396/2010 Sb.
DECREE
of 17 May. December 2010
on the determination of the values of the point, the amount of the reimbursement of health care covered by the public
health insurance and regulatory limits on the volume provided by health
care paid for by public health insurance for the year 2011
Change: 46/2007 Sb.
The Ministry of health shall lay down pursuant to § 17 para. 6 of Act No. 48/1997
Coll., on public health insurance and amending and supplementing certain
related laws, as amended by Act No 117/2006 Coll., Act No.
245/2006 Coll. and Act No. 261/2007 Coll.:
§ 1
This Decree sets out the point values for 2011, the amount of reimbursement of 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 health care provided to the insured from other Member States
The European Union, European economic area and Switzerland, according to the
the relevant European Union legislation ^ 1) and the insured of other States,
which the Czech Republic has concluded international agreements on social
Security ^ 2) (hereinafter referred to as "foreign insured person"), paid from the public
health insurance and regulatory limits on the volume of health care
for methods of payment referred to in sections 2 to 15, provided
and) in contractual healthcare facilities in institutional care, including
specialised therapeutic institutes for long-term patients, hospitals,
medical device reporting treatment day no. 00005 according
the Decree issuing the list of medical procedures with spot
the values of ^ 3) (hereinafter referred to as "power list"), and medical devices
the hospice type according to § 22a of the Act,
(b)) by general practitioners and general practitioners for children and adolescents,
(c)) in contractual outpatient health care facilities providing
specialized 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 603 604 by list of performances
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-
819, 822 and 823 by list of performances (hereinafter referred to as "listed expertise"),
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 list of performances
I) Contracting healthcare emergency medical services,
by health establishments providing medical transport
service and medical service, first aid,
j) Contracting healthcare Spa care and ozdravovnami,
k) within the framework of emergency care in non-medical
devices.
§ 2
For health care referred to in paragraph 1 (b). k) and for health care
provided by the foreign insurance policy holders, paid according to the list of performances,
establishes the point value of 0.95 €, if not stipulated otherwise.
§ 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 treatment day no. 00005 according to the list of performances and in
Healthcare hospice type, point value, the amount of remittances
health care and regulatory restrictions be laid down in annexes 1 and 9 to this
the Decree.
(2) For health care provided by specialised therapeutic institutes,
a sanatorium for long-term patients in health care facilities
returning the treatment day no. 00005 according to the list of performances and in
Healthcare hospice type, paid a flat rate per
one day of hospitalization, or according to the list of services, the value of point,
the amount of the reimbursement of health care and regulatory restrictions set out in annex 1 to the
This Decree.
§ 4
For the health care provided by general practitioners and general practitioners
for children and adolescents, by the combined kapitačně power payment
combined kapitačně power payment with calling kapitace, or
According to the list of performances, with the point value, the amount of the reimbursement of health care and
regulatory restrictions set out in annex 2 to this Decree.
§ 5
For specialised outpatient healthcare provided in
outpatient healthcare facilities, paid for by list of performances
the value of the item, the amount of the reimbursement of health care and regulatory limits, determined by
in Appendix 3 to this notice.
§ 6
For ambulatory healthcare provided in out-patient
medical facilities in the fields of medicine and 603 604 by list
performances, paid according to the list of performances, with the point value, the amount of remittances
health care and regulatory restrictions set out in annex 4 to this
the Decree.
§ 7
(1) for healthcare provided by dentists, paid by
list of performances, with a point value set at EUR 0.95 €.
(2) the amount of reimbursement of healthcare provided by dentists unpaid
referred to in paragraph 1, and the regulatory restrictions are set out in annex No.
10 to this Decree.
(3) the health insurance fund shall be entitled to limit the amount of the reimbursement of medical
the device so that the sum of the cost of health insurance
spent on healthcare provided by dentists in 2011
does not exceed the total amount of these costs as provided for in the health
premiums health insurance plan. If the overrunning of the total amount
the reimbursement of healthcare provided by dentists, as laid down in
health insurance health insurance plan on the health care,
was due to the provision of greater volume of the acute and emergency health
care compared to 2009, the health insurance fund shall take into account the larger volume
in the payment order.
§ 8
For the health care provided by health establishments
in the listed fields of medicine, paid for by list of performances,
point value and the amount of reimbursement of health care provides, in annex 5 to this
the Decree.
§ 9
For the health care provided by health establishments
in the fields of medicine, 911 914, 916, 921 and 925 by list of performances, paid for by the
According to the list of performances, with a point value and the amount of reimbursement of health care
down in annex 6 to this Ordinance.
§ 10
For the health care provided by health establishments
in 902 by the skill list of performances, paid according to the list of performances
the value of the item and the amount of reimbursement of health care lays down in annex 7 to the
This Decree.
§ 11
For healthcare provided in the framework of the emergency medical services,
paid by list of performance shall be the point value of 1.06 €.
§ 12
For performances provided by medical transport service, paid by
list of performances, with a point value and the amount of reimbursement of health care provides in
Appendix 8 to this Ordinance.
section 13 of the
For healthcare provided within the medical first-aid services,
paid by list of performance shall be the point value of 0.95 €.
§ 14
(1) for the complete spa care provided by health establishments
Spa care down payment for one day stay at a level that was
negotiated to 31. December 2009, and at least in the amount of $ 850.
(2) For contributory Spa care provided by healthcare professionals.
Spa care devices shall be payment for one day stay in the amount
that were negotiated to 31. December 2009, and at least in the amount of $ 280.
(3) for healthcare provided in the Sanatorium schools shall be the remuneration for the
one day stay at a level which has been negotiated to 31. December 2009,
but at least in the amount of $ 540.
§ 15
Pursuant to section 2 to 14 is applied, if the health insurance company and
medical equipment in compliance with the conditions laid down in § 17 paragraph 2. 6
the law otherwise.
section 16 of the
This Decree shall enter into force on 1 January 2000. January 2011.
Minister:
doc. MUDr. Heger, CSc., r.
Annex 1
The value of the item, the amount of the reimbursement of health care and regulatory restrictions pursuant to § 3
And)
Institutional care according to § 3 (2). 1
1. health care in the year 2011 shall be borne by the flat-rate remuneration of 98%
the total remuneration payable to medical facility in the reference period.
The reference period is the year 2009, the investigational period means
the year 2011. The reference period is included all health care
granted in 2009, declared by the medical establishment to 31. 5.2010
and health insurance company recognized by 30. 9.2010.
2. payment of the amount laid down in paragraph 1 shall comprise medical facility,
If
and medical equipment and reports) of the health insurance fund shall recognise a number of
admissions included in the groups related to the diagnosis according to the
Classification of hospitalized patients ^ 4) (hereinafter referred to as "the classification"),
which are listed in annex No. 9 (hereinafter referred to as "a number of hospitalizations"),
completed in the period, amounting to at least 94% of the medical
the device reported and health insurance company recognized by number
hospitalizations, completed in the reference period, while the number of
hospitalizations, multiplied by the indexes, which are listed in annex No 9
(hereinafter referred to as "the number of hospitalizations, multiplied by the indexes of 2011"), completed in
period, of at least 94% of medical institutions
reported and health insurance company recognized the number of hospitalizations
multiplied by the indexes of 2011, completed in the reference period. If
medical facilities fail to comply with the conditions referred to in the first sentence, the
the reimbursement of hospital costs reduced by the number of percentage points,
corresponding to the higher of the two values, of which 94% was not achieved
the appropriate values. The number of hospital admissions are not counted
hospitalization, within which the medical facility in the
period shall recognise the performances in the one-day mode of care according to the list.
(b) the medical equipment and reports) of the health insurance fund shall recognise the number of points
for performances provided in outpatient care in the period of
at least 95% of the number of points for such feats in the reference period,
calculated according to the list in the version in force for many years, and
medical facilities in the period treated in out-patient care
at least 95% of the number of unique skill for all policyholders total
compared to the reference period. If the medical device fails
the conditions referred to in the first sentence, it will be part of the payment for out-patient care
reduced the number of percentage points, corresponding to the higher of the two values, the
that has not been reached 95% of the relevant values. Insured person is unique
the insured person shall mean any competent health insurance company treated
medical facilities in a given expertise in investigational or reference
period at least once, while not applicable, whether it is a
treatment within their own care or care requested. If this was
the insured person in the expertise of the medical establishment treated in
the half-year, multiple times, includes the number of unique
insured persons the competent health insurance company treated in a given skill
only once; in the event of a merger of health insurance companies, the number of
unique treated policyholders means the sum of the unique treated
insured persons for health insurance companies that have merged (if it has been
the insured person during the reference period the insured more than one health
insurance companies, the number of unique treated policyholders are counted
only once).
3. the health insurance company will take into account the change in the volume of reported and health
insurance company recognized by the extremely costly healthcare provided in
the period in comparison with the reference period. Extremely
costly health care for the purposes of this Ordinance, means the health
care provided by the medical establishment to the insured, whose volume
exceeds the amount Czk 1 0000 0000. To the volume of health care will be included
separately charged to the medicines, especially material, flat-rate billing
the amount which is paid by the medicinal products pursuant to § 17 para. 7 of the Act, and
point value of medical procedures, according to a list of performances, with a value of point
in the investigational and reference period in the amount of € 0.90. In the extremely
expensive health care does not include health care, which
health insurance other than a flat-rate remuneration
point 1.
4. where in the clinic of changes in scale and
the structure provided by the paid care in comparison with the reference period, and
health insurance company approves these changes, taking into account in the proposal
the contract, including quantifying the increase (reduction) payments. In the context of the
amendments as referred to in the first sentence
and health insurance) in the calculation of the total remuneration according to section 1
taking into account the change in the number of hospital admissions, the number of hospitalizations multiplied by
Indexes of 2011, the number of points and number of unique policy holders
(b) the health insurance fund) may adjust the limit of the total remuneration for the
the medical establishment to the prescribed medicines and medical
resources in accordance with part C of this annex).
5. in the event that the medical facility will provide the reference or
period health care 50 and less relevant to insurance policy holders
health insurance companies, the health care are to be paid according to the list of performances
with the value of point in the amount of € 0.90.
6. Beyond the flat-rate remuneration referred to in paragraph 1 shall be paid to the performance 09563 and performance
88101 according to the list of performances, with a value of 1 point.
7. The remuneration referred to in point 1 shall not include remuneration for medicinal
medicines and foods for special medical purposes, marked with the symbol "S"
According to § 29 para. 2 Decree No 92/2008 Coll. and healthcare provided by
foreign insurance policy holders.
8. for health care paid for by list of performances, including health
care provided by foreign affiliated persons shall be the value of point in the
EUR 0.90 €.
9. Health insurance can provide monthly medical facility
a preliminary payment of one twelfth of the 98% of remuneration for the
the corresponding reference period. The amount of the advance payment
health insurance fund shall take into account the changes in the scale and structure provided by the
care, including changes in the number of hospital admissions, the number of hospitalizations
multiplied by the indexes of 2011, the number of points and number of unique policy holders. In
the case that during the rating period occurs in the medical
device to change the scope of the care provided, is a health insurance company
shall be entitled to the amount of the remuneration in a manner appropriate for a preliminary edit change
the range of care. Interim payment for rating period will be financially
settled within an overall financial settlement, including the regulatory
restrictions, and no later than 180 days after the end of the rating period.
(B))
Institutional care according to § 3 (2). 2
1. A flat rate per one day of hospitalization
a) flat rate for one day of hospitalization shall be determined for each
the category of the patient and the type of treatment the day separately and includes the value of
the appropriate treatment of the day including the Director assigned to the ošetřovacímu day
and the patient's performance, according to the list of categories, the flat-rate amount
shall be borne by the medicinal products pursuant to § 17 para. 7 of the Act, and the medical procedures,
which shows income and permit examination by list
performances.
(b) the amount of the flat-rate tariff for) one day of hospitalization in the period
shall be at the rate of 98% of the flat rate per day of hospitalization
belonging to a medical facility in the reference period. Reference
the period is the year 2009, the IMP, the period is the year 2011.
(c)) if the in the clinic of changes in scale and
the structure provided by the paid care in comparison with the reference period, and
health insurance company approves these changes, taking into account in the proposal
the contract, including quantifying the increase (reduction) payments.
2. Reimbursement of out-patient care, special care and special constitutional
care
and for outpatient health care) paid by performance list
the value of the point set at EUR 0.95 €.
(b)) for the special outpatient care provided under section 22 (b). (c))
the law, paid according to the list of performance shall be in the amount of point value
0.90 € to 100% by volume calculated as follows:
POPho
PBro x--------------
POPro
where:
PBro total number of medical facilities reported
and health insurance company recognized,
passenger according to the list in the text of the
effective to January 1st 2011, over the reference period.
The reference period is the year 2009.
The number of unique POPho policyholders treated
medical facilities in the period.
IMP, the period is the year 2011.
POPro number of unique policy holders treated
medical facilities in a given skill
in the reference period
Health care provided by the medical establishment over 100% of the calculated
the volume is to be paid with the value point of 0.40 €. Financial settlement
It will be done no later than 120 days after the end of the rating period.
(c)) for special care provided in health facilities
the hospice type according to § 22a of the law, paid according to the list of performances,
establishes the point value of 0.90 €.
(C))
Regulatory restrictions
1. If the total remuneration for medicinal products and medical devices
prescribed medical facilities insured health insurance company
that are covered (hereinafter referred to as "the relevant health insurance") in
period, with the exception of medicinal products or medical
the funds approved a revision doctor, exceed 98% of the remuneration for medicinal
medicinal products and medical devices prescribed in the reference period, with the
the exception of medicinal products or medical devices approved by the
the review by a doctor, health insurance will reduce the medical facility
the total payment of the amount corresponding to not more than 40% of such excess.
The reference period is the year 2009, the investigational period means
the year 2011. Reduction of the health insurance fund by the first sentence shall not apply,
If the medical establishment showing that increased the total remuneration for the
prescribed medicines and medical devices was caused by
by changing the amount or the method of payment, or as a result of changes
the structure of the treated policyholders an insurance company.
2. in the event that the medical facilities provided in the period
health care and insurance policy holders less 50 competent health insurance company,
health insurance does not apply the regulation referred to in paragraph 1.
3. If a medical device that provides health care in multiple
skills, regulatory restrictions in accordance with section 1 of the health insurance company
applicable shall be calculated, for each specialization, particularly if
health insurance, medical institutions have agreed otherwise.
(D))
The increase of the remuneration
Medical device, which goes beyond the requirements for personnel
facilities provided for a list of procedures, health insurance will provide
the increase of the payment in connection with the increase of the quality of nursing care
(NÚ2011). The above provided the increase is calculated as follows:
NÚ2011 = PPS2011 CZK 30,000 Kpp
where:
PPS2011 number (FTE) of General nurses and midwives
midwives in the period, which is calculated as the
the sum of all the jobs of General nurses and midwives
midwives in the given health establishment
providing health care in the region;
IMP, the period is the year 2011
The number of insured persons share coefficient of KPP competent
health insurance companies in the region the total number of
insured persons in this region; the proportion of the number of coefficients
policy holders of health insurance companies on the total number of
insured persons according to the regions of the Czech Republic are
set as follows:
------------- ------------------------------------------------ ---------------------------------------------------------------
General Military Region Of The Czech Industry Health Health Health Health Golden Hill
health health insurance health insurance industry insurance company insurance company of the brethren
insurance company insurance company health insurance company Škoda cashier Metal-Media Ministry
the insurance company of the Interior Alliance
------------- ------------------------------------------------ ---------------------------------------------------------------
Prague hl. m. 0.6227 0.0475 0.2278 0.0937 0.0003 0.0035 0.0006 0.0023 0.0016
Czech Republic 0.5783 0.0417 0.0142 0.0878 0.0772 0.0931 0.1060 0.0017 0.0001
South 0.6486 0.1279 0.0427 0.0451 0.1338 0.0003 0.0015 0.0001 0.0001
0.6212 0.0725 0.0449 0.0679 Plzeň 0.0001 0.1335 0.0001 0.0572 0.0025
Carlsbad 0.7116 0.0674 0.0414 0.0948 0.0800 0.0001 0.0001 0.0007 0.0038
0.7109 0.0598 0.0348 0.0522 Ústí nad Labem 0.0003 0.0029 0.0067 0.1133 0.0192
Czech Republic 0.7656 0.0852 0.0242 0.0371 0.0121 0.0710 0.0044 0.0001 0.0004
0.6213 0.0870 0.0519 0.0400 Hradec Králové 0.0568 0.1395 0.0011 0.0023 0.0001
0.7272 0.0612 0.0569 0.0366 Pardubice 0.0005 0.1129 0.0002 0.0012 0.0033
0.7551 0.0327 0.0424 0.0244 Highlands 0.0001 0.0988 0.0002 0.0444 0.0019
South 0.6073 0.0564 0.0459 0.1828 0.0199 0.0413 0.0437 0.0001 0.0027
0.4477 0.0892 0.0801 0.0293 Olomouc 0.0001 0.1023 0.0122 0.2371 0.0021
0.3691 0.0159 0.2709 0.0241 conservationist 0.0001 0.0640 0.2512 0.0011 0.0036
Czech Republic 0.6618 0.0206 0.0963 0.0274 0.0885 0.1027 0.0000 0.0017 0.0010
------------- ------------------------------------------------ ---------------------------------------------------------------
(E))
The increase of the remuneration to the activities of doctors in a medical facility of the constitutional
care
Health insurance will provide the medical establishments of institutional care
the increase of the compensation (NL2011). This increase in the health insurance fund shall provide
the medical establishments of institutional care in the form of interim monthly payments
with a financial settlement, according to the number of physicians documented equivalents after
the end of the year 2011. The above provided the increase is calculated as follows:
NL2011 = PPL2011 * 110 000 CZK * Kpp
where:
PPL2011 number (FTE) of physicians in the period, which is calculated as the
the average sum of the jobs of all the doctors in the clinic
institutional health care providers in the region
on the last day of each calendar quarter.
The number of insured persons share coefficient of KPP competent health insurance company
in the region the total number of insured persons in the region, as set out in the
Part D.
Annex 2
The value of the item, the amount of the reimbursement of health care and regulatory restrictions pursuant to § 4
And)
Combined kapitačně power payment
1. the amount of the payment kapitační is calculated by the number of passenger policy holders
appropriate health insurance, multiplied by the base rate laid down
on one of the insured person is registered with the health insurance companies on the
calendar month. The number of insured persons the competent health passenger
the insurance company shall be calculated by multiplying the number of medical facilities
corresponding insured health insurance companies in the individual
the age groups referred to in point 7, in accordance with section 7-index of romanticism. The amount of the
the rate base, or the total amount of the payment may be increased when
compliance with the conditions laid down in the contract between the health insurance company and
the medical establishment. The basic rate according to the first sentence, shall be adopted in
the amount of the
and $ 50) for general practitioners and general practitioners for children and adolescents,
who provide health care to the extent of at least 30 opening hours
spaced out within 5 working days a week, with at least 1 day of the week
they have Office hours extended to 18 hours and allow the insurance policy holders
book at least 2 days a week on a fixed hour,
(b)) $ 49 for general practitioners, who provide health care to the extent
at least 25 opening hours distributed within 5 working days a week,
with at least 1 day of the week they have extended office hours at least
within 18 hours. If the local conditions require it, the health
the insurance company, the medical institutions to agree on the extension of the
opening hours differently.
(c)) $ 47 for other medical practitioners,
(d))-$ 49 for other general practitioners for children and adolescents.
2. Performances according to the list of performances included in the kapitační payments
expertise according to the list: 001
No performance Name
---------- ---------------------------------------------------------------------------
TARGETED SCREENING GP 01023
01024 CONTROL EXAMINATION a MEDICAL PRACTITIONER
01025 CONSULTATION PRACTITIONER, the FAMILY MEMBERS of the PATIENT
01030 ADMINISTRATIVE TASKS of the MEDICAL PRACTITIONER
09215 INJECTIONS I. M., S. C. I. D.
09216 INJECTION into SOFT TISSUE or INTRADERMAL BUDS within the REFLECTIVE TREATMENT
09217 INTRAVENOUS INJECTION for INFANT or CHILD up to 10 years
09219 INTRAVENOUS INJECTION in an adult or a CHILD over 10 years
09220 PERIPHERAL VEIN CANNULATION INCLUDING INFUSION
09233 WARD for INJECTION ANESTHESIA
09237 TREATMENT or re-applying WOUNDS FROM 1 CM2 to 10 CM2
09507 PSYCHOTHERAPY SUPPORT CARRIED OUT by DOCTOR NEPSYCHIATREM
09511 MINIMAL CONTACT doctor with PATIENT
09513 DOCTOR-PATIENT TELEPHONE CONSULTATIONS
09523 EDUCATIONAL INTERVIEW DOCTOR with a sick or FAMILY
09525 INTERVIEW with family PHYSICIAN
44239 or re-applying BÉRCOVÉHO ULCER TREATMENT by a DOCTOR (1 LEG)
71511 REMOVAL FOREIGN BODY FROM the EAR CANAL
71611 FOREIGN BODY REMOVAL, nose-simple
---------- ---------------------------------------------------------------------------
3. performance according to the list of performances included in the kapitační payments
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-children up to 6 years
02024 CONTROL EXAMINATION GENERAL PRACTITIONER for children and adolescents-CHILD DO6 YEARS
02033 TARGETED EXAMINATIONS a GENERAL PRACTITIONER for children and adolescents-a child ABOVE 6years
02034 CONTROL EXAMINATION GENERAL PRACTITIONER for children and adolescents-a child OVER 6 years
06111 complex-EXAMINATION of the STATE of the PATIENT'S SISTER in THEIR OWN SOCIAL ENVIRONMENT
06119 complex-COLLECTION of BIOLOGICAL MATERIAL
06121 complex-TOPICAL TREATMENTS
06123 complex-EDUCATION, REEDUCATION, nursing REHABILITATION
COMPLEX-06125 KLYSMA, perfusion, CATHETERIZATION, WASHINGS, the treatment of PERMANENT CATHETERS
06127 complex-INHALATION THERAPY and the therapeutic APPLICATION of P. O., S. C. I. M. I. V., UV,
EVENT. ADDITIONAL APPLICATIONS
06129 rehearsal and COACHING APPLICATION INSULIN
09215 INJECTIONS I. M., S. C. I. D.
09216 INJECTION into SOFT TISSUE or INTRADERMAL BUDS within the REFLECTIVE TREATMENT
09217 INTRAVENOUS INJECTION for INFANT or CHILD up to 10 years
09219 INTRAVENOUS INJECTION in an adult or a CHILD over 10 years
09220 PERIPHERAL VEIN CANNULATION INCLUDING INFUSION
INFUSION in INFANTS or 09221 CHILD up to 10 years
09233 WARD for INJECTION ANESTHESIA
REMOVAL of SMALL SKIN LESIONS, 09235
09237 TREATMENT or re-applying WOUNDS FROM 1 CM2 to 10 CM2
09253 RELEASE PREPUCIA, including a NON-OPERATIONAL REPOSITIONING PARAFIMOZY
09507 PSYCHOTHERAPY SUPPORT CARRIED OUT by DOCTOR NEPSYCHIATREM
09511 MINIMAL CONTACT doctor with PATIENT
09513 DOCTOR-PATIENT TELEPHONE CONSULTATIONS
09523 EDUCATIONAL INTERVIEW DOCTOR with a sick or FAMILY
09525 INTERVIEW with family PHYSICIAN
71511 REMOVAL FOREIGN BODY FROM the EAR CANAL
71611 FOREIGN BODY REMOVAL, nose-simple
---------- ---------------------------------------------------------------------------
4. For medical procedures not included in kapitační payments and health
performances to be unregistered, the competent health insurance company, the insured person
the medical establishment declared and recognized by the health insurance company,
paid by list of performance shall be the point value of 1.08 Eur.
5. For transport in the visitors service, paid for by list of performances
down the point value of 0.90 €.
6. 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 of age.
7. 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 years and over 3.40
----------------- -------------
(B))
Combined power kapitačně payment with calling kapitace
1. the amount of the payment with the kapitační calling kapitace shall be determined in accordance with section
And point 1 of this annex). Call kapitace is granted in cases
When a general practitioner or general practitioner for children and adolescents has, with
regard to the geographical conditions, a small number of companies ' profits policyholders
registered with the competent sickness insurance fund than the 70%
the national average number of such insured persons (national average
the number of down for the calendar year according to the data of the Central
insured persons registry, managed by the general health insurance company
The United States) and the provision of such health care is necessary to
health insurance obligations pursuant to § 46 para. 1 of the law.
2. Call kapitace can provide up to 90% kapitační payment
calculated on the average number of policyholders nationwide passenger
registered with the 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 that corresponds to
the percentage of its policy holders from passenger policy holders of registered
This medical facility.
3. For the payment of performance according to the list of performances with paragraphs 4 to 6 of part A) this
of the annex shall apply mutatis mutandis.
(B))
Health care paid by list of performances
For health care paid for by list of performance shall be the value of the
point of 0.95 Eur; for transport in the visitors service down
point value in the amount of € 0.90.
(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 medical procedures carried out by mammography screening
the medical establishment, which has insurance on the
the provision of such medical procedures agreements):
1.1. If the average remuneration for medicinal products and medical
the means prescribed by the medical device related to one
equivalents of the insured person, exceeds 120% of the national average remuneration for
prescribed medicines and medical devices, health
the insurance company shall be entitled to exercise the regulatory reduction of up to 25% of the
the excess. The average payment per insured person is converted
includes the supplements for medicinal products, for which the prescribing
the doctor has ruled out the possibility of replacement pursuant to § 32 para. 2 of the Act, and that
health insurance has paid. Health insurance fund shall take into account the cases
When medical device proves that increased the average remuneration for the
the medical establishment to the prescribed medicines and medical
resources related to one of the insured person was caused by the equivalised
by changing the amount or the method of payment, or as a result of changes
the structure of the treated policyholders.
1.2. If the average payment for the requested care in listed
proficiency by one of the insured person exceeds 120% of equivalents
nationwide, the average payment for the requested care in listed
proficiency, it is entitled to exercise the regulatory health insurance
a deduction to the amount of 25% of the excess.
2. Regulatory constraints referred to in point 1.1 and 1.2 shall not apply, if
medical facilities justifying medical care provided on the
the basis of the exceeding of the average payments in accordance with section 1.1, or
1.2.
3. Regulatory constraints referred to in point 1.1 and 1.2 shall further not apply if
medical facilities in 2010 or 2011, the dissociation of 50 and less
insured persons the competent health insurance company or has provided health care
50 and less non-registered persons insured the relevant health insurance
or in the case of healthcare provided to the insured abroad.
4. Regulatory constraints referred to in point 1.1 shall not apply if the total remuneration
for all the medicines and medical devices prescribed by
General practitioners and general practitioners for children and adolescents in 2011,
monitored separately for each specialization, shall not exceed the estimated amount of the
remittances to the kind of health care in the year 2011, based on the
health insurance plan of the appropriate health insurance.
5. the regulatory restriction under section 1.2 shall not apply if the total remuneration
for the requested care in the listed fields of medicine in 2011, shall not exceed the
the estimated amount of remittances to this kind of health care in the year 2011,
based on the health insurance plan of the appropriate health
the insurance company.
6. the insurer is entitled to assert regulatory reduction by
points 1.1 and 1.2 for a maximum amount corresponding to 15% of the volume of payments
provided in the health insurance medical facility for
kapitační payment and medical procedures, reduced by the amount of remuneration for particular
posted material and separately charged medicines for the year 2011.
7. If a medical device that provides health care in multiple
skills, regulatory restrictions in accordance with point 1.1 and 1.2 of the health
insurance company calculates the applicable, separately for each specialization,
If a health insurance company, the medical establishment fail to agree
otherwise.
Annex 3
The value of the item, the amount of the reimbursement and regulatory restrictions pursuant to § 5
And)
Point value and the amount of reimbursement
1. the amount of the remuneration shall be fixed according to the list provided by remuneration for performance
medical procedures-valued point of
1.08 Eur) for medical facilities in the fields of medicine, 305
306, 308 and 309 under the list of performances, showing the performances of expertise-910
psychotherapy according to the list of performances together with the ošetřovacím the date of the daily
According to the list of performance and for health care facilities Contracting
901-clinical psychology skills according to the list of performances
b) 1.06 Eur to health facilities providing hemodialysis treatment,
(c)) $ 1 for health care facilities contracting expertise 927-orthoptist
According to the list of performance and for health care facilities contracting expertise 903
-Clinical speech therapy, according to a list of performances
(d) Eur 0.71) for performances, 43311 43313, 43315, 43613, 43617, 43627, 43629,
43633 according to the list of performance contracting expertise 403-radiation oncology
According to the list of performances
(e) Eur 0.71) for performances and by list 75347 75348 performance contracting
705-Ophthalmology skills according to the list of performances
f) 1.03 CZK for screening performance 15101 15105 according to the list of performances and
Contracting expertise 105-Gastroenterology by list of performances
g) £ 1.02 for specialized out-patient care, not included in the above
the volume calculated for individual expertise by performance list
as follows:
POPho
PBro x-------
POPro
where:
PBro total number of medical facilities reported
and health insurance company recognized for
the reference period, annualised by list
in the version in force on 1 January. 1.2011.
The reference period means the half
in 2009.
The number of unique POPho policyholders treated
medical facilities in a given skill
in the period. Insured person is unique
shall mean the insured person as referred to in annex 1, part
A) 2 (a). b). period means the IMP, the
the semester of 2011.
POPro number of unique policy holders treated
medical facilities in a given skill
in the reference period
Health care provided by the medical establishment over the calculated volume in
the expertise, expressed in number of points for performance healthcare
the device reported and recognized by the health insurance for the period of reference,
are to be paid according to the list of performances with a value of $ 0.30 point.
2. in the case of a medical device that didn't exist in the reference period,
where appropriate, that does not provide care in a given skill, can health
the insurance company for the purpose of calculating the volume of use on the average number of points
one of the unique expertise of an insured person treated in that for
the reference period of comparable medical facilities.
3. in the case of medical devices, where there is compared to the reference period
the influence of changes of the range provided by the nasmlouvaného 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 referred to in point 1 (b). (g)) be increased by the number of points, which corresponds to the
medical facilities and health insurance company reported that recognized the newly
nasmlouvaným health.
4. the reduced point value in a given expertise in accordance with point 1 (b). (g))
not apply to:
and in the case of medical equipment), which the reference or
the period within the same expertise treating 50 and less
unique policy holders when the contracted capacity of care provided
at least 30 of office hours per week. In the case of the contracted capacity
the care provided is less than 30 hours a week with opening the limit of 50
the treated policyholders is converted by a factor of n unique/30, where n
is equal to the capacity of the contracted care for that expertise.
(b)) in the case of healthcare provided by the foreign insurance policy holders.
In the cases referred to in point (a)), all the stops with a value of
the point of 1.02 €.
5. Health insurance can provide monthly medical facility
a preliminary payment equal to one-sixth of the volume of payments for the corresponding
the reference period or in the amount of medical facilities reported
and recognised health care for the affected month. The selected form of preliminary
remittance health insurance company retains throughout the rating period, if
medical device during the rating period requests to reduce the amount of
interim payments. Advance payment for the rating period will be financially
have been dealt with in the context of the overall financial settlement, including the regulatory
restrictions, and no later than 120 days after the end of the rating period.
(B))
Regulatory restrictions
1. If the medical equipment reaches the average payment per
separately charged to the insured's unique medicinal products (with the exception of
separately charged to the medicinal products covered by the specialized
workplaces under § 15 para. 7 (b). (b)) of the Act), and separately billed
the material in the period is higher than 105% of the average remuneration to the
one of the unique separately charged to the insured's medicines (with
the exception of separately charged to medicinal products covered by the
specialised workplaces under § 15 para. 7 (b). (b)) of the Act), and
separately charged material in the reference period, the health insurance company
can the medical facility after the end of the year 2011 to reduce the remuneration of
the amount corresponding to 40% of the additional costs on a particularly charged to healing
preparations and posted material (above 105%), and the ways in
contained in the contract of medical equipment and health insurance companies.
2. If medical equipment reaches the average payment per
unique insured for the prescribed medicines and medical
resources in the period is higher than 105% of the average remuneration to the
one of the unique insured for the prescribed medicines and
medical devices in the reference period, the health insurance company may
medical facility after the completion of the rating period to reduce the remuneration of
the amount corresponding to 40% of the additional cost of prescribed medicines
medicinal products and medical devices (over 105%), and the ways in
contained in the contract of medical equipment and health insurance companies.
The average payment per insured person will be included as well as a unique
supplements for medicinal products, for which the prescribing doctor to exclude
the possibility of replacement pursuant to § 32 para. 2 of the Act.
3. If the medical device reaches the average payment per
the unique pull the insured's care in the listed fields of medicine in
the period is higher than 105% of the average remuneration per
unique in the reference period, the insured person's sickness insurance fund may
medical facility after the completion of the rating period to reduce the remuneration of
the amount corresponding to 40% of the additional costs of the requested care (over 105
%), and ways the Treaty health care facility, and
health insurance companies. The requested care do not include medical procedures
mammography screening, screening for cervical cancer and
screening of colorectal cancer by the medical establishment,
that is, the health insurance company for the provision of those health
performance contracts. For the purposes of determining the amount of the average reimbursement i
the amount of any deductions in the first sentence the performances requested care in
the investigational and reference period will be appreciated according to the list in the text of the
effective on January 1. 1.2011 value valid at the point of the period.
4. Regulatory restrictions referred to in points 1 to 3 shall not apply if the medical
provided by health care facilities justify, on the basis of which occurred
exceeding the average of payments referred to in point 1, 2, or 3.
5. Regulatory constraints referred to in point 1 shall not apply if the total remuneration for the
all separately charged medicines and separately charged material in the
outpatient health care facilities providing out-patient
specialized care in the period shall not exceed the appropriate
100% health insurance payments on this type of health care in the
the reference period.
6. Regulatory constraints referred to in point 2 shall not apply if the total remuneration for the
all medicines and medical devices prescribed in
outpatient health care facilities providing out-patient
specialized care in the period does not exceed the estimated amount of the
remittances to this kind of health care in the year 2011, based on the
health insurance plan of the appropriate health insurance.
7. for the health care facility where there have been compared to the reference period
change nasmlouvaného the range provided by the health care (changing number of
the holders of power authorized to prescribe medicines and
medical devices and require care in listed
fields of Medicine), in agreement with the health insurance company health
the value of the average tender facilities in the reference period for these purposes
proportionally adjusted.
8. in the case of medical devices which, in the reference period, or in his
part did not exist, or not concluded a 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 insured persons,
contracted capacity of care provided at least 30 opening hours
a week, the health insurance fund shall not include in the calculation of the regulatory expertise
in accordance with points 1 to 3. In the case of the contracted capacity provided by care
less than 30 hours a week with opening the limit of 50 products treated with unique
policyholders is converted by a factor of n/30, where n is equal to the capacity of the
the contracted care 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 the period
shall not exceed the estimated amount of the remittances to this kind of health care for a year
2011, based on the health insurance plan of the appropriate health
the insurance company.
11. Health insurance is entitled to assert regulatory reduction by
points 1 to 3 maximum amount corresponding to 15% of the volume of payments
provided in the health insurance medical facility for
medical procedures, reduced by the amount of remuneration for the separately posted material and
separately charged for investigational medicinal products, period.
12. If a medical device medical device prescribed above
15 000 CZK approved revision doctor health insurance companies will not be
the amount included in the regulatory limit.
13. If the medical facility provides health care in multiple
skills, regulatory restrictions in accordance with point 1 to 3, health insurance
applicable shall be calculated for each specialization, particularly if
health insurance, medical institutions have agreed otherwise.
Annex 4
The value of the item, the amount of the reimbursement and regulatory restrictions in accordance with § 6
And)
Point value and the amount of reimbursement
1. the amount of the remuneration shall be fixed according to the list provided by remuneration for performance
medical procedures with the value of point in the amount of € 1.06.
2. The total amount of payment of medical devices
and providing health care in) expertise 603 or 604 does not exceed
the amount that is calculated as follows:
POPzpo x PUROo
where:
POPzpopočet unique insured persons treated in the
expertise of the medical establishment in the
period. Unique means the insured person insured
referred to in annex 1, part A, point 2 (a)). (b)).
IMP, the period is 2011.
PUROo the average remuneration for medical procedures, including especially
the posted material and separately charged to medicinal
the one unique insured
treated in the expertise of the medical institutions
in the reference period. The reference period is the year
2009.
(b) providing health care at the same time) in expertise and in 603
604 does not exceed the skill equal to the sum of the amounts for
individual expertise, where the expertise of the calculated amount for one
as follows:
POPzpo x PUROo
where:
POPzpo number of unique insured persons treated in the
expertise of the medical establishment in the
period
PUROo is calculated as follows:
PUROo = PPBROo x RDHB + PUZUMROo + PUZULPROo
where:
PPBROo average number of medical facilities declared and
health insurance company recognized points on one
the unique skill of the insured in the treated
the medical establishment in the reference period,
passenger according to the list in the version in force
to 1. 1.2011
Realistically achieved RDHB point value for health care
provided by the medical establishment in the expertise of 603
and according to the list of performances at 604 health insurance
in the reference period which shall be fixed as a proportion of
the total reimbursement provided by the medical facility
health insurance for care provided to
medical facility in the 603 and 604 based skills
list of performances, reduced by the amount of remuneration for particular
posted material and separately charged to medicinal products
over the reference period and the total number of points for
health care provided by the medical establishment
in 603, and 604 skills reported for reference
period, and the health insurance company approved
PUZUMROo the average remuneration for the separately posted material on the
one of the unique expertise of an insured person in a given
a medical facility in the reference period
PUZULPROo the average remuneration of a particularly charged to healing
preparations per one unique insured in that
expertise in a medical facility in the reference
period
3. The total amount of remuneration referred to in paragraph 2 shall be subject to conditions
laid down in the contract between health insurance and health care
equipment increased in the same manner as in the reference period, if the
health insurance, medical institutions have agreed otherwise.
4. in the case of a medical device that didn't exist in the reference period,
where appropriate, that does not provide care in a given skill, is a health
the insurance company may, for the purposes of calculating the total amount of payment use
the average payment per insured's unique reference period
comparable medical facilities.
5. in the case of medical devices, where there is compared to the reference period
the influence of changes of the range provided by the nasmlouvaného health care in some of the
expertise (i.e. change the spectrum of the contracted performance) to an increase in the average
the remuneration of an insured person on one of the unique, the total amount of remuneration
medical device referred to in point 2 for the value of health care
the device reported and health insurance company recognized newly
the contracted medical procedures, including especially the posted material and
separately charged to medicinal products. The newly contracted performances for
these purposes will be appreciated according to the list of performances with the use of point values 1 Eur,
If a health insurance company, the medical establishment fail to agree
otherwise.
6. Health Insurance Bill will take into account cases where the increase in the
costs in connection with an increase in 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 separately charged medical preparations per one unique
of the insured person in a given skill were caused by changing the amount or the method of
their remuneration, or due to changes in the structure of the treated
policy holders.
8. If medical facilities treating the reference or the investigational
period in the expertise of 50 and less unique insured persons,
contracted capacity of care provided at least 30 opening hours
a week, the health insurance fund shall not include in the calculation of the regulatory expertise
referred to in point 2 (a). a) and (b)). In the case of the contracted capacity provided by
care less than 30 hours a week with opening the limit of 50 treated
unique policyholders is converted by a factor of n/30, where n is equal to the
the capacity of the contracted care for that expertise.
9. Health insurance can provide monthly medical facility
a preliminary payment of one twelfth of the volume of payments for
the corresponding reference period, or on the value of health care
the device reported and recognized by health care for the affected month.
(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 medical equipment reaches the average payment per
unique insured for the prescribed medicines and medical
resources in the period is higher than 100% of the average remuneration to the
one of the unique insured for the prescribed medicines and
medical devices in the reference period, health insurance is
shall be entitled to reimbursement of the medical facility to reduce the amount corresponding to
40% of the additional cost of prescribed medicines and medical
devices, modes of the Treaty of medical equipment
and health insurance companies. The average payment per unique
the insured person will be included as well as supplements for medicinal products, for which
the prescribing doctor ruled out the possibility of replacement pursuant to § 32 para. 2
the law.
1.2 If the medical establishment reaches a higher average remuneration to the
one of the unique pull the insured's care in listed
proficiency in the period, than 100% of the average remuneration per
unique in the reference period, the insured person's sickness insurance fund is
shall be entitled to reimbursement of the medical facility to reduce the amount corresponding to
40% of the additional costs of the requested care methods contained in the
contract medical equipment and health insurance companies. To the requested
do not include health care, mammography screening, performance
screening for cervical cancer and colorectal cancer,
carried out by the medical establishment, which has with the insurance company on the
the provision of such medical procedures under contract. For the purposes of
determination of the amount of the average of payments and the amount of any deductions in the first sentence
the performance of the requested care in the investigational and reference period will be appreciated by
list of performances in the version in force on 1 January. 1.2011 value valid at the point
the period.
2. Regulatory restrictions referred to in points. 1.1 and 1.2 shall not apply, if
medical facilities justifying medical care provided on the
the basis of the exceeding of the average payments in accordance with section 1.1, or
1.2.
3. when compared to the reference period there was a change nasmlouvaného
the range of provided health care, health insurance, in agreement with
the medical establishment values of the average payments in the reference period
for these purposes, proportionately adjusted.
4. In the case that a medical facility in the reference period, or in his
part did not exist, or not concluded a contract with health
the insurance company, is a health insurance company may use for the purposes of
the application of the regulatory restrictions referred to in points 1.1 and 1.2 of the reference value
comparable medical facilities.
5. If the medical facilities treating the reference or the investigational
period in the expertise of 50 and less unique insured persons,
contracted capacity of care provided at least 30 opening hours
a week, the health insurance fund shall not include in the calculation of the regulatory expertise
referred to in points 1.1 and 1.2. In the case of the contracted capacity provided by care
less than 30 hours a week with opening the limit of 50 products treated with unique
policyholders is converted by a factor of n/30, where n is equal to the capacity of the
the contracted care for that expertise.
6. 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 the period
do not exceed the estimated amount of the health care payments for the year
2011, based on the health insurance plan health insurance company.
7. the insurer is entitled to assert 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 facility for health
performance, reduced by the amount of remuneration for the separately posted material and especially
posted for investigational medicinal products, period.
8. If the medical device medical device reports over 15
USD, they will not be included in the cost of regulatory restrictions.
9. If a medical device that provides health care in multiple
skills, regulatory restrictions in accordance with point 1.1 and 1.2 of the health
insurance company calculates the applicable, separately for each specialization,
If the medical facility and health insurance company agree otherwise.
Annex 5
Point value and the amount of payments under section 8
1. for the performance of the contracted screening according to the list
power down the point value of 1.10 Eur; for the contracted performance
cervical screening in accordance with the list of performance shall be the value of a point
in the amount of € 1.03.
2. for healthcare provided in 809 by skill list
performance to the volume calculated according to point 4, the value of point in the
the amount of $ 1.10, with the exception of the contracted performance 89711-89725 and further
89611 89619 to performance against a list of performances for which the volume of
calculated in accordance with point 5 point value equal to 0.70 €.
3. for health care provided in the fields of medicine, listed with
the exception of expertise into the volume of 809, calculated in accordance with point 4 of the value
point set at EUR 0.70 Eur, if the health insurance fund shall
medical facility under section 15, unless agreed otherwise.
4. the health care provided in the period in
listed skills are to be paid with the value of point by point
2 and 3 to 100% of the medical facilities reported
and health insurance company recognized points over the reference period;
above this volume of health care shall be borne by the point value 0.40
CZK. This volume is calculated as follows:
POPho
PBro x--------------
POPro
where:
PBro total number of medical facilities reported and
health insurance recognised reference points
period, the passenger according to the list in the text of the
effective to January 1st 2011. The reference period shall mean the
the half-year of 2009.
The total number of unique POPho policyholders treated
medical facilities in the period.
Unique means the insured person insured person referred to
in annex 1, part A, point 2 (a)). (b)). The investigational
period shall mean the relevant semester of 2011.
POPro the total number of unique policy holders treated
the medical establishment in the reference period
5. in the case of a medical device that permissible period did not exist,
where appropriate, that does not provide care in a given skill, or for which
the total volume of payment cannot be determined, or if the medical device
health care has provided 50 and less unique to the insured, health
the insurance company for the purpose of calculating the volume referred to in point 4 to use the average
payment on one unique reference period the insured's
comparable medical facilities.
6. the provisions of paragraph 4 shall not apply in the case of health care provided
foreign insurance policy holders.
7. the financial settlement will be done no later than 120 days after the end of
the rating period.
Annex 6
Point value and the amount of the reimbursement in accordance with § 9
1. for outpatient health care facilities providing health care in
925 by list performance skill is determined in the amount of 1 point value
CZK.
2. for outpatient health care facilities providing health care in
expertise of 911, 914, 916, and 921 according to the list of performance shall be the value of the
point of 0.90 €.
3. for the performance of the transport in the visitors service, paid for by list of performances
down the point value of 0.90 €. 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 modified, as appropriate, 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 reported and
health insurance recognised reference points
period, the passenger according to the list in the text of the
effective to January 1st 2011. The reference period shall mean the
the half-year of 2009.
The total number of unique POPho policyholders treated
medical facilities in the period.
Unique means the insured person insured person referred to
in annex 1, part A, point 2 (a)). (b)). The investigational
period shall mean the relevant semester of 2011.
POPro the total number of unique policy holders treated
the medical establishment in the reference period
5. the health care provided by the medical establishment over 105% of the volume
calculated in accordance with point 4, or modified in accordance with point 6, in
expertise with a value point 925 paid in the amount of Eur 0.70 and specializations
911, 914, 916, and 921-valued point of 0.63 €.
6. where in the clinic of changes in scale and
the structure provided by the paid care in comparison with the reference period, and
health insurance company approves these changes, taking into account in the proposal
the contract, including quantifying the increase (reduction) payments.
