What diseases are in the List of certain diseases to be examined and treated at basic level healthcare facilities in 2025 in Vietnam?
What diseases are in the List of certain diseases to be examined and treated at basic level healthcare facilities in 2025 in Vietnam?
Based on Appendix 2 issued with Circular 01/2025/TT-BYT stipulating the list of some diseases treated at basic level healthcare facilities in 2025:
101. | Epidermolysis bullosa | Q81 | || 102. | Turner syndrome | Q96 | || 103. | Other abnormal findings of urine | R82 | || 104. | Extracorporeal dialysis (artificial kidney) | Z49.1 | Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. || 105. | Presence of heart and vascular implant devices | Z95 | Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. || 106. | Diseases listed in the schedule as stipulated in Appendix I issued with this Circular. | According to ICD-10 codes in Appendix I | |
|
No. |
Disease Name, Group of Diseases, and Cases |
ICD-10 Code |
Conditions, Requirements |
|
1. |
Tuberculosis |
From A15 to A19 (except A15) |
|
|
2. |
Leprosy (Hansen's disease) |
A30 |
|
|
3. |
Mycobacterial skin infection |
A31.1 |
|
|
4. |
Other mycobacterial infections |
A31.8 |
|
|
5. |
Unspecified mycobacterial infections |
A31.9 |
|
|
6. |
Chronic hepatitis B virus infection with concurrent hepatitis D virus infection |
B18.0 |
|
|
7. |
Chronic hepatitis B virus infection without concurrent hepatitis D virus infection |
B18.1 |
|
|
8. |
Chronic hepatitis C virus infection |
B18.2 |
|
|
9. |
HIV/AIDS |
From B20 to B24 |
|
|
10. |
Zygomycosis infection |
B46 |
|
|
11. |
Cancer group |
From C00 to C97 |
For codes C38.4 and C83.5, patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
12. |
In situ neoplasm group |
From D00 to D09 |
|
|
13. |
Chronic polycythemia (or Idiopathic polycythemia) |
C94.1 (or code D45 per WHO's ICD-10 updated in 2021) |
|
|
14. |
Other uncertain or unknown nature of lymphoid, haematopoietic and related tissue neoplasms |
D47 |
|
|
15. |
Congenital hemolytic diseases (Thalassemia) |
D56 |
|
|
16. |
Sickle cell disease |
D57 |
|
|
17. |
Acquired hemolytic anemia |
D59 |
|
|
18. |
Acquired pure red cell aplasia |
D60 |
|
|
19. |
Other aplastic anemias |
D61 |
For code D61.9, patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
20. |
Hereditary factor VIII deficiency (Hemophilia A) |
D66 |
|
|
21. |
Hereditary factor IX deficiency (Hemophilia B) |
D67 |
|
|
22. |
Other coagulation abnormalities |
D68 |
|
|
23. |
Essential thrombocythemia |
D75.2 |
|
|
24. |
Other specified disorders of lymphoid, reticuloendothelial system and histiocytic tissues |
D76 |
|
|
25. |
Sarcoid |
D86 |
|
|
26. |
Other hypothyroidism |
E03 (except E03.5) |
|
|
27. |
Other non-toxic goiter |
E04 |
In cases with tracheal compression. |
|
28. |
Thyrotoxicosis (hyperthyroidism) |
E05 |
|
|
29. |
Diabetes group |
From E10.2 to E10.8 and E11.2 to E11.8, and E12 (except E12.0, E12.1), and E13 (except E13.0, E13.1) and E14 (except E14.0, E14.1) |
Multi-organ damage or foot ulcer complication, or chronic kidney disease, or one of these complications: cardiovascular, ocular, neurological, vascular, or other complications. |
|
30. |
Hyperparathyroidism and other parathyroid disorders |
E21 |
|
|
31. |
Hyperpituitarism |
E22 |
|
|
32. |
Hypopituitarism |
E23 |
|
|
33. |
Primary adrenal insufficiency |
E27.1 |
|
|
34. |
Adrenal medulla hyperfunction |
E27.5 |
|
|
35. |
Disorders of aromatic amino acid metabolism |
E70 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
36. |
Disorders of branched-chain amino acid and fatty-acid metabolism |
E71 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
37. |
Other disorders of amino-acid metabolism |
E72 |
|
|
38. |
Copper metabolism disorder (including Wilson's disease) |
E83.0 |
|
|
39. |
Mental disorders group |
From F00 to F99 (except F07.2, F51.0) |
- For codes: F20 (Condition: Drug-resistant); F31 (Condition: Drug-resistant); F32 (Condition: Drug-resistant); - Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
40. |
