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DAFTAR ISI
DARTAR ISI ISI
………………………………………………………………………………………
1. POLI POLIKL KLIINIK GIGI GIGI
……………………………………………………………………………
2. POLIKLINIK SPESIALIS MATA 3. POLIKLINIK SPOG ( KANDUNGAN DAN KEBIDANAN ) 4. POLIKL POLIKLIN INIK IK SPESIA SPESIALIS LIS THT THT
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5. POLIKLI POLIKLINIK NIK SPESI SPESIALIS ALIS KULIT KULIT DAN DAN KELAMIN KELAMIN
……………… ……………………… ……………… ……………… ……………… ………
6. POLIKLINI POLIKLINIK K SPESIALIS SPESIALIS ANAK ANAK ……………… ……………………… ……………… ……………… ……………… ……………… ……………… …………… …… 7. PO POLIKLINIK SP SPESIALIS SY SYARAF
…………………………………………………………
. POLI POLIKL KLIN INIK IK SP SPES ESIA IALI LIS S !ANTU ANTUNG NG
………… …… ………… ………… ………… ………… ………… ………… ………… ………… ………… ……
". POLI POLIKL KLIINIK BEDAH EDAH##EMER EMERG GEN$ EN$Y %&' %&' TRA TRAUMA
……………………………………
1. POLIKLINIK UMUM PENYAKIT PENYAKIT DALAM ( INTERNIST ) 11. POLIK POLIKLIN LINIK IK ORTHO ORTHOP PAEDI AEDI
……………………………
………… …… ………… ………… ………… ………… ………… ………… ………… ………… ………… ………… ………… ……
DAFTAR ISI
DARTAR ISI ISI
………………………………………………………………………………………
1. POLI POLIKL KLIINIK GIGI GIGI
……………………………………………………………………………
2. POLIKLINIK SPESIALIS MATA 3. POLIKLINIK SPOG ( KANDUNGAN DAN KEBIDANAN ) 4. POLIKL POLIKLIN INIK IK SPESIA SPESIALIS LIS THT THT
……………………………
………… …… ………… ………… ………… ………… ………… ………… ………… ………… ………… ………… ………… ……
5. POLIKLI POLIKLINIK NIK SPESI SPESIALIS ALIS KULIT KULIT DAN DAN KELAMIN KELAMIN
……………… ……………………… ……………… ……………… ……………… ………
6. POLIKLINI POLIKLINIK K SPESIALIS SPESIALIS ANAK ANAK ……………… ……………………… ……………… ……………… ……………… ……………… ……………… …………… …… 7. PO POLIKLINIK SP SPESIALIS SY SYARAF
…………………………………………………………
. POLI POLIKL KLIN INIK IK SP SPES ESIA IALI LIS S !ANTU ANTUNG NG
………… …… ………… ………… ………… ………… ………… ………… ………… ………… ………… ……
". POLI POLIKL KLIINIK BEDAH EDAH##EMER EMERG GEN$ EN$Y %&' %&' TRA TRAUMA
……………………………………
1. POLIKLINIK UMUM PENYAKIT PENYAKIT DALAM ( INTERNIST ) 11. POLIK POLIKLIN LINIK IK ORTHO ORTHOP PAEDI AEDI
……………………………
………… …… ………… ………… ………… ………… ………… ………… ………… ………… ………… ………… ………… ……
*
1 2 3 5 6 11 13 14 16 1"
KODE ICD 10
1. POLIKLINI TOP DIAGNO K02 K03.6 K04.1 K05.0 K05 K05.1 K01.1 K08.1 K07.4 K04.7 K05.2 K05.3 K05.4 K04.0 Lainnya K04.3 K00.2 K03.1
K00.0 K07.2 K07.1 K07.3 K08.2 K07 K00.6 K00.4 K01 K01.0 K03.2 K03.0 K08.0 K06.2 K06.1 K06.0 K06.9 K03
P&+, 5 - 67
K03.9 K03.4 K07.0 K09 K04.8 C03 K00.3 K03.3 Z01.2 K04.6 K04.4 K04.5 K03.7 K04.2 K08.3 K08.9 K08 K00 K00.8 2. POLIKLINI TOP DIAGNO H53.1 H52.2 H10.5 H26 H25 H00.1 H11.3 H10 B30 H40 H00 H16 H52.1 H11.0 Lainnya H53.0 H52.3 H27.0 H54 C69 T26
P&+, 6 - 67
S05.1 H18 H17 T15 H33.2 H53.2 H02.1 H02.0 H57 H03 H52 H40.0 H52.0 H21.0 S05.8 H20 H16.2 H04 H27 G70.0 H53.6 H55 H57.1 Z01.0 H52.4 H02.4 H35 H15 H15.0 H50 A71 D31 H43 H02.6 3. POL POLIKL IKLINI INI TOP DIAGNO N91.2 Z36 N75 O02.0 B37.3 O21 Z34 Z30 O04 Z39
P&+, 7 - 67
N81.9 N70 D27 D24 Lainnya N75.1 O02 N93 O62 O03 N76.4 N61 N91.0 N91.1 O99.0 O46 C53 D06 C54 C56 C57 C52 C51 N72 O24 N94.6 N94.1 N87 O15 N85.1 N80 N86 O47 N60.2 N83.0 O20 O72 O21.0 N62 N97 N76 N92.6 O00 O48 N83.1
P&+, - 67
N75.0 N83 N90.7 O25 N85.4 N60 O91.1 O81 O80 N95 N95.1 N92.0 N92.1 O02.1 O01 O30 D25 O41.0 E28 O60 Z01.4 O70 O44 O40 N84 O08 O10 O14.9 N81 O85 N70.0 N70.1 O82 Z32 O71 D28 D26 N76.0 N76.2 4. POLIKLINI POLIKLINI TOP DIAGNO H61.2 T16 H91.9
P&+, " - 67
H70 H92.0 H60 H65 H66 H92.1 31 34.2 01 H93.1 03 35 H69.9 Lainnya 36 C30 C11 C31 C09 H71 H90.2 H94 35.2 35.1 H83 04 37.0 H70.9 H73 H74 34 31.1 H72 31.2 33 30 C31.0 C31.3 C31.1 32 H90 D14 5. POLIKLINI TOP DIAGNO L70
P&+, 1 - 67
T78.4 B37 L03 L25 L23 L30 L02 L28 L10 B36.0 L29 L40 B00.0 L50 Lainnya L73.0 D69.0 L63 L90.9 D04 T30 T25 T20 T24 T29 T22 T23 L20 L30.3 L24 B35.9 L81.9 L30.1 A46 L51 L08.1 L72 !02 A54.9 L92.9 L92.0 A58 A60 B02 B00.9 B08.4
P&+, 11 - 67
L01 L91.0 L11.0 L72.0 A30.9 L43 L93 C43 L74.0 A19 B08.1 B49 L60 L60.2 L60.1 B85.4 A64 L30.5 L42 L28.1 L28.2 L29.0 L08.0 L71 B06 B86 L21 B03 L55 A51 A50 B35.0 B35.4 B35.6 B35.3 B35.1 A18.4 D23 L89 B01 B07 L80 6. POLIKLINI TOP DIAGNO T78.4
P&+, 12 - 67
A06 20 K59.0 !05 A91 A09 K30 Z24.4 Z27.1 Z24.6 Z24.61 Z23.2 Z23.8 Z27.11 Z24.0 Lainnya A42 !10.0 35 A85.1 L23 B76.0 !63.0 "41 K35 B77.9 #21 T71 #24 45 $42.3 $21.1 $21.2 "84.1 #05 21 47 42 B37 A00.9 K59.1 A36 $43.0 A06.0 G04 $01
P&+, 13 - 67
A08.3 G40 !04.0 !56.0 #92 !50.9 !14 T02 K31.9 K25 K29 K92.0 !04.2 !58 94.2 B16 K41 B02 #59 $43.1 N43 $03 G91 35.2 35.1 $54 T68 !57.1 Z24.3 Z25.1 Z25.0 Z24.5 Z24.1 Z27.4 Z24.2 Z23.5 Z23.1 Z25.8 10 %57 P76
K59 E73 06 #90 #57
P&+, 14 - 67
Z00.1 E40 B54 E64 E42 B05 K92.1 G03 G00 A39.0 B26 B26.8 00 !11 E63 E63.9 E66 #38 !52 $25.0 36 02 18 15 #23 33 B00.0 #28.5 #22 30 31 B06 A02.9 I86.1 #36 A40 A41.9 T78.2 01 32 $25.3 $25.6 B37.0 A15.0 A33
P&+, 15 - 67
$21.3 03 T14 P15
