|
MINISTRY OF HEALTH |
THE SOCIALIST REPUBLIC OF VIETNAM |
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No. 25/2025/TT-BYT |
Hanoi, June 30, 2025 |
ON ELABORATION OF THE LAW ON SOCIAL INSURANCE LAW, THE LAW ON OCCUPATIONAL SAFETY AND HYGIENE IN THE HEALTH SECTOR, AND CERTAIN ARTICLES OF THE LAW ON MEDICAL EXAMINATION AND TREATMENT
Pursuant to the Social Insurance Law 2024;
Pursuant to the Law on Occupational Safety and Hygiene 2015;
Pursuant to the Law on Medical Examination and Treatment 2023;
Pursuant to Decree No. 42/2025/ND-CP of the Government dated February 27, 2025, on functions, tasks, powers, and organizational structure of the Ministry of Health;
Pursuant to Decree No. 143/2024/ND-CP of the Government dated November 1, 2024, on occupational accident insurance on a voluntary basis for employees working without employment contracts;
At the request of the Director General of the Department of Medical Service Administration and the Director General of the Department of Maternal and Child Health;
The Minister of Health hereby promulgates this Circular on elaboration of the Law on Social Insurance, the Law on Occupational Safety and Hygiene in the health sector, and the Law on Medical Examination and Treatment.
This Circular provides for:
1. The list of diseases requiring long-term treatment as prescribed in Point b Clause 2 Article 10, Clause 2 Article 43, Point dd) Clause 2 Article 119, Clause 5 Article 141 of the Law on Social Insurance.
2. Forms, procedures, and competence to issue:
a) Documents in the application for entitlement to sickness benefits as prescribed in Clause 4 Article 47 of the Law on Social Insurance;
b) Documents in the application for entitlement to maternity benefits as prescribed in Clause 9 Article 61 of the Law on Social Insurance;
c) Replacement documents in force majeure events caused by natural disasters, catastrophes, or epidemics as prescribed in Clause 4 Article 47 and Clause 9 Article 61 of the Law on Social Insurance;
d) Certificates of injury.
3. Applications, procedures, and subject matter requested for expertise in medical assessment of working capacity impairment for settlement of social insurance benefits.
Article 2. Interpretation of terms
1. Outpatient treatment leave means the period during which an employee is not in sufficient health to go to work and is prescribed outpatient treatment by a medical practitioner.
2. The copy of the medical record extract prescribed in Clause 2 Article 57 of the Law on Occupational Safety and Hygiene means the medical record summary prescribed in Clause 1 Article 69 of the Law on Medical Examination and Treatment.
Article 3. Principles of issuance of documents related to entitlement to social insurance benefits and issuance of certificates of injury
1. The issuance of documents prescribed in this Circular must meet the following requirements:
a) Be consistent with the scope of professional activities approved by the competent authority for the health facility;
b) Be consistent with the patient’s health condition and the professional guidelines of the Minister of Health.
2. The information in the documents prescribed in this Circular is basic and mandatory. In addition to the information in the form, depending on the needs of the facility, the head of the facility may decide to add information to serve the facility’s activities. Where the information in the form has been displayed on the VNeID application and fully digitally signed in accordance with regulations, it shall have the same validity as the paper version.
Article 4. List of diseases requiring long-term treatment
The list of diseases requiring long-term treatment shall be implemented in accordance with Appendix I enclosed with this Circular.
FORMS, PROCEDURES, AND COMPETENCE TO ISSUE DOCUMENTS RELATED TO ENTITLEMENT TO SOCIAL INSURANCE BENEFITS AND ISSUANCE OF CERTIFICATES OF INJURY
Section 1. DOCUMENTS AND FORMS, PROCEDURES, AND COMPETENCE TO ISSUE CERTIFICATES OF INJURY
Article 5. Issuance of certificates of injury
1. The form and instructions for filling out certificates of injury shall comply with Form No. 01 in Appendix II enclosed with this Circular.
2. Issuance procedures: the health facility shall give the patient or the patient’s representative (hereinafter referred to as the applicant) an appointment note, which must specify the time for issuance of the certificate of injury, and shall issue it in accordance with the time stated in the appointment note.
3. Competence to issue: the health facility where the patient receives medical examination and treatment.
Section 2. FORMS, PROCEDURES, AND COMPETENCE TO ISSUE DOCUMENTS RELATED TO ENTITLEMENT TO SICKNESS BENEFITS
Article 6. Documents proving the inpatient treatment process and replacement documents in force majeure events caused by natural disasters, catastrophes, or epidemics in the Application for entitlement to sickness benefits
1. Other documents proving the inpatient treatment process prescribed in Point c Clause 1 Article 47 of the Law on Social Insurance include one of the following:
a) Death notice in case of inpatient treatment;
b) Confirmation of the inpatient treatment process.
2. Replacement documents in force majeure events caused by natural disasters, catastrophes, or epidemics include:
a) Decision on application of isolation measures;
b) Confirmation of care or treatment.
Article 7. Forms, procedures, and competence to issue hospital discharge notes
1. The form and instructions for filling out hospital discharge notes shall comply with Form No. 02 in Appendix II enclosed with this Circular.
2. Issuance procedures: the health facility shall issue hospital discharge notes to the patient after the medical practitioner decides to discharge the patient from the health facility or transfer the patient to another health facility.
3. Competence to issue: the health facility where the patient receives medical examination and treatment.
Article 8. Forms, procedures, and competence to issue medical record summaries
1. The form and instructions for filling out medical record summaries shall comply with Form No. 03 in Appendix II enclosed with this Circular.
2. Issuance procedures:
a) The applicant shall submit an application form in accordance with Form No. 04 in Appendix II enclosed with this Circular to the health facility where the patient received medical examination and treatment;
b) The health facility shall give the applicant an appointment note, which must specify the time for issuance of the medical record summary, and shall issue it in accordance with the time stated in the appointment note.
3. Competence to issue: the health facility where the patient receives medical examination and treatment.
Article 9. Forms, procedures, and competence to issue documents proving the inpatient treatment process
1. Issuance of death notices:
a) The form and instructions for filling out death notices shall comply with Form No. 05 in Appendix II enclosed with this Circular;
b) Issuance procedures: the health facility shall issue the death notice after the patient dies at the health facility or dies during transfer to another health facility;
c) Competence to issue: the health facility where the patient receives medical examination and treatment.
2. Issuance of confirmations of the inpatient treatment process:
a) The form and instructions for filling out confirmations of the inpatient treatment process shall comply with Form No. 06 in Appendix II enclosed with this Circular;
b) Issuance procedures: the health facility shall give the applicant an appointment note, which must specify the time for issuance of the confirmation of the inpatient treatment process, and shall issue it in accordance with the time stated in the appointment note;
c) Competence to issue: the health facility where the patient receives medical examination and treatment.
