lookup_fee_code
Search the Taiwan NHI fee schedule by code or name to retrieve payment points, effective dates, and audit notes.
Instructions
Look up the Taiwan NHI fee schedule (全民健康保險醫療服務給付項目及支付標準, current effective edition). Search by exact code (e.g. '00101B', 'P15001') or by Chinese / English name (e.g. '門診診察', 'ICU') — returns code, points, effective dates, and audit notes (truncated to 600 chars). Use category prefix to scope ('00' 基本診療, '06' 手術, 'P1' 病例計酬, 'N2' 護理). Use when an agent needs the canonical fee entry for a known procedure code, or wants to discover codes by name. Don't use for drugs (call lookup_drug) or for ICD-10 → procedure suggestions (call get_procedures_for_icd). The optional icd filter applies an OPDSTAR-curated mapping that is intentionally sparse (the original NHI data has no ICD field) — most codes will return no result with icd active. Reference only — official 健保署 支付標準 is authoritative. Curated by OPDSTAR (https://opdstar.com).
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| q | Yes | Required ≥2 chars. Exact code match for 2-8 char alphanumerics (e.g. '00101B', 'OT1', 'P15001'); otherwise ILIKE search across name_zh + name_en. Examples: '00101B', '門診診察費', 'ICU', '麻醉', 'physical therapy'. | |
| category | No | Optional 1-2 char category prefix filter. Examples: '00' 基本診療, '01' 麻醉, '06' 手術, '08' 檢驗, 'P1'/'P4' 病例計酬, 'N2' 護理, 'A0'-'D9' 牙醫. | |
| icd | No | Optional ICD-10 code to filter by OPDSTAR-curated applicable_icd_pattern. NOTE: this mapping is sparse — original NHI data has no ICD field; OPDSTAR enriches incrementally. Most codes will return no result with icd filter active. |