DAFTAR TINDAKAN OPERASI BEDAH ANAK

No JENIS TINDAKAN ICD - IX CM

1 Abdominoperineal Pull Through (Malformasi Anorectal) 49.79
2 Abdominorectal Pull Through (Swenson Procedure) 48.41
3 Amputasi Eksisi Kista Bronchiogenik 29.2
4 Appendektomi 47.0 - 47.09
5 Bedah Laparaksopi Anak 54.21
6 Billroth I & lI/Reseksi Gaster Parsial 43.6 - 43.8
7 Biopsi Rektum "Full Thickness" 48.25
8 Biopsi Eksisional Dalam Narkose 86.11
9 Biopsi Insisional Dalam Narkose 86.19
10 Biopsi Perlaparatomi 54.19
11 Biopsi/Eksisi KGB, Lipoma. Ateroma, Ganglion 86.11 - 86.19

12 CDH ( Paediatrik ) 53.7 - 53.8

13 Chordektomi 64.42
14 Cystojejenostomi 51.36 - 51.37
15 Debulking 54.19
unilateral 62.5
16 Detorsi Testis + Orcidopexy
bilateral 62.4
Duodenoduodenostomi/Duodenojejunostomi 45.91
17
18 Eksisi Baker Cyst 82.21
19 Eksisi Granuloma Umbilikal 54.3 + 54.11
38.6
20 Eksisi Hemangioma Besar/Multiple injeksi 39.99
21 Eksisi Hemangioma Dengan Skin Graft STSG/FTSG 86.81
22 Eksisi Hemangioma Kecil 38.6
23 Eksisi Higroma Colli/ Axilla Limfangioma Neonatus 40.29
24 Eksisi Hygroma Colli/Axilla simple / Anak 40.29
25 Eksisi Kelenjar Getah Bening 86.9
26 Eksisi Kelenjar Liur Submandibula 26.29
27 Eksisi Kista Brachial 29.2
28 Eksisi Kista Duktus Thyroglosus 06.7
29 Eksisi Kista Saluran Empedu + Choledochojejunotomy 51,69 + 51.36
30 Eksisi Kista Urachus 57.51
31 Eksisi Neuroblastoma 54.4
32 Eksisi Teratoma Retroperitoneal 54.4
33 Eksisi Teratoma Sacrococcygeal 48.82
34 Eksisi Tumor Jaringan Lunak Ukuran Kecil (Marginal Margin Excisi) 86.3
35 Ekstirpasi Tumor Jinak Kulit <3 Cm 86.3
36 Ekstirpasi Tumor Jinak Kulit >3 Cm 86.3
37 Endorectal Pull Through (Soave-Bolley Procedure) 48.41
Esofagus 42.23, 42.24
38 Endoscopy Diagnostik dan Biopsi Gaster 44.13, 44.14
Usus 45.13, 45.14, 45.24
39 Endoscopy Polypektomy 45.42
40 ERCP 51.10
41 Esofagomyotomi (Operasi Heller) 42.7
42 Esofagostomi + Gastrostomi (Atresia Esofagus) 42.11 + 43.19
Repair 42.51
43 Esophagus Replacement Procedure pull up Gaster 42.52
transposisi colon 42.55
44 Fistulektomi Perianal Fistel 49.12
Fundoplikasi Gaster 44.66
45
46 Gastrostomi Anak 43.19
47 Gastrostomi Neonatus 43.19
Clitoroplasty 71.4
48 Genitoplasty (Clitoroplasty, Vaginoplasty, Phalioplasty) Vaginoplasty 70.61
Phalioplasty 64.43
49 Glosektomi Totalis 25.3
50 Hemiglosektomi 25.2
51 Hemimandibulektomi 76.31
52 Herniotomi Ligasi Tinggi 53.02
53 Herniotomi Ligasi Tinggi Bilateral 53.12
54 Herniotomi Pada Hernia Strangulata 53.9
55 Herniotomi Residif 53.9
56 Herniotomi Umbilikalis 53.41 - 53.49
Herniotomy 53.9
Laparotomy 54.11
57 Herniotomy + Laparotomy + Reseksi + Anastomosis
Reseksi 45.31-34
Anastomosis 45.90-94
58 Ileostomi 46.20-46.24
59 Insisi Abses Perianal 49.01
60 Insisi Drainase/Debridement Abses 86.04
61 Insisi Tongue Tie 25.91
62 Jari, Polydactyly, Amputasi With Rekonstruksi 86.26
63 Jari, Ring Constriction (Multiple), Koreksi 81.79
64 Jari, Ring Constriction (Single), Koreksi 81.79
65 Jari, Syndactyly (Multiple), Eksisi 86.85
66 Jari, Syndactyly (Single), Eksisi 86.85
67 Kelainan Umbilikus 54.3
68 Kolesistektomi 51.21-51.24
46.10-46.14
69 Kolostomi Anak
46.10-46.14
