MDC DRG 01 01 01415 01416 01417 01418

新增血栓溶解劑虛擬處置碼 例 MDC DRG 01 01 01415 01416 01417 01418 DRG 01415 　 DRG 01416 　 　 　 　 虛擬碼英文 Thrombolytic agent 1 unit Unit=支 虛擬碼 ICD 10 3 E 00001 特定性腦血管疾患，暫時性腦部缺氧除外，採血栓溶解治療1支，有復健，年齡大於等於 18 歲，有合併症或併發症 SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TRANSIENT ISCHEMIC ATTACK（TIA） WITH THROMBOLYTIC AGENT 1 UNIT WITH REHABILITATION THERAPY AGE ≧ 18 WITH CC 特定性腦血管疾患，暫時性腦部缺氧除外，採血栓溶解治療1支，有復健，年齡大於等於 18 歲，無合併症或併發症 SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TRANSIENT ISCHEMIC ATTACK（TIA）WITH THROMBOLYTIC AGENT 1 UNIT WITH REHABILITATION THERAPY AGE ≧ 18 WITHOUT CC I 671 Cerebral aneurysm, nonruptured I 6789 Other cerebrovascular disease R 4701 Aphasia AND 　 NON-OPERATING ROOM PROCEDURES 3 E 00001 Thrombolytic agent 1 unit 3

新增抗凝血藥物或血栓溶解治療 虛擬處置碼 例 MDC 04 04 05 05 DRG 07803 12801 12802 虛擬碼英文 Anticoagulant drug therapy Interventional thrombolytic therapy 虛擬碼 ICD 10 3 E 00003 3 E 00004 DRG 07803 肺栓塞，併低血壓或休克 PULMONARY EMBOLISM WITH HYPOTENSION OR SHOCK 　 PRINCIPAL DIAGNOSIS 　 I 9589 Other hypotension 　 I 959 Hypotension, unspecified 　 R 579 Shock, unspecified 　 WITH OR WITHOUT 　 NON-OPERATING ROOM PROCEDURES 　 3 E 00003 Anticoagulant drug therapy 　 3 E 00004 Interventional thrombolytic therapy 　 　 註：有使用抗凝血藥物治療或血栓溶解介入治療者，需編虛擬碼， 以利未來再分類。 4

修訂開放性動脈廔管閉塞術 虛擬處置碼 例 MDC DRG 虛擬碼英文 05 11006 PATENT DUCTUS ARTERIOSUS(＜ 2. 5 MM) 05 11106 PATENT DUCTUS ARTERIOSUS(＜ 2. 5 MM) DRG 11006 DRG 11106 原虛擬 碼為 0002 虛擬碼 ICD 10 0200002 開放性動脈廔管(＜ 2. 5 MM)，重大心血管手術(2)，有合併症或併發症 PATENT DUCTUS ARTERIOSUS(＜ 2. 5 MM) AND MAJOR CARDIOVASCULAR PROCEDURES(2) WITH CC 開放性動脈廔管(＜ 2. 5 MM)，重大心血管手術(2)，無合併症或併發症 PATENT DUCTUS ARTERIOSUS(＜ 2. 5 MM) AND MAJOR CARDIOVASCULAR PROCEDURES(2) WITHOUT CC PRINCIPAL DIAGNOSIS AND 　 OPERATING ROOM PROCEDURES Occlusion of Ductus Arteriosus with Intraluminal Device, Percutaneous Endoscopic 02 LR 4 DT Approach 02 LR 4 ZT Occlusion of Ductus Arteriosus, Percutaneous Endoscopic Approach AND 　 OPERATING ROOM PROCEDURES 0200002 PATENT DUCTUS ARTERIOSUS(＜ 2. 5 MM) 註：處置碼"0200002"為虛擬處置碼，虛擬處置碼僅用於開放性動脈廔 管(PDA)＜ 2. 5 MM進行閉塞術之個案。 5

新增及修訂不符適應症之冠狀 動脈血管支架置入虛擬處置碼 例 MDC DRG 虛擬碼英文 虛擬碼 ICD 10 0200001 0200001 05 11201 Dilation of Coronary Artery, One Site with Intraluminal Device, off restrictions use 05 11202 Dilation of Coronary Artery, One Site with Intraluminal Device, off restrictions use 05 11601 Dilation of Coronary Artery, One Site with Intraluminal Device, off restrictions use 05 11602 Dilation of Coronary Artery, One Site with Intraluminal Device, off restrictions use 05 11605 Dilation of Coronary Artery, One Site with Intraluminal Device, off restrictions use DRG 11201 多處血管及其他經皮心臟血管手術 MULTIPLE SITES AND OTHRE PERCUTANEOUS CARDIOVASCULAR PROCEDURES 　 DRG 11202單處血管經皮心臟血管手術 SINGLE SITE PERCUTANEOUS CARDIOVASCULAR PROCEDURES OR 　 COMBINATION OF 2 OPERATING ROOM PROCEDURES 0200001 原虛擬 碼為 0001 Dilation of Coronary Artery, One Site with Intraluminal Device, off restrictions use WITH OR WITHOUT SECONDARY DIAGNOSIS I 2582 coronary chronic total occlusion(CTO) 冠狀動脈慢性完全閉塞 註：個案申請「冠狀動脈支架」經審查不符適應症，經醫院解釋， 個案仍同意自費時，請以虛擬處置碼"0200001"表示。 6

