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附表6.7.5 主要合併症或併發症診斷碼使用說明:1.次診斷符合本表「次診斷」欄所列,且其主診斷非為「主診斷代碼排除組別」對應附表6.7.5.1之「主診斷」 欄所列範圍,且「類別」欄為「MCC」者,該次診斷為「主要合併症或併發症」。2.次診斷符合本表「次診斷」欄所列,且其主診斷非為「主診斷代碼排除組別」對應附表6.7.5.1之「主診斷」 欄所列範圍,且「類別」欄為「MCC*」,且病患出院轉歸非死亡者,該次診斷為「主要合併症或併發症」。3.次診斷符合本表「次診斷」欄所列,且其主診斷非為「主診斷代碼排除組別」對應附表6.7.5.1 之「主診斷」 欄所列範圍,且「類別」欄為「MCC*」,且病患出院轉歸為死亡者,該次診斷非「主要合併症或併發症」4.次診斷符合本表「次診斷」欄所列,且「主診斷代碼排除組別」欄為「No Excl」者, 該次診斷為「主要合併 症或併發症」。5.主診斷符合附表6.7.5.2所列者,不論是否有次診斷,皆為「主要合併症或併發症」。
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
A021 MCC 0005 Salmonella sepsis
A0221 MCC 0006 Salmonella meningitis
A0222 MCC 0007 Salmonella pneumonia
A064 MCC 0023 Amebic liver abscess
A065 MCC 0024 Amebic lung abscess
A066 MCC 0025 Amebic brain abscess
A170 MCC 0032 Tuberculous meningitis
A171 MCC 0032 Meningeal tuberculoma
A1781 MCC 0033 Tuberculoma of brain and spinal cord
A1782 MCC 0033 Tuberculous meningoencephalitis
A1783 MCC No Excl Tuberculous neuritis
A1789 MCC 0034 Other tuberculosis of nervous system
A1831 MCC 0045 Tuberculous peritonitis
A190 MCC 0051 Acute miliary tuberculosis of a single specified site
A191 MCC 0051 Acute miliary tuberculosis of multiple sites
A192 MCC 0051 Acute miliary tuberculosis, unspecified
A198 MCC 0051 Other miliary tuberculosis
A199 MCC 0051 Miliary tuberculosis, unspecified
A200 MCC 0052 Bubonic plague
A201 MCC 0052 Cellulocutaneous plague
A202 MCC 0053 Pneumonic plague
A203 MCC 0054 Plague meningitis
A207 MCC 0055 Septicemic plague
A208 MCC 0054 Other forms of plague
A209 MCC 0056 Plague, unspecified
A221 MCC 0063 Pulmonary anthrax
A227 MCC 0005 Anthrax sepsis
A267 MCC 0071 Erysipelothrix sepsis
A2781 MCC 0073 Aseptic meningitis in leptospirosis
A327 MCC 0071 Listerial sepsis
A33 MCC 0084 Tetanus neonatorum
A35 MCC 0086 Other tetanus
A3701 MCC 0090 Whooping cough due to Bordetella pertussis with pneumonia
A3711 MCC 0090 Whooping cough due to Bordetella parapertussis with pneumonia
A3781 MCC 0090 Whooping cough due to other Bordetella species with pneumonia
A3791 MCC 0090 Whooping cough, unspecified species with pneumonia
A390 MCC 0092 Meningococcal meningitis
A391 MCC 0093 Waterhouse-Friderichsen syndrome
A392 MCC 0094 Acute meningococcemia
A393 MCC 0094 Chronic meningococcemia
A394 MCC 0094 Meningococcemia, unspecified
A3950 MCC 0095 Meningococcal carditis, unspecified
A3951 MCC 0096 Meningococcal endocarditis
A3952 MCC 0097 Meningococcal myocarditis
A3953 MCC 0098 Meningococcal pericarditis
- 22 -
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
A3981 MCC 0099 Meningococcal encephalitis
A400 MCC 0071 Sepsis due to streptococcus, group A
A401 MCC 0071 Sepsis due to streptococcus, group B
A403 MCC No Excl Sepsis due to Streptococcus pneumoniae
A408 MCC 0071 Other streptococcal sepsis
A409 MCC 0071 Streptococcal sepsis, unspecified
A4101 MCC 0071 Sepsis due to Methicillin susceptible Staphylococcus aureus
A4102 MCC 0071 Sepsis due to Methicillin resistant Staphylococcus aureus
A411 MCC 0071 Sepsis due to other specified staphylococcus
A412 MCC 0071 Sepsis due to unspecified staphylococcus
A413 MCC 0071 Sepsis due to Hemophilus influenzae
A414 MCC 0071 Sepsis due to anaerobes
A4150 MCC 0071 Gram-negative sepsis, unspecified
A4151 MCC 0071 Sepsis due to Escherichia coli [E. coli]
A4152 MCC 0071 Sepsis due to Pseudomonas
A4153 MCC 0071 Sepsis due to Serratia
A4159 MCC 0071 Other Gram-negative sepsis
A4181 MCC 0071 Sepsis due to Enterococcus
A4189 MCC 0071 Other specified sepsis
A419 MCC 0071 Sepsis, unspecified organism
A427 MCC 0071 Actinomycotic sepsis
A480 MCC 0109 Gas gangrene
A481 MCC 0110 Legionnaires' disease
A483 MCC 0111 Toxic shock syndrome
A5041 MCC 0115 Late congenital syphilitic meningitis
A5042 MCC 0114 Late congenital syphilitic encephalitis
A5141 MCC 0117 Secondary syphilitic meningitis
A5213 MCC 0115 Late syphilitic meningitis
A5214 MCC 0114 Late syphilitic encephalitis
A5481 MCC 0117 Gonococcal meningitis
A5486 MCC 0071 Gonococcal sepsis
A800 MCC 0130 Acute paralytic poliomyelitis, vaccine-associated
A801 MCC 0130 Acute paralytic poliomyelitis, wild virus, imported
A802 MCC 0130 Acute paralytic poliomyelitis, wild virus, indigenous
A8030 MCC 0130 Acute paralytic poliomyelitis, unspecified
A8039 MCC 0130 Other acute paralytic poliomyelitis
A830 MCC 0137 Japanese encephalitis
A831 MCC 0137 Western equine encephalitis
A832 MCC 0137 Eastern equine encephalitis
A833 MCC 0137 St Louis encephalitis
A834 MCC 0137 Australian encephalitis
A835 MCC 0137 California encephalitis
A836 MCC 0137 Rocio virus disease
A838 MCC 0137 Other mosquito-borne viral encephalitis
A839 MCC 0137 Mosquito-borne viral encephalitis, unspecified
A840 MCC 0137 Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis]
A841 MCC 0137 Central European tick-borne encephalitis
A848 MCC 0137 Other tick-borne viral encephalitis
A849 MCC 0137 Tick-borne viral encephalitis, unspecified
A852 MCC 0137 Arthropod-borne viral encephalitis, unspecified
A9230 MCC 0145 West Nile virus infection, unspecified
A9231 MCC 0145 West Nile virus infection with encephalitis
A9232 MCC 0145 West Nile virus infection with other neurologic manifestation
A9239 MCC 0145 West Nile virus infection with other complications
B003 MCC 0150 Herpesviral meningitis
- 23 -
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
B004 MCC 0151 Herpesviral encephalitis
B007 MCC 0153 Disseminated herpesviral disease
B0082 MCC 0155 Herpes simplex myelitis
B0111 MCC 0158 Varicella encephalitis and encephalomyelitis
B0112 MCC 0159 Varicella myelitis
B012 MCC 0160 Varicella pneumonia
B021 MCC 0162 Zoster meningitis
B0224 MCC 0163 Postherpetic myelitis
B050 MCC 0168 Measles complicated by encephalitis
B052 MCC 0170 Measles complicated by pneumonia
B0601 MCC 0172 Rubella encephalitis
B1001 MCC 0151 Human herpesvirus 6 encephalitis
B1009 MCC 0151 Other human herpesvirus encephalitis
B150 MCC 0175 Hepatitis A with hepatic coma
B160 MCC 0175 Acute hepatitis B with delta-agent with hepatic coma
B162 MCC 0175 Acute hepatitis B without delta-agent with hepatic coma
B1711 MCC 0175 Acute hepatitis C with hepatic coma
B190 MCC 0175 Unspecified viral hepatitis with hepatic coma
B1911 MCC 0175 Unspecified viral hepatitis B with hepatic coma
B1921 MCC 0175 Unspecified viral hepatitis C with hepatic coma
B20 MCC 0176 Human immunodeficiency virus [HIV] disease
B250 MCC 0110 Cytomegaloviral pneumonitis
B252 MCC 0177 Cytomegaloviral pancreatitis
B261 MCC 0180 Mumps meningitis
B262 MCC 0181 Mumps encephalitis
B371 MCC 0190 Pulmonary candidiasis
B375 MCC 0192 Candidal meningitis
B376 MCC 0190 Candidal endocarditis
B377 MCC 0193 Candidal sepsis
B384 MCC 0198 Coccidioidomycosis meningitis
B390 MCC 0200 Acute pulmonary histoplasmosis capsulati
B391 MCC 0200 Chronic pulmonary histoplasmosis capsulati
B392 MCC 0200 Pulmonary histoplasmosis capsulati, unspecified
B440 MCC 0110 Invasive pulmonary aspergillosis
B451 MCC 0207 Cerebral cryptococcosis
B460 MCC 0208 Pulmonary mucormycosis
B461 MCC 0208 Rhinocerebral mucormycosis
B462 MCC 0208 Gastrointestinal mucormycosis
B463 MCC 0208 Cutaneous mucormycosis
B464 MCC 0208 Disseminated mucormycosis
B465 MCC 0208 Mucormycosis, unspecified
B468 MCC 0208 Other zygomycoses
B469 MCC 0208 Zygomycosis, unspecified
B509 MCC 0214 Plasmodium falciparum malaria, unspecified
B582 MCC 0224 Toxoplasma meningoencephalitis
B583 MCC 0225 Pulmonary toxoplasmosis
B5881 MCC 0226 Toxoplasma myocarditis
B59 MCC 0228 Pneumocystosis
B7781 MCC 0247 Ascariasis pneumonia
D5700 MCC 0496 Hb-SS disease with crisis, unspecified
D5701 MCC 0496 Hb-SS disease with acute chest syndrome
D5702 MCC 0496 Hb-SS disease with splenic sequestration
D57211 MCC 0496 Sickle-cell/Hb-C disease with acute chest syndrome
D57212 MCC 0496 Sickle-cell/Hb-C disease with splenic sequestration
D57219 MCC 0496 Sickle-cell/Hb-C disease with crisis, unspecified
- 24 -
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
D57411 MCC 0496 Sickle-cell thalassemia with acute chest syndrome
D57412 MCC 0496 Sickle-cell thalassemia with splenic sequestration
D57419 MCC 0496 Sickle-cell thalassemia with crisis, unspecified
D57811 MCC 0496 Other sickle-cell disorders with acute chest syndrome
D57812 MCC 0496 Other sickle-cell disorders with splenic sequestration
D57819 MCC 0496 Other sickle-cell disorders with crisis, unspecified
D593 MCC 0496 Hemolytic-uremic syndrome
D600 MCC 0496 Chronic acquired pure red cell aplasia
D601 MCC 0496 Transient acquired pure red cell aplasia
D608 MCC 0496 Other acquired pure red cell aplasias
D609 MCC 0496 Acquired pure red cell aplasia, unspecified
D611 MCC 0496 Drug-induced aplastic anemia
D612 MCC 0496 Aplastic anemia due to other external agents
D613 MCC 0496 Idiopathic aplastic anemia
D61810 MCC 0500 Antineoplastic chemotherapy induced pancytopenia
D61811 MCC 0500 Other drug-induced pancytopenia
D6189 MCC 0496 Other specified aplastic anemias and other bone marrow failure syndromes
D65 MCC 0502 Disseminated intravascular coagulation [defibrination syndrome]
D66 MCC 0502 Hereditary factor VIII deficiency
D67 MCC 0502 Hereditary factor IX deficiency
E035 MCC 0515 Myxedema coma
E0501 MCC 0516 Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm
E0511 MCC 0516 Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm
E0521 MCC 0516 Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm
E0531 MCC 0516 Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm
E0541 MCC 0516 Thyrotoxicosis factitia with thyrotoxic crisis or storm
E0581 MCC 0516 Other thyrotoxicosis with thyrotoxic crisis or storm
E0591 MCC 0516 Thyrotoxicosis, unspecified with thyrotoxic crisis or storm
