076388009401
7004700800611100075214000000000000000000000
03047190203700005050760025380065990040610081220055840109RESECCION ENDOSCOPICA DE
CANCER VESICAL
01492100074610019397001193700238740016414001492100193970023874000000000000000000000
0000000000000000000000000000000000000000000
03048190203800005071080035540092400056860113730078190309RESERVORIO CONTINENTE
INTESTINAL EXTERNO O INTERNO
03236100161810042069002588900517780035598002231790290131035709000557950072533008927
2004463600580260071418000000000000000000000
03049190200000003000000000000000000000000000000000000000URETRA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03050190204000005040630020320052820032510065010044700208EXTIRPACION DIVERTICULO O
QUISTE PARA-URETRAL, CUALQUIER
VIA01710100085510022231001368100273620018812001368080177848021889600342020044462005
4724000000000000000000000000000000000000000000
03051190204100005036130018070046970028910057810039750207FLEGMON URINOSO, DRENAJE Y
CISTOSTOMIA
01182200059110015369000945800189150013004000945760122952015132000236440030738003783
0000000000000000000000000000000000000000000
03052190204200005024380012190031690019500039010026820105GLANDULAS DE COWPER,
LESIONES DE LAS ,TRAT. QUIR.
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
03053190204300005040630020320052820032510065010044700207URETROPLASTIA SIN
SUBSTITUCION - URETRORRAFIA
01308500065430017011001046900209360014394001046800136088016748800261700034022004187
2000000000000000000000000000000000000000000
03054190204400005040630020320052820032510065010044700208URETROPLASTIA DE
SUBSTITUCION, CADA TIEMPO
01652800082640021486001322200264450018181001322240171888021156000330560042972005289
0000000000000000000000000000000000000000000
03055190204500005036970018490048060029580059150040670208INCONTINENCIA URINARIA DE
ESFUERZO O D.I.E. (DISFUNCION
01554400077720020207001243500248700017098001243520161656019896000310880040414004974
0000000000000000000000000000000000000000000
03056190204500015000000000000000000000000000000000000000INTRINSECA DEL ESFINTER),
CUALQUIER VIA UNICA O COMBINADA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03057190204500025000000000000000000000000000000000000000CON O SIN INSTALACION DE
MALLAS, ELEMENTOS PROTESICOS O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03058190204500035000000000000000000000000000000000000000ESFINTER ARTIFICIAL.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03059190204600005000000000000000000000000000000000000105MEATOTOMIA MUJER
00258800012940003364000207000041410002847000258800033640004141000000000000000000000
0000000000000000000000000000000000000000000
03060190204700005024380012190031690019500039010026820105MEATOTOMIA QUIRURGICA C/S
RESECCION DE POLIPO O CARUNCULA
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
03061190204800005000000000000000000000000000000000000105POLIPO
MEATO,ELECTROCOAGULACION
00172600008630002244000138100027620001899000172600022440002762000000000000000000000
0000000000000000000000000000000000000000000
03062190204900005047960023980062350038370076740052760208URETRECTOMIA Y /O PLASTIA
ABIERTA DE URETRA POSTERIOR POR
01491800074590019393001193400238690016410001193440155144019095200298360038786004773
8000000000000000000000000000000000000000000
03063190204900015000000000000000000000000000000000000000TRAUMA O, ESTENOSIS O
CUALQUIER ETIOLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03064190205000005030440015220039570024350048700033480205FISTULECTOMIA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03065190205100005030440015220039570024350048700033480105URETROSTOMIA
00827000041350010751000661600132320009097000827000107510013232000000000000000000000
0000000000000000000000000000000000000000000
03066190205200005030440015220039570024350048700033480205URETROTOMIA EXTERNA (PROC.
AUT.)
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03067190205300005030440015220039570024350048700033480105URETROTOMIA INTERNA Y/O
URETROLITOTOMIA (PROC. AUT.)
01182200059110015369000945800189150013004001182200153690018915000000000000000000000
0000000000000000000000000000000000000000000
03068190200000003000000000000000000000000000000000000000PROSTATA Y VESICULAS
SEMINALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03069190205400005024380012190031690019500039010026820205ABSCESO, TRAT. QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03070190205500005050760025380065990040610081220055840108ADENOMA O CANCER
PROSTATICO, RESECCION ENDOSCOPICA
01663900083200021631001331200266220018303001663900216310026622000000000000000000000
0000000000000000000000000000000000000000000
03071190205500015000000000000000000000000000000000000000DESOBSTRUCTIVA, CUALQUIER
TECNICA (UNI, BIPOLAR, LASER U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03072190205500025000000000000000000000000000000000000000OTROS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03073190205600005050760025380065990040610081220055840208ADENOMA PROSTATICO, TRAT.
QUIR. CUALQUIER VIA O TECNICA
01951400097570025368001561100312220021465001561120202944024977600390280050736006244
4000000000000000000000000000000000000000000
03074190205600015000000000000000000000000000000000000000ABIERTA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03075190205700005071080035540092400056860113730078190310PROSTATECTOMIA RADICAL POR
CANCER PROSTATICO, CUALQUIER VIA
03455400172770044920002764300552860038009002383030309793038128200595760077448009532
1004766100619590076257000000000000000000000
03076190205700015000000000000000000000000000000000000000O TECNICA, INCLUYE
LINFADENECTOMIA SI CORRESPONDE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03077190205800005024380012190031690019500039010026820205VESICULOSTOMIA DIAGNOSTICA
Y/O TERAPEUTICA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03078190200000003000000000000000000000000000000000000000TESTICULOS Y SUS ANEXOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03079190205900005024380012190031690019500039010026820205BIOPSIA QUIRURGICA DE
TESTICULO Y/O ASPIRACION
EPIDIDIMARIA.0103410005171001344300082730016546001137600082728010754401323680020682
00268860033092000000000000000000000000000000000000000000
03080190206000005033830016920043980027070054130037220206DESCENSO TESTICULAR CON O
SIN HERNIA, CUALQUIER TIEMPO,
01411600070580018351001129300225860015528001129280146808018068800282320036702004517
2000000000000000000000000000000000000000000
03081190206000015000000000000000000000000000000000000000CUALQUIER TECNICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03082190206100005030440015220039570024350048700033480205DESCENSO TESTICULO INGUINAL
C/S HERNIOPLASTIA
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
03083190206200005024380012190031690019500039010026820206ESCROTO, PLASTIA DE, PROC.
COMPLETO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03084190206300005024380012190031690019500039010026820205HIDATIDECTOMIA UNILAT.C/S
EVERSION DE LA VAGINAL
(PROC.AUT.)010341000517100134430008273001654600113760008272801075440132368002068200
268860033092000000000000000000000000000000000000000000
03085190206400005024380012190031690019500039010026820205HIDROCELE Y/O HEMATOCELE,
INCLUYE QUISTES CORDON Y/O
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03086190206400015000000000000000000000000000000000000000EPIDIDIMO Y/O
HIDATIDECTOMIAS Y/O CIRUGIA INTRAVAGINAL DEL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03087190206400025000000000000000000000000000000000000000MISMO LADO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03088190206500005024380012190031690019500039010026820205ORQUIDECTOMIA UN LADO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03089190206600005024380012190031690019500039010026820205ORQUIDOPEXIA UN LADO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03090190206700005024380012190031690019500039010026820205PROTESIS TESTICULAR, (PROC.
AUT.)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03091190206800005030440015220039570024350048700033480206TUMORES MALIGNOS DEL
TESTICULO, ORQUIDECTOMIA AMPLIADA NO
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
03092190206800015000000000000000000000000000000000000000INCLUYE VACIAMIENTO LUMBO-
AORTICO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03093190206900005081290040650105680065040130060089420311DISECCION GANGLIONAR
LUMBOAORTICA POR CANCER TESTICULAR,
03074900153750039974002460000491980033824002120620275682033929700530160068921008482
4004241200551370067859000000000000000000000
03094190206900015000000000000000000000000000000000000000CUALQUIER VIA O TECNICA,
UNI O BILATERAL O MODIFICADA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03095190200000003000000000000000000000000000000000000000EPIDIDIMO Y CONDUCTO
DEFERENTE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03096190207000005040630020320052820032510065010044700207ANASTOMOSIS DE LOS
DEFERENTES
01538300076920019998001230700246130016922001230640159984019690400307660039996004922
6000000000000000000000000000000000000000000
03097190207100005030440015220039570024350048700033480205CIRUGIA DEL EPIDIDIMO Y
CORDON (PROC.AUT), INCLUYE CIRUGIA
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
03098190207100015000000000000000000000000000000000000000INTRAVAGINAL Y/O VARICOCELE
MISMO LADO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03099190207200005040630020320052820032510065010044700207PLASTIA EPIDIDIMO-DEFERENTE
(OPERACION DE MARTIN O SIM.)
01538300076920019998001230700246130016922001230640159984019690400307660039996004922
6000000000000000000000000000000000000000000
03100190207300005024380012190031690019500039010026820205QUISTES DEL CORDON, Y/O
EPIDIDIMO, EXTIRPACION ;
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03101190207300015000000000000000000000000000000000000000EPIDIDIMOTOMIA DIAGNOSTICA
Y/O TERAPEUTICA (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03102190207400005030440015220039570024350048700033480205EXPLORACION ESCROTO AGUDO,
INCLUYE HEMATOCELE POR TRAUMA,
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03103190207400015000000000000000000000000000000000000000DESTORCION Y FIJACION
TESTICULO TORCIDO, HIDATIDECTOMIA Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03104190207400025000000000000000000000000000000000000000EVERSION BILATERAL SI
CORRESPONDE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03105190207500005024380012190031690019500039010026820205VARICOCELE UNILATERAL Y/O
DENERVACION CORDON ESPERMATICO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03106190207500015000000000000000000000000000000000000000(INCLUYE QUISTES, HIDATIDES
E HIDROCELE MISMO LADO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03107190207600005024380012190031690019500039010026820205VASECTOMIA BILATERAL,
(PROC. AUT.) (LA VASECTOMIA COMO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03108190207600015000000000000000000000000000000000000000TIEMPO PREVIO A UNA
RESECCION DE PROSTATA ESTA INCLUIDA EN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03109190207600025000000000000000000000000000000000000000LA PROSTATECTOMIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03110190200000003000000000000000000000000000000000000000PENE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03111190207700005040630020320052820032510065010044700207EPISPADIAS, TRAT. QUIR.
01538300076920019998001230700246130016922001230640159984019690400307660039996004922
6000000000000000000000000000000000000000000
03112190207800005030440015220039570024350048700033480206AMPUTACION PARCIAL DEL PENE
(PROC.AUT.)
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
03113190207900005050760025380065990040610081220055840208AMPUTACION TOTAL DEL PENE,
PROC. COMPLETO
01893400094670024614001514700302940020827001514720196912024235200378680049228006058
8000000000000000000000000000000000000000000
03114190208000005000000000000000000000000000000000000104BIOPSIA DE PENE (PROC.
AUT.)
00258800012940003364000207000041410002847000258800033640004141000000000000000000000
0000000000000000000000000000000000000000000
03115190208100005030440015220039570024350048700033480206CIRUGIA DEL PRIAPISMO
CUALQUIER VIA O TECNICA
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
03116190208200005030440015220039570024350048700033480205CIRCUNCISION (INCLUYE
SECCION DE FRENILLO, Y/O DE SINEQUIAS
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03117190208200015000000000000000000000000000000000000000BALANO-PREPUCIALES, Y/O
INCISION DORSAL C/S MEATOTOMIA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03118190208300005030440015220039570024350048700033480205CIRUGIA TRAUMATISMO PENEANO
O CURVATURAS ADQUIRIDAS DE LA
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
03119190208300015000000000000000000000000000000000000000ALBUGINEA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03120190208400005000000000000000000000000000000000000104MEATOTOMIA HOMBRE Y/O
SECCION FRENILLO Y/O INCISION DORSAL,
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
03121190208400015000000000000000000000000000000000000000(PROC.AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03122190208500005050760025380065990040610081220055840207IMPLANTACION DE PROTESIS
PENEANA (NO INCLUYE PROTESIS )
02123200106160027602001698600339710023355001698560220816027176800424640055204006794
2000000000000000000000000000000000000000000
03123200000000001000000000000000000000000000000000000000GRUPO : 20
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03124200000000001000000000000000000000000000000000000000GINECOLOGIA Y OBSTETRICIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03125200100000002000000000000000000000000000000000000000I.- PROCEDIMIENTOS
DIAGNOSTICOS Y TERAPEUTICOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03126200100000003000000000000000000000000000000000000000ENDOSCOPIAS C/S BIOPSIAS
C/S TOMA DE MUESTRAS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03127200100100005000000000000000000000000000000000000102AMNIOSCOPIA C/S ESCALPE
FETAL
00062600003130000814000050100010020000689000062600008140001002000000000000000000000
0000000000000000000000000000000000000000000
03128200100200005000000000000000000000000000000000000100COLPOSCOPIA
00068600003430000892000054900010980000755000068600008920001098000000000000000000000
0000000000000000000000000000000000000000000
03129200100500005000000000000000000000000000000000000104HISTEROSCOPIA DIAGNOSTICA
(PROC. AUT.)
00156600007830002036000125300025060001723000156600020360002506000000000000000000000
0000000000000000000000000000000000000000000
03130200100000003000000000000000000000000000000000000000OTRAS EXPLORACIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03131200100600005000000000000000000000000000000000000100AMNIOCENTESIS
00094300004720001226000075500015090001038000094300012260001509000000000000000000000
0000000000000000000000000000000000000000000
03132200100700005000000000000000000000000000000000000103CULDOCENTESIS (PUNCION DEL
DOUGLAS)
00122100006110001587000097700019540001344000122100015870001954000000000000000000000
0000000000000000000000000000000000000000000
03133200100800005000000000000000000000000000000000000100HIDROTUBACION Y/O
INSUFLACION DE TROMPAS
00094300004720001226000075500015090001038000094300012260001509000000000000000000000
0000000000000000000000000000000000000000000
03134200100900005000000000000000000000000000000000000000& MONITOREO BASAL CON
INFORME
00038500001930000501000030900006160000424000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03135200101000005000000000000000000000000000000000000000MONITOREO FETAL ESTRESANTE,
CON CONTROL PERMANENTE DEL
00122100006110001587000097700019540001344000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03136200101000015000000000000000000000000000000000000000ESPECIALISTA Y TRATAMIENTO
DE LAS POSIBLES COMPLICACIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03137200102100005000000000000000000000000000000000000000CORDOCENTESIS
00219500010980002854000175700035120002415000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03138200100000003000000000000000000000000000000000000000& ESTA PRESTACION PUEDE SER
HECHA Y COBRADA POR MATRONAS,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03139200100000013000000000000000000000000000000000000000POR PRESCRIPCION ESCRITA DE
UN MEDICO CIRUJANO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03140200100000003000000000000000000000000000000000000000PROCEDIMIENTOS PARA
EXAMENES RADIOLOGICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03141200100000003000000000000000000000000000000000000000(SI UN MISMO MEDICO REALIZA
AMBOS PROCEDIMIENTOS, COBRARA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03142200100000013000000000000000000000000000000000000000AMBOS CODIGOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03143200101200005000000000000000000000000000000000000100GALACTOGRAFIA (A.C. 04-02-
005)
00099600004980001295000079700015940001096000099600012950001594000000000000000000000
0000000000000000000000000000000000000000000
03144200101300005000000000000000000000000000000000000100HISTEROSALPINGOGRAFIA (A.C.
