Ministério da Saúde - MS

Secretaria de Atenção à Saúde

Tabela de Procedimentos, Medicamentos, Órteses, Próteses e Materiais Especiais do SUS

Relatório Analítico de Procedimentos

Procedimento: 03.03.17.009-3 TRATAMENTO EM PSIQUIATRIA (POR DIA)
Origem:
H.63001306, H.63001560, H.63001586, H.63001594, H.63001608, H.63001616, H.63001624, H.63001632,
H.63001640, H.63001659, H.63001667, H.63001675, H.63001683, H.63001691, H.63001705, H.63001713
Complexidade: Média Complexidade
Modalidade:
02 - Hospitalar

Instrumento de Registro:
03 - AIH (Proc. Principal)
Tipo de Financiamento: 06 - Média e Alta Complexidade (MAC)
Valor Ambulatorial S.A.: R$ 0,00
Valor Ambulatorial Total: R$ 0,00
Valor Hospitalar S.P.: R$ 1,79
Valor Hospitalar S.H.: R$ 25,12
Valor Hospitalar Total: R$ 26,91
Atributo Complementar:
003 - Admite longa permanência
007 - Permanência por dia
008 - Não permite mudança de procedimento
015 - Admitido apenas em Hosp.Espec/Psiquiatria
Sexo: Ambos
Idade Mínima: 12 Ano(s)
Idade Máxima: 130 Ano(s)
Quantidade Máxima: 45
Média Permanência: 0
Pontos: 50
Especialidade do Leito:
05 - Psiquiatria
07 - Pediátricos

CBO:
223119, 223150, 2231A1, 2231F8, 2231F9, 2231G1, 225103, 225105, 225106, 225109, 225110, 225112,
225115, 225118, 225120, 225121, 225122, 225124, 225125, 225127, 225130, 225133, 225135, 225136,
225139, 225140, 225142, 225145, 225148, 225150, 225151, 225154, 225155, 225160, 225165, 225170,
225175, 225180, 225185, 225195, 225203, 225210, 225215, 225220, 225225, 225230, 225235, 225240,
225250, 225255, 225260, 225265, 225270, 225275, 225280, 225285, 225290, 225295, 225305, 225310,
225315, 225320, 225325, 225330, 225335, 225340, 225345, 225350, 225355, 251510
CID:
F000, F001, F002, F009, F010, F011, F012, F013, F018, F019, F020, F021, F022, F023, F024, F028, F03, F04,
F050, F051, F058, F059, F060, F061, F062, F063, F064, F065, F066, F067, F068, F069, F070, F071, F072,
F078, F079, F09, F100, F101, F102, F103, F104, F105, F106, F107, F108, F109, F110, F111, F112, F113, F114,
F115, F116, F117, F118, F119, F120, F121, F122, F123, F124, F125, F126, F127, F128, F129, F130, F131,
F132, F133, F134, F135, F136, F137, F138, F139, F140, F141, F142, F143, F144, F145, F146, F147, F148,

Total de Procedimentos: 10 20/05/22 14:20 Pagina 1 de12

 F149, F150, F151, F152, F153, F154, F155, F156, F157, F158, F159, F160, F161, F162, F163, F164, F165,
F166, F167, F168, F169, F170, F171, F172, F173, F174, F175, F176, F177, F178, F179, F180, F181, F182,
F183, F184, F185, F186, F187, F188, F189, F190, F191, F192, F193, F194, F195, F196, F197, F198, F199,
F200, F201, F202, F203, F204, F205, F206, F208, F21, F220, F228, F229, F231, F232, F233, F238, F239, F24,
F250, F251, F252, F258, F28, F29, F300, F301, F302, F308, F309, F310, F311, F312, F313, F314, F315, F316,
F317, F318, F319, F320, F321, F322, F323, F328, F329, F330, F331, F332, F333, F334, F338, F339, F340,
F341, F348, F349, F380, F381, F388, F39, F400, F401, F402, F408, F409, F410, F411, F412, F413, F418, F419,
F420, F421, F422, F428, F429, F430, F431, F432, F438, F439, F440, F441, F442, F443, F444, F445, F446,
F447, F448, F449, F450, F451, F452, F453, F454, F458, F459, F480, F481, F488, F489, F500, F502, F503,
F504, F505, F508, F509, F510, F511, F512, F513, F514, F515, F518, F519, F530, F531, F538, F54, F55, F59,
F600, F601, F602, F603, F604, F605, F606, F607, F608, F609, F61, F620, F621, F628, F629, F630, F631, F632,
F633, F638, F639, F69, F700, F701, F708, F709, F710, F711, F718, F719, F720, F721, F728, F729, F730, F731,
F738, F739, F780, F781, F788, F789, F790, F791, F798, F799, F840, F841, F842, F843, F844, F845, F848,
F849
Incremento: S.A. S.H. S.P.
0601 - Psiquiatria - Classe I 0.00 68.00 68.00
0602 - Psiquiatria - Classe II 0.00 53.90 53.90
0603 - Psiquiatria - Classe III 0.00 38.97 38.97
0604 - Psiquiatria - Classe IV 0.00 32.30 32.30
0605 - Psiquiatria - Classe V 0.00 28.60 28.60
0606 - Psiquiatria - Classe VI 0.00 26.96 26.96
0607 - Psiquiatria - Classe VII 0.00 23.58 23.58
0608 - Psiquiatria - Classe VIII 0.00 20.50 20.50
0609 - Psiquiatria - Classe IX 0.00 17.26 17.26
0610 - Psiquiatria - Classe X 0.00 16.80 16.80
0611 - Psiquiatria - Classe XI 0.00 14.20 14.20
0612 - Psiquiatria - Classe XII 0.00 13.80 13.80
0613 - Psiquiatria - Classe XIII 0.00 11.32 11.32
0614 - Psiquiatria - Classe XIV 0.00 11.10 11.10
0631 - Nível I 0.00 74.09 233.52
0632 - Nível II 0.00 48.41 184.36
0633 - Nível III 0.00 35.16 159.22
0634 - Nível IV 0.00 24.64 138.55

