Key Takeaways
- The medical information acquisition addition was abolished in the FY2026 revision along with the medical DX promotion addition; it does not appear in the fee schedule applied from June 1, 2026.
- Before the revision (from December 2024) it was 1 point at first visits and 1 point at follow-ups (once every three months), regardless of My Number insurance card use.
- Its successor, the electronic clinical information coordination addition, is 15/9/4 points once a month at first visits and 2 points once a month at follow-ups, and requires a new notification.
"What are the requirements for the medical information acquisition addition?" "How many points when a patient uses a My Number insurance card?" This addition is still frequently searched when reviewing claims and clinic notices. However, the medical information acquisition addition was abolished in the FY2026 fee revision. This article reviews the points and requirements of the old addition and then sets out the points, facility standards, notification and posting rules for its successor, the electronic clinical information coordination addition, based on the 2026 public notice (MHLW Notice No. 69), the implementation notice (Hoihatsu 0305-6), the facility standards notice (Hoihatsu 0305-7) and the Q&A documents.
Disclaimer: This article provides general information based on information published as of October 31, 2026. The MHLW public notices, notices and Q&A documents are authoritative for points, requirements and facility standards. Always confirm final billing and notification decisions with the latest original texts and your Regional Bureau of Health and Welfare.
Conclusion: the addition cannot be billed from June 2026
| Item | Details |
|---|---|
| Medical information acquisition addition | Abolished in the FY2026 revision (the medical DX promotion addition was abolished at the same time) |
| Successor | Electronic clinical information coordination addition (new) |
| Effective date | June 1, 2026 (application date of the revised notice) |
| First visit | 15, 9 or 4 points once a month (additions 1, 2, 3) |
| Follow-up visit | 2 points once a month |
| Notification | Required, even if the old additions were notified |
The MHLW's individual revision items state that, in light of the progress of medical DX measures, the medical DX promotion addition and the medical information acquisition addition are abolished and new evaluations relating to My Number insurance card use, electronic prescriptions, the EMR information sharing service and cybersecurity are created. The initial and follow-up consultation fees in the medical fee schedule applied from June 1, 2026 do not contain the medical information acquisition addition.
The old addition (December 2024 to May 2026)
Points
In the FY2024 revision, points differed by whether a My Number insurance card was used. Because issuance of conventional health insurance cards ended on December 2, 2024, from December 2024 the addition became 1 point regardless of card use.
| Period | First visit | Follow-up (once every 3 months) |
|---|---|---|
| June to November 2024 | 3 points (conventional card) / 1 point (My Number card) | 2 points (conventional card) / 1 point (My Number card) |
| December 2024 to May 2026 | 1 point | 1 point |
| From June 2026 | Abolished | Abolished |
Facility standards
- Submitting claims online
- Having a system for online eligibility verification
- Posting in a visible place in the clinic and on the website that the clinic has online eligibility verification and uses visit history, drug information, specific health checkup information and other necessary information in care
Points for the new addition
| Category | Position | Points | Frequency |
|---|---|---|---|
| Initial consultation fee | A000 note 16 | Addition 1: 15 / Addition 2: 9 / Addition 3: 4 | Once a month |
| Follow-up consultation fee | A001 note 19 | 2 | Once a month |
| Outpatient consultation fee (hospitals with 200+ general beds) | A002 note 10 | 2 | Once a month |
| Inpatient (basic inpatient fee addition) | A207-5 | Addition 1: 160 / Addition 2: 80 | First day of admission |
The implementation notice describes it as evaluating systems for medical DX promoted by the government, based on using information obtained through online eligibility verification in actual care, together with introducing electronic prescriptions, EMRs and the EMR information sharing service and promoting cybersecurity.
Billing rules
- No overlap between first and follow-up visits: if note 16 is billed in a month, note 19 cannot be billed for a follow-up in that month, and vice versa for a first visit for another condition (Q&A No. 4, Q4)
- Cannot be combined with the itemized statement addition: institutions notified for the new addition cannot bill the 1-point itemized statement addition (note 11 of the follow-up fee)
- No distinction by verification method: the public notice does not set different points by how the patient's eligibility was verified (My Number card, eligibility certificate, etc.)