E0800 MCC 0518 Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic
hyperglycemic-hyperosmolar coma (NKHHC)
E0801 MCC 0518 Diabetes mellitus due to underlying condition with hyperosmolarity with coma
E0810 MCC 0518 Diabetes mellitus due to underlying condition with ketoacidosis without coma
E0811 MCC 0518 Diabetes mellitus due to underlying condition with ketoacidosis with coma
E08641 MCC 0518 Diabetes mellitus due to underlying condition with hypoglycemia with coma
E0900 MCC 0518 Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic
hyperglycemic-hyperosmolar coma (NKHHC)
E0901 MCC 0518 Drug or chemical induced diabetes mellitus with hyperosmolarity with coma
E0910 MCC 0518 Drug or chemical induced diabetes mellitus with ketoacidosis without coma
E0911 MCC 0518 Drug or chemical induced diabetes mellitus with ketoacidosis with coma
E09641 MCC 0518 Drug or chemical induced diabetes mellitus with hypoglycemia with coma
E1010 MCC 0520 Type 1 diabetes mellitus with ketoacidosis without coma
E1011 MCC 0520 Type 1 diabetes mellitus with ketoacidosis with coma
E10641 MCC 0520 Type 1 diabetes mellitus with hypoglycemia with coma
E1100 MCC 0518 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-
hyperosmolar coma (NKHHC)
E1101 MCC 0518 Type 2 diabetes mellitus with hyperosmolarity with coma
E11641 MCC 0518 Type 2 diabetes mellitus with hypoglycemia with coma
E1300 MCC 0518 Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-
hyperosmolar coma (NKHHC)
E1301 MCC 0518 Other specified diabetes mellitus with hyperosmolarity with coma
E1310 MCC 0518 Other specified diabetes mellitus with ketoacidosis without coma
E1311 MCC 0518 Other specified diabetes mellitus with ketoacidosis with coma
E13641 MCC 0518 Other specified diabetes mellitus with hypoglycemia with coma
E40 MCC 0530 Kwashiorkor
E41 MCC 0530 Nutritional marasmus
- 25 -
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
E42 MCC 0530 Marasmic kwashiorkor
E43 MCC 0530 Unspecified severe protein-calorie malnutrition
E840 MCC 0541 Cystic fibrosis with pulmonary manifestations
E8411 MCC 0541 Meconium ileus in cystic fibrosis
E883 MCC 0544 Tumor lysis syndrome
G000 MCC 0207 Hemophilus meningitis
G001 MCC 0207 Pneumococcal meningitis
G002 MCC 0207 Streptococcal meningitis
G003 MCC 0207 Staphylococcal meningitis
G008 MCC 0207 Other bacterial meningitis
G009 MCC 0207 Bacterial meningitis, unspecified
G01 MCC 0207 Meningitis in bacterial diseases classified elsewhere
G02 MCC 0559 Meningitis in other infectious and parasitic diseases classified elsewhere
G030 MCC 0207 Nonpyogenic meningitis
G038 MCC 0207 Meningitis due to other specified causes
G039 MCC 0207 Meningitis, unspecified
G0400 MCC 0560 Acute disseminated encephalitis and encephalomyelitis, unspecified
G0401 MCC 0560 Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious
G0402 MCC No Excl Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis
G042 MCC 0207 Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
G0430 MCC No Excl Acute necrotizing hemorrhagic encephalopathy, unspecified
G0431 MCC 0560 Postinfectious acute necrotizing hemorrhagic encephalopathy
G0432 MCC No Excl Postimmunization acute necrotizing hemorrhagic encephalopathy
G0439 MCC No Excl Other acute necrotizing hemorrhagic encephalopathy
G0481 MCC 0560 Other encephalitis and encephalomyelitis
G0489 MCC 0560 Other myelitis
G0490 MCC 0562 Encephalitis and encephalomyelitis, unspecified
G0491 MCC 0562 Myelitis, unspecified
G053 MCC 0560 Encephalitis and encephalomyelitis in diseases classified elsewhere
G054 MCC 0560 Myelitis in diseases classified elsewhere
G060 MCC 0563 Intracranial abscess and granuloma
G061 MCC 0564 Intraspinal abscess and granuloma
G062 MCC 0565 Extradural and subdural abscess, unspecified
G07 MCC 0565 Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere
G08 MCC 0565 Intracranial and intraspinal phlebitis and thrombophlebitis
G210 MCC 0571 Malignant neuroleptic syndrome
G374 MCC 0562 Subacute necrotizing myelitis of central nervous system
G40301 MCC 0583 Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status
G40311 MCC 0583 Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status
G40319 MCC 0583 Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status
G7001 MCC 0591 Myasthenia gravis with (acute) exacerbation
G800 MCC 0595 Spastic quadriplegic cerebral palsy
G8250 MCC 0595 Quadriplegia, unspecified
G8251 MCC 0595 Quadriplegia, C1-C4 complete
G8252 MCC 0595 Quadriplegia, C1-C4 incomplete
G8253 MCC 0595 Quadriplegia, C5-C7 complete
G8254 MCC 0595 Quadriplegia, C5-C7 incomplete
G835 MCC 0601 Locked-in state
G92 MCC 0606 Toxic encephalopathy
G9340 MCC 0608 Encephalopathy, unspecified
G9341 MCC 0609 Metabolic encephalopathy
G9349 MCC 0610 Other encephalopathy
G935 MCC 0611 Compression of brain
G936 MCC 0612 Cerebral edema
G937 MCC 0613 Reye's syndrome
- 26 -
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
G9382 MCC 0515 Brain death
G9511 MCC 0603 Acute infarction of spinal cord (embolic) (nonembolic)
G9519 MCC 0603 Other vascular myelopathies
I2101 MCC 0653 ST elevation (STEMI) myocardial infarction involving left main coronary artery
I2102 MCC 0653 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary
I2109 MCC 0653 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior
I2111 MCC 0653 ST elevation (STEMI) myocardial infarction involving right coronary artery
I2119 MCC 0653 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior
I2121 MCC 0653 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I2129 MCC 0653 ST elevation (STEMI) myocardial infarction involving other sites
I213 MCC 0653 ST elevation (STEMI) myocardial infarction of unspecified site
I214 MCC 0653 Non-ST elevation (NSTEMI) myocardial infarction
I220 MCC 0653 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
I221 MCC 0653 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
I222 MCC 0653 Subsequent non-ST elevation (NSTEMI) myocardial infarction
I228 MCC 0653 Subsequent ST elevation (STEMI) myocardial infarction of other sites
I229 MCC 0653 Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
I234 MCC 0655 Rupture of chordae tendineae as current complication following acute myocardial
I235 MCC 0656 Rupture of papillary muscle as current complication following acute myocardial infarction
I2542 MCC 0660 Coronary artery dissection
I2601 MCC 0667 Septic pulmonary embolism with acute cor pulmonale
I2602 MCC 0667 Saddle embolus of pulmonary artery with acute cor pulmonale
I2609 MCC 0667 Other pulmonary embolism with acute cor pulmonale
I2690 MCC 0668 Septic pulmonary embolism without acute cor pulmonale
I2692 MCC 0669 Saddle embolus of pulmonary artery without acute cor pulmonale
I2699 MCC 0670 Other pulmonary embolism without acute cor pulmonale
I330 MCC 0675 Acute and subacute infective endocarditis
I339 MCC 0675 Acute and subacute endocarditis, unspecified
I400 MCC 0677 Infective myocarditis
I401 MCC 0677 Isolated myocarditis
I408 MCC 0677 Other acute myocarditis
I409 MCC 0677 Acute myocarditis, unspecified
I41 MCC 0677 Myocarditis in diseases classified elsewhere
I462 MCC* 0680 Cardiac arrest due to underlying cardiac condition
I468 MCC* 0680 Cardiac arrest due to other underlying condition
I469 MCC* 0680 Cardiac arrest, cause unspecified
I4901 MCC* 0679 Ventricular fibrillation
I4902 MCC 0679 Ventricular flutter
I5021 MCC 0682 Acute systolic (congestive) heart failure
I5023 MCC 0682 Acute on chronic systolic (congestive) heart failure
I5031 MCC 0682 Acute diastolic (congestive) heart failure
I5033 MCC 0682 Acute on chronic diastolic (congestive) heart failure
I5041 MCC 0682 Acute combined systolic (congestive) and diastolic (congestive) heart failure
I5043 MCC 0682 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
I511 MCC 0655 Rupture of chordae tendineae, not elsewhere classified
I512 MCC 0656 Rupture of papillary muscle, not elsewhere classified
I6000 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation
I6001 MCC 0684 Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation
I6002 MCC 0684 Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation
I6010 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery
I6011 MCC 0684 Nontraumatic subarachnoid hemorrhage from right middle cerebral artery
I6012 MCC 0684 Nontraumatic subarachnoid hemorrhage from left middle cerebral artery
I6020 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified anterior communicating artery
I6021 MCC 0684 Nontraumatic subarachnoid hemorrhage from right anterior communicating artery
I6022 MCC 0684 Nontraumatic subarachnoid hemorrhage from left anterior communicating artery
- 27 -
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
I6030 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery
I6031 MCC 0684 Nontraumatic subarachnoid hemorrhage from right posterior communicating artery
I6032 MCC 0684 Nontraumatic subarachnoid hemorrhage from left posterior communicating artery
I604 MCC 0684 Nontraumatic subarachnoid hemorrhage from basilar artery
I6050 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery
I6051 MCC 0684 Nontraumatic subarachnoid hemorrhage from right vertebral artery
I6052 MCC 0684 Nontraumatic subarachnoid hemorrhage from left vertebral artery
I606 MCC 0684 Nontraumatic subarachnoid hemorrhage from other intracranial arteries
I607 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery
I608 MCC 0684 Other nontraumatic subarachnoid hemorrhage
I609 MCC 0684 Nontraumatic subarachnoid hemorrhage, unspecified
I610 MCC 0684 Nontraumatic intracerebral hemorrhage in hemisphere, subcortical
I611 MCC 0684 Nontraumatic intracerebral hemorrhage in hemisphere, cortical
