KODE ENTRY INA-CBG'S DIAGNOSA DAN TINDAKAN TINDAKAN NO
DIAGNOSA
KODE
TINDAKAN OBSGYN
1 2 3 4 5 6 7 9 10
ABORTUS IN-KOMPLIT ABOTRUS IMMINENS ADHE ADHESI SI TUB TUBA A OV OVARIU ARIUM M ADHESI USUS ATONIA UTERI PRE PARTUS ATONIA UTERI POST PARTUS ASPHYXIA ASPHYXIA RIN!AN ASPHYXIA BERAT BEKAS SC
11 BO 12 13 14 15 16 17 1 19 20 21 22 23
BBLR "A "ERVIK "EPALO PELVIK DISPROPORTION #"PD$ DI D ISPROPORSI KEPALA PAN!!UL %ETAL DEATH %ETAL DISTRESS !A!AL INDUKSI !ESTATIONAL HIPERTENSI PRE!NAN"Y !EMELLI HAMIL ) 37 MIN!!U HAMIL * 37 MIN!!U HEMATOM VULVA
24 25 26 27 2 29 30 31 32 33 34 35 36 37 3 39 40 41 42 43 44 45 46 47 4 49 50
HI HIPEREMISIS !RAVIDARUM HIPERTENSI DALAM KEHAMILAN HIPERTIROID KLINIS INERSIA UTERI & HIPOTONIA INTRAUTERINE !RO(TH RESE"TION IU!R KALA 1 LAMA KALA 2 LAMA KISTA BARTOLINI KISTA "OKLAT KI KISTA ENDOMETRIOSIS KISTA PARATUBA KISTA OVARIUM KOM OMA A ' ST STATUS TUS EPIL EPILEP EPTI TIKU KUS S ' KRI KRISI SIS S TIRO TIROID ID ' IU%D IU%D KPD KPD ' S" LASERASI PERINEUM LETAK OBLI+UE & LETAK LINTAN! LETAK SUN!SAN! MALPOSITION MOLA HIDATIDOSA LEIOMYOMA UTERI OLI!OHIDRAMION & OLI!OHIDROMION OLI!OMINORA PAN!!UL SEMPIT PAPILOMA PARTUS BAYI BESAR
O06.3 O20.0
KURETASE
K66.0 O62.2 P03.6 P21.9 P21.1 P21.0 O34.2
ADHENSIONS
O02.0
SC KURET SEBELUM BAYI LAHIR KURET SESUDAH BAYI LAHIR
P07.1 D06.9 O33.5 O33.0 S" O36.4 O6.9 O61.9 & O66.4 ' O2.9 S" ' MO( O13 O30.0 & O63.2 O47.0 O47.1 O71.1
O21.1 O10.4 O90.5 O62.2 VAKUM EKSTRASI O31.2 P05.9 O63.0 O63.1 N75.0 N0.1 KISTATE"TOMY N0.1 KISTATE"TOMY +50.4 +50.1 KISTATE"TOMY . . ' R40 R40.2 .2 ' E05. E05.5 5 ' O6 O6.9 .9 O42.0 & O42.9 PARTUS SPONTAN O2.9 ' O42.0 S" O70.9 O32.2 S" O64. S" P03.1 VAKUM EKSTRASI O01.9 D25.9 HYSTERE"TOMY O41.0 N91.5 O33.0 S" D30.7 EKSTRIPASI PAPILOMA O66.2 S"
24 25 26 27 2 29 30 31 32 33 34 35 36 37 3 39 40 41 42 43 44 45 46 47 4 49 50 51 52 53
HI HIPEREMISIS !RAVIDARUM HIPERTENSI DALAM KEHAMILAN HIPERTIROID KLINIS INERSIA UTERI & HIPOTONIA INTRAUTERINE !RO(TH RESE"TION IU!R KALA 1 LAMA KALA 2 LAMA KISTA BARTOLINI KISTA "OKLAT KI KISTA ENDOMETRIOSIS KISTA PARATUBA KISTA OVARIUM KOM OMA A ' ST STATUS TUS EPIL EPILEP EPTI TIKU KUS S ' KRI KRISI SIS S TIRO TIROID ID ' IU%D IU%D KPD KPD ' S" LASERASI PERINEUM LETAK OBLI+UE & LETAK LINTAN! LETAK SUN!SAN! MALPOSITION MOLA HIDATIDOSA LEIOMYOMA UTERI OLI!OHIDRAMION & OLI!OHIDROMION OLI!OMINORA PAN!!UL SEMPIT PAPILOMA PARTUS BAYI BESAR PARTUS MA"ET PARTUS SPONTAN PA PARTUS SUN!SAN!
