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Clinical Pathways

Clinical Pathways
CP CODE CP NAME CP PRICE (IN BGN)
OBSTETRICS AND GYNECOLOGY
1 Inpatient care for high-risk pregnancies 400
2 Prenatal invasive pregnancy diagnostics and intensive care in pregnancies with a realized risk 800
3 Surgical procedures for pregnancy retention 150
4_1 Premature termination of pregnancy: in case of termination of pregnancy up to 13 weeks of gestation inclusive 170
4_2 Premature termination of pregnancy: in case of termination of pregnancy over 13 weeks of gestation s. 280
5 Birth 700
CP CODE CP NAME CP PRICE (IN BGN)
NEONATOLOGY
6 Care for a healthy newborn child 200
7 Diagnosis and treatment of newborns weighing over 2500 grams, first degree of severity 800
8 Diagnosis and treatment of newborns weighing over 2500 grams, second degree of severity 1200
9 Diagnosis and treatment of newborns weighing from 1500 to 2499 grams, first degree of severity 900
10 Diagnosis and treatment of newborns weighing from 1500 to 2499 grams, second degree of severity 1300
11 Diagnosis and treatment of newborns weighing less than 1499 grams 3600
12 Diagnosis and treatment of a child with congenital anomalies 1200
13 Diagnosis and intensive treatment of newborns with respiratory failure, first degree of severity 2000
14 Diagnostics and intensive care of newborns with respiratory failure, second degree of severity 3200
15_1 Diagnostics and intensive care of newborns with a single administration of surfactant 3300
15_2 Diagnostics and intensive care of newborns with multiple administration of surfactant 5600
CP CODE NAME OF KP PRICE OF KP (In LV.)
CARDIOLOGY
16 Diagnosis and treatment of unstable angina pectoris/acute myocardial infarction without invasive examination and/or interventional treatment 350
17 Invasive diagnostics in cardiovascular diseases 750
18 Invasive diagnostics in cardiovascular diseases with mechanicalntilation 1320
20 Interventional treatment and related diagnostic catheterizations in cardiovascular diseases 3318
24 Endovascular treatment of extracranial vessels, IN THE PART FOR BLOCK 1 370
25 Diagnosis and treatment of unstable angina pectoris with invasive study 900
26 Diagnosis and treatment of unstable angina pectoris with interventional treatment 3430
27 Diagnosis and treatment of acute coronary syndrome with fibrinolytic 2750
28 Diagnosis and treatment of acute coronary syndrome with persistent ST segment elevation with interventional treatment 4540
29 Diagnosis and treatment of acute and aggravated chronic heart failure without mechanical ventilation 520
30 Diagnosis and treatment of acute and aggravated chronic heart failure with mechanical ventilation 1300
31 Diagnosis and treatment of infective endocarditis 4950
32 Diagnosis and treatment of diseases of the myocardium and pericardium 462
33 Diagnosis and treatment of rhythm and conduction disorders 435
34 Diagnosis and treatment of arterial hypertension in childhood 700
35 Diagnosis and treatment of hypoxemic conditions in congenital heart malformations in childhood 750
36 Diagnosis and treatment of pulmonary thromboembolism without fibrinolytic 700
37 Diagnosis and treatment of pulmonary thromboembolism with fibrinolytic 2600
CP CODE NAME OF KP PRICE OF KP (In LV.)
