診斷碼 ICD-code 英文名稱
鴉片類成癮診斷碼
F11.1X Opioid abuse F11.2X Opioid dependence F11.9X Opioid use, unspecified
113
114
目代碼 項 目 名 稱
點數 單」申報格式之
「資料名稱」歸屬 註 2：於疾病管制署進行審查時，得函請檢
附個案名冊及會談書面記錄。
註 3：一次最多以十人為限。
E3027C 尿液毒物篩檢－嗎啡檢測 250 診療費
E3028C 尿液毒物篩檢－安非他命檢測 250 診療費
E3029C
給藥服務費
註 1：依服藥日數據實申報，每日最多 1 次。
註 2：限替代治療使用美沙冬藥品者申報。
20 藥事服務費
E3030C
血清麩胺酸苯醋酸轉氨基酶 S-GOT (Glutamic-oxaiacetic-transaminase) 註：初診及每 6 個月篩檢 1 次。
50 診療費
E3031C
血清麩胺酸丙酮酸轉氨基酶 S-GPT (Glutamic-pyvuvic-transaminase) 註：初診及每 6 個月篩檢 1 次。
50 診療費
E3032C
麩胺轉酸酶
r-GT (r-glutamyl transferase) 註：初診及每 6 個月篩檢 1 次。
70 診療費
E3033C 心電圖 E.K.G. (Electrocardiography)
註：初診及每 6 個月篩檢 1 次。 150 診療費
備註：原醫令項目代碼 E3016C（B 型肝炎表面抗原檢驗諮詢費）、E3017C（B 型肝炎表面 抗體檢驗諮詢費）及 E3018C（C 型肝炎病毒抗體檢驗諮詢費）自 101 年 4 月 1 日起 停用。
115
醫令項
目代碼 項 目 名 稱 支付
點數
「門診醫療服務點數清 單」申報格式之
「資料名稱」歸屬 E3034C
愛滋病毒篩檢費
註：初診及每 6 個月篩檢 1 次，已呈 陽性者免再驗。
225 診療費
E3038C 梅毒螺旋體血液凝集檢查費
註：初診篩檢 1 次。 300 診療費
E3039C
結核菌素測驗（TST）或胸部 X 光檢 查費
註：初診篩檢 1 次。
200 診療費
E3040C
接觸者愛滋病毒檢驗
註：於費用審核時，醫療院所應依疾 管署要求提供該接觸者之愛滋個 案來源身分証字號。
800 診療費
備註：原醫令項目代碼 E3035C（B 型肝炎表面抗原檢驗諮詢費）、E3036C（B 型肝 炎表面抗體檢驗諮詢費）及 E3037C（C 型肝炎病毒抗體檢驗諮詢費）自 101 年 4 月 1 日起停用。
116
B20: Human immunodeficiency virus [HIV] disease Z21: Asymptomatic human immunodeficiency virus [HIV] infection status
D
D80: Immunodeficiency with predominantly antibody defects
D81: Combined immunodeficiencies
D82: Immunodeficiency associated with other major defects
D83: Common variable immunodeficiency D84: Other immunodeficiencies
類肉瘤病與其他 D86,D89
D86: Sarcoidosis
D89: Other disorders involving the immune mechanism, not elsewhere classified
E
內分泌、
營養和代 謝疾病
糖尿病 E08-13
E08: Diabetes mellitus due to underlying condition E09: Drug or chemical induced diabetes mellitus E10: Type 1 diabetes mellitus
E11: Type 2 diabetes mellitus
E13: Other specified diabetes mellitus 肥胖症 E66 E66: Obesity
G09 G09: Sequelae of inflammatory diseases of central nervous system
帕金森氏病 G20 G20: Parkinson's disease 阿茲海默氏病與
其他神經退化性 疾病
G30-32
G30: Alzheimer's disease
G31: Other degenerative diseases of nervous system, not elsewhere classified
G32: Other degenerative disorders of nervous system in diseases classified elsewhere
117
G35: Multiple sclerosis
G36: Other acute disseminated demyelination
G37: Other demyelinating diseases of central nervous system
癲癇及重覆發作 G40 G40: Epilepsy and recurrent seizures 短暫性腦缺血發
作與腦血管疾病 所致的腦血管症 候群
G45-46
G45: Transient cerebral ischemic attacks and related syndromes