Facility standards (outpatient)
| No. | Standard | Add. 1 | Add. 2 | Add. 3 |
|---|---|---|---|---|
| (1) | Online claims | Yes | Yes | Yes |
| (2) | Free itemized statements | Yes | Yes | Yes |
| (3) | Online eligibility verification (start date registered on the portal) | Yes | Yes | Yes |
| (4)(5) | Claim-based My Number card usage rate of 30% or more three months before (or the month or two months before) | Yes | Yes | Yes |
| (6) | System to answer patients' health management questions based on Mynaportal information | Yes | Yes | Yes |
| (7)(8) | Posting in the clinic and, in principle, on the website | Yes | Yes | Yes |
| (9) | System to issue electronic prescriptions (or register dispensing information) | Yes | Any of (9)-(11) | - |
| (10) | EMR compliant with the safety guidelines and connected to the e-prescription and EMR sharing services, or an MHLW-certified EMR | Yes | Same | - |
| (11) | Use of the EMR information sharing service or a qualifying regional network | Yes | Same | - |
Addition 3 requires (1)-(8); addition 2 requires (1)-(8) plus any of (9)-(11); addition 1 requires all of (1)-(11).
Key Q&A points:
- The e-prescription system means, in principle, issuing electronic prescriptions or paper prescriptions with an exchange number and registering prescription information for outside prescriptions, and registering in-house dispensing information (Q&A No. 4, Q1)
- In principle all prescribing physicians should be able to issue electronic prescriptions, but for now two or more full-time physicians (one if there is only one) suffice (Q&A No. 7, Q3)
- The MHLW certification system for EMR products is under consideration (Q&A No. 6, Q1)
- Requirement (10)(c), connection to the EMR information sharing service, is deemed met for the time being under the facility standards notice
Posting and website
The three items to post are: that the clinic uses information obtained through online eligibility verification in the consultation room; that it works to provide high-quality care through medical DX, such as promoting My Number cards; and that it provides detailed itemized statements free of charge. In principle, they must also be published on the website. Review any notices left over from the old addition.
Notification
- Form: Form 1-6 of Attachment 7
- No carry-over: the facility standards notice lists the addition as newly established, requiring notification for billing from June 1, 2026; Q&A No. 1, Q3 confirms re-notification is needed
- No extra notification for follow-ups once the first-visit portion is notified (Q&A No. 5, Q1)
- Standards not requiring notification: the usage rate (4) and the consultation system (6) only need to be met
- If the usage rate falls short: no withdrawal notice is needed, but the addition cannot be billed (Q&A No. 12, Q3)
- Moving to a higher category requires a new notification (Q&A No. 12, Q2)
- Start of billing: from the first day of the following month if accepted by month-end, or from the first day of the month if accepted on the first business day
Differences from related additions
| Addition | From June 2026 | Overview |
|---|---|---|
| Medical information acquisition addition | Abolished | 1 point at first and follow-up visits |
| Medical DX promotion addition | Abolished | First-visit DX evaluation (12 to 8 points before the revision) |
| Electronic clinical information coordination addition | New | Reorganizes the two above |
| Emergency medical information acquisition addition | New | Note 5 of the emergency outpatient management fee (B001-2-6): 50 points once a month when information is obtained for a patient with impaired consciousness using the emergency viewing function and the e-prescription system |
The similarly named emergency addition is not the successor of the medical information acquisition addition. For the overall reorganization, see Medical DX Additions Changed in the 2026 Revision.
