醫(yī)療保險(xiǎn)病種分值表

1、*市醫(yī)療保險(xiǎn)病種分值表序號(hào)ICD-10病種手術(shù)分值非手術(shù)分值主要編碼附加編碼1A03.900細(xì)菌性痢疾12612A04.902細(xì)菌性腹瀉8863A08.000輪狀病毒腸炎5154A09.001感染性胃腸炎9205A09.004感染性腹瀉9746A09.901胃腸炎13107A09.902結(jié)腸炎14908A09.903嬰兒腹瀉4459A09.905急性腸炎106810A15.000肺結(jié)核，痰鏡檢（+）392111A15.100肺結(jié)核，痰培養(yǎng)（+）221612A16.000肺結(jié)核，細(xì)菌學(xué)和組織學(xué)檢查（-）365113A16.200肺結(jié)核210014A16.201肺結(jié)核瘤316215A16.404支

2、氣管結(jié)核621816A16.500結(jié)核性胸膜炎283017A16.901胸壁結(jié)核248318A18.115+N74.1*女性盆腔結(jié)核183419A18.118+N51.1*附睪結(jié)核3064179420A18.205頸淋巴結(jié)結(jié)核2983109321A18.207腋下淋巴結(jié)結(jié)核2276151622A23.001羊布氏桿菌病152223A23.901+M49.1*布氏菌病脊柱炎400024A23.900布氏菌病514925A38.X00猩紅熱63926A41.501大腸桿菌敗血癥508027A41.900敗血癥486228A41.901膿毒血癥186213285429A46.X00丹毒269230A

3、59.001+N37.0*滴蟲性尿道炎135531A86.X00病毒性腦炎232632A86.X02病毒性腦膜腦炎835533A87.900病毒性腦膜炎3682232134B00.201皰疹病毒性齦口炎45435B00.205皰疹病毒性咽炎61736B01.900水痘77737B02.900帶狀皰疹124238B08.200猝發(fā)疹第六病40939B08.401手足口病76640B08.501皰疹性咽峽炎60041B16.901急性黃疸型乙型病毒性肝炎239642B16.902急性淤膽型乙型病毒性肝炎337143B16.904乙型病毒性肝炎244944B18.101慢性活動(dòng)型乙型病毒性肝炎300

4、145B18.102慢性遷延型乙型病毒性肝炎269546B18.104慢性輕度乙型病毒性肝炎40447B18.106慢性重度乙型病毒性肝炎269548B18.107慢性乙型病毒性肝炎112449B18.200慢性丙型病毒性肝炎309950B19.900病毒性肝炎200551B25.900巨細(xì)胞病毒感染175052B26.000+N51.1*流行性腮腺炎性睪丸炎121753B26.900流行性腮腺炎103554B27.900傳染性單核細(xì)胞增多癥145955B37.400特指泌尿生殖系部位念珠菌感染225356B90.902陳舊性肺結(jié)核172257B94.801帶狀皰疹后遺癥140058C05.9

5、00腭惡性腫瘤5937312859C07.X00腮腺惡性腫瘤3846314560C15.000頸部食管惡性腫瘤23678372961C15.100胸部食管惡性腫瘤21275372662C15.200腹部食管惡性腫瘤19929372563C15.300食管上二分之一惡性腫瘤23678372964C15.400食管中二分之一惡性腫瘤21275372665C15.500食管下二分之一惡性腫瘤19929372566C15.801食道中上段惡性腫瘤19929372567C15.802食道中下段惡性腫15.900食管惡性腫瘤9351833569C16.000賁門惡性腫瘤19484

6、372870C16.001食管賁門連接處惡性腫瘤8107373671C16.100胃底惡性腫瘤23847372672C16.200胃體惡性腫16.301胃竇惡性腫瘤16695373274C16.500胃小彎惡性腫16.801賁門胃底惡性腫16.802賁門胃體惡性腫瘤1882177C16.900胃惡性腫16.903殘胃惡性腫瘤16130372579C17.000十二指腸惡性腫瘤23578287780C17.900小腸惡性腫瘤12711278881C18.000盲腸惡性腫瘤16922289782

