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医療機器の保険適用について 令和8年3月31日 保医発0331第1号 (33 ページ)
出典
| 公開元URL | https://www.mhlw.go.jp/content/12404000/001683821.pdf |
| 出典情報 | 医療機器の保険適用について（3／31付 通知）《厚生労働省》 |
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別表25
別表26
製品名
PHS(ｱﾙﾐﾅﾎﾞｰﾙ)28REV
製品コード
4580810051691
PHS(ｱﾙﾐﾅﾎﾞｰﾙ)26:-4
PHS(ｱﾙﾐﾅﾎﾞｰﾙ)26:+0
別表27
製品名
PHS(ﾒﾀﾙﾎﾞｰﾙ)22:-4
製品コード
4580810051882
MPK PLATE R1-8MM
製品コード
4580810043139
4580810051844
PHS(ﾒﾀﾙﾎﾞｰﾙ)22:+0
4580810051899
MPK PLATE R1-10MM
4580810043146
4580810051851
PHS(ﾒﾀﾙﾎﾞｰﾙ)22:+4
4580810051905
MPK PLATE R1-12MM
4580810043153
PHS(ｱﾙﾐﾅﾎﾞｰﾙ) 22:-4
4580810051868
PHS(ﾒﾀﾙﾎﾞ-ﾙ)26:-4
4580810051912
MPK PLATE R1-14MM
4580810043160
PHS(ｱﾙﾐﾅﾎﾞｰﾙ)22:+0
4580810051875
PHS(ﾒﾀﾙﾎﾞ-ﾙ)26:+0
4580810051929
MPK PLATE R2-8MM
4580810043177
PHS(ｱﾙﾐﾅﾎﾞ-ﾙ)32:-4
4580810051943
PHS(ﾒﾀﾙﾎﾞ-ﾙ)26:+4
4580810051936
MPK PLATE R2-10MM
4580810043184
PHS(ｱﾙﾐﾅﾎﾞ-ﾙ)32:+0
4580810051950
PHS(ﾒﾀﾙﾎﾞ-ﾙ)28:-4
4580810051967
MPK PLATE R2-12MM
4580810043191
PHS(ｱﾙﾐﾅﾎﾞ-ﾙ)28N:-4
4580810052025
PHS(ﾒﾀﾙﾎﾞ-ﾙ)28:+0
4580810051974
MPK PLATE R2-14MM
4580810043207
PHS(ｱﾙﾐﾅﾎﾞ-ﾙ)28N:+0
4580810052032
PHS(ﾒﾀﾙﾎﾞ-ﾙ)28:+4
4580810051981
MPK PLATE R3-8MM
4580810043214
PHS(ｱﾙﾐﾅﾎﾞ-ﾙ)28N:+4
4580810052049
PHS(ﾒﾀﾙﾎﾞｰﾙ)32:-4
4580810051998
MPK PLATE R3-10MM
4580810043221
910ｱﾙﾐﾅﾎﾞｰﾙ 22:+0
4580810054562
PHS(ﾒﾀﾙﾎﾞｰﾙ)32
4580810052001
MPK PLATE R3-12MM
4580810043238
910ｱﾙﾐﾅﾎﾞｰﾙ 22:+3
4580810054579
PHS(ﾒﾀﾙﾎﾞｰﾙ)32:+4
4580810052018
MPK PLATE R3-14MM
4580810043245
910ｱﾙﾐﾅﾎﾞｰﾙ 26:+0
4580810054586
910ﾒﾀﾙﾎﾞｰﾙ 22:+0
4580810054791
MPK PLATE R4-8MM
4580810043252
910ｱﾙﾐﾅﾎﾞｰﾙ 26:+3
4580810054593
910ﾒﾀﾙﾎﾞｰﾙ 22:+3
4580810054807
MPK PLATE R4-10MM
4580810043269
910ｱﾙﾐﾅﾎﾞｰﾙ 26:+6
4580810054609
910ﾒﾀﾙﾎﾞｰﾙ 22:+6
4580810054814
MPK PLATE R4-12MM
4580810043276
910ｱﾙﾐﾅﾎﾞｰﾙ 28:+0
4580810054616
910ﾒﾀﾙﾎﾞｰﾙ 26:+0
4580810054821
MPK PLATE R4-14MM