04-02-011)
00128700006440001673000103000020590001416000128700016730002059000000000000000000000
0000000000000000000000000000000000000000000
03145200100000003000000000000000000000000000000000000000OTROS PROCEDIMIENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03146200101400005000000000000000000000000000000000000102BIOPSIA ENDOMETRIO, VULVA,
VAGINA, CUELLO, C/U (PROC. AUT.)
00128700006440001673000103000020590001416000128700016730002059000000000000000000000
0000000000000000000000000000000000000000000
03147200101500005000000000000000000000000000000000000100& COLOCACION O EXTRACCION
DE DISPOSITIVO INTRAUTERINO (NO
00080900004050001052000064800012940000890000080900010520001294000000000000000000000
0000000000000000000000000000000000000000000
03148200101500015000000000000000000000000000000000000000INCLUYE EL VALOR DEL
DISPOSITIVO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03149200101600005000000000000000000000000000000000000102ELECTRODIATERMO O
CRIOCOAGULACION DE LESIONES DEL CUELLO
00132000006600001716000105600021120001452000132000017160002112000000000000000000000
0000000000000000000000000000000000000000000
03150200102000005000000000000000000000000000000000000000TEST POSTCOITAL
00099600004980001295000079700015940001096000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03151200102200005000000000000000000000000000000000000100PUNCION EVACUADORA DE
QUISTES MAMARIOS, C/S TOMA DE
00091100004560001184000072900014580001003000091100011840001458000000000000000000000
0000000000000000000000000000000000000000000
03152200102200015000000000000000000000000000000000000000MUESTRAS, C/S INYECCION DE
MEDICAMENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03153200100000003000000000000000000000000000000000000000& ESTA PRESTACION PUEDE SER
HECHA Y COBRADA POR MATRONAS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03154200200000002000000000000000000000000000000000000000II.- CIRUGIA DE LA MAMA
( UN LADO )
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03155200200000003000000000000000000000000000000000000000( VEASE ADEMAS CIRUGIA
PLASTICA Y REPARADORA COD. 15-02-047
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03156200200000013000000000000000000000000000000000000000AL 15-02-052)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03157200200100005000000000000000000000000000000000000103ABSCESO Y/O HEMATOMA DE
MAMA, TRAT.QUIR.
00287600014380003739000230100046020003164000287600037390004602000000000000000000000
0000000000000000000000000000000000000000000
03158200200200005030900015450040170024720049440033990306MASTECTOMIA PARCIAL
(CUADRANTECTOMIA O SIMILAR ) O TOTAL
01517600075880019729001214100242820016694001046620136062016746200261660034016004186
6002093200272120033492000000000000000000000
03159200200200015000000000000000000000000000000000000000S/VACIAMIENTO GANGLIONAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03160200200300005071080035540092400056860113730078190307MASTECTOMIA RADICAL O
TUMORECTOMIA C/VACIAMIENTO GANGLIONAR
02719900136000035359002176000435180029919001875790243855030012400468950060964007503
1003751600487710060025000000000000000000000
03161200200300015000000000000000000000000000000000000000O MASTECTOMIA TOTAL
C/VACIAMIENTO GANGLIONAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03162200200500005024380012190031690019500039010026820205TUMOR BENIGNO Y/O QUISTE
Y/O MAMA SUPERNUMERARIA Y/O
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03163200200500015000000000000000000000000000000000000000ABERRANTE O POLITELIA, O
BIOPSIA QUIRURGICA EXTEMPORANEA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03164200200500025000000000000000000000000000000000000000TRAT. QUIR. (PROC. AUT)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03165200300000002000000000000000000000000000000000000000III.- CIRUGIA GINECOLOGICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03166200300000003000000000000000000000000000000000000000PARA CIRUGIA
VIDEOLAPAROSCOPICA NO INDIVIDUALIZADA COMO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03167200300000013000000000000000000000000000000000000000TAL, SE APLICARAN LOS
CODIGOS Y VALORES DE LAS TECNICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03168200300000023000000000000000000000000000000000000000CONVENCIONALES.PARA EL
CODIGO ADICIONAL, SE APLICARA, EN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03169200300000033000000000000000000000000000000000000000ESTOS CASOS, EL
CORRESPONDIENTE A LA PRESTACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03170200300000043000000000000000000000000000000000000000CONVENCIONAL AUMENTADO EN
DOS DIGITOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03171200300000003000000000000000000000000000000000000000(CUANDO LA PRESTACION
REQUIERE LAPAROTOMIA, ELLA ESTA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03172200300000013000000000000000000000000000000000000000INCLUIDA EN EL COD.
RESPECTIVO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03173200303100005024380012190031690019500039010026820207VIDEOLAPAROSCOPIA
GINECOLOGICA EXPLORADORA (INCLUYE TOMA DE
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03174200303100015000000000000000000000000000000000000000MUESTRAS PARA BIOPSIAS,
PUNCION DE QUISTES Y LIBERACION DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03175200303100025000000000000000000000000000000000000000ADHERENCIAS)(PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03176200300000003000000000000000000000000000000000000000OVARIO Y TROMPA DE FALOPIO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03177200300100005031610015810041090025290050580034780207OOFORECTOMIA PARCIAL O
TOTAL, UNI O BILATERAL (PROC. AUT.)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03178200300200005040630020320052820032510065010044700207ANEXECTOMIA Y/O VAC. DE
ABSCESO TUBO-OVARICO, UNI O
01308500065430017011001046900209360014394001046800136088016748800261700034022004187
2000000000000000000000000000000000000000000
03179200300200015000000000000000000000000000000000000000BILATERAL.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03180200300300005033830016920043980027070054130037220207EMBARAZO TUBARIO, TRAT.
QUIR.
01411600070580018351001129300225860015528001129280146808018068800282320036702004517
2000000000000000000000000000000000000000000
03181200300400005024380012190031690019500039010026820207LIGADURA O SECCION UNI O
BILATERAL DE LAS TROMPAS
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03182200300400015000000000000000000000000000000000000000(MADLENER, POMEROY, O
SIMILARES) (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03183200300500005024380012190031690019500039010026820207SALPINGECTOMIA UNI O
BILATERAL
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03184200300000003000000000000000000000000000000000000000ESTERILIDAD TUBARIA,
OPERACION PLASTICA, UNI O BILATERAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03185200300600005060960030480079250048770097540067060209ESTERILIDAD TUBARIA,
OPERACION PLASTICA UNI O BILATERAL CON
02249300112470029241001799500359890024743001799440233928028791200449860058482007197
8000000000000000000000000000000000000000000
03186200300600015000000000000000000000000000000000000000MICROCIRUGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03187200300700005040630020320052820032510065010044700208ESTERILIDAD TUBARIA,
OPERACION PLASTICA UNI O BILATERAL SIN
01480500074030019247001184500236880016286001184400153976018950400296100038494004737
6000000000000000000000000000000000000000000
03188200300700015000000000000000000000000000000000000000MICROCIRUGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03189200300000003000000000000000000000000000000000000000UTERO Y SUS ELEMENTOS DE
SOSTEN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03190200300800005031610015810041090025290050580034780208MIOMECTOMIA
01181800059090015363000945400189090013000000945440122904015127200236360030726003781
8000000000000000000000000000000000000000000
03191200304100005031610015810041090025290050580034780208EXTRACCION DE DIU
INCRUSTADO, POR VIA ABDOMINAL.
01181800059090015363000945400189090013000000945440122904015127200236360030726003781
8000000000000000000000000000000000000000000
03192200300000003000000000000000000000000000000000000000HISTERECTOMIA POR VIA
ABDOMINAL,C/S ANEXECTOMIA UNI O
BILAT.00000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000000000
03193200300900005040630020320052820032510065010044700308HISTERECTOMIA SUBTOTAL POR
VIA ABDOMINAL
01497400074870019466001197900239580016471001032690134248016522700258170033562004130
7002065400268500033046000000000000000000000
03194200301000005064920032460084400051940103870071410308HISTERECTOMIA TOTAL O
AMPLIADA POR VIA ABDOMINAL
03298900164950042886002639200527820036288002275100295766036401400568780073941009100
3004550200591530072803000000000000000000000
03195200301100005040630020320052820032510065010044700208LIGAMENTO ANCHO: ABSCESOS
Y/O HEMATOMAS Y/O FLEGMONES Y/O
01423000071150018499001138400227680015653001138400147992018214400284600036998004553
6000000000000000000000000000000000000000000
03196200301100015000000000000000000000000000000000000000QUISTOMAS Y/O VARICES U
OTROS, TRAT. QUIR. (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03197200301200005024380012190031690019500039010026820205CONIZACION Y/O AMPUTACION
DEL CUELLO, DIAGNOSTICA Y/O
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03198200301200015000000000000000000000000000000000000000TERAPEUTICA C/S BIOPSIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03199200301300005111740055870145260089390178780122910313EXANTERACION PELVIANA
ANTERIOR Y/O POSTERIOR
05060400253020065785004048300809660055664003489930453690055838600872480113422013959
7006979900907380111677000000000000000000000
03200200301400005059240029620077010047390094780065160308HISTERECTOMIA POR VIA
VAGINAL
02610900130550033942002088800417740028720001800620234082028809700450160058521007202
4003601200468170057619000000000000000000000
03201200301500005093100046550121030074480148960102410310HISTERECTOMIA RADICAL CON
DISECCION PELVIANA COMPLETA DE
04269100213460055498003415300683060046961002944210382745047107600736050095686011776
9005888400765490094215000000000000000000000
03202200301500015000000000000000000000000000000000000000TERRITORIOS GANGLIONARES,
INCLUYE GANGLIOS LUMBOAORTICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03203200301500025000000000000000000000000000000000000000(OPERACION DE WERTHEIM O
SIMILARES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03204200301600005071080035540092400056860113730078190308HISTERECTOMIA TOTAL
C/INTERVENCION INCONTINENCIA URINARIA,
03580400179020046545002864300572860039384002469240321000039507600617310080250009876
9004938500642000079015000000000000000000000
03205200301600015000000000000000000000000000000000000000CUALQUIER TECNICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03206200301700005030440015220039570024350048700033480208HISTEROPEXIA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03207200301800005040630020320052820032510065010044700208PLASTIA UTERINA (OPERACION
DE STRASSMAR O SIMILARES)
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
03208200301900005000000000000000000000000000000000000104POLIPECTOMIA (UNO O MAS)
(PROC. AUT.)
00316000015800004108000252800050560003476000316000041080005056000000000000000000000
0000000000000000000000000000000000000000000
03209200302000005000000000000000000000000000000000000105SINEQUIA Y/O ESTENOSIS
CERVICAL , TRAT. QUIR.
00573800028690007459000459000091810006312000573800074590009181000000000000000000000
0000000000000000000000000000000000000000000
03210200303000005024380012190031690019500039010026820205DESGARRO CERVICAL TRAT.
QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03211200304000005000000000000000000000000000000000000205INCOMPETENCIA CERVICAL
TRAT. QUIR.
01076000053800013988000860800172160011836000860800111904013772800215200027976003443
2000000000000000000000000000000000000000000
03212200300000003000000000000000000000000000000000000000VAGINA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03213200302100005000000000000000000000000000000000000105COLPOCELIOTOMIA
00573800028690007459000459000091810006312000573800074590009181000000000000000000000
0000000000000000000000000000000000000000000
03214200302200005030440015220039570024350048700033480206INCONTINENCIA URINARIA DE
ESFUERZO, TRAT. QUIR. POR VIA
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
03215200302200015000000000000000000000000000000000000000VAGINAL (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03216200302300005050760025380065990040610081220055840308PROLAPSO ANTERIOR Y/O
POSTERIOR CON REPAR., INCONTINENCIA
01893400094670024614001514700302940020827001305790169752020892400326450042438005223
1002611600339500041785000000000000000000000
03217200302300015000000000000000000000000000000000000000URINARIA POR VIA
EXTRAVAGINAL O COMBINADA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03218200302400005030440015220039570024350048700033480207PROLAPSO ANTERIOR Y/O
POSTERIOR C/S TRAT. DE INCONTINENCIA
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
03219200302400015000000000000000000000000000000000000000URINARIA POR VIA VAGINAL,
TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03220200302500005000000000000000000000000000000000000105QUISTE Y/O DESGARRO Y/O
TABIQUE VAGINAL, TRAT. QUIR.
00573800028690007459000459000091810006312000573800074590009181000000000000000000000
0000000000000000000000000000000000000000000
03221200300000003000000000000000000000000000000000000000VULVA Y PERINE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03222200302600005000000000000000000000000000000000000104BARTOLINITIS, VACIAMIENTO Y
DRENAJE (PROC. AUT.)
00229600011480002985000183700036740002526000229600029850003674000000000000000000000
0000000000000000000000000000000000000000000
03223200302700005024380012190031690019500039010026820205BARTOLINOCISTONEOSTOMIA O
EXTIRP. DE LA GLANDULA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03224200300000003000000000000000000000000000000000000000VULVECTOMIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03225200302800005071080035540092400056860113730078190308VULVECTOMIA RADICAL
03236100161810042069002588900517780035598002231790290131035709000557950072533008927
2004463600580260071418000000000000000000000
03226200302900005050760025380065990040610081220055840206VULVECTOMIA SIMPLE
01779300088970023131001423500284690019573001423440185048022775200355860046262005693
8000000000000000000000000000000000000000000
03227200400000002000000000000000000000000000000000000000IV.- CIRUGIA Y
PROCEDIMIENTOS OBSTETRICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03228200400000003000000000000000000000000000000000000000ABORTO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03229200400100005024380012190031690019500039010026820104- ABORTO RETENIDO,
VACIAMIENTO DE (INCLUYE LA INDUCCION EN
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
03230200400100015000000000000000000000000000000000000000LOS CASOS QUE CORRESPONDA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03231200400200005024380012190031690019500039010026820104- RASPADO UTERINO
DIAGNOSTICO O TERAPEUTICO POR METRORRAGIA
00779400038970010132000623500124700008573000779400101320012470000000000000000000000
0000000000000000000000000000000000000000000
03232200400200015000000000000000000000000000000000000000O POR RESTOS DE ABORTO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03233200400300005050760012690065990027920081220043150106PARTO PRESENTACION CEFALICA
O PODALICA, C/S EPISIOTOMIA,
01177900029450015313000647900188460010012001177900153130018846000000000000000000000
0000000000000000000000000000000000000000000
03234200400300015000000000000000000000000000000000000000C/S SUTURA, C/S FORCEPS,
C/S INDUCCION, C/S VERSION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03235200400300025000000000000000000000000000000000000000INTERNA, C/S REVISION, C/S
EXTRACCION MANUAL DE PLACENTA,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03236200400300035000000000000000000000000000000000000000C/S MONITORIZACION. (UNICO
O MULTIPLE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03237200400400005000000000000000000000000000000000000000HONORARIO MATRONA POR LA
ATENCION INTEGRAL DEL PARTO
00775200019380010078000426400124030006589000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03238200400400015000000000000000000000000000000000000000(INCLUYE 3 CONTROLES DE
EMBARAZO NORMAL, ATENCION EN SALA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03239200400400025000000000000000000000000000000000000000PRE-PARTO, C/S ATENCION EN
PERIODO EXPULSIVO, ASISTENCIA AL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03240200400400035000000000000000000000000000000000000000PABELLON QUIRURGICO EN CASO
DE OPERACION CESAREA, Y 2
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03241200400400045000000000000000000000000000000000000000CONTROLES EN EL PUERPERIO)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03242200400000003000000000000000000000000000000000000000OPERACION CESAREA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03243200400600005056080014020072900030840089730047670207CESAREA C/S
SALPINGOLIGADURA O SALPINGECTOMIA
01696300042410022052000933000271410014419001357040176416021712800339260044104005428
2000000000000000000000000000000000000000000
03244200400500005050760012690065990027920081220043150208CESAREA CON HISTERECTOMIA
01893400047340024614001041400302940016094001514720196912024235200378680049228006058
8000000000000000000000000000000000000000000
03245200400900005000000000000000000000000000000000000100FOTOTERAPIA RECIEN NACIDO
(POR DIA)
00009200000460000120000007400001470000101000009200001200000147000000000000000000000
0000000000000000000000000000000000000000000
03246210000000001000000000000000000000000000000000000000GRUPO : 21
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03247210000000001000000000000000000000000000000000000000ORTOPEDIA Y TRAUMATOLOGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03248210100000002000000000000000000000000000000000000000I.- PROCEDIMIENTOS
DIAGNOSTICOS Y TERAPEUTICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03249210100000003000000000000000000000000000000000000000ARTICULARES Y
OSTEOMUSCULARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03250210100100005000000000000000000000000000000000000100INFILTRACION LOCAL
MEDICAMENTOS (BURSAS, TENDONES,
00056200002810000731000045000008990000618000056200007310000899000000000000000000000
0000000000000000000000000000000000000000000
03251210100100015000000000000000000000000000000000000000YUXTAARTICULARES Y/O
INTRAARTICULARES), Y/O PUNCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03252210100100025000000000000000000000000000000000000000EVACUADORA C/S TOMA DE
MUESTRA (EN INTERFALANGICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03253210100100035000000000000000000000000000000000000000COMPRENDE HASTA DOS POR
SESION)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03254210100200005000000000000000000000000000000000000100PROCEDIMIENTO PARA
EXPLORACIONES RADIOLOGICAS (INCLUYE
00056200002810000731000045000008990000618000056200007310000899000000000000000000000
0000000000000000000000000000000000000000000
03255210100200015000000000000000000000000000000000000000MANIOBRA E INYECCION DEL
MEDIO DE CONTRASTE)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03256210100300005024380012190031690019500039010026820105MOVILIZACION ARTICULAR BAJO
ANESTESIA GENERAL.