A01.0 B01 $21.0 B34 A37 7. POLIKLINI TOP DIAGNO &54.2 I67 G40 !51 &54.5 G03 G43 &79.1 &79.2 G62.9 I64 !30.1 G44.2 G44.1 H82 Lainnya !29.2 G30 &45 !27.0 G51.0 G93.9 C47 G56.0 I63 G80 &53.0 $04 !25.2 "02 A86 G25
P&+, 16 - 67
G61.0 I61 G44 G81 I67.4 G91 "51 &51.2 &40 &40.5 &54.3 !29.1 G00 A17.0 A87 G71.0 G70.9 G72.9 A17 G83 G82 G20 "40 G62 &54.1 &41 G47 &47 G41 I60 G45.9 S04 S14 G25.0 !25.1 D33 A88.1 A89 8. POLIKLINI TOP DIAGNO I20 I46 I51.7 E78.5 I25
P&+, 17 - 67
I25.2 I21 I47 I30 I27 Lainnya !00 T78.3 I48 $21.1 $21.2 I49 I49.9 I51.0 !57.0 I42 B33.2 !07.4 $24 !06.0 G24 I33 I50.0 I51.9 I50 I50.1 C38 I05.0 I40 I51.4 I01.0 I08.0 $25.3 $25.6 I08.2 $21.3 I20.0 $21.0 !. POLIKLINI TOP DIAGNO !10.0 K.60.3 K35 K81
P&+, 1 - 67
K80 N23 S00 T02 N60 &66 !55 T00 S30 S40 S70 Lainnya N61 K62 K37 T71 &71.3 &71.5 &71.1 N42.0 T30 &24.5 !56 T15 N30 S33 !42 Z52 T40 T41 T36 T42 K60 L02 !02 &67.4 I84 K40 K44 K41 K42 N43 N40 N62
P&+, 1" - 67
T68 K56.0 K56.7 K56.6 K56.1 Z09.0 Z09.4 Z47.0 &96.6 Z48 &40 $36 T75.3 &62.6 T43 T51 !60 L03.0 N45 &86 !52 $35 Z04.3 Z04.2 K65 I80 !33 34.2 &47 N35 L55 &65 !57 T79.4 N44 Z94 S50 S60 S80 S90 S10 S20 N21.1 N20 I86.1 1'. POLIKLI
P&+, 2 - 67
TOP DIAGNO T78.4 45 20 00 K30 !50 !50.9 L02 K25 K29 11 02 A15.0 T14
N39.0 Lainnya K75.0 !10 !10.0 !52.0 K70 D64 !63.0 "50.0 I71 K35 I74 B77.9 !09.0 "48.0 I70 A49 &89.9 G94 47 21 42 "50.2 B37 D09 !07.4 !07.1 K83.0 K81
P&+, 21 - 67
K80 A00.9 K51 T30 K59.0 !05 !25.2 N30 A91 E13 A09 T03 !06.0 !30.0 A88.1 !04.0 N18 !02 K29.0 &10.9 !04.2 D69.9 I84 !51 !31 K40 K72.9 B15 B16 B17.1 K73.9 E78.0 K76.6 I15 !06.4 I95 K56.7 K76.3 %57 "51 K59 K58 06 L91.0 N28.9 K83.5
P&+, 22 - 67
K86.2 &54.5 L04 I88 !53 N51 "99 !14 !06.5 &62.9 &79.1 L62 !11 &79.2 "48 E66 "52.3 &86 !52 K85 I73.9 I80 18 T37 "52.4 "88 I26 I73.0 &06.9 E64 "52 K74 !06.7 K12 !06.1 &65 E07 K71 D36 A01.0 L89 N21.1 B01 I86
P&+, 23 - 67
!06.2 D72.9 11. POLIKLI TOP DIAGNO S62 S93.0 S53.1 S42.4 S42.7 S62.7 S92.7 S52.7 S82.7 S52 Lainnya S92.0 S42.0 S32.2 S72 S82.4 S62.6 S63.1 S92 S92.4 S73.0 S42.3 S42.2 S32.3 S83.1 S82 S32 S32.0 S33.1 S02.4 S82.6 S82.5 S02.6 S92.3 T02 S02.2 S12 S83.0 S82.0 S52.5 S52.3 P&+, 24 - 67
S52.1 S32.1 S42.1 S43.0 S02 S92.1 S92.2 S82.3 S82.2 S82.1 S92.5 S93.1 S52.0 S52.6 S52.4 S52.2 S63.0
P&+, 25 - 67
NA&A DIAGNOSA
GIGI IS Dental Caries Deposits (Accretions) of teeth (karang gigi) j06 Acute Gingivitis Gingivitis and Periodontal disease Chronic Gingivitis Impacted eeth !oss of teeth due to accident"e#traction or local periodontal disease $alocclusion" unsfecified Periapical a%scess &ithout sinus Acute Periodontitis Chronic Periodontitis Periodontosis Pulpitis
A%normal hard tissue formation in pulp A%normalities of si'e and form of teeth A%ration of teeth Anodontia" podontia" *ligodontia (idak ada gigi) Anomalies of dental arch relationship Anomalies of ja&+cranial %ase relationship Anomalies of tooth position (cro&ding" displacement" spacing"transposition" etc) Atroph of edentulous alveolar ridge Dentofacial Anomalies Distur%ances in tooth eruption Distur%ances in tooth formation ,m%edded and impacted teeth ,m%edded teeth ,rotion of teeth ,#cessive attrition of teeth ,#foliation of teeth due to sstemic causes Ginggival and edentulous alveolar ridge lesions associated &ith trauma Ginggival enlargement Ginggival recession Disorder of gingiva and edentulous alveolar ridge" unspecified *ther disease of hard tissues of teeth
P&+, 26 - 67
Diseases of hard tissues of teeth" unsfecified percementosis (cementation hperplasia) $ajor anomalies of ja& si'e (hperplasia-hpoplasia of mandi%ular and ma#illar) Csts of oral region" not else&here classified .adicular cst $alignant /eoplasm of gum $ottled teeth" dental fluorosis" mottling of enamel" non fluoride enamel opacities Pathological resorption of teeth (internal granuloma of pulp" resorption of teeth) Dental ,#amination Periapical a%scess &ith sinus Acute apical periodontitis of pulpal origin Chronic apical periodontitis Posteruptive colour change of dental hard tissues Pulp degeneration .etained dental root Disorder of teeth and supporting structures" unspecified *ther disorder of teeth and supporting structures Disorder of tooth development and eruption *ther disorder of tooth development (gangguan pertum%uhan gigi) SPESIALIS MATA IS Asthenopia (mata lelah) Astigmatism lepharoconjunctivitis *ther Cataract 1enile Catharact Chala'ion (%intilan) Conjunctival haemorrhage (perdarahan conjunctiva) Conjunctivitis (infeksi conjunctiva) 2iral conjunctivitis Glaucoma ordeolum and Chala'ion 3eratitis (infeksi kornea) $opia (ra%un jauh) Ptergium
Am%lopia e# anopsia Anisometropia and aniseikonia Aphakia lindness and lo& vision (%uta dan penglihatan %erkurang) $alignant neoplasm of ee and adne#a urn and corrosion confined to ee and adne#a
P&+, 27 - 67