4580810043283
910ｱﾙﾐﾅﾎﾞｰﾙ 28:+3
4580810054623
910ﾒﾀﾙﾎﾞｰﾙ 26:+3
4580810054838
MPK PLATE R5-8MM
4580810043290
910ｱﾙﾐﾅﾎﾞｰﾙ 28:+6
4580810054630
910ﾒﾀﾙﾎﾞｰﾙ 26:+6
4580810054845
MPK PLATE R5-10MM
4580810043306
910ｱﾙﾐﾅﾎﾞｰﾙ 32:-3
4580810054647
910ﾒﾀﾙﾎﾞｰﾙ 26:+9
4580810054852
MPK PLATE R5-12MM
4580810043313
910ｱﾙﾐﾅﾎﾞｰﾙ 32:+0
4580810054654
910ﾒﾀﾙﾎﾞｰﾙ 28:+0
4580810054869
MPK PLATE R5-14MM
4580810043320
910ｱﾙﾐﾅﾎﾞｰﾙ 32:+3
4580810054661
910ﾒﾀﾙﾎﾞｰﾙ 28:+3
4580810054876
MPK PLATE L1-8MM
4580810043337
910ｱﾙﾐﾅﾎﾞｰﾙ 32:+6
4580810054678
910ﾒﾀﾙﾎﾞｰﾙ 28:+6
4580810054883
MPK PLATE L1-10MM
4580810043344
910ｱﾙﾐﾅﾎﾞｰﾙ 32:+9
4580810054685
910ﾒﾀﾙﾎﾞｰﾙ 28:+9
4580810054890
MPK PLATE L1-12MM
4580810043351
910ｱﾙﾐﾅﾎﾞｰﾙ 36:-3
4580810054692
910ﾒﾀﾙﾎﾞｰﾙ 32:-3
4580810054906
MPK PLATE L1-14MM
4580810043368
910ｱﾙﾐﾅﾎﾞｰﾙ 36:+0
4580810054708
910ﾒﾀﾙﾎﾞｰﾙ 32:+0
4580810054913
MPK PLATE L2-8MM
4580810043375
910ｱﾙﾐﾅﾎﾞｰﾙ 36:+3
4580810054715
910ﾒﾀﾙﾎﾞｰﾙ 32:+3
4580810054920
MPK PLATE L2-10MM
4580810043382
910ｱﾙﾐﾅﾎﾞｰﾙ 36:+6
4580810054722
910ﾒﾀﾙﾎﾞｰﾙ 32:+6
4580810054937
MPK PLATE L2-12MM
4580810043399
910ｱﾙﾐﾅﾎﾞｰﾙ 36:+9
4580810054739
910ﾒﾀﾙﾎﾞｰﾙ 32:+9
4580810054944
MPK PLATE L2-14MM
4580810043405
910ｱﾙﾐﾅﾎﾞｰﾙ 40:-3
4580810054746
MPK PLATE L3-8MM
4580810043412
910ｱﾙﾐﾅﾎﾞｰﾙ 40:+0
4580810054753
MPK PLATE L3-10MM
4580810043429
910ｱﾙﾐﾅﾎﾞｰﾙ 40:+3
4580810054760
MPK PLATE L3-12MM
4580810043436
910ｱﾙﾐﾅﾎﾞｰﾙ 40:+6
4580810054777
MPK PLATE L3-14MM
4580810043443
910ｱﾙﾐﾅﾎﾞｰﾙ 40:+9
4580810054784
MPK PLATE L4-8MM
4580810043450
MPK PLATE L4-10MM
4580810043467
MPK PLATE L4-12MM
4580810043474
MPK PLATE L4-14MM
4580810043481
MPK PLATE L5-8MM
4580810043498
MPK PLATE L5-10MM
4580810043504
MPK PLATE L5-12MM
4580810043511
MPK PLATE L5-14MM
4580810043528
PHYSIO-KNEE PL R1-08
4580810043689
PHYSIO-KNEE PL R1-10
4580810043696
PHYSIO-KNEE PL R1-12
4580810043702
PHYSIO-KNEE PL R1-14
4580810043719