7. the provisions of paragraphs 4 and 5 shall not apply if the health care facility
treating 50 and less unique insured persons during the reference period.
8. Health insurance medical facility may arrange for monthly
preliminary remuneration of medical facility reported values and
health insurance health care recognised for the corresponding month
This form of health insurance will maintain throughout the relevant semester.
A preliminary consideration for the half-year, health insurance company financially
enquiry no later than 120 days after completion of the rating period.
Annex 7
Point value and the amount of the reimbursement in accordance with § 10
1. the value of point is set at EUR 0.80 CZK.
2. for the performance of the transport in the visitors service, paid for by list of performances
the value of the point set at EUR 0.90 €. 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 borne by the
According to the list of performances with the value point of 0.50 €. This
the volume is calculated as follows:
POPho
PBro x--------------
POPro
where:
PBro total number of medical facilities reported and
health insurance recognised reference points
period, the passenger according to the list in the text of the
effective on January 1. 1.2011. The reference period shall mean the
the half-year of 2009.
The total number of unique POPho policyholders treated
medical facilities in the period.
Unique means the insured person insured person referred to
in annex 1, part A, point 2 (a)). (b)). The investigational
period shall mean the relevant semester of 2011.
POPro the total number of unique policy holders treated
the medical establishment in the reference period
4. where in the clinic of changes in scale and
the structure provided by the paid care in comparison with the reference period, and
health insurance company approves these changes, taking into account in the proposal
the contract, including quantifying the increase (reduction) payments.
5. the provisions of paragraph 3 shall not apply if the health care facility and treating
50 and less unique insured persons during the reference period.
6. Health insurance medical facility may arrange for monthly
interim payment either in the amount of medical facilities reported
and health insurance company recognized healthcare for any 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 consideration for the half-year, health insurance company financially
enquiry no later than 120 days after completion of the rating period.
Annex 8
Point value and the amount of reimbursement under section 12
1. The value of the point shall be
and) of 0.95 € for health care facilities providing transport
health service in continuous operation,
(b)) in the amount of $ 0.85 for healthcare facilities to provide transport
health service in continuous operation.
2. the health care provided by the medical establishment to 100%
the calculated volume is to be paid according to performance with a value list item
provided for in point 1. This volume is calculated as follows:
POPho
PBro x--------------
POPro
where:
PBro total number of medical facilities reported and
health insurance recognised reference points
passenger list performance period, as amended by
effective on January 1. 1.2011. The reference period shall mean the
the year 2009.
The total number of insured persons převezených POPho, which was
in the period granted medical transport
the service. Převezeným the insured shall mean the insured person,
on which was recorded the performance of transport on the basis of
command to a medical transport. Rated period
is the year 2011.
Převezených POPro the total number of insured persons who have been
in the reference period granted medical transport
service; in the event of a merger of health insurance companies is
převezených means the sum of the number of insured persons
převezených insured persons for health insurance companies, which
have merged.
3. Over 100% of the volume calculated in accordance with point 2 is a health insurance company
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 (b). and at $ 0.85) and for medical
the device referred to in point 1. (a). (b)) to $ 0.75.
4. the provisions of paragraph 3 shall not apply to medical devices, which
reference or the period provided the medical transport service
less than 50 převezeným affiliated persons competent health insurance company.
5. where in the clinic of changes in scale and
the structure provided by the paid care in comparison with the reference period, and
health insurance company approves these changes, taking into account in the proposal
the contract, including quantifying the increase (reduction) payments.
6. Health insurance can provide medical facility for 1. and
2. semester of 2011 preliminary payment in the amount of 100% of the remuneration in the
the half-year of 2009.
Annex 9
Diagnosis-related group, according to Klasifikace4), with indexes of these groups
--------- ---------------------------------------------------------------------------------- -----------------
IR-DRG4) group name Index 2011
--------- ---------------------------------------------------------------------------------- -----------------
00011 HEART TRANSPLANTS and/or LUNG without CC 19.0045
00012 HEART TRANSPLANTS and/or LUNG with CC 19.0045
00013 HEART TRANSPLANTS and/or LUNG with MCC 35.3056
00021 LIVER TRANSPLANTATION without CC 13.0007
00022 LIVER TRANSPLANTATION with CC 16.3404
00023 LIVER TRANSPLANT with MCC 31.6304
00031 ALLOGENEIC BONE MARROW TRANSPLANTATION without CC 56.6256
00032 ALLOGENEIC BONE MARROW TRANSPLANTATION with CC 56.6256
00033 ALLOGENEIC BONE MARROW TRANSPLANT with MCC 56.6256
00041 LONG-TERM MECHANICAL VENTILATION > 240 HOURS (11-21 DAYS) without CC 11.1712
00042 LONG-TERM MECHANICAL VENTILATION > 240 HOURS (11-21 DAYS) with CC 13.5811
00043 LONG-TERM MECHANICAL VENTILATION > 240 HOURS (11-21 DAYS) with MCC 16.8558
00051 LONG-TERM MECHANICAL VENTILATION > 96 HOURS (5-10 DAYS) without CC 6.0713
00052 LONG TERM MECHANICAL VENTILATION > 96 HOURS (5-10 DAYS) with CC 7.0448
00053 LONG TERM MECHANICAL VENTILATION > 96 HOURS (5-10 DAYS) with MCC 8.5356
00060 LONG-TERM MECHANICAL VENTILATION > 1800 HOURS (more than 75 DAYS) 80.9527
00070 LONG-TERM MECHANICAL VENTILATION > 1008 HOURS (more than 43 DAYS) with 122.3876 TRANSPLANTATION
THE HEART, LUNGS, LIVER, BONE MARROW
00080 LONG-TERM MECHANICAL VENTILATION > 1008 HOURS (43-75 days) with an ECONOMICALLY CHALLENGING 55.8021
PERFORMANCE
00090 LONG-TERM MECHANICAL VENTILATION > 1008 HOURS (43-75 days) 39.5524
00100 LONG-TERM MECHANICAL VENTILATION > 504 HOURS (22-42 days) with EKONOMICKYNÁROČNÝM 37.2164
PERFORMANCE
00110 LONG-TERM MECHANICAL VENTILATION > 504 HOURS (22-42 days) 28.1373
00121 LONG-TERM MECHANICAL VENTILATION > 240 HOURS (11-21 DAYS) with EKONOMICKYNÁROČNÝM 18.6099
PERFORMANCE WITHOUT CC
00122 LONG-TERM MECHANICAL VENTILATION > 240 HOURS (11-21 DAYS) with EKONOMICKYNÁROČNÝM 18.6099
PERFORMANCE WITH CC
00123 LONG-TERM MECHANICAL VENTILATION > 240 HOURS (11-21 DAYS) with EKONOMICKYNÁROČNÝM 21.9146
PERFORMANCE WITH MCC
00131 LONG-TERM MECHANICAL VENTILATION > 96 HOURS (5-10 DAYS) with an ECONOMICALLY CHALLENGING PERFORMANCE 9.9222
WITHOUT CC
00132 LONG-TERM MECHANICAL VENTILATION > 96 HOURS (5-10 DAYS) with an ECONOMICALLY CHALLENGING PERFORMANCE 11.0913
WITH CC
00133 LONG-TERM MECHANICAL VENTILATION > 96 HOURS (5-10 DAYS) with an ECONOMICALLY CHALLENGING PERFORMANCE 13.0911
WITH MCC
00141 AUTOLOGOUS BONE MARROW TRANSPLANTATION without CC 3.7009
00142 AUTOLOGOUS BONE MARROW TRANSPLANTATION with CC 4.9243
00143 AUTOLOGOUS BONE MARROW TRANSPLANT with MCC 11.6692
00151 SEPARATION of BONE MARROW without CC 1.8549
00152 SEPARATION of BONE MARROW with CC 2.4466
00153 SEPARATION of BONE MARROW with MCC 2.4466
00161 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD with the ECONOMICALLY SIGNIFICANT PERFORMANCE 14.1939
WITHOUT CC
00162 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD with the ECONOMICALLY SIGNIFICANT PERFORMANCE 14.1939
WITH CC
00163 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD with the ECONOMICALLY SIGNIFICANT PERFORMANCE 14.1939
WITH MCC
00171 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD without CC 9.5187
00172 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD with CC 9.5187
00173 EARLY REHABILITATION AFTER INJURY or DISEASE of the SPINAL CORD with MCC 9.5187
01011 CRANIOTOMY without CC 4.0506
01012 CRANIOTOMY with CC 5.1649
01013 CRANIOTOMY with MCC 7.2670
01021 SPINAL PERFORMANCES without CC 3.5389
01022 SPINAL PERFORMANCES with CC 5.5981
01023 SPINAL PERFORMANCES with MCC 7.2636
01031 EXTRACRANIAL ARTERIES PERFORMANCES without CC 2.3025
01032 PERFORMANCES on the EXTRACRANIAL ARTERIES with CC 2.7430
01033 PERFORMANCES on the EXTRACRANIAL ARTERIES with MCC 3.5039
01041 PERFORMANCES on the CRANIAL and peripheral NERVES without CC 0.6603
01042 PERFORMANCES on the CRANIAL and peripheral NERVES with CC 0.6603
01043 PERFORMANCES on the CRANIAL and peripheral NERVES with MCC 3.0331
01051 CARPAL TUNNEL RELEASE without CC 0.2129
01052 CARPAL TUNNEL RELEASE with CC 0.2360
01053 CARPAL TUNNEL RELEASE with MCC 0.2651
01061 OTHER PERFORMANCES in DISEASES and DISORDERS of the NERVOUS SYSTEM without CC 1.5923
OTHER PERFORMANCES in 01062 diseases and DISORDERS of the NERVOUS SYSTEM with CC 2.4976
01063 OTHER PERFORMANCES in DISEASES and DISORDERS of the NERVOUS SYSTEM with MCC 4.1156
01301 disorders and SPINAL CORD INJURIES without CC 0.5838
01302 disorders and SPINAL CORD INJURIES with CC 0.9098
01303 disorders and SPINAL CORD INJURIES with MCC 1.7390
01311 MALIGNANCIES, SOME INFECTIONS and degenerative DISORDERS of the NERVOUS SYSTEM without 0.6390
CC
01312 MALIGNANCIES, SOME INFECTIONS and degenerative DISORDERS of the NERVOUS SYSTEM with CC 0.7112
01313 MALIGNANCIES, SOME INFECTIONS and degenerative NERVOUS SYSTEM DISORDERS with MCC 0.9942
01321 MULTIPLE SCLEROSIS and CEREBELLAR ATAXIA without CC 0.3998
01322 MULTIPLE SCLEROSIS and CEREBELLAR ATAXIA with CC 0.4683
01323 MULTIPLE SCLEROSIS and CEREBELLAR ATAXIA with MCC 0.5904
01331 TRAUMATIC INTRACRANIAL BLEEDING without CC 1.1130
01332 TRAUMATIC INTRACRANIAL HEMORRHAGE with CC 1.5564
01333 TRAUMATIC INTRACRANIAL HEMORRHAGE with MCC 2.4401
01341 STROKE with myocardial FREE CC 0.7317
01342 STROKE with myocardial with CC 0.9604
01343 STROKE with myocardial with MCC 1.4702
01351 NON-SPECIFIC STROKE and PRECEREBRÁLNÍ OCCLUSION without MYOCARDIAL without CC 0.5638
01352 NON-SPECIFIC STROKE and PRECEREBRÁLNÍ OCCLUSION without MYOCARDIAL with CC 0.6747
01353 NON-SPECIFIC STROKE and PRECEREBRÁLNÍ OCCLUSION without MYOCARDIAL with MCC 1.0178
01361 TRANSIENT ISCHAEMIC ATTACK without CC 0.3955
01362 TRANSIENT ISCHEMIC ATTACK with CC 0.4750
01363 TRANSIENT ISCHEMIC ATTACK with MCC 0.5412
01371 CRANIAL and PERIPHERAL NERVES DISORDERS without CC 0.5066
01372 DISORDERS CRANIAL and PERIPHERAL NERVES with CC 0.5706
01373 DISORDERS CRANIAL and PERIPHERAL NERVES with MCC 0.7306
01381 bacterial and TUBERCULOSIS INFECTION of the NERVOUS SYSTEM without CC 1.9719
01382 bacterial and TUBERCULOSIS INFECTION of the NERVOUS SYSTEM with CC 3.1587
01383 bacterial and TUBERCULOSIS INFECTION of the NERVOUS SYSTEM with MCC 5.2862
01391 NEBAKTERIÁLNÍ INFECTION of the NERVOUS SYSTEM, in ADDITION to VIRAL MENINGITIS without CC 0.8505
01392 NEBAKTERIÁLNÍ INFECTION of the NERVOUS SYSTEM, in ADDITION to VIRAL MENINGITIS with CC 1.2828
01393 NEBAKTERIÁLNÍ INFECTION of the NERVOUS SYSTEM, in ADDITION to VIRAL MENINGITIS with MCC 2.4603
01401 VIRAL MENINGITIS without CC 1.1094
01402 VIRAL MENINGITIS with CC 1.3153
01403 VIRAL MENINGITIS with MCC 1.9320
01411 NETRAUMATICKÁ DISORDER of CONSCIOUSNESS and coma without CC 0.4640
01412 NETRAUMATICKÁ DISORDER of CONSCIOUSNESS and coma with CC 0.6387
01413 NETRAUMATICKÁ DISORDER of CONSCIOUSNESS and coma with MCC 1.2408
01421 EPILEPTIC SEIZURE without CC 0.4169
01422 EPILEPTIC SEIZURE with CC 0.5024
01423 EPILEPTIC SEIZURE with MCC 0.8493
01431 MIGRAINE and other HEADACHES without CC 0.3722
01432 MIGRAINE and other HEADACHES with CC 0.4750
01433 MIGRAINE and other HEADACHES with MCC 0.5199
01441 CRANIAL and intracranial INJURIES without CC 0.6742
01442 CRANIAL and intracranial injury with CC 1.0991
01443 CRANIAL and intracranial INJURIES with MCC 2.7431
01451 CONCUSSION without CC 0.2041
01452 CONCUSSION with CC 0.2327
01453 CONCUSSION with MCC 0.3778
01461 OTHER NERVOUS SYSTEM DISORDERS without CC 0.3513
01462 OTHER NERVOUS SYSTEM DISORDERS with CC 0.5162
01463 OTHER NERVOUS SYSTEM DISORDERS with MCC 0.7407
02011 ENUKLEACE, and PERFORMANCES on the EYECUP without CC 1.0081
02012 ENUKLEACE and PERFORMANCES on the EYECUP with CC 1.3624
02013 ENUKLEACE and PERFORMANCES on the EYECUP with MCC 2.2125
EXTRAOKULÁRNÍ in ADDITION to the performances, 02021 EYEPIECE without CC 0.3588
EXTRAOKULÁRNÍ in ADDITION to the performances, 02022 EYECUP with CC 0.4468
EXTRAOKULÁRNÍ in ADDITION to the performances, 02023 EYECUP with MCC 0.4468
02031 INTRAOCULAR LENSES, EXCEPT without the CC 1.0171
02032 INTRAOCULAR procedures, in ADDITION to LENSES with CC 1.1961
in ADDITION to the performances, 02033 INTRAOCULAR LENSES with MCC 1.2626
02041 PERFORMANCES on the LENS with or without VITREKTOMIE without-CC 0.5367
02042 the PERFORMANCES on the LENS with or without VITREKTOMIE with CC to 0.5367
02043 PERFORMANCES on the LENS with or without VITREKTOMIE with MCC 0.5367
02301 ACUTE and SERIOUS EYE INFECTION without CC 0.4154
02302 acute and SERIOUS EYE INFECTION with CC 0.4845
acute and SEVERE 02303 EYE INFECTION with MCC 0.7704
02311 NEUROLOGICAL and vascular EYE DISORDERS without CC 0.4146
02312 neurological and VASCULAR DISORDERS of the EYE with CC 0.4606
02313 NEUROLOGICAL and vascular EYE DISORDERS with MCC 0.5733
02321 OTHER EYE DISORDERS without CC 0.2300
02322 OTHER EYE DISORDERS with CC 0.2607
02323 OTHER EYE DISORDERS with MCC 0.3316
03011 GREAT PERFORMANCES on the larynx and TRACHEA without CC 2.9798
03012 GREAT PERFORMANCES on the larynx and TRACHEA with CC 4.5613
03013 GREAT PERFORMANCES on the larynx and TRACHEA with MCC 6.9446
03021 OTHER BIG PERFORMANCES on his head and neck without CC 2.0662
03022 OTHER BIG PERFORMANCES on the head and neck with CC 4.5132
OTHER LARGE 03023 PERFORMANCES on the head and neck with MCC 6.6893
03031 PERFORMANCES on the FACIAL bones, in ADDITION to LARGE POWER OUTPUTS on the HEAD and KRKUBEZ CC 1.4554
03032 PERFORMANCES on the FACIAL bones, in ADDITION to LARGE POWER OUTPUTS on the HEAD and KRKUS CC 1.7303
03033 PERFORMANCES on the FACIAL bones, in ADDITION to LARGE POWER OUTPUTS on the HEAD and KRKUS MCC 3.5586
03041 PERFORMANCES on the MOUTH without CC 0.6644
03042 PERFORMANCES on mouth with CC 0.8734
03043 PERFORMANCES on mouth with MCC 1.0756
03051 PERFORMANCES on the CAVITIES and MASTOIDU without-CC 1.4412
03052 PERFORMANCES on the CAVITIES and MASTOIDU with CC to 1.4412
03053 PERFORMANCES on the CAVITIES and MASTOIDU with MCC 1.5738
03061 PERFORMANCES on SALIVARY GLAND without CC 1.0362
03062 PERFORMANCES on SALIVARY GLAND with CC 1.2293
PERFORMANCES on the SALIVARY GLAND 03063 with MCC 1.2293
03071 AXLE of cleft lip and PALATE without CC 1.3836
03072 AXLE of cleft lip and PALATE with CC 1.8744
03073 AXLE of cleft lip and PALATE with MCC 2.6148
03081 PERFORMANCES on the CERVICAL and nasal ALMONDS without CC 0.4871
03082 PERFORMANCES on the CERVICAL and nasal ALMONDS with CC 0.5588
03083 PERFORMANCES on the CERVICAL and nasal ALMONDS with MCC 0.6784
03091 OTHER PERFORMANCES in DISORDERS and DISEASES of ears, nose, mouth and throat without CC 0.4478
03092 OTHER PERFORMANCES with FAULTS and DISEASES of the ears, nose, mouth and throat with CC 0.5947
03093 OTHER PERFORMANCES in DISORDERS and DISEASES of ears, nose, mouth and throat with MCC 0.7297
COCHLEAR IMPLANT 24.8458 03100
03301 MALIGNANT DISEASE of ear, nose, mouth and throat without CC 0.9157
03302 MALIGNANT DISEASE of the ear, nose, mouth and throat with CC 0.9157
03303 MALIGNANT DISEASE ear, nose, mouth and throat with MCC 1.1999
03311 BALANCE DISORDERS without CC 0.3683
03312 BALANCE DISORDERS with CC 0.4358
03313 BALANCE DISORDERS with MCC 0.4767
03321 EPISTAXIS with NO CC 0.2376
03322 EPISTAXIS with CC 0.2780
03323 EPISTAXIS with MCC 0.2925
03331 EPIGLOTTITIS, OTITIS MEDIA, infection of the upper respiratory tract, LARYNGOTRACHEITIS without CC 0.2767
03332 EPIGLOTTITIS, OTITIS MEDIA, infection of the upper respiratory tract, LARYNGOTRACHEITIS with CC 0.3876
03333 EPIGLOTTITIS, OTITIS MEDIA, infection of the upper respiratory tract, LARYNGOTRACHEITIS with MCC 0.5085
DISEASES of the TEETH and mouth 03341 without CC 0.4450
03342 DISEASES of the TEETH and mouth with CC 0.5603
DISEASES of the TEETH and mouth 03343 with MCC 0.7116
03351 OTHER DISORDERS of the ears, nose, mouth and throat without CC 0.2857
03352 OTHER DISORDERS of the ears, nose, mouth and throat with CC 0.3683
OTHER DISORDERS 03353 ears, nose, mouth and throat with MCC 0.4787
04011 LARGE THORACIC PERFORMANCES without CC 3.1704
04012 LARGE THORACIC PERFORMANCES with CC 3.8487
04013 BIG CHEST with MCC 4.8274
04021 SMALLER CHEST PERFORMANCES without CC 2.7685
04022 SMALLER CHEST with CC 2.7685
04023 SMALLER CHEST with MCC 3.4481
04031 OTHER PERFORMANCES in DISORDERS and DISEASES of the RESPIRATORY SYSTEM without CC 1.0528
04032 OTHER PERFORMANCES in DISORDERS and DISEASES of the RESPIRATORY SYSTEM with CC 1.4025
04033 OTHER PERFORMANCES in DISORDERS and DISEASES of the RESPIRATORY SYSTEM with MCC 2.8542
04301 CYSTIC FIBROSIS without CC 2.1173