Contusion of ee%all and or%ital tissues *ther disorders of cornea Corneal scars and opacities 4oreign %od on e#ternal ee (corpus alineum di mata) 1erous retinal detachment Diplopia (pandangan ganda) ,ctropion of eelid ,ntropion and trichiasis of eelid *ther disorders of ee and adne#a Disorder of eelid in diseases classified else&here Disorder of refraction and accommodation (gangguan refraksi dan akomodasi) Glaucoma suspect permetropia (ra%un dekat) phaema (hpema) *ther injuries of ee and or%it Iridocclitis 3eratoconjunctivitis Disorders of lacrimal sstem *ther disorders of lens $astenia gravis /ight %lindness (ra%un malam) /stagmus and other irregular ee movement *cular pain ,#amination of ees and vision (test mata dan penglihatan) Pres%opia Ptosis of eelid *ther .etinal disorders Disorders of sclera 1cleritis *ther 1tra%ismus (mata juling) rachoma enign neoplasm of ee and adne#a Disorders of vitreous %od 5anthelasma of eelid SPOG ( KANDUNGAN DAN KEBIDANAN ) IS Amenorrhoea"unspecified Antenatal screening Diseases of artholins gland lighted ovum and nonhdatidiform mole Candidiasis of vulva and vagina ( "'()* a'+(,) ,#cessive vomiting in pregnanc- Hy-*/,i, G*aia*(/ 1upervision of normal pregnanc (kontrol kehamilan normal) Contraceptive management (kontrasepsi) $edical A%ortion Postpartum care and e#amination (pera&atan post melahirkan)
P&+, 2 - 67
Prolapse uterus 1alpingitis and oophoritis enign neoplasm of ovar enign neoplasm of %reast A%scess of artholins gland *ther a%normal products of conception *ther a%normal uterine and vaginal %leeding A%normalities of forces of la%our 1pontaneous a%ortion A%scess of 2ulva Inflammator disorders of %reast ( A+,, " &a,ii,) Primar Amenorrhoea 1econdar Amenorrhoea Anaemia complicating pregnanc" child%irth and the puerperium Antepartum haemorrhage" not else&here classified $alignant neoplasm of cervic uteri Carcinoma in situ of cervic uter $alignant neoplasm of corpus uteri $alignant neoplasm of ovari $alignant neoplasm of other unspecified female genital organs $alignant neoplasm of vagina $alignant neoplasm of vulva Inflammator disease of cervi# uteri Dia%etes $ellitus in pregnanc Dsmenorrhoea" unspecified (/eri se&aktu haid) Dspareunia (neri se&aktu %ersetu%uh) Dsplasia of cervi# uteri ,clampsia ,ndometrial adenomatous hperplasia ,ndometriosis ,rosion and ectropion of cervi# uteri 4alse la%our 4i%roadenosis of reast- "A& 4ollicular cst of ovar aemorrhage in earl pregnanc Postpartum haemorrhage (perdarahan post melahirkan) $ild hperemesis gravidarum pertroph of %reast 4emale Infertilit *ther inflammation of vagina and vulva Irreguler $enstruation"unspecified- &n)/**)*aia ,ctopic Pregnanc Ka/i'an E)-i T*an( Prolonged Pregnanc Corpus luteum cst
P&+, 2" - 67
Cst of artholins gland Cst *varium (kista ovarium) 2ulvar cst (kista vulva) $alnutrition in pregnanc $alposition of uterus enign mammar dsplasia A%scess of reast associated &ith child%irth 1ingle deliver % forceps and vacuum e#tractor 1ingle spontaneous deliver (melahirkan normal spontan) $enopausal and other perimenopausal disorders $enopausal and female climacteric states ,#cessive and fre8uent menstruation &ith regular ccle- &n)**aia ,#cessive and fre8uent menstruation &ith irregular ccle- &*)**aia $issed A%ortion datidiform mole $ultiple gestation !eiomoma of 9terus- &y)/a *i *ligohdramnions *varian Dsfunction Preterm deliver Gnaecological ,#amination (general)(routine) Perineal laceration during deliver Placenta praevia Polhdramnions (cairan ketu%an ang %erle%ihan) Polp of female genital tract Complications follo&ing a%ortion and ectopic and molar pregnanc Pre+e#isting hpertension complicating pregnanc"child%irth 7 the puerperium Preeclampsia" unspecified 4emale genital prolapse Puerperal sepsis Acute salpingitis and oophoritis Chronis salpingitis and oophoritis 1ingle deliver % caesarean section (melahirkan secara 1C) Pregnanc e#amination and test (test kehamilan) *ther o%stetric trauma enign neoplasm of other and unspecified female genital organs *ther %enign neoplasm of uterus Acute 2aginitis (infeksi akut vagina) Acute 2ulvitis (Infeksi akut vulva)
SPESIALIS THT IS Impacted Cerumen (kotoran di telinga) 4oreign %od in ear earing loss" unspecified
P&+, 3 - 67
$astoiditis and related conditions *talgia (neri telinga) *titis ,#terna /onsuppurative *titis $edia 1uppurative and unspecified otitis media *torrhoea Chronic .hinitis" /asopharngitis and Pharngitis Deviated nasal septum Acute 1inusitis innitus (telinga %erdengung) Acute onsilitis Chronic diseases of tonsils and adenoids ,usthacian tu%e disorder" unspecified Peritonsilar a%scess $alignant neoplasma of nasal cavit and middle ear $alignant neoplasma of nasopharin# $alignant neoplasm of accessor sinuses $alignant neoplasma of tonsil Cholesteatoma of middle ear Conductive hearing loss" unspecified: *ther disorder of ear in diseases classified else&here pertroph of adenoids perthrop of tonsils *ther diseases of inner ear Acute !arngitis and racheitis Chronic larngitis $astoiditis" unspecified *ther disorders of tmpanic mem%ranes *ther disorders of middle ear and mastoid *ther disorders of nose and sinuses Chroonic nasopharngitis Perforation of tmpanic mem%rane Chronic pharngitis /asal polp 2asomotor and Allergic .hinitis $a#illar 1inus 1phenoidal 1inus ,thmoidal 1inus Chronic 1inusitis Conductive and sensorineural hearing loss enign neoplasm of middle ear and respirator sstem
