127
Case Rate Professional Fee Health Care Institution Fee P91.3 Neonatal cerebral irritability ABNORMAL SENSORIUM IN THE NEWBORN 12,000 3,600 8,400 P91.4 Neonatal cerebral depression ABNORMAL SENSORIUM IN THE NEWBORN 12,000 3,600 8,400 P91.6 Hypoxic ischaemic encephalopathy of newborn ABNORMAL SENSORIUM IN THE NEWBORN 12,000 3,600 8,400 P91.8 Other specified disturbances of cerebral status of newborn ABNORMAL SENSORIUM IN THE NEWBORN 12,000 3,600 8,400 P91.9 Disturbance of cerebral status of newborn, unspecified ABNORMAL SENSORIUM IN THE NEWBORN 12,000 3,600 8,400 J36 Peritonsillar abscess; Abscess of tonsil; Peritonsillar cellulitis; Quinsy ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000 J38.7 Other diseases of larynx; Abscess of larynx; Cellulitis of larynx; Disease NOS of larynx; Necrosis of larynx; Pachyderma of larynx; Perichondritis of larynx; Ulcer of larynx ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000 J39.0 Retropharyngeal and parapharyngeal abscess; Peripharyngeal abscess ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000 J39.1 Other abscess of pharynx; Cellulitis of pharynx; Nasopharyngeal abscess ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000 J39.2 Other diseases of pharynx; Cyst of pharynx or nasopharynx; Oedema of pharynx or nasopharynx ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000 J85.1 Abscess of lung with pneumonia ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000 J85.2 Abscess of lung without pneumonia; Abscess of lung NOS ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000 J85.3 Abscess of mediastinum ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000 J86.0 Pyothorax with fistula ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000 J86.9 Pyothorax without fistula; Abscess of pleura; Abscess of thorax; Empyema; Pyopneumothorax ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000 A00.0 Cholera due to Vibrio cholerae 01, biovar cholerae ACUTE GASTROENTERITIS 6,000 1,800 4,200 A00.1 Cholera due to Vibrio cholerae 01, biovar eltor ACUTE GASTROENTERITIS 6,000 1,800 4,200 A00.9 Cholera, unspecified ACUTE GASTROENTERITIS 6,000 1,800 4,200 A03.0 Shigellosis due to Shigella dysenteriae; Group A shigellosis [Shiga-Kruse dysentery] ACUTE GASTROENTERITIS 6,000 1,800 4,200 A03.1 Shigellosis due to Shigella flexneri;Group B shigellosis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A03.2 Shigellosis due to Shigella boydii; Group C shigellosis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A03.3 Shigellosis due to Shigella sonnei; Group D shigellosis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A03.8 Other shigellosis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A03.9 Shigellosis, unspecified; ; Bacillary dysentery NOS ACUTE GASTROENTERITIS 6,000 1,800 4,200 A04.0 Enteropathogenic Escherichia coli infection ACUTE GASTROENTERITIS 6,000 1,800 4,200 A04.1 Enterotoxigenic Escherichia coli infection ACUTE GASTROENTERITIS 6,000 1,800 4,200 A04.2 Enteroinvasive Escherichia coli infection ACUTE GASTROENTERITIS 6,000 1,800 4,200 A04.3 Enterohaemorrhagic Escherichia coli infection ACUTE GASTROENTERITIS 6,000 1,800 4,200 A04.4 Other intestinal Escherichia coli infections ACUTE GASTROENTERITIS 6,000 1,800 4,200 A04.5 Campylobacter enteritis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A04.6 Enteritis due to Yersinia enterocolitica ACUTE GASTROENTERITIS 6,000 1,800 4,200 A04.7 Enterocolitis due to Clostridium difficile; Foodborne intoxication by Clostridium difficile; Pseudomembranous colitis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A04.8 Other specified bacterial intestinal infections ACUTE GASTROENTERITIS 6,000 1,800 4,200 A04.9 Bacterial intestinal infection, unspecified. Bacterial enteritis NOS ACUTE GASTROENTERITIS 6,000 1,800 4,200 A05.0 Foodborne staphylococcal intoxication ACUTE GASTROENTERITIS 6,000 1,800 4,200 A05.2 Foodborne Clostridium perfringens [Clostridium welchii] intoxication. Enteritis necroticans. Pig-bel ACUTE GASTROENTERITIS 6,000 1,800 4,200 A05.3 Foodborne Vibrio parahaemolyticus intoxication ACUTE GASTROENTERITIS 6,000 1,800 4,200 A05.4 Foodborne Bacillus cereus intoxication ACUTE GASTROENTERITIS 6,000 1,800 4,200 A05.8 Other specified bacterial foodborne intoxications ACUTE GASTROENTERITIS 6,000 1,800 4,200 A05.9 Bacterial foodborne intoxication, unspecified ACUTE GASTROENTERITIS 6,000 1,800 4,200 A07.0 Balantidiasis; Balantidial dysentery ACUTE GASTROENTERITIS 6,000 1,800 4,200 A07.1 Giardiasis [lambliasis] ACUTE GASTROENTERITIS 6,000 1,800 4,200 A07.2 Cryptosporidiosis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A07.3 Isosporiasis; Infection due to Isospora belli and Isospora hominis; Intestinal coccidiosis; Isosporosis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A07.8 Other specified protozoal intestinal diseases; Intestinal trichomoniasis; Sarcocystosis; Sarcosporidiosis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A07.9 Protozoal intestinal disease, unspecified;Flagellate diarrhoea; Protozoal colitis; Protozoal diarrhoea; Protozoal dysentery ACUTE GASTROENTERITIS 6,000 1,800 4,200 A08.0 Rotaviral enteritis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A08.1 Acute gastroenteropathy due to Norovirus; Noroviral enteritis; Small round structured virus enteritis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A08.2 Adenoviral enteritis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A08.3 Other viral enteritis ACUTE GASTROENTERITIS 6,000 1,800 4,200 A08.4 Viral intestinal infection, unspecified; Viral enteritis NOS; Viral gastroenteritis NOS; Viral gastroenteropathy NOS ACUTE GASTROENTERITIS 6,000 1,800 4,200 A08.5 Other specified intestinal infections ACUTE GASTROENTERITIS 6,000 1,800 4,200 List of Medical Case Rates (Updated February 2017) ICD 10 CODE DESCRIPTION GROUP FIRST CASE RATE Page 1 of 127

List of Medical Case Rates (Updated February 2017) ICD 10 ... · Amoebic Appendicitis; Amoebic balanitis (N51.2*) AMOEBIASIS, NONHEPATIC 6,000 1,800 4,200 E85.8 Other amyloidosis;

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Case Rate Professional

Fee

Health Care

Institution Fee

P91.3 Neonatal cerebral irritability ABNORMAL SENSORIUM IN THE NEWBORN 12,000 3,600 8,400

P91.4 Neonatal cerebral depression ABNORMAL SENSORIUM IN THE NEWBORN 12,000 3,600 8,400

P91.6 Hypoxic ischaemic encephalopathy of newborn ABNORMAL SENSORIUM IN THE NEWBORN 12,000 3,600 8,400

P91.8 Other specified disturbances of cerebral status of newborn ABNORMAL SENSORIUM IN THE NEWBORN 12,000 3,600 8,400

P91.9 Disturbance of cerebral status of newborn, unspecified ABNORMAL SENSORIUM IN THE NEWBORN 12,000 3,600 8,400

J36Peritonsillar abscess; Abscess of tonsil; Peritonsillar

cellulitis; QuinsyABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000

J38.7

Other diseases of larynx; Abscess of larynx; Cellulitis of

larynx; Disease NOS of larynx; Necrosis of larynx;

Pachyderma of larynx; Perichondritis of larynx; Ulcer of

larynx

ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000

J39.0Retropharyngeal and parapharyngeal abscess;

Peripharyngeal abscessABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000

J39.1Other abscess of pharynx; Cellulitis of pharynx;

Nasopharyngeal abscessABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000

J39.2Other diseases of pharynx; Cyst of pharynx or nasopharynx;

Oedema of pharynx or nasopharynxABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000

J85.1 Abscess of lung with pneumonia ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000

J85.2 Abscess of lung without pneumonia; Abscess of lung NOS ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000

J85.3 Abscess of mediastinum ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000

J86.0 Pyothorax with fistula ABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000

J86.9Pyothorax without fistula; Abscess of pleura; Abscess of

thorax; Empyema; PyopneumothoraxABSCESS OF RESPIRATORY TRACT 10,000 3,000 7,000

A00.0 Cholera due to Vibrio cholerae 01, biovar cholerae ACUTE GASTROENTERITIS 6,000 1,800 4,200

A00.1 Cholera due to Vibrio cholerae 01, biovar eltor ACUTE GASTROENTERITIS 6,000 1,800 4,200

A00.9 Cholera, unspecified ACUTE GASTROENTERITIS 6,000 1,800 4,200

A03.0Shigellosis due to Shigella dysenteriae; Group A shigellosis

[Shiga-Kruse dysentery]ACUTE GASTROENTERITIS 6,000 1,800 4,200

A03.1 Shigellosis due to Shigella flexneri;Group B shigellosis ACUTE GASTROENTERITIS 6,000 1,800 4,200

A03.2 Shigellosis due to Shigella boydii; Group C shigellosis ACUTE GASTROENTERITIS 6,000 1,800 4,200

A03.3 Shigellosis due to Shigella sonnei; Group D shigellosis ACUTE GASTROENTERITIS 6,000 1,800 4,200

A03.8 Other shigellosis ACUTE GASTROENTERITIS 6,000 1,800 4,200

A03.9 Shigellosis, unspecified; ; Bacillary dysentery NOS ACUTE GASTROENTERITIS 6,000 1,800 4,200

A04.0 Enteropathogenic Escherichia coli infection ACUTE GASTROENTERITIS 6,000 1,800 4,200

A04.1 Enterotoxigenic Escherichia coli infection ACUTE GASTROENTERITIS 6,000 1,800 4,200

A04.2 Enteroinvasive Escherichia coli infection ACUTE GASTROENTERITIS 6,000 1,800 4,200

A04.3 Enterohaemorrhagic Escherichia coli infection ACUTE GASTROENTERITIS 6,000 1,800 4,200

A04.4 Other intestinal Escherichia coli infections ACUTE GASTROENTERITIS 6,000 1,800 4,200

A04.5 Campylobacter enteritis ACUTE GASTROENTERITIS 6,000 1,800 4,200

A04.6 Enteritis due to Yersinia enterocolitica ACUTE GASTROENTERITIS 6,000 1,800 4,200

A04.7

Enterocolitis due to Clostridium difficile; Foodborne

intoxication by Clostridium difficile; Pseudomembranous

colitis

ACUTE GASTROENTERITIS 6,000 1,800 4,200

A04.8 Other specified bacterial intestinal infections ACUTE GASTROENTERITIS 6,000 1,800 4,200

A04.9Bacterial intestinal infection, unspecified. Bacterial enteritis

NOSACUTE GASTROENTERITIS 6,000 1,800 4,200

A05.0 Foodborne staphylococcal intoxication ACUTE GASTROENTERITIS 6,000 1,800 4,200

A05.2

Foodborne Clostridium perfringens [Clostridium welchii]

intoxication. Enteritis necroticans.

Pig-bel

ACUTE GASTROENTERITIS 6,000 1,800 4,200

A05.3 Foodborne Vibrio parahaemolyticus intoxication ACUTE GASTROENTERITIS 6,000 1,800 4,200

A05.4 Foodborne Bacillus cereus intoxication ACUTE GASTROENTERITIS 6,000 1,800 4,200

A05.8 Other specified bacterial foodborne intoxications ACUTE GASTROENTERITIS 6,000 1,800 4,200

A05.9 Bacterial foodborne intoxication, unspecified ACUTE GASTROENTERITIS 6,000 1,800 4,200

A07.0 Balantidiasis; Balantidial dysentery ACUTE GASTROENTERITIS 6,000 1,800 4,200

A07.1 Giardiasis [lambliasis] ACUTE GASTROENTERITIS 6,000 1,800 4,200

A07.2 Cryptosporidiosis ACUTE GASTROENTERITIS 6,000 1,800 4,200

A07.3Isosporiasis; Infection due to Isospora belli and Isospora

hominis; Intestinal coccidiosis; IsosporosisACUTE GASTROENTERITIS 6,000 1,800 4,200

A07.8Other specified protozoal intestinal diseases; Intestinal

trichomoniasis; Sarcocystosis; SarcosporidiosisACUTE GASTROENTERITIS 6,000 1,800 4,200

A07.9

Protozoal intestinal disease, unspecified;Flagellate

diarrhoea; Protozoal colitis; Protozoal diarrhoea; Protozoal

dysentery

ACUTE GASTROENTERITIS 6,000 1,800 4,200

A08.0 Rotaviral enteritis ACUTE GASTROENTERITIS 6,000 1,800 4,200

A08.1Acute gastroenteropathy due to Norovirus; Noroviral

enteritis; Small round structured virus enteritisACUTE GASTROENTERITIS 6,000 1,800 4,200

A08.2 Adenoviral enteritis ACUTE GASTROENTERITIS 6,000 1,800 4,200

A08.3 Other viral enteritis ACUTE GASTROENTERITIS 6,000 1,800 4,200

A08.4Viral intestinal infection, unspecified; Viral enteritis NOS;

Viral gastroenteritis NOS; Viral gastroenteropathy NOSACUTE GASTROENTERITIS 6,000 1,800 4,200

A08.5 Other specified intestinal infections ACUTE GASTROENTERITIS 6,000 1,800 4,200

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Page 1 of 127

Case Rate Professional

Fee

Health Care

Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

A09.0

Infectious diarrhea

Infectious diarrhea with no dehydration

Other and unspecified gastroenteritis and colitis of

infectious origin

ACUTE GASTROENTERITIS 6,000 1,800 4,200

A09.9Gastroenteritis and colitis of unspecified origin; Neonatal

diarrhoea NOSACUTE GASTROENTERITIS 6,000 1,800 4,200

K52.0 Gastroenteritis and colitis due to radiation ACUTE GASTROENTERITIS 6,000 1,800 4,200

K52.1 Toxic gastroenteritis and colitis ACUTE GASTROENTERITIS 6,000 1,800 4,200

K52.2Allergic and dietetic gastroenteritis and colitis; Food

hypersensitivity gastroenteritis or colitisACUTE GASTROENTERITIS 6,000 1,800 4,200

K52.8Other specified noninfective gastroenteritis and colitis;

Eosinophilic gastritis or gastroenteritisACUTE GASTROENTERITIS 6,000 1,800 4,200

K52.9

Noninfective gastroenteritis and colitis, unspecified;

Diarrhoea specified as noninfective, or NOS in countries

where the conditions can be presumed to be of

noninfectious origin; Enteritis specified as noninfective, or

NOS in countries where the conditions can be presumed to

be of noninfectious origin; Ileitis specified as noninfective,

or NOS in countries where the conditions can be presumed

to be noninfectious origin; Jejunitis specified as

noninfective, or NOS in countries where the conditions can

be presumed to be noninfectious origin; Sigmoiditis

pecified as noninfective, or NOS in countries where the

conditions can be presumed to be noninfectious origin

ACUTE GASTROENTERITIS 6,000 1,800 4,200

K58.0 Irritable bowel syndrome with diarrhoea ACUTE GASTROENTERITIS 6,000 1,800 4,200

N17.0Acute renal failure with tubular necrosis; Tubular necrosis

NOS; Acute Tubular necrosis ; Renal Tubular necrosisACUTE RENAL FAILURE 19,300 5,790 13,510

N17.1

Acute renal failure with acute cortical necrosis; Cortical

necrosis NOS; Acute Cortical necrosis ; Renal Cortical

necrosis

ACUTE RENAL FAILURE 19,300 5,790 13,510

N17.2

Acute renal failure with medullary necrosis; Medullary

papillary necrosis, NOS; Acute medullary papillary necrosis;

Renal medullary papillary necrosis

ACUTE RENAL FAILURE 19,300 5,790 13,510

N17.8 Other acute renal failure ACUTE RENAL FAILURE 19,300 5,790 13,510

N17.9 Acute renal failure, unspecified; ACUTE RENAL FAILURE 19,300 5,790 13,510

O08.4

Renal failure following abortion and ectopic and molar

pregnancy; Oliguria Acute renal failure; Oliguria renal

shutdown; Oliguria renal tubular necrosis; Oliguria Uraemia

ACUTE RENAL FAILURE 19,300 5,790 13,510

J80Adult respiratory distress syndrome; Adult hyaline

membrane diseaseADULT RESPIRATORY DISTRESS SYNDROME 32,000 9,600 22,400

T78.1 Other adverse food reactions, not elsewhere classified ALLERGIC REACTIONS 6,200 1,860 4,340

T78.3 Angioneurotic oedema; Giant urticaria; Quinke's oedema ALLERGIC REACTIONS 6,200 1,860 4,340

T78.4Allergy, unspecified; Allergic reaction NOS; Hypersensitivity

NOS; Idiosyncracy NOSALLERGIC REACTIONS 6,200 1,860 4,340

T78.8 Other adverse effects, not elsewhere classified ALLERGIC REACTIONS 6,200 1,860 4,340

T78.9 Adverse effect, unspecified ALLERGIC REACTIONS 6,200 1,860 4,340

T88.7

Unspecified adverse effect of drug or medicament; Adverse

effect of correct drug or medicament properly

administered; Allergic reactiion to correct drug or

medicament properly administered; Hypersensitivity to

correct drug or medicament properly administered;

Idiosyncracy to correct drug or medicament properly

administered; Drug: hypersensitivity NOS; reaction NOS

ALLERGIC REACTIONS 6,200 1,860 4,340

A06.4+ K77.0* Amoebic liver abscess; Hepatic amoebiasis AMOEBIASIS, HEPATIC 10,000 3,000 7,000

A06.0Acute amoebic dysentery; Acute amoebiasis; Intestinal

amoebiasis NOSAMOEBIASIS, NONHEPATIC 6,000 1,800 4,200

A06.1 Chronic intestinal amoebiasis AMOEBIASIS, NONHEPATIC 6,000 1,800 4,200

A06.2 Amoebic nondysenteric colitis AMOEBIASIS, NONHEPATIC 6,000 1,800 4,200

A06.3 Amoeboma of intestine; Amoeboma NOS AMOEBIASIS, NONHEPATIC 6,000 1,800 4,200

A06.7 Cutaneous amoebiasis AMOEBIASIS, NONHEPATIC 6,000 1,800 4,200

A06.8Amoebic infection of other sites

Amoebic Appendicitis; Amoebic balanitis (N51.2*)AMOEBIASIS, NONHEPATIC 6,000 1,800 4,200

E85.8 Other amyloidosis; Localized amyloidosis AMYLOIDOSIS 11,100 3,330 7,770

T78.0 Anaphylactic shock due to adverse food reaction ANAPHYLACTIC SHOCK 7,600 2,280 5,320

T78.2Anaphylactic shock, unspecified; Allergic shock NOS;

Anaphylactic reaction NOS; Anaphylaxis NOSANAPHYLACTIC SHOCK 7,600 2,280 5,320

T88.6Anaphylactic shock due to adverse effect of correct drug or

medicament properly administeredANAPHYLACTIC SHOCK 7,600 2,280 5,320

D50.0Iron deficiency anaemia secondary to blood loss (chronic);

Posthaemorrhagic anaemia (chronic)ANEMIA 10,000 3,000 7,000

Page 2 of 127

Case Rate Professional

Fee

Health Care

Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

D50.1Sideropenic dysphagia; Kelly-Paterson syndrome; Plummer-

Vinson syndromeANEMIA 10,000 3,000 7,000

D50.8 Other iron deficiency anaemias ANEMIA 10,000 3,000 7,000

D50.9 Iron deficiency anaemia, unspecified ANEMIA 10,000 3,000 7,000

D51.0

Vitamin B12 deficiency anaemia due to intrinsic factor

deficiency; Addison Anaemia; Biermer Anaemia;

Congenital Pernicious Anaemia; Congenital intrinsic factor

deficiency

Pernicious anemia

ANEMIA 10,000 3,000 7,000

D51.8 Other vitamin B12 deficiency anaemias ANEMIA 10,000 3,000 7,000

D51.9 Vitamin B12 deficiency anaemia, unspecified ANEMIA 10,000 3,000 7,000

D52.1

Drug-induced folate deficiency anaemia

Use additional external cause code (Chapter XX), if desired

to identify drug

ANEMIA 10,000 3,000 7,000

D52.9Folate deficiency anaemia, unspecified; Folic acid deficiency

anaemia NOSANEMIA 10,000 3,000 7,000

D53.0Protein deficiency anaemia; Amino-acid deficiency

anaemia; Orotaciduric anaemiaANEMIA 10,000 3,000 7,000

D53.1Other megaloblastic anaemias, not elsewhere classified;

Megaloblastic anaemia NOSANEMIA 10,000 3,000 7,000

D53.2 Scorbutic anaemia ANEMIA 10,000 3,000 7,000

D53.8

Other specified nutritional anaemias; Anaemia associated

with deficiency of copper; Anaemia associated with

deficiency of molybdenum; Anaemia associated with

deficiency of zinc

ANEMIA 10,000 3,000 7,000

D53.9 Nutritional anaemia, unspecified; Simple chronic anaemia ANEMIA 10,000 3,000 7,000

D55.0

Anaemia due to glucose-6-phosphate dehydrogenase

[G6PD] deficiency; Favism;

G6PD deficiency anaemia

ANEMIA 10,000 3,000 7,000

D55.1

Anaemia due to other disorders of glutathione metabolism;

Anaemia due to enzyme deficiencies, except G6PD, related

to the hexose monophosphate [HMP] shunt pathway;

Anaemia due to haemolytic nonspherocytic hereditary,

type I

ANEMIA 10,000 3,000 7,000

D55.2

Anaemia due to disorders of glycolytic enzymes;

Haemolytic nonspherocytic hereditary Anaemia, type II;

Hexokinase deficiency Anaemia; Pyruvate kinase [PK]

deficiency Anaemia; Triose-phosphate isomerase deficiency

Anaemia

ANEMIA 10,000 3,000 7,000

D55.8 Other anaemias due to enzyme disorders ANEMIA 10,000 3,000 7,000

D55.9 Anaemia due to enzyme disorder, unspecified ANEMIA 10,000 3,000 7,000

D56.9

Thalassaemia, unspecified

Mediterranean anaemia; Mediterranean anaemia with

other haemoglobinopathy; Thalassaemia minor with other

haemoglobinopathy; Thalassaemia mixed with other

haemoglobinopathy;

ANEMIA 10,000 3,000 7,000

D57.0 Sickle-cell anaemia with crisis; Hb-SS disease with crisis ANEMIA 10,000 3,000 7,000

D57.1Sickle-cell anaemia without crisis; Sickle-cell anaemia NOS;

Sickle-cell disease NOS ; Sickle-cell disorder NOSANEMIA 10,000 3,000 7,000

D57.3 Sickle-cell trait; Hb-S trait ; Heterozygous Haemoglobin S ANEMIA 10,000 3,000 7,000

D57.8 Other sickle-cell disorders ANEMIA 10,000 3,000 7,000

D58.0

Hereditary spherocytosis; Acholuric (familial) jaundice;

Congenital (spherocytic) haemolytic icterus; Minkowski-

Chauffard syndrome

ANEMIA 10,000 3,000 7,000

D58.1Hereditary elliptocytosis; Congenital Elliptocytosis;

Congenital Ovalocytosis; Hereditary OvalocytosisANEMIA 10,000 3,000 7,000

D58.2

Other haemoglobinopathies; Abnormal haemoglobin NOS;

Congenital Heinz body anaemia; Hb-C Disease; Hb-C

Disease; Hb-D Disease; Hb-E Disease; Haemoglobinopathy

NOS; Unstable haemoglobin haemolytic disease

ANEMIA 10,000 3,000 7,000

D58.8Other specified hereditary haemolytic anaemias;

StomatocytosisANEMIA 10,000 3,000 7,000

D58.9Hereditary haemolytic anaemia, unspecified; Acquired

haemolytic anaemiaANEMIA 10,000 3,000 7,000

D59.0 Drug-induced autoimmune haemolytic anaemia ANEMIA 10,000 3,000 7,000

D59.1

Other autoimmune haemolytic anaemias; Autoimmune

haemolytic disease, cold type; (Autoimmune haemolytic

disease, warm type; Chronic cold haemagglutinin disease;

Cold agglutinin disease; Cold agglutinin haemoglobinuria;

Secondary symptomatic Haemolytic anaemia, cold type;

Secondary symptomatic Haemolytic anaemia, warm type;

ANEMIA 10,000 3,000 7,000

Page 3 of 127

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Fee

Health Care

Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

D59.2Drug-induced nonautoimmune haemolytic anaemia; Drug-

induced enzyme deficiency anaemiaANEMIA 10,000 3,000 7,000

D59.4

Other nonautoimmune haemolytic anaemias; Mechanical

Haemolytic anaemia; Microangiopathic Haemolytic

anaemia; Toxic Haemolytic anaemia

ANEMIA 10,000 3,000 7,000

D59.5Paroxysmal nocturnal haemoglobinuria [Marchiafava-

Micheli]ANEMIA 10,000 3,000 7,000

D59.6

Haemoglobinuria due to haemolysis from other external

causes; Haemoglobinuria from exertion; Haemoglobinuria

march; Haemoglobinuria paroxysmal cold

ANEMIA 10,000 3,000 7,000

D59.8 Other acquired haemolytic anaemias ANEMIA 10,000 3,000 7,000

D59.9Acquired haemolytic anaemia, unspecified; Chronic

Idiopathic haemolytic anaemiaANEMIA 10,000 3,000 7,000

D60.1 Transient acquired pure red cell aplasia ANEMIA 10,000 3,000 7,000

D61.0

Constitutional aplastic anaemia; Congenital Pure red cell

Aplasia; Pure red cell Aplasia of infants; Primary Pure red

cell Aplasia; Blackfan-Diamond syndrome; Familial

hypoplastic anaemia; Fanconi's anaemia; Pancytopenia

with malformations

ANEMIA 10,000 3,000 7,000

D61.1 Drug-induced aplastic anaemia ANEMIA 10,000 3,000 7,000

D61.2 Aplastic anaemia due to other external agents ANEMIA 10,000 3,000 7,000

D61.3 Idiopathic aplastic anaemia ANEMIA 10,000 3,000 7,000

D61.8 Other specified aplastic anaemias ANEMIA 10,000 3,000 7,000

D61.9Aplastic anaemia, unspecified; Hypoplastic anaemia NOS;

Medullary hypoplasia; PanmyelophthisisANEMIA 10,000 3,000 7,000

D62 Acute posthaemorrhagic anaemia ANEMIA 10,000 3,000 7,000

D63.0* Anaemia in neoplastic disease ANEMIA 10,000 3,000 7,000

D63.8* Anaemia in other chronic diseases classified elsewhere ANEMIA 10,000 3,000 7,000

D64.0Hereditary sideroblastic anaemia; Sex-linked hypochromic

sideroblastic anaemiaANEMIA 10,000 3,000 7,000

D64.1 Secondary sideroblastic anaemia due to disease ANEMIA 10,000 3,000 7,000

D64.2 Secondary sideroblastic anaemia due to drugs and toxins ANEMIA 10,000 3,000 7,000

D64.3Other sideroblastic anaemias; Sideroblastic anaemia NOS;

pyridoxine-responsive NEC Sideroblastic anaemiaANEMIA 10,000 3,000 7,000

D64.8Other specified anaemias; Infantile pseudoleukaemia;

Leukoerythroblastic anaemiaANEMIA 10,000 3,000 7,000

D64.9Anaemia, unspecified

Severe anemiaANEMIA 10,000 3,000 7,000

M00.16 Pneumococcal arthritis and polyarthritis, Lower leg ARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.19 Pneumococcal arthritis and polyarthritis, Site unspecified ARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.29Other streptococcal arthritis and polyarthritis, Site

unspecifiedARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.82Arthritis and polyarthritis due to other specified bacterial

agents upper armARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.90Pyogenic arthritis, unspecified; Infective arthritis NOS

multiple sitesARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.91Pyogenic arthritis, unspecified; Infective arthritis NOS

shoulder regionARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.93Pyogenic arthritis, unspecified; Infective arthritis NOS

forearmARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.94Pyogenic arthritis, unspecified; Infective arthritis NOS

handARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.95Pyogenic arthritis, unspecified; Infective arthritis NOS

pelvic region and thighARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.96Pyogenic arthritis, unspecified; Infective arthritis NOS

lower legARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.97Pyogenic arthritis, unspecified; Infective arthritis NOS

ankle and footARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.98Pyogenic arthritis, unspecified; Infective arthritis NOS

other sitesARTHRITIS INFECTIOUS 9,700 2,910 6,790

M00.99Pyogenic arthritis, unspecified; Infective arthritis NOS

site unspecifiedARTHRITIS INFECTIOUS 9,700 2,910 6,790

M02.39 Reiter's disease, site unspecified ARTHRITIS INFECTIOUS 9,700 2,910 6,790

M06.19 Adult-onset Still's disease, site unspecified ARTHRITIS INFECTIOUS 9,700 2,910 6,790

M08.29Juvenile arthritis with systemic onset; Still's disease NOS

site unspecifiedARTHRITIS INFECTIOUS 9,700 2,910 6,790

M02.99 Reactive arthropathy, unspecified, site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M05.99Seropositive rheumatoid arthritis, unspecified, site

unspecifiedARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.01 Seronegative rheumatoid arthritis, shoulder region ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.09 Seronegative rheumatoid arthritis, site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.36 Rheumatoid nodule, lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.45 Inflammatory polyarthropathy, pelvic region and thigh ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

Page 4 of 127

Case Rate Professional

Fee

Health Care

Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M06.49 Inflammatory polyarthropathy, site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.81 Other specified rheumatoid arthritis, shoulder region ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.86 Other specified rheumatoid arthritis, lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.87 Other specified rheumatoid arthritis, ankle and foot ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.89 Other specified rheumatoid arthritis, site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.90 Rheumatoid arthritis, unspecified, multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.91 Rheumatoid arthritis, unspecified, shoulder region ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.93 Rheumatoid arthritis, unspecified, forearm ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.94 Rheumatoid arthritis, unspecified, hand ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.95 Rheumatoid arthritis, unspecified, pelvic region and thigh ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.96 Rheumatoid arthritis, unspecified, lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.97 Rheumatoid arthritis, unspecified, ankle and foot ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.98 Rheumatoid arthritis, unspecified, other sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M06.99 Rheumatoid arthritis, unspecified, site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M08.06Juvenile rheumatoid arthritis; Juvenile rheumatoid arthritis

with or without rheumatoid factor lower legARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M08.07Juvenile rheumatoid arthritis; Juvenile rheumatoid arthritis

with or without rheumatoid factor ankle and footARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M08.09Juvenile rheumatoid arthritis; Juvenile rheumatoid arthritis

with or without rheumatoid factor site unspecifiedARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M08.19 Juvenile ankylosing spondylitis site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M08.86 Other juvenile arthritis lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M08.89 Other juvenile arthritis site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M08.91 Juvenile arthritis, unspecified shoulder region ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M08.96 Juvenile arthritis, unspecified lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M08.99 Juvenile arthritis, unspecified site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.00 Idiopathic gout; Gouty bursitis; Primary gout multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.01Idiopathic gout; Gouty bursitis; Primary gout;

Urate tophus of heart shoulder regionARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.02Idiopathic gout; Gouty bursitis; Primary gout;

Urate tophus of heart upper armARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.03 Idiopathic gout; Gouty bursitis; Primary gout forearm ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.04Idiopathic gout; Gouty bursitis; Primary gout;

Urate tophus of heart handARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.05Idiopathic gout; Gouty bursitis; Primary gout;Urate tophus

of heart pelvic region and thighARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.06 Idiopathic gout; Gouty bursitis; Primary gout lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.07Idiopathic gout; Gouty bursitis; Primary gout;

Urate tophus of heart ankle and footARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.08Idiopathic gout; Gouty bursitis; Primary gout;

Urate tophus of heart other sitesARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.09Idiopathic gout; Gouty bursitis; Primary gout;

Urate tophus of heart site unspecifiedARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.10 Lead-induced gout multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.29 Drug-induced gout site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.30 Gout due to impairment of renal function multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.36 Gout due to impairment of renal function lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.39 Gout due to impairment of renal function site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.40 Other secondary gout multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.49 Other secondary gout site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.90 Gout, unspecified multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.91 Gout, unspecified shoulder region ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.92 Gout, unspecified upper arm ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.93 Gout, unspecified forearm ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.94 Gout, unspecified hand ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.96 Gout, unspecified lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.97 Gout, unspecified ankle and foot ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.98 Gout, unspecified other sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M10.99 Gout, unspecified site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M11.89 Other specified crystal arthropathies site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M11.90 Crystal arthropathy, unspecified multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M11.99 Crystal arthropathy, unspecified site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.26 Villonodular synovitis (pigmented) lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.39 Palindromic rheumatism site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.50 Traumatic arthropathy multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.52 Traumatic arthropathy upper arm ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.53 Traumatic arthropathy forearm ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.54 Traumatic arthropathy hand ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.55 Traumatic arthropathy pelvic region and thigh ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.56 Traumatic arthropathy lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

Page 5 of 127

Case Rate Professional

Fee

Health Care

Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M12.57 Traumatic arthropathy ankle and foot ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.58 Traumatic arthropathy other sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.59 Traumatic arthropathy site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.86Other specific arthropathies, not elsewhere classified;

Transient arthropathy lower legARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M12.89Other specific arthropathies, not elsewhere classified;

Transient arthropathy site unspecifiedARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.00 Polyarthritis, unspecified multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.01 Polyarthritis, unspecified shoulder region ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.02 Polyarthritis, unspecified upper arm ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.06 Polyarthritis, unspecified lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.09 Polyarthritis, unspecified site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.13 Monoarthritis, not elsewhere classified forearm ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.16 Monoarthritis, not elsewhere classified lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.17 Monoarthritis, not elsewhere classified ankle and foot ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.18 Monoarthritis, not elsewhere classified other sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.80 Other specified arthritis; Allergic arthritis multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.81 Other specified arthritis; Allergic arthritis shoulder region ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.85Other specified arthritis; Allergic arthritis pelvic region and

thighARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.86 Other specified arthritis; Allergic arthritis lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.87 Other specified arthritis; Allergic arthritis ankle and foot ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.88 Other specified arthritis; Allergic arthritis other sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.89 Other specified arthritis; Allergic arthritis site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.90 Arthritis, unspecified; Arthropathy NOS multiple sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.91 Arthritis, unspecified; Arthropathy NOS shoulder region ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.92 Arthritis, unspecified; Arthropathy NOS upper arm ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.93 Arthritis, unspecified; Arthropathy NOS forearm ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.94 Arthritis, unspecified; Arthropathy NOS hand ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.95Arthritis, unspecified; Arthropathy NOS pelvic region and

thighARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.96 Arthritis, unspecified; Arthropathy NOS lower leg ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.97 Arthritis, unspecified; Arthropathy NOS ankle and foot ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.98 Arthritis, unspecified; Arthropathy NOS other sites ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

M13.99 Arthritis, unspecified; Arthropathy NOS site unspecified ARTHRITIS NONINFECTIOUS 7,000 2,100 4,900

A92.0Chikungunya virus disease; Chikungunya (haemorrhagic)

feverARTHROPOD BORNE VIRAL FEVER 8,100 2,430 5,670

A92.1 O'nyong-nyong fever ARTHROPOD BORNE VIRAL FEVER 8,100 2,430 5,670

A92.2Venezuelan equine fever; Venezuelan equine encephalitis;

Venezuelan encephalomyelitis virus diseaseARTHROPOD BORNE VIRAL FEVER 8,100 2,430 5,670

A92.8 Other specified mosquito-borne viral fevers ARTHROPOD BORNE VIRAL FEVER 8,100 2,430 5,670

A93.1 Sandfly fever; Pappataci fever; Phlebotomus fever ARTHROPOD BORNE VIRAL FEVER 8,100 2,430 5,670

A93.8

Other specified arthropod-borne viral fevers; Piry virus

disease; Severe fever with thrombocytopenia syndrome

[SFTS]; Vesicular stomatitis virus disease [Indiana fever]

ARTHROPOD BORNE VIRAL FEVER 8,100 2,430 5,670

A94

Unspecified arthropod-borne viral fever; Unspecified

arthropod-borne viral fever; Arboviral fever NOS; Arbovirus

infection NOS

Acute hemorrhagic fever

ARTHROPOD BORNE VIRAL FEVER 8,100 2,430 5,670

M15.0 Primary generalized (osteo)arthrosis ARTHROSIS 7,000 2,100 4,900

M15.2 Bouchard's nodes (with arthropathy) ARTHROSIS 7,000 2,100 4,900

M15.3 Secondary multiple arthrosis; Post-traumatic polyarthrosis ARTHROSIS 7,000 2,100 4,900

M15.4 Erosive (osteo)arthrosis ARTHROSIS 7,000 2,100 4,900

M15.8 Other polyarthrosis ARTHROSIS 7,000 2,100 4,900

M15.9 Polyarthrosis, unspecified; Generalized osteoarthritis NOS ARTHROSIS 7,000 2,100 4,900

M16.0 Primary coxarthrosis, bilateral ARTHROSIS 7,000 2,100 4,900

M16.1Other primary coxarthrosis; Primary coxarthrosis NOS;

Primary coxarthrosis unilateralARTHROSIS 7,000 2,100 4,900

M16.2 Coxarthrosis resulting from dysplasia, bilateral ARTHROSIS 7,000 2,100 4,900

M16.3Other dysplastic coxarthrosis; Dysplastic coxarthrosis NOS;

Dysplastic coxarthrosis unilateralARTHROSIS 7,000 2,100 4,900

M16.9 Coxarthrosis, unspecified ARTHROSIS 7,000 2,100 4,900

M17.0 Primary gonarthrosis, bilateral ARTHROSIS 7,000 2,100 4,900

M17.1Other primary gonarthrosis; Primary gonarthrosis NOS;

Primary gonarthrosis unilateralARTHROSIS 7,000 2,100 4,900

M17.2 Post-traumatic gonarthrosis, bilateral ARTHROSIS 7,000 2,100 4,900

Page 6 of 127

Case Rate Professional

Fee

Health Care

Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M17.3Other post-traumatic gonarthrosis; Post-traumatic

gonarthrosis NOS; Post-traumatic gonarthrosis unilateralARTHROSIS 7,000 2,100 4,900

M17.5Other secondary gonarthrosis; Secondary gonarthrosis

NOS; Secondary gonarthrosis unilateralARTHROSIS 7,000 2,100 4,900

M17.9 Gonarthrosis, unspecified ARTHROSIS 7,000 2,100 4,900

M18.0 Primary arthrosis of first carpometacarpal joints, bilateral ARTHROSIS 7,000 2,100 4,900

M18.9 Arthrosis of first carpometacarpal joint, unspecified ARTHROSIS 7,000 2,100 4,900

M19.00Primary arthrosis of other joints; Primary arthrosis

NOSmultiple sitesARTHROSIS 7,000 2,100 4,900

M19.02Primary arthrosis of other joints; Primary arthrosis

NOSupper armARTHROSIS 7,000 2,100 4,900

M19.05Primary arthrosis of other joints; Primary arthrosis

NOSpelvic region and thighARTHROSIS 7,000 2,100 4,900

M19.06Primary arthrosis of other joints; Primary arthrosis

NOSlower legARTHROSIS 7,000 2,100 4,900

M19.08Primary arthrosis of other joints; Primary arthrosis

NOSother sitesARTHROSIS 7,000 2,100 4,900

M19.09Primary arthrosis of other joints; Primary arthrosis NOSsite

unspecifiedARTHROSIS 7,000 2,100 4,900

M19.10Post-traumatic arthrosis of other joints; Post-traumatic

arthrosis NOS multiple sitesARTHROSIS 7,000 2,100 4,900

M19.11Post-traumatic arthrosis of other joints; Post-traumatic

arthrosis NOS shoulder regionARTHROSIS 7,000 2,100 4,900

M19.12Post-traumatic arthrosis of other joints; Post-traumatic

arthrosis NOS upper armARTHROSIS 7,000 2,100 4,900

M19.19Post-traumatic arthrosis of other joints; Post-traumatic

arthrosis NOS site unspecifiedARTHROSIS 7,000 2,100 4,900

M19.21Other secondary arthrosis; Secondary arthrosis NOS

shoulder regionARTHROSIS 7,000 2,100 4,900

M19.29Other secondary arthrosis; Secondary arthrosis NOS site

unspecifiedARTHROSIS 7,000 2,100 4,900

M19.81 Other specified arthrosis shoulder region ARTHROSIS 7,000 2,100 4,900

M19.86 Other specified arthrosis lower leg ARTHROSIS 7,000 2,100 4,900

M19.87 Other specified arthrosis ankle and foot ARTHROSIS 7,000 2,100 4,900

M19.88 Other specified arthrosis other sites ARTHROSIS 7,000 2,100 4,900

M19.89 Other specified arthrosis site unspecified ARTHROSIS 7,000 2,100 4,900

M19.90 Arthrosis, unspecified multiple sites ARTHROSIS 7,000 2,100 4,900

M19.91 Arthrosis, unspecified shoulder region ARTHROSIS 7,000 2,100 4,900

M19.92 Arthrosis, unspecified upper arm ARTHROSIS 7,000 2,100 4,900

M19.93 Arthrosis, unspecified forearm ARTHROSIS 7,000 2,100 4,900

M19.94 Arthrosis, unspecified hand ARTHROSIS 7,000 2,100 4,900

M19.95 Arthrosis, unspecified pelvic region and thigh ARTHROSIS 7,000 2,100 4,900

M19.96 Arthrosis, unspecified lower leg ARTHROSIS 7,000 2,100 4,900

M19.97 Arthrosis, unspecified ankle and foot ARTHROSIS 7,000 2,100 4,900

M19.98 Arthrosis, unspecified other sites ARTHROSIS 7,000 2,100 4,900

M19.99Arthrosis, unspecified site unspecified

OsteoarthritisARTHROSIS 7,000 2,100 4,900

J45.00

Predominantly allergic asthma; Allergic bronchitis NOS;

Allergic rhinitis with asthma; Atopic asthma; Extrinsic

allergic asthma; Hay fever with asthma; in Acute

Exacerbation

ASTHMA IN ACUTE EXACERBATION 9,000 2,700 6,300

J45.10Nonallergic asthma; Idiosyncratic asthma; Intrinsic

nonallergic asthma, in Acute ExacerbationASTHMA IN ACUTE EXACERBATION 9,000 2,700 6,300

J45.80 Mixed asthma, in Acute Exacerbation ASTHMA IN ACUTE EXACERBATION 9,000 2,700 6,300

J45.90 Bronchial Asthma in Acute Exacerbation ASTHMA IN ACUTE EXACERBATION 9,000 2,700 6,300

J46 Status asthmaticus; Acute severe asthma ASTHMA IN ACUTE EXACERBATION 9,000 2,700 6,300

J98.1Pulmonary collapse; Atelectasis; Collapse of lung; Brock's

syndromeATELECTASIS 13,800 4,140 9,660

M54.01Panniculitis affecting regions of neck and back occipito-

atlanto-axial regionBACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.06Panniculitis affecting regions of neck and back lumbar

regionBACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.08Panniculitis affecting regions of neck and back sacral and

sacrococcygeal regionBACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.10

Radiculopathy; Brachial Neuritis or radiculitis NOS;

Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic

Neuritis or radiculitis NOS ; Radiculitis NOS

Multiple sites in spine

BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.11

Radiculopathy; Brachial Neuritis or radiculitis NOS;

Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic

Neuritis or radiculitis NOS ; Radiculitis NOS

occipito-atlanto-axial region

BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

Page 7 of 127

Case Rate Professional

Fee

Health Care

Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M54.12

Radiculopathy; Brachial Neuritis or radiculitis NOS;

Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic

Neuritis or radiculitis NOS ; Radiculitis NOS

cervical region

BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.14

Radiculopathy; Brachial Neuritis or radiculitis NOS;

Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic

Neuritis or radiculitis NOS ; Radiculitis NOS

thoracic region

BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.15

Radiculopathy; Brachial Neuritis or radiculitis NOS;

Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic

Neuritis or radiculitis NOS ; Radiculitis NOS

thoracolumbar region

BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.16

Radiculopathy; Brachial Neuritis or radiculitis NOS;

Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic

Neuritis or radiculitis NOS ; Radiculitis NOS

lumbar region

BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.17

Radiculopathy; Brachial Neuritis or radiculitis NOS;

Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic

Neuritis or radiculitis NOS ; Radiculitis NOS

lumbosacral region

BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.18

Radiculopathy; Brachial Neuritis or radiculitis NOS;

Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic

Neuritis or radiculitis NOS ; Radiculitis NOS

sacral and sacrococcygeal region

BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.19

Radiculopathy; Brachial Neuritis or radiculitis NOS;

Lumbar Neuritis or radiculitis NOS; Lumbosacral; thoracic

Neuritis or radiculitis NOS ; Radiculitis NOS

site unspecified

BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.2 Cervicalgia BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.20 Cervicalgia Multiple sites in spine BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.22 Cervicalgia cervical region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.26 Cervicalgia lumbar region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.3 Sciatica BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.30 Sciatica Multiple sites in spine BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.31 Sciatica occipito-atlanto-axial region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.35 Sciatica thoracolumbar region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.36 Sciatica lumbar region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.37 Sciatica lumbosacral region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.38 Sciatica sacral and sacrococcygeal region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.39 Sciatica site unspecified BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.4 Lumbago with sciatica BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.41 Lumbago with sciatica occipito-atlanto-axial region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.44 Lumbago with sciatica thoracic region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.46 Lumbago with sciatica lumbar region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.48 Lumbago with sciatica sacral and sacrococcygeal region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.49 Lumbago with sciatica site unspecified BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.5 Low back pain; Loin pain; Low back strain; Lumbago NOS BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.50Low back pain; Loin pain; Low back strain; Lumbago NOS

Multiple sites in spineBACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.51Low back pain; Loin pain; Low back strain; Lumbago NOS

occipito-atlanto-axial regionBACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.52Low back pain; Loin pain; Low back strain; Lumbago NOS

cervical regionBACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.84 Other dorsalgia thoracic region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.88 Other dorsalgia sacral and sacrococcygeal region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.91Dorsalgia, unspecified; Backache NOS occipito-atlanto-axial

regionBACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.93Dorsalgia, unspecified; Backache NOS cervicothoracic

regionBACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.96 Dorsalgia, unspecified; Backache NOS lumbar region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.97 Dorsalgia, unspecified; Backache NOS lumbosacral region BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.98Dorsalgia, unspecified; Backache NOS sacral and

sacrococcygeal regionBACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

M54.99 Dorsalgia, unspecified; Backache NOS site unspecified BACK PAIN, RADICULOPATHY, SCIATICA 6,400 1,920 4,480

N31.0 Uninhibited neuropathic bladder, not elsewhere classified BLADDER DYSFUNCTION 9,000 2,700 6,300

N31.1 Reflex neuropathic bladder, not elsewhere classified BLADDER DYSFUNCTION 9,000 2,700 6,300

N31.2

Flaccid neuropathic bladder, not elsewhere classified;

Atonic Motor Neuropathic bladder; Sensory Atonic Motor

Neuropathic bladder; Autonomous Neuropathic bladder ;

Nonreflex Neuropathic bladder

BLADDER DYSFUNCTION 9,000 2,700 6,300

N31.8 Other neuromuscular dysfunction of bladder BLADDER DYSFUNCTION 9,000 2,700 6,300

N31.9Neuromuscular dysfunction of bladder, unspecified;

Neurogenic bladder dysfunction NOSBLADDER DYSFUNCTION 9,000 2,700 6,300

Page 8 of 127

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

N32.9 Bladder disorder, unspecified BLADDER DYSFUNCTION 9,000 2,700 6,300

N39.3 Stress incontinence BLADDER DYSFUNCTION 9,000 2,700 6,300

N39.4Other specified urinary incontinence; Overflow

incontinence, Reflex incontinence, Urge incontinenceBLADDER DYSFUNCTION 9,000 2,700 6,300

R32 Unspecified urinary incontinence; Enuresis NOS BLADDER DYSFUNCTION 9,000 2,700 6,300

A05.1Botulism; Classical foodborne intoxication due to

Clostridium botulinumBOTULISM 4,800 1,440 3,360

G93.5Compression of brain; [compression, Herniation] of brain

(stem)BRAIN HERNIATION 22,400 6,720 15,680

N61

Inflammatory disorders of breast; Acute abscess of non

puerperal areola; Acute abscess nonpuerperal breast;

Chronic abscess of nonpuerperal areola; Chronic abscess of

nonpuerperal breast; Carbuncle of breast; Acute mastitis

nonpuerperal, NOS; Acute mastitis nonpuerperal, infective;

subacute mastitis nonpuerperal, NOS; subacute mastitis

nonpuerpural, infective

BREAST INFECTIONS 7,900 2,370 5,530

O91.0Infection of nipple associated with childbirth; Gestational

abscess of nipple; Puerperal abscess of nippleBREAST INFECTIONS 7,900 2,370 5,530

O91.1

Abscess of breast associated with childbirth; Mammary

abscess gestational or puerperal; Purulent mastitis

gestational or puerperal; Subareolar abscess gestational or

puerperal

BREAST INFECTIONS 7,900 2,370 5,530

O91.2

Nonpurulent mastitis associated with childbirth;

Lymphangitis of breast gestational or puerperal; Mastitis

NOS gestational or puerperal; Interstitial mastitis

gestational or puerperal; Parenchymatous mastitis

gestational or puerperal

BREAST INFECTIONS 7,900 2,370 5,530

O92.0 Retracted nipple associated with childbirth BREAST INFECTIONS 7,900 2,370 5,530

O92.1Cracked nipple associated with childbirth; Fissure of nipple,

gestational or puerperalBREAST INFECTIONS 7,900 2,370 5,530

C50.0 Malignant neoplasm of Nipple and areola, breast BREAST MALIGNANCY 11,800 3,540 8,260

C50.1 Malignant neoplasm of Central portion of breast BREAST MALIGNANCY 11,800 3,540 8,260

C50.2 Malignant neoplasm of Upper-inner quadrant of breast BREAST MALIGNANCY 11,800 3,540 8,260

C50.3 Malignant neoplasm of Lower-inner quadrant of breast BREAST MALIGNANCY 11,800 3,540 8,260

C50.4 Malignant neoplasm of Upper-outer quadrant of breast BREAST MALIGNANCY 11,800 3,540 8,260

C50.6 Malignant neoplasm of Axillary tail of breast BREAST MALIGNANCY 11,800 3,540 8,260

C50.8 Malignant neoplasm of Overlapping lesion of breast BREAST MALIGNANCY 11,800 3,540 8,260

C50.9 Malignant neoplasm of Breast, unspecified BREAST MALIGNANCY 11,800 3,540 8,260

L10.0 Pemphigus vulgaris BULLOUS DISORDERS 12,000 3,600 8,400

L10.1 Pemphigus vegetans BULLOUS DISORDERS 12,000 3,600 8,400

L10.2 Pemphigus foliaceus BULLOUS DISORDERS 12,000 3,600 8,400

L10.4 Pemphigus erythematosus; Senear-Usher syndrome BULLOUS DISORDERS 12,000 3,600 8,400

L10.8 Other pemphigus BULLOUS DISORDERS 12,000 3,600 8,400

L10.9 Pemphigus, unspecified BULLOUS DISORDERS 12,000 3,600 8,400

L11.0 Acquired keratosis follicularis BULLOUS DISORDERS 12,000 3,600 8,400

L11.1 Transient acantholytic dermatosis [Grover] BULLOUS DISORDERS 12,000 3,600 8,400

L11.9 Acantholytic disorder, unspecified BULLOUS DISORDERS 12,000 3,600 8,400

L12.0 Bullous pemphigoid BULLOUS DISORDERS 12,000 3,600 8,400

L12.1Cicatricial pemphigoid; Benign mucous membrane

pemphigoidBULLOUS DISORDERS 12,000 3,600 8,400

L12.2Chronic bullous disease of childhood; Juvenile dermatitis

herpetiformisBULLOUS DISORDERS 12,000 3,600 8,400

L12.3 Acquired epidermolysis bullosa BULLOUS DISORDERS 12,000 3,600 8,400

L12.8 Other pemphigoid BULLOUS DISORDERS 12,000 3,600 8,400

L13.0 Dermatitis herpetiformis; Duhring's disease BULLOUS DISORDERS 12,000 3,600 8,400

L13.1 Subcorneal pustular dermatitis; Sneddon-Wilkinson disease BULLOUS DISORDERS 12,000 3,600 8,400

L13.9 Bullous disorder, unspecified BULLOUS DISORDERS 12,000 3,600 8,400

T20.4 Corrosion of unspecified degree of head and neck BURN A 8,500 2,550 5,950

T21.0 Burn of unspecified degree of trunk BURN A 8,500 2,550 5,950

T21.2 Burn of second degree of trunk BURN A 8,500 2,550 5,950

T21.5 Corrosion of first degree of trunk BURN A 8,500 2,550 5,950

T21.6 Corrosion of second degree of trunk BURN A 8,500 2,550 5,950

T22.2Burn of second degree of shoulder and upper limb, except

wrist and handBURN A 8,500 2,550 5,950

T22.5Corrosion of first degree of shoulder and upper limb,

except wrist and handBURN A 8,500 2,550 5,950

T22.6Corrosion of second degree of shoulder and upper limb,

except wrist and handBURN A 8,500 2,550 5,950

T23.2 Burn of second degree of wrist and hand BURN A 8,500 2,550 5,950

T23.4 Corrosion of unspecified degree of wrist and hand BURN A 8,500 2,550 5,950

T24.2Burn of second degree of hip and lower limb, except ankle

and footBURN A 8,500 2,550 5,950

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

T24.5Corrosion of first degree of hip and lower limb, except

ankle and footBURN A 8,500 2,550 5,950

T24.6Corrosion of second degree of hip and lower limb, except

ankle and footBURN A 8,500 2,550 5,950

T25.2 Burn of second degree of ankle and foot BURN A 8,500 2,550 5,950

T25.5 Corrosion of first degree of ankle and foot BURN A 8,500 2,550 5,950

T26.0 Burn of eyelid and periocular area BURN A 8,500 2,550 5,950

T26.4 Burn of eye and adnexa, part unspecified BURN A 8,500 2,550 5,950

T26.9 Corrosion of eye and adnexa, part unspecified BURN A 8,500 2,550 5,950

T27.3 Burn of respiratory tract, part unspecified BURN A 8,500 2,550 5,950

T27.7 Corrosion of respiratory tract, part unspecified BURN A 8,500 2,550 5,950

T28.9 Corrosion of other and unspecified internal organs BURN A 8,500 2,550 5,950

T29.1Burns of multiple regions, no more than first-degree burns

mentionedBURN A 8,500 2,550 5,950

T30.0Burn of unspecified body region, unspecified degree; Burn

NOSBURN A 8,500 2,550 5,950

T30.2Burn of second degree, body region unspecified; Secodn-

degree burn NOSBURN A 8,500 2,550 5,950

T30.3Burn of third degree, body region unspecified; Third-degree

burn NOSBURN A 8,500 2,550 5,950

T30.4Corrosion of unspecified body region, unspecified degree;

Corrosion NOSBURN A 8,500 2,550 5,950

T30.5Corrosion of first degree, body region unspecified; First-

degree corrosion NOSBURN A 8,500 2,550 5,950

T30.6Corrosion of second degree, body region unspecified;

Second-degree corrosion NOSBURN A 8,500 2,550 5,950

T30.7Corrosion of third degree, body region unspecified; Thrid-

degree corrosion NOSBURN A 8,500 2,550 5,950

T31.0 Burns involving less than 10% of body surface BURN A 8,500 2,550 5,950

T31.1 Burns involving 10-19% of body surface BURN A 8,500 2,550 5,950

T32.0 Corrosions involving less than 10% of body surface BURN A 8,500 2,550 5,950

T32.1 Corrosions involving 10-19% of body surface BURN A 8,500 2,550 5,950

T34.1 Frostbite with tissue necrosis of neck BURN A 8,500 2,550 5,950

T35.0Superficial frostbite involving multiple body regions;

Multiple superficial frosbite NOSBURN A 8,500 2,550 5,950

T35.1Frostbite with tissue necrosis involving multiple body

regions; Multiple frosbite with tissue necrosis NOSBURN A 8,500 2,550 5,950

T20.2 Burn of second degree of head and neck BURN B 10,600 3,180 7,420

T20.3 Burn of third degree of head and neck BURN B 10,600 3,180 7,420

T20.6 Corrosion of second degree of head and neck BURN B 10,600 3,180 7,420

T22.3Burn of third degree of shoulder and upper limb, except

wrist and handBURN B 10,600 3,180 7,420

T23.3 Burn of third degree of wrist and hand BURN B 10,600 3,180 7,420

T23.6 Corrosion of second degree of wrist and hand BURN B 10,600 3,180 7,420

T23.7 Corrosion of third degree of wrist and hand BURN B 10,600 3,180 7,420

T24.3Burn of third degree of hip and lower limb, except ankle

and footBURN B 10,600 3,180 7,420

T24.7Corrosion of third degree of hip and lower limb, except

ankle and footBURN B 10,600 3,180 7,420

T25.3 Burn of third degree of ankle and foot BURN B 10,600 3,180 7,420

T26.1 Burn of cornea and conjunctival sac BURN B 10,600 3,180 7,420

T26.2 Burn with resulting rupture and destruction of eyeball BURN B 10,600 3,180 7,420

T26.3 Burn of other parts of eye and adnexa BURN B 10,600 3,180 7,420

T26.6 Corrosion of cornea and conjunctival sac BURN B 10,600 3,180 7,420

T27.0 Burn of larynx and trachea BURN B 10,600 3,180 7,420

T27.2 Burn of other parts of respiratory tract; Thoracic cavity BURN B 10,600 3,180 7,420

T28.0 Burn of mouth and pharynx BURN B 10,600 3,180 7,420

T28.1 Burn of oesophagus BURN B 10,600 3,180 7,420

T28.2 Burn of other parts of alimentary tract BURN B 10,600 3,180 7,420

T28.3 Burn of internal genitourinary organs BURN B 10,600 3,180 7,420

T28.5 Corrosion of mouth and pharynx BURN B 10,600 3,180 7,420

T28.6 Corrosion of oesophagus BURN B 10,600 3,180 7,420

T28.7 Corrosion of other parts of alimentary tract BURN B 10,600 3,180 7,420

T28.8 Corrosion of internal genitourinary organs BURN B 10,600 3,180 7,420

T29.2Burns of multiple regions, no more than second-degree

burns mentionedBURN B 10,600 3,180 7,420

T29.3Burns of multiple regions, at least one burn of third degree

mentionedBURN B 10,600 3,180 7,420

T29.6Corrosions of multiple regions, no more than second-

degree corrosions mentionedBURN B 10,600 3,180 7,420

T31.2 Burns involving 20-29% of body surface BURN B 10,600 3,180 7,420

T31.3 Burns involving 30-39% of body surface BURN B 10,600 3,180 7,420

T31.4 Burns involving 40-49% of body surface BURN B 10,600 3,180 7,420

T31.5 Burns involving 50-59% of body surface BURN B 10,600 3,180 7,420

T32.2 Corrosions involving 20-29% of body surface BURN B 10,600 3,180 7,420

T32.3 Corrosions involving 30-39% of body surface BURN B 10,600 3,180 7,420

T32.4 Corrosions involving 40-49% of body surface BURN B 10,600 3,180 7,420

Page 10 of 127

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

T34.9

Frostbite with tissue necrosis of other and unspecified

sites; Frosbite with tissue necrosis NOS; Frosbite with tissue

of leg NOS; Frosbite with tissue necrosis of trunk NOS

BURN B 10,600 3,180 7,420

T21.3 Burn of third degree of trunk BURN C 16,100 4,830 11,270

T31.6 Burns involving 60-69% of body surface BURN C 16,100 4,830 11,270

T31.7 Burns involving 70-79% of body surface BURN C 16,100 4,830 11,270

T31.8 Burns involving 80-89% of body surface BURN C 16,100 4,830 11,270

T31.9 Burns involving 90% or more of body surface BURN C 16,100 4,830 11,270

T32.9 Corrosions involving 90% or more of body surface BURN C 16,100 4,830 11,270

I47.0 Re-entry ventricular arrhythmia CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I47.1

Supraventricular tachycardia; Atrial Paroxysmal

tachycardia; Atrioventricular [AV] Paroxysmal tachycardia;

Junctional Paroxysmal tachycardia; Nodal Paroxysmal

tachycardia

CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I47.2 Ventricular tachycardia CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I47.9Paroxysmal tachycardia, unspecified; Bouveret (-Hoffmann)

syndromeCARDIAC ARRHYTHMIA 12,200 3,660 8,540

I48 Atrial fibrillation and flutter CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I49.0 Ventricular fibrillation and flutter CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I49.1 Atrial premature depolarization; Atrial premature beats CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I49.2 Junctional premature depolarization CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I49.3 Ventricular premature depolarization CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I49.4

Other and unspecified premature depolarization; Ectopic

beats; Extrasystoles; Extrasystolic arrhythmias; Premature

beats NOS; Premature contractions

CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I49.5 Sick sinus syndrome; Tachycardia-bradycardia syndrome CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I49.8Other specified cardiac arrhythmias; Brugada syndrome;

Long QT syndrome; coronary sinus rhythm disorder;

ectopic rhythm disorder; nodal rhythm disorder

CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I49.9 Cardiac arrhythmia, unspecified; Cardiac arrhythmia NOS CARDIAC ARRHYTHMIA 12,200 3,660 8,540

I42.0 Dilated cardiomyopathy; Congestive cardiomyopathy CARDIOMYOPATHY 13,400 4,020 9,380

I42.1Obstructive hypertrophic cardiomyopathy; Hypertrophic

subaortic stenosisCARDIOMYOPATHY 13,400 4,020 9,380

I42.2Other hypertrophic cardiomyopathy; Nonobstructive

hypertrophic cardiomyopathyCARDIOMYOPATHY 13,400 4,020 9,380

I42.3Endomyocardial (eosinophilic) disease; Endomyocardial

(tropical) fibrosis; Löffler's endocarditisCARDIOMYOPATHY 13,400 4,020 9,380

I42.4 Endocardial fibroelastosis; Congenital cardiomyopathy CARDIOMYOPATHY 13,400 4,020 9,380

I42.5 Other restrictive cardiomyopathy CARDIOMYOPATHY 13,400 4,020 9,380

I42.6 Alcoholic cardiomyopathy CARDIOMYOPATHY 13,400 4,020 9,380

I42.7 Cardio myopathy due to drugs and other external agents CARDIOMYOPATHY 13,400 4,020 9,380

I42.8 Other cardiomyopathies CARDIOMYOPATHY 13,400 4,020 9,380

I42.9Cardio myopathy, unspecified; Primary cardiomyopathy

NOS; Secondary cardiomyopathy NOSCARDIOMYOPATHY 13,400 4,020 9,380

P29.0 Neonatal cardiac failureCARDIOVASCULAR COMPLICATIONS IN THE

NEWBORN22,700 6,810 15,890

P29.1 Neonatal cardiac dysrhythmiaCARDIOVASCULAR COMPLICATIONS IN THE

NEWBORN22,700 6,810 15,890

P29.2 Neonatal hypertensionCARDIOVASCULAR COMPLICATIONS IN THE

NEWBORN22,700 6,810 15,890

P29.4 Transient myocardial ischaemia of newbornCARDIOVASCULAR COMPLICATIONS IN THE

NEWBORN22,700 6,810 15,890

P29.8Other cardiovascular disorders originating in the perinatal

period

CARDIOVASCULAR COMPLICATIONS IN THE

NEWBORN22,700 6,810 15,890

G83.4

Cauda equina syndrome; Neurogenic bladder due to cauda

equina syndrome

Excludes: cord bladder NOS (G95.8)

CAUDA EQUINA SYNDROME 8,800 2,640 6,160

A46 Erysipelas CELLULITIS 9,600 2,880 6,720

A48.0 Gas gangrene; Clostridial cellulitis; Clostridial myonecrosis CELLULITIS 9,600 2,880 6,720

L03.0Cellulitis of finger and toe; Infection of nail; Onychia;

Paronychia; PerionychiaCELLULITIS 9,600 2,880 6,720

L03.1Cellulitis of other parts of limb, Axilla; Cellulitis of

Hip;Cellulitis of ShoulderCELLULITIS 9,600 2,880 6,720

L03.2 Cellulitis of face CELLULITIS 9,600 2,880 6,720

L03.3

Cellulitis of trunk;Cellulitis of Abdominal wall;Cellulitis of

Back [any part]; Cellulitis of Chest wall;Cellulitis of

Groin;Cellulitis of Perineum;Cellulitis of Umbilicus

CELLULITIS 9,600 2,880 6,720

L03.8Cellulitis of other sites; Cellulitis of Head [any part, except

face];Cellulitis of ScalpCELLULITIS 9,600 2,880 6,720

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

L03.9 Cellulitis, unspecified CELLULITIS 9,600 2,880 6,720

L98.3 Eosinophilic cellulitis [Wells] CELLULITIS 9,600 2,880 6,720

G80.0Spastic cerebral palsy; Congenital spastic paralysis

(cerebral); Spastic tetraplegic cerebral palsyCEREBRAL PALSY 9,500 2,850 6,650

G80.1 Spastic diplegia; Spastic cerebral palsy NOS CEREBRAL PALSY 9,500 2,850 6,650

G80.2Infantile hemiplegia

Spastic hemiplegic cerebral palsyCEREBRAL PALSY 9,500 2,850 6,650

G80.3Dyskinetic cerebral palsy; Athetoid cerebral palsy; Dystonic

cerebral palsyCEREBRAL PALSY 9,500 2,850 6,650

G80.4 Ataxic cerebral palsy CEREBRAL PALSY 9,500 2,850 6,650

G80.8Other infantile cerebral palsy; Mixed cerebral palsy

syndromesCEREBRAL PALSY 9,500 2,850 6,650

G80.9 Infantile cerebral palsy, unspecified; Cerebral palsy NOS CEREBRAL PALSY 9,500 2,850 6,650

K74.3Primary biliary cirrhosis; Chronic nonsupparative

destructive cholangitisCHOLANGITIS 13,200 3,960 9,240

K80.3Calculus of bile duct with cholangitis; Any condition listed in

K80.5 with cholangitisCHOLANGITIS 13,200 3,960 9,240

K80.0

Calculus of gallbladder with acute cholecystitis; Any

condition listed in K80.2 with acute cholecystitis

Acute cholecystitis with cholelithiasis

CHOLECYSTITIS 11,300 3,390 7,910

K80.1

Calculus of gallbladder with other cholecystitis; Any

condition listed in K80.2 with chronic cholecystitis;

Cholecystitis with cholelithiasis NOS

CHOLECYSTITIS 11,300 3,390 7,910

K80.4Calculus of bile duct with cholecystitis; Any condition listed

in K80.5 with cholecystitis (with cholangitis)CHOLECYSTITIS 11,300 3,390 7,910

K81.0

Acute cholecystitis; Abscess of gallbladder without calculus;

Angiocholecystitis without calculus; Acute emphysematous

cholecystitis without calculus; Gangrenous cholecystitis

without calculus; Supparative cholecystitis without

calculus; Empyema of gallbladder without calculus;

Gangrene of gallbladder without calculus

CHOLECYSTITIS 11,300 3,390 7,910

K81.1 Chronic cholecystitis CHOLECYSTITIS 11,300 3,390 7,910

K81.8 Other cholecystitis CHOLECYSTITIS 11,300 3,390 7,910

Q90.0 Trisomy 21, meiotic nondisjunction CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q90.2 Trisomy 21, translocation CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q90.9 Down's syndrome, unspecified; Trisomy 21 NOS CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q91.0 Trisomy 18, meiotic nondisjunction CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q91.2 Trisomy 18, translocation CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q91.3 Edwards' syndrome, unspecified CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q91.7 Patau's syndrome, unspecified CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q92.9 Trisomy and partial trisomy of autosomes, unspecified CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q93.1Whole chromosome monosomy, mosaicism (mitotic

nondisjunction)CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q93.2 Chromosome replaced with ring or dicentric CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q93.4Deletion of short arm of chromosome 5; Cri-du-chat

syndromeCHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q93.5Other deletions of part of a chromosome; Angelman

syndromeCHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q93.7 Deletions with other complex rearrangements CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q93.9 Deletion from autosomes, unspecified CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q95.9 Balanced rearrangement and structural marker, unspecified CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q96.9 Turner's syndrome, unspecified CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q97.9Sex chromosome abnormality, female phenotype,

unspecifiedCHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q98.4 Klinefelter's syndrome, unspecified CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q99.2 Fragile X chromosome; Fragile X syndrome CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

Q99.8 Other specified chromosome abnormalities CHROMOSOMAL ABNORMALITIES 12,700 3,810 8,890

N18.0 End stage renal disease CHRONIC KIDNEY DISEASE N/A N/A N/A

N18.5

Chronic kidney disease, stage 5

Chronic uraemia

End stage kidney disease:

• in allograft failure

• NOS

• on dialysis

• without dialysis or transplant

Renal retinitis+(H32.8*)

Uraemic:

• apoplexia+(I68.8*)

• dementia+(F02.8*)

• neuropathy+(G63.8*)

• paralysis+(G99.8*)

• pericarditis+(I32.8*)

CHRONIC KIDNEY DISEASE 14,500 4,350 10,150

N18.8 Other chronic renal failure CHRONIC KIDNEY DISEASE N/A N/A N/A

Page 12 of 127

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

N18.9Chronic renal failure

Chronic kidney disease, unspecifiedCHRONIC KIDNEY DISEASE 14,500 4,350 10,150

N19

Unspecified renal failure

Unspecified kidney failure

Renal insufficiency NOS

CHRONIC KIDNEY DISEASE 14,500 4,350 10,150

J44.0Chronic obstructive/ asthmatic/ emphysematous

pulmonary disease with acute lower respiratory infectionCHRONIC OBSTRUCTIVE PULMONARY DISEASE 12,200 3,660 8,540

J44.1Chronic obstructive/ asthmatic/ emphysematous

pulmonary disease with acute exacerbation, unspecifiedCHRONIC OBSTRUCTIVE PULMONARY DISEASE 12,200 3,660 8,540

J44.8

Chronic asthmatic (obstructive) bronchitis NOS; Chronic

emphysematous bronchitis NOS; Chronic obstructive

bronchitis NOS

CHRONIC OBSTRUCTIVE PULMONARY DISEASE 12,200 3,660 8,540

J44.9

Chronic obstructive pulmonary disease, unspecified;

Chronic obstructive airway disease NOS; Chronic

obstructive lung disease NOS

CHRONIC OBSTRUCTIVE PULMONARY DISEASE 12,200 3,660 8,540

Q35.0Cleft hard palate, bilateral; Bilateral fissure of hard palate;

Bilateral palatoschisis of hard palateCLEFT LIP AND PALATE 7,800 2,340 5,460

Q35.1 Cleft hard palate CLEFT LIP AND PALATE 7,800 2,340 5,460

Q35.3 Cleft soft palate CLEFT LIP AND PALATE 7,800 2,340 5,460

Q35.5 Cleft hard palate with cleft soft palate CLEFT LIP AND PALATE 7,800 2,340 5,460

Q35.7 Cleft uvula CLEFT LIP AND PALATE 7,800 2,340 5,460

Q35.8 Cleft palate, unspecified, bilateral CLEFT LIP AND PALATE 7,800 2,340 5,460

Q35.9 Cleft palate, unspecified CLEFT LIP AND PALATE 7,800 2,340 5,460

Q36.0 Cleft lip, bilateral CLEFT LIP AND PALATE 7,800 2,340 5,460

Q36.1 Cleft lip, median CLEFT LIP AND PALATE 7,800 2,340 5,460

Q36.9 Cleft lip, unilateral; Cleft lip NOS CLEFT LIP AND PALATE 7,800 2,340 5,460

Q37.0 Cleft hard palate with bilateral cleft lip CLEFT LIP AND PALATE 7,800 2,340 5,460

Q37.1Cleft hard palate with unilateral cleft lip; Cleft hard palate

with cleft lip NOSCLEFT LIP AND PALATE 7,800 2,340 5,460

Q37.2 Cleft soft palate with bilateral cleft lip CLEFT LIP AND PALATE 7,800 2,340 5,460

Q37.3Cleft soft palate with unilateral cleft lip; Cleft soft palate

with cleft lip NOSCLEFT LIP AND PALATE 7,800 2,340 5,460

Q37.4 Cleft hard and soft palate with bilateral cleft lip CLEFT LIP AND PALATE 7,800 2,340 5,460