Total de Procedimentos: 10 20/05/22 14:20 Pagina 2 de12

Procedimento: 03.03.17.010-7 TRATAMENTO EM PSIQUIATRIA EM HOSPITAL DIA
Origem:
H.63001209
Complexidade: Média Complexidade
Modalidade:
03 - Hospital Dia

Instrumento de Registro:
03 - AIH (Proc. Principal)
Tipo de Financiamento: 06 - Média e Alta Complexidade (MAC)
Valor Ambulatorial S.A.: R$ 0,00
Valor Ambulatorial Total: R$ 0,00
Valor Hospitalar S.P.: R$ 3,30
Valor Hospitalar S.H.: R$ 36,58
Valor Hospitalar Total: R$ 39,88
Atributo Complementar:
007 - Permanência por dia
Sexo: Ambos
Idade Mínima: 3 Ano(s)
Idade Máxima: 130 Ano(s)
Quantidade Máxima: 30
Média Permanência: 0
Pontos: 50
Especialidade do Leito:
07 - Pediátricos
14 - Leito Dia / Saúde Mental

CBO:
223119, 223150, 2231A1, 2231F8, 2231F9, 2231G1, 223505, 223510, 223515, 223520, 223525, 223530,
223535, 223540, 223545, 223550, 223555, 223560, 223565, 223570, 2235C3, 223905, 225103, 225105,
225106, 225109, 225110, 225112, 225115, 225118, 225120, 225121, 225122, 225124, 225125, 225127,
225130, 225133, 225135, 225136, 225139, 225140, 225142, 225145, 225148, 225150, 225151, 225154,
225155, 225160, 225165, 225170, 225175, 225180, 225185, 225195, 225203, 225210, 225215, 225220,
225225, 225230, 225235, 225240, 225250, 225255, 225260, 225265, 225270, 225275, 225280, 225285,
225290, 225295, 225305, 225310, 225315, 225320, 225325, 225330, 225335, 225340, 225345, 225350,
225355, 251510, 251605
CID:
F000, F001, F002, F009, F010, F011, F012, F013, F018, F019, F020, F021, F022, F023, F024, F028, F03, F04,
F050, F058, F059, F060, F061, F062, F063, F064, F065, F066, F067, F068, F069, F070, F071, F072, F078,
F079, F09, F100, F101, F102, F103, F104, F105, F106, F107, F108, F109, F110, F111, F112, F113, F114, F115,
F116, F117, F118, F119, F120, F121, F122, F123, F124, F125, F126, F127, F128, F129, F130, F131, F132,
F133, F134, F135, F136, F137, F138, F139, F140, F141, F142, F143, F144, F145, F146, F147, F148, F149,
F150, F151, F152, F153, F154, F155, F156, F157, F158, F159, F160, F161, F162, F163, F164, F165, F166,
F167, F168, F169, F170, F171, F172, F173, F174, F175, F176, F177, F178, F179, F180, F181, F182, F183,
F184, F185, F186, F187, F188, F189, F190, F191, F192, F193, F194, F195, F196, F197, F198, F199, F200,
F201, F202, F203, F204, F205, F206, F208, F21, F220, F228, F229, F231, F232, F233, F238, F24, F250, F251,
F252, F258, F28, F29, F300, F301, F302, F308, F309, F310, F311, F312, F313, F314, F315, F316, F317, F318,
F319, F320, F321, F322, F323, F328, F329, F330, F331, F332, F333, F334, F338, F339, F340, F341, F348,
F349, F380, F381, F388, F39, F400, F401, F402, F408, F409, F410, F411, F412, F413, F418, F419, F420, F421,
F422, F428, F429, F430, F431, F432, F438, F439, F440, F441, F442, F443, F444, F445, F446, F447, F448,
F449, F450, F451, F452, F453, F454, F458, F459, F480, F481, F488, F489, F500, F501, F502, F503, F504,