7、C18.001回盲部惡性腫瘤16922287683C18.200升結(jié)腸惡性腫瘤16753286584C18.400橫結(jié)腸惡性腫瘤19817286385C18.600降結(jié)腸惡性腫瘤19082283586C18.700乙狀結(jié)腸惡性腫18.900結(jié)腸惡性腫19.X00乙狀結(jié)腸直腸惡性腫瘤16899246389C19.X01結(jié)腸和直腸惡性腫20.X00直腸惡性腫22.000肝細(xì)胞癌10301376692C22.101膽管癌12886247493C22.900肝惡性腫瘤11541817994C23.X

8、00膽囊惡性腫瘤12886366095C24.002膽管惡性腫瘤12886253096C24.003膽總管惡性腫瘤12915565397C24.100法特壺腹惡性腫25.000胰頭惡性腫25.900胰腺惡性腫瘤142833877100C31.000上頜竇惡性腫瘤53733309101C32.000聲門惡性腫瘤88113689102C32.900喉惡性腫瘤158783271103C34.101肺上葉惡性腫瘤133493764104C34.201肺中葉惡性腫瘤101373763105C34.301肺下葉惡性腫瘤125203762106C34.90

9、0肺惡性腫瘤238448334107C40.201股骨惡性腫瘤162812337108C44.304鼻部皮膚惡性腫瘤21011965109C44.900皮膚惡性腫48.000腹膜后惡性腫瘤82722858111C48.200腹膜惡性腫瘤27921955112C50.100乳房中央部惡性腫瘤3803113C50.200乳房上內(nèi)象限惡性腫瘤36792777114C50.300乳房下內(nèi)象限惡性腫瘤3532115C50.400乳房上外象限惡性腫瘤63972777116C50.500乳房下外象限惡性腫瘤3764117C50.801乳腺惡性腫瘤，上部5651118C50.804乳

10、腺惡性腫瘤，外側(cè)5651119C50.900乳腺惡性腫瘤63006100120C51.900外陰惡性腫瘤85743574121C53.100外宮頸惡性腫瘤5849122C53.801宮頸殘端惡性腫瘤72363384123C53.900宮頸惡性腫瘤105613561124C54.100子宮內(nèi)膜惡性腫瘤5698125C56.X00卵巢惡性腫瘤67953601126C57.000輸卵管惡性腫瘤96992102127C61.X00前列腺惡性腫瘤71733085128C64.X00腎惡性腫瘤70543568129C65.X00腎盂惡性腫瘤104783094130C66.X00輸尿管惡性腫瘤9115300

11、0131C67.900膀胱惡性腫瘤143273133132C71.100額葉惡性腫瘤264293557133C71.200顳葉惡性腫瘤264293557134C71.500腦室惡性腫瘤212314804135C71.600小腦惡性腫瘤261774804136C71.900腦惡性腫瘤170904006137C73.X00甲狀腺惡性腫瘤41682967138C76.200腹部惡性腫瘤126003057139C76.300盆腔惡性腫瘤124391984140C77.002頸部淋巴結(jié)繼發(fā)惡性腫瘤64922492141C77.004頜下淋巴結(jié)繼發(fā)惡性腫瘤52862286142C77.900淋巴結(jié)繼發(fā)惡性

12、腫瘤73192181143C78.000肺繼發(fā)惡性腫瘤112953847144C78.200胸膜繼發(fā)惡性腫瘤81643313145C78.700肝繼發(fā)惡性腫瘤81084005146C79.300腦繼發(fā)惡性腫瘤168364904147C79.809腹腔繼發(fā)惡性腫瘤140744219148C85.101彌漫大B細(xì)胞淋巴瘤6698149C85.900非霍奇金淋巴瘤4976150C90.000多發(fā)性骨髓瘤1213312213151C91.000急性淋巴細(xì)胞白血病8876152C91.001急性淋巴細(xì)胞性白血病，L1型18087153C91.002急性淋巴細(xì)胞性白血病，L2型18372154C91.00

13、3急性淋巴細(xì)胞性白血病，L3型18083155C92.000急性髓系白血病13113156C92.001急性髓系白血病，伴有異常的骨髓嗜酸粒細(xì)胞18929157C92.002急性髓系白血病，最低分化22014158C92.100慢性髓系白血病4909159C92.400急性早幼粒細(xì)胞性白血病13716160C93.000急性單核細(xì)胞白血病15705161C94.003紅細(xì)胞增多2725162C95.000急性白血病9560163D05.100乳腺導(dǎo)管原位癌4053164D05.900乳腺原位癌21972287165D06.900宮頸原位癌41502751166D10.100舌良性腫瘤25681