Article 10. Forms, procedures, and competence to issue certificates of leave for social insurance benefits
1. The form and instructions for filling out certificates of leave for social insurance benefits shall comply with Form No. 07 in Appendix II enclosed with this Circular.
2. Issuance procedures: the health facility shall give the applicant an appointment note, which must specify the time for issuance of the certificate of leave for social insurance benefits, and shall issue it in accordance with the time stated in the appointment note.
3. Competence to issue: the health facility where the patient receives medical examination and treatment.
Article 11. Forms, procedures, and competence to issue replacement documents in force majeure events caused by natural disasters, catastrophes, or epidemics
1. In force majeure events caused by natural disasters, catastrophes, or epidemics where the patient must be isolated, cared for, or treated at a facility other than a health facility, the following documents shall be used:
a) In cases of isolation at a facility other than a health facility, the decision on application of isolation measures issued by a competent authority shall be used;
b) In cases of care or treatment at a facility other than a health facility, the confirmation of treatment shall be used.
2. Decision on application of isolation measures:
a) The decision on application of isolation measures shall include the contents prescribed in Clause 3 Article 9 of Decree No. 101/2010/ND-CP of the Government dated September 30, 2010, on elaboration of and guidelines for implementation of certain articles of the Law on prevention and control of infectious diseases regarding application of medical isolation measures, compulsory medical isolation, and special epidemic prevention and control measures during epidemic periods;
b) The competence to issue decisions on application of isolation measures shall comply with the law on prevention and control of infectious diseases.
3. Confirmation of care or treatment in force majeure events caused by natural disasters, catastrophes, or epidemics:
a) The form and instructions for filling out confirmations of care or treatment in force majeure events caused by natural disasters, catastrophes, or epidemics shall comply with Form No. 08 in Appendix II enclosed with this Circular;
b) Issuance procedures: the facility providing care or treatment for the patient shall give the applicant an appointment note, which must specify the time for issuance, and shall issue it in accordance with the time stated in the appointment note;
c) Competence to issue: the facility providing care or treatment for the patient.
FORMS, PROCEDURES, AND COMPETENCE TO ISSUE DOCUMENTS RELATED TO ENTITLEMENT TO MATERNITY BENEFITS
Article 12. Specific provisions on certain documents in the application for entitlement to maternity benefits
1. Documents proving the infertility treatment process of female employees include one of the following:
a) Hospital discharge note;
b) Medical record summary;
c) Confirmation of the inpatient treatment process;
d) Confirmation of the infertility treatment process of the female employee.
2. Confirmation of the health facility regarding the requirement for a female employee to take leave for pregnancy care includes one of the following:
a) Hospital discharge note;
b) Medical record summary;
c) Confirmation of the inpatient treatment process;
d) Certificate of leave for social insurance benefits;
dd) Confirmation of pregnancy care leave.
3. Forms, procedures, and competence to issue hospital discharge notes, medical record summaries, and confirmations of the inpatient treatment process shall comply with Section 2 of this Chapter.
Article 13. Forms, procedures, and competence to issue confirmations of the infertility treatment process of female employees
1. The form and instructions for filling out confirmations of the infertility treatment process of female employees shall comply with Form No. 09 in Appendix II enclosed with this Circular.
2. Issuance procedures: the health facility shall give the applicant an appointment note, which must specify the time for issuance of the confirmation of the infertility treatment process of the female employee, and shall issue it in accordance with the time stated in the appointment note.
3. Competence to issue confirmations of the infertility treatment process of female employees: the health facility where the patient received medical examination and treatment.
Article 14. Forms, procedures, and competence to issue confirmations of the health facility regarding the condition of mothers after giving birth who are no longer in sufficient health to care for their children, or female employees using surrogacy after receiving the child who are no longer in sufficient health to care for the child
1. The form and instructions for filling out confirmations of the health facility regarding the condition of mothers after giving birth who are no longer in sufficient health to care for their children, or female employees using surrogacy after receiving the child who are no longer in sufficient health to care for the child (hereinafter referred to as confirmation of mothers not in sufficient health to care for their children) shall comply with Form No. 10 in Appendix II enclosed with this Circular.
2. Issuance procedures: the health facility shall give the applicant an appointment note, which must specify the time for issuance of the confirmation of mothers not in sufficient health to care for their children, and shall issue it in accordance with the time stated in the appointment note.
3. Competence to issue confirmations of mothers not in sufficient health to care for their children: the health facility where the mother received medical examination and treatment.
Article 15. Forms, procedures, and competence to issue confirmations of the health facility regarding the requirement for a female employee to take leave for pregnancy care
1. The form and instructions for filling out confirmations of the health facility regarding the requirement for a female employee to take leave for pregnancy care (hereinafter referred to as confirmation of pregnancy care leave) shall comply with Form No. 11 in Appendix II enclosed with this Circular.
2. Issuance procedures: the health facility shall give the applicant an appointment note, which must specify the time for issuance of the confirmation of the health facility regarding the requirement for a female employee to take leave for pregnancy care, and shall issue it in accordance with the time stated in the appointment note.
3. Competence to issue: the health facility where the patient received medical examination and treatment.
APPLICATIONS, PROCEDURES, AND SUBJECT MATTER REQUESTED FOR EXPERTISE IN MEDICAL ASSESSMENT OF WORKING CAPACITY IMPAIRMENT
Article 16. Applications for medical assessment
1. Application for the first-time medical assessment due to occupational accident:
a) Medical assessment referral letter issued by the employer in accordance with Form No. 12 in Appendix II enclosed with this Circular, in case the employee is under the management of the employer at the time of requesting medical assessment, or medical assessment request form in accordance with Form No. 13 in Appendix II enclosed with this Circular, in case the employee at the time of requesting medical assessment is not under the management of the employer or is participating in voluntary social insurance;
b) A valid copy as prescribed in Clause 5 Article 2 of Decree No. 96/2023/ND-CP of the Government dated December 30, 2023, on elaboration of certain articles of the Law on Medical Examination and Treatment (hereinafter referred to as valid copy) of one of the following: hospital discharge note, medical record summary, or certificate of injury;
c) Valid copy of the occupational accident investigation record (applicable in cases where the individual personally requests medical assessment);
d) Other diagnostic and treatment documents (if any).
2. Application for the first-time medical assessment due to occupational disease:
a) Documents specified in Point a Clause 1 of this Article;
b) Valid copy of the occupational disease dossier.