54 55 56 57 5 59 60 61 62 63 64 65 66
PARTUS TAK MA,U PEB PERDARAHAN ANTEPARTUM PERDARAHAN PERVA!INA PERDARAHAN POST PARTUM PERLEN!KETAN PERINIUM PLA"ENTA HEMATOM PLA"ENTA PREVIA #LETAK RENDAH$ PLA"ENTA SOLUSIO PRESBO POLYHIDRAMNION RETENSIO PLASENTA RUPTUR KISTA OVARIUM
67 RUPTUR PERINIUM
O21.1 O10.4 O90.5 O62.2 VAKUM EKSTRASI O31.2 P05.9 O63.0 O63.1 N75.0 N0.1 KISTATE"TOMY N0.1 KISTATE"TOMY +50.4 +50.1 KISTATE"TOMY . . ' R40 R40.2 .2 ' E05. E05.5 5 ' O6 O6.9 .9 O42.0 & O42.9 PARTUS SPONTAN O2.9 ' O42.0 S" O70.9 O32.2 S" O64. S" P03.1 VAKUM EKSTRASI O01.9 D25.9 HYSTERE"TOMY O41.0 N91.5 O33.0 S" D30.7 EKSTRIPASI PAPILOMA O66.2 S" O65.0 S" O0. & O3. PARTUS SPONTAN O3.2 EKSTRAKSI BOKON!
O61.9 O14.0 O46.9 N93. O72.1 O73.0 O43. O44.0 O45.9 O32.1 O40 O73.1 N3.2 N90.9
6 SYOK D%ALAM KEHAMILAN
O75.1
69 TORSI OVARIUM
N3.5
S" S" KURET
S" EKSPLORASI "AVUM UTERI KURET REPAIR VA!INA REPAIR PERINIUM REDI"AL "YSTE"TOMY BEDAH
1 2 3 4 5 6 7
ABSES MAMAE ABSES LUMBAL ABSES TELIN!A ABSES UMBILIKAL APP BATU BULI BATU !IN,AL BATU URETRA & BATU SALURAN KEMIH
N61 & O91.1 M65.09 H60.0 L02.2 K35.9 N21.1 N20.0 N21 1
EKSISI O% BRAEST INSISI ABESE EKSISI TELIN!A INSISI ABDOMINAL WALL APENDI"TOMY VESI"OSTOMY NEPROTOMY MEATOTOMI
54 55 56 57 5 59 60 61 62 63 64 65 66
PARTUS TAK MA,U PEB PERDARAHAN ANTEPARTUM PERDARAHAN PERVA!INA PERDARAHAN POST PARTUM PERLEN!KETAN PERINIUM PLA"ENTA HEMATOM PLA"ENTA PREVIA #LETAK RENDAH$ PLA"ENTA SOLUSIO PRESBO POLYHIDRAMNION RETENSIO PLASENTA RUPTUR KISTA OVARIUM
O61.9 O14.0 O46.9 N93. O72.1 O73.0 O43. O44.0 O45.9 O32.1 O40 O73.1 N3.2
67 RUPTUR PERINIUM
N90.9
6 SYOK D%ALAM KEHAMILAN
O75.1
69 TORSI OVARIUM
N3.5
S" S" KURET
S" EKSPLORASI "AVUM UTERI KURET REPAIR VA!INA REPAIR PERINIUM REDI"AL "YSTE"TOMY BEDAH
1 2 3 4 5 6 7 9 10 11
ABSES MAMAE ABSES LUMBAL ABSES TELIN!A ABSES UMBILIKAL APP BATU BULI BATU !IN,AL BATU URETRA & BATU SALURAN KEMIH BATU URETER BLADER NE"K STENOSIS BPH
12 13 14 15 16 17 1 19 20 21
CA CERVIK CA MAMAE "YSTITIS DJ STENT EX"ISI "ORPAL %AM !A!AL !IN,AL AKUT GAGAL GINJAL KRONIK HEMATO"REIA HEMOROID
N61 & O91.1 M65.09 H60.0 L02.2 K35.9 N21.1 N20.0 N21.1 N20.1 N32.0 D29.1
C53.9 C50.9 N30.9 93.! M79.52 N60.3 N17.9 N"#.9 K62.5 I4.2
22 HERNIA 23 24 25 26 27 2 29 30 31 32 33 34 35 36 37
HERNIA S"ROTALIS HERNIA %EMORALIS HERNIA IN!UINALIS HEPATITIS HIDRONEPROSIS ' BATU URETRA ILEUS OBSTRUKSI ILEUS PARALITIS IN,URY O% BLADDER IN,URY O% %EMORAL ARTERY LIMPADENOPATI "OLI MUCOCELE PERITONITIS !ENERALISATA PERITONITIS TB PHIMOSIS POLIDAKTILI
