Vous êtes sur la page 1sur 208

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

P91.3
P91.4
P91.6
P91.8

Neonatal cerebral irritability


Neonatal cerebral depression
Hypoxic ischemic encephalopathy of newborn
Other specified disturbances of cerebral status of newborn

ABNORMAL
ABNORMAL
ABNORMAL
ABNORMAL

SENSORIUM
SENSORIUM
SENSORIUM
SENSORIUM

IN
IN
IN
IN

NEWBORN
NEWBORN
NEWBORN
NEWBORN

12,000
12,000
12,000
12,000

P91.9

Disturbance of cerebral status of newborn, unspecified

ABNORMAL SENSORIUM IN THE NEWBORN

12,000

J36

Peritonsillar abscess; Abscess of tonsil; Peritonsillar


cellulitis; Quinsy

ABSCESS OF RESPIRATORY TRACT

10,000

J38.7

Other diseases of larynx; Abscess of larynx; Cellulitis of larynx; Disease NOS


of larynx; Necrosis of larynx; Pachyderma of larynx; Perichondritis of larynx;
Ulcer of
larynx

ABSCESS OF RESPIRATORY TRACT

10,000

J39.0

Retropharyngeal and parapharyngeal abscess;


Peripharyngeal abscess

ABSCESS OF RESPIRATORY TRACT

10,000

J39.1

Other abscess of pharynx; Cellulitis of pharynx;


Nasopharyngeal abscess

ABSCESS OF RESPIRATORY TRACT

10,000

J39.2

Other diseases of pharynx; Cyst of pharynx or nasopharynx;


Oedema of pharynx or nasopharynx

ABSCESS OF RESPIRATORY TRACT

10,000

J85.1
J85.2

Abscess of lung with pneumonia


Abscess of lung without pneumonia; Abscess of lung NOS

ABSCESS OF RESPIRATORY TRACT


ABSCESS OF RESPIRATORY TRACT

10,000
10,000

J85.3
J86.0
J86.9

Abscess of mediastinum
Pyothorax with fistula
Pyothorax without fistula; Abscess of pleura; Abscess of
thorax; Empyema; Pyopneumothorax

ABSCESS OF RESPIRATORY TRACT


ABSCESS OF RESPIRATORY TRACT
ABSCESS OF RESPIRATORY TRACT

10,000
10,000
10,000

A00.0
A00.1
A00.9
A03.0

Cholera due to Vibrio cholerae 01, biovar cholerae


Cholera due to Vibrio cholerae 01, biovar eltor
Cholera, unspecified
Shigellosis due to Shigella dysenteriae; Group A shigellosis
[Shiga-Kruse dysentery]

ACUTE
ACUTE
ACUTE
ACUTE

GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS

6,000
6,000
6,000
6,000

A03.1

Shigellosis due to Shigella flexneri;Group B shigellosis

ACUTE GASTROENTERITIS

6,000

A03.2
A03.3

Shigellosis due to Shigella boydii; Group C shigellosis


Shigellosis due to Shigella sonnei; Group D shigellosis

ACUTE GASTROENTERITIS
ACUTE GASTROENTERITIS

6,000
6,000

A03.8
A03.9
A04.0
A04.1
A04.2
A04.3
A04.4
A04.5
A04.6
A04.7

Other shigellosis
Shigellosis, unspecified; ; Bacillary dysentery NOS
Enteropathogenic Escherichia coli infection
Enterotoxigenic Escherichia coli infection
Enteroinvasive Escherichia coli infection
Enterohaemorrhagic Escherichia coli infection
Other intestinal Escherichia coli infections
Campylobacter enteritis
Enteritis due to Yersinia enterocolitica
Enterocolitis due to Clostridium difficile; Foodborne intoxication by Clostridium
difficile; Pseudomembranous
colitis

ACUTE
ACUTE
ACUTE
ACUTE
ACUTE
ACUTE
ACUTE
ACUTE
ACUTE
ACUTE

GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS

6,000
6,000
6,000
6,000
6,000
6,000
6,000
6,000
6,000
6,000

A04.8
A04.9

Other specified bacterial intestinal infections


Bacterial intestinal infection, unspecified. Bacterial enteritis
NOS

ACUTE GASTROENTERITIS
ACUTE GASTROENTERITIS

6,000
6,000

A05.0
A05.2

Foodborne staphylococcal intoxication


Foodborne Clostridium perfringens [Clostridium welchii]
intoxication. Enteritis necroticans. Pig-bel

ACUTE GASTROENTERITIS
ACUTE GASTROENTERITIS

6,000
6,000

A05.3
A05.4
A05.8
A05.9
A07.0
A07.1
A07.2
A07.3

Foodborne Vibrio parahaemolyticus intoxication


Foodborne Bacillus cereus intoxication
Other specified bacterial foodborne intoxications
Bacterial foodborne intoxication, unspecified
Balantidiasis; Balantidial dysentery
Giardiasis [lambliasis]
Cryptosporidiosis
Isosporiasis; Infection due to Isospora belli and Isospora
hominis; Intestinal coccidiosis; Isosporosis

ACUTE
ACUTE
ACUTE
ACUTE
ACUTE
ACUTE
ACUTE
ACUTE

GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS

6,000
6,000
6,000
6,000
6,000
6,000
6,000
6,000

A07.8

Other specified protozoal intestinal diseases; Intestinal trichomoniasis;


Sarcocystosis; Sarcosporidiosis

ACUTE GASTROENTERITIS

6,000

A07.9

Protozoal intestinal disease, unspecified;Flagellate diarrhoea; Protozoal


colitis; Protozoal diarrhoea; Protozoal
dysentery

ACUTE GASTROENTERITIS

6,000

A08.0
A08.1

Rotaviral enteritis
Acute gastroenteropathy due to Norwalk agent; Small
round structured virus enteritis

ACUTE GASTROENTERITIS
ACUTE GASTROENTERITIS

6,000
6,000

A08.2
A08.3
A08.4

Adenoviral enteritis
ACUTE GASTROENTERITIS
Other viral enteritis
ACUTE GASTROENTERITIS
Viral intestinal infection, unspecified; Viral enteritis NOS; Viral gastroenteritis ACUTE GASTROENTERITIS
NOS; Viral gastroenteropathy NOS

6,000
6,000
6,000

A08.5
A09.0
A09.9
K52.0
K52.1

Other specified intestinal infections


Infectious diarrhea
Acute gastroenteritis
Gastroenteritis and colitis due to radiation
Toxic gastroenteritis and colitis

ACUTE
ACUTE
ACUTE
ACUTE
ACUTE

6,000
6,000
6,000
6,000
6,000

ICD CODE

DESCRIPTION

GROUP

GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS
GASTROENTERITIS

THE
THE
THE
THE

FIRST CASE RATE


Case Rate

K52.2

Allergic and dietetic gastroenteritis and colitis; Food


hypersensitivity gastroenteritis or colitis

ACUTE GASTROENTERITIS

6,000

K52.8

Other specified noninfective gastroenteritis and colitis;


Eosinophilic gastritis or gastroenteritis

ACUTE GASTROENTERITIS

6,000

K52.9

Noninfective gastroenteritis and colitis, unspecified; Diarrhoea specified as


ACUTE GASTROENTERITIS
noninfective, or NOS in countries where the conditions can be presumed to be
of noninfectious origin; Enteritis specified as noninfective, or
NOS in countries where the conditio

6,000

K58.0
N17.0

Irritable bowel syndrome with diarrhoea


Acute renal failure with tubular necrosis; Tubular necrosis
NOS; Acute Tubular necrosis ; Renal Tubular necrosis

ACUTE GASTROENTERITIS
ACUTE RENAL FAILURE

6,000
19,300

N17.1

Acute renal failure with acute cortical necrosis; Cortical necrosis NOS; Acute
Cortical necrosis ; Renal Cortical
necrosis

ACUTE RENAL FAILURE

19,300

N17.2

Acute renal failure with medullary necrosis; Medullary papillary necrosis,


NOS; Acute medullary papillary necrosis; Renal medullary papillary necrosis

ACUTE RENAL FAILURE

19,300

N17.8
N17.9
O08.4

Other acute renal failure


Acute renal failure, unspecified;
Renal failure following abortion and ectopic and molar pregnancy; Oliguria
Acute renal failure; Oliguria renal shutdown; Oliguria renal tubular necrosis;
Oliguria Uraemia

ACUTE RENAL FAILURE


ACUTE RENAL FAILURE
ACUTE RENAL FAILURE

19,300
19,300
19,300

J80

Adult respiratory distress syndrome; Adult hyaline


membrane disease

ADULT RESPIRATORY DISTRESS SYNDROME

32,000

T78.1

Other adverse food reactions, not elsewhere classified

ALLERGIC REACTIONS

6,200

T78.3

Angioneurotic oedema; Giant urticaria; Quinke's oedema

ALLERGIC REACTIONS

6,200

T78.4

Allergy, unspecified; Allergic reaction NOS; Hypersensitivity


NOS; Idiosyncracy NOS

ALLERGIC REACTIONS

6,200

T78.8
T78.9
T88.7

Other adverse effects, not elsewhere classified


Adverse effect, unspecified
Unspecified adverse effect of drug or medicament; Adverse effect of correct
drug or medicament properly administered; Allergic reactiion to correct drug
or medicament properly administered; Hypersensitivity to
correct drug or medicament properly administe

ALLERGIC REACTIONS
ALLERGIC REACTIONS
ALLERGIC REACTIONS

6,200
6,200
6,200

A06.4
A06.0

Amoebic liver abscess; Hepatic amoebiasis


Acute amoebic dysentery; Acute amoebiasis; Intestinal
amoebiasis NOS

AMOEBIASIS, HEPATIC
AMOEBIASIS, NONHEPATIC

10,000
6,000

A06.1
A06.2
A06.3
A06.7
A06.8
E85.8
T78.0
T78.2

Chronic intestinal amoebiasis


Amoebic nondysenteric colitis
Amoeboma of intestine; Amoeboma NOS
Cutaneous amoebiasis
Amoebic Appendicitis
Other amyloidosis; Localized amyloidosis
Anaphylactic shock due to adverse food reaction
Anaphylactic shock, unspecified; Allergic shock NOS;
Anaphylactic reaction NOS; Anaphylaxis NOS

AMOEBIASIS, NONHEPATIC
AMOEBIASIS, NONHEPATIC
AMOEBIASIS, NONHEPATIC
AMOEBIASIS, NONHEPATIC
AMOEBIASIS, NONHEPATIC
AMYLOIDOSIS
ANAPHYLACTIC SHOCK
ANAPHYLACTIC SHOCK

6,000
6,000
6,000
6,000
6,000
11,100
7,600
7,600

T88.6

Anaphylactic shock due to adverse effect of correct drug or


medicament properly administered

ANAPHYLACTIC SHOCK

7,600

D50.0

Iron deficiency anaemia secondary to blood loss (chronic);


Posthaemorrhagic anaemia (chronic)

ANEMIA

10,000

D50.1

Sideropenic dysphagia; Kelly-Paterson syndrome; PlummerVinson syndrome

ANEMIA

10,000

D50.8
D50.9
D51.0

Other iron deficiency anaemias


Iron deficiency anaemia, unspecified
Vitamin B12 deficiency anaemia due to intrinsic factor deficiency; Addison
Anaemia; Biermer Anaemia; CongenitalPernicious Anaemia; Congenital
intrinsic factor
deficiency

ANEMIA
ANEMIA
ANEMIA

10,000
10,000
10,000

D51.8
D51.9
D52.1
D52.9

Other vitamin B12 deficiency anaemias


Vitamin B12 deficiency anaemia, unspecified
Drug-induced folate deficiency anaemia
Folate deficiency anaemia, unspecified; Folic acid
deficiency anaemia NOS

ANEMIA
ANEMIA
ANEMIA
ANEMIA

10,000
10,000
10,000
10,000

D53.0

Protein deficiency anaemia; Amino-acid deficiency


anaemia; Orotaciduric anaemia

ANEMIA

10,000

D53.1

Other megaloblastic anaemias, not elsewhere classified;


Megaloblastic anaemia NOS

ANEMIA

10,000

D53.2
D53.8

Scorbutic anaemia
Other specified nutritional anaemias; Anaemia associated with deficiency of
copper; Anaemia associated with deficiency of molybdenum; Anaemia
associated with
deficiency of zinc

ANEMIA
ANEMIA

10,000
10,000

D53.9

Nutritional anaemia, unspecified; Simple chronic anaemia

ANEMIA

10,000

D55.0

Anaemia due to glucose-6-phosphate dehydrogenase


[G6PD] deficiency; Favism; G6PD deficiency anaemia

ANEMIA

10,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

D55.1

Anaemia due to other disorders of glutathione metabolism; Anaemia due to


enzyme deficiencies, except G6PD, related to the hexose monophosphate
[HMP] shunt pathway; Anaemia due to haemolytic nonspherocytic hereditary,
type I

ANEMIA

10,000

D55.2

Anaemia due to disorders of glycolytic enzymes; Haemolytic nonspherocytic ANEMIA


hereditary Anaemia, type II; Hexokinase deficiency Anaemia; Pyruvate kinase
[PK] deficiency Anaemia; Triose-phosphate isomerase deficiency
Anaemia

10,000

D55.8
D55.9
D56.9

Other anaemias due to enzyme disorders


Anaemia due to enzyme disorder, unspecified
Mediterranean anaemia; Mediterranean anaemia with other
haemoglobinopathy; Thalassaemia minor with other haemoglobinopathy;
Thalassaemia mixed with other
haemoglobinopathy;

ANEMIA
ANEMIA
ANEMIA

10,000
10,000
10,000

D57.0

Sickle-cell anaemia with crisis; Hb-SS disease with crisis

ANEMIA

10,000

D57.1

Sickle-cell anaemia without crisis; Sickle-cell anaemia NOS; Sickle-cell disease ANEMIA
NOS ; Sickle-cell disorder NOS

10,000

D57.3

Sickle-cell trait; Hb-S trait ; Heterozygous Haemoglobin S

ANEMIA

10,000

D57.8
D58.0

Other sickle-cell disorders


Hereditary spherocytosis; Acholuric (familial) jaundice; Congenital
(spherocytic) haemolytic icterus; MinkowskiChauffard syndrome

ANEMIA
ANEMIA

10,000
10,000

D58.1

Hereditary elliptocytosis; Congenital Elliptocytosis;


Congenital Ovalocytosis; Hereditary Ovalocytosis

ANEMIA

10,000

D58.2

Other haemoglobinopathies; Abnormal haemoglobin NOS; Congenital Heinz


ANEMIA
body anaemia; Hb-C Disease; Hb-C Disease; Hb-D Disease; Hb-E Disease;
Haemoglobinopathy NOS; Unstable haemoglobin haemolytic disease

10,000

D58.8

Other specified hereditary haemolytic anaemias;


Stomatocytosis

ANEMIA

10,000

D58.9

Hereditary haemolytic anaemia, unspecified; Acquired


haemolytic anaemia

ANEMIA

10,000

D59.0
D59.1

Drug-induced autoimmune haemolytic anaemia


Other autoimmune haemolytic anaemias; Autoimmune haemolytic disease,
cold type; (Autoimmune haemolytic disease, warm type; Chronic cold
haemagglutinin disease; Cold agglutinin disease; Cold agglutinin
haemoglobinuria; Secondary symptomatic Haemolytic a

ANEMIA
ANEMIA

10,000
10,000

D59.2

Drug-induced nonautoimmune haemolytic anaemia; Druginduced enzyme deficiency anaemia

ANEMIA

10,000

D59.4

Other nonautoimmune haemolytic anaemias; Mechanical


ANEMIA
Haemolytic anaemia; Microangiopathic Haemolytic anaemia; Toxic Haemolytic
anaemia

10,000

D59.5

Paroxysmal nocturnal haemoglobinuria [MarchiafavaMicheli]

ANEMIA

10,000

D59.6

Haemoglobinuria due to haemolysis from other external causes;


Haemoglobinuria from exertion; Haemoglobinuria march; Haemoglobinuria
paroxysmal cold

ANEMIA

10,000

D59.8
D59.9

Other acquired haemolytic anaemias


Acquired haemolytic anaemia, unspecified; Chronic
Idiopathic haemolytic anaemia

ANEMIA
ANEMIA

10,000
10,000

D60.1
D61.0

Transient acquired pure red cell aplasia


Constitutional aplastic anaemia; Congenital Pure red cell Aplasia; Pure red
cell Aplasia of infants; Primary Pure red cell Aplasia; Blackfan-Diamond
syndrome; Familial hypoplastic anaemia; Fanconi's anaemia; Pancytopenia
with malformations

ANEMIA
ANEMIA

10,000
10,000

D61.1
D61.2
D61.3
D61.8
D61.9

Drug-induced aplastic anaemia


Aplastic anaemia due to other external agents
Idiopathic aplastic anaemia
Other specified aplastic anaemias
Aplastic anaemia, unspecified; Hypoplastic anaemia NOS;
Medullary hypoplasia; Panmyelophthisis

ANEMIA
ANEMIA
ANEMIA
ANEMIA
ANEMIA

10,000
10,000
10,000
10,000
10,000

D62
D63.0*
D63.8*

Acute posthaemorrhagic anaemia


Anaemia in neoplastic disease
Anaemia in other chronic diseases classified elsewhere

ANEMIA
ANEMIA
ANEMIA

10,000
10,000
10,000

D64.0

Hereditary sideroblastic anaemia; Sex-linked hypochromic


sideroblastic anaemia

ANEMIA

10,000

D64.1
D64.2

Secondary sideroblastic anaemia due to disease


Secondary sideroblastic anaemia due to drugs and toxins

ANEMIA
ANEMIA

10,000
10,000

D64.3

Other sideroblastic anaemias; Sideroblastic anaemia NOS;


pyridoxine-responsive NEC Sideroblastic anaemia

ANEMIA

10,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

D64.8

Other specified anaemias; Infantile pseudoleukaemia;


Leukoerythroblastic anaemia

ANEMIA

10,000

D64.9
M00.16
M00.19

Anaemia, unspecified
Pneumococcal arthritis and polyarthritis, Lower leg
Pneumococcal arthritis and polyarthritis, Site unspecified

ANEMIA
ARTHRITIS INFECTIOUS
ARTHRITIS INFECTIOUS

10,000
9,700
9,700

M00.29

Other streptococcal arthritis and polyarthritis, Site


unspecified

ARTHRITIS INFECTIOUS

9,700

M00.82

Arthritis and polyarthritis due to other specified bacterial


agents upper arm

ARTHRITIS INFECTIOUS

9,700

M00.90

Pyogenic arthritis, unspecified; Infective arthritis NOS


multiple sites

ARTHRITIS INFECTIOUS

9,700

M00.91

Pyogenic arthritis, unspecified; Infective arthritis NOS


shoulder region

ARTHRITIS INFECTIOUS

9,700

M00.93

Pyogenic arthritis, unspecified; Infective arthritis NOS


forearm

ARTHRITIS INFECTIOUS

9,700

M00.94

Pyogenic arthritis, unspecified; Infective arthritis NOS


hand

ARTHRITIS INFECTIOUS

9,700

M00.95

Pyogenic arthritis, unspecified; Infective arthritis NOS


pelvic region and thigh

ARTHRITIS INFECTIOUS

9,700

M00.96

Pyogenic arthritis, unspecified; Infective arthritis NOS


lower leg

ARTHRITIS INFECTIOUS

9,700

M00.97

Pyogenic arthritis, unspecified; Infective arthritis NOS


ankle and foot

ARTHRITIS INFECTIOUS

9,700

M00.98

Pyogenic arthritis, unspecified; Infective arthritis NOS


other sites

ARTHRITIS INFECTIOUS

9,700

M00.99

Pyogenic arthritis, unspecified; Infective arthritis NOS


site unspecified

ARTHRITIS INFECTIOUS

9,700

M02.39
M06.19
M08.29

Reiter's disease, site unspecified


Adult-onset Still's disease, site unspecified
Juvenile arthritis with systemic onset; Still's disease NOS
site unspecified

ARTHRITIS INFECTIOUS
ARTHRITIS INFECTIOUS
ARTHRITIS INFECTIOUS

9,700
9,700
9,700

M02.99
M05.99

Reactive arthropathy, unspecified, site unspecified


Seropositive rheumatoid arthritis, unspecified, site
unspecified

ARTHRITIS NONINFECTIOUS
ARTHRITIS NONINFECTIOUS

7,000
7,000

M06.01
M06.09
M06.36
M06.45

Seronegative rheumatoid arthritis, shoulder region


Seronegative rheumatoid arthritis, site unspecified
Rheumatoid nodule, lower leg
Inflammatory polyarthropathy, pelvic region and thigh

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

7,000
7,000
7,000
7,000

M06.49
M06.81
M06.86
M06.87
M06.89
M06.90
M06.91
M06.93
M06.94
M06.95

Inflammatory polyarthropathy, site unspecified


Other specified rheumatoid arthritis, shoulder region
Other specified rheumatoid arthritis, lower leg
Other specified rheumatoid arthritis, ankle and foot
Other specified rheumatoid arthritis, site unspecified
Rheumatoid arthritis, unspecified, multiple sites
Rheumatoid arthritis, unspecified, shoulder region
Rheumatoid arthritis, unspecified, forearm
Rheumatoid arthritis, unspecified, hand
Rheumatoid arthritis, unspecified, pelvic region and thigh

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000

M06.96
M06.97
M06.98
M06.99
M08.06

Rheumatoid arthritis, unspecified, lower leg


Rheumatoid arthritis, unspecified, ankle and foot
Rheumatoid arthritis, unspecified, other sites
Rheumatoid arthritis, unspecified, site unspecified
Juvenile rheumatoid arthritis; Juvenile rheumatoid arthritis
with or without rheumatoid factor lower leg

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

7,000
7,000
7,000
7,000
7,000

M08.07

Juvenile rheumatoid arthritis; Juvenile rheumatoid arthritis with or without


rheumatoid factor ankle and foot

ARTHRITIS NONINFECTIOUS

7,000

M08.09

Juvenile rheumatoid arthritis; Juvenile rheumatoid arthritis with or without


rheumatoid factor site unspecified

ARTHRITIS NONINFECTIOUS

7,000

M08.19
M08.86
M08.89
M08.91
M08.96
M08.99
M10.00

Juvenile ankylosing spondylitis site unspecified


Other juvenile arthritis lower leg
Other juvenile arthritis site unspecified
Juvenile arthritis, unspecified shoulder region
Juvenile arthritis, unspecified lower leg
Juvenile arthritis, unspecified site unspecified
Idiopathic gout; Gouty bursitis; Primary gout multiple sites

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

7,000
7,000
7,000
7,000
7,000
7,000
7,000

M10.01
M10.02
M10.03
M10.04
M10.05
M10.06

Urate tophus of heart shoulder region


Urate tophus of heart upper arm
Idiopathic gout; Gouty bursitis; Primary gout forearm
Urate tophus of heart hand
Urate tophus of heart pelvic region and thigh
Idiopathic gout; Gouty bursitis; Primary gout lower leg

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

7,000
7,000
7,000
7,000
7,000
7,000

M10.07
M10.08
M10.09
M10.10
M10.29

Urate tophus of heart ankle and foot


Urate tophus of heart other sites
Urate tophus of heart site unspecified
Lead-induced gout multiple sites
Drug-induced gout site unspecified

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

7,000
7,000
7,000
7,000
7,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

M10.30

Gout due to impairment of renal function multiple sites

ARTHRITIS NONINFECTIOUS

7,000

M10.36
M10.39

Gout due to impairment of renal function lower leg


Gout due to impairment of renal function site unspecified

ARTHRITIS NONINFECTIOUS
ARTHRITIS NONINFECTIOUS

7,000
7,000

M10.40
M10.49
M10.90
M10.91
M10.92
M10.93
M10.94
M10.96
M10.97
M10.98
M10.99

Other secondary gout multiple sites


Other secondary gout site unspecified
Gout, unspecified multiple sites
Gout, unspecified shoulder region
Gout, unspecified upper arm
Gout, unspecified forearm
Gout, unspecified hand
Gout, unspecified lower leg
Gout, unspecified ankle and foot
Gout, unspecified other sites
Gout, unspecified site unspecified

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

M11.89
M11.90
M11.99
M12.26
M12.39
M12.50
M12.52
M12.53
M12.54
M12.55
M12.56
M12.57
M12.58
M12.59
M12.86

Other specified crystal arthropathies site unspecified


Crystal arthropathy, unspecified multiple sites
Crystal arthropathy, unspecified site unspecified
Villonodular synovitis (pigmented) lower leg
Palindromic rheumatism site unspecified
Traumatic arthropathy multiple sites
Traumatic arthropathy upper arm
Traumatic arthropathy forearm
Traumatic arthropathy hand
Traumatic arthropathy pelvic region and thigh
Traumatic arthropathy lower leg
Traumatic arthropathy ankle and foot
Traumatic arthropathy other sites
Traumatic arthropathy site unspecified
Other specific arthropathies, not elsewhere classified;
Transient arthropathy lower leg

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000

M12.89

Other specific arthropathies, not elsewhere classified;


Transient arthropathy site unspecified

ARTHRITIS NONINFECTIOUS

7,000

M13.00
M13.01
M13.02
M13.06
M13.09
M13.13
M13.16
M13.17

Polyarthritis, unspecified multiple sites


Polyarthritis, unspecified shoulder region
Polyarthritis, unspecified upper arm
Polyarthritis, unspecified lower leg
Polyarthritis, unspecified site unspecified
Monoarthritis, not elsewhere classified forearm
Monoarthritis, not elsewhere classified lower leg
Monoarthritis, not elsewhere classified ankle and foot

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000

M13.18
M13.80

Monoarthritis, not elsewhere classified other sites


Other specified arthritis; Allergic arthritis multiple sites

ARTHRITIS NONINFECTIOUS
ARTHRITIS NONINFECTIOUS

7,000
7,000

M13.81

Other specified arthritis; Allergic arthritis shoulder region

ARTHRITIS NONINFECTIOUS

7,000

M13.85

Other specified arthritis; Allergic arthritis pelvic region and


thigh

ARTHRITIS NONINFECTIOUS

7,000

M13.86
M13.87

Other specified arthritis; Allergic arthritis lower leg


Other specified arthritis; Allergic arthritis ankle and foot

ARTHRITIS NONINFECTIOUS
ARTHRITIS NONINFECTIOUS

7,000
7,000

M13.88
M13.89

Other specified arthritis; Allergic arthritis other sites


Other specified arthritis; Allergic arthritis site unspecified

ARTHRITIS NONINFECTIOUS
ARTHRITIS NONINFECTIOUS

7,000
7,000

M13.90
M13.91

Arthritis, unspecified; Arthropathy NOS multiple sites


Arthritis, unspecified; Arthropathy NOS shoulder region

ARTHRITIS NONINFECTIOUS
ARTHRITIS NONINFECTIOUS

7,000
7,000

M13.92
M13.93
M13.94
M13.95

Arthritis,
Arthritis,
Arthritis,
Arthritis,
thigh

unspecified;
unspecified;
unspecified;
unspecified;

Arthropathy
Arthropathy
Arthropathy
Arthropathy

NOS
NOS
NOS
NOS

upper arm
forearm
hand
pelvic region and

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

7,000
7,000
7,000
7,000

M13.96
M13.97
M13.98
M13.99

Arthritis,
Arthritis,
Arthritis,
Arthritis,

unspecified;
unspecified;
unspecified;
unspecified;

Arthropathy
Arthropathy
Arthropathy
Arthropathy

NOS
NOS
NOS
NOS

lower leg
ankle and foot
other sites
site unspecified

ARTHRITIS
ARTHRITIS
ARTHRITIS
ARTHRITIS

NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS
NONINFECTIOUS

7,000
7,000
7,000
7,000

A92.0

Chikungunya virus disease; Chikungunya (haemorrhagic)


fever

ARTHROPOD BORNE VIRAL FEVER

8,100

A92.1
A92.2

O'nyong-nyong fever
Venezuelan equine fever; Venezuelan equine encephalitis; Venezuelan
encephalomyelitis virus disease

ARTHROPOD BORNE VIRAL FEVER


ARTHROPOD BORNE VIRAL FEVER

8,100
8,100

A92.8
A93.1
A93.8

Other specified mosquito-borne viral fevers


Sandfly fever; Pappataci fever; Phlebotomus fever
Other specified arthropod-borne viral fevers; Piry virus disease; Vesicular
stomatitis virus disease [Indiana fever]

ARTHROPOD BORNE VIRAL FEVER


ARTHROPOD BORNE VIRAL FEVER
ARTHROPOD BORNE VIRAL FEVER

8,100
8,100
8,100

A94

Unspecified arthropod-borne viral fever; Unspecified arthropod-borne viral


fever; Arboviral fever NOS; Arbovirus
infection NOS

ARTHROPOD BORNE VIRAL FEVER

8,100

M15.0

Primary generalized (osteo)arthrosis

ARTHROSIS

7,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

M15.2
M15.3

Bouchard's nodes (with arthropathy)


Secondary multiple arthrosis; Post-traumatic polyarthrosis

ARTHROSIS
ARTHROSIS

7,000
7,000

M15.4
M15.8
M15.9

Erosive (osteo)arthrosis
Other polyarthrosis
Polyarthrosis, unspecified; Generalized osteoarthritis NOS

ARTHROSIS
ARTHROSIS
ARTHROSIS

7,000
7,000
7,000

M16.0
M16.1

Primary coxarthrosis, bilateral


Other primary coxarthrosis; Primary coxarthrosis NOS;
Primary coxarthrosis unilateral

ARTHROSIS
ARTHROSIS

7,000
7,000

M16.2
M16.3

Coxarthrosis resulting from dysplasia, bilateral


Other dysplastic coxarthrosis; Dysplastic coxarthrosis NOS;
Dysplastic coxarthrosis unilateral

ARTHROSIS
ARTHROSIS

7,000
7,000

M16.9
M17.0
M17.1

Coxarthrosis, unspecified
Primary gonarthrosis, bilateral
Other primary gonarthrosis; Primary gonarthrosis NOS;
Primary gonarthrosis unilateral

ARTHROSIS
ARTHROSIS
ARTHROSIS

7,000
7,000
7,000

M17.2
M17.3

Post-traumatic gonarthrosis, bilateral


Other post-traumatic gonarthrosis; Post-traumatic gonarthrosis NOS; Posttraumatic gonarthrosis unilateral

ARTHROSIS
ARTHROSIS

7,000
7,000

M17.5

Other secondary gonarthrosis; Secondary gonarthrosis


NOS; Secondary gonarthrosis unilateral

ARTHROSIS

7,000

M17.9
M18.0

Gonarthrosis, unspecified
Primary arthrosis of first carpometacarpal joints, bilateral

ARTHROSIS
ARTHROSIS

7,000
7,000

M18.9
M19.00

Arthrosis of first carpometacarpal joint, unspecified


Primary arthrosis of other joints; Primary arthrosis
NOSmultiple sites

ARTHROSIS
ARTHROSIS

7,000
7,000

M19.02

Primary arthrosis of other joints; Primary arthrosis


NOSupper arm

ARTHROSIS

7,000

M19.05

Primary arthrosis of other joints; Primary arthrosis


NOSpelvic region and thigh

ARTHROSIS

7,000

M19.06

Primary arthrosis of other joints; Primary arthrosis


NOSlower leg

ARTHROSIS

7,000

M19.08

Primary arthrosis of other joints; Primary arthrosis


NOSother sites

ARTHROSIS

7,000

M19.09

Primary arthrosis of other joints; Primary arthrosis NOSsite


unspecified

ARTHROSIS

7,000

M19.10

Post-traumatic arthrosis of other joints; Post-traumatic


arthrosis NOS multiple sites

ARTHROSIS

7,000

M19.11

Post-traumatic arthrosis of other joints; Post-traumatic


arthrosis NOS shoulder region

ARTHROSIS

7,000

M19.12

Post-traumatic arthrosis of other joints; Post-traumatic


arthrosis NOS upper arm

ARTHROSIS

7,000

M19.19

Post-traumatic arthrosis of other joints; Post-traumatic


arthrosis NOS site unspecified

ARTHROSIS

7,000

M19.21

Other secondary arthrosis; Secondary arthrosis NOS


shoulder region

ARTHROSIS

7,000

M19.29

Other secondary arthrosis; Secondary arthrosis NOS site


unspecified

ARTHROSIS

7,000

M19.81
M19.86
M19.87
M19.88
M19.89
M19.90
M19.91
M19.92
M19.93
M19.94
M19.95
M19.96
M19.97
M19.98
M19.99
J45.00

Other specified arthrosis shoulder region


Other specified arthrosis lower leg
Other specified arthrosis ankle and foot
Other specified arthrosis other sites
Other specified arthrosis site unspecified
Arthrosis, unspecified multiple sites
Arthrosis, unspecified shoulder region
Arthrosis, unspecified upper arm
Arthrosis, unspecified forearm
Arthrosis, unspecified hand
Arthrosis, unspecified pelvic region and thigh
Arthrosis, unspecified lower leg
Arthrosis, unspecified ankle and foot
Arthrosis, unspecified other sites
Arthrosis, unspecified site unspecified
Predominantly allergic asthma; Allergic bronchitis NOS; Allergic rhinitis with
asthma; Atopic asthma; Extrinsic allergic asthma; Hay fever with asthma; in
Acute
Exacerbation

ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ARTHROSIS
ASTHMA IN ACUTE EXACERBATION

7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
7,000
9,000

J45.10

Nonallergic asthma; Idiosyncratic asthma; Intrinsic


nonallergic asthma, in Acute Exacerbation

ASTHMA IN ACUTE EXACERBATION

9,000

J45.80
J45.90
J46
J98.1

Mixed asthma, in Acute Exacerbation


Bronchial Asthma in Acute Exacerbation
Status asthmaticus; Acute severe asthma
Pulmonary collapse; Atelectasis; Collapse of lung; Brock's
syndrome

ASTHMA IN ACUTE EXACERBATION


ASTHMA IN ACUTE EXACERBATION
ASTHMA IN ACUTE EXACERBATION
ATELECTASIS

9,000
9,000
9,000
13,800

M54.01

Panniculitis affecting regions of neck and back occipitoatlanto-axial region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.06

Panniculitis affecting regions of neck and back lumbar


region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.08

Panniculitis affecting regions of neck and back sacral and


sacrococcygeal region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

M54.10

Radiculopathy; Brachial Neuritis or radiculitis NOS;


Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic
Neuritis or radiculitis NOS ; Radiculitis NOS Multiple sites in spine

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.11

Radiculopathy; Brachial Neuritis or radiculitis NOS;


Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic
Neuritis or radiculitis NOS ; Radiculitis NOS
occipito-atlanto-axial region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.12

Radiculopathy; Brachial Neuritis or radiculitis NOS;


Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic
Neuritis or radiculitis NOS ; Radiculitis NOS
cervical region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.14

Radiculopathy; Brachial Neuritis or radiculitis NOS;


Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic
Neuritis or radiculitis NOS ; Radiculitis NOS
thoracic region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.15

Radiculopathy; Brachial Neuritis or radiculitis NOS;


Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic
Neuritis or radiculitis NOS ; Radiculitis NOS
thoracolumbar region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.16

Radiculopathy; Brachial Neuritis or radiculitis NOS;


Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic
Neuritis or radiculitis NOS ; Radiculitis NOS
lumbar region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.17

Radiculopathy; Brachial Neuritis or radiculitis NOS;


Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic
Neuritis or radiculitis NOS ; Radiculitis NOS
lumbosacral region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.18

Radiculopathy; Brachial Neuritis or radiculitis NOS;


Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic
Neuritis or radiculitis NOS ; Radiculitis NOS
sacral and sacrococcygeal region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.19

Radiculopathy; Brachial Neuritis or radiculitis NOS;


Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic
Neuritis or radiculitis NOS ; Radiculitis NOS
site unspecified

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.2
M54.20
M54.22
M54.26
M54.3
M54.30
M54.31
M54.35
M54.36
M54.37
M54.38
M54.39
M54.4
M54.41
M54.44
M54.46
M54.48

Cervicalgia
Cervicalgia Multiple sites in spine
Cervicalgia cervical region
Cervicalgia lumbar region
Sciatica
Sciatica Multiple sites in spine
Sciatica occipito-atlanto-axial region
Sciatica thoracolumbar region
Sciatica lumbar region
Sciatica lumbosacral region
Sciatica sacral and sacrococcygeal region
Sciatica site unspecified
Lumbago with sciatica
Lumbago with sciatica occipito-atlanto-axial region
Lumbago with sciatica thoracic region
Lumbago with sciatica lumbar region
Lumbago with sciatica sacral and sacrococcygeal region

BACK
BACK
BACK
BACK
BACK
BACK
BACK
BACK
BACK
BACK
BACK
BACK
BACK
BACK
BACK
BACK
BACK

SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA
SCIATICA

6,400
6,400
6,400
6,400
6,400
6,400
6,400
6,400
6,400
6,400
6,400
6,400
6,400
6,400
6,400
6,400
6,400

M54.49
M54.5

Lumbago with sciatica site unspecified


Low back pain; Loin pain; Low back strain; Lumbago NOS

BACK PAIN, RADICULOPATHY, SCIATICA


BACK PAIN, RADICULOPATHY, SCIATICA

6,400
6,400

M54.50

Low back pain; Loin pain; Low back strain; Lumbago NOS
Multiple sites in spine

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.51

Low back pain; Loin pain; Low back strain; Lumbago NOS
occipito-atlanto-axial region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.52

Low back pain; Loin pain; Low back strain; Lumbago NOS
cervical region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.84
M54.88
M54.91

Other dorsalgia thoracic region


Other dorsalgia sacral and sacrococcygeal region
Dorsalgia, unspecified; Backache NOS occipito-atlanto-axial
region

BACK PAIN, RADICULOPATHY, SCIATICA


BACK PAIN, RADICULOPATHY, SCIATICA
BACK PAIN, RADICULOPATHY, SCIATICA

6,400
6,400
6,400

M54.93

Dorsalgia, unspecified; Backache NOS cervicothoracic


region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.96
M54.97

Dorsalgia, unspecified; Backache NOS lumbar region


Dorsalgia, unspecified; Backache NOS lumbosacral region

BACK PAIN, RADICULOPATHY, SCIATICA


BACK PAIN, RADICULOPATHY, SCIATICA

6,400
6,400

M54.98

Dorsalgia, unspecified; Backache NOS sacral and


sacrococcygeal region

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

M54.99

Dorsalgia, unspecified; Backache NOS site unspecified

BACK PAIN, RADICULOPATHY, SCIATICA

6,400

N31.0

Uninhibited neuropathic bladder, not elsewhere classified

BLADDER DYSFUNCTION

9,000

N31.1
N31.2

Reflex neuropathic bladder, not elsewhere classified


Flaccid neuropathic bladder, not elsewhere classified; Atonic Motor
Neuropathic bladder; Sensory Atonic Motor Neuropathic bladder;
Autonomous Neuropathic bladder ; Nonreflex Neuropathic bladder

BLADDER DYSFUNCTION
BLADDER DYSFUNCTION

9,000
9,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,
PAIN,

RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,
RADICULOPATHY,

Case Rate
N31.8
N31.9

Other neuromuscular dysfunction of bladder


Neuromuscular dysfunction of bladder, unspecified;
Neurogenic bladder dysfunction NOS

BLADDER DYSFUNCTION
BLADDER DYSFUNCTION

9,000
9,000

N32.9
N39.3
N39.4

Bladder disorder, unspecified


Stress incontinence
Other specified urinary incontinence; Overflow
incontinence, Reflex incontinence, Urge incontinence

BLADDER DYSFUNCTION
BLADDER DYSFUNCTION
BLADDER DYSFUNCTION

9,000
9,000
9,000

R32
A05.1

Unspecified urinary incontinence; Enuresis NOS


Botulism; Classical foodborne intoxication due to
Clostridium botulinum

BLADDER DYSFUNCTION
BOTULISM

9,000
4,800

G93.5

Compression of brain; [compression, Herniation] of brain


(stem)

BRAIN HERNIATION

22,400

N61

Inflammatory disorders of breast; Acute abscess of non puerperal areola;


Acute abscess nonpuerperal breast; Chronic abscess of nonpuerperal areola;
Chronic abscess of nonpuerperal breast; Carbuncle of breast; Acute mastitis
nonpuerperal, NOS; Acute inf

BREAST INFECTIONS

7,900

O91.0

Infection of nipple associated with childbirth; Gestational abscess of nipple;


Puerperal abscess of nipple

BREAST INFECTIONS

7,900

O91.1

Abscess of breast associated with childbirth; Mammary abscess gestational or BREAST INFECTIONS
puerperal; Purulent mastitis gestational or puerperal; Subareolar abscess
gestational or
puerperal

7,900

O91.2

Nonpurulent mastitis associated with childbirth; Lymphangitis of breast


gestational or puerperal; Mastitis NOS gestational or puerperal; Interstitial
mastitis gestational or puerperal; Parenchymatous mastitis
gestational or puerperal

BREAST INFECTIONS

7,900

O92.0
O92.1

Retracted nipple associated with childbirth


Cracked nipple associated with childbirth; Fissure of nipple,
gestational or puerperal

BREAST INFECTIONS
BREAST INFECTIONS

7,900
7,900

C50.0
C50.1
C50.2

Malignant neoplasm of Nipple and areola, breast


Malignant neoplasm of Central portion of breast
Malignant neoplasm of Upper-inner quadrant of breast

BREAST MALIGNANCY
BREAST MALIGNANCY
BREAST MALIGNANCY

11,800
11,800
11,800

C50.3

Malignant neoplasm of Lower-inner quadrant of breast

BREAST MALIGNANCY

11,800

C50.4

Malignant neoplasm of Upper-outer quadrant of breast

BREAST MALIGNANCY

11,800

C50.6
C50.8
C50.9
L10.0
L10.1
L10.2
L10.4
L10.8
L10.9
L11.0
L11.1
L11.9
L12.0
L12.1

Malignant neoplasm of Axillary tail of breast


Malignant neoplasm of Overlapping lesion of breast
Malignant neoplasm of Breast, unspecified
Pemphigus vulgaris
Pemphigus vegetans
Pemphigus foliaceus
Pemphigus erythematosus; Senear-Usher syndrome
Other pemphigus
Pemphigus, unspecified
Acquired keratosis follicularis
Transient acantholytic dermatosis [Grover]
Acantholytic disorder, unspecified
Bullous pemphigoid
Cicatricial pemphigoid; Benign mucous membrane
pemphigoid

BREAST MALIGNANCY
BREAST MALIGNANCY
BREAST MALIGNANCY
BULLOUS DISORDERS
BULLOUS DISORDERS
BULLOUS DISORDERS
BULLOUS DISORDERS
BULLOUS DISORDERS
BULLOUS DISORDERS
BULLOUS DISORDERS
BULLOUS DISORDERS
BULLOUS DISORDERS
BULLOUS DISORDERS
BULLOUS DISORDERS

11,800
11,800
11,800
12,000
12,000
12,000
12,000
12,000
12,000
12,000
12,000
12,000
12,000
12,000

L12.2

Chronic bullous disease of childhood; Juvenile dermatitis


herpetiformis

BULLOUS DISORDERS

12,000

L12.3
L12.8
L13.0
L13.1

Acquired epidermolysis bullosa


Other pemphigoid
Dermatitis herpetiformis; Duhring's disease
Subcorneal pustular dermatitis; Sneddon-Wilkinson disease

BULLOUS
BULLOUS
BULLOUS
BULLOUS

DISORDERS
DISORDERS
DISORDERS
DISORDERS

12,000
12,000
12,000
12,000

L13.9
T20.4
T21.0
T21.2
T21.5
T21.6
T22.2

Bullous disorder, unspecified


Corrosion of unspecified degree of head and neck
Burn of unspecified degree of trunk
Burn of second degree of trunk
Corrosion of first degree of trunk
Corrosion of second degree of trunk
Burn of second degree of shoulder and upper limb, except
wrist and hand

BULLOUS DISORDERS
BURN A
BURN A
BURN A
BURN A
BURN A
BURN A

12,000
8,500
8,500
8,500
8,500
8,500
8,500

T22.5

Corrosion of first degree of shoulder and upper limb,


except wrist and hand

BURN A

8,500

T22.6

Corrosion of second degree of shoulder and upper limb,


except wrist and hand

BURN A

8,500

T23.2
T23.4
T24.2

Burn of second degree of wrist and hand


Corrosion of unspecified degree of wrist and hand
Burn of second degree of hip and lower limb, except ankle
and foot

BURN A
BURN A
BURN A

8,500
8,500
8,500

T24.5

Corrosion of first degree of hip and lower limb, except


ankle and foot

BURN A

8,500

T24.6

Corrosion of second degree of hip and lower limb, except


ankle and foot

BURN A

8,500

T25.2

Burn of second degree of ankle and foot

BURN A

8,500

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

T25.5
T26.0
T26.4
T26.9
T27.3
T27.7
T28.9
T29.1

Corrosion of first degree of ankle and foot


Burn of eyelid and periocular area
Burn of eye and adnexa, part unspecified
Corrosion of eye and adnexa, part unspecified
Burn of respiratory tract, part unspecified
Corrosion of respiratory tract, part unspecified
Corrosion of other and unspecified internal organs
Burns of multiple regions, no more than first-degree burns
mentioned

BURN
BURN
BURN
BURN
BURN
BURN
BURN
BURN

A
A
A
A
A
A
A
A

8,500
8,500
8,500
8,500
8,500
8,500
8,500
8,500

T30.0

Burn of unspecified body region, unspecified degree; Burn


NOS

BURN A

8,500

T30.2

Burn of second degree, body region unspecified; Secodndegree burn NOS

BURN A

8,500

T30.3

Burn of third degree, body region unspecified; Third-degree


burn NOS

BURN A

8,500

T30.4

Corrosion of unspecified body region, unspecified degree;


Corrosion NOS

BURN A

8,500

T30.5

Corrosion of first degree, body region unspecified; Firstdegree corrosion NOS

BURN A

8,500

T30.6

Corrosion of second degree, body region unspecified;


Second-degree corrosion NOS

BURN A

8,500

T30.7

Corrosion of third degree, body region unspecified; Thriddegree corrosion NOS

BURN A

8,500

T31.0
T31.1
T32.0
T32.1
T34.1
T35.0

Burns involving less than 10% of body surface


Burns involving 10-19% of body surface
Corrosions involving less than 10% of body surface
Corrosions involving 10-19% of body surface
Frostbite with tissue necrosis of neck
Superficial frostbite involving multiple body regions;
Multiple superficial frosbite NOS

BURN
BURN
BURN
BURN
BURN
BURN

8,500
8,500
8,500
8,500
8,500
8,500

A
A
A
A
A
A

T35.1

Frostbite with tissue necrosis involving multiple body


regions; Multiple frosbite with tissue necrosis NOS

BURN A

8,500

T20.2
T20.3
T20.6
T22.3

Burn of second degree of head and neck


Burn of third degree of head and neck
Corrosion of second degree of head and neck
Burn of third degree of shoulder and upper limb, except
wrist and hand

BURN
BURN
BURN
BURN

B
B
B
B

10,600
10,600
10,600
10,600

T23.3
T23.6
T23.7
T24.3

Burn of third degree of wrist and hand


Corrosion of second degree of wrist and hand
Corrosion of third degree of wrist and hand
Burn of third degree of hip and lower limb, except ankle
and foot

BURN
BURN
BURN
BURN

B
B
B
B

10,600
10,600
10,600
10,600

T24.7

Corrosion of third degree of hip and lower limb, except


ankle and foot

BURN B

10,600

T25.3
T26.1
T26.2
T26.3
T26.6
T27.0
T27.2

Burn of third degree of ankle and foot


Burn of cornea and conjunctival sac
Burn with resulting rupture and destruction of eyeball
Burn of other parts of eye and adnexa
Corrosion of cornea and conjunctival sac
Burn of larynx and trachea
Burn of other parts of respiratory tract; Thoracic cavity

BURN
BURN
BURN
BURN
BURN
BURN
BURN

B
B
B
B
B
B
B

10,600
10,600
10,600
10,600
10,600
10,600
10,600

T28.0
T28.1
T28.2
T28.3
T28.5
T28.6
T28.7
T28.8
T29.2

Burn of mouth and pharynx


Burn of oesophagus
Burn of other parts of alimentary tract
Burn of internal genitourinary organs
Corrosion of mouth and pharynx
Corrosion of oesophagus
Corrosion of other parts of alimentary tract
Corrosion of internal genitourinary organs
Burns of multiple regions, no more than second-degree
burns mentioned

BURN
BURN
BURN
BURN
BURN
BURN
BURN
BURN
BURN

B
B
B
B
B
B
B
B
B

10,600
10,600
10,600
10,600
10,600
10,600
10,600
10,600
10,600

T29.3

Burns of multiple regions, at least one burn of third degree


mentioned

BURN B

10,600

T29.6

Corrosions of multiple regions, no more than seconddegree corrosions mentioned

BURN B

10,600

T31.2
T31.3
T31.4
T31.5
T32.2
T32.3
T32.4
T34.9

Burns involving 20-29% of body surface


Burns involving 30-39% of body surface
Burns involving 40-49% of body surface
Burns involving 50-59% of body surface
Corrosions involving 20-29% of body surface
Corrosions involving 30-39% of body surface
Corrosions involving 40-49% of body surface
Frostbite with tissue necrosis of other and unspecified
sites; Frosbite with tissue necrosis NOS; Frosbite with tissue of leg NOS;
Frosbite with tissue necrosis of trunk NOS

BURN
BURN
BURN
BURN
BURN
BURN
BURN
BURN

10,600
10,600
10,600
10,600
10,600
10,600
10,600
10,600

T21.3
T31.6
T31.7
T31.8
T31.9
T32.9
I47.0

Burn of third degree of trunk


Burns involving 60-69% of body surface
Burns involving 70-79% of body surface
Burns involving 80-89% of body surface
Burns involving 90% or more of body surface
Corrosions involving 90% or more of body surface
Re-entry ventricular arrhythmia

BURN C
BURN C
BURN C
BURN C
BURN C
BURN C
CARDIAC ARRHYTHMIA

16,100
16,100
16,100
16,100
16,100
16,100
12,200

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

B
B
B
B
B
B
B
B

Case Rate
I47.1

Supraventricular tachycardia; Atrial Paroxysmal tachycardia; Atrioventricular


[AV] Paroxysmal tachycardia; Junctional Paroxysmal tachycardia; Nodal
Paroxysmal
tachycardia

CARDIAC ARRHYTHMIA

12,200

I47.2
I47.9

Ventricular tachycardia
Paroxysmal tachycardia, unspecified; Bouveret (-Hoffmann)
syndrome

CARDIAC ARRHYTHMIA
CARDIAC ARRHYTHMIA

12,200
12,200

I48
I49.0
I49.1

ATRIAL FIBRILLATION AND FLUTTER


Ventricular fibrillation and flutter
Atrial premature depolarization; Atrial premature beats

CARDIAC ARRHYTHMIA
CARDIAC ARRHYTHMIA
CARDIAC ARRHYTHMIA

12,200
12,200
12,200

I49.2
I49.3
I49.4

Junctional premature depolarization


Ventricular premature depolarization
Other and unspecified premature depolarization; Ectopic beats; Extrasystoles;
Extrasystolic arrhythmias; Premature beats NOS; Premature contractions

CARDIAC ARRHYTHMIA
CARDIAC ARRHYTHMIA
CARDIAC ARRHYTHMIA

12,200
12,200
12,200

I49.5

Sick sinus syndrome; Tachycardia-bradycardia syndrome

CARDIAC ARRHYTHMIA

12,200

I49.8

Other specified cardiac arrhythmias; Coronary sinus rhythm disorder; Ectopic CARDIAC ARRHYTHMIA
rhythm disorder; nodal rhythm disorder

12,200

I49.9

Cardiac arrhythmia, unspecified; Cardiac arrhythmia NOS

CARDIAC ARRHYTHMIA

12,200

I42.0
I42.1

Dilated cardiomyopathy; Congestive cardiomyopathy


Obstructive hypertrophic cardiomyopathy; Hypertrophic
subaortic stenosis

CARDIOMYOPATHY
CARDIOMYOPATHY

13,400
13,400

I42.2

Other hypertrophic cardiomyopathy; Nonobstructive


hypertrophic cardiomyopathy

CARDIOMYOPATHY

13,400

I42.3

Endomyocardial (eosinophilic) disease; Endomyocardial


(tropical) fibrosis; Lffler's endocarditis

CARDIOMYOPATHY

13,400

I42.4

Endocardial fibroelastosis; Congenital cardiomyopathy

CARDIOMYOPATHY

13,400

I42.5

Other restrictive cardiomyopathy

CARDIOMYOPATHY

13,400

I42.6
I42.7

Alcoholic cardiomyopathy
Cardio myopathy due to drugs and other external agents

CARDIOMYOPATHY
CARDIOMYOPATHY

13,400
13,400

I42.8
I42.9

Other cardiomyopathies
Cardio myopathy, unspecified; Primary cardiomyopathy
NOS; Secondary cardiomyopathy NOS

CARDIOMYOPATHY
CARDIOMYOPATHY

13,400
13,400

P29.0

Neonatal cardiac failure

CARDIOVASCULAR COMPLICATIONS IN THE


NEWBORN

22,700

P29.1

Neonatal cardiac dysrhythmia

CARDIOVASCULAR COMPLICATIONS IN THE


NEWBORN

22,700

P29.2

Neonatal hypertension

CARDIOVASCULAR COMPLICATIONS IN THE


NEWBORN

22,700

P29.4

Transient myocardial ischaemia of newborn

CARDIOVASCULAR COMPLICATIONS IN THE


NEWBORN

22,700

P29.8

Other cardiovascular disorders originating in the perinatal


period

CARDIOVASCULAR COMPLICATIONS IN THE


NEWBORN

22,700

G83.4

Cauda equina syndrome; Neurogenic bladder due to cauda equina syndrome


Excludes: cord bladder NOS (G95.8)

CAUDA EQUINA SYNDROME

8,800

A46
A48.0

Erysipelas
Gas gangrene; Clostridial cellulitis; Clostridial myonecrosis

CELLULITIS
CELLULITIS

9,600
9,600

L03.0

Cellulitis of finger and toe; Infection of nail; Onychia;


Paronychia; Perionychia

CELLULITIS

9,600

L03.1

Cellulitis of other parts of limb, Axilla; Cellulitis of


Hip;Cellulitis of Shoulder

CELLULITIS

9,600

L03.2
L03.3

Cellulitis of face
Cellulitis of trunk;Cellulitis of Abdominal wall;Cellulitis of Back [any part];
Cellulitis of Chest wall;Cellulitis of Groin;Cellulitis of Perineum;Cellulitis of
Umbilicus

CELLULITIS
CELLULITIS

9,600
9,600

L03.8

Cellulitis of other sites; Cellulitis of Head [any part, except


face];Cellulitis of Scalp

CELLULITIS

9,600

L03.9
L98.3
G80.0

Cellulitis, unspecified
Eosinophilic cellulitis [Wells]
Spastic cerebral palsy; Congenital spastic paralysis
(cerebral); Spastic tetraplegic cerebral palsy

CELLULITIS
CELLULITIS
CEREBRAL PALSY

9,600
9,600
9,500

G80.1
G80.2
G80.3

Spastic diplegia; Spastic cerebral palsy NOS


Infantile hemiplegia
Dyskinetic cerebral palsy; Athetoid cerebral palsy; Dystonic
cerebral palsy

CEREBRAL PALSY
CEREBRAL PALSY
CEREBRAL PALSY

9,500
9,500
9,500

G80.4
G80.8

Ataxic cerebral palsy


Other infantile cerebral palsy; Mixed cerebral palsy
syndromes

CEREBRAL PALSY
CEREBRAL PALSY

9,500
9,500

G80.9

Infantile cerebral palsy, unspecified; Cerebral palsy NOS

CEREBRAL PALSY

9,500

K74.3

Primary biliary cirrhosis; Chronic nonsupparative


destructive cholangitis

CHOLANGITIS

13,200

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

K80.3

Calculus of bile duct with cholangitis; Any condition listed


in K80.5 with cholangitis

CHOLANGITIS

13,200

K80.0

Calculus of gallbladder with acute cholecystitis; Any


condition listed in K80.2 with acute cholecystitis

CHOLECYSTITIS

11,300

K80.1

Calculus of gallbladder with other cholecystitis; Any condition listed in K80.2


with chronic cholecystitis;
Cholecystitis with cholelithiasis NOS

CHOLECYSTITIS

11,300

K80.4

Calculus of bile duct with cholecystitis; Any condition listed


in K80.5 with cholecystitis (with cholangitis)

CHOLECYSTITIS

11,300

K81.0

Acute cholecystitis; Abscess of gallbladder without calculus; Angiocholecystitis CHOLECYSTITIS


without calculus; Acute emphysematous cholecystitis without calculus;
Gangrenous cholecystitis without calculus; Supparative cholecystitis without
calculus; Empyema of gallbl

11,300

K81.1
K81.8
Q90.0
Q90.2
Q90.9
Q91.0
Q91.2
Q91.3
Q91.7
Q92.9

Chronic cholecystitis
Other cholecystitis
Trisomy 21, meiotic nondisjunction
Trisomy 21, translocation
Down's syndrome, unspecified; Trisomy 21 NOS
Trisomy 18, meiotic nondisjunction
Trisomy 18, translocation
Edwards' syndrome, unspecified
Patau's syndrome, unspecified
Trisomy and partial trisomy of autosomes, unspecified

CHOLECYSTITIS
CHOLECYSTITIS
CHROMOSOMAL
CHROMOSOMAL
CHROMOSOMAL
CHROMOSOMAL
CHROMOSOMAL
CHROMOSOMAL
CHROMOSOMAL
CHROMOSOMAL

ABNORMALITIES
ABNORMALITIES
ABNORMALITIES
ABNORMALITIES
ABNORMALITIES
ABNORMALITIES
ABNORMALITIES
ABNORMALITIES

11,300
11,300
12,700
12,700
12,700
12,700
12,700
12,700
12,700
12,700

Q93.1

Whole chromosome monosomy, mosaicism (mitotic


nondisjunction)

CHROMOSOMAL ABNORMALITIES

12,700

Q93.2
Q93.4

Chromosome replaced with ring or dicentric


Deletion of short arm of chromosome 5; Cri-du-chat
syndrome

CHROMOSOMAL ABNORMALITIES
CHROMOSOMAL ABNORMALITIES

12,700
12,700

Q93.5

Other deletions of part of a chromosome; Angelman


syndrome

CHROMOSOMAL ABNORMALITIES

12,700

Q93.7
Q93.9
Q95.9

Deletions with other complex rearrangements


Deletion from autosomes, unspecified
Balanced rearrangement and structural marker, unspecified

CHROMOSOMAL ABNORMALITIES
CHROMOSOMAL ABNORMALITIES
CHROMOSOMAL ABNORMALITIES

12,700
12,700
12,700

Q96.9
Q97.9

Turner's syndrome, unspecified


Sex chromosome abnormality, female phenotype,
unspecified

CHROMOSOMAL ABNORMALITIES
CHROMOSOMAL ABNORMALITIES

12,700
12,700

Q98.4
Q99.2
Q99.8
N18.0
N18.8
N18.9
N19
J44.0

Klinefelter's syndrome, unspecified


Fragile X chromosome; Fragile X syndrome
Other specified chromosome abnormalities
End-stage renal disease
Other chronic renal failure
Chronic renal failure, unspecified; Uraemia NOS
Unspecified renal failure
Chronic obstructive/ asthmatic/ emphysematous pulmonary disease with acute
lower respiratory infection

CHROMOSOMAL ABNORMALITIES
CHROMOSOMAL ABNORMALITIES
CHROMOSOMAL ABNORMALITIES
CHRONIC KIDNEY DISEASE
CHRONIC KIDNEY DISEASE
CHRONIC KIDNEY DISEASE
CHRONIC KIDNEY DISEASE
CHRONIC OBSTRUCTIVE PULMONARY DISEASE

12,700
12,700
12,700
14,500
14,500
14,500
14,500
12,200

J44.1

Chronic obstructive/ asthmatic/ emphysematous pulmonary disease with acute CHRONIC OBSTRUCTIVE PULMONARY DISEASE
exacerbation, unspecified

12,200

J44.8

Chronic asthmatic (obstructive) bronchitis NOS; Chronic emphysematous


bronchitis NOS; Chronic obstructive
bronchitis NOS

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

12,200

J44.9

Chronic obstructive pulmonary disease, unspecified; Chronic obstructive


airway disease NOS; Chronic
obstructive lung disease NOS

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

12,200

Q35.0

CLEFT HARD PALATE, BILATERAL; BILATERAL FISSURE OF HARD PALATE;


BILATERAL PALATOSCHISIS OF HARD PALATE

CLEFT LIP AND PALATE

7,800

Q35.1
Q35.3
Q35.5
Q35.7
Q35.8
Q35.9
Q36.0
Q36.1
Q36.9
Q37.0
Q37.1

Cleft hard palate


Cleft soft palate
Cleft hard palate with cleft soft palate
Cleft uvula
CLEFT PALATE, UNSPECIFIED, BILATERAL
Cleft palate, unspecified
Cleft lip, bilateral
Cleft lip, median
Cleft lip, unilateral; Cleft lip NOS
Cleft hard palate with bilateral cleft lip
Cleft hard palate with unilateral cleft lip; Cleft hard palate
with cleft lip NOS

CLEFT
CLEFT
CLEFT
CLEFT
CLEFT
CLEFT
CLEFT
CLEFT
CLEFT
CLEFT
CLEFT

PALATE
PALATE
PALATE
PALATE
PALATE
PALATE
PALATE
PALATE
PALATE
PALATE
PALATE

7,800
7,800
7,800
7,800
7,800
7,800
7,800
7,800
7,800
7,800
7,800

Q37.2
Q37.3

Cleft soft palate with bilateral cleft lip


Cleft soft palate with unilateral cleft lip; Cleft soft palate
with cleft lip NOS

CLEFT LIP AND PALATE


CLEFT LIP AND PALATE

7,800
7,800

Q37.4
Q37.5

Cleft hard and soft palate with bilateral cleft lip


Cleft hard and soft palate with unilateral cleft lip; Cleft hard
and soft palate with cleft lip NOS

CLEFT LIP AND PALATE


CLEFT LIP AND PALATE

7,800
7,800

Q37.8
Q37.9

Unspecified cleft palate with bilateral cleft lip


Unspecified cleft palate with unilateral cleft lip; Cleft palate
with cleft lip NOS

CLEFT LIP AND PALATE


CLEFT LIP AND PALATE

7,800
7,800

F01.0

Vascular dementia of acute onset

COGNITIVE DYSFUNCTION

8,200

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

LIP
LIP
LIP
LIP
LIP
LIP
LIP
LIP
LIP
LIP
LIP

AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND

Case Rate
R41.0
R41.3
R54

Disorientation, unspecified; Confusion NOS


Other amnesia; Amnesia NOS
Senility; Old age without mention of psychosis; Senescence without mention
of psychosis; Senile asthenia; Senile
debility

COGNITIVE DYSFUNCTION
COGNITIVE DYSFUNCTION
COGNITIVE DYSFUNCTION

8,200
8,200
8,200

D34

Benign neoplasm of thyroid gland

COMPLICATIONS OF BENIGN NEOPLASMS OF


ENDOCRINE GLANDS

12,000

D35.0

Benign neoplasm of Adrenal gland

COMPLICATIONS OF BENIGN NEOPLASMS OF


ENDOCRINE GLANDS

12,000

D35.1

Benign neoplasm of Parathyroid gland

COMPLICATIONS OF BENIGN NEOPLASMS OF


ENDOCRINE GLANDS

12,000

D35.2

Benign neoplasm of Pituitary gland

COMPLICATIONS OF BENIGN NEOPLASMS OF


ENDOCRINE GLANDS

12,000

D35.3

Benign neoplasm of Craniopharyngeal duct

COMPLICATIONS OF BENIGN NEOPLASMS OF


ENDOCRINE GLANDS

12,000

D35.4

Benign neoplasm of Pineal gland

COMPLICATIONS OF BENIGN NEOPLASMS OF


ENDOCRINE GLANDS

12,000

D35.9

Benign neoplasm of Endocrine gland, unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF


ENDOCRINE GLANDS

12,000

D16.0

Benign neoplasm of Scapula and long bones of upper limb

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


BONES

10,500

D16.1

Benign neoplasm of Short bones of upper limb

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


BONES

10,500

D16.2

Benign neoplasm ofLong bones of lower limb

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


BONES

10,500

D16.3

Benign neoplasm of Short bones of lower limb

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


BONES

10,500

D16.4

Benign neoplasm of Bones of skull and face; Benign neoplasm of Superior


Maxilla; Benign neoplasm of Orbital
bone

COMPLICATIONS OF BENIGN NEOPLASMS OF THE BONES

10,500

D16.5

Benign neoplasm of Lower jaw bone

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


BONES

10,500

D16.6

Benign neoplasm of Vertebral column

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


BONES

10,500

D16.7

Benign neoplasm of Ribs, sternum and clavicle

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


BONES

10,500

D16.8

Benign neoplasm of Pelvic bones, sacrum and coccyx

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


BONES

10,500

D16.9

Benign neoplasm of Bone and articular cartilage,


unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


BONES

10,500

D12.0

Benign neoplasm of Caecum;Benign neoplasm of


Ileocaecal valve

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D12.1

Benign neoplasm of Appendix

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D12.3

Benign neoplasm of Transverse colon; Benign neoplasm of


Hepatic flexure; Benign neoplasm of Splenic flexure

COMPLICATIONS OF BENIGN NEOPLASMS OF THE DIGESTIVE


SYSTEM

8,700

D12.4

Benign neoplasm of Descending colon

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D12.5

Benign neoplasm of Sigmoid colon

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D12.6

Benign neoplasm of Colon, unspecified; Adenomatosis of colon; Benign


neoplasm of Large intestine NOS; Hereditary
Polyposis of colon

COMPLICATIONS OF BENIGN NEOPLASMS OF THE DIGESTIVE


SYSTEM

8,700

D12.7

Benign neoplasm of Rectosigmoid junction; Adenomatosis of colon; Benign


neoplasm of Large intestine NOS;
Hereditary Polyposis of colon

COMPLICATIONS OF BENIGN NEOPLASMS OF THE DIGESTIVE


SYSTEM

8,700

D12.8

Benign neoplasm of Rectum

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D12.9

Benign neoplasm of Anus and anal canal

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D13.0

Benign neoplasm of Oesophagus

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D13.1

Benign neoplasm of Stomach

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D13.2

Benign neoplasm of Duodenum

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D13.3

Benign neoplasm of Other and unspecified parts of small


intestine

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D13.4

Benign neoplasm of Liver; Benign neoplasm of Intrahepatic


bile ducts

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D13.5

Benign neoplasm of Extrahepatic bile ducts

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D13.6

Benign neoplasm of Pancreas

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D13.7

Benign neoplasm of Endocrine pancreas; Benign neoplasm of Islet cell


tumour; Benign neoplasm of Islets of
Langerhans

COMPLICATIONS OF BENIGN NEOPLASMS OF THE DIGESTIVE


SYSTEM

8,700

D13.9

Benign neoplasm of Ill-defined sites within the digestive system; Benign


neoplasm of Digestive system NOS; Benign neoplasm of Intestine NOS;
Benign neoplasm of Spleen

COMPLICATIONS OF BENIGN NEOPLASMS OF THE DIGESTIVE


SYSTEM

8,700

D17.5

Benign lipomatous neoplasm of intra-abdominal organs

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

D17.6

Benign lipomatous neoplasm of spermatic cord

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D17.7

Benign lipomatous neoplasm of other sites; Benign lipomatous neoplasm of


Peritoneum; Benign lipomatous
neoplasm of Retroperitoneum

COMPLICATIONS OF BENIGN NEOPLASMS OF THE DIGESTIVE


SYSTEM

8,700

D20.0

Benign neoplasm of of soft tissue of Retroperitoneum

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D20.1

Benign neoplasm of of soft tissue of Peritoneum

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D21.4

Benign neoplasm of Connective and other soft tissue of


abdomen

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


DIGESTIVE SYSTEM

8,700

D25.0

Submucous leiomyoma of uterus

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D25.1

Intramural leiomyoma of uterus

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D25.2

Subserosal leiomyoma of uterus

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D25.9

Leiomyoma of uterus, unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D26.0

Other Benign neoplasm of Cervix uteri

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D26.1

Other Benign neoplasm of Corpus uteri

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D26.7

Other Benign neoplasm of Other parts of uterus

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D26.9

Other Benign neoplasm of Uterus, unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D27

Benign neoplasm of ovary

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D28.0

Benign neoplasm of Vulva

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D28.1

Benign neoplasm of Vagina

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D28.2

Benign neoplasm of Uterine tubes and ligaments; Benign neoplasm of


Fallopian Tubes; Benign neoplasm of Uterine Broad Ligament; Benign
neoplasm of Uterine round
ligament

COMPLICATIONS OF BENIGN NEOPLASMS OF THE FEMALE GENITAL 9,600


TRACT

D28.7

Benign neoplasm of Other specified female genital organs

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D28.9

Benign neoplasm of Female genital organ, unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


FEMALE GENITAL TRACT

9,600

D29.0

Benign neoplasm of Penis

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


MALE GENITAL TRACT

7,700

D29.1

Benign neoplasm of Prostate

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


MALE GENITAL TRACT

7,700

D29.2

Benign neoplasm of Testis

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


MALE GENITAL TRACT

7,700

D29.4

Benign neoplasm of Scrotum; Benign neoplasm of Skin of


scrotum

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


MALE GENITAL TRACT

7,700

D32.0

Benign neoplasm of Cerebral meninges

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


NERVOUS SYSTEM

14,800

D32.1

Benign neoplasm of Spinal meninges

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


NERVOUS SYSTEM

14,800

D32.9

Benign neoplasm of Meninges, unspecified; Meningioma


NOS

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


NERVOUS SYSTEM

14,800

D33.0

Benign neoplasm of Brain, supratentorial; Benign neoplasm of Cerebral


ventricle; Benign neoplasm of Cerebrum;
Benign neoplasm of Frontal lobe; Benign neoplasm of
Occipital lobe; Benign neoplasm of Parietal lobe; Benign neoplasm of
Temporal lobe

COMPLICATIONS OF BENIGN NEOPLASMS OF THE NERVOUS


SYSTEM

14,800

D33.1

Benign neoplasm of Brain, infratentorial; Benign neoplasm of Brain stem;


Benign neoplasm of Cerebellum; Benign
neoplasm of Fourth ventricle

COMPLICATIONS OF BENIGN NEOPLASMS OF THE NERVOUS


SYSTEM

14,800

D33.2

Benign neoplasm of Brain, unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


NERVOUS SYSTEM

14,800

D33.3

Benign neoplasm of Cranial nerves; Benign neoplasm of


Olfactory bulb

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


NERVOUS SYSTEM

14,800

D33.4

Benign neoplasm of Spinal cord

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


NERVOUS SYSTEM

14,800

D33.7

Benign neoplasm of Other specified parts of central


nervous system

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


NERVOUS SYSTEM

14,800

D33.9

Benign neoplasm of Central nervous system, unspecified;


Central Nervous system NOS

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


NERVOUS SYSTEM

14,800

D36.1

Benign neoplasm of Peripheral nerves and autonomic


nervous system

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


NERVOUS SYSTEM

14,800

D10.0

Benign neoplasm of Lip; Benign neoplasm of frenulum of


Lip; Benign neoplasm of Inner aspect of lip; Benign neoplasm of Mucosa of
Lip; Vermilion border of Lip

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

D10.1

Benign neoplasm of Tongue;Benign neoplasm of Lingual tonsil

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

D10.3

Benign neoplasm of Other and unspecified parts of mouth; Benign neoplasm


of Minor salivary gland NOS

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

D10.6

Benign neoplasm of Nasopharynx; Benign neoplasm of


Pharyngeal tonsil; Benign neoplasm of Posterior margin of septum and
choanae

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

D10.7

Benign neoplasm of Hypopharynx

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

D10.9

Benign neoplasm of Pharynx, unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

D11.0

Benign neoplasm of Parotid gland

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

D11.7

Benign neoplasm of Other major salivary glands

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

D11.9

Benign neoplasm of Major salivary gland, unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

D14.1

Benign neoplasm of Larynx; Benign neoplasm of suprahyoid portion of


Epiglottis

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

D14.2

Benign neoplasm of Trachea

COMPLICATIONS OF BENIGN NEOPLASMS OF THE ORAL


PHARYNX,
LARYNX,
SALIVARY
GLANDS

CAVITY,

9,500

D30.0

Benign neoplasm of Kidney

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


URINARY SYSTEM

8,300

D30.1

Benign neoplasm of Renal pelvis

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


URINARY SYSTEM

8,300

D30.3

Benign neoplasm of Bladder; Benign neoplasm of Urethral orifice of bladder;


Benign neoplasm of ureteric orifice of
bladder

COMPLICATIONS OF BENIGN NEOPLASMS OF THE URINARY


SYSTEM

8,300

D30.4

Benign neoplasm of Urethra

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


URINARY SYSTEM

8,300

D30.9

Benign neoplasm of Urinary organ, unspecified; Benign


neoplasm of Urinary system NOS

COMPLICATIONS OF BENIGN NEOPLASMS OF THE


URINARY SYSTEM

8,300

I51.0

Cardiac septal defect, acquired; Acquired atrial septal defect old; Acquired
auricular septal defect old ; Acquired
ventricular septal defect old

COMPLICATIONS OF HEART DISEASES

14,400

I51.1

Rupture of chordae tendineae, not elsewhere classified

COMPLICATIONS OF HEART DISEASES

14,400

I51.2
I51.3

Rupture of papillary muscle, not elsewhere classified


Intra cardiac thrombosis, notel sewhere classified; Old
Apical thrombosis; Old Atrial thrombosis; Old Auricular thrombosis; Old
Venticular thrombosis

COMPLICATIONS OF HEART DISEASES


COMPLICATIONS OF HEART DISEASES

14,400
14,400

I51.4

Myocarditis, unspecified; Myocardial fibrosis; Myocarditis


NOS; Chronic interstitial myocarditis

COMPLICATIONS OF HEART DISEASES

14,400

I51.5

Myocardial degeneration; Fatty Degeneration of heart or myocardium fatty;


Senile Degeneration of heart or
myocardium; Myocardial disease

COMPLICATIONS OF HEART DISEASES

14,400

I51.8

Other ill-defined heart diseases; Acute carditis; Chronic


Carditis; Acute pancarditis; Chronic pancarditis

COMPLICATIONS OF HEART DISEASES

14,400

D18.0

Haemangioma, any site; Angioma NOS

COMPLICATIONS OF HEMANGIOMA AND


LYMPHANGIOMA

9,000

D18.1

Lymphangioma, any site

COMPLICATIONS OF HEMANGIOMA AND


LYMPHANGIOMA

9,000

D14.3

Benign neoplasm of Bronchus and lung

COMPLICATIONS OF INTRATHORACIC BENIGN


NEOPLASMS

10,100

D14.4

Benign neoplasm of Respiratory system, unspecified

COMPLICATIONS OF INTRATHORACIC BENIGN


NEOPLASMS

10,100

D15.0

Benign neoplasm of Thymus

COMPLICATIONS OF INTRATHORACIC BENIGN


NEOPLASMS

10,100

D15.1

Benign neoplasm of Heart

COMPLICATIONS OF INTRATHORACIC BENIGN


NEOPLASMS

10,100

D15.2

Benign neoplasm of Mediastinum

COMPLICATIONS OF INTRATHORACIC BENIGN


NEOPLASMS

10,100

D15.9

Benign neoplasm of Intrathoracic organ, unspecified

COMPLICATIONS OF INTRATHORACIC BENIGN


NEOPLASMS

10,100

D17.4

Benign lipomatous neoplasm of intrathoracic organs

COMPLICATIONS OF INTRATHORACIC BENIGN


NEOPLASMS

10,100

D21.3

Benign neoplasm of Connective and other soft tissue of thorax; Benign


neoplasm of Connective and other soft tissue of Axilla; Benign neoplasm of
Connective and other soft tissue of Diaphragm; Benign neoplasm of
Connective
and other soft tissue of Great v

COMPLICATIONS OF INTRATHORACIC BENIGN NEOPLASMS

10,100

A52.1

Late Symptomatic neurosyphilis; Tabes dorsalis

COMPLICATIONS OF SEXUALLY TRANSMITTED


DISEASES

5,500

A52.3

Neurosyphilis, unspecified; Syphilitic Gumma of central nervous system NOS; COMPLICATIONS OF SEXUALLY TRANSMITTED DISEASES
Late Syphilis of central nervous system NOS; Syphiloma of central nervous
system NOS

5,500

A52.7

Other symptomatic late syphilis

COMPLICATIONS OF SEXUALLY TRANSMITTED


DISEASES

5,500

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

A53.0

Latent syphilis, unspecified as early or late; Latent syphilis


NOS; Positive serological reaction for syphilis

COMPLICATIONS OF SEXUALLY TRANSMITTED DISEASES

5,500

A54.1

Gonococcal infection of lower genitourinary tract with periurethral and


accessory gland abscess; Gonococcal
Bartholin's gland abscess

COMPLICATIONS OF SEXUALLY TRANSMITTED DISEASES

5,500

A54.2

GONOCOCCAL PELVIPERITONITIS AND OTHER


GONOCOCCAL GENITOURINARY INFECTIONS

COMPLICATIONS OF SEXUALLY TRANSMITTED


DISEASES

5,500

A54.8

Gonococcal septicaemia; Gonococcal skin lesions

COMPLICATIONS OF SEXUALLY TRANSMITTED


DISEASES

5,500

A55

Chlamydial lymphogranuloma (venereum); Climatic or tropical bubo ; Durand- COMPLICATIONS OF SEXUALLY TRANSMITTED DISEASES
Nicolas-Favre disease; Esthiomene;
Lymphogranuloma inguinale

5,500

A56.1

Chlamydial infection of pelviperitoneum and other


genitourinary organs;

COMPLICATIONS OF SEXUALLY TRANSMITTED


DISEASES

5,500

A59

Trichomoniasis

COMPLICATIONS OF SEXUALLY TRANSMITTED


DISEASES

5,500

T79.0
T79.1
T79.2
T79.3

Air embolism (traumatic)


Fat embolism (traumatic)
Traumatic secondary and recurrent haemorrhage
Post-traumatic wound infection, not elsewhere classified

COMPLICATIONS
COMPLICATIONS
COMPLICATIONS
COMPLICATIONS

TRAUMA
TRAUMA
TRAUMA
TRAUMA

9,300
9,300
9,300
9,300

T79.4

Traumatic shock; immediate shock following injury;


Delayed shock following injury

COMPLICATIONS OF TRAUMA

9,300

T79.5

Traumatic anuria; Crush syndrome; Renal failure following


crushing

COMPLICATIONS OF TRAUMA

9,300

T79.6

Traumatic ischaemia of muscle; Compartment syndrome;


Volkmann's ischaemic contracture

COMPLICATIONS OF TRAUMA

9,300

T79.7
T79.8
E25.0

Traumatic subcutaneous emphysema


Other early complications of trauma
Congenital adrenogenital disorders associated with enzyme deficiency;
Congenital adrenal hyperplasia; 21-Hydroxylase deficiency; Salt-losing
congenital adrenal hyperplasia

COMPLICATIONS OF TRAUMA
COMPLICATIONS OF TRAUMA
CONGENITAL ANDROGENITAL DISORDER

9,300
9,300
7,800

P61.2
P61.3
P61.4

Anaemia of prematurity
Congenital anaemia from fetal blood loss
Other congenital anaemias, not elsewhere classified;
Congenital anaemia NOS