3. Application for medical assessment for retirement benefits; medical assessment for survivors’ benefits; medical assessment for lump-sum social insurance benefits:
a) Documents specified in Point a Clause 1 of this Article suitable to the subject of the assessment;
b) Valid copy of diagnostic and treatment documents (if any);
c) Valid copy of the medical assessment record or disability certificate (if any).
4. In cases where the assessed person falls under the subjects specified in Point c Clause 1 Article 47 of the Law on Occupational Safety and Hygiene, the documents specified in Point b Clause 2 and Point b Clause 3 of this Article must show that the injury is incapable of being treated to stability.
Article 17. Applications for re-assessment due to recurrence in cases of recurrent injuries from occupational accidents, or re-assessment of recurrent or progressive occupational diseases
1. Medical assessment request form.
2. Valid copy of one of the following documents:
a) Medical record summary or hospital discharge note showing worsened injury from an occupational accident in cases of recurrence of occupational accident injury;
b) Medical record summary or hospital discharge note or occupational disease dossier showing worsened injury from an occupational disease in cases of re-assessment of occupational disease.
3. Valid copy of the most recent medical assessment record.
4. In cases where the assessed person falls under the subjects specified in Point c Clause 1 Article 47 of the Law on Occupational Safety and Hygiene, the documents specified in Clause 2 of this Article must show that the injury is incapable of being treated to stability.
Article 18. Applications for combined medical assessment
1. Medical assessment referral letter issued by the employer in case the employee is under the management of the employer at the time of requesting medical assessment, or medical assessment request form in case the employee at the time of requesting medical assessment is not under the management of the employer or is participating in voluntary social insurance.
2. Valid copy of the most recent medical assessment record, if already assessed.
3. Other documents as prescribed in Clauses 1 and 2 Article 16 or Article 17 of this Circular, suitable to the subject and type of assessment.
Article 19. Applications for re-assessment for final verification
1. Applications for final verification re-assessment due to matters beyond the professional competence of the province-level Medical Assessment Council or ministerial Medical Assessment Councils:
a) Written request for medical assessment due to matters beyond the professional competence of the standing agency of the province-level Medical Assessment Council or ministerial Medical Assessment Councils;
b) Valid copy of the application dossier for medical assessment;
c) Valid copy of one of the following: minutes of professional consultation in cases where the assessment has not yet been conducted, or medical assessment record in cases where the Medical Assessment Council has conducted the assessment.
2. Applications for final verification re-assessment at the request of an individual or a competent agency or organization:
a) Written request from the agency or organization, or application from the individual, requesting final verification re-assessment;
b) Valid copy of the medical assessment record sent to the standing agency of the central-level Medical Assessment Council or the standing agency of ministerial Medical Assessment Councils for conducting final verification re-assessment for the subject;
c) Valid copy of documents as prescribed in Articles 16, 17, and 18 of this Circular, suitable to each subject and type of medical assessment, provided by the Medical Assessment Council that has conducted the assessment for the subject.
Article 20. Applications for final medical assessment
1. Written request from the agency or organization, or application from the individual, requesting the final medical assessment.
2. Valid copy of the medical assessment record sent to the standing agency of the central-level Medical Assessment Council or the standing agency of ministerial Medical Assessment Councils that has conducted the final verification re-assessment for the subject.
3. Decision on establishment of the final Medical Assessment Council issued by the Minister of Health.
Article 21. Responsibility for preparing medical assessment applications
1. The employee shall prepare and complete the medical assessment application and send it to the Medical Assessment Council in the following cases:
a) Assessment for entitlement to lump-sum social insurance benefits;
b) Re-assessment due to recurrence;
c) Employees not under the management of the employer, participating in voluntary insurance, preserving the period of social insurance payment, or employees who have received the decision on resignation pending settlement of retirement benefits or monthly allowance; employees diagnosed with occupational diseases during the statutory assurance period of the disease.
Where the employee specified in this Clause is unable to prepare the application personally, he/she shall authorize another person in accordance with the law to prepare the medical assessment application.
2. Relatives of the employee shall prepare and complete the medical assessment application and send it to the Medical Assessment Council in cases of request for medical assessment for entitlement to monthly survivors’ allowance.
3. The employer shall prepare and complete the medical assessment application and send it to the Medical Assessment Council in cases not falling under the provisions of Clauses 1, 2, 4, and 5 of this Article;
4. The standing agency of the province-level Medical Assessment Council and ministerial Medical Assessment Councils shall prepare the application in cases of final verification re-assessment due to matters beyond their professional competence;
5. The standing agency of the central-level Medical Assessment Council and ministerial Medical Assessment Councils competent to conduct final verification re-assessment shall prepare the application for the final medical assessment.
Article 22. Procedures and subject matter requested for expertise in medical assessment
1. The settlement of medical assessment applications and the procedures for medical assessment shall comply with Circular No. 01/2023/TT-BYT, of the Minister of Health, dated February 1, 2023, on tasks, powers, working relations, and operations of Medical Assessment Councils at all levels.
2. Subject matter requested for expertise in medical assessment of occupational accidents:
a) The subject matter requested for expertise in the first-time medical assessment of occupational accidents, as stated in the referral letter or medical assessment request form, records injuries related to the occupational accident in one of the following documents: hospital discharge note, medical record summary, or certificate of injury;
b) The subject matter requested for expertise in medical re-assessment of recurrent occupational accident injuries: re-assessment of all injuries recorded in the subject matter requested for expertise in the most recent medical assessment record or certificate of injury, and worsened injuries as shown in the hospital discharge note or medical record summary.
Injuries incapable of being treated to stability shall be indicated in the medical record summary for the subjects specified in Point c Clause 1 Article 47 of the Law on Occupational Safety and Hygiene;
c) The subject matter requested for expertise in combined assessment of multiple occupational accidents shall comply with Points a and b of this Clause, as appropriate to each case.
3. Subject matter requested for expertise in medical assessment of occupational diseases:
a) The subject matter requested for expertise in the first-time medical assessment of occupational diseases: assessment based on the occupational disease dossier;
b) The subject matter requested for expertise in medical re-assessment of occupational diseases (recurrence): assessment based on the occupational disease dossier or the subject matter requested for expertise in the most recent medical assessment record, and worsened injuries related to the occupational disease as shown in the medical record summary or hospital discharge note of the health facility.
4. The subject matter requested for expertise in medical assessment for entitlement to retirement benefits, or medical assessment for entitlement to lump-sum social insurance benefits, or medical assessment for entitlement to survivors’ benefits shall be based on the subject matter requested for expertise in the referral letter or medical assessment request form.
During the medical assessment process, if other injuries are detected, such injuries shall also be recorded in the current medical assessment results in the medical assessment record.
