A.
NO
1
KSM/INSTALASI
/UNIT
KSM Bedah
1
Saraf
2
TINDAKAN
Amygdala Hypocampectomy (Epilepsi)
Anterior Temporomesial Lobectomi (Epilepsi)
Cingulotomy (Psichiatric)
10
11
Denervasi Facet
12
13
Eksisi Ensefalokel/Mielokel
14
15
Eksisi Osteoma/Osteositosis
16
17
18
NO
KSM/INSTALASI/U
NIT
19 Dura
TINDAKAN
20
21
22
23
Hemisferektomi (Epilepsi)
24
Hemisferoktomi (Epilepsi)
25
26
28
29
30
31
32
33
34
35
Laminoplasti
36
37
38
39
Lesionectomy (Epilepsi)
40
Lobektomi (Epilepsi)
41
Mesencephalectomy (Pain)
42
Mikrodisekktomi HNP
43
44
Neurektomi/Neurolise
45
Neuroendoskopi (Otak,Spinal)
46
Neuroplasti
47
Omaya drain
27
NO
KSM/INSTALASI
/UNIT
TINDAKAN
48
49
50
51
52
53
54
Revisi VP Shunt
55
56
Rhizotomy (Pain)
57
58
59
60
Simpatektomi Perkutan
61
SLTH
62
63
64
Suturektomi Kraniostenosis
65
68
Thalomotomy (Pain)
Transposisi kraniostenosis,dengan orbital
advancement
Transposisi kraniostenosis,tanpa orbital
advancement
Trepanasi Cedera Kepala (<4jam)
69
70
71
72
73
74
VA Shunt
75
VP Shunt Multiple
66
67
76
NO
2.
KSM/INSTALASI
/UNIT
KSM Bedah
1
Kepala Leher
2
TINDAKAN
Aff Arch Barr
Aff Arch Barr dan suspensi maksila
Deseksi submandibula
10
flap lokal
11
12
13
flap lokal
14
15
16
17
18
Kulit
19
20
21
22
Ekskokleasi epulis
23
24
25
26
27
28
No
3.
KSM/INSTALASI/
UNIT
KSM
Bedah THT-KL
NO
TINDAKAN
29
30
31
32
33
34
35
36
37
38
39
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Laring/Trakea)
Cald Well Luc
Cochlear Implant/Implan Baha
Dekompresi Nervus Fasialis
DCR
Eksisi Ekstostosis
Ekstirpasi Kista Branchial
Ekstirpasi Kista Ductus Tiroglosus
Ekstraksi granulasi MAE/Kolesteatosis
Ekstraksi Polip
Esofagoskopi Rigid & Fleksibel
Ethmoidektomi (Intranasal)
Ekstraksi Korpus Alienum Kavum Nasi
KSM/INSTALASI/
UNIT
TINDAKAN
19
20
21
22
23
24
25
26
27
NO
28
29
FESS Advance
Frontal Sinusotomi
30
31
32
FOL
33
Glosektomi Total/Parsial
34
Glosektomi Total/Hemiglosektomi+RND
35
Hemiglosektomi+SOHND
36
37
Inversi Grommet
38
Insisi Perikondritis
39
40
41
Imunoterapi
42
Konka Reduksi
43
44
Laringektomi
45
Laringektomi+ND
46
47
48
Laringoskopi Rigid
KSM/INSTALASI/
UNIT
TINDAKAN
49
Laringoskopi Fleksible
50
Laringoskopi Direkta
51
Maksilektomi Total+Rekontruksi
52
Mastoidektomi Radikal
53
Mini FESS
54
55
Myringoplasty/Timpaniplasti
56
Mandibulekromi
57
NO
4
58
Osteotomi+Septum koreksi
68
69
70
Rhinoplasti
71
72
73
74
75
Septum Koreksi+Konkotomi
76
Stapedektomi
77
78
Tiroidektomi Sub-Total
79
Tonsilektomi/Adenoidektomi
80
Tracheostomi
81
Turbinektomi
82
Tiroidektomi Total+ND
83
84
85
KSM/INSTALASI
/UNIT
TINDAKAN
KSM Orthopedi
Dan
Abdominopelvic amputation
Achillotenotomy
Traumatologi
Advancement of tendon
7
8
9
15
anaesthesia
Amputation and disarticulation of finger- general
anaesthesia
Amputation and disarticulation of finger -local
anaesthesia
Amputation and disarticulation of thumb-general
anaesthesia
Amputation and disarticulation of thumb-local
anaesthesia
Amputation of ankle through malleoli of tibia and
fibula
Amputation of toe-general anaesthesia
16
17
18
21
22