PHYSIO-KNEE PL R1-16
4580810043726
PHYSIO-KNEE PL R1-18
4580810043733
PHYSIO-KNEE PL R1-20
4580810043740
PHYSIO-KNEE PL R2-08
4580810043757
PHYSIO-KNEE PL R2-10
4580810043764
PHYSIO-KNEE PL R2-12
4580810043771
PHYSIO-KNEE PL R2-14
4580810043788
PHYSIO-KNEE PL R2-16
4580810043795
PHYSIO-KNEE PL R2-18
4580810043801
PHYSIO-KNEE PL R2-20
4580810043818
PHYSIO-KNEE PL R3-08
4580810043825
PHYSIO-KNEE PL R3-10
4580810043832
PHYSIO-KNEE PL R3-12
4580810043849
PHYSIO-KNEE PL R3-14
4580810043856
PHYSIO-KNEE PL R3-16
4580810043863
PHYSIO-KNEE PL R3-18
4580810043870
PHYSIO-KNEE PL R3-20
4580810043887
PHYSIO-KNEE PL R4-08
4580810043894
PHYSIO-KNEE PL R4-10
4580810043900
PHYSIO-KNEE PL R4-12
4580810043917
PHYSIO-KNEE PL R4-14
4580810043924
PHYSIO-KNEE PL R4-16
4580810043931
PHYSIO-KNEE PL R4-18
4580810043948
PHYSIO-KNEE PL R4-20
4580810043955
PHYSIO-KNEE PL R5-08
4580810043962
PHYSIO-KNEE PL R5-10
4580810043979
PHYSIO-KNEE PL R5-12
4580810043986
PHYSIO-KNEE PL R5-14
4580810043993
PHYSIO-KNEE PL R5-16
4580810044006
PHYSIO-KNEE PL R5-18
4580810044013
PHYSIO-KNEE PL R5-20
4580810044020
PHYSIO-KNEE PL L1-08
4580810044037
PHYSIO-KNEE PL L1-10
4580810044044
PHYSIO-KNEE PL L1-12
4580810044051
PHYSIO-KNEE PL L1-14
4580810044068
PHYSIO-KNEE PL L1-16
4580810044075
PHYSIO-KNEE PL L1-18
4580810044082
PHYSIO-KNEE PL L1-20
4580810044099
PHYSIO-KNEE PL L2-08
4580810044105
PHYSIO-KNEE PL L2-10
4580810044112
PHYSIO-KNEE PL L2-12
4580810044129
PHYSIO-KNEE PL L2-14
4580810044136
PHYSIO-KNEE PL L2-16
4580810044143
PHYSIO-KNEE PL L2-18
4580810044150
PHYSIO-KNEE PL L2-20
4580810044167
PHYSIO-KNEE PL L3-08
4580810044174
PHYSIO-KNEE PL L3-10
4580810044181
PHYSIO-KNEE PL L3-12
4580810044198
PHYSIO-KNEE PL L3-14
4580810044204
PHYSIO-KNEE PL L3-16
4580810044211
PHYSIO-KNEE PL L3-18
4580810044228
PHYSIO-KNEE PL L3-20
4580810044235
PHYSIO-KNEE PL L4-08