I612 MCC 0684 Nontraumatic intracerebral hemorrhage in hemisphere, unspecified
I613 MCC 0684 Nontraumatic intracerebral hemorrhage in brain stem
I614 MCC 0684 Nontraumatic intracerebral hemorrhage in cerebellum
I615 MCC 0684 Nontraumatic intracerebral hemorrhage, intraventricular
I616 MCC 0684 Nontraumatic intracerebral hemorrhage, multiple localized
I618 MCC 0684 Other nontraumatic intracerebral hemorrhage
I619 MCC 0684 Nontraumatic intracerebral hemorrhage, unspecified
I6200 MCC 0684 Nontraumatic subdural hemorrhage, unspecified
I6201 MCC 0684 Nontraumatic acute subdural hemorrhage
I6202 MCC 0684 Nontraumatic subacute subdural hemorrhage
I6203 MCC 0684 Nontraumatic chronic subdural hemorrhage
I621 MCC 0684 Nontraumatic extradural hemorrhage
I6300 MCC 0685 Cerebral infarction due to thrombosis of unspecified precerebral artery
I63011 MCC 0686 Cerebral infarction due to thrombosis of right vertebral artery
I63012 MCC 0686 Cerebral infarction due to thrombosis of left vertebral artery
I63019 MCC 0686 Cerebral infarction due to thrombosis of unspecified vertebral artery
I6302 MCC 0685 Cerebral infarction due to thrombosis of basilar artery
I63031 MCC 0687 Cerebral infarction due to thrombosis of right carotid artery
I63032 MCC 0687 Cerebral infarction due to thrombosis of left carotid artery
I63039 MCC 0687 Cerebral infarction due to thrombosis of unspecified carotid artery
I6309 MCC 0685 Cerebral infarction due to thrombosis of other precerebral artery
I6310 MCC 0685 Cerebral infarction due to embolism of unspecified precerebral artery
I63111 MCC 0686 Cerebral infarction due to embolism of right vertebral artery
I63112 MCC 0686 Cerebral infarction due to embolism of left vertebral artery
I63119 MCC 0686 Cerebral infarction due to embolism of unspecified vertebral artery
I6312 MCC 0685 Cerebral infarction due to embolism of basilar artery
I63131 MCC 0687 Cerebral infarction due to embolism of right carotid artery
I63132 MCC 0687 Cerebral infarction due to embolism of left carotid artery
I63139 MCC 0687 Cerebral infarction due to embolism of unspecified carotid artery
I6319 MCC 0685 Cerebral infarction due to embolism of other precerebral artery
I6320 MCC 0685 Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral
I63211 MCC 0686 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral arteries
I63212 MCC 0686 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral arteries
I63219 MCC 0686 Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral
I6322 MCC 0685 Cerebral infarction due to unspecified occlusion or stenosis of basilar arteries
I63231 MCC 0687 Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63232 MCC 0687 Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63239 MCC 0687 Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid arteries
I6329 MCC 0685 Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries
I6330 MCC 0688 Cerebral infarction due to thrombosis of unspecified cerebral artery
I63311 MCC 0688 Cerebral infarction due to thrombosis of right middle cerebral artery
I63312 MCC 0688 Cerebral infarction due to thrombosis of left middle cerebral artery
- 28 -
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
I63319 MCC 0688 Cerebral infarction due to thrombosis of unspecified middle cerebral artery
I63321 MCC 0688 Cerebral infarction due to thrombosis of right anterior cerebral artery
I63322 MCC 0688 Cerebral infarction due to thrombosis of left anterior cerebral artery
I63329 MCC 0688 Cerebral infarction due to thrombosis of unspecified anterior cerebral artery
I63331 MCC 0688 Cerebral infarction due to thrombosis of right posterior cerebral artery
I63332 MCC 0688 Cerebral infarction due to thrombosis of left posterior cerebral artery
I63339 MCC 0688 Cerebral infarction due to thrombosis of unspecified posterior cerebral artery
I63341 MCC 0688 Cerebral infarction due to thrombosis of right cerebellar artery
I63342 MCC 0688 Cerebral infarction due to thrombosis of left cerebellar artery
I63349 MCC 0688 Cerebral infarction due to thrombosis of unspecified cerebellar artery
I6339 MCC 0688 Cerebral infarction due to thrombosis of other cerebral artery
I6340 MCC 0688 Cerebral infarction due to embolism of unspecified cerebral artery
I63411 MCC 0688 Cerebral infarction due to embolism of right middle cerebral artery
I63412 MCC 0688 Cerebral infarction due to embolism of left middle cerebral artery
I63419 MCC 0688 Cerebral infarction due to embolism of unspecified middle cerebral artery
I63421 MCC 0688 Cerebral infarction due to embolism of right anterior cerebral artery
I63422 MCC 0688 Cerebral infarction due to embolism of left anterior cerebral artery
I63429 MCC 0688 Cerebral infarction due to embolism of unspecified anterior cerebral artery
I63431 MCC 0688 Cerebral infarction due to embolism of right posterior cerebral artery
I63432 MCC 0688 Cerebral infarction due to embolism of left posterior cerebral artery
I63439 MCC 0688 Cerebral infarction due to embolism of unspecified posterior cerebral artery
I63441 MCC 0688 Cerebral infarction due to embolism of right cerebellar artery
I63442 MCC 0688 Cerebral infarction due to embolism of left cerebellar artery
I63449 MCC 0688 Cerebral infarction due to embolism of unspecified cerebellar artery
I6349 MCC 0688 Cerebral infarction due to embolism of other cerebral artery
I6350 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery
I63511 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63512 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63519 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral
I63521 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral
I63522 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63529 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior
I63531 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral
I63532 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral
I63539 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior
I63541 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63542 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63549 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar
I6359 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I636 MCC 0688 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I638 MCC 0688 Other cerebral infarction
I639 MCC 0688 Cerebral infarction, unspecified
I670 MCC 0689 Dissection of cerebral arteries, nonruptured
I6783 MCC 0610 Posterior reversible encephalopathy syndrome
I7100 MCC 0700 Dissection of unspecified site of aorta
I7101 MCC 0700 Dissection of thoracic aorta
I7102 MCC 0700 Dissection of abdominal aorta
I7103 MCC 0700 Dissection of thoracoabdominal aorta
I711 MCC 0700 Thoracic aortic aneurysm, ruptured
I713 MCC 0700 Abdominal aortic aneurysm, ruptured
I715 MCC 0700 Thoracoabdominal aortic aneurysm, ruptured
I718 MCC 0700 Aortic aneurysm of unspecified site, ruptured
I7401 MCC 0669 Saddle embolus of abdominal aorta
I7771 MCC 0689 Dissection of carotid artery
I7772 MCC 0689 Dissection of iliac artery
- 29 -
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除組別次診斷英文名稱
I7773 MCC 0689 Dissection of renal artery
I7774 MCC 0689 Dissection of vertebral artery
I7779 MCC 0689 Dissection of other artery
I81 MCC 0714 Portal vein thrombosis
I820 MCC 0715 Budd-Chiari syndrome
I82220 MCC 0718 Acute embolism and thrombosis of inferior vena cava
I82221 MCC 0718 Chronic embolism and thrombosis of inferior vena cava
I8501 MCC 0722 Esophageal varices with bleeding
I8511 MCC 0724 Secondary esophageal varices with bleeding
J0411 MCC 0730 Acute tracheitis with obstruction
J0431 MCC 0731 Supraglottitis, unspecified, with obstruction
J0511 MCC 0730 Acute epiglottitis with obstruction
J09X1 MCC 0110 Influenza due to identified novel influenza A virus with pneumonia
J1000 MCC 0110 Influenza due to other identified influenza virus with unspecified type of pneumonia
J1001 MCC 0110 Influenza due to other identified influenza virus with the same other identified influenza
virus pneumonia
J1008 MCC 0733 Influenza due to other identified influenza virus with other specified pneumonia
J1100 MCC 0110 Influenza due to unidentified influenza virus with unspecified type of pneumonia
J1108 MCC 0110 Influenza due to unidentified influenza virus with specified pneumonia
J120 MCC 0734 Adenoviral pneumonia
J121 MCC 0734 Respiratory syncytial virus pneumonia
J122 MCC 0734 Parainfluenza virus pneumonia
J123 MCC 0734 Human metapneumovirus pneumonia
J1281 MCC 0735 Pneumonia due to SARS-associated coronavirus
J1289 MCC 0734 Other viral pneumonia
J129 MCC 0734 Viral pneumonia, unspecified
J13 MCC 0110 Pneumonia due to Streptococcus pneumoniae
J14 MCC 0110 Pneumonia due to Hemophilus influenzae
J150 MCC 0110 Pneumonia due to Klebsiella pneumoniae
J151 MCC 0110 Pneumonia due to Pseudomonas
J1520 MCC 0110 Pneumonia due to staphylococcus, unspecified
J15211 MCC 0110 Pneumonia due to Methicillin susceptible Staphylococcus aureus
J15212 MCC 0110 Pneumonia due to Methicillin resistant Staphylococcus aureus
J1529 MCC 0110 Pneumonia due to other staphylococcus
J153 MCC 0110 Pneumonia due to streptococcus, group B
J154 MCC 0110 Pneumonia due to other streptococci
J155 MCC 0110 Pneumonia due to Escherichia coli
J156 MCC 0110 Pneumonia due to other aerobic Gram-negative bacteria
J157 MCC 0110 Pneumonia due to Mycoplasma pneumoniae
J158 MCC 0110 Pneumonia due to other specified bacteria
J159 MCC 0110 Unspecified bacterial pneumonia
J160 MCC 0110 Chlamydial pneumonia
J168 MCC 0110 Pneumonia due to other specified infectious organisms
