PANDUAN KODING INACBG Beta PDF

 

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 Dengan PDF HYPERLINK KODING INA-CBG: ICD-10 DAN ICD-9-CM e-KLAIM BPJS KASUS TERSERING

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TINDAKAN KEGAWATDARURATA  N

GEJALA YANG MENJADI DIAGNOSIS

PENYAKIT DALAM & ANAK 

GANGGUAN CAIRAN, ELEKTROLIT DAN  ASAM BASA 

Nutrisi dan GIZI

NEUROLOGI & PSIKIATRI

Jantung

BEDAH

PENUNJANG

OBGIN

PARU

THT

GIGI MULUT

KULIT

MATA 

ORTHOPEDI

 

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DAFTAR ISI Contents KODING INA-CBG: ICD-10 DAN ICD-9-CM..................................................1 e-KLAIM BPJS KASUS TERSERING.................................. TERSERING............................................................... .............................11 DAFTAR ISI........................................... ISI................................................................ .......................................... ....................................2 ...............2 SEKILAS TENTANG PDF HYPERLINK..................................... HYPERLINK......................................................14 .................14 SEKILAS TENTANG KODING DALAM eKLAIM BPJS:............................14 TINDAKAN KEGAWATDARURATAN...................................... KEGAWATDARURATAN...........................................................17 .....................17 KRITERIA GAWAT DARURAT DITANGGUNG BPJS............................18 TERAPI OKSIGEN & INHALASI................................................................22 INTUBASI & TRACHEOSTOMY................................................................. TRACHEOSTOMY.................................................................22 22 NEOPUFF dan CPAP................................................................................... CPAP...................................................................................23 23  VENTILATOR via ETT/ Tracheostomy......................... Tracheostomy.............................................. ..............................23 .........23 IV LINE/ Infusion........... Infusion................................. ........................................... .......................................................25 ..................................25 Komplikasi :................... :........................................ .......................................... ......................................................... .......................................25 ...25 REAKSI TRANSFUSI................................................................................25 IV LINE OPERATIF.................. OPERATIF....................................... .......................................... .............................................. .........................26 26 HD/ HEMODIALISA............................................. HEMODIALISA................................................................................... ......................................26 26 EKG dan MONITOR...................................... MONITOR........................................................... .......................................... ..........................27 .....27 PASANG NGT dan SPOOLING.................................. SPOOLING........................................................ ..................................27 ............27 PASANG DC/ URIN CATHETER......................... CATHETER.............................................. ....................................... ..................28 28

 

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RJP/ RESUSITASI JANTUNG-PARU, DEFIBRILASI dan CARDIOVERSION............................... CARDIOVERSION.......... .......................................... ........................................................28 ...................................28 EKSTRAKSI BENDA ASING....................................................................... ASING.......................................................................28 28 LUKA: WT/ WOUND TOILET/ JAHIT......................................................29 IRIGASI LUKA......................................... LUKA.............................................................. ....................................................29 ...............................29 KONSTIPASI & FECAL IMPACT................................................................30 PX PENUNJANG................................ PENUNJANG...................................................... ........................................... ......................................30 .................30 DARAH...................................... DARAH................. .......................................... .......................................... ..............................................30 .........................30 SPUTUM BTA..................................... BTA........................................................... ..........................................................31 ....................................31 X-RAY...........................................................................................................31 Urin Rutin................................. Rutin....................................................... ........................................... ..............................................31 .........................31 LCS..................................... LCS................ .......................................... ........................................... ........................................... ................................32 ...........32  AGD/ BGA....................................... BGA............................................................ .............................................................32 ........................................32 USG..................................... USG................ .......................................... ........................................... ........................................... ...............................33 ..........33 CTG................................... CTG.............. .......................................... .......................................... .......................................................33 ..................................33 CT Scan................................. Scan....................................................... ........................................... ..................................................33 .............................33 MRI..................................... MRI................ .......................................... ........................................... .....................................................34 ...............................34 GEJALA YANG MENJADI DIAGNOSIS.......................................................34 Penurunan Kesadaran................................ Kesadaran..................................................... ..................................................35 .............................35 Sesak..................................... Sesak................ .......................................... ........................................... ................................................. .............................35 ..35 Chestpain.............................. Chestpain......... .......................................... .......................................... ...................................................35 ..............................35

 

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FEVER & PAIN...................................... PAIN........................................................... ........................................... ..................................35 ............35 MUNTAH & Haematemesis................................. Haematemesis...................................................... ........................................ ...................36 36 Hemoptoe & Hemoptisis.................................... Hemoptisis......................................................... .......................................... .....................36 36 HEMATOSKEZIA & Melena...................................... Melena........................................................................36 ..................................36 Jantung...........................................................................................................36  ANGINA.................................  ANGINA............ .......................................... ........................................... ........................................... ............................37 .......37 UAP dd NSTEMI...................................................... NSTEMI............................................................................ .................................... ..............37 37 STEMI..........................................................................................................38  AV BLOCK..................................... BLOCK.......................................................... .......................................... ...................................... .....................39 ....39 Cardiac arrest.......................................... arrest................................................................ ........................................... ...............................39 ..........39 SVT...............................................................................................................39  ATRIAL FIBRILLATION.................................... FIBRILLATION....................................................................... .........................................39 ......39 CHF..............................................................................................................40 GANGGUAN CAIRAN, ELEKTROLIT DAN ASAM BASA............................40 SYOK/ SHOCK & DEHIDRASI...................................................................40 HYPERNATREMI DAN HYPONATREMI....................................... HYPONATREMI...................................................41 ............41  Asidosis dan Alkalosis......................... Alkalosis.............................................. ............................................ .................................... .............41 41 Hypo dan Hyperkalemia....................................................... Hyperkalemia.............................................................................. .......................42 42  ASIDOSIS METABOLIK.......................................... METABOLIK..............................................................................42 ....................................42 Hypoalbuminemia.......................................................................................42 PENYAKIT DALAM & ANAK...................................................... ANAK.........................................................................44 ...................44

 

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DIARE..........................................................................................................44 DYSPEPSIA..................................................................................................44 GASTRITIS AKUT & GASTRITIS EROSIVA............................................45 PEPTIC ULCER.................................................... ULCER......................................................................... ..................................... ................45 45 Gastropati Diabetic................................... Diabetic........................................................ .................................................46 ............................46 DM....................................... DM.................. .......................................... .......................................... ....................................................46 ...............................46 DM 1...................................... 1........................................................... .......................................... ................................................46 ...........................46 DM 2..................................... 2.......................................................... .......................................... .................................................47 ............................47 Hypoglycemia............................................................................................47 HYPERGLYCEMIA...................................................................................48 KAD..............................................................................................................48 HYPERTENSION................................ HYPERTENSION........... .......................................... .......................................... ....................................48 ...............48 HYPOTENSI................................. HYPOTENSI............ ........................................... ........................................... ..........................................49 .....................49  ANAEMIA D63.0......................................... D63.0.......................................................................... ................................................ ...............49 49 Thalassemia...............................................................................................50  ANEMIA LAINNYA & PANSITOPENIA................................ PANSITOPENIA...................................................50 ...................50 SINDROM NEFROTIK.................................... NEFROTIK................................................................................50 ............................................50  AKI dan CKD.................................... CKD......................................................... ........................................... ........................................5 ..................511 GNAPS/ Glomerulonefritis Akut Pasca Streptokokus................................52 INFEKSI.......................................................................................................52 TYPHOID.................................... TYPHOID............... ........................................... ........................................... ........................................ ....................52 .52

 

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DYSENTERY.................................. DYSENTERY............. .......................................... ........................................... .......................................52 .................52 Leptospirosis.................................... Leptospirosis............... .......................................... .......................................... .....................................52 ................52 Bacterial Infection................................... Infection........................................................................... .................................................. ..........53 53 Dengue.......................................................................................................53 MEASLES......................................... MEASLES.................... .......................................... ........................................... .....................................53 ...............53 MUMPS........................................ MUMPS................... ........................................... ........................................... ........................................54 ...................54 MALARIA........................................ MALARIA................... .......................................... ........................................... ...................................... ................54 54 SEPSIS.......................................................................................................54 HEPATITIS....................................... HEPATITIS.................. .......................................... ........................................... .......................................55 .................55 Insuffisiensi Hepar....................................................................................55 SIROSIS HEPATIS....................................................................................56 HEPATIK FAILURE & COMA HEPATIKUM...........................................56 CHOLELITHIASIS.......................................................................................56 CHOLECYSTITIS................................... CHOLECYSTITIS.............. .......................................... .......................................... ...............................56 ..........56 PANCREATITIS AKUT................................................................................57  ASCITES.......................................  ASCITES................. ........................................... .................................................. ........................................... ..............57 57 Schonlein................................................................57 ..............................57 HSP/ Purpura Henoch Schonlein.................................. HYPERBILIRUBINEMIA............................................................................57 DISLIPIDEMIA........................................ DISLIPIDEMIA................... ........................................... ....................................................58 ..............................58 GOUT........................................................ GOUT................................... .......................................... .......................................... ...............................58 ..........58 OSTEOARTHRITIS.................................. OSTEOARTHRITIS............. .......................................... .......................................... ...............................58 ..........58

 

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TYROID................................... TYROID............. ........................................... .......................................... .............................................. ...........................58 ..58 Nutrisi dan GIZI.............................................................................................59 BERAT BADAN...................................... BADAN........................................................... ........................................... ...............................59 .........59 KEP.................................... KEP............... .......................................... .......................................... ..................................................... .................................59 .59 OBESITAS....................................................................................................59 DEF VITAMIN..................................... VITAMIN........................................................... ............................................. ..................................60 ...........60  A.......................................  A.................. ........................................... ........................................... ....................................................60 ...............................60 B....................................... B................. ........................................... .......................................... .....................................................60 ................................60 D....................................... D.................. .......................................... .......................................... ........................................... ................................60 ..........60 E....................................... E................. ........................................... .......................................... .......................................... .................................61 ............61 K..................................... K............... ........................................... .......................................... .......................................... ...................................61 ..............61 CALCIUM.....................................................................................................61 PARU.................................... PARU............... .......................................... ........................................... ........................................... ................................62 ...........62 RHINITIS ALLERGY...................................... ALLERGY...................................................................................62 .............................................62 NASOPHARYNGITIS..................................................................................62 ISPA..................................... ISPA................ ........................................... ........................................... ...................................................62 ..............................62 PNEUMONIA................................... PNEUMONIA.............. .......................................... .......................................... .......................................62 ..................62 TB PARU................................................... PARU........................................................................................ ................................................... ..............63 63 BRONCHITIS AKUT............................................ AKUT................................................................. ........................................64 ...................64 OTHER INFECTION...................................................................................64 PPOK/ COPD...............................................................................................64

 

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 ASTHMA.......................................  ASTHMA.................. ............................................................................ ...............................................................65 ........65 BRONKHIEKTASIS.....................................................................................65 PNEUMOCONIOSIS..................................................... PNEUMOCONIOSIS............................... .....................................................65 ...............................65  ARDS......................................  ARDS................ ........................................... ...................................................................... .................................................66 66 GAGAL NAFAS...................................... NAFAS........................................................... ........................................... ..................................66 ............66 EDEMA PULMONUM.................................................................................67 EFUSI PLEURA & HEMOTHORAX................................... HEMOTHORAX............................................................67 .........................67 Tension pneumothorax................................ pneumothorax...................................................... ......................................... ..........................67 .......67  ATELECTASIS......................................  ATELECTASIS................. ....................................................................... .......................................................68 .....68 EMPHYSEMA..............................................................................................68 NEUROLOGI & PSIKIATRI......................................... PSIKIATRI...........................................................................69 ..................................69 FATIGUE & PLEGIA....................................... PLEGIA............................................................ .............................................69 ........................69 HEADACHE.................................................................................................69 KEJANG, EPILEPSY & STATUS EPILEPTIKUS........................................70  VERTIGO................................  VERTIGO........... .......................................... ........................................... ........................................... ...........................70 ......70 STROKE; SH dan SNH...................................................... SNH............................................................................... ...........................71 ..71 INSOMNIA................................... INSOMNIA.............. .......................................... .......................................... ............................................ .......................71 71 NEURALGIA................................................................................................72 CKR.................................. CKR............. ........................................... ........................................... .......................................................72 ..................................72 HICCUP........................................................................................................72 MENINGITIS...............................................................................................72

 

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Encephalopathy............................ Encephalopathy....... ........................................... ........................................... ..........................................73 .....................73 BEDAH........................................ BEDAH................... .......................................... .......................................... ...............................................73 ..........................73 COMBUSTIO................................................................................................74 IRIGASI LUKA......................................... LUKA.............................................................. .......................................... ...............................74 ..........74  APPENDICITIS AKUT.................................... AKUT.................................................................................7 .............................................74 4 HERNIA.................................... HERNIA............... .......................................... .......................................... ........................................... ..........................74 ....74 COLITIS ULCERATIVE...............................................................................75 ILEUS PARALYTIC....................................... PARALYTIC............................................................ ...............................................76 ..........................76 ILEUS OBSTRUKSI.....................................................................................76 BPH....................................... BPH................. ........................................... .......................................... ...................................................76 ..............................76 IRITABEL BOWEL SYNDROME................................................................76 HEMORRHOID..................................... HEMORRHOID................ ........................................... ........................................... .................................77 ............77 PERITONITIS................................. PERITONITIS............ .......................................... .......................................... .........................................77 ....................77 TUMOR GANAS/ KANKER................. KANKER...................................... ........................................................77 ...................................77 Ca Mammae.................................... Mammae......................................................... ...........................................................78 ......................................78 Ca Prostat................................... Prostat......................................................... ........................................... ..........................................78 .....................78 STT...................................... STT................. .......................................... .......................................... .....................................................79 ................................79 Tumor Jinak mammae..............................................................................79 Tumor colorectal............................ colorectal................................................. ................................................... ......................................80 ........80 ULCUS DECUBITUS................................................................................... DECUBITUS...................................................................................80 80 IRIGASI LUKA......................................... LUKA.............................................................. .......................................... ...............................80 ..........80

 

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KOLIK RENAL...................................... RENAL.................................................................................. ....................................................... ...........81 81 HYDRONEFROSIS & HYDROURETER.....................................................81 PENYAKIT PENIS, TESTIS DAN EPIDIDIMIS..........................................81  Abscess.....................................  Abscess................ .......................................... ........................................... ................................................81 ..........................81 BPH..............................................................................................................82 SELULITIS, FURUNKLE & CARBUNCLE.................................................82 COLOSTOMY...............................................................................................82 TINDAKAN BEDAH................................................. BEDAH........................................................................ ...................................8 ............82 2 EXCISION dan BIOPSY........................................... BIOPSY.............................................................. ................................. ..............83 83 DEBRIDEMENT (86.22, 86.27-86.28)....................................................83  AMPUTASI........................................  AMPUTASI................... ........................................... ............................................... ..................................84 .........84 LAPAROTOMY................................... LAPAROTOMY.............. .......................................... .......................................................84 ..................................84 OBGYN............................... OBGYN.......... ........................................... ........................................... .......................................... ..................................84 .............84 Gravid/ Hamil.................................... Hamil......................................................... ..........................................................84 .....................................84 KET...................................... KET................ ........................................... .......................................... ....................................................85 ...............................85  ABORTUS.....................................  ABORTUS................ .......................................... .......................................... ........................................... ......................86 86 HEG.................................... HEG............... .......................................... .......................................... .....................................................86 ................................86 HAMIL KEMBAR/ LEBIH..........................................................................86 POLIHYDRAMNION............................... POLIHYDRAMNION.......... ........................................... ....................................................86 ..............................86 KPD............................................................ KPD....................................... .......................................... .......................................... ..............................87 .........87 PRE-ECLAMPSIA & ECLAMPSIA......................................... ECLAMPSIA...............................................................87 ......................87

 