70 Kolostomi Neonatus
71 Ladd _ Procedure 54.95
72 Laparaskopik Appendektomi 47.11
Diagnostik 54.21
73 Laparaskopik Diagnostik/Biopsi
Biopsi 54.24
 74 Laparaskopik Gastrektomi 43.99
75 Laparaskopik Tubektomi 66.21, 66.29
76 Laproskopik Cholesistektomi 51.23
77 Laparoskopik Pyloromyotomi 43.99
78 Laproskopik Pull Through Colorectal 48.49
79 Laparoskopik Anastomose Usus 45.90
80 Laparoskopik Anastomose Esophagus 42.89
81 Laparatomi + Appendektomi Pada App Perforasi 54.11 + 47.09
82 Laparatomi + Milking/Reseksi Pada Invaginasi 54.11,+46.80 / 45.31-34
83 Laparatomi + Reseksi Anasm 54.11+45.31-34 + 45.90-94
84 Laparatomi + Reseksi Usus Halus/Kolon 54.11+45.31-34
85 Laparatomi Adhesiolisis 54.11 + 54.59
86 Laparatomi Eksplorasi/Biopsi 54.11 / 54.22 - 24
87 Laparatomi Pada Perforsi Usus 54.11
88 Laparatomi Pada Trauma Abdomen 54.11
89 Laparatomi Pada Peritonitis Neonatus 54.11
90 Limpoma, Atheroma,eksisi dan ekstirpasi 86.3
91 Lobektomi Sub Totalis (Tiroid) 06.39
92 Marsupialisasi dengan Ranula (Kelas 2) 26.21
93 Minimal/Limited PSARP 49.79
94 Near Total Tiroidektomi 06.39
95 Nefrektomi Parsial 55.4
96 Nefrouretektomi Tumor Wilms 55.51
97 Orchidopexy 62.5
98 Orchidektomi 62.3
99 Orchidektomi Bilateral 62.41
100 Orchidektomy Sub Kabsuler 62.2
101 Parotidektomi Radikal 26.32
102 Parotidektomi Superfisialis 26.31
103 Parotidektomi Totalis 26.32
104 Pasang Akses Port Ceisite 86.07
105 Pasang PEG 43.11
106 Pemasangan Double Lumen Kateter Dengan Lokal Anestesi 38.99
107 Plikasi Diafragma pada eventrasio 53.81
108 Polipektomi 45.41
109 Polipektomi Rektum 48.36
110 Portoenterostomi (Operasi Kassai) 51.37
111 Postero Sagital Anorectoplaty/PSARP 48.49
112 Posterosagital Anorectovaginourethroplasty/PSARVUP 48.49 + 70.61
113 Potong Stump 48.35
114 Prosedur Tiersch Pada Prolap Rekti 48.76
115 PSARP + Laparotomy 48.49 + 54.11
116 Pyeloplasty 55.86
117 Pyloromyotomi (Operasi Fredet Ramstedt) 48.49
118 Release Sinekhia Vulva 71.01
119 Repair Bladder Extrophy 57.86
120 Repair Cloacal Extrophy 70.91
121 Repair Defek Dinding Perut (Omphalocele/Gastroschizis) 54.71
122 Repair Defek Hernia Umbilikalis 53.41
123 Repair Fistel Rectovaginal 70.73
124 Repair Ruptura Perineum Lama 71.79
125 Repair Vesika Urinaria 57.89
126 Reseksi + Anastomosis Esofagus 42.51
54.11+45.31-34 + 45.90-94
127 Reseksi Anastomosis Pada Atresia Usus, Duplikasi
42,41+42.51-59
128 Reseksi Esofagus & Rekonstruksi
lokal eksisi 43.42
129 Reseksi Gaster Post Gastrostomy 43.5-43.7

130 Reseksi Hepar (Tumor, Trauma) 50.22

131 Reseksi Sigmoid 45.76
132 Reseksi Urachus 57.51
133 Retrorectal Pull Through (Duhamel Procedure) 48.65
Open 65.61
134 Salpingo Oophorektomi Bilateral
Lapaorskopik 65.63
135 Sirkumsisi (Narkose) 64.0
Open 57.18
136 Sistostomi
Percutans 57.17
137 Skleroterapi Dengan Anestesi 39.92
138 Sphincterotomy / Posterior Myectomy 49.52
139 Splenectomi Pada Trauma 41.5
140 Splenektomi Ec. Hipertensi Portal/Kelainan Hematologi Lain 41.5
141 Suntik Scleroting Agent Malformasi Vaskular 39.92
142 Thoracotomi +Anastomosis Esofagus 42.51
143 Tiroidektomi Subtotalis 06.39
144 Total Gastrektomi Dan Rekonstruksi 43,91, