NDB-SCR概論②診療情報管理士から見た使い方、

読み解き方、概要など

大阪府済生会吹田病院

事務次長 松木大作

http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000177182.html

第2回NDBオープンデータ（平成27年度のレセプト情報と平成26年度の特定健診情報を集計）

「NDBオープンデータ」とは

第2 回NDB オープンデータの集計表作成にあたり、NDB から抽出した1 年分のデータ件数

（※1）DPC レセプトの留意点として、包括評価項目である入院基本料及び入院基本料等加算の領域では、電子レセプトの仕様により、医療機関のレセプトコンピュータ（レセプト電算処理システム）で作成された電子レセプトに算定回数を含まない診療行為が存在する。DPC の包括評価項目で電子レセプトに記録されない診療行為は以下の通りである。これら診療行為については、NDB オープンデータの入院基本料及び入院基本料等加算の集計表の総数が全算定回数ではないことに注意が必要である。全算定回数ではない診療行為

A100：一般病棟入院基本料 A207-3：急性期看護補助体制加算A104：特定機能病院入院基本料 A207-4：看護職員夜間配置加算A105：専門病院入院基本料 A214：看護補助加算A200：総合入院体制加算 A218：地域加算A204：地域医療支援病院入院診療加算 A218-2：離島加算A202-2：臨床研修病院入院診療加算 A234：医療安全対策加算A207：診療録管理体制加算 A232-2：感染防止対策加算A207-2 ：医師事務作業補助体制加算

また、上記に対する通則加算・注加算も同様である。

（※2）リハビリテーションでは、１単位あたりの点数が定められている診療行為のみ、日毎の単位数を集計している。リハビリテーションの領域で、算定回数で集計したものは以下の通りである。算定回数で集計される診療行為コード

180004810：斜視視能訓練 180024710：リハビリテーション総合計画評価料180004910：弱視視能訓練 180042910：リハビリテーション総合計画提供料180016610：摂食機能療法 180043110：認知症患者リハビリテーション料180017910：難病患者リハビリテーション料

第2 回NDB オープンデータの注意点

集計表の値は「レセプト情報・特定健診等情報の提供に関するガイドライン」の最小集計単位の原則に従い、集計単位が10 未満の場合は「-（ハイフン）」で表示している。

但し、以下は例外的に対応している。・医科診療行為のリハビリテーション：

１単位あたりの点数が定められている診療行為は100 未満を「-（ハイフン）」で表示（日ごとの単位数を集計しているため100 未満とした）

・薬剤（内服、注射、外用）：1,000 未満を「-（ハイフン）」で表示

（処方数量を集計しているため1,000 未満とした）

また、ハイフンとなる項目が1 つのみの場合は、総計の値から特定できるため、他の全ての項目もハイフンで表示する（総計のみ表示）。但し、ハイフンの値が0 であった場合のみ特定を許容する。

第2 回NDB オープンデータの最小集計単位の原則

第3章.3-1.医科診療行為の算定回数（抜粋）.pdf公開された診療行為のうち一部抜粋された診療行為が都道府県別にグラフ表示（診療行為の解説付き）http://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/3-1.pdf 医科http://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/0000177767.pdf 歯科http://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/0000177768.pdf 特定健診

http://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/3-1.pdfhttp://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/0000177767.pdfhttp://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/0000177768.pdf

第2 回NDB オープンデータの集計条件

手術の集計表に含めて公表

K008:腋臭症手術K093-2：関節鏡下手根管開放術K196-2：胸腔鏡下交感神経切除術（両側）K282:水晶体再建術K474:乳腺腫瘤摘出術K617：下肢静脈瘤手術 等

診療年月：H27年04月～H28年03月　A 基本診療料　外来

01 02 03 04 05 06 07

北海道 青森県 岩手県 宮城県 秋田県 山形県 福島

A000 初診料 111000110 初診 282 258,641,917 9,507,325 2,270,801 2,125,615 4,427,330 1,651,019 2,275,373 3

111011810 初診（同一日２科目） 141 2,950,072 141,300 19,611 23,492 35,740 26,278 19,174

111012510 初診（他医療機関からの紹介状がない患者） 209 19,907 - - - - - -

111012610 初診（同一日２科目・減点規定該当の場合） 104 3,176 17 - - - - -

A001 再診料 112007410 再診 72 1,060,970,707 38,076,466 12,455,126 10,644,927 19,233,485 8,437,401 10,151,083 15

112007950 電話等再診 72 2,284,297 104,272 3,029 5,593 26,085 5,877 7,957

112008350 同日再診 72 1,860,671 38,700 9,875 6,110 15,213 6,238 10,937

112008850 同日電話等再診 72 253,142 8,075 103 207 1,285 292 753

112015810 再診料（同一日２科目） 36 8,269,720 395,268 97,504 110,434 130,216 96,211 58,307

112015950 電話等再診（同一日２科目） 36 309 10 - - - - -

112016610 再診（妥結率５割以下） 53 - - - - - - -

112016850 同日再診（妥結率５割以下） 53 11 - - - - - -

112016950 同日電話等再診（妥結率５割以下） 53 - - - - - - -

112017010 再診料（同一日２科目・減点規定該当の場合） 26 18 - - - - - -

A002 外来診療料 112011310 外来診療料 73 171,273,704 8,263,069 1,703,154 1,614,859 2,544,745 2,102,445 1,818,197 2

112011710 同日外来診療料 73 210,217 6,972 2,805 3,060 3,611 3,799 2,710

112016210 外来診療料（同一日２科目） 36 7,854,783 475,585 58,099 59,239 120,430 141,682 68,927

112016310 外来診療料（他医療機関へ紹介する旨申し出た患者） 54 22 - - - - - -

112016410 外来診療料（同一日２科目・減点規定該当の場合） 26 9,147 - - - - - -

112017310 外来診療料（妥結率５割以下） 54 - - - - - - -

112017450 同日外来診療料（妥結率５割以下） 54 - - - - - - -

総計分類

コード分類名称

診療行為

コード診療行為 点数

診療年月：H27年04月～H28年03月　A 基本診療料　外来

男性

0～4歳 5～9歳 10～14歳 15～19歳 20～24歳 25～29歳

A000 初診料 111000110 初診 282 258,641,917 13,000,329 12,940,458 9,382,166 5,886,683 4,535,454 5,207,239

111011810 初診（同一日２科目） 141 2,950,072 41,144 34,977 26,904 18,330 15,827 20,627

111012510 初診（他医療機関からの紹介状がない患者） 209 19,907 283 442 432 349 395 486

111012610 初診（同一日２科目・減点規定該当の場合） 104 3,176 32 41 30 31 14 16

A001 再診料 112007410 再診 72 1,060,970,707 17,578,010 17,029,104 11,003,106 6,978,541 5,227,884 6,589,575

112007950 電話等再診 72 2,284,297 57,197 32,140 19,721 12,876 12,648 16,237

112008350 同日再診 72 1,860,671 130,402 94,034 39,837 18,259 13,844 16,139

112008850 同日電話等再診 72 253,142 12,581 9,334 4,527 2,188 1,618 1,952

112015810 再診料（同一日２科目） 36 8,269,720 21,595 18,875 11,351 6,509 5,755 9,256

112015950 電話等再診（同一日２科目） 36 309 - - - - - -

112016610 再診（妥結率５割以下） 53 - - - - - - -

112016850 同日再診（妥結率５割以下） 53 11 - - - - - -

112016950 同日電話等再診（妥結率５割以下） 53 - - - - - - -

112017010 再診料（同一日２科目・減点規定該当の場合） 26 18 - - - - - -

A002 外来診療料 112011310 外来診療料 73 171,273,704 2,917,728 2,010,590 1,542,325 1,145,325 879,869 1,011,174

112011710 同日外来診療料 73 210,217 15,929 6,475 2,719 2,205 2,370 2,791

112016210 外来診療料（同一日２科目） 36 7,854,783 43,820 25,515 18,157 13,883 14,072 19,403

112016310 外来診療料（他医療機関へ紹介する旨申し出た患者） 54 22 - - - - - -

112016410 外来診療料（同一日２科目・減点規定該当の場合） 26 9,147 45 40 20 14 15 17

112017310 外来診療料（妥結率５割以下） 54 - - - - - - -

112017450 同日外来診療料（妥結率５割以下） 54 - - - - - - -

総計分類

コー分類名称

診療行為

コード診療行為 点数

第2 回NDB オープンデータの例示

外来

診療年月：H27年04月～H28年03月　A 基本診療料　外来

分類コード分類名称診療行為コード診療行為点数総計0102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647

北海道青森県岩手県宮城県秋田県山形県福島県茨城県栃木県群馬県埼玉県千葉県東京都神奈川県新潟県富山県石川県福井県山梨県長野県岐阜県静岡県愛知県三重県滋賀県京都府大阪府兵庫県奈良県和歌山県鳥取県島根県岡山県広島県山口県徳島県香川県愛媛県高知県福岡県佐賀県長崎県熊本県大分県宮崎県鹿児島県沖縄県

A000初診料111000110初診282258,641,9179,507,3252,270,8012,125,6154,427,3301,651,0192,275,3733,657,7135,412,7653,868,5804,098,65414,136,38711,934,87931,822,06918,595,8874,286,5112,013,9512,247,7641,515,8941,627,8053,828,6354,337,9217,273,91316,234,7293,704,6822,763,6634,773,09018,194,43111,854,2472,723,2201,984,9991,158,8301,291,1093,848,1335,924,3552,704,6581,641,4972,170,5932,851,7771,312,75410,918,7501,730,5342,663,9883,762,7102,452,4352,444,4433,554,7523,060,747

111011810初診（同一日２科目）1412,950,072141,30019,61123,49235,74026,27819,17445,63165,04743,68436,720192,032170,341444,127195,48739,29436,60941,61220,62818,10542,73350,66357,145171,83427,64737,92566,624193,896133,96137,97520,5128,26812,84148,17357,26828,10915,11927,88442,19819,00783,80612,60721,66030,32520,23417,19424,37625,176

111012510初診（他医療機関からの紹介状がない患者）20919,907------------------8,931-------2,894-----------4,8883,193-------

111012610初診（同一日２科目・減点規定該当の場合）1043,17617-----------65-----2,590--15----8310-----11----133187-------

A001再診料112007410再診721,060,970,70738,076,46612,455,12610,644,92719,233,4858,437,40110,151,08315,824,59020,556,28816,890,43516,722,73252,838,59342,937,542107,484,09268,010,06717,646,1288,061,2668,366,6986,365,8426,740,15015,317,82918,171,49731,466,10364,312,57816,530,0639,726,33120,431,90879,285,35851,134,87211,122,8719,585,0174,793,2696,179,20317,253,04629,031,48514,105,7417,398,31810,075,20313,579,0876,711,10847,792,5899,478,01114,804,13618,149,45111,005,29510,950,15816,672,4188,464,851

112007950電話等再診722,284,297104,2723,0295,59326,0855,8777,95717,54022,48818,75734,05192,42377,225355,089201,11012,4227,37118,1914,21712,38727,53432,58040,265106,97830,71714,74166,792218,423127,55617,87927,1095,4647,60644,54889,41628,20227,01916,42339,68214,620151,55811,91722,66022,56216,70610,51630,3508,390

112008350同日再診721,860,67138,7009,8756,11015,2136,23810,93729,42424,50624,37525,22495,35255,049230,343116,99322,8939,83612,9788,7209,32315,29254,77541,656136,74726,05020,51657,843219,309115,00324,60321,7238,1578,87233,82752,43716,43819,18718,25922,9707,92967,44911,27219,73318,11816,24916,61424,37013,184

112008850同日電話等再診72253,1428,0751032071,2852927539291,7651,8882,70211,3558,83848,44025,7241,8367342,4465452,4451,5154,8133,04616,0112,5778829,92930,29913,3471,7912,0605385135,2869,4422,4822,0711,7652,46663514,2961,5969421,0281,1796431,335293

112015810再診料（同一日２科目）368,269,720395,26897,504110,434130,21696,21158,307202,932203,616156,015117,449415,198378,868732,791430,071105,00090,483108,13487,78379,020122,683136,166156,768394,38482,49968,654211,450465,188352,229103,71462,31851,92051,683206,309220,942104,35066,068132,003163,715126,451273,06470,617167,438147,650109,05081,40595,50350,199

112015950電話等再診（同一日２科目）3630910---------17124913--------13---562114----------10-------

112016610再診（妥結率５割以下）53------------------------------------------------

112016850同日再診（妥結率５割以下）5311-----------------------------------------------

112016950同日電話等再診（妥結率５割以下）53------------------------------------------------

112017010再診料（同一日２科目・減点規定該当の場合）2618-----------------------------------------------

A002外来診療料112011310外来診療料73171,273,7048,263,0691,703,1541,614,8592,544,7452,102,4451,818,1972,516,3593,959,9192,587,4762,086,9497,307,6148,345,92821,780,85511,588,3483,538,8101,832,9362,042,1761,225,985986,4013,661,2353,172,6734,769,32610,421,7272,268,6782,165,0584,314,24213,410,2716,576,6652,019,9901,355,794887,190941,7112,601,1133,515,1522,021,536927,1271,343,0671,903,783739,1295,932,625567,3581,353,7851,822,9481,040,500786,7871,178,5541,729,455

112011710同日外来診療料73210,2176,9722,8053,0603,6113,7992,7103,6215,5151,5602,2387,2749,24117,13211,7873,0261,8832,9291,7681,6534,9967,0955,57520,9312,1013,2597,46616,9445,6972,1442,1609881,4893,6353,5932,9321,1631,0111,4389608,2524701,7142,6671,2216272,0795,026

112016210外来診療料（同一日２科目）367,854,783475,58558,09959,239120,430141,68268,927104,453200,221107,86470,700321,331364,4301,185,398402,533135,796100,961140,85655,8388,730147,905124,578148,971536,29188,179117,446216,788571,005271,429123,91164,87429,24123,821132,172183,33689,95624,29686,66792,46238,837253,22722,63655,93878,32573,80320,76949,98864,859

112016310外来診療料（他医療機関へ紹介する旨申し出た患者）5422-----------------------------------------------

112016410外来診療料（同一日２科目・減点規定該当の場合）269,147-------21----52-----9,008-------1011-------------------

112017310外来診療料（妥結率５割以下）54------------------------------------------------

112017450同日外来診療料（妥結率５割以下）54------------------------------------------------

&A

外来（加算）

診療年月：H27年04月～H28年03月　A 基本診療料　外来（加算）

加算 診療行為コード診療行為点数%(加減算)総計0102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647

北海道青森県岩手県宮城県秋田県山形県福島県茨城県栃木県群馬県埼玉県千葉県東京都神奈川県新潟県富山県石川県福井県山梨県長野県岐阜県静岡県愛知県三重県滋賀県京都府大阪府兵庫県奈良県和歌山県鳥取県島根県岡山県広島県山口県徳島県香川県愛媛県高知県福岡県佐賀県長崎県熊本県大分県宮崎県鹿児島県沖縄県

通則加算・注加算 111000370初診（乳幼児）加算7527,643,835981,026275,143226,706452,670137,286275,703354,604567,556410,067396,0541,503,5781,317,7042,826,9162,027,426487,946200,128259,438160,855169,761341,936465,832789,6201,751,046356,000355,397451,7601,961,1271,353,973298,272197,533153,042150,513477,416682,118275,670167,239256,425318,432128,1871,254,635215,666276,985416,232256,781302,653402,177556,601

111000570初診（時間外）加算851,082,60539,0626,49611,36912,2648,1765,36413,31923,80716,12313,03341,84739,81086,64842,35415,3935,27812,19811,0857,92721,52622,16520,21078,75622,07613,19746,20793,09561,42818,68412,3879,1644,48319,22127,40010,80410,88010,03012,6908,94041,08214,72413,19017,87322,46612,17719,2606,937

111000670初診（休日）加算2504,697,175200,34637,96653,92295,70733,08646,61591,07494,72965,716103,431196,821186,094416,692275,54684,57649,74957,06134,54933,742124,16880,214181,530301,33362,94147,89279,757233,647174,06941,52134,32824,45318,86278,972138,91358,78124,95154,15460,47029,606202,25338,72161,987105,41959,40269,30498,88753,218

111000770初診（深夜）加算4801,488,81262,37511,87412,91824,58410,22011,70722,42727,24017,17916,12559,79770,327158,796108,42120,95214,53111,8249,08710,58722,83622,94151,38297,53617,50216,57532,673119,93266,15818,09511,6916,5585,60118,48728,13713,2266,4288,30023,4048,48882,6727,67714,78124,64213,66713,21723,52631,709

111000870初診（時間外特例）加算2302,265,700100,67627,44226,54240,76225,46227,48044,64141,45628,75022,53784,32686,572216,318157,54948,44230,53819,57815,73515,48055,16541,38988,134150,41622,79927,99449,566150,96073,04614,98815,26613,48311,76630,05341,21729,1668,33014,92932,68813,301120,1919,43225,49236,49222,11114,38840,23952,413

111011570小児科初診（乳幼児夜間）加算（６歳未満）200713,33527,8622,3031,6844,4701,4434,54410,19610,8888,8656,08137,50422,68174,73638,3462,6813,5423,4162,2771,2623,00713,52410,50688,09212,36813,54927,960103,28839,40415,2598,2685,2543,09112,62813,7764,3476,0523,3873,9161,28011,8186963,8755,0035,0488,43411,74112,983

111011670小児科初診（乳幼児休日）加算（６歳未満）365223,0775,8542,1243,4921,7982,0072,2932,1665,4902,30883025,07910,91733,73020,2222,3724592735141,2084112,0113,31911,1562,2274313,06322,6339,6434,1934,3983046403,0112,1352,4611,6467743,2252004,8862435872,1422,3503,8396,2931,720

111011770小児科初診（乳幼児深夜）加算（６歳未満）6958,8881,241----13-87-72408698402643---14-2557-19--23678145645---185355-15855-10-66--3,174462-

111011970初診（乳幼児時間外）加算200385,49811,2542,0852,4062,9631,1611,8754,4119,3983,9315,08717,29910,24738,25522,3983,5731,5342,4122,8571,0994,0188,6135,91124,6075,87511,18315,31343,42329,6948,2513,5012,9381,2624,9329,3732,8372,8782,6782,8222,57815,1805,2454,3035,8175,9183,0705,0903,943

111012070初診（乳幼児休日）加算3651,257,06546,77412,82710,73222,6058,01614,70125,39029,71218,60121,46852,55957,210106,85981,26520,19410,71917,3517,7976,30223,61022,33944,35672,93615,77418,67724,38164,09850,1648,7777,4187,4064,14120,71339,88013,5964,59711,69315,1656,06464,4689,71017,02433,08819,60818,35826,89321,049

111012170初診（乳幼児深夜）加算695353,3688,5032,8952,8274,7411,4122,0435,2397,5893,2332,42616,32516,96436,17129,2602,9672,3862,6071,7261,7933,5005,18910,84220,5672,3825,2057,92233,50417,8723,9712,6371,1451,1213,9999,0642,7321,8081,5486,2681,93423,8831,4593,3218,8685,6186446,5378,721

111012270初診（乳幼児時間外特例医療機関）加算345577,48816,1309,1095,6358,8684,2447,01911,55311,6417,7433,29219,50926,54163,25742,4639,3855,0755,9512,7243,2478,8939,86420,63733,3094,8669,49510,32845,79213,3113,8044,1473,8222,5437,81717,1058,4201,1534,0357,6152,58537,3291,3376,11112,8749,2013,26510,15714,287

111012470初診（夜間・早朝等）加算5012,762,548216,74659,95431,880112,68935,03654,737139,309273,529210,215150,816928,595630,2042,296,3301,084,37075,69766,45852,83252,91638,63059,604284,556136,3641,158,062240,210202,832335,4771,428,142661,341229,66775,69837,26543,361175,425174,44148,995101,63363,03778,39027,666247,99226,79737,95490,62650,27741,71390,258103,822

112000970再診（乳幼児）加算3839,553,5411,397,707520,530297,107631,575224,542359,478481,817652,022729,160586,1992,088,5951,551,7823,965,9982,849,221721,225277,335332,231224,903235,785383,092675,7511,074,2662,478,835452,512408,100568,1932,971,8141,823,515375,792265,950216,596209,544792,2611,173,190462,073247,758375,155544,431213,9122,137,662380,758442,294703,821399,736424,508634,318590,492

112001110再診（時間外）加算651,510,30333,17711,0977,18010,4256,4479,60122,01521,58514,84713,70466,41542,732236,01590,47619,9855,6109,9546,7508,40520,72736,33323,291110,99424,63612,75557,486183,98594,71221,75711,6456,3619,68819,21236,16411,6019,82814,60217,7006,62442,78211,13514,49115,78016,49113,70619,7419,656

112001210再診（休日）加算1901,141,32837,95113,00710,88813,6997,5879,45323,46321,53816,78015,69462,61833,625120,73452,52715,8248,52212,3478,4028,86023,46150,13527,10746,55025,7717,09420,48760,20741,17110,2388,8446,7199,44022,82134,73312,75811,14616,39624,87214,80839,57512,68518,45225,47519,26317,56927,13612,896

112001310再診（深夜）加算420248,8059,5852,2961,9172,7391,6882,1276,6894,1083,1713,02910,8379,33229,79319,2013,5271,7912,7951,9671,7563,0564,3576,1899,9873,3571,6415,38716,40410,4312,5092,0991,7251,8805,0315,4712,0772,1182,5273,4542,14410,7893,1205,0054,9284,0832,7285,8832,077

112001410再診（時間外特例）加算180241,58811,8173,2033,0533,4692,4773,4624,6003,7315,7292,11418,1845,64920,26811,3284,1542,8603,2182,1522,1775,5394,7574,19610,4091,2241,7534,61916,0777,5392,0281,8833,2052,9107,3474,7131,8991,5182,9342,6963,51412,4151,7314,8664,0793,2491,9257,0721,846

112006270外来診療料（乳幼児）加算385,655,456276,75761,90453,94376,22244,89035,96591,405124,693108,38044,080239,704248,788667,598391,73597,38648,72963,50529,17737,694115,459102,795171,635410,89952,26077,367128,015440,707209,12858,63647,70331,28431,303109,061135,67956,76031,50165,85283,38929,577204,37422,88947,86253,34931,29528,96939,00596,148

112006470外来診療料（時間外）加算65170,5635,8191,9993,9743,0885,0631,8053,6512,1582,4421,5064,3555,5288,2319,6985,2651,7002,2552,4981,2934,6843,2604,35213,6522,6973,6488,17016,6874,7112,8291,9686609041,5105,4872,0889491,5401,6941,3544,8688911,3032,5801,5991,3769251,849

112006570外来診療料（休日）加算190664,37320,4688,1199,5729,19914,1119,28011,52017,1735,9456,71624,47028,40462,23837,05012,1006,2499,5759,3453,05816,50319,27814,99061,0586,06913,87622,29045,25320,6485,8524,7673,6544,47012,51010,1556,9663,0154,6626,1534,71327,9451,9854,07410,6794,1781,8395,77416,425

112006670外来診療料（深夜）加算420404,96310,5214,5565,6545,2556,2575,3856,7129,4183,8113,71214,44417,83139,11427,1976,3913,5475,3395,1931,7558,02810,47210,59440,6364,3598,43413,07027,44812,4923,8332,8131,8752,5237,4916,3004,1741,8962,4482,9832,73217,9041,2902,3597,7412,2661,2602,91612,534

112006770外来診療料（時間外特例医療機関）加算180689,18521,6708,44810,0649,50013,3959,98012,95119,1414,8037,11622,79027,01567,03338,29412,4306,5589,3019,7902,81717,07519,84415,49075,9705,20715,90624,75743,42422,0985,8214,4482,6434,84512,7877,9917,4863,6493,8175,6384,84924,2131,8244,62111,3143,6351,2425,29920,196