J17 MCC 0110 Pneumonia in diseases classified elsewhere
J180 MCC 0110 Bronchopneumonia, unspecified organism
J181 MCC 0110 Lobar pneumonia, unspecified organism
J188 MCC 0110 Other pneumonia, unspecified organism
J189 MCC 0110 Pneumonia, unspecified organism
J681 MCC 0110 Pulmonary edema due to chemicals, gases, fumes and vapors
J690 MCC 0110 Pneumonitis due to inhalation of food and vomit
J691 MCC 0110 Pneumonitis due to inhalation of oils and essences
J698 MCC 0110 Pneumonitis due to inhalation of other solids and liquids
J810 MCC 0745 Acute pulmonary edema
J8481 MCC 0747 Lymphangioleiomyomatosis
J8483 MCC 0748 Surfactant mutations of the lung
- 30 -
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除組別次診斷英文名稱
J84841 MCC 0748 Neuroendocrine cell hyperplasia of infancy
J84842 MCC 0748 Pulmonary interstitial glycogenosis
J84843 MCC 0748 Alveolar capillary dysplasia with vein misalignment
J84848 MCC 0748 Other interstitial lung diseases of childhood
J850 MCC 0749 Gangrene and necrosis of lung
J851 MCC 0749 Abscess of lung with pneumonia
J852 MCC 0749 Abscess of lung without pneumonia
J853 MCC 0750 Abscess of mediastinum
J860 MCC 0751 Pyothorax with fistula
J869 MCC 0751 Pyothorax without fistula
J930 MCC 0754 Spontaneous tension pneumothorax
J951 MCC 0756 Acute pulmonary insufficiency following thoracic surgery
J952 MCC 0756 Acute pulmonary insufficiency following nonthoracic surgery
J953 MCC 0756 Chronic pulmonary insufficiency following surgery
J95821 MCC 0756 Acute postprocedural respiratory failure
J95822 MCC 0756 Acute and chronic postprocedural respiratory failure
J9600 MCC 0744 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
J9601 MCC 0744 Acute respiratory failure with hypoxia
J9602 MCC 0744 Acute respiratory failure with hypercapnia
J9620 MCC 0744 Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
J9621 MCC 0744 Acute and chronic respiratory failure with hypoxia
J9622 MCC 0744 Acute and chronic respiratory failure with hypercapnia
J9690 MCC 0744 Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
J9691 MCC 0744 Respiratory failure, unspecified with hypoxia
J9692 MCC 0744 Respiratory failure, unspecified with hypercapnia
J985 MCC No Excl Diseases of mediastinum, not elsewhere classified
K2211 MCC 0765 Ulcer of esophagus with bleeding
K223 MCC 0766 Perforation of esophagus
K226 MCC 0767 Gastro-esophageal laceration-hemorrhage syndrome
K250 MCC 0765 Acute gastric ulcer with hemorrhage
K251 MCC 0765 Acute gastric ulcer with perforation
K252 MCC 0765 Acute gastric ulcer with both hemorrhage and perforation
K254 MCC 0765 Chronic or unspecified gastric ulcer with hemorrhage
K255 MCC 0765 Chronic or unspecified gastric ulcer with perforation
K256 MCC 0765 Chronic or unspecified gastric ulcer with both hemorrhage and perforation
K260 MCC 0768 Acute duodenal ulcer with hemorrhage
K261 MCC 0768 Acute duodenal ulcer with perforation
K262 MCC 0768 Acute duodenal ulcer with both hemorrhage and perforation
K264 MCC 0768 Chronic or unspecified duodenal ulcer with hemorrhage
K265 MCC 0768 Chronic or unspecified duodenal ulcer with perforation
K266 MCC 0768 Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
K270 MCC 0768 Acute peptic ulcer, site unspecified, with hemorrhage
K271 MCC 0768 Acute peptic ulcer, site unspecified, with perforation
K272 MCC 0768 Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
K274 MCC 0768 Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
K275 MCC 0768 Chronic or unspecified peptic ulcer, site unspecified, with perforation
K276 MCC 0768 Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and
K280 MCC 0765 Acute gastrojejunal ulcer with hemorrhage
K281 MCC 0765 Acute gastrojejunal ulcer with perforation
K282 MCC 0765 Acute gastrojejunal ulcer with both hemorrhage and perforation
K284 MCC 0765 Chronic or unspecified gastrojejunal ulcer with hemorrhage
K285 MCC 0765 Chronic or unspecified gastrojejunal ulcer with perforation
K286 MCC 0765 Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation
K2901 MCC 0770 Acute gastritis with bleeding
K2921 MCC 0770 Alcoholic gastritis with bleeding
- 31 -
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除組別次診斷英文名稱
K2931 MCC 0770 Chronic superficial gastritis with bleeding
K2941 MCC 0770 Chronic atrophic gastritis with bleeding
K2951 MCC 0770 Unspecified chronic gastritis with bleeding
K2961 MCC 0770 Other gastritis with bleeding
K2971 MCC 0770 Gastritis, unspecified, with bleeding
K2981 MCC 0770 Duodenitis with bleeding
K2991 MCC 0770 Gastroduodenitis, unspecified, with bleeding
K31811 MCC 0770 Angiodysplasia of stomach and duodenum with bleeding
K3182 MCC 0775 Dieulafoy lesion (hemorrhagic) of stomach and duodenum
K352 MCC 0776 Acute appendicitis with generalized peritonitis
K353 MCC 0776 Acute appendicitis with localized peritonitis
K4010 MCC 0777 Bilateral inguinal hernia, with gangrene, not specified as recurrent
K4011 MCC 0777 Bilateral inguinal hernia, with gangrene, recurrent
K4040 MCC 0777 Unilateral inguinal hernia, with gangrene, not specified as recurrent
K4041 MCC 0777 Unilateral inguinal hernia, with gangrene, recurrent
K4110 MCC 0779 Bilateral femoral hernia, with gangrene, not specified as recurrent
K4111 MCC 0779 Bilateral femoral hernia, with gangrene, recurrent
K4140 MCC 0779 Unilateral femoral hernia, with gangrene, not specified as recurrent
K4141 MCC 0779 Unilateral femoral hernia, with gangrene, recurrent
K421 MCC 0781 Umbilical hernia with gangrene
K431 MCC 0781 Incisional hernia with gangrene
K434 MCC 0781 Parastomal hernia with gangrene
K437 MCC 0781 Other and unspecified ventral hernia with gangrene
K441 MCC 0782 Diaphragmatic hernia with gangrene
K451 MCC 0784 Other specified abdominal hernia with gangrene
K461 MCC 0784 Unspecified abdominal hernia with gangrene
K550 MCC 0790 Acute vascular disorders of intestine
K5521 MCC 0770 Angiodysplasia of colon with hemorrhage
K562 MCC 0792 Volvulus
K5701 MCC 0770 Diverticulitis of small intestine with perforation and abscess with bleeding
K5711 MCC 0770 Diverticulosis of small intestine without perforation or abscess with bleeding
K5713 MCC 0770 Diverticulitis of small intestine without perforation or abscess with bleeding
K5721 MCC 0770 Diverticulitis of large intestine with perforation and abscess with bleeding
K5731 MCC 0770 Diverticulosis of large intestine without perforation or abscess with bleeding
K5733 MCC 0770 Diverticulitis of large intestine without perforation or abscess with bleeding
K5741 MCC 0770 Diverticulitis of both small and large intestine with perforation and abscess with bleeding
K5751 MCC 0770 Diverticulosis of both small and large intestine without perforation or abscess with
K5753 MCC 0770 Diverticulitis of both small and large intestine without perforation or abscess with
K5781 MCC 0770 Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding
K5791 MCC 0770 Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding
K5793 MCC 0770 Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding
K631 MCC 0799 Perforation of intestine (nontraumatic)
K6381 MCC 0802 Dieulafoy lesion of intestine
K650 MCC 0803 Generalized (acute) peritonitis
K651 MCC 0803 Peritoneal abscess
K652 MCC 0803 Spontaneous bacterial peritonitis
K653 MCC 0803 Choleperitonitis
K658 MCC 0803 Other peritonitis
K659 MCC 0803 Peritonitis, unspecified
K661 MCC 0804 Hemoperitoneum
K67 MCC 0803 Disorders of peritoneum in infectious diseases classified elsewhere
K6812 MCC 0806 Psoas muscle abscess
K6819 MCC 0803 Other retroperitoneal abscess
K689 MCC 0803 Other disorders of retroperitoneum
K7041 MCC 0807 Alcoholic hepatic failure with coma
- 32 -
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除組別次診斷英文名稱
K7111 MCC 0807 Toxic liver disease with hepatic necrosis, with coma
K7200 MCC 0808 Acute and subacute hepatic failure without coma
K7201 MCC 0808 Acute and subacute hepatic failure with coma
K7211 MCC 0807 Chronic hepatic failure with coma
K7291 MCC 0807 Hepatic failure, unspecified with coma
K750 MCC 0809 Abscess of liver
K751 MCC 0809 Phlebitis of portal vein
K762 MCC 0808 Central hemorrhagic necrosis of liver
K763 MCC 0808 Infarction of liver
K767 MCC 0811 Hepatorenal syndrome
K8067 MCC 0817 Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction
K822 MCC 0820 Perforation of gallbladder
K831 MCC 0821 Obstruction of bile duct
K832 MCC 0822 Perforation of bile duct
K850 MCC 0177 Idiopathic acute pancreatitis
K851 MCC 0177 Biliary acute pancreatitis
K852 MCC 0177 Alcohol induced acute pancreatitis
K853 MCC 0177 Drug induced acute pancreatitis
K858 MCC 0177 Other acute pancreatitis
K859 MCC 0177 Acute pancreatitis, unspecified
L89003 MCC 0854 Pressure ulcer of unspecified elbow, stage 3
L89004 MCC 0854 Pressure ulcer of unspecified elbow, stage 4
L89013 MCC 0854 Pressure ulcer of right elbow, stage 3
L89014 MCC 0854 Pressure ulcer of right elbow, stage 4
L89023 MCC 0854 Pressure ulcer of left elbow, stage 3
L89024 MCC 0854 Pressure ulcer of left elbow, stage 4
L89103 MCC 0854 Pressure ulcer of unspecified part of back, stage 3
L89104 MCC 0854 Pressure ulcer of unspecified part of back, stage 4
L89113 MCC 0854 Pressure ulcer of right upper back, stage 3
L89114 MCC 0854 Pressure ulcer of right upper back, stage 4
L89123 MCC 0854 Pressure ulcer of left upper back, stage 3
L89124 MCC 0854 Pressure ulcer of left upper back, stage 4
L89133 MCC 0854 Pressure ulcer of right lower back, stage 3
L89134 MCC 0854 Pressure ulcer of right lower back, stage 4
L89143 MCC 0854 Pressure ulcer of left lower back, stage 3
L89144 MCC 0854 Pressure ulcer of left lower back, stage 4