K41.3 K41.9 K40.9 K73.2 N13.2 K56.5 K56.0 S37.21 S75.0 R59.1 & L04.1 K"".! K35.0 A1.3 N47 +69.9
EKSISI O% BRAEST INSISI ABESE EKSISI TELIN!A INSISI ABDOMINAL WALL APENDI"TOMY VESI"OSTOMY NEPROTOMY MEATOTOMI URETEROTOMY D/ O B/ N8 PROSTATE"TOMY
REMOVE DJ STENT EX"ISION EX"ISION $EMASANGAN DOUBLELUMEN HEMOROIDE"TOMY LAPAROTOMY RESEKSI HERNIORAPHY HERNIORAPHY HERNIORAPHY URETEROTOMY "OLOSTOMY "OLOSTOMY
BIOPSI EKSTER$ASI MUCOCELE LAPAROTOMY & RESEKSI USUS LAPAROTOMY SIRKUMSISI EX"ISION
12 13 14 15 16 17 1 19 20 21
CA CERVIK CA MAMAE "YSTITIS DJ STENT EX"ISI "ORPAL %AM !A!AL !IN,AL AKUT GAGAL GINJAL KRONIK HEMATO"REIA HEMOROID
C53.9 C50.9 N30.9 93.! M79.52 N60.3 N17.9 N"#.9 K62.5 I4.2
22 HERNIA 23 24 25 26 27 2 29 30 31 32 33 34 35 36 37 3 39 40
HERNIA S"ROTALIS HERNIA %EMORALIS HERNIA IN!UINALIS HEPATITIS HIDRONEPROSIS ' BATU URETRA ILEUS OBSTRUKSI ILEUS PARALITIS IN,URY O% BLADDER IN,URY O% %EMORAL ARTERY LIMPADENOPATI "OLI MUCOCELE PERITONITIS !ENERALISATA PERITONITIS TB PHIMOSIS POLIDAKTILI RUPTUR BULI & BLADDER SINDAKTILI SNA"K BITE
41 42 43 44 45 46 47 4 49 50 51 52 53
SO%T TISSUE TUMOR #STT$ SO%T TISSUE TUMOR PUN!!UN! #STT$ STRI"TUR URETRA & BUSINASI TUMOR "OLON TUMOR MAMAE TUMOR TESTIS TUMOR TELIN!A UL"ERATIVE "OLLITIS ULKUS MAMAE ULKUS WAJAH VARI"O"EL VESIKOLITIASIS VL S"ROTUM
K41.3 K41.9 K40.9 K73.2 N13.2 K56.5 K56.0 S37.21 S75.0 R59.1 & L04.1 K"".! K35.0 A1.3 N47 +69.9 N32.4 +70.9 T63.0
REMOVE DJ STENT EX"ISION EX"ISION $EMASANGAN DOUBLELUMEN HEMOROIDE"TOMY LAPAROTOMY RESEKSI HERNIORAPHY HERNIORAPHY HERNIORAPHY URETEROTOMY "OLOSTOMY "OLOSTOMY
BIOPSI EKSTER$ASI MUCOCELE LAPAROTOMY & RESEKSI USUS LAPAROTOMY SIRKUMSISI EX"ISION EX"ISION KONSERVATI%
D21.0
EX"ISION O% TISSUE
N36.9 D12.2 N60.9 D29.2 "30.1 K51.9 N61 L03.2 I6.1 N21.0 S31.3
BUSINASI HERNI"OLE"TOMY EX"ISION BREAST OR"HIE"TOMY MASTIODE"TOMY EX"ISION BREAST TISSUE E%CISION O& SO&T TISSUE O:; O</= O S:>? / T>/ V/@/= VESI"OSTOMY LASERASI S"ROTUM
THT 1 2 3 4 5 6
%ARIN!ITIS POLIP TONSILITIS AKUT TONSILITIS KRONIK TYROID STRUMA
,02.9 ,33.9 ,03.9 ,35.0 D44.0 E04.1
KONSERVATI% NASAL %ISTULA TONSILE"TOMY TONSILE"TOMY TYROIDE"TOMY TYROIDE"TOMY
ORTHO$AEDY 1 ARTHRITIS
M13.6
TOTAL KNEE
41 42 43 44 45 46 47 4 49 50 51 52 53
SO%T TISSUE TUMOR #STT$ SO%T TISSUE TUMOR PUN!!UN! #STT$ STRI"TUR URETRA & BUSINASI TUMOR "OLON TUMOR MAMAE TUMOR TESTIS TUMOR TELIN!A UL"ERATIVE "OLLITIS ULKUS MAMAE ULKUS WAJAH VARI"O"EL VESIKOLITIASIS VL S"ROTUM