CONGENITAL ANEMIA
CONGENITAL ANEMIA
CONGENITAL ANEMIA

15,200
15,200
15,200

D64.4

Congenital dyserythropoietic anaemia; Congenital


Dyshaematopoietic anaemia

CONGENITAL BLOOD DISORDERS

4,000

D74.0
Q80.2
Q80.9
Q81.2
Q81.8
Q81.9
Q82.0
Q82.2
Q82.3
Q82.4
Q82.8

Congenital methaemoglobinaemia
Lamellar ichthyosis; Collodion baby
Congenital ichthyosis, unspecified
Epidermolysis bullosa dystrophica
Other epidermolysis bullosa
Epidermolysis bullosa, unspecified
Hereditary lymphoedema
Mastocytosis; Urticaria pigmentosa
Incontinentia pigmenti
Ectodermal dysplasia (anhidrotic)
Other specified congenital malformations of skin; Abnormal palmar creases;
Accessory skin tags; Benign familial pemphigus [Hailey-Hailey]; Cutis laxa
(hyperelastica); Dermatoglyphic anomalies; Inherited keratosis palmaris et
plantaris; Keratosis follicula

CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL

BLOOD DISORDERS
DERMATOLOGIC DISEASES
DERMATOLOGIC DISEASES
DERMATOLOGIC DISEASES
DERMATOLOGIC DISEASES
DERMATOLOGIC DISEASES
DERMATOLOGIC DISEASES
DERMATOLOGIC DISEASES
DERMATOLOGIC DISEASES
DERMATOLOGIC DISEASES
DERMATOLOGIC DISEASES

4,000
11,800
11,800
11,800
11,800
11,800
11,800
11,800
11,800
11,800
11,800

Q84.8

Other specified congenital malformations of integument;


Aplasia cutis congenita

CONGENITAL DERMATOLOGIC DISEASES

11,800

Q50.1

Developmental ovarian cyst

CONGENITAL DISORDERS OF THE FEMALE GENITAL


TRACT

9,300

OF
OF
OF
OF

Q50.3

Other congenital malformations of ovary; Accessory ovary; Congenital


malformation of ovary NOS; Ovarian streak

CONGENITAL DISORDERS OF THE FEMALE GENITAL TRACT

9,300

Q50.4

Embryonic cyst of fallopian tube; Fimbrial cyst

CONGENITAL DISORDERS OF THE FEMALE GENITAL


TRACT

9,300

Q50.5

Embryonic cyst of broad ligament; Cyst epoophoron;


Gartner's duct Cyst; Parovarian Cyst

CONGENITAL DISORDERS OF THE FEMALE GENITAL


TRACT

9,300

Q50.6

Other congenital malformations of fallopian tube and broad ligament;


Absence of fallopian tube or broad ligament; Accessory of fallopian tube or
broad ligament; Atresia of fallopian tube or broad ligament; Congenital
malformation of fallopian tube or bro

CONGENITAL DISORDERS OF THE FEMALE GENITAL TRACT

9,300

Q51.0

Agenesis and aplasia of uterus; Congenital absence of


uterus

CONGENITAL DISORDERS OF THE FEMALE GENITAL


TRACT

9,300

Q51.9

Congenital malformation of uterus and cervix, unspecified

CONGENITAL DISORDERS OF THE FEMALE GENITAL


TRACT

9,300

Q65.6

Unstable hip; Dislocatable hip; Subluxatable hip

CONGENITAL DISORDERS OF THE


MUSCULOSKELETAL SYSTEM

5,300

Q67.3

Plagiocephaly

CONGENITAL DISORDERS OF THE


MUSCULOSKELETAL SYSTEM

5,300

Q67.4

Other congenital deformities of skull, face and jaw; Depressions in skull;


Deviation of nasal septum, congenital; Hemifacial atrophy or hypertrophy;
Squashed or bent nose,
congenital

CONGENITAL DISORDERS OF THE MUSCULOSKELETAL SYSTEM

5,300

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

Q67.6

Pectus excavatum; Congenital funnel chest

CONGENITAL DISORDERS OF THE


MUSCULOSKELETAL SYSTEM

5,300

Q67.7

Pectus carinatum; Congenital pigeon chest

CONGENITAL DISORDERS OF THE


MUSCULOSKELETAL SYSTEM

5,300

Q68.0

Congenital deformity of sternocleidomastoid muscle; Congenital,


sternomastoid torticollis; Contracture of sternocleidomastoid muscle;
Sternomastoid tumour,
congenital

CONGENITAL DISORDERS OF THE MUSCULOSKELETAL SYSTEM

5,300

Q76.3

Congenital scoliosis due to congenital bony malformation; Hemivertebra fusion CONGENITAL DISORDERS OF THE MUSCULOSKELETAL SYSTEM
or failure of segmentation with
scoliosis

5,300

Q78.0

Osteogenesis imperfecta; Fragilitas ossium

CONGENITAL DISORDERS OF THE


MUSCULOSKELETAL SYSTEM

5,300

Q78.2

Osteopetrosis; Albers-Schnberg syndrome

CONGENITAL DISORDERS OF THE


MUSCULOSKELETAL SYSTEM

5,300

Q78.8

Other specified osteochondrodysplasias; Osteopoikilosis

CONGENITAL DISORDERS OF THE


MUSCULOSKELETAL SYSTEM

5,300

Q78.9

Osteochondrodysplasia, unspecified; Chondrodystrophy


NOS; Osteodystrophy NOS

CONGENITAL DISORDERS OF THE


MUSCULOSKELETAL SYSTEM

5,300

Q87.5

Other congenital malformation syndromes with other


skeletal changes

CONGENITAL DISORDERS OF THE


MUSCULOSKELETAL SYSTEM

5,300

Q39.0

Atresia of oesophagus without fistula; Atresia of


oesophagus NOS

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q39.1

Atresia of oesophagus with tracheo-oesophageal fistula; Atresia of oesophagus CONGENITAL GASTROINTESTINAL DISORDERS
with broncho-oesophageal fistula

11,300

Q39.2

Congenital tracheo-oesophageal fistula without atresia;


Congenital tracheo-oesophageal fistula NOS

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q39.6
Q39.9
Q40.0

Diverticulum of oesophagus; Oesophageal pouch


CONGENITAL GASTROINTESTINAL DISORDERS
Congenital malformation of oesophagus, unspecified
CONGENITAL GASTROINTESTINAL DISORDERS
Congenital hypertrophic pyloric stenosis; Congenital or infantile constriction of CONGENITAL GASTROINTESTINAL DISORDERS
pylorus; Congenital or infantile hypertrophy of pylorus; Congenital or infantile
spasm of pylorus; Congenital or infantile stenosis of pylorus;
Congenital or infantile stric

11,300
11,300
11,300

Q40.1

Congenital hiatus hernia; Displacement of cardia through


oesophageal hiatus

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q40.2

Other specified congenital malformations of stomach; Congenital


displacement of stomach; Congenital diverticulum of stomach; Congenital
hourglass stomach; Duplication of stomach; Megalogastria; Microgastria

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q40.9

Congenital malformation of upper alimentary tract, unspecified; Congenital


anomaly NOS of upper alimentary tract; Congenital deformity NOS of upper
alimentary tract

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q41.0

Congenital absence, atresia and stenosis of duodenum

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q41.1

Congenital absence, atresia and stenosis of jejunum; Apple


peel syndrome; Imperforate jejunum

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q41.2
Q41.9

Congenital absence, atresia and stenosis of ileum


Congenital absence, atresia and stenosis of small intestine, part unspecified;
Congenital absence, atresia and stenosis
of intestine NOS

CONGENITAL GASTROINTESTINAL DISORDERS


CONGENITAL GASTROINTESTINAL DISORDERS

11,300
11,300

Q42.0

Congenital absence, atresia and stenosis of rectum with


fistula

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q42.1

Congenital absence, atresia and stenosis of rectum without


fistula; Imperforate rectum

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q42.2

Congenital absence, atresia and stenosis of anus with


fistula

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q42.3

Congenital absence, atresia and stenosis of anus without


fistula; Imperforate anus

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q42.9

Congenital absence, atresia and stenosis of large intestine,


part unspecified

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q43.0

Meckel's diverticulum; Persistent omphalomesenteric duct;


Persistent vitelline duct

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q43.1

Hirschsprung's disease; Aganglionosis; Congenital


(aganglionic) megacolon

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q43.2

Other congenital functional disorders of colon; Congenital


dilatation of colon

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q43.3

Congenital malformations of intestinal fixation; Congenital anomalous


omental adhesions [bands] ; Congenital peritoneal adhesions [bands];
Jackson's membrane; Malrotation of colon; Failure of rotation of caecum and
colon; Incomplete rotation of caecum a

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q43.4
Q43.5
Q43.6
Q43.7

Duplication of intestine
Ectopic anus
Congenital fistula of rectum and anus
Persistent cloaca; Cloaca NOS

CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL

11,300
11,300
11,300
11,300

ICD CODE

DESCRIPTION

GROUP

GASTROINTESTINAL
GASTROINTESTINAL
GASTROINTESTINAL
GASTROINTESTINAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS

FIRST CASE RATE


Case Rate

Q43.8

Other specified congenital malformations of intestine; Congenital blind loop


syndrome; Congenital diverticulitis, colon; Congenital diverticulum, intestine;
Dolichocolon; Megaloappendix; Megaloduodenum;
Microcolon; Transposition of appendix; Transpositio

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q43.9
Q44.0

Congenital malformation of intestine, unspecified


Agenesis, aplasia and hypoplasia of gallbladder; Congenital
absence of gallbladder

CONGENITAL GASTROINTESTINAL DISORDERS


CONGENITAL GASTROINTESTINAL DISORDERS

11,300
11,300

Q44.1

Other congenital malformations of gallbladder; Congenital malformation of


gallbladder NOS; Intrahepatic gallbladder

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q44.2
Q44.3
Q44.4
Q44.5

Atresia of bile ducts


Congenital stenosis and stricture of bile ducts
Choledochal cyst
Other congenital malformations of bile ducts; Accessory hepatic duct;
Congenital malformation of bile duct NOS; Biliary duct Duplication; Cystic duct
Duplication

CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS

11,300
11,300
11,300
11,300

Q44.6
Q44.7

Cystic disease of liver; Fibrocystic disease of liver


Other congenital malformations of liver; Accessory liver; Alagille's syndrome;
Congenital absence of liver; Congenital hepatomegaly; Congenital
malformation of liver NOS

CONGENITAL GASTROINTESTINAL DISORDERS


CONGENITAL GASTROINTESTINAL DISORDERS

11,300
11,300

Q45.0

Agenesis, aplasia and hypoplasia of pancreas; Congenital


absence of pancreas

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q45.8

Other specified congenital malformations of digestive system; Absence of


alimentary tract NOS, complete; Absence of alimentary tract NOS, partial;
Duplication of digestive organs NOS; Malposition, congenital of digestive
organs NOS

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q45.9

Congenital malformation of digestive system, unspecified; Congenital


anomaly NOS of digestive system ; Congenital deformity NOS of digestive
system

CONGENITAL GASTROINTESTINAL DISORDERS

11,300

Q79.0
Q79.1

Congenital diaphragmatic hernia


Other congenital malformations of diaphragm; Absence of diaphragm;
Congenital malformation of diaphragm NOS;
Eventration of diaphragm

CONGENITAL GASTROINTESTINAL DISORDERS


CONGENITAL GASTROINTESTINAL DISORDERS

11,300
11,300

Q79.2
Q79.3
Q79.4
Q79.5
Q20.0
Q20.1
Q20.2
Q20.3

Exomphalos; Omphalocele
Gastroschisis
Prune belly syndrome
Other congenital malformations of abdominal wall
Common arterial trunk; Persistent truncus arteriosus
Double outlet right ventricle; Taussig-Bing syndrome
Double outlet left ventricle
Discordant ventriculoarterial connection; Dextrotransposition of aorta;
Transposition of great vessels
(complete)

CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL

11,300
11,300
11,300
11,300
11,600
11,600
11,600
11,600

Q20.4

Double inlet ventricle; Common ventricle; Cor triloculare


biatriatum; Single ventricle

CONGENITAL HEART DISEASES

11,600

Q20.5

Discordant atrioventricular connection; Corrected transposition;


Laevotransposition; Ventricular inversion

CONGENITAL HEART DISEASES

11,600

Q20.9

Congenital malformation of cardiac chambers and


connections, unspecified

CONGENITAL HEART DISEASES

11,600

Q21.0
Q21.1

Ventricular septal defect


Atrial septal defect; Coronary sinus defect; Patent or persistent foramen
ovale; Patent or persistent ostium
secundum defect (type II); Sinus venosus defect

CONGENITAL HEART DISEASES


CONGENITAL HEART DISEASES

11,600
11,600

Q21.2

Atrioventricular septal defect; Common atrioventricular canal; Endocardial


cushion defect; Ostium primum atrial
septal defect (type I)

CONGENITAL HEART DISEASES

11,600

Q21.3

Tetralogy of Fallot; Ventricular septal defect with pulmonary stenosis or


atresia, dextroposition of aorta and
hypertrophy of right ventricle.

CONGENITAL HEART DISEASES

11,600

Q21.4

Aortopulmonary septal defect; Aortic septal defect;


Aortopulmonary window

CONGENITAL HEART DISEASES

11,600

Q21.8

Other congenital malformations of cardiac septa;


Eisenmenger's defect; Pentalogy of Fallot

CONGENITAL HEART DISEASES

11,600

Q21.9

Congenital malformation of cardiac septum, unspecified;


Septal (heart) defect NOS

CONGENITAL HEART DISEASES

11,600

Q22.0

Pulmonary valve atresia

CONGENITAL HEART DISEASES

11,600

GASTROINTESTINAL
GASTROINTESTINAL
GASTROINTESTINAL
GASTROINTESTINAL

GASTROINTESTINAL
GASTROINTESTINAL
GASTROINTESTINAL
GASTROINTESTINAL
HEART DISEASES
HEART DISEASES
HEART DISEASES
HEART DISEASES

DISORDERS
DISORDERS
DISORDERS
DISORDERS

Q22.1
Q22.2

Congenital pulmonary valve stenosis


Congenital pulmonary valve insufficiency; Congenital
pulmonary valve regurgitation

CONGENITAL HEART DISEASES


CONGENITAL HEART DISEASES

11,600
11,600

Q22.4
Q22.5
Q22.6
Q22.8
Q23.0

Congenital tricuspid stenosis; Tricuspid atresia


Ebstein's anomaly
Hypoplastic right heart syndrome
Other congenital malformations of tricuspid valve
Congenital stenosis of aortic valve; Congenital aortic
atresia; Congenital aortic stenosis

CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

11,600
11,600
11,600
11,600
11,600

Q23.1

Congenital insufficiency of aortic valve; Bicuspid aortic


valve; Congenital aortic insufficiency

CONGENITAL HEART DISEASES

11,600

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

HEART
HEART
HEART
HEART
HEART

Case Rate
Q23.2
Q23.3
Q23.4

Congenital mitral stenosis; Congenital mitral atresia


CONGENITAL HEART DISEASES
Congenital mitral insufficiency
CONGENITAL HEART DISEASES
Hypoplastic left heart syndrome; Atresia, or marked hypoplasia of aortic orifice CONGENITAL HEART DISEASES
or valve, with hypoplasia of ascending aorta and defective development of
left ventricle (with mitral valve stenosis or
atresia).

11,600
11,600
11,600

Q23.8

Other congenital malformations of aortic and mitral valves

CONGENITAL HEART DISEASES

11,600

Q23.9

Congenital malformation of aortic and mitral valves,


unspecified

CONGENITAL HEART DISEASES

11,600

Q24.0
Q24.2
Q24.3
Q24.4
Q24.5

Dextrocardia
Cor triatriatum
Pulmonary infundibular stenosis
Congenital subaortic stenosis
Malformation of coronary vessels; Congenital coronary
(artery) aneurysm

CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

11,600
11,600
11,600
11,600
11,600

Q24.6
Q24.8

Congenital heart block


Other specified congenital malformations of heart; Congenital diverticulum of
left ventricle; Congenital malformation of myocardium; Congenital
malformation of pericardium; Malposition of heart; Uhl's disease

CONGENITAL HEART DISEASES


CONGENITAL HEART DISEASES

11,600
11,600

Q24.9

Congenital malformation of heart, unspecified; Congenital anomaly NOS of


heart; Congenital disease NOS of heart

CONGENITAL HEART DISEASES

11,600

Q25.0

Patent ductus arteriosus; Patent ductus Botallo; Persistent


ductus arteriosus

CONGENITAL HEART DISEASES

11,600

Q25.1

Coarctation of aorta; Preductal coarctation of aorta;


Postductal coarctation of aorta

CONGENITAL HEART DISEASES

11,600

Q25.2
Q25.3
Q25.4

Atresia of aorta
Stenosis of aorta; Supravalvular aortic stenosis
Other congenital malformations of aorta; Absence of aorta; Aplasia of aorta;
Congenital aneurysm of aorta; Congenital dilatation of aorta; Aneurysm of
sinus of valsalva (rupture); Double aortic arch [vascular ring or aorta];
Hypoplasia of aorta; Persisten

CONGENITAL HEART DISEASES


CONGENITAL HEART DISEASES
CONGENITAL HEART DISEASES

11,600
11,600
11,600

Q25.5
Q25.6
Q25.7

Atresia of pulmonary artery


Stenosis of pulmonary artery
Other congenital malformations of pulmonary artery; aberrant pulmonary
artery; agenesis of pulmonary artery; aneurysm, congenital of pulmonary
artery; anomaly of pulmonary artery; hypoplasia of pulmonary artery;
pulmonary arteriovenous aneurysm

CONGENITAL HEART DISEASES


CONGENITAL HEART DISEASES
CONGENITAL HEART DISEASES

11,600
11,600
11,600

Q25.8
Q25.9

Other congenital malformations of great arteries


Congenital malformation of great arteries, unspecified

CONGENITAL HEART DISEASES


CONGENITAL HEART DISEASES

11,600
11,600

Q26.0

Congenital stenosis of vena cava; Congenital stenosis of inferior vena cava;


Congenital stenosis ofsuperior vena
cava

CONGENITAL HEART DISEASES

11,600

Q26.2
Q26.4

Total anomalous pulmonary venous connection


Anomalous pulmonary venous connection, unspecified

CONGENITAL HEART DISEASES


CONGENITAL HEART DISEASES

11,600
11,600

Q26.8

Other congenital malformations of great veins; Absence of inferior vena cava ; CONGENITAL HEART DISEASES
Absence of superior vena cava ; Azygos continuation of inferior vena cava;
Persistent left posterior cardinal vein; Scimitar syndrome

11,600

Q26.9

Congenital malformation of great vein, unspecified; Anomaly of inferior vena CONGENITAL HEART DISEASES
cava NOS; Anomaly of superior
vena cava NOS

11,600

E00.0

Congenital iodine-deficiency syndrome, neurological type;


Endemic cretinism, neurological type

CONGENITAL HYPOTHYROIDISM

9,900

E03.0

Congenital hypothyroidism with diffuse goitre; Nontoxic congenital Goitre NOS; CONGENITAL HYPOTHYROIDISM
Nontoxic ongenital
parenchymatous Goitre

9,900

E03.1

Congenital hypothyroidism without goitre; Aplasia of thyroid (with


myxoedema); Congenital atrophy of thyroid;
Congenital hypothyroidism NOS

CONGENITAL HYPOTHYROIDISM

9,900

Q00.0

Anencephaly; Acephaly; Acrania; Amyelencephaly;


Hemicephaly; Hemicephaly

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q01.0

Frontal encephalocele

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q01.1

Nasofrontal encephalocele

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

HEART
HEART
HEART
HEART
HEART

Q01.2

Occipital encephalocele

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q01.8

Encephalocele of other sites

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q02

Microcephaly; Hydromicrocephaly; Micrencephalon

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

Q03.0

Malformations of aqueduct of Sylvius; Anomaly of


aqueduct of sylvius; Obstruction, congenital of aqueduct of sylvius; Stenosis
of aqueduct of sylvius

CONGENITAL MALFORMATIONS OF THE BRAIN/NERVOUS SYSTEM

13,000

Q03.1

Atresia of foramina of Magendie and Luschka; DandyWalker syndrome

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q04.0

Congenital malformations of corpus callosum; Agenesis of


corpus callosum

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q04.2

Holoprosencephaly

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q04.3

Other reduction deformities of brain; Absence of part of brain; Agenesis of


part of brain; Aplasia of part of brain; Hypoplasia of part of brain ; Agyria;
Hydranencephaly; Lissencephaly; Microgyria; Pachygyria

CONGENITAL MALFORMATIONS OF THE BRAIN/NERVOUS SYSTEM

13,000

Q04.4

Septo-optic dysplasia

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q04.6

Congenital cerebral cysts; Porencephaly; Schizencephaly

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q04.8

Other specified congenital malformations of brain;


Macrogyria

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q04.9

Congenital malformation of brain, unspecified; Congenital anomaly NOS of


brain; Congenital deformity NOS of brain; Congenital disease of lesion NOS of
brain; Congenital multiple anomalis NOS of brain

CONGENITAL MALFORMATIONS OF THE BRAIN/NERVOUS SYSTEM

13,000

Q05.1

Thoracic spina bifida with hydrocephalus; Dorsal spina


bifida with hydrocephalus; Thoracolumbar spina bifida with hydrocephalus

CONGENITAL MALFORMATIONS OF THE BRAIN/NERVOUS SYSTEM

13,000

Q05.2

Lumbar spina bifida with hydrocephalus; Lumbosacral spina


bifida with hydrocephalus

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q05.4

Unspecified spina bifida with hydrocephalus

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q05.6

Thoracic spina bifida without hydrocephalus; Dorsal NOS


spina bifida; Thoracolumbar NOS spina bifida

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q05.7

Lumbar spina bifida without hydrocephalus; Lumbosacral


spina bifida NOS

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q05.8

Sacral spina bifida without hydrocephalus

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q05.9

Spina bifida, unspecified

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q06.0

Amyelia

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q06.2

Diastematomyelia

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q06.4

Hydromyelia; Hydrorachis

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q06.8

Other specified congenital malformations of spinal cord

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q06.9

Congenital malformation of spinal cord, unspecified; Congenital anomaly NOS CONGENITAL MALFORMATIONS OF THE BRAIN/NERVOUS SYSTEM
of spinal cord or meninges; Congenital deformity NOS of spinal cord or
meninges; Congenital disease or lesion NOS of spinal cord or meninges

13,000

Q07.0

Arnold-Chiari syndrome

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q07.9

Congenital malformation of nervous system, unspecified; Congenital anomaly


NOS of nervous system; Congenital deformity NOS of nervous system;
Congenital disease or
lesion NOS of nervous system

CONGENITAL MALFORMATIONS OF THE BRAIN/NERVOUS SYSTEM

13,000

Q74.3

Arthrogryposis multiplex congenita

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q75.0

Craniosynostosis; Acrocephaly; ]Imperfect fusion of skull;


Oxycephaly; Trigonocephaly

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q75.1

Craniofacial dysostosis; Crouzon's disease

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q75.2

Hypertelorism

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q75.4

Mandibulofacial dysostosis; Franceschetti Syndrome;


Treacher Collins Syndrome

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q75.8

Other specified congenital malformations of skull and face bones; Absence of CONGENITAL MALFORMATIONS OF THE BRAIN/NERVOUS SYSTEM
skull bone, congenital; Congenital
deformity of forehead; Platybasia

13,000

Q75.9

Congenital malformation of skull and face bones, unspecified; Congenital


anomaly of face bones NOS;
Congenital anomaly of skull NOS

CONGENITAL MALFORMATIONS OF THE BRAIN/NERVOUS SYSTEM

13,000

Q76.0

Spina bifida occulta

CONGENITAL MALFORMATIONS OF THE


BRAIN/NERVOUS SYSTEM

13,000

Q76.4

Other congenital malformations of spine, not associated with scoliosis;


Congenital absence of vertebra unspecified or not associated with scoliosis;
Congenital fusion of spine unspecified or not associated with scoliosis;
Congenital kyphosis unspecified o

CONGENITAL MALFORMATIONS OF THE BRAIN/NERVOUS SYSTEM

13,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

Q32.0

Congenital tracheomalacia

CONGENITAL MALFORMATIONS OF THE LOWER


RESPIRATORY TRACT

Q32.4

Other congenital malformations of bronchus; Absence of bronchus; Agenesis


of bronchus; Atresia of bronchus; Congenital malformation NOS of bronchus;
Diverticulum of bronchus; Congenital malformations of lung] of bronchus

CONGENITAL MALFORMATIONS OF THE LOWER RESPIRATORY TRACT 21,700

Q33.0

Congenital cystic lung; Congenital honeycomb lung; Congenital cystic lung


disease; Congenital polycystic lung
disease

CONGENITAL MALFORMATIONS OF THE LOWER RESPIRATORY TRACT 21,700

Q33.2

Sequestration of lung

CONGENITAL MALFORMATIONS OF THE LOWER


RESPIRATORY TRACT

21,700

Q33.3

Agenesis of lung; Absence of lung, lobe

CONGENITAL MALFORMATIONS OF THE LOWER


RESPIRATORY TRACT

21,700

Q33.4

Congenital bronchiectasis

CONGENITAL MALFORMATIONS OF THE LOWER


RESPIRATORY TRACT

21,700

Q33.6

Hypoplasia and dysplasia of lung

CONGENITAL MALFORMATIONS OF THE LOWER


RESPIRATORY TRACT

21,700

Q34.1

Congenital cyst of mediastinum

CONGENITAL MALFORMATIONS OF THE LOWER


RESPIRATORY TRACT

21,700

Q34.8

Other specified congenital malformations of respiratory


system; Atresia of nasopharynx

CONGENITAL MALFORMATIONS OF THE LOWER


RESPIRATORY TRACT

21,700

Q34.9

Congenital malformation of respiratory system, unspecified; Congenital


absence of respiratory organ ;
Congenital anomaly NOS of respiratory organ

CONGENITAL MALFORMATIONS OF THE LOWER RESPIRATORY TRACT 21,700

Q30.0

Choanal atresia; Absence of anterior nares; Absence of posterior nares;


congenital stenosis of anterior nares;
Congenital stenosis of posterior nares

CONGENITAL MALFORMATIONS OF THE NOSE, UPPER RESPIRATORY


TRACT

11,000

Q30.1

Agenesis and underdevelopment of nose; Congenital


absence of nose

CONGENITAL MALFORMATIONS OF THE NOSE,


UPPER RESPIRATORY TRACT

11,000

Q30.2

Fissured, notched and cleft nose

CONGENITAL MALFORMATIONS OF THE NOSE,


UPPER RESPIRATORY TRACT

11,000

Q31.3

Laryngocele

CONGENITAL MALFORMATIONS OF THE NOSE,


UPPER RESPIRATORY TRACT

11,000

Q31.5

Congenital laryngomalacia

CONGENITAL MALFORMATIONS OF THE NOSE,


UPPER RESPIRATORY TRACT

11,000

Q31.8

Other congenital malformations of larynx; Absence of cricoid cartilage,


epiglottis, glottis, larynx or thyroid cartilage; Agenesis of cricoid cartilage,
epiglottis, glottis, larynx or thyroid cartilage; Atresia of cricoid cartilage,
epiglottis, glottis,

CONGENITAL MALFORMATIONS OF THE NOSE, UPPER RESPIRATORY


TRACT

11,000

Q31.9

Congenital malformation of larynx, unspecified

CONGENITAL MALFORMATIONS OF THE NOSE,


UPPER RESPIRATORY TRACT

11,000

Q38.2

Macroglossia

CONGENITAL MALFORMATIONS OF THE ORAL


CAVITY

4,000

Q38.5

Congenital malformations of palate, not elsewhere classified; Absence of


uvula; Congenital malformation of
palate NOS; High arched palate

CONGENITAL MALFORMATIONS OF THE ORAL CAVITY

4,000

Q38.6

Other congenital malformations of mouth; Congenital


malformation of mouth NOS

CONGENITAL MALFORMATIONS OF THE ORAL


CAVITY

4,000

Q38.8

Other congenital malformations of pharynx; Congenital


malformation of pharynx NOS

CONGENITAL MALFORMATIONS OF THE ORAL


CAVITY

4,000

Q12.2
Q12.4
Q13.4

Coloboma of lens
Spherophakia
Other congenital corneal malformations; Congenital malformation of cornea
NOS;
Microcornea; Peter's anomaly

CONGENITAL OPHTHALMOLOGIC DISORDERS


CONGENITAL OPHTHALMOLOGIC DISORDERS
CONGENITAL OPHTHALMOLOGIC DISORDERS

4,300
4,300
4,300

Q14.0

Congenital malformation of vitreous humour; Congenital


vitreous opacity

CONGENITAL OPHTHALMOLOGIC DISORDERS

4,300

Q14.1

Congenital malformation of retina; Congenital retinal


aneurysm

CONGENITAL OPHTHALMOLOGIC DISORDERS

4,300

Q14.9

Congenital malformation of posterior segment of eye,


unspecified

CONGENITAL OPHTHALMOLOGIC DISORDERS

4,300

Q15.0

Congenital glaucoma; Buphthalmos; Glaucoma of newborn; Hydrophthalmos;


Keratoglobus, congenital, with glaucoma; Macrocornea with glaucoma;
Macrophthalmos in
congenital glaucoma; Megalocornea with glaucoma

CONGENITAL OPHTHALMOLOGIC DISORDERS

4,300

Q15.8
Q15.9

Other specified congenital malformations of eye


CONGENITAL OPHTHALMOLOGIC DISORDERS
Congenital malformation of eye, unspecified; Congenital anomaly NOS of eye; CONGENITAL OPHTHALMOLOGIC DISORDERS
Congenital deformity NOS of eye

4,300
4,300

P96.0
Q60.0
Q60.1
Q60.2
Q60.3
Q60.5
Q60.6
Q61.0

Congenital renal failure; Uraemia of newborn


Renal agenesis, unilateral
Renal agenesis, bilateral
Renal agenesis, unspecified
Renal hypoplasia, unilateral
Renal hypoplasia, unspecified
Potter's syndrome
Congenital single renal cyst; Congenital cyst of kidney;
Single cyst of kidney

CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100

Q61.1

Polycystic kidney, autosomal recessive; Polycystic kidney,


infantile type

CONGENITAL RENAL DISORDERS

9,100

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

RENAL
RENAL
RENAL
RENAL
RENAL
RENAL
RENAL
RENAL

21,700

Case Rate
Q61.2

Polycystic kidney, autosomal dominant; Polycystic kidney,


adult type

CONGENITAL RENAL DISORDERS

9,100

Q61.3

Polycystic kidney, unspecified

CONGENITAL RENAL DISORDERS

9,100

Q61.4
Q61.5
Q61.8

Renal dysplasia
Medullary cystic kidney; Sponge kidney NOS
Other cystic kidney diseases; Fibrocystic kidney; Fibrocystic
renal degeneration or disease

CONGENITAL RENAL DISORDERS


CONGENITAL RENAL DISORDERS
CONGENITAL RENAL DISORDERS

9,100
9,100
9,100

Q61.9

Cystic kidney disease, unspecified; Meckel-Gruber


syndrome

CONGENITAL RENAL DISORDERS

9,100

Q62.0
Q62.7
Q63.0
Q63.1
Q63.2

Congenital hydronephrosis
Congenital vesico-uretero-renal reflux
Accessory kidney
Lobulated, fused and horseshoe kidney
Ectopic kidney; Congenital displaced kidney; Malrotation of
kidney

CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL
CONGENITAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

9,100
9,100
9,100
9,100
9,100

Q63.3
Q63.8

Hyperplastic and giant kidney


Other specified congenital malformations of kidney;
Congenital renal calculi

CONGENITAL RENAL DISORDERS


CONGENITAL RENAL DISORDERS

9,100
9,100

A50.0

Early cutaneous congenital syphilis: , Early mucocutaneous congenital


syphilis, Early visceral congenital syphilis; Early congenital syphilitic
laryngitis; Early congenital syphilitic oculopathy; Early congenital syphilitic
osteochondropathy; Ear

CONGENITAL SYPHILIS

12,800

A50.2

Early congenital syphilis, unspecified; Congenital syphilis


NOS less than two years after birth.

CONGENITAL SYPHILIS

12,800

A50.4

Late congenital neurosyphilis [juvenile neurosyphilis]; Dementia paralytica


juvenilis; Juvenile general paresis ; Juvenile tabes dorsalis; Juvenile
taboparetic neurosyphilis

CONGENITAL SYPHILIS

12,800

A50.5

Other late congenital syphilis, symptomatic; Syphilitic


saddle nose

CONGENITAL SYPHILIS

12,800

A50.9
Q62.1

Congenital syphilis, unspecified


Atresia and stenosis of ureter; Congenital occlusion of ureter; Congenital
occlusion of ureteropelvic junction; Congenital occlusion of ureterovesical
orifice; Impervious
ureter

CONGENITAL SYPHILIS
CONGENITAL URINARY TRACT DISORDERS

12,800
9,100

Q62.2

Congenital megaloureter; Congenital dilatation of ureter

CONGENITAL URINARY TRACT DISORDERS

9,100

Q62.3

Other obstructive defects of renal pelvis and ureter;


Congenital ureterocele

CONGENITAL URINARY TRACT DISORDERS

9,100

Q62.5

Duplication of ureter; Accessory of ureter, Double of ureter

CONGENITAL URINARY TRACT DISORDERS

9,100

Q62.6

Malposition of ureter; Deviation of ureter or ureteric


orifice; Displacement of ureter or ureteric orifice; Ectopic of ureter of ureteric
orifice; Implantation, anomalous of
ureter or ureteric orifice

CONGENITAL URINARY TRACT DISORDERS

9,100

Q64.1

Exstrophy of urinary bladder; Ectopia vesicae; Extroversion


of bladder

CONGENITAL URINARY TRACT DISORDERS

9,100

Q64.2
Q64.3

Congenital posterior urethral valves


Other atresia and stenosis of urethra and bladder neck; Congenital bladder
neck obstruction; Congenital stricture of urethra; Congenital stricture of
urinary meatus; Congenital stricture of vesicourethral orifice; Impervious
urethra

CONGENITAL URINARY TRACT DISORDERS


CONGENITAL URINARY TRACT DISORDERS

9,100
9,100

Q64.4

Malformation of urachus; Cyst of urachus; Patent urachus;


Prolapse of urachus

CONGENITAL URINARY TRACT DISORDERS

9,100

Q64.7

Other congenital malformations of bladder and urethra; Accessory bladder;


CONGENITAL URINARY TRACT DISORDERS
Accessory urethra; Congenital hernia of bladder; Congenital malformation of
bladder or urethra NOS; Congenital prolapse of bladder (mucosa); Congenital
prolapse of urethra; Congenit

9,100

Q64.8

Other specified congenital malformations of urinary system

CONGENITAL URINARY TRACT DISORDERS

9,100

Q64.9

Congenital malformation of urinary system, unspecified; Congenital anomaly


NOS of urinary system; Congenital
deformity NOS of urinary system

CONGENITAL URINARY TRACT DISORDERS

9,100

Q27.1
Q27.3

Congenital renal artery stenosis


Peripheral arteriovenous malformation; Arteriovenous
aneurysm

CONGENITAL VASCULAR DISEASES


CONGENITAL VASCULAR DISEASES

12,000
12,000

Q27.8

Other specified congenital malformations of peripheral vascular system;


Aberrant subclavian artery; Absence of artery or vein NEC; Atresia of artery
or vein NEC; Congenital aneurysm (peripheral); Congenital stricture, artery;
Congenital varix

CONGENITAL VASCULAR DISEASES

12,000

Q27.9

Congenital malformation of peripheral vascular system,


unspecified; Anomaly of artery or vein NOS

CONGENITAL VASCULAR DISEASES

12,000

Q28.0

Arteriovenous malformation of precerebral vessels; Congenital arteriovenous


precerebral aneurysm
(nonruptured)

CONGENITAL VASCULAR DISEASES

12,000

Q28.1

Other malformations of precerebral vessels; Congenital malformation of


precerebral vessels NOS; Congenital
precerebral aneurysm (nonruptured)

CONGENITAL VASCULAR DISEASES

12,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

RENAL
RENAL
RENAL
RENAL
RENAL

Case Rate
Q28.2

Arteriovenous malformation of cerebral vessels; Arteriovenous malformation


of brain NOS;
Congenital arteriovenous cerebral aneurysm (nonruptured)

CONGENITAL VASCULAR DISEASES

12,000

Q28.3

Other malformations of cerebral vessels; Congenital cerebral aneurysm,


nonruptured; Congenital malformation
of cerebral vessels NOS

CONGENITAL VASCULAR DISEASES

12,000

M30.0

Polyarteritis nodosa

CONNECTIVE TISSUE DISEASES

13,800

M30.1

Polyarteritis with lung involvement [Churg-Strauss]; Allergic


granulomatous angiitis

CONNECTIVE TISSUE DISEASES

13,800

M30.2
M30.3
M30.8

Juvenile polyarteritis
Mucocutaneous lymph node syndrome [Kawasaki]
Other conditions related to polyarteritis nodosa;
Polyangiitis overlap syndrome

CONNECTIVE TISSUE DISEASES


CONNECTIVE TISSUE DISEASES
CONNECTIVE TISSUE DISEASES

13,800
13,800
13,800

M31.0
M31.1

Hypersensitivity angiitis; Goodpasture's syndrome


Thrombotic microangiopathy; Thrombotic
thrombocytopenic purpura

CONNECTIVE TISSUE DISEASES


CONNECTIVE TISSUE DISEASES

13,800
13,800

M31.2
M31.3

Lethal midline granuloma


Wegener's granulomatosis; Necrotizing respiratory
granulomatosis

CONNECTIVE TISSUE DISEASES


CONNECTIVE TISSUE DISEASES

13,800
13,800

M31.4
M31.6
M31.8

Aortic arch syndrome [Takayasu]


Other giant cell arteritis
Other specified necrotizing vasculopathies;
Hypocomplementaemic vasculitis

CONNECTIVE TISSUE DISEASES


CONNECTIVE TISSUE DISEASES
CONNECTIVE TISSUE DISEASES

13,800
13,800
13,800

M31.9
M33.0
M33.1
M33.2
M33.9
M34.0
M34.1

Necrotizing vasculopathy, unspecified


Juvenile dermatomyositis
Other dermatomyositis
Polymyositis
Dermatopolymyositis, unspecified
Progressive systemic sclerosis
CR(E)ST syndrome; Combination of calcinosis, Raynaud's phenomenon,
(o)esophageal dysfunction,
sclerodactyly, telangiectasia

CONNECTIVE
CONNECTIVE
CONNECTIVE
CONNECTIVE
CONNECTIVE
CONNECTIVE
CONNECTIVE

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

13,800
13,800
13,800
13,800
13,800
13,800
13,800

M34.2
M34.9
M35.0
M35.1

Systemic sclerosis induced by drugs and chemicals


Systemic sclerosis, unspecified
SICCA SYNDROME [SJGREN]
Other overlap syndromes; Mixed connective tissue disease

CONNECTIVE
CONNECTIVE
CONNECTIVE
CONNECTIVE

TISSUE
TISSUE
TISSUE
TISSUE

DISEASES
DISEASES
DISEASES
DISEASES

13,800
13,800
13,800
13,800

M35.2
M35.3
M35.4
M35.8

Behet's disease
Polymyalgia rheumatica
Diffuse (eosinophilic) fasciitis
Other specified systemic involvement of connective tissue

CONNECTIVE
CONNECTIVE
CONNECTIVE
CONNECTIVE

TISSUE
TISSUE
TISSUE
TISSUE

DISEASES
DISEASES
DISEASES
DISEASES

13,800
13,800
13,800
13,800

M35.9

Systemic involvement of connective tissue, unspecified; Systemic


Autoimmune disease NOS; Collagen (vascular)
disease NOS

CONNECTIVE TISSUE DISEASES

13,800

G50.0

Trigeminal neuralgia; Syndrome of paroxysmal facial pain;


Tic douloureux

CRANIAL NERVE DISORDER

7,400

G50.8
G51.0
G51.1
G51.3
G51.4
G51.8
G51.9
G52.0

Other disorders of trigeminal nerve


Bell's palsy; Facial palsy
Geniculate ganglionitis
Clonic hemifacial spasm
Facial myokymia
Other disorders of facial nerve
Disorder of facial nerve, unspecified
Disorders of olfactory nerve; Disorder of 1st cranial nerve

CRANIAL
CRANIAL
CRANIAL
CRANIAL
CRANIAL
CRANIAL
CRANIAL
CRANIAL

DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER

7,400
7,400
7,400
7,400
7,400
7,400
7,400
7,400

G52.1

Disorders of glossopharyngeal nerve; Disorder of 9th


cranial nerve; Glossopharyngeal neuralgia

CRANIAL NERVE DISORDER

7,400

G52.2

Disorders of vagus nerve; Disorder of pneumogastric [10th]


nerve

CRANIAL NERVE DISORDER

7,400

G52.7

Disorders of multiple cranial nerves; Polyneuritis cranialis

CRANIAL NERVE DISORDER

7,400

G52.8
H46

Disorders of other specified cranial nerves


Optic neuritis; Optic neuropathy, except ischaemic; Optic
papillitis; Retrobulbar neuritis NOS

CRANIAL NERVE DISORDER


CRANIAL NERVE DISORDER

7,400
7,400

H47.0

Disorders of optic nerve, not elsewhere classified; Compression of optic nerve; CRANIAL NERVE DISORDER
Haemorrhage in optic nerve
sheath; Ischaemic optic neuropathy

7,400

J05.0

Acute obstructive laryngitis [croup]; Obstructive laryngitis


NOS

CROUP

8,200

E24.0

Pituitary-dependent Cushing's disease; Overproduction of pituitary ACTH;


Pituitary-dependent hyperadrenocorticism

CUSHING'S SYNDROME

9,500

E24.1
E24.2
E24.3
E24.8
E24.9
E84.0
E84.1
E84.8

Nelson's syndrome
Drug-induced Cushing's syndrome
Ectopic ACTH syndrome
Other Cushing's syndrome
Cushing's syndrome, unspecified
Cystic fibrosis with pulmonary manifestations
Cystic fibrosis with intestinal manifestations
Cystic fibrosis with other manifestations; Cystic fibrosis
with combined manifestations

CUSHING'S SYNDROME
CUSHING'S SYNDROME
CUSHING'S SYNDROME
CUSHING'S SYNDROME
CUSHING'S SYNDROME
CYSTIC FIBROSIS
CYSTIC FIBROSIS
CYSTIC FIBROSIS

9,500
9,500
9,500
9,500
9,500
7,300
7,300
7,300

E84.9

Cystic fibrosis, unspecified

CYSTIC FIBROSIS

7,300

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

NERVE
NERVE
NERVE
NERVE
NERVE
NERVE
NERVE
NERVE

Case Rate
G30.0

Alzheimer's disease with early onset

DEGENERATIVE DISEASES OF CENTRAL NERVOUS


SYSTEM

10,000

G30.1

Alzheimer's disease with late onset

DEGENERATIVE DISEASES OF CENTRAL NERVOUS


SYSTEM

10,000

G30.8

Other Alzheimer's disease

DEGENERATIVE DISEASES OF CENTRAL NERVOUS


SYSTEM

10,000

G30.9+F00.9*

Dementia in alzheimer's disease, unspecified

DEGENERATIVE DISEASES OF CENTRAL NERVOUS


SYSTEM

10,000

G31.0

Circumscribed brain atrophy; Pick's disease; Progressive


isolated aphasia

DEGENERATIVE DISEASES OF CENTRAL NERVOUS


SYSTEM

10,000

G31.1

Senile degeneration of brain, not elsewhere classified

DEGENERATIVE DISEASES OF CENTRAL NERVOUS


SYSTEM

10,000

G31.2

Degeneration of nervous system due to alcohol; Alcoholic cerebellar ataxia;


DEGENERATIVE DISEASES OF CENTRAL NERVOUS SYSTEM
Alcoholic cerebellar degeneration; Alcoholic cerebral degeneration; Alcoholic
encephalopathy; Dysfunction of autonomic nervous system due to alcohol

10,000

G31.8

Other specified degenerative diseases of nervous system; Grey-matter


degeneration [Alpers]; Lewy body (ies) dementia; Lewy body (ies) disease;
Subacute necrotizing
encephalopathy [Leigh]

DEGENERATIVE DISEASES OF CENTRAL NERVOUS SYSTEM

10,000

G32.8*

Other specified degenerative disorders of nervous system


in diseases classified elsewhere

DEGENERATIVE DISEASES OF CENTRAL NERVOUS


SYSTEM

10,000

G35

Multiple sclerosis; Multiple sclerosis NOS; Multiple sclerosis of brain stem;


DEMYELINATING DISEASE OF CENTRAL NERVOUS SYSTEM
Multiple sclerosis of cord; Multiple sclerosis, disseminated; Multiple sclerosis,
generalized

11,600

G36.0

Neuromyelitis optica [Devic]; Demyelination in optic


neuritis

DEMYELINATING DISEASE OF CENTRAL NERVOUS


SYSTEM

11,600

G36.1

Acute and subacute haemorrhagic leukoencephalitis


[Hurst]

DEMYELINATING DISEASE OF CENTRAL NERVOUS


SYSTEM

11,600

G36.8

Other specified acute disseminated demyelination

DEMYELINATING DISEASE OF CENTRAL NERVOUS


SYSTEM

11,600

G36.9

Acute disseminated demyelination, unspecified

DEMYELINATING DISEASE OF CENTRAL NERVOUS


SYSTEM

11,600

G37.0

Diffuse sclerosis; Periaxial encephalitis; Schilder's disease

DEMYELINATING DISEASE OF CENTRAL NERVOUS


SYSTEM

11,600

G37.1

Central demyelination of corpus callosum

DEMYELINATING DISEASE OF CENTRAL NERVOUS


SYSTEM

11,600

G37.2

Central pontine myelinolysis

DEMYELINATING DISEASE OF CENTRAL NERVOUS


SYSTEM

11,600

G37.3

Acute transverse myelitis in demyelinating disease of central nervous system; DEMYELINATING DISEASE OF CENTRAL NERVOUS SYSTEM
Acute transverse myelitis NOS

11,600

G37.4

Subacute necrotizing myelitis

DEMYELINATING DISEASE OF CENTRAL NERVOUS


SYSTEM

11,600

G37.8

Other specified demyelinating diseases of central nervous


system

DEMYELINATING DISEASE OF CENTRAL NERVOUS


SYSTEM

11,600

G37.9

Demyelinating disease of central nervous system,


unspecified

DEMYELINATING DISEASE OF CENTRAL NERVOUS


SYSTEM

11,600

A90
A91.1
A91.3
E23.2
N25.1
E10.0

Dengue without warning signs


Dengue with warning signs
Severe dengue
Diabetes insipidus
Nephrogenic diabetes insipidus
Insulin-dependent diabetes mellitus with coma; Brittle diabetes (mellitus)
with coma; Juvenile-onset diabetes (mellitus) withcoma ; Ketosis-prone
diabetes (mellitus) with coma; Type I diabetes (mellitus) with coma;

DENGUE FEVER
DENGUE FEVER
DENGUE, SEVERE
DIABETES INSIPIDUS
DIABETES INSIPIDUS
DIABETES MELLITUS WITH COMA OR KETOSIS

10,000
10,000
16,000
10,100
10,100
15,800

E10.1

Insulin-dependent diabetes mellitus with acididosis/ ketoacidosis without


mention of coma; Diabetic acididosis without mention of coma; Diabetic
ketoacidosis without
mention of coma;

DIABETES MELLITUS WITH COMA OR KETOSIS

15,800

E11.0

Non-insulin-dependent diabetes mellitus with coma; Nonobese diabetes


(mellitus) With coma ; Obese diabetes mellitus With coma ; Adult-onset
diabetes mellitus With coma ; Maturity-onset diabetes mellitus With coma ;
Nonketotic diabetes mellitus With com

DIABETES MELLITUS WITH COMA OR KETOSIS

15,800

E11.1

Non-insulin-dependent diabetes mellitus with ketoacidosis without mention


DIABETES MELLITUS WITH COMA OR KETOSIS
of coma; ; Nonobese diabetes (mellitus) With ketoacidosis without mention
of coma; Obese diabetes mellitus With ketoacidosis without mention of coma;
Adult-onset diabetes mellitu

15,800

E12.0

Malnutrition-related diabetes mellitus with coma; Insulin- dependent


malnutrition-related diabetes mellitus with coma ; Non-insulin-dependent
malnutrition-related
diabetes mellitus with coma

DIABETES MELLITUS WITH COMA OR KETOSIS

15,800

E13.0
E13.1

Other specified diabetes mellitus with coma


Other specified diabetes mellitus with acididosis/
ketoacidosis without mention of coma

DIABETES MELLITUS WITH COMA OR KETOSIS


DIABETES MELLITUS WITH COMA OR KETOSIS

15,800
15,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

E14.0

Unspecified diabetes mellitus; diabetes NOS with coma

DIABETES MELLITUS WITH COMA OR KETOSIS

15,800

E14.1

Unspecified diabetes mellitus; diabetes NOS with


acididosis/ ketoacidosis without mention of coma

DIABETES MELLITUS WITH COMA OR KETOSIS

15,800

E10.5

Insulin-dependent diabetes mellitus with Diabetic


gangrene/ ulcer

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

E10.6

INSULIN-DEPENDENT DIABETES MELLITUS WITH OTHER


SPECIFIED COMPLICATIONS

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

E10.7

Insulin-dependent diabetes mellitus with multiple


complications

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

E10.8

Insulin-dependent diabetes mellitus with unspecified


complications

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

E11.5

Non-insulin-dependent diabetes mellitus with Diabetic gangrene/ ulcer;


Nonobese diabetes (mellitus) with Diabetic gangrene/ ulcer; Obese
diabetes mellitus with Diabetic gangrene/ ulcer; Adult-onset diabetes
mellitus with Diabetic gangrene/ ulcer; Mat

DIABETES MELLITUS WITH COMPLICATIONS OTHER THAN COMA


AND KETOSIS

12,600

E11.6

NON-INSULIN-DEPENDENT DIABETES MELLITUS WITH


OTHER SPECIFIED COMPLICATIONS

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

E11.7

Non-insulin-dependent diabetes mellitus with multiple complications ;


Nonobese diabetes (mellitus) With multiple complications ; Obese diabetes
mellitus With multiple complications ; Adult-onset diabetes mellitus With
multiple complications ; Matur

DIABETES MELLITUS WITH COMPLICATIONS OTHER THAN COMA


AND KETOSIS

12,600

E12.5

Malnutrition-related diabetes mellitus with Diabetic gangrene/ ulcer; Insulin- DIABETES MELLITUS WITH COMPLICATIONS OTHER THAN COMA
dependent malnutrition-related diabetes mellitus with Diabetic gangrene/
AND KETOSIS
ulcer; Non- insulin-dependent malnutrition-related diabetes mellitus
with Diabetic gangrene/ ulcer

12,600

E12.6

MALNUTRITION-RELTAED DIABETES MELLITUS WITH


OTHER SPECIFIED COMPLICATIONS

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

E12.8

Malnutrition-related diabetes mellitus with unspecified complications;


Insulin-dependent malnutrition-related diabetes mellitus with unspecified
complications; Non- insulin-dependent malnutrition-related diabetes mellitus
with unspecified complicati

DIABETES MELLITUS WITH COMPLICATIONS OTHER THAN COMA


AND KETOSIS

12,600

E13.5

Other specified diabetes mellitus with Diabetic gangrene/


ulcer

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

E13.6

OTHER SPECIFIED DIABETES MELLITUS WITH OTHER


SPECIFIED COMPLICATIONS

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

E14.5

Unspecified diabetes mellitus; diabetes NOS with Diabetic


gangrene/ ulcer

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

E14.6

UNSPECIFIED DIABETES MELLITUS WITH OTHER SPECIFIED


COMPLICATIONS

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

E14.7

Unspecified diabetes mellitus; diabetes NOS with multiple


complications

DIABETES MELLITUS WITH COMPLICATIONS


OTHER THAN COMA AND KETOSIS

12,600

A36.0

Pharyngeal diphtheria; Diphtheritic membranous angina;


Tonsillar diphtheria

DIPHTHERIA

8,700

A36.3
A36.9
D70

Cutaneous diphtheria
Diphtheria, unspecified
Agranulocytosis; Agranulocytic angina; Infantile genetic agranulocytosis;
Kostmann's disease;
Neutropenia NOS; Congenital Neutropenia; Cyclic Neutropenia; Drug-induced
Neutropenia; Periodic Neutropenia; Primary Splenic Neutropenia; Toxic

DIPHTHERIA
DIPHTHERIA
DISEASES OF BLOOD AND BLOOD FORMING ORGANS

8,700
8,700
12,100

D71

Functional disorders of polymorphonuclear neutrophils; Cell membrane


receptor complex [CR3] defect; Chronic (childhood) granulomatous disease;
Congenital dysphagocytosis; Progressive septic
granulomatosis; Other disorders of white blood cells

DISEASES OF BLOOD AND BLOOD FORMING ORGANS

12,100

D72.0

Genetic anomalies of leukocytes; Alder Granulation Anomaly or Syndrome;


Alder Granulocyte Anomaly or Syndrome; May-Hegglin Granulation Anomaly
or Syndrome; May-Hegglin Granulocyte Anomaly or Syndrome; Pelger-Hut
Granulocyte Anomaly or

DISEASES OF BLOOD AND BLOOD FORMING ORGANS

12,100

D72.8

Other specified disorders of white blood cells; Lymphocytic Leukaemoid


reaction; Monocytic Leukaemoid reaction; Myelocytic Leukaemoid reaction;
Leukocytosis; Symptomatic Lymphocytosis; Lymphopenia; Symptomatic
Monocytosis;

DISEASES OF BLOOD AND BLOOD FORMING ORGANS

12,100

D73.2

Chronic congestive splenomegaly

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

12,100

D73.3

Abscess of spleen

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

12,100

D73.4

Cyst of spleen

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

12,100

D73.5

Infarction of spleen; Nontraumatic Splenic rupture; Torsion


of spleen

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

12,100

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

D73.8

Other diseases of spleen; Fibrosis of spleen NOS;


Perisplenitis; Splenitis NOS

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

12,100

D74.9

Methaemoglobinaemia, unspecified

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

12,100

D75.0

Familial erythrocytosis; Benign Polycythaemia; Familial


Polycythaemia

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

12,100

D75.1

Secondary polycythaemia; Acquired Polycythaemia due to erythropoietin;


Acquired Polycythaemia due to fall in plasma volume; Acquired
Polycythaemia due to high altitude; Acquired Polycythaemia due to stress;
Emotional
Polycythaemia; Hypoxaemic Polycytha

DISEASES OF BLOOD AND BLOOD FORMING ORGANS

12,100

D75.2

Essential thrombocytosis

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

12,100

D75.8

Other specified diseases of blood and blood-forming organs

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

12,100

D76.0

Langerhans' cell histiocytosis, not elsewhere classified

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

12,100

D76.1

Haemophagocytic lymphohistiocytosis; Eosinophilic granuloma; Hand-Schller- DISEASES OF BLOOD AND BLOOD FORMING ORGANS
Christian disease; Chronic
Histiocytosis X

12,100

D76.2

Haemophagocytic syndrome, infection-associated

12,100

DISEASES OF BLOOD AND BLOOD FORMING


ORGANS

D76.3

Other histiocytosis syndromes; Reticulohistiocytoma (giant- cell); Sinus


histiocytosis with massive lymphadenopathy;
Xanthogranuloma

DISEASES OF BLOOD AND BLOOD FORMING ORGANS

12,100

K20

Oesophagitis; Abscess of oesophagus; Oesophagitis NOS;


Chemical oesophagitis; Peptic oesophagitis

DISEASES OF ESOPHAGUS

8,300

K22.0
K22.1

Achalasia of cardia; Achalasia NOS; Cardiospasm


DISEASES OF ESOPHAGUS
Ulcer of oesophagus; Erosion of oesophagus; Ulcer of oesophagus NOS; Ulcer
DISEASES OF ESOPHAGUS
of oesophagus due to ingestion of chemicals; Ulcer of oesophagus due to
ingestion of drugs and medicaments; Fungal ulcer of oesophagus; Peptic ulcer
of oesophagus

8,300
8,300

K22.2

Oesophageal obstruction; Compression of oesophagus; Constriction of


oesophagus; Stenosis of oesophagus;
Stricture of oesophagus;

DISEASES OF ESOPHAGUS

8,300

K22.3
K22.4

Perforation of oesophagus; Rupture of oesophagus


Dyskinesia of oesophagus; Corksrew oesophagus; Diffuse
oesophageal spasm; Spasm of oesophagus

DISEASES OF ESOPHAGUS
DISEASES OF ESOPHAGUS

8,300
8,300

K22.6

Gastro-oesophageal laceration-haemorrhage syndrome;


Mallory-Weiss syndrome

DISEASES OF ESOPHAGUS

8,300

K22.7

Barrett's esophagus; Barret's disease; Barett's syndrome

DISEASES OF ESOPHAGUS

8,300

K22.8

Other specified diseases of oesophagus; Haemorrhage of


oesophagus NOS

DISEASES OF ESOPHAGUS

8,300

K22.9
H60.1

Disease of oesophagus, unspecified


Cellulitis of external ear; Cellulitis of auricle; Cellulitis of
external auditory canal

DISEASES OF ESOPHAGUS
DISEASES OF EXTERNAL EAR

8,300
9,000

H60.2
H60.3

Malignant otitis externa


Other infective otitis externa; diffuse Otitis externa ;
Haemorrhagic Otitis externa ; Swimmer's ear

DISEASES OF EXTERNAL EAR


DISEASES OF EXTERNAL EAR

9,000
9,000

H60.4

Cholesteatoma of external ear; Keratosis obturans of


external ear (canal)

DISEASES OF EXTERNAL EAR

9,000

H83.0
H83.8
H68.1

Labyrinthitis
Other specified diseases of inner ear
Obstruction of Eustachian tube; Compression of
Eustachian tube; Stenosis of Eustachian tube; Stricture of
Eustachian tube

DISEASES OF INNER EAR


DISEASES OF INNER EAR
DISEASES OF MIDDLE EAR AND MASTOID

6,200
6,200
10,400

H69.9
H70.0

Eustachian tube disorder, unspecified


Acute mastoiditis; Abscess of mastoid; Empyema of
mastoid

DISEASES OF MIDDLE EAR AND MASTOID


DISEASES OF MIDDLE EAR AND MASTOID

10,400
10,400

H70.1

Chronic mastoiditis; Caries of mastoid; Fistula of mastoid

DISEASES OF MIDDLE EAR AND MASTOID

10,400

H70.2

Petrositis; Acute inflammation of petrous bone; Chronic


inflammation of petrous bone

DISEASES OF MIDDLE EAR AND MASTOID

10,400

H70.8
H70.9
H71

Other mastoiditis and related conditions


DISEASES OF MIDDLE EAR AND MASTOID
Mastoiditis, unspecified
DISEASES OF MIDDLE EAR AND MASTOID
Cholesteatoma of middle ear; Cholesteatoma tympani; Perforation of tympanic DISEASES OF MIDDLE EAR AND MASTOID
membrane; Persistent post- traumatic perforation of ear drum;
Postinflammatory
perforation of ear drum

10,400
10,400
10,400

H73.0
H73.1
H73.8
H73.9
H74.8
H74.9
K09.0

Acute myringitis; Acute tympanitis; Bullous myringitis


Chronic myringitis; Chronic tympanitis
Other specified disorders of tympanic membrane
Disorder of tympanic membrane, unspecified
Other specified disorders of middle ear and mastoid
Disorder of middle ear and mastoid, unspecified
Developmental odontogenic cysts; Dentigerous cyst; Eruption Cyst; Follicular
cyst; Gingival cyst; Lateral
periodontal cyst; Primordial cyst; Keratocyst

10,400
10,400
10,400
10,400
10,400
10,400
8,300

K09.1

Developmental (nonodontogenic) cysts of oral region; Cyst of globulomaxillary; DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAW
Cyst of incisive canal; Cyst of median palatal; Cyst of nasopalatine; Cyst of
palatine papilla

8,300

ICD CODE

DESCRIPTION

FIRST CASE RATE

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

OF
OF
OF
OF
OF
OF
OF

MIDDLE EAR AND MASTOID


MIDDLE EAR AND MASTOID
MIDDLE EAR AND MASTOID
MIDDLE EAR AND MASTOID
MIDDLE EAR AND MASTOID
MIDDLE EAR AND MASTOID
ORAL CAVITY, SALIVARY GLANDS, AND JAW

GROUP

Case Rate
K09.2

Other cysts of jaw; Cyst of jaw NOS; Aneurysmal cyst of jaw; Haemorrhagic
cyst of jaw; Traumatic cyst of jaw

DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAW

8,300

K09.8

Other cysts of oral region, not elsewhere classified; Dermoid cyst of mouth;
Epidermoid cyst of mouth; Lymphoepithelial cyst of mouth; Epstein's pearl;
Nasoalveolar cyst; Nasolabial cyst

DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAW

8,300

K09.9

Cyst of oral region, unspecified

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,


AND JAW

8,300

K10.0

Developmental disorders of jaws; Latent bone cyst of jaw; Stafne's cyst; Torus DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAW
mandibularis; Torus palatinus

8,300

K10.1

Giant cell granuloma, central; Giant cell granuloma NOS

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,


AND JAW

8,300

K10.2

Inflammatory conditions of jaws; Acute osteitis of jaw; Chronic osteitis of jaw;


Supparative osteitis of jaw; Acute neonatal osteomyelitis of jaw; Chronic
neonatal osteomyelitis of jaw; Supparative neonatal osteomyelitis of
jaw; Acute osteoradionecrosis o

DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAW

8,300

K10.3

Alveolitis of jaws; Alveolar osteitis; Dry socket

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,


AND JAW

8,300

K10.8

Other specified diseases of jaws; Cherubism of jaw; Exostosis of jaw; Fibrous


dysplasia of jaw; Unilateral condylar hyperplasia; Unilateral condylar
hypoplasia

DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAW

8,300

K11.2

Sialoadenitis

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,


AND JAW

8,300

K11.3

Abscess of salivary gland

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,


AND JAW

8,300

K11.4

Fistula of salivary gland

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,


AND JAW

8,300

K11.5

Sialolithiasis; Calculus of salivary gland or duct; Stone of


salivary gland or duct

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,


AND JAW

8,300

K11.6

Mucocele of salivary gland; Mucous extravasation cyst of salivary gland;


Mucous retention cyst of salivary gland;
Ranula

DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAW

8,300

K11.8

Other diseases of salivary glands; Benign lymphoepithelial lesion of salivary


gland; Mikulicz' disease; Necrotizing sialometaplasia; Sialectasia; Stenosis of
salivary duct;
Stricture of salivary duct

DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAW

8,300

K11.9

Disease of salivary gland, unspecified; Sialoadenopathy


NOS

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,


AND JAW

8,300

K12.2

Cellulitis and abscess of mouth; Cellulitis of floor of mouth;


Submandibular abscess

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,


AND JAW

8,300

K13.4

Granuloma and granuloma-like lesions of oral mucosa; Eosinophilic granuloma DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAW
of oral mucosa; Granuloma pyogenicum of oral mucosa; Verrucous xanthoma
of oral
mucosa

8,300

K13.7

Other and unspecified lesions of oral mucosa; Focal oral


mucinosis

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,


AND JAW

8,300

K31.1

Adult hypertrophic pyloric stenosis; Pyloric stenosis NOS

DISEASES OF STOMACH AND DUODENUM

6,600

K31.2
K31.3
K31.4
K31.5

Hourglass stricture and stenosis of stomach


Pylorospasm, not elsewhere classified
Gastric diverticulum
Obstruction of duodenum; Constriction of duodenum; Stenosis of duodenum;
Stricture of duodenum; Chronic
duodenal ileus

DISEASES
DISEASES
DISEASES
DISEASES

DUODENUM
DUODENUM
DUODENUM
DUODENUM

6,600
6,600
6,600
6,600

K31.6

Fistula of stomach and duodenum; Gastrocolic fistula;


Gastrojejunocolic fistula

DISEASES OF STOMACH AND DUODENUM

6,600

K31.7
K31.8

Polyp of stomach and duodenum


Other specified diseases of stomach and duodenum; Achlorhydria;
Gastroptosis; Hourglass contraction of
stomach

DISEASES OF STOMACH AND DUODENUM


DISEASES OF STOMACH AND DUODENUM

6,600
6,600

K74.4

Secondary biliary cirrhosis

DISEASES OF THE GALLBLADDER AND BILIARY


TRACT

9,800

K74.5

Biliary cirrhosis, unspecified

DISEASES OF THE GALLBLADDER AND BILIARY


TRACT

9,800

K80.2

Calculus of gallbladder without cholecystitis; Cholecystolithiasis unspecified or DISEASES OF THE GALLBLADDER AND BILIARY TRACT
without cholecystitis; Cholelithiasis unspecified or without cholecystitis;
Recurrent colic of gallbladder unspecified or without cholecystitis; Impacted
gallstone of cystic

9,800

K80.5

Calculus of bile duct without cholangitis or cholecystitis; Choledocholithiasis


unspecified or without cholangitis or cholecystitis; Impacted gallstone of bile
duct NOS unspecified or without cholangitis or cholecystitis; Impacted
gallstone of common duct

DISEASES OF THE GALLBLADDER AND BILIARY TRACT

9,800

K80.8

Other cholelithiasis

DISEASES OF THE GALLBLADDER AND BILIARY


TRACT

9,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

OF
OF
OF
OF

STOMACH
STOMACH
STOMACH
STOMACH

AND
AND
AND
AND

Case Rate
K82.0

Obstruction of gallbladder; Occlusion of cystic duct of gallbladder without


calculus; Stenosis of cystic duct or gallbladder without calculus; Stricture of
cystic duct or
gallbladder without calculus

DISEASES OF THE GALLBLADDER AND BILIARY TRACT

9,800

K82.1

Hydrops of gallbladder; Mucocele of gallbladder

DISEASES OF THE GALLBLADDER AND BILIARY


TRACT

9,800

K82.2

Perforation of gallbladder; Rupture of cystic duct or


gallbladder

DISEASES OF THE GALLBLADDER AND BILIARY


TRACT

9,800

K82.3

Fistula of gallbladder; Cholecystocolic fistula;


Cholecystoduodenal fistula

DISEASES OF THE GALLBLADDER AND BILIARY


TRACT

9,800

K82.4

Cholesterolosis of gallbladder; Strawberry gallbladder

DISEASES OF THE GALLBLADDER AND BILIARY


TRACT

9,800

K82.8

Other specified diseases of gallbladder; Adhesions of cystic duct or


DISEASES OF THE GALLBLADDER AND BILIARY TRACT
gallbladder; Atrophy of cystic duct or gallbladder; Cyst of cystic duct or
gallbladder; Dyskinesia of cystic duct or gallbladder; Hypertrophy of cystic duct
or gallbladder;
Nonfunctionin

9,800

K83.0

Cholangitis; Cholangitis NOS; Ascending cholangitis; Primary cholangitis;


DISEASES OF THE GALLBLADDER AND BILIARY TRACT
Recurrent cholangitis; Sclerosing cholangitis; Secondary cholangitis; Stenosing
cholangitis;
Suppurative cholangitis

9,800

K83.1

Obstruction of bile duct; Occlusion of bile duct without calculus; Stenosis of


bile duct without calculus; Stricture of
bile duct without calculus

DISEASES OF THE GALLBLADDER AND BILIARY TRACT

9,800

K83.3

Fistula of bile duct; Choledochoduodenal fistula

DISEASES OF THE GALLBLADDER AND BILIARY


TRACT

9,800

K83.4

Spasm of sphincter of Oddi

DISEASES OF THE GALLBLADDER AND BILIARY


TRACT

9,800

K83.5

Biliary cyst

DISEASES OF THE GALLBLADDER AND BILIARY


TRACT

9,800

K83.8

Other specified diseases of biliary tract; Adhesions of bile duct; Atrophy of


bile duct; Hypertrophy of bile duct; Ulcer
of bile duct

DISEASES OF THE GALLBLADDER AND BILIARY TRACT

9,800

K85

Acute pancreatitis; Abscess of pancreas; Acute necrosis of pancreas; Infective DISEASES OF THE PANCREAS
necrosis of pancreas; Pancreatitis NOS; Acute recurrent pancreatitis;
Haemorrhagic pancreatitis; Subacute pancreatitis; Supparative pancreatitis

12,600

K85.0
K85.1
K85.2
K85.8
K85.9

Idiopathic acute pancreatitis


Biliary acute pancreatitis; Gallstone pancreatitis
Alcohol-induced acute pancreatitis
Other acute pancreatitis
Acute pancreatitis, unspecified; Other diseases of pancreas

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

PANCREAS
PANCREAS
PANCREAS
PANCREAS
PANCREAS

12,600
12,600
12,600
12,600
12,600

K86.0
K86.1

Alcohol-induced chronic pancreatitis


Other chronic pancreatitis; Chronic pancreatitis NOS; Infectious chronic
pancreatitis; Recurrent chronic
pancreatitis; Relapsing chronic pancreatitis

DISEASES OF THE PANCREAS


DISEASES OF THE PANCREAS

12,600
12,600

K86.2
K86.3
K86.8

Cyst of pancreas
Pseudocyst of pancreas
Other specified diseases of pancreas; Atrophy of pancreas; Calculus of
pancreas; Cirrhosis of pancreas; Fibrosis of pancreas; Pancreatic infantilism;
Pancreatic necrosis NOS; Aseptic pancreatic necrosis; Fat necrosis of
pancreas

DISEASES OF THE PANCREAS


DISEASES OF THE PANCREAS
DISEASES OF THE PANCREAS

12,600
12,600
12,600

I28.8

Other specified diseases of pulmonary vessels; Rupture of pulmonary vessel;


Stenosis of pulmonary vessel; Stricture
of pulmonary vessel

DISEASES OF VASCULAR SYSTEM

13,100

I71.0

Dissection of aorta [anypart]; Dissecting aneurysm of aorta


(ruptured) [any part]

DISEASES OF VASCULAR SYSTEM

13,100

I71.9

Aortic aneurysm of unspecified site without mention of rupture; Aneurysm of DISEASES OF VASCULAR SYSTEM
aorta; Dilatation of aorta; Hyaline
necrosis of aorta

13,100

I74.0

Embolism and thrombosis of abdominal aorta; Aortic


bifurcation syndrome; Leriche's syndrome

DISEASES OF VASCULAR SYSTEM

13,100

I74.1

Embolism and thrombosis of other and unspecified parts of


aorta

DISEASES OF VASCULAR SYSTEM

13,100

I74.2

Embolism and thrombosis of arteries of upper extremities

DISEASES OF VASCULAR SYSTEM

13,100

I74.3

Embolism and thrombosis of arteries of lower extremities

DISEASES OF VASCULAR SYSTEM

13,100

I74.4

Embolism and thrombosis of arteries of extremities,


unspecified; Peripheral arterial embolism

DISEASES OF VASCULAR SYSTEM

13,100

I74.5
I74.8
I74.9
I77.4
I77.6
I77.8
I85.0
I87.1

Embolism and thrombosis of iliac artery


Embolism and thrombosis of other arteries
Embolism and thrombosis of unspecified artery
Coeliac artery compression syndrome
Arteritis, unspecified; Aortitis NOS; Endarteritis NOS
Other specified disorders of arteries and arterioles
Oesophageal varices with bleeding
Compression of vein; Stricture of vein; Inferior Vena cava
syndrome; Superior vena cava syndrome

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

13,100
13,100
13,100
13,100
13,100
13,100
13,100
13,100

ICD CODE

DESCRIPTION

GROUP

OF
OF
OF
OF
OF

OF
OF
OF
OF
OF
OF
OF
OF

THE
THE
THE
THE
THE

VASCULAR
VASCULAR
VASCULAR
VASCULAR
VASCULAR
VASCULAR
VASCULAR
VASCULAR

SYSTEM
SYSTEM
SYSTEM
SYSTEM
SYSTEM
SYSTEM
SYSTEM
SYSTEM

FIRST CASE RATE


Case Rate

H30.1

Disseminated chorioretinal inflammation; Disseminated chorioretinitis;


Disseminated choroiditis; Disseminated retinitis; Disseminated
retinochoroiditis

DISODERS OF CHOROID AND RETINA

4,600

H30.8
H31.3

Other chorioretinal inflammations; Harada's disease


Choroidal haemorrhage and rupture; Choroidal
haemorrhage NOS; Choroidal haemorrhage expulsive

DISODERS OF CHOROID AND RETINA


DISODERS OF CHOROID AND RETINA

4,600
4,600

M80.0

Postmenopausal osteoporosis with pathological fracture

DISORDER OF BONE DENSITY AND STRUCTURE

7,900

M80.1

Postoophorectomy osteoporosis with pathological fracture

DISORDER OF BONE DENSITY AND STRUCTURE

7,900

M80.3

Postsurgical malabsorption osteoporosis with pathological


fracture

DISORDER OF BONE DENSITY AND STRUCTURE

7,900

M81.0
M81.08
M81.1
M81.4
M81.40
M81.55
M81.58
M81.6
M81.8
M81.88
M81.89

Postmenopausal osteoporosis
Postmenopausal osteoporosis Other
Postoophorectomy osteoporosis
Drug-induced osteoporosis
Drug-induced osteoporosis Multiple site
Idiopathic osteoporosis Pelvic region and thigh
Idiopathic osteoporosis Other
Localized osteoporosis [Lequesne]
Other osteoporosis; Senile osteoporosis
Other osteoporosis; Senile osteoporosis Other
Other osteoporosis; Senile osteoporosis Site unspecified

DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER

OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF

BONE
BONE
BONE
BONE
BONE
BONE
BONE
BONE
BONE
BONE
BONE

DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY

AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND

STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE

7,900
7,900
7,900
7,900
7,900
7,900
7,900
7,900
7,900
7,900
7,900

M81.9
M81.95
M81.98
M83.2

Osteoporosis, unspecified
Osteoporosis, unspecified Pelvic region and thigh
Osteoporosis, unspecified Other
Adult osteomalacia due to malabsorption; Postsurgical
malabsorption osteomalacia in adults

DISORDER
DISORDER
DISORDER
DISORDER

OF
OF
OF
OF

BONE
BONE
BONE
BONE

DENSITY
DENSITY
DENSITY
DENSITY

AND
AND
AND
AND

STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE

7,900
7,900
7,900
7,900

M83.4
M83.8
M83.87
M83.89
M83.9
M83.99
M85.0
M85.1
M85.2
M85.5

Aluminium bone disease


Other adult osteomalacia
Other adult osteomalacia Ankle and foot
Other adult osteomalacia Site unspecified
Adult osteomalacia, unspecified
Adult osteomalacia, unspecified Site unspecified
Fibrous dysplasia (monostotic)
Skeletal fluorosis Multiple site
Hyperostosis of skull
Aneurysmal bone cyst

DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER

OF
OF
OF
OF
OF
OF
OF
OF
OF
OF

BONE
BONE
BONE
BONE
BONE
BONE
BONE
BONE
BONE
BONE

DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY
DENSITY

AND
AND
AND
AND
AND
AND
AND
AND
AND
AND

STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE

7,900
7,900
7,900
7,900
7,900
7,900
7,900
7,900
7,900
7,900

M85.55
M85.6
M85.63
M85.65
M85.8

Aneurysmal bone cyst Pelvic region and thigh


Other cyst of bone
Other cyst of bone Forearm
Other cyst of bone Pelvic region and thigh
Other specified disorders of bone density and structure;
Hyperostosis of bones, except skull

DISORDER
DISORDER
DISORDER
DISORDER
DISORDER

OF
OF
OF
OF
OF

BONE
BONE
BONE
BONE
BONE

DENSITY
DENSITY
DENSITY
DENSITY
DENSITY

AND
AND
AND
AND
AND

STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE
STRUCTURE

7,900
7,900
7,900
7,900
7,900

M85.88

Other specified disorders of bone density and structure;


Hyperostosis of bones, except skull Other

DISORDER OF BONE DENSITY AND STRUCTURE

7,900

M89.38
E75.2

Hypertrophy of bone Other


Other sphingolipidosis; Fabry(-Anderson) Disease; Gaucher Disease; Krabbe
Disease; Niemann-Pick Disease; Faber's syndrome; Metachromatic
leukodystrophy; Sulfatase
deficiency

DISORDER OF BONE DENSITY AND STRUCTURE


DISORDER OF LIPID STORAGE

7,900
8,100

E75.4

Neuronal ceroid lipofuscinosis; Batten Disease; Bielschowsky-Jansky Disease;


Kufs Disease; pielmeyer-Vogt
Disease

DISORDER OF LIPID STORAGE

8,100

E75.5

Other lipid storage disorders; Cerebrotendinous cholesterosis [van BogaertScherer-Epstein]; Wolman's


disease

DISORDER OF LIPID STORAGE

8,100

E75.6
N95.0
E26.0

Lipid storage disorder, unspecified


DISORDER OF LIPID STORAGE
Postmenopausal bleeding
DISORDERS ASSOCIATED WITH MENOPAUSE
Primary hyperaldosteronism; Conn's syndrome; Primary aldosteronism due to DISORDERS OF ADRENAL GLAND
adrenal hyperplasia
(bilateral)

8,100
6,000
9,900

E26.1
E26.8
E26.9

Secondary hyperaldosteronism
Other hyperaldosteronism; Bartter's syndrome
Hyperaldosteronism, unspecified; Other disorders of
adrenal gland

DISORDERS OF ADRENAL GLAND


DISORDERS OF ADRENAL GLAND
DISORDERS OF ADRENAL GLAND

9,900
9,900
9,900

E27.1

Primary adrenocortical insufficiency; Addison's disease;


Autoimmune adrenalitis

DISORDERS OF ADRENAL GLAND

9,900

E27.2

Addisonian crisis; Adrenal crisis; Adrenocortical crisis

DISORDERS OF ADRENAL GLAND

9,900

E27.3
E27.4

Drug-induced adrenocortical insufficiency


Other and unspecified adrenocortical insufficiency; Adrenal haemorrhage;
Adrenal infarction;
Adrenocortical insufficiency NOS; Hypoaldosteronism

DISORDERS OF ADRENAL GLAND


DISORDERS OF ADRENAL GLAND

9,900
9,900

E27.8

Other specified disorders of adrenal gland; Abnormality of


cortisol-binding globulin

DISORDERS OF ADRENAL GLAND

9,900

E70.0
E70.1
E70.2

Classical phenylketonuria
Other hyperphenylalaninaemias
Disorders of tyrosine metabolism; Alkaptonuria; Hypertyrosinaemia;
Ochronosis; Tyrosinaemia; Tyrosinosis

DISORDERS OF AMINO ACID METABOLISM


DISORDERS OF AMINO ACID METABOLISM
DISORDERS OF AMINO ACID METABOLISM

10,600
10,600
10,600

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

E70.3

Albinism; OcularAlbinism; Oculocutaneous Albinism


Chediak(-Steinbrinck)-Higashi Syndrome; Cross Syndrome; Hermansky-Pudlak
Syndrome

DISORDERS OF AMINO ACID METABOLISM

10,600

E70.8

Other disorders of aromatic amino-acid metabolism; Disorders of histidine


metabolism; Disorders of tryptophan
metabolism

DISORDERS OF AMINO ACID METABOLISM

10,600

E71.0
E71.1

Maple-syrup-urine disease
Other disorders of branched-chain amino-acid metabolism; Hyperleucineisoleucinaemia; Hypervalinaemia; Isovaleric acidaemia;
Methylmalonic acidaemia; Propionic acidaemia