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BLIGHTED OVUM........................................................ OVUM......................................................................... .............................. .............88 88 PLACENTA PREVIA................ PREVIA..................................... ........................................... ...............................................88 .........................88 PARTUS PREMATURUS......................................... PREMATURUS.............................................................. ....................................88 ...............88 HAMIL POST-TERM................................................................................89 TINDAKAN PARTUS....................................... PARTUS............................................................. ............................................89 ......................89 PERSALINAN LAMA...................... LAMA........................................... .......................................................... .....................................90 90 Outcome Delivery/ BAYI BARU LAHIR Z37.............................. Z37...............................................91 .................91 NEONATUS TERGANGGU AKIBAT PERSALINAN...............................91 BBLR..................................... BBLR................ ........................................... ........................................... ...............................................92 ..........................92 TRAUMA/ INFEKSI NEONATUS............................................................92 IKTERUS NEONATAL.............. NEONATAL................................... ................................................................93 ...........................................93 GANGGUAN METABOLIK NEONATUS.......................................... NEONATUS..................................................93 ........93 KOMPLIKASI POST PARTUM & MASA NIFAS.........................................94 LASERASI PERSALINAN...................................... PERSALINAN......................................................................... ...................................94 94  AMENORHHEA/ HYPERMENORRHEA................................. HYPERMENORRHEA...................................................94 ..................94 CA CERVIX.................................. CERVIX....................................................... ........................................... ............................................ ......................95 95 DYSMENORRHEA......................................................................................95 HYPERPLASIA ENDOMETRIOSIS............................................................95 INFERTILITAS............................................................................................96 Kista Barholini....................................... Barholini................................................................................... ...................................................... ..........96 96 PID...................................... PID................. ........................................... ........................................... .......................................... ...............................96 ..........96

 

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TINDAKAN.................................... TINDAKAN.............. ........................................... .......................................... ..........................................97 .....................97 KURETASE................................................................................................97 HISTEREKTOMI.......................................................... HISTEREKTOMI..................................... ........................................... ................................97 ..........97 OOPHOREKTOMI.......................................................................................97 MATA..............................................................................................................97 INFEKSI.......................................................................................................97 Pterygium................................... Pterygium.............. .......................................... .......................................... ............................................ ........................98 .98 INFEKSI................................... INFEKSI............. ........................................... .......................................... ............................................ ..........................98 ...98 KSI/ KATARAK SENILIS IMMATUR.........................................................99 IMMATUR.........................................................99 GLAUCOMA...................................... GLAUCOMA................. .......................................... .........................................................100 ....................................100 KELAINAN VISUS........................................ VISUS............................................................. ........................................ ........................100 .....100  VISUS......................................  VISUS................. ........................................... ....................................................... .............................................100 ............100 Trauma Oculi................................. Oculi...................................................... .......................................... ........................................100 ...................100 KELAINAN PUPIL......................................... PUPIL.............................................................. ............................................. ........................101 101 THT....................................... THT................. ........................................... .......................................... ....................................................101 ...............................101 INFEKSI; OMA dan OEA...........................................................................101 IMPACTED CERUMEN....................................... CERUMEN.............................................................................102 ......................................102 CHOLESTEATOMA...................................................................................102  VERTIGO................................  VERTIGO........... .......................................... ........................................... ...............................................102 .........................102 HEARING LOSS....................... LOSS............................................ .......................................... .............................................102 ........................102 GIGI MULUT........................................ MULUT............................................................. ............................................ ...................................103 ............103

 

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ORAL HYGIENE BURUK........................................................................ BURUK..........................................................................103 ..103 IMPAKSI...................................... IMPAKSI................. ........................................... ........................................... .........................................103 ....................103 CARIES......................................................... CARIES.................................... .......................................... ............................................. .........................104 .104 CARIES PULPA....................................... PULPA............................................................. ...................................................104 .............................104  ATRISI, ABRASI, EROSI.................................................................. EROSI........................................................................... .........105 105 PULPITIS & GANGREN PULPA.................. PULPA ........................................ ..............................................10 ........................105 5 NECROSIS PULPA........................................ PULPA............................................................. .............................................105 ........................105 PERIODONTITIS & ABSES............................................. ABSES.......................................................................106 ..........................106 GINGIVITIS............................... GINGIVITIS.......... .......................................... .......................................... ............................................107 .......................107 GIGI PATAH....................................... PATAH............................................................ ........................................................107 ...................................107 SISA AKAR & GANGREN RADIX.............................................................107 STOMATITIS & ULKUS TRAUMATIK.....................................................108 SIALOADENITIS.......................................................................................108 GANGGUAN KELENJAR SALIVA............................................................ SALIVA............................................................108 108 PERSISTENSI GIGI SULUNG......................................... SULUNG...................................................................108 ..........................108 MALOKLUSI KELAS I/ ANOMALI LETAK GIGI.....................................109 TINDAKAN.................................... TINDAKAN.............. ........................................... .......................................... ........................................109 ...................109 Ekstraksi Gigi..................................... Gigi.......................................................... ......................................................109 .................................109 KULIT & KELAMIN........................................ KELAMIN............................................................. ..............................................109 .........................109 INFEKSI.....................................................................................................109 TINEA.........................................................................................................110

 

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HELMINTHIASIS....................................... HELMINTHIASIS................. ........................................... .......................................... ...........................110 ......110 HIV/ B20....................................... B20............................................................ ....................................................... .........................................111 .......111 IMPETIGO....................................................... IMPETIGO.................................. ........................................... ............................................111 ......................111 PYODERMA................................................................................................112  ALLERGY...................................  ALLERGY.............. .......................................... .................................................................112 ............................................112 DKA dan DKI..............................................................................................113  AKNE/ JERAWAT...................................... JERAWAT.................................................................................. ................................................113 ....113 TINDAKAN.................................................................................................113 Orthopedi................................ Orthopedi........... ........................................... ........................................... .................................................114 ............................114 Spondylitis TB...................... TB........................................... .......................................... ..................................................114 .............................114 HNP.................................... HNP............... .......................................... .......................................... ....................................................114 ...............................114 Trauma........................................................................................................115 STIFFNESS.................................................................................................115 UNION/Lepas Pen Pasca ORIF....................................... ORIF..................................................................11 ...........................116 6 DISLOCATION................................... DISLOCATION.............. .......................................... .......................................... .................................... ...............116 116 79 Reduction (orthopedic surgery)........................................................... surgery)...............................................................116 ....116 TINDAKAN ORTHOPEDI..................................... ORTHOPEDI..........................................................................116 .....................................116 Gips.............................................................................................................118 KeyWord/ KATA KUNCI..................................... KUNCI.......................................................... .......................................... .....................118 118 TINDAKAN/ PROSEDUR.......................................................................... PROSEDUR..........................................................................118 118 (Kontrol) K emoterapi (Z51.1)...................................... (Z51.1)........................................................... .............................118 ........118

 

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BENTUK TRAUMA....................................... TRAUMA............................................................ .......................................... .........................118 ....118 JENIS TRAUMA.......................................... TRAUMA......................................................................................... ...............................................118 118 SEBAB TRAUMA.......................................... TRAUMA........................................................................................118 ..............................................118 KERACUNAN................................. KERACUNAN............ .......................................... ..........................................................118 .....................................118 SEBAB INTERNAL..................................................................................118 SEBAB EXTERNAL.................................. EXTERNAL....................................................... ................................................119 ...........................119 RADIASI...................................................................................................119 LAIN-LAIN...............................................................................................119 RAWAT JALAN KONTROL.......................................................................... KONTROL..........................................................................119 119 MEDICAL CHECK UP................... UP......................................... ........................................................... .......................................119 ..119 SUSPEK....................................... SUSPEK.................. .......................................... .......................................... ...........................................119 ......................119 SCREENING............................... SCREENING.......... .......................................... .......................................... ...........................................120 ......................120 Z29.0 Isolasi..................................... Isolasi.......................................................... .......................................... ...................................120 ..............120 FITTING dan ADJUSMENT.................. ADJUS MENT....................................... .................................................... ...............................120 120 Kontrol BEDAH dan ORGTHOPEDI.........................................................120 ORGTHOPEDI.........................................................120 RESIKO TINGGI PAPARAN LINGKUNGAN...........................................120 KELAINAN SEXUAL........................................ SEXUAL.................................................................................. ..........................................121 121 RAWAT JALAN & OBSERVASI RAWAT JALAN.................................. JALAN.........................................121 .......121 BAB XX V01-Y98 CAUSA EXTERNAL........................... EXTERNAL........................................................121 .............................121 M8000/0-M9989/1......................................................................................121 Rujukan.................................. Rujukan............. .......................................... .......................................... .......................................... ..............................121 .........121

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

SEKILAS TENTANG PDF HYPERLINK  Click dan Click, Minimal  Scroll ” “Click  dan Click,  Minimal Scroll  Tidak seperti umumnya file PDF, file ini dilengkapi dengan dengan Hyperlink  Hyperlink   untuk memudahkan akses ke berbagai halaman One File for all your devices File pdf Hyperlink ini bisa dibuka di berbagai system operasi. Hyperlink berfungsi Optimal dengan program ADOBE READER PC, iOS, Linux atau Android  Store your media in the cloud & Connect From Everywhere File bisa disimpan di Cloud storage untuk diakses dari manapun. Rencana akan diperbarui tiap 3 bulan dan bulan dan lengkapi dengan CP dan PPK. Kontak, Saran dan Kritik [email protected], [email protected], Http://genghiskhun.com

SEKILAS TENTANG KODING DALAM eKLAIM BPJS: Pengkodean INA-CBGs terdiri dari 4 bagian Misal: K-4-17-I

1. Bagian satu = A s/d Z merupakan case mix major groups (CMG)  Ada 30 CaseMixGroup 2. Bagian dua = angka 1-9 = tipe kasus

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

 Ada 1075 Kode INA-CBG  Ada 789 Kode Rawat Inap dan 289 Kode Rawat Rawat Jalan 3. Bagian tiga = spesifik CBG kasus 4. Bagian empat = (0, I, II, III) severity level Dx Utama & Sekunder ICD X Prosedur ICD 9

1 Episode Rawat jalan: Konsultasi 1/ lebih poli di hari yang sama (umum & Spesialis) dan penunjang (hari yang sama/ hari lain) Pasien yang datang untuk kontrol ulang dengan diagnosis yang sama sepertikunjungan sebelumnya dan terapi (rehab medik, kemoterapi, radioterapi) di rawat  jalan menggunakan kode “Z” sebagai sebagai diagnosis utama dan kondisi penyakitnya sebagai diagnosis sekunder. 1 Episode Rawat Inap: > 6 jam atau jam atau

12 Aritmia Aritmia dan shock  3 Cor Pulmonale decompensata akut 4 Edema paru akut 5 Henti jantung 6 Hipertensi berat dengan komplikasi (hipertensi enchephalopati, CVA)

12 Abses Abses cerebri sub mandibula 3 Amputasi penis 4 Anuria 5 Apendicitis acute 6 Atresia ani (tidak bisa BAB sama sekali) 7 BPH dengan retensio urin 8 Cedera kepala berat

10/hari) disertai dehidrasi ataupun tidak  8 Difteri 9 Ditemukan bising  jantung, aritmia 10 Edema / bengkak seluruh badan 11 Epitaksis, tanda pendarahan lain disertai febris 12 Gagal ginjal akut 13 Gangguan kesadaran, fungsi vital masih baik  14 Hematuri 15 Hipertensi Berat 16 Hipotensi / syok ringan s/d sedang 17 Intoksikasi (minyak tanah, baygon)

7 Infark Miokard dengan komplikasi (shock) 8 Kelainan jantung  bawaan dengan gangguan ABC (Airway Breathing Circulation) 9 Kelainan katup  jantung dengan gangguan ABC (airway Breathing Circulation) 10 Krisis hipertensi 11 Miokarditis dengan shock  12 Nyeri dada 13 Sesak nafas karena payah jantung

9 Cedera kepala sedang 10 Cedera tulang  belakang (vertebral) 11 Cedera wajah dengan gangguan jalan nafas 12 Cedera wajah tanpa gangguan jalan nafas, antara lain : a. Patah tulang hidung/ nasal terbuka dan tertutup  b. Patah tulang pipi (zygoma) terbuka dan tertutup c. Patah tulang rahang (maxilla dan mandibula) terbuka dan tertutup d. Luka terbuka daerah

keadaan umum masih  baik  18 Intoksikasi disertai

14 Syncope karena penyakit jantung

 wajah 13 Cellulitis 14 Cholesistitis akut

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

gangguan fungsi vital MATA  (minyak tanah, baygon) 19 Kejang disertai 1 Benda asing di kornea

15 Corpus alienum pada : a. Intra cranial b. Leher

penurunan kesadaran 20 Mutah profus (> 6 hari) dg/tanpa dehidrasi 21 Panas tinggi >40 C 22 Sangat sesak, gelisah, kesadaran menurun, sianosis, retraksi hebat 23 Sesak tapi kesadaran

mata / kelopak mata 2 Blenorrhoe/ Gonoblenorrhoe 3 Dakriosistisis akut 4 Endoftalmitis/ panoftalmitis 5 Glaukoma : a. Akut  b. Sekunder 6 Penurunan tajam

 b. Thorax c. Abdomen d. Anggota gerak  e. Genetalia 16 CVA bleeding 17 Dislokasi persendian 18 Drowning 19 Flail chest 20 Fraktur tulang kepala

& keadaan umum masih  baik  24 Shock berat (profound) : nadi tidak teraba tekanan darah tak terukur termasuk DSS. 25 Tetanus 26 Tidak kencing > 8  jam 27 Tifus abdominalis dengan komplikasi

1 Abortus 2 Distosia 3 Eklampsia

penglihatan mendadak : a. Ablasio retina  b. CRAO c. Vitreous bleeding 7 Selulitis Orbita 8 Semua kelainan kornea mata : a. Erosi  b. Ulkus / abses c. Descematolis 9 Semua trauma mata : a. Trauma tumpul  b. Trauma fotoelektrik/ radiasi c. Trauma tajam/tajam tembus 10 Trombosis sinus kavernosis

21 Gastrokikis 22 Gigitan binatang / manusia 23 Hanging 24 Hematothorax dan pneumothorax 25 Hematuria 26 Hemoroid grade IV (dengan tanda strangulasi) 27 Hernia incarcerate 28 Hidrochepalus dengan TIK meningkat 29 Hirschprung disease 30 Ileus Obstruksi 31 Internal Bleeding 32 Luka Bakar 33 Luka terbuka daerah abdomen

4 Kehamilan Ektopik Terganggu (KET) 5 Perdarahan

11 Tumororbita dengan perdarahan 12 Uveitis/

34 Luka terbuka daerah kepala 35 Luka terbuka daerah

KEBIDANAN

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

 Antepartum 6 Perdarahan Postpartum

skleritis/iritasi PENYAKIT DALAM

thorax 36 Meningokel / myelokel pecah

7 Uteri 8 Inversio Febris Puerperalis 9 Hyperemesis gravidarum dengan dehidrasi 10 Persalinan kehamilan risiko tinggi dan atau persalinan dengan penyulit

1 Demam berdarah dengue (DBD) 2 Demam tifoid 3 Difteri 4 Disequilebrium pasca HD 5 Gagal ginjal akut 6 GEA dan dehidrasi 7 Hematemesis melena

37 trauma 38 Multiple Omfalokel pecah 39 Pankreatitis akut 40 Patah tulang dengan dugaan cedera pembuluh darah 41 Patah tulang iga multiple 42 Patah tulang leher 43 Patah tulang terbuka

THT 1 Abses di bidang THT & kepala leher 2 Benda asing laring/ trachea/ bronkus, dan  benda asing tenggorokan 3 Benda asing telinga dan hidung 4 Disfagia 5 Obstruksi jalan nafas atas grade II/ III Jackson 6 Obstruksi jalan nafas atas grade IV Jackson 7 Otalgia akut (apapun penyebabnya) 8 Parese fasialis akut 9 Perdarahan di bidang

8 Hematochezia 9 Hipertensi maligna 10 Keracunan makanan 11 Keracunan obat 12 Koma metabolic 13 Leptospirosis 14 Malaria 15 Observasi shock 

44 Patah tulang tertutup 45 Periappendicullata infiltrate 46 Peritonitis generalisata 47 Phlegmon dasar mulut 48 Priapismus 49 Prolaps rekti 50 Rectal bleeding 51 Ruptur otot dan tendon 52 Strangulasi penis 53 Tension pneumothoraks 54 Tetanus generalisata 55 Torsio testis 56 Tracheo esophagus

PARU PARU 1 Asma bronchitis moderate severe 2 Aspirasi pneumonia 3 Emboli paru 4 Gagal nafas 5 Injury paru 6 Massive hemoptisis 7 Massive pleural

THT 10 Syok karena kelainan effusion 8 Oedema paru non di bidang THT cardiogenic

fistel 57 Trauma tajam dan tumpul daerah leher

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

11 Trauma (akut) di  bidang THT ,Kepala dan Leher

9 Open/ closed pneumathorax 10 P.P.O.M Exacerbasi

58 Trauma tumpul abdomen 59 Traumatik amputasi

12 Tuli mendadak  13 Vertigo (berat)

akut 11 Pneumonia sepsis 12 Pneumathorax ventil 13 Reccurent Haemoptoe 14 Status Asmaticus 15 Tenggelam

