## Odluka o izmjeni dopune Odluke o utvrđivanju Popisa dijagnostičkih i terapijskih postupaka u zdravstvenim djelatnostima - vremenski i kadrovski normativi

### NN 44/2002 (25.4.2002.), Odluka o izmjeni dopune Odluke o utvrđivanju Popisa dijagnostičkih i terapijskih postupaka u zdravstvenim djelatnostima - vremenski i kadrovski normativi

# Hrvatski zavod za zdravstveno osiguranje

904

Na osnovi članka 19. Statuta Hrvatskog zavoda za zdrav­stveno osiguranje
(»Narodne novine« br. 16/02 i 24/02), Upravno vijeće Hrvatskog zavoda za
zdravstveno osiguranje na 6. sjednici, odr‘anoj 17. travnja 2002. godine,
donijelo je

## ODLUKU

### o izmjeni i dopuni Odluke o utvrĐivanju Popisa dijagnostiČkih i terapijskih postupaka u zdravstvenim djelatnostima – vremenski i kadrovski normativi

Članak 1.

U Odluci o utvrđivanju Popisa dijagnostičkih i terapijskih postupaka u
zdravstvenim djelatnostima – vremenski i kadrovski normativi (»Narodne novine«
br. 15/92, 29/93, 65/93, 73/99, 3/00, 18/00 i 118/01 – u daljnjem tekstu:
Odluka), u Popisu dijagnostičkih i terapijskih postupaka u zdravstvenim
djelatnostima – vremenski i kadrovski normativi koji je sastavni dio Odluke iza
šifre 50150 dodaje se:

if !supportEmptyParas endif

**if !supportEmptyParas endif**

**if !supportEmptyParas endif**

|  |  |  |  |  |
| --- | --- | --- | --- | --- |
| **Šifra** | **Opis postupka** | **Djelatnici** | **Vrijeme** | **Ukupno** |
| if !supportEmptyParas endif | if !supportEmptyParas endif | if !supportEmptyParas endif | if !supportEmptyParas endif | **bodovi** |

if !supportEmptyParas endif

if !supportEmptyParas endif

50151        Operacija ekstraduralnog akutnog
hematoma, ’S’\*                                1   liječnik specijalist             120                 75,12

                                                                                                                                          1   liječnik                               120

                                                                                                                                          1   sred. med. sestra              120

50152        Operacija subduralnog akutnog hematoma,
’S’\*                                    1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50153        Operacija intracerebralnog akutnog
hematoma, ’S’\*                             1   liječnik specijalist             120                 75,12

                                                                                                                                          1   liječnik                               120

                                                                                                                                          1   sred. med. sestra              120

50154        Operacija intracerebelarnog akutnog
hematoma, ’S’\*                           1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50155        Operacija subduralnog kroničnog hematoma
trepanacijom, ’S’\*         1   liječnik specijalist               60                 37,56

                                                                                                                                          1   liječnik                                 60

                                                                                                                                          1   sred. med. sestra                60

50156        Operacija subduralnog kroničnog hematoma
kraniotomijom, ’S’\*      1   liječnik specijalist             120                 75,12

                                                                                                                                          1   liječnik                               120

                                                                                                                                          1   sred. med. sestra              120

50157        Operacija higroma/kroničnog subduralnog
hematoma                          1   liječnik specijalist
                  subduroperitonealnom
drenažom, ’S’\*                                                    1   liječnik                               120                 75,12

                                                                                                                                          1   sred. med. sestra              120

50158        Ugradnja uređaja za ekstraduralno
mjerenje intrakranijskog                 1   liječnik specijalist
                  tlaka, ’S’\*                                                                                                      1   sred. med. sestra                60                 25,56

50159        Ugradnja uređaja za subduralno mjerenje
intrakranijskog                     1   liječnik specijalist               60                 25,56
                  tlaka, ’S’\*                                                                                                      1   sred. med. sestra                60

50160        Ugradnja uređaja za intraventrikularno
mjerenje                                     1   liječnik specijalist               60                 25,56
                  intrakranijskog tlaka,
’S’\*                                                                           1   sred. med. sestra                60

50161        Ugradnja uređaja za intraparenhimsko
mjerenje                                      1   liječnik specijalist               60                 25,56
                  intrakranijskog tlaka,
’S’\*                                                                           1   sred. med. sestra                60