Total de Procedimentos: 10 20/05/22 14:20 Pagina 3 de12

 F505, F508, F509, F510, F511, F512, F513, F514, F515, F518, F519, F530, F531, F538, F54, F55, F59, F600,
F601, F602, F603, F604, F605, F606, F607, F608, F609, F61, F620, F621, F628, F629, F700, F701, F708, F709,
F710, F711, F718, F719, F720, F721, F728, F729, F730, F731, F738, F739, F780, F781, F788, F789, F790,
F791, F798, F799, F800, F801, F802, F803, F808, F809, F810, F811, F812, F813, F818, F819, F82, F83, F840,
F841, F842, F843, F844, F845, F848, F849, F88, F89, F900, F901, F908, F909, F910, F911, F912, F913, F918,
F919, F920, F928, F929, F930, F931, F932, F933, F938, F939, F940, F941, F942, F948, F949, F950, F951,
F952, F958, F959, F980, F981, F982, F983, F984, F985, F986, F988, F989, F99
Procedimento: 03.03.17.013-1 TRATAMENTO CLÍNICO EM SAÚDE MENTAL EM SITUAÇÃO DE
Complexidade: Média Complexidade
Modalidade:
02 - Hospitalar

Instrumento de Registro:
03 - AIH (Proc. Principal)
Tipo de Financiamento: 06 - Média e Alta Complexidade (MAC)
Valor Ambulatorial S.A.: R$ 0,00
Valor Ambulatorial Total: R$ 0,00
Valor Hospitalar S.P.: R$ 7,22
Valor Hospitalar S.H.: R$ 49,78
Valor Hospitalar Total: R$ 57,00
Atributo Complementar:
007 - Permanência por dia
Sexo: Ambos
Idade Mínima: 4 Ano(s)
Idade Máxima: 130 Ano(s)
Quantidade Máxima: 30
Média Permanência: 0
Pontos: 50
Especialidade do Leito:
02 - Obstétricos
03 - Clínico
05 - Psiquiatria
07 - Pediátricos
87 - Saúde Mental (Clínico)

CBO:
223119, 223150, 2231A1, 2231F8, 2231F9, 2231G1, 225103, 225105, 225106, 225109, 225110, 225112,
225115, 225118, 225120, 225121, 225122, 225124, 225125, 225127, 225130, 225133, 225135, 225136,
225139, 225140, 225142, 225145, 225148, 225150, 225151, 225154, 225155, 225160, 225165, 225170,
225175, 225180, 225185, 225195, 225203, 225210, 225215, 225220, 225225, 225230, 225235, 225240,
225250, 225255, 225260, 225265, 225270, 225275, 225280, 225285, 225290, 225295, 225305, 225310,
225315, 225320, 225325, 225330, 225335, 225340, 225345, 225350, 225355
CID:
F001, F002, F009, F010, F011, F012, F013, F018, F019, F020, F021, F022, F023, F024, F028, F03, F04, F050,
F051, F058, F059, F060, F061, F062, F063, F064, F065, F066, F067, F068, F069, F070, F071, F072, F078,
F079, F09, F200, F201, F202, F203, F204, F205, F206, F208, F21, F220, F228, F229, F230, F231, F232, F233,
F238, F239, F24, F250, F251, F252, F258, F28, F29, F300, F301, F302, F308, F309, F310, F311, F312, F313,
F314, F315, F316, F317, F318, F319, F320, F321, F322, F323, F328, F329, F330, F331, F332, F333, F334,
F338, F339, F340, F341, F348, F349, F380, F381, F388, F39, F420, F421, F422, F428, F429, F500, F501, F502,

Total de Procedimentos: 10 20/05/22 14:20 Pagina 4 de12

 F503, F504, F505, F508, F509, F600, F601, F602, F603, F604, F605, F606, F607, F608, F609, F61, F620, F621,
F628, F629, F700, F701, F708, F709, F710, F711, F718, F719, F720, F721, F729, F730, F731, F738, F739,
F780, F781, F788, F789, F790, F791, F798, F799, F840, F841, F842, F843, F844, F845, F848, F849, F88, F89,
F900, F901, F908, F909, F910, F911, F912, F913, F918, F919, F920, F928, F929, F930, F931, F932, F933,
F938, F939, F940, F941, F942, F948, F949
Serviço / Classificação:
115 - Serviço de Atenção Psicossocial - 003 - Serviço Hospitalar para Atenção a Saúde Mental