D21.0
EX"ISION O% TISSUE
N36.9 D12.2 N60.9 D29.2 "30.1 K51.9 N61 L03.2 I6.1 N21.0 S31.3
BUSINASI HERNI"OLE"TOMY EX"ISION BREAST OR"HIE"TOMY MASTIODE"TOMY EX"ISION BREAST TISSUE E%CISION O& SO&T TISSUE O:; O</= O S:>? / T>/ V/@/= VESI"OSTOMY LASERASI S"ROTUM
THT 1 2 3 4 5 6
%ARIN!ITIS POLIP TONSILITIS AKUT TONSILITIS KRONIK TYROID STRUMA
,02.9 ,33.9 ,03.9 ,35.0 D44.0 E04.1
KONSERVATI% NASAL %ISTULA TONSILE"TOMY TONSILE"TOMY TYROIDE"TOMY TYROIDE"TOMY
ORTHO$AEDY 1 ARTHRITIS 2 ARTHRITIS 3 CTEV 4
5 6 7 9 10 11 12 13 14 15 16 17 1 19 20 21 22 23 24 25
M13.6 M13.6 !!.0 S43.0
DISLO"ATION SHOULDER E+UIS DE%ORMITI PEDIS %RA"TUR A"ETABULUM &RACTUR COLLUM &EMUR &RACTUR COLLUM &EMUR %RA"TUR %EMUR %RA"TUR LUMBAL %RA"TUR PUBIS %RA"TUR THORA"AL &ROEN SHOULDER HNP #HERNIA NU"LEUS POLPUSUS$ LUMBAL HNP #HERNIA NU"LEUS POLPUSUS$ THORA"AL KNEE PAIN MALUNION TIBIA OSTEO"ONDROMA TRAUMATI" AMPUTATION PHALAN! %OOT TRAUMA THORAX PLE"US BRAN"HIALIS RUPTUR TENDON SPONDILITIS TB LUMBAL SPONDILITIS TB THORA"AL VULNUS #OPEN (OUND$
TOTAL KNEE S+UESTRE"TOMY !IPS ' TENOTOMY OPEN REPOSITION
M21.67 S32.40 S92.00 S(2.0 S(2.0 S32.0 S32.5 S32.0 M(5.0 M51.1 ' !55.1 M51.1 ' !55.1 M25.55 M4.06 +7.9 S9.1 S20.3 & S20. & S22.5 !54.0 S66.1 A1.0 ' M49.06 A1.0 ' M49.06 S91
LEN!THENIN! TENDON A"ILES SKIN TRAKSI REPLA"EMENT O% "AST ON UPPER LIMB HEMIARTRO$LASTY ) TOTAL HI$ RE$LACEMENT *THR+ TOTAL KNEE RE$LACEMENT *TKR+ SKELETAL TRAKSI ' OSTEO"LASIS LAMINE"TOMY LAMINE"TOMY LAMINE"TOMY LAMINE"TOMY OSTEOTOMY TIBIA EX"ISION BONE REPAIR STUMB KONSERVATI% REPAIR TENDON LAMINE"TOMY LAMINE"TOMY SUTURE
INTERNIST 1 2 A"UTE HEPATITIS "
,
R10.4 B17.1
KONSERVATI%
5 6 7 9 10 11 12 13 14 15 16 17 1 19 20 21 22 23 24 25
DISLO"ATION SHOULDER E+UIS DE%ORMITI PEDIS %RA"TUR A"ETABULUM &RACTUR COLLUM &EMUR &RACTUR COLLUM &EMUR %RA"TUR %EMUR %RA"TUR LUMBAL %RA"TUR PUBIS %RA"TUR THORA"AL &ROEN SHOULDER HNP #HERNIA NU"LEUS POLPUSUS$ LUMBAL HNP #HERNIA NU"LEUS POLPUSUS$ THORA"AL KNEE PAIN MALUNION TIBIA OSTEO"ONDROMA TRAUMATI" AMPUTATION PHALAN! %OOT TRAUMA THORAX PLE"US BRAN"HIALIS RUPTUR TENDON SPONDILITIS TB LUMBAL SPONDILITIS TB THORA"AL VULNUS #OPEN (OUND$
M21.67 S32.40 S92.00 S(2.0 S(2.0 S32.0 S32.5 S32.0 M(5.0 M51.1 ' !55.1 M51.1 ' !55.1 M25.55 M4.06 +7.9 S9.1 S20.3 & S20. & S22.5 !54.0 S66.1 A1.0 ' M49.06 A1.0 ' M49.06 S91