Encephalitis - bacterial meningitis and myelitis - meningomyelitis not classified elsewhere |
G04.2 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
41. |
Parkinson |
G20 |
|
|
42. |
Secondary parkinsonism |
G21 |
|
|
43. |
Epilepsy |
G40 |
|
|
44. |
Myasthenia gravis |
G70.0 |
|
|
45. |
Quadriplegic spastic cerebral palsy |
G80.0 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
46. |
Paraplegia and quadriplegia |
G82 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
47. |
Retinal vein occlusion |
H34 |
|
|
48. |
Sensorineural unspecified deafness |
H90.5 |
|
|
49. |
Other specified hearing loss (due to specific cause) |
H91.8 |
|
|
50. |
Circulatory system disorders group |
From I00 to I99 (except I10, I20, I34, I49.9, I67.9, I83, I95, I99) and I20.0, I20.1, I20.8, I20.9 and I34.0, I34.1, I34.2, I34.8, I34.9 and I83.0, I83.1, I83.2, I83.9 |
- Surgical or interventional indication or severe stage or at least two complications. - Patients are entitled to benefits immediately upon diagnosis confirmation in their visit with surgical indication. |
|
51. |
Other chronic obstructive pulmonary disease |
J44 |
|
|
52. |
Other eosinophilic lung diseases, not classified elsewhere |
J82 |
|
|
53. |
Lung and mediastinal abscess |
J85 |
|
|
54. |
Empyema (serious lung infection) |
J86 |
|
|
55. |
Chylous effusion |
J94.0 |
|
|
56. |
Diaphragmatic disorders |
J98.6 |
|
|
57. |
Achalasia of cardia |
K22.0 |
|
|
58. |
Crohn's disease (regional enteritis) |
K50 |
|
|
59. |
Acute and subacute hepatic failure |
K72.0 |
|
|
60. |
Chronic active hepatitis, not classified elsewhere |
K73.2 |
|
|
61. |
Unspecified recurrent viral hepatitis |
K75.2 |
|
|
62. |
Autoimmune hepatitis |
K75.4 |
|
|
63. |
Cellulitis |
L03 |
|
|
64. |
Pemphigus |
L10 |
|
|
65. |
Pemphigoid |
L12 |
|
|
66. |
Pustular psoriasis |
L40.1 |
|
|
67. |
Pityriasis lichenoides et varioliformis acuta |
L41.0 |
|
|
68. |
Pityriasis rubra pilaris |
L44.0 |
|
|
69. |
Lung involvement in rheumatic diseases (J99.0*) |
M05.1 |
Lung damage, progressive, life-threatening patient condition |
|
70. |
Juvenile arthritis |
M08 |
|
|
71. |
Gout |
M10 |
|
|
72. |
Systemic lupus erythematosus with organ involvement |
M32.1 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
73. |
Other forms of systemic lupus erythematosus |
M32.8 |
|
|
74. |
Systemic sclerosis |
M34 |
|
|
75. |
Other specified systemic connective tissue disorders |
M35 |
|
|
76. |
Kyphosis and lordosis |
M40 |
|
|
77. |
Scoliosis |
M41 |
|
|
78. |
Ankylosing spondylitis |
M45 |
|
|
79. |
Osteomyelitis |
M86 |
|
|
80. |
Chronic kidney disease, stage 3 |
N18.3 |
|
|
81. |
Chronic kidney disease, stage 4 |
N18.4 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
82. |
Chronic kidney disease, stage 5 |
N18.5 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
83. |
Hydatidiform mole |
O01 |
|
|
84. |
Complications following abortion, extrauterine pregnancy, and molar pregnancy |
O08 |
|
|
85. |
Preeclampsia |
O14 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
86. |
Diabetes in pregnancy |
O24 |
Patients with diabetes during pregnancy. |
|
87. |
Placenta accreta |
O43.2 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
88. |
Placenta previa |
O44 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
89. |
Neonatal polycythemia |
P61.1 |
|
|
90. |
Congenital hydrocephalus |
Q03 |
|
|
91. |
Congenital anomalies of circulatory system |
From Q20 to Q28 |
|
|
92. |
Renal agenesis and other anomalies of kidney |
Q60 |
|
|
93. |
Congenital hip deformities |
Q65 |
|
|
94. |
Other congenital deformities of feet |
Q66 |
|
|
95. |
Other specified congenital musculoskeletal deformities |
Q68 |
|
|
96. |
Polydactyly |
Q69 |
With type I or special surgical indication. |
|
97. |
Syndactyly |
Q70 |
With type I or special surgical indication. |
|
98. |
Upper limb deficiencies |
Q71 |
|
|
99. |
Lower limb deficiencies |
Q72 |
|
|
100. |
Congenital ichthyosis |
Q80 |
|
|
101. |
Epidermolysis bullosa |
Q81 |
|
|
102. |
Turner syndrome |
Q96 |
|
|
103. |