04302 CYSTIC FIBROSIS with CC 2.1173
04303 CYSTIC FIBROSIS with MCC 3.2302
04310 RESPIRATORY FAILURE 2.1232
04321 PULMONARY EMBOLISM without CC 0.8912
04322 PULMONARY EMBOLISM with CC 0.9550
04323 PULMONARY EMBOLISM with MCC 1.1300
04331 SEVERE TRAUMA to the CHEST without CC 0.3764
04332 SEVERE TRAUMA to CHEST with CC 0.6294
04333 SEVERE TRAUMA to CHEST with MCC 0.9696
04341 MALIGNANT DISEASE RESPIRATORY SYSTEM without CC 0.6559
04342 MALIGNANT DISEASE of the RESPIRATORY SYSTEM with CC 0.7641
04343 MALIGNANT DISEASE RESPIRATORY SYSTEM with MCC 0.9490
04351 RESPIRATORY SYSTEM infections and inflammations without CC 0.9036
04352 RESPIRATORY SYSTEM infections and inflammations with CC 1.1563
04353 RESPIRATORY SYSTEM infections and inflammations with MCC 1.7140
04361 SIMPLE pneumonia and WHOOPING COUGH without CC 0.6043
04362 SIMPLE pneumonia and WHOOPING COUGH with CC 0.7846
04363 SIMPLE pneumonia and WHOOPING COUGH with MCC 1.1687
04371 CHRONIC OBSTRUCTIVE PULMONARY DISEASE without CC 0.5097
04372 CHRONIC OBSTRUCTIVE PULMONARY disease with CC 0.5986
04373 CHRONIC OBSTRUCTIVE PULMONARY disease with MCC 0.7863
asthma and BRONCHIOLITIS 04381 without CC 0.4033
04382 asthma and BRONCHIOLITIS with CC 0.5495
04383 asthma and BRONCHIOLITIS with MCC 0.6666
04391 INTERSTITIAL LUNG DISEASE without CC 0.6787
04392 INTERSTITIAL LUNG DISEASE with CC 0.7303
04393 INTERSTITIAL LUNG DISEASE with MCC 0.9961
04401 PNEUMOTHORAX without CC PLEURÁNÍ the EFFUSION and 0.8511
04402 PNEUMOTHORAX and PLEURÁNÍ EFFUSION with CC 0.9462
04403 PNEUMOTHORAX and PLEURÁNÍ EFFUSION with MCC 1.3015
04411 signs, symptoms and other RESPIRATORY SYSTEM DIAGNOSIS without CC 0.4009
04412 signs, symptoms and other RESPIRATORY SYSTEM DIAGNOSIS with CC 0.5542
04413 signs, symptoms and other RESPIRATORY SYSTEM DIAGNOSIS with MCC 0.7403
05000 DEATHS within 5 DAYS FROM RECEIPT of the MAIN DIAGNOSIS of CIRCULATORY SYSTEM 0.5293
05011 CARDIAC DEFIBRILLATOR IMPLANT and to SUPPORT HEART FUNCTION without CC 37.7744
05012 CARDIAC DEFIBRILLATOR IMPLANT and to SUPPORT HEART FUNCTION with CC 37.7744
05013 CARDIAC DEFIBRILLATOR IMPLANT and to SUPPORT HEART FUNCTION with MCC 37.7744
05021 PERFORMANCES on the HEART with the HEART-CATH LAB FLAP without CC 13.1793
05022 PERFORMANCES on the HEART with the HEART-CATH LAB FLAP with CC 14.7461
05023 PERFORMANCES on the HEART with the HEART-CATH LAB FLAP with MCC 15.7238
the operations and PROCEDURES for 05031 CONGENITAL HEART DEFECTS without CC 9.9009
05032 operations and PROCEDURES for CONGENITAL HEART DISEASE with CC 9.9009
05033 operations and PROCEDURES for CONGENITAL HEART DEFECTS with MCC 12.4967
05041 PERFORMANCES on HEART FLAP without CARDIAC CATHETERIZATION without CC 10.5792
05042 PERFORMANCES on HEART FLAP without CARDIAC CATHETERIZATION with CC 11.7355
05043 PERFORMANCES on HEART FLAP without cardiac catheterization with MCC 13.2768
05051 CORONARY BYPASS SURGERY with HEART-CATH LAB without CC 9.6419
05052 CORONARY BYPASS SURGERY with HEART-CATH LAB with CC 9.6419
05053 CORONARY BYPASS SURGERY with HEART-CATH LAB with MCC 10.3691
05061 CORONARY BYPASS SURGERY without CARDIAC CATHETERIZATION without CC 8.0839
05062 CORONARY BYPASS SURGERY without CARDIAC CATHETERIZATION with CC 8.5562
05063 CORONARY BYPASS SURGERY without cardiac catheterization with MCC 8.5562
PERMANENT PACEMAKER IMPLANTATION in 05070 ACUTE MYOCARDIAL INFARCTION, heart failure 7.7434
OR SHOCK
OTHER PERFORMANCES of the CARDIOTHORACIC 05081 without CC 2.5737
05082 OTHER CARDIOTHORACIC PERFORMANCES with CC 5.0354
05083 OTHER CARDIOTHORACIC PERFORMANCES with MCC 6.6401
05091 LARGE ABDOMINAL VASCULAR PERFORMANCE without CC 5.0865
05092 LARGE ABDOMINAL VASCULAR PERFORMANCE with CC 7.5520
05093 LARGE ABDOMINAL VASCULAR PERFORMANCE with MCC 9.6407
05101 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE DURING ACUTE MYOCARDIAL INFARCTION without CC 4.0742
05102 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE DURING ACUTE MYOCARDIAL INFARCTION with CC 4.3543
05103 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE DURING ACUTE MYOCARDIAL INFARCTION with MCC 4.9835
IMPLANTATION of PERMANENT PACEMAKER 05111 without ACUTE MYOCARDIAL INFARCTION, heart failure 4.8164
OR SHOCK WITHOUT CC
IMPLANTATION of PERMANENT PACEMAKER 05112 without ACUTE MYOCARDIAL INFARCTION, heart failure 4.8164
OR SHOCK WITH CC
IMPLANTATION of PERMANENT PACEMAKER 05113 without ACUTE MYOCARDIAL INFARCTION, heart failure 5.2020
OR SHOCK WITH MCC
LARGE THORACIC VASCULAR 05121 PERFORMANCES without CC 8.5806
LARGE THORACIC VASCULAR 05122 PERFORMANCES with CC 10.1933
05123 LARGE THORACIC VASCULAR PERFORMANCE with MCC 12.6834
05131 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE without ACUTE MYOCARDIAL INFARCTION without CC 3.7804
05132 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE without ACUTE MYOCARDIAL INFARCTION with CC 3.7804
05133 OTHER PERCUTANEOUS CARDIOVASCULAR PERFORMANCE without ACUTE MYOCARDIAL INFARCTION with MCC 4.0554
OTHER VASCULAR 05141 PERFORMANCES without CC 2.1631
OTHER VASCULAR 05142 PERFORMANCES with CC 2.6698
OTHER VASCULAR 05143 PERFORMANCES with MCC 3.8592
05151 AMPUTATION DUE to a FAILURE of the CIRCULATORY SYSTEM, in ADDITION to the UPPER LIMBS and fingers for the leg without 1.9908
CC
05152 AMPUTATION DUE to a FAILURE of the CIRCULATORY SYSTEM, in ADDITION to the UPPER LIMBS and fingers at the foot with CC 2.3860
05153 AMPUTATION DUE to a FAILURE of the CIRCULATORY SYSTEM, in ADDITION to the UPPER LIMBS and fingers at the foot with 3.6817
MCC
PACEMAKER REPLACEMENT without CC 05161 3.4371
05162 PACEMAKER REPLACEMENT with CC 3.4371
PACEMAKER REPLACEMENT with MCC 05163 3.4371
05171 AMPUTATION of UPPER LIMB and TOE on leg for FAILURE of the CIRCULATORY SYSTEM without CC 1.2205
05172 AMPUTATION of UPPER LIMB and TOE on leg for FAILURE of the CIRCULATORY SYSTEM with CC 1.4904
05173 AMPUTATION of UPPER LIMB and TOE on leg for FAILURE of the CIRCULATORY SYSTEM with MCC 1.9018
CONTROL pacemaker and DEFIBRILLATOR 05181, EXCLUDING the REPLACEMENT of a DEVICE without CC 1.0633
CONTROL pacemaker and DEFIBRILLATOR 05182, EXCEPT for REPLACEMENT of EQUIPMENT with CC 1.6637
CONTROL pacemaker and DEFIBRILLATOR 05183, EXCEPT for REPLACEMENT of equipment with MCC 1.8808
05191 LIGATURE and STRIPPING the VESSELS without CC 0.4293
05192 LIGATURE and STRIPPING the VESSELS with CC 0.4626
05193 LIGATURE and STRIPPING the VESSELS with MCC 0.4626
05201 OTHER PERFORMANCES in DISEASES and DISORDERS of the CIRCULATORY SYSTEM without CC 1.0980
05202 OTHER PERFORMANCES in DISEASES and DISORDERS of the CIRCULATORY SYSTEM with CC 2.0574
05203 OTHER PERFORMANCES in DISEASES and DISORDERS of the CIRCULATORY SYSTEM with MCC 5.1785
PERCUTANEOUS CORONARY angioplasty, 05221 > = 3 COATED STENTS in ACUTE MYOCARDIAL 9.1568
INFARCTION WITHOUT CC
05222 PERCUTANEOUS CORONARY angioplasty, > = 3 COATED STENTS in ACUTE MYOCARDIAL 10.9162
INFARCTION WITH CC
05223 PERCUTANEOUS CORONARY angioplasty, > = 3 COATED STENTS in ACUTE MYOCARDIAL 10.9162
INFARCTION WITH MCC
PERCUTANEOUS CORONARY angioplasty, 05231 < = 2 COATED STENTS in ACUTE MYOCARDIAL 5.9808
INFARCTION WITHOUT CC
05232 PERCUTANEOUS CORONARY angioplasty, STENTS COATED < = 2 in ACUTE MYOCARDIAL 5.9808
INFARCTION WITH CC
05233 PERCUTANEOUS CORONARY angioplasty, STENTS COATED < = 2 in ACUTE MYOCARDIAL 5.9808
INFARCTION WITH MCC
05241 PERCUTANEOUS CORONARY angioplasty, STENTS UNCOATED > = 3 in ACUTE MYOCARDIAL 7.2722
INFARCTION WITHOUT CC
05242 PERCUTANEOUS CORONARY angioplasty, STENTS UNCOATED > = 3 in ACUTE MYOCARDIAL 7.9376
INFARCTION WITH CC
05243 PERCUTANEOUS CORONARY angioplasty, STENTS UNCOATED > = 3 in ACUTE MYOCARDIAL 8.9542
INFARCTION WITH MCC
PERCUTANEOUS CORONARY angioplasty, 05261 > = 3 film-coated STENTS without ACUTE MYOCARDIAL 10.6120
INFARCTION WITHOUT CC
PERCUTANEOUS CORONARY angioplasty, 05262 > = 3 film-coated STENTS without ACUTE MYOCARDIAL 10.6120
INFARCTION WITH CC
PERCUTANEOUS CORONARY angioplasty, 05263 > = 3 FILM-COATED STENTS without ACUTE MYOCARDIAL 10.6120
INFARCTION WITH MCC
05271 PERCUTANEOUS CORONARY angioplasty, STENTS < = 2 COATED NO ACUTE MYOCARDIAL 5.3668
INFARCTION WITHOUT CC
05272 PERCUTANEOUS CORONARY angioplasty, STENTS < = 2 COATED NO ACUTE MYOCARDIAL 5.6606
INFARCTION WITH CC
05273 PERCUTANEOUS CORONARY angioplasty, STENTS < = 2 COATED NO ACUTE MYOCARDIAL 5.6606
INFARCTION WITH MCC
05281 PERCUTANEOUS CORONARY angioplasty, STENTS UNCOATED > = 3 without ACUTE MYOCARDIAL 6.6133
INFARCTION WITHOUT CC
05282 PERCUTANEOUS CORONARY angioplasty, STENTS UNCOATED > = 3 without ACUTE MYOCARDIAL 7.2319
INFARCTION WITH CC
05283 PERCUTANEOUS CORONARY angioplasty, STENTS UNCOATED > = 3 without ACUTE MYOCARDIAL 8.0173
INFARCTION WITH MCC
05291 SELECTIVE PERCUTANEOUS CATHETER ABLATION without ACUTE MYOCARDIAL INFARCTION without CC 8.2839
05292 SELECTIVE PERCUTANEOUS CATHETER ABLATION without ACUTE MYOCARDIAL INFARCTION with CC 8.2839
05293 SELECTIVE PERCUTANEOUS CATHETER ABLATION without ACUTE MYOCARDIAL INFARCTION with MCC 8.2839
05301 CARDIAC CATHETERIZATION DURING ACUTE MYOCARDIAL INFARCTION without CC 0.9612
05302 CARDIAC CATHETERIZATION in ACUTE MYOCARDIAL INFARCTION with CC 1.0595
05303 CARDIAC CATHETERIZATION in ACUTE MYOCARDIAL INFARCTION with MCC 1.3934
05311 CARDIAC CATHETERIZATION in the ISCHEMIC HEART without CC 0.5400
05312 CARDIAC CATHETERIZATION in the ISCHEMIC HEART with CC 0.6322
05313 CARDIAC CATHETERIZATION in the ISCHEMIC HEART with MCC 0.7402
05321 CARDIAC CATHETERIZATION when OTHER CIRCULATORY SYSTEM DISORDERS without CC 0.7615
05322 CARDIAC CATHETERIZATION when OTHER DISORDERS of the CIRCULATORY SYSTEM with CC 0.9631
05323 CARDIAC CATHETERIZATION when OTHER DISORDERS of the CIRCULATORY SYSTEM with MCC 1.4097
05331 ACUTE MYOCARDIAL INFARCTION without CC 0.4777
05332 ACUTE MYOCARDIAL INFARCTION with CC 0.7774
05333 ACUTE MYOCARDIAL INFARCTION with MCC 1.2239
05341 acute and subacute ENDOCARDITIS without CC 1.3954
acute and subacute ENDOCARDITIS 05342 with CC 1.9189
acute and subacute ENDOCARDITIS 05343 with MCC 4.5454
05351 HEART FAILURE without CC 0.5940
05352 HEART FAILURE with CC 0.6879
05353 HEART FAILURE with MCC 1.0299
05361 DEEP VEIN THROMBOSIS without CC 0.4285
05362 DEEP VENOUS THROMBOSIS with CC 0.5031
05363 DEEP VENOUS THROMBOSIS with MCC 0.6125
05371 UNEXPLAINED CARDIAC ARREST without CC 1.3496
05372 UNEXPLAINED CARDIAC ARREST with CC 1.5929
05373 UNEXPLAINED CARDIAC ARREST with MCC 3.7655
05381 PERIPHERAL and other vascular disorders without CC 0.4542
05382 PERIPHERAL and other vascular disorders with CC 0.5805
05383 PERIPHERAL and other vascular disorders with MCC 0.7455
05391 ATHEROSCLEROSIS without CC 0.3622
05392 ATHEROSCLEROSIS with CC 0.4977
05393 ATHEROSCLEROSIS with MCC 0.7108
05401 HYPERTENSION without CC 0.3330
05402 HYPERTENSION with CC 0.4073
05403 HYPERTENSION with MCC 0.4852
05411 VALVULAR and CONGENITAL HEART DISORDERS without CC 0.3910
05412 VALVULAR and CONGENITAL HEART DISORDERS with CC 0.5456
05413 CONGENITAL HEART and VALVULAR DISORDERS with MCC 0.9377
05421 CARDIAC ARRHYTHMIAS and CONDUCTION DISORDERS without CC 0.3978
05422 CARDIAC ARRHYTHMIA and CONDUCTION DISORDERS with CC 0.5557
05423 CARDIAC ARRHYTHMIAS and CONDUCTION DISORDERS with MCC 0.7566
05431 ANGINA and chest pain without CC 0.3181
05432 ANGINA and chest pain with CC 0.4264
05433 ANGINA and chest pain with MCC 0.5280
05441 syncope and COLLAPSE without CC 0.3378
05442 syncope and COLLAPSE with CC 0.4612
05443 syncope and COLLAPSE with MCC 0.5466
05451 CARDIOMYOPATHY without CC 0.3209
05452 CARDIOMYOPATHY with CC 0.6180
05453 CARDIOMYOPATHY with MCC 0.9638
05461 failures, reactions and complications of HEART or VASCULAR INSTRUMENTS or PERFORMANCE without CC 0.7330
05462 failures, reactions and complications of HEART or VASCULAR INSTRUMENTS or PERFORMANCE with CC 1.0038
05463 failures, reactions and complications of HEART or VASCULAR INSTRUMENTS or PERFORMANCE with MCC 1.4980
OTHER DISORDERS of the CIRCULATORY SYSTEM 05471 without CC 0.3898
OTHER DISORDERS of the CIRCULATORY SYSTEM 05472 with CC 0.5342
OTHER DISORDERS of the CIRCULATORY SYSTEM 05473 with MCC 0.7590
05481 STENTING to the PERIPHERAL VASCULAR BED without CC 3.3788
05482 STENTING to the PERIPHERAL VASCULAR BED with CC 3.9645
the INTRODUCTION of the STENT to 05483 PERIPHERAL VASCULAR BED with MCC 4.5544
06011 BIG PERFORMANCES on the THICK and THIN INTESTINE without CC 3.3017
GREAT PERFORMANCES on the THICK 06012 and THIN INTESTINE with CC 3.8277
06013 BIG PERFORMANCES on the THICK and THIN INTESTINE with MCC 5.5530
06021 BIG PERFORMANCES on the stomach, ESOPHAGUS and duodenum without CC 3.1483
06022 GREAT PERFORMANCES on the STOMACH, esophageal and duodenal ulcers with CC 4.8968
06023 BIG PERFORMANCES on the STOMACH, esophageal and duodenal ulcers with MCC 5.4443
06031 LESS PERFORMANCES on the THICK and THIN INTESTINE without CC 1.4491
06032 LESS PERFORMANCES on the THICK and THIN INTESTINE with CC 2.0162
06033 LESS PERFORMANCES on the THICK and THIN INTESTINE with MCC 3.6166
06041 RELEASE of TISSUE of PERITONEUM without CC 0.9622
06042 RELEASE of TISSUE of PERITONEUM with CC 1.3113
06043 RELEASE of TISSUE of PERITONEUM with MCC 1.6541
06051 PERFORMANCES on APENDIXU without-CC 0.8033
06052 PERFORMANCES at APENDIXU with CC to 0.9920
06053 PERFORMANCES on APENDIXU with MCC 1.4489
06061 LAPAROSCOPIC INGUINAL, femoral PERFORMANCE, UMBILICAL or EPIGASTRIC HERNIA 1.0096
WITHOUT CC
06062 LAPAROSCOPIC INGUINAL, femoral PERFORMANCE, UMBILICAL HERNIA EPIGASTRIC or with 1.0848
CC
06063 LAPAROSCOPIC INGUINAL, femoral PERFORMANCE, UMBILICAL HERNIA EPIGASTRIC or with 1.0848
MCC
06071 LESS PERFORMANCES on the stomach, ESOPHAGUS and duodenum without CC 1.7163
06072 LESS PERFORMANCES on the STOMACH, esophageal and duodenal ulcers with CC 1.8930
06073 LESS PERFORMANCES on the STOMACH, esophageal and duodenal ulcers with MCC 2.8646
LAPAROTOMICKÉ PERFORMANCE 06081 INGUINAL, Femoral, UMBILICAL HERNIA EPIGASTRIC or without 0.5599
CC
LAPAROTOMICKÉ PERFORMANCE 06082 INGUINAL, Femoral, UMBILICAL HERNIA EPIGASTRIC or with 0.7543
CC
LAPAROTOMICKÉ PERFORMANCE 06083 INGUINAL, Femoral, UMBILICAL HERNIA EPIGASTRIC or with 0.9838
MCC
06091 anal and OSTOMY PERFORMANCES without CC 0.5088
06092 anal and OSTOMY PERFORMANCES with CC 0.6250
06093 anal and OSTOMY PERFORMANCES with MCC 0.7691
06101 OTHER PERFORMANCES in DISORDERS and DISEASES of the DIGESTIVE SYSTEM without CC 0.9071
06102 OTHER PERFORMANCES in DISORDERS and DISEASES of the DIGESTIVE SYSTEM with CC 1.5131
06103 OTHER PERFORMANCES in DISORDERS and DISEASES of the DIGESTIVE SYSTEM with MCC 2.9570
06111 PERFORMANCES on APENDIXU when the MAIN COMPLICATING DIAGNOSIS without CC 1.1674
06112 PERFORMANCES on APENDIXU when the MAIN COMPLICATING DIAGNOSIS with CC 1.6489
06113 PERFORMANCES on APENDIXU when COMPLICATING the MAIN DIAGNOSIS with MCC 1.9901
MALIGNANT DISEASES of the DIGESTIVE SYSTEM 06301 without CC 0.4901
MALIGNANT DISEASES of the DIGESTIVE SYSTEM 06302 with CC 0.6814
06303 MALIGNANT DISEASE of the DIGESTIVE SYSTEM with MCC 1.0001
06311 peptic ulcer and GASTRITIS without CC 0.4059
06312 peptic ulcer and GASTRITIS with CC 0.6289
06313 peptic ulcer and GASTRITIS with MCC 1.0017
06321 ESOPHAGEAL DISORDERS without CC 0.3616
06322 ESOPHAGEAL DISORDERS with CC 0.5688
06323 ESOPHAGEAL DISORDERS with MCC 0.8182
06331 DIVERTICULITIS, DIVERTICULOSIS and INFLAMMATORY DISEASES of the INTESTINE without CC 0.4556
06332 DIVERTICULITIS, DIVERTICULOSIS and INFLAMMATORY DISEASE of the BOWEL with CC 0.5638
06333 diverticulosis and diverticulitis, an INFLAMMATORY DISEASE of the intestines with MCC 1.3177
06341 VASCULAR INSUFFICIENCY, GASTROINTESTINAL SYSTEM without CC 0.2844
06342 VASCULAR INSUFFICIENCY, GASTROINTESTINAL SYSTEM with CC 0.8456
06343 VASCULAR INSUFFICIENCY, GASTROINTESTINAL SYSTEM with MCC 1.3452
06351 OBSTRUCTION of the GASTROINTESTINAL SYSTEM without CC 0.3725
OBSTRUCTION of the GASTROINTESTINAL SYSTEM 06352 with CC 0.5421
06353 OBSTRUCTION of the GASTROINTESTINAL SYSTEM with MCC 1.1582
SERIOUS INFECTIONS of the GASTROINTESTINAL SYSTEM 06361 without CC 0.7928
SERIOUS INFECTIONS of the GASTROINTESTINAL SYSTEM 06362 with CC 1.1829
SERIOUS INFECTIONS of the GASTROINTESTINAL SYSTEM 06363 with MCC 1.9760
06371 OTHER GASTROENTERITIS and ABDOMINAL PAIN without CC 0.2524
06372 OTHER GASTROENTERITIS and ABDOMINAL PAIN with CC 0.3595
06373 OTHER GASTROENTERITIS and ABDOMINAL PAIN with MCC 0.5454
OTHER DISORDERS of the DIGESTIVE SYSTEM 06381 without CC 0.2874
06382 OTHER DISORDERS of the DIGESTIVE SYSTEM with CC 0.4423
06383 OTHER DISORDERS of the DIGESTIVE SYSTEM with MCC 0.6544
07011 PERFORMANCES on the pancreas, the liver and the CLUTCH without CC 4.0105
07012 PERFORMANCES on the pancreas, the liver and the clutch-CC 5.2158
07013 PERFORMANCES on the pancreas, LIVER and couplings with MCC 7.2147
07021 GREAT PERFORMANCES on the BILIARY TRACT without CC 3.2188
07022 GREAT PERFORMANCES on the BILIARY TRACT with CC 3.2188
07023 GREAT PERFORMANCES on the BILIARY TRACT with MCC 4.7944
in ADDITION to LAPAROSCOPIC cholecystectomy 07031 without CC 1.2818
in ADDITION to LAPAROSCOPIC cholecystectomy 07032 with CC 1.7715
in ADDITION to LAPAROSCOPIC cholecystectomy 07033 with MCC 3.0239
07041 LAPAROSCOPIC CHOLECYSTECTOMY without CC 1.1180
07042 LAPAROSCOPIC CHOLECYSTECTOMY with CC 1.2621
07043 LAPAROSCOPIC CHOLECYSTECTOMY with MCC 1.4931
07051 OTHER PERFORMANCES in DISORDERS and DISEASES of the PANCREAS without HEPATOBILIÁRNÍHO system and 1.4178
CC
07052 OTHER PERFORMANCES in DISORDERS and DISEASES of HEPATOBILIÁRNÍHO system and PANCREAS with CC 2.1176