LEN!THENIN! TENDON A"ILES SKIN TRAKSI REPLA"EMENT O% "AST ON UPPER LIMB HEMIARTRO$LASTY ) TOTAL HI$ RE$LACEMENT *THR+ TOTAL KNEE RE$LACEMENT *TKR+ SKELETAL TRAKSI ' OSTEO"LASIS LAMINE"TOMY LAMINE"TOMY LAMINE"TOMY LAMINE"TOMY OSTEOTOMY TIBIA EX"ISION BONE REPAIR STUMB KONSERVATI% REPAIR TENDON LAMINE"TOMY LAMINE"TOMY SUTURE
INTERNIST 1 2 3 4 5
, A"UTE HEPATITIS " A"UTE RENAL %AILURE #AR%$ ALER!I AS"ITES
R10.4 B17.1 N17.9 L23.6 R1
6 7 9 10 11 12 13 14 15 16 17 1 19 20 21 22 23 24 25 26 27 2 29 30 31 32
ASTHMA BRON"HITIS BRON"HOPNEUMONIA "AP "EROSISHEPATIS "HEST PAIN "H% "H% & HHD & HT "OLI" RENAL "LONOR"HIASIS "RONI" RENAL %AILURE #"R%$ DH% DRU! INDU"ED LIVER IN,URY DISPEPSIA DISPNOEA DM TYPE 1 DM TYPE 2 E%USI PLEURA EPILEPSI EPITAXIS %ARIN!ITIS AKUT %ARIN!ITIS KRONIK %EVER !ASTRITIS !ASTROPATI DM HEMAPTOE HEMATO"HREIA
,45.9 ,20.9 ,1.0 ,96.9 & A16.1 K74.6 R07.3 I50.0 & I50.9 I11.0 N23 B66.1 N1.9 A91 K71.6 K30 R06.0 E10 E11 ,90 !40.9 R04.0 ,02.9 ,31.2 R50.9 K29.7 K31. R04.2 K62.5
KONSERVATI% KONSERVATI% KONSERVATI%
NEBULIEER KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI%
(SD
KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI%
6 7 9 10 11 12 13 14 15 16 17 1 19 20 21 22 23 24 25 26 27 2 29 30 31 32 33 34 35
ASTHMA BRON"HITIS BRON"HOPNEUMONIA "AP "EROSISHEPATIS "HEST PAIN "H% "H% & HHD & HT "OLI" RENAL "LONOR"HIASIS "RONI" RENAL %AILURE #"R%$ DH% DRU! INDU"ED LIVER IN,URY DISPEPSIA DISPNOEA DM TYPE 1 DM TYPE 2 E%USI PLEURA EPILEPSI EPITAXIS %ARIN!ITIS AKUT %ARIN!ITIS KRONIK %EVER !ASTRITIS !ASTROPATI DM HEMAPTOE HEMATO"HREIA HEPATITIS HEPATORENAL SYNDROM HIDRONEPROSIS (ITH RENAL AND URETERAL
,45.9 ,20.9 ,1.0 ,96.9 & A16.1 K74.6 R07.3 I50.0 & I50.9 I11.0 N23 B66.1 N1.9 A91 K71.6 K30 R06.0 E10 E11 ,90 !40.9 R04.0 ,02.9 ,31.2 R50.9 K29.7 K31. R04.2 K62.5 K73.2 K76.7 N13.2
36 37 3 39 40 41 42 43 44 45 46 47 4 49 50 51 52 53 54 55 56 57 5 59 60 61 62
HIPER!LIKEMIA DAN HIPO!LIKEMIA HIPERTENSION HEART DESEASE #HHD$ HI$OKALEMIA IS"HIAL!IA ISK ISK ' VIRAL IN%E"TION ISPA KANKER PAYUDARA TIDAK SPESI%IK KANKER PAYUDARA SETELAH PA KELUAR KE,AN! KONSTIPASI LIMPADENOPATI "OLLI LIMPADENOPATI TB MELAENA MENIN!ITIS MORBILI PENURUNAN KESADARAN P,K PNEUMONIA PPOK TB PARU & TERAPI THYPOID %EVER SIROSIS HEPATITIS SEPSIS STEMI STRUMA NON TOXI" SYNDROM !ERIATRI
R73.9 E16.2 I11.9 E#(.! M54.3 N39.0 N39.0 ' B34.9 ,06.9 0. "50.9 R56. K59.0 R59.1 A1.2 K92.1 !03.9 B05.9 R40.2 & P91.5 I25.9 ,1.9 ,44. A16.1 & 92.9 A01.0 K74.6 A41.9 I21.9 & I51.9 E04.1 !90.3
NEBULIEER KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI%