Ankle fusion
23
25
26
27
Arthrocentesis
10
11
12
13
14
19
20
24
NO
KSM/INSTALASI
/UNIT
TINDAKAN
28
Arthrodesis of elbow
29
Arthrodesis of hip
30
Arthrodesis of knee
31
32
Arthrodesis of shoulder
33
34
40
41
42
43
44
45
Biopsy of bone
46
47
48
52
Bone graft
Bone marrow or hematopoietic stem cell transplant
(all procedures included in this class
Bunionectomy with soft tissue correction and
arthrodesis
Bunionectomy with soft tissue correction and
osteotomy of the first metatarsal
Bursectomy
53
Bursectomy of hand
54
Bursotomy
35
36
37
38
39
49
50
51
NO
KSM/INSTALASI
/UNIT
TINDAKAN
55
Bursotomy of hand
56
58
Carporadial fusion
Closed reduction of dislocation -General
anaesthesia
Closed reduction of dislocation of ankle
59
60
57
61
62
63
64
65
69
70
71
66
67
68
72
73
74
NO
general anaesthesia
Closed reduction of dislocation of foot and toe-local
anaesthesia
Closed reduction of dislocation of hand and fingergeneral anaesthesia
Closed reduction of dislocation of hand and fingerlocal anaesthesia
Closed reduction of dislocation of hip
TINDAKAN
KSM/INSTALASI
/UNIT
84
85
86
75
76
77
78
79
10
87
88
91
92
93
94
95
96
99
100
101
89
90
97
98
NO
TINDAKAN
KSM/INSTALASI
/UNIT
110
Fasciotomy
111
Fasciotomy of hand
112
Finger reattachment
113
114
Foot reattachment
115
116
117
118
119
NO
TINDAKAN
KSM/INSTALASI/
UNIT
130
131
132
133
134
12
135
136
137
138
139
140
142
143
144
148
149
150
152
153
141
145
146
147
154
NO
TINDAKAN
KSM/INSTALASI
/UNIT
13
159
Interphalangeal fusion
160 Interthoracoscapular amputation, Forequarter
amputation
161 Intra-operative neurophysiologic monitoring Neuromonitoring
162
Intervertebral chemonucleolysis
163
Limb lengthening procedures
164
Limb shortening procedures
165
Local excision of lesion or tissue of bone
166
Lower leg or ankle reattachment
167
Lower limb amputation, not otherwise specified
168 Lumbar and lumbosacral fusion of the anterior
column, anterior technique
169 Lumbar and lumbosacral fusion of the anterior
column, posterior technique
170 Lumbar and lumbosacral fusion of the posterior
column, posterior technique
171
Lysis of adhesions of hand
172 Lysis of adhesions of muscle, tendon, fascia, and
bursa
173
Lysis of adhesions of spinal cord and nerve roots
174
Metacarpocarpal fusion
175
Metacarpophalangeal fusion
176
Metatarsophalangeal fusion
177
Midtarsal fusion
178
Muscle transfer or transplantation
179
Myotomy
180
Myotomy of hand
181
Neurectasis
NO
TINDAKAN
KSM/INSTALASI/
UNIT
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
NO
KSM/INSTALASI
/UNIT
TINDAKAN
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
NO
KSM/INSTALASI
/UNIT
TINDAKAN
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
NO
TINDAKAN
KSM/INSTALASI
/UNIT
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
NO
KSM/INSTALASI
/UNIT
TINDAKAN
300 Refusion of dorsal and dorsolumbar spine, posterior
column, posterior technique
301 Refusion of lumbar and lumbosacral spine, anterior
column, anterior technique
302 Refusion of lumbar and lumbosacral spine, anterior