07053 OTHER PERFORMANCES in DISORDERS and DISEASES of HEPATOBILIÁRNÍHO system and PANCREAS with MCC 3.4965
CIRRHOSIS and ALCOHOLIC HEPATITIS 07301 without CC 0.5863
07302 CIRRHOSIS and ALCOHOLIC HEPATITIS with CC 0.7326
07303 CIRRHOSIS and ALCOHOLIC HEPATITIS with MCC 1.0767
07311 MALIGNANCIES HEPATOBILIÁRNÍHO SYSTEM and pancreas without CC 0.5705
07312 HEPATOBILIÁRNÍHO system and MALIGNANT DISEASE of the PANCREAS with CC 0.7775
07313 MALIGNANCIES HEPATOBILIÁRNÍHO SYSTEM and pancreas with MCC 0.9389
07321 PANCREATIC DISORDERS, in ADDITION to the MALIGNANT DISEASE without CC 0.6950
07322 PANCREATIC DISORDERS, in ADDITION to the MALIGNANT DISEASE with CC 0.8681
07323 PANCREATIC DISORDERS, in ADDITION to the MALIGNANT DISEASE with MCC 1.8771
07331 liver disorders, in ADDITION to CIRRHOSIS and alcoholic HEPATITIS, MALIGNANT NON-CC 0.5203
07332 liver disorders, in ADDITION to CIRRHOSIS and alcoholic HEPATITIS, MALIGNANT with CC 0.6657
07333 liver disorders, in ADDITION to CIRRHOSIS and alcoholic HEPATITIS, MALIGNANT with MCC 0.9516
OTHER DISORDERS of the BILIARY TRACT 07341 without CC 0.4433
OTHER DISORDERS of the BILIARY TRACT 07342 with CC 0.6050
07343 OTHER DISORDERS of the BILE DUCTS with MCC 0.9423
the FUSION of the SPINE when 08011 DEFORMITÁCH and SCOLIOSIS without CC 12.6820
the FUSION of the SPINE when 08012 DEFORMITÁCH and SCOLIOSIS with CC 12.6820
the FUSION of the SPINE when 08013 DEFORMITÁCH and SCOLIOSIS with MCC 18.9992
08021 BILATERAL and multiple GREAT PERFORMANCES on the JOINTS of the LOWER LIMBS without CC 3.1273
08022 BILATERAL and multiple GREAT PERFORMANCES on the JOINTS of the LOWER LIMBS with CC 3.1273
08023 BILATERAL and multiple GREAT PERFORMANCES on the JOINTS of the LOWER LIMBS with MCC 3.5450
SPINAL FUSION 08031, not for the DEFORMITY without CC 5.7613
08032 FUSION spine, NOT for DEFORMITY with CC 6.6466
08033 FUSION of the SPINE, not for DEFORMITY with MCC 6.6466
08041 PERFORM REPLANTACE of the LOWER LIMBS and the JOINTS without CC 3.1158
08042 PERFORM REPLANTACE of the LOWER LIMBS and joints with CC 3.1158
08043 PERFORM REPLANTACE of the LOWER LIMBS and joints with MCC 3.5436
08051 RECONSTRUCTION PERFORMANCE of CRANIAL and FACIAL BONES without CC 8.9206
08052 RECONSTRUCTION PERFORMANCE of CRANIAL and FACIAL BONES with CC 8.9206
08053 RECONSTRUCTION PERFORMANCE of CRANIAL and FACIAL BONES with MCC 8.9206
08061 BIG PERFORMANCES REPLANTACE the UPPER LIMBS and the JOINTS without CC 2.4859
08062 BIG PERFORMANCES REPLANTACE the UPPER LIMBS and the joints with CC 4.3746
08063 PERFORM REPLANTACE of the UPPER EXTREMITIES and joints with MCC 5.1617
08071 AMPUTATION in MUSCULO-SKELETAL DISORDERS, and CONNECTIVE TISSUE DISORDERS without CC 2.6625
08072 AMPUTATION in MUSCULO-SKELETAL DISORDERS, and CONNECTIVE TISSUE DISORDERS with CC 2.6625
08073 AMPUTATION in MUSCULO-SKELETAL DISORDERS, and CONNECTIVE TISSUE DISORDERS with MCC 4.4322
08081 PERFORMANCES on the HIPS and thigh BONES, in ADDITION to the LARGE JOINTS without CC REPLANTACE 2.2841
08082 PERFORMANCES on the HIPS and thigh BONES, in ADDITION to the REPLANTACE of LARGE JOINTS with CC 2.6038
08083 PERFORMANCES on the HIPS and thigh BONES, in ADDITION to the REPLANTACE of LARGE JOINTS with MCC 3.0552
08091 SKIN GRAFTING or TISSUE for MUSCULO-SKELETAL DISORDERS or CONNECTIVE 0.9858
TISSUE IN ADDITION TO HAND WITHOUT CC
08092 SKIN GRAFTING or TISSUE for MUSCULO-SKELETAL DISORDERS or CONNECTIVE 2.2853
TISSUE IN ADDITION TO HAND WITH CC
08093 SKIN GRAFTING or TISSUE for MUSCULO-SKELETAL DISORDERS or CONNECTIVE 4.2538
TISSUE IN ADDITION TO HAND WITH MCC
08101 PERFORMANCES on the back and neck, in ADDITION to the FUSION of the SPINE without CC 1.8890
08102 PERFORMANCES on the back and neck, in ADDITION to the FUSION of the SPINE with CC 2.6163
08103 PERFORMANCES on the back and neck, in ADDITION to the FUSION of the SPINE with MCC 3.0273
08111 PERFORMANCES on the LOWER LEG and knee, HOCK, in ADDITION to the FOOT without CC 1.1151
08112 PERFORMANCES on the LOWER LEG and knee, HOCK, in addition to the FOOT with CC 1.3448
08113 PERFORMANCES on the LOWER LEG and knee, HOCK, in addition to the FOOT with MCC 1.6569
08121 REMOVAL of the INTERNAL FIXATION DEVICES without CC 0.3566
REMOVAL of INTERNAL FIXATION DEVICES 08122 with CC 0.3933
REMOVAL of INTERNAL FIXATION DEVICES 08123 with MCC 0.5533
08131 LOCAL RESECTION on the MUSCULOSKELETAL SYSTEM without CC 0.7390
08132 LOCAL RESECTION on the MUSCULOSKELETAL SYSTEM with CC 1.3498
08133 LOCAL RESECTION on the MUSCULOSKELETAL system with MCC 1.5301
08141 PERFORMANCES on FOOT without CC 0.5909
08142 PERFORMANCES on FOOT with CC 0.7327
08143 PERFORMANCES on FOOT with MCC 0.9011
08151 PERFORMANCES on the UPPER LIMBS without CC 0.8826
08152 PERFORMANCES on the UPPER EXTREMITIES with CC 1.2646
08153 PERFORMANCES on the UPPER EXTREMITY with MCC 1.5725
08161 PERFORMANCES on SOFT TISSUE without CC 0.5232
08162 PERFORMANCES on SOFT TISSUE with CC 0.7786
08163 PERFORMANCE on SOFT TISSUE with MCC 1.3066
the PERFORMANCES of the OTHER DISORDERS 08171 and DISEASES of the MUSCULOSKELETAL and CONNECTIVE 0.5926
TISSUE WITHOUT CC
08172 OTHER PERFORMANCES in DISORDERS of the MUSCULOSKELETAL SYSTEM DISEASES and CONNECTIVE 1.0967
TISSUE WITH CC
08173 OTHER PERFORMANCES in DISORDERS of the MUSCULOSKELETAL SYSTEM DISEASES and CONNECTIVE 2.3128
TISSUE WITH MCC
08181 GREAT PERFORMANCES on the KNEE JOINT without CC 3.7431
08182 GREAT PERFORMANCES on the KNEE JOINT with CC 3.7431
08183 BIG PERFORMANCE on the KNEE JOINT with MCC 4.1011
08191 ARTHROSCOPY without CC 0.4741
08192 ARTHROSCOPY with CC 0.5091
08193 ARTHROSCOPY with MCC 0.5091
08301 FRACTURES of the FEMUR without CC 0.7707
08302 FRACTURES of the FEMUR with CC 0.9683
08303 FRACTURES of the FEMUR with MCC 1.2356
08311 FRACTURE DISLOCATION of the HIP, pelvis, or without CC 0.5497
08312 FRACTURE DISLOCATION of the HIP, pelvis, or with CC 0.6766
08313 FRACTURE DISLOCATION of the HIP, pelvis, or with MCC 0.8568
08321 FRACTURE or DISLOCATION, in ADDITION to the FEMUR and pelvis without CC 0.2844
08322 FRACTURE or DISLOCATION, in ADDITION to the FEMUR and pelvis with CC 0.4884
08323 FRACTURE or DISLOCATION, in ADDITION to the FEMUR and pelvis with MCC 0.7972
08331 MALIGNANT DISEASE MUSCULOSKELETAL and CONNECTIVE TISSUE DISORDERS, pathological 0.6367
FRACTURES WITHOUT CC
08332 MALIGNANT DISEASE MUSCULOSKELETAL and CONNECTIVE TISSUE DISORDERS, pathological 0.8672
FRACTURES WITH CC
08333 MALIGNANT DISEASE of the MUSCULOSKELETAL system and CONNECTIVE TISSUE, pathological 0.9941
FRACTURES WITH MCC
08341 OSTEOMYELITIS without CC 0.7046
08342 OSTEOMYELITIS with CC 0.8880
08343 OSTEOMYELITIS with MCC 1.3449
08351 SEPTIC ARTHRITIS without CC 0.7539
08352 SEPTIC ARTHRITIS with CC 1.6082
08353 SEPTIC ARTHRITIS with MCC 2.5351
CONNECTIVE TISSUE DISORDERS without 08361 CC 0.7670
08362 DISORDERS of CONNECTIVE TISSUE with CC 0.7670
08363 CONNECTIVE TISSUE DISORDERS with MCC 1.0616
08371 CONSERVATIVE TREATMENT of BACK PROBLEMS without CC 0.4595
08372 CONSERVATIVE TREATMENT of BACK PROBLEMS with CC 0.5364
08373 CONSERVATIVE TREATMENT of BACK PROBLEMS with MCC 0.6330
08381 OTHER DISEASES of bones and joints without CC 0.6069
08382 OTHER DISEASES of bones and joints with CC 0.6837
08383 OTHER DISEASES of bones and joints with MCC 0.7996
08391 failures, reactions and complications ORTHOPAEDIC APPARATUS or PERFORMANCE BEZCC 0.5574
08392 failures, reactions and complications ORTHOPAEDIC APPARATUS or PERFORMANCE with CC 0.6607
08393 failures, reactions and complications ORTHOPAEDIC APPARATUS or performance with MCC 1.2276
08401 MUSCULOSKELETAL SYMPTOMS, symptoms, sprains and MINOR INFLAMMATORY DISEASES without 0.3454
CC
08402 MUSCULOSKELETAL SYMPTOMS, symptoms, sprains and MINOR INFLAMMATORY DISEASE with CC 0.5180
08403 MUSCULOSKELETAL SYMPTOMS, symptoms, sprains and MINOR INFLAMMATORY diseases with 0.6892
MCC
08411 OTHER MUSCULO-SKELETAL DISORDERS, and CONNECTIVE TISSUE DISORDERS without CC 0.3410
08412 OTHER MUSCULO-SKELETAL DISORDERS, and CONNECTIVE TISSUE DISORDERS with CC 0.5340
08413 OTHER MUSCULO-SKELETAL DISORDERS, and CONNECTIVE TISSUE DISORDERS with MCC 0.8411
09011 SKIN GRAFT and/or DEBRIDEMENT without CC 0.8220
09012 SKIN GRAFT and/or DEBRIDEMENT with CC 1.2857
09013 SKIN GRAFT and/or DEBRIDEMENT with MCC 2.0331
09021 PERFORMANCES on the BREASTS without CC 0.8873
09022 PERFORMANCES on the BREASTS with CC 1.0771
09023 PERFORMANCES on the BREASTS with MCC 1.1353
the PERFORMANCES of the OTHER DISORDERS 09031 and DISEASES of the skin, subcutaneous tissue and PRSUBEZ CC 0.4825
the PERFORMANCES of the OTHER DISORDERS 09032 and DISEASES of the skin, subcutaneous tissue and PRSUS CC 0.8633
09033 OTHER PERFORMANCES in DISORDERS and DISEASES of the skin, subcutaneous tissue and PRSUS MCC 1.3957
09301 SERIOUS SKIN DISORDERS without CC 0.7977
09302 SERIOUS SKIN DISORDERS with CC 0.7977
09303 SERIOUS SKIN DISORDERS with MCC 0.9856
MALIGNANT BREAST DISEASE without 09311 CC 0.4781
MALIGNANT BREAST DISEASE 09312 with CC 0.6294
MALIGNANT BREAST DISEASE 09313 with MCC 0.7396
09321 FLEGMÓNA without CC 0.4542
09322 FLEGMÓNA with CC to 0.6755
09323 FLEGMÓNA with MCC 0.8918
09331 INJURY to the skin, subcutaneous tissue and BREAST without CC 0.2140
09332 INJURY to the skin, subcutaneous tissue and BREAST with CC 0.3074
09333 INJURIES of the SKIN, subcutaneous tissue and BREAST with MCC 0.4988
09341 OTHER SKIN DISORDERS and breast disorders without CC 0.4156
09342 OTHER SKIN DISORDERS and BREAST DISORDERS with CC 0.5802
09343 OTHER BREAST disorders with MCC 0.6677
10011 PERFORMANCES on the ADRENAL GLANDS and the PITUITARY without CC 2.7944
10012 PERFORMANCES on the ADRENAL GLANDS, and PITUITARY GLAND with CC 3.1132
10013 PERFORMANCES on the ADRENAL GLANDS, and PITUITARY GLAND with MCC 3.8216
10021 SKIN GRAFT and DEBRIDEMENT of the WOUND when the ENDOCRINE, nutritional and metabolic 1.6794
DISORDERS WITHOUT CC
10022 SKIN GRAFT and DEBRIDEMENT of the WOUND when the ENDOCRINE, nutritional and metabolic 1.8499
DISORDERS WITH CC
10023 a SKIN GRAFT and DEBRIDEMENT of the WOUND when the ENDOCRINE, nutritional and metabolic 4.3227
DISORDERS WITH MCC
10031 PERFORMANCES for OBESITY without CC 2.9455
10032 PERFORMANCES for OBESITY with CC 3.3002
10033 PERFORMANCES for OBESITY with MCC 7.3192
10041 AMPUTATION of the LOWER LIMB in ENDOCRINE, nutritional and metabolic DISORDERS without 1.5622
CC
10042 AMPUTATION of the LOWER LIMB in ENDOCRINE, nutritional and metabolic DISORDERS with 2.3875
CC
10043 AMPUTATION of the LOWER LIMB in ENDOCRINE, nutritional and metabolic DISORDERS with 3.1549
MCC
10051 PERFORMANCES on the THYROID and PŘÍŠTITNÉ GLAND, THYROGLOSSÁLNÍ PERFORMANCES without CC 1.1608
10052 PERFORMANCES on the THYROID and PŘÍŠTITNÉ GLAND, THYROGLOSSÁLNÍ PERFORMANCES with CC 1.3427
10053 PERFORMANCES on the THYROID and PŘÍŠTITNÉ GLAND, THYROGLOSSÁLNÍ PERFORMANCES with MCC 1.8487
10061 DIFFERENT PERFORMANCES in the ENDOCRINE, nutritional and metabolic DISORDERS without CC 1.9793
10062 OTHER ENDOCRINE, nutritional PERFORMANCE and metabolic DISORDERS SCC 2.6417
10063 OTHER ENDOCRINE, nutritional PERFORMANCE and metabolic DISORDERS of SMCC 4.2831
10301 DIABETES, nutritional and other METABOLIC DISORDERS without CC 0.4288
10302 DIABETES, nutritional and other METABOLIC DISORDERS with CC 0.5154
10303 DIABETES, nutritional and other METABOLIC DISORDERS with MCC 0.7763
10311 HYPOVOLEMIA and ELECTROLYTE DISTURBANCES without CC 0.3516
10312 HYPOVOLEMIA and ELECTROLYTE DISTURBANCES with CC 0.4290
10313 HYPOVOLEMIA and ELECTROLYTE DISTURBANCES with MCC 0.5725
10321 CONGENITAL METABOLIC DISORDERS without CC 0.4167
10322 CONGENITAL METABOLIC DISORDERS with CC 0.5229
10323 CONGENITAL METABOLIC DISORDERS with MCC 0.7031
10331 OTHER ENDOCRINE DISORDERS without CC 0.6600
10332 OTHER ENDOCRINE DISORDERS with CC 0.6600
10333 OTHER ENDOCRINE DISORDERS with MCC 0.7631
11011 KIDNEY TRANSPLANTATION without CC 7.4615
11012 KIDNEY TRANSPLANTATION with CC 7.4615
11013 KIDNEY TRANSPLANT with MCC 7.9497
11021 GREAT PERFORMANCES on the BLADDER without CC 5.8453
11022 GREAT PERFORMANCES on the BLADDER with CC 5.8453
11023 GREAT PERFORMANCES on the BLADDER with MCC 7.7450
11031 GREAT PERFORMANCES on the KIDNEYS and the URINARY TRACT without CC 1.8408
11032 GREAT PERFORMANCES on the KIDNEYS and the URINARY TRACT with CC 2.2142
11033 GREAT PERFORMANCES on the KIDNEYS and the URINARY TRACT with MCC 2.9929
11041 dialysis and ELIMINATION METHODS without CC 1.2838
11042 dialysis and ELIMINATION METHODS with CC 1.4936
11043 dialysis and ELIMINATION methods with MCC 3.2283
11051 LESS PERFORMANCES on the kidneys, URINARY TRACT and URINARY BLADDER without CC 0.8423
11052 LESS PERFORMANCES on the kidneys, URINARY TRACT and URINARY BLADDER with CC 0.9080
11053 LESS PERFORMANCES on the kidneys, URINARY TRACT and URINARY BLADDER with MCC 1.3763
11061 PROSTATECTOMY without CC 1.1859
11062 PROSTATECTOMY with CC 1.1859
11063 PROSTATECTOMY with MCC 1.3286
11071 URETHRAL and TRANSURETHRAL PERFORMANCES without CC 0.4918
11072 URETHRAL and TRANSURETHRAL PERFORMANCES with CC 0.6012
11073 URETHRAL and TRANSURETHRAL PERFORMANCES with MCC 0.7218
11081 OTHER PERFORMANCES with FAULTS and DISEASES of the kidney and urinary tract without CC 0.6705
11082 OTHER PERFORMANCES with FAULTS and DISEASES of the kidney and urinary tract with CC 0.8494
11083 OTHER PERFORMANCES with FAULTS and DISEASES of the kidney and urinary tract with MCC 1.4838
11301 MALIGNANT DISEASES of the kidneys and the urinary tract and KIDNEY FAILURE without CC 0.3710
11302 MALIGNANT DISEASES of the kidneys and the urinary tract and KIDNEY failure with CC 0.5910
11303 MALIGNANT DISEASES of the kidneys and the urinary tract and KIDNEY failure with MCC 0.9365
11311 NEPHRITIS without CC 0.5086
11312 NEPHRITIS with CC 0.5086
11313 NEPHRITIS with MCC 0.9030
11321 KIDNEY INFECTION and urinary tract without CC 0.3973
11322 KIDNEY INFECTION and urinary tract with CC 0.5339
11323 KIDNEY INFECTION and URINARY TRACT INFECTION with MCC 0.7214
11331 BLADDER STONES with EXTRACORPOREAL SHOCK WAVE LITOTRYPSÍ without-CC 0.6148
11332 BLADDER STONES with EXTRACORPOREAL SHOCK WAVE LITOTRYPSÍ with CC to 0.8324
11333 BLADDER STONES with EXTRACORPOREAL SHOCK WAVE LITOTRYPSÍ with MCC 0.8324
11341 BLADDER STONES without EXTRACORPOREAL LITOTRYPSE without-CC 0.2469
11342 BLADDER STONES without EXTRACORPOREAL LITOTRYPSE with CC to 0.3436
11343 BLADDER STONES without EXTRACORPOREAL LITOTRYPSE with MCC 0.4827
11351 failures, reactions and complications, GRAFT NEBOTRANSPLANTÁTU GENITOURETRÁLNÍHO DEVICE 0.2177
WITHOUT CC
11352 failures, reactions and complications, GRAFT NEBOTRANSPLANTÁTU GENITOURETRÁLNÍHO DEVICE 0.6412
WITH CC
11353 failures, reactions and complications, GRAFT NEBOTRANSPLANTÁTU GENITOURETRÁLNÍHO DEVICE 0.7691
WITH MCC
11361 signs and symptoms on the KIDNEYS and the URINARY TRACT without CC 0.2733
11362 signs and symptoms of KIDNEY and URINARY TRACT with CC 0.3449
11363 signs and symptoms of KIDNEY and URINARY TRACT with MCC 0.4980
11371 OTHER kidney and urinary tract DISORDERS without CC 0.2530
11372 OTHER kidney and urinary tract DISORDERS with CC 0.4093
11373 OTHER kidney and urinary tract DISORDERS with MCC 0.7123
12011 BIG PERFORMANCES in the pelvis in a man without CC 1.8965
12012 BIG PERFORMANCES in the pelvis in a man with CC 1.8965
12013 BIG PERFORMANCES in the pelvis in a man with MCC 2.3135
12021 PERFORMANCES on the PENIS without CC 0.4604
12022 PERFORMANCES on the PENIS with CC 0.6302
12023 PERFORMANCES on the PENIS with MCC 1.4792
12031 TRANSURETHRAL PROSTATECTOMY without CC 1.0240
12032 TRANSURETHRAL PROSTATECTOMY with CC 1.1153
12033 TRANSURETHRAL PROSTATECTOMY with MCC 1.2769
12041 PERFORMANCES on the TESTICLES without CC 0.4225
12042 PERFORMANCES on the TESTICLES with CC 0.5395
12043 PERFORMANCES on the TESTICLES with MCC 0.6918
12051 CIRCUMCISION without CC 0.2648
12052 CIRCUMCISION with CC 0.2890
12053 CIRCUMCISION with MCC 0.3510
12061 OTHER PERFORMANCES on the MALE REPRODUCTIVE SYSTEM without CC 0.5795
12062 OTHER PERFORMANCES on the MALE REPRODUCTIVE SYSTEM with CC 0.8737
12063 OTHER PERFORMANCES on the MALE REPRODUCTIVE SYSTEM with MCC 1.0725
12301 MALIGNANT DISEASES of the MALE REPRODUCTIVE SYSTEM without CC 0.4015
12302 MALIGNANT DISEASES of the MALE REPRODUCTIVE SYSTEM with CC 0.6345
12303 MALIGNANT DISEASES of the MALE REPRODUCTIVE SYSTEM with MCC 0.9055
12311 DISORDERS of the MALE REPRODUCTIVE SYSTEM, in ADDITION to the MALIGNANT DISEASE without CC 0.2085
12312 DISORDERS of the MALE REPRODUCTIVE SYSTEM, in ADDITION to the MALIGNANT DISEASE SCC 0.2719
12313 DISORDERS of the MALE REPRODUCTIVE SYSTEM, in ADDITION to the MALIGNANT DISEASE SMCC 0.3533
13011 EXENTERACE PANS, RADICAL HYSTERECTOMY and radical VULVEKTOMIE without-CC 3.0122
13012 EXENTERACE PANS, RADICAL HYSTERECTOMY and radical VULVEKTOMIE with CC to 3.5354
13013 EXENTERACE PANS, RADICAL HYSTERECTOMY and radical VULVEKTOMIE with MCC 4.2964
13021 PERFORMANCES on the womb and PAIN for MALIGNANT DISEASE on the OVARY and PAIN without CC 2.3553
13022 PERFORMANCES on the womb and PAIN for MALIGNANT DISEASE on the OVARY and PAIN with CC 2.6562
13023 PERFORMANCES on the womb and PAIN for MALIGNANT DISEASE on the OVARY and PAIN with MCC 4.0069
13031 PERFORMANCES on the womb and PAIN in MALIGNANT DISEASE, OTHER THAN on the OVARY and the 1.8040
PAIN WITHOUT CC
13032 PERFORMANCES on the womb and PAIN in MALIGNANT DISEASE, OTHER THAN on the OVARY and the 1.9600
PAIN WITH CC
13033 OUTPUTS to the womb and PAIN in MALIGNANT DISEASE, OTHER THAN on the OVARY and the 2.8787
PAIN WITH MCC