Q37.5Cleft hard and soft palate with unilateral cleft lip; Cleft hard

and soft palate with cleft lip NOSCLEFT LIP AND PALATE 7,800 2,340 5,460

Q37.8 Unspecified cleft palate with bilateral cleft lip CLEFT LIP AND PALATE 7,800 2,340 5,460

Q37.9Unspecified cleft palate with unilateral cleft lip; Cleft palate

with cleft lip NOSCLEFT LIP AND PALATE 7,800 2,340 5,460

F01.0 Vascular dementia of acute onset COGNITIVE DYSFUNCTION 8,200 2,460 5,740

R41.0 Disorientation, unspecified; Confusion NOS COGNITIVE DYSFUNCTION 8,200 2,460 5,740

R41.3 Other amnesia; Amnesia NOS COGNITIVE DYSFUNCTION 8,200 2,460 5,740

R54

Senility; Old age without mention of psychosis; Senescence

without mention of psychosis; Senile asthenia; Senile

debility

COGNITIVE DYSFUNCTION 8,200 2,460 5,740

D34 Benign neoplasm of thyroid glandCOMPLICATIONS OF BENIGN NEOPLASMS OF

ENDOCRINE GLANDS12,000 3,600 8,400

D35.0 Benign neoplasm of Adrenal glandCOMPLICATIONS OF BENIGN NEOPLASMS OF

ENDOCRINE GLANDS12,000 3,600 8,400

D35.1 Benign neoplasm of Parathyroid glandCOMPLICATIONS OF BENIGN NEOPLASMS OF

ENDOCRINE GLANDS12,000 3,600 8,400

D35.2 Benign neoplasm of Pituitary glandCOMPLICATIONS OF BENIGN NEOPLASMS OF

ENDOCRINE GLANDS12,000 3,600 8,400

D35.3 Benign neoplasm of Craniopharyngeal ductCOMPLICATIONS OF BENIGN NEOPLASMS OF

ENDOCRINE GLANDS12,000 3,600 8,400

D35.4 Benign neoplasm of Pineal glandCOMPLICATIONS OF BENIGN NEOPLASMS OF

ENDOCRINE GLANDS12,000 3,600 8,400

D35.9 Benign neoplasm of Endocrine gland, unspecifiedCOMPLICATIONS OF BENIGN NEOPLASMS OF

ENDOCRINE GLANDS12,000 3,600 8,400

D16.0 Benign neoplasm of Scapula and long bones of upper limbCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

BONES10,500 3,150 7,350

D16.1 Benign neoplasm of Short bones of upper limbCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

BONES10,500 3,150 7,350

D16.2 Benign neoplasm ofLong bones of lower limbCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

BONES10,500 3,150 7,350

D16.3 Benign neoplasm of Short bones of lower limbCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

BONES10,500 3,150 7,350

D16.4

Benign neoplasm of Bones of skull and face; Benign

neoplasm of Superior Maxilla; Benign neoplasm of Orbital

bone

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

BONES10,500 3,150 7,350

D16.5 Benign neoplasm of Lower jaw boneCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

BONES10,500 3,150 7,350

D16.6 Benign neoplasm of Vertebral columnCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

BONES10,500 3,150 7,350

D16.7 Benign neoplasm of Ribs, sternum and clavicleCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

BONES10,500 3,150 7,350

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

D16.8 Benign neoplasm of Pelvic bones, sacrum and coccyxCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

BONES10,500 3,150 7,350

D16.9Benign neoplasm of Bone and articular cartilage,

unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

BONES10,500 3,150 7,350

D12.0Benign neoplasm of Caecum;Benign neoplasm of

Ileocaecal valve

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D12.1 Benign neoplasm of AppendixCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D12.3Benign neoplasm of Transverse colon; Benign neoplasm of

Hepatic flexure; Benign neoplasm of Splenic flexure

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D12.4 Benign neoplasm of Descending colonCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D12.5 Benign neoplasm of Sigmoid colonCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D12.6

Benign neoplasm of Colon, unspecified; Adenomatosis of

colon; Benign neoplasm of Large intestine NOS; Hereditary

Polyposis of colon

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D12.7

Benign neoplasm of Rectosigmoid junction; Adenomatosis

of colon; Benign neoplasm of Large intestine NOS;

Hereditary Polyposis of colon

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D12.8 Benign neoplasm of RectumCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D12.9 Benign neoplasm of Anus and anal canalCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D13.0 Benign neoplasm of OesophagusCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D13.1 Benign neoplasm of StomachCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D13.2 Benign neoplasm of DuodenumCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D13.3Benign neoplasm of Other and unspecified parts of small

intestine

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D13.4Benign neoplasm of Liver; Benign neoplasm of Intrahepatic

bile ducts

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D13.5 Benign neoplasm of Extrahepatic bile ductsCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D13.6 Benign neoplasm of PancreasCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D13.7

Benign neoplasm of Endocrine pancreas; Benign neoplasm

of Islet cell tumour; Benign neoplasm of Islets of

Langerhans

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D13.9

Benign neoplasm of Ill-defined sites within the digestive

system; Benign neoplasm of Digestive system NOS; Benign

neoplasm of Intestine NOS; Benign neoplasm of Spleen

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D17.5 Benign lipomatous neoplasm of intra-abdominal organsCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D17.6 Benign lipomatous neoplasm of spermatic cordCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D17.7

Benign lipomatous neoplasm of other sites; Benign

lipomatous neoplasm of Peritoneum; Benign lipomatous

neoplasm of Retroperitoneum

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D20.0 Benign neoplasm of of soft tissue of RetroperitoneumCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D20.1 Benign neoplasm of of soft tissue of PeritoneumCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D21.4Benign neoplasm of Connective and other soft tissue of

abdomen

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

DIGESTIVE SYSTEM8,700 2,610 6,090

D25.0 Submucous leiomyoma of uterusCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D25.1 Intramural leiomyoma of uterusCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D25.2 Subserosal leiomyoma of uterusCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D25.9 Leiomyoma of uterus, unspecifiedCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D26.0 Other Benign neoplasm of Cervix uteriCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D26.1 Other Benign neoplasm of Corpus uteriCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D26.7 Other Benign neoplasm of Other parts of uterusCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D26.9 Other Benign neoplasm of Uterus, unspecifiedCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D27 Benign neoplasm of ovaryCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

D28.0 Benign neoplasm of VulvaCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D28.1 Benign neoplasm of VaginaCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D28.2

Benign neoplasm of Uterine tubes and ligaments; Benign

neoplasm of Fallopian Tubes; Benign neoplasm of Uterine

Broad Ligament; Benign neoplasm of Uterine round

ligament

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D28.7 Benign neoplasm of Other specified female genital organsCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D28.9 Benign neoplasm of Female genital organ, unspecifiedCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

FEMALE GENITAL TRACT9,600 2,880 6,720

D29.0 Benign neoplasm of PenisCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

MALE GENITAL TRACT7,700 2,310 5,390

D29.1 Benign neoplasm of ProstateCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

MALE GENITAL TRACT7,700 2,310 5,390

D29.2 Benign neoplasm of TestisCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

MALE GENITAL TRACT7,700 2,310 5,390

D29.4Benign neoplasm of Scrotum; Benign neoplasm of Skin of

scrotum

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

MALE GENITAL TRACT7,700 2,310 5,390

D32.0 Benign neoplasm of Cerebral meningesCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D32.1 Benign neoplasm of Spinal meningesCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D32.9Benign neoplasm of Meninges, unspecified; Meningioma

NOS

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D33.0

Benign neoplasm of Brain, supratentorial; Benign neoplasm

of Cerebral ventricle; Benign neoplasm of Cerebrum;

Benign neoplasm of Frontal lobe; Benign neoplasm of

Occipital lobe; Benign neoplasm of Parietal lobe; Benign

neoplasm of Temporal lobe

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D33.1

Benign neoplasm of Brain, infratentorial; Benign neoplasm

of Brain stem; Benign neoplasm of Cerebellum; Benign

neoplasm of Fourth ventricle

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D33.2 Benign neoplasm of Brain, unspecifiedCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D33.3Benign neoplasm of Cranial nerves; Benign neoplasm of

Olfactory bulb

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D33.4 Benign neoplasm of Spinal cordCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D33.7Benign neoplasm of Other specified parts of central

nervous system

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D33.9Benign neoplasm of Central nervous system, unspecified;

Central Nervous system NOS

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D36.1Benign neoplasm of Peripheral nerves and autonomic

nervous system

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

NERVOUS SYSTEM14,800 4,440 10,360

D10.0

Benign neoplasm of Lip; Benign neoplasm of frenulum of

Lip; Benign neoplasm of Inner aspect of lip; Benign

neoplasm of Mucosa of Lip; Vermilion border of Lip

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

D10.1Benign neoplasm of Tongue;Benign neoplasm of Lingual

tonsil

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

D10.3Benign neoplasm of Other and unspecified parts of mouth;

Benign neoplasm of Minor salivary gland NOS

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

D10.6

Benign neoplasm of Nasopharynx; Benign neoplasm of

Pharyngeal tonsil; Benign neoplasm of Posterior margin of

septum and choanae

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

D10.7 Benign neoplasm of Hypopharynx

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

D10.9 Benign neoplasm of Pharynx, unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

D11.0 Benign neoplasm of Parotid gland

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

D11.7Benign neoplasm of Other major salivary glands; sublingual;

submandibular

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

D11.9 Benign neoplasm of Major salivary gland, unspecified

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

D14.1Benign neoplasm of Larynx; Benign neoplasm of

suprahyoid portion of Epiglottis

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

D14.2 Benign neoplasm of Trachea

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

ORAL CAVITY, PHARYNX, LARYNX, SALIVARY

GLANDS

9,500 2,850 6,650

D30.0 Benign neoplasm of KidneyCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

URINARY SYSTEM8,300 2,490 5,810

D30.1 Benign neoplasm of Renal pelvisCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

URINARY SYSTEM8,300 2,490 5,810

D30.3

Benign neoplasm of Bladder; Benign neoplasm of Urethral

orifice of bladder; Benign neoplasm of ureteric orifice of

bladder

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

URINARY SYSTEM8,300 2,490 5,810

D30.4 Benign neoplasm of UrethraCOMPLICATIONS OF BENIGN NEOPLASMS OF THE

URINARY SYSTEM8,300 2,490 5,810

D30.9Benign neoplasm of Urinary organ, unspecified; Benign

neoplasm of Urinary system NOS

COMPLICATIONS OF BENIGN NEOPLASMS OF THE

URINARY SYSTEM8,300 2,490 5,810

I51.0

Cardiac septal defect, acquired; Acquired atrial septal

defect old; Acquired auricular septal defect old ; Acquired

ventricular septal defect old

COMPLICATIONS OF HEART DISEASES 14,400 4,320 10,080

I51.1 Rupture of chordae tendineae, not elsewhere classified COMPLICATIONS OF HEART DISEASES 14,400 4,320 10,080

I51.2 Rupture of papillary muscle, not elsewhere classified COMPLICATIONS OF HEART DISEASES 14,400 4,320 10,080

I51.3

Intra cardiac thrombosis, not elsewhere classified; Old

Apical thrombosis; Old Atrial thrombosis; Old Auricular

thrombosis; Old Venticular thrombosis

COMPLICATIONS OF HEART DISEASES 14,400 4,320 10,080

I51.4Myocarditis, unspecified; Myocardial fibrosis; Myocarditis

NOS; Chronic interstitial myocarditisCOMPLICATIONS OF HEART DISEASES 14,400 4,320 10,080

I51.5

Myocardial degeneration; Fatty Degeneration of heart or

myocardium fatty; Senile Degeneration of heart or

myocardium; Myocardial disease

COMPLICATIONS OF HEART DISEASES 14,400 4,320 10,080

I51.8Other ill-defined heart diseases; Acute carditis; Chronic

Carditis; Acute pancarditis; Chronic pancarditisCOMPLICATIONS OF HEART DISEASES 14,400 4,320 10,080

D18.0 Haemangioma, any site; Angioma NOSCOMPLICATIONS OF HEMANGIOMA AND

LYMPHANGIOMA9,000 2,700 6,300

D18.1 Lymphangioma, any siteCOMPLICATIONS OF HEMANGIOMA AND

LYMPHANGIOMA9,000 2,700 6,300

D14.3 Benign neoplasm of Bronchus and lungCOMPLICATIONS OF INTRATHORACIC BENIGN

NEOPLASMS 10,100 3,030 7,070

D14.4 Benign neoplasm of Respiratory system, unspecifiedCOMPLICATIONS OF INTRATHORACIC BENIGN

NEOPLASMS 10,100 3,030 7,070

D15.0 Benign neoplasm of ThymusCOMPLICATIONS OF INTRATHORACIC BENIGN

NEOPLASMS 10,100 3,030 7,070

D15.1 Benign neoplasm of HeartCOMPLICATIONS OF INTRATHORACIC BENIGN

NEOPLASMS 10,100 3,030 7,070

D15.2 Benign neoplasm of MediastinumCOMPLICATIONS OF INTRATHORACIC BENIGN

NEOPLASMS 10,100 3,030 7,070

D15.9 Benign neoplasm of Intrathoracic organ, unspecifiedCOMPLICATIONS OF INTRATHORACIC BENIGN

NEOPLASMS 10,100 3,030 7,070

D17.4 Benign lipomatous neoplasm of intrathoracic organsCOMPLICATIONS OF INTRATHORACIC BENIGN

NEOPLASMS 10,100 3,030 7,070

D21.3

Benign neoplasm of Connective and other soft tissue of

thorax; Benign neoplasm of Connective and other soft

tissue of Axilla; Benign neoplasm of Connective and other

soft tissue of Diaphragm; Benign neoplasm of Connective

and other soft tissue of Great vessels

COMPLICATIONS OF INTRATHORACIC BENIGN

NEOPLASMS 10,100 3,030 7,070

A52.1 Late Symptomatic neurosyphilis; Tabes dorsalisCOMPLICATIONS OF SEXUALLY TRANSMITTED

DISEASES 5,500 1,650 3,850

A52.3

Neurosyphilis, unspecified; Syphilitic Gumma of central

nervous system NOS; Late Syphilis of central nervous

system NOS; Syphiloma of central nervous system NOS

COMPLICATIONS OF SEXUALLY TRANSMITTED

DISEASES 5,500 1,650 3,850

A52.7 Other symptomatic late syphilisCOMPLICATIONS OF SEXUALLY TRANSMITTED

DISEASES 5,500 1,650 3,850

A53.0Latent syphilis, unspecified as early or late; Latent syphilis

NOS; Positive serological reaction for syphilis

COMPLICATIONS OF SEXUALLY TRANSMITTED

DISEASES 5,500 1,650 3,850

A54.1

Gonococcal infection of lower genitourinary tract with

periurethral and accessory gland abscess; Gonococcal

Bartholin's gland abscess

COMPLICATIONS OF SEXUALLY TRANSMITTED

DISEASES 5,500 1,650 3,850

A54.2Gonococcal Pelviperitonitis and other gonococcal

genitourinary infections

COMPLICATIONS OF SEXUALLY TRANSMITTED

DISEASES 5,500 1,650 3,850

A54.8Other gonococcal infections:

Gonococcal septicaemia; Gonococcal skin lesions

COMPLICATIONS OF SEXUALLY TRANSMITTED

DISEASES 5,500 1,650 3,850

A55

Chlamydial lymphogranuloma (venereum); Climatic or

tropical bubo ; Durand-Nicolas-Favre disease; Esthiomene;

Lymphogranuloma inguinale

COMPLICATIONS OF SEXUALLY TRANSMITTED

DISEASES 5,500 1,650 3,850

A56.1Chlamydial infection of pelviperitoneum and other

genitourinary organs;

COMPLICATIONS OF SEXUALLY TRANSMITTED

DISEASES 5,500 1,650 3,850

A59 TrichomoniasisCOMPLICATIONS OF SEXUALLY TRANSMITTED

DISEASES 5,500 1,650 3,850

T79.0 Air embolism (traumatic) COMPLICATIONS OF TRAUMA 9,300 2,790 6,510

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

T79.1 Fat embolism (traumatic) COMPLICATIONS OF TRAUMA 9,300 2,790 6,510

T79.2 Traumatic secondary and recurrent haemorrhage COMPLICATIONS OF TRAUMA 9,300 2,790 6,510

T79.3 Post-traumatic wound infection, not elsewhere classified COMPLICATIONS OF TRAUMA 9,300 2,790 6,510

T79.4Traumatic shock; immediate shock following injury;

Delayed shock following injuryCOMPLICATIONS OF TRAUMA 9,300 2,790 6,510

T79.5Traumatic anuria; Crush syndrome; Renal failure following

crushingCOMPLICATIONS OF TRAUMA 9,300 2,790 6,510

T79.6Traumatic ischaemia of muscle; Compartment syndrome;

Volkmann's ischaemic contractureCOMPLICATIONS OF TRAUMA 9,300 2,790 6,510

T79.7 Traumatic subcutaneous emphysema COMPLICATIONS OF TRAUMA 9,300 2,790 6,510

T79.8 Other early complications of trauma COMPLICATIONS OF TRAUMA 9,300 2,790 6,510

E25.0

Congenital adrenogenital disorders associated with enzyme

deficiency; Congenital adrenal hyperplasia; 21-Hydroxylase

deficiency; Salt-losing congenital adrenal hyperplasia

CONGENITAL ANDROGENITAL DISORDER 7,800 2,340 5,460

P61.2 Anaemia of prematurity CONGENITAL ANEMIA 15,200 4,560 10,640

P61.3 Congenital anaemia from fetal blood loss CONGENITAL ANEMIA 15,200 4,560 10,640

P61.4Other congenital anaemias, not elsewhere classified;

Congenital anaemia NOSCONGENITAL ANEMIA 15,200 4,560 10,640

D64.4Congenital dyserythropoietic anaemia; Congenital

Dyshaematopoietic anaemiaCONGENITAL BLOOD DISORDERS 4,000 1,200 2,800

D74.0 Congenital methaemoglobinaemia CONGENITAL BLOOD DISORDERS 4,000 1,200 2,800

Q80.2 Lamellar ichthyosis; Collodion baby CONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q80.9 Congenital ichthyosis, unspecified CONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q81.2 Epidermolysis bullosa dystrophica CONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q81.8 Other epidermolysis bullosa CONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q81.9 Epidermolysis bullosa, unspecified CONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q82.0 Hereditary lymphoedema CONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q82.2 Mastocytosis; Urticaria pigmentosa CONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q82.3 Incontinentia pigmenti CONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q82.4 Ectodermal dysplasia (anhidrotic) CONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q82.8

Other specified congenital malformations of skin; Abnormal

palmar creases; Accessory skin tags; Benign familial

pemphigus [Hailey-Hailey]; Cutis laxa (hyperelastica);

Dermatoglyphic anomalies; Inherited keratosis palmaris et

plantaris; Keratosis follicula

CONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q84.8Other specified congenital malformations of integument;

Aplasia cutis congenitaCONGENITAL DERMATOLOGIC DISEASES 11,800 3,540 8,260

Q50.1 Developmental ovarian cystCONGENITAL DISORDERS OF THE FEMALE GENITAL

TRACT9,300 2,790 6,510

Q50.3Other congenital malformations of ovary; Accessory ovary;

Congenital malformation of ovary NOS; Ovarian streak

CONGENITAL DISORDERS OF THE FEMALE GENITAL

TRACT9,300 2,790 6,510

Q50.4 Embryonic cyst of fallopian tube; Fimbrial cystCONGENITAL DISORDERS OF THE FEMALE GENITAL

TRACT9,300 2,790 6,510

Q50.5Embryonic cyst of broad ligament; Cyst epoophoron;

Gartner's duct Cyst; Parovarian Cyst

CONGENITAL DISORDERS OF THE FEMALE GENITAL

TRACT9,300 2,790 6,510

Q50.6

Other congenital malformations of fallopian tube and

broad ligament; Absence of fallopian tube or broad

ligament; Accessory of fallopian tube or broad ligament;

Atresia of fallopian tube or broad ligament; Congenital

malformation of fallopian tube or broad ligament NOS

CONGENITAL DISORDERS OF THE FEMALE GENITAL

TRACT9,300 2,790 6,510

Q51.0Agenesis and aplasia of uterus; Congenital absence of

uterus

CONGENITAL DISORDERS OF THE FEMALE GENITAL

TRACT9,300 2,790 6,510

Q51.9 Congenital malformation of uterus and cervix, unspecifiedCONGENITAL DISORDERS OF THE FEMALE GENITAL

TRACT9,300 2,790 6,510

Q65.6 Unstable hip; Dislocatable hip; Subluxatable hipCONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q67.3 PlagiocephalyCONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q67.4

Other congenital deformities of skull, face and jaw;

Depressions in skull; Deviation of nasal septum, congenital;

Hemifacial atrophy or hypertrophy; Squashed or bent nose,

congenital

CONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q67.6 Pectus excavatum; Congenital funnel chestCONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q67.7 Pectus carinatum; Congenital pigeon chestCONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q68.0

Congenital deformity of sternocleidomastoid muscle;

Congenital, sternomastoid torticollis; Contracture of

sternocleidomastoid muscle; Sternomastoid tumour,

congenital

CONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q76.3

Congenital scoliosis due to congenital bony malformation;

Hemivertebra fusion or failure of segmentation with

scoliosis

CONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Q78.0 Osteogenesis imperfecta; Fragilitas ossiumCONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q78.2 Osteopetrosis; Albers-Schönberg syndromeCONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q78.8 Other specified osteochondrodysplasias; OsteopoikilosisCONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q78.9Osteochondrodysplasia, unspecified; Chondrodystrophy

NOS; Osteodystrophy NOS

CONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q87.5Other congenital malformation syndromes with other

skeletal changes

CONGENITAL DISORDERS OF THE

MUSCULOSKELETAL SYSTEM5,300 1,590 3,710

Q39.0Atresia of oesophagus without fistula; Atresia of

oesophagus NOSCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q39.1Atresia of oesophagus with tracheo-oesophageal fistula;

Atresia of oesophagus with broncho-oesophageal fistulaCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q39.2Congenital tracheo-oesophageal fistula without atresia;

Congenital tracheo-oesophageal fistula NOSCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q39.6 Diverticulum of oesophagus; Oesophageal pouch CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q39.9 Congenital malformation of oesophagus, unspecified CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q40.0

Congenital hypertrophic pyloric stenosis; Congenital or

infantile constriction of pylorus; Congenital or infantile

hypertrophy of pylorus; Congenital or infantile spasm of

pylorus; Congenital or infantile stenosis of pylorus;

Congenital or infantile stricture of pylorus

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q40.1Congenital hiatus hernia; Displacement of cardia through

oesophageal hiatusCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q40.2

Other specified congenital malformations of stomach;

Congenital displacement of stomach; Congenital

diverticulum of stomach; Congenital hourglass stomach;

Duplication of stomach; Megalogastria; Microgastria

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q40.9

Congenital malformation of upper alimentary tract,

unspecified; Congenital anomaly NOS of upper alimentary

tract; Congenital deformity NOS of upper alimentary tract

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q41.0 Congenital absence, atresia and stenosis of duodenum CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q41.1Congenital absence, atresia and stenosis of jejunum; Apple

peel syndrome; Imperforate jejunumCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q41.2 Congenital absence, atresia and stenosis of ileum CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q41.9

Congenital absence, atresia and stenosis of small intestine,

part unspecified; Congenital absence, atresia and stenosis

of intestine NOS

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q42.0Congenital absence, atresia and stenosis of rectum with

fistulaCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q42.1Congenital absence, atresia and stenosis of rectum without

fistula; Imperforate rectumCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q42.2 Congenital absence, atresia and stenosis of anus with fistula CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q42.3Congenital absence, atresia and stenosis of anus without

fistula; Imperforate anusCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q42.9Congenital absence, atresia and stenosis of large intestine,

part unspecifiedCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q43.0Meckel's diverticulum; Persistent omphalomesenteric duct;

Persistent vitelline ductCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q43.1Hirschsprung's disease; Aganglionosis; Congenital

(aganglionic) megacolonCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q43.2Other congenital functional disorders of colon; Congenital

dilatation of colonCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q43.3

Congenital malformations of intestinal fixation; Congenital

anomalous omental adhesions [bands] ; Congenital

peritoneal adhesions [bands]; Jackson's membrane;

Malrotation of colon; Failure of rotation of caecum and

colon; Incomplete rotation of caecum and colon;

Insufficient rotation of caecum and colon; Universal

mesentery

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q43.4 Duplication of intestine CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q43.5 Ectopic anus CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q43.6 Congenital fistula of rectum and anus CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q43.7 Persistent cloaca; Cloaca NOS CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q43.8

Other specified congenital malformations of intestine;

Congenital blind loop syndrome; Congenital diverticulitis,

colon; Congenital diverticulum, intestine; Dolichocolon;

Megaloappendix; Megaloduodenum;

Microcolon; Transposition of appendix; Transposition of

colon; Transposition of intestine

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q43.9 Congenital malformation of intestine, unspecified CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Q44.0Agenesis, aplasia and hypoplasia of gallbladder; Congenital

absence of gallbladderCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q44.1Other congenital malformations of gallbladder; Congenital

malformation of gallbladder NOS; Intrahepatic gallbladderCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q44.2 Atresia of bile ducts CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q44.3 Congenital stenosis and stricture of bile ducts CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q44.4 Choledochal cyst CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q44.5

Other congenital malformations of bile ducts; Accessory

hepatic duct; Congenital malformation of bile duct NOS;

Biliary duct Duplication; Cystic duct Duplication

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q44.6 Cystic disease of liver; Fibrocystic disease of liver CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q44.7

Other congenital malformations of liver; Accessory liver;

Alagille's syndrome; Congenital absence of liver; Congenital

hepatomegaly; Congenital malformation of liver NOS

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q45.0Agenesis, aplasia and hypoplasia of pancreas; Congenital

absence of pancreasCONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q45.8

Other specified congenital malformations of digestive

system; Absence of alimentary tract NOS, complete;

Absence of alimentary tract NOS, partial; Duplication of

digestive organs NOS; Malposition, congenital of digestive

organs NOS

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q45.9

Congenital malformation of digestive system, unspecified;

Congenital anomaly NOS of digestive system ; Congenital

deformity NOS of digestive system

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q79.0 Congenital diaphragmatic hernia CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q79.1

Other congenital malformations of diaphragm; Absence of

diaphragm; Congenital malformation of diaphragm NOS;

Eventration of diaphragm

CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q79.2 Exomphalos; Omphalocele CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q79.3 Gastroschisis CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q79.4 Prune belly syndrome CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q79.5 Other congenital malformations of abdominal wall CONGENITAL GASTROINTESTINAL DISORDERS 11,300 3,390 7,910

Q20.0 Common arterial trunk; Persistent truncus arteriosus CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q20.1 Double outlet right ventricle; Taussig-Bing syndrome CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q20.2 Double outlet left ventricle CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q20.3

Discordant ventriculoarterial connection;

Dextrotransposition of aorta; Transposition of great vessels

(complete)

CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q20.4Double inlet ventricle; Common ventricle; Cor triloculare

biatriatum; Single ventricleCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q20.5Discordant atrioventricular connection; Corrected

transposition; Laevotransposition; Ventricular inversionCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q20.9Congenital malformation of cardiac chambers and

connections, unspecifiedCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q21.0 Ventricular septal defect CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q21.1

Atrial septal defect; Coronary sinus defect; Patent or

persistent foramen ovale; Patent or persistent ostium

secundum defect (type II); Sinus venosus defect

CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q21.2

Atrioventricular septal defect; Common atrioventricular

canal; Endocardial cushion defect; Ostium primum atrial

septal defect (type I)

CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q21.3

Tetralogy of Fallot; Ventricular septal defect with

pulmonary stenosis or atresia, dextroposition of aorta and

hypertrophy of right ventricle.

CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q21.4Aortopulmonary septal defect; Aortic septal defect;

Aortopulmonary windowCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q21.8Other congenital malformations of cardiac septa;

Eisenmenger's defect; Pentalogy of FallotCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q21.9Congenital malformation of cardiac septum, unspecified;

Septal (heart) defect NOSCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q22.0 Pulmonary valve atresia CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q22.1 Congenital pulmonary valve stenosis CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q22.2Congenital pulmonary valve insufficiency; Congenital

pulmonary valve regurgitationCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q22.4 Congenital tricuspid stenosis; Tricuspid atresia CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q22.5 Ebstein's anomaly CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q22.6 Hypoplastic right heart syndrome CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q22.8 Other congenital malformations of tricuspid valve CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q23.0Congenital stenosis of aortic valve; Congenital aortic

atresia; Congenital aortic stenosisCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q23.1Congenital insufficiency of aortic valve; Bicuspid aortic

valve; Congenital aortic insufficiencyCONGENITAL HEART DISEASES 11,600 3,480 8,120

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Q23.2 Congenital mitral stenosis; Congenital mitral atresia CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q23.3 Congenital mitral insufficiency CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q23.4

Hypoplastic left heart syndrome; Atresia, or marked

hypoplasia of aortic orifice or valve, with hypoplasia of

ascending aorta and defective development of left ventricle

(with mitral valve stenosis or

atresia).

CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q23.8 Other congenital malformations of aortic and mitral valves CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q23.9Congenital malformation of aortic and mitral valves,

unspecifiedCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q24.0 Dextrocardia CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q24.2 Cor triatriatum CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q24.3 Pulmonary infundibular stenosis CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q24.4 Congenital subaortic stenosis CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q24.5Malformation of coronary vessels; Congenital coronary

(artery) aneurysmCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q24.6 Congenital heart block CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q24.8

Other specified congenital malformations of heart;

Congenital diverticulum of left ventricle; Congenital

malformation of myocardium; Congenital malformation of

pericardium; Malposition of heart; Uhl's disease

CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q24.9Congenital malformation of heart, unspecified; Congenital

anomaly NOS of heart; Congenital disease NOS of heartCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q25.0Patent ductus arteriosus; Patent ductus Botallo; Persistent

ductus arteriosusCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q25.1Coarctation of aorta; Preductal coarctation of aorta;

Postductal coarctation of aortaCONGENITAL HEART DISEASES 11,600 3,480 8,120

Q25.2 Atresia of aorta CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q25.3 Stenosis of aorta; Supravalvular aortic stenosis CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q25.4

Other congenital malformations of aorta; Absence of aorta;

Aplasia of aorta; Congenital aneurysm of aorta; Congenital

dilatation of aorta; Aneurysm of sinus of valsalva (rupture);

Double aortic arch [vascular ring or aorta]; Hypoplasia of

aorta; Persistent convolutions of aortic arch; Persistent

right aortic arch

CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q25.5 Atresia of pulmonary artery CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q25.6 Stenosis of pulmonary artery CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q25.7

Other congenital malformations of pulmonary artery;

aberrant pulmonary artery; agenesis of pulmonary artery;

aneurysm, congenital of pulmonary artery; anomaly of

pulmonary artery; hypoplasia of pulmonary artery;

pulmonary arteriovenous aneurysm

CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q25.8 Other congenital malformations of great arteries CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q25.9 Congenital malformation of great arteries, unspecified CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q26.0

Congenital stenosis of vena cava; Congenital stenosis of

inferior vena cava; Congenital stenosis of superior vena

cava

CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q26.2 Total anomalous pulmonary venous connection CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q26.4 Anomalous pulmonary venous connection, unspecified CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q26.8

Other congenital malformations of great veins; Absence of

inferior vena cava ; Absence of superior vena cava ; Azygos

continuation of inferior vena cava; Persistent left posterior

cardinal vein; Scimitar syndrome

CONGENITAL HEART DISEASES 11,600 3,480 8,120

Q26.9

Congenital malformation of great vein, unspecified;

Anomaly of inferior vena cava NOS; Anomaly of superior

vena cava NOS

CONGENITAL HEART DISEASES 11,600 3,480 8,120

E00.0Congenital iodine-deficiency syndrome, neurological type;

Endemic cretinism, neurological typeCONGENITAL HYPOTHYROIDISM 9,900 2,970 6,930

E03.0

Congenital hypothyroidism with diffuse goitre; Nontoxic

congenital Goitre NOS; Nontoxic ongenital

parenchymatous Goitre

CONGENITAL HYPOTHYROIDISM 9,900 2,970 6,930

E03.1

Congenital hypothyroidism without goitre; Aplasia of

thyroid (with myxoedema); Congenital atrophy of thyroid;

Congenital hypothyroidism NOS

CONGENITAL HYPOTHYROIDISM 9,900 2,970 6,930

Q00.0Anencephaly; Acephaly; Acrania; Amyelencephaly;

Hemicephaly; Hemicephaly

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q01.0 Frontal encephaloceleCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q01.1 Nasofrontal encephaloceleCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q01.2 Occipital encephaloceleCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Q01.8 Encephalocele of other sitesCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q02 Microcephaly; Hydromicrocephaly; MicrencephalonCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q03.0

Malformations of aqueduct of Sylvius; Anomaly of

aqueduct of sylvius; Obstruction, congenital of aqueduct of

sylvius; Stenosis of aqueduct of sylvius

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q03.1Atresia of foramina of Magendie and Luschka; Dandy-

Walker syndrome

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q04.0Congenital malformations of corpus callosum; Agenesis of

corpus callosum

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q04.2 HoloprosencephalyCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q04.3

Other reduction deformities of brain; Absence of part of

brain; Agenesis of part of brain; Aplasia of part of brain;

Hypoplasia of part of brain ; Agyria; Hydranencephaly;

Lissencephaly; Microgyria; Pachygyria

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q04.4 Septo-optic dysplasiaCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q04.6 Congenital cerebral cysts; Porencephaly; SchizencephalyCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q04.8Other specified congenital malformations of brain;

Macrogyria

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q04.9

Congenital malformation of brain, unspecified; Congenital

anomaly NOS of brain; Congenital deformity NOS of brain;

Congenital disease of lesion NOS of brain; Congenital

multiple anomalis NOS of brain

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q05.1

Thoracic spina bifida with hydrocephalus; Dorsal spina

bifida with hydrocephalus; Thoracolumbar spina bifida with

hydrocephalus

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q05.2Lumbar spina bifida with hydrocephalus; Lumbosacral spina

bifida with hydrocephalus

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q05.4 Unspecified spina bifida with hydrocephalusCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q05.6Thoracic spina bifida without hydrocephalus; Dorsal NOS

spina bifida; Thoracolumbar NOS spina bifida

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q05.7Lumbar spina bifida without hydrocephalus; Lumbosacral

spina bifida NOS

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q05.8 Sacral spina bifida without hydrocephalusCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q05.9 Spina bifida, unspecifiedCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q06.0 AmyeliaCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q06.2 DiastematomyeliaCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q06.4 Hydromyelia; HydrorachisCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q06.8 Other specified congenital malformations of spinal cordCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q06.9

Congenital malformation of spinal cord, unspecified;

Congenital anomaly NOS of spinal cord or meninges;

Congenital deformity NOS of spinal cord or meninges;

Congenital disease or lesion NOS of spinal cord or meninges

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q07.0 Arnold-Chiari syndromeCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q07.9

Congenital malformation of nervous system, unspecified;

Congenital anomaly NOS of nervous system; Congenital

deformity NOS of nervous system; Congenital disease or

lesion NOS of nervous system

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q74.3 Arthrogryposis multiplex congenitaCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q75.0Craniosynostosis; Acrocephaly; ]Imperfect fusion of skull;

Oxycephaly; Trigonocephaly

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q75.1 Craniofacial dysostosis; Crouzon's diseaseCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q75.2 HypertelorismCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q75.4Mandibulofacial dysostosis; Franceschetti Syndrome;

Treacher Collins Syndrome

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q75.8

Other specified congenital malformations of skull and face

bones; Absence of skull bone, congenital; Congenital

deformity of forehead; Platybasia

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Q75.9

Congenital malformation of skull and face bones,

unspecified; Congenital anomaly of face bones NOS;

Congenital anomaly of skull NOS

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q76.0 Spina bifida occultaCONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q76.4

Other congenital malformations of spine, not associated

with scoliosis; Congenital absence of vertebra unspecified

or not associated with scoliosis; Congenital fusion of spine

unspecified or not associated with scoliosis; Congenital

kyphosis unspecified or not associated with scoliosis;

Congenital lordosis unspecified or not associated with

scoliosis; Congenital malformation of lumbosacral joint

unspecified or not associated with scoliosis; Congenital

malformation of lumbosacral region unspecified or not

associated with scoliosis; Hemivertebra unspecified or not

associated with scoliosis; Malformation of spine

unspecified or not associated with scoliosis;

Platyspondylisis unspecified or not associated with

scoliosis; Supernumerary vertebra unspecified or nor

associated with scoliosis

CONGENITAL MALFORMATIONS OF THE

BRAIN/NERVOUS SYSTEM13,000 3,900 9,100

Q32.0 Congenital tracheomalaciaCONGENITAL MALFORMATIONS OF THE LOWER

RESPIRATORY TRACT21,700 6,510 15,190

Q32.4

Other congenital malformations of bronchus; Absence of

bronchus; Agenesis of bronchus; Atresia of bronchus;

Congenital malformation NOS of bronchus; Diverticulum of

bronchus; Congenital malformations of lung] of bronchus

CONGENITAL MALFORMATIONS OF THE LOWER

RESPIRATORY TRACT21,700 6,510 15,190

Q33.0

Congenital cystic lung; Congenital honeycomb lung;

Congenital cystic lung disease; Congenital polycystic lung

disease

CONGENITAL MALFORMATIONS OF THE LOWER

RESPIRATORY TRACT21,700 6,510 15,190

Q33.2 Sequestration of lungCONGENITAL MALFORMATIONS OF THE LOWER

RESPIRATORY TRACT21,700 6,510 15,190

Q33.3 Agenesis of lung; Absence of lung, lobeCONGENITAL MALFORMATIONS OF THE LOWER

RESPIRATORY TRACT21,700 6,510 15,190

Q33.4 Congenital bronchiectasisCONGENITAL MALFORMATIONS OF THE LOWER

RESPIRATORY TRACT21,700 6,510 15,190

Q33.6 Hypoplasia and dysplasia of lungCONGENITAL MALFORMATIONS OF THE LOWER

RESPIRATORY TRACT21,700 6,510 15,190

Q34.1 Congenital cyst of mediastinumCONGENITAL MALFORMATIONS OF THE LOWER

RESPIRATORY TRACT21,700 6,510 15,190

Q34.8Other specified congenital malformations of respiratory

system; Atresia of nasopharynx

CONGENITAL MALFORMATIONS OF THE LOWER

RESPIRATORY TRACT21,700 6,510 15,190

Q34.9

Congenital malformation of respiratory system,

unspecified; Congenital absence of respiratory organ ;

Congenital anomaly NOS of respiratory organ

CONGENITAL MALFORMATIONS OF THE LOWER

RESPIRATORY TRACT21,700 6,510 15,190

Q30.0

Choanal atresia; Absence of anterior nares; Absence of

posterior nares; congenital stenosis of anterior nares;

Congenital stenosis of posterior nares

CONGENITAL MALFORMATIONS OF THE NOSE,

UPPER RESPIRATORY TRACT11,000 3,300 7,700

Q30.1Agenesis and underdevelopment of nose; Congenital

absence of nose

CONGENITAL MALFORMATIONS OF THE NOSE,

UPPER RESPIRATORY TRACT11,000 3,300 7,700

Q30.2 Fissured, notched and cleft noseCONGENITAL MALFORMATIONS OF THE NOSE,

UPPER RESPIRATORY TRACT11,000 3,300 7,700

Q31.3 LaryngoceleCONGENITAL MALFORMATIONS OF THE NOSE,

UPPER RESPIRATORY TRACT11,000 3,300 7,700

Q31.5 Congenital laryngomalaciaCONGENITAL MALFORMATIONS OF THE NOSE,

UPPER RESPIRATORY TRACT11,000 3,300 7,700

Q31.8

Other congenital malformations of larynx; Absence of

cricoid cartilage, epiglottis, glottis, larynx or thyroid

cartilage; Agenesis of cricoid cartilage, epiglottis, glottis,

larynx or thyroid cartilage; Atresia of cricoid cartilage,

epiglottis, glottis, larynx or thyroid cartilage; Cleft thyroid

cartilage; Congenital stenosis of larynx NEC; Fissure of

epiglottis; Posterior cleft of cricoid cartilage

CONGENITAL MALFORMATIONS OF THE NOSE,

UPPER RESPIRATORY TRACT11,000 3,300 7,700

Q31.9 Congenital malformation of larynx, unspecifiedCONGENITAL MALFORMATIONS OF THE NOSE,

UPPER RESPIRATORY TRACT11,000 3,300 7,700

Q38.2 MacroglossiaCONGENITAL MALFORMATIONS OF THE ORAL

CAVITY4,000 1,200 2,800

Q38.5

Congenital malformations of palate, not elsewhere

classified; Absence of uvula; Congenital malformation of

palate NOS; High arched palate

CONGENITAL MALFORMATIONS OF THE ORAL

CAVITY4,000 1,200 2,800

Q38.6Other congenital malformations of mouth; Congenital

malformation of mouth NOS

CONGENITAL MALFORMATIONS OF THE ORAL

CAVITY4,000 1,200 2,800

Q38.8Other congenital malformations of pharynx; Congenital

malformation of pharynx NOS

CONGENITAL MALFORMATIONS OF THE ORAL

CAVITY4,000 1,200 2,800

Q12.2 Coloboma of lens CONGENITAL OPHTHALMOLOGIC DISORDERS 4,300 1,290 3,010

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Q12.4 Spherophakia CONGENITAL OPHTHALMOLOGIC DISORDERS 4,300 1,290 3,010

Q13.4

Other congenital corneal malformations; Congenital

malformation of cornea NOS;

Microcornea; Peter's anomaly

CONGENITAL OPHTHALMOLOGIC DISORDERS 4,300 1,290 3,010

Q14.0Congenital malformation of vitreous humour; Congenital

vitreous opacityCONGENITAL OPHTHALMOLOGIC DISORDERS 4,300 1,290 3,010

Q14.1Congenital malformation of retina; Congenital retinal

aneurysmCONGENITAL OPHTHALMOLOGIC DISORDERS 4,300 1,290 3,010

Q14.9Congenital malformation of posterior segment of eye,

unspecifiedCONGENITAL OPHTHALMOLOGIC DISORDERS 4,300 1,290 3,010

Q15.0

Congenital glaucoma; Buphthalmos; Glaucoma of newborn;

Hydrophthalmos; Keratoglobus, congenital, with glaucoma;

Macrocornea with glaucoma; Macrophthalmos in

congenital glaucoma; Megalocornea with glaucoma

CONGENITAL OPHTHALMOLOGIC DISORDERS 4,300 1,290 3,010

Q15.8 Other specified congenital malformations of eye CONGENITAL OPHTHALMOLOGIC DISORDERS 4,300 1,290 3,010

Q15.9Congenital malformation of eye, unspecified; Congenital

anomaly NOS of eye; Congenital deformity NOS of eyeCONGENITAL OPHTHALMOLOGIC DISORDERS 4,300 1,290 3,010

P96.0 Congenital renal failure; Uraemia of newborn CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q60.0 Renal agenesis, unilateral CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q60.1 Renal agenesis, bilateral CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q60.2 Renal agenesis, unspecified CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q60.3 Renal hypoplasia, unilateral CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q60.5 Renal hypoplasia, unspecified CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q60.6 Potter's syndrome CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q61.0Congenital single renal cyst; Congenital cyst of kidney;

Single cyst of kidneyCONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q61.1Polycystic kidney, autosomal recessive; Polycystic kidney,

infantile typeCONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q61.2Polycystic kidney, autosomal dominant; Polycystic kidney,

adult typeCONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q61.3 Polycystic kidney, unspecified CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q61.4 Renal dysplasia CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q61.5 Medullary cystic kidney; Sponge kidney NOS CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q61.8Other cystic kidney diseases; Fibrocystic kidney; Fibrocystic

renal degeneration or diseaseCONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q61.9Cystic kidney disease, unspecified; Meckel-Gruber

syndromeCONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q62.0 Congenital hydronephrosis CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q62.7 Congenital vesico-uretero-renal reflux CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q63.0 Accessory kidney CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q63.1 Lobulated, fused and horseshoe kidney CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q63.2Ectopic kidney; Congenital displaced kidney; Malrotation of

kidneyCONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q63.3 Hyperplastic and giant kidney CONGENITAL RENAL DISORDERS 9,100 2,730 6,370

Q63.8Other specified congenital malformations of kidney;

Congenital renal calculiCONGENITAL RENAL DISORDERS 9,100 2,730 6,370

A50.0

Early cutaneous congenital syphilis: , Early mucocutaneous

congenital syphilis, Early visceral congenital syphilis; Early

congenital syphilitic laryngitis; Early congenital syphilitic

oculopathy; Early congenital syphilitic

osteochondropathy; Early congenital syphilitic pharyngitis;

Early congenital syphilitic pneumonia; Early congenital

syphilitic rhinitis

CONGENITAL SYPHILIS 12,800 3,840 8,960

A50.2Early congenital syphilis, unspecified; Congenital syphilis

NOS less than two years after birth.CONGENITAL SYPHILIS 12,800 3,840 8,960

A50.4

Late congenital neurosyphilis [juvenile neurosyphilis];

Dementia paralytica juvenilis; Juvenile general paresis ;

Juvenile tabes dorsalis; Juvenile taboparetic neurosyphilis

CONGENITAL SYPHILIS 12,800 3,840 8,960

A50.5Other late congenital syphilis, symptomatic; Syphilitic

saddle noseCONGENITAL SYPHILIS 12,800 3,840 8,960

A50.9 Congenital syphilis, unspecified CONGENITAL SYPHILIS 12,800 3,840 8,960

Q62.1

Atresia and stenosis of ureter; Congenital occlusion of

ureter; Congenital occlusion of ureteropelvic junction;

Congenital occlusion of ureterovesical orifice; Impervious

ureter

CONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q62.2 Congenital megaloureter; Congenital dilatation of ureter CONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q62.3Other obstructive defects of renal pelvis and ureter;

Congenital ureteroceleCONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q62.5 Duplication of ureter; Accessory of ureter, Double of ureter CONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Page 23 of 127

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Q62.6

Malposition of ureter; Deviation of ureter or ureteric

orifice; Displacement of ureter or ureteric orifice; Ectopic of

ureter or ureteric orifice; Implantation, anomalous of

ureter or ureteric orifice

CONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q64.1Exstrophy of urinary bladder; Ectopia vesicae; Extroversion

of bladderCONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q64.2 Congenital posterior urethral valves CONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q64.3

Other atresia and stenosis of urethra and bladder neck;

Congenital bladder neck obstruction; Congenital stricture of

urethra; Congenital stricture of urinary meatus; Congenital

stricture of vesicourethral orifice; Impervious urethra

CONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q64.4Malformation of urachus; Cyst of urachus; Patent urachus;

Prolapse of urachusCONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q64.7

Other congenital malformations of bladder and urethra;

Accessory bladder; Accessory urethra; Congenital hernia of

bladder; Congenital malformation of bladder or urethra

NOS; Congenital prolapse of bladder (mucosa); Congenital

prolapse of urethra; Congenital prolapse of urinary meatus;

Congenital prolapse of urethrorectal fistula; Double

urethra; Double urinary meatus

CONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q64.8 Other specified congenital malformations of urinary system CONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q64.9

Congenital malformation of urinary system, unspecified;

Congenital anomaly NOS of urinary system; Congenital

deformity NOS of urinary system

CONGENITAL URINARY TRACT DISORDERS 9,100 2,730 6,370

Q27.1 Congenital renal artery stenosis CONGENITAL VASCULAR DISEASES 12,000 3,600 8,400

Q27.3Peripheral arteriovenous malformation; Arteriovenous

aneurysmCONGENITAL VASCULAR DISEASES 12,000 3,600 8,400

Q27.8

Other specified congenital malformations of peripheral

vascular system; Aberrant subclavian artery; Absence of

artery or vein NEC; Atresia of artery or vein NEC; Congenital

aneurysm (peripheral); Congenital stricture, artery;

Congenital varix

CONGENITAL VASCULAR DISEASES 12,000 3,600 8,400

Q27.9Congenital malformation of peripheral vascular system,

unspecified; Anomaly of artery or vein NOSCONGENITAL VASCULAR DISEASES 12,000 3,600 8,400

Q28.0

Arteriovenous malformation of precerebral vessels;

Congenital arteriovenous precerebral aneurysm

(nonruptured)

CONGENITAL VASCULAR DISEASES 12,000 3,600 8,400

Q28.1

Other malformations of precerebral vessels; Congenital

malformation of precerebral vessels NOS; Congenital

precerebral aneurysm (nonruptured)

CONGENITAL VASCULAR DISEASES 12,000 3,600 8,400

Q28.2

Arteriovenous malformation of cerebral vessels;

Arteriovenous malformation of brain NOS;

Congenital arteriovenous cerebral aneurysm (nonruptured)

CONGENITAL VASCULAR DISEASES 12,000 3,600 8,400

Q28.3

Other malformations of cerebral vessels; Congenital

cerebral aneurysm, nonruptured; Congenital malformation

of cerebral vessels NOS

CONGENITAL VASCULAR DISEASES 12,000 3,600 8,400

M30.0 Polyarteritis nodosa CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M30.1Polyarteritis with lung involvement [Churg-Strauss]; Allergic

granulomatous angiitisCONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M30.2 Juvenile polyarteritis CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M30.3 Mucocutaneous lymph node syndrome [Kawasaki] CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M30.8Other conditions related to polyarteritis nodosa;

Polyangiitis overlap syndromeCONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M31.0 Hypersensitivity angiitis; Goodpasture's syndrome CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M31.1Thrombotic microangiopathy; Thrombotic

thrombocytopenic purpuraCONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M31.2 Lethal midline granuloma CONNECTIVE TISSUE DISEASES N/A N/A N/A

M31.3Wegener's granulomatosis; Necrotizing respiratory

granulomatosisCONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M31.4 Aortic arch syndrome [Takayasu] CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M31.6 Other giant cell arteritis CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M31.8Other specified necrotizing vasculopathies;

Hypocomplementaemic vasculitisCONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M31.9 Necrotizing vasculopathy, unspecified CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M33.0 Juvenile dermatomyositis CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M33.1 Other dermatomyositis CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M33.2 Polymyositis CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M33.9 Dermatopolymyositis, unspecified CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M34.0 Progressive systemic sclerosis CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M34.1

CR(E)ST syndrome; Combination of calcinosis, Raynaud's

phenomenon, (o)esophageal dysfunction,

sclerodactyly, telangiectasia

CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M34.2 Systemic sclerosis induced by drugs and chemicals CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M34.9 Systemic sclerosis, unspecified CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M35.0 Sicca syndrome [SJÖGREN] CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M35.1 Other overlap syndromes; Mixed connective tissue disease CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M35.2 Behçet's disease CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M35.3 Polymyalgia rheumatica CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M35.4 Diffuse (eosinophilic) fasciitis CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M35.8 Other specified systemic involvement of connective tissue CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

M35.9

Systemic involvement of connective tissue, unspecified;

Systemic Autoimmune disease NOS; Collagen (vascular)

disease NOS

CONNECTIVE TISSUE DISEASES 13,800 4,140 9,660

G50.0Trigeminal neuralgia; Syndrome of paroxysmal facial pain;

Tic douloureuxCRANIAL NERVE DISORDER 7,400 2,220 5,180

G50.8 Other disorders of trigeminal nerve CRANIAL NERVE DISORDER 7,400 2,220 5,180

G51.0 Bell's palsy; Facial palsy CRANIAL NERVE DISORDER 7,400 2,220 5,180

G51.1 Geniculate ganglionitis CRANIAL NERVE DISORDER 7,400 2,220 5,180

G51.3 Clonic hemifacial spasm CRANIAL NERVE DISORDER 7,400 2,220 5,180

G51.4 Facial myokymia CRANIAL NERVE DISORDER 7,400 2,220 5,180

G51.8 Other disorders of facial nerve CRANIAL NERVE DISORDER 7,400 2,220 5,180

G51.9 Disorder of facial nerve, unspecified CRANIAL NERVE DISORDER 7,400 2,220 5,180

G52.0 Disorders of olfactory nerve; Disorder of 1st cranial nerve CRANIAL NERVE DISORDER 7,400 2,220 5,180

G52.1Disorders of glossopharyngeal nerve; Disorder of 9th

cranial nerve; Glossopharyngeal neuralgiaCRANIAL NERVE DISORDER 7,400 2,220 5,180

G52.2Disorders of vagus nerve; Disorder of pneumogastric [10th]

nerveCRANIAL NERVE DISORDER 7,400 2,220 5,180

G52.7 Disorders of multiple cranial nerves; Polyneuritis cranialis CRANIAL NERVE DISORDER 7,400 2,220 5,180

G52.8 Disorders of other specified cranial nerves CRANIAL NERVE DISORDER 7,400 2,220 5,180

H46Optic neuritis; Optic neuropathy, except ischaemic; Optic

papillitis; Retrobulbar neuritis NOSCRANIAL NERVE DISORDER 7,400 2,220 5,180

H47.0

Disorders of optic nerve, not elsewhere classified;

Compression of optic nerve; Haemorrhage in optic nerve

sheath; Ischaemic optic neuropathy

CRANIAL NERVE DISORDER 7,400 2,220 5,180

J05.0Acute obstructive laryngitis [croup]; Obstructive laryngitis

NOSCROUP 8,200 2,460 5,740

E24.0Pituitary-dependent Cushing's disease; Overproduction of

pituitary ACTH; Pituitary-dependent hyperadrenocorticismCUSHING'S SYNDROME 9,500 2,850 6,650

E24.1 Nelson's syndrome CUSHING'S SYNDROME 9,500 2,850 6,650

E24.2 Drug-induced Cushing's syndrome CUSHING'S SYNDROME 9,500 2,850 6,650

E24.3 Ectopic ACTH syndrome CUSHING'S SYNDROME 9,500 2,850 6,650

E24.8 Other Cushing's syndrome CUSHING'S SYNDROME 9,500 2,850 6,650

E24.9 Cushing's syndrome, unspecified CUSHING'S SYNDROME 9,500 2,850 6,650

E84.0 Cystic fibrosis with pulmonary manifestations CYSTIC FIBROSIS 7,300 2,190 5,110

E84.1 Cystic fibrosis with intestinal manifestations CYSTIC FIBROSIS 7,300 2,190 5,110

E84.8Cystic fibrosis with other manifestations; Cystic fibrosis with

combined manifestationsCYSTIC FIBROSIS 7,300 2,190 5,110

E84.9 Cystic fibrosis, unspecified CYSTIC FIBROSIS 7,300 2,190 5,110

G30.0 Alzheimer's disease with early onsetDEGENERATIVE DISEASES OF CENTRAL NERVOUS

SYSTEM10,000 3,000 7,000

G30.1 Alzheimer's disease with late onsetDEGENERATIVE DISEASES OF CENTRAL NERVOUS

SYSTEM10,000 3,000 7,000

G30.8 Other Alzheimer's diseaseDEGENERATIVE DISEASES OF CENTRAL NERVOUS

SYSTEM10,000 3,000 7,000

G30.9+F00.9* Dementia in alzheimer's disease, unspecifiedDEGENERATIVE DISEASES OF CENTRAL NERVOUS

SYSTEM10,000 3,000 7,000

G31.0Circumscribed brain atrophy; Pick's disease; Progressive

isolated aphasia

DEGENERATIVE DISEASES OF CENTRAL NERVOUS

SYSTEM10,000 3,000 7,000

G31.1 Senile degeneration of brain, not elsewhere classifiedDEGENERATIVE DISEASES OF CENTRAL NERVOUS

SYSTEM10,000 3,000 7,000

G31.2

Degeneration of nervous system due to alcohol; Alcoholic

cerebellar ataxia; Alcoholic cerebellar degeneration;

Alcoholic cerebral degeneration; Alcoholic encephalopathy;

Dysfunction of autonomic nervous system due to alcohol

DEGENERATIVE DISEASES OF CENTRAL NERVOUS

SYSTEM10,000 3,000 7,000

G31.8

Other specified degenerative diseases of nervous system;

Grey-matter degeneration [Alpers]; Lewy body (ies)

dementia; Lewy body (ies) disease; Subacute necrotizing

encephalopathy [Leigh]

DEGENERATIVE DISEASES OF CENTRAL NERVOUS

SYSTEM10,000 3,000 7,000

G32.8*Other specified degenerative disorders of nervous system

in diseases classified elsewhere

DEGENERATIVE DISEASES OF CENTRAL NERVOUS

SYSTEM10,000 3,000 7,000

G35

Multiple sclerosis; Multiple sclerosis NOS; Multiple

sclerosis of brain stem; Multiple sclerosis of cord; Multiple

sclerosis, disseminated; Multiple sclerosis, generalized

DEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

G36.0Neuromyelitis optica [Devic]; Demyelination in optic

neuritis

DEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

G36.1Acute and subacute haemorrhagic leukoencephalitis

[Hurst]

DEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

G36.8 Other specified acute disseminated demyelinationDEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

G36.9 Acute disseminated demyelination, unspecifiedDEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

G37.0 Diffuse sclerosis; Periaxial encephalitis; Schilder's diseaseDEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

G37.1 Central demyelination of corpus callosumDEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

G37.2 Central pontine myelinolysisDEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

G37.3Acute transverse myelitis in demyelinating disease of

central nervous system; Acute transverse myelitis NOS

DEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

G37.4 Subacute necrotizing myelitisDEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

G37.8Other specified demyelinating diseases of central nervous

system

DEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

G37.9

Demyelinating disease of central nervous system,

unspecified

Brain sclerosis

DEMYELINATING DISEASE OF CENTRAL NERVOUS

SYSTEM11,600 3,480 8,120

A97.0

Dengue without warning signs: Dengue fever (DF) Dengue

haemorrhagic fever Grades 1 and 2; Dengue haemorrhagic

fever without warning signs

DENGUE FEVER 10,000 3,000 7,000

A97.1Dengue with warning sings; Dengue haemorrhagic fever

with warning signsDENGUE FEVER 10,000 3,000 7,000

A97.2Severe Dengue; Severe Dengue fever; Severe Dengue

haemorrhagic feverDENGUE, SEVERE 16,000 4,800 11,200

E23.2 Diabetes insipidus DIABETES INSIPIDUS 10,100 3,030 7,070

N25.1 Nephrogenic diabetes insipidus DIABETES INSIPIDUS 10,100 3,030 7,070

E10.0

Insulin-dependent diabetes mellitus with coma; Brittle

diabetes (mellitus) with coma; Juvenile-onset diabetes

(mellitus) withcoma ; Ketosis-prone diabetes (mellitus)

with coma; Type I diabetes (mellitus) with coma;

DIABETES MELLITUS WITH COMA OR KETOSIS 15,800 4,740 11,060

E10.1

Insulin-dependent diabetes mellitus with acididosis/

ketoacidosis without mention of coma; Diabetic acididosis

without mention of coma; Diabetic ketoacidosis without

mention of coma;

DIABETES MELLITUS WITH COMA OR KETOSIS 15,800 4,740 11,060

E11.0

Non-insulin-dependent diabetes mellitus with coma;

Nonobese diabetes (mellitus) With coma ; Obese diabetes

mellitus With coma ; Adult-onset diabetes mellitus With

coma ; Maturity-onset diabetes mellitus With coma ;

Nonketotic diabetes mellitus With coma; Stable diabetes

mellitus with coma; Type II diabetes mellitus with coma;

Non-insulin-dependent diabetes of the young

DIABETES MELLITUS WITH COMA OR KETOSIS 15,800 4,740 11,060

E11.1

Non-insulin-dependent diabetes mellitus with ketoacidosis

without mention of coma; ; Nonobese diabetes (mellitus)

With ketoacidosis without mention of coma; Obese

diabetes mellitus With ketoacidosis without mention of

coma; Adult-onset diabetes mellitus without mention of

coma; Maturity-onset diabetes mellitus without mention of

coma; Nonketotic diabetes mellitus without mention of

coma; Stable diabetes mellitus without mention of coma;

Type II diabetes mellitus without mention of coma; Non-

insulin-dependent diabetes of the young

DIABETES MELLITUS WITH COMA OR KETOSIS 15,800 4,740 11,060

E12.0

Malnutrition-related diabetes mellitus with coma; Insulin-

dependent malnutrition-related diabetes mellitus with

coma ; Non-insulin-dependent malnutrition-related

diabetes mellitus with coma

DIABETES MELLITUS WITH COMA OR KETOSIS 15,800 4,740 11,060

E13.0 Other specified diabetes mellitus with coma DIABETES MELLITUS WITH COMA OR KETOSIS 15,800 4,740 11,060

E13.1Other specified diabetes mellitus with acididosis/

ketoacidosis without mention of comaDIABETES MELLITUS WITH COMA OR KETOSIS 15,800 4,740 11,060

E14.0 Unspecified diabetes mellitus; diabetes NOS with coma DIABETES MELLITUS WITH COMA OR KETOSIS 15,800 4,740 11,060

E14.1Unspecified diabetes mellitus; diabetes NOS with

acididosis/ ketoacidosis without mention of comaDIABETES MELLITUS WITH COMA OR KETOSIS 15,800 4,740 11,060

E10.5Insulin-dependent diabetes mellitus with Diabetic

gangrene/ ulcer

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E10.6Insulin-dependent diabetes mellitus with other specified

complications

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E10.7Insulin-dependent diabetes mellitus with multiple

complications

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

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FIRST CASE RATE

E10.8Insulin-dependent diabetes mellitus with unspecified

complications

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E11.5

Non-insulin-dependent diabetes mellitus with Diabetic

gangrene/ ulcer; Nonobese diabetes (mellitus) with

Diabetic gangrene/ ulcer; Obese diabetes mellitus with

Diabetic gangrene/ ulcer; Adult-onset diabetes mellitus

with Diabetic gangrene/ ulcer; Maturity -onset diabetes

mellitus with Diabetic gangrene/ulcer; Nonketotic diabetes

mellitus with Diabetic gangrene/ulcer; Stable diabetes

mellitus with diabetic gangrene/ulcer; Type II diabetes

mellitus with diabetic gangrene/ulcer; Non-insulin-

dependent diabetes of the young

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E11.6Non-insulin-dependent diabetes mellitus with other

specified complications

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E11.7

Non-insulin-dependent diabetes mellitus with multiple

complications ; Nonobese diabetes (mellitus) With

multiple complications ; Obese diabetes mellitus With

multiple complications ; Adult-onset diabetes mellitus

With multiple complications ; Matur

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E12.5

Malnutrition-related diabetes mellitus with Diabetic

gangrene/ ulcer; Insulin-dependent malnutrition-related

diabetes mellitus with Diabetic gangrene/ ulcer; Non-

insulin-dependent malnutrition-related diabetes mellitus

with Diabetic gangrene/ ulcer

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E12.6Malnutrition-related diabetes mellitus with other specified

complications

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E12.8

Malnutrition-related diabetes mellitus with unspecified

complications; Insulin-dependent malnutrition-related

diabetes mellitus with unspecified complications; Non-

insulin-dependent malnutrition-related diabetes mellitus

with unspecified complications

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E13.5Other specified diabetes mellitus with Diabetic gangrene/

ulcer

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E13.6Other specified diabetes mellitus with other specified

complications

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E14.5Unspecified diabetes mellitus; diabetes NOS with Diabetic

gangrene/ ulcer

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E14.6Unspecified diabetes mellitus with other specified

complications

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E14.7Unspecified diabetes mellitus; diabetes NOS with multiple

complications

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

A36.0Pharyngeal diphtheria; Diphtheritic membranous angina;

Tonsillar diphtheriaDIPHTHERIA 8,700 2,610 6,090

A36.3 Cutaneous diphtheria DIPHTHERIA 8,700 2,610 6,090

A36.9 Diphtheria, unspecified DIPHTHERIA 8,700 2,610 6,090

D70

Agranulocytosis; Agranulocytic angina; Infantile genetic

agranulocytosis; Kostmann's disease;

Neutropenia NOS; Congenital Neutropenia; Cyclic

Neutropenia; Drug-induced Neutropenia; Periodic

Neutropenia; Primary Splenic Neutropenia; Toxic

Neutropenia; Neutropenic splenomegaly

DISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D71

Functional disorders of polymorphonuclear neutrophils;

Cell membrane receptor complex [CR3] defect; Chronic

(childhood) granulomatous disease;

Congenital dysphagocytosis; Progressive septic

granulomatosis; Other disorders of white blood cells

DISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D72.0

Genetic anomalies of leukocytes; Alder Granulation

Anomaly or Syndrome; Alder Granulocyte Anomaly or

Syndrome; May-Hegglin Granulation Anomaly or

Syndrome; May-Hegglin Granulocyte Anomaly or

Syndrome; Pelger-Huët Granulocyte Anomaly or

Syndrome; Hereditary leukocytic: hypersegmentation,;

hyposegmentation ; Hereditary leukomelanopathy

DISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D72.8

Other specified disorders of white blood cells; Lymphocytic

Leukaemoid reaction; Monocytic Leukaemoid reaction;

Myelocytic Leukaemoid reaction; Leukocytosis;

Symptomatic Lymphocytosis; Lymphopenia; Symptomatic

Monocytosis;Plasmacytosis

DISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D73.2 Chronic congestive splenomegalyDISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D73.3 Abscess of spleenDISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

D73.4 Cyst of spleenDISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D73.5Infarction of spleen; Nontraumatic Splenic rupture; Torsion

of spleen

DISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D73.8Other diseases of spleen; Fibrosis of spleen NOS;

Perisplenitis; Splenitis NOS

DISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D74.9 Methaemoglobinaemia, unspecifiedDISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D75.0Familial erythrocytosis; Benign Polycythaemia; Familial

Polycythaemia

DISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D75.1

Secondary polycythaemia; Acquired Polycythaemia due to

erythropoietin; Acquired Polycythaemia due to fall in

plasma volume; Acquired Polycythaemia due to high

altitude; Acquired Polycythaemia due to stress; Emotional

Polycythaemia; Hypoxaemic Polycythaemia; nephrogenous

Polycythaemia; relative Polycythaemia

DISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D75.2 Essential thrombocytosisDISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D75.8 Other specified diseases of blood and blood-forming organsDISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D76.0 Langerhans' cell histiocytosis, not elsewhere classifiedDISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D76.1

Haemophagocytic lymphohistiocytosis; Eosinophilic

granuloma; Hand-Schüller-Christian disease; Chronic

Histiocytosis X

DISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D76.2 Haemophagocytic syndrome, infection-associatedDISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

D76.3

Other histiocytosis syndromes; Reticulohistiocytoma (giant-

cell); Sinus histiocytosis with massive lymphadenopathy;

Xanthogranuloma

DISEASES OF BLOOD AND BLOOD FORMING

ORGANS12,100 3,630 8,470

K20Oesophagitis; Abscess of oesophagus; Oesophagitis NOS;

Chemical oesophagitis; Peptic oesophagitisDISEASES OF ESOPHAGUS 8,300 2,490 5,810

K22.0 Achalasia of cardia; Achalasia NOS; Cardiospasm DISEASES OF ESOPHAGUS 8,300 2,490 5,810

K22.1

Ulcer of oesophagus; Erosion of oesophagus; Ulcer of

oesophagus NOS; Ulcer of oesophagus due to ingestion of

chemicals; Ulcer of oesophagus due to ingestion of drugs

and medicaments; Fungal ulcer of oesophagus; Peptic ulcer

of oesophagus; Ulcerative oesophagitis

DISEASES OF ESOPHAGUS 8,300 2,490 5,810

K22.2

Oesophageal obstruction; Oesophageal web (acquired);

Compression of oesophagus; Constriction of oesophagus;

Stenosis of oesophagus; Stricture of oesophagus

DISEASES OF ESOPHAGUS 8,300 2,490 5,810

K22.3 Perforation of oesophagus; Rupture of oesophagus DISEASES OF ESOPHAGUS 8,300 2,490 5,810

K22.4Dyskinesia of oesophagus; Corksrew oesophagus; Diffuse

oesophageal spasm; Spasm of oesophagusDISEASES OF ESOPHAGUS 8,300 2,490 5,810

K22.6Gastro-oesophageal laceration-haemorrhage syndrome;

Mallory-Weiss syndromeDISEASES OF ESOPHAGUS 8,300 2,490 5,810

K22.7 Barrett's esophagus; Barret's disease; Barett's syndrome DISEASES OF ESOPHAGUS 8,300 2,490 5,810

K22.8Other specified diseases of oesophagus; Haemorrhage of

oesophagus NOSDISEASES OF ESOPHAGUS 8,300 2,490 5,810

K22.9 Disease of oesophagus, unspecified DISEASES OF ESOPHAGUS 8,300 2,490 5,810

H60.1Cellulitis of external ear; Cellulitis of auricle; Cellulitis of

external auditory canalDISEASES OF EXTERNAL EAR 9,000 2,700 6,300

H60.2 Malignant otitis externa DISEASES OF EXTERNAL EAR 9,000 2,700 6,300

H60.3Other infective otitis externa; diffuse Otitis externa ;

Haemorrhagic Otitis externa ; Swimmer's earDISEASES OF EXTERNAL EAR 9,000 2,700 6,300

H60.4Cholesteatoma of external ear; Keratosis obturans of

external ear (canal)DISEASES OF EXTERNAL EAR 9,000 2,700 6,300

H83.0 Labyrinthitis DISEASES OF INNER EAR 6,200 1,860 4,340

H83.8 Other specified diseases of inner ear DISEASES OF INNER EAR 6,200 1,860 4,340

H68.1

Obstruction of Eustachian tube; Compression of

Eustachian tube; Stenosis of Eustachian tube; Stricture of

Eustachian tube

DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H69.9 Eustachian tube disorder, unspecified DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H70.0Acute mastoiditis; Abscess of mastoid; Empyema of

mastoidDISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H70.1 Chronic mastoiditis; Caries of mastoid; Fistula of mastoid DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H70.2Petrositis; Acute inflammation of petrous bone; Chronic

inflammation of petrous boneDISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H70.8 Other mastoiditis and related conditions DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H70.9 Mastoiditis, unspecified DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

H71

Cholesteatoma of middle ear; Cholesteatoma tympani;

Perforation of tympanic membrane; Persistent post-

traumatic perforation of ear drum; Postinflammatory

perforation of ear drum

DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H73.0 Acute myringitis; Acute tympanitis; Bullous myringitis DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H73.1 Chronic myringitis; Chronic tympanitis DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H73.8 Other specified disorders of tympanic membrane DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H73.9 Disorder of tympanic membrane, unspecified DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H74.8 Other specified disorders of middle ear and mastoid DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

H74.9 Disorder of middle ear and mastoid, unspecified DISEASES OF MIDDLE EAR AND MASTOID 10,400 3,120 7,280

K09.0

Developmental odontogenic cysts; Dentigerous cyst;

Eruption Cyst; Follicular cyst; Gingival cyst; Lateral

periodontal cyst; Primordial cyst; Keratocyst

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K09.1

Developmental (nonodontogenic) cysts of oral region; Cyst

of globulomaxillary; Cyst of incisive canal; Cyst of median

palatal; Cyst of nasopalatine; Cyst of palatine papilla

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K09.2Other cysts of jaw; Cyst of jaw NOS; Aneurysmal cyst of

jaw; Haemorrhagic cyst of jaw; Traumatic cyst of jaw

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K09.8

Other cysts of oral region, not elsewhere classified;

Dermoid cyst of mouth; Epidermoid cyst of mouth;

Lymphoepithelial cyst of mouth; Epstein's pearl;

Nasoalveolar cyst; Nasolabial cyst

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K09.9 Cyst of oral region, unspecifiedDISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K10.0Developmental disorders of jaws; Latent bone cyst of jaw;

Stafne's cyst; Torus mandibularis; Torus palatinus

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K10.1 Giant cell granuloma, central; Giant cell granuloma NOSDISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K10.2

Inflammatory conditions of jaws; Acute osteitis of jaw;

Chronic osteitis of jaw; Supparative osteitis of jaw; Acute

neonatal osteomyelitis of jaw; Chronic neonatal

osteomyelitis of jaw; Supparative neonatal osteomyelitis of

jaw; Acute osteoradionecrosis of jaw; chronic

osteoradionecrosis of jaw; Suppurative osteoradionecrosis

of jaw; Acute periostitis of jaw; Chronic periortitis of jaw;

Suppurative periortitis of jaw; Sequestrum, of jaw bone

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K10.3 Alveolitis of jaws; Alveolar osteitis; Dry socketDISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K10.8

Other specified diseases of jaws; Cherubism of jaw;

Exostosis of jaw; Fibrous dysplasia of jaw; Unilateral

condylar hyperplasia; Unilateral condylar hypoplasia

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K11.2 SialoadenitisDISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K11.3 Abscess of salivary glandDISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K11.4 Fistula of salivary glandDISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K11.5Sialolithiasis; Calculus of salivary gland or duct; Stone of

salivary gland or duct

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K11.6

Mucocele of salivary gland; Mucous extravasation cyst of

salivary gland; Mucous retention cyst of salivary gland;

Ranula

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K11.8

Other diseases of salivary glands; Benign lymphoepithelial

lesion of salivary gland; Mikulicz' disease; Necrotizing

sialometaplasia; Sialectasia; Stenosis of salivary duct;

