TABLE 5.
Membrane separation method | Centrifugal separation method | |||
---|---|---|---|---|
Transaction | DPC/PDPS a | Transaction | DPC/PDPS a | |
PE | Approx. JPY120 000 b ~218 000 c | Fixed amount + JPY42 000 | Approx. JPY90 000 b ~188 000 c | Fixed fee + JPY42 000 |
DFPP | Approx. JPY108 000 d ~123 000 e | Fixed amount + JPY42 000 | – | – |
PA | Approx. JPY146 000 f ~159 000 g | Fixed amount + JPY42 000 | – | – |
LCAP or GCAP | Approx. JPY147 000~150 000 | Fixed amount + JPY42 000 | Approx. JPY21 000 | Fixed fee + JPY42 000 |
HA (for hepatic coma) | Approx. JPY155 000 | Fixed amount + JPY42 000 | – | – |
HA (for endotoxin adsorption) | Approx. JPY384 000 | Fixed amount + JPY42 000 | – | – |
Abbreviations: DFPP, double filtration plasmapheresis; GCAP, granulocyte apheresis; HA, hemoadsorption; PA, plasma adsorption; PE, plasma exchange; LCAP, leukocytapheresis.
The amount reimbursed for DPC/PDPS fixed amount comprehensive medical reimbursement has complicated variations depending on the disease, medical activity performed, and hospital coefficient.
For plasma exchange using albumin preparation as replacement fluid.
For plasma exchange using fresh frozen plasma as replacement fluid.
When using 1 × 250 mL 5% albumin preparation and 1 × 50 mL 25% albumin preparation as replacement fluid.
When using 1 × 250 mL 5% albumin preparation and 4 × 50 mL 25% albumin preparation as replacement fluid.
For plasma component adsorber for fulminant hepatitis.
For plasma component adsorbers other than those for fulminant hepatitis (eg, LDL adsorption, immunoadsorption, etc.).