13041 UTERINE and ADNEXAL PERFORMANCES in CA IN SITU and BENIGN ONEMOCNĚNÍCHBEZ CC 1.1650
13042 UTERINE and ADNEXAL PERFORMANCES in CA IN SITU and BENIGN ONEMOCNĚNÍCHS CC 1.3340
13043 UTERINE and ADNEXAL PERFORMANCES in CA IN SITU and BENIGN ONEMOCNĚNÍCHS MCC 1.5125
13051 GYNECOLOGICAL LAPAROSCOPY or STERILIZATION without LAPAROTOMICKÁ CC 0.5265
13052 GYNECOLOGICAL LAPAROSCOPY or STERILIZATION with CC LAPAROTOMICKÁ 0.7052
13053 GYNECOLOGICAL LAPAROSCOPY or LAPAROTOMICKÁ STERILIZATION with MCC 1.0577
13061 RECONSTRUCTIVE PERFORMANCES on the FEMALE REPRODUCTIVE SYSTEM without CC 0.9495
13062 RECONSTRUCTIVE PERFORMANCES on the FEMALE REPRODUCTIVE SYSTEM with CC 1.0936
13063 RECONSTRUCTIVE PERFORMANCES on the FEMALE REPRODUCTIVE SYSTEM with MCC 1.3790
13071 VAGINAL, CERVICAL and VULVOVÉ PERFORMANCES without CC 0.2890
13072 VAGINAL, CERVICAL and VULVOVÉ PERFORMANCES with CC 0.3746
13073 VAGINAL, CERVICAL and VULVOVÉ PERFORMANCES with MCC 0.5540
13081 ENDOSCOPIC INTERRUPTS the FALLOPIAN TUBE without CC 0.5546
13082 ENDOSCOPIC INTERRUPTS the FALLOPIAN TUBE with CC 0.6181
13083 ENDOSCOPIC INTERRUPTION of FALLOPIAN TUBE with MCC 0.6181
13091 dilation, CURETTAGE and KÓNIZACE without-CC 0.2704
13092 dilation, CURETTAGE and KÓNIZACE with CC to 0.3257
13093 dilation, CURETTAGE and KÓNIZACE with MCC 0.3257
13101 OTHER PERFORMANCES in DISORDERS and DISEASES of the FEMALE REPRODUCTIVE SYSTEM without CC 0.9502
13102 OTHER PERFORMANCES in DISORDERS and DISEASES of the FEMALE REPRODUCTIVE SYSTEM with CC 1.2220
13103 OTHER PERFORMANCES in DISORDERS and DISEASES of the FEMALE REPRODUCTIVE SYSTEM with MCC 2.3269
13301 MALIGNANT DISEASE of the FEMALE REPRODUCTIVE SYSTEM without CC 0.4317
13302 MALIGNANT DISEASE of the FEMALE REPRODUCTIVE SYSTEM with CC 0.6034
13303 MALIGNANT DISEASE of the FEMALE REPRODUCTIVE SYSTEM with MCC 0.8173
13311 INFECTION of the FEMALE REPRODUCTIVE SYSTEM without CC 0.2626
13312 INFECTION of the FEMALE REPRODUCTIVE SYSTEM with CC 0.4361
13313 INFECTION of the FEMALE REPRODUCTIVE SYSTEM with MCC 0.7923
13321 menstrual and OTHER DISORDERS of the FEMALE REPRODUCTIVE SYSTEM without CC 0.1740
13322 menstrual and OTHER DISORDERS of the FEMALE REPRODUCTIVE SYSTEM with CC 0.3186
13323 menstrual and OTHER DISORDERS of the FEMALE REPRODUCTIVE system with MCC 0.5038
14601 BIRTH CESAREAN SECTION without CC 1.0913
14602 BIRTH CESAREAN SECTION with CC 1.3748
14603 BIRTH CESAREAN SECTION with MCC 1.4564
14611 VAGINAL CHILDBIRTH, STERILIZATION and/or DILATION and KYRETÁŽÍ without-CC 0.7816
14612 VAGINAL CHILDBIRTH, STERILIZATION and/or DILATION and KYRETÁŽÍ with CC to 0.8897
14613 VAGINAL CHILDBIRTH, STERILIZATION and/or DILATION and KYRETÁŽÍ with MCC 1.0206
14621 VAGINAL CHILDBIRTH with the power, in ADDITION to sterilization and/or dilation and CURETTAGE without CC 1.5289
14622 VAGINAL CHILDBIRTH with the power, in ADDITION to sterilization and/or dilation and CURETTAGE with CC 1.5289
14623 VAGINAL CHILDBIRTH with the power, in ADDITION to sterilization and/or dilation and CURETTAGE with MCC 6.5227
14631 VAGINAL CHILDBIRTH without CC 0.4604
14632 VAGINAL CHILDBIRTH with CC 0.5181
14633 VAGINAL CHILDBIRTH with MCC 0.5181
14641 ABORTION with DILATION and KYRETÁŽÍ, KYRETÁŽÍ or HYSTEROTOMIÍ without ASPIRATION CC 0.1933
14642 ABORTION with DILATION and KYRETÁŽÍ, KYRETÁŽÍ or HYSTEROTOMIÍ ASPIRATION SCC 0.2261
14643 ABORTION with DILATION and KYRETÁŽÍ, KYRETÁŽÍ or HYSTEROTOMIÍ ASPIRATION SMCC 0.2261
14651 ABORTION without dilation and CURETTAGE, ASPIRATION CURETTAGE or HYSTERECTOMY without CC 0.1133
14652 ABORTION without dilation and CURETTAGE, ASPIRATION CURETTAGE or HYSTERECTOMY with CC 0.2593
14653 ABORTION without dilation and CURETTAGE, ASPIRATION CURETTAGE or HYSTERECTOMY with MCC 0.3320
14661 POSTPARTUM and POPOTRATOVÉ performance DIAGNOSIS without CC 0.1881
14662 POSTPARTUM and POPOTRATOVÉ performance DIAGNOSIS with CC 0.2196
14663 POSTPARTUM and POPOTRATOVÉ performance DIAGNOSIS with MCC 0.2846
14671 POSTPARTUM and POPOTRATOVÉ DIAGNOSIS without EXERCISING without CC 0.1273
14672 POSTPARTUM and POPOTRATOVÉ DIAGNOSIS without PERFORMANCE with CC 0.2826
14673 POSTPARTUM and POPOTRATOVÉ DIAGNOSIS without MCC performance 0.2826
14681 ECTOPIC PREGNANCY with the performance without the CC 0.8801
14682 ECTOPIC PREGNANCY with the performance with CC 1.0234
14683 ECTOPIC PREGNANCY with the performance with MCC 1.0234
14691 ECTOPIC PREGNANCY without EXERCISING without CC 0.3292
14692 ECTOPIC PREGNANCY without PERFORMANCE with CC 0.4227
14693 ECTOPIC PREGNANCY without EXERCISING with MCC 1.1948
14701 THREATENED ABORTION without CC 0.2727
14702 THREATENED ABORTION with CC 0.4252
14703 THREATENED ABORTION with MCC 0.4252
14711 FAKE BIRTH without CC 0.1241
14712 FAKE BIRTH with CC 0.1436
14713 FAKE BIRTH with MCC 0.1675
14721 OTHER ANTENATAL DIAGNOSIS without CC performance 0.2775
14722 ANTENATAL DIAGNOSIS with OTHER PERFORMANCE with CC 0.6286
14723 OTHER ANTENATAL DIAGNOSES with MCC 0.6286 performance
OTHER ANTENATAL DIAGNOSIS 14731 without EXERCISING without CC 0.2303
OTHER ANTENATAL DIAGNOSIS without 14732 PERFORMANCE with CC 0.3938
OTHER ANTENATAL DIAGNOSIS without 14733 performance with MCC 0.3938
15601 newborn, DEAD or TRANSLATED < = 5 days without CC 0.1651
15602 newborn, DEAD or TRANSLATED < = 5 days with CC 0.3208
15603 newborn, DEAD or TRANSLATED < = 5 days with MCC 0.5284
15611 newborn, with PLANTED or EXTRACORPOREAL MEMBRANE OXYGENACÍ without-CC 9.6517
15612 newborn, with PLANTED or EXTRACORPOREAL MEMBRANE OXYGENACÍ with CC to 13.5150
15613 a NEWBORN, with PLANTED or EXTRACORPOREAL MEMBRANE OXYGENACÍ with MCC 21.4750
15621 newborn, BIRTH WEIGHT = 1000 g, a < FUNDAMENTAL PERFORMANCE without CC 68.5634
15622 newborn, BIRTH WEIGHT = 1000 g, a < BASIC PERFORMANCE with CC 68.5634
15623 newborn, BIRTH WEIGHT = 1000 g, a < BASIC performance with MCC 68.5634
15631 newborn, BIRTH WEIGHT = 1000 g, without < BASIC PERFORMANCE without CC 33.7628
15632 newborn, BIRTH WEIGHT = 1000 g, without < BASIC PERFORMANCE with CC 33.7628
15633 newborn, BIRTH WEIGHT = 1000 g, without < BASIC performance with MCC 38.7358
15641 newborn, BIRTH WEIGHT 1000-1499G, with the BASIC PERFORMANCE without CC 7.4604
15642 newborn, BIRTH WEIGHT 1000-1499G, with the BASIC PERFORMANCE with CC 18.0846
15643 newborn, BIRTH WEIGHT 1000-1499G, with the BASIC performance with MCC 18.0846
15651 newborn, BIRTH WEIGHT 1000-1499G, without a BASIC PERFORMANCE without CC 10.1785
15652 newborn, BIRTH WEIGHT 1000-1499G, without a BASIC PERFORMANCE with CC 10.1785
15653 newborn, BIRTH WEIGHT 1000-1499G, without a BASIC performance with MCC 16.3227
15661 newborn, BIRTH WEIGHT 1500-1999G, with the BASIC PERFORMANCE without CC 7.2122
15662 newborn, BIRTH WEIGHT 1500-1999G, with the BASIC PERFORMANCE with CC 22.1166
15663 newborn, BIRTH WEIGHT 1500-1999G, with the BASIC performance with MCC 25.8611
15671 newborn, BIRTH WEIGHT 1500-1999G, without a BASIC PERFORMANCE without CC 4.0850
15672 newborn, BIRTH WEIGHT 1500-1999G, without a BASIC PERFORMANCE with CC 4.7539
15673 newborn, BIRTH WEIGHT 1500-1999G, without a BASIC performance with MCC 7.9674
15681 newborn, BIRTH WEIGHT 2000-2499G, with the BASIC PERFORMANCE without CC 7.7714
15682 newborn, BIRTH WEIGHT 2000-2499G, with the BASIC PERFORMANCE with CC 16.2811
15683 newborn, BIRTH WEIGHT 2000-2499G, with the BASIC performance with MCC 21.1222
15691 newborn, BIRTH WEIGHT 2000-2499G, without a BASIC PERFORMANCE without CC 0.7891
15692 newborn, BIRTH WEIGHT 2000-2499G, without a BASIC PERFORMANCE with CC 1.9545
15693 newborn, BIRTH WEIGHT 2000-2499G, without a BASIC performance with MCC 4.4443
15701 NEWBORN, weight at BIRTH, 2499G > PERFORMANCE without CC 4.8161
15702 a NEWBORN, weight at BIRTH, 2499G > PERFORMANCE with CC 10.7224
15703 a NEWBORN, weight at BIRTH, 2499G > performance with MCC 15.2995
15711 newborn, BIRTH WEIGHT > 2499G, with serious ANOMALIES or DĚDIČNÝMSTAVEM without-CC 0.5053
15712 newborn, BIRTH WEIGHT > 2499G, with serious ANOMALIES or DĚDIČNÝMSTAVEM with CC to 1.2810
15713 newborn, BIRTH WEIGHT > 2499G, with serious ANOMALIES or DĚDIČNÝMSTAVEM with MCC 4.8590
15720 newborn, BIRTH WEIGHT > 2499G, with BREATHING DIFFICULTIES 4.7684
15731 NEWBORN, weight at BIRTH, with 2499G > ASPIRATION SYNDROME without the CC 0.2932
15732 NEWBORN, weight at BIRTH, with 2499G > ASPIRATION SYNDROME with CC 0.3719
15733 NEWBORN, weight at BIRTH, with 2499G > ASPIRATION SYNDROME with MCC 3.9430
15741 NEWBORN, weight at BIRTH, congenital 2499G > or PERINATAL INFECTIONS without CC 0.9388
15742 NEWBORN, weight at BIRTH, congenital 2499G > or PERINATAL INFECTIONS with CC 0.9388
15743 NEWBORN, weight at BIRTH, congenital 2499G > or PERINATAL INFECTION with MCC 3.2744
15751 NEWBORN, weight at BIRTH, without a BASIC 2499G > PERFORMANCE without CC 0.2622
15752 newborn, BIRTH WEIGHT > 2499G, without a BASIC PERFORMANCE with CC 0.3469
15753 newborn, BIRTH WEIGHT > 2499G, without a BASIC performance with MCC 0.4198
16011 PERFORMANCES on SPLEEN without CC 2.1345
16012 PERFORMANCES on SPLEEN with CC 3.3509
16013 PERFORMANCES on SPLEEN with MCC 3.3509
16021 OTHER PERFORMANCES for BLOOD DISEASES and BLOOD-FORMING ORGANS without CC 0.7549
16022 OTHER PERFORMANCES for BLOOD DISEASES and BLOOD-FORMING organs with CC 0.9018
16023 OTHER PERFORMANCES for BLOOD DISEASES and BLOOD-FORMING organs with MCC 1.3940
16301 AGRANULOCYTOSIS without CC 0.7000
16302 AGRANULOCYTOSIS with CC 1.2349
16303 AGRANULOCYTOSIS with MCC 1.5934
16311 CLOTTING DISORDER without CC 0.8383
16312 CLOTTING DISORDER with CC 0.8383
16313 CLOTTING DISORDER with MCC 1.3399
16321 SICKLE CELL ANAEMIA 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 ANAEMIA without CC 0.6220
16332 DISORDERS of RED BLOOD CELLS, in ADDITION to the SICKLE CELL ANEMIA with CC 0.7253
16333 DISORDERS of RED BLOOD CELLS, in ADDITION to the SICKLE CELL ANEMIA with MCC 0.9504
16341 OTHER blood and HEMATOPOIETIC ORGANS without CC 0.4925
16342 OTHER blood and BLOOD-FORMING organs with CC 0.7014
16343 OTHER blood and BLOOD-FORMING organs with MCC 1.0653
17011 LYMPHOMA and LEUKEMIA with HIGH PERFORMANCE without CC 0.9146
17012 LYMPHOMA and LEUKEMIA with HIGH PERFORMANCE with CC 3.0458
17013 LYMPHOMA and LEUKEMIA with HIGH PERFORMANCE with MCC 6.1020
17021 LYMPHOMA and LEUKEMIA with another PERFORMANCE without CC 1.3956
17022 LYMPHOMA and LEUKEMIA with another PERFORMANCE with CC 2.0051
17023 LYMPHOMA and LEUKEMIA with another performance with MCC 5.4591
17031 MYELOPROLIFERATIVE disorders and POORLY DIFFERENTIATED TUMORS with HIGH PERFORMANCE without CC 2.1137
17032 MYELOPROLIFERATIVE disorders and POORLY DIFFERENTIATED TUMORS with HIGH PERFORMANCE with CC 3.4473
17033 MYELOPROLIFERATIVE disorders and POORLY DIFFERENTIATED TUMORS with HIGH PERFORMANCE with MCC 4.5810
17041 MYELOPROLIFERATIVE disorders and POORLY DIFFERENTIATED TUMORS with another PERFORMANCE without CC 1.2362
17042 MYELOPROLIFERATIVE disorders and POORLY DIFFERENTIATED TUMORS with another PERFORMANCE with CC 1.9936
17043 MYELOPROLIFERATIVE disorders and POORLY DIFFERENTIATED TUMORS with another performance with MCC 3.4349
17301 ACUTE LEUKEMIA without CC 1.1930
17302 ACUTE LEUKEMIA with CC 1.1930
17303 ACUTE LEUKEMIA with MCC 2.4821
17311 LYMPHOMA and LEUKEMIA without EMERGENT CC 0.9815
17312 LYMPHOMA and LEUKEMIA with CC EMERGENT 1.8425
17313 LYMPHOMA and LEUKEMIA with EMERGENT MCC 2.6388
17321 RADIOTHERAPY without CC 1.4185
17322 RADIOTHERAPY with CC 1.5004
17323 RADIOTHERAPY with MCC 1.9081
17331 CHEMOTHERAPY without CC 0.8840
17332 CHEMOTHERAPY with CC 0.8840
17333 chemotherapy with MCC 1.0606
17341 OTHER MYELOPROLIFERATIVE disorders and DIAGNOSIS of UNDIFFERENTIATED NÁDORŮBEZ CC 0.6335
17342 OTHER MYELOPROLIFERATIVE disorders and DIAGNOSIS of UNDIFFERENTIATED NÁDORŮS CC 0.8114
17343 OTHER MYELOPROLIFERATIVE disorders and DIAGNOSIS of UNDIFFERENTIATED NÁDORŮS MCC 0.9744
17351 CHEMOTHERAPY in ACUTE LEUKEMIA without CC 3.5277
17352 of CHEMOTHERAPY in ACUTE LEUKEMIA with CC 3.5277
17353 CHEMOTHERAPY in ACUTE LEUKEMIA with MCC 10.6529
18011 PERFORMANCES for infectious and parasitic diseases without CC 0.2782
18012 PERFORMANCES for infectious and parasitic diseases with CC 3.4878
18013 PERFORMANCES for infectious and parasitic diseases with MCC 8.0324
18021 PERFORMANCES for post-operative and POST-TRAUMATIC INFECTIONS without CC 1.1006
18022 PERFORMANCES for post-operative and POST-TRAUMATIC infections with CC 1.7561
18023 PERFORMANCES for post-operative and POST-TRAUMATIC infections with MCC 4.3580
18301 SEPTICEMIA without CC 0.9388
18302 SEPTICEMIA with CC 1.2039
18303 SEPTICEMIA with MCC 2.6541
18311 post-operative and POST-TRAUMATIC INFECTIONS without CC 0.6205
18312 post-operative and POST-TRAUMATIC infections with CC 0.7761
18313 post-operative and POST-TRAUMATIC infections with MCC 1.8536
18321 FEVER of UNKNOWN ORIGIN with NO CC 0.4196
18322 FEVER of UNKNOWN ORIGIN with CC 0.5586
18323 FEVER of UNKNOWN ORIGIN with MCC 0.7781
18331 VIRAL DISEASE without CC 0.3615
18332 VIRAL DISEASE with CC 0.4744
18333 VIRAL DISEASE with MCC 0.6064
18341 other infectious and PARASITIC DISEASES without CC 0.5622
18342 OTHER INFECTIOUS and parasitic diseases with CC 0.8073
18343 OTHER INFECTIOUS and parasitic diseases with MCC 1.1762
19011 OPERATING PERFORMANCE with the principal DIAGNOSIS of MENTAL ILLNESS without CC 1.7409
19012 OPERATING PERFORMANCE with the principal DIAGNOSIS of MENTAL ILLNESS with CC 2.7050
19013 OPERATING PERFORMANCE with the principal DIAGNOSIS of MENTAL ILLNESS with MCC 5.1376
19301 SCHIZOPHRENIA without CC 1.7523
19302 SCHIZOPHRENIA with CC 2.0672
19303 SCHIZOPHRENIA with MCC 2.0672
19311 PSYCHOSIS without CC 1.5576
19312 CC of PSYCHOSIS with 1.5576
19313 PSYCHOSIS with MCC 1.5576
19321 PERSONALITY DISORDERS and mood without CC 1.1531
19322 PERSONALITY DISORDERS and mood with CC 1.1531
19323 PERSONALITY DISORDERS and mood with MCC 1.6814
19331 BIPOLAR DISORDERS without CC 1.7665
19332 BIPOLAR DISORDERS with CC 1.7665
19333 BIPOLAR DISORDERS with MCC 1.7665
19341 DEPRESSION without CC 0.9734
19342 DEPRESSION with CC 1.1554
19343 DEPRESSION with MCC 1.9099
19351 ACUTE REACTIONS, PSYCHO-SOCIAL disorders and NEUROSIS in ADDITION to DEPRESSIVE without CC 0.8093
19352 ACUTE REACTIONS, PSYCHO-SOCIAL disorders and NEUROSIS in ADDITION to DEPRESSIVE SCC 0.8093
19353 ACUTE REACTIONS, PSYCHO-SOCIAL disorders and NEUROSIS in ADDITION to DEPRESSIVE SMCC 0.8637
19361 ORGANIC MENTAL DISORDERS and mental retardation without CC 0.8360
19362 ORGANIC MENTAL DISORDERS and mental retardation with CC 0.8360
19363 ORGANIC MENTAL DISORDERS and mental retardation with MCC 0.8360
19371 DEVELOPMENTAL PSYCHIATRIC DISORDERS without CC 1.2077
19372 DEVELOPMENTAL MENTAL DISORDERS with CC 1.2077
19373 DEVELOPMENTAL MENTAL DISORDERS with MCC 1.2077
19381 COMPULSIVE NUTRITIONAL DISORDERS without CC 2.6767
19382 COMPULSIVE NUTRITIONAL DISORDERS with CC 2.6767
19383 COMPULSIVE NUTRITIONAL DISORDERS with MCC 3.2153
19391 OTHER MENTAL DISORDERS without CC 0.6443
19392 OTHER MENTAL DISORDERS with CC 0.8583
19393 OTHER MENTAL DISORDERS with MCC 1.1681
20301 the HARMFUL USE of ALCOHOL, DRUGS, drugs, addiction on them, PROPUŠTĚNÍPROTI 0.1276
THE DOCTOR'S RECOMMENDATIONS WITHOUT CC
20302 the HARMFUL USE of ALCOHOL, DRUGS, drugs, addiction on them, PROPUŠTĚNÍPROTI 0.1276
THE DOCTOR'S RECOMMENDATIONS WITH CC
20303 HARMFUL USE of ALCOHOL, DRUGS, drugs, addiction on them, PROPUŠTĚNÍPROTI 0.1276
THE DOCTOR'S RECOMMENDATIONS WITH MCC
20311 a DEPENDENCY on drugs and alcohol rehabilitation and/or DETOX THERAPIES without CC 0.4432
20312 DEPENDENCY on drugs and alcohol rehabilitation and/or DETOXIFICATION THERAPIES with CC 0.4432
20313 DEPENDENCY on drugs and alcohol rehabilitation and/or DETOXIFICATION THERAPIES with MCC 0.7528
20321 HARMFUL use and DEPENDENCE on OPIATES and/or COCAINE without CC 0.5981
20322 HARMFUL use and DEPENDENCE on OPIATES and/or COCAINE with CC 0.6929
20323 HARMFUL use and DEPENDENCE on OPIATES and/or COCAINE with MCC 1.9774
20331 HARMFUL use and DEPENDENCE on ALCOHOL without CC 0.3549
20332 HARMFUL use and DEPENDENCE on ALCOHOL with CC 0.4249
20333 HARMFUL use and DEPENDENCE on ALCOHOL with MCC 0.6829
20341 HARMFUL use and DEPENDENCE on OTHER DRUGS without CC 0.8361
20342 HARMFUL use and DEPENDENCE on OTHER DRUGS with CC 0.9755
20343 HARMFUL use and DEPENDENCE on OTHER DRUGS with MCC 0.9755
21011 MICROVASCULAR TISSUE TRANSFER or SKIN GRAFT when INJURIES without CC 1.2565
21012 MICROVASCULAR TISSUE TRANSFER or a SKIN GRAFT at ACCIDENTS with CC 3.0948
21013 MICROVASCULAR TISSUE TRANSFER or a SKIN GRAFT at ACCIDENTS with MCC 10.4434
21021 OTHER PERFORMANCES at ACCIDENTS and COMPLICATIONS without CC 1.3715
21022 OTHER PERFORMANCES at ACCIDENTS and COMPLICATIONS with CC 2.8417
21023 OTHER PERFORMANCES at ACCIDENTS and COMPLICATIONS with MCC 6.8005
21301 INJURY on an UNDETERMINED LOCATION or in MULTIPLE PLACES without CC 1.0941
21302 INJURIES to an UNSPECIFIED LOCATION, or at SEVERAL LOCATIONS with CC 1.4315
21303 INJURIES to an UNSPECIFIED LOCATION, or at SEVERAL LOCATIONS with MCC 2.3727
21311 ALLERGIC REACTIONS without CC 0.1840
21312 allergic reactions with CC 0.2476
21313 allergic reactions with MCC 0.3116
21321 poisoning and TOXIC EFFECTS of drugs (drugs) without CC 0.2961
21322 poisoning and TOXIC EFFECTS of drugs (drugs) with CC 0.4442
21323 poisoning and TOXIC EFFECTS of drugs (drugs) with MCC 0.9678
21331 the COMPLICATIONS in the TREATMENT without CC 0.2244
21332 COMPLICATIONS when TREATING with CC 0.3584
21333 COMPLICATIONS when TREATING with MCC 0.6999