112011010外来管理加算52519,068,46019,783,7166,014,0765,142,6999,334,2454,439,0384,956,4418,246,90310,684,6428,910,8499,203,93225,900,77920,889,07754,081,99433,038,5668,954,5724,157,7354,246,8363,168,1033,439,6467,887,9608,891,11815,243,32529,467,5717,762,9914,897,68410,324,39637,679,40924,519,8005,643,7564,850,9042,538,7003,212,3558,667,46313,916,5146,780,2483,762,2214,789,2646,245,5703,341,18322,521,1444,207,8966,599,7478,373,2165,559,6655,325,0997,733,0053,732,407

112014170小児科再診（乳幼児夜間）加算（６歳未満）135817,96221,2162,2948054,4493,2284,45310,5389,70711,5737,52442,83323,559118,75245,2051,8673,7392,7561,3041,4032,64412,9518,992101,93314,26913,08928,458121,97039,80313,3178,0466,8013,74213,30818,2718,2697,8994,6775,53996315,4821,2547,0165,5306,4705,62013,98510,459

112014270小児科再診（乳幼児休日）加算（６歳未満）260135,8842,5077793,0706442,3751,9981,0973,3051,06616015,5929,19218,11712,0761,161252111260743848732,9237,5981,1543501,88711,1714,5863,1012,9563003621,8861,3501,8559694081,7391753,9613392886611,3911,0346,8931,085

112014370小児科再診（乳幼児深夜）加算（６歳未満）5901,195249------19--262711437--------17-1410244120---13------248----71217-

112014470外来診療料（小児科・乳幼児夜間）加算（６歳未満）1352,71720-----73961-33476119----------217--610242-71--20-45-----12-104----14

112014570外来診療料（小児科・乳幼児休日）加算（６歳未満）2601,43915--------43-8616-92----1617----33921-12-17--104--36--130-211--7015620

112014670外来診療料（小児科・乳幼児深夜）加算（６歳未満）5901,443-----------28-14-----17-----240531-39-16--2710-20--97-53--1616979

112014770再診（乳幼児時間外）加算135318,1533,7661,7479251,0423131,2063,1315,5753,1753,66515,4977,09748,59823,2881,9481,0941,5191,1897101,6448,1712,53123,8734,24811,4489,87040,04815,3785,3651,8761,7687483,3747,7473,3332,2572,2721,8451,02416,0041,5864,4164,6786,0024,1292,5624,471

112014870再診（乳幼児休日）加算260170,0545,8581,4738621,9521,6209943,6873,1731,7031,9099,3604,09920,4508,7723,0821,1822,4131,0298601,7195,1635,3337,5213,0312,5812,1696,7894,5115367875715151,8885,6881,2726291,5981,9941,23910,2401,1564,8625,9577,2822,7084,8532,984

112014970再診（乳幼児深夜）加算59013,920431403813434296939985908133551,3701,1301807998129115467934232647633011,287744981224547838851231746289581,00352247881,28723445109

112015070再診（乳幼児時間外特例医療機関）加算25032,806-----------------------------------------------

112015170外来診療料（乳幼児時間外）加算13522,1941,372633510322595164316386276544485401,8781,128510132141100714454614661,5141727427782,6264071043424873324694291602741502271,2471671211757786123424

112015270外来診療料（乳幼児休日）加算260138,5074,1972,4171,4451,7332,3731,1153,3054,4758475313,3715,84917,1226,6291,6217292,6338791652,0934,5342,53512,9618244,5385,4574,8392,1814601,0019499224,5332,0652,2164631,2441,2788329,9824287502,1691,0631978175,740

112015370外来診療料（乳幼児深夜）加算59070,9751,2198525776166056581,5191,5705482002,0493,41010,3574,9745323261,361517649401,8601,6397,6534201,5692,0883,1041,1442164032265161,9535429594963956213575,6283405311,3265291192673,180

112015470外来診療料（乳幼児時間外特例医療機関）加算250138,1533,8481,8291,4891,6351,6181,2513,7404,0067163173,1125,78619,1607,1301,1796952,5061,1461382,0233,7992,62714,7866394,0405,5476,7482,5275891,3428119194,5881,5552,3453901,1331,3187386,7905131,0911,9799472967586,014

112015570再診（夜間・早朝等）加算5031,197,259421,604186,06576,484235,39978,337140,603305,451694,617543,189364,2012,218,1841,500,2455,308,0452,493,182161,276137,455124,321132,09892,948131,349645,237365,4112,954,767605,304435,223971,4404,033,6781,642,769497,236179,92381,392102,822473,198501,383119,428249,449169,732185,48571,649598,99674,505110,776219,125124,78174,555192,396171,546

112015670時間外対応加算２3157,242,6673,124,5441,095,7761,366,0581,586,5701,328,6821,842,0451,579,0932,210,7452,443,6092,655,0024,922,3093,729,87612,038,6309,068,7852,867,2341,728,9902,687,8361,014,663847,9053,296,8894,351,1136,004,94914,453,6983,193,9511,250,7544,351,90612,392,0609,060,9101,476,6901,589,921926,3001,158,7712,738,0506,226,0592,413,8271,090,2091,282,0471,853,530848,5387,395,4551,338,1642,402,9562,440,5771,555,0591,331,9452,339,215340,772

112015770明細書発行体制等加算1832,197,52426,964,52910,059,0398,501,86615,560,3396,860,6318,735,86212,325,64615,040,93113,271,57012,874,80040,693,33433,154,69285,147,69756,582,14814,390,0196,155,1666,384,3994,771,4684,910,07412,006,99615,680,69527,670,79456,226,49014,039,6057,787,62013,974,86060,924,26040,961,6208,197,1137,289,4273,787,2135,167,24012,778,50823,637,87811,460,1905,365,0317,145,22610,108,4624,184,60337,122,4946,691,23611,105,57413,347,9837,521,6247,589,74411,848,6186,192,210

112016070時間外対応加算１5122,604,5783,938,2041,463,8551,112,3981,591,6241,228,1561,587,0781,645,5182,081,7753,146,5071,667,1263,725,7812,733,7287,241,9914,105,8161,305,691967,0451,581,7031,241,100566,2131,945,3371,766,3304,144,2137,057,8281,189,339930,4832,895,8525,860,9116,402,122694,0841,294,942774,5151,148,8623,700,6866,083,9781,889,3041,280,3321,773,9752,666,890784,4206,642,8512,159,2963,464,9534,260,0332,516,9761,872,9863,972,642499,129

112016170時間外対応加算３11,641,52832,189--43,081-3,49919,84230,50289,90318,29252,880104,21082,289386,6653,99438,39717,1368,88820,1041,735-94,548115,483--53,92684,70018,348--16,09526,045-37,0816,943-44,20368914,530102,275-579-23,2348,28422,86418,095

112017270地域包括診療加算2013,201,449380,21456,17789,14097,52281,570114,51877,354111,703294,880252,643272,807175,973601,925410,08274,70246,584189,37584,99732,658348,226254,467592,5591,189,060197,288129,784795,8891,155,437591,761109,525170,36157,71490,075512,152652,457225,837219,572118,558252,74749,966563,642210,468370,981265,479274,27376,728251,93529,684

&A

入院

診療年月：H27年04月～H28年03月　A 基本診療料　入院

分類コード分類名称診療行為コード診療行為点数総計0102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647

北海道青森県岩手県宮城県秋田県山形県福島県茨城県栃木県群馬県埼玉県千葉県東京都神奈川県新潟県富山県石川県福井県山梨県長野県岐阜県静岡県愛知県三重県滋賀県京都府大阪府兵庫県奈良県和歌山県鳥取県島根県岡山県広島県山口県徳島県香川県愛媛県高知県福岡県佐賀県長崎県熊本県大分県宮崎県鹿児島県沖縄県

A000初診料111000110初診2823,391,383175,36634,26338,15962,76224,44934,68550,19065,78448,94761,519143,704130,912312,176186,95658,41631,73133,04721,77022,78162,65550,38891,060171,13849,02629,38067,615245,298162,86137,22131,66719,22723,95858,73782,17445,65825,58531,12046,80425,669162,47728,74049,48166,40047,95138,77361,35641,347

111011810初診（同一日２科目）1412,416103--24--64---2014608184-----10-269425311078314022----2024--291270-20---28-

111012510初診（他医療機関からの紹介状がない患者）209389------------------109-------------------98179-------

111012610初診（同一日２科目・減点規定該当の場合）104------------------------------------------------

A001再診料112007410再診72------------------------------------------------

A002外来診療料112011310外来診療料731,486------------61734-4531--46--410----173---21--24--13--------58

112016210外来診療料（同一日２科目）3648------------39----------------------------------

&A

入院（加算）

診療年月：H27年04月～H28年03月　A 基本診療料　入院（加算）

加算 診療行為コード診療行為点数%(加減算)総計0102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647

北海道青森県岩手県宮城県秋田県山形県福島県茨城県栃木県群馬県埼玉県千葉県東京都神奈川県新潟県富山県石川県福井県山梨県長野県岐阜県静岡県愛知県三重県滋賀県京都府大阪府兵庫県奈良県和歌山県鳥取県島根県岡山県広島県山口県徳島県香川県愛媛県高知県福岡県佐賀県長崎県熊本県大分県宮崎県鹿児島県沖縄県

通則加算・注加算 111000370初診（乳幼児）加算75245,96318,1401,8983,3693,1682,2053,1104,4184,8793,8894,41910,2829,75120,69012,7684,1262,1051,9101,5981,9474,4443,7636,15713,5662,9183,1054,92920,02412,4732,7472,0761,6262,2163,0375,6332,9221,5372,2153,2231,2959,2832,1012,0875,2731,8432,6854,1413,972

111000570初診（時間外）加算85133,6345,2321,2761,5512,8731,3421,1062,3241,7492,8342,5244,7663,6245,6345,2282,9521,0681,0918298692,5111,8053,6418,0462,6981,1406,94214,9837,7843,1091,8495916032,1853,6801,6227621,6271,7581,1594,1951,2811,6221,8942,0442,1782,332721

111000670初診（休日）加算250287,81611,4692,8803,0875,1892,2583,3184,4155,4724,4735,60111,91912,18926,29216,9385,0433,0012,8011,9312,0836,1924,5768,24814,4344,7092,6105,92519,53913,7413,2392,8071,7992,1345,3616,6584,0112,1322,7114,2432,20413,0092,1984,1525,2623,8132,9124,8833,955

111000770初診（深夜）加算480272,61410,7342,1292,6595,4611,4922,4303,6535,2944,0295,03512,17912,86731,89717,7514,2732,7322,7171,5541,6314,7763,4597,82713,4843,6782,2765,32421,08913,2353,1302,2211,3841,6594,2385,6063,3241,8782,4683,5421,71412,2122,0113,5514,3343,5422,5414,1013,493

111000870初診（時間外特例）加算230387,97214,5714,1204,4937,2402,8364,5065,5657,6725,2917,20816,41915,33344,00122,5767,0854,0153,4512,4992,3278,5246,54011,45923,7885,5713,9148,18627,75717,7452,8982,8882,4392,9746,4457,7024,8263,3813,1495,0832,42216,5052,3065,2806,7544,5682,7585,3135,589

111011570小児科初診（乳幼児夜間）加算（６歳未満）200373--14----84-----32-------2628----54-45---11-------11-----

111011670小児科初診（乳幼児休日）加算（６歳未満）36569436-12----52----11583-------4271--2017342917-----------24--5727-

111011770小児科初診（乳幼児深夜）加算（６歳未満）69574226-12----56----8980-------6356--21188424---------12--14--12117-

111011970初診（乳幼児時間外）加算20014,227750104112227133138249118283346729251646452368107561671463062192451,0232481513971,871582254167718728535930413219910798438154185326145158198136

111012070初診（乳幼児休日）加算36529,6811,6632963334633224094995204464571,2301,0642,5081,4515752732322472885695498212,0654433716952,3171,3513311942282435444834302534023541421,058246356585221242296616

111012170初診（乳幼児深夜）加算69531,7982,0911922224463173493834214064431,4461,1612,9201,8284243352212133434593851,0602,2235463056013,1641,723347219165194554485569254475375160909236372560216293221567