column, posterior technique
303 Refusion of lumbar and lumbosacral spine, posterior
column, posterior technique
304 Refusion of other cervical spine, anterior column,
anterior technique
305 Refusion of other cervical spine, posterior column,
posterior technique
18
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
NO
KSM/INSTALA
SI/UNIT
TINDAKAN
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
NO
KSM/INSTALASI
/UNIT
TINDAKAN
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
378
379
380
381
382
383
384
389
390
391
392
393
394
NO
KSM/INSTALASI
/UNIT
KSM BEDAH
THORAKS
DAN
KARDIOVASKULAR
Synovectomy
Tarsometatarsal fusion
Tendon graft
Tendon pulley reconstruction
Tendon pulley reconstruction
Tendon transfer or transplantation
Tenotomy of hand
Thigh reattachment
Thumb reattachment
Toe reattachment
Total ankle replacement
Total elbow replacement
Total ostectomy
Total wrist replacement
Transplant from cadaver
Transposition of cranial and peripheral nerves Nerve transplantation
Triad knee repair
Triple arthrodesis
Unspecified operation on bone injury
Upper arm reattachment
Upper limb amputation, not otherwise specified
Wedge osteotomy
TINDAKAN
1
2
3
4
5
6
7
8
9
10
11
NO
TINDAKAN
KSM/INSTALASI
/UNIT
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
NO
KSM/INSTALASI/
UNIT
TINDAKAN
76 Rastelli Procedure (right Ventricle-Pulonary Artery
Conduit)
77 Repair (Eksisi) Aneurisma Jantung
78 Repair Aorta Torakalis (38.34)
79 Repair Atrioventricular Septal Defect (35.54)
Repair Total Anomalous Pulmoanry Venous Connection
80
(TAPVC) (35.82)
81 Repair Transposition of Great Arteries (TGA) (35.84)
82 Repair Trunkus Arteriosus (35.83)
83 Revisi/Aff Pace Maker Permanen (diluar alat) (37.89)
84 Septostomi Terbuka Septum Atrium (35.41)
85 Total Koreksi Tetralogy of Fallot (TOF) (35.81)
86 Tricuspid Valve Repair (TVR) (35.14)
Tricuspid Valve Repair (TVR) dengan Bioprosthesis Valve
87
(35.27)
88 Tricuspid Valve Repair (TVR) dengan Mechanical Valve
23
89
90
91
92
93
94
95
96
97
98
6
(35.28)
Ventricle Septal Defect (VSD) Closure (35.5)
Amputasi Above Knee (AK) (84.17)
Amputasi Below Knee (BK) (84.14)
Arterial Pungsi, Kanulasi, Sectie (38.91)
Arteriovenous Shuntt (AV Shunt) Brakiosefalika (39.42)
Arteriovenous Shuntt (AV Shunt) Radiosefalika (39.27)
Bedah Varises Insisi Babcock (38.5)
Biopsi Pembuluh Darah (Perifer) (38.21)
Debriment-Nekrotomi Luka Gangren (86.22)
Disartikulasi Sendi Ekstremitas (84.13)
NO
KSM/INSTALASI
/UNIT
TINDAKAN
13
14
15
16
17
18
19
20
21
22
23
24
25
26
7
KSM BEDAH
27
1
DIGESTIVE
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
NO
KSM/INSTALASI
/UNIT
TINDAKAN
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
NO
KSM/INSTALASI
/UNIT
KSM BEDAH
UROLOGI
TINDAKAN
60
61
62
63
64
65
66
67
68
69
1
2
3
4
5
6
Total pantreaktomi
Total prokto-kolektomi
Tutup burst abdomen (tanpa alat)
Tutup burst abdomen dengan penyulit mayor
Tutup burst abdomen dengan penyulit minor
Tutup kolostomi / ileostomi