60 Tumor otak dengan penurunan kesadaran 61 Unstable pelvis 62 Urosepsi

SYARAF 1 Kejang 2 Stroke 3 Meningo enchepalitis

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

TERAPI OKSIGEN & INHALASI   Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 that by face/ nasal cannula/ nasal catheter 93.96 Other Oxygen Enrichment 93.94 Respiratory medication administered by nebulizer 00.49 SuperSaturated oxygen therapy  INCUBATOR  93.35 INTUBASI & TRACHEOSTOMY  Diagnosis Utama & Sekunder ICD X 96 Nonoperative Intubation And Irrigation Gagal: T88. T8 8.4X 4XXA XA

Fai Failed led or diff diffic icul ultt intu intuba bati tion on,, init initiial enco encoun unte terr

Komplikasi: J95.09Other tracheostomy complication Prosedur ICD 9 96.01 Insertion of nasopharyngeal airway   96.02 Insertion of oropharyngeal airway 96.04 Insertion of endotracheal tube 31.1-31.29 tracheostomy 

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

18.7 Nonoperative intubation and irrigation

NEOPUFF dan CPAP Diagnosis Utama & Sekunder ICD X  V46.8 Dependence on other enabling enabling machines Rawat Jalan Z99.89 Dependence on other enabling machines and devices BIPAP (respiratory assist device_biphasic positive airway pressure) Cpap (continuous positive airway pressure) Prosedur ICD 9 93.90 non-invasive bi-level positive airway pressure [BiPAP] non-invasive continuous continuous positive airway pressure [CPAP] non-invasive positive pressure (NIPPV) 93.91 intermittent positive pressure breathing [IPPB] 93.99 continuous negative pressure ventilation [CNP] (iron lung) (cuirass)

 VENTILATOR via ETT/ Tracheostomy  Tracheostomy   Diagnosis Utama & Sekunder ICD X … Komplikasi Ventilator J95.850 J95 .850 Mechan Mechanic ical al compli complicat catio ion n of respira respirator tor J95. J9 5.851 851 Vent Ventil ilat ator or asso associ ciat ated ed pneu pneumo moni nia a J95.859 J95 .859 Other Other comp complic licati ation on of of respi respirat rator or [ven [ventil tilato ator] r] Prosedur ICD 9 Non- 96.7 Other Continuous Invasive Mechanical Ventilation 96.70 Continuous invasive mechanical ventilation of unspecified

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

duration Durasi < 96 jam (4 hari) 96.71 hoursContinuous invasive mechanical ventilation for less than 96 consecutive Durasi > 96 jam (4 hari) 96.72 Continuous invasive mechanical ventilation for 96 consecutive hours or more 96.7 Other continuous invasive mechanical ventilation Includes:   Includes: BiPAP delivered through through endotracheal  endotracheal tube or tracheostomy (invasive interface) CPAP delivered through endotracheal tube or tracheostomy (invasive interface) Endotracheal respiratory assistance Invasive positive pressure ventilation [IPPV] Mechanical ventilation through invasive interface That by tracheostomy   Weaning of an intubated (endotracheal (endotracheal tube) patient Excludes: non-invasive bi-level positive airway pressure [BiPAP] (93.90) continuous negative pressure ventilation [CNP] (iron lung) (cuirass) (93.99) non-invasive continuous continuous positive airway pressure [CPAP] (93.90) intermittent positive pressure breathing [IPPB] (93.91) non-invasive positive pressure (NIPPV) (93.90) that by face mask (93.90-93.99) that by nasal cannula (93.90-93.99) that by nasal catheter (93.90-93.99) Code also any associated: endotracheal tube insertion (96.04) tracheostomy (31.1-31.29)

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

IV LINE/ Infusion Diagnosis Utama & Sekunder ICD X

Komplikasi : T80. T8 0.22 22XA XA Acut Acutee iinf nfec ecti tion on foll follow owin ing g tra trans nsfu fusi sion on,, inf infus usio ion, n, or inje inject ctio ion n of blood and blood products, initial encounter REAKSI TRANSFUSI T80. T8 0.30 30XA XA ABO ABO inc incom ompa pati tibi bili lity ty reac reacti tion on due due to to tra trans nsfu fusi sion on of bloo blood d or or  blood products, unspecified, initial initial encounter T80.51XAAnaphylactic T80.51XA Anaphylactic reaction due to administration administration of blood and blood products, initial encounter T80. T8 0.92 92XA XA Unsp Unspec ecif ifie ied d tr tran ansf sfus usio ion n reac reacti tion on,, init initia iall en enco coun unte terr Prosedur ICD 9 99.18 Injection or infusion of electrolytes 99.10 Injection or infusion of therapeutic or prophylactic substance 96.6 Enteral infusion of concentrated nutritional substances INJEKSI LAIN 99.21 Injection of antibiotic 04.81 Analgetik  99.23 Injection of steroid 99.25 Injection or infusion of cancer chemotherapeutic substance TRANSFUSI PRCof packed cells 99.04 Transfusion

 

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KEYWORD KEYWORD  

Trombolitik/ Heparin, Arixtra dll 99.10 Injection or infusion of thrombolytic agent INSULIN 99.17 Injection of insulin 99.18 Infus Pump 86.06 Infus pump juga? SYRINGE PUMP 09.43

IV LINE OPERATIF Dx Utama & Sekunder ICD X Prosedur ICD 9 IV line Long Abbocath CVC/ CENTRAL VENOUS CATHETHER 38.03 Incision of Upper Limb Vessels 38.93 Venous catheterization, not elsewhere classified CDL/ DOUBLE LUMEN CATHETHER  38.95 Venous catheterization for renal dialysis HD/ HEMODIALISA  Dx Utama & Sekunder ICD X Prosedur ICD 9 39.95 Hemodialysis

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

EKG dan MONITOR  Diagnosis Utama & Sekunder ICD X .. R94. R9 4.31 31 Abno Abnorm rmal al elec electr troc ocar ardi diog ogra ram m [EC [ECG] G] [EKG [EKG]] Prosedur ICD 9 89.52 Electrocardiogram 89.6 Circulatory monitoring electrocardiographic Excludes: electrocardiographic monitoring monitoring during surgery -- omit code implantation or replacement of subcutaneous device for intracardiac hemodynamic monitoring (00.57) insertion or replacement of implantable pressure sensor (lead) for intracardiac hemodynamic monitoring (00.56) 89.61 Systemic arterial pressure monitoring

PASANG NGT dan SPOOLING Dx Utama & Sekunder ICD X Prosedur ICD 9 96.07 Insertion of Other (naso) gastric Tube SPOOLING 96.34 irrigation of nasogastric tube 96.31 Gastric cooling 96.33 Gastric lavage PASANG DC/ URIN CATHETER 

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Dx Utama & Sekunder ICD X Prosedur ICDof 9 indwelling urinary catheter 57.94 Insertion 57.95 Replacement of indwelling urinary catheter BLADDER TRAINING

RJP/ RESUSITASI JANTUNG-PARU, DEFIBRILASI dan CARDIOVERSION   Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 99.60 Cardiopulmonary resuscitation, not otherwise specified 99.69 Other conversion of cardiac rhythm EKSTRAKSI BENDA ASING Diagnosis Utama & Sekunder ICD X T15.00XAForeign body in cornea, unspecified eye, initial encounte encounterr T16. T1 6.9X 9XXA XA Fore Foreig ign n body body in ear, ear, unsp unspec ecif ifie ied d ear, ear, in init itia iall en enco coun unte terr T17.1XXA Foreign body in nostril, nostril, initial encounter encounter Prosedur ICD 9 98 Nonoperative Removal Of Foreign Body Or Calculus 18.8Replacement and removal of therapeutic appliances/nonoperative removal ofnonoperative foreign body or calculus 18.9Other procedures

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

96.51 Irrigation of eye 96.52 Irrigation of ear 96.58 Irrigation of wound catheter

LUKA: WT/ WOUND TOILET/ JAHIT

Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 IRIGASI LUKA  96.59 Other irrigation of wound  Wound cleaning NOS Excludes: debridement (86.22, 86.27-86.28) Ganti Balut 93.57 Application of other other wound dressing Porcine wound dressing KONTROL PENDARAHAN 39.98 Control of of hemorrhage, not otherwise specified  Angiotripsy  Control of postoperative hemorrhage NOS  Venotripsy  Excludes:  Excludes:  control of hemorrhage (postoperative): anus 49.95  bladder 57.93 following vascular procedure 39.41 nose 21.00-21.09 prostate 60.94

No Reg: RST DD

 

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tonsil

DAFTAR ISI  ISI 

KEYWORD KEYWORD  

28.7

that by: lsiugtautrioen

3 80 0--339 8..3829 38 9..3

 VL dan JAHIT 83.89 SUTURE KAKI 86.59 SUTURE KEPALA  82.46 SUTURE TANGAN

KONSTIPASI & FECAL IMPACT Diagnosis Utama & Sekunder ICD X Prosedur ICD 9

PX PENUNJANG DARAH Diagnosis Utama & Sekunder ICD X R79.0 Abnormal level of of bl blood mi mineral R79.1 R Abnormal coagulation profile R79.81 Abnormal blo blood-gas le level R79. R7 9.82 82 Elev Elevat ated ed C-re C-reac acti tive ve prot protei ein n (CRP (CRP)) D69.6 Thrombocytopenia Prosedur ICD 9 90.59 Other Microscopic Examination of Blood Defek Koagulasi PT, APTT, INR, dan fibrinogen.

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

SPUTUM BTA   BTA: 90.4 Microscopic examination of specimen from trachea, bronchus,pleura, lung, and other thoracic specimen, and of sputum X-RAY  Thorax  87.44 Routine chest x-ray Urin Rutin Diagnosis Utama & Sekunder ICD X R80. 80.1 Persi rsistent pro protteinuria, un unspec pecifie fied R80.3 Bence Jones proteinuria R80.9

Proteinuria, unspecified

R81. R R82. R8 2.90 90

Glycosuria Unsp Unspec ecif ifie ied d ab abno norm rmal al find findin ings gs in ur urin inee 

 Albuminuria 89.29 Other nonoperative genitourinary system measurements: urine chemistry

Prosedur ICD 9

87.44 Ro Thorax   LCS

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Diagnosis Utama & Sekunder ICD X R83. R8 3.9 9 Unsp Unspec ecif ifie ied d abn abnor orma mall fin findi ding ng in ce cere rebr bros ospi pina nall flu fluid id Prosedur ICD procedures 9 03.3 Diagnostic on spinal cord and spinal canal structures 03.31 Spinal tap Lumbar puncture for removal of dye Excludes: lumbar puncture for injection of dye [myelogram] (87.21) 03.32 Biopsy of spinal cord or spinal meninges 03.39 Other diagnostic procedures on spinal cord and spinal canal structures Excludes: microscopic examination examination of specimen from fr om nervous system or of spinal fluid (90.01-90.09) x-ray of spine (87.21-87.29)  AGD/ BGA  Dx Utama & Sekunder ICD X R79.81 Abnormal blo blood-gas le level

Prosedur ICD 9 89.65 Measurement of systemic arterial blood gases  AGD SERIAL 89.60 Continuous intra-arterial blood gas monitoring

USG   Diagnosis Utama & Sekunder ICD X Prosedur ICD 9ultrasound of digestive system 88.74 Diagnostic 88.76 Diagnostic ultrasound of abdomen and retroperitoneum

 

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KEYWORD KEYWORD  

 88.78 Diagnostic ultrasound of gravid uterus 88.79 Other diagnostic ultrasound CTG Dx Utama & Sekunder ICD X Prosedur ICD 9 75.35 75.32

CT Scan Dx Utama & Sekunder ICD X Prosedur ICD 9 88.38 Other computerized axial tomography  C.A.T. scan NOS Spesial Rawat Jalan Other CT Scan 87.41, 88.01, 88.38 Nuclear Medicine 92.05, 92.15 MRI 88.92, 88.93, 88.97

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Diagnostic and Imaging Procedure of  95.12

MRI Dx Utama & Sekunder ICD X Prosedur ICD 9 88.91 Magnetic resonance imaging of brain and brain b rain stem Excludes: intraoperative magnetic resonance imaging (88.96) real-time magnetic resonance imaging (88.96)

GEJALA YANG MENJADI DIAGNOSIS Fever & Pain MUNTAH Haematemesis Hemoptoe Hemoptisis Melena Chestpain LAB ABNORMAL Penurunan Kesadaran Diagnosis Utama & Sekunder ICD X Prosedur ICD 9

Sesak  Diagnosis Utama & Sekunder ICD X Prosedur ICD 9

 

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KEYWORD KEYWORD  

Chestpain Diagnosis Utama & Sekunder ICD X R07.1 Chest pain Prosedur ICD 9

FEVER & PAIN Dx Utama & Sekunder ICD X R50.9 Fever, unspecified R50.2 Drug induced fever R50. 50.82 Postproc rocedural fe fever R50. 50.83 Postvaccination fev fever R50. R5 0.84 84 Febri Febrile le no nonh nhemo emoly lyti ticc tra trans nsfus fusio ion n rea react ctio ion n R51. R R52. R

Headache Pain, unspecified

Prosedur ICD 9 MUNTAH & Haematemesis Diagnosis Utama & Sekunder ICD X K92.0 Hematemesis Prosedur ICD 9

Hemoptoe & Hemoptisis

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Diagnosis Utama & Sekunder ICD X (R04.0) Epistaxis (R04.1) Haemorrhage from throat (R04.2) (R04.8) Haemoptysis Haemorrhage from other sites in respiratory passages (R04.9) Haemorrhage from respiratory passages, unspecified Prosedur ICD 9

HEMATOSKEZIA & Melena Diagnosis Utama & Sekunder ICD X K92.1 Melena Prosedur ICD 9 Jantung Ischaemic heart diseases (I20-I25) Note: For morbidity , duration as used in categories I21, I22, I24 and I25 refers to the interval elapsing between onset of the ischaemic episode and admission to care. For mortality , duration refers to the interval elapsing between onset and death. Includes: with mention of hypertension ( I10-I15 ) Use additional code, if desired, to identify presence of hypertension.  ANGINA  UAP dd NSTEMI STEMI  AV BLOCK  Cardiac arrest SVT

 

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KEYWORD KEYWORD  

 ATRIAL/ VENTRICLE FIBRILLATION CHF  ANGINA  Diagnosis Utama & Sekunder ICD X I20 Angina pectoris I20.9 Angina pectoris, unspecified Rawat Jalan Z03.4 Observation for suspected myocardial infarction Prosedur ICD 9

UAP dd NSTEMI Diagnosis Utama & Sekunder ICD X I20.0 Unstable an angina I21.4NSTEMI I25.1 Atherosclerotic heart disease (CAD) Rawat Jalan Z03.4 Observation for suspected myocardial infarction Prosedur ICD 9

STEMI Diagnosis Utama & Sekunder ICD X I21.xx STEMI I25.1 Atherosclerotic heart disease (CAD) I25.2 Old myocardial infarction

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Rawat Jalan: Z03.4 Observation for suspected myocardial infarction Prosedur 9 Enrichment 93.96 OtherICD Oxygen EKG Serial dan Monitor 89.6 Circulatory monitoring electrocardiographic electrocardiographic Trombolitik/ Thrombolysis/ Reperfusion Therapy  Heparin, Arixtra dll 99.10 Injection or infusion of thrombolytic agent PCI/ Percutaneous coronary intervention 00.66 36.09 39.50 3606 Percutaneous transluminal coronary angioplasty (PTCA) 3607

 AV BLOCK  Diagnosis Utama & Sekunder ICD X I44 I4 4.0 Atri Atriov oven enttric ricula ular bloc block, k, fi first rst de degree gree// sec seco ond deg degre reee/ complete Prosedur ICD 9

Cardiac arrest Diagnosis Utama & Sekunder ICD X I46.9 Cardiac arrest, cause unspecified

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Prosedur ICD 9 99.60 Cardiopulmonary resuscitation, not otherwise specified

SVT Diagnosis Utama & Sekunder ICD X I47.1Supraventricular/ Ventricular tachycardia Prosedur ICD 9 99.64 Carotid sinus stimulation  ATRIAL FIBRILLATION FIBRILLATION Diagnosis Utama & Sekunder ICD X I48 Atrial fibrillation and flutter I49.0 Ventricular fibrillation and flutter Prosedur ICD 9 99.61 Atrial cardioversion CHF Diagnosis Utama & Sekunder ICD X I50.9 Heart failure, unspecified Prosedur ICD 9 X Ray  88.72 Diagnostic ultrasound of heart  89.62 Central venous pressure monitoring

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

GANGGUAN CAIRAN, ELEKTROLIT DAN ASAM BASA  SYOK/ SHOCK  HYPERNATREMI DAN HYPONATREMI  ASidosis dan Alkalosis Hypo dan Hyperkalemia  ASIDOSIS METABOLIK  Hypoalbuminemia SYOK/ SHOCK & DEHIDRASI Diagnosis Utama & Sekunder ICD X E86.0 Dehydration E86.1 Hypovolemia E86.9 Volume de depletion, un unspecified E87 Other disorders of fluid, electrolyte and acid-base balance R57.0 R57.1 R57.9 R58.