00302500015130003933000242100048400003328000302500039330004840000000000000000000000
0000000000000000000000000000000000000000000
03257210400000002000000000000000000000000000000000000000II.- PROCEDIMIENTOS E
INTERVENCIONES QUIRURGICAS GENERALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03258210400000003000000000000000000000000000000000000000TANTO PARA PROCEDIMIENTOS E
INTERVENCIONES QUIRURGICAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03259210400000013000000000000000000000000000000000000000GENERALES COMO SEGMENTARIAS
DEL PARRAFO SIGUIENTE, SI SE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03260210400000023000000000000000000000000000000000000000USAN TECNICAS DE REDUCCION
Y FIJACIONES EXTERNAS,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03261210400000033000000000000000000000000000000000000000PERCUTANEAS, CON TUTORES
METALICOS, O DE CIRUGIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03262210400000043000000000000000000000000000000000000000VIDEOARTROSCOPICA, SE
APLICARAN LOS MISMOS CODIGOS Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03263210400000053000000000000000000000000000000000000000VALORES DE LAS TECNICAS
CONVENCIONALES.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03264210400000003000000000000000000000000000000000000000EN EL CASO DE UNA
INTERVENCION QUE NECESITE LA COLOCACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03265210400000013000000000000000000000000000000000000000DE UN APARATO ENYESADO, O
YESO, ESTE SE CONSIDERA INCLUIDO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03266210400000023000000000000000000000000000000000000000EN EL HONORARIO DEL
ESPECIALISTA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03267210400100005000000000000000000000000000000000000203ARTROSCOPIA DIAGNOSTICA C/S
BIOPSIA, C/S SECCION DE BRIDAS,
01291400064570016788001033100206620014205001033120134304016529600258280033576004132
4000000000000000000000000000000000000000000
03268210400100015000000000000000000000000000000000000000EXTRACCION DE CUERPO
EXTRAO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03269210400200005024380012190031690019500039010026820203EXOSTOSIS U OSTEOCONDROMA,
TRAT. QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03270210400300005000000000000000000000000000000000000203QUISTES SINOVIALES DE
VAINAS FLEXORAS, BURSAS
01001400050070013018000801100160220011015000801120104144012817600200280026036003204
4000000000000000000000000000000000000000000
03271210400400005000000000000000000000000000000000000103TRACCION HALOCRANEANA O
ESTRIBO-CRANEANA (PROC. AUT.)
00258800012940003364000207000041410002847000258800033640004141000000000000000000000
0000000000000000000000000000000000000000000
03272210400500005000000000000000000000000000000000000203TRACCION HALOCRANEO-FEMORAL
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
03273210400600005000000000000000000000000000000000000102TRACCION TRANSESQUELETICA O
DE PARTES BLANDAS EN ADULTOS O
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
03274210400600015000000000000000000000000000000000000000EN NIOS (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03275210400000003000000000000000000000000000000000000000ARTRODESIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03276210400700005024380012190031690019500039010026820204ARTRODESIS DE CODO O
MUECA, C/U
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03277210400800005030440015220039570024350048700033480305ARTRODESIS DE HOMBRO,
CADERA,RODILLA, TOBILLO O
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03278210400800015000000000000000000000000000000000000000SACROILIACA, C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03279210400900005024380012190031690019500039010026820204ARTRODESIS DE MANO O PIE
C/U
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03280210400000003000000000000000000000000000000000000000FRACTURAS EXPUESTAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03281210400000003000000000000000000000000000000000000000COMPRENDE EL ASEO
QUIRURGICO, EL MANEJO DE PARTES BLANDAS,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03282210400000013000000000000000000000000000000000000000LA TECNICA DE OSTEOSINTESIS
EMPLEADA Y/O LA COLOCACION DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03283210400000023000000000000000000000000000000000000000APARATOS ENYESADOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03284210401000005040630020320052820032510065010044700206TRATAMIENTO COMPLETO DE
FRACTURAS EXPUESTAS DE BRAZO,
01480500074030019247001184500236880016286001184400153976018950400296100038494004737
6000000000000000000000000000000000000000000
03285210401000015000000000000000000000000000000000000000ANTEBRAZO, MUSLO Y PIERNA,
C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03286210401100005024380012190031690019500039010026820205TRATAMIENTO COMPLETO DE
FRACTURAS EXPUESTAS DE MANO O PIE,
01099100054960014288000879300175860012091000879280114304014068800219820028576003517
2000000000000000000000000000000000000000000
03287210401100015000000000000000000000000000000000000000C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03288210400000003000000000000000000000000000000000000000INFECCIONES OSEAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03289210401200005024380012190031690019500039010026820205** OSTEITIS, RASPADO, C/S
SECUESTRECTOMIA
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03290210401300005024380012190031690019500039010026820206** OSTEOMIELITIS AGUDA
HEMATOGENA, DRENAJE QUIRURGICO, C/S
01099100054960014288000879300175860012091000879280114304014068800219820028576003517
2000000000000000000000000000000000000000000
03291210401300015000000000000000000000000000000000000000DISPOSITIVOS DE OSTEOCLISIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03292210401400005024660012330032060019730039460027130206OSTEOMIELITIS CRONICA
HUESOS LARGOS, LEGRADO OSEO, C/S
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03293210401400015000000000000000000000000000000000000000OSTEOSINTESIS O APARATO DE
YESO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03294210400000003000000000000000000000000000000000000000INFECCIONES ARTICULARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03295210400000003000000000000000000000000000000000000000SINOVITIS, ARTRITIS, U
OSTEOARTR. SEPTICAS; C/S ARTROCLISIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03296210401500005024660012330032060019730039460027130206ARTROTOMIA HOMBRO O CADERA
C/U
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03297210401600005024380012190031690019500039010026820205** ARTROTOMIA OTRAS
ARTICULACIONES, C/U
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03298210401700005030440015220039570024350048700033480306PSEUDOARTROSIS INFECTADA
HUESOS LARGOS, TRAT. QUIR.
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03299210401700015000000000000000000000000000000000000000CUALQUIER TECNICA, C/S
DISPOSITIVO DE OSTEOCLISIS,C/S
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03300210401700025000000000000000000000000000000000000000OSTEOSINTESIS O APARATO DE
YESO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03301210400000003000000000000000000000000000000000000000INJERTOS OSEOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03302210400000003000000000000000000000000000000000000000(INCLUYE TOMA E
IMPLANTACION) PROCEDIMIENTO SIMULTANEO O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03303210400000013000000000000000000000000000000000000000SUCESIVO CON OTRA
INTERVENCION QUIRURGICA; SE AGREGA AL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03304210400000023000000000000000000000000000000000000000VALOR DE LA OPERACION
PRINCIPAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03305210401800005071080035540092400056860113730078190311AUTOTRANSPLANTE OSEO
MICROQUIRURGICO
03293500164680042816002634900526960036229002271380295282036342100567840073821009085
5004542800590570072684000000000000000000000
03306210401900005024380012190031690019500039010026820204INJERTO ESPONJOSO
METAFISIARIO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03307210402000005024380012190031690019500039010026820204INJERTOS ESPONJOSOS O
CORTICO-ESPONJOSOS DE CRESTA ILIACA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03308210402100005050760025380065990040610081220055840307** TRANSPLANTE OSEO (AUTO
U HOMOTRANSPLANTE)
02237600111880029089001790100358020024614001543180200614024691000385790050153006172
8003086300401230049382000000000000000000000
03309210400000003000000000000000000000000000000000000000** ESTAS PRESTACIONES SE
AUTORIZAN A CIRUJANOS DENTISTAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03310210400000013000000000000000000000000000000000000000ESPECIALISTAS EN CIRUGIA
BUCAL Y MAXILOFACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03311210400000003000000000000000000000000000000000000000TUMORES O QUISTES O
LESIONES PSEUDOTUMORALES, OSEOS O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03312210400000013000000000000000000000000000000000000000MUSCULARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03313210402200005030440015220039570024350048700033480307LESIONES QUISTICAS CON
FRACTURA PATOLOGICA: LEGRADO OSEO,
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03314210402200015000000000000000000000000000000000000000C/S RELLENO INJERTO
ESPONJOSO, C/S OSTEOSINTESIS Y/O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03315210402200025000000000000000000000000000000000000000APARATO DE INMOVILIZACION
POSTOPERATORIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03316210402300005024380012190031690019500039010026820207LESIONES QUISTICAS: LEGRADO
OSEO, C/S RELLENO DE INJERTOS
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03317210402300015000000000000000000000000000000000000000ESPONJOSOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03318210402400005030440015220039570024350048700033480307METASTASIS OSEA C/S
FRACTURA PATOLOGICA, LEGRADO TUMORAL,
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03319210402400015000000000000000000000000000000000000000RELLENO CEMENTO QUIRURGICO
Y OSTEOSINTESIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03320210402500005030440015220039570024350048700033480307TUMOR OSEO, RESECCION EN
BLOQUE, C/S OSTEOSINTESIS Y/O
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03321210402500015000000000000000000000000000000000000000APARATO INMOVILIZACION
POSTOPERATORIO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03322210402600005030440015220039570024350048700033480207TUMORES O QUISTES O
LESIONES PSEUDOQUISTICAS O MUSCULARES
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03323210402600015000000000000000000000000000000000000000Y/O TENDINEAS, TRAT. QUIR.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03324210402700005040630020320052820032510065010044700307TUMORES OSEOS: RESECCION EN
BLOQUE,EPIFISIARIA C/ARTRODESIS
01595300079770020739001276300255250017549001100210143027017603400275050035757004400
9002200400286060035207000000000000000000000
03325210402700015000000000000000000000000000000000000000O DIAFISIARIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03326210402800005081290040650105680065040130060089420311TUMORES PRIMARIOS O
METASTASICOS VERTEBRALES:
03764000188200048932003011200602240041404002595860337462041533800648970084366010383
4005191700674920083068000000000000000000000
03327210402800015000000000000000000000000000000000000000CORPORECTOMIA, REEMPLAZO
POR CEMENTO QUIR.O INJERTO OSEO,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03328210402800025000000000000000000000000000000000000000C/S OSTEOSINTESIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03329210400000003000000000000000000000000000000000000000SINOVECTOMIAS QUIRURGICAS
(PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03330210402900005000000000000000000000000000000000000205SINOVECTOMIAS QUIRURGICAS
DE CODO O MUECA O
00999500049980012994000799700159920010995000799600103952012793600199900025988003198
4000000000000000000000000000000000000000000
03331210402900015000000000000000000000000000000000000000METACARPOFALANGICAS, C/U
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03332210403000005024380012190031690019500039010026820206SINOVECTOMIAS QUIRURGICAS
DE RODILLA O CADERA U HOMBRO, C/U
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03333210400000003000000000000000000000000000000000000000NEUROLISIS - NEURORRAFIAS -
NEURECTOMIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03334210400000003000000000000000000000000000000000000000(VEASE NEUROCIRUGIA COD.
11-03-058 AL 11-03-063 Y 11-03-
068)0000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000
03335210403100005040630020320052820032510065010044700209EPINEURORRAFIA
MICROQUIRURGICA CON MAGNIFICACION CUALQUIER
01423000071150018499001138400227680015653001138400147992018214400284600036998004553
6000000000000000000000000000000000000000000
03336210403100015000000000000000000000000000000000000000TRONCO NERVIOSO (CON
EXCEPCION NERVIOS DIGITALES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03337210400000003000000000000000000000000000000000000000BIOPSIA SINOVIAL, OSEA O
MUSCULAR (PROC. AUT.)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03338210403300005000000000000000000000000000000000000103BIOPSIA OSEA POR PUNCION
00206700010340002687000165400033070002274000206700026870003307000000000000000000000
0000000000000000000000000000000000000000000
03339210403400005000000000000000000000000000000000000205BIOPSIA OSEA QUIRURGICA
00999500049980012994000799700159920010995000799600103952012793600199900025988003198
4000000000000000000000000000000000000000000
03340210403500005000000000000000000000000000000000000102BIOPSIA SINOVIAL O MUSCULAR
POR PUNCION
00206700010340002687000165400033070002274000206700026870003307000000000000000000000
0000000000000000000000000000000000000000000
03341210403600005000000000000000000000000000000000000104BIOPSIA SINOVIAL O MUSCULAR
QUIRURGICA
00258800012940003364000207000041410002847000258800033640004141000000000000000000000
0000000000000000000000000000000000000000000
03342210403700005000000000000000000000000000000000000104BIOPSIA VERTEBRAL POR
PUNCION
00413000020650005369000330400066080004543000413000053690006608000000000000000000000
0000000000000000000000000000000000000000000
03343210400000003000000000000000000000000000000000000000OTROS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03344210403800005024380012190031690019500039010026820204MUON DE AMPUTACION,
REGULARIZACION DE
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03345210403900005024380012190031690019500039010026820205OSTEOCONDROSIS O
EPIFISITIS, TRAT. QUIR.
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03346210400000003000000000000000000000000000000000000000III.- INTERVENCIONES
QUIRURGICAS SEGMENTARIAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03347210400000003000000000000000000000000000000000000000TODAS LAS INTERVENCIONES
QUIRURGICAS SE REFIEREN A UN LADO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03348210400000003000000000000000000000000000000000000000HOMBRO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03349210404000005050760025380065990040610081220055840311AMPUTACION INTERESCAPULO-
TORACICA
02353400117670030594001882700376540025887001623030210993025968200405760052748006492
1003246100421990051937000000000000000000000
03350210404100005030440015220039570024350048700033480310DESARTICULACION ESCAPULO-
HUMERAL
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03351210404200005040630020320052820032510065010044700310ENDOPROTESIS TOTAL DE
HOMBRO,(CUALQUIER TECNICA)
01480500074030019247001184500236880016286001021030132738016336600255260033184004084
1002042100265480032673000000000000000000000
03352210404300005030440015220039570024350048700033480307FIJACION DE ESCAPULA
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03353210404400005030440015220039570024350048700033480307FRACTURA CUELLO HUMERAL,
TRAT. QUIR.