50162        Uklanjanje meningeoma iz mozgovnih
klijetki, ’S’\*                                1   liječnik specijalist             480               300,48

                                                                                                                                          1   liječnik                               480

                                                                                                                                          1   sred. med. sestra              480

50163        Uklanjanje ostalih tumora iz mozgovnih
klijetki, ’S’\*                             1   liječnik specijalist             420               262,92

                                                                                                                                          1   liječnik                               420

                                                                                                                                          1   sred. med. sestra              420

50164        Uklanjanje tumora ili apscesa
cerebeluma,  ’S’\*                                     1   liječnik specijalist             300               187,80

                                                                                                                                          1   liječnik                               300

                                                                                                                                          1   sred. med. sestra              300

50165        Uklanjanje tumora mozgovnog debla/ponsa,
’S’\*                                  1   liječnik specijalist             420               262,92

                                                                                                                                          1   liječnik                               420

                                                                                                                                          1   sred. med. sestra              420

50166        Punkcija mozgovnog apscesa uz
stereotaktičko navođenje, ’S’\*        1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50167        Punkcija mozgovnog apscesa uz
ultrazvučno navođenje, ’S’\*            1   liječnik specijalist             120                 75,12

                                                                                                                                          1   liječnik                               120

                                                                                                                                          1   sred. med. sestra              120

50168        Stereotaktička biopsija
supratentorijskih procesa, ’S’\*                         1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50169        Stereotaktička biopsija
infratentorijskih procesa, ’S’\*                           1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50170        Stereotaktička evakuacija
cista/hematoma, ’S’\*                                     1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50171        Stereotaktička implantacija trajnog
drenažnog sustava, ’S’\*               1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50172        Stereotaktička palidotomija, ’S’\*                                                               1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50173        Stereotaktička ventrolateralna
talamotomija (Mb. Parkinson), ’S’\*     1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50174        Stereotaktička ventroposterolateralna
talamotomija                              1   liječnik specijalist             180               112,68

                  (inkurabilna bol), ’S’\*                                                                                  1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50175        Stereotaktička ugradnja uređaja za
duboku mozgovnu stimulaciju     1   liječnik specijalist             300               187,80
                  -
talamus/subtalamus/palidum (Mb. Parkinson), ’S’\*                            1   liječnik                               300

                                                                                                                                          1   sred. med. sestra              300

50176        Stereotaktička ugradnja uređaja za
duboku mozgovnu stimulaciju     1   liječnik specijalist             300               187,80
                  (inkurabilna bol), ’S’\*                                                                                  1   liječnik                               300

                                                                                                                                          1   sred. med. sestra              300

50177        Stereotaktička ugradnja uređaja za
duboku mozgovnu stimulaciju     1   liječnik specijalist             300               187,80
                  - talamus
(epilepsija),  ’S’\*                                                                         1   liječnik                               300

                                                                                                                                          1   sred. med. sestra              300

50178        Stereotaktička implantacija
radioaktivnog izotopa,  ’S’\*                       1   liječnik specijalist             300               187,80

                                                                                                                                          1   liječnik                               300

                                                                                                                                          1   sred. med. sestra              300

50179        Stereotaktička iradijacija linearnim
akceleratorom                                   1   liječnik specijalist             300               229,56
                  (radiokirurgija),  ’S’\*                                                                                    1   liječnik                                 60

                                                                                                                                          1   sred. med. sestra                60

                                                                                                                                          1   djelatnik VSS                    120

50180        Stereotaktičko navođenje pri
mikrokirurškim operacijama,  ’S’\*          1   liječnik
specijalist               90                 56,34

                                                                                                                                          1   liječnik                                 90

                                                                                                                                          1   sred. med. sestra                90

50181        Ultrazvučno navođenje pri mikrokirurškim
operacijama,  ’S’\*              1   liječnik
specijalist               30                 18,78

                                                                                                                                          1   liječnik                                 30

                                                                                                                                          1   sred. med. sestra                30

50182        Operacijsko liječenje epilepsije
ugradnjom vagalnog                            1   liječnik specijalist             240               186,24
                  stimulatora,  ’S’\*                                                                                          1   liječnik                               240