G46: Vascular syndromes of brain in cerebrovascular diseases
發炎性及毒性多 發神經病變後遺 症
G65 G65: Sequelae of inflammatory and toxic polyneuropathies
重症肌無力 G70 G70: Myasthenia gravis and other myoneural disorders
其他及未特定之
肌病變 G72 G72: Other and unspecified myopathies
I I02: Rheumatic chorea
I05: Rheumatic mitral valve diseases I06: Rheumatic aortic valve diseases I07: Rheumatic tricuspid valve diseases
I08: Multiple valve diseases I09: Other rheumatic heart diseases
高血壓疾病 I11-13
I11: Hypertensive heart disease
I12: Hypertensive chronic kidney disease
I13: Hypertensive heart and chronic kidney disease
心絞痛與其他缺 血性心臟病
I20-22, I24-25
I20: Angina pectoris
I21: ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction
I22: Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction
I24: Other acute ischemic heart diseases I25: Chronic ischemic heart disease
118
肺性心臟病 I27-28 I27: Other pulmonary heart diseases I28: Other diseases of pulmonary vessels
瓣膜疾病 I34-37
I34: Nonrheumatic mitral valve disorders I35: Nonrheumatic aortic valve disorders I36: Nonrheumatic tricuspid valve disorders I37: Nonrheumatic pulmonary valve disorders 心肌病變 I42-43 I42: Cardiomyopathy
I43: Cardiomyopathy in diseases classified elsewhere
心臟傳導疾病 I44-45, I47-49
I44: Atrioventricular and left bundle-branch block I45: Other conduction disorders
I47: Paroxysmal tachycardia I48: Atrial fibrillation and flutter I49: Other cardiac arrhythmias 心衰竭與其他 I50-51
I50: Heart failure
I51: Complications and ill-defined descriptions of heart disease
非外傷性腦出血 I60-62
I60: Nontraumatic subarachnoid hemorrhage I61: Nontraumatic intracerebral hemorrhage
I62: Other and unspecified nontraumatic intracranial hemorrhage
腦梗塞 I63 I63: Cerebral infarction
其他腦血管疾病
或其後遺症 I67-69
I67: Other cerebrovascular diseases
I68: Cerebrovascular disorders in diseases classified elsewhere
I69: Sequelae of cerebrovascular disease 動脈粥樣硬化 I70 Atherosclerosis
動脈瘤 I71,72 I71: Aortic aneurysm and dissection I72: Other aneurysm
其他血管疾病 I73-74, I77, I79
I73: Other peripheral vascular diseases I74: Arterial embolism and thrombosis
I77: Other disorders of arteries and arterioles
I79: Disorders of arteries, arterioles and capillaries in diseases classified elsewhere
119
J42: Unspecified chronic bronchitis
J43: Emphysema
J44: Other chronic obstructive pulmonary disease J45: Asthma
支氣管擴張症 J47 J47: Bronchiectasis
肺沉著症及外因
所致之肺疾病 J60-70
J60: Coalworker's pneumoconiosis J61: Pneumoconiosis due to asbestos and other mineral fibers