L89153 MCC 0854 Pressure ulcer of sacral region, stage 3
L89154 MCC 0854 Pressure ulcer of sacral region, stage 4
L89203 MCC 0854 Pressure ulcer of unspecified hip, stage 3
L89204 MCC 0854 Pressure ulcer of unspecified hip, stage 4
L89213 MCC 0854 Pressure ulcer of right hip, stage 3
L89214 MCC 0854 Pressure ulcer of right hip, stage 4
L89223 MCC 0854 Pressure ulcer of left hip, stage 3
L89224 MCC 0854 Pressure ulcer of left hip, stage 4
L89303 MCC 0854 Pressure ulcer of unspecified buttock, stage 3
L89304 MCC 0854 Pressure ulcer of unspecified buttock, stage 4
L89313 MCC 0854 Pressure ulcer of right buttock, stage 3
L89314 MCC 0854 Pressure ulcer of right buttock, stage 4
L89323 MCC 0854 Pressure ulcer of left buttock, stage 3
L89324 MCC 0854 Pressure ulcer of left buttock, stage 4
L8943 MCC 0854 Pressure ulcer of contiguous site of back, buttock and hip, stage 3
L8944 MCC 0854 Pressure ulcer of contiguous site of back, buttock and hip, stage 4
L89503 MCC 0854 Pressure ulcer of unspecified ankle, stage 3
L89504 MCC 0854 Pressure ulcer of unspecified ankle, stage 4
L89513 MCC 0854 Pressure ulcer of right ankle, stage 3
- 33 -
次診斷
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除組別次診斷英文名稱
L89514 MCC 0854 Pressure ulcer of right ankle, stage 4
L89523 MCC 0854 Pressure ulcer of left ankle, stage 3
L89524 MCC 0854 Pressure ulcer of left ankle, stage 4
L89603 MCC 0854 Pressure ulcer of unspecified heel, stage 3
L89604 MCC 0854 Pressure ulcer of unspecified heel, stage 4
L89613 MCC 0854 Pressure ulcer of right heel, stage 3
L89614 MCC 0854 Pressure ulcer of right heel, stage 4
L89623 MCC 0854 Pressure ulcer of left heel, stage 3
L89624 MCC 0854 Pressure ulcer of left heel, stage 4
L89813 MCC 0854 Pressure ulcer of head, stage 3
L89814 MCC 0854 Pressure ulcer of head, stage 4
L89893 MCC 0854 Pressure ulcer of other site, stage 3
L89894 MCC 0854 Pressure ulcer of other site, stage 4
L8993 MCC 0854 Pressure ulcer of unspecified site, stage 3
L8994 MCC 0854 Pressure ulcer of unspecified site, stage 4
M311 MCC 0874 Thrombotic microangiopathy
M726 MCC 0806 Necrotizing fasciitis
N000 MCC 0915 Acute nephritic syndrome with minor glomerular abnormality
N001 MCC 0915 Acute nephritic syndrome with focal and segmental glomerular lesions
N002 MCC 0915 Acute nephritic syndrome with diffuse membranous glomerulonephritis
N003 MCC 0915 Acute nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
N004 MCC 0915 Acute nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
N005 MCC 0915 Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis
N006 MCC 0915 Acute nephritic syndrome with dense deposit disease
N007 MCC 0915 Acute nephritic syndrome with diffuse crescentic glomerulonephritis
N008 MCC 0916 Acute nephritic syndrome with other morphologic changes
N009 MCC 0915 Acute nephritic syndrome with unspecified morphologic changes
N010 MCC 0915 Rapidly progressive nephritic syndrome with minor glomerular abnormality
N011 MCC 0915 Rapidly progressive nephritic syndrome with focal and segmental glomerular lesions
N012 MCC 0915 Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis
N013 MCC 0915 Rapidly progressive nephritic syndrome with diffuse mesangial proliferative
N014 MCC 0915 Rapidly progressive nephritic syndrome with diffuse endocapillary proliferative
N015 MCC 0915 Rapidly progressive nephritic syndrome with diffuse mesangiocapillary
N016 MCC 0915 Rapidly progressive nephritic syndrome with dense deposit disease
N017 MCC 0915 Rapidly progressive nephritic syndrome with diffuse crescentic glomerulonephritis
N018 MCC 0915 Rapidly progressive nephritic syndrome with other morphologic changes
N019 MCC 0915 Rapidly progressive nephritic syndrome with unspecified morphologic changes
N151 MCC 0919 Renal and perinephric abscess
N170 MCC 0924 Acute kidney failure with tubular necrosis
N171 MCC 0924 Acute kidney failure with acute cortical necrosis
N172 MCC 0924 Acute kidney failure with medullary necrosis
N186 MCC 0927 End stage renal disease
N733 MCC 0942 Female acute pelvic peritonitis
O032 MCC 0954 Embolism following incomplete spontaneous abortion
O0331 MCC 0954 Shock following incomplete spontaneous abortion
O0332 MCC 0954 Renal failure following incomplete spontaneous abortion
O0381 MCC 0954 Shock following complete or unspecified spontaneous abortion
O0382 MCC 0954 Renal failure following complete or unspecified spontaneous abortion
O047 MCC 0954 Embolism following (induced) termination of pregnancy
O0481 MCC 0954 Shock following (induced) termination of pregnancy
O0482 MCC 0954 Renal failure following (induced) termination of pregnancy
O072 MCC 0958 Embolism following failed attempted termination of pregnancy
O0731 MCC 0959 Shock following failed attempted termination of pregnancy
O0732 MCC 0960 Renal failure following failed attempted termination of pregnancy
O082 MCC 0963 Embolism following ectopic and molar pregnancy
- 34 -
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除組別次診斷英文名稱
O083 MCC 0963 Shock following ectopic and molar pregnancy
O084 MCC 0963 Renal failure following ectopic and molar pregnancy
O1042 MCC 0964 Pre-existing secondary hypertension complicating childbirth
O111 MCC 0964 Pre-existing hypertension with pre-eclampsia, first trimester
O112 MCC 0964 Pre-existing hypertension with pre-eclampsia, second trimester
O113 MCC 0964 Pre-existing hypertension with pre-eclampsia, third trimester
O1412 MCC 0964 Severe pre-eclampsia, second trimester
O1413 MCC 0964 Severe pre-eclampsia, third trimester
O1422 MCC 0964 HELLP syndrome (HELLP), second trimester
O1423 MCC 0964 HELLP syndrome (HELLP), third trimester
O1502 MCC 0964 Eclampsia in pregnancy, second trimester
O1503 MCC 0964 Eclampsia in pregnancy, third trimester
O151 MCC 0964 Eclampsia in labor
O152 MCC 0964 Eclampsia in the puerperium
O2231 MCC 0967 Deep phlebothrombosis in pregnancy, first trimester
O2232 MCC 0967 Deep phlebothrombosis in pregnancy, second trimester
O2233 MCC 0967 Deep phlebothrombosis in pregnancy, third trimester
O2402 MCC 0969 Pre-existing diabetes mellitus, type 1, in childbirth
O2412 MCC 0969 Pre-existing diabetes mellitus, type 2, in childbirth
O2432 MCC 0969 Unspecified pre-existing diabetes mellitus in childbirth
O2482 MCC 0969 Other pre-existing diabetes mellitus in childbirth
O3431 MCC 0973 Maternal care for cervical incompetence, first trimester
O3432 MCC 0973 Maternal care for cervical incompetence, second trimester
O3433 MCC 0973 Maternal care for cervical incompetence, third trimester
O411010 MCC 0983 Infection of amniotic sac and membranes, unspecified, first trimester, not applicable or
O411011 MCC 0983 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 1
O411012 MCC 0983 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 2
O411013 MCC 0983 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 3
O411014 MCC 0983 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 4
O411015 MCC 0983 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 5
O411019 MCC 0983 Infection of amniotic sac and membranes, unspecified, first trimester, other fetus
O411020 MCC 0983 Infection of amniotic sac and membranes, unspecified, second trimester, not applicable or
O411021 MCC 0983 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 1
O411022 MCC 0983 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 2
O411023 MCC 0983 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 3
O411024 MCC 0983 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 4
O411025 MCC 0983 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 5
O411029 MCC 0983 Infection of amniotic sac and membranes, unspecified, second trimester, other fetus
O411030 MCC 0983 Infection of amniotic sac and membranes, unspecified, third trimester, not applicable or
O411031 MCC 0983 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 1
O411032 MCC 0983 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 2
O411033 MCC 0983 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 3
O411034 MCC 0983 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 4
O411035 MCC 0983 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 5
O411039 MCC 0983 Infection of amniotic sac and membranes, unspecified, third trimester, other fetus
O411210 MCC 0983 Chorioamnionitis, first trimester, not applicable or unspecified
O411211 MCC 0983 Chorioamnionitis, first trimester, fetus 1
O411212 MCC 0983 Chorioamnionitis, first trimester, fetus 2
O411213 MCC 0983 Chorioamnionitis, first trimester, fetus 3
O411214 MCC 0983 Chorioamnionitis, first trimester, fetus 4
O411215 MCC 0983 Chorioamnionitis, first trimester, fetus 5
O411219 MCC 0983 Chorioamnionitis, first trimester, other fetus
O411220 MCC 0983 Chorioamnionitis, second trimester, not applicable or unspecified
O411221 MCC 0983 Chorioamnionitis, second trimester, fetus 1
O411222 MCC 0983 Chorioamnionitis, second trimester, fetus 2
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除組別次診斷英文名稱
O411223 MCC 0983 Chorioamnionitis, second trimester, fetus 3
O411224 MCC 0983 Chorioamnionitis, second trimester, fetus 4
O411225 MCC 0983 Chorioamnionitis, second trimester, fetus 5
O411229 MCC 0983 Chorioamnionitis, second trimester, other fetus
O411230 MCC 0983 Chorioamnionitis, third trimester, not applicable or unspecified
O411231 MCC 0983 Chorioamnionitis, third trimester, fetus 1
O411232 MCC 0983 Chorioamnionitis, third trimester, fetus 2
O411233 MCC 0983 Chorioamnionitis, third trimester, fetus 3
O411234 MCC 0983 Chorioamnionitis, third trimester, fetus 4
O411235 MCC 0983 Chorioamnionitis, third trimester, fetus 5
O411239 MCC 0983 Chorioamnionitis, third trimester, other fetus