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03354210404500005000000000000000000000000000000000000205FRACTURA DE CLAVICULA,
OSTEOSINTESIS
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
03355210404600005024380012190031690019500039010026820206FRACTURA ESCAPULA,
OSTEOSINTESIS
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03356210404700005024380012190031690019500039010026820207LUXACION ACROMIO-CLAVICULAR
O ESTERNO CLAVICULAR, REDUCCION
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03357210404700015000000000000000000000000000000000000000O PLASTIA
CAPSULOLIGAMENTOSA Y OSTEOSINTESIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03358210404800005030440015220039570024350048700033480306LUXACION RECIDIVANTE, TRAT.
QUIR.
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03359210404900005024380012190031690019500039010026820205LUXACION TRAUMATICA,
REDUCCION CRUENTA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03360210405000005030440015220039570024350048700033480307LUXOFRACTURA,REDUCCION Y
OSTEOSINTESIS
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03361210405100005030440015220039570024350048700033480307RUPTURA MANGUITO ROTADORES,
TRAT. QUIR. C/S ACROMIECTOMIA
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03362210405200005024380012190031690019500039010026820206TRANSPOSICIONES MUSCULARES
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03363210400000003000000000000000000000000000000000000000HUMERO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03364210405300005030440015220039570024350048700033480207AMPUTACION BRAZO
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03365210405400005030440015220039570024350048700033480206FRACTURA SUPRACONDILEA
NIO; TRACCION ESQUELETICA, C/S
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03366210405400015000000000000000000000000000000000000000OSTEOSINTESIS Y APARATO DE
YESO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03367210405500005024380012190031690019500039010026820206OSTEOSINTESIS DIAFISIARIA
(CUALQUIER TECNICA)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03368210405600005030440015220039570024350048700033480206OSTEOSINTESIS SUPRA O
INTERCONDILEA (CUALQUIER TECNICA)
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03369210405700005024380012190031690019500039010026820206OSTEOTOMIA (CUALQUIER
TECNICA)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03370210405800005024380012190031690019500039010026820206PSEUDOARTROSIS C/S
OSTEOSINTESIS C/S YESO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03371210400000003000000000000000000000000000000000000000CODO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03372210405900005030440015220039570024350048700033480207ARTROPLASTIA CON FASCIA
01100500055030014307000880500176080012106000880400114456014086400220100028614003521
6000000000000000000000000000000000000000000
03373210406000005024380012190031690019500039010026820206CUPULA RADIAL, RESECCION
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03374210406100005024380012190031690019500039010026820207CUPULA RADIAL, (RESECCION
CON IMPLANTE DE PROTESIS)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03375210406100015000000000000000000000000000000000000000ARTROPLASTIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03376210406200005040630020320052820032510065010044700310ENDOPROTESIS TOTAL DE CODO,
(CUALQUIER TECNICA)
01480500074030019247001184500236880016286001021030132738016336600255260033184004084
1002042100265480032673000000000000000000000
03377210406300005030440015220039570024350048700033480206EPICONDILITIS, TRAT. QUIR.
(CUALQUIER TECNICA)
00990700049540012879000792600158510010898000792560103032012680800198140025758003170
2000000000000000000000000000000000000000000
03378210406400005024380012190031690019500039010026820205LUXACION, REDUCCION CRUENTA
01099100054960014288000879300175860012091000879280114304014068800219820028576003517
2000000000000000000000000000000000000000000
03379210406500005024660012330032060019730039460027130206LUXOFRACTURA, REDUCCION
CRUENTA C/S RESECCION CUPULA RADIAL
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03380210406600005024380012190031690019500039010026820206OSTEOSINTESIS EPITROCLEA-
EPICONDILO (CUALQUIER TECNICA)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03381210406700005024380012190031690019500039010026820206OSTEOSINTESIS OLECRANON U
OSTEOSINTESIS DE CUPULA RADIAL
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03382210406700015000000000000000000000000000000000000000(PROC. AUT.) (CUALQUIER
TECNICA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03383210406800005030440015220039570024350048700033480207TRASLOCACION NERVIO CUBITAL
(PROC. AUT.)
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
03384210400000003000000000000000000000000000000000000000ANTEBRAZO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03385210406900005030440015220039570024350048700033480207"OPERACION DE SALVATAJE"
RADIO-PROCUBITO
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03386210407000005030440015220039570024350048700033480207AMPUTACION
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03387210407100005024380012190031690019500039010026820206EXTIRPACION METAFISIS
DISTAL DEL CUBITO Y ARTRODESIS
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03388210407100015000000000000000000000000000000000000000RADIOCUBITAL INFERIOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03389210407200005024380012190031690019500039010026820206LUXOFRACTURAS (MONTEGGIA-
GALEAZZI), REDUCC. Y OSTEOSINTESIS
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03390210407300005024380012190031690019500039010026820206OSTEOSINTESIS,
FRACT.CERRADA CUBITO Y/O RADIO (CUALQ.
TECN.)01034100051710013443000827300165460011376000827280107544013236800206820026886
0033092000000000000000000000000000000000000000000
03391210407400005024380012190031690019500039010026820206OSTEOTOMIA UNO O AMBOS
HUESOS, C/S OSTESINTESIS C/S YESO O
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03392210407400015000000000000000000000000000000000000000TRAT. QUIR. ENF. DE
KIENBOCK
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03393210407500005024380012190031690019500039010026820206PSEUDOARTROSIS CUBITO Y/O
RADIO C/S OSTEOSINTESIS C/S YESO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03394210407600005030440015220039570024350048700033480206SINOSTOSIS RADIO-CUBITAL,
TRAT. QUIR.,C/S INJERTO
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03395210407700005030440015220039570024350048700033480306TRANSPLANTES MUSCULO-
TENDINOSOS
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03396210400000003000000000000000000000000000000000000000MUNECA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03397210400000003000000000000000000000000000000000000000(PARA SINDROME DE TUNEL
CARPIANO, VER COD. 11-03-066)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03398210407800005030440015220039570024350048700033480306CONTRACTURA ISQUEM.DE
VOLKMANN:DESCENSO MUSCULAR,
NEUROLISIS0149790007490001947300119840023966001647700103303013429701652820025826003
35740041321002066100268590033057000000000000000000000
03399210407900005040630020320052820032510065010044700210ENDOPROTESIS TOTAL DE
MUECA, (CUALQUIER TECNICA)
01480500074030019247001184500236880016286001184400153976018950400296100038494004737
6000000000000000000000000000000000000000000
03400210408000005024380012190031690019500039010026820205ESTILOIDES CUBITAL, RADIAL,
RESECCION DE.
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03401210408100005024380012190031690019500039010026820205FRACTURA O PSEUDOARTROSIS
ESCAFOIDES,TRAT. QUIR.
CUALQ.TECN.010991000549600142880008793001758600120910008792801143040140688002198200
285760035172000000000000000000000000000000000000000000
03402210408200005024380012190031690019500039010026820206IMPLANTE SILASTIC O
SIMILARES (ESCAFOIDES,SEMILUNAR)
01099100054960014288000879300175860012091000879280114304014068800219820028576003517
2000000000000000000000000000000000000000000
03403210408300005024380012190031690019500039010026820205LUXACION
RADIOCARPIANA,TRAT. QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03404210408400005024660012330032060019730039460027130205LUXACION SEMILUNAR
,ESCAFOIDEA, REDUCCION Y OSTEOSINTESIS
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03405210408400015000000000000000000000000000000000000000SEMICRUENTA O CRUENTA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03406210408500005024380012190031690019500039010026820206OSTEOSINTESIS RADIO,
(CUALQUIER TECNICA)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03407210408600005024380012190031690019500039010026820206TENDOVAGINOSIS DE DE
QUERVAIN,TRAT. QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03408210400000003000000000000000000000000000000000000000MANO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03409210408700005026810013410034850021450042900029500205AMPUTACION DEDOS (TRES O
MAS)
01138000056900014794000910400182080012518000910400118352014566400227600029588003641
6000000000000000000000000000000000000000000
03410210408800005024380012190031690019500039010026820104AMPUTACION DEDOS (UNO O
DOS)
00828100041410010765000662500132500009110000828100107650013250000000000000000000000
0000000000000000000000000000000000000000000
03411210408900005030440015220039570024350048700033480206AMPUTACION MANO O DEL
PULGAR
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
03412210409000005024380012190031690019500039010026820204AMPUTACION PULPEJOS
(PLASTIA KUTLER O SIMILARES)
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03413210409100005024380012190031690019500039010026820205CONTRACTURA DUPUYTREN,TRAT.
QUIR.,CADA TIEMPO
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03414210409200005024660012330032060019730039460027130205CONTUSION-COMPRESION
GRAVE,TRAT. QUIR.INCLUYE INCISIONES
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03415210409200015000000000000000000000000000000000000000LIBERADORAS Y/O FASCIOTOMIA
Y/O ESCARECTOMIA Y/O INJERTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03416210409200025000000000000000000000000000000000000000PIEL INMEDIATOS Y SINTESIS
PERCUTANEA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03417210409300005024380012190031690019500039010026820204DEDOS EN GATILLO,TRAT.
QUIR.,CUALQUIER NUMERO
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03418210409400005024380012190031690019500039010026820203FLEGMON MANO, TRAT. QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03419210409500005024380012190031690019500039010026820204LUXOFRACTURA
METACARPOFALANGICA O INTERFALANGICA,TRAT.
QUIR.010341000517100134430008273001654600113760008272801075440132368002068200268860
033092000000000000000000000000000000000000000000
03420210409600005030930015470040210024750049490034030206MANO REUMATICA EN RAFAGA:
TRASLOCACIONES TENDINOSAS,
01083700054190014088000867000173390011921000866960112704013871200216740028176003467
8000000000000000000000000000000000000000000
03421210409600015000000000000000000000000000000000000000PLASTIAS
CAPSULARES,TENOTOMIAS, INMOVILIZACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03422210409600025000000000000000000000000000000000000000POSTOPERATORIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03423210409700005030440015220039570024350048700033480207MANO REUMATICA: IMPLANT.
SILASTIC, CUALQ. NUMERO
(PROC.AUT.)010673000533700138750008539001707700117410008538401110000136616002134600
277500034154000000000000000000000000000000000000000000
03424210409800005024380012190031690019500039010026820206MUTILACION GRAVE,
ASEO.QUIR. COMPLETO C/S OSTEOSINTESIS,
01016200050810013211000813000162590011178000812960105688013007200203240026422003251
8000000000000000000000000000000000000000000
03425210409800015000000000000000000000000000000000000000C/S INJERTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03426210409900005024380012190031690019500039010026820204OSTEOSINTESIS METACARPIANAS
O DE FALANGES,CUALQUIER TECNICA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03427210410000005000000000000000000000000000000000000102PANADIZO, TRAT. QUIR.
00154600007730002010000123700024740001701000154600020100002474000000000000000000000
0000000000000000000000000000000000000000000
03428210410100005040630020320052820032510065010044700207PULGARIZACION DEDO (INDICE
O ANULAR)
01480500074030019247001184500236880016286001184400153976018950400296100038494004737
6000000000000000000000000000000000000000000
03429210410200005081290040650105680065040130060089420311REIMPLANTE MANO O DEDO(S)
03591700179590046692002873400574670039509002477030322014039632400619260080503009908
1004954100644030079265000000000000000000000
03430210410300005024380012190031690019500039010026820206REPARACION FLEXORES: PRIMER
TIEMPO ESPACIADOR SILASTIC
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03431210410400005040630020320052820032510065010044700208REPARACION NERVIO DIGITAL
CON INJERTO INTERFASCICULAR:
01480500074030019247001184500236880016286001184400153976018950400296100038494004737
6000000000000000000000000000000000000000000
03432210410400015000000000000000000000000000000000000000CUALQUIER NUMERO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03433210410500005024380012190031690019500039010026820205RUPTURAS CERRADAS CAPSULO-
LIGAMENT.O TENDINOSAS, TRAT.
QUIR.010341000517100134430008273001654600113760008272801075440132368002068200268860
033092000000000000000000000000000000000000000000
03434210410600005030440015220039570024350048700033480208SUTURA NERVIO(S)
DIGITAL(ES) ; MICROCIRUGIA
01100500055030014307000880500176080012106000880400114456014086400220100028614003521
6000000000000000000000000000000000000000000
03435210410700005024380012190031690019500039010026820205TENORRAFIA EXTENSORES
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03436210410800005024380012190031690019500039010026820205TENORRAFIA O INJERTOS
FLEXORES
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03437210410900005000000000000000000000000000000000000103TENOSINOVITIS SEPTICA,
TRAT. QUIR.
00402000020100005226000321600064320004422000402000052260006432000000000000000000000
0000000000000000000000000000000000000000000
03438210411000005060960030480079250048770097540067060211TRANSPLANTE MICROQUIRURGICO
PARA PULGAR
02421100121060031474001936900387380026633001936880251792030990400484220062948007747
6000000000000000000000000000000000000000000
03439210411100005024380012190031690019500039010026820205TRANSPOSICIONES TENDINOSAS
FLEXORAS O EXTENSORAS
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03440210400000003000000000000000000000000000000000000000COLUMNA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03441210411200005060960030480079250048770097540067060310DIASTEMATOMIELIA,RESECCION
ESPOLON C/S INSTRUMENTACION
02822800141140036696002258200451650031051001946760253076031148200486690063269007787
1003893500506150062297000000000000000000000
03442210411300005081290040650105680065040130060089420313ESCOLIOSIS,TRAT.QUIR.,CUALQ
UIER VIA DE ABORDAJE,E
03591700179590046692002873400574670039509002477030322014039632400619260080503009908
1004954100644030079265000000000000000000000
03443210411300015000000000000000000000000000000000000000INSTRUMENTACION DE
HARRINGTON,LUQUE,DWYER O SIMILARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03444210411400005040630020320052820032510065010044700308ESPONDILODISCITIS VERTEBRAL
(TBC U OTRA), TRAT. QUIR. DEL
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
03445210411400015000000000000000000000000000000000000000FOCO,C/S ARTRODESIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03446210411500005024380012190031690019500039010026820207FRACTURA APOFISIS ESPINOSA,
TRAT. QUIR.
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03447210411600005040630020320052820032510065010044700310LUXACIONES,LUXOFRACTURAS
VERTEBRALES (CERVICAL, DORSAL,
01940000097000025220001552000310400021340001337930173931021406900334480043483005351
7002675900347860042814000000000000000000000
03448210411600015000000000000000000000000000000000000000LUMBAR),REDUCCION
CRUENTA ,CUALQUIER VIA DE ABORDAJE,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03449210411600025000000000000000000000000000000000000000CUALQUIER NUMERO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03450210411700005091400045700118820073120146240100540311OSTEOTOMIAS VERTEBRALES
CORRECTORAS,C/S INSTRUMENTACION,
03015000150750039195002412000482400033165002079310270310033269000519830067578008317
2004158600540620066538000000000000000000000
03451210411700015000000000000000000000000000000000000000C/S INJERTOS OSEOS,C/S
ARTRODESIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03452210411800005024380012190031690019500039010026820205PLASTIAS COSTALES,CUALQUIER
NUMERO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03453210411900005091400045700118820073120146240100540311REEMPLAZO CUERPO VERTEBRAL
CON ARTRODESIS C/S OSTEOSINTESIS
04394500219730057129003515700703120048340003030690393993048491000757670098498012122
8006061400787990096982000000000000000000000
03454210411900015000000000000000000000000000000000000000C/S INSTRUMENTACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03455210412000005040630020320052820032510065010044700208RESECCION ARCO NEURAL
(OPERACION DE GILL O SIMILARES)
01480500074030019247001184500236880016286001184400153976018950400296100038494004737
6000000000000000000000000000000000000000000
03456210412100005024380012190031690019500039010026820205RESECCION DEL COXIS
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03457210400000003000000000000000000000000000000000000000PELVIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03458210412200005032760016380042590026210052420036040307DIASTASIS PUBIANA, TRAT.
QUIR.
01583600079180020587001266900253380017420001092140141979017474500273030035495004368
6002184300283960034949000000000000000000000
03459210412300005040630020320052820032510065010044700308FRACTURA,OSTEOSINTESIS
QUIR.
01480500074030019247001184500236880016286001021030132738016336600255260033184004084
1002042100265480032673000000000000000000000
03460210412400005040630020320052820032510065010044700308OSTEOTOMIA PELVIANA
(SALTER,CHIARI O SIMILARES)
01538300076920019998001230700246130016922001060900137918016974500265220034479004243
6002121800275830033949000000000000000000000
03461210412500005040630020320052820032510065010044700308TRIPLE OSTEOTOMIA DE PELVIS
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
03462210400000003000000000000000000000000000000000000000CADERA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03463210412600005046260023130060140037010074020050890313AMPUTACION INTER-ILIO
ABDOMINAL
02283400114170029684001826700365340025117001574760204718025195800393690051179006299
0003149500409430050392000000000000000000000
03464210412700005040630020320052820032510065010044700312DESARTICULACION
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
03465210412800005035570017790046240028460056910039130310ENDOPROTESIS PARCIAL C/S
CEMENTACION (CUALQUIER TECNICA)
01727200086360022454001381800276350018999001191180154855019058600297790038714004764
7002382300309710038117000000000000000000000
03466210412900005060960030480079250048770097540067060311ENDOPROTESIS TOTAL DE
CADERA
02994800149740038932002395800479170032943002065380268497033046200516340067124008261
6004130800536990066092000000000000000000000
03467210413000005030440015220039570024350048700033480308EPIFISIOLISIS LENTA O
AGUDA,TRAT. QUIR.
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03468210413100005040630020320052820032510065010044700210FRACTURA DE CUELLO DE
FEMUR,OSTEOSINTESIS,CUALQUIER TECNICA
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
03469210413200005030440015220039570024350048700033480308FRACTURA DE CUELLO DE
FEMUR,RESECCION EPIFISIS FEMORAL
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03470210413300005030440015220039570024350048700033480307LUXACION TRAUMATICA,
REDUCCION CRUENTA
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03471210413400005040630020320052820032510065010044700308LUXOFRACTURA
ACETABULAR,TRAT.QUIR.
01538300076920019998001230700246130016922001060900137918016974500265220034479004243
6002121800275830033949000000000000000000000
03472210413500005050760025380065990040610081220055840310OPERACION DE SALVATAJE
CADERA, COLUMNA O SIMILARES
02180800109040028350001744600348930023989001504000195518024064200376000048879006016
0003008000391030048128000000000000000000000
03473210413600005030440015220039570024350048700033480308OSTEOTOMIAS FEMORALES
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03474210413700005030440015220039570024350048700033480307REDUCCION CRUENTA EN
LUXACION CONGENITA O TRAUMATICA
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03475210413800005040630020320052820032510065010044700309REDUCCION CRUENTA Y
ACETABULOPLASTIA FEMORAL C/S OSTEOTOMIA
01710100085510022231001368100273620018812001179380153318018870300294840038329004717
6002358800306630037741000000000000000000000
03476210413800015000000000000000000000000000000000000000FEMORAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03477210413900005030440015220039570024350048700033480308REDUCCION CRUENTA Y
OSTEOTOMIA FEMORAL
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03478210414000005024380012190031690019500039010026820207TENOTOMIA ADUCTORES C/S
BOTAS, CON YUGO (PROC. AUT.)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03479210414100005030440015220039570024350048700033480308TROCANTEROPLASTIAS
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03480210400000003000000000000000000000000000000000000000MUSLO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03481210414200005030440015220039570024350048700033480207AMPUTACION
01205300060270015669000964300192850013259000964240125352015428000241060031338003857
0000000000000000000000000000000000000000000
03482210414300005030440015220039570024350048700033480208EPIFISIODESIS (FEMUR Y/O
TIBIA)
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03483210414400005030440015220039570024350048700033480208OSTEOSINTESIS DIAFISIARIA O
METAFISIARIA (CUALQUIER
TECNICA)010385000519300135010008309001661600114240008308001080080132928002077000270
020033232000000000000000000000000000000000000000000
03484210414500005030440015220039570024350048700033480208OSTEOTOMIA CORRECTORA
01100500055030014307000880500176080012106000880400114456014086400220100028614003521
6000000000000000000000000000000000000000000
03485210414600005040630020320052820032510065010044700209OSTEOTOMIA DE ALARGAMIENTO
O ACORTAMIENTO CON OSTEOSINTESIS
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
03486210414600015000000000000000000000000000000000000000INMEDIATA O DISTRACCION
INSTRUMENTAL PROGRESIVA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03487210414700005030440015220039570024350048700033480310OSTEOTOMIA EN ROSARIO CON
ENCLAVIJAMIENTO CLAVO TELESCOPICO
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03488210414800005032760016380042590026210052420036040308PSEUDOARTROSIS ,TRAT.QUIR.
(CUALQUIER TECNICA)
01583600079180020587001266900253380017420001092140141979017474500273030035495004368
6002184300283960034949000000000000000000000
03489210414900005024380012190031690019500039010026820205RUPTURA Y/O HERNIA
MUSCULAR,TRAT.QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03490210400000003000000000000000000000000000000000000000RODILLA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03491210415000005024380012190031690019500039010026820206ARTROTOMIA POR CUERPOS
LIBRES,OSTEOCONDRITIS (PROC.AUT)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03492210415100005030440015220039570024350048700033480210DESARTICULACION
01100500055030014307000880500176080012106000880400114456014086400220100028614003521
6000000000000000000000000000000000000000000
03493210415200005030440015220039570024350048700033480206DISFUNCION PATELO-
FEMORAL,REALINEAMIENTO (CUALQUIER
TECNICA)012398000619900161170009918001983700136380009918401289360158696002479600322
340039674000000000000000000000000000000000000000000
03494210415300005060960030480079250048770097540067060310ENDOPROTESIS TOTAL DE
RODILLA, (CUALQUIER TECNICA)
02822800141140036696002258200451650031051001946760253076031148200486690063269007787
1003893500506150062297000000000000000000000
03495210415400005024380012190031690019500039010026820206FRACTURA ROTULA:
OSTEOSINTESIS O PATELECTOMIA PARC. O TOTAL
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03496210415500005030440015220039570024350048700033480207FRACTURAS CONDILEAS O DE
PLATILLOS TIBIALES, REDUCCION,
01125400056270014630000900300180060012379000900320117040014404800225080029260003601
2000000000000000000000000000000000000000000
03497210415500015000000000000000000000000000000000000000OSTEOSINTESIS (CUALQUIER
TECNICA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03498210415600005040630020320052820032510065010044700307INESTABILIDAD CRONICA DE
RODILLA, RECONSTRUCCION
01595300079770020739001276300255250017549001100210143027017603400275050035757004400
9002200400286060035207000000000000000000000
03499210415600015000000000000000000000000000000000000000CAPSULOLIGAMENTOSA
(CUALQUIER TECNICA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03500210415700005024660012330032060019730039460027130206LUXACION O ROTURA
LIGAMENTOS, TRAT.QUIR. CAPSULO-
LIGAMENTOSO010487000524400136330008390001677900115360008389601090640134232002097400
272660033558000000000000000000000000000000000000000000
03501210415800005024660012330032060019730039460027130206MENISCECTOMIA QUIRURGICA,
INTERNA Y/O EXTERNA
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03502210415900005040630020320052820032510065010044700206MENISCECTOMIA U OTRAS
INTERVENCIONES POR VIA ARTROSCOPICA
01595300079770020739001276300255250017549001276240165912020420000319060041478005105
0000000000000000000000000000000000000000000
03503210415900015000000000000000000000000000000000000000(INCLUYE ARTROSCOPIA
DIAGNOSTICA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03504210416000005024380012190031690019500039010026820204QUISTE POPLITEO, TRAT.QUIR.
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03505210416100005024660012330032060019730039460027130206RECONSTRUCCION APARATO
EXTENSOR
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03506210416200005030440015220039570024350048700033480306REPARACION QUIRURGICA
LIGAMENTOS COLATERALES Y/O CRUZADOS
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03507210416300005030440015220039570024350048700033480306TRASLOCACIONES MUSCULO-
TENDINOSAS EN RODILLA PARALITICA O
01497900074900019473001198400239660016477001033030134297016528200258260033574004132
1002066100268590033057000000000000000000000
03508210416300015000000000000000000000000000000000000000ESPASTICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03509210400000003000000000000000000000000000000000000000PIERNA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03510210416400005030440015220039570024350048700033480208AMPUTACION
01067300053370013875000853900170770011741000853840111000013661600213460027750003415
4000000000000000000000000000000000000000000
03511210416500005040630020320052820032510065010044700208COLGAJO CRUZADO DE
PIERNA,TRAT.QUIR.COMPLETO
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
03512210416600005024380012190031690019500039010026820205FASCIOTOMIA POR SINDROME
COMPARTAMENTAL
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03513210416700005024380012190031690019500039010026820206OSTEOSINTESIS TIBIO-PERONE
(CUALQUIER TECNICA)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03514210416800005030440015220039570024350048700033480206OSTEOTOMIA CORRECTORA DE
EJES (CUALQUIER TECNICA)
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03515210416900005040630020320052820032510065010044700209OSTEOTOMIA DE ALARGAMIENTO
O ACORTAMIENTO CON OSTEOSINTESIS
01365700068290017754001092600218510015023001092560142032017480800273140035508004370
2000000000000000000000000000000000000000000
03516210416900015000000000000000000000000000000000000000INMEDIATA O DISTRACCION
INSTRUMENTAL PROGRESIVA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03517210417000005024380012190031690019500039010026820205OSTEOTOMIA DEL PERONE
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03518210417100005030440015220039570024350048700033480207PERONE PROTIBIA
01067300053370013875000853900170770011741000853840111000013661600213460027750003415
4000000000000000000000000000000000000000000
03519210417200005030440015220039570024350048700033480206PSEUDOARTROSIS, C/S
OSTEOSINTESIS (CUALQUIER TECNICA)
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03520210400000003000000000000000000000000000000000000000TOBILLO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03521210417300005030440015220039570024350048700033480209DESARTICULACION
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03522210417400005043990022000057190035200070380048390210ENDOPROTESIS TOTAL TOBILLO,
(CUALQUIER TECNICA)
01618300080920021038001294700258930017802001294640168304020714400323660042076005178
6000000000000000000000000000000000000000000
03523210417500005024380012190031690019500039010026820206ESGUINCE GRAVE,TRAT.QUIR.
CAPSULO-LIGAMENTOSO
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03524210417600005030440015220039570024350048700033480207FRACTURA ASTRAGALO Y/O
CALCANEO,OSTEOSINTESIS (CUALQ.
TECN.)01033300051670013433000826700165330011367000826640107464013226400206660026866
0033066000000000000000000000000000000000000000000
03525210417700005024380012190031690019500039010026820205HUESOS
SUPERNUMERARIOS,EXTIRPACION, UNO O MAS DEL MISMO
LADO0103410005171001344300082730016546001137600082728010754401323680020682002688600
33092000000000000000000000000000000000000000000
03526210417800005024660012330032060019730039460027130206LUXACION TIBIO-ASTRAG.-
CALCAN., REDUCC. CRUENTA Y
OSTEOSINT.0104870005244001363300083900016779001153600083896010906401342320020974002
72660033558000000000000000000000000000000000000000000
03527210417900005030440015220039570024350048700033480207LUXOFRACTURA TOBILLO,
CUALQUIER TIPO, OSTEOSINTESIS Y
01239800061990016117000991800198370013638000991840128936015869600247960032234003967
4000000000000000000000000000000000000000000
03528210417900015000000000000000000000000000000000000000REPARACION CAPSULO-
LIGAMENTOSA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03529210418000005030440015220039570024350048700033480207OSTEOPLASTIA TIBIO-CALCANEA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03530210418100005030440015220039570024350048700033480206RUPTURA TENDON DE AQUILES O
TIBIAL POSTERIOR, TENORRAFIA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03531210418100015000000000000000000000000000000000000000PRIMARIA Y/O
TRANSPOSICIONES TENDINOSAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03532210418200005024380012190031690019500039010026820206RUPTURA TIBIAL ANTERIOR U
OTROS,TENORRAFIA
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03533210418300005024660012330032060019730039460027130205TENORRAFIA EXTENSORES O
TENOTOMIA DE ALARGAMIENTO DE TENDON
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03534210418300015000000000000000000000000000000000000000DE AQUILES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03535210418400005024660012330032060019730039460027130206TRASLOCACION TENDINOSA
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03536210400000003000000000000000000000000000000000000000PIE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03537210418500005030440015220039570024350048700033480207AMPUTACION
TRANSMETATARSIANA
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03538210418600005030440015220039570024350048700033480206ASTRAGALO VERTICAL, TRAT.
QUIR.
01100500055030014307000880500176080012106000880400114456014086400220100028614003521
6000000000000000000000000000000000000000000
03539210418700005024380012190031690019500039010026820205ESPOLON CALCANEO,TRAT.QUIR.
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03540210418800005024380012190031690019500039010026820205EXOSTOSIS 5 METATARSIANO,
("JUANETILLO") TRAT.QUIR.
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03541210418900005024380012190031690019500039010026820205FASCIOTOMIA PLANTAR
(PROC.AUT.)
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03542210419000005024660012330032060019730039460027130205HALLUX VALGUS O
RIGIDUS,TRAT.QUIR. COMPLETO (CUALQUIER
TEC.)010487000524400136330008390001677900115360008389601090640134232002097400272660
033558000000000000000000000000000000000000000000
03543210419100005024660012330032060019730039460027130206LUXACIONES,LUXOFRACTURAS,FR
ACTURAS, REDUCCION CRUENTA
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03544210419200005024660012330032060019730039460027130206MAL PERFORANTE
PLANTAR,TRAT.QUIR.
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03545210419300005024380012190031690019500039010026820205NEUROMA DE
MORTON,TRAT.QUIR.
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03546210419400005024380012190031690019500039010026820205ORTEJOS EN
GARRA,TRAT.QUIR.,CUALQ.NUMERO (CUALQ.TECNICA)
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03547210419500005024380012190031690019500039010026820205ORTEJOS,AMPUTACION,UNO O
MAS DEL MISMO PIE
00892000044600011596000713600142720009812000713600092768011417600178400023192002854
4000000000000000000000000000000000000000000
03548210419600005030440015220039570024350048700033480206PIE BOT U OTRAS
MALFORMACIONES CONGENITAS, TRAT. QUIR.
01100500055030014307000880500176080012106000880400114456014086400220100028614003521
6000000000000000000000000000000000000000000
03549210419600015000000000000000000000000000000000000000(CUALQUIER TECNICA)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03550210419700005024660012330032060019730039460027130205PIE CAVO, TRAT.QUIR.