14、67D10.303腭良性腫瘤2980168D10.900咽良性腫瘤3083169D11.000腮腺良性腫瘤2958170D11.001腮腺多形性腺瘤3279171D11.701頜下腺良性腫瘤2548172D12.600結(jié)腸良性腫瘤1849173D13.000食管良性腫瘤106822174174D13.100胃良性腫瘤96832175175D14.000鼻腔良性腫瘤4198176D14.003鼻前庭良性腫瘤3441177D14.300肺良性腫瘤11167178D15.200縱隔良性腫瘤9884179D16.201股骨良性腫瘤2581180D16.202脛骨良性腫瘤2381181D16.400顱骨

15、良性腫瘤2427182D16.702肋骨良性腫瘤3054183D17.000頭部脂肪瘤392184D17.001面部脂肪瘤392185D17.002頸部脂肪瘤392186D17.100軀干皮膚和皮下組織良性脂肪瘤樣腫瘤1477187D17.200四肢皮膚和皮下組織良性脂肪瘤樣腫瘤526188D17.900脂肪瘤978189D18.000血管瘤2778190D18.001頭部血管瘤1604191D18.002腦血管瘤9891192D18.003面部血管瘤1604193D18.004頸部血管瘤2177194D18.005軀干部血管瘤1840195D18.006肢體血管瘤2126196D18.013

16、肝血管瘤89101624197D18.100淋巴管瘤3669198D24.X00乳腺良性腫瘤2860199D25.000子宮粘膜下平滑肌瘤3139200D25.100子宮壁內(nèi)平滑肌瘤3184201D25.200子宮漿膜下層平滑肌瘤3124202D25.900子宮平滑肌瘤42301030203D26.000宮頸良性腫瘤2851204D26.100子宮體良性腫瘤3205205D26.900子宮良性腫瘤4030206D27.X00卵巢良性腫瘤4030207D27.X01梅格斯綜合征3939208D28.202子宮闊韌帶良性腫瘤3581209D30.300膀胱良性腫瘤5188210D32.000腦膜瘤

17、124832251211D32.004額葉腦膜瘤170913572212D32.005頂葉腦膜瘤158484701213D32.006大腦鐮芳腦膜瘤165003664214D32.100脊（髓）膜良性腫瘤115956638215D33.308聽神經(jīng)良性腫瘤116857156216D33.901硬膜外良性腫瘤128692344217D33.902椎管內(nèi)良性腫瘤111021836218D34x01甲狀舌管良性腫瘤2637219D34.X00甲狀腺良性腫瘤3434220E34.300身材矮小癥821221D35.000腎上腺良性腫瘤6491222D35.200垂體良性腫瘤133961435223D3

18、8.102氣管動(dòng)態(tài)未定腫瘤8767224D39.100卵巢動(dòng)態(tài)未定腫瘤4729963225D39.202惡性葡萄胎42772632226D44.300垂體動(dòng)態(tài)未定腫瘤129446682227D46.900骨髓增生異常綜合征5315228D50.900缺鐵性貧血1244229D50.901低色素性貧血1432230D53.100巨幼紅細(xì)胞性貧血4426231D53.900營養(yǎng)性貧血920232D58.901溶血性貧血3137233D59.101自身免疫性溶血性貧血3950234D61.101化療后骨髓抑制3293235D61.900再生障礙性貧血2988236D64.900貧血2930237D6

19、4.903重度貧血3126238D69.004過敏性紫癜2529239D69.005+N08.2*腎型過敏性紫癜1357240D69.008變應(yīng)性血管炎1609241D69.300特發(fā)性血小板減少性紫癜5558242D69.303免疫性血小板減少性紫癜5047243D69.403原發(fā)性血小板減少癥4751244D69.406血小板減少性紫癜2765245D69.600血小板減少癥2834246D70.X00粒細(xì)胞缺乏1793247D86.000肺結(jié)節(jié)病3295248E03.802原發(fā)性甲狀腺功能減退癥1556249E03.900甲狀腺機(jī)能減退癥1654250E04.100非毒性單個(gè)甲狀腺結(jié)節(jié)3