DISORDERS OF AMINO ACID METABOLISM


DISORDERS OF AMINO ACID METABOLISM

10,600
10,600

E71.3

Disorders of fatty-acid metabolism; Adrenoleukodystrophy


[Addison-Schilder]; Muscle carnitine palmityltransferase deficiency

DISORDERS OF AMINO ACID METABOLISM

10,600

E72.0

Disorders of amino-acid transport; Cystinosis; Cystinuria; Fanconi(-de Toni)(Debr) syndrome; Hartnup's disease;
Lowe's syndrome

DISORDERS OF AMINO ACID METABOLISM

10,600

E72.2

Disorders of urea cycle metabolism; Argininaemia; Argininosuccinic aciduria;


Citrullinaemia;
Hyperammonaemia

DISORDERS OF AMINO ACID METABOLISM

10,600

E72.3
E72.5

Disorders of lysine and hydroxylysine metabolism


DISORDERS OF AMINO ACID METABOLISM
Disorders of glycine metabolism; Hyperhydroxyprolinaemia; Hyperprolinaemia DISORDERS OF AMINO ACID METABOLISM
(type I) , Hyperprolinaemia type II; Non-ketotic hyperglycinaemia;
Sarcosinaemia

10,600
10,600

E73.0
E74.0

Congenital lactase deficiency


Glycogen storage disease; Cardiac glycogenosis; Andersen Disease; Cori
Disease; Forbes Disease; Hers Disease; McArdle Disease; Pompe Disease;
Tauri Disease; von Gierke Disease; Liver phosphorylase deficiency

DISORDERS OF CARBOHYDRATE METABOLISM


DISORDERS OF CARBOHYDRATE METABOLISM

5,800
5,800

E74.1

Disorders of fructose metabolism; Essential fructosuria; Fructose-1,6diphosphatase deficiency; Hereditary fructose


intolerance

DISORDERS OF CARBOHYDRATE METABOLISM

5,800

E74.2

Disorders of galactose metabolism; Galactokinase


deficiency; Galactosaemia

DISORDERS OF CARBOHYDRATE METABOLISM

5,800

E74.3

Other disorders of intestinal carbohydrate absorption; Glucose-galactose


malabsorption; Sucrase deficiency

DISORDERS OF CARBOHYDRATE METABOLISM

5,800

E74.8

Other specified disorders of carbohydrate metabolism

DISORDERS OF CARBOHYDRATE METABOLISM

5,800

E77.8
E76.0

Other disorders of glycoprotein metabolism


Mucopolysaccharidosis, type I; Hurler Syndrome; HurlerScheie Syndrome; Scheie Syndrome

DISORDERS OF GLYCOPROTEIN METABOLISM


DISORDERS OF GLYCOSAMINOGLYCAN
METABOLISM

10,600
10,900

E76.1

Mucopolysaccharidosis, type II; Hunter's syndrome

DISORDERS OF GLYCOSAMINOGLYCAN
METABOLISM

10,900

E76.2

Other mucopolysaccharidoses; -Glucuronidase deficiency;


Mucopolysaccharidosis, type III; Mucopolysaccharidosis IV,
Mucopolysaccharidosis VI, Mucopolysaccharidosis VII;
Mild Maroteaux-Lamy Syndrome; Severe Maroteaux-Lamy
Syndrome; Morquio-like Syndrome;

DISORDERS OF GLYCOSAMINOGLYCAN METABOLISM

10,900

E76.3

Mucopolysaccharidosis, unspecified

DISORDERS OF GLYCOSAMINOGLYCAN
METABOLISM

10,900

E76.8

Other disorders of glucosaminoglycan metabolism

DISORDERS OF GLYCOSAMINOGLYCAN
METABOLISM

10,900

E78.0

Pure hypercholesterolaemia; Familial hypercholesterolaemia; Fredrickson's


hyperlipoproteinaemia, type Iia;
Hyperbetalipoproteinaemia; Hyperlipidaemia, group A; Low- densitylipoprotein-type [LDL] hyperlipoproteinaemia

DISORDERS OF LIPOPROTEIN METABOLISM

6,600

E78.1

Pure hyperglyceridaemia; Endogenous hyperglyceridaemia; Fredrickson's


hyperlipoproteinaemia, type IV; Hyperlipidaemia, group B;
Hyperprebetalipoproteinaemia'; Very-low-density-lipoprotein-type [VLDL]
hyperlipoproteinaemia

DISORDERS OF LIPOPROTEIN METABOLISM

6,600

E78.2

Mixed hyperlipidaemia; Broad- or floating- betalipoproteinaemia; Fredrickson's


hyperlipoproteinaemia, type IIb; Fredrickson's
hyperlipoproteinaemia type III; Hyperbetalipoproteinaemia with
prebetalipoproteinaemia; Hypercholesterolaemia with endogenous hype

DISORDERS OF LIPOPROTEIN METABOLISM

6,600

E78.3

Hyperchylomicronaemia; Fredrickson's hyperlipoproteinaemia, type I;


Fredrickson's hyperlipoproteinaemia, type V; Hyperlipidaemia, group D;
Mixed hyperglyceridaemia

DISORDERS OF LIPOPROTEIN METABOLISM

6,600

E78.4

Other hyperlipidaemia; Familial combined hyperlipidaemia

DISORDERS OF LIPOPROTEIN METABOLISM

6,600

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

E78.6

Lipoprotein deficiency; Abetalipoproteinaemia; High-density lipoprotein


deficiency; Hypoalphalipoproteinaemia; Familial Hypobetalipoproteinaemia;
Lecithin cholesterol
acyltransferase deficiency; Tangier disease

DISORDERS OF LIPOPROTEIN METABOLISM

6,600

E78.8
E83.0

Other disorders of lipoprotein metabolism


DISORDERS OF LIPOPROTEIN METABOLISM
Disorders of copper metabolism; Menkes' kinky hair disease; Menkes' steely DISORDERS OF MINERAL METABOLISM
hair disease; Wilson's disease

6,600
7,300

E83.1
E83.2

Disorders of iron metabolism; Haemochromatosis


Disorders of zinc metabolism; Acrodermatitis enteropathica

DISORDERS OF MINERAL METABOLISM


DISORDERS OF MINERAL METABOLISM

7,300
7,300

E83.3

Disorders of phosphorus metabolism; Acid phosphatase deficiency; Familial


hypophosphataemia; Hypophosphatasia; Vitamin-D-resistant osteomalacia;
Vitamin-D-resistant rickets

DISORDERS OF MINERAL METABOLISM

7,300

E83.4

Disorders of magnesium metabolism; Hypermagnesaemia;


Hypomagnesaemia

DISORDERS OF MINERAL METABOLISM

7,300

E83.5

Disorders of calcium metabolism; Familial hypocalciuric hypercalcaemia;


Idiopathic hypercalciuria

DISORDERS OF MINERAL METABOLISM

7,300

E83.8
H05.0

Other disorders of mineral metabolism


DISORDERS OF MINERAL METABOLISM
Acute inflammation of orbit; Abscess of orbit;Cellulitis of orbit; Osteomyelitis of DISORDERS OF ORBIT
orbit; Periostitis of orbit, Tenonitis of
orbit

7,300
9,500

H05.2

Exophthalmic conditions; Displacement of globe (lateral)


NOS; Haemorrhage of orbit; Oedema of orbit

DISORDERS OF ORBIT

9,500

E80.0

Hereditary erythropoietic porphyria; Congenital erythropoietic porphyria;


Erythropoietic protoporphyria

DISORDERS OF PORPHYRIN AND BILIRUBIN METABOLISM

9,800

E80.2

Other porphyria; Hereditary coproporphyria


Porphyria NOS; Acute intermittent (hepatic) Porphyria

DISORDERS OF PORPHYRIN AND BILIRUBIN


METABOLISM

9,800

E80.4

Gilbert's syndrome

DISORDERS OF PORPHYRIN AND BILIRUBIN


METABOLISM

9,800

E80.5

Crigler-Najjar syndrome

DISORDERS OF PORPHYRIN AND BILIRUBIN


METABOLISM

9,800

E80.6

Other disorders of bilirubin metabolism; Dubin-Johnson


syndrome; Rotor's syndrome

DISORDERS OF PORPHYRIN AND BILIRUBIN


METABOLISM

9,800

E79.8

Other disorders of purine and pyrimidine metabolism;


Hereditary xanthinuria

DISORDERS OF PURINE AND PYRIMIDINE


METABOLISM

7,000

E20.0
E20.8
E20.9
E21.0

Idiopathic hypoparathyroidism
Other hypoparathyroidism
Hypoparathyroidism, unspecified; Parathyroid tetany
Primary hyperparathyroidism; Hyperplasia of parathyroid; Osteitis fibrosa
cystica generalisata [von Recklinghausen's
disease of bone]

DISORDERS
DISORDERS
DISORDERS
DISORDERS

9,300
9,300
9,300
9,300

E21.4
E21.5
E22.2

Other specified disorders of parathyroid gland


Disorder of parathyroid gland, unspecified
Syndrome of inappropriate secretion of antidiuretic
hormone

DISORDERS OF THE PARATHYROID


DISORDERS OF THE PARATHYROID
DISORDERS OF THE PITUITARY GLAND

OF
OF
OF
OF

THE
THE
THE
THE

PARATHYROID
PARATHYROID
PARATHYROID
PARATHYROID

9,300
9,300
11,800

E23.0

Hypopituitarism; Fertile eunuch syndrome; Hypogonadotropic hypogonadism;


Idiopathic growth hormone deficiency; Isolated deficiency of gonadotropin;
Isolated deficiency of growth hormone; Isolated deficiency of pituitary
hormone; Kallmann's syndrome; Lorai

DISORDERS OF THE PITUITARY GLAND

11,800

H43.0
H43.1
H44.0

Vitreous prolapse
Vitreous haemorrhage
Purulent endophthalmitis; Panophthalmitis; Vitreous
abscess

DISORDERS OF VITREOUS BODY AND GLOBE


DISORDERS OF VITREOUS BODY AND GLOBE
DISORDERS OF VITREOUS BODY AND GLOBE

10,400
10,400
10,400

H44.1

Other endophthalmitis; Parasitic endophthalmitis NOS;


Sympathetic uveitis

DISORDERS OF VITREOUS BODY AND GLOBE

10,400

H44.5

Degenerated conditions of globe; Absolute glaucoma;


Atrophy of globe; Phthisis bulbi

DISORDERS OF VITREOUS BODY AND GLOBE

10,400

D65

Disseminated intravascular coagulation [defibrination syndrome]; Acquired


Afibrinogenaemia; Consumption coagulopathy; Diffuse or disseminated
intravascular coagulation [DIC] ; Acquired Fibrinolytic haemorrhage;
Fibrinolytic Purpura; Purpura fulminans;

DISSEMINATED INTRAVASCULAR COAGULATION

32,000

P60

Disseminated intravascular coagulation of fetus and


newborn; Defibrination syndrome of fetus or newborn

DISSEMINATED INTRAVASCULAR COAGULATION

32,000

M42.1
M43.02
M43.03
M43.04
M43.06
M43.07
M43.09
M43.10
M43.12
M43.15
M43.16
M43.17

Adult osteochondrosis of spine


Spondylolysis cervical region
Spondylolysis cervicothoracic region
Spondylolysis thoracic region
Spondylolysis lumbar region
Spondylolysis lumbosacral region
Spondylolysis site unspecified
Spondylolisthesis Multiple sites in spine
Spondylolisthesis cervical region
Spondylolisthesis thoracolumbar region
Spondylolisthesis lumbar region
Spondylolisthesis lumbosacral region

DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES

7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

M43.18
M43.19
M43.22

Spondylolisthesis sacral and sacrococcygeal region


Spondylolisthesis site unspecified
Other fusion of spine; Ankylosis of spinal joint cervical
region

DORSOPATHIES
DORSOPATHIES
DORSOPATHIES

7,600
7,600
7,600

M43.26

Other fusion of spine; Ankylosis of spinal joint lumbar


region

DORSOPATHIES

7,600

M43.27

Other fusion of spine; Ankylosis of spinal joint lumbosacral


region

DORSOPATHIES

7,600

M43.29

Other fusion of spine; Ankylosis of spinal joint site


unspecified

DORSOPATHIES

7,600

M43.42

Other recurrent atlantoaxial subluxation cervical region

DORSOPATHIES

7,600

M43.49

Other recurrent atlantoaxial subluxation site unspecified

DORSOPATHIES

7,600

M43.60
M43.62
M43.64
M43.66
M43.68
M43.69
M43.8
M43.82

Torticollis Multiple sites in spine


Torticollis cervical region
Torticollis thoracic region
Torticollis lumbar region
Torticollis sacral and sacrococcygeal region
Torticollis site unspecified
Other specified deforming dorsopathies
Other specified deforming dorsopathies cervical region

DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES

7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600

M43.85

Other specified deforming dorsopathies thoracolumbar


region

DORSOPATHIES

7,600

M43.86

Other specified deforming dorsopathies lumbar region

DORSOPATHIES

7,600

M43.87

Other specified deforming dorsopathies lumbosacral region

DORSOPATHIES

7,600

M43.88

Other specified deforming dorsopathies sacral and


sacrococcygeal region

DORSOPATHIES

7,600

M43.89

Other specified deforming dorsopathies site unspecified

DORSOPATHIES

7,600

M43.9

Deforming dorsopathy, unspecified; Curvature of spine


NOS

DORSOPATHIES

7,600

M43.94

Deforming dorsopathy, unspecified; Curvature of spine


NOS thoracic region

DORSOPATHIES

7,600

M43.95

Deforming dorsopathy, unspecified; Curvature of spine


NOS thoracolumbar region

DORSOPATHIES

7,600

M43.96

Deforming dorsopathy, unspecified; Curvature of spine


NOS lumbar region

DORSOPATHIES

7,600

M43.97

Deforming dorsopathy, unspecified; Curvature of spine


NOS lumbosacral region

DORSOPATHIES

7,600

M43.99

Deforming dorsopathy, unspecified; Curvature of spine


NOS site unspecified

DORSOPATHIES

7,600

M53.0

Cervicocranial syndrome; Posterior cervical sympathetic


syndrome

DORSOPATHIES

7,600

M53.1
M53.12
M53.19
M53.2
M53.22
M53.24
M53.26
M53.27

Cervicobrachial syndrome
Cervicobrachial syndrome cervical region
Cervicobrachial syndrome site unspecified
Spinal instabilities
Spinal instabilities cervical region
Spinal instabilities thoracic region
Spinal instabilities lumbar region
Spinal instabilities lumbosacral region

DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES

7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600

M53.28
M53.29
M53.3
M53.38
M53.8
M53.86
M53.87
M53.89
M53.9
M53.92
M53.95
M54
T75.1

Spinal instabilities sacral and sacrococcygeal region


Spinal instabilities site unspecified
Coccygodynia
Coccygodynia sacral and sacrococcygeal region
Other specified dorsopathies
Other specified dorsopathies lumbar region
Other specified dorsopathies lumbosacral region
Other specified dorsopathies site unspecified
Dorsopathy, unspecified
Dorsopathy, unspecified cervical region
Dorsopathy, unspecified thoracolumbar region
Dorsalgia
Drowning and nonfatal submersion; Immersion; Swimmer's
cramp

DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DORSOPATHIES
DROWNING

7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,600
7,100

O00.0
O00.1

Abdominal pregnancy
Tubal pregnancy; Fallopian pregnancy; Rupture of fallopian
tube due to pregnancy

ECTOPIC PREGNANCY
ECTOPIC PREGNANCY

7,800
7,800

O00.2
O00.8

Ovarian pregnancy
Other ectopic pregnancy; Cervical pregnancy; Cornual pregnancy;
Intraligamentous pregnancy; Mural pregnancy

ECTOPIC PREGNANCY
ECTOPIC PREGNANCY

7,800
7,800

O00.9
O36.7

Ectopic pregnancy, unspecified


Maternal care for viable fetus in abdominal pregnancy

ECTOPIC PREGNANCY
ECTOPIC PREGNANCY

7,800
7,800

T75.0

Effects of lightning; Shock from lightning; Struck by


lightning NOS

ELECTRICAL SHOCK

5,400

T75.4

Effects of electric current; Electrocution; Shock from


electric current

ELECTRICAL SHOCK

5,400

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

J43.0

MacLeod's syndrome; Unilateral emphysema; Unilateral


transparency of lung

EMPHYSEMA

11,400

J43.1
J43.2
J43.8
J43.9

Panlobular emphysema; Panacinar emphysema


Centrilobular emphysema
Other emphysema
Emphysema, unspecified; Lung emphysema NOS; Pulmonary emphysema NOS;
Bullous lung emphysema; Bullous pulmonary emphysema; Vesicular lung
emphysema; Vesucular pulmonary emphysema;
Emphysematous bleb

EMPHYSEMA
EMPHYSEMA
EMPHYSEMA
EMPHYSEMA

11,400
11,400
11,400
11,400

J98.2
J98.3
B22.0

Interstitial emphysema; Mediastinal emphysema


Compensatory emphysema
Human immunodeficiency virus [HIV] disease resulting in encephalopathy;
Human immunodeficiency virus [HIV]
dementia

EMPHYSEMA
EMPHYSEMA
ENCEPHALOPATHY

11,400
11,400
22,200

G92
G93.1
I67.4
N80.0
N80.1
N80.2
N80.3
N80.4
N80.5
N80.8
N80.9
J05.1
G40.0

Toxic encephalopathy
Anoxic brain damage, not elsewhere classified
Hypertensive encephalopathy
Endometriosis of uterus; Adenomyosis
Endometriosis of ovary
Endometriosis of fallopian tube
Endometriosis of pelvic peritoneum
Endometriosis of rectovaginal septum and vagina
Endometriosis of intestine
Other endometriosis
Endometriosis, unspecified
Acute epiglottitis; Epiglottitis NOS
Localization-related focal idiopathic epilepsy and epileptic syndromes with
seizures of localized onset; Localization- related partial idiopathic epilepsy
and epileptic syndromes with seizures of localized onset; Benign childhood
epilepsy
with centrotempor

ENCEPHALOPATHY
ENCEPHALOPATHY
ENCEPHALOPATHY
ENDOMETRIOSIS
ENDOMETRIOSIS
ENDOMETRIOSIS
ENDOMETRIOSIS
ENDOMETRIOSIS
ENDOMETRIOSIS
ENDOMETRIOSIS
ENDOMETRIOSIS
EPIGLOTTITIS
EPILEPSY

22,200
22,200
22,200
7,700
7,700
7,700
7,700
7,700
7,700
7,700
7,700
9,700
7,800

G40.1

Localization-related focal symptomatic epilepsy and epileptic syndromes with EPILEPSY


simple partial seizures; Localization-related partial symptomatic epilepsy and
epileptic syndromes with simple partial seizures; Attacks
without alteration of consciousness ; Sim

7,800

G40.2

Localization-related focal symptomatic epilepsy and epileptic syndromes with EPILEPSY


complex partial seizures; Localization-related partial symptomatic epilepsy
and epileptic syndromes with complex partial seizures; Attacks with
alteration of consciousness, ofte

7,800

G40.3

Generalized idiopathic epilepsy and epileptic syndromes; Benign myoclonic


EPILEPSY
epilepsy in infancy; Benign familial neonatal convulsions; Childhood absence
epilepsy [pyknolepsy]; Epilepsy with grand mal seizures on awakening;
Juvenile absence epilepsy; Juveni

7,800

G40.4

Other generalized epilepsy and epileptic syndromes; Epilepsy with myoclonic EPILEPSY
absences; Epilepsy with myoclonic- astatic seizures; Infantile spasms;
Lennox-Gastaut syndrome; Salaam attacks; Symptomatic early myoclonic;
Encephalopathy; West's syndrome

7,800

G40.5

Special epileptic syndromes; Epilepsia partialis continua


[Kozhevnikof]; Epileptic seizures related to alcohol;
Epileptic seizures related to drugs; Epileptic seizures related to hormonal
changes; Epileptic seizures related to sleep deprivation; Epileptic

EPILEPSY

7,800

G40.6

Grand mal seizures, unspecified (with or without petit mal)

EPILEPSY

7,800

G40.7
G40.8

Petit mal, unspecified, without grand mal seizures


Other epilepsy; Epilepsies and epileptic syndromes undetermined as to
whether they are focal or generalized

EPILEPSY
EPILEPSY

7,800
7,800

G40.9

Epilepsy, unspecified; Epileptic convulsions NOS; Epileptic


fits NOS; Epileptic seizures NOS

EPILEPSY

G21.0
G21.1
G21.8
G21.9
G23.0

Malignant neuroleptic syndrome


Other drug-induced secondary parkinsonism
Other secondary parkinsonism
Secondary parkinsonism, unspecified
Hallervorden-Spatz disease; Pigmentary pallidal
degeneration

EXTRAPYRAMIDAL
EXTRAPYRAMIDAL
EXTRAPYRAMIDAL
EXTRAPYRAMIDAL
EXTRAPYRAMIDAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

8,300
8,300
8,300
8,300
8,300

G23.1

Progressive supranuclear ophthalmoplegia [SteeleRichardson-Olszewski]

EXTRAPYRAMIDAL AND MOVEMENT DISORDERS

8,300

G23.8

Other specified degenerative diseases of basal ganglia;


Calcification of basal ganglia

EXTRAPYRAMIDAL AND MOVEMENT DISORDERS

8,300

G23.9
G24.0

Degenerative disease of basal ganglia, unspecified


Carcinomatous neuromyopathy in Drug-induced dystonia

EXTRAPYRAMIDAL AND MOVEMENT DISORDERS


EXTRAPYRAMIDAL AND MOVEMENT DISORDERS

8,300
8,300

G24.1
G24.3
G24.4
G24.8

Idiopathic familial dystonia; Idiopathic dystonia NOS


Spasmodic torticollis
Idiopathic orofacial dystonia; Orofacial dyskinesia
Other dystonia

EXTRAPYRAMIDAL
EXTRAPYRAMIDAL
EXTRAPYRAMIDAL
EXTRAPYRAMIDAL

8,300
8,300
8,300
8,300

ICD CODE

DESCRIPTION

GROUP

7,800
AND
AND
AND
AND
AND

AND
AND
AND
AND

MOVEMENT
MOVEMENT
MOVEMENT
MOVEMENT
MOVEMENT

MOVEMENT
MOVEMENT
MOVEMENT
MOVEMENT

DISORDERS
DISORDERS
DISORDERS
DISORDERS

FIRST CASE RATE


Case Rate

G24.9
G25.3
G25.5
G25.8

Dystonia, unspecified; Dyskinesia NOS


Myoclonus; Drug-induced myoclonus
Other chorea; Chorea NOS
Other specified extrapyramidal and movement disorders; Restless legs
syndrome; Stiff-man syndrome

EXTRAPYRAMIDAL
EXTRAPYRAMIDAL
EXTRAPYRAMIDAL
EXTRAPYRAMIDAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS

8,300
8,300
8,300
8,300

G25.9
R56.0
R56.8

Extrapyramidal and movement disorder, unspecified


Febrile convulsions
Other and unspecified convulsions; Fit NOS; Seizure
(convulsive) NOS

EXTRAPYRAMIDAL AND MOVEMENT DISORDERS


FEBRILE SEIZURES
FEBRILE SEIZURES

8,300
7,000
7,000

P92.1
P92.2
P92.4
P92.8
P92.9
R50.9
E87.1
E87.2

Regurgitation and rumination in newborn


Slow feeding of newborn
Overfeeding of newborn
Other feeding problems of newborn
Feeding problem of newborn, unspecified
Fever, unspecified; Hyperpyrexia NOS; Pyrexia NOS
Hypo-osmolality and hyponatraemia
Acidosis; Acidosis NOS; Lactic Acidosis; Metabolic Acidosis;
Respiratory Acidosis

FEEDING PROBLEMS NEWBORN


FEEDING PROBLEMS NEWBORN
FEEDING PROBLEMS NEWBORN
FEEDING PROBLEMS NEWBORN
FEEDING PROBLEMS NEWBORN
FEVER OF UNKNOWN ORIGIN
FLUID AND ELECTROLYTE DISTURBANCES
FLUID AND ELECTROLYTE DISTURBANCES

8,700
8,700
8,700
8,700
8,700
7,000
8,500
8,500

E87.3

Alkalosis; Alkalosis NOS; Metabolic Alkalosis; Respiratory


Alkalosis

FLUID AND ELECTROLYTE DISTURBANCES

8,500

E87.4
E87.5

Mixed disorder of acid-base balance


Hyperkalaemia; Potassium [K] excess; Potassium [K]
overload

FLUID AND ELECTROLYTE DISTURBANCES


FLUID AND ELECTROLYTE DISTURBANCES

8,500
8,500

E87.6
E87.7
E87.8

Hypokalaemia; Potassium [K] deficiency


Fluid overload
Other disorders of electrolyte and fluid balance, not elsewhere classified;
Electrolyte imbalance NOS; Hyperchloraemia; Hypochloraemia; Other
metabolic
disorders

FLUID AND ELECTROLYTE DISTURBANCES


FLUID AND ELECTROLYTE DISTURBANCES
FLUID AND ELECTROLYTE DISTURBANCES

8,500
8,500
8,500

S22.00

Fracture of thoracic vertebra; Fracture of thoracic spine


NOS (closed)

FRACTURES OF THE BONES OF THE THORAX

8,700

S22.10
S22.2
S22.20
S22.3
S22.30
S22.31
S22.4
S22.40
S22.41
S22.80
S22.90
J85.0
L88

Multiple fractures of thoracic spine (closed)


Fracture of sternum
Fracture of sternum (closed)
Fracture of rib
Fracture of rib (closed)
Fracture of rib (open)
Multiple fractures of ribs
Multiple fractures of ribs (closed)
Multiple fractures of ribs (open)
Fracture of other parts of bony thorax (closed)
Fracture of bony thorax, part unspecified (closed)
Gangrene and necrosis of lung
Pyoderma gangrenosum; Dermatitis gangrenosa;
Phagedenic pyoderma

FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
GANGRENE
GANGRENE

8,700
8,700
8,700
8,700
8,700
8,700
8,700
8,700
8,700
8,700
8,700
13,200
13,200

R02
K21.0

Gangrene, not elsewhere classified


Gastro-oesophageal reflux disease with oesophagitis;
Reflux oesophagitis

GANGRENE
GASTROESOPHAGEAL REFLUX DISEASE

13,200
6,100

K21.9

Gastro-oesophageal reflux disease without oesophagitis;


Oesophageal reflux NOS

GASTROESOPHAGEAL REFLUX DISEASE

6,100

P76.0

Meconium plug syndrome

GASTROINTESTINAL DISORDERS OF THE


NEWBORN

11,700

P76.1

Transitory ileus of newborn

GASTROINTESTINAL DISORDERS OF THE


NEWBORN

11,700

P76.8

Other specified intestinal obstruction of newborn

GASTROINTESTINAL DISORDERS OF THE


NEWBORN

11,700

P76.9

Intestinal obstruction of newborn, unspecified

GASTROINTESTINAL DISORDERS OF THE


NEWBORN

11,700

P77

Necrotizing enterocolitis of fetus and newborn

GASTROINTESTINAL DISORDERS OF THE


NEWBORN

11,700

P78.0

Perinatal intestinal perforation; Meconium peritonitis

GASTROINTESTINAL DISORDERS OF THE


NEWBORN

11,700

P78.2

Neonatal haematemesis and melaena due to swallowed


maternal blood

GASTROINTESTINAL DISORDERS OF THE


NEWBORN

11,700

OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF

AND
AND
AND
AND

THE
THE
THE
THE
THE
THE
THE
THE
THE
THE
THE

MOVEMENT
MOVEMENT
MOVEMENT
MOVEMENT

BONES
BONES
BONES
BONES
BONES
BONES
BONES
BONES
BONES
BONES
BONES

OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF

THE
THE
THE
THE
THE
THE
THE
THE
THE
THE
THE

THORAX
THORAX
THORAX
THORAX
THORAX
THORAX
THORAX
THORAX
THORAX
THORAX
THORAX

P78.3

Noninfective neonatal diarrhoea; Neonatal diarrhoea NOS

GASTROINTESTINAL DISORDERS OF THE


NEWBORN

11,700

P78.8

Other specified perinatal digestive system disorders;


Congenital cirrhosis of liver; Peptic ulcer of newborn

GASTROINTESTINAL DISORDERS OF THE


NEWBORN

11,700

P78.9

Perinatal digestive system disorder, unspecified

GASTROINTESTINAL DISORDERS OF THE


NEWBORN

11,700

H40.0
H40.1

Glaucoma suspect; Ocular hypertension


GLAUCOMA
Primary open-angle glaucoma; primary capsular with pseudoexfoliation of lens GLAUCOMA
glaucoma; Residual stage capsular with pseudoexfoliation of lens; Primary
chronic simple glaucoma; Residual stage chronic simple glaucoma; Primary
low-tension glaucoma; Residual

6,500
6,500

H40.2

Primary angle-closure glaucoma; Primary acute angle- closure glaucoma ;


Acute residual stage angle-closure glaucoma ; Primary chronic angle-closure
glaucoma ; Residual stage chronic angle-closure glaucoma; Primary
intermittent angle-cloure glaucoma; Residu

GLAUCOMA

6,500

H40.3

Glaucoma secondary to eye trauma

GLAUCOMA

6,500

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

H40.4
H40.5
H40.8
H40.9
N00.0

Glaucoma secondary to eye inflammation


Glaucoma secondary to other eye disorders
Other glaucoma
Glaucoma, unspecified
Acute nephritic syndrome including Acute glomerular disease, Acute
glomerulonephritis, Acute nephritis, Acute renal disease NOS, with Minor
glomerular abnormality

GLAUCOMA
GLAUCOMA
GLAUCOMA
GLAUCOMA
GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

6,500
6,500
6,500
6,500
10,000

N00.1

Acute nephritic syndrome including Acute glomerular disease, Acute


glomerulonephritis, Acute nephritis, Acute renal disease NOS, with Focal and
segmental glomerular lesions (with focal and segmental hyalinosis; focal and
segmental sclerosis) & Focal glom

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N00.2

Acute nephritic syndrome including Acute glomerular disease, Acute


glomerulonephritis, Acute nephritis, Acute renal disease NOS with Diffuse
membranous
glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N00.3

Acute nephritic syndrome including Acute glomerular disease, Acute


glomerulonephritis, Acute nephritis, Acute renal disease NOS with Diffuse
mesangial proliferative
glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N00.4

Acute nephritic syndrome including Acute glomerular disease, Acute


glomerulonephritis, Acute nephritis, Acute renal disease NOS with Diffuse
endocapillary proliferative
glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N00.5

Acute nephritic syndrome including Acute glomerular disease, Acute


glomerulonephritis, Acute nephritis, Acute renal disease NOS with Diffuse
mesangiocapillary glomerulonephritis (Membranoproliferative
glomerulonephritis, types 1 and 3, or NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N00.7

Acute nephritic syndrome including Acute glomerular disease, Acute


glomerulonephritis, Acute nephritis, Acute renal disease NOS with Diffuse
crescentic glomerulonephritis (Extracpillary glomerulonephritis)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N00.8

Acute nephritic syndrome including Acute glomerular disease, Acute


glomerulonephritis, Acute nephritis, Acute renal disease NOS with Other
(Proliferative
glomerulonephritis NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N00.9

Acute nephritic syndrome including Acute glomerular disease, Acute


glomerulonephritis, Acute nephritis, Acute
renal disease NOS, Unspecified renal biopsy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N01.0

Rapidly progressive nephritic syndrome; rapidly progressive glomerular


disease; rapidly progressive glomerulonephritis; rapidly progressive nephritis,
Minor glomerular abnormality

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N01.1

Rapidly progressive nephritic syndrome; rapidly progressive glomerular


disease; rapidly progressive glomerulonephritis; rapidly progressive nephritis,
Focal and segmental
glomerular lesions

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N01.3

Rapidly progressive nephritic syndrome; rapidly progressive glomerular


disease; rapidly progressive glomerulonephritis; rapidly progressive nephritis,
Diffuse mesangial
proliferative glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N01.5

Rapidly progressive nephritic syndrome; rapidly progressive glomerular


disease; rapidly progressive glomerulonephritis; rapidly progressive nephritis,
Diffuse mesangiocapillary
glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N01.8

Rapidly progressive nephritic syndrome; rapidly progressive glomerular


disease; rapidly progressive glomerulonephritis; rapidly progressive nephritis,
other

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N01.9

Rapidly progressive nephritic syndrome; rapidly progressive glomerular


disease; rapidly progressive glomerulonephritis; rapidly progressive nephritis,
Unspecified

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N02.0

Recurrent and persistent haematuria including Benign familial Haematuria;


Benign familial Haematuria of childhood; Haematuria with morphological
lesion specified with Minor glomerular abnormality

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N02.1

Recurrent and persistent haematuria including Benign familial Haematuria;


Benign familial Haematuria of childhood; Haematuria with morphological
lesion specified with Focal and segmental glomerular lesions

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N02.2

Recurrent and persistent haematuria including Benign familial Haematuria;


Benign familial Haematuria of childhood; Haematuria with morphological
lesion specified with Diffuse membranous glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

N02.5

Recurrent and persistent haematuria including Benign familial Haematuria;


Benign familial Haematuria of childhood; Haematuria with morphological
lesion specified with Diffuse mesangiocapillary glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N02.8

Recurrent and persistent haematuria including Benign familial Haematuria;


Benign familial Haematuria of childhood; Haematuria with morphological
lesion specified with other (Proliferative glomerulonephritis NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N02.9

Recurrent and persistent haematuria including Benign familial Haematuria;


Benign familial Haematuria of childhood; Haematuria with morphological
lesion specified with Unspecified renal biopsy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N03.0

Chronic nephritic syndrome including Chronic glomerular disease, Chronic


glomerulonephritis, Chronic nephritis, chronic renal disease NOS, with Minor
glomerular
abnormality

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N03.1

Chronic nephritic syndrome including Chronic glomerular disease, Chronic


glomerulonephritis, Chronic nephritis, chronic renal disease NOS, with Focal
and segmental
glomerular lesions

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N03.2

Chronic nephritic syndrome including Chronic glomerular disease, Chronic


glomerulonephritis, Chronic nephritis, chronic renal disease NOS, withDiffuse
membranous
glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N03.3

Chronic nephritic syndrome including Chronic glomerular disease, Chronic


glomerulonephritis, Chronic nephritis, chronic renal disease NOS, with Diffuse
mesangial
proliferative glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N03.4

Chronic nephritic syndrome including Chronic glomerular disease, Chronic


glomerulonephritis, Chronic nephritis, chronic renal disease NOS, with Diffuse
endocapillary proliferative glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N03.5

Chronic nephritic syndrome including Chronic glomerular disease, Chronic


glomerulonephritis, Chronic nephritis, chronic renal disease NOS, with Diffuse
mesangiocapillary
glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N03.7

Chronic nephritic syndrome including Chronic glomerular disease, Chronic


glomerulonephritis, Chronic nephritis, chronic renal disease NOS, with Diffuse
crescentic
glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N03.8

Chronic nephritic syndrome including Chronic glomerular disease, Chronic


glomerulonephritis, Chronic nephritis, chronic renal disease NOS, with Other
(Proliferative
glomerulonephritis NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N03.9

Chronic nephritic syndrome including Chronic glomerular disease, Chronic


glomerulonephritis, Chronic nephritis, chronic renal disease NOS, with
Unspecified renal biopsy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N04.0

Nephrotic syndrome: Minor glomerular abnormality;


Minimal change lesion

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N04.1

Nephrotic syndrome: Focal and segmental glomerular lesions; Focal and


segmental hyalinosis; Focal and
segmental sclerosis; Focal glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N04.2

Nephrotic syndrome: Diffuse membranous


glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N04.3

Nephrotic syndrome: Diffuse mesangial proliferative


glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N04.4

Nephrotic syndrome: Diffuse endocapillary proliferative


glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N04.5

Nephrotic syndrome: Diffuse mesangiocapillary glomerulonephritis;


Membranoproliferative
glomerulonephritis, types 1 and 3, or NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N04.7

Nephrotic syndrome: Diffuse crescentic glomerulonephritis; Extracapillary


glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N04.8

Nephrotic syndrome: Other

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N04.9

Nephrotic syndrome:Unspecified

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N05.0

Unspecified nephritic syndrome including Glomerular disease,


Glomerulonephritis, Nephritis NOS with Minor glomerular abnormality,
minimal change lesion

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N05.1

Unspecified nephritic syndrome including Glomerular disease,


GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES
Glomerulonephritis, Nephritis NOS with Focal and segmental glomerular
lesions (with focal and segmental hyalinosis; focal and segmental sclerosis) &
Focal
glomerulonephritis

10,000

ICD CODE

DESCRIPTION

FIRST CASE RATE

GROUP

Case Rate
N05.2

Unspecified nephritic syndrome including Glomerular disease,


Glomerulonephritis, Nephritis NOS with Diffuse
membranous glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N05.3

Unspecified nephritic syndrome including Glomerular disease,


Glomerulonephritis, Nephritis NOS with Diffuse
mesangial proliferative glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N05.4

Unspecified nephritic syndrome including Glomerular disease,


Glomerulonephritis, Nephritis NOS with Diffuse endocapillary proliferative
glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N05.5

Unspecified nephritic syndrome including Glomerular disease,


Glomerulonephritis, Nephritis NOS with Diffuse mesangiocapillary
glomerulonephritis, Membranoproliferative glomerulonephritis, types 1 and 3,
or NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N05.6

Unspecified nephritic syndrome including Glomerular disease,


Glomerulonephritis, Nephritis NOS with Dense deposit disease
Membranoproliferative glomerulonephritis, type 2

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N05.7

Unspecified nephritic syndrome including Glomerular disease,


GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES
Glomerulonephritis, Nephritis NOS with Diffuse crescentic glomerulonephritis,
Extracapillary
glomerulonephritis

10,000

N05.8

Unspecified nephritic syndrome including Glomerular disease,


Glomerulonephritis, Nephritis NOS with Other (Proliferative
glomerulonephritis NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N05.9

Unspecified nephritic syndrome including Glomerular disease,


Glomerulonephritis, Nephritis NOS with
Unspecified renal biopsy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N06.0

Isolated proteinuria with specified morphological lesion with morphological


lesion specified with Minor glomerular
abnormality

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N06.8

Isolated proteinuria with specified morphological lesion with Other


(Proliferative glomerulonephritis NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N06.9

Isolated proteinuria with specified morphological lesion


with Unspecified renal biopsy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N07.0

Hereditary nephropathy, not elsewhere classified with


Minor glomerular abnormality

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N07.1

Hereditary nephropathy, not elsewhere classified with Focal and segmental


glomerular lesions (with focal and segmental hyalinosis; focal and segmental
sclerosis) & Focal
glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N07.2

Hereditary nephropathy, not elsewhere classified with


Diffuse membranous glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N07.3

Hereditary nephropathy, not elsewhere classified with


Diffuse mesangial proliferative glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N07.5

Hereditary nephropathy, not elsewhere classified with Diffuse


mesangiocapillary glomerulonephritis, Membranoproliferative
glomerulonephritis, types 1 and 3,
or NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N07.9

Hereditary nephropathy, not elsewhere classified with


Unspecified renal biopsy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N10

Acute tubulo-interstitial nephritis; pyelonephritis; Acute infectious interstitial


nephritis; Acute pyelitis; Acute
pyelonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N11.9

Chronic tubulo-interstitial nephritis, unspecified; Chronic interstitial nephritis


NOS; Chronic pyelitis NOS; Chronic
pyelonephritis NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N12

Tubulo-interstitial nephritis, not specified as acute or chronic; Interstitial


nephritis NOS; Pyelitis NOS;
Pyelonephritis NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N14.0

Analgesic nephropathy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N14.1

Nephropathy induced by other drugs, medicaments and


biological substances

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N14.2

Nephropathy induced by unspecified drug, medicament or


biological substance

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N14.4

Toxic nephropathy, not elsewhere classified

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N15.0

Balkan nephropathy; Balkan endemic nephropathy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N15.8

Other specified renal tubulo-interstitial diseases

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N15.9

Renal tubulo-interstitial disease, unspecified; Infection of


kidney NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N39.1

Persistent proteinuria, unspecified

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

N39.2

Orthostatic proteinuria, unspecified

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES

10,000

M23.20

Derangement of meniscus due to old tear or injury; Old


bucket-handle tear multiple sites

HAND, FEET AND JOINT DEFORMITIES

9,200

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

M23.21

Derangement of meniscus due to old tear or injury; Old bucket-handle tear


Anterior cruciate ligament or Anterior
horn of medial meniscus

HAND, FEET AND JOINT DEFORMITIES

9,200

M23.22

Derangement of meniscus due to old tear or injury; Old bucket-handle tear


Posterior cruciate ligament or Posterior
horn of medial meniscus

HAND, FEET AND JOINT DEFORMITIES

9,200

M23.25

Derangement of meniscus due to old tear or injury; Old bucket-handle tear


Posterior horn of lateral meniscus

HAND, FEET AND JOINT DEFORMITIES

9,200

M23.46

Loose body in kneeOther and unspecified lateral meniscus

HAND, FEET AND JOINT DEFORMITIES

9,200

M23.5
M23.80

Chronic instability of knee


Other internal derangements of knee; Laxity of ligament of
knee; Snapping knee multiple sites

HAND, FEET AND JOINT DEFORMITIES


HAND, FEET AND JOINT DEFORMITIES

9,200
9,200

M23.9
M23.91

Internal derangement of knee


Internal derangement of knee, unspecified Anterior cruciate ligament or
Anterior horn of medial meniscus

HAND, FEET AND JOINT DEFORMITIES


HAND, FEET AND JOINT DEFORMITIES

9,200
9,200

M24.08
M24.1
M24.2

Loose body in joint other sites


Other articular cartilage disorders
Disorder of ligament; Instability secondary to old ligament
injury; Ligamentous laxity NOS

HAND, FEET AND JOINT DEFORMITIES


HAND, FEET AND JOINT DEFORMITIES
HAND, FEET AND JOINT DEFORMITIES

9,200
9,200
9,200

M24.4
M24.41

Recurrent dislocation and subluxation of joint


Recurrent dislocation and subluxation of joint shoulder
region

HAND, FEET AND JOINT DEFORMITIES


HAND, FEET AND JOINT DEFORMITIES

9,200
9,200

M24.50
M24.54
M24.56
M24.6
M24.65
M24.66
M24.69
M24.7
M24.88

Contracture of joint multiple sites


Contracture of joint hand
Contracture of joint lower leg
Ankylosis of joint
Ankylosis of joint pelvic region and thigh
Ankylosis of joint lower leg
Ankylosis of joint site unspecified
Protrusio acetabuli
Other specific joint derangements, not elsewhere classified;
Irritable hip other sites

HAND,
HAND,
HAND,
HAND,
HAND,
HAND,
HAND,
HAND,
HAND,

9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200

G43.0
G43.1

Migraine
Migraine
Migraine,
Migraine
typical
aura

G43.2
G43.3
G43.8

Status migrainosus
Complicated migraine
Other migraine; Ophthalmoplegic migraine; Retinal
migraine

HEADACHE SYNDROMES
HEADACHE SYNDROMES
HEADACHE SYNDROMES

5,500
5,500
5,500

G43.9
G44.0

Migraine, unspecified
Cluster headache syndrome; Chronic paroxysmal hemicrania; Chronic cluster
headache; Episodic Cluster
headache

HEADACHE SYNDROMES
HEADACHE SYNDROMES

5,500
5,500

G44.1

Vascular headache, not elsewhere classified; Vascular


headache NOS

HEADACHE SYNDROMES

5,500

G44.2

Tension-type headache; Chronic tension-type headache; Episodic tension


headache; Tension headache NOS

HEADACHE SYNDROMES

5,500

G44.3
G44.4
G44.8
R51
I44.2

Chronic post-traumatic headache


Drug-induced headache, not elsewhere classified
Other specified headache syndromes
Headache; Facial pain NOS
Atrioventricular block, complete; Complete heart block
NOS; Third-degree block

HEADACHE SYNDROMES
HEADACHE SYNDROMES
HEADACHE SYNDROMES
HEADACHE SYNDROMES
HEART CONDUCTION DISORDERSS

5,500
5,500
5,500
5,500
12,300

I44.3

Other and unspecified atrioventricular block;


Atrioventricular block NOS

HEART CONDUCTION DISORDERSS

12,300

I44.4
I45.5

Left anterior fascicular block


Other specified heart blockl; Sinoatrial NOS; Sinoauricular
block

HEART CONDUCTION DISORDERSS


HEART CONDUCTION DISORDERSS

12,300
12,300

I45.6

Pre-excitation syndrome; Anomalous atrioventicular excitation; Atrioventricular HEART CONDUCTION DISORDERSS


conduction, accelerated; Atrioventicular conduction, accesory; Atrioventicular
conduction pre-excitation; Lown-Ganong-Levine syndrome;
Wolff-Parkinson-White syndrome

12,300

I45.8

Other specified HEART CONDUCTION DISORDERSs; Atrioventicular [AV]


dissociation; Interference dissociation

HEART CONDUCTION DISORDERSS

12,300

I45.9

HEART CONDUCTION DISORDERS, unspecified; Heart block


NOS; Stokes-Adams syndrome

HEART CONDUCTION DISORDERSS

12,300

I09.9

Rheumatic heart disease, unspecified; Rheumatic carditis;


Rheumatic heart failure

HEART FAILURE

15,700

I50.0

Congestive heart failure; Congestive heart disease; Right venticular failure


(secondary to left heart failure)

HEART FAILURE

15,700

I50.00

Advanced congestive heart failure; Grave congestive heart


failure; Severe congestive heart failure

HEART FAILURE

15,700

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

FEET
FEET
FEET
FEET
FEET
FEET
FEET
FEET
FEET

AND
AND
AND
AND
AND
AND
AND
AND
AND

JOINT
JOINT
JOINT
JOINT
JOINT
JOINT
JOINT
JOINT
JOINT

DEFORMITIES
DEFORMITIES
DEFORMITIES
DEFORMITIES
DEFORMITIES
DEFORMITIES
DEFORMITIES
DEFORMITIES
DEFORMITIES

without aura [common migraine]


HEADACHE SYNDROMES
with aura [classical migraine]; Migraine aura without headache;
HEADACHE SYNDROMES
basilar; Migraine equivalents; Familial hemiplegic Migraine;
with acute-onset aura; Migraine with prolonged aura; Migraine with

5,500
5,500

Case Rate

I50.1

Left ventricular failure; Acute oedema of lung with mention of heart disease
HEART FAILURE
NOS or heart failure; Acute pulmonary oedema with mention of heart disease
NOS or heart failure; Cardiac asthma with mention of heart disease NOS or
heart
failure; Left heart fai

15,700

I50.9

Heart failure, unspecified; Cardiac, heart or myocardial


failure NOS

15,700

I34.0

Mitral (valve) insufficiency; Incompetence mitral valve NOS or of specified


HEART VALVE DISORDERS
cause, except rheumatic; Regurgitation mitral valve NOS or of specified cause,
except rheumatic

8,400

I34.1
I34.2
I34.8
I34.9
I35.0
I35.1

Mitral (valve) prolapse; Floppy mitral valve syndrome


Nonrheumatic mitral (valve) stenosis
Other nonrheumatic mitral HEART VALVE DISORDERS
Nonrheumatic mitral valve disorder, unspecified
Aortic (valve) stenosis
Aortic (valve) insufficiency; Incompetence Aortic valve NOS or of specified
cause, except rheumatic; Aortic valve regurgitation NOS or of specified cause,
except rheumatic

HEART
HEART
HEART
HEART
HEART
HEART

VALVE
VALVE
VALVE
VALVE
VALVE
VALVE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

8,400
8,400
8,400
8,400
8,400
8,400

I35.2
I35.8
I35.9
I36.0
I36.1

Aortic (valve) stenosis with insufficiency


Other aortic HEART VALVE DISORDERS
Aortic valve disorder, unspecified
Nonrheumatic tricuspid (valve) stenosis
Nonrheumatic tricuspid (valve) insufficiency; Incompetence tricuspid valve of
specified cause, except rheumatic; Tricuspid valve regurgitation of specified
cause, except
rheumatic

HEART
HEART
HEART
HEART
HEART

VALVE
VALVE
VALVE
VALVE
VALVE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

8,400
8,400
8,400
8,400
8,400

I36.8
I36.9
I37.0
I37.1

Other nonrheumatic tricuspid valve disorders


Nonrheumatic tricuspid valve disorder, unspecified
Pulmonary valve stenosis
Pulmonary valve insufficiency; Incompetence pulmonary valve NOS or
specified cause, except rheumatic; Pulmonary valve regurgitation NOS or of
specified cause, except
rheumatic

HEART
HEART
HEART
HEART

VALVE
VALVE
VALVE
VALVE

DISORDERS
DISORDERS
DISORDERS
DISORDERS

8,400
8,400
8,400
8,400

I37.8
I37.9
T67.0

Other pulmonary HEART VALVE DISORDERS


Pulmonary valve disorder, unspecified
Heat stroke and sunstroke; Heat apoplexy; Heat pyrexia;
Siriasis; Thermoplegia

HEART VALVE DISORDERS


HEART VALVE DISORDERS
HEAT EXHAUSTION

8,400
8,400
6,500

T67.1
T67.2
T67.3

Heat syncope; Heat collapse


Heat cramp
Heat exhaustion, anhydrotic; Heat prostration due to water
depletion

HEAT EXHAUSTION
HEAT EXHAUSTION
HEAT EXHAUSTION

6,500
6,500
6,500

T67.4

Heat exhaustion due to salt depletion; Heat prostation due


to salt (and water) depletion

HEAT EXHAUSTION

6,500

T67.5
T67.9
M25.00
M25.01
M25.05
M25.06
M25.07
M25.08
M25.09
M25.38
M25.40
M25.41
M25.46
M25.47
D59.3
O08.1

Heat exhaustion, unspecified; Heat prostration NOS


Effect of heat and light, unspecified
Haemarthrosis multiple sites
Haemarthrosis shoulder region
Haemarthrosis pelvic region and thigh
Haemarthrosis lower leg
Haemarthrosis ankle and foot
Haemarthrosis other sites
Haemarthrosis site unspecified
Other instability of joint other sites
Effusion of joint multiple sites
Effusion of joint shoulder region
Effusion of joint lower leg
Effusion of joint ankle and foot
Haemolytic-uraemic syndrome
Delayed or excessive haemorrhage following abortion and ectopic and molar
pregnancy; Afibrinogenaemia;
Defibrination syndrome; Intravascular coagulation

HEAT EXHAUSTION
HEAT EXHAUSTION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMARTHROSIS/JOINT EFFUSION
HEMOLYTIC UREMIC SYNDROME
HEMORRHAGE IN PREGNANCY AND POST PARTUM PERIOD

6,500
6,500
7,800
7,800
7,800
7,800
7,800
7,800
7,800
7,800
7,800
7,800
7,800
7,800
20,200
7,000

O72.0

Third-stage haemorrhage; Haemorrhage associated with retained, trapped or HEMORRHAGE IN PREGNANCY AND POST PARTUM PERIOD
adherent placenta; Retained placenta
NOS

7,000

O72.1

Other immediate postpartum haemorrhage; Haemorrhage following delivery


of placenta; Postpartum atomic
haemorrhage NOS

HEMORRHAGE IN PREGNANCY AND POST PARTUM PERIOD

7,000

O72.2

Delayed and secondary postpartum haemorrhage; Haemorrhage associated


with retained portions of placenta or membranes; Retained products of
concepcion NOS,
following delivery

HEMORRHAGE IN PREGNANCY AND POST PARTUM PERIOD

7,000

O72.3

Postpartum coagulation defects; Afibrinogenaemia


postpartum; Fibrinolysis postpartum

HEMORRHAGE IN PREGNANCY AND POST


PARTUM PERIOD

7,000

O73.0

Retained placenta without haemorrhage; Placenta accreta


without haemorrhage

HEMORRHAGE IN PREGNANCY AND POST


PARTUM PERIOD

7,000

O73.1

Retained portions of placenta and membranes without haemorrhage;


Retained products of conception following
delivery, without haemorrhage

HEMORRHAGE IN PREGNANCY AND POST PARTUM PERIOD

7,000

P50.0

Fetal blood loss from vasa praevia

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P50.1

Fetal blood loss from ruptured cord

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

HEART FAILURE

Case Rate
P50.2

Fetal blood loss from placenta

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P50.9

Fetal blood loss, unspecified; Fetal haemorrhage NOS

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P51.9

Umbilical haemorrhage of newborn, unspecified

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P53

Haemorrhagic disease of fetus and newborn; Vitamin K


deficiency of newborn

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P54.0

Neonatal haematemesis

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P54.2

Neonatal rectal haemorrhage

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P54.3

Other neonatal gastrointestinal haemorrhage

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P54.4

Neonatal adrenal haemorrhage

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P54.5

Neonatal cutaneous haemorrhage; Bruising in fetus or newborn;


Ecchymoses in fetus or newborn; Petechiae in fetus or newborn; Superficial
haematomata in fetus or
newborn

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF THE NEWBORN

7,800

P54.6

Neonatal vaginal haemorrhage; Pseudomenses

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P54.8

Other specified neonatal haemorrhages

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P54.9

Neonatal haemorrhage, unspecified

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P55.0

Rh isoimmunization of fetus and newborn

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P55.1

ABO isoimmunization of fetus and newborn

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P55.8

Other haemolytic diseases of fetus and newborn

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P55.9

Haemolytic disease of fetus and newborn, unspecified

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P61.0

Transient neonatal thrombocytopenia; neonatal thrombocytopenia due to


HEMORRHAGIC AND HEMATOLOGIC DISEASES OF THE NEWBORN
exchange transfusion; Neonatal thrombocytopenia due to idiophatic maternal
thrombocytopenia; Neonatal thrombocytopenia due to
isoimmunization

7,800

P61.1

Polycythaemia neonatorum

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P61.5

Transient neonatal neutropenia

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P61.6

Other transient neonatal disorders of coagulation

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P61.8

Other specified perinatal haematological disorders

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

P61.9

Perinatal haematological disorder, unspecified

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF


THE NEWBORN

7,800

D66

Hereditary factor VIII deficiency; Deficiency factor VIII (with functional defect); HEMORRHAGIC CONDITIONS
Haemophilia NOS; Haemophilia A;
Classical Haemophilia

12,800

D67

Hereditary factor IX deficiency; Christmas disease; Factor IX Deficiency (with


functional defect); Plasma thromboplastin component [PTC] Deficiency;
Haemophilia B

HEMORRHAGIC CONDITIONS

12,800

D68.0

Von Willebrand's disease; Angiohaemophilia; Factor VIII


deficiency with vascular defect; Vascular haemophilia

HEMORRHAGIC CONDITIONS

12,800

D68.1

Hereditary factor XI deficiency; Haemophilia C Plasma


thromoplastin antecedent [PTA] deficiency

HEMORRHAGIC CONDITIONS

12,800

D68.2

Hereditary deficiency of other clotting factors; Congenital afibrinogenaemia;


AC globulin Deficiency; Proaccelerin Deficiency; Deficiency of factor I
[fibrinogen]; Deficiency of factor II [prothrombin]; Deficiency of factor V
[labile];
Deficiency of fac

HEMORRHAGIC CONDITIONS

12,800

D68.3

Haemorrhagic disorder due to circulating anticoagulants; Haemorrhage during HEMORRHAGIC CONDITIONS


long term use of anticoagulants; Hyperheparinaemia; Increase in
antithrombin; Increase in anti-VIIIa; Increase in anti-Ixa; Increase in anti-Xa;
Increase
in anti-XIa

12,800

D68.4

Acquired coagulation factor deficiency; Deficiency of coagulation factor due to HEMORRHAGIC CONDITIONS
liver disease; Deficiency of
coagulation factor due to vitamin K deficiency

12,800

D68.8

Other specified coagulation defects; Presence of systemic


lupus erythematosus [SLE] inhibitor

HEMORRHAGIC CONDITIONS

12,800

D68.9
D69.0

Coagulation defect, unspecified


Allergic purpura; Anaphylactoid Purpura; Henoch(- Schnlein) Purpura;
Nonthrombocytopenic Purpura; Haemorrhagic Purpura; Idiopathic Purpura;
Vascular
Purpura; AllergicVasculitis

HEMORRHAGIC CONDITIONS
HEMORRHAGIC CONDITIONS

12,800
12,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

D69.1

Qualitative platelet defects; Bernard-Soulier [giant platelet] syndrome;


Glanzmann's disease; Grey platelet syndrome; Haemorrhagic
Thromboasthenia; Hereditary
Thromboasthenia; Thrombocytopathy ;

HEMORRHAGIC CONDITIONS

12,800

D69.2

Other nonthrombocytopenic purpura; Purpura NOS; Senile


Purpura; Simplex Purpura

HEMORRHAGIC CONDITIONS

12,800

D69.3

Idiopathic thrombocytopenic purpura; Evans' syndrome

HEMORRHAGIC CONDITIONS

12,800

D69.8

Other specified haemorrhagic conditions; Hereditary


Capillary fragility; Vascular pseudohaemophilia

HEMORRHAGIC CONDITIONS

12,800

K70.4

Alcoholic hepatic failure; Alcoholic hepatic failure NOS; Acute alcoholic


hepatic failure; Chronic alcoholic hepatic failure; Subacute alcoholic hepatic
failure; Alcoholic hepatic failure with or without hepatic coma

HEPATIC FAILURE

20,600

K72.0
K72.1
K72.9
O01.0

Acute and subacute hepatic failure


Chronic hepatic failure
Hepatic failure
Classical hydatidiform mole; Complete hydatidiform mole

HEPATIC FAILURE
HEPATIC FAILURE
HEPATIC FAILURE
HYDATIDIFORM MOLE

20,600
20,600
20,600
6,600

O01.1
O01.9

Incomplete and partial hydatidiform mole


Hydatidiform mole, unspecified; Trophoblastic disease
NOS; Vesicular mole NOS

HYDATIDIFORM MOLE
HYDATIDIFORM MOLE

6,600
6,600

G91.0
G91.1
G91.2
G91.3
G91.8
G91.9
Q03.8
Q03.9
P56.0
P56.9

Communicating hydrocephalus
Obstructive hydrocephalus
Normal-pressure hydrocephalus
Post-traumatic hydrocephalus, unspecified
Other hydrocephalus
Hydrocephalus, unspecified
Other congenital hydrocephalus
Congenital hydrocephalus, unspecified
Hydrops fetalis due to isoimmunization
Hydrops fetalis due to other and unspecified haemolytic
disease

HYDROCEPHALUS
HYDROCEPHALUS
HYDROCEPHALUS
HYDROCEPHALUS
HYDROCEPHALUS
HYDROCEPHALUS
HYDROCEPHALUS
HYDROCEPHALUS
HYDROPS FETALIS
HYDROPS FETALIS

17,300
17,300
17,300
17,300
17,300
17,300
13,000
13,000
7,400
7,400

P83.2

Hydrops fetalis not due to haemolytic disease; Hydrops


fetalis NOS

HYDROPS FETALIS

9,300

I10.1
I10.9
I11.0

Hypertension, stage II
Essential Hypertension; malignant hypertension
Hypertensive heart disease with (congestive) heart failure;
Hypertensive heart failure

HYPERTENSIVE EMERGENCY/URGENCY
HYPERTENSIVE EMERGENCY/URGENCY
HYPERTENSIVE EMERGENCY/URGENCY

9,000
9,000
9,000

I11.9

Hypertensive heart disease without (congestive) heart


failure; Hypertensive heart disease NOS

HYPERTENSIVE EMERGENCY/URGENCY

9,000

I12.0

Hypertensive renal disease with renal failure; Hypertensive


renal failure

HYPERTENSIVE EMERGENCY/URGENCY

9,000

I12.9

Hypertensive renal disease without renal failure;


Hypertensive renal disease NOS

HYPERTENSIVE EMERGENCY/URGENCY

9,000

I13.0

Hypertensive heart and renal disease with (congestive)


heart failure

HYPERTENSIVE EMERGENCY/URGENCY

9,000

I13.1

Hypertensive heart and renal disease with renal failure

HYPERTENSIVE EMERGENCY/URGENCY

9,000

I13.2

Hypertensive heart and renal disease with both


(congestive) heart failure and renal failure

HYPERTENSIVE EMERGENCY/URGENCY

9,000

I13.9
I15.0
I15.1
I15.2
I15.8
I15.9
E05.0

Hypertensive heart and renal disease, unspecified


Renovascular hypertension
Hypertension secondary to other renal disorders
Hypertension secondary to endocrine disorders
Other secondary hypertension
Secondary hypertension, unspecified
Thyrotoxicosis with diffuse goitre; Exophthalmic or toxic
goitre NOS; Graves' disease; Toxic diffuse goitre

HYPERTENSIVE EMERGENCY/URGENCY
HYPERTENSIVE EMERGENCY/URGENCY
HYPERTENSIVE EMERGENCY/URGENCY
HYPERTENSIVE EMERGENCY/URGENCY
HYPERTENSIVE EMERGENCY/URGENCY
HYPERTENSIVE EMERGENCY/URGENCY
HYPERTHYROIDISM

9,000
9,000
9,000
9,000
9,000
9,000
8,500

E05.1

Thyrotoxicosis with toxic single thyroid nodule;


Thyrotoxicosis with toxic uninodular goitre

HYPERTHYROIDISM

8,500

E05.2

Thyrotoxicosis with toxic multinodular goitre; Toxic nodular


goitre NOS

HYPERTHYROIDISM

8,500

E05.3
E05.4
E05.5
E05.8

Thyrotoxicosis from ectopic thyroid tissue


Thyrotoxicosis factitia
Thyroid crisis or storm
Other thyrotoxicosis; Overproduction of thyroid-stimulating
hormone

HYPERTHYROIDISM
HYPERTHYROIDISM
HYPERTHYROIDISM
HYPERTHYROIDISM

8,500
8,500
8,500
8,500

E05.9

Thyrotoxicosis, unspecified; Hyperthyroidism NOS;


Thyroiditis

HYPERTHYROIDISM

8,500

E01.0
E01.1

Iodine-deficiency-related diffuse (endemic) goitre


Iodine-deficiency-related multinodular (endemic) goitre;
Iodine-deficiency-related nodular goitre

HYPOTHYROIDISM
HYPOTHYROIDISM

8,100
8,100

E01.2

Iodine-deficiency-related (endemic) goitre, unspecified

HYPOTHYROIDISM

8,100

E01.8

Other iodine-deficiency-related thyroid disorders and allied


conditions

HYPOTHYROIDISM

8,100

E02
E03.2

Subclinical iodine-deficiency hypothyroidism


Hypothyroidism due to medicaments and other exogenous
substances

HYPOTHYROIDISM
HYPOTHYROIDISM

8,100
8,100

E03.5
E03.8
E03.9

Myxoedema coma
Other specified hypothyroidism
Hypothyroidism, unspecified;

HYPOTHYROIDISM
HYPOTHYROIDISM
HYPOTHYROIDISM

8,100
8,100
8,100

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

D80.0

Hereditary hypogammaglobulinaemia; Autosomal recessive


agammaglobulinaemia (Swiss type); X-linked agammaglobulinaemia [Bruton]
(with growth hormone
deficiency)

IMMUNODEFICIENCY

11,600

D80.2
D80.7
D80.8

Selective deficiency of immunoglobulin A [IgA]


Transient hypogammaglobulinaemia of infancy
Other immunodeficiencies with predominantly antibody
defects; Kappa light chain deficiency

IMMUNODEFICIENCY
IMMUNODEFICIENCY
IMMUNODEFICIENCY

11,600
11,600
11,600

D80.9

Immunodeficiency with predominantly antibody defects,


unspecified

IMMUNODEFICIENCY

11,600

D81.1

Severe combined immunodeficiency [SCID] with low T- and


B-cell numbers

IMMUNODEFICIENCY

11,600

D81.6

Major histocompatibility complex class I deficiency; Bare


lymphocyte syndrome

IMMUNODEFICIENCY

11,600

D81.9

Combined immunodeficiency, unspecified; Severe


combined immunodeficiency disorder [SCID] NOS

IMMUNODEFICIENCY

11,600

D82.0

Wiskott-Aldrich syndrome; Immunodeficiency with


thrombocytopenia and eczema

IMMUNODEFICIENCY

11,600

D82.1

Di George's syndrome; Pharyngeal pouch syndrome; Thymic alymphoplasia;


Thymic aplasia or hypoplasia with
immunodeficiency

IMMUNODEFICIENCY

11,600

D82.3

Immunodeficiency following hereditary defective response to Epstein-Barr


virus; X-linked lymphoproliferative disease

IMMUNODEFICIENCY

11,600

D82.4
D82.9

Hyperimmunoglobulin E [IgE] syndrome


Immunodeficiency associated with major defect,
unspecified

IMMUNODEFICIENCY
IMMUNODEFICIENCY

11,600
11,600

D83.0

Common variable immunodeficiency with predominant abnormalities of B-cell IMMUNODEFICIENCY


numbers and function

11,600

D83.1

Common variable immunodeficiency with predominant


immunoregulatory T-cell disorders

IMMUNODEFICIENCY

11,600

D83.9
D84.8
D84.9
D86.1
D86.8

Common variable immunodeficiency, unspecified


Other specified immunodeficiencies
Immunodeficiency, unspecified
Sarcoidosis of lymph nodes
Sarcoidosis of other and combined sites; Uveoparotid fever
[Heerfordt]

IMMUNODEFICIENCY
IMMUNODEFICIENCY
IMMUNODEFICIENCY
IMMUNODEFICIENCY
IMMUNODEFICIENCY

11,600
11,600
11,600
11,600
11,600

D86.9
D89.0

Sarcoidosis, unspecified
Polyclonal hypergammaglobulinaemia; Benign hypergammaglobulinaemic
purpura; Polyclonal
gammopathy NOS

IMMUNODEFICIENCY
IMMUNODEFICIENCY

11,600
11,600

D89.1

Cryoglobulinaemia; Essential Cryoglobulinaemia; Idiopathic


Cryoglobulinaemia; Mixed Cryoglobulinaemia; Primary Cryoglobulinaemia;
Secondary Cryoglobulinaemia; Cryoglobulinaemic purpura;
Cryoglobulinaemic vasculitis

IMMUNODEFICIENCY

11,600

D89.2
D89.8

Hypergammaglobulinaemia, unspecified
Other specified disorders involving the immune
mechanism, not elsewhere classified

IMMUNODEFICIENCY
IMMUNODEFICIENCY

11,600
11,600

D89.9

Disorder involving the immune mechanism, unspecified;


Immune disease NOS

IMMUNODEFICIENCY

11,600

N48.0

Leukoplakia of penis; Balanitis xerotica obliterans; Kraurosis


of penis

INFLAMMATION/INFECTION OF THE MALE


GENITAL TRACT

9,000

N48.1

Balanoposthitis; Balanitis

INFLAMMATION/INFECTION OF THE MALE


GENITAL TRACT

9,000

N48.2

Other inflammatory disorders of penis; Abscess of corpus cavernosum and


penis; Boil of corpus cavernosum and penis; Carbuncle of corpus cavernosum
and penis; Cellulitis of corpus cavernosum and penis; Cavernitis (penis) of
corpus cavernosum and penis

INFLAMMATION/INFECTION OF THE MALE GENITAL TRACT

9,000

N48.5

Ulcer of penis

INFLAMMATION/INFECTION OF THE MALE


GENITAL TRACT

9,000

N48.6

Induratio penis plastica; Peyronie's disease; Plastic


induration of penis

INFLAMMATION/INFECTION OF THE MALE


GENITAL TRACT

9,000

N49.0

Inflammatory disorders of seminal vesicle; Vesiculitis NOS

INFLAMMATION/INFECTION OF THE MALE


GENITAL TRACT

9,000

N49.1

Inflammatory disorders of spermatic cord, tunica vaginalis


and vas deferens; Vasitis

INFLAMMATION/INFECTION OF THE MALE


GENITAL TRACT

9,000

N49.2

Inflammatory disorders of scrotum

INFLAMMATION/INFECTION OF THE MALE


GENITAL TRACT

9,000

N49.8

Inflammatory disorders of other specified male genital organs; Inflammation


of multiple sites in male genital
organs

INFLAMMATION/INFECTION OF THE MALE GENITAL TRACT

9,000

N49.9

Inflammatory disorder of unspecified male genital organ; Abscess of


unspecified male genital organ; Boil of unspecified male genital organ;
Carbuncle of unspecified male genital organ; Cellulitis of unspecified male
genital
organ

INFLAMMATION/INFECTION OF THE MALE GENITAL TRACT

9,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

K50.0

Crohn's disease of small intestine; Crohn's disease [regional enteritis] of


duodenum; Crohn's disease [regional enteritis] of ileum; Crohn's disease
[regional enteritis] of jejunum; Regional ileitis; Terminal ileitis

INFLAMMATORY BOWEL DISEASE

9,100

K50.1

Crohn's disease of large intestine; Granulomatous colitis; Regional colitis;


Crohn's disease [regional enteritis] of colon; Crohn's disease [regional
enteritis] of large bowel; Crohn's disease [regional enteritis] of rectum

INFLAMMATORY BOWEL DISEASE

9,100

K50.8

Other Crohn's disease; Crohn's disease of both small and


large intestine

INFLAMMATORY BOWEL DISEASE

9,100

K50.9

Crohn's disease [regional enteritis], unspecified; Crohn's disease NOS;


Regional enteritis NOS; Granulomatous
enteritis NOS

INFLAMMATORY BOWEL DISEASE

9,100

K51.0
K51.1
K51.2
K51.3
K51.5
K51.8
K51.9

Ulcerative (chronic) enterocolitis


Ulcerative (chronic) ileocolitis
Ulcerative (chronic) proctitis
Ulcerative (chronic) rectosigmoiditis
Mucosal proctocolitis
Other ulcerative colitis
Ulcerative colitis, unspecified; Ulcerative enteritis NOS

INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY

9,100
9,100
9,100
9,100
9,100
9,100
9,100

BOWEL
BOWEL
BOWEL
BOWEL
BOWEL
BOWEL
BOWEL

DISEASE
DISEASE
DISEASE
DISEASE
DISEASE
DISEASE
DISEASE

G04.0

Acute disseminated encephalitis; Postimmunization


[Encephalitis; Postimmunization Encephalomyelitis

INFLAMMATORY DISEASE OF THE CENTRAL


NERVOUS SYSTEM

21,600

G04.1

Tropical spastic paraplegia

INFLAMMATORY DISEASE OF THE CENTRAL


NERVOUS SYSTEM

21,600

G04.2

Bacterial meningoencephalitis and meningomyelitis, not


elsewhere classified

INFLAMMATORY DISEASE OF THE CENTRAL


NERVOUS SYSTEM

21,600

G04.8

Other encephalitis, myelitis and encephalomyelitis; Postinfectious encephalitis INFLAMMATORY DISEASE OF THE CENTRAL NERVOUS SYSTEM
and encephalomyelitis NOS

21,600

G04.9

Encephalitis, myelitis and encephalomyelitis, unspecified;


Ventriculitis (cerebral) NOS

INFLAMMATORY DISEASE OF THE CENTRAL


NERVOUS SYSTEM

21,600

G05.8*

Encephalitis, myelitis and encephalomyelitis in other


diseases classified elsewhere

INFLAMMATORY DISEASE OF THE CENTRAL


NERVOUS SYSTEM

21,600

G07*

INTRACRANIAL AND INTRASPINAL ABSCESS AND


GRANULOMA IN DISEASES CLASSIFIED ELSEWHERE

INFLAMMATORY DISEASE OF THE CENTRAL


NERVOUS SYSTEM

21,600

G08

Intracranial and intraspinal phlebitis and thrombophlebitis; Septic [embolism, INFLAMMATORY DISEASE OF THE CENTRAL NERVOUS SYSTEM
endophlebitis, phlebitis, thrombophlebitis, thrombosis] of intracranial or
intraspinal
venous sinuses and veins

21,600

I30.0
I30.1

Acute nonspecific idiopathic pericarditis


Infective pericarditis; Pneumococcal pericarditis; Purulent pericarditis;
Staphylococcal pericarditis; Streptococcal pericarditis; Viral pericarditis;
Pyopericarditis

INFLAMMATORY DISEASES OF THE HEART


INFLAMMATORY DISEASES OF THE HEART

14,400
14,400

I30.8
I30.9
I31.0

Other forms of acute pericarditis


INFLAMMATORY DISEASES OF THE HEART
Acute pericarditis, unspecified
INFLAMMATORY DISEASES OF THE HEART
Chronic adhesive pericarditis; Accretio cordis; Adherent pericardium; Adhesive INFLAMMATORY DISEASES OF THE HEART
mediastinopericarditis

14,400
14,400
14,400

I31.1

Chronic constrictive pericarditis; Concretio cordis;


Pericardial calcification

INFLAMMATORY DISEASES OF THE HEART

14,400

I33.0

Acute and subacute infective endocarditis; Acute bacterial endocarditis;


Subacute bacterial endocarditis; Acute infective endocarditis NOS; Subacute
infective endocarditis NOS; Acute lenta endocarditis; Subacute lenta
endocarditis; Acute malignant endocar

INFLAMMATORY DISEASES OF THE HEART

14,400

I33.9

Acute endocarditis, unspecified; Endocarditis, acute or subacute;


Myoendocarditis, acute or subacute;
Periendocarditis, acute or subacute

INFLAMMATORY DISEASES OF THE HEART

14,400

I38

Endocarditis, valve unspecified; Chronic Endocarditis NOS; Valvular


incompetence of unspecified valve NOS or of specified cause, except
rheumatic or congenital; Valvular insufficiency of unspecified valve NOS or of
specified cause,
except rheumatic or con

INFLAMMATORY DISEASES OF THE HEART

14,400

I40.0
I40.1
I40.8
I40.9
J09
J10.0

Infective myocarditis; Septic myocarditis


Isolated myocarditis
Other acute myocarditis
Acute myocarditis, unspecified
Influenza A H5N1 (Avian influenza)
Influenza with pneumonia, influenza virus identified; Influenzal (broncho)
pneumonia, influenza virus indentified

INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLUENZA
INFLUENZA

14,400
14,400
14,400
14,400
6,600
6,600

J10.1

Influenza with other respiratory manifestations, influenza virus identified;


Influenza, influenza virus identified; Acute upper respiratory influenzal
infection, influenza virus identified; Influenzal laryngitis, influenza virus
identified;
Influenzal pha

INFLUENZA

6,600

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

DISEASES
DISEASES
DISEASES
DISEASES

OF
OF
OF
OF

THE
THE
THE
THE

HEART
HEART
HEART
HEART

Case Rate
J10.8

Influenza with other manifestations, influenza virus identified;


Encephalopathy due to influenza, influenza virus identified; Influenzal
gastroenteritis, influenza virus identified; Acute influenzal myocarditis,
influenza virus
identified

INFLUENZA

6,600

J11.0

Influenza with pneumonia, virus not identified; Influenzal


(broncho) pneumonia, unspecified or specific virus not identified

INFLUENZA

6,600

J11.1

Influenza with other respiratory manifestations, virus not identified; Influenza


NOS; Influenzal Acute upper respiratory infection, unspecified or specific
virus not identified; Influenzal laryngitis, unspecified or specific virus
not identified; Influen

INFLUENZA

6,600

J11.8

Influenza with other manifestations, virus not identified; Encephalopathy due


to influenza, unspecified or specific virus not identified; Influenzal
gastroentiritis, unspecified or specific virus not identified; Acute influenzal
myocarditis,
unspecified o

INFLUENZA

6,600

J11.8+ I41.1*
T66

Acute influenzal myocarditis, virus not identified


Unspecified effects of radiation

INFLUENZA
INJURIES DUE TO ENVIRONMENTAL AND OTHER
EXTERNAL FACTORS CAUSES

6,600
9,300

T67.6

Heat fatigue, transient

INJURIES DUE TO ENVIRONMENTAL AND OTHER


EXTERNAL FACTORS CAUSES

9,300

T67.8

Other effects of heat and light

INJURIES DUE TO ENVIRONMENTAL AND OTHER


EXTERNAL FACTORS CAUSES

9,300

T68

Hypothermia

INJURIES DUE TO ENVIRONMENTAL AND OTHER


EXTERNAL FACTORS CAUSES

9,300

T69.0

Immersion hand and foot; Trench foot

INJURIES DUE TO ENVIRONMENTAL AND OTHER


EXTERNAL FACTORS CAUSES

9,300

T69.9

Effect of reduced temperature, unspecified

INJURIES DUE TO ENVIRONMENTAL AND OTHER


EXTERNAL FACTORS CAUSES

9,300

T70.0

Otitic barotrauma; Aero-otitis media; Effects of change in


ambient atmospheric pressure on sinuses

INJURIES DUE TO ENVIRONMENTAL AND OTHER


EXTERNAL FACTORS CAUSES

9,300

T70.2

Other and unspecified effects of high altitude; Alpine sickness; Anoxia due to
high altitude; Barotrauma NOS;
Hypobaropathy; Mountain sickness

INJURIES DUE TO ENVIRONMENTAL AND OTHER EXTERNAL


FACTORS CAUSES

9,300

T70.3

Caisson disease [decompression sickness]; Compressed-air


disease; Diver's palsy or paralysis

INJURIES DUE TO ENVIRONMENTAL AND OTHER


EXTERNAL FACTORS CAUSES

9,300

T70.4

Effects of high-pressure fluids; Traumatic jet injection


(industrial)

INJURIES DUE TO ENVIRONMENTAL AND OTHER


EXTERNAL FACTORS CAUSES

9,300

T70.8

Other effects of air pressure and water pressure; Blast


injury syndrome

INJURIES DUE TO ENVIRONMENTAL AND OTHER


EXTERNAL FACTORS CAUSES

9,300

T70.9

Effect of air pressure and water pressure, unspecified

INJURIES DUE TO ENVIRONMENTAL AND OTHER


EXTERNAL FACTORS CAUSES

9,300

T75.2

Effects of vibration; Pneumatic hammer syndrome; Traumatic vasospastic


syndrome; Vartigo from infrasound

INJURIES DUE TO ENVIRONMENTAL AND OTHER EXTERNAL


FACTORS CAUSES

9,300

T75.8

Other specified INJURIES DUE TO ENVIRONMENTAL AND OTHER EXTERNAL


FACTORS causes; Effects of abnormal gravitation [G] forces; Effects of
weightlessness

INJURIES DUE TO ENVIRONMENTAL AND OTHER EXTERNAL


FACTORS CAUSES

9,300

S14.0
S34.0
S16

Concussion and oedema of cervical spinal cord


Concussion and oedema of lumbar spinal cord
Injury of muscle and tendon at neck level

INJURIES TO NEURAL STRUCTURES AND NERVES


INJURIES TO NEURAL STRUCTURES AND NERVES
INJURIES TO THE MUSCLES AND TENDONS AND
JOINTS

18,400
18,400
7,200

S39.0

Injury of muscle and tendon of abdomen, lower back and


pelvis

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S43.0

Dislocation of shoulder joint; Dislocation of Glenohumeral


joint

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S43.4

Sprain and strain of shoulder joint; sprain and strain of


Coracohumeral (ligament); Sprain and strain of Rotator cuff capsule

INJURIES TO THE MUSCLES AND TENDONS AND JOINTS

7,200

S43.5

Sprain and strain of acromioclavicular joint; sprain and


strain of Acromioclavicular ligament

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S43.7

Sprain and strain of other and unspecified parts of shoulder girdle; Sprain and
strain of shoulder girdle NOS