(CUALQUIER TECNICA)
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03551210419800005024660012330032060019730039460027130205PIE PLANO, TRAT. QUIR.
(CUALQUIER TECNICA)
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03552210419900005030930015470040210024750049490034030206PIE REUMATOIDEO,
TRAT.QUIR.COMPLETO (CUALQUIER TECNICA)
01083700054190014088000867000173390011921000866960112704013871200216740028176003467
8000000000000000000000000000000000000000000
03553210420000005024380012190031690019500039010026820205SESAMOIDEOS,EXTIRPACION DE
UNO O MAS DEL MISMO PIE
00993700049690012918000795000158990010931000794960103344012719200198740025836003179
8000000000000000000000000000000000000000000
03554210420100005024380012190031690019500039010026820205TENORRAFIA EXTENSORES
01034100051710013443000827300165460011376000827280107544013236800206820026886003309
2000000000000000000000000000000000000000000
03555210420200005024660012330032060019730039460027130206TRANSPLANTES TENDINOSOS
(CUALQUIER TECNICA)
01048700052440013633000839000167790011536000838960109064013423200209740027266003355
8000000000000000000000000000000000000000000
03556210400000003000000000000000000000000000000000000000(EL ARANCEL MEDICO NO
INCLUYE EL VALOR DEL MATERIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03557210400000013000000000000000000000000000000000000000EMPLEADO POR EJEMPLO
:VENDAS ENYESADAS, FERULAS, PLACAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03558210400000023000000000000000000000000000000000000000,TORNILLOS, PROTESIS O
SIMILARES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03559210500000002000000000000000000000000000000000000000PROCEDIMIENTOS DE
INMOVILIZACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03560210500000003000000000000000000000000000000000000000(LA COLOCACION DE VALVA DE
YESO, CORRESPONDERA AL 50 % DEL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03561210500000013000000000000000000000000000000000000000VALOR DEL RESPECTIVO
PROCEDIMIENTO DE INMOVILIZACION)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03562210500100005000000000000000000000000000000000000100CALZON CORTO DE YESO
00163600008180002127000130900026180001800000163600021270002618000000000000000000000
0000000000000000000000000000000000000000000
03563210500200005000000000000000000000000000000000000100CORBATA TIPO SCHANTZ
00098100004910001275000078500015700001080000098100012750001570000000000000000000000
0000000000000000000000000000000000000000000
03564210500300005000000000000000000000000000000000000100MINERVA DE YESO
00228800011440002974000183000036610002517000228800029740003661000000000000000000000
0000000000000000000000000000000000000000000
03565210500400005000000000000000000000000000000000000100RODILLERA, BOTA LARGA O
CORTA DE YESO
00130700006540001699000104600020910001438000130700016990002091000000000000000000000
0000000000000000000000000000000000000000000
03566210500500005000000000000000000000000000000000000100VELPEAU
00130700006540001699000104600020910001438000130700016990002091000000000000000000000
0000000000000000000000000000000000000000000
03567210500600005000000000000000000000000000000000000100YESO ANTEBRAQUIAL C/S
FERULA DIGITAL
00130700006540001699000104600020910001438000130700016990002091000000000000000000000
0000000000000000000000000000000000000000000
03568210500700005000000000000000000000000000000000000100YESO BRAQUICARPIANO
00130700006540001699000104600020910001438000130700016990002091000000000000000000000
0000000000000000000000000000000000000000000
03569210500800005000000000000000000000000000000000000100YESO PELVIPEDIO BILATERAL
00290600014530003778000232500046500003197000290600037780004650000000000000000000000
0000000000000000000000000000000000000000000
03570210500900005000000000000000000000000000000000000100YESO PELVIPEDIO UNILATERAL
00228800011440002974000183000036610002517000228800029740003661000000000000000000000
0000000000000000000000000000000000000000000
03571210501000005000000000000000000000000000000000000100YESO TORACOBRAQUIAL
00228800011440002974000183000036610002517000228800029740003661000000000000000000000
0000000000000000000000000000000000000000000
03572210500000003000000000000000000000000000000000000000CORSETS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03573210501100005000000000000000000000000000000000000100CORSETS DE MILWAUKEE O
SIMILARES (INCLUYE LA TOMA DE MOLDE )
00254300012720003306000203500040690002798000254300033060004069000000000000000000000
0000000000000000000000000000000000000000000
03574210501200005000000000000000000000000000000000000100CORSETS DE RISSER O
SIMILARES
00327300016370004255000261900052370003601000327300042550005237000000000000000000000
0000000000000000000000000000000000000000000
03575210501300005000000000000000000000000000000000000100CORSETS DE YESO SIMPLE
(TIPO WATSON JONES)
00261600013080003401000209300041860002878000261600034010004186000000000000000000000
0000000000000000000000000000000000000000000
03576210600000002000000000000000000000000000000000000000RETIRO DE ELEMENTOS DE
OSTEOSINTESIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03577210600100005030440015220039570024350048700033480209** RETIRO DE ENDOPROTESIS U
OSTEOSINTESIS INTERNAS
01033300051670013433000826700165330011367000826640107464013226400206660026866003306
6000000000000000000000000000000000000000000
03578210600100015000000000000000000000000000000000000000ARTICULARES O DE COLUMNA
VERTEBRAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03579210600200005000000000000000000000000000000000000205** RETIRO DE PLACAS RECTAS
O ANGULADAS
01033000051650013429000826400165280011363000826400107432013222400206600026858003305
6000000000000000000000000000000000000000000
03580210600300005000000000000000000000000000000000000105RETIRO DE TORNILLOS,
CLAVOS, AGUJAS DE OSTEOSINTESIS O
00392300019620005100000313900062770004316000392300051000006277000000000000000000000
0000000000000000000000000000000000000000000
03581210600300015000000000000000000000000000000000000000SIMILARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03582210600000003000000000000000000000000000000000000000** ESTAS PRESTACIONES SE
AUTORIZAN A CIRUJANOS DENTISTAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03583210600000013000000000000000000000000000000000000000ESPECIALISTAS EN CIRUGIA
BUCAL Y MAXILOFACIAL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03584210700000002000000000000000000000000000000000000000PROCEDIMIENTOS ORTOPEDICOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03585210700000003000000000000000000000000000000000000000ADEMAS ANESTESIA COD. 22-
01-001 SI CORRESPONDE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
035862107000000030000000000000000000000000000000000000001. LUXACIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03587210700000003000000000000000000000000000000000000000COMPRENDE MANIOBRAS DE
REDUCCION,C/S TRACCION ESQUELETICA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03588210700000013000000000000000000000000000000000000000(TRANSESQUELETICA O
CRANEAL) PROVISORIA O DEFINITIVA Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03589210700000023000000000000000000000000000000000000000COLOCACION DE YESO. LOS
CAMBIOS POSTERIORES SE COBRARAN DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03590210700000033000000000000000000000000000000000000000ACUERDO AL VALOR DEL
PROCEDIMIENTO DE INMOVILIZACION CON
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03591210700000043000000000000000000000000000000000000000YESO RESPECTIVO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03592210700100005000000000000000000000000000000000000103LUXACIONES DE
ARTICULACIONES MEDIANAS
00498600024930006482000398900079780005485000498600064820007978000000000000000000000
0000000000000000000000000000000000000000000
03593210700100015000000000000000000000000000000000000000(HOMBRO,CODO,RODILLA,TOBILL
O,MUECA,TARSO Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03594210700100025000000000000000000000000000000000000000ESTERNOCLAVICULAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03595210700200005000000000000000000000000000000000000104LUXACIONES DE
ARTICULACIONES MAYORES
00613700030690007978000491000098190006751000613700079780009819000000000000000000000
0000000000000000000000000000000000000000000
03596210700200015000000000000000000000000000000000000000(COLUMNA,CADERA,PELVIS).
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03597210700300005000000000000000000000000000000000000103** LUXACIONES DE
ARTICULACIONES MENORES (EL RESTO)
00207200010360002694000165800033150002279000207200026940003315000000000000000000000
0000000000000000000000000000000000000000000
035982107000000030000000000000000000000000000000000000002.- FRACTURAS CON O SIN
LUXACION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03599210700000003000000000000000000000000000000000000000COMPRENDE FRACTURAS
DESPLAZADAS O ANGULADAS,FRACTURAS EN
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03600210700000013000000000000000000000000000000000000000TALLO VERDE ANGULADAS Y
FRACTURAS O DISYUNCIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03601210700000023000000000000000000000000000000000000000DESPLAZADAS; INCLUYE
MANIOBRAS DE REDUCCION (C/S TRACCION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03602210700000033000000000000000000000000000000000000000TRANSESQUELETICA O CRANEAL)
PROVISORIA O DEFINITIVA Y
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03603210700000043000000000000000000000000000000000000000COLOCACION DE YESO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03604210700000003000000000000000000000000000000000000000EN CASO DE FRACTURAS DE 2
HUESOS DEL MISMO SEGMENTO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03605210700000013000000000000000000000000000000000000000ANATOMICO, SE CANCELARA EL
100% DE LA PRESTACION DE MAYOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03606210700000023000000000000000000000000000000000000000VALOR MAS EL 50% DE LA
SEGUNDA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03607210700000003000000000000000000000000000000000000000LOS CAMBIOS POSTERIORES,LAS
FRACTURAS NO DESPLAZADAS Y LA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03608210700000013000000000000000000000000000000000000000INMOVILIZACION PROVISORIA
DE URGENCIA SE COBRARAN DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03609210700000023000000000000000000000000000000000000000ACUERDO AL VALOR DEL
PROCEDIMIENTO DE INMOVILIZACION CON
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03610210700000033000000000000000000000000000000000000000YESO RESPECTIVO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03611210700400005000000000000000000000000000000000000104FRACTURAS MAYORES (COLUMNA,
PELVIS, SUPRACONDILEA, CODO,
00859300042970011171000687500137490009453000859300111710013749000000000000000000000
0000000000000000000000000000000000000000000
03612210700400015000000000000000000000000000000000000000EPIFISIS FEMORALES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03613210700500005000000000000000000000000000000000000103FRACTURAS MEDIANAS
(DIAFISIS HUMERAL, RADIAL, CUBITAL,
00690400034520008975000552300110460007594000690400089750011046000000000000000000000
0000000000000000000000000000000000000000000
03614210700500015000000000000000000000000000000000000000DIAFISIS
FEMORAL,TIBIAL,PERONEAL,CLAVICULAR,PLATILLOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03615210700500025000000000000000000000000000000000000000TIBIALES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03616210700600005000000000000000000000000000000000000103FRACTURAS MENORES (EL
RESTO)
00345800017290004495000276600055330003804000345800044950005533000000000000000000000
0000000000000000000000000000000000000000000
03617210700000003000000000000000000000000000000000000000TRATAMIENTO FUNCIONAL CON
TECNICA DE SARMIENTO Y SIMILARES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03618210700700005000000000000000000000000000000000000104TRATAMIENTO FUNCIONAL CON
TECNICA DE SARMIENTO Y SIMILARES
00671600033580008731000537300107460007388000671600087310010746000000000000000000000
0000000000000000000000000000000000000000000
03619210700700015000000000000000000000000000000000000000DE EXTREMIDAD INFERIOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03620210700800005000000000000000000000000000000000000104TRATAMIENTO FUNCIONAL CON
TECNICA DE SARMIENTO Y SIMILARES
00599100029960007788000479300095860006591000599100077880009586000000000000000000000
0000000000000000000000000000000000000000000
03621210700800015000000000000000000000000000000000000000DE EXTREMIDAD SUPERIOR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03622210700000003000000000000000000000000000000000000000MALFORMACIONES CONGENITAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03623210700000003000000000000000000000000000000000000000COMPRENDE EL TRATAMIENTO
ORTOPEDICO CON LOS CAMBIOS DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03624210700000013000000000000000000000000000000000000000YESOS O EL AJUSTE Y CONTROL
DEL APARATAJE EMPLEADO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03625210700900005000000000000000000000000000000000000104LUXACION CONGENITA DE
CADERA, TRAT. ORTOPEDICO COMPLETO
00617100030860008022000493700098740006789000617100080220009874000000000000000000000
0000000000000000000000000000000000000000000
03626210700900015000000000000000000000000000000000000000(UNI O BILATERAL)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03627210701000005000000000000000000000000000000000000104PIE BOT, CADA PIE, HASTA 10
CAMBIOS DE YESO
00617100030860008022000493700098740006789000617100080220009874000000000000000000000
0000000000000000000000000000000000000000000
03628220000000001000000000000000000000000000000000000000GRUPO : 22
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03629220100000002000000000000000000000000000000000000000ANESTESIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03630220100000003000000000000000000000000000000000000000LA PRESTACION "ANESTESIA"
INCLUYE:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03631220100000003000000000000000000000000000000000000000A) "ACTOS
PREANESTESICOS":EXAMEN CLINICO DEL PACIENTE,
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03632220100000013000000000000000000000000000000000000000INDICACION DE EXAMENES O
EXPLORACIONES Y PRESCRIPCION DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03633220100000023000000000000000000000000000000000000000MEDICAMENTOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03634220100000003000000000000000000000000000000000000000B) "ACTOS ANESTESICOS
PROPIAMENTE TALES": ADMINISTRACION DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03635220100000013000000000000000000000000000000000000000ANESTESICOS GENERALES Y/O
LOCALES EN BLOQUEOS REGIONALES;
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03636220100000023000000000000000000000000000000000000000CONTROL DE SIGNOS VITALES;
INTUBACION LARINGO-TRAQUEAL;
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03637220100000033000000000000000000000000000000000000000INYECCION DE DROGAS
COADYUVANTES, FLEBOCLISIS Y/O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03638220100000043000000000000000000000000000000000000000TRANSFUSIONES DE SANGRE Y/O
HEMODERIVADOS Y/U OTROS CUANDO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03639220100000053000000000000000000000000000000000000000CORRESPONDA. ADEMAS
PREVENCION Y TRATAMIENTO COMPLICACIONES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03640220100000063000000000000000000000000000000000000000DURANTE EL ACTO MISMO.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03641220100000003000000000000000000000000000000000000000C) "ACTOS POSTANESTESICOS":
CONTROL DE LA NORMALIZACION DEL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03642220100000013000000000000000000000000000000000000000DESPERTAR DEL ENFERMO HASTA
LA REVERSION TOTAL DE LOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03643220100000023000000000000000000000000000000000000000EFECTOS DE LA ANESTESIA
ADMINISTRADA O HASTA POR 12 HORAS O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03644220100000033000000000000000000000000000000000000000HASTA LA INSTALACION DEL
PACIENTE EN UNA UNIDAD DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03645220100000043000000000000000000000000000000000000000TRATAMIENTO INTENSIVO O
SIMILARES.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03646220100100005000000000000000000000000000000000000000ANESTESIA GENERAL O
REGIONAL OTORGADA POR MEDICO DIFERENTE
00211800010590002753000169400033890002330000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03647220100100015000000000000000000000000000000000000000AL PRIMER CIRUJANO (EN
INTERVENCIONES O PROCEDIMIENTOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03648220100100025000000000000000000000000000000000000000DIAGNOSTICOS O
TERAPEUTICOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03649220100200005000000000000000000000000000000000000000ANESTESIA PERIDURAL
CONTINUA, PROC. AUT.