Other abnormal findings of urine |
R82 |
|
|
104. |
Extracorporeal dialysis (artificial kidney) |
Z49.1 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
105. |
Presence of heart and vascular implant devices |
Z95 |
Patients are entitled to benefits immediately upon diagnosis confirmation in their visit. |
|
106. |
Diseases listed in the schedule as stipulated in Appendix I issued with this Circular. |
According to ICD-10 codes in Appendix |
|
Note:
-
Three-character disease codes in this Appendix include all detailed four-character codes. Code A30 includes codes A30.0, A30.1, A30.2, A30.3, A30.4, A30.5, A30.8, A30.9
-
In cases where detailed four-character disease codes are identified, the full four-character code must be recorded.
What diseases are in the List of certain diseases to be examined and treated at basic level healthcare facilities in 2025 in Vietnam? (Image from the Internet)
Which subjects are eligible for initial health insurance registration at basic healthcare facilities in Vietnam?
Based on Clause 2, Article 7 of Circular 01/2025/TT-BYT stipulating the eligible subjects for initial health insurance registration at basic healthcare facilities:
[1] Individuals under the management and protection of health according to the Central Committee of the Communist Party’s Guidelines regarding the adjustment and supplementation of subjects for healthcare in certain central health entities; individuals under the management and protection of provincial health officials
[2] Revolution contributors, veterans, individuals aged 75 and older
[3] Children
[4] Individuals participating in health insurance residing in island communes, island districts are allowed to register for initial healthcare services at the most convenient onshore healthcare facility, provided no initial healthcare facility exists in these island communes, island districts.
[5] Students, trainees, learners of universities, colleges, intermediate schools in the health sector are allowed to register for initial health insurance at healthcare facilities associated with the school having a contract for health insurance services as stipulated in Clause 2, Article 6 of Circular 01/2025/TT-BYT
[6] Healthcare facility employees are allowed to register for initial health insurance at the healthcare facility where they are employed which has a contract for health insurance services as stipulated in Clause 2, Article 6 of Circular 01/2025/TT-BYT
[7] Students, trainees, learners during their education, practice, internship at the health insurance facility for over 90 days are allowed to register for initial health insurance at the healthcare facility where they are learning, practicing, interning with a health insurance service contract as stipulated in Clause 2, Article 6 of Circular 01/2025/TT-BYT
[8] Employees on business trips to a healthcare facility for over 90 days are allowed to register for initial health insurance at the facility where they are on a business trip with a health insurance service contract as stipulated in Clause 2, Article 6 of Circular 01/2025/TT-BYT
[9] Military and police personnel upon retirement
[10] Individuals with long-term illnesses as listed by the Ministry of Health
[11] Civil servants, public employees, students
[12] Other subjects
When is a health insurance card in Vietnam invalid?
Based on Article 16 of Health Insurance Law 2008 (amended by Clauses 10, 14, Article 1 of Amended Health Insurance Law 2024) stipulating the health insurance card:
Article 16. Health Insurance Card
[...]
- The health insurance card is invalid in the following cases:
a) The card has expired;
b) The card has been modified or erased;
c) The person named on the card no longer participates in health insurance.
- Vietnam Social Security shall issue the health insurance card template after obtaining agreement from the Ministry of Health.
A health insurance card is invalid when:
- The card has expired.
- The card has been modified or erased.
- The person named on the card no longer participates in health insurance.