INJURIES TO THE MUSCLES AND TENDONS AND JOINTS

7,200

S46.0

Injury of tendon of the rotator cuff of shoulder

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S46.1

Injury of muscle and tendon of long head of biceps

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S46.2

Injury of muscle and tendon of other parts of biceps

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S46.7

Injury of multiple muscles and tendons at shoulder and


upper arm level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S46.8

Injury of other muscles and tendons at shoulder and upper


arm level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S46.9

Injury of unspecified muscle and tendon at shoulder and


upper arm level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S53.4

Sprain and strain of elbow

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S56.0

Injury of flexor muscle and tendon of thumb at forearm


level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

S56.1

Injury of long flexor muscle and tendon of other finger(s) at


forearm level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S56.2

Injury of other flexor muscle and tendon at forearm level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S56.3

Injury of extensor or abductor muscles and tendons of


thumb at forearm level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S63.5

Sprain and strain of wrist; Sprain and strain of Carpal joint; Sprain and strain of INJURIES TO THE MUSCLES AND TENDONS AND JOINTS
Radiocarpal joint; Sprain and strain of
Radiocarpal ligament

7,200

S63.6

Sprain and strain of finger(s); Sprain and strain of Interphalangeal joint, hand; INJURIES TO THE MUSCLES AND TENDONS AND JOINTS
Sprain and strain Metacarpophalangeal joint; Sprain and strain of Phalanx,
hand; Sprain and strain of Thumb

7,200

S63.7

Sprain and strain of other and unspecified parts of hand

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S66.1

Injury of flexor muscle and tendon of other finger at wrist


and hand level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S66.3

Injury of extensor muscle and tendon of other finger at


wrist and hand level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S66.5

Injury of intrinsic muscle and tendon of other finger at wrist


and hand level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S66.6

Injury of multiple flexor muscles and tendons at wrist and


hand level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S66.8

Injury of other muscles and tendons at wrist and hand level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S66.9

Injury of unspecified muscle and tendon at wrist and hand


level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S73.1

Sprain and strain of hip

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S76.1

Injury of quadriceps muscle and tendon; injury of Patellar


ligament (tendon)

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S76.2

Injury of adductor muscle and tendon of thigh

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S76.3

Injury of muscle and tendon of the posterior muscle group


at thigh level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S76.4

Injury of other and unspecified muscles and tendons at


thigh level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S83.4

Sprain and strain involving fibular collateral ligament of knee; Sprain and
strain involving tibial collateral ligament of
knee

INJURIES TO THE MUSCLES AND TENDONS AND JOINTS

7,200

S83.5

Sprain and strain involving anterior cruciate ligament of knee; Sprain and
strain involving posterior cruciate
ligament of knee

INJURIES TO THE MUSCLES AND TENDONS AND JOINTS

7,200

S83.6

Sprain and strain of other and unspecified parts of knee

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S86.8

Injury of other muscles and tendons at lower leg level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S86.9

Injury of unspecified muscle and tendon at lower leg level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S93.4

Sprain and strain of ankle including Calcaneofibular (ligament), Deltoid


(ligament), Internal collateral (ligament), Talofibular (ligament), Tibiofibular ,
distal (ligament)

INJURIES TO THE MUSCLES AND TENDONS AND JOINTS

7,200

S93.5

Sprain and strain of toe(s) including Interphalangeal


(joint(s), metatarsophalangeal (joint(s)

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S93.6

Sprain and strain of other and unspecified parts of foot including Tarsal
(ligament), Tarsometatarsal (ligament)

INJURIES TO THE MUSCLES AND TENDONS AND JOINTS

7,200

S96.0

Injury of muscle and tendon of long flexor muscle of toe at


ankle and foot level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

S96.9

Injury of unspecified muscle and tendon at ankle and foot


level

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

T03.9

Multiple dislocations, sprains and strains, unspecified

INJURIES TO THE MUSCLES AND TENDONS AND


JOINTS

7,200

J81

Pulmonary oedema; Acute oedema of lung; Passive


pulmonary congestion; Lung dropsy

INTERSTITIAL PULMONARY DISEASE

14,000

J82

Pulmonary eosinophilia, not elsewhere classified; Eosinophilic asthma; Loffler's INTERSTITIAL PULMONARY DISEASE
pneumonia; Tropical
pulmonary eosinophilia NOS

14,000

J84.0

Alveolar and parietoalveolar conditions; Alveolar


proteinosis; Pulmonary alveolar microlithiasis

INTERSTITIAL PULMONARY DISEASE

14,000

J84.1

Other interstitial pulmonary diseases with fibrosis; Diffuse pulmonary fibrosis;


Cryptogenic fibrosing alveolitis; Hamman-Rich syndrome; Idiopathic
pulmonary fibrosis

INTERSTITIAL PULMONARY DISEASE

14,000

J84.8
J84.9

Other specified interstitial pulmonary diseases


Interstitial pulmonary disease, unspecified; Interstitial
pneumonia NOS

INTERSTITIAL PULMONARY DISEASE


INTERSTITIAL PULMONARY DISEASE

14,000
14,000

K55.0

Acute vascular disorders of intestine; Acute fulminant ischaemic colitis; Acute INTESTINAL DISORDERS
intestinal infarction; Acute small intestine ischaemia; Mesentric artery
embolism; Mesentric vein embolism; Mesentric artery infarction; Mesentric
vein
infarction; Mesentric a

9,500

ICD CODE

DESCRIPTION

FIRST CASE RATE

GROUP

Case Rate
K55.1

Chronic vascular disorders of intestine; Chronic ischaemic colitis; Chronic


ischaemic enteritis; Chronic ischaemic enterocolitis; Ischaemic stricture of
intestine; Mesentric atherosclerosis; Mesentric vascular insufficiency

INTESTINAL DISORDERS

9,500

K55.2
K55.9

Angiodysplasia of colon
Vascular disorder of intestine, unspecified; Ischaemic colitis
NOS; Ischaemic enteritis NOS; Ischaemic enterocolitis NOS

INTESTINAL DISORDERS
INTESTINAL DISORDERS

9,500
9,500

K57.0

Diverticular disease of small intestine with perforation and abscess;


Diverticular disease of small intestine with
peritonitis

INTESTINAL DISORDERS

9,500

K57.1

Diverticular disease of small intestine without perforation or abscess;


Diverticular disease of small intestine NOS

INTESTINAL DISORDERS

9,500

K57.2

Diverticular disease of large intestine with perforation and abscess;


Diverticular disease/ Diverticulitis/ Diverticulosis/ Diverticulum of colon with
peritonitis

INTESTINAL DISORDERS

9,500

K57.3

Diverticular disease of large intestine without perforation or abscess;


Diverticular disease of colon NOS

INTESTINAL DISORDERS

9,500

K57.4

Diverticular disease of both small and large intestine with perforation and
abscess; Diverticular disease of both small
and large intestine with peritonitis

INTESTINAL DISORDERS

9,500

K57.5

Diverticular disease of both small and large intestine without perforation or


abscess; Diverticular disease of both
small and large intestine NOS

INTESTINAL DISORDERS

9,500

K57.8

Diverticular disease of intestine, part unspecified, with perforation and


abscess; Diverticular disease of intestine
NOS with peritonitis

INTESTINAL DISORDERS

9,500

K57.9

Diverticular disease of intestine, part unspecified, without perforation or


abscess; Diverticular disease of intestine
NOS

INTESTINAL DISORDERS

9,500

K59.3

Megacolon, not elsewhere classified; Dilatation of colon;


Toxic megacolon

INTESTINAL DISORDERS

9,500

K59.8

Other specified functional intestinal disorders; Atony of


colon

INTESTINAL DISORDERS

9,500

K59.9
K63.0
K63.1
K63.2
K63.3
K63.4

Functional intestinal disorder, unspecified


Abscess of intestine
Nontraumatic perforation of intestine
Fistula of intestine
Ulcer of intestine; Primary ulcer of small intestine
Enteroptosis

INTESTINAL
INTESTINAL
INTESTINAL
INTESTINAL
INTESTINAL
INTESTINAL

9,500
9,500
9,500
9,500
9,500
9,500

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

K63.5
K63.8
K63.9
K90.0

Polyp of colon
Other specified diseases of intestine
Disease of intestine, unspecified
Coeliac disease; Gluten-sensitive enteropathy; Idiopathic
steatorrhoea; Nontropical sprue

INTESTINAL
INTESTINAL
INTESTINAL
INTESTINAL

DISORDERS
DISORDERS
DISORDERS
MALABSORPTION

9,500
9,500
9,500
4,100

K90.1
K90.2

Tropical sprue; Sprue NOS; Tropical steatorrhoea


Blind loop syndrome, not elsewhere classified; Blind loop
syndrome NOS

INTESTINAL MALABSORPTION
INTESTINAL MALABSORPTION

4,100
4,100

K90.3
K90.4

Pancreatic steatorrhoea
Malabsorption due to intolerance, not elsewhere classified; Malabsorption due
to intolerance to carbohydrate; Malabsorption due to intolerance to fat;
Malabsorption
due to intolerance to protein; Malabsorption due to
intolerance to starch

INTESTINAL MALABSORPTION
INTESTINAL MALABSORPTION

4,100
4,100

K90.8
K90.9
K56.0

Other intestinal malabsorption


Intestinal malabsorption, unspecified
Paralytic ileus; Paralysis of bowel; Paralysis of colon;
Paralysis of intestine

INTESTINAL MALABSORPTION
INTESTINAL MALABSORPTION
INTESTINAL OBSTRUCTION

4,100
4,100
10,100

K56.1

Intussusception; Intussusception or invagination of bowel; Intussusception or


invagination of colon; Intussusception or invagination of intestine;
Intussusception or invagination of
rectum

INTESTINAL OBSTRUCTION

10,100

K56.2

Volvulus; Strangulation of colon or intestine; Torsion of


colon or intestine; Twist of colon or intestine

INTESTINAL OBSTRUCTION

10,100

K56.3
K56.4

Gallstone ileus; Obstruction of intestine by gallstone


Other impaction of intestine; Enterolith; Impaction of
colon; Imfaction of faecal

INTESTINAL OBSTRUCTION
INTESTINAL OBSTRUCTION

10,100
10,100

K56.5

Intestinal adhesions [bands] with obstruction; Peritoneal adhesions [bands]


with intestinal obstruction

INTESTINAL OBSTRUCTION

10,100

K56.6

Other and unspecified intestinal obstruction;


INTESTINAL OBSTRUCTION
Enterotenosis; Obstructive ileus NOS; Occlusion of colon or intestine; Stenosis
of colon or intestine; Stricture of colon or intestine

10,100

K56.7

Ileus, unspecified

INTESTINAL OBSTRUCTION

10,100

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

G06.0

Intracranial abscess and granuloma; Abscess (embolic)(of) brain [any part];


Abscess (embolic)(of) cerebellar; Abscess (embolic)(of) cerebral; Abscess
(embolic)(of) otogenic; IIntracranial abscess or granuloma, epidural;
Intracranial abscess or granulom

INTRACRANIAL AND INTRASPINAL ABSCESS AND GRANULOMA

27,900

G06.1

Intraspinal abscess and granuloma; Abscess (embolic) of spinal cord [any


part]; Intraspinal abscess or granuloma epidural; Intraspinal abscess or
granuloma extradural; Intraspinal abscess or granuloma subdural

INTRACRANIAL AND INTRASPINAL ABSCESS AND GRANULOMA

27,900

G06.2

Encephalitis, myelitis and encephalomyelitis in Extradural


and subdural abscess, unspecified

INTRACRANIAL AND INTRASPINAL ABSCESS AND


GRANULOMA

27,900

S04.0

Injury of optic nerve and pathways; Injury of Optic chiasm; Injury of 2nd
cranial nerve; Injury of Visual cortex

INTRACRANIAL INJURIES

8,800

S04.1

Injury of oculomotor nerve; injury of 3rd cranial nerve

INTRACRANIAL INJURIES

8,800

S04.4
S04.5
S04.6

Injury of abducent nerve; injury of 6th cranial nerve


Injury of facial nerve; injury of 7th cranial nerve
Injury of acoustic nerve; injury of Auditory nerve; injury of
8th cranial nerve

INTRACRANIAL INJURIES
INTRACRANIAL INJURIES
INTRACRANIAL INJURIES

8,800
8,800
8,800

S04.8

Injury of other cranial nerves; injury of Glossopharyngeal [9th] nerve; injury of INTRACRANIAL INJURIES
Hypoglossal [12th] nerve; injury of; injury of Olfactory [1st] nerve; injury of
Vagus [10th] nerve

8,800

S04.9
S05.0

Injury of unspecified cranial nerve


Injury of conjunctiva and corneal abrasion without mention
of foreign body

INTRACRANIAL INJURIES
INTRACRANIAL INJURIES

8,800
8,800

S06.00

Concussion; Commotio cerebri (without open intracranial


wound)

INTRACRANIAL INJURIES

8,800

S06.01

Concussion; Commotio cerebri (with open intracranial


wound)

INTRACRANIAL INJURIES

8,800

S06.10

Traumatic cerebral oedema (without open intracranial


wound)

INTRACRANIAL INJURIES

8,800

S06.20

Diffuse brain injury; Cerebral contusion NOS; Cerebral laceration NOS;


Traumatic compression of brain NOS
(without open intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.21

Diffuse brain injury; Cerebral contusion NOS; Cerebral laceration NOS;


Traumatic compression of brain NOS
(without open intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.30

Focal brain injury; Focal cerebral; Focal cerebral contusion; Focal cerebral
laceration; Focal traumatic intracerebral haemorrhage (without open
intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.31

Focal brain injury; Focal cerebral; Focal cerebral contusion; Focal cerebral
laceration; Focal traumatic intracerebral haemorrhage (with open intracranial
wound)

INTRACRANIAL INJURIES

8,800

S06.40

Epidural haemorrhage; Extradural haemorrhage, traumatic


(without open intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.41

Epidural haemorrhage; Extradural haemorrhage, traumatic


(with open intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.50

Traumatic subdural haemorrhage (without open


intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.51

Traumatic subdural haemorrhage (with open intracranial


wound)

INTRACRANIAL INJURIES

8,800

S06.60

Traumatic subarachnoid haemorrhage (without open


intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.61

Traumatic subarachnoid haemorrhage (with open


intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.70

Intracranial injury with prolonged coma (without open


intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.80

Other intracranial injuries; traumatic haemorrhage cerebellar; traumatic


haemorrhage intracranial NOS
(without open intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.81

Other intracranial injuries; traumatic haemorrhage cerebellar; traumatic


haemorrhage intracranial NOS (with
open intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.90

Intracranial injury, unspecified; brain injury NOS (without


open intracranial wound)

INTRACRANIAL INJURIES

8,800

S06.91

Intracranial injury, unspecified; brain injury NOS (with open


intracranial wound)

INTRACRANIAL INJURIES

8,800

S09.0

Injury of blood vessels of head, not elsewhere classified

INTRACRANIAL INJURIES

8,800

S09.1
S09.2
S09.7
S09.8
S09.9

Injury of muscle and tendon of head


Traumatic rupture of ear drum
Multiple injuries of head
Other specified injuries of head
Unspecified injury of head; Injury of face NOS; Injury of ear
NOS; Injury of nose NOS

INTRACRANIAL
INTRACRANIAL
INTRACRANIAL
INTRACRANIAL
INTRACRANIAL

8,800
8,800
8,800
8,800
8,800

P52.0

Intraventricular (nontraumatic) haemorrhage, grade 1, of fetus and newborn;


Subependymal haemorrhage (without
intraventricular extension)

INTRAVENTRICULAR HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN 25,600


THE NEWBORN

ICD CODE

DESCRIPTION

GROUP

INJURIES
INJURIES
INJURIES
INJURIES
INJURIES

FIRST CASE RATE


Case Rate

P52.1

Intraventricular (nontraumatic) haemorrhage, grade 2, of fetus and newborn;


Subependymal haemorrhage with
intraventricular extension

INTRAVENTRICULAR HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN 25,600


THE NEWBORN

P52.3

Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn INTRAVENTRICULAR HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN 25,600
THE NEWBORN

P52.4

Intracerebral (nontraumatic) haemorrhage of fetus and newborn

INTRAVENTRICULAR HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN 25,600


THE NEWBORN

P52.5

Subarachnoid (nontraumatic) haemorrhage of fetus and newborn

INTRAVENTRICULAR HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN 25,600


THE NEWBORN

P52.6

Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and


newborn

INTRAVENTRICULAR HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN 25,600


THE NEWBORN

P52.8

Other intracranial (nontraumatic) haemorrhages of fetus and newborn

INTRAVENTRICULAR HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN 25,600


THE NEWBORN

P52.9

Intracranial (nontraumatic) haemorrhage of fetus and newborn, unspecified

INTRAVENTRICULAR HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN 25,600


THE NEWBORN

I21.0

Acute transmural myocardial infarction of anterior wall [or duration of <4


weeks] KILLIPS stage unspecified; Acute transmural infarction of anterior wall
NOS [or duration of
<4 weeks] KILLIPS stage unspecified; Acute anteroapical transmural infarction
[or

ISCHEMIC HEART DISEASE WITH MYOCARDIAL INFARCTION

18,900

I21.1

Acute transmural myocardial infarction of inferior wall [or duration of <4


ISCHEMIC HEART DISEASE WITH MYOCARDIAL INFARCTION
weeks] KILLIPS I; Acute transmural infarction of diaphragmatic wall [or duration
of <4 weeks] KILLIPS I; Acute transmural infarction of inferior wall NOS [or
duration of <4 weeks]

18,900

I21.2

Acute transmural myocardial infarction of other sites [or duration of <4


ISCHEMIC HEART DISEASE WITH MYOCARDIAL INFARCTION
weeks] KILLIPS II; Acute apical-lateral transmural infarction [or duration of <4
weeks] KILLIPS II; Acute basal-lateral transmural infarction [or duration of
<4
weeks] KILLIPS I

18,900

I21.3

Acute transmural myocardial infarction of unspecified site; Transmural


myocardial infarction NOS

ISCHEMIC HEART DISEASE WITH MYOCARDIAL INFARCTION

18,900

I21.4

Acute subendocardial myocardial infarction;


Nontransmural myocardial infarction NOS

ISCHEMIC HEART DISEASE WITH MYOCARDIAL


INFARCTION

18,900

I21.9

Acute myocardial infarction, unspecified [or duration of <4 weeks] KILLIPS I;


Acute myocardial infarction NOS [or
duration of <4 weeks] KILLIPS I

ISCHEMIC HEART DISEASE WITH MYOCARDIAL INFARCTION

18,900

I22.0

Subsequent myocardial infarction of anterior wall; Acute Subsequent infarction ISCHEMIC HEART DISEASE WITH MYOCARDIAL INFARCTION
of anterior wall NOS; Acute subsequent infarction of anteroapical wall; Acute
subsequent infarction of anterolateral wall; Acute
subsequent infarction of anteroseptal wall

18,900

I22.1

Subsequent myocardial infarction of inferior wall; Acute subsequent infarction ISCHEMIC HEART DISEASE WITH MYOCARDIAL INFARCTION
of diaphragmatic wall; Acute subsequent infarction of inferior wall NOS; Acute
subsequent infarction of inferolateral wall; Acute
subsequent infarction of inferoposterior wall

18,900

I22.8

Subsequent myocardial infarction of other sites; Acute myocardial infarction


of apical-lateral wall; Acute myocardial infarction of basal-lateral wall; Acute
myocardial infarction of high lateral wall; Acute myocardial
infarction of lateral wall NOS; Acut

ISCHEMIC HEART DISEASE WITH MYOCARDIAL INFARCTION

18,900

I22.9

Subsequent myocardial infarction of unspecified site

ISCHEMIC HEART DISEASE WITH MYOCARDIAL


INFARCTION

18,900

I23.0

Haemopericardium as current complication following acute


myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL


INFARCTION

18,900

I23.1

Atrial septal defect as current complication following acute


myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL


INFARCTION

18,900

I23.2

Ventricular septal defect as current complication following


acute myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL


INFARCTION

18,900

I23.3

Rupture of cardiac wall without haemopericardium as current complication


following acute myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL INFARCTION

18,900

I23.4

Rupture of chordae tendineae as current complication


following acute myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL


INFARCTION

18,900

I23.5

Rupture of papillary muscle as current complication


following acute myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL


INFARCTION

18,900

I23.8

Other current complications following acute myocardial


infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL


INFARCTION

18,900

I24.1

Dressler's syndrome; Postmyocardial infarction syndrome

ISCHEMIC HEART DISEASE WITH MYOCARDIAL


INFARCTION

18,900

I20.0

Unstable angina; Angina crescendo; Angina de novo effort; Angina worsening


effort; Intermediate coronary syndrome;
Preinfarction syndrome

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL INFARCTION

12,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

I20.1

Angina pectoris with documented spasm; Angiospastic


Angina ; Prinzmetal Angina ; spasm-induced Angina ; Variant Angina

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL INFARCTION

12,000

I20.8

Other forms of angina pectoris; Angina of effort;


Stenocardia

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL


INFARCTION

12,000

I20.9

Angina pectoris, unspecified; Angina NOS; Cardiac Angina ;


Anginal syndrome; Ischaemic chest pain

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL


INFARCTION

12,000

I24.0

Coronary thrombosis not resulting in myocardial infarction; Coronary artery


ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL INFARCTION
embolism not resulting in myocardial infaction; Coronary vein embolism not
resulting in myocardial infarction; Coronary artery occlusion not
resulting in myocardial infarction; Co

12,000

I24.8

Other forms of acute ischaemic heart disease; Coronary


failure; Coronary insufficiency

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL


INFARCTION

12,000

I25.5

Ischaemic cardiomyopathy

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL


INFARCTION

12,000

I25.6

Silent myocardial ischaemia

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL


INFARCTION

12,000

I25.8

Other forms of chronic ischaemic heart disease

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL


INFARCTION

12,000

I25.9

Chronic ischaemic heart disease, unspecified; Chronic


Ischaemic heart disease NOS

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL


INFARCTION

12,000

P57.0
P57.8
P57.9
P58.1
P58.2
P58.3
P58.4

Kernicterus due to isoimmunization


Other specified kernicterus
Kernicterus, unspecified
Neonatal jaundice due to bleeding
Neonatal jaundice due to infection
Neonatal jaundice due to polycythaemia
Neonatal jaundice due to drugs or toxins transmitted from
mother or given to newborn

JAUNDICE
JAUNDICE
JAUNDICE
JAUNDICE
JAUNDICE
JAUNDICE
JAUNDICE

NEWBORN
NEWBORN
NEWBORN
NEWBORN
NEWBORN
NEWBORN
NEWBORN

7,400
7,400
7,400
7,400
7,400
7,400
7,400

P58.8

Neonatal jaundice due to other specified excessive


haemolysis

JAUNDICE IN THE NEWBORN

7,400

P58.9

Neonatal jaundice due to excessive haemolysis, unspecified

JAUNDICE IN THE NEWBORN

7,400

P59.0

Neonatal jaundice associated with preterm delivery; Hyperbilirubinaemia of


prematurity; Jaundice due to
delayed conjucation associated with preterm delivery

JAUNDICE IN THE NEWBORN

7,400

P59.1
P59.2

Inspissated bile syndrome


Neonatal jaundice from other and unspecified
hepatocellular damage

JAUNDICE IN THE NEWBORN


JAUNDICE IN THE NEWBORN

7,400
7,400

P59.3
P59.8
P59.9

Neonatal jaundice from breast milk inhibitor


Neonatal jaundice from other specified causes
Neonatal jaundice, unspecified; Intense physiological jaundice, NOS;
Prolonged physiological jaundice, NOS

JAUNDICE IN THE NEWBORN


JAUNDICE IN THE NEWBORN
JAUNDICE IN THE NEWBORN

7,400
7,400
7,400

A30.0
A30.1
A30.2

Hansen's disease: Indeterminate leprosy; I leprosy


Hansen's disease : Tuberculoid leprosy; TT leprosy
Hansen's disease: Borderline tuberculoid leprosy; BT
leprosy

LEPROSY
LEPROSY
LEPROSY

8,800
8,800
8,800

A30.4

Hansen's disease: Borderline lepromatous leprosy; BL


leprosy

LEPROSY

8,800

A30.5
A30.8
A30.9
A27.0

Hansen's disease: Lepromatous leprosy; LL leprosy


Other forms of leprosy
Leprosy, unspecified
Leptospirosis icterohaemorrhagica; Leptospirosis due to
Leptospira interrogans serovar icterohaemorrhagiae

LEPROSY
LEPROSY
LEPROSY
LEPTOSPIROSIS MODERATE TO SEVERE

8,800
8,800
8,800
11,000

A27.8
A27.9
K70.0
K70.1
K70.2

Other forms of leptospirosis


Leptospirosis, unspecified
Alcoholic fatty liver
Alcoholic hepatitis
Alcoholic fibrosis and sclerosis of liver

LEPTOSPIROSIS MODERATE TO SEVERE


LEPTOSPIROSIS MODERATE TO SEVERE
LIVER DISEASES I
LIVER DISEASES I
LIVER DISEASES I

11,000
11,000
11,800
11,800
11,800

IN
IN
IN
IN
IN
IN
IN

THE
THE
THE
THE
THE
THE
THE

K70.3

Alcoholic cirrhosis of liver; Alcoholic cirrhosis NOS;


Laennec's cirrhosis

LIVER DISEASES I

11,800

K70.9
K71.0

Alcoholic liver disease, unspecified


Toxic liver disease with cholestasis; Cholestatis with
hepatocyte injury; Pure cholestasis

LIVER DISEASES I
LIVER DISEASES I

11,800
11,800

K71.1

Toxic liver disease with hepatic necrosis; Acute hepatic failure due to drugs;
Chronic hepatic failure due to drugs

LIVER DISEASES I

11,800

K71.2
K71.3
K71.5

Toxic liver disease with acute hepatitis


Toxic liver disease with chronic persistent hepatitis
Toxic liver disease with chronic active hepatitis; Toxic liver
disease with lupoid hepatitis

LIVER DISEASES I
LIVER DISEASES I
LIVER DISEASES I

11,800
11,800
11,800

K71.6

Toxic liver disease with hepatitis, not elsewhere classified

LIVER DISEASES I

11,800

K71.8

Toxic liver disease with other disorders of liver; Toxic liver disease with focal
LIVER DISEASES I
nodular hyperplasia; Toxic liver disease with hepatic granulomas; Toxic liver
disease with peliosis hepatis; Toxic liver disease with veno-occlusive disease of
liver

11,800

K71.9
K73.0

Toxic liver disease, unspecified


Chronic persistent hepatitis, not elsewhere classified

LIVER DISEASES I
LIVER DISEASES I

11,800
11,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

K73.2

Chronic active hepatitis, not elsewhere classified; Lupoid


hepatitis NEC

LIVER DISEASES I

11,800

K73.8
K73.9
K74.1
K74.6+I98.2*

Other chronic hepatitis, not elsewhere classified


Chronic hepatitis, unspecified
Hepatic sclerosis
Oesophageal varices in other and unspecified cirrhosis of
liver

LIVER
LIVER
LIVER
LIVER

I
I
I
I

11,800
11,800
11,800
11,800

K75.0

Abscess of liver; Hepatic abscess NOS; Cholangitic hepatic abscess;


Haematogenic hepatic abscess; Lymphogenic hepatic abscess; Pylephlebitic
hepatic abscess

LIVER DISEASES I

11,800

K75.1
K75.2
K75.3
K75.4
K75.8
K75.9

Phlebitis of portal vein; Pylephlebitis


Nonspecific reactive hepatitis
Granulomatous hepatitis, not elsewhere classified
Autoimmune hepatitis
Other specified inflammatory liver diseases
Inflammatory liver disease, unspecified; Hepatitis NOS

LIVER
LIVER
LIVER
LIVER
LIVER
LIVER

I
I
I
I
I
I

11,800
11,800
11,800
11,800
11,800
11,800

K76.0
K76.8

Fatty (change of) liver, not elsewhere classified


Other specified diseases of liver; Focal nodular hyperplasia
of liver; Hepatoptosis

LIVER DISEASES I
LIVER DISEASES I

11,800
11,800

K76.9
K71.4
K71.7
K74.0
K74.2
K74.6

Liver disease, unspecified


Toxic liver disease with chronic lobular hepatitis
Toxic liver disease with fibrosis and cirrhosis of liver
Hepatic fibrosis
Hepatic fibrosis with hepatic sclerosis
Other and unspecified cirrhosis of liver; Cirrhosis of liver NOS; Cryptogenic
cirrhosis of liver; Macronodular cirrhosis of liver; Micronodular cirrhosis of
liver; Mixed type cirrhosis of liver; Portal cirrhosis of liver; Postnecrotic
cirrhosis of
liver;

LIVER
LIVER
LIVER
LIVER
LIVER
LIVER

I
II
II
II
II
II

11,800
15,100
15,100
15,100
15,100
15,100

K76.1

Chronic passive congestion of liver; Cardiac cirrhosis (socalled) of liver; Cardiac sclerosis of liver

LIVER DISEASES II

15,100

K76.2
K76.3
K76.4
K76.6
K76.7
I88.0

Central haemorrhagic necrosis of liver


Infarction of liver
Peliosis hepatis; Hepatic angiomatosis
Portal hypertension
Hepatorenal syndrome
Nonspecific mesenteric lymphadenitis; Acute Mesenteric lymphadenitis;
Chronic Mesenteric lymphadenitis

LIVER DISEASES
LIVER DISEASES
LIVER DISEASES
LIVER DISEASES
LIVER DISEASES
LYMPHADENITIS

15,100
15,100
15,100
15,100
15,100
6,800

I89.1

Lymphangitis; Lymphangitis NOS; Chronic Lymphangitis;


Subacute Lymphangitis

LYMPHATIC VESSELS DISORDER

8,900

I89.8

Other specified noninfective disorders of lymphatic vessels and lymph nodes; LYMPHATIC VESSELS DISORDER
Chylocele (nonfilarial); Lipomelanotic
reticulosis

8,900

I89.9

Noninfective disorder of lymphatic vessels and lymph


nodes, unspecified; Disease of lymphatic vessels NOS

LYMPHATIC VESSELS DISORDER

8,900

C64

Malignant neoplasm of kidney, except renal pelvis & renal


calyces

MALIGNANT NEOPLASM OF URINARY TRACT

14,100

C65

Malignant neoplasm of renal pelvis; Malignant neoplasm of


Pelviureteric junction; Malignant neoplasm of Renal calyces

MALIGNANT NEOPLASM OF URINARY TRACT

14,100

C66
C67.0
C67.1
C67.2
C67.3
C67.5

Malignant
Malignant
Malignant
Malignant
Malignant
Malignant
of Internal

neoplasm of ureter
neoplasm of Trigone of bladder
neoplasm of Dome of bladder
neoplasm of Lateral wall of bladder
neoplasm of Anterior wall of bladder
neoplasm of Bladder neck; Malignant neoplasm
urethral orifice

MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT

NEOPLASM
NEOPLASM
NEOPLASM
NEOPLASM
NEOPLASM
NEOPLASM

OF
OF
OF
OF
OF
OF

URINARY
URINARY
URINARY
URINARY
URINARY
URINARY

TRACT
TRACT
TRACT
TRACT
TRACT
TRACT

14,100
14,100
14,100
14,100
14,100
14,100

C67.6
C67.7
C67.8
C67.9
C68.0
C68.9

Malignant
Malignant
Malignant
Malignant
Malignant
Malignant
Malignant

neoplasm
neoplasm
neoplasm
neoplasm
neoplasm
neoplasm
neoplasm

MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT

NEOPLASM
NEOPLASM
NEOPLASM
NEOPLASM
NEOPLASM
NEOPLASM

OF
OF
OF
OF
OF
OF

URINARY
URINARY
URINARY
URINARY
URINARY
URINARY

TRACT
TRACT
TRACT
TRACT
TRACT
TRACT

14,100
14,100
14,100
14,100
14,100
14,100

of
of
of
of
of
of
of

Ureteric orifice
Urachus
Overlapping lesion of bladder
Bladder, unspecified
Urethra
Urinary organ, unspecified;
Urinary system NOS

DISEASES
DISEASES
DISEASES
DISEASES

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

II
II
II
II
II

C79.0

Secondary malignant neoplasm of kidney and renal pelvis

MALIGNANT NEOPLASM OF URINARY TRACT

14,100

C79.1

Secondary malignant neoplasm of bladder and other and


unspecified urinary organs

MALIGNANT NEOPLASM OF URINARY TRACT

14,100

C40.0

Malignant neoplasm of Scapula and long bones of upper


limb

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C40.1

Malignant neoplasm of Short bones of upper limb

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C40.2

Malignant neoplasm of Long bones of lower limb

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C40.3

Malignant neoplasm of Short bones of lower limb

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C40.9

Malignant neoplasm of Bone and articular cartilage of limb,


unspecified

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C41.0

Malignant neoplasm of Bones of skull and face; Malignant neoplasm o f


Superior maxilla; Malignant neoplasm of
Orbital bone

MALIGNANT NEOPLASMS OF BONE AND ARTICULAR CARTILAGE

16,500

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

C41.1

Malignant neoplasm of Mandible; Malignant neoplasm of


Lower jaw bone

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C41.2

Malignant neoplasm of Vertebral column

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C41.3

Malignant neoplasm of Ribs, sternum and clavicle

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C41.4

Malignant neoplasm of Pelvic bones, sacrum and coccyx

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C41.8

Malignant neoplasm of Overlapping lesion of bone and


articular cartilage

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C41.9

Malignant neoplasm of Bone and articular cartilage,


unspecified

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C79.5

Secondary malignant neoplasm of bone and bone marrow

MALIGNANT NEOPLASMS OF BONE AND


ARTICULAR CARTILAGE

16,500

C70.0

Malignant neoplasm of Cerebral meninges

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C70.1

Malignant neoplasm of Spinal meninges

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C70.9

Malignant neoplasm of Meninges, unspecified

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C71.0

Malignant neoplasm of Cerebrum, except lobes and ventricles; Malignant


neoplasm of Supratentorial NOS

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS SYSTEM

16,900

C71.1

Malignant neoplasm of Frontal lobe

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C71.2

Malignant neoplasm of Temporal lobe

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C71.3

Malignant neoplasm of Parietal lobe

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C71.4

Malignant neoplasm of Occipital lobe

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C71.5

Malignant neoplasm of Cerebral ventricle

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C71.6

Malignant neoplasm of Cerebellum

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C71.7

Malignant neoplasm of Brain stem; Malignant neoplasm of


Fourth Ventricle; Malignant neoplasm of Infratentorial NOS

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS SYSTEM

16,900

C71.8

Malignant neoplasm of Overlapping lesion of brain

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C71.9

Malignant neoplasm of Brain, unspecified

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C72.0

Malignant neoplasm of Spinal cord

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C72.1

Malignant neoplasm of Cauda equina

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C72.2

Malignant neoplasm of Olfactory nerve; Malignant


neoplasm of Olfactory bulb

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C72.3

Malignant neoplasm of Optic nerve

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C72.4

Malignant neoplasm of Acoustic nerve

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C72.5

Malignant neoplasm of Other and unspecified cranial


nerves; Malignant neoplasm of Cranial nerve NOS

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C72.8

Malignant neoplasm of Overlapping lesion of brain and


other parts of central nervous system

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C72.9

Malignant neoplasm of Central nervous system, unspecified; Malignant


neoplasm of Nervous system NOS

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS SYSTEM

16,900

C79.3

Secondary malignant neoplasm of brain and cerebral


meninges

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C79.4

Secondary malignant neoplasm of other and unspecified


parts of nervous system

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS


SYSTEM

16,900

C15.0

Malignant neoplasm of Cervical part of oesophagus

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C15.2

Malignant neoplasm of Abdominal part of oesophagus

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C15.3

Malignant neoplasm of Upper third of oesophagus

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C15.4

Malignant neoplasm of Middle third of oesophagus

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C15.5

Malignant neoplasm of Lower third of oesophagus

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C15.8

Malignant neoplasm of Overlapping lesion of oesophagus

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C15.9

Malignant neoplasm of Oesophagus, unspecified

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C16

Dermato(poly)myositis in Malignant neoplasm of stomach

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C16.0

Malignant neoplasm of Cardia; Malignant neoplasm of Cardiac orifice;


MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS
Malignant neoplasm of Cardio-oesophageal junction; Malignant neoplasm of
Gastro-oesophageal junction; Malignant neoplasm of
Oesophagus and stomach

14,200

ICD CODE

DESCRIPTION

FIRST CASE RATE

GROUP

Case Rate
C16.1

Malignant neoplasm of Fundus of stomach

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C16.2

Malignant neoplasm of Body of stomach

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C16.3

Malignant neoplasm of Pyloric antrum; Malignant


neoplasm of Gastric antrum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C16.4

Malignant neoplasm of Pylorus; Malignant neoplasm of


Prepylorus; Malignant neoplasm of pyloric canal

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C16.5

Malignant neoplasm of Lesser curvature of stomach,


unspecified

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C16.6

Malignant neoplasm of Greater curvature of stomach,


unspecified

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C16.9

Malignant neoplasm of Stomach, unspecified

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C17.0

Malignant neoplasm of Duodenum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C17.1

Malignant neoplasm of Jejunum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C17.2

Malignant neoplasm of Ileum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C17.9

Malignant neoplasm of Small intestine, unspecified

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C18.0

Malignant neoplasm of Caecum; Malignant neoplasm of


Ileocaecal valve

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C18.1

Malignant neoplasm of Appendix

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C18.2

Malignant neoplasm of Ascending colon

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C18.3

Malignant neoplasm of Hepatic flexure

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C18.4

Malignant neoplasm of Transverse colon

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C18.5

Malignant neoplasm of Splenic flexure

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C18.6

Malignant neoplasm of Descending colon

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C18.7

Malignant neoplasm of Sigmoid colon; Malignant neoplasm


of Sigmoid flexure

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C18.8

Malignant neoplasm of Overlapping lesion of colon

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C18.9

Malignant neoplasm of Colon, unspecified; Malignant


neoplasm of Large intestine NOS

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C19

Malignant neoplasm of rectosigmoid junction; Malignant neoplasm of Colon


with rectum; Malignant neoplasm of
Rectosigmoid colon

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C20

Malignant neoplasm of rectum; Malignant neoplasm of


Rectal ampulla

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C21.0

Malignant neoplasm of Anus, unspecified

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C21.1

Malignant neoplasm of Anal canal; Malignant neoplasm of


Anal sphincter

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C21.8

Malignant neoplasm of Overlapping lesion of rectum, anus and anal canal;


Malignant neoplasm of Anorectal junction; Malignant neoplasm of
Anorectum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C22.0

Liver cell carcinoma; Hepatocellular carcinoma


Hepatoma

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C22.1

Intrahepatic bile duct carcinoma; Cholangiocarcinoma

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C22.2

Hepatoblastoma

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C22.3

Angiosarcoma of liver; Kupffer cell sarcoma

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C22.4

Other sarcomas of liver

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C22.7

Other specified carcinomas of liver

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C22.9

Liver, unspecified

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C23

Malignant neoplasm of gallbladder

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C24.0

Malignant neoplasm of Extrahepatic bile duct; Malignant neoplasm of Biliary


duct or passage NOS; Malignant neoplasm of Common bile duct; Malignant
neoplasm of Cystic duct; Malignant neoplasm of Hepatic duct

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C24.1

Malignant neoplasm of Ampulla of Vater

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C24.8

Malignant neoplasm of Overlapping lesion of biliary tract

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C24.9

Malignant neoplasm of Biliary tract, unspecified

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C25.0

Malignant neoplasm of Head of pancreas

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

C25.1

Malignant neoplasm of Body of pancreas

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C25.2

Malignant neoplasm of Tail of pancreas

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C25.3

Malignant neoplasm of Pancreatic duct

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C25.4

Malignant neoplasm of Endocrine pancreas; Malignant


neoplasm of Islets of Langerhans

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C25.7

Malignant neoplasm of Other parts of pancreas; Malignant


neoplasm of Neck of pancreas

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C25.8

Malignant neoplasm of Overlapping lesion of pancreas

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C25.9

Malignant neoplasm of Pancreas, unspecified

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C26.0

Malignant neoplasm of Intestinal tract, part unspecified;


Malignant neoplasm of Intestine NOS

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C26.1

Malignant neoplasm of Spleen

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C26.8

Malignant neoplasm of Overlapping lesion of digestive


system

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C26.9

Malignant neoplasm of Ill-defined sites within the digestive system;


Malignant neoplasm of Alimentary canal or tract NOS; Malignant neoplasm
of Gastrointestinal tract NOS

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C45.1

Mesothelioma of peritoneum; Mesothelioma of Mesentery; Mesothelioma of


Mesocolon; Mesothelioma of Omentum; Mesothelioma of Parietal
Peritoneum; Mesothelioma of Pelvic Peritoneum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C48.1

Malignant neoplasm of Specified parts of peritoneum; Malignant neoplasm


of Mesentery; Malignant neoplasm of Mesocolon; Malignant neoplasm of
Omentum; Malignant neoplasm of Parietal Peritoneum; Malignant neoplasm
of Pelvic peritoneum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C48.2

Malignant neoplasm of Peritoneum, unspecified

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C76.2

Malignant neoplasm of Abdomen

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C77.2

Secondary and unspecified malignant neoplasm of Intraabdominal lymph nodes

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C78.4

Secondary malignant neoplasm of small intestine

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C78.5

Secondary malignant neoplasm of large intestine and


rectum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C78.6

Secondary malignant neoplasm of retroperitoneum and


peritoneum; Malignant ascites NOS

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C78.7

Secondary malignant neoplasm of liver

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C78.8

Secondary malignant neoplasm of other and unspecified


digestive organs

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS

14,200

C30.0

Malignant neoplasm of Nasal cavity; Malignant neoplasm of Cartilage of


nose; Malignant neoplasm of nasal Concha; Malignant neoplasm of Internal
nose; Malignant neoplasm of Septum of nose; Malignant neoplasm of
Vestibule of
nose

MALIGNANT NEOPLASMS OF EARS AND NOSE

10,300

C30.1

Malignant neoplasm of Middle ear; Malignant neoplasm of Eustachian tube;


Malignant neoplasm of Inner ear; Malignant neoplasm of
Mastoid air cells

MALIGNANT NEOPLASMS OF EARS AND NOSE

10,300

C69.1
C69.2
C69.3
C69.4

Malignant
Malignant
Malignant
Malignant
of Eyeball

MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT

EYE
EYE
EYE
EYE

16,900
16,900
16,900
16,900

C69.5

Malignant neoplasm of Lacrimal gland and duct; Malignant neoplasm of


Lacrimal sac; Malignant neoplasm of
Nasolacrimal duct

MALIGNANT NEOPLASMS OF EYE

16,900

C69.6

Malignant neoplasm of Orbit; Malignant neoplasm of Connective tissue of


orbit; Malignant neoplasm of Extraocular muscle; Malignant neoplasm of
Peripheral nerves of orbit; Malignant neoplasm of Retrobulbar tissue;
Malignant neoplasm of Retro-ocular

MALIGNANT NEOPLASMS OF EYE

16,900

C69.9
C51.0

Malignant neoplasm of Eye, unspecified


Malignant neoplasm of Labium majus; Malignant neoplasm
of Bartholin's [greater vestibular] gland

MALIGNANT NEOPLASMS OF EYE


MALIGNANT NEOPLASMS OF FEMALE GENITAL
TRACT

16,900
11,400

C51.1

Malignant neoplasm of Labium minus

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C51.2

Malignant neoplasm of Clitoris

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

neoplasm
neoplasm
neoplasm
neoplasm

of
of
of
of

Cornea
Retina
Choroid
Ciliary body; Malignant neoplasm

NEOPLASMS
NEOPLASMS
NEOPLASMS
NEOPLASMS

OF
OF
OF
OF

C51.9

Malignant neoplasm of Vulva, unspecified; Malignant neoplasm of External


female genitalia NOS; Malignant
neoplasm of Pudendum

MALIGNANT NEOPLASMS OF FEMALE GENITAL TRACT

11,400

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

C52

Malignant neoplasm of vagina

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C53.0

Malignant neoplasm of Endocervix

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C53.1

Malignant neoplasm of Exocervix

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C53.8

Malignant neoplasm of Overlapping lesion of cervix uteri

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C53.9

Malignant neoplasm of Cervix uteri, unspecified

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C54.0

Malignant neoplasm of Isthmus uteri; Malignant neoplasm


of Lower uterine segment

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C54.1

Malignant neoplasm of Endometrium

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C54.2

Malignant neoplasm of Myometrium

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C54.3

Malignant neoplasm of Fundus uteri

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C54.8

Malignant neoplasm of Overlapping lesion of corpus uteri

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C54.9

Corpus uteri, unspecified

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C55

Malignant neoplasm of uterus, part unspecified

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C56

Malignant neoplasm of ovary

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C57.0

Malignant neoplasm of Fallopian tube; Malignant neoplasm of Oviduct;


Malignant neoplasm of Uterine tube

MALIGNANT NEOPLASMS OF FEMALE GENITAL TRACT

11,400

C57.3

Malignant neoplasm of Parametrium; Malignant neoplasm


of Uterine ligament NOS

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C57.4

Malignant neoplasm of Uterine adnexa, unspecified

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C57.7

Malignant neoplasm of Other specified female genital organs; Malignant


neoplasm of Wolffian body or duct

MALIGNANT NEOPLASMS OF FEMALE GENITAL TRACT

11,400

C57.8

Malignant neoplasm of Overlapping lesion of female genital organs;


Malignant neoplasm of Tubo-ovarian; Malignant
neoplasm of Utero-ovarian

MALIGNANT NEOPLASMS OF FEMALE GENITAL TRACT

11,400

C57.9

Malignant neoplasm of Female genital organ, unspecified; Malignant


neoplasm of Female genitourinary tract NOS

MALIGNANT NEOPLASMS OF FEMALE GENITAL TRACT

11,400

C58

Malignant neoplasm of placenta; Choriocarcinoma NOS;


Chorionepithelioma NOS

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C79.6

Secondary malignant neoplasm of ovary

MALIGNANT NEOPLASMS OF FEMALE GENITAL


TRACT

11,400

C00.0

Malignant neoplasm of External upper lip; Malignant neoplasm of Upper lip MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX
NOS; Malignant neoplasm of Upper lip; Malignant neoplasm of lipstick area;
Malignant
neoplasm of Upper lip, vermilion border

11,500

C00.9

Malignant neoplasm of Lip, unspecified

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C01

Malignant neoplasm of base of Dorsal surface of tongue ; Malignant


neoplasm of Fixed part of tongue NOS;
Malignant neoplasm of Posterior third of tongue

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C02.0

Malignant neoplasm of Dorsal surface of base of tongue; Malignant


neoplasm of Anterior two-thirds of dorsal
surface of tongue

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C02.1

Malignant neoplasm of Border of tongue; Malignant


neoplasm of Tip of tongue

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C02.2

Malignant neoplasm of Ventral surface of tongue; Malignant neoplasm of


Anterior two-thirds of ventral surface of tongue; Malignant neoplasm of
Frenulum
linguae

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C02.3

Malignant neoplasm of Anterior two-thirds of tongue, part unspecified;


Malignant neoplasm of Middle third of tongue NOS; Malignant neoplasm of
Mobile part of tongue NOS

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C02.4

Malignant neoplasm of Lingual tonsil

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C02.8

Malignant neoplasm of Overlapping lesion of tongue

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C02.9

Malignant neoplasm of Tongue, unspecified

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C03.0

Malignant neoplasm of Upper gum

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C03.1

Malignant neoplasm of Lower gum

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C03.9

Malignant neoplasm of Gum, unspecified

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C04.9

Malignant neoplasm of Floor of mouth, unspecified

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C05.0

Malignant neoplasm of Hard palate

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

ICD CODE

DESCRIPTION

GROUP
Case Rate

C05.1

Malignant neoplasm of Soft palate

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C05.9

Malignant neoplasm of Palate, unspecified

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C06.0

Malignant neoplasm of Cheek mucosa; Malignant neoplasm of Buccal


mucosa NOS; Malignant neoplasm of Internal
cheek

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C06.1

Malignant neoplasm of Vestibule of mouth; Malignant neoplasm of Upper


MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX
buccal sulcus; Malignant neoplasm of Lower buccal sulcus; Malignant
neoplasm of Upper Labial sulcus; Malignant neoplasm of Lower Labial sulcus

11,500

C06.2

Malignant neoplasm of Retromolar area

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C06.9

Malignant neoplasm of Mouth, unspecified; Minor Malignant neoplasm of


minor salivary gland, unspecified site; Malignant neoplasm of Oral cavity
NOS

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C07

Malignant neoplasm of parotid gland

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C08.0

Malignant neoplasm of Submandibular gland; Malignant


neoplasm of Submaxillary gland

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C08.1

Malignant neoplasm of Sublingual gland

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C08.9

Malignant neoplasm of Major salivary gland, unspecified; Malignant


neoplasm of Major Salivary gland NOS

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C09.0

Malignant neoplasm of Tonsillar fossa

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C09.9

Malignant neoplasm of Tonsil, unspecified; Malignant neoplasm of Tonsil NOS; MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX
Malignant neoplasm of Faucial Tonsil; Malignant neoplasm of Palatine Tonsil

11,500

C10.0

Malignant neoplasm of Vallecula

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C10.3

Malignant neoplasm of Posterior wall of oropharynx

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C10.4

Malignant neoplasm of Branchial cleft; Malignant neoplasm


of Branchial cyst

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C10.9

Malignant neoplasm of Oropharynx, unspecified

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C11.0

Malignant neoplasm of Superior wall of nasopharynx; Malignant neoplasm


of Roof of nasopharynx

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C11.1

Malignant neoplasm of Posterior wall of nasopharynx; Malignant neoplasm


of Adenoid; Malignant neoplasm of
Pharyngeal tonsil

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C11.2

Malignant neoplasm of Lateral wall of nasopharynx; Malignant neoplasm of


Fossa of Rosenmller; Malignant neoplasm of Opening of auditory tube;
Malignant
neoplasm of Pharyngeal recess

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C11.3

Malignant neoplasm of Anterior wall of nasopharynx; Malignant neoplasm of MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX
A nterior Nasopharyngeal surface of soft palate; Malignant neoplasm of
Posterior Nasopharyngeal surface of soft palate; Malignant neoplasm of
Posterior margin of nasal choana; M

11,500

C11.9

Malignant neoplasm of Nasopharynx, unspecified

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C13.1

Malignant neoplasm of Aryepiglottic fold, hypopharyngeal aspect


hypopharynx ; Malignant neoplasm of Aryepiglottic fold, hypopharynx NOS;
Malignant neoplasm of Aryepiglottic fold, marginal zone, hypopharynx

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C13.9

Malignant neoplasm of Hypopharynx, unspecified;


Malignant neoplasm of Hypopharyngeal wall NOS

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C14.0

Malignant neoplasm of Pharynx, unspecified

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C14.8

Malignant neoplasm of Overlapping lesion of lip, oral cavity


and pharynx

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,


PHARYNX

11,500

C76.0

Malignant neoplasm of Head, face and neck; Malignant neoplasm of Cheek


NOS; Malignant neoplasm of Nose NOS

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX

11,500

C77.0

Secondary and unspecified malignant neoplasm of Lymph nodes of head, face MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY, PHARYNX
and neck; Malignant neoplasm of
Supraclavicular lymph nodes

11,500

B21.1

Human immunodeficiency virus [HIV] disease resulting in


Burkitt's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

B21.2

Human immunodeficiency virus [HIV] disease resulting in


other types of non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

B21.3

Human immunodeficiency virus [HIV] disease resulting in other malignant


neoplasms of lymphoid, haematopoietic
and related tissue

MALIGNANT NEOPLASMS OF LYMPHOID, HEMATOPOIETIC AND


RELATED TISSUE

13,900

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

C81.0

Hodgkin's disease (Lymphocytic predominance); Hodgkin's disease


(Lymphocytic-histiocytic predominance)

MALIGNANT NEOPLASMS OF LYMPHOID, HEMATOPOIETIC AND


RELATED TISSUE

13,900

C81.1

Hodgkin's disease( Nodular sclerosis)

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C81.9

Hodgkin's disease, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C82.0

Small cleaved cell, follicular non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C82.1

Mixed small cleaved non-Hodgkin's lymphoma and large


cell, follicular non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C82.2

Large cell, follicular non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C82.7

Other types of follicular non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C82.9

Follicular non-Hodgkin's lymphoma, unspecified; Nodular


non-Hodgkin's lymphoma NOS

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C83.0

Small cell diffuse non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C83.2

Mixed small and large cell diffuse non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C83.3

Large cell diffuse non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C83.4

Immunoblastic diffuse non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C83.5

Lymphoblastic diffuse non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C83.7

Burkitt's tumour

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C83.8

Other types of diffuse non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C83.9

Diffuse non-Hodgkin's lymphoma, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C84.0

Mycosis fungoides

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C84.1

Szary's disease

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C84.3

Lymphoepithelioid lymphoma; Lennert's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C84.4

Peripheral T-cell lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C84.5

Other and unspecified T-cell lymphomas

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C85.0

Lymphosarcoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C85.1

B-cell lymphoma, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C85.7

Other specified types of non-Hodgkin's lymphoma; Malignant


reticuloendotheliosis; Malignant reticulosis;
Microglioma

MALIGNANT NEOPLASMS OF LYMPHOID, HEMATOPOIETIC AND


RELATED TISSUE

13,900

C85.9

Non-Hodgkin's lymphoma, unspecified type; Lymphoma


NOS

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C90.0

Multiple myeloma; Kahler's disease; Myelomatosis

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C90.1

Plasma cell leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C90.2

Extramedullary Plasmacytoma; Malignant plasma cell tumour NOS;


Plasmacytoma NOS ; Solitary myeloma

MALIGNANT NEOPLASMS OF LYMPHOID, HEMATOPOIETIC AND


RELATED TISSUE

13,900

C91.1

Chronic lymphocytic leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C91.2

Subacute lymphocytic leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C91.3

Prolymphocytic leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C91.4

Hairy-cell leukaemia; Leukaemic reticuloendotheliosis

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C91.5

Adult T-cell leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C91.7

Other lymphoid leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C91.9

Lymphoid leukaemia, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C92.0

Acute myeloid leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C92.1

Chronic myeloid leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C92.2

Subacute myeloid leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C92.3

Myeloid sarcoma; Chloroma; Granulocytic sarcoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C92.4

Acute promyelocytic leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

C92.5

Acute myelomonocytic leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C92.7

Other myeloid leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C92.9

Myeloid leukaemia, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C93.0

Acute monocytic leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C93.1

Chronic monocytic leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C93.9

Monocytic leukaemia, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C94.0

Acute erythraemia and erythroleukaemia; Acute


erythraemic myelosis; Di Guglielmo's disease

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C94.2

Acute megakaryoblastic leukaemia; Acute megakaryocytic


Leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C94.4

Acute panmyelosis

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C94.5

Acute myelofibrosis

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C95.0

Acute leukaemia of unspecified cell type; Blast cell


leukaemia; Stem cell leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C95.1

Chronic leukaemia of unspecified cell type

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C95.2

Subacute leukaemia of unspecified cell type

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C95.7

Other leukaemia of unspecified cell type

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C95.9

Leukaemia, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C96.0

Letterer-Siwe disease; Nonlipid reticuloendotheliosis;


Nonlipid reticulosis

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C96.1

Malignant histiocytosis; Histiocytic medullary reticulosis

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C96.2

Malignant mast cell tumour; Malignant mastocytoma;


Malignant mastocytosis; Mast cell sarcoma

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C96.7

Other specified malignant neoplasms of lymphoid,


haematopoietic and related tissue

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C96.9

Malignant neoplasm of lymphoid, haematopoietic and


related tissue, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,


HEMATOPOIETIC AND RELATED TISSUE

13,900

C60.9

Malignant neoplasm of Penis, unspecified; Malignant


neoplasm of Skin of penis NOS

MALIGNANT NEOPLASMS OF MALE GENITAL


TRACT

13,400

C61

Malignant neoplasm of prostate

MALIGNANT NEOPLASMS OF MALE GENITAL


TRACT

13,400

C62.0

Malignant neoplasm of Undescended testis;


Ectopic
testis ; Malignant neoplasm of Retained testis

MALIGNANT NEOPLASMS OF MALE GENITAL


TRACT

13,400

C62.1

Malignant neoplasm of Descended testis; Malignant


neoplasm of Scrotal Testis

MALIGNANT NEOPLASMS OF MALE GENITAL


TRACT

13,400

C62.9

Malignant neoplasm of Testis, unspecified

MALIGNANT NEOPLASMS OF MALE GENITAL


TRACT

13,400

C63.0

Malignant neoplasm of Epididymis

MALIGNANT NEOPLASMS OF MALE GENITAL


TRACT

13,400

C63.1

Malignant neoplasm of Spermatic cord

MALIGNANT NEOPLASMS OF MALE GENITAL


TRACT

13,400

C63.2

Malignant neoplasm of Scrotum; Malignant neoplasm of


Skin of scrotum

MALIGNANT NEOPLASMS OF MALE GENITAL


TRACT

13,400

C63.7

Malignant neoplasm of Seminal vesicle; Malignant


neoplasm of Tunica vaginalis

MALIGNANT NEOPLASMS OF MALE GENITAL


TRACT

13,400

C63.9

Malignant neoplasm of Male genital organ, unspecified;


Male genitourinary tract NOS

MALIGNANT NEOPLASMS OF MALE GENITAL


TRACT

13,400

C45.2
C45.7
C45.9
C48.0
C76.3

Mesothelioma of pericardium
Mesothelioma of other sites
Mesothelioma, unspecified
Malignant neoplasm of Retroperitoneum
Malignant neoplasm of Pelvis; Malignant neoplasm of
Groin NOS; Malignant neoplasm of
Sites overlapping systems within the pelvis, such as rectovaginal (septum) &
rectovesical (septum)

MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT

NEOPLASMS
NEOPLASMS
NEOPLASMS
NEOPLASMS
NEOPLASMS

OF
OF
OF
OF
OF

MESOTHELIUM
MESOTHELIUM
MESOTHELIUM
MESOTHELIUM
OTHER SITES

10,600
10,600
10,600
10,600
16,100

C76.4
C76.5
C76.7
C76.8

Malignant neoplasm
Malignant neoplasm
Malignant neoplasm
Malignant neoplasm
defined sites

MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT

NEOPLASMS
NEOPLASMS
NEOPLASMS
NEOPLASMS

OF
OF
OF
OF

OTHER
OTHER
OTHER
OTHER

SITES
SITES
SITES
SITES

16,100
16,100
16,100
16,100

C77.3

Secondary and unspecified malignant neoplasm of Axillary and upper limb


lymph nodes; Secondary and unspecified malignant neoplasm of Pectoral
lymph nodes

MALIGNANT NEOPLASMS OF OTHER SITES

16,100

C77.9

Secondary and unspecified malignant neoplasm of Lymph


node, unspecified

MALIGNANT NEOPLASMS OF OTHER SITES

16,100

C79.7
C79.8

Secondary malignant neoplasm of adrenal gland


Secondary malignant neoplasm of other specified sites

MALIGNANT NEOPLASMS OF OTHER SITES


MALIGNANT NEOPLASMS OF OTHER SITES

16,100
16,100

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

of
of
of
of

Upper limb
Lower limb
Other ill-defined sites
Overlapping lesion of other and ill-

Case Rate
C80

Malignant neoplasm without specification of site; Unspecified site whether


primary or secondary [Cancer, Carcinoma, Carcinomatosis, Generalized
cancer, Generalized malignancy, Malignancy, Multiple cancer]; Malignant
cachexia; Malignant neoplasm of Primary

MALIGNANT NEOPLASMS OF OTHER SITES

16,100

C47.0

Malignant neoplasm of Peripheral nerves of head, face and


neck

MALIGNANT NEOPLASMS OF PERIPHERAL NERVES

13,300

C47.1

Malignant neoplasm of Peripheral nerves of upper limb,


including shoulder

MALIGNANT NEOPLASMS OF PERIPHERAL NERVES

13,300

C47.2

Malignant neoplasm of Peripheral nerves of lower limb,


including hip

MALIGNANT NEOPLASMS OF PERIPHERAL NERVES

13,300

C47.3

Malignant neoplasm of Peripheral nerves of thorax

MALIGNANT NEOPLASMS OF PERIPHERAL NERVES

13,300

C47.4

Malignant neoplasm of Peripheral nerves of abdomen

MALIGNANT NEOPLASMS OF PERIPHERAL NERVES

13,300

C47.5

Malignant neoplasm of Peripheral nerves of pelvis

MALIGNANT NEOPLASMS OF PERIPHERAL NERVES

13,300

C47.6

Malignant neoplasm of Peripheral nerves of trunk,


unspecified

MALIGNANT NEOPLASMS OF PERIPHERAL NERVES

13,300

C47.9

Malignant neoplasm of Peripheral nerves and autonomic


nervous system, unspecified

MALIGNANT NEOPLASMS OF PERIPHERAL NERVES

13,300

C32.0

Malignant neoplasm of Glottis; Malignant neoplasm of


Intrinsic larynx; Malignant neoplasm of true Vocal cord NOS

MALIGNANT NEOPLASMS OF RESPIRATORY AND INTRATHORACIC


ORGANS

14,600

C32.1

Malignant neoplasm of Supraglottis: Malignant neoplasm of Aryepiglottic


fold, laryngeal aspect; Malignant neoplasm of Epiglottis (suprahyoid
portion) NOS; Malignant neoplasm of Extrinsic larynx; Malignant neoplasm
of False vocal cord; Malignant neoplasm

MALIGNANT NEOPLASMS OF RESPIRATORY AND INTRATHORACIC


ORGANS

14,600

C32.2

Malignant neoplasm of Subglottis

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C32.3

Malignant neoplasm of Laryngeal cartilage

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C32.9

Malignant neoplasm of Larynx, unspecified

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C33

Malignant neoplasm of trachea

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C34.0

Malignant neoplasm of Main bronchus; Malignant neoplasm of Carina;


Malignant neoplasm of Hilus of lung

MALIGNANT NEOPLASMS OF RESPIRATORY AND INTRATHORACIC


ORGANS

14,600

C34.1

Malignant neoplasm of Upper lobe, bronchus or lung

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C34.2

Malignant neoplasm of Middle lobe, bronchus or lung

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C34.3

Malignant neoplasm of Lower lobe, bronchus or lung

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C34.8

Malignant neoplasm of Overlapping lesion of bronchus and


lung

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C34.9

Malignant neoplasm of Bronchus or lung, unspecified

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C37

Malignant neoplasm of thymus

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C38.0

Malignant neoplasm of Heart; Malignant neoplasm of


Pericardium

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C38.1

Malignant neoplasm of Anterior mediastinum

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C38.3

Malignant neoplasm of Mediastinum, part unspecified

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C38.4

Malignant neoplasm of Pleura

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C38.8

Malignant neoplasm of Overlapping lesion of heart,


mediastinum and pleura

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C39.0

Malignant neoplasm of Upper respiratory tract, part


unspecified

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C39.8

Malignant neoplasm of Overlapping lesion of respiratory


and intrathoracic organs

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C39.9

Malignant neoplasm of Ill-defined sites within the


respiratory system; Respiratory tract NOS

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C45.0

Mesothelioma of pleura

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

10,600

C76.1

Malignant neoplasm of Thorax; Malignant neoplasm of


Axilla NOS; Malignant neoplasm of Intrathoracic NOS; Malignant neoplasm
of Thoracic NOS

MALIGNANT NEOPLASMS OF RESPIRATORY AND INTRATHORACIC


ORGANS

14,600

C77.1

Secondary and unspecified malignant neoplasm of


Intrathoracic lymph nodes

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C78.0

Secondary malignant neoplasm of lung

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C78.1

Secondary malignant neoplasm of mediastinum

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C78.2

Secondary malignant neoplasm of pleura; Malignant pleural


effusion NOS

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

C78.3

Secondary malignant neoplasm of other and unspecified


respiratory organs

MALIGNANT NEOPLASMS OF RESPIRATORY AND


INTRATHORACIC ORGANS

14,600

C31.0

Malignant neoplasm of Maxillary sinus; Malignant neoplasm of Antrum


(Highmore); Malignant neoplasm of
Antrum (maxillary)

MALIGNANT NEOPLASMS OF SINUSES

11,500

C31.1
C31.2
C31.3
C31.8

Malignant
Malignant
Malignant
Malignant
sinuses

MALIGNANT
MALIGNANT
MALIGNANT
MALIGNANT

11,500
11,500
11,500
11,500

C31.9
B21.0

Malignant neoplasm of Accessory sinus, unspecified


HUMAN IMMUNODEFICIENCY VIRUS [HIV] DISEASE
RESULTING IN KAPOSI'S SARCOMA

MALIGNANT NEOPLASMS OF SINUSES


MALIGNANT NEOPLASMS OF SOFT TISSUES

11,500
12,000

C46.9
C49.0

Kaposi's sarcoma, unspecified


Malignant neoplasm of Connective and soft tissue of head, face and neck;
Malignant neoplasm of Connective tissue of ear; Malignant neoplasm of
Connective tissue of eyelid

MALIGNANT NEOPLASMS OF SOFT TISSUES


MALIGNANT NEOPLASMS OF SOFT TISSUES

12,000
12,000

C49.1

Malignant neoplasm of Connective and soft tissue of upper


limb, including shoulder

MALIGNANT NEOPLASMS OF SOFT TISSUES

12,000

neoplasm
neoplasm
neoplasm
neoplasm

of
of
of
of

Ethmoidal sinus
Frontal sinus
Sphenoidal sinus
Overlapping lesion of accessory

NEOPLASMS
NEOPLASMS
NEOPLASMS
NEOPLASMS

OF
OF
OF
OF

SINUSES
SINUSES
SINUSES
SINUSES

C49.2

Malignant neoplasm of Connective and soft tissue of lower


limb, including hip

MALIGNANT NEOPLASMS OF SOFT TISSUES

12,000

C49.3

Malignant neoplasm of Connective and soft tissue of thorax; Malignant


neoplasm of Connective and soft tissue of Axilla; Malignant neoplasm of
Connective and soft tissue of Diaphragm; Malignant neoplasm of Connective
and soft
tissue of Great vessels

MALIGNANT NEOPLASMS OF SOFT TISSUES

12,000

C49.4

Malignant neoplasm of Connective and soft tissue of abdomen; Malignant


neoplasm of Connective and soft tissue of Abdominal wall; Malignant
neoplasm of
Connective and soft tissue of Hypochondrium

MALIGNANT NEOPLASMS OF SOFT TISSUES

12,000

C49.5

Malignant neoplasm of Connective and soft tissue of pelvis; Malignant


neoplasm of Connective and soft tissue of Buttock; Malignant neoplasm of
Connective and soft tissue of Groin; Malignant neoplasm of Connective and
soft
tissue of Perineum

MALIGNANT NEOPLASMS OF SOFT TISSUES

12,000

C49.6

Malignant neoplasm of Connective and soft tissue of trunk, unspecified;


Malignant neoplasm of Connective and soft
tissue of Back NOS

MALIGNANT NEOPLASMS OF SOFT TISSUES

12,000

C49.8

Malignant neoplasm of Overlapping lesion of connective


and soft tissue

MALIGNANT NEOPLASMS OF SOFT TISSUES

12,000

C49.9

Malignant neoplasm of Connective and soft tissue,


unspecified

MALIGNANT NEOPLASMS OF SOFT TISSUES

12,000

C73

Malignant neoplasm of thyroid gland

MALIGNANT NEOPLASMS OF THYROID AND


OTHER ENDOCRINE GLANDS

11,400

C74.0

Malignant neoplasm of Cortex of adrenal gland

MALIGNANT NEOPLASMS OF THYROID AND


OTHER ENDOCRINE GLANDS

11,400

C74.1

Malignant neoplasm of Medulla of adrenal gland

MALIGNANT NEOPLASMS OF THYROID AND


OTHER ENDOCRINE GLANDS

11,400

C74.9

Malignant neoplasm of Adrenal gland, unspecified

MALIGNANT NEOPLASMS OF THYROID AND


OTHER ENDOCRINE GLANDS

11,400

C75.0

Malignant neoplasm of Parathyroid gland

MALIGNANT NEOPLASMS OF THYROID AND


OTHER ENDOCRINE GLANDS

11,400

C75.1

Malignant neoplasm of Pituitary gland

MALIGNANT NEOPLASMS OF THYROID AND


OTHER ENDOCRINE GLANDS

11,400

C75.3

Malignant neoplasm of Pineal gland

MALIGNANT NEOPLASMS OF THYROID AND


OTHER ENDOCRINE GLANDS

11,400

C75.5

Malignant neoplasm of Aortic body and other paraganglia

MALIGNANT NEOPLASMS OF THYROID AND


OTHER ENDOCRINE GLANDS

11,400

C75.9

Malignant neoplasm of Endocrine gland, unspecified

MALIGNANT NEOPLASMS OF THYROID AND


OTHER ENDOCRINE GLANDS

11,400

E40
E41

Kwashiorkor
Nutritional marasmus; Severe malnutrition with marasmus

MALNUTRITION
MALNUTRITION

11,700
11,700

E42

Marasmic kwashiorkor; Severe protein-energy malnutrition, intermediate form; MALNUTRITION


Severe protein-energy malnutrition with signs of both kwashiorkor and
marasmus

11,700

E43
E44.0
E44.1
E45

Unspecified severe protein-energy malnutrition


Moderate protein-energy malnutrition
Mild protein-energy malnutrition
Retarded development following protein-energy malnutrition; Nutritional
short stature; Nutritional
stunting; Physical retardation due to malnutrition

MALNUTRITION
MALNUTRITION
MALNUTRITION
MALNUTRITION

11,700
11,700
11,700
11,700

E46

Unspecified protein-energy malnutrition; Malnutrition


NOS; Protein-energy imbalance NOS

MALNUTRITION

11,700

O10.0

Pre-existing essential hypertension complicating pregnancy


child birth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O10.1

Pre-existing hypertensive heart disease complicating


pregnancy, childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O10.2

Pre-existing hypertensive renal disease complicating


pregnancy childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

O10.3

Pre-existing hypertensive heart and renal disease complicating pregnancy,


childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O10.4

Pre-existing secondary hypertension complicating


pregnancy, childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O10.9

Unspecified pre-existing hypertension complicating


pregnancy, childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O11

Pre-existing hypertensive disorder with superimposed


proteinuria

MATERNAL COMORBIDITIES CONDITIONS

6,800

O12.1
O12.2
O13

Gestational proteinuria
Gestational oedema with proteinuria
Gestational [pregnancy-induced] hypertension wihtout significant proteinuria;
Gestational hypertension NOS; Mild
pre-eclampsia

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS
MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800
6,800

O14.0
O14.1
O14.9
O15.0
O15.1
O15.9

Moderate pre-eclampsia
Severe pre-eclampsia
Pre-eclampsia, unspecified
Eclampsia in pregnancy
Eclampsia in labour
Eclampsia, unspecified as to time period; Eclampsia NOS

MATERNAL
MATERNAL
MATERNAL
MATERNAL
MATERNAL
MATERNAL

CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS

6,800
6,800
6,800
6,800
6,800
6,800

O16
O20.0

Unspecified maternal hypertension


Threatened abortion; Haemorrhage specified as due to
threatened abortion

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O20.8
O20.9

Other haemorrhage in early pregnancy


Haemorrhage in early pregnancy, unspecified

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES

O21.0

Mild hyperemesis gravidarum; Hyperemesis gravidarum, mild or unspecified,


starting before the end of the 22nd
week of gestation

MATERNAL COMORBIDITIES CONDITIONS

6,800

O21.1

Hyperemesis gravidarum with metabolic disturbance; Hyperemesis


gravidarum, starting before the end of the
22nd week of gestation, with metabolic disturbance such as carbohydrate
depletion, dehydration, elctrolyte imbalance

MATERNAL COMORBIDITIES CONDITIONS

6,800

O21.2

Late vomiting of pregnancy; Excessive vomiting starting


after 22 completed weeks of gestation

MATERNAL COMORBIDITIES CONDITIONS

6,800

O21.8

Other vomiting complicating pregnancy; Vomiting due to disease classified


elsewhere, complicating pregnancy

MATERNAL COMORBIDITIES CONDITIONS

6,800

O21.9
O22.3

Vomiting of pregnancy, unspecified


Deep phlebothrombosis in pregnancy; Deep-vein
thrombosis, antepartum

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O22.5

Cerebral venous thrombosis in pregnancy; Cerebrovenous


sinus thrombosis in pregnancy

MATERNAL COMORBIDITIES CONDITIONS

6,800

O22.9

Venous complication in pregnancy, unspecified; Gestational phlebitis NOS;


Gestational phlebopathy NOS; Gestational
thrombosis NOS

MATERNAL COMORBIDITIES CONDITIONS

6,800

O23.0
O23.3
O24.0
O24.1
O24.2
O24.3
O24.4

Infections of kidney in pregnancy


Infections of other parts of urinary tract in pregnancy
Pre-existing diabetes mellitus, insulin-dependent
Pre-existing diabetes mellitus, non-insulin-dependent
Pre-existing malnutrition-related diabetes mellitus
Pre-existing diabetes mellitus, unspecified
Diabetes mellitus arising in pregnancy; Gestational diabetes
mellitus NOS

MATERNAL
MATERNAL
MATERNAL
MATERNAL
MATERNAL
MATERNAL
MATERNAL

CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS

6,800
6,800
6,800
6,800
6,800
6,800
6,800

O24.9
O26.2
O26.3

Diabetes mellitus in pregnancy, unspecified


Pregnancy care of habitual aborter
Retained in trauterine contraceptive device in pregnancy

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS
MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800
6,800

O26.4
O26.5

Herpes gestationis
Maternal hypotension syndrome; Supine hypotensive
syndrome

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O26.6

Liver disorders in pregnancy, childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O26.7

Subluxation of symphysis (pubis) in pregnancy childbirth


and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O26.8

Other specified pregnancy-related conditions; Exhaustion and fatigue


pregnancy-related; Peripheral neuritis pregnancy-related; Renal disease
pregnancy-related

MATERNAL COMORBIDITIES CONDITIONS

6,800

O26.9
O28.0

Pregnancy-relatedcondition, unspecified
Abnormal haematological finding on antenatal screening of
mother

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O28.3

Abnormal ultrasonic finding on antenatal screening of


mother

MATERNAL COMORBIDITIES CONDITIONS

6,800

O28.5

Abnormal chromosomal and genetic finding on antenatal


screening of mother

MATERNAL COMORBIDITIES CONDITIONS

6,800

O28.8

Other abnormal findings on antenatal screening of mother

MATERNAL COMORBIDITIES CONDITIONS

6,800

O28.9

Abnormal finding on antenatal screening of mother,


unspecified

MATERNAL COMORBIDITIES CONDITIONS

6,800

O29.8
O30.0
O30.1

Other complications of anaesthesia during pregnancy


Twin pregnancy
Triplet pregnancy

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS
MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800
6,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES

Case Rate
O30.8
O30.9

Other multiple gestation


Multiple gestation, unspecified; Multiple pregnancy NOS

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O31.0
O31.1

Papyraceous fetus; Fetus compressus


Continuing pregnancy after abortion of one fetus or more

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O31.2

Continuing pregnancy after intrauterine death of one fetus


or more

MATERNAL COMORBIDITIES CONDITIONS

6,800

O31.8
O32.0
O32.1
O32.2

Other complications specific to multiple gestation


Maternal care for unstable lie
Maternal care for breech presentation
Maternal care for transverse and oblique lie; Oblique
presentation; Transverse presentation

MATERNAL
MATERNAL
MATERNAL
MATERNAL

CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS

6,800
6,800
6,800
6,800

O32.3
O32.4

Maternal care for face, brow and chin presentation


Maternal care for high head at term; Failure of head to
enter pelvic brim

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O32.5

Maternal care for multiple gestation with malpresentation


of one fetus or more

MATERNAL COMORBIDITIES CONDITIONS

6,800

O32.6
O32.8
O32.9

Maternal care for compound presentation


Maternal care for other malpresentation of fetus
Maternal care for malpresentation of fetus, unspecified

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS
MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800
6,800

O33.0

Maternal care for disproportion due to deformity of maternal pelvic bones;


Pelvic deformity causing
disproportion NOS

MATERNAL COMORBIDITIES CONDITIONS

6,800

O33.1

Maternal care for disproportion due to generally contracted pelvis; Contracted MATERNAL COMORBIDITIES CONDITIONS
pelvis NOS causing
disproportion

6,800

O33.2

Maternal care for disproportion due to inlet contraction of pelvis; Inlet


contraction (pelvis) causing disproportion

6,800

COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES

MATERNAL COMORBIDITIES CONDITIONS

O33.3

Maternal care for disproportion due to outlet contraction of pelvis; Mid-cavity


contraction pelvis causing disproportion; Outlet contraction pelvis causing
disproportion

MATERNAL COMORBIDITIES CONDITIONS

6,800

O33.4

Maternal care for disproportion of mixed maternal and


fetal origin

MATERNAL COMORBIDITIES CONDITIONS

6,800

O33.5

Maternal care for disproportion due to unusually large fetus; Disproportion of


fetal origin with normally formed
fetus; Fetal disproportion NOS

MATERNAL COMORBIDITIES CONDITIONS

6,800

O33.6

Maternal care for disproportion due to hydrocephalic fetus

MATERNAL COMORBIDITIES CONDITIONS

6,800

O33.7

Maternal care for disproportion due to other fetal deformities; Conjoined


MATERNAL COMORBIDITIES CONDITIONS
twins; Fetal ascites causing disproportion; Fetal hydrops causing disproportion;
Fetal meaningomyelocele causing disproportion; Fetal tumour
causing disproportion

6,800

O33.9

Maternal care for disproportion, unspecified; Cephalopelvic disproportion NOS; MATERNAL COMORBIDITIES CONDITIONS
Fetopelvic disproportion NOS

6,800

O34.0

Maternal care for congenital malformation of uterus; Maternal care for double MATERNAL COMORBIDITIES CONDITIONS
uterus; Maternal care for Uterus
bicornis

6,800

O34.1

Maternal care for tumour of corpus uteri; Maternal for polyp of corpus uteri;
Maternal care for uterine fibroid

MATERNAL COMORBIDITIES CONDITIONS

6,800

O34.2

Maternal care due to uterine scar from previous surgery;


Maternal care for scar from previous

MATERNAL COMORBIDITIES CONDITIONS

6,800

O34.3

Maternal care for cervical incompetence; Maternal care for cerclage with or
MATERNAL COMORBIDITIES CONDITIONS
without mention of cervical incompetence; Maternal care for Shirodkar suture
with or without
mention of cervical incompetence

6,800

O34.4

Maternal care for other abnormalities of cervix; Maternal care for polyp of
cervix; Maternal care for previous surgery to cervix; Maternal care for
stricture or stenosis of cervix; Maternal care for tumour of cervix

MATERNAL COMORBIDITIES CONDITIONS

6,800

O34.5

Maternal care for other abnormalities of gravid uterus; Maternal care for
incarceratiion of gravid uterus; Maternal care for prolapse of gravid uterus;
Maternal care for
retroversion of gravid uterus

MATERNAL COMORBIDITIES CONDITIONS

6,800

O34.6

Maternal care for abnormality of vagina; Maternal care for previous surgery
to vagina; Maternal care for septate vagina; Maternal care for acquired
stenosis of vagina; Maternal care for congenital stenosis of vagina; Maternal
care for tumour of vagina

MATERNAL COMORBIDITIES CONDITIONS

6,800

O34.7

Maternal care for abnormality of vulva and perineum; Maternal care for
fibrosis of perineum; Maternal care for previous surgery to perineum or
vulva; Maternal care for rigid perineum; Maternal care for tumour of vulva

MATERNAL COMORBIDITIES CONDITIONS

6,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

O34.8

Maternal care for other abnormalities of pelvic organs; Maternal care for
cystocele; Maternal care for previous pelvic floor repair; Maternal care for
pendulous abdomen; Maternal care for rectocele; Maternal care for rigid
pelvic
floor

MATERNAL COMORBIDITIES CONDITIONS

6,800

O34.9

Maternal care for abnormality of pelvic organ, unspecified

MATERNAL COMORBIDITIES CONDITIONS

6,800

O35.0

Maternal care for (suspected) central nervous system malformation in fetus;


Maternal care for suspected fetal anencephaly; Maternal care for suspected
fetal spina bifida

MATERNAL COMORBIDITIES CONDITIONS

6,800

O35.2

Maternal care for (suspected) hereditary disease in fetus

MATERNAL COMORBIDITIES CONDITIONS

6,800

O35.3

Maternal care for (suspected) damage to fetus from viral disease in mother;
MATERNAL COMORBIDITIES CONDITIONS
Maternal care for suspected damage to fetus from maternal cytomegalovirus
infection; Maternal care for suspected damage to fetus from maternal rubella

6,800

O35.5

Maternal care for (suspected) damage to fetus by drugs; Maternal care for
suspected damage to fetus from drug
addiction

MATERNAL COMORBIDITIES CONDITIONS

6,800

O35.8

Maternal care for other (suspected) fetal abnormality and damage; Maternal
care for suspected damage to fetus from maternal listeriosis; Maternal care
for suspected damage to fetus from maternal toxoplasmosis

MATERNAL COMORBIDITIES CONDITIONS

6,800

O35.9

Maternal care for (suspected) fetal abnormality and


damage, unspecified

MATERNAL COMORBIDITIES CONDITIONS

6,800

O36.0

Maternal care for rhesus isoimmunization; Anti-D [Rh]


antibodies; Rh incompatibility (with hydrops fetalis)

MATERNAL COMORBIDITIES CONDITIONS

6,800

O36.1

Maternal care for other isoimmunization; ABO


isoimmunization; Isoimmunization NOS (with hydrops fetalis)

MATERNAL COMORBIDITIES CONDITIONS

6,800

O36.2

Maternal care for hydrops fetalis; Hydrops fetalis NOS; Hydrops fetalis not
associated with isoimmunization

MATERNAL COMORBIDITIES CONDITIONS

6,800

O36.3
O36.4

Maternal care for signs of fetal hypoxia


Maternal care for intrauterine death

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O36.5

Maternal care for poor fetal growth; Maternal care for known or suspected
MATERNAL COMORBIDITIES CONDITIONS
light-for-dates; Maternal care for known or suspected placental insufficiency;
Maternal care for known or suspected small-for-dates

6,800

O36.6

Maternal care for excessive fetal growth; Maternal care for


known or suspected large-for-dates

MATERNAL COMORBIDITIES CONDITIONS

6,800

O36.8
O36.9
O40
O41.0

Maternal care for other specified fetal problems


Maternal care for fetal problem, unspecified
POLYHYDRAMNIOS; HYDRAMNIOS
Oligohydramnios; Oligohydramnios without mention of
rupture of membrane

MATERNAL
MATERNAL
MATERNAL
MATERNAL

CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS

6,800
6,800
6,800
6,800

O41.1

Infection of amniotic sac and membranes; Amnionitis; Chorioamnionitis;


Membranitis; Placentitis

MATERNAL COMORBIDITIES CONDITIONS

6,800

O41.8

Other specified disorders of amniotic fluid and membranes

MATERNAL COMORBIDITIES CONDITIONS

6,800

O41.9

Disorder of amniotic fluid and membranes, unspecified;


Premature rupture of membranes

MATERNAL COMORBIDITIES CONDITIONS

6,800

O42.0

Premature rupture of membranes on set of labour within


24 hours

MATERNAL COMORBIDITIES CONDITIONS

6,800

O42.1

Premature rupture of membranes on set of labour after 24


hours

MATERNAL COMORBIDITIES CONDITIONS

6,800

O42.2

Premature rupture of membranes, labour delayed by


therapy

MATERNAL COMORBIDITIES CONDITIONS

6,800

O42.9
O43.0

Premature rupture of membranes, unspecified


Placental transfusion syndromes; Fetomaternal transfusion; Maternofetal
transfusion; Twin-to-twin transfusion

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O43.1

Malformation of placenta; Abnormal placenta NOS;


Circumvallate placenta

MATERNAL COMORBIDITIES CONDITIONS

6,800

O43.8

Other placental disorders; Placental dysfunction; Placental


infarction

MATERNAL COMORBIDITIES CONDITIONS

6,800

O43.9
O44.0

Placental disorder, unspecified


Placenta praevia specified as without haemorrhage; Low implantation of
placenta, NOS or with haemorrhage

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O44.1

Placenta praevia with haemorrhage; Low implantation of placenta, NOS or


with haemorrhage; Placenta praevia, marginal NOS or with haemorrhage;
Placenta praevia, partial NOS or with haemorrhage; Placenta praevia, total
NOS or with haemorrhage

MATERNAL COMORBIDITIES CONDITIONS

6,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES

Case Rate
O45.0

Premature separation of placenta with coagulation defect; Abruptio


placentae with (excessive) haemorrhage associated with afibrinogenaemia;
Abruptio placentae with (excessive) haemorrhage associated with
disseminated intravascular coagulation; Abruptio

MATERNAL COMORBIDITIES CONDITIONS

6,800

O45.8
O45.9

Other premature separation of placenta


Premature separation of placenta, unspecified; Abruptio
placenta NOS

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800

O46.0

Antepartum haemorrhage with coagulation defect; Antepartum haemorrhage


(excessive) associated with afibrinogenaemia; Antepartum haemorrhage
(excessive) associated with disseminated intravascular coagulation;
Antepartum haemorrhage (excessive) associated w

MATERNAL COMORBIDITIES CONDITIONS

6,800

O46.8
O46.9
O47.0
O47.1

Other antepartum haemorrhage


Antepartum haemorrhage, unspecified
False labour before 37 completed weeks of gestation
False labour at or after 37 completed weeks of gestation

MATERNAL
MATERNAL
MATERNAL
MATERNAL

CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS

6,800
6,800
6,800
6,800

O47.9
O48
O98.0

False labour, unspecified


Prolonged pregnancy; Post-dates; Post-term
Tuberculosis complicating pregnancy, childbirth and the
puerperium

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS
MATERNAL COMORBIDITIES CONDITIONS

6,800
6,800
6,800

O98.1

Syphilis complicating pregnancy, childbirth and the


puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O98.2

Gonorrhoeacomplicatingpregnancychildbirthandthepuerpe
rium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O98.3

Other infections with apredominantly sexual mode of transmission


complicating pregnancy, childbirth and the
puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O98.4

Viral hepatitis complicating pregnancy, childbirth and the


puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O98.5

Other viral diseases complicating pregnancy, childbirth and


the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O98.6

Protozoal diseases complicating pregnancy, childbirth and


the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O98.8

Other maternal infectious and parasitic diseases complicating pregnancy,


childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O98.9

Unspecified maternal infectious or parasitic disease complicating pregnancy, MATERNAL COMORBIDITIES CONDITIONS
childbirth and the puerperium

6,800

O99.0

Anaemia complicating pregnancy, childbirth and the


puerperium

6,800

COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES

MATERNAL COMORBIDITIES CONDITIONS

O99.1

Other diseases of the blood and blood-forming organs and certain disorders
MATERNAL COMORBIDITIES CONDITIONS
involving the immune mechanism complicating pregnancy, childbirth and the
puerperium

6,800

O99.2

Endocrine, nutritional and metabolic diseases complicating pregnancy,


childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O99.3

Mental disorders and diseases of the nervous system complicating pregnancy, MATERNAL COMORBIDITIES CONDITIONS
childbirth and the puerperium

6,800

O99.4

Diseases of the circulatory system complicating pregnancy,


childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O99.5

Diseases of the respiratory system complicating pregnancy,


childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O99.6

Diseases of the digestive system complicating pregnancy,


childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O99.7

Diseases of the skin and subcutaneous tissue complicating pregnancy,


childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O99.8

Other specified diseases and conditions complicating


pregnancy, childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS

6,800

O60.0
Z34.0
Z34.8
Z34.9
Z35.0
Z35.1

Preterm labor, not resulting to delivery


Supervision of normal first pregnancy
Supervision of other normal pregnancy
Supervision of normal pregnancy, unspecified
Supervision of pregnancy with history of infertility
Supervision of pregnancy with history of abortive outcome

MATERNAL
MATERNAL
MATERNAL
MATERNAL
MATERNAL
MATERNAL

CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS

6,800
6,800
6,800
6,800
6,800
6,800

Z35.2

Supervision of pregnancy with other poor reproductive or


obstetric history

MATERNAL COMORBIDITIES CONDITIONS

6,800

Z35.4
Z35.5
Z35.6
Z35.7

Supervision
Supervision
Supervision
Supervision

MATERNAL
MATERNAL
MATERNAL
MATERNAL

6,800
6,800
6,800
6,800

Z35.8
Z35.9
A87.8
A87.9

Supervision of other high-risk pregnancies


Supervision of high-risk pregnancy, unspecified
Other viral meningitis
Viral meningitis, unspecified

MATERNAL COMORBIDITIES CONDITIONS


MATERNAL COMORBIDITIES CONDITIONS
MENINGITIS
MENINGITIS

6,800
6,800
25,700
25,700

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

of
of
of
of

pregnancy with grand multiparity


elderly primigravida
very young primigravida
high-risk pregnancy due to social problems

COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES

COMORBIDITIES
COMORBIDITIES
COMORBIDITIES
COMORBIDITIES

CONDITIONS
CONDITIONS
CONDITIONS
CONDITIONS

Case Rate
G00.0

Haemophilus meningitis; Meningitis due to Haemophilus


influenzae

MENINGITIS

25,700

G00.1
G00.2
G00.3
G00.8

Pneumococcal meningitis
Streptococcal meningitis
Staphylococcal meningitis
Other bacterial meningitis; Meningitis due to Escherichia coli; Meningitis due
to Friedlnder bacillus; Meningitis due
to Klebsiella

MENINGITIS
MENINGITIS
MENINGITIS
MENINGITIS

25,700
25,700
25,700
25,700

G00.9

Bacterial meningitis, unspecified; Meningitis purulent NOS; Meningitis


pyogenic NOS; Meningitis suppurative NOS

MENINGITIS

25,700

G03.0
G03.1
G03.8
G03.9
A39.2
A39.3
A39.4

Nonpyogenic meningitis; Nonbacterial meningitis


Chronic meningitis
Meningitis due to other specified causes
Meningitis, unspecified; Arachnoiditis (spinal) NOS
Acute meningococcaemia
Chronic meningococcaemia
Meningococcaemia, unspecified; Meningococcal
bacteraemia NOS

MENINGITIS
MENINGITIS
MENINGITIS
MENINGITIS
MENINGOCOCCAL INFECTION
MENINGOCOCCAL INFECTION
MENINGOCOCCAL INFECTION

25,700
25,700
25,700
25,700
19,800
19,800
19,800

A39.9

Meningococcal infection, unspecified; Meningococcal


disease NOS

MENINGOCOCCAL INFECTION

19,800

N91.0

Primary amenorrhoea; Failure to start menstruation at


puberty.