Cardiogenic shock  Hypovolemic shock   Shock, unspecified Hemorrhage, no not el elsewhere cl classified

Prosedur ICD 9 99.08 Transfusion of blood expander Loading Cairan Transfusi

HYPERNATREMI DAN HYPONATREMI Diagnosis Utama & Sekunder ICD X E87.0 Hyperosmolality and hypernatraemia E87.1 Hypo-osmolality and hyponatraemia E87.8 Other disorders of electrolyte and fluid balance, not

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

elsewhere classified Electrolyte imbalance NOS Hyperchloraemia Hypochloraemia Prosedur ICD 9

 Asidosis dan Alkalosis Alkalosis Diagnosis Utama & Sekunder ICD X E87.2 Acidosis Respiratory acidosis Metabolic acidosis E87.3 Alkalosis Prosedur ICD 9 89.65 Measurement of systemic arterial blood gases  AGD SERIAL 89.60 Continuous intra-arterial blood gas monitoring Hypo dan Hyperkalemia Diagnosis Utama & Sekunder ICD X E87.5 E87.6 Hyperkalaemia Hypokalaemia Prosedur ICD 9 pemeriksaan elektrolit,

 ASIDOSIS METABOLIK  METABOLIK  Diagnosis Utama & Sekunder ICD X E87.2 Acidosis E87.3 Alkalosis Prosedur ICD 9

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

89.65 Measurement of systemic arterial blood gases  AGD SERIAL 89.60 Continuous intra-arterial blood gas monitoring Hypoalbuminemia Diagnosis Utama & Sekunder ICD X E88.09 Hypoalbuminemia Lab: R77.0 Abnormality of albumin Prosedur ICD 9

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

PENYAKIT DALAM & ANAK DIARE

Bacterial Infection

DYSPEPSIA  GASTRITIS AKUT & GASTRITIS EROSIVA  PEPTIC ULCER  Gastropati Diabetic DM Type 1; DM Type 2 Hypoglycemia HYPERGLYCEMIA  HYPERTENSION HYPOTENSI

Dengue CACAR  MEASLES MUMPS MALARIA  SEPSIS HEPATITIS Insuffisiensi Hepar SIROSIS HEPATIS HEPATIK FAILURE & COMA

TYROID Hyperkholesterolemia GOUT OSTEOARTHRITIS SINDROM NEFROTIK   AKI dan CKD GNAPS/ Glomerulonefritis Akut Pasca Streptokokus TYPHOID DYSENTERY  TB PARU Leptospirosis

HEPATIKUM CHOLELITHIASIS CHOLECYSTITIS PANCREATITIS AKUT  ASCITES  ANAEMIA D63.0 Thalassemia  ANEMIA LAINNYA  HSP/ Purpura Henoch Schonlein HYPERBILIRUBINEMIA  Sferositosis herediter

DIARE Diagnosis Utama & Sekunder ICD X R19.7 Diarrhea, u un nspecified

DYSPEPSIA  Diagnosis Utama & Sekunder ICD X

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

K30. Functional dyspepsia dyspepsia NOS (R10.13) Prosedur ICD 9

GASTRITIS AKUT & GASTRITIS EROSIVA  Diagnosis Utama & Sekunder ICD X K29. K2 9.70 70 Gast Gastri riti tis, s, unspe unspeci cifi fied ed,, with withou outt blee bleedi ding ng K29.71 Gastritis, unspec pecifie fied, with bleeding/ bleeding/ K29.0 Acute haemorrhagic gastritis Prosedur ICD 9 96.07 Insertion of Other (naso) gastric Tube SPOOLING 96.34 irrigation of nasogastric tube 96.31 Gastric cooling 96.33 Gastric lavage PEPTIC ULCER  Diagnosis Utama & Sekunder ICD X K27. K2 7.0 0 Acut Acutee p pep epti ticc ulc ulcer er,, sit sitee uns unspe peci cifi fied ed,, wit with hh hem emor orrh rhag agee K2 K27. 7.2 2 Acut Acutee pe pept ptic ic ulc ulcer er,, site site uns unspe peci cifi fied ed,, with with bot both h hemo hemorr rrha hage ge and and perforation K27.4 K27. 4 Chro Chroni nicc or or uns unspe peci cifi fied ed pept peptic ic ulce ulcer, r, ssit itee u uns nspe peci cifi fied ed,, wit with h hemorrhage K27. K2 7.6 6 Chro Chroni nicc or unsp unspec ecif ifie ied d pept peptic ic ulce ulcer, r, site site unspe unspeci cifi fied ed,, with with both both hemorrhage and perforation K27.9 K27. 9 Pept Peptic ic u ulc lcer er,, site site uns unspe peci cifi fied ed,, unsp unspec ecif ifie ied d as acu acute te or or chro chroni nic, c,  without hemorrhage or perforation Prosedur ICD 9 96.07 Insertion of Other (naso) gastric Tube

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

SPOOLING 96.34 irrigation of nasogastric tube 96.31 Gastric cooling 96.33 Gastric lavage Gastropati Diabetic Diagnosis Utama & Sekunder ICD X Gastroparalysis/ Gastroparesis K31.84 Paralysis Gastroparesis Diabetic (E08.43, E09.43, E10.43, E11.43, E13.43) Prosedur ICD 9

DM DM 1 Diagnosis Utama & Sekunder ICD X E10. E1 0.62 6211 Type Type 1 DM DM wit with h foo foott ulc ulcer er E10.6 0.65 Type 1 DM wi with hy hypergl rglycemia Rawat Jalan Z46.81 insulin pump use insulin pump titration Fitting insulin (and pumpadjustment) (of) Prosedur ICD 9 99.17 Injection of insulin E89.1

Postprocedural hy hypoinsulinemia

DM 2 Diagnosis Utama & Sekunder ICD X E11 NIDDM

 

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E11.21 E11. E1 1.40 40 E11. E1 1.62 6211

DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Type 2 diabetes mellitus with diabetic nephropathy (DM + CKD) Type Type 2 DM with with diab diabet etic ic neur neurop opat athy hy,, uns unspe peci cifi fied ed Type Type 2 D DM M wit with h fo foot ulc ulcer

Dm + Katarak  E11.3 Non-insulin-dependent diabetes mellitus with ophthalmic complications † H28.0 Diabetic cataract* E11.64 E11. E1 1.64 6411 E11.65

Type 2 DM with hypoglycemia Type Type 2 D DM M wit with h hyp hypog ogly lyce cemi mia a with with coma coma Type 2 DM with hyperglycemia

Rawat Jalan: Z46.81 insulin pump use insulin pump titration Fitting (and adjustment) (of) insulin pump Prosedur ICD 9 99.17 Injection of insulin Hypoglycemia Diagnosis Utama & Sekunder ICD X E16.2 Hypoglycemia, unspecified Prosedur ICD 9

HYPERGLYCEMIA  Diagnosis Utama & Sekunder ICD X R73. 73.01 Impaired fa fassting glucose R73. R7 3.02 02 Impa Impair ired ed gluc glucos osee tol toler eran ance ce (ora (oral) l)

 

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R73. 73.09 R73.9

DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Other her ab abnorma rmal gl glucose Hyperglycemia, un unsspecified

Prosedur ICDof9insulin 99.17 Injection KAD Dx Utama & Sekunder ICD X E10.1 Type 1 diabetes mellitus with ketoacidosis E11.1 Type 2 diabetes mellitus with ketoacidosis Prosedur ICD 9

HYPERTENSION Diagnosis Utama & Sekunder ICD X I10.. Essent I10 Essential ial (pri (primar mary) y) hypert hypertens ension ion (acute renal failure, unspecified (N17.9) tidak bisa digabung dengan essential (primary) hypertension (I10) menjadi I12. I11.x I11. x Hypertensiv Hypertensivee heart disease I12.0 Hypertensive renal disease with renal r enal failure I13.xHypertensive heart and chronic kidney disease L13.2 Hypertensive heart and renal disease with both (congestive) (heart failure and renal failure) I97.3

I

Postprocedural hypertension

Kontrol Rawat Jalan; Z09.8 kontrol Prosedur ICD 9

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

HYPOTENSI Diagnosis Sekunder I95.0 I Utama Idiop& ath ic hypotensICD ion X I95.1I Orthostatic hypotension I95.9 I Hypotension, unspecified Prosedur ICD 9

 ANAEMIA D63.0 Diagnosis Utama & Sekunder ICD X D50.9 Iron d deeficiency an anemia, u un nspec pecified D51.9 D52. D5 2.9 9 D53.9

D Vitamin B12 deficiency anemia, unspecified Fola Folate te defi deficcien iency anemi nemia, a, un unsp spec ecif ifie ied d Nutri rittional anemia, unspec pecifi fieed

D64. Other anaemias Prosedur ICD 9 99.04 Transfusion of packed cells  An. Def Besi Klinis; keilitis angular dan spoon nail , Periksa profil besi

Thalassemia Diagnosis Utama & Sekunder ICD X D56.1 Thalasemia Mayor D59. D5 9.9 9 Acqu Acquiired red he hemo moly lyti ticc anemi nemia a, uns unspeci pecifi fied ed

 

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KEYWORD KEYWORD  

Kontrol Rawat jalan Z09.8 Prosedur ICD 9 99.04 Transfusion of packed cells Kelasi besi (Deferipone, Deferoksamin, dan Deferasirox) D eferasirox)

 ANEMIA LAINNYA & PANSITOPENIA  PANSITOPENIA  Diagnosis Utama & Sekunder ICD X D61.9 Aplastic anemia, unspecified D61.81 Pancytopenia D63.0 Anemia pada neoplasma D62.Acute posthemorrhagic anemia D63.1 Anemia in chronic kidney disease D64.9 Anemia, unspecified Prosedur ICD 9 99.04 Transfusion of packed cells SINDROM NEFROTIK Diagnosis Utama & Sekunder ICD X N00.0 N Acute nephritic syndrome N03.0 N Chronic nephritic syndrome N04.0 N Nephrotic syndrome Prosedur ICD 9

 AKI dan CKD Kriteria AKI : • Menurun Serum kreatinin >1,5 kali nilai dasar

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

• Penurunan Laju Filtrasi Glomerulus > 25 % nilai dasar • Kriteria urine output < 0,5 mL/kg/jam, selama > 6 jam Diagnosis Utama & Sekunder ICD X  AKI N17.9 Acute kidney failure, unspecified (acute renal failure, unspecified (N17.9) tidak bisa digabung dengan essential (primary) hypertension (I10) menjadi I12.) N18 CKD N18.9 Chron ronic ki kidney di disease, un unspecifie fied Prosedur ICD 9  Albuminuria 89.29 Other nonoperative genitourinary system measurements: urine chemistry CDL 38.95 Venous catheterization for renal dialysis 39.95 Hemodialysis;  Artificial kidney  Hemodiafiltration Hemofiltration Renal dialysis Excludes: peritoneal dialysis (54.98)

GNAPS/ Glomerulonefritis Akut Pasca Streptokokus Diagnosis Utama & Sekunder ICD X Prosedur ICD 9

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

INFEKSI TYPHOID Diagnosis Utama & Sekunder ICD X  A01.0

Typhoid fever

Prosedur ICD 9 90.5 Microscopic examination of blood DYSENTERY  Diagnosis Utama & Sekunder ICD X  A06.0 Acute amebic dysentery   A06.9 Amebiasis, unspecified Prosedur ICD 9

Leptospirosis Diagnosis Utama & Sekunder ICD X  A27 Leptospirosis Z11) Special screening examination for infectious and parasitic diseases Prosedur ICD 9

Bacterial Infection Diagnosis Utama & Sekunder ICD X  A49.9 Bacterial infection, infection, unspecified Z11) Special screening examination for infectious and parasitic diseases

 

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KEYWORD KEYWORD  

Prosedur ICD 9 90.5 Microscopic examination of blood  Dengue  A90. Dengue fever [classical dengue]  A91. Dengue hemorrhagic fever D69.6 Thrombocytopenia Komplikasi: E86.1 Hypovolemia Prosedur ICD 9 90.5 Microscopic examination of blood  99.18 Injection or infusion of electrolytes 99.05 Transfusion of platelets MEASLES Diagnosis Utama & Sekunder ICD X B M woim thpoluict aco ctoem B0 05 5..9 2 Meea asslleess cwi d pblyicpantieounmonia Prosedur ICD 9

MUMPS Diagnosis Utama & Sekunder ICD X B26.9 Mumps wi without co complication Prosedur ICD 9

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

MALARIA  Diagnosis Utama & Sekunder ICD X  B519 Plasmodiumvivax malaria malaria without  complication B54. Unspecified Unspecified malaria malaria Rawat Jalan: Z11) Special screening examination for infectious and parasitic diseases Prosedur ICD 9  90.5 Microscopic examination of blood 

SEPSIS Diagnosis Utama & Sekunder ICD X  A41.9 Sepsis, unspecified organism  A48.0 Gas gangrene R65. R6 5.20 20

Seve Severe re seps sepsis is with withou outt ssep epti ticc sho shock  ck 

R65. 65.21 Seve Severe re sepsi epsiss with with sept septic ic shoc shock  k  Prosedur ICD 9 1.) Suhu tubuh lebih dari 38oC atau di bawah 36oC 2.) HR di atas 90x/menit 3.) RR di atas 20x/menit atau PaCO2 di bawah 32 mmHg 4.) Jumlah WBC di atas 12.000/μL atau di bawah 4.000/μL 5.) Terdapat multiple organ failure

GV drainases Necrotomy  90.5 Microscopic examination of blood 

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

HEPATITIS Diagnosis Utama & Sekunder ICD X B15.9 B Hepatitis A without hepatic coma B16.9 B Acute hepatitis B without delta-agent and without hepatic coma B17. B1 7.10 10 Acu Acute hepa hepattit itiis C wit without hout hepat epatic ic com coma B17.2 B Acute hepatitis E B17.9 B Acute viral hepatitis, unspecified B18.2 B Chronic viral hepatitis C K73.9 Chronic he hepatitis, un unspecified Prosedur ICD 9

Insuffisiensi Hepar Diagnosis Utama & Sekunder ICD X K76.9 LiverICD disease, Prosedur 9 unspecified

SIROSIS HEPATIS Diagnosis Utama & Sekunder ICD X K74.6 74.60 0 Unsp Unspec ecif ifie ied d cirr cirrh hosi siss of liv liver er K74. 74.69 Other her ci cirrh rrhosis of of li liver Prosedur ICD 9

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

HEPATIK FAILURE & COMA HEPATIKUM Diagnosis Utama & Sekunder ICD X K72.90 K Hepatic fa failure, un unspecified wi without co coma K72.91 K Hepatic fa failure, un unspecified with coma Prosedur ICD 9

CHOLELITHIASIS Diagnosis Utama & Sekunder ICD X K.80 Cholelithiasis K80.00 K80 .00 Calcul Calculus us of gallb gallblad ladder der with with acute acute chol cholec ecyst ystiti itiss with without out obst obstruc ructio tion n K80.01 K80 .01 Calcul Calculus us of of gallb gallblad ladder der with with acute acute cholec cholecyst ystiti itiss wi with th o obst bstruc ructio tion n K82.0 Obstruction of gallbladder Prosedur ICD 9

CHOLECYSTITIS Diagnosis K81.9 K Utama Chole& cySekunder stitis, un unspeICD cifiedX Prosedur ICD 9

PANCREATITIS AKUT Diagnosis Utama & Sekunder ICD X K85.9 5.9 Acute pancrea reatitis, unspecified Prosedur ICD 9