5. In cases where a medical assessment record has been issued for occupational accident injuries, occupational diseases, war injuries, or illnesses, deformities, or defects related to chemical toxins, re-assessment shall not be conducted for the injuries or illnesses already recorded in that record.
The Medical Assessment Council shall combine the percentage of bodily injury already determined in previous medical assessment records with the percentage of bodily injury due to the injuries or illnesses proposed for assessment that do not overlap with the injuries already recorded, and determine the total percentage of bodily injury.
6. The subject matter requested for expertise in combined medical assessment shall be carried out as follows:
a) The subject matter requested for expertise in combined medical assessment shall comply with Clauses 2 and 3 of this Article, as appropriate to each subject;
b) In cases where the subject has sustained an injury or contracted an occupational disease and then suffers an additional injury or occupational disease overlapping with previous injuries: conduct a re-assessment of all current injuries and occupational diseases, and determine the percentage of working capacity reduction;
c) In cases where the subject has sustained an injury or contracted an occupational disease and then suffers an additional injury or occupational disease causing non-overlapping injuries compared to previous ones: conduct a full assessment of the injuries or occupational diseases of this examination, and combine the result with the percentage of working capacity reduction due to occupational accident or occupational disease concluded in the most recent medical assessment record to determine the percentage of working capacity reduction;
d) In cases where the subject has undergone medical assessment for occupational accidents or occupational diseases two or more times but the percentages have not yet been combined:
– If the medical assessment records show overlapping injuries in one or more organs or body parts, the Medical Assessment Council shall conduct a re-assessment of all injuries recorded in those medical assessment records (including both overlapping and non-overlapping injuries) and combine them with the percentage of bodily injury recorded in the medical assessment record without overlapping injuries as prescribed, and issue a new medical assessment record;
– If the subject has undergone medical assessment for occupational accidents or occupational diseases two or more times and has a medical record summary or hospital discharge note or occupational disease dossier showing a condition that is more severe or milder than the injury recorded in the medical assessment records of those examinations, the Medical Assessment Council shall conduct a medical assessment of all injuries recorded in the medical assessment records with changed conditions and combine the percentage of bodily injury with the percentage of bodily injury recorded in the remaining medical assessment record as prescribed, and issue a new medical assessment record.
In other cases, the Medical Assessment Council shall combine the percentages of bodily injury from those medical assessment records and issue a new medical assessment record.
7. Where necessary, the standing agency of the Medical Assessment Council shall have the right to request the assessed person or the health facility to provide diagnostic and treatment documents, and the employer to provide the occupational accident investigation record as a basis for the assessment conclusion.
Article 23. Validity period of the medical assessment record
A medical assessment record shall remain valid until there is a subsequent medical assessment record with the same subject matter requested for expertise and purpose of assessment.
IMPLEMENTATION RESPONSIBILITIES
Article 24. Responsibilities of units under the Ministry of Health
The Department of Medical Service Administration shall take the lead, in coordination with the Department of Maternal and Child Health and relevant units, in:
1. Organizing the implementation and conducting preliminary and final reviews of the implementation of this Circular nationwide;
2. Inspecting, supervising, handling violations, and resolving difficulties in the implementation of this Circular in accordance with current law.
Article 25. Responsibilities of Vietnam Social Security and the Ministry of Finance
1. Directing and guiding agencies in the social insurance system to organize the implementation of this Circular;
2. Directing local social insurance agencies to publicly post on their electronic portals the list of health facilities authorized to issue certificates of leave for social insurance benefits.
Article 26. Responsibilities of the Province-level People’s Committees, centrally-affiliated cities, and ministries and sectors
1. Taking the lead in organizing the implementation and conducting preliminary and final reviews of the implementation of this Circular within their management scope;
2. Inspecting, handling violations, and resolving difficulties in the implementation of this Circular in accordance with the law.
Article 27. Responsibilities of the standing agency of the Medical Assessment Council
1. Updating the conclusion contents of the medical assessment record into the national medical examination and treatment database for connection with the data system of the social insurance agency;
2. Providing the assessed person, after completion of the assessment, with the following documents:
a) Medical assessment record;
b) Invoice and receipt for assessment fees;
c) List of subject matters to be assessed. In cases where the subject matter to be assessed is performed by another health facility, the name of that health facility must be clearly stated in the “Notes” column.
Article 28. Responsibilities of health facilities
1. Disseminate and thoroughly communicate the contents of this Circular to all practitioners and staff of the facility.
2. Develop procedures for issuance and fully and promptly provide employees with applications and documents serving as the basis for entitlement to social insurance benefits as prescribed in this Circular; supervise the recording of contents in the documents prescribed in this Circular by practitioners at their facility; and be held accountable before the law for the accuracy and truthfulness of the issuance of such documents.
3. Update medical examination and treatment data into the national medical examination and treatment database for connection with the data system of the social insurance agency. Generate electronic documents on medical examination and treatment covered by health insurance in accordance with Decree No. 166/2016/ND-CP of the Government dated December 24, 2016, on electronic transactions in the fields of social insurance, health insurance, and unemployment insurance, and the roadmap guided by the Ministry of Finance; and be held accountable before the law for the legality and accuracy of such documents.
4. The health facility that has issued the documents prescribed in this Circular shall:
a) Re-issue them in the following cases:
– Lost or damaged;
– The signer of the certificates is not competent;
– The affixing of the seal on the certificates is not in accordance with regulations. In cases of re-issuance, the “Re-issued” stamp must be affixed;
b) Add or amend the contents in cases of incorrect information. After adding or amending the contents, the overlapping seal of the health facility must be affixed.
5. Where the employee has undergone medical examination and treatment but has not been issued the documents prescribed in this Circular, the health facility where the employee underwent medical examination and treatment shall, based on the provisions of this Circular and the written request of the employee, issue such documents.
1. This Circular comes into force as of July 1, 2025.
2. The following documents shall cease to have effect as of the effective date of this Circular:
a) Circular No. 56/2017/TT-BYT, of the Minister of Health, dated December 29, 2017, on elaboration of the Law on Social Insurance and the Law on Occupational Safety and Hygiene in the health sector;
b) Circular No. 18/2022/TT-BYT, of the Minister of Health, dated December 31, 2022, on amendments to certain articles of Circular No. 56/2017/TT-BYT, of the Minister of Health, dated December 29, 2017, on elaboration of the Law on Social Insurance and the Law on Occupational Safety and Hygiene in the health sector;
c) Circular No. 46/2016/TT-BYT, of the Minister of Health, dated December 30, 2016, promulgating the list of diseases requiring long-term treatment;
d) Medical record summary according to Form 52/BV2 and request form for provision of medical record summary/related documents according to Form 53/BV2 in Appendix XXIX to Circular No. 32/2023/TT-BYT, dated December 31, 2023, on elaboration of certain articles of the Law on Medical Examination and Treatment;
dd) Death notice according to the form specified in Appendix II enclosed with Circular No. 24/2020/TT-BYT, of the Minister of Health, dated December 28, 2020, on the cause-of-death diagnosis form, issuance of death notices, and mortality statistics at health facilities.