J62: Pneumoconiosis due to dust containing silica
J63: Pneumoconiosis due to other inorganic dusts J64: Unspecified pneumoconiosis
J65: Pneumoconiosis associated with tuberculosis J66: Airway disease due to specific organic dust
肺沉著症及外因
所致之肺疾病 J60-70
J67: Hypersensitivity pneumonitis due to organic dust J68: Respiratory conditions due to inhalation of
chemicals, gases, fumes and vapors J69: Pneumonitis due to solids and liquids
J70: Respiratory conditions due to other external agents
其他肺部疾病
J82, J84, J96, J98, J99
J82: Pulmonary eosinophilia, not elsewhere classified J84: Other interstitial pulmonary diseases
J96: Respiratory failure, not elsewhere classified J98: Other respiratory disorders
J99: Respiratory disorders in diseases classified elsewhere
120
K70: Alcoholic liver disease K71: Toxic liver disease
K72: Hepatic failure，not elsewhere classified K73: Chronic hepatitis, unspecified
K74: Fibrosis K75: Other inflammatory disease of liver
K76: Other diseases of liver B18: Chronic viral hepatitis B19: Unspecified viral hepatitis
M
肌肉骨骼 系統及結 締組織疾 病
類風溼性關節炎 M05-06 M05: Rheumatoid arthritis with rheumatoid factor M06: Other rheumatoid arthritis
全身性自體免疫 症候群
M30-31, M32-34
M30: Polyarteritis nodosa and related conditions M31: Other necrotizing vasculopathies
M32: Systemic lupus erythematosus (SLE) M33: Dermatopolymyositis
M34: Systemic sclerosis [scleroderma]
其他結締組織疾 病
M35, M94.1
M35: Other systemic involvement of connective tissue M94.1: Relapsing polychondritis
N 生殖泌尿
N00: Acute nephritic syndrome
N01: Rapidly progressive nephritic syndrome N03: Chronic nephritic syndrome
N05: Unspecified nephritic syndrome 腎病症候群 N04 N04: Nephrotic syndrome
慢性腎衰竭及腎
衰竭未明示者 N18-19 N18: Chronic kidney disease (CKD) N19: Unspecified kidney failure
腎臟萎縮 N26-27 N26: Unspecified contracted kidneyN27: Small kidney of unknown cause
Q
Q89.01: Asplenia (congenital)
Z90.81: Post-surgical absence of spleen
121
分類 序號 中文病名（僅供參考） 英文病名(縮寫) ICD-10-CM
診斷代碼 A 先天性代謝異常
◎A1 尿素循環代謝異常 Urea cycle disorders （高血氨症）
A1
01 先天性尿素循環代謝障礙 Congenital Urea cycle disorders E72.20
02 瓜胺酸血症 Citrullinemia E72.23
03 乙醯榖胺酸合成酶缺乏症
Nitroacetylglutamate synthetase deficiency,NAG synthetase deficiency
E72.29 04 鳥胺酸氨甲醯基轉移酶缺
乏症 Ornithine transcarbamylase
deficiency E72.4
05 高鳥胺酸血症-高氨血症-高
瓜胺酸血症症候群 Hyperornithinemia-Hyperammone
mia-Homocitrullinuria Syndrome E72.4
◎A2 胺基酸/有機酸代謝異常 Amino acid metabolic disorders / Organic acidemias
