471/2009 Sb.
The DECREE
of 18 July 2003. December 2009
determining the point values, the amount of the reimbursement of health care paid for by the public
health insurance and regulatory restrictions on the volume of health
care paid from public health insurance for the year 2010
The Ministry of health shall determine in accordance with section 17 paragraph. 6 of Act No. 48/1997
Coll., on public health insurance and amending and supplementing certain
related laws, as amended by law No 117/2006 Coll., Act No.
245/2006 Coll. and Act No. 261/2007 Coll.:
§ 1
This Decree provides for the year 2010, the amount of the tender point values for health
care provided to the insured under section 2 (2). 1 of Act No. 48/1997 Coll., on
public health insurance and amending and supplementing certain
related laws, as amended by later regulations (hereinafter referred to as "the Act"), and
insurance policy holders from other Member States of the European Union, the European
economic area, and Switzerland in accordance with the relevant provisions
Of the European communities "^ 1") and the affiliated persons of other States with which it has
Czech Republic concluded an international social security agreement ^ 2)
(hereinafter referred to as "foreign to the beneficiary"), paid from public health
insurance and regulatory restrictions on the volume of health care for the ways
the remuneration referred to in sections 2 to 15, provided
and) in contractual healthcare facilities of institutional care, including
specialised therapeutic institutes for long-term patients, hospitals,
medical equipment, returning the length of the day no. 00005 according
the Decree, which publishes a list of medical procedures with spot
the values of ^ 3) (hereinafter referred to as "the list of performance"), and medical devices
the hospice type according to § 22a of the Act,
(b)) the practical doctors and practitioners for children and adolescents,
(c)) in contractual outpatient health care facilities providing
specialised outpatient medical care, including outpatient
health care facilities providing health care and hemodialysis
ortoptickou health care
(d)) in contractual outpatient health care facilities providing
health care in the fields of medicine and 604 603 by the performance,
e) Contracting dentists,
(f)) in contractual outpatient health care facilities providing
health care in the fields of medicine, 801, 802 222, 804, 805, 807, 809, 812 to
819, 822 and 823 under the list of performances (hereinafter referred to as "listed
the skill "),
(g)) in contractual outpatient health care facilities providing
health care in the fields of medicine, 911 914, 916, 921 and 925 by list
performance,
(h)) in contractual outpatient health care facilities providing
health care in 902 by the skill of performance,
I) by health establishments, medical rescue services,
the health establishments providing medical transport
service and medical service, first aid,
(j)) by the medical facilities of Spa care and ozdravovnami,
k) within the framework of emergency care in non-medical
devices.
§ 2
For the health care provided by the medical devices specified in §
1 (a). (b)), d), (e)) and to the contribution to be paid by), list of performances, including
health care provided by foreign insurance policy holders, shall be the value of the
the point of 0.95 Usd, unless otherwise specified.
§ 3
(1) For health care provided by health establishments of the constitutional
care, with the exception of health care provided by specialised therapeutic
institutes, institutes for long-term patients in health care facilities
returning the length of the day no. 00005, according to the list of performances, and in
Health Hospice, point value, the amount of the payments
health care and regulatory restrictions stipulated in the annexes, no. 1, 9 and 10 to
This Decree.
(2) For health care provided by specialised therapeutic institutes,
Sanatorium for long-term patients in health care facilities
returning the length of the day no. 00005, according to the list of performances, and in
Health hospice type, paid a flat rate for the
one day of hospitalization, or according to the list, the value of point,
the amount of the payment of health care and regulatory restrictions set out in annex No. 1 to the
This Decree.
§ 4
For the health care provided by practitioners and practitioners
for children and adolescents, paid a combined kapitačně power payment
combined kapitačně power payment with calling kapitace or
According to the list, the value of the item, the amount of the payment of health care and
regulatory restrictions set out in annex 2 to this Decree.
§ 5
For specialised outpatient healthcare provided in
outpatient medical facilities, paid for by the performance,
the value of the item, the amount of the payment of health care and regulatory limits, determined by
in annex 3 to this notice.
§ 6
For the ambulatory healthcare provided in out-patient
medical facilities in the fields of medicine and by the 603 604
performances, paid according to the list, the value of the item, the amount of the payments
health care and regulatory restrictions set out in annex 4 to this
the Decree.
section 7 of the
(1) For health care provided by dentists, paid by
list of performances, the value of the point set at EUR 0.95 Usd.
(2) Health care provided by doctors reimbursed under paragraph
1 shall be paid in accordance with the contractual arrangement between the health insurance company and
the medical establishment. The amount of such payments, health care and appropriate
regulatory restrictions are set out in annex 11 to this Decree, in accordance
with the rules on the regulation of prices ^ 4).
(3) the health insurance company is authorized, after consultation with the representatives of the
Professional Association of dental care providers participating in the
the conciliation procedure provided for in § 17 paragraph. 6 the law limit the amount of the remuneration
medical facilities so that the total amount of the cost of health
insurance companies spent on medical care provided by dentists in
the year 2010 does not exceed the total amount of these costs as provided for in
health insurance health insurance plan. If the crossing
the total amount of payment for health care provided by dentists,
provided for in the health insurance plan health insurance on this
health care, was due to the provision of greater volume of necessary and
emergency health care compared to 2009, health insurance this
more volume into account in the payment order.
§ 8
For the health care provided to ambulatory medical devices
in the listed fields of medicine, paid for by the performance,
the value of the item and the amount of reimbursement of health care lays down in annex 5 to this
the Decree.
§ 9
For the health care provided to ambulatory medical devices
in the fields of medicine, 911 914, 916, 921 and 925 by list of performances, paid
According to the list, the value of the item and the amount of reimbursement of health care
set out in annex 6 to this Ordinance.
§ 10
For the health care provided to ambulatory medical devices
in 902 by the skill of performance, paid according to the performance,
the value of the item and the amount of reimbursement of health care lays down in annex 7 to the
This Decree.
§ 11
For health care provided in the context of medical rescue services,
paid by list of performance shall be the value of the item in the amount of Czk 1.06.
§ 12
For the performances provided by the health service of transport, paid by
list of performances, the value of the item and the amount of reimbursement of health care provides in
Appendix 8 to this Ordinance.
section 13
For health care provided in the context of medical services, first aid,
paid by list of performance shall be the point value of 0.95 Usd.
§ 14
(1) for the complete spa care provided by health establishments
Spa care shall be payment for a one day stay in the amount that has been
agreed for the year 2009, at least in the amount of $ 850.
(2) For contributory Spa care provided by health
Spa care devices shall be payment for the stay of one day,
that has been agreed upon for the year 2009, at least in the amount of $ 280.
(3) for healthcare provided in ozdravovnách shall be the remuneration for the
one day stay in the amount that has been agreed upon for the year 2009, at least
However, in the amount of $ 540.
§ 15
Pursuant to section 2 to 14 shall, if the health insurance company and
medical equipment in compliance with the conditions laid down in § 17 paragraph. 6
the law otherwise.
section 16 of the
This Decree shall take effect on 1 January 2005. January 1, 2010.
Secretary:
Mgr. Jurásková, Ph.d., MBA in r.
Annex 1
The value of the item, the amount of the payment of health care and regulatory restrictions under section 3
And)
Institutional care according to § 3 (2). 1
1. Reimbursement of medical facilities in 2010 includes individually
the contractually agreed remuneration, flat-rate folder folder for
inpatient care, reimbursement in the form of flat-rate and outpatient case
component of remuneration. The reference period is the year 2008. In the reference
the period is included all health care provided in 2008
medical device declared to 31.5.2009 and health insurance company
recognised in 31.9.2009.
2. Individually contractually negotiated the payment includes remuneration for
health care, included under the classification of hospitalized
patients ^ 5) (hereinafter referred to as "the classification") into groups related to diagnosis:
and) 08021, 08022, 08023, 08041, 08042, 08043, 08181, 08182, 08183,
(b)), 05011, 05012 05013, 05070, 05161, 05162, 05163, 05111, 05112,
05113,
(c)), 02041 02042, 02043,
d) 01051 01052 01053,,,
(e)), 05191 05192, 05193,
(f)), 06062, 06061, 06063
g) 07041, 07042, 07043,
(h)), 08191 08192, 08193,
I) 13091, 13092, 13093,
listed in annex No. 9 (hereinafter referred to as "listed group") and the remuneration for the
medicines and foods for special medical purposes (hereinafter referred to as
"medicinal products") paid in 2010 to specialized
workplaces under section 15(2). 7 (b). (b)) of the Act. The amount and method of payment
This health care health insurance contract shall agree
the medical establishment. If health insurance is health
the device shall agree, individually contractually negotiated the payment may
include the reimbursement of health care, other than that referred to in the first sentence; in
this case is the remuneration, as well as remuneration for health care
classified according to the classification in the listed groups, not to
the remuneration referred to in paragraph 3.
3. The flat-rate component of the remuneration for inpatient care (PUhosp2010) for
2010 lays down the procedure referred to in points 3.1 to 3.5.
3.1 the lump sum remuneration for inpatient care (PUhosp2010)
shall be as follows:
PUhosp2010 = [PUhosp2008-(CMalfa2008 * IZSalfa2008)] Kn
PUhosp2008 = Vhosp * ICBref + ZUMhosp + ZULPhosp + LPhosp + KPhosp
where:
Vhosp the total number of medical facilities declared and health
insurance recognised points over the reference period, for performances made by the
During hospitalizations in the reference period, after the deduction of points for
the reference period for the performances (including performances in the listed
skills and konziliárních examination, according to the list of performances)
During hospitalizations in the reference period, which are according to the classification
included in the listed groups referred to in point 2; the number of points according to the
the first sentence shall be translated in accordance with the procedures applicable to January 1, 2010
ICBref calculated the individual price point of medical equipment, which
shall be determined as the quotient of Uref/Bref, where:
Uref total remuneration due the medical devices for all
medical care provided in the reference period, after the settlement of all
regulatory measures, with the exception of regulation at the prescribed medicinal
products and medical devices, reduced reimbursement for separately
medicinal products and separately charged posted material is provided in the
the reference period, declared and recognized by the health insurance company in
connection with the care of patients, on a flat-rate amount, which shall be borne by
medicinal products according to § 17 paragraph. 7 of the Act, and the payment of other
health care paid in Czech Crowns (KPref).
BREF total number of medical facilities declared and health
insurance company recognized by the points of annualised performance applicable to
January 1, 2010, for the health care provided in the reference period.
ZUMhosp the total amount of remuneration for medical facilities reported and
health insurance recognised separately posted material provided in
reference period in connection with the performances, that were made during the
hospitalizations in the reference period, excluding the separately posted
the material provided in the reference period in connection with the performances,
made during hospitalizations in the reference period, which is referred to in
The classification included in the listed groups referred to in point 2.
ZULPhosp the total amount of remuneration for medical facilities reported and
health insurance company separately charged recognised medicinal products
granted in the reference period in connection with the performances, made
During hospitalizations in the reference period, with the exception of separately charged
medicinal products granted in the reference period in connection with the
performances made during hospitalizations in the reference period, which
According to the classification are included in the listed groups listed in
point 2.
LPhosp flat-rate amount, which shall be borne by the medicinal products referred to in section 17
paragraph. 7 of the Act, the ošetřovacím days of the reported and health insurance company
recognised as the reference period, the time in reference to hospitalisations
period, with the exception of medicinal products granted in the reference period
in connection with the performances, made during hospitalizations in the reference
period, which are in accordance with the classification included in the listed groups
referred to in point 2.
KPhosp the total amount of remuneration for other health care expenses paid in
Crowns (in addition to ZUMhosp, ZULPhosp and LPhosp) reported, and health
insurance recognised over the reference period, granted by the medical
the equipment during hospitalizations in the reference period, with the exception of the
health care is provided in the reference period in connection with the performances,
made during hospitalizations in the reference period, which is referred to in
The classification included in the listed groups referred to in point 2.
CMalfa 2008 the number of cases terminated in hospitalizations reference
period, which are classified according to the classification of the groups related to the
diagnosis, multiplied by the indexes of these groups, which are listed in the annex
No 10.
IZSalfa2008 individual base rate, which is calculated as follows:
IZSalfa2008 = [(Valfa * ICBref) + ZUMalfa + ZULPalfa + LPalfa +
KPalfa]/CMalfa2008
where:
Valfa the total number of medical facilities declared and health
insurance recognised points over the reference period, for performances made by the
During hospitalizations in the reference period, which are according to the classification
included in the groups listed in annex No. 10; the number of points according to the sentence
the first shall be translated in accordance with the procedures applicable to January 1, 2010
ICBref calculated the individual price point of medical equipment
ZUMalfa the total amount of remuneration for medical facilities reported and
health insurance recognised separately posted material provided in
reference period in connection with the performances, that were made during the
hospitalizations in the reference period, which are according to the classification
included in the groups listed in annex No. 10
ZULPalfa the total amount of remuneration for medical facilities reported and
health insurance company separately charged recognised medicinal products
granted in the reference period in connection with the performances, made
During hospitalizations in the reference period, which are according to the classification
included in the groups listed in annex No. 10
LPalfa flat-rate amount, which shall be borne by the medicinal products referred to in section 17
paragraph. 7 of the Act, the ošetřovacím days of the reported and health insurance company
recognised as the reference period, the time in reference to hospitalisations
period, which are in accordance with the classification included in the groups listed in the
Annex No 10
KPalfa the total amount of remuneration for other health care expenses paid in
Crowns (in addition to ZUMalfa, ZULPalfa and LPalfa) reported, and health
insurance recognised over the reference period, granted by the medical
the equipment during hospitalizations in the reference period, which are
According to the classification included in the groups listed in annex No. 10
An increase in the flat-rate remuneration coefficient of the CN, which are for the year 2010 sets out in
the amount of 1.052
3.2 in the event that the number of hospital admissions for 2010 listed in groups
related to the diagnosis, according to the classification given in annex No 10, is
in the medical facilities of less than 200, the reading from the
the flat-rate compensation (PUhosp2008) referred to in section 3.1 of [flat-rate component of the remuneration for the
inpatient care (PUhosp2010) is calculated as PUhosp2008 * Kn] or
remuneration in the form of flat-rate case as provided for in point 4.
3.3 the lump the remuneration for inpatient care (PUhosp2010)
the medical device, if the medical device reports and
health insurance recognizes the number of hospital admissions of completed in 2010
included in the groups related to the diagnosis according to the classification,
multiplied by the indexes, which are listed in annex No 9, in the amount of at least
98% of the medical facilities reported and health insurance company
recognised by the number of hospital admissions, completed in 2008, included in the
groups related to the diagnosis, according to classification, multiplied by the annual indexes
which are listed in annex No 9 and at the same time, if medical
the device reports and health insurance recognizes the number of hospitalizations
completed in 2010, classified into groups related to diagnosis
According to the classification, which are listed in annex No 9, in the amount of at least
95% of medical facilities reported and health insurance company
recognised by the number of hospital admissions, completed in 2008, included in the
groups related to the diagnosis, according to the classification given in annex No.
9. For investigational or reference period are not counted
hospitalization, that are in accordance with the classification included in the listed
groups and groups referred to in annex No 10.
3.4 If medical facilities reported and health insurance company
recognised by the number of hospital admissions, completed in 2010, included in the
groups related to the diagnosis, according to classification, multiplied by the indexes,
which are listed in annex No. 9, will be less than 98% of the medical
the device reported and health insurance company recognized by number
hospitalizations, completed in 2008, classified into groups of related
to the diagnosis according to classification, multiplied by the indexes, which are listed in the
Annex No 9, or if medical facilities reported and health
insurance company recognized by the number of hospital admissions of completed in 2010
included in the groups related to the diagnosis according to the classification that
are listed in annex No. 9, will be less than 95% of the medical
the device reported and health insurance company recognized by number
hospitalizations, completed in 2008, classified into groups of related
to the diagnosis according to the classification, which are listed in annex No 9,
a flat-rate component of the remuneration for inpatient care (PUhosp2010) for the year
2010 shall be reduced by such a number of percentage points, corresponding to the higher of the two
the values of the 95% that was achieved, or 98%, the respective values
in accordance with section 3.3. In an investigational or reference period,
not hospitalization, that are in accordance with the classification included in the
the listed groups and groups referred to in annex No 10.
3.5 health insurance in 2010 will provide the contracted medical
the device in compliance with the conditions referred to in sections 3.3 and 3.4, in summary
remuneration for provided health care included under point 3.1 in
(PUhosp2010), and health care, included according to the classification in the
listed the groups referred to in paragraph 2, at least in the amount of the corresponding
107% reimbursement of such care in 2008.
4. remuneration in the form of flat-rate case (PUdrg2010) includes remuneration for
health care, included under the classification into groups related to the
the diagnosis given in annex No 10 and shall be as follows:
PUdrg2010 = CMred * ZSalfa2010
where:
CMred reduced the amount of CMalfa2010, which shall be in the amount of CMalfa2010 with
the following exceptions:
and if the ratio of CMalfa2010) is greater than/CMalfa2008, then CMred = 1.15
CMalfa2008 * 1.15
(b)) if the ratio of CMalfa2010/CMalfa2008 is in the interval from 1.05 to 1.15
and at the same time, that PPalfa is less than 0.98, then CMred = CMalfa2008
(PPalfa + 0.02)
where:
PPalfa ratio of the number of medical facilities declared and health
insurance recognised hospitalizations, completed in 2010, classified
the groups related to the diagnosis according to the classification that are listed in the
Annex No 10, and medical facilities reported and health
insurance company recognized the number of hospitalizations, completed in 2008,
included in the groups related to the diagnosis according to the classification that
are listed in annex No. 10
WS basic rate for reimbursement in the form of flat-rate case, which
alfa2010 for the year 2010 is calculated as follows:
ZSalfa2010 = [IZSalfa2008 * (1-Kp) + (ZSref * Kp)] * Knalfa
where:
CP proximity factor, which for the year 2010 shall be 0.2
ZSref reference (nationwide) the basic rate, which is determined in the amount of
24 615 Usd
Knalfa the coefficient of increase of the basic rate was fixed for the year alfa2010
2010 at 1.052
5. the payment of the reimbursement includes Outpatient specialised outpatient
health care, health care in the fields of medicine and 603 604, according to the list
performance, health care provided by the practitioners for adults and
practical doctors for children and adolescents, health care provided by
dentists, health care in the listed fields of medicine, health
transport, medical services, first aid and health care provided by
proficiency 902, 911, 914, 921 and 925 (hereinafter referred to as "ambulatory care")
the exception of the performance, which shows income and permit examination.
5.1 for specialised outpatient medical care, paid by
list of performances, the value of the item and the amount of reimbursement of health care provides in
Annex No. 3 to this notice. For the determination of the amount of the payment of this health
care shall not apply the calculated amount for each skill and the reduced
the value of the care provided to the point of this volume, that are
listed in annex No. 3) and 1 (b). (f)).
5.2 for healthcare provided in the fields of medicine and, in 603 604
list of performances, paid according to the list, the value of the item and the amount of
health care payments set out in annex 4 to this notice.
5.3 for the health care provided by general practitioners and
practical doctors for children and adolescents, paid a combined kapitačně
the performance payment, combined with kapitačně power payment
calling kapitace or according to the list, the value of point, all
health care payments set out in annex 2 to this Decree.
5.4 health care provided by dentists are reimbursed pursuant to section 7 of this
the Decree.
5.5 for healthcare provided in the mentioned fields of medicine,
paid by list of performances, the value of the item and the amount of the reimbursement of medical
care provides, in annex 5 to this Decree.
5.6 For the performances of the medical transport, paid according to the performance,
the value of the item and the amount of reimbursement of health care provides, in annex 8 to this
the Decree.
3.5 health care provided by the medical services, first aid,
under section 13 shall be borne by this Ordinance.
3.6 for healthcare provided in 902, according to the list of skills
performances, paid according to the list, the value of the item and the amount of the payments
health care lays down in annex 7 to this Decree.
3.7 for healthcare provided in the fields of medicine, 911 914, 921 and 925,
According to the list of performances, paid according to the list, the value of point and
the amount of the reimbursement of health care lays down in annex No 6 to this Ordinance.
5.10 For nasmlouvaný performance 09563, according to the list of performance shall be the
point value in the amount of Czk 0.91.
5.11 payment for health care provided in points 5.1 to 5.9, provided
in 2010, reported the medical establishment to 31. 3.2011 and
health insurance recognised until 31 March 2006. 5.2011 will be equal to the sum of the payments
calculated in accordance with points 5.1 to 5.9 in the event that this sum will not be
less than 105% of the value (Uamb2008) and at the same time will not be higher than 109%
value (Uamb2008).
Value (Uamb2008) is calculated as follows:
Uamb2008 = ICBref + ZUMamb * Vamb + ZULPamb + KPamb
where:
Vamb total number of medical facilities declared and health
insurance recognised points over the reference period, for performances made in the
the ambulatory care; the number of points referred to in the first sentence shall be translated in accordance with
list of performances on January 1st, 2010
ICBref calculated the individual price point of medical equipment, which
shall be laid down in section 3.1
ZUMamb the total amount of remuneration for medical facilities reported and
health insurance recognised separately posted material provided in
the reference period, in the context of out-patient care
ZULPamb the total amount of remuneration for medical facilities reported and
health insurance company separately charged recognised medicinal products
granted in the reference period in the context of out-patient care
KPamb the total amount of remuneration for other health care expenses paid in Czech Crowns
(in addition to ZUMamb and ZULPamb) declared and recognised by the health insurance for the
the period of reference under outpatient care
The payment for health care provided in points 5.1 to 5.9, does not include
health care, which was paid during the reference period in the framework of the
individually contractually agreed payment folder.
5.12 If the sum of the payments calculated in accordance with points 5.1 to 5.9 will be lower
than 105% of the value (Uamb2008), the resulting payment (UVamb2010)
such as: UVamb2010 = Uamb2008 * 1.05
5.13 If the sum of the payments calculated in accordance with points 5.1 to 5.9 will be higher
than the 109% of the value (Uamb2008), the resulting payment (UVamb2010)
as:
UVamb2010 = Uamb2008 * 1.09
5.14 If medical facilities reported and health insurance company
recognised by the number of points for the performance of ambulatory care for the year 2010 will be lower than
100% of the number of points of medical facilities declared and health
insurance company recognized for performance granted under outpatient care for
the reference period, and also in the event that the final payment for outpatient
care will be provided in accordance with sections 5.11 to 5.13, the resulting payment
(UVamb2010) for the year 2010 shall be reduced by the same number of percentage points,
that was achieved 100% of the value (Uamb2008) set out in section 5.11.
6. If the medical device amendments to the scope and
the structure provided by the paid care in comparison with the reference period, and
health insurance company agrees to take account of these changes, it is in the Treaty,
including enumerations increase (reduction) payments. In the context of the changes
referred to in the sentence the first health insurance company may edit a sign of total
remuneration for the medical establishment to the prescribed medicinal products and
medical devices referred to in subparagraph (a). (C)).
7. Health insurance shall take into account the change in the volume of reported and health
the insurance company accepted an extremely costly healthcare provided in
2010 compared to 2008. Extremely costly health care for the purposes of
This Decree means the health care provided by the medical establishment
policyholders, whose volume exceeds the amount of CZK 1 0000 0000. In the volume
health care will be included separately charged medicinal products, especially
charged material lump-sum amount that shall be paid to the medicinal products
According to § 17 paragraph. 7 of the Act and the point value of the medical procedures, according to the
list of performances, with the value in the amount of Czk 0.91. If an exceptionally
costly care includes individually contracted medicinal
preparations paid in 2010 to the specialised workplaces according to §
15 paragraph. 7 (b). (b)) of the Act, referred to in point 2 or health care paid for by the
in the form of flat-rate case referred to in point 4, the health insurance company will take into account
the difference between the calculated volume of this health care and provided
the payment of this health care. The extremely expensive care not
health care in accordance with point 2, classified according to the classification into groups
related to the diagnosis of 08021, 08022, 08023, 08041, 08042, 08043, 08181,
08182, 08183, 05011, 05012, 05013, 05070, 05161, 05162, 05163, 05111,
05112, 05113, 02041, 02042, 02043, 01051 01052 01053,,,,, 05191 05192
05193, 06061, 06062, 06063, 07041, 07042, 07043, 08191, 08192, 08193,
13091, 13092, 13093, referred to in annex 9.
8. The lump-sum payments for inpatient care folder in accordance with point 3,
excludes healthcare provided to the insured from the EU.
9. For health care expenses paid in accordance with the list of performance shall be the value of the
point in the amount of Czk 0.91.
(B))
Institutional care according to § 3 (2). 2
1. The flat rate for one day of hospitalization
and) flat rate for one day of hospitalization shall be determined for each
the category of the patient and the type of ošetřovacího the day separately and includes the value of
the competent ošetřovacího of the day, including the Director assigned to the ošetřovacímu the date of
and the categories of the patient, according to the list of performances, the flat-rate amount
shall be borne by the medicinal products referred to in section 17(2). 7 of the Act, and the health services
which shows income and layoff list examination
performances.
(b) the amount of the flat-rate) for one day of hospitalization, with the exception of
psychiatric specialised therapeutic institutes, returning the length of the days
00021 and 00026 according to the list, shall be at the rate of 107% flat-rate
the rates for the length of the day belonging to the medical facility in 2008.
(c) the amount of the flat-rate) for one day of hospitalisation in psychiatric
specialised therapeutic institutes, returning the length of the days and 00021 00026
According to the list of performance shall be in the amount of 113% flat rate for
the length of the day belonging to the medical facility in 2008.
(d)) if the medical device amendments to the scope and
the structure provided by the paid care in comparison with the year 2008 and health
the insurance company agrees to take account of these changes, it is in the Treaty, including
quantifying the increase (reduction) payments.
2. Reimbursement of ambulatory care, special care and special constitutional
care
and for outpatient health care) paid in accordance with the list of performances
the value of the point set at EUR 0.95 Usd.
(b)) for the special outpatient care provided under section 22 (b). (c))
the law, paid according to the list of performance shall be the value of the point of
0.90 CZK to 105% of the volume calculated as follows:
POPho
PBro x--------
POPro
where:
PBro total number of health facilities and health declared
insurance company recognized by the points of annualised performance applicable to
January 1, 2010, for the reference period. The reference period is the year 2008.
The number of unique POPho insured persons treated in medical facilities
the reviewed period. The rated period means the year 2010. Unique
beneficiary means a beneficiary, the competent health insurance company
treated medical facility in the expertise in the investigational, or
the reference period, at least once, and it is not decisive whether
This is a treatment within their own care or care requested. If he was
the beneficiary medical facility in the expertise of the treated in
the half times, includes the number of unique
competent health insurance policyholders, treated in the
expertise, only once.
POPro number of unique insured persons treated in medical facilities
the expertise in the reference period; in the case of merge healthcare
insurance companies are the number of unique treated policyholders means the sum of the
unique treated insured persons for health insurance, which is
merged (if it has been the beneficiary in the reference period had more
than one health insurance company, to the number of unique treated
insured persons are counted only once).
Health care provided by the medical establishment over 105% of the calculated
the volume shall be paid with the value point of 0.30 Usd.
(c)) for the special institutional care provided in health facilities
the hospice type according to § 22a of the law, according to the list of reimbursable performance,
provides the value of the point of 0.90 Czk.
C) regulatory restrictions
1. If the total remuneration for medicinal products and medical devices
prescribed by the medical device competent health insurance policy holders
insurance companies, which are insured (hereinafter referred to as "the relevant health
insurance company ") in 2010, with the exception of medical devices
approved review physician exceeds 105% of remuneration for medicinal products
and medical devices prescribed in 2008, with the exception of the
medical devices approved by the doctor, the medical audit
undertaking in the context of the overall payment of medical facility to reduce the payment
the amount corresponding to not more than 40% of such excess. In the total remuneration
will be included and supplements for medicinal products, for which the prescribing
the doctor has ruled out the possibility of replacement under section 32, paragraph. 2 of the Act. Health
the insurance company will take into account cases when medical device proves that
increased the total remuneration for the medical establishment to the prescribed medicinal
products and medical devices has been caused by a change in the amount or
the way their payment, where applicable, as a result of changes in the structure of the treated
policy holders.
2. in the event that the medical facilities provided in the 1. half or in the
2. half of 2010 health care 100 and less relevant to insurance policy holders
health insurance, health insurance does not apply the regulation referred to
in point 1.
(D) the increase in remuneration)
Medical device, which goes beyond the requirements of the personnel
equipment medical equipment set out a list of performances, health
the insurance company will provide an increase in remuneration in connection with the increase of the quality of
nursing care (NÚ2010). The above provided the increase is calculated
as follows:
NÚ2010 = PPS2010 * 30 USD * Kpp
where:
PPS number (FTE) of General nurses and midwives, which
is calculated as the sum of all the jobs of General nurses and midwives
midwives in the health care facility providing medical care in
the edge of the
The number of policyholders share coefficient of KPP competent health insurance company in
on the total number of insured persons in the region; the coefficients of the share
the number of policy holders of health insurance on the total number of insured persons
by region of the Czech Republic are set out in table no. 1
Table 1:
------------------------------------------------------ ------------------------------------ --------------------------------------------
The General Region Of The Military Guarded The Czech Industry ZdravotníZdravotní Health Health
health health health insurance industry insurance company pojišťovnapojišťovna fraternal Media
insurance insurance health insurance ŠkodaMinisterstva Treasury Metal-Alliance
pojišťovnavnitra
------------------------------------------------------ ------------------------------------ --------------------------------------------
Prague hl. m. 0.6242 0.0475 0.2258 0.0926 0.0035 0.0006 0.0005 0.0023 0.0030
Czech Republic 0.5816 0.0415 0.0146 0.0841 0.0777 0.0911 0.1053 0.0041 0.0002
South 0.6456 0.1307 0.0446 0.1319 0.0436 0.0001 0.0001 0.0003 0.0030
0.6225 0.0720 0.0459 0.0673 Plzeňský 0.0001 0.0001 0.0045 0.1311 0.0567
0.7108 0.0684 0.0799 0.0407 Karlovy Vary 0.0001 0.0002 0.0938 0.0009 0.0053
Ústí nad Labem 0.7038 0.0612 0.0338 0.0521 0.1126 0.0070 0.0199 0.0094 0.0003
Czech Republic 0.7615 0.0876 0.0363 0.0115 0.0698 0.0250 0.0001 0.0004 0.0077
0.6228 0.0870 0.0508 0.0397 Hradec Králové 0.0560 0.1371 0.0014 0.0051 0.0001
0.0620 0.0365 0.7281 0.0559 Pardubice 0.0004 0.1112 0.0002 0.0012 0.0045
0.7547 0.0331 0.0410 0.0244 Highlands 0.0001 0.0973 0.0003 0.0433 0.0057
South 0.6078 0.0562 0.0443 0.0434 0.1815 0.0217 0.0403 0.0047 0.0001
0.4498 0.0899 0.0849 0.0293 Olomouc 0.0001 0.1014 0.0114 0.2301 0.0031
0.6627 0.0204 0.0951 0.0269 Zlin 0.0000 0.0872 0.1031 0.0017 0.0029
Moravian-Silesian 0.37 0.02 0.02 0.27 0.00 0.00 0.00 0.06 0.25
------------------------------------------------------ ------------------------------------ --------------------------------------------
Annex 2
The value of the item, the amount of the payment of health care and regulatory restrictions pursuant to § 4
And)
The combined kapitačně power payment
1. the amount of the payment kapitační is calculated by the number of passenger policyholders
appropriate health insurance, multiplied by the base rate
one registered the relevant health insurance on the insured's
calendar month. The number of passenger, the competent health insurance clients
the insurance company shall be calculated by multiplying the number of medical facilities
corresponding insured health insurance companies in the individual
age groups according to point 7, násobených the index referred to in section 7. The amount of the
the basic rate, where applicable, the total amount of remuneration may be increased when
compliance with the conditions laid down in the contract between the health insurance company and
health facilities. The basic rate according to the first sentence shall be
the amount of the
and) 50 CZK for practitioners and general practitioners for children and adolescents,
who provide health care to the extent of at least 30 office hours
spaced within 5 working days a week, with at least one day in the
week to opening hours extended to 18 hours and allow you to
insurance policy holders to book at least two days a week on a fixed
an hour,
(b) $ 49) for medical practitioners, who provide health care to the extent
at least 25 office hours distributed within 5 working days a week,
with at least one day a week to opening hours extended
at least 18 hours. If the local conditions require it, you may
health insurance, medical equipment, agree on
extending Office hours differently.