                                                                                                                                          1   liječnik specijalist             120

                                                                                                                                          1   sred. med. sestra              240

50183        Temporalna resekcija radi
epilepsije/temporalnog                                  1   liječnik specijalist             300               223,80

                  tumora, ’S’\*                                                                                                  1   liječnik                               300

                                                                                                                                          1   liječnik specijalist             120

                                                                                                                                          1   sred. med. sestra              300

50184        Amigdalohipokampektomija, ’S’\*                                                             1   liječnik specijalist             300               223,80

                                                                                                                                          1   liječnik                               300

                                                                                                                                          1   liječnik specijalist             120

                                                                                                                                          1   sred. med. sestra              300

50241        Kranioplastika autotransplantatom, ’S’\*                                                 1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50242        Kranioplastika alotransplantatom, ’S’\*                                                    1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50243        Operacija kraniostenoze (suturektomija),
’S’\*                                         1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50244        Operacija kraniostenoze (višestruka
suturektomija), ’S’\*                     1   liječnik specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

50245        Radikalna operacija kraniostenoze, ’S’\*                                                   1   liječnik specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

50246        Operacija kraniofacijalne
dizostoze,  ’S’\*                                                 1   liječnik specijalist             300               367,80

                                                                                                                                          1   liječnik                               300

                                                                                                                                          1   liječnik specijalist             180

                                                                                                                                          1   sred. med. sestra              300

50247        Plastika likvorske fistule prednje
lubanjske jame,  ’S’\*                          1   liječnik specijalist             360               225,36

                                                                                                                                          1   liječnik                               360

                                                                                                                                          1   sred. med. sestra              360

50248        Plastika likvorske fistule prednje
stražnje jame,  ’S’\*                             1   liječnik specijalist             420               262,92

                                                                                                                                          1   liječnik                               420

                                                                                                                                          1   sred. med. sestra              420

50249        Plastika postoperacijske likvorske
fistule,  ’S’\*                                      1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50250        Ventrikuloatrijska drenaža,  ’S’\*                                                                1   liječnik specijalist             120                 75,12

                                                                                                                                          1   liječnik                               120

                                                                                                                                          1   sred. med. sestra              120

50251        Ventrikuloperitonealna drenaža,  ’S’\*                                                       1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50252        Ventrikuloperitonealna drenaža
programabilnom valvulom,  ’S’\*        1   liječnik
specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

50253        Endoskopska
ventrikulocisternostomija,  ’S’\*                                        1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50254        Endoskopska cisternostomija (arahnoidne
ciste),  ’S’\*                         1   liječnik
specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50255        Endoskopsko uklanjanje
intraventrikularnih tumora,  ’S’\*                   1   liječnik specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

50256        Endoskopski postupci pri operaciji
tumora lubanjske baze,  ’S’\*        1   liječnik
specijalist             300               187,80

                                                                                                                                          1   liječnik                               300

                                                                                                                                          1   sred. med. sestra              300

50371        Mikrodiscektomija,  ’S’\*                                                                             1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50372        Endoskopski asistirana
discektomija,  ’S’\*                                              1   liječnik specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

50373        Pekutana discektomija,  ’S’\*                                                                      1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50374        Dekompresija spinalnog kanala,  ’S’\*                                                       1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50375        Dekompresija zatiljnog otvora s
plastikom tvrde mozgovne                 1   liječnik specijalist             300               187,80
                  ovojnice, ’S’\*                                                                                               1   liječnik                               300

                                                                                                                                          1   sred. med. sestra              300

50376        Operacija okultnog spinalnog
disrafizma/korde retunde, ’S’\*              1   liječnik specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

50377        Peritonealna drenaža
hidro-siringomijelije, ’S’\*                                      1   liječnik specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

50378        Endoskopski postupci pri operaciji
hidro/siringomijelije, ’S’\*             1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50473        Perkutana termička rizotomija
trigeminalnog ganglija, ’S’\*                   1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50474        Anastomoza kranijalnih živaca, ’S’\*                                                         1   liječnik specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

50772        Uklanjanje hipofiznog adenoma keyhole
pristupom, ’S’\*                     1   liječnik specijalist             480               300,48

                                                                                                                                          1   liječnik                               480

                                                                                                                                          1   sred. med. sestra              480

50773        Uklanjanje kraniofaringeoma keyhole
pristupom, ’S’\*                          1   liječnik specijalist             480               300,48