A2
01 胺基酸代謝疾病 Amino acid metabolic
disorders(Aminoacidopathies) E72.8 02 高胱胺酸血症 Homocystinuria E72.11 03 高甲硫胺酸血症 Hypermethioninemia E72.19 04 非酮性高甘胺酸血症 Nonketotic hyperglycinemia E72.51
05 苯酮尿症 Phenylketouria E70.0
06 四氫基喋呤缺乏症 Tetrahydrobiopterin deficienc y E70.1 07 遺傳性高酪胺酸血症 Hereditary tyrosinemia E70.21 08 楓糖尿症 Maple syrup urine disease E71.0 09 有機酸血症 Organic acidemias E71.118 10 異戊酸血症 Isovaleric academia E71.110 11 戊二酸尿症，第一型、第二
型 Glutaric aciduria type Ⅰ、Ⅱ typeI: E72.3 type11: E71.313 12 丙酸血症 Propionic academia E71.121
13 甲基丙二酸血症 Methylmalonic acidemia E71.120 14 3-氫基-3-甲基戊二酸血症 3-Hydroxy-3-methyl-glutaric
acidemia E71.118
122
15 典型苯酮尿症合併蔗糖酶
同麥芽糖酶缺乏症 PAH type PKU combine with
Sucrase-isomaltase deficiency E74.31+E70.0 16 高離氨基酸血症 Hyperlysinemia E72.3
17 組胺酸血症 Histidinemia E70.41
18 三甲基巴豆醯輔酶 A 羧化
酵素缺乏症 3-Methylcrotonyl-CoA carboxylase
deficiency E71.19
19 多發性羧化酶缺乏症 Multiple carboxylase deficiency D81.819 20 高脯胺酸血症 Hyperprolinemia E72.59 21 芳香族 L-胺基酸類脫羧基
酶缺乏症 Aromatic L-amino acid
decarboxylase deficiency E70.9 22 酪胺酸羥化酶缺乏症 Tyrosine hydroxylase deficiency E70.20
◎A3 脂質儲積
04 Niemann-Pick 氏症，鞘髓磷
脂儲積症 Niemann-Pick disease
E75.240: Type A E75.241: Type B E75.242: Type C E75.243: Type D E75.248: other E75.249:
unspecified 05 MLD 症候群 Metachromatic Leukodystrophy
（MLD） E75.25
06 球細胞腦白質失養症 Globoid Cell Leukodystrophy
(Krabbe’s disease) E75.23 07 嬰兒型溶酶體酸性脂肪酶
缺乏症（又稱伍爾曼氏症）
Infantile form Lysosomal Acid Lipase Deficiency （Wolman Disease）
E75.5
◎A4 碳水化合物代謝異常
A4
01 半乳糖血症 Galactosemia E74.21
02 肝醣儲積症 Glycogen storage disease
E74.09: type 0 E74.01: type I E74.02: type II E74.03: type III E74.09: type IV E74.04: type V E74.09: type VI-XI E74.01: Von
123
Gierke's 03 腦血管屏障葡萄糖輸送缺
陷 Glut（Glucose Transport）1
deficiency syndrome E74.8
◎A5 脂肪酸氧化異常 02 原發性肉鹼缺乏症 Carnitine deficiency syndrome,
primary E71.41
03 中鏈脂肪酸去氫酵素缺乏
症 Medium-chain acyl-coenzyme A
dehydrogenase deficiency（MCAD）E71.311 04 短鏈脂肪酸去氫酶缺乏症 Short-chain acyl-CoA
dehydrogenase deficiency E71.312
◎A6 粒線體代謝異常
A6
01 粒線體缺陷 Mitochondrial defect E88.40
02 Kearns-Sayre 氏症候群 Kearns-Sayre syndrome
H49.811 Encephalopathy Syndrome
E88.89 06 丙酮酸鹽脫氫酶缺乏症 Pyruvate dehydrogenase deficiency E74.4
07 巴氏症候群 Barth Syndrome E78.71
◎A7 溶小體代謝異常
A7
01 胱胺酸血症 Cystinosis E72.04
02 黏多醣症 Mucopolysaccharidoses
type1: E76.01 E76.02 E76.03 type2: E76.1 other：
E76.210 E76.211
124
E76.219 E76.22 E76.29
Unspecified: E76.3 03 岩藻糖代謝異常（儲積症） Fucosidosis E77.1