3. To annul Article 3 and the Appendix enclosed with Circular No. 18/2025/TT-BYT, of the Minister of Health, dated June 15, 2025, on delineation of the powers of two-tier local administrations and delegation in the field of medical examination and treatment.
Article 30. Transitional provisions
1. Certificates of leave for social insurance benefits, hospital discharge notes, certificates of pregnancy care leave, and certificates of mothers not in sufficient health to care for their children after childbirth, issued before the effective date of this Circular, shall remain valid as the basis for entitlement to social insurance benefits.
2. For medical assessment applications submitted before the effective date of this Circular: the receiving agency shall continue to process them in accordance with current regulations until the completion of the assessment.
Article 31. Reference provisions
Where the legislative documents and regulations referred to in this Circular are amended, supplemented, or replaced, the new legislative documents shall apply.
In the course of implementation, if any difficulties or problems arise, agencies, organizations, and individuals are requested to promptly report them to the Ministry of Health (Department of Medical Service Administration) for consideration and settlement./.
|
PP. MINISTER Tran Van Thuan |
LIST OF DISEASES REQUIRING LONG-TERM TREATMENT
(Enclosed with Circular No. 25/TT-BYT, dated June 30, 2025, of the Minister of Health)
I. LIST OF DISEASES REQUIRING LONG-TERM TREATMENT
|
No. |
List of diseases by specialty |
ICD-10 code |
|
I |
Infectious and parasitic diseases | |
|
1. |
Amoebiasis |
From A06.1 to A06.9 |
|
2. |
Tuberculosis |
From A15 to A19 |
|
3. |
Brucellosis |
A23 |
|
4. |
Infection due to Burkholderia pseudomallei (Whitmore’s disease), unspecified |
A24.4 |
|
5. |
Leprosy (Hansen’s disease) and sequelae |
A30 and B92 |
|
6. |
Infections due to other Mycobacteria |
A31 |
|
7. |
Tetanus |
A35 |
|
8. |
Chronic viral hepatitis |
B18 |
|
9. |
Human immunodeficiency virus [HIV] disease/AIDS |
From B20 to B24, Z21 |
|
10. |
Meningitis due to Candida infection |
B37.5 |
|
11. |
Chronic pulmonary coccidioidomycosis |
B38.1 |
|
12. |
Chronic pulmonary histoplasmosis |
B39.1 |
|
13. |
Chronic pulmonary blastomycosis |
B40.1 |
|
14. |
Invasive pulmonary aspergillosis |
B44.0 |
|
15. |
Cryptococcosis |
B45 |
|
16. |
Pulmonary mucormycosis |
B46.0 |
|
17. |
Mycetoma |
B47 |
|
18. |
Penicillium infection |
B48.4 |
|
19. |
Cerebral malaria due to Plasmodium falciparum |
B50.0 |
|
20. |
Severe malaria with other complications due to Plasmodium falciparum |
B50.8 |
|
21. |
Clonorchiasis |
B66.1 |
|
22. |
Fascioliasis |
B66.3 |
|
23. |
Diphyllobothriasis and sparganosis |
B70 |
|
24. |
Trichinellosis |
B75 |
|
25. |
Unspecified parasitic disease |
B89 |
|
26. |
Sequelae of tuberculosis of bones and joints |
B90.2 |
|
27. |
Sequelae of viral encephalitis |
B94.1 |
|
28. |
Sequelae of other specified infectious and parasitic diseases |
B94.8 |
|
29. |
Sequelae of unspecified infectious and parasitic diseases |
B94.9 |
|
30. |
Papillomavirus as the cause of diseases classified elsewhere |
B97.7 |
|
II |
Neoplasms | |
|
31. |
Malignant neoplasms |
From C00 to C97 |
|
32. |
Carcinoma in situ |
From D00 to D09 |
|
33. |
Benign neoplasm of bone and articular cartilage |
D16 |
|
34. |
Benign neoplasm of adrenal gland |
D35.0 |
|
35. |
Neoplasms of uncertain or unknown behaviour |
From D37 to D48 |
|
III |
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | |
|
36. |
Thalassemia |
D56 |
|
37. |
Sickle-cell disorders |
D57 |
|
38. |
Hereditary haemolytic anaemias |
D58 |
|
39. |
Acquired haemolytic anaemia |
D59 |
|
40. |
Acquired pure red cell aplasia |
D60 |
|
41. |
Other aplastic anaemias |
D61 |
|
42. |
Hereditary factor VIII deficiency (Haemophilia A) |
D66 |
|
43. |
Hereditary factor IX deficiency (Haemophilia B) |
D67 |
|
44. |
Other coagulation defects |
D68 |
|
45. |
Qualitative platelet defects |
D69.1 |
|
46. |
Primary immune thrombocytopenia |
D69.3 |
|
47. |
Other diseases of blood and blood-forming organs |
D75 |
|
48. |
Infection-associated haemophagocytic syndrome |
D76.2 |
|
49. |
Sarcoidosis |
D86 |
|
50. |
Hypergammaglobulinaemia, unspecified |
D89.2 |
|
IV |
Endocrine, nutritional and metabolic diseases | |
|
51. |
Hypothyroidism |
E03 |
|
52. |
Thyrotoxicosis (hyperthyroidism) |
From E05.0 to E05.4 |
|
53. |
Other thyrotoxicosis |
E05.8 |
|
54. |
Thyrotoxicosis, unspecified |
E05.9 |
|
55. |
Chronic thyroiditis |
From E06.2 to E06.5 |
|
56. |
Diabetes mellitus |
From E10 to E14 |
|
57. |
Other hypoglycaemia |
E16.1 |
|
58. |
Other specified hypoparathyroidism |
E20.8 |
|
59. |
Hyperparathyroidism and other disorders of parathyroid gland |
E21 |
|
60. |
Acromegaly and pituitary gigantism |
E22 |
|
61. |
Diabetes insipidus |
E23.2 |
|
62. |
Cushing’s syndrome |
E24 |
|
63. |
Hyperaldosteronism |
E26 |
|
64. |
Disorders of adrenal gland |
E27 |
|
65. |
Polyglandular dysfunction |
E31 |
|
66. |
Disorders of copper metabolism (including Wilson’s disease) |
E83.0 |
|
67. |
Cystic fibrosis |
E84 |
|
68. |
Hypokalaemia |
E87.6 |
|
69. |
Postprocedural hypothyroidism |
E89.0 |
|
V |
Mental and behavioural disorders | |
|
70. |
Organic, including symptomatic, mental disorders |
From F00 to F09 |
|
71. |
Mental and behavioural disorders due to psychoactive substance use |
From F10 to F19 |
|
72. |
Schizophrenia |
F20 |
|
73. |
Schizotypal disorder |
F21 |
|
74. |
Persistent delusional disorders |
