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สํานักงานหลักประกันสุขภาพแหงชาติ

สํานักงานหลักประกันสุขภาพแหงชาติ

สํานักงานหลักประกันสุขภาพแหงชาติ

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S375 Inj of fallopian tube<br />

S3750 Inj of fallopian t: w/o open wnd into cavity<br />

S3751 Inj of fallopian t: w open wnd into cavity<br />

the same as S371<br />

S376 Inj of uterus<br />

S317 - S318 S368 - S3691 S374 - S3770<br />

S3771 S378 - S3780 S3781 S379 - S3790<br />

S3791 S396 - S397 T018 - T019<br />

T047 - T049 T058 - T059 T065 - T07<br />

T147 - T149 T798 - T799<br />

S3760 Inj of uterus: w/o open wnd into cavity<br />

S3761 Inj of uterus: w open wnd into cavity<br />

the same as S376<br />

S377 Inj of multiple pelvic organs<br />

S3770 Inj of mult pelv org: w/o open wnd into cav<br />

S3771 Inj of mult pelv org: w open wnd into cav<br />

S378 Inj of other pelvic organs<br />

the same as S371<br />

S3780 Inj of oth pelv org: w/o open wnd into cav<br />

S3781 Inj of oth pelv org: w open wnd into cav<br />

the same as S368<br />

S379 Inj of unspecified pelvic organ<br />

S3790 Inj of unspec pelv org: w/o open wnd into cav<br />

S3791 Inj of unspec pelv org: w open wnd into cav<br />

S396 Inj of intra-abdom organ(s) w pelv organ(s)<br />

the same as S371<br />

S397 Oth multiple inj of abdom, lwr back & pelv<br />

the same as S368<br />

S422 Fracture of upr end of humerus<br />

S422 - S42219 S429 - S431 S433 - S435<br />

S460 - S469 S497 - S499 T118 - T119<br />

S4220 Fracture of upr end of humerus: closed<br />

S42200 Closed fx of proximal humerus, non-displaced (TM)<br />

S42201 Closed fracture of proximal humerus, 2 parts (TM)<br />

S42202 Closed fracture of proximal humerus, 3 parts (TM)<br />

S42203 Closed fracture of proximal humerus, 4 parts (TM)<br />

S42204 Closed fx of prox humerus, w articular involvement<br />

(TM)<br />

S42205 Closed fx of epiphysis of proximal humerus (TM)<br />

S42208 Closed fracture of proximal humerus, others (TM)<br />

S42209 Closed fracture of proximal humerus, unspec (TM)<br />

S4221 Fracture of upr end of humerus: open<br />

S42210 Open fx of proximal humerus, non-displaced (TM)<br />

S42211 Open fracture of proximal humerus, 2 parts (TM)<br />

S42212 Open fracture of proximal humerus, 3 parts (TM)<br />

S42213 Open fracture of proximal humerus, 4 parts (TM)<br />

S42214 Open fx of prox humerus, w articular involvement<br />

(TM)<br />

S42215 Open fracture of epiphysis of proximal humerus<br />

(TM)<br />

S42218 Open fracture of proximal humerus, others (TM)<br />

Appendix F : CC<br />

S42219 Open fracture of proximal humerus, unspecified<br />

(TM)<br />

the same as S422<br />

S480 Traum amputatn at shldr joint<br />

S410 - S418 S480 - S499 S510 - S519<br />

S580 - S599 S610 - S619 S680 - S689<br />

T048 - T052 T056 - T058 T068 - T07<br />

T116 T147 - T149 T798 - T799<br />

S481 Traum amputatn at lev b'tween shldr & elbow<br />

S489 Traum amputatn of shldr & upr arm lev unspec<br />

S580 Traumatic amputation at elbow level<br />

S581 Traum amputatn at level b'twn elbow & wrist<br />

S589 Traum amputatn of forearm, level unspec<br />

S683 Comb traum amput (part) fing(s) w oth prts<br />

wrist/hand<br />

S684 Traum amputatn of hand at wrist level<br />

S688 Traum amputatn of oth parts of wrist & hand<br />

S689 Traum amputatn of wrist & hand, level unspec<br />

the same as S480<br />

S720 Fracture of neck of femur<br />

M4840 - M4859 M8430 - M8449 S720 - S7291<br />

S760 - S767 S797 - S799 T018 - T019<br />

T0230 - T0231 T0250 - T0261 T0280 - T0291<br />

T044 - T049 T068 - T07 T120 - T121<br />

T141 - T143 T146 - T149 T798 - T799<br />

S7200 Fracture of neck of femur: closed<br />

S72000 Closed fx of neck of femur, undisplaced intracaps fx<br />

(TM)<br />

S72001 Closed fx of neck of femur, displaced intracaps fx<br />

(TM)<br />

S72002 Closed fx of neck of femur, impacted intracaps fx<br />

(TM)<br />

S72003 Closed fx of neck of femur, midcervical shear fx<br />

(TM)<br />

S72004 Closed fx of neck of femur, base of neck<br />

(cervicotrochant) (TM)<br />

S72005 Closed fracture of head of femur (TM)<br />

S72006 Closed fracture of epiphysis of upper femur (TM)<br />

S72007 Closed fracture of neck of femur, multiple (TM)<br />

S72008 Closed fracture of neck of femur, others (TM)<br />

S72009 Closed fracture of neck of femur, unspecified (TM)<br />

S7201 Fracture of neck of femur: open<br />

S72010 Open fx of neck of femur, undisplaced intracaps fx<br />

(TM)<br />

S72011 Open fx of neck of femur, displaced intracaps fx<br />

(TM)<br />

S72012 Open fx of neck of femur, impacted intracaps fx<br />

(TM)<br />

S72013 Open fx of neck of femur, midcervical shear fx (TM)<br />

S72014 Open fx of neck of femur, base of neck<br />

(cervicotrochant) (TM)<br />

S72015 Open fracture of head of femur (TM)<br />

S72016 Open fracture of epiphysis of upper femur (TM)<br />

181

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