DAFTAR KODE PENYAKIT

NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24 2$

NAMA DIAGNOSA ABCES (Masuk Infeksi) ABCES AXILIA ABCES BORTHOLIS !LA" ABCES BR%CHIALE ABCES !RA"%LAR AB ABCES HEAR ABCES O+ ,%L,A ABCES MA"IB%LA (&A-) ABCES MAMMAE ABCES EC* ABCES O+ LI,ER ABCES O+ ,%L,A ABCES REXTROERITOEAL ABCES T%MIT (HEEL) ABCES TOBO O,ARIA ABCES T%MIT AB"OME AI (L%MBAL AI) AB I*OMLIT (ABORTIO) AORTA IS%++ISIEC (AI) AB AB"OME A*%T AB"OMIAL AI ABORT%S ICOMLETE ABORT%S ISIIE ABORT%S IMMIET ACE (&e/aa)

2 2# 2' 29 30 31 32 33 34 3$ 3 3# 3' 39 40 41 42 43 44 4$

ACE *ELOI" ACE ,%L!ARIS AC%TE AE"ISITIS AC%TE BROCHIOLITIS AC%TE BROCHITIS AC%TE !I!I,ITIS AC%TE HEATITIS A AC%TE HEATITIS B AC%TE LMHA"EITIS AC%TE LIMHOBLASTIC LE%*AEMIA (ALL ) AC%TE MOCAR"IAL I+ARCTIO AC%TE MELOI" LE%*AEMIA (AML) AC%TE ACREATITIS AC%TE ERIO"OTITIS AC%T C%TE HAR HAR!IT !ITIS IS AC%T AC%TE E RHE% RHE%MA MAT TIC ERI ERICA CAR" R"IT ITIS IS AC%TE SALI!ITIS A" OOHORITIS AC%TE SI%SITIS AC%TE TOSILITIS AC%TE AC%TE %ER %ER RESIR RESIRA ATOR OR I+ECT I+1ECTIO IOS S O+ M%LT M%LTILE ILE

KODE ICD X L.02.9 L.02.4 .#$.1 &.9'.0 L.04.9 *.#$.0 .#.4 *.10.2 .1 L.02.1 *.#$.0 .#.4 *.$.0 L.02.4 .#0.9 L.02.4 R.10 O.0 L.3$ R.10.0 R.10.4 O.0 O.0 O.0$ L.#0

L.#3.0 *.1.0 *.3$ &.21 &.20 *.0$.0 B.1$ B.1 L.04 C.91.0 I.21 C.92.0 *.'$ *.0$.2 &.02 &.02 I.01 I.01.0 .0 .#0.0 &.01 &.03 &.0 &.0

4 4# 4' 49 $0 $1 $2 $3 $4 $$ $ $# $' $9

A" %SECI+IE" SITES (%RTI  ISA) AC%TE ,A!IITIS (Infeksi Aku ,aina) AC%TE ,IRAL HEATITIS AC%TE ,%L,ITIS (Infeksi Aku ,u5a) A"EOCARCIOM ITRATHORACIC A"EXITIS A"EO MOSIS ASCARIASIS E++%SIO LE%RAL ALER!I ALER!I6 %ns7e8ifie ALLE ALLER! R!IC IC CO COT TACT "ER "ERMA MAT TITIS ITIS AL:HEIMER;S "ISEASE AMEORRHOAE AMETIA

2

.#.0 B.19.9 .#.2 C.##.1

0 1 2 3 4 $

99

AMI < Ane/i=/   AMI < Ine/i=/   AMMEORRHAE AM%TATIO IOS &A &ARI AM%TATIO IOS *A*I AMOTROIA AMOEBIASIS AEMIA AEMIA ALASTIC ABSCESS AXILA AEMIA *ROIS AEMIA "E+ICIEC AEMIA !LA"%LAR  AEMIA HOLASTIC AE%RSMA AXIET STATE A!IA ECTORIS AOREXIA AOSMIA AORCHIA ATEAR ATEART%M T%M HAEMORRHA!E6 n= ese>e/e e se>e/e 8assifie A%RIA AXIET AHASIA AEA A (AE"ICITIS) AE"ICITIS ABCES AE"ICITIS CROIC AE"ICITIS ITERAL AE"ICITIS ER+ORASI AR+ ARTERIO SCLEROSIS ARTHAL!IA ARHTHMIA ARTRITIS ASCARIASIS6 %ns7e8ifie ASCITES ASH" (en?aki &anun Lainn?a) ASHXIA  BERAT  SE"A! ASHXIA BAI ASIRASI ASTHMA ASTHMA BROCIALE (a@) ASTHEIA ATELECTASIS TB ATHEROMA ATOIC "ERMATITIS ARTHRAL!IA 3

M.13.9 B.##.9 R.1' I.2$.1 R.09.0 .21.9 .24.1 &.4$ &.4$.9 R.$3 A.1.2 O.14.0 L.20 M.2$

ATRESIA AI ATRIAL SETAL "E+ECT A%TISM A,%LSIO *%*% A7>akia

.42.3 .21.1 +.'4.0 T.14.# H2#.0

B NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23

NAMA DIAGNOSA

BARTHOLIITIS BASALIOMA BAT% B%LI (Bae/) BAT% EME"% BAT% !I&AL BAT%* *ROIS (Masuk B/=nkiis) BA BAT% REAL BA BAT% %RETHRE BBLR (Be/a Baan La>i/ Rena>) BE BELL;S ALS BEI! MAMMAR "SLASIA BITES (*ena !iian *u8in) BLI!HTE" O,%M an OH"ATI"I+ORM MOLE B (B/=n8>= neu=nia) BH (BeninH?7e//=7>? = /=sa) BR B RA"CAR"IA BROCHIECTASIS BROCITIS BROCITIS AC%T BROCITIS CROIC BROCHIOLITIS AC%T B%R!ER;S "ISEASE 4 B%RSITIS