 

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KEYWORD KEYWORD  

 ASCITES Diagnosis Utama & Sekunder ICD X R18 Ascites Prosedur ICD 9 Punksi Acites 54.91

HSP/ Purpura Henoch Schonlein Diagnosis Utama & Sekunder ICD X Prosedur ICD 9

HYPERBILIRUBINEMIA  Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 Fototherapy  Single/ Double blue light

DISLIPIDEMIA Diagnosis Utama & Sekunder ICD X E78.0 Pure hypercholesterolemia E78.1 Pure hyperglyceridemia E78.5 Hyperlipidemia, un unspecified Prosedur ICD 9

GOUT Diagnosis Utama & Sekunder ICD X

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

M10.9 Gout, unspecified E79. E7 9.0 0 Hype Hyperu ruri rice cemi mia a wit witho hout ut si sign gnss of of inf infla lamm mmat ator ory y art arthr hrit itis is and tophaceous disease Prosedur ICD 9

OSTEOARTHRITIS Diagnosis Utama & Sekunder ICD X M16.9 M Osteoarthritis of hip, unspecified M17.9 M Osteoarthritis of knee, unspecified Prosedur ICD 9

TYROID Diagnosis Utama & Sekunder ICD X E07.9 Disorder of of th thyroid, un unspecified Prosedur ICD 9

HEMOFILIA   D66 Hereditary factor VIII deficiency Nutrisi dan GIZI BERAT BADAN KEP OBESITAS DEF VITAMIN CALCIUM BERAT BADAN Diagnosis Utama & Sekunder ICD X R63.4 Abnormal weight lo loss R63.5 Abnormal weight gain R63.6 Underweight

 

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KEYWORD KEYWORD  

Prosedur ICD 9

KEP Diagnosis Utama & Sekunder ICD X E40. Kwashiorko Kwashiorkorr E41.. Nutrit E41 Nutrition ional al marasmu marasmuss E42. Marasmic Marasmic kwashior kwashiorkor kor E43. Unspecified severe severe protein-calorie protein-calorie malnutrition malnutrition E44 E4 4.0 Mode Modera ratte prot protei einn-ca calo lori riee malnut lnutri rittio ion n E44.1 Mild pro rottein-ca -calorie rie malnutri rittion E46 KEP Prosedur ICD 9

OBESITAS Diagnosis Utama & Sekunder ICD X E E6 66 6..3 9

O Ov beersw ityei,guhntspecified

Prosedur ICD 9

DEF VITAMIN  A  Diagnosis Utama & Sekunder ICD X E50.9 Vitamin A defi ficciency, unspecified

No Reg: RST DD

 

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KEYWORD KEYWORD  

Prosedur ICD 9

B Diagnosis Utama & Sekunder ICD X E51.11 Dry beriberi E51.9 Thiamine deficiency, un unspecified E52. Niacin Niacin deficiency deficiency [pellag [pellagra] ra] E53.0 Riboflavin deficiency  E53.1 Pyridoxine deficiency  E53.9 Vitamin B defic ficiency, unspecified E54. Ascorbic Ascorbic acid acid deficiency  deficiency  E55.0 Rickets, active Prosedur ICD 9

D Diagnosis Utama & Sekunder ICD X E55.9 Vitamin D de deficiency, u un nspecified Prosedur ICD 9

E Diagnosis Utama & Sekunder ICD X E56.0 Deficiency of vitamin E Prosedur ICD 9

K 

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

Diagnosis Utama & Sekunder ICD X E56.1 Deficiency of vitamin K  Prosedur ICD 9 CALCIUM Diagnosis Utama & Sekunder ICD X E83.51 Hypocalcemia E83.52 Hypercalcemia E58. Dietary Dietary calcium calcium deficiency  deficiency  E63.9 Nutritional de deficiency, un unspecified Prosedur ICD 9

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

PARU RHINITIS ALLERGY  Diagnosis Utama & Sekunder ICD X J30.9 J Allergic rhinitis, unspecified J33.9 J Nasal polyp, unspecified Prosedur ICD 9

NASOPHARYNGITIS Diagnosis Utama & Sekunder ICD X J00. Acute nasophary nasopharyngiti ngitiss [common cold] J02.9 Acute pharyngitis, unspecified J03. J0 3.90 90 Ac Acu ute to tonsil nsilli littis is,, unsp unspeecifi cified ed Prosedur ICD 9

ISPA  Diagnosis Utama & Sekunder ICD X J06.9 Acute upper respiratory infection, unspecified Prosedur ICD 9

PNEUMONIA  Diagnosis Utama & Sekunder ICD X J18.9 Pneumonia, unspecified organism

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

(Kode J18.9 dengan asthma (J45) Tidak bisa digabung)

Prosedur ICD 9 that by face/ nasal cannula/ nasal catheter 93.96 Other Oxygen Enrichment 93.94 Respiratory medication administered by nebulizer

TB PARU Diagnosis Utama & Sekunder ICD X  A15.0 Tuberculosis of lung  A15.0 Tuberculosis of lung, confirmed by sputum microscopy microscopy with or without culture  A16.1 Tuberculosis of lung, bacteriological and histological examination not done  A19.9

Miliary tuberculosis, unspecified

LED Meningkat R78. 78.71 Abnormal lead le level in in b bllood Susp Jalan for suspected tuberculosis (Tapi Dx akhir bukan TB) Z03.0Rawat Observation Z11 Special screening examination for infectious and parasitic diseases Prosedur ICD 9 Ro Thorax 87.44 Routine chest x-ray  BTA: 90.4 Microscopic examination of specimen from trachea, bronchus,pleura, lung, and other thoracic specimen, and of sputum LED/

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Mantoux?

BRONCHITIS AKUT J20.9 J Acute bronchitis, unspecified Diagnosis Utama & Sekunder ICD X Prosedur ICD 9

OTHER INFECTION Diagnosis Utama & Sekunder ICD X J34.0 J Abscess, furuncle and carbuncle of nose Prosedur ICD 9

PPOK/ COPD

Diagnosis Utama & Sekunder ICD X J44. J4 4.9 9 Ch Chro roni nicc obst obstru ruct ctiv ivee pulm pulmon onar ary y dise diseas ase, e, unsp unspec ecif ifie ied d J44.1 Chron ronic obstruc ructive pulmonary disease with (acute) exacerbation J44.0 J44. 0 Chro Chroni nicc obst obstru ruct ctiv ivee pul pulmo mona nary ry dise diseas asee wit with ha acu cute te lowe lowerr respiratory infection (atau disertai Pneumonia) Prosedur ICD 9 that by face/ nasal cannula/ nasal catheter 93.96 Other Oxygen Enrichment 93.94 Respiratory medication administered by nebulizer

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

 ASTHMA  Diagnosis Utama & Sekunder ICD X J45 Asthma pneumonia, unspecified (J18.9) dengan asthma (J45) Tidak bisa digabung J45.9011 Unspec J45.90 Unspecifi ified ed asthma asthma with with (ac (acute ute)) eexa xacer cerbat bation ion J45.90 J45 .902 2 Unspec Unspecifi ified ed a asth sthma ma with with status status asthma asthmatic ticus us J45.90 J45 .909 9 Unspec Unspecifi ified ed asthma asthma,, uncomp uncomplic licate ated d Prosedur ICD 9 that by face/ nasal cannula/ nasal catheter 93.96 Other Oxygen Enrichment 93.94 Respiratory medication administered by nebulizer

BRONKHIEKTASIS Diagnosis Utama & Sekunder ICD X J47. J4 7.0 0 Bron Bronch chie iect ctas asis is with with acut acutee lowe lowerr resp respir irat ator ory y in infe fect ctio ion n J47.1 Bron ronchiectasis with (acute) exacerbation J47.9 Bronchiectasis, uncomplicated Prosedur ICD 9 that by face/ nasal cannula/ nasal catheter 93.96 Other Oxygen Enrichment 93.94 Respiratory medication administered by nebulizer

PNEUMOCONIOSIS Diagnosis Utama & Sekunder ICD X J64. Unspecified Unspecified pneumocon pneumoconiosi iosiss J65. Pneumocon Pneumoconiosi iosiss associated associated with tuberculo tuberculosis sis

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

J68.9 J68. 9 Unsp Unspec ecif ifie ied d resp respir irat ator ory y cond condit itio ion n due due to che chemi mica cals ls,, gase gases, s, ffum umes es and vapors Prosedur ICD 9

 ARDS Diagnosis Utama & Sekunder ICD X J80. Acute respirato respiratory ry distress distress syndrome syndrome Prosedur ICD 9 that by face/ nasal cannula/ nasal catheter 93.96 Other Oxygen Enrichment 93.90 non-invasive bi-level positive airway pressure [BiPAP] non-invasive continuous continuous positive airway pressure [CPAP] non-invasive positive pressure (NIPPV)

GAGAL NAFAS Diagnosis Utama & Sekunder ICD X J96.90 J96 .90 Respir Respirato atory ry failur failure, e, unspec unspecifi ified, ed, unspec unspecifi ified ed whe whethe therr with with hypoxi hypoxia a or hypercapnia J96. J9 6.91 91 Resp Respir irat ator ory y fail failur ure, e, unsp unspec ecif ifie ied d with with hypo hypoxi xia a Prosedur ICD 9 that by face/ nasal cannula/ nasal catheter 93.96 Other Oxygen Enrichment 93.90 non-invasive bi-level positive airway pressure [BiPAP] non-invasive continuous continuous positive airway pressure [CPAP] non-invasive positive pressure (NIPPV)

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

EDEMA PULMONUM Diagnosis Utama & Sekunder ICD X J81 Pulmonary oedema Prosedur ICD 9

EFUSI PLEURA & HEMOTHORAX Diagnosis Utama & Sekunder ICD X J90. Pleural Pleural effusion, effusion, not elsewhere elsewhere classif classified ied J94.2 Hemothorax Prosedur ICD 9 87.44 Routine chest x-ray Punksi Pleura  34.91 Thoracocentesis Tension pneumothorax Diagnosis Utama & Sekunder ICD X J93.9 Pneumothorax, unspecified Prosedur ICD 9

 ATELECTASIS Diagnosis Utama & Sekunder ICD X

No Reg: RST DD

 

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J98.11 J98.19

DAFTAR ISI  ISI 

KEYWORD KEYWORD  

Atelectasis Other pu pulmonary co collapse

Prosedur ICD 9

EMPHYSEMA  Diagnosis Utama & Sekunder ICD X J98.2 Interstitial emphysema J98.3 Compensatory emphysema Prosedur ICD 9

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

NEUROLOGI & PSIKIATRI FATIGUE & PLEGIA  HEADACHE KEJANG, EPILEPSY & STATUS EPILEPTIKUS  VERTIGO STROKE; SH dan SNH INSOMNIA  NEURALGIA  CKR  HICCUP MENINGITIS FATIGUE & PLEGIA  Diagnosis Utama & Sekunder ICD X R53.0 53.0 Neop Neopllast stiic (ma (mali lig gnant nant)) rela relate ted d fatig atigue ue R53.1 Weakness R53.2 Functional quadriplegia R53.81 Other ma malaise R53.8 53.82 2 Chro Chroni nicc fat fatig igue ue,, uns unspe peci cifi fied ed R55. G61.0

Syncope and collapse Guillain-Barre syndrome

G82 82.2 .20 0 G82 82.5 .50 0

Para Parapl pleg egiia, unsp unspeeci cifi fied ed Qua Quadri dripleg plegia ia,, unsp unspec eciifi fied ed

Prosedur ICD 9

HEADACHE Diagnosis Utama & Sekunder ICD X

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

G43.119 G43.1 19 Migrai Migraine ne w with ith aura, aura, intrac intracta table ble,, witho without ut statu statuss migrainosus G44.001 Cluster G44.001 Cluster headache headache syndrome, syndrome, unspecified unspecified,, intractab intractable le G44.009 G44. 009 Cluster Cluster heada headache che syndrome, syndrome, unspecified unspecified,, no nott intractable G44.2011 Tensio G44.20 Tension-t n-type ype headac headache, he, unspec unspecifi ified, ed, intrac intractab table le G44.209 G44. 209 Tension-ty Tension-type pe headac headache, he, unspeci unspecified, fied, not intractab intractable le Prosedur ICD 9

KEJANG, EPILEPSY & STATUS EPILEPTIKUS Diagnosis Utama & Sekunder ICD X Kejang Demam Sederhaa R56. 56.00 Simp Simple le fe febr bril ilee co convul nvulsi sion onss R56. 56.01 R56.1 R56.9

Comp Comple lex x febr febril ilee conv onvuls ulsio ions ns R Post traumatic seizures Unspecified convulsions

EPILEPSI G40 Epilepsy  G40.9 G4 0.911 11 Epilep Epilepsy, sy, unspec unspecifi ified, ed, intrac intracta table ble,, with status epilepticus Prosedur ICD 9

 VERTIGO Diagnosis Utama & Sekunder ICD X H81.4 Vertigo

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

H81.3 Other peripheral vertigo Prosedur ICD 9

STROKE; SH dan SNH Diagnosis Utama & Sekunder ICD X  I64 Stroke, not specified as haemorrhage or infarction SNH: I63.9 G45. G4 5.9 9

Cerebral infarction, unspecified Tran Transi sien entt cere cerebr bral al is isch chem emic ic atta attack ck,, un unsp spec ecif ifie ied d

Sekuele SNH: I69.3 Unspecified sseeque quelae of of ce cerebral in infarct rction I69. I6 9.9 9 Unsp Unspec ecif ifie ied d se sequ quel elae ae of unsp unspec ecif ifie ied d ce cere rebr brov ovas ascu cula larr dise diseas asee SH: I61 Nontraumatic intracerebral hemorrhage Prosedur ICD 9 88.38 computerized axial tomography  C.A.T. Other scan NOS INSOMNIA  Diagnosis Utama & Sekunder ICD X G47 47.0 .00 0 Ins Insomn omnia, ia, unsp unspec ecif ifie ied d Prosedur ICD 9

NEURALGIA  Diagnosis Utama & Sekunder ICD X G50.0 Trigeminal ne neuralgia

 

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G51.0 G56. G5 6.01 01 G56. G5 6.02 02

DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Bell's palsy   Carp Carpal al tunn tunnel el sy synd ndro rome me,, rig right ht uppe upperr lim limb b Carp Carpal al tun tunne nell synd syndro rome me,, left left upp upper er lim limb b

Prosedur ICD 9 CKR  Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 Ro Thorax EKg CT scan CT scan= Cephal hematoma HICCUP Diagnosis Utama & Sekunder ICD X R06.6 Hiccough F45.8 Hiccoughs; Hiccuppsychogenic hiccough Prosedur ICD 9

MENINGITIS Diagnosis Utama & Sekunder ICD X G00.9 Bacteri ria al men meningit itiis, unsp unspeecified G03.9 Meningitis, un unspecified Prosedur ICD 9 03.3 Diagnostic procedures on spinal cord and spinal canal structures 03.31 Spinal tap Lumbar puncture for removal of dye Excludes: lumbar puncture for injection of dye [myelogram] (87.21)

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

03.32 Biopsy of spinal cord or spinal meninges 03.39 Other diagnostic procedures on spinal cord and spinal canal structures Excludes: microscopic examination examination of specimen from fr om nervous system or of spinal fluid (90.01-90.09) x-ray of spine (87.21-87.29) Encephalopathy  Dx Utama & Sekunder ICD X G93.40 - Encephalopathy, unspecified G93.41 Metabolic encephalopathy  Prosedur ICD 9

BEDAH COMBUSTIO  APPENDICITIS AKUT HERNIA  COLITIS ULCERATIVE ILEUS PARALYTIC

STT ULCUS DECUBITUS KOLIK RENAL HYDRONEFROSIS & HYDROURETER 

ILEUS BPH OBSTRUKSI IRITABEL BOWEL SYNDROME HEMORRHOID PERITONITIS Ca Mammae Ca Prostat

PENYAKIT PENIS, TESTIS DAN EPIDIDIMIS  Abscess BPH SELULITIS, FURUNKLE & CARBUNCLE COLOSTOMY 

COMBUSTIO Diagnosis Utama & Sekunder ICD X T20.3 Luka bakar Prosedur ICD 9

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

IRIGASI LUKA  96.59 Other irrigation of wound  Wound cleaning NOS Excludes: debridement (86.22, 86.27-86.28) 39.98 KONTROL PENDARAHAN Ganti Balut 93.57

 APPENDICITIS AKUT Diagnosis Utama & Sekunder ICD X K35.2 K Acute appendicitis with generalized peritonitis K35.80 K Unspecified ac acute ap appendicitis Prosedur ICD 9  47.0 Appendectomy  47.01 Laparoscopic appendectomy 47.11 Laparoscopic incidental appendectomy 

HERNIA  Diagnosis Utama & Sekunder ICD X HERNIA INGUINAL K40.90 K40 .90 Unilat Unilatera erall ingui inguinal nal hernia hernia,, withou withoutt obstru obstructi ction on or or gangre gangrene, ne, not not specified as recurrent K40.31 K40 .31 Unilat Unilatera erall ingu inguin inal al hernia hernia,, with with obstru obstructi ction, on, withou withoutt gang gangren rene, e, recurrent

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

HERNIA UMBILIKALIS K42. K4 2.0 0 Umbi Umbili lica call her herni nia a wit with h obs obstr truc ucti tion on,, wit witho hout ut gang gangre rene ne K42. K4 2.9 9

Umbi Umbili lica call hern hernia ia with withou outt obst obstru ruct ctio ion n or gang gangre rene ne

Prosedur ICD 9 Reduksi Manual 96.27 Manual reduction of hernia Herniotomy  53 Repair of hernia Includes: hernioplasty  99.77 herniorrhaphy  Code also any application or administration of an adhesion barrier substance (99.77) Excludes: manual reduction of hernia (96.27)

COLITIS ULCERATIVE Diagnosis ICD K51. K5 1.90 90 Ulce UlUtama cera rati tive ve& coli coSekunder liti tis, s, unsp unspec ecif ifie ied, d,Xwith withou outt comp compli lica cati tion onss K51.9 K51 .911 11 Ulcera Ulcerativ tivee col coliti itis, s, unspec unspecifi ified ed with with rect rectal al bleedi bleeding ng K51.9 K51 .912 12 Ulcera Ulcerativ tivee col coliti itis, s, unspec unspecifi ified ed with with inte intesti stinal nal obstruction Prosedur ICD 9

ILEUS PARALYTIC Diagnosis Utama & Sekunder ICD X K56.0 Paralytic ileus K56.1 K Intussusception K56.2 Volvulus

 

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K56.3

DAFTAR ISI  ISI 

KEYWORD KEYWORD  

Gallstone ileus

Prosedur ICD 9

ILEUS OBSTRUKSI Diagnosis Utama & Sekunder ICD X K56. K5 6.60 60 Unsp Unspec ecif ifie ied d inte intest stin inal al obs obstr truc ucti tion on K56.7 K Ileus, unspecified Prosedur ICD 9

BPH Diagnosis Utama & Sekunder ICD X Open prostatectomy  TUR-Prostat Prosedur ICD 9

IRITABEL BOWEL SYNDROME Diagnosis Utama & Sekunder ICD X K58.9 58.9 Irri Irrita tabl blee bo bowel wel synd syndro rome me wit without hout diar diarrh rhea ea K58.0 58.0 Irri Irrita tabl blee bowe bowell synd syndro rome me wit with diarr iarrh hea Prosedur ICD 9

HEMORRHOID

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Diagnosis Utama & Sekunder ICD X K64.9 Unspecified hemorrhoids Prosedur ICD 9 49.46 Hemorrhoidectomy  PERITONITIS Diagnosis Utama & Sekunder ICD X K65.9 Perit ritonitis, unspecifi fie ed K66. K6 6.0 0 Peri Perito tone neal al adh adhes esio ions ns ((po post stpr proc oced edur ural al)) (pos (posti tinf nfec ecti tion on)) Prosedur ICD 9 54.19 Laparotomy NEC

TUMOR GANAS/ KANKER 

Diagnosis Utama & Sekunder ICD X C22.0 Liver cell carcinoma Rawat Jalan: Z03.1 Observation for suspected malignant neoplasm (Dx akhir  bukan ca) Z08) Follow-up examination after treatment for malignant neoplasms (Kontrol) Kemoterapi (Z51.1) Z51) Other medical care Prosedur ICD 9

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Ca Mammae Diagnosis Utama & Sekunder ICD X C50.9 Malignant neoplasm of breast Rawat Jalan: Z03.1 Observation for suspected malignant neoplasm (Dx akhir bukan ca) Z08) Follow-up examination after treatment for malignant neoplasms (Kontrol) Kemoterapi (Z51.1) Z51) Other medical care Prosedur ICD 9

Ca Prostat Diagnosis Utama & Sekunder ICD X C61. Malignant Malignant neoplasm neoplasm of of prostate prostate Rawat Jalan: Z03.1 Observation for suspected malignant neoplasm (Dx akhir bukan ca) Z08) Follow-up examination after treatment for malignant neoplasms (Kontrol) Kemoterapi (Z51.1) Z51) Other medical care Prosedur ICD 9

CA THYROID  Malignant neoplasm of thyroid gland gland (C73)  Injection or instillation of radioisotopes (92.28) STT Diagnosis Utama & Sekunder ICD X STT

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

 Wide/ Giant Deep STT Prosedur ICD 9 86.3 Excision 86.4 Wide Deep excision 86.11 Biopsy of Skin

Tumor Jinak mammae Diagnosis Utama & Sekunder ICD X D24.1 Benign neoplasm of right breast D24.2 Benign neoplasm of of le left breast Prosedur ICD 9 Mastectomy 85.4 Unilaterall simple mastecto Unilatera mastectomy my 85.41 Bila Bi late tera rall si simp mple le mas maste tect ctom omy y 85.4 85.42 2 Unilaterall exten Unilatera extended ded simple simple mastec mastectomy tomy 85.43 Bila Bi late tera rall ex exte tend nded ed sim simpl plee mast mastec ecto tomy my 85.4 85.44 4 Unilateral radical mastectomy 85.45 Bila Bi late tera rall radi radica call mast mastec ecto tomy my 85.46 85.46 Unilaterall extended Unilatera extended radica radicall mastecto mastectomy my 85.47 Bila Bi late tera rall eext xten ende ded d rad radic ical al mast mastec ecto tomy my 85.4 85.48 8 86.11 Biopsy of Skin

Tumor colorectal Diagnosis Utama & Sekunder ICD X

No Reg: RST DD

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Z12) Special screening examination for neoplasms Prosedur ICD 9 Colonoskopi

ULCUS DECUBITUS Diagnosis Utama & Sekunder ICD X L89. L8 9.90 90 Pre Press ssure ure ulce ulcerr of u uns nspe peci cifi fied ed sit site, e, uns unspe peci cifi fied ed sta stage ge L89. L8 9.91 91 Pres Pressu sure re ulce ulcerr o off uns unspe peci cifi fied ed si site te,, ssta tage ge 1 L89. L8 9.92 92 Pres Pressu sure re u ulc lcer er of of unsp unspec ecif ifie ied d site site,, st stag agee 2 L89. L8 9.93 93 Pres Pressu sure re u ulc lcer er of of unsp unspec ecif ifie ied d site site,, st stag agee 3 L89. L8 9.94 94 Pres Pressu sure re u ulc lcer er of of unsp unspec ecif ifie ied d site site,, st stag agee 4 Prosedur ICD 9 IRIGASI LUKA  96.59 Other irrigation of wound  Wound cleaning NOS Excludes: debridement (86.22, 86.27-86.28) 39.98 KONTROL PENDARAHAN Ganti Balut 93.57

KOLIK RENAL Diagnosis Utama & Sekunder ICD X N20.0 20.0 Calc Calcul ulus us of of kid kidney/ ney/ ure uretter/ er/ bla bladder dder// uret ureth hra N23.Unspecified renal colic

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Prosedur ICD 9

HYDRONEFROSIS & HYDROURETER  Diagnosis Utama & Sekunder ICD X N13.1 N Hydronephrosis N13.4 Hydroureter Prosedur ICD 9

PENYAKIT PENIS, TESTIS DAN EPIDIDIMIS Diagnosis Utama & Sekunder ICD X N47.1 Phimosis N48.5 Ulcer of penis N43.3 N45.1 N45.2

Hydrocele, unspecified N Epididymitis Orchitis

Prosedur ICD 9 Hydrocelectomy BW procedure  Abscess Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 Debridemant BPH Diagnosis Utama & Sekunder ICD X N40.0 Benign prostatic hyperplasia witho without ut lower urinary urinary tract symptoms

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Prosedur ICD 9 60.69 Prostatectomy (complete) (partial) NEC SELULITIS, FURUNKLE & CARBUNCLE Diagnosis Utama & Sekunder ICD X L02.02 Furuncle L02. L0 2.83 838 8 Carb Carbu uncle ncle L03.011 Cellulitis Prosedur ICD 9

COLOSTOMY  Diagnosis Utama & Sekunder ICD X K94. K9 4.00 00 Colo Colost stom omy y comp compli lica cati tion on,, unsp unspec ecif ifie ied d K94.01 Colostomy hemorrh rrhage K94.02 Colostomy infection Prosedur ICD 9

TINDAKAN BEDAH EXCISION dan BIOPSY  DEBRIDEMENT (86.22, 86.27-86.28) Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 86.22 Excisional debridement of wound, infection, or burn

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Removal by excision of: devitalized tissue necrosis slough Excludes: debridement of: abdominal wall (wound) (54.3)  bone (77.60-77.69) muscle (83.45) of hand (82.36) nail (bed) (fold) (86.27) nonexcisionall debridement of wound, infection, or burn (86.28) nonexcisiona open fracture site (79.60-79.69) pedicle or flap graft (86.75) 86.28 Nonexcisional debridement of wound, infection or burn Debridement NOS Maggot therapy  Removal of devitalized tissue, necrosis and slough by such methods as:  brushing irrigation (under pressure) scrubbing  washing  Water scalpel (jet) 79.6 Debridement of open fracture site [0-9] Debridement of compound fracture 96.54 Dental scaling, polishing, and debridement Dental prophylaxis Plaque removal

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

 AMPUTASI T14.7 LAPAROTOMY  Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 54.19 Laparotomy NEC 54.11 Exploratory laparotomy 

OBGYN Gravid/ Hamil Diagnosis Utama & Sekunder ICD X Kondisi Hami yang dirawat karena suatu sebab; O98.5 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium Rawat Jalan: Z3A.0 Weeks of gestation of pregnancy, unspecified or less than 10 weeks  Z3A.1 Weeks of gestation of pregnancy, weeks 10-19  Z3A.2 Weeks of gestation of pregnancy, weeks 20-29  Z3A.3 Weeks of gestation of pregnancy, weeks 30-39  Z3A.4 Weeks of gestation of pregnancy, weeks 40 or greater Z34) Supervision of normal pregnancy  pr egnancy  Z35) Supervision of high-risk pregnancy 

Rawat Inap: O09.81 Supervision of pregnancy resulting from assisted reproductive

technology 

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

BSC/ Bekas S.C O09.82 Supervision of pregnancy with history of in utero procedure during previous pregnancy   O09.9 Supervision of high risk pregnancy, unspecified Komplikasi lain? KET HEG  Abortus KPD PE Placenta Previa Prosedur ICD 9

KET Diagnosis Utama & Sekunder ICD X O00.9 0.9 Ectopic pregnancy, unspecified Prosedur ICD 9 54.19 Laparotomy NEC 54.11 Exploratory laparotomy 

 ABORTUS Diagnosis Utama & Sekunder ICD X O02.1 Missed abortion O20.0 O20. 20.9

Threatened abortion Hemo Hemorr rrh hage age iin n ea early rly pre pregn gnan ancy cy,, uns unspe peci cifi fied ed

Prosedur ICD 9

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

69.0 Curetase HEG Diagnosis Utama & Sekunder ICD X O21.0 Mild hyperemesis gravidarum O21.9 Vomiting of pre pregnancy, unspecifie fied Prosedur ICD 9

HAMIL KEMBAR/ LEBIH Diagnosis Utama & Sekunder ICD X O30.009 O30.00 9 Twin pregnanc pregnancy, y, unspecified unspecified number number of placenta placenta an and d unspecified unspecified number amniotic sacs, unspecified trimester O30.90 O30 .90 ofMultip Mul tiple le ges gestat tation ion, , unspec unspecifi ified, ed, unspec unspecifi ified ed tri trimes mester ter Prosedur ICD 9

POLIHYDRAMNION Diagnosis Utama & Sekunder ICD X O40.9XX1 Pol Polyhydram ramnios, un unspecified tr trimester O41. O4 1.00 00X0 X0 Olig Oligoh ohyd ydra ramn mnio ios, s, unsp unspec ecif ifie ied d tri trime mest ster er,, not not appl applic icab able le or unspecified O41.0 41.00X 0X9 9

Olig Oligoh ohyd ydra ram mnio nios, uns unspeci pecifi fied ed tri trime messter, ter, ot othe herr fet fetus

Pake S.C ? O82.9 caesarean section delivery, unspecified

Prosedur ICD 9

KPD Diagnosis Utama & Sekunder ICD X O82.9 caesarean section delivery, unspecified

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

24 jam O42. O4 2.10 10 Prema Prematu ture re ru rupt ptur uree of mem membra brane nes, s, ons onset et o off labo laborr more more than than 24 24 hours following rupture, unspecified weeks of gestation Prosedur ICD 9

PRE-ECLAMPSIA & ECLAMPSIA  Diagnosis Utama & Sekunder ICD X O10.0 10.019 19 PrePre-eexist xistiing essential hypertension complicating hypertension complicating pregnancy, unspecified trimester O10.119 Pre re--existing hypertensive heart disease complicating disease complicating pregnancy, unspecified trimester O11.9 O Pre-existing hypertension with pre-eclampsia, pre-eclampsia, unspecified trimester O12.00 O12. 00 O12. O1 2.10 10

Gest Gestat atio iona nall edem edema, a, unsp unspec ecif ifie ied d trim trimes este terr Gest Gestat atio iona nall prot protei einu nuria ria,, unspe unspeci cifi fied ed trim trimes este terr

O12. O1 2.20 20

Gest Gestat atio iona nall edema edema with with prote protein inur uria ia,, unspe unspeci cifi fied ed trim trimes este terr

O14.00 O14. 00 O14. O1 4.10 10 O14. O1 4.20 20 O15. O1 5.00 00

Mild Mild to to moder moderat atee pre-e pre-ecl clam amps psia ia,, unspe unspeci cifi fied ed trim trimes este terr Seve Severe re prepre-ec ecla lamp mpsi sia, a, uns unspe peci cifi fied ed tri trime mest ster er HELL HELLP P ssyn yndr drom omee (HE (HELLP LLP), ), unspe unspeci cifi fied ed trim trimest ester er Ecla Eclamp mpsi sia a in in pre pregn gnan ancy cy,, uns unspe peci cifi fied ed trim trimes este terr

O15.1

O

Eclampsia in labor

Prosedur ICD 9

BLIGHTED OVUM

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

O02.0 - Blighted ovum and nonhydatidiform mole PLACENTA PREVIA  Diagnosis Utama & Sekunder ICD X O44.00 O44 .00 Placen Placenta ta previ previa a speci specifie fied d as withou withoutt hemor hemorrha rhage, ge, unspec unspecifi ified ed trimester O44.10 Placenta pr previa with hemorrhage, hemorrhage, unspecified trimester Prosedur ICD 9

PARTUS PREMATURUS Diagnosis Utama & Sekunder ICD X O60. O6 0.10 10X9 X9 Pret Preter erm m labo laborr wit with h pr pret eter erm m del deliv iver ery, y, un unsp spec ecif ifie ied d trim trimes este ter, r, other fetus O60. O6 0.20 20X0 X0 Term Term d del eliv iver ery y wit with h pret preter erm m lab labor or,, uns unspe peci cifi fied ed trime rimest ster er,, not not applicable or unspecified Prosedur ICD 9

HAMIL POST-TERM Diagnosis Utama & Sekunder ICD X O48.0 Post-term pregnancy  O48.1 Prolonged pregnancy  Prosedur ICD 9

TINDAKAN PARTUS Dx Primer = Metode Partus (O80.0-O84.9) Dx Sekunder = Outcome (Z37.0 –Z37.9)  –Z37.9)  Jangan Lupa! Diagnosis Utama & Sekunder ICD X

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

O80 Single spontaneous delivery  O81 Single delivery by forceps and vacuum extractor O84 Multiple delivery  Induksi gagal O61.9 Failed induction of labor, unspecified Trial Gagal O66.4 failed O66.4  failed trial of labour, unspecified O82.9 caesarean section delivery, unspecified Persalinan normal maupun tidak normal tidak diperbolehkan menginput high risk pregnancy (Z35.5, Z35.6, Z35.7, dan Z35.8)

Prosedur ICD 9 73.5 Manually assisted delivery  73.59 Other manually assisted delivery   Assisted spontaneous delivery  delivery  Forceps 72.9 73.01 Induction of labor by artificial rupture of membranes Surgical induction NOS Excludes: artificial rupture of membranes after onset of labor (73.09) labor (73.09) 73.4 Medical induction of labor Excludes: medication to augment active labor -- omit code

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

74.1 S.c 74 Cesarean section and removal of fetus Code also any synchronous: hysterectomy (68.3-68.4, 68.6, 68.8) myomectomy (68.29) sterilization (66.31-66.39, 66.63)

PERSALINAN LAMA  Diagnosis Utama & Sekunder ICD X O62.0 Primary inadequate contractions  O62.1 Secondary uterine inertia  O62.2 Other uterine inertia O63.0

Pro rollonged first rst stage (of (of labor)

Secondary Arrest O63.1 Prolonged second stage (of labor) O63.2 63.2

Dela Delaye yed d de deli live very ry of sec secon ond d twi twin, n, tripl riplet et,, eettc.