4580810044242
PHYSIO-KNEE PL L4-10
4580810044259
PHYSIO-KNEE PL L4-12
4580810044266
PHYSIO-KNEE PL L4-14
4580810044273
32
製品名
別表26
製品名
PHS(ｱﾙﾐﾅﾎﾞｰﾙ)28REV
製品コード
4580810051691
PHS(ｱﾙﾐﾅﾎﾞｰﾙ)26:-4
PHS(ｱﾙﾐﾅﾎﾞｰﾙ)26:+0
別表27
製品名
PHS(ﾒﾀﾙﾎﾞｰﾙ)22:-4
製品コード
4580810051882
MPK PLATE R1-8MM
製品コード
4580810043139
4580810051844
PHS(ﾒﾀﾙﾎﾞｰﾙ)22:+0
4580810051899
MPK PLATE R1-10MM
4580810043146
4580810051851
PHS(ﾒﾀﾙﾎﾞｰﾙ)22:+4
4580810051905
MPK PLATE R1-12MM
4580810043153
PHS(ｱﾙﾐﾅﾎﾞｰﾙ) 22:-4
4580810051868
PHS(ﾒﾀﾙﾎﾞ-ﾙ)26:-4
4580810051912
MPK PLATE R1-14MM
4580810043160
PHS(ｱﾙﾐﾅﾎﾞｰﾙ)22:+0
4580810051875
PHS(ﾒﾀﾙﾎﾞ-ﾙ)26:+0
4580810051929
MPK PLATE R2-8MM
4580810043177
PHS(ｱﾙﾐﾅﾎﾞ-ﾙ)32:-4
4580810051943
PHS(ﾒﾀﾙﾎﾞ-ﾙ)26:+4
4580810051936
MPK PLATE R2-10MM
4580810043184
PHS(ｱﾙﾐﾅﾎﾞ-ﾙ)32:+0
4580810051950
PHS(ﾒﾀﾙﾎﾞ-ﾙ)28:-4
4580810051967
MPK PLATE R2-12MM
4580810043191
PHS(ｱﾙﾐﾅﾎﾞ-ﾙ)28N:-4
4580810052025
PHS(ﾒﾀﾙﾎﾞ-ﾙ)28:+0
4580810051974
MPK PLATE R2-14MM
4580810043207
PHS(ｱﾙﾐﾅﾎﾞ-ﾙ)28N:+0
4580810052032
PHS(ﾒﾀﾙﾎﾞ-ﾙ)28:+4
4580810051981
MPK PLATE R3-8MM
4580810043214
PHS(ｱﾙﾐﾅﾎﾞ-ﾙ)28N:+4
4580810052049
PHS(ﾒﾀﾙﾎﾞｰﾙ)32:-4
4580810051998
MPK PLATE R3-10MM
4580810043221
910ｱﾙﾐﾅﾎﾞｰﾙ 22:+0
4580810054562
PHS(ﾒﾀﾙﾎﾞｰﾙ)32
4580810052001
MPK PLATE R3-12MM
4580810043238
910ｱﾙﾐﾅﾎﾞｰﾙ 22:+3
4580810054579
PHS(ﾒﾀﾙﾎﾞｰﾙ)32:+4
4580810052018
MPK PLATE R3-14MM
4580810043245
910ｱﾙﾐﾅﾎﾞｰﾙ 26:+0
4580810054586
910ﾒﾀﾙﾎﾞｰﾙ 22:+0
4580810054791
MPK PLATE R4-8MM
4580810043252
910ｱﾙﾐﾅﾎﾞｰﾙ 26:+3
4580810054593
910ﾒﾀﾙﾎﾞｰﾙ 22:+3
4580810054807
MPK PLATE R4-10MM
4580810043269
910ｱﾙﾐﾅﾎﾞｰﾙ 26:+6
4580810054609
910ﾒﾀﾙﾎﾞｰﾙ 22:+6
4580810054814
MPK PLATE R4-12MM
4580810043276
910ｱﾙﾐﾅﾎﾞｰﾙ 28:+0
4580810054616
910ﾒﾀﾙﾎﾞｰﾙ 26:+0
4580810054821
MPK PLATE R4-14MM
4580810043283
910ｱﾙﾐﾅﾎﾞｰﾙ 28:+3
4580810054623
910ﾒﾀﾙﾎﾞｰﾙ 26:+3
4580810054838
MPK PLATE R5-8MM
4580810043290
910ｱﾙﾐﾅﾎﾞｰﾙ 28:+6
4580810054630
