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<p><span data-ke-size="size26"><b>[별표2] </b><b>5대특정호흡계질환 분류표</b></span><br><b></b></p><p><span data-ke-size="size20"><b>대특정호흡계질환진단보장 특별약관</b></span></p><p><span data-ke-size="size20"><b>5대특정호흡계질환진단(간편가입Ⅲ)보장 특별약관</b></span></p><p><span style="color: #006dd7;" data-ke-size="size20"><b>상품명:무배당(간ㆍ폐)퓨리케어보험(Hi2204)1종(일반심사형)</b></span></p><p><span style="color: #006dd7;" data-ke-size="size20"><b>판매개시일:2022.04.01</b></span></p><p><span style="color: #006dd7;" data-ke-size="size20"><b>현재 판매 중</b></span></p><p><span style="color: #006dd7;" data-ke-size="size20"><b>현대해상 장기보험약관자료</b></span></p><p> </p><p><b><span data-ke-size="size20">① 약관에서 규정하는 ‘5대특정호흡계질환’으로 분류되는 질병은 제8차 </span></b><b><span data-ke-size="size20">개정 한국표준질병사인분류(통계청 고시 제2020-175호, 2021.1.1. 시행)</span></b><b><span data-ke-size="size20">중 다음에 적은 질병을 말하며, 이후 한국표준질병사인분류가 개정되는 </span></b><b><span data-ke-size="size20">경우에는 개정된 기준에 따라 해당 여부를 판단합니다. </span></b><br><b></b></p><p> </p><p><b><span data-ke-size="size20"><span data-ke-size="size26">대상이 되는 질병 분류번호</span><br><span data-ke-size="size23">1) 특정바이러스성폐렴</span><br><span style="color: #1b711d;">아데노바이러스폐렴 <b>J12.0</b></span><br><span style="color: #1b711d;">파라인플루엔자바이러스폐렴 <b>J12.2</b></span><br><span style="color: #1b711d;">사람메타뉴모바이러스폐렴 <b>J12.3</b></span><br><br><span data-ke-size="size23">2) 특정 세균성 폐렴</span><br><span style="color: #781b33;">폐렴연쇄구균에 의한 폐렴 <b>J13</b></span><br><span style="color: #781b33;">인플루엔자균에 의한 폐렴 J14</span><br></span></b></p><p> </p><p><b><span data-ke-size="size20"><span data-ke-size="size23">3) 특정 하부호흡기질환</span><br><span style="color: #5733b1;">폐기종 <b>J43</b></span><br><span style="color: #5733b1;">기관지확장증 <b>J47</b></span><br></span></b></p><p> </p><p><b><span data-ke-size="size20"><span data-ke-size="size23">4) 외부요인에 . 의한 폐질환</span><br><span style="color: #ee2323;">화학물질, 가스, 훈증기 및 물김의 흡입에 의한 호흡기병태 <b>J68</b></span><br><span style="color: #ee2323;">고체 및 액체에 의한 폐렴 J69</span><br></span></b></p><p> </p><p><b><span data-ke-size="size20"><span data-ke-size="size23">5) 특정 흉막질환</span><br><span style="color: #5733b1; background-color: #ffffff;">달리 분류되지 않은 흉막삼출액 <b>J90</b></span><br><span style="color: #5733b1; background-color: #ffffff;">흉막판 <b>J92</b></span><br><span style="color: #5733b1; background-color: #ffffff;">기타 흉막의 병태 J94</span><br></span></b></p><p> </p><p> </p><p><b><span data-ke-size="size20">② 제9차 개정이후 한국표준질병사인분류에 있어서 상기 상병 또는 질병 </span></b><b><span data-ke-size="size20">해당 여부는 피보험자가 진단확정된 당시 시행하고 있는 한국표준질병</span></b><b><span data-ke-size="size20">사인분류에 따라 판단합니다. </span></b></p><p> </p><p><b><span data-ke-size="size20">③ 다만, 진단확정 당시의 한국표준질병사인분류에 따라 상기 상병 또는 </span></b><b><span data-ke-size="size20">질병에 대한 보험금 지급여부를 판단한 경우에는, 이후에 한국표준질병</span></b><b><span data-ke-size="size20">사인분류가 개정되더라도 상기 상병 또는 질병 해당 여부를 다시 판단</span></b><b><span data-ke-size="size20">하지 않습니다. </span></b></p><p> </p><p><b><span data-ke-size="size20">④ 진단서 상의 분류번호는 한국표준질병사인분류 질병코딩지침서(향후 지</span></b><b><span data-ke-size="size20">침서가 변경되는 경우 변경된 지침서에 따릅니다)에 따라 기재된 것을 </span></b><b><span data-ke-size="size20">인정합니다.</span></b></p><p> </p><p><b><span data-ke-size="size20"> ⑤ 상기 외에도 대상질병 분류표의 분류번호와 연관성이 있어, 분류번호가 </span></b><b><span data-ke-size="size20">동시에 부여된 경우 대상질병 분류에 포함합니다.</span></b></p>
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5대특정호흡계질환 분류표[별표2](5대특정호흡계질환진단(간편가입Ⅲ)보장 특별약관)
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22.04.27 08:54
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