Stricture of salivary duct

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K11.9 Disease of salivary gland, unspecified; Sialoadenopathy NOSDISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K12.2Cellulitis and abscess of mouth; Cellulitis of floor of mouth;

Submandibular abscess

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K13.4

Granuloma and granuloma-like lesions of oral mucosa;

Eosinophilic granuloma of oral mucosa; Granuloma

pyogenicum of oral mucosa; Verrucous xanthoma of oral

mucosa

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K13.7Other and unspecified lesions of oral mucosa; Focal oral

mucinosis

DISEASES OF ORAL CAVITY, SALIVARY GLANDS,

AND JAW8,300 2,490 5,810

K31.1 Adult hypertrophic pyloric stenosis; Pyloric stenosis NOS DISEASES OF STOMACH AND DUODENUM 6,600 1,980 4,620

K31.2 Hourglass stricture and stenosis of stomach DISEASES OF STOMACH AND DUODENUM 6,600 1,980 4,620

K31.3 Pylorospasm, not elsewhere classified DISEASES OF STOMACH AND DUODENUM 6,600 1,980 4,620

K31.4 Gastric diverticulum DISEASES OF STOMACH AND DUODENUM 6,600 1,980 4,620

K31.5

Obstruction of duodenum; Constriction of duodenum;

Stenosis of duodenum; Stricture of duodenum; Chronic

duodenal ileus

DISEASES OF STOMACH AND DUODENUM 6,600 1,980 4,620

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

K31.6Fistula of stomach and duodenum; Gastrocolic fistula;

Gastrojejunocolic fistulaDISEASES OF STOMACH AND DUODENUM 6,600 1,980 4,620

K31.7 Polyp of stomach and duodenum DISEASES OF STOMACH AND DUODENUM 6,600 1,980 4,620

K31.8

Other specified diseases of stomach and duodenum;

Achlorhydria; Gastroptosis; Hourglass contraction of

stomach

DISEASES OF STOMACH AND DUODENUM 6,600 1,980 4,620

K74.4 Secondary biliary cirrhosisDISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K74.5 Biliary cirrhosis, unspecifiedDISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K80.2

Calculus of gallbladder without cholecystitis;

Cholecystolithiasis unspecified or without cholecystitis;

Cholelithiasis unspecified or without cholecystitis;

Recurrent colic of gallbladder unspecified or without

cholecystitis; Impacted gallstone of cystic duct unspecified

or without cholecystitis; impacted gallstone of gallbladder

unspecified or without cholecystitis

DISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K80.5

Calculus of bile duct without cholangitis or cholecystitis;

Choledocholithiasis unspecified or without cholangitis or

cholecystitis; Impacted gallstone of bile duct NOS

unspecified or without cholangitis or cholecystitis;

Impacted gallstone of common duct unspecified or without

cholangitis or cholecystitis; Impacted gallstone of hepatic

duct unspecified or without cholangitis or cholecystitis;

Hepatic cholelithiasis unspecified or without cholangitisor

cholecystitis; Hepatic recurrent colic unspecified or without

cholangitis or cholecystitis

DISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K80.8 Other cholelithiasisDISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K82.0

Obstruction of gallbladder; Occlusion of cystic duct of

gallbladder without calculus; Stenosis of cystic duct or

gallbladder without calculus; Stricture of cystic duct or

gallbladder without calculus

DISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K82.1 Hydrops of gallbladder; Mucocele of gallbladderDISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K82.2Perforation of gallbladder; Rupture of cystic duct or

gallbladder

DISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K82.3Fistula of gallbladder; Cholecystocolic fistula;

Cholecystoduodenal fistula

DISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K82.4 Cholesterolosis of gallbladder; Strawberry gallbladderDISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K82.8

Other specified diseases of gallbladder; Adhesions of cystic

duct or gallbladder; Atrophy of cystic duct or gallbladder;

Cyst of cystic duct or gallbladder; Dyskinesia of cystic duct

or gallbladder; Hypertrophy of cystic duct or gallbladder;

Nonfunctioning of cystic duct or gallbladder; Ulcer of cystic

duct or gallbladder

DISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K83.0

Cholangitis; Cholangitis NOS; Ascending cholangitis;

Primary cholangitis; Recurrent cholangitis; Sclerosing

cholangitis; Secondary cholangitis; Stenosing cholangitis;

Suppurative cholangitis

DISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K83.1

Obstruction of bile duct; Occlusion of bile duct without

calculus; Stenosis of bile duct without calculus; Stricture of

bile duct without calculus

DISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K83.3 Fistula of bile duct; Choledochoduodenal fistulaDISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K83.4 Spasm of sphincter of OddiDISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K83.5 Biliary cystDISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K83.8

Other specified diseases of biliary tract; Adhesions of bile

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

of bile duct

DISEASES OF THE GALLBLADDER AND BILIARY

TRACT9,800 2,940 6,860

K85

Acute pancreatitis; Abscess of pancreas; Acute necrosis of

pancreas; Infective necrosis of pancreas; Pancreatitis NOS;

Acute recurrent pancreatitis; Haemorrhagic pancreatitis;

Subacute pancreatitis; Supparative pancreatitis

DISEASES OF THE PANCREAS 12,600 3,780 8,820

K85.0 Idiopathic acute pancreatitis DISEASES OF THE PANCREAS 12,600 3,780 8,820

K85.1 Biliary acute pancreatitis; Gallstone pancreatitis DISEASES OF THE PANCREAS 12,600 3,780 8,820

K85.2 Alcohol-induced acute pancreatitis DISEASES OF THE PANCREAS 12,600 3,780 8,820

K85.8 Other acute pancreatitis DISEASES OF THE PANCREAS 12,600 3,780 8,820

K85.9 Acute pancreatitis, unspecified; Other diseases of pancreas DISEASES OF THE PANCREAS 12,600 3,780 8,820

K86.0 Alcohol-induced chronic pancreatitis DISEASES OF THE PANCREAS 12,600 3,780 8,820

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

K86.1

Other chronic pancreatitis; Chronic pancreatitis NOS;

Infectious chronic pancreatitis; Recurrent chronic

pancreatitis; Relapsing chronic pancreatitis

DISEASES OF THE PANCREAS 12,600 3,780 8,820

K86.2 Cyst of pancreas DISEASES OF THE PANCREAS 12,600 3,780 8,820

K86.3 Pseudocyst of pancreas DISEASES OF THE PANCREAS 12,600 3,780 8,820

K86.8

Other specified diseases of pancreas; Atrophy of pancreas;

Calculus of pancreas; Cirrhosis of pancreas; Fibrosis of

pancreas; Pancreatic infantilism; Pancreatic necrosis NOS;

Aseptic pancreatic necrosis; Fat necrosis of pancreas

DISEASES OF THE PANCREAS 12,600 3,780 8,820

I28.8

Other specified diseases of pulmonary vessels; Rupture of

pulmonary vessel; Stenosis of pulmonary vessel; Stricture

of pulmonary vessel

DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I71.0Dissection of aorta [anypart]; Dissecting aneurysm of aorta

(ruptured) [any part]DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I71.9

Aortic aneurysm of unspecified site without mention of

rupture; Aneurysm of aorta; Dilatation of aorta; Hyaline

necrosis of aorta

DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I74.0Embolism and thrombosis of abdominal aorta; Aortic

bifurcation syndrome; Leriche's syndromeDISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I74.1Embolism and thrombosis of other and unspecified parts of

aortaDISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I74.2 Embolism and thrombosis of arteries of upper extremities DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I74.3 Embolism and thrombosis of arteries of lower extremities DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I74.4Embolism and thrombosis of arteries of extremities,

unspecified; Peripheral arterial embolismDISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I74.5 Embolism and thrombosis of iliac artery DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I74.8 Embolism and thrombosis of other arteries DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I74.9 Embolism and thrombosis of unspecified artery DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I77.4 Coeliac artery compression syndrome DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I77.6 Arteritis, unspecified; Aortitis NOS; Endarteritis NOS DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I77.8 Other specified disorders of arteries and arterioles DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I85.0 Oesophageal varices with bleeding DISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

I87.1Compression of vein; Stricture of vein; Inferior Vena cava

syndrome; Superior vena cava syndromeDISEASES OF VASCULAR SYSTEM 13,100 3,930 9,170

H30.1

Disseminated chorioretinal inflammation; Disseminated

chorioretinitis; Disseminated choroiditis; Disseminated

retinitis; Disseminated retinochoroiditis

DISODERS OF CHOROID AND RETINA 4,600 1,380 3,220

H30.8 Other chorioretinal inflammations; Harada's disease DISODERS OF CHOROID AND RETINA 4,600 1,380 3,220

H31.3Choroidal haemorrhage and rupture; Choroidal

haemorrhage NOS; Choroidal haemorrhage expulsiveDISODERS OF CHOROID AND RETINA 4,600 1,380 3,220

M80.0 Postmenopausal osteoporosis with pathological fracture DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M80.1 Postoophorectomy osteoporosis with pathological fracture DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M80.3Postsurgical malabsorption osteoporosis with pathological

fractureDISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.0 Postmenopausal osteoporosis DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.08 Postmenopausal osteoporosis Other DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.1 Postoophorectomy osteoporosis DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.4 Drug-induced osteoporosis DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.40 Drug-induced osteoporosis Multiple site DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.55 Idiopathic osteoporosis Pelvic region and thigh DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.58 Idiopathic osteoporosis Other DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.6 Localized osteoporosis [Lequesne] DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.8 Other osteoporosis; Senile osteoporosis DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.88Other osteoporosis; Senile osteoporosis Other, head,

neck,ribs,skull,trunk,vertebral columnDISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.89 Other osteoporosis; Senile osteoporosis Site unspecified DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.9 Osteoporosis, unspecified DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.95 Osteoporosis, Pelvic region and thigh DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M81.98 Osteoporosis, Other DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M83.2Adult osteomalacia due to malabsorption; Postsurgical

malabsorption osteomalacia in adultsDISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M83.4 Aluminium bone disease DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M83.8 Other adult osteomalacia DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M83.87 Other adult osteomalacia Ankle and foot DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M83.89 Other adult osteomalacia Site unspecified DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M83.9 Adult osteomalacia, unspecified DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M83.99 Adult osteomalacia, unspecified Site unspecified DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M85.0 Fibrous dysplasia (monostotic) DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M85.1 Skeletal fluorosis Multiple site DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M85.2 Hyperostosis of skull DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M85.5 Aneurysmal bone cyst DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M85.55 Aneurysmal bone cyst Pelvic region and thigh DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M85.6 Other cyst of bone DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M85.63 Other cyst of bone Forearm DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M85.65 Other cyst of bone Pelvic region and thigh DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M85.8Other specified disorders of bone density and structure;

Hyperostosis of bones, except skullDISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M85.88Other specified disorders of bone density and structure;

Hyperostosis of bones, except skull OtherDISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

M89.38 Hypertrophy of bone Other DISORDER OF BONE DENSITY AND STRUCTURE 7,900 2,370 5,530

E75.2

Other sphingolipidosis; Fabry(-Anderson) Disease; Gaucher

Disease; Krabbe Disease; Niemann-Pick Disease; Faber's

syndrome; Metachromatic leukodystrophy; Sulfatase

deficiency

DISORDER OF LIPID STORAGE 8,100 2,430 5,670

E75.4

Neuronal ceroid lipofuscinosis; Batten Disease;

Bielschowsky-Jansky Disease; Kufs Disease; pielmeyer-Vogt

Disease

DISORDER OF LIPID STORAGE 8,100 2,430 5,670

E75.5

Other lipid storage disorders; Cerebrotendinous

cholesterosis [van Bogaert-Scherer-Epstein]; Wolman's

disease

DISORDER OF LIPID STORAGE 8,100 2,430 5,670

E75.6 Lipid storage disorder, unspecified DISORDER OF LIPID STORAGE 8,100 2,430 5,670

N95.0 Postmenopausal bleeding DISORDERS ASSOCIATED WITH MENOPAUSE 6,000 1,800 4,200

E26.0

Primary hyperaldosteronism; Conn's syndrome;

Primary aldosteronism due to adrenal hyperplasia

(bilateral)

DISORDERS OF ADRENAL GLAND 9,900 2,970 6,930

E26.1 Secondary hyperaldosteronism DISORDERS OF ADRENAL GLAND 9,900 2,970 6,930

E26.8 Other hyperaldosteronism; Bartter's syndrome DISORDERS OF ADRENAL GLAND 9,900 2,970 6,930

E26.9Hyperaldosteronism, unspecified; Other disorders of

adrenal glandDISORDERS OF ADRENAL GLAND 9,900 2,970 6,930

E27.1Primary adrenocortical insufficiency; Addison's disease;

Autoimmune adrenalitisDISORDERS OF ADRENAL GLAND 9,900 2,970 6,930

E27.2 Addisonian crisis; Adrenal crisis; Adrenocortical crisis DISORDERS OF ADRENAL GLAND 9,900 2,970 6,930

E27.3 Drug-induced adrenocortical insufficiency DISORDERS OF ADRENAL GLAND 9,900 2,970 6,930

E27.4

Other and unspecified adrenocortical insufficiency; Adrenal

haemorrhage; Adrenal infarction;

Adrenocortical insufficiency NOS; Hypoaldosteronism

DISORDERS OF ADRENAL GLAND 9,900 2,970 6,930

E27.8Other specified disorders of adrenal gland; Abnormality of

cortisol-binding globulinDISORDERS OF ADRENAL GLAND 9,900 2,970 6,930

E70.0 Classical phenylketonuria DISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E70.1 Other hyperphenylalaninaemias DISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E70.2Disorders of tyrosine metabolism; Alkaptonuria;

Hypertyrosinaemia; Ochronosis; Tyrosinaemia; TyrosinosisDISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E70.3

Albinism; OcularAlbinism; Oculocutaneous Albinism

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

Hermansky-Pudlak Syndrome

DISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E70.8

Other disorders of aromatic amino-acid metabolism;

Disorders of histidine metabolism; Disorders of tryptophan

metabolism

DISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E71.0 Maple-syrup-urine disease DISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E71.1

Other disorders of branched-chain amino-acid metabolism;

Hyperleucine-isoleucinaemia; Hypervalinaemia; Isovaleric

acidaemia;

Methylmalonic acidaemia; Propionic acidaemia

DISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E71.3

Disorders of fatty-acid metabolism; Adrenoleukodystrophy

[Addison-Schilder]; Muscle carnitine palmityltransferase

deficiency

DISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E72.0

Disorders of amino-acid transport; Cystinosis; Cystinuria;

Fanconi(-de Toni)(-Debré) syndrome; Hartnup's disease;

Lowe's syndrome

DISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E72.2

Disorders of urea cycle metabolism; Argininaemia;

Argininosuccinic aciduria; Citrullinaemia;

Hyperammonaemia

DISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E72.3Disorders of lysine and hydroxylysine metabolism / Glutaric

aciduria; Hydroxylysinaemia; HyperlysinaemiaDISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E72.5

Disorders of glycine metabolism;

Hyperhydroxyprolinaemia; Hyperprolinaemia (type I) ,

Hyperprolinaemia type II; Non-ketotic hyperglycinaemia;

Sarcosinaemia

DISORDERS OF AMINO ACID METABOLISM 10,600 3,180 7,420

E73.0 Congenital lactase deficiency DISORDERS OF CARBOHYDRATE METABOLISM 5,800 1,740 4,060

E74.0

Glycogen storage disease; Cardiac glycogenosis; Andersen

Disease; Cori Disease; Forbes Disease; Hers Disease;

McArdle Disease; Pompe Disease; Tauri Disease; von

Gierke Disease; Liver phosphorylase deficiency

DISORDERS OF CARBOHYDRATE METABOLISM 5,800 1,740 4,060

E74.1

Disorders of fructose metabolism; Essential fructosuria;

Fructose-1,6-diphosphatase deficiency; Hereditary fructose

intolerance

DISORDERS OF CARBOHYDRATE METABOLISM 5,800 1,740 4,060

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

E74.2Disorders of galactose metabolism; Galactokinase

deficiency; GalactosaemiaDISORDERS OF CARBOHYDRATE METABOLISM 5,800 1,740 4,060

E74.3Other disorders of intestinal carbohydrate absorption;

Glucose-galactose malabsorption; Sucrase deficiencyDISORDERS OF CARBOHYDRATE METABOLISM 5,800 1,740 4,060

E74.8

Other specified disorders of carbohydrate

metabolism/Essential pentosuria; Oxalosis; Oxaluria; Renal

glycosuria

DISORDERS OF CARBOHYDRATE METABOLISM 5,800 1,740 4,060

E77.8 Other disorders of glycoprotein metabolism DISORDERS OF GLYCOPROTEIN METABOLISM 10,600 3,180 7,420

E76.0Mucopolysaccharidosis, type I; Hurler Syndrome; Hurler-

Scheie Syndrome; Scheie Syndrome

DISORDERS OF GLYCOSAMINOGLYCAN

METABOLISM10,900 3,270 7,630

E76.1 Mucopolysaccharidosis, type II; Hunter's syndromeDISORDERS OF GLYCOSAMINOGLYCAN

METABOLISM10,900 3,270 7,630

E76.2

Other mucopolysaccharidoses; ß-Glucuronidase deficiency;

Mucopolysaccharidosis, type III; Mucopolysaccharidosis IV,

Mucopolysaccharidosis VI, Mucopolysaccharidosis VII;

Mild Maroteaux-Lamy Syndrome; Severe Maroteaux-Lamy

Syndrome; Morquio-like Syndrome; Morquio-classic

syndrome; Sanfilippo type B syndrome; Sanfilippo type C

syndrome; Sanfilippo type D syndrome

DISORDERS OF GLYCOSAMINOGLYCAN

METABOLISM10,900 3,270 7,630

E76.3 Mucopolysaccharidosis, unspecifiedDISORDERS OF GLYCOSAMINOGLYCAN

METABOLISM10,900 3,270 7,630

E76.8 Other disorders of glucosaminoglycan metabolismDISORDERS OF GLYCOSAMINOGLYCAN

METABOLISM10,900 3,270 7,630

E78.0

Pure hypercholesterolaemia; Familial

hypercholesterolaemia; Fredrickson's

hyperlipoproteinaemia, type Iia;

Hyperbetalipoproteinaemia; Hyperlipidaemia, group A; Low-

density-lipoprotein-type [LDL] hyperlipoproteinaemia

DISORDERS OF LIPOPROTEIN METABOLISM 6,600 1,980 4,620

E78.1

Pure hyperglyceridaemia; Endogenous hyperglyceridaemia;

Fredrickson's hyperlipoproteinaemia, type IV;

Hyperlipidaemia, group B; Hyperprebetalipoproteinaemia';

Very-low-density-lipoprotein-type [VLDL]

hyperlipoproteinaemia

DISORDERS OF LIPOPROTEIN METABOLISM 6,600 1,980 4,620

E78.2

Mixed hyperlipidaemia; Broad- or floating-

betalipoproteinaemia; Fredrickson's

hyperlipoproteinaemia, type IIb; Fredrickson's

hyperlipoproteinaemia type III; Hyperbetalipoproteinaemia

with prebetalipoproteinaemia; Hypercholesterolaemia with

endogenous hyperglyceridaemia; Hyperlipidaemia, group C;

Tubero-eruptive xanthoma; Xanthoma tuberosum

DISORDERS OF LIPOPROTEIN METABOLISM 6,600 1,980 4,620

E78.3

Hyperchylomicronaemia; Fredrickson's

hyperlipoproteinaemia, type I; Fredrickson's

hyperlipoproteinaemia, type V; Hyperlipidaemia, group D;

Mixed hyperglyceridaemia

DISORDERS OF LIPOPROTEIN METABOLISM 6,600 1,980 4,620

E78.4 Other hyperlipidaemia; Familial combined hyperlipidaemia DISORDERS OF LIPOPROTEIN METABOLISM 6,600 1,980 4,620

E78.6

Lipoprotein deficiency; Abetalipoproteinaemia;

High-density lipoprotein deficiency;

Hypoalphalipoproteinaemia; Familial

Hypobetalipoproteinaemia; Lecithin cholesterol

acyltransferase deficiency; Tangier disease

DISORDERS OF LIPOPROTEIN METABOLISM 6,600 1,980 4,620

E78.8 Other disorders of lipoprotein metabolism DISORDERS OF LIPOPROTEIN METABOLISM 6,600 1,980 4,620

E83.0Disorders of copper metabolism; Menkes' kinky hair

disease; Menkes' steely hair disease; Wilson's diseaseDISORDERS OF MINERAL METABOLISM 7,300 2,190 5,110

E83.1 Disorders of iron metabolism; Haemochromatosis DISORDERS OF MINERAL METABOLISM 7,300 2,190 5,110

E83.2 Disorders of zinc metabolism; Acrodermatitis enteropathica DISORDERS OF MINERAL METABOLISM 7,300 2,190 5,110

E83.3

Disorders of phosphorus metabolism; Acid phosphatase

deficiency; Familial hypophosphataemia;

Hypophosphatasia; Vitamin-D-resistant osteomalacia;

Vitamin-D-resistant rickets

DISORDERS OF MINERAL METABOLISM 7,300 2,190 5,110

E83.4Disorders of magnesium metabolism; Hypermagnesaemia;

HypomagnesaemiaDISORDERS OF MINERAL METABOLISM 7,300 2,190 5,110

E83.5Disorders of calcium metabolism; Familial hypocalciuric

hypercalcaemia; Idiopathic hypercalciuriaDISORDERS OF MINERAL METABOLISM 7,300 2,190 5,110

E83.8 Other disorders of mineral metabolism DISORDERS OF MINERAL METABOLISM 7,300 2,190 5,110

H05.0

Acute inflammation of orbit; Abscess of orbit;Cellulitis of

orbit; Osteomyelitis of orbit; Periostitis of orbit, Tenonitis of

orbit

DISORDERS OF ORBIT 9,500 2,850 6,650

H05.2Exophthalmic conditions; Displacement of globe (lateral)

NOS; Haemorrhage of orbit; Oedema of orbitDISORDERS OF ORBIT 9,500 2,850 6,650

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

E80.0Hereditary erythropoietic porphyria; Congenital

erythropoietic porphyria; Erythropoietic protoporphyria

DISORDERS OF PORPHYRIN AND BILIRUBIN

METABOLISM9,800 2,940 6,860

E80.2Other porphyria; Hereditary coproporphyria

Porphyria NOS; Acute intermittent (hepatic) Porphyria

DISORDERS OF PORPHYRIN AND BILIRUBIN

METABOLISM9,800 2,940 6,860

E80.4 Gilbert's syndromeDISORDERS OF PORPHYRIN AND BILIRUBIN

METABOLISM9,800 2,940 6,860

E80.5 Crigler-Najjar syndromeDISORDERS OF PORPHYRIN AND BILIRUBIN

METABOLISM9,800 2,940 6,860

E80.6Other disorders of bilirubin metabolism; Dubin-Johnson

syndrome; Rotor's syndrome

DISORDERS OF PORPHYRIN AND BILIRUBIN

METABOLISM9,800 2,940 6,860

E79.8Other disorders of purine and pyrimidine metabolism;

Hereditary xanthinuria

DISORDERS OF PURINE AND PYRIMIDINE

METABOLISM7,000 2,100 4,900

E20.0 Idiopathic hypoparathyroidism DISORDERS OF THE PARATHYROID 9,300 2,790 6,510

E20.8 Other hypoparathyroidism DISORDERS OF THE PARATHYROID 9,300 2,790 6,510

E20.9 Hypoparathyroidism, unspecified; Parathyroid tetany DISORDERS OF THE PARATHYROID 9,300 2,790 6,510

E21.0

Primary hyperparathyroidism; Hyperplasia of parathyroid;

Osteitis fibrosa cystica generalisata [von Recklinghausen's

disease of bone]

DISORDERS OF THE PARATHYROID 9,300 2,790 6,510

E21.4 Other specified disorders of parathyroid gland DISORDERS OF THE PARATHYROID 9,300 2,790 6,510

E21.5 Disorder of parathyroid gland, unspecified DISORDERS OF THE PARATHYROID 9,300 2,790 6,510

E22.2Syndrome of inappropriate secretion of antidiuretic

hormoneDISORDERS OF THE PITUITARY GLAND 11,800 3,540 8,260

E23.0

Hypopituitarism; Fertile eunuch syndrome;

Hypogonadotropic hypogonadism; Idiopathic growth

hormone deficiency; Isolated deficiency of gonadotropin;

Isolated deficiency of growth hormone; Isolated deficiency

of pituitary hormone; Kallmann's syndrome; Loraine-Levi

short stature; Necrosis of pituitary gland(postpartum);

Panhypopituitarism; Pituitary cachexia; Pituitary

insufficiency NOS; Pituitary short stature; Sheehan's

syndrome; Simmond's disease

DISORDERS OF THE PITUITARY GLAND 11,800 3,540 8,260

H43.0 Vitreous prolapse DISORDERS OF VITREOUS BODY AND GLOBE 10,400 3,120 7,280

H43.1 Vitreous haemorrhage DISORDERS OF VITREOUS BODY AND GLOBE 10,400 3,120 7,280

H44.0Purulent endophthalmitis; Panophthalmitis; Vitreous

abscessDISORDERS OF VITREOUS BODY AND GLOBE 10,400 3,120 7,280

H44.1Other endophthalmitis; Parasitic endophthalmitis NOS;

Sympathetic uveitisDISORDERS OF VITREOUS BODY AND GLOBE 10,400 3,120 7,280

H44.5Degenerated conditions of globe; Absolute glaucoma;

Atrophy of globe; Phthisis bulbiDISORDERS OF VITREOUS BODY AND GLOBE 10,400 3,120 7,280

D65

Disseminated intravascular coagulation [defibrination

syndrome]; Acquired Afibrinogenaemia; Consumption

coagulopathy; Diffuse or disseminated intravascular

coagulation [DIC] ; Acquired Fibrinolytic haemorrhage;

Fibrinolytic Purpura; Purpura fulminans;

DISSEMINATED INTRAVASCULAR COAGULATION 32,000 9,600 22,400

P60Disseminated intravascular coagulation of fetus and

newborn; Defibrination syndrome of fetus or newbornDISSEMINATED INTRAVASCULAR COAGULATION 32,000 9,600 22,400

M42.1 Adult osteochondrosis of spine DORSOPATHIES 7,600 2,280 5,320

M43.02 Spondylolysis cervical region DORSOPATHIES 7,600 2,280 5,320

M43.03 Spondylolysis cervicothoracic region DORSOPATHIES 7,600 2,280 5,320

M43.04 Spondylolysis thoracic region DORSOPATHIES 7,600 2,280 5,320

M43.06 Spondylolysis lumbar region DORSOPATHIES 7,600 2,280 5,320

M43.07 Spondylolysis lumbosacral region DORSOPATHIES 7,600 2,280 5,320

M43.09 Spondylolysis site unspecified DORSOPATHIES 7,600 2,280 5,320

M43.10 Spondylolisthesis Multiple sites in spine DORSOPATHIES 7,600 2,280 5,320

M43.12 Spondylolisthesis cervical region DORSOPATHIES 7,600 2,280 5,320

M43.15 Spondylolisthesis thoracolumbar region DORSOPATHIES 7,600 2,280 5,320

M43.16 Spondylolisthesis lumbar region DORSOPATHIES 7,600 2,280 5,320

M43.17 Spondylolisthesis lumbosacral region DORSOPATHIES 7,600 2,280 5,320

M43.18 Spondylolisthesis sacral and sacrococcygeal region DORSOPATHIES 7,600 2,280 5,320

M43.19 Spondylolisthesis site unspecified DORSOPATHIES 7,600 2,280 5,320

M43.22Other fusion of spine; Ankylosis of spinal joint cervical

regionDORSOPATHIES 7,600 2,280 5,320

M43.26Other fusion of spine; Ankylosis of spinal joint lumbar

regionDORSOPATHIES 7,600 2,280 5,320

M43.27Other fusion of spine; Ankylosis of spinal joint lumbosacral

regionDORSOPATHIES 7,600 2,280 5,320

M43.29Other fusion of spine; Ankylosis of spinal joint site

unspecifiedDORSOPATHIES 7,600 2,280 5,320

M43.42 Other recurrent atlantoaxial subluxation cervical region DORSOPATHIES 7,600 2,280 5,320

M43.49 Other recurrent atlantoaxial subluxation site unspecified DORSOPATHIES 7,600 2,280 5,320

M43.60 Torticollis Multiple sites in spine DORSOPATHIES 7,600 2,280 5,320

M43.62 Torticollis cervical region DORSOPATHIES 7,600 2,280 5,320

M43.64 Torticollis thoracic region DORSOPATHIES 7,600 2,280 5,320

M43.66 Torticollis lumbar region DORSOPATHIES 7,600 2,280 5,320

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M43.68 Torticollis sacral and sacrococcygeal region DORSOPATHIES 7,600 2,280 5,320

M43.69 Torticollis site unspecified DORSOPATHIES 7,600 2,280 5,320

M43.8 Other specified deforming dorsopathies DORSOPATHIES 7,600 2,280 5,320

M43.82 Other specified deforming dorsopathies cervical region DORSOPATHIES 7,600 2,280 5,320

M43.85Other specified deforming dorsopathies thoracolumbar

regionDORSOPATHIES 7,600 2,280 5,320

M43.86 Other specified deforming dorsopathies lumbar region DORSOPATHIES 7,600 2,280 5,320

M43.87 Other specified deforming dorsopathies lumbosacral region DORSOPATHIES 7,600 2,280 5,320

M43.88Other specified deforming dorsopathies sacral and

sacrococcygeal regionDORSOPATHIES 7,600 2,280 5,320

M43.89 Other specified deforming dorsopathies site unspecified DORSOPATHIES 7,600 2,280 5,320

M43.9Deforming dorsopathy, unspecified; Curvature of spine

NOSDORSOPATHIES 7,600 2,280 5,320

M43.94Deforming dorsopathy, unspecified; Curvature of spine

NOS thoracic regionDORSOPATHIES 7,600 2,280 5,320

M43.95Deforming dorsopathy, unspecified; Curvature of spine

NOS thoracolumbar regionDORSOPATHIES 7,600 2,280 5,320

M43.96Deforming dorsopathy, unspecified; Curvature of spine

NOS lumbar regionDORSOPATHIES 7,600 2,280 5,320

M43.97Deforming dorsopathy, unspecified; Curvature of spine

NOS lumbosacral regionDORSOPATHIES 7,600 2,280 5,320

M43.99Deforming dorsopathy, unspecified; Curvature of spine

NOS site unspecifiedDORSOPATHIES 7,600 2,280 5,320

M53.0Cervicocranial syndrome; Posterior cervical sympathetic

syndromeDORSOPATHIES 7,600 2,280 5,320

M53.1 Cervicobrachial syndrome DORSOPATHIES 7,600 2,280 5,320

M53.12 Cervicobrachial syndrome cervical region DORSOPATHIES 7,600 2,280 5,320

M53.19 Cervicobrachial syndrome site unspecified DORSOPATHIES 7,600 2,280 5,320

M53.2 Spinal instabilities DORSOPATHIES 7,600 2,280 5,320

M53.22 Spinal instabilities cervical region DORSOPATHIES 7,600 2,280 5,320

M53.24 Spinal instabilities thoracic region DORSOPATHIES 7,600 2,280 5,320

M53.26 Spinal instabilities lumbar region DORSOPATHIES 7,600 2,280 5,320

M53.27 Spinal instabilities lumbosacral region DORSOPATHIES 7,600 2,280 5,320

M53.28 Spinal instabilities sacral and sacrococcygeal region DORSOPATHIES 7,600 2,280 5,320

M53.29 Spinal instabilities site unspecified DORSOPATHIES 7,600 2,280 5,320

M53.3 Coccygodynia DORSOPATHIES 7,600 2,280 5,320

M53.38 Coccygodynia sacral and sacrococcygeal region DORSOPATHIES 7,600 2,280 5,320

M53.8 Other specified dorsopathies DORSOPATHIES 7,600 2,280 5,320

M53.86 Other specified dorsopathies lumbar region DORSOPATHIES 7,600 2,280 5,320

M53.87 Other specified dorsopathies lumbosacral region DORSOPATHIES 7,600 2,280 5,320

M53.89 Other specified dorsopathies site unspecified DORSOPATHIES 7,600 2,280 5,320

M53.9 Dorsopathy, unspecified DORSOPATHIES 7,600 2,280 5,320

M53.92 Dorsopathy, unspecified cervical region DORSOPATHIES 7,600 2,280 5,320

M53.95 Dorsopathy, unspecified thoracolumbar region DORSOPATHIES 7,600 2,280 5,320

M54 Dorsalgia DORSOPATHIES 7,600 2,280 5,320

T75.1Drowning and nonfatal submersion; Immersion; Swimmer's

crampDROWNING 7,100 2,130 4,970

O00.0 Abdominal pregnancy ECTOPIC PREGNANCY 7,800 2,340 5,460

O00.1Tubal pregnancy; Fallopian pregnancy; Rupture of fallopian

tube due to pregnancy; Tubal abortionECTOPIC PREGNANCY 7,800 2,340 5,460

O00.2 Ovarian pregnancy ECTOPIC PREGNANCY 7,800 2,340 5,460

O00.8Other ectopic pregnancy; Cervical pregnancy; Cornual

pregnancy; Intraligamentous pregnancy; Mural pregnancyECTOPIC PREGNANCY 7,800 2,340 5,460

O00.9 Ectopic pregnancy, unspecified ECTOPIC PREGNANCY 7,800 2,340 5,460

O36.7 Maternal care for viable fetus in abdominal pregnancy ECTOPIC PREGNANCY 7,800 2,340 5,460

T75.0Effects of lightning; Shock from lightning; Struck by

lightning NOSELECTRICAL SHOCK 5,400 1,620 3,780

T75.4Effects of electric current; Electrocution; Shock from

electric currentELECTRICAL SHOCK 5,400 1,620 3,780

J43.0MacLeod's syndrome; Unilateral emphysema; Unilateral

transparency of lungEMPHYSEMA 11,400 3,420 7,980

J43.1 Panlobular emphysema; Panacinar emphysema EMPHYSEMA 11,400 3,420 7,980

J43.2 Centrilobular emphysema EMPHYSEMA 11,400 3,420 7,980

J43.8 Other emphysema EMPHYSEMA 11,400 3,420 7,980

J43.9

Emphysema, unspecified; Lung emphysema NOS;

Pulmonary emphysema NOS; Bullous lung emphysema;

Bullous pulmonary emphysema; Vesicular lung

emphysema; Vesucular pulmonary emphysema;

Emphysematous bleb

EMPHYSEMA 11,400 3,420 7,980

J98.2 Interstitial emphysema; Mediastinal emphysema EMPHYSEMA 11,400 3,420 7,980

J98.3 Compensatory emphysema EMPHYSEMA 11,400 3,420 7,980

B22.0

Human immunodeficiency virus [HIV] disease resulting in

encephalopathy; Human immunodeficiency virus [HIV]

dementia

ENCEPHALOPATHY 22,200 6,660 15,540

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

G92 Toxic encephalopathy ENCEPHALOPATHY 22,200 6,660 15,540

G93.1 Anoxic brain damage, not elsewhere classified ENCEPHALOPATHY 22,200 6,660 15,540

I67.4 Hypertensive encephalopathy ENCEPHALOPATHY 22,200 6,660 15,540

N80.0 Endometriosis of uterus; Adenomyosis ENDOMETRIOSIS 7,700 2,310 5,390

N80.1 Endometriosis of ovary ENDOMETRIOSIS 7,700 2,310 5,390

N80.2 Endometriosis of fallopian tube ENDOMETRIOSIS 7,700 2,310 5,390

N80.3 Endometriosis of pelvic peritoneum ENDOMETRIOSIS 7,700 2,310 5,390

N80.4 Endometriosis of rectovaginal septum and vagina ENDOMETRIOSIS 7,700 2,310 5,390

N80.5 Endometriosis of intestine ENDOMETRIOSIS 7,700 2,310 5,390

N80.8 Other endometriosis; Endometriosis of thorax ENDOMETRIOSIS 7,700 2,310 5,390

N80.9 Endometriosis, unspecified ENDOMETRIOSIS 7,700 2,310 5,390

J05.1 Acute epiglottitis; Epiglottitis NOS EPIGLOTTITIS 9,700 2,910 6,790

G40.0

Localization-related focal idiopathic epilepsy and epileptic

syndromes with seizures of localized onset; Localization-

related partial idiopathic epilepsy and epileptic syndromes

with seizures of localized onset; Benign childhood epilepsy

with centrotemporal EEG spikes;Childhood epilepsy with

occipital EEG paroxysms

EPILEPSY 7,800 2,340 5,460

G40.1

Localization-related focal symptomatic epilepsy and

epileptic syndromes with simple partial seizures;

Localization-related partial symptomatic epilepsy and

epileptic syndromes with simple partial seizures; Attacks

without alteration of consciousness ; Simple partial seizures

developing into secondarily generalized seizures

EPILEPSY 7,800 2,340 5,460

G40.2

Localization-related focal symptomatic epilepsy and

epileptic syndromes with complex partial seizures;

Localization-related partial symptomatic epilepsy and

epileptic syndromes with complex partial seizures; Attacks

with alteration of consciousness, often with automatisms.

Complex partial seizures developing into secondarily

generalized seizures

EPILEPSY 7,800 2,340 5,460

G40.3

Generalized idiopathic epilepsy and epileptic syndromes;

Benign myoclonic epilepsy in infancy; Benign familial

neonatal convulsions; Childhood absence epilepsy

[pyknolepsy]; Epilepsy with grand mal seizures on

awakening; Juvenile absence epilepsy; Juvenile absence

epilepsy; Juvenile myoclonic epilepsy impulsive petit mal);

Nonspecific atonic epileptic seizures; Nonspecific clonic

epileptic seizures; Nonspecific myoclonic epileptic seizures;

nonspecific tonic epileptic seizures; Nonspecific tonic-clonic

epileptic seizures

EPILEPSY 7,800 2,340 5,460

G40.4

Other generalized epilepsy and epileptic syndromes;

Epilepsy with myoclonic absences; Epilepsy with myoclonic-

astatic seizures; Infantile spasms; Lennox-Gastaut

syndrome; Salaam attacks; Symptomatic early myoclonic;

Encephalopathy; West's syndrome

EPILEPSY 7,800 2,340 5,460

G40.5

Special epileptic syndromes; Epilepsia partialis continua

[Kozhevnikof]; Epileptic seizures related to alcohol;

Epileptic seizures related to drugs; Epileptic seizures related

to hormonal changes; Epileptic seizures related to sleep

deprivation; Epileptic seizures related to stress

EPILEPSY 7,800 2,340 5,460

G40.6 Grand mal seizures, unspecified (with or without petit mal) EPILEPSY 7,800 2,340 5,460

G40.7 Petit mal, unspecified, without grand mal seizures EPILEPSY 7,800 2,340 5,460

G40.8Other epilepsy; Epilepsies and epileptic syndromes

undetermined as to whether they are focal or generalizedEPILEPSY 7,800 2,340 5,460

G40.9Epilepsy, unspecified; Epileptic convulsions NOS; Epileptic

fits NOS; Epileptic seizures NOSEPILEPSY 7,800 2,340 5,460

G21.0 Malignant neuroleptic syndrome EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G21.1 Other drug-induced secondary parkinsonism EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G21.8 Other secondary parkinsonism EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G21.9 Secondary parkinsonism, unspecified EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G23.0Hallervorden-Spatz disease; Pigmentary pallidal

degenerationEXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G23.1Progressive supranuclear ophthalmoplegia [Steele-

Richardson-Olszewski]EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

G23.8

Other specified degenerative diseases of basal ganglia;

Calcification of basal ganglia; Neurogenic orthostatic

hypotension [Shy-Drager}

EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G23.9 Degenerative disease of basal ganglia, unspecified EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G24.0 Carcinomatous neuromyopathy in Drug-induced dystonia EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G24.1 Idiopathic familial dystonia; Idiopathic dystonia NOS EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G24.3 Spasmodic torticollis EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G24.4 Idiopathic orofacial dystonia; Orofacial dyskinesia EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G24.8 Other dystonia EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G24.9 Dystonia, unspecified; Dyskinesia NOS EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G25.3 Myoclonus; Drug-induced myoclonus EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G25.5 Other chorea; Chorea NOS EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G25.8

Other specified extrapyramidal and movement disorders;

Akathisia (drug-induced) (treatment-induced) Restless legs

syndrome; Stiff-man syndrome

EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

G25.9 Extrapyramidal and movement disorder, unspecified EXTRAPYRAMIDAL AND MOVEMENT DISORDERS 8,300 2,490 5,810

R56.0 Febrile convulsions FEBRILE SEIZURES 7,000 2,100 4,900

R56.8Other and unspecified convulsions; Fit NOS; Seizure

(convulsive) NOSFEBRILE SEIZURES 7,000 2,100 4,900

P92.1 Regurgitation and rumination in newborn FEEDING PROBLEMS NEWBORN 8,700 2,610 6,090

P92.2 Slow feeding of newborn FEEDING PROBLEMS NEWBORN 8,700 2,610 6,090

P92.4 Overfeeding of newborn FEEDING PROBLEMS NEWBORN 8,700 2,610 6,090

P92.8 Other feeding problems of newborn FEEDING PROBLEMS NEWBORN 8,700 2,610 6,090

P92.9 Feeding problem of newborn, unspecified FEEDING PROBLEMS NEWBORN 8,700 2,610 6,090

R50.9 Fever, unspecified; Hyperpyrexia NOS; Pyrexia NOS FEVER OF UNKNOWN ORIGIN 7,000 2,100 4,900

E87.0Hyperosmolality and hypernatraemia; Sodium [Na] excess;

Sodium [Na] overload FLUID AND ELECTROLYTE DISTURBANCES 8,500 2,550 5,950

E87.1 Hypo-osmolality and hyponatraemia FLUID AND ELECTROLYTE DISTURBANCES 8,500 2,550 5,950

E87.2Acidosis; Acidosis NOS; Lactic Acidosis; Metabolic Acidosis;

Respiratory AcidosisFLUID AND ELECTROLYTE DISTURBANCES 8,500 2,550 5,950

E87.3Alkalosis; Alkalosis NOS; Metabolic Alkalosis; Respiratory

AlkalosisFLUID AND ELECTROLYTE DISTURBANCES 8,500 2,550 5,950

E87.4 Mixed disorder of acid-base balance FLUID AND ELECTROLYTE DISTURBANCES 8,500 2,550 5,950

E87.5Hyperkalaemia; Potassium [K] excess; Potassium [K]

overloadFLUID AND ELECTROLYTE DISTURBANCES 8,500 2,550 5,950

E87.6 Hypokalaemia; Potassium [K] deficiency FLUID AND ELECTROLYTE DISTURBANCES 8,500 2,550 5,950

E87.7 Fluid overload FLUID AND ELECTROLYTE DISTURBANCES 8,500 2,550 5,950

E87.8

Other disorders of electrolyte and fluid balance, not

elsewhere classified; Electrolyte imbalance NOS;

Hyperchloraemia; Hypochloraemia; Other metabolic

disorders

Electrolyte abnormality

FLUID AND ELECTROLYTE DISTURBANCES 8,500 2,550 5,950

S22.00Fracture of thoracic vertebra; Fracture of thoracic spine

NOS (closed)FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.10 Multiple fractures of thoracic spine (closed) FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.2 Fracture of sternum FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.20 Fracture of sternum (closed) FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.3 Fracture of rib FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.30 Fracture of rib (closed) FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.31 Fracture of rib (open) FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.4 Multiple fractures of ribs FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.40 Multiple fractures of ribs (closed) FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.41 Multiple fractures of ribs (open) FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.80 Fracture of other parts of bony thorax (closed) FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

S22.90 Fracture of bony thorax, part unspecified (closed) FRACTURES OF THE BONES OF THE THORAX 8,700 2,610 6,090

J85.0 Gangrene and necrosis of lung GANGRENE 13,200 3,960 9,240

L88Pyoderma gangrenosum; Dermatitis gangrenosa;

Phagedenic pyodermaGANGRENE 13,200 3,960 9,240

R02 Gangrene, not elsewhere classified GANGRENE 13,200 3,960 9,240

K21.0Gastro-oesophageal reflux disease with oesophagitis;

Reflux oesophagitisGASTROESOPHAGEAL REFLUX DISEASE 6,100 1,830 4,270

K21.9Gastro-oesophageal reflux disease without oesophagitis;

Oesophageal reflux NOSGASTROESOPHAGEAL REFLUX DISEASE 6,100 1,830 4,270

P76.0 Meconium plug syndromeGASTROINTESTINAL DISORDERS OF THE

NEWBORN11,700 3,510 8,190

P76.1 Transitory ileus of newbornGASTROINTESTINAL DISORDERS OF THE

NEWBORN11,700 3,510 8,190

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

P76.8 Other specified intestinal obstruction of newbornGASTROINTESTINAL DISORDERS OF THE

NEWBORN11,700 3,510 8,190

P76.9 Intestinal obstruction of newborn, unspecifiedGASTROINTESTINAL DISORDERS OF THE

NEWBORN11,700 3,510 8,190

P77 Necrotizing enterocolitis of fetus and newbornGASTROINTESTINAL DISORDERS OF THE

NEWBORN11,700 3,510 8,190

P78.0 Perinatal intestinal perforation; Meconium peritonitisGASTROINTESTINAL DISORDERS OF THE

NEWBORN11,700 3,510 8,190

P78.2Neonatal haematemesis and melaena due to swallowed

maternal blood

GASTROINTESTINAL DISORDERS OF THE

NEWBORN11,700 3,510 8,190

P78.3 Noninfective neonatal diarrhoeaGASTROINTESTINAL DISORDERS OF THE

NEWBORN11,700 3,510 8,190

P78.8Other specified perinatal digestive system disorders;

Congenital cirrhosis of liver; Peptic ulcer of newborn

GASTROINTESTINAL DISORDERS OF THE

NEWBORN11,700 3,510 8,190

P78.9 Perinatal digestive system disorder, unspecifiedGASTROINTESTINAL DISORDERS OF THE

NEWBORN11,700 3,510 8,190

H40.0 Glaucoma suspect; Ocular hypertension GLAUCOMA 6,500 1,950 4,550

H40.1

Primary open-angle glaucoma; primary capsular with

pseudoexfoliation of lens glaucoma; Residual stage capsular

with pseudoexfoliation of lens; Primary chronic simple

glaucoma; Residual stage chronic simple glaucoma; Primary

low-tension glaucoma; Residual low tension glaucoma;

Primary pigmentary glaucoma; Residual pigmentary

glaucoma

GLAUCOMA 6,500 1,950 4,550

H40.2

Primary angle-closure glaucoma; Primary acute angle-

closure glaucoma ; Acute residual stage angle-closure

glaucoma ; Primary chronic angle-closure glaucoma ;

Residual stage chronic angle-closure glaucoma; Primary

intermittent angle-cloure glaucoma; Residual intermittent

angle-closure glaucoma

GLAUCOMA 6,500 1,950 4,550

H40.3 Glaucoma secondary to eye trauma GLAUCOMA 6,500 1,950 4,550

H40.4 Glaucoma secondary to eye inflammation GLAUCOMA 6,500 1,950 4,550

H40.5 Glaucoma secondary to other eye disorders GLAUCOMA 6,500 1,950 4,550

H40.8 Other glaucoma GLAUCOMA 6,500 1,950 4,550

H40.9 Glaucoma, unspecified GLAUCOMA 6,500 1,950 4,550

N00.0

Acute nephritic syndrome including Acute glomerular

disease, Acute glomerulonephritis, Acute nephritis, Acute

renal disease NOS, with Minor glomerular abnormality

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N00.1

Acute nephritic syndrome including Acute glomerular

disease, Acute glomerulonephritis, Acute nephritis, Acute

renal disease NOS, with Focal and segmental glomerular

lesions (with focal and segmental hyalinosis; focal and

segmental sclerosis) & Focal glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N00.2

Acute nephritic syndrome including Acute glomerular

disease, Acute glomerulonephritis, Acute nephritis, Acute

renal disease NOS with Diffuse membranous

glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N00.3

Acute nephritic syndrome including Acute glomerular

disease, Acute glomerulonephritis, Acute nephritis, Acute

renal disease NOS with Diffuse mesangial proliferative

glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N00.4

Acute nephritic syndrome including Acute glomerular

disease, Acute glomerulonephritis, Acute nephritis, Acute

renal disease NOS with Diffuse endocapillary proliferative

glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N00.5

Acute nephritic syndrome including Acute glomerular

disease, Acute glomerulonephritis, Acute nephritis, Acute

renal disease NOS with Diffuse mesangiocapillary

glomerulonephritis (Membranoproliferative

glomerulonephritis, types 1 and 3, or NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N00.7

Acute nephritic syndrome including Acute glomerular

disease, Acute glomerulonephritis, Acute nephritis, Acute

renal disease NOS with Diffuse crescentic

glomerulonephritis (Extracpillary glomerulonephritis)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N00.8

Acute nephritic syndrome including Acute glomerular

disease, Acute glomerulonephritis, Acute nephritis, Acute

renal disease NOS with Other (Proliferative

glomerulonephritis NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N00.9

Acute nephritic syndrome including Acute glomerular

disease, Acute glomerulonephritis, Acute nephritis, Acute

renal disease NOS, Unspecified renal biopsy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

N01.0

Rapidly progressive nephritic syndrome; rapidly progressive

glomerular disease; rapidly progressive glomerulonephritis;

rapidly progressive nephritis, Minor glomerular abnormality

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N01.1

Rapidly progressive nephritic syndrome; rapidly progressive

glomerular disease; rapidly progressive glomerulonephritis;

rapidly progressive nephritis, Focal and segmental

glomerular lesions

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N01.3

Rapidly progressive nephritic syndrome; rapidly progressive

glomerular disease; rapidly progressive glomerulonephritis;

rapidly progressive nephritis, Diffuse mesangial

proliferative glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N01.5

Rapidly progressive nephritic syndrome; rapidly progressive

glomerular disease; rapidly progressive glomerulonephritis;

rapidly progressive nephritis, Diffuse mesangiocapillary

glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N01.8

Rapidly progressive nephritic syndrome; rapidly progressive

glomerular disease; rapidly progressive glomerulonephritis;

rapidly progressive nephritis, other

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N01.9

Rapidly progressive nephritic syndrome; rapidly progressive

glomerular disease; rapidly progressive glomerulonephritis;

rapidly progressive nephritis, Unspecified

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N02.0

Recurrent and persistent haematuria including Benign

familial Haematuria; Benign familial Haematuria of

childhood; Haematuria with morphological lesion specified

with Minor glomerular abnormality

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N02.1

Recurrent and persistent haematuria including Benign

familial Haematuria; Benign familial Haematuria of

childhood; Haematuria with morphological lesion specified

with Focal and segmental glomerular lesions

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N02.2

Recurrent and persistent haematuria including Benign

familial Haematuria; Benign familial Haematuria of

childhood; Haematuria with morphological lesion specified

with Diffuse membranous glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N02.5

Recurrent and persistent haematuria including Benign

familial Haematuria; Benign familial Haematuria of

childhood; Haematuria with morphological lesion specified

with Diffuse mesangiocapillary glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N02.8

Recurrent and persistent haematuria including Benign

familial Haematuria; Benign familial Haematuria of

childhood; Haematuria with morphological lesion specified

with other (Proliferative glomerulonephritis NOS)

IgA Nephropathy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N02.9

Recurrent and persistent haematuria including Benign

familial Haematuria; Benign familial Haematuria of

childhood; Haematuria with morphological lesion specified

with Unspecified renal biopsy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N03.0

Chronic nephritic syndrome including Chronic glomerular

disease, Chronic glomerulonephritis, Chronic nephritis,

chronic renal disease NOS, with Minor glomerular

abnormality

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N03.1

Chronic nephritic syndrome including Chronic glomerular

disease, Chronic glomerulonephritis, Chronic nephritis,

chronic renal disease NOS, with Focal and segmental

glomerular lesions

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N03.2

Chronic nephritic syndrome including Chronic glomerular

disease, Chronic glomerulonephritis, Chronic nephritis,

chronic renal disease NOS, withDiffuse membranous

glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N03.3

Chronic nephritic syndrome including Chronic glomerular

disease, Chronic glomerulonephritis, Chronic nephritis,

chronic renal disease NOS, with Diffuse mesangial

proliferative glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N03.4

Chronic nephritic syndrome including Chronic glomerular

disease, Chronic glomerulonephritis, Chronic nephritis,

chronic renal disease NOS, with Diffuse endocapillary

proliferative glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N03.5

Chronic nephritic syndrome including Chronic glomerular

disease, Chronic glomerulonephritis, Chronic nephritis,

chronic renal disease NOS, with Diffuse mesangiocapillary

glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

N03.7

Chronic nephritic syndrome including Chronic glomerular

disease, Chronic glomerulonephritis, Chronic nephritis,

chronic renal disease NOS, with Diffuse crescentic

glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N03.8

Chronic nephritic syndrome including Chronic glomerular

disease, Chronic glomerulonephritis, Chronic nephritis,

chronic renal disease NOS, with Other (Proliferative

glomerulonephritis NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N03.9

Chronic nephritic syndrome including Chronic glomerular

disease, Chronic glomerulonephritis, Chronic nephritis,

chronic renal disease NOS, with Unspecified renal biopsy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N04.0Nephrotic syndrome: Minor glomerular abnormality;

Minimal change lesionGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N04.1

Nephrotic syndrome: Focal and segmental glomerular

lesions; Focal and segmental hyalinosis; Focal and

segmental sclerosis; Focal glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N04.2Nephrotic syndrome: Diffuse membranous

glomerulonephritisGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N04.3Nephrotic syndrome: Diffuse mesangial proliferative

glomerulonephritisGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N04.4Nephrotic syndrome: Diffuse endocapillary proliferative

glomerulonephritisGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N04.5

Nephrotic syndrome: Diffuse mesangiocapillary

glomerulonephritis; Membranoproliferative

glomerulonephritis, types 1 and 3, or NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N04.7Nephrotic syndrome: Diffuse crescentic glomerulonephritis;

Extracapillary glomerulonephritisGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N04.8 Nephrotic syndrome: Other GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N04.9 Nephrotic syndrome:Unspecified GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N05.0

Unspecified nephritic syndrome including Glomerular

disease, Glomerulonephritis, Nephritis NOS with Minor

glomerular abnormality, minimal change lesion

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N05.1

Unspecified nephritic syndrome including Glomerular

disease, Glomerulonephritis, Nephritis NOS with Focal and

segmental glomerular lesions (with focal and segmental

hyalinosis; focal and segmental sclerosis) & Focal

glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N05.2

Unspecified nephritic syndrome including Glomerular

disease, Glomerulonephritis, Nephritis NOS with Diffuse

membranous glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N05.3

Unspecified nephritic syndrome including Glomerular

disease, Glomerulonephritis, Nephritis NOS with Diffuse

mesangial proliferative glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N05.4

Unspecified nephritic syndrome including Glomerular

disease, Glomerulonephritis, Nephritis NOS with Diffuse

endocapillary proliferative glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N05.5

Unspecified nephritic syndrome including Glomerular

disease, Glomerulonephritis, Nephritis NOS with Diffuse

mesangiocapillary glomerulonephritis,

Membranoproliferative glomerulonephritis, types 1 and 3,

or NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N05.6

Unspecified nephritic syndrome including Glomerular

disease, Glomerulonephritis, Nephritis NOS with Dense

deposit disease

Membranoproliferative glomerulonephritis, type 2

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N05.7

Unspecified nephritic syndrome including Glomerular

disease, Glomerulonephritis, Nephritis NOS with Diffuse

crescentic glomerulonephritis, Extracapillary

glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N05.8

Unspecified nephritic syndrome including Glomerular

disease, Glomerulonephritis, Nephritis NOS with Other

(Proliferative glomerulonephritis NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N05.9

Unspecified nephritic syndrome including Glomerular

disease, Glomerulonephritis, Nephritis NOS with

Unspecified renal biopsy

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N06.0

Isolated proteinuria with specified morphological lesion

with morphological lesion specified with Minor glomerular

abnormality

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N06.8

Isolated proteinuria with specified morphological lesion

with Other

(Proliferative glomerulonephritis NOS)

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N06.9Isolated proteinuria with specified morphological lesion

with Unspecified renal biopsyGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

N07.0Hereditary nephropathy, not elsewhere classified with

Minor glomerular abnormalityGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N07.1

Hereditary nephropathy, not elsewhere classified with

Focal and segmental glomerular lesions (with focal and

segmental hyalinosis; focal and segmental sclerosis) & Focal

glomerulonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N07.2Hereditary nephropathy, not elsewhere classified with

Diffuse membranous glomerulonephritisGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N07.3Hereditary nephropathy, not elsewhere classified with

Diffuse mesangial proliferative glomerulonephritisGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N07.5

Hereditary nephropathy, not elsewhere classified with

Diffuse mesangiocapillary glomerulonephritis,

Membranoproliferative glomerulonephritis, types 1 and 3,

or NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N07.9Hereditary nephropathy, not elsewhere classified with

Unspecified renal biopsyGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N10

Acute tubulo-interstitial nephritis; pyelonephritis; Acute

infectious interstitial nephritis; Acute pyelitis; Acute

pyelonephritis

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N11.9

Chronic tubulo-interstitial nephritis, unspecified; Chronic

interstitial nephritis NOS; Chronic pyelitis NOS; Chronic

pyelonephritis NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N12

Tubulo-interstitial nephritis, not specified as acute or

chronic; Interstitial nephritis NOS; Pyelitis NOS;

Pyelonephritis NOS

GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N14.0 Analgesic nephropathy GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N14.1Nephropathy induced by other drugs, medicaments and

biological substancesGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N14.2Nephropathy induced by unspecified drug, medicament or

biological substanceGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N14.4 Toxic nephropathy, not elsewhere classified GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N15.0 Balkan nephropathy; Balkan endemic nephropathy GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N15.8 Other specified renal tubulo-interstitial diseases GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N15.9Renal tubulo-interstitial disease, unspecified; Infection of

kidney NOSGLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N39.1 Persistent proteinuria, unspecified GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

N39.2 Orthostatic proteinuria, unspecified GLOMERULAR AND INTERSTITIAL KIDNEY DISEASES 10,000 3,000 7,000

M23.20Derangement of meniscus due to old tear or injury; Old

bucket-handle tear multiple sitesHAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M23.21

Derangement of meniscus due to old tear or injury; Old

bucket-handle tear Anterior cruciate ligament or Anterior

horn of medial meniscus

HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M23.22

Derangement of meniscus due to old tear or injury; Old

bucket-handle tear Posterior cruciate ligament or Posterior

horn of medial meniscus

HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M23.25Derangement of meniscus due to old tear or injury; Old

bucket-handle tear Posterior horn of lateral meniscusHAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M23.46 Loose body in knee Other and unspecified lateral meniscus HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M23.5 Chronic instability of knee HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M23.80Other internal derangements of knee; Laxity of ligament of

knee; Snapping knee multiple sitesHAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M23.9 Internal derangement of knee, unspecified HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M23.91Internal derangement of knee, unspecified Anterior

cruciate ligament or Anterior horn of medial meniscusHAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.08 Loose body in joint other sites HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.1 Other articular cartilage disorders HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.2Disorder of ligament; Instability secondary to old ligament

injury; Ligamentous laxity NOS HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.4 Recurrent dislocation and subluxation of joint HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.41Recurrent dislocation and subluxation of joint shoulder

regionHAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.50 Contracture of joint multiple sites HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.54 Contracture of joint hand HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.56 Contracture of joint lower leg HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.6 Ankylosis of joint HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.65 Ankylosis of joint pelvic region and thigh HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.66 Ankylosis of joint lower leg HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.69 Ankylosis of joint site unspecified HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

M24.7 Protrusio acetabuli HAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M24.88Other specific joint derangements, not elsewhere classified;

Irritable hip other sitesHAND, FEET AND JOINT DEFORMITIES 9,200 2,760 6,440

G43.0 Migraine without aura [common migraine] HEADACHE SYNDROMES 5,500 1,650 3,850

G43.1

Migraine with aura [classical migraine]; Migraine aura

without headache; Migraine, basilar; Migraine equivalents;

Familial hemiplegic Migraine; Migraine with acute-onset

aura; Migraine with prolonged aura; Migraine with typical

aura

HEADACHE SYNDROMES 5,500 1,650 3,850

G43.2 Status migrainosus HEADACHE SYNDROMES 5,500 1,650 3,850

G43.3 Complicated migraine HEADACHE SYNDROMES 5,500 1,650 3,850

G43.8Other migraine; Ophthalmoplegic migraine; Retinal

migraineHEADACHE SYNDROMES 5,500 1,650 3,850

G43.9 Migraine, unspecified HEADACHE SYNDROMES 5,500 1,650 3,850

G44.0

Cluster headache syndrome; Chronic paroxysmal

hemicrania; Chronic cluster headache; Episodic Cluster

headache

HEADACHE SYNDROMES 5,500 1,650 3,850

G44.1Vascular headache, not elsewhere classified; Vascular

headache NOSHEADACHE SYNDROMES 5,500 1,650 3,850

G44.2Tension-type headache; Chronic tension-type headache;

Episodic tension headache; Tension headache NOSHEADACHE SYNDROMES 5,500 1,650 3,850

G44.3 Chronic post-traumatic headache HEADACHE SYNDROMES 5,500 1,650 3,850

G44.4 Drug-induced headache, not elsewhere classified HEADACHE SYNDROMES 5,500 1,650 3,850

G44.8 Other specified headache syndromes HEADACHE SYNDROMES 5,500 1,650 3,850

R51 Headache; Facial pain NOS HEADACHE SYNDROMES 5,500 1,650 3,850

I44.2Atrioventricular block, complete; Complete heart block

NOS; Third-degree blockHEART CONDUCTION DISORDERS 12,300 3,690 8,610

I44.3Other and unspecified atrioventricular block;

Atrioventricular block NOSHEART CONDUCTION DISORDERS 12,300 3,690 8,610

I44.4 Left anterior fascicular block HEART CONDUCTION DISORDERS 12,300 3,690 8,610

I45.5Other specified heart blockl; Sinoatrial NOS; Sinoauricular

blockHEART CONDUCTION DISORDERS 12,300 3,690 8,610

I45.6

Pre-excitation syndrome; Anomalous atrioventicular

excitation; Atrioventricular conduction, accelerated;

Atrioventicular conduction, accesory; Atrioventicular

conduction pre-excitation; Lown-Ganong-Levine syndrome;

Wolff-Parkinson-White syndrome

HEART CONDUCTION DISORDERS 12,300 3,690 8,610

I45.8Other specified conduction disorder; Atrioventricular [AV]

dissociation; Interference dissociationHEART CONDUCTION DISORDERS 12,300 3,690 8,610

I45.9Heart conduction disorders, unspecified; Heart block NOS;

Stokes-Adams syndromeHEART CONDUCTION DISORDERS 12,300 3,690 8,610

I09.9Rheumatic heart disease, unspecified; Rheumatic carditis;

Rheumatic heart failureHEART FAILURE 15,700 4,710 10,990

I50.0Congestive heart failure; Congestive heart disease; Right

venticular failure (secondary to left heart failure)HEART FAILURE 15,700 4,710 10,990

I50.1

Left ventricular failure; Acute oedema of lung with mention

of heart disease NOS or heart failure; Acute pulmonary

oedema with mention of heart disease NOS or heart failure;

Cardiac asthma with mention of heart disease NOS or heart

failure; Left heart failure with mention of heart disease NOS

or heart failure

HEART FAILURE 15,700 4,710 10,990

I50.9Heart failure, unspecified; Cardiac, heart or myocardial

failure NOSHEART FAILURE 15,700 4,710 10,990

I34.0

Mitral (valve) insufficiency; Incompetence mitral valve NOS

or of specified cause, except rheumatic; Regurgitation

mitral valve NOS or of specified cause, except rheumatic

HEART VALVE DISORDERS 8,400 2,520 5,880

I34.1 Mitral (valve) prolapse; Floppy mitral valve syndrome HEART VALVE DISORDERS 8,400 2,520 5,880

I34.2 Nonrheumatic mitral (valve) stenosis HEART VALVE DISORDERS 8,400 2,520 5,880

I34.8 Other nonrheumatic mitral heart valve disorders HEART VALVE DISORDERS 8,400 2,520 5,880

I34.9 Nonrheumatic mitral valve disorder, unspecified HEART VALVE DISORDERS 8,400 2,520 5,880

I35.0 Aortic (valve) stenosis HEART VALVE DISORDERS 8,400 2,520 5,880

I35.1

Aortic (valve) insufficiency; Incompetence Aortic valve NOS

or of specified cause, except rheumatic; Aortic valve

regurgitation NOS or of specified cause, except rheumatic

HEART VALVE DISORDERS 8,400 2,520 5,880

I35.2 Aortic (valve) stenosis with insufficiency HEART VALVE DISORDERS 8,400 2,520 5,880

I35.8 Other aortic heart valve disorders HEART VALVE DISORDERS 8,400 2,520 5,880

I35.9 Aortic valve disorder, unspecified HEART VALVE DISORDERS 8,400 2,520 5,880

I36.0 Nonrheumatic tricuspid (valve) stenosis HEART VALVE DISORDERS 8,400 2,520 5,880

I36.1

Nonrheumatic tricuspid (valve) insufficiency; Incompetence

tricuspid valve of specified cause, except rheumatic;

Tricuspid valve regurgitation of specified cause, except

rheumatic

HEART VALVE DISORDERS 8,400 2,520 5,880

I36.8 Other nonrheumatic tricuspid valve disorders HEART VALVE DISORDERS 8,400 2,520 5,880

I36.9 Nonrheumatic tricuspid valve disorder, unspecified HEART VALVE DISORDERS 8,400 2,520 5,880

I37.0 Pulmonary valve stenosis HEART VALVE DISORDERS 8,400 2,520 5,880

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

I37.1

Pulmonary valve insufficiency; Incompetence pulmonary

valve NOS or specified cause, except rheumatic; Pulmonary

valve regurgitation NOS or of specified cause, except

rheumatic

HEART VALVE DISORDERS 8,400 2,520 5,880

I37.8 Other pulmonary heart valve disorders HEART VALVE DISORDERS 8,400 2,520 5,880

I37.9 Pulmonary valve disorder, unspecified HEART VALVE DISORDERS 8,400 2,520 5,880

T67.0Heat stroke and sunstroke; Heat apoplexy; Heat pyrexia;

Siriasis; ThermoplegiaHEAT EXHAUSTION 6,500 1,950 4,550

T67.1 Heat syncope; Heat collapse HEAT EXHAUSTION 6,500 1,950 4,550

T67.2 Heat cramp HEAT EXHAUSTION 6,500 1,950 4,550

T67.3Heat exhaustion, anhydrotic; Heat prostration due to water

depletionHEAT EXHAUSTION 6,500 1,950 4,550

T67.4Heat exhaustion due to salt depletion; Heat prostation due

to salt (and water) depletionHEAT EXHAUSTION 6,500 1,950 4,550

T67.5 Heat exhaustion, unspecified; Heat prostration NOS HEAT EXHAUSTION 6,500 1,950 4,550

T67.9 Effect of heat and light, unspecified HEAT EXHAUSTION 6,500 1,950 4,550

M25.00 Haemarthrosis multiple sites HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.01 Haemarthrosis shoulder region HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.05 Haemarthrosis pelvic region and thigh HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.06 Haemarthrosis lower leg HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.07 Haemarthrosis ankle and foot HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.08 Haemarthrosis other sites HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.09 Haemarthrosis site unspecified HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.38 Other instability of joint other sites HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.40 Effusion of joint multiple sites HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.41 Effusion of joint shoulder region HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.46 Effusion of joint lower leg HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

M25.47 Effusion of joint ankle and foot HEMARTHROSIS/JOINT EFFUSION 7,800 2,340 5,460

D59.3 Haemolytic-uraemic syndrome HEMOLYTIC UREMIC SYNDROME 20,200 6,060 14,140

O08.1

Delayed or excessive haemorrhage following abortion and

ectopic and molar pregnancy; Afibrinogenaemia;

Defibrination syndrome; Intravascular coagulation

HEMORRHAGE IN PREGNANCY AND POST

PARTUM PERIOD7,000 2,100 4,900

O72.0

Third-stage haemorrhage; Haemorrhage associated with

retained, trapped or adherent placenta; Retained placenta

NOS

HEMORRHAGE IN PREGNANCY AND POST

PARTUM PERIOD7,000 2,100 4,900

O72.1

Other immediate postpartum haemorrhage; Haemorrhage

following delivery of placenta; Postpartum atomic

haemorrhage NOS

HEMORRHAGE IN PREGNANCY AND POST

PARTUM PERIOD7,000 2,100 4,900

O72.2

Delayed and secondary postpartum haemorrhage;

Haemorrhage associated with retained portions of placenta

or membranes; Retained products of concepcion NOS,

following delivery

HEMORRHAGE IN PREGNANCY AND POST

PARTUM PERIOD7,000 2,100 4,900

O72.3Postpartum coagulation defects; Afibrinogenaemia

postpartum; Fibrinolysis postpartum

HEMORRHAGE IN PREGNANCY AND POST

PARTUM PERIOD7,000 2,100 4,900

O73.0Retained placenta without haemorrhage; Placenta accreta

without haemorrhage

HEMORRHAGE IN PREGNANCY AND POST

PARTUM PERIOD7,000 2,100 4,900

O73.1

Retained portions of placenta and membranes without

haemorrhage; Retained products of conception following

delivery, without haemorrhage

HEMORRHAGE IN PREGNANCY AND POST

PARTUM PERIOD7,000 2,100 4,900

P50.0 Fetal blood loss from vasa praeviaHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P50.1 Fetal blood loss from ruptured cordHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P50.2 Fetal blood loss from placentaHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P50.9 Fetal blood loss, unspecified; Fetal haemorrhage NOSHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P51.9 Umbilical haemorrhage of newborn, unspecifiedHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P53Haemorrhagic disease of fetus and newborn; Vitamin K

deficiency of newborn

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P54.0 Neonatal haematemesisHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P54.2 Neonatal rectal haemorrhageHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P54.3 Other neonatal gastrointestinal haemorrhageHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P54.4 Neonatal adrenal haemorrhageHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P54.5

Neonatal cutaneous haemorrhage; Bruising in fetus or

newborn; Ecchymoses in fetus or newborn; Petechiae in

fetus or newborn; Superficial haematomata in fetus or

newborn

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P54.6 Neonatal vaginal haemorrhage; PseudomensesHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P54.8 Other specified neonatal haemorrhagesHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

P54.9 Neonatal haemorrhage, unspecifiedHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P55.0 Rh isoimmunization of fetus and newbornHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P55.1 ABO isoimmunization of fetus and newbornHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P55.8 Other haemolytic diseases of fetus and newbornHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P55.9 Haemolytic disease of fetus and newborn, unspecifiedHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P61.0

Transient neonatal thrombocytopenia; neonatal

thrombocytopenia due to exchange transfusion; Neonatal

thrombocytopenia due to idiophatic maternal

thrombocytopenia; Neonatal thrombocytopenia due to

isoimmunization

HEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P61.1 Polycythaemia neonatorumHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P61.5 Transient neonatal neutropeniaHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P61.6 Other transient neonatal disorders of coagulationHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P61.8 Other specified perinatal haematological disordersHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

P61.9 Perinatal haematological disorder, unspecifiedHEMORRHAGIC AND HEMATOLOGIC DISEASES OF

THE NEWBORN7,800 2,340 5,460

D66

Hereditary factor VIII deficiency; Deficiency factor VIII (with

functional defect); Haemophilia NOS; Haemophilia A;

Classical Haemophilia

HEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D67

Hereditary factor IX deficiency; Christmas disease; Factor IX

Deficiency (with functional defect); Plasma thromboplastin

component [PTC] Deficiency; Haemophilia B

HEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D68.0Von Willebrand's disease; Angiohaemophilia; Factor VIII

deficiency with vascular defect; Vascular haemophiliaHEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D68.1Hereditary factor XI deficiency; Haemophilia C Plasma

thromoplastin antecedent [PTA] deficiencyHEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D68.2

Hereditary deficiency of other clotting factors; Congenital

afibrinogenaemia; AC globulin Deficiency; Proaccelerin

Deficiency; Deficiency of factor I [fibrinogen]; Deficiency of

factor II [prothrombin]; Deficiency of factor V [labile];

Deficiency of factor VII [stable]; Deficiency of factor X

[Stuart-Prower]; Deficiency of XII [hageman]; XIII [fibrin-

stabilizing]; Congenital dysfibrinogenaemia;

Hypoproconvertinaemia; Owren's disease

HEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D68.3

Haemorrhagic disorder due to circulating anticoagulants;

Haemorrhage during long term use of anticoagulants;