SPESIALIS KULIT DAN KELAMIN IS Acne (jera&at)
P&+, 31 - 67
Allerg"unspecified Candidiasis Cellulitis 9nspecified Contact Dermatitis Allergic Contact Dermatitis *ther Dermatitis Cutaneous A%scess" 4uruncle and Car%uncle !ichen simple# chronicus and prurigo Pemphigus Pitriasis 2ersicolor Pruritus (gatal gatal) Psoriasis ,c'ema erpeticum - Poderma 9rticaria-Pruritus (gatal+gatal) Acne keloid Allergic Purpura Alopecia Aerata Atrophic disorder of skin"unspecified Carcinoma in situ of skin urn and corrosion" %od region unspecified urn and corrosion of ankle and foot urn and corrosion of head and neck urn and corrosion of hip and lo&er lim% urn and corrosion of multiple %od regions urn and corrosion of shoulder and upper lim% urn and corrosion of &rist and hand Atopic Dermatitis Infective Dermatitis Irritant contact dermatitis Dermatophtosis" unspecified Disorder of pigmentation" unspecified Dshidrosis (Pomphol#) ,rsipelas ,rthema $ultiforme ,rthrasma 4ollicular cst of skin and su%cutaneous tissue Gangrene"not else&here classified Gonococcal infection" unspecified Granulamatous disorder of skin and su%cutaneus tissue" unspecified Granuloma Annulare Granuloma Inguinale Anogenital erpesviral (herpes simple#) infection ;oster (erpes 'oster) erpesviral" unspecified ,nteroviral vesicular stomatitis &ith e#anthem (and" 4oot and $outh Disease)
P&+, 32 - 67
Impetigo 3eloid scar Ac8uired keratossis follicularis (3eratosis folicularis) ,pidermal cst (kista epidermal) !epros" unspecified !ichen Planus !upus ,rthematosus $alignant melanoma of skin $iliaria ru%ra (keringat %untet) $illiar u%ercullosis $oluscum Contangiosum 9nspecified $cosis /ail disorders *nchogrphosis *ncholsis (infeksi kuku) $i#ed Pediculosis and Phithriosis 9nspecified se#uall transmitted disease Pitriasis al%a (Panu) Pitriasis rosea Prurigo nodularis *ther Prurigo Pruritus ani Poderma .osacea .u%ella 1ca%ies 1e%orrhoic Dermatitis (ketom%e) 1mallfo# 1un%urn ,arl sphillis Congenital 1phillis inea ar%ae and inea Capitis inea Corporis inea Cruris inea Pedis inea 9nguium u%erculosis of skin and su%cutaneous tissue *ther %enign neoplasm of skin Decu%itus 9lcer 2aricella (chickenpo#) 2iral
SPESIALIS ANAK IS Allerg" unspecified
P&+, 33 - 67
Amoe%iasis Acute ronchitis Constipation (susah %uang air %esar) Cough (%atuk) Dengue aemorrhagic 4ever (demam %erdarah dengue) Diarrhoea and Gastroenteritis of presumed infectious origin( GED) Dspepsia /eed immuni'ation againts measles alone /eed immuni'ation againts diphtheria+tetanus+pertussis" com%ined /eed immuni'ation againts viral hepatitis /eed immuni'ation againts viral hepatitis *ther han epatitis /eed immuni'ation againts tu%erculosis (immunisasi CG) /eed immuni'ation againts other single %acterial diseases (vaksin I) /eed immuni'ation againts diphtheria+tetanus+pertussis" com%ined (Infantri#) /eed immuni'ation againts poliomelitis (immunisasi polio) Actinomcosis Acute A%domen Chronic diseases of tonsils and adenoids ( An))n,i'ii,) Adenoviral ,nchephalitis Allergic Contact Dermatitis Anclostomiasis Anore#ia *ther an#iet disorders Acute Appendicitis Ascariasis"unspecified irth asph#ia Asph#iation /eonatal aspiration sndromes Asthma Congenital A%scence" Atresia and 1tenosis of Anus &ithout fistula Atrial septal defect (A1D) Atrioventricular septal defect Atpical autism 1lo& fetal gro&th and fetal malnutrition (erat ai !ahir .endah -!.) Acute rochiolitis ronchiectasis 9nspecified Chronis ronchitis Candidiasis Cholera" unspecified 4unctional Diarrhoea Diptheria $eckels diverticulum Acute amoe%iatic dsentr ,ncephalitis $elitis and ,ncephalomelitis ,ncephalocele
P&+, 34 - 67