(c)) 47 Czk for other practitioners.
(d)) 49 Czk for other general practitioners for children and adolescents.
2. performance by the list of performances included in kapitační payments in the
expertise, according to the list of performance 001:
---------- ----------------------------------------------------------------------------
No performance Name
---------- ----------------------------------------------------------------------------
01023 TARGETED SCREENING GP
01024 CONTROL EXAMINATIONS of the GENERAL PRACTITIONER
01025 CONSULTATION PRACTITIONER, the FAMILY MEMBERS of the PATIENT
01030 ADMINISTRATIVE TASKS of the MEDICAL PRACTITIONER
04508 TOPICAL TREATMENTS of GINGIVA/MUCOUS MEMBRANE
09215 INJECTED I.M., S.C., I.D.
09216 INJECTION into SOFT TISSUE or INTRADERMAL BUDS within the REFLEXNÍLÉČBY
09217 INTRAVENOUS INJECTION for INFANT or CHILD up to 10 years
09219 INTRAVENOUS INJECTION in adult or CHILD OVER 10 YEARS
09220 PERIPHERAL VEIN CANNULATION, INCLUDING INFUSION
09233 INJECTABLE ANESTHESIA WARD
09237 TREATMENT and PŘEVAZ WOUNDS FROM 1 CM2 10 CM2
09507 PSYCHOTHERAPY SUPPORT CARRIED OUT by DOCTOR NEPSYCHIATREM
09511 MINIMUM CONTACT DOCTOR with PATIENT
09513 PHYSICIAN PATIENT TELEPHONE CONSULTATIONS
09523 EDUCATIONAL INTERVIEW DOCTOR with SICK or FAMILY
09525 INTERVIEW with the family PHYSICIAN
44239 PŘEVAZ BÉRCOVÉHO ULCER TREATMENT and DOCTOR (1 LEG)
71511 REMOVAL FOREIGN BODY FROM the EAR CANAL
71611 EXEMPTION the FOREIGN BODY from the nose-SIMPLE
---------- ----------------------------------------------------------------------------
3. performance under the list of performances included in kapitační payments in the
expertise, according to the performance list 002:
-------------------------------------------------------------------------------------------------------
No performance Name
-------------------------------------------------------------------------------------------------------
01025 CONSULTATION PRACTITIONER, the FAMILY MEMBERS of the PATIENT
01030 ADMINISTRATIVE TASKS of the MEDICAL PRACTITIONER
02023 TARGETED EXAMINATIONS of the GENERAL PRACTITIONER for children and adolescents-a child up to 6 years
02024 CONTROL EXAMINATIONS of the GENERAL PRACTITIONER for children and adolescents-a child 6 YEARS
02033 TARGETED EXAMINATIONS of the GENERAL PRACTITIONER for children and adolescents-a child OVER 6 YEARS
02034 CONTROL EXAMINATION of a MEDICAL PRACTITIONER for children and adolescents-CHILD NAD6 YEARS
04508 TOPICAL TREATMENTS of GINGIVA/MUCOUS MEMBRANE
06111 complex-EXAMINATION of the STATE of the PATIENT'S SISTER in THEIR OWN SOCIAL ENVIRONMENT
06119 complex-the COLLECTION of BIOLOGICAL MATERIAL
06121 complex-TOPICAL TREATMENTS
06123 complex-EDUCATION, RE-EDUCATION, REHABILITATION NURSING
complex-06125 KLYSMA, perfusion, CATHETERIZATION, LAVAGE, TREATMENT of PERMANENT CATHETERS
06127 COMPLEX-INHALATION and therapeutic THERAPY P.O., S.C., I.M., I.V., UV, EVENT. ADDITIONAL APPLICATIONS
06129 rehearsal and COACHING APPLICATION INSULIN
09215 INJECTED I.M., S.C., I.D.
09216 INJECTION into SOFT TISSUE or INTRADERMAL BUDS within the REFLEXNÍLÉČBY
09217 INTRAVENOUS INJECTION for INFANT or CHILD up to 10 years
09219 INTRAVENOUS INJECTION in adult or CHILD OVER 10 YEARS
09220 PERIPHERAL VEIN CANNULATION, INCLUDING INFUSION
09221 INFUSION in INFANTS or CHILD up to 10 years
09233 INJECTABLE ANESTHESIA WARD
the REMOVAL of SMALL SKIN LESIONS 09235
09237 TREATMENT and PŘEVAZ WOUNDS FROM 1 CM2 10 CM2
09253 RELEASE of PREPUCIA, INCLUDING a NON-OPERATIONAL REPIZICE PARAFIMOZY
09507 PSYCHOTHERAPY SUPPORT CARRIED OUT by DOCTOR NEPSYCHIATREM
09511 MINIMUM CONTACT DOCTOR with PATIENT
09513 PHYSICIAN PATIENT TELEPHONE CONSULTATIONS
09523 EDUCATIONAL INTERVIEW DOCTOR with SICK or FAMILY
09525 INTERVIEW with the family PHYSICIAN
71511 REMOVAL FOREIGN BODY FROM the EAR CANAL
71611 EXEMPTION the FOREIGN BODY from the nose-SIMPLE
-------------------------------------------------------------------------------------------------------
4. For health performance not included in kapitační payments, health
performances for the competent health insurance company insured non-registered and
Foreign insured persons, medical facilities and health reported
the insurance company accepted, by a list of performance shall be the value of the
point in 1.05 EUR Czk.
5. For the performances, 01021 01022, 02022, 02031, 02021, 02032, 02110, 02120,
02125, 02127 02150, according to list of performance shall be the value of point in the
the amount of $ 1.10.
6. For transport in the guestbook service, paid by the performance,
shall be the value of the item in the amount of Czk 0.91.
7. Index expresses the ratio of the cost of insured persons in the age group
against the costs of insured persons in the age group 15 to 19 years.
Age group and indexes:
-------------------------
Age group Index
-------------------------
0-4 years 3.91
5-9 years, 1.70
10-14 years 1.35
15-19 years 1.00
20-24 years, 0.90
25-29 years 0.95
30-34 years, 1.00
35-39 years, 1.05
40-44 years, 1.05
45-49 years, 1.10
50-54 years 1.35
55-59 years 1.45
60-64 years 1.50
65-69 years, 1.70
70-74 years 2.00
75-79 years 2.40
80-84 years 2.90
85, and 3.40 more years
-------------------------
(B))
The combined kapitačně power payment with calling kapitace
1. the amount of the payment by calling kapitační with the kapitace determined in accordance with subparagraph (a).
And) point 1. Calling kapitace is provided in cases where practical
a doctor for adults or general practitioner for children and adolescents has, in the light of
on the geographical conditions, a small number of passenger policyholders
registered with the competent health insurance company, than the 70%
the national average number of such insured persons (national average
the number shall be fixed for the calendar year according to the data of the Central
insured persons registry, managed by the general health insurance company
The Czech Republic) and the provision of such health care is necessary to
health insurance obligations under section 46 paragraph. 1 of the Act.
2. Call kapitace can provide up to 90% of the kapitační of the payment
calculated on the average number of policyholders nationwide passenger
registered with the competent health insurance company. He is involved in
health insurance, medical device with which it has concluded a
contract for the provision and payment of health care share, which corresponds to the
the percentage of its policyholders from passenger policy holders of registered
This medical device.
3. For the payment of performance according to the list of performances (a). And points 4 and 6)
shall apply mutatis mutandis.
(C)) to be paid by health care according to the list of performances
For health care expenses paid in accordance with the list of performance shall be the value of the
point in the amount of CZK 1; for transport in the guestbook service shall be
point value in the amount of Czk 0.91.
D) regulatory restrictions
1. Regulation at the prescribed medicinal products and medical devices and
pull the care in the fields of Medicine (listed in the requested care
do not include the performance of mammography screening by health
the medical establishment, which has insurance on the
the provision of those health performance agreements):
1.1 if the average remuneration for medicinal products and medical devices
prescribed by the medical device related to one the equivalised
the insured person exceeds by more than 20% of the statewide average remuneration for the
prescribed medicinal products and medical devices, health
the insurance company shall be entitled to apply the regulatory reduction of up to 25% of the
the excess. The average payment per insured the equivalised
be included and supplements for medicinal products, for which the prescribing
the doctor has ruled out the possibility of replacement under section 32, paragraph. 2 of the Act and that
health insurance has paid. Health insurance shall take into account the cases
When medical device proves that increased the average remuneration for the
the medical establishment to the prescribed medicinal products and medical
resources related to one insured person was caused by the equivalised
by changing the amount or manner of their payment, or as a result of changes
the structure treated policyholders.
1.2 If the average payment for the requested care in listed
proficiency, according to the list of outputs, related to one of the equivalised
the insured person exceeds by more than 20% of the statewide average remuneration for the
pull the care in the listed fields of medicine, health insurance
entitled to exercise regulatory reduction of up to 25% of the excess.
2. Regulatory constraints referred to in point 1.1 and 1.2 shall not apply, if the
medical facilities justifying medical care provided on the
the basis has exceeded the average of payments referred to in point 1.1, where appropriate,
1.2.
3. Regulatory constraints referred to in point 1.1 and 1.2 shall further not apply if
medical facilities in 2009 or 2010, registered 50 and less
corresponding insured health insurance or provide health care
50 and less competent non-insured health insurance
or in the case of care provided to the foreign insurance policy holders.
4. Regulatory constraints referred to in point 1.1 shall not apply if the total remuneration
for all the medicinal products and medical devices prescribed by
practical medical and practical doctors for children and adolescents in 2010
shall not exceed the estimated amount of the payments on this type of health care for a year
2010 health insurance plan from the relevant health
the insurance company.
5. Regulatory restrictions in accordance with point 1.2 shall not apply if the total remuneration
for the requested care in the listed fields of medicine in 2010 shall not exceed
the estimated amount of payments on this type of health care in the year 2010
based on the health insurance plan of the appropriate health
the insurance company.
6. Health insurance is entitled to apply the regulatory reduction by
points 1.1 and 1.2 a maximum amount corresponding to 15% of the volume of payments
This provided health insurance medical devices for
kapitační payment and health performance, reduced by the amount of remuneration for particular
posted material and medicinal products particularly charged for the year 2010.
Annex 3
The value of the item, the amount of the payments and the regulatory restrictions pursuant to § 5
And)
The value of the item and the amount of the payments
1. the amount of the remuneration shall be determined in accordance with the remuneration for performance provided
Health performances with the value of the point of
1.08 Eur) for medical device reporting performance expertise-910
psychotherapy, according to the list of performances, together with the ošetřovacím the date of
the daily list of the performance and for health care facilities
Contracting expertise 901-clinical psychology, according to the list of outputs,
(b) Eur 1.08) for medical devices providing hemodialysis treatment,
(c)) $ 1 for health care facilities contracting expertise, 927-orthoptist,
According to the list of performances, and for health care facilities contracting expertise
903-clinical speech therapy, with the exception of performances, 72213 72211, 72215 and
72019, according to the list of performances, for which the value is determined in the amount of
0.70 Eur,
(d) Eur 0.71) for performances, 43311 43313, 43315, 43613, 43617, 43627, 43629,
43633, according the list, contracting expertise 403-radiation
Oncology, according to the list of outputs,
(e)), 0.96 CZK for performances and, according to 75347 75348 list performance contracting
expertise of the 705-ophthalmology,
(f)) for the rest of 1.02 Czk health establishments, to the volume calculated for the
individual expertise, according to the list, as follows:
POPho
PBro x--------
POPro
where:
PBro total number of medical facilities and health declared
insurance recognised points over the reference period. The reference period is
means the relevant half-year 2008.
The number of unique POPho insured persons treated in medical facilities
the expertise in the reviewed period. The rated period means
the relevant half-year 2010.
POPro number of unique insured persons treated in medical facilities
the expertise in the reference period; in the case of merge healthcare
insurance companies are the number of unique treated policyholders means the sum of the
unique treated insured persons for health insurance, which is
merged (if it has been the beneficiary in the reference period had more
than one health insurance company, to the number of unique treated
insured persons are counted only once).
Health care provided by the medical establishment over the calculated volume in
the expertise, expressed in number of points for the performances of the medical
the device reported and recognized by the health insurance for the period of reference,
shall be paid in accordance with the list of performances with the value point of 0.30 Usd.
2. in the case of medical devices, which did not exist in the reference period,
where appropriate, that provides care in the expertise, the health
the insurance company for the purpose of calculating the volume of use on the average number of points
one of the unique policyholder, treated in the expertise for
the reference period, comparable medical facilities.
3. in the case of medical devices, where there is compared to the reference period
the influence of changes in nasmlouvaného of the range provided by the health care in some of the
expertise (IE. change the spectrum of the contracted performance)
the average number of points on one of the unique number of the insured person, the volume
points, in accordance with point 1 (b). (f) the number of points), which corresponds to the
medical facilities and health insurance company reported that recognized the newly
nasmlouvaným health.
4. Reduced the value of point in the skills referred to in point 1 (f)) shall not apply:
and in the case of the medical zatřízení), that in the reference or
the assessment period within a single expertise treating 100 and less
unique insured, when the contracted value of maximum capacity
the numbers of 1.00. In the case of proportional capacity numbers less than 1.00,
the limit of 100 unique treated policyholders recalculates the contracted
the value of the maximum capacity numbers for that expertise. The proportional
capacitive number expresses the value nasmlouvaného size range
health care for the expertise provided by one carrier of 3)
the performance of the health insurance company,
(b)) in the case of healthcare provided by the foreign insurance policy holders.
In the cases referred to in (a). and (b))) and all performances shall be borne by the
the value of point 1 Kč.
5. Health insurance medical facility can provide a monthly
interim payment equal to one-sixth volume of the corresponding remuneration for the
the reference period or in the amount of medical facilities reported
and recognised health care for the relevant month. The selected form of preliminary
health insurance payments will maintain throughout the monitored period, if the
medical equipment during the period evaluated, the requested reduction
the amount of the advance payment. Advance payments for the rated period
financially settled in the framework of an overall financial settlement, including
regulatory restrictions, and no later than 120 days after the end of the investigational
the period.
B) regulatory restrictions
for medical device reporting performance expertise-910
psychotherapy, according to the list of performances, together with the ošetřovacím the date of
the daily list of the performance and for health care facilities
Contracting expertise 901-clinical psychology, according to the list of performances
1. If the medical device reaches the average of the remuneration on the one
unique insured separately charged for medicinal products [with the exception of
separately charged to the medicinal products covered by the specialized
workplaces under section 15(2). 7 (b). (b)) of the Act] and separately billed
the material in the assessment period, higher than the average of the remuneration of the
one of the unique policyholder in the reference period for a particularly charged
medicinal products [with the exception of specially charged to medicinal products
financed by the specialised workplaces under section 15(2). 7 (b). (b))
the law] and posted material, health insurance can
medical devices, after the end of the year 2010, to reduce the payment of the amount
corresponding to 40% of the additional costs charged separately on medicinal products
and posted the material and methods contained in the contract
medical facilities and health insurance. The value of the average of the remuneration
According to the first sentence is defined as 100% of the average remuneration for separately
charged to the medicinal products [with the exception of specially charged to medicinal
products covered by the specialised workplaces under section 15(2). 7
(a). (b)) of the Act] and posted the material on one of the unique
the insured person's relevant health insurance in 2009, however, the maximum
up to 108% of the average remuneration for medicinal products [post separately with
the exception specially charged to medicinal products covered by the
specialised workplaces under section 15(2). 7 (b). (b)) of the Act] and
separately charged material on one unique insured persons the competent
health insurance in the reference period.
2. If the medical device reaches the average of the remuneration on the one
unique insured for the prescribed medicines and medical
resources in the period, higher than the reference value of the average
remuneration to the insured in one unique reference period for
prescribed medicinal products and medical devices, health
the insurance company can medical facility, after the end of the year 2010, to reduce the
the payment of the amount corresponding to 40% of the additional cost of the prescribed
medicinal products and medical devices, and the ways in
contract medical equipment and health insurance. To the average
remuneration to the one unique insured persons will be included and supplements for
medicinal products for which the prescribing doctor ruled out the possibility of
replacement under section 32, paragraph. 2 of the Act. The value of the average of the remuneration referred to in the sentence
the first is defined as 100% of the average remuneration for medicinal products and
medical devices prescribed by the medical device on the one
unique insured the relevant health insurance in 2009,
However, up to a maximum of 108% of the average remuneration for medicinal products and
medical devices prescribed by the medical device on the one
unique competent health insurance policyholders in the reference
the period.
3. If the medical device reaches the average of the remuneration on the one
a unique policyholder for the requested care in listed skills in
the assessment period, higher than the average payment per unique
the insured person in the reference period, the health insurance company may
medical devices, after the end of the year 2010, to reduce the payment of the amount
corresponding to 40% of the additional costs for the requested care (over 100%),
methods contained in the contract of medical equipment and health
the insurance company. The value of the average of the remuneration referred to in the first sentence shall be as
100% of the average remuneration for the requested care in listed skills
one of the unique insured persons the competent health insurance company of the year
2009, with a maximum of up to 108% of the average remuneration for requested care in
listed on one of the unique skills of the policyholder, the competent
health insurance in the reference period.
4. Regulatory restrictions in accordance with point 1 to 3 shall not apply if the medical
reasons provided health care facilities, on the basis of an
exceeded the average of payments referred to in paragraph 1, in accordance with point 2, as appropriate,
point 3.
5. the regulatory restriction referred to in point 1 shall not apply if the total remuneration for the
all separately charged medicinal products and separately charged material in the
outpatient health care facilities providing out-patient
specialized care in the period shall not exceed the
100% health insurance payments on this type of health care in
2009.
6. the regulatory restriction referred to in point 2 shall not apply if the total remuneration for the
all medicinal products and medical devices prescribed in the
outpatient health care facilities providing out-patient
specialized care in the period shall not exceed the estimated amount of the
payments on this type of health care in the year 2010 based on the disabled
insurance plan appropriate health insurance.
7. in the case of medical devices, where there have been compared to the reference period
change the nasmlouvaného of the range provided by the health care provider (changing number of
holders of performance authorized to prescribe medicinal products and
medical devices and require care in a listed
fields of Medicine), health insurance, in agreement with the medical
the device, the value of the average payments in the reference period for these purposes
adjusts.
8. in the case of medical devices which, in the reference period, or in his
part did not exist, or not to contract with health
the insurance company, health insurance company may use for the purposes of the application of the
regulatory restrictions referred to in points 1 to 3 of the reference values comparable
health care facilities.
9. If medical facilities treating the reference or the investigational
period in the expertise of 50 and less unique policyholders,
the contracted value of the maximum capacity numbers 1.00, health
This does not include the insurance expertise to calculate the control provided for in points 1. up to
3. in the case of proportional numbers less than 1.00 capacity limit 50
the treated policyholders converted contracted value of unique
maximum capacity numbers for that expertise.
10. Regulatory constraints referred to in point 3 shall not apply if the total remuneration
for the requested care in the listed fields of medicine in 2010 shall not exceed
the estimated amount of payments on this type of health care in the year 2010
based on the health insurance plan of the appropriate health
the insurance company.
11. Health insurance is entitled to apply the regulatory reduction by
points 1 to 3, a maximum amount equal to 25% of the volume of payments
This provided health insurance medical devices for
health performance, reduced by the amount of remuneration for the separately posted material and
separately charged to the medicinal products for the monitored period.
12. If the medical device will prescribe medical device over the
15 000 Czk, the approved revision doctor health insurance will not
the amount included in the regulatory limit.
C) regulatory restrictions for health care facilities
hemodialysis care
1. If the medical device reaches the average of the remuneration on the one
unique insured separately charged for medicinal products [with the exception of
separately charged to the medicinal products covered by the specialized
workplaces under section 15(2). 7 (b). (b)) of the Act] and separately billed
the material in the assessment period, higher than 100% of the average remuneration per
unique insured separately charged for medicinal products [with the exception of
separately charged to the medicinal products covered by the specialized
workplaces under section 15(2). 7 (b). (b)) of the Act] and separately billed
the material in the reference period, can the medical health insurance
the device, after the end of the year 2010, to reduce the payment of the amount corresponding to 40
% of the additional costs charged separately for medicinal products and
posted material (over 100%), and ways the Treaty
medical facilities and health insurance.
2. If the medical device reaches the average of the remuneration on the one
unique insured for the prescribed medicines and medical
resources in the period of higher than 100% of the average of the remuneration of the
one of the unique insured for the prescribed medicines and
medical resources in the reference period, the health insurance company may
medical devices, after the end of the year 2010, to reduce the payment of the amount
corresponding to 40% of the additional costs at the prescribed medicinal products and
medical devices (over 100%), and ways the Treaty
medical facilities and health insurance. To the average of the remuneration of the
one of the unique insured persons will be included and supplements for medicinal
products, for which the prescribing doctor ruled out the possibility of replacing the
According to § 32 paragraph. 2 of the Act.
3. If the medical device reaches the average of the remuneration on the one
a unique policyholder for the requested care in listed skills in
the assessment period, higher than 100% of the average remuneration per unique
the insured person in the reference period, the health insurance company may
medical devices, after the end of the year 2010, to reduce the payment of the amount
corresponding to 40% of the additional costs for the requested care (over 100%),
methods contained in the contract of medical equipment and health
the insurance company. To the requested care do not include health performances
mammography screening and cervical cancer screening
carried out by the medical establishment, which has insurance on the
the provision of those health performance contract.
4. Regulatory restrictions in accordance with point 1 to 3 shall not apply if the medical
reasons provided health care facilities, on the basis of an
exceeded the average of payments referred to in paragraph 1, in accordance with point 2, as appropriate,
point 3.
5. the regulatory restriction referred to in point 1 shall not apply if the total remuneration for the
all separately charged medicinal products and separately charged material in the
outpatient health care facilities providing out-patient
specialized care in 2010 shall not exceed the relevant health
100% of the insurance payments on this type of health care in 2008.
6. the regulatory restriction referred to in point 2 shall not apply if the total remuneration for the
all medicinal products and medical devices prescribed in the
outpatient health care facilities providing out-patient
specialized care in 2010 shall not exceed the estimated amount of the payments to the
This kind of health care for 2010 based on the disabled
insurance plan appropriate health insurance.
7. in the case of medical devices, where there have been compared to the reference period
change the nasmlouvaného of the range provided by the health care provider (changing number of
holders of performance authorized to prescribe medicinal products and
medical devices and require care in a listed
fields of Medicine), health insurance, in agreement with the medical
the device, the value of the average payments in the reference period for these purposes
adjusts.
8. in the case of medical devices which, in the reference period, or in his
part did not exist, or not to contract with health
the insurance company, health insurance company may use for the purposes of the application of the
regulatory restrictions referred to in points 1 to 3 of the reference values comparable
health care facilities.
9. If medical facilities treating the reference or the investigational
period in the expertise of 50 and less unique policyholders,
the contracted value of the maximum capacity numbers 1.00, health
undertaking this expertise does not include in the calculation of the regulation referred to in points 1 to
3. in the case of proportional numbers less than 1.00 capacity limit 50
the treated policyholders converted contracted value of unique
maximum capacity numbers for that expertise.
10. Regulatory constraints referred to in point 3 shall not apply if the total remuneration
for the requested care in the listed fields of medicine in 2010 shall not exceed
the estimated amount of payments on this type of health care in the year 2010
based on the health insurance plan of the appropriate health
the insurance company.
11. Health insurance is entitled to apply the regulatory reduction by
points 1 to 3, a maximum amount equal to 25% of the volume of payments
This provided health insurance medical devices for
health performance, reduced by the amount of remuneration for the separately posted material and
separately charged medicinal products for the year 2010.
12. If the medical device will prescribe medical device over the
15 000 Czk, the approved revision doctor health insurance will not
the amount included in the regulatory limit.
D) regulatory restrictions for other medical devices
1. If the medical device reaches the average of the remuneration on the one
unique insured separately charged for medicinal products [with the exception of
separately charged to the medicinal products covered by the specialized
workplaces under section 15(2). 7 (b). (b)) of the Act] and separately billed
the material in the assessment period, higher than 110% of the average remuneration per
unique insured separately charged for medicinal products [with the exception of
separately charged to the medicinal products covered by the specialized
workplaces under section 15(2). 7 (b). (b)) of the Act] and separately billed
the material in the reference period, can the medical health insurance
the device, after the end of the year 2010, to reduce the payment of the amount corresponding to 40
% of the additional costs of medicines, and particularly charged separately
posted material (over 110%), and ways the Treaty
medical facilities and health insurance.
2. If the medical device reaches the average of the remuneration on the one
unique insured for the prescribed medicines and medical
resources in the period of greater than 105% of the average of the remuneration of the
one of the unique insured for the prescribed medicines and
medical resources in the reference period, the health insurance company may
medical devices, after the end of the year 2010, to reduce the payment of the amount
corresponding to 40% of the additional costs at the prescribed medicinal products and
medical devices (over 105%), and ways the Treaty
medical facilities and health insurance. To the average of the remuneration of the
one of the unique insured persons will be included and supplements for medicinal
products, for which the prescribing doctor ruled out the possibility of payment by the
§ 32 paragraph. 2 of the Act.
3. If the medical device reaches the average of the remuneration on the one
a unique policyholder for the requested care in listed skills in
the assessment period, higher than 110% of the average remuneration per unique
the insured person in the reference period, the health insurance company may
medical devices, after the end of the year 2010, to reduce the payment of the amount
corresponding to 40% of the additional costs for the requested care (over 110%), and
methods contained in the contract of medical equipment and health
the insurance company. To the requested care do not include health performances
mammography screening, cervical cancer screening, and
Colorectal cancer screening by the medical establishment,
that has health insurance is to provide these health
performance of contract. For the purposes of determining the amount of the average of payments and
the amount of the deduction, if any, referred to in the first sentence, with the performance of requested care in
the investigational and reference period will be appreciated according to the procedures applicable to the
1.1. 2010 value point valid in the period.
4. Regulatory restrictions in accordance with point 1 and 3 shall not apply if the medical
reasons provided health care facilities, on the basis of an
exceeded the average of payments referred to in paragraph 1, in accordance with point 2, as appropriate,
point 3.
5. the regulatory restriction referred to in point 1 shall not apply if the total remuneration for the
all separately charged medicinal products and separately charged material in the
outpatient health care facilities providing out-patient
specialized care in 2010 shall not exceed the relevant health
106% of the insurance payments on this type of health care in 2008.
6. the regulatory restriction referred to in point 2 shall not apply if the total remuneration for the
all medicinal products and medical devices prescribed in the
outpatient health care facilities providing out-patient
specialized care in 2010 shall not exceed the estimated amount of the payments to the
This kind of health care for 2010 based on the disabled
insurance plan appropriate health insurance.
7. in the case of medical devices, where there have been compared to the reference period
change the nasmlouvaného of the range provided by the health care provider (changing number of
holders of performance authorized to prescribe medicinal products and
medical devices and require care in a listed
fields of Medicine), health insurance, in agreement with the medical
the device, the value of the average payments in the reference period for these purposes
adjusts.
8. in the case of medical devices which, in the reference period, or in his
part did not exist, or not to contract with health
the insurance company, health insurance company may use for the purposes of the application of the
regulatory restrictions referred to in points 1 to 3 of the reference values comparable
health care facilities.
9. If medical facilities treating the reference or the investigational
period in the expertise of 50 and less unique policyholders,
the contracted value of the maximum capacity numbers 1.00, health
undertaking this expertise does not include in the calculation of the regulation referred to in points 1 to
3. in the case of proportional numbers less than 1.00 capacity limit 50
the treated policyholders converted contracted value of unique
maximum capacity numbers for that expertise.
10. Regulatory constraints referred to in point 3 shall not apply if the total remuneration
for the requested care in the listed fields of medicine in 2010 shall not exceed
the estimated amount of payments on this type of health care in the year 2010
based on the health insurance plan of the appropriate health
the insurance company.
11. Health insurance is entitled to apply the regulatory reduction by
points 1 to 3 above, corresponding to a maximum of 15% of the volume of payments
This provided health insurance medical devices for
health performance, reduced by the amount of remuneration for the separately posted material and
separately charged medicinal products for the year 2010.
12. If the medical device will prescribe medical device over the
15 000 Czk, the approved revision doctor health insurance will not
the amount included in the regulatory limit.