                                                                                                                                          1   liječnik                               480

                                                                                                                                          1   sred. med. sestra              480

50774        Uklanjanje drugih tumora baze keyhole
pristupom, ’S’\*                       1   liječnik specijalist             480               300,48

                                                                                                                                          1   liječnik                               480

                                                                                                                                          1   sred. med. sestra              480

50775        Operacija tumora kavernoznog sinusa, ’S’\*                                            1   liječnik specijalist             900               563,40

                                                                                                                                          1   liječnik                               900

                                                                                                                                          1   sred. med. sestra              900

50776        Uklanjanje intraorbitalnih tumora
keyhole pristupom, ’S’\*                   1   liječnik specijalist             480               300,48

                                                                                                                                          1   liječnik                               480

                                                                                                                                          1   sred. med. sestra              480

53904        Operacija aneurizme u karotidnom slijevu
keyhole                                 1   liječnik specijalist             480               300,48
                  pristupom,  ’S’\*                                                                                            1   liječnik                               480

                                                                                                                                          1   sred. med. sestra              480

53905        Operacija aneurizme bazilarne arterije
keyhole pristupom,  ’S’\*           1   liječnik
specijalist             660               413,16

                                                                                                                                          1   liječnik                               660

                                                                                                                                          1   sred. med. sestra              660

53906        Endoskopski postupci u vaskularnoj
neurokirurgiji,  ’S’\*                    1   liječnik specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

5012(0)     Pomoćni postupci pri neurokirurškim
operacijama

50121        Uporaba operacijskog mikroskopa,  ’S’\*                                                 1   liječnik specijalist               60                 42,00

                                                                                                                                          2   liječnika                               60

50122        Uporaba lasera,  ’S’\*                                                                                   1   liječnik specijalist               60                 42,00

                                                                                                                                          2   liječnika                               60

50123        Uporaba ultrazvučnog aspiratora,  ’S’\*                                                   1   liječnik specijalist               60                 42,00

                                                                                                                                          2   liječnika                               60

50124        Kompjutorizirana neuronavigacija,  ’S’\*                                                  1   liječnik specijalist               90                 45,00

                                                                                                                                          1   liječnik                                 90

if !supportEmptyParas endif

Iza šifre 52387dodaje se:

|  |  |  |  |  |
| --- | --- | --- | --- | --- |
| **Šifra** | **Opis postupka** | **Djelatnici** | **Vrijeme** | **Ukupno** |
| if !supportEmptyParas endif | if !supportEmptyParas endif | if !supportEmptyParas endif | if !supportEmptyParas endif | **bodovi** |

2388          Mortalna ekstirpacija i
punjenje kanala, po kanalu                                 1   liječnik                                 40                 13,04

                                                                                                                                          1   sred. med. sestra                40

if !supportEmptyParas endif

if !supportEmptyParas endif

                Iza šifre 58055 dodaje se:

|  |  |  |  |  |
| --- | --- | --- | --- | --- |
| **Šifra** | **Opis postupka** | **Djelatnici** | **Vrijeme** | **Ukupno** |
| if !supportEmptyParas endif | if !supportEmptyParas endif | if !supportEmptyParas endif | if !supportEmptyParas endif | **bodovi** |

58056        Endoskopska plastika
koljenskih veza kod nestabilnog koljena          1   liječnik spec.                       90               102,00
                  - dvije veze (ACL
transfix)                                                                          1   liječnik spec.                     120

                                                                                                                                          1   sred. med. srestra             240

                                                                                                                                          1   ing. med. radiologije          60

if !supportEmptyParas endif

Iza šifre 91312 dodaje se:

|  |  |  |  |  |
| --- | --- | --- | --- | --- |
| **Šifra** | **Opis postupka** | **Djelatnici** | **Vrijeme** | **Ukupno** |
| if !supportEmptyParas endif | if !supportEmptyParas endif | if !supportEmptyParas endif | if !supportEmptyParas endif | **bodovi** |

9140(0)     Izdavanje liječničkih potvrda
i ispričnica

91401        Izdavanje liječničke potvrde                                                                       1   liječnik                                   5                   1,00

91402        Izdavanje liječničke ispričnice                                                                    1   liječnik                                   5                   1,00