Procedimento: 03.03.17.014-0 TRATAMENTO CLÍNICO PARA CONTENÇÃO DE

Complexidade: Média Complexidade
Modalidade:
02 - Hospitalar

Instrumento de Registro:
03 - AIH (Proc. Principal)
Tipo de Financiamento: 06 - Média e Alta Complexidade (MAC)
Valor Ambulatorial S.A.: R$ 0,00
Valor Ambulatorial Total: R$ 0,00
Valor Hospitalar S.P.: R$ 7,22
Valor Hospitalar S.H.: R$ 49,78
Valor Hospitalar Total: R$ 57,00
Atributo Complementar:
007 - Permanência por dia
009 - Exige CNS
Sexo: Ambos
Idade Mínima: 4 Ano(s)
Idade Máxima: 130 Ano(s)
Quantidade Máxima: 30
Média Permanência: 0
Pontos: 50
Especialidade do Leito:
02 - Obstétricos
03 - Clínico
05 - Psiquiatria
07 - Pediátricos
87 - Saúde Mental (Clínico)

CBO:
223119, 223150, 2231A1, 2231F8, 2231F9, 2231G1, 225103, 225105, 225106, 225109, 225110, 225112,
225115, 225118, 225120, 225121, 225122, 225124, 225125, 225127, 225130, 225133, 225135, 225136,
225139, 225140, 225142, 225145, 225148, 225150, 225151, 225154, 225155, 225160, 225165, 225170,
225175, 225180, 225185, 225195, 225203, 225210, 225215, 225220, 225225, 225230, 225235, 225240,
225250, 225255, 225260, 225265, 225270, 225275, 225280, 225285, 225290, 225295, 225305, 225310,
225315, 225320, 225325, 225330, 225335, 225340, 225345, 225350, 225355
CID:
F001, F002, F009, F010, F011, F012, F013, F018, F019, F020, F021, F022, F023, F024, F028, F03, F04, F050,
F051, F058, F059, F060, F061, F062, F063, F064, F065, F066, F067, F068, F069, F070, F071, F072, F078,
F079, F09, F200, F201, F202, F203, F204, F205, F206, F208, F21, F220, F228, F229, F230, F231, F232, F233,
F238, F239, F24, F250, F251, F252, F258, F28, F29, F300, F301, F302, F308, F309, F310, F311, F312, F313,

Total de Procedimentos: 10 20/05/22 14:20 Pagina 5 de12

 F314, F315, F316, F317, F318, F319, F320, F321, F322, F323, F328, F329, F330, F331, F332, F333, F334,
F338, F339, F340, F341, F348, F349, F380, F381, F388, F39, F420, F421, F422, F428, F429, F600, F601, F602,
F603, F604, F605, F606, F607, F608, F609, F61, F620, F621, F628, F629, F700, F701, F708, F709, F710, F711,
F718, F719, F720, F721, F729, F730, F731, F738, F739, F780, F781, F788, F789, F790, F791, F798, F799,
F840, F841, F842, F843, F844, F845, F848, F849, F88, F89, F900, F901, F908, F909, F910, F911, F912, F913,
F918, F919, F920, F928, F929, F930, F931, F932, F933, F938, F939, F940, F941, F942, F948, F949
Serviço / Classificação:
115 - Serviço de Atenção Psicossocial - 003 - Serviço Hospitalar para Atenção a Saúde Mental

Procedimento: 03.03.17.015-8 TRATAMENTO CLÍNICO PARA AVALIAÇÃO DIAGNÓSTICA E

Complexidade: Média Complexidade
Modalidade:
02 - Hospitalar

Instrumento de Registro:
03 - AIH (Proc. Principal)
Tipo de Financiamento: 06 - Média e Alta Complexidade (MAC)
Valor Ambulatorial S.A.: R$ 0,00
Valor Ambulatorial Total: R$ 0,00
Valor Hospitalar S.P.: R$ 7,22
Valor Hospitalar S.H.: R$ 49,78
Valor Hospitalar Total: R$ 57,00
Atributo Complementar:
007 - Permanência por dia
009 - Exige CNS
Sexo: Ambos
Idade Mínima: 4 Ano(s)
Idade Máxima: 130 Ano(s)
Quantidade Máxima: 30
Média Permanência: 0
Pontos: 50
Especialidade do Leito:
02 - Obstétricos
03 - Clínico
05 - Psiquiatria
07 - Pediátricos
87 - Saúde Mental (Clínico)