Annex 4
The value of the item, the amount of the payments and the regulatory restrictions in accordance with § 6
And)
The value of the item and the amount of the payments
1. the amount of the remuneration shall be determined in accordance with the remuneration for performance provided
Health performances with the value of the item in the amount of Czk 1.06.
2. the total amount of the reimbursement of the medical equipment
and providing health care in) the expertise of the 603 or 604 does not exceed
the amount, which is calculated as follows: POPzpo x PUROo x Inu
where:
POPzpo number of unique expertise in the treated policyholders
medical facilities in the period. IMP, the period is the year
2010.
PUROo the average remuneration for health, including especially the posted
material and medicinal products, especially those posted on one of the unique
insured persons treated in the expertise of the medical facility in the
the reference period. The reference period is the year 2008.
Well, tender growth index is at least 1.06
(b)) providing health care at the same time in the expertise of the 603 and
604 does not exceed the amount of skill equal to the sum of the amounts for
individual expertise, where the amount calculated for individual expertise
as follows: POPzpo x PUROo x Inu
where:
POPzpo number of unique expertise in the treated policyholders
medical facilities in the period
PUROo is calculated as: PUROo = PPBROo x RDHB + PUZUMROo + PUZULPROo
where:
PPBROo average number of medical facilities declared and health
insurance recognised points on one unique insured persons treated in
the expertise of the medical establishment in the reference period,
passenger list of performances on January 1st, 2010
RDHB realistically achieved point value for the health care provided
medical facilities in the 603 and 604 skills, according to the list, for
health insurance in the reference period, shall be fixed as a proportion of
the total remuneration provided by the medical facility health insurance
for health care provided by the medical establishment in the expertise of 603
and, according to the performances of the 604, reduced by the amount of remuneration for separately billed
material and separately charged for the medicinal product, the reference period and
the total number of points for health care provided by the medical
the device in the expertise of the 603 and 604 reported for the reference period and the
health insurance company approved
PUZUMROo the average remuneration for the separately posted material on the one
unique in the insured person's expertise in health care facilities in the
the reference period
PUZULPROo the average remuneration of a particularly charged on medicinal products
one of the unique expertise of the insured in the health
the device in the reference period
Well, tender growth index is at least 1.06
3. The total amount of remuneration referred to in paragraph 2 shall, subject to conditions
laid down in the contract between health insurance and health care
equipment increased in the same manner as in 2009, if
health insurance, medical institutions have agreed otherwise.
4. in the case of medical devices, which did not exist in the reference period,
where appropriate, that provides care in a given skill, health
the insurance company authorized for the purposes of calculating the total amount of payment use
the average payment per unique insured for the period of reference
comparable medical facilities.
5. in the case of medical devices, where there is compared to the reference period
the influence of changes in nasmlouvaného of the range provided by the health care in some of the
expertise (i.e. change the spectrum of the contracted performance) to the increase in the average
remuneration to the one unique insured persons, the total amount of the remuneration
medical device referred to in point 2 for the value of health care
the device reported and health insurance company recognized the newly nasmlouvaným
health interventions, including especially the posted material, and especially
posted in medicinal products. The newly contracted performances for these
the purpose of the performance by the list will appreciate using the point values of CZK 1.0.
6. Health insurance in the Bill take account of cases where an increase in
the cost is in relation with the increase of pregnant pojištěnek.
7. Health insurance on account of the cases in which medical
the device proves that increased the average cost of separately billed
material and posted on one of the unique medicinal products
the insured person in a given skill were caused by changing the amount or the method of
their payment, where applicable, as a result of changes in the structure of the treated
policy holders.
(B))
Regulatory restrictions
1. Regulations for the prescribed medicines and medical devices and
for the requested care in the listed fields of medicine.
1.1 if the medical device reaches the average of the remuneration on the one
unique insured for the prescribed medicines and medical
resources in the period, higher than the average payment per
unique insured for the prescribed medicines and medical
resources in the reference period, the health insurance company is authorised to
medical facility, to reduce the payment of the amount corresponding to 40% of the
the additional cost of the prescribed medicinal products and medical
the means and methods contained in the contract of medical equipment and
health insurance companies. The average payment per unique
the policyholder will be included and supplements for medicinal products, for which
prescribing doctor ruled out the possibility of replacement under section 32, paragraph. 2
the law. The average remuneration referred to in the first sentence shall be established as 100% of the average
remuneration for medicinal products and medical devices prescribed by
medical facilities on one unique insured persons the competent
health insurance in 2009, with a maximum of up to 108% of the average
remuneration for medicinal products and medical devices prescribed by
medical facilities on one unique insured persons the competent
health insurance in the reference period.
1.2 If the medical device reaches the average of the remuneration on the one
a unique policyholder for the requested care in listed skills in
the assessment period, higher than the average payment per unique
in the reference period, the insured person's health insurance company is authorised to
medical facility, to reduce the payment of the amount corresponding to 40% of the
increased costs for care, and pull methods contained in the contract
medical facilities and health insurance. The average remuneration in accordance with
the first sentence is defined as 100% of the average remuneration for requested care in
listed on one of the unique skills of the policyholder, the competent
health insurance in 2009, with a maximum of up to 108% of the average
remuneration for the requested care in listed skills, on one
unique competent health insurance policyholders in the reference
the period. To the requested care do not include health performance of mammography
screening, screening for cervical and colorectal
cancer, carried out by the medical establishment, which has with the insurance company on the
the provision of those health performance contract.
2. Regulatory constraints referred to in point 1.1 and 1.2 shall not apply, if the
medical facilities justifying medical care provided on the
the basis has exceeded the average of payments referred to in point 1.1, where appropriate,
1.2.
3. Regulatory constraints referred to in point 1.1 shall not apply if the total remuneration
for all the medicinal products and medical devices prescribed in the
outpatient health care facilities providing out-patient care in the
proficiency in the 603 and 604 of the period shall not exceed 108% of the average
remuneration for medicinal products and medical devices prescribed in the
603 and 604 proficiency in the reference period.
4. when compared to the reference period there was a change nasmlouvaného
the range of provided health care (changing the number of holders of the performance
authorized to prescribe medicinal products and medical devices and
require care in the listed fields of Medicine), health insurance after
the agreement with the medical establishment in the average value of payments
the reference period for these purposes they adjusted.
5. in the event that the medical device in the reference period or in its
part did not exist, or not to contract with health
the insurance company is entitled to use the health insurance company for the purpose of
the application of regulatory limits in sections 1.1 and 1.2 of the reference value
comparable medical facilities.
6. If medical facilities treating the reference or the investigational
period in the expertise of 50 and less unique policyholders,
the contracted value of the maximum capacity numbers 1.00; health
undertaking this expertise does not include in the calculation of the regulation referred to in points 1.1 and
1.2. in the case of proportional numbers less than 1.00 capacity limit 50
the treated policyholders converted contracted value of unique
maximum capacity numbers for that expertise.
7. the undertaking does not apply the regulation referred to in point 1.2, if the total remuneration
for the requested care in the listed fields of medicine in 2010 shall not exceed
on this kind of health care to the estimated amount of payments for the year 2010,
based on the health insurance plan health insurance.
8. Health insurance is entitled to apply the regulatory reduction by
points 1.1 and 1.2, a maximum amount equal to 25% of the volume of payments
provided by health insurance medical equipment for health
performance reduced by the amount of remuneration for the separately posted material and especially
posted medicinal products for the year 2010.
9. If the medical device medical device reports over 15
USD, these costs are not included in the regulatory limit.
Annex 5
The value of the item and the amount of the payments referred to in section 8
1. for the performance of the contracted screening mammography, according to a list
performance, shall be the value of the item in the amount of Czk 1.10, cervical screening
the throat and the screening of colorectal cancer, according to a list of performances,
provides the value of the item in the amount of Czk 1.03.
2. For health care provided in the expertise of 809, according to the list
performance, to the volume calculated according to section 5 sets out the value of point in the
the amount of Eur 1.10 except the contracted performance 89711 89725 and up
89611 89619 to performance, according to a list of performances, for which the volume of the
calculated in accordance with point 5 point value in the amount of Eur 0.70.
3. For health care provided in the fields of medicine, listed with the
the exception of expertise, according to the performance of 809, to the volume calculated
According to point 5 point value set at EUR 0.70 Eur, if the health
the insurance company, the medical establishment have agreed otherwise under section 15.
4. for the health care provided by a foreign insurance policy holders shall be
the value of the item in accordance with points 1 to 3.
5. Health care is provided in the assessment period in listed
proficiency shall be paid with the value referred to in point 2 and point 3 to 100%
medical facilities and health insurance company declared the recognised
points over the reference period; above this volume of health care shall be borne by the
the value of point 0.36 Eur. IMP, the period is the relevant half-year
2010, the reference period, the competent half-year of 2008.
6. in the case of medical devices which, in the assessment of the period did not exist,
where appropriate, that provides care in a given skill or
total payment volume cannot be set, the health insurance for the
the purposes of the calculation referred to in point 5 of the volume of the average remuneration per
unique insured persons for the reference period of comparable health
the device.
7. the provisions of paragraph 5 shall not apply, if the medical equipment provided
health care 50 and less unique to the insured. The provisions of point 5,
Furthermore, it shall not apply in the case of the health care provided by foreign
to the insured.
Annex 6
The value of the item and the amount of the payments referred to in section 9
1. For outpatient health care facilities providing health care in
925, according to the list of skill performance, shall be established in the amount of 1 point value
CZK.
2. For outpatient health care facilities providing health care in
expertise of 911, 914, 916, 921, and according to the procedures, shall be adopted
point value of 0.90 Czk.
3. For transport in the guestbook service, paid by the performance,
shall be the value of the item in the amount of Czk 0.91. These performances not covered by the
the provisions of paragraphs 4 and 5.
4. the health care provided by the medical establishment to 105%
the calculated volume, where appropriate, adjusted in accordance with section 6, shall be paid by the
list of performances with the value of the point referred to in points 1 and 2. This volume is
calculated as follows:
POPho
PBro x--------
POPro
where:
PBro total number of medical facilities and health declared
insurance recognised points over the reference period, annualised, according
list of performances on January 1st, 2010. The reference period shall mean the
the relevant half-year 2008.
The total number of unique POPho policyholders treated medical
equipment in the period. The rated period means the competent
half of 2010.
POPro the total number of unique policy holders treated medical
the device in the reference period; in the case of merge healthcare
the number of unique insurance policyholders means the sum of the unique
insured persons for health insurance companies, which merged (if it has been
the beneficiary during the reference period had more than one health
the insurance companies, the number of unique treated policyholders are counted
only once).
6. the health care provided by the medical establishment over 105% volume
calculated in accordance with point 4, where appropriate, adjusted in accordance with point 6, in
expertise with point 925 pays the value in the amount of Eur 0.70 and proficiency
911, 914, 916, and 921-valued point of 0.63 Czk.
7. If the medical device amendments to the scope and
the structure provided by the paid care in comparison with the reference period, and
health insurance company agrees to take account of these changes, it is in the Treaty,
including enumerations increase (reduction) payments.
8. the provisions of paragraphs 4 and 5 shall not apply if the health care facility
treating 50 and less unique policyholders in the reference period.
9. Health insurance medical facility may arrange for monthly
a preliminary payment of the value of medical facilities reported and
health insurance company recognized healthcare for the month
This form of health insurance will maintain throughout the relevant semester.
A preliminary payment of health insurance for the half-year financial
enquiry no later than 120 days after the end of the period evaluated.
Annex 7
The value of the item and the amount of the payments referred to in section 10
1. the value of point is set at EUR 0.80 Czk.
2. For transport in the guestbook service, paid by the performance,
the value of the point set at EUR 0.91 Eur. These performances not covered by the
the provisions of point 3.
3. the health care provided by the medical establishment over the calculated
volume, where appropriate, adjusted in accordance with paragraph 4, shall be paid in accordance with the list of performances with the
the value of the item in the amount of $ 0.50. This volume is calculated as follows:
POPho
PBro x--------
POPro
where:
PBro total number of medical facilities and health declared
insurance recognised points over the reference period, annualised, according
list of performances on January 1st, 2010. The reference period shall mean the
the relevant half-year 2008.
The total number of unique POPho policyholders treated medical
equipment in the period. The rated period means the competent
half of 2010.
POPro the total number of unique policy holders treated medical
the device in the reference period; in the case of merge healthcare
the number of unique insurance policyholders means the sum of the unique
insured persons for health insurance companies, which merged (if it has been
the beneficiary during the reference period had more than one health
the insurance companies, the number of unique treated policyholders are counted
only once).
4. If the medical device amendments to the scope and
the structure provided by the paid care in comparison with the reference period, and
health insurance company agrees to take account of these changes, it is in the Treaty,
including enumerations increase (reduction) payments.
5. the provisions of paragraph 3 shall not apply if the medical facilities treating
50 and less unique policyholders in the reference period.
6. If the average number of points the medical establishment declared and
health insurance approved on one unique insured for
rated at least 98% of the period reaches the average number of points per
unique insured over the reference period and at the same time the average remuneration
one of the unique in the period of the insured person, provided
medical devices, health insurance is less than 103% of the
the average payment to the insured in one unique reference period,
health insurance in the framework of the financial settlement of medical
the device raises the average payment per unique insured on the
103% of the average remuneration per unique policyholder in the reference
the period.
7. If the average number of points the medical establishment declared and
health insurance approved on one unique insured for
rated at least 98% of the period reaches the average number of points on the
one of the unique insured persons for the reference period, the health
the insurance company within the financial settlement of medical devices shall be reduced
the average payment per unique insured about the same number of
percentage points, of which 98% was achieved by the values specified in the sentence
the first.
8. For the calculation of the average number of points on one unique insured
referred to in points 6 and 7 are for investigational and reference period used list
valid to 1 January 2010 performance.
9. Health insurance medical facility may arrange for monthly
interim payment either in the amount of the value declared to the medical facility,
and health insurance company recognized, health care for the month, or
in the amount of 100% of the volume of one sixth of the remuneration in the reference period, and
the selected form of health insurance will maintain throughout the relevant semester.
A preliminary payment of health insurance for the half-year financial
enquiry no later than 120 days after the end of the period evaluated.
Annex 8
The value of the item and the amount of the payments referred to in section 12 of the
1. The value of the point shall be
and in the amount of $ 0.95) for health care facilities providing transport
health service in continuous operation,
(b)) in the amount of Czk 0.90 for medical devices does not provide pertinent traffic
health service in continuous operation.
2. the health care provided by the medical establishment to 100%
the calculated volume shall be paid in accordance with the list of performances with the value of point
provided for in point 1. This volume is calculated as follows:
POPho
PBro x--------
POPro
where:
PBro total number of medical facilities and health declared
insurance recognised points over the reference period, adjusted according to the
list of performances on January 1st, 2010. The reference period is the year
2008.
The total number of insured persons převezených POPho, which was in the
period granted to transport medical service. Převezeným the policyholder is
means the insured party, which was banned on the basis of the performance of the transport
the medical transport. The rated period means the year
2010.
Převezených POPro the total number of insured persons, which was in the reference
period granted to transport medical service; in the case of merge
health insurance is the number of převezených means the sum insured
převezených insured persons for health insurance companies that were merged.
3. Over 100% of the volume is calculated in accordance with point 2 of the health insurance
shall be entitled to modify the value of the point referred to in paragraph 1, for the health
the device referred to in point 1 (a). and to 0.90 Czk) and for health
the device referred to in point 1. (a). (b)) to 0.80 Czk.
4. the provisions of paragraph 3, shall not apply to medical devices, which
reference period provided the transport or the assessment of the health service
less than 50 převezeným affiliated persons competent health insurance company.
5. If the medical device amendments to the scope and
the structure provided by the paid care in comparison with the reference period, and
health insurance company agrees to take account of these changes, it is in the Treaty,
including enumerations increase (reduction) payments.
6. Health insurance may provide for medical devices 1. and
2. half-year 2010 interim payment in the amount of 100% of the remuneration in the
the half-year 2008.
Annex 9
The group related to the diagnosis, according to Klasifikace5), with indexes of these groups
--------- -----------------------------------------------------------------------
IR-DRG ^ 5) group name Index
--------- -----------------------------------------------------------------------
00011 HEART TRANSPLANTS and/or LUNG without CC 23.2508
00012 HEART TRANSPLANTS and/or LUNG with CC 23.2508
00013 HEART TRANSPLANTS and/or LUNG with MCC 53.1143
00021 LIVER TRANSPLANTATION without CC 17.6970
00022 LIVER TRANSPLANTATION with CC 17.6970
00023 LIVER TRANSPLANTATION with MCC 37.7494
00031 ALLOGENEIC BONE MARROW TRANSPLANTATION without CC 38.6473
00032 ALLOGENEIC BONE MARROW RANSPLANTACE with CC 38.6473
00033 ALLOGENEIC BONE MARROW TRANSPLANTATION with MCC 44.3433
00041 LONG-TERM MECHANICAL VENTILATION 12.1166 > 240 HOURS
(11-21 days) WITHOUT CC
00042 LONG-TERM MECHANICAL VENTILATION 12.1166 > 240 HOURS
(11-21 days) WITH CC
00043 LONG-TERM MECHANICAL VENTILATION 17.4213 > 240 HOURS
(11-21 days) WITH MCC
00051 LONG-TERM MECHANICAL VENTILATION 96 HOURS > 7.2631
(5-10 days) WITHOUT CC
00052 LONG TERM MECHANICAL VENTILATION 96 HOURS > 7.6415
(5-10 days) WITH CC
00053 LONG TERM MECHANICAL VENTILATION 96 HOURS > 9.0900
(5-10 days) WITH MCC
00060 LONG-TERM MECHANICAL VENTILATION > 95.4949 1 800 HOURS
(MORE THAN 75 days)
00070 LONG-TERM MECHANICAL VENTILATION 1 008 HOURS > 122.3876
(MORE THAN 43 days) WITH TRANSPLANTS OF THE HEART, LUNGS, LIVER,
BONE MARROW
00080 LONG-TERM MECHANICAL VENTILATION 1 008 HOURS > 71.3005
(43-75 days) WITH ECONOMICALLY CHALLENGING PERFORMANCE
00090 LONG-TERM MECHANICAL VENTILATION 1 008 HOURS > 41.9233
(43-75 days)
00100 LONG-TERM MECHANICAL VENTILATION > 504 HOURS 42.7458
(22-42 days) WITH ECONOMICALLY CHALLENGING PERFORMANCE
00110 LONG-TERM MECHANICAL VENTILATION > 504 HOURS 36.9353
(22-42 days)
00121 LONG-TERM MECHANICAL VENTILATION 19.7036 > 240 HOURS
(11-21 days) WITH ECONOMICALLY CHALLENGING PERFORMANCE WITHOUT CC
00122 LONG-TERM MECHANICAL VENTILATION 21.5892 > 240 HOURS
(11-21 days) WITH ECONOMICALLY CHALLENGING PERFORMANCE WITH CC
00123 LONG-TERM MECHANICAL VENTILATION 23.9254 > 240 HOURS