111012270初診（乳幼児時間外特例医療機関）加算34548,3442,4873485207124856586577385305391,9281,6854,6492,4537344953352503817579041,3784,4587026841,0923,9462,3865312624844057556656174466045571701,734354644921367580452905

111012470初診（夜間・早朝等）加算501,0124236-----27--11921197---10101039-191231-1013962-25--2111-13--12---37181123-

112000970再診（乳幼児）加算38------------------------------------------------

112001410再診（時間外特例）加算180------------------------------------------------

112006470外来診療料（時間外）加算65------------------------------------------------

112011010外来管理加算52------------------------------------------------

112015770明細書発行体制等加算1------------------------------------------------

112016070時間外対応加算１5------------------------------------------------

&A

外来

診療年月：H27年04月～H28年03月　A 基本診療料　外来

分類コード分類名称診療行為コード診療行為点数総計男性女性

0～4歳5～9歳10～14歳15～19歳20～24歳25～29歳30～34歳35～39歳40～44歳45～49歳50～54歳55～59歳60～64歳65～69歳70～74歳75～79歳80～84歳85～89歳90歳以上0～4歳5～9歳10～14歳15～19歳20～24歳25～29歳30～34歳35～39歳40～44歳45～49歳50～54歳55～59歳60～64歳65～69歳70～74歳75～79歳80～84歳85～89歳90歳以上

A000初診料111000110初診282258,641,91713,000,32912,940,4589,382,1665,886,6834,535,4545,207,2396,132,2556,872,3277,318,6226,055,1455,355,0384,883,4495,358,4846,156,0945,177,7744,200,9412,982,9291,493,080514,84111,836,55412,003,4368,508,6316,281,4057,188,1828,420,2549,612,38110,223,61510,460,7608,685,7627,831,5416,968,1717,430,5778,441,1937,154,1025,808,3104,426,2882,576,3641,331,083

111011810初診（同一日２科目）1412,950,07241,14434,97726,90418,33015,82720,62728,44941,09558,26362,56970,91881,463111,091155,691163,279151,221118,30963,08321,53233,43229,04224,19721,08228,90839,26251,22165,63785,76691,66798,38695,863123,267174,341194,611190,758167,235101,94948,676

111012510初診（他医療機関からの紹介状がない患者）20919,90728344243234939548661360663950241841747362346035630315859228450385506817748843895891780682636718900710631514358201

111012610初診（同一日２科目・減点規定該当の場合）1043,1763241303114162945586055841271631601391407631233933322949677711411711011413618319719415311563

A001再診料112007410再診721,060,970,70717,578,01017,029,10411,003,1066,978,5415,227,8846,589,5758,793,71512,238,25617,590,84620,066,86323,712,98327,565,66037,329,47152,748,14656,166,34755,751,06445,355,75023,545,9357,660,64014,643,96813,758,9088,778,9587,282,2838,326,89812,193,14116,050,44819,124,05723,050,67724,360,55028,309,11531,589,19643,443,61165,080,25876,793,95680,317,27871,655,66043,154,65620,125,193

112007950電話等再診722,284,29757,19732,14019,72112,87612,64816,23720,51426,70532,82634,21634,83537,13843,67960,47760,78764,56173,31268,63646,86447,67426,90916,43620,38542,29471,51695,42899,59995,42382,09275,11565,22868,91189,90389,057102,544141,031151,381148,002

112008350同日再診721,860,671130,40294,03439,83718,25913,84416,13919,50724,58529,62028,78529,31729,96136,85053,28862,38067,91768,55847,73925,011106,45077,26829,82116,67320,94828,39836,70539,49738,69533,86335,07734,28343,56263,27477,56292,345101,51284,57164,134

112008850同日電話等再診72253,14212,5819,3344,5272,1881,6181,9522,5703,1293,6604,4223,8063,6843,6515,5446,3186,9968,2018,0515,28210,5257,8643,5522,6964,2076,6528,7349,1958,0027,5166,5196,1415,6687,7588,61710,43813,91613,96313,665

112015810再診料（同一日２科目）368,269,72021,59518,87511,3516,5095,7559,25615,96231,72758,22582,960112,604156,835238,893394,510495,499580,844560,007348,739128,56516,57014,3398,7106,5109,27215,54924,09737,38260,88382,415113,019144,084234,969420,389653,670902,1581,066,102793,468387,423

112015950電話等再診（同一日２科目）36309-------------1213101812--------------132723242616

112016610再診（妥結率５割以下）53---------------------------------------

112016850同日再診（妥結率５割以下）5311--------------------------------------

112016950同日電話等再診（妥結率５割以下）53---------------------------------------

112017010再診料（同一日２科目・減点規定該当の場合）2618--------------------------------------

A002外来診療料112011310外来診療料73171,273,7042,917,7282,010,5901,542,3251,145,325879,8691,011,1741,330,1711,921,4612,877,7663,314,7604,024,4465,009,1757,528,26011,829,97212,248,03711,409,8808,330,7503,834,3561,020,2872,199,1731,452,4771,180,1371,052,0721,170,0521,778,9752,601,4273,407,3564,408,4234,608,1525,007,1515,366,4417,254,32910,562,02810,760,11110,180,5198,087,7034,324,2151,686,631

112011710同日外来診療料73210,21715,9296,4752,7192,2052,3702,7913,2993,6034,6376,1954,5994,8207,56110,34910,2459,7968,0774,4931,51511,4554,4891,9851,9683,5764,3304,7934,7564,7654,1485,3054,4405,1068,2467,4867,8896,9684,4032,431

112016210外来診療料（同一日２科目）367,854,78343,82025,51518,15713,88314,07219,40329,54652,30292,751120,999164,685217,473340,389567,785664,133685,437564,214287,61681,40232,24418,71415,82616,01322,12937,23159,96789,037131,513156,953183,862201,292285,676454,064542,239596,125553,068327,627127,621

112016310外来診療料（他医療機関へ紹介する旨申し出た患者）5422--------------------------------------

112016410外来診療料（同一日２科目・減点規定該当の場合）269,14745402014151718289297167266371611712743672457205252825102028658998219203194308501588683658533282

112017310外来診療料（妥結率５割以下）54---------------------------------------

112017450同日外来診療料（妥結率５割以下）54---------------------------------------

&A

外来（加算）

診療年月：H27年04月～H28年03月　A 基本診療料　外来（加算）

加算 診療行為コード診療行為点数%(加減算)総計男性女性

0～4歳5～9歳10～14歳15～19歳20～24歳25～29歳30～34歳35～39歳40～44歳45～49歳50～54歳55～59歳60～64歳65～69歳70～74歳75～79歳80～84歳85～89歳90歳以上0～4歳5～9歳10～14歳15～19歳20～24歳25～29歳30～34歳35～39歳40～44歳45～49歳50～54歳55～59歳60～64歳65～69歳70～74歳75～79歳80～84歳85～89歳90歳以上

通則加算・注加算 111000370初診（乳幼児）加算7527,643,83511,462,6162,941,857-----------------10,514,3722,724,986-----------------

111000570初診（時間外）加算851,082,60528275,66872,44643,86029,95131,40733,37034,12434,58927,38523,42021,11221,85523,77518,50716,49315,07810,5835,36221261,60852,71733,60334,38034,62435,43833,93832,31726,34724,38722,67223,21226,53322,28821,75022,57719,19315,542

111000670初診（休日）加算2504,697,175481328,611272,901171,016132,685147,631168,427176,320173,874135,031113,20999,85695,44795,22569,92859,43451,28633,69015,649409269,586195,820129,843156,458164,146177,108173,534160,788124,793115,920108,960106,767110,93189,86883,39882,51662,96442,665

111000770初診（深夜）加算4801,488,8122462,33247,23345,55359,62057,76758,19357,29658,22046,68739,87734,76636,05839,51729,00623,29419,07011,7595,6362146,30636,30143,72873,83870,44063,43354,92751,86043,32839,09034,45735,22439,64232,16329,30527,47220,71014,659

111000870初診（時間外特例）加算2302,265,700147131,860128,36699,10974,42077,66880,80679,41078,28161,38151,10044,91446,75450,39839,52434,67031,39721,04810,34813097,89185,80273,46783,64381,94178,53971,05367,53255,29651,40749,04251,01657,99150,22948,65050,64940,57429,247

111011570小児科初診（乳幼児夜間）加算（６歳未満）200713,335284,57686,102-----------------262,37180,286-----------------

111011670小児科初診（乳幼児休日）加算（６歳未満）365223,07789,95727,214-----------------81,12024,786-----------------

111011770小児科初診（乳幼児深夜）加算（６歳未満）6958,8884,119723-----------------3,414632-----------------

111011970初診（乳幼児時間外）加算200385,498162,12542,486-----------------143,29137,596-----------------

111012070初診（乳幼児休日）加算3651,257,065554,804128,605-----------------467,445106,211-----------------

111012170初診（乳幼児深夜）加算695353,368168,30826,447-----------------138,13320,480-----------------

111012270初診（乳幼児時間外特例医療機関）加算345577,488268,69749,056-----------------221,92037,815-----------------

111012470初診（夜間・早朝等）加算5012,762,548314,998732,196736,303419,967301,740404,043457,626490,282500,527396,461312,531230,274171,508128,59078,63452,53135,22318,3556,479287,706696,984701,444452,256553,180667,625621,501598,904608,756486,454384,137262,782187,204158,644107,99780,55763,07237,07518,002

112000970再診（乳幼児）加算3839,553,54117,146,8634,482,933-----------------14,282,6083,641,117-----------------

112001110再診（時間外）加算651,510,30329947,90331,69613,3739,42512,47116,47220,55326,03127,15928,66029,17632,40742,45346,39654,44165,13959,66741,61125338,92924,42213,67621,99938,79346,18940,08934,36530,73530,27829,19431,10546,39555,60975,038106,031117,185124,686

112001210再診（休日）加算1901,141,32816132,92720,0329,7407,4478,47311,07913,86917,28717,49819,98022,09727,62737,39340,85847,48854,41245,13128,93614226,54815,3009,02915,64928,24336,17330,85924,03320,12422,15923,48428,52240,41748,52962,26982,08582,37482,954

112001310再診（深夜）加算420248,805232,7941,9931,2061,4481,7532,1832,6213,2233,3103,8523,8155,3398,5959,69810,98513,42812,2229,450101,9381,4132,0275,90910,50812,3598,5124,9414,0143,9194,0295,0087,5828,53711,17015,74619,20724,038

112001410再診（時間外特例）加算180241,588375,4224,4932,7342,0812,5672,9613,6504,9534,6825,0025,8877,32210,59910,82012,62712,6279,0224,221323,9923,0502,2153,0933,6504,3464,4434,3254,5964,6625,2976,88310,29212,17715,16517,47614,2249,963

112006270外来診療料（乳幼児）加算385,655,4562,733,300500,645-----------------2,064,903356,608-----------------

112006470外来診療料（時間外）加算65170,563-3,4242,6831,7921,5611,9042,0382,3082,6883,0833,1273,8165,1628,5009,22210,2639,6665,8642,292-2,3821,8681,6602,8674,6635,6545,2624,6773,5153,4633,7134,8517,3718,2649,71810,0037,1414,094

112006570外来診療料（休日）加算190664,373-19,33112,7837,8446,4808,1738,7039,73811,88912,11212,65914,65620,07630,63833,49235,42433,84821,3898,113-13,3298,3236,70411,63617,37220,50319,84617,17414,37415,16315,74319,80129,25931,79736,46138,24226,69814,595

112006670外来診療料（深夜）加算420404,963-8,1535,3613,9104,3905,3255,9296,7768,4708,6828,7009,75513,53420,81621,71322,03319,91011,9894,427-5,6293,9845,0399,96813,40214,86713,35611,76310,07310,1219,50011,97517,71718,42419,95519,25713,0517,006

112006770外来診療料（時間外特例医療機関）加算180689,1852419,12715,0459,3736,8348,8439,22710,55612,43412,87512,78714,12119,44630,03633,33536,45534,65122,1818,5531713,55510,3828,94713,64719,72222,41620,82217,96314,62415,15015,08319,26129,04232,08337,23339,54628,32815,461

