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"Aktuálne znenie poznámky k tejto prílohe vyhlášky znie: Výkony z medicínskych služieb zo skupín S01-, S50- a S45- sa nekódujú ako hlavné výkony, iba v prípade ak bol pacient prijatý na hospitalizáciu iba za účelom vykonania výkonu podľa prvej časti vety. Avšak v niektorých hospitalizáciach je sú ok

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Organisation: Asociácia nemocníc Slovenska

Created at: 30.03.2026 16:54:53

Area

Programme profile

Subarea

Change the programme profile of programmes

Question

Tracheostomies performed in Level I and II hospitals are almost exclusively supportive procedures for securing the airway in critically ill patients (AIM program) and are not usually the primary reason for hospital admission. However, the current algorithm (grouper), upon identifying a tracheostomy as the most complex procedure, automatically assigns the hospitalization case to the ENT program. Level I and II hospitals do not typically have a contract for this program. We believe that tracheostomy procedures are on par with AIM procedures and that the note at the end of Appendix 13 (stating that they are also not usually coded as primary procedures) should apply to them.

Answer

Thank you for your suggestion. Procedure 5h30211 – Puncture-Dilation Tracheostomy has been moved to the AIM program; procedures 5h30210 – Conventional Tracheostomy, 5h3021x – Tracheostomy, Other, 5h30224 – Tracheostomy revision, including removal of granulation tissue from the tracheostomy site, will be included in the AIM program based on the KKÚZS decision dated August 31, 2026