37 diseases that require only one referral approval in 2025 in Vietnam

What are diseases that require only one referral request in 2025 in Vietnam? When shall a healthcare facility in Vietnam refuse to provide medical examination and treatment?

37 diseases that require only one referral approval in 2025 in Vietnam

Based on Appendix 3 issued along with Circular 01/2025/TT-BYT, 37 diseases require only one referral letter in the year 2025, including:

No. Name of disease, group of diseases, and cases ICD-10 code Condition, requirement
1 Chromoblastomycosis and abscess due to phaeomyces B43  
2 Other hereditary hemolytic anemias D58  
3 Aplastic anemia and other anemias D62-D64  
4 Disseminated intravascular coagulation (fibrinogen consumption syndrome) D65  
5 Purpura and other hemorrhagic conditions D69 Chronic, prolonged
6 Infection-associated hemophagocytic syndrome D76.2  
7 Adrenal endocrine disorders E25  
8 Other disorders of the adrenal gland E27  
9 Iron metabolism disorders E83.1  
10 Other proliferative retinopathy H35.2  
11 Macular degeneration and posterior pole H35.3  
12 Diabetic retinopathy (E10-E14 with a fourth character of .3) H36.0* Proliferative diabetes
13 Hypertensive disease I10 Indicated for surgery or intervention, severe stage, or with at least two complications
14 Asthma J45  
15 Malignant asthma attack J46  
16 Ulcerative colitis K51 Autoimmune disease
17 Dermatitis herpetiformis L13.0  
18 Psoriasis L40  
19 Pityriasis L41  
20 Lupus erythematosus L93  
21 Capillary diseases not classified elsewhere L95  
22 Rheumatoid arthritis with organ or systemic involvement M05.3†  
23 Hip osteoarthritis M16 Stage 3, Stage 4
24 Knee osteoarthritis M17 Stage 3, Stage 4
25 Carpometacarpal joint osteoarthritis M18 Stage 3, Stage 4
26 Dermatomyositis M33  
27 Systemic sclerosis M34  
28 Spondylolisthesis M43.1  
29 Spinal osteoarthritis M47 Stage 3, Stage 4
30 Osteoporosis due to postoperative malabsorption with pathological fracture M80.3  
31 Osteoporosis due to drug use with pathological fracture M80.4  
32 Spontaneous osteoporosis with pathological fracture M80.5  
33 Chronic nephritic syndrome N03  
34 Chronic kidney disease N18  
35 Other congenital malformations of skin Q82  
36 Prader-Willi syndrome Q87.11 (According to the ICD-10 code as updated by WHO in 2021)  
37 Diseases specified in Annex II issued together with this Circular 01/2025/TT-BYT from item number 01 to item number 105 According to ICD-10 in Annex II

Not applicable in the following cases:

- Patients stabilized or without specific treatment indications.

- Diseases that fall under emergency or acute conditions. |

Note: For the 37 diseases that require only one referral letter in 2025:

  1. Three-character disease codes include all detailed four-character codes. For example: Code B43 includes codes B43.0, B43.1, B43.2, B43.8, B43.9

  2. When there are disease codes detailed to four characters, the specific four-character code must be indicated.

37 Diseases Requiring Only One Referral Letter in 2025?

37 diseases that require only one referral approval in 2025 in Vietnam​ (Image from the Internet)

When shall a healthcare facility in Vietnam refuse to provide medical examination and treatment?

Based on Article 59 of the Law on Medical Examination and Treatment 2023 outlining the rights of medical examination and treatment facilities:

Article 59. Rights of medical examination and treatment facilities

  1. Perform medical examination and treatment activities as stipulated by this Law.
  1. Have the right to refuse medical examination and treatment in the following cases:

a) Beyond their professional capacity or outside the professional scope of the facility, except for cases of emergency as provided in Article 61 of this Law.

b) Fall under any of the cases specified in clauses 3, 4, and 5 of Article 40 of this Law.

[...]

Medical facilities can refuse treatment under the following circumstances:

- Beyond their professional capacity or not within the professional scope of the facility, except in emergencies.

- Patients or their family members exhibit behaviors threatening the body, health, or life of the practitioners during duty, except if the person has a mental illness or other illness that impairs recognition or control.

- Patients demand examination and treatment methods that do not comply with technical professional regulations.

- Patients or their representatives do not adhere to diagnosis or treatment methods prescribed by practitioners after being advised or motivated, where such noncompliance poses a risk to the patient's health or life.

What are the organizational forms of medical examination and treatment facilities in Vietnam?

Pursuant to Article 48 of the Law on Medical Examination and Treatment 2023, the organizational forms of medical examination and treatment facilities include:

- Hospitals

- Infirmaries under the people's armed forces

- Maternity homes

- Clinics

- Traditional medicine treatment rooms

- Paraclinical service providers

- Health stations

- Outpatient emergency facilities

- Family medical practice clinics

- Other forms of medical examination and treatment facilities as prescribed by the Government of Vietnam

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