112011010外来管理加算52519,068,4609,384,5448,454,6594,864,6032,779,3211,963,8752,502,6843,531,1405,228,9708,062,6199,795,44012,316,85914,928,11520,226,42528,146,63727,621,33126,372,29121,443,08711,599,1364,090,6117,905,9827,070,1273,939,4882,858,5833,451,9055,248,6187,091,1278,704,09310,819,52311,947,98714,229,93016,286,65722,366,71333,180,21436,471,39937,336,44733,982,05621,732,57211,132,692

112014170小児科再診（乳幼児夜間）加算（６歳未満）135817,962341,703103,605-----------------286,39386,261-----------------

112014270小児科再診（乳幼児休日）加算（６歳未満）260135,88457,69716,425-----------------47,98313,779-----------------

112014370小児科再診（乳幼児深夜）加算（６歳未満）5901,19561979-----------------42869-----------------

112014470外来診療料（小児科・乳幼児夜間）加算（６歳未満）1352,7171,304312-----------------955146-----------------

112014570外来診療料（小児科・乳幼児休日）加算（６歳未満）2601,43972673-----------------57565-----------------

112014670外来診療料（小児科・乳幼児深夜）加算（６歳未満）5901,44376159-----------------57548-----------------

112014770再診（乳幼児時間外）加算135318,153135,24237,959-----------------112,86332,089-----------------

112014870再診（乳幼児休日）加算260170,05474,90618,421-----------------61,56015,167-----------------

112014970再診（乳幼児深夜）加算59013,9206,7271,169-----------------5,141883-----------------

112015070再診（乳幼児時間外特例医療機関）加算25032,80615,1023,094-----------------12,0342,576-----------------

112015170外来診療料（乳幼児時間外）加算13522,19411,2781,471-----------------8,4151,030-----------------

112015270外来診療料（乳幼児休日）加算260138,50771,2828,902-----------------52,0616,262-----------------

112015370外来診療料（乳幼児深夜）加算59070,97537,4293,875-----------------26,9042,767-----------------

112015470外来診療料（乳幼児時間外特例医療機関）加算250138,15372,0678,256-----------------52,0755,755-----------------

112015570再診（夜間・早朝等）加算5031,197,259477,439888,252900,844509,805339,986542,991712,651924,1621,263,0041,391,2701,461,3691,392,3811,233,3751,028,680772,831589,612413,270209,62469,039408,235747,003740,881499,394573,616916,5801,033,9561,113,1701,296,9371,285,8351,290,3151,066,270910,585969,872949,075880,093756,484442,683195,690

112015670時間外対応加算２3157,242,6671,589,2111,690,1201,330,788798,843541,084714,075991,1871,455,2462,246,5372,732,1483,410,4674,120,0475,690,9148,196,7118,876,9258,898,6477,357,5753,900,7011,286,7321,340,4831,389,5911,034,856799,351859,1421,309,5471,805,6112,272,8182,879,7243,215,0074,022,1934,710,2786,688,36210,367,51212,500,49113,339,47512,113,3197,340,2413,426,708

112015770明細書発行体制等加算1832,197,52415,284,64214,624,5939,309,0755,680,9824,078,4115,082,6336,757,0579,319,81413,364,52115,284,84218,114,54520,951,19628,225,03439,880,06043,040,64542,792,82434,617,72217,732,2945,678,12112,827,93912,027,7657,567,6156,058,9516,772,8109,849,41612,879,19815,275,36318,319,96019,422,66922,589,11025,034,66834,371,39951,614,03161,141,57863,403,87055,668,03232,715,75514,838,384

112016070時間外対応加算１5122,604,578799,868808,284787,353537,539344,858484,349705,0421,082,7841,676,1682,061,8632,637,4273,287,0114,609,7836,578,6566,967,5987,050,5746,072,9083,330,3901,186,287664,318635,207580,895574,428896,1411,756,3262,383,8142,391,2072,416,5732,530,1993,045,5973,532,3174,982,1667,503,6429,013,5519,817,5809,444,8616,198,5013,228,513

112016170時間外対応加算３11,641,52835,62233,74521,62210,2235,5277,45511,62017,20427,04931,21737,84243,11255,91777,46988,48479,91167,56534,93711,81032,24728,49117,03810,0809,12915,00425,08831,10436,39135,57344,66848,31467,157101,534119,006120,636105,23064,38532,122

112017270地域包括診療加算2013,201,449--342011,0283,73510,73333,41689,108161,093260,824374,354560,953871,412885,499902,370784,640431,133140,661--422425891,7133,98012,27234,67668,606145,189275,727515,253959,2891,230,7981,431,3431,485,6721,020,378504,476

&A

入院

診療年月：H27年04月～H28年03月　A 基本診療料　入院

分類コード分類名称診療行為コード診療行為点数総計男性女性

0～4歳5～9歳10～14歳15～19歳20～24歳25～29歳30～34歳35～39歳40～44歳45～49歳50～54歳55～59歳60～64歳65～69歳70～74歳75～79歳80～84歳85～89歳90歳以上0～4歳5～9歳10～14歳15～19歳20～24歳25～29歳30～34歳35～39歳40～44歳45～49歳50～54歳55～59歳60～64歳65～69歳70～74歳75～79歳80～84歳85～89歳90歳以上

A000初診料111000110初診2823,391,383193,15336,41526,70532,59733,60630,65333,79439,94853,76157,16263,64673,440101,771144,594145,886164,994187,546156,87191,956161,92026,88516,58419,94429,07033,35638,04336,17836,14135,35140,10745,45764,08395,582115,178161,284237,114264,791265,817

111011810初診（同一日２科目）1412,41625--131115232543495976731171331511581385819---14182327313337495795108149199178185

111012510初診（他医療機関からの紹介状がない患者）209389--------10---10162616161715-------------151013314971

111012610初診（同一日２科目・減点規定該当の場合）104---------------------------------------

A001再診料112007410再診72---------------------------------------

A002外来診療料112011310外来診療料731,4861627201039426848132909699861193413---2211--20264643773866219749-10---

112016210外来診療料（同一日２科目）3648--------------------------------------

&A

入院（加算）

診療年月：H27年04月～H28年03月　A 基本診療料　入院（加算）

加算 診療行為コード診療行為点数%(加減算)総計男性女性

0～4歳5～9歳10～14歳15～19歳20～24歳25～29歳30～34歳35～39歳40～44歳45～49歳50～54歳55～59歳60～64歳65～69歳70～74歳75～79歳80～84歳85～89歳90歳以上0～4歳5～9歳10～14歳15～19歳20～24歳25～29歳30～34歳35～39歳40～44歳45～49歳50～54歳55～59歳60～64歳65～69歳70～74歳75～79歳80～84歳85～89歳90歳以上

通則加算・注加算 111000370初診（乳幼児）加算75245,963126,6705,478-----------------109,4404,375-----------------

111000570初診（時間外）加算85133,634221,1701,3131,5951,5321,3241,4301,6572,2222,4952,7133,1074,3646,1826,3467,0128,0116,7344,183207916699151,3141,5811,7611,6071,6061,5721,7551,9882,7854,2865,1717,18410,63512,10612,476

111000670初診（休日）加算250287,816273,2563,0503,6133,3893,1263,5454,1665,4195,7466,5367,1779,66413,47413,12814,57516,94414,3608,802172,0471,6241,9072,6503,0793,5523,4513,4923,4683,8664,3955,9338,84410,53714,59722,37025,42426,566

111000770初診（深夜）加算480272,614222,2072,0414,3217,1385,6535,4085,7697,2527,6118,0918,39910,73113,72812,56512,74913,00610,1625,784141,4691,5112,7895,6705,4655,5715,0565,0394,7415,0205,1326,3128,5279,30811,46315,37315,74715,770

111000870初診（時間外特例）加算230387,972284,9204,7825,8214,9174,2924,6145,3557,4087,9968,78310,14113,63918,67718,18619,90522,67618,65610,808233,3012,6713,3114,2204,7505,4254,9155,2075,0005,5746,1678,50612,09814,24519,80628,50731,35531,287

111011570小児科初診（乳幼児夜間）加算（６歳未満）20037319011-----------------165------------------

111011670小児科初診（乳幼児休日）加算（６歳未満）36569437131-----------------26725-----------------

111011770小児科初診（乳幼児深夜）加算（６歳未満）69574238720-----------------32312-----------------

111011970初診（乳幼児時間外）加算20014,2277,519378-----------------6,036294-----------------

111012070初診（乳幼児休日）加算36529,68115,4751,243-----------------12,116847-----------------

111012170初診（乳幼児深夜）加算69531,79817,052831-----------------13,323592-----------------

111012270初診（乳幼児時間外特例医療機関）加算34548,34425,3371,638-----------------20,0941,275-----------------

111012470初診（夜間・早朝等）加算501,012-251217181730385566485225362733392715111810-111114101814201023283140565044

112000970再診（乳幼児）加算38---------------------------------------

112001410再診（時間外特例）加算180---------------------------------------

112006470外来診療料（時間外）加算65---------------------------------------

112011010外来管理加算52---------------------------------------

112015770明細書発行体制等加算1---------------------------------------

112016070時間外対応加算１5---------------------------------------

&A

NDB-SCR

NDB-SCR 集計の単位

・都道府県別、二次医療圏別、市町村別・標準レセプト電算コード別（解釈番号あり、点数なし）・入院・外来別・レセプト件数、行為件数

診療行為コード 基本漢字名称 章 区分番号 枝番 項番 解釈番号

111000110 初診料 A 000 00 0 A000111012510 初診（他の医療機関からの文書による紹介がない患者） A 000 00 1 A0001111011810 初診（同一日２科目の場合） A 000 00 2 A0002111012610 初診（同一日２科目の場合・減点規定該当の場合） A 000 00 2 A0002111000370 初診（乳幼児）加算 A 000 00 3 A0003111012270 初診（乳幼児時間外特例医療機関）加算 A 000 00 4 A0004111012170 初診（乳幼児深夜）加算 A 000 00 4 A0004111012070 初診（乳幼児休日）加算 A 000 00 4 A0004111011970 初診（乳幼児時間外）加算 A 000 00 4 A0004111000570 初診（時間外）加算 A 000 00 4 A0004111000670 初診（休日）加算 A 000 00 4 A0004111000870 初診（時間外特例医療機関）加算 A 000 00 4 A0004111000770 初診（深夜）加算 A 000 00 4 A0004111011570 小児科初診（乳幼児夜間）加算（６歳未満） A 000 00 5 A0005111011770 小児科初診（乳幼児深夜）加算（６歳未満） A 000 00 5 A0005111011670 小児科初診（乳幼児休日）加算（６歳未満） A 000 00 5 A0005111012470 初診（夜間・早朝等）加算 A 000 00 6 A006

