Decision 3276/QD-BYT: List of codes for subjects coming for medical examination and treatment under HEALTH INSURANCE

(laichau.gov.vn) FULL TEXT: Decision 3276/QD-BYT of the Ministry of Health on promulgating the List of codes for subjects coming for medical examination and treatment and fuel codes for sending electronic data on medical examination and treatment costs under health insurance.

The Ministry of Health has just issued Decision 3276/QD-BYT on promulgating the List of codes for medical examination and treatment subjects and fuel codes for sending electronic data on medical examination and treatment costs under health insurance. In which, the Ministry of Health clearly states that some cases are entitled to 50-100% of medical examination and treatment costs according to the scope of benefits, benefit levels...

The Ministry of Health abolishes Appendix 5 of the list of gasoline and oil codes issued with Decision No. 824/QD-BYT dated February 15, 2023 of the Minister of Health promulgating additional lists of common codes applied in management and appraisal, payment of medical examination and treatment costs under health insurance and Appendix 5 of the list of codes for subjects coming for medical examination and treatment issued with Decision No. 2010/QD-BYT dated June 19, 2025 of the Minister of Health temporarily promulgating a number of common code lists serving the sending of data on medical examination and treatment costs under health insurance.

In case from July 1, 2025 to October 17, 2025, medical examination and treatment facilities have applied a code for medical examination and treatment subjects different from the provisions of this Decision, they shall re-extract electronic data on medical examination and treatment costs under health insurance and re-send replacement records to the data receiving portal of the social insurance agency according to the code prescribed in this Decision, ensuring the same scope of benefits and levels of enjoyment of health insurance participants as prescribed.

Vietnam Social Security under the Ministry of Finance receives electronic data from medical examination and treatment facilities to ensure synchronization and uniformity of common data nationwide.

In case the medical examination and treatment facility does not extract and send back the replacement records, the social insurance agency shall conduct an appraisal according to the code of the subject coming for medical examination and treatment that the medical examination and treatment facility has used, but must be within the same scope of benefits and levels of enjoyment of the health insurance participant as prescribed in this Decision.

During the transition period from the date of issuance of this Decision to December 31, 2025, in case the application of the code prescribed in this Decision has difficulties or problems due to objective reasons, medical examination and treatment facilities are allowed to re-extract electronic data on medical examination and treatment costs under health insurance and re-submit replacement records to the Data Receiving Portal of the social insurance agency according to the code prescribed in this Decision and ensure the correct scope of benefits and levels of enjoyment of health insurance participants according to regulations.

Vietnam Social Security under the Ministry of Finance receives electronic data from medical examination and treatment facilities to ensure accuracy, synchronization, and uniformity of general data nationwide.

The Ministry of Health notes that the code of the patient coming for medical examination and treatment is determined by the medical examination and treatment facility after the medical examination or treatment is completed for the patient to send electronic XML data to the Social Insurance Agency's reception portal.

In case a patient comes for medical examination and treatment and can apply more than 01 subject code, the medical examination and treatment facility will select the subject code in order from top to bottom.

Full text of Decision 3276/QD-BYT on the list of codes for subjects coming to medical examination and treatment under HEALTH INSURANCE

Appendix 1: List of codes for subjects coming for medical examination and treatment under health insurance

Appendix 2: List of fuel codes

Updated on October 27, 2025

Source: https://laichau.gov.vn/tin-tuc-su-kien/chuyen-de/tin-trong-nuoc/quyet-dinh-3276-qd-byt-danh-muc-ma-doi-tuong-den-kham-chua-benh-bao-hiem-y-te.html