*ther viral enteritis ,pileps ,pista#is (mimisan) 4e%rile Convulsions 4eeding pro%lems of ne&%orn 4ever"unspecified (demam" tidak specifik) 4latulence and related conditions 4ractures involving multiple %od regions Disease of stomach and duodenum" unspecified Gastric 9lcer Gastritis and Duodenitis aematemesis (muntah darah ) aemoptsis (%atuk darah) aemorrhage" not else&here classified aemothora# Acute epatitis 4emoral ernia ;oster (erpes ;oster) /eonatal jaundice from other and unspecified causes irschprungs disease drocele and 1permatocele Congenital hdrocephalus drocephalus perthrop of adenoids perthrop of tonsils pospadias pothermia povolaemic 1hock /eed immuni'ation againts ello& fever /eed immuni'ation againts influen'a /eed immuni'ation againts mumps alone /eed immuni'ation againts ru%ella alone /eed immuni'ation againts arthropod+%orne viral encephalitis /eed for immunisation against measles+mumps+ru%ella ($$.) /eed immuni'ation againts ra%ies (immunisasi ra%ies) /eed immuni'ation againts tetanus alone (immunisasi tetanus) /eed immuni'ation againts tphoid+paratphoid alone /eed immuni'ation againts other single 2iral diseases (Imunisasi Cacar) Influen'a due to identified influen'a virus itten-stung % nonvenommous insect 7 other nonvenomous arthropods- In, Bi *ther intestinal o%struction of ne&%orn *ther functional intestinal disorders !actose intolerance Acute upper respirator infections of multiple and unspecified sit es- !TI: IS#A Convulsions of ne&%orn 3ernicterus (icterus)
P&+, 35 - 67
.outine child health e#amination 3&ashiorkor 9nspecified $alaria 1e8uelae *f malnutrition and other nutritional deficiencies $arasmic 3&ashiorkor $easles (campak) $elaena (melena" %a% %erdarah) $eningitis due to other and unspecified causes acterial meningitis ot else&here classified $eningococcal $eningitis $ump (gondok) $ump &ith other complications Acute /asopharngitis ( )//)n )') /ausea and 2omiting (mual dan muntah) *ther nutritional deficiencies /utritional deficienc" unspecified *%esit *mphalitis of ne&%orn &ith or &ithout mild haemorrhage Pain" not else&here classified Patent ductus arteriosus Peritonsilar a%scess Acute Pharngitis Pneumonia" organism unspecified acterial pneumonia" not else&here classified Congenital pneumonia /asal Polp ,c'ema erpeticum - Poderma .espirator failure of ne&%orn .espirator distress of ne&%orn 2asomotor and Allergic .hinitis Chronic .hinitis" /asopharngitis and Pharngitis .u%ella 1almonella infection" unspecified 1crotal varices (varicocele) acterial sepsis of ne&%orn (sepsis) 1treptococcal septicaemia 1epticaemia" unspecified Anaphlactic shock" unspecified Acute 1inusitis Chronic 1inusitis 1tenosis of aorta 1tenosis of pulmonar arter Candida stomatitis u%erculosis of lung"confirmed % sputum microscop &ith-&ithout culture etanus /eonatorum
P&+, 36 - 67
etralog of 4allot Acute onsilitis Injur of 9nspecified %od region *ther %irth injuries phoid 4ever 2aricella (chicken po#) 2entricular septal defect 2iral Infection *f 9nspecified sites
SPESIALIS SYARAF IS Cervicalgia *ther cere%rovascular diseases ,pileps eadache C-a'ia !o& %ack pain (/eri punggung) $eningitis due to other and unspecified causes $igraine (neri kepala se%elah) $algia (neri otot"pegal pegal) /euralgia and /euritis" unspecified Polneuropath" unspecified 1troke not specified as haemorrhage or infarction 2esical tenesmus ension tpe headache 2ascular headache" not else&here classified 2ertiginous sndromes in diseases classified else&here A%normal refle# Al'heimers disease Anklosing spondlitis Ata#ia" unspecified ells Pals Disorder of %rain" unspecified $alignant neoplasm of peripheral nerves and automatic nervous sstem Carpal tunnel sndrome Cere%ral Infarction Infantile cere%ral pals Cervicocranial sndrome *ther congenital malformation of %rain Cramp and spasm Dementia in other diseases classified else&here 9nspecified viral enchephalitis *ther e#trapramidal and movement disorders
P&+, 37 - 67
Guillain+%arre sndrome Intracere%ral haemorrhage (Perdarahan intracere%ral) *ther headache sndromes (sindrom sakit kepala) emiplegia pertensive encephalopath drocephalus /onorganic sleep disorders-Insomnia *ther 1pecified Interverte%ral Disc Displacement 3posis and lordosis !ordosis" unspecified !um%ago &ith sciatica $eningismus acterial meningitis ot else&here classified u%erculosis meningitis 2iral meningitis $uscular dstroph $astenia gravis $opath" unspecified u%erculosis of nervous sstem *ther paraltic sndromes Paraplegia and tetraplegia Parkinsons disease Phoe%ic an#iet disorders *ther polneuropathies .adiculopath 1coliosis 1leep disorders (gangguan tidur) 1pondlosis 1tatus epilepticus 1u%arachnoid haemorrhage ransient cere%ral ischaemic attack" unspecified Injur of cranial nerves Injur of nerves and spinal cord at neck level ,ssential tremor remor" unspecified enign neoplasm of %rain and other parts of central nervous sstem ,pidemic 2ertigo 9nspecified viral infection of central nervous sstem
SPESIALIS ANTUNG IS Angina Pectoris Cardiac Arrest Cardiomegal (pem%esaran jantung) perlipidaemia" unspecified Chronic Ischaemic eart Disease
P&+, 3 - 67