1 2 3 4 5 6 7北海道 青森県 岩手県 宮城県 秋田県 山形県 福島県

111000110 初診 A000 256,880,958 89.2 86.3 83.8 94.4 82.5 101.9 94.4111012510 初診（他医療機関からの紹介状がない患者） A0001 19,900111011810 初診（同一日２科目） A0003 2,924,166 107.8 59.6 73.6 67.5 96.7 68.1 97.7111012610 初診（同一日２科目・減点規定該当の場合） A0003 3,134 12.2 6.7 4111000370 初診（乳幼児）加算 A0004 26,843,693 96.9 111.1 92.5 91.5 80.5 123 91.8111000570 初診（時間外）加算 A0005 1,081,582 87.5 58.6 105.5 62.2 95.9 56.6 80.7111000670 初診（休日）加算 A0005 4,694,928 103.8 79.7 116.8 111.7 91 114.9 128.6111000770 初診（深夜）加算 A0005 1,488,642 101.2 78.5 88.3 90.5 88 91.3 99.9111000870 初診（時間外特例）加算 A0005 2,264,748 107.5 118.3 117.9 98.6 142.6 138.8 129.5111011970 初診（乳幼児時間外）加算 A0005 381,779 79.8 61.7 70.5 42.9 49 61.3 82.6111012070 初診（乳幼児休日）加算 A0005 1,252,893 101.2 115.8 96.1 100.5 103.2 146.1 145.7111012170 初診（乳幼児深夜）加算 A0005 352,749 65.4 93.5 90.3 74.8 65.1 73 107.1111012270 初診（乳幼児時間外特例医療機関）加算 A0005 575,933 75.8 179.2 109.9 85.6 119.6 152.8 144.3111011570 小児科初診（乳幼児夜間）加算（６歳未満） A0006 703,548 105.7 36.1 26.6 35 32.7 80.1 102.3111011670 小児科初診（乳幼児休日）加算（６歳未満） A0006 221,281 71.2 108 174.6 45.1 144.6 129.6 68.9111011770 小児科初診（乳幼児深夜）加算（６歳未満） A0006 8,868 378.6 1.3 1.3 3.1 3.7 18.5 2.4111012470 初診（夜間・早朝等）加算 A0007 12,742,012 42.3 48.1 26.5 48.4 38.1 52 74.3112007410 再診 A001 632,304,033 88.4 106.5 103.4 109.8 96.4 109.3 103.1112007950 電話等再診 A001 1,990,893 107.9 12.9 23.3 64.7 28.8 36.9 50.4112008350 同日再診 A001 1,611,405 50.1 52.2 33.5 49.4 40.2 58.2 64.3112008850 同日電話等再診 A001 217,323 70.2 4.3 7.6 30.7 14.8 34.4 25.5112017270 地域包括診療加算 A00110 7,989,240 62.6 43.2 74.1 41.8 73.3 102.8 37.4112015810 再診料（同一日２科目） A0012 7,190,709 107.3 101 117.5 90.9 114.9 69.6 151.3112000970 再診（乳幼児）加算 A0013 22,126,489 101.8 130 92.8 99.4 95.7 122.6 91112001110 再診（時間外）加算 A0014 1,282,752 51.8 69.8 45.6 41.4 49.1 64.9 70.1112001210 再診（休日）加算 A0014 1,035,573 76.4 98.5 89.3 70.1 70.9 83.2 115.1112001310 再診（深夜）加算 A0014 223,730 90.4 86.3 71.2 64.6 74.1 89.7 85.4112001410 再診（時間外特例）加算 A0014 224,109 114.9 120.6 116.4 83.1 110.2 151.2 121.3112014770 再診（乳幼児時間外）加算 A0014 273,065 33.8 65.2 33.2 19.8 17.6 51.5 75112014870 再診（乳幼児休日）加算 A0014 159,192 97.1 93.3 60.2 66.5 153.1 76.6 159.2112014970 再診（乳幼児深夜）加算 A0014 13,113 86 33.9 31.8 56.2 42.1 27.9 36.8112015070 再診（乳幼児時間外特例医療機関）加算 A0014 30,133 116.3 69.1 34.3 47.9 53.8 108.6 320.1

レセ電コード 行為名称 解釈番号 レセプト総数

NDB-SCRのイメージ（電算コード別、都道府県別）

Sheet1

レセ電コード行為名称解釈番号レセプト総数1234567

北海道青森県岩手県宮城県秋田県山形県福島県

111000110初診A000256,880,95889.286.383.894.482.5101.994.4

111012510初診（他医療機関からの紹介状がない患者）A000119,900

111011810初診（同一日２科目）A00032,924,166107.859.673.667.596.768.197.7

111012610初診（同一日２科目・減点規定該当の場合）A00033,13412.26.74

111000370初診（乳幼児）加算A000426,843,69396.9111.192.591.580.512391.8

111000570初診（時間外）加算A00051,081,58287.558.6105.562.295.956.680.7

111000670初診（休日）加算A00054,694,928103.879.7116.8111.791114.9128.6

111000770初診（深夜）加算A00051,488,642101.278.588.390.58891.399.9

111000870初診（時間外特例）加算A00052,264,748107.5118.3117.998.6142.6138.8129.5

111011970初診（乳幼児時間外）加算A0005381,77979.861.770.542.94961.382.6

111012070初診（乳幼児休日）加算A00051,252,893101.2115.896.1100.5103.2146.1145.7

111012170初診（乳幼児深夜）加算A0005352,74965.493.590.374.865.173107.1

111012270初診（乳幼児時間外特例医療機関）加算A0005575,93375.8179.2109.985.6119.6152.8144.3

111011570小児科初診（乳幼児夜間）加算（６歳未満）A0006703,548105.736.126.63532.780.1102.3

111011670小児科初診（乳幼児休日）加算（６歳未満）A0006221,28171.2108174.645.1144.6129.668.9

111011770小児科初診（乳幼児深夜）加算（６歳未満）A00068,868378.61.31.33.13.718.52.4

111012470初診（夜間・早朝等）加算A000712,742,01242.348.126.548.438.15274.3

112007410再診A001632,304,03388.4106.5103.4109.896.4109.3103.1

112007950電話等再診A0011,990,893107.912.923.364.728.836.950.4

112008350同日再診A0011,611,40550.152.233.549.440.258.264.3

112008850同日電話等再診A001217,32370.24.37.630.714.834.425.5

112017270地域包括診療加算A001107,989,24062.643.274.141.873.3102.837.4

112015810再診料（同一日２科目）A00127,190,709107.3101117.590.9114.969.6151.3

112000970再診（乳幼児）加算A001322,126,489101.813092.899.495.7122.691

112001110再診（時間外）加算A00141,282,75251.869.845.641.449.164.970.1

112001210再診（休日）加算A00141,035,57376.498.589.370.170.983.2115.1

112001310再診（深夜）加算A0014223,73090.486.371.264.674.189.785.4

112001410再診（時間外特例）加算A0014224,109114.9120.6116.483.1110.2151.2121.3

112014770再診（乳幼児時間外）加算A0014273,06533.865.233.219.817.651.575

112014870再診（乳幼児休日）加算A0014159,19297.193.360.266.5153.176.6159.2

112014970再診（乳幼児深夜）加算A001413,1138633.931.856.242.127.936.8

112015070再診（乳幼児時間外特例医療機関）加算A001430,133116.369.134.347.953.8108.6320.1

Sheet2

Sheet3

○初診料のSCRは、概して、東高西低である。SCRが低いことは、傷病を発症する割合が低い、即ち、健康な地域であるといえる。または、傷病が発生しても医療機関を訪れない、即ち、配置薬や民間療法が盛ん、又は、アクセスが悪い。または、既にかかりつけであり、「初診」として発生しない。

○再診料と外来診療料は、逆の結果の地域が多い再診料は診療所又は200床未満の病院で、外来診療料は200床以上の病院で算定する。再診料の割合が高いところは、診療所又は200床未満の病院がかかりつけとなっているといえる。外来診療料の割合が高いところは、200床以上の病院がかかりつけとなっているといえる。

○初診、再診、外来診療料とも高いところは、山形県・東京都・愛知県などである。これらの地域は、有病率が高い、もしくは、周辺から流入する患者が多いといえる。

○初診、再診、外来診療料とも低いところは、埼玉県、山梨県、高知県、沖縄県である。これらの地域は、有病率が低い、もしくは、周辺へ流出する患者が多いといえる。なお、沖縄県の場合、流出は容易ではないことから、健康な地域または民間療法が盛んな地域ではなかろうか。

レセ電コード 行為名称 解釈番号 レセプト総数

111000110 初診 A000 256,880,958

112007410 再診 A001 632,304,033

112011310 外来診療料 A002 118329193

国の視点

都道府県の視点

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47

行為名称 北海道 青森 岩手 宮城 秋田 山形 福島 茨城 栃木 群馬 埼玉 千葉 東京 神奈川 新潟 富山 石川 福井 山梨 長野 岐阜 静岡 愛知 三重 滋賀 京都 大阪 兵庫 奈良 和歌山 鳥取 島根 岡山 広島 山口 徳島 香川 愛媛 高知 福岡 佐賀 長崎 熊本 大分 宮崎 鹿児島 沖縄

初診 89.2 86.3 83.8 94.4 82.5 101.9 94.4 90.8 96.2 101.7 95.3 94.4 117.3 100.2 93.4 94.2 96.1 94 96.2 89.7 103.3 95.8 104.9 99.3 93.9 91.9 100.9 103.7 97.7 100.6 99.2 92.7 98.1 102 96.2 107.9 107.8 101.2 90.5 103.8 100.5 94.6 102.4 103.3 106.8 104.7 96.9

再診 88.4 106.5 103.4 109.8 96.4 109.3 103.1 89.5 105.5 104.8 91 88 105.5 95.7 97.2 89.6 87.9 91.2 97.4 91.6 101.1 103.6 106.2 106.7 89.5 91.4 100.3 105.1 95.9 107.4 98.3 103.1 103.2 109.4 106.5 104.2 104.3 100.4 97.3 104.7 115.8 110.4 110.6 104.3 106.9 106 80.3

外来診療料 109 89 88.6 87.4 129.4 107.3 93.6 98 99.7 76.3 76.6 101.1 134.6 100.5 107.3 117.9 127 106 84.7 114.3 105.9 92.8 109 87.4 115.3 119.2 114 87.2 105 96.4 110.7 89.3 98.7 91 94.9 80.5 95.9 96.7 69.5 88.4 52.4 72 71.6 64.8 48.9 48.3 95.5

診療料

1234567891011121314151617181920212223242526272829303132333435363738394041424344454647

レセ電コード行為名称解釈番号レセプト総数行為名称北海道青森岩手宮城秋田山形福島茨城栃木群馬埼玉千葉東京神奈川新潟富山石川福井山梨長野岐阜静岡愛知三重滋賀京都大阪兵庫奈良和歌山鳥取島根岡山広島山口徳島香川愛媛高知福岡佐賀長崎熊本大分宮崎鹿児島沖縄

111000110初診A000256,880,958初診89.286.383.894.482.5101.994.490.896.2101.795.394.4117.3100.293.494.296.19496.289.7103.395.8104.999.393.991.9100.9103.797.7100.699.292.798.110296.2107.9107.8101.290.5103.8100.594.6102.4103.3106.8104.796.9

112007410再診A001632,304,033再診88.4106.5103.4109.896.4109.3103.189.5105.5104.89188105.595.797.289.687.991.297.491.6101.1103.6106.2106.789.591.4100.3105.195.9107.498.3103.1103.2109.4106.5104.2104.3100.497.3104.7115.8110.4110.6104.3106.910680.3

112011310外来診療料A002118329193外来診療料1098988.687.4129.4107.393.69899.776.376.6101.1134.6100.5107.3117.912710684.7114.3105.992.810987.4115.3119.211487.210596.4110.789.398.79194.980.595.996.769.588.452.47271.664.848.948.395.5

入院料

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レセ電コード行為名称解釈番号レセプト総数行為名称北海道青森岩手宮城秋田山形福島茨城栃木群馬埼玉千葉東京神奈川新潟富山石川福井山梨長野岐阜静岡愛知三重滋賀京都大阪兵庫奈良和歌山鳥取島根岡山広島山口徳島香川愛媛高知福岡佐賀長崎熊本大分宮崎鹿児島沖縄

190117710一般病棟７対１入院基本料A10019,454,4877対1 タイ109.384.248.7104.498.881.292.689.680.3121.983.787.696.39773.7103.7128.882.883.8114.4101.294.1109100.1105.4119.6114106.481.271.2113.598.5107.2109.2107.795.898.875.470.6129.8101.3114.685.21109599134.6

190077410一般病棟１０対１入院基本料A10023,614,77210対1 タイ158.8124.3161.287108.3148.211394.746.774.464.897.977.572.3146.8114.783.9172.4106.79296.170.754.771.599.3818494.4168173.4108.3106.6127.3128.186.582.2125182.2200.282.6101.6121.4151.8191.6138.5144.5127.3

190077510一般病棟１３対１入院基本料A100338916513対1 タイ73.469.7212.5131.934.9119.866.2110.2215.6118.588.1155.1113.165.722.383.1109.7102.647.7419032.755.6132.443.7124.6119.3178.694.561.5713.2115.7111.2171.577.2133.582.311101.5102.589.7235.2179.463.243.614.4