KODE ICD X .#$.' C.44.1 .21.0 .21.9 .20.0 &.40 .21.1 .23 .0$ !.$1.0 .0 T.14 O.02.0 &.1'.0 .40 R.00.1 &.4# &.40 &.20.9 &.42 &.21.9 I.#3.1 M.#1.9

24

B%RSITIS (=n Ese>e/e Cassifie)

M.#1.$

C NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24 2$ 2 2# 2'

NAMA DIAGNOSA

29

CA"I"IASIS CARIES CER,ICITIS CATARACT CE CELL%LITIS CHALA:IO CHEMOTHERA CHEAL!IA CSTITIS CH CHOLA!ITIS CHOLELITHIASIS CHOLECSTITIS CHOLERA6 Unspecified COSTIATIO  Obstipation CO%!H CRAM an SASM CHROIC HE HEATITIS Unspecified CHROIC ISCHAEMIC HEART "ISEASE CHROIC ASOHAR!ITIS CHROIC HAR!ITIS CHROIC REAL +AIL%RE CHROIC RH RHIITIS6 A ASOHAR!ITIS6  HAR!ITIS CHROIC SI%SITIS CIRC%MCISIO CLA,%S COMM OMMOTIO OTIO CERE CEREBR BRII CO!E CO!EIT ITA AL TALIES LIES E%IO E%IO, ,AR%S (CTE,) (CTE,) CO&%!TI,ITIS (Infeksi 8=nDun8i5a) C=nDuni5iis ae/i8 (a8ue a=7i8 8=nDuni5iis) COSTIATIO

30 31 32 33

COT%SIO O+ EEBALL an ORBIT TISS%ES COREAL SCARS an OACITIES CO%!H $ CALC%L%S O+ ROSTATE

KODE ICD X B.3#.9 *.02.9 .#2 H.2.9 L.03.9 H.00.1 :.29 R.$1 .30 *.'3.0 *.'0.2 *.'1.9 A.00.9 *.$9.0 R.0$ R.2$.2 *.#3.9 I.2$ &.31.1 &.31.2 .1' &.31 &.32 :.41.2 L.'4 S.0. .0.0 0 ..0 ..0 H.10.9 H10.1 *.$9.0

S.0$.1 H.1# R.0$ .42.0

34 3$ 3 3# 3' 39 40 41 42 43 44 4 4# 4' 49 $0 $1 $2 $3 $4 $$ $ $# $' $9 0 1 2 3 4 $  # ' 9 #0 #1 #2 #3 #4 #$ # ## #' #9 '0 '1 '2

CALCAEO AOHSITIS CA AB"OME CA BASAL CELL CA BLA""ER (B%LI) CA CAR%S %TERI CA CER,IX CA COLO CA C%TIS METASTASE CA C A ESOHA!%S CA LARI! CA LEHER CA LI"AH CA MAMMAE *IRI CA M%C%E+I"ERMOIT CA ASOHAX CA O,ARI%M CA ACREAS CA ARATIC CA C A AR%AR% CA RECT%M CA E"IS CA %LMO CA RECT%M CA SO,IOMA CA TELAA* *A*I CA THROI" CA TOSIL CA T%LA! CAR"IAC ARREST CAR"IAC ARRHTHMIA6 %ns7e8ifie CAR"IO ME ME!AL ( Pembesaran Jantn! ) CAR"IO MOATH CAR"IO!EIC SHOC* CC (HL! A"ibat Di P"#) CE+ CE+ (EE (EE F +EBT +EBT%S %S F !E) !E) Masu Masuk k Infu Infuen ensa sa CE+AL HEMATOMA ( Mas" C$epa#!ia) CEREBRAL MALARIA CEREBRAL TRASIET ISCHEMIC CER,ICAL SO"LOSIS CER,I,AL SOOLOSIS CHEST HEST AI6 I6 un uns7e8 s7e8if ifie ie  (N%eri dada& tida" spesifi" ) CH (Ceenai=n H?7e/7asia) CH" CH+ CHOLECSTITIS AC%T CHEST AI CHOLELI THIASIS CHOLERA 

M.92.' C.#.2 C.44.1 ".30.3 C.$4 C.$3.9 C.1'.9 C.44.$ C.1$.9 C.32.9 C.#.0 C.02.9 C.$0.9 C.#9.$ C.11.9 C.$ C.2$ C.#9.' C.34.9 C.20 C.40.3 C.34.9 C.20 C.49.9 C.#.$ C.#3 C.09.9 C.41 I.4 I.49.9 I.$1.# I.42 R.$#.0 S.0.0.09 &.10 &.10 R.$1 B.$0.0 I.#.2 M.4#.' M.4#.' R.0#.4 *.03.4 .24.9 I.$0.0 *.'1.0 R.10.2 *.'0.2 A.00.9

'3 '4 '$ ' '# '' '9 90 91 92 93 94 9$ 9 9# 9' 99 100 101 102 103 104 10$ 10$ 10 10# 10' 109 110 111 112 113 114 11$ 11 11# 11' 119 120 121 121

CHOREA S"EHAMS CIRC%MSISI CIRR CIRRHO HOSI SIS S HE HEATITIS ITIS CA" (C=/=na/? A/e/? "iseases) C*" (C>/=ni8 *ine? "iseases) CO COLIC AB"OME COLIC REAL < REAL AI COLIC %RETER COLIC OLIC %RETE ETER SII SIITR TRA A COLIC !I&AL COLICSTITIS COLITIS COLITIS CROIC COLITIS %LCERATI,E COMA COMA "IABETIC CO C OMA HEATIC COMB%STIO (Luka Baka/) COMMOTIO (!ea/ Oak) COMMOTIO CEREBRI COCHO HIERTROI COT%SIO (Mea/ Oak) COT COT%S %SIO IO CERE CEREBR BRII COCHAHERTRO CO!EITAL "EA+ESS CO!EITAL SHILIS COT%SIO CEREBRI CO COR%S ALIE%M COR%S ALEA%M (,A!IA) COR%S ALIE%M *EE COR%S ALIE%M LARX COMMO COL" (Infuensa) CR+ (Ga!a# Gin'a# (ainn%a) +AL%T C," (CEREBRO ,AS*%LER "ISEASE) HIMOSIS CSTITIS CST O+ ACREAS CSTOMA O,ARII CST CST THR THROI OI" " C!S C!S C?s !=@uaaGia/is C?s /ai8ua/ C=nusi=n =f =>e/ 7a/ /is an >an Mui7e su7e/fi8ia inDu/? =f /is an >an 8a5us