*ld $ocardial Infarction Acute $ocardial Infarction Paro#imal achcardia Acute Pericarditis *ther pulmonar heart diseases A%normalities of heart%eat Angioneurotic *edema Atrial fi%rillation and flutter Atrial septal defect Atrioventricular septal defect *ther Cardiac Arhthmias Cardiac arrhthmia" unspecified Cardiac septal defect" ac8uired Cardiogenic 1hock Cardiomopath 2iral carditis Chest Pain" unspecified (neri dada" tidak spesifi k) *ther congenital malformations of heart Dspnoe Dstonia Acute and 1u%acute ,ndocarditis Congestive heart failure (gagal jantung kongestif) eart disease" unspecified eart 4ailure (gagal jantung) !eft ventricular failure $alignant neoplasm of heart+mediastrum and pleura $itral stenosis Acute $ocarditis $ocarditis" unspecified Acute rheumatic pericarditis 1tenosis $itral Disease 1tenosis of Aorta 1tenosis of pulmonar arter 1tenosis rikuspid etalog of 4allot 9nsta%le angina 2entricular septal defect
BEDAH"EMERGEN#Y $%& TRAUMA IS Acute A%domen (neri akut a%domen) Anal 4istula Acute Appendicitis Cholecstitis
P&+, 3" - 67
Cholelithiasis .enal Colic Injuries to the head (contusion" open &ound" laceration" fracture" etc) 4ractures Involving $ultiple od .egions enign mammar dsplasia .upture of endon 1ncope And Collapse Injuries involving multiple %od regions Injuries to the a%domen" lo&er %ack" lum%ar spine and pelvis Injuries to the shoulder and upper arm (contusion" open &ound" fracture" dislocation" etc) Injuries to the hip and thigh (contusion" open &ound" laceration" fracture" etc) Inflammator disorders of %reast *ther disease of Anus and .ectum (polp" haemorrhage" prolaps) *ther Appendicitis (chronic" recurrent) Asph#iation *ther %ursal cst ursitis (not else&here classified) *ther infective %ursitis Calculus of prostate urn and corrosion"%od region unspecified ( CO&BSTIO ) Contracture of $uscle Convulsions" not else&here classified (3ejang) ,ffects of foreign %od entering throught natural orifice ( C)*-(, A'in(/) Cstitis Dislocation" sprain and strain of joints and ligaments of lum%ar spine and pelvis Di''iness and giddiness Donors of organs and tissues Poisoning % narcotics and pschodsleptics (hallucinogens) Poisoning % anasthetics and therapeutic gases Poisoning % anti%iotics" anti+invective" hormone" nonopioid analgetics"antipretics Poisoning % antiepileptic" sedative+hpnotic and antiparkinsonism drugs 4issure and fistula of anal and rectal regions Cutaneous A%cess" 4uruncle and Car%uncle Ganggrene" not else&here classified Ganglion aemorrhoids (am%ein) Inguinal ernia Diaphragmatic ernia 4emoral ernia 9m%ilical ernia drocele and spermatocele perplasia of prostate pertroph of %reast
P&+, 4 - 67
potermia Ileus Paraltic Ileus" unspecified *thers and unspecified intestinal o%struction (stenosis"ileus o%struksi"stricture"occlusion) Intussusception or invagination of %o&el" colon" intestine" rectum 4ollo& up e#amination after surger for other conditions 4ollo& up e#amination after treatment of fracture (kontrol s eha%is pengo%atan fracture) 4ollo& up care involving removal of fracture plate and other internal fi#ation device 4racture of one follo&ing insertion of orthopaedic implant" joint prosthesis" %one plate *ther surgical follo&+up care 3posis and !ordosis Cleft !ip $otion sickness $uscle 1train Poisoning % pschotropic drugs" not else&here classified o#ic effect of Alcohol *edema" not else&here classified *nchia and Paronchia *rchitis and ,pididmitis *steomelitis Pain" not else&here classified Cleft Palate ,#amination and o%servation follo&ing other accident ,#amination and o%servation follo&ing &ork accident Peritonitis Phle%itis and hrom%ophle%itis .etention of 9rine Deviated /asal 1eptum 1pondlosis 9rethral 1tricture 1un%urn 1novitis and enosnovitis 1hock + not else&here classified raumatic shock orsion of testis ransplanted organ and tissue status Injuries to the el%o& and forearm (contusion" open &ound" fracture" dislocation" etc) Injuries to the &rist and hand (contusion" open &ound" laceration" fracture" etc ) Injuries to the knee and lo&er leg (contusion"open &ound" laceration" dislocation"fracture" etc) Injuries to the ankle and foot (contusion" open &ound" laceration" fracture" dislocation"etc) Injuries to the neck (open &ound" fracture" dislocation" etc) Injuries to the thora# (contusion" open &ound" laceration" fracture" etc) Calculus in urethra - **)'iia,i, 9rolithiasis 1crotal varices (varicocele)
IK UMUM PENYAKIT DALAM ( INTERNIST )
P&+, 41 - 67
IS Allerg " unspecified Asthma Acute ronchitis Acute /asopharingitis (common cold) Dspepsia 4ever of 9nkno&n origin 4ever " 9nspecified Cutaneous A%scess" 4uruncle and Car%uncle Gastric 9lcer Gastritis and Duodenitis Influen'a virus not identified Acute Pharngitis u%erculosis of lung"confirmed % sputum microscop &ith or &ithout culture Injur of 9nspecified %od region 9rinar tract infections " site not specified