21341 MALTREATED the CHILD or ADULT SYNDROME without the CC 1.9265
21342 SYNDROME of the ABUSED CHILD or ADULT with CC 1.9265
21343 SYNDROME of the ABUSED CHILD or ADULT with MCC 1.9265
21351 OTHER DIAGNOSES of INJURIES, poisoning and TOXIC EFFECTS without CC 0.2809
21352 OTHER DIAGNOSES of INJURIES, poisoning and TOXIC EFFECTS with CC 0.3483
21353 OTHER DIAGNOSIS of INJURIES, poisoning and TOXIC EFFECTS with MCC 1.1605
22501 BURNS, transfer to ANOTHER ACUTE CARE FACILITY without CC 0.2796
22502 BURNS, transfer to ANOTHER ACUTE CARE FACILITY with CC 0.2796
22503 BURNS, transfer to ANOTHER ACUTE CARE FACILITY with MCC 0.2796
22510 EXTENSIVE BURNS with SKIN GRAFT 6.6536
22521 NEROZSÁHLÉ BURNS through the ENTIRE skin with SKIN GRAFT or INHAL. INJURIES without CC 2.3642
22522 NEROZSÁHLÉ BURNS through the ENTIRE skin with SKIN GRAFT or INHAL. INJURIES with CC 7.0889
22523 NEROZSÁHLÉ BURNS through the ENTIRE skin with SKIN GRAFT or INHAL. INJURIES with MCC 8.2046
22530 EXTENSIVE BURNS without SKIN GRAFT 1.3981
22541 BURNS LIMITED SCOPE AFFECTING ALL LAYERS of the skin without SKIN GRAFT 0.8270
OR INHALED INJURY WITHOUT CC
22542 BURNS LIMITED SCOPE AFFECTING ALL LAYERS of the skin without SKIN GRAFT 1.3823
OR INHALED INJURY WITH CC
22543 BURNS LIMITED SCOPE AFFECTING ALL LAYERS of the skin without SKIN GRAFT 3.0796
OR INHALED INJURY WITH MCC
22551 BURNS LIMITED SCOPE of ALL LAYERS of the SKIN without NON-CC 0.6691
22552 BURNS LIMITED SCOPE of ALL LAYERS of the skin with NON-CC 1.4430
22553 BURNS LIMITED SCOPE of ALL LAYERS of the skin with NON-MCC 1.4430
23011 OPERATING PERFORMANCE with the diagnosis of OTHER CONTACT with HEALTH SERVICES without CC 0.8251
23012 OPERATING PERFORMANCE with the diagnosis of OTHER CONTACT with HEALTH SERVICES with CC 1.5748
23013 OPERATING PERFORMANCE with the diagnosis of OTHER CONTACT with HEALTH SERVICES with MCC 4.0065
23301 REHABILITATION without CC 0.9519
23302 REHABILITATION with CC 1.1044
23303 REHABILITATION with MCC 1.1044
23311 symptoms and ABNORMAL FINDINGS without CC 0.3219
23312 symptoms and ABNORMAL FINDINGS with CC 0.4575
23313 symptoms and ABNORMAL FINDINGS with MCC 0.5874
23321 OTHER FACTORS AFFECTING HEALTH STATUS without CC 0.2265
23322 OTHER FACTORS AFFECTING HEALTH STATUS with CC 0.4531
23323 OTHER FACTORS AFFECTING HEALTH STATUS with MCC 0.9535
24010 HIV with the performance, with several SEVERE INFECTIONS ASSOCIATED with HIV 1.2376
24020 HIV with the performance, with an additional DIAGNOSIS of HIV-related 1.2525
24031 HIV with power, without FURTHER DIAGNOSIS RELATED with HIV without CC 0.3606
24032 HIV with power, without an ADDITIONAL DIAGNOSIS of HIV related with CC 0.3606
24033 HIV with power, without an ADDITIONAL DIAGNOSIS of HIV related with MCC 0.3606
24301 HIV with VENTILATION or NUTRITIONAL SUPPORT without CC 0.1262
24302 HIV with VENTILATION or NUTRITIONAL SUPPORT with CC 1.4340
24303 HIV with VENTILATION or NUTRITIONAL SUPPORT with MCC 6.6909
24311 HIV with OTHER HIV-related DIAGNOSIS, RELEASED through the MEDICAL RECOMMENDATIONS without CC 0.1399
24312 HIV with another DIAGNOSIS related to HIV, RELEASED through the MEDICAL RECOMMENDATIONS with CC 0.1399
24313 HIV with OTHER HIV-related DIAGNOSIS, RELEASED through the MEDICAL recommendations with MCC 0.1399
24320 HIV with several SEVERE INFECTIONS ASSOCIATED with HIV 0.3895
24331 HIV with OTHER HIV-related DIAGNOSIS, without a FEW SERIOUS INFECTIONS 5.3823
HIV-RELATED TUBERCULOSIS WITHOUT CC
24332 HIV with OTHER HIV-related DIAGNOSIS, without a FEW SERIOUS INFECTIONS 5.3823
HIV-RELATED TUBERCULOSIS WITH CC
24333 HIV with another DIAGNOSIS related to HIV, without a FEW SERIOUS INFECTIONS 5.3823
HIV-RELATED TUBERCULOSIS WITH MCC
24341 HIV with OTHER HIV-related DIAGNOSIS, without a FEW SERIOUS INFECTIONS 0.5458
RELATED TO HIV, TUBERCULOSIS-FREE WITHOUT CC
24342 HIV with OTHER HIV-related DIAGNOSIS, without a FEW SERIOUS INFECTIONS 1.1392
RELATED TO HIV, TUBERCULOSIS-FREE WITH CC
24343 HIV with another DIAGNOSIS related to HIV, without a FEW SERIOUS INFECTIONS 1.1392
RELATED TO HIV, TUBERCULOSIS-FREE WITH MCC
24350 HIV without FURTHER DIAGNOSIS HIV-related 0.7577
25011 CRANIOTOMY, a LARGE PERFORMANCE on the SPINE, HIP and ENDS. When MULTIPLE SIGNIFICANT TRAUMA 4.9536
WITHOUT CC
25012 CRANIOTOMY, a LARGE PERFORMANCE on the SPINE, HIP and ENDS. When MULTIPLE SIGNIFICANT TRAUMA 5.5505
WITH CC
25013 CRANIOTOMY, a LARGE PERFORMANCE on the SPINE, HIP and ENDS. When MULTIPLE SIGNIFICANT TRAUMA 9.7130
WITH MCC
25021 OTHER PERFORMANCES in MULTIPLE SIGNIFICANT TRAUMA without CC 4.1643
25022 OTHER PERFORMANCES in MULTIPLE SIGNIFICANT TRAUMA with CC 4.1643
25023 OTHER PERFORMANCES in MULTIPLE SIGNIFICANT TRAUMA with MCC 8.5955
25030 LONG-TERM MECHANICAL VENTILATION at POLYTRAUMATU > 1008 HOURS (more than 43 DAYS) with 59.8569
ECONOMICALLY DEMANDING PERFORMANCE
LONG-TERM MECHANICAL VENTILATION 25040 POLYTRAUMATU > 504 HOURS (22-42 days) with 37.6540
ECONOMICALLY DEMANDING PERFORMANCE
25051 LONG-TERM MECHANICAL VENTILATION at POLYTRAUMATU > 240 HOURS (11-21 DAYS) with 23.1521
ECONOMICALLY DEMANDING PERFORMANCE WITHOUT CC
25052 LONG-TERM MECHANICAL VENTILATION at POLYTRAUMATU > 240 HOURS (11-21 DAYS) with 23.1521
ECONOMICALLY DEMANDING PERFORMANCE WITH CC
LONG-TERM MECHANICAL VENTILATION 25053 POLYTRAUMATU > 240 HOURS (11-21 DAYS) with 26.3363
ECONOMICALLY DEMANDING PERFORMANCE WITH MCC
LONG-TERM MECHANICAL VENTILATION 25061 POLYTRAUMATU with KRANIOTOMIÍ > 96 HOURS without CC 11.7983
25062 LONG-TERM MECHANICAL VENTILATION when POLYTRAUMATU with KRANIOTOMIÍ > 96 HOURS with CC 13.2647
LONG-TERM MECHANICAL VENTILATION 25063 POLYTRAUMATU with KRANIOTOMIÍ > 96 HOURS with MCC 13.2647
LONG-TERM MECHANICAL VENTILATION 25071 POLYTRAUMATU > 96 HOURS (5-10 DAYS) with the ECONOMICALLY 20.9485
DEMANDING PERFORMANCE WITHOUT CC
25072 LONG-TERM MECHANICAL VENTILATION at POLYTRAUMATU > 96 HOURS (5-10 DAYS) with the ECONOMICALLY 20.9485
DEMANDING PERFORMANCE WITH CC
25073 LONG-TERM MECHANICAL VENTILATION at POLYTRAUMATU > 96 HOURS (5-10 DAYS) with the ECONOMICALLY 20.9485
DEMANDING PERFORMANCE WITH MCC
25301 DIAGNOSIS on the HEAD, chest and leg when MULTIPLE SEVERE 1.1335
TRAUMA WITHOUT CC
25302 DIAGNOSIS on the HEAD, chest and leg when MULTIPLE SEVERE 1.1335
TRAUMA WITH CC
25303 DIAGNOSIS on the HEAD, chest and leg when MULTIPLE SEVERE 2.3651
TRAUMA WITH MCC
the DIAGNOSIS of MULTIPLE MYELOMA, OTHER SERIOUS 25311 TRAUMA without CC 1.4082
the DIAGNOSIS of MULTIPLE MYELOMA, OTHER SERIOUS 25312 TRAUMA with CC 1.4082
the DIAGNOSIS of MULTIPLE MYELOMA, OTHER SERIOUS 25313 TRAUMA with MCC 1.4082
25320 LONG-TERM MECHANICAL VENTILATION at POLYTRAUMATU > 1008 HOURS (more than 43 DAYS) 49.5586
25330 LONG-TERM MECHANICAL VENTILATION at POLYTRAUMATU > 504 HOURS (22-42 days) 27.7664
25341 LONG-TERM MECHANICAL VENTILATION at POLYTRAUMATU > 240 HOURS (11-21 DAYS) without CC 15.3977
25342 LONG-TERM MECHANICAL VENTILATION at POLYTRAUMATU > 240 HOURS (11-21 DAYS) with CC 15.3977
LONG-TERM MECHANICAL VENTILATION 25343 POLYTRAUMATU > 240 HOURS (11-21 DAYS) with MCC 15.3977
LONG-TERM MECHANICAL VENTILATION 25361 POLYTRAUMATU > 96 HOURS (5-10 DAYS) without CC 9.6211
LONG-TERM MECHANICAL VENTILATION 25362 POLYTRAUMATU > 96 HOURS (5-10 DAYS) with CC 11.3207
LONG-TERM MECHANICAL VENTILATION 25363 POLYTRAUMATU > 96 HOURS (5-10 DAYS) with MCC 11.3207
25370 DEATHS within 5 days FROM RECEIPT when YOU POLYTRAUMATU 3.2290
88871 EXTENSIVE performances that DO NOT RELATE to the MAIN DIAGNOSIS without CC 1.0519
88872 EXTENSIVE performances that DO NOT RELATE to the MAIN DIAGNOSIS with CC 2.3173
88873 EXTENSIVE performances that DO NOT RELATE to the MAIN DIAGNOSES with MCC 5.0415
88881 PROSTATIC performances that DO NOT RELATE to the MAIN DIAGNOSIS without CC 1.4260
88882 PROSTATIC performances that DO NOT RELATE to the MAIN DIAGNOSIS with CC 1.4260
88883 PROSTATIC performances that DO NOT RELATE to the MAIN DIAGNOSES with MCC 1.9011
88891 PERFORMANCES of LIMITED SCOPE which does not concern the MAIN DIAGNOSIS without CC 0.5904
88892 PERFORMANCES of LIMITED SCOPE which does not concern the MAIN DIAGNOSES with CC 1.1562
88893 PERFORMANCES of LIMITED SCOPE which does not concern the MAIN DIAGNOSES with MCC 2.2431
99980 MAIN DIAGNOSIS INVALID AS LAYOFF DIAGNOSIS 0.1133
99990-0.1133
--------- ---------------------------------------------------------------------------------- -----------------
Annex 10
The amount of the reimbursement of health care under section 7
---- ------------------------------------------------- --------------------------------------------------------
The code of the enforcement of regulatory restrictions Above
payment of the
---- ------------------------------------------------- --------------------------------------------------------
00901 input complex examination of a combination of the 901.00902, 368 Czk
Examination of the condition of teeth, periodontal disease, mucous membranes or you cannot declare 00946 00947
and soft tissues of the oral cavity, jaw health in one calendar quarter.
and mezičelistních relations, hours can 1/1 year
including medical history and determine a treatment plan to the insured person in rámcipéče
in the context of care paid for by health insurance. about adult and individual care
Training (only once per insured person)/about the teeth of children and adolescents.
control of oral hygiene, interdental expertise-014 confirmation
hygiene, massage, treatment of common afflictions of systematic participation in the system
and inflammation in the gingiva and mucosa of the oral cavity, lifelong training actions
periodontal disease (periodontal abscess, thrush treatment, training of dental practitioners ^ 5)
of herpes or dekubitu caused by sensor
refund and other) treatment dentitio difficilis
regardless of the number of visits.
00902 examination and treatment of the insured person is registered with the combination of 901.00902 codes, 00946 294 Eur
in the framework of preventive care or cannot be reported in one 00947
Examination of the condition of teeth, periodontal disease, mucous membranes of the calendar quarter.
and soft tissues of the oral cavity. Review oral hours can 1/1 year
hygiene, sanitation, removal of interdental on insured persons under care
Tartar (regardless of how about adults and within
design), including the treatment of common afflictions individual care ochrup children
and inflammation in the gingiva and mucosa of the oral cavity, up to 6 years; 2/year within
periodontal disease (periodontal abscess, thrush treatment, individual care ochrup children
of herpes or dekubitu due to sensing and adolescents less than 18 years of age, from 6 in the
refund and other) treatment dentitio difficilis pregnant women during the 2xv
regardless of the number of visits. Topical application of pregnancy.
fluoride using the products referred to in annex No. Expertise-014 confirmation
1 of the law. on the systematic participation in the system
lifelong training actions
the training of dental practitioners ^ 5)
00903 Requested examination by an expert or you cannot combine with code 00908. 200 Czk
You can report the specialist 1/1 day.
Examination by an expert or a specialist expertise-014 confirmation
the basis of the recommendations of the other doctor (at a constant participation in a system
emergency situations without recommendations), short training actions of the lifelong
the written report. May not follow up treatment. the training of dental practitioners ^ 5);
015; 605
00904 Dental examination of the registered hours can 1/1 year only $ 105
the insured person from 1 year to 6 years within in the context of kódem00902,
preventive care, if applicable, and the diagnosis of 00947 012
-dental examination.
Expertise-014
00906 dental treatment of an insured person under 6 hours can 1/1 day. 95 Eur
hendikepovaného of the insured person or expertise-014
Remuneration takes into account the increased time demands
treatment of the insured person.
The holder of a certificate of continuing participation
in the system of lifelong training actions
the training of dental practitioners ^ 5) can be reported even when the
the requested care of an insured person.
00907 dental treatment of the insured person from 6 years to hours can 1/1 day 68 €
15 years only when the curative visit
Remuneration takes into account the increased time demands (you cannot kick with kódy00901,
treatment of the insured person. 00902, 00903, 00909, 00946,
The holder of a certificate of continuing participation and diagnosis of 00947 012-dental
in the system of lifelong training actions).
the training of dental practitioners ^ 5) can be reported even when expertise-014
the requested care of an insured person.
00908 Acute treatment and examination of an unauthorised cannot be combined with code 00903 295 Eur
insured person-in the context of emergency services and 00909.
Acute treatment of accidental of an insured person outside the hours can 1/1 day.
framework for preventive care. Treatment includes expertise-014
examination, palliative treatment in Endodontics today,
amputation and exstirpaci marrow, fill,
Topical treatments/Mucosa, gingiva
conservative treatment dentitio difficilis
parodontálního abscess, or Exchange your
repair/adjustment of dentures or fixed
in the Office, and so on.
Clinical dental examinations 00909 cannot be combined with the codes, 410 Czk 00901
Examination by an expert on the clinical workplace 00902, 00903, 00908, 00945,
based on the advice of another doctor (when 00946 and 00947. In combination
emergency situations without recommendations), the short code you cannot declare 00907
the written report. May not follow up treatment. separately with the diagnosis of 012-
dental examination. The code can be
i shall have exclusive
dental device
and Research Institute
Stomatology.
Hours can 1/1 day
When the diagnosis requiring
recurring visiting hours can
only once, at the cleft
defects, cancer
and trauma diagnosis may be
report only once, when
the initiation of treatment.
Expertise-014; 015
00910 Fabrication intraorálního x-ray image can be reported-without limitation of 70 CZK
The making of x-ray image on a special expertise-014; 015; 605
Dental x-ray apparatus or other
the display method (the condition is to archive
the snapshot).
Medical device that shows a snapshot
indicate (even if the making of slide
in another medical facility).
00911 Fabrication extraorálního x-ray image can be reported-without limitation-$ 225
The making of skiagrafie skull different projections for expertise-014; 015; 605
each frame.
Medical device that shows a snapshot
indicate, in the case of expertise 015
even x-rays of his hand (determination of the growth phase
the skeleton).
00912 Filling salivary gland contrast medium can be reported-without limitation-$ 581
He, dilate, filling the salivary glands and ducts of the expertise-014 confirmation
contrast medium. Subsequent x-ray of systematic participation in the system
the examination is reported from the code-00911 or 00913 lifelong training actions
the medical establishment that a snapshot of the training of dental practitioners ^ 5); 605
indicate.
00913 Fabrication ortopantomogramu hours can 1/2 years 275 Czk
Making a extraorálního panoramic photo Expertise 014; 015; 605 (restrictions
on a special x-ray machine. frequency does not apply proodbornost
Medical device that shows a snapshot of the 605, 015 and for expertise 014 with
indicate. confirmation of the continuing participation of the
in the system of training events
lifelong education, dental
doctors ^ 5)
00914 Evaluation ortopantomogramu hours can 1/1 frame/1 70 CZK
Evaluation of a panoramic x-ray medical equipment
slide the jaws of dental arches and a skeleton or expertise-014; 015; 605
other extraorálních images.
Medical device that shows a snapshot
indicate (even if the making of slide
in another medical facility); in the case of
dispatch of the insured person to a different dentist,
who is the holder of a certificate of continuing
participation in the system of lifelong training actions
the training of dental lékařů5) may report code
This medical device.
00915 Fabrication telerentgenového slide lbi hours can 1/1 year $ 270
Making remote x-ray image, lbi on expertise-014 confirmation
a special x-ray machine. on the systematic participation in the system
Medical device that shows a snapshot of lifelong training actions
indicate. the training of dental practitioners ^ 5); 015;
6 05
00916 anesthesia on the foramen mandibulae hours can-without restrictions. 100 Czk
and infraorbitale expertise-014; 015; 605
The application of injectable anesthesia on the foramen
mandibulae (the application is included on the
buccalis) and foramen infraorbitale (part of it is
the application of the nervus palatinus) in all
cases, if anesthesia is indicated by the doctor.
00917 Anesthesia infiltration can be reported-without limitation of 80 CZK
The application of general anaesthesia for injection for each sextant, expertise-014; 015; 605
including the foramen mentale, anesthesia on the foramen
Palatinum maius and foramen incisivum. It is calculated
anestezovaná area, not the number of punctures; in
all cases, when the anesthesia is indicated
doctor.
00920 Treatment of tooth decay-permanent tooth-hours can 1 tooth/1 day-$ 315
composite fill location-tooth
The permanent tooth caries treatment expertise-014; 015; 605
composite fillings for insured persons under 18 years of age
the extent of the canine teeth including, regardless of the number of
fill any number of faces or small
fill in one tooth.