What to check in claims and billing software
- That the old addition is not being billed automatically for care from June 2026
- That the billed category matches the accepted notification
- That notes 16 and 19 are not billed in the same month for the same patient
- That the itemized statement addition is not billed
- That the addition is not billed in months when the usage rate is below 30%
Checklist
- Notification (Form 1-6) has been accepted
- The billed category matches the facility standards
- The usage rate is checked monthly
- Clinic and website notices have been updated
- Automatic billing of the old addition has been removed
- The itemized statement addition is not billed
Summary
- The medical information acquisition addition was abolished in the FY2026 revision and is not in the schedule applied from June 1, 2026
- Before the revision (from December 2024) it was 1 point at first visits and 1 point at follow-ups (once every three months)
- The successor is 15/9/4 points at first visits and 2 points at follow-ups, once a month
- Common standards include online claims, free statements, online eligibility verification, a usage rate of 30% or more, a consultation system and posting
- Re-notification is required, and billing software settings should be reviewed
See also Initial Consultation Fee Additions, Follow-up Consultation Fee Additions, My Number Insurance Card and EMR, Second-Generation Face Recognition Card Readers, Electronic Prescriptions and The MHLW Guidelines.
Pottech provides AI electronic medical records and billing check functions for clinics that reflect billing requirements. If you have questions about reviewing addition settings after the revision, please feel free to contact us.
Frequently Asked Questions
- Q. Can the medical information acquisition addition still be billed?
- A. No. It was abolished in the FY2026 revision and does not appear in the fee schedule applied from June 1, 2026. The electronic clinical information coordination addition was created as its successor.
- Q. What are the points for the new addition?
- A. At first visits, 15, 9 or 4 points once a month for additions 1, 2 and 3. At follow-ups, 2 points once a month.
- Q. Do we need a new notification if we had notified the old additions?
- A. Yes. The new addition is listed as newly established and must be notified for billing from June 1, 2026. No extra notification is needed for the follow-up portion once the first-visit portion is notified.
- Q. Can it be billed for patients who did not use a My Number insurance card?
- A. The public notice does not distinguish patients by verification method. Instead, the institution must have a My Number insurance card usage rate of 30% or more.
参考・出典
- 厚生労働省「診療報酬の算定方法の一部を改正する件」（令和8年厚生労働省告示第69号）医科診療報酬点数表（A000 注16、A001 注11・注19、A002 注10、A207-5、B001-2-6 注5） https://www.mhlw.go.jp/content/12400000/001686842.pdf
- 厚生労働省保険局医療課「診療報酬の算定方法の一部改正に伴う実施上の留意事項について」（令和8年3月5日保医発0305第6号）別添1（A000(30)、A001(15)） https://www.mhlw.go.jp/content/12400000/001757385.pdf
- 厚生労働省保険局医療課「基本診療料の施設基準等及びその届出に関する手続きの取扱いについて」（令和8年3月5日保医発0305第7号）第1の8、第3、第4 表1 https://www.mhlw.go.jp/content/12400000/001757361.pdf
- 厚生労働省「令和8年度診療報酬改定について」個別改定事項（医療DX・オンライン診療に係る全体像、電子的診療情報連携体制整備加算の新設①〜③） https://www.mhlw.go.jp/content/12400000/001681336.pdf
- 厚生労働省「疑義解釈資料の送付について（その1）」（令和8年3月23日）問3 https://www.mhlw.go.jp/content/12400000/001678310.pdf
- 同（その4）（令和8年4月21日）別添1 問1〜問4 https://www.mhlw.go.jp/content/12400000/001694332.pdf
- 同（その5）（令和8年5月8日）別添1 問1 https://www.mhlw.go.jp/content/12400000/001698587.pdf
- 同（その6）（令和8年5月22日）別添1 問1〜問4 https://www.mhlw.go.jp/content/12400000/001703573.pdf
- 同（その7）（令和8年5月29日）別添1 問1〜問3 https://www.mhlw.go.jp/content/12400000/001707505.pdf
- 同（その12）（令和8年9月2日）別添1 問2・問3 https://www.mhlw.go.jp/content/12400000/001744953.pdf
- 厚生労働省保険局医療課「医療DX推進体制整備加算・医療情報取得加算の見直しについて」（令和6年） https://www.mhlw.go.jp/content/10200000/001277499.pdf
- 厚生労働省「令和8年度診療報酬改定について」 https://www.mhlw.go.jp/stf/newpage_67729.html