CBO:
223119, 223150, 2231A1, 2231F8, 2231F9, 2231G1, 225103, 225105, 225106, 225109, 225110, 225112,
225115, 225118, 225120, 225121, 225122, 225124, 225125, 225127, 225130, 225133, 225135, 225136,
225139, 225140, 225142, 225145, 225148, 225150, 225151, 225154, 225155, 225160, 225165, 225170,
225175, 225180, 225185, 225195, 225203, 225210, 225215, 225220, 225225, 225230, 225235, 225240,
225250, 225255, 225260, 225265, 225270, 225275, 225280, 225285, 225290, 225295, 225305, 225310,
225315, 225320, 225325, 225330, 225335, 225340, 225345, 225350, 225355
CID:
F001, F002, F009, F010, F011, F012, F013, F018, F019, F020, F021, F022, F023, F024, F028, F03, F04, F050,
F051, F058, F059, F060, F061, F062, F063, F064, F065, F066, F067, F068, F069, F070, F071, F072, F078,
F079, F09, F200, F201, F202, F203, F204, F205, F206, F208, F21, F220, F228, F229, F230, F231, F232, F233,

Total de Procedimentos: 10 20/05/22 14:20 Pagina 6 de12

 F238, F239, F24, F250, F251, F252, F258, F28, F29, F300, F301, F302, F308, F309, F310, F311, F312, F313,
F314, F315, F316, F317, F318, F319, F320, F321, F322, F323, F328, F329, F330, F331, F332, F333, F334,
F338, F339, F340, F341, F348, F349, F380, F381, F388, F39, F400, F401, F402, F408, F409, F410, F411, F412,
F413, F418, F419, F420, F421, F422, F428, F429, F430, F431, F432, F438, F439, F440, F441, F442, F443,
F444, F445, F446, F447, F448, F449, F450, F451, F452, F453, F454, F458, F459, F480, F500, F501, F502,
F503, F504, F505, F508, F509, F510, F511, F512, F513, F514, F515, F518, F519, F520, F521, F522, F523,
F524, F525, F526, F527, F528, F529, F530, F531, F538, F539, F54, F55, F59, F600, F601, F602, F603, F604,
F605, F606, F607, F608, F609, F61, F620, F621, F628, F629, F630, F631, F632, F633, F638, F639, F640, F641,
F642, F648, F649, F650, F651, F652, F653, F654, F655, F656, F658, F659, F660, F661, F662, F668, F669,
F680, F681, F688, F69, F700, F701, F708, F709, F710, F711, F718, F719, F720, F721, F729, F730, F731, F738,
F739, F780, F781, F788, F789, F790, F791, F798, F799, F800, F801, F802, F803, F808, F809, F810, F811,
F812, F813, F818, F819, F82, F83, F840, F841, F842, F843, F844, F845, F848, F849, F88, F89, F900, F901,
F908, F909, F910, F911, F912, F913, F918, F919, F920, F928, F929, F930, F931, F932, F933, F938, F939,
F940, F941, F942, F948, F949, F950, F951, F952, F958, F959, F980, F981, F982, F983, F984, F985, F986,
F988, F989, F99
Serviço / Classificação:
115 - Serviço de Atenção Psicossocial - 003 - Serviço Hospitalar para Atenção a Saúde Mental

Procedimento: 03.03.17.016-6 TRATAMENTO CLÍNICO DE TRANSTORNOS MENTAIS E

Complexidade: Média Complexidade
Modalidade:
02 - Hospitalar

Instrumento de Registro:
03 - AIH (Proc. Principal)
Tipo de Financiamento: 06 - Média e Alta Complexidade (MAC)
Valor Ambulatorial S.A.: R$ 0,00
Valor Ambulatorial Total: R$ 0,00
Valor Hospitalar S.P.: R$ 7,22
Valor Hospitalar S.H.: R$ 49,78
Valor Hospitalar Total: R$ 57,00
Atributo Complementar:
007 - Permanência por dia
009 - Exige CNS
Sexo: Ambos
Idade Mínima: 4 Ano(s)
Idade Máxima: 130 Ano(s)
Quantidade Máxima: 30
Média Permanência: 0
Pontos: 50
Especialidade do Leito:
02 - Obstétricos
03 - Clínico
05 - Psiquiatria
07 - Pediátricos
87 - Saúde Mental (Clínico)

CBO:
223119, 223150, 2231A1, 2231F8, 2231F9, 2231G1, 225103, 225105, 225106, 225109, 225110, 225112,

Total de Procedimentos: 10 20/05/22 14:20 Pagina 7 de12

 225115, 225118, 225120, 225121, 225122, 225124, 225125, 225127, 225130, 225133, 225135, 225136,
225139, 225140, 225142, 225145, 225148, 225150, 225151, 225154, 225155, 225160, 225165, 225170,
225175, 225180, 225185, 225195, 225203, 225210, 225215, 225220, 225225, 225230, 225235, 225240,
225250, 225255, 225260, 225265, 225270, 225275, 225280, 225285, 225290, 225295, 225305, 225310,
225315, 225320, 225325, 225330, 225335, 225340, 225345, 225350, 225355
CID:
F100, F101, F102, F103, F104, F105, F106, F107, F108, F109
Serviço / Classificação:
115 - Serviço de Atenção Psicossocial - 003 - Serviço Hospitalar para Atenção a Saúde Mental