Postojeći podaci upisani pod sljedećim šiframa mijenjaju se i glase:

|  |  |  |  |  |
| --- | --- | --- | --- | --- |
| **Šifra** | **Opis postupka** | **Djelatnici** | **Vrijeme** | **Ukupno** |
| if !supportEmptyParas endif | if !supportEmptyParas endif | if !supportEmptyParas endif | if !supportEmptyParas endif | **bodovi** |

5010(0)     Operacije na lubanji,
mozgovnim ovojnicama i mozgu

50101        Ventrikularna punkcija                                                                                1   liječnik specijalist               60                 37,56

                                                                                                                                          1   liječnik                                 60

                                                                                                                                          1   sred. med. sestra                60

50102        Operacije na poglavini i lubanjskim
kostima                                            1   liječnik specijalist               60                 37,56

                                                                                                                                          1   liječnik                                 60

                                                                                                                                          1   sred. med. sestra                60

50104        Operacija impresijske frakture s lezijom
dure i mozga                             1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50105        Operacija impresijske frakture bez
lezije dure                                          1   liječnik specijalist             120                 75,12

                                                                                                                                          1   liječnik                               120

                                                                                                                                          1   sred. med. sestra              120

50108        Operacija opsežne kraniocerebralne ili
frontobazalne ozljede               1   liječnik specijalist             300               187,80
                  (strijelne,
eksplozijske), ’S’\*                                                                       1   liječnik                               300

                                                                                                                                          1   sred. med. sestra              300

50110        Uklanjanje tumora ili apscesa iz
mozgovnih hemisfera                          1   liječnik specijalist             360               225,36
                  (osim meningeoma), ’S’\*                                                                            1   liječnik                               360

                                                                                                                                          1   sred. med. sestra              360

50111        Uklanjanje konveksitetnog meningeoma                                                 1   liječnik specijalist             400               250,40
                  (isključujući lubanjsku
bazu),  ’S’\*                                                           1   liječnik                               400

                  1   sred. med. sestra              400

50112        Uklanjanje meningeoma lubanjske
baze,  ’S’\*                                         1   liječnik specijalist             600               375,60

                                                                                                                                          1   liječnik                               600

                                                                                                                                          1   sred. med. sestra              600

50114        Uklanjanje tumora iz pontocerebelarnog
kuta,  ’S’\*                               1   liječnik
specijalist             420               262,92

                  1   liječnik                               420

                  1   sred. med. sestra              420

50115        Evakuacija subduralnog empijema,  ’S’\*                                                  1   liječnik specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

50116        Punkcija mozgovnog apscesa                                                                    1   liječnik specijalist               90                 56,34

                                                                                                                                          1   liječnik                                 90

                                                                                                                                          1   sred. med. sestra                90

50140        Operacijsko liječenje epilepsije, ’S’\*                                                         1   liječnik specijalist             360               225,36

                                                                                                                                          1   liječnik                               360

                                                                                                                                          1   sred. med. sestra              360

50150        Uklanjanje tumora lubanjskih kostiju, ’S’\*                                              1   liječnik specijalist             120                 75,12

                                                                                                                                          1   liječnik                               120

                                                                                                                                          1   sred. med. sestra              120

5020(0)     Ostale operacije mozga i mozgovnih ovojnica

50211        Operacija encefalokele, ’S’\*                                                                       1   liječnik specijalist             360               225,36

                                                                                                                                          1   liječnik                               360

                                                                                                                                          1   sred. med. sestra              360

50220        Privremena ventrikularna drenaža, ’S’\*                                                    1   liječnik specijalist               60                 37,56

                                                                                                                                          1   liječnik                                 60

                                                                                                                                          1   sred. med. sestra                60

50240        Revizija drenažnog sustava, ’S’\*                                                              1   liječnik specijalist             120                 75,12

                  1   liječnik                               120

                  1   sred. med. sestra              120

5030(0)     Operacije spinalne medule i struktura
spinalnog kanala

50301        Ekstirpacija intervertebralnog diska, ’S’\*                                                1   liječnik specijalist             150                 93,90

                                                                                                                                          1   liječnik                               150

                                                                                                                                          1   sred. med. sestra              150

50302        Uklanjanje ekstramedularnog tumora, ’S’\*                                              1   liječnik specijalist             420               262,92