190077610一般病棟１５対１入院基本料A1004585,19215対1 タイ148.3146.4194.77421.373132.5174.4101.7159136.6109.573.430.862.678.645.5184.41377650.252.58685.165.679.5117.284.564107.935.454.273.4132.494.9178.7224.785.571.6102.4181.8149.4145.3153.3189.6123.419.4

190123710療養病棟入院基本料１（入院基本料Ａ）（生活療養）A1011654,804療養A リョウヨウ174.870.760.672.580.244.46088.381.2104.791.485.482.489.738.6165.7167.19277.353.349.77294.352.77231.4138.314558.274.39872106.7127.1178.1124.938.888.2188.3138.1144.1211109.255.699.3112.5127.3

190123810療養病棟入院基本料１（入院基本料Ｂ）（生活療養）A1011116387療養B リョウヨウ158.98354.544.836.86466.595.285.1109.586.772.974.364.941.5141.617567.3110.54662.676.789.765.382.341.9137.4161.441.578.86352.3102.5150.5169.8187.842.3127.4233.6146.5235.4217.614856.8107.4124.674.1

190123910療養病棟入院基本料１（入院基本料Ｃ）（生活療養）A101140,542療養C リョウヨウ150.270.734.122.737.948.850.367.850.7101.571.954.459.149.847.278.6211.194.493.952.759.377.682.971.6106.531.4117.3144.362.978.393.169.7128.1186.3217.8191.855.7115.9394.6215.7231.9236.6202.881.1120.8182.572.9

190124010療養病棟入院基本料１（入院基本料Ｄ）（生活療養）A1011486,100療養D リョウヨウ156.148.949.442.460.650.144.153.668.357.891.681.775.292.874.599.1149.8101.372.650.949.7105.392.580.399.839.9157.7132.780.680.880.573.372.5113.7162139.537.796.1213.8183.1148.3121.3153.237.990.7178.5184

190124110療養病棟入院基本料１（入院基本料Ｅ）（生活療養）A1011227766療養E リョウヨウ153.82740.136.421.260.946.960.457.875.475.269.265.759.645.5120.3165.1109.181.149.459.694.588.970.7116.439.9162.9149.382.6102.454.649.372134.4178.8228.650.9118.8295.9205.7270.2136.5174.447.971.8209.181.6

190131710療養病棟入院基本料１（入院基本料Ｆ）（生活療養）A1011113,669療養F リョウヨウ140.130.634.939.627.877.432.972.75012357.951.646.743.533.364.9237155.484.644.156.388.887.583.893.730.4126.6124.8104.2121.764.567.473.9190.4215.9274.763106.7348232.7220.8170.1224.564.2103.9329.295.2

190131910療養病棟入院基本料１（入院基本料Ｇ）（生活療養）A101197,014療養G リョウヨウ163.633.971.95436.184.656.851.178.4107.2123.290.564114.667.8142.9158.4128.110732.437.4116.486.736.5109.731.8137.2136.352.577.792.490.578.7122.6185.5114.225.2100.4188.3155.1135.7129.3156.715.673.6168.584.8

190132110療養病棟入院基本料１（入院基本料Ｈ）（生活療養）A101180547療養H リョウヨウ15341.85238.626.95048.860.576.179.4113.884.668.271.947.5142.7146139.262.245.149.6107.570.348.7155.231.3150.3140.152.469.965.570.973.3110188.2165.92793.6225200.8265.7158.9201.92883.8207.563.1

190175310地域包括ケア病棟入院料１A308-31388,443地域包 チイキ ツツミ65.878.871.373.2259.6171.385.243.5134.35427.540.259.355.8128.4160.1251.5157.9109.6125.9160.84062.817.7174.182.870.6117.2159.7113.8109.6298.7186.3141.4146.464.987.2122149.6251.832.8225219.5163.9131.4115.442.3

190150110回復期リハビリテーション病棟入院料１A3081239,746回ﾘﾊ1 カイ86.5125.483.250.952.95857.481.372.2102.683.5144.375.2105.737.6122.4178.150.966.382.369.351.566.847.95.4130.8214.998.466.8161.3144.372.6171.5102.875.341.718.374.2172.7135.228132.2158.1178.778.474.7177.3

190150210回復期リハビリテーション病棟入院料１（生活療養）A3081252765回生1 カイ ナマ117.3148.345.141.854119.243.59.4100.811391.784.6127.983.837.948.270.447.1124.894.67.966.298.73649.398.190.7244.8102.473.137.687.862.5221.7203.694.4149.1164.6187.1133.1173.892.4160.9149.3154317.8

190141610回復期リハビリテーション病棟入院料２A3082225,459回ﾘﾊ2 カイ81.316.8115.687.932.244.8108.187.696.9123.692.99184.164.479.835.1131.6177.9279.394.7101151.8109.493.4208.5114.286.490.759.7138.5199.9214.6140.6108.215.8141.6214.892.3127.384.672.650.7235.9104.661222.982

190141710回復期リハビリテーション病棟入院料２（生活療養）A3082249,282回生2 カイ ナマ73.993.38099.954.7127.651.262.647102.364.245.16237.165.432.473.496.459.945.2114.7151.1162.9215.5103.869.685.6130.7102.224.9234.162.433.8170.994.419436.978208.5223258.9151.5144.3165.1118206.7227.5

190151610認知症治療病棟入院料１（３０日以内）A314137371認知30 ニンチ114.5162.624.4145.286.4168.476.256.115.234.4167.736.760.2107.378.3156.4188.8253.898.916.711570.137.1102.286.972.696.480110.822769.9162.3197.4138.78.676.9147.590.4128.8130.689.2162.9155.2146.1206.4248.6

190739910認知症治療病棟入院料１（３１日以上６０日以内）A314135,219認知60 ニンチ109.8166.523.3130.293.3149.578.156.517.547167.136.161.8105.286.7165.3197.82499619.4115.476.235108.787.380.793.480.6113.5228.779.6157.9198.9143.38.474.5133.399.5127.9137.384.4163.1172.3140.8197.7234.6

190740010認知症治療病棟入院料１（６１日以上）A3141327,321認知他 ニンチ ホカ132.2144.349.7114.794.3139.475.740.429.167.2170.149.743.763.3121.5173.9179.7149.262.313.5103.674.520.1100.5119.556.975.573.886.6222.496.6144.9154.1203.71690.3123.1138.2183222.5116.8174.9260.3165.9267.9255.3

リハビリテーション

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レセ電コード行為名称解釈番号入院外来 ニュウイン ガイライレセプト総数行為名称北海道青森岩手宮城秋田山形福島茨城栃木群馬埼玉千葉東京神奈川新潟富山石川福井山梨長野岐阜静岡愛知三重滋賀京都大阪兵庫奈良和歌山鳥取島根岡山広島山口徳島香川愛媛高知福岡佐賀長崎熊本大分宮崎鹿児島沖縄

180027610脳血管疾患等リハビリテーション料（１）（廃用症候群以外）H0011入院 ニュウイン1,981,591脳血入院 ニュウイン138.483.473.186.781.7104.981.875.38699.684.886.485.475.1109.871.8133.890.8127.1117.978.8103.810962.887.6101.593.299.887.394.8161.1106.8111107.2112.6140.7101.1110.9158.8146.3139.2124.3100.8105.371.9156.4129

180027610脳血管疾患等リハビリテーション料（１）（廃用症候群以外）H0011外来 ガイライ1,696,979脳血外来 ガイライ112.876.826.144.758.876.2114.596122.6905170.895.755.3133.535.8110.6107.4101.3237.799.8117.9107.264.987.3101.973.162.9186.6241.485.796.1187.876.3152.3309.3192.2148.8218.5120.2220.9146.284.5194.785.5183.182

180032710運動器リハビリテーション料（１）H0021入院 ニュウイン2,780,853運動入院 ニュウイン110.670.848706076.766.872.670.295.265.485.376.369.674.284.4121113.3102.881.878.784.5102.169.795.3112.2115.2111.397130.2121.589.2151.8134.2105.8133.3148.7128.8161.4166.9188.6174.1145.9140.492.5171122.5

180032710運動器リハビリテーション料（１）H0021外来 ガイライ7,509,545運動外来 ガイライ98.350.225.952.644.193.932.763.992.478.867.5214.18772.955.634.482.6118.8125.9110.657.2105.3125.154.474.670.677.8115.938.1155.327.232.4106190.657111.498113.3178.8148.9216.815695.7142.493240.1136.1

180028010呼吸器リハビリテーション料（１）H0031入院 ニュウイン585,998呼吸入院 ニュウイン95.130.668.16132.651.6113.885.486.882.773.485.782.893.162110.2162.2150.240.4111.2116.388.1130.966.548.8104.2107.689.778.296.6135.391.5151.6121.579.272.4103.994.7118.4208.6150.8156.590.991.476.5140.7222

180028010呼吸器リハビリテーション料（１）H0031外来 ガイライ60,126呼吸外来 ガイライ89.44.244.4110.1207.967.249.463.160.2154.248.1104.57174.5119.472.899.184.964.4127276.897.6200.890.153.590.567.364.939.792.377.929.1235.4169.252.452.8123.580.655.1161.6330.1231.771101.334.1125.662.3

180027410心大血管疾患リハビリテーション料（１）H0001入院 ニュウイン364,950心大入院 ニュウイン124.231.16396.155.951.47873.2107.5105.578.673.49391.435.392.6123.7174.436.7111.3109.447.8106.857.6149.7104.4117.7109.168.963.287.863.8165.811580.165.996.476.6124.1205.293.8139.6139.7129.281.7119.7176.4

180027410心大血管疾患リハビリテーション料（１）H0001外来 ガイライ168,900心大外来 ガイライ77.3228.234.622.851.943.4112.957.1141.556.528.5122.994.1106.4108.267.560.534.774250.346.3148120.3182.1225.2132.3143.5101.958.328.39.8125.779.131.654.6284.5103.661163.547.2134.658.670.11460.6214.4

胃瘻

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レセ電コード行為名称解釈番号入院外来 ニュウイン ガイライレセプト総数行為名称北海道青森岩手宮城秋田山形福島茨城栃木群馬埼玉千葉東京神奈川新潟富山石川福井山梨長野岐阜静岡愛知三重滋賀京都大阪兵庫奈良和歌山鳥取島根岡山広島山口徳島香川愛媛高知福岡佐賀長崎熊本大分宮崎鹿児島沖縄

150171610胃瘻造設術（経皮的内視鏡下胃瘻造設術、腹腔鏡下胃瘻造設術を含む）K664入院 ニュウイン59,496胃瘻入院 ニュウイン112.6110.9104.387.4105.310199.9101.988103.880.789.992.68576.279134.7146.771.992.594.768.687.7112.972.489.7105.4111.790.188.5174.4128.2144139.383.182102108.6100.6103.5119.384.185.4166.3128.3136.8184.6

150171610胃瘻造設術（経皮的内視鏡下胃瘻造設術、腹腔鏡下胃瘻造設術を含む）K664外来 ガイライ1,018胃瘻外来 ガイライ120.816.340141.144.68.862.347.3192.678.9129.7128.313453.513.770.783.1113.140.294.528.841.771.451.69.790.8131.847.5200.232.336.540.8248.880.3352.7108.6110.930.178.7113.8217.561.2155.9179134.1255.5

140023350胃瘻より流動食点滴注入J120入院 ニュウイン200,918注入入院 チュウニュウ ニュウイン132.8112.261.995.783.3101.6111.170.1101.969.151.672.180.870.7155.5104.1175.5220.262.6112.682.176.170.473.268.2147.282.48357.4109.6138.5231.5192.8146108.9133.1147.993.996.211954.293.990.6277.8119.4126.6345.1

140023350胃瘻より流動食点滴注入J120外来 ガイライ10,209注入外来 チュウニュウ ガイライ36.410.918.966.415.90.932.1112.746.530.141.139.2155.16.16.297.92676.543.38.494.517.834500.7134.539.2682.7153.96.9115.6682.92.225.88224.816.10.832.821.3235.61

訪問診療等

1234567891011121314151617181920212223242526272829303132333435363738394041424344454647