20、276251E04.101甲狀腺結(jié)節(jié)24361800252E04.102甲狀腺囊腫2637253E04.200非毒性多結(jié)節(jié)性甲狀腺腫32761905254E04.901胸骨后甲狀腺腫3453255E04.902結(jié)節(jié)性甲狀腺腫47371325256E05.000甲狀腺毒癥伴有彌漫性甲狀腺腫1555257E05.002+H06.2*甲狀腺相關(guān)性眼病1767258E05.201毒性結(jié)節(jié)性甲狀腺腫1357259E05.805原發(fā)性甲狀腺機(jī)能亢進(jìn)癥1721260E05.900甲狀腺機(jī)能亢進(jìn)05.902+K77.8*甲亢性肝損害1554262E05.903+143.8*甲狀腺功能

21、亢進(jìn)性心臟病1985263E06.000急性甲狀腺炎1456264E06.100德奎爾萬甲狀腺炎1311265E06.301淋巴細(xì)胞性甲狀腺腫1261266E06.304橋本甲狀腺炎1717267E06.502慢性甲狀腺炎1307268E06.900甲狀腺炎1142269E07.901甲狀腺腫物19141062270E10.1011型糖尿病性酮癥酸中毒2507271E10.7001型糖尿病伴多并發(fā)癥4000272E10.9001型糖尿病1188273E11.1002型糖尿病性酮癥酸中毒2514274E11.200+N08.3*2型糖尿病性腎病2870275E11.3002型糖尿病伴眼并發(fā)癥21

22、14276E11.301+H36.0*2型糖尿病性視網(wǎng)膜病變2114277E11.4002型糖尿病伴神經(jīng)并發(fā)癥1850278E11.401+G63.2*2型糖尿病性周圍神經(jīng)病1699279E11.501+I79.2*2型糖尿病性周圍血管病變1698280E11.6002型糖尿病伴特指并發(fā)癥1850281E11.6012型糖尿病足病4326282E11.7002型糖尿病伴多并發(fā)癥35242467283E11.8002型糖尿病伴并發(fā)癥1645284E11.9002型糖尿病1687285E11.901青年起病成年型糖尿病1041286E14.100糖尿病伴酮癥酸中毒1491287E14.900糖尿病

23、1452288E14.200+N08.3*糖尿病伴腎并發(fā)癥2301289E14.400+G63.2*糖尿病伴神經(jīng)并發(fā)癥2178290E14.700糖尿病伴多個(gè)并發(fā)癥2100291E16.200低血糖癥2255292E23.000垂體功能減退癥2417293E23.004產(chǎn)后垂體功能減退癥2599294E23.009生長(zhǎng)激素缺乏癥692特指腎上腺皮質(zhì)功能減退癥和腎上腺皮質(zhì)功295E27.400能減退癥2417296E72.101高同型半胱氨酸血癥2700297E77.801低蛋白血癥1524298E78.100高甘油三酯血癥432299E78.200混合性咼脂血癥2047300E79.000高尿

24、酸血癥689301E80.604高膽紅素血癥1045302E87.100低鈉血癥2294303E87.600低鉀血癥1396304F41.101焦慮狀態(tài)1354305F41.201焦慮性抑郁癥1105306F44.901癔癥性精神病843307F45.300自主神經(jīng)功能紊亂1477308F45.303功能性咳嗽1519309F45.304心血管性神經(jīng)官能癥1015310F45.306心臟神經(jīng)官能癥26931061311F45.310胃神經(jīng)官能癥1226312F48.000神經(jīng)衰弱1267313F48.001疲勞綜合征1269314F48.901神經(jīng)官能癥1049315F51.000非器質(zhì)性失眠

25、癥1573316F70.900輕度精神發(fā)育遲緩838317F82.X00特定性運(yùn)動(dòng)功能發(fā)育障礙1122318G00.901化膿性腦膜炎82087000319G04.904中樞神經(jīng)系統(tǒng)感染3925320G04.909急性脊髓炎4560321G04.911腦脊髓炎3726322G06.001腦膿腫145229588323G06.006顱內(nèi)感染70376049324G08.X01顱內(nèi)靜脈竇血栓形成77535917325G12.200運(yùn)動(dòng)神經(jīng)元病3644326G20.X00帕金森病1957327G20.X03帕金森綜合征2276328G31.902腦萎縮1357329G35.X00多發(fā)性硬化58033