                  1   liječnik                               420

                  1   sred. med. sestra              420

50303        Uklanjanje intramedularnog tumora, ’S’\*                                                 1   liječnik specijalist             540               338,04

                                                                                                                                          1   liječnik                               540

                                                                                                                                          1   sred. med. sestra              540

50304        Uklanjanje spinalnog angioma, ’S’\*                                                         1   liječnik specijalist             810               507,06

                                                                                                                                          1   liječnik                               810

                                                                                                                                          1   sred. med. sestra              810

50305        Uklanjanje epiduralnog ili intraduralnog
gnojnog procesa, ’S’\*          1   liječnik specijalist             240               150,24

                                                                                                                                          1   liječnik                               240

                                                                                                                                          1   sred. med. sestra              240

50320        Kordotomija, ’S’\*                                                                                         1   liječnik specijalist             300               187,80

                  1   liječnik                               300

                  1   sred. med. sestra              300

50321        Ostali zahvati na meduli spinalis,  ’S’\*                                                     1   liječnik specijalist             360               225,36

                                                                                                                                          1   liječnik                               360

                                                                                                                                          1   sred. med. sestra              360

50340        Operacije meningo ili
mijelomeningokele,  ’S’\*                                       1   liječnik specijalist             360               225,36

                                                                                                                                          1   liječnik                               360

                                                                                                                                          1   sred. med. sestra              360

50370        Blokada zigapofiznih zglobova
kralježnice, \*\*                                        1   liječnik specijalist               15                   6,39

                  1   sred. med. sestra                15

50401        Spinalna rizotomija,  ’S’\*                                                                            1   liječnik specijalist             180               112,68

                                                                                                                                          1   liječnik                               180

                                                                                                                                          1   sred. med. sestra              180

50402        Transtentorijska ili infratentorijska
rizotomija trigeminusa                    1   liječnik specijalist             420               262,92
                  ili vaskularna
dekompresija,  ’S’\*                                                              1   liječnik                               420

                                                                                                                                          1   sred. med. sestra              420

50403        Rizotomija ili vaskularna dekompresija
ostalih mozgovnih                   1   liječnik specijalist             420               262,92

                  mozgovnih živaca,
’S’\*                                                                              1   liječnik                               420

                                                                                                                                          1   sred. med. sestra              420

50410        Ekshaireze trigeminusovih grana                                                               1   liječnik specijalist               60                 37,56

                                                                                                                                          1   liječnik                                 60

                                                                                                                                          1   sred. med. sestra                60

50432        Oslobađanje živca u karpalnom kanalu ili
laktu                                       1   liječnik specijalist               90                 56,34

                                                                                                                                          1   liječnik                                 90

                                                                                                                                          1   sred. med. sestra                90

50470        Blokada I. grane trigeminusa ili
interkostalnog živca i sl.                      1   liječnik specijalist               40                 25,04

                                                                                                                                          1   liječnik                                 40

                                                                                                                                          1   sred. med. sestra                40

50471        Bolokada II. i III. grane trigeminusa                                                          1   liječnik specijalist               40                 25,04

                                                                                                                                          1   liječnik                                 40

                                                                                                                                          1   sred. med. sestra                40

50472        Bolokada trigeminalnog ganglija                                                               1   liječnik specijalist               90                 56,34

                                                                                                                                          1   liječnik                                 90

                                                                                                                                          1   sred. med. sestra                90

50740        Operacije tumora pinealne regije,  ’S’\*                                                     1   liječnik specijalist             480               300,48

                  1   liječnik                               480

                  1   sred. med. sestra              480

50750        Uklanjanje hipofiznog adenoma
(transkranijalno),  ’S’\*                        1   liječnik specijalist             480               300,48

                                                                                                                                          1   liječnik                               480

                                                                                                                                          1   sred. med. sestra              480

50751        Uklanjanje hipofiznog adenoma
(transsfenoidalno),  ’S’\*                    1   liječnik specijalist             360               279,36

                                                                                                                                          1   liječnik specijalist             180

                                                                                                                                          1   liječnik                               360

                                                                                                                                          1   sred. med. sestra              360

50760        Uklanjanje kraniofaringeoma,  ’S’\*                                                           1   liječnik specijalist             360               225,36

