Tiếng Việt| MINISTRY OF HEALTH OF VIETNAM | THE SOCIALIST REPUBLIC OF VIETNAM |
| No. 35/2021/TT-BYT | Hanoi, December 31, 2021 |
CIRCULAR
AMENDMENTS TO CLAUSE 1 ARTICLE 9 OF CIRCULAR NO. 30/2020/TT-BYT DATED DECEMBER 31, 2020 OF THE MINISTER OF HEALTH ON ELABORATING TO DECREE NO. 146/2018/ND-CP DATED OCTOBER 17, 2018 OF THE GOVERNMENT ON ELABORATING TO LAW ON HEALTH INSURANCE
Pursuant to Law on Medical Insurance dated November 14, 2008 receiving amendments according to the Law on Medical Insurance dated June 13, 2014;
Pursuant to Decree No. 146/2018/ND-CP dated October 17, 2018 of the Government on elaborating to Law on Health Insurance;
Pursuant to Decree No. 75/2017/ND-CP dated June 20, 2017 of Government on functions, tasks, powers, and organizational structure of the Ministry of Health of Vietnam;
At request of Director General of the Department of Health Insurance,
The Minister of Health of Vietnam promulgates Circular on amendments to Clause 1 Article 9 of Circular No. 30/2020/TT-BYT dated December 31, 2020 of the Minister of Health on elaborating to Decree No. 146/2018/ND-CP dated October 17, 2018 of the Government on elaborating to Law on Health Insurance
Article 1. Amendments to Clause 1 Article 9 of Circular No. 30/2020/TT-BYT dated December 31, 2020 of the Minister of Health on elaborating to Decree No. 146/2018/ND-CP dated October 17, 2018 of the Government on elaborating to Law on Health Insurance:
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a) Subclinical services which are under list of medical technical services approved by competent authorities for medical examination and treatment establishments, currently being provided in medical examination and treatment establishments but cannot be implemented by the medical examination and treatment establishments when the services are designated for the patients;
b) Subclinical services which are not under list of medical technical services approved by competent authorities for medical examination and treatment establishments but are necessary for specialized activities according to regulations of Minister of Health on management, diagnosis and treatment in medical examination and treatment shall be paid by the HIF for cases of patients receiving inpatient treatment in district level hospitals or higher, except for cases specified in Point c of this Clause;
c) Subclinical services which are not under list of medical technical services approved by competent authorities for medical examination and treatment establishments but are necessary for specialized activities according to regulations of Minister of Health on management, diagnosis and treatment in medical examination and treatment for infectious diseases, including: Tuberculosis, Hepatitis B, Hepatitis C, HIV/AIDS, SARS-CoV-2, Dengue hemorrhagic fever shall be paid by the HIF for cases of patients receiving outpatient and inpatient treatment in district level hospitals or higher for testing technical services in the Appendix issued with this Circular;
Heads of medical examination and treatment establishments accepting health insurance shall rely on functions, tasks and scope of specialized operations approved by competent authorities to produce list of subclinical services that require transfer and send to social security agencies where contracts for provision of medical examination and treatment under health insurance are signed to enable both parties to add annexes thereto prior to implementation.
Article 2: Entry into force
This Circular comes into force as of February 15, 2022.
Article 3. Implementation
Director of Health Insurance Department, Chief of the Ministry Office, Ministerial Chief Inspector, Directors of Departments, General Directors of General Departments affiliated to Ministry of Health and relevant entities shall be responsible for the implementation of this Circular.
Difficulties that arise during implementation of this Circular should be reported to Ministry of Health of Vietnam (Health Insurance Department) for consideration./.
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PP. MINISTER
DEPUTY MINISTER
Tran Van Thuan
APPENDIX
LIST OF SUBCLINICAL SERVICES
(Issued together with Circular No. 35/2021/TT-BYT dated December 31, 2021 of the Minister of Health)
NO.
Names of subclinical diagnostic tests
Equivalent code
Code of List of medical techniques according to TT43, TT50 and TT21
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CD3 - CD4 - CD8 count test
22.0342.1225
22.342
2.
HIV-1 Quantitative Real-time RT-PCR
24.0179.1719
24.179
3.
HIV-1 Quantitative Automated System
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24.180
4.
HIV DNA Real-time PCR
24.0178.1719
24.178
5.
HIV-1 Genotypic Drug Resistance Sequencing
24.0181.1721
24.181
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Rapid HIV Ab test
24.0169.1616
24.169
7.
Rapid HIV Ag/Ab test
24.0170.2042
24.170
8.
24.0171.1617
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9.
HIV-Ab automatic immunity
24.0172.1617
24.172
10.
HIV Ag/Ab semi-automatic immunity
24.0173.1661
24.173
11.
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24.0174.1661
24.174
12.
HIV confirmatory (*)
24.0175.1663
24.175
13.
HCV Quantitative Real-time RT-PCR
24.0151.1654
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14.
HCV Quantitative Automated System
24.0152.1653
24.152
15.
Qualification of HBsAg
24.0121.1647
24.121
16.