#

L.02.9 :.41.2 *.#4 *.#4. . I.2$.1 .1' R.10 .23 .23 .23 .23 .23 .30.' A.09 *.$2.9 *.$1.9 R.40.2 E.10  E.14 *.#2.9 T.31.0 S.0.0 S.0.0 &.34.' S.0.2 S.0 S.0.2 .2 &.34.' H.90.$ A.$0 S.0.2 T.1 S.31.4 S.'1.# S.11.0 &.10 .1#.0 I.#.9 .4# .30 *.'.2 ".2# E.04 E.04.1 .1 *09.1 *04.' S0.2 S0.# L'4

D NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24 2$

2 2# 2' 29 30 31 32 33 34 3$ 3 3# 3' 39 40 41 42 43 44

NAMA DIAGNOSA

"EA+ESS "ECOMCOR"IS ( Jantn!) "ECOMESATIO COR"IS "EC%BIT%S %LCER "EHI"RASI "EMAM ARATHOI" "EMAM THOI"  THOI" +E,ER "EMETIA SEILIS E%MOIA "ERESSIO "ERMATITIS "ERMATIS ALER!IE "IARE  !E "ITHERIA "ISCITIS "ISLOCATIO "ISESIA "SETRI "SHA!IA "SMEORRHEA "SEA "SOE "S%RIA < COLIC %RETER "LI "IABETES ALRETIS "M ?7e I ( insuin) "M ?7e II n=n insuin) "IABETES MELIT%S ("M) "IAHRA!MATIC HERIA "EA" ICOMLE" "EC%BIT%S %LCER "IARE AC%T "ISLOCATIO HI "ISCOLATIO SE"I "ISLOCARI SHO%L"ER "ISTORSI TESTIS "RA! T%TOCATIO "SOE (Mas" Poemonia) "SESIA "SOE "MEOR +LEA "SEA  "SOE "SLASIA O+ CER,IX %TERI "B" (Demam Berdara$ Den!e) "H+ (Den!e *emorra!ie +e,er ) ' !EA" ( Diarr$oe and Gastroenteritis of Presmed Infections

KODE ICD X H.91.9 I.$1. I.$1.9 L.'9 E.' A.01.4 A.01 +.03 &.1' +.32.9 L.30.9 L.23.9 A.09 A.3 M.4.4 T.03 *.30 A.09 R.13 .94. R.0.0 R.0.0 .23 E.' E.14 E10 E11 E.14 *.44 SO.3.4 L.'9 A.0.0 S.#3.0 S.43.0 S.41.0 .#4.2 T.$.9 &.1' *.30 R.02 .94 R.0.0 .'# A.91 A.91 A.09

4$ 4 4#

Ori!in) "ISIO CATIO SHEI"ER &OIT "%T "SS "iaai=n 8a/ia8 see as= >?7e//=7>?

S.43.0 I.'2.$ A.91 I$1.#

E NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24 2$

NAMA DIAGNOSA

ECLAMSIA EMESIS ECEHALITIS ECEHALOCELE E"OMETRIOSIS EI"I"MITIS E"OHALMITIS ETERITIS EISTAXIS (Mimisan) ELES EROSI (Mas" Pen%a"it Infe"si - Parasit (ainn%a ) ESOHA!ITIS EARL SHILLIS EI"%RAL HEMATOMA EI"EMIC ,ERTI!O EI!ASTRI* AI ER E ROSI COREA E"EMA AR% E" E"EMA ,%L%A EXTRATIO ,A ,AC%M (E.) E++%TIO LE%RA *AA EMEMA  ABCES HEAR ECE ECEH HAL ALO O ATH HE HER RTESI ESI,E ,E ECEHALITIS MELITIS an ECEHALOMELITIS 9 EI !ASTRI%M AI

KODE ICD X O.1$.9 R.11 !.04.9 .01 H.'0.9 .4$.9 H44.0 A.09 R.04.0 !.40.9 L.111.2 *.20 A.$1 S.0.4 A.''.0 *.31.9 H.1.0 &.'1 .90.' 0.'1.4 &.90 &.'.9 I#. I#.4 4 !.04 R.10.1

 O 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24 2$ 2 2# 2' 29 30 31 32 33 34 3$ 3 3# 3' 39

AMA "IA!OSA +A +ARA!ITIS +EBRIS +EOSIS (P$%mosis) +IST%LA +IST%LA EAOL +AIL%RE HEART ( Ga!a# Jantn!) +AM (a?u "a/a) +ASCITIS LATAR +IBR +IBRO OSIS SIS A" CIR CIRRHOS RHOSIS IS O+ LI,ER I,ER ( Cirr$osis *epatitis) +I +IST%LA COLI +LA +LAT%LE %LECE CE an an RELA RELAT TE" CO CO"I "ITI TIO OS S ( Meteorisms ) +%R% CLE +IB (Mas" Kir"es) +RA*T%R ATE BRACHI +RA*T%R BASIS CRAILI +RA*T%R CALCA%S +RA*T%R CALCAE%S +RA*T%R CLA ,IC%LLA < CEA,ICEL +RA*T%R CR%RIS +RA*T%R "I!IT II6III6I,6, +RA*T%R +E"IS :C +RA*T%R +EM%R +RA*T%R +EM%R +RA*T%R +ROTAL +RA*T%R H%MER%S +RA*T%R I,OL,I! M%LTILE BO" RE!IOS +RA*T%R *OTRA T%RME +RA*T%R L%MBO SACRAL SIE +RA*T%R MA"IBLE +RA*T%R MA%S A"A TA!A +RA* +RA*T% T%R R MAXIL AXILL LA +RA*T%R META CARAL +RA*T%R METATARSAL +RA*T%R METATARSAL BOE +RA*T%R ASAL +RA*T%R OLEC RAMO 2X +RA*T%R OLEC ROOM +R +RA*T%R ORBIT +RA*T%R ORBITA 10 +RA*T%R OTHORAX