新增心房同步雙心室 心律調節器虛擬處置碼 例 MDC DRG 虛擬碼英文 05 11606 Atrial synchronous biventricular pacing device implant 05 11606 Insertion of Lead - Atrial synchronous biventricular pacing device implant 05 11606 Atrial synchronous biventricular pacing device implant and lead insertion 虛擬碼 ICD 10 0200003 0200004 0200005 DRG 11606 心房同步雙心室心律調節器裝置術 ATRIAL SYNCHRONOUS BIVENTRICULAR PACING DEVICE IMPLANT 　 　 0 JH 837 Z Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into 0 JH 839 Z Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach AND 　 OPERATING ROOM PROCEDURES 0200003 Atrial synchronous biventricular pacing device implant 0200004 Insertion of Lead - Atrial synchronous biventricular pacing device implant 0200005 Atrial synchronous biventricular pacing device implant and lead insertion 註：使用心房同步雙心室心律調節器generator and (or) lead之個案， 請增編虛擬碼"0200003"、"0200004"、"0200005"。 7

新增眼科單純及複雜微創手術 虛擬處置碼 例 MDC DRG 02 02 03603 03604 03605 04203 04204 04211 虛擬碼 ICD 10 Complicating microincision 0800001 Vitreomacular microincision 0800002 Simple microincision 0800003 Deep anterior lamellar keratoplasty 0800004 Descemet's Stripping Automated Endothelial Keratoplasty 0800005 Descemet's Stripping Automated Endothelial Keratoplasty with precut cornea 0800006 Deep anterior lamellar keratoplasty 0800004 虛擬碼英文 DRG 03603 微創視網膜手術合併玻璃體手術-複雜，合併白內障水晶體手術 MICROINCISION RETINAL PROCEDUR WITH VITREOUS PROCEDUR-COMPLICATED，WITH 　 LENS PROCEDURES 08 RK 3 JZ Replacement of Left Lens with Synthetic Substitute, Percutaneous Approach 　 AND 　 　 OPERATING ROOM PROCEDURES 　 　 0800001 Complicating microincision 8

新增中風嚴重程度之 MRS虛擬診斷碼 例 MDC DRG 01 01 01 01 01 01 01419 01420 01421 01422 01423 01424 01425 01426 01427 01428 01429 01430 虛擬碼英文 Modified Rankin scale 5 Modified Rankin scale 2 Modified Rankin scale 3 Modified Rankin scale 4 Modified Rankin scale 0 Modified Rankin scale 1 虛擬碼 ICD 10 I 600005 I 600002 I 600003 I 600004 I 600000 I 600001 DRG 01423 特定性腦血管疾患，暫時性腦部缺氧除外，m. RS 2 -4 分，有復健，年齡大於等於 18歲，有合併症或併發症 SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT 　 TRANSIENT ISCHEMIC ATTACKm. RS 2 -4（TIA） WITH REHABILITATION THERAPY AGE ≧ 18 WITH CC DRG 01424 特定性腦血管疾患，暫時性腦部缺氧除外，m. RS 2 -4 分，有復健，年齡大於等於 18歲，無合併症或併發症 SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT 　 TRANSIENT ISCHEMIC ATTACKm. RS 2 -4（TIA） WITH REHABILITATION THERAPY AGE ≧ 18 WITHOUT CC 　 　 I 670 Dissection of cerebral arteries, nonruptured I 671 Cerebral aneurysm, nonruptured I 6789 Other cerebrovascular disease R 4701 Aphasia AND 　 SECONDARY DIAGNOSIS I 600004 Modified ranking scale 4 I 600003 Modified ranking scale 3 出院時 I 600002 Modified ranking scale 2 分數 9

新增列脊椎融合節數 虛擬處置碼 例 MDC 08 08 08 DRG 49601 49602 49701 49702 49703 49704 虛擬碼英文 7 Motion segments or more 6 Motion segments or less 虛擬碼 ICD 10 0 RG 0001 0 RG 0002 DRG 49601 前、後側合併脊椎融合術，7節以上 COMBINED ANTERIOR/POSTERIOR APPROACH SPINAL FUSION 7 MOTION SEGMENTS OR 　 MORE 　 　 　 Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach Fusion of Lumbosacral Joint, Posterior Approach, Anterior Column, 0 SG 34 ZJ Percutaneous Endoscopic Approach AND 　 OPERATING ROOM PROCEDURES 0 RG 0001 7 Motion segments or more 0 SG 34 KJ 10

