J Korean Foot Ankle Soc.  2006 Dec;10(2):238-241.

Operation Fee and Insurance Charge of Hallux Valgus Surgery

• Song HH
• Shim DM
• Kim DC
• Kweon SH
• Kim JY

Abstract

PURPOSE: The purpose of this study was to figure out the appropriate and systemic insurance charge for the hallux valgus operations.
MATERIALS AND METHODS
5 Hospitals for hallux valgus operations were analyzed how they have been charging the national health insurance corporation for their operation fees and how to use the estimated guide and authoritive interpretation through the guide book of health insurance medical treatment grant expense and the guide book of Health insurance medical treatment.
RESULTS
There are nothing for guiding principle of hallux valgus operations in both books but a guide of Mcbride operation which is approved 'JA-93-KA and JA-31' for operation fee. So majority of hospitals have charged operation fee depending on their own interpretations they like. According to the guide books, there was a authoritive interpretation that simultaneous operation of osteotomy and tendon transfer for cerebral palsy and flat foot can be eatimated as 'osteotomy +JA-93-NA'.
CONCLUSION
Distal soft tissue procedure should be approved as 'JA-93-NAx100%+JA-31x50%' according to the the estimated guide and authoritive interpretation if transected adductor hllucis is transfered to first metatarsal head. So distal chevron osteotomy could be 'JA-30-1-RAx100%+JA-31x50%', proximal metatarsal osteotomy could be 'JA-93-NAx100%+JA-31-50%+JA-30-1-RAx50%', first metatarsocuneiform joint arthrodesis could be 'JA-93-NAx100%+ JA-31x50%+JA-73-RAx50%'.

Keyword

Hallux valgus; Operation fee

MeSH Terms

Arthrodesis
Cerebral Palsy
Fees and Charges*
Financing, Organized
Flatfoot
Hallux Valgus*
Hallux*
Head
Insurance*
Insurance, Health
Joints
Metatarsal Bones
National Health Programs
Osteotomy
Tendon Transfer