As a diagnostic method, immunohistochemistry can be included in the scope of medical insurance reimbursement if it is carried out by hospitalized patients; This also applies to the new rural cooperative medical system (NCMS). However, the specific reimbursement ratio will vary according to the medical insurance policy of the patient's region.
The cost composition of immunohistochemistry;
1, reagent fee: immunohistochemical detection requires the use of specific antibodies and chromogenic reagents;
2. Equipment use fee: use microscope and other experimental equipment for sample analysis;
3. Technical service fee: operational analysis fee for pathologists and technicians;
4. Management expenses: including sample preservation, data management and other related expenses.
To sum up, the feasibility of immunohistochemical medical insurance reimbursement depends on the specific medical insurance policy in the patient's area, in which the expenses of immunohistochemical testing for inpatients can usually be included in the scope of reimbursement, while outpatients do not enjoy this treatment; The reimbursement rate varies from place to place, and it must meet the medical insurance conditions stipulated by the state. Therefore, before applying for medical insurance reimbursement, patients should know the medical insurance rules in their area in detail to ensure that the expenses are reimbursed reasonably.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.