MENSTRUAL IRREGULARITIES

6,600

N91.1

Secondary amenorrhoea; Absence of menstruation in a


woman who had previously menstruated.

MENSTRUAL IRREGULARITIES

6,600

N91.2

Amenorrhoea, unspecified; Absence of menstruation NOS

MENSTRUAL IRREGULARITIES

6,600

N91.5
N92.0

Oligomenorrhoea, unspecified; Hypomenorrhoea NOS


Excessive and frequent menstruation with regular cycle; Heavy periods NOS;
Menorrhagia NOS; Polymenorrhoea

MENSTRUAL IRREGULARITIES
MENSTRUAL IRREGULARITIES

6,600
6,600

N92.1

Excessive and frequent menstruation with irregular cycle; Irregular


intermenstrual bleeding; Irregular, shortened intervals between menstrual
bleeding; Menometrorrhagia;
Metrorrhagia

MENSTRUAL IRREGULARITIES

6,600

N92.2

Excessive menstruation at puberty; Excessive bleeding associated with


onset of menstrual periods; Pubertal
menorrhagia; Puberty bleeding

MENSTRUAL IRREGULARITIES

6,600

N92.3
N92.4

Ovulation bleeding; Regular intermenstrual bleeding


Excessive bleeding in the premenopausal period; Climateric menorrhagia or
metrorrhagia; Menopausal menorrhagia or metrorrhagia; Preclimateric
menorrhagia or metrorrhagia; Premenopausal menorrhagia or metrorrhagia

MENSTRUAL IRREGULARITIES
MENSTRUAL IRREGULARITIES

6,600
6,600

N92.5
N92.6

Other specified irregular menstruation


Irregular menstruation, unspecified; Irregular bleeding
NOS; Irregular periods NOS

MENSTRUAL IRREGULARITIES
MENSTRUAL IRREGULARITIES

6,600
6,600

N93.0

Postcoital and contact bleeding

MENSTRUAL IRREGULARITIES

6,600

N93.8

Other specified abnormal uterine and vaginal bleeding; Dysfunctional or


functional uterine or vaginal bleeding NOS

MENSTRUAL IRREGULARITIES

6,600

N93.9
N94.8

Abnormal uterine and vaginal bleeding, unspecified


Other specified conditions associated with female genital
organs and menstrual cycle

MENSTRUAL IRREGULARITIES
MENSTRUAL IRREGULARITIES

6,600
6,600

N94.9

Unspecified condition associated with female genital


organs and menstrual cycle

MENSTRUAL IRREGULARITIES

6,600

F01.1

Multi-infarct dementia; Predominantly cortical dementia

MENTAL AND BEHAVIORAL DISORDERS

7,800

F01.8
F01.9
F03

Other vascular dementia


Vascular dementia, unspecified
Unspecified dementia; Presenile dementia NOS; Presenile psychosis NOS;
Senile dementia NOS; Senile dementia depressed or paranoid type; Senile
psychosis NOS

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS
MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800
7,800

F04

Organic amnesic syndrome, not induced by alcohol and other psychoactive


substances; Korsakov's psychosis or
syndrome, nonalcoholic

MENTAL AND BEHAVIORAL DISORDERS

7,800

F05.0

Delirium not superimposed on dementia, so described

MENTAL AND BEHAVIORAL DISORDERS

7,800

F05.8
F05.9
F06.0

Other delirium
Other delirium
Organic hallucinosis; Organic hallucinatory state
(nonalcoholic)

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS
MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800
7,800

F06.2

Organic delusional [schizophrenia-like] disorder; Paranoid and paranoidhallucinatory organic states; Schizophrenialike psychosis in epilepsy

MENTAL AND BEHAVIORAL DISORDERS

7,800

F06.3
F06.4
F06.7
F06.8

Organic mood [affective] disorders


Organic anxiety disorder
Mild cognitive disorder
Other specified mental disorders due to brain damage and dysfunction and to
physical disease; Epileptic psychosis
NOS

MENTAL
MENTAL
MENTAL
MENTAL

7,800
7,800
7,800
7,800

ICD CODE

DESCRIPTION

GROUP

AND
AND
AND
AND

BEHAVIORAL
BEHAVIORAL
BEHAVIORAL
BEHAVIORAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS

FIRST CASE RATE


Case Rate

F06.9

Unspecified mental disorder due to brain damage and dysfunction and to


physical disease; Organic brain
syndrome NOS; Organic mental disorder NOS

MENTAL AND BEHAVIORAL DISORDERS

7,800

F07.0

Organic personality disorder; Organic pseudopsychopathic personality;


Organic pseudoretarded personality; Frontal lobe
Syndrome; Limbic epilepsy personalitySyndrome ; Lobotomy Syndrome;
Postleucotomy Syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F07.1
F07.2

Postencephalitic syndrome
Postconcussional syndrome; Postcontusional syndrome
(encephalopathy); Post-traumatic brain syndrome, nonpsychotic

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F07.9

Unspecified organic personality and behavioural disorder due to brain disease, MENTAL AND BEHAVIORAL DISORDERS
damage and dysfunction; Organic
psychosyndrome

7,800

F09

Unspecified organic or symptomatic mental disorder;


Organic Psychosis NOS; Symptomatic Psychosis NOS

MENTAL AND BEHAVIORAL DISORDERS

7,800

F10.0

Mental and behavioural disorders due to use of alcohol in


acute intoxication

MENTAL AND BEHAVIORAL DISORDERS

7,800

F10.1

Mental and behavioural disorders due to use of


alcohol:harmful use

MENTAL AND BEHAVIORAL DISORDERS

7,800

F10.2

Mental and behavioural disorders due to use of alcohol:


dependency syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F10.3

Mental and behavioural disorders due to use of


alcohol:withdrawal state

MENTAL AND BEHAVIORAL DISORDERS

7,800

F10.4

Mental and behavioural disorders due to use of alcohol:


withdrawal state with delirium

MENTAL AND BEHAVIORAL DISORDERS

7,800

F10.5

Mental and behavioural disorders due to use of alcohol:


psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F10.6

Mental and behavioural disorders due to use of alcohol:


amnesic syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F10.7

Mental and behavioural disorders due to use of alcohol:


residual and late-onset psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F10.8

Mental and behavioural disorders due to use of alcohol:


other mental and behavioural disorders

MENTAL AND BEHAVIORAL DISORDERS

7,800

F10.9

Mental and behavioural disorders due to use of alcohol:


unspecified mental and behavioural disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F11.1

Mental and behavioural disorders due to use of opioids:


harmful use

MENTAL AND BEHAVIORAL DISORDERS

7,800

F11.2

Mental and behavioural disorders due to use of opioids:


dependence syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F11.5

Mental and behavioural disorders due to use of opioids:


psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F11.9

Mental and behavioural disorders due to use of opioids:


unspecified mental and behavioural disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F12.0

Mental and behavioural disorders due to use of


cannabinoids: acute intoxication

MENTAL AND BEHAVIORAL DISORDERS

7,800

F12.5

Mental and behavioural disorders due to use of


cannabinoids: psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F13.1

Mental and behavioural disorders due to use of sedatives


or hypnotics: harmful use

MENTAL AND BEHAVIORAL DISORDERS

7,800

F13.2

Mental and behavioural disorders due to use of sedatives


or hypnotics: dependence syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F13.3

Mental and behavioural disorders due to use of sedatives


or hypnotics: withdrawal state

MENTAL AND BEHAVIORAL DISORDERS

7,800

F13.4

Mental and behavioural disorders due to use of sedatives or hypnotics:


withdrawal state with delirium

MENTAL AND BEHAVIORAL DISORDERS

7,800

F13.5

Mental and behavioural disorders due to use of sedatives


or hypnotics: psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F13.7

Mental and behavioural disorders due to use of sedatives or hypnotics:


residual and late-onset psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F14.0

Mental and behavioural disorders due to use of cocaine:


acute intoxication

MENTAL AND BEHAVIORAL DISORDERS

7,800

F14.2

Mental and behavioural disorders due to use of cocaine:


dependence syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F14.5

Mental and behavioural disorders due to use of cocaine:


psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F14.6

Mental and behavioural disorders due to use of cocaine:


amnesic syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F14.9

Mental and behavioural disorders due to use of cocaine:


unspecified mental and behavioural disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F15.0

Mental and behavioural disorders due to use of other


stimulants, including caffeine: acute intoxication

MENTAL AND BEHAVIORAL DISORDERS

7,800

F15.1

Mental and behavioural disorders due to use of other


stimulants, including caffeine: harmful use

MENTAL AND BEHAVIORAL DISORDERS

7,800

F15.2

Mental and behavioural disorders due to use of other


stimulants, including caffeine: dependence syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F15.3

Mental and behavioural disorders due to use of other


stimulants, including caffeine: withdrawal state

MENTAL AND BEHAVIORAL DISORDERS

7,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

F15.5

Mental and behavioural disorders due to use of other


stimulants, including caffeine: psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F15.8

Mental and behavioural disorders due to use of other stimulants, including


caffeine: other mental and
behavioural disorders

MENTAL AND BEHAVIORAL DISORDERS

7,800

F15.9

Mental and behavioural disorders due to use of other stimulants, including


caffeine: unspecified mental and
behavioural disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F16.0

Mental and behavioural disorders due to use of


hallucinogens: acute intoxication

MENTAL AND BEHAVIORAL DISORDERS

7,800

F16.1

Mental and behavioural disorders due to use of


hallucinogens: harmful use

MENTAL AND BEHAVIORAL DISORDERS

7,800

F16.2

Mental and behavioural disorders due to use of


hallucinogens: dependence syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F16.5

Mental and behavioural disorders due to use of


hallucinogens: psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F17.2

Mental and behavioural disorders due to use of tobacco:


dependence syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F17.3

Mental and behavioural disorders due to use of tobacco:


withdrawal state

MENTAL AND BEHAVIORAL DISORDERS

7,800

F18.0

Mental and behavioural disorders due to use of volatile


solvents: acute intoxication

MENTAL AND BEHAVIORAL DISORDERS

7,800

F18.4

Mental and behavioural disorders due to use of volatile


solvents: withdrawal state with delirium

MENTAL AND BEHAVIORAL DISORDERS

7,800

F18.6

Mental and behavioural disorders due to use of volatile


solvents: amnesic syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F19.1

Mental and behavioural disorders due to multiple drug use and use of other
psychoactive substances; misuse of drugs
NOS: harmful use

MENTAL AND BEHAVIORAL DISORDERS

7,800

F19.2

Mental and behavioural disorders due to multiple drug use and use of other
psychoactive substances; misuse of drugs
NOS: dependence syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F19.3

Mental and behavioural disorders due to multiple drug use and use of other
psychoactive substances; misuse of drugs
NOS: withdrawal state

MENTAL AND BEHAVIORAL DISORDERS

7,800

F19.5

Mental and behavioural disorders due to multiple drug use and use of other
psychoactive substances; misuse of drugs
NOS: psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F19.7

Mental and behavioural disorders due to multiple drug use and use of other
psychoactive substances; misuse of drugs NOS: residual and late-onset
psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F19.8

Mental and behavioural disorders due to multiple drug use and use of other
psychoactive substances; misuse of drugs NOS: other mental and behavioural
disorders

MENTAL AND BEHAVIORAL DISORDERS

7,800

F19.9

Mental and behavioural disorders due to multiple drug use and use of other
psychoactive substances; misuse of drugs NOS: unspecified mental and
behavioural disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F20.0
F20.1

Paranoid schizophrenia; Paraphrenic schizophrenia


Hebephrenic schizophrenia; Disorganized schizophrenia;
Hebephrenia

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F20.2

Catatonic schizophrenia; Catatonic stupor; Schizophrenic catalepsy;


Schizophrenic catatonia; Schizophrenic
flexibilitas cerea

MENTAL AND BEHAVIORAL DISORDERS

7,800

F20.3

Undifferentiated schizophrenia; Atypical schizophrenia

MENTAL AND BEHAVIORAL DISORDERS

7,800

F20.5

Residual schizophrenia; Chronic undifferentiated schizophrenia; Restzustand


(schizophrenic); Schizophrenic
residual state

MENTAL AND BEHAVIORAL DISORDERS

7,800

F20.6
F20.8

Simple schizophrenia
MENTAL AND BEHAVIORAL DISORDERS
Other schizophrenia; Cenesthopathic schizophrenia; Schizophreniform disorder MENTAL AND BEHAVIORAL DISORDERS
NOS; Schizophreniform
psychosis NOS

7,800
7,800

F20.9
F21

Schizophrenia, unspecified
Schizotypal disorder; Latent schizophrenic reaction; Schizophrenia borderline;
Schizophrenia latent; Schizophrenia prepsychotic; Schizophrenia prodromal;
Schizophrenia pseudoneurotic;
Schizophrenia pseudopsychopathic; Schizotypal personality

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F22.0

Delusional disorder; Paranoia; Paranoid psychosis; Paranoid state;


Paraphrenia (late); Sensitiver Beziehungswahn

MENTAL AND BEHAVIORAL DISORDERS

7,800

F22.8

Other persistent delusional disorders; Delusional dysmorphophobia;


Involutional paranoid state; Paranoia
querulans

MENTAL AND BEHAVIORAL DISORDERS

7,800

F23.0

Acute polymorphic psychotic disorder without symptoms of schizophrenia;


Bouffe dlirante without symptoms of schizophrenia or unspecified; Cycloid
psychosis without symptoms of schizophrenia or unspecified

MENTAL AND BEHAVIORAL DISORDERS

7,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

F23.1

Acute polymorphic psychotic disorder with symptoms of schizophrenia;


Bouffe dlirante with symptoms of schizophrenia; Cycloid psychosis with
symptoms of
schizophrenia

MENTAL AND BEHAVIORAL DISORDERS

7,800

F23.2

Acute schizophrenia-like psychotic disorder;Acute (undifferentiated)


schizophrenia;Brief schizophreniform disorder; Brief schizophreniform
psychosis; Oneirophrenia;
Schizophrenic reaction

MENTAL AND BEHAVIORAL DISORDERS

7,800

F23.3

Other acute predominantly delusional psychotic disorders; Paranoid reaction; MENTAL AND BEHAVIORAL DISORDERS
Psychogenic paranoid psychosis

7,800

F23.8
F23.9

Other acute and transient psychotic disorders


Acute and transient psychotic disorder, unspecified; Brief
reactive psychosis NOS; Reactive psychosis

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F24

Induced delusional disorder; Folie deux; Induced


paranoid disorder; Induced psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F25.0

Schizoaffective disorder, manic type; Schizoaffective psychosis, manic type;


Schizophreniform psychosis, manic
type

MENTAL AND BEHAVIORAL DISORDERS

7,800

F25.1

Schizoaffective disorder, depressive type; Schizoaffective psychosis,


depressive type; Schizophreniform psychosis,
depressive type

MENTAL AND BEHAVIORAL DISORDERS

7,800

F25.2

Schizoaffective disorder, mixed type; Cyclic schizophrenia; Mixed


schizophrenic and affective psychosis

MENTAL AND BEHAVIORAL DISORDERS

7,800

F25.8
F25.9

Other schizoaffective disorders


Schizoaffective disorder, unspecified; Schizoaffective
psychosis NOS

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F28

Other nonorganic psychotic disorders; Chronic


hallucinatory psychosis

MENTAL AND BEHAVIORAL DISORDERS

7,800

F29
F30.0
F30.1
F30.2

Unspecified nonorganic psychosis; Psychosis NOS


Hypomania
Mania without psychotic symptoms
Mania with psychotic symptoms; Mania with mood- congruent psychotic
symptoms; Mania with moodincongruent psychotic symptoms; Manic stupor

MENTAL
MENTAL
MENTAL
MENTAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS

7,800
7,800
7,800
7,800

F30.9
F31.0

Manic episode, unspecified; Mania NOS


Bipolar affective disorder, current episode hypomanic

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F31.1

Bipolar affective disorder, current episode manic without


psychotic symptoms

MENTAL AND BEHAVIORAL DISORDERS

7,800

F31.2

Bipolar affective disorder, current episode manic with


psychotic symptoms

MENTAL AND BEHAVIORAL DISORDERS

7,800

F31.3

Bipolar affective disorder, current episode mild or


moderate depression

MENTAL AND BEHAVIORAL DISORDERS

7,800

F31.5

Bipolar affective disorder, current episode severe


depression with psychotic symptoms

MENTAL AND BEHAVIORAL DISORDERS

7,800

F31.6
F31.7
F31.8

Bipolar affective disorder, current episode mixed


Bipolar affective disorder, currently in remission
Other bipolar affective disorders; Bipolar II disorder;
Recurrent manic episodes NOS

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS
MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800
7,800

F31.9
F32.0
F32.1
F32.2

Bipolar affective disorder, unspecified


Mild depressive episode
Moderate depressive episode
Severe depressive episode without psychotic symptoms; [Agitated
depression, Major depression, Vital depression] single episode without
psychotic symptoms

MENTAL
MENTAL
MENTAL
MENTAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS

7,800
7,800
7,800
7,800

F32.3

Severe depressive episode with psychotic symptoms; Single episodes of


major depression with psychotic symptoms; Single episodes of psychogenic
depressive psychosis; Single episodes of psychotic depression; Single
episodes of
reactive depressive psychosis

MENTAL AND BEHAVIORAL DISORDERS

7,800

F32.8

Other depressive episodes; Atypical depression; Single


episodes of "masked" depression NOS

MENTAL AND BEHAVIORAL DISORDERS

7,800

F32.9

Depressive episode, unspecified; Depression NOS;


Depressive disorder NOS

MENTAL AND BEHAVIORAL DISORDERS

7,800

AND
AND
AND
AND

AND
AND
AND
AND

BEHAVIORAL
BEHAVIORAL
BEHAVIORAL
BEHAVIORAL

BEHAVIORAL
BEHAVIORAL
BEHAVIORAL
BEHAVIORAL

F33.2

Recurrent depressive disorder, current episode severe without psychotic


symptoms; Endogenous depression without psychotic symptoms; Major
depression, recurrent without psychotic symptoms; Manic-depressive
psychosis, depressed type without psychotic sympto

MENTAL AND BEHAVIORAL DISORDERS

7,800

F33.3

Recurrent depressive disorder, current episode severe with psychotic


symptoms including Endogenous depression with psychotic symptoms;
Manic-depressive psychosis, depressed type with psychotic symptoms;
Recurrent severe episodes of major depression with

MENTAL AND BEHAVIORAL DISORDERS

7,800

F33.8
F33.9

Other recurrent depressive disorders


Recurrent depressive disorder, unspecified; Monopolar
depression NOS

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F34.0

Cyclothymia; Affective personality disorder; Cycloid


personality; Cyclothymic personality

MENTAL AND BEHAVIORAL DISORDERS

7,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

F34.1

Dysthymia; Depressive neurosis; Depressive personality disorder; Neurotic


depression; Persistent anxiety
depression

MENTAL AND BEHAVIORAL DISORDERS

7,800

F42.1
F42.2
F42.8
F42.9
F43.0

Predominantly compulsive acts [obsessional rituals]


Mixed obsessional thoughts and acts
Other obsessive-compulsive disorders
Obsessive-compulsive disorder, unspecified
Acute stress reaction including Acute crisis reaction; Acute reaction to
stress; Combat fatigue; Crisis state; Psychic
shock

MENTAL
MENTAL
MENTAL
MENTAL
MENTAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

7,800
7,800
7,800
7,800
7,800

F43.1
F43.2

Post-traumatic stress disorder; Traumatic neurosis


Adjustment disorders; Culture shock; Grief reaction;
Hospitalism in children

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F43.8
F44.0
F44.4

Other reactions to severe stress


Dissociative amnesia
Dissociative motor disorders; Psychogenic aphonia;
Psychogenic dysphonia

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS
MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800
7,800

F44.8

Other dissociative [conversion] disorders; Ganser's syndrome; Multiple


personality; Psychogenic confusion;
Psychogenic twilight state

MENTAL AND BEHAVIORAL DISORDERS

7,800

F44.9
F45.0

Dissociative [conversion] disorder, unspecified


Somatization disorder; Briquets disorder; Multiple
psychosomatic disorder

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F45.1

Undifferentiated somatoform disorder; Undifferentiated


psychosomatic disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F45.2

Hypochondriacal disorder; Body dysmorphic disorder; Dysmorphophobia


(nondelusional); Hypochondriacal neurosis; Hypochondriasis; Nosophobia

MENTAL AND BEHAVIORAL DISORDERS

7,800

F45.3

Somatoform autonomic dysfunction; Cardiac neurosis; Da Costa's syndrome;


Gastric neurosis ; Neurocirculatory asthenia
Psychogenic forms of aerophagy; Psychogenic forms of cough, Psychogenic
forms of diarrhea; Psychogenic forms

MENTAL AND BEHAVIORAL DISORDERS

7,800

F45.4

Persistent somatoform pain disorder; Psychalgia; Psychogenic backache;


Psychogenic headache;
Somatoform pain disorder

MENTAL AND BEHAVIORAL DISORDERS

7,800

F45.8

Other somatoform disorders; Psychogenic dysmenorrhoea; Psychogenic


dysphagia, including "globus hystericus"; Psychogenic pruritus; Psychogenic
torticollis; Teethgrinding

MENTAL AND BEHAVIORAL DISORDERS

7,800

F45.9

Somatoform disorder, unspecified; Psychosomatic disorder


NOS

MENTAL AND BEHAVIORAL DISORDERS

7,800

F48.8

Other specified neurotic disorders; Dhat syndrome; Occupational neurosis,


MENTAL AND BEHAVIORAL DISORDERS
including writer's cramp; Psychasthenia; Psychasthenic neurosis; Psychogenic
syncope

7,800

F48.9
F50.2
F53.0

Neurotic disorder, unspecified; Neurosis NOS


Bulimia nervosa; Bulimia NOS; Hyperorexia nervosa
Mild mental and behavioural disorders associated with the puerperium, not
elsewhere classified; Depression postnatal NOS; Depression postpartum NOS

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS
MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800
7,800

F53.1

Severe mental and behavioural disorders associated with the puerperium, not MENTAL AND BEHAVIORAL DISORDERS
elsewhere classified; Puerperal
psychosis NOS

7,800

F53.9
F55

Puerperal mental disorder, unspecified


Abuse of non-dependence-producing substances; Abuse of antacids; Abuse of
herbal or folk remedies; Abuse of steroids or hormones; Abuse of vitamins;
Laxative habit

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F59

Unspecified behavioural syndromes associated with physiological disturbances MENTAL AND BEHAVIORAL DISORDERS
and physical factors;
Psychogenic physiological dysfunction NOS

7,800

F70.0

Mild mental retardation; feeble-mindedness; mild mental subnormality with the MENTAL AND BEHAVIORAL DISORDERS
statement of no, or minimal,
impairment of behaviour

7,800

F72.9

Severe mental retardation; severe mental subnormality without mention of


impairment of behaviour

MENTAL AND BEHAVIORAL DISORDERS

7,800

F78.1

Other mental retardation with significant impairment of


behaviour requiring attention or treatment

MENTAL AND BEHAVIORAL DISORDERS

7,800

AND
AND
AND
AND
AND

BEHAVIORAL
BEHAVIORAL
BEHAVIORAL
BEHAVIORAL
BEHAVIORAL

F78.8

Other mental retardation with other impairments of


behaviour

MENTAL AND BEHAVIORAL DISORDERS

7,800

F78.9

Other mental retardation without mention of impairment


of behaviour

MENTAL AND BEHAVIORAL DISORDERS

7,800

F79.8

Unspecified mental retardation; mental deficiency NOS;


mental subnormality NOS with other impairments of behaviour

MENTAL AND BEHAVIORAL DISORDERS

7,800

F80.3
F82

Acquired aphasia with epilepsy [Landau-Kleffner]


Specific developmental disorder of motor function; Clumsy child syndrome;
Developmental coordination disorder;
Developmental dyspraxia

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

F84.0

Childhood autism; Autistic disorder; Infantile autism;


Infantile psychosis; Kanner's syndrome

MENTAL AND BEHAVIORAL DISORDERS

7,800

F84.2
F84.3

Rett's syndrome
Other childhood disintegrative disorder; Dementia infantilis; Disintegrative
psychosis; Heller's syndrome;
Symbiotic psychosis

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F84.5

Asperger's syndrome; Autistic psychopathy; Schizoid


disorder of childhood

MENTAL AND BEHAVIORAL DISORDERS

7,800

F84.9
F89

Pervasive developmental disorder, unspecified


Unspecified disorder of psychological development;
Developmental disorder NOS

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800

F90.8
F92.0
F98.1

Other hyperkinetic disorders


Depressive conduct disorder
Nonorganic encopresis; Functional encopresis; Incontinence of faeces of
nonorganic origin; Psychogenic
encopresis

MENTAL AND BEHAVIORAL DISORDERS


MENTAL AND BEHAVIORAL DISORDERS
MENTAL AND BEHAVIORAL DISORDERS

7,800
7,800
7,800

F99

Mental disorder, not otherwise specified; Mental illness


NOS

MENTAL AND BEHAVIORAL DISORDERS

7,800

E88.0

Disorders of plasma-protein metabolism, not elsewhere classified; a-1Antitrypsin deficiency; Bisalbuminaemia

METABOLIC DISORDERS

10,700

E88.1

Lipodystrophy, not elsewhere classified; Lipodystrophy


NOS

METABOLIC DISORDERS

10,700

E88.8

Other specified metabolic disorders; Launois-Bensaude


adenolipomatosis; Trimethylaminuria

METABOLIC DISORDERS

10,700

E88.9
P70.0

Metabolic disorder, unspecified


Syndrome of infant of mother with gestational diabetes

METABOLIC DISORDERS
METABOLIC DISORDERS OF THE NEWBORN

10,700
9,300

P70.1

Syndrome of infant of a diabetic mother; Maternal diabetes mellitus (preexisting) affecting fetus or newborn with
hypoglycaemia

METABOLIC DISORDERS OF THE NEWBORN

9,300

P70.2
P70.3
P70.4

Neonatal diabetes mellitus


Iatrogenic neonatal hypoglycaemia
Other neonatal hypoglycaemia; Transitory neonatal
hypoglycaemia

METABOLIC DISORDERS OF THE NEWBORN


METABOLIC DISORDERS OF THE NEWBORN
METABOLIC DISORDERS OF THE NEWBORN

9,300
9,300
9,300

P70.9

Transitory disorder of carbohydrate metabolism of fetus


and newborn, unspecified

METABOLIC DISORDERS OF THE NEWBORN

9,300

P71.0
P71.1
P71.3

Cow's milk hypocalcaemia in newborn


Other neonatal hypocalcaemia
Neonatal tetany without calcium or magnesium deficiency;
Neonatal tetany NOS

METABOLIC DISORDERS OF THE NEWBORN


METABOLIC DISORDERS OF THE NEWBORN
METABOLIC DISORDERS OF THE NEWBORN

9,300
9,300
9,300

P71.4
P71.9

Transitory neonatal hypoparathyroidism


Transitory neonatal disorder of calcium and magnesium
metabolism, unspecified

METABOLIC DISORDERS OF THE NEWBORN


METABOLIC DISORDERS OF THE NEWBORN

9,300
9,300

P72.0

Neonatal goitre, not elsewhere classified; Transitory


congenital goitre with normal function

METABOLIC DISORDERS OF THE NEWBORN

9,300

P72.1

Transitory neonatal hyperthyroidism; neonatal


thyrotoxicosis

METABOLIC DISORDERS OF THE NEWBORN

9,300

P72.2

Other transitory neonatal disorders of thyroid function, not elsewhere


classified; Transitory neonatal hypothyroidism

METABOLIC DISORDERS OF THE NEWBORN

9,300

P72.8

Other specified transitory neonatal endocrine disorders

METABOLIC DISORDERS OF THE NEWBORN

9,300

P72.9
P74.0
P74.1
P74.2
P74.4
P74.8
P74.9

Transitory neonatal endocrine disorder, unspecified


Late metabolic acidosis of newborn
Dehydration of newborn
Disturbances of sodium balance of newborn
Other transitory electrolyte disturbances of newborn
Other transitory metabolic disturbances of newborn
Transitory metabolic disturbance of newborn, unspecified

METABOLIC
METABOLIC
METABOLIC
METABOLIC
METABOLIC
METABOLIC
METABOLIC

NEWBORN
NEWBORN
NEWBORN
NEWBORN
NEWBORN
NEWBORN
NEWBORN

9,300
9,300
9,300
9,300
9,300
9,300
9,300

P80.9
P81.0
P81.8

Hypothermia of newborn, unspecified


Environmental hyperthermia of newborn
Other specified disturbances of temperature regulation of
newborn

METABOLIC DISORDERS OF THE NEWBORN


METABOLIC DISORDERS OF THE NEWBORN
METABOLIC DISORDERS OF THE NEWBORN

9,300
9,300
9,300

P81.9

Disturbance of temperature regulation of newborn,


unspecified; Fever of newborn NOS

METABOLIC DISORDERS OF THE NEWBORN

9,300

P83.1
P83.4

Neonatal erythema toxicum


Breast engorgement of newborn; Noninfective mastitis of
newborn

METABOLIC DISORDERS OF THE NEWBORN


METABOLIC DISORDERS OF THE NEWBORN

9,300
9,300

P83.8

Other specified conditions of integument specific to fetus and newborn;


Bronze baby syndrome; Neonatal
scleroderma; Urticaria neonatorum

METABOLIC DISORDERS OF THE NEWBORN

9,300

O02.0

Blighted ovum and nonhydatidiform mole; Carneous mole; Fleshy mole;


Intrauterine mole NOS; Pathological ovum

MISCARRIAGE

5,000

O02.1

Missed abortion; Early fetal death with retention of dead


fetus

MISCARRIAGE

5,000

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

OF
OF
OF
OF
OF
OF
OF

THE
THE
THE
THE
THE
THE
THE

O02.8
O02.9
O03.4

Other specified abnormal products of conception


Abnormal product of conception, unspecified
Spontaneous abortion, incomplete, without complication

MISCARRIAGE
MISCARRIAGE
MISCARRIAGE

5,000
5,000
5,000

O03.9

Spontaneous abortion, complete or unspecified, without


complication

MISCARRIAGE

5,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

O05.4
O05.9

Other abortion, incomplete, without complication


Other abortion, complete or unspecified, without
complication

MISCARRIAGE
MISCARRIAGE

5,000
5,000

O06.4

Unspecified abortion or induced abortion NOS, incomplete,


without complication

MISCARRIAGE

5,000

O06.9

Unspecified abortion or induced abortion NOS, complete or


unspecified, without complication

MISCARRIAGE

5,000

O07.0

Failed medical abortion, complicated by genital tract and pelvic infection with MISCARRIAGE
Endometritis; Oophoritis; Parametritis; Parametritis; Pelvic peritonitis;
Salpingitis; Salpingo- oophoritis; Sepsis; Septic shock; Septicaemia

5,000

O07.3

Failed medical abortion with other and unspecified complications with Shock
following abortion and ectopic and molar pregnancy; Circulatory collapase;
Postoperative Shock; Renal failure following abortion and ectopic and
molar pregnancy; Oliguria Acute re

MISCARRIAGE

5,000

O07.4

Failed medical abortion without complication; Failed


medical abortion NOS

MISCARRIAGE

5,000

O07.8

Other and unspecified failed attempted abortion with other and unspecified
complications with with Shock following abortion and ectopic and molar
pregnancy; Circulatory collapase; Postoperative Shock; Renal failure following
abortion and ectopic and mola

MISCARRIAGE

5,000

O07.9

Other and unspecified failed attempted abortion without


complication; Failed attempted abortion NOS

MISCARRIAGE

5,000

O03.0

Spontaneous abortion, incomplete, complicated by Genital tract and pelvic


infection with Genital tract and pelvic infection following abortion and
ectopic and molar pregnancy; Endometritis; Oophoritis; Parametritis; Pelvic
peritonitis; Salpingitis; Salpin

MISCARRIAGE WITH COMPLICATIONS

6,900

O03.1

Spontaneous abortion, incomplete, complicated Delayed or excessive


MISCARRIAGE WITH COMPLICATIONS
haemorrhage with Delayed or excessive haemorrhage following abortion and
ectopic and molar pregnancy; Afibrinogenaemia; Defibrination syndrome;
Intravascular coagulation

6,900

O03.2

Spontaneous abortion, incomplete, complicated by Embolism with Embolism MISCARRIAGE WITH COMPLICATIONS
NOS or Air embolism or Amniotic fluid embolism or Blood-clot embolism or
Pulmonary embolism or Pyaemic embolism or Septic or
septicopyaemic embolism or Soap embolism

6,900

O03.3

Spontaneous abortion, incomplete, with other and unspecified complications


with Shock following abortion and ectopic and molar pregnancy; Circulatory
collapase; Postoperative Shock; Renal failure following abortion and ectopic
and molar pregnancy; Oliguri

MISCARRIAGE WITH COMPLICATIONS

6,900

O03.5

Spontaneous abortion, complete, complicated by Genital tract and pelvic


infection with Genital tract and pelvic infection following abortion and
ectopic and molar pregnancy; Endometritis; Oophoritis; Parametritis; Pelvic
peritonitis; Salpingitis; Salpingo

MISCARRIAGE WITH COMPLICATIONS

6,900

O03.6

Spontaneous abortion, complete or unspecified, complicated Delayed or


excessive haemorrhage with Delayed or excessive haemorrhage following
abortion and ectopic and molar pregnancy; Afibrinogenaemia;
Defibrination syndrome; Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS

6,900

O03.7

Spontaneous abortion, complete or unspecified, with other complicated by


Embolism with Embolism following
abortion and ectopic and molar pregnancy; Embolism NOS; Air embolism;
Amniotic fluid embolism; Blood-clot embolism; Pulmonary embolism; Pyaemic
embo

MISCARRIAGE WITH COMPLICATIONS

6,900

O03.8

Spontaneous abortion, complete or unspecified, with other and unspecified


MISCARRIAGE WITH COMPLICATIONS
complications with Shock following abortion and ectopic and molar pregnancy;
Circulatory collapase; Postoperative Shock; Renal failure following abortion
and ectopic and molar preg

6,900

O05.0

Other abortion, incomplete, complicated by Genital tract and pelvic infection


with Endometritis and/or Oophoritis and/or Parametritis and/or Pelvic
peritonitis and/or Salpingitis and/or Salpingo-oophoritis and/or Sepsis and/or
Septic shock and/or Septicae

MISCARRIAGE WITH COMPLICATIONS

6,900

O05.1

Other abortion, incomplete, complicated Delayed or excessive haemorrhage


with Delayed or excessive haemorrhage following abortion and ectopic and
molar pregnancy; Afibrinogenaemia; Defibrination syndrome;
Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS

6,900

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

O05.8

Other abortion, complete, with other and unspecified complications with


Shock following abortion and ectopic and molar pregnancy; Circulatory
collapase; Postoperative Shock; Renal failure following abortion and ectopic
and
molar pregnancy; Oliguria Acute

MISCARRIAGE WITH COMPLICATIONS

6,900

O06.0

Unspecified abortion or induced abortion NOS, incomplete, complicated by


Genital tract and pelvic infection with Endometritis and/or Oophoritis and/or
Parametritis and/or Pelvic peritonitis and/or Salpingitis and/or Salpingooophoritis and/or Sepsis and/

MISCARRIAGE WITH COMPLICATIONS

6,900

O06.1

Unspecified abortion or induced abortion NOS, incomplete, complicated


Delayed or excessive haemorrhage with Afibrinogenaemia or Defibrination
syndrome or
Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS

6,900

O06.2

Unspecified abortion or induced abortion NOS, incomplete, complicated by


Embolism or Embolism NOS with Air embolism or Amniotic fluid embolism
or Blood-clot embolism or Pulmonary embolism or Pyaemic embolism or
Septic or septicopyaemic embolism or Soap e

MISCARRIAGE WITH COMPLICATIONS

6,900

O06.3

Unspecified abortion or induced abortion NOS, incomplete, with other and


unspecified complications with Shock following abortion and ectopic and
molar pregnancy; Circulatory collapase; Postoperative Shock; Renal failure
following abortion and ectopic and

MISCARRIAGE WITH COMPLICATIONS

6,900

O06.5

Unspecified abortion or induced abortion NOS, complete, or unspecified,


complicated by Genital tract and pelvic infection or Endometritis and/or
Oophoritis and/or Parametritis and/or Pelvic peritonitis and/or Salpingitis
and/or Salpingo-oophoritis and/or

MISCARRIAGE WITH COMPLICATIONS

6,900

O06.6

Unspecified abortion or induced abortion NOS, complete, complicated by


Delayed or excessive haemorrhage or Afibrinogenaemia or Defibrination
syndrome or
Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS

6,900

O06.7

Unspecified abortion or induced abortion NOS, complete, complicated by


MISCARRIAGE WITH COMPLICATIONS
Embolism or Embolism NOS or Air embolism or Amniotic fluid embolism or
Blood-clot embolism or Pulmonary embolism or Pyaemic embolism or Septic
or septicopyaemic embolism or Soap emboli

6,900

O06.8

Unspecified abortion or induced abortion NOS, complete, with other and


unspecified complications with Shock following abortion and ectopic and
molar pregnancy; Circulatory collapase; Postoperative Shock; Renal failure
following abortion and ectopic and m

MISCARRIAGE WITH COMPLICATIONS

6,900

O07.1

Failed medical abortion complicated by delayed or excessive haemorrhage;


MISCARRIAGE WITH COMPLICATIONS
Afibrinogenaemia with Delayed or excessive haemorrhage following abortion
and ectopic and molar pregnancy; Afibrinogenaemia; Defibrination
syndrome; Intravascular coagulation

6,900

O07.5

Other and unspecified failed attempted abortion complicated by genital tract


and pelvic infection with Endometritis; Oophoritis; Parametritis; Pelvic
peritonitis; Salpingitis; Salpingo-oophoritis; Sepsi; Septic shock;
Septicaemia

MISCARRIAGE WITH COMPLICATIONS

6,900

O07.6

Other and unspecified failed attempted abortion complicated by delayed or


excessive haemorrhage with Delayed or excessive haemorrhage following
abortion and ectopic and molar pregnancy; Afibrinogenaemia; Defibrination
syndrome; Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS

6,900

O08.3

Shock following abortion and ectopic and molar pregnancy; Circulatory


collapase; Postoperative Shock

MISCARRIAGE WITH COMPLICATIONS

6,900

O08.8

Other complications following abortion and ectopic and molar pregnancy;


Cardiac arrest; Urinary tract infection

MISCARRIAGE WITH COMPLICATIONS

6,900

M60.0
M60.00
M60.01

Infective myositis; Tropical pyomyositis


Infective myositis; Tropical pyomyositis Multiple site
Infective myositis; Tropical pyomyositis Shoulder region

MUSCLE, TENDON, SOFT TISSUE DISORDERS


MUSCLE, TENDON, SOFT TISSUE DISORDERS
MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500
6,500
6,500

M60.02
M60.05

Infective myositis; Tropical pyomyositis Upper arm


Infective myositis; Tropical pyomyositis Pelvic region and
thigh

MUSCLE, TENDON, SOFT TISSUE DISORDERS


MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500
6,500

M60.06
M60.07

Infective myositis; Tropical pyomyositis Lower leg


Infective myositis; Tropical pyomyositis Ankle and foot

MUSCLE, TENDON, SOFT TISSUE DISORDERS


MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500
6,500

M60.08
M60.09

Infective myositis; Tropical pyomyositis Other


Infective myositis; Tropical pyomyositis Site unspecified

MUSCLE, TENDON, SOFT TISSUE DISORDERS


MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500
6,500

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

M60.1
M60.11
M60.2

Interstitial myositis
Interstitial myositis Shoulder region
Foreign body granuloma of soft tissue, not elsewhere
classified

MUSCLE, TENDON, SOFT TISSUE DISORDERS


MUSCLE, TENDON, SOFT TISSUE DISORDERS
MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500
6,500
6,500

M60.21

Foreign body granuloma of soft tissue, not elsewhere


classified Shoulder region

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

M60.23

Foreign body granuloma of soft tissue, not elsewhere


classified Forearm

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

M60.27

Foreign body granuloma of soft tissue, not elsewhere


classified Ankle and foot

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

M60.8
M60.80
M60.81
M60.88
M60.89
M60.9
M60.90
M60.91
M60.92
M60.95
M60.96
M60.98
M60.99
M61.3

Other myositis
Other myositis Multiple site
Other myositis Shoulder region
Other myositis Other
Other myositis Site unspecified
Myositis, unspecified
Myositis, unspecified Multiple site
Myositis, unspecified Shoulder region
Myositis, unspecified Upper arm
Myositis, unspecified Pelvic region and thigh
Myositis, unspecified Lower leg
Myositis, unspecified Other
Myositis, unspecified Site unspecified
Calcification and ossification of muscles associated with burns; Myositis
ossificans associated with burns

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500

M61.55
M61.59
M61.9
M62.0
M62.05
M62.08
M62.1
M62.48
M62.49
M62.56

Other ossification of muscle Pelvic region and thigh


Other ossification of muscle Site unspecified
Calcification and ossification of muscle, unspecified
Diastasis of muscle
Diastasis of muscle Pelvic region and thigh
Diastasis of muscle Other
Other rupture of muscle (nontraumatic)
Contracture of muscle Other
Contracture of muscle Site unspecified
Muscle wasting and atrophy, not elsewhere classified;
Disuse atrophy NEC Lower leg

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500

M62.59

Muscle wasting and atrophy, not elsewhere classified;


Disuse atrophy NEC Site unspecified

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

M62.60
M62.61
M62.62
M62.63
M62.65
M62.66
M62.67
M62.68
M62.69
M62.8
M62.80
M62.85
M62.86
M62.88
M62.89
M62.9
M62.90
M62.91
M62.95

Muscle strain Multiple site


Muscle strain Shoulder region
Muscle strain Upper arm
Muscle strain Forearm
Muscle strain Pelvic region and thigh
Muscle strain Lower leg
Muscle strain Ankle and foot
Muscle strain Other
Muscle strain Site unspecified
Muscle (sheath) hernia
Muscle (sheath) hernia Multiple site
Muscle (sheath) hernia Pelvic region and thigh
Muscle (sheath) hernia Lower leg
Muscle (sheath) hernia Other
Muscle (sheath) hernia Site unspecified
Disorder of muscle, unspecified
Disorder of muscle, unspecified Multiple site
Disorder of muscle, unspecified Shoulder region
Disorder of muscle, unspecified Pelvic region and thigh

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500

M62.96
M62.97
M62.98
M62.99
M65.0
M65.1
M65.13
M65.2
M65.20
M65.22
M65.25
M65.29
M65.3
M65.4
M65.8
M65.80
M65.84
M65.86
M65.87
M65.89
M65.9
M65.90
M65.91

Disorder of muscle, unspecified Lower leg


Disorder of muscle, unspecified Ankle and foot
Disorder of muscle, unspecified Other
Disorder of muscle, unspecified Site unspecified
Abscess of tendon sheath
Other infective tenosynovitis
Other infective (teno)synovitis Forearm
Calcific tendinitis
Calcific tendinitis Multiple site
Calcific tendinitis Upper arm
Calcific tendinitis Pelvic region and thigh
Calcific tendinitis Site unspecified
Trigger finger;Nodular tendinous disease
Radial styloid tenosynovitis [de Quervain]
Other synovitis and tenosynovitis
Other synovitis and tenosynovitis Multiple site
Other synovitis and tenosynovitis Hand
Other synovitis and tenosynovitis Lower leg
Other synovitis and tenosynovitis Ankle and foot
Other synovitis and tenosynovitis Site unspecified
Synovitis and tenosynovitis, unspecified
Synovitis and tenosynovitis, unspecified Multiple site
Synovitis and tenosynovitis, unspecified Shoulder region

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500

M65.92

Synovitis and tenosynovitis, unspecified Upper arm

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

M65.93
M65.94
M65.95

Synovitis and tenosynovitis, unspecified Forearm


Synovitis and tenosynovitis, unspecified Hand
Synovitis and tenosynovitis, unspecified Pelvic region and
thigh

MUSCLE, TENDON, SOFT TISSUE DISORDERS


MUSCLE, TENDON, SOFT TISSUE DISORDERS
MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500
6,500
6,500

M65.96
M65.97

Synovitis and tenosynovitis, unspecified Lower leg


Synovitis and tenosynovitis, unspecified Ankle and foot

MUSCLE, TENDON, SOFT TISSUE DISORDERS


MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500
6,500

M65.99

Synovitis and tenosynovitis, unspecified Site unspecified

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

M66.0
M66.4
M66.5

Rupture of popliteal cyst


Spontaneous rupture of other tendons
Spontaneous rupture of unspecified tendon; Rupture at
musculotendinous junction, nontraumatic

MUSCLE, TENDON, SOFT TISSUE DISORDERS


MUSCLE, TENDON, SOFT TISSUE DISORDERS
MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500
6,500
6,500

M67.0
M67.1
M67.2
M67.3
M67.4
M67.8
M67.9
M70.0
M70.1
M70.2
M70.3
M70.4
M70.5
M70.6
M70.7
M70.8

Short Achilles tendon (acquired)


Other contracture of tendon (sheath)
Synovial hypertrophy, not elsewhere classified
Transient synovitis; Toxic synovitis
Ganglion; Ganglion of joint or tendon (sheath)
Other specified disorders of synovium and tendon
Disorder of synovium and tendon, unspecified
Chronic crepitant synovitis of hand and wrist
Bursitis of hand
Olecranon bursitis
Other bursitis of elbow
Prepatellar bursitis
Other bursitis of knee
Trochanteric bursitis; Trochanteric tendinitis
Other bursitis of hip; Ischial bursitis
Other soft tissue disorders related to use, overuse and
pressure

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500

M70.9

Unspecified soft tissue disorder related to use, overuse and


pressure

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

M71.1
M71.2
M71.3
M71.31
M71.5
M71.51

Other infective bursitis


Synovial cyst of popliteal space [Baker]
Other bursal cyst; Synovial cyst NOS
Other bursal cyst; Synovial cyst NOS Shoulder region
Other bursitis, not elsewhere classified
Other bursitis, not elsewhere classified Shoulder region

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500
6,500
6,500

M71.8
M71.9
M71.91
M71.99
M72.0
M72.2
M72.5
M72.88
M72.9

Other specified bursopathies


Bursopathy, unspecified
Bursopathy, unspecified Shoulder region
Bursopathy, unspecified Site unspecified
Palmar fascial fibromatosis [Dupuytren]
Plantar fascial fibromatosis; Plantar fasciitis
FASCIITIS, NOT ELSEWHERE CLASSIFIED,
Other fibroblastic disorders; Abscess of fascia Other
Fibroblastic disorder, unspecified; Fasciitis NOS;
Fibromatosis NOS

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500

M72.98

Fibroblastic disorder, unspecified; Fasciitis NOS;


Fibromatosis NOS Other

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

M72.99

Fibroblastic disorder, unspecified; Fasciitis NOS;


Fibromatosis NOS Site unspecified

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

M75.0

Adhesive capsulitis of shoulder; Frozen shoulder;


Periarthritis of shoulder

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

M75.1

Rotator cuff syndrome; Rotator cuff or supraspinatus tear or rupture complete) MUSCLE, TENDON, SOFT TISSUE DISORDERS
(incomplete), not specified
as traumatic; Supraspinatus syndrome

6,500

M75.2
M75.3

Bicipital tendinitis
Calcific tendinitis of shoulder; Calcified bursa of shoulder

MUSCLE, TENDON, SOFT TISSUE DISORDERS


MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500
6,500

M75.4
M75.5
M75.8
M75.9
M76
M76.0
M76.1
M76.3
M76.4
M76.5
M76.6
M76.7
M76.8

Impingement syndrome of shoulder


Bursitis of shoulder
Other shoulder lesions
Shoulder lesion, unspecified
Enthesopathies of lower limb, excluding foot
Gluteal tendinitis
Psoas tendinitis
Iliotibial band syndrome
Tibial collateral bursitis [Pellegrini-Stieda]
Patellar tendinitis
Achilles tendinitis; Achilles bursitis
Peroneal tendinitis
Other enthesopathies of lower limb, excluding foot;
Anterior tibial syndrome; Posterior tibial tendinitis

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500
6,500

M76.9
M77.0
M77.1
M77.3
M77.5
M77.8
M77.9

Enthesopathy of lower limb, unspecified


Medial epicondylitis
Lateral epicondylitis; Tennis elbow
Calcaneal spur
Other enthesopathy of foot
Other enthesopathies, not elsewhere classified
Enthesopathy, unspecified; Bone spur NOS; Capsulitis NOS;
Periarthritis NOS; Tendinitis NOS

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500
6,500
6,500
6,500

M79.80

Other specified soft tissue disorders Multiple site

MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

Case Rate
M79.81
M79.82
M79.84
M79.85

Other
Other
Other
Other

specified
specified
specified
specified

soft
soft
soft
soft

tissue
tissue
tissue
tissue

disorders
disorders
disorders
disorders

Shoulder region
Upper arm
Hand
Pelvic region and thigh

M79.86
M79.87
M79.88
M79.89
M79.91
M79.95

Other specified soft


Other specified soft
Other specified soft
Other specified soft
Soft tissue disorder,
Soft tissue disorder,

M79.98
M79.99

Soft tissue disorder, unspecified Other


Soft tissue disorder, unspecified Site unspecified

tissue disorders Lower leg


tissue disorders Ankle and foot
tissue disorders Other
tissue disorders Site unspecified
unspecified Shoulder region
unspecified Pelvic region and thigh

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE

DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500

MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,
MUSCLE,

TENDON,
TENDON,
TENDON,
TENDON,
TENDON,
TENDON,

SOFT
SOFT
SOFT
SOFT
SOFT
SOFT

TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

6,500
6,500
6,500
6,500
6,500
6,500

MUSCLE, TENDON, SOFT TISSUE DISORDERS


MUSCLE, TENDON, SOFT TISSUE DISORDERS

6,500
6,500

M79.00
M79.01
M79.02
M79.05
M79.07
M79.08
M79.09
M79.10
M79.11
M79.12
M79.15
M79.16
M79.18
M79.19
M79.20
M79.21
M79.22
M79.25

Rheumatism, unspecified Multiple site


Rheumatism, unspecified Shoulder region
Rheumatism, unspecified Upper arm
Rheumatism, unspecified Pelvic region and thigh
Rheumatism, unspecified Ankle and foot
Rheumatism, unspecified Other
Rheumatism, unspecified Site unspecified
Myalgia Multiple site
Myalgia Shoulder region
Myalgia Upper arm
Myalgia Pelvic region and thigh
Myalgia Lower leg
Myalgia Other
Myalgia Site unspecified
Neuralgia and neuritis, unspecified Multiple site
Neuralgia and neuritis, unspecified Shoulder region
Neuralgia and neuritis, unspecified Upper arm
Neuralgia and neuritis, unspecified Pelvic region and thigh

MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,
MYALGIA,

NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,
NEURALGIA,

RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM
RHEUMATISM

5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900
5,900

M79.28
M79.29
M79.39
M96.8
P94.0
G70.0
G70.2
G70.8
G70.9
G71.0

Neuralgia and neuritis, unspecified Other


Neuralgia and neuritis, unspecified Site unspecified
Panniculitis, unspecified Site unspecified
Other postprocedural musculoskeletal disorders
Transient neonatal myasthenia gravis
Myasthenia gravis
Congenital and developmental myasthenia
Other specified myoneural disorders
Myoneural disorder, unspecified
Muscular dystrophy; Muscular dystrophy autosomal recessive, childhood
type, resembling Duchenne or Becker; Muscular dystrophy benign [Becker];
Muscular dystrophy benign; capuloperoneal with early contractures [EmeryDreifuss]; Muscular dystrophy distal;

MYALGIA, NEURALGIA, RHEUMATISM


MYALGIA, NEURALGIA, RHEUMATISM
MYALGIA, NEURALGIA, RHEUMATISM
MYALGIA, NEURALGIA, RHEUMATISM
MYASTHENIA GRAVIS NEWBORN
MYOPATHIES
MYOPATHIES
MYOPATHIES
MYOPATHIES
MYOPATHIES

G71.1

Myotonic disorders; Dystrophia myotonica [Steinert]; Myotonia,


MYOPATHIES
chondrodystrophic; Myotonia, drug-induced; Myotonia, symptomatic; Myotonia,
congenita NOS; Myotonia, congenita dominant [Thomsen]; Myotonia,
congenital recessive [Becker]; Neuromyotonia [Isaac

7,900

G71.2

Congenital myopathies; Congenital muscular dystrophy NOS; Congenital


muscular dystrophy with specific morphological abnormalities of the muscle
fibre; Central coreDisease ; Minicore Disease ; MulticoreDisease ; Fibre- type
disproportion; Myopathy myotubula

MYOPATHIES

7,900

G71.9

Primary disorder of muscle, unspecified; Hereditary


myopathy NOS

MYOPATHIES

7,900

G72.0
G72.1
G72.2
G72.3

Drug-induced myopathy
Alcoholic myopathy
Myopathy due to other toxic agents
Periodic paralysis; Periodic paralysis (familial) hyperkalaemic; Periodic
paralysis (familial) hypokalaemic; Periodic paralysis (familial) myotonic;
Periodic paralysis (familial) normokalaemic

MYOPATHIES
MYOPATHIES
MYOPATHIES
MYOPATHIES

7,900
7,900
7,900
7,900

G72.4
G72.8
G72.9
P91.0
P00.0

Inflammatory myopathy, not elsewhere classified


Other specified myopathies
Myopathy, unspecified
Neonatal cerebral ischaemia
Fetus and newborn affected by maternal hypertensive
disorders

MYOPATHIES
MYOPATHIES
MYOPATHIES
NEONATAL CEREBRAL ISCHEMIA
NEONATE AFFECTED BY MATERNAL FACTORS

7,900
7,900
7,900
25,800
7,700

P00.1

Fetus and newborn affected by maternal renal and urinary


tract diseases

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P00.2

Fetus and newborn affected by maternal infectious and


parasitic diseases

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P00.3

Fetus and newborn affected by other maternal circulatory


and respiratory diseases

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P00.4

Fetus and newborn affected by maternal nutritional


disorders

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

5,900
5,900
5,900
5,900
11,600
7,900
7,900
7,900
7,900
7,900

Case Rate
P00.5
P00.6

Fetus and newborn affected by maternal injury


Fetus and newborn affected by surgical procedure on
mother

NEONATE AFFECTED BY MATERNAL FACTORS


NEONATE AFFECTED BY MATERNAL FACTORS

7,700
7,700

P00.7

Fetus and newborn affected by other medical procedures


on mother, not elsewhere classified

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P00.8

Fetus and newborn affected by other maternal conditions

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P00.9

Fetus and newborn affected by unspecified maternal


condition

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P01.0
P01.1

Fetus and newborn affected by incompetent cervix


Fetus and newborn affected by premature rupture of
membranes

NEONATE AFFECTED BY MATERNAL FACTORS


NEONATE AFFECTED BY MATERNAL FACTORS

7,700
7,700

P01.2
P01.3

Fetus and newborn affected by oligohydramnios


Fetus and newborn affected by polyhydramnios;
Hydramnios

NEONATE AFFECTED BY MATERNAL FACTORS


NEONATE AFFECTED BY MATERNAL FACTORS

7,700
7,700

P01.4

Fetus and newborn affected by ectopic pregnancy;


Abdominal pregnancy

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P01.5

Fetus and newborn affected by multiple pregnancy; Triplet


pregnance; Twin pregnancy

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P01.6
P01.7

Fetus and newborn affected by maternal death


Fetus and newborn affected by malpresentation before labour; Breech
presentation before labor; External version before labour; Face presentation
before labour; Transverse lie before labour; Unstable lie before labour

NEONATE AFFECTED BY MATERNAL FACTORS


NEONATE AFFECTED BY MATERNAL FACTORS

7,700
7,700

P01.8

Fetus and newborn affected by other maternal complications of pregnancy;


Spontaneous abortion, fetus

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P01.9

Fetus and newborn affected by maternal complication of


pregnancy, unspecified

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P02.0
P02.1

Fetus and newborn affected by placenta praevia


Fetus and newborn affected by other forms of placental separation and
haemorrhage; Abruptio placentae; Accidental haemorrhage; Antepartum
haemorrhage; Damage to placenta from amniocentesis, cesarean section or
surgical induction; Maternal blood loss; Pre

NEONATE AFFECTED BY MATERNAL FACTORS


NEONATE AFFECTED BY MATERNAL FACTORS

7,700
7,700

P02.2

Fetus and newborn affected by other and unspecified morphological and


functional abnormalities of placenta; Placental dysfunction; Placental
infarction; Placental
insufficiency

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P02.3

Fetus and newborn affected by placental transfusion syndromes; Placental


and cord abnormalities resulting in twin-to-twin or other transplacental
transfusion

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P02.4
P02.5

Fetus and newborn affected by prolapsed cord


Fetus and newborn affected by other compression of umbilical cord; Cord
(tightly) around neck; Entanglement of
cord; Knot in cord

NEONATE AFFECTED BY MATERNAL FACTORS


NEONATE AFFECTED BY MATERNAL FACTORS

7,700
7,700

P02.6

Fetus and newborn affected by other and unspecified conditions of umbilical


cord; Short cord; Vasa praevia

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P02.7

Fetus and newborn affected by chorioamnionitis;


Amnionitis; Membranitis; Placentitis

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P02.8

Fetus and newborn affected by other abnormalities of


membranes

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P02.9

Fetus and newborn affected by abnormality of membranes,


unspecified

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P03.0

Fetus and newborn affected by breech delivery and


extraction

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P03.1

Fetus and newborn affected by other malpresentation, malposition and


disproportion during labour and delivery; Contracted pelvis; Persistent
occipitoposterior; Transverse
lie

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P03.2
P03.3

Fetus and newborn affected by forceps delivery


Fetus and newborn affected by delivery by vacuum
extractor [ventouse]

NEONATE AFFECTED BY MATERNAL FACTORS


NEONATE AFFECTED BY MATERNAL FACTORS

7,700
7,700

P03.4
P03.5
P03.6

Fetus and newborn affected by cesarean delivery


Fetus and newborn affected by precipitate delivery
Fetus and newborn affected by abnormal uterine
contractions

NEONATE AFFECTED BY MATERNAL FACTORS


NEONATE AFFECTED BY MATERNAL FACTORS
NEONATE AFFECTED BY MATERNAL FACTORS

7,700
7,700
7,700

P03.8

Fetus and newborn affected by other specified


complications of labour and delivery

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P03.9

Fetus and newborn affected by complication of labour and


delivery, unspecified

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P04.0

Fetus and newborn affected by maternal anaesthesia and


analgesia in pregnancy, labour and delivery

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P04.1

Fetus and newborn affected by other maternal medication;


Cancer chemotherapy; Cytotoxic drugs

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P04.2

Fetus and newborn affected by maternal use of tobacco

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P04.3

Fetus and newborn affected by maternal use of alcohol

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

P04.5

Fetus and newborn affected by maternal use of nutritional


chemical substances

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

P04.8

Fetus and newborn affected by other maternal noxious


influences

NEONATE AFFECTED BY MATERNAL FACTORS

7,700

D37.0

Neoplasm of uncertain or unknown behaviour of Lip, oral cavity and


NEOPLASMS OF UNKNOWN BEHAVIOR
pharynx; Neoplasm of uncertain or unknown behaviour of Aryepiglottic fold
NOS; Neoplasm of
uncertain or unknown behaviour of hypopharyngeal aspect of Aryepiglottic
fold ; Neoplasm of un

12,200

D37.1

Neoplasm of uncertain or unknown behaviour of Stomach

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D37.2

Neoplasm of uncertain or unknown behaviour of Small


intestine

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D37.3

Neoplasm of uncertain or unknown behaviour of Appendix

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D37.4

Neoplasm of uncertain or unknown behaviour of Colon

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D37.5

Neoplasm of uncertain or unknown behaviour of Rectum; Neoplasm of


uncertain or unknown behaviour of
Rectosigmoid junction

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D37.6

Neoplasm of uncertain or unknown behaviour of Liver, gallbladder and bile


ducts; Neoplasm of uncertain or
unknown behaviour of Ampulla of Vater

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D37.7

Neoplasm of uncertain or unknown behaviour of Other digestive organs;


Neoplasm of uncertain or unknown behaviour of Anal canal; Neoplasm of
uncertain or unknown behaviour of Anal sphincter; Neoplasm of uncertain
or unknown behaviour of Anus NOS; Neoplasm

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D37.9

Neoplasm of uncertain or unknown behaviour of Digestive


organ, unspecified

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D38.0

Neoplasm of uncertain or unknown behaviour of Larynx; Neoplasm of


uncertain or unknown behaviour of laryngeal aspect of Aryepiglottic fold;
Neoplasm of uncertain or unknown behaviour of Suprahyoid portion of
Epiglottis

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D38.1

Neoplasm of uncertain or unknown behaviour of Trachea,


bronchus and lung

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D38.2

Neoplasm of uncertain or unknown behaviour of Pleura

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D38.3

Neoplasm of uncertain or unknown behaviour of


Mediastinum

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D38.4

Neoplasm of uncertain or unknown behaviour of Thymus

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D38.5

Neoplasm
Neoplasm
Neoplasm
Neoplasm

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D38.6

Neoplasm of uncertain or unknown behaviour of


Respiratory organ, unspecified

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D39.0

Neoplasm of uncertain or unknown behaviour of Uterus

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D39.1

Neoplasm of uncertain or unknown behaviour of Ovary

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D39.2

Neoplasm of uncertain or unknown behaviour of Placenta; Chorioadenoma


destruens; Invasive Hydatidiform mole;
Malignant Hydatidiform mole

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D39.7

Neoplasm of uncertain or unknown behaviour of Other female genital


organs; Neoplasm of uncertain or unknown behaviour of Skin of female
genital organs

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D39.9

Neoplasm of uncertain or unknown behaviour of Female


genital organ, unspecified

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D40.0

Neoplasm of uncertain or unknown behaviour of Prostate

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D40.1

Neoplasm of uncertain or unknown behaviour of Testis

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D40.7

Neoplasm of uncertain or unknown behaviour of Other male genital organs;


Neoplasm of uncertain or unknown
behaviour of Skin of male genital organs

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D40.9

Neoplasm of uncertain or unknown behaviour of Male


genital organ, unspecified

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D41.0

Neoplasm of uncertain or unknown behaviour of Kidney

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D41.1

Neoplasm of uncertain or unknown behaviour of Renal


pelvis

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D41.2

Neoplasm of uncertain or unknown behaviour of Ureter

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D41.3

Neoplasm of uncertain or unknown behaviour of Urethra

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

of
of
of
of

uncertain
uncertain
uncertain
uncertain

or
or
or
or

unknown
unknown
unknown
unknown

behaviour
behaviour
behaviour
behaviour

of
of
of
of

Other respiratory organs;


Accessory sinuses;
Cartilage of nose;
Middle

Case Rate
D41.4

Neoplasm of uncertain or unknown behaviour of Bladder

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D41.9

Neoplasm of uncertain or unknown behaviour of Urinary


organ, unspecified

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D42.0

Neoplasm of uncertain or unknown behaviour of Cerebral


meninges

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D42.1

Neoplasm of uncertain or unknown behaviour of Spinal


meninges

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D42.9

Neoplasm of uncertain or unknown behaviour of


Meninges, unspecified

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D43.0

Neoplasm of uncertain or unknown behaviour of Brain, supratentorial;


Neoplasm of uncertain or unknown behaviour of Cerebral ventricle;
Neoplasm of uncertain or unknown behaviour of Cerebrum; Neoplasm of
uncertain or unknown behaviour of Frontal lobe; Neop

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D43.1

Neoplasm of uncertain or unknown behaviour of Brain, infratentorial;


Neoplasm of uncertain or unknown behaviour of Brain stem; Neoplasm of
uncertain or unknown behaviour of Cerebellum; Neoplasm of uncertain or
unknown behaviour of Fourth ventricle

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D43.2

Neoplasm of uncertain or unknown behaviour of Brain,


unspecified

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D43.3

Neoplasm of uncertain or unknown behaviour of Cranial


nerves

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D43.4

Neoplasm of uncertain or unknown behaviour of Spinal


cord

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D43.7

Neoplasm of uncertain or unknown behaviour of Other


parts of central nervous system

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D43.9

Neoplasm of uncertain or unknown behaviour of Central nervous system,


unspecified; Neoplasm of uncertain or unknown behaviour of Central
Nervous system NOS

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D44.0

Neoplasm of uncertain or unknown behaviour of Thyroid


gland

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D44.1

Neoplasm of uncertain or unknown behaviour of Adrenal


gland

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D44.2

Neoplasm of uncertain or unknown behaviour of


Parathyroid gland

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D44.3

Neoplasm of uncertain or unknown behaviour of Pituitary


gland

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D44.4

Neoplasm of uncertain or unknown behaviour of


Craniopharyngeal duct

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D44.5

Neoplasm of uncertain or unknown behaviour of Pineal


gland

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D44.6

Neoplasm of uncertain or unknown behaviour of Carotid


body

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D44.7

Neoplasm of uncertain or unknown behaviour of Aortic


body and other paraganglia

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D44.8

Neoplasm of uncertain or unknown behaviour of


Pluriglandular involvement; Multiple endocrine adenomatosis

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D44.9

Neoplasm of uncertain or unknown behaviour of Endocrine


gland, unspecified

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D45
D46
D46.7
D46.9

Polycythaemia vera
Myelodysplastic syndromes
Other myelodysplastic syndromes
Myelodysplastic syndrome, unspecified; Myelodysplastic syndrome NOS;
Myelodysplasia NOS; Preleukaemia
syndrome NOS

NEOPLASMS
NEOPLASMS
NEOPLASMS
NEOPLASMS

BEHAVIOR
BEHAVIOR
BEHAVIOR
BEHAVIOR

12,200
12,200
12,200
12,200

D47.0

Histiocytic and mast cell tumours of uncertain and unknown behaviour; Mast
cell tumour NOS; Mastocytoma
NOS

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D47.1

Chronic myeloproliferative disease; Myelofibrosis with myeloid metaplasia;


Myeloproliferative disease, unspecified; Megakaryocytic Myelosclerosis with
myeloid
metaplasia

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D47.2
D47.3

Monoclonal gammopathy
Essential thrombocythaemia; Haemorrhagic thrombocythaemia; Idiopathic
haemorrhagic
thrombocythaemia

NEOPLASMS OF UNKNOWN BEHAVIOR


NEOPLASMS OF UNKNOWN BEHAVIOR

12,200
12,200

D47.7

Other specified neoplasms of uncertain or unknown behaviour of lymphoid,


haematopoietic and related tissue

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D47.9

Neoplasm of uncertain or unknown behaviour of lymphoid, haematopoietic


and related tissue, unspecified;
Lymphoproliferative disease NOS

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D48.0

Neoplasm of uncertain or unknown behaviour of Bone and


articular cartilage

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

OF
OF
OF
OF

UNKNOWN
UNKNOWN
UNKNOWN
UNKNOWN

Case Rate
D48.1

Neoplasm of uncertain or unknown behaviour of Connective and other soft


NEOPLASMS OF UNKNOWN BEHAVIOR
tissue; Neoplasm of uncertain or unknown behaviour of Connective tissue of
ear; Neoplasm of uncertain or unknown behaviour of eyelid

12,200

D48.2

Neoplasm of uncertain or unknown behaviour of Peripheral


nerves and autonomic nervous system

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D48.3

Neoplasm of uncertain or unknown behaviour of


Retroperitoneum

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D48.4

Neoplasm of uncertain or unknown behaviour of


Peritoneum

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D48.6

Neoplasm of uncertain or unknown behaviour of Breast; Neoplasm of


uncertain or unknown behaviour of Connective tissue of breast;
Cystosarcoma phyllodes

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

D48.7

Neoplasm of uncertain or unknown behaviour of Other specified sites;


NEOPLASMS OF UNKNOWN BEHAVIOR
Neoplasm of uncertain or unknown behaviour of Eye; Neoplasm of uncertain
or unknown behaviour of Heart; Neoplasm of uncertain or unknown
behaviour of Peripheral nerves of orbit

12,200

D48.9

Neoplasm of uncertain or unknown behaviour, unspecified; "Growth" NOS ;


Neoplasm NOS;
New growth NOS; Tumour NOS

NEOPLASMS OF UNKNOWN BEHAVIOR

12,200

G54.0
G54.1
G54.2
G54.3
G54.4
G54.5

Brachial plexus disorders; Thoracic outlet syndrome


Lumbosacral plexus disorders
Cervical root disorders, not elsewhere classified
Thoracic root disorders, not elsewhere classified
Lumbosacral root disorders, not elsewhere classified
Neuralgic amyotrophy; Parsonage-Aldren-Turner
syndrome; Shoulder-girdle neuritis

NERVE
NERVE
NERVE
NERVE
NERVE
NERVE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

7,900
7,900
7,900
7,900
7,900
7,900

G54.8
G54.9
G55.8*

Other nerve root and plexus disorders


Nerve root and plexus disorder, unspecified
Nerve root and plexus compressions in other diseases
classified elsewhere

NERVE ROOT AND PLEXUS DISORDERS


NERVE ROOT AND PLEXUS DISORDERS
NERVE ROOT AND PLEXUS DISORDERS

7,900
7,900
7,900

P05.0

Light for gestational age

NEWBORN COMPLICATED- LOW BIRTH


WEIGHT/PRETERM

16,900

P05.1

Small for gestational age

NEWBORN COMPLICATED- LOW BIRTH


WEIGHT/PRETERM

16,900

ROOT
ROOT
ROOT
ROOT
ROOT
ROOT

AND
AND
AND
AND
AND
AND

PLEXUS
PLEXUS
PLEXUS
PLEXUS
PLEXUS
PLEXUS

P05.2

Fetal malnutrition without mention of light or small for


gestational age

NEWBORN COMPLICATED- LOW BIRTH


WEIGHT/PRETERM

16,900

P05.9

Slow fetal growth, unspecified

NEWBORN COMPLICATED- LOW BIRTH


WEIGHT/PRETERM

16,900

P07.0

Extremely low birth weight; Birth weight 999 g or less.

NEWBORN COMPLICATED- LOW BIRTH


WEIGHT/PRETERM

16,900

P07.1

Other low birth weight; Birth weight 1000-2499 g.

NEWBORN COMPLICATED- LOW BIRTH


WEIGHT/PRETERM

16,900

P07.2

Extreme immaturity; Less than 28 completed weeks (less


than 196 completed days) of gestation.

NEWBORN COMPLICATED- LOW BIRTH


WEIGHT/PRETERM

16,900

P07.3

Other preterm infants; 28 completed weeks or more but less than 37


completed weeks (196 completed days but less than 259 completed days) of
gestation; Prematurity NOS

NEWBORN COMPLICATED- LOW BIRTH WEIGHT/PRETERM

16,900

P08.0

Exceptionally large baby; Usually implies a birth weight of


4500 g or more.

NEWBORN COMPLICATED-LARGE BABY

7,000

P08.1

Other heavy for gestational age infants; Other fetus or infant heavy- or largefor-dates regardless of period of
gestation.

NEWBORN COMPLICATED-LARGE BABY

7,000

P08.2

Post-term infant, not heavy for gestational age; Fetus or infant with gestation
period of 42 completed weeks or more (294 days or
more), not heavy- or large-for-dates; Postmaturity NOS

NEWBORN COMPLICATED-POSTTERM

7,500

P36.0
P36.1

Sepsis of newborn due to streptococcus, group B


Sepsis of newborn due to other and unspecified
streptococci

NEWBORN SEPSIS
NEWBORN SEPSIS

11,700
11,700

P36.2
P36.3

Sepsis of newborn due to Staphylococcus aureus


Sepsis of newborn due to other and unspecified
staphylococci

NEWBORN SEPSIS
NEWBORN SEPSIS

11,700
11,700

P36.4
P36.5
P36.8
P36.9
N83.8

Sepsis of newborn due to Escherichia coli


Sepsis of newborn due to anaerobes
Other bacterial sepsis of newborn
Bacterial sepsis of newborn, unspecified
Other noninflammatory disorders of ovary, fallopian tube and broad ligament;
Broad ligament laceration syndrome
[Allen-Masters]

NEWBORN SEPSIS
NEWBORN SEPSIS
NEWBORN SEPSIS
NEWBORN SEPSIS
NONINFLAMMATORY DISORDERS OF THE FEMALE GENITAL TRACT

11,700
11,700
11,700
11,700
8,500

N83.9

Noninflammatory disorder of ovary, fallopian tube and


broad ligament, unspecified

NONINFLAMMATORY DISORDERS OF THE FEMALE


GENITAL TRACT

8,500

N85.8

Other specified noninflammatory disorders of uterus;


Atrophy of uterus, acquired; Fibrosis of uterus NOS

NONINFLAMMATORY DISORDERS OF THE FEMALE


GENITAL TRACT

8,500

N85.9

Noninflammatory disorder of uterus, unspecified; Disorder


of uterus NOS

NONINFLAMMATORY DISORDERS OF THE FEMALE


GENITAL TRACT

8,500

E50.0
E50.1

Vitamin A deficiency with conjunctival xerosis


Vitamin A deficiency with Bitot's spot and conjunctival
xerosis; Bitot's spot in the young child

NUTRITIONAL DISORDER
NUTRITIONAL DISORDER

9,200
9,200

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

E50.8
E50.9

OTHER MANIFESTATIONS OF VITAMIN A DEFICIENCY


Vitamin A deficiency, unspecified; Hypovitaminosis A NOS

NUTRITIONAL DISORDER
NUTRITIONAL DISORDER

9,200
9,200

E51.1
E51.2
E51.8
E51.9
E53.1
E53.8

Dry Beriberi
Wernicke's encephalopathy
Other manifestations of thiamine deficiency
Thiamine deficiency, unspecified
Pyridoxine deficiency; Vitamin B6 deficiency
Deficiency of other specified B group vitamins; Biotin Deficiency;
Cyanocobalamin Deficiency; Folate Deficiency; Folic acid Deficiency;
Pantothenic acid Deficiency; Vitamin
B12 Deficiency

NUTRITIONAL
NUTRITIONAL
NUTRITIONAL
NUTRITIONAL
NUTRITIONAL
NUTRITIONAL

DISORDER
DISORDER
DISORDER
DISORDER
DISORDER
DISORDER

9,200
9,200
9,200
9,200
9,200
9,200

E53.9
E54

Vitamin B deficiency, unspecified


Ascorbic acid deficiency; Deficiency of vitamin C; Scurvy

NUTRITIONAL DISORDER
NUTRITIONAL DISORDER

9,200
9,200

E55.0

Rickets, active; Infantile Osteomalacia; Juvenile


Osteomalacia

NUTRITIONAL DISORDER

9,200

E55.9
E56.0
E56.1
E56.8
E56.9
E58
E60
E61.1
E61.2
E61.6
E61.9
E63.1
E63.8
E63.9
E64.9
E67.0
E67.1
E67.3
E66.2

Vitamin D deficiency, unspecified; Avitaminosis D


Deficiency of vitamin E
Deficiency of vitamin K
Deficiency of other vitamins
Vitamin deficiency, unspecified
Dietary calcium deficiency
Dietary zinc deficiency
Iron deficiency
Magnesium deficiency
Vanadium deficiency
Deficiency of nutrient element, unspecified
Imbalance of constituents of food intake
Other specified nutritional deficiencies
Nutritional deficiency, unspecified
Sequelae of unspecified nutritional deficiency
Hypervitaminosis A
Hypercarotenaemia
Hypervitaminosis D
Extreme obesity with alveolar hypoventilation; Pickwickian
syndrome

NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
NUTRITIONAL DISORDER
OBESITY HYPOVENTILATION

9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
9,200
13,600

N13.0

Hydronephrosis with ureteropelvic junction obstruction

OBSTRUCTIVE UROPATHIES

9,700

N13.1

Hydronephrosis with ureteral stricture, not elsewhere


classified

OBSTRUCTIVE UROPATHIES

9,700

N13.2

Hydronephrosis with renal and ureteral calculous


obstruction

OBSTRUCTIVE UROPATHIES

9,700

N13.3
N13.4
N13.5

Other and unspecified hydronephrosis


Hydroureter
Kinking and stricture of ureter without hydronephrosis

OBSTRUCTIVE UROPATHIES
OBSTRUCTIVE UROPATHIES
OBSTRUCTIVE UROPATHIES

9,700
9,700
9,700

N13.6

Pyonephrosis; Conditions in N13.0-N13.5 with infection;


Obstructive uropathy with infection

OBSTRUCTIVE UROPATHIES

9,700

N13.7

Vesicoureteral-reflux-associated uropathy; Vesicoureteral reflux NOS;


Vesicoureteral reflux with scarring

OBSTRUCTIVE UROPATHIES

9,700

N13.8
N13.9

Other obstructive and reflux uropathy


Obstructive and reflux uropathy, unspecified; Urinary tract
obstruction NOS

OBSTRUCTIVE UROPATHIES
OBSTRUCTIVE UROPATHIES

9,700
9,700

N45.0

Orchitis, epididymitis and epididymo-orchitis with abscess;


Abscess of epididymis or testis

ORCHITIS

7,900

N45.9

Orchitis, epididymitis and epididymo-orchitis without


abscess; Epididymitis NOS; Orchitis NOS

ORCHITIS

7,900

M86.0
M86.1
M86.15
M86.17
M86.19
M86.2
M86.29
M86.4
M86.5
M86.50

Acute haematogenous osteomyelitis


Other acute osteomyelitis
Other acute osteomyelitis Pelvic region and thigh
Other acute osteomyelitis Ankle and foot
Other acute osteomyelitis Site unspecified
Subacute osteomyelitis
Subacute osteomyelitis Site unspecified
Chronic osteomyelitis with draining sinus
Other chronic haematogenous osteomyelitis
Other chronic haematogenous osteomyelitis Multiple site

OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS

AND
AND
AND
AND
AND
AND
AND
AND
AND
AND

OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS

13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000

M86.6
M86.60
M86.61
M86.62
M86.63
M86.65
M86.66
M86.67
M86.68
M86.69
M86.8
M86.80
M86.81

Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS
OSTEOMYELITIS

AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND

OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS
OSTEONECROSIS

13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000

ICD CODE

DESCRIPTION

chronic osteomyelitis
chronic osteomyelitis Multiple site
chronic osteomyelitis Shoulder region
chronic osteomyelitis Upper arm
chronic osteomyelitis Forearm
chronic osteomyelitis Pelvic region and thigh
chronic osteomyelitis Lower leg
chronic osteomyelitis Ankle and foot
chronic osteomyelitis Other
chronic osteomyelitis Site unspecified
osteomyelitis; Brodie's abscess
osteomyelitis; Brodie's abscess Multiple site
osteomyelitis; Brodie's abscess Shoulder region

GROUP

FIRST CASE RATE


Case Rate

M86.88
M86.9

Other osteomyelitis; Brodie's abscess Other


Osteomyelitis, unspecified; Infection of bone NOS;
Periostitis without mention of osteomyelitis

OSTEOMYELITIS AND OSTEONECROSIS


OSTEOMYELITIS AND OSTEONECROSIS

13,000
13,000

M86.90

Osteomyelitis, unspecified; Infection of bone NOS; Periostitis without mention OSTEOMYELITIS AND OSTEONECROSIS
of osteomyelitis Multiple site

13,000

M86.91

Osteomyelitis, unspecified; Infection of bone NOS; Periostitis without mention OSTEOMYELITIS AND OSTEONECROSIS
of osteomyelitis Shoulder
region

13,000

M86.92

Osteomyelitis, unspecified; Infection of bone NOS; Periostitis without mention OSTEOMYELITIS AND OSTEONECROSIS
of osteomyelitis Upper arm

13,000

M86.94

Osteomyelitis, unspecified; Infection of bone NOS;


Periostitis without mention of osteomyelitis Hand

OSTEOMYELITIS AND OSTEONECROSIS

13,000

M86.95

Osteomyelitis, unspecified; Infection of bone NOS; Periostitis without mention OSTEOMYELITIS AND OSTEONECROSIS
of osteomyelitis Pelvic region
and thigh

13,000

M86.96

Osteomyelitis, unspecified; Infection of bone NOS; Periostitis without mention OSTEOMYELITIS AND OSTEONECROSIS
of osteomyelitis Lower leg

13,000

M86.97

Osteomyelitis, unspecified; Infection of bone NOS; Periostitis without mention


of osteomyelitis Ankle and foot

OSTEOMYELITIS AND OSTEONECROSIS

13,000

M86.98

Osteomyelitis, unspecified; Infection of bone NOS;


Periostitis without mention of osteomyelitis Other

OSTEOMYELITIS AND OSTEONECROSIS

13,000

M86.99

Osteomyelitis, unspecified; Infection of bone NOS; Periostitis without mention OSTEOMYELITIS AND OSTEONECROSIS
of osteomyelitis Site
unspecified

13,000

M87.05

Idiopathic aseptic necrosis of bone Pelvic region and thigh

OSTEOMYELITIS AND OSTEONECROSIS

13,000

M87.2
M87.8
M87.85
M87.86
M87.9
M87.90
M87.91
M87.95
M87.99
M88.0
M88.9
A31.8
A31.9

Osteonecrosis due to previous trauma


Other osteonecrosis
Other osteonecrosis Pelvic region and thigh
Other osteonecrosis Lower leg
Osteonecrosis, unspecified
Osteonecrosis, unspecified Multiple site
Osteonecrosis, unspecified Shoulder region
Osteonecrosis, unspecified Pelvic region and thigh
Osteonecrosis, unspecified Site unspecified
Paget's disease of skull
Paget's disease of bone, unspecified
Other mycobacterial infections
Mycobacterial infection, unspecified ; Atypical mycobacterium infection Not
Otherwise Specified; Mycobacteriosis NOS; Listeriosis (listerial foodborne
infection)

OSTEOMYELITIS AND OSTEONECROSIS


OSTEOMYELITIS AND OSTEONECROSIS
OSTEOMYELITIS AND OSTEONECROSIS
OSTEOMYELITIS AND OSTEONECROSIS
OSTEOMYELITIS AND OSTEONECROSIS
OSTEOMYELITIS AND OSTEONECROSIS
OSTEOMYELITIS AND OSTEONECROSIS
OSTEOMYELITIS AND OSTEONECROSIS
OSTEOMYELITIS AND OSTEONECROSIS
OSTEOMYELITIS AND OSTEONECROSIS
OSTEOMYELITIS AND OSTEONECROSIS
OTHER BACTERIAL DISEASES
OTHER BACTERIAL DISEASES

13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
13,000
8,900
8,900

A42.0
A42.1

Pulmonary actinomycosis
Abdominal actinomycosis

OTHER BACTERIAL DISEASES


OTHER BACTERIAL DISEASES

8,900
8,900

A42.2
A42.7
A42.8
A42.9
A43.1
A43.9
A44.1

Cervicofacial actinomycosis
Actinomycotic septicaemia
Other forms of actinomycosis
Actinomycosis, unspecified
Cutaneous nocardiosis
Nocardiosis, unspecified
Cutaneous and mucocutaneous bartonellosis; Verruga
peruana

OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER

BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

8,900
8,900
8,900
8,900
8,900
8,900
8,900

A44.9
A48.8
A49.0
A49.2
A49.3
A49.8
A49.9
B20.1

Bartonellosis, unspecified
Other specified bacterial diseases
Staphylococcal infection, unspecified
Haemophilus influenzae infection, unspecified
Mycoplasma infection, unspecified
Other bacterial infections of unspecified site
Bacterial infection, unspecified; Bacteraemia NOS
HIV DISEASE RESULTING IN OTHER BACTERIAL INFECTIONS

OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER

BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

8,900
8,900
8,900
8,900
8,900
8,900
8,900
8,900

M89.0

Algoneurodystrophy; Shoulder-hand syndrome; Sudeck's


atrophy; Sympathetic reflex dystrophy

OTHER BONE DISORDERS

8,800

M89.01

Algoneurodystrophy; Shoulder-hand syndrome; Sudeck's atrophy; Sympathetic OTHER BONE DISORDERS


reflex dystrophy Shoulder region

8,800

M89.2
M89.4

Other disorders of bone development and growth


Other hypertrophic osteoarthropathy; Marie-Bamberger
disease; Pachydermoperiostosis

OTHER BONE DISORDERS


OTHER BONE DISORDERS

8,800
8,800

M89.48

Other hypertrophic osteoarthropathy; Marie-Bamberger


disease; Pachydermoperiostosis Other

OTHER BONE DISORDERS

8,800

M89.5
M89.54
M89.6
M89.8

Osteolysis
Osteolysis Hand
Osteopathy after poliomyelitis
Other specified disorders of bone; Infantile cortical hyperostoses; Posttraumatic subperiosteal ossification

OTHER
OTHER
OTHER
OTHER

DISORDERS
DISORDERS
DISORDERS
DISORDERS

8,800
8,800
8,800
8,800

M89.85

Other specified disorders of bone; Infantile cortical hyperostoses; Posttraumatic subperiosteal ossification
Pelvic region and thigh

OTHER BONE DISORDERS

8,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

BONE
BONE
BONE
BONE

Case Rate
M89.86

Other specified disorders of bone; Infantile cortical hyperostoses; Posttraumatic subperiosteal ossification
Lower leg

OTHER BONE DISORDERS

8,800

M89.87

Other specified disorders of bone; Infantile cortical hyperostoses; Posttraumatic subperiosteal ossification
Ankle and foot

OTHER BONE DISORDERS

8,800

M89.88

Other specified disorders of bone; Infantile cortical hyperostoses; Posttraumatic subperiosteal ossification
Other

OTHER BONE DISORDERS

8,800

M89.89

Other specified disorders of bone; Infantile cortical hyperostoses; Posttraumatic subperiosteal ossification
Site unspecified

OTHER BONE DISORDERS

8,800

M89.95
M89.98
M89.99
M91.1

Disorder of bone, unspecified Pelvic region and thigh


Disorder of bone, unspecified Other
Disorder of bone, unspecified Site unspecified
JUVENILE OSTEOCHONDROSIS OF HEAD OF FEMUR [LEGGCALV-PERTHES]

OTHER
OTHER
OTHER
OTHER

DISORDERS
DISORDERS
DISORDERS
DISORDERS

8,800
8,800
8,800
8,800

M91.8

OTHER JUVENILE OSTEOCHONDROSIS OF HIP AND PELVIS; JUVENILE


OSTEOCHONDROSIS AFTER REDUCTION OF
CONGENITAL DISLOCATION OF HIP

OTHER BONE DISORDERS

8,800

M94.0
M94.8
M99.8
M99.9
I65.2
I67.0
I67.1

Chondrocostal junction syndrome [Tietze]


Other specified disorders of cartilage
Other biomechanical lesions
Biomechanical lesion, unspecified
Occlusion and stenosis of carotid artery
Dissection of cerebral arteries, nonruptured
Cerebral aneurysm, nonruptured; Cerebral aneurysm NOS;
Cerebral arteriovenous fistula, acquired

OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER

BONE DISORDERS
BONE DISORDERS
BONE DISORDERS
BONE DISORDERS
CEREBROVASCULAR DISEASES
CEREBROVASCULAR DISEASES
CEREBROVASCULAR DISEASES

8,800
8,800
8,800
8,800
15,200
15,200
15,200

I67.2

Cerebral atherosclerosis; Atheroma of cerebral arteries

OTHER CEREBROVASCULAR DISEASES

15,200

I67.3

Progressive vascular leukoencephalopathy; Binswanger's


disease

OTHER CEREBROVASCULAR DISEASES

15,200

I67.5
I67.6

Moyamoya disease
Nonpyogenic thrombosis of intracranial venous system; Nonpyogenic
thrombosis of cerebral vein; Nonpyogenic thrombosis of intracrannial venous
sinus

OTHER CEREBROVASCULAR DISEASES


OTHER CEREBROVASCULAR DISEASES

15,200
15,200

I67.7
I67.8

Cerebral arteritis, not elsewhere classified


OTHER CEREBROVASCULAR DISEASES
Other specified cerebrovascular diseases; Acute cerebrovascular insufficiency OTHER CEREBROVASCULAR DISEASES
NOS; Chronic Cerebral
ischaemia

15,200
15,200

I67.9+G46.7*

Other lacunar syndrome in unspecified cerebrovascular


disease

OTHER CEREBROVASCULAR DISEASES

15,200

I67.9+G46.8*

Other vascular syndrome in unspecified cerebrovascular


disease

OTHER CEREBROVASCULAR DISEASES

15,200

A56.4
A71.1

Chlamydial infection of pharynx


Active stage of trachoma; Active stage of trachoma; Trachomatous Granular
conjunctivitis; Trachomatous
follicular conjunctivitis; Trachomatous pannus

OTHER CHLAMYDIAL DISEASES


OTHER CHLAMYDIAL DISEASES

8,500
8,500

A71.9
A74.9
Q85.1

Trachoma, unspecified
Chlamydial infection, unspecified; Chlamydiosis NOS
Tuberous sclerosis; Bourneville's disease; Epiloia

OTHER CHLAMYDIAL DISEASES


OTHER CHLAMYDIAL DISEASES
OTHER CONGENITAL MALFORMATIONS

8,500
8,500
11,600

BONE
BONE
BONE
BONE

Q87.0

Congenital malformation syndromes predominantly affecting facial


appearance; Acrocephalopolysyndactyly; Acrocephalosyndactyly [Apert];
Cryptophthalmos syndrome; Cyclopia; Syndrome Goldenhar; Moebius
Syndrome; oro-facial-digital Syndrome; Robin Syndrom

OTHER CONGENITAL MALFORMATIONS

11,600

Q87.1

Congenital malformation syndromes predominantly associated with short


stature; Aarskog Syndrome; Cockayne Syndrome; De Lange Syndrome ;
Dubowitz Syndrome; Noonan; Syndrome Prader-Willi Syndrome; RobinowSilverman-Smith Syndrome ;

OTHER CONGENITAL MALFORMATIONS

11,600

Q87.2

Congenital malformation syndromes predominantly involving limbs; HoltOTHER CONGENITAL MALFORMATIONS


Oram Syndrome; Klippel-Trnaunay- Weber Syndrome; nail patella Syndrome;
Rubinstein-Taybi Syndrome; sirenomelia Syndrome;
thrombocytopenia Syndrome with absent radius [TAR];

11,600

Q87.3

Congenital malformation syndromes involving early overgrowth; BeckwithWiedemann Syndrome; Sotos;


Syndrome Weaver Syndrome

OTHER CONGENITAL MALFORMATIONS

11,600

Q87.4
Q87.8

Marfan's syndrome
Other specified congenital malformation syndromes, not elsewhere classified;
Alpor Syndrome; Laurence-Moon(Bardet)-Biedl Syndrome; Zellweger Syndrome

OTHER CONGENITAL MALFORMATIONS


OTHER CONGENITAL MALFORMATIONS

11,600
11,600

Q89.0

Congenital malformations of spleen; Asplenia (congenital);


Congenital splenomegaly

OTHER CONGENITAL MALFORMATIONS

11,600

Q89.1
Q89.2

Congenital malformations of adrenal gland


OTHER CONGENITAL MALFORMATIONS
Congenital malformations of other endocrine glands; Congenital malformation OTHER CONGENITAL MALFORMATIONS
of parathyroid or thyroid gland;
Persistent thyroglossal duct; Thyroglossal cyst

11,600
11,600

ICD CODE

DESCRIPTION

FIRST CASE RATE

GROUP

Case Rate
Q89.4

Conjoined twins; Craniopagus; Dicephaly; Double monster;


Pygopagus; Thoracopagus

OTHER CONGENITAL MALFORMATIONS

11,600

Q89.7

Multiple congenital malformations, not elsewhere classified; Monster NOS;


Multiple congenital anomalies
NOS; Multiple congenital deformities NOS

OTHER CONGENITAL MALFORMATIONS

11,600

Q89.8
Q89.9

Other specified congenital malformations


Congenital malformation, unspecified; Congenital anomaly
NOS; Congenital deformity NOS

OTHER CONGENITAL MALFORMATIONS


OTHER CONGENITAL MALFORMATIONS

11,600
11,600

I80.0

Phlebitis and thrombophlebitis of superficial vessels of


lower extremities

OTHER DISORDERS OF CIRCULATORY SYSTEM

12,400

I80.1
I80.2

Phlebitis and thrombophlebitis of femoral vein


Phlebitis and thrombophlebitis of other deep vessels of
lower extremities; Deep vein thrombosis NOS

OTHER DISORDERS OF CIRCULATORY SYSTEM


OTHER DISORDERS OF CIRCULATORY SYSTEM

12,400
12,400

I80.3

Phlebitis and thrombophlebitis of lower extremities, unspecified; Embolism or OTHER DISORDERS OF CIRCULATORY SYSTEM
thrombosis of lower extermity
NOS

12,400

I80.8
I80.9
I81
I82.0
I82.1
I82.2
I82.3
I82.8
I82.9
E15

Phlebitis and thrombophlebitis of other sites


Phlebitis and thrombophlebitis of unspecified site
Portal vein thrombosis; Portal (vein) obstruction
Budd-Chiari syndrome
Thrombophlebitis migrans
Embolism and thrombosis of vena cava
Embolism and thrombosis of renal vein
Embolism and thrombosis of other specified veins
Embolism and thrombosis of unspecified vein
Nondiabetic hypoglycaemic coma; Nondiabetic hypoglycaemic coma; Druginduced insulin coma in nondiabetic; Hyperinsulinism with hypoglycaemic
coma;
Hypoglycaemic coma NOS

OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER

12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,400
8,100

E16.0
E16.1

Drug-induced hypoglycaemia without coma


Other hypoglycaemia; Functional nonhyperinsulinaemic hypoglycaemia;
Hyperinsulinism NOS; Functional Hyperinsulinism; Hyperplasia of pancreatic
islet beta cells NOS; Posthypoglycaemic coma encephalopathy

OTHER DISORDERS OF GLUCOSE REGULATION


OTHER DISORDERS OF GLUCOSE REGULATION

8,100
8,100

E16.3

Increased secretion of glucagon; Hyperplasia of pancreatic endocrine cells


with glucagon excess; Hyperplasia of pancreatic endocrine cells with
glucagon excess

OTHER DISORDERS OF GLUCOSE REGULATION

8,100

E16.4
E16.8

Abnormal secretion of gastrin; Hypergastrinaemia


OTHER DISORDERS OF GLUCOSE REGULATION
Other specified disorders of pancreatic internal secretion; Increased secretion OTHER DISORDERS OF GLUCOSE REGULATION
from endocrine pancreas of growth hormone-releasing hormone; Increased
secretion from endocrine pancreas of pancreatic polypeptide; Increased
secretion from endocrine pancrea

8,100
8,100

E16.9

Disorder of pancreatic internal secretion, unspecified; Islet- cell hyperplasia


NOS; Pancreatic endocrine cell hyperplasia
NOS

OTHER DISORDERS OF GLUCOSE REGULATION

8,100

N82.0

Vesicovaginal fistula

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

N83.0

Follicular cyst of ovary; Cyst of graafian follicle;


Haemorrhagic follicular cyst of ovary

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

N83.3

Acquired atrophy of ovary and fallopian tube

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

N83.6

Haematosalpinx

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

OF
OF
OF
OF
OF
OF
OF
OF
OF
OF

CIRCULATORY SYSTEM
CIRCULATORY SYSTEM
CIRCULATORY SYSTEM
CIRCULATORY SYSTEM
CIRCULATORY SYSTEM
CIRCULATORY SYSTEM
CIRCULATORY SYSTEM
CIRCULATORY SYSTEM
CIRCULATORY SYSTEM
GLUCOSE REGULATION

N83.7

Haematoma of broad ligament

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

N85.7

Haematometra; Haematosalpinx with haematometra

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

N89.7

Haematocolpos; Haematocolpos with haematometra or


haematosalpinx

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

Q51.2

Other doubling of uterus' Doubling of uterus NOS

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

Q51.3

Bicornate uterus

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

Q51.8

Other congenital malformations of uterus and cervix;


Hypoplasia of uterus and cervix

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

Q52.1

Doubling of vagina; Septate vagina

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

Q52.2

Congenital rectovaginal fistula

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

Q52.3

Imperforate hymen

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

Q52.8

Other specified congenital malformations of female


genitalia

OTHER DISORDERS OF THE FEMALE GENITAL


TRACT

7,800

N47

Redundant prepuce, phimosis and paraphimosis; Adherent


prepuce; Tight foreskin

OTHER DISORDERS OF THE MALE GENITAL TRACT

6,400

N48.8

Other specified disorders of penis; Atrophyof corpus cavernosum and penis ;


Hypertrophy of corpus cavernosum and penis ; Thrombosis of corpus
cavernosum and penis

OTHER DISORDERS OF THE MALE GENITAL TRACT

6,400

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

N50.0

Atrophy of testis

OTHER DISORDERS OF THE MALE GENITAL TRACT

6,400

N50.1

Vascular disorders of male genital organs; Haematocele of male genital


OTHER DISORDERS OF THE MALE GENITAL TRACT
organs NOS; Haemorrhage of male genital organs;, Thrombosis of male genital
organs

6,400

N50.8

Other specified disorders of male genital organs; Atrophy of scrotum,


OTHER DISORDERS OF THE MALE GENITAL TRACT
seminal vesicle, spermatic cord, testis [except atrophy], tunica vaginalis and
vas deferens; Hypertrophy of scrotum, seminal vesicle, spermatic cord, testis
[except
atrophy], tunica vag

6,400

Q55.0

Absence and aplasia of testis; Monorchism

OTHER DISORDERS OF THE MALE GENITAL TRACT

6,400

Q55.1

Hypoplasia of testis and scrotum; Fusion of testes

OTHER DISORDERS OF THE MALE GENITAL TRACT

6,400

Q55.2

Other congenital malformations of testis and scrotum; Congenital


malformation of testis or scrotum NOS; Polyorchism; Retractile testis; Testis
migrans

OTHER DISORDERS OF THE MALE GENITAL TRACT

6,400

Q55.4

Other congenital malformations of vas deferens, epididymis, seminal vesicles OTHER DISORDERS OF THE MALE GENITAL TRACT
and prostate; Absence or aplasia of prostate; Absence or aplasia of
spermatic cord; Congenital malformation of vas deferens, epididymis, seminal
vesicles or prostate

6,400

Q55.6

Other congenital malformations of penis; Congenital malformation of penis


NOS; Curvature of penis (lateral);
Hypoplasia of penis

OTHER DISORDERS OF THE MALE GENITAL TRACT

6,400

Q55.9

Congenital malformation of male genital organ, unspecified; Congenital


anomalyNOS of male genital organ
; Congenital deformity NOS of male genital organ

OTHER DISORDERS OF THE MALE GENITAL TRACT

6,400

Q56.1

Male pseudohermaphroditism, not elsewhere classified;


Male pseudohermaphroditism NOS

OTHER DISORDERS OF THE MALE GENITAL TRACT

6,400

Q56.3

Pseudohermaphroditism, unspecified

OTHER DISORDERS OF THE MALE GENITAL TRACT

6,400

G90.0

Idiopathic peripheral autonomic neuropathy; Carotid sinus


syncope

OTHER DISORDERS OF THE NERVOUS SYSTEM

15,800

G90.1
G90.2
G90.3

Familial dysautonomia [Riley-Day]


Horner's syndrome; Bernard(-Horner) syndrome
Multi-system degeneration; Neurogenic orthostatic
hypotension [Shy-Drager]

OTHER DISORDERS OF THE NERVOUS SYSTEM


OTHER DISORDERS OF THE NERVOUS SYSTEM
OTHER DISORDERS OF THE NERVOUS SYSTEM

15,800
15,800
15,800

G90.4
G90.9

Autonomic dysreflexia
Disorder of autonomic nervous system, unspecified;
acquired hydrocephalus

OTHER DISORDERS OF THE NERVOUS SYSTEM


OTHER DISORDERS OF THE NERVOUS SYSTEM

15,800
15,800

G93.0

Cerebral cysts; Arachnoid cyst; Porencephalic cyst, acquired

OTHER DISORDERS OF THE NERVOUS SYSTEM

15,800

G93.2
G93.3

Benign intracranial hypertension


Postviral fatigue syndrome; Benign myalgic
encephalomyelitis

OTHER DISORDERS OF THE NERVOUS SYSTEM


OTHER DISORDERS OF THE NERVOUS SYSTEM

15,800
15,800

G93.4
G93.7
G93.8
G93.9
G94.8*

Encephalopathy, unspecified
Reye's syndrome
Other specified disorders of brain
Disorder of brain, unspecified
OTHER SPECIFIED DISORDERS OF BRAIN IN DISEASES
CLASSIFIED ELSEWHERE

OTHER
OTHER
OTHER
OTHER
OTHER

SYSTEM
SYSTEM
SYSTEM
SYSTEM
SYSTEM

15,800
15,800
15,800
15,800
15,800

G95.0
G95.1

Syringomyelia and syringobulbia


Vascular myelopathies; Acute infarction of spinal cord (embolic)(nonembolic);
Arterial thrombosis of spinal cord; Haematomyelia; Nonpyogenic intraspinal
phlebitis and thrombophlebitis; Oedema of spinal cord; Subacute
necrotic myelopathy

OTHER DISORDERS OF THE NERVOUS SYSTEM


OTHER DISORDERS OF THE NERVOUS SYSTEM

15,800
15,800

G95.2

Cord compression, unspecified

OTHER DISORDERS OF THE NERVOUS SYSTEM

15,800

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

OF
OF
OF
OF
OF

THE
THE
THE
THE
THE

NERVOUS
NERVOUS
NERVOUS
NERVOUS
NERVOUS

G95.8

Other specified diseases of spinal cord; Cord bladder NOS;


elopathy drug-induced; Myelopathy radiation-induced

OTHER DISORDERS OF THE NERVOUS SYSTEM

15,800

G95.9
G96.0
G96.1

Disease of spinal cord, unspecified; Myelopathy NOS


Cerebrospinal fluid leak
Disorders of meninges, not elsewhere classified; Cerebral
Meningeal adhesions; Spinal Meningeal adhesions

OTHER DISORDERS OF THE NERVOUS SYSTEM


OTHER DISORDERS OF THE NERVOUS SYSTEM
OTHER DISORDERS OF THE NERVOUS SYSTEM

15,800
15,800
15,800

G96.8
G96.9
G98

Other specified disorders of central nervous system


Disorder of central nervous system, unspecified
OTHER DISORDERS OF NERVOUS SYSTEM, NOT ELSEWHERE CLASSIFIED;
NERVOUS SYSTEM DISORDER NOS

OTHER DISORDERS OF THE NERVOUS SYSTEM


OTHER DISORDERS OF THE NERVOUS SYSTEM
OTHER DISORDERS OF THE NERVOUS SYSTEM

15,800
15,800
15,800

P90
P91.1
P91.2
P94.1
P94.2

Convulsions of newborn
Acquired periventricular cysts of newborn
Neonatal cerebral leukomalacia
Congenital hypertonia
Congenital hypotonia; Nonspecific floppy baby syndrome

OTHER
OTHER
OTHER
OTHER
OTHER

NEWBORN
NEWBORN
NEWBORN
NEWBORN
NEWBORN

12,000
12,000
12,000
12,000
12,000

P94.9

Disorder of muscle tone of newborn, unspecified

OTHER DISORDERS OF THE NEWBORN

12,000

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

OF
OF
OF
OF
OF

THE
THE
THE
THE
THE

Case Rate
P96.5

Complications of intrauterine procedures, not elsewhere


classified

OTHER DISORDERS OF THE NEWBORN

12,000

P96.8

Other specified conditions originating in the perinatal


period

OTHER DISORDERS OF THE NEWBORN

12,000

P96.9

Condition originating in the perinatal period, unspecified;


Congenital debility NOS

OTHER DISORDERS OF THE NEWBORN

12,000

E06.0

Acute thyroiditis; Abscess of thyroid; Pyogenic Thyroiditis;


Suppurative Thyroiditis

OTHER DISORDERS OF THE THYROID

8,500

E06.1

Subacute thyroiditis; de Quervain Thyroiditis; Giant-Cell


Thyroiditis; Granulomatous Thyroiditis; Nonsuppurative
Thyroiditis

OTHER DISORDERS OF THE THYROID

8,500

E06.2
E06.3

Chronic thyroiditis with transient thyrotoxicosis


Autoimmune thyroiditis; Hashimoto's thyroiditis ; Transient hashitoxicosis;
Lymphadenoid goitre; lymphocytic
thyroiditis; Struma lymphomatosa

OTHER DISORDERS OF THE THYROID


OTHER DISORDERS OF THE THYROID

8,500
8,500

E06.5

Other chronic thyroiditis; Chronic Thyroiditis NOS; Chronic


Fibrous Thyroiditis; Ligneous Thyroiditis; Riedel Thyroiditis

OTHER DISORDERS OF THE THYROID

8,500

E06.9
E07.0

Thyroiditis, unspecified
Hypersecretion of calcitonin; C-cell hyperplasia of thyroid;
Hypersecretion of thyrocalcitonin

OTHER DISORDERS OF THE THYROID


OTHER DISORDERS OF THE THYROID

8,500
8,500

E07.1

Dyshormogenetic goitre; Familial dyshormogenetic goitre;


Pendred's syndrome

OTHER DISORDERS OF THE THYROID

8,500

E07.8

Other specified disorders of thyroid; Abnormality of thyroid- binding globulin;


Haemorrhage of thyroid; Infarction of
thyroid; Sick-euthyroid syndrome

OTHER DISORDERS OF THE THYROID

8,500

E25.9

Adrenogenital disorder, unspecified; Adrenogenital


syndrome NOS

OTHER ENDOCRINE DISORDERS

10,900

E28.8
E29.1

Other ovarian dysfunction


Testicular hypofunction; Defective biosynthesis of testicular androgen NOS;
5-a-Reductase deficiency (with male pseudohermaphroditism); Testicular
hypogonadism NOS

OTHER ENDOCRINE DISORDERS


OTHER ENDOCRINE DISORDERS

10,900
10,900

E29.9
E31.0
E31.1
E31.9
E32.0

Testicular dysfunction, unspecified


Autoimmune polyglandular failure
Polyglandular hyperfunction
Polyglandular dysfunction, unspecified
Persistent hyperplasia of thymus; Hypertrophy of thymus

OTHER
OTHER
OTHER
OTHER
OTHER

ENDOCRINE
ENDOCRINE
ENDOCRINE
ENDOCRINE
ENDOCRINE

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

10,900
10,900
10,900
10,900
10,900

E32.8
E32.9
E34.0
E34.8

Other diseases of thymus


Disease of thymus, unspecified
Carcinoid syndrome
Other specified endocrine disorders; Pineal gland
dysfunction; Progeria

OTHER
OTHER
OTHER
OTHER

ENDOCRINE
ENDOCRINE
ENDOCRINE
ENDOCRINE

DISORDERS
DISORDERS
DISORDERS
DISORDERS

10,900
10,900
10,900
10,900

E34.9

Endocrine disorder, unspecified; Endocrine Disturbance


NOS; Hormone Disturbance NOS

OTHER ENDOCRINE DISORDERS

10,900

N25.0

Renal osteodystrophy; Azotaemic osteodystrophy; Phosphate-losing tubular


disorders; Renal rickets; Renal
short stature

OTHER NEPHROPATHY

9,500

N25.8

Other disorders resulting from impaired renal tubular function; LightwoodAlbright syndrome; Renal tubular acidosis NOS; Secondary
hyperparathyroidism of renal
origin

OTHER NEPHROPATHY

9,500

N25.9

Disorder resulting from impaired renal tubular function,


unspecified

OTHER NEPHROPATHY

9,500

N28.1

Cyst of kidney, acquired; Multiple cyst of kidney, acquired;


Solitary cyst of kidney, acquired

OTHER NEPHROPATHY

9,500

J92.9

Pleural plaque without asbestos; Pleural plaque NOS;


Pleural thickening

OTHER PLEURAL CONDITIONS

13,500

J94.0
J94.1
J94.8
J94.9
J98.0

Chylous effusion; Chyliform effusion


Fibrothorax
Other specified pleural conditions; Hydrothorax
Pleural condition, unspecified
Diseases of bronchus, not elsewhere classified; Broncholithiasis; Calcification
of bronchus; Stenosis of bronchus; Ulcer of bronchus; Tracheobronchial
collapse;
Tracheobronchial dyskinesia

OTHER
OTHER
OTHER
OTHER
OTHER

13,500
13,500
13,500
13,500
10,200

PLEURAL CONDITIONS
PLEURAL CONDITIONS
PLEURAL CONDITIONS
PLEURAL CONDITIONS
RESPIRATORY DISORDERS

J98.4

Other disorders of lung; Calcification of lung; Acquired cystic lung disease;


Lung disease NOS; Pulmolithiasis

OTHER RESPIRATORY DISORDERS

10,200

J98.5

Diseases of mediastinum, not elsewhere classified; Fibrosis of mediastinum;


Hernia of mediastinum; Retraction of mediastinum; Mediastinitis of
mediastinum

OTHER RESPIRATORY DISORDERS

10,200

J98.6

Disorders of diaphragm; Diaphragmatitis; Paralysis of


diaphragm; Relaxation of diaphragm

OTHER RESPIRATORY DISORDERS

10,200

J98.8
J98.9

Other specified respiratory disorders


Respiratory disorder, unspecified; Chronic respiratory
disease NOS

OTHER RESPIRATORY DISORDERS


OTHER RESPIRATORY DISORDERS

10,200
10,200

A66.9
A67.1

Yaws, unspecified
Intermediate lesions of pinta; Erythematous plaques of carate pinta;
Hyperchromic lesions of carate pinta;
Hyperkeratosis of carate pinta; Pintids of carate pinta

OTHER SPIROCHAETAL DISEASES


OTHER SPIROCHAETAL DISEASES

8,800
8,800

A68.9

Relapsing fever, unspecified

OTHER SPIROCHAETAL DISEASES

8,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

A69.0

Necrotizing ulcerative stomatitis; Cancrum oris; Fusospirochaetal gangrene;


Noma; Stomatitis gangrenosa

OTHER SPIROCHAETAL DISEASES

8,800

A69.1

Other Vincent's infections; Fusospirochaetal pharyngitis ; Acute Necrotizing


Ulcerative gingivitis; Acute Necrotizing Ulcerative Gingivostomatitis;
Spirochaetal stomatitis, Trench mouth; Vincent's angina; Vincents gingivitis

OTHER SPIROCHAETAL DISEASES

8,800

A69.2

Lyme disease; Erythema chronicum migrans due to Borrelia


burgdorferi

OTHER SPIROCHAETAL DISEASES

8,800

A69.9
H65.0

Spirochaetal infection, unspecified


Acute serous otitis media; Acute and subacute secretory
otitis media

OTHER SPIROCHAETAL DISEASES


OTITIS MEDIA

8,800
7,800

H65.1

Other acute nonsuppurative otitis media; Acute otitis media; S ubacute otitis
media; Acute Mucoid allergic otitis media; Subacute mucoid allergic otitis
media; Acute allergic Sanguinous otitis media; Subacute Sanguinous
allergic otitis media; Acute a

OTITIS MEDIA

7,800

H65.2

Chronic serous otitis media; Chronic tubotympanal catarrh

OTITIS MEDIA

7,800

H65.3

Chronic mucoid otitis media; Glue ear; Otitis media, chronic mucinous; Otitis
media, chronic secretory; Otitis media,
chronic transudative

OTITIS MEDIA

7,800

H65.4

Other chronic nonsuppurative otitis media; Otitis media, chronic allergic; Otitis OTITIS MEDIA
media, chronic exudative; Otitis media, chronic nonsuppurative NOS; Otitis
media, chronic seromucinous; Otitis media, chronic with effusion
(nonpurulent)

7,800

H65.9

Nonsuppurative otitis media, unspecified; Allergic Otitis media ; Catarrhal


Otitis media; Exudative Otitis media ; Mucoid Otitis media ; Secretory Otitis
media ; Seromucinous otitis media; Serous Otitis media;
Transudative Otitis media; Otitis media with

OTITIS MEDIA

7,800

H66.0
H66.1

Acute suppurative otitis media


Chronic tubotympanic suppurative otitis media; Benign chronic suppurative
otitis media; Chronic tubotympanic
disease

OTITIS MEDIA
OTITIS MEDIA

7,800
7,800

H66.2

Chronic atticoantral suppurative otitis media; Chronic


atticoantral disease

OTITIS MEDIA

7,800

H66.3

Other chronic suppurative otitis media; Chronic


suppurative otitis media NOS

OTITIS MEDIA

7,800

H66.4

Suppurative otitis media, unspecified; Purulent otitis media


NOS

OTITIS MEDIA

7,800

H66.9

Otitis media, unspecified; Otitis media NOS; Acute Otitis


media NOS; Chronic Otitis media NOS

OTITIS MEDIA

7,800

N83.1
N83.2

Corpus luteum cyst; Haemorrhagic corpus luteum cyst


Other and unspecified ovarian cysts; Retention of ovary;
Simple cyst of ovary

OVARIAN CYSTS
OVARIAN CYSTS

7,800
7,900

N70.0
N70.1
N70.9
N71.0
N71.1
N71.9
N72

Acute salpingitis and oophoritis


Chronic salpingitis and oophoritis; Hydrosalpinx
Salpingitis and oophoritis, unspecified
Acute inflammatory disease of uterus
Chronic inflammatory disease of uterus
Inflammatory disease of uterus, unspecified
Inflammatory disease of cervix uteri; Cervicitis with or without erosion or
ectropion; Endocervicitis with or without erosion or ectropion; Exocervicitis with
or without
erosion or ectropion

PELVIC
PELVIC
PELVIC
PELVIC
PELVIC
PELVIC
PELVIC

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

9,000
9,000
9,000
9,000
9,000
9,000
9,000

N73.0

Acute parametritis and pelvic cellulitis; Acute abcess of broad ligament; Acute PELVIC INFLAMMATORY DISEASES
abscess of parametrium; Acute
pelvic cellulitis, female

9,000

N73.1
N73.2
N73.3
N73.4
N73.5
N73.6
N73.8
N73.9

Chronic parametritis and pelvic cellulitis


Unspecified parametritis and pelvic cellulitis
Female acute pelvic peritonitis
Female chronic pelvic peritonitis
Female pelvic peritonitis, unspecified
Female pelvic peritoneal adhesions
Other specified female pelvic inflammatory diseases
Female pelvic inflammatory disease, unspecified; Female
pelvic infection or inflammation NOS

PELVIC
PELVIC
PELVIC
PELVIC
PELVIC
PELVIC
PELVIC
PELVIC

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

9,000
9,000
9,000
9,000
9,000
9,000
9,000
9,000

N74.8*

Female pelvic inflammatory disorders in other diseases


classified elsewhere

PELVIC INFLAMMATORY DISEASES

9,000

INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY

INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY
INFLAMMATORY

O08.0

Genital tract and pelvic infection following abortion and ectopic and molar
pregnancy; Endometritis; Oophoritis; Parametritis; Pelvic peritonitis;
Salpingitis; Salpingo- oophoritis; Sepsis; Septic shock; Septicaemia

PELVIC INFLAMMATORY DISEASES

9,000

N94.0
N94.1
N94.2
N94.3
N94.4
N94.5
N94.6

Mittelschmerz
Dyspareunia
Vaginismus
Premenstrual tension syndrome
Primary dysmenorrhoea
Secondary dysmenorrhoea
Dysmenorrhoea, unspecified

PELVIC
PELVIC
PELVIC
PELVIC
PELVIC
PELVIC
PELVIC

4,800
4,800
4,800
4,800
4,800
4,800
4,800

ICD CODE

DESCRIPTION

GROUP

PAIN
PAIN
PAIN
PAIN
PAIN
PAIN
PAIN

FIRST CASE RATE


Case Rate

K25.0

Gastric ulcer, acute / Acute erosion of stomach/ Pylorus peptic ulcer / Stomach PEPTIC ULCER DISEASE WITH HEMORRHAGE
peptic ulcer with hemorrhage

12,800

K25.1

Gastric ulcer, acute/ Acute erosion of stomach/ Pylorus peptic ulcer / Stomach
peptic ulcer with perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K25.2

Gastric ulcer, acute / Acute erosion of stomach/ Pylorus peptic ulcer / Stomach PEPTIC ULCER DISEASE WITH HEMORRHAGE
peptic ulcer with both haemorrhage
and perforation

12,800

K25.4

Gastric/ Peptic/ Pyloric ulcer/ erosion, chronic or


unspecified with haemorrhage

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K25.5

Gastric/ Peptic/ Pyloric ulcer/ erosion, chronic or


unspecified with perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K25.6

Gastric/ Peptic/ Pyloric ulcer/ erosion, chronic or


unspecified with both haemorrhage and perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K26.0

Duodenal ulcer, acute / Acute erosion of duodenum/ Duodenal peptic ulcer/


Postpyloric peptic ulcer with
haemorrhage

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K26.1

Duodenal ulcer, acute / Acute erosion of duodenum/ Duodenal peptic ulcer/


Postpyloric peptic ulcer with
perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K26.4

Chronic Duodenal/ Postpyloric ulcer/ erosion, or


unspecified with haemorrhage

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K26.5

Chronic Duodenal/ Postpyloric ulcer/ erosion, or


unspecified with perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K26.6

Chronic Duodenal/ Postpyloric ulcer/ erosion, or


unspecified with both haemorrhage and perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K27.0

Acute Peptic ulcer/ Gastroduodenal ulcer NOS, site


unspecified, with haemorrhage

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K27.1

Acute Peptic ulcer / Gastroduodenal ulcer, site unspecified,


with perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K27.2

Acute Peptic/ Gastroduodenal ulcer, site unspecified, with


both haemorrhage and perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K27.4

Chronic or unspecified Peptic/ Gastroduodenal ulcer, site


unspecified, with haemorrhage

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K27.5

Chronic or unspecified Peptic/ Gastroduodenal ulcer, site


unspecified with perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K27.6

Chronic or unspecified Peptic/ Gastroduodenal ulcer, site unspecified, with both PEPTIC ULCER DISEASE WITH HEMORRHAGE
haemorrhage and perforation

12,800

K28.0

Acute Gastrojejunal ulcer/ Anastomotic peptic ulcer or erosion/ Gastrocolic


peptic ulcer or erosion/ Gastrointestinal peptic ulcer or erosion/ Gastrojejunal
peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/ Marginal peptic ulcer
or erosion/ Stomal

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K28.1

Acute Gastrojejunal ulcer/ Anastomotic peptic ulcer or erosion/ Gastrocolic


peptic ulcer or erosion/ Gastrointestinal peptic ulcer or erosion/ Gastrojejunal
peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/ Marginal peptic ulcer
or erosion/ Stomal

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K28.2

Acute Gastrojejunal ulcer/ Anastomotic peptic ulcer or erosion/ Gastrocolic


peptic ulcer or erosion/ Gastrointestinal peptic ulcer or erosion/ Gastrojejunal
peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/ Marginal peptic ulcer
or erosion/ Stomal

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K28.3

Acute Gastrojejunal ulcer/ Anastomotic peptic ulcer or erosion/ Gastrocolic


peptic ulcer or erosion/ Gastrointestinal peptic ulcer or erosion/ Gastrojejunal
peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/ Marginal peptic ulcer
or erosion/ Stomal

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

K28.4

Chronic or unspecified Gastrojejunal ulcer/ Anastomotic peptic ulcer or erosion/ PEPTIC ULCER DISEASE WITH HEMORRHAGE
Gastrocolic peptic ulcer or erosion/ Gastrointestinal peptic ulcer or erosion/
Gastrojejunal peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/ Marginal
peptic ulcer o

12,800

K28.5

Chronic or unspecified Gastrojejunal ulcer/ Anastomotic peptic ulcer or erosion/ PEPTIC ULCER DISEASE WITH HEMORRHAGE
Gastrocolic peptic ulcer or erosion/ Gastrointestinal peptic ulcer or erosion/
Gastrojejunal peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/ Marginal
peptic ulcer o

12,800

K28.6

Chronic or unspecified Gastrojejunal ulcer/ Anastomotic peptic ulcer or erosion/ PEPTIC ULCER DISEASE WITH HEMORRHAGE
Gastrocolic peptic ulcer or erosion/ Gastrointestinal peptic ulcer or erosion/
Gastrojejunal peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/ Marginal
peptic ulcer o

12,800

K29.0

Acute haemorrhagic gastritis; Acute erosive gastritis with


haemorrhage

PEPTIC ULCER DISEASE WITH HEMORRHAGE

12,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

K25.3

Gastric ulcer, acute / Acute erosion of stomach/ Pylorus peptic ulcer / Stomach PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE
peptic ulcer without haemorrhage
or perforation

6,100

K25.7

Gastric/ Peptic/ Pyloric ulcer/ erosion, chronic without


haemorrhage or perforation

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K25.9

Gastric/ Peptic/ Pyloric ulcer/ erosion, unspecified as acute


or chronic, without haemorrhage or perforation

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K26.3

Duodenal ulcer, acute / Acute erosion of duodenum/ Duodenal peptic ulcer/


Postpyloric peptic ulcer without
haemorrhage or perforation

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K26.7

Chronic Duodenal/ Postpyloric ulcer/ erosion, without


haemorrhage or perforation

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K26.9

Duodenal/ Postpyloric ulcer/ erosion, unspecified as acute


or chronic, without haemorrhage or perforation

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K27.3

Acute Peptic/ Gastroduodenal ulcer, site unspecified,


without haemorrhage or perforation

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K27.7

Chronic Peptic/ Gastroduodenal ulcer, site unspecified,


without haemorrhage or perforation

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K27.9

Peptic/ Gastroduodenal ulcer, unspecified as acute or


chronic, without haemorrhage or perforation

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K28.7

Chronic Gastrojejunal ulcer/ Anastomotic peptic ulcer or erosion/ Gastrocolic


peptic ulcer or erosion/ Gastrointestinal peptic ulcer or erosion/ Gastrojejunal
peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/ Marginal peptic ulcer
or erosion/ Stom

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K28.9

Unspecified as acute or chronic Gastrojejunal ulcer/ Anastomotic peptic ulcer or PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE
erosion/ Gastrocolic peptic ulcer or erosion/ Gastrointestinal peptic ulcer or
erosion/ Gastrojejunal peptic ulcer or erosion/ Jejunal peptic ulcer
or erosion/ Marginal pepti

6,100

K29.1

Other acute gastritis

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K29.2

Alcoholic gastritis

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K29.3

Chronic superficial gastritis

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K29.4

Chronic atrophic gastritis; Gastric atrophy

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K29.5

Chronic gastritis, unspecified; Chronic Antral gastritis;


Chronic Fundal gastritis

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K29.6

Other gastritis; Giant hypertrophic gastritis; Granulomatous


gastritis; Menetrier's disease

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K29.7

Gastritis, unspecified

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K29.8

Duodenitis

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

K29.9

Gastroduodenitis, unspecified

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE

6,100

P23.0
P23.1
P23.2
P23.3
P23.4
P23.5
P23.6

Congenital pneumonia due to viral agent


Congenital pneumonia due to Chlamydia
Congenital pneumonia due to staphylococcus
Congenital pneumonia due to streptococcus, group B
Congenital pneumonia due to Escherichia coli
Congenital pneumonia due to Pseudomonas
Congenital pneumonia due to other bacterial agents; Haemophilus influenzae;
Klebsiella pneumonia;
Mycoplasma; Streptococcus, except group B

PERINATAL
PERINATAL
PERINATAL
PERINATAL
PERINATAL
PERINATAL
PERINATAL

INFECTIONS
INFECTIONS
INFECTIONS
INFECTIONS
INFECTIONS
INFECTIONS
INFECTIONS

12,700
12,700
12,700
12,700
12,700
12,700
12,700

P23.9
P35.0

Congenital pneumonia
Congenital rubella syndrome; Congenital rubella
pneumonitis

PERINATAL INFECTIONS
PERINATAL INFECTIONS

12,700
12,700

P35.1
P35.2
P35.3
P35.8

Congenital cytomegalovirus infection


Congenital herpesviral [herpes simplex] infection
Congenital viral hepatitis
Other congenital viral diseases; Congenital varicella
[chickenpox]

PERINATAL
PERINATAL
PERINATAL
PERINATAL

INFECTIONS
INFECTIONS
INFECTIONS
INFECTIONS

12,700
12,700
12,700
12,700

P35.9
P37.0
P37.1

Congenital viral disease, unspecified


Congenital tuberculosis
Congenital toxoplasmosis; Hydrocephalus due to congenital
toxoplasmosis

PERINATAL INFECTIONS
PERINATAL INFECTIONS
PERINATAL INFECTIONS

12,700
12,700
12,700

P37.3
P37.5
P37.8

Congenital falciparum malaria


Neonatal candidiasis
Other specified congenital infectious and parasitic diseases

PERINATAL INFECTIONS
PERINATAL INFECTIONS
PERINATAL INFECTIONS

12,700
12,700
12,700

P37.9

Congenital infectious and parasitic disease, unspecified

PERINATAL INFECTIONS

12,700

P38

Omphalitis of newborn with or without mild haemorrhage

PERINATAL INFECTIONS

12,700

P39.0

Neonatal infective mastitis

PERINATAL INFECTIONS

12,700

P39.1

Neonatal conjunctivitis and dacryocystitis; Neonatal chlaydial conjunctivitis;


Ophthalmia neonatorum NOS

PERINATAL INFECTIONS

12,700

P39.2

Intra-amniotic infection of fetus, not elsewhere classified

PERINATAL INFECTIONS

12,700

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

P39.3
P39.4
P39.8

Neonatal urinary tract infection


Neonatal skin infection; Neonatal pyoderma
Other specified infections specific to the perinatal period

PERINATAL INFECTIONS
PERINATAL INFECTIONS
PERINATAL INFECTIONS

P39.9
K66.0

Infection specific to the perinatal period, unspecified


PERINATAL INFECTIONS
Peritoneal adhesions; Adhesions of abdominal wall; Adhesions of diaphragm; PERITONEAL DISORDERS
Adhesions of intestine; Adhesions of male pelvis; MesentericAdhesions;
Adhesions of omentum; Adhesions of stomach; Adhesive bands

12,700
10,800

K66.8
K66.9
K65.0

Other specified disorders of peritoneum


PERITONEAL DISORDERS
Disorder of peritoneum, unspecified
PERITONEAL DISORDERS
Acute peritonitis; Abdominopelvic abscess; Mesenteric abscess; Abscess of
PERITONITIS
omentum; Abscess of peritoneum; Retrocaecal abscess; Retroperitoneal
abscess; Subdiaphragmatic abscess; Subhepatic abscess; Subphrenic abscess;
Acute Generalized peritonitis; Acute

10,800
10,800
14,700

K65.8

Other peritonitis; Chronic proliferative peritonitis;


Mesentric fat necrosis; Mesentric saponification; Peritonitis due to bile;
Peritonitis due to urine

PERITONITIS

14,700

K65.9
Q85.8

Peritonitis, unspecified
Other phakomatoses, not elsewhere classified; Peutz- Jeghers Syndrome;
Sturge-Weber(-Dimitri)Syndrome; von
Hippel-Lindau Syndrome

PERITONITIS
PHAKOMATOSES

14,700
10,800

Q85.9
J90

Phakomatosis, unspecified; Hamartosis NOS


Pleural effusion, not elsewhere classified; Pleurisy with
effusion

PHAKOMATOSES
PLEURAL EFFUSION

10,800
14,200

J91*
B20.6

Pleural effusion in conditions classified elsewhere


HIV DISEASE RESULTING IN PNEUMOCYSTIS CARINII
PNEUMONIA

PLEURAL EFFUSION
PNEUMONIA HIGH RISK

14,200
32,000

J12.03
J12.13
J12.23
J12.33
J12.93
J13.3

Adenoviral pneumonia, high risk


Respiratory syncytial virus pneumonia, high risk
Parainfluenza virus pneumonia, high risk
Human metapneumovirus pneumonia, high risk
Viral pneumonia, high risk
Pneumonia [bronchopneumonia]due to Streptococcus
pneumoniae, high risk

PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA

RISK
RISK
RISK
RISK
RISK
RISK

32,000
32,000
32,000
32,000
32,000
32,000

J14.3

Pneumonia [bronchopneumonia] due to Haemophilus


influenzae, high risk

PNEUMONIA HIGH RISK

32,000

J15.03
J15.13
J15.23
J15.33
J15.43
J15.53
J15.63

Pneumonia due to Klebsiella pneumoniae, high risk


Pneumonia due to Pseudomonas, high risk
Pneumonia due to staphylococcus, high risk
Pneumonia due to streptococcus, group B, high risk
Pneumonia due to other streptococci, high risk
Pneumonia due to Escherichia coli, high risk
Pneumonia due to other aerobic Gram-negative bacteria; Pneumonia due to
Serratia marcescens, high risk

PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA

RISK
RISK
RISK
RISK
RISK
RISK
RISK

32,000
32,000
32,000
32,000
32,000
32,000
32,000

J15.73

Pneumonia due to Mycoplasma pneumoniae, high risk

PNEUMONIA HIGH RISK

32,000

J15.93
J16.03
J18.03
J18.13
J18.23
J18.93

Bacterial pneumonia [bronchopneumonia], high risk


Chlamydial pneumonia, high risk
Bronchopneumonia, high risk
Lobar pneumonia, high risk
Hypostatic pneumonia, high risk
Community-acquired pneumonia IV
(This classification utilized the American Thoracic Society recommendation.
This is equivalent to CAP, high risk in the Philippine Clinical Practice
Guidelines on the Diagnosis, Empiric Management, and Prevention of
Community- acquired Pneumonia in Immunocompetent Adults, 2010
update)

PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA

HIGH
HIGH
HIGH
HIGH
HIGH
HIGH

32,000
32,000
32,000
32,000
32,000
32,000

J18.99, Y95
A01.0+ J17.0*
A02.2+ J17.0*
A21.2+ J17.0*
A22.1+ J17.0*
A31.0

Nosocomial pneumonia
Pneumonia in typhoid fever
Pneumonia in salmonella infection
Pneumonia in tularemia
Pneumonia in anthrax
Pulmonary mycobacterial infection; Infection due to
Mycobacterium avium, Mycobacterium intracellulare
[Battey bacillus]; Mycobacterium kansasii

PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA

HIGH RISK
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE

RISK
RISK
RISK
RISK
RISK

32,000
15,000
15,000
15,000
15,000
15,000

A37.0+ J17.0*

Pneumonia in whooping cough due to Bordatella pertusis

PNEUMONIA MODERATE RISK

15,000

A37.1+ J17.0*

Pneumonia in whooping cough due to Bordatella


parapertusis

PNEUMONIA MODERATE RISK

15,000

A37.8+ J17.0*

Pneumonia in whooping cough due to Bordatella species


other than pertusis or parapertusis

PNEUMONIA MODERATE RISK

15,000

A37.9+ J17.0*
A42.0+ J17.0*
A48.1
A53.0+ J17.0*
A54.8+ J17.0*
A69.8+ J17.8*
A70+ J17.8*

Pneumonia in whooping cough


Pneumonia in actinomycoses
Legionnaires' disease
Pneumonia in nocardiosis
Pneumonia in gonorrhea
Pneumonia in spirochaetal
Pneumonia in ornithosis

PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA

15,000
15,000
15,000
15,000
15,000
15,000
15,000

HIGH
HIGH
HIGH
HIGH
HIGH
HIGH

HIGH
HIGH
HIGH
HIGH
HIGH
HIGH
HIGH

12,700
12,700
12,700

RISK
RISK
RISK
RISK
RISK
RISK

MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE

RISK
RISK
RISK
RISK
RISK
RISK
RISK

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

A78+ J17.8*
B01.2+ J17.1*
B05.2+ J17.1*
B06.8+ J17.1*
B25.0+ J17.1*
B37.1+ J17.2*
B38.0+ J17.2*
B38.1+ J17.2*
B38.2+ J17.2*
B39.0+ J17.2*

Pneumonia
Pneumonia
Pneumonia
Pneumonia
Pneumonia
Pneumonia
Pneumonia
Pneumonia
Pneumonia
Pneumonia

B39.1+ J17.2*
B39.2+
B39.9+
B44.0+
B44.1+
B58.3+
B65.0+

J17.2*
J17.2*
J17.2*
J17.2*
J17.3*
J17.3*

in
in
in
in
in
in
in
in
in
in

Q fever
varicella
measles
rubella
cytomegalovirus disease
candidiasis
acute pulmonary coccidiomycosis
chronic pulmonary coccidiomycosis
pulmonary coccidioidomycosis
acute pulmonary histoplasmosis capsulati

RISK
RISK
RISK
RISK
RISK
RISK
RISK
RISK
RISK
RISK

15,000
15,000
15,000
15,000
15,000
15,000
15,000
15,000
15,000
15,000

Pneumonia in chronic pulmonary histoplasmosis capsulati

PNEUMONIA MODERATE RISK

15,000

Pneumonia in
Pneumonia in
Pneumonia in
Pneumonia in
Pneumonia in
Pneumonia in
hematobium

PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA

RISK
RISK
RISK
RISK
RISK
RISK

15,000
15,000
15,000
15,000
15,000
15,000

pulmonary histoplasmosis capsulati


histoplasmosis
invasive pulmonary aspergillosis
other pulmonary aspergillosis
taxoplasmosis
schistosomiasis due to Schistosoma

PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA

MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE

MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE

B65.1+ J17.3*

Pneumonia in schistosomiasis due to Schistosoma mansoni

PNEUMONIA MODERATE RISK

15,000

B65.2+ J17.3*

Pneumonia in schistosomiasis due to Schistosoma


japonicum

PNEUMONIA MODERATE RISK

15,000

B65.8+ J17.3*

Pneumonia in schistosomiasis due to Schistosoma


intercalatum; mattheei; mekongi

PNEUMONIA MODERATE RISK

15,000

B65.9+ J17.3*
B77.8+ J17.3*
I00+ J17.8*
J12.02
J12.12
J12.22
J12.32
J12.92
J13.2

Pneumonia in schistosomiasis
Pneumonia in ascariasis
Pneumonia in rheumatic fever
Adenoviral pneumonia, moderate risk
Respiratory syncytial virus pneumonia, moderate risk
Parainfluenza virus pneumonia, moderate risk
Human metapneumovirus pneumonia, moderate risk
Viral pneumonia, moderate risk
Pneumonia [bronchopneumonia] due to Streptococcus
pneumoniae, moderate risk

PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA

RISK
RISK
RISK
RISK
RISK
RISK
RISK
RISK
RISK

15,000
15,000
15,000
15,000
15,000
15,000
15,000
15,000
15,000

J14.2

Pneumonia [bronchopneumonia]due to Haemophilus


influenzae, moderate risk

PNEUMONIA MODERATE RISK

15,000

J15.02

Pneumonia due to Klebsiella pneumoniae, moderate risk

PNEUMONIA MODERATE RISK

15,000

J15.12
J15.22
J15.32

Pneumonia due to Pseudomonas, moderate risk


Pneumonia due to staphylococcus, moderate risk
Pneumonia due to streptococcus, group B, moderate risk

PNEUMONIA MODERATE RISK


PNEUMONIA MODERATE RISK
PNEUMONIA MODERATE RISK

15,000
15,000
15,000

J15.42
J15.52
J15.62

Pneumonia due to other streptococci, moderate risk


Pneumonia due to Escherichia coli, moderate risk
Pneumonia due to other aerobic Gram-negative bacteria; Pneumonia due to
Serratia marcescens, moderate risk

PNEUMONIA MODERATE RISK


PNEUMONIA MODERATE RISK
PNEUMONIA MODERATE RISK

15,000
15,000
15,000

J15.72

Pneumonia due to Mycoplasma pneumoniae, moderate


risk

PNEUMONIA MODERATE RISK

15,000

J15.92

Bacterial pneumonia [bronchopneumonia], moderate risk

PNEUMONIA MODERATE RISK

15,000

J16.02
J18.02
J18.12
J18.22
J18.92

Chlamydial pneumonia, moderate risk


Bronchopneumonia, moderate risk
Lobar pneumonia, moderate risk
Hypostatic pneumonia, moderate risk
Community-acquired pneumonia III
(This classification utilized the American Thoracic Society recommendation.
This is equivalent to CAP, moderate risk in the Philippine Clinical Practice
Guidelines on the Diagnosis, Empiric Management, and Prevention of
Community- acquired Pneumonia in Immunocompetent
Adults, 2010 update)

PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA

15,000
15,000
15,000
15,000
15,000

J93.0
J93.1
J93.8
J93.9
T40.2

Spontaneous tension pneumothorax


Other spontaneous pneumothorax
Other pneumothorax
Pneumothorax, unspecified
Poisoning by Otheropioids; Poisoning by Codeine;
Poisoning by Morphine

PNEUMOTHORAX
PNEUMOTHORAX
PNEUMOTHORAX
PNEUMOTHORAX
POISONING CAUSED BY ANESTHETICS AND DRUGS
AFFECTING THE NERVOUS SYSTEM

15,300
15,300
15,300
15,300
6,700

T40.4

Poisoning by Other synthetic narcotics; Poisoning by


Pethidine

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T40.6

Poisoning by Other and unspecified narcotics

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T40.7

Poisoning by Cannabis (derivatives)

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T40.9

Poisoning by Other and unspecified psychodysleptics


[hallucinogens]; Poisoning by Mescaline; Poisoning by
Psilocin; Poisoning by Psilocybine

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

T41.0

Poisoning by Inhaled anaesthetics

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T41.1

Poisoning by Intravenous anaesthetics; Thiobarbiturates

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE
MODERATE

MODERATE
MODERATE
MODERATE
MODERATE
MODERATE

RISK
RISK
RISK
RISK
RISK

Case Rate
T41.3

Poisoning by Local anaesthetics

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T41.5

Poisoning by Therapeutic gases; Carbon dioxide; Oxygen

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T42.0

Poisoning by Hydantoin derivatives

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T42.1

Poisoning by Iminostilbenes; Carbamazepine

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T42.2

Poisoning by Succinimides and oxazolidinediones

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T42.3

Poisoning by Barbiturates

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T42.4

Poisoning by Benzodiazepines

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T42.6

Poisoning by Other antiepileptic and sedative- hypnoticdrugs; Poisoning by


Methaqualone;Poisoning by
Valproic acid

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

T42.7

Poisoning by Antiepileptic and sedative-hypnotic drugs, unspecified; Poisoning POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700
by Draught sleeping NOS; Poisoning by Sleeping drug NOS;Poisoning by
NERVOUS SYSTEM
Sleeping tablet NOS

T42.8

Poisoning by Antiparkinsonism drugs and other central muscle-tone


depressants; Poisoning by Amantadine

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

T43.2

Poisoning by Other and unspecified antidepressants

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T43.3

Poisoning by Phenothiazine antipsychotics and neuroleptics

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T43.4

Poisoning by Butyrophenone and thioxanthene


neuroleptics

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T43.5

Poisoning by Other and unspecified antipsychotics and


neuroleptics

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T43.6

Poisoning by Psychostimulants with abuse potential

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T43.9

Poisoning by Psychotropic drug, unspecified

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T44.1

Poisoning by Other parasympathomimetics [cholinergics]

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T44.2

Poisoning by Ganglionic blocking drugs, not elsewhere


classified

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T44.3

Poisoning by Other parasympatholytics [anticholinergics and antimuscarinics]


and spasmolytics, not elsewhere classified; Poisoning byPapaverine

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

T44.4

Poisoning by Predominantly -adrenoreceptor agonists,


not elsewhere classified; Poisoning by Metaraminol

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

T44.5

Poisoning by Predominantly -adrenoreceptor agonists, not


elsewhere classified

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T44.6

Poisoning by -Adrenoreceptor antagonists, not elsewhere


classified

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T44.7

Poisoning by -Adrenoreceptor antagonists, not elsewhere


classified

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T44.9

Poisoning by Other and unspecified drugs primarily affecting the autonomic


nervous system; Drug stimulating
both -and -adrenoreceptors

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

T45.0

Poisoning by Antiallergic and antiemetic drugs

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

T45.1

Poisoning by Antineoplastic and immunosuppressive drugs; Poisoning by


Antineoplastic antibiotics; Poisoning by
Cytarabine

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

T45.2

Poisoning by Vitamins, not elsewhere classified

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T45.3

Poisoning by Enzymes, not elsewhere classified

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

T50.7

Poisoning by Analeptics and opioid receptor antagonists

POISONING CAUSED BY ANESTHETICS AND DRUGS


AFFECTING THE NERVOUS SYSTEM

6,700

Y46.2

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Hydantoin derivatives

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

Y46.6

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Other and unspecified antiepileptics

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

Y47.0

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Barbiturates, not elsewhere classified

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

Y47.1

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Benzodiazepines

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

Y47.9

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Sedative, hypnotic and antianxiety drug, unspecified;sleeping draught
NOS;sleeping drug
NOS;sleeping tablet NOS

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

ICD CODE

DESCRIPTION

GROUP

6,700

FIRST CASE RATE


Case Rate

Y49.5

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Other antipsychotics and neuroleptics

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

Y49.6

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Psychodysleptics [hallucinogens]

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

Y51.3

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Other parasympatholytics [anticholinergics and antimuscarinics] and
spasmolytics, not elsewhere
classified;papaverine

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

Y51.7

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Beta-adrenoreceptor antagonists, not elsewhere
classified

POISONING CAUSED BY ANESTHETICS AND DRUGS AFFECTING THE 6,700


NERVOUS SYSTEM

T36.0
T36.1

Poisoning by Penicillins
Poisoning by Cefalosporins and other -lactam antibiotics

POISONING CAUSED BY ANTIBIOTICS


POISONING CAUSED BY ANTIBIOTICS

7,300
7,300

T36.2
T36.3
T36.4
T36.5
T36.6
T36.8
T36.9
T37.0
T37.1
T37.2

Poisoning
Poisoning
Poisoning
Poisoning
Poisoning
Poisoning
Poisoning
Poisoning
Poisoning
Poisoning
protozoa

by
by
by
by
by
by
by
by
by
by

Chloramphenicol group
Macrolides
Tetracyclines
Aminoglycosides; Streptomycin
Rifamycins
Other systemic antibiotics
Systemic antibiotic, unspecified
Sulfonamides
Antimycobacterial drugs
Antimalarials and drugs acting on other blood

POISONING
POISONING
POISONING
POISONING
POISONING
POISONING
POISONING
POISONING
POISONING
POISONING

ANTIBIOTICS
ANTIBIOTICS
ANTIBIOTICS
ANTIBIOTICS
ANTIBIOTICS
ANTIBIOTICS
ANTIBIOTICS
ANTIBIOTICS
ANTIBIOTICS
ANTIBIOTICS

7,300
7,300
7,300
7,300
7,300
7,300
7,300
7,300
7,300
7,300

T37.4
T37.5
T37.8

Poisoning
Poisoning
Poisoning
Poisoning

by
by
by
by

Anthelminthics
Antiviral drugs
Other specified systemic anti-infectives and antiparasitics;
Hydroxyquinoline derivatives

POISONING CAUSED BY ANTIBIOTICS


POISONING CAUSED BY ANTIBIOTICS
POISONING CAUSED BY ANTIBIOTICS

7,300
7,300
7,300

T37.9

Poisoning by Systemic anti-infective and antiparasitic,


unspecified

POISONING CAUSED BY ANTIBIOTICS

7,300

Y40.0

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Systemic antibiotics: Penicillins

POISONING CAUSED BY ANTIBIOTICS

7,300

Y40.1

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Systemic antibiotics: Cefalosporins and other betalactam antibiotics

POISONING CAUSED BY ANTIBIOTICS

7,300

Y40.2

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Systemic antibiotics: Chloramphenicol group

POISONING CAUSED BY ANTIBIOTICS

7,300

Y40.4

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Systemic antibiotics: Tetracyclines

POISONING CAUSED BY ANTIBIOTICS

7,300

Y40.6

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Systemic antibiotics: Rifamycins

POISONING CAUSED BY ANTIBIOTICS

7,300

Y40.8

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Systemic antibiotics: Other systemic antibiotics

POISONING CAUSED BY ANTIBIOTICS

7,300

Y40.9

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Systemic antibiotics: Systemic antibiotic, unspecified

POISONING CAUSED BY ANTIBIOTICS

7,300

Y41.0
Y41.1

Sulfonamides
Drugs, medicaments and biological substances causing adverse effects in
therapeutic
use: Systemic antibiotics: Antimycobacterial drugs

POISONING CAUSED BY ANTIBIOTICS


POISONING CAUSED BY ANTIBIOTICS

7,300
7,300

Y41.5

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Systemic antibiotics: Antiviral drugs

POISONING CAUSED BY ANTIBIOTICS

7,300

Y41.8

Drugs, medicaments and biological substances causing adverse effects in


therapeutic use: Systemic antibiotics: Other specified systemic antiinfectives and antiparasitics;
hydroxyquinoline derivatives

POISONING CAUSED BY ANTIBIOTICS

7,300

Y41.9

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Systemic anti-infective and antiparasitic, unspecified

POISONING CAUSED BY ANTIBIOTICS

7,300

Y56.0

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Local antifungal, anti-infective and anti-inflammatory
drugs, not elsewhere classified

POISONING CAUSED BY ANTIBIOTICS

7,300

T39.0

Poisoning by Salicylates

POISONING CAUSED BY ANTI-INFLAMMATORY


AGENTS

7,400

T39.1

Poisoning by 4-Aminophenol derivatives

POISONING CAUSED BY ANTI-INFLAMMATORY


AGENTS

7,400

T39.3

Poisoning by Other nonsteroidal anti-inflammatory drugs


[NSAID]

POISONING CAUSED BY ANTI-INFLAMMATORY


AGENTS

7,400

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

CAUSED
CAUSED
CAUSED
CAUSED
CAUSED
CAUSED
CAUSED
CAUSED
CAUSED
CAUSED

BY
BY
BY
BY
BY
BY
BY
BY
BY
BY

Case Rate
T39.8

Poisoning by Other nonopioid analgesics and antipyretics,


not elsewhere classified

POISONING CAUSED BY ANTI-INFLAMMATORY


AGENTS

7,400

T39.9

Poisoning by Nonopioid analgesic, antipyretic and


antirheumatic, unspecified

POISONING CAUSED BY ANTI-INFLAMMATORY


AGENTS

7,400

Y45.8

Other analgesics and antipyretics

POISONING CAUSED BY ANTI-INFLAMMATORY


AGENTS

7,400

Y45.9

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Analgesic, antipyretic and anti-inflammatory drug,
unspecified

POISONING CAUSED BY ANTI-INFLAMMATORY AGENTS

7,400

T46.0

Poisoning by Cardiac-stimulant glycosides and drugs of


similar action

POISONING CAUSED BY CARDIOVASCULAR DRUGS

12,500

T46.1

Poisoning by Calcium-channel blockers

POISONING CAUSED BY CARDIOVASCULAR DRUGS

12,500

T46.2

Poisoning by Other antidysrhythmic drugs, not elsewhere


classified

POISONING CAUSED BY CARDIOVASCULAR DRUGS

12,500

T46.3

Poisoning by Coronary vasodilators, not elsewhere


classified; Poisoning by Dipyridamole

POISONING CAUSED BY CARDIOVASCULAR DRUGS

12,500

T46.5

Poisoning by Other antihypertensive drugs, not elsewhere classified;