26、30G36.000視神經(jīng)脊髓炎3704331G37.802脫髓鞘性白質(zhì)腦病1853332G43.900偏頭痛1091333G40.901癲癇31091245334G44.100血管性頭痛1808335G44.200緊張性頭痛1462336G45.000椎基底動(dòng)脈綜合征1887337G45.002椎-基底動(dòng)脈供血不足70041709338G45.004后循環(huán)缺血2756339G45.101頸內(nèi)動(dòng)脈供血不足1860340G45.103頸內(nèi)動(dòng)脈缺血2122341G45.900短暫性腦缺血發(fā)作1899342G45.901腦動(dòng)脈痙攣1590343G47.300睡眠呼吸暫停52871980344G47.3

27、01阻塞性睡眠呼吸暫停綜合征44401980345G50.000三叉神經(jīng)痛1826346G51.000貝爾面癱2591347G51.001面神經(jīng)麻痹1863348G51.003周圍性面神經(jīng)麻痹2149349G51.301面肌痙攣2291350G56.000腕管綜合征24961862351G56.200尺神經(jīng)損害32292010352G56.201尺神經(jīng)麻痹2255650353G56.202肘管綜合征24961698354G56.203尺神經(jīng)炎1589355G57.001犁狀肌綜合征2042356G58.001肋間神經(jīng)痛1418357G61.000吉二-巴雷綜合征8706358G62.901周圍

28、神經(jīng)病3198359G70.000重癥肌無力3600360G72.301低鉀型周期性麻痹1086361G72.302高鉀性周期性麻痹754362G80.800特指大腦性癱瘓1913363G80.900腦性癱瘓1607364G82.201不完全截癱8579365G90.900自主神經(jīng)系統(tǒng)疾患1729366G91.100梗阻性腦積水123254042367G91.900腦積水93582026368G93.001蛛網(wǎng)膜囊腫101771006369G93.100缺氧性腦損害1410370G93.101肺性腦病9993371G93.402腦白質(zhì)病2067372G93.501腦疝238237064373G

29、93.814顱內(nèi)膽脂93.901間腦病變2506375G95.901椎管內(nèi)腫物95331243376G96.001腦脊液鼻漏101551783377H00.003眼瞼蜂窩組織炎1057378H00.100瞼板腺囊腫831379H02.000瞼內(nèi)翻和倒睫1395380H02.400上瞼下垂1554381H02.501瞼裂狹小2294382H02.503眼瞼退縮1800383H02.901眼瞼腫物1036384H04.300淚道急性炎癥1230735385H04.302急性淚囊04.303淚囊膿04.401慢性淚囊炎12

30、351040388H04.509淚道阻塞977552389H05.001眶蜂窩織炎21821673390H05.901眼眶腫物1480391H10.300急性結(jié)膜炎1161392H10.900結(jié)膜炎847393H11.000翼狀胬肉1034394H11.901結(jié)膜腫物1208395H16.000角膜潰瘍23761441396H16.006細(xì)菌性角膜潰瘍1167397H16.900角膜20.802創(chuàng)傷性虹膜睫狀體炎1211399H20.900虹膜睫狀體炎1188400H20.901角膜葡萄膜炎16261393401H25.001后囊下型老年性白內(nèi)障3222402H25.

31、003皮質(zhì)型老年性白內(nèi)障3343403H25.004老年性未熟期白內(nèi)障3047404H25.100老年性核性白內(nèi)障3064405H25.900老年性白內(nèi)障2983406H26.200并發(fā)性白內(nèi)障2978407H26.900白內(nèi)障2895408H27.000無晶狀體2683409H27.101晶狀體不全脫位2962410H30.801原田病2281411H33.000視網(wǎng)膜脫離伴視網(wǎng)膜斷裂3172412H33.001孔源性視網(wǎng)膜脫離31181857413H33.500特指視網(wǎng)膜脫離3251743414H33.502陳舊性視網(wǎng)膜脫離3713415H33.504復(fù)發(fā)性視網(wǎng)膜脫離39173504416

