1 BPJS
No
1
2
3
4
5
6
Sistem
Saraf
7
8
9
10
11
Psikiatri/Jiwa
12
32
33
34
35
Mata
THT-KL
THT-KL
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
Demensia
Gangguan Campuran Anxietas &
Depresi
Gangguan psikotik
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Diagnosa Penyakit
Kejang Demam
Tetanus
Tension Type Headache
Migren
Bells Palsy (Facial Nerve Disorders)
Vertigo (Vertigionus Syndrome in
Disease)
Epilepsi
Status Epileptikus
Rabies
Delirium (Disorientation, unspecified)
Paru-Paru
Kardiovaskul
er
ICD. 10
R56.0
A35
G44.209
G43.9
G51
H82
G40.9
G41.9
A82
R41.0
F00
F03
F41.2
F28
F29
G47
T15
H10
H11
H04
H01
H00
H40
H15
H52
H52
H52
H52
E50
H25
H60
H67
H61
J30
J30
J30
T17
R04
J34
J11
J02
A37
J03
J04
J45
J20
J18
J69
A15
I10
I20.9
I46.9
I50.21
I50.22
I21.9
Sistem
Saraf
Endokrin
dan
Metabolisme
Diagnosa Penyakit
Takikardi
Infark Serebral/Stroke
DM tipe 1 (Insulin-Dependent DM)
DM tipe 2 (Non-Insulin Dependent DM)
Hipoglikemia ringan (Shock, Not elsewhere
ICD. 10
R00.0
I64
E10
E11
R57
classify)
59
60
61
62
63
64
65
66
67
68
Gastrointestinal
Gastrointestinal
69
70
71
72
73
74
E14
E05
N39
A54
A51
B37
K90
B26
K29
A09
K21
P38
A01
K90
T47
B76
Disease)
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
Hepatobilier
& Pankreas
Reproduksi
Reproduksi
Hematologi
& Imunologi
Strongiloidiasis
Askariasis
Skistosomiasis
Taeniasis
Disentri Basiler, Disentri Amuba
Hemoroid Gr
Pendarahan Saluran Cerna Bagian Atas
Pendarahan Saluran Cerna Bagian
Bawah
Peritonitis
Appendisitis Akut
Kolesistitis
Hepatitis A
Hepatitis B
Kehamilan normal
Abortus spontan komplit
vaginitis
Fluor Albus/vaginal Discharge NonGonore
Abortus mengancam/insipiens
Abortus spontan inkomplit
Anemia defisiensi besi pada kehamilan
Eklamsia
Hyperemesis gravidarum
Ketuban pecah dini
Rupture perineum tingkat 1-2
Pendarahan post partum
Mastitis
Persalinan lama, Kala 2 Lama
Pre-eklamsia
vulvitis
HIV AIDS tanpa komplikasi
Anemia defisiensi besi
Limfadenitis
Demam Dangue, DHF
Malaria
B78
B77
B65
B68
A09
I84
K92.2
K92.2
K65.9
K35.9
K81
B15
B16
O80.9
O03
N76
N89.8
O02.1
O06.9
D52
O15
O21.1
O42
O70
O72
O91
O63.1
O14
N76
B20
D50
I88
A91
B54
Diagnosa Penyakit
Leptospirosis (Tanpa Komplikasi)
Reaksi Anafilaktik (Adverse Effect,Not
ICD. 10
A27
T78
111
Elsew. Cl)
Syok (Septik, hipovolemik, kardiogenik,
neurogenic)
R57
112
113
Osteoarthritis (OA)
Reumatoid Artritis
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
Sistem
Autoimun
Penyakit
Kulit
Penyakit
Kulit
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
Gizi
Ortopedi
Forensik
Medikolegal
M.19.9
M05M06
E79
T78
B74
L20
L24
L20
L71
L21
L27
L02
B35
B35
B35
B35
B35
B35
B35
B35
B74
B00
B02
A30
L28
T20
T32
L30
B08
B05
L22
B85
L42
B85
T14
B86
L50
B01
B07
E44
R79
E66
Tergantun
g Regio
T00
S09-S10