(SD
KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI%
KONSERVATI%
KONSERVATI% KONSERVATI% KONSERVATI% KEMOTERAPI KONSERVATI%
KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% LOBE"TOMY
36 37 3 39 40 41 42 43 44 45 46 47 4 49 50 51 52 53 54 55 56 57 5 59 60 61 62 63 64 65
HIPER!LIKEMIA DAN HIPO!LIKEMIA HIPERTENSION HEART DESEASE #HHD$ HI$OKALEMIA IS"HIAL!IA ISK ISK ' VIRAL IN%E"TION ISPA KANKER PAYUDARA TIDAK SPESI%IK KANKER PAYUDARA SETELAH PA KELUAR KE,AN! KONSTIPASI LIMPADENOPATI "OLLI LIMPADENOPATI TB MELAENA MENIN!ITIS MORBILI PENURUNAN KESADARAN P,K PNEUMONIA PPOK TB PARU & TERAPI THYPOID %EVER SIROSIS HEPATITIS SEPSIS STEMI STRUMA NON TOXI" SYNDROM !ERIATRI SYNDROM STEVEN ,OHNSON VL %RONTAL VULNUS DI KEPALA
R73.9 E16.2 I11.9 E#(.! M54.3 N39.0 N39.0 ' B34.9 ,06.9 0. "50.9 R56. K59.0 R59.1 A1.2 K92.1 !03.9 B05.9 R40.2 & P91.5 I25.9 ,1.9 ,44. A16.1 & 92.9 A01.0 K74.6 A41.9 I21.9 & I51.9 E04.1 !90.3 L51.1 T01.0 S01.
KONSERVATI%
KONSERVATI% KONSERVATI% KONSERVATI% KEMOTERAPI KONSERVATI%
KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI% LOBE"TOMY KONSERVATI% HEATIN!
SYARA& 1 2 3 4 5 6
EPILEPSI EPISTOTANUS PARAPLE!HI STROKE #SH & SNH$ SYN"OPE VERTI!O
!40.9 !40.7 !2.2 I64 R55 H1.4
KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI%
SYARA& 1 2 3 4 5 6
EPILEPSI EPISTOTANUS PARAPLE!HI STROKE #SH & SNH$ SYN"OPE VERTI!O
KODE
69.52 & 69.02
54.59
(4.4 69.01 69.02
74.4
74.4 ' 66.62
!40.9 !40.7 !2.2 I64 R55 H1.4
KONSERVATI% KONSERVATI% KONSERVATI% KONSERVATI%
KODE
69.52 & 69.02
54.59
(4.4 69.01 69.02
74.4
74.4 ' 66.62
72.79
65.21 65.21 65.29 & 65.21 73.4 74.4 74.4 74.4 72.79 6.4
74.4 71.3 74.4
72.79
65.21 65.21 65.29 & 65.21 73.4 74.4 74.4 74.4 72.79 6.4
74.4 71.3 74.4 74.4 73.4 72.54
74.4 74.4 69.0
74.4 75.7 69.0 70.79 71.71 57.71
5.20 & 5.21 6.09 54.0 47.91 57.21 55.01 5.1
74.4 74.4 69.0
74.4 75.7 69.0 70.79 71.71 57.71
5.20 & 5.21 6.09 54.0 47.91 57.21 55.01 5.1 56.2 57.92 60.69
9(.!4 6.05 5.24 59.# ) 39.2( 49.46 54.19 46.02 53.29 53.29 53.02 56.2 46.10 46.10
40.11 2!.29 54.19 & 45.61 54.19 64.0 0.94
9(.!4 6.05 5.24 59.# ) 39.2( 49.46 54.19 46.02 53.29 53.29 53.02 56.2 46.10 46.10
40.11 2!.29 54.19 & 45.61 54.19 64.0 0.94 6.5 90.59 ' 99.21
3.49 5.6 45.73 5.12 & 5.24 62.3 20.42 5.20 #3.49 61.99 57.21 & 57.19 61.41
90.59 ' 99.21 21.2 2.2 2.2 06.52 06.2
1.54
3.49 5.6 45.73 5.12 & 5.24 62.3 20.42 5.20 #3.49 61.99 57.21 & 57.19 61.41
90.59 ' 99.21 21.2 2.2 2.2 06.52 06.2