(11-21 days) WITH ECONOMICALLY CHALLENGING PERFORMANCE WITH MCC
00131 LONG-TERM MECHANICAL VENTILATION 96 HOURS > 10.0294
(5-10 days) WITH ECONOMICALLY CHALLENGING PERFORMANCE WITHOUT CC
00132 LONG-TERM MECHANICAL VENTILATION 96 HOURS > 11.6454
(5-10 days) WITH ECONOMICALLY CHALLENGING PERFORMANCE WITH CC
00133 LONG-TERM MECHANICAL VENTILATION 96 HOURS > 15.3824
(5-10 days) WITH ECONOMICALLY CHALLENGING PERFORMANCE WITH MCC
00141 AUTOLOGOUS BONE MARROW TRANSPLANTATION without CC 3.8397
00142 AUTOLOGOUS BONE MARROW TRANSPLANTATION with CC 5.5645
00143 AUTOLOGOUS BONE MARROW TRANSPLANT with MCC 10.0940
00151 SEPARATION of BONE MARROW without CC 2.1958
00152 SEPARATION of BONE MARROW with CC 2.6818
00153 SEPARATION of BONE MARROW with MCC 2.6818
00161 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD 14.1939
WITH ECONOMICALLY SERIOUS PERFORMANCE WITHOUT CC
00162 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD 14.1939
WITH ECONOMICALLY SERIOUS PERFORMANCE WITH CC
00163 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD 14.1939
WITH ECONOMICALLY SERIOUS PERFORMANCE ISSUES WITH MCC
00171 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD 9.5187
WITHOUT CC
00172 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD 9.5187
WITH CC
00173 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD 9.5187
WITH MCC
01011 CRANIOTOMY without CC 3.7467
01012 CRANIOTOMY with CC 5.1674
01013 CRANIOTOMY with MCC 7.6718
01021 SPINAL PERFORMANCES without CC 2.5487
01022 SPINAL PERFORMANCES with CC 4.1580
01023 SPINAL PERFORMANCES with MCC 6.6736
01031 PERFORMANCES on EXTRACRANIAL ARTERIES without CC 2.4418
01032 PERFORMANCES on EXTRACRANIAL ARTERIES with CC 2.9308
01033 PERFORMANCES on EXTRACRANIAL ARTERIES with MCC 3.7121
01041 PERFORMANCES on the CRANIAL and PERIPHERAL NERVES without CC 0.3814
01042 PERFORMANCES on the CRANIAL and PERIPHERAL NERVES with CC 0.3814
01043 PERFORMANCES on the CRANIAL and PERIPHERAL NERVES with MCC0, 7168
01051 CARPAL TUNNEL RELEASE without CC 0.1779
01052 CARPAL TUNNEL RELEASE with CC 0.2013
01053 CARPAL TUNNEL RELEASE with MCC 0.2321
OTHER PERFORMANCES at 01061 diseases and DISORDERS of the NERVOUS 1.1220
SYSTEM WITHOUT CC
OTHER PERFORMANCES in 01062 diseases and DISORDERS of the NERVOUS 2.1426
SYSTEM WITH CC
01063 OTHER PERFORMANCES in diseases and DISORDERS of the NERVOUS 10.7525
SYSTEM WITH MCC
01301 DISORDERS and SPINAL CORD INJURIES without CC 0.6243
01302 DISORDERS and SPINAL CORD INJURIES with CC 0.9406
01303 DISORDERS and SPINAL CORD INJURIES with MCC 1.7955
01311 MALIGNANT DISEASE, SOME INFECTIONS and DEGENERATIVE 0.7903
NERVOUS SYSTEM DISORDERS WITHOUT CC
01312 MALIGNANT DISEASE, SOME INFECTIONS and DEGENERATIVE 0.8368
NERVOUS SYSTEM DISORDERS WITH CC
01313 MALIGNANT DISEASE, SOME INFECTIONS and DEGENERATIVE 1.1757
NERVOUS SYSTEM DISORDERS WITH MCC
01321 MULTIPLE SCLEROSIS and CEREBELLAR ATAXIA without CC 0.4185
01322 MULTIPLE SCLEROSIS and CEREBELLAR ATAXIA with CC 0.5468
01323 MULTIPLE SCLEROSIS and CEREBELLAR ATAXIA with MCC 0.7413
01331 NETRAUMATICKÉ INTRACRANIAL BLEEDING without CC 1.3518
01332 NETRAUMATICKÉ INTRACRANIAL HEMORRHAGE with CC 1.9419
01333 NETRAUMATICKÉ INTRACRANIAL HEMORRHAGE with MCC 3.1915
01341 STROKE with MYOCARDIAL FREE CC 0.8109
01342 STROKE with MYOCARDIAL with CC 1.0514
01343 STROKE with MYOCARDIAL with MCC 1.6322
01351 NON-SPECIFIC STROKE and PRECEREBRÁLNÍ 0.6548
OCCLUSION WITHOUT MYOCARDIAL WITHOUT CC
01352 NON-SPECIFIC STROKE and PRECEREBRÁLNÍ 0.7858
OCCLUSION WITHOUT MYOCARDIAL WITH CC
01353 NON-SPECIFIC STROKE and PRECEREBRÁLNÍ 1.1040
OCCLUSION WITHOUT MYOCARDIAL WITH MCC
01361 TRANSIENT ISCHEMIC ATTACKS without CC 0.4714
01362 TRANSIENT ISCHEMIC ATTACKS with CC 0.5461
01363 of TRANSIENT ISCHEMIC ATTACK with MCC 0.6632
01371 CRANIAL and PERIPHERAL NERVES DISORDERS without CC 0.5569
01372 CRANIAL and PERIPHERAL NERVES DISORDERS with CC 0.6547
01373 CRANIAL and PERIPHERAL NERVES DISORDERS with MCC 0.7254
01381 bacterial and TUBERCULOUS INFECTION of the NERVOUS SYSTEM 2.1980
WITHOUT CC
01382 bacterial and TUBERCULOUS INFECTION of the NERVOUS SYSTEM 2.8291
WITH CC
01383 bacterial and TUBERCULOUS INFECTION of the NERVOUS SYSTEM 6.0061
WITH MCC
01391 NEBAKTERIÁLNÍ INFECTION of the NERVOUS SYSTEM, in ADDITION to the 0.9240
VIRAL MENINGITIS WITHOUT CC
01392 NEBAKTERIÁLNÍ INFECTION of the NERVOUS SYSTEM, in ADDITION to the 1.5731
VIRAL MENINGITIS WITH CC
01393 NEBAKTERIÁLNÍ INFECTION of the NERVOUS SYSTEM, in ADDITION to the 3.7541
VIRAL MENINGITIS WITH MCC
01401 VIRAL MENINGITIS without CC 1.2198
01402 VIRAL MENINGITIS with CC 1.4668
01403 VIRAL MENINGITIS with MCC 2.3400
01411 NETRAUMATICKÁ DISORDER of consciousness and COMA without CC 0.5423
01412 NETRAUMATICKÁ DISORDER of consciousness and COMA with CC 0.9739
01413 NETRAUMATICKÁ DISORDER of consciousness and COMA with MCC 3.0077
01421 EPILEPTIC SEIZURES without CC 0.4581
01422 EPILEPTIC SEIZURE with CC 0.5780
01423 EPILEPTIC SEIZURE with MCC 1.0264
01431 MIGRAINE and other HEADACHES without CC 0.4197
01432 MIGRAINE and other HEADACHES with CC 0.5151
01433 MIGRAINE and other HEADACHES with MCC 0.5745
01441 CRANIAL and intracranial INJURIES without CC 0.8061
01442 CRANIAL and intracranial injury with CC 1.3170
01443 CRANIAL and intracranial INJURIES with MCC 4.1295
01451 CONCUSSION without CC 0.2424
01452 CONCUSSION with CC 0.2721
01453 CONCUSSION with MCC 0.4606
01461 OTHER NERVOUS SYSTEM DISORDERS without CC 0.4280
01462 OTHER NERVOUS SYSTEM DISORDERS with CC 0.5976
01463 OTHER NERVOUS SYSTEM DISORDERS with MCC 0.9010
02011 ENUKLEACE, and PERFORMANCES on the BUILDUP BEHIND the EYES without CC 0.8411
02012 ENUKLEACE and PERFORMANCES on the BUILDUP BEHIND the EYES with CC 1.1282
02013 ENUKLEACE and PERFORMANCES on the BUILDUP BEHIND the EYES with MCC 1.1282
EXTRAOKULÁRNÍ in ADDITION to the performances, 02021 EYECUP without CC 0.3273
EXTRAOKULÁRNÍ in ADDITION to the performances, 02022 EYECUP with CC 0.3866
EXTRAOKULÁRNÍ in ADDITION to the performances, 02023 EYECUP with MCC 0.4209
02031 INTRAOCULAR LENSES, EXCEPT without the CC 0.7944
02032 INTRAOCULAR LENSES, in ADDITION to PERFORMANCES with CC 0.8727
in ADDITION to the PERFORMANCES, 02033 INTRAOCULAR LENSES with MCC 0.8727
02041 PERFORMANCES on the LENS with or without VITREKTOMIE without-CC 0.3508
02042 the PERFORMANCES on the LENS with or without VITREKTOMIE with CC 0.3508
02043 PERFORMANCES on the LENS with or without VITREKTOMIE with MCC 0.3789
02301 ACUTE and serious INFECTION of the EYE without the CC 0.2767
ACUTE and SEVERE INFECTION 02302 eye with CC 0.3730
the ACUTE and serious 02303 EYE INFECTION with MCC 0.3730
02311 NEUROLOGICAL and VASCULAR DISORDERS of the EYE without the CC 0.4406
02312 NEUROLOGICAL and VASCULAR DISORDERS of the EYE with CC 0.4799
02313 NEUROLOGICAL and VASCULAR DISORDERS of the EYE with MCC 0.4799
OTHER DISORDERS of the EYE without 02321 CC 0.2643
OTHER DISORDERS of the eye with the 02322 CC 0.3109
OTHER DISORDERS of the EYE with 02323 MCC 0.3725
03011 GREAT PERFORMANCES on the LARYNX and TRACHEA without CC 2.6842
03012 GREAT PERFORMANCES on the LARYNX and TRACHEA with CC 5.5992
03013 GREAT PERFORMANCES on the LARYNX and TRACHEA with MCC 5.5992
03021 OTHER LARGE PERFORMANCES on his head and neck without CC 2.2384
03022 OTHER LARGE FEATS on the head and NECK with CC 3.3941
OTHER GREAT PERFORMANCES on 03023 HEAD and neck with MCC 4.8936
03031 PERFORMANCES on FACIAL BONES, in ADDITION to the LARGE 1.2343
PERFORMANCES ON THE HEAD AND NECK WITHOUT CC
03032 PERFORMANCES on FACIAL BONES, in ADDITION to the LARGE 1.2343
PERFORMANCES ON THE HEAD AND NECK WITH CC
03033 PERFORMANCES on FACIAL BONES, in ADDITION to the LARGE 3.5231
PERFORMANCES ON THE HEAD AND NECK WITH MCC
03041 PERFORMANCES on the MOUTH without CC 0.6290
03042 PERFORMANCES on MOUTH with CC 0.6681
03043 PERFORMANCES on MOUTH with MCC 1.1812
03051 PERFORMANCES on a the SINUSES and MASTOIDU without-CC 0.7930
03052 PERFORMANCES on a the SINUSES and MASTOIDU with CC 0.8532
03053 PERFORMANCES on the SINUSES and MASTOIDU with MCC 1.0249
03061 PERFORMANCES on SALIVARY GLAND without CC 0.7122
03062 PERFORMANCES on SALIVARY GLAND with CC 0.8531
03063 PERFORMANCES on SALIVARY GLAND with MCC 1.1991
03071 AXLE of cleft lip and PALATE without CC 1.1499
03072 AXLE of cleft lip and PALATE with CC 1.1499
03073 AXLE of cleft lip and PALATE with MCC 1.1499
03081 PERFORMANCES on the neck and NOSE TONSILS without CC 0.3527
03082 PERFORMANCES on the CERVICAL and NASAL ALMONDS with CC 0.4480
03083 PERFORMANCES on the CERVICAL and NASAL ALMONDS with MCC 0.7265
03091 OTHER PERFORMANCES with FAULTS and DISEASES of ears, nose, 0.3109
MOUTH AND THROAT WITHOUT CC
03092 OTHER PERFORMANCES with FAULTS and DISEASES of ears, nose, 0.4757
MOUTH AND THROAT WITH CC
03093 OTHER PERFORMANCES with FAULTS and DISEASES of ears, nose, 0.6052
MOUTH AND THROAT WITH MCC
03100 COCHLEAR IMPLANT 26.6665
03301 MALIGNANT DISEASE of the EAR, nose, mouth, and NECK without the CC0, 8985
03302 MALIGNANT DISEASE of the EAR, nose, mouth and throat with CC 0.8985
03303 MALIGNANT DISEASE of the EAR, nose, mouth and throat with MCC 1.2731
03311 BALANCE DISORDERS without CC 0.4264
03312 DISORDERS balance with CC 0.4985
BALANCE DISORDERS with MCC 03313 0.5455
03321 EPISTAXIS without CC 0.2494
03322 EPISTAXIS with CC 0.3032
03323 EPISTAXIS with MCC 0.4016
03331 EPIGLOTTITIS, OTITIS MEDIA, INFECTION of the UPPER 0.3142
RESPIRATORY, LARYNGOTRACHEITIS WITHOUT CC
03332 EPIGLOTTITIS, OTITIS MEDIA, INFECTION of the UPPER 0.4341
RESPIRATORY, LARYNGOTRACHEITIS WITH CC
03333 EPIGLOTTITIS, OTITIS MEDIA, INFECTION of the UPPER 0.5872
RESPIRATORY, LARYNGOTRACHEITIS WITH MCC
DISEASES of the TEETH and mouth 03341 without CC 0.4970
03342 DISEASES of the TEETH and mouth with CC 0.5843
DISEASES of the TEETH and mouth 03343 with MCC 0.8715
03351, OTHER DISORDERS of the ears, nose, mouth and throat without CC 0.3150
03352 OTHER DISORDERS of the ears, nose, mouth and throat with CC 0.4109
OTHER DISORDERS 03353 ears, nose, mouth and throat with MCC 0.5869
04011 LARGE THORACIC PERFORMANCES without CC 3.0043
04012 LARGE CHEST with CC 3.6247
04013 BIG CHEST with MCC 5.1696
04021 SMALLER CHEST PERFORMANCES without CC 2.3662
04022 SMALLER CHEST with CC 2.5022
04023 SMALLER CHEST with MCC 3.6202
04031 OTHER PERFORMANCES of the DISORDERS and ILLNESSES of the RESPIRATORY 1.0769
SYSTEM WITHOUT CC
04032 OTHER PERFORMANCES of the DISORDERS and ILLNESSES of the RESPIRATORY 1.6480
SYSTEM WITH CC
04033 OTHER PERFORMANCES in DISORDERS and DISEASES of the RESPIRATORY 3.6314
SYSTEM WITH MCC
04301 CYSTIC FIBROSIS without CC 2.3175
04302 CYSTIC FIBROSIS with CC 2.3175
04303 CYSTIC FIBROSIS with MCC 3.3069
04310 RESPIRATORY FAILURE 3.6205
04321 PULMONARY EMBOLISM without CC 1.0492
04322 PULMONARY EMBOLISM with CC 1.1577
04323 PULMONARY EMBOLISM with MCC 1.3548
04331 SEVERE TRAUMA to the CHEST without CC 0.4256
04332 SERIOUS TRAUMA to the CHEST with CC 0.7614
SEVERE CHEST TRAUMA 04333 with MCC 1.3671
04341 MALIGNANT DISEASE of the RESPIRATORY SYSTEM without CC 0.7966
04342 MALIGNANT DISEASE of the RESPIRATORY SYSTEM with CC 0.8944
04343 MALIGNANT DISEASE of the RESPIRATORY SYSTEM with MCC 1.1011
04351 RESPIRATORY SYSTEM infection and inflammation without CC 1.1119
04352 RESPIRATORY SYSTEM infection and inflammation with CC 1.5364
04353 RESPIRATORY SYSTEM infection and inflammation with MCC 3.5769
04361 SIMPLE PNEUMONIA and WHOOPING COUGH without CC 0.7099
04362 SIMPLE PNEUMONIA and whooping cough with CC 0.9272
04363 SIMPLE PNEUMONIA and whooping cough with MCC 1.4439
04371 CHRONIC OBSTRUCTIVE PULMONARY DISEASE without CC 0.5838
04372 CHRONIC OBSTRUCTIVE PULMONARY DISEASE with CC 0.7056
04373 CHRONIC OBSTRUCTIVE PULMONARY DISEASE with MCC 0.9500
04381 of BRONCHIOLITIS asthma and NO CC 0.4432
04382 ASTHMA and of BRONCHIOLITIS with CC 0.6053
04383 ASTHMA and of BRONCHIOLITIS with MCC 0.7786
04391 INTERSTITIAL LUNG DISEASE without CC 0.7743
04392 INTERSTITIAL LUNG DISEASE with CC 0.8131
04393 INTERSTITIAL LUNG DISEASE with MCC 1.1161
04401 PNEUMOTHORAX and PLEURÁNÍ EFFUSION without CC 0.8762
04402 PNEUMOTHORAX and PLEURÁNÍ EFFUSION with CC 1.1091
04403 PNEUMOTHORAX and PLEURÁNÍ EFFUSION with MCC 1.5130
04411 signs, symptoms and DIAGNOSES of OTHER RESPIRATORY SYSTEM 0.4586
WITHOUT CC
04412 signs, symptoms and DIAGNOSES of OTHER RESPIRATORY SYSTEM 0.6555
WITH CC
04413 signs, symptoms and DIAGNOSES of OTHER RESPIRATORY SYSTEM 0.8804
WITH MCC
05000 DEATHS within 5 days FROM RECEIPT when the MAIN DIAGNOSIS 0.6306
THE CIRCULATORY SYSTEM
05011 HEART DEFIBRILLATOR and IMPLANT for 45.4085 SUPPORT
THE HEART WITHOUT CC
05012 CARDIAC DEFIBRILLATOR and IMPLANT for 45.4085 SUPPORT
HEART WITH CC
05013 CARDIAC DEFIBRILLATOR and IMPLANT for 48.1928 SUPPORT
HEART WITH MCC
05021 PERFORMANCES at the HEART the HEART is LEFT SYLVIAN FISSURE 15.9076 FLAP
WITHOUT CC
05022 PERFORMANCES on the HEART, the HEART LEFT SYLVIAN FISSURE FLAP with CC 16.8148
05023 PERFORMANCES at the HEART the HEART is LEFT SYLVIAN FISSURE 20.1459 FLAP
WITH MCC
the OPERATION and PROCEDURES for 05031 CONGENITAL HEART DEFECTS without CC 9.7968
05032 operations and INTERVENTIONS for CONGENITAL HEART DEFECTS with CC 9.7968
05033 operations and INTERVENTIONS for CONGENITAL HEART DEFECTS with MCC 9.7968
05041 PERFORMANCES on the FLAP without CARDIAC CATHETERIZATION HEART 11.5768
WITHOUT CC
05042 PERFORMANCES on the FLAP without CARDIAC CATHETERIZATION HEART 12.1642
WITH CC
05043 PERFORMANCES on the FLAP without CARDIAC CATHETERIZATION HEART 16.3775
WITH MCC
05051 CORONARY BYPASS SURGERY with HEART LEFT SYLVIAN FISSURE without CC 9.5838
05052 CORONARY BYPASS SURGERY with HEART LEFT SYLVIAN FISSURE with CC 9.5838
05053 CORONARY BYPASS SURGERY with HEART LEFT SYLVIAN FISSURE with MCC 11.0004
05061 CORONARY BYPASS SURGERY without CARDIAC CATHETERIZATION without CC 7.5139
05062 CORONARY BYPASS SURGERY without CARDIAC CATHETERIZATION with CC 7.9754
05063 CORONARY BYPASS SURGERY without CARDIAC CATHETERIZATION with MCC 8.8554
IMPLANTATION of PERMANENT PACEMAKER 05070 for ACUTE 10.1994
MYOCARDIAL INFARCTION, HEART FAILURE OR SHOCK
OTHER PERFORMANCES of the CARDIOTHORACIC 05081 without CC 5.8189
05082 OTHER CARDIOTHORACIC PERFORMANCES with CC 5.8189
05083 OTHER CARDIOTHORACIC PERFORMANCES with MCC 5.8189
05091 LARGE ABDOMINAL VASCULAR PERFORMANCE without CC 4.8006
05092 LARGE ABDOMINAL VASCULAR PERFORMANCE with CC 7.5126
05093 LARGE ABDOMINAL VASCULAR PERFORMANCE with MCC 9.1483
05101 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE DURING ACUTE 4.8038
MYOCARDIAL INFARCTION WITHOUT CC
05102 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE DURING ACUTE 4.8038
MYOCARDIAL INFARCTION WITH CC
05103 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE DURING ACUTE 6.2605
MYOCARDIAL INFARCTION WITH MCC
IMPLANTATION of PERMANENT PACEMAKER 05111 without ACUTE 5.6161
MYOCARDIAL INFARCTION, SHOCK, HEART FAILURES OR WITHOUT CC
IMPLANTATION of PERMANENT PACEMAKER 05112 without ACUTE 5.6161
MYOCARDIAL INFARCTION, HEART FAILURE OR SHOCK WITH CC
05113 IMPLANTATION of PERMANENT PACEMAKER without the ACUTE 6.0902
MYOCARDIAL INFARCTION, HEART FAILURE OR SHOCK WITH MCC
THORACIC VASCULAR 05121 GREAT PERFORMANCES without CC 8.6872
THORACIC VASCULAR 05122 GREAT PERFORMANCES with CC 11.8339
05123 LARGE THORACIC VASCULAR PERFORMANCE with MCC 14.6945
05131 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE without ACUTE 4.5080
MYOCARDIAL INFARCTION WITHOUT CC
05132 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE without ACUTE 4.5080
MYOCARDIAL INFARCTION WITH CC
05133 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE without ACUTE 4.9639
MYOCARDIAL INFARCTION WITH MCC
OTHER VASCULAR 05141 PERFORMANCES without CC 2.7619
OTHER VASCULAR 05142 PERFORMANCES with Ccna, 2007
05143 OTHER VASCULAR PERFORMANCE with MCC 4.4143
DUE to the FAILURE of 05151 AMPUTATION of the CIRCULATORY SYSTEM, in ADDITION to the 1.9141
THE UPPER LIMBS AND FINGERS WITH LEGS WITHOUT CC
05152 AMPUTATION DUE to FAILURE of the CIRCULATORY SYSTEM, in ADDITION to the 2.5869
THE UPPER LIMBS AND FINGERS AT THE FOOT WITH CC
DUE to the FAILURE of 05153 AMPUTATION of the CIRCULATORY SYSTEM, in ADDITION to the 4.2702
THE UPPER LIMBS AND FINGERS AT THE FOOT WITH MCC
PACEMAKER REPLACEMENT without CC 05161 4.2723
05162 PACEMAKER REPLACEMENT with CC 4.2723
PACEMAKER REPLACEMENT with MCC 05163 4.2723
05171 AMPUTATION of UPPER LIMBS and the FINGER for the DISORDER at the foot of 1.1112
THE CIRCULATORY SYSTEM WITHOUT CC
05172 AMPUTATION of the UPPER LIMB and TOE with FEET for FAILURE 1.5340
THE CIRCULATORY SYSTEM WITH THE CC
05173 AMPUTATION of UPPER LIMBS and the FINGER for the DISORDER at the foot of 3.2858
THE CIRCULATORY SYSTEM WITH MCC
PACEMAKER and DEFIBRILLATOR 05181 CHECK, in ADDITION to the 1.2104
EXCHANGE OF THE DEVICE WITHOUT CC
PACEMAKER and DEFIBRILLATOR 05182 CHECK, in ADDITION to the 1.2104
EXCHANGE OF THE DEVICE WITH THE CC
PACEMAKER and DEFIBRILLATOR 05183 CHECK, in ADDITION to the 1.2104
EXCHANGE OF THE DEVICE WITH THE MCC
05191 LIGATURE and STRIPPING the VESSELS without CC 0.3491
05192 LIGATURE and STRIPPING the VESSELS with CC 0.3754
05193 LIGATURE and STRIPPING the VESSELS with MCC 0.4273
05201 OTHER PERFORMANCES in diseases and DISORDERS of the CIRCULATORY 1.1961
SYSTEM WITHOUT CC
05202 OTHER PERFORMANCES in diseases and DISORDERS of the CIRCULATORY 1.7656
SYSTEM WITH CC
05203 OTHER FEATS when diseases and DISORDERS of the CIRCULATORY 7.6836
SYSTEM WITH MCC
05221 PERCUTANEOUS CORONARY ANGIOPLASTY, > = 3 COATED 16.5466
STENTS IN ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05222 PERCUTANEOUS CORONARY ANGIOPLASTY, > = 3 COATED 16.5466
STENTS IN ACUTE MYOCARDIAL INFARCTION WITH CC
05223 PERCUTANEOUS CORONARY ANGIOPLASTY, > = 3 COATED 16.5466
STENTS IN ACUTE MYOCARDIAL INFARCTION WITH MCC
PERCUTANEOUS CORONARY angioplasty, 05231 < = 2 COATED 7.1902
STENTS IN ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05232 PERCUTANEOUS CORONARY angioplasty, COATED 8.3739 < = 2
STENTS IN ACUTE MYOCARDIAL INFARCTION WITH CC
05233 PERCUTANEOUS CORONARY ANGIOPLASTY, COATED 10.0806 < = 2
STENTS IN ACUTE MYOCARDIAL INFARCTION WITH MCC
05241 PERCUTANEOUS CORONARY angioplasty, STENTS when > = 3 9.3031
ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05242 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS when > = 3 10.3474
ACUTE MYOCARDIAL INFARCTION WITH CC
05243 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS when > = 3 13.0239
ACUTE MYOCARDIAL INFARCTION WITH MCC
PERCUTANEOUS CORONARY angioplasty, 05261 > = 3 COATED 12.7973
STENTS WITHOUT ACUTE MYOCARDIAL INFARCTION WITHOUT CC
PERCUTANEOUS CORONARY angioplasty, 05262 > = 3 COATED 13.4586
STENTS WITHOUT ACUTE MYOCARDIAL INFARCTION WITH CC
05263 PERCUTANEOUS CORONARY ANGIOPLASTY, > = 3 COATED 13.4586
STENTS WITHOUT ACUTE MYOCARDIAL INFARCTION WITH MCC
05271 PERCUTANEOUS CORONARY ANGIOPLASTY, COATED 6.1329 < = 2
STENTS WITHOUT ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05272 PERCUTANEOUS CORONARY ANGIOPLASTY, COATED 6.7609 < = 2
STENTS WITHOUT ACUTE MYOCARDIAL INFARCTION WITH CC
05273 PERCUTANEOUS CORONARY ANGIOPLASTY, COATED 7.3592 < = 2
STENTS WITHOUT ACUTE MYOCARDIAL INFARCTION WITH MCC
05281 PERCUTANEOUS CORONARY ANGIOPLASTY, > = 3 COATED 8.6966
STENTS WITHOUT ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05282 PERCUTANEOUS CORONARY ANGIOPLASTY, > = 3 COATED 9.3463
STENTS WITHOUT ACUTE MYOCARDIAL INFARCTION WITH CC
05283 PERCUTANEOUS CORONARY ANGIOPLASTY, > = 3 COATED 11.2260
STENTS WITHOUT ACUTE MYOCARDIAL INFARCTION WITH MCC
05291 PERCUTANEOUS CATHETER ABLATION without ACUTE MYOCARDIAL 9.8480
INFARCTION WITHOUT CC
05292 PERCUTANEOUS CATHETER ABLATION without ACUTE MYOCARDIAL 9.8480
INFARCTION WITH CC
05293 PERCUTANEOUS CATHETER ABLATION without ACUTE MYOCARDIAL 9.8480
INFARCTION WITH MCC
05301 CARDIAC CATHETERIZATION for ACUTE MYOCARDIAL INFARCTION 1.0793
WITHOUT CC
05302 CARDIAC CATHETERIZATION in ACUTE MYOCARDIAL INFARCTION 1.2848
WITH CC
05303 CARDIAC CATHETERIZATION in ACUTE MYOCARDIAL INFARCTION 1.8551
WITH MCC
05311 CARDIAC CATHETERIZATION in the ISCHEMIC HEART 0.6336
WITHOUT CC
05312 CARDIAC CATHETERIZATION in the ISCHEMIC HEART 0.7368
WITH CC
05313 CARDIAC CATHETERIZATION in the ISCHEMIC HEART 0.8109
WITH MCC
05321 CARDIAC CATHETERIZATION when OTHER CIRCULATORY DISORDERS 0.9148
SYSTEM WITHOUT CC
05322 CARDIAC CATHETERIZATION when OTHER CIRCULATORY DISORDERS 1.1069
SYSTEM WITH CC
05323 CARDIAC CATHETERIZATION when OTHER CIRCULATORY DISORDERS 1.7496
SYSTEM WITH MCC
05331 ACUTE MYOCARDIAL INFARCTION without CC 0.6210
05332 ACUTE MYOCARDIAL INFARCTION with CC 0.9813
05333 ACUTE MYOCARDIAL INFARCTION with MCC 1.6296
05341 ACUTE and subacute ENDOCARDITIS without CC 2.8754
the acute and subacute ENDOCARDITIS 05342 with CC 2.8754
the acute and subacute ENDOCARDITIS 05343 with MCC 5.0252
05351 HEART FAILURE without CC 0.7217
05352 HEART FAILURE with CC 0.8228
05353 HEART FAILURE with MCC 1.2758
05361 DEEP VEIN THROMBOSIS without CC 0.5085
05362 DEEP VENOUS THROMBOSIS with CC 0.5914
05363 DEEP VENOUS THROMBOSIS with MCC 0.7207
05371 UNEXPLAINED CARDIAC ARREST without CC 1.6398
05372 UNEXPLAINED CARDIAC ARREST with CC 2.8617
05373 UNEXPLAINED CARDIAC ARREST with MCC 5.5209
05381 PERIPHERAL and other VASCULAR DISORDERS without CC 0.5162
05382 PERIPHERAL and other VASCULAR DISORDERS with CC 0.6766
05383 PERIPHERAL and other VASCULAR DISORDERS with MCC 0.9008
05391 ATHEROSCLEROSIS without CC 0.4390
05392 ATHEROSCLEROSIS with CC 0.6042
05393 ATHEROSCLEROSIS with MCC 0.9448
05401 HYPERTENSION without CC 0.3958
05402 HYPERTENSION with CC 0.4661
05403 HYPERTENSION with MCC 0.5487
05411 CONGENITAL HEART and VALVULAR DISORDERS without CC 0.4393
05412 VALVULAR and CONGENITAL HEART DISORDERS with CC 0.6861
05413 CONGENITAL HEART and VALVULAR DISORDERS with MCC 1.3525
05421 CARDIAC ARRHYTHMIAS and CONDUCTION DISORDERS without CC 0.4848
CARDIAC ARRHYTHMIA DISORDERS 05422 and LEADERSHIP with CC 0.6758
05423 CARDIAC ARRHYTHMIAS and CONDUCTION DISORDERS with MCC 0.9481
05431 ANGINA and CHEST PAIN without CC 0.3942
05432 ANGINA and CHEST PAIN with CC 0.5235
05433 ANGINA and CHEST PAIN with MCC 0.6257
05441 syncope and COLLAPSE without CC 0.3990
05442 syncope and COLLAPSE with CC 0.5492
05443 syncope and COLLAPSE with MCC 0.6951
05451 CARDIOMYOPATHY without CC 0.5156
05452 CARDIOMYOPATHY with CC 0.6799
05453 CARDIOMYOPATHY with MCC 1.2738
05461 FAILURES, reactions and complications of the HEART or 1.4503
VASCULAR INSTRUMENTS OR PERFORMANCE WITHOUT CC
05462 failures, reactions and complications of the HEART or 1.4503
VASCULAR INSTRUMENTS OR PERFORMANCE WITH CC
05463 failures, reactions and complications of the HEART or 1.4503
VASCULAR INSTRUMENTS OR PERFORMANCE WITH MCC
OTHER DISORDERS of the CIRCULATORY SYSTEM 05471 without CC 0.4836
OTHER DISORDERS of the CIRCULATORY SYSTEM 05472 with CC 0.6688
05473 OTHER DISORDERS of CIRCULATORY SYSTEM with MCC 0.9744
06011 LARGE PERFORMANCES on THICK and THIN STŘEVU without-CC 3.3212
GREAT PERFORMANCE on FAT 06012 and THIN STŘEVU with CC 3.9606
GREAT PERFORMANCE on FAT 06013 and THIN STŘEVU with MCC 5.9249
06021 GREAT PERFORMANCES on the STOMACH, ESOPHAGUS and duodenum without CC 3.1468
06022 GREAT PERFORMANCES on the STOMACH, ESOPHAGUS and duodenum with CC 4.3838
06023 GREAT PERFORMANCES on the STOMACH, ESOPHAGUS and duodenum with MCC 5.5431
06031 LESS PERFORMANCE on FAT and THIN STŘEVU without-CC 1.5396
06032 LESS PERFORMANCE on FAT and THIN STŘEVU with CC 2.2202
06033 LESS PERFORMANCES on the FAT and THIN STŘEVU with MCC 4.3199
06041 RELEASE SRŮSTŮ PERITONITIS without CC 0.9200
06042 SRŮSTŮ RELEASING the PERITONEUM with CC 1.2993
06043 RELEASE SRŮSTŮ the PERITONEUM with MCC 2.0945
06051 PERFORMANCES on APENDIX without CC 0.7566
06052 PERFORMANCES on APENDIX with CC 0.9897