レセ電コード行為名称解釈番号レセプト総数行為名称北海道青森岩手宮城秋田山形福島茨城栃木群馬埼玉千葉東京神奈川新潟富山石川福井山梨長野岐阜静岡愛知三重滋賀京都大阪兵庫奈良和歌山鳥取島根岡山広島山口徳島香川愛媛高知福岡佐賀長崎熊本大分宮崎鹿児島沖縄

114001110在宅患者訪問診療料（同一建物居住者以外）C00114,711,488訪問診療 ホウモン シンリョウ71.748.450.375.652.270.27561.352.371.387.791.4172.8149.773.475.7104.771.351.387.799.155.6106.868.693.4120.4145.7109.884.8110.2109.7122.3103.1109.662.8100.975.211159.496.988.5875288.358.1110.765.1

114018010在宅患者訪問診療料（同一建物居住者）（特定施設等入居者）C00121,671,891訪診特定 ホウ ミ トクテイ70.312.714.2463636.150.737.646.366180.7141.5238.8254.830.39.445.413.818.456.140.670.4124.470.723.261.8136.3108.193.247.837.467.897.781.936.129.377.278.34680.261.634.424.828.84030.933.5

114012910在宅患者訪問診療料（同一建物居住者）（特定施設等以外入居者）C00122247141訪診以外 ホウ ミ イガイ116.694.737.470.329.766.757.270.650.4147.977.2100.769.7118.145.574.615324.958.769119.373.7154.910286.371.2175.481.387.212097.3121.1106.2120.5113.8138.293.7115.586.3123.5170.890.590.7149.8136.699.665.4

114018570看取り加算（在宅患者訪問診療料）C001676,257看取り ミト51.773.467.2118.554.769.380.470.592.2100.8104.9121.2158.8181.347.458.272.746.47876.8134.890.3127.6101.182.489.3113.8119.4112.988.986.976.375.887.457.370.898.5106.54076.370.869.438.85962.661.159.7

114018670死亡診断加算（在宅患者訪問診療料）C00171,777死亡診断 シボウ シンダン41.817.9120558487.8140.978.2270.8210.699.597.19261.663.855.128.953.680.969.4111.4117.6108145.673.1169.6124.4178.886105.695.8201.8103.785.29794.4120.3125.441.2103.17390.373.291.256.555.6100.7

114004510在宅患者訪問看護・指導料（保健師、助産師、看護師・週３日目まで）C005198,143訪看3日 ホウ カン ニチ110.963.980.495.254.629.678.160.95792.679.611991.1104.837.132.6127.553.543.575.6159.982.185.743.516.5146.6177.6129.4102.590.3142.597.175.1103127.7113.2184.511584119.165.210765.446.7118.2202.471.7

114010610在宅患者訪問看護・指導料（保健師、助産師、看護師・週４日目以降）C005110,405訪看4日 ホウ カン ニチ162.167.377.978.451.736.263.567.887.911392.3115.751.2125.918.231.978.326.858.944.110150.2152.548.818.195.4181.6111.9115.7133.490.462.792.262.6126.4198.8210.9118.2111.4106.751.5138.261.487.1216.2147.275.5

114004610在宅患者訪問看護・指導料（准看護師）（週３日目まで）C005234070訪準3日 ホウ ジュン ニチ71.6114.916.850.429.4132.778.1216.9116.1132.492.754.26679.358.62640.938.51.951.897.31371.292.56.4166.7179104.19.5138.7318.5238.961.2250.892.3124.1185.9142.659.5163.8110.5157.957.642.8111.5270.355.4

114010710在宅患者訪問看護・指導料（准看護師）（週４日目以降）C00524,044訪準4日 ホウ ジュン ニチ105.82339.624.34.2134.761.4216.2153.4193119.56643116.933.924.543.6173.368.957.66.5104.268.92.599.8164.2113.9195.4107.5207.1100.7166.553.6116.9179.5212.927.786110.916393.951.4183.3281.463.5

114008010訪問看護指示料C0072,445,132訪看指示 ホウ カン シジ68.210156.78045.46397.167.165.49473.672142.1114.276.476.973.1112.561.7147.811668.8114.177.5103138.3153.9157116.3156112117.377.6143.889.380.444.1109.246.385.644.465.860.771.354.275.527.8

114008370特別訪問看護指示加算C007197202特別指示 トクベツ シジ50.5117.984.78330.13378.15750.392.7777084.264.229.940.9210.966.561.961.4174.738.8186.85779.369.7185.8127.4116.3312.8137.895.256.5129.9115.5174158.6168.381.2123.7154.490.565.1113.5133.7157.253.3

大阪のがん

入外 ニュウ ソト行為名称解釈番号豊能三島北河内中河内南河内堺市泉州大阪市

外来 ガイライ160158050ｓＩＬ－２ＲD00921147.612810557.3197124.2108.2145.9

入院 ニュウイン160158050ｓＩＬ－２ＲD00921162.3189.480.357.6134.6136.474.1159.5

外来 ガイライ160037110ＴＰＡD009357.8232144.2154.580223.643.6190.4

外来 ガイライ160116410ＮＣＣ－ＳＴ－４３９D009414568.649.486.9155.8362.250157.2

外来 ガイライ160037210ＣＡ１９－９D0096172.7108.913585.8169139.2162.3189.7

入院 ニュウイン160037210ＣＡ１９－９D0096154.6160.8119.490.9110.7105.8124137

外来 ガイライ160116510ＣＡ７２－４D00977416.48911661.456.542.784.8

外来 ガイライ160117010ＳＰａｎ－１D0097165129.749.6143.2330.1252.8206.4348.8

入院 ニュウイン160117010ＳＰａｎ－１D0097113.3136.943.6193.1193.2248.795.5195.9

外来 ガイライ160142450ＳＴＮD00971426.119.5230.3426.7548.4387.553.1193.4

外来 ガイライ160117110ＰＩＶＫＡ－２半定量D0098122.411262.164.7108.5156.8136.3174

入院 ニュウイン160117110ＰＩＶＫＡ－２半定量D009896.3167104.970.7149152.1168.3168

外来 ガイライ160193310ＰＩＶＫＡ－２定量D0098171.398.1128.496.5135.955.471.4197.4

入院 ニュウイン160193310ＰＩＶＫＡ－２定量D0098139.2191.7103.9180.3143.852.964188.9

外来 ガイライ160117210ＳＬＸD009981.781.294.693.656.2101.442.7108.9

入院 ニュウイン160117210ＳＬＸD009957.6165.1120.65185.387.962.195.7

外来 ガイライ160200410ＮＭＰ２２定量（尿）D0099150.810.4131.731.511.720.484.828.3

入院 ニュウイン130010250抗悪性腫瘍剤静脈内持続注入用植込型カテーテル設置（頭頸部その他）K611362.510570.149.589.647.847.6132.6

外来 ガイライ160060010Ｔ－ＭN000110.7105.8101.98393.991.796.4148.1

入院 ニュウイン160060010Ｔ－ＭN000115.5106.885.163114.891.988.5141.2

入院 ニュウイン160059810Ｔ－Ｍ／ＯＰN003129.7126.1107.144.9111.595.195.9193.8

入院 ニュウイン160185010術中迅速細胞診／ＯＰN003-2165.5205.69459.7169.8233.596331.8

管理料等

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入外 ニュウガイレセ電コード行為名称解釈番号豊能三島北河内中河内南河内堺市泉州大阪市

入院 ニュウイン190120310がん診療連携拠点病院加算A232113.293.3139.747172.567.229.1161.2

外来 ガイライ113006610小児悪性腫瘍患者指導管理料B0011850.666.85.256.36.4167.4224.4

外来 ガイライ113010210がん性疼痛緩和指導管理料（１以外の場合）B0012283.24488.914963.762.9109130.4

入院 ニュウイン113010210がん性疼痛緩和指導管理料（１以外の場合）B0012285.2100.597.1135.7107.4106.950.7187.6

外来 ガイライ113012810がん性疼痛緩和指導管理料（緩和ケアに係る研修を受けた保険医）B00122117.660.373.289.890.492.3150.3128.7

入院 ニュウイン113012810がん性疼痛緩和指導管理料（緩和ケアに係る研修を受けた保険医）B00122133.819451.985.9183.3124.988146.6

外来 ガイライ113015210がん患者指導管理料（医師と看護師の共同診療方針等を文書等で提供）B00123214.1146.485.921.483.5205102.7300.5

入院 ニュウイン113015210がん患者指導管理料（医師と看護師の共同診療方針等を文書等で提供）B00123267.1148.725.671.3118.791.6140.4182.1

外来 ガイライ113015310がん患者指導管理料（医師・看護師が心理的不安軽減のため面接）B00123183.850.8185.852.3147.2112.3125.4798.2

入院 ニュウイン113015310がん患者指導管理料（医師・看護師が心理的不安軽減のため面接）B00123306.745.846.916895.6162.1170.6162

外来 ガイライ113015410がん患者指導管理料（医師等が抗悪性腫瘍剤の必要性等を文書説明）B00123174.9134.20.825.1130.9199.4108.9232.2

外来 ガイライ113012110がん治療連携指導料B005-62257.5117.958.8226.9100.5318361.6105.5

外来 ガイライ113014510がん治療連携管理料B005-6359110.6103.872.821776.373.287.6

外来 ガイライ114005610在宅悪性腫瘍患者指導管理料C10897.5537.412.987161.694.7100.9

外来 ガイライ160178110ＥＧＦＲ遺伝子検査（リアルタイムＰＣＲ法以外）D004-21124.388.287.897.58950.37.2217.1

入院 ニュウイン160178110ＥＧＦＲ遺伝子検査（リアルタイムＰＣＲ法以外）D004-2161.3126.142.886.184.6361.331.7187.4

外来 ガイライ160202910ＥＧＦＲ遺伝子検査（リアルタイムＰＣＲ法）D004-21185.442.2103.629.896.522.6147.891.9

入院 ニュウイン160202910ＥＧＦＲ遺伝子検査（リアルタイムＰＣＲ法）D004-2120422.62138.637.4102.380.466.2

外来 ガイライ160205350ＲＡＳ遺伝子検査D004-21127.5143.3115.320597176.869178.3

入院 ニュウイン160205350ＲＡＳ遺伝子検査D004-2126.655.311485.6125.712088.5116.4

外来 ガイライ113001310悪性腫瘍特異物質治療管理料（その他・１項目）B0013105.874.596.962.9114.579.976.7140.4

入院 ニュウイン113001310悪性腫瘍特異物質治療管理料（その他・１項目）B0013118.5109.599.673.2136.4100121.5150.8

外来 ガイライ113002110悪性腫瘍特異物質治療管理料（その他・２項目以上）B0013108.292.49362.6129.787.686.6167.1

入院 ニュウイン113002110悪性腫瘍特異物質治療管理料（その他・２項目以上）B001390.4135.68564.6121.8114.381.3148.3

治療（内服・注射放射線治療）

12345678

入外 ニュウガイレセ電コード行為名称解釈番号豊能三島北河内中河内南河内堺市泉州大阪市

外来 ガイライ120003370抗悪性腫瘍剤処方管理加算（処方料）F100446.112.340.9176.4235.1106.263157.2

外来 ガイライ120003470抗悪性腫瘍剤処方管理加算（処方せん料）F400463.5113.7152.1121.659.4119126.3189.9

外来 ガイライ130012890外来化学療法加算１（外来化学療法加算Ａ・１５歳以上）G0005113.980.296.763.2130.992.484.5173

外来 ガイライ130012390外来化学療法加算１（外来化学療法加算Ｂ・１５歳以上）G0007112.9107.58559.7260.3149.766.6199.2

外来 ガイライ130013090外来化学療法加算２（外来化学療法加算Ａ・１５歳以上）G00095.281.991.4193.835.58753.5

外来 ガイライ130007510抗悪性腫瘍剤局所持続注入G00344.591.68870.4135.761.873.7156.6

入院 ニュウイン130007510抗悪性腫瘍剤局所持続注入G00330.9117.473.158.4109.736.335.591.3

入院 ニュウイン180033110がん患者リハビリテーション料H007-235.5113.534.476.3121.860.894.8159.2

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