A%cess of liver A%dominal and pelvic pain Acute A%domen Acute Pain Alcoholic liver disease *ther Anaemias Anore#ia Anore#ia nervosa Aortic aneursm and dissection Acute Appendicitis Arterial em%olism and throm%osis Ascariasis " unspecified Asph#ia /eurasthenia Atherosclerosis acterial infection of unspecified site Disorder of %one " unspecified *ther disorders of %rain in diseases clasified else&here ronchiectasis Acute ronchiolitis 9nspecified chronic %ronchitis ulimia nervosa Candidiasis Carcinoma in situ of other and unspecified sites Chest pain " unspecified Chest pain on %reathing Cholangitis Cholecstitis
P&+, 42 - 67
Cholelithiasis Cholera " 9nspecified 9lcerative colitis urn and corrosion " %od region unspecified ( )/+(,i) ) Constipation - *%stipation Cough Cramp and spasm Cstitis Dengue aemorrhagic 4ever *ther specified Dia%etes $ellitus Diarrhoe and Gastroenteritis of presumed infections origin - GED Dislocation " sprain and strains involving multiple %od region Dspnoe (sesak nafas ) Dsuria ,pidemic 2ertigo ,pista#is (perdarahan hidung) Chronic .enal 4ailure Ganggrene" not else&here classified Acute haemorrhagic Gastritis Gout " 9nspecified aemoptsis (%atuk darah-haemaptoe) aemorrhagic Condition " 9nspecified aemorrhoids eadache (sakit kepala) 9nspecified haematuria (kencing %erdarah) Inguinal ernia epatic failure" unspecified Acute epatitis A Acute epatitis Acute epatitis C Chronic hepatitis" unspecified Pure percholesterolemia Portal hpertension 1econdar pertension perventilation potension Ileus " 9nspecified Infarction of liver itten-stung % nonvenommous insect 7 other nonvenommous arthropods /onorganic sleep disorders (insomnia) *ther 4unctional intestinal disorder (aematoche'ia) Irrita%le %o&el sndrome Acute upper respirator infections of multiple and unspecified sit es ( !TI:IS#A 3eloid 1car Disorder of kidne and ureter " 9nspecified illiar cst
P&+, 43 - 67
Cst of pancreas !o& ack Pain Acute !mphadenitis /onspecific lmphadenitis $alaise And 4ati8ue Disorder of male genital organs in diseases classified else&here $ental disorder" not other&ise specified 4latulence and related conditions ($eteorismus) $outh %reathing Disorder of muscle "umspecified $algia /ail disorders in diseases classified else&here /ausea And 2omiting /euralgia and /euritis" unspecified *ther neurotic disorders *%esit (kegemukan) *rgasmic dsfunction *steomelitis Pain" /ot else&here classified Acute Pancreatitis Peripheral vascular disease" unspecified Phle%itis and throm%ophle%itis Pneumonia " organism unspecified Poisoning % sistemic anti invective and antiparatics Premature ejaculation *ther disorders of pschological development Pulmonar em%olism .anauds sndrome .heumathoid arthritis " 9nspecified 1e8uelae of malnutrition and other nutritional deficiencies 1e#ual dsfunction" not caused % organic disorder or disease 4i%rosis and cirrhosis of liver (cirrhosis hepatis) 1nee'ing (%ersin) 1tomatitis and related lesions (1aria&an) 1tridor (/gorok) 1novitis and enosnovitis *ther disorders of throid o#ic liver disease enign neoplasm of other and unspecified sites phoid 4ever (Demam tphoid) Decu%itus ulcer Calculus in urethra - (**)'iia,i, 2aricella ( Chicken Po# ) 2aricose veins of other sites (2arices)
P&+, 44 - 67
IK ORTHOPAEDI IS 4racture at &rist and hand level Dislocation of ankle joint Dislocation of el%o&" unspecified 4racture of lo&er end of humerus $ultiple fractures of clavicle" scapula and humerus $ultiple fractures of fingers $ultiple fractures of foot $ultiple fractures of forearm $ultiple fractures of lo&er leg 4racture of forearm
4racture of calcaneus 4racture of clavicle 4racture of cocc# 4racture of femur 4racture of fi%ula alone 4racture of other finger Dislocation of fingers 4racture of foot 4racture of great toe Dislocation of hip 4racture of shaft of humerus 4racture of upper end of humerus 4racture of ilium Dislocation of knee 4racture of lo&er leg" including ankle 4racture of lum%ar spine and pelvis 4racture of lum%ar verte%ra Dislocation of lum%ar verte%ra 4racture of malar and ma#illar %ones 4racture of lateral malleolus 4racture of medial malleolus 4racture of mandi%le (mandi%ula) 4racture of metatarsal %one 4ractures involving multiple %od regions 4racture of nasal %ones 4racture of neck Dislocation of patella 4racture of patella 4racture of lo&er end of radius 4racture of shaft of radius
P&+, 45 - 67
4racture of upper end of radius 4racture of sacrum 4racture of scapula Dislocation of shoulder joint 4racture of skull and facial %ones 4racture of talus 4racture of other tarsal %one(s) 4racture of lo&er end of ti%ia 4racture of shaft of ti%ia 4racture of upper end of ti%ia 4racture of other toe Dislocation of toe(s) 4racture of upper end of ulna 4racture of lo&er end of %oth ulna and radius 4racture of shaft of %oth ulna and radius 4racture of shaft of ulna Dislocation of &rist
P&+, 46 - 67
KODE TE!&INAL
1102 11036 11041 11050 1105 11051 11011 11081 11074 11047 11052 11053 11054 11040 11043 11002 11031 11000 11072 11071 11073 11082 1107 11006 11004 1101 11010 11032 11030 11080 11062 11061 11060 11069 1103