O411410 MCC 0983 Placentitis, first trimester, not applicable or unspecified
O411411 MCC 0983 Placentitis, first trimester, fetus 1
O411412 MCC 0983 Placentitis, first trimester, fetus 2
O411413 MCC 0983 Placentitis, first trimester, fetus 3
O411414 MCC 0983 Placentitis, first trimester, fetus 4
O411415 MCC 0983 Placentitis, first trimester, fetus 5
O411419 MCC 0983 Placentitis, first trimester, other fetus
O411420 MCC 0983 Placentitis, second trimester, not applicable or unspecified
O411421 MCC 0983 Placentitis, second trimester, fetus 1
O411422 MCC 0983 Placentitis, second trimester, fetus 2
O411423 MCC 0983 Placentitis, second trimester, fetus 3
O411424 MCC 0983 Placentitis, second trimester, fetus 4
O411425 MCC 0983 Placentitis, second trimester, fetus 5
O411429 MCC 0983 Placentitis, second trimester, other fetus
O411430 MCC 0983 Placentitis, third trimester, not applicable or unspecified
O411431 MCC 0983 Placentitis, third trimester, fetus 1
O411432 MCC 0983 Placentitis, third trimester, fetus 2
O411433 MCC 0983 Placentitis, third trimester, fetus 3
O411434 MCC 0983 Placentitis, third trimester, fetus 4
O411435 MCC 0983 Placentitis, third trimester, fetus 5
O411439 MCC 0983 Placentitis, third trimester, other fetus
O4411 MCC 0966 Placenta previa with hemorrhage, first trimester
O4412 MCC 0966 Placenta previa with hemorrhage, second trimester
O4413 MCC 0966 Placenta previa with hemorrhage, third trimester
O45001 MCC 0985 Premature separation of placenta with coagulation defect, unspecified, first trimester
O45002 MCC 0985 Premature separation of placenta with coagulation defect, unspecified, second trimester
O45003 MCC 0985 Premature separation of placenta with coagulation defect, unspecified, third trimester
O45011 MCC 0985 Premature separation of placenta with afibrinogenemia, first trimester
O45012 MCC 0985 Premature separation of placenta with afibrinogenemia, second trimester
O45013 MCC 0985 Premature separation of placenta with afibrinogenemia, third trimester
O45021 MCC 0985 Premature separation of placenta with disseminated intravascular coagulation, first
O45022 MCC 0985 Premature separation of placenta with disseminated intravascular coagulation, second
O45023 MCC 0985 Premature separation of placenta with disseminated intravascular coagulation, third
O45091 MCC 0985 Premature separation of placenta with other coagulation defect, first trimester
O45092 MCC 0985 Premature separation of placenta with other coagulation defect, second trimester
O45093 MCC 0985 Premature separation of placenta with other coagulation defect, third trimester
O458X1 MCC 0986 Other premature separation of placenta, first trimester
O458X2 MCC 0986 Other premature separation of placenta, second trimester
O458X3 MCC 0986 Other premature separation of placenta, third trimester
O4591 MCC 0986 Premature separation of placenta, unspecified, first trimester
O4592 MCC 0986 Premature separation of placenta, unspecified, second trimester
O4593 MCC 0986 Premature separation of placenta, unspecified, third trimester
O46001 MCC 0985 Antepartum hemorrhage with coagulation defect, unspecified, first trimester
O46002 MCC 0985 Antepartum hemorrhage with coagulation defect, unspecified, second trimester
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主診斷代碼排
除組別次診斷英文名稱
O46003 MCC 0985 Antepartum hemorrhage with coagulation defect, unspecified, third trimester
O46011 MCC 0985 Antepartum hemorrhage with afibrinogenemia, first trimester
O46012 MCC 0985 Antepartum hemorrhage with afibrinogenemia, second trimester
O46013 MCC 0985 Antepartum hemorrhage with afibrinogenemia, third trimester
O46021 MCC 0985 Antepartum hemorrhage with disseminated intravascular coagulation, first trimester
O46022 MCC 0985 Antepartum hemorrhage with disseminated intravascular coagulation, second trimester
O46023 MCC 0985 Antepartum hemorrhage with disseminated intravascular coagulation, third trimester
O46091 MCC 0985 Antepartum hemorrhage with other coagulation defect, first trimester
O46092 MCC 0985 Antepartum hemorrhage with other coagulation defect, second trimester
O46093 MCC 0985 Antepartum hemorrhage with other coagulation defect, third trimester
O6002 MCC 0987 Preterm labor without delivery, second trimester
O6003 MCC 0987 Preterm labor without delivery, third trimester
O6012X0 MCC 0987 Preterm labor second trimester with preterm delivery second trimester, not applicable or
O6012X1 MCC 0987 Preterm labor second trimester with preterm delivery second trimester, fetus 1
O6012X2 MCC 0987 Preterm labor second trimester with preterm delivery second trimester, fetus 2
O6012X3 MCC 0987 Preterm labor second trimester with preterm delivery second trimester, fetus 3
O6012X4 MCC 0987 Preterm labor second trimester with preterm delivery second trimester, fetus 4
O6012X5 MCC 0987 Preterm labor second trimester with preterm delivery second trimester, fetus 5
O6012X9 MCC 0987 Preterm labor second trimester with preterm delivery second trimester, other fetus
O6013X0 MCC 0987 Preterm labor second trimester with preterm delivery third trimester, not applicable or
O6013X1 MCC 0987 Preterm labor second trimester with preterm delivery third trimester, fetus 1
O6013X2 MCC 0987 Preterm labor second trimester with preterm delivery third trimester, fetus 2
O6013X3 MCC 0987 Preterm labor second trimester with preterm delivery third trimester, fetus 3
O6013X4 MCC 0987 Preterm labor second trimester with preterm delivery third trimester, fetus 4
O6013X5 MCC 0987 Preterm labor second trimester with preterm delivery third trimester, fetus 5
O6013X9 MCC 0987 Preterm labor second trimester with preterm delivery third trimester, other fetus
O6014X0 MCC 0987 Preterm labor third trimester with preterm delivery third trimester, not applicable or
O6014X1 MCC 0987 Preterm labor third trimester with preterm delivery third trimester, fetus 1
O6014X2 MCC 0987 Preterm labor third trimester with preterm delivery third trimester, fetus 2
O6014X3 MCC 0987 Preterm labor third trimester with preterm delivery third trimester, fetus 3
O6014X4 MCC 0987 Preterm labor third trimester with preterm delivery third trimester, fetus 4
O6014X5 MCC 0987 Preterm labor third trimester with preterm delivery third trimester, fetus 5
O6014X9 MCC 0987 Preterm labor third trimester with preterm delivery third trimester, other fetus
O6022X0 MCC 0987 Term delivery with preterm labor, second trimester, not applicable or unspecified
O6022X1 MCC 0987 Term delivery with preterm labor, second trimester, fetus 1
O6022X2 MCC 0987 Term delivery with preterm labor, second trimester, fetus 2
O6022X3 MCC 0987 Term delivery with preterm labor, second trimester, fetus 3
O6022X4 MCC 0987 Term delivery with preterm labor, second trimester, fetus 4
O6022X5 MCC 0987 Term delivery with preterm labor, second trimester, fetus 5
O6022X9 MCC 0987 Term delivery with preterm labor, second trimester, other fetus
O6023X0 MCC 0987 Term delivery with preterm labor, third trimester, not applicable or unspecified
O6023X1 MCC 0987 Term delivery with preterm labor, third trimester, fetus 1
O6023X2 MCC 0987 Term delivery with preterm labor, third trimester, fetus 2
O6023X3 MCC 0987 Term delivery with preterm labor, third trimester, fetus 3
O6023X4 MCC 0987 Term delivery with preterm labor, third trimester, fetus 4
O6023X5 MCC 0987 Term delivery with preterm labor, third trimester, fetus 5
O6023X9 MCC 0987 Term delivery with preterm labor, third trimester, other fetus
O670 MCC 0985 Intrapartum hemorrhage with coagulation defect
O7102 MCC 0993 Rupture of uterus before onset of labor, second trimester
O7103 MCC 0993 Rupture of uterus before onset of labor, third trimester
O711 MCC 0993 Rupture of uterus during labor
O751 MCC 1002 Shock during or following labor and delivery
O753 MCC 1004 Other infection during labor
O85 MCC 1005 Puerperal sepsis
O8681 MCC 1005 Puerperal septic thrombophlebitis
- 37 -
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主診斷代碼排
除組別次診斷英文名稱
O8689 MCC 1005 Other specified puerperal infections
O871 MCC 0967 Deep phlebothrombosis in the puerperium
O88011 MCC 1007 Air embolism in pregnancy, first trimester
O88012 MCC 1007 Air embolism in pregnancy, second trimester
O88013 MCC 1007 Air embolism in pregnancy, third trimester
O8802 MCC 1007 Air embolism in childbirth
O8803 MCC 1007 Air embolism in the puerperium
O88111 MCC 1007 Amniotic fluid embolism in pregnancy, first trimester
O88112 MCC 1007 Amniotic fluid embolism in pregnancy, second trimester
O88113 MCC 1007 Amniotic fluid embolism in pregnancy, third trimester
O8812 MCC 1007 Amniotic fluid embolism in childbirth
O8813 MCC 1007 Amniotic fluid embolism in the puerperium
O88211 MCC 1007 Thromboembolism in pregnancy, first trimester
O88212 MCC 1007 Thromboembolism in pregnancy, second trimester
O88213 MCC 1007 Thromboembolism in pregnancy, third trimester
O8822 MCC 1007 Thromboembolism in childbirth
O8823 MCC 1007 Thromboembolism in the puerperium
O88311 MCC 1007 Pyemic and septic embolism in pregnancy, first trimester
O88312 MCC 1007 Pyemic and septic embolism in pregnancy, second trimester
O88313 MCC 1007 Pyemic and septic embolism in pregnancy, third trimester
O8832 MCC 1007 Pyemic and septic embolism in childbirth
O8833 MCC 1007 Pyemic and septic embolism in the puerperium
O88811 MCC 1007 Other embolism in pregnancy, first trimester
O88812 MCC 1007 Other embolism in pregnancy, second trimester
O88813 MCC 1007 Other embolism in pregnancy, third trimester
O8882 MCC 1007 Other embolism in childbirth
O8883 MCC 1007 Other embolism in the puerperium
O903 MCC 1008 Peripartum cardiomyopathy