Hyperheparinaemia; Increase in antithrombin; Increase in

anti-VIIIa; Increase in anti-Ixa; Increase in anti-Xa; Increase

in anti-Xia

HEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D68.4

Acquired coagulation factor deficiency; Deficiency of

coagulation factor due to liver disease; Deficiency of

coagulation factor due to vitamin K deficiency

HEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D68.8Other specified coagulation defects; Presence of systemic

lupus erythematosus [SLE] inhibitorHEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D68.9 Coagulation defect, unspecified HEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D69.0

Allergic purpura; Anaphylactoid Purpura; Henoch(-

Schönlein) Purpura; Nonthrombocytopenic Purpura;

Haemorrhagic Purpura; Idiopathic Purpura; Vascular

Purpura; AllergicVasculitis

HEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D69.1

Qualitative platelet defects; Bernard-Soulier [giant platelet]

syndrome; Glanzmann's disease; Grey platelet syndrome;

Haemorrhagic Thromboasthenia; Hereditary

Thromboasthenia; Thrombocytopathy ;

HEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D69.2Other nonthrombocytopenic purpura; Purpura NOS; Senile

Purpura; Simplex PurpuraHEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D69.3 Idiopathic thrombocytopenic purpura; Evans' syndrome HEMORRHAGIC CONDITIONS 12,800 3,840 8,960

D69.8Other specified haemorrhagic conditions; Hereditary

Capillary fragility; Vascular pseudohaemophiliaHEMORRHAGIC CONDITIONS 12,800 3,840 8,960

K70.4

Alcoholic hepatic failure; Alcoholic hepatic failure NOS;

Acute alcoholic hepatic failure; Chronic alcoholic hepatic

failure; Subacute alcoholic hepatic failure; Alcoholic hepatic

failure with or without hepatic coma

HEPATIC FAILURE 20,600 6,180 14,420

K72.0Acute and subacute hepatic failure

Acute hepatitisHEPATIC FAILURE 20,600 6,180 14,420

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

K72.1 Chronic hepatic failure HEPATIC FAILURE 20,600 6,180 14,420

K72.9Hepatic failure, unspecified

Liver necrosisHEPATIC FAILURE 20,600 6,180 14,420

O01.0 Classical hydatidiform mole; Complete hydatidiform mole HYDATIDIFORM MOLE 6,600 1,980 4,620

O01.1 Incomplete and partial hydatidiform mole HYDATIDIFORM MOLE 6,600 1,980 4,620

O01.9Hydatidiform mole, unspecified; Trophoblastic disease

NOS; Vesicular mole NOSHYDATIDIFORM MOLE 6,600 1,980 4,620

G91.0 Communicating hydrocephalus HYDROCEPHALUS 17,300 5,190 12,110

G91.1 Obstructive hydrocephalus HYDROCEPHALUS 17,300 5,190 12,110

G91.2 Normal-pressure hydrocephalus HYDROCEPHALUS 17,300 5,190 12,110

G91.3 Post-traumatic hydrocephalus, unspecified HYDROCEPHALUS 17,300 5,190 12,110

G91.8 Other hydrocephalus HYDROCEPHALUS 17,300 5,190 12,110

G91.9 Hydrocephalus, unspecified HYDROCEPHALUS 17,300 5,190 12,110

Q03.8 Other congenital hydrocephalus HYDROCEPHALUS 17,300 5,190 12,110

Q03.9 Congenital hydrocephalus, unspecified HYDROCEPHALUS 17,300 5,190 12,110

P56.0 Hydrops fetalis due to isoimmunization HYDROPS FETALIS 7,400 2,220 5,180

P56.9Hydrops fetalis due to other and unspecified haemolytic

diseaseHYDROPS FETALIS 7,400 2,220 5,180

P83.2Hydrops fetalis not due to haemolytic disease; Hydrops

fetalis NOSHYDROPS FETALIS 7,400 2,220 5,180

I10.1 Hypertension, stage 2 HYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I10.9

Hypertension

Essential hypertension

Malignant hypertension

HYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I11.0Hypertensive heart disease with (congestive) heart failure;

Hypertensive heart failureHYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I11.9Hypertensive heart disease without (congestive) heart

failure; Hypertensive heart disease NOSHYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I12.0Hypertensive renal disease with renal failure; Hypertensive

renal failureHYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I12.9Hypertensive renal disease without renal failure;

Hypertensive renal disease NOSHYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I13.0Hypertensive heart and renal disease with (congestive)

heart failureHYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I13.1 Hypertensive heart and renal disease with renal failure HYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I13.2Hypertensive heart and renal disease with both

(congestive) heart failure and renal failureHYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I13.9 Hypertensive heart and renal disease, unspecified HYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I15.0 Renovascular hypertension HYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I15.1 Hypertension secondary to other renal disorders HYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I15.2 Hypertension secondary to endocrine disorders HYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I15.8 Other secondary hypertension HYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

I15.9 Secondary hypertension, unspecified HYPERTENSIVE EMERGENCY/URGENCY 9,000 2,700 6,300

E05.0Thyrotoxicosis with diffuse goitre; Exophthalmic or toxic

goitre NOS; Graves' disease; Toxic diffuse goitreHYPERTHYROIDISM 8,500 2,550 5,950

E05.1Thyrotoxicosis with toxic single thyroid nodule;

Thyrotoxicosis with toxic uninodular goitreHYPERTHYROIDISM 8,500 2,550 5,950

E05.2

Thyrotoxicosis with toxic multinodular goitre; Toxic nodular

goitre NOS

Thyroid nodules with hyperthyroidism

Toxic thyroid nodules

HYPERTHYROIDISM 8,500 2,550 5,950

E05.3 Thyrotoxicosis from ectopic thyroid tissue HYPERTHYROIDISM 8,500 2,550 5,950

E05.4 Thyrotoxicosis factitia HYPERTHYROIDISM 8,500 2,550 5,950

E05.5 Thyroid crisis or storm HYPERTHYROIDISM 8,500 2,550 5,950

E05.8Other thyrotoxicosis; Overproduction of thyroid-stimulating

hormoneHYPERTHYROIDISM 8,500 2,550 5,950

E05.9Thyrotoxicosis, unspecified; Hyperthyroidism NOS;

ThyroiditisHYPERTHYROIDISM 8,500 2,550 5,950

E01.0 Iodine-deficiency-related diffuse (endemic) goitre HYPOTHYROIDISM 8,100 2,430 5,670

E01.1Iodine-deficiency-related multinodular (endemic) goitre;

Iodine-deficiency-related nodular goitreHYPOTHYROIDISM 8,100 2,430 5,670

E01.2 Iodine-deficiency-related (endemic) goitre, unspecified HYPOTHYROIDISM 8,100 2,430 5,670

E01.8Other iodine-deficiency-related thyroid disorders and allied

conditions; Acquired iodine-deficiency hypothyroidism NOSHYPOTHYROIDISM 8,100 2,430 5,670

E02 Subclinical iodine-deficiency hypothyroidism HYPOTHYROIDISM 8,100 2,430 5,670

E03.2Hypothyroidism due to medicaments and other exogenous

substancesHYPOTHYROIDISM 8,100 2,430 5,670

E03.5 Myxoedema coma HYPOTHYROIDISM 8,100 2,430 5,670

E03.8 Other specified hypothyroidism HYPOTHYROIDISM 8,100 2,430 5,670

E03.9 Hypothyroidism, unspecified; HYPOTHYROIDISM 8,100 2,430 5,670

D80.0

Hereditary hypogammaglobulinaemia; Autosomal recessive

agammaglobulinaemia (Swiss type); X-linked

agammaglobulinaemia [Bruton] (with growth hormone

deficiency)

IMMUNODEFICIENCY 11,600 3,480 8,120

D80.2 Selective deficiency of immunoglobulin A [IgA] IMMUNODEFICIENCY 11,600 3,480 8,120

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

D80.7 Transient hypogammaglobulinaemia of infancy IMMUNODEFICIENCY 11,600 3,480 8,120

D80.8Other immunodeficiencies with predominantly antibody

defects; Kappa light chain deficiencyIMMUNODEFICIENCY 11,600 3,480 8,120

D80.9Immunodeficiency with predominantly antibody defects,

unspecifiedIMMUNODEFICIENCY 11,600 3,480 8,120

D81.1Severe combined immunodeficiency [SCID] with low T- and

B-cell numbersIMMUNODEFICIENCY 11,600 3,480 8,120

D81.6Major histocompatibility complex class I deficiency; Bare

lymphocyte syndromeIMMUNODEFICIENCY 11,600 3,480 8,120

D81.9Combined immunodeficiency, unspecified; Severe

combined immunodeficiency disorder [SCID] NOSIMMUNODEFICIENCY 11,600 3,480 8,120

D82.0Wiskott-Aldrich syndrome; Immunodeficiency with

thrombocytopenia and eczemaIMMUNODEFICIENCY 11,600 3,480 8,120

D82.1

Di George's syndrome; Pharyngeal pouch syndrome;

Thymic alymphoplasia; Thymic aplasia or hypoplasia with

immunodeficiency

IMMUNODEFICIENCY 11,600 3,480 8,120

D82.3Immunodeficiency following hereditary defective response

to Epstein-Barr virus; X-linked lymphoproliferative diseaseIMMUNODEFICIENCY 11,600 3,480 8,120

D82.4 Hyperimmunoglobulin E [IgE] syndrome IMMUNODEFICIENCY 11,600 3,480 8,120

D82.9Immunodeficiency associated with major defect,

unspecifiedIMMUNODEFICIENCY 11,600 3,480 8,120

D83.0Common variable immunodeficiency with predominant

abnormalities of B-cell numbers and functionIMMUNODEFICIENCY 11,600 3,480 8,120

D83.1Common variable immunodeficiency with predominant

immunoregulatory T-cell disordersIMMUNODEFICIENCY 11,600 3,480 8,120

D83.9 Common variable immunodeficiency, unspecified IMMUNODEFICIENCY 11,600 3,480 8,120

D84.8 Other specified immunodeficiencies IMMUNODEFICIENCY 11,600 3,480 8,120

D84.9 Immunodeficiency, unspecified IMMUNODEFICIENCY 11,600 3,480 8,120

D86.1 Sarcoidosis of lymph nodes IMMUNODEFICIENCY 11,600 3,480 8,120

D86.8Sarcoidosis of other and combined sites; Uveoparotid fever

[Heerfordt]IMMUNODEFICIENCY 11,600 3,480 8,120

D86.9 Sarcoidosis, unspecified IMMUNODEFICIENCY 11,600 3,480 8,120

D89.0

Polyclonal hypergammaglobulinaemia; Benign

hypergammaglobulinaemic purpura; Polyclonal

gammopathy NOS

IMMUNODEFICIENCY 11,600 3,480 8,120

D89.1

Cryoglobulinaemia; Essential Cryoglobulinaemia; Idiopathic

Cryoglobulinaemia; Mixed Cryoglobulinaemia; Primary

Cryoglobulinaemia; Secondary Cryoglobulinaemia;

Cryoglobulinaemic purpura; Cryoglobulinaemic vasculitis

IMMUNODEFICIENCY 11,600 3,480 8,120

D89.2 Hypergammaglobulinaemia, unspecified IMMUNODEFICIENCY 11,600 3,480 8,120

D89.8Other specified disorders involving the immune

mechanism, not elsewhere classifiedIMMUNODEFICIENCY 11,600 3,480 8,120

D89.9Disorder involving the immune mechanism, unspecified;

Immune disease NOSIMMUNODEFICIENCY 11,600 3,480 8,120

N48.0Leukoplakia of penis; Balanitis xerotica obliterans; Kraurosis

of penis

INFLAMMATION/INFECTION OF THE MALE

GENITAL TRACT9,000 2,700 6,300

N48.1 Balanoposthitis; BalanitisINFLAMMATION/INFECTION OF THE MALE

GENITAL TRACT9,000 2,700 6,300

N48.2

Other inflammatory disorders of penis; Abscess of corpus

cavernosum and penis; Boil of corpus cavernosum and

penis; Carbuncle of corpus cavernosum and penis; Cellulitis

of corpus cavernosum and penis; Cavernitis (penis) of

corpus cavernosum and penis

INFLAMMATION/INFECTION OF THE MALE

GENITAL TRACT9,000 2,700 6,300

N48.5 Ulcer of penisINFLAMMATION/INFECTION OF THE MALE

GENITAL TRACT9,000 2,700 6,300

N48.6Induratio penis plastica; Peyronie's disease; Plastic

induration of penis

INFLAMMATION/INFECTION OF THE MALE

GENITAL TRACT9,000 2,700 6,300

N49.0 Inflammatory disorders of seminal vesicle; Vesiculitis NOSINFLAMMATION/INFECTION OF THE MALE

GENITAL TRACT9,000 2,700 6,300

N49.1Inflammatory disorders of spermatic cord, tunica vaginalis

and vas deferens; Vasitis

INFLAMMATION/INFECTION OF THE MALE

GENITAL TRACT9,000 2,700 6,300

N49.2 Inflammatory disorders of scrotumINFLAMMATION/INFECTION OF THE MALE

GENITAL TRACT9,000 2,700 6,300

N49.8

Inflammatory disorders of other specified male genital

organs; Inflammation of multiple sites in male genital

organs

INFLAMMATION/INFECTION OF THE MALE

GENITAL TRACT9,000 2,700 6,300

N49.9

Inflammatory disorder of unspecified male genital organ;

Abscess of unspecified male genital organ; Boil of

unspecified male genital organ; Carbuncle of unspecified

male genital organ; Cellulitis of unspecified male genital

organ

INFLAMMATION/INFECTION OF THE MALE

GENITAL TRACT9,000 2,700 6,300

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

K50.0

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

enteritis] of duodenum; Crohn's disease [regional enteritis]

of ileum; Crohn's disease [regional enteritis] of jejunum;

Regional ileitis; Terminal ileitis

INFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

K50.1

Crohn's disease of large intestine; Granulomatous colitis;

Regional colitis; Crohn's disease [regional enteritis] of

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

Crohn's disease [regional enteritis] of rectum

INFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

K50.8Other Crohn's disease; Crohn's disease of both small and

large intestineINFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

K50.9

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

disease NOS; Regional enteritis NOS; Granulomatous

enteritis NOS

INFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

K51.0 Ulcerative (chronic) enterocolitis INFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

K51.1 Ulcerative (chronic) ileocolitis INFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

K51.2 Ulcerative (chronic) proctitis INFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

K51.3 Ulcerative (chronic) rectosigmoiditis INFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

K51.5 Mucosal proctocolitis INFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

K51.8 Other ulcerative colitis INFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

K51.9 Ulcerative colitis, unspecified; Ulcerative enteritis NOS INFLAMMATORY BOWEL DISEASE 9,100 2,730 6,370

G04.0Acute disseminated encephalitis; Postimmunization

[Encephalitis; Postimmunization Encephalomyelitis

INFLAMMATORY DISEASE OF THE CENTRAL

NERVOUS SYSTEM21,600 6,480 15,120

G04.1 Tropical spastic paraplegiaINFLAMMATORY DISEASE OF THE CENTRAL

NERVOUS SYSTEM21,600 6,480 15,120

G04.2Bacterial meningoencephalitis and meningomyelitis, not

elsewhere classified

INFLAMMATORY DISEASE OF THE CENTRAL

NERVOUS SYSTEM21,600 6,480 15,120

G04.8Other encephalitis, myelitis and encephalomyelitis;

Postinfectious encephalitis and encephalomyelitis NOS

INFLAMMATORY DISEASE OF THE CENTRAL

NERVOUS SYSTEM21,600 6,480 15,120

G04.9Encephalitis, myelitis and encephalomyelitis, unspecified;

Ventriculitis (cerebral) NOS

INFLAMMATORY DISEASE OF THE CENTRAL

NERVOUS SYSTEM21,600 6,480 15,120

G05.8*Encephalitis, myelitis and encephalomyelitis in other

diseases classified elsewhere

INFLAMMATORY DISEASE OF THE CENTRAL

NERVOUS SYSTEM21,600 6,480 15,120

G07*Intracranial and intraspinal abscess and grauloma in

diseases classified elsewhere

INFLAMMATORY DISEASE OF THE CENTRAL

NERVOUS SYSTEM21,600 6,480 15,120

G08

Intracranial and intraspinal phlebitis and thrombophlebitis;

Septic [embolism, endophlebitis, phlebitis,

thrombophlebitis, thrombosis] of intracranial or intraspinal

venous sinuses and veins

INFLAMMATORY DISEASE OF THE CENTRAL

NERVOUS SYSTEM21,600 6,480 15,120

B05.0+ G05.1*Measles complicated by encephalitis; Encephalitis, myelitis

and encephalomyelitis in viral diseases classified elsewhere

INFLAMMATORY DISEASE OF THE CENTRAL

NERVOUS SYSTEM21,600 6,480 15,120

I30.0 Acute nonspecific idiopathic pericarditis INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I30.1

Infective pericarditis; Pneumococcal pericarditis; Purulent

pericarditis; Staphylococcal pericarditis; Streptococcal

pericarditis; Viral pericarditis; Pyopericarditis

INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I30.8 Other forms of acute pericarditis INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I30.9 Acute pericarditis, unspecified INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I31.0Chronic adhesive pericarditis; Accretio cordis; Adherent

pericardium; Adhesive mediastinopericarditisINFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I31.1Chronic constrictive pericarditis; Concretio cordis;

Pericardial calcificationINFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I33.0

Acute and subacute infective endocarditis; Acute bacterial

endocarditis; Subacute bacterial endocarditis; Acute

infective endocarditis NOS; Subacute infective endocarditis

NOS; Acute lenta endocarditis; Subacute lenta endocarditis;

Acute malignant endocarditis; Subacute malignant

endocarditis; Acute septic endocarditis; Subacute septic

endocarditis; Acute ulcerative endocarditis; Subacute

ulcerative endocarditis

INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I33.9

Acute endocarditis, unspecified; Endocarditis, acute or

subacute; Myoendocarditis, acute or subacute;

Periendocarditis, acute or subacute

INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I38

Endocarditis, valve unspecified; Chronic Endocarditis NOS;

Valvular incompetence of unspecified valve NOS or of

specified cause, except rheumatic or congenital; Valvular

insufficiency of unspecified valve NOS or of specified cause,

except rheumatic or congenital; Valvular regurgitation of

unspecified valve NOS or of specified cause, except

rheumatic or congenital; Valvular stenosis of unspecified

valve NOS or of specified cause, except rheumatic or

congenital; Chronic valvulitis of unspecified valve NOS or of

specified cause, except rheumatic or congenital

INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

I40.0 Infective myocarditis; Septic myocarditis INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I40.1 Isolated myocarditis INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I40.8 Other acute myocarditis INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

I40.9 Acute myocarditis, unspecified INFLAMMATORY DISEASES OF THE HEART 14,400 4,320 10,080

J09

Influenza due to identified zoonotic or pandemic influenza

virus; Influenza caused by influenza virus strains of special

epidemiological importance with an animal-human or inter-

human transimission

INFLUENZA 6,600 1,980 4,620

J10.0

Influenza with pneumonia, seasonal influenza virus

identified; Influenzal (broncho)pneumonia, other influenza

virus identified

INFLUENZA 6,600 1,980 4,620

J10.1

Influenza with other respiratory manifestations, seasonal

influenza virus identified; Influenza; Influenzal acute upper

respiratory infection, seasonal influenza virus identified;

Influenzal laryngitis, seasonal influenza virus identified;

Influenzal pharyngitis, seasonal influenza virus identified;

Influenzal pleural effusion, seasonal influenza virus

identified

INFLUENZA 6,600 1,980 4,620

J10.8

Influenza with other manifestations, seasonal influenza

virus identified; Encephalopathy due to influenza, seasonal

influenza virus identified; Influenzal gastroenteritis,

seasonal influenza virus identified; Influenzal myocarditis

(acute), seasonal influenza virus identified

INFLUENZA 6,600 1,980 4,620

J11.0

Influenza with pneumonia, virus not identified; Influenzal

(broncho) pneumonia, unspecified or specific virus not

identified

INFLUENZA 6,600 1,980 4,620

J11.1

Influenza with other respiratory manifestations, virus not

identified; Influenza NOS; Influenzal Acute upper

respiratory infection, unspecified or specific virus not

identified; Influenzal laryngitis, unspecified or specific virus

not identified; Influenzal pharyngitis, unspecified or specific

virus not identified; Influenzal pleural effusion, unspecified

or specific virus not identified

INFLUENZA 6,600 1,980 4,620

J11.8

Influenza with other manifestations, virus not identified;

Encephalopathy due to influenza, unspecified or specific

virus not identified; Influenzal gastroentiritis, unspecified or

specific virus not identified; Acute influenzal myocarditis,

unspecified or specific virus not identified

INFLUENZA 6,600 1,980 4,620

J11.8+ I41.1* Influenzal myocarditis (acute), virus not identified INFLUENZA 6,600 1,980 4,620

T66 Unspecified effects of radiationINJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T67.6 Heat fatigue, transientINJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T67.8 Other effects of heat and lightINJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T68 HypothermiaINJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T69.0 Immersion hand and foot; Trench footINJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T69.9 Effect of reduced temperature, unspecifiedINJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T70.0

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

ambient atmospheric pressure or water pressure on ears/

on sinuses

INJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T70.2

Other and unspecified effects of high altitude; Alpine

sickness; Anoxia due to high altitude; Barotrauma NOS;

Hypobaropathy; Mountain sickness

INJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T70.3Caisson disease [decompression sickness]; Compressed-air

disease; Diver's palsy or paralysis

INJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T70.4Effects of high-pressure fluids; Traumatic jet injection

(industrial)

INJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T70.8Other effects of air pressure and water pressure; Blast

injury syndrome

INJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T70.9 Effect of air pressure and water pressure, unspecifiedINJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T75.2Effects of vibration; Pneumatic hammer syndrome;

Traumatic vasospastic syndrome; Vertigo from infrasound

INJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

T75.8

Other specified injuries due to environmental and other

external factors causes; Effects of abnormal gravitation [G]

forces; Effects of weightlessness

INJURIES DUE TO ENVIRONMENTAL AND OTHER

EXTERNAL FACTORS CAUSES9,300 2,790 6,510

S14.0 Concussion and oedema of cervical spinal cord INJURIES TO NEURAL STRUCTURES AND NERVES 18,400 5,520 12,880

S34.0 Concussion and oedema of lumbar spinal cord INJURIES TO NEURAL STRUCTURES AND NERVES 18,400 5,520 12,880

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

S16 Injury of muscle and tendon at neck levelINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S39.0Injury of muscle and tendon of abdomen, lower back and

pelvis

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S43.0Dislocation of shoulder joint; Dislocation of Glenohumeral

joint

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S43.4

Sprain and strain of shoulder joint; sprain and strain of

Coracohumeral (ligament); Sprain and strain of Rotator cuff

capsule

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S43.5Sprain and strain of acromioclavicular joint; sprain and

strain of Acromioclavicular ligament

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S43.7Sprain and strain of other and unspecified parts of shoulder

girdle; Sprain and strain of shoulder girdle NOS

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S46.0 Injury of tendon of the rotator cuff of shoulderINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S46.1 Injury of muscle and tendon of long head of bicepsINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S46.2 Injury of muscle and tendon of other parts of bicepsINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S46.7Injury of multiple muscles and tendons at shoulder and

upper arm level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S46.8Injury of other muscles and tendons at shoulder and upper

arm level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S46.9Injury of unspecified muscle and tendon at shoulder and

upper arm level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S53.4 Sprain and strain of elbowINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S56.0Injury of flexor muscle and tendon of thumb at forearm

level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S56.1Injury of long flexor muscle and tendon of other finger(s) at

forearm level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S56.2 Injury of other flexor muscle and tendon at forearm levelINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S56.3Injury of extensor or abductor muscles and tendons of

thumb at forearm level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S63.5

Sprain and strain of wrist; Sprain and strain of Carpal joint;

Sprain and strain of Radiocarpal joint; Sprain and strain of

Radiocarpal ligament

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S63.6

Sprain and strain of finger(s); Sprain and strain of

Interphalangeal joint, hand; Sprain and strain

Metacarpophalangeal joint; Sprain and strain of Phalanx,

hand; Sprain and strain of Thumb

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S63.7 Sprain and strain of other and unspecified parts of handINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S66.1Injury of flexor muscle and tendon of other finger at wrist

and hand level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S66.3Injury of extensor muscle and tendon of other finger at

wrist and hand level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S66.5Injury of intrinsic muscle and tendon of other finger at wrist

and hand level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S66.6Injury of multiple flexor muscles and tendons at wrist and

hand level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S66.8 Injury of other muscles and tendons at wrist and hand levelINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S66.9Injury of unspecified muscle and tendon at wrist and hand

level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S73.1 Sprain and strain of hipINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S76.1Injury of quadriceps muscle and tendon; injury of Patellar

ligament (tendon)

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S76.2 Injury of adductor muscle and tendon of thighINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S76.3Injury of muscle and tendon of the posterior muscle group

at thigh level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S76.4Injury of other and unspecified muscles and tendons at

thigh level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S83.4

Sprain and strain involving fibular collateral ligament of

knee; Sprain and strain involving tibial collateral ligament of

knee

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S83.5

Sprain and strain involving anterior cruciate ligament of

knee; Sprain and strain involving posterior cruciate

ligament of knee

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S83.6Sprain and strain of other and unspecified parts of knee;

Tibiofibular joint and ligament, superior

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S86.8 Injury of other muscles and tendons at lower leg levelINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

S86.9 Injury of unspecified muscle and tendon at lower leg levelINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S93.4

Sprain and strain of ankle including Calcaneofibular

(ligament), Deltoid (ligament), Internal collateral (ligament),

Talofibular (ligament), Tibiofibular , distal (ligament)

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S93.5Sprain and strain of toe(s) including Interphalangeal

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

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S93.6Sprain and strain of other and unspecified parts of foot

including Tarsal (ligament), Tarsometatarsal (ligament)

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S96.0Injury of muscle and tendon of long flexor muscle of toe at

ankle and foot level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

S96.9Injury of unspecified muscle and tendon at ankle and foot

level

INJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

T03.9 Multiple dislocations, sprains and strains, unspecifiedINJURIES TO THE MUSCLES AND TENDONS AND

JOINTS7,200 2,160 5,040

J81Pulmonary oedema; Acute oedema of lung; Passive

pulmonary congestion; Lung dropsyINTERSTITIAL PULMONARY DISEASE 14,000 4,200 9,800

J82

Pulmonary eosinophilia, not elsewhere classified;

Eosinophilic asthma; Loffler's pneumonia; Tropical

pulmonary eosinophilia NOS

INTERSTITIAL PULMONARY DISEASE 14,000 4,200 9,800

J84.0Alveolar and parietoalveolar conditions; Alveolar

proteinosis; Pulmonary alveolar microlithiasisINTERSTITIAL PULMONARY DISEASE 14,000 4,200 9,800

J84.1

Other interstitial pulmonary diseases with fibrosis; Diffuse

pulmonary fibrosis; Cryptogenic fibrosing alveolitis;

Hamman-Rich syndrome; Idiopathic pulmonary fibrosis

INTERSTITIAL PULMONARY DISEASE 14,000 4,200 9,800

J84.8 Other specified interstitial pulmonary diseases INTERSTITIAL PULMONARY DISEASE 14,000 4,200 9,800

J84.9Interstitial pulmonary disease, unspecified; Interstitial

pneumonia NOSINTERSTITIAL PULMONARY DISEASE 14,000 4,200 9,800

K55.0

Acute vascular disorders of intestine; Acute fulminant

ischaemic colitis; Acute intestinal infarction; Acute small

intestine ischaemia; Mesentric artery embolism; Mesentric

vein embolism; Mesentric artery infarction; Mesentric vein

infarction; Mesentric artery thrombosis; Mesenteric vein

thrombosis; Subacute ischaemic colitis

INTESTINAL DISORDERS 9,500 2,850 6,650

K55.1

Chronic vascular disorders of intestine; Chronic ischaemic

colitis; Chronic ischaemic enteritis; Chronic ischaemic

enterocolitis; Ischaemic stricture of intestine; Mesentric

atherosclerosis; Mesentric vascular insufficiency

INTESTINAL DISORDERS 9,500 2,850 6,650

K55.2 Angiodysplasia of colon; Angiodysplasia of intestine NOS INTESTINAL DISORDERS 9,500 2,850 6,650

K55.9Vascular disorder of intestine, unspecified; Ischaemic colitis

NOS; Ischaemic enteritis NOS; Ischaemic enterocolitis NOSINTESTINAL DISORDERS 9,500 2,850 6,650

K57.0

Diverticular disease of small intestine with perforation and

abscess; Diverticular disease of small intestine with

peritonitis

INTESTINAL DISORDERS 9,500 2,850 6,650

K57.1Diverticular disease of small intestine without perforation

or abscess; Diverticular disease of small intestine NOSINTESTINAL DISORDERS 9,500 2,850 6,650

K57.2

Diverticular disease of large intestine with perforation and

abscess; Diverticular disease/ Diverticulitis/ Diverticulosis/

Diverticulum of colon with peritonitis

INTESTINAL DISORDERS 9,500 2,850 6,650

K57.3Diverticular disease of large intestine without perforation

or abscess; Diverticular disease of colon NOSINTESTINAL DISORDERS 9,500 2,850 6,650

K57.4

Diverticular disease of both small and large intestine with

perforation and abscess; Diverticular disease of both small

and large intestine with peritonitis

INTESTINAL DISORDERS 9,500 2,850 6,650

K57.5

Diverticular disease of both small and large intestine

without perforation or abscess; Diverticular disease of both

small and large intestine NOS

INTESTINAL DISORDERS 9,500 2,850 6,650

K57.8

Diverticular disease of intestine, part unspecified, with

perforation and abscess; Diverticular disease of intestine

NOS with peritonitis

INTESTINAL DISORDERS 9,500 2,850 6,650

K57.9Diverticular disease of intestine, part unspecified, without

perforation or abscess; Diverticular disease of intestine NOSINTESTINAL DISORDERS 9,500 2,850 6,650

K59.3Megacolon, not elsewhere classified; Dilatation of colon;

Toxic megacolonINTESTINAL DISORDERS 9,500 2,850 6,650

K59.8Other specified functional intestinal disorders; Atony of

colonINTESTINAL DISORDERS 9,500 2,850 6,650

K59.9 Functional intestinal disorder, unspecified INTESTINAL DISORDERS 9,500 2,850 6,650

K63.0 Abscess of intestine INTESTINAL DISORDERS 9,500 2,850 6,650

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

K63.1 Nontraumatic perforation of intestine INTESTINAL DISORDERS 9,500 2,850 6,650

K63.2 Fistula of intestine INTESTINAL DISORDERS 9,500 2,850 6,650

K63.3 Ulcer of intestine; Primary ulcer of small intestine INTESTINAL DISORDERS 9,500 2,850 6,650

K63.4 Enteroptosis INTESTINAL DISORDERS 9,500 2,850 6,650

K63.5 Polyp of colon INTESTINAL DISORDERS 9,500 2,850 6,650

K63.8 Other specified diseases of intestine INTESTINAL DISORDERS 9,500 2,850 6,650

K63.9 Disease of intestine, unspecified INTESTINAL DISORDERS 9,500 2,850 6,650

B05.4 Measles with intestinal complications INTESTINAL DISORDERS 9,500 2,850 6,650

K90.0Coeliac disease; Gluten-sensitive enteropathy; Idiopathic

steatorrhoea; Nontropical sprueINTESTINAL MALABSORPTION 4,100 1,230 2,870

K90.1 Tropical sprue; Sprue NOS; Tropical steatorrhoea INTESTINAL MALABSORPTION 4,100 1,230 2,870

K90.2Blind loop syndrome, not elsewhere classified; Blind loop

syndrome NOSINTESTINAL MALABSORPTION 4,100 1,230 2,870

K90.3 Pancreatic steatorrhoea INTESTINAL MALABSORPTION 4,100 1,230 2,870

K90.4

Malabsorption due to intolerance, not elsewhere classified;

Malabsorption due to intolerance to carbohydrate;

Malabsorption due to intolerance to fat; Malabsorption

due to intolerance to protein; Malabsorption due to

intolerance to starch

INTESTINAL MALABSORPTION 4,100 1,230 2,870

K90.8 Other intestinal malabsorption INTESTINAL MALABSORPTION 4,100 1,230 2,870

K90.9 Intestinal malabsorption, unspecified INTESTINAL MALABSORPTION 4,100 1,230 2,870

K56.0Paralytic ileus; Paralysis of bowel; Paralysis of colon;

Paralysis of intestineINTESTINAL OBSTRUCTION 10,100 3,030 7,070

K56.1

Intussusception; Intussusception or invagination of bowel;

Intussusception or invagination of colon; Intussusception or

invagination of intestine; Intussusception or invagination of

rectum

INTESTINAL OBSTRUCTION 10,100 3,030 7,070

K56.2Volvulus; Strangulation of colon or intestine; Torsion of

colon or intestine; Twist of colon or intestineINTESTINAL OBSTRUCTION 10,100 3,030 7,070

K56.3 Gallstone ileus; Obstruction of intestine by gallstone INTESTINAL OBSTRUCTION 10,100 3,030 7,070

K56.4Other impaction of intestine; Enterolith; Impaction of

colon; Impaction of faecalINTESTINAL OBSTRUCTION 10,100 3,030 7,070

K56.5Intestinal adhesions [bands] with obstruction; Peritoneal

adhesions [bands] with intestinal obstructionINTESTINAL OBSTRUCTION 10,100 3,030 7,070

K56.6

Other and unspecified intestinal obstruction; Enterotenosis;

Obstructive ileus NOS; Occlusion of colon or intestine;

Stenosis of colon or intestine; Stricture of colon or intestine

INTESTINAL OBSTRUCTION 10,100 3,030 7,070

K56.7 Ileus, unspecified INTESTINAL OBSTRUCTION 10,100 3,030 7,070

G06.0

Intracranial abscess and granuloma; Abscess (embolic)(of)

brain [any part]; Abscess (embolic)(of) cerebellar; Abscess

(embolic)(of) cerebral; Abscess (embolic)(of) otogenic;

IIntracranial abscess or granuloma, epidural; Intracranial

abscess or granuloma, extradural; Intracranial abscess or

granuloma, subdural

INTRACRANIAL AND INTRASPINAL ABSCESS AND

GRANULOMA27,900 8,370 19,530

G06.1

Intraspinal abscess and granuloma; Abscess (embolic) of

spinal cord [any part]; Intraspinal abscess or granuloma

epidural; Intraspinal abscess or granuloma extradural;

Intraspinal abscess or granuloma subdural

INTRACRANIAL AND INTRASPINAL ABSCESS AND

GRANULOMA27,900 8,370 19,530

G06.2Encephalitis, myelitis and encephalomyelitis in Extradural

and subdural abscess, unspecified

INTRACRANIAL AND INTRASPINAL ABSCESS AND

GRANULOMA27,900 8,370 19,530

S04.0Injury of optic nerve and pathways; Injury of Optic chiasm;

Injury of 2nd cranial nerve; Injury of Visual cortexINTRACRANIAL INJURIES 8,800 2,640 6,160

S04.1 Injury of oculomotor nerve; injury of 3rd cranial nerve INTRACRANIAL INJURIES 8,800 2,640 6,160

S04.4 Injury of abducent nerve; injury of 6th cranial nerve INTRACRANIAL INJURIES 8,800 2,640 6,160

S04.5 Injury of facial nerve; injury of 7th cranial nerve INTRACRANIAL INJURIES 8,800 2,640 6,160

S04.6Injury of acoustic nerve; injury of Auditory nerve; injury of

8th cranial nerveINTRACRANIAL INJURIES 8,800 2,640 6,160

S04.8

Injury of other cranial nerves; injury of Glossopharyngeal

[9th] nerve; injury of Hypoglossal [12th] nerve; injury of;

injury of Olfactory [1st] nerve; injury of Vagus [10th] nerve

INTRACRANIAL INJURIES 8,800 2,640 6,160

S04.9 Injury of unspecified cranial nerve INTRACRANIAL INJURIES 8,800 2,640 6,160

S05.0Injury of conjunctiva and corneal abrasion without mention

of foreign bodyINTRACRANIAL INJURIES 8,800 2,640 6,160

S06.00Concussion; Commotio cerebri (without open intracranial

wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.01Concussion; Commotio cerebri (with open intracranial

wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.10Traumatic cerebral oedema (without open intracranial

wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

S06.20

Diffuse brain injury; Cerebral contusion NOS; Cerebral

laceration NOS; Traumatic compression of brain NOS (with

open intracranial wound)

INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.21

Diffuse brain injury; Cerebral contusion NOS; Cerebral

laceration NOS; Traumatic compression of brain NOS

(without open intracranial wound)

INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.30

Focal brain injury; Focal cerebral; Focal cerebral contusion;

Focal cerebral laceration; Focal traumatic intracerebral

haemorrhage (without open intracranial wound)

INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.31

Focal brain injury; Focal cerebral; Focal cerebral contusion;

Focal cerebral laceration; Focal traumatic intracerebral

haemorrhage (with open intracranial wound)

INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.40Epidural haemorrhage; Extradural haemorrhage, traumatic

(without open intracranial wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.41Epidural haemorrhage; Extradural haemorrhage, traumatic

(with open intracranial wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.50Traumatic subdural haemorrhage (without open

intracranial wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.51Traumatic subdural haemorrhage (with open intracranial

wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.60Traumatic subarachnoid haemorrhage (without open

intracranial wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.61Traumatic subarachnoid haemorrhage (with open

intracranial wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.70Intracranial injury with prolonged coma (without open

intracranial wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.80

Other intracranial injuries; traumatic haemorrhage

cerebellar; traumatic haemorrhage intracranial NOS

(without open intracranial wound)

INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.81

Other intracranial injuries; traumatic haemorrhage

cerebellar; traumatic haemorrhage intracranial NOS (with

open intracranial wound)

INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.90Intracranial injury, unspecified; brain injury NOS (without

open intracranial wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S06.91Intracranial injury, unspecified; brain injury NOS (with open

intracranial wound)INTRACRANIAL INJURIES 8,800 2,640 6,160

S09.0 Injury of blood vessels of head, not elsewhere classified INTRACRANIAL INJURIES 8,800 2,640 6,160

S09.1 Injury of muscle and tendon of head INTRACRANIAL INJURIES 8,800 2,640 6,160

S09.2 Traumatic rupture of ear drum INTRACRANIAL INJURIES 8,800 2,640 6,160

S09.7 Multiple injuries of head INTRACRANIAL INJURIES 8,800 2,640 6,160

S09.8 Other specified injuries of head INTRACRANIAL INJURIES 8,800 2,640 6,160

S09.9Unspecified injury of head; Injury of face NOS; Injury of ear

NOS; Injury of nose NOSINTRACRANIAL INJURIES 8,800 2,640 6,160

P52.0

Intraventricular (nontraumatic) haemorrhage, grade 1, of

fetus and newborn; Subependymal haemorrhage (without

intraventricular extension)

INTRAVENTRICULAR

HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN

THE NEWBORN

25,600 7,680 17,920

P52.1

Intraventricular (nontraumatic) haemorrhage, grade 2, of

fetus and newborn; Subependymal haemorrhage with

intraventricular extension

INTRAVENTRICULAR

HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN

THE NEWBORN

25,600 7,680 17,920

P52.3Unspecified intraventricular (nontraumatic) haemorrhage

of fetus and newborn

INTRAVENTRICULAR

HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN

THE NEWBORN

25,600 7,680 17,920

P52.4Intracerebral (nontraumatic) haemorrhage of fetus and

newborn

INTRAVENTRICULAR

HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN

THE NEWBORN

25,600 7,680 17,920

P52.5Subarachnoid (nontraumatic) haemorrhage of fetus and

newborn

INTRAVENTRICULAR

HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN

THE NEWBORN

25,600 7,680 17,920

P52.6Cerebellar (nontraumatic) and posterior fossa haemorrhage

of fetus and newborn

INTRAVENTRICULAR

HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN

THE NEWBORN

25,600 7,680 17,920

P52.8Other intracranial (nontraumatic) haemorrhages of fetus

and newborn

INTRAVENTRICULAR

HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN

THE NEWBORN

25,600 7,680 17,920

P52.9Intracranial (nontraumatic) haemorrhage of fetus and

newborn, unspecified

INTRAVENTRICULAR

HEMORRHAGE/INTRACRANIAL HEMORRHAGE IN

THE NEWBORN

25,600 7,680 17,920

I21.0

Acute transmural myocardial infarction of anterior wall [or

duration of <4 weeks] KILLIPS stage unspecified; Acute

transmural infarction of anterior wall NOS [or duration of

<4 weeks] KILLIPS stage unspecified; Acute anteroapical;

anterolateral; anteroseptal transmural infarction [or

duration of <4 weeks] KILLIPS stage unspecified;

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

I21.1

Acute transmural myocardial infarction of inferior wall [or

duration of <4 weeks] KILLIPS I; Acute transmural infarction

of diaphragmatic wall [or duration of <4 weeks] KILLIPS I;

Acute transmural infarction of inferior wall NOS;

inferolateral; inferoposterior [or duration of <4

weeks]KILLIPS I;

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I21.2

Acute transmural myocardial infarction of other sites [or

duration of <4 weeks] KILLIPS II; Acute apical-lateral

transmural infarction [or duration of <4 weeks] KILLIPS II;

Acute basal-lateral transmural infarction [or duration of <4

weeks] KILLIPS II; high lateral; lateral wall NOS; posterior

(true); posterobasal; posterolateral; posteroseptal; septal

NOS

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I21.3Acute transmural myocardial infarction of unspecified site;

Transmural myocardial infarction NOS

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I21.4Acute subendocardial myocardial infarction;

Nontransmural myocardial infarction NOS

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I21.9

Acute myocardial infarction, unspecified [or duration of <4

weeks] KILLIPS I; Acute myocardial infarction NOS [or

duration of <4 weeks] KILLIPS I

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I22.0

Subsequent myocardial infarction of anterior wall; Acute

Subsequent infarction of anterior wall NOS; Acute

subsequent infarction of anteroapical wall; Acute

subsequent infarction of anterolateral wall; Acute

subsequent infarction of anteroseptal wall

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I22.1

Subsequent myocardial infarction of inferior wall; Acute

subsequent infarction of diaphragmatic wall; Acute

subsequent infarction of inferior wall NOS; Acute

subsequent infarction of inferolateral wall; Acute

subsequent infarction of inferoposterior wall

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I22.8

Subsequent myocardial infarction of other sites; Acute

myocardial infarction of apical-lateral wall; Acute

myocardial infarction of basal-lateral wall; Acute myocardial

infarction of high lateral wall; Acute myocardial infarction

of lateral wall NOS; posterior (true); posterobasal;

posterolateral; posteroseptal; septal NOS

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I22.9 Subsequent myocardial infarction of unspecified siteISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I23.0Haemopericardium as current complication following acute

myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I23.1Atrial septal defect as current complication following acute

myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I23.2Ventricular septal defect as current complication following

acute myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I23.3Rupture of cardiac wall without haemopericardium as

current complication following acute myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I23.4Rupture of chordae tendineae as current complication

following acute myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I23.5Rupture of papillary muscle as current complication

following acute myocardial infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I23.8Other current complications following acute myocardial

infarction

ISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I24.1 Dressler's syndrome; Postmyocardial infarction syndromeISCHEMIC HEART DISEASE WITH MYOCARDIAL

INFARCTION18,900 5,670 13,230

I20.0

Unstable angina; Angina crescendo; Angina de novo effort;

Angina worsening effort; Intermediate coronary syndrome;

Preinfarction syndrome

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL

INFARCTION12,000 3,600 8,400

I20.1

Angina pectoris with documented spasm; Angiospastic

Angina ; Prinzmetal Angina ; spasm-induced Angina ;

Variant Angina

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL

INFARCTION12,000 3,600 8,400

I20.8Other forms of angina pectoris; Angina of effort;

Stenocardia

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL

INFARCTION12,000 3,600 8,400

I20.9Angina pectoris, unspecified; Angina NOS; Cardiac Angina ;

Anginal syndrome; Ischaemic chest pain

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL

INFARCTION12,000 3,600 8,400

I24.0

Coronary thrombosis not resulting in myocardial infarction;

Coronary artery embolism not resulting in myocardial

infaction; Coronary vein embolism not resulting in

myocardial infarction; Coronary artery occlusion not

resulting in myocardial infarction; Coronary artery

thromboembolism not resulting in myocardial infarction;

Coronary vein thromboembolism not resulting in

myocardial infarction;

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL

INFARCTION12,000 3,600 8,400

I24.8Other forms of acute ischaemic heart disease; Coronary

failure; Coronary insufficiency

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL

INFARCTION12,000 3,600 8,400

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

I25.5 Ischaemic cardiomyopathyISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL

INFARCTION12,000 3,600 8,400

I25.6 Silent myocardial ischaemiaISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL

INFARCTION12,000 3,600 8,400

I25.8 Other forms of chronic ischaemic heart diseaseISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL

INFARCTION12,000 3,600 8,400

I25.9Chronic ischaemic heart disease, unspecified; Chronic

Ischaemic heart disease NOS

ISCHEMIC HEART DISEASE WITHOUT MYOCARDIAL

INFARCTION12,000 3,600 8,400

P57.0 Kernicterus due to isoimmunization JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P57.8 Other specified kernicterus JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P57.9 Kernicterus, unspecified JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P58.1 Neonatal jaundice due to bleeding JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P58.2 Neonatal jaundice due to infection JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P58.3 Neonatal jaundice due to polycythaemia JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P58.4Neonatal jaundice due to drugs or toxins transmitted from

mother or given to newbornJAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P58.8Neonatal jaundice due to other specified excessive

haemolysisJAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P58.9 Neonatal jaundice due to excessive haemolysis, unspecified JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P59.0

Neonatal jaundice associated with preterm delivery;

Hyperbilirubinaemia of prematurity; Jaundice due to

delayed conjucation associated with preterm delivery

JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P59.1 Inspissated bile syndrome JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P59.2Neonatal jaundice from other and unspecified

hepatocellular damageJAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P59.3 Neonatal jaundice from breast milk inhibitor JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P59.8 Neonatal jaundice from other specified causes JAUNDICE IN THE NEWBORN 7,400 2,220 5,180

P59.9Neonatal jaundice, unspecified; Intense physiological

jaundice, NOS; Prolonged physiological jaundice, NOSJAUNDICE IN THE NEWBORN 7,400 2,220 5,180

A30.0 Hansen's disease: Indeterminate leprosy; I leprosy LEPROSY 8,800 2,640 6,160

A30.1 Hansen's disease : Tuberculoid leprosy; TT leprosy LEPROSY 8,800 2,640 6,160

A30.2Hansen's disease: Borderline tuberculoid leprosy; BT

leprosyLEPROSY 8,800 2,640 6,160

A30.4Hansen's disease: Borderline lepromatous leprosy; BL

leprosyLEPROSY 8,800 2,640 6,160

A30.5 Hansen's disease: Lepromatous leprosy; LL leprosy LEPROSY 8,800 2,640 6,160

A30.8 Other forms of leprosy LEPROSY 8,800 2,640 6,160

A30.9Leprosy, unspecified

Hansen DiseaseLEPROSY 8,800 2,640 6,160

A27.0Leptospirosis icterohaemorrhagica; Leptospirosis due to

Leptospira interrogans serovar icterohaemorrhagiaeLEPTOSPIROSIS MODERATE TO SEVERE 11,000 3,300 7,700

A27.8 Other forms of leptospirosis LEPTOSPIROSIS MODERATE TO SEVERE 11,000 3,300 7,700

A27.9 Leptospirosis, unspecified LEPTOSPIROSIS MODERATE TO SEVERE 11,000 3,300 7,700

K70.0 Alcoholic fatty liver LIVER DISEASES I 11,800 3,540 8,260

K70.1 Alcoholic hepatitis LIVER DISEASES I 11,800 3,540 8,260

K70.2 Alcoholic fibrosis and sclerosis of liver LIVER DISEASES I 11,800 3,540 8,260

K70.3Alcoholic cirrhosis of liver; Alcoholic cirrhosis NOS;

Laennec's cirrhosisLIVER DISEASES I 11,800 3,540 8,260

K70.9 Alcoholic liver disease, unspecified LIVER DISEASES I 11,800 3,540 8,260

K71.0Toxic liver disease with cholestasis; Cholestatis with

hepatocyte injury; Pure cholestasisLIVER DISEASES I 11,800 3,540 8,260

K71.1Toxic liver disease with hepatic necrosis; Acute hepatic

failure due to drugs; Chronic hepatic failure due to drugsLIVER DISEASES I 11,800 3,540 8,260

K71.2 Toxic liver disease with acute hepatitis LIVER DISEASES I 11,800 3,540 8,260

K71.3 Toxic liver disease with chronic persistent hepatitis LIVER DISEASES I 11,800 3,540 8,260

K71.5Toxic liver disease with chronic active hepatitis; Toxic liver

disease with lupoid hepatitisLIVER DISEASES I 11,800 3,540 8,260

K71.6 Toxic liver disease with hepatitis, not elsewhere classified LIVER DISEASES I 11,800 3,540 8,260

K71.8

Toxic liver disease with other disorders of liver; Toxic liver

disease with focal nodular hyperplasia; Toxic liver disease

with hepatic granulomas; Toxic liver disease with peliosis

hepatis; Toxic liver disease with veno-occlusive disease of

liver

LIVER DISEASES I 11,800 3,540 8,260

K71.9 Toxic liver disease, unspecified LIVER DISEASES I 11,800 3,540 8,260

K73.0 Chronic persistent hepatitis, not elsewhere classified LIVER DISEASES I 11,800 3,540 8,260

K73.2Chronic active hepatitis, not elsewhere classified; Lupoid

hepatitis NECLIVER DISEASES I 11,800 3,540 8,260

K73.8 Other chronic hepatitis, not elsewhere classified LIVER DISEASES I 11,800 3,540 8,260

K73.9 Chronic hepatitis, unspecified LIVER DISEASES I 11,800 3,540 8,260

K74.1 Hepatic sclerosis LIVER DISEASES I 11,800 3,540 8,260

K74.6+I98.2*Oesophageal varices in other and unspecified cirrhosis of

liverLIVER DISEASES I 11,800 3,540 8,260

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

K75.0

Abscess of liver; Hepatic abscess NOS; Cholangitic hepatic

abscess; Haematogenic hepatic abscess; Lymphogenic

hepatic abscess; Pylephlebitic hepatic abscess

LIVER DISEASES I 11,800 3,540 8,260

K75.1 Phlebitis of portal vein; Pylephlebitis LIVER DISEASES I 11,800 3,540 8,260

K75.2 Nonspecific reactive hepatitis LIVER DISEASES I 11,800 3,540 8,260

K75.3 Granulomatous hepatitis, not elsewhere classified LIVER DISEASES I 11,800 3,540 8,260

K75.4 Autoimmune hepatitis LIVER DISEASES I 11,800 3,540 8,260

K75.8Other specified inflammatory liver diseases

Non alcoholic Steatohepatitis (NASH)LIVER DISEASES I 11,800 3,540 8,260

K75.9 Inflammatory liver disease, unspecified; Hepatitis NOS LIVER DISEASES I 11,800 3,540 8,260

K76.0 Fatty (change of) liver, not elsewhere classified LIVER DISEASES I 11,800 3,540 8,260

K76.8Other specified diseases of liver; Focal nodular hyperplasia

of liver; HepatoptosisLIVER DISEASES I 11,800 3,540 8,260

K76.9 Liver disease, unspecified LIVER DISEASES I 11,800 3,540 8,260

K71.4 Toxic liver disease with chronic lobular hepatitis LIVER DISEASES II 15,100 4,530 10,570

K71.7 Toxic liver disease with fibrosis and cirrhosis of liver LIVER DISEASES II 15,100 4,530 10,570

K74.0 Hepatic fibrosis LIVER DISEASES II 15,100 4,530 10,570

K74.2 Hepatic fibrosis with hepatic sclerosis LIVER DISEASES II 15,100 4,530 10,570

K74.6

Other and unspecified cirrhosis of liver; Cirrhosis of liver

NOS; Cryptogenic cirrhosis of liver; Macronodular cirrhosis

of liver; Micronodular cirrhosis of liver; Mixed type cirrhosis

of liver; Portal cirrhosis of liver; Postnecrotic cirrhosis of

liver;

LIVER DISEASES II 15,100 4,530 10,570

K76.1Chronic passive congestion of liver; Cardiac cirrhosis (so-

called) of liver; Cardiac sclerosis of liverLIVER DISEASES II 15,100 4,530 10,570

K76.2 Central haemorrhagic necrosis of liver LIVER DISEASES II 15,100 4,530 10,570

K76.3 Infarction of liver LIVER DISEASES II 15,100 4,530 10,570

K76.4 Peliosis hepatis; Hepatic angiomatosis LIVER DISEASES II 15,100 4,530 10,570

K76.6 Portal hypertension LIVER DISEASES II 15,100 4,530 10,570

K76.7 Hepatorenal syndrome LIVER DISEASES II 15,100 4,530 10,570

I88.0Nonspecific mesenteric lymphadenitis; Acute Mesenteric

lymphadenitis; Chronic Mesenteric lymphadenitisLYMPHADENITIS 6,800 2,040 4,760

I89.1Lymphangitis; Lymphangitis NOS; Chronic Lymphangitis;

Subacute LymphangitisLYMPHATIC VESSELS DISORDER 8,900 2,670 6,230

I89.8

Other specified noninfective disorders of lymphatic vessels

and lymph nodes; Chylocele (nonfilarial); Lipomelanotic

reticulosis

LYMPHATIC VESSELS DISORDER 8,900 2,670 6,230

I89.9Noninfective disorder of lymphatic vessels and lymph

nodes, unspecified; Disease of lymphatic vessels NOSLYMPHATIC VESSELS DISORDER 8,900 2,670 6,230

C64Malignant neoplasm of kidney, except renal pelvis & renal

calycesMALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C65Malignant neoplasm of renal pelvis; Malignant neoplasm of

Pelviureteric junction; Malignant neoplasm of Renal calycesMALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C66 Malignant neoplasm of ureter MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C67.0 Malignant neoplasm of Trigone of bladder MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C67.1 Malignant neoplasm of Dome of bladder MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C67.2 Malignant neoplasm of Lateral wall of bladder MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C67.3 Malignant neoplasm of Anterior wall of bladder MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C67.5Malignant neoplasm of Bladder neck; Malignant neoplasm

of Internal urethral orificeMALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C67.6 Malignant neoplasm of Ureteric orifice MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C67.7 Malignant neoplasm of Urachus MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C67.8 Malignant neoplasm of Overlapping lesion of bladder MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C67.9 Malignant neoplasm of Bladder, unspecified MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C68.0 Malignant neoplasm of Urethra MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C68.9Malignant neoplasm of Urinary organ, unspecified;

Malignant neoplasm of Urinary system NOSMALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C79.0 Secondary malignant neoplasm of kidney and renal pelvis MALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C79.1Secondary malignant neoplasm of bladder and other and

unspecified urinary organsMALIGNANT NEOPLASM OF URINARY TRACT 14,100 4,230 9,870

C40.0Malignant neoplasm of Scapula and long bones of upper

limb

MALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C40.1 Malignant neoplasm of Short bones of upper limbMALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C40.2 Malignant neoplasm of Long bones of lower limbMALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C40.3 Malignant neoplasm of Short bones of lower limbMALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C40.9Malignant neoplasm of Bone and articular cartilage of limb,

unspecified

MALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C41.0

Malignant neoplasm of Bones of skull and face; Malignant

neoplasm o f Superior maxilla; Malignant neoplasm of

Orbital bone

MALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

C41.1Malignant neoplasm of Mandible; Malignant neoplasm of

Lower jaw bone

MALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C41.2 Malignant neoplasm of Vertebral columnMALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C41.3 Malignant neoplasm of Ribs, sternum and clavicleMALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C41.4 Malignant neoplasm of Pelvic bones, sacrum and coccyxMALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C41.8Malignant neoplasm of Overlapping lesion of bone and

articular cartilage

MALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C41.9Malignant neoplasm of Bone and articular cartilage,

unspecified

MALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C79.5 Secondary malignant neoplasm of bone and bone marrowMALIGNANT NEOPLASMS OF BONE AND

ARTICULAR CARTILAGE16,500 4,950 11,550

C70.0 Malignant neoplasm of Cerebral meningesMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C70.1 Malignant neoplasm of Spinal meningesMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C70.9 Malignant neoplasm of Meninges, unspecifiedMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C71.0Malignant neoplasm of Cerebrum, except lobes and

ventricles; Malignant neoplasm of Supratentorial NOS

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C71.1 Malignant neoplasm of Frontal lobeMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C71.2 Malignant neoplasm of Temporal lobeMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C71.3 Malignant neoplasm of Parietal lobeMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C71.4 Malignant neoplasm of Occipital lobeMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C71.5 Malignant neoplasm of Cerebral ventricleMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C71.6 Malignant neoplasm of CerebellumMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C71.7Malignant neoplasm of Brain stem; Malignant neoplasm of

Fourth Ventricle; Malignant neoplasm of Infratentorial NOS

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C71.8 Malignant neoplasm of Overlapping lesion of brainMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C71.9 Malignant neoplasm of Brain, unspecifiedMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C72.0 Malignant neoplasm of Spinal cordMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C72.1 Malignant neoplasm of Cauda equinaMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C72.2Malignant neoplasm of Olfactory nerve; Malignant

neoplasm of Olfactory bulb

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C72.3 Malignant neoplasm of Optic nerveMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C72.4 Malignant neoplasm of Acoustic nerveMALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C72.5Malignant neoplasm of Other and unspecified cranial

nerves; Malignant neoplasm of Cranial nerve NOS

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C72.8Malignant neoplasm of Overlapping lesion of brain and

other parts of central nervous system

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C72.9Malignant neoplasm of Central nervous system,

unspecified; Malignant neoplasm of Nervous system NOS

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C79.3Secondary malignant neoplasm of brain and cerebral

meninges

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C79.4Secondary malignant neoplasm of other and unspecified

parts of nervous system

MALIGNANT NEOPLASMS OF CENTRAL NERVOUS

SYSTEM16,900 5,070 11,830

C15.0 Malignant neoplasm of Cervical part of oesophagus MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C15.2 Malignant neoplasm of Abdominal part of oesophagus MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C15.3 Malignant neoplasm of Upper third of oesophagus MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C15.4 Malignant neoplasm of Middle third of oesophagus MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C15.5 Malignant neoplasm of Lower third of oesophagus MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C15.8 Malignant neoplasm of Overlapping lesion of oesophagus MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C15.9 Malignant neoplasm of Oesophagus, unspecified MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

C16 Dermato(poly)myositis in Malignant neoplasm of stomach MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C16.0

Malignant neoplasm of Cardia; Malignant neoplasm of

Cardiac orifice; Malignant neoplasm of Cardio-oesophageal

junction; Malignant neoplasm of

Gastro-oesophageal junction; Malignant neoplasm of

Oesophagus and stomach

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C16.1 Malignant neoplasm of Fundus of stomach MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C16.2 Malignant neoplasm of Body of stomach MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C16.3Malignant neoplasm of Pyloric antrum; Malignant

neoplasm of Gastric antrumMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C16.4Malignant neoplasm of Pylorus; Malignant neoplasm of

Prepylorus; Malignant neoplasm of pyloric canalMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C16.5Malignant neoplasm of Lesser curvature of stomach,

unspecifiedMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C16.6Malignant neoplasm of Greater curvature of stomach,

unspecifiedMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C16.9Malignant neoplasm of Stomach, unspecified; Gastric

cancer NOSMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C17.0 Malignant neoplasm of Duodenum MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C17.1 Malignant neoplasm of Jejunum MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C17.2 Malignant neoplasm of Ileum MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C17.9 Malignant neoplasm of Small intestine, unspecified MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C18.0Malignant neoplasm of Caecum; Malignant neoplasm of

Ileocaecal valveMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C18.1 Malignant neoplasm of Appendix MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C18.2 Malignant neoplasm of Ascending colon MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C18.3 Malignant neoplasm of Hepatic flexure MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C18.4 Malignant neoplasm of Transverse colon MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C18.5 Malignant neoplasm of Splenic flexure MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C18.6 Malignant neoplasm of Descending colon MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C18.7Malignant neoplasm of Sigmoid colon; Malignant neoplasm

of Sigmoid flexureMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C18.8 Malignant neoplasm of Overlapping lesion of colon MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C18.9Malignant neoplasm of Colon, unspecified; Malignant

neoplasm of Large intestine NOSMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C19

Malignant neoplasm of rectosigmoid junction; Malignant

neoplasm of Colon with rectum; Malignant neoplasm of

Rectosigmoid colon

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C20Malignant neoplasm of rectum; Malignant neoplasm of

Rectal ampullaMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C21.0 Malignant neoplasm of Anus, unspecified MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C21.1Malignant neoplasm of Anal canal; Malignant neoplasm of

Anal sphincterMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C21.8

Malignant neoplasm of Overlapping lesion of rectum, anus

and anal canal; Malignant neoplasm of Anorectal junction;

Malignant neoplasm of Anorectum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C22.0Liver cell carcinoma; Hepatocellular carcinoma

HepatomaMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C22.1 Intrahepatic bile duct carcinoma; Cholangiocarcinoma MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C22.2 Hepatoblastoma MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C22.3 Angiosarcoma of liver; Kupffer cell sarcoma MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C22.4 Other sarcomas of liver MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C22.7 Other specified carcinomas of liver MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C22.9 Liver, unspecified MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C23 Malignant neoplasm of gallbladder MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

C24.0

Malignant neoplasm of Extrahepatic bile duct; Malignant

neoplasm of Biliary duct or passage NOS; Malignant

neoplasm of Common bile duct; Malignant neoplasm of

Cystic duct; Malignant neoplasm of Hepatic duct

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C24.1 Malignant neoplasm of Ampulla of Vater MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C24.8 Malignant neoplasm of Overlapping lesion of biliary tract MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C24.9 Malignant neoplasm of Biliary tract, unspecified MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C25.0 Malignant neoplasm of Head of pancreas MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C25.1 Malignant neoplasm of Body of pancreas MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C25.2 Malignant neoplasm of Tail of pancreas MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C25.3 Malignant neoplasm of Pancreatic duct MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C25.4Malignant neoplasm of Endocrine pancreas; Malignant

neoplasm of Islets of LangerhansMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C25.7Malignant neoplasm of Other parts of pancreas; Malignant

neoplasm of Neck of pancreasMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C25.8 Malignant neoplasm of Overlapping lesion of pancreas MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C25.9 Malignant neoplasm of Pancreas, unspecified MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C26.0Malignant neoplasm of Intestinal tract, part unspecified;

Malignant neoplasm of Intestine NOSMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C26.1 Malignant neoplasm of Spleen MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C26.8Malignant neoplasm of Overlapping lesion of digestive

systemMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C26.9

Malignant neoplasm of Ill-defined sites within the digestive

system; Malignant neoplasm of Alimentary canal or tract

NOS; Malignant neoplasm of Gastrointestinal tract NOS

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C45.1

Mesothelioma of peritoneum; Mesothelioma of Mesentery;

Mesothelioma of Mesocolon; Mesothelioma of Omentum;

Mesothelioma of Parietal

Peritoneum; Mesothelioma of Pelvic Peritoneum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C48.1

Malignant neoplasm of Specified parts of peritoneum;

Malignant neoplasm of Mesentery; Malignant neoplasm of

Mesocolon; Malignant neoplasm of Omentum; Malignant

neoplasm of Parietal Peritoneum; Malignant neoplasm of

Pelvic peritoneum

MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C48.2 Malignant neoplasm of Peritoneum, unspecified MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C76.2 Malignant neoplasm of Abdomen MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C77.2Secondary and unspecified malignant neoplasm of Intra-

abdominal lymph nodesMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C78.4 Secondary malignant neoplasm of small intestine MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C78.5Secondary malignant neoplasm of large intestine and

rectumMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C78.6Secondary malignant neoplasm of retroperitoneum and

peritoneum; Malignant ascites NOSMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C78.7 Secondary malignant neoplasm of liver MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C78.8Secondary malignant neoplasm of other and unspecified

digestive organsMALIGNANT NEOPLASMS OF DIGESTIVE ORGANS 14,200 4,260 9,940

C30.0

Malignant neoplasm of Nasal cavity; Malignant neoplasm of

Cartilage of nose; Malignant neoplasm of nasal Concha;

Malignant neoplasm of Internal nose; Malignant neoplasm

of Septum of nose; Malignant neoplasm of Vestibule of

nose

MALIGNANT NEOPLASMS OF EARS AND NOSE 10,300 3,090 7,210

C30.1

Malignant neoplasm of Middle ear; Malignant neoplasm of

Eustachian tube; Malignant neoplasm of Inner ear;

Malignant neoplasm of

Mastoid air cells

MALIGNANT NEOPLASMS OF EARS AND NOSE 10,300 3,090 7,210

C69.1 Malignant neoplasm of Cornea MALIGNANT NEOPLASMS OF EYE 16,900 5,070 11,830

C69.2 Malignant neoplasm of Retina MALIGNANT NEOPLASMS OF EYE 16,900 5,070 11,830

C69.3 Malignant neoplasm of Choroid MALIGNANT NEOPLASMS OF EYE 16,900 5,070 11,830

C69.4Malignant neoplasm of Ciliary body; Malignant neoplasm

of EyeballMALIGNANT NEOPLASMS OF EYE 16,900 5,070 11,830

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

C69.5

Malignant neoplasm of Lacrimal gland and duct; Malignant

neoplasm of Lacrimal sac; Malignant neoplasm of

Nasolacrimal duct

MALIGNANT NEOPLASMS OF EYE 16,900 5,070 11,830

C69.6

Malignant neoplasm of Orbit; Malignant neoplasm of

Connective tissue of orbit; Malignant neoplasm of

Extraocular muscle; Malignant neoplasm of Peripheral

nerves of orbit; Malignant neoplasm of Retrobulbar tissue;

Malignant neoplasm of Retro-ocular tissue

MALIGNANT NEOPLASMS OF EYE 16,900 5,070 11,830

C69.9 Malignant neoplasm of Eye, unspecified MALIGNANT NEOPLASMS OF EYE 16,900 5,070 11,830

C51.0Malignant neoplasm of Labium majus; Malignant neoplasm

of Bartholin's [greater vestibular] gland

MALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C51.1 Malignant neoplasm of Labium minusMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C51.2 Malignant neoplasm of ClitorisMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C51.9

Malignant neoplasm of Vulva, unspecified; Malignant

neoplasm of External female genitalia NOS; Malignant

neoplasm of Pudendum

MALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C52 Malignant neoplasm of vaginaMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C53.0 Malignant neoplasm of EndocervixMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C53.1 Malignant neoplasm of ExocervixMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C53.8 Malignant neoplasm of Overlapping lesion of cervix uteriMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C53.9 Malignant neoplasm of Cervix uteri, unspecifiedMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C54.0Malignant neoplasm of Isthmus uteri; Malignant neoplasm

of Lower uterine segment

MALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C54.1 Malignant neoplasm of EndometriumMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C54.2 Malignant neoplasm of MyometriumMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C54.3 Malignant neoplasm of Fundus uteriMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C54.8 Malignant neoplasm of Overlapping lesion of corpus uteriMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C54.9 Corpus uteri, unspecifiedMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C55 Malignant neoplasm of uterus, part unspecifiedMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C56 Malignant neoplasm of ovaryMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C57.0Malignant neoplasm of Fallopian tube; Malignant

neoplasm of Oviduct; Malignant neoplasm of Uterine tube

MALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C57.3Malignant neoplasm of Parametrium; Malignant neoplasm

of Uterine ligament NOS

MALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C57.4 Malignant neoplasm of Uterine adnexa, unspecifiedMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C57.7Malignant neoplasm of Other specified female genital

organs; Malignant neoplasm of Wolffian body or duct

MALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C57.8

Malignant neoplasm of Overlapping lesion of female genital

organs; Malignant neoplasm of Tubo-ovarian; Malignant

neoplasm of Utero-ovarian

MALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C57.9Malignant neoplasm of Female genital organ, unspecified;

Malignant neoplasm of Female genitourinary tract NOS

MALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C58Malignant neoplasm of placenta; Choriocarcinoma NOS;

Chorionepithelioma NOS

MALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C79.6 Secondary malignant neoplasm of ovaryMALIGNANT NEOPLASMS OF FEMALE GENITAL

TRACT11,400 3,420 7,980

C00.0

Malignant neoplasm of External upper lip; Malignant

neoplasm of Upper lip NOS; Malignant neoplasm of Upper

lip; Malignant neoplasm of lipstick area; Malignant

neoplasm of Upper lip, vermilion border

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C00.9 Malignant neoplasm of Lip, unspecifiedMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C01

Malignant neoplasm of base of Dorsal surface of tongue ;

Malignant neoplasm of Fixed part of tongue NOS;

Malignant neoplasm of Posterior third of tongue

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C02.0

Malignant neoplasm of Dorsal surface of base of tongue;

Malignant neoplasm of Anterior two-thirds of dorsal

surface of tongue

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C02.1Malignant neoplasm of Border of tongue; Malignant

neoplasm of Tip of tongue

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

C02.2

Malignant neoplasm of Ventral surface of tongue;

Malignant neoplasm of Anterior two-thirds of ventral

surface of tongue; Malignant neoplasm of Frenulum

linguae

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C02.3

Malignant neoplasm of Anterior two-thirds of tongue, part

unspecified; Malignant neoplasm of Middle third of tongue

NOS; Malignant neoplasm of Mobile part of tongue NOS

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C02.4 Malignant neoplasm of Lingual tonsilMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C02.8 Malignant neoplasm of Overlapping lesion of tongueMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C02.9 Malignant neoplasm of Tongue, unspecifiedMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C03.0 Malignant neoplasm of Upper gumMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C03.1 Malignant neoplasm of Lower gumMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C03.9 Malignant neoplasm of Gum, unspecifiedMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C04.9 Malignant neoplasm of Floor of mouth, unspecifiedMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C05.0 Malignant neoplasm of Hard palateMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C05.1 Malignant neoplasm of Soft palateMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C05.9 Malignant neoplasm of Palate, unspecifiedMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C06.0

Malignant neoplasm of Cheek mucosa; Malignant neoplasm

of Buccal mucosa NOS; Malignant neoplasm of Internal

cheek

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C06.1

Malignant neoplasm of Vestibule of mouth; Malignant

neoplasm of Upper buccal sulcus; Malignant neoplasm of

Lower buccal sulcus; Malignant neoplasm of Upper Labial

sulcus; Malignant neoplasm of Lower Labial sulcus

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C06.2 Malignant neoplasm of Retromolar areaMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C06.9

Malignant neoplasm of Mouth, unspecified; Minor

Malignant neoplasm of minor salivary gland, unspecified

site; Malignant neoplasm of Oral cavity NOS

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C07 Malignant neoplasm of parotid glandMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C08.0Malignant neoplasm of Submandibular gland; Malignant

neoplasm of Submaxillary gland

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C08.1 Malignant neoplasm of Sublingual glandMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C08.9Malignant neoplasm of Major salivary gland, unspecified;

Malignant neoplasm of Major Salivary gland NOS

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C09.0 Malignant neoplasm of Tonsillar fossaMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C09.9

Malignant neoplasm of Tonsil, unspecified; Malignant

neoplasm of Tonsil NOS; Malignant neoplasm of Faucial

Tonsil; Malignant neoplasm of Palatine Tonsil

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C10.0 Malignant neoplasm of ValleculaMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C10.3 Malignant neoplasm of Posterior wall of oropharynxMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C10.4Malignant neoplasm of Branchial cleft; Malignant neoplasm

of Branchial cyst

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C10.9 Malignant neoplasm of Oropharynx, unspecifiedMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C11.0Malignant neoplasm of Superior wall of nasopharynx;

Malignant neoplasm of Roof of nasopharynx

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C11.1

Malignant neoplasm of Posterior wall of nasopharynx;

Malignant neoplasm of Adenoid; Malignant neoplasm of

Pharyngeal tonsil

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C11.2

Malignant neoplasm of Lateral wall of nasopharynx;

Malignant neoplasm of Fossa of Rosenmüller; Malignant

neoplasm of Opening of auditory tube; Malignant

neoplasm of Pharyngeal recess

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

C11.3

Malignant neoplasm of Anterior wall of nasopharynx;

Malignant neoplasm of A nterior Nasopharyngeal surface

of soft palate; Malignant neoplasm of Posterior

Nasopharyngeal surface of soft palate; Malignant

neoplasm of Posterior margin of nasal choana; Malignant

of Posterior margin of nasal septum;

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C11.9 Malignant neoplasm of Nasopharynx, unspecifiedMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C13.1