*O"E IC" X &.02.9 R.$0 M.4# L.9'.' *.0.3 I.$0.9 ".24 M.#2.2 *.#4 *.3.2 R.14 L.02.9 :.00 S.2.' S.02.1 S.92.0 S.92.0 S.42.# S.'2.2 S.42 S.42.4 S.#2.9 S.02.0 S.42.3 T.02 S.42 S.32.' S.02. S.1.' S.02. .02.4 4 S.2.3 S.92.3 S.92.3 S.02.2 S.$2.0 S.$2.0 S.02 S.02 S.22.9

40 41 42 43 44 4$ 4 4# 4' 49 $0 $1

+RA*T%R A ATELLA ( /e /ermas" rmas" 0 /#an! /#an! An!!ota Gera" ) +RA*T%R ATELO +RA*T%R RA"I%S +RA*T%R RA"I%S %LA +RA*T%R RAM%S I+ERIOR *IRI +RA*T%R S%RA CO%"LER +RA*T%R S%RA %BIS +RA*T%R TIBIA +RA*T%R %LA +RA*T%R ,ERTEBRATA +LATAS +AB CITIS +EBRIL COM%LSI (+EBRIS)

NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24 2$ 2 2#

NAMA DIAGNOSA !A!!REE6 n= ese>e/e 8assifie !A!REE "M !A!REE SCROT%M !A!LIO !A!LIO %LETIA !ASA ROEM TERITIS !ASTRIC %LCER !ASTRITIS !ASTRITIS CROIC !E CROIC !I!ATISME !I!I,ITIS !!* (Ga!a# Gin'a# (ainn%a) !LA%*OMA !LA%*OMA ABSOL%T !A (!LOMER%LOEH%ITIS AC%T) !LOMER%LOEH%ITIS CROIC !C (!L%MER%LO HEHRITIS CHROIS) !O%T6 unse7i8ifie !O"O* !OORRHEA !RA%LOMA !RASTRITIS AC%TE !RA,ES "ISEASE !%LLIA BARE S"ROMA !%SI BLO"I! (HEMO!RA!E !%M) ! !E COMASTIA !anuan iu/ (see7 is=/e/s)

11

S.'2.0 S.'2.0 S.$2.' S.$2.# S.32.$ S.42.4 S.32.$ S.'2.2 S.$2.2 T.0' M.#2.$ R.$0.9

KODE ICD X R.02 E.11.$ .49.2 M.#.4 M.# A.09 *.2$ *.29.# *.29.$ *.$2.9 E.22.0 *.0$.1 .1# H.40.9 H.44.$ .00 .03 .0$ M.10.9 E.0$ A.$4.9 L.92.9 *.29.1 E.0$.0 !.1.0 *.0.' .2 !4#.9

NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22

NAMA DIAGNOSA HAEMATEMESIS ( Mnta$ Dara$ ) HAEMOTSIS ( Bat" Dara$) HAEMORRHA!IC ATE ART%M (HA) HAEMORRHA!IC OST ART%M (H) HAEMORRHOI"S ( Ambein) HEART +AIL%RE ( Ga!a# Jantn!) HEMA!IOMA %!!%! HEMA!IOMA HEMARO!I ATA ART%M (Pendara$an *ami#) HE H EMATEMESIS HEMATOMA ( Pemben!"a"an ) HEMATOMA EI"%RAL HEMATOMA EIS HEATOMA HEMATOE ( /bor"o#isis (ainn%a) HEMAT%RIA HE HEMI ARESIS HEMILE!IA HEMOLTIC AEMIS HEMORHA!IA CEREBRI HEATITIS A*%T HEATITIS CHAORIC

KODE ICD X *.92.0 R.04.2 O.4.9 O.#2.1 I.'4.2 I.$0 ".1. ".1'.0 0.4#.' *.92.0 T.14.0 S.0.4 .4'.' C.22.0 A.1'.0 R.31 !.'1.9 !.'1 ".$9.4 I.1.4 *.#2.0 *.#3.9

23

HEATIC +AIL%RE6 uns7e8ifie

*.#2.9

24

HEATITI ITIS

*.#$.9

2$ 2 2# 2' 29 30 31 32 33 34 3$ 3 3# 3' 39 40 41

HEATITIS ,IR%S AC%TE HEATOME!ALI HEATOMA HERIA HERIA %CLE%S ALAL%S (H) HERIA SCROTALIS HERES HERES :OSTER HERES :OSTER OHTHAL MIC%S HERIA I!%ALIS HERETIC < HERES HIERTESI HIRSCHR%!;S "ISEASE HISTERIS H" HO"! *I;S "ISEASE 12 HOR"EOL%M