Prosedur ICD 9

Outcome Delivery/ BAYI BARU LAHIR Z37 Diagnosis Utama & Sekunder ICD X Z37.0 Single live birth Z37.1 Single stillbirth

No Reg: RST DD

Z37.2 Twins, both liveborn

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Z37.3 Twins, one liveborn and one stillborn Z37.4 Twins, both stillborn Z37.5 Other multiple births, all liveborn Z37.50 Multiple births, unspecified, all liveborn  Ada komplikasi? Hyperbilirubinemia Trauma Saat Persalinan Infeksi Kelainan Kongenital

Prosedur ICD 9

NEONATUS TERGANGGU AKIBAT PERSALINAN Diagnosis Utama & Sekunder ICD X P03.0 – P03.6 P03.0Fetus and newborn affected by breech delivery and extraction P03.1Fetus and newborn affected by other malpresentation, malposition and disproportion during labour and delivery  P03.2Fetus and newborn affected by forceps delivery  P03.3Fetus and newborn affected by delivery by vacuum extractor [ventouse] P03.4Fetus and newborn affected by caesarean delivery  P03.5Fetus and newborn affected by precipitate delivery  Rapid second stage P03.6Fetus and newborn affected by abnormal uterine contractions Fetus or newborn affected by conditions classifiable classifiable to O62.-, except O62.3 Hypertonic labour Uterine inertia

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Prosedur ICD 9

BBLR  Diagnosis Utama & Sekunder ICD X P05.10 Newborn small for gestational age, unspecified weight P07.30 Preterm newborn, unspecified weeks of gestation P08.21 Post-term newborn P08.22 Prolonged gestation of newborn Prosedur ICD 9 TRAUMA/ INFEKSI NEONATUS Diagnosis Utama & Sekunder ICD X P09. Abnormal findings on neonatal screening  ASFIXIA  P21.1 Mild P21.1  Mild and moderate birth asphyxia P24.0 Neonatal P24.0  Neonatal aspiration of meconium P24.9 Neonatal aspiration, unspecified P28.5

Respiratory failure of newborn

P36.9

Bacterial sepsis of newborn, unspecified

Prosedur ICD 9

IKTERUS NEONATAL  A. Ikterus fisiologis: tampak pada hari hari ke 2-3, kadar maksimal bilirubin total 12 mg% dan

menghilang pada minggu pertama atau kedua

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

B. Ikterus patologis: timbul lebih awal < 36 jam, peningkatan > 0,5 mg/dl/jam, kadar maksimal 15-17 pada bayi cukup bulan, dan ikterus menetap lebih dari 2 minggu. Diagnosis Utama & Sekunder ICD X P57.9 Kernicterus, un unspecified P59.9 Neonatal jja aundice, unspecified

Prosedur ICD 9 Fototherapy  GANGGUAN METABOLIK NEONATUS Diagnosis Utama & Sekunder ICD X P70.2 P Neonatal DM P70.4 P Other neonatal hypoglycemia P80.9 Hypot pothermia of of ne newborn, un unspecified Prosedur ICD 9

KOMPLIKASI POST PARTUM & MASA NIFAS Diagnosis Utama & Sekunder ICD X O71.1 O71.2

Rupture of uterus during labor Postpartum inversion of uterus

O15.2 O90.9 90.9

Eclampsia in the puerperium Comp Compli lica cattion ion o off the the puer puerpe peri rium um,, uns unspe peci cifi fied ed

Z39) Postpartum care and examination (Rawat Jalan) Prosedur ICD 9

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

LASERASI PERSALINAN Diagnosis Utama & Sekunder ICD X O71. O7 1.81 81 Lace Lacera rati tion on of ute uteru rus, s, not not else elsewh wher eree clas classi sifi fied ed O71. O7 1.82 82 Othe Otherr spec specif ifie ied d tra traum uma a to to peri perine neum um and and vul vulva va O71.9 O Obstetric trauma, unspecified Prosedur ICD 9

 AMENORHHEA/ HYPERMENORRHEA  HYPERMENORRHEA  Diagnosis Utama & Sekunder ICD X N91.0 Primary amenorrhea N91.1 N Secondary amenorrhea N91.2 Amenorrhea, unspecified N92.0 N92. 0 N92. 92.1 cycle

Exce Excess ssiv ivee and and freq freque uent nt men menst stru ruat atio ion n wi with th rreg egul ular ar cyc cycle le Exce Excesssi siv ve and and fr freq eque uent nt men menst stru rua atio tion wi with th irregular

N92.2

Excessiv ivee me menstrua ruation at at pu puberty rty

N92. 92.6 Irre Irreg gula ular mens menstr trua uattion, ion, unspe nspeci cifi fied ed Prosedur ICD 9

CA CERVIX Diagnosis Utama & Sekunder ICD X N93.0 Postcoital and contact bleeding N93. N9 3.9 9 Abno Abnorm rmal al uter uterin inee and and vagi vagina nall ble bleed edin ing, g, un unsp spec ecif ifie ied d

Z08) Follow-up examination after treatment for malignant neoplasms

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

Prosedur ICD 9 (Kontrol) Kemoterapi (Z51.1) Z51) Other medical care

DYSMENORRHEA  Diagnosis Utama & Sekunder ICD X N94.6 Dysmenorrhea, unspecified Prosedur ICD 9

HYPERPLASIA ENDOMETRIOSIS Diagnosis Utama & Sekunder ICD X N80.9 Endometriosis, unspecified N85.00 Endometrial hyperplasia, unspecified Prosedur ICD 9 69.0 Curetase

INFERTILITAS Diagnosis Utama & Sekunder ICD X N97.9 Female infertility, unspecifie fied Z30.2 Sterilization Prosedur ICD 9

Kista Barholini Diagnosis Utama & Sekunder ICD X

No Reg: RST DD

 

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N75.0 N75.1 N75.8 5.8 N75. 75.9

DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Cyst of Bartholin's gland N Abscess of Bartholin's gland Other her di diseases of of Bar Bartholin's gland Dise Disea ase of Bart Barth holin olin's 's gla gland nd,, unsp unspec eciified fied

Prosedur ICD 9 marsupialisasi

PID Diagnosis & Sekunder ICD N73. N7 3.9 9 Fema FeUtama male le pe pelv lvic ic infl inflam amma mato tory ry dise diXseas ase, e, unsp unspec ecif ifie ied d Prosedur ICD 9

TINDAKAN KURETASE Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 69.0 HISTEREKTOMI Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 68.9 Hysterectomy  OOPHOREKTOMI Diagnosis Utama & Sekunder ICD X

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Prosedur ICD 9 Oophorectomy 65.3-65.6 MATA  INFEKSI Pterygium KSI/ KATARAK SENILIS IMMATUR  GLAUCOMA  KELAINAN VISUS Trauma Oculi KELAINAN PUPIL INFEKSI Diagnosis Utama & Sekunder ICD X B30.9 Viral co conjunctivitis, un unspecifie fied H00.01x Hordeolum H00.11x Chalazion H01.0xx blepharitis H01.14x Xeroderma Prosedur ICD 9 18.6 Ophthalmologic and otologic diagnosis and treatment

Pterygium Diagnosis Utama & Sekunder ICD X H11.0 Grade IV  Prosedur ICD 9

 Avulsi + CLG (Conjunctiva (Conjunctiva Limbal Graft)

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

11.3 Excision Of Pterygium Obat Tobrosom 4x Protagenta 6x LFX Polidex 24 post op

INFEKSI Diagnosis Utama & Sekunder ICD X H16.2xx Keratoconjunctivitis Keratoconjunctivitis H16.3xx Keratitis Prosedur ICD 9

KSI/ KATARAK SENILIS IMMATUR  Diagnosis Utama & Sekunder ICD X H25.9 Senile cataract, unspecified H26.9 Cataract, unspecified H28.0 Diabetic cataract PF Keruh di Lensa mata Kontrol Rawat Jalan; Z09.8 PSEUDOFAKIA (Post op katarak) Prosedur ICD 9

No Reg: RST DD

H13.11 Operasi SICS

 

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KEYWORD KEYWORD  

Ekstraksi Katarak  13.1 Intracapsular extraction of lens 13.19 13.19 Other intracapsular extraction of lens Cataract extraction NOS Cryoextraction of lens Erysiphake extraction of cataract Extraction of lens NOS

GLAUCOMA  Diagnosis Utama & Sekunder ICD X H40.xxxx Glaucoma Prosedur ICD 9 Glaucoma surgery 12.1-12.7

KELAINAN VISUS Diagnosis Utama & Sekunder ICD X  VISUS H52.0x Hypermetropia H52.1x Myopia H52.2xx Astigmatism H52.31 Anisometropia H52.32 Aniseikonia H52.4 Presbyopia Prosedur ICD 9 95.2 Objective functional tests of eye Excludes:

No Reg: RST DD

that with polysomnogram (89.17)

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Trauma Oculi Diagnosis Utama & Sekunder ICD X PF: Sub conj Bleeding H43.0x Vitreous prolapsed H43.1x Vitreous hemorrhage Prosedur ICD 9 Tx Fluorometholone Polynel 6x Os dan Neomycin) atau buatan) ) Protagenta 4x (os ( cairan mata buatan (cairan

KELAINAN PUPIL Diagnosis Utama & Sekunder ICD X H57.03 Miosis H57.04 Mydriasis Prosedur ICD 9

THT INFEKSI; OMA dan OEA  Diagnosis Utama & Sekunder ICD X H60.3xx Otitis externa H65.xx Otitis media H73.00 H73. 0011 Acut Acutee myr myrin ingi giti tis, s, righ rightt ear ear H73.002 H73 .002 Acute/ Acute/ Bullou Bullous/ s/ Chron Chronic ic myring myringiti itiss H73.81 H73 .8111 Atroph Atrophic ic flac flaccid cid// nonfl nonflacc accid id tymp tympani anicc membr membrane ane

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

H75.00 Mastoiditis Prosedur ICD 9 18.1 Diagnostic procedures on external ear 18.11 Otoscopy  18.12 Biopsy of external ear 18.19 Other diagnostic procedures on external ear Excludes: microscopic examination examination of specimen from fr om ear (90.31-90.39) TONSILITIS KRONIS Chronic Tonsilitis (J35.0) Tonsillectomy without adenoidectomy (28.2) IMPACTED CERUMEN Diagnosis Utama & Sekunder ICD X H61.2x Impacted cerumen Prosedur ICD 9

CHOLESTEATOMA  Diagnosis Utama & Sekunder ICD X H71.00 Cholesteatoma H71.9 Unspecified cholesteatoma, unspecified ear H72. H7 2.00 00 Perf Perfor orat atio ion n of ttym ympa pani nicc mem membr bran anee Prosedur ICD 9

 VERTIGO Diagnosis H81.10 BeUtama nign par par&oxSekunder ysmal vert vertiigICD o X H81.311 Aural vertigo

H81. H8 1.39 3911 Othe Otherr peri periph pher eral al vert vertig igo o

 

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H81.41

DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Vertigo of of ce central ori orig gin

Prosedur ICD 9

HEARING LOSS Diagnosis Utama & Sekunder ICD X H90.2 90.2 Cond Condu uctiv ctivee heari earing ng loss loss,, unsp unspec ecif ifie ied d H90.5 90.5 Unsp Unspec ecif ifie ied d se senso nsorine rineu ural ral h heeari aring los loss H90.8 H9 0.8 Mixe Mixed d con condu duct ctiv ivee and and sens sensor orin ineu eura rall hea heari ring ng loss loss,, u unsp nspec ecif ifie ied d H93.1 93.19 9 Tin Tinnitu nituss, unspe nspeci cifi fied ed ear ear H91.09 H91. 09 H91.1 91.10 0

Otot Ototox oxic ic hear hearin ing g loss loss,, unspe unspeci cifi fied ed ea earr Pres Presby bycu cussis is,, unspe nspeci cifi fied ed ear

H91.90 H91. 90 Unsp Unspec ecif ifie ied d he hear arin ing g loss loss,, unsp unspec ecif ifie ied d ear ear Prosedur ICD 9

GIGI MULUT ORAL HYGIENE BURUK  Diagnosis Utama & Sekunder ICD X K03.6 Deposit K03.6  Deposit [accretion] of teeth Prosedur ICD 9 96.54 Dental 96.54  Dental scalling and polishing polishing, plaque removal , prophylaxis

IMPAKSI Diagnosis Utama & Sekunder ICD X K01.1  Maxillary Impactemolar d teeth K01.16 K01.16 Maxillary K01.17 Mandibular K01.17  Mandibular molar

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Prosedur ICD 9 89.31 Dental 89.31  Dental Examination 87.11 Full 87.11  Full mouth x-ray of teeth 87.12 Other dental x-ray 23.19 Other surgical extraction of tooth ( Removal of impacted tooth) tooth) Elektif Odontectomy: 23.1 Surgical Removal Of Tooth 23.19 Other surgical extraction of tooth

CARIES Diagnosis Utama & Sekunder ICD X K02.xx Dental caries K02.3 Arrested Caries K02.3 Arrested K02.9 Dental caries, unspecified CARIES DENTIN K02.52 Dental K02.52  Dental caries on pit and fissure surface penetrating into dentin K02.62 Dental K02.62  Dental caries on smooth surface penetrating penetrating into dentin Prosedur ICD 9 89.31 Dental 89.31  Dental Examination 23.2 Restoration 23.2  Restoration of tooth by filling 23.70 Root 23.70  Root canal, not otherwise specified  24.99 Other (other dental operation) operation)

CARIES PULPA  Diagnosis Utama & Sekunder ICD X K02.8 karies gigi lainnya

Other specified dental caries

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

Prosedur ICD 9 89.31 Dental 89.31  Dental Examination 23.70 root canal NOS 23.2 restoration of tooth by filling 23.42 Application 23.42  Application of crown  crown  Pulpotomi dan restorasi

 ATRISI, ABRASI, ABRASI, EROSI Diagnosis Utama & Sekunder ICD X K03.0 Excessive K03.0  Excessive attrition of teeth K broafstio of teeth K0 03 3..12 ErosiA on eenth Prosedur ICD 9 89.31 Dental 89.31  Dental examination; examination; 23.2 Restoration 23.2  Restoration of tooth by filling 23.3 Restoration 23.3  Restoration of tooth by inlay 24.99 Other (other dental operation) PULPITIS & GANGREN PULPA  Diagnosis Utama & Sekunder ICD X K04.0

Pulpitis

Prosedur ICD 9 24.99 other dental operation(other); operation(other); 23.70 root canal, NOS NOS not  not otherwise specified ; 87.12 Other dental x-ray (root canal x-ray); 23.2 Restoration 23.2  Restoration of tooth by filling/ filling/ 23.3 Restoration 23.3  Restoration of tooth by inlay/ inlay/ 23.41 Application 23.41  Application of crown. crown. pulp proteksi  pulp caping

No Reg: RST DD

Gnngren

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

NECROSIS PULPA  Diagnosis Utama & Sekunder ICD X K04.1 Necrosis of pulp Prosedur ICD 9 Untuk gigi yang dipertahankan: 24.99 other dental operation (other other)) 23.70 root canal, not otherwise specified  23.2 Restoration 23.2  Restoration of tooth by filling 23.41 Application 23.41  Application of crown atau U ntuk gigi yang di indikasikan cabut 23.09 extraction of other tooth 23.11 removal of residual root 