Malignant neoplasm of Aryepiglottic fold, hypopharyngeal

aspect hypopharynx ; Malignant neoplasm of Aryepiglottic

fold, hypopharynx NOS; Malignant neoplasm of

Aryepiglottic fold, marginal zone, hypopharynx

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C13.9Malignant neoplasm of Hypopharynx, unspecified;

Malignant neoplasm of Hypopharyngeal wall NOS

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C14.0 Malignant neoplasm of Pharynx, unspecifiedMALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C14.8Malignant neoplasm of Overlapping lesion of lip, oral cavity

and pharynx

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C76.0Malignant neoplasm of Head, face and neck; Malignant

neoplasm of Cheek NOS; Malignant neoplasm of Nose NOS

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

C77.0

Secondary and unspecified malignant neoplasm of Lymph

nodes of head, face and neck; Malignant neoplasm of

Supraclavicular lymph nodes

MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY,

PHARYNX11,500 3,450 8,050

B21.1Human immunodeficiency virus [HIV] disease resulting in

Burkitt's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

B21.2Human immunodeficiency virus [HIV] disease resulting in

other types of non-Hodgkin's lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

B21.3

Human immunodeficiency virus [HIV] disease resulting in

other malignant neoplasms of lymphoid, haematopoietic

and related tissue

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C81.0

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

disease (Lymphocytic-histiocytic predominance)

Nodular lymphocyte predominant Hodgkin lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C81.1 Hodgkin's disease( Nodular sclerosis)MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C81.9 Hodgkin's disease, unspecifiedMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C82.0Small cleaved cell, follicular non-Hodgkin's lymphoma

Follicular lymphoma grade I

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C82.1

Mixed small cleaved non-Hodgkin's lymphoma and large

cell, follicular non-Hodgkin's lymphoma

Follicular lymphoma grade II

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C82.2Large cell, follicular non-Hodgkin's lymphoma

Follicular lymphoma grade III, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C82.7 Other types of follicular non-Hodgkin's lymphomaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C82.9Follicular non-Hodgkin's lymphoma, unspecified; Nodular

non-Hodgkin's lymphoma NOS

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C83.0Small cell diffuse non-Hodgkin's lymphoma

Small cell B-cell lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C83.2 Mixed small and large cell diffuse non-Hodgkin's lymphomaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUEN/A N/A N/A

C83.3Large cell diffuse non-Hodgkin's lymphoma

Diffuse large B-cell lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C83.4 Immunoblastic diffuse non-Hodgkin's lymphomaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUEN/A N/A N/A

C83.5 Lymphoblastic diffuse non-Hodgkin's lymphomaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C83.7Burkitt's tumour

Burkitt"s lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C83.8Other types of diffuse non-Hodgkin's lymphoma

Other non-follicular lymphoma

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C83.9Diffuse non-Hodgkin's lymphoma, unspecified

Non-follicular lymphoma, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C84.0 Mycosis fungoidesMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C84.1 Sézary's diseaseMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C84.3 Lymphoepithelioid lymphoma; Lennert's lymphomaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUEN/A N/A N/A

C84.4 Peripheral T-cell lymphomaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

C84.5 Other and unspecified T-cell lymphomasMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C85.0 LymphosarcomaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUEN/A N/A N/A

C85.1 B-cell lymphoma, unspecifiedMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C85.7

Other specified types of non-Hodgkin's lymphoma;

Malignant reticuloendotheliosis; Malignant reticulosis;

Microglioma

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C85.9Non-Hodgkin's lymphoma, unspecified type; Lymphoma

NOS

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C90.0 Multiple myeloma; Kahler's disease; MyelomatosisMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C90.1 Plasma cell leukaemiaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C90.2Extramedullary Plasmacytoma; Malignant plasma cell

tumour NOS; Plasmacytoma NOS ; Solitary myeloma

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C91.0 Acute lymphoblastic leukemia; Acute lymphocytic leukemia MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C91.1 Chronic lymphocytic leukaemia of B-cell typeMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C91.2 Subacute lymphocytic leukaemia of B-cell typeMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C91.3 Prolymphocytic leukaemiaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C91.4 Hairy-cell leukaemia; Leukaemic reticuloendotheliosisMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C91.5 Adult T-cell leukaemiaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C91.7 Other lymphoid leukaemiaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C91.9 Lymphoid leukaemia, unspecifiedMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C92.0Acute myeloid leukaemia

Acute myeloblastic leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C92.1 Chronic myeloid leukaemiaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C92.2 Subacute myeloid leukaemiaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C92.3 Myeloid sarcoma; Chloroma; Granulocytic sarcomaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C92.4 Acute promyelocytic leukaemiaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C92.5 Acute myelomonocytic leukaemiaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C92.7 Other myeloid leukaemiaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C92.9 Myeloid leukaemia, unspecifiedMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C93.0 Acute monocytic leukaemiaMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C93.1Chronic monocytic leukaemia

Chronic myelomonocytic leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C93.9 Monocytic leukaemia, unspecifiedMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C94.0

Acute erythraemia and erythroleukaemia; Acute

erythraemic myelosis; Di Guglielmo's disease

Acute erythroid leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C94.2Acute megakaryoblastic leukaemia; Acute megakaryocytic

Leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C94.4 Acute panmyelosisMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C94.5 Acute myelofibrosisMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C95.0Acute leukaemia of unspecified cell type; Blast cell

leukaemia; Stem cell leukaemia

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C95.1 Chronic leukaemia of unspecified cell typeMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C95.2 Subacute leukaemia of unspecified cell typeMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUEN/A N/A N/A

C95.7 Other leukaemia of unspecified cell typeMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C95.9 Leukaemia, unspecifiedMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C96.0Letterer-Siwe disease; Nonlipid reticuloendotheliosis;

Nonlipid reticulosis

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

C96.1 Malignant histiocytosis; Histiocytic medullary reticulosisMALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUEN/A N/A N/A

C96.2Malignant mast cell tumour; Malignant mastocytoma;

Malignant mastocytosis; Mast cell sarcoma

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C96.7Other specified malignant neoplasms of lymphoid,

haematopoietic and related tissue

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C96.9Malignant neoplasm of lymphoid, haematopoietic and

related tissue, unspecified

MALIGNANT NEOPLASMS OF LYMPHOID,

HEMATOPOIETIC AND RELATED TISSUE13,900 4,170 9,730

C60.9Malignant neoplasm of Penis, unspecified; Malignant

neoplasm of Skin of penis NOS

MALIGNANT NEOPLASMS OF MALE GENITAL

TRACT13,400 4,020 9,380

C61 Malignant neoplasm of prostateMALIGNANT NEOPLASMS OF MALE GENITAL

TRACT13,400 4,020 9,380

C62.0Malignant neoplasm of Undescended testis; Ectopic testis

; Malignant neoplasm of Retained testis

MALIGNANT NEOPLASMS OF MALE GENITAL

TRACT13,400 4,020 9,380

C62.1Malignant neoplasm of Descended testis; Malignant

neoplasm of Scrotal Testis

MALIGNANT NEOPLASMS OF MALE GENITAL

TRACT13,400 4,020 9,380

C62.9 Malignant neoplasm of Testis, unspecifiedMALIGNANT NEOPLASMS OF MALE GENITAL

TRACT13,400 4,020 9,380

C63.0 Malignant neoplasm of EpididymisMALIGNANT NEOPLASMS OF MALE GENITAL

TRACT13,400 4,020 9,380

C63.1 Malignant neoplasm of Spermatic cordMALIGNANT NEOPLASMS OF MALE GENITAL

TRACT13,400 4,020 9,380

C63.2Malignant neoplasm of Scrotum; Malignant neoplasm of

Skin of scrotum

MALIGNANT NEOPLASMS OF MALE GENITAL

TRACT13,400 4,020 9,380

C63.7Malignant neoplasm of Seminal vesicle; Malignant

neoplasm of Tunica vaginalis

MALIGNANT NEOPLASMS OF MALE GENITAL

TRACT13,400 4,020 9,380

C63.9Malignant neoplasm of Male genital organ, unspecified;

Male genitourinary tract NOS

MALIGNANT NEOPLASMS OF MALE GENITAL

TRACT13,400 4,020 9,380

C45.2 Mesothelioma of pericardium MALIGNANT NEOPLASMS OF MESOTHELIUM 10,600 3,180 7,420

C45.7 Mesothelioma of other sites MALIGNANT NEOPLASMS OF MESOTHELIUM 10,600 3,180 7,420

C45.9 Mesothelioma, unspecified MALIGNANT NEOPLASMS OF MESOTHELIUM 10,600 3,180 7,420

C48.0 Malignant neoplasm of Retroperitoneum MALIGNANT NEOPLASMS OF MESOTHELIUM 10,600 3,180 7,420

C76.3

Malignant neoplasm of Pelvis; Malignant neoplasm of

Groin NOS; Malignant neoplasm of

Sites overlapping systems within the pelvis, such as

rectovaginal (septum) & rectovesical (septum)

MALIGNANT NEOPLASMS OF OTHER SITES 16,100 4,830 11,270

C76.4 Malignant neoplasm of Upper limb MALIGNANT NEOPLASMS OF OTHER SITES 16,100 4,830 11,270

C76.5 Malignant neoplasm of Lower limb MALIGNANT NEOPLASMS OF OTHER SITES 16,100 4,830 11,270

C76.7 Malignant neoplasm of Other ill-defined sites MALIGNANT NEOPLASMS OF OTHER SITES 16,100 4,830 11,270

C76.8Malignant neoplasm of Overlapping lesion of other and ill-

defined sitesMALIGNANT NEOPLASMS OF OTHER SITES 16,100 4,830 11,270

C77.3

Secondary and unspecified malignant neoplasm of Axillary

and upper limb lymph nodes; Secondary and unspecified

malignant neoplasm of Pectoral lymph nodes

MALIGNANT NEOPLASMS OF OTHER SITES 16,100 4,830 11,270

C77.9Secondary and unspecified malignant neoplasm of Lymph

node, unspecifiedMALIGNANT NEOPLASMS OF OTHER SITES 16,100 4,830 11,270

C79.7 Secondary malignant neoplasm of adrenal gland MALIGNANT NEOPLASMS OF OTHER SITES 16,100 4,830 11,270

C79.8 Secondary malignant neoplasm of other specified sites MALIGNANT NEOPLASMS OF OTHER SITES 16,100 4,830 11,270

C80

Malignant neoplasm without specification of site;

Unspecified site whether primary or secondary [Cancer,

Carcinoma, Carcinomatosis, Generalized cancer,

Generalized malignancy, Malignancy, Multiple cancer];

Malignant cachexia; Malignant neoplasm of Primary site

unknown

MALIGNANT NEOPLASMS OF OTHER SITES 16,100 4,830 11,270

C47.0Malignant neoplasm of Peripheral nerves of head, face and

neckMALIGNANT NEOPLASMS OF PERIPHERAL NERVES 13,300 3,990 9,310

C47.1Malignant neoplasm of Peripheral nerves of upper limb,

including shoulderMALIGNANT NEOPLASMS OF PERIPHERAL NERVES 13,300 3,990 9,310

C47.2Malignant neoplasm of Peripheral nerves of lower limb,

including hipMALIGNANT NEOPLASMS OF PERIPHERAL NERVES 13,300 3,990 9,310

C47.3 Malignant neoplasm of Peripheral nerves of thorax MALIGNANT NEOPLASMS OF PERIPHERAL NERVES 13,300 3,990 9,310

C47.4 Malignant neoplasm of Peripheral nerves of abdomen MALIGNANT NEOPLASMS OF PERIPHERAL NERVES 13,300 3,990 9,310

C47.5 Malignant neoplasm of Peripheral nerves of pelvis MALIGNANT NEOPLASMS OF PERIPHERAL NERVES 13,300 3,990 9,310

C47.6Malignant neoplasm of Peripheral nerves of trunk,

unspecifiedMALIGNANT NEOPLASMS OF PERIPHERAL NERVES 13,300 3,990 9,310

C47.9Malignant neoplasm of Peripheral nerves and autonomic

nervous system, unspecifiedMALIGNANT NEOPLASMS OF PERIPHERAL NERVES 13,300 3,990 9,310

C32.0Malignant neoplasm of Glottis; Malignant neoplasm of

Intrinsic larynx; Malignant neoplasm of true Vocal cord NOS

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

C32.1

Malignant neoplasm of Supraglottis: Malignant neoplasm

of Aryepiglottic fold, laryngeal aspect; Malignant neoplasm

of Epiglottis (suprahyoid portion) NOS; Malignant neoplasm

of Extrinsic larynx; Malignant neoplasm of False vocal cord;

Malignant neoplasm of posterior laryngeal surface of

epiglottis; Malignant neoplasm of ventricular bands

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C32.2 Malignant neoplasm of SubglottisMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C32.3 Malignant neoplasm of Laryngeal cartilageMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C32.9 Malignant neoplasm of Larynx, unspecifiedMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C33 Malignant neoplasm of tracheaMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C34.0Malignant neoplasm of Main bronchus; Malignant

neoplasm of Carina; Malignant neoplasm of Hilus of lung

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C34.1 Malignant neoplasm of Upper lobe, bronchus or lungMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C34.2 Malignant neoplasm of Middle lobe, bronchus or lungMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C34.3 Malignant neoplasm of Lower lobe, bronchus or lungMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C34.8Malignant neoplasm of Overlapping lesion of bronchus and

lung

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C34.9 Malignant neoplasm of Bronchus or lung, unspecifiedMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C37 Malignant neoplasm of thymusMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C38.0Malignant neoplasm of Heart; Malignant neoplasm of

Pericardium

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C38.1 Malignant neoplasm of Anterior mediastinumMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C38.3 Malignant neoplasm of Mediastinum, part unspecifiedMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C38.4 Malignant neoplasm of PleuraMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C38.8Malignant neoplasm of Overlapping lesion of heart,

mediastinum and pleura

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C39.0Malignant neoplasm of Upper respiratory tract, part

unspecified

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C39.8Malignant neoplasm of Overlapping lesion of respiratory

and intrathoracic organs

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C39.9Malignant neoplasm of Ill-defined sites within the

respiratory system; Respiratory tract NOS

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C45.0 Mesothelioma of pleuraMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS10,600 3,180 7,420

C76.1

Malignant neoplasm of Thorax; Malignant neoplasm of

Axilla NOS; Malignant neoplasm of Intrathoracic NOS;

Malignant neoplasm of Thoracic NOS

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C77.1Secondary and unspecified malignant neoplasm of

Intrathoracic lymph nodes

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C78.0 Secondary malignant neoplasm of lungMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C78.1 Secondary malignant neoplasm of mediastinumMALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C78.2Secondary malignant neoplasm of pleura; Malignant pleural

effusion NOS

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C78.3Secondary malignant neoplasm of other and unspecified

respiratory organs

MALIGNANT NEOPLASMS OF RESPIRATORY AND

INTRATHORACIC ORGANS14,600 4,380 10,220

C31.0

Malignant neoplasm of Maxillary sinus; Malignant

neoplasm of Antrum (Highmore); Malignant neoplasm of

Antrum (maxillary)

MALIGNANT NEOPLASMS OF SINUSES 11,500 3,450 8,050

C31.1 Malignant neoplasm of Ethmoidal sinus MALIGNANT NEOPLASMS OF SINUSES 11,500 3,450 8,050

C31.2 Malignant neoplasm of Frontal sinus MALIGNANT NEOPLASMS OF SINUSES 11,500 3,450 8,050

C31.3 Malignant neoplasm of Sphenoidal sinus MALIGNANT NEOPLASMS OF SINUSES 11,500 3,450 8,050

C31.8Malignant neoplasm of Overlapping lesion of accessory

sinusesMALIGNANT NEOPLASMS OF SINUSES 11,500 3,450 8,050

C31.9 Malignant neoplasm of Accessory sinus, unspecified MALIGNANT NEOPLASMS OF SINUSES 11,500 3,450 8,050

B21.0Human Immunodeficiency Virus [HIV] Disease resulting in

Kaposi's SarcomaMALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

C46.9 Kaposi's sarcoma, unspecified MALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

C49.0

Malignant neoplasm of Connective and soft tissue of head,

face and neck; Malignant neoplasm of Connective tissue of

ear; Malignant neoplasm of Connective tissue of eyelid

MALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

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FIRST CASE RATE

C49.1Malignant neoplasm of Connective and soft tissue of upper

limb, including shoulderMALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

C49.2Malignant neoplasm of Connective and soft tissue of lower

limb, including hipMALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

C49.3

Malignant neoplasm of Connective and soft tissue of

thorax; Malignant neoplasm of Connective and soft tissue

of Axilla; Malignant neoplasm of Connective and soft tissue

of Diaphragm; Malignant neoplasm of Connective and soft

tissue of Great vessels

MALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

C49.4

Malignant neoplasm of Connective and soft tissue of

abdomen; Malignant neoplasm of Connective and soft

tissue of Abdominal wall; Malignant neoplasm of

Connective and soft tissue of Hypochondrium

MALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

C49.5

Malignant neoplasm of Connective and soft tissue of pelvis;

Malignant neoplasm of Connective and soft tissue of

Buttock; Malignant neoplasm of Connective and soft tissue

of Groin; Malignant neoplasm of Connective and soft

tissue of Perineum

MALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

C49.6

Malignant neoplasm of Connective and soft tissue of trunk,

unspecified; Malignant neoplasm of Connective and soft

tissue of Back NOS

MALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

C49.8Malignant neoplasm of Overlapping lesion of connective

and soft tissueMALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

C49.9Malignant neoplasm of Connective and soft tissue,

unspecifiedMALIGNANT NEOPLASMS OF SOFT TISSUES 12,000 3,600 8,400

C73 Malignant neoplasm of thyroid glandMALIGNANT NEOPLASMS OF THYROID AND

OTHER ENDOCRINE GLANDS11,400 3,420 7,980

C74.0 Malignant neoplasm of Cortex of adrenal glandMALIGNANT NEOPLASMS OF THYROID AND

OTHER ENDOCRINE GLANDS11,400 3,420 7,980

C74.1 Malignant neoplasm of Medulla of adrenal glandMALIGNANT NEOPLASMS OF THYROID AND

OTHER ENDOCRINE GLANDS11,400 3,420 7,980

C74.9 Malignant neoplasm of Adrenal gland, unspecifiedMALIGNANT NEOPLASMS OF THYROID AND

OTHER ENDOCRINE GLANDS11,400 3,420 7,980

C75.0 Malignant neoplasm of Parathyroid glandMALIGNANT NEOPLASMS OF THYROID AND

OTHER ENDOCRINE GLANDS11,400 3,420 7,980

C75.1 Malignant neoplasm of Pituitary glandMALIGNANT NEOPLASMS OF THYROID AND

OTHER ENDOCRINE GLANDS11,400 3,420 7,980

C75.3 Malignant neoplasm of Pineal glandMALIGNANT NEOPLASMS OF THYROID AND

OTHER ENDOCRINE GLANDS11,400 3,420 7,980

C75.5 Malignant neoplasm of Aortic body and other paragangliaMALIGNANT NEOPLASMS OF THYROID AND

OTHER ENDOCRINE GLANDS11,400 3,420 7,980

C75.9 Malignant neoplasm of Endocrine gland, unspecifiedMALIGNANT NEOPLASMS OF THYROID AND

OTHER ENDOCRINE GLANDS11,400 3,420 7,980

E40 Kwashiorkor MALNUTRITION 11,700 3,510 8,190

E41 Nutritional marasmus; Severe malnutrition with marasmus MALNUTRITION 11,700 3,510 8,190

E42

Marasmic kwashiorkor; Severe protein-energy malnutrition,

intermediate form; Severe protein-energy malnutrition

with signs of both kwashiorkor and marasmus

MALNUTRITION 11,700 3,510 8,190

E43 Unspecified severe protein-energy malnutrition MALNUTRITION 11,700 3,510 8,190

E44.0 Moderate protein-energy malnutrition MALNUTRITION 11,700 3,510 8,190

E44.1 Mild protein-energy malnutrition MALNUTRITION 11,700 3,510 8,190

E45

Retarded development following protein-energy

malnutrition; Nutritional short stature; Nutritional

stunting; Physical retardation due to malnutrition

MALNUTRITION 11,700 3,510 8,190

E46Unspecified protein-energy malnutrition; Malnutrition NOS;

Protein-energy imbalance NOSMALNUTRITION 11,700 3,510 8,190

O10.0Pre-existing essential hypertension complicating pregnancy

child birth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O10.1Pre-existing hypertensive heart disease complicating

pregnancy, childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O10.2Pre-existing hypertensive renal disease complicating

pregnancy childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O10.3Pre-existing hypertensive heart and renal disease

complicating pregnancy, childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O10.4Pre-existing secondary hypertension complicating

pregnancy, childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O10.9Unspecified pre-existing hypertension complicating

pregnancy, childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O11Pre-existing hypertensive disorder with superimposed

proteinuriaMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O12.1 Gestational proteinuria MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O12.2 Gestational oedema with proteinuria MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O13

Gestational [pregnancy-induced] hypertension wihtout

significant proteinuria; Gestational hypertension NOS; Mild

pre-eclampsia

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

O14.0 Moderate pre-eclampsia MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O14.1 Severe pre-eclampsia MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O14.9 Pre-eclampsia, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O15.0 Eclampsia in pregnancy MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O15.1 Eclampsia in labour MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O15.9 Eclampsia, unspecified as to time period; Eclampsia NOS MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O16 Unspecified maternal hypertension MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O20.0Threatened abortion; Haemorrhage specified as due to

threatened abortionMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O20.8 Other haemorrhage in early pregnancy MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O20.9 Haemorrhage in early pregnancy, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O21.0

Mild hyperemesis gravidarum; Hyperemesis gravidarum,

mild or unspecified, starting before the end of the 22nd

week of gestation

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O21.1

Hyperemesis gravidarum with metabolic disturbance;

Hyperemesis gravidarum, starting before the end of the

22nd week of gestation, with metabolic disturbance such as

carbohydrate depletion, dehydration, elctrolyte imbalance

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O21.2Late vomiting of pregnancy; Excessive vomiting starting

after 22 completed weeks of gestationMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O21.8Other vomiting complicating pregnancy; Vomiting due to

disease classified elsewhere, complicating pregnancyMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O21.9 Vomiting of pregnancy, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O22.3Deep phlebothrombosis in pregnancy; Deep-vein

thrombosis, antepartumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O22.5Cerebral venous thrombosis in pregnancy; Cerebrovenous

sinus thrombosis in pregnancyMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O22.9

Venous complication in pregnancy, unspecified; Gestational

phlebitis NOS; Gestational phlebopathy NOS; Gestational

thrombosis NOS

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O23.0 Infections of kidney in pregnancy MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O23.3 Infections of other parts of urinary tract in pregnancy MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O24.0 Pre-existing diabetes mellitus, insulin-dependent MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O24.1 Pre-existing diabetes mellitus, non-insulin-dependent MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O24.2 Pre-existing malnutrition-related diabetes mellitus MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O24.3 Pre-existing diabetes mellitus, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O24.4Diabetes mellitus arising in pregnancy; Gestational diabetes

mellitus NOSMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O24.9 Diabetes mellitus in pregnancy, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O26.2 Pregnancy care of habitual aborter MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O26.3 Retained in trauterine contraceptive device in pregnancy MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O26.4 Herpes gestationis MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O26.5Maternal hypotension syndrome; Supine hypotensive

syndromeMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O26.6 Liver disorders in pregnancy, childbirth and the puerperium MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O26.7Subluxation of symphysis (pubis) in pregnancy childbirth

and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O26.8

Other specified pregnancy-related conditions; Exhaustion

and fatigue pregnancy-related; Peripheral neuritis

pregnancy-related; Renal disease pregnancy-related

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O26.9 Pregnancy-relatedcondition, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O28.0Abnormal haematological finding on antenatal screening of

motherMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O28.3Abnormal ultrasonic finding on antenatal screening of

motherMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O28.5Abnormal chromosomal and genetic finding on antenatal

screening of motherMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O28.8 Other abnormal findings on antenatal screening of mother MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O28.9Abnormal finding on antenatal screening of mother,

unspecifiedMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O29.8 Other complications of anaesthesia during pregnancy MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O30.0 Twin pregnancy MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O30.1 Triplet pregnancy MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O30.8 Other multiple gestation MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O30.9 Multiple gestation, unspecified; Multiple pregnancy NOS MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O31.0 Papyraceous fetus; Fetus compressus MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O31.1 Continuing pregnancy after abortion of one fetus or more MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

O31.2Continuing pregnancy after intrauterine death of one fetus

or moreMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O31.8 Other complications specific to multiple gestation MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O32.0 Maternal care for unstable lie MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O32.1 Maternal care for breech presentation MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O32.2Maternal care for transverse and oblique lie; Oblique

presentation; Transverse presentationMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O32.3 Maternal care for face, brow and chin presentation MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O32.4Maternal care for high head at term; Failure of head to

enter pelvic brimMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O32.5Maternal care for multiple gestation with malpresentation

of one fetus or moreMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O32.6 Maternal care for compound presentation MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O32.8 Maternal care for other malpresentation of fetus MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O32.9 Maternal care for malpresentation of fetus, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O33.0

Maternal care for disproportion due to deformity of

maternal pelvic bones; Pelvic deformity causing

disproportion NOS

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O33.1

Maternal care for disproportion due to generally

contracted pelvis; Contracted pelvis NOS causing

disproportion

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O33.2Maternal care for disproportion due to inlet contraction of

pelvis; Inlet contraction (pelvis) causing disproportionMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O33.3

Maternal care for disproportion due to outlet contraction

of pelvis; Mid-cavity contraction pelvis causing

disproportion; Outlet contraction pelvis causing

disproportion

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O33.4Maternal care for disproportion of mixed maternal and

fetal originMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O33.5

Maternal care for disproportion due to unusually large

fetus; Disproportion of fetal origin with normally formed

fetus; Fetal disproportion NOS

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O33.6 Maternal care for disproportion due to hydrocephalic fetus MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O33.7

Maternal care for disproportion due to other fetal

deformities; Conjoined twins; Fetal ascites causing

disproportion; Fetal hydrops causing disproportion; Fetal

meaningomyelocele causing disproportion; Fetal tumour

causing disproportion; Sacral teratoma causing

disproportion

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O33.9Maternal care for disproportion, unspecified; Cephalopelvic

disproportion NOS; Fetopelvic disproportion NOSMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O34.0

Maternal care for congenital malformation of uterus;

Maternal care for double uterus; Maternal care for Uterus

bicornis

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O34.1Maternal care for tumour of corpus uteri; Maternal for

polyp of corpus uteri; Maternal care for uterine fibroidMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O34.2Maternal care due to uterine scar from previous surgery;

Maternal care for scar from previousMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O34.3

Maternal care for cervical incompetence; Maternal care for

cerclage with or without mention of cervical incompetence;

Maternal care for Shirodkar suture with or without mention

of cervical incompetence

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O34.4

Maternal care for other abnormalities of cervix; Maternal

care for polyp of cervix; Maternal care for previous surgery

to cervix; Maternal care for stricture or stenosis of cervix;

Maternal care for tumour of cervix

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O34.5

Maternal care for other abnormalities of gravid uterus;

Maternal care for incarceratiion of gravid uterus; Maternal

care for prolapse of gravid uterus; Maternal care for

retroversion of gravid uterus

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O34.6

Maternal care for abnormality of vagina; Maternal care for

previous surgery to vagina; Maternal care for septate

vagina; Maternal care for acquired stenosis of vagina;

Maternal care for congenital stenosis of vagina; Maternal

care for tumour of vagina

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O34.7

Maternal care for abnormality of vulva and perineum;

Maternal care for fibrosis of perineum; Maternal care for

previous surgery to perineum or vulva; Maternal care for

rigid perineum; Maternal care for tumour of vulva

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

O34.8

Maternal care for other abnormalities of pelvic organs;

Maternal care for cystocele; Maternal care for previous

pelvic floor repair; Maternal care for pendulous abdomen;

Maternal care for rectocele; Maternal care for rigid pelvic

floor

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O34.9 Maternal care for abnormality of pelvic organ, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O35.0

Maternal care for (suspected) central nervous system

malformation in fetus; Maternal care for suspected fetal

anencephaly; Maternal care for suspected fetal spina bifida

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O35.2 Maternal care for (suspected) hereditary disease in fetus MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O35.3

Maternal care for (suspected) damage to fetus from viral

disease in mother; Maternal care for suspected damage to

fetus from maternal cytomegalovirus infection; Maternal

care for suspected damage to fetus from maternal rubella

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O35.5

Maternal care for (suspected) damage to fetus by drugs;

Maternal care for suspected damage to fetus from drug

addiction

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O35.8

Maternal care for other (suspected) fetal abnormality and

damage; Maternal care for suspected damage to fetus from

maternal listeriosis; Maternal care for suspected damage to

fetus from maternal toxoplasmosis

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O35.9Maternal care for (suspected) fetal abnormality and

damage, unspecifiedMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O36.0Maternal care for rhesus isoimmunization; Anti-D [Rh]

antibodies; Rh incompatibility (with hydrops fetalis)MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O36.1

Maternal care for other isoimmunization; ABO

isoimmunization; Isoimmunization NOS (with hydrops

fetalis)

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O36.2Maternal care for hydrops fetalis; Hydrops fetalis NOS;

Hydrops fetalis not associated with isoimmunizationMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O36.3 Maternal care for signs of fetal hypoxia MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O36.4 Maternal care for intrauterine death MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O36.5

Maternal care for poor fetal growth; Maternal care for

known or suspected light-for-dates; Maternal care for

known or suspected placental insufficiency; Maternal care

for known or suspected small-for-dates

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O36.6Maternal care for excessive fetal growth; Maternal care for

known or suspected large-for-datesMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O36.8 Maternal care for other specified fetal problems MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O36.9 Maternal care for fetal problem, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O40 Polyhydramnios; Hydramnios MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O41.0Oligohydramnios; Oligohydramnios without mention of

rupture of membraneMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O41.1Infection of amniotic sac and membranes; Amnionitis;

Chorioamnionitis; Membranitis; PlacentitisMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O41.8 Other specified disorders of amniotic fluid and membranes MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O41.9Disorder of amniotic fluid and membranes, unspecified;

Premature rupture of membranesMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O42.0Premature rupture of membranes on set of labour within

24 hoursMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O42.1Premature rupture of membranes on set of labour after 24

hoursMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O42.2Premature rupture of membranes, labour delayed by

therapyMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O42.9 Premature rupture of membranes, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O43.0Placental transfusion syndromes; Fetomaternal transfusion;

Maternofetal transfusion; Twin-to-twin transfusionMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O43.1Malformation of placenta; Abnormal placenta NOS;

Circumvallate placentaMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O43.8Other placental disorders; Placental dysfunction; Placental

infarctionMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O43.9 Placental disorder, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O44.0Placenta praevia specified as without haemorrhage; Low

implantation of placenta, NOS or with haemorrhageMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O44.1

Placenta praevia with haemorrhage; Low implantation of

placenta, NOS or with haemorrhage; Placenta praevia,

marginal NOS or with haemorrhage; Placenta praevia,

partial NOS or with haemorrhage; Placenta praevia, total

NOS or with haemorrhage

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

O45.0

Premature separation of placenta with coagulation defect;

Abruptio placentae with (excessive) haemorrhage

associated with afibrinogenaemia; Abruptio placentae with

(excessive) haemorrhage associated with disseminated

intravascular coagulation; Abruptio placentae with

(excessive) hemorrhage associated with

hyperfibrinogenaemia; Abruptio placentae with (excessive)

haemorrhage associated with hypofibrinogenaemia

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O45.8 Other premature separation of placenta MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O45.9Premature separation of placenta, unspecified; Abruptio

placenta NOSMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O46.0

Antepartum haemorrhage with coagulation defect;

Antepartum haemorrhage (excessive) associated with

afibrinogenaemia; Antepartum haemorrhage (excessive)

associated with disseminated intravascular coagulation;

Antepartum haemorrhage (excessive) associated with

hyperfibrinolysis; Antepartum haemorrahge (excessive)

associated with hypofibrinogenaemia

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O46.8 Other antepartum haemorrhage MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O46.9 Antepartum haemorrhage, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O47.0 False labour before 37 completed weeks of gestation MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O47.1 False labour at or after 37 completed weeks of gestation MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O47.9 False labour, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O48 Prolonged pregnancy; Post-dates; Post-term MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O98.0Tuberculosis complicating pregnancy, childbirth and the

puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O98.1Syphilis complicating pregnancy, childbirth and the

puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O98.2Gonorrhoea complicating pregnancy, childbirth and the

puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O98.3

Other infections with apredominantly sexual mode of

transmission complicating pregnancy, childbirth and the

puerperium

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O98.4Viral hepatitis complicating pregnancy, childbirth and the

puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O98.5Other viral diseases complicating pregnancy, childbirth and

the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O98.6Protozoal diseases complicating pregnancy, childbirth and

the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O98.8Other maternal infectious and parasitic diseases

complicating pregnancy, childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O98.9Unspecified maternal infectious or parasitic disease

complicating pregnancy, childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O99.0Anaemia complicating pregnancy, childbirth and the

puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O99.1

Other diseases of the blood and blood-forming organs and

certain disorders involving the immune mechanism

complicating pregnancy, childbirth and the puerperium

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O99.2Endocrine, nutritional and metabolic diseases complicating

pregnancy, childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O99.3Mental disorders and diseases of the nervous system

complicating pregnancy, childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O99.4Diseases of the circulatory system complicating pregnancy,

childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O99.5Diseases of the respiratory system complicating pregnancy,

childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O99.6Diseases of the digestive system complicating pregnancy,

childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O99.7Diseases of the skin and subcutaneous tissue complicating

pregnancy, childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O99.8Other specified diseases and conditions complicating

pregnancy, childbirth and the puerperiumMATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

O60.0 Preterm labor, not resulting to delivery MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z34.0 Supervision of normal first pregnancy MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z34.8 Supervision of other normal pregnancy MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z34.9 Supervision of normal pregnancy, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z35.0 Supervision of pregnancy with history of infertility MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z35.1

Supervision of pregnancy with history of abortive outcome;

Supervision of pregnancy with history of hydatidiform

mole; Supervision of pregnancy with history of vesicular

mole

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

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Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Z35.2

Supervision of pregnancy with other poor reproductive or

obstetric history; Supervision of pregnancy with history of

neonatal death; Supervision of pregnancy with history of

stillbirth

MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z35.4 Supervision of pregnancy with grand multiparity MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z35.5 Supervision of elderly primigravida MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z35.6 Supervision of very young primigravida MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z35.7 Supervision of high-risk pregnancy due to social problems MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z35.8 Supervision of other high-risk pregnancies MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

Z35.9 Supervision of high-risk pregnancy, unspecified MATERNAL COMORBIDITIES CONDITIONS 6,800 2,040 4,760

A87.8 Other viral meningitis MENINGITIS 25,700 7,710 17,990

A87.9 Viral meningitis, unspecified MENINGITIS 25,700 7,710 17,990

G00.0Haemophilus meningitis; Meningitis due to Haemophilus

influenzaeMENINGITIS 25,700 7,710 17,990

G00.1 Pneumococcal meningitis MENINGITIS 25,700 7,710 17,990

G00.2 Streptococcal meningitis MENINGITIS 25,700 7,710 17,990

G00.3 Staphylococcal meningitis MENINGITIS 25,700 7,710 17,990

G00.8

Other bacterial meningitis; Meningitis due to Escherichia

coli; Meningitis due to Friedländer bacillus; Meningitis due

to Klebsiella

MENINGITIS 25,700 7,710 17,990

G00.9Bacterial meningitis, unspecified; Meningitis purulent NOS;

Meningitis pyogenic NOS; Meningitis suppurative NOSMENINGITIS 25,700 7,710 17,990

G03.0 Nonpyogenic meningitis; Nonbacterial meningitis MENINGITIS 25,700 7,710 17,990

G03.1 Chronic meningitis MENINGITIS 25,700 7,710 17,990

G03.8 Meningitis due to other specified causes MENINGITIS 25,700 7,710 17,990

G03.9 Meningitis, unspecified; Arachnoiditis (spinal) NOS MENINGITIS 25,700 7,710 17,990

B05.1+ G02.0*Measles complicated by meningitis; Meningitis in viral

diseases classified elsewhereMENINGITIS 25,700 7,710 17,990

A39.2 Acute meningococcaemia MENINGOCOCCAL INFECTION 19,800 5,940 13,860

A39.3 Chronic meningococcaemia MENINGOCOCCAL INFECTION 19,800 5,940 13,860

A39.4Meningococcaemia, unspecified; Meningococcal

bacteraemia NOSMENINGOCOCCAL INFECTION 19,800 5,940 13,860

A39.9Meningococcal infection, unspecified; Meningococcal

disease NOSMENINGOCOCCAL INFECTION 19,800 5,940 13,860

N91.0Primary amenorrhoea; Failure to start menstruation at

puberty.MENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N91.1Secondary amenorrhoea; Absence of menstruation in a

woman who had previously menstruated.MENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N91.2 Amenorrhoea, unspecified; Absence of menstruation NOS MENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N91.5 Oligomenorrhoea, unspecified; Hypomenorrhoea NOS MENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N92.0Excessive and frequent menstruation with regular cycle;

Heavy periods NOS; Menorrhagia NOS; PolymenorrhoeaMENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N92.1

Excessive and frequent menstruation with irregular cycle;

Irregular intermenstrual bleeding; Irregular, shortened

intervals between menstrual bleeding; Menometrorrhagia;

Metrorrhagia

MENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N92.2

Excessive menstruation at puberty; Excessive bleeding

associated with onset of menstrual periods; Pubertal

menorrhagia; Puberty bleeding

MENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N92.3 Ovulation bleeding; Regular intermenstrual bleeding MENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N92.4

Excessive bleeding in the premenopausal period; Climateric

menorrhagia or metrorrhagia; Menopausal menorrhagia or

metrorrhagia; Preclimateric menorrhagia or metrorrhagia;

Premenopausal menorrhagia or metrorrhagia

MENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N92.5 Other specified irregular menstruation MENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N92.6Irregular menstruation, unspecified; Irregular bleeding

NOS; Irregular periods NOSMENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N93.0 Postcoital and contact bleeding MENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N93.8Other specified abnormal uterine and vaginal bleeding;

Dysfunctional or functional uterine or vaginal bleeding NOSMENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N93.9Abnormal uterine and vaginal bleeding, unspecified

Uterine hemorrhage not due to menstrautionMENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N94.8Other specified conditions associated with female genital

organs and menstrual cycleMENSTRUAL IRREGULARITIES 6,600 1,980 4,620

N94.9Unspecified condition associated with female genital

organs and menstrual cycleMENSTRUAL IRREGULARITIES 6,600 1,980 4,620

F01.1 Multi-infarct dementia; Predominantly cortical dementia MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F01.8 Other vascular dementia MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F01.9 Vascular dementia, unspecified MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

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Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

F03

Unspecified dementia; Presenile dementia NOS; Presenile

psychosis NOS; Senile dementia NOS; Senile dementia

depressed or paranoid type; Senile psychosis NOS

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F04

Organic amnesic syndrome, not induced by alcohol and

other psychoactive substances; Korsakov's psychosis or

syndrome, nonalcoholic

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F05.0 Delirium not superimposed on dementia, so described MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F05.8 Other delirium MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F05.9 Other delirium/Delirium, unspecified MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F06.0Organic hallucinosis; Organic hallucinatory state

(nonalcoholic)MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F06.2

Organic delusional [schizophrenia-like] disorder; Paranoid

and paranoid-hallucinatory organic states; Schizophrenia-

like psychosis in epilepsy

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F06.3 Organic mood [affective] disorders MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F06.4 Organic anxiety disorder MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F06.7 Mild cognitive disorder MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F06.8

Other specified mental disorders due to brain damage and

dysfunction and to physical disease; Epileptic psychosis

NOS

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F06.9

Unspecified mental disorder due to brain damage and

dysfunction and to physical disease; Organic brain

syndrome NOS; Organic mental disorder NOS

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F07.0

Organic personality disorder; Organic pseudopsychopathic

personality;

Organic pseudoretarded personality; Frontal lobe

Syndrome; Limbic epilepsy personality Syndrome ;

Lobotomy Syndrome; Postleucotomy Syndrome

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F07.1 Postencephalitic syndrome MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F07.2

Postconcussional syndrome; Postcontusional syndrome

(encephalopathy); Post-traumatic brain syndrome,

nonpsychotic

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F07.9

Unspecified organic personality and behavioural disorder

due to brain disease, damage and dysfunction; Organic

psychosyndrome

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F09Unspecified organic or symptomatic mental disorder;

Organic Psychosis NOS; Symptomatic Psychosis NOSMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F10.0Mental and behavioural disorders due to use of alcohol in

acute intoxicationMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F10.1Mental and behavioural disorders due to use of

alcohol:harmful useMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F10.2Mental and behavioural disorders due to use of alcohol:

dependency syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F10.3Mental and behavioural disorders due to use of

alcohol:withdrawal stateMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F10.4Mental and behavioural disorders due to use of alcohol:

withdrawal state with deliriumMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F10.5Mental and behavioural disorders due to use of alcohol:

psychotic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F10.6Mental and behavioural disorders due to use of alcohol:

amnesic syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F10.7Mental and behavioural disorders due to use of alcohol:

residual and late-onset psychotic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F10.8Mental and behavioural disorders due to use of alcohol:

other mental and behavioural disordersMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F10.9Mental and behavioural disorders due to use of alcohol:

unspecified mental and behavioural disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F11.1Mental and behavioural disorders due to use of opioids:

harmful useMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F11.2Mental and behavioural disorders due to use of opioids:

dependence syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F11.5Mental and behavioural disorders due to use of opioids:

psychotic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F11.9Mental and behavioural disorders due to use of opioids:

unspecified mental and behavioural disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F12.0Mental and behavioural disorders due to use of

cannabinoids: acute intoxicationMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F12.5Mental and behavioural disorders due to use of

cannabinoids: psychotic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F13.1Mental and behavioural disorders due to use of sedatives

or hypnotics: harmful useMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F13.2Mental and behavioural disorders due to use of sedatives

or hypnotics: dependence syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F13.3Mental and behavioural disorders due to use of sedatives

or hypnotics: withdrawal stateMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

F13.4Mental and behavioural disorders due to use of sedatives

or hypnotics: withdrawal state with deliriumMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F13.5Mental and behavioural disorders due to use of sedatives

or hypnotics: psychotic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F13.7Mental and behavioural disorders due to use of sedatives

or hypnotics: residual and late-onset psychotic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F14.0Mental and behavioural disorders due to use of cocaine:

acute intoxicationMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F14.2Mental and behavioural disorders due to use of cocaine:

dependence syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F14.5Mental and behavioural disorders due to use of cocaine:

psychotic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F14.6Mental and behavioural disorders due to use of cocaine:

amnesic syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F14.9Mental and behavioural disorders due to use of cocaine:

unspecified mental and behavioural disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F15.0Mental and behavioural disorders due to use of other

stimulants, including caffeine: acute intoxicationMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F15.1Mental and behavioural disorders due to use of other

stimulants, including caffeine: harmful useMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F15.2Mental and behavioural disorders due to use of other

stimulants, including caffeine: dependence syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F15.3Mental and behavioural disorders due to use of other

stimulants, including caffeine: withdrawal stateMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F15.5Mental and behavioural disorders due to use of other

stimulants, including caffeine: psychotic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F15.8

Mental and behavioural disorders due to use of other

stimulants, including caffeine: other mental and

behavioural disorders

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F15.9

Mental and behavioural disorders due to use of other

stimulants, including caffeine: unspecified mental and

behavioural disorder

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F16.0Mental and behavioural disorders due to use of

hallucinogens: acute intoxicationMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F16.1Mental and behavioural disorders due to use of

hallucinogens: harmful useMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F16.2Mental and behavioural disorders due to use of

hallucinogens: dependence syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F16.5Mental and behavioural disorders due to use of

hallucinogens: psychotic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F17.2Mental and behavioural disorders due to use of tobacco:

dependence syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F17.3Mental and behavioural disorders due to use of tobacco:

withdrawal stateMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F18.0Mental and behavioural disorders due to use of volatile

solvents: acute intoxicationMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F18.4Mental and behavioural disorders due to use of volatile

solvents: withdrawal state with deliriumMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F18.6Mental and behavioural disorders due to use of volatile

solvents: amnesic syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F19.1

Mental and behavioural disorders due to multiple drug use

and use of other psychoactive substances; misuse of drugs

NOS: harmful use

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F19.2

Mental and behavioural disorders due to multiple drug use

and use of other psychoactive substances; misuse of drugs

NOS: dependence syndrome

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F19.3

Mental and behavioural disorders due to multiple drug use

and use of other psychoactive substances; misuse of drugs

NOS: withdrawal state

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F19.5

Mental and behavioural disorders due to multiple drug use

and use of other psychoactive substances; misuse of drugs

NOS: psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F19.7

Mental and behavioural disorders due to multiple drug use

and use of other psychoactive substances; misuse of drugs

NOS: residual and late-onset psychotic disorder

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F19.8

Mental and behavioural disorders due to multiple drug use

and use of other psychoactive substances; misuse of drugs

NOS: other mental and behavioural disorders

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F19.9

Mental and behavioural disorders due to multiple drug use

and use of other psychoactive substances; misuse of drugs

NOS: unspecified mental and behavioural disorder

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F20.0 Paranoid schizophrenia; Paraphrenic schizophrenia MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F20.1Hebephrenic schizophrenia; Disorganized schizophrenia;

HebephreniaMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

F20.2

Catatonic schizophrenia; Catatonic stupor; Schizophrenic

catalepsy; Schizophrenic catatonia; Schizophrenic

flexibilitas cerea

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F20.3 Undifferentiated schizophrenia; Atypical schizophrenia MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F20.5

Residual schizophrenia; Chronic undifferentiated

schizophrenia; Restzustand (schizophrenic); Schizophrenic

residual state

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F20.6 Simple schizophrenia MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F20.8

Other schizophrenia; Cenesthopathic schizophrenia;

Schizophreniform disorder NOS; Schizophreniform

psychosis NOS

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F20.9 Schizophrenia, unspecified MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F21

Schizotypal disorder; Latent schizophrenic reaction;

Schizophrenia borderline; Schizophrenia latent;

Schizophrenia prepsychotic; Schizophrenia prodromal;

Schizophrenia pseudoneurotic;

Schizophrenia pseudopsychopathic; Schizotypal personality

disorder

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F22.0Delusional disorder; Paranoia; Paranoid psychosis; Paranoid

state; Paraphrenia (late); Sensitiver BeziehungswahnMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F22.8

Other persistent delusional disorders; Delusional

dysmorphophobia; Involutional paranoid state; Paranoia

querulans

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F23.0

Acute polymorphic psychotic disorder without symptoms

of schizophrenia; Bouffée délirante without symptoms of

schizophrenia or unspecified; Cycloid psychosis without

symptoms of schizophrenia or unspecified

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F23.1

Acute polymorphic psychotic disorder with symptoms of

schizophrenia; Bouffée délirante with symptoms of

schizophrenia; Cycloid psychosis with symptoms of

schizophrenia

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F23.2

Acute schizophrenia-like psychotic disorder;Acute

(undifferentiated) schizophrenia;Brief schizophreniform

disorder; Brief schizophreniform psychosis; Oneirophrenia;

Schizophrenic reaction

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F23.3Other acute predominantly delusional psychotic disorders;

Paranoid reaction; Psychogenic paranoid psychosisMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F23.8 Other acute and transient psychotic disorders MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F23.9Acute and transient psychotic disorder, unspecified; Brief

reactive psychosis NOS; Reactive psychosisMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F24Induced delusional disorder; Folie à deux; Induced paranoid

disorder; Induced psychotic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F25.0

Schizoaffective disorder, manic type; Schizoaffective

psychosis, manic type; Schizophreniform psychosis, manic

type

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F25.1

Schizoaffective disorder, depressive type; Schizoaffective

psychosis, depressive type; Schizophreniform psychosis,

depressive type

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F25.2Schizoaffective disorder, mixed type; Cyclic schizophrenia;

Mixed schizophrenic and affective psychosisMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F25.8 Other schizoaffective disorders MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F25.9Schizoaffective disorder, unspecified; Schizoaffective

psychosis NOSMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F28Other nonorganic psychotic disorders; Chronic

hallucinatory psychosisMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F29 Unspecified nonorganic psychosis; Psychosis NOS MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F30.0 Hypomania MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F30.1 Mania without psychotic symptoms MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F30.2

Mania with psychotic symptoms; Mania with mood-

congruent psychotic symptoms; Mania with mood-

incongruent psychotic symptoms; Manic stupor

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F30.9 Manic episode, unspecified; Mania NOS MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F31.0 Bipolar affective disorder, current episode hypomanic MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F31.1Bipolar affective disorder, current episode manic without

psychotic symptomsMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F31.2Bipolar affective disorder, current episode manic with

psychotic symptomsMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F31.3Bipolar affective disorder, current episode mild or

moderate depressionMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F31.5Bipolar affective disorder, current episode severe

depression with psychotic symptomsMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F31.6 Bipolar affective disorder, current episode mixed MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F31.7 Bipolar affective disorder, currently in remission MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

Page 73 of 127

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

F31.8Other bipolar affective disorders; Bipolar II disorder;

Recurrent manic episodes NOSMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F31.9 Bipolar affective disorder, unspecified MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F32.0 Mild depressive episode MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F32.1 Moderate depressive episode MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F32.2

Severe depressive episode without psychotic symptoms;

[Agitated depression, Major depression, Vital depression]

single episode without psychotic symptoms

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F32.3

Severe depressive episode with psychotic symptoms; Single

episodes of major depression with psychotic symptoms;

Single episodes of psychogenic depressive psychosis; Single

episodes of psychotic depression; Single episodes of

reactive depressive psychosis

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F32.8Other depressive episodes; Atypical depression; Single

episodes of "masked" depression NOSMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F32.9Depressive episode, unspecified; Depression NOS;

Depressive disorder NOSMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F33.2

Recurrent depressive disorder, current episode severe

without psychotic symptoms; Endogenous depression

without psychotic symptoms; Major depression, recurrent

without psychotic symptoms; Manic-depressive psychosis,

depressed type without psychotic symptoms; Vital

depression, recurrent without psychotic symptoms

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F33.3

Recurrent depressive disorder, current episode severe with

psychotic symptoms including Endogenous depression with

psychotic symptoms; Manic-depressive psychosis,

depressed type with psychotic symptoms; Recurrent severe

episodes of major depression with psychotic symptoms;

Recurrent severe episodes of psychogenic depressive

psychosis; Recurrent severe episodes of psychotic

depression; Recurrent severe episodes of reactive

depressive psychosis

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F33.8 Other recurrent depressive disorders MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F33.9Recurrent depressive disorder, unspecified; Monopolar

depression NOSMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F34.0Cyclothymia; Affective personality disorder; Cycloid

personality; Cyclothymic personalityMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F34.1

Dysthymia; Depressive neurosis; Depressive personality

disorder; Neurotic depression; Persistent anxiety

depression

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F42.1 Predominantly compulsive acts [obsessional rituals] MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F42.2 Mixed obsessional thoughts and acts MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F42.8 Other obsessive-compulsive disorders MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F42.9 Obsessive-compulsive disorder, unspecified MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F43.0

Acute stress reaction including Acute crisis reaction; Acute

reaction to stress; Combat fatigue; Crisis state; Psychic

shock

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F43.1 Post-traumatic stress disorder; Traumatic neurosis MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F43.2Adjustment disorders; Culture shock; Grief reaction;

Hospitalism in childrenMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F43.8 Other reactions to severe stress MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F44.0 Dissociative amnesia MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F44.4Dissociative motor disorders; Psychogenic aphonia;

Psychogenic dysphoniaMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F44.8

Other dissociative [conversion] disorders; Ganser's

syndrome; Multiple personality; Psychogenic confusion;

Psychogenic twilight state

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F44.9 Dissociative [conversion] disorder, unspecified MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F45.0Somatization disorder; Briquet’s disorder; Multiple

psychosomatic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F45.1Undifferentiated somatoform disorder; Undifferentiated

psychosomatic disorderMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F45.2

Hypochondriacal disorder; Body dysmorphic disorder;

Dysmorphophobia (nondelusional); Hypochondriacal

neurosis; Hypochondriasis; Nosophobia

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

Page 74 of 127

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

F45.3

Somatoform autonomic dysfunction; Cardiac neurosis; Da

Costa's syndrome; Gastric neurosis ; Neurocirculatory

asthenia

Psychogenic forms of aerophagy; Psychogenic forms of

cough, Psychogenic forms of diarrhea; Psychogenic forms

of dyspepsia; Psychogenic forms of dysuria; psychogenic

forms of flatulence; Psychogenic forms of hiccough;

Psychogenic forms of hyperventilation; Psychogenic forms

of increased frequency of micturition; Psychogenic forms of

irritable bowel syndrome; Psychogenic forms of

pylorospasm

Psychogenic urine retention

Psychogenic polyuria

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F45.4

Persistent somatoform pain disorder; Psychalgia;

Psychogenic backache; Psychogenic headache; Somatoform

pain disorder

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F45.8

Other somatoform disorders; Psychogenic dysmenorrhoea;

Psychogenic dysphagia, including "globus hystericus";

Psychogenic pruritus; Psychogenic torticollis; Teeth-

grinding

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F45.9Somatoform disorder, unspecified; Psychosomatic disorder

NOSMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F48.8

Other specified neurotic disorders; Dhat syndrome;

Occupational neurosis, including writer's cramp;

Psychasthenia; Psychasthenic neurosis; Psychogenic

syncope

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F48.9 Neurotic disorder, unspecified; Neurosis NOS MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F50.2 Bulimia nervosa; Bulimia NOS; Hyperorexia nervosa MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F53.0

Mild mental and behavioural disorders associated with the

puerperium, not elsewhere classified; Depression postnatal

NOS; Depression postpartum NOS

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F53.1

Severe mental and behavioural disorders associated with

the puerperium, not elsewhere classified; Puerperal

psychosis NOS

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F53.9 Puerperal mental disorder, unspecified MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F55

Abuse of non-dependence-producing substances; Abuse of

antacids; Abuse of herbal or folk remedies; Abuse of

steroids or hormones; Abuse of vitamins; Laxative habit

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F59

Unspecified behavioural syndromes associated with

physiological disturbances and physical factors;

Psychogenic physiological dysfunction NOS

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F70.0

Mild mental retardation; feeble-mindedness; mild mental

subnormality with the statement of no, or minimal,

impairment of behaviour

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F72.9Severe mental retardation; severe mental subnormality

without mention of impairment of behaviourMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F78.1Other mental retardation with significant impairment of

behaviour requiring attention or treatmentMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F78.8Other mental retardation with other impairments of

behaviourMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F78.9Other mental retardation without mention of impairment

of behaviourMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F79.8

Unspecified mental retardation; mental deficiency NOS;

mental subnormality NOS with other impairments of

behaviour

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F80.3 Acquired aphasia with epilepsy [Landau-Kleffner] MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F82

Specific developmental disorder of motor function; Clumsy

child syndrome; Developmental coordination disorder;

Developmental dyspraxia

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F84.0Childhood autism; Autistic disorder; Infantile autism;

Infantile psychosis; Kanner's syndromeMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F84.2 Rett's syndrome MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F84.3

Other childhood disintegrative disorder; Dementia

infantilis; Disintegrative psychosis; Heller's syndrome;

Symbiotic psychosis

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F84.5Asperger's syndrome; Autistic psychopathy; Schizoid

disorder of childhoodMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F84.9 Pervasive developmental disorder, unspecified MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F89Unspecified disorder of psychological development;

Developmental disorder NOSMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F90.8 Other hyperkinetic disorders MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F92.0 Depressive conduct disorder MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

F98.1

Nonorganic encopresis; Functional encopresis;

Incontinence of faeces of nonorganic origin; Psychogenic

encopresis

MENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

Page 75 of 127

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Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

F99Mental disorder, not otherwise specified; Mental illness

NOSMENTAL AND BEHAVIORAL DISORDERS 7,800 2,340 5,460

E88.0Disorders of plasma-protein metabolism, not elsewhere

classified; a-1-Antitrypsin deficiency; BisalbuminaemiaMETABOLIC DISORDERS 10,700 3,210 7,490

E88.1 Lipodystrophy, not elsewhere classified; Lipodystrophy NOS METABOLIC DISORDERS 10,700 3,210 7,490

E88.8Other specified metabolic disorders; Launois-Bensaude

adenolipomatosis; TrimethylaminuriaMETABOLIC DISORDERS 10,700 3,210 7,490

E88.9 Metabolic disorder, unspecified METABOLIC DISORDERS 10,700 3,210 7,490

P70.0 Syndrome of infant of mother with gestational diabetes METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P70.1

Syndrome of infant of a diabetic mother; Maternal diabetes

mellitus (pre-existing) affecting fetus or newborn with

hypoglycaemia

METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P70.2 Neonatal diabetes mellitus METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P70.3 Iatrogenic neonatal hypoglycaemia METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P70.4Other neonatal hypoglycaemia; Transitory neonatal

hypoglycaemiaMETABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P70.9Transitory disorder of carbohydrate metabolism of fetus

and newborn, unspecifiedMETABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P71.0 Cow's milk hypocalcaemia in newborn METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P71.1 Other neonatal hypocalcaemia METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P71.3Neonatal tetany without calcium or magnesium deficiency;

Neonatal tetany NOSMETABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P71.4 Transitory neonatal hypoparathyroidism METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P71.9Transitory neonatal disorder of calcium and magnesium

metabolism, unspecifiedMETABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P72.0Neonatal goitre, not elsewhere classified; Transitory

congenital goitre with normal functionMETABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P72.1Transitory neonatal hyperthyroidism; neonatal

thyrotoxicosisMETABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P72.2Other transitory neonatal disorders of thyroid function, not

elsewhere classified; Transitory neonatal hypothyroidismMETABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P72.8 Other specified transitory neonatal endocrine disorders METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P72.9 Transitory neonatal endocrine disorder, unspecified METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P74.0 Late metabolic acidosis of newborn METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P74.1 Dehydration of newborn METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P74.2 Disturbances of sodium balance of newborn METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P74.4 Other transitory electrolyte disturbances of newborn METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P74.8 Other transitory metabolic disturbances of newborn METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P74.9 Transitory metabolic disturbance of newborn, unspecified METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P80.9 Hypothermia of newborn, unspecified METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P81.0 Environmental hyperthermia of newborn METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P81.8Other specified disturbances of temperature regulation of

newbornMETABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P81.9Disturbance of temperature regulation of newborn,

unspecified; Fever of newborn NOSMETABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P83.1 Neonatal erythema toxicum METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P83.4Breast engorgement of newborn; Noninfective mastitis of

newbornMETABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

P83.8

Other specified conditions of integument specific to fetus

and newborn; Bronze baby syndrome; Neonatal

scleroderma; Urticaria neonatorum

METABOLIC DISORDERS OF THE NEWBORN 9,300 2,790 6,510

O02.0Blighted ovum and nonhydatidiform mole; Carneous mole;

Fleshy mole; Intrauterine mole NOS; Pathological ovumMISCARRIAGE 5,000 1,500 3,500

O02.1Missed abortion; Early fetal death with retention of dead

fetusMISCARRIAGE 5,000 1,500 3,500

O02.8 Other specified abnormal products of conception MISCARRIAGE 5,000 1,500 3,500

O02.9 Abnormal product of conception, unspecified MISCARRIAGE 5,000 1,500 3,500

O03.4 Spontaneous abortion, incomplete, without complication MISCARRIAGE 5,000 1,500 3,500

O03.9Spontaneous abortion, complete or unspecified, without

complicationMISCARRIAGE 5,000 1,500 3,500

O05.4 Other abortion, incomplete, without complication MISCARRIAGE 5,000 1,500 3,500

O05.9Other abortion, complete or unspecified, without

complicationMISCARRIAGE 5,000 1,500 3,500

O06.4Unspecified abortion or induced abortion NOS, incomplete,

without complicationMISCARRIAGE 5,000 1,500 3,500

O06.9Unspecified abortion or induced abortion NOS, complete or

unspecified, without complicationMISCARRIAGE 5,000 1,500 3,500

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

O07.0

Failed medical abortion, complicated by genital tract and

pelvic infection with Endometritis; Oophoritis; Parametritis;

Parametritis; Pelvic peritonitis; Salpingitis; Salpingo-

oophoritis; Sepsis; Septic shock; Septicaemia

MISCARRIAGE 5,000 1,500 3,500

O07.3

Failed medical abortion with other and unspecified

complications with Shock following abortion and ectopic

and molar pregnancy; Circulatory collapase; Postoperative

Shock; Renal failure following abortion and ectopic and

molar pregnancy; Oliguria; Acute Renal failure; Renal

shutdown; Renal tubular necrosis; Uraemia

MISCARRIAGE 5,000 1,500 3,500

O07.4Failed medical abortion without complication; Failed

medical abortion NOSMISCARRIAGE 5,000 1,500 3,500

O07.8

Other and unspecified failed attempted abortion with other

and unspecified complications with with Shock following

abortion and ectopic and molar pregnancy; Circulatory

collapase; Postoperative Shock; Renal failure following

abortion and ectopic and molar pregnancy;

Afibrinogenaemia; Defibrination syndrome; Intravascular

coagulation

MISCARRIAGE 5,000 1,500 3,500

O07.9Other and unspecified failed attempted abortion without

complication; Failed attempted abortion NOSMISCARRIAGE 5,000 1,500 3,500

O03.0

Spontaneous abortion, incomplete, complicated by Genital

tract and pelvic infection with Genital tract and pelvic

infection following abortion and ectopic and molar

pregnancy; Endometritis; Oophoritis; Parametritis; Pelvic

peritonitis; Salpingitis; Salpingo-oophoritis and/or Sepsis

and/or Septic shock and/or Septicaemia

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O03.1

Spontaneous abortion, incomplete, complicated Delayed or

excessive haemorrhage with Delayed or excessive

haemorrhage following abortion and ectopic and molar

pregnancy; Afibrinogenaemia; Defibrination syndrome;

Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O03.2

Spontaneous abortion, incomplete, complicated by

Embolism with Embolism NOS or Air embolism or Amniotic

fluid embolism or Blood-clot embolism or Pulmonary

embolism or Pyaemic embolism or Septic or

septicopyaemic embolism or Soap embolism

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O03.3

Spontaneous abortion, incomplete, with other and

unspecified complications with Shock following abortion

and ectopic and molar pregnancy; Circulatory collapase;

Postoperative Shock; Renal failure following abortion and

ectopic and molar pregnancy; Oliguria; Acute Renal failure;

Renal shutdown; Renal tubular necrosis; Uraemia

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O03.5

Spontaneous abortion, complete, complicated by Genital

tract and pelvic infection with Genital tract and pelvic

infection following abortion and ectopic and molar

pregnancy; Endometritis; Oophoritis; Parametritis; Pelvic

peritonitis; Salpingitis; Salpingo-oophoritis and/or Sepsis

and/or Septic shock and/or Septicaemia

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O03.6

Spontaneous abortion, complete or unspecified,

complicated Delayed or excessive haemorrhage with

Delayed or excessive haemorrhage following abortion and

ectopic and molar pregnancy; Afibrinogenaemia;

Defibrination syndrome; Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O03.7

Spontaneous abortion, complete or unspecified, with other

complicated by Embolism with Embolism following

abortion and ectopic and molar pregnancy; Embolism NOS;

Air embolism; Amniotic fluid embolism; Blood-clot

embolism; Pulmonary embolism; Pyaemic embolism

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O03.8

Spontaneous abortion, complete or unspecified, with

other and unspecified complications with Shock following

abortion and ectopic and molar pregnancy; Circulatory

collapase; Postoperative Shock; Renal failure following

abortion and ectopic and molar pregnancy

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O05.0

Other abortion, incomplete, complicated by Genital tract

and pelvic infection with Endometritis and/or Oophoritis

and/or Parametritis and/or Pelvic peritonitis and/or

Salpingitis and/or Salpingo-oophoritis and/or Sepsis and/or

Septic shock and/or Septicaemia

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

O05.1

Other abortion, incomplete, complicated Delayed or

excessive haemorrhage with Delayed or excessive

haemorrhage following abortion and ectopic and molar

pregnancy; Afibrinogenaemia; Defibrination syndrome;

Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O05.8

Other abortion, complete, with other and unspecified

complications with Shock following abortion and ectopic

and molar pregnancy; Circulatory collapase; Postoperative

Shock; Renal failure following abortion and ectopic and

molar pregnancy; Oliguria Acute

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O06.0

Unspecified abortion or induced abortion NOS, incomplete,

complicated by Genital tract and pelvic infection with

Endometritis and/or Oophoritis and/or Parametritis and/or

Pelvic peritonitis and/or Salpingitis and/or Salpingo-

oophoritis and/or Sepsis and/or Septic shock and/or

Septicaemia

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O06.1

Unspecified abortion or induced abortion NOS, incomplete,

complicated Delayed or excessive haemorrhage with

Afibrinogenaemia or Defibrination syndrome or

Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O06.2

Unspecified abortion or induced abortion NOS, incomplete,

complicated by Embolism or Embolism NOS with Air

embolism or Amniotic fluid embolism or Blood-clot

embolism or Pulmonary embolism or Pyaemic embolism or

Septic or septicopyaemic embolism or Soap embolism

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O06.3

Unspecified abortion or induced abortion NOS, incomplete,

with other and unspecified complications with Shock

following abortion and ectopic and molar pregnancy;

Circulatory collapase; Postoperative Shock; Renal failure

following abortion and ectopic and molar pregnancy;

Oliguria; Acute Renal failure; Renal shutdown; Renal

tubular necrosis; Uraemia

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O06.5

Unspecified abortion or induced abortion NOS, complete,

or unspecified, complicated by Genital tract and pelvic

infection or Endometritis and/or Oophoritis and/or

Parametritis and/or Pelvic peritonitis and/or Salpingitis

and/or Salpingo-oophoritis and/or Sepsis and/or Septic

shock and/or Septicaemia

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O06.6

Unspecified abortion or induced abortion NOS, complete,

complicated by Delayed or excessive haemorrhage or

Afibrinogenaemia or Defibrination syndrome or

Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O06.7

Unspecified abortion or induced abortion NOS, complete,

complicated by Embolism or Embolism NOS or Air

embolism or Amniotic fluid embolism or Blood-clot

embolism or Pulmonary embolism or Pyaemic embolism or

Septic or septicopyaemic embolism or Soap embolism

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O06.8

Unspecified abortion or induced abortion NOS, complete,

with other and unspecified complications with Shock

following abortion and ectopic and molar pregnancy;

Circulatory collapase; Postoperative Shock; Renal failure

following abortion and ectopic and molar pregnancy;

Oliguria; Acute Renal failure; Renal shutdown; Renal

tubular necrosis; Uraemia

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O07.1

Failed medical abortion complicated by delayed or

excessive haemorrhage; Afibrinogenaemia with Delayed or

excessive haemorrhage following abortion and ectopic and

molar pregnancy; Afibrinogenaemia; Defibrination

syndrome; Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O07.5

Other and unspecified failed attempted abortion

complicated by genital tract and pelvic infection with

Endometritis; Oophoritis; Parametritis; Pelvic peritonitis;

Salpingitis; Salpingo-oophoritis; Sepsi; Septic shock;

Septicaemia

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O07.6

Other and unspecified failed attempted abortion

complicated by delayed or excessive haemorrhage with

Delayed or excessive haemorrhage following abortion and

ectopic and molar pregnancy; Afibrinogenaemia;

Defibrination syndrome; Intravascular coagulation

MISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O08.3Shock following abortion and ectopic and molar pregnancy;

Circulatory collapase; Postoperative ShockMISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

O08.8Other complications following abortion and ectopic and

molar pregnancy; Cardiac arrest; Urinary tract infectionMISCARRIAGE WITH COMPLICATIONS 6,900 2,070 4,830

M60.0 Infective myositis; Tropical pyomyositis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M60.00 Infective myositis; Tropical pyomyositis Multiple site MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.01 Infective myositis; Tropical pyomyositis Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.02 Infective myositis; Tropical pyomyositis Upper arm MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.05Infective myositis; Tropical pyomyositis Pelvic region and

thighMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.06 Infective myositis; Tropical pyomyositis Lower leg MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.07 Infective myositis; Tropical pyomyositis Ankle and foot MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.08 Infective myositis; Tropical pyomyositis Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.09 Infective myositis; Tropical pyomyositis Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.1 Interstitial myositis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.11 Interstitial myositis Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.2Foreign body granuloma of soft tissue, not elsewhere

classifiedMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.21Foreign body granuloma of soft tissue, not elsewhere

classified Shoulder regionMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.23Foreign body granuloma of soft tissue, not elsewhere

classified ForearmMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.27Foreign body granuloma of soft tissue, not elsewhere

classified Ankle and footMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.8 Other myositis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.80 Other myositis Multiple site MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.81 Other myositis Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.88 Other myositis Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.89 Other myositis Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.9 Myositis, unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.90 Myositis, unspecified Multiple site MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.91 Myositis, unspecified Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.92 Myositis, unspecified Upper arm MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.95 Myositis, unspecified Pelvic region and thigh MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.96 Myositis, unspecified Lower leg MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.98 Myositis, unspecified Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M60.99 Myositis, unspecified Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M61.3Calcification and ossification of muscles associated with

burns; Myositis ossificans associated with burnsMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M61.55 Other ossification of muscle Pelvic region and thigh MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M61.59 Other ossification of muscle Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M61.9 Calcification and ossification of muscle, unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.0 Diastasis of muscle MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.05 Diastasis of muscle Pelvic region and thigh MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.08 Diastasis of muscle Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.1 Other rupture of muscle (nontraumatic) MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.48 Contracture of muscle Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.49 Contracture of muscle Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.56Muscle wasting and atrophy, not elsewhere classified;

Disuse atrophy NEC Lower legMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.59Muscle wasting and atrophy, not elsewhere classified;

Disuse atrophy NEC Site unspecifiedMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.60 Muscle strain Multiple site MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.61 Muscle strain Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.62 Muscle strain Upper arm MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.63 Muscle strain Forearm MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.65 Muscle strain Pelvic region and thigh MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.66 Muscle strain Lower leg MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.67 Muscle strain Ankle and foot MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.68 Muscle strain Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.69 Muscle strain Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.8 Muscle (sheath) hernia MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.80 Muscle (sheath) hernia Multiple site MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.85 Muscle (sheath) hernia Pelvic region and thigh MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.86 Muscle (sheath) hernia Lower leg MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.88 Muscle (sheath) hernia Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.89 Muscle (sheath) hernia Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.9 Disorder of muscle, unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.90 Disorder of muscle, unspecified Multiple site MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.91 Disorder of muscle, unspecified Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.95 Disorder of muscle, unspecified Pelvic region and thigh MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.96 Disorder of muscle, unspecified Lower leg MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.97 Disorder of muscle, unspecified Ankle and foot MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.98 Disorder of muscle, unspecified Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M62.99 Disorder of muscle, unspecified Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.0 Abscess of tendon sheath MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.1 Other infective tenosynovitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.13 Other infective (teno)synovitis Forearm MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.2 Calcific tendinitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.20 Calcific tendinitis Multiple site MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M65.22 Calcific tendinitis Upper arm MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.25 Calcific tendinitis Pelvic region and thigh MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.29 Calcific tendinitis Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.3 Trigger finger;Nodular tendinous disease MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.4 Radial styloid tenosynovitis [de Quervain] MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.8 Other synovitis and tenosynovitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.80 Other synovitis and tenosynovitis Multiple site MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.84 Other synovitis and tenosynovitis Hand MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.86 Other synovitis and tenosynovitis Lower leg MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.87 Other synovitis and tenosynovitis Ankle and foot MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.89 Other synovitis and tenosynovitis Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.9 Synovitis and tenosynovitis, unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.90 Synovitis and tenosynovitis, unspecified Multiple site MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.91 Synovitis and tenosynovitis, unspecified Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.92 Synovitis and tenosynovitis, unspecified Upper arm MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.93 Synovitis and tenosynovitis, unspecified Forearm MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.94 Synovitis and tenosynovitis, unspecified Hand MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.95Synovitis and tenosynovitis, unspecified Pelvic region and

thighMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.96 Synovitis and tenosynovitis, unspecified Lower leg MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.97 Synovitis and tenosynovitis, unspecified Ankle and foot MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M65.99 Synovitis and tenosynovitis, unspecified Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M66.0 Rupture of popliteal cyst MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M66.4 Spontaneous rupture of other tendons MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M66.5Spontaneous rupture of unspecified tendon; Rupture at

musculotendinous junction, nontraumatic MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M67.0 Short Achilles tendon (acquired) MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M67.1 Other contracture of tendon (sheath) MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M67.2 Synovial hypertrophy, not elsewhere classified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M67.3 Transient synovitis; Toxic synovitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M67.4 Ganglion; Ganglion of joint or tendon (sheath) MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M67.8 Other specified disorders of synovium and tendon MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M67.9 Disorder of synovium and tendon, unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M70.0 Chronic crepitant synovitis of hand and wrist MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M70.1 Bursitis of hand MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M70.2 Olecranon bursitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M70.3 Other bursitis of elbow MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M70.4 Prepatellar bursitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M70.5 Other bursitis of knee MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M70.6 Trochanteric bursitis; Trochanteric tendinitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M70.7 Other bursitis of hip; Ischial bursitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M70.8Other soft tissue disorders related to use, overuse and

pressure MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M70.9Unspecified soft tissue disorder related to use, overuse and

pressure MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M71.1 Other infective bursitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M71.2 Synovial cyst of popliteal space [Baker] MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M71.3 Other bursal cyst; Synovial cyst NOS MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M71.31 Other bursal cyst; Synovial cyst NOS Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M71.5 Other bursitis, not elsewhere classified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M71.51 Other bursitis, not elsewhere classified Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M71.8 Other specified bursopathies MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M71.9 Bursopathy, unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M71.91 Bursopathy, unspecified Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M71.99 Bursopathy, unspecified Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M72.0 Palmar fascial fibromatosis [Dupuytren] MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M72.2 Plantar fascial fibromatosis; Plantar fasciitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M72.5 Fasciitis, not elsewhere classified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M72.88 Other fibroblastic disorders; Abscess of fascia Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M72.9Fibroblastic disorder, unspecified; Fasciitis NOS;