06053 PERFORMANCES on the APENDIX with MCC 1.6828
06061 LAPAROSCOPIC PERFORMANCE in INGUINAL, Femoral, 0.9838
EPIGASTRIC OR UMBILICAL KÝLE WITHOUT-CC
06062 LAPAROSCOPIC PERFORMANCE in INGUINAL, Femoral, 1.1019
EPIGASTRIC OR UMBILICAL KÝLE WITH CC
06063 LAPAROSCOPIC PERFORMANCE in INGUINAL, Femoral, 1.1827
EPIGASTRIC OR UMBILICAL KÝLE WITH MCC
06071 LESS PERFORMANCES on the STOMACH, ESOPHAGUS and duodenum without CC 1.6817
06072 LESS PERFORMANCES on the STOMACH, ESOPHAGUS and duodenum with CC 1.9418
06073 SMALLER PERFORMANCES on the STOMACH, ESOPHAGUS and duodenum with MCC 3.3884
LAPAROTOMICKÉ PERFORMANCES when 06081 INGUINAL, Femoral, 0.4694
EPIGASTRIC OR UMBILICAL KÝLE WITHOUT-CC
06082 LAPAROTOMICKÉ PERFORMANCES in the INGUINAL, Femoral, 0.6714
EPIGASTRIC OR UMBILICAL KÝLE WITH CC
LAPAROTOMICKÉ PERFORMANCES when 06083 INGUINAL, Femoral, 1.0373
EPIGASTRIC OR UMBILICAL KÝLE WITH MCC
06091 ANAL and OSTOMY PERFORMANCES without CC 0.4365
06092 ANAL and OSTOMY PERFORMANCES with CC 0.5594
06093 ANAL and OSTOMY PERFORMANCES with MCC 0.7146
06101 OTHER PERFORMANCES with FAULTS and DISEASES of the DIGESTIVE 0.8888
SYSTEM WITHOUT CC
06102 OTHER PERFORMANCES with FAULTS and DISEASES of the DIGESTIVE 1.5677
SYSTEM WITH CC
06103 OTHER PERFORMANCES with FAULTS and DISEASES of the DIGESTIVE 3.5777
SYSTEM WITH MCC
06111 PERFORMANCES on the MAIN DIAGNOSIS in APENDIX COMPLICATING 1.1399
WITHOUT CC
06112 PERFORMANCES on the MAIN DIAGNOSIS in APENDIX COMPLICATING 1.8360
WITH CC
06113 PERFORMANCES on the MAIN DIAGNOSIS in APENDIX COMPLICATING 2.1950
WITH MCC
06301 MALIGNANT DISEASE DIGESTIVE SYSTEM without CC 0.5607
06302 MALIGNANT DISEASE DIGESTIVE SYSTEM with CC 0.8424
06303 MALIGNANT DISEASES of the DIGESTIVE SYSTEM with MCC 1.0620
06311 PEPTIC ULCER and GASTRITIS without CC 0.4680
06312 PEPTIC ULCER and GASTRITIS with CC 0.7827
06313 PEPTIC ULCER and GASTRITIS with MCC 1.2081
06321 ESOPHAGEAL DISORDERS without CC 0.4208
ESOPHAGEAL DISORDERS 06322 with CC 0.6186
06323 ESOPHAGEAL DISORDERS with MCC 1.0354
06331 DIVERTICULITIS, DIVERTICULOSIS and INFLAMMATORY DISEASE 0.5033
THE INTESTINE WITHOUT CC
06332 DIVERTICULITIS, DIVERTICULOSIS and INFLAMMATORY DISEASE 0.6548
THE INTESTINES WITH CC
06333 DIVERTICULITIS, DIVERTICULOSIS and INFLAMMATORY DISEASE 1.4263
THE INTESTINES WITH MCC
06341 VASCULAR INSUFFICIENCY, GASTROINTESTINAL SYSTEM 0.4009
WITHOUT CC
06342 VASCULAR INSUFFICIENCY, GASTROINTESTINAL SYSTEM 1.0397
WITH CC
06343 VASCULAR INSUFFICIENCY, GASTROINTESTINAL SYSTEM 1.0397
WITH MCC
06351 OBSTRUCTION of the GASTROINTESTINAL SYSTEM without CC 0.4254
OBSTRUCTION of the GASTROINTESTINAL SYSTEM 06352 with CC 0.6122
06353 OBSTRUCTION of the GASTROINTESTINAL SYSTEM with MCC 1.3090
SERIOUS INFECTIONS of the GASTROINTESTINAL SYSTEM 06361 without CC 1.2204
SERIOUS INFECTIONS of the GASTROINTESTINAL SYSTEM 06362 with CC 1.2204
SERIOUS INFECTIONS of the GASTROINTESTINAL SYSTEM 06363 with MCC 2.5359
06371 OTHER GASTROENTERITIS and ABDOMINAL PAIN without CC 0.2834
06372 OTHER GASTROENTERITIS and ABDOMINAL PAIN with CC 0.4209
06373 OTHER GASTROENTERITIS and ABDOMINAL PAIN with MCC 0.5866
OTHER DISORDERS of the DIGESTIVE SYSTEM 06381 without CC 0.3230
06382 OTHER DISORDERS of the DIGESTIVE SYSTEM with CC 0.5048
06383 OTHER DISORDERS of the DIGESTIVE SYSTEM with MCC 0.7735
07011 PERFORMANCES on the PANCREAS, liver and JOINTS without CC 3.3976
07012 PERFORMANCES on the PANCREAS, liver and JOINTS with CC 4.7627
07013 PERFORMANCES on the PANCREAS, liver and JOINTS with MCC 7.6174
07021 GREAT PERFORMANCES on the BILIARY without CC 3.1826
07022 GREAT PERFORMANCES on the BILIARY with CC 3.4352
07023 GREAT PERFORMANCES on the BILIARY with MCC 4.9767
07031 CHOLECYSTECTOMY, LAPAROSCOPIC 1.2600 in ADDITION without CC
07032 CHOLECYSTECTOMY, LAPAROSCOPIC 1.8644 in ADDITION with CC
in ADDITION to LAPAROSCOPIC CHOLECYSTECTOMY, 07033 with MCC 3.1713
07041 LAPAROSCOPIC CHOLECYSTECTOMY without CC 1.0821
07042 LAPAROSCOPIC CHOLECYSTECTOMY with CC 1.2702
07043 LAPAROSCOPIC CHOLECYSTECTOMY with MCC 1.5914
07051 OTHER PERFORMANCES of the DISORDERS and DISEASES 1.4287
HEPATOBILIÁRNÍHO SYSTEM AND PANCREAS WITHOUT CC
07052 OTHER PERFORMANCES of the DISORDERS and DISEASES 2.2708
HEPATOBILIÁRNÍHO SYSTEM AND PANCREAS WITH CC
07053 OTHER PERFORMANCES of the DISORDERS and DISEASES 4.4339
HEPATOBILIÁRNÍHO SYSTEM AND PANCREAS WITH MCC
an ALCOHOLIC HEPATITIS and CIRRHOSIS 07301 without CC 0.7262
07302 CIRRHOSIS and an ALCOHOLIC HEPATITIS with CC 0.8315
07303 CIRRHOSIS and an ALCOHOLIC HEPATITIS with MCC 1.2718
07311 MALIGNANT DISEASE HEPATOBILIÁRNÍHO SYSTEM 0.6824
AND PANCREATIC CANCER WITHOUT CC
07312 HEPATOBILIÁRNÍHO SYSTEM 0.9454 MALIGNANT DISEASE
AND PANCREAS WITH CC
07313 MALIGNANT DISEASE HEPATOBILIÁRNÍHO SYSTEM 1.0225
AND PANCREAS WITH MCC
07321 PANCREATIC DISORDERS, in ADDITION to the MALIGNANT DISEASE without CC 0.7740
07322 PANCREATIC DISORDERS, in ADDITION to the MALIGNANT disease with CC 1.0917
07323 PANCREATIC DISORDERS, in ADDITION to the MALIGNANT disease with MCC 2.4184
07331 LIVER DISORDERS, in ADDITION to ALCOHOLIC CIRRHOSIS and MALIGNANT 0.4428
HEPATITIS WITHOUT CC
07332 LIVER DISORDERS, in ADDITION to ALCOHOLIC CIRRHOSIS and MALIGNANT 0.7291
HEPATITIS WITH CC
07333 LIVER DISORDERS, in ADDITION to ALCOHOLIC CIRRHOSIS and MALIGNANT 1.0786
HEPATITIS WITH MCC
OTHER DISORDERS of the BILIARY TRACT 07341 without CC 0.5266
OTHER DISORDERS of the BILIARY TRACT 07342 with CC 0.7564
07343 OTHER DISORDERS of the BILE DUCTS with MCC 1.0783
the FUSION of the SPINE when 08011 DEFORMITÁCH and SCOLIOSIS without CC 17.7636
08012 FUSION of SPINE in SCOLIOSIS with DEFORMITÁCH and CC 17.7636
the FUSION of the SPINE when 08013 DEFORMITÁCH and SCOLIOSIS with MCC 17.7636
08021 BILATERAL and multiple GREAT PERFORMANCES on the JOINTS 3.7491
LOWER EXTREMITIES WITHOUT CC
08022 BILATERAL and multiple GREAT PERFORMANCES on the JOINTS 3.7491
THE LOWER LIMBS WITH CC
08023 BILATERAL and multiple GREAT PERFORMANCES on the JOINTS 3.7491
LOWER EXTREMITY WITH MCC
08031 FUSION of SPINE, not for the DEFORMITY without CC 5.2310
08032 FUSION of the SPINE, NOT for DEFORMITY with CC 5.9789
08033 FUSION of the SPINE, NOT for DEFORMITY with MCC 7.5760
GREAT PERFORMANCES 08041 REPLANTACE lower limbs and THEIR 3.3718
THE JOINTS WITHOUT CC
GREAT PERFORMANCES 08042 REPLANTACE lower limbs and THEIR 3.3718
JOINTS WITH CC
GREAT PERFORMANCES REPLANTACE 08043 lower limbs and THEIR 3.7804
JOINTS WITH MCC
08051 RECONSTRUCTIVE FACIAL and CRANIAL 5.1408 PERFORMANCE
BONES WITHOUT CC
08052 CRANIAL and FACIAL RECONSTRUCTION PERFORMANCE 5.1408
BONES WITH CC
08053 CRANIAL and FACIAL RECONSTRUCTION PERFORMANCE 5.1408
BONES WITH MCC
08061 BIG PERFORMANCES REPLANTACE the UPPER LIMBS and their 3.1763
THE JOINTS WITHOUT CC
08062 LARGE PERFORMANCES REPLANTACE the UPPER LIMBS and their 3.1763
JOINTS WITH CC
GREAT PERFORMANCES 08063 REPLANTACE UPPER EXTREMITIES and their 3.1763
JOINTS WITH MCC
08071 AMPUTATION DISORDERS MUSCULOSKELETAL SYSTEM 2.1776
AND CONNECTIVE TISSUE WITHOUT CC
08072 AMPUTATION DISORDERS MUSCULOSKELETAL SYSTEM 2.2938
AND CONNECTIVE TISSUE WITH CC
08073 AMPUTATION DISORDERS MUSCULOSKELETAL SYSTEM 2.2938
AND CONNECTIVE TISSUE WITH MCC
08081 PERFORMANCES on the HIPS and thigh BONES, in ADDITION REPLANTACE 2.0973
THE LARGE JOINTS WITHOUT CC
08082 PERFORMANCES on the HIPS and thigh BONES, in ADDITION REPLANTACE 2.4736
THE LARGE JOINTS WITH CC
08083 PERFORMANCES on the HIPS and THIGH BONES, in ADDITION REPLANTACE 3.2418
THE LARGE JOINTS WITH MCC
08091 SKIN GRAFTING or TISSUE DISORDERS 0.6728
THE MUSCULOSKELETAL SYSTEM OR CONNECTIVE
IN ADDITION TO THE TISSUES WITHOUT CC
08092 SKIN GRAFTING or TISSUE DISORDERS 2.2018
THE MUSCULOSKELETAL SYSTEM OR CONNECTIVE
TISSUE IN ADDITION TO HAND WITH CC
08093 SKIN GRAFTING or TISSUE DISORDERS 3.4085
THE MUSCULOSKELETAL SYSTEM OR CONNECTIVE
TISSUE IN ADDITION TO HAND WITH MCC
08101 PERFORMANCES on HIS BACK and neck, in ADDITION to the FUSION of the SPINE without CC 1.2288
08102 PERFORMANCES on HIS BACK and neck, in ADDITION to the FUSION of the SPINE with CC 1.7562
08103 PERFORMANCES on HIS BACK and neck, in ADDITION to the FUSION of the SPINE with MCC 2.3104
08111 PERFORMANCES on the KNEE, LOWER LEG and HAS, in addition to the FEET of the 0.6440
WITHOUT CC
08112 PERFORMANCES on the KNEE, LOWER LEG and HAS, in addition to the FEET of the 0.8283
WITH CC
08113 PERFORMANCES on the KNEE, LOWER LEG and HAS, in addition to the FEET of the 1.2059
WITH MCC
08121 CUT INTERNAL FIXATION DEVICE without CC 0.2950
REMOVAL of INTERNAL FIXATION DEVICES 08122 with CC 0.3239
REMOVAL of INTERNAL FIXATION DEVICES 08123 with MCC 0.4559
08131 LOCAL RESECTION on the MUSCULOSKELETAL SYSTEM without CC 0.5559
08132 LOCAL RESECTION on the MUSCULOSKELETAL SYSTEM with CC 1.3226
08133 LOCAL RESECTION on the MUSCULOSKELETAL SYSTEM with MCC 1.5956
08141 PERFORMANCES on the SOLE of the FOOT without CC 0.4585
PERFORMANCES on the SOLE of the FOOT with 08142 CC 0.6088
08143 PERFORMANCES on the SOLE of the FOOT with MCC 0.8834
08151 PERFORMANCES on UPPER LIMBS without CC 0.7096
08152 PERFORMANCES on UPPER LIMBS with CC 1.1029
on the UPPER LIMBS 08153 PERFORMANCES with MCC 1.5566
08161 PERFORMANCES on SOFT TISSUE without CC 0.4371
08162 PERFORMANCES on SOFT TISSUE with CC 0.7491
08163 PERFORMANCE on the SOFT TISSUE with the MCC 1.1300
OTHER PERFORMANCES DURING 08171 and 0.4560 DISEASES
THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC
08172 OTHER PERFORMANCES of the DISORDERS and DISEASES 1.0418
THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
08173 OTHER PERFORMANCES of the DISORDERS and DISEASES 3.1896
THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
08181 GREAT PERFORMANCES on the KNEE JOINT without CC 4.1049
08182 GREAT PERFORMANCES on the KNEE JOINT with CC 4.1049
08183 LARGE FEATS on the KNEE JOINT with MCC 4.6425
08191 ARTHROSCOPY without CC 0.3313
08192 ARTHROSCOPY with CC 0.3530
08193 ARTHROSCOPY with MCC 0.3530
08301 FRACTURES of the FEMUR without CC 0.7874
08302 FRACTURES of the FEMUR with CC 0.9710
08303 FRACTURES of the FEMUR with MCC 1.2260
08311 FRACTURE DISLOCATION of the HIP, PELVIS, or without CC 0.6314
08312 FRACTURE pan, or DISLOCATION of the HIP with CC 0.7139
08313 FRACTURE pan, or DISLOCATION of the HIP with MCC 1.0979
08321 FRACTURE or DISLOCATION, in ADDITION to the THIGH BONE 0.3213
AND PELVIS WITHOUT CC
08322 FRACTURE or DISLOCATION, in ADDITION to the THIGH BONE 0.5724
AND PELVIS WITH CC
08323 FRACTURE or DISLOCATION, in ADDITION to the THIGH BONE 0.9180
AND PELVIS WITH MCC
08331 MALIGNANT DISEASE MUSCULOSKELETAL SYSTEM 0.7308
AND CONNECTIVE TISSUE, PATHOLOGICAL FRACTURES WITHOUT CC
08332 MALIGNANT DISEASE of the MUSCULOSKELETAL SYSTEM 1.1981
AND CONNECTIVE TISSUE, PATHOLOGICAL FRACTURES WITH CC
08333 MALIGNANT DISEASE of the MUSCULOSKELETAL SYSTEM 1.4172
AND CONNECTIVE TISSUE, PATHOLOGICAL FRACTURES WITH MCC
08341 OSTEOMYELITIS without CC 0.9370
08342 OSTEOMYELITIS with CC 1.3498
08343 OSTEOMYELITIS with MCC 1.3498
08351 SEPTIC ARTHRITIS without CC 0.8492
08352 SEPTIC ARTHRITIS with CC 1.1277
08353 SEPTIC ARTHRITIS with MCC 2.1781
08361 CONNECTIVE TISSUE DISORDERS without CC 0.7901
08362 CONNECTIVE TISSUE DISORDERS with CC 0.8471
08363 CONNECTIVE TISSUE DISORDERS with MCC 1.1690
08371 CONSERVATIVE TREATMENT for BACK PROBLEMS without CC 0.5020
08372 CONSERVATIVE TREATMENT of BACK PROBLEMS with CC 0.6009
08373 the CONSERVATIVE TREATMENT of BACK PROBLEMS with MCC 0.7086
08381 OTHER DISEASES of the bones and joints without CC 0.6286
08382 OTHER bones and joints DISORDERS with CC 0.6844
08383 OTHER DISEASES of the bones and joints with MCC 0.8905
08391 FAILURES, reactions and complications ORTHOPEDIC APPLIANCE 0.6237
OR PERFORMANCE WITHOUT CC
08392 FAILURES, reactions and complications ORTHOPEDIC APPLIANCE 0.7978
OR PERFORMANCE WITH CC
08393 FAILURES, reactions and complications ORTHOPEDIC APPLIANCE 0.9425
OR PERFORMANCE WITH MCC
08401 MUSCULOSKELETAL SYMPTOMS, symptoms, SPRAINS and LESS 0.4023
MAJOR INFLAMMATORY DISEASE WITHOUT CC
08402 MUSCULOSKELETAL SYMPTOMS, symptoms, SPRAINS and LESS 0.5543
MAJOR INFLAMMATORY DISEASE WITH CC
08403 MUSCULOSKELETAL SYMPTOMS, symptoms, SPRAINS and LESS 0.6434
MAJOR INFLAMMATORY DISEASE WITH MCC
OTHER DISORDERS of the MUSCULOSKELETAL SYSTEM 08411 and CONNECTIVE 0.3997
TISSUE WITHOUT CC
OTHER DISORDERS of the MUSCULOSKELETAL SYSTEM 08412 and CONNECTIVE 0.5976
TISSUE WITH CC
OTHER DISORDERS of the MUSCULOSKELETAL SYSTEM 08413 and CONNECTIVE 1.0416
TISSUE WITH MCC
09011 SKIN GRAFT and/or DEBRIDEMENT without CC 0.6595
09012 SKIN GRAFT and/or DEBRIDEMENT with CC 1.2457
09013 SKIN GRAFT and/or DEBRIDEMENT with MCC 1.8033
09021 PERFORMANCES on the BREASTS without CC 0.7788
09022 PERFORMANCES on the BREASTS with CC 0.9928
09023 PERFORMANCES on the BREASTS with MCC 1.1827
OTHER PERFORMANCES DURING 09031 and DISEASES of the SKIN, 0.4138
THE SUBCUTANEOUS TISSUE AND BREAST WITHOUT CC
09032 OTHER PERFORMANCES with FAULTS and DISEASES of the SKIN, 0.8539
THE SUBCUTANEOUS TISSUE AND BREAST WITH CC
09033 OTHER PERFORMANCES with FAULTS and DISEASES of the SKIN, 1.8740
THE SUBCUTANEOUS TISSUE AND BREAST WITH MCC
09301 SERIOUS SKIN DISORDERS without CC 0.7900
09302 SERIOUS DISORDERS of the skin with CC 0.8304
09303 SERIOUS DISORDERS of the skin with MCC 0.9999
MALIGNANT BREAST DISEASE without 09311 CC 0.8275
09312 MALIGNANT DISEASE BREAST with CC 0.9346
MALIGNANT BREAST DISEASE 09313 with MCC 0.9346
09321 FLEGMÓNA without CC 0.4996
09322 FLEGMÓNA with CC 0.7410
09323 FLEGMÓNA with MCC 0.9489
09331 INJURY to the SKIN, SUBCUTANEOUS TISSUE and BREAST without CC 0.2531
09332 INJURY to the SKIN, SUBCUTANEOUS TISSUE and BREAST with CC 0.3738
09333 INJURY of the skin, SUBCUTANEOUS TISSUE and BREAST with MCC 0.5486
09341 OTHER DISORDERS of the skin and the BREAST without the CC 0.4071
09342 OTHER DISORDERS of skin and BREAST with CC 0.5775
OTHER SKIN DISORDERS and 09343 BREAST with MCC 0.7576
10011 PERFORMANCES on the ADRENAL GLANDS and the PITUITARY without CC 2.2261
10012 PERFORMANCES on the ADRENAL GLANDS and the PITUITARY GLAND with CC 2.6948
10013 PERFORMANCES on the ADRENAL GLANDS and the PITUITARY GLAND with MCC 2.6948
10021 a SKIN GRAFT and DEBRIDEMENT of the WOUND when the ENDOCRINE, 1.6511
NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC
10022 a SKIN GRAFT and DEBRIDEMENT of the WOUND when the ENDOCRINE, 1.6511
NUTRITIONAL AND METABOLIC DISORDERS WITH CC
10023 a SKIN GRAFT and DEBRIDEMENT of the WOUND when the ENDOCRINE, 1.6511
NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
10031 PERFORMANCES for OBESITY without CC 3.3071
10032 PERFORMANCES for OBESITY with CC 3.3071
10033 PERFORMANCES for OBESITY with MCC 3.3071
10041 AMPUTATION of the LOWER LIMB in the ENDOCRINE, NUTRITIONAL 1.8811
AND METABOLIC DISORDERS WITHOUT CC
10042 AMPUTATION of the LOWER LIMB in the ENDOCRINE, NUTRITIONAL 2.2460
AND METABOLIC DISORDERS WITH CC
10043 AMPUTATION of the LOWER LIMB in the ENDOCRINE, NUTRITIONAL 2.2460
AND METABOLIC DISORDERS WITH MCC
10051 PERFORMANCES on the THYROID and the PARATHYROID GLAND, THYROGLOSSÁLNÍ 0.9157
PERFORMANCES WITHOUT CC
10052 PERFORMANCES on the THYROID and the PARATHYROID GLAND, THYROGLOSSÁLNÍ 1.0090
PERFORMANCES WITH CC
10053 PERFORMANCES on the THYROID and the PARATHYROID GLAND, THYROGLOSSÁLNÍ 1.1147
PERFORMANCES WITH MCC
10061 DIFFERENT PERFORMANCES in the ENDOCRINE, NUTRITIONAL 1.8554
AND METABOLIC DISORDERS WITHOUT CC
10062 OTHER PERFORMANCES in the ENDOCRINE, NUTRITIONAL 2.7137
AND METABOLIC DISORDERS WITH CC
10063 OTHER PERFORMANCES in the ENDOCRINE, NUTRITIONAL 8.5468
AND METABOLIC DISORDERS WITH MCC
10301 DIABETES, NUTRITIONAL and other METABOLIC DISORDERS without CC 0.4919
10302 DIABETES, NUTRITIONAL and other METABOLIC DISORDERS with CC 0.6040
10303 DIABETES, NUTRITIONAL and other METABOLIC DISORDERS with MCC 0.9586
10311 HYPOVOLÉMIE and ELECTROLYTE DISORDERS without CC 0.4049
10312 HYPOVOLÉMIE and ELECTROLYTE DISORDERS with CC 0.5431
10313 HYPOVOLÉMIE and ELECTROLYTE DISORDERS with MCC 0.6374
10321 CONGENITAL METABOLIC DISORDERS without CC 0.5574
10322 CONGENITAL METABOLIC DISORDERS with CC 0.6821
10323 CONGENITAL METABOLIC DISORDERS with MCC 1.1686
10331 OTHER ENDOCRINE DISORDERS without CC 0.7621
10332 OTHER ENDOCRINE DISORDERS with CC 0.7621
10333 OTHER ENDOCRINE DISORDERS with MCC 0.9859
11011 RENAL TRANSPLANTATION without CC 6.8830
11012 KIDNEY TRANSPLANTATION with CC 6.8830
11013 KIDNEY TRANSPLANTATION with MCC 8.0493
11021 GREAT PERFORMANCES on the BLADDER without CC 5.8459
11022 GREAT PERFORMANCES on the BLADDER with CC 6.5262
11023 GREAT PERFORMANCES on the BLADDER with MCC 8.3427
11031 GREAT PERFORMANCES on the KIDNEYS and the URINARY TRACT without CC 1.8064
11032 GREAT PERFORMANCES on the KIDNEYS and the URINARY TRACT with CC 2.1764
11033 GREAT PERFORMANCES on the KIDNEYS and the URINARY TRACT with MCC 3.2505
11041 OPERATING the ESTABLISHMENT or REVISION of the CATHETER for 1.4831
PERITONEAL DIALYSIS WITHOUT CC
11042 OPERATING the ESTABLISHMENT or REVISION of the CATHETER for 1.8176
PERITONEAL DIALYSIS WITH CC
11043 OPERATING the ESTABLISHMENT or REVISION of the CATHETER for 4.0993
PERITONEAL DIALYSIS WITH MCC
11051 LESS PERFORMANCES on the KIDNEYS, URINARY TRACT 0.9339
AND THE BLADDER WITHOUT CC
11052 LESS PERFORMANCES on the KIDNEYS, URINARY TRACT 0.9817
AND THE BLADDER WITH CC
11053 LESS PERFORMANCES on the KIDNEYS, URINARY TRACT 1.4489
AND THE BLADDER WITH MCC
11061 PROSTATECTOMY without CC 0.9986
11062 PROSTATECTOMY with CC 1.1386
11063 PROSTATECTOMY with MCC 1.3764
11071 URETHRAL and TRANSURETHRAL PERFORMANCES without CC 0.4571
11072 URETHRAL and TRANSURETHRAL PERFORMANCES with CC 0.5501
11073 URETHRAL and TRANSURETHRAL PERFORMANCES with MCC 0.6704
11081 OTHER PERFORMANCES with FAULTS and DISEASES of the KIDNEY 0.7159
AND THE URINARY TRACT WITHOUT CC
11082 OTHER PERFORMANCES with FAULTS and DISEASES of the KIDNEY 0.7589
AND URINARY TRACT WITH CC
11083 OTHER PERFORMANCES with FAULTS and DISEASES of the KIDNEY 3.3684
AND URINARY TRACT WITH MCC
11301 MALIGNANT DISEASE of the KIDNEY and urinary tract 0.4557
AND KIDNEY FAILURE WITHOUT CC
11302 MALIGNANT DISEASE of the KIDNEY and urinary tract 0.7281
AND RENAL FAILURE WITH CC
11303 MALIGNANT DISEASE of the KIDNEY and urinary tract 1.1922
AND RENAL FAILURE WITH MCC
11311 NEPHRITIS without CC 0.4794
11312 NEPHRITIS with CC 0.6109
11313 NEPHRITIS with MCC 1.4663
11321 KIDNEY INFECTION and urinary tract without CC 0.4442
11322 KIDNEY INFECTION and urinary tract with CC 0.6081
11323 KIDNEY INFECTION and urinary tract with MCC 0.8134
11331 BLADDER STONES with EXTRACORPOREAL SHOCK WAVE LITOTRYPSÍ 0.4037
WITHOUT CC
11332 BLADDER STONES with EXTRACORPOREAL SHOCK WAVE LITOTRYPSÍ 0.5688
WITH CC
11333 BLADDER STONES with EXTRACORPOREAL SHOCK WAVE LITOTRYPSÍ 0.5688
WITH MCC
11341 BLADDER STONES without EXTRACORPOREAL LITOTRYPSE without-CC 0.2971
11342 BLADDER STONES without EXTRACORPOREAL LITOTRYPSE with CC 0.4181
11343 BLADDER STONES without EXTRACORPOREAL LITOTRYPSE with MCC 0.5754
11351 FAILURES, reactions and complications GENITOURETRÁLNÍHO 0.3385
DEVICE, OR OF THE TRANSPLANT GRAFT WITHOUT CC
11352 FAILURES, reactions and complications GENITOURETRÁLNÍHO 0.7989
DEVICE, OR OF THE TRANSPLANT GRAFT WITH CC
11353 FAILURES, reactions and complications GENITOURETRÁLNÍHO 1.2890
DEVICE, OR OF THE TRANSPLANT GRAFT WITH MCC
11361 signs and symptoms on the KIDNEYS and the URINARY TRACT 0.3222
WITHOUT CC
11362 signs and symptoms on the KIDNEYS and the URINARY TRACT 0.3777
WITH CC
11363 signs and symptoms on the KIDNEYS and the URINARY TRACT 0.4873
WITH MCC
11371 OTHER DISORDERS renal and URINARY TRACT without CC 0.3000
11372 OTHER DISORDERS renal and URINARY TRACT with CC 0.4410
11373 OTHER DISORDERS renal and URINARY TRACT with MCC 0.7883
12011 GREAT PERFORMANCES in the pelvic region for MEN without CC 1.9128
12012 GREAT PERFORMANCES in the pelvic region for MEN with CC 1.9128
12013 GREAT PERFORMANCES in the pelvic region for MEN with MCC 2.0539
12021 PERFORMANCES on the PENIS without CC 0.3858
12022 PERFORMANCES on the PENIS with CC 0.5571
12023 PERFORMANCES on the PENIS with MCC 0.5571
12031 TRANSURETHRAL PROSTATECTOMY without CC 0.8386
12032 TRANSURETHRAL PROSTATECTOMY with CC 1.0148
12033 TRANSURETHRAL PROSTATECTOMY with MCC 1.0148
12041 PERFORMANCES on the TESTICLES without CC 0.3803
12042 PERFORMANCES on the TESTICLES with CC 0.5053
12043 PERFORMANCES on the TESTICLES with MCC 0.7931
12051 CIRCUMCISION without CC 0.2569
12052 CIRCUMCISION with CC 0.2800
12053 CIRCUMCISION with MCC 0.3494
12061 OTHER PERFORMANCES on the MALE REPRODUCTIVE SYSTEM without CC 0.5582
12062 OTHER PERFORMANCES on the MALE REPRODUCTIVE SYSTEM with CC 0.8503
12063 OTHER PERFORMANCES on the MALE REPRODUCTIVE SYSTEM with MCC 0.8503
12301 MALIGNANT DISEASES of the MALE REPRODUCTIVE SYSTEM 0.5072
WITHOUT CC
12302 MALIGNANT DISEASES of the MALE REPRODUCTIVE SYSTEM 0.8001
WITH CC
12303 MALIGNANT DISEASES of the MALE REPRODUCTIVE SYSTEM 1.0031
WITH MCC
12311 DISORDERS of the MALE REPRODUCTIVE SYSTEM, in ADDITION to the 0.2350
MALIGNANT DISEASE WITHOUT CC
12312 DISORDERS of the MALE REPRODUCTIVE SYSTEM, in ADDITION to the 0.3214
MALIGNANT DISEASE WITH CC
12313 DISORDERS of the MALE REPRODUCTIVE SYSTEM, in ADDITION to the 0.3676
MALIGNANT DISEASES WITH MCC
13011 EXENTERACE PANS, RADICAL HYSTERECTOMY and radical 2.7644
VULVEKTOMIE WITHOUT-CC
13012 EXENTERACE PANS, RADICAL HYSTERECTOMY and radical 3.0913
VULVEKTOMIE WITH CC
13013 EXENTERACE PANS, RADICAL HYSTERECTOMY and radical 3.0913
VULVEKTOMIE WITH MCC
13021 PERFORMANCES on the UTERUS and ADNEXECH for MALIGNANT DISEASE on 2.3502
OVARIÍCH AND ADNEXECH WITHOUT-CC
13022 PERFORMANCES on the UTERUS and ADNEXECH for MALIGNANT DISEASE on 2.9450
OVARIÍCH AND ADNEXECH WITH CC
13023 PERFORMANCES on the UTERUS and ADNEXECH for MALIGNANT DISEASE on 2.9450
OVARIÍCH AND ADNEXECH WITH MCC
13031 PERFORMANCES on the UTERUS and ADNEXECH for MALIGNANT 1.7187 DISEASE
ELSEWHERE THAN ON THE OVARY AND THE ADNEXECH WITHOUT-CC
13032 PERFORMANCES on the UTERUS and ADNEXECH for MALIGNANT 1.9042 DISEASE
ELSEWHERE THAN ON THE OVARY AND THE ADNEXECH WITH CC
13033 PERFORMANCES on the UTERUS and ADNEXECH for MALIGNANT 2.4980 DISEASE
ELSEWHERE THAN ON THE OVARY AND THE ADNEXECH WITH THE MCC
13041 UTERINE and ADNEXÁLNÍ PERFORMANCES in CA IN SITU 1.0665
AND MALIGNANT DISORDERS WITHOUT CC
13042 UTERINE and ADNEXÁLNÍ PERFORMANCES in CA IN SITU 1.2392
AND MALIGNANT DISEASES WITH CC
13043 UTERINE and ADNEXÁLNÍ PERFORMANCES in CA IN SITU 1.4279
AND MALIGNANT DISEASES WITH MCC
13051 GYNECOLOGICAL LAPAROSCOPY or LAPAROTOMICKÁ 0.4630
STERILIZATION WITHOUT CC
13052 GYNECOLOGICAL LAPAROSCOPY or LAPAROTOMICKÁ 0.7342
STERILIZATION WITH CC
13053 GYNECOLOGICAL LAPAROSCOPY or LAPAROTOMICKÁ 1.2553
STERILIZATION WITH MCC
13061 RECONSTRUCTIVE PERFORMANCES on a WOMAN'S REPRODUCTIVE SYSTEM of 0.8628
WITHOUT CC
13062 RECONSTRUCTIVE PERFORMANCES on a WOMAN'S REPRODUCTIVE SYSTEM of 0.9883
WITH CC
13063 RECONSTRUCTIVE PERFORMANCES on a WOMAN'S REPRODUCTIVE SYSTEM of 1.1526
WITH MCC
13071 VAGINAL, CERVICAL and VULVOVÉ PERFORMANCES without CC 0.2638
13072 VAGINAL, CERVICAL and VULVOVÉ PERFORMANCES with CC 0.4005
13073 VAGINAL, CERVICAL and VULVOVÉ PERFORMANCES with MCC 0.6491
13081 ENDOSCOPIC INTERRUPTION of FALLOPIAN TUBE without CC 0.5487
13082 ENDOSCOPIC INTERRUPTION of FALLOPIAN TUBE with CC 0.5843
13083 ENDOSCOPIC INTERRUPTION of FALLOPIAN TUBE with MCC 0.5843
13091 DILATION, CURETTAGE and KÓNIZACE without-CC 0.2101
13092 DILATION, CURETTAGE and KÓNIZACE with CC 0.2526
13093 DILATION, CURETTAGE and KÓNIZACE with MCC 0.3047
13101 OTHER PERFORMANCES with FAULTS and DISEASES of the FEMALE 0.9031
REPRODUCTIVE SYSTEM WITHOUT CC
13102 OTHER PERFORMANCES with FAULTS and DISEASES of the FEMALE 1.1828
REPRODUCTIVE SYSTEM WITH CC