B.19.9 R.1.0 C.22.9 *.4.9 M.$1.2 *.40.9 B.00.9 B.02.9 B.02.3 *.40.9 B.00.9 I.10 .43.1 +.44.9 M.$1.2 C.'1.9 H.00.0

42 43 44 4$ 4 4# 4' 49 $0 $1 $2 $3 $4 $$ $ $# $' $9 0 1 2 3 4 $  #

HIERLASIA HIER!LI*EMIA e8 "M H (HIERLASIA ROSTAT) H (Perdara$an Pasca Persa#inan ) H"ROCEHAL%S H"ROEROSIS H"ROCELE H"ROE%MATHORAX HERBILIR%BIIA HERES THESIA HEREMESIS !RA,I"AR%M HEREMIA *O&%ETI,A HEREMIA HERTESI HH" (HERTESIO HEART "ISEASE) HERTHRO O+ TOSILS HERTHRO ROSTATE HER%RITEMIA HHAEMA (*%peme) HO!LCEMIA H H O*ALEMIA HO*ALOMIC ERIO"IC ALALSIS HOSA"IA H HOTESIO HOTHERMIA H H TERECTOM H?7e/?/=i

NAMA DIAGNOSA

.'$.0 E.12.0 .40 0.#2 !.91 .13.3 .43.3 &.94.' .$9.9 R.20.3 O.21.0 H.11.4 R.'.' I.10 I.11.0 &.3$.1 .40 E.#9.0 H.21.0 E.1.2 E.'#. !.#2.3 .$4.9 I.9$.9 T.' O.'2.2 E0$.9

NO 1 2 3 4 $  # ' 9 10

ICH ICTER%S ILE%S ILE%S OBSTR%CTI,E IMM%I:ATIO IMACTE" CER%ME ( Kotoran di /e#in!a) IMETI!O IMOTECE ICOTIECE I""M (Insuin "e7enen "ia@ees Meius)

11

I+A* A*%T

I.21.9

12

I+ECTE" BROCHIECTASIS

&.40

13

I+ECTIO TOOTH

13

KODE ICD X I.1.9 R.1# *.$.# *.$. :.2.9 H.1.2 L.01.0 +.$2.2 R.32 E.10

*.04.#

14 1$ 1 1# 1' 19 20 21

I+ECTIO ,IRAL I+E*SI I+ERTILIT  +IB I+L%E:A I I&%R +ACE I&%R +I!ER I&%R O+ %ns7e8ifie BO" RE!IO I&%RI I&%RIES ES TO THE AB"OM AB"OME6 E6 =e/ =e/ @a8k @a8k66 u@a u@a// s7ine s7ine an

B.34.9 B.99 .9#.9 &.11.1 S.09.9. S.$.$ T.14 S.30

22

 7e5is I&% I&%RI RIES ES TO THE THE ELBO ELBO- an an +ORE +OREAR ARM M ( contsion& open

S.$0

23

1ond& fractre& dis#ocation& etc ) I&%RIES TO THE HEA" ( contsion& open 1ond& #aceration&

S.00

24

fractre& etc ) I&% I&%RI RIES ES TO THE THE HI HI an an THI THI!H !H ( contsion& open 1ond&

S.#0

2$ 2

#aceration& fractre& etc ) I&%RIES TO THE EC* (open 1ond&fractre&dis#ocation&etc ) I&% I&%RI RIES ES TO THE THE SHO% SHO%L" L"ER ER an an %E %ER R ARM ( contsion&

S.10 S.40

2#

open 1ond& fractre& dis#ocation& etc ) I&% I&%RI RIE ES TO THE THORA HORAX X ( contsion& open 1ond&

S.20

2'

#aceration& fractre& etc ) I&% I&%RI RIES ES TO THE THE -RIS -RIST T an an HA" HA" ( contsion& open 1ond&

S.0

29 30 31 32 33 34 3$ 3 3# 3' 39 40 41 42

#aceration& fractre& etc ) IART% (!1 0 A0 s   s Masuk e/asinan Tiak S7=nan) I IA*SI !I!I ISOMIA ITOXILATIO ALCOHOLIC IT ITOXIL OXILA ATIO IO BA BA!O !O ITOXILA ILATIO "R "R%! (Obat& S$ab2s$ab ) ITOXILA ILATIO +OO" (Ma"anan) IRRITABLE BO-EL S"ROME ISCHIAL!IA IS* ISA IT I%+" (In/a %e/ine +ea "ea>) I,A!IASI

14

O.'0 *.01.1 !.4# +.10.0 T.$ T.$.9 A.0$.9 *.$' M.$4.3 .34.2 &.0.0 ".9.1 O.3.4 *.$.1

K  NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21

NO

NAMA DIAGNOSA

*ATARA* *ATARA* SEILISIS *ATARA* RESEIL *ATARA* TRA%MATI* *ATARA* +OTALIS *" (*E&A! "EMAM) *ELOI" BAH% *ELOI" SCAR *ERAC%A E*STASI *ERATITIS *ERICTER%S ( Icters) *ET (*EHAMILA ECTOI* TER!A!!%) *IR *ES (*ese>aan) *ISTE BARTOLI *LIIS THOI" *OT OTROL ROL OST OST SC *OT OTROL ROL OST OST O *OT%SIO SELEBRI ** * (*OCH %LMO%M) *%&%!TI,ITIS

1$ NAMA DIAGN OSA

KODE ICD X H.2.9 H.2$.9 H.2.0 H.2.1 H.2.9 R.$ L.#3.0 L.91.0 T.43. H.1.9 .$# O.00.1 HL.10 .#$.0 A.#$.9 O.' O.'$  0.99 .99 O.' O.'$  0.99 .99 S.0.2 &.42 A.1$ H.10

KODE ICD X

1 2 3 4 $  # '

LARI!ITIS a8ue LE%*OMA LE%*EMIA LE%*EMIA !RA%LOCTIC *ROIC LABIO SCHISIS (Bi@i/ Su@in) LATE H (Sisa asena) LB LH+

9

LO- I TA*E

10 11 12 13 14 1$ 1 1# 1' 19

L%MBAL!IA L%MBAL SIOOSIS ("efe/aif) L%MBA!O -ITH SCIATICA L%%S ERTHEMAT%S%S LMHA"EITIS LMHOMA L LMHOATHIE LMHOMA MALI!AT LMHA"E OATH LMHOMA O HO"!IS La@i=7asi La@i= 7aae aae