PNEUMOLOGY AND PHYSIATRICIA
38 Diagnosis and treatment of chronic obstructive pulmonary disease – acute exacerbation 550
39 Diagnosis and treatment of bronchopneumonia and bronchiolitis in persons over 18 years of age 580
40_1 Diagnosis and treatment of bronchial asthma: moderate and severe attack (persons over 18 years old) 550
40_2 Diagnosis and treatment of bronchial asthma: moderate and severe attack (persons under 18 years old) 650
41_1 Diagnosis and treatment of allergic diseases of the respiratory system (over 18 years old) 400
41_2 Diagnosis and treatment of infectious-allergic diseases of the respiratory system (over 18 years old) 500
42_1 Diagnosis and treatment of purulent-inflammatory diseases of the bronchopulmonary system (over 18 years old) 780
45 Treatment of decompensated chronic respiratory failure 600
47 Treatment of decompensated chronic respiratory failure with mechanical ventilation 1540
48 Diagnosis and treatment of pneumonia in childhood 700
49 Diagnosis and treatment of bronchiolitis in childhood 570
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CP CODE CP NAME CP PRICE (IN BGN)
NERVOUS DISEASES
50 Ischemic stroke without thrombolysis 730
51 Ischemic stroke with thrombolysis 3000
52 Parenchymal cerebral hemorrhage 850
53 Subarachnoid hemorrhage 1000
54 Acute and chronic demyelinating polyneuropathy (Guillain-Barré) 5500
55 Demyelinating polyneuropathy (Guillain-Barré) on mechanical ventilation 10000
56 Diseases of the CNS, roots and plexuses, polyneuropathies and vertebrogenic pain syndromes 500
57 Acute and chronic viral, bacterial, spirochetal, mycotic and parasitic meningitis, meningoencephalitis and myelitis 2000
58 Hereditary and degenerative diseases affecting the CNS in childhood 700
59 Hereditary and degenerative diseases of the nervous system in adults (LAS) 550
60 Neuromuscular diseases and diseases of the anterior horns of the spinal cord 480
61 Multiple sclerosis 650
Epilepsy and epileptic seizures 400
63 Status epilepticus 600
64_1 Myasthenia gravis in persons over 18 years of age. 500
64_2 Myasthenia gravis in persons under 18 years of age. 657
65 Myasthenic crises with mechanical ventilation 5000
66 Myasthenic crises with human immunoglobulin and mechanical ventilation 7000
67 Parkinson’s disease 231
CP CODE NAME OF KP PRICE OF KP (In LV.)
GASTROENTEROLOGY
68 Diseases of the upper gastrointestinal tract 600
69 Interventional procedures of the gastrointestinal tract 850
70 Crohn’s disease and ulcerative colitis 1200
71 Diseases of the small and large intestine 605
72 Acute gastrointestinal bleeding 600
73 Interventional procedures in dentistry inflammations of the liver, pancreas and peritoneum 1500
74 Diseases of the liver, pancreas and peritoneum 920
75 Decompensated liver diseases (cirrhosis) 1000
76 Chronic liver diseases center;”>700
CP CODE CP NAME CP PRICE (IN BGN)
ENDOCRINOLOGY
78_1 Decompensated diabetes mellitus (persons over 18 years old) 660
center;”>78_2 Decompensated diabetes mellitus (persons under 18 years of age) 610
79 Thyroid diseases 341
82 Diagnosis of persons with metabolic disorders 630
83 Treatment of persons with metabolic disorders 630
CP CODE NAME OF KP PRICE OF KP (In LV.)
NEPHROLOGY
84 Acute and chronic acute pyelonephritis 500
87_1 Acute renal failure (over 18 years) 900
87_2 Acute renal failure (under 18 years) 87_2 Acute renal failure (under 18 years) 1050
88_1 Chronic renal failure (over 18 years) 400
88_2 Chronic renal failure (under 18 years) 400
CP CODE NAME OF KP PRICE OF KP (In LV.)
RHEUMMATOLOGY
89_1 Systemic connective tissue diseases (over 18 years) 500
89_2 Systemic connective tissue diseases (under 18 years) 580
90_1 Inflammatory joint diseases (over 18 years) 750
90_2 Inflammatory joint diseases (under 18 years) 770
91 Degenerative and metabolic joint diseases 500
CP CODE NAME OF KP PRICE OF KP (In LV.)
INFECTIOUS DISEASES
98 Acute intestinal infections with diarrheal syndrome 620
99 Infectious and parasitic diseases diseases transmitted by bite 520
100 Acute viral hepatitis A and E 1100
101 Acute viral hepatitis B, C and D 1277
102 Parasitoses 457
103 Overlapping infections 457
104 Contagious viral and bacterial diseases – acute, with complications 500
105 Viral hemorrhagic fevers 1000
CP CODE CP NAME CP PRICE (BGN)
TOXICOLOGY AND ALLERGOLOGY
106_1 Toxoallergic reactions (over 18 years) 500
106_2 Toxoallergic reactions (under 18 d.) 550
107 Poisoning and toxic effects from drugs and household poisons 750
108 Phalloid mushroom poisoning 2200
CHILDHOOD DISEASES/NEONATOLOGY
111 Acute sudden conditions in childhood 250
ENT
113_1 Virgo with minimum hospital stay 48 hours 200
113_2 Virgo with minimum hospital stay 4 days 400
CP CODE CP NAME CP PRICE (BGN)
ANAESTHESIOLOGY AND INTENSIVE CARE
114 Intensive treatment of comatose states (not due to trauma) 2200
115 Intensive treatment for combined/combined injuries 2500
VASCULAR SURGERY
123 Abdominal aorta, inferior vena cava and branches 3500
124 Chronic vascular insufficiency (femoro-popliteal, axillo-brachial segment) 1919
125 Surgical treatment of branches of the aortic arc 1709
126 Emergency interventions in vascular diseases 1100
127 Conservative treatment of vascular insufficiency 475
128 Conservative treatment with prostacyclin derivatives 330
129 Varicose veins and their complications 333
PROCEDURE CODE PROCEDURE NAME PRICE OF PROCEDURE (BGN)
UROLOGY
141 Transurethral surgical treatment of bladder cancer 1000
142 Radical cystoprostatectomy with orthotopic urinary bladder 4000
143 Transurethral prostatectomy 1100
144 Surgical procedures for benign prostatic hyperplasia and its complications 1100
145 Endoscopic procedures for upper urinary tract obstructions 774
146 Surgical procedures for congenital diseases of the genitourinary system 2500
147 Surgical procedures on the male reproductive system 600
148 Large volume and complexity lower urinary tract surgical procedures 2600
149 Medium volume and complexity lower urinary tract surgical procedures complexity 1160
150 Operative procedures for urinary incontinence 612
151 Reconstructive surgeries in urology 1000
152 Endoscopic procedures for lower urinary tract obstructions 520
153 Operative procedures for lower urinary tract injuries pathways 1000
154 Operative procedures of the kidney and ureter of large and very large volume and complexity 2300
155 Operative procedures of the kidney and ureter of medium volume and complexity 950
156 Radical cystectomy. Radical Cystoprostatectomy 3200
157 Radical Prostatectomy 2800
KP CODE KP NAME KP PRICE (LVL)
SURGERY
158 Surgical interventions for soft and bone tissue infections 550
ORTHOPAEDICS AND TRAUMA
159 Arthroscopic procedures in the field of the musculoskeletal system 700
OBSTETRICS AND GYNECOLOGY
160 Non-radical removal of the uterus 1100
161 Radical removal of female genital organs 1100
162 Abdominal access for the removal of pathological changes in female genital organs organs 770
163 Lower access for removal of changes or invasive examination, with exceptions 330
164 Corrections of pelvic statics and/or urinary incontinence, with exceptions 806
165 Diagnosis and treatment of toxo-infectious and anemic syndrome of obstetric-gynecological origin 460
166 Correction of patency and restoration of anatomy in women 650
167 Radical excision of lymph nodes, pelvic exenteration 2200
169 Intensive treatment of intra- and postpartum complications 1500
170 Intensive treatment of intra- and postpartum complications with coagulation disorders 6800
CP CODE CP NAME CP PRICE (BGN)
SURGERY
171 Operative procedures of the esophagus, stomach and duodenum with large and very large volume and complexity (persons over 18 years old) 2800
172 Operative procedures of the esophagus, stomach and duodenum with large and very large volume and complexity (persons under 18 years old) 3100
173 Operative procedures of the esophagus, stomach and duodenum with medium volume and complexity (persons over 18 years) 1785
174 Operative procedures of the esophagus, stomach and duodenum of medium volume and complexity (persons under 18 years) 1785
175 Operative procedures of the small and large intestines and diseases of the mesenteric blood vessels of large and very large volume and complexity (persons over 18 years) 2650
176 OpSurgical procedures of the small and large intestines and diseases of the mesenteric blood vessels with large and very large volume and complexity (persons under 18 years of age) 2650
177 Surgical procedures of the small and large intestines with medium volume and complexity (persons over 18 years of age) 1685
178 Surgical procedures of the small and large intestines with medium volume and complexity (persons under 18 years of age) 1685
179 Surgical interventions on the ileum and ileostomy 650
180 Surgical interventions for the creation of a stoma 500
181 Surgical interventions of the anus and perineal space 550
182 Operative procedures for hernia 650
183 Operative procedures for hernia with incarceration 720
184 Conventional cholecystectomy 1150
185 Laparoscopic cholecystectomy 1250
186 Operative procedures on extrahepatic bile ducts 2150
187 Operative procedures on liver (only in conditions of emergency) 3500
188 Operative procedures on the liver in echinococcosis 1950
189 Operative procedures on the pancreas and duodenum of large and very large volume and complexity (only in emergency conditions) 4950
190 Operative procedures on the pancreas and duodenum of medium volume and complexity 1820
191_1 Operative procedures on spleen in persons over 18 years old. 1000
191_2 Operative procedures on the spleen in persons under 18 years old. 1200
192 Operative interventions in diabetic foot (debridement and reconstructive surgeries) 1200
193 Operative treatment of oncological diseases in stages T1s – T3 and N0 – N1 (with exceptions) 1800
194 Surgical interventions on the breast with extensive excision and biopsy 300
195 Surgical treatment of acute peritonitis 2000
196 Conservative treatment of peritonitis 1200
197 Surgical interventions for abdominal disease 500
198 Operative interventions for soft and bone tissue tumors (only in emergency conditions) 2200
199 Operative interventions and excisions of benign tumors, granulomas and hematomas 800
200 Plastic and reconstructive surgeries 1500
CP CODE CP NAME CP PRICE (BGN)
ENDOCRINE SURGERY
201 Procedures on the thyroid and parathyroid glands, with large and very large volume and complexity 1000
202 Procedures on the thyroid and parathyroid glands, with medium volume and complexity 800
203 Surgical treatment of endocrine diseases 1500
NEUROSURGERY
204 Severe traumatic brain injury – surgical treatment 3400
205 Severe traumatic brain injury – conservative management 1330
207 Craniotomies, not indicated by trauma, in a clinical manner 400
208 Surgical treatment of trauma of head 1052
209 Operations on cranial nerves (extracranial part) 800
211 Spinal cord surgical interventions of large volume and complexity 2450
212 Spinal cord surgical interventions of medium volume and complexity 1819
CHEST SURGERY
216 Emergencies in thoracic surgery, in the part of block 1 550
ORTHOPAEDICS AND TRAUMA
217_1 Large volume and complexity procedures of the pelvis and lower limb 2050
217_2 Very large volume and complexity procedures of the pelvis, hip and knee joint 4700
217_3 Procedures for impossibility of fractures and/or dislocations of the pelvis, pelvis and lower extremities 5350
218 Pelvic and lower extremity procedures of medium volume and complexity 910
219 Shoulder and arm procedures of medium volume and complexity 1200
220 Shoulder and arm procedures of high volume and complexity 1700
221 Procedures for diseases of hump bone 1600
222 Septic (bacterial) arthritis and osteomyelitis in persons under 18 years of age. 1200
KP CODE KP NAME KP PRICE (BGN)
MAXILLOFACIAL SURGERY (MFA)
225 Surgical treatment in the maxillofacial area with very large volume and complexity 1000
226 Operative treatment in the maxillofacial area with large volume and complexity 705