00291200014560003786000233000046590003203000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03650220100000003000000000000000000000000000000000000000ANESTESIA REGIONAL O LOCAL
INFILTRATIVA ADMINISTRADA POR EL
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03651220100000013000000000000000000000000000000000000000PRIMER CIRUJANO, 10% DEL
VALOR DE SUS HONORARIOS.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03652220100000003000000000000000000000000000000000000000NOTA IMPORTANTE:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03653220100000003000000000000000000000000000000000000000EN CUALQUIER PROCEDIMIENTO
DIAGNOSTICO, TERAPEUTICO O
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03654220100000013000000000000000000000000000000000000000QUIRURGICO QUE NO TENGA
ANESTESIA ESPECIFICADA, PODRA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03655220100000023000000000000000000000000000000000000000UTILIZARSE ANESTESIA COD.
22-01-001 Y PARA SU COBRO DEBERA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03656220100000033000000000000000000000000000000000000000JUSTIFICARSE Y EFECTUARSE
SIEMPRE PROGRAMA.
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03657230000000001000000000000000000000000000000000000000GRUPO : 23
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03658230000000001000000000000000000000000000000000000000PROTESIS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03659230100000003000000000000000000000000000000000000000CABEZA Y CUELLO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03660230100100005000000000000000000000000000000000000000ENMASCARADOR DE TINNITUS
01058900052950000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03661230100200005000000000000000000000000000000000000000ORTESIS CERVICALES
(COLLARES BLANDOS Y DUROS)
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03662230100300005000000000000000000000000000000000000000PROTESIS DE OREJA,
NARIZ,C/U
00544100027210000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03663230100400005000000000000000000000000000000000000000PROTESIS MAXILAR SUPERIOR O
MAXILAR INFERIOR, C/U
00816900040850000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03664230100500005000000000000000000000000000000000000000PROTESIS OCULAR (NO INCLUYE
LENTES INTRAOCULARES)
01058900052950000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03665230100600005000000000000000000000000000000000000000PROTESIS PARA CRANEOPLASTIA
00544100027210000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03666230100700005000000000000000000000000000000000000000VALVULAS DERIVATIVAS L.C.R
C/S MECANISMO DE REGULACION
01633000081650000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03667230106900005000000000000000000000000000000000000000PROTESIS CANULA PARA
TRAQUEOTOMIA
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03668230107000005000000000000000000000000000000000000000PROTESIS PARA LARINGECTOMIA
00211900010600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03669230108000005000000000000000000000000000000000000000LENTE INTRAOCULAR.
01047300052370000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03670230107100005000000000000000000000000000000000000000LENTES OPTICOS O DE
CONTACTO(SOLO PARA MAYORES DE 55 AOS)
00197900009900000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03671230108100005000000000000000000000000000000000000000AUDIFONOS (SOLO PARA
MAYORES DE 55 AOS)
01482300074120000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03672230100000003000000000000000000000000000000000000000TORAX Y TRONCO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03673230100800005000000000000000000000000000000000000000BRAGUERO (HERNIA UMBILICAL
O INGUINAL)
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03674230101000005000000000000000000000000000000000000000CABLES ELECTRODOS
00302400015120000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03675230101100005000000000000000000000000000000000000000FAJA ORTOPEDICA (CONTENSION
DE ABDOMEN O COLUMNA
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03676230101100015000000000000000000000000000000000000000DORSOLUMBAR)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03677230101200005000000000000000000000000000000000000000MARCAPASO
04989800249490000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03678230101300005000000000000000000000000000000000000000PROTESIS ABDOMINAL
(ENDOPROTESIS EVENTRACION O HERNIA)
00211900010600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03679230101400005000000000000000000000000000000000000000PROTESIS MAMARIA C/U
(ENDOPROTESIS)
00756200037810000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03680230101500005000000000000000000000000000000000000000PROTESIS TESTICULAR O
PENEAL, C/U
00302400015120000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03681230101600005000000000000000000000000000000000000000PROTESIS ARTERIALES, O
VASCULARES, STENT (ENDOPROTESIS)
00816900040850000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03682230101700005000000000000000000000000000000000000000VALVULA AORTICA
03175100158760000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03683230101800005000000000000000000000000000000000000000VALVULA MITRAL
03780200189010000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03684230101900005000000000000000000000000000000000000000VALVULA TRICUSPIDE
03175100158760000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03685230100000003000000000000000000000000000000000000000EXTREMIDADES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03686230102000005000000000000000000000000000000000000000ORTESIS MUSLO-PIE O
ISQUIOPEDIO
00363000018150000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03687230102100005000000000000000000000000000000000000000ARNES DE PROTESIS
(EXTREMIDAD SUPERIOR)
00054700002740000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03688230102200005000000000000000000000000000000000000000BASTON CANADIENSE O
TRIPODE, C/U
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03689230102300005000000000000000000000000000000000000000CAVIDAD PARA AMPUTADO DE
MUSLO
00211900010600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03690230102400005000000000000000000000000000000000000000RODILLERA
00030200001510000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03691230102500005000000000000000000000000000000000000000CASQUETE DE GOMA O SIMILAR
00091000004550000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03692230102600005000000000000000000000000000000000000000CINTURON PARA PROTESIS
00075200003760000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03693230102700005000000000000000000000000000000000000000CINTURON PELVICO DOBLE
00423300021170000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03694230102800005000000000000000000000000000000000000000CLAVOS USO DISTAL O
PROXIMAL (POR UNIDAD); PERNOS (POR
00082000004100000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03695230102800015000000000000000000000000000000000000000UNIDAD)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03696230102900005000000000000000000000000000000000000000COJIN DE ABDUCCION O PAULIK
00054700002740000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03697230103000005000000000000000000000000000000000000000CORREA DE ORTESIS
00045300002270000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03698230103100005000000000000000000000000000000000000000CORREA DE MULEY (PROTESIS
BAJO RODILLA)
00054700002740000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03699230103200005000000000000000000000000000000000000000ORTESIS DE COLUMNA
(MILWAUKEE, TAYLOR O SIMILARES)
00710700035540000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03700230103300005000000000000000000000000000000000000000ORTESIS LUMBOSACRA (CORSET
DE KNIGHT)
00272700013640000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03701230103400005000000000000000000000000000000000000000ORTESIS PALMAR ACTIVA
(UCLA)
00082000004100000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03702230103500005000000000000000000000000000000000000000ORTESIS RADIAL DE POSICION
00082000004100000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03703230103600005000000000000000000000000000000000000000ORTESIS CORTA DE POSICION
(DIGITALES) C/U
00048600002430000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03704230103700005000000000000000000000000000000000000000ORTESIS DE USO NOCTURNO DE
MIEMBRO INFERIOR
00151300007570000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03705230103800005000000000000000000000000000000000000000ORTESIS LARGA DE POSICION
(EXTREMIDAD SUPERIOR)
00070000003500000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03706230103900005000000000000000000000000000000000000000INSTRUMENTAL PARA FIJACION
DE COLUMNA (HARRINGTON O
00423300021170000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03707230103900015000000000000000000000000000000000000000SIMILARES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03708230104000005000000000000000000000000000000000000000MULETAS (PAR)
00091000004550000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03709230104100005000000000000000000000000000000000000000ORTESIS LARGA BILATERAL CON
CINTURON PELVICO (EXTREMIDADES
00846600042330000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03710230104100015000000000000000000000000000000000000000INFERIORES)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03711230104200005000000000000000000000000000000000000000ORTESIS LARGA UNILATERAL
(EXTREMIDAD INFERIOR)
00544100027210000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03712230104300005000000000000000000000000000000000000000ORTESIS MANO-MUECA PASIVA
00030200001510000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03713230104400005000000000000000000000000000000000000000ORTESIS PARA RODILLA
00242300012120000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03714230104500005000000000000000000000000000000000000000ORTESIS TOBILLO-PIE
00302400015120000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03715230104600005000000000000000000000000000000000000000P.T.B. O P.T.S.
02116700105840000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03716230104700005000000000000000000000000000000000000000PIE PROTESICO
00272700013640000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03717230104800005000000000000000000000000000000000000000PILON REDUCCION MUSLO
00846600042330000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03718230104900005000000000000000000000000000000000000000PILON REDUCCION PIERNA
00302400015120000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03719230105000005000000000000000000000000000000000000000PLACAS DE COMPRESION
BLOQUEANTE O DE FIJACION (POR UNIDAD);
00054700002740000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03720230105000015000000000000000000000000000000000000000CABLES PARA PLACAS Y
TORNILLOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03721230105100005000000000000000000000000000000000000000PROTESIS BAJO CODO CON
GANCHO, MANO Y GUANTE
01814700090740000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03722230105200005000000000000000000000000000000000000000PROTESIS BAJO RODILLA, CON
CORSELETE
01511800075590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03723230105300005000000000000000000000000000000000000000PROTESIS DE CODO
01088700054440000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03724230105400005000000000000000000000000000000000000000PROTESIS DE MANO
01511800075590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03725230105500005000000000000000000000000000000000000000PROTESIS DE RODILLA
02116700105840000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03726230105600005000000000000000000000000000000000000000PROTESIS DESARTICULADO
RODILLA
01511800075590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03727230105700005000000000000000000000000000000000000000PROTESIS DESARTICULADO DE
CADERA CON BLOQUEO
03024000151200000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03728230105800005000000000000000000000000000000000000000PROTESIS DESARTICULADO DE
CODO CON GANCHO, MANO Y GUANTE
02419600120980000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03729230105900005000000000000000000000000000000000000000PROTESIS DESARTICULADO DE
HOMBRO CON GANCHO, MANO Y GUANTE
02419600120980000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03730230106000005000000000000000000000000000000000000000PROTESIS PARCIAL DE CADERAS
00453500022680000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03731230106100005000000000000000000000000000000000000000PROTESIS PARA AMPUTACION
PARCIAL DE PIE (CHOPART - PIROGOFF-
01511800075590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03732230106100015000000000000000000000000000000000000000 LISFRANC Y RICARD)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03733230106200005000000000000000000000000000000000000000PROTESIS SOBRE RODILLA C/S
BLOQUEO
01511800075590000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03734230106300005000000000000000000000000000000000000000PROTESIS SOBRE RODILLA CON
RODILLA DE SEGURIDAD
02116700105840000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03735230106400005000000000000000000000000000000000000000PROTESIS TIPO SYME
00816900040850000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03736230106500005000000000000000000000000000000000000000PROTESIS TOTAL DE CADERAS
00756200037810000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03737230107200005000000000000000000000000000000000000000PLANTILLAS ORTOPEDICAS
(PAR)
00099000004950000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03738230106700005000000000000000000000000000000000000000TALONERA GOMA (PAR)
00151300007570000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03739230106800005000000000000000000000000000000000000000TORNILLOS (POR UNIDAD)
00015400000770000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03740240000000001000000000000000000000000000000000000000GRUPO : 24
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03741240000000001000000000000000000000000000000000000000TRASLADOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03742240100000003000000000000000000000000000000000000000I.- TRASLADOS INTERURBANOS
EN BUS, TREN U OTRO MEDIO DE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03743240100000013000000000000000000000000000000000000000LOCOMOCION PUBLICA SIMILAR
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03744240100100005000000000000000000000000000000000000000TRASLADO DESDE I REGION
HASTA ANTOFAGASTA O VICEVERSA
00030200001510000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03745240100200005000000000000000000000000000000000000000TRASLADO DESDE I REGION
HASTA LA SERENA O VICEVERSA
00045300002270000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03746240100300005000000000000000000000000000000000000000TRASLADO DESDE I REGION
HASTA SANTIAGO O VICEVERSA
00063400003170000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03747240100400005000000000000000000000000000000000000000TRASLADO DESDE I REGION
HASTA VALPARAISO O VICEVERSA
00063400003170000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03748240100500005000000000000000000000000000000000000000TRASLADO DESDE II REGION
HASTA LA SERENA O VICEVERSA
00030200001510000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03749240100600005000000000000000000000000000000000000000TRASLADO DESDE II REGION
HASTA SANTIAGO O VICEVERSA
00045300002270000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03750240100700005000000000000000000000000000000000000000TRASLADO DESDE II REGION
HASTA VALPARAISO O VICEVERSA
00045300002270000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03751240100800005000000000000000000000000000000000000000TRASLADO DESDE III REGION
HASTA LA SERENA O VICEVERSA
00015400000770000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03752240100900005000000000000000000000000000000000000000TRASLADO DESDE III REGION
HASTA SANTIAGO O VICEVERSA
00030200001510000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03753240101000005000000000000000000000000000000000000000TRASLADO DESDE IV REGION
HASTA SANTIAGO O VICEVERSA
00021000001050000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03754240101100005000000000000000000000000000000000000000TRASLADO DESDE IV REGION
HASTA VALPARAISO O VICEVERSA
00021000001050000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03755240101200005000000000000000000000000000000000000000TRASLADO DESDE IX REGION
HASTA CONCEPCION O VICEVERSA
00015400000770000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03756240101300005000000000000000000000000000000000000000TRASLADO DESDE IX REGION
HASTA SANTIAGO O VICEVERSA
00030200001510000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03757240101400005000000000000000000000000000000000000000TRASLADO DESDE V REGION
HASTA SANTIAGO O VICEVERSA
00007300000370000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03758240101500005000000000000000000000000000000000000000TRASLADO DESDE VI REGION
HASTA CONCEPCION O VICEVERSA
00007300000370000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03759240101600005000000000000000000000000000000000000000TRASLADO DESDE VI REGION
HASTA SANTIAGO O VICEVERSA
00007300000370000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03760240101700005000000000000000000000000000000000000000TRASLADO DESDE VII REGION
HASTA CONCEPCION O VICEVERSA
00011900000600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03761240101800005000000000000000000000000000000000000000TRASLADO DESDE VII REGION
HASTA SANTIAGO O VICEVERSA
00013700000690000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03762240101900005000000000000000000000000000000000000000TRASLADO DESDE VIII REGION
HASTA SANTIAGO O VICEVERSA
00027400001370000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03763240102000005000000000000000000000000000000000000000TRASLADO DESDE X REGION
HASTA CONCEPCION O VICEVERSA
00021000001050000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03764240102100005000000000000000000000000000000000000000TRASLADO DESDE X REGION
HASTA SANTIAGO O VICEVERSA
00045300002270000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03765240102200005000000000000000000000000000000000000000TRASLADO DESDE X REGION
HASTA TEMUCO O VICEVERSA
00015400000770000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03766240102300005000000000000000000000000000000000000000TRASLADOS INTERURBANOS
DENTRO DE UNA MISMA REGION
00007300000370000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03767240100000003000000000000000000000000000000000000000II- TRASLADOS URBANOS E
INTERURBANOS EN AMBULANCIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03768240102400005000000000000000000000000000000000000000TRASLADO DESDE I REGION
HASTA ANTOFAGASTA O VICEVERSA
00151300007570000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03769240102500005000000000000000000000000000000000000000TRASLADO DESDE II REGION
HASTA LA SERENA O VICEVERSA
00136200006810000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03770240102600005000000000000000000000000000000000000000TRASLADO DESDE II REGION
HASTA SANTIAGO O VICEVERSA
00211900010600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03771240102700005000000000000000000000000000000000000000TRASLADO DESDE II REGION
HASTA VALPARAISO O VICEVERSA
00211900010600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03772240102800005000000000000000000000000000000000000000TRASLADO DESDE III REGION
HASTA LA SERENA O VICEVERSA
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03773240102900005000000000000000000000000000000000000000TRASLADO DESDE III REGION
HASTA SANTIAGO O VICEVERSA
00151300007570000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03774240103000005000000000000000000000000000000000000000TRASLADO DESDE IV REGION
HASTA SANTIAGO O VICEVERSA
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03775240103100005000000000000000000000000000000000000000TRASLADO DESDE IV REGION
HASTA VALPARAISO O VICEVERSA
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03776240103200005000000000000000000000000000000000000000TRASLADO DESDE IX REGION
HASTA CONCEPCION O VICEVERSA