&.04.0 H.1#.' C.9$.9 C.92.1 .3 O.#2.2 M.$4.$ I.$0.1 H.19 M.$4.$ S.#9.9 M.$4.3 L.93.0 I.''.9 ".1#.9 A.$$ C.'$.9 R.$9.1 C.'$.9 3.9 3#.9 3$.9

M NO 1 2 3 4 $  # ' 9 10

NAMA DIAGNOSA

MAL%TRITIO MASTITIS MASTOI"ITIS MEASLES ( Campa" ) MELAOMA MELASMA MELEA MEOA%SE METATARSAL!IA METRORRHA!IA

1

KODE ICD X E.4 H.1 H.#0.9 B.0$ C.43.9 L.'1.1 *.92.1 .9$.1 M.##.4 .92.1

11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24 2$ 2 2# 2' 29 30 31 32 33 34 3$ 3 3# 3' 39 40 41 42 43 44 4$ 4 4 4# 4' 49

MICOSIS MI!RAIE MILIARIA MOILIASIS MOOARESE M%TABER ( Mas" GE) MELOMA MOIA (3abn Ja$) MALARIA MALARIA +ALCIAR%M MALARIA TERTIAA MALARIA TROICAL MALARIA ,I,AX MALAISE A" ,OMITI! MALI!AT EOLASM O+ CER,IC %TERI MALI!AT EOLASM O+ O,ARI MALI!AT EOLASM O+ ,A!IA MALI!AT EOLASM O+ ,%L,A MAXILLAR SI%S MEMBRA HALIE MEI!!AL MASAL ME M EI!ISM%S MEI!ITIS MEI!ITIS BACTERIALIS MEI MEI! !IT ITIS IS "%E TO OTHE OTHER R and nspecified cases MEI!OCOCCAL MEI!ITIS MEI!O ESE+ALITIS MEOMETRORRHA!IA MISSE" ABORT%S MITRAL IS%++ICIEC MITRAL STEOSIS MORBILI  MEASHES MORB%S HASE MOLA HI"ATI "OSA MAL!IA (N%eri Otot& Pe!a#2pe!a# ) MASTEIA !RA,IS MOCAR"ITIS6 nspecified M MOMA %TERI MOIA MCI (MOCOR" I+ART) Mu8=8ee =f sai5a/? ans Mu8=8ee f=8a =/a uns7esi8ife M=us8u 8=nai=su

1#

B.49 !.43.9 L.#4.3 B.3#.9 !.'3.2 A.09 C.90.0 H.$2.1 B.$4 B.$0.9 B.$1.9 B.$0.9 B.$1.9 R.11 C.$3 C.$ C.$2 C.$1 C.31.0 .22.0 ".3.# R.29.1 !.03.9 !.00.9 !.03 A.39.0 !.04.9 .92.1 O.02.1 I.34.0 I.0$.0 B.0$.9 A.30.9 O.01 M.#9.1 !.#0.0 I.$1.4 ".2$.9 H.$2.1 I.21.9 *11. *13.# B0'.1

N NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24 2$ 2

NAMA DIAGNOSA

EMOTO"IASIS ERITIS EROLITHIASIS ER,O%S E%RAL!IA E%RASTHEIA E%RITIS I""M ASAL OL EOLASMA MA"IB%LA EOLASMA ASAL EOLASMA AHA EOLASMA T%LA! AHA EOATAL I+E*SI ATAL EOATAL ASIRATIO S"ROMES EOA EOAT TAL &A%"I &A%"ICE CE +ROM +ROM OTHER OTHER an uns7e8 uns7e8ifi ifie e 8auses 8auses E  EROHATH EROHATH OBSTR%CTI,E EHROTIC S"ROME E%RO +IBROMA TOSIS E%RO !EIC BLA"ER E,%S EC* O HO"!*IS LMHOMA OOR!AIC SLEE "ISOR"ERS  ISOMIA ERI EI!ASTRI* F STES  e@ua 8=/nea  eu/=7>a?  7=?neu/=7a>? 7=?neu/=7a>?  eu/iis 7e/ife/  e7/=i8 s?n/=e

NO

NAMA DIAGNOSA

KODE ICD X B.'2.0 .0$ .20 R.4$.0 M.#9.2 +.4'.0 M.#9.2 E.11 &.33 ".1.$ ".14.0 ".1.2 ".1.2 .3#.$ *.00. .24 .$9 .2'.9 .13.' .04 .'$.0 .31.9 ".22.4 C.'$.9 +.$1 +.4$.3 H1#.' !2.9 !2.9 04 KODE ICD X

1

OBSTIASI

*.$9.0

2

O"OTE*TOMI

S.23.1

3

OE"EMA6 n= ese>e/e 8assifie

4 $

OMHALITIS ORCHITIS

R.0 1'

.3' .4$.9

O

 # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24

OSTEOMELITIS OSTEOOROSIS OSTEOSARCOMA OTOMCOSIS

M.' M.'1.9 C.#9.$ B.3.9 F

OE OMA OBSTR%CTI, &O%"ICE  ICTER%S OM OL" MOCAR"IAL I+ARCTIO ORCHITIS A" EI"I"MITIS OTAL!IA (N%eri /e#in!a) OTHER B%RSAL CST OTHER CA CATARACT (Katara" ) OTHER "ERMATITIS OTHER R%RI!O OTHER RETIAL "ISOR"ERS OTHER SECI+IE" "IABETES MELLIT%S OTITIS OT OTITIS AC%TE

H.2.2 H.02 H..9 E.'0.4 H. I.2$.2 .4$ H.92.0 M.#1.3 H.2 L.30 L.2'.2 H.3$ E.13 H. H.0.$

P NO 1 2 3 4 $  # ' 9

NAMA DIAGNOSA

ALITATIOS AILLITIS ARAARESIS ARESIS (ARALSIS) AR*ISOS AROILIA AROTITIS ERT%SIS HAR!ITIS

10

HMOSIS

.#4

11

ISLOCATIO

T.14.3

12

.14.3 A

.10

13

E%MOIA

&.1'.9

14 1$ 1

E%MOTHORAX OLIE%RITIS RESBOIA

&.93.9 !.2.9 H.$2.4

19

KODE ICD X R.00.2 H.4 !.'2.2 !.'3.9 !.20 L.03 *.11.2 A.3#.9 &.02.9

1# 1' 19 20 21 22 23 24 2$ 2 2#

SCHOSOMATIC TER!I%M %LITIS ARALITI* ILE%S ARALE!IA A" TETRALE!IA ERSALIA ORMAL  SOTA E ERITOITIS ERITOSILITIS ERITOITIS AC%TE ERIO"OTOSIS O* (en?aki a/u)

2'

ERITOISIS

29 30 31 32 33 34 34 3$ 3 3# 3' 39 40 41 42 43 44 4$ 4 4# 4' 49 $0

EMHI!%S ,%L!ARIS EAOL +IRT%LA ERITOSILAR ABCES ER+ORASI ILE%S HLEBITIS A" THROMBOIHLEBITIS LACETA RE,IA LE%RAL E++%STIO LE%RIS EX%"ATE OL ASAL O OL SET%M O OL CER,IX OST OST O+ COLO COLOS STOM OST S*IBILITIS AR% ROLASE IRIS ROLASE %TERI ROSTATE HERTROH ROTEI CALORI MAL%TRISI (CM) O* SI*OSIS O OR!AI* %LMOAL HERTESI,E) ELOEHRITIS ELOEHRITIS AC%TE ELOEHRITIS CHROIC se==7>akia

+.4$.9 H.11.0 *.04.0 *.$.0 !.'2 O.'0 *.$.9 &.3 *.$.0 *.0$.4 &.44.9 *.$

20

I.10.0 *.0.3 &.3 *.3.1 I.'0 .'1.9 &.90 &.00 &.33.9 &.33.0 .'4.1 :.93 :.93.3 .3 !.'1 S.0$.2 .'1.9 .40 E.4 &.44.9 +.23.9 I.2#.0 .12 .10 .11.9 :9.1

3  NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19

NAMA DIAGNOSA

R"S RE+AIR ,A!IA RE!%R!ITATIO RETESIO LASETA RETESIO %RIE RETIO BLASTOMA RHE%MATHOI" ARTHRITIS6 uns7e8ifie RHIITIS RHIITIS A*%T RI" (Ren=7e Is8kei8 eu/aia "efe8) RIO +ARI!ITIS REAL COLIC RETIITIS R%BELLA R%T%RE !ASTER R%T%RE LI!AMIT%M R%T%RE ERIE%M R%T%RE TE"OM R%T%RE O+ TE"O

KODE ICD X .22.0 S.#$.# I.3$.1 O.#2 R.33 E.9.2 M.0.9 &.13.0 &.00 M.#9.2 &.00 .23 H.30.9 B.0 *.31.' S.33.4 .90.' T.14. M.

S NO 1 2 3 4 $ #

NAMA DIAGNOSA

SALI!ITIS SCABIES SCHI:OHREIA SCLERITIS SCOLIOSIS SCROTAL ,ARICES 4.aricoce#e)

21

KODE ICD X .#0.9 B.' +.20.9 H.1$.0 M.41.9 I.'.1

' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24 2$ 2 2# 2' 29 30 31 32 33 34 3$ 3 3# 3' 39 40 41 42 43 44 4$ 4 4# 4' 49 $0 $1 $2 $3 $4 $$

SETICAEMIA6 Unspecified SESIS SHOC* SI!%LT%S SISTITIS S*IBILITIS (OST) S SO"LOSIS STAII! STEMI STERIL S%B%R SCOE SIE S!B SHI SLE ST SOL SC SCARLET +E,ER SESIS E- BOR SERE+%LA "ERMA SI%SITIS SI%SITIS MAXILARIS SI%S TACHICAR"IS SIROSIS HEATIS SISA ABORT%S SISA MOLA *%RET SLEE "ISOR"ERS ( Gan!!an /idr) SE*TR%M ASAL SLEOME!AL SACE OCCII! LESIM  SOL SASME OTOT LEHER *IRI SO"LOSIS SO"LOARTHOSIS STAT%S ASMATIC%S STAT%S EILETIC%S STEOSIS LOR%S STE,E &HOSO S"ROME STOMATITIS STOM STOMA ATITIS ITIS AHTH HTHO, O,II STOMATITIS A" RELATE" LESIOS STRO*E HEMORA!HIE STRO*E O HEMORA!HIE ST STR%MA  TOXIC STR%MA *ISTA  TROI" ST STR%MA MO"%SA ST%MA A"OSA S%ER +ICIAL 22

A.41.9 A.41.9 R.$# R.0. .30.9 !.'1 M.4#.9 *.03. I.$1.$ :.30 L.$$ R.$$ M.32.9 !.1.0 S.2.9 L.93.0 E.04.9 R.90 A.3' .3.9 A.1'.2 &.32.9 &.32.0 I.4#.1 *.#4. O.0$ O.01 !.4# ".14.0 R.1.1 !.93.9 R.2$.2 M.4# M.4#.9 &.4 !.41 *.31.1 L.$1.1 *.12.1 *.12 *.12.0 .0 *.12 I.#.9 I.4 E.0$ ".34 E.04 B.2.9 T.14.0

$ $ $# $' $9 0

NO 1 2 3 4 $  # ' 9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23 24 2$ 2 2# 2' 29 30 31 32 33 34 3$ 3 3# 3'

