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สํานักงานหลักประกันสุขภาพแหงชาติ

สํานักงานหลักประกันสุขภาพแหงชาติ

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Appendix A2<br />

Unacceptable Principal Diagnoses<br />

Appendix A : Edits<br />

A2.1 U1 Group<br />

Code Ast Description Code Ast Description<br />

B950 Strept gr A as c'us of dis classif to oth Chp F0024 * Dem in Alzhm, atyp or mx, oth mixed symp<br />

B951 Strept gr B as c'us of dis classif to oth Chp F009 * Dem in Alzhm, unspec<br />

B952 Strept gr D as c'us of dis classif to oth Chp F0090 * Dem in Alzhm, unspec, w/o add symp<br />

B953 Strep pneum as c'us of dis classif oth Chp F0091 * Dem in Alzhm, unspec, oth symp, predom delusn<br />

B954 Oth strep as c'us of dis classif to oth Chp F0092 * Dem in Alzhm, unspec, oth symp, predom<br />

B955 Unspec strep as c'us of dis classif to oth Chp<br />

hallucin<br />

B956 Staph aureus as c'us of dis classif to oth Chp F0093 * Dem in Alzhm, unspec, oth symp, predom depr<br />

B957 Oth staph as c'us of dis classif to oth Chp F0094 * Dem in Alzhm, unspec, oth mixed symp<br />

B958 Unspec staphy as c'us of dis classif to oth Chp F020 * Dementia in Pick's disease<br />

B960 Mycoplasma pneum as c'us of dis class oth Chp F0200 * Dem in Pick's dis, w/o add symp<br />

B961 Klebsiella pneum as c'us dis class oth Chp F0201 * Dem in Pick's dis, oth symp, predom delusn<br />

B962 E coli as c'us of dis classif to oth Chp<br />

F0202 * Dem in Pick's dis, oth symp, predom hallucin<br />

B963 Hemophilus influenzae as c'us of dis class oth F0203 * Dem in Pick's dis, oth symp, predom depr<br />

Chp<br />

F0204 * Dem in Pick's dis, oth mixed symp<br />

B964 Proteus (mirabilis)(morganii)c'us of dis class oth F021 * Dem in Creutzfeldt-Jakob disease<br />

Chp<br />

F0210 * Dem in Creutzfeldt-Jakob dis, w/o add symp<br />

B965 P.(aerugin)(mallei)(pseudom')c'us dis class oth F0211 * Dem in Creutzfeldt-Jakob ds, oth symp, predom<br />

Chp<br />

delusn<br />

B966 Bacillus fragilis as c'us of dis classif to oth Chp F0212 * Dem in Creutzfeldt-Jakob ds, oth symp, predom<br />

B967 Clostridium perfringens as c'us of dis class oth<br />

hallucin<br />

Chp<br />

F0213 * Dem in Creutzfeldt-Jakob ds, oth symp, predom<br />

B968 Oth spec bact agents as c'us of dis class oth Chp<br />

depr<br />

B9680 H. pyroli as the cause of dis class to oth<br />

F0214 * Dem in Creutzfeldt-Jakob dis, oth mx symp<br />

chap(TM)<br />

F022 * Dementia in Huntington's disease<br />

B9688 Other spec bact agents as the cause of dis class F0220 * Dem in Huntington's dis w/o add symp<br />

to oth ch<br />

F0221 * Dem in Huntington's dis w oth symp, predom<br />

B970 Adenovirus as c'us of dis classif to oth Chp<br />

delusn<br />

B971 Enterovirus as cause dis classif to oth Chp F0222 * Dem in Huntington's dis w oth symp, predom<br />

B972 Coronavirus as c'us of dis classif to oth Chp<br />

hallucin<br />

B973 Retrovirus as c'us of dis classif to oth Chp F0223 * Dem in Huntington's dis w oth symp, predom depr<br />

B974 Resp syncytial virus as c'us of dis class to oth F0224 * Dem in Huntington's dis w oth mixed symp<br />

Chp<br />

F023 * Dementia in Parkinson's disease<br />

B975 Reovirus as c'us of dis classif to oth Chp<br />

F0230 * Dem in Parkinson's dis w/o add symp<br />

B976 Parvovirus as c'us of dis classif to oth Chp F0231 * Dem in Parkinson's dis w oth symp, predom<br />