1.54 77.06 93.53 ' 3.13 79.1
7.39 93.46 97.11 #".52 #".54 93.44 ' 7.75 03.09 ' 1.0 03.09 ' 1.05 03.09 ' 1.0 03.09 ' 1.05 77.27 77.69 4.3 90.59 ' 99.21 3.3 03.09 ' 1.0 03.09 ' 1.05
90.59 ' 99.21
7.39 93.46 97.11 #".52 #".54 93.44 ' 7.75 03.09 ' 1.0 03.09 ' 1.05 03.09 ' 1.0 03.09 ' 1.05 77.27 77.69 4.3 90.59 ' 99.21 3.3 03.09 ' 1.0 03.09 ' 1.05
90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21
93.94 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.22 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21
34.04
90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21
93.94 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.22 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21
34.04
90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21
90.59 ' 99.14
90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 51.1 90.59 ' 99.21
90.59 ' 99.21 90.59 ' 99.22 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.14 90.59 ' 99.21 90.59 ' 99.21 32.41 & 32.49 & 06.2
90.59 ' 99.14
90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 51.1 90.59 ' 99.21
90.59 ' 99.21 90.59 ' 99.22 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.14 90.59 ' 99.21 90.59 ' 99.21 32.41 & 32.49 & 06.2 90.59 ' 99.21 6.59
90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21
90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21 90.59 ' 99.21
OB!YN
1 2 3 4 5 6 7 9 10 11 12 13 14 15 16 17 1
BEKAS SC BBLR "A "ERVIK DISPROPORSI KEPALA PAN!!UL %ETAL DEATH !A!AL INDUKSI !EMELLI HAMIL ) 37 MIN!!U HAMIL * 37 MIN!!U HEMATOM VULVA HIPERTENSI DALAM KEHAMILAN KALA 1 LAMA KALA 2 LAMA KISTA BARTOLINI KISTA "OKLAT KISTA OVARIUM KPD KPD ' S"
O34.2 P07.1 D06.9 O33.0 O36.4 O61.9 & O66.4 ' O2.9 O30.0 & O63.2 O47.0 O47.1 O71.1 O10.4 O63.0 O63.1 N75.0 N0.1 +50.1 O42.0 & O42.9 O2 9 ' O42 0
OB!YN
1 2 3 4 5 6 7 9 10 11 12 13 14 15 16 17 1 19 20 21 22 23 24 25 26 27 2 29 30 31 32 33 34 35 36 37 3 39 40 41 42 43
BEKAS SC BBLR "A "ERVIK DISPROPORSI KEPALA PAN!!UL %ETAL DEATH !A!AL INDUKSI !EMELLI HAMIL ) 37 MIN!!U HAMIL * 37 MIN!!U HEMATOM VULVA HIPERTENSI DALAM KEHAMILAN KALA 1 LAMA KALA 2 LAMA KISTA BARTOLINI KISTA "OKLAT KISTA OVARIUM KPD KPD ' S" LETAK OBLI+UE & LETAK LINTAN! LETAK SUN!SAN! PAN!!UL SEMPIT PAPILOMA PARTUS BAYI BESAR PARTUS MA"ET PARTUS SPONTAN PARTUS SUN!SAN! PARTUS TAK MA,U PEB PERDARAHAN ANTEPARTUM PERDARAHAN PERVA!INA PERDARAHAN POST PARTUM PLA"ENTA PREVIA #LETAK RENDAH$ PLA"ENTA SOLUSIO BATU URETRA & BATU SALURAN KEMIH BATU URETER BLADER NE"K STENOSIS BPH CA CERVIK CA MAMAE %AM !A!AL !IN,AL AKUT GAGAL GINJAL KRONIK HEMOROID