PERIODONTITIS & ABSES Diagnosis Utama & Sekunder ICD X K04.4 04.4 Acu Acute apic apical al peri period odon onttit itis is of pu pulp lpal al orig origiin PERIODONTITIS KRONIS K.05.3 Chronic periodontitis  ABSES PERIAPIKAL K04.6 Periapical abscess K.04.7  Periapical abcess without sinus  ABSES PERIODONTAL K05. K0 5.20 20 Aggr Aggres essi sive ve// Chro Chroni nicc peri period odon onti titi tiss K.05.21 Aggressive K.05.21  Aggressive periodontitis, localized/ periodontal abcess. abcess. Prosedur ICD 9

89.31 Dental 89.31  Dental Examination

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

24.99 Other (other dental operation)  Periodontitis Kronis 96.54 dental scaling and polishing, dental debridement, plaque removal  Untuk Abses; 24.00 incision of gum or alveolar bone  ABSES PERIODONTAL: 24.00 incision of gum or alveolar bone 96.54 dental debridement  GINGIVITIS Diagnosis Utama & Sekunder ICD X K05.0 05.00 0 Acu Acute/ te/ Chr Chron oniic gin gingi giv vit itiis Prosedur ICD 9 89.31 Dental 89.31  Dental Examination 96.54 dental scaling and polishing, polishing, dental debridement ,  prophylaxis,, plaque removal   prophylaxis

GIGI PATAH Diagnosis Utama & Sekunder ICD X S02.5 Fracture S02.5  Fracture of tooth Prosedur ICD 9 89.31 Dental 89.31  Dental Examination 24.99 Other (other dental operation) SISA AKAR & GANGREN RADIX Diagnosis Utama & Sekunder ICD X  Akar gigi tertinggal

 K08.3 Retained dental root 

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

Prosedur ICD 9 89.31 Dental 89.31  Dental Examination 23.11 surgical removal of residual root 

STOMATITIS & ULKUS TRAUMATIK  Diagnosis Utama & Sekunder ICD X K12.0 Stomatitis K12.0  Stomatitis Aphtosa recurent  Prosedur ICD 9 89.31 Dental 89.31  Dental Examination 24.99 Other (other dental operation) SIALOADENITIS Diagnosis Utama & Sekunder ICD X K11.20 Sialoadenitis, uns unspecifie fied K11.21 Acute sialoadenitis K11.23 Chronic sialoadenitis Prosedur ICD 9 89.31 Dental 89.31  Dental Examination 24.99 Other (other dental operation) GANGGUAN KELENJAR SALIVA  Diagnosis Utama & Sekunder ICD X K11.3 Abscess of salivary gland K11.9 Disease of salivary gland, unspecified Prosedur ICD 9 89.31 Dental 89.31  Dental Examination 24.99 Other (other dental operation) PERSISTENSI GIGI SULUNG ICD X Diagnosis Utama & Sekunder

No Reg: RST DD

K00.6 Retained K00.6  Retained ( persistent ) primary tooth

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

Prosedur ICD 9 89.31 Dental 89.31  Dental Examination 23.01 Extraction 23.01  Extraction of deciduous tooth; tooth; 23.11 Removal 23.11  Removal of residual root. MALOKLUSI KELAS I/ ANOMALI LETAK GIGI Jarak gigi berlebih Deviasi garis tengah Oklusi lingual gigi posterior Gigitan bersilang depan/belakang Tumpang gigi berlebih Diagnosis Utama & Sekunder ICD X K07.20 Disto-occlusion K07.20  Disto-occlusion K07.21 Mesio-occlusion K07.21  Mesio-occlusion K07.22 Excessive K07.22  Excessive overjet (horizontal overbite) overbite) K07.23 Excessive K07.23  Excessive overjet (horizontal overbite) overbite) K07.25 Openbite K07.26 Crossbite (anterior, posterior) K07.27 Posterior K07.27  Posterior lingual occlusion of mandibular mandibular teeth Prosedur ICD 9 87.11 full mouth x-ray of teeth 87.11 full 87.12 orthodontic cephalogram 24.7 Application 24.7  Application of orthodontic appliance TINDAKAN Ekstraksi Gigi Dental extraction 23.0-23.1 23.09 KULIT & KELAMIN INFEKSI Diagnosis Utama & Sekunder ICD X

No Reg: RST DD

 A51.0

Primary genital syphilis

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

 A51.31 Condyloma latum  A54.00 Gonococcal infection infection of lower genitourinary tract, tract, unspecified  A57. A Chancroid  A58. A Granuloma inguinale inguinale  A59.00 Urogenital trichomoniasis, trichomoniasis, unspecified  A59.01 Trichomonal vulvovaginitis vulvovaginitis  Virus:  A60.01 B08.1

Herpesviral infection of penis B Molluscum contagiosum

Prosedur ICD 9

TINEA  Diagnosis Utama & Sekunder ICD X B35.0 Tinea barbae and tinea capitis B35.1 B Tinea unguium B35.2 B Tinea manuum B35.3 B35.4 B35.5 B35.6 B35.9 B36.0 B36.1 B37.3

B Tinea pedis B Tinea corporis B Tinea imbricata B Tinea cruris B Dermatophytosis, unspecified Pityriasis ve versicolor B Tinea nigra B Candidiasis of vulva and vagina

Prosedur ICD 9

HELMINTHIASIS

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Diagnosis Utama & Sekunder ICD X B77.9 Ascariasis, unspecified B83.9 Helminthiasis, unspecified B85.2 Pediculosis, unspecified B86.. Scabie B86 Scabiess Prosedur ICD 9

HIV/ B20 Diagnosis Utama & Sekunder ICD X B20. Human immunodeficiency immunodeficiency virus [HIV] disease Z21) Asymptomatic human immunodeficiency virus (HIV) infection status Contoh Severe! B20.7 B20.6 B20.3 Prosedur ICD 9 Lab H2TL, OT, PT  Anti HIV , Normal: Non Reaktif  Reaktif   Anti HIV ELISA 3 Metode: 1. CMIA, CMIA, Norma Normal: l: Non Non Reak Reaktif  tif  2. Immunokrom Immunokromatog atografi, rafi, Normal: Normal: Non Reaktif  Reaktif  3. ELFA, Normal: Normal: Non Non Reakti Reaktiff

IMPETIGO

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Diagnosis Utama & Sekunder ICD X L01.00 Impetigo, unsp speecified L01.01 Non-bullous impetigo L01.03 Bullous impetigo L21.0 L21.9

L L

Seborrhea capitis Seborrheic dermatitis, unspecified

Prosedur ICD 9

PYODERMA  Diagnosis L08.0 PyUtama oderma& Sekunder ICD X L08.1 Erythrasma L08. L0 8.9 9 Loca Locall inf infec ecti tion on of th thee ski skin na and nd subc subcut utan aneo eous us tiss tissue ue,, unspecified L10.0 L13.0

Pemphigus vulgaris Dermatitis herpetiformis

Prosedur ICD 9

 ALLERGY  Diagnosis Utama & Sekunder ICD X L20.8 0.81 Atopic pic neurod roderma rmatitis L20. L2 0.84 84 Int Intrins rinsic ic (all (aller ergi gic) c) ecze eczem ma L20.8 0.89 L20.9

Other her at atopic de dermatitis Atopic de dermatitis, un unspecified

L29.0

Pruritus ani

L29.1 L29.2

Pruritus scroti Pruritus vulvae

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

L30.9 Dermatitis, unspecified L40.9 Psoriasis, u un nspecified L42. Pityriasis Pityriasis rosea Prosedur ICD 9

DKA dan DKI Diagnosis Utama & Sekunder ICD X L23.9 Allergic contact dermatitis, unspecified cause L24.9 Irritant contact dermatitis, unspecified cause L50.0 L50.9

Allergic urticaria Urticaria, unspecified

L51.1 L55.9

L L

Stevens-Johnson syndrome Sunburn, unspecified

L27.0 Generalized skin eruption due to drugs and medicaments taken internally  L27.1 Localized skin eruption due to drugs and medicaments taken internally  Prosedur ICD 9

 AKNE/ JERAWAT Diagnosis Utama & Sekunder ICD X L70.0 Acne vulgaris L70.9 L Acne, unspecified Prosedur ICD 9

TINDAKAN

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

 Fototerapi  Ultraviolet light therapy (99.82) Orthopedi M50.2 – M50.9 Cervical Spine Disorders and Displacement • Neck and Back Pain M54.5 Low back pain • Osteoarthritis of the Hip M16.9* Osteoarthritis of hip, unspecified • Osteoarthritis of the Knee M17.9* Osteoarthritis of knee, unspecified Spondylitis TB Diagnosis Utama & Sekunder ICD X M45.9 Ankylosing spondylitis spondylitis of unspecified sites in spi spine ne • Radiculopathy (Primary) M54.10* Radiculopathy, site unspecified • Rheumatoid Arthritis M06.9* Rheumatoid arthritis, unspecified • Selected Shoulder Conditions • Spinal Stenosis of the Lumbar Region • Selected Sprains – Rotator Cuff, Cruciate Ligament, and Ankle • Thoracic, Thoracolumbar, and Lumbosacral Intervertebral Disc Disorders Prosedur ICD 9 HNP

Diagnosis Utama & Sekunder ICD X

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

Prosedur ICD 9

Trauma Diagnosis Utama & Sekunder ICD X S00–T98 Fr. Collum Femoris S72.0 Fracture S72.0  Fracture of neck of femur (S72.0)  Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate (M96.6) Prosedur ICD 9 Internal Fixation 78.5 Open Reduction Internal Fixation (ORIF) Open reduction of fracture with internal fixation of femur (78.35) External Fixation 78.1 79 93.51 93.56 93.59  Limb shortening procedures of femur (78.25)  Application of external fixator device of femur femur (78.15) STIFFNESS

Diagnosis Utama & Sekunder ICD X  Stiffness of joint (M2566)

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

M25.60 Stiffness of unspecified joint, not elsewhere classified Prosedur ICD 9 83.09 Soft Tissue Release  Division of joint capsule, ligament, ligament, or cartilage (80.46) TRIGGER FINGER  M65.30 Trigger finger, unspecified finger UNION/Lepas Pen Pasca ORIF Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 Remove Implant DISLOCATION Diagnosis Utama & Sekunder ICD X Prosedur ICD 9 79 Reduction (orthopedic surgery)

Diagnosis Utama & Sekunder ICD X T81.10XA Postprocedural shock unspecified, unspecified, initial encounter T81.30XADisruption of wound, unspecified, initial encounter Prosedur ICD 9

TINDAKAN ORTHOPEDI  Ankle replacement 81.0 - 81.3 Arthrodesis

 Arthroplasty 

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

 Arthroscopy  Bursectomy  Chondroplasty  Disc biacuplasty  External fixation Fixation (surgical) Foot and ankle surgery  Hand surgery  Harrington rod High tibial osteotomy  Hip arthroscopy  Hip replacement 8151,8152,8153,8154,8155 Internal fixation Interspinous process decompression Joint replacement Joint replacement of the hand Knee replacement 03.09 Laminectomy  03.09 Laminectomy (decompression) (for exploration) Lateral release Olecranon fracture Ostectomy  Osteotomy  Postarthroscopic glenohumeral chondrolysis Reduction (orthopedic surgery) Shoulder surgery  spondylodesis or  or spondylosyndesis 81.0 Spinal fusion/ spondylodesis Synovectomy  Tendon transfer Triple arthrodesis  Vertebral fixation

 Weight-bearing

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

 Wrist arthroscopy  Gips 93.53 / 79.0 KeyWord/ KATA KUNCI TINDAKAN/ Dislocation PROSEDUR Displaced/ Biopsy  Nondisplaced Dome Closure fracture Closed reduction Emphysema (Kontrol) )K emoterapi (Z51.1 Z51) Other medical care

(subcutaneous) Hemorrhage Injury Laceration Leakage

BENTUK TRAUMA 

Obstruction Open bite

JENIS TRAUMA   Abuse  Abrasion  Adhesions  Avulsion fracture (chip fracture) Blister (nonthermal) Breakdown (mechanical) Burn Collision Contusion Struck 

Perforation Puncture wound Subluxation Sprain Tear SEBAB TRAUMA KERACUNAN Poisoning  Adverse effect Underdosing Toxic effect

SEBAB INTERNAL  Amputation stump  Anaphylactic reaction reaction adverse food reactions  Anaphylactic shock   Angioneurotic edema  Arthus phenomenon  Air embolism (traumatic) Exhaustion (Kelelahan) Fat embolism (traumatic) Compartment syndrome Emphysema Ischemia Suicide attempt Starvation (Kelaparan) SEBAB EXTERNAL Barotraumas Chilblains External constriction Fall

Crushed

Heat

 

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DAFTAR ISI  ISI 

High-pressure fluids Hit Drowning Immersion Insect bite (Venomous/ nonvenomous) Submersion Superficial frostbite Superficial foreign  body  Traffic accident

KEYWORD KEYWORD  

No Reg: RST DD

 Asphyxiation Deprivation (Perampokan)

Heat exhaustion Heat fatigue Heat edema Hypothermia

RADIASI Radiation sickness, Heatstroke and sunstroke Heat syncope Heat cramp

LAIN-LAIN Dehiscence

RAWAT JALAN KONTROL MEDICAL CHECK UP Z00) General examination and investigation of persons without complaint and reported diagnosis Z01) Other special examinations and investigations of persons without complaint or reported diagnosis Z02) Examination and encounter for administrative purposes Z10) Routine general health check-up of defined subpopulation SUSPEK  Z03) Medical observation and evaluation for suspected diseases and conditions Z04) Examination and observation for other reasons Z09) Follow-up examination after treatment for conditions other than malignant neoplasms Z09.8 Hypertensi? SCREENING

SCREENING Z13) Special screening examination for other diseases and disorders

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

(Z20–Z29) Persons with potential health hazards related to communicable diseases[ ] Z20) Contact with and exposure to communicable diseases Z29.0 Isolasi datang ke rumah sakit untuk melindungi dirinya dari lingkungannya atau untuk isolasi individual setelah melakukan kontak dengan penyakit menular.  (Z40–Z54) Persons encountering health services for specific procedures and health care[ ] FITTING dan Z44) Fitting andADJUSMENT adjustment of external prosthetic device Z45) Adjustment and management of implanted device Z46) Fitting and adjustment of other devices Kontrol BEDAH dan ORGTHOPEDI Z47) Other orthopaedic follow-up care Z48) Other surgical follow-up care

Z52) Donors of organs and tissues Z53) Persons encountering health services for specific procedures, not carried out Z54) Convalescence RESIKO TINGGI PAPARAN LINGKUNGAN (Z55–Z65) Persons with potential health hazards related r elated to socioeconomic and psychosocial circumstances[ ] KELAINAN SEXUAL Z70) Counselling related to sexual attitude, behaviour and orientation.

Z71) Persons encountering encountering health services for other counselling and medical advice, not elsewhere classified.

 

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DAFTAR ISI  ISI 

KEYWORD KEYWORD  

No Reg: RST DD

RAWAT JALAN & OBSERVASI RAWAT JALAN Dx Utama & Sekunder ICD X Z03.3 Observation for suspected nervous system disorder Z03.5 Observation for other suspected other suspected cardiovascular diseases Z03.9 Observation for suspected disease or condition, unsp unspecified ecified Prosedur ICD 9

BAB XX V01-Y98 CAUSA EXTERNAL External cause dari Cede Cedera/ ra/ Injury/ Trauma masukkan Trauma masukkan sebagai Diagnosa Primer/ Utama M8000/0-M9989/1 Untuk Neoplasma Rujukan http://www.inacbg.net/ PMK NOMOR 27 TAHUN 2014 TENTANG PETUNJUK TEKNIS SISTEM INDONESIAN CASE BASE GROUPS (INA-CBGs) Koding InaCBG update PMK.76/2016.pdf , Pokja Koding Tim Tarif INACBG Kemenkes RI NCC PPK-Dokter-di-Fasyankes-Primer.pdf  http://www.icd10data.com http://apps.who.int/classifications/icd10/browse/2016/en ICD DA 3rd EDITION/ICD Version for 2010/ICD 10 CM 2013: https://en.wikipedia.org/wiki/ICD-10 https://en.wikipedia.org/wiki/ICD-9-CM_Volume_3 http://www.icd9cm.net/ https://en.wikipedia.org/wiki/Category:Orthopedic_surgical_procedures