The Point Values, Payment Of Health Care Covered By The Insurance For 2011.

Original Language Title: Hodnoty bodu, úhrady zdravotní péče hrazené z pojištění pro r.2011

Read the untranslated law here: https://portal.gov.cz/app/zakony/download?idBiblio=72661&nr=396~2F2010~20Sb.&ft=txt

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.