為復健入院新增之 虛擬診斷碼 例 MDC DRG 23 23 23 46201 46202 46203 46204 46205 46206 46207 46208 46209 46210 46211 46212 虛擬碼英文 Admission for rehabilitation Admission for rehabilitation Admission for rehabilitation 虛擬碼 ICD 10 U 000 REH U 000 REH U 000 REH DRG 46201 復健，含物理治療、職能治療及語言治療， 年齡大於等於 18歲，有合併症或併發症 REHABILITATION INCLUDING PHYSICAL 　 THERAPY , OCCUPATIONAL THERAPY , COMMUNICATION THERAPY AGE ≧ 18 WITH CC DRG 46202 復健，含物理治療、職能治療及語言治療， 年齡大於等於 18歲，無合併症或併發症 REHABILITATION INCLUDING PHYSICAL 　 THERAPY , OCCUPATIONAL THERAPY , COMMUNICATION THERAPY AGE ≧ 18 WITHOUT CC 　OR 　 　PRINCIPAL DIAGNOSIS 　U 000 REH Admission for rehabilitation 註：為復健而入院，若無表列主診 　 斷者，應以虛擬碼"U 000 REH"為主 診斷碼，其病況為次診斷碼。 11

新增物理、職能及語言治療 虛擬處置碼 例 　 　 　 　 分布於MDC 1及MDC 23共 95個DRG Assistance with Respiratory Ventilation, Greater than 96 Consecutive Hours, Intermittent Positive Airway Pressure Assistance with Respiratory Ventilation, Greater than 96 5 A 09559 Consecutive Hours, Continuous Negative Airway Pressure Assistance with Respiratory Ventilation, Greater than 96 5 A 0955 B Consecutive Hours, Intermittent Negative Airway Pressure Assistance with Respiratory Ventilation, Greater than 96 5 A 0955 Z Consecutive Hours 5 A 1935 Z Respiratory Ventilation, Less than 24 Consecutive Hours 5 A 1945 Z Respiratory Ventilation, 24 -96 Consecutive Hours 5 A 1955 Z Respiratory Ventilation, Greater than 96 Consecutive Hours AND 　 NON-OPERATING ROOM PROCEDURES F 000001 Physical Therapy F 000002 Occupational Therapy F 000003 Communication Therapy 5 A 09558 12

新增微創手術虛擬處置碼 例 MDC DRG 09 09 21 21 26301 26401 26501 26601 44105 44106 DRG 26301 　 DRG 26401 　 　 　 　 虛擬碼英文 Microsurgery Microsurgery 虛擬碼 ICD 10 0 H 00001 0 H 00001 皮膚潰瘍或蜂窩組織炎，皮膚重建相關顯微手術，有合併症或併發症 SKIN RECONSTRUCTION MICROSURGERY FOR SKIN ULCER OR CELLULITIS WITH CC 皮膚潰瘍或蜂窩組織炎，皮膚重建相關顯微手術，無合併症或併發症 SKIN RECONSTRUCTION MICROSURGERY FOR SKIN ULCER OR CELLULITIS WITHOUT CC 0 KXH 0 ZZ Transfer Right Thorax Muscle, Open Approach 0 KXH 4 ZZ Transfer Right Thorax Muscle, Percutaneous Endoscopic Approach 0 KXJ 0 ZZ Transfer Left Thorax Muscle, Open Approach 0 KXJ 4 ZZ Transfer Left Thorax Muscle, Percutaneous Endoscopic Approach AND 　 OPERATING ROOM PROCEDURES 0 H 00001 Microsurgery 13

新增顯微手術虛擬處置碼 例 MDC 10 10 DRG 28707 28708 虛擬碼英文 Microscopic procedure 虛擬碼 ICD 10 0 J 00001 DRG 28707 內分泌、營養及新陳代謝疾患之顯微局部皮瓣重建手術，有合併症或併發症 FLAP MICROSCOPIC RECONSTRUCTION FOR ENDOCRINE, NUTRITIONAL AND 　 METABOLIC DISORDERS WITH CC DRG 28708 內分泌、營養及新陳代謝疾患之顯微局部皮瓣重建手術，無合併症或併發症 FLAP MICROSCOPIC RECONSTRUCTION FOR ENDOCRINE, NUTRITIONAL AND 　 METABOLIC DISORDERS WITHOUT CC 　 　 　 Transfer Left Foot Subcutaneous Tissue and Fascia with Skin and 0 JXR 3 ZB Subcutaneous Tissue, Percutaneous Approach Transfer Left Foot Subcutaneous Tissue and Fascia with Skin, Subcutaneous 0 JXR 3 ZC Tissue and Fascia, Percutaneous Approach AND 　 OPERATING ROOM PROCEDURES 0 J 00001 Microscopic procedure 14