910ﾒﾀﾙﾎﾞｰﾙ 26:+6
4580810054845
MPK PLATE R5-10MM
4580810043306
910ｱﾙﾐﾅﾎﾞｰﾙ 32:-3
4580810054647
910ﾒﾀﾙﾎﾞｰﾙ 26:+9
4580810054852
MPK PLATE R5-12MM
4580810043313
910ｱﾙﾐﾅﾎﾞｰﾙ 32:+0
4580810054654
910ﾒﾀﾙﾎﾞｰﾙ 28:+0
4580810054869
MPK PLATE R5-14MM
4580810043320
910ｱﾙﾐﾅﾎﾞｰﾙ 32:+3
4580810054661
910ﾒﾀﾙﾎﾞｰﾙ 28:+3
4580810054876
MPK PLATE L1-8MM
4580810043337
910ｱﾙﾐﾅﾎﾞｰﾙ 32:+6
4580810054678
910ﾒﾀﾙﾎﾞｰﾙ 28:+6
4580810054883
MPK PLATE L1-10MM
4580810043344
910ｱﾙﾐﾅﾎﾞｰﾙ 32:+9
4580810054685
910ﾒﾀﾙﾎﾞｰﾙ 28:+9
4580810054890
MPK PLATE L1-12MM
4580810043351
910ｱﾙﾐﾅﾎﾞｰﾙ 36:-3
4580810054692
910ﾒﾀﾙﾎﾞｰﾙ 32:-3
4580810054906
MPK PLATE L1-14MM
4580810043368
910ｱﾙﾐﾅﾎﾞｰﾙ 36:+0
4580810054708
910ﾒﾀﾙﾎﾞｰﾙ 32:+0
4580810054913
MPK PLATE L2-8MM
4580810043375
910ｱﾙﾐﾅﾎﾞｰﾙ 36:+3
4580810054715
910ﾒﾀﾙﾎﾞｰﾙ 32:+3
4580810054920
MPK PLATE L2-10MM
4580810043382
910ｱﾙﾐﾅﾎﾞｰﾙ 36:+6
4580810054722
910ﾒﾀﾙﾎﾞｰﾙ 32:+6
4580810054937
MPK PLATE L2-12MM
4580810043399
910ｱﾙﾐﾅﾎﾞｰﾙ 36:+9
4580810054739
910ﾒﾀﾙﾎﾞｰﾙ 32:+9
4580810054944
MPK PLATE L2-14MM
4580810043405
910ｱﾙﾐﾅﾎﾞｰﾙ 40:-3
4580810054746
MPK PLATE L3-8MM
4580810043412
910ｱﾙﾐﾅﾎﾞｰﾙ 40:+0
4580810054753
MPK PLATE L3-10MM
4580810043429
910ｱﾙﾐﾅﾎﾞｰﾙ 40:+3
4580810054760
MPK PLATE L3-12MM
4580810043436
910ｱﾙﾐﾅﾎﾞｰﾙ 40:+6
4580810054777
MPK PLATE L3-14MM
4580810043443
910ｱﾙﾐﾅﾎﾞｰﾙ 40:+9
4580810054784
MPK PLATE L4-8MM
4580810043450
MPK PLATE L4-10MM
4580810043467
MPK PLATE L4-12MM
4580810043474
MPK PLATE L4-14MM
4580810043481
MPK PLATE L5-8MM
4580810043498
MPK PLATE L5-10MM
4580810043504
MPK PLATE L5-12MM
4580810043511
MPK PLATE L5-14MM
4580810043528
PHYSIO-KNEE PL R1-08
4580810043689
PHYSIO-KNEE PL R1-10
4580810043696
PHYSIO-KNEE PL R1-12
4580810043702
PHYSIO-KNEE PL R1-14
4580810043719
PHYSIO-KNEE PL R1-16
4580810043726
PHYSIO-KNEE PL R1-18
4580810043733
PHYSIO-KNEE PL R1-20
4580810043740
PHYSIO-KNEE PL R2-08
4580810043757