O904 MCC 1009 Postpartum acute kidney failure
O9942 MCC 1008 Diseases of the circulatory system complicating childbirth
P100 MCC 1020 Subdural hemorrhage due to birth injury
P101 MCC 1020 Cerebral hemorrhage due to birth injury
P103 MCC 1022 Subarachnoid hemorrhage due to birth injury
P104 MCC 1020 Tentorial tear due to birth injury
P108 MCC 1020 Other intracranial lacerations and hemorrhages due to birth injury
P109 MCC 1020 Unspecified intracranial laceration and hemorrhage due to birth injury
P110 MCC 1020 Cerebral edema due to birth injury
P112 MCC 1020 Unspecified brain damage due to birth injury
P119 MCC 1020 Birth injury to central nervous system, unspecified
P220 MCC 0748 Respiratory distress syndrome of newborn
P230 MCC 0748 Congenital pneumonia due to viral agent
P231 MCC 0748 Congenital pneumonia due to Chlamydia
P232 MCC 0748 Congenital pneumonia due to staphylococcus
P233 MCC 0748 Congenital pneumonia due to streptococcus, group B
P234 MCC 0748 Congenital pneumonia due to Escherichia coli
P235 MCC 0748 Congenital pneumonia due to Pseudomonas
P236 MCC 0748 Congenital pneumonia due to other bacterial agents
P238 MCC 0748 Congenital pneumonia due to other organisms
P239 MCC 0748 Congenital pneumonia, unspecified
P2401 MCC 0748 Meconium aspiration with respiratory symptoms
P2411 MCC 0748 Neonatal aspiration of (clear) amniotic fluid and mucus with respiratory symptoms
P2421 MCC 0748 Neonatal aspiration of blood with respiratory symptoms
P2431 MCC 0748 Neonatal aspiration of milk and regurgitated food with respiratory symptoms
P2481 MCC 0748 Other neonatal aspiration with respiratory symptoms
P250 MCC 0748 Interstitial emphysema originating in the perinatal period
- 38 -
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
P251 MCC 0748 Pneumothorax originating in the perinatal period
P252 MCC 0748 Pneumomediastinum originating in the perinatal period
P253 MCC 0748 Pneumopericardium originating in the perinatal period
P258 MCC 0748 Other conditions related to interstitial emphysema originating in the perinatal period
P260 MCC 0748 Tracheobronchial hemorrhage originating in the perinatal period
P261 MCC 0748 Massive pulmonary hemorrhage originating in the perinatal period
P268 MCC 0748 Other pulmonary hemorrhages originating in the perinatal period
P269 MCC 0748 Unspecified pulmonary hemorrhage originating in the perinatal period
P270 MCC 0748 Wilson-Mikity syndrome
P271 MCC 0748 Bronchopulmonary dysplasia originating in the perinatal period
P278 MCC 0748 Other chronic respiratory diseases originating in the perinatal period
P279 MCC 0748 Unspecified chronic respiratory disease originating in the perinatal period
P285 MCC 0748 Respiratory failure of newborn
P2881 MCC 1027 Respiratory arrest of newborn
P293 MCC 1028 Persistent fetal circulation
P2981 MCC 1029 Cardiac arrest of newborn
P351 MCC 1030 Congenital cytomegalovirus infection
P352 MCC 0562 Congenital herpesviral [herpes simplex] infection
P353 MCC 0562 Congenital viral hepatitis
P358 MCC 0562 Other congenital viral diseases
P359 MCC 0562 Congenital viral disease, unspecified
P360 MCC 1031 Sepsis of newborn due to streptococcus, group B
P3610 MCC 1031 Sepsis of newborn due to unspecified streptococci
P3619 MCC 1031 Sepsis of newborn due to other streptococci
P362 MCC 1031 Sepsis of newborn due to Staphylococcus aureus
P3630 MCC 1031 Sepsis of newborn due to unspecified staphylococci
P3639 MCC 1031 Sepsis of newborn due to other staphylococci
P364 MCC 1031 Sepsis of newborn due to Escherichia coli
P365 MCC 1031 Sepsis of newborn due to anaerobes
P368 MCC 1031 Other bacterial sepsis of newborn
P369 MCC 1031 Bacterial sepsis of newborn, unspecified
P370 MCC 0562 Congenital tuberculosis
P371 MCC 0562 Congenital toxoplasmosis
P372 MCC 0562 Neonatal (disseminated) listeriosis
P373 MCC 0562 Congenital falciparum malaria
P374 MCC 0562 Other congenital malaria
P378 MCC 0562 Other specified congenital infectious and parasitic diseases
P379 MCC 0562 Congenital infectious or parasitic disease, unspecified
P5221 MCC 1021 Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn
P5222 MCC 1021 Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn
P524 MCC 1020 Intracerebral (nontraumatic) hemorrhage of newborn
P525 MCC 1022 Subarachnoid (nontraumatic) hemorrhage of newborn
P526 MCC 1020 Cerebellar (nontraumatic) and posterior fossa hemorrhage of newborn
P528 MCC 1020 Other intracranial (nontraumatic) hemorrhages of newborn
P529 MCC 1020 Intracranial (nontraumatic) hemorrhage of newborn, unspecified
P541 MCC 1036 Neonatal melena
P542 MCC 1036 Neonatal rectal hemorrhage
P543 MCC 1036 Other neonatal gastrointestinal hemorrhage
P560 MCC 1037 Hydrops fetalis due to isoimmunization
P5690 MCC 1037 Hydrops fetalis due to unspecified hemolytic disease
P5699 MCC 1037 Hydrops fetalis due to other hemolytic disease
P570 MCC 1037 Kernicterus due to isoimmunization
P578 MCC 1038 Other specified kernicterus
P579 MCC 1038 Kernicterus, unspecified
P591 MCC 1038 Inspissated bile syndrome
- 39 -
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
P5920 MCC 1038 Neonatal jaundice from unspecified hepatocellular damage
P5929 MCC 1038 Neonatal jaundice from other hepatocellular damage
P60 MCC 1035 Disseminated intravascular coagulation of newborn
P610 MCC 1035 Transient neonatal thrombocytopenia
P615 MCC 1040 Transient neonatal neutropenia
P740 MCC 1041 Late metabolic acidosis of newborn
P771 MCC 1044 Stage 1 necrotizing enterocolitis in newborn
P772 MCC 1044 Stage 2 necrotizing enterocolitis in newborn
P773 MCC 1044 Stage 3 necrotizing enterocolitis in newborn
P779 MCC 1044 Necrotizing enterocolitis in newborn, unspecified
P780 MCC 1044 Perinatal intestinal perforation
P832 MCC 1046 Hydrops fetalis not due to hemolytic disease
P90 MCC 1048 Convulsions of newborn
P910 MCC 1049 Neonatal cerebral ischemia
P911 MCC 1049 Acquired periventricular cysts of newborn
P912 MCC 1022 Neonatal cerebral leukomalacia
P913 MCC 1049 Neonatal cerebral irritability
P914 MCC 1049 Neonatal cerebral depression
P915 MCC 1049 Neonatal coma
P9163 MCC 1050 Severe hypoxic ischemic encephalopathy [HIE]
P9201 MCC 1051 Bilious vomiting of newborn
Q000 MCC 1053 Anencephaly
Q001 MCC 1053 Craniorachischisis
Q002 MCC 1053 Iniencephaly
Q040 MCC 1054 Congenital malformations of corpus callosum
Q041 MCC 1054 Arhinencephaly
Q042 MCC 1054 Holoprosencephaly
Q043 MCC 1054 Other reduction deformities of brain
Q200 MCC 1057 Common arterial trunk
Q201 MCC 1057 Double outlet right ventricle
Q202 MCC 1057 Double outlet left ventricle
Q203 MCC 1057 Discordant ventriculoarterial connection
Q204 MCC 1057 Double inlet ventricle
Q213 MCC 1057 Tetralogy of Fallot
Q220 MCC 1059 Pulmonary valve atresia
Q224 MCC 1061 Congenital tricuspid stenosis
Q225 MCC 1061 Ebstein's anomaly
Q226 MCC 1061 Hypoplastic right heart syndrome
Q228 MCC 1061 Other congenital malformations of tricuspid valve
Q229 MCC 1061 Congenital malformation of tricuspid valve, unspecified
Q234 MCC 1061 Hypoplastic left heart syndrome
Q242 MCC 1063 Cor triatriatum
Q244 MCC 1063 Congenital subaortic stenosis
Q246 MCC 1065 Congenital heart block
Q255 MCC 1070 Atresia of pulmonary artery
Q256 MCC 1070 Stenosis of pulmonary artery
Q2571 MCC 1070 Coarctation of pulmonary artery
Q2572 MCC 1070 Congenital pulmonary arteriovenous malformation
Q2579 MCC 1070 Other congenital malformations of pulmonary artery
Q282 MCC 1076 Arteriovenous malformation of cerebral vessels
Q283 MCC 1076 Other malformations of cerebral vessels
Q332 MCC 1079 Sequestration of lung
Q333 MCC 1079 Agenesis of lung
Q336 MCC 1079 Congenital hypoplasia and dysplasia of lung
Q390 MCC 1081 Atresia of esophagus without fistula
- 40 -
次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
Q391 MCC 1081 Atresia of esophagus with tracheo-esophageal fistula
Q392 MCC 1081 Congenital tracheo-esophageal fistula without atresia
Q393 MCC 1081 Congenital stenosis and stricture of esophagus
Q394 MCC 1081 Esophageal web
Q442 MCC 1089 Atresia of bile ducts
Q443 MCC 1089 Congenital stenosis and stricture of bile ducts
Q790 MCC 1105 Congenital diaphragmatic hernia
Q791 MCC 1105 Other congenital malformations of diaphragm
Q792 MCC 1106 Exomphalos
Q793 MCC 1106 Gastroschisis
Q794 MCC 1106 Prune belly syndrome
Q7951 MCC 1106 Congenital hernia of bladder
Q7959 MCC 1106 Other congenital malformations of abdominal wall
Q894 MCC 1113 Conjoined twins
Q9381 MCC 1117 Velo-cardio-facial syndrome
R092 MCC* 1121 Respiratory arrest
R4020 MCC 0515 Unspecified coma
R402110 MCC 0515 Coma scale, eyes open, never
R402111 MCC 0515 Coma scale, eyes open, never
R402112 MCC 0515 Coma scale, eyes open, never
R402113 MCC 0515 Coma scale, eyes open, never
R402114 MCC 0515 Coma scale, eyes open, never
R402120 MCC 0515 Coma scale, eyes open, to pain
R402121 MCC 0515 Coma scale, eyes open, to pain
R402122 MCC 0515 Coma scale, eyes open, to pain
R402123 MCC 0515 Coma scale, eyes open, to pain
R402124 MCC 0515 Coma scale, eyes open, to pain
R402210 MCC 0515 Coma scale, best verbal response, none
R402211 MCC 0515 Coma scale, best verbal response, none
R402212 MCC 0515 Coma scale, best verbal response, none
R402213 MCC 0515 Coma scale, best verbal response, none
R402214 MCC 0515 Coma scale, best verbal response, none
R402220 MCC 0515 Coma scale, best verbal response, incomprehensible words
R402221 MCC 0515 Coma scale, best verbal response, incomprehensible words
R402222 MCC 0515 Coma scale, best verbal response, incomprehensible words
R402223 MCC 0515 Coma scale, best verbal response, incomprehensible words
R402224 MCC 0515 Coma scale, best verbal response, incomprehensible words