Fibromatosis NOSMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M72.98Fibroblastic disorder, unspecified; Fasciitis NOS;

Fibromatosis NOS OtherMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M72.99Fibroblastic disorder, unspecified; Fasciitis NOS;

Fibromatosis NOS Site unspecifiedMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M75.0Adhesive capsulitis of shoulder; Frozen shoulder;

Periarthritis of shoulderMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M75.1

Rotator cuff syndrome; Rotator cuff or supraspinatus tear

or rupture complete)(incomplete), not specified

as traumatic; Supraspinatus syndrome

MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M75.2 Bicipital tendinitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M75.3 Calcific tendinitis of shoulder; Calcified bursa of shoulder MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M75.4 Impingement syndrome of shoulder MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M75.5 Bursitis of shoulder MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M75.8 Other shoulder lesions MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M75.9 Shoulder lesion, unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M76 Enthesopathies of lower limb, excluding foot MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M76.0 Gluteal tendinitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M76.1 Psoas tendinitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M76.3 Iliotibial band syndrome MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M76.4 Tibial collateral bursitis [Pellegrini-Stieda] MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M76.5 Patellar tendinitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M76.6 Achilles tendinitis; Achilles bursitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M76.7 Peroneal tendinitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M76.8Other enthesopathies of lower limb, excluding foot;

Anterior tibial syndrome; Posterior tibial tendinitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M76.9 Enthesopathy of lower limb, unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M77.0 Medial epicondylitis MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M77.1 Lateral epicondylitis; Tennis elbow MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M77.3 Calcaneal spur MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M77.5 Other enthesopathy of foot MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M77.8 Other enthesopathies, not elsewhere classified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M77.9Enthesopathy, unspecified; Bone spur NOS; Capsulitis NOS;

Periarthritis NOS; Tendinitis NOSMUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.80 Other specified soft tissue disorders Multiple site MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.81 Other specified soft tissue disorders Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.82 Other specified soft tissue disorders Upper arm MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.84 Other specified soft tissue disorders Hand MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.85 Other specified soft tissue disorders Pelvic region and thigh MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.86 Other specified soft tissue disorders Lower leg MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.87 Other specified soft tissue disorders Ankle and foot MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.88 Other specified soft tissue disorders Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.89 Other specified soft tissue disorders Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.91 Soft tissue disorder, unspecified Shoulder region MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.95 Soft tissue disorder, unspecified Pelvic region and thigh MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.98 Soft tissue disorder, unspecified Other MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.99 Soft tissue disorder, unspecified Site unspecified MUSCLE, TENDON, SOFT TISSUE DISORDERS 6,500 1,950 4,550

M79.00 Rheumatism, unspecified Multiple site MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.01 Rheumatism, unspecified Shoulder region MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.02 Rheumatism, unspecified Upper arm MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.05 Rheumatism, unspecified Pelvic region and thigh MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.07 Rheumatism, unspecified Ankle and foot MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.08 Rheumatism, unspecified Other MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.09 Rheumatism, unspecified Site unspecified MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.10 Myalgia Multiple site MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.11 Myalgia Shoulder region MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.12 Myalgia Upper arm MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.15 Myalgia Pelvic region and thigh MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.16 Myalgia Lower leg MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.18 Myalgia Other MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.19 Myalgia Site unspecified MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.20 Neuralgia and neuritis, unspecified Multiple site MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.21 Neuralgia and neuritis, unspecified Shoulder region MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.22 Neuralgia and neuritis, unspecified Upper arm MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.25 Neuralgia and neuritis, unspecified Pelvic region and thigh MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.28 Neuralgia and neuritis, unspecified Other MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.29 Neuralgia and neuritis, unspecified Site unspecified MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M79.39 Panniculitis, unspecified Site unspecified MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

M96.8 Other postprocedural musculoskeletal disorders MYALGIA, NEURALGIA, RHEUMATISM 5,900 1,770 4,130

P94.0 Transient neonatal myasthenia gravis MYASTHENIA GRAVIS NEWBORN 11,600 3,480 8,120

G70.0 Myasthenia gravis MYOPATHIES 7,900 2,370 5,530

G70.2 Congenital and developmental myasthenia MYOPATHIES 7,900 2,370 5,530

G70.8 Other specified myoneural disorders MYOPATHIES 7,900 2,370 5,530

G70.9 Myoneural disorder, unspecified MYOPATHIES 7,900 2,370 5,530

G71.0

Muscular dystrophy; Muscular dystrophy autosomal

recessive, childhood type, resembling Duchenne or Becker;

Muscular dystrophy benign [Becker]; Muscular dystrophy

benign; capuloperoneal with early contractures [Emery-

Dreifuss]; Muscular dystrophy distal; Muscular dystrophy

facioscapulohumeral; Muscular dystrophy limb-girdle;

Muscular dystrophy ocular; Muscular dystrophy

oculopharyngeal; Muscular dystrophy scapuloperoneal;

Muscular dystrophy severe [Duchenne]

MYOPATHIES 7,900 2,370 5,530

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

G71.1

Myotonic disorders; Dystrophia myotonica [Steinert];

Myotonia, chondrodystrophic; Myotonia, drug-induced;

Myotonia, symptomatic; Myotonia, congenita NOS;

Myotonia, congenita dominant [Thomsen]; Myotonia,

congenital recessive [Becker]; Neuromyotonia [Isaac];

Paramyotonia congenita; Pseudomyotonia

MYOPATHIES 7,900 2,370 5,530

G71.2

Congenital myopathies; Congenital muscular dystrophy

NOS; Congenital muscular dystrophy with specific

morphological abnormalities of the muscle fibre; Central

coreDisease ; Minicore Disease ; MulticoreDisease ; Fibre-

type disproportion; Myopathy myotubular (centronuclear);

Myopathy nemaline

MYOPATHIES 7,900 2,370 5,530

G71.9Primary disorder of muscle, unspecified; Hereditary

myopathy NOSMYOPATHIES 7,900 2,370 5,530

G72.0 Drug-induced myopathy MYOPATHIES 7,900 2,370 5,530

G72.1 Alcoholic myopathy MYOPATHIES 7,900 2,370 5,530

G72.2 Myopathy due to other toxic agents MYOPATHIES 7,900 2,370 5,530

G72.3

Periodic paralysis; Periodic paralysis (familial)

hyperkalaemic; Periodic paralysis (familial) hypokalaemic;

Periodic paralysis (familial) myotonic; Periodic paralysis

(familial) normokalaemic

MYOPATHIES 7,900 2,370 5,530

G72.4 Inflammatory myopathy, not elsewhere classified MYOPATHIES 7,900 2,370 5,530

G72.8 Other specified myopathies MYOPATHIES 7,900 2,370 5,530

G72.9 Myopathy, unspecified MYOPATHIES 7,900 2,370 5,530

P91.0 Neonatal cerebral ischaemia NEONATAL CEREBRAL ISCHEMIA 25,800 7,740 18,060

P00.0Fetus and newborn affected by maternal hypertensive

disordersNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P00.1Fetus and newborn affected by maternal renal and urinary

tract diseasesNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P00.2Fetus and newborn affected by maternal infectious and

parasitic diseasesNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P00.3Fetus and newborn affected by other maternal circulatory

and respiratory diseasesNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P00.4Fetus and newborn affected by maternal nutritional

disorders; Maternal nutriotion NOSNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P00.5 Fetus and newborn affected by maternal injury NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P00.6Fetus and newborn affected by surgical procedure on

motherNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P00.7Fetus and newborn affected by other medical procedures

on mother, not elsewhere classifiedNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P00.8

Fetus and newborn affected by other maternal conditions;

Fetus or newborn affected by maternal genital tract and

other localized infections; Fetus or newborn affected by

maternal systemic lupus erythematosus

NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P00.9Fetus and newborn affected by unspecified maternal

conditionNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P01.0 Fetus and newborn affected by incompetent cervix NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P01.1Fetus and newborn affected by premature rupture of

membranesNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P01.2 Fetus and newborn affected by oligohydramnios NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P01.3Fetus and newborn affected by polyhydramnios;

HydramniosNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P01.4Fetus and newborn affected by ectopic pregnancy;

Abdominal pregnancyNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P01.5Fetus and newborn affected by multiple pregnancy; Triplet

pregnance; Twin pregnancyNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P01.6 Fetus and newborn affected by maternal death NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P01.7

Fetus and newborn affected by malpresentation before

labour; Breech presentation before labor; External version

before labour; Face presentation before labour; Transverse

lie before labour; Unstable lie before labour

NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P01.8Fetus and newborn affected by other maternal

complications of pregnancy; Spontaneous abortion, fetusNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P01.9Fetus and newborn affected by maternal complication of

pregnancy, unspecifiedNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P02.0 Fetus and newborn affected by placenta praevia NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P02.1

Fetus and newborn affected by other forms of placental

separation and haemorrhage; Abruptio placentae;

Accidental haemorrhage; Antepartum haemorrhage;

Damage to placenta from amniocentesis, caesarian section

or surgical induction; Maternal blood loss; Premature

separation of placenta

NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

P02.2

Fetus and newborn affected by other and unspecified

morphological and functional abnormalities of placenta;

Placental dysfunction; Placental infarction; Placental

insufficiency

NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P02.3

Fetus and newborn affected by placental transfusion

syndromes; Placental and cord abnormalities resulting in

twin-to-twin or other transplacental transfusion

NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P02.4 Fetus and newborn affected by prolapsed cord NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P02.5

Fetus and newborn affected by other compression of

umbilical cord; Cord (tightly) around neck; Entanglement of

cord; Knot in cord

NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P02.6Fetus and newborn affected by other and unspecified

conditions of umbilical cord; Short cord; Vasa praeviaNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P02.7Fetus and newborn affected by chorioamnionitis;

Amnionitis; Membranitis; PlacentitisNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P02.8Fetus and newborn affected by other abnormalities of

membranesNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P02.9Fetus and newborn affected by abnormality of membranes,

unspecifiedNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P03.0Fetus and newborn affected by breech delivery and

extractionNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P03.1

Fetus and newborn affected by other malpresentation,

malposition and disproportion during labour and delivery;

Contracted pelvis; Persistent occipitoposterior; Transverse

lie

NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P03.2 Fetus and newborn affected by forceps delivery NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P03.3Fetus and newborn affected by delivery by vacuum

extractor [ventouse]NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P03.4 Fetus and newborn affected by caesarean delivery NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P03.5 Fetus and newborn affected by precipitate delivery NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P03.6

Fetus and newborn affected by abnormal uterine

contractions; Fetus and newborn affected by abnormal

Hypertonic lahour; Fetus and newborn affected by

abnormal Uterine inertia

NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P03.8Fetus and newborn affected by other specified

complications of labour and deliveryNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P03.9Fetus and newborn affected by complication of labour and

delivery, unspecifiedNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P04.0Fetus and newborn affected by maternal anaesthesia and

analgesia in pregnancy, labour and deliveryNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P04.1Fetus and newborn affected by other maternal medication;

Cancer chemotherapy; Cytotoxic drugsNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P04.2 Fetus and newborn affected by maternal use of tobacco NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P04.3 Fetus and newborn affected by maternal use of alcohol NEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P04.5Fetus and newborn affected by maternal use of nutritional

chemical substancesNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

P04.8Fetus and newborn affected by other maternal noxious

influencesNEONATE AFFECTED BY MATERNAL FACTORS 7,700 2,310 5,390

D37.0

Neoplasm of uncertain or unknown behaviour of Lip, oral

cavity and pharynx; Neoplasm of uncertain or unknown

behaviour of Aryepiglottic fold NOS; Neoplasm of

uncertain or unknown behaviour of hypopharyngeal aspect

of Aryepiglottic fold; Neoplasm of uncertain or unknown

behaviour of marginal zone of Aryepiglottic fold; Neoplasm

of uncertain or unknown behaviour of Major and minor

salivary glands; Neoplasm of uncertain or unknown

behaviour of Vermilion border of lip

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D37.1 Neoplasm of uncertain or unknown behaviour of Stomach NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D37.2Neoplasm of uncertain or unknown behaviour of Small

intestineNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D37.3 Neoplasm of uncertain or unknown behaviour of Appendix NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D37.4 Neoplasm of uncertain or unknown behaviour of Colon NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D37.5

Neoplasm of uncertain or unknown behaviour of Rectum;

Neoplasm of uncertain or unknown behaviour of

Rectosigmoid junction

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D37.6

Neoplasm of uncertain or unknown behaviour of Liver,

gallbladder and bile ducts; Neoplasm of uncertain or

unknown behaviour of Ampulla of Vater

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

D37.7

Neoplasm of uncertain or unknown behaviour of Other

digestive organs; Neoplasm of uncertain or unknown

behaviour of Anal canal; Neoplasm of uncertain or

unknown behaviour of Anal sphincter; Neoplasm of

uncertain or unknown behaviour of Anus NOS; Neoplasm

of uncertain or unknown behaviour of Intestine NOS;

Neoplasm of uncertain or unknown behaviour of

Oesophagus; Neoplasm of uncertain or unknown behaviour

of Pancreas

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D37.9Neoplasm of uncertain or unknown behaviour of Digestive

organ, unspecifiedNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D38.0

Neoplasm of uncertain or unknown behaviour of Larynx;

Neoplasm of uncertain or unknown behaviour of laryngeal

aspect of Aryepiglottic fold; Neoplasm of uncertain or

unknown behaviour of Suprahyoid portion of Epiglottis

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D38.1Neoplasm of uncertain or unknown behaviour of Trachea,

bronchus and lungNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D38.2 Neoplasm of uncertain or unknown behaviour of Pleura NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D38.3Neoplasm of uncertain or unknown behaviour of

MediastinumNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D38.4 Neoplasm of uncertain or unknown behaviour of Thymus NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D38.5

Neoplasm of uncertain or unknown behaviour of Other

respiratory organs; Neoplasm of uncertain or unknown

behaviour of Accessory sinuses; Neoplasm of uncertain or

unknown behaviour of Cartilage of nose; Neoplasm of

uncertain or unknown behaviour of Middle ear; Neoplasm

of uncertain or unknown behaviour of Nasal cavities

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D38.6Neoplasm of uncertain or unknown behaviour of

Respiratory organ, unspecifiedNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D39.0 Neoplasm of uncertain or unknown behaviour of Uterus NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D39.1 Neoplasm of uncertain or unknown behaviour of Ovary NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D39.2

Neoplasm of uncertain or unknown behaviour of Placenta;

Chorioadenoma destruens; Invasive Hydatidiform mole;

Malignant Hydatidiform mole

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D39.7

Neoplasm of uncertain or unknown behaviour of Other

female genital organs; Neoplasm of uncertain or unknown

behaviour of Skin of female genital organs

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D39.9Neoplasm of uncertain or unknown behaviour of Female

genital organ, unspecifiedNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D40.0 Neoplasm of uncertain or unknown behaviour of Prostate NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D40.1 Neoplasm of uncertain or unknown behaviour of Testis NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D40.7

Neoplasm of uncertain or unknown behaviour of Other

male genital organs; Neoplasm of uncertain or unknown

behaviour of Skin of male genital organs

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D40.9Neoplasm of uncertain or unknown behaviour of Male

genital organ, unspecifiedNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D41.0 Neoplasm of uncertain or unknown behaviour of Kidney NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D41.1Neoplasm of uncertain or unknown behaviour of Renal

pelvisNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D41.2 Neoplasm of uncertain or unknown behaviour of Ureter NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D41.3 Neoplasm of uncertain or unknown behaviour of Urethra NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D41.4 Neoplasm of uncertain or unknown behaviour of Bladder NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D41.9Neoplasm of uncertain or unknown behaviour of Urinary

organ, unspecifiedNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D42.0Neoplasm of uncertain or unknown behaviour of Cerebral

meningesNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D42.1Neoplasm of uncertain or unknown behaviour of Spinal

meningesNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D42.9Neoplasm of uncertain or unknown behaviour of Meninges,

unspecifiedNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

D43.0

Neoplasm of uncertain or unknown behaviour of Brain,

supratentorial; Neoplasm of uncertain or unknown

behaviour of Cerebral ventricle; Neoplasm of uncertain or

unknown behaviour of Cerebrum; Neoplasm of uncertain

or unknown behaviour of Frontal lobe; Neoplasm of

uncertain or unknown behaviour of Occipital lobe;

Neoplasm of uncertain or unknown behaviour of Parietal

lobe; Neoplasm of uncertain or unknown behaviour of

Temporal lobe

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D43.1

Neoplasm of uncertain or unknown behaviour of Brain,

infratentorial; Neoplasm of uncertain or unknown

behaviour of Brain stem; Neoplasm of uncertain or

unknown behaviour of Cerebellum; Neoplasm of

uncertain or unknown behaviour of Fourth ventricle

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D43.2Neoplasm of uncertain or unknown behaviour of Brain,

unspecifiedNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D43.3Neoplasm of uncertain or unknown behaviour of Cranial

nervesNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D43.4Neoplasm of uncertain or unknown behaviour of Spinal

cordNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D43.7Neoplasm of uncertain or unknown behaviour of Other

parts of central nervous systemNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D43.9

Neoplasm of uncertain or unknown behaviour of Central

nervous system, unspecified; Neoplasm of uncertain or

unknown behaviour of Central Nervous system NOS

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D44.0Neoplasm of uncertain or unknown behaviour of Thyroid

glandNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D44.1Neoplasm of uncertain or unknown behaviour of Adrenal

glandNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D44.2Neoplasm of uncertain or unknown behaviour of

Parathyroid glandNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D44.3Neoplasm of uncertain or unknown behaviour of Pituitary

glandNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D44.4Neoplasm of uncertain or unknown behaviour of

Craniopharyngeal ductNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D44.5Neoplasm of uncertain or unknown behaviour of Pineal

glandNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D44.6Neoplasm of uncertain or unknown behaviour of Carotid

bodyNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D44.7Neoplasm of uncertain or unknown behaviour of Aortic

body and other paragangliaNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D44.8

Neoplasm of uncertain or unknown behaviour of

Pluriglandular involvement; Multiple endocrine

adenomatosis

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D44.9Neoplasm of uncertain or unknown behaviour of Endocrine

gland, unspecifiedNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D45 Polycythaemia vera NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D46 Myelodysplastic syndromes NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D46.7 Other myelodysplastic syndromes NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D46.9

Myelodysplastic syndrome, unspecified; Myelodysplastic

syndrome NOS; Myelodysplasia NOS; Preleukaemia

syndrome NOS

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D47.0

Histiocytic and mast cell tumours of uncertain and

unknown behaviour; Mast cell tumour NOS; Mastocytoma

NOS

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D47.1

Chronic myeloproliferative disease; Myelofibrosis with

myeloid metaplasia; Myeloproliferative disease,

unspecified; Megakaryocytic Myelosclerosis with myeloid

metaplasia

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D47.2 Monoclonal gammopathy NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D47.3

Essential thrombocythaemia; Haemorrhagic

thrombocythaemia; Idiopathic haemorrhagic

thrombocythaemia

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D47.7Other specified neoplasms of uncertain or unknown

behaviour of lymphoid, haematopoietic and related tissueNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D47.9

Neoplasm of uncertain or unknown behaviour of lymphoid,

haematopoietic and related tissue, unspecified;

Lymphoproliferative disease NOS

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D48.0Neoplasm of uncertain or unknown behaviour of Bone and

articular cartilageNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D48.1

Neoplasm of uncertain or unknown behaviour of

Connective and other soft tissue; Neoplasm of uncertain or

unknown behaviour of Connective tissue of ear; Neoplasm

of uncertain or unknown behaviour of eyelid

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

D48.2Neoplasm of uncertain or unknown behaviour of Peripheral

nerves and autonomic nervous systemNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D48.3Neoplasm of uncertain or unknown behaviour of

RetroperitoneumNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D48.4Neoplasm of uncertain or unknown behaviour of

PeritoneumNEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D48.6

Neoplasm of uncertain or unknown behaviour of Breast;

Neoplasm of uncertain or unknown behaviour of

Connective tissue of breast; Cystosarcoma phyllodes

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D48.7

Neoplasm of uncertain or unknown behaviour of Other

specified sites; Neoplasm of uncertain or unknown

behaviour of Eye; Neoplasm of uncertain or unknown

behaviour of Heart; Neoplasm of uncertain or unknown

behaviour of Peripheral nerves of orbit

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

D48.9

Neoplasm of uncertain or unknown behaviour, unspecified;

"Growth" NOS ; Neoplasm NOS;

New growth NOS; Tumour NOS

NEOPLASMS OF UNKNOWN BEHAVIOR 12,200 3,660 8,540

G54.0 Brachial plexus disorders; Thoracic outlet syndrome NERVE ROOT AND PLEXUS DISORDERS 7,900 2,370 5,530

G54.1 Lumbosacral plexus disorders NERVE ROOT AND PLEXUS DISORDERS 7,900 2,370 5,530

G54.2 Cervical root disorders, not elsewhere classified NERVE ROOT AND PLEXUS DISORDERS 7,900 2,370 5,530

G54.3 Thoracic root disorders, not elsewhere classified NERVE ROOT AND PLEXUS DISORDERS 7,900 2,370 5,530

G54.4 Lumbosacral root disorders, not elsewhere classified NERVE ROOT AND PLEXUS DISORDERS 7,900 2,370 5,530

G54.5Neuralgic amyotrophy; Parsonage-Aldren-Turner

syndrome; Shoulder-girdle neuritisNERVE ROOT AND PLEXUS DISORDERS 7,900 2,370 5,530

G54.8 Other nerve root and plexus disorders NERVE ROOT AND PLEXUS DISORDERS 7,900 2,370 5,530

G54.9 Nerve root and plexus disorder, unspecified NERVE ROOT AND PLEXUS DISORDERS 7,900 2,370 5,530

G55.8*Nerve root and plexus compressions in other diseases

classified elsewhereNERVE ROOT AND PLEXUS DISORDERS 7,900 2,370 5,530

P05.0 Light for gestational ageNEWBORN COMPLICATED- LOW BIRTH

WEIGHT/PRETERM16,900 5,070 11,830

P05.1 Small for gestational ageNEWBORN COMPLICATED- LOW BIRTH

WEIGHT/PRETERM16,900 5,070 11,830

P05.2Fetal malnutrition without mention of light or small for

gestational age

NEWBORN COMPLICATED- LOW BIRTH

WEIGHT/PRETERM16,900 5,070 11,830

P05.9Slow fetal growth, unspecified; Fetal growth retardation

NOS

NEWBORN COMPLICATED- LOW BIRTH

WEIGHT/PRETERM16,900 5,070 11,830

P07.0 Extremely low birth weight; Birth weight 999 g or less.NEWBORN COMPLICATED- LOW BIRTH

WEIGHT/PRETERM16,900 5,070 11,830

P07.1 Other low birth weight; Birth weight 1000-2499 g.NEWBORN COMPLICATED- LOW BIRTH

WEIGHT/PRETERM16,900 5,070 11,830

P07.2Extreme immaturity; Less than 28 completed weeks (less

than 196 completed days) of gestation.

NEWBORN COMPLICATED- LOW BIRTH

WEIGHT/PRETERM16,900 5,070 11,830

P07.3

Other preterm infants; 28 completed weeks or more but

less than 37 completed weeks (196 completed days but less

than 259 completed days) of gestation; Prematurity NOS

NEWBORN COMPLICATED- LOW BIRTH

WEIGHT/PRETERM16,900 5,070 11,830

P08.0Exceptionally large baby; Usually implies a birth weight of

4500 g or more.NEWBORN COMPLICATED-LARGE BABY 7,000 2,100 4,900

P08.1

Other heavy for gestational age infants; Other fetus or

infant heavy- or large-for-dates regardless of period of

gestation.

NEWBORN COMPLICATED-LARGE BABY 7,000 2,100 4,900

P08.2

Post-term infant, not heavy for gestational age; Fetus or

infant with gestation period of 42 completed weeks or

more (294 days or

more), not heavy- or large-for-dates; Postmaturity NOS

NEWBORN COMPLICATED-POSTTERM 7,500 2,250 5,250

P36.0 Sepsis of newborn due to streptococcus, group B NEWBORN SEPSIS 11,700 3,510 8,190

P36.1Sepsis of newborn due to other and unspecified

streptococciNEWBORN SEPSIS 11,700 3,510 8,190

P36.2 Sepsis of newborn due to Staphylococcus aureus NEWBORN SEPSIS 11,700 3,510 8,190

P36.3Sepsis of newborn due to other and unspecified

staphylococciNEWBORN SEPSIS 11,700 3,510 8,190

P36.4 Sepsis of newborn due to Escherichia coli NEWBORN SEPSIS 11,700 3,510 8,190

P36.5 Sepsis of newborn due to anaerobes NEWBORN SEPSIS 11,700 3,510 8,190

P36.8 Other bacterial sepsis of newborn NEWBORN SEPSIS 11,700 3,510 8,190

P36.9

Bacterial sepsis of newborn, unspecified

Sepsis neonatorum

Septicemia, newborn

NEWBORN SEPSIS 11,700 3,510 8,190

N83.8

Other noninflammatory disorders of ovary, fallopian tube

and broad ligament; Broad ligament laceration syndrome

[Allen-Masters]

NONINFLAMMATORY DISORDERS OF THE FEMALE

GENITAL TRACT8,500 2,550 5,950

N83.9Noninflammatory disorder of ovary, fallopian tube and

broad ligament, unspecified

NONINFLAMMATORY DISORDERS OF THE FEMALE

GENITAL TRACT8,500 2,550 5,950

N85.8Other specified noninflammatory disorders of uterus;

Atrophy of uterus, acquired; Fibrosis of uterus NOS

NONINFLAMMATORY DISORDERS OF THE FEMALE

GENITAL TRACT8,500 2,550 5,950

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

N85.9Noninflammatory disorder of uterus, unspecified; Disorder

of uterus NOS

NONINFLAMMATORY DISORDERS OF THE FEMALE

GENITAL TRACT8,500 2,550 5,950

E50.0 Vitamin A deficiency with conjunctival xerosis NUTRITIONAL DISORDER 9,200 2,760 6,440

E50.1Vitamin A deficiency with Bitot's spot and conjunctival

xerosis; Bitot's spot in the young childNUTRITIONAL DISORDER 9,200 2,760 6,440

E50.8

Other manifestations of vitamin A deficiency; Follicular

keratosis due to vitamin A deficiency; Xeroderma due to

vitamin A deficiency

NUTRITIONAL DISORDER 9,200 2,760 6,440

E50.9 Vitamin A deficiency, unspecified; Hypovitaminosis A NOS NUTRITIONAL DISORDER 9,200 2,760 6,440

E51.1 Dry Beriberi NUTRITIONAL DISORDER 9,200 2,760 6,440

E51.2 Wernicke's encephalopathy NUTRITIONAL DISORDER 9,200 2,760 6,440

E51.8 Other manifestations of thiamine deficiency NUTRITIONAL DISORDER 9,200 2,760 6,440

E51.9 Thiamine deficiency, unspecified NUTRITIONAL DISORDER 9,200 2,760 6,440

E53.1 Pyridoxine deficiency; Vitamin B6 deficiency NUTRITIONAL DISORDER 9,200 2,760 6,440

E53.8

Deficiency of other specified B group vitamins; Biotin

Deficiency; Cyanocobalamin Deficiency; Folate Deficiency;

Folic acid Deficiency; Pantothenic acid Deficiency; Vitamin

B12 Deficiency

NUTRITIONAL DISORDER 9,200 2,760 6,440

E53.9 Vitamin B deficiency, unspecified NUTRITIONAL DISORDER 9,200 2,760 6,440

E54 Ascorbic acid deficiency; Deficiency of vitamin C; Scurvy NUTRITIONAL DISORDER 9,200 2,760 6,440

E55.0Rickets, active; Infantile Osteomalacia; Juvenile

OsteomalaciaNUTRITIONAL DISORDER 9,200 2,760 6,440

E55.9 Vitamin D deficiency, unspecified; Avitaminosis D NUTRITIONAL DISORDER 9,200 2,760 6,440

E56.0 Deficiency of vitamin E NUTRITIONAL DISORDER 9,200 2,760 6,440

E56.1 Deficiency of vitamin K NUTRITIONAL DISORDER 9,200 2,760 6,440

E56.8 Deficiency of other vitamins NUTRITIONAL DISORDER 9,200 2,760 6,440

E56.9 Vitamin deficiency, unspecified NUTRITIONAL DISORDER 9,200 2,760 6,440

E58 Dietary calcium deficiency NUTRITIONAL DISORDER 9,200 2,760 6,440

E60 Dietary zinc deficiency NUTRITIONAL DISORDER 9,200 2,760 6,440

E61.1 Iron deficiency NUTRITIONAL DISORDER 9,200 2,760 6,440

E61.2 Magnesium deficiency NUTRITIONAL DISORDER 9,200 2,760 6,440

E61.6 Vanadium deficiency NUTRITIONAL DISORDER 9,200 2,760 6,440

E61.9 Deficiency of nutrient element, unspecified NUTRITIONAL DISORDER 9,200 2,760 6,440

E63.1 Imbalance of constituents of food intake NUTRITIONAL DISORDER 9,200 2,760 6,440

E63.8 Other specified nutritional deficiencies NUTRITIONAL DISORDER 9,200 2,760 6,440

E63.9 Nutritional deficiency, unspecified NUTRITIONAL DISORDER 9,200 2,760 6,440

E64.9 Sequelae of unspecified nutritional deficiency NUTRITIONAL DISORDER 9,200 2,760 6,440

E67.0 Hypervitaminosis A NUTRITIONAL DISORDER 9,200 2,760 6,440

E67.1 Hypercarotenaemia NUTRITIONAL DISORDER 9,200 2,760 6,440

E67.3 Hypervitaminosis D NUTRITIONAL DISORDER 9,200 2,760 6,440

E66.2Extreme obesity with alveolar hypoventilation; Obesity

hypoventilation syndrome (OHS); Pickwickian syndromeOBESITY HYPOVENTILATION 13,600 4,080 9,520

N13.0 Hydronephrosis with ureteropelvic junction obstruction OBSTRUCTIVE UROPATHIES 9,700 2,910 6,790

N13.1Hydronephrosis with ureteral stricture, not elsewhere

classifiedOBSTRUCTIVE UROPATHIES 9,700 2,910 6,790

N13.2Hydronephrosis with renal and ureteral calculous

obstructionOBSTRUCTIVE UROPATHIES 9,700 2,910 6,790

N13.3 Other and unspecified hydronephrosis OBSTRUCTIVE UROPATHIES 9,700 2,910 6,790

N13.4 Hydroureter OBSTRUCTIVE UROPATHIES 9,700 2,910 6,790

N13.5 Kinking and stricture of ureter without hydronephrosis OBSTRUCTIVE UROPATHIES 9,700 2,910 6,790

N13.6Pyonephrosis; Conditions in N13.0-N13.5 with infection;

Obstructive uropathy with infectionOBSTRUCTIVE UROPATHIES 9,700 2,910 6,790

N13.7Vesicoureteral-reflux-associated uropathy; Vesicoureteral

reflux NOS; Vesicoureteral reflux with scarringOBSTRUCTIVE UROPATHIES 9,700 2,910 6,790

N13.8 Other obstructive and reflux uropathy OBSTRUCTIVE UROPATHIES 9,700 2,910 6,790

N13.9Obstructive and reflux uropathy, unspecified; Urinary tract

obstruction NOSOBSTRUCTIVE UROPATHIES 9,700 2,910 6,790

N45.0Orchitis, epididymitis and epididymo-orchitis with abscess;

Abscess of epididymis or testisORCHITIS 7,900 2,370 5,530

N45.9Orchitis, epididymitis and epididymo-orchitis without

abscess; Epididymitis NOS; Orchitis NOSORCHITIS 7,900 2,370 5,530

M86.0 Acute haematogenous osteomyelitis OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.1 Other acute osteomyelitis OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.15 Other acute osteomyelitis Pelvic region and thigh OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.17 Other acute osteomyelitis Ankle and foot OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.19 Other acute osteomyelitis Site unspecified OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.2 Subacute osteomyelitis OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.29 Subacute osteomyelitis Site unspecified OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.4 Chronic osteomyelitis with draining sinus OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.5 Other chronic haematogenous osteomyelitis OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.50 Other chronic haematogenous osteomyelitis Multiple site OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M86.6 Other chronic osteomyelitis OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.60 Other chronic osteomyelitis Multiple site OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.61 Other chronic osteomyelitis Shoulder region OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.62 Other chronic osteomyelitis Upper arm OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.63 Other chronic osteomyelitis Forearm OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.65 Other chronic osteomyelitis Pelvic region and thigh OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.66 Other chronic osteomyelitis Lower leg OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.67 Other chronic osteomyelitis Ankle and foot OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.68 Other chronic osteomyelitis Other OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.69 Other chronic osteomyelitis Site unspecified OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.8 Other osteomyelitis; Brodie's abscess OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.80 Other osteomyelitis; Brodie's abscess Multiple site OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.81 Other osteomyelitis; Brodie's abscess Shoulder region OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.88 Other osteomyelitis; Brodie's abscess Other OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.9Osteomyelitis, unspecified; Infection of bone NOS;

Periostitis NOSOSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.90Osteomyelitis, unspecified; Infection of bone NOS;

Periostitis without mention of osteomyelitis Multiple siteOSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.91

Osteomyelitis, unspecified; Infection of bone NOS;

Periostitis without mention of osteomyelitis Shoulder

region

OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.92Osteomyelitis, unspecified; Infection of bone NOS;

Periostitis without mention of osteomyelitis Upper armOSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.94Osteomyelitis, unspecified; Infection of bone NOS;

Periostitis without mention of osteomyelitis HandOSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.95

Osteomyelitis, unspecified; Infection of bone NOS;

Periostitis without mention of osteomyelitis Pelvic region

and thigh

OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.96Osteomyelitis, unspecified; Infection of bone NOS;

Periostitis without mention of osteomyelitis Lower legOSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.97Osteomyelitis, unspecified; Infection of bone NOS;

Periostitis without mention of osteomyelitis Ankle and footOSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.98Osteomyelitis, unspecified; Infection of bone NOS;

Periostitis without mention of osteomyelitis OtherOSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M86.99

Osteomyelitis, unspecified; Infection of bone NOS;

Periostitis without mention of osteomyelitis Site

unspecified

OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M87.05 Idiopathic aseptic necrosis of bone Pelvic region and thigh OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M87.2 Osteonecrosis due to previous trauma OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M87.8 Other osteonecrosis OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M87.85 Other osteonecrosis Pelvic region and thigh OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M87.86 Other osteonecrosis Lower leg OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M87.9 Osteonecrosis, unspecified OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M87.90 Osteonecrosis, unspecified Multiple site OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M87.91 Osteonecrosis, unspecified Shoulder region OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M87.95 Osteonecrosis, unspecified Pelvic region and thigh OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M87.99 Osteonecrosis, unspecified Site unspecified OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M88.0 Paget's disease of skull OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

M88.9 Paget's disease of bone, unspecified OSTEOMYELITIS AND OSTEONECROSIS 13,000 3,900 9,100

A31.8 Other mycobacterial infections OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A31.9

Mycobacterial infection, unspecified ; Atypical

mycobacterium infection Not Otherwise Specified;

Mycobacteriosis NOS; Listeriosis (listerial foodborne

infection)

OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A42.0 Pulmonary actinomycosis OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A42.1 Abdominal actinomycosis OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A42.2 Cervicofacial actinomycosis OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A42.7 Actinomycotic septicaemia OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A42.8 Other forms of actinomycosis OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A42.9 Actinomycosis, unspecified OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A43.1 Cutaneous nocardiosis OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A43.9 Nocardiosis, unspecified OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A44.1Cutaneous and mucocutaneous bartonellosis; Verruga

peruanaOTHER BACTERIAL DISEASES 8,900 2,670 6,230

A44.9 Bartonellosis, unspecified OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A48.8 Other specified bacterial diseases OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A49.0 Staphylococcal infection, unspecified OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A49.2 Haemophilus influenzae infection, unspecified OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A49.3 Mycoplasma infection, unspecified OTHER BACTERIAL DISEASES 8,900 2,670 6,230

A49.8

Other specified cardia arrhythmias; Brugada syndrome; ont

QT syndrome; Long QT syndrome; coronary sinus rhythm

disorder; ectopic shythm disorder; nodal rhythm disorder

OTHER BACTERIAL DISEASES 8,900 2,670 6,230

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

A49.9 Bacterial infection, unspecified; Bacteraemia NOS OTHER BACTERIAL DISEASES 8,900 2,670 6,230

B20.1 HIV disease resulting in other bacterial infections OTHER BACTERIAL DISEASES 8,900 2,670 6,230

M89.0Algoneurodystrophy; Shoulder-hand syndrome; Sudeck's

atrophy; Sympathetic reflex dystrophyOTHER BONE DISORDERS 8,800 2,640 6,160

M89.01Algoneurodystrophy; Shoulder-hand syndrome; Sudeck's

atrophy; Sympathetic reflex dystrophy Shoulder regionOTHER BONE DISORDERS 8,800 2,640 6,160

M89.2 Other disorders of bone development and growth OTHER BONE DISORDERS 8,800 2,640 6,160

M89.4Other hypertrophic osteoarthropathy; Marie-Bamberger

disease; PachydermoperiostosisOTHER BONE DISORDERS 8,800 2,640 6,160

M89.48Other hypertrophic osteoarthropathy; Marie-Bamberger

disease; Pachydermoperiostosis OtherOTHER BONE DISORDERS 8,800 2,640 6,160

M89.5 Osteolysis OTHER BONE DISORDERS 8,800 2,640 6,160

M89.54 Osteolysis Hand OTHER BONE DISORDERS 8,800 2,640 6,160

M89.6 Osteopathy after poliomyelitis OTHER BONE DISORDERS 8,800 2,640 6,160

M89.8Other specified disorders of bone; Infantile cortical

hyperostoses; Post-traumatic subperiosteal ossificationOTHER BONE DISORDERS 8,800 2,640 6,160

M89.85

Other specified disorders of bone; Infantile cortical

hyperostoses; Post-traumatic subperiosteal ossification

Pelvic region and thigh

OTHER BONE DISORDERS 8,800 2,640 6,160

M89.86

Other specified disorders of bone; Infantile cortical

hyperostoses; Post-traumatic subperiosteal ossification

Lower leg

OTHER BONE DISORDERS 8,800 2,640 6,160

M89.87

Other specified disorders of bone; Infantile cortical

hyperostoses; Post-traumatic subperiosteal ossification

Ankle and foot

OTHER BONE DISORDERS 8,800 2,640 6,160

M89.88

Other specified disorders of bone; Infantile cortical

hyperostoses; Post-traumatic subperiosteal ossification

Other

OTHER BONE DISORDERS 8,800 2,640 6,160

M89.89

Other specified disorders of bone; Infantile cortical

hyperostoses; Post-traumatic subperiosteal ossification

Site unspecified

OTHER BONE DISORDERS 8,800 2,640 6,160

M89.95 Disorder of bone, unspecified Pelvic region and thigh OTHER BONE DISORDERS 8,800 2,640 6,160

M89.98 Disorder of bone, unspecified Other OTHER BONE DISORDERS 8,800 2,640 6,160

M89.99 Disorder of bone, unspecified Site unspecified OTHER BONE DISORDERS 8,800 2,640 6,160

M91.1Juvenile osteochondrosis of head of femur [LEGG-CALVÉ-

PERTHES]OTHER BONE DISORDERS 8,800 2,640 6,160

M91.8Other juvenile osteochondrosis after reduction of

congenital dislocation of hipOTHER BONE DISORDERS 8,800 2,640 6,160

M94.0 Chondrocostal junction syndrome [Tietze] OTHER BONE DISORDERS 8,800 2,640 6,160

M94.8 Other specified disorders of cartilage OTHER BONE DISORDERS 8,800 2,640 6,160

M99.8 Other biomechanical lesions OTHER BONE DISORDERS 8,800 2,640 6,160

M99.9 Biomechanical lesion, unspecified OTHER BONE DISORDERS 8,800 2,640 6,160

I65.2 Occlusion and stenosis of carotid artery OTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

I67.0 Dissection of cerebral arteries, nonruptured OTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

I67.1Cerebral aneurysm, nonruptured; Cerebral aneurysm NOS;

Cerebral arteriovenous fistula, acquiredOTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

I67.2 Cerebral atherosclerosis; Atheroma of cerebral arteries OTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

I67.3Progressive vascular leukoencephalopathy; Binswanger's

diseaseOTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

I67.5 Moyamoya disease OTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

I67.6

Nonpyogenic thrombosis of intracranial venous system;

Nonpyogenic thrombosis of cerebral vein; Nonpyogenic

thrombosis of intracrannial venous sinus

OTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

I67.7 Cerebral arteritis, not elsewhere classified OTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

I67.8

Other specified cerebrovascular diseases; Acute

cerebrovascular insufficiency NOS; Chronic Cerebral

ischaemia

OTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

I67.9+G46.7*Other lacunar syndrome in unspecified cerebrovascular

diseaseOTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

I67.9+G46.8*Other vascular syndrome in unspecified cerebrovascular

diseaseOTHER CEREBROVASCULAR DISEASES 15,200 4,560 10,640

A56.4 Chlamydial infection of pharynx OTHER CHLAMYDIAL DISEASES 8,500 2,550 5,950

A71.1

Active stage of trachoma; Trachomatous Granular

conjunctivitis; Trachomatous follicular conjunctivitis;

Trachomatous pannus

OTHER CHLAMYDIAL DISEASES 8,500 2,550 5,950

A71.9 Trachoma, unspecified OTHER CHLAMYDIAL DISEASES 8,500 2,550 5,950

A74.9 Chlamydial infection, unspecified; Chlamydiosis NOS OTHER CHLAMYDIAL DISEASES 8,500 2,550 5,950

Q85.1 Tuberous sclerosis; Bourneville's disease; Epiloia OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q87.0

Congenital malformation syndromes predominantly

affecting facial appearance; Acrocephalopolysyndactyly;

Acrocephalosyndactyly [Apert]; Cryptophthalmos

syndrome; Cyclopia; Goldenhar Syndrome; Moebius

Syndrome; oro-facial-digital Syndrome; Robin Syndrome;

Whistling face

OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Q87.1

Congenital malformation syndromes predominantly

associated with short stature; Aarskog Syndrome;

Cockayne Syndrome; De Lange Syndrome ; Dubowitz

Syndrome; Noonan Syndrome; Prader-Willi Syndrome;

Robinow-Silverman-Smith Syndrome ;

Russell-Silver Syndrome; Seckel syndrome; Smith-Lemli-

Opitz syndrome

OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q87.2

Congenital malformation syndromes predominantly

involving limbs; Holt-Oram Syndrome; Klippel-Trénaunay-

Weber Syndrome; nail patella Syndrome;

Rubinstein-Taybi Syndrome; sirenomelia Syndrome;

thrombocytopenia Syndrome with absent radius [TAR];

VATER

OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q87.3

Congenital malformation syndromes involving early

overgrowth; Beckwith-Wiedemann Syndrome; Sotos;

Syndrome Weaver Syndrome

OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q87.4 Marfan's syndrome OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q87.8

Other specified congenital malformation syndromes, not

elsewhere classified; Alport Syndrome; Laurence-Moon(-

Bardet)-Biedl Syndrome; Zellweger Syndrome

OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q89.0Congenital malformations of spleen; Asplenia (congenital);

Congenital splenomegalyOTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q89.1 Congenital malformations of adrenal gland OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q89.2

Congenital malformations of other endocrine glands;

Congenital malformation of parathyroid or thyroid gland;

Persistent thyroglossal duct; Thyroglossal cyst

OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q89.4Conjoined twins; Craniopagus; Dicephaly; Double monster;

Pygopagus; ThoracopagusOTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q89.7

Multiple congenital malformations, not elsewhere

classified; Monster NOS; Multiple congenital anomalies

NOS; Multiple congenital deformities NOS

OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q89.8 Other specified congenital malformations OTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

Q89.9Congenital malformation, unspecified; Congenital anomaly

NOS; Congenital deformity NOSOTHER CONGENITAL MALFORMATIONS 11,600 3,480 8,120

I80.0Phlebitis and thrombophlebitis of superficial vessels of

lower extremitiesOTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I80.1 Phlebitis and thrombophlebitis of femoral vein OTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I80.2Phlebitis and thrombophlebitis of other deep vessels of

lower extremities; Deep vein thrombosis NOSOTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I80.3

Phlebitis and thrombophlebitis of lower extremities,

unspecified; Embolism or thrombosis of lower extermity

NOS

OTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I80.8 Phlebitis and thrombophlebitis of other sites OTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I80.9 Phlebitis and thrombophlebitis of unspecified site OTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I81 Portal vein thrombosis; Portal (vein) obstruction OTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I82.0 Budd-Chiari syndrome OTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I82.1 Thrombophlebitis migrans OTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I82.2 Embolism and thrombosis of vena cava OTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I82.3 Embolism and thrombosis of renal vein OTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I82.8 Embolism and thrombosis of other specified veins OTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

I82.9Embolism and thrombosis of unspecified vein; Embolism of

vein NOS; Thrombosis (vein) NOSOTHER DISORDERS OF CIRCULATORY SYSTEM 12,400 3,720 8,680

E15

Nondiabetic hypoglycaemic coma; Nondiabetic

hypoglycaemic coma; Drug-induced insulin coma in

nondiabetic; Hyperinsulinism with hypoglycaemic coma;

Hypoglycaemic coma NOS

OTHER DISORDERS OF GLUCOSE REGULATION 8,100 2,430 5,670

E16.0 Drug-induced hypoglycaemia without coma OTHER DISORDERS OF GLUCOSE REGULATION 8,100 2,430 5,670

E16.1

Other hypoglycaemia; Functional nonhyperinsulinaemic

hypoglycaemia; Hyperinsulinism NOS; Functional

Hyperinsulinism; Hyperplasia of pancreatic islet beta cells

NOS; Posthypoglycaemic coma encephalopathy

OTHER DISORDERS OF GLUCOSE REGULATION 8,100 2,430 5,670

E16.3

Increased secretion of glucagon; Hyperplasia of pancreatic

endocrine cells with glucagon excess; Hyperplasia of

pancreatic endocrine cells with glucagon excess

OTHER DISORDERS OF GLUCOSE REGULATION 8,100 2,430 5,670

E16.4Abnormal secretion of gastrin; Hypergastrinaemia; Zollinger-

Ellison syndromeOTHER DISORDERS OF GLUCOSE REGULATION 8,100 2,430 5,670

E16.8

Other specified disorders of pancreatic internal secretion;

Increased secretion from endocrine pancreas of growth

hormone-releasing hormone; Increased secretion from

endocrine pancreas of pancreatic polypeptide; Increased

secretion from endocrine pancreas of somatostatin;

Increased secretion from endocrine pancreas of vasoactive-

intestinal polypeptide

OTHER DISORDERS OF GLUCOSE REGULATION 8,100 2,430 5,670

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

E16.9

Disorder of pancreatic internal secretion, unspecified; Islet-

cell hyperplasia NOS; Pancreatic endocrine cell hyperplasia

NOS

OTHER DISORDERS OF GLUCOSE REGULATION 8,100 2,430 5,670

N82.0 Vesicovaginal fistulaOTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

N83.0Follicular cyst of ovary; Cyst of graafian follicle;

Haemorrhagic follicular cyst of ovary

OTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

N83.3 Acquired atrophy of ovary and fallopian tubeOTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

N83.6 HaematosalpinxOTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

N83.7 Haematoma of broad ligamentOTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

N85.7 Haematometra; Haematosalpinx with haematometraOTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

N89.7Haematocolpos; Haematocolpos with haematometra or

haematosalpinx

OTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

Q51.2 Other doubling of uterus' Doubling of uterus NOSOTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

Q51.3 Bicornate uterusOTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

Q51.8Other congenital malformations of uterus and cervix;

Hypoplasia of uterus and cervix

OTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

Q52.1 Doubling of vagina; Septate vaginaOTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

Q52.2 Congenital rectovaginal fistulaOTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

Q52.3 Imperforate hymenOTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

Q52.8Other specified congenital malformations of female

genitalia

OTHER DISORDERS OF THE FEMALE GENITAL

TRACT7,800 2,340 5,460

N47Redundant prepuce, phimosis and paraphimosis; Adherent

prepuce; Tight foreskinOTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

N48.8

Other specified disorders of penis; Atrophyof corpus

cavernosum and penis ; Hypertrophy of corpus cavernosum

and penis ; Thrombosis of corpus cavernosum and penis

OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

N50.0 Atrophy of testis OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

N50.1

Vascular disorders of male genital organs; Haematocele of

male genital organs NOS; Haemorrhage of male genital

organs;, Thrombosis of male genital organs

OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

N50.8

Other specified disorders of male genital organs; Atrophy of

scrotum, seminal vesicle, spermatic cord, testis [except

atrophy], tunica vaginalis and vas deferens; Hypertrophy of

scrotum, seminal vesicle, spermatic cord, testis [except

atrophy], tunica vaginalis and vas deferens; Oedema of

scrotum, seminal vesicle, spermatic cord, testis [except

atrophy], tunica vaginalis and vas deferens; Ulcer of

scrotum, seminal vesicle, spermatic cord, testis [except

atrophy], tunica vaginalis and vas deferens; Chylocele,

tunica vaginalis (nonfilarial) NOS; Fistula, urethroscrotal;

Stricture of spermatic cord; Stricture of tunica vaginalis;

Stricture of vas deferens

OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

Q55.0 Absence and aplasia of testis; Monorchism OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

Q55.1 Hypoplasia of testis and scrotum; Fusion of testes OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

Q55.2

Other congenital malformations of testis and scrotum;

Congenital malformation of testis or scrotum NOS;

Polyorchism; Retractile testis; Testis migrans

OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

Q55.4

Other congenital malformations of vas deferens,

epididymis, seminal vesicles and prostate; Absence or

aplasia of prostate; Absence or aplasia of spermatic cord;

Congenital malformation of vas deferens, epididymis,

seminal vesicles or prostate

NOS

OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

Q55.6

Other congenital malformations of penis; Congenital

malformation of penis NOS; Curvature of penis (lateral);

Hypoplasia of penis

OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

Q55.9

Congenital malformation of male genital organ,

unspecified; Congenital anomalyNOS of male genital organ

; Congenital deformity NOS of male genital organ

OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Q56.1Male pseudohermaphroditism, not elsewhere classified;

Male pseudohermaphroditism NOSOTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

Q56.3 Pseudohermaphroditism, unspecified OTHER DISORDERS OF THE MALE GENITAL TRACT 6,400 1,920 4,480

G90.0Idiopathic peripheral autonomic neuropathy; Carotid sinus

syncopeOTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G90.1 Familial dysautonomia [Riley-Day] OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G90.2 Horner's syndrome; Bernard(-Horner) syndrome OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G90.3Multi-system degeneration; Neurogenic orthostatic

hypotension [Shy-Drager]OTHER DISORDERS OF THE NERVOUS SYSTEM N/A N/A N/A

G90.4 Autonomic dysreflexia OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G90.9

Disorder of autonomic nervous system, unspecified;

acquired hydrocephalus

Autonomic neuropathy

OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G93.0 Cerebral cysts; Arachnoid cyst; Porencephalic cyst, acquired OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G93.2 Benign intracranial hypertension OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G93.3Postviral fatigue syndrome; Benign myalgic

encephalomyelitisOTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G93.4 Encephalopathy, unspecified OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G93.7 Reye's syndrome OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G93.8 Other specified disorders of brain OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G93.9 Disorder of brain, unspecified OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G94.8*Other specified disorders of brain in diseases classified

elswhereOTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G95.0 Syringomyelia and syringobulbia OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G95.1

Vascular myelopathies; Acute infarction of spinal cord

(embolic)(nonembolic); Arterial thrombosis of spinal cord;

Haematomyelia; Nonpyogenic intraspinal phlebitis and

thrombophlebitis; Oedema of spinal cord; Subacute

necrotic myelopathy

OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G95.2 Cord compression, unspecified OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G95.8

Other specified diseases of spinal cord; Cord bladder NOS;

elopathy drug-induced; Myelopathy radiation-induced

Spinal sclerosis

OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G95.9 Disease of spinal cord, unspecified; Myelopathy NOS OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G96.0 Cerebrospinal fluid leak OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G96.1Disorders of meninges, not elsewhere classified; Cerebral

Meningeal adhesions; Spinal Meningeal adhesionsOTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G96.8 Other specified disorders of central nervous system OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G96.9 Disorder of central nervous system, unspecified OTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

G98 Other disorders of nervous system, not elsewhere

classified; Nervous system disorder NOSOTHER DISORDERS OF THE NERVOUS SYSTEM 15,800 4,740 11,060

P90Convulsions of newborn

Seizures, newbornOTHER DISORDERS OF THE NEWBORN 12,000 3,600 8,400

P91.1 Acquired periventricular cysts of newborn OTHER DISORDERS OF THE NEWBORN 12,000 3,600 8,400

P91.2 Neonatal cerebral leukomalacia OTHER DISORDERS OF THE NEWBORN 12,000 3,600 8,400

P94.1 Congenital hypertonia OTHER DISORDERS OF THE NEWBORN 12,000 3,600 8,400

P94.2 Congenital hypotonia; Nonspecific floppy baby syndrome OTHER DISORDERS OF THE NEWBORN 12,000 3,600 8,400

P94.9 Disorder of muscle tone of newborn, unspecified OTHER DISORDERS OF THE NEWBORN 12,000 3,600 8,400

P96.5Complications of intrauterine procedures, not elsewhere

classifiedOTHER DISORDERS OF THE NEWBORN 12,000 3,600 8,400

P96.8Other specified conditions originating in the perinatal

periodOTHER DISORDERS OF THE NEWBORN 12,000 3,600 8,400

P96.9Condition originating in the perinatal period, unspecified;

Congenital debility NOSOTHER DISORDERS OF THE NEWBORN 12,000 3,600 8,400

E06.0Acute thyroiditis; Abscess of thyroid; Pyogenic Thyroiditis;

Suppurative ThyroiditisOTHER DISORDERS OF THE THYROID 8,500 2,550 5,950

E06.1

Subacute thyroiditis; de Quervain Thyroiditis; Giant-Cell

Thyroiditis; Granulomatous Thyroiditis; Nonsuppurative

Thyroiditis

OTHER DISORDERS OF THE THYROID 8,500 2,550 5,950

E06.2 Chronic thyroiditis with transient thyrotoxicosis OTHER DISORDERS OF THE THYROID 8,500 2,550 5,950

E06.3

Autoimmune thyroiditis; Hashimoto's thyroiditis ; Transient

hashitoxicosis; Lymphadenoid goitre; lymphocytic

thyroiditis; Struma lymphomatosa

OTHER DISORDERS OF THE THYROID 8,500 2,550 5,950

E06.5Other chronic thyroiditis; Chronic Thyroiditis NOS; Chronic

Fibrous Thyroiditis; Ligneous Thyroiditis; Riedel ThyroiditisOTHER DISORDERS OF THE THYROID 8,500 2,550 5,950

E06.9 Thyroiditis, unspecified OTHER DISORDERS OF THE THYROID 8,500 2,550 5,950

E07.0Hypersecretion of calcitonin; C-cell hyperplasia of thyroid;

Hypersecretion of thyrocalcitoninOTHER DISORDERS OF THE THYROID 8,500 2,550 5,950

E07.1Dyshormogenetic goitre; Familial dyshormogenetic goitre;

Pendred's syndromeOTHER DISORDERS OF THE THYROID 8,500 2,550 5,950

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

E07.8

Other specified disorders of thyroid; Abnormality of thyroid-

binding globulin; Haemorrhage of thyroid; Infarction of

thyroid; Sick-euthyroid syndrome

OTHER DISORDERS OF THE THYROID 8,500 2,550 5,950

E25.9Adrenogenital disorder, unspecified; Adrenogenital

syndrome NOSOTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E28.8 Other ovarian dysfunction; Ovarian hyperfunction NOS OTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E29.1

Testicular hypofunction; Defective biosynthesis of testicular

androgen NOS; 5-a-Reductase deficiency (with male

pseudohermaphroditism); Testicular hypogonadism NOS

OTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E29.9 Testicular dysfunction, unspecified OTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E31.0 Autoimmune polyglandular failure OTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E31.1 Polyglandular hyperfunction OTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E31.9 Polyglandular dysfunction, unspecified OTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E32.0 Persistent hyperplasia of thymus; Hypertrophy of thymus OTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E32.8 Other diseases of thymus OTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E32.9 Disease of thymus, unspecified OTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E34.0 Carcinoid syndrome OTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E34.8Other specified endocrine disorders; Pineal gland

dysfunction; ProgeriaOTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

E34.9Endocrine disorder, unspecified; Endocrine Disturbance

NOS; Hormone Disturbance NOSOTHER ENDOCRINE DISORDERS 10,900 3,270 7,630

N25.0

Renal osteodystrophy; Azotaemic osteodystrophy;

Phosphate-losing tubular disorders; Renal rickets; Renal

short stature

OTHER NEPHROPATHY 9,500 2,850 6,650

N25.8

Other disorders resulting from impaired renal tubular

function; Lightwood-Albright syndrome; Renal tubular

acidosis NOS; Secondary hyperparathyroidism of renal

origin

OTHER NEPHROPATHY 9,500 2,850 6,650

N25.9Disorder resulting from impaired renal tubular function,

unspecifiedOTHER NEPHROPATHY 9,500 2,850 6,650

N28.1Cyst of kidney, acquired; Multiple cyst of kidney, acquired;

Solitary cyst of kidney, acquiredOTHER NEPHROPATHY 9,500 2,850 6,650

J92.9Pleural plaque without asbestos; Pleural plaque NOS;

Pleural thickeningOTHER PLEURAL CONDITIONS 13,500 4,050 9,450

J94.0 Chylous effusion; Chyliform effusion OTHER PLEURAL CONDITIONS 13,500 4,050 9,450

J94.1 Fibrothorax OTHER PLEURAL CONDITIONS 13,500 4,050 9,450

J94.8 Other specified pleural conditions; Hydrothorax OTHER PLEURAL CONDITIONS 13,500 4,050 9,450

J94.9 Pleural condition, unspecified OTHER PLEURAL CONDITIONS 13,500 4,050 9,450

J98.0

Diseases of bronchus, not elsewhere classified;

Broncholithiasis; Calcification of bronchus; Stenosis of

bronchus; Ulcer of bronchus; Tracheobronchial collapse;

Tracheobronchial dyskinesia

OTHER RESPIRATORY DISORDERS 10,200 3,060 7,140

J98.4Other disorders of lung; Calcification of lung; Acquired

cystic lung disease; Lung disease NOS; PulmolithiasisOTHER RESPIRATORY DISORDERS 10,200 3,060 7,140

J98.5

Diseases of mediastinum, not elsewhere classified; Fibrosis

of mediastinum; Hernia of mediastinum; Retraction of

mediastinum; Mediastinitis of mediastinum

OTHER RESPIRATORY DISORDERS 10,200 3,060 7,140

J98.6Disorders of diaphragm; Diaphragmatitis; Paralysis of

diaphragm; Relaxation of diaphragmOTHER RESPIRATORY DISORDERS 10,200 3,060 7,140

J98.8 Other specified respiratory disorders OTHER RESPIRATORY DISORDERS 10,200 3,060 7,140

J98.9Respiratory disorder, unspecified; Chronic respiratory

disease NOSOTHER RESPIRATORY DISORDERS 10,200 3,060 7,140

A66.9 Yaws, unspecified OTHER SPIROCHAETAL DISEASES 8,800 2,640 6,160

A67.1

Intermediate lesions of pinta; Erythematous plaques of

carate pinta; Hyperchromic lesions of carate pinta;

Hyperkeratosis of carate pinta; Pintids of carate pinta

OTHER SPIROCHAETAL DISEASES 8,800 2,640 6,160

A68.9 Relapsing fever, unspecified OTHER SPIROCHAETAL DISEASES 8,800 2,640 6,160

A69.0Necrotizing ulcerative stomatitis; Cancrum oris;

Fusospirochaetal gangrene; Noma; Stomatitis gangrenosaOTHER SPIROCHAETAL DISEASES 8,800 2,640 6,160

A69.1

Other Vincent's infections; Fusospirochaetal pharyngitis ;

Acute Necrotizing Ulcerative gingivitis; Acute Necrotizing

Ulcerative Gingivostomatitis; Spirochaetal stomatitis,

Trench mouth; Vincent's angina; Vincent’s gingivitis

OTHER SPIROCHAETAL DISEASES 8,800 2,640 6,160

A69.2Lyme disease; Erythema chronicum migrans due to Borrelia

burgdorferiOTHER SPIROCHAETAL DISEASES 8,800 2,640 6,160

A69.9 Spirochaetal infection, unspecified OTHER SPIROCHAETAL DISEASES 8,800 2,640 6,160

H65.0Acute serous otitis media; Acute and subacute secretory

otitis mediaOTITIS MEDIA 7,800 2,340 5,460

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

H65.1

Other acute nonsuppurative otitis media; Acute otitis

media; Subacute otitis media; Acute Mucoid allergic otitis

media; Subacute mucoid allergic otitis media; Acute

allergic Sanguinous otitis media; Subacute Sanguinous

allergic otitis media; Acute allergic serous otitis media;

Subacute allergic serous otitis media; Acute nonsuppurative

NOS otitis media; Subcute nonsuppurative NOS otitis

media; Acute sanguinous otitis media; Subacute

sanguinous otitis media; Acute seromucinous otitis media;

Subacute seromucinous otitis media

OTITIS MEDIA 7,800 2,340 5,460

H65.2 Chronic serous otitis media; Chronic tubotympanal catarrh OTITIS MEDIA 7,800 2,340 5,460

H65.3

Chronic mucoid otitis media; Glue ear; Otitis media, chronic

mucinous; Otitis media, chronic secretory; Otitis media,

chronic transudative

OTITIS MEDIA 7,800 2,340 5,460

H65.4

Other chronic nonsuppurative otitis media; Otitis media,

chronic allergic; Otitis media, chronic exudative; Otitis

media, chronic nonsuppurative NOS; Otitis media, chronic

seromucinous; Otitis media, chronic with effusion

(nonpurulent)

OTITIS MEDIA 7,800 2,340 5,460

H65.9

Nonsuppurative otitis media, unspecified; Allergic Otitis

media ; Catarrhal Otitis media; Exudative Otitis media ;

Mucoid Otitis media ; Secretory Otitis media ;

Seromucinous otitis media; Serous Otitis media;

Transudative Otitis media; Otitis media with (nonpurulent)

effusion

OTITIS MEDIA 7,800 2,340 5,460

H66.0 Acute suppurative otitis media OTITIS MEDIA 7,800 2,340 5,460

H66.1

Chronic tubotympanic suppurative otitis media; Benign

chronic suppurative otitis media; Chronic tubotympanic

disease

OTITIS MEDIA 7,800 2,340 5,460

H66.2Chronic atticoantral suppurative otitis media; Chronic

atticoantral diseaseOTITIS MEDIA 7,800 2,340 5,460

H66.3Other chronic suppurative otitis media; Chronic

suppurative otitis media NOSOTITIS MEDIA 7,800 2,340 5,460

H66.4Suppurative otitis media, unspecified; Purulent otitis media

NOSOTITIS MEDIA 7,800 2,340 5,460

H66.9Otitis media, unspecified; Otitis media NOS; Acute Otitis

media NOS; Chronic Otitis media NOSOTITIS MEDIA 7,800 2,340 5,460

B05.3+ H67.1* Otitis media in measles OTITIS MEDIA 7,800 2,340 5,460

N83.1 Corpus luteum cyst; Haemorrhagic corpus luteum cyst OVARIAN CYSTS 7,800 2,340 5,460

N83.2Other and unspecified ovarian cysts; Retention cyst of

ovary; Simple cyst of ovaryOVARIAN CYSTS 7,900 2,370 5,530

N70.0 Acute salpingitis and oophoritis PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N70.1 Chronic salpingitis and oophoritis; Hydrosalpinx PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N70.9 Salpingitis and oophoritis, unspecified PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N71.0 Acute inflammatory disease of uterus PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N71.1 Chronic inflammatory disease of uterus PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N71.9 Inflammatory disease of uterus, unspecified PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N72

Inflammatory disease of cervix uteri; Cervicitis with or

without erosion or ectropion; Endocervicitis with or

without erosion or ectropion; Exocervicitis with or without

erosion or ectropion

PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N73.0

Acute parametritis and pelvic cellulitis; Acute abcess of

broad ligament; Acute abscess of parametrium; Acute

pelvic cellulitis, female

PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N73.1 Chronic parametritis and pelvic cellulitis PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N73.2 Unspecified parametritis and pelvic cellulitis PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N73.3 Female acute pelvic peritonitis PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N73.4 Female chronic pelvic peritonitis PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N73.5 Female pelvic peritonitis, unspecified PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N73.6 Female pelvic peritoneal adhesions PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N73.8 Other specified female pelvic inflammatory diseases PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N73.9Female pelvic inflammatory disease, unspecified; Female

pelvic infection or inflammation NOSPELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N74.8*Female pelvic inflammatory disorders in other diseases

classified elsewherePELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

O08.0

Genital tract and pelvic infection following abortion and

ectopic and molar pregnancy; Endometritis; Oophoritis;

Parametritis; Pelvic peritonitis; Salpingitis; Salpingo-

oophoritis; Sepsis; Septic shock; Septicaemia

PELVIC INFLAMMATORY DISEASES 9,000 2,700 6,300

N94.0 Mittelschmerz PELVIC PAIN 4,800 1,440 3,360

N94.1 Dyspareunia PELVIC PAIN 4,800 1,440 3,360

N94.2 Vaginismus PELVIC PAIN 4,800 1,440 3,360

N94.3 Premenstrual tension syndrome PELVIC PAIN 4,800 1,440 3,360

N94.4 Primary dysmenorrhoea PELVIC PAIN 4,800 1,440 3,360

N94.5 Secondary dysmenorrhoea PELVIC PAIN 4,800 1,440 3,360

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

N94.6 Dysmenorrhoea, unspecified PELVIC PAIN 4,800 1,440 3,360

K25.0Gastric ulcer, acute / Acute erosion of stomach/ Pylorus

peptic ulcer / Stomach peptic ulcer with hemorrhagePEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K25.1Gastric ulcer, acute/ Acute erosion of stomach/ Pylorus

peptic ulcer / Stomach peptic ulcer with perforationPEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K25.2

Gastric ulcer, acute / Acute erosion of stomach/ Pylorus

peptic ulcer / Stomach peptic ulcer with both haemorrhage

and perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K25.4

Gastric ulcer, acute / Acute erosion of stomach/ Pylorus

peptic ulcer / Stomach peptic ulcer, chronic or unspecified

with haemorrhage

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K25.5

Gastric ulcer, acute / Acute erosion of stomach/ Pylorus

peptic ulcer / Stomach peptic ulcer, chronic or unspecified

with perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K25.6

Gastric ulcer, acute / Acute erosion of stomach/ Pylorus

peptic ulcer / Stomach peptic ulcer, chronic or unspecified

with both haemorrhage and perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K26.0

Duodenal ulcer, acute / Acute erosion of duodenum/

Duodenal peptic ulcer/ Postpyloric peptic ulcer with

haemorrhage

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K26.1

Duodenal ulcer, acute / Acute erosion of duodenum/

Duodenal peptic ulcer/ Postpyloric peptic ulcer with

perforation

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K26.4Chronic Duodenal/ Postpyloric ulcer/ erosion, or

unspecified with haemorrhagePEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K26.5Chronic Duodenal/ Postpyloric ulcer/ erosion, or

unspecified with perforationPEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K26.6Chronic Duodenal/ Postpyloric ulcer/ erosion, or

unspecified with both haemorrhage and perforationPEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K27.0Acute Peptic ulcer/ Gastroduodenal ulcer NOS, site

unspecified, with haemorrhagePEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K27.1Acute Peptic ulcer / Gastroduodenal ulcer, site unspecified,

with perforationPEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K27.2Acute Peptic/ Gastroduodenal ulcer, site unspecified, with

both haemorrhage and perforationPEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K27.4Chronic or unspecified Peptic/ Gastroduodenal ulcer, site

unspecified, with haemorrhagePEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K27.5Chronic or unspecified Peptic/ Gastroduodenal ulcer, site

unspecified with perforationPEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K27.6Chronic or unspecified Peptic/ Gastroduodenal ulcer, site

unspecified, with both haemorrhage and perforationPEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K28.0

Acute Gastrojejunal ulcer/ Anastomotic peptic ulcer or

erosion/ Gastrocolic peptic ulcer or erosion/

Gastrointestinal peptic ulcer or erosion/ Gastrojejunal

peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/

Marginal peptic ulcer or erosion/ Stomal peptic ulcer or

erosion

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K28.1

Acute Gastrojejunal ulcer/ Anastomotic peptic ulcer or

erosion/ Gastrocolic peptic ulcer or erosion/

Gastrointestinal peptic ulcer or erosion/ Gastrojejunal

peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/

Marginal peptic ulcer or erosion/ Stomal peptic ulcer or

erosion

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K28.2

Acute Gastrojejunal ulcer/ Anastomotic peptic ulcer or

erosion/ Gastrocolic peptic ulcer or erosion/

Gastrointestinal peptic ulcer or erosion/ Gastrojejunal

peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/

Marginal peptic ulcer or erosion/ Stomal peptic ulcer or

erosion

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K28.3

Acute Gastrojejunal ulcer/ Anastomotic peptic ulcer or

erosion/ Gastrocolic peptic ulcer or erosion/

Gastrointestinal peptic ulcer or erosion/ Gastrojejunal

peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/

Marginal peptic ulcer or erosion/ Stomal peptic ulcer or

erosion

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K28.4

Chronic or unspecified Gastrojejunal ulcer/ Anastomotic

peptic ulcer or erosion/ Gastrocolic peptic ulcer or erosion/

Gastrointestinal peptic ulcer or erosion/ Gastrojejunal

peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/

Marginal peptic ulcer or erosion/ Stomal peptic ulcer or

erosion

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

K28.5

Chronic or unspecified Gastrojejunal ulcer/ Anastomotic

peptic ulcer or erosion/ Gastrocolic peptic ulcer or erosion/

Gastrointestinal peptic ulcer or erosion/ Gastrojejunal

peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/

Marginal peptic ulcer or erosion/ Stomal peptic ulcer or

erosion

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K28.6

Chronic or unspecified Gastrojejunal ulcer/ Anastomotic

peptic ulcer or erosion/ Gastrocolic peptic ulcer or erosion/

Gastrointestinal peptic ulcer or erosion/ Gastrojejunal

peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/

Marginal peptic ulcer or erosion/ Stomal peptic ulcer or

erosion

PEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K29.0Acute haemorrhagic gastritis; Acute erosive gastritis with

haemorrhagePEPTIC ULCER DISEASE WITH HEMORRHAGE 12,800 3,840 8,960

K25.3

Gastric ulcer, acute / Acute erosion of stomach/ Pylorus

peptic ulcer / Stomach peptic ulcer without haemorrhage

or perforation

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K25.7Gastric/ Peptic/ Pyloric ulcer/ erosion, chronic without

haemorrhage or perforationPEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K25.9Gastric/ Peptic/ Pyloric ulcer/ erosion, unspecified as acute

or chronic, without haemorrhage or perforationPEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K26.3

Duodenal ulcer, acute / Acute erosion of duodenum/

Duodenal peptic ulcer/ Postpyloric peptic ulcer without

haemorrhage or perforation

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K26.7Chronic Duodenal/ Postpyloric ulcer/ erosion, without

haemorrhage or perforationPEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K26.9Duodenal/ Postpyloric ulcer/ erosion, unspecified as acute

or chronic, without haemorrhage or perforationPEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K27.3