P&+, 47 - 67
11039 11034 11070 1109 11048 0303 11003 11033 26012 11046 11044 11045 11037 11042 11083 11089 1108 1100 11008
08531 08522 08105 0826 0825 08001 08113 0810 0230 0840 0800 0816 08521 08110 08530 08523 08270 0854 0369 2026
P&+, 4 - 67
19051 0818 0817 2015 08332 08532 08021 08020 0857 0803 0852 08400 08520 08210 19058 0820 08162 0804 0827 07700 08536 0855 08571 26010 08524 08024 0835 0815 08150 0850 0171 0431 0843 08026
14912 2636 1475 15020 02373 1521 2634 2630 1504 2639
P&+, 4" - 67
14819 1470 0427 0424 14751 1502 1493 1562 1503 14764 1461 14910 14911 15990 1546 0353 0406 0354 0356 0357 0352 0351 1472 1524 14946 14941 1487 1515 14851 1480 1486 1547 14602 14830 1520 1572 15210 1462 1497 1476 14926 1500 1548 14831
P&+, 5 - 67
14750 1483 14907 1525 14854 1460 15911 1581 1580 1495 14951 14920 14921 15021 1501 1530 0425 15410 0528 1560 26014 1570 1544 1540 1484 1508 1510 15149 1481 1585 14700 14701 1582 2632 1571 0428 0426 14760 14762
08612 2016 08919
P&+, 51 - 67
0870 08920 0860 0865 0866 08921 1031 10342 1001 08931 1003 1035 08699 1036 0330 0311 0331 0309 0871 08902 0894 10352 10351 0883 1004 10370 08709 0873 0874 1034 10311 0872 10312 1033 1030 03310 03313 03311 1032 0890 0414
1270
P&+, 52 - 67
20784 0237 1203 1225 1223 1230 1202 1228 1210 02360 1229 1240 02000 1250 12730 04690 1263 12909 0404 2030 2025 2020 2024 2029 2022 2023 1220 12303 1224 02359 12819 12301 0146 1251 12081 1272 1802 01549 12929 12920 0158 0160 0202 02009 02084
P&+, 53 - 67
1201 12910 12110 12720 01309 1243 1293 0343 12740 0119 02081 0249 1260 12602 12601 02854 0164 12305 1242 12281 12282 12290 12080 1271 0206 0286 1221 0203 1255 0151 0150 02350 02354 02356 02353 02351 01184 0423 1289 0201 0207 1280
20784
P&+, 54 - 67
0106 1020 11590 1805 0191 0109 1130 26244 26271 26246 262461 26232 26238 262711 26240 0142 18100 1035 01851 1223 02760 18630 0641 1135 02779 1621 2071 1624 1045 17423 17211 17212 06841 1605 1021 1047 1042 0237 01009 11591 0136 17430 01060 0704 1701
P&+, 55 - 67
01083 0740 18040 18560 1692 18509 1814 2002 11319 1125 1129 11920 18042 1858 10942 0216 1141 0202 1659 17431 1443 1703 0791 10352 10351 1754 2068 18571 26243 26251 26250 26245 26241 26274 26242 26235 26231 26258 1010 2357 1676
1159 0573 1006 1690 1657
P&+, 56 - 67
26001 0540 0254 0564 0542 0205 11921 0703 0700 01390 0226 02268 1000 1811 0563 05639 0566 1638 1852 17250 1036 1002 1018 1015 1623 1033 02000 16285 1622 1030 1031 0206 01029 09861 1636 0140 01419 20782 1001 1032 17253 17256 02370 01150 0133
P&+, 57 - 67
17213 1003 2014 1615
01010 0201 17210 0234 0137
13542 0967 0740 1851 13545 0703 0743 13791 13792 07629 0964 18301 07442 07441 0882 18292 0730 1345 18270 07510 07939 0347 07560 0963 0780 13530 1704 18252 0602 0186 0725
P&+, 5 - 67
07610 0961 0744 0781 09674 0791 0651 13512 1340 13405 13543 18291 0700 01170 0187 07710 07709 07729 0117 0783 0782 0720 0640 0762 13541 1341 0747 1347 0741 0960 07459 1904 1914 07250 18251 0433 01881 0189
0920 0946 09517 05785 0925
P&+, 5" - 67
09252 0921 0947 0930 0927 1800 20783 0948 17211 17212 0949 09499 09510 18570 0942 02332 18074 1724 18060 0724 0933 09500 09519 0950 09501 0338 09050 0940 09514 09010 09080 17253 17256 09082 17213 09200 17210
18100 11603 1135 1181
P&+, 6 - 67
1180 1423 1900 2002 1460 1366 1855 2000 1930 1940 1970 1461 1162 1137 2071 13713 13715 13711 14420 2030 13245 1856 2015 1430 1933 1842 2652 2040 2041 2036 2042 1160 1202 1802 13674 0984 1140 1144 1141 1142 1443 1440 1462
P&+, 61 - 67
2168 11560 11567 11566 11561 26090 26094 2647 14966 2648 1340 1736 20753 13626 2043 2051 1860 12030 1445 1386 1852 1735 26043 26042 1165 0980 1833 10342 1347 1435 1255 1365 1857 20794 1444 2694 1950 1960 1980 1990 1910 1920 14211 1420 09861
P&+, 62 - 67
20784 1045 1020 1000 1130 1850 18509 1202 1125 1129 1011 1002 01150 2014 14390
11750 1810 18100 18520 1170 0464 18630 06500 0971 1135 0974 02779 18090 06480 0970 0149 13899 0794 1047 1021 1042 06502 0237 0409 18074 18071 11830 1181
P&+, 63 - 67
1180 01009 1151 2030 11590 1805 18252 1430 0191 0513 0109 2003 18060 18300 01881 18040 1418 1802 11290 13109 18042 04699 0984 1851 1831 1140 11729 0215 0216 02171 11739 05780 11766 0915 18064 0995 11567 11763 2357 0651 1159 1158 1006 12910 14289 11835
P&+, 64 - 67
11862 13545 1204 0988 1853 1451 0999 1814 18065 13629 13791 1262 1811 13792 0648 0566 06523 1386 1852 1185 09739 0980 1018 2037 06524 0688 0926 09730 13069 0564 0652 1174 18067 1112 18061 1365 0507 1171 0436 01010 1289 14211 0201 0986
P&+, 65 - 67
18062 04729
1962 19930 19531 19424 19427 19627 19927 19527 19827 1952 19920 19420 19322 1972 19824 19626 19631 1992 19924 19730 19423 19422 19323 19831 1982 1932 19320 19331 19024 19827 19825 19026 19923 2002 19022 1912 19830 19820 19525 19523 P&+, 66 - 67 