Tutup kolostomi / ileostomi dengan penyulit mayor
Tutup kolostomi / ileostomi dengan penyulit minor
Repair Aorta Torakalis (38.34)
Repair Atrioventricular Septal Defect (35.54)
Adrenalektomi
Adrenalektomi (Abdominotorakal)
Anastomosis end to end Ureter
Augmentasi Buli
Biopsi Ginjal perkutan
Biopsi Ginjal Terbuka
26
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
NO
Biopsi Penis
Biopsi Prostat
Biopsi Testis
Bladder Neck Rekonstruksi
Buried Penis
Businasi/Dilatasi Uretra
Cabut DJ Stent
Defooring Kista Ginjal per Laparoskopi
Deroofing/Unroofing Kista
Diseksi Kelenjar Getah Bening Inguinal
Diseksi Kelenjar Getah Bening pelvis
Diseksi Kelenjar Getah Bening Pelvis per
Laparoskopi
Divertikulektomi Buli
Divertikulum Uretra
Dorsumsisi
Drainase Periureter
Eksisi Chordae/Chordektomi
Eksisi Fibroma/Rekonstruksi Penis
Eksisi Plaque (Peyronie Disease)
Eksisi Webbed Penis
Eksplorasi testis (Microsurgery)
Ekstraksi Batu
Ekstrofi Buli Rekonstruksi
Epispadia
Evakuasi Bekuan Darah (Clot)
Extended Pyelolithotomy
Fistulektomi/Repair Fistel Uretra
KSM/INSTALASI
/UNIT
TINDAKAN
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
Funikokelektomi
Ganti Nefrostomy
Hidrokel per Inguinal/Ligasi Tinggi
Hidrokel per Skrotal
Hipospadia Subkoronal
Holmium YaG Laser (Sewa)
Ileal Conduit (Bricker)
Insersi DJ Stent
Insisi Abses Perineum
Insisi Abses Skrotum
Insisi Posterior Urethral Valve
Johanson
Johanson I
Johanson II
Kalibrasi Uretra
Kauterisasi
27
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
NO
KSM/INSTALASI
/UNIT
TINDAKAN
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
109
110
111
112
113
114
115
115
116
117
118
119
NO
Pielolitotomi
Pieloplasti
Pieloplasti per Laparoskopi
Prostatektomi Radikal
Prostatektomi Retropubik
Prostatektomi Terbuka
Prostatektomi Terbuka dan Sectio Alta
Psoas Hitch/Boari Flap
Punksi dan sklerosing Kista Ginjal
Railroading Rupture Uretra
Reimplantasi Ureter Bilateral
Reimplantasi Ureter
Unilateral/Ureteroneosistostomi
Rekontruksi Renovaskuler
Repair Fistel Enterovesika
Repair Fistel Vesikokutan
Repair Fistel Vesikorektal
Repair Fistel Vesikovagina
Repair Fistel Vesikovagina Kompleks
Reparasi Penis
Reseksi-anastomosis Uretra
RPG
Sectio Alta/Vesikolithotomi
Sirkumsisi
Sistektomi Parsial/Sistoplasti Reduksi
Sistektomi Per Laparoskopi
Sistektomi Total/Radikal
Sistoskopi
Sistoskopi ODS
KSM/INSTALASI
/UNIT
TINDAKAN
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
Sistostomi perkutan
Sistostomi Terbuka
Skrotoplasti
Spermatokelektomi
Tailoring Ureter
Transplan Resipien
Transuretero-ureterostomi
TUR Prostat/TUIP/BNI
TUR Tumor Buli
TVP/TMP
Ureterokutaneostomi
Ureterolisis
Ureterolithotomi
Ureterolithotomi Distal
Ureterolithotomi Proksimal
29
NO
KSM ILMU
KESEHATAN
MATA
135
136
137
138
139
140
141
142
143
144
145
146
147
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Ureterosigmoidostomi (Caffey)
Ureterostomi
Ureterouretostomi
Uretroplasti Hipospadia
Uretroskopi/Uretrosistoskopi
Uretrotomi Interna (Sachse)
URS/Lithotripsi
Varikokelektomi (Palomo)