13103 OTHER PERFORMANCES of the DISORDERS and DISEASES of the FEMALE 2.3877
REPRODUCTIVE SYSTEM WITH MCC
13301 MALIGNANT DISEASE of the FEMALE REPRODUCTIVE SYSTEM 0.5747
WITHOUT CC
13302 MALIGNANT DISEASE of the FEMALE REPRODUCTIVE SYSTEM 0.7072
WITH CC
13303 MALIGNANT DISEASE of the FEMALE REPRODUCTIVE SYSTEM 1.0416
WITH MCC
13311 INFECTION of the FEMALE REPRODUCTIVE SYSTEM without CC 0.2962
13312 INFECTION of the FEMALE REPRODUCTIVE SYSTEM with CC 0.5153
13313 INFECTION of the FEMALE REPRODUCTIVE SYSTEM with MCC 0.5153
13321 MENSTRUAL and other DISORDERS of the FEMALE REPRODUCTIVE 0.1902
SYSTEM WITHOUT CC
13322 MENSTRUAL and other DISORDERS of the FEMALE REPRODUCTIVE 0.3257
SYSTEM WITH CC
13323 MENSTRUAL and other DISORDERS of the FEMALE REPRODUCTIVE 0.6739
SYSTEM WITH MCC
14601 BIRTH CESAREAN SECTION without CC 0.8903
14602 BIRTH CESAREAN SECTION with CC 1.0723
14603 BIRTH CESAREAN SECTION with MCC 1.2703
14611 VAGINAL CHILDBIRTH, STERILIZATION and/or the DILATION of 0.6391
AND KYRETÁŽÍ WITHOUT-CC
14612 VAGINAL CHILDBIRTH, STERILIZATION and/or the DILATION of 0.7571
AND KYRETÁŽÍ WITH CC
14613 VAGINAL CHILDBIRTH, STERILIZATION and/or the DILATION of 0.9687
AND KYRETÁŽÍ WITH THE MCC
14621 VAGINAL CHILDBIRTH with the power, in ADDITION to STERILIZATION and/or 2.4356
DILATION AND CURETTAGE WITHOUT CC
14622 VAGINAL CHILDBIRTH with the power, in ADDITION to STERILIZATION and/or 2.4356
DILATION AND CURETTAGE, WITH CC
14623 VAGINAL CHILDBIRTH with the power, in ADDITION to STERILIZATION and/or 2.4356
DILATION AND CURETTAGE, WITH MCC
14631 VAGINAL CHILDBIRTH without CC 0.4919
14632 VAGINAL CHILDBIRTH with CC 0.5565
14633 VAGINAL CHILDBIRTH with MCC 0.5565
14641 ABORTION dilation and KYRETÁŽÍ, KYRETÁŽÍ or 0.1879 ASPIRATION
HYSTERECTOMIES WITHOUT CC
14642 ABORTION dilation and KYRETÁŽÍ, KYRETÁŽÍ or 0.2202 ASPIRATION
HYSTERECTOMIES WITH CC
14643 ABORTION dilation and KYRETÁŽÍ, KYRETÁŽÍ or 0.2379 ASPIRATION
HYSTERECTOMIES WITH MCC
14651 ABORTION without dilation and CURETTAGE, 0.1741 ASPIRATION CURETTAGE
OR A HYSTERECTOMY WITHOUT CC
14652 ABORTION without dilation and CURETTAGE, 0.1741 ASPIRATION CURETTAGE
OR A HYSTERECTOMY WITH CC
14653 ABORTION without dilation and CURETTAGE, 0.1741 ASPIRATION CURETTAGE
OR A HYSTERECTOMY WITH MCC
14661 POSTPARTUM and POPOTRATOVÉ performance DIAGNOSIS without CC 0.2247
14662 POSTPARTUM and POPOTRATOVÉ DIAGNOSIS of performance issues with CC 0.2247
14663 POSTPARTUM and POPOTRATOVÉ DIAGNOSIS of performance issues with MCC 0.2247
14671 POSTPARTUM and POPOTRATOVÉ DIAGNOSIS without EXERCISING without CC 0.1831
14672 POSTPARTUM and POPOTRATOVÉ DIAGNOSIS without PERFORMANCE with CC 0.1831
14673 POSTPARTUM and POPOTRATOVÉ DIAGNOSIS without MCC'S PERFORMANCE with 0.1831
14681 ECTOPIC PREGNANCY with the performance without the CC 0.9287
14682 ECTOPIC PREGNANCY with the performance with CC 1.1076
14683 ECTOPIC PREGNANCY with the performance with MCC 1.1076
14691 ECTOPIC PREGNANCY without EXERCISING without CC 0.4955
14692 ECTOPIC PREGNANCY without PERFORMANCE with CC 0.4955
14693 ECTOPIC PREGNANCY without EXERCISING with MCC 0.4955
14701 THREATENED ABORTION without CC 0.3099
14702 THREATENED ABORTION with CC 0.4775
14703 THREATENED ABORTION with MCC 0.4775
14711 FAKE BIRTH without CC 0.1513
14712 FAKE BIRTH with CC 0.2160
14713 FAKE BIRTH with MCC 0.2160
14721 OTHER PRENATAL DIAGNOSIS with the performance without the CC 0.2694
OTHER PRENATAL DIAGNOSIS with 14722 performance with CC 0.4812
OTHER ANTENATAL DIAGNOSIS 14723 performance with MCC 0.7161
PRENATAL DIAGNOSIS without OTHER 14731 PERFORMANCE without CC 0.2694
PRENATAL DIAGNOSIS without OTHER 14732 PERFORMANCE with CC 0.3986
PRENATAL DIAGNOSIS without OTHER 14733 PERFORMANCE with MCC 0.3986
15601 newborn, DEAD or TRANSLATED = 5 days without < CC 0.6213
15602 newborn, DEAD or TRANSLATED = 5 days with < CC 0.6213
15603 newborn, DEAD or TRANSLATED = 5 days with < MCC 0.6213
15611 newborn, with the TRANSPLANTATION of ORGAN or EXTRACORPOREAL 9.6517
DIAPHRAGM OXYGENACÍ WITHOUT-CC
15612 newborn, with the TRANSPLANTATION of ORGAN or EXTRACORPOREAL 13.5150
DIAPHRAGM OXYGENACÍ WITH CC
15613 a NEWBORN, with the TRANSPLANTATION of ORGAN or EXTRACORPOREAL 21.4750
DIAPHRAGM OXYGENACÍ WITH MCC
15621 newborn, BIRTH WEIGHT = 1 000 G 2 499 G, with a SERIOUS 2.0587
ANOMALIES OR GENETIC STATUS WITH MCC
15720 newborn, WEIGHT at BIRTH, 2 499 G > SYNDROME 4.1371
RESPIRATORY PROBLEMS
15731 newborn, WEIGHT at BIRTH, with 2 499 G > ASPIRAČNÍM 0.2877
SYNDROME WITHOUT THE CC
15732 newborn, BIRTH WEIGHT > 2 499 G, ASPIRAČNÍM 0.3189
SYNDROME WITH CC
15733 newborn, WEIGHT at BIRTH, with 2 499 G > ASPIRAČNÍM 0.3189
SYNDROME WITH MCC
15741 newborn, BIRTH WEIGHT > 2 499 G, with congenital 0.5998
OR PERINATAL INFECTIONS WITHOUT CC
15742 newborn, BIRTH WEIGHT > 2 499 G, with congenital 0.6603
OR WITH PERINATAL INFECTIONS WITH CC
15743 newborn, BIRTH WEIGHT > 2 499 G, with congenital 0.6603
OR PERINATAL INFECTION WITH MCC
15751 newborn, BIRTH WEIGHT > 2 499 G, without 0.2742
THE BASIC PERFORMANCE WITHOUT CC
15752 newborn, BIRTH WEIGHT > 2 499 G, without 0.3616
THE BASIC PERFORMANCE WITH CC
15753 newborn, BIRTH WEIGHT > 2 499 G, without 0.4100
THE BASIC PERFORMANCE WITH MCC
16011 PERFORMANCES on SPLEEN without CC 2.9427
16012 PERFORMANCES on SPLEEN with CC 2.9427
16013 PERFORMANCES on SPLEEN with MCC 2.9427
16021 OTHER PERFORMANCES for BLOOD DISEASES and STEM 0.6449
BODIES WITHOUT CC
16022 OTHER PERFORMANCES for BLOOD DISEASES and STEM 0.9105
ORGANS WITH CC
16023 OTHER PERFORMANCES for BLOOD DISEASES and STEM 1.7889
ORGANS WITH MCC
16301 AGRANULOCYTOSIS without CC 0.9507
16302 AGRANULOCYTOSIS with CC 1.8640
16303 AGRANULOCYTOSIS with MCC 2.4088
16311 CLOTTING DISORDERS without CC 0.9623
16312 CLOTTING DISORDERS with CC 1.1981
16313 CLOTTING DISORDERS with MCC 1.4580
16321 SICKLE CELL ANEMIA without CC 0.6355
16322 SICKLE CELL ANEMIA with CC 0.8690
16323 SICKLE CELL ANEMIA with MCC 1.3833
16331 DISORDERS of RED BLOOD CELLS, in ADDITION to the SICKLE CELL 0.7405
ANEMIA WITHOUT CC
16332 DISORDERS of RED BLOOD CELLS, in ADDITION to the SICKLE CELL 0.8574
ANEMIA WITH CC
16333 DISORDERS of RED BLOOD CELLS, in ADDITION to the SICKLE CELL 1.1553
ANEMIA WITH MCC
16341 OTHER BLOOD DISORDERS and HEMATOPOIETIC ORGANS without CC 0.5837
16342 OTHER BLOOD DISORDERS and HEMATOPOIETIC organs with CC 0.7890
16343 OTHER BLOOD DISORDERS and HEMATOPOIETIC organs with MCC 1.3641
17011 LYMPHOMA and LEUKEMIA with HIGH PERFORMANCE without the CC 1.1061
17012 LYMPHOMA and LEUKEMIA with a great performance with CC 4.1036
17013 LYMPHOMA and LEUKEMIA with a great performance with MCC 7.5269
17021 LYMPHOMA and LEUKEMIA with another PERFORMANCE without CC 1.3598
17022 LYMPHOMA and LEUKEMIA with another performance with CC 3.9580
17023 LYMPHOMA and LEUKEMIA with another performance with MCC 15.6644
17031 MYELOPROLIFERATIVE DISORDERS and poorly DIFFERENTIATED 1.9219
TUMORS WITH HIGH PERFORMANCE WITHOUT CC
17032 MYELOPROLIFERATIVE DISORDERS and poorly DIFFERENTIATED 3.6862
TUMORS WITH GREAT PERFORMANCE WITH CC
17033 MYELOPROLIFERATIVE DISORDERS and poorly DIFFERENTIATED 6.0986
TUMORS WITH GREAT PERFORMANCE WITH MCC
17041 MYELOPROLIFERATIVE DISORDERS and poorly DIFFERENTIATED 1.4421
TUMORS WITH DIFFERENT PERFORMANCE WITHOUT CC
17042 MYELOPROLIFERATIVE DISORDERS and poorly DIFFERENTIATED 2.4273
TUMORS WITH ANOTHER PERFORMANCE WITH CC
17043 MYELOPROLIFERATIVE DISORDERS and poorly DIFFERENTIATED 4.2073
TUMORS WITH ANOTHER PERFORMANCE WITH MCC
17301 ACUTE LEUKEMIA without CC 2.1693
17302 ACUTE LEUKEMIA with CC 2.1693
17303 ACUTE LEUKEMIA with MCC 4.5385
17311 NEAKUTNÍ lymphoma and LEUKEMIA without CC 1.3000
17312 LYMPHOMA and LEUKEMIA with CC NEAKUTNÍ 2.0183
17313 LYMPHOMA and LEUKEMIA with NEAKUTNÍ MCC 2.8725
17321 RADIOTHERAPY without CC 1.7882
17322 RADIOTHERAPY with CC 2.0199
17323 RADIOTHERAPY with MCC 2.2161
17331 CHEMOTHERAPY without CC 0.9862
17332 CHEMOTHERAPY with CC 0.9862
17333 CHEMOTHERAPY with MCC 1.4119
17341 OTHER MYELOPROLIFERATIVE DISORDERS and DIAGNOSIS of 0.7789
UNDIFFERENTIATED TUMORS WITHOUT CC
17342 OTHER MYELOPROLIFERATIVE DISORDERS and DIAGNOSIS of 1.0228
UNDIFFERENTIATED TUMORS WITH CC
17343 OTHER MYELOPROLIFERATIVE DISORDERS and DIAGNOSIS of 1.2667
UNDIFFERENTIATED TUMORS WITH MCC
CHEMOTHERAPY in ACUTE LEUKEMIA 17351 without CC 16.2576
CHEMOTHERAPY in ACUTE LEUKEMIA 17352 with CC 16.2576
CHEMOTHERAPY in ACUTE LEUKEMIA 17353 with MCC 16.2576
18011 PERFORMANCES for infectious and parasitic diseases without CC 0.2704
18012 PERFORMANCES for infectious and parasitic diseases with CC 4.7634
18013 PERFORMANCES for infectious and parasitic diseases with MCC 15.2891
18021 PERFORMANCES for POSTOPERATIVE and POSTTRAUMATIC INFECTIONS without CC 1.3302
18022 PERFORMANCES for POSTOPERATIVE and POSTTRAUMATIC infections with CC 1.7805
18023 PERFORMANCES for POSTOPERATIVE and POSTTRAUMATIC infections with MCC 3.2029
18301 SEPTICEMIA without CC 1.0857
18302 SEPTICEMIA with CC 1.4738
18303 SEPTICEMIA with MCC 3.5194
18311 POSTOPERATIVE and POSTTRAUMATIC INFECTIONS without CC 0.6324
18312 post-operative and POSTTRAUMATIC infections with CC 0.9376
of POST-OPERATIVE and POSTTRAUMATIC 18313 INFECTION with MCC 1.5810
18321 FEVER of UNKNOWN ORIGIN with NO CC 0.4843
18322 FEVER of UNKNOWN ORIGIN with CC 0.6640
18323 FEVER of UNKNOWN ORIGIN with MCC 0.8842
18331 VIRAL DISEASE without CC 0.4270
18332 VIRAL DISEASE with CC 0.5591
18333 VIRAL DISEASE with MCC 0.6982
18341 other infectious and PARASITIC DISEASES without CC 0.6746
18342 OTHER INFECTIOUS and parasitic diseases with CC 0.9795
18343 OTHER INFECTIOUS and parasitic diseases with the MCC 1.6886
19011 OPERATING PERFORMANCE with the MAIN DIAGNOSIS of MENTAL ILLNESS 1.3250
WITHOUT CC
19012 OPERATING PERFORMANCE with the MAIN DIAGNOSIS of MENTAL ILLNESS 2.9147
WITH CC
19013 OPERATING PERFORMANCE with the MAIN DIAGNOSIS of MENTAL ILLNESS 5.5831
WITH MCC
19301 SCHIZOPHRENIA without CC 1.6977
19302 SCHIZOPHRENIA with CC 2.4278
19303 SCHIZOPHRENIA with MCC 2.4278
19311 PSYCHOSIS without CC 1.5862
19312 PSYCHOSIS with CC 1.5862
19313 PSYCHOSIS with MCC 1.6887
19321 PERSONALITY DISORDERS and mood without CC 1.1678
19322 PERSONALITY DISORDERS and mood with CC 1.3842
19323 PERSONALITY DISORDERS and mood with MCC 2.1624
19331 BIPOLAR DISORDERS without CC 1.7197
19332 BIPOLAR DISORDERS with CC 1.9183
19333 BIPOLAR DISORDERS with MCC 1.9183
19341 DEPRESSION without CC 1.0321
19342 DEPRESSION with CC 1.2129
19343 DEPRESSION with MCC 1.9845
19351 ACUTE reactions, PSYCHO-SOCIAL DISORDERS and NEUROSIS 0.8687
IN ADDITION TO THE DEPRESSION WITHOUT CC
19352 ACUTE reactions, PSYCHO-SOCIAL DISORDERS and NEUROSIS in ADDITION to 0.8687
DEPRESSIVE WITH CC
19353 ACUTE reactions, PSYCHO-SOCIAL DISORDERS and NEUROSIS in ADDITION to 0.9561
DEPRESSIVE WITH MCC
19361 ORGANIC MENTAL DISORDERS and MENTAL RETARDATION without CC 0.9586
19362 ORGANIC MENTAL DISORDERS and MENTAL RETARDATION with CC 0.9586
19363 ORGANIC MENTAL DISORDERS and MENTAL RETARDATION with MCC 1.1401
19371 DEVELOPMENTAL MENTAL DISORDERS without CC 1.2284
19372 DEVELOPMENTAL MENTAL DISORDERS with CC 1.2284
19373 DEVELOPMENTAL MENTAL DISORDERS with MCC 1.2284
19381 COMPULSIVE NUTRITIONAL DISORDERS without CC 3.2215
19382 COMPULSIVE NUTRITIONAL DISORDERS with CC 3.2215
19383 COMPULSIVE NUTRITIONAL DISORDERS with MCC 3.7748
19391 OTHER MENTAL DISORDERS without CC 0.7364
19392 OTHER MENTAL DISORDERS with CC 0.7364
19393 OTHER MENTAL DISORDERS with MCC 0.7364
20301 the HARMFUL USE of ALCOHOL, DRUGS, drugs, a DEPENDENCY on 0.1401
THEM, AGAINST THE ADVICE OF MEDICAL RELEASE CC
20302 the HARMFUL USE of ALCOHOL, DRUGS, drugs, a DEPENDENCY on 0.1401
THEM, RELEASE AGAINST THE ADVICE OF THE DOCTOR WITH THE CC
20303 HARMFUL USE of ALCOHOL, DRUGS, drugs, a DEPENDENCY on 0.1401
THEM, AGAINST THE ADVICE OF THE DOCTOR WITH THE RELEASE OF THE MCC
20311 DEPENDENCY on drugs and alcohol rehabilitation and/or 0.5077
DETOXIFICATION THERAPIES WITHOUT CC
20312 DEPENDENCY on drugs and alcohol rehabilitation and/or 0.5077
DETOXIFICATION THERAPIES WITH CC
20313 DEPENDENCY on drugs and alcohol rehabilitation and/or 0.5077
DETOX THERAPY WITH MCC
20321 HARMFUL use and DEPENDENCE on OPIATES and/or 0.6982
COCAINE WITHOUT CC
20322 HARMFUL use and DEPENDENCE on OPIATES and/or 1.0417
COCAINE WITH CC
20323 HARMFUL use and DEPENDENCE on OPIATES and/or 1.0417
COCAINE WITH MCC
20331 HARMFUL use and DEPENDENCE on ALCOHOL without CC 0.4149
20332 HARMFUL use and DEPENDENCE on ALCOHOL with CC 0.5093
20333 HARMFUL use and DEPENDENCE on ALCOHOL with MCC 0.8676
20341 HARMFUL use and DEPENDENCE on OTHER DRUGS without CC 0.8231
20342 HARMFUL use and DEPENDENCE on OTHER DRUGS with CC 1.0086
20343 HARMFUL use and DEPENDENCE on OTHER DRUGS with MCC 1.0086
21011 MICROVASCULAR TISSUE TRANSFER or SKIN GRAFT at the 2.0716
INJURIES WITHOUT CC
21012 MICROVASCULAR TISSUE TRANSFER or SKIN GRAFT at the 2.0716
INJURIES WITH CC
21013 MICROVASCULAR TISSUE TRANSFER or SKIN GRAFT at the 2.0716
INJURIES WITH MCC
21021 OTHER PERFORMANCES when injuries and COMPLICATIONS without CC 1.3031
21022 OTHER PERFORMANCES when injuries and COMPLICATIONS with CC 3.1269
21023 OTHER PERFORMANCES when injuries and COMPLICATIONS with MCC 7.2698
21301 INJURIES to an UNSPECIFIED LOCATION, or MORE 0.9545
PLACES WITHOUT CC
21302 INJURIES to an UNSPECIFIED LOCATION, or MORE 1.6583
PLACES WITH CC
21303 INJURIES to an UNSPECIFIED LOCATION, or MORE 5.6352
PLACES WITH MCC
21311 ALLERGIC REACTIONS without CC 0.2164
21312 ALLERGIC REACTIONS with CC 0.2940
21313 ALLERGIC REACTIONS with MCC 0.2940
21321 poisoning and TOXIC EFFECTS of DRUGS (DRUGS) without CC 0.3302
21322 poisoning and TOXIC EFFECTS of DRUGS (DRUGS) with CC 0.4866
21323 poisoning and TOXIC EFFECTS of DRUGS (DRUGS) with MCC 1.1026
21331 the COMPLICATIONS in the TREATMENT without CC 0.2699
21332 COMPLICATIONS DURING TREATMENT with CC 0.4733
21333 COMPLICATIONS when TREATING with MCC 1.8128
21341 TORTURED the CHILD or ADULT SYNDROME without the CC 1.9265
21342 SYNDROME TORTURED the CHILD or ADULT with CC 1.9265
21343 SYNDROME TORTURED the CHILD or ADULT with MCC 1.9265
21351 OTHER DIAGNOSES of INJURIES, poisoning and TOXIC EFFECTS of 0.2926
WITHOUT CC
21352 OTHER DIAGNOSES of INJURIES, poisoning and TOXIC EFFECTS of 0.5297
WITH CC
21353 OTHER DIAGNOSES of INJURIES, poisoning and TOXIC EFFECTS of 1.6408
WITH MCC
22501 Burns, TRANSFER to ANOTHER ACUTE CARE 0.2796
WITHOUT CC
22502 Burns, TRANSFER to ANOTHER ACUTE CARE 0.2796
WITH CC
22503 Burns, TRANSFER to ANOTHER ACUTE CARE 0.2796
WITH MCC
22510 EXTENSIVE BURNS with SKIN GRAFT 9.0098
22521 NEROZSÁHLÉ BURNS through the ENTIRE skin with SKIN 2.2526
GRAFT OR INHAL. INJURIES WITHOUT CC
22522 NEROZSÁHLÉ BURNS through the ENTIRE skin with SKIN 11.1469
GRAFT OR INHAL. INJURIES WITH CC
22523 NEROZSÁHLÉ BURNS through the ENTIRE skin with SKIN 11.1469
GRAFT OR INHAL. INJURIES WITH MCC
22530 EXTENSIVE BURNS without SKIN GRAFT 5.0292
22541 BURNS LIMITED SCALE AFFECTING ALL 1.8613
LAYER OF THE SKIN WITHOUT SKIN GRAFT OR INHALATION
INJURY WITHOUT CC
22542 BURNS LIMITED SCALE AFFECTING ALL 1.8613
LAYER OF THE SKIN WITHOUT SKIN GRAFT OR INHALATION
INJURY WITH CC
22543 BURNS LIMITED SCALE AFFECTING ALL 1.8613
LAYER OF THE SKIN WITHOUT SKIN GRAFT OR INHALATION
INJURIES WITH MCC
22551 BURNS LIMITED NEPOSTIHUJÍCÍ ALL 0.8364
THE LAYERS OF THE SKIN WITHOUT CC
22552 BURNS LIMITED NEPOSTIHUJÍCÍ ALL 1.6621
LAYER OF THE SKIN WITH THE CC
22553 BURNS LIMITED NEPOSTIHUJÍCÍ ALL 1.6621
LAYER OF THE SKIN WITH MCC
23011 OPERATIONAL PERFORMANCE with a diagnosis of ANOTHER CONTACT is 1.1763
HEALTH SERVICES WITHOUT CC
23012 OPERATIONAL PERFORMANCE with a diagnosis of ANOTHER CONTACT with 2.2008
HEALTH SERVICES WITH CC
23013 OPERATIONAL PERFORMANCE with a diagnosis of ANOTHER CONTACT is 11.1167
HEALTH SERVICES WITH MCC
23301 REHABILITATION without CC 1.0876
23302 REHABILITATION with CC 1.2711
23303 REHABILITATION with MCC 1.3761
23311 symptoms and ABNORMAL FINDINGS without CC 0.3760
23312 symptoms and ABNORMAL FINDINGS with CC 0.5549
23313 symptoms and ABNORMAL FINDINGS with MCC 0.8464
23321 OTHER FACTORS AFFECTING HEALTH STATUS without CC 0.3362
23322 OTHER FACTORS AFFECTING HEALTH STATUS with CC 0.9063
23323 OTHER FACTORS AFFECTING HEALTH STATUS with MCC 6.1866
24010 HIV with the performance, with several SERIOUS INFECTIONS 0.7420
ASSOCIATED WITH HIV
24020 HIV with the performance, with the ADDITIONAL DIAGNOSIS of HIV-related 2.7662
24031 HIV with the performance, without the ADDITIONAL DIAGNOSIS of HIV-related 0.3606
WITHOUT CC
24032 HIV with the performance, without the ADDITIONAL DIAGNOSIS of HIV-related 0.3606
WITH CC
24033 HIV with the performance, without the ADDITIONAL DIAGNOSIS of HIV-related 0.3606
WITH MCC
24301 HIV with VENTILATION or NUTRITIONAL SUPPORT without CC 0.7583
24302 HIV with VENTILATION or NUTRITIONAL SUPPORT with CC 0.7583
24303 HIV with VENTILATION or NUTRITIONAL SUPPORT with MCC 0.7583
24311 HIV with ANOTHER DIAGNOSIS related to HIV, RELEASED 0.1399
DESPITE MEDICAL RECOMMENDATIONS WITHOUT CC
24312 HIV with ANOTHER DIAGNOSIS related to HIV, RELEASED 0.1399
DESPITE MEDICAL RECOMMENDATIONS WITH CC
24313 HIV with ANOTHER DIAGNOSIS related to HIV, RELEASED 0.1399
DESPITE MEDICAL RECOMMENDATIONS WITH MCC
24320 HIV INFECTIONS ASSOCIATED with SEVERAL SERIOUS 4.3194
WITH HIV
24331 HIV with ANOTHER DIAGNOSIS related to HIV, without a FEW 5.1320
SERIOUS INFECTIONS RELATED TO HIV, TUBERCULOSIS
WITHOUT CC
24332 HIV with ANOTHER DIAGNOSIS related to HIV, without a FEW 5.1320
SERIOUS INFECTIONS RELATED TO HIV, TUBERCULOSIS
WITH CC
24333 HIV with ANOTHER DIAGNOSIS related to HIV, without a FEW 5.1320
SERIOUS INFECTIONS RELATED TO HIV, TUBERCULOSIS
WITH MCC
24341 HIV with ANOTHER DIAGNOSIS related to HIV, without a FEW 0.3905
SERIOUS INFECTIONS ASSOCIATED WITH HIV, WITHOUT
TUBERCULOSIS WITHOUT CC
24342 HIV with ANOTHER DIAGNOSIS related to HIV, without a FEW 0.8974
SERIOUS INFECTIONS ASSOCIATED WITH HIV, WITHOUT
TUBERCULOSIS WITH CC
24343 HIV with ANOTHER DIAGNOSIS related to HIV, without a FEW 3.0764
BINDING OF HIV-RELATED INFECTIONS, WITHOUT
TUBERCULOSIS WITH MCC
24350 HIV without FURTHER DIAGNOSIS HIV-related 2.4998
25011 CRANIOTOMY, a GREAT PERFORMANCE on the SPINE, HIP, and what. At 5.8146
MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC
25012 CRANIOTOMY, a GREAT PERFORMANCE on the SPINE, HIP, and what. At 6.6730
MULTIPLE SIGNIFICANT TRAUMA WITH CC
25013 CRANIOTOMY, a GREAT PERFORMANCE on the SPINE, HIP, and what. At 11.7773
MULTIPLE SIGNIFICANT TRAUMA WITH MCC
25021 OTHER PERFORMANCES in MULTIPLE SIGNIFICANT TRAUMA without CC 5.7233
25022 OTHER PERFORMANCES in MULTIPLE SIGNIFICANT TRAUMA with CC 5.7233
25023 OTHER PERFORMANCES in MULTIPLE SIGNIFICANT TRAUMA with MCC 9.3329
LONG-TERM MECHANICAL VENTILATION in 25030 POLYTRAUMATU > 51.3533
1 008 HOURS (MORE THAN 43 days) with the ECONOMICALLY DIFFICULT
PERFORMANCE
LONG-TERM MECHANICAL VENTILATION when 25040 POLYTRAUMATU > 40.8159
504 HOURS (22-42 days) with an ECONOMICALLY CHALLENGING PERFORMANCE
LONG-TERM MECHANICAL VENTILATION when 25051 POLYTRAUMATU > 25.1438
240 HOURS (11-21 days) with an ECONOMICALLY CHALLENGING PERFORMANCE
WITHOUT CC
LONG-TERM MECHANICAL VENTILATION when 25052 POLYTRAUMATU > 25.1438
240 HOURS (11-21 days) with an ECONOMICALLY CHALLENGING PERFORMANCE
WITH CC
LONG-TERM MECHANICAL VENTILATION when 25053 POLYTRAUMATU > 25.1438
240 HOURS (11-21 days) with an ECONOMICALLY CHALLENGING PERFORMANCE
WITH MCC
LONG-TERM MECHANICAL VENTILATION when 25061 POLYTRAUMATU with 16.0782
KRANIOTOMIÍ > 96 HOURS without CC
LONG-TERM MECHANICAL VENTILATION when 25062 POLYTRAUMATU with 16.0782
KRANIOTOMIÍ > 96 HOURS with the CC
LONG-TERM MECHANICAL VENTILATION when 25063 POLYTRAUMATU with 16.0782
KRANIOTOMIÍ > 96 HOURS with MCC
LONG-TERM MECHANICAL VENTILATION when 25071 POLYTRAUMATU > 15.9856 96
HOURS (5-10 days) with an ECONOMICALLY CHALLENGING PERFORMANCE
WITHOUT CC
LONG-TERM MECHANICAL VENTILATION when 25072 POLYTRAUMATU > 15.9856 96
HOURS (5-10 days) with an ECONOMICALLY CHALLENGING performance with CC
LONG-TERM MECHANICAL VENTILATION when 25073 POLYTRAUMATU > 15.9856 96
HOURS (5-10 days) with an ECONOMICALLY CHALLENGING PERFORMANCE
WITH MCC
25301 DIAGNOSIS on the head, the CHEST and the LOWER 0.8693
DURING MULTIPLE CATASTROPHIC TRAUMA WITHOUT CC
25302 DIAGNOSIS on the head, the CHEST and the LOWER 1.1109
DURING MULTIPLE CATASTROPHIC TRAUMA WITH CC
25303 DIAGNOSIS on the head, the CHEST and the LOWER 2.6759
DURING MULTIPLE CATASTROPHIC TRAUMA WITH MCC
25311 OTHER DIAGNOSES of SERIOUS MULTIPLE TRAUMA without CC 1.4733
25312 OTHER DIAGNOSES of SERIOUS MULTIPLE TRAUMA with CC 1.4733
25313 OTHER DIAGNOSES of SERIOUS MULTIPLE TRAUMA with MCC 1.4733
LONG-TERM MECHANICAL VENTILATION at 25320 POLYTRAUMATU > 139.1328
1 008 HOURS (MORE THAN 43 days)
LONG-TERM MECHANICAL VENTILATION when 25330 POLYTRAUMATU > 45.6220
504 HOURS (22-42 days)
25341 LONG-TERM MECHANICAL VENTILATION at POLYTRAUMATU > 17.2268
240 HOURS (11-21 days) without CC
LONG-TERM MECHANICAL VENTILATION when 25342 POLYTRAUMATU > 17.2268
240 HOURS (11-21 days) with CC
LONG-TERM MECHANICAL VENTILATION when 25343 POLYTRAUMATU > 17.2268
240 HOURS (11-21 days) with MCC
LONG-TERM MECHANICAL VENTILATION when 25361 POLYTRAUMATU > 12.4960
96 HOURS (5-10 days) without CC
LONG-TERM MECHANICAL VENTILATION when 25362 POLYTRAUMATU > 12.4960
96 HOURS (5-10 days) with CC
LONG-TERM MECHANICAL VENTILATION when 25363 POLYTRAUMATU > 12.4960
96 HOURS (5-10 days) with MCC
25370 DEATHS within 5 days FROM RECEIPT at POLYTRAUMATU 2.8388
88871 EXTENSIVE performances that DO NOT RELATE to the MAIN DIAGNOSIS 0.9311
WITHOUT CC
88872 EXTENSIVE performances that DO NOT RELATE to the MAIN DIAGNOSIS 2.1685
WITH CC
88873 EXTENSIVE performances that DO NOT RELATE to the MAIN DIAGNOSIS 5.4836
WITH MCC
88881 PROSTATIC performances that DO NOT RELATE to the MAIN DIAGNOSIS 0.8264
WITHOUT CC
88882 PROSTATIC performances that DO NOT RELATE to the MAIN DIAGNOSIS 0.9413
WITH CC
88883 PROSTATIC performances that DO NOT RELATE to the MAIN DIAGNOSIS 1.0312
WITH MCC
88891 PERFORMANCES limited which DO NOT RELATE to the MAIN 0.4231
THE DIAGNOSIS WITHOUT CC
88892 PERFORMANCES limited which DO NOT RELATE to the MAIN 0.8632
DIAGNOSIS WITH CC
88893 PERFORMANCES limited which DO NOT RELATE to the MAIN 2.2505
DIAGNOSIS WITH MCC
99980 MAIN DIAGNOSIS INVALID AS LAYOFF DIAGNOSIS 0.3834
99990-0.2844
--------- -----------------------------------------------------------------------
Annex 10
The group related to the diagnosis, according to Klasifikace5), with indexes of these groups
used to calculate the value of the CMalfa2008
--------- -----------------------------------------------------------------------
IR-DRG ^ 5) group name Index
--------- -----------------------------------------------------------------------
01351 NON-SPECIFIC STROKE and PRECEREBRÁLNÍ OCCLUSION 0.6548
WITHOUT A HEART ATTACK WITHOUT CC
01352 NON-SPECIFIC STROKE and PRECEREBRÁLNÍ OCCLUSION 0.7858
WITHOUT A HEART ATTACK WITH THE CC
01353 NON-SPECIFIC STROKE and PRECEREBRÁLNÍ OCCLUSION 1.104
WITHOUT A HEART ATTACK WITH MCC
01361 TRANSIENT ISCHEMIC ATTACKS without CC 0.4714
01362 TRANSIENT ISCHEMIC ATTACKS with CC 0.5461
01363 of TRANSIENT ISCHEMIC ATTACK with MCC 0.6632
01421 EPILEPTIC SEIZURES without CC 0.4581
01422 EPILEPTIC SEIZURE with CC 0.578
01423 EPILEPTIC SEIZURE with MCC 1.0264
01451 CONCUSSION without CC 0.2424
01452 CONCUSSION with CC 0.2721
01453 CONCUSSION with MCC 0.4606
OTHER DISORDERS of the EYE without 02321 CC 0.2643
OTHER DISORDERS of the eye with the 02322 CC 0.3109
OTHER DISORDERS of the EYE with 02323 MCC 0.3725
03061 PERFORMANCES on SALIVARY GLAND without CC 0.7122
03062 PERFORMANCES on SALIVARY GLAND with CC 0.8531
03063 PERFORMANCES on SALIVARY GLAND with MCC 1.1991
03081 PERFORMANCES on the neck and NOSE TONSILS without CC 0.3527