00075200003760000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03777240103300005000000000000000000000000000000000000000TRASLADO DESDE IX REGION
HASTA SANTIAGO O VICEVERSA
00136200006810000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03778240103400005000000000000000000000000000000000000000TRASLADO DESDE V REGION
HASTA SANTIAGO O VICEVERSA
00054700002740000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03779240103500005000000000000000000000000000000000000000TRASLADO DESDE VI REGION
HASTA SANTIAGO O VICEVERSA
00054700002740000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03780240103600005000000000000000000000000000000000000000TRASLADO DESDE VII REGION
HASTA CONCEPCION O VICEVERSA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03781240103700005000000000000000000000000000000000000000TRASLADO DESDE VII REGION
HASTA SANTIAGO O VICEVERSA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03782240103800005000000000000000000000000000000000000000TRASLADO DESDE VIII REGION
HASTA SANTIAGO O VICEVERSA
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03783240103900005000000000000000000000000000000000000000TRASLADO DESDE X REGION
HASTA CONCEPCION O VICEVERSA
00091000004550000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03784240104000005000000000000000000000000000000000000000TRASLADO DESDE X REGION
HASTA SANTIAGO O VICEVERSA
00211900010600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03785240104100005000000000000000000000000000000000000000TRASLADO DESDE X REGION
HASTA TEMUCO O VICEVERSA
00060800003040000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03786240104200005000000000000000000000000000000000000000TRASLADO INTERURBANO DENTRO
DE UNA MISMA REGION
00045300002270000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03787240106100005000000000000000000000000000000000000000RESCATE SIMPLE Y/O TRASLADO
00039700001990000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03788240106200005000000000000000000000000000000000000000RESCATE PROFESIONALIZADO
Y/O TRASLADO PACIENTE COMPLEJO
00055800002790000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03789240106300005000000000000000000000000000000000000000RESCATE MEDICALIZADO Y/O
TRASLADO PACIENTE CRITICO
00073800003690000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03790240100000003000000000000000000000000000000000000000III- TRASLADOS EN AVION
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03791240104300005000000000000000000000000000000000000000TRASLADO DENTRO DE LA XI Y
XII REGION
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03792240104400005000000000000000000000000000000000000000TRASLADO DESDE ISLA DE
PASCUA A SANTIAGO O VICEVERSA
00181500009080000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03793240104500005000000000000000000000000000000000000000TRASLADOS DESDE I REGION A
ANTOFAGASTA O VICEVERSA
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03794240104600005000000000000000000000000000000000000000TRASLADOS DESDE I REGION A
SANTIAGO O VICEVERSA
00272700013640000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03795240104700005000000000000000000000000000000000000000TRASLADOS DESDE II REGION A
SANTIAGO O VICEVERSA
00211900010600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03796240104800005000000000000000000000000000000000000000TRASLADOS DESDE III REGION
A SANTIAGO O VICEVERSA
00151300007570000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03797240104900005000000000000000000000000000000000000000TRASLADOS DESDE IV REGION A
SANTIAGO O VICEVERSA
00136200006810000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03798240105000005000000000000000000000000000000000000000TRASLADOS DESDE IX REGION A
SANTIAGO O VICEVERSA
00151300007570000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03799240105100005000000000000000000000000000000000000000TRASLADOS DESDE VIII REGION
A SANTIAGO O VICEVERSA
00136200006810000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03800240105200005000000000000000000000000000000000000000TRASLADOS DESDE X REGION A
CONCEPCION O VICEVERSA
00136200006810000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03801240105300005000000000000000000000000000000000000000TRASLADOS DESDE X REGION A
SANTIAGO O VICEVERSA
00211900010600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03802240105400005000000000000000000000000000000000000000TRASLADOS DESDE XI REGION A
CONCEPCION O VICEVERSA
00181500009080000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03803240105500005000000000000000000000000000000000000000TRASLADOS DESDE XI REGION A
PUERTO MONTT O VICEVERSA
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03804240105600005000000000000000000000000000000000000000TRASLADOS DESDE XI REGION A
PUNTA ARENAS O VICEVERSA
00105700005290000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03805240105700005000000000000000000000000000000000000000TRASLADOS DESDE XI REGION A
SANTIAGO O VICEVERSA
00272700013640000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03806240105800005000000000000000000000000000000000000000TRASLADOS DESDE XII REGION
A CONCEPCION O VICEVERSA
00211900010600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03807240105900005000000000000000000000000000000000000000TRASLADOS DESDE XII REGION
A PUERTO MONTT O VICEVERSA
00136200006810000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03808240106000005000000000000000000000000000000000000000TRASLADOS DESDE XII REGION
A SANTIAGO O VICEVERSA
00302400015120000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03809240100000003000000000000000000000000000000000000000IV.- TRASLADOS EN
HELICOPTERO
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03810240107000005000000000000000000000000000000000000000TRASLADOS EN HELICOPTERO
00157900007900000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03811250000000001000000000000000000000000000000000000000GRUPO : 25
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03812250000000001000000000000000000000000000000000000000PAGO ASOCIADO A DIAGNOSTICO
(PAD)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03813250100100005000000000000000000000000000000000000000COLELITIASIS
13524200676210000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03814250100200005000000000000000000000000000000000000000APENDICITIS
08681800542610000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03815250100300005000000000000000000000000000000000000000PERITONITIS
10942700656560000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03816250100400005000000000000000000000000000000000000000HERNIA ABDOMINAL SIMPLE
06319400315970000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03817250100500005000000000000000000000000000000000000000HERNIA ABDOMINAL COMPLICADA
08878900443950000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03818250100600005000000000000000000000000000000000000000TUMOR MALIGNO DE ESTOMAGO
16108700966520000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03819250100700005000000000000000000000000000000000000000ULCERA GASTRICA COMPLICADA
11015300660920000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03820250100800005000000000000000000000000000000000000000ULCERA DUODENAL COMPLICADA
10646100638770000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03821250100900005000000000000000000000000000000000000000PARTO
10224800255620000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03822250101000005000000000000000000000000000000000000000EMBARAZO ECTOPICO
06356400317820000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03823250101400005000000000000000000000000000000000000000ENFERMEDAD CRONICA DE LAS
AMIGDALAS
05039500251980000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03824250101500005000000000000000000000000000000000000000VEGETACIONES ADENOIDES
04329500216480000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03825250101600005000000000000000000000000000000000000000HIPERPLASIA DE LA PROSTATA
10509100525460000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03826250101700005000000000000000000000000000000000000000FIMOSIS
04201300210070000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03827250101800005000000000000000000000000000000000000000CRIPTORQUIDIA
07039300351970000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03828250101900005000000000000000000000000000000000000000ICTERICIA DEL RECIEN NACIDO
01255500075330000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03829250102100005000000000000000000000000000000000000000CATARATAS (NO INCLUYE LENTE
INTRAOCULAR)
08078700403940000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03830250102200005000000000000000000000000000000000000000TRASPLANTE RENAL
50274903690180000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03831250102600005000000000000000000000000000000000000000PROLAPSO ANTERIOR O
POSTERIOR
09484300474220000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03832250102700005000000000000000000000000000000000000000TUMORES Y/O QUISTES
INTRACRANEANOS
31473302580810000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03833250102800005000000000000000000000000000000000000000ANEURISMAS
38221203210580000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03834250102900005000000000000000000000000000000000000000DISRAFIAS
26943102317110000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03835250103000005000000000000000000000000000000000000000HERNIA DEL NUCLEO PULPOSO
(CERVICAL, DORSAL, LUMBAR)
16448800822440000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03836250103100005000000000000000000000000000000000000000ACCESO VASCULAR SIMPLE
(MEDIANTE FAV) PARA HEMODIALISIS
04612000230600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03837250103200005000000000000000000000000000000000000000ACCESO VASCULAR COMPLEJO
(MEDIANTE FAV) PARA HEMODIALISIS
06917900345900000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03838250103300005000000000000000000000000000000000000000QUERATECTOMIA
FOTORREFRACTIVA O QUERATOMILEUSIS
07889600394480000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03839250103300015000000000000000000000000000000000000000FOTORREFRACTIVA (LASIK O
PRK)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03840250103400005000000000000000000000000000000000000000HISTERECTOMIA
10821900541100000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03841250103500005000000000000000000000000000000000000000MENISECTOMIA
09636700481840000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03842250103600005000000000000000000000000000000000000000LITOTRIPSIA EXTRACORPOREA
11018100550910000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03843250103700005000000000000000000000000000000000000000SINDROME DEL TUNEL CARPIANO
07596500379830000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03844250103800005000000000000000000000000000000000000000RUPTURA MANGUITO ROTADOR
26941101347060000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03845250103900005000000000000000000000000000000000000000OSTEOSINTESIS TIBIO-PERONE
19645900982300000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03846250104000005000000000000000000000000000000000000000OSTEOSINTESIS MUSLO
25311101265560000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03847250104100005000000000000000000000000000000000000000OSTEOSINTESIS CUBITO Y/O
RADIO
13562200678110000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03848250104200005000000000000000000000000000000000000000OSTEOSINTESIS DIAFISIARIA
HUMERO
15939800796990000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03849250104300005000000000000000000000000000000000000000INESTABILIDAD DE HOMBRO
30262701513140000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03850250104400005000000000000000000000000000000000000000ENDOPROTESIS TOTAL DE
HOMBRO
33070501653530000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03851250104500005000000000000000000000000000000000000000CONTRACTURA DUPUYTREN
07453400372670000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03852250104600005000000000000000000000000000000000000000HALLUX VALGUS
09077500453880000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03853250104700005000000000000000000000000000000000000000INESTABILIDAD DE RODILLA
26715901335800000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03854250104800005000000000000000000000000000000000000000DEDOS EN GATILLO
04792100239610000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03855250104900005000000000000000000000000000000000000000TUMORES O QUISTES TENDINO-
MUSCULARES
07494000374700000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03856250105000005000000000000000000000000000000000000000QUISTES SINOVIALES
03732500186630000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03857250105100005000000000000000000000000000000000000000TIROIDECTOMIA TOTAL
12638700631940000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03858250105200005000000000000000000000000000000000000000TIROIDECTOMIA SUBTOTAL
09756300487820000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03859250105300005000000000000000000000000000000000000000HIDROCELE Y/O HEMATOCELE
05226100261310000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03860250200100005000000000000000000000000000000000000000DIAGNOSTICO INFECCION
TRACTO URINARIO (I.T.U.)
00435800021790000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03861250200200005000000000000000000000000000000000000000HEMORROIDES
03864100193210000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03862250200300005000000000000000000000000000000000000000VARICES
03800200190010000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03863250200400005000000000000000000000000000000000000000VARICOCELE
03264500163230000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03864250200500005000000000000000000000000000000000000000CHALAZION
01548200077410000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03865250200600005000000000000000000000000000000000000000GLAUCOMA
06400400320020000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03866250200700005000000000000000000000000000000000000000PTERIGION
02792700139640000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03867250200800005000000000000000000000000000000000000000ESTUDIO APNEA DEL SUEO
03561600178080000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03868250200900005000000000000000000000000000000000000000TRATAMIENTO FERTILIZACION
ASISTIDA BAJA COMPLEJIDAD EN
00720800043250000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03869250200900015000000000000000000000000000000000000000HOMBRE
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03870250201000005000000000000000000000000000000000000000TRATAMIENTO FERTILIZACION
ASISTIDA BAJA COMPLEJIDAD EN
MUJER024265001455900000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000
03871250300100005000000000000000000000000000000000000000OBTURACION, DIAGNOSTICO Y
TRATAMIENTO PARA UNA PIEZA DENTAL
00512800030770000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03872250300200005000000000000000000000000000000000000000OBTURACION, TRATAMIENTO
COMPLEMENTARIO, MAS DE 1 Y HASTA 4
00515500030930000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03873250300200015000000000000000000000000000000000000000PIEZAS DENTALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03874250300300005000000000000000000000000000000000000000OBTURACION, TRATAMIENTO
COMPLEMENTARIO, MAS DE 4 PIEZAS
00781300046880000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03875250300300015000000000000000000000000000000000000000DENTALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03876250300400005000000000000000000000000000000000000000TRATAMIENTO DE ENDODONCIA
INCISIVO, CANINO, UNA PIEZA
DENTAL00883100052990000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000000000
03877250300500005000000000000000000000000000000000000000TRATAMIENTO DE ENDODONCIA
PRE MOLAR, UNA PIEZA DENTAL
00940100056410000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03878250300600005000000000000000000000000000000000000000TRATAMIENTO DE ENDODONCIA
MOLAR, UNA PIEZA DENTAL
01139500068370000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03879260000000001000000000000000000000000000000000000000GRUPO 26:
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03880260000000001000000000000000000000000000000000000000ATENCIONES INTEGRALES,
OTROS PROFESIONALES
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03881260100000002000000000000000000000000000000000000000I.- ENFERMERIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03882260100100005000000000000000000000000000000000000000ATENCIONES INTEGRALES DE
ENFERMERIA EN CENTRO ADULTO MAYOR
00186200009310000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03883260100100015000000000000000000000000000000000000000(3 SESIONES DE 45')(SOLO
PARA MAYORES DE 55 AOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03884260100200005000000000000000000000000000000000000000ATENCION INTEGRAL DE
ENFERMERIA EN DOMICILIO (ATENCION
00127900006400000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03885260100200015000000000000000000000000000000000000000MINIMA DE 45')(SOLO PARA
MAYORES DE 55 AOS)
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03886260100300005000000000000000000000000000000000000000ATENCION INTEGRAL DE
ENFERMERIA EN DOMICILIO A PACIENTES
00131600006580000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03887260100300015000000000000000000000000000000000000000POSTRADOS, TERMINALES POST
OPERADOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03888260100400005000000000000000000000000000000000000000ATENCION INTEGRAL DE
ENFERMERIA EN DOMICILIO A PACIENTES
00132600006630000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03889260100400015000000000000000000000000000000000000000OSTOMIZADOS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03890260100500005000000000000000000000000000000000000000ATENCION INTEGRAL DE
ENFERMERIA EN DOMICILIO A PACIENTES
00132600006630000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03891260100500015000000000000000000000000000000000000000QUE REQUIEREN INSTALACION
Y/O RETIRO DE CATETER O SONDA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03892260200000002000000000000000000000000000000000000000II.- NUTRICIONISTAS
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03893260200100005000000000000000000000000000000000000000ATENCION INTEGRAL DE
NUTRICIONISTA
00231900011600000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03894280000000001000000000000000000000000000000000000000GRUPO : 28
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03895280000000001000000000000000000000000000000000000000PAGO ASOCIADO EMERGENCIA
00000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03896280220100005000000000000000000000000000000000000000PAE CLASE 201
00394000015760000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03897280220200005000000000000000000000000000000000000000PAE CLASE 202
01284900051400000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03898280220300005000000000000000000000000000000000000000PAE CLASE 203
02356100094240000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03899280220400005000000000000000000000000000000000000000PAE CLASE 204
03577400143100000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03900280220500005000000000000000000000000000000000000000PAE CLASE 205
04532600181300000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03901280230100005000000000000000000000000000000000000000PAE CLASE 301
07112900213390000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03902280230200005000000000000000000000000000000000000000PAE CLASE 302
09693300290800000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03903280230300005000000000000000000000000000000000000000PAE CLASE 303
13457700403730000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03904280230400005000000000000000000000000000000000000000PAE CLASE 304
16276500488300000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03905280230500005000000000000000000000000000000000000000PAE CLASE 305
19991600599750000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000
03906280240100005000000000000000000000000000000000000000PAE CLASE 401
26226900655670000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000

Das könnte Ihnen auch gefallen