Vasektomi (anestesi lokal)
Vasektomi (narkose)
Vasoepididimostomi
Vasografi
Vasovasostomi
Angkat Jahitan
Angkat Jahitan dengan GA
Anterior Chamber Tap/Parasintesis
Aspirasi Massa Lensa
Blefaroplasty (2 Kelopak Mata)
Claw Lens
Cryopexy Kornea
Cyclo Cryo
Dacryocystorinostomi (Without Silicon Tube)
Dekompresi Orbital/Lateral Orbitotomi
Disisi Aspirasi & IOL
ECCE
ECCE & IOL
Eksenterasi
Eksisi Hordeolum / Chalazion
Ekstirpasi Corpus Alienum di Kornea
Ekstirpasi Pterygium + Graft Konjungtiva
KSM/INSTALASI
/UNIT
TINDAKAN
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
NO
10
KSM/INSTALASI
/UNIT
Divisi Onkologi
TINDAKAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
NO
KSM/INSTALASI
/UNIT
TINDAKAN
47
48
Advancement Flap
49
50
51
52
Diseksi Axilla
53
Diseksi Inguinal
54
55
NO
11
KSM/INSTALASI
/UNIT
DIVISI BEDAH
ANAK
56
57
58
Ismulobectomy
59
Kemoterapi Perinfus
60
61
Maksilektomi Total
62
Mastopexy
63
Modifikasi RND
64
65
Ovariectomy Bilateral
66
Reseksi Mandibula
67
Rotation Flap
68
Skin Grafting
69
70
Superficial Parotidectomy
71
72
Total Parotidectomy
73
Total Thyyroidectomy
74
TINDAKAN
1
2
Appendektomi laparoskopik
33
NO
10
Divertikulektomy
11
12
13
14
15
16
17
18
19
20
21
22
23
Eksisi urachus
24
25
Ekstirpasiranula
26
Endoskopik diagnostik
27
28
Endoskopik terapeutik
29
Hemikolektomi
30
31
Herniotomi laparoskopik
Gastrostomi
KSM/INSTALASI
/UNIT
TINDAKAN
32
33
Hidrokolektomi
34
Intraoperatif kolangiografi
35
36
37
38
39
40
Kolesistektomi
41
Kolesistektomi laparoskopik
42
43
44
45
Ligasihemoroid (49.4)
46
47
Orchidopexy (62.5)
48
49
50
51
53
54
55
56
57
58
59
60
52
NO
KSM/INSTALASI
/UNIT
TINDAKAN
61
62
RPLND (40.59)
63
64
65
66
Splenektomi (41.5)
67
68
35
69
Transplantasi organ
70
71
72
73
74
NO
KSM BEDAH
PLASTIK
78
1
2
3
Abdominoplasty
Aff archbar, Lokal Anastesi
Aff Suspensi, Lokal Anastesi
Amputasi digital
Augmentasi mamae
10
11
12
Blefaroptosis
KSM/INSTALASI
/UNIT
TINDAKAN
13
14
15
Cheilonasoraphy
16
Chordectomy
17
Chordectomy+urethroplasty
18
19
Comisuroplasty
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
NO
KSM/INSTALASI
/UNIT
TINDAKAN
44
45
46
47
48
49
50
51
52
53
54
LD flap
Le fort I osteotomy
Liposuction
Lobuloplasti
Malarplasty
Mamma aberan unilateral
Mandibular distraksi
Mandibular rekonstruksi dengan costochondral graft
Mastopexi
Mentoplasty
Microsurgery
37
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
NO
KSM/INSTALASI
/UNIT
TINDAKAN
88
89
90
91
92
93
94
95
96
97
98
Rekonstruksi palpebra
Released buried penis
Released syndactyly kompleks
Repair canalis lacrimalis (without silicon tube)
Repair coloboma palpebra (skin/mucosal graft)
Repair ductus nasolacrimalis
Repair fingertip injury
Repair fistel urethra
Replantation
Reposisi fraktur nasal sederhana
Reposisi fraktur os nasalis (complicated)
38
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
NO
13
KSM/INSTALASI/
UNIT
KSM
OBGYN
TINDAKAN
1
2
3
Cauter serviks
Cordosentesis
Debulking tumor ovarium
Eksplorasi vagina
Embryotomi
10
Histeroctomy radikal