03082 PERFORMANCES on the CERVICAL and NASAL ALMONDS with CC 0.448
03083 PERFORMANCES on the CERVICAL and NASAL ALMONDS with MCC 0.7265
03311 BALANCE DISORDERS without CC 0.4264
03312 DISORDERS balance with CC 0.4985
BALANCE DISORDERS with MCC 03313 0.5455
03321 EPISTAXIS without CC 0.2494
03322 EPISTAXIS with CC 0.3032
03323 EPISTAXIS with MCC 0.4016
DISEASES of the TEETH and mouth 03341 without CC 0.497
03342 DISEASES of the TEETH and mouth with CC 0.5843
DISEASES of the TEETH and mouth 03343 with MCC 0.8715
04351 RESPIRATORY SYSTEM infection and inflammation without CC 1.1119
04352 RESPIRATORY SYSTEM infection and inflammation with CC 1.5364
04353 RESPIRATORY SYSTEM infection and inflammation with MCC 3.5769
04391 INTERSTITIAL LUNG DISEASE without CC 0.7743
04392 INTERSTITIAL LUNG DISEASE with CC 0.8131
04393 INTERSTITIAL LUNG DISEASE with MCC 1.1161
05021 PERFORMANCES at the HEART of the HEART without the FLAP LEFT SYLVIAN FISSURE CC 15.9076
05022 PERFORMANCES on the HEART, the HEART LEFT SYLVIAN FISSURE FLAP with CC 16.8148
05023 PERFORMANCES at the HEART the HEART is LEFT SYLVIAN FISSURE FLAP with MCC 20.1459
05041 PERFORMANCES on the FLAP of the HEART without CARDIAC CATHETERIZATION without CC 11.5768
05042 PERFORMANCES on HEART FLAP without CARDIAC CATHETERIZATION with CC 12.1642
05043 PERFORMANCES on the FLAP of the HEART without CARDIAC CATHETERIZATION with MCC 16.3775
05051 CORONARY BYPASS SURGERY with HEART LEFT SYLVIAN FISSURE without CC 9.5838
05052 CORONARY BYPASS SURGERY with HEART LEFT SYLVIAN FISSURE with CC 9.5838
05053 CORONARY BYPASS SURGERY with HEART LEFT SYLVIAN FISSURE with MCC 11.0004
05061 CORONARY BYPASS SURGERY without CARDIAC CATHETERIZATION without CC 7.5139
05062 CORONARY BYPASS SURGERY without CARDIAC CATHETERIZATION with CC 7.9754
05063 CORONARY BYPASS SURGERY without CARDIAC CATHETERIZATION with MCC 8.8554
05101 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE DURING ACUTE 4.8038
MYOCARDIAL INFARCTION WITHOUT CC
05102 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE DURING ACUTE 4.8038
MYOCARDIAL INFARCTION WITH CC
05103 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE DURING ACUTE 6.2605
MYOCARDIAL INFARCTION WITH MCC
05131 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE without ACUTE 4.508
MYOCARDIAL INFARCTION WITHOUT CC
05132 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE without ACUTE 4.508
MYOCARDIAL INFARCTION WITH CC
05133 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE without ACUTE 4.9639
MYOCARDIAL INFARCTION WITH MCC
DUE to the FAILURE of 05151 AMPUTATION of the CIRCULATORY SYSTEM, in ADDITION to the UPPER 1.9141
THE LIMBS AND FINGERS WITH LEGS WITHOUT CC
05152 AMPUTATION DUE to FAILURE of the CIRCULATORY SYSTEM, in ADDITION to the UPPER 2.5869
THE LIMBS AND FINGERS AT THE FOOT WITH CC
DUE to the FAILURE of 05153 AMPUTATION of the CIRCULATORY SYSTEM, in ADDITION to the UPPER 4.2702
THE LIMBS AND FINGERS AT THE FOOT WITH MCC
05171 AMPUTATION of UPPER LIMBS and the FINGER for the DISORDER at the foot of 1.1112
THE CIRCULATORY SYSTEM WITHOUT CC
05172 AMPUTATION of the UPPER LIMB and TOE with FEET for the DISORDER 1.534
THE CIRCULATORY SYSTEM WITH THE CC
05173 AMPUTATION of UPPER LIMBS and the FINGER for the DISORDER at the foot of 3.2858
THE CIRCULATORY SYSTEM WITH MCC
05221 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS COATED > = 3 16.5466
DURING ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05222 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS COATED > = 3 16.5466
IN THE ACUTE MYOCARDIAL INFARCTION WITH CC
05223 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS COATED > = 3 16.5466
IN THE ACUTE MYOCARDIAL INFARCTION WITH MCC
05231 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS COATED < = 2 7.1902
DURING ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05232 PERCUTANEOUS CORONARY angioplasty, STENTS COATED < = 2 8.3739
IN THE ACUTE MYOCARDIAL INFARCTION WITH CC
05233 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS COATED < = 2 10.0806
IN THE ACUTE MYOCARDIAL INFARCTION WITH MCC
05241 PERCUTANEOUS CORONARY angioplasty, STENTS when > = 3 9.3031
ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05242 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS when > = 3 10.3474
ACUTE MYOCARDIAL INFARCTION WITH CC
05243 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS when > = 3 13.0239
ACUTE MYOCARDIAL INFARCTION WITH MCC
05261 PERCUTANEOUS CORONARY angioplasty, STENTS COATED > = 3 12.7973
WITHOUT THE ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05262 PERCUTANEOUS CORONARY angioplasty, STENTS COATED > = 3 13.4586
WITHOUT THE ACUTE MYOCARDIAL INFARCTION WITH CC
05263 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS COATED > = 3 13.4586
WITHOUT THE ACUTE MYOCARDIAL INFARCTION WITH MCC
05271 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS COATED < = 2 6.1329
WITHOUT THE ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05272 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS COATED < = 2 6.7609
WITHOUT THE ACUTE MYOCARDIAL INFARCTION WITH CC
05273 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS COATED < = 2 7.3592
WITHOUT THE ACUTE MYOCARDIAL INFARCTION WITH MCC
05281 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS without > = 3 8.6966
ACUTE MYOCARDIAL INFARCTION WITHOUT CC
05282 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS without > = 3 9.3463
ACUTE MYOCARDIAL INFARCTION WITH CC
05283 PERCUTANEOUS CORONARY ANGIOPLASTY, STENTS > = 3 without 11.226
ACUTE MYOCARDIAL INFARCTION WITH MCC
05291 PERCUTANEOUS CATHETER ABLATION without ACUTE MYOCARDIAL 9.848
INFARCTION WITHOUT CC
05292 PERCUTANEOUS CATHETER ABLATION without ACUTE MYOCARDIAL 9.848
INFARCTION WITH CC
05293 PERCUTANEOUS CATHETER ABLATION without ACUTE MYOCARDIAL 9.848
INFARCTION WITH MCC
05311 CARDIAC CATHETERIZATION in the ISCHEMIC HEART without CC 0.6336
05312 CARDIAC CATHETERIZATION in the ISCHEMIC HEART with CC 0.7368
05313 CARDIAC CATHETERIZATION in the ISCHEMIC HEART with MCC 0.8109
05391 ATHEROSCLEROSIS without CC 0.439
05392 ATHEROSCLEROSIS with CC 0.6042
05393 ATHEROSCLEROSIS with MCC 0.9448
05401 HYPERTENSION without CC 0.3958
05402 HYPERTENSION with CC 0.4661
05403 HYPERTENSION with MCC 0.5487
06011 LARGE PERFORMANCES on THICK and THIN STŘEVU without-CC 3.3212
GREAT PERFORMANCE on FAT 06012 and THIN STŘEVU with CC 3.9606
GREAT PERFORMANCE on FAT 06013 and THIN STŘEVU with MCC 5.9249
06051 PERFORMANCES on APENDIX without CC 0.7566
06052 PERFORMANCES on APENDIX with CC 0.9897
06053 PERFORMANCES on the APENDIX with MCC 1.6828
LAPAROTOMICKÉ PERFORMANCES when 06081 INGUINAL, Femoral, UMBILICAL 0.4694
OR EPIGASTRIC KÝLE WITHOUT-CC
06082 LAPAROTOMICKÉ PERFORMANCES in the INGUINAL, Femoral, UMBILICAL 0.6714
OR EPIGASTRIC KÝLE WITH CC
LAPAROTOMICKÉ PERFORMANCES when 06083 INGUINAL, Femoral, UMBILICAL 1.0373
OR EPIGASTRIC KÝLE WITH MCC
06311 PEPTIC ULCER and GASTRITIS without CC 0.468
06312 PEPTIC ULCER and GASTRITIS with CC 0.7827
06313 PEPTIC ULCER and GASTRITIS with MCC 1.2081
06331 DIVERTICULITIS, DIVERTICULOSIS and INFLAMMATORY DISEASE 0.5033
THE INTESTINE WITHOUT CC
06332 DIVERTICULITIS, DIVERTICULOSIS and INFLAMMATORY DISEASE 0.6548
THE INTESTINES WITH CC
06333 DIVERTICULITIS, DIVERTICULOSIS and INFLAMMATORY DISEASE 1.4263
THE INTESTINES WITH MCC
06351 OBSTRUCTION of the GASTROINTESTINAL SYSTEM without CC 0.4254
OBSTRUCTION of the GASTROINTESTINAL SYSTEM 06352 with CC 0.6122
06353 OBSTRUCTION of the GASTROINTESTINAL SYSTEM with MCC 1.309
06371 OTHER GASTROENTERITIS and ABDOMINAL PAIN without CC 0.2834
06372 OTHER GASTROENTERITIS and ABDOMINAL PAIN with CC 0.4209
06373 OTHER GASTROENTERITIS and ABDOMINAL PAIN with MCC 0.5866
in ADDITION to LAPAROSCOPIC CHOLECYSTECTOMY, 07031 without CC 1.26
07032 CHOLECYSTECTOMY, LAPAROSCOPIC 1.8644 in ADDITION with CC
in ADDITION to LAPAROSCOPIC CHOLECYSTECTOMY, 07033 with MCC 3.1713
OTHER DISORDERS of the BILIARY TRACT 07341 without CC 0.5266
OTHER DISORDERS of the BILIARY TRACT 07342 with CC 0.7564
07343 OTHER DISORDERS of the BILE DUCTS with MCC 1.0783
08031 FUSION of SPINE, not for the DEFORMITY without CC 5.231
08032 FUSION of the SPINE, NOT for DEFORMITY with CC 5.9789
08033 FUSION of the SPINE, NOT for DEFORMITY with MCC 7.576
08081 PERFORMANCES on the HIPS and thigh BONES, in ADDITION REPLANTACE 2.0973
THE LARGE JOINTS WITHOUT CC
08082 PERFORMANCES on the HIPS and thigh BONES, in ADDITION REPLANTACE 2.4736
THE LARGE JOINTS WITH CC
08083 PERFORMANCES on the HIPS and THIGH BONES, in ADDITION REPLANTACE 3.2418
THE LARGE JOINTS WITH MCC
08101 PERFORMANCES on HIS BACK and neck, in ADDITION to the FUSION of the SPINE without CC 1.2288
08102 PERFORMANCES on HIS BACK and neck, in ADDITION to the FUSION of the SPINE with CC 1.7562
08103 PERFORMANCES on HIS BACK and neck, in ADDITION to the FUSION of the SPINE with MCC 2.3104
08121 CUT INTERNAL FIXATION DEVICE without CC 0.295
REMOVAL of INTERNAL FIXATION DEVICES 08122 with CC 0.3239
REMOVAL of INTERNAL FIXATION DEVICES 08123 with MCC 0.4559
08371 CONSERVATIVE TREATMENT for BACK PROBLEMS without CC 0.502
08372 CONSERVATIVE TREATMENT of BACK PROBLEMS with CC 0.6009
08373 the CONSERVATIVE TREATMENT of BACK PROBLEMS with MCC 0.7086
09301 SERIOUS SKIN DISORDERS without CC 0.79
09302 SERIOUS DISORDERS of the skin with CC 0.8304
09303 SERIOUS DISORDERS of the skin with MCC 0.9999
09321 FLEGMÓNA without CC 0.4996
09322 FLEGMÓNA with CC 0.741
09323 FLEGMÓNA with MCC 0.9489
09341 OTHER DISORDERS of the skin and the BREAST without the CC 0.4071
09342 OTHER DISORDERS of skin and BREAST with CC 0.5775
OTHER SKIN DISORDERS and 09343 BREAST with MCC 0.7576
10041 AMPUTATION of the LOWER LIMB in the ENDOCRINE, NUTRITIONAL 1.8811
AND METABOLIC DISORDERS WITHOUT CC
10042 AMPUTATION of the LOWER LIMB in the ENDOCRINE, NUTRITIONAL 2.246
AND METABOLIC DISORDERS WITH CC
10043 AMPUTATION of the LOWER LIMB in the ENDOCRINE, NUTRITIONAL 2.246
AND METABOLIC DISORDERS WITH MCC
10051 PERFORMANCES on the THYROID and the PARATHYROID GLAND, THYROGLOSSÁLNÍ PERFORMANCE 0.9157
WITHOUT CC
10052 PERFORMANCES on the THYROID and the PARATHYROID GLAND, THYROGLOSSÁLNÍ PERFORMANCES of 1.009
WITH CC
10053 PERFORMANCES on the THYROID and the PARATHYROID GLAND, THYROGLOSSÁLNÍ PERFORMANCE 1.1147
WITH MCC
10301 DIABETES, NUTRITIONAL and other METABOLIC DISORDERS without CC 0.4919
10302 DIABETES, NUTRITIONAL and other METABOLIC DISORDERS with CC 0.604
10303 DIABETES, NUTRITIONAL and other METABOLIC DISORDERS with MCC 0.9586
11051 LESS PERFORMANCES on the KIDNEYS, URINARY TRACT and URINARY 0.9339
BLADDER WITHOUT CC
11052 LESS PERFORMANCES on the KIDNEYS, URINARY TRACT and URINARY 0.9817
BLADDER WITH CC
11053 LESS PERFORMANCES on the KIDNEYS, URINARY TRACT and URINARY 1.4489
BLADDER WITH MCC
11061 PROSTATECTOMY without CC 0.9986
11062 PROSTATECTOMY with CC 1.1386
11063 PROSTATECTOMY with MCC 1.3764
11071 URETHRAL and TRANSURETHRAL PERFORMANCES without CC 0.4571
11072 URETHRAL and TRANSURETHRAL PERFORMANCES with CC 0.5501
11073 URETHRAL and TRANSURETHRAL PERFORMANCES with MCC 0.6704
11321 KIDNEY INFECTION and urinary tract without CC 0.4442
11322 KIDNEY INFECTION and urinary tract with CC 0.6081
11323 KIDNEY INFECTION and urinary tract with MCC 0.8134
11331 BLADDER STONES with EXTRACORPOREAL SHOCK WAVE LITOTRYPSÍ without-CC 0.4037
11332 BLADDER STONES with EXTRACORPOREAL SHOCK WAVE LITOTRYPSÍ with CC 0.5688
11333 BLADDER STONES with EXTRACORPOREAL SHOCK WAVE LITOTRYPSÍ with MCC 0.5688
11341 BLADDER STONES without EXTRACORPOREAL LITOTRYPSE without-CC 0.2971
11342 BLADDER STONES without EXTRACORPOREAL LITOTRYPSE with CC 0.4181
11343 BLADDER STONES without EXTRACORPOREAL LITOTRYPSE with MCC 0.5754
12021 PERFORMANCES on the PENIS without CC 0.3858
12022 PERFORMANCES on the PENIS with CC 0.5571
12023 PERFORMANCES on the PENIS with MCC 0.5571
12031 TRANSURETHRAL PROSTATECTOMY without CC 0.8386
12032 TRANSURETHRAL PROSTATECTOMY with CC 1.0148
12033 TRANSURETHRAL PROSTATECTOMY with MCC 1.0148
12051 CIRCUMCISION without CC 0.2569
12052 CIRCUMCISION with CC 0.28
12053 CIRCUMCISION with MCC 0.3494
13011 EXENTERACE PANS, RADICAL HYSTERECTOMY and radical 2.7644
VULVEKTOMIE WITHOUT-CC
13012 EXENTERACE PANS, RADICAL HYSTERECTOMY and radical 3.0913
VULVEKTOMIE WITH CC
13013 EXENTERACE PANS, RADICAL HYSTERECTOMY and radical 3.0913
VULVEKTOMIE WITH MCC
13021 PERFORMANCES on the UTERUS and ADNEXECH for MALIGNANT DISEASE on 2.3502
OVARIÍCH AND ADNEXECH WITHOUT-CC
13022 PERFORMANCES on the UTERUS and ADNEXECH for MALIGNANT DISEASE to 2.945
OVARIÍCH AND ADNEXECH WITH CC
13023 PERFORMANCES on the UTERUS and ADNEXECH for MALIGNANT DISEASE to 2.945
OVARIÍCH AND ADNEXECH WITH MCC
13051 GYNECOLOGICAL LAPAROSCOPY or LAPAROTOMICKÁ 0.463 STERILIZATION
WITHOUT CC
13052 GYNECOLOGICAL LAPAROSCOPY or LAPAROTOMICKÁ 0.7342 STERILIZATION
WITH CC
13053 GYNECOLOGICAL LAPAROSCOPY or LAPAROTOMICKÁ 1.2553 STERILIZATION
WITH MCC
13071 VAGINAL, CERVICAL and VULVOVÉ PERFORMANCES without CC 0.2638
13072 VAGINAL, CERVICAL and VULVOVÉ PERFORMANCES with CC 0.4005
13073 VAGINAL, CERVICAL and VULVOVÉ PERFORMANCES with MCC 0.6491
13081 ENDOSCOPIC INTERRUPTION of FALLOPIAN TUBE without CC 0.5487
13082 ENDOSCOPIC INTERRUPTION of FALLOPIAN TUBE with CC 0.5843
13083 ENDOSCOPIC INTERRUPTION of FALLOPIAN TUBE with MCC 0.5843
13311 INFECTION of the FEMALE REPRODUCTIVE SYSTEM without CC 0.2962
13312 INFECTION of the FEMALE REPRODUCTIVE SYSTEM with CC 0.5153
13313 INFECTION of the FEMALE REPRODUCTIVE SYSTEM with MCC 0.5153
14601 BIRTH CESAREAN SECTION without CC 0.8903
14602 BIRTH CESAREAN SECTION with CC 1.0723
14603 BIRTH CESAREAN SECTION with MCC 1.2703
14611 VAGINAL CHILDBIRTH, STERILIZATION and/or DILATION and KYRETÁŽÍ 0.6391
WITHOUT CC
14612 VAGINAL CHILDBIRTH, STERILIZATION and/or DILATION and KYRETÁŽÍ 0.7571
WITH CC
14613 VAGINAL CHILDBIRTH, STERILIZATION and/or DILATION and KYRETÁŽÍ 0.9687
WITH MCC
14631 VAGINAL CHILDBIRTH without CC 0.4919
14632 VAGINAL CHILDBIRTH with CC 0.5565
14633 VAGINAL CHILDBIRTH with MCC 0.5565
14641 ABORTION dilation and KYRETÁŽÍ, KYRETÁŽÍ or 0.1879 ASPIRATION
HYSTERECTOMIES WITHOUT CC
14642 ABORTION dilation and KYRETÁŽÍ, KYRETÁŽÍ or 0.2202 ASPIRATION
HYSTERECTOMIES WITH CC
14643 ABORTION dilation and KYRETÁŽÍ, KYRETÁŽÍ or 0.2379 ASPIRATION
HYSTERECTOMIES WITH MCC
14651 ABORTION without dilation and CURETTAGE, 0.1741 ASPIRATION CURETTAGE
OR A HYSTERECTOMY WITHOUT CC
14652 ABORTION without dilation and CURETTAGE, 0.1741 ASPIRATION CURETTAGE
OR A HYSTERECTOMY WITH CC
14653 ABORTION without dilation and CURETTAGE, 0.1741 ASPIRATION CURETTAGE
OR A HYSTERECTOMY WITH MCC
14701 THREATENED ABORTION without CC 0.3099
14702 THREATENED ABORTION with CC 0.4775
14703 THREATENED ABORTION with MCC 0.4775
14711 FAKE BIRTH without CC 0.1513
14712 FAKE BIRTH with CC 0.216
14713 FAKE BIRTH with MCC 0.216
15691 newborn, BIRTH WEIGHT of 2 000-2 499 G, without 0.9626
THE BASIC PERFORMANCE WITHOUT CC
15692 newborn, BIRTH WEIGHT of 2 000-2 499 G, without 1.9467
THE BASIC PERFORMANCE WITH CC
15693 newborn, BIRTH WEIGHT of 2 000-2 499 G, without 4.2844
THE BASIC PERFORMANCE WITH MCC
15751 newborn, BIRTH WEIGHT > 2 499 G, without a BASIC 0.2742
PERFORMANCE WITHOUT CC
15752 newborn, BIRTH WEIGHT > 2 499 G, without a BASIC 0.3616
PERFORMANCE WITH CC
15753 newborn, BIRTH WEIGHT > 2 499 G, without BASIC 0.41
PERFORMANCE WITH MCC
18311 POSTOPERATIVE and POSTTRAUMATIC INFECTIONS without CC 0.6324
18312 post-operative and POSTTRAUMATIC infections with CC 0.9376
of POST-OPERATIVE and POSTTRAUMATIC 18313 INFECTION with MCC 1.581
18331 VIRAL DISEASE without CC 0.427
18332 VIRAL DISEASE with CC 0.5591
18333 VIRAL DISEASE with MCC 0.6982
20301 the HARMFUL USE of ALCOHOL, DRUGS, DRUG ABUSE, DEPENDENCE on THEM, 0.1401
THE RELEASE AGAINST THE DOCTOR'S RECOMMENDATIONS WITHOUT CC
20302 the HARMFUL USE of ALCOHOL, DRUGS, DRUG ABUSE, DEPENDENCE on THEM, 0.1401
WITH THE RELEASE OF THE DOCTOR'S RECOMMENDATION AGAINST CC
20303 HARMFUL USE of ALCOHOL, DRUGS, DRUG ABUSE, DEPENDENCE on THEM, 0.1401
THE RELEASE OF THE DOCTOR'S RECOMMENDATION WITH MCC
20331 HARMFUL use and DEPENDENCE on ALCOHOL without CC 0.4149
20332 HARMFUL use and DEPENDENCE on ALCOHOL with CC 0.5093
20333 HARMFUL use and DEPENDENCE on ALCOHOL with MCC 0.8676
--------- -----------------------------------------------------------------------
Annex 11
The amount of the reimbursement of health care under section 7
-------- ----------------------------------------------- ---------------------------------------------------------
Code Enforcement regulatory restrictions of the above remuneration
-------- ----------------------------------------------- ---------------------------------------------------------
00901 Examination and treatment of a registered combination of 00901, 00902, 00946
the insured person or unable to report in one 00947
Examination of the State of teeth, periodontal disease, mucous calendar quarter. You can report 1/1
and the soft tissues of the oral cavity, jaw on the insured's State of the year within the care
and mezičelistních relations, medical histories, and adults and children individual dental care 368 Czk
determination of the treatment plan in the context of care and adolescents.
paid for by health insurance. Training expertise-014 with acknowledgement of
(only once per insured person)/kontrola systematic participation in the system of training
oral hygiene, hygiene of interdental, actions of the lifelong education of dental
massage, removal of tartar, including doctors ^ 6)
the treatment of common conditions and inflammation of the gingiva
and the mucous membranes of the oral cavity, periodontal disease
(periodontal abscess, thrush treatment
of herpes or dekubitu caused by scanning
replacement and other) treatment dentitio
difficilis regardless of the number of visits.
-------- ----------------------------------------------- ---------------------------------------------------------
00902 Repeated examination and treatment in the context of the Combined Code 00901, 00902, 00946 or
preventive care 00947 not kick in one calendar
Repeated examination of the State of teeth, quarter. You can report 1/1 year
periodontal disease and soft tissue, mucous cavity of the policyholder within individual care
oral. Control of oral hygiene, adults and under the individual care of 294 Czk
interdental hygiene, including denture care of children up to 6 years; 2/year within
common afflictions, and inflammation of the gingiva and mucosa of the individual dental care of children and adolescents
oral, periodontal disease (periodontal from 6 to 18 years of age, pregnant women, 2 x in
abscess, oral thrush, treatment of herpes, or during pregnancy.
dekubitu caused by sensor replacement and expertise-014 with acknowledgement of
other) treatment dentitio difficilis without systematic participation in the system of training
regardless of the number of visits. Topical application of actions of the lifelong education of dental
fluoride preparations, according to doctors with the use of ^ 6).
Annex No. 1 of the Act.
-------- ----------------------------------------------- ---------------------------------------------------------
00903 Requested examination by an expert or you cannot combine with code 00908. Can be
specialist report 1/1 day. Expertise-014 with
Examination by an expert or a specialist certificate of continuous participation in the
on the basis of the recommendation of another doctor (in the system of lifelong training events
urgent States even without a recommendation), the training of dental practitioners ^ 6); 015; 605.200 Czk
a short written report. Not picking
treatment.
-------- ----------------------------------------------- ---------------------------------------------------------
00904 Dental examination of the registered hours can 1/1 year only in the context of
the insured person from 1 year to 6 years under the code and, where applicable, 00947 00902
preventive care diagnosis of 012-dental examination. 105 Eur
Expertise-014.
-------- ----------------------------------------------- ---------------------------------------------------------
Dental treatment to the insured's 00906 hours can 1/1 day.
6 years or hendikepovaného policyholders expertise-014.
Remuneration takes into account the increased time
performance of the insured's treatment. Holder
confirmation of systematic participation in system 95 Czk
courses for lifelong learning
dentists ^ 7) hours can even when in
the requested care of undocumented
the insured person.
-------- ----------------------------------------------- ---------------------------------------------------------
Dental treatment the insured 00907 from 6 years To report 1/1 day.
to 15 years only when visiting kurativní (cannot be
Remuneration takes into account the increased time sheet codes 00901, 00902, 00903,
performance of the insured's treatment. Holder, 00909 00946, 00947 and diagnosis of 012-
the confirmation of continuous participation in the system of dental examinations). 68 Czk
training events for lifelong learning expertise-014.
dentists ^ 7) hours can even when
the requested care of undocumented policy holder.
-------- ----------------------------------------------- ---------------------------------------------------------
00908 Acute treatment and examination cannot be combined with code and 00909 00903.
unregistered beneficiary within hours can 1/1 day.
emergency services expertise-014.
Acute treatment of accidental insured persons outside the
framework of preventive care. Treatment includes 295 Czk
examination, palliative treatment in
endodoncy, amputation and pulp, exstirpaci
temporary fill, topical treatments
gingiva/lining, conservative treatment
dentitio difficilis or parodontálního
drain the abscess, Exchange, repair/adjustment of the fixed
or dentures in the doctor's Office
and the like.
-------- ----------------------------------------------- ---------------------------------------------------------
00909 Clinical dental examinations cannot be combined with the codes, 00901
Examination of expert clinical 00902, 00903, 908.00945, 00946 and
workplace on the basis of the recommendation of another 00947. Combined skódem 00907
doctor (when urgent States even without the report cannot be independently with the diagnosis of 012
recommendations), a short written report. -dental examination. The code can be nasmlouvat 410 Czk
May not establish treatment. even by the dental device
and the Dental Research Institute.
You can report 1/1 day.
When the diagnosis requiring recurring
You can visit vykázatjen once,
with cleft defects, cancer
and Traumatology diagnosis report can be
only once, at the start of treatment.
Expertise-014; 015.
-------- ----------------------------------------------- ---------------------------------------------------------
00910 Making x-ray-intraorálního you can report without restrictions.
slide the expertise-014; 015; 605.
Making a radiograph on the Special
dentálním x-ray apparatus or other
imaging method (condition is 70 CZK
the slide).
Has medical facilities, which
indicates the snapshot (even when making
the slide in another health care facility).
-------- ----------------------------------------------- ---------------------------------------------------------
00911 Making x-ray-extraorálního you can report without restrictions.
slide the expertise-014; 015; 605.
The making of a skiagrafie skull different
projections for each frame. Exhibits
medical devices that frame 225 Czk
indicate, in the case of expertise and 015
radiograph of the hand (determination of the phase
the growth of the skeleton).
-------- ----------------------------------------------- ---------------------------------------------------------
00912 contrast medium Filling the salivary glands can be kick-without restrictions.