B977 Papillomavirus as c'us of dis classif oth Chp<br />

delusn<br />

B978 Oth viral agents as c'us of dis classif to oth Chp F0232 * Dem in Parkinson's dis w oth symp, predom<br />

D630 * Anemia in neoplastic disease<br />

halluci<br />

D631 * Anaemia due to liver, renal & endocrine disorders F0233 * Dem in Parkinson's dis w oth symp, predom depr<br />

(TM)<br />

F0234 * Dem in Parkinson's dis w oth mixed symp<br />

D638 * Anemia in oth chronic dis CE<br />

F024 * Dementia in HIV<br />

D77 * Oth dis of blood & blood-forming orgs in<br />

F0240 * Dem in HIV dis w/o add symp<br />

E350 * Dis of thyroid gland in dis CE<br />

F0241 * Dem in HIV dis w oth symp, predom delusn<br />

E351 * Dis of adrenal glands in dis CE<br />

F0242 * Dem in HIV dis w oth symp, predom hallucin<br />

E358 * Dis oth endocrine gls in dis CE<br />

F0243 * Dem in HIV dis w oth symp, predom depr<br />

E90 * Nutritional & metabolic disorders in dis<br />

F0244 * Dem in HIV dis w oth mixed symp<br />

F000 * Dem in Alzheimer's ds w early onset<br />

F028 * Dem in oth specified dis CE<br />

F0000 * Dem in Alzhm early onset, w/o add symp F0280 * Dem in oth spec dis CE, w/o add symp<br />

F0001 * Dem in Alzhm early onset, oth symp, predom F0281 * Dem in oth spec dis CE, oth symp, predom<br />

delusn<br />

delusn<br />

F0002 * Dem in Alzhm early onset, oth symp, predom F0282 * Dem in oth spec dis CE, oth symp, predom<br />

hallucin<br />

hallucin<br />

F0003 * Dem in Alzhm early onset, oth symp, predom F0283 * Dem in oth spec dis CE, oth symp, predom depr<br />

depr<br />

F0284 * Dem in oth spec dis CE, oth mx symp<br />

F0004 * Dem in Alzhm w early onset, oth mixed symp G01 * Meningitis in bacterial dis CE<br />

F001 * Dementia in Alzheimer's ds w late onset G020 * Meningitis in viral dis CE<br />

F0010 * Dem in Alzhm w lt onset, w/o add symp<br />

G021 * Meningitis in mycoses<br />

F0011 * Dem in Alzhm w lt onset, oth symp, predom G028 * Meningitis in oth spec inf & parasitic dis EC<br />

delusn<br />

G050 * Encephalitis, myelitis & encephalm' in bact dis CE<br />

F0012 * Dem in Alzhm w lt onset, oth symp, predom G051 * Encephalitis, myelitis & encephalm' in viral dis CE<br />

hallucin<br />

G052 * Encephalitis, myelitis & encephalm' in inf paras<br />

F0013 * Dem in Alzhm w lt onset, oth symp, predom depr<br />

dis EC<br />

F0014 * Dem in Alzhm w lt onset, oth mx symp<br />

G058 * Encephalitis, myelitis & encephalm' in oth dis CE<br />

F002 * Dem in Alzhm, atyp or mixed<br />

G07 * Intracrnl & intraspnl abs & granuloma dis EC<br />

F0020 * Dem in Alzhm atyp or mixed, w/o add symp G130 * Paraneoplastic neuromyopathy & neuropathy<br />

F0021 * Dem in Alzhm, atyp or mx, oth symp, predom G131 * Oth systemic atrophy prim aff CNS neopl dis<br />

delusn<br />

G132 * Systemic atrophy prim aff CNS in myxedema<br />

F0022 * Dem in Alzhm, atyp or mx, oth symp, predom G138 * Systemic atrophy prim aff CNS oth dis EC<br />

hallucin<br />

G22 * Parkinsonism in dis CE<br />

F0023 * Dem in Alzhm, atyp or mx, oth symp, predom G26 * Extrapyramidal & movemnt dis in dis EC<br />

depr<br />

G311 Senile degeneration of brain, NEC<br />

29

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