O34.2 P07.1 D06.9 O33.0 O36.4 O61.9 & O66.4 ' O2.9 O30.0 & O63.2 O47.0 O47.1 O71.1 O10.4 O63.0 O63.1 N75.0 N0.1 +50.1 O42.0 & O42.9 O2.9 ' O42.0 O32.2 O64. O33.0 D30.7 O66.2 O65.0 O0. & O3. O3.2 O61.9 O14.0 O46.9 N93. O72.1 O44.0 O45.9 N21.1 N20.1 N32.0 D29.1 C53.9 C50.9 N60.3 N17.9 N"#.9 I4.2
44 45 46 47 4 49 50 51 52 53 54 55 56 57 5 59 60 61 62
HERNIA HERNIA S"ROTALIS HERNIA %EMORALIS HERNIA IN!UINALIS HEPATITIS LIMPADENOPATI "OLI PERITONITIS !ENERALISATA PERITONITIS TB PHIMOSIS POLIDAKTILI SO%T TISSUE TUMOR #STT$ SO%T TISSUE TUMOR PUN!!UN! #STT$ STRI"TUR URETRA & BUSINASI TUMOR MAMAE TUMOR TESTIS TUMOR TELIN!A ULKUS MAMAE ULKUS WAJAH
K41.3 K41.9 K40.9 K73.2 R59.1 & L04.1 K35.0 A1.3 N47 +69.9 D21.0 N36.9 N60.9 D29.2 "30.1 N61 L03.2 THT
1 2 3 4 5 6
%ARIN!ITIS POLIP TONSILITIS AKUT TONSILITIS KRONIK TYROID STRUMA
,02.9 ,33.9 ,03.9 ,35.0 D44.0 E04.1 ORTHOPAEDY
2 3 4 9 10 11 12 13 14 15 16 20 21 22 23 24
ARTHRITIS CTEV DISLO"ATION SHOULDER %RA"TUR %EMUR %RA"TUR LUMBAL %RA"TUR PUBIS %RA"TUR THORA"AL &ROEN SHOULDER HNP #HERNIA NU"LEUS POLPUSUS$ LUMBAL HNP #HERNIA NU"LEUS POLPUSUS$ THORA"AL KNEE PAIN TRAUMA THORAX PLE"US BRAN"HIALIS RUPTUR TENDON SPONDILITIS TB LUMBAL SPONDILITIS TB THORA"AL INTERNIS
M13.6 !!.0 S43.0 S72.3 S32.0 S32.5 S32.0 M(5.0 M51.1 ' !55.1 M51.1 ' !55.1 M25.55 S20.3 & S20. & S22.5 !54.0 S66.1 A1.0 ' M49.06 A1.0 ' M49.06
1 4 5 6 7 9 11 12 13 14 16 17 19 21 22 23 24 2 29 32 33 36 37 39 40 41 42 44 45 46 47 4 49 51 53 54 55 56
ABDOMAIN PAIN & "OLI" ABDOMEN ALER!I AS"ITES ASTHMA BRON"HITIS "AP "HEST PAIN "H% "H% & HHD & HT "OLI" RENAL "RONI" RENAL %AILURE #"R%$ DH% DISPEPSIA DM TYPE 1 DM TYPE 2 E%USI PLEURA EPILEPSI %EVER !ASTRITIS HEPATITIS HEPATORENAL SYNDROM HIPERTENSION HEART DESEASE #HHD$ HI$OKALEMIA ISK ISK ' VIRAL IN%E"TION ISPA KANKER PAYUDARA TIDAK SPESI%IK KE,AN! KONSTIPASI LIMPADENOPATI "OLLI LIMPADENOPATI TB MELAENA MENIN!ITIS PENURUNAN KESADARAN PNEUMONIA PPOK TB PARU & TERAPI THYPOID %EVER
R10.4 L23.6 R1 ,45.9 ,20.9 ,96.9 & A16.1 R07.3 I50.0 & I50.9 I11.0 N23 N1.9 A91 K30 E10 E11 ,90 !40.9 R50.9 K29.7 K73.2 K76.7 I11.9 E#(.! N39.0 N39.0 ' B34.9 ,06.9 0. R56. K59.0 R59.1 A1.2 K92.1 !03.9 R40.2 & P91.5 ,1.9 ,44. A16.1 & 92.9 A01.0 SYARA%
1 2 3 4 5 6
EPILEPSI EPISTOTANUS PARAPLE!HI STROKE #SH & SNH$ SYN"OPE VERTI!O
!40.9 !40.7 !2.2 I64 R55 H1.4
