Exploring medical insurance payment methods that conform to the characteristics of traditional Chinese medicineis an important part of medical insurance to promote the inheritance, innovation, development of TCM. Based on the payment basis of TCM dominant diseases, TCM codes, clinical pathways, the paper summarizes, analyzes the experience, practice of TCM diseases paid by DIP under the background of the current reform of medical insurance payment methods, puts forward suggestions for clarifying the correspondence between TCM, western medicine diagnosis codes, providing reference for the reform of TCM medical insurance payment method