04 涎酸酵素缺乏症 Sialidosis E77.1
05 黏脂質症 Mucolipidosis
typeI: E77.1 type II、III: E77.0 typeIV: E75.11 06 神經元蠟樣脂褐質儲積症 Neuronal ceroid lipofuscinosis E75.4
07 多發性硫酸脂酶缺乏症 Multiple Sulfatase deficiency E75.29
◎A8 膽固醇及脂質代謝異常 Cholesterol and Lipid metabolism
A8
01 同合子家族性高膽固醇血
症 Homozygous familial
hypercholesterolemia E78.0 02 家族性高乳糜微粒血症 Familial Hyperchylomicronemia E78.3 03 豆固醇血症 〈植物性〉 Sitosterolemia E78.0
◎A9 礦物離子缺陷
A9
01 威爾森氏症 Wilson’s disease E83.01 02 Menkes 症候群 Menkes syndrome E83.09 03 鉬輔酶缺乏症 Molybdenum cofactor deficiency E61.5
◎A10 過氧化體代謝異常
A10
01 Zellweger 氏症候群 Zellweger syndrome E71.510
02 腎上腺腦白質失養症 Adrenoleukodystrophy
E71.511 E71.520 E71.521 E71.528 E71.529 03 肢近端型點狀軟骨發育不
良 Rhizomelic Chondrodysplasia
Punctata E71.540
◎A11 其他代謝異常
A11
01 紫質症 Porphyria
E80.20 E80.21 E80.29 02 Lesch-Nyhan 氏症候群 Lesch-Nyhan syndrome E79.1
125
03 亞硫酸鹽氧化酶缺乏 Sulfite oxidase deficiency E72.19 04 碳水化合缺乏醣蛋白症候
群 Carbohydrate-deficiency
glycoprotein syndrome E77.8
05 臭魚症 Trimethylaminuria E72.52
06 先天性全身脂質營養不良
症 Congenital generalized
lipodystrophy E88.1 07 腦腱性黃瘤症 Cerebrotendinous Xanthomatosis E75.5 08 低磷酸酯酶症 Hypophosphatasia E83.39
E83.31 09 Beta 硫解酶缺乏症 Beta-Ketothiolase Deficiency E71.19 10 生物素酶缺乏症 Biotinidase Deficiency D81.810 B 腦部或神經系統病變
B1
01 多發性硬化症 Multiple sclerosis G35 02 肌萎縮性側索硬化症 Amyotrophic lateral sclerosis (ALS) G12.21 03 共濟失調微血管擴張症候
群 Ataxia telangiectasia G11.3 04 亨丁頓氏舞蹈症 Huntington disease(又稱
Huntington's chorea) G10
05 瑞特氏症候群 Rett syndrome F84.2
06 脊髓性肌肉萎縮症 Spinal muscular atrophy G12.9 07 脊髓小腦退化性動作協調
障礙 Spinocerebellar ataxia G11.1 08 結節性硬化症 Tuberous sclerosis Q85.1 09 先天性痛不敏感症合併無
汗症 Congenital insensitivity to pain
with anhidrosis（CIPA） L74.4 10 神經纖維瘤症候群第二型 Neurofibromatosis type Ⅱ Q85.02 11 Alexander 氏病 Alexander disease E75.29 12 僵體症候群 Stiffperson syndrome G25.82 13 遺傳性痙攣性下身麻痺 Hereditary spastic paraplegia G11.4 14 Joubert 氏症候群（家族性
小腦蚓部發育不全） Joubert syndrome Q04.3 15 Pelizaeus-Merzbacher 氏症
（慢性兒童型腦硬化症） Pelizaeus-Merzbacher Disease E75.29
126
16 Charcot Maire Tooth 氏症
(進行性神經性腓骨萎縮症) Charcot Marie Tooth Disease G60.0 17 甘迺迪氏症(脊髓延髓性肌
病變 Familial Amyloidotic
Polyneuropathy E85.1 19 Moebius 症候群 Moebius syndrome Q87.0 20 Mcleod 症候群 Mcleod syndrome Q97.8 Q98.8 21 Aicardi-Goutieres 症候群 Aicardi-Goutieres syndrome G31.89 22 普洛提斯症候群 Proteus Syndrome Q87.3 23 MECP2 綜合症候群
Methyl CpG binding protein 2 Duplication Syndrome
（MECP2 Duplication Syndrome） Q99.8 24 腦肋小頜症候群 Cerebro-Costo-Mandibular