                                                                                                                                          1   liječnik                               360

                                                                                                                                          1   sred. med. sestra              360

50761        Uklanjanje supra i paraselarnih
tumora,  ’S’\*                                          1   liječnik specijalist             600               375,60

                                                                                                                                          1   liječnik                               600

                                                                                                                                          1   sred. med. sestra              600

53891        Operacija aneurizme u karotidnom
sustavu,  ’S’\*                                   1   liječnik
specijalist             420               262,92

                                                                                                                                          1   liječnik                               420

                                                                                                                                          1   sred. med. sestra              420

53892        Operacija aneurizme u vertebralnom sustavu
                                         1   liječnik specijalist             600               375,60

                  ili divovske aneurizme,  ’S’\*                                                                       1   liječnik                               600

                                                                                                                                          1   sred. med. sestra              600

53898        Uklanjanje angioma,  ’S’\*                                                                           1   liječnik specijalist             900               563,40

                                                                                                                                          1   liječnik                               900

                                                                                                                                          1   sred. med. sestra              900

53899        Okluzija karotičko kavernozne
fistule,  ’S’\*                                             1   liječnik specijalist             720               450,72

                                                                                                                                          1   liječnik                               720

                                                                                                                                          1   sred. med. sestra              720

53900        Ekstraintrakranijska anastomoza u
karotidnom slijevu,  ’S’\*                1   liječnik specijalist             300               187,80

                                                                                                                                          1   liječnik                               300

                                                                                                                                          1   sred. med. sestra              300

53901        Dodatna anstomoza pri istom
zahvatu,  ’S’\*                                           1   liječnik specijalist             120                 75,12

                                                                                                                                          1   liječnik                               120

                                                                                                                                          1   sred. med. sestra              120

53902        Ekstraintrakranijska anastomoza u
vertebralnom slijevu,  ’S’\*             1   liječnik
specijalist             420               262,92

                                                                                                                                          1   liječnik                               420

                                                                                                                                          1   sred. med. sestra              420

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| **Šifra** | **Opis postupka** | **Djelatnici** | **Vrijeme** | **Ukupno** |
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50103        Eksplorativna trepanacija                                                                           1   liječnik specijalist             240               102,24

                                                                                                                                          1   sred. med. sestra              240

50106        Opskrba intrakranialnog akutnog
hematoma, ’S’\*                                 1   liječnik specijalist             320               136,32

                                                                                                                                          1   sred. med. sestra              320

50106        Opskrba kroničnog subduralnog hematoma                                           1   liječnik specijalist               60                 25,56

                                                                                                                                          1   sred. med. sestra                60

50113        Odstranjivanje tumora ili apscesa u
zadnjoj lubanjskoj jami, ’S’\*        1   liječnik specijalist             600               315,60

                                                                                                                                          1   liječnik                               300

                                                                                                                                          1   sred. med. sestra              600

50130        Stereotaksijske operacije, ’S’\*                                                                   1   liječnik specijalist             120                 75,12

                                                                                                                                          1   liječnik                               120

                                                                                                                                          1   sred. med. sestra              120

50201        Kranioplastika, ’S’\*                                                                                     1   liječnik specijalist             240               102,24

                                                                                                                                          1   sred. med. sestra              240

50202        Operacija kraniostenoze, ’S’\*                                                                    1   liječnik specijalist             240               102,24

                                                                                                                                          1   sred. med. sestra              240

50210        Plastika likvorske fistule, ’S’\*                                                                    1   liječnik specijalist             360               117,36

                                                                                                                                          1   sred. med. sestra              360

50221        Trajna ventrikularna drenaža, ’S’\*                                                            1   liječnik specijalist             120               165,36

                                                                                                                                          1   liječnik                               120

                                                                                                                                          1   sred. med. sestra              240

50231        Umetanje cerebralnog ili sličnog
stimulatora, ’S’\*                                 1   liječnik specijalist             120                 51,12

                                                                                                                                          1   sred. med. sestra              240

Članak 2.

Ova
Odluka stupa na snagu danom objave u »Narodnim novinama«

Klasa:
025-04/02-01/67

Urbroj:
338-01-05-02-1

Zagreb, 17. travnja
2002.

Predsjednik
Upravnog vijeća Hrvatskog zavoda
za zdravstveno osiguranje
**doc. dr. sc. Nikica Gabrić,** v. r.

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