32、H34.200特指視網(wǎng)膜動(dòng)脈阻塞1877417H34.801視網(wǎng)膜分支靜脈阻塞2304418H34.802視網(wǎng)膜靜脈阻塞2212419H34.803視網(wǎng)膜中心性靜脈阻塞2525420H34.804視網(wǎng)膜部分性靜脈阻塞1568421H35.004咼血壓性視網(wǎng)膜病變2048422H35.008視網(wǎng)膜血管炎46812048423H35.303黃斑裂孔38041120424H35.305老年性黃斑變性36853359425H35.306黃斑前膜3910426H35.307視網(wǎng)膜黃斑變性47723114427H35.602眼底出血2042428H35.701中心性漿液性脈絡(luò)膜視網(wǎng)膜病變1702429H3

33、5.805視網(wǎng)膜萎縮1115430H40.100原發(fā)性開角型青光眼36371079431H40.200原發(fā)性閉角型青光眼36362266432H40.201惡性青光眼37522798433H40.202慢性閉角型青光眼30811352434H40.203原發(fā)性急性閉角型青光眼29171165435H40.501新生血管性青光眼41281406436H40.504晶狀體脫位性青光眼22481386437H40.505晶狀體溶解性青光眼22801204438H40.507繼發(fā)性青光眼26701205439H40.900青光眼19851186440H43.100玻璃體出血34802340441H44

34、.101全色素膜炎1608442H44.502眼球萎縮2820443H46.X00視神經(jīng)炎2667444H46.X01球后視神經(jīng)炎2085445H47.004缺血性視神經(jīng)病變4117446H47.203家族遺傳性視神經(jīng)萎縮2929447H49.000第三動(dòng)眼神經(jīng)麻痹3221448H49.200第六展神經(jīng)麻49.900麻痹性斜50.400共同性斜視1207451H60.400外耳膽脂瘤28641150452H61.000外耳軟骨膜炎1099453H65.000急性分泌性中耳炎28412288454H66.000急性化膿性中耳炎1115455H6

35、6.301慢性化膿性中耳炎2984730456H66.400化膿性中耳炎2772737457H66.900中耳炎1435659458H71.X00中耳膽脂瘤2858772459H71.X01慢性化膿性中耳炎膽脂瘤型28051004460H72.900鼓膜穿孔2623809461H81.000梅尼埃病2466462H81.100良性陣發(fā)性眩暈1527463H81.302耳源性眩暈1847464H81.900前庭功能障礙1736465H81.901眩暈綜合征2034466H81.902前庭系統(tǒng)病變1474467H90.000雙側(cè)傳導(dǎo)性耳聾767468H90.100單側(cè)傳導(dǎo)性耳聾732469H90.

36、200傳導(dǎo)性耳聾732470H90.300雙側(cè)感音神經(jīng)性耳聾2078471H90.400單側(cè)感音神經(jīng)性耳聾2100472H90.500感音神經(jīng)性耳聾2440473H90.600雙側(cè)混合性耳聾1270474H90.801混合性耳聾2395475H91.200突發(fā)性耳聾2411476H91.900耳聾1472477H93.100耳鳴1342478H93.102神經(jīng)性耳鳴1463479IIO.xOO高血壓病1037480I00.X01風(fēng)濕性關(guān)節(jié)炎1385481105.000風(fēng)濕性二尖瓣狹窄299493174482105.100風(fēng)濕性二尖瓣關(guān)閉不全355642197483I05.200風(fēng)濕性二尖瓣狹窄

37、伴關(guān)閉不全311183192484I06.200風(fēng)濕性主動(dòng)脈瓣狹窄伴關(guān)閉不全320583204485I09.900風(fēng)濕性心臟病206552354486I10.X04高血壓2級(jí)1524487I10.X05高血壓3級(jí)1841488I10.X06高血壓危象2718489I10.X03高血壓1級(jí)1251490I10.X09原發(fā)性高血壓2000491I11.900高血壓性心臟病2098492I12.000高血壓性腎衰竭2185493I12.900高血壓性腎病2011494I15.900繼發(fā)性高血壓1420495I20.000不穩(wěn)定性心絞痛243973087496I20.101變異型心絞痛38762023497I20.801穩(wěn)定型心絞痛83102488498I20.802X綜合征59611895499I20.803勞力型心絞痛81412025500I20.900心絞痛59491875501I2