Procedimento: 03.03.17.017-4 TRATAMENTO CLÍNICO DE TRANSTORNOS MENTAIS E

Complexidade: Média Complexidade
Modalidade:
02 - Hospitalar

Instrumento de Registro:
03 - AIH (Proc. Principal)
Tipo de Financiamento: 06 - Média e Alta Complexidade (MAC)
Valor Ambulatorial S.A.: R$ 0,00
Valor Ambulatorial Total: R$ 0,00
Valor Hospitalar S.P.: R$ 7,22
Valor Hospitalar S.H.: R$ 49,78
Valor Hospitalar Total: R$ 57,00
Atributo Complementar:
007 - Permanência por dia
009 - Exige CNS
Sexo: Ambos
Idade Mínima: 4 Ano(s)
Idade Máxima: 130 Ano(s)
Quantidade Máxima: 30
Média Permanência: 0
Pontos: 50
Especialidade do Leito:
02 - Obstétricos
03 - Clínico
05 - Psiquiatria
07 - Pediátricos
87 - Saúde Mental (Clínico)

CBO:
223119, 223150, 2231A1, 2231F8, 2231F9, 2231G1, 225103, 225105, 225106, 225109, 225110, 225112,
225115, 225118, 225120, 225121, 225122, 225124, 225125, 225127, 225130, 225133, 225135, 225136,
225139, 225140, 225142, 225145, 225148, 225150, 225151, 225154, 225155, 225160, 225165, 225170,
225175, 225180, 225185, 225195, 225203, 225210, 225215, 225220, 225225, 225230, 225235, 225240,
225250, 225255, 225260, 225265, 225270, 225275, 225280, 225285, 225290, 225295, 225305, 225310,
225315, 225320, 225325, 225330, 225335, 225340, 225345, 225350, 225355
CID:

Total de Procedimentos: 10 20/05/22 14:20 Pagina 8 de12

 F140, F141, F142, F143, F144, F145, F146, F147, F148, F149
Serviço / Classificação:
115 - Serviço de Atenção Psicossocial - 003 - Serviço Hospitalar para Atenção a Saúde Mental

Procedimento: 03.03.17.018-2 TRATAMENTO CLÍNICO DOS TRANSTORNOS MENTAIS E

Complexidade: Média Complexidade
Modalidade:
02 - Hospitalar

Instrumento de Registro:
03 - AIH (Proc. Principal)
Tipo de Financiamento: 06 - Média e Alta Complexidade (MAC)
Valor Ambulatorial S.A.: R$ 0,00
Valor Ambulatorial Total: R$ 0,00
Valor Hospitalar S.P.: R$ 7,22
Valor Hospitalar S.H.: R$ 49,78
Valor Hospitalar Total: R$ 57,00
Atributo Complementar:
007 - Permanência por dia
009 - Exige CNS
Sexo: Ambos
Idade Mínima: 4 Ano(s)
Idade Máxima: 130 Ano(s)
Quantidade Máxima: 30
Média Permanência: 0
Pontos: 50
Especialidade do Leito:
02 - Obstétricos
03 - Clínico
05 - Psiquiatria
07 - Pediátricos
87 - Saúde Mental (Clínico)

CBO:
223119, 223150, 2231A1, 2231F8, 2231F9, 2231G1, 225103, 225105, 225106, 225109, 225110, 225112,
225115, 225118, 225120, 225121, 225122, 225124, 225125, 225127, 225130, 225133, 225135, 225136,
225139, 225140, 225142, 225145, 225148, 225150, 225151, 225154, 225155, 225160, 225165, 225170,
225175, 225180, 225185, 225195, 225203, 225210, 225215, 225220, 225225, 225230, 225235, 225240,
225250, 225255, 225260, 225265, 225270, 225275, 225280, 225285, 225290, 225295, 225305, 225310,
225315, 225320, 225325, 225330, 225335, 225340, 225345, 225350, 225355
CID:
F110, F111, F112, F113, F114, F115, F116, F117, F118, F119, F120, F121, F122, F123, F124, F125, F126,
F127, F128, F129, F130, F131, F132, F133, F134, F135, F136, F137, F138, F139, F140, F141, F142, F143,
F144, F145, F146, F147, F148, F149, F150, F151, F152, F153, F154, F155, F156, F157, F158, F159, F160,
F161, F162, F163, F164, F165, F166, F167, F168, F169, F170, F171, F172, F173, F174, F175, F176, F177,
F178, F179, F180, F181, F182, F183, F184, F185, F186, F187, F188, F189, F190, F191, F192, F193, F194,
F195, F196, F197, F198, F199