Earth, dilation, salivary glands, and expertise-014 with proof of continuous
the ducts of the contrast medium. Subsequent participation in the system of training events
x-ray examination is reported from the code of the lifelong education of dental
00911 or 00913 medical facilities, lékařů6]; 605.581 Eur
that snapshot indicates.
-------- ----------------------------------------------- ---------------------------------------------------------
00913 Making ortopantomogramu hours can 1/2 years (limitation of
The making of a extraorálního panoramic frequencies do not pay for the expertise of 605,
slide on a special x-ray 015 and for confirmation of expertise 014
the device. Has medical facilities, systematic participation in the system of training
that snapshot indicates. the actions of the lifelong education of dental 275 Czk
lékařů6]; 015; 605.
-------- ----------------------------------------------- ---------------------------------------------------------
00914 Evaluation ortopantomogramu you can report 1/1 frame/1
Evaluation of panoramic x-ray medical equipment.
frame arches and the skeleton of the jaws, expertise-014; 015; 605.
or other extraorálních images.
Medical device that shows 70 CZK
indicates the snapshot (even when making
the slide in another medical devices);
in the case of the insured's submit to another
a dentist who holds a
confirmation of systematic participation in the system
courses for lifelong learning
dentists ^ 7), this code can report the
medical device.
-------- ----------------------------------------------- ---------------------------------------------------------
00915 Making telerentgenového slide lbi hours can 1/1 year.
Making remote x-ray snapshot of expertise-014 with proof of continuous
LBI on a special x-ray machine. participation in the system of training events
Medical device that shows the lifelong education of dental
snapshot indicates. ^ 6 practitioners); 015; 605.270 Czk
-------- ----------------------------------------------- ---------------------------------------------------------
00916 anesthesia on the foramen mandibulae and hours can-without restrictions.
infraorbitale expertise-014; 015; 605.
The application of injectable anesthesia on the foramen
mandibulae (the application is included in the
nervus buccalis) and foramen infraorbitale 100 Czk
(the application is included on the nervus
The Palatinus), in all cases, if the
anesthesia is indicated by a physician.
-------- ----------------------------------------------- ---------------------------------------------------------
00917 Anesthesia infiltrační hours can-without restrictions.
Application of injectable anesthesia for every expertise-014; 015; 605.
Sextant including anesthesia on the foramen
the foramen mentale, palatinum maius and
the foramen incisivum. Anestezovaná counts 80 CZK
the area, not the number of strokes; in all the
the cases, if the anesthesia is indicated
doctor.
-------- ----------------------------------------------- ---------------------------------------------------------
00920 Treatment of tooth decay-permanent tooth-tooth/hours can 1 l/day.
composite fill location-tooth.
Treatment of dental caries of the standing of the tooth expertise-014; 015; 605.
composite fillings for insured persons under 18
years in the range of the Studio including, regardless of 315 Czk
the number of pads fills or any number of
small fillings on one tooth.
-------- ----------------------------------------------- ---------------------------------------------------------
00921 Treatment of tooth decay-permanent tooth hours can 1 tooth/365 days.
Treatment of tooth decay finally fills, limiting the frequency of senetýká cases, when
regardless of the number of pads fills or repeated fill is made due to the
any number of minor complications insets on a single treated tooth decay or
the tooth, when you use the samopolymerujících accident-in this case the fill 220 Czk
composite materials in the scope of the canine teeth present with another diagnosis. Before
including, and nedózovaného in the entire amalgam for 1 year can be vykázatvýplň in the case of
the range. high cavities in baby přizávažných
of the total, or diseases
damage of teeth.
Location-tooth.
Expertise-014; 015; 605.
-------- ----------------------------------------------- ---------------------------------------------------------
00922 Treatment of tooth decay-a temporary tooth Can declare 1 tooth/6 months.
Treatment of dental caries of the temporary restrictions on frequency of tooth senetýká in cases where the
Finally, regardless of the number of repeated the fill is made due to the
fill any number of faces or minor complications treated tooth decay or
fill in one of the tooth and the material used. accident-in this case the fill 126 Usd
reported with another diagnosis. Earlier than
6 months can be vykázatvýplň in the case of
high přizávažných cavities in baby Grand
diseases.
Location-tooth.
Expertise-014; 015; 605.
-------- ----------------------------------------------- ---------------------------------------------------------
00923 conservative treatment dental complications cannot be combined with code 00925.
decay-permanent tooth hours can 1/1 channel/1 tooth. For more
Includes Palliative performance, mechanical, than one Canal jenutno demonstrate
chemical and drug preparation radiograph.
and provisional restorations. Location-tooth. 181 Usd
After clinching the endodontickém treatment of the tooth expertise-014; 015; 605.
for each full root canal
the standard material in accordance with Annex No 1
the law. The number of visits to a not selected.
-------- ----------------------------------------------- ---------------------------------------------------------
00924 conservative treatment of complications of dental hours can 1/1 channel/1 tooth.
tooth decay-temporary location-tooth.
After clinching the endodontickém treatment expertise-014; 015; 605.
temporary tooth standard material
According to the annex No. 1 of the Act method vital 176 Czk
or mortální amputation of 1 x. When the eventual
exstirpaci each filled root
Canal. Treatment is possible, if it is
temporary tooth clinically hard. According to the
up to half of the x-ray resorbtion
the root.
-------- ----------------------------------------------- ---------------------------------------------------------
00925 conservative treatment dental complications cannot be combined with code 00923.
caries (II). -permanent tooth hours can 1/1 channel/tooth.
Includes Palliative performance, mechanical, For more than one channel to be
drug preparation and makeshift demonstrate radiograph.
the fill. After clinching the endodontickém location-tooth. 265 Usd
treatment of the tooth using standard material expertise-014; 015; 605.
According to the annex No. 1 of the Act, for each
full root canal agreed
When using the standard procedure
the registered material. The number of visits
does not act. Even when the treatment of the tooth using the method
apexifikace.
-------- ----------------------------------------------- ---------------------------------------------------------
conservative treatment of chronic 00931 hours can 1/1 year.
periodontal disease expertise-014 with proof of continuous
Periodontal examination, examination of the participation in the system of training events
using CPITN index of lifelong education, dental
determination of the treatment plan, doctors start ^ 6). 700 Czk
conservative treatment-eliminate dental
Stone, education and motivation for oral
hygiene.
-------- ----------------------------------------------- ---------------------------------------------------------
00932 Maintenance treatment of chronic diseases Can report 3/1 year.
periodontal disease In the third report in code should be
A comprehensive examination of periodontal treatment on the basis of assessed by using of
the classification of diseases in the examination using CPITN index.
of CPITN index, when expertise-014. 243 Usd
fixed parodontologický index CPI 2-3,
or other parodontologických indices
and investigative methods in the course of the
Periodontal treatment, not in the context of the
preventive care. The continuation of the conservative
treatment (initial or maintenance stage)-
control of oral hygiene by using the
the specified parodontologických index
(for example, PBI, API and the like), which
the value must be recorded in the
documentation, the removal of tartar,
remotivace and correction of specific methods
oral hygiene, removal of the local
irritation of the periodontal disease. Temporary splints from free
hand to stabilize drooling with weakened
periodontal disease (code 00938) and subgivingivální
treatment (code 00935) is recorded separately.
-------- ----------------------------------------------- ---------------------------------------------------------
00933 surgical treatment of periodontal disease can be kick-without restrictions.
small scale location-tooth.
Performed surgery expertise-014 with proof of continuous
in the mukogingivální area, building on the participation in the system of training events
conservative treatment of chronic diseases of the lifelong education of dental 420 Czk
periodontal disease (gingivektomie with a sculpture) ^ 6 practitioners).
for each tooth.
-------- ----------------------------------------------- ---------------------------------------------------------
00934 surgical treatment of periodontal disease can be kick-without restrictions.
a large range of expertise-014 with proof of continuous
Surgical procedures building on the participation in the system of training events
conservative treatment of chronic diseases of lifelong education, dental
periodontal disease leading to deepening the vestibule doctors ^ 6). 1 000 Czk
and performance with the by mukoperiostálního
lobe, leading to the removal of periodontal
Clin-for each sextant. You cannot declare
performances with guided tissue regeneration
and implantation.
-------- ----------------------------------------------- ---------------------------------------------------------
Subgingivální treatment of Instrumental 00935 hours can 1/1 tooth/365 days.
delete the contents of the parodontálního trunk Localization-tooth.
(subgingiválního Tartar and plaque), expertise-014 with proof of continuous
removal of nekrotického cement, ohlazení participation in the system of training events
the surface of the tooth root and its control. the lifelong education of dental 84 Usd
You can make small instruments, practitioners ^ 6).
ultrasonic or laser equipment or
their combinations.
-------- ----------------------------------------------- ---------------------------------------------------------
00936 removal, and ensure the transfer of the transplant hours can-without restrictions.
Surgery leading to the acquisition of expertise-014 with proof of continuous
slizničního or bone graft. participation in the system of training events
lifelong education, dental
^ 6 practitioners); 605.600 Czk
-------- ----------------------------------------------- ---------------------------------------------------------
00937 Articulation of the teeth Can report 1/1 year.
After the implementation of the overall zábrusu occlusion and expertise-014 with proof of continuous
the articulation of the teeth on the basis of the term of the participation to the system of training events
examination of the stomatognátního system. Be lifelong training of dental
demonstrate models before and after the treatment. ^ 6 practitioners). 433 Czk
-------- ----------------------------------------------- ---------------------------------------------------------
00938 Temporary splints to stabilize the teeth with the hours can 1/1 tooth/365 days.
Localization of periodontal disease-weakened tooth.
Temporary splints from a free hand to expertise-014; 015.
stabilize the teeth with compromised periodontal disease
made in accordance with Annex No. 1 of Act 44 Usd
(self-polymerizing resin composite).
Recorded for each tooth.
-------- ----------------------------------------------- ---------------------------------------------------------
a comprehensive examination and proposal 00940 treatment hours can 1/1 year.
diseases of the oral mucosa expertise-014 with proof of continuous
For a comprehensive examination of the oral mucosa, the participation in the system of training events
the diagnosis. lifelong education, dental
^ 6 practitioners). 700 Czk
-------- ----------------------------------------------- ---------------------------------------------------------
00941 Inspection examination and treatment the disease Can declare-without restrictions.
the oral mucosa expertise-014 with proof of continuous
When control tests during treatment. participation in the system of training events
lifelong education, dental
^ 6 practitioners). 300 Czk
-------- ----------------------------------------------- ---------------------------------------------------------
00943 Measurement of galvanic currents Can declare-without restrictions.
Measurement of galvanic currents in the oral cavity expertise-014 with proof of continuous
When the examination of mucosal changes and measure participation in the system of training events
impedance. lifelong education, dental
^ 6 practitioners); 605.88 Usd
-------- ----------------------------------------------- ---------------------------------------------------------
You cannot declare a targeted examination 00945 in combination with codes
The examination focused on specific problems, 00901, 00902, 00909, 903.00908
the insured person. For the insured, registered, 00931 00932, 940.00941, 00946,
If the agreed long-term 00947, 00981, 983.00984.
the hosts and the care provided within hours can-without restrictions, while treatment 10 CZK
expertise, even for unregistered in 015 several visits (endodontic
policy holders. treatment, prosthetic replacements
and others) only once.
Expertise-014; 015.
-------- ----------------------------------------------- ---------------------------------------------------------
the examination and treatment of 00946 registered 00901, 00902 combination of codes,
the insured person and cannot even 00946 00947 report
Examination of the State of teeth, periodontal disease, in one kalendářnímčtvrtletí.
mucous membranes and soft tissues of the oral cavity, the State Can declare 1/1 year on the insured's
JAWS and mezičelistních relations, history and in the care of adult 336 Czk
determination of the treatment plan in the context of care and individual dental care for children and
the coverage of health insurance. Puppy training.
(only once on the insured's/control expertise-014.
oral hygiene, hygiene, interdental
massage, including the removal of tartar
the treatment of common conditions and inflammation
gingiva and mucosa of the oral cavity,
periodontal disease (periodontal abscess,
treatment of herpes or thrush, dekubitu
due to the sensor replacement and others)
dentitio difficilis treatment regardless of
the number of visits.
-------- ----------------------------------------------- ---------------------------------------------------------
00947 Repeated examination and treatment in the context of the Combined Code 00901, 00902, 00946 and
preventive care and cannot declare 00947 in one calendar
Repeated examination of the State of teeth, quarter.
periodontal disease and soft tissue, mucous cavity Can report 1/1 year to insured persons under the
oral. Control of oral hygiene, care of adults and within individual 263 Usd
interdental hygiene, including treating the dental care of children do6 years; 2/year within
common afflictions, and inflammation of the gingiva and mucosa of the individual dental care of children and adolescents
oral, periodontal disease (periodontal from 6 to 18 years of age, pregnant women, 2 x
abscess, oral thrush, treatment of herpes, or during pregnancy.
dekubitu caused by sensor replacement and expertise-014.
other) treatment dentitio difficilis without
regardless of the number of visits. Local application
with the use of fluoride products
Annex No. 1 of the Act.
-------- ----------------------------------------------- ---------------------------------------------------------
temporary tooth Extraction 00949 hours can 1/1.
Temporary tooth extraction, or radixu (without the Localization-tooth.
subsequent surgical intervention) including expertise-014; 015; 605.
event. separation of radixů, exkochleace
granulation, sutures and bleeding 87 Czk
compression tamponádou.
-------- ----------------------------------------------- ---------------------------------------------------------
the permanent tooth Extraction 00950 hours can 1/1.
Extraction of standing tooth or radixu (no Localization-tooth.
subsequent surgical intervention) including expertise-014; 015; 605.
any separation of radixů, exkochleace
granulation, sutures and bleeding 168 Czk
compression tamponádou.
-------- ----------------------------------------------- ---------------------------------------------------------
00951 hard tissues of the oral cavity Surgery hours can-without restrictions.
small scale location-tooth.
The extraction of the tooth or radixu with the Cabinet of expertise-014; 605.
mukoperiostálního lobe and hemiextrakce
or levelness bezzubého alveolárního 525 Czk
Tip in the range of sextantu to one or
surgical revision of the extraction wound.
-------- ----------------------------------------------- ---------------------------------------------------------
00952 hard tissues of the oral cavity Surgery hours can-without restrictions.
a large range of expertise-014 with proof of continuous
The extraction of the tooth or radixu with the participation in the system by training events
mukoperiostálního lobe near the lifelong training of dental
risk of anatomical structures, or doctors ^ 6); 605.1 155 Czk
requiring removal of the greater part of the bone,
primary closure of oroantral communications,
levelness bezzubého alveolárního tip
in the scope of more than one sextant,
exstirpace cyst over 1 cm, the removal of
sekvestru, artrocentáza
temporomandibulárního joint or
antrotomie and the like.
-------- ----------------------------------------------- ---------------------------------------------------------
Surgical treatment of tooth retention 00953 hours can 1/1.
Removal of the tissues lying in the path of the eruption of the tooth location-tooth.
and the mobilization of the tooth into the direction of the desired flare expertise-014 with proof of continuous
(including the lifting mukoperiostálního lobe, participation in the system of training events
sculptures of the soft tissues, bone supporting the lifelong learning of dental 630 Czk
graft, wire fixation of the stroke, doctors stuck ^ 6); 015; 605.
as the Castle).
-------- ----------------------------------------------- ---------------------------------------------------------
Konzervačně-00954 surgical treatment of complications can be kick-no limit (per each
tooth decay treated root).
Fold the mukoperiostálního lobe, removal of the Localization-tooth.
bone periapikálně, root amputation of expertise-014; 605.
Tip, exkochleace, toileta root and bone, Czk 420
suture (including peroperačního
the performance). Also periapikální and exkochleace
exstirpace odontogenní cysts within 1 cm.
-------- ----------------------------------------------- ---------------------------------------------------------
00955 Surgery of the soft tissues of the oral cavity and the hours can-without restrictions.
its around a small range of expertise-014; 015; 605.
Perform minor surgical procedures,
for example, dekapsulace, frenulektomie,
Elimination of interferences of ligament 420 Czk
bars, podjazyková frenulektomie, excision
blowing the Ridge-for each sextant,
removal of the lesions into 2 cm, suture wounds
mucous membranes or skin into 5 cm or earth
and salivary gland duct lavage.
-------- ----------------------------------------------- ---------------------------------------------------------
00956 Surgery of the soft tissues of the oral cavity and the hours can-without restrictions.
her large scale expertise-014 with proof of continuous
Deleting a retention podjazykové salivary participation in the system of training events
cyst excision of blowing the Ridge more lifelong learning, dental
extent than a sextant, the removal of the lesion doctors ^ 6); 605.900 Czk
over 2 cm, oral vestibuloplastika without
graft-for each sextant, suture wounds
mucous membranes or skin above 5 cm, exstirpace
mukokely mucous membranes of the oral cavity or
diagnostic excision, sialototomie.
-------- ----------------------------------------------- ---------------------------------------------------------
00957 Traumatology hard tissues of the cavity can be kick-without restrictions.
oral small expertise-014; 015; 605
The treatment of the consequences of the accident and the alveolár bone
small scale, including simple fixation
plastic material, possibly a shortened 420 Czk
wire splint.
-------- ----------------------------------------------- ---------------------------------------------------------
00958 Traumatology of the hard tissues of the oral cavity Can declare-without restrictions.
large scale location-jaw (for each treated
Reduction and fixation of fractures of the alveolár bone of the upper jaw),.
the lower jaw fractures and neck lower expertise-014 with proof of continuous
the jaw without significant dislocation. participation in the system of training actions 750 Czk
lifelong learning practitioners ^ 6); 605.
-------- ----------------------------------------------- ---------------------------------------------------------
00959 Intraoral incision hours can-without restrictions.
Treatment of inflammation of intraoral incisions with any Localization-quadrant.
the dilation, and the introduction of the Expertise by launching the exudate-014; 015; 605.105 Eur
the drain.
-------- ----------------------------------------------- ---------------------------------------------------------
00960 External incision can be kick-out
The treatment around the jaw inflammation of the outer incisí, medical devices without restriction.
including dilation, with the launch of exudate and expertise-014 with acknowledgement of
the introduction of the drain. systematic participation in the system of training
the actions of the lifelong education of dental 600 Czk
^ 6 practitioners); 605.
-------- ----------------------------------------------- ---------------------------------------------------------
00961 Treatment of complications of surgical interventions may be reporting a 5/10 days.
in the oral cavity expertise-014; 015; 605.
The introduction of the drain or of the packing, the application
plastic bandage, fluid wounds, local
therapeutic means. In addition to building 45 Czk
the late postextrakčního bleeding, review
extraction wounds, muscle volume rehabilitation
exercise and physical therapy.
-------- ----------------------------------------------- ---------------------------------------------------------
00962 conservative treatment temporomandibulárních you can report 2/1 year (limit frequencies
disorders does not apply to the expertise of the 605 014, 015 and
Examination temporomandibulárního joint, with proof of continuous participation in the system
documenting the disease and blue courses for lifelong learning
treatment of temporomandibulární disorders of the dental practitioners ^ 6). 300 Czk
(for example, mezičelistní fixation, physical expertise-014; 015; 605.
therapy or manual repozicí).
-------- ----------------------------------------------- ---------------------------------------------------------
00963 Injections i. m. i. a. i. d., s. c. Hours can-without restrictions.
Includes injectable drugs, including application expertise-014; 015; 605.53 Usd
its price, if not applied substance covered by
in a different way.
-------- ----------------------------------------------- ---------------------------------------------------------
00965 Time spent under a dentist Cannot report along with the power to transport 210 Czk
immobile had expertise-014; 605.
-------- ----------------------------------------------- ---------------------------------------------------------
00966 Signal performance-information about the release you can declare-without restrictions.
The decision on the temporary work expertise-014.
the inability or Decision about the need for
care (care)
The performance shows doctor who 5 CZK
exposing the decision on temporary work
the inability, or the decision on the need for
care (care).
-------- ----------------------------------------------- ---------------------------------------------------------
00967 Signal performance-information about the release you can declare-without restrictions.
Decision on termination of temporary work expertise-014.
the inability or Decision about their
needs care (care)
The performance shows doctor who 5 CZK
ended the decision on temporary work
the inability or Decision
about the need for care (care), if
terminating the incapacity or
If the present reasons for being treated
Member of the household, or for the treatment of
or care of a child under 10 years of age the parent.
-------- ----------------------------------------------- ---------------------------------------------------------
00968 Stomatochirurgic treatment hours can 1/1 day only
the insured in connection with unregistered codes 00951, 00952, 00953,
medical equipment, which is covered by 956.00957 00954 00955,, 00958, 00960,
specialized 00962 stomatochirurgických.
centres of expertise-014 with proof of continuous 1 000 Czk
Treatment based on the recommendation of another participation in the system of training events
doctor (when urgent States even without the lifelong education of dental
the recommendation), the written report. ^ 6 practitioners).
-------- ----------------------------------------------- ---------------------------------------------------------
Removal of the fixed compensation 00970-for each of the hours can 1/2 years.
pilířovou construction Cannot report for temporary compensation.
Removing the fixed compensation impact of localization tool-tooth.
or rozbroušením of the Crown and its expertise-014; 015; 605.
deformation. 83 Usd
-------- ----------------------------------------------- ---------------------------------------------------------
Temporary protective Crown 00971 hours can 1/2 years.
Adaptation and fixation of ready-made Crown to the Localization-tooth.
protection of the preparovaného frangovaného or expertise-014; 015; 605.
otherwise, destruovaného tooth, or
individual protective Crown made 69 Czk
razidlovou method in the patient's mouth.
Includes the repeated deployments.
-------- ----------------------------------------------- ---------------------------------------------------------
00972 Patch fixed compensation in the doctor's Office Can report 2/1 year.
Removing and replacing the fixed compensation. You cannot report on temporary compensation.
Construction or repair of facets in a fixed location-tooth.
refund in the mouth (standard material expertise-014; 015; 605.
According to the annex No. 1 of the Act). 72 Czk
-------- ----------------------------------------------- ---------------------------------------------------------
00973 Repair or adjust the dentures Can report 5/1 year.
Cannot be in the surgery report when submitting new
Fix or simple adjustment removable dentures (first two months
refunds in the doctor's Office without following on after the surrender of new dentures).
other laboratory processing. Location-jaw. 39 Czk
Expertise-014; 015; 605.
-------- ----------------------------------------------- ---------------------------------------------------------
00974 Surrender dental product, you can report-no limit
Medical device shows when expertise-014; 015; 605.
submission of dental product (code
is only used for reporting separately
posted in medicinal products and $ 0
dental products (03s).
-------- ----------------------------------------------- ---------------------------------------------------------
00975 Protective bridge made razidlovou hours can 1/5 years.
method of localization-quadrant.
A makeshift bridge to protect the stuffed expertise-014.
the teeth and keep okluzních relations. Bridge
is made directly in the mouth of the policyholder Czk 607
razidlovou method. The evaluation is
included and repeated deployments.
-------- ----------------------------------------------- ---------------------------------------------------------
00981 orthodontic anomalies Diagnostics Can report 1/1 client and health
The guide includes dental equipment.
examinations, comprehensive orthodontic expertise-015.
examination, the founding of the medical
the documentation. This code initiates 600 Czk
orthodontic treatment and reporting codes
expertise, 015.
When the takeover already treated the insured person is
you need to start your own orthodontic treatment
the entrance examination, by founding his own
documentation and reporting of code 00981.
-------- ----------------------------------------------- ---------------------------------------------------------
00982 treatment orthodontic anomalies Can report 1/1 jaw.
fixed orthodontic appliances apparatus on one location-jaw.
Dental arch expertise-015.
Initiation of treatment orthodontic anomalies
fixed orthodontic appliances on one appliance-1 300 Czk
the dental arch. Includes the deployment of elements of the
fixed appliance including the preparation of the teeth.
-------- ----------------------------------------------- ---------------------------------------------------------
treatment of orthodontic anomalies 00983 Check with hours can 1/1 quarter for 4 years.
the use of fixed orthodontic appliance expertise-015.
It applies to the control procedure of the treatment and
adjustments on fixed apparatus on one and two
Dental arches, and it as code 800 Czk
00982 or 00994.
It applies to all controls of fixed
apparatus in a given quarter and on the control of
scanning apparatus used in parallel.
-------- ----------------------------------------------- ---------------------------------------------------------
00984 Check treatment orthodontic anomalies Can report 1/1 quarter for 4 years.
other procedures than using fixed unable to report for treatment in the phase of retention
the orthodontic appliance or in the monitoring of growth and development
Check the procedure of treatment according to the treatment plan of the teeth and jaw bezaktivní treatment.
and functions of sensing apparatuses, including their expertise-015. 210 Czk
editing. To track the progress of changes after
orthodontically indicated extraction without
apparatus. It applies to all controls
scanning apparatus in a given quarter.
-------- ----------------------------------------------- ---------------------------------------------------------
end of treatment orthodontic anomalies 00985 with hours can 2/1 jaw.
the use of fixed orthodontic appliance with time lapse 3let can be
After the end of treatment orthodontic anomalies kick 1 x on čelistv following the
removal of fixed orthodontic appliance code 00982 and 1 x on the jaw in the following
1 the dental arch, zábrus teeth, including code 00994. 700 Czk
any analysis models (does not include location-jaw.
any manufacture and analysis expertise-015.
telerentgenu and ortopantomonogramu).
-------- ----------------------------------------------- ---------------------------------------------------------
Check the retention phase 00986 or active hours can 1/1 half-year, for a maximum
monitoring at the stage of growth and development for 4 years.
Check the insured person before the beginning or after the expertise-015.
their active phase of orthodontic treatment
transmitter or fixed devices by 220 Czk
a treatment plan. Components can also be
the use of fixed or removable plates,
retainerů or other retention devices.
-------- ----------------------------------------------- ---------------------------------------------------------
the determination of the growth phase can be 00987 report 2/1 client. 53 Usd
The determination of the growth phase of the insured-expertise-015.
skeletal age evaluation of x-ray
slide the hand or neck vertebrae.
-------- ----------------------------------------------- ---------------------------------------------------------
Analysis of telerentgenového slide 00988 lbi hours can 1/1 year.
Evaluation of profile, expertise-015 116 Czk
zadopředního remote x-ray
frame using special measuring lbi.
-------- ----------------------------------------------- ---------------------------------------------------------
Analysis of orthodontic models 00989 hours can 1/1 year. 315 Kč
Evaluation of orthodontic models of expertise-015
Dental arches and surrounding tissues, including
any other special measurements.
-------- ----------------------------------------------- ---------------------------------------------------------
00990 Diagnostic orthodontic reconstruction Can report 1/1 jaw.
the localization model-jaw.
Reconstruction of the teeth orthodontic model expertise-015
one jaw of the diagnostic or
the model of the operation of the JAWS to the surgical 473 Czk
purposes.
-------- ----------------------------------------------- ---------------------------------------------------------
00991 Deployment prefabricated hours can 1/1 jaw.
intraorálního arc location-jaw.
Palatal or lingual expansion expertise-015.
or the anchor wire arc or lipbumper
factory made, their adaptation and 173 Usd
planting the device on the rings.
-------- ----------------------------------------------- ---------------------------------------------------------
00992 Deployment extraorálního stroke or facial Can report 1/1 client.
the expertise of the mask-015
Deployment of intra-extraorálního wire
the arc (bridle), or Chin pads and
ortodontní cervical caps or straps, or 210 Czk
facial mask type, Hickham Delaire and
Similarly, for the purpose of anchoring, extraorálního
including lessons on how to use and
illustration for the demonstration.
-------- ----------------------------------------------- ---------------------------------------------------------
You can establish a partial arc 00993 report 4/1 half (1 x on the quadrant). 300 Czk
Preparation and partial linkage wire expertise-015.
the arch in the range up to 6 teeth into locks
or kanyl as parts of fixed appliance.
-------- ----------------------------------------------- ---------------------------------------------------------
00994 starting treatment orthodontic anomalies Can report 1/1 jaw until the age of 10 years.
small fixed orthodontic appliances apparatus on location-jaw.
one dental arch expertise-015.
Initiation of treatment orthodontic anomalies
fixed orthodontic appliances apparatus on a 900 Czk
the dental arch in the mixed dentition for
a protrusion defect with incizálním schůdkem 9 mm
and more crossing the bite, the diastema is greater than
44 mm, zákus retention or dystopia of the upper
pipe cutter. Includes the deployment of elements of a fixed
apparatus.
-------- ----------------------------------------------- ---------------------------------------------------------
1) Council Regulation (EEC) No 1408/71 of 14 June. June 1971 on the application of
of social security schemes to employed persons and their families
moving within the community and Council Regulation (EEC) No 574/72 of the Council
21 June. in March 1972, laying down detailed rules for the application of regulation
(EEC) No 1408/71 on the application of social security schemes to
employed persons and their families moving within the community. From
1.5. 2010 European Parliament and Council Regulation No 883/2004 on the
coordination of social security systems, including its amendments (regulations
(EC) no 988/2009), and the regulation of the European Parliament and of the Council no 987/2009
laying down the procedure for implementing Regulation (EC) No 883/2004 on the
coordination of social security systems.
2) for example, a communication from the Ministry of Foreign Affairs No. 130/2002 SB., m.
with the negotiation of the Treaty of between the Czech Republic and the Federal Republic of
Yugoslavia on social security, the communication of the Ministry of foreign
things no 82/2000 Sb. m. s., the negotiation of the Treaty between the Czech Republic and
The Republic of Croatia on social security, the Ministry of communication
Foreign Affairs No 135/2004 Sb. m. s., the negotiation of the agreement between the Czech
Republic and the Republic of Turkey concerning social security, communication
Ministry of Foreign Affairs No. 2/2007 Sb. m. s., the negotiation of the Treaty
between the Czech Republic and the Republic of Macedonia concerning social security.
3) Decree No. 134/1998 Coll. issuing the list of health interventions
with point values, as amended.
4) section 10 of Act No. 526/1990 Coll., on prices, as amended by the Act No. 261/2007
SB.
The price regulation Department of health no 1/2010/INDIVIDUAL INCOME amount 9.
MZ.
5) the communication from the CZECH STATISTICAL OFFICE No. 432/2009 Coll., on the updating of the classification
hospitalized patients (IR-DRG).
^ 6) section 22 of Act No. 95/2004 Coll., on conditions for being accessed and the recognition of
professional competence and specialized competence to perform
the medical professions of doctor, dentist and pharmacist, as amended by
amended.