Syndrome Q87.89
C 呼吸循環系統病變
C1
01 特發性嬰兒動脈硬化症 Idiopathic Infantile Arterial
Calcification Q28.8 02 囊狀纖維化症 Cystic fibrosis E84.9 03 原發性肺動脈高壓 Primary Pulmonary Hypertension
（PPH） I27.0
04 Holt-Oram 氏症候群 Holt-Oram Syndrome Q87.2 05
Andersen 氏症候群（心節律 障礙暨週期性麻痺症候
群；鉀離子通道病變） Andersen syndrome E74.09 06 遺傳性出血性血管擴張症 Hereditary Hemorrhagic
Telangiectasia I78.0 07 窒息性胸腔失養症 Asphyxiating thoracic dystrophy Q77.2 08 先天性中樞性換氣不足症
候群 Congenital Central Hypoventilation
Syndrome G47.35
D 消化系統病變
D1
01 進行性家族性肝內膽汁滯
留症 Progressive intrahepatic
cholestasis,PFIC K83.1 02 先天性膽酸合成障礙 Inborn errors of bile acid synthesis E78.70 03 α1-抗胰蛋白酶缺乏症 α1- Antitrypsin deficiency E88.01
127
04
先天性 Cajal 氏間質細胞增 生合併腸道神經元發育異 常
Congenital Interstitial Cell of Cajal Hyperplasia with Neuronal
Intestinal Dysplasia
Q43.8 05 阿拉吉歐症候群 Alagille Syndrome Q44.7 E 腎臟泌尿系統病變
E1
01 Lowe 氏症候群 Lowe syndrome E72.03 02 Bartter 氏症候群 Bartter’s syndrome E26.81 03 體染色體隱性多囊性腎臟
疾病 Autosomal recessive polycystic
kidney disease Q61.19 F 皮膚病變
F1
01 遺傳性表皮分解性水泡症 Hereditary epidermolysis bullosa Q81.9 02 層狀魚鱗癬（自體隱性遺傳
型) Ichthyosis, lamellar recessive Q80.2
03 膠膜兒 Collodion baby Q80.2
Bullous Congenital ichthyosiform erythoderma
（epidermolytic hyperkeratosis） Q80.3 06 外胚層增生不良症 Ectodermal Dysplasias Q82.4 07 Meleda 島病 Meleda disease Q82.8 08 Darier 氏症（毛囊角化病） Darier’s disease Q82.8 09 先天性角化不全症 Dyskeratosis Congenita Q82.8 10 皮膚過度角化症雅司病
Diffuse Non-epidermolytic Palmoplantar Keratoderma type Unna-Thost
Q82.8 11 色素失調症 Incontinentia Pigmenti Q82.3 12 Netherton 症候群 Netherton Syndrome Q80.3 G 肌肉病變
G1
01 裘馨氏肌肉失養症 Duchenne muscular dystrophy G71.0 02 Nemaline 線狀肌肉病變 Nemaline Rod Myopathy G71.2 03 Schwartz Jampel 氏症候群 Schwartz Jampel syndrome G71.13
128
04 肌肉強直症 Myotonic dystrophy G71.11 05 面肩胛肱肌失養症 Facioscapulohumeral muscular
dystrophy G71.0
06 肌小管病變 Myotubular Myopathy G71.2 07 貝克型肌肉失養症 Becker Muscular Dystrophy G71.0 08 Freeman-Sheldon 氏症候群 Freeman-Sheldon syndrome Q87.0 09 肢帶型肌失養症 Limb-girdle muscular dystrophy G71.0 10 先天性肌失養症 Congenital Muscular Dystrophy G71.0 11 中心軸空肌病 Central Core Disease G71.2 12 多微小軸空肌病 Multiminicore Disease G71.2 13 Emery–Dreifuss 肌失養症 Emery–Dreifuss
Muscular Dystrophy (EDMD) G71.0 H 骨及軟骨病變
H1
01 軟骨發育不全症 Achondroplasia Q77.4 02 成骨不全症 Osteogenesis imperfecta Q78.0
03 原發性變形性骨炎 Primary Paget disease 04 鎖骨顱骨發育異常 Cleidocraninal dysplasia Q74.0
05 進行性骨化性肌炎 Fibrodysplasia Ossificans
05 進行性骨化性肌炎 Fibrodysplasia Ossificans