F22 |
|
75. |
Schizoaffective disorders |
F25 |
|
76. |
Bipolar affective disorder |
F31 |
|
77. |
Depressive episode |
F32 |
|
78. |
Recurrent depressive disorder |
F33 |
|
79. |
Persistent mood [affective] disorders |
F34 |
|
80. |
Phobic anxiety disorders |
F40 |
|
81. |
Other anxiety disorders |
F41 |
|
82. |
Obsessive-compulsive disorder |
F42 |
|
83. |
Post-traumatic stress disorder |
F43.1 |
|
84. |
Adjustment disorders |
F43.2 |
|
85. |
Somatoform disorders |
F45 |
|
86. |
Specific personality disorders |
F60 |
|
87. |
Mixed and other personality disorders |
F61 |
|
88. |
Enduring personality changes, not attributable to brain damage and disease |
F62 |
|
89. |
Other disorders of adult personality and behaviour |
F68 |
|
90. |
Intellectual disabilities |
From F70 to F79 |
|
91. |
Disorders of psychological development |
From F80 to F89 |
|
92. |
Behavioural and emotional disorders with onset usually occurring in childhood and adolescence |
From F90 to F98 |
|
VI |
Diseases of the nervous system | |
|
93. |
Meningitis due to Streptococcus |
G00.2 |
|
94. |
Encephalitis, myelitis and encephalomyelitis |
G04 |
|
95. |
Sequelae of inflammatory diseases of central nervous system |
G09 |
|
96. |
Spinal muscular atrophy and related syndromes |
G12 |
|
97. |
Systemic atrophy primarily affecting central nervous system in diseases classified elsewhere |
G13 |
|
98. |
Parkinson’s disease |
G20 |
|
99. |
Secondary parkinsonism |
G21 |
|
100. |
Dystonia |
G24 |
|
101. |
Alzheimer’s disease |
G30 |
|
102. |
Multiple sclerosis |
G35 |
|
103. |
Neuromyelitis optica [Devic] |
G36.0 |
|
104. |
Transverse myelitis |
G37.3 |
|
105. |
Subacute necrotizing myelitis |
G37.4 |
|
106. |
Epilepsy |
G40 |
|
107. |
Trigeminal neuralgia |
G50.0 |
|
108. |
Clonic hemifacial spasm |
G51.3 |
|
109. |
Postherpetic nervous system involvement |
G53.0* |
|
110. |
Nerve root and plexus disorders |
G54 |
|
111. |
Chronic inflammatory polyneuropathy |
G61 |
|
112. |
Myasthenia gravis |
G70.0 |
|
113. |
Primary myopathies |
G71 |
|
114. |
Cerebral palsy |
G80 |
|
115. |
Paraplegia and quadriplegia |
G82 |
|
116. |
Other diseases of spinal cord |
G95 |
|
VII |
Diseases of the eye and adnexa | |
|
117. |
Other disorders of lacrimal gland |
H04.1 |
|
118. |
Phacogenic iridocyclitis |
H20.2 |
|
119. |
Other disorders of iris and ciliary body |
H21 |
|
120. |
Other chorioretinal inflammations |
H30.8 |
|
121. |
Unspecified chorioretinal inflammation |
H30.9 |
|
122. |
Traction detachment of retina |
H33.4 |
|
123. |
Other retinal vascular occlusions |
H34.8 |
|
124. |
Other retinal disorders |
H35 |
|
125. |
Glaucoma |
From H40.1 to H40.9 |
|
126. |
Other endophthalmitis |
H44.1 |
|
127. |
Optic neuritis |
H46 |
|
VIII |
Diseases of the ear, nose and throat | |
|
128. |
Chronic suppurative otitis media |
H66.3 |
|
129. |
Mastoiditis, unspecified |
H70.9 |
|
130. |
Cholesteatoma of middle ear |
H71 |
|
131. |
Meniere’s disease |
H81.0 |
|
132. |
Noise-induced hearing loss |
H83.3 |
|
133. |
Conductive hearing loss, bilateral |
H90.0 |
|
134. |
Sensorineural hearing loss, unspecified |
H90.5 |
|
135. |
Other specified hearing loss |
H91.8 |
|
IX |
Diseases of the circulatory system | |
|
136. |
Chronic rheumatic heart diseases |
From I05 to I09 |
|
137. |
Hypertensive diseases |
From I10 to I15 |
|
138. |
Ischaemic heart diseases |
From I20 to I25 |
|
139. |
Pulmonary heart disease and diseases of pulmonary circulation |
From I26 to I28 |
|
140. |
Acute pericarditis |
I30 |
|
141. |
Chronic constrictive pericarditis |
I31.1 |
|
142. |
Acute and subacute endocarditis |
I33 |
|
143. |
Nonrheumatic mitral valve disorders |
I34 |
|
144. |
Nonrheumatic aortic valve disorders |
I35 |
|
145. |
Acute myocarditis |
I40 |
|
146. |
Cardiomyopathy |
I42 |
|
147. |
Atrial fibrillation and flutter |
I48 |
|
148. |
Other cardiac arrhythmias |
I49 |
|
149. |
Heart failure |
I50 |
|
150. |
Cerebral haemorrhage |
I61 |
|
151. |
Cerebral infarction |
I63 |
|
152. |
Stroke, not specified as haemorrhage or infarction |
I64 |
|
153. |
Sequelae of cerebrovascular disease |
I69 |
|
154. |
Aortic aneurysm and dissection |
I71 |
|
155. |
Arterial embolism and thrombosis |
I74 |
|
156. |
Phlebitis and thrombophlebitis |
I80 |
|
157. |
Postprocedural disorders of circulatory system, not elsewhere classified |
I97 |
|
X |
Diseases of the respiratory system | |
|
158. |
Chronic laryngitis and laryngotracheitis |
J37 |
|
159. |
Polyp of vocal cord and larynx |
J38.1 |
|
160. |
Other chronic obstructive pulmonary disease |
J44 |
|
161. |
Asthma |
J45 |
|
162. |
Bronchiectasis |
J47 |
|
163. |
Coal workers’ pneumoconiosis |
J60 |
|
164. |
Asbestosis and other mineral dust-induced pneumoconiosis |
J61 |
|
165. |
Silicosis |
J62 |
|
166. |
Pneumoconiosis due to other inorganic dusts |
J63 |
|
167. |
Pneumoconiosis, unspecified |
J64 |
|
168. |
Pneumoconiosis associated with tuberculosis |
J65 |
|
169. |
Airway disease due to specific organic dusts |
J66 |
|
170. |
Hypersensitivity pneumonitis due to organic dust |
J67 |
|
171. |
Respiratory conditions due to inhalation of chemicals, gases, fumes and vapours |
J68 |
|
172. |
Pneumonitis due to solids and liquids |
J69 |
|
173. |
Chronic interstitial pulmonary disease due to drugs |
J70.3 |
|
174. |
Other interstitial pulmonary diseases |
J84 |
|
175. |
Abscess of lung and mediastinum |
J85 |
|
176. |
Pyothorax |
J86 |
|
177. |
Chronic respiratory failure |
J96.1 |
|
XI |
Diseases of the digestive system |
|
|
178. |
Crohn’s disease |
K50 |
|
179. |
Other noninfective gastroenteritis and colitis |
K52 |
|
180. |
Alcoholic liver disease |
K70 |
|
181. |
Chronic hepatitis, not elsewhere classified |
K73 |
|
182. |
Fibrosis and cirrhosis of liver |
K74 |
|
183. |
Autoimmune hepatitis |
K75.4 |
|
184. |
Calculus of bile duct with cholangitis |
K80.3 |
|
185. |
Alcohol-induced chronic pancreatitis |
K86.0 |
|
186. |
Other chronic pancreatitis |
K86.1 |
|
XII |
Diseases of the skin and subcutaneous tissue | |
|
187. |
Pemphigus |
L10 |
|
188. |
Pemphigoid |
L12 |
|
189. |
Dermatitis herpetiformis |
L13.0 |
|
190. |
Other specified bullous disorders |
L13.8 |
|
191. |
Bullous disorders in diseases classified elsewhere |
L14 |
|
192. |
Exfoliative dermatitis |
L26 |
|
193. |
Psoriasis |
L40 |
|
194. |
Pityriasis lichenoides chronica |
L41 |
|
195. |
Pityriasis rubra pilaris |
L44.0 |
|
196. |
Other chronic urticaria |
L50.1 |
|
197. |
Other specified urticaria |
L50.8 |
|
198. |
Erythema nodosum |
L52 |
|
199. |
Acne conglobata |
L70.1 |
|
200. |
Hidradenitis suppurativa |
L73.2 |
|
201. |
Pyoderma gangrenosum |
L88 |
|
202. |
Chronic ulcer of skin, not elsewhere classified |
L98.4 |
|
XIII |
Diseases of the musculoskeletal system and connective tissue | |
|
203. |
Infectious arthropathies |
From M00 to M03 |
|
204. |
Seropositive rheumatoid arthritis |
M05 |
|
205. |
Other rheumatoid arthritis |
M06 |
|
206. |
Other psoriatic arthropathies |
M07.3 |
|
207. |
Juvenile arthritis |
M08 |
|
208. |
Gout |
M10 |
|
209. |
Other crystal arthropathies |
M11 |
|
210. |
Other inflammatory polyarthropathies |
M13 |
|
211. |
Osteoarthritis |
From M15 to M19 |
|
212. |
Other specific joint derangements |
M24 |
|
213. |
Systemic connective tissue disorders |
From M30 to M36 |
|
214. |
Other deforming dorsopathies |
M43 |
|
215. |
Spondylopathies |
From M45 to M49 |
|
216. |
Other dorsopathies |
From M50 to M54 |
|
217. |
Myositis |
M60 |
|
218. |
Calcification and ossification of muscle |
M61 |
|
219. |
Synovitis and tenosynovitis |
From M65.1 to M65.9 |
|
220. |
Shoulder lesions |
M75 |
|
221. |
Panniculitis, unspecified |
M79.3 |
|
222. |
Fibromyalgia |
M79.7 |
|
223. |
Osteoporosis with pathological fracture |
M80 |
|
224. |
Osteoporosis without pathological fracture |
M81 |
|
225. |
Osteoporosis in diseases classified elsewhere |
M82* |
|
226. |
Adult osteomalacia |
M83 |
|
227. |
Nonunion of fracture (pseudarthrosis) |
M84.1 |
|
228. |
Pathological fracture, not elsewhere classified |
M84.4 |
|
229. |
Monostotic fibrous dysplasia |
M85.0 |
|
230. |
Osteomyelitis |
From M86.3 to M86.9 |
|
231. |
Idiopathic aseptic necrosis of bone |
M87.0 |
|
232. |
Paget’s disease of bone |
M88 |
|
233. |
Reflex sympathetic dystrophy |
M89.0 |
|
234. |
Fracture of bone in neoplastic disease |
M90.7 |
|
235. |
Other acquired deformities of musculoskeletal system and connective tissue |
M95 |
|
XIV |
Diseases of the genitourinary system | |
|
236. |
Rapidly progressive nephritic syndrome |
N01 |
|
237. |
Recurrent and persistent haematuria |
N02 |
|
238. |
Chronic nephritic syndrome |
N03 |
|
239. |
Nephrotic syndrome |
N04 |
|
240. |
Glomerular disorders in diseases classified elsewhere |
N08* |
|
241. |
Chronic tubulo-interstitial nephritis |
N11 |
|
242. |
Chronic kidney disease |
N18 |
|
243. |
Chronic cystitis |
N30.2 |
|
244. |
Other specified urinary incontinence |
N39.4 |
|
245. |
Fistula of female genital tract |
N82 |
|
XV |
Pregnancy, childbirth and the puerperium | |
|
246. |
Hydatidiform mole |
O01 |
|
247. |
Complications following abortion, ectopic and molar pregnancy |
O08 |
|
248. |
Mild to moderate pre-eclampsia |
O14.0 |
|
249. |
Severe pre-eclampsia |
O14.1 |
|
250. |
Gestational diabetes mellitus |
O24 |
|
251. |
Premature rupture of membranes, with onset of labour delayed by medical intervention |
O42.2 |
|
252. |
Placenta accreta, increta, or percreta |
O43.2 |
|
253. |
Placenta praevia |
O44 |
|
XVII |
Congenital malformations, deformations and chromosomal abnormalities | |
|
254. |
Encephalocele |
Q01 |
|
255. |
Congenital hydrocephalus |
Q03 |
|
256. |
Congenital glaucoma |
Q15 |
|
257. |
Congenital malformations of the circulatory system |
From Q20 to Q28 |
|
258. |
Other congenital malformations of bronchus |
Q32.4 |
|
259. |
Hypospadias |
Q54 |
|
260. |
Congenital ichthyosis |
Q80 |
|
261. |
Down syndrome |
Q90 |
|
262. |
Edwards’ syndrome and Patau’s syndrome |
Q91 |
|
263. |
Turner’s syndrome |
Q96.9 |
|
XIX |
Injury, poisoning and certain other consequences of external causes | |
|
264. |
Intracranial injury |
S06 |
|
265. |
Fracture of neck |
S12 |
|
266. |
Injury of nerves and spinal cord at neck level |
S14 |
|
267. |
Fracture of rib(s), sternum and thoracic spine |
S22 |
|
268. |
Fracture of lumbar spine and pelvis |
S32 |
|
269. |
Injury of nerves and spinal cord at abdomen, lower back and pelvis level |
S34 |
|
270. |
Sprain and strain involving anterior or posterior cruciate ligament of knee |
S83.5 |
|
271. |
Burns involving breakdown and destruction of eyeball |
T26.2 |
|
272. |
Burns and corrosions of respiratory tract |
T27 |
|
273. |
Burns and corrosions of multiple body regions |
T29 |
|
274. |
Burns involving 30% or more of body surface |
From T31.3 to T31.9 |
|
275. |
Corrosions involving 30% or more of body surface |
From T32.3 to T32.9 |
|
276. |
Failure and rejection of transplanted organs and tissues |
T86 |
|
277. |
Sequelae of burns, corrosions and frostbite |
T95 |
|
XXI |
Factors influencing health status and contact with health services | |
|
278. |
Attention to other artificial openings of digestive tract |
Z43.4 |
|
279. |
Attention to other artificial openings of urinary tract |
Z43.6 |
|
280. |
Presence of transplanted tissue and organs |
Z94 |
|
281. |
Presence of orthopaedic joint implant |
Z96.6 |
|
XXII |
Codes for special purposes |
|
|
282. |
Resistance to antimicrobial drugs |
U84 |
II. Codes and names of diseases in the List of diseases requiring long-term treatment:
1. The names and codes of diseases in the List of diseases requiring long-term treatment shall comply with Decision No. 4469/QD-BYT, of the Minister of Health, dated October 28, 2020, on promulgation of the “International Statistical Classification of Diseases and Related Health Problems ICD-10” and “Guidelines for disease coding under ICD-10” at health facilities.
2. Diseases in the List of diseases requiring long-term treatment are coded according to the International Statistical Classification of Diseases (ICD-10) with 3-character, 4-character, and 5-character codes (including numbers and letters). Diseases with 4-character codes belong to the group of diseases with 3-character codes, and diseases with 5-character codes belong to the group of diseases with 3-character or 4-character codes.
2.1. Diseases with 3-character codes in the List of diseases requiring long-term treatment shall include all diseases with 4-character or 5-character codes belonging to the 3-character group. Diseases with 4-character codes in the List of diseases requiring long-term treatment shall include all diseases with 5-character codes belonging to the 4-character group.
Example:
(1) Benign neoplasm of bone and articular cartilage with disease code D16 is in the List of diseases requiring long-term treatment, then all diseases with 4-character codes under the 3-character group D16 are also in the List of diseases requiring long-term treatment, including:
– Benign neoplasm of scapula and long bones of upper limb, code: D16.0
– Benign neoplasm of short bones of upper limb, code: D16.1
– Benign neoplasm of long bones of lower limb, code: D16.2
– Benign neoplasm of short bones of lower limb, code: D16.3
– Benign neoplasm of skull and facial bones, code: D16.4
– Benign neoplasm of mandible, code: D16.5
– Benign neoplasm of vertebral column, code: D16.6
– Benign neoplasm of ribs, sternum and clavicle, code: D16.7
– Benign neoplasm of pelvic bones, sacrum and coccyx, code: D16.8
– Benign neoplasm of bone and articular cartilage, unspecified, code: D16.9
(2) Other inflammatory spondylopathies with disease code M46 are in the List of diseases requiring long-term treatment, then all diseases with 4-character or 5-character codes under the 3-character group M46 are also in the List of diseases requiring long-term treatment, including:
– Other specified vertebral osteomyelitis: Cervical region, code: M46.82
– Other specified vertebral osteomyelitis: Cervicothoracic region, code: M46.83
– Other specified vertebral osteomyelitis: Thoracic region, code: M46.84
– Other specified vertebral osteomyelitis: Thoracolumbar region, code: M46.85
– Other specified vertebral osteomyelitis: Lumbar region, code: M46.86
– Other specified vertebral osteomyelitis: Lumbosacral region, code: M46.87
– Other specified vertebral osteomyelitis: Sacral and sacrococcygeal region, code: M46.88
– Other specified vertebral osteomyelitis: Site unspecified, code: M46.89
– Unspecified inflammatory spondylopathy, code: M46.9
– Unspecified inflammatory spondylopathy: Multiple sites in spine, code: M46.90
– Unspecified inflammatory spondylopathy: Occipito-atlanto-axial region, code: M46.91
– Unspecified inflammatory spondylopathy: Cervical region, code: M46.92
– Unspecified inflammatory spondylopathy: Cervicothoracic region, code: M46.93
– Unspecified inflammatory spondylopathy: Thoracic region, code: M46.94
– Unspecified inflammatory spondylopathy: Thoracolumbar region, code: M46.95
– Unspecified inflammatory spondylopathy: Lumbar region, code: M46.96
– Unspecified inflammatory spondylopathy: Lumbosacral region, code: M46.97
– Unspecified inflammatory spondylopathy: Sacral and sacrococcygeal region, code: M46.98
– Unspecified inflammatory spondylopathy: Site unspecified, code: M46.99
2.2. In cases where only a disease with a 4-character or 5-character code is included in the List of diseases requiring long-term treatment, the corresponding group with a 3-character or 4-character code is not included in the List of diseases requiring long-term treatment.
Example: The disease “Noise-induced hearing loss” with code H83.3 is included in the List of diseases requiring long-term treatment; however, other diseases in the 3-character code group H83 and other 4-character codes in the 3-character group H83, such as:
– Labyrinthitis, code: H83.0
– Labyrinthine fistula, code: H83.1
– Labyrinthine dysfunction, code: H83.2
– Other specified inner ear disorders, code: H83.8
– Inner ear disorder, unspecified, code: H83.9
are not included in the List of diseases requiring long-term treatment.
3. The names of diseases in this List are taken from the names in Decision No. 4469/QD-BYT, of the Minister of Health, dated October 28, 2020. In cases where the disease name differs in other Circulars of the Ministry of Health or where different names are used in different regions, the disease name shall be standardized according to the disease code in the “International Statistical Classification of Diseases and Related Health Problems ICD-10”.