PHYSIO-KNEE PL R2-10
4580810043764
PHYSIO-KNEE PL R2-12
4580810043771
PHYSIO-KNEE PL R2-14
4580810043788
PHYSIO-KNEE PL R2-16
4580810043795
PHYSIO-KNEE PL R2-18
4580810043801
PHYSIO-KNEE PL R2-20
4580810043818
PHYSIO-KNEE PL R3-08
4580810043825
PHYSIO-KNEE PL R3-10
4580810043832
PHYSIO-KNEE PL R3-12
4580810043849
PHYSIO-KNEE PL R3-14
4580810043856
PHYSIO-KNEE PL R3-16
4580810043863
PHYSIO-KNEE PL R3-18
4580810043870
PHYSIO-KNEE PL R3-20
4580810043887
PHYSIO-KNEE PL R4-08
4580810043894
PHYSIO-KNEE PL R4-10
4580810043900
PHYSIO-KNEE PL R4-12
4580810043917
PHYSIO-KNEE PL R4-14
4580810043924
PHYSIO-KNEE PL R4-16
4580810043931
PHYSIO-KNEE PL R4-18
4580810043948
PHYSIO-KNEE PL R4-20
4580810043955
PHYSIO-KNEE PL R5-08
4580810043962
PHYSIO-KNEE PL R5-10
4580810043979
PHYSIO-KNEE PL R5-12
4580810043986
PHYSIO-KNEE PL R5-14
4580810043993
PHYSIO-KNEE PL R5-16
4580810044006
PHYSIO-KNEE PL R5-18
4580810044013
PHYSIO-KNEE PL R5-20
4580810044020
PHYSIO-KNEE PL L1-08
4580810044037
PHYSIO-KNEE PL L1-10
4580810044044
PHYSIO-KNEE PL L1-12
4580810044051
PHYSIO-KNEE PL L1-14
4580810044068
PHYSIO-KNEE PL L1-16
4580810044075
PHYSIO-KNEE PL L1-18
4580810044082
PHYSIO-KNEE PL L1-20
4580810044099
PHYSIO-KNEE PL L2-08
4580810044105
PHYSIO-KNEE PL L2-10
4580810044112
PHYSIO-KNEE PL L2-12
4580810044129
PHYSIO-KNEE PL L2-14
4580810044136
PHYSIO-KNEE PL L2-16
4580810044143
PHYSIO-KNEE PL L2-18
4580810044150
PHYSIO-KNEE PL L2-20
4580810044167
PHYSIO-KNEE PL L3-08
4580810044174
PHYSIO-KNEE PL L3-10
4580810044181
PHYSIO-KNEE PL L3-12
4580810044198
PHYSIO-KNEE PL L3-14
4580810044204
PHYSIO-KNEE PL L3-16
4580810044211
PHYSIO-KNEE PL L3-18
4580810044228
PHYSIO-KNEE PL L3-20
4580810044235
PHYSIO-KNEE PL L4-08
4580810044242
PHYSIO-KNEE PL L4-10
4580810044259
PHYSIO-KNEE PL L4-12
4580810044266
PHYSIO-KNEE PL L4-14
4580810044273
32
製品名