11
Kistektomi
12
Konisasi serviks
13
14
16
17
Laparoskopi steril
18
Laparoskopik Diagnostik
19
20
21
22
LEEP
23
24
Mikrokuret
25
Miomectomy
26
Neovagina
27
Operasi Ca vagina
28
29
30
31
Overectomi
15
NO
KSM/INSTALASI
/UNIT
TINDAKAN
32
Painless labor
33
Persalinan normal
34
35
36
Persalinan sungsang
37
Rekanalisasi
40
38
Rekanalisasi tuba
39
Salfingektomi unilateral
40
Salvingoovarectomi unilateral
41
42
Seksio sesaria
43
44
Sirklase serviks
45
46
Sirklase serviks
47
48
Surgical staging
49
51
52
Tubektomi klinik
53
50
NO
KSM/INSTALASI
/UNIT
TINDAKAN
14
KSM
GIGI dan
MULUT
2
3
4
10
11
13
14
Extirpasi Sialolith
15
17
18
19
20
22
23
24
25
27
28
Genioplasty
29
12
16
21
26
NO
KSM/INSTALASI
/UNIT
TINDAKAN
30
31
32
33
Mandibular Distraksi
34
35
15
16
17
36
termasuk implant)
ORIF Maksila Plating (belum termasuk implant)
37
38
39
40
41
DIVISI PEDIATRI
GAWAT
DARURAT
ILMU
KESEHATAN
ANAK
KSM PENYAKIT
JANTUNG &
PEMBULUH
DARAH
1
2
3
4
5
Intubasi Endotrakea
Krikotirotomi
Kanulasi vena perifer
Vena sectie
Pungsi lumbal
Pungsiv Pleura
Diagnostik Kateterisasi Jantung
PTMC
PTCA/Stenting
Pacemaker Temporer&Permanen
IABP
Perikardiosintesis
Pemasangan Amplatzer/ADO/Coilling
CVC
10
KSM PENYAKIT
DALAM
2
3
4
5
6
Endoscopy
43
KSM /
INSTALASI
KSM Anak
NAMA TINDAKAN
1
2
3
4
5
6
7
8
9
1
0
11
1
2
1
3
Chest tube
Tindakan kemotherapi
Pemasangan Ventilator
Intubasi Endotrakea
Pemasangan Laryngeal mask
Krikotirotomi
Infus intraosseus
Kanulasi vena perifer
Vena sectie
Pengambilan darah intra vena dan intra arteri
Pungsi lumbal
Pungsiv Pleura
Pemasangan kateter urine
44
3
4
THT-KL
KSM Patologi
Anatomi
Inst.
Radiotherapi
KSM
Neurologi
1
4
1
5
1
6
1
2
3
4
5
6
Cerebral Angiografi
AVM&Embolisasi
Aneurisma Coiling
Embolisasi pre operasi
Diagnosis DSA
Lumbal Punksi
Pain Intervention
Injeksi Triger point
Injeksi Triger Fringer
Injeksi CTS
Sub Optical Functional
Injeksi botox
EMG
Andrologi
10
KSM
Kardiologi
dan
Kedokteran
Vaskular
KSM
Pulmonologi
dan Ilmu
Kedokteran
Respirasi
1
2
3
4
1
2
3
4
5
6
7
8
9
1
0
11
1
2
1
2
Bronchoscopy/FOB
Tindakan kemotherapi
Thoracoscopy
Contra Ventil/WSD
Punctie Pleura
FNAB
Scalene Biopsy
Reposisi
Pleurodesis
11
KSM
Radiologi
4
5
6
KSM
12
Neurologi
AFF WSD
Perawatan Luka WSD
USG Thorax Marker
Tindakan Radiologi Injectee contrast
Tindakan Radiologi pada pasien dengan kelainan
cardiovaskuler
Tindakan Radiologi pada pasien dengan alergi
berat
Tindakan Radiologi pada pasien dengan KU yang
menurun
Tindakan Radiologi yang memerlukan FNAB
Guiding MSCT pada pasien dengan kelainan yang
berdekatan dengan organ vital
Tindakan Radiologi pada Ibu hamil yang
memerlukan foto
Cerebral Angiografi
AVM&Embolisasi
Aneurisma Coiling
Embolisasi pre operasi
Diagnosis DSA
Lumbal Punksi
Pain Intervention
Injeksi Triger point
Injeksi Triger Fringer
1
2
3
4
5
6
7
8
9
1
0 Injeksi CTS
11 Sub Optical Functional
1 Injeksi botox
46
2
1
3
1
4
13
14
16
15
EMG
Neuro endovaskuler: Coiling,Embolisasi,DSA
Instalasi
Hemodialisis
KSM
Rehabilitasi
Medik
IRNA Jiwa
Psycho Analisa
47