Total de Procedimentos: 10 20/05/22 14:20 Pagina 9 de12

Serviço / Classificação:
115 - Serviço de Atenção Psicossocial - 003 - Serviço Hospitalar para Atenção a Saúde Mental

Procedimento: 03.03.17.019-0 TRATAMENTO EM PSIQUIATRIA DE CURTA PERMANENCIA

Complexidade: Média Complexidade
Modalidade:
02 - Hospitalar

Instrumento de Registro:
03 - AIH (Proc. Principal)
Tipo de Financiamento: 06 - Média e Alta Complexidade (MAC)
Valor Ambulatorial S.A.: R$ 0,00
Valor Ambulatorial Total: R$ 0,00
Valor Hospitalar S.P.: R$ 1,79
Valor Hospitalar S.H.: R$ 25,12
Valor Hospitalar Total: R$ 26,91
Atributo Complementar:
003 - Admite longa permanência
007 - Permanência por dia
008 - Não permite mudança de procedimento
015 - Admitido apenas em Hosp.Espec/Psiquiatria
Sexo: Ambos
Idade Mínima: 12 Ano(s)
Idade Máxima: 130 Ano(s)
Quantidade Máxima: 90
Média Permanência: 0
Pontos: 50
Especialidade do Leito:
05 - Psiquiatria
07 - Pediátricos

CBO:
223119, 223150, 2231A1, 2231F8, 2231F9, 2231G1, 225103, 225105, 225106, 225109, 225110, 225112,
225115, 225118, 225120, 225121, 225122, 225124, 225125, 225127, 225130, 225133, 225135, 225136,
225139, 225140, 225142, 225145, 225148, 225150, 225151, 225154, 225155, 225160, 225165, 225170,
225175, 225180, 225185, 225195, 225203, 225210, 225215, 225220, 225225, 225230, 225235, 225240,
225250, 225255, 225260, 225265, 225270, 225275, 225280, 225285, 225290, 225295, 225305, 225310,
225315, 225320, 225325, 225330, 225335, 225340, 225345, 225350, 225355, 251510
CID:
F000, F001, F002, F009, F010, F011, F012, F013, F018, F019, F020, F021, F022, F023, F024, F028, F03, F04,
F050, F051, F058, F059, F060, F061, F062, F063, F064, F065, F066, F067, F068, F069, F070, F071, F072,
F078, F079, F09, F100, F101, F102, F103, F104, F105, F106, F107, F108, F109, F110, F111, F112, F113, F114,
F115, F116, F117, F118, F119, F120, F121, F122, F123, F124, F125, F126, F127, F128, F129, F130, F131,
F132, F133, F134, F135, F136, F137, F138, F139, F140, F141, F142, F143, F144, F145, F146, F147, F148,
F149, F150, F151, F152, F153, F154, F155, F156, F157, F158, F159, F160, F161, F162, F163, F164, F165,
F166, F167, F168, F169, F170, F171, F172, F173, F174, F175, F176, F177, F178, F179, F180, F181, F182,
F183, F184, F185, F186, F187, F188, F189, F190, F191, F192, F193, F194, F195, F196, F197, F198, F199,
F200, F201, F202, F203, F204, F205, F206, F208, F21, F220, F228, F229, F230, F231, F232, F233, F238, F239,
F24, F250, F251, F252, F258, F28, F29, F300, F301, F302, F308, F309, F310, F311, F312, F313, F314, F315,

Total de Procedimentos: 10 20/05/22 14:20 Pagina 10 de12

 F316, F317, F318, F319, F320, F321, F322, F323, F328, F329, F330, F331, F332, F333, F334, F338, F339,
F340, F341, F348, F349, F380, F381, F388, F39, F400, F401, F402, F408, F409, F410, F411, F412, F413, F418,
F419, F420, F421, F422, F428, F429, F430, F431, F432, F438, F439, F440, F441, F442, F443, F444, F445,
F446, F447, F448, F449, F450, F451, F452, F453, F454, F458, F459, F480, F481, F488, F489, F500, F502,
F503, F504, F505, F508, F509, F510, F511, F512, F513, F514, F515, F518, F519, F530, F531, F538, F54, F55,
F59, F600, F601, F602, F603, F604, F605, F606, F607, F608, F609, F61, F620, F621, F628, F629, F630, F631,
F632, F633, F638, F639, F69, F700, F701, F708, F709, F710, F711, F718, F719, F720, F721, F728, F729, F730,
F731, F738, F739, F780, F781, F788, F789, F790, F791, F798, F799, F840, F841, F842, F843, F844, F845,
F848, F849
Incremento: S.A. S.H. S.P.
0631 - Nível I 0.00 188.63 452.86
0632 - Nível II 0.00 145.20 369.66
0633 - Nível III 0.00 112.66 323.79
0634 - Nível IV 0.00 106.69 295.53