Poisoning by Clonidine;Poisoning by Guanethidine; Poisoning by Rauwolfia

POISONING CAUSED BY CARDIOVASCULAR DRUGS

12,500

T46.6

Poisoning by Antihyperlipidaemic and antiarteriosclerotic


drugs

POISONING CAUSED BY CARDIOVASCULAR DRUGS

12,500

T46.7

Poisoning by Peripheral vasodilators;Poisoning by Nicotimic


acid (derivatives)

POISONING CAUSED BY CARDIOVASCULAR DRUGS

12,500

T46.9

Poisoning by Other and unspecified agents primarily


affecting the cardiovascular system

POISONING CAUSED BY CARDIOVASCULAR DRUGS

12,500

Y52.0

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Cardiac-stimulant glycosides and drugs of similar
action

POISONING CAUSED BY CARDIOVASCULAR DRUGS

12,500

Y52.2

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Other antidysrhythmic drugs, not elsewhere classified

POISONING CAUSED BY CARDIOVASCULAR DRUGS

12,500

T48.3

Poisoning by Antitussives

POISONING CAUSED BY DRUGS AFFECTING THE


PULMONARY SYSTEM

6,200

T48.4

Poisoning by Expectorants

POISONING CAUSED BY DRUGS AFFECTING THE


PULMONARY SYSTEM

6,200

T48.5

Poisoning by Anti-common-cold drugs

POISONING CAUSED BY DRUGS AFFECTING THE


PULMONARY SYSTEM

6,200

T48.6

Poisoning by Antiasthmatics, not elsewhere classified; adrenoreceptor agonists used in asthma theraphy; Poisoning by Salbutamol

POISONING CAUSED BY DRUGS AFFECTING THE PULMONARY


SYSTEM

6,200

Y55.3

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Antitussives

POISONING CAUSED BY DRUGS AFFECTING THE PULMONARY


SYSTEM

6,200

Y55.4

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Expectorants

POISONING CAUSED BY DRUGS AFFECTING THE PULMONARY


SYSTEM

6,200

Y55.6

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Antiasthmatics, not elsewhere classified:
aminophylline, salbutamol, theobromine;theophylline

POISONING CAUSED BY DRUGS AFFECTING THE PULMONARY


SYSTEM

6,200

T50.0

Poisoning by Mineralocorticoids and their antagonists

POISONING CAUSED BY DRUGS AFFECTING THE


RENAL SYSTEM

6,300

T50.1

Poisoning by Loop [high-ceiling] diuretics

POISONING CAUSED BY DRUGS AFFECTING THE


RENAL SYSTEM

6,300

T50.2

Poisoning by Carbonic-anhydrase inhibitors, benzothiadiazides and other


diuretics;Poisoning by
Acetazolamide

POISONING CAUSED BY DRUGS AFFECTING THE RENAL SYSTEM

6,300

T50.4

Poisoning by Drugs affecting uric acid metabolism

POISONING CAUSED BY DRUGS AFFECTING THE


RENAL SYSTEM

6,300

T50.9

Poisoning by Other and unspecified drugs, medicaments and biological


substances; Poisoning by Acidifying agents; Poisoning by Alkalizing agents;
Poisoning by Immunoglobulin; Poisoning by Immunologicals; Poisoning by
Lipotropic drugs; Poisoning by Parathy

POISONING CAUSED BY DRUGS AFFECTING THE RENAL SYSTEM

6,300

T47.0

Poisoning by HistamineH2-receptor antagonists

POISONING CAUSED BY GASTROINTESTINAL


DRUGS

8,300

T47.1

Poisoning by Other antacids and anti-gastric-secretion


drugs

POISONING CAUSED BY GASTROINTESTINAL


DRUGS

8,300

T47.2

Poisoning by Stimulant laxatives

POISONING CAUSED BY GASTROINTESTINAL


DRUGS

8,300

T47.3

Poisoning by Saline and osmotic laxatives

POISONING CAUSED BY GASTROINTESTINAL


DRUGS

8,300

T47.4

Poisoning by Other laxatives; Poisoning by Intestinal atonia


drugs

POISONING CAUSED BY GASTROINTESTINAL


DRUGS

8,300

T47.5

Poisoning by Digestants

POISONING CAUSED BY GASTROINTESTINAL


DRUGS

8,300

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

T47.6

Poisoning by Antidiarrhoeal drugs

POISONING CAUSED BY GASTROINTESTINAL


DRUGS

8,300

T47.8

Poisoning by Other agents primarily affecting the


gastrointestinal system

POISONING CAUSED BY GASTROINTESTINAL


DRUGS

8,300

T47.9

Poisoning by Agent primarily affecting the gastrointestinal


system, unspecified

POISONING CAUSED BY GASTROINTESTINAL


DRUGS

8,300

T48.1

Poisoning by Skeletal muscle relaxants [neuromuscular


blocking agents]

POISONING CAUSED BY GASTROINTESTINAL


DRUGS

8,300

Y53.8

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Other agents primarily affecting the gastrointestinal
system

POISONING CAUSED BY GASTROINTESTINAL DRUGS

8,300

T45.4
T45.5
T45.6
T45.7

Poisoning by Iron and its compounds


Poisoning by Anticoagulants
Poisoning by Fibrinolysis-affecting drugs
Poisoning by Anticoagulant antagonists, vitamin K and
other coagulants

POISONING
POISONING
POISONING
POISONING

7,300
7,300
7,300
7,300

CAUSED
CAUSED
CAUSED
CAUSED

BY
BY
BY
BY

HEMATOLOGIC
HEMATOLOGIC
HEMATOLOGIC
HEMATOLOGIC

AGENTS
AGENTS
AGENTS
AGENTS

T45.8

Poisoning by Other primarily systemic and haematological agents; Poisoning


by Liver preparations and other antianaemic agents; Poisoning by Natural
blood and blood products; Poisoning by Plasma substitute

POISONING CAUSED BY HEMATOLOGIC AGENTS

7,300

T45.9

Primarily systemic and haematological agent, unspecified

POISONING CAUSED BY HEMATOLOGIC AGENTS

7,300

Y44.2

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Anticoagulants

POISONING CAUSED BY HEMATOLOGIC AGENTS

7,300

Y44.3

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Anticoagulant antagonists, vitamin K and other
coagulants

POISONING CAUSED BY HEMATOLOGIC AGENTS

7,300

T38.0

Poisoning by Glucocorticoids and synthetic analogues

POISONING CAUSED BY HORMONES

8,500

T38.1
T38.2
T38.3

Poisoning by Thyroid hormones and substitutes


Poisoning by Antithyroid drugs
Poisoning by Insulin and oral hypoglycaemic [antidiabetic]
drugs

POISONING CAUSED BY HORMONES


POISONING CAUSED BY HORMONES
POISONING CAUSED BY HORMONES

8,500
8,500
8,500

T38.4

Poisoning by Oral contraceptives; Poisoning by Multipleand-single-ingredient preparations

POISONING CAUSED BY HORMONES

8,500

T38.5

Poisoning by Other estrogens and progestogens; Mixtures


and substitutes

POISONING CAUSED BY HORMONES

8,500

T38.6

Poisoning by Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere POISONING CAUSED BY HORMONES


classified; Poisoning by
Tamoxifen

8,500

T38.7
Y42.0

Poisoning by Androgens and anabolic congeners


Drugs, medicaments and biological substances causing adverse effects in
therapeutic
use: Glucocorticoids and synthetic analogues

POISONING CAUSED BY HORMONES


POISONING CAUSED BY HORMONES

8,500
8,500

Y42.2

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Antithyroid drugs

POISONING CAUSED BY HORMONES

8,500

Y42.3

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Insulin and oral hypoglycaemic [antidiabetic] drugs

POISONING CAUSED BY HORMONES

8,500

Y42.4

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Oral contraceptives;multiple-and single-ingredient
preparations

POISONING CAUSED BY HORMONES

8,500

Y42.5

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Other estrogens and progestogens;mixtures and
substitutes

POISONING CAUSED BY HORMONES

8,500

Y45.1

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Salicylates

POISONING CAUSED BY HORMONES

8,500

Y45.2

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Propionic acid derivatives;propanoic acid derivatives

POISONING CAUSED BY HORMONES

8,500

Y45.3

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Other nonsteroidal anti-inflammatory drugs [NSAID]

POISONING CAUSED BY HORMONES

8,500

Y45.5

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: 4-Aminophenol derivatives

POISONING CAUSED BY HORMONES

8,500

T51.0

Toxic effect of Ethanol;Toxic effect of Ethyl alcohol

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T51.2

Toxic effect of 2-Propanol; Toxic effect of Isoprophyl


aclohol

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T51.3

Toxic effect of Fusel oil; Toxic effect of Amyl alcohol; Toxic effect of Butyl
alcohol [1-butanol]; Toxic effect of Propyl
alcohol [1-proponol]

POISONING CAUSED BY ORGANIC SUBSTANCES AND HEAVY


METALS

6,400

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

T51.8

Toxic effect of Other alcohols

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T51.9

Toxic effect of Alcohol, unspecified

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T52.0

Toxic effect of Petroleum products; Toxic effect of Gasoline [petrol]; Toxic


effect of Kerosine [paraffin oil]; Toxic effect of Paraffin wax; Toxic effect of
Petroleum ether; Toxic effect of Petroleum naphtha; Toxic effect of
Petroleum spirits

POISONING CAUSED BY ORGANIC SUBSTANCES AND HEAVY


METALS

6,400

T52.2

Toxic effect of Homologues of benzene; Toxic effect of


Toluene [methylbenzene]; Toxic effect of Xylene
[dimethylbenzene]

POISONING CAUSED BY ORGANIC SUBSTANCES AND HEAVY


METALS

6,400

T52.4

Toxic effect of Ketones

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T52.8

Toxic effect of Other organic solvents

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T52.9

Toxic effect of Organic solvent, unspecified

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T53.0

Toxic effect of Carbon tetrachloride;Toxic effect of


Tetrachloromethane

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T53.1

Toxic effect of Chloroform; Toxic effect of


Trichloromethane

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T53.4

Toxic effect of Dichloromethane;Toxic effect of Methylene


chloride

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T53.6

Toxic effect of Other halogen derivatives of aliphatic


hydrocarbons

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T53.9

Toxic effect of Halogen derivative of aliphatic and aromatic


hydrocarbons, unspecified

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T54.1

Toxic effect of Other corrosive organic compounds

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T54.2

Toxic effect of Corrosive acids and acid-like substances; Toxic effect of Acid
hydrochlorie;Toxic effect of Acid
sulfurie

POISONING CAUSED BY ORGANIC SUBSTANCES AND HEAVY


METALS

6,400

T54.3

Toxic effect of Corrosive alkalis and alkali-like substances; Toxic effect of


Potassium hydroxide;Toxic effect of Sodium
hydroxide

POISONING CAUSED BY ORGANIC SUBSTANCES AND HEAVY


METALS

6,400

T54.9

Toxic effect of Corrosive substance, unspecified

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T55

Toxic effect of soaps and detergents

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T56.0

Toxic effect of Lead and its compounds

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T56.1

Toxic effect of Mercury and its compounds

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T56.5

Toxic effect of Zinc and its compounds

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T56.8

Toxic effect of Other metals

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T57.0

Toxic effect of Arsenic and its compounds

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T57.1

Toxic effect of Phosphorus and its compounds

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T57.3

Toxic effect of Hydrogen cyanide

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T57.8

Toxic effect of Other specified in organic substances

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T57.9

Toxic effect of Inorganic substance, unspecified

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T58

Toxic effect of carbon monoxide from all sources

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T59.0

Toxic effect of Nitrogen oxides

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T59.2

Toxic effect of Formal dehyde

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T59.3

Toxic effect of Lacrimogenic gas; Toxic effect of Tear gas

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T59.4

Toxic effect of Chlorine gas

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T59.7

Toxic effect of Carbon dioxide

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T59.8

Toxic effect of Other specified gases, fumes and vapours

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T59.9

Toxic effect of Gases, fumes and vapours, unspecified

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T60.0

Toxic effect of Organophosphate and carbamate


insecticides

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T60.1

Toxic effect of Halogenated insecticides

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T60.2

Toxic effect of Other insecticides

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T60.3

Toxic effect of Herbicides and fungicides

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T60.4

Toxic effect of Rodenticides; Toxic effect of Thallium

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

T60.8

Toxic effect of Other pesticides

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T60.9

Toxic effect of Pesticide, unspecified

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T65.0

Toxic effect of Cyanides

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T65.3

Toxic effect of Nitro derivatives and aminoderivatives of benzene and its


homologues; Toxic effect of Aniline [benzenamine]; Toxic effect of
Nitrobenzene; Toxic effect
of Trinitrotoluene

POISONING CAUSED BY ORGANIC SUBSTANCES AND HEAVY


METALS

6,400

T65.4

Toxic effect of Carbondisulfide

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T65.6

Toxic effect of Paints and dyes, not elsewhere classified

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T65.8

Toxic effect of other specified substances

POISONING CAUSED BY ORGANIC SUBSTANCES


AND HEAVY METALS

6,400

T49.2
T49.3
T49.4

Poisoning
Poisoning
Poisoning
treatment

POISONING CAUSED BY TOPICAL AGENTS


POISONING CAUSED BY TOPICAL AGENTS
POISONING CAUSED BY TOPICAL AGENTS

5,300
5,300
5,300

T49.5

Poisoning by Ophthalmological drugs and preparations; Poisoning by Eye,


nose and throat anti-infectives

POISONING CAUSED BY TOPICAL AGENTS

5,300

T49.7
T49.8
T49.9

Poisoning by Dental drugs, topically applied


Othertopical agents; Spermicides
Poisoning by Topical agent, unspecified

POISONING CAUSED BY TOPICAL AGENTS


POISONING CAUSED BY TOPICAL AGENTS
POISONING CAUSED BY TOPICAL AGENTS

5,300
5,300
5,300

by Local astringents and local detergents


by Emollients, demulcents and protectants
by Keratolytics, keratoplastics and other hair
drugs and preparations

Y56.2

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Local astringents and local detergents

POISONING CAUSED BY TOPICAL AGENTS

5,300

Y56.3

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Emollients, demulcents and protectants

POISONING CAUSED BY TOPICAL AGENTS

5,300

T61.0
T61.1

Toxic effect of Ciguatera fish poisoning


Toxic effect of Scombroid fish poisoning;Toxic effect of
Histamine-like syndrome

POISONING FROM ANIMALS, INSECTS, PLANTS


POISONING FROM ANIMALS, INSECTS, PLANTS

5,700
5,700

T61.2
T61.8
T61.9
T62.0
T62.1
T62.2
T62.8

Toxic
Toxic
Toxic
Toxic
Toxic
Toxic
Toxic
food

POISONING
POISONING
POISONING
POISONING
POISONING
POISONING
POISONING

PLANTS
PLANTS
PLANTS
PLANTS
PLANTS
PLANTS
PLANTS

5,700
5,700
5,700
5,700
5,700
5,700
5,700

T62.9

Toxic effect of Noxious substance eaten as food,


unspecified

POISONING FROM ANIMALS, INSECTS, PLANTS

5,700

T63.0

Toxic effect of Snake venom;Toxic effect of Sea-snake


venom

POISONING FROM ANIMALS, INSECTS, PLANTS

5,700

T63.1

Toxic effect of Venom of other reptiles; Toxic effect of


Lizard venom

POISONING FROM ANIMALS, INSECTS, PLANTS

5,700

T63.2
T63.3
T63.4

Toxic effect of Venom of scorpion


Toxic effect of Venom of spider
Toxic effect of Venom of other arthropods;Toxic effect of
Insect bite or sting, venomous

POISONING FROM ANIMALS, INSECTS, PLANTS


POISONING FROM ANIMALS, INSECTS, PLANTS
POISONING FROM ANIMALS, INSECTS, PLANTS

5,700
5,700
5,700

T63.5
T63.6

Toxic effect of contact with fish


Toxic effect of contact with other marine animals; Jellyfish;
Sea anemone; Shellfish; Starfish

POISONING FROM ANIMALS, INSECTS, PLANTS


POISONING FROM ANIMALS, INSECTS, PLANTS

5,700
5,700

T63.8

Toxic effect of contact with other venomous animals;


Venom of amphibian

POISONING FROM ANIMALS, INSECTS, PLANTS

5,700

T63.9

Toxic effect of contact with unspecified venomous animal

POISONING FROM ANIMALS, INSECTS, PLANTS

5,700

T64

Toxic effect of aflation and other mycotoxin food


contaminants

POISONING FROM ANIMALS, INSECTS, PLANTS

5,700

T65.2
Y43.0

Toxic effect of Tobacco and nicotine


Drugs, medicaments and biological substances causing adverse effects in
therapeutic
use: Antiallergic and antiemetic drugs

POISONING FROM ANIMALS, INSECTS, PLANTS


POISONING OTHERS

5,700
8,300

Y54.3

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Benzothiadiazine derivatives

POISONING OTHERS

8,300

Y54.8

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Agents affecting uric acid metabolism

POISONING OTHERS

8,300

Y55.0

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Oxytocic drugs;ergot alkaloids

POISONING OTHERS

8,300

Y56.6

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Otorhinolaryngological drugs and preparations

POISONING OTHERS

8,300

Y58.0

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: BCG vaccine

POISONING OTHERS

8,300

Y58.4

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Tetanus vaccine

POISONING OTHERS

8,300

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

effect
effect
effect
effect
effect
effect
effect

of
of
of
of
of
of
of

Other fish and shellfish poisoning


other seafoods
unspecified seafood
Ingested mushrooms
Ingested berries
Other ingested (parts of) plant(s)
Other specified noxious substances eaten as

FROM
FROM
FROM
FROM
FROM
FROM
FROM

ANIMALS,
ANIMALS,
ANIMALS,
ANIMALS,
ANIMALS,
ANIMALS,
ANIMALS,

INSECTS,
INSECTS,
INSECTS,
INSECTS,
INSECTS,
INSECTS,
INSECTS,

Case Rate
Y59.9

Drugs, medicaments and biological substances causing adverse effects in


therapeutic
use: Vaccine or biological substance, unspecified

POISONING OTHERS

8,300

G60.0

Hereditary motor and sensory neuropathy; Disease Charcot- Marie-Tooth;


Disease Djerine-Sottas; Hereditary motor
and sensory neuropathy, types I-IV; Hypertrophic neuropathy of infancy;
Peroneal muscular atrophy axonal type; Peroneal muscular atrophy hypert

POLYNEUROPATHIES

10,600

G60.1
G60.2
G60.3
G60.8

Refsum's disease
Neuropathy in association with hereditary ataxia
Idiopathic progressive neuropathy
Other hereditary and idiopathic neuropathies; Morvan's disease; Nelaton's
syndrome; Sensory neuropathy dominantly inherited; Sensory neuropathy
recessively
inherited

POLYNEUROPATHIES
POLYNEUROPATHIES
POLYNEUROPATHIES
POLYNEUROPATHIES

10,600
10,600
10,600
10,600

G60.9
G61.0

Hereditary and idiopathic neuropathy, unspecified


Guillain-Barr syndrome; Acute post- infective polyneuritis;
Acute infective polyneuritis

POLYNEUROPATHIES
POLYNEUROPATHIES

10,600
10,600

G61.8
G61.9
G62.0
G62.1
G62.2
G62.8

Other inflammatory polyneuropathies


Inflammatory polyneuropathy, unspecified
Drug-induced polyneuropathy
Alcoholic polyneuropathy
Polyneuropathy due to other toxic agents
Other specified polyneuropathies; Radiation-induced
polyneuropathy

POLYNEUROPATHIES
POLYNEUROPATHIES
POLYNEUROPATHIES
POLYNEUROPATHIES
POLYNEUROPATHIES
POLYNEUROPATHIES

10,600
10,600
10,600
10,600
10,600
10,600

G62.9
G63.8*

Polyneuropathy, unspecified; Neuropathy NOS


Polyneuropathy in other diseases classified elsewhere

POLYNEUROPATHIES
POLYNEUROPATHIES

10,600
10,600

G64

Other disorders of peripheral nervous system; Disorder of


peripheral nervous system NOS

POLYNEUROPATHIES

10,600

N84.0

Polyp of corpus uteri; Polyp of endometrium; Polyp of


uterus NOS

POLYPS, FEMALE GENITAL TRACT

5,200

N84.1
N84.2
N84.3
N84.8
N84.9
O08.2

Polyp of cervix uteri; Mucous polyp of cervix


Polyp of vagina
Polyp of vulva; Polyp of labia
Polyp of other parts of female genital tract
Polyp of female genital tract, unspecified
Embolism following abortion and ectopic and molar pregnancy; Embolism
NOS; Air embolism; Amniotic fluid embolism; Blood-clot embolism; Pulmonary
embolism; Pyaemic embolism; Septic or septicopyaemic embolism;
Soap embolism

POLYPS, FEMALE GENITAL TRACT


POLYPS, FEMALE GENITAL TRACT
POLYPS, FEMALE GENITAL TRACT
POLYPS, FEMALE GENITAL TRACT
POLYPS, FEMALE GENITAL TRACT
POST PARTUM COMPLICATIONS

5,200
5,200
5,200
5,200
5,200
9,300

O08.5

Metabolic disorders following abortion and ectopic and


molar pregnancy

POST PARTUM COMPLICATIONS

9,300

O08.9

Complication following abortion and ectopic and molar


pregnancy, unspecified

POST PARTUM COMPLICATIONS

9,300

O67.8

Other intrapartum haemorrhage; Excessive intrapartum


haemorrhage

POST PARTUM COMPLICATIONS

9,300

O71.0
O71.1

Rupture of uterus before on set of labour


Rupture of uterus during labour; Rupture of uterus not
stated as occuring before onset of labour

POST PARTUM COMPLICATIONS


POST PARTUM COMPLICATIONS

9,300
9,300

O71.2
O71.3

Post partum inversion of uterus


Obstetric laceration of cervix; Annular detachment of cervix

POST PARTUM COMPLICATIONS


POST PARTUM COMPLICATIONS

9,300
9,300

O71.5

Other obstetric injury to pelvic organs; Obstetric injury to


bladder; Obstetric injury to urethra

POST PARTUM COMPLICATIONS

9,300

O71.7

Obstetric haematoma of pelvis; Obstetric haematoma of perineum; Obstetric


haematoma of vagina; Obstetric
haematoma of vulva

POST PARTUM COMPLICATIONS

9,300

O71.8
O71.9
O74.0

Other specified obstetric trauma


Obstetric trauma, unspecified
Aspiration pneumonitis due to anaesthesia during labour and delivery;
Inhalation of stomach contents or secretions NOS due to anaesthesia during
labour and delivery; Mendelson's syndrome due to anaesthesia during labour
and delivery

POST PARTUM COMPLICATIONS


POST PARTUM COMPLICATIONS
POST PARTUM COMPLICATIONS

9,300
9,300
9,300

O74.2

Cardiac complications of anaesthesia during labour and delivery; Cardiac


arrest due to anaesthesia during labour and delivery; Cardiac failure due to
anaesthesia during
labour and delivery

POST PARTUM COMPLICATIONS

9,300

O74.8

Other complications of anaesthesia during labour and


delivery

POST PARTUM COMPLICATIONS

9,300

O75.1

Shock during or following labour and delivery; Obstetic


shock

POST PARTUM COMPLICATIONS

9,300

O75.8
O75.9
O87.9

Other specified complications of labour and delivery


POST PARTUM COMPLICATIONS
Complication of labour and delivery, unspecified
POST PARTUM COMPLICATIONS
Venous complication in the puerperium, unspecified; Puerperal phlebitis NOS; POST PARTUM COMPLICATIONS
Puerperal phlebopathy NOS;
Puerperal thrombosis NOS

9,300
9,300
9,300

Z39.0
E89.0

Care and examination immediately after delivery


Postprocedural hypothyroidism; Postirradiation
hypothyroidism; Postsurgical hypothyroidism

POSTPARTUM CARE FOR DELIVERIES IN TRANSIT


POSTPROCEDURAL DISORDERS

2,000
10,300

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

E89.2

Postprocedural hypoparathyroidism; Parathyroprival tetany

POSTPROCEDURAL DISORDERS

10,300

E89.3

Postprocedural hypopituitarism; Postirradiation


hypopituitarism

POSTPROCEDURAL DISORDERS

10,300

E89.4
E89.5
E89.6

Postprocedural
Postprocedural
Postprocedural
Postprocedural

POSTPROCEDURAL DISORDERS
POSTPROCEDURAL DISORDERS
POSTPROCEDURAL DISORDERS

10,300
10,300
10,300

E89.8

Other postprocedural endocrine and metabolic disorders

POSTPROCEDURAL DISORDERS

10,300

G97.1
G97.8
H59.0
H59.8

Other reaction to spinal and lumbar puncture


Other postprocedural disorders of nervous system
Vitreous syndrome following cataract surgery
Other postprocedural disorders of eye and adnexa;
Chorioretinal scars after surgery for detachment

POSTPROCEDURAL
POSTPROCEDURAL
POSTPROCEDURAL
POSTPROCEDURAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS

10,300
10,300
10,300
10,300

H59.9

Postprocedural disorder of eye and adnexa, unspecified

POSTPROCEDURAL DISORDERS

10,300

H95.8

Other postprocedural disorders of ear and mastoid process

POSTPROCEDURAL DISORDERS

10,300

I97.0
I97.2

Postcardiotomy syndrome
Postmastectomy lymphoedema syndrome; Elephantiasis due to mastectomy;
Obliteration of lymphatic vessels due
to mastectomy

POSTPROCEDURAL DISORDERS
POSTPROCEDURAL DISORDERS

10,300
10,300

J95.0

Tracheostomy malfunction; Haemorrhage from tracheostomy stoma;


Obstruction of tracheostomy airway; Sepsis of tracheostomy stoma; Tracheooesophageal fistula
following tracheostomy

POSTPROCEDURAL DISORDERS

10,300

J95.1

Acute pulmonary insufficiency following thoracic surgery

POSTPROCEDURAL DISORDERS

10,300

J95.2

Acute pulmonary insufficiency following nonthoracic


surgery

POSTPROCEDURAL DISORDERS

10,300

J95.4
J95.5
J95.8
J95.9
K91.0

Mendelson's syndrome
Postprocedural subglottic stenosis
Other postprocedural respiratory disorders
Postprocedural respiratory disorder, unspecified
Vomiting following gastrointestinal surgery

POSTPROCEDURAL
POSTPROCEDURAL
POSTPROCEDURAL
POSTPROCEDURAL
POSTPROCEDURAL

10,300
10,300
10,300
10,300
10,300

ovarian failure
testicular hypofunction
adrenocortical hypofunction;
adreno-medullary hypofunction

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

K91.1

Postgastric surgery syndromes; Dumping syndrome;


Postgastrectomy syndrome; Postvagotomy syndrome

POSTPROCEDURAL DISORDERS

10,300

K91.2

Postsurgical malabsorption, not elsewhere classified;


Postsurgical blind loop syndrome

POSTPROCEDURAL DISORDERS

10,300

K91.3
K91.4
K91.5
K91.8

Postoperative intestinal obstruction


Colostomy and enterostomy malfunction
Postcholecystectomy syndrome
Other postprocedural disorders of digestive system, not
elsewhere classified

POSTPROCEDURAL
POSTPROCEDURAL
POSTPROCEDURAL
POSTPROCEDURAL

DISORDERS
DISORDERS
DISORDERS
DISORDERS

10,300
10,300
10,300
10,300

K91.9

Postprocedural disorder of digestive system, unspecified

POSTPROCEDURAL DISORDERS

10,300

N99.0
N99.1

Postprocedural renal failure


Postprocedural urethral stricture; Postcatheterization
urethral stricture

POSTPROCEDURAL DISORDERS
POSTPROCEDURAL DISORDERS

10,300
10,300

N99.4
N99.8

Postprocedural pelvic peritoneal adhesions


Other postprocedural disorders of genitourinary system;
Residual ovary syndrome

POSTPROCEDURAL DISORDERS
POSTPROCEDURAL DISORDERS

10,300
10,300

N99.9

Postprocedural disorder of genitourinary system,


unspecified

POSTPROCEDURAL DISORDERS

10,300

T81.0

Haemorrhage and haematoma complicating a procedure, not elsewhere


classified; Haemorrhage at any site resulting
from a procedure

POSTPROCEDURAL DISORDERS

10,300

T81.1

Shock during or resulting from a procedure not elsewhere classified; Collapse POSTPROCEDURAL DISORDERS
NOS during or following a procedure; Endotoxic shock during or following a
procedure; Hypovolaemic during or following a procedure; Septic shock during
or following a procedure;

10,300

T81.2

Accidental puncture and laceration during a procedure not elsewhere


classified; Accidental perforation of blood vessel by catheter, endoscope,
instrument, probe during a procedure; Accidental perforation of nerve by
catheter, endoscope, instrument, probe

POSTPROCEDURAL DISORDERS

10,300

T81.3

Disruption of operation wound, not elsewhere classified; Dehiscene of


operation wound; Rupture of operation
wound

POSTPROCEDURAL DISORDERS

10,300

T81.4

Infection following a procedure, not elsewhere classified; Intra-abdominal


abscess postprocedural abcess; Intra- abdominal stitch postprocedural
abscess; Intra-abdominal subphrenic postprocedural abcess; Intra-abdominal
wound postprocedural abcess; Septica

POSTPROCEDURAL DISORDERS

10,300

T81.8

Other complications of procedures, not elsewhere classified; Complication of


inhalation therapy; Emphysema (subcutaneous) resulting from a procedure;
Persistent
postoperative fistula

POSTPROCEDURAL DISORDERS

10,300

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

T82.0

Mechanical complication of heart valve prosthesis; Mechanical breakdown due


to heart valve prosthesis; Displacement due to heart valve prosthesis; Failure
due to heart valve prosthesis; Leakage due to heart valve
prosthesis; Malposition due to heart valve

POSTPROCEDURAL DISORDERS

10,300

T82.1

Mechanical complication of cardiac electronic device; Conditions listed in


T82.0 due to electrodes; Conditions listed in T82.0 due to pulse generator
(battery)

POSTPROCEDURAL DISORDERS

10,300

T82.2

Mechanical complication of coronary artery bypass and


valve grafts

POSTPROCEDURAL DISORDERS

10,300

T82.3

Mechanical complication of other vascular grafts; Condition listed in T82.0 due POSTPROCEDURAL DISORDERS
to aortic (bifurcation) graft (replacement); Condition listed in T82.0 due to
arterial
(carotid) (femoral) graft (bypass)

10,300

T82.4

Mechanical complication of vascular dialysis catheter

POSTPROCEDURAL DISORDERS

10,300

T82.5

Mechanical complication of other cardiac and vascular devices and implants;


Conditions listed in T82.0 due to arteriovenous fistula surgically created;
arterivenous Shunt surgically created; Artificial heart; Ballon
counterpulsation device; Infusion cat

POSTPROCEDURAL DISORDERS

10,300

T82.7

Infection and inflammatory reaction due to other cardiac


and vascular devices, implants and grafts

POSTPROCEDURAL DISORDERS

10,300

T82.8

Other complications of cardiac and vascular prosthetic devices, implants and POSTPROCEDURAL DISORDERS
grafts; Complication due to cardiac and vascular prosthetic devices, implants
and grafts; Embolism due to cardiac and vascular prosthetic devices, implants
and grafts; Fibrosis d

10,300

T83.1

Mechanical complication of other urinary devices and implants; Concditions


listed in T82.0 due to Urinary electronic stimultor device; Urinary sphincter
implant;
Urinary stent

POSTPROCEDURAL DISORDERS

10,300

T83.2
T83.3

Mechanical complication of graft of urinary organ


Mechanical complication of intrauterine contraceptive
device

POSTPROCEDURAL DISORDERS
POSTPROCEDURAL DISORDERS

10,300
10,300

T83.5

Infection and inflammatory reaction due to prosthetic


device, implant and graft in urinary system

POSTPROCEDURAL DISORDERS

10,300

T83.8

Other complications of genitourinary prosthetic devices,


implants and grafts

POSTPROCEDURAL DISORDERS

10,300

T83.9

Unspecified complication of genitourinary prosthetic


device, implants and grafts

POSTPROCEDURAL DISORDERS

10,300

T84.0
T84.1

Mechanical complication of internal joint prosthesis


Mechanical complication of internal fixation device of
bones of limb

POSTPROCEDURAL DISORDERS
POSTPROCEDURAL DISORDERS

10,300
10,300

T84.2

Mechanical complication of internal fixation device of other


bones

POSTPROCEDURAL DISORDERS

10,300

T84.4

Mechanical complication of other internal orthopaedic


devices, implants and grafts

POSTPROCEDURAL DISORDERS

10,300

T84.5

Infection and inflammatory reaction due to internal joint


prosthesis

POSTPROCEDURAL DISORDERS

10,300

T84.6

Infection and inflammatory reaction due to internal fixation


device [any site]

POSTPROCEDURAL DISORDERS

10,300

T84.7

Infection and inflammatory reaction due to other internal orthopaedic


prosthetic devices, implants and grafts

POSTPROCEDURAL DISORDERS

10,300

T84.8

Other complications of internal orthopaedic prosthetic


devices, implants and grafts

POSTPROCEDURAL DISORDERS

10,300

T84.9

Unspecified complication of internal orthopaedic prosthetic


device, implant and graft

POSTPROCEDURAL DISORDERS

10,300

T85.0

Mechanical complication of ventricular intracranial


(communicating) shunt

POSTPROCEDURAL DISORDERS

10,300

T85.3

Mechanical complication of other ocular prosthetic devices, implants and


grafts Conditions listed in T82.0 due to
corneal graft; Conditions listed in T82.0 due to prosthetic
orbit of eye

POSTPROCEDURAL DISORDERS

10,300

T85.5

Mechanicalcomplicationofgastrointestinalprostheticdevices implantsand;
Conditions listed in T82.0 due to Bile-duct prosthesis; Conditions listed in
T82.0 oesophageal antireflux device

POSTPROCEDURAL DISORDERS

10,300

T85.6

Mechanical complication of other specified internal prosthetic devices,


Implants and grafts; Conditions listed in T82.0 due to epidural and subdural
infusion catheter; Conditions listed in T82.0 due to intraperitonael dialysis
catheter; Conditions listed

POSTPROCEDURAL DISORDERS

10,300

T85.7

Infection and inflammatory reaction due to other internal


prosthetic devices, implants and grafts

POSTPROCEDURAL DISORDERS

10,300

T85.8

Other complications of internal prosthetic devices, implants


and grafts, not elsewhere classified

POSTPROCEDURAL DISORDERS

10,300

T85.9

Unspecified complication of internal prosthetic device, implant and graft;


Complication of internal prosthetic
device, implants and graft NOS

POSTPROCEDURAL DISORDERS

10,300

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

N40

Hyperplasia of prostate; Adenofibromatous hypertrophy of prostate; Adenoma PROSTATE DISORDERS


(benign)of prostate ; Enlargement of prostate (benign); Fibroadenoma of
prostate; Fibroma of prostate; Hypertrophy of prostate (benign); Myoma of
prostate; Median bar (prostate),

9,200

N41.0
N41.1
N41.2
N41.3
N41.8
N41.9

Acute prostatitis
Chronic prostatitis
Abscess of prostate
Prostatocystitis
Other inflammatory diseases of prostate
Inflammatory disease of prostate, unspecified; Prostatitis
NOS

PROSTATE
PROSTATE
PROSTATE
PROSTATE
PROSTATE
PROSTATE

9,200
9,200
9,200
9,200
9,200
9,200

N42.0
N42.1
N42.2
N42.8
N42.9
O15.2
O85

Calculus of prostate; Prostatic stone


Congestion and haemorrhage of prostate
Atrophy of prostate
Other specified disorders of prostate
Disorder of prostate, unspecified
Eclampsia in the puerperium
Puerperal sepsis; Puerperal endometritis; Puerperal fever;
Puerperal peritonitis; Puerperal septicaemia

PROSTATE DISORDERS
PROSTATE DISORDERS
PROSTATE DISORDERS
PROSTATE DISORDERS
PROSTATE DISORDERS
PUERPERAL COMPLICATIONS
PUERPERAL COMPLICATIONS

9,200
9,200
9,200
9,200
9,200
6,800
10,600

O86.0

Infection of obstetric surgical wound; Infected caesarean section wound


following delivery; Infected perineal repair
following delivery

PUERPERAL COMPLICATIONS

10,600

O86.1

Other infection of genital tract following delivery; Cervicitis following


delivery; Vaginitis following delivery

PUERPERAL COMPLICATIONS

10,600

O86.2
O86.3

Urinary tract infection following delivery


Other genitourinary tract infections following delivery;
Puerperal genitourinary tract infection NOS

PUERPERAL COMPLICATIONS
PUERPERAL COMPLICATIONS

10,600
10,600

O86.4

Pyrexia of unknown origin following delivery; Puerperal


infection NOS; Puerperal pyrexia NOS

PUERPERAL COMPLICATIONS

10,600

O86.8
O87.0
O87.1

Other specified puerpera linfections


PUERPERAL COMPLICATIONS
Superficial thrombophlebitis in the puerperium
PUERPERAL COMPLICATIONS
Deep phlebothrombosis in the puerperium; Deep-vein thrombosis, postpartum; PUERPERAL COMPLICATIONS
Pelvic thrombophlebitis,
postpartum

10,600
10,600
10,600

O87.2
O87.8

Haemorrhoids in the puerperium


Other venous complications in the puerperium; Genital
varices in the puerperium

PUERPERAL COMPLICATIONS
PUERPERAL COMPLICATIONS

10,600
10,600

O88.1
O88.2

Amniotic fluid embolism


Obstetric blood-clot embolism; Obstetric pulmonary
embolism NOS; Puerperal pulmonary embolism NOS

PUERPERAL COMPLICATIONS
PUERPERAL COMPLICATIONS

10,600
10,600

DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS
DISORDERS

O89.0

Pulmonary complications of anaesthesia during the puerperium; Aspiration


pneumonitis due to anaesthesia during the puerperium; Inhalation of
stomach
contents or secretions NOS due to anaesthesia during the puerperium
Mendelson's syndrome due to anaest

PUERPERAL COMPLICATIONS

10,600

O89.1

Cardiac complications of anaesthesia during the puerperium; Cardiac arrest


due to anaesthesia during the puerperium; Cardiac failure due to anaesthesia
during the
puerperium

PUERPERAL COMPLICATIONS

10,600

O89.2

Central nervous system complications of anaesthesia


during the puerperium; Cerebral anoxia due to anaesthesia during the
puerperium

PUERPERAL COMPLICATIONS

10,600

O89.4

Spinal and epidural anaesthesia-induced headache during


the puerperium

PUERPERAL COMPLICATIONS

10,600

O89.8

Other complications of anaesthesia during the puerperium

PUERPERAL COMPLICATIONS

10,600

O89.9

Complication of anaesthesia during the puerperium,


unspecified

PUERPERAL COMPLICATIONS

10,600

O90.0
O90.1

Disruption of caesarean section wound


Disruption of perineal obstetric wound; Disruption of wound of episiotomy;
Disruption of wound of perineal
laceration; Secondary perineal tear

PUERPERAL COMPLICATIONS
PUERPERAL COMPLICATIONS

10,600
10,600

O90.2
O90.3
O90.4

Haematoma of obstetric wound


Cardiomyopathy in the puerperium
Postpartum acute renal failure; Hepatorenal syndrome
following labour and delivery

PUERPERAL COMPLICATIONS
PUERPERAL COMPLICATIONS
PUERPERAL COMPLICATIONS

10,600
10,600
10,600

O90.5
O90.8

Postpartum thyroiditis
Other complications of the puerperium, not elsewhere
classified

PUERPERAL COMPLICATIONS
PUERPERAL COMPLICATIONS

10,600
10,600

O90.9
P20.0

Complication of the puerperium, unspecified


Intrauterine hypoxia first noted before onset of labour

PUERPERAL COMPLICATIONS
PULMONARY COMPLICATIONS IN THE NEWBORN

10,600
10,900

P20.1

Intrauterine hypoxia first noted during labour and delivery

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P20.9

Intrauterine hypoxia, unspecified

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

P21.0

Severe birth asphyxia; Pulse less than 100 per minute at birth and falling or
steady, respiration absent or gasping, colour poor, tone absent; Asphyxia
with 1-minute apgar
score 0-3; White asphyxia

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P21.1

Mild and moderate birth asphyxia; Normal respiration not established within
one minute, but heart rate 100 or above, some muscle tone present, some
response to stimulation; Asphyxia with 1-minute Apgar score 4-7; Blue
asphyxia

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P21.9

Birth asphyxia, unspecified; Anoxia, NOS; Asphyxia, NOS;


Hypoxia, NOS

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P22.0

Respiratory distress syndrome of newborn; Hyaline


membrane disease

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P22.1

Transient tachypnoea of newborn

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P22.8

Other respiratory distress of newborn

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P22.9

Respiratory distress of newborn, unspecified

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P24.0

Neonatal aspiration of meconium

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P24.1

Neonatal aspiration of amniotic fluid and mucus;Aspiration


of liquor (amnii)

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P24.2

Neonatal aspiration of blood

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P24.3

Neonatal aspiration of milk and regurgitated food

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P24.8

Other neonatal aspiration syndromes

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P24.9

Neonatal aspiration syndrome, unspecified; Neonatal


aspiration pneumonia NOS

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P25.0

Interstitial emphysema originating in the perinatal period

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P25.1

Pneumothorax originating in the perinatal period

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P25.2

Pneumomediastinum originating in the perinatal period

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P25.8

Other conditions related to interstitial emphysema


originating in the perinatal period

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P26.0

Tracheobronchial haemorrhage originating in the perinatal


period

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P26.1

Massive pulmonary haemorrhage originating in the


perinatal period

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P26.8

Other pulmonary haemorrhages originating in the perinatal


period

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P26.9

Unspecified pulmonary haemorrhage originating in the


perinatal period

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P27.0

Wilson-Mikity syndrome; Pulmonary dysmaturity

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P27.1

Bronchopulmonary dysplasia originating in the perinatal


period

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P27.8

Other chronic respiratory diseases originating in the perinatal period;


Congenital pulmonary fibrosis; Ventilator
lung in newborn

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P27.9

Unspecified chronic respiratory disease originating in the


perinatal period

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P28.0

Primary atelectasis of newborn; Primary failure to expand terminal


respiratory units; Pulmonary hypoplasia
associated with short gestation; Pulmonary immaturity NOS

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P28.1

Other and unspecified atelectasis of newborn; Atelectasis, NOS; Atelectasis,


partial; Atelectasis, secondary; Resorption atelectasis without respiratory
distress syndrome

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P28.2

Cyanotic attacks of newborn

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P28.3

Primary sleep apnoea of newborn; leep apnoea of newborn


NOS

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P28.4

Other apnoea of newborn

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P28.5

Respiratory failure of newborn

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P28.8

Other specified respiratory conditions of newborn;


congenital laryngeal stridor NOS; Snuffles in newborn

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P29.3

Persistent fetal circulation; Delayed closure of ductus arteriosus; Persistent


pulmonary hypertension of newborn

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

P29.9

Cardiovascular disorder originating in the perinatal period,


unspecified

PULMONARY COMPLICATIONS IN THE NEWBORN

10,900

I26.0

Pulmonary embolism with mention of acute cor pulmonale;


Acute cor pulmonale NOS

PULMONARY EMBOLISM

24,300

I26.9

Pulmonary embolism without mention of acute cor


pulmonale; Pulmonary embolism NOS

PULMONARY EMBOLISM

24,300

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

I27.0
I27.1
I27.2

Primary pulmonary hypertension


Kyphoscoliotic heart disease
Other secondary pulmonary hypertension; Pulmonary
artery hypertension

PULMONARY HEART DISEASE


PULMONARY HEART DISEASE
PULMONARY HEART DISEASE

14,100
14,100
14,100

I27.8
I27.9

Other specified pulmonary heart diseases


Pulmonary heart disease, unspecified; Chronic cardiopulmonary disease;
Chronic Cor pulmonale NOS

PULMONARY HEART DISEASE


PULMONARY HEART DISEASE

14,100
14,100

N11.0

Nonobstructive reflux-associated chronic pyelonephritis; Chronic Pyelonephritis PYELONEPHRITIS


associated with vesicoureteral reflux

10,900

N11.1

Chronic obstructive pyelonephritis; Chronic pyelonephritis associated with


anomaly of [pelviureteric junction, pyeloureteric junction, ureter]; Chronic
pyelonephritis associated with kinking of [pelviureteric junction, pyeloureteric
junction, ureter]; Chr

PYELONEPHRITIS

10,900

N11.8

Other chronic tubulo-interstitial nephritis; Nonobstructive


chronic pyelonephritis NOS

PYELONEPHRITIS

10,900

D60.0
D60.8
D60.9
N28.0

Chronic acquired pure red cell aplasia


Other acquired pure red cell aplasias
Acquired pure red cell aplasia, unspecified
Ischaemia and infarction of kidney; Embolism of renal artery; Obstruction of
renal artery; Occlusion of renal
artery; Thrombosis of renal artery; Renal infarct

RED CELL APLASIA


RED CELL APLASIA
RED CELL APLASIA
RENAL INFARCT

7,300
7,300
7,300
9,600

N15.1
N30.8
N34.0

Renal and perinephric abscess


Other cystitis; Abscess of bladder
Urethral abscess; Abscess of Cowper's gland; Abscess of
Littr's gland; Periurethral Abscess ; Abscess of urethral gland

RENAL/BLADDER ABSCESS
RENAL/BLADDER ABSCESS
RENAL/BLADDER ABSCESS

13,900
13,900
13,900

J60

Coalworker's pneumoconiosis; Anthracosilicosis;


Anthracosis; Coalworker's lung

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J61

Pneumoconiosis due to asbestos and other mineral fibres;


Asbestosis

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J62.0

Pneumoconiosis due to talc dust

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J62.8

Pneumoconiosis due to other dust containing silica; Silicosis


NOS

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J63.0

Aluminosis (of lung)

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J63.3

Graphite fibrosis (of lung)

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J63.4

Siderosis

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J63.8

Pneumoconiosis due to other specified inorganic dusts

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J64

Unspecified pneumoconiosis

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J65

Pneumoconiosis associated with tuberculosis

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J66.2

Cannabinosis

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J66.8

Airway disease due to other specific organic dusts

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J67.0

Farmer's lung; Harvester's lung; Haymaker's lung; Mouldy


hay disease

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J67.1

Bagassosis; Bagasse disease; Bagasse pneumonitis

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J67.5

Mushroom-worker's lung

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J67.7

Air-conditioner and humidifier lung; Allergic alveolitis due to fungi,


thermophilic actinomycetees and other organisms growing in ventilation (airconditioning) systems

RESPIRATORY CONDITIONS DUE TO EXTERNAL AGENTS

14,700

J67.8

Hypersensitivity pneumonitis due to other organic dusts; Cheese-washer's


lung; Coffee-worker's lung; Fishmealworker's lung; Furrier's lung; Sequoiosis

RESPIRATORY CONDITIONS DUE TO EXTERNAL AGENTS

14,700

J67.9

Hypersensitivity pneumonitis due to unspecified organic dust; Extrinsic


allergic alveolitis NOS; Hypersensitivity
pneumonitis NOS

RESPIRATORY CONDITIONS DUE TO EXTERNAL AGENTS

14,700

J68.0

Bronchitis and pneumonitis due to chemicals, gases, fumes


and vapours; Acute chemical bronchitis

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J68.1

Acute pulmonary oedema due to chemicals, gases, fumes and vapours; Acute RESPIRATORY CONDITIONS DUE TO EXTERNAL AGENTS
Chemical pulmonary oedema

14,700

J68.2

Upper respiratory inflammation due to chemicals, gases,


fumes and vapours, not elsewhere classified

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J68.3

Other acute and subacute respiratory conditions due to chemicals, gases,


fumes and vapours; Reactive airways dysfunction syndrome; Hyperactive
airway disease

RESPIRATORY CONDITIONS DUE TO EXTERNAL AGENTS

14,700

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

J68.4

Chronic respiratory conditions due to chemicals, gases, fumes and vapours;


RESPIRATORY CONDITIONS DUE TO EXTERNAL AGENTS
Diffuse emphysema due to inhalation of chemicals, gases, fumes and vapours;
Chronic emphysema due to inhalation of chemicals, gases, fumes and
vapours; Chronic obliterative bronchi

14,700

J68.8

Other respiratory conditions due to chemicals, gases, fumes


and vapours

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J68.9

Unspecified respiratory condition due to chemicals, gases,


fumes and vapours

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J69.0

Pneumonitis due to food and vomit; Aspiration pneumonia due to NOS;


RESPIRATORY CONDITIONS DUE TO EXTERNAL AGENTS
Aspiration pneumonia due to regurgitated food; Aspiration pneumonia due to
gastric secretions; Aspiration pneumonia due to milk; Aspiration pneumonia
due to vomit

14,700

J69.1

Pneumonitis due to oils and essences; Lipid pneumonia

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J69.8

Pneumonitis due to other solids and liquids; Pneumonitis


due to aspiration of blood

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J70.0

Acute pulmonary manifestations due to radiation;


Radiation pneumonitis

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J70.2

Acute drug-induced interstitial lung disorders

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J70.4

Drug-induced interstitial lung disorders, unspecified

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J70.8

Respiratory conditions due to other specified external


agents

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J70.9

Respiratory conditions due to unspecified external agent

RESPIRATORY CONDITIONS DUE TO EXTERNAL


AGENTS

14,700

J96.0
J96.1
J96.9
H34.1
H34.2

Acute respiratory failure


Chronic respiratory failure
Respiratory failure, unspecified
Central retinal artery occlusion
Other retinal artery occlusions; Hollenhorst's plaque; Retinal artery occlusion;
Retinal artery branch occlusion ; Retinal artery partial occlusion; Retinal
microembolism

RESPIRATORY FAILURE
RESPIRATORY FAILURE
RESPIRATORY FAILURE
RETINAL VASCULAR OCCLUSION
RETINAL VASCULAR OCCLUSION

32,000
32,000
32,000
7,700
7,700

H34.8

Other retinal vascular occlusions; Retinal central vein occlusion ; Retinal vein
occlusion incipient; Retinal vein occlusion partial; Retinal vein occlusion
tributary

RETINAL VASCULAR OCCLUSION

7,700

H34.9
I00

Retinal vascular occlusion, unspecified


Rheumatic fever without mention of heart involvement; Arthritis, rheumatic,
acute or subacute involvement

RETINAL VASCULAR OCCLUSION


RHEUMATIC FEVER

7,700
10,100

I01.0

Acute rheumatic pericarditis; Acute rheumatic pericarditis

RHEUMATIC FEVER

10,100

I01.1

Acute rheumatic endocarditis; Acute rheumatic valvulitis

RHEUMATIC FEVER

10,100

I01.2
I01.8

Acute rheumatic myocarditis;


Other acute rheumatic heart disease; Acute rheumatic
pancarditis

RHEUMATIC FEVER
RHEUMATIC FEVER

10,100
10,100

I01.9

Acute rheumatic heart disease unspecified; Acute rheumatic carditis; Active


rheumatic heart disease; Acute
rheumatic heart disease

RHEUMATIC FEVER

10,100

I02.0

Rheumatic chorea with heart involvement; Chorea NOS


with heart involvement

RHEUMATIC FEVER

10,100

I02.9

Rheumatic chorea without heart involvement; Rheumatic


chorea NOS

RHEUMATIC FEVER

10,100

I05.0
I05.1

Mitral stenosis; Rheumatic mitral valve obstruction


Rheumatic mitral insufficiency; Rheumatic mitral
incompetence; Rheumatic mitral regurgitation

RHEUMATIC HEART DISEASE


RHEUMATIC HEART DISEASE

12,800
12,800

I05.2

Mitral stenosis with insufficiency; Mitral stenosis with


incompetence or regurgitation

RHEUMATIC HEART DISEASE

12,800

I05.8
I05.9

Other mitral valve diseases; Mitral valve failure


Mitral valve disease unspecified; Chronic mitral valve
disorder NOS

RHEUMATIC HEART DISEASE


RHEUMATIC HEART DISEASE

12,800
12,800

I06.0

Rheumatic aortic stenosis; Rheumatic aortic valve


obstruction

RHEUMATIC HEART DISEASE

12,800

I06.1

Rheumatic aortic insufficiency; Rheumatic aortic


incompetence; Rheumatic aortic regurgitation

RHEUMATIC HEART DISEASE

12,800

I06.2

Rheumatic aortic stenosis with insufficiency; Rheumatic aortic stenosis with


incompetence or regurgitation

RHEUMATIC HEART DISEASE

12,800

I06.8
I06.9

Other rheumatic aortic valve diseases


Rheumatic aortic valve disease unspecified; Rheumatic
aortic valve disease NOS

RHEUMATIC HEART DISEASE


RHEUMATIC HEART DISEASE

12,800
12,800

I07.0

Tricuspid stenosis; Rheumatic tricuspid valve stenosis

RHEUMATIC HEART DISEASE

12,800

I07.1

Tricuspid insufficiency; Rheumatic tricuspid valve


insufficiency

RHEUMATIC HEART DISEASE

12,800

I07.9

Tricuspid valve disease unspecified; Tricuspid valve disorder


NOS

RHEUMATIC HEART DISEASE

12,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

I08.0

Disorders of both mitral and aortic valves; Involvement of both mitral and
aortic valves whether specified as
rheumatic or of unspecified origin

RHEUMATIC HEART DISEASE

12,800

I08.1
I08.2
I08.3

Disorders of both mitral and tricuspid valves


Disorders of both aortic and tricuspid valves
Combined disorders of mitral aortic and tricuspid valves

RHEUMATIC HEART DISEASE


RHEUMATIC HEART DISEASE
RHEUMATIC HEART DISEASE

12,800
12,800
12,800

I08.8
I08.9
I09.0
I09.1

Other multiple valve diseases


Multiple valve disease, unspecified
Rheumatic myocarditis
Rheumatic diseases of endocardium, valve unspecified; Chronic rheumatic
endocarditis; Chronic rheumatic
valvulitis

RHEUMATIC
RHEUMATIC
RHEUMATIC
RHEUMATIC

DISEASE
DISEASE
DISEASE
DISEASE

12,800
12,800
12,800
12,800

I09.2

Chronic rheumatic pericarditis; Rheumatic adherent pericardium; Chronic


rheumatic mediastinopericarditis; Chronic rheumatic myopericarditis

RHEUMATIC HEART DISEASE

12,800

I09.8

Other specified rheumatic heart diseases; Rheumatic


disease of pulmonary valve

RHEUMATIC HEART DISEASE

12,800

A75.0

Epidemic louse-borne typhus fever due to Rickettsia prowazekii; Cl assical


typhus fever;
Epidemic louse-borne typhus

RICKETTSIOSES

7,000

A75.9
A77.0

Typhus fever, unspecified


Spotted fever due to Rickettsia rickettsii; Rocky Mountain
spotted fever; Sao Paulo fever

RICKETTSIOSES
RICKETTSIOSES

7,000
7,000

A79.0
A79.9
U04.9
A38
A40.0
A40.1
A40.3

Trench fever ; Quintan fever; Wolhynian fever


Rickettsiosis, unspecified; Rickettsial infection NOS
Severe Acute Respiratory Syndrome (SARS)
Scarlet fever; Scarlatina
Septicaemia due to streptococcus, group A
Septicaemia due to streptococcus, group B
Septicaemia due to Streptococcus pneumoniae;
Pneumococcal septicaemia

RICKETTSIOSES
RICKETTSIOSES
SARS
SCARLET FEVER
SEPSIS
SEPSIS
SEPSIS

7,000
7,000

A40.8
A40.9
A41.0
A41.1

Other streptococcal septicaemia


Streptococcal septicaemia, unspecified
Septicaemia due to Staphylococcus aureus
Septicaemia due to other specified staphylococcus; Septicaemia due to
coagulase-negative staphylococcus

SEPSIS
SEPSIS
SEPSIS
SEPSIS

32,000
32,000
32,000
32,000

A41.2
A41.3
A41.4
A41.5

Septicaemia due to unspecified staphylococcus


Septicaemia due to Haemophilus influenzae
Septicaemia due to anaerobes
Septicaemia due to other Gram-negative organisms; Gramnegative septicaemia NOS

SEPSIS
SEPSIS
SEPSIS
SEPSIS

32,000
32,000
32,000
32,000

A41.8
A41.9
A48.3
I69.0
I69.1
I69.2

Other specified septicaemia


Septicaemia, unspecified; Septic shock
Toxic shock syndrome
Sequelae of subarachnoid haemorrhage
Sequelae of intracerebral haemorrhage
Sequelae of other nontraumatic intracranial haemorrhage

SEPSIS
SEPSIS
SEPSIS
SEQUELAE OF CEREBROVASCULAR DISEASES
SEQUELAE OF CEREBROVASCULAR DISEASES
SEQUELAE OF CEREBROVASCULAR DISEASES

32,000
32,000
32,000
10,300
10,300
10,300

I69.3
I69.4

Sequelae of cerebral infarction


Sequelae of stroke, not specified as haemorrhage or
infarction

SEQUELAE OF CEREBROVASCULAR DISEASES


SEQUELAE OF CEREBROVASCULAR DISEASES

10,300
10,300

I69.8

Sequelae of other and unspecified cerebrovascular diseases

SEQUELAE OF CEREBROVASCULAR DISEASES

10,300

B90.0

SEQUELAE OF CENTRAL NERVOUS SYSTEM TUBERCULOSIS

SEQUELAE OF INFECTIOUS AND PARASITIC


DISEASES

10,700

B90.8

SEQUELAE OF TUBERCULOSIS OF OTHER ORGANS

SEQUELAE OF INFECTIOUS AND PARASITIC


DISEASES

10,700

B90.9

SEQUELAE OF RESPIRATORY AND UNSPECIFIED


TUBERCULOSIS; SEQUELAE OF TUBERCULOSIS NOS

SEQUELAE OF INFECTIOUS AND PARASITIC


DISEASES

10,700

B94.1

Sequelae of viral encephalitis

SEQUELAE OF INFECTIOUS AND PARASITIC


DISEASES

10,700

B94.2

Sequelae of viral hepatitis

SEQUELAE OF INFECTIOUS AND PARASITIC


DISEASES

10,700

B94.8

Sequelae of other specified infectious and parasitic


diseases

SEQUELAE OF INFECTIOUS AND PARASITIC


DISEASES

10,700

HEART
HEART
HEART
HEART

8,300
32,000
32,000
32,000

B94.9

Sequelae of unspecified infectious or parasitic disease

SEQUELAE OF INFECTIOUS AND PARASITIC


DISEASES

10,700

G09

Sequelae of inflammatory diseases of central nervous


system

SEQUELAE OF INFLAMMATORY DISEASE OF THE


CENTRAL NERVOUS SYSTEM

8,000

E64.8
T90.0
T90.1
T90.2
T90.5
T90.8
T90.9
T91.0

Sequelae
Sequelae
Sequelae
Sequelae
Sequelae
Sequelae
Sequelae
Sequelae
trunk

SEQUELAE
SEQUELAE
SEQUELAE
SEQUELAE
SEQUELAE
SEQUELAE
SEQUELAE
SEQUELAE

8,800
8,500
8,500
8,500
8,500
8,500
8,500
8,500

T91.1
T91.2
T91.3

Sequelae of fracture of spine


Sequelae of other fracture of thorax and pelvis
Sequelae of injury of spinal cord

SEQUELAE OF TRAUMA INJURIES


SEQUELAE OF TRAUMA INJURIES
SEQUELAE OF TRAUMA INJURIES

8,500
8,500
8,500

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

of
of
of
of
of
of
of
of

other nutritional deficiencies


superficial injury of head
open wound of head
fracture of skull and facial bones
intra cranial injury
other specified injuries of head
unspecified injury of head
superficial injury and open wound of neck and

OF
OF
OF
OF
OF
OF
OF
OF

NUTRITIONAL DEFICIENCIES
TRAUMA INJURIES
TRAUMA INJURIES
TRAUMA INJURIES
TRAUMA INJURIES
TRAUMA INJURIES
TRAUMA INJURIES
TRAUMA INJURIES

Case Rate
T92.0
T92.1
T92.8
T93.0
T93.1
T93.2
T93.3

Sequelae
Sequelae
Sequelae
Sequelae
Sequelae
Sequelae
Sequelae

of
of
of
of
of
of
of

open wound of upper limb


fracture of arm
other specified injuries of upper limb
open wound of lower limb
fracture of femur
other fractures of lower limb
dislocation sprain and strain of lower limb

SEQUELAE
SEQUELAE
SEQUELAE
SEQUELAE
SEQUELAE
SEQUELAE
SEQUELAE

OF
OF
OF
OF
OF
OF
OF

TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA

INJURIES
INJURIES
INJURIES
INJURIES
INJURIES
INJURIES
INJURIES

8,500
8,500
8,500
8,500
8,500
8,500
8,500

T93.8
T94.0
T94.1
T95.0

Sequelae
Sequelae
Sequelae
Sequelae

of
of
of
of

other specified injuries of lower limb


injuries involving multiple body regions
injuries, not specified by body regions
burn, corrosion and frostbite of head and neck

SEQUELAE
SEQUELAE
SEQUELAE
SEQUELAE

OF
OF
OF
OF

TRAUMA
TRAUMA
TRAUMA
TRAUMA

INJURIES
INJURIES
INJURIES
INJURIES

8,500
8,500
8,500
8,500

T95.2

Sequelae of burn, corrosion and frostbite of upper limb

SEQUELAE OF TRAUMA INJURIES

8,500

T95.3

Sequelae of burn, corrosion and frostbite of lower limb

SEQUELAE OF TRAUMA INJURIES

8,500

T95.8

Sequelae of other specified burn corrosion and frostbite

SEQUELAE OF TRAUMA INJURIES

8,500

T95.9
T98.2
R57.0
R57.1
R57.8
R57.9

Sequelae of unspecified burn, corrosion and frostbite


Sequelae of certain early complications of trauma
Cardiogenic shock
Hypovolaemic shock
Other shock; Endotoxic shock
Shock, unspecified; Failure of peripheral circulation NOS

SEQUELAE OF TRAUMA INJURIES


SEQUELAE OF TRAUMA INJURIES
SHOCK
SHOCK
SHOCK
SHOCK

8,500
8,500
32,000
32,000
32,000
32,000

T88.2

Shock due to anaesthesia; Shock due to anaesthesia in which the correct


sustance was properly administered

SHOCK

32,000

Q89.3

Situs inversus; Dextrocardia with situs inversus; Mirror- image atrial


arrangement with situs inversus; Situs inversus or transverses abdominalis;
Situs inversus or transversus thoracis; Transposition of abdominal viscera;
Transposition
of thoracic visce

SITUS INVERSUS

6,700

S02.0

Fracture o f vault of skull; Fracture of Frontal bone;


Fracture of Parietal bone

SKULL FRACTURES

10,700

S02.00

CLOSED FRACTURE OF VAULT OF SKULL/ FRONTAL BONE/


PARIETAL BONE

SKULL FRACTURES

10,700

S02.01

OPEN FRACTURE OF VAULT OF SKULL/ FRONTAL BONE/


PARIETAL BONE

SKULL FRACTURES

10,700

S02.1

Fracture of base of skull: Fracture of anterior fossa, middle fossa, posterior


SKULL FRACTURES
fossa; Fracture of Occiput; Fracture of orbital roof; Fracture of ethmoid sinus
& frontal sinus; Fracture of Sphenoid; Fracture of temporal bone

10,700

S02.10

CLOSED FRACTURE OF BASE OF SKULL/ ANTERIOR FOSSA/ MIDDLE FOSSA/


POSTERIOR FOSSA/ OCCIPUT/ ORBITAL ROOF/ ETHMOID SINUS/ FRONTAL
SINUS/ SPHENOID/
TEMPORAL BONE

SKULL FRACTURES

10,700

S02.11

OPEN FRACTURE OF BASE OF SKULL/ ANTERIOR FOSSA/ MIDDLE FOSSA/


POSTERIOR FOSSA/ OCCIPUT/ ORBITAL ROOF/ ETHMOID SINUS/ FRONTAL
SINUS/ SPHENOID/
TEMPORAL BONE

SKULL FRACTURES

10,700

S02.20
S02.21
S02.30
S02.31
S02.40
S02.41
S02.50
S02.60
S02.61
S02.70

closed fracture of nasal bones


open fracture of nasal bones
Closed fracture of orbital floor
Open fracture of orbital floor
Closed Fracture of malar and maxillary bones
Open Fracture of malar and maxillary bones
Closed Fracture of tooth
Closed Fracture of mandible
Open Fracture of mandible
Closed Multiple fractures involving skull and facial bones

SKULL
SKULL
SKULL
SKULL
SKULL
SKULL
SKULL
SKULL
SKULL
SKULL

FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES
FRACTURES

10,700
10,700
10,700
10,700
10,700
10,700
10,700
10,700
10,700
10,700

S02.71

Open Multiple fractures involving skull and facial bones

SKULL FRACTURES

10,700

S02.80

closed Fractures of other skull and facial bones including


Alveolus, Orbit NOS, Palate

SKULL FRACTURES

10,700

S02.81

open Fractures of other skull and facial bones including


Alveolus, Orbit NOS, Palate

SKULL FRACTURES

10,700

S02.90

Closed Fracture of skull and facial bones, part unspecified

SKULL FRACTURES

10,700

S02.91

Open Fracture of skull and facial bones, part unspecified

SKULL FRACTURES

10,700

G47.3

Sleep apnoea; Sleep apnoea, central; Sleep apnoea,


obstructive

SLEEP APNEA

10,800

M43.0
M43.1
M43.2
M43.5
M43.6
M45
M46.0

Spondylolysis
Spondylolisthesis
Other fusion of spine; Ankylosis of spinal joint
Other recurrent vertebral subluxation
Torticollis
Ankylosing spondylitis; Rheumatoid arthritis of spine
Spinal enthesopathy; Disorder of ligamentous or muscular
attachments of spine

SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300
8,300
8,300
8,300
8,300
8,300

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

M46.1
M46.16
M46.19
M46.2
M46.28

Sacroiliitis, not elsewhere


Sacroiliitis, not elsewhere
Sacroiliitis, not elsewhere
Osteomyelitis of vertebra
Osteomyelitis of vertebra

M46.29
M46.3
M46.36

classified
classified lumbar region
classified site unspecified

SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300
8,300
8,300
8,300

Osteomyelitis of vertebra site unspecified


Infection of intervertebral disc (pyogenic)
Infection of intervertebral disc (pyogenic) lumbar region

SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300
8,300

M46.4
M46.46
M46.47
M46.49
M46.5
M46.8
M46.87

Discitis, unspecified
Discitis, unspecified lumbar region
Discitis, unspecified lumbosacral region
Discitis, unspecified site unspecified
Other infective spondylopathies
Other specified inflammatory spondylopathies
Other specified inflammatory spondylopathies lumbosacral
region

SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300
8,300
8,300
8,300
8,300
8,300

M46.9
M46.92

Inflammatory spondylopathy, unspecified


Inflammatory spondylopathy, unspecified cervical region

SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300

M46.97

Inflammatory spondylopathy, unspecified lumbosacral


region

SPONDYLOPATHIES

8,300

M46.98

Inflammatory spondylopathy, unspecified sacral and


sacrococcygeal region

SPONDYLOPATHIES

8,300

M46.99

Inflammatory spondylopathy, unspecified site unspecified

SPONDYLOPATHIES

8,300

M47.1
M47.1+G99.2*
M47.2
M47.20

Other spondylosis with myelopathy


Myelopathy in Other spondylosis with myelopathy
Other spondylosis with radiculopathy
Other spondylosis with radiculopathy Multiple sites in
spine

SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300
8,300
8,300

M47.22

Other spondylosis with radiculopathy cervical region

SPONDYLOPATHIES

8,300

M47.26
M47.27

Other spondylosis with radiculopathy lumbar region


Other spondylosis with radiculopathy lumbosacral region

SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300

M47.29

Other spondylosis with radiculopathy site unspecified

SPONDYLOPATHIES

8,300

M47.8

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or
radiculopathy

SPONDYLOPATHIES

8,300

M47.80

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or radiculopathy Multiple sites in spine

SPONDYLOPATHIES

8,300

M47.81

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or radiculopathy occipito-atlanto-axial region

SPONDYLOPATHIES

8,300

M47.82

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or
radiculopathy cervical region

SPONDYLOPATHIES

8,300

M47.83

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or radiculopathy cervicothoracic region

SPONDYLOPATHIES

8,300

M47.84

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or
radiculopathy thoracic region

SPONDYLOPATHIES

8,300

M47.85

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or radiculopathy thoracolumbar region

SPONDYLOPATHIES

8,300

M47.86

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or
radiculopathy lumbar region

SPONDYLOPATHIES

8,300

sacral and sacrococcygeal region

M47.87

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or radiculopathy lumbosacral region

SPONDYLOPATHIES

8,300

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

M47.88

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or radiculopathy sacral and sacrococcygeal region

SPONDYLOPATHIES

8,300

M47.89

Cervical spondylosis without myelopathy or radiculopathy; Lumbosacral


spondylosis without myelopathy or radiculopathy; Thoracic spondylosis
without myelopathy or radiculopathy site unspecified

SPONDYLOPATHIES

8,300

M47.9
M47.90
M47.92
M47.94
M47.95
M47.96
M47.97
M47.99
M48.0
M48.00

Spondylosis, unspecified
Spondylosis, unspecified Multiple sites in spine
Spondylosis, unspecified cervical region
Spondylosis, unspecified thoracic region
Spondylosis, unspecified thoracolumbar region
Spondylosis, unspecified lumbar region
Spondylosis, unspecified lumbosacral region
Spondylosis, unspecified site unspecified
Spinal stenosis; Caudal stenosis
Spinal stenosis; Caudal stenosis Multiple sites in spine

SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300
8,300
8,300
8,300
8,300
8,300
8,300
8,300
8,300

M48.02
M48.03

Spinal stenosis; Caudal stenosis cervical region


Spinal stenosis; Caudal stenosis cervicothoracic region

SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300

M48.04
M48.05

Spinal stenosis; Caudal stenosis thoracic region


Spinal stenosis; Caudal stenosis thoracolumbar region

SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300

M48.06
M48.07
M48.08

Spinal stenosis; Caudal stenosis lumbar region


Spinal stenosis; Caudal stenosis lumbosacral region
Spinal stenosis; Caudal stenosis sacral and sacrococcygeal
region

SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300
8,300

M48.09
M48.1

Spinal stenosis; Caudal stenosis site unspecified


Ankylosing hyperostosis [Forestier]; Diffuse idiopathic
skeletal hyperostosis [DISH]

SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300

M48.16

Ankylosing hyperostosis [Forestier]; Diffuse idiopathic


skeletal hyperostosis [DISH] lumbar region

SPONDYLOPATHIES

8,300

M48.2
M48.3
M48.32
M48.4

Kissing spine
Traumatic spondylopathy
Traumatic spondylopathy cervical region
Fatigue fracture of vertebra; Stress fracture of vertebra

SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300
8,300
8,300

M48.5
M48.54

Collapsed vertebra NOS; Wedging of vertebra NOS


Collapsed vertebra NOS; Wedging of vertebra NOS thoracic
region

SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300

M48.56

Collapsed vertebra NOS; Wedging of vertebra NOS lumbar


region

SPONDYLOPATHIES

8,300

M48.57

Collapsed vertebra NOS; Wedging of vertebra NOS


lumbosacral region

SPONDYLOPATHIES

8,300

M48.8
M48.80

Ossification of posterior longitudinal ligament


Ossification of posterior longitudinal ligament Multiple sites
in spine

SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300

M48.85

Ossification of posterior longitudinal ligament


thoracolumbar region

SPONDYLOPATHIES

8,300

M48.86

Ossification of posterior longitudinal ligament lumbar


region

SPONDYLOPATHIES

8,300

M48.89

Ossification of posterior longitudinal ligament site


unspecified

SPONDYLOPATHIES

8,300

M48.9
M48.92
M48.95
M48.96
M48.98

Spondylopathy,
Spondylopathy,
Spondylopathy,
Spondylopathy,
Spondylopathy,
region

SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES

8,300
8,300
8,300
8,300
8,300

M48.99
M49.0*
M49.8*
L00

Spondylopathy, unspecified site unspecified


Pott's curvature
Spondylopathy in other diseases classified elsewhere
Staphylococcal scalded skin syndrome; Pemphigus
neonatorum; Ritter's disease

SPONDYLOPATHIES
SPONDYLOPATHIES
SPONDYLOPATHIES
STAPHYLOCCOCAL SCALDED SKIN SYNDROME

8,300
8,300
8,300
10,200

G41.0

Grand mal status epilepticus; Tonic-clonic status epilepticus

STATUS EPILEPTICUS

15,600

G41.1
G41.2
G41.8
G41.9
L51.1

Petit mal status epilepticus; Epileptic absence status


Complex partial status epilepticus
Other status epilepticus
Status epilepticus, unspecified
Bullous erythema multiforme; Stevens-Johnson syndrome

STATUS
STATUS
STATUS
STATUS
STEVEN

15,600
15,600
15,600
15,600
12,300

I60.0

Subarachnoid haemorrhage from carotid siphon and


bifurcation

STROKE - HEMORRHAGIC

38,000

I60.1

Subarachnoid haemorrhage from middle cerebral artery

STROKE - HEMORRHAGIC

38,000

I60.2

Subarachnoid haemorrhage from anterior communicating


artery

STROKE - HEMORRHAGIC

38,000

I60.3

Subarachnoid haemorrhage from posterior communicating


artery

STROKE - HEMORRHAGIC

38,000

unspecified
unspecified
unspecified
unspecified
unspecified

cervical region
thoracolumbar region
lumbar region
sacral and sacrococcygeal

EPILEPTICUS
EPILEPTICUS
EPILEPTICUS
EPILEPTICUS
JOHNSONS SYNDROME

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

I60.4
I60.5
I60.6

Subarachnoid haemorrhage from basilar artery


Subarachnoid haemorrhage from vertebral artery
Subarachnoid haemorrhage from other intracranial
arteries; Multiple involvement of intracranial arteries

STROKE - HEMORRHAGIC
STROKE - HEMORRHAGIC
STROKE - HEMORRHAGIC

38,000
38,000
38,000

I60.7

Subarachnoid haemorrhage from intracranial artery, unspecified; Congenital


ruptured berry aneurysm NOS; Subarachnoid haemorrhage from cerebral
artery NOS; Subarachnoid haemorrhage from communicating artery
NOS

STROKE - HEMORRHAGIC

38,000

I60.8

Other subarachnoid haemorrhage; Meningeal haemorrhage; Rupture of


cerebral arteriovenous
malformation

STROKE - HEMORRHAGIC

38,000

I60.9
I61.0

Subarachnoid haemorrhage, unspecified


Intracerebral haemorrhage in hemisphere, subcortical;
Deep intracerebral haemorrhage

STROKE - HEMORRHAGIC
STROKE - HEMORRHAGIC

38,000
38,000

I61.1

Intracerebral haemorrhage in hemisphere, cortical; Cerebral lobe


haemorrhage; Superficial intracerebral
haemorrhage

STROKE - HEMORRHAGIC

38,000

I61.2

Intracerebral haemorrhage in hemisphere, unspecified

STROKE - HEMORRHAGIC

38,000

I61.3
I61.4
I61.5
I61.6
I61.8
I61.9
I62.0

Intracerebral haemorrhage in brain stem


Intracerebral haemorrhage in cerebellum
Intracerebral haemorrhage, intraventricular
Intracerebral haemorrhage, multiple localized
Other intracerebral haemorrhage
Intracerebral haemorrhage, unspecified
Acute Subdural haemorrhage; Nontraumatic Subdural
haemorrhage

STROKE
STROKE
STROKE
STROKE
STROKE
STROKE
STROKE

HEMORRHAGIC
HEMORRHAGIC
HEMORRHAGIC
HEMORRHAGIC
HEMORRHAGIC
HEMORRHAGIC
HEMORRHAGIC

38,000
38,000
38,000
38,000
38,000
38,000
38,000

I62.1

Nontraumatic extradural haemorrhage; Nontraumatic


epidural haemorrhage

STROKE - HEMORRHAGIC

38,000

I62.9

Intracranial haemorrhage (nontraumatic), unspecified

STROKE - HEMORRHAGIC

38,000

I63.0

Cerebral infarction due to thrombosis of precerebral


arteries

STROKE - INFARCTION

28,000

I63.1

Cerebral infarction due to embolism of precerebral arteries

STROKE - INFARCTION

28,000

I63.2

Cerebral infarction due to unspecified occlusion or stenosis


of precerebral arteries

STROKE - INFARCTION

28,000

I63.3

Cerebral infarction due to thrombosis of cerebral arteries

STROKE - INFARCTION

28,000

I63.4

Cerebral infarction due to embolism of cerebral arteries

STROKE - INFARCTION

28,000

I63.5

Cerebral infarction due to unspecified occlusion or stenosis


of cerebral arteries

STROKE - INFARCTION

28,000

I63.6

Cerebral infarction due to cerebral venous thrombosis,


nonpyogenic

STROKE - INFARCTION

28,000

I63.8
I63.9
I63.9+G46.7*

Other cerebral infarction


Cerebral infarction, unspecified
Other lacunar syndrome in unspecified cerebral infarction

STROKE - INFARCTION
STROKE - INFARCTION
STROKE - INFARCTION

28,000
28,000
28,000

I64
G10

Stroke, not specified as hemorrhage or infarction


Huntington's disease; Huntington's chorea

STROKE - INFARCTION
SYSTEMIC ATROPHIES INVOLVING CENTRAL
NERVOUS SYSTEM

28,000
10,400

G11.0

Congenital nonprogressive ataxia

SYSTEMIC ATROPHIES INVOLVING CENTRAL


NERVOUS SYSTEM

10,400

G11.1

Early-onset cerebellar ataxia including Early-onset cerebellar ataxia with


SYSTEMIC ATROPHIES INVOLVING CENTRAL NERVOUS SYSTEM
essential tremor; Early-onset cerebellar ataxia with myoclonus [Hunt's ataxia];
Early- onset cerebellar ataxia with retained tendon reflexes;
Friedreich's ataxia (autosomal recessiv

10,400

G11.3

Cerebellar ataxia with defective DNA repair; Ataxia


telangiectasia [Louis-Bar]

SYSTEMIC ATROPHIES INVOLVING CENTRAL


NERVOUS SYSTEM

10,400

G11.9

Hereditary ataxia, unspecified; Hereditary cerebellar ataxia NOS; Hereditary


cerebellar degeneration; Hereditary cerebellar disease; Hereditary cerebellar
syndrome

SYSTEMIC ATROPHIES INVOLVING CENTRAL NERVOUS SYSTEM

10,400

G12.0

Infantile spinal muscular atrophy, type I [WerdnigHoffman]

SYSTEMIC ATROPHIES INVOLVING CENTRAL


NERVOUS SYSTEM

10,400

G12.1

Other inherited spinal muscular atrophy; Progressive bulbar palsy of


childhood [Fazio-Londe]; Spinal muscular atrophy adult form
Spinal muscular atrophy childhood form, type II; Spinal muscular atrophy
distal; Spinal muscular atrophy juvenile

SYSTEMIC ATROPHIES INVOLVING CENTRAL NERVOUS SYSTEM

10,400

G12.2

Motor neuron disease; Familial motor neuron disease; AmyotrophicLateral


sclerosis; Primary Lateral sclerosis ; Progressive bulbar palsy; Progressive
spinal muscular
atrophy

SYSTEMIC ATROPHIES INVOLVING CENTRAL NERVOUS SYSTEM

10,400

G12.9

Spinal muscular atrophy, unspecified

SYSTEMIC ATROPHIES INVOLVING CENTRAL


NERVOUS SYSTEM

10,400

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

Case Rate
G20

PARKINSON'S DISEASE; HEMIPARKINSONISM; PARALYSIS AGITANS;