Acute Peptic/ Gastroduodenal ulcer, site unspecified,

without haemorrhage or perforation; gastroduodenal ulcer

NOS; Peptic ulcer NOS

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K27.7

Chronic Peptic/ Gastroduodenal ulcer, site unspecified,

without haemorrhage or perforation; gastroduodenal ulcer

NOS; Peptic ulcer NOS

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K27.9

Peptic/ Gastroduodenal ulcer, unspecified as acute or

chronic, without haemorrhage or perforation;

gastroduodenal ulcer NOS; Peptic ulcer NOS

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K28.7

Chronic Gastrojejunal ulcer/ Anastomotic peptic ulcer or

erosion/ Gastrocolic peptic ulcer or erosion/

Gastrointestinal peptic ulcer or erosion/ Gastrojejunal

peptic ulcer or erosion/ Jejunal peptic ulcer or erosion/

Marginal peptic ulcer or erosion/ Stomal peptic ulcer or

erosion

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K28.9

Unspecified as acute or chronic Gastrojejunal ulcer/

Anastomotic peptic ulcer or erosion/ Gastrocolic peptic

ulcer or erosion/ Gastrointestinal peptic ulcer or erosion/

Gastrojejunal peptic ulcer or erosion/ Jejunal peptic ulcer

or erosion/ Marginal peptic ulcer or erosion; Stomal peptic

ulcer or erosion

PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K29.1 Other acute gastritis PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K29.2 Alcoholic gastritis PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K29.3 Chronic superficial gastritis PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K29.4 Chronic atrophic gastritis; Gastric atrophy PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K29.5Chronic gastritis, unspecified; Chronic Antral gastritis;

Chronic Fundal gastritisPEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K29.6Other gastritis; Giant hypertrophic gastritis; Granulomatous

gastritis; Menetrier's diseasePEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K29.7 Gastritis, unspecified PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K29.8 Duodenitis PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

K29.9 Gastroduodenitis, unspecified PEPTIC ULCER DISEASE WITHOUT HEMORRHAGE 6,100 1,830 4,270

P23.0 Congenital pneumonia due to viral agent PERINATAL INFECTIONS 12,700 3,810 8,890

P23.1 Congenital pneumonia due to Chlamydia PERINATAL INFECTIONS 12,700 3,810 8,890

P23.2 Congenital pneumonia due to staphylococcus PERINATAL INFECTIONS 12,700 3,810 8,890

P23.3 Congenital pneumonia due to streptococcus, group B PERINATAL INFECTIONS 12,700 3,810 8,890

P23.4 Congenital pneumonia due to Escherichia coli PERINATAL INFECTIONS 12,700 3,810 8,890

P23.5 Congenital pneumonia due to Pseudomonas PERINATAL INFECTIONS 12,700 3,810 8,890

P23.6

Congenital pneumonia due to other bacterial agents;

Haemophilus influenzae; Klebsiella pneumonia;

Mycoplasma; Streptococcus, except group B

PERINATAL INFECTIONS 12,700 3,810 8,890

P23.9 Congenital pneumonia, unspecified PERINATAL INFECTIONS 12,700 3,810 8,890

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

P35.0Congenital rubella syndrome; Congenital rubella

pneumonitisPERINATAL INFECTIONS 12,700 3,810 8,890

P35.1 Congenital cytomegalovirus infection PERINATAL INFECTIONS 12,700 3,810 8,890

P35.2 Congenital herpesviral [herpes simplex] infection PERINATAL INFECTIONS 12,700 3,810 8,890

P35.3 Congenital viral hepatitis PERINATAL INFECTIONS 12,700 3,810 8,890

P35.8Other congenital viral diseases; Congenital varicella

[chickenpox]PERINATAL INFECTIONS 12,700 3,810 8,890

P35.9 Congenital viral disease, unspecified PERINATAL INFECTIONS 12,700 3,810 8,890

P37.0 Congenital tuberculosis PERINATAL INFECTIONS 12,700 3,810 8,890

P37.1Congenital toxoplasmosis; Hydrocephalus due to congenital

toxoplasmosisPERINATAL INFECTIONS 12,700 3,810 8,890

P37.3 Congenital falciparum malaria PERINATAL INFECTIONS 12,700 3,810 8,890

P37.5 Neonatal candidiasis PERINATAL INFECTIONS 12,700 3,810 8,890

P37.8 Other specified congenital infectious and parasitic diseases PERINATAL INFECTIONS 12,700 3,810 8,890

P37.9 Congenital infectious and parasitic disease, unspecified PERINATAL INFECTIONS 12,700 3,810 8,890

P38 Omphalitis of newborn with or without mild haemorrhage PERINATAL INFECTIONS 12,700 3,810 8,890

P39.0 Neonatal infective mastitis PERINATAL INFECTIONS 12,700 3,810 8,890

P39.1Neonatal conjunctivitis and dacryocystitis; Neonatal

chlaydial conjunctivitis; Ophthalmia neonatorum NOSPERINATAL INFECTIONS 12,700 3,810 8,890

P39.2 Intra-amniotic infection of fetus, not elsewhere classified PERINATAL INFECTIONS 12,700 3,810 8,890

P39.3 Neonatal urinary tract infection PERINATAL INFECTIONS 12,700 3,810 8,890

P39.4 Neonatal skin infection; Neonatal pyoderma PERINATAL INFECTIONS 12,700 3,810 8,890

P39.8 Other specified infections specific to the perinatal period PERINATAL INFECTIONS 12,700 3,810 8,890

P39.9 Infection specific to the perinatal period, unspecified PERINATAL INFECTIONS 12,700 3,810 8,890

K66.0

Peritoneal adhesions; Adhesions of abdominal wall;

Adhesions of diaphragm; Adhesions of intestine; Adhesions

of male pelvis; Mesenteric Adhesions; Adhesions of

omentum; Adhesions of stomach; Adhesive bands

PERITONEAL DISORDERS 10,800 3,240 7,560

K66.8 Other specified disorders of peritoneum PERITONEAL DISORDERS 10,800 3,240 7,560

K66.9 Disorder of peritoneum, unspecified PERITONEAL DISORDERS 10,800 3,240 7,560

K65.0

Acute peritonitis; Abdominopelvic abscess; Mesenteric

abscess; Abscess of omentum; Abscess of peritoneum;

Retrocaecal abscess; Retroperitoneal abscess;

Subdiaphragmatic abscess; Subhepatic abscess; Subphrenic

abscess; Acute Generalized peritonitis; Acute male pelvic

peritonitis; Acute subphrenic peritonitis; Acute suppurative

peritonitis

PERITONITIS 14,700 4,410 10,290

K65.8

Other peritonitis; Chronic proliferative peritonitis;

Mesentric fat necrosis; Mesentric saponification; Peritonitis

due to bile; Peritonitis due to urine

PERITONITIS 14,700 4,410 10,290

K65.9 Peritonitis, unspecified PERITONITIS 14,700 4,410 10,290

Q85.8

Other phakomatoses, not elsewhere classified; Peutz-

Jeghers Syndrome; Sturge-Weber(-Dimitri)Syndrome; von

Hippel-Lindau Syndrome

PHAKOMATOSES 10,800 3,240 7,560

Q85.9 Phakomatosis, unspecified; Hamartosis NOS PHAKOMATOSES 10,800 3,240 7,560

J90Pleural effusion, not elsewhere classified; Pleurisy with

effusionPLEURAL EFFUSION 14,200 4,260 9,940

J91* Pleural effusion in conditions classified elsewhere PLEURAL EFFUSION 14,200 4,260 9,940

B20.6 HIV disease resulting in pneumocystis carinii pneumonia PNEUMONIA HIGH RISK 32,000 9,600 22,400

J12.03 Adenoviral pneumonia, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J12.13 Respiratory syncytial virus pneumonia, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J12.23 Parainfluenza virus pneumonia, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J12.33 Human metapneumovirus pneumonia, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J12.93 Viral pneumonia, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J13.3Pneumonia [bronchopneumonia]due to Streptococcus

pneumoniae, high riskPNEUMONIA HIGH RISK 32,000 9,600 22,400

J14.3Pneumonia [bronchopneumonia] due to Haemophilus

influenzae, high riskPNEUMONIA HIGH RISK 32,000 9,600 22,400

J15.03 Pneumonia due to Klebsiella pneumoniae, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J15.13 Pneumonia due to Pseudomonas, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J15.23 Pneumonia due to staphylococcus, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J15.33 Pneumonia due to streptococcus, group B, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J15.43 Pneumonia due to other streptococci, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J15.53 Pneumonia due to Escherichia coli, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J15.63Pneumonia due to other aerobic Gram-negative bacteria;

Pneumonia due to Serratia marcescens, high riskPNEUMONIA HIGH RISK 32,000 9,600 22,400

J15.73 Pneumonia due to Mycoplasma pneumoniae, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J15.93 Bacterial pneumonia [bronchopneumonia], high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J16.03 Chlamydial pneumonia, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J18.03 Bronchopneumonia, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

J18.13 Lobar pneumonia, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J18.23 Hypostatic pneumonia, high risk PNEUMONIA HIGH RISK 32,000 9,600 22,400

J18.93

Community-acquired pneumonia IV

(This classification utilized the American Thoracic Society

recommendation. This is equivalent to CAP, high risk in the

Philippine Clinical Practice Guidelines on the Diagnosis,

Empiric Management, and Prevention of Community-

acquired Pneumonia in Immunocompetent Adults, 2010

update)

Adult high risk Community Acquired Pneumonia (CAP),

organism is not specified

Pedia Community Acquired Pneumonia D (PCAP-D) high

risk, organism is not specified

PNEUMONIA HIGH RISK 32,000 9,600 22,400

J18.99, Y95Nosocomial pneumonia

Health care associated pneumoniaPNEUMONIA HIGH RISK 32,000 9,600 22,400

A01.0+ J17.0* Pneumonia in typhoid fever PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A02.2+ J17.0* Pneumonia in salmonella infection PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A21.2+ J17.0* Pneumonia in tularemia PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A22.1+ J17.0* Pneumonia in anthrax PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A31.0

Pulmonary mycobacterial infection; Infection due to

Mycobacterium avium, Mycobacterium intracellulare

[Battey bacillus]; Mycobacterium kansasii

PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A37.0+ J17.0* Pneumonia in whooping cough due to Bordatella pertusis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A37.1+ J17.0*Pneumonia in whooping cough due to Bordatella

parapertusisPNEUMONIA MODERATE RISK 15,000 4,500 10,500

A37.8+ J17.0*Pneumonia in whooping cough due to Bordatella species

other than pertusis or parapertusisPNEUMONIA MODERATE RISK 15,000 4,500 10,500

A37.9+ J17.0* Pneumonia in whooping cough PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A42.0+ J17.0* Pneumonia in actinomycoses PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A48.1 Legionnaires' disease PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A43.0+ J17.0* Pneumonia in nocardiosis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A54.8+ J17.0* Pneumonia in gonorrhea PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A69.8+ J17.8* Pneumonia in spirochaetal PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A70+ J17.8* Pneumonia in ornithosis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

A78+ J17.8* Pneumonia in Q fever PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B01.2+ J17.1* Pneumonia in varicella PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B05.2+ J17.1* Pneumonia in measles PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B06.8+ J17.1* Pneumonia in rubella PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B25.0+ J17.1* Pneumonia in cytomegalovirus disease PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B37.1+ J17.2* Pneumonia in candidiasis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B38.0+ J17.2* Pneumonia in acute pulmonary coccidiomycosis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B38.1+ J17.2* Pneumonia in chronic pulmonary coccidiomycosis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B38.2+ J17.2* Pneumonia in pulmonary coccidioidomycosis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B39.0+ J17.2* Pneumonia in acute pulmonary histoplasmosis capsulati PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B39.1+ J17.2* Pneumonia in chronic pulmonary histoplasmosis capsulati PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B39.2+ J17.2* Pneumonia in pulmonary histoplasmosis capsulati PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B39.9+ J17.2* Pneumonia in histoplasmosis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B44.0+ J17.2* Pneumonia in invasive pulmonary aspergillosis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B44.1+ J17.2* Pneumonia in other pulmonary aspergillosis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B58.3+ J17.3* Pneumonia in taxoplasmosis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B65.0+ J17.3*Pneumonia in schistosomiasis due to Schistosoma

hematobiumPNEUMONIA MODERATE RISK 15,000 4,500 10,500

B65.1+ J17.3* Pneumonia in schistosomiasis due to Schistosoma mansoni PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B65.2+ J17.3*Pneumonia in schistosomiasis due to Schistosoma

japonicumPNEUMONIA MODERATE RISK 15,000 4,500 10,500

B65.8+ J17.3*Pneumonia in schistosomiasis due to Schistosoma

intercalatum; mattheei; mekongiPNEUMONIA MODERATE RISK 15,000 4,500 10,500

B65.9+ J17.3* Pneumonia in schistosomiasis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

B77.8+ J17.3* Pneumonia in ascariasis PNEUMONIA MODERATE RISK 15,000 4,500 10,500

I00+ J17.8* Pneumonia in rheumatic fever PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J12.02 Adenoviral pneumonia, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J12.12 Respiratory syncytial virus pneumonia, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J12.22 Parainfluenza virus pneumonia, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J12.32 Human metapneumovirus pneumonia, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J12.92 Viral pneumonia, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J13.2Pneumonia [bronchopneumonia] due to Streptococcus

pneumoniae, moderate riskPNEUMONIA MODERATE RISK 15,000 4,500 10,500

J14.2Pneumonia [bronchopneumonia]due to Haemophilus

influenzae, moderate riskPNEUMONIA MODERATE RISK 15,000 4,500 10,500

J15.02 Pneumonia due to Klebsiella pneumoniae, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J15.12 Pneumonia due to Pseudomonas, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J15.22 Pneumonia due to staphylococcus, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

J15.32 Pneumonia due to streptococcus, group B, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J15.42 Pneumonia due to other streptococci, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J15.52 Pneumonia due to Escherichia coli, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J15.62Pneumonia due to other aerobic Gram-negative bacteria;

Pneumonia due to Serratia marcescens, moderate riskPNEUMONIA MODERATE RISK 15,000 4,500 10,500

J15.72Pneumonia due to Mycoplasma pneumoniae, moderate

riskPNEUMONIA MODERATE RISK 15,000 4,500 10,500

J15.92 Bacterial pneumonia [bronchopneumonia], moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J16.02 Chlamydial pneumonia, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J18.02 Bronchopneumonia, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J18.12 Lobar pneumonia, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J18.22 Hypostatic pneumonia, moderate risk PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J18.92

Community-acquired pneumonia III

(This classification utilized the American Thoracic Society

recommendation. This is equivalent to CAP, moderate risk

in the Philippine Clinical Practice Guidelines on the

Diagnosis, Empiric Management, and Prevention of

Community- acquired Pneumonia in Immunocompetent

Adults, 2010 update)

Adult moderate risk Community Acquired Pneumonia

(CAP), organism is not specified

Pedia Community Acquired Pneumonia C (PCAP-C)

moderate risk, organism is not specified

PNEUMONIA MODERATE RISK 15,000 4,500 10,500

J93.0 Spontaneous tension pneumothorax PNEUMOTHORAX 15,300 4,590 10,710

J93.1Other spontaneous pneumothorax

Spontaneous pneumothoraxPNEUMOTHORAX 15,300 4,590 10,710

J93.8 Other pneumothorax PNEUMOTHORAX 15,300 4,590 10,710

J93.9 Pneumothorax, unspecified PNEUMOTHORAX 15,300 4,590 10,710

T40.2Poisoning by Otheropioids; Poisoning by Codeine;

Poisoning by Morphine

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T40.4Poisoning by Other synthetic narcotics; Poisoning by

Pethidine

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T40.6 Poisoning by Other and unspecified narcoticsPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T40.7 Poisoning by Cannabis (derivatives)POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T40.9

Poisoning by Other and unspecified psychodysleptics

[hallucinogens]; Poisoning by Mescaline; Poisoning by

Psilocin; Poisoning by Psilocybine

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T41.0 Poisoning by Inhaled anaestheticsPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T41.1 Poisoning by Intravenous anaesthetics; ThiobarbituratesPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T41.3 Poisoning by Local anaestheticsPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T41.5 Poisoning by Therapeutic gases; Carbon dioxide; OxygenPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T42.0 Poisoning by Hydantoin derivativesPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T42.1 Poisoning by Iminostilbenes; CarbamazepinePOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T42.2 Poisoning by Succinimides and oxazolidinedionesPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T42.3 Poisoning by BarbituratesPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T42.4 Poisoning by BenzodiazepinesPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T42.6

Poisoning by Other antiepileptic and sedative-

hypnoticdrugs; Poisoning by Methaqualone;Poisoning by

Valproic acid

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T42.7

Poisoning by Antiepileptic and sedative-hypnotic drugs,

unspecified; Poisoning by Draught sleeping NOS; Poisoning

by Sleeping drug NOS;Poisoning by Sleeping tablet NOS

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T42.8Poisoning by Antiparkinsonism drugs and other central

muscle-tone depressants; Poisoning by Amantadine

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T43.2 Poisoning by Other and unspecified antidepressantsPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T43.3 Poisoning by Phenothiazine antipsychotics and neurolepticsPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T43.4Poisoning by Butyrophenone and thioxanthene

neuroleptics

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T43.5Poisoning by Other and unspecified antipsychotics and

neuroleptics

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

T43.6 Poisoning by Psychostimulants with abuse potentialPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T43.9 Poisoning by Psychotropic drug, unspecifiedPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T44.1 Poisoning by Other parasympathomimetics [cholinergics]POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T44.2Poisoning by Ganglionic blocking drugs, not elsewhere

classified

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T44.3

Poisoning by Other parasympatholytics [anticholinergics

and antimuscarinics] and spasmolytics, not elsewhere

classified; Poisoning byPapaverine

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T44.4Poisoning by Predominantly α-adrenoreceptor agonists, not

elsewhere classified; Poisoning by Metaraminol

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T44.5Poisoning by Predominantly ß-adrenoreceptor agonists, not

elsewhere classified

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T44.6Poisoning by α-Adrenoreceptor antagonists, not elsewhere

classified

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T44.7Poisoning by ß-Adrenoreceptor antagonists, not elsewhere

classified

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T44.9

Poisoning by Other and unspecified drugs primarily

affecting the autonomic nervous system; Drug stimulating

both α-and ß-adrenoreceptors

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T45.0 Poisoning by Antiallergic and antiemetic drugsPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T45.1

Poisoning by Antineoplastic and immunosuppressive drugs;

Poisoning by Antineoplastic antibiotics; Poisoning by

Cytarabine

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T45.2 Poisoning by Vitamins, not elsewhere classifiedPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T45.3 Poisoning by Enzymes, not elsewhere classifiedPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T50.7 Poisoning by Analeptics and opioid receptor antagonistsPOISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

Y46.2

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Hydantoin derivatives

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

Y46.6

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Other and unspecified antiepileptics

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

Y47.0

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Barbiturates, not elsewhere classified

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

Y47.1

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Benzodiazepines

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

Y47.9

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Sedative, hypnotic and antianxiety drug,

unspecified;sleeping draught NOS;sleeping drug

NOS;sleeping tablet NOS

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

Y49.5

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Other antipsychotics and neuroleptics

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

Y49.6

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Psychodysleptics [hallucinogens]

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

Y51.3

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Other parasympatholytics [anticholinergics and

antimuscarinics] and spasmolytics, not elsewhere

classified;papaverine

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

Y51.7

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Beta-adrenoreceptor antagonists, not elsewhere

classified

POISONING CAUSED BY ANESTHETICS AND DRUGS

AFFECTING THE NERVOUS SYSTEM6,700 2,010 4,690

T36.0 Poisoning by Penicillins POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T36.1 Poisoning by Cefalosporins and other ß-lactam antibiotics POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T36.2 Poisoning by Chloramphenicol group POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T36.3 Poisoning by Macrolides POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T36.4 Poisoning by Tetracyclines POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T36.5 Poisoning by Aminoglycosides; Streptomycin POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T36.6 Poisoning by Rifamycins POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T36.8 Poisoning by Other systemic antibiotics POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T36.9 Poisoning by Systemic antibiotic, unspecified POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

T37.0 Poisoning by Sulfonamides POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T37.1 Poisoning by Antimycobacterial drugs POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T37.2Poisoning by Antimalarials and drugs acting on other blood

protozoaPOISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T37.4 Poisoning by Anthelminthics POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T37.5 Poisoning by Antiviral drugs POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T37.8Poisoning by Other specified systemic anti-infectives and

antiparasitics; Poisoning by Hydroxyquinoline derivativesPOISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T37.9Poisoning by Systemic anti-infective and antiparasitic,

unspecifiedPOISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y40.0

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Systemic antibiotics: Penicillins

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y40.1

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Systemic antibiotics: Cefalosporins and other beta-

lactam antibiotics

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y40.2

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Systemic antibiotics: Chloramphenicol group

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y40.4

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Systemic antibiotics: Tetracyclines

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y40.6

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Systemic antibiotics: Rifamycins

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y40.8

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Systemic antibiotics: Other systemic antibiotics

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y40.9

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Systemic antibiotics: Systemic antibiotic, unspecified

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y41.0

Drugs, medicaments and biological substances causing

adverse effects in therapeutic use: Other systemic anti-

infectives and antiparasitics; Sulfonamides

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y41.1

Drugs, medicaments and biological substances causing

adverse effects in therapeutic use: Other systemic anti-

infectives and antiparasitics; Antimycobacterial drugs

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y41.5

Drugs, medicaments and biological substances causing

adverse effects in therapeutic use: Other systemic anti-

infectives and antiparasitics; Antiviral drugs

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y41.8

Drugs, medicaments and biological substances causing

adverse effects in therapeutic use: Other specified

systemic anti-infectives and antiparasitics;

hydroxyquinoline derivatives

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y41.9

Drugs, medicaments and biological substances causing

adverse effects in therapeutic use: Systemic anti-infective

and antiparasitic, unspecified

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

Y56.0

Drugs, medicaments and biological substances causing

adverse effects in therapeutic use: Topical agents primarily

affecting skin and mucous membrane and

ophthalmological, otorhinolaryngological and dental drugs:

Local antifungal, anti-infective and anti-inflammatory drugs,

not elsewhere classified

POISONING CAUSED BY ANTIBIOTICS 7,300 2,190 5,110

T39.0 Poisoning by SalicylatesPOISONING CAUSED BY ANTI-INFLAMMATORY

AGENTS7,400 2,220 5,180

T39.1 Poisoning by 4-Aminophenol derivativesPOISONING CAUSED BY ANTI-INFLAMMATORY

AGENTS7,400 2,220 5,180

T39.3Poisoning by Other nonsteroidal anti-inflammatory drugs

[NSAID]

POISONING CAUSED BY ANTI-INFLAMMATORY

AGENTS7,400 2,220 5,180

T39.8Poisoning by Other nonopioid analgesics and antipyretics,

not elsewhere classified

POISONING CAUSED BY ANTI-INFLAMMATORY

AGENTS7,400 2,220 5,180

T39.9Poisoning by Nonopioid analgesic, antipyretic and

antirheumatic, unspecified

POISONING CAUSED BY ANTI-INFLAMMATORY

AGENTS7,400 2,220 5,180

Y45.8 Other analgesics and antipyreticsPOISONING CAUSED BY ANTI-INFLAMMATORY

AGENTS7,400 2,220 5,180

Y45.9

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Analgesic, antipyretic and anti-inflammatory drug,

unspecified

POISONING CAUSED BY ANTI-INFLAMMATORY

AGENTS7,400 2,220 5,180

T46.0Poisoning by Cardiac-stimulant glycosides and drugs of

similar actionPOISONING CAUSED BY CARDIOVASCULAR DRUGS 12,500 3,750 8,750

T46.1 Poisoning by Calcium-channel blockers POISONING CAUSED BY CARDIOVASCULAR DRUGS 12,500 3,750 8,750

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

T46.2Poisoning by Other antidysrhythmic drugs, not elsewhere

classifiedPOISONING CAUSED BY CARDIOVASCULAR DRUGS 12,500 3,750 8,750

T46.3Poisoning by Coronary vasodilators, not elsewhere

classified; Poisoning by DipyridamolePOISONING CAUSED BY CARDIOVASCULAR DRUGS 12,500 3,750 8,750

T46.5

Poisoning by Other antihypertensive drugs, not elsewhere

classified; Poisoning by Clonidine;Poisoning by

Guanethidine; Poisoning by Rauwolfia

POISONING CAUSED BY CARDIOVASCULAR DRUGS 12,500 3,750 8,750

T46.6Poisoning by Antihyperlipidaemic and antiarteriosclerotic

drugsPOISONING CAUSED BY CARDIOVASCULAR DRUGS 12,500 3,750 8,750

T46.7Poisoning by Peripheral vasodilators;Poisoning by Nicotimic

acid (derivatives)POISONING CAUSED BY CARDIOVASCULAR DRUGS 12,500 3,750 8,750

T46.9Poisoning by Other and unspecified agents primarily

affecting the cardiovascular systemPOISONING CAUSED BY CARDIOVASCULAR DRUGS 12,500 3,750 8,750

Y52.0

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Cardiac-stimulant glycosides and drugs of similar

action

POISONING CAUSED BY CARDIOVASCULAR DRUGS 12,500 3,750 8,750

Y52.2

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Other antidysrhythmic drugs, not elsewhere classified

POISONING CAUSED BY CARDIOVASCULAR DRUGS 12,500 3,750 8,750

T48.3 Poisoning by AntitussivesPOISONING CAUSED BY DRUGS AFFECTING THE

PULMONARY SYSTEM6,200 1,860 4,340

T48.4 Poisoning by ExpectorantsPOISONING CAUSED BY DRUGS AFFECTING THE

PULMONARY SYSTEM6,200 1,860 4,340

T48.5 Poisoning by Anti-common-cold drugsPOISONING CAUSED BY DRUGS AFFECTING THE

PULMONARY SYSTEM6,200 1,860 4,340

T48.6

Poisoning by Antiasthmatics, not elsewhere classified; β-

adrenoreceptor agonists used in asthma theraphy;

Poisoning by Salbutamol

POISONING CAUSED BY DRUGS AFFECTING THE

PULMONARY SYSTEM6,200 1,860 4,340

Y55.3

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Antitussives

POISONING CAUSED BY DRUGS AFFECTING THE

PULMONARY SYSTEM6,200 1,860 4,340

Y55.4

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Expectorants

POISONING CAUSED BY DRUGS AFFECTING THE

PULMONARY SYSTEM6,200 1,860 4,340

Y55.6

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Antiasthmatics, not elsewhere classified:

aminophylline, salbutamol, theobromine;theophylline

POISONING CAUSED BY DRUGS AFFECTING THE

PULMONARY SYSTEM6,200 1,860 4,340

T50.0 Poisoning by Mineralocorticoids and their antagonistsPOISONING CAUSED BY DRUGS AFFECTING THE

RENAL SYSTEM6,300 1,890 4,410

T50.1 Poisoning by Loop [high-ceiling] diureticsPOISONING CAUSED BY DRUGS AFFECTING THE

RENAL SYSTEM6,300 1,890 4,410

T50.2

Poisoning by Carbonic-anhydrase inhibitors,

benzothiadiazides and other diuretics;Poisoning by

Acetazolamide

POISONING CAUSED BY DRUGS AFFECTING THE

RENAL SYSTEM6,300 1,890 4,410

T50.4 Poisoning by Drugs affecting uric acid metabolismPOISONING CAUSED BY DRUGS AFFECTING THE

RENAL SYSTEM6,300 1,890 4,410

T50.9

Poisoning by Other and unspecified drugs, medicaments

and biological substances; Poisoning by Acidifying agents;

Poisoning by Alkalizing agents; Poisoning by

Immunoglobulin; Poisoning by Immunologicals; Poisoning

by Lipotropic drugs; Poisoning by Parathyroid hormones

and derivatives

POISONING CAUSED BY DRUGS AFFECTING THE

RENAL SYSTEM6,300 1,890 4,410

T47.0 Poisoning by HistamineH2-receptor antagonistsPOISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

T47.1Poisoning by Other antacids and anti-gastric-secretion

drugs

POISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

T47.2 Poisoning by Stimulant laxativesPOISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

T47.3 Poisoning by Saline and osmotic laxativesPOISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

T47.4Poisoning by Other laxatives; Poisoning by Intestinal atonia

drugs

POISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

T47.5 Poisoning by DigestantsPOISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

T47.6 Poisoning by Antidiarrhoeal drugsPOISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

T47.8Poisoning by Other agents primarily affecting the

gastrointestinal system

POISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

T47.9Poisoning by Agent primarily affecting the gastrointestinal

system, unspecified

POISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

T48.1Poisoning by Skeletal muscle relaxants [neuromuscular

blocking agents]

POISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

Page 102 of 127

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Y53.8

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Other agents primarily affecting the gastrointestinal

system

POISONING CAUSED BY GASTROINTESTINAL

DRUGS8,300 2,490 5,810

T45.4 Poisoning by Iron and its compounds POISONING CAUSED BY HEMATOLOGIC AGENTS 7,300 2,190 5,110

T45.5 Poisoning by Anticoagulants POISONING CAUSED BY HEMATOLOGIC AGENTS 7,300 2,190 5,110

T45.6 Poisoning by Fibrinolysis-affecting drugs POISONING CAUSED BY HEMATOLOGIC AGENTS 7,300 2,190 5,110

T45.7Poisoning by Anticoagulant antagonists, vitamin K and

other coagulantsPOISONING CAUSED BY HEMATOLOGIC AGENTS 7,300 2,190 5,110

T45.8

Poisoning by Other primarily systemic and haematological

agents; Poisoning by Liver preparations and other

antianaemic agents; Poisoning by Natural blood and blood

products; Poisoning by Plasma substitute

POISONING CAUSED BY HEMATOLOGIC AGENTS 7,300 2,190 5,110

T45.9 Primarily systemic and haematological agent, unspecified POISONING CAUSED BY HEMATOLOGIC AGENTS 7,300 2,190 5,110

Y44.2

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Anticoagulants

POISONING CAUSED BY HEMATOLOGIC AGENTS 7,300 2,190 5,110

Y44.3

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Anticoagulant antagonists, vitamin K and other

coagulants

POISONING CAUSED BY HEMATOLOGIC AGENTS 7,300 2,190 5,110

T38.0 Poisoning by Glucocorticoids and synthetic analogues POISONING CAUSED BY HORMONES 8,500 2,550 5,950

T38.1 Poisoning by Thyroid hormones and substitutes POISONING CAUSED BY HORMONES 8,500 2,550 5,950

T38.2 Poisoning by Antithyroid drugs POISONING CAUSED BY HORMONES 8,500 2,550 5,950

T38.3Poisoning by Insulin and oral hypoglycaemic [antidiabetic]

drugsPOISONING CAUSED BY HORMONES 8,500 2,550 5,950

T38.4Poisoning by Oral contraceptives; Poisoning by Multiple-

and-single-ingredient preparationsPOISONING CAUSED BY HORMONES 8,500 2,550 5,950

T38.5Poisoning by Other estrogens and progestogens; Mixtures

and substitutesPOISONING CAUSED BY HORMONES 8,500 2,550 5,950

T38.6

Poisoning by Antigonadotrophins, antiestrogens,

antiandrogens, not elsewhere classified; Poisoning by

Tamoxifen

POISONING CAUSED BY HORMONES 8,500 2,550 5,950

T38.7 Poisoning by Androgens and anabolic congeners POISONING CAUSED BY HORMONES 8,500 2,550 5,950

Y42.0

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Glucocorticoids and synthetic analogues

POISONING CAUSED BY HORMONES 8,500 2,550 5,950

Y42.2

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Antithyroid drugs

POISONING CAUSED BY HORMONES 8,500 2,550 5,950

Y42.3

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Insulin and oral hypoglycaemic [antidiabetic] drugs

POISONING CAUSED BY HORMONES 8,500 2,550 5,950

Y42.4

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Oral contraceptives;multiple-and single-ingredient

preparations

POISONING CAUSED BY HORMONES 8,500 2,550 5,950

Y42.5

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Other estrogens and progestogens;mixtures and

substitutes

POISONING CAUSED BY HORMONES 8,500 2,550 5,950

Y45.1

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Salicylates

POISONING CAUSED BY HORMONES 8,500 2,550 5,950

Y45.2

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Propionic acid derivatives;propanoic acid derivatives

POISONING CAUSED BY HORMONES 8,500 2,550 5,950

Y45.3

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Other nonsteroidal anti-inflammatory drugs [NSAID]

POISONING CAUSED BY HORMONES 8,500 2,550 5,950

Y45.5

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: 4-Aminophenol derivatives

POISONING CAUSED BY HORMONES 8,500 2,550 5,950

T51.0 Toxic effect of Ethanol;Toxic effect of Ethyl alcoholPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T51.2Toxic effect of 2-Propanol; Toxic effect of Isoprophyl

aclohol

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

T51.3

Toxic effect of Fusel oil; Toxic effect of Amyl alcohol; Toxic

effect of Butyl alcohol [1-butanol]; Toxic effect of Propyl

alcohol [1-proponol]

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T51.8 Toxic effect of Other alcoholsPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T51.9 Toxic effect of Alcohol, unspecifiedPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T52.0

Toxic effect of Petroleum products; Toxic effect of

Gasoline [petrol]; Toxic effect of Kerosine [paraffin oil];

Toxic effect of Paraffin wax; Toxic effect of Petroleum

ether; Toxic effect of Petroleum naphtha; Toxic effect of

Petroleum spirits

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T52.2

Toxic effect of Homologues of benzene; Toxic effect of

Toluene [methylbenzene]; Toxic effect of Xylene

[dimethylbenzene]

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T52.4 Toxic effect of KetonesPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T52.8 Toxic effect of Other organic solventsPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T52.9 Toxic effect of Organic solvent, unspecifiedPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T53.0Toxic effect of Carbon tetrachloride;Toxic effect of

Tetrachloromethane

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T53.1Toxic effect of Chloroform; Toxic effect of

Trichloromethane

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T53.4Toxic effect of Dichloromethane;Toxic effect of Methylene

chloride

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T53.6Toxic effect of Other halogen derivatives of aliphatic

hydrocarbons

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T53.9Toxic effect of Halogen derivative of aliphatic and aromatic

hydrocarbons, unspecified

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T54.1 Toxic effect of Other corrosive organic compoundsPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T54.2

Toxic effect of Corrosive acids and acid-like substances;

Toxic effect of Acid hydrochlorie;Toxic effect of Acid

sulfurie

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T54.3

Toxic effect of Corrosive alkalis and alkali-like substances;

Toxic effect of Potassium hydroxide;Toxic effect of Sodium

hydroxide

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T54.9 Toxic effect of Corrosive substance, unspecifiedPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T55 Toxic effect of soaps and detergentsPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T56.0 Toxic effect of Lead and its compoundsPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T56.1 Toxic effect of Mercury and its compoundsPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T56.5 Toxic effect of Zinc and its compoundsPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T56.8 Toxic effect of Other metalsPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T57.0 Toxic effect of Arsenic and its compoundsPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T57.1 Toxic effect of Phosphorus and its compoundsPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T57.3 Toxic effect of Hydrogen cyanidePOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T57.8 Toxic effect of Other specified in organic substancesPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T57.9 Toxic effect of Inorganic substance, unspecifiedPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T58 Toxic effect of carbon monoxide from all sourcesPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T59.0 Toxic effect of Nitrogen oxidesPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T59.2 Toxic effect of Formal dehydePOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T59.3 Toxic effect of Lacrimogenic gas; Toxic effect of Tear gasPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T59.4 Toxic effect of Chlorine gasPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T59.7 Toxic effect of Carbon dioxidePOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T59.8 Toxic effect of Other specified gases, fumes and vapoursPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T59.9 Toxic effect of Gases, fumes and vapours, unspecifiedPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

Page 104 of 127

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

T60.0Toxic effect of Organophosphate and carbamate

insecticides

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T60.1 Toxic effect of Halogenated insecticidesPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T60.2 Other and unspecified insecticidesPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T60.3 Toxic effect of Herbicides and fungicidesPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T60.4 Toxic effect of Rodenticides; Toxic effect of ThalliumPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T60.8 Toxic effect of Other pesticidesPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T60.9 Toxic effect of Pesticide, unspecifiedPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T65.0 Toxic effect of CyanidesPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T65.3

Toxic effect of Nitro derivatives and aminoderivatives of

benzene and its homologues; Toxic effect of Aniline

[benzenamine]; Toxic effect of Nitrobenzene; Toxic effect

of Trinitrotoluene

POISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T65.4 Toxic effect of CarbondisulfidePOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T65.6 Toxic effect of Paints and dyes, not elsewhere classifiedPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T65.8 Toxic effect of other specified substancesPOISONING CAUSED BY ORGANIC SUBSTANCES

AND HEAVY METALS6,400 1,920 4,480

T49.2 Poisoning by Local astringents and local detergents POISONING CAUSED BY TOPICAL AGENTS 5,300 1,590 3,710

T49.3 Poisoning by Emollients, demulcents and protectants POISONING CAUSED BY TOPICAL AGENTS 5,300 1,590 3,710

T49.4Poisoning by Keratolytics, keratoplastics and other hair

treatment drugs and preparationsPOISONING CAUSED BY TOPICAL AGENTS 5,300 1,590 3,710

T49.5Poisoning by Ophthalmological drugs and preparations;

Poisoning by Eye, nose and throat anti-infectivesPOISONING CAUSED BY TOPICAL AGENTS 5,300 1,590 3,710

T49.7 Poisoning by Dental drugs, topically applied POISONING CAUSED BY TOPICAL AGENTS 5,300 1,590 3,710

T49.8 Othertopical agents; Spermicides POISONING CAUSED BY TOPICAL AGENTS 5,300 1,590 3,710

T49.9 Poisoning by Topical agent, unspecified POISONING CAUSED BY TOPICAL AGENTS 5,300 1,590 3,710

Y56.2

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Local astringents and local detergents

POISONING CAUSED BY TOPICAL AGENTS 5,300 1,590 3,710

Y56.3

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Emollients, demulcents and protectants

POISONING CAUSED BY TOPICAL AGENTS 5,300 1,590 3,710

T61.0 Toxic effect of Ciguatera fish poisoning POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T61.1Toxic effect of Scombroid fish poisoning;Toxic effect of

Histamine-like syndromePOISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T61.2Toxic effect of Other fish and shellfish poisoning

Fish poisoningPOISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T61.8 Toxic effect of other seafoods POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T61.9Toxic effect of unspecified seafood

Seafood poisoningPOISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T62.0 Toxic effect of Ingested mushrooms POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T62.1 Toxic effect of Ingested berries POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T62.2 Toxic effect of Other ingested (parts of) plant(s) POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T62.8Toxic effect of Other specified noxious substances eaten as

foodPOISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T62.9

Toxic effect of Noxious substance eaten as food,

unspecified

Food poisoning

POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T63.0Toxic effect of Snake venom;Toxic effect of Sea-snake

venomPOISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T63.1Toxic effect of Venom of other reptiles; Toxic effect of

Lizard venomPOISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T63.2 Toxic effect of Venom of scorpion POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T63.3 Toxic effect of Venom of spider POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T63.4Toxic effect of Venom of other arthropods;Toxic effect of

Insect bite or sting, venomousPOISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T63.5 Toxic effect of contact with fish POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T63.6Toxic effect of contact with other marine animals; Jellyfish;

Sea anemone; Shellfish; StarfishPOISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T63.8Toxic effect of contact with other venomous animals;

Venom of amphibianPOISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T63.9 Toxic effect of contact with unspecified venomous animal POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T64Toxic effect of aflation and other mycotoxin food

contaminantsPOISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

T65.2 Toxic effect of Tobacco and nicotine POISONING FROM ANIMALS, INSECTS, PLANTS 5,700 1,710 3,990

Page 105 of 127

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

Y43.0

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Antiallergic and antiemetic drugs

POISONING OTHERS 8,300 2,490 5,810

Y54.3

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Benzothiadiazine derivatives

POISONING OTHERS 8,300 2,490 5,810

Y54.8

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Agents affecting uric acid metabolism

POISONING OTHERS 8,300 2,490 5,810

Y55.0

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Oxytocic drugs;ergot alkaloids

POISONING OTHERS 8,300 2,490 5,810

Y56.6

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Otorhinolaryngological drugs and preparations

POISONING OTHERS 8,300 2,490 5,810

Y58.0

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: BCG vaccine

POISONING OTHERS 8,300 2,490 5,810

Y58.4

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Tetanus vaccine

POISONING OTHERS 8,300 2,490 5,810

Y59.9

Drugs, medicaments and biological substances causing

adverse effects in therapeutic

use: Vaccine or biological substance, unspecified

POISONING OTHERS 8,300 2,490 5,810

G60.0

Hereditary motor and sensory neuropathy; Disease Charcot-

Marie-Tooth; Disease Déjerine-Sottas; Hereditary motor

and sensory neuropathy, types I-IV; Hypertrophic

neuropathy of infancy; Peroneal muscular atrophy axonal

type; Peroneal muscular atrophy hypertrophic type; Roussy-

Levy syndrome

POLYNEUROPATHIES 10,600 3,180 7,420

G60.1 Refsum's disease POLYNEUROPATHIES 10,600 3,180 7,420

G60.2 Neuropathy in association with hereditary ataxia POLYNEUROPATHIES 10,600 3,180 7,420

G60.3 Idiopathic progressive neuropathy POLYNEUROPATHIES 10,600 3,180 7,420

G60.8

Other hereditary and idiopathic neuropathies; Morvan's

disease; Nelaton's syndrome; Sensory neuropathy

dominantly inherited; Sensory neuropathy recessively

inherited

POLYNEUROPATHIES 10,600 3,180 7,420

G60.9 Hereditary and idiopathic neuropathy, unspecified POLYNEUROPATHIES 10,600 3,180 7,420

G61.0Guillain-Barré syndrome; Acute post- infective polyneuritis;

Acute infective polyneuritisPOLYNEUROPATHIES 10,600 3,180 7,420

G61.8 Other inflammatory polyneuropathies POLYNEUROPATHIES 10,600 3,180 7,420

G61.9 Inflammatory polyneuropathy, unspecified POLYNEUROPATHIES 10,600 3,180 7,420

G62.0 Drug-induced polyneuropathy POLYNEUROPATHIES 10,600 3,180 7,420

G62.1 Alcoholic polyneuropathy POLYNEUROPATHIES 10,600 3,180 7,420

G62.2 Polyneuropathy due to other toxic agents POLYNEUROPATHIES 10,600 3,180 7,420

G62.8Other specified polyneuropathies; Radiation-induced

polyneuropathyPOLYNEUROPATHIES 10,600 3,180 7,420

G62.9Polyneuropathy, unspecified; Neuropathy NOS

Peripheral neuropathyPOLYNEUROPATHIES 10,600 3,180 7,420

G63.8*Polyneuropathy in other diseases classified elsewhere;

Uraemic neuropathyPOLYNEUROPATHIES 10,600 3,180 7,420

G64Other disorders of peripheral nervous system; Disorder of

peripheral nervous system NOSPOLYNEUROPATHIES 10,600 3,180 7,420

N84.0Polyp of corpus uteri; Polyp of endometrium; Polyp of

uterus NOSPOLYPS, FEMALE GENITAL TRACT 5,200 1,560 3,640

N84.1 Polyp of cervix uteri; Mucous polyp of cervix POLYPS, FEMALE GENITAL TRACT 5,200 1,560 3,640

N84.2 Polyp of vagina POLYPS, FEMALE GENITAL TRACT 5,200 1,560 3,640

N84.3 Polyp of vulva; Polyp of labia POLYPS, FEMALE GENITAL TRACT 5,200 1,560 3,640

N84.8 Polyp of other parts of female genital tract POLYPS, FEMALE GENITAL TRACT 5,200 1,560 3,640

N84.9 Polyp of female genital tract, unspecified POLYPS, FEMALE GENITAL TRACT 5,200 1,560 3,640

O08.2

Embolism following abortion and ectopic and molar

pregnancy; Embolism NOS; Air embolism; Amniotic fluid

embolism; Blood-clot embolism; Pulmonary embolism;

Pyaemic embolism; Septic or septicopyaemic embolism;

Soap embolism

POST PARTUM COMPLICATIONS 9,300 2,790 6,510

O08.5Metabolic disorders following abortion and ectopic and

molar pregnancyPOST PARTUM COMPLICATIONS 9,300 2,790 6,510

O08.9Complication following abortion and ectopic and molar

pregnancy, unspecifiedPOST PARTUM COMPLICATIONS 9,300 2,790 6,510

O67.8Other intrapartum haemorrhage; Excessive intrapartum

haemorrhagePOST PARTUM COMPLICATIONS 9,300 2,790 6,510

O71.0 Rupture of uterus before on set of labour POST PARTUM COMPLICATIONS 9,300 2,790 6,510

O71.1Rupture of uterus during labour; Rupture of uterus not

stated as occuring before onset of labourPOST PARTUM COMPLICATIONS 9,300 2,790 6,510

O71.2 Post partum inversion of uterus POST PARTUM COMPLICATIONS 9,300 2,790 6,510

O71.3 Obstetric laceration of cervix; Annular detachment of cervix POST PARTUM COMPLICATIONS 9,300 2,790 6,510

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

O71.5Other obstetric injury to pelvic organs; Obstetric injury to

bladder; Obstetric injury to urethraPOST PARTUM COMPLICATIONS 9,300 2,790 6,510

O71.7

Obstetric haematoma of pelvis; Obstetric haematoma of

perineum; Obstetric haematoma of vagina; Obstetric

haematoma of vulva

POST PARTUM COMPLICATIONS 9,300 2,790 6,510

O71.8 Other specified obstetric trauma POST PARTUM COMPLICATIONS 9,300 2,790 6,510

O71.9 Obstetric trauma, unspecified POST PARTUM COMPLICATIONS 9,300 2,790 6,510

O74.0

Aspiration pneumonitis due to anaesthesia during labour

and delivery; Inhalation of stomach contents or secretions

NOS due to anaesthesia during labour and delivery;

Mendelson's syndrome due to anaesthesia during labour

and delivery

POST PARTUM COMPLICATIONS 9,300 2,790 6,510

O74.2

Cardiac complications of anaesthesia during labour and

delivery; Cardiac arrest due to anaesthesia during labour

and delivery; Cardiac failure due to anaesthesia during

labour and delivery

POST PARTUM COMPLICATIONS 9,300 2,790 6,510

O74.8Other complications of anaesthesia during labour and

deliveryPOST PARTUM COMPLICATIONS 9,300 2,790 6,510

O75.1Shock during or following labour and delivery; Obstetic

shockPOST PARTUM COMPLICATIONS 9,300 2,790 6,510

O75.8 Other specified complications of labour and delivery POST PARTUM COMPLICATIONS 9,300 2,790 6,510

O75.9 Complication of labour and delivery, unspecified POST PARTUM COMPLICATIONS 9,300 2,790 6,510

O87.9

Venous complication in the puerperium, unspecified;

Puerperal phlebitis NOS; Puerperal phlebopathy NOS;

Puerperal thrombosis NOS

POST PARTUM COMPLICATIONS 9,300 2,790 6,510

Z39.0Care and examination immediately after delivery; Care and

observation in uncomplicated casesPOSTPARTUM CARE FOR DELIVERIES IN TRANSIT 2,000 600 1,400

E89.0Postprocedural hypothyroidism; Postirradiation

hypothyroidism; Postsurgical hypothyroidismPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

E89.2 Postprocedural hypoparathyroidism; Parathyroprival tetany POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

E89.3Postprocedural hypopituitarism; Postirradiation

hypopituitarismPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

E89.4 Postprocedural ovarian failure POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

E89.5 Postprocedural testicular hypofunction POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

E89.6Postprocedural adrenocortical hypofunction;

Postprocedural adreno-medullary hypofunctionPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

E89.8 Other postprocedural endocrine and metabolic disorders POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

G97.1 Other reaction to spinal and lumbar puncture POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

G97.8 Other postprocedural disorders of nervous system POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

H59.0Vitreous syndrome following cataract surgery

Keratopathy (bullous aphakic) following cataract surgeryPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

H59.8Other postprocedural disorders of eye and adnexa;

Chorioretinal scars after surgery for detachmentPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

H59.9 Postprocedural disorder of eye and adnexa, unspecified POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

H95.8 Other postprocedural disorders of ear and mastoid process POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

I97.0 Postcardiotomy syndrome POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

I97.2

Postmastectomy lymphoedema syndrome; Elephantiasis

due to mastectomy; Obliteration of lymphatic vessels due

to mastectomy

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

J95.0

Tracheostomy malfunction; Haemorrhage from

tracheostomy stoma; Obstruction of tracheostomy airway;

Sepsis of tracheostomy stoma; Tracheo-oesophageal fistula

following tracheostomy

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

J95.1 Acute pulmonary insufficiency following thoracic surgery POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

J95.2Acute pulmonary insufficiency following nonthoracic

surgeryPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

J95.4Mendelson syndrome; Chemical pneumonitis due to

aspiration during anaesthesiaPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

J95.5 Postprocedural subglottic stenosis POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

J95.8 Other postprocedural respiratory disorders POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

J95.9 Postprocedural respiratory disorder, unspecified POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

K91.0 Vomiting following gastrointestinal surgery POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

K91.1Postgastric surgery syndromes; Dumping syndrome;

Postgastrectomy syndrome; Postvagotomy syndromePOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

K91.2Postsurgical malabsorption, not elsewhere classified;

Postsurgical blind loop syndromePOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

K91.3 Postoperative intestinal obstruction POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

K91.4 Colostomy and enterostomy malfunction POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

K91.5 Postcholecystectomy syndrome POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

K91.8Other postprocedural disorders of digestive system, not

elsewhere classifiedPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

K91.9 Postprocedural disorder of digestive system, unspecified POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

N99.0 Postprocedural renal failure POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

N99.1Postprocedural urethral stricture; Postcatheterization

urethral stricturePOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

N99.4 Postprocedural pelvic peritoneal adhesions POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

N99.8Other postprocedural disorders of genitourinary system;

Residual ovary syndromePOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

N99.9Postprocedural disorder of genitourinary system,

unspecifiedPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T81.0

Haemorrhage and haematoma complicating a procedure,

not elsewhere classified; Haemorrhage at any site resulting

from a procedure

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T81.1

Shock during or resulting from a procedure not elsewhere

classified; Collapse NOS during or following a procedure;

Endotoxic shock during or following a procedure;

Hypovolaemic during or following a procedure; Septic

shock during or following a procedure;

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T81.2

Accidental puncture and laceration during a procedure not

elsewhere classified; Accidental perforation of blood vessel

by catheter, endoscope, instrument, probe during a

procedure; Accidental perforation of nerve by catheter,

endoscope, instrument, probe

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T81.3

Disruption of operation wound, not elsewhere classified;

Dehiscene of operation wound; Rupture of operation

wound

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T81.4

Infection following a procedure, not elsewhere classified;

Intra-abdominal abscess postprocedural abcess; Intra-

abdominal stitch postprocedural abscess; Intra-abdominal

subphrenic postprocedural abcess; Intra-abdominal wound

postprocedural abcess; Septicemia

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T81.8

Other complications of procedures, not elsewhere

classified; Complication of inhalation therapy; Emphysema

(subcutaneous) resulting from a procedure; Persistent

postoperative fistula

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T82.0

Mechanical complication of heart valve prosthesis;

Mechanical breakdown due to heart valve prosthesis;

Displacement due to heart valve prosthesis; Failure due to

heart valve prosthesis; Leakage due to heart valve

prosthesis; Malposition due to heart valve prosthesis;

Mechanical obstruction due to heart valve prosthesis;

Perforation due to heart valve prosthesis; Protrusion due to

heart valve prosthesis;

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T82.1

Mechanical complication of cardiac electronic device;

Conditions listed in T82.0 due to electrodes; Conditions

listed in T82.0 due to pulse generator (battery)

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T82.2Mechanical complication of coronary artery bypass and

valve graftsPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T82.3

Mechanical complication of other vascular grafts; Condition

listed in T82.0 due to aortic (bifurcation) graft

(replacement); Condition listed in T82.0 due to arterial

(carotid) (femoral) graft (bypass)

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T82.4 Mechanical complication of vascular dialysis catheter POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T82.5

Mechanical complication of other cardiac and vascular

devices and implants; Conditions listed in T82.0 due to

arteriovenous fistula surgically created; arterivenous

Shunt surgically created; Artificial heart; Balloon

counterpulsation device; Infusion catheter; umbrella device

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T82.7Infection and inflammatory reaction due to other cardiac

and vascular devices, implants and graftsPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T82.8

Other complications of cardiac and vascular prosthetic

devices, implants and grafts; Complication due to cardiac

and vascular prosthetic devices, implants and grafts;

Embolism due to cardiac and vascular prosthetic devices,

implants and grafts; Fibrosis due to cardiac and vascular

prosthetic devices, implants and grafts; Haemorrhage due

to cardiac and vascular prosthetic devices, implants and

grafts; Pain due to cardiac and vascular prosthetic devices,

implants and grafts; Stenosis due to cardiac and vascular

prosthetic devices, implants and grafts; Thrombosis due to

cardiac and vascular prosthetic devices, implants and

grafts;

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

T83.1

Mechanical complication of other urinary devices and

implants; Concditions listed in T82.0 due to Urinary

electronic stimultor device; Urinary sphincter implant;

Urinary stent

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T83.2 Mechanical complication of graft of urinary organ POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T83.3Mechanical complication of intrauterine contraceptive

devicePOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T83.5Infection and inflammatory reaction due to prosthetic

device, implant and graft in urinary systemPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T83.8Other complications of genitourinary prosthetic devices,

implants and graftsPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T83.9Unspecified complication of genitourinary prosthetic

device, implants and graftsPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T84.0 Mechanical complication of internal joint prosthesis POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T84.1Mechanical complication of internal fixation device of

bones of limbPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T84.2Mechanical complication of internal fixation device of other

bonesPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T84.4Mechanical complication of other internal orthopaedic

devices, implants and graftsPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T84.5Infection and inflammatory reaction due to internal joint

prosthesisPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T84.6Infection and inflammatory reaction due to internal fixation

device [any site]POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T84.7Infection and inflammatory reaction due to other internal

orthopaedic prosthetic devices, implants and graftsPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T84.8Other complications of internal orthopaedic prosthetic

devices, implants and graftsPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T84.9Unspecified complication of internal orthopaedic prosthetic

device, implant and graftPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T85.0Mechanical complication of ventricular intracranial

(communicating) shuntPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T85.3

Mechanical complication of other ocular prosthetic devices,

implants and grafts Conditions listed in T82.0 due to

corneal graft; Conditions listed in T82.0 due to prosthetic

orbit of eye

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T85.5

Mechanical complication of gastrointestinal prosthetic

devices implants and grafts; Conditions listed in T82.0 due

to Bile-duct prosthesis; Conditions listed in T82.0

oesophageal anti-reflux device

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T85.6

Mechanical complication of other specified internal

prosthetic devices, Implants and grafts; Conditions listed in

T82.0 due to epidural and subdural infusion catheter;

Conditions listed in T82.0 due to intraperitonael dialysis

catheter; Conditions listed

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T85.7Infection and inflammatory reaction due to other internal

prosthetic devices, implants and graftsPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T85.8Other complications of internal prosthetic devices, implants

and grafts, not elsewhere classifiedPOSTPROCEDURAL DISORDERS 10,300 3,090 7,210

T85.9

Unspecified complication of internal prosthetic device,

implant and graft; Complication of internal prosthetic

device, implants and graft NOS

POSTPROCEDURAL DISORDERS 10,300 3,090 7,210

N40

Hyperplasia of prostate; Adenofibromatous hypertrophy of

prostate; Adenoma (benign)of prostate ; Enlargement of

prostate (benign); Fibroadenoma of prostate; Fibroma of

prostate; Hypertrophy of prostate (benign); Myoma of

prostate; Median bar (prostate); Prostatic obstruction NOS

PROSTATE DISORDERS 9,200 2,760 6,440

N41.0 Acute prostatitis PROSTATE DISORDERS 9,200 2,760 6,440

N41.1 Chronic prostatitis PROSTATE DISORDERS 9,200 2,760 6,440

N41.2 Abscess of prostate PROSTATE DISORDERS 9,200 2,760 6,440

N41.3 Prostatocystitis PROSTATE DISORDERS 9,200 2,760 6,440

N41.8 Other inflammatory diseases of prostate PROSTATE DISORDERS 9,200 2,760 6,440

N41.9Inflammatory disease of prostate, unspecified; Prostatitis

NOSPROSTATE DISORDERS 9,200 2,760 6,440

N42.0 Calculus of prostate; Prostatic stone PROSTATE DISORDERS 9,200 2,760 6,440

N42.1 Congestion and haemorrhage of prostate PROSTATE DISORDERS 9,200 2,760 6,440

N42.2 Atrophy of prostate PROSTATE DISORDERS 9,200 2,760 6,440

N42.8 Other specified disorders of prostate PROSTATE DISORDERS 9,200 2,760 6,440

N42.9 Disorder of prostate, unspecified PROSTATE DISORDERS 9,200 2,760 6,440

O15.2 Eclampsia in the puerperium PUERPERAL COMPLICATIONS 6,800 2,040 4,760

O85

Puerperal sepsis; Puerperal endometritis; Puerperal fever;

Puerperal peritonitis; Puerperal septicaemia; Postpartum

sepsis

PUERPERAL COMPLICATIONS 10,600 3,180 7,420

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

O86.0

Infection of obstetric surgical wound; Infected caesarean

section wound following delivery; Infected perineal repair

following delivery

PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O86.1Other infection of genital tract following delivery; Cervicitis

following delivery; Vaginitis following deliveryPUERPERAL COMPLICATIONS 10,600 3,180 7,420

O86.2 Urinary tract infection following delivery PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O86.3Other genitourinary tract infections following delivery;

Puerperal genitourinary tract infection NOSPUERPERAL COMPLICATIONS 10,600 3,180 7,420

O86.4Pyrexia of unknown origin following delivery; Puerperal

infection NOS; Puerperal pyrexia NOSPUERPERAL COMPLICATIONS 10,600 3,180 7,420

O86.8 Other specified puerpera linfections PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O87.0 Superficial thrombophlebitis in the puerperium PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O87.1

Deep phlebothrombosis in the puerperium; Deep-vein

thrombosis, postpartum; Pelvic thrombophlebitis,

postpartum

PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O87.2 Haemorrhoids in the puerperium PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O87.8Other venous complications in the puerperium; Genital

varices in the puerperiumPUERPERAL COMPLICATIONS 10,600 3,180 7,420

O88.1 Amniotic fluid embolism PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O88.2Obstetric blood-clot embolism; Obstetric pulmonary

embolism NOS; Puerperal pulmonary embolism NOSPUERPERAL COMPLICATIONS 10,600 3,180 7,420

O89.0

Pulmonary complications of anaesthesia during the

puerperium; Aspiration pneumonitis due to anaesthesia

during the puerperium; Chemical pneumonitis due to

aspiration, due to anaesthesia during the puerperium;

Inhalation of stomach contents or secretions NOS due to

anaestheisa during the puerperium; Mendelson syndrome

due to anaesthesia during the puerperium; Pressure

collapse of lung due to anaesthesia during the puerperium

PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O89.1

Cardiac complications of anaesthesia during the

puerperium; Cardiac arrest due to anaesthesia during the

puerperium; Cardiac failure due to anaesthesia during the

puerperium

PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O89.2

Central nervous system complications of anaesthesia

during the puerperium; Cerebral anoxia due to anaesthesia

during the puerperium

PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O89.4Spinal and epidural anaesthesia-induced headache during

the puerperiumPUERPERAL COMPLICATIONS 10,600 3,180 7,420

O89.8 Other complications of anaesthesia during the puerperium PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O89.9Complication of anaesthesia during the puerperium,

unspecifiedPUERPERAL COMPLICATIONS 10,600 3,180 7,420

O90.0 Disruption of caesarean section wound PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O90.1

Disruption of perineal obstetric wound; Disruption of

wound of episiotomy; Disruption of wound of perineal

laceration; Secondary perineal tear

PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O90.2 Haematoma of obstetric wound PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O90.3 Cardiomyopathy in the puerperium PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O90.4Postpartum acute renal failure; Hepatorenal syndrome

following labour and deliveryPUERPERAL COMPLICATIONS 10,600 3,180 7,420

O90.5 Postpartum thyroiditis PUERPERAL COMPLICATIONS 10,600 3,180 7,420

O90.8Other complications of the puerperium, not elsewhere

classified; Placental polypPUERPERAL COMPLICATIONS 10,600 3,180 7,420

O90.9 Complication of the puerperium, unspecified PUERPERAL COMPLICATIONS 10,600 3,180 7,420

P20.0 Intrauterine hypoxia first noted before onset of labour PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P20.1 Intrauterine hypoxia first noted during labour and delivery PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P20.9 Intrauterine hypoxia, unspecified PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P21.0

Severe birth asphyxia; Pulse less than 100 per minute at

birth and falling or steady, respiration absent or gasping,

colour poor, tone absent; Asphyxia with 1-minute apgar

score 0-3; White asphyxia

PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P21.1

Mild and moderate birth asphyxia; Normal respiration not

established within one minute, but heart rate 100 or above,

some muscle tone present, some response to stimulation;

Asphyxia with 1-minute Apgar score 4-7; Blue asphyxia

PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P21.9Birth asphyxia, unspecified; Anoxia, NOS; Asphyxia, NOS;

Hypoxia, NOSPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P22.0

Respiratory distress syndrome of newborn; Hyaline

membrane disease

Respiratory distress syndrome, child

PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

P22.1 Transient tachypnoea of newborn PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P22.8 Other respiratory distress of newborn PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P22.9 Respiratory distress of newborn, unspecified PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P24.0 Neonatal aspiration of meconium PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P24.1Neonatal aspiration of amniotic fluid and mucus;Aspiration

of liquor (amnii)PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P24.2 Neonatal aspiration of blood PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P24.3 Neonatal aspiration of milk and regurgitated food PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P24.8 Other neonatal aspiration syndromes PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P24.9Neonatal aspiration syndrome, unspecified; Neonatal

aspiration pneumonia NOSPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P25.0 Interstitial emphysema originating in the perinatal period PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P25.1

Pneumothorax originating in the perinatal period

Pneumothorax of fetus

Pneumothorax of newborn

PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P25.2 Pneumomediastinum originating in the perinatal period PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P25.8Other conditions related to interstitial emphysema

originating in the perinatal periodPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P26.0Tracheobronchial haemorrhage originating in the perinatal

periodPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P26.1Massive pulmonary haemorrhage originating in the

perinatal periodPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P26.8Other pulmonary haemorrhages originating in the perinatal

periodPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P26.9Unspecified pulmonary haemorrhage originating in the

perinatal periodPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P27.0 Wilson-Mikity syndrome; Pulmonary dysmaturity PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P27.1Bronchopulmonary dysplasia originating in the perinatal

periodPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P27.8

Other chronic respiratory diseases originating in the

perinatal period; Congenital pulmonary fibrosis; Ventilator

lung in newborn

PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P27.9Unspecified chronic respiratory disease originating in the

perinatal periodPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P28.0

Primary atelectasis of newborn; Primary failure to expand

terminal respiratory units; Pulmonary hypoplasia associated

with short gestation; Pulmonary immaturity NOS

PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P28.1

Other and unspecified atelectasis of newborn; Atelectasis,

NOS; Atelectasis, partial; Atelectasis, secondary; Resorption

atelectasis without respiratory distress syndrome

PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P28.2 Cyanotic attacks of newborn PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P28.3Primary sleep apnoea of newborn; leep apnoea of newborn

NOSPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P28.4 Other apnoea of newborn PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P28.5 Respiratory failure of newborn PULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P28.8Other specified respiratory conditions of newborn;

congenital laryngeal stridor NOS; Snuffles in newbornPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P29.3Persistent fetal circulation; Delayed closure of ductus

arteriosus; Persistent pulmonary hypertension of newbornPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

P29.9Cardiovascular disorder originating in the perinatal period,

unspecifiedPULMONARY COMPLICATIONS IN THE NEWBORN 10,900 3,270 7,630

I26.0Pulmonary embolism with mention of acute cor pulmonale;

Acute cor pulmonale NOSPULMONARY EMBOLISM 24,300 7,290 17,010

I26.9Pulmonary embolism without mention of acute cor

pulmonale; Pulmonary embolism NOSPULMONARY EMBOLISM 24,300 7,290 17,010

I27.0Primary pulmonary hypertension; Primary idiopathic

pulmonary artery hypertensionPULMONARY HEART DISEASE 14,100 4,230 9,870

I27.1 Kyphoscoliotic heart disease PULMONARY HEART DISEASE 14,100 4,230 9,870

I27.2Other secondary pulmonary hypertension; Pulmonary

artery hypertensionPULMONARY HEART DISEASE 14,100 4,230 9,870

I27.8 Other specified pulmonary heart diseases PULMONARY HEART DISEASE 14,100 4,230 9,870

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

I27.9Pulmonary heart disease, unspecified; Chronic

cardiopulmonary disease; Chronic Cor pulmonale NOSPULMONARY HEART DISEASE 14,100 4,230 9,870

N11.0Nonobstructive reflux-associated chronic pyelonephritis;

Chronic Pyelonephritis associated with vesicoureteral refluxPYELONEPHRITIS 10,900 3,270 7,630

N11.1

Chronic obstructive pyelonephritis; Chronic pyelonephritis

associated with anomaly of [pelviureteric junction,

pyeloureteric junction, ureter]; Chronic pyelonephritis

associated with kinking of [pelviureteric junction,

pyeloureteric junction, ureter]; Chronic pyelonephritis

associated with stircture of[pelviureteric junction,

pyeloureteric junction, ureter]

PYELONEPHRITIS 10,900 3,270 7,630

N11.8Other chronic tubulo-interstitial nephritis; Nonobstructive

chronic pyelonephritis NOSPYELONEPHRITIS 10,900 3,270 7,630

D60.0 Chronic acquired pure red cell aplasia RED CELL APLASIA 7,300 2,190 5,110

D60.8 Other acquired pure red cell aplasias RED CELL APLASIA 7,300 2,190 5,110

D60.9 Acquired pure red cell aplasia, unspecified RED CELL APLASIA 7,300 2,190 5,110

N28.0

Ischaemia and infarction of kidney; Embolism of renal

artery; Obstruction of renal artery; Occlusion of renal

artery; Thrombosis of renal artery; Renal infarct

RENAL INFARCT 9,600 2,880 6,720

N15.1 Renal and perinephric abscess RENAL/BLADDER ABSCESS 13,900 4,170 9,730

N30.8 Other cystitis; Abscess of bladder RENAL/BLADDER ABSCESS 13,900 4,170 9,730

N34.0

Urethral abscess; Abscess of Cowper's gland; Abscess of

Littré's gland; Periurethral Abscess ; Abscess of urethral

gland

RENAL/BLADDER ABSCESS 13,900 4,170 9,730

J60Coalworker's pneumoconiosis; Anthracosilicosis;

Anthracosis; Coalworker's lung

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J61Pneumoconiosis due to asbestos and other mineral fibres;

Asbestosis

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J62.0 Pneumoconiosis due to talc dustRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J62.8Pneumoconiosis due to other dust containing silica; Silicosis

NOS

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J63.0 Aluminosis (of lung)RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J63.3 Graphite fibrosis (of lung)RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J63.4 SiderosisRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J63.8 Pneumoconiosis due to other specified inorganic dustsRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J64 Unspecified pneumoconiosisRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J65 Pneumoconiosis associated with tuberculosisRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J66.2 CannabinosisRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J66.8 Airway disease due to other specific organic dustsRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J67.0Farmer's lung; Harvester's lung; Haymaker's lung; Mouldy

hay disease

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J67.1 Bagassosis; Bagasse disease; Bagasse pneumonitisRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J67.5 Mushroom-worker's lungRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J67.7

Air-conditioner and humidifier lung; Allergic alveolitis due

to fungi, thermophilic actinomycetees and other organisms

growing in ventilation (air-conditioning) systems

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J67.8

Hypersensitivity pneumonitis due to other organic dusts;

Cheese-washer's lung; Coffee-worker's lung; Fishmeal-

worker's lung; Furrier's lung; Sequoiosis

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J67.9

Hypersensitivity pneumonitis due to unspecified organic

dust; Extrinsic allergic alveolitis NOS; Hypersensitivity

pneumonitis NOS

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J68.0Bronchitis and pneumonitis due to chemicals, gases, fumes

and vapours; Acute chemical bronchitis

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J68.1Acute pulmonary oedema due to chemicals, gases, fumes

and vapours; Acute Chemical pulmonary oedema

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J68.2Upper respiratory inflammation due to chemicals, gases,

fumes and vapours, not elsewhere classified

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J68.3

Other acute and subacute respiratory conditions due to

chemicals, gases, fumes and vapours; Reactive airways

dysfunction syndrome; Hyperactive airway disease

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

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FIRST CASE RATE

J68.4

Chronic respiratory conditions due to chemicals, gases,

fumes and vapours; Diffuse emphysema due to inhalation

of chemicals, gases, fumes and vapours; Chronic

emphysema due to inhalation of chemicals, gases, fumes

and vapours; Chronic obliterative bronchiolitis due to

inhalation of chemicals, gases, fumes and vapours;

Subacute obliterative bronchiolitis due to inhalation of

chemicals, gases, fumes and vapours; Chronic pulmonary

fibrosis due to inhalation of chemicals, gases, fumes and

vapours

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J68.8Other respiratory conditions due to chemicals, gases, fumes

and vapours

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J68.9Unspecified respiratory condition due to chemicals, gases,

fumes and vapours

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J69.0

Pneumonitis due to food and vomit; Aspiration pneumonia

due to NOS; Aspiration pneumonia due to regurgitated

food; Aspiration pneumonia due to gastric secretions;

Aspiration pneumonia due to milk; Aspiration pneumonia

due to vomit

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J69.1 Pneumonitis due to oils and essences; Lipid pneumoniaRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J69.8Pneumonitis due to other solids and liquids; Pneumonitis

due to aspiration of blood

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J70.0Acute pulmonary manifestations due to radiation;

Radiation pneumonitis

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J70.2 Acute drug-induced interstitial lung disordersRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J70.4 Drug-induced interstitial lung disorders, unspecifiedRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J70.8Respiratory conditions due to other specified external

agents

RESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J70.9 Respiratory conditions due to unspecified external agentRESPIRATORY CONDITIONS DUE TO EXTERNAL

AGENTS14,700 4,410 10,290

J96.0 Acute respiratory failure RESPIRATORY FAILURE 32,000 9,600 22,400

J96.1 Chronic respiratory failure RESPIRATORY FAILURE 32,000 9,600 22,400

J96.9 Respiratory failure, unspecified RESPIRATORY FAILURE 32,000 9,600 22,400

H34.1 Central retinal artery occlusion RETINAL VASCULAR OCCLUSION 7,700 2,310 5,390

H34.2

Other retinal artery occlusions; Hollenhorst's plaque;

Retinal artery occlusion; Retinal artery branch occlusion ;

Retinal artery partial occlusion; Retinal microembolism

RETINAL VASCULAR OCCLUSION 7,700 2,310 5,390

H34.8

Other retinal vascular occlusions; Retinal central vein

occlusion ; Retinal vein occlusion incipient; Retinal vein

occlusion partial; Retinal vein occlusion tributary

RETINAL VASCULAR OCCLUSION 7,700 2,310 5,390

H34.9 Retinal vascular occlusion, unspecified RETINAL VASCULAR OCCLUSION 7,700 2,310 5,390

I00Rheumatic fever without mention of heart involvement;

Arthritis, rheumatic, acute or subacute involvementRHEUMATIC FEVER 10,100 3,030 7,070

I01.0 Acute rheumatic pericarditis; Acute rheumatic pericarditis RHEUMATIC FEVER 10,100 3,030 7,070

I01.1 Acute rheumatic endocarditis; Acute rheumatic valvulitis RHEUMATIC FEVER 10,100 3,030 7,070

I01.2 Acute rheumatic myocarditis; RHEUMATIC FEVER 10,100 3,030 7,070

I01.8Other acute rheumatic heart disease; Acute rheumatic

pancarditisRHEUMATIC FEVER 10,100 3,030 7,070

I01.9

Acute rheumatic heart disease unspecified; Acute

rheumatic carditis; Active rheumatic heart disease; Acute

rheumatic heart disease

Rheumatic fever with heart involvement

RHEUMATIC FEVER 10,100 3,030 7,070

I02.0Rheumatic chorea with heart involvement; Chorea NOS

with heart involvementRHEUMATIC FEVER 10,100 3,030 7,070

I02.9Rheumatic chorea without heart involvement; Rheumatic

chorea NOSRHEUMATIC FEVER 10,100 3,030 7,070

I05.0 Mitral stenosis; Rheumatic mitral valve obstruction RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I05.1Rheumatic mitral insufficiency; Rheumatic mitral

incompetence; Rheumatic mitral regurgitationRHEUMATIC HEART DISEASE 12,800 3,840 8,960