R402310 MCC 0515 Coma scale, best motor response, none
R402311 MCC 0515 Coma scale, best motor response, none
R402312 MCC 0515 Coma scale, best motor response, none
R402313 MCC 0515 Coma scale, best motor response, none
R402314 MCC 0515 Coma scale, best motor response, none
R402320 MCC 0515 Coma scale, best motor response, extension
R402321 MCC 0515 Coma scale, best motor response, extension
R402322 MCC 0515 Coma scale, best motor response, extension
R402323 MCC 0515 Coma scale, best motor response, extension
R402324 MCC 0515 Coma scale, best motor response, extension
R402340 MCC 0515 Coma scale, best motor response, flexion withdrawal
R402341 MCC 0515 Coma scale, best motor response, flexion withdrawal
R402342 MCC 0515 Coma scale, best motor response, flexion withdrawal
R402343 MCC 0515 Coma scale, best motor response, flexion withdrawal
R402344 MCC 0515 Coma scale, best motor response, flexion withdrawal
R532 MCC 0595 Functional quadriplegia
R570 MCC* 1133 Cardiogenic shock
R571 MCC* 1133 Hypovolemic shock
- 41 -
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代碼類別
主診斷代碼排
除組別次診斷英文名稱
R578 MCC* 1133 Other shock
R6511 MCC 0071 Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute
organ dysfunction
R6520 MCC 0071 Severe sepsis without septic shock
R6521 MCC 1133 Severe sepsis with septic shock
S020XXB MCC 1140 Fracture of vault of skull, initial encounter for open fracture
S0210XB MCC 1140 Unspecified fracture of base of skull, initial encounter for open fracture
S02110B MCC 1140 Type I occipital condyle fracture, initial encounter for open fracture
S02111B MCC 1140 Type II occipital condyle fracture, initial encounter for open fracture
S02112B MCC 1140 Type III occipital condyle fracture, initial encounter for open fracture
S02113B MCC 1140 Unspecified occipital condyle fracture, initial encounter for open fracture
S02118B MCC 1140 Other fracture of occiput, initial encounter for open fracture
S02119B MCC 1140 Unspecified fracture of occiput, initial encounter for open fracture
S0219XB MCC 1140 Other fracture of base of skull, initial encounter for open fracture
S0291XB MCC 1140 Unspecified fracture of skull, initial encounter for open fracture
S060X6A MCC 1154 Concussion with loss of consciousness greater than 24 hours without return to pre-existing
conscious level with patient surviving, initial encounter
S061X0A MCC 0612 Traumatic cerebral edema without loss of consciousness, initial encounter
S061X1A MCC 1155 Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial
S061X2A MCC 1155 Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial
S061X3A MCC 1155 Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes,
S061X4A MCC 1155 Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial
S061X5A MCC 1155 Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to
pre-existing conscious level, initial encounter
S061X6A MCC 1154 Traumatic cerebral edema with loss of consciousness greater than 24 hours without return
to pre-existing conscious level with patient surviving, initial encounter
S061X7A MCC 1154 Traumatic cerebral edema with loss of consciousness of any duration with death due to
brain injury prior to regaining consciousness, initial encounter
S061X8A MCC 1154 Traumatic cerebral edema with loss of consciousness of any duration with death due to
other cause prior to regaining consciousness, initial encounter
S061X9A MCC 1155 Traumatic cerebral edema with loss of consciousness of unspecified duration, initial
S062X6A MCC 1154 Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without
return to pre-existing conscious level with patient surviving, initial encounter
S062X7A MCC 1154 Diffuse traumatic brain injury with loss of consciousness of any duration with death due
to brain injury prior to regaining consciousness, initial encounter
S062X8A MCC 1154 Diffuse traumatic brain injury with loss of consciousness of any duration with death due
to other cause prior to regaining consciousness, initial encounter
S06306A MCC 1154 Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours
without return to pre-existing conscious level with patient surviving, initial encounter
S06307A MCC 1154 Unspecified focal traumatic brain injury with loss of consciousness of any duration with
death due to brain injury prior to regaining consciousness, initial encounter
S06308A MCC 1154 Unspecified focal traumatic brain injury with loss of consciousness of any duration with
death due to other cause prior to regaining consciousness, initial encounter
S06310A MCC 1154 Contusion and laceration of right cerebrum without loss of consciousness, initial
S06311A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of 30 minutes or
less, initial encounter
S06312A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59
minutes, initial encounter
S06313A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5
hours 59 minutes, initial encounter
S06314A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24
hours, initial encounter
S06315A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness greater than 24
hours with return to pre-existing conscious level, initial encounter
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次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
S06316A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness greater than 24
hours without return to pre-existing conscious level with patient surviving, initial
S06317A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of any duration
with death due to brain injury prior to regaining consciousness, initial encounter
S06318A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of any duration
with death due to other cause prior to regaining consciousness, initial encounter
S06319A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of unspecified
duration, initial encounter
S06320A MCC 1154 Contusion and laceration of left cerebrum without loss of consciousness, initial encounter
S06321A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or
less, initial encounter
S06322A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59
minutes, initial encounter
S06323A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours
59 minutes, initial encounter
S06324A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24
hours, initial encounter
S06325A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness greater than 24
hours with return to pre-existing conscious level, initial encounter
S06326A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness greater than 24
hours without return to pre-existing conscious level with patient surviving, initial
S06327A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of any duration with
death due to brain injury prior to regaining consciousness, initial encounter
S06328A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of any duration with
death due to other cause prior to regaining consciousness, initial encounter
S06329A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of unspecified
duration, initial encounter
S06330A MCC 1154 Contusion and laceration of cerebrum, unspecified, without loss of consciousness, initial
S06331A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30
minutes or less, initial encounter
S06332A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 31
minutes to 59 minutes, initial encounter
S06333A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour
to 5 hours 59 minutes, initial encounter
S06334A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours
to 24 hours, initial encounter
S06335A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater
than 24 hours with return to pre-existing conscious level, initial encounter
S06336A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater
than 24 hours without return to pre-existing conscious level with patient surviving, initial
S06337A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any
duration with death due to brain injury prior to regaining consciousness, initial encounter
S06338A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any
duration with death due to other cause prior to regaining consciousness, initial encounter
S06339A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of
unspecified duration, initial encounter
S06340A MCC 1154 Traumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter
S06341A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less,
initial encounter
S06342A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59
minutes, initial encounter
S06343A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours
59 minutes, initial encounter
S06344A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24
hours, initial encounter
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次診斷
代碼類別
主診斷代碼排
除組別次診斷英文名稱
S06345A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours
with return to pre-existing conscious level, initial encounter
S06346A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours
without return to pre-existing conscious level with patient surviving, initial encounter
S06347A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration with
death due to brain injury prior to regaining consciousness, initial encounter
S06348A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration with
death due to other cause prior to regaining consciousness, initial encounter
S06349A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified
duration, initial encounter
S06350A MCC 1154 Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter
S06351A MCC 1154 Traumatic hemorrhage of le