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24.0136.1651
24.136
17.
HBV Quantitative Automated System
24.0137.1650
24.137
18.
Rapid HCV Ab test
24.0144.1621
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19.
HCV Ag/Ab semi-automatic immunity
24.0147.1622
24.147
20.
HCV Ag/Ab automatic immunity
24.0148.1622
24.148
21.
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24.0149.1652
24.149
22.
HCV Ab automatic immunity
24.0146.1622
24.146
23.
HCV Ab semi-automatic immunity
24.0145.1622
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24.
HCV genotype Real-time RT-PCR
24.0153.1718
24.153
25.
Qualification of Albumin [Blood]
23.0007.1494
23.7
26.
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23.0018.1457
23.18
27.
Qualification of PIVKA (Proteins Induced by Vitamin K Antagonism or Absence)
22.0077.1233
22.77
28.
Prothrombin Time (Other names: TQ; Prothrombin ratio) by automatic machine
22.0001.1352
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29.
Prothrombin Time (Other names: TQ; Prothrombin ratio) by semi-automatic machine
22.0002.1352
22.2
30.
Prothrombin Time (Other names: TQ; Prothrombin ratio) by manual method
22.0003.1351
22.3
31.
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23.0025.1493
23.25
32.
Indirect qualification of Bilirubin [Blood]
23.0026.1493
23.26
33.
Qualification of total Bilirubin [Blood]
23.0027.1493
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34.
HBsAg automatic immunity
24.0119.1649
24.119
35.
Qualification of HBsAg
24.0124.1619
24.124
36.
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24.0128.1618
24.128
37.
HBc total semi-automatic immunity
24.0129.1618
24.129
38.
HBc IgM semi-automatic immunity
24.0125.1614
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39.
HBc IgM automatic immunity
24.0126.1614
24.126
40.
HBeAg semi-automatic immunity
24.0131.1644
24.131
41.
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24.0132.1644
24.132
42.
HBeAb semi-automatic immunity
24.0134.1615
24.134
43.
HBeAb automatic immunity
24.0135.1615
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44.
AFB direct staining Ziehl-Neelsen
24.0017.1714
24.17
45.
AFB direct staining fluorescent
24.0018.1611
24.18
46.
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24.0019.1685
24.19
47.
Mycobacterium tuberculosis cultured on solid medium
24.0020.1684
24.20
48.
Mycobacterium tuberculosis Mantoux
24.0021.1693
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49.
Mycobacterium tuberculosis resistant to first-line drugs in solid medium
24.0022.1683
24.22
50.
Mycobacterium tuberculosis resistant to first-line drugs in liquid medium
24.0023.1678
24.23
51.
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24.0024.1679
24.24
52.
Mycobacterium tuberculosis resistant to second-line drugs in liquid medium
24.0025.1686
24.25
53.
Mycobacterium tuberculosis resistant to PZA drugs in liquid medium
24.0026.1680
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54.
Mycobacterium tuberculosis detection and resistant to RMP Xpert
24.0028.1682
24.28
55.
Mycobacterium tuberculosis multidrug-resistant to LPA
24.0029.1681
24.29
56.
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24.0030.1688
24.30
57.
Mycobacterium tuberculosis PCR automated system
24.0031.1686
24.31
58.
Mycobacterium tuberculosis Real-time PCR
24.0032.1687
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59.
Influenza virus A, B Real-time PCR (*)
24.0244.1670
24.244
60.
Coronavirus Real-time PCR
24.0235.1719
24.235
61.
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24.0235.1719.SC2
62.
Enterovirus Real-time PCR
24.0230.1719
24.230
63.
Leptospira PCR
24.0081.1719
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64.
Neisseria meningitidis PCR
24.0058.1686
24.58
65.
Rapid Dengue virus IgM/IgG test
24.0187.1637
24.187
66.
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24.0246.1673
24.246
67.
Dengue virus serotype PCR
24.0192.1686
24.192
68.
Virus Real-time PCR
24.0115.1719
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69.
Chlamydia Real-time PCR
24.0065.1719
24.65
70.
Neisseria gonorrhoeae Real-time PCR
24.0052.1719
24.52
71.
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24.0035.1685
24.35
72.
Non tuberculosis mycobacteria cultured on solid medium
24.0036.1684
24.36
73.
Identification of Non-Tuberculous Mycobacterium by LPA
24.0037.1691
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74.
Identification of Non-Tuberculous Mycobacterium by Real-time PCR
24.0038.1651
24.38
Note: Abbreviations in this Appendix:
- TT43: Circular No. 43/2013/TT-BYT dated December 11, 2013 of the Minister of Health providing for technical and professional levels in the network of health facilities.
- TT50: Circular No. 50/2014/TT-BYT dated December 26, 2014 of the Minister of Health on classification of surgeries, medical procedures and personnel norms applied to operations, medical procedures.
- TT21: Circular No. 21/2017/TT-BYT dated May 10, 2017 of the Minister of Health on amendments to list of medical techniques in health facilities issued together with Circular No. 43/2013/TT-BYT.