I05.2Mitral stenosis with insufficiency; Mitral stenosis with

incompetence or regurgitationRHEUMATIC HEART DISEASE 12,800 3,840 8,960

I05.8 Other mitral valve diseases; Mitral valve failure RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I05.9Mitral valve disease unspecified; Chronic mitral valve

disorder NOSRHEUMATIC HEART DISEASE 12,800 3,840 8,960

I06.0Rheumatic aortic stenosis; Rheumatic aortic valve

obstructionRHEUMATIC HEART DISEASE 12,800 3,840 8,960

I06.1Rheumatic aortic insufficiency; Rheumatic aortic

incompetence; Rheumatic aortic regurgitationRHEUMATIC HEART DISEASE 12,800 3,840 8,960

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FIRST CASE RATE

I06.2Rheumatic aortic stenosis with insufficiency; Rheumatic

aortic stenosis with incompetence or regurgitationRHEUMATIC HEART DISEASE 12,800 3,840 8,960

I06.8 Other rheumatic aortic valve diseases RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I06.9Rheumatic aortic valve disease unspecified; Rheumatic

aortic valve disease NOSRHEUMATIC HEART DISEASE 12,800 3,840 8,960

I07.0 Tricuspid stenosis; Rheumatic tricuspid valve stenosis RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I07.1Tricuspid insufficiency; Rheumatic tricuspid valve

insufficiencyRHEUMATIC HEART DISEASE 12,800 3,840 8,960

I07.9Tricuspid valve disease unspecified; Tricuspid valve disorder

NOSRHEUMATIC HEART DISEASE 12,800 3,840 8,960

I08.0

Disorders of both mitral and aortic valves; Involvement of

both mitral and aortic valves whether specified as

rheumatic or of unspecified origin

RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I08.1 Disorders of both mitral and tricuspid valves RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I08.2 Disorders of both aortic and tricuspid valves RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I08.3 Combined disorders of mitral aortic and tricuspid valves RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I08.8 Other multiple valve diseases RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I08.9 Multiple valve disease, unspecified RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I09.0 Rheumatic myocarditis RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I09.1

Rheumatic diseases of endocardium, valve unspecified;

Chronic rheumatic endocarditis; Chronic rheumatic

valvulitis

RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I09.2

Chronic rheumatic pericarditis; Rheumatic adherent

pericardium; Chronic rheumatic mediastinopericarditis;

Chronic rheumatic myopericarditis

RHEUMATIC HEART DISEASE 12,800 3,840 8,960

I09.8Other specified rheumatic heart diseases; Rheumatic

disease of pulmonary valveRHEUMATIC HEART DISEASE 12,800 3,840 8,960

A75.0

Epidemic louse-borne typhus fever due to Rickettsia

prowazekii; Classical typhus fever;

Epidemic louse-borne typhus

RICKETTSIOSES 7,000 2,100 4,900

A75.9 Typhus fever, unspecified RICKETTSIOSES 7,000 2,100 4,900

A77.0Spotted fever due to Rickettsia rickettsii; Rocky Mountain

spotted fever; Sao Paulo feverRICKETTSIOSES 7,000 2,100 4,900

A79.0 Trench fever ; Quintan fever; Wolhynian fever RICKETTSIOSES 7,000 2,100 4,900

A79.9 Rickettsiosis, unspecified; Rickettsial infection NOS RICKETTSIOSES 7,000 2,100 4,900

U04.9 Severe Acute Respiratory Syndrome (SARS) SARS

A38 Scarlet fever; Scarlatina SCARLET FEVER 8,300 2,490 5,810

A40.0 Sepsis due to streptococcus, group A SEPSIS 32,000 9,600 22,400

A40.1 Sepsis due to streptococcus, group B SEPSIS 32,000 9,600 22,400

A40.3Sepsis due to Streptococcus pneumoniae; Pneumococcal

septicaemiaSEPSIS 32,000 9,600 22,400

A40.8 Other streptococcal sepsis SEPSIS 32,000 9,600 22,400

A40.9 Streptococcal septicaemia, unspecified SEPSIS 32,000 9,600 22,400

A41.0 Sepsis due to Staphylococcus aureus SEPSIS 32,000 9,600 22,400

A41.1Sepsis due to other specified staphylococcus; Sepsis due

to coagulase-negative staphylococcusSEPSIS 32,000 9,600 22,400

A41.2 Sepsis due to unspecified staphylococcus SEPSIS 32,000 9,600 22,400

A41.3 Sepsis due to Haemophilus influenzae SEPSIS 32,000 9,600 22,400

A41.4 Sepsis due to anaerobes SEPSIS 32,000 9,600 22,400

A41.5Sepsis due to other Gram-negative organisms; Gram-

negative septicaemia NOSSEPSIS 32,000 9,600 22,400

A41.8 Other specified septicaemia SEPSIS 32,000 9,600 22,400

A41.9 Sepsis , unspecified; Septic shock SEPSIS 32,000 9,600 22,400

A48.3 Toxic shock syndrome SEPSIS 32,000 9,600 22,400

I69.0 Sequelae of subarachnoid haemorrhage SEQUELAE OF CEREBROVASCULAR DISEASES 10,300 3,090 7,210

I69.1 Sequelae of intracerebral haemorrhage SEQUELAE OF CEREBROVASCULAR DISEASES 10,300 3,090 7,210

I69.2 Sequelae of other nontraumatic intracranial haemorrhage SEQUELAE OF CEREBROVASCULAR DISEASES 10,300 3,090 7,210

I69.3 Sequelae of cerebral infarction SEQUELAE OF CEREBROVASCULAR DISEASES 10,300 3,090 7,210

I69.4Sequelae of stroke, not specified as haemorrhage or

infarctionSEQUELAE OF CEREBROVASCULAR DISEASES 10,300 3,090 7,210

I69.8 Sequelae of other and unspecified cerebrovascular diseases SEQUELAE OF CEREBROVASCULAR DISEASES 10,300 3,090 7,210

B90.0 Sequelae of central nervous system tuberculosisSEQUELAE OF INFECTIOUS AND PARASITIC

DISEASES10,700 3,210 7,490

B90.8 Sequelae of tuberculosis of other organsSEQUELAE OF INFECTIOUS AND PARASITIC

DISEASES10,700 3,210 7,490

B90.9Sequelae of respiratory and unspecified tuberculosis;

sequelae of tuberculosis NOS

SEQUELAE OF INFECTIOUS AND PARASITIC

DISEASES10,700 3,210 7,490

B94.1 Sequelae of viral encephalitisSEQUELAE OF INFECTIOUS AND PARASITIC

DISEASES10,700 3,210 7,490

B94.2 Sequelae of viral hepatitisSEQUELAE OF INFECTIOUS AND PARASITIC

DISEASES10,700 3,210 7,490

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

B94.8 Sequelae of other specified infectious and parasitic diseasesSEQUELAE OF INFECTIOUS AND PARASITIC

DISEASES10,700 3,210 7,490

B94.9 Sequelae of unspecified infectious or parasitic diseaseSEQUELAE OF INFECTIOUS AND PARASITIC

DISEASES10,700 3,210 7,490

G09Sequelae of inflammatory diseases of central nervous

system

SEQUELAE OF INFLAMMATORY DISEASE OF THE

CENTRAL NERVOUS SYSTEM8,000 2,400 5,600

E64.8 Sequelae of other nutritional deficiencies SEQUELAE OF NUTRITIONAL DEFICIENCIES 8,800 2,640 6,160

T90.0 Sequelae of superficial injury of head SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T90.1 Sequelae of open wound of head SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T90.2 Sequelae of fracture of skull and facial bones SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T90.5 Sequelae of intra cranial injury SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T90.8 Sequelae of other specified injuries of head SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T90.9 Sequelae of unspecified injury of head SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T91.0Sequelae of superficial injury and open wound of neck and

trunkSEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T91.1 Sequelae of fracture of spine SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T91.2 Sequelae of other fracture of thorax and pelvis SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T91.3 Sequelae of injury of spinal cord SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T92.0 Sequelae of open wound of upper limb SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T92.1 Sequelae of fracture of arm SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T92.8 Sequelae of other specified injuries of upper limb SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T93.0 Sequelae of open wound of lower limb SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T93.1 Sequelae of fracture of femur SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T93.2 Sequelae of other fractures of lower limb SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T93.3 Sequelae of dislocation sprain and strain of lower limb SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T93.8 Sequelae of other specified injuries of lower limb SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T94.0 Sequelae of injuries involving multiple body regions SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T94.1 Sequelae of injuries, not specified by body regions SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T95.0 Sequelae of burn, corrosion and frostbite of head and neck SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T95.2 Sequelae of burn, corrosion and frostbite of upper limb SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T95.3 Sequelae of burn, corrosion and frostbite of lower limb SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T95.8 Sequelae of other specified burn corrosion and frostbite SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T95.9 Sequelae of unspecified burn, corrosion and frostbite SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

T98.2 Sequelae of certain early complications of trauma SEQUELAE OF TRAUMA INJURIES 8,500 2,550 5,950

R57.0 Cardiogenic shock SHOCK 32,000 9,600 22,400

R57.1 Hypovolaemic shock SHOCK 32,000 9,600 22,400

R57.8 Other shock; Endotoxic shock SHOCK 32,000 9,600 22,400

R57.9 Shock, unspecified; Failure of peripheral circulation NOS SHOCK 32,000 9,600 22,400

T88.2Shock due to anaesthesia; Shock due to anaesthesia in

which the correct sustance was properly administeredSHOCK 32,000 9,600 22,400

Q89.3

Situs inversus; Dextrocardia with situs inversus; Mirror-

image atrial arrangement with situs inversus; Situs inversus

or transverses abdominalis; Situs inversus or transversus

thoracis; Transposition of abdominal viscera; Transposition

of thoracic visce

SITUS INVERSUS 6,700 2,010 4,690

S02.0Fracture o f vault of skull; Fracture of Frontal bone;

Fracture of Parietal boneSKULL FRACTURES 10,700 3,210 7,490

S02.00Closed fracture o f vault of skull; Fracture of Frontal bone;

Fracture of Parietal bone SKULL FRACTURES 10,700 3,210 7,490

S02.01Open fracture o f vault of skull; Fracture of Frontal bone;

Fracture of Parietal bone SKULL FRACTURES 10,700 3,210 7,490

S02.1

Fracture of base of skull: Fracture of anterior fossa, middle

fossa, posterior fossa; Fracture of Occiput; Fracture of

orbital roof; Fracture of ethmoid sinus & frontal sinus;

Fracture of Sphenoid; Fracture of temporal bone

SKULL FRACTURES 10,700 3,210 7,490

S02.10

Closed fracture of base of skull; fracture of anterior fossa;

fracture of middle fossa; fracture of posterior fossa;

fracture of occiput; fracture of orbital roof; fracture of

ethmoid sinus; fracture of frontal sinus; fracture of

sphenoid; fracture of temporal bone

SKULL FRACTURES 10,700 3,210 7,490

S02.11

Opem fracture of base of skull; fracture of anterior fossa;

fracture of middle fossa; fracture of posterior fossa;

fracture of occiput; fracture of orbital roof; fracture of

ethmoid sinus; fracture of frontal sinus; fracture of

sphenoid; fracture of temporal bone

SKULL FRACTURES 10,700 3,210 7,490

S02.20 closed fracture of nasal bones SKULL FRACTURES 10,700 3,210 7,490

S02.21 open fracture of nasal bones SKULL FRACTURES 10,700 3,210 7,490

S02.30 Closed fracture of orbital floor SKULL FRACTURES 10,700 3,210 7,490

S02.31 Open fracture of orbital floor SKULL FRACTURES 10,700 3,210 7,490

S02.40Closed Fracture of malar and maxillary bones; superior

maxilla; upper jaw (bone); zygomaSKULL FRACTURES 10,700 3,210 7,490

S02.41Open Fracture of malar and maxillary bones; superior

maxilla; upper jaw (bone); zygomaSKULL FRACTURES 10,700 3,210 7,490

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

S02.50 Closed Fracture of tooth SKULL FRACTURES 10,700 3,210 7,490

S02.60 Closed Fracture of mandible SKULL FRACTURES 10,700 3,210 7,490

S02.61 Open Fracture of mandible SKULL FRACTURES 10,700 3,210 7,490

S02.70 Closed Multiple fractures involving skull and facial bones SKULL FRACTURES 10,700 3,210 7,490

S02.71 Open Multiple fractures involving skull and facial bones SKULL FRACTURES 10,700 3,210 7,490

S02.80closed Fractures of other skull and facial bones including

Alveolus, Orbit NOS, PalateSKULL FRACTURES 10,700 3,210 7,490

S02.81open Fractures of other skull and facial bones including

Alveolus, Orbit NOS, PalateSKULL FRACTURES 10,700 3,210 7,490

S02.90 Closed Fracture of skull and facial bones, part unspecified SKULL FRACTURES 10,700 3,210 7,490

S02.91 Open Fracture of skull and facial bones, part unspecified SKULL FRACTURES 10,700 3,210 7,490

G47.3Sleep apnoea; Central sleep apnoea; obstructive sleep

apnoea, SLEEP APNEA 10,800 3,240 7,560

M43.0 Spondylolysis SPONDYLOPATHIES 8,300 2,490 5,810

M43.1 Spondylolisthesis SPONDYLOPATHIES 8,300 2,490 5,810

M43.2 Other fusion of spine; Ankylosis of spinal joint SPONDYLOPATHIES 8,300 2,490 5,810

M43.5 Other recurrent vertebral subluxation SPONDYLOPATHIES 8,300 2,490 5,810

M43.6 Torticollis SPONDYLOPATHIES 8,300 2,490 5,810

M45 Ankylosing spondylitis; Rheumatoid arthritis of spine SPONDYLOPATHIES 8,300 2,490 5,810

M46.0Spinal enthesopathy; Disorder of ligamentous or muscular

attachments of spine SPONDYLOPATHIES 8,300 2,490 5,810

M46.1 Sacroiliitis, not elsewhere classified SPONDYLOPATHIES 8,300 2,490 5,810

M46.16 Sacroiliitis, not elsewhere classified lumbar region SPONDYLOPATHIES 8,300 2,490 5,810

M46.19 Sacroiliitis, not elsewhere classified site unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M46.2 Osteomyelitis of vertebra SPONDYLOPATHIES 8,300 2,490 5,810

M46.28 Osteomyelitis of vertebra sacral and sacrococcygeal region SPONDYLOPATHIES 8,300 2,490 5,810

M46.29 Osteomyelitis of vertebra site unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M46.3 Infection of intervertebral disc (pyogenic) SPONDYLOPATHIES 8,300 2,490 5,810

M46.36 Infection of intervertebral disc (pyogenic) lumbar region SPONDYLOPATHIES 8,300 2,490 5,810

M46.4 Discitis, unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M46.46 Discitis, unspecified lumbar region SPONDYLOPATHIES 8,300 2,490 5,810

M46.47 Discitis, unspecified lumbosacral region SPONDYLOPATHIES 8,300 2,490 5,810

M46.49 Discitis, unspecified site unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M46.5 Other infective spondylopathies SPONDYLOPATHIES 8,300 2,490 5,810

M46.8 Other specified inflammatory spondylopathies SPONDYLOPATHIES 8,300 2,490 5,810

M46.87Other specified inflammatory spondylopathies lumbosacral

regionSPONDYLOPATHIES 8,300 2,490 5,810

M46.9 Inflammatory spondylopathy, unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M46.92 Inflammatory spondylopathy, unspecified cervical region SPONDYLOPATHIES 8,300 2,490 5,810

M46.97Inflammatory spondylopathy, unspecified lumbosacral

regionSPONDYLOPATHIES 8,300 2,490 5,810

M46.98Inflammatory spondylopathy, unspecified sacral and

sacrococcygeal regionSPONDYLOPATHIES 8,300 2,490 5,810

M46.99 Inflammatory spondylopathy, unspecified site unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M47.1 Other spondylosis with myelopathy SPONDYLOPATHIES 8,300 2,490 5,810

M47.1+G99.2* Myelopathy in Other spondylosis with myelopathy SPONDYLOPATHIES 8,300 2,490 5,810

M47.2 Other spondylosis with radiculopathy SPONDYLOPATHIES 8,300 2,490 5,810

M47.20Other spondylosis with radiculopathy Multiple sites in

spineSPONDYLOPATHIES 8,300 2,490 5,810

M47.22 Other spondylosis with radiculopathy cervical region SPONDYLOPATHIES 8,300 2,490 5,810

M47.26 Other spondylosis with radiculopathy lumbar region SPONDYLOPATHIES 8,300 2,490 5,810

M47.27 Other spondylosis with radiculopathy lumbosacral region SPONDYLOPATHIES 8,300 2,490 5,810

M47.29 Other spondylosis with radiculopathy site unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M47.8

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy

SPONDYLOPATHIES 8,300 2,490 5,810

M47.80

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy Multiple sites in spine

SPONDYLOPATHIES 8,300 2,490 5,810

M47.81

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy occipito-atlanto-axial region

SPONDYLOPATHIES 8,300 2,490 5,810

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M47.82

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy cervical region

SPONDYLOPATHIES 8,300 2,490 5,810

M47.83

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy cervicothoracic region

SPONDYLOPATHIES 8,300 2,490 5,810

M47.84

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy thoracic region

SPONDYLOPATHIES 8,300 2,490 5,810

M47.85

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy thoracolumbar region

SPONDYLOPATHIES 8,300 2,490 5,810

M47.86

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy lumbar region

SPONDYLOPATHIES 8,300 2,490 5,810

M47.87

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy lumbosacral region

SPONDYLOPATHIES 8,300 2,490 5,810

M47.88

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy sacral and sacrococcygeal region

SPONDYLOPATHIES 8,300 2,490 5,810

M47.89

Cervical spondylosis without myelopathy or radiculopathy;

Lumbosacral spondylosis without myelopathy or

radiculopathy; Thoracic spondylosis without myelopathy or

radiculopathy site unspecified

SPONDYLOPATHIES 8,300 2,490 5,810

M47.9 Spondylosis, unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M47.90 Spondylosis, unspecified Multiple sites in spine SPONDYLOPATHIES 8,300 2,490 5,810

M47.92 Spondylosis, unspecified cervical region SPONDYLOPATHIES 8,300 2,490 5,810

M47.94 Spondylosis, unspecified thoracic region SPONDYLOPATHIES 8,300 2,490 5,810

M47.95 Spondylosis, unspecified thoracolumbar region SPONDYLOPATHIES 8,300 2,490 5,810

M47.96 Spondylosis, unspecified lumbar region SPONDYLOPATHIES 8,300 2,490 5,810

M47.97 Spondylosis, unspecified lumbosacral region SPONDYLOPATHIES 8,300 2,490 5,810

M47.99 Spondylosis, unspecified site unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M48.0 Spinal stenosis; Caudal stenosis SPONDYLOPATHIES 8,300 2,490 5,810

M48.00 Spinal stenosis; Caudal stenosis Multiple sites in spine SPONDYLOPATHIES 8,300 2,490 5,810

M48.02 Spinal stenosis; Caudal stenosis cervical region SPONDYLOPATHIES 8,300 2,490 5,810

M48.03 Spinal stenosis; Caudal stenosis cervicothoracic region SPONDYLOPATHIES 8,300 2,490 5,810

M48.04 Spinal stenosis; Caudal stenosis thoracic region SPONDYLOPATHIES 8,300 2,490 5,810

M48.05 Spinal stenosis; Caudal stenosis thoracolumbar region SPONDYLOPATHIES 8,300 2,490 5,810

M48.06 Spinal stenosis; Caudal stenosis lumbar region SPONDYLOPATHIES 8,300 2,490 5,810

M48.07 Spinal stenosis; Caudal stenosis lumbosacral region SPONDYLOPATHIES 8,300 2,490 5,810

M48.08Spinal stenosis; Caudal stenosis sacral and sacrococcygeal

regionSPONDYLOPATHIES 8,300 2,490 5,810

M48.09 Spinal stenosis; Caudal stenosis site unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M48.1Ankylosing hyperostosis [Forestier]; Diffuse idiopathic

skeletal hyperostosis [DISH]SPONDYLOPATHIES 8,300 2,490 5,810

M48.16Ankylosing hyperostosis [Forestier]; Diffuse idiopathic

skeletal hyperostosis [DISH] lumbar regionSPONDYLOPATHIES 8,300 2,490 5,810

M48.2 Kissing spine SPONDYLOPATHIES 8,300 2,490 5,810

M48.3 Traumatic spondylopathy SPONDYLOPATHIES 8,300 2,490 5,810

M48.32 Traumatic spondylopathy cervical region SPONDYLOPATHIES 8,300 2,490 5,810

M48.4 Fatigue fracture of vertebra; Stress fracture of vertebra SPONDYLOPATHIES 8,300 2,490 5,810

M48.5Collapsed vertebra, not elsewhere classified; Collapsed

vertebra NOS; Wedging of vertebra NOSSPONDYLOPATHIES 8,300 2,490 5,810

M48.54Collapsed vertebra NOS; Wedging of vertebra NOS thoracic

regionSPONDYLOPATHIES 8,300 2,490 5,810

M48.56Collapsed vertebra NOS; Wedging of vertebra NOS lumbar

regionSPONDYLOPATHIES 8,300 2,490 5,810

M48.57Collapsed vertebra NOS; Wedging of vertebra NOS

lumbosacral regionSPONDYLOPATHIES 8,300 2,490 5,810

M48.8Other specified spondylopathies; Ossification of posterior

longitudinal ligamentSPONDYLOPATHIES 8,300 2,490 5,810

M48.80Ossification of posterior longitudinal ligament Multiple sites

in spineSPONDYLOPATHIES 8,300 2,490 5,810

M48.85Ossification of posterior longitudinal ligament

thoracolumbar regionSPONDYLOPATHIES 8,300 2,490 5,810

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

M48.86Ossification of posterior longitudinal ligament lumbar

regionSPONDYLOPATHIES 8,300 2,490 5,810

M48.89Ossification of posterior longitudinal ligament site

unspecifiedSPONDYLOPATHIES 8,300 2,490 5,810

M48.9 Spondylopathy, unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M48.92 Spondylopathy, unspecified cervical region SPONDYLOPATHIES 8,300 2,490 5,810

M48.95 Spondylopathy, unspecified thoracolumbar region SPONDYLOPATHIES 8,300 2,490 5,810

M48.96 Spondylopathy, unspecified lumbar region SPONDYLOPATHIES 8,300 2,490 5,810

M48.98Spondylopathy, unspecified sacral and sacrococcygeal

regionSPONDYLOPATHIES 8,300 2,490 5,810

M48.99 Spondylopathy, unspecified site unspecified SPONDYLOPATHIES 8,300 2,490 5,810

M49.0* Tuberculosis of spine; Pott's curvature SPONDYLOPATHIES 8,300 2,490 5,810

M49.8* Spondylopathy in other diseases classified elsewhere SPONDYLOPATHIES 8,300 2,490 5,810

L00Staphylococcal scalded skin syndrome; Pemphigus

neonatorum; Ritter's diseaseSTAPHYLOCCOCAL SCALDED SKIN SYNDROME 10,200 3,060 7,140

G41.0 Grand mal status epilepticus; Tonic-clonic status epilepticus STATUS EPILEPTICUS 15,600 4,680 10,920

G41.1 Petit mal status epilepticus; Epileptic absence status STATUS EPILEPTICUS 15,600 4,680 10,920

G41.2 Complex partial status epilepticus STATUS EPILEPTICUS 15,600 4,680 10,920

G41.8 Other status epilepticus STATUS EPILEPTICUS 15,600 4,680 10,920

G41.9 Status epilepticus, unspecified STATUS EPILEPTICUS 15,600 4,680 10,920

L51.1 Bullous erythema multiforme; Stevens-Johnson syndrome STEVEN JOHNSONS SYNDROME 12,300 3,690 8,610

I60.0Subarachnoid haemorrhage from carotid siphon and

bifurcationSTROKE - HEMORRHAGIC 38,000 11,400 26,600

I60.1 Subarachnoid haemorrhage from middle cerebral artery STROKE - HEMORRHAGIC 38,000 11,400 26,600

I60.2Subarachnoid haemorrhage from anterior communicating

arterySTROKE - HEMORRHAGIC 38,000 11,400 26,600

I60.3Subarachnoid haemorrhage from posterior communicating

arterySTROKE - HEMORRHAGIC 38,000 11,400 26,600

I60.4 Subarachnoid haemorrhage from basilar artery STROKE - HEMORRHAGIC 38,000 11,400 26,600

I60.5 Subarachnoid haemorrhage from vertebral artery STROKE - HEMORRHAGIC 38,000 11,400 26,600

I60.6Subarachnoid haemorrhage from other intracranial

arteries; Multiple involvement of intracranial arteriesSTROKE - HEMORRHAGIC 38,000 11,400 26,600

I60.7

Subarachnoid haemorrhage from intracranial artery,

unspecified; Congenital ruptured berry aneurysm NOS;

Subarachnoid haemorrhage from cerebral artery NOS;

Subarachnoid haemorrhage from communicating artery

NOS

STROKE - HEMORRHAGIC 38,000 11,400 26,600

I60.8

Other subarachnoid haemorrhage; Meningeal

haemorrhage; Rupture of cerebral arteriovenous

malformation

STROKE - HEMORRHAGIC 38,000 11,400 26,600

I60.9Subarachnoid haemorrhage, unspecified; Congenital

ruptured cerebral aneurysm NOSSTROKE - HEMORRHAGIC 38,000 11,400 26,600

I61.0Intracerebral haemorrhage in hemisphere, subcortical;

Deep intracerebral haemorrhageSTROKE - HEMORRHAGIC 38,000 11,400 26,600

I61.1

Intracerebral haemorrhage in hemisphere, cortical;

Cerebral lobe haemorrhage; Superficial intracerebral

haemorrhage

STROKE - HEMORRHAGIC 38,000 11,400 26,600

I61.2 Intracerebral haemorrhage in hemisphere, unspecified STROKE - HEMORRHAGIC 38,000 11,400 26,600

I61.3 Intracerebral haemorrhage in brain stem STROKE - HEMORRHAGIC 38,000 11,400 26,600

I61.4 Intracerebral haemorrhage in cerebellum STROKE - HEMORRHAGIC 38,000 11,400 26,600

I61.5 Intracerebral haemorrhage, intraventricular STROKE - HEMORRHAGIC 38,000 11,400 26,600

I61.6 Intracerebral haemorrhage, multiple localized STROKE - HEMORRHAGIC 38,000 11,400 26,600

I61.8 Other intracerebral haemorrhage STROKE - HEMORRHAGIC 38,000 11,400 26,600

I61.9Intracerebral haemorrhage, unspecified

Cerebrovascular Accident hemorrhage STROKE - HEMORRHAGIC 38,000 11,400 26,600

I62.0Acute Subdural haemorrhage; Nontraumatic Subdural

haemorrhageSTROKE - HEMORRHAGIC 38,000 11,400 26,600

I62.1Nontraumatic extradural haemorrhage; Nontraumatic

epidural haemorrhageSTROKE - HEMORRHAGIC 38,000 11,400 26,600

I62.9 Intracranial haemorrhage (nontraumatic), unspecified STROKE - HEMORRHAGIC 38,000 11,400 26,600

I63.0Cerebral infarction due to thrombosis of precerebral

arteriesSTROKE - INFARCTION 28,000 8,400 19,600

I63.1 Cerebral infarction due to embolism of precerebral arteries STROKE - INFARCTION 28,000 8,400 19,600

I63.2Cerebral infarction due to unspecified occlusion or stenosis

of precerebral arteriesSTROKE - INFARCTION 28,000 8,400 19,600

I63.3Cerebral infarction due to thrombosis of cerebral arteries

Cerebrovascular disease (CVD), thrombotic infarctSTROKE - INFARCTION 28,000 8,400 19,600

I63.4 Cerebral infarction due to embolism of cerebral arteries STROKE - INFARCTION 28,000 8,400 19,600

I63.5Cerebral infarction due to unspecified occlusion or stenosis

of cerebral arteriesSTROKE - INFARCTION 28,000 8,400 19,600

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

I63.6Cerebral infarction due to cerebral venous thrombosis,

nonpyogenicSTROKE - INFARCTION 28,000 8,400 19,600

I63.8 Other cerebral infarction STROKE - INFARCTION 28,000 8,400 19,600

I63.9

Cerebral infarction, unspecified

Reversible Ischemic Neurologic Deficit (RIND)

CVA with infarction

STROKE - INFARCTION 28,000 8,400 19,600

I63.9+G46.7* Other lacunar syndrome in unspecified cerebral infarction STROKE - INFARCTION 28,000 8,400 19,600

I64

Stroke, not specified as hemorrhage or infarction;

Cerebrovascular Accident (CVA)

Cardioembolic CVA

STROKE - INFARCTION 28,000 8,400 19,600

G10 Huntington's disease; Huntington's choreaSYSTEMIC ATROPHIES INVOLVING CENTRAL

NERVOUS SYSTEM10,400 3,120 7,280

G11.0 Congenital nonprogressive ataxiaSYSTEMIC ATROPHIES INVOLVING CENTRAL

NERVOUS SYSTEM10,400 3,120 7,280

G11.1

Early-onset cerebellar ataxia including Early-onset

cerebellar ataxia with essential tremor; Early-onset

cerebellar ataxia with myoclonus [Hunt's ataxia]; Early-

onset cerebellar ataxia with retained tendon reflexes;

Friedreich's ataxia (autosomal recessiv

SYSTEMIC ATROPHIES INVOLVING CENTRAL

NERVOUS SYSTEM10,400 3,120 7,280

G11.3Cerebellar ataxia with defective DNA repair; Ataxia

telangiectasia [Louis-Bar]

SYSTEMIC ATROPHIES INVOLVING CENTRAL

NERVOUS SYSTEM10,400 3,120 7,280

G11.9

Hereditary ataxia, unspecified; Hereditary cerebellar ataxia

NOS; Hereditary cerebellar degeneration; Hereditary

cerebellar disease; Hereditary cerebellar syndrome

SYSTEMIC ATROPHIES INVOLVING CENTRAL

NERVOUS SYSTEM10,400 3,120 7,280

G12.0 Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]SYSTEMIC ATROPHIES INVOLVING CENTRAL

NERVOUS SYSTEM10,400 3,120 7,280

G12.1

Other inherited spinal muscular atrophy; Progressive bulbar

palsy of childhood [Fazio-Londe]; Spinal muscular atrophy

adult form;

Spinal muscular atrophy childhood form, type II; Spinal

muscular atrophy distal; Spinal muscular atrophy juvenile

form, type III [Kugelberg-FWelander]; Spinal muscular

atrophy scapuloperoneal form

SYSTEMIC ATROPHIES INVOLVING CENTRAL

NERVOUS SYSTEM10,400 3,120 7,280

G12.2

Motor neuron disease; Familial motor neuron disease;

AmyotrophicLateral sclerosis; Primary Lateral sclerosis ;

Progressive bulbar palsy; Progressive spinal muscular

atrophy

SYSTEMIC ATROPHIES INVOLVING CENTRAL

NERVOUS SYSTEM10,400 3,120 7,280

G12.9 Spinal muscular atrophy, unspecifiedSYSTEMIC ATROPHIES INVOLVING CENTRAL

NERVOUS SYSTEM10,400 3,120 7,280

G20

Parkinson's disease; Hemiparkinsonism; Paralysis agitans;

Parkinsonism or Parkinson's disease NOS; Idiopathic

Parkinsonism or Parkinson's disease; Primary Parkinsonism

or Parkinson's disease

SYSTEMIC ATROPHIES INVOLVING CENTRAL

NERVOUS SYSTEM10,400 3,120 7,280

L93.0 Discoid lupus erythematosus; Lupus erythematosus NOS SYSTEMIC LUPUS ERYTHEMATOSUS 11,900 3,570 8,330

L93.1 Subacute cutaneous lupus erythematosus SYSTEMIC LUPUS ERYTHEMATOSUS 11,900 3,570 8,330

L93.2Other local lupus erythematosus; Lupus erymatosus

profundus; Lupus panniculitisSYSTEMIC LUPUS ERYTHEMATOSUS 11,900 3,570 8,330

M32.0 Drug-induced systemic lupus erythematosus SYSTEMIC LUPUS ERYTHEMATOSUS 11,900 3,570 8,330

M32.8 Other forms of systemic lupus erythematosus SYSTEMIC LUPUS ERYTHEMATOSUS 11,900 3,570 8,330

M32.9 Systemic lupus erythematosus, unspecified SYSTEMIC LUPUS ERYTHEMATOSUS 11,900 3,570 8,330

A33 Tetanus neonatorum TETANUS 16,500 4,950 11,550

A34 Obstetrical tetanus TETANUS 16,500 4,950 11,550

A35 Other tetanus; Tetanus NOS TETANUS 16,500 4,950 11,550

R29.0 Tetany; Carpopedal spasm TETANUS 16,500 4,950 11,550

D56.0 Alpha thalassaemia THALASSEMIA 5,600 1,680 3,920

D56.1

Beta thalassaemia; Cooley's anaemia; Severe beta

thalassaemia; Sickle-cell bet thalassaemia; Thalassaemia

intermedia; Thalassaemia major;

THALASSEMIA 5,600 1,680 3,920

D56.2 Delta-beta thalassaemia THALASSEMIA 5,600 1,680 3,920

D56.3 Thalassaemia trait THALASSEMIA 5,600 1,680 3,920

D56.4 Hereditary persistence of fetal haemoglobin [HPFH] THALASSEMIA 5,600 1,680 3,920

D56.8 Other thalassaemias THALASSEMIA 5,600 1,680 3,920

L51.2 Toxic epidermal necrolysis [Lyell] TOXIC EPIDERMAL NECROLYSIS 15,900 4,770 11,130

G45.0 Vertebro-basilar artery syndrome TRANSIENT CEREBRAL ISCHEMIC ATTACKS 7,300 2,190 5,110

G45.1 Carotid artery syndrome (Hemispheric) TRANSIENT CEREBRAL ISCHEMIC ATTACKS 7,300 2,190 5,110

G45.2 Multiple and bilateral precerebral artery syndromes TRANSIENT CEREBRAL ISCHEMIC ATTACKS 7,300 2,190 5,110

G45.3 Amaurosis fugax TRANSIENT CEREBRAL ISCHEMIC ATTACKS 7,300 2,190 5,110

G45.4 Transient global amnesia TRANSIENT CEREBRAL ISCHEMIC ATTACKS 7,300 2,190 5,110

G45.8Other transient cerebral ischaemic attacks and related

syndromesTRANSIENT CEREBRAL ISCHEMIC ATTACKS 7,300 2,190 5,110

G45.9Transient cerebral ischaemic attack, unspecified; Spasm of

cerebral artery; Transient cerebral ischaemia NOSTRANSIENT CEREBRAL ISCHEMIC ATTACKS 7,300 2,190 5,110

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

P10.0Subdural haemorrhage due to birth injury; Subdural

haematoma (localized) due to birth injuryTRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P10.1 Cerebral haemorrhage due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P10.2 Intraventricular haemorrhage due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P10.3 Subarachnoid haemorrhage due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P10.4 Tentorial tear due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P10.9Unspecified intracranial laceration and haemorrhage due to

birth injuryTRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P11.1 Other specified brain damage due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P11.2 Unspecified brain damage due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P11.9 Birth injury to central nervous system, unspecified TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P12.0 Cephalhaematoma due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P12.3 Bruising of scalp due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P12.8 Other birth injuries to scalp TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P12.9 Birth injury to scalp, unspecified TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P13.2 Birth injury to femur TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P13.4 Fracture of clavicle due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P13.8 Birth injuries to other parts of skeleton TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P13.9 Birth injury to skeleton, unspecified TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P14.0 Erb's paralysis due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P14.3 Other brachial plexus birth injuries TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P15.4 Birth injury to face; Facial congestion due to birth injury TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P15.5 Birth injury to external genitalia TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P15.8 Other specified birth injuries TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

P15.9 Birth injury, unspecified TRAUMA RELATED TO BIRTH PROCESS 13,800 4,140 9,660

A15.4

Tuberculosis of intrathoracic lymph nodes, confirmed

bacteriologically & histologicaly; Tuberculosis of hilar

lymph nodes, confirmed bacteriologically & histologicaly;

Tuberculosis of mediastinal lymph nodes, confirmed

bacteriologically & histologicaly; Tuberculosis of

tracheobronchial lymph nodes, confirmed bacteriologically

& histologicaly

TUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

A15.5

Tuberculosis of larynx, trachea and bronchus, confirmed

bacteriologically

and histologically; Tuberculosis of bronchus confirmed

bacteriologically and histologically; Tuberculosis of glottis

confirmed bacteriologically and histologically; Tuberculosis

of larynx confirmed bacteriologically and histologically;

Tuberculosis of trachea, confirmed bacteriologically and

histologically

TUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

A15.6

Tuberculous pleurisy, confirmed bacteriologically and

histologically; Tuberculosis of pleura, confirmed

bacteriologically and histologically; Tuberculous empyema,

confirmed bacteriologically & histologically

TUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

A15.8

Other respiratory tuberculosis, confirmed bacteriologically

and histologically; Mediastinal tuberculosis, confirmed

bacteriologically and histologically; Nasopharyngeal

tuberculosis, confirmed bacteriologically and histologically;

Tuberculosis of nose confirmed bacteriologically and

histologically; Tuberculosis of sinus (any nasal) confirmed

bacteriologically and histologically

TUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

A16.3

Tuberculosis of intrathoracic lymph nodes, without

mention of bacteriological or histological confirmation;

Tuberculosis of hillar lymph nodes NOS (without mention

of bacteriological or histological confirmation);

Tuberculosis of intrathoracic lymph nodes NOS (without

mention of bacteriological or histological confirmation);

Tuberculosis of mediastinal lymp nodes NOS (without

mention of bacteriological or histological confirmation);

Tuberculosis of tracheobronchial lymph nodes NOS

(without mention of bacteriological or histological

confirmation)

TUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

A16.4

Tuberculosis of larynx, trachea, glottis and bronchus,

without mention of bacteriological or histological

onfirmation; Tuberculosis of bronchus NOS (without

mention of bacteriological or histological onfirmation):

Tuberculosis of glottis NOS (without mention of

bacteriological or histological onfirmation); Tuberculosis of

larynx NOS (without mention of bacteriological or

histological onfirmation); Tuberculosis of trachea NOS

(without mention of bacteriological or histological

onfirmation)

TUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

A16.5

Tuberculous pleurisy, without mention of bacteriological or

histological

confirmation; Tuberculosis of pleura, NOS (without

mention of bacteriological or histological confirmation);

Tuberculous empyema NOS (without mention of

bacteriological or histological confirmation); Tuberculous

plurisy NOS (without mention of bacteriological or

TUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

A16.8

Other respiratory tuberculosis, without mention of

bacteriological or histological confirmation; Mediastinal

tuberculosis, NOS without mention of bacteriological or

histological confirmation; Nasopharyngeal tuberculosis,

NOS without mention of bacteriological or histological

confirmation; Tuberculosis of nose; sinus (any nasal), NOS

without mention of bacteriological or histological

confirmation

TUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

A18.2Tuberculous peripheral lymphadenopathy; Tuberculous

adenitisTUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

A18.3

Tuberculosis of intestines, peritoneum and mesenteric

glands; Tuberculosis of anus and rectum; Tuberculosis of

intestine (large)(small); Tuberculosis of retroperitoneal

(lymph nodes); Tuberculous ascites; Tuberculous enteritis;

Tuberculous peritonitis

TUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

A18.4

Tuberculosis of skin and subcutaneous tissue; Erythema

tuberculous induratum, ; Lupus exedens; Lupus vulgaris;

Lupus exedens, NOS; Lupus vulgaris, NOS; Scrofuloderma

TUBERCULOSIS, EXTRAPULMONARY 11,900 3,570 8,330

A19.0 Acute miliary tuberculosis of a single specified site TUBERCULOSIS, MILIARY 15,100 4,530 10,570

A19.1 Acute miliary tuberculosis of multiple sites TUBERCULOSIS, MILIARY 15,100 4,530 10,570

A19.2 Acute miliary tuberculosis, unspecified TUBERCULOSIS, MILIARY 15,100 4,530 10,570

A19.8 Other miliary tuberculosis TUBERCULOSIS, MILIARY 15,100 4,530 10,570

A19.9 Miliary tuberculosis, unspecified TUBERCULOSIS, MILIARY 15,100 4,530 10,570

A15.0

Tuberculosis of lung, confirmed by sputum microscopy with

or without culture; Tuberculous Bronchiectasis' confirmed

by sputum microscopy with or without culture;

Tuberculous fibrosis of lung, confirmed by sputum

microscopy with or without culture; Tuberculous

pneumonia, confirmed by sputum microscopy with or

without culture; Tuberculous pneumothorax, confirmed by

sputum microscopy with or without culture

TUBERCULOSIS, PULMONARY 9,800 2,940 6,860

A15.1

Tuberculosis of lung, confirmed by culture only;

Tuberculous: Bronchiectasis; fibrosis of lung; pneumonia;

pneumothorax, confirmed by culture onlyTUBERCULOSIS, PULMONARY 9,800 2,940 6,860

A15.2

Tuberculosis of lung, confirmed histologically; Tuberculous:

Bronchiectasis; fibrosis of lung; pneumonia; pneumothorax,

confirmed histologically only

TUBERCULOSIS, PULMONARY 9,800 2,940 6,860

A15.3

Tuberculosis of lung, confirmed by unspecified means;

Tuberculous: Bronchiectasis; fibrosis of lung; pneumonia;

pneumothorax, confirmed but unspecified whether

bacteriologically or histologically

TUBERCULOSIS, PULMONARY 9,800 2,940 6,860

A15.7

Primary respiratory tuberculosis, confirmed

bacteriologically and histologically

Childhood type (first infection) pulmonary tuberculosis

confirmed bacteriologically and histologically

TUBERCULOSIS, PULMONARY 9,800 2,940 6,860

A15.9Respiratory tuberculosis unspecified, confirmed

bacteriologically and histologicallyTUBERCULOSIS, PULMONARY 9,800 2,940 6,860

A16.0

Tuberculosis of lung, bacteriologically and histologically

negative;

Tuberculous Bronchiectasis , bacteriologically and

histologically negative; Tuberculous fibrosis of lung,

bacteriologically and histologically negative; Tuberculous

pneumonia, bacteriologically and histologically negative;

Tuberculous pneumothorax, bacteriologically and

histologically negative

TUBERCULOSIS, PULMONARY 9,800 2,940 6,860

A16.1Tuberculosis of lung, bacteriological and histological

examination not doneTUBERCULOSIS, PULMONARY 9,800 2,940 6,860

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

A16.2

Tuberculosis of lung, without mention of bacteriological or

histological confirmation; Tuberculous: bronchiectasis;

fibrosis of lung; pneumonia; pneumothorax; NOS (

without mention of bacteriological or histological

confirmation)

TUBERCULOSIS, PULMONARY 9,800 2,940 6,860

A16.7

Primary respiratory tuberculosis without mention of

bacteriological or histological confirmation; Primary

respiratory tuberculosis NOS; Primary tuberculous

complex

Childhood type (first infection) pulmonary tuberculosis

TUBERCULOSIS, PULMONARY 9,800 2,940 6,860

A16.9

Respiratory tuberculosis unspecified, without mention of

bacteriological or histological confirmation; Respiratory

tuberculosis NOS; Tuberculosis NOS

Koch's Infection; Koch's Disease

TUBERCULOSIS, PULMONARY 9,800 2,940 6,860

A01.0 Typhoid fever; infection due to Salmonella typhi TYPHOID FEVER 10,000 3,000 7,000

A01.1 Paratyphoid fever A TYPHOID FEVER 10,000 3,000 7,000

A01.2 Paratyphoid fever B TYPHOID FEVER 10,000 3,000 7,000

A01.3 Paratyphoid fever C TYPHOID FEVER 10,000 3,000 7,000

A01.4Paratyphoid fever, unspecified; Infection due to Salmonella

paratyphi NOSTYPHOID FEVER 10,000 3,000 7,000

A02.0 Salmonella enteritis; Salmonellosis TYPHOID FEVER 10,000 3,000 7,000

A02.1 Salmonella sepsis TYPHOID FEVER 10,000 3,000 7,000

A02.2

Localized salmonella infections; Salmonella arthritis;

salmonella meningitis; salmonella osteomyelitis; salmonella

pneumonia; salmonella renal tubulo-interstitial disease

TYPHOID FEVER 10,000 3,000 7,000

A02.8 Other specified salmonella infections TYPHOID FEVER 10,000 3,000 7,000

A02.9 Salmonella infection, unspecified TYPHOID FEVER 10,000 3,000 7,000

N26Unspecified contracted kidney; Atrophy of kidney

(terminal); Renal sclerosis NOSURINARY TRACT ATROPHY/HYPERTROPHY 11,300 3,390 7,910

N27.0 Small kidney, unilateral URINARY TRACT ATROPHY/HYPERTROPHY 11,300 3,390 7,910

N27.1 Small kidney, bilateral URINARY TRACT ATROPHY/HYPERTROPHY 11,300 3,390 7,910

N27.9 Small kidney, unspecified URINARY TRACT ATROPHY/HYPERTROPHY 11,300 3,390 7,910

N28.8

Other specified disorders of kidney and ureter;

Hypertrophy of kidney; Megaloureter; Nephroptosis;

Pyelitis cystica; Pyeloureteritis cystica; Ureteritis cystica;

Ureterocele

URINARY TRACT ATROPHY/HYPERTROPHY 11,300 3,390 7,910

N28.9Disorder of kidney and ureter, unspecified; Nephropathy

NOS; Renal disease NOSURINARY TRACT ATROPHY/HYPERTROPHY 11,300 3,390 7,910

N29.8*Other disorders of kidney and ureter in other diseases

classified elsewhereURINARY TRACT ATROPHY/HYPERTROPHY 11,300 3,390 7,910

N30.0 Acute cystitis URINARY TRACT INFECTION [ADMISSIBLE] 7,500 2,250 5,250

N30.1 Chronic Interstitial cystitis URINARY TRACT INFECTION [ADMISSIBLE] 7,500 2,250 5,250

N30.2 Other chronic cystitis URINARY TRACT INFECTION [ADMISSIBLE] 7,500 2,250 5,250

N30.3 Trigonitis; Urethrotrigonitis URINARY TRACT INFECTION [ADMISSIBLE] 7,500 2,250 5,250

N30.9 Cystitis, unspecified URINARY TRACT INFECTION [ADMISSIBLE] 7,500 2,250 5,250

N39.0 Urinary tract infection, site not specified URINARY TRACT INFECTION [ADMISSIBLE] 7,500 2,250 5,250

M50.1 Cervical disc disorder with radiculopathy VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M50.2 Other cervical disc displacement VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M50.3 Other cervical disc degeneration VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M50.8 Other cervical vertebral disc disorders VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M51.1Lumbar and other intervertebral disc disorders with

radiculopathy; Sciatica due to intervertebral disc disorderVERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M51.2Other specified intervertebral disc displacement

Lumbago due to displacement of intervertebral discVERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M51.3 Other specified intervertebral disc degenerations VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M51.4 Schmorl's node VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M51.8 Other specified intervertebral disc disorders VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M99.0 Segmental and somatic dysfunction, rib cage VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M99.1 Subluxation complex (vertebral) VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M99.3 Osseous stenosis of neural canal VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M99.5 Intervertebral disc stenosis of neural canal VERTEBRAL DISC DISORDERS 7,800 2,340 5,460

M99.7Connective tissue and disc stenosis of intervertebral

foraminaVERTEBRAL DISC DISORDERS 7,800 2,340 5,460

H81.0Ménière's disease; Labyrinthine hydrops; Ménière's

syndrome or vertigoVERTIGINOUS DISORDERS 5,700 1,710 3,990

H81.1 Benign paroxysmal vertigo VERTIGINOUS DISORDERS 5,700 1,710 3,990

H81.2 Vestibular neuronitis VERTIGINOUS DISORDERS 5,700 1,710 3,990

H81.3Other peripheral vertigo; Lermoyez' syndrome; Aural

Vertigo ; Otogenic Vertigo; Peripheral NOS VertigoVERTIGINOUS DISORDERS 5,700 1,710 3,990

H81.4 Vertigo of central origin; Central positional nystagmus VERTIGINOUS DISORDERS 5,700 1,710 3,990

H81.8 Other disorders of vestibular function VERTIGINOUS DISORDERS 5,700 1,710 3,990

H81.9Disorder of vestibular function, unspecified; Vertiginous

syndrome NOSVERTIGINOUS DISORDERS 5,700 1,710 3,990

H83.1 Labyrinthine fistula VERTIGINOUS DISORDERS 5,700 1,710 3,990

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

H83.2Labyrinthine dysfunction; Hypersensitivity of labyrinth;

Hypofunction of labyrinth; Loss of function Of labyrinthVERTIGINOUS DISORDERS 5,700 1,710 3,990

R42 Dizziness and giddiness; Light-headedness; Vertigo NOS VERTIGINOUS DISORDERS 5,700 1,710 3,990

A96.0 Junin haemorrhagic fever; Argentinian haemorrhagic fever VIRAL HEMORRHAGIC FEVER 7,900 2,370 5,530

A96.1 Machupo haemorrhagic fever; Bolivian haemorrhagic fever VIRAL HEMORRHAGIC FEVER 7,900 2,370 5,530

A98.8 Other specified viral haemorrhagic fevers VIRAL HEMORRHAGIC FEVER 7,900 2,370 5,530

A99 Unspecified viral haemorrhagic fever VIRAL HEMORRHAGIC FEVER 7,900 2,370 5,530

B15.0 Acute Hepatitis A with hepatic coma VIRAL HEPATITIS 11,800 3,540 8,260

B15.9Acute hepatitis A without hepatic coma; Hepatitis A

(acute)(viral) NOSVIRAL HEPATITIS 11,800 3,540 8,260

B16.0Acute hepatitis B with delta-agent (coinfection) with

hepatic comaVIRAL HEPATITIS 11,800 3,540 8,260

B16.1Acute hepatitis B with delta-agent (coinfection) without

hepatic comaVIRAL HEPATITIS 11,800 3,540 8,260

B16.2 Acute hepatitis B without delta-agent with hepatic coma VIRAL HEPATITIS 11,800 3,540 8,260

B16.9Acute hepatitis B without delta-agent and without hepatic

coma; Acute hepatitis B (viral) NOSVIRAL HEPATITIS 11,800 3,540 8,260

B17.0 Acute delta-(super) infection of hepatitis B carrier VIRAL HEPATITIS 11,800 3,540 8,260

B17.1 Acute hepatitis C VIRAL HEPATITIS 11,800 3,540 8,260

B17.2 Acute hepatitis E VIRAL HEPATITIS 11,800 3,540 8,260

B17.8Other specified acute viral hepatitis; Hepatitis non-A non-B

(acute)(viral) NECVIRAL HEPATITIS 11,800 3,540 8,260

B18.0 Chronic viral hepatitis B with delta-agent VIRAL HEPATITIS 11,800 3,540 8,260

B18.1Chronic viral hepatitis B wtihout delta-agent: Hepatitis B

(viral) NOSVIRAL HEPATITIS 11,800 3,540 8,260

B18.2 Chronic viral hepatitis C VIRAL HEPATITIS 11,800 3,540 8,260

B18.8 Other chronic viral hepatitis VIRAL HEPATITIS 11,800 3,540 8,260

B18.9 Chronic viral hepatitis, unspecified VIRAL HEPATITIS 11,800 3,540 8,260

B19.0 Unspecified viral hepatitis hepatic coma VIRAL HEPATITIS 11,800 3,540 8,260

B19.9Unspecified viral hepatitis without hepatic coma; Viral

Hepatitis NOS VIRAL HEPATITIS 11,800 3,540 8,260

A80.1 Acute paralytic poliomyelitis, wild virus, imported VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A80.2 Acute paralytic poliomyelitis, wild virus, indigenous VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A80.9 Acute poliomyelitis, unspecified VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A81.0Creutzfeldt-Jakob disease; Subacute spongiform

encephalopathyVIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A81.1

Subacute sclerosing panencephalitis; Dawson's inclusion

body encephalitis ; Van Bogaert's sclerosing

leukoencephalopathy

VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A81.2Progressive multifocal leukoencephalopathy; Multifocal

leukoencephalopathy NOSVIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A81.9Atypical virus infection of central nervous system,

unspecified; Prion disease of central nervous system NOSVIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A82.0 Sylvatic rabies VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A82.1 Urban rabies VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A82.9 Rabies, unspecified VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A83.0 Japanese encephalitis VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A83.2 Eastern equine encephalitis VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A83.5California encephalitis; California meningoencephalitis

La Crosse encephalitisVIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A83.8 Other mosquito-borne viral encephalitis VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A83.9 Mosquito-borne viral encephalitis, unspecified VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A85.2 Arthropod-borne viral encephalitis, unspecified; VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A85.8Other specified viral encephalitis; Encephalitis lethargica;

Von Economo-Cruchet diseaseVIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A86Unspecified viral encephalitis; Viral encephalomyelitis NOS;

Viral meningoencephalitis NOSVIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A88.8 Other specified viral infections of central nervous system VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

A89 Unspecified viral infection of central nervous system VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM 21,100 6,330 14,770

A37.0 Whooping cough due to Bordetella pertussis WHOOPING COUGH 10,600 3,180 7,420

A37.1 Whooping cough due to Bordetella parapertussis WHOOPING COUGH 10,600 3,180 7,420

A37.8 Whooping cough due to other Bordetella species WHOOPING COUGH 10,600 3,180 7,420

A37.9 Whooping cough, unspecified WHOOPING COUGH 10,600 3,180 7,420

A20.0 Bubonic plague ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A20.9 Plague, unspecified ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A21.0 Ulceroglandular tularaemia; Ophthalmic tularaemia ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A21.1 Oculoglandular tularaemia; Ophthalmic tularaemia ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A21.2 Pulmonary tularaemia ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A21.3 Gastrointestinal tularaemia; Abdominal tularaemia ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A21.9 Tularaemia, unspecified ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A22.0Cutaneous anthrax; Malignant carbuncle; Malignant

pustuleZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A22.2 Gastrointestinal anthrax ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A22.7 Anthrax sepsis ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A22.9 Anthrax, unspecified ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A23.1 Brucellosis due to Brucella abortus ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A23.9 Brucellosis, unspecified ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A24.0 Glanders; Infection due to Pseudomonas mallei; Malleus ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A24.1Acute and fulminating melioidosis; Melioidosis pneumonia

; Melioidosis septicaemiaZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A25.9 Rat-bite fever, unspecified ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A26.8 Other forms of erysipeloid ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A26.9 Erysipeloid, unspecified ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A28.0 Pasteurellosis ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A28.1 Cat-scratch disease; Cat-scratch fever ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A28.8Other specified zoonotic bacterial diseases, not elsewhere

classifiedZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

A28.9 Zoonotic bacterial disease, unspecified ZOONOTIC BACTERIAL DISEASES 11,700 3,510 8,190

E10.2+ N08.3*

Insulin-dependent diabetes mellitus with renal

complications: diabetic nephropathy; Glomerular disorders

in diabetes mellitus; Brittle diabetes (mellitus); Juvenile-

onset diabetes (mellitus); Ketosis-prone diabetes (mellitus);

Type I diabetes (mellitus)

Insulin-dependent diabetes mellitus nephropathy

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E11.2+ N08.3*

Non-insulin-dependent diabetes mellitus with renal

complications: diabetic nephropathy; Glomerular disorders

in diabetes mellitus; Adult-onset diabetes

(mellitus)(nonobese)(obese); Maturity-onset diabetes

(mellitus)(nonobese)(obese); Nonketonic diabetes

(mellitus)(nonobese)(obese); Stable diabetes

(mellitus)(nonobese)(obese); Type II diabetes

(mellitus)(nonobese)(obese); Non-insulin-dependent

diabetes of the young

Non - insulin-dependent diabetes mellitus nephropathy

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E12.2+ N08.3*

Malnutrition-related diabetes mellitus with renal

complications: diabetic nephropathy; Glomerular disorders

in diabetes mellitus;

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E13.2+ N08.3*

Other specified diabetes mellitus with renal complications:

diabetic nephropathy;Glomerular disorders in diabetes

mellitus

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

E14.2+ N08.3*

Unspecified diabetes mellitus with renal complications:

diabetic nephropathy; Glomerular disorders in diabetes

mellitus

DIABETES MELLITUS WITH COMPLICATIONS

OTHER THAN COMA AND KETOSIS12,600 3,780 8,820

B05.8Measles with other complications; Measles keratitis and

keratoconjunctivitisVIRAL INFECTION (ADMISSIBLE) 7,700 2,310 5,390

B05.9 Measles without complications; Measles NOS VIRAL INFECTION (ADMISSIBLE) 7,700 2,310 5,390

B01.9 Varicella [chickenpox] without complication; Varicella NOS VIRAL INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B06.8 Rubella with other complications; Encephalitis Rubella;

Meningitis Rubella; Meningoencephalitis RubellaVIRAL INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B06.9 Rubella without complication; Rubella NOS VIRAL INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B09

Unspecified viral infection characterized by skin and

mucous membrane lesions; Viral enanthema NOS; Viral

exanthem

VIRAL INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B34.1 Enterovirus infection, unspecified; Coxsackievirus infection

NOS; Echovirus infection NOS VIRAL INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B34.2 Coronavirus infection, unspecified VIRAL INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B34.3 Parvovirus infection, unspecified VIRAL INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B34.4 Papovavirus infection, unspecified VIRAL INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B34.8 Other viral infections of unspecified site VIRAL INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B34.9Viral infection, unspecified; Viraemia NOS

Systemic Viral InfectionVIRAL INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

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List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

B50.9 Plasmodium falciparum malaria, unspecified MALARIA WITHOUT COMPLICATIONS 4,000 1,200 2,800

B51.9Plasmodium vivax malaria without complications;

Plasmodium vivax malaria NOSMALARIA WITHOUT COMPLICATIONS 4,000 1,200 2,800

B52.9Plasmodium malariae malaria without complications;

Plasmodium malariae malaria NOSMALARIA WITHOUT COMPLICATIONS 4,000 1,200 2,800

B65.1Schistosomiasis due to Schistosoma mansoni [intestinal

schistosomiasis]PARASITIC INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B65.2Schistosomiasis due to Schistosoma japonicum; Asiatic

schistosomiasisPARASITIC INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B65.3 Cercarial dermatitis; Swimmer's itch PARASITIC INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B65.8Infection due to Schistosoma intercalatum, Schistosoma

mattheei , Schistosoma mekongi PARASITIC INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B65.9 Schistosomiasis, unspecified PARASITIC INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B77.9 Ascariasis, unspecified PARASITIC INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B82.0 Intestinal helminthiasis, unspecified PARASITIC INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

B82.9 Intestinal parasitism, unspecified PARASITIC INFECTION WITHOUT COMPLICATIONS 4,000 1,200 2,800

E11.9

Non-insulin-dependent diabetes mellitus without

complications (NIDDM)

Type II diabetes mellitus

DIABETES MELLITUS WITHOUT COMPLICATIONS 4,000 1,200 2,800

E10.9

Insulin dependent diabetes mellitus without complications

(IDDM)

Type I diabetes mellitus

DIABETES MELLITUS WITHOUT COMPLICATIONS 4,000 1,200 2,800

E16.2 Hypoglycemia, unspecified HYPOGLYCEMIA 4,000 1,200 2,800

E86.1 Moderate dehydration DEHYDRATION 4,000 1,200 2,800

E86.2 Severe dehydration DEHYDRATION 4,000 1,200 2,800

I25.0 Atherosclerotic cardiovascular disease (ASCVD)CHRONIC HEART DISEASES WITHOUT

COMPLICATIONS4,000 1,200 2,800

I25.1

Atherosclerotic heart disease; Coronary artery atheroma;

Coronary artery atherosclerosis; Coronary artery disease;

Coronary artery sclerosis

Arteriosclerotic heart disease (ASHD)

Coronary artery disease (CAD)

Cardiac sclresosis

CHRONIC HEART DISEASES WITHOUT

COMPLICATIONS4,000 1,200 2,800

I25.3 Aneurysm of heart; Mural aneurysm; Venticular aneurysmCHRONIC HEART DISEASES WITHOUT

COMPLICATIONS4,000 1,200 2,800

I25.4Coronary artery aneurysm; Coronary arteriovenous fistula,

acquired

CHRONIC HEART DISEASES WITHOUT

COMPLICATIONS4,000 1,200 2,800

J03.0 Streptococcal tonsillitis UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J03.8 Acute tonsillitis due to other specified organisms UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J03.9

Acute tonsillitis, unspecified; Acute tonsillitis NOS; Acute

Follicular tonsillitis; Acute Gangrenous tonsillitis; Acute

Infective tonsillitis; Acute Ulcerative tonsillitis; Septic

tonsillitis

UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J06.0 Acute laryngopharyngitis UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J06.8Other acute upper respiratory infections of multiple sites

Acute tonsillopharyngitisUPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J06.9

Acute upper respiratory infection, unspecified; Acute upper

respiratory disease; Upper respiratory infection NOS

Upper Respiratory Tract Infection

UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J20.0 Acute bronchitis due to Mycoplasma pneumoniae UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J20.1 Acute bronchitis due to Haemophilus influenzae UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J20.2 Acute bronchitis due to streptococcus UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J20.3 Acute bronchitis due to coxsackievirus UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J20.4 Acute bronchitis due to parainfluenza virus UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J20.5 Acute bronchitis due to respiratory syncytial virus UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J20.6 Acute bronchitis due to rhinovirus UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J20.7 Acute bronchitis due to echovirus UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J20.8 Acute bronchitis due to other specified organisms UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J20.9 Acute bronchitis, unspecified UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J22

Unspecified acute lower respiratory infection; Acute

(lower) respiratory (tract) infection NOS

Acute Respiratory Infection

Severe Acute Respiratory Infection

LOWER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

J40

Bronchitis, not specified as acute or chronic; Bronchitis

NOS; Catarrhal Bronchitis; Bronchitis with tracheitis NOS;

Trancheobronchitis NOS

UPPER RESPIRATORY TRACT INFECTION 4,000 1,200 2,800

K04.0

Pulpitis; Pulpal abscess; Pulpal polyp; Acute pulpitis;

Hyperplastic chronic pulpitis; Ulcerative chronic pulpitis;

Supparative pulpitis

DENTAL DISORDERS 4,000 1,200 2,800

K04.1 Necrosis of pulp; Pulpal gangrene DENTAL DISORDERS 4,000 1,200 2,800

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ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

K04.2Pulp degeneration; Denticles; Pulpal calcifications; Pulpal

stonesDENTAL DISORDERS 4,000 1,200 2,800

K04.3Abnormal hard tissue formation in pulp; Secondary or

irregular dentineDENTAL DISORDERS 4,000 1,200 2,800

K04.4Acute apical periodontitis of pulpal origin; Acute apical

periodontitis NOSDENTAL DISORDERS 4,000 1,200 2,800

K04.5Chronic apical periodontitis; Apical or periapical granuloma;

Apical periodontitis NOSDENTAL DISORDERS 4,000 1,200 2,800

K04.6Periapical abscess with sinus; Dental abscess with sinus;

Dentoalveolar abscess with sinusDENTAL DISORDERS 4,000 1,200 2,800

K04.7Periapical abscess without sinus; Dental abscess NOS;

Dentoalveolar abscess NOS; Periapical abscess NOSDENTAL DISORDERS 4,000 1,200 2,800

K04.8Radicular cyst; Periodontal apical cyst; Periapical cyst;

Residual radicular cystDENTAL DISORDERS 4,000 1,200 2,800

K04.9Other and unspecified diseases of pulp and periapical

tissuesDENTAL DISORDERS 4,000 1,200 2,800

K30 Dyspepsia; Indigestion BOWEL MOVEMENT DISORDERS 4,000 1,200 2,800

K31.0 Acute dilatation of stomach; Acute distension of stomach BOWEL MOVEMENT DISORDERS 4,000 1,200 2,800

K31.9 Disease of stomach and duodenum, unspecified BOWEL MOVEMENT DISORDERS 4,000 1,200 2,800

K59.0 Constipation BOWEL MOVEMENT DISORDERS 4,000 1,200 2,800

L02.0 Cutaneous abscess, furuncle and carbuncle of face SKIN INFECTIONS 4,000 1,200 2,800

L02.1 Cutaneous abscess, furuncle and carbuncle of neck SKIN INFECTIONS 4,000 1,200 2,800

L02.2

Cutaneous abscess, furuncle and carbuncle of trunk;

Cutaneous abscess, furuncle and carbuncle of Abdominal

wall; Cutaneous abscess, furuncle and carbuncle of Back

[any part, except buttock]; Cutaneous abscess, furuncle and

carbuncle of Chest wall; Cutaneous abscess, furuncle and

carbuncle of Groin; Cutaneous abscess, furuncle and

carbuncle of Perineum; Cutaneous abscess, furuncle and

carbuncle of Umbilicus

SKIN INFECTIONS 4,000 1,200 2,800

L02.3

Cutaneous abscess, furuncle and carbuncle of buttock;

Cutaneous abscess, furuncle and carbuncle of Gluteal

region

SKIN INFECTIONS 4,000 1,200 2,800

L02.4Cutaneous abscess, furuncle and carbuncle of limb, Axilla,

Hip & Shoulder SKIN INFECTIONS 4,000 1,200 2,800

L02.8Cutaneous abscess, furuncle and carbuncle of other sites:

Head [any part, except face]; Scalp SKIN INFECTIONS 4,000 1,200 2,800

L02.9Cutaneous abscess, furuncle and carbuncle, unspecified;

Furunculosis NOS SKIN INFECTIONS 4,000 1,200 2,800

L72.0 Epidermal cyst CUTANEOUS CYSTS 4,000 1,200 2,800

L72.1 Trichilemmal cyst; Pilar cyst; Sebaceous cyst CUTANEOUS CYSTS 4,000 1,200 2,800

L72.2 Steatocystoma multiplex CUTANEOUS CYSTS 4,000 1,200 2,800

L72.8 Other follicular cysts of skin and subcutaneous tissue CUTANEOUS CYSTS 4,000 1,200 2,800

L72.9 Follicular cyst of skin and subcutaneous tissue, unspecified CUTANEOUS CYSTS 4,000 1,200 2,800

N20.0Calculus of kidney; Nephrolithiasis NOS; Renal calculus or

stone; Staghorn calculus; Stone in kidney UROLITHIASIS 4,000 1,200 2,800

N20.1 Calculus of ureter; Ureteric stone UROLITHIASIS 4,000 1,200 2,800

N20.2 Calculus of kidney with calculus of ureter UROLITHIASIS 4,000 1,200 2,800

N20.9 Urinary calculus, unspecified; Calculous pyelonephritis UROLITHIASIS 4,000 1,200 2,800

N30.4 Irradiation cystitis IRRADIATION CYSTITIS 4,000 1,200 2,800

O23.1 Infections of bladder in pregnancy URINARY TRACT INFECTION IN PREGNANCY 4,000 1,200 2,800

O23.2 Infections of urethra in pregnancy URINARY TRACT INFECTION IN PREGNANCY 4,000 1,200 2,800

O23.4 Unspecified infection of urinary tract in pregnancy URINARY TRACT INFECTION IN PREGNANCY 4,000 1,200 2,800

O23.5 Infections of the genital tract in pregnancy URINARY TRACT INFECTION IN PREGNANCY 4,000 1,200 2,800

O23.9Other and unspecified genitourinary tract infection in

pregnancy; Genitourinary tract infection in pregnancy NOSURINARY TRACT INFECTION IN PREGNANCY 4,000 1,200 2,800

S00.0 Superficial injury of scalp SUPERFICIAL INJURIES 4,000 1,200 2,800

S00.1 Contusion of eyelid and periocular area; Black eye SUPERFICIAL INJURIES 4,000 1,200 2,800

S00.2 Other superficial injuries of eyelid and periocular area SUPERFICIAL INJURIES 4,000 1,200 2,800

S00.3 Superficial injury of nose SUPERFICIAL INJURIES 4,000 1,200 2,800

S00.4 Superficial injury of ear SUPERFICIAL INJURIES 4,000 1,200 2,800

S00.5 Superficial injury of lip and oral cavity SUPERFICIAL INJURIES 4,000 1,200 2,800

S00.7 Multiple superficial injuries of head SUPERFICIAL INJURIES 4,000 1,200 2,800

S00.8 Superficial injury of other parts of head SUPERFICIAL INJURIES 4,000 1,200 2,800

S00.9 Superficial injury of head, part unspecified SUPERFICIAL INJURIES 4,000 1,200 2,800

S01.0 Open wound of scalp SUPERFICIAL INJURIES 4,000 1,200 2,800

S01.1 Open wound of eyelid and periocular area SUPERFICIAL INJURIES 4,000 1,200 2,800

S01.2 Open wound of nose SUPERFICIAL INJURIES 4,000 1,200 2,800

S01.3 Open wound of ear SUPERFICIAL INJURIES 4,000 1,200 2,800

S01.4 Open wound of cheek and temporomandibular area SUPERFICIAL INJURIES 4,000 1,200 2,800

S01.5 Open wound of lip and oral cavity SUPERFICIAL INJURIES 4,000 1,200 2,800

S01.7 Multiple open wounds of head SUPERFICIAL INJURIES 4,000 1,200 2,800

S01.8 Open wound of other parts of head SUPERFICIAL INJURIES 4,000 1,200 2,800

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Case Rate Professional

Fee

Health Care

Institution Fee

List of Medical Case Rates (Updated February 2017)

ICD 10 CODE DESCRIPTION GROUP

FIRST CASE RATE

S01.9 Open wound of head, part unspecified SUPERFICIAL INJURIES 4,000 1,200 2,800

S61.0Open wound of finger(s) without damage to nail; Open

wound of finger(s) NOSSUPERFICIAL INJURIES 4,000 1,200 2,800

S61.1 Open wound of finger(s) with damage to nail SUPERFICIAL INJURIES 4,000 1,200 2,800

S61.7 Multiple open wounds of wrist and hand SUPERFICIAL INJURIES 4,000 1,200 2,800

S61.8 Open wound of other parts of wrist and hand SUPERFICIAL INJURIES 4,000 1,200 2,800

S61.9 Open wound of wrist and hand part, part unspecified SUPERFICIAL INJURIES 4,000 1,200 2,800

S81.0 Open wound of knee SUPERFICIAL INJURIES 4,000 1,200 2,800

S81.7 Multiple open wounds of lower leg SUPERFICIAL INJURIES 4,000 1,200 2,800

S81.8 Open wound of other parts of lower leg SUPERFICIAL INJURIES 4,000 1,200 2,800

S81.9 Open wound of lower leg, part unspecified SUPERFICIAL INJURIES 4,000 1,200 2,800

S91.0 Open wound of ankle SUPERFICIAL INJURIES 4,000 1,200 2,800

S91.1Open wound of toe(s) without damage to nail; open wound

of toe (s) NOSSUPERFICIAL INJURIES 4,000 1,200 2,800

S91.2 Open wound of toe(s) with damage to nail SUPERFICIAL INJURIES 4,000 1,200 2,800

S91.3Open wound of other parts of foot; open wound of foot

NOSSUPERFICIAL INJURIES 4,000 1,200 2,800

S91.7 Multiple open wounds of ankle and foot SUPERFICIAL INJURIES 4,000 1,200 2,800

T00.0 Superficial injuries involving head with neck SUPERFICIAL INJURIES 4,000 1,200 2,800

T00.1Superficial injuries involving thorax with abdomen lower

back and pelvisSUPERFICIAL INJURIES 4,000 1,200 2,800

T00.2Superficial injuries involving multiple regions of upper

limb(s)SUPERFICIAL INJURIES 4,000 1,200 2,800

T00.3Superficial injuries involving multiple regions of lower

limb(s)SUPERFICIAL INJURIES 4,000 1,200 2,800

T00.6Superficial injuries involving multiple regions of upper

limb(s) with lower limb(s)SUPERFICIAL INJURIES 4,000 1,200 2,800

T00.8Superficial injuries involving other combinations of body

regionsSUPERFICIAL INJURIES 4,000 1,200 2,800

T00.9

Multiple superficial injuries, unspecified; Multiple abrasions

NOS; Multiple nonthermal blisters NOS; Multiple bruises

NOS; Multiple contusions NOS; Multiple haematomas NOS;

Multiple nonvenomous insect bite NOS

SUPERFICIAL INJURIES 4,000 1,200 2,800

J12.8, B97.2 Middle East Respiratory Syndrome (MERS-CoV) MIDDLE EAST RESPIRATORY SYNDROME 50,000 up to

100,000

A98.4 Ebola Virus Disease (EVD) EBOLA VIRUS DISEASE 110,000 up to

222,000

U06.9Zika virus disease, unspecified; Zika; Zika virus fever; Zika

virus infectionZIKA VIRUS DISEASE 8,100 2,430 5,670

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