00921 Treatment of tooth decay-permanent tooth hours can 1 tooth/365dní $ 220
Treatment of tooth decay finally fills, without limitation of frequencies does not apply
regardless of the number of faces or fill any cases in which repeated the fill is
the number of small fillings on one tooth, made because of complications
standard material in accordance with Annex No. 1 of the treated tooth decay or
the law-in this case is
(when using samopolymerujících composite fill reported with another
materials in the scope of the canines, including diagnosis. Less than 1 year
and nedózovaného amalgam in its entirety). hours can fill in the case of
high in major cavities in baby
of the total, or diseases
Professional damage
the denture.
Localization-tooth
Expertise-014; 015; 605
00922 Treatment of tooth decay-a temporary tooth Can declare 1 tooth/6 months-$ 126
Treatment of dental caries of the temporary restrictions on does not affect the frequency of tooth
Finally, regardless of the number of faces in cases where repeating the fill is
any number of small fill or fills to made because of complications
one tooth and the material used. the treated tooth decay or
accident-in this case is
the fill is reported with another
the diagnosis. Less than 6 months
hours can fill in the case of
high in major cavities in baby
total diseases.
Localization-tooth
Expertise-014; 015; 605
00923 conservative treatment of complications of tooth decay-00925 code cannot be combined. 181 €
the permanent tooth hours can 1/1 channel/1 tooth
Includes Palliative performance, mechanical, only if it is followed by the
chemical and drug preparation konzervačně-surgical treatment
and provisional restorations. complications of dental decay.
After clinching the Endodontic treatment of teeth for more than one channel is
each root canal filled standard proven radiograph
material referred to in annex No. 1 of the Act. The number of location-tooth
visits to a not selected. Expertise-014; 015; 605
00924 conservative treatment of complications of tooth decay-hours can 1/1 channel/1 tooth 176 Eur
temporary tooth-tooth Localization
After clinching the Endodontic treatment expertise-014; 015; 605
temporary tooth vitality or mortální method
amputation of 1. When exstirpaci each
full root canal. Treatment is possible,
When is a temporary tooth clinically hard. According to the
up to half of the x-ray resorbtion
the root.
00925 conservative treatment of complications of tooth decay may not be combined with code 00923. 265 Eur
II.-permanent tooth hours can 1/1 channel/1 tooth
Includes Palliative performance, mechanical, for more than one channel is
medical preparation and provisional restorations. necessary to substantiate the radiograph.
After clinching the Endodontic treatment of teeth for Localization-tooth
each full root canal agreed expertise-014; 015; 605
When using the standard procedure
the registered material. The number of visits
does not act. Even with treatment, the tooth method
apexifikace.
00931 complex treatment of chronic diseases Can report 1/1 year-$ 700
periodontal disease expertise-014 confirmation
Periodontal examination, an examination by a systematic participation in the system
index of CPITN, determination of lifelong training actions
a treatment plan, the launch of the conservative treatment training of dental practitioners ^ 5)
-removal of tartar (regardless of the
How to perform), education and motivation
oral hygiene.
Treatment of chronic periodontal disease 00932 hours can 3/1 year $ 243
Examination of periodontal disease on the basis of the classification by the third code in the reporting year
the disease in tests using CPITN index, léčbupomocí should be evaluated
When the CPI index is determined by 2-3, or the index of CPITN.
other parodontologických indices of expertise-014
and investigative techniques during the
Periodontal treatment, not in the context of the
preventive care. Continuation of the conservative
treatment (initial or maintenance stage)-
control of oral hygiene by using designated
indexes (for example, PBI, API, and so on), the
the value must be recorded in the documentation,
removal of tartar (regardless of the
How to perform), remotivace and correction
specific methods of oral hygiene, removal
local irritation of the periodontal disease. Temporary splints
from the free hand to stabilize the teeth with a weakened
periodontal disease (code 00938) and Subgingival
treatment (code 00935) is recorded separately.
00933 surgical treatment of periodontal disease of the small hours can-without limitation-$ 420
the extent of Localization-tooth
Performed surgery in the mukogingivální expertise-014 confirmation
the area, building on the conservative treatment of continuous participation in the system
chronic periodontal disease training events for lifelong
(gingivektomie with a sculpture) for each tooth. the training of dental lékařů5)
00934 surgical treatment of periodontal disease the great hours can-without limitation 1 000 CZK
the range of expertise-014 confirmation
Surgical procedures to follow up on conservative about systematic participation in a system
treatment of chronic periodontal disease leading to lifelong training actions
to deepen the vestibule and performances with lift off the training of dental practitioners ^ 5)
lobe of the mukoperiostálního leading to the removal
Periodontal sulků-for each sextant. Cannot be
report with the surgery with a controlled
tissue regeneration and implantation.
00935 Subgingival treatment hours can 1/1 tooth/365 days-$ 84
Instrumental deleting content Localization-tooth
parodontálního trunk (subgingiválního expertise-014 confirmation
Tartar and plaque), removal of systematic participation in the system
necrosis of cement, smoothed the surface of dental training events for lifelong
the root and its monitoring in the teeth with dental education lékařů5 parodontálními)
trunks (CP 3,4). You can perform manual
instruments, ultrasonic or laser
device or a combination of them.
00936 remove and ensuring the transmission of the transplant can be reported-without restrictions. 600 Czk
Surgery leading to the acquisition of expertise-014 confirmation
slizničního or bone graft. on the systematic participation in the system
lifelong training actions
the training of dental practitioners ^ 5); 605
00937 articulation of the teeth Can report 1/1 year $ 433
After making a total occlusion expertise-014 zábrusu confirmation
and articulation of the teeth on the basis of the function of continuous participation in the system
examination of the stomatognátního system. Lifelong training actions should be
demonstrate models before and after treatment. the training of dental practitioners ^ 5)
00938 Temporary splints to stabilize the teeth with hours can 1/1 tooth/365 days 44 €
Localization of periodontal disease-weakened tooth
Temporary splints from a free hand to stabilize the expertise-014; 015
teeth with compromised periodontal disease made by
Annex No. 1 of the law (self-polymerizing
composite resin).
Is reported for each tooth.
a comprehensive examination and proposal 00940 treatment the disease Can report 1/1 year-$ 700
the oral mucosa expertise-014 confirmation
In a comprehensive examination of the oral mucosa, the continuous participation in the system
the diagnosis. lifelong training actions
the training of dental practitioners ^ 5)
00941 control examination and treatment of oral diseases can be reported-without limitation-$ 300
the lining of the expertise-014 confirmation
When the control tests during treatment. on the systematic participation in the system
lifelong training actions
the training of dental practitioners ^ 5)
00943 Measurement of galvanic currents can be reported-without limitation-$ 88
Measurement of galvanic currents in the mouth when expertise-014 confirmation
examination of mucosal changes and impedance measurement. on the systematic participation in the system
lifelong training actions
the training of dental practitioners ^ 5); 605
Targeted inspection report 00945 in combination with codes 10 Czk
The examination focused on the particular difficulties of 00901, 00902, 00903, 00908,
of the insured person, in the case of a registered 00909, 00931, 00932, 00940,
the agreed long-term care hosts 00941, 00946, 00947, 00981,
provided in the framework of expertise, 00984 015 00983.
even for non-registered policy holders. Hours can-without restriction, at the
treatment in several visits
(endodontic treatment,
fabrication of prosthetic restorations
and others) only once.
Expertise-014; 015
Input comprehensive examination and 00946 combination of 901.00902, 00946 336 Czk
Examination of the condition of teeth, periodontal disease, mucous membranes and cannot vykázatv one 00947
and soft tissues of the oral cavity, jaw-State calendar quarter.
and mezičelistních relations, history, and the determination of hours can 1/1 year
a treatment plan in the context of care paid for by insured person under the health care
the insurance company. Training (only once on about adult and individual care
the insured person)/control of oral hygiene, teeth of children and adolescents.
interdental hygiene, massage, treatment expertise-014
common afflictions and inflammation of gingiva and mucosa
oral, periodontal disease (periodontal abscess,
treatment of oral thrush, herpes or dekubitu
due to the sensor replacement and other) treatment
dentitio difficilis regardless of the number of
visits.
00947 examination and treatment of the insured person is registered with a combination of 901.00902, 263 €
in the framework of preventive care and cannot declare 00946 00947
Examination of the condition of teeth, periodontal disease, mucous membranes in one calendar quarter.
and soft tissues of the oral cavity. Review oral hours can 1/1 year
hygiene, sanitation, removal of the interdental client in rámcipéče
Tartar (regardless of how the adults and in the framework of the
design), including the treatment of common afflictions individual dental care of children
and inflammation in the gingiva and mucosa of the oral cavity, up to 6 years; 2/year within
periodontal disease (periodontal abscess, thrush treatment, individual dental care of children
of herpes or dekubitu due to sensing and adolescents from 6 to 18 years of age, at the
refund and other) treatment dentitio difficilis pregnant women 2 x over
regardless of the number of visits. Topical application of pregnancy.
fluoride using the products referred to in annex No. Expertise-014
1 of the law.
temporary tooth Extraction 00949 hours can 1/1 tooth 87 Eur
Temporary tooth extraction or radixu (no Localization-tooth
subsequent surgical intervention) including expertise-014; 015; 605
any separation of radixů, exkochleace
granulation, suture and bleeding
compression tamponádou.
the permanent tooth Extraction 00950 hours can 1/1 $ 168 tooth
The permanent tooth extraction or radixu (no Localization-tooth
subsequent surgical intervention) including expertise-014; 015; 605
any separation of radixů, exkochleace
granulation, suture and bleeding
compression tamponádou.
00951 Surgery hard tissues of the oral cavity of the small hours can-without limitation-$ 525
the extent of Localization-tooth
Tooth extraction or radixu with the Cabinet of expertise-014; 605
mukoperiostálního lobe and hemiextrakce or
levelness alveolar bezzubého
in the range in a single sextantu or surgical
revision of the extraction wound.
00952 Surgery hard tissues of the oral cavity large hours can-without limitation 1 155 Czk
the range of expertise-014 confirmation
Tooth extraction or radixu with the Cabinet about the systematic participation in the system
mukoperiostálního lobe near the lifelong training actions
risk of anatomical structures or the training of dental practitioners ^ 5); 605
requiring removal of the greater part of the bone, the primary
closure of oroantral communications, levelness
alveolar bezzubého in the range
more than one sextant, exstirpace cyst above
1 cm, the removal of sekvestru, artrocentéza
Temporomandibular joint or antrotomie
and the like.
Surgical treatment of tooth retention 00953 hours can 1/1 tooth 630 Czk
Removal of the tissues lying in the path of the eruption of the tooth location-tooth
and the mobilization of the tooth in the direction of desired eruption expertise-014 confirmation
(including opening the mukoperiostálního lobe, about systematic participation in a system
sculptures of soft tissue, underlay bone lifelong training actions
graft, fixing the wire tension, gluing the training of dental practitioners ^ 5);
the orthodontic lock). 015; 605
Konzervačně-00954 surgical treatment of complications can be reported-without limitation-$ 420
Localization-tooth caries
Open the mukoperiostálního lobe, removal of expertise-014; 605
bone periapikálně, amputation of the root tip,
exkochleace, toileta root and bone suture
(including peroperačního),
each treated root.
Also periapikální exkochleace and exstirpace
odontogenní cyst within 1 cm.
00955 Surgery of the soft tissues of the oral cavity and its hours can-without limitation-$ 420
around a small range of expertise-014; 015; 605
Perform minor surgical procedures,
for example, dekapsulace, frenulektomie,
Remove interferences cords,
sublingual frenulektomie, excision of blowing
Ridge-for each sextant, the removal of the lesion in the
2 cm, suture wounds, mucous membranes or skin to 5 cm
or earth and salivary gland duct lavage.
00956 Surgery of the soft tissues of the oral cavity and its hours can-without limitation-$ 900
around a large range of expertise-014 confirmation
Delete podjazykové retention cyst of salivary systematic participation in the system
excision of blowing the ridge of a greater range than the lifelong training actions
one sextant, removal of lesions over 2 cm, the training of dental practitioners ^ 5); 605
oral vestibuloplastika of graft-free for everyone
Sextant, suture wounds, mucous membranes or skin above 5
cm, exstirpace mukokely mucous membranes of the oral cavity
or diagnostic excision, sialolitotomie.
00957 Traumatology of the hard tissues of the oral cavity can be reported-without limitation-$ 420
small expertise-014; 015; 605
Treatment of the consequences of the accident and the alveolár bone small
the range, including a simple fixation with
material, where appropriate, abbreviated wire
splint.
00958 Traumatology of the hard tissues of the oral cavity can be reported-without limitation-$ 750
a large range of Localization-jaw
Reduction and fixation of fractures of the alveolár bone top, expertise-014 confirmation
the lower jaw, fractures of the femoral neck and the lower body of systematic participation in the system
the jaw without significant dislocation (for each of the training actions of the lifelong
the treated jaw). the training of dental practitioners ^ 5); 605
00959 Intraoral incision can be reported-without limitation-$ 105
Treatment of inflammation of intraoral incisions with any Localization-quadrant
dilation, the launch of exudate and the introduction of the expertise-014; 015; 605
the drain.
00960 External incision can be reported-without limitation-$ 600
Treatment of kolemčelistního inflammation of the outer incisí, expertise-014 confirmation
including dilation, with the launch of a systematic participation in the system
and the introduction of the drain. lifelong training actions
the training of dental practitioners ^ 5); 605
00961 Treatment complications of surgical procedures can be used to report the 5/10 days-$ 45
in the oral cavity expertise-014; 015; 605
The introduction of the drain or tamponade, application
plastic bandage, rinse the wound local
therapeutic means, further building of the late
postextrakčního bleeding, revision of the extraction
wounds, muscle rehabilitation exercises
and physical therapy.
00962 conservative treatment temporomandibulárních you can report 2/1 year (Czk 300
disorders of frequencies does not apply proodbornost
Examination of the temporomandibular joint, 605 014, 015 and with acknowledgement of
documenting the disease and a conservative systematic participation in a system
treatment of temporomandibulární disorders (for example, lifelong training actions
mezičelistní fixation, physical therapy or training of dental practitioners ^ 5))
Manual repozicí). Expertise-014; 015; 605
00963 Injections i. m. i. v. i. d., s. c. Hours can-without limitation-$ 53
Includes the injection of the drug, including its expertise-014; 015; 605
prices, if not covered by another substance applied
way.
00965 Time spent immobile under a dentist Cannot kick along 210 Czk complication
the insured transport.
Expertise-014; 605
00966 Signal performance-information about the release of the decision can be reported-without limitation of 5 Eur
about temporary incapacity or expertise-014
The decision about the need for care (care)
The performance shows that the treating physician
issues the decision on temporary work
the inability, or the decision on the need for
care (care).
00967 Signal performance-information about the release of the decision can be reported-without limitation of 5 Eur
the termination of temporary incapacity or expertise-014
The decision to end treatment needs
(care)
The performance shows that the treating physician
Decision on termination of temporary work
the inability, or the decision on the termination of the
needs care (care).
00968 Stomatochirurgic treatment of an unauthorised hours can 1/1 day only 1 000 CZK
of the insured person in a medical facility, introduced in connection with codes 00951,
the specialized stomatochirurgických 00952, 00953, 00954, 00955,
workplaces, 00956 00957, 00958, 00960,
Treatment based on the recommendation of another doctor 00962.
(in emergency situations without recommendations), expertise-014 confirmation
the written report. on the systematic participation in the system
lifelong training actions
the training of dental practitioners ^ 5)
Removal of the fixed compensation 00970-behind every pillar hours can 1/2 years-$ 83
the construction cannot be reported in the provisional
Removing the fixed compensation impact tool or refunds.
rozbroušením of the Crown and its deformation. Localization-tooth
Expertise-014; 015; 605
Temporary protective Crown 00971 hours can 1/2 years $ 69
Adaptation and fixation of ready-made Crown to protect the Localization-tooth
preparovaného, frangovaného, or otherwise expertise-014; 015; 605
destruovaného tooth, or individual protection
Crown made by razidlovou in the mouth
of the patient. Also includes the repeated deployments.
00972 Fix fixed compensation in the doctor's Office Can report 2/1 year $ 72
Removing and replacing the fixed compensation. You cannot kick in makeshift
Making or repairing veneers in a solid replacement replacements.
in the mouth (standard material in accordance with annex location-tooth
No. 1 of the law). Expertise-014; 015; 605
00973 Fix or modify the dentures Can report 5/1 year-$ 39
Cannot be in the surgery report when submitting the new
Fix or easy adjustment removable dentures (first two
refunds in the doctor's Office without a connection to other months after submission of the new
laboratory processing. dentures).
Localization-jaw
Expertise-014; 015; 605
00974 Commit dental product can be reported-without limitation of $ 0
Medical device reported when handing expertise-014; 015; 605
delivery of the product (the code is only used for
reporting separately charged to medicinal
products and dental products (account
m 03s).
00975 Protective bridge was made by the razidlovou method, you can report 1/5 years-$ 607
A makeshift bridge to protect teeth stuffed quadrant Localization
and keep okluzních relations. The bridge is expertise-014
made directly in the mouth of the insured razidlovou
method. Also includes the repeated deployments.
00981 Diagnostic orthodontic anomalies Can report 1/1 client 600 Czk
Includes dental examinations, and medical devices.
comprehensive orthodontic examinations, establishing expertise-015
the medical records. This code is
launches the orthodontic treatment and reporting codes
expertise, 015.
Upon receipt of the insured person is treated no longer necessary
start your own orthodontic treatment the input
examination, by founding his own documentation
and reporting of code 00981.
00982 initiation of treatment orthodontic anomalies fixed hours can 1/1 jaw 1 300 Czk
appliance on one dental arch Localization-jaw
Initiation of treatment orthodontic anomalies fixed expertise-015
appliance-per tooth
arc. Includes the deployment of elements of a fixed
apparatus including the preparation of the teeth.
Review of treatment of orthodontic anomalies 00983 with hours can 1/1 quarter for $ 800
the use of fixed orthodontic apparatus of 4 years.
Review the procedure and treatment adjustments on fixed expertise-015
apparatus on one or both dental arches,
after recognition code 00982 or 00994.
It applies to all controls of fixed
apparatus in a given quarter and on the control of
concurrently used scanning apparatus.
00984 Review of treatment orthodontic anomalies in other hours can 1/1 quarter for $ 210
procedures than with the use of fixed orthodontic 4 years.
apparatus cannot be reported for treatment in a phase
Review of the procedure of treatment according to the treatment plan for retention, or while watching the growth of
and functions of sensing apparatuses, including their teeth and jaw development and without
editing. To monitor the progress of changes after active treatment.
orthodontically indicated extractions without expertise-015
apparatus.
It applies to all controls of the scanning
apparatus in a given quarter.
00985 discontinuation orthodontic anomalies with the hours can 1/2 jaw 700 Czk
the use of fixed orthodontic appliance with an interval of 3 years can be
After the end of treatment orthodontic anomalies report 1 to the jaw in the wake
removal of fixed orthodontic appliance on 1 and 1 on the code 00982 on jaw
the dental arch, zábrus teeth, including building code 00994.
any analysis models (excludes any Localization-jaw
construction and analysis of telerentgenu expertise-015
and ortopantomogramu).
Check the retention phase 00986 or active hours can 1/1 half, 220 Czk
monitoring at the stage of growth and development for a maximum period of 4 years.
Review of the insured before or after expertise-015
their active phase of orthodontic treatment
fiber sensor or fixed devices by therapeutic
the plan. Part of it may be the use of hard,
or cam plates, retainerů or other
the retention of apparatuses.
Determination of phase growth 00987 hours can the insured person's 53 2/1 Eur
The determination of the growth phase of the insured-skeletal expertise-015
age, appreciation of the x-ray image of a hand or
the cervical vertebrae.
telerentgenového Image Analysis 00988 lbi hours can 1/1 year $ 116
Evaluation of profile, or expertise-015
zadopředního remote x-ray image, lbi
using special measurements.
Analysis of orthodontic models 00989 hours can 1/1 year 315 Eur
Evaluation of orthodontic models of dental expertise-015
arcs and surrounding tissues, including any
other special measurements.
reconstruction of the orthodontic 00990 Diagnostic model hours can 1/1 jaw 473 Czk
Reconstruction model of the orthodontic teeth of one jaw-Localization
the jaw of the diagnostic reasons or model expertise-015
the JAWS to surgical operation.
00991 Deploy prefabricated intraorálního hours can 1/1 jaw 173 Eur
the arc of the Localization-jaw
Palatal or lingual expansion or expertise-015
anchor wire arc or lip-bumper,
factory made, their adaptation and planting
into the rings.
00992 Deployment extraorálního stroke or facial hours can 1/1 client 210 Czk
mask expertise-015
Deployment of intra-extraorálního wire arc
(bridle), or Chin and ortodontní caps
or the neck tape or the face mask of the type
Delaire, Hickham, and so on, in order to
extraorálního anchorage, including lessons learned
about how to use and illustration.
00993 Establish partial arc Can report 4/1 half (1 300 Czk
Preparation and partial linkage wire quadrant).
ARC in the range up to 6 teeth into locks or expertise-015
kanyl as part of the fixed appliance.
initiation of treatment orthodontic anomalies 00994 small hours can 1/1 jaw until the age of 900 Czk
fixed appliance on one tooth for 10 years.
arc location-jaw
Initiation of treatment orthodontic anomalies fixed expertise-015
appliance on one dental arch
in the mixed dentition for a protrusion defect
with incizálním step 9 mm and more, cross
bite, a diastema is greater than 4 mm, bit, retention
or the top of the standing pipe cutter dystopia.
Includes the deployment of elements of the fixed appliance.
---- ---------------------------------------------------- --------------------------------------- ----------
1) European Parliament and Council Regulation (EC) No 883/2004 on the coordination of
systems of social security, as subsequently amended.
European Parliament and Council Regulation (EC) no 987/2009
down detailed rules for the application of Regulation (EC) No 883/2004 on the coordination of
of social security systems.
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.
Council Regulation (EEC) No 574/72 of 21 March. in March 1972, laying down the
the detailed rules for implementing Regulation (EEC) No 1408/71 on the application of
social security schemes to employed persons and their families moving
within the community.
2) for example, the communication from the Ministry of Foreign Affairs No. 130/2002 Coll., m.
with the negotiation of the Treaty, 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., on the negotiation of a Treaty between the Czech Republic and
The Republic of Croatia on social security, the Ministry of communication
Foreign Affairs No 135/2004 Coll., m. s., the negotiation of the agreement between the Czech
Republic and the Republic of Turkey concerning social security, communications
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 medical procedures
with point values, as amended.
4) communication from the CZECH STATISTICAL OFFICE, no. 323/2010 Coll., on the Update Classifications
hospitalized patients (IR-DRG).
5) section 22 of Act No. 95/2004 Coll., on conditions for the acquisition and recognition
professional competence and specialized competence to perform
the medical professions of doctor, dentist and pharmacist, as amended by
amended.