227 Operative procedures in the maxillofacial area with medium volume and complexity 863
228 Operative treatment of inflammatory processes in the face and neck area 500
229 Conservative treatment of diseases of the maxillofacial area 300
230 Operative treatment of congenital malformations in the maxillofacial area 900
PLASTIC – RESTORATIVE SURGERY
232 Surgical treatment of burns with an area of ​​5% to 10% in adults and up to 3% in children 500
233 Surgical treatment of damage caused by low temperatures (frostbite) 705
235 Surgical treatment of the consequences of burns and trauma to the skin and subcutaneous tissue tissue 950
237 Surgical treatment of skin defects of various nature 570
KP CODE KP NAME KP PRICE (BGN)
PHYSICAL AND REHABILITATION MEDICINE
254 Long-term treatment and early rehabilitation after stroke 50 (per inpatient day)
255 Long-term treatment and rehabilitation after heart attack/interventions 50 (per inpatient day)
256 Rehabilitation after large/very large volume surgical interventions 54 (per bed-day)
257 Physical therapy and care for chronic vegetative state 100 (for bed-day)
258 Rehabilitation for birth trauma of the central nervous system 40 (for bed-day)
259 Rehabilitation for birth trauma of the peripheral nervous system 40 (for bed-day)
260 Rehabilitation for cerebral palsy 60 (for bed-day)
261 Rehabilitation for muscle injuries and spinal muscular atrophy 400
262 Rehabilitation for diseases of the central nervous system 482
263 Rehabilitation for diseases of the peripheral nervous system 330
264 Rehabilitation after heart attack or surgery interventions 482
265 Rehabilitation for musculoskeletal disorders the device 330
999 Monitoring up to 48 hours in inpatient conditions after an outpatient procedure 120
APr Code APr Name APr Price (in BGN)
LIST OF OUTPATIENT PROCEDURES
1 Chronic hemodialysis 144
2 Peritoneal dialysis with device 130
3 Peritoneal dialysis without a device 93
4 Providing permanent access for dialysis/chemotherapy 182
5 Monitoring patients with neuromuscular diseases on non-invasive ventilation 160
11 Conservative treatment of chronic renal failure colic 91
18 Small volume ear, nose, throat and maxillofacial procedures 250
19 Cataract surgery 380
20 Glaucoma surgery 390
21 Medium volume eye and adnexa procedures volume 150
22 Minor surgical procedures of the shoulder girdle and upper limb 193
23 Minor surgical procedures of the pelvis and lower limb 256
24 Minor arthroscopic procedures (musculoskeletal system) 144
25 Diagnostic and therapeutic punctures/biopsies (excluding children under 18 years of age. with DCB in Nephrology) 58
26 Outpatient surgical procedures 150
27 Paravertebral blocks/blocks of individual nerves 52
28 Gradual verticalization and walking training 100
30 Fitment of an upper or lower limb prosthesis limb 24
31 Parenteral infusion according to therapeutic regimen 122
32 Endoscopic diagnosis of diseases of the gastrointestinal tract 120
38 Outpatient observation and monitoring of response to therapy 22
41 Outpatient observation/dispensary in severe mental disorders 90
99 Early implementation of Clinical Pathway activities 1
CP Code CP Name CP Price (lv.)
LIST OF CLINICAL PROCEDURES
1 Dialysis treatment in acute conditions 144
2 Intensive treatment of newborns with assisted breathing 100
3 Intensive care with mechanical ventilation and/or parenteral nutrition 426
4 Intensive care without mechanical ventilation and/or parenteral nutrition 155
Test code Immunohematology Price of VSMDI (lv.)
IMMUNOHEMATOLOGY
12.01 Determination of blood groups by ABO and Rh (D) – cross-matching method 7.06
12.02 Determination of the subgroups of the A antigen (A1 and A2) 4,14
12.05 Agglutination and enzymatic methods (Coombs test) with poly- and monoclonal antiglobulin sera 31,58
12.06 Determination of phenotype (CcDEe) and Kell antigen 29,23
Test code Imaging diagnostics Price of VSMDI (lv.)
IMAGING DIAGNOSTICS
10.02 Nuclear magnetic resonance imaging 225.41
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