Procedimento: 03.03.17.020-4 TRATAMENTO EM PSIQUIATRIA POR DIA (COM DURAÇÃO

Complexidade: Média Complexidade
Modalidade:
02 - Hospitalar

Instrumento de Registro:
03 - AIH (Proc. Principal)
Tipo de Financiamento: 06 - Média e Alta Complexidade (MAC)
Valor Ambulatorial S.A.: R$ 0,00
Valor Ambulatorial Total: R$ 0,00
Valor Hospitalar S.P.: R$ 1,79
Valor Hospitalar S.H.: R$ 25,12
Valor Hospitalar Total: R$ 26,91
Atributo Complementar:
003 - Admite longa permanência
007 - Permanência por dia
008 - Não permite mudança de procedimento
015 - Admitido apenas em Hosp.Espec/Psiquiatria
Sexo: Ambos
Idade Mínima: 12 Ano(s)
Idade Máxima: 130 Ano(s)
Quantidade Máxima: 45
Média Permanência: 0
Pontos: 50
Especialidade do Leito:
05 - Psiquiatria
07 - Pediátricos

CBO:
2231F9, 225103, 225105, 225106, 225109, 225110, 225112, 225115, 225118, 225120, 225121, 225122,
225124, 225125, 225127, 225130, 225133, 225135, 225136, 225139, 225140, 225142, 225145, 225148,
225150, 225151, 225154, 225155, 225160, 225165, 225170, 225175, 225180, 225185, 225195, 225203,
225210, 225215, 225220, 225225, 225230, 225235, 225240, 225250, 225255, 225260, 225265, 225270,

Total de Procedimentos: 10 20/05/22 14:20 Pagina 11 de12

 225275, 225280, 225285, 225290, 225295, 225305, 225310, 225315, 225320, 225325, 225330, 225335,
225340, 225345, 225350, 225355, 251510
CID:
F000, F001, F002, F009, F010, F011, F012, F013, F018, F019, F020, F021, F022, F023, F024, F028, F03, F04,
F050, F051, F058, F059, F060, F061, F062, F063, F064, F065, F066, F067, F068, F069, F070, F071, F072,
F078, F079, F09, F100, F101, F102, F103, F104, F105, F106, F107, F108, F109, F110, F111, F112, F113, F114,
F115, F116, F117, F118, F119, F120, F121, F122, F123, F124, F125, F126, F127, F128, F129, F130, F131,
F132, F133, F134, F135, F136, F137, F138, F139, F140, F141, F142, F143, F144, F145, F146, F147, F148,
F149, F150, F151, F152, F153, F154, F155, F156, F157, F158, F159, F160, F161, F162, F163, F164, F165,
F166, F167, F168, F169, F170, F171, F172, F173, F174, F175, F176, F177, F178, F179, F180, F181, F182,
F183, F184, F185, F186, F187, F188, F189, F190, F191, F192, F193, F194, F195, F196, F197, F198, F199,
F200, F201, F202, F203, F204, F205, F206, F208, F21, F220, F228, F229, F230, F231, F232, F233, F238, F239,
F24, F250, F251, F252, F258, F28, F29, F300, F301, F302, F308, F309, F310, F311, F312, F313, F314, F315,
F316, F317, F318, F319, F320, F321, F322, F323, F328, F329, F330, F331, F332, F333, F334, F338, F339,
F340, F341, F348, F349, F380, F381, F388, F39, F400, F401, F402, F408, F409, F410, F411, F412, F413, F418,
F419, F420, F421, F422, F428, F429, F430, F431, F432, F438, F439, F440, F441, F442, F443, F444, F445,
F446, F447, F448, F449, F450, F451, F452, F453, F454, F458, F459, F480, F481, F488, F489, F500, F502,
F503, F504, F505, F508, F509, F510, F511, F512, F513, F514, F515, F518, F519, F530, F531, F538, F54, F55,
F59, F600, F601, F602, F603, F604, F605, F606, F607, F608, F609, F61, F620, F621, F628, F629, F630, F631,
F632, F633, F638, F639, F700, F701, F708, F709, F710, F711, F718, F719, F720, F721, F728, F729, F730,
F731, F738, F739, F780, F781, F788, F789, F790, F791, F798, F799, F840, F841, F842, F843, F844, F845,
F848, F849
Incremento: S.A. S.H. S.P.
0631 - Nível I 0.00 131.36 343.16
0632 - Nível II 0.00 95.59 293.98
0633 - Nível III 0.00 76.14 268.93
0634 - Nível IV 0.00 63.45 248.13

Total de Procedimentos: 10 20/05/22 14:20 Pagina 12 de12