SYSTEMIC ATROPHIES INVOLVING CENTRAL NERVOUS SYSTEM
PARKINSONISM OR PARKINSON'S DISEASE NOS; IDIOPATHIC PARKINSONISM OR
PARKINSON'S DISEASE; PRIMARY PARKINSONISM OR PARKINSON'S DISEASE

10,400

L93.0

Discoid lupus erythematosus; Lupus erythematosus

11,900

SYSTEMIC LUPUS ERYTHEMATOSUS

L93.1
L93.2
M32.0
M32.8
M32.9
A33
A34
A35
R29.0
D56.0
D56.1

Subacute cutaneous lupus erythematosus


Lupus erymatosus profundus; Lupus panniculitis
Drug-induced systemic lupus erythematosus
Other forms of systemic lupus erythematosus
Systemic lupus erythematosus, unspecified
Tetanus neonatorum
Obstetrical tetanus
Other tetanus; Tetanus NOS
Tetany; Carpopedal spasm
Alpha thalassaemia
Beta thalassaemia; Cooley's anaemia; Severe beta thalassaemia;
Thalassaemia intermedia; Thalassaemia
major;

SYSTEMIC LUPUS
SYSTEMIC LUPUS
SYSTEMIC LUPUS
SYSTEMIC LUPUS
SYSTEMIC LUPUS
TETANUS
TETANUS
TETANUS
TETANUS
THALASSEMIA
THALASSEMIA

ERYTHEMATOSUS
ERYTHEMATOSUS
ERYTHEMATOSUS
ERYTHEMATOSUS
ERYTHEMATOSUS

D56.2
D56.3
D56.4
D56.8
L51.2
G45.0
G45.1
G45.2
G45.3
G45.4
G45.8

Delta-beta thalassaemia
Thalassaemia trait
Hereditary persistence of fetal haemoglobin [HPFH]
Other thalassaemias
Toxic epidermal necrolysis [Lyell]
Vertebro-basilar artery syndrome
Hemispheric carotid artery syndrome
Multiple and bilateral precerebral artery syndromes
Amaurosis fugax
Transient global amnesia
Other transient cerebral ischaemic attacks and related
syndromes

THALASSEMIA
THALASSEMIA
THALASSEMIA
THALASSEMIA
TOXIC EPIDERMAL NECROLYSIS
TRANSIENT CEREBRAL ISCHEMIC
TRANSIENT CEREBRAL ISCHEMIC
TRANSIENT CEREBRAL ISCHEMIC
TRANSIENT CEREBRAL ISCHEMIC
TRANSIENT CEREBRAL ISCHEMIC
TRANSIENT CEREBRAL ISCHEMIC

G45.9

Transient cerebral ischaemic attack, unspecified; Spasm of cerebral artery;


Transient cerebral ischaemia NOS

TRANSIENT CEREBRAL ISCHEMIC ATTACKS

7,300

P10.0

Subdural haemorrhage due to birth injury; Subdural


haematoma (localized) due to birth injury

TRAUMA RELATED TO BIRTH PROCESS

13,800

P10.1
P10.2
P10.3
P10.4
P10.9

Cerebral haemorrhage due to birth injury


Intraventricular haemorrhage due to birth injury
Subarachnoid haemorrhage due to birth injury
Tentorial tear due to birth injury
Unspecified intracranial laceration and haemorrhage due to
birth injury

TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA

RELATED
RELATED
RELATED
RELATED
RELATED

TO
TO
TO
TO
TO

BIRTH
BIRTH
BIRTH
BIRTH
BIRTH

PROCESS
PROCESS
PROCESS
PROCESS
PROCESS

13,800
13,800
13,800
13,800
13,800

P11.1
P11.2
P11.9
P12.0
P12.3
P12.8
P12.9
P13.2
P13.4
P13.8
P13.9
P14.0
P14.3
P15.4

Other specified brain damage due to birth injury


Unspecified brain damage due to birth injury
Birth injury to central nervous system, unspecified
Cephalhaematoma due to birth injury
Bruising of scalp due to birth injury
Other birth injuries to scalp
Birth injury to scalp, unspecified
Birth injury to femur
Fracture of clavicle due to birth injury
Birth injuries to other parts of skeleton
Birth injury to skeleton, unspecified
Erb's paralysis due to birth injury
Other brachial plexus birth injuries
Birth injury to face; Facial congestion due to birth injury

TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA
TRAUMA

RELATED
RELATED
RELATED
RELATED
RELATED
RELATED
RELATED
RELATED
RELATED
RELATED
RELATED
RELATED
RELATED
RELATED

TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO

BIRTH
BIRTH
BIRTH
BIRTH
BIRTH
BIRTH
BIRTH
BIRTH
BIRTH
BIRTH
BIRTH
BIRTH
BIRTH
BIRTH

PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS

13,800
13,800
13,800
13,800
13,800
13,800
13,800
13,800
13,800
13,800
13,800
13,800
13,800
13,800

P15.5
P15.8
P15.9
A15.4

Birth injury to external genitalia


Other specified birth injuries
Birth injury, unspecified
Tuberculosis of intrathoracic lymph nodes, confirmed bacteriologically &
histologicaly; Tuberculosis of hilar lymph nodes, confirmed bacteriologically &
histologicaly; Tuberculosis of mediastinal, lymph nodes, confirmed
bacteriologically & histologicaly;

TRAUMA RELATED TO BIRTH PROCESS


TRAUMA RELATED TO BIRTH PROCESS
TRAUMA RELATED TO BIRTH PROCESS
TUBERCULOSIS, EXTRAPULMONARY

13,800
13,800
13,800
11,900

A15.5

Tuberculosis of larynx, trachea and bronchus, confirmed bacteriologically


and histologically ; Tuberculosis of bronchus,confirmed bacteriologically and
histologically; Tuberculosis of glottis, confirmed bacteriologically and
histologically; Tuberculo

TUBERCULOSIS, EXTRAPULMONARY

11,900

A15.6

Tuberculous pleurisy, confirmed bacteriologically and histologically


[Tuberculosis of pleura, confirmed bacteriologically and histologically;
Tuberculous empyema, confirmed
bacteriologically & histologically

TUBERCULOSIS, EXTRAPULMONARY

11,900

A15.8

Other respiratory tuberculosis, confirmed bacteriologically and histologically;


Mediastinal tuberculosis, confirmed bacteriologically and histologically;
Nasopharyngeal tuberculosis, confirmed bacteriologically and histologically;
Tuberculosis of nose,

TUBERCULOSIS, EXTRAPULMONARY

11,900

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

ATTACKS
ATTACKS
ATTACKS
ATTACKS
ATTACKS
ATTACKS

11,900
11,900
11,900
11,900
11,900
16,500
16,500
16,500
16,500
5,600
5,600

5,600
5,600
5,600
5,600
15,900
7,300
7,300
7,300
7,300
7,300
7,300

Case Rate
A16.3

Tuberculosis of intrathoracic lymph nodes, without mention of bacteriological


or histological confirmation; Tuberculosis of hilar lymph nodes NOS without
mention of bacteriological or histological confirmation; Tuberculosis of
intrathoracic lymph nodes,

TUBERCULOSIS, EXTRAPULMONARY

11,900

A16.4

Tuberculosis of bronchus, NOS, without mention of bacteriological or


TUBERCULOSIS, EXTRAPULMONARY
histological onfirmation; Tuberculosis of glottis, NOS, without mention of
bacteriological or histological onfirmation; Tuberculosis of larynx, NOS, without
mention of bacteriologic

11,900

A16.5

Tuberculous pleurisy, without mention of bacteriological or histological


TUBERCULOSIS, EXTRAPULMONARY
confirmation; Tuberculosis of pleura, NOS, without mention of bacteriological
or histological confirmation; Tuberculous empyema, NOS, without mention of

11,900

A16.8

Other respiratory tuberculosis, without mention of bacteriological or


histological confirmation; Mediastinal tuberculosis, NOS without mention of
bacteriological or histological confirmation; Nasopharyngeal tuberculosis, NOS
without mention of bacteriolog

TUBERCULOSIS, EXTRAPULMONARY

11,900

A18.2

Tuberculous peripheral lymphadenopathy; Tuberculous


adenitis

TUBERCULOSIS, EXTRAPULMONARY

11,900

A18.3

Tuberculosis of intestines, peritoneum and mesenteric glands; Tuberculosis of


retroperitoneal lymph nodes

TUBERCULOSIS, EXTRAPULMONARY

11,900

A18.4

Erythema tuberculous induratum, ; Lupus exedens; Lupus vulgaris; Lupus


exedens, NOS; Lupus vulgaris, NOS;
Scrofuloderma

TUBERCULOSIS, EXTRAPULMONARY

11,900

A19.0
A19.1
A19.2
A19.8
A19.9
A15.0

Acute miliary tuberculosis of a single specified site


Acute miliary tuberculosis of multiple sites
Acute miliary tuberculosis, unspecified
Other miliary tuberculosis
Miliary tuberculosis
Tuberculosis of lung, confirmed by sputum microscopy with or without culture;
Tuberculous Bronchiectasis, confirmed by sputum microscopy with or without
culture; Tuberculous fibrosis of lung, confirmed by sputum microscopy with or
without culture; Tubercu

TUBERCULOSIS,
TUBERCULOSIS,
TUBERCULOSIS,
TUBERCULOSIS,
TUBERCULOSIS,
TUBERCULOSIS,

15,100
15,100
15,100
15,100
15,100
9,800

A15.1

Tuberculosis of lung, confirmed by culture only; Tuberculous Bronchiectasis,


confirmed by culture only; Tuberculous fibrosis of lung, confirmed by culture
only; Tuberculous pneumonia, confirmed by culture only; Tuberculous
pneumothorax, confirmed by cul

TUBERCULOSIS, PULMONARY

9,800

A15.2

Tuberculosis of lung, confirmed histologically only; Tuberculous Bronchiectasis,


confirmed histologically only; Tuberculous fibrosis of lung, confirmed
histologically only; Tuberculous pneumonia, confirmed histologically only;
Tuberculous pneumothorax

TUBERCULOSIS, PULMONARY

9,800

A15.3

Tuberculosis of lung, confirmed by unspecified means; Tuberculous


Bronchiectasis, confirmed but unspecified whether bacteriologically or
histologically; Tuberculous fibrosis of lung, confirmed but unspecified whether
bacteriologically or histologically

TUBERCULOSIS, PULMONARY

9,800

A15.7

Primary respiratory tuberculosis, confirmed


bacteriologically and histologically

TUBERCULOSIS, PULMONARY

9,800

A15.9

Respiratory tuberculosis unspecified, confirmed


bacteriologically and histologically

TUBERCULOSIS, PULMONARY

9,800

A16.0

Tuberculosis of lung, bacteriologically and histologically negative;


Tuberculous Bronchiectasis , bacteriologically and histologically negative;
Tuberculous fibrosis of lung, bacteriologically and histologically negative;
Tuberculous

TUBERCULOSIS, PULMONARY

9,800

A16.1

Tuberculosis of lung, bacteriological and histological examination not done;


Tuberculous Bronchiectasis, bacteriological and histological examination not
done; Tuberculous fibrosis of lung, bacteriological and histological
examination not done; Tuberculo

TUBERCULOSIS, PULMONARY

9,800

A16.2

Tuberculosis of lung, NOS, without mention of bacteriological or histological


confirmation; Tuberculous bronchiectasis, NOS, without mention of
bacteriological or histological confirmation; Tuberculous fibrosis of lung,
NOS, without mention of bact

TUBERCULOSIS, PULMONARY

9,800

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE

MILIARY
MILIARY
MILIARY
MILIARY
MILIARY
PULMONARY

Case Rate
A16.7

Primary respiratory tuberculosis without mention of bacteriological or


histological confirmation; Primary respiratory tuberculosis NOS; Primary
tuberculous
complex

TUBERCULOSIS, PULMONARY

9,800

A16.9

Respiratory tuberculosis unspecified, without mention of bacteriological or


histological confirmation; Respiratory tuberculosis NOS; Tuberculosis NOS

TUBERCULOSIS, PULMONARY

9,800

A01.0
A01.1
A01.2
A01.3
A01.4

Typhoid fever
Paratyphoid fever A
Paratyphoid fever B
Paratyphoid fever C
Paratyphoid fever, unspecified; Infection due to Salmonella
paratyphi NOS

TYPHOID
TYPHOID
TYPHOID
TYPHOID
TYPHOID

FEVER
FEVER
FEVER
FEVER
FEVER

10,000
10,000
10,000
10,000
10,000

A02.0
A02.1
A02.2
A02.8
A02.9

Salmonella enteritis; Salmonellosis


Salmonella septicaemia
Localized salmonella infections
Other specified salmonella infections
Salmonella infection, unspecified

TYPHOID
TYPHOID
TYPHOID
TYPHOID
TYPHOID

FEVER
FEVER
FEVER
FEVER
FEVER

10,000
10,000
10,000
10,000
10,000

N26

Unspecified contracted kidney; Atrophy of kidney


(terminal); Renal sclerosis NOS

URINARY TRACT ATROPHY/HYPERTROPHY

11,300

N27.0
N27.1
N27.9
N28.8

Small kidney, unilateral


Small kidney, bilateral
Small kidney, unspecified
Other specified disorders of kidney and ureter; Hypertrophy of kidney,
Megaloureter, Nephroptosis, Pyelitis cystica, Pyeloureteritis cystica, Ureteritis
cystica,
Ureterocele

URINARY
URINARY
URINARY
URINARY

ATROPHY/HYPERTROPHY
ATROPHY/HYPERTROPHY
ATROPHY/HYPERTROPHY
ATROPHY/HYPERTROPHY

11,300
11,300
11,300
11,300

N28.9

Disorder of kidney and ureter, unspecified; Nephropathy


NOS; Renal disease NOS

URINARY TRACT ATROPHY/HYPERTROPHY

11,300

N29.8*

Other disorders of kidney and ureter in other diseases


classified elsewhere

URINARY TRACT ATROPHY/HYPERTROPHY

11,300

N30.0
N30.1
N30.2
N30.3
N30.9
N39.0
M50.1
M50.2
M50.3
M50.8
M51.1

Acute cystitis
Chronic Interstitial cystitis
Other chronic cystitis
Trigonitis; Urethrotrigonitis
Cystitis, unspecified
Urinary tract infection, site not specified
Cervical disc disorder with radiculopathy
Other cervical disc displacement
Other cervical disc degeneration
Other cervical VERTEBRAL DISC DISORDERS
LUMBAR AND OTHER INTERVERTEBRAL DISC DISORDERS WITH
RADICULOPATHY; SCIATICA DUE TO
INTERVERTEBRAL DISC DISORDER

URINARY TRACT INFECTION [ADMISSIBLE]


URINARY TRACT INFECTION [ADMISSIBLE]
URINARY TRACT INFECTION [ADMISSIBLE]
URINARY TRACT INFECTION [ADMISSIBLE]
URINARY TRACT INFECTION [ADMISSIBLE]
URINARY TRACT INFECTION [ADMISSIBLE]
VERTEBRAL DISC DISORDERS
VERTEBRAL DISC DISORDERS
VERTEBRAL DISC DISORDERS
VERTEBRAL DISC DISORDERS
VERTEBRAL DISC DISORDERS

7,500
7,500
7,500
7,500
7,500
7,500
7,800
7,800
7,800
7,800
7,800

M51.2

Other specified intervertebral disc displacement


Lumbago due to displacement of intervertebral disc

VERTEBRAL DISC DISORDERS

7,800

M51.3
M51.4
M51.8

Other specified intervertebral disc degenerations


Schmorl's node
Other specified intervertebral VERTEBRAL DISC DISORDERS

VERTEBRAL DISC DISORDERS


VERTEBRAL DISC DISORDERS
VERTEBRAL DISC DISORDERS

7,800
7,800
7,800

M99.0
M99.1
M99.3
M99.5

SEGMENTAL AND SOMATIC DYSFUNCTION, RIB CAGE


Subluxation complex (vertebral)
Osseous stenosis of neural canal
Intervertebral disc stenosis of neural canal

VERTEBRAL
VERTEBRAL
VERTEBRAL
VERTEBRAL

7,800
7,800
7,800
7,800

ICD CODE

DESCRIPTION

GROUP

TRACT
TRACT
TRACT
TRACT

DISC
DISC
DISC
DISC

DISORDERS
DISORDERS
DISORDERS
DISORDERS

FIRST CASE RATE


Case Rate

M99.7

Connective tissue and disc stenosis of intervertebral


foramina

VERTEBRAL DISC DISORDERS

7,800

H81.0

Mnire's disease; Labyrinthine hydrops; Mnire's


syndrome or vertigo

VERTIGINOUS DISORDERS

5,700

H81.1
H81.2
H81.3

Benign paroxysmal vertigo


Vestibular neuronitis
Other peripheral vertigo; Lermoyez' syndrome; Aural
Vertigo ; Otogenic Vertigo; Peripheral NOS Vertigo

VERTIGINOUS DISORDERS
VERTIGINOUS DISORDERS
VERTIGINOUS DISORDERS

5,700
5,700
5,700

H81.4

Vertigo of central origin; Central positional nystagmus

VERTIGINOUS DISORDERS

5,700

H81.8
H81.9

Other disorders of vestibular function


Disorder of vestibular function, unspecified; Vertiginous
syndrome NOS

VERTIGINOUS DISORDERS
VERTIGINOUS DISORDERS

5,700
5,700

H83.1
H83.2

Labyrinthine fistula
Labyrinthine dysfunction; Hypersensitivity of labyrinth; Hypofunction of
labyrinth; Loss of function Of labyrinth

VERTIGINOUS DISORDERS
VERTIGINOUS DISORDERS

5,700
5,700

R42

Dizziness and giddiness; Light-headedness; Vertigo NOS

VERTIGINOUS DISORDERS

5,700

A96.0

Junin haemorrhagic fever; Argentinian haemorrhagic fever

VIRAL HEMORRHAGIC FEVER

7,900

A96.1

Machupo haemorrhagic fever; Bolivian haemorrhagic fever

VIRAL HEMORRHAGIC FEVER

7,900

A98.4
A98.8
A99
B15.0
B15.9

Ebola virus disease


Other specified viral haemorrhagic fevers
Unspecified viral haemorrhagic fever
ACUTE HEPATITIS A WITH HEPATIC COMA
ACUTE HEPATITIS A WITHOUT HEPATIC COMA; HEPATITIS A
(ACUTE)(VIRAL) NOS

VIRAL
VIRAL
VIRAL
VIRAL
VIRAL

7,900
7,900
7,900
11,800
11,800

B16.0

ACUTE HEPATITIS B WITH DELTA-AGENT (COINFECTION)


WITH HEPATIC COMA

VIRAL HEPATITIS

11,800

B16.1

ACUTE HEPATITIS B WITH DELTA-AGENT (COINFECTION)


WITHOUT HEPATIC COMA

VIRAL HEPATITIS

11,800

B16.2

ACUTE HEPATITIS B WITHOUT DELTA-AGENT WITH


HEPATIC COMA

VIRAL HEPATITIS

11,800

B16.9

ACUTE HEPATITIS B WITHOUT DELTA-AGENT AND WITHOUT HEPATIC COMA;


HEPATITIS B (ACUTE)(VIRAL)
NOS

VIRAL HEPATITIS

11,800

B17.0

ACUTE DELTA-(SUPER)INFECTION OF HEPATITIS B CARRIER

VIRAL HEPATITIS

11,800

B17.1
B17.2
B17.8

ACUTE HEPATITIS C
ACUTE HEPATITIS E
OTHER SPECIFIED ACUTE VIRAL HEPATITIS; HEPATITIS NONA NON-B (ACUTE)(VIRAL) NEC

VIRAL HEPATITIS
VIRAL HEPATITIS
VIRAL HEPATITIS

11,800
11,800
11,800

B18.0
B18.1

CHRONIC VIRAL HEPATITIS B WITH DELTA-AGENT


CHRONIC VIRAL HEPATITIS B WITHOUT DELTA-AGENT;
CHRONIC (VIRAL) HEPATITIS B

VIRAL HEPATITIS
VIRAL HEPATITIS

11,800
11,800

B18.2
B18.8
B18.9
B19.0
B19.9

CHRONIC VIRAL HEPATITIS C


OTHER CHRONIC VIRAL HEPATITIS
CHRONIC VIRAL HEPATITIS, UNSPECIFIED
UNSPECIFIED VIRAL HEPATITIS HEPATIC WITH COMA
UNSPECIFIED VIRAL HEPATITIS WITHOUT HEPATIC COMA;
VIRAL HEPATITIS NOS

VIRAL
VIRAL
VIRAL
VIRAL
VIRAL

11,800
11,800
11,800
11,800
11,800

HEMORRHAGIC FEVER
HEMORRHAGIC FEVER
HEMORRHAGIC FEVER
HEPATITIS
HEPATITIS

HEPATITIS
HEPATITIS
HEPATITIS
HEPATITIS
HEPATITIS

A80.1

Acute paralytic poliomyelitis, wild virus, imported

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A80.2

Acute paralytic poliomyelitis, wild virus, indigenous

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

ICD CODE

DESCRIPTION

GROUP

FIRST CASE RATE


Case Rate

A80.9

Acute poliomyelitis, unspecified

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A81.0

Creutzfeldt-Jakob disease; Subacute spongiform


encephalopathy

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A81.1

Subacute sclerosing panencephalitis; Dawson's inclusion body encephalitis ;


Van Bogaert's sclerosing
leukoencephalopathy

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A81.2

Progressive multifocal leukoencephalopathy; Multifocal


leukoencephalopathy NOS

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A81.9

Atypical virus infection of central nervous system, unspecified; Prion disease


of central nervous system NOS

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A82.0

Sylvatic rabies

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A82.1

Urban rabies

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A82.9

Rabies, unspecified

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A83.0

Japanese encephalitis

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A83.2

Eastern equine encephalitis

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A83.5

California encephalitis; California meningoencephalitis


La Crosse encephalitis

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A83.8

Other mosquito-borne viral encephalitis

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A83.9

Mosquito-borne viral encephalitis, unspecified

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A85.2

Arthropod-borne viral encephalitis, unspecified;

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A85.8

Other specified viral encephalitis; Encephalitis lethargic;


Von Economo-Cruchet disease

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A86

Unspecified viral encephalitis; Viral encephalomyelitis NOS; Viral


meningoencephalitis NOS

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A88.8

Other specified viral infections of central nervous system

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A89

Unspecified viral infection of central nervous system

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM

21,100

A37.0
A37.1
A37.8
A37.9
A20.0
A20.9
A21.0
A21.1
A21.2
A21.3
A21.9
A22.0

Whooping cough due to Bordetella pertussis


Whooping cough due to Bordetella parapertussis
Whooping cough due to other Bordetella species
Whooping cough, unspecified
Bubonic plague
Plague, unspecified
Ulceroglandular tularaemia; Ophthalmic tularaemia
Oculoglandular tularaemia; Ophthalmic tularaemia
Pulmonary tularaemia
Gastrointestinal tularaemia; Abdominal tularaemia
Tularaemia, unspecified
Cutaneous anthrax; Malignant carbuncle; Malignant
pustule

WHOOPING
WHOOPING
WHOOPING
WHOOPING
ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC

COUGH
COUGH
COUGH
COUGH
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

10,600
10,600
10,600
10,600
11,700
11,700
11,700
11,700
11,700
11,700
11,700
11,700

A22.2
A22.7
A22.9
A23.1
A23.9
A24.0

Gastrointestinal anthrax
Anthrax septicaemia
Anthrax, unspecified
Brucellosis due to Brucella abortus
Brucellosis, unspecified
Glanders; Infection due to Pseudomonas mallei; Malleus

ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC

BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

11,700
11,700
11,700
11,700
11,700
11,700

A24.1

Acute and fulminating melioidosis; Melioidosis pneumonia


; Melioidosis septicaemia

ZOONOTIC BACTERIAL DISEASES

11,700

A25.9
A26.8
A26.9
A28.0
A28.1
A28.8

Rat-bite fever, unspecified


Other forms of erysipeloid
Erysipeloid, unspecified
Pasteurellosis
Cat-scratch disease; Cat-scratch fever
Other specified zoonotic bacterial diseases, not elsewhere
classified

ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC
ZOONOTIC

DISEASES
DISEASES
DISEASES
DISEASES
DISEASES
DISEASES

11,700
11,700
11,700
11,700
11,700
11,700

A28.9

Zoonotic bacterial disease, unspecified

ZOONOTIC BACTERIAL DISEASES

11,700

BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL
BACTERIAL

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,600
3,600
3,600
3,600

8,400
8,400
8,400
8,400

3,600

8,400

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000
3,000

7,000
7,000

3,000
3,000
3,000

7,000
7,000
7,000

1,800
1,800
1,800
1,800

4,200
4,200
4,200
4,200

1,800

4,200

1,800
1,800

4,200
4,200

1,800
1,800
1,800
1,800
1,800
1,800
1,800
1,800
1,800
1,800

4,200
4,200
4,200
4,200
4,200
4,200
4,200
4,200
4,200
4,200

1,800
1,800

4,200
4,200

1,800
1,800

4,200
4,200

1,800
1,800
1,800
1,800
1,800
1,800
1,800
1,800

4,200
4,200
4,200
4,200
4,200
4,200
4,200
4,200

1,800

4,200

1,800

4,200

1,800
1,800

4,200
4,200

1,800
1,800
1,800

4,200
4,200
4,200

1,800
1,800
1,800
1,800
1,800

4,200
4,200
4,200
4,200
4,200

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,800

4,200

1,800

4,200

1,800

4,200

1,800
5,790

4,200
13,510

5,790

13,510

5,790

13,510

5,790
5,790
5,790

13,510
13,510
13,510

9,600

22,400

1,860

4,340

1,860

4,340

1,860

4,340

1,860
1,860
1,860

4,340
4,340
4,340

3,000
1,800

7,000
4,200

1,800
1,800
1,800
1,800
1,800
3,330
2,280
2,280

4,200
4,200
4,200
4,200
4,200
7,770
5,320
5,320

2,280

5,320

3,000

7,000

3,000

7,000

3,000
3,000
3,000

7,000
7,000
7,000

3,000
3,000
3,000
3,000

7,000
7,000
7,000
7,000

3,000

7,000

3,000

7,000

3,000
3,000

7,000
7,000

3,000

7,000

3,000

7,000

FIRST CASE RATE


Professional
Fee
3,000

Health Care
Institution Fee
7,000

3,000

7,000

3,000
3,000
3,000

7,000
7,000
7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000
3,000

7,000
7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000
3,000

7,000
7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000
3,000

7,000
7,000

3,000
3,000

7,000
7,000

3,000
3,000
3,000
3,000
3,000

7,000
7,000
7,000
7,000
7,000

3,000
3,000
3,000

7,000
7,000
7,000

3,000

7,000

3,000
3,000

7,000
7,000

3,000

7,000

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,000

7,000

3,000
2,910
2,910

7,000
6,790
6,790

2,910

6,790

2,910

6,790

2,910

6,790

2,910

6,790

2,910

6,790

2,910

6,790

2,910

6,790

2,910

6,790

2,910

6,790

2,910

6,790

2,910

6,790

2,910
2,910
2,910

6,790
6,790
6,790

2,100
2,100

4,900
4,900

2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900

2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900

2,100
2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900
4,900

2,100

4,900

2,100

4,900

2,100
2,100
2,100
2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900
4,900
4,900
4,900

2,100
2,100
2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900
4,900
4,900

2,100
2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900
4,900

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,100

4,900

2,100
2,100

4,900
4,900

2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900

2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900

2,100

4,900

2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900

2,100
2,100

4,900
4,900

2,100

4,900

2,100

4,900

2,100
2,100

4,900
4,900

2,100
2,100

4,900
4,900

2,100
2,100

4,900
4,900

2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900

2,100
2,100
2,100
2,100

4,900
4,900
4,900
4,900

2,430

5,670

2,430
2,430

5,670
5,670

2,430
2,430
2,430

5,670
5,670
5,670

2,430

5,670

2,100

4,900

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,100
2,100

4,900
4,900

2,100
2,100
2,100

4,900
4,900
4,900

2,100
2,100

4,900
4,900

2,100
2,100

4,900
4,900

2,100
2,100
2,100

4,900
4,900
4,900

2,100
2,100

4,900
4,900

2,100

4,900

2,100
2,100

4,900
4,900

2,100
2,100

4,900
4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,100
2,700

4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
4,900
6,300

2,700

6,300

2,700
2,700
2,700
4,140

6,300
6,300
6,300
9,660

1,920

4,480

1,920

4,480

1,920

4,480

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920
1,920
1,920
1,920
1,920
1,920
1,920
1,920
1,920
1,920
1,920
1,920
1,920
1,920
1,920
1,920
1,920

4,480
4,480
4,480
4,480
4,480
4,480
4,480
4,480
4,480
4,480
4,480
4,480
4,480
4,480
4,480
4,480
4,480

1,920
1,920

4,480
4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920
1,920
1,920

4,480
4,480
4,480

1,920

4,480

1,920
1,920

4,480
4,480

1,920

4,480

1,920

4,480

2,700

6,300

2,700
2,700

6,300
6,300

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,700
2,700

6,300
6,300

2,700
2,700
2,700

6,300
6,300
6,300

2,700
1,440

6,300
3,360

6,720

15,680

2,370

5,530

2,370

5,530

2,370

5,530

2,370

5,530

2,370
2,370

5,530
5,530

3,540
3,540
3,540

8,260
8,260
8,260

3,540

8,260

3,540

8,260

3,540
3,540
3,540
3,600
3,600
3,600
3,600
3,600
3,600
3,600
3,600
3,600
3,600
3,600

8,260
8,260
8,260
8,400
8,400
8,400
8,400
8,400
8,400
8,400
8,400
8,400
8,400
8,400

3,600

8,400

3,600
3,600
3,600
3,600

8,400
8,400
8,400
8,400

3,600
2,550
2,550
2,550
2,550
2,550
2,550

8,400
5,950
5,950
5,950
5,950
5,950
5,950

2,550

5,950

2,550

5,950

2,550
2,550
2,550

5,950
5,950
5,950

2,550

5,950

2,550

5,950

2,550

5,950

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,550
2,550
2,550
2,550
2,550
2,550
2,550
2,550

5,950
5,950
5,950
5,950
5,950
5,950
5,950
5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550
2,550
2,550
2,550
2,550
2,550

5,950
5,950
5,950
5,950
5,950
5,950

2,550

5,950

3,180
3,180
3,180
3,180

7,420
7,420
7,420
7,420

3,180
3,180
3,180
3,180

7,420
7,420
7,420
7,420

3,180

7,420

3,180
3,180
3,180
3,180
3,180
3,180
3,180

7,420
7,420
7,420
7,420
7,420
7,420
7,420

3,180
3,180
3,180
3,180
3,180
3,180
3,180
3,180
3,180

7,420
7,420
7,420
7,420
7,420
7,420
7,420
7,420
7,420

3,180

7,420

3,180

7,420

3,180
3,180
3,180
3,180
3,180
3,180
3,180
3,180

7,420
7,420
7,420
7,420
7,420
7,420
7,420
7,420

4,830
4,830
4,830
4,830
4,830
4,830
3,660

11,270
11,270
11,270
11,270
11,270
11,270
8,540

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,660

8,540

3,660
3,660

8,540
8,540

3,660
3,660
3,660

8,540
8,540
8,540

3,660
3,660
3,660

8,540
8,540
8,540

3,660

8,540

3,660

8,540

3,660

8,540

4,020
4,020

9,380
9,380

4,020

9,380

4,020

9,380

4,020

9,380

4,020

9,380

4,020
4,020

9,380
9,380

4,020
4,020

9,380
9,380

6,810

15,890

6,810

15,890

6,810

15,890

6,810

15,890

6,810

15,890

2,640

6,160

2,880
2,880

6,720
6,720

2,880

6,720

2,880

6,720

2,880
2,880

6,720
6,720

2,880

6,720

2,880
2,880
2,850

6,720
6,720
6,650

2,850
2,850
2,850

6,650
6,650
6,650

2,850
2,850

6,650
6,650

2,850

6,650

3,960

9,240

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,960

9,240

3,390

7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390
3,390
3,810
3,810
3,810
3,810
3,810
3,810
3,810
3,810

7,910
7,910
8,890
8,890
8,890
8,890
8,890
8,890
8,890
8,890

3,810

8,890

3,810
3,810

8,890
8,890

3,810

8,890

3,810
3,810
3,810

8,890
8,890
8,890

3,810
3,810

8,890
8,890

3,810
3,810
3,810
4,350
4,350
4,350
4,350
3,660

8,890
8,890
8,890
10,150
10,150
10,150
10,150
8,540

3,660

8,540

3,660

8,540

3,660

8,540

2,340

5,460

2,340
2,340
2,340
2,340
2,340
2,340
2,340
2,340
2,340
2,340
2,340

5,460
5,460
5,460
5,460
5,460
5,460
5,460
5,460
5,460
5,460
5,460

2,340
2,340

5,460
5,460

2,340
2,340

5,460
5,460

2,340
2,340

5,460
5,460

2,460

5,740

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,460
2,460
2,460

5,740
5,740
5,740

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,150

7,350

3,150

7,350

3,150

7,350

3,150

7,350

3,150

7,350

3,150

7,350

3,150

7,350

3,150

7,350

3,150

7,350

3,150

7,350

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,610

6,090

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,880

6,720

2,310

5,390

2,310

5,390

2,310

5,390

2,310

5,390

4,440

10,360

4,440

10,360

4,440

10,360

4,440

10,360

4,440

10,360

4,440

10,360

4,440

10,360

4,440

10,360

4,440

10,360

4,440

10,360

4,440

10,360

2,850

6,650

2,850

6,650

2,850

6,650

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

4,320

10,080

4,320

10,080

4,320
4,320

10,080
10,080

4,320

10,080

4,320

10,080

4,320

10,080

2,700

6,300

2,700

6,300

3,030

7,070

3,030

7,070

3,030

7,070

3,030

7,070

3,030

7,070

3,030

7,070

3,030

7,070

3,030

7,070

1,650

3,850

1,650

3,850

1,650

3,850

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,650

3,850

1,650

3,850

1,650

3,850

1,650

3,850

1,650

3,850

1,650

3,850

1,650

3,850

2,790
2,790
2,790
2,790

6,510
6,510
6,510
6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790
2,790
2,340

6,510
6,510
5,460

4,560
4,560
4,560

10,640
10,640
10,640

1,200

2,800

1,200
3,540
3,540
3,540
3,540
3,540
3,540
3,540
3,540
3,540
3,540

2,800
8,260
8,260
8,260
8,260
8,260
8,260
8,260
8,260
8,260
8,260

3,540

8,260

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

1,590

3,710

1,590

3,710

1,590

3,710

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,590

3,710

1,590

3,710

1,590

3,710

1,590

3,710

1,590

3,710

1,590

3,710

1,590

3,710

1,590

3,710

1,590

3,710

3,390

7,910

3,390

7,910

3,390

7,910

3,390
3,390
3,390

7,910
7,910
7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390
3,390

7,910
7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390
3,390
3,390
3,390

7,910
7,910
7,910
7,910

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,390

7,910

3,390
3,390

7,910
7,910

3,390

7,910

3,390
3,390
3,390
3,390

7,910
7,910
7,910
7,910

3,390
3,390

7,910
7,910

3,390

7,910

3,390

7,910

3,390

7,910

3,390
3,390

7,910
7,910

3,390
3,390
3,390
3,390
3,480
3,480
3,480
3,480

7,910
7,910
7,910
7,910
8,120
8,120
8,120
8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480
3,480

8,120
8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480
3,480

8,120
8,120

3,480
3,480
3,480
3,480
3,480

8,120
8,120
8,120
8,120
8,120

3,480

8,120

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,480
3,480
3,480

8,120
8,120
8,120

3,480

8,120

3,480

8,120

3,480
3,480
3,480
3,480
3,480

8,120
8,120
8,120
8,120
8,120

3,480
3,480

8,120
8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480
3,480
3,480

8,120
8,120
8,120

3,480
3,480
3,480

8,120
8,120
8,120

3,480
3,480

8,120
8,120

3,480

8,120

3,480
3,480

8,120
8,120

3,480

8,120

3,480

8,120

2,970

6,930

2,970

6,930

2,970

6,930

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

6,510

15,190

6,510

15,190

6,510

15,190

6,510

15,190

6,510

15,190

6,510

15,190

6,510

15,190

6,510

15,190

6,510

15,190

6,510

15,190

3,300

7,700

3,300

7,700

3,300

7,700

3,300

7,700

3,300

7,700

3,300

7,700

3,300

7,700

1,200

2,800

1,200

2,800

1,200

2,800

1,200

2,800

1,290
1,290
1,290

3,010
3,010
3,010

1,290

3,010

1,290

3,010

1,290

3,010

1,290

3,010

1,290
1,290

3,010
3,010

2,730
2,730
2,730
2,730
2,730
2,730
2,730
2,730

6,370
6,370
6,370
6,370
6,370
6,370
6,370
6,370

2,730

6,370

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,730

6,370

2,730

6,370

2,730
2,730
2,730

6,370
6,370
6,370

2,730

6,370

2,730
2,730
2,730
2,730
2,730

6,370
6,370
6,370
6,370
6,370

2,730
2,730

6,370
6,370

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840
2,730

8,960
6,370

2,730

6,370

2,730

6,370

2,730

6,370

2,730

6,370

2,730

6,370

2,730
2,730

6,370
6,370

2,730

6,370

2,730

6,370

2,730

6,370

2,730

6,370

3,600
3,600

8,400
8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,600

8,400

3,600

8,400

4,140

9,660

4,140

9,660

4,140
4,140
4,140

9,660
9,660
9,660

4,140
4,140

9,660
9,660

4,140
4,140

9,660
9,660

4,140
4,140
4,140

9,660
9,660
9,660

4,140
4,140
4,140
4,140
4,140
4,140
4,140

9,660
9,660
9,660
9,660
9,660
9,660
9,660

4,140
4,140
4,140
4,140

9,660
9,660
9,660
9,660

4,140
4,140
4,140
4,140

9,660
9,660
9,660
9,660

4,140

9,660

2,220

5,180

2,220
2,220
2,220
2,220
2,220
2,220
2,220
2,220

5,180
5,180
5,180
5,180
5,180
5,180
5,180
5,180

2,220

5,180

2,220

5,180

2,220

5,180

2,220
2,220

5,180
5,180

2,220

5,180

2,460

5,740

2,850

6,650

2,850
2,850
2,850
2,850
2,850
2,190
2,190
2,190

6,650
6,650
6,650
6,650
6,650
5,110
5,110
5,110

2,190

5,110

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,000
3,000
4,800
3,030
3,030
4,740

7,000
7,000
11,200
7,070
7,070
11,060

4,740

11,060

4,740

11,060

4,740

11,060

4,740

11,060

4,740
4,740

11,060
11,060

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,740

11,060

4,740

11,060

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

3,780

8,820

2,610

6,090

2,610
2,610
3,630

6,090
6,090
8,470

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

3,630

8,470

2,490

5,810

2,490
2,490

5,810
5,810

2,490

5,810

2,490
2,490

5,810
5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490
2,700

5,810
6,300

2,700
2,700

6,300
6,300

2,700

6,300

1,860
1,860
3,120

4,340
4,340
7,280

3,120
3,120

7,280
7,280

3,120

7,280

3,120

7,280

3,120
3,120
3,120

7,280
7,280
7,280

3,120
3,120
3,120
3,120
3,120
3,120
2,490

7,280
7,280
7,280
7,280
7,280
7,280
5,810

2,490

5,810

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

1,980

4,620

1,980
1,980
1,980
1,980

4,620
4,620
4,620
4,620

1,980

4,620

1,980
1,980

4,620
4,620

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

3,780

8,820

3,780
3,780
3,780
3,780
3,780

8,820
8,820
8,820
8,820
8,820

3,780
3,780

8,820
8,820

3,780
3,780
3,780

8,820
8,820
8,820

3,930

9,170

3,930

9,170

3,930

9,170

3,930

9,170

3,930

9,170

3,930

9,170

3,930

9,170

3,930

9,170

3,930
3,930
3,930
3,930
3,930
3,930
3,930
3,930

9,170
9,170
9,170
9,170
9,170
9,170
9,170
9,170

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,380

3,220

1,380
1,380

3,220
3,220

2,370

5,530

2,370

5,530

2,370

5,530

2,370
2,370
2,370
2,370
2,370
2,370
2,370
2,370
2,370
2,370
2,370

5,530
5,530
5,530
5,530
5,530
5,530
5,530
5,530
5,530
5,530
5,530

2,370
2,370
2,370
2,370

5,530
5,530
5,530
5,530

2,370
2,370
2,370
2,370
2,370
2,370
2,370
2,370
2,370
2,370

5,530
5,530
5,530
5,530
5,530
5,530
5,530
5,530
5,530
5,530

2,370
2,370
2,370
2,370
2,370

5,530
5,530
5,530
5,530
5,530

2,370

5,530

2,370
2,430

5,530
5,670

2,430

5,670

2,430

5,670

2,430
1,800
2,970

5,670
4,200
6,930

2,970
2,970
2,970

6,930
6,930
6,930

2,970

6,930

2,970

6,930

2,970
2,970

6,930
6,930

2,970

6,930

3,180
3,180
3,180

7,420
7,420
7,420

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,180

7,420

3,180

7,420

3,180
3,180

7,420
7,420

3,180

7,420

3,180

7,420

3,180

7,420

3,180
3,180

7,420
7,420

1,740
1,740

4,060
4,060

1,740

4,060

1,740

4,060

1,740

4,060

1,740

4,060

3,180
3,270

7,420
7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

1,980

4,620

1,980

4,620

1,980

4,620

1,980

4,620

1,980

4,620

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,980

4,620

1,980
2,190

4,620
5,110

2,190
2,190

5,110
5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,190
2,850

5,110
6,650

2,850

6,650

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,100

4,900

2,790
2,790
2,790
2,790

6,510
6,510
6,510
6,510

2,790
2,790
3,540

6,510
6,510
8,260

3,540

8,260

3,120
3,120
3,120

7,280
7,280
7,280

3,120

7,280

3,120

7,280

9,600

22,400

9,600

22,400

2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280

5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,280
2,280
2,280

5,320
5,320
5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280

5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280

5,320

2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280

5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320

2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,280
2,130

5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320
5,320
4,970

2,340
2,340

5,460
5,460

2,340
2,340

5,460
5,460

2,340
2,340

5,460
5,460

1,620

3,780

1,620

3,780

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,420

7,980

3,420
3,420
3,420
3,420

7,980
7,980
7,980
7,980

3,420
3,420
6,660

7,980
7,980
15,540

6,660
6,660
6,660
2,310
2,310
2,310
2,310
2,310
2,310
2,310
2,310
2,910
2,340

15,540
15,540
15,540
5,390
5,390
5,390
5,390
5,390
5,390
5,390
5,390
6,790
5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,490
2,490
2,490
2,490
2,490

5,810
5,810
5,810
5,810
5,810

2,490

5,810

2,490

5,810

2,490
2,490

5,810
5,810

2,490
2,490
2,490
2,490

5,810
5,810
5,810
5,810

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,490
2,490
2,490
2,490

5,810
5,810
5,810
5,810

2,490
2,100
2,100

5,810
4,900
4,900

2,610
2,610
2,610
2,610
2,610
2,100
2,550
2,550

6,090
6,090
6,090
6,090
6,090
4,900
5,950
5,950

2,550

5,950

2,550
2,550

5,950
5,950

2,550
2,550
2,550

5,950
5,950
5,950

2,610

6,090

2,610
2,610
2,610
2,610
2,610
2,610
2,610
2,610
2,610
2,610
2,610
3,960
3,960

6,090
6,090
6,090
6,090
6,090
6,090
6,090
6,090
6,090
6,090
6,090
9,240
9,240

3,960
1,830

9,240
4,270

1,830

4,270

3,510

8,190

3,510

8,190

3,510

8,190

3,510

8,190

3,510

8,190

3,510

8,190

3,510

8,190

3,510

8,190

3,510

8,190

3,510

8,190

1,950
1,950

4,550
4,550

1,950

4,550

1,950

4,550

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,950
1,950
1,950
1,950
3,000

4,550
4,550
4,550
4,550
7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

3,000

7,000

2,760

6,440

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,760

6,440

2,760

6,440

2,760

6,440

2,760

6,440

2,760
2,760

6,440
6,440

2,760
2,760

6,440
6,440

2,760
2,760
2,760

6,440
6,440
6,440

2,760
2,760

6,440
6,440

2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760

6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440

1,650
1,650

3,850
3,850

1,650
1,650
1,650

3,850
3,850
3,850

1,650
1,650

3,850
3,850

1,650

3,850

1,650

3,850

1,650
1,650
1,650
1,650
3,690

3,850
3,850
3,850
3,850
8,610

3,690

8,610

3,690
3,690

8,610
8,610

3,690

8,610

3,690

8,610

3,690

8,610

4,710

10,990

4,710

10,990

4,710

10,990

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,710

10,990

4,710

10,990

2,520

5,880

2,520
2,520
2,520
2,520
2,520
2,520

5,880
5,880
5,880
5,880
5,880
5,880

2,520
2,520
2,520
2,520
2,520

5,880
5,880
5,880
5,880
5,880

2,520
2,520
2,520
2,520

5,880
5,880
5,880
5,880

2,520
2,520
1,950

5,880
5,880
4,550

1,950
1,950
1,950

4,550
4,550
4,550

1,950

4,550

1,950
1,950
2,340
2,340
2,340
2,340
2,340
2,340
2,340
2,340
2,340
2,340
2,340
2,340
6,060
2,100

4,550
4,550
5,460
5,460
5,460
5,460
5,460
5,460
5,460
5,460
5,460
5,460
5,460
5,460
14,140
4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,100

4,900

2,340

5,460

2,340

5,460

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840
3,840

8,960
8,960

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

6,180

14,420

6,180
6,180
6,180
1,980

14,420
14,420
14,420
4,620

1,980
1,980

4,620
4,620

5,190
5,190
5,190
5,190
5,190
5,190
3,900
3,900
2,220
2,220

12,110
12,110
12,110
12,110
12,110
12,110
9,100
9,100
5,180
5,180

2,790

6,510

2,700
2,700
2,700

6,300
6,300
6,300

2,700

6,300

2,700

6,300

2,700

6,300

2,700

6,300

2,700

6,300

2,700

6,300

2,700
2,700
2,700
2,700
2,700
2,700
2,550

6,300
6,300
6,300
6,300
6,300
6,300
5,950

2,550

5,950

2,550

5,950

2,550
2,550
2,550
2,550

5,950
5,950
5,950
5,950

2,550

5,950

2,430
2,430

5,670
5,670

2,430

5,670

2,430

5,670

2,430
2,430

5,670
5,670

2,430
2,430
2,430

5,670
5,670
5,670

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,480

8,120

3,480
3,480
3,480

8,120
8,120
8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480
3,480

8,120
8,120

3,480

8,120

3,480

8,120

3,480
3,480
3,480
3,480
3,480

8,120
8,120
8,120
8,120
8,120

3,480
3,480

8,120
8,120

3,480

8,120

3,480
3,480

8,120
8,120

3,480

8,120

2,700

6,300

2,700

6,300

2,700

6,300

2,700

6,300

2,700

6,300

2,700

6,300

2,700

6,300

2,700

6,300

2,700

6,300

2,700

6,300

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,730

6,370

2,730

6,370

2,730

6,370

2,730

6,370

2,730
2,730
2,730
2,730
2,730
2,730
2,730

6,370
6,370
6,370
6,370
6,370
6,370
6,370

6,480

15,120

6,480

15,120

6,480

15,120

6,480

15,120

6,480

15,120

6,480

15,120

6,480

15,120

6,480

15,120

4,320
4,320

10,080
10,080

4,320
4,320
4,320

10,080
10,080
10,080

4,320

10,080

4,320

10,080

4,320

10,080

4,320

10,080

4,320
4,320
4,320
4,320
1,980
1,980

10,080
10,080
10,080
10,080
4,620
4,620

1,980

4,620

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,980

4,620

1,980

4,620

1,980

4,620

1,980

4,620

1,980
2,790

4,620
6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

5,520
5,520
2,160

12,880
12,880
5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

2,160

5,040

4,200

9,800

4,200

9,800

4,200

9,800

4,200

9,800

4,200
4,200

9,800
9,800

2,850

6,650

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,850

6,650

2,850
2,850

6,650
6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

2,850
2,850
2,850
2,850
2,850
2,850

6,650
6,650
6,650
6,650
6,650
6,650

2,850
2,850
2,850
1,230

6,650
6,650
6,650
2,870

1,230
1,230

2,870
2,870

1,230
1,230

2,870
2,870

1,230
1,230
3,030

2,870
2,870
7,070

3,030

7,070

3,030

7,070

3,030
3,030

7,070
7,070

3,030

7,070

3,030

7,070

3,030

7,070

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

8,370

19,530

8,370

19,530

8,370

19,530

2,640

6,160

2,640

6,160

2,640
2,640
2,640

6,160
6,160
6,160

2,640

6,160

2,640
2,640

6,160
6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640
2,640
2,640
2,640
2,640

6,160
6,160
6,160
6,160
6,160

7,680

17,920

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

7,680

17,920

7,680

17,920

7,680

17,920

7,680

17,920

7,680

17,920

7,680

17,920

7,680

17,920

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

5,670

13,230

3,600

8,400

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

2,220
2,220
2,220
2,220
2,220
2,220
2,220

5,180
5,180
5,180
5,180
5,180
5,180
5,180

2,220

5,180

2,220

5,180

2,220

5,180

2,220
2,220

5,180
5,180

2,220
2,220
2,220

5,180
5,180
5,180

2,640
2,640
2,640

6,160
6,160
6,160

2,640

6,160

2,640
2,640
2,640
3,300

6,160
6,160
6,160
7,700

3,300
3,300
3,540
3,540
3,540

7,700
7,700
8,260
8,260
8,260

3,540

8,260

3,540
3,540

8,260
8,260

3,540

8,260

3,540
3,540
3,540

8,260
8,260
8,260

3,540

8,260

3,540

8,260

3,540
3,540

8,260
8,260

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,540

8,260

3,540
3,540
3,540
3,540

8,260
8,260
8,260
8,260

3,540

8,260

3,540
3,540
3,540
3,540
3,540
3,540

8,260
8,260
8,260
8,260
8,260
8,260

3,540
3,540

8,260
8,260

3,540
4,530
4,530
4,530
4,530
4,530

8,260
10,570
10,570
10,570
10,570
10,570

4,530

10,570

4,530
4,530
4,530
4,530
4,530
2,040

10,570
10,570
10,570
10,570
10,570
4,760

2,670

6,230

2,670

6,230

2,670

6,230

4,230

9,870

4,230

9,870

4,230
4,230
4,230
4,230
4,230
4,230

9,870
9,870
9,870
9,870
9,870
9,870

4,230
4,230
4,230
4,230
4,230
4,230

9,870
9,870
9,870
9,870
9,870
9,870

4,230

9,870

4,230

9,870

4,950

11,550

4,950

11,550

4,950

11,550

4,950

11,550

4,950

11,550

4,950

11,550

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,950

11,550

4,950

11,550

4,950

11,550

4,950

11,550

4,950

11,550

4,950

11,550

4,950

11,550

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

4,260

9,940

3,090

7,210

3,090

7,210

5,070
5,070
5,070
5,070

11,830
11,830
11,830
11,830

5,070

11,830

5,070

11,830

5,070
3,420

11,830
7,980

3,420

7,980

3,420

7,980

3,420

7,980

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

FIRST CASE RATE

Professional
Fee

Health Care
Institution Fee

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

3,450

8,050

4,170

9,730

4,170

9,730

4,170

9,730

FIRST CASE RATE


Professional
Fee
4,170

Health Care
Institution Fee
9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,170

9,730

4,020

9,380

4,020

9,380

4,020

9,380

4,020

9,380

4,020

9,380

4,020

9,380

4,020

9,380

4,020

9,380

4,020

9,380

4,020

9,380

3,180
3,180
3,180
3,180
4,830

7,420
7,420
7,420
7,420
11,270

4,830
4,830
4,830
4,830

11,270
11,270
11,270
11,270

4,830

11,270

4,830

11,270

4,830
4,830

11,270
11,270

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,830

11,270

3,990

9,310

3,990

9,310

3,990

9,310

3,990

9,310

3,990

9,310

3,990

9,310

3,990

9,310

3,990

9,310

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

3,180

7,420

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

4,380

10,220

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,380

10,220

3,450

8,050

3,450
3,450
3,450
3,450

8,050
8,050
8,050
8,050

3,450
3,600

8,050
8,400

3,600
3,600

8,400
8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,600

8,400

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,420

7,980

3,510
3,510

8,190
8,190

3,510

8,190

3,510
3,510
3,510
3,510

8,190
8,190
8,190
8,190

3,510

8,190

2,040

4,760

2,040

4,760

2,040

4,760

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040
2,040
2,040

4,760
4,760
4,760

2,040
2,040
2,040
2,040
2,040
2,040

4,760
4,760
4,760
4,760
4,760
4,760

2,040
2,040

4,760
4,760

2,040
2,040

4,760
4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040
2,040

4,760
4,760

2,040

4,760

2,040

4,760

2,040
2,040
2,040
2,040
2,040
2,040
2,040

4,760
4,760
4,760
4,760
4,760
4,760
4,760

2,040
2,040
2,040

4,760
4,760
4,760

2,040
2,040

4,760
4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040
2,040

4,760
4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040
2,040
2,040

4,760
4,760
4,760

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,040
2,040

4,760
4,760

2,040
2,040

4,760
4,760

2,040

4,760

2,040
2,040
2,040
2,040

4,760
4,760
4,760
4,760

2,040
2,040

4,760
4,760

2,040

4,760

2,040
2,040
2,040

4,760
4,760
4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040
2,040

4,760
4,760

2,040

4,760

2,040

4,760

2,040
2,040
2,040
2,040

4,760
4,760
4,760
4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040
2,040

4,760
4,760

2,040

4,760

2,040

4,760

2,040
2,040

4,760
4,760

2,040

4,760

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,040

4,760

2,040
2,040

4,760
4,760

2,040

4,760

2,040
2,040
2,040
2,040

4,760
4,760
4,760
4,760

2,040
2,040
2,040

4,760
4,760
4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040

4,760

2,040
2,040
2,040
2,040
2,040
2,040

4,760
4,760
4,760
4,760
4,760
4,760

2,040

4,760

2,040
2,040
2,040
2,040

4,760
4,760
4,760
4,760

2,040
2,040
7,710
7,710

4,760
4,760
17,990
17,990

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

7,710

17,990

7,710
7,710
7,710
7,710

17,990
17,990
17,990
17,990

7,710

17,990

7,710
7,710
7,710
7,710
5,940
5,940
5,940

17,990
17,990
17,990
17,990
13,860
13,860
13,860

5,940

13,860

1,980

4,620

1,980

4,620

1,980

4,620

1,980
1,980

4,620
4,620

1,980

4,620

1,980

4,620

1,980
1,980

4,620
4,620

1,980
1,980

4,620
4,620

1,980

4,620

1,980

4,620

1,980
1,980

4,620
4,620

1,980

4,620

2,340

5,460

2,340
2,340
2,340

5,460
5,460
5,460

2,340

5,460

2,340

5,460

2,340
2,340
2,340

5,460
5,460
5,460

2,340

5,460

2,340
2,340
2,340
2,340

5,460
5,460
5,460
5,460

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,340

5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,340

5,460

2,340

5,460

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,340
2,340
2,340
2,340

5,460
5,460
5,460
5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,340
2,340

5,460
5,460
5,460

2,340
2,340
2,340
2,340

5,460
5,460
5,460
5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340

5,460

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,340

5,460

2,340
2,340
2,340
2,340
2,340

5,460
5,460
5,460
5,460
5,460

2,340
2,340

5,460
5,460

2,340
2,340
2,340

5,460
5,460
5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,340
2,340

5,460
5,460
5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,340

5,460
5,460

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,340

5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340
2,340
2,340

5,460
5,460
5,460

2,340

5,460

3,210

7,490

3,210

7,490

3,210

7,490

3,210
2,790

7,490
6,510

2,790

6,510

2,790
2,790
2,790

6,510
6,510
6,510

2,790

6,510

2,790
2,790
2,790

6,510
6,510
6,510

2,790
2,790

6,510
6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790
2,790
2,790
2,790
2,790
2,790
2,790

6,510
6,510
6,510
6,510
6,510
6,510
6,510

2,790
2,790
2,790

6,510
6,510
6,510

2,790

6,510

2,790
2,790

6,510
6,510

2,790

6,510

1,500

3,500

1,500

3,500

1,500
1,500
1,500

3,500
3,500
3,500

1,500

3,500

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,500
1,500

3,500
3,500

1,500

3,500

1,500

3,500

1,500

3,500

1,500

3,500

1,500

3,500

1,500

3,500

1,500

3,500

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

2,070

4,830

1,950
1,950
1,950

4,550
4,550
4,550

1,950
1,950

4,550
4,550

1,950
1,950

4,550
4,550

1,950
1,950

4,550
4,550

FIRST CASE RATE


Professional
Fee
1,950
1,950
1,950

Health Care
Institution Fee
4,550
4,550
4,550

1,950

4,550

1,950

4,550

1,950

4,550

1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550

1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550

1,950

4,550

1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550

1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550

1,950

4,550

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,950
1,950
1,950

4,550
4,550
4,550

1,950
1,950

4,550
4,550

1,950

4,550

1,950
1,950
1,950

4,550
4,550
4,550

1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550

1,950

4,550

1,950
1,950
1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550
4,550
4,550

1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550

1,950

4,550

1,950

4,550

1,950

4,550

1,950

4,550

1,950
1,950

4,550
4,550

1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550
4,550

1,950
1,950
1,950
1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550
4,550
4,550
4,550

1,950

4,550

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550

1,950
1,950
1,950
1,950
1,950
1,950

4,550
4,550
4,550
4,550
4,550
4,550

1,950
1,950

4,550
4,550

1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770
1,770

4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130
4,130

1,770
1,770
1,770
1,770
3,480
2,370
2,370
2,370
2,370
2,370

4,130
4,130
4,130
4,130
8,120
5,530
5,530
5,530
5,530
5,530

2,370

5,530

2,370

5,530

2,370

5,530

2,370
2,370
2,370
2,370

5,530
5,530
5,530
5,530

2,370
2,370
2,370
7,740
2,310

5,530
5,530
5,530
18,060
5,390

2,310

5,390

2,310

5,390

2,310

5,390

2,310

5,390

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,310
2,310

5,390
5,390

2,310

5,390

2,310

5,390

2,310

5,390

2,310
2,310

5,390
5,390

2,310
2,310

5,390
5,390

2,310

5,390

2,310

5,390

2,310
2,310

5,390
5,390

2,310

5,390

2,310

5,390

2,310
2,310

5,390
5,390

2,310

5,390

2,310

5,390

2,310
2,310

5,390
5,390

2,310

5,390

2,310

5,390

2,310

5,390

2,310

5,390

2,310

5,390

2,310

5,390

2,310
2,310

5,390
5,390

2,310
2,310
2,310

5,390
5,390
5,390

2,310

5,390

2,310

5,390

2,310

5,390

2,310

5,390

2,310

5,390

2,310

5,390

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,310

5,390

2,310

5,390

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660
3,660
3,660
3,660

8,540
8,540
8,540
8,540

3,660

8,540

3,660

8,540

3,660
3,660

8,540
8,540

3,660

8,540

3,660

8,540

3,660

8,540

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

3,660

8,540

2,370
2,370
2,370
2,370
2,370
2,370

5,530
5,530
5,530
5,530
5,530
5,530

2,370
2,370
2,370

5,530
5,530
5,530

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

5,070

11,830

2,100

4,900

2,100

4,900

2,250

5,250

3,510
3,510

8,190
8,190

3,510
3,510

8,190
8,190

3,510
3,510
3,510
3,510
2,550

8,190
8,190
8,190
8,190
5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,760
2,760

6,440
6,440

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,760
2,760

6,440
6,440

2,760
2,760
2,760
2,760
2,760
2,760

6,440
6,440
6,440
6,440
6,440
6,440

2,760
2,760

6,440
6,440

2,760

6,440

2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
2,760
4,080

6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
6,440
9,520

2,910

6,790

2,910

6,790

2,910

6,790

2,910
2,910
2,910

6,790
6,790
6,790

2,910

6,790

2,910

6,790

2,910
2,910

6,790
6,790

2,370

5,530

2,370

5,530

3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900

9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100

3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900

9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,900
3,900

9,100
9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900

9,100

3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
3,900
2,670
2,670

9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
9,100
6,230
6,230

2,670
2,670

6,230
6,230

2,670
2,670
2,670
2,670
2,670
2,670
2,670

6,230
6,230
6,230
6,230
6,230
6,230
6,230

2,670
2,670
2,670
2,670
2,670
2,670
2,670
2,670

6,230
6,230
6,230
6,230
6,230
6,230
6,230
6,230

2,640

6,160

2,640

6,160

2,640
2,640

6,160
6,160

2,640

6,160

2,640
2,640
2,640
2,640

6,160
6,160
6,160
6,160

2,640

6,160

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,640

6,160

2,640

6,160

2,640

6,160

2,640

6,160

2,640
2,640
2,640
2,640

6,160
6,160
6,160
6,160

2,640

6,160

2,640
2,640
2,640
2,640
4,560
4,560
4,560

6,160
6,160
6,160
6,160
10,640
10,640
10,640

4,560

10,640

4,560

10,640

4,560
4,560

10,640
10,640

4,560
4,560

10,640
10,640

4,560

10,640

4,560

10,640

2,550
2,550

5,950
5,950

2,550
2,550
3,480

5,950
5,950
8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480

8,120

3,480
3,480

8,120
8,120

3,480

8,120

3,480
3,480

8,120
8,120

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,480

8,120

3,480

8,120

3,480
3,480

8,120
8,120

3,720

8,680

3,720
3,720

8,680
8,680

3,720

8,680

3,720
3,720
3,720
3,720
3,720
3,720
3,720
3,720
3,720
2,430

8,680
8,680
8,680
8,680
8,680
8,680
8,680
8,680
8,680
5,670

2,430
2,430

5,670
5,670

2,430

5,670

2,430
2,430

5,670
5,670

2,430

5,670

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

1,920

4,480

1,920

4,480

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

4,740

11,060

4,740
4,740
4,740

11,060
11,060
11,060

4,740
4,740

11,060
11,060

4,740

11,060

4,740
4,740

11,060
11,060

4,740
4,740
4,740
4,740
4,740

11,060
11,060
11,060
11,060
11,060

4,740
4,740

11,060
11,060

4,740

11,060

4,740

11,060

4,740
4,740
4,740

11,060
11,060
11,060

4,740
4,740
4,740

11,060
11,060
11,060

3,600
3,600
3,600
3,600
3,600

8,400
8,400
8,400
8,400
8,400

3,600

8,400

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,600

8,400

3,600

8,400

3,600

8,400

2,550

5,950

2,550

5,950

2,550
2,550

5,950
5,950

2,550

5,950

2,550
2,550

5,950
5,950

2,550

5,950

2,550

5,950

3,270

7,630

3,270
3,270

7,630
7,630

3,270
3,270
3,270
3,270
3,270

7,630
7,630
7,630
7,630
7,630

3,270
3,270
3,270
3,270

7,630
7,630
7,630
7,630

3,270

7,630

2,850

6,650

2,850

6,650

2,850

6,650

2,850

6,650

4,050

9,450

4,050
4,050
4,050
4,050
3,060

9,450
9,450
9,450
9,450
7,140

3,060

7,140

3,060

7,140

3,060

7,140

3,060
3,060

7,140
7,140

2,640
2,640

6,160
6,160

2,640

6,160

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,640

6,160

2,640

6,160

2,640

6,160

2,640
2,340

6,160
5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,340

5,460
5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340

5,460

2,340
2,370

5,460
5,530

2,700
2,700
2,700
2,700
2,700
2,700
2,700

6,300
6,300
6,300
6,300
6,300
6,300
6,300

2,700

6,300

2,700
2,700
2,700
2,700
2,700
2,700
2,700
2,700

6,300
6,300
6,300
6,300
6,300
6,300
6,300
6,300

2,700

6,300

2,700

6,300

1,440
1,440
1,440
1,440
1,440
1,440
1,440

3,360
3,360
3,360
3,360
3,360
3,360
3,360

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840

8,960

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

1,830

4,270

3,810
3,810
3,810
3,810
3,810
3,810
3,810

8,890
8,890
8,890
8,890
8,890
8,890
8,890

3,810
3,810

8,890
8,890

3,810
3,810
3,810
3,810

8,890
8,890
8,890
8,890

3,810
3,810
3,810

8,890
8,890
8,890

3,810
3,810
3,810

8,890
8,890
8,890

3,810

8,890

3,810

8,890

3,810

8,890

3,810

8,890

3,810

8,890

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,810
3,810
3,810

8,890
8,890
8,890

3,810
3,240

8,890
7,560

3,240
3,240
4,410

7,560
7,560
10,290

4,410

10,290

4,410
3,240

10,290
7,560

3,240
4,260

7,560
9,940

4,260
9,600

9,940
22,400

9,600
9,600
9,600
9,600
9,600
9,600

22,400
22,400
22,400
22,400
22,400
22,400

9,600

22,400

9,600
9,600
9,600
9,600
9,600
9,600
9,600

22,400
22,400
22,400
22,400
22,400
22,400
22,400

9,600

22,400

9,600
9,600
9,600
9,600
9,600
9,600

22,400
22,400
22,400
22,400
22,400
22,400

9,600
4,500
4,500
4,500
4,500
4,500

22,400
10,500
10,500
10,500
10,500
10,500

4,500

10,500

4,500

10,500

4,500

10,500

4,500
4,500
4,500
4,500
4,500
4,500
4,500

10,500
10,500
10,500
10,500
10,500
10,500
10,500

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,500
4,500
4,500
4,500
4,500
4,500
4,500
4,500
4,500
4,500

10,500
10,500
10,500
10,500
10,500
10,500
10,500
10,500
10,500
10,500

4,500

10,500

4,500
4,500
4,500
4,500
4,500
4,500

10,500
10,500
10,500
10,500
10,500
10,500

4,500

10,500

4,500

10,500

4,500

10,500

4,500
4,500
4,500
4,500
4,500
4,500
4,500
4,500
4,500

10,500
10,500
10,500
10,500
10,500
10,500
10,500
10,500
10,500

4,500

10,500

4,500

10,500

4,500
4,500
4,500

10,500
10,500
10,500

4,500
4,500
4,500

10,500
10,500
10,500

4,500

10,500

4,500

10,500

4,500
4,500
4,500
4,500
4,500

10,500
10,500
10,500
10,500
10,500

4,590
4,590
4,590
4,590
2,010

10,710
10,710
10,710
10,710
4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

FIRST CASE RATE


Professional
Fee
2,010

Health Care
Institution Fee
4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,010

4,690

2,010

4,690

2,010

4,690

2,010

4,690

2,190
2,190

5,110
5,110

2,190
2,190
2,190
2,190
2,190
2,190
2,190
2,190
2,190
2,190

5,110
5,110
5,110
5,110
5,110
5,110
5,110
5,110
5,110
5,110

2,190
2,190
2,190

5,110
5,110
5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,190
2,190

5,110
5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,220

5,180

2,220

5,180

2,220

5,180

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,220

5,180

2,220

5,180

2,220

5,180

2,220

5,180

3,750

8,750

3,750

8,750

3,750

8,750

3,750

8,750

3,750

8,750

3,750

8,750

3,750

8,750

3,750

8,750

3,750

8,750

3,750

8,750

1,860

4,340

1,860

4,340

1,860

4,340

1,860

4,340

1,860

4,340

1,860

4,340

1,860

4,340

1,890

4,410

1,890

4,410

1,890

4,410

1,890

4,410

1,890

4,410

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,190
2,190
2,190
2,190

5,110
5,110
5,110
5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,190

5,110

2,550

5,950

2,550
2,550
2,550

5,950
5,950
5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550
2,550

5,950
5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550

5,950

1,920

4,480

1,920

4,480

1,920

4,480

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,920

4,480

1,590
1,590
1,590

3,710
3,710
3,710

1,590

3,710

1,590
1,590
1,590

3,710
3,710
3,710

1,590

3,710

1,590

3,710

1,710
1,710

3,990
3,990

1,710
1,710
1,710
1,710
1,710
1,710
1,710

3,990
3,990
3,990
3,990
3,990
3,990
3,990

1,710

3,990

1,710

3,990

1,710

3,990

1,710
1,710
1,710

3,990
3,990
3,990

1,710
1,710

3,990
3,990

1,710

3,990

1,710

3,990

1,710

3,990

1,710
2,490

3,990
5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,490

5,810

3,180

7,420

3,180
3,180
3,180
3,180

7,420
7,420
7,420
7,420

3,180
3,180

7,420
7,420

3,180
3,180
3,180
3,180
3,180
3,180

7,420
7,420
7,420
7,420
7,420
7,420

3,180
3,180

7,420
7,420

3,180

7,420

1,560

3,640

1,560
1,560
1,560
1,560
1,560
2,790

3,640
3,640
3,640
3,640
3,640
6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790
2,790

6,510
6,510

2,790
2,790

6,510
6,510

2,790

6,510

2,790

6,510

2,790
2,790
2,790

6,510
6,510
6,510

2,790

6,510

2,790

6,510

2,790

6,510

2,790
2,790
2,790

6,510
6,510
6,510

3,090

600 1,400
7,210

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,090

7,210

3,090

7,210

3,090
3,090
3,090

7,210
7,210
7,210

3,090

7,210

3,090
3,090
3,090
3,090

7,210
7,210
7,210
7,210

3,090

7,210

3,090

7,210

3,090
3,090

7,210
7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090
3,090
3,090
3,090
3,090

7,210
7,210
7,210
7,210
7,210

3,090

7,210

3,090

7,210

3,090
3,090
3,090
3,090

7,210
7,210
7,210
7,210

3,090

7,210

3,090
3,090

7,210
7,210

3,090
3,090

7,210
7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090
3,090

7,210
7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090
3,090

7,210
7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

3,090

7,210

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,760

6,440

2,760
2,760
2,760
2,760
2,760
2,760

6,440
6,440
6,440
6,440
6,440
6,440

2,760
2,760
2,760
2,760
2,760
2,040
3,180

6,440
6,440
6,440
6,440
6,440
4,760
7,420

3,180

7,420

3,180

7,420

3,180
3,180

7,420
7,420

3,180

7,420

3,180
3,180
3,180

7,420
7,420
7,420

3,180
3,180

7,420
7,420

3,180
3,180

7,420
7,420

3,180

7,420

3,180

7,420

3,180

7,420

3,180

7,420

3,180

7,420

3,180

7,420

3,180
3,180

7,420
7,420

3,180
3,180
3,180

7,420
7,420
7,420

3,180
3,180

7,420
7,420

3,180
3,270

7,420
7,630

3,270

7,630

3,270

7,630

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

3,270

7,630

7,290

17,010

7,290

17,010

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,230
4,230
4,230

9,870
9,870
9,870

4,230
4,230

9,870
9,870

3,270

7,630

3,270

7,630

3,270

7,630

2,190
2,190
2,190
2,880

5,110
5,110
5,110
6,720

4,170
4,170
4,170

9,730
9,730
9,730

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

4,410

10,290

9,600
9,600
9,600
2,310
2,310

22,400
22,400
22,400
5,390
5,390

2,310

5,390

2,310
3,030

5,390
7,070

3,030

7,070

3,030

7,070

3,030
3,030

7,070
7,070

3,030

7,070

3,030

7,070

3,030

7,070

3,840
3,840

8,960
8,960

3,840

8,960

3,840
3,840

8,960
8,960

3,840

8,960

3,840

8,960

3,840

8,960

3,840
3,840

8,960
8,960

3,840

8,960

3,840

8,960

3,840

8,960

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,840

8,960

3,840
3,840
3,840

8,960
8,960
8,960

3,840
3,840
3,840
3,840

8,960
8,960
8,960
8,960

3,840

8,960

3,840

8,960

2,100

4,900

2,100
2,100

4,900
4,900

2,100
2,100

4,900
4,900

2,490
9,600
9,600
9,600

5,810
22,400
22,400
22,400

9,600
9,600
9,600
9,600

22,400
22,400
22,400
22,400

9,600
9,600
9,600
9,600

22,400
22,400
22,400
22,400

9,600
9,600
9,600
3,090
3,090
3,090

22,400
22,400
22,400
7,210
7,210
7,210

3,090
3,090

7,210
7,210

3,090

7,210

3,210

7,490

3,210

7,490

3,210

7,490

3,210

7,490

3,210

7,490

3,210

7,490

3,210

7,490

2,400

5,600

2,640
2,550
2,550
2,550
2,550
2,550
2,550
2,550

6,160
5,950
5,950
5,950
5,950
5,950
5,950
5,950

2,550
2,550
2,550

5,950
5,950
5,950

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,550
2,550
2,550
2,550
2,550
2,550
2,550

5,950
5,950
5,950
5,950
5,950
5,950
5,950

2,550
2,550
2,550
2,550

5,950
5,950
5,950
5,950

2,550

5,950

2,550

5,950

2,550

5,950

2,550
2,550
9,600
9,600
9,600
9,600

5,950
5,950
22,400
22,400
22,400
22,400

9,600

22,400

2,010

4,690

3,210

7,490

3,210

7,490

3,210

7,490

3,210

7,490

3,210

7,490

3,210

7,490

3,210
3,210
3,210
3,210
3,210
3,210
3,210
3,210
3,210
3,210

7,490
7,490
7,490
7,490
7,490
7,490
7,490
7,490
7,490
7,490

3,210

7,490

3,210

7,490

3,210

7,490

3,210

7,490

3,210

7,490

3,240

7,560

2,490
2,490
2,490
2,490
2,490
2,490
2,490

5,810
5,810
5,810
5,810
5,810
5,810
5,810

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,490
2,490
2,490
2,490
2,490

5,810
5,810
5,810
5,810
5,810

2,490
2,490
2,490

5,810
5,810
5,810

2,490
2,490
2,490
2,490
2,490
2,490
2,490

5,810
5,810
5,810
5,810
5,810
5,810
5,810

2,490
2,490

5,810
5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490
2,490
2,490
2,490

5,810
5,810
5,810
5,810

2,490

5,810

2,490
2,490

5,810
5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490

5,810

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,490

5,810

2,490

5,810

2,490
2,490
2,490
2,490
2,490
2,490
2,490
2,490
2,490
2,490

5,810
5,810
5,810
5,810
5,810
5,810
5,810
5,810
5,810
5,810

2,490
2,490

5,810
5,810

2,490
2,490

5,810
5,810

2,490
2,490
2,490

5,810
5,810
5,810

2,490
2,490

5,810
5,810

2,490

5,810

2,490
2,490
2,490
2,490

5,810
5,810
5,810
5,810

2,490
2,490

5,810
5,810

2,490

5,810

2,490

5,810

2,490
2,490

5,810
5,810

2,490

5,810

2,490

5,810

2,490

5,810

2,490
2,490
2,490
2,490
2,490

5,810
5,810
5,810
5,810
5,810

2,490
2,490
2,490
3,060

5,810
5,810
5,810
7,140

4,680

10,920

4,680
4,680
4,680
4,680
3,690

10,920
10,920
10,920
10,920
8,610

11,400

26,600

11,400

26,600

11,400

26,600

11,400

26,600

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

11,400
11,400
11,400

26,600
26,600
26,600

11,400

26,600

11,400

26,600

11,400
11,400

26,600
26,600

11,400

26,600

11,400

26,600

11,400
11,400
11,400
11,400
11,400
11,400
11,400

26,600
26,600
26,600
26,600
26,600
26,600
26,600

11,400

26,600

11,400

26,600

8,400

19,600

8,400

19,600

8,400

19,600

8,400

19,600

8,400

19,600

8,400

19,600

8,400

19,600

8,400
8,400
8,400

19,600
19,600
19,600

8,400
3,120

19,600
7,280

3,120

7,280

3,120

7,280

3,120

7,280

3,120

7,280

3,120

7,280

3,120

7,280

3,120

7,280

3,120

7,280

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,120

7,280

3,570

8,330

3,570
3,570
3,570
3,570
3,570
4,950
4,950
4,950
4,950
1,680
1,680

8,330
8,330
8,330
8,330
8,330
11,550
11,550
11,550
11,550
3,920
3,920

1,680
1,680
1,680
1,680
4,770
2,190
2,190
2,190
2,190
2,190
2,190

3,920
3,920
3,920
3,920
11,130
5,110
5,110
5,110
5,110
5,110
5,110

2,190

5,110

4,140

9,660

4,140
4,140
4,140
4,140
4,140

9,660
9,660
9,660
9,660
9,660

4,140
4,140
4,140
4,140
4,140
4,140
4,140
4,140
4,140
4,140
4,140
4,140
4,140
4,140

9,660
9,660
9,660
9,660
9,660
9,660
9,660
9,660
9,660
9,660
9,660
9,660
9,660
9,660

4,140
4,140
4,140
3,570

9,660
9,660
9,660
8,330

3,570

8,330

3,570

8,330

3,570

8,330

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

3,570

8,330

3,570

8,330

3,570

8,330

3,570

8,330

3,570

8,330

3,570

8,330

3,570

8,330

4,530
4,530
4,530
4,530
4,530
2,940

10,570
10,570
10,570
10,570
10,570
6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

2,940

6,860

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,940

6,860

2,940

6,860

3,000
3,000
3,000
3,000
3,000

7,000
7,000
7,000
7,000
7,000

3,000
3,000
3,000
3,000
3,000

7,000
7,000
7,000
7,000
7,000

3,390

7,910

3,390
3,390
3,390
3,390

7,910
7,910
7,910
7,910

3,390

7,910

3,390

7,910

2,250
2,250
2,250
2,250
2,250
2,250
2,340
2,340
2,340
2,340
2,340

5,250
5,250
5,250
5,250
5,250
5,250
5,460
5,460
5,460
5,460
5,460

2,340

5,460

2,340
2,340
2,340

5,460
5,460
5,460

2,340
2,340
2,340
2,340

5,460
5,460
5,460
5,460

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

2,340

5,460

1,710

3,990

1,710
1,710
1,710

3,990
3,990
3,990

1,710

3,990

1,710
1,710

3,990
3,990

1,710
1,710

3,990
3,990

1,710

3,990

2,370

5,530

2,370

5,530

2,370
2,370
2,370
3,540
3,540

5,530
5,530
5,530
8,260
8,260

3,540

8,260

3,540

8,260

3,540

8,260

3,540

8,260

3,540

8,260

3,540
3,540
3,540

8,260
8,260
8,260

3,540
3,540

8,260
8,260

3,540
3,540
3,540
3,540
3,540

8,260
8,260
8,260
8,260
8,260

6,330

14,770

6,330

14,770

FIRST CASE RATE


Professional
Fee

Health Care
Institution Fee

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

6,330

14,770

3,180
3,180
3,180
3,180
3,510
3,510
3,510
3,510
3,510
3,510
3,510
3,510

7,420
7,420
7,420
7,420
8,190
8,190
8,190
8,190
8,190
8,190
8,190
8,190

3,510
3,510
3,510
3,510
3,510
3,510

8,190
8,190
8,190
8,190
8,190
8,190

3,510

8,190

3,510
3,510
3,510
3,510
3,510
3,510

8,190
8,190
8,190
8,190
8,190
8,190

3,510

8,190