SIMATHIS HERACTI+ S"ROME ASIRASI S"ROME EHROTIC S"ROME "ISETRI BASILER SCOE A" COLLASE SO,ITIS A" TEOSO,ITIS

NAMA DIAGNOSA

THALLASSEMIA THROI" THROI"ITIS TIIT%S (/e#in!a Berden!n!) TRACHOMA TREMOR6 uns7e8ifie TE"IITIS ACHILLES TB %LMO%M MO"RATE A*TI+ TBC TBC %S%S T"B" TIA TT TESIO TE HEA"ACHE TEROMORTIBI O%" "RAHAE%LA  "IO"E TETA%S TETA%S EOATOR%M TETRAARISE (HEMIARESE) TIEA TI TIEA CR%RIS TIEA ,ERSICOLOR TOSILITIS TOSILITIS *ROI* TOSIL HERTROH TOSILO HARI!ITIS TRA%MA TRA%MA AB"OME TRA%MA CAITIS TRA%MA L%MBOSACRAL TRA%MA THORAX TRA%MA T%M%L TRA%MA *AITIS BERAT TROMBOSIS CEREBRI T%BERC%LOSIS MEI!ITIS T%BE T%BERC RC%L %LO OSIS AR% T%MOR AB" T% T %MOR AXILLA 23 T%MOR BAC* (unun)

*.31.' .24.9 .04 A.03.9 R.$$ M.$

KODE ICD X ".$.9 E.04.1 E.0.0 H.93.1 A.#1 R.2$.1 M.#.# A.1.2 A.1$ A.1'.3 A.91 !.4$.9 .22.1 !.44.2 .39.9 A.3$ A.33 !.'1.9 B.3$.9 B.3$. B.3.0 &.03 &.3$.0 &.3$.0 &.0.' T.14.9 S.39.9 S.0 S.34.2 S.29.# S.0.0 S.0.2 I..9 A.1#.0 A.1 A.1.2 .2 ".09.# ".21.3 ".3.#

/

39 40 41 42 42 43 44 4$ 4 4# 4' 49 $0 $1 $2 $3 $4 $$ $ $# $' $9 0 1 2

T%MOR BAH% T%MOR B%LI TIROI"ITIS *ROI* T%MOR !LA"%LA LACRIMALIS T%MOR HEA" (*e7aa) T%MOR SCAL T%MOR HI"%! T% T%MOR LEHER T%MOR LI"AH ( /on!e) T%MOR LI!%AL T%MOR OTA* ( Brain 5 Cerebra# ) T%MOR T%LA! AHA T%MOR AROTIS  ST T%MOR AR% ( (n!s) T%MOR I!!A! ( 6rist) T% T%MOR RAHIM T%MOR SCROTALIS "EXTRA T%MOR SI!MOI" T%MOR TELI!A T% T %MOR TOSIL T% T %MOR TESTIS T%MOR TIROI" T%MOR ,ESICA %RIARIA TTH TESIO TE HEA"ACHE TA TACHCAR"IA THOI" +E,ER TH%S (+E,ER) NAMA DIAGNOSA

".3.# ".30.3 E.0.$ ".3$.9 C.#$.0 "23.4 ".3.# ".3.# C.02.9 ".10.1 ".33 ".1.2 ".11.0 ".14.3 ".3.# ".2.9 ".29.4 ".12.$ ".23.2 ".10.4 ".29.2 ".34 ".30.3 !44.2 R.00.0 A.01.0 A.#$.9

NO 1 2 3 4 $  #

%REMIA %ROLITHIASIS %LC%S ETIC %LC%S ,ETRI*%LI %RETHRAL STRICT%RE %RTICARIA  R%RIT%S ( Gata#2!ata# ) %TI

KODE ICD X .19 .20.9 *.2#.9 *.2$.9 .3$ L.$0 .39.3

NO 1 2 3 4 $  # '

NAMA DIAGNOSA ,ARICELLA ( C$ic"enpo7) ,ARICESS ,A ,ARICOCELE ,ERTI!O ,ER%CA ,ESIC%LA ,ITILI!O 24 ,%L,ITIS

KODE ICD X B.01.9 I.'3.9 I.'.3 R.42 B.0# R.23.' L.'0 .#.2

.

9 10 11 12 13 14 1$ 1 1# 1' 19 20 21 22 23

NO 1 2 3 4

,IRAL HEATITIS ,%L%S CER,ICAL ESOHA!%S  &OIT ,%L%S MORS%M ( Di!i!it Binatan!) ,%L %L%S EXCOR XCORIA IASI SI "EC "EC* ( Pn!!n!) ,%L %L%S EXCOR XCORIA IASI SI +ACE ( Pipi) ,%L %L%S EXCOR XCORIA IASI SI +OOT OOT ( (tt) ,%L %L%S EXCOR XCORIA IASI SI HA" A" ( /an!an) ,%L%S SCISS%M 7aa BAH% F *EALA ,%L %L%S SCISS ISS%M SHO% SHO%L L"ER "ER ( Ba$) ,%L%S SCISS%M THORAX ,%L%S TRA%MATIC AB"OME ,%L%S SCLOECTOR%M AB" EETRA ,ETRIC%LAR SETAL "E+ECT ,IRAL I+ECTIO O+ %SECI+IE" SITES ,IRAL MEI!ITIS

NAMA DIAGNOSA

-O -O%" A%S -O -O%" EC* -O%" (TERILE) ELIIS -O%" TELI!A (EAR)

B.1.9 S.11.2 T.14.1 S.21.2 S.01.' S.91.3 S.1.9 S.01.2 S.41.0 S.21.9 S.31.0 S.31.' .21.0 B.34 A.'#

KODE ICD X S.31.' S.11.9 S.01.' S.01.3

8 NO 1

NAMA DIAGNOSA :OSTER 4*erpes 8oster )

2$

KODE ICD X B.02