疑義解釈資料(令和2年)
Q
問 43 区分番号「A250」薬剤総合評価調整加算について、「入院前に6種類以上の内服薬(特に規定するものは除く。)が処方されている患者について、当該処方の内容を総合的に評価した上で、当該処方の内容を変更し、かつ、療養上必要な指導を行った場合」等に算定できるとされているが、どのような場合が「処方の内容を変更」に該当するのか。
A
(答)次のようなものが該当する。
なお、作用機序が同一である院内の採用薬への変更は、「処方の内容を変更」には該当しない。
- 内服薬の種類数の変更
- 内服薬の削減又は追加
- 内服薬の用量の変更
- 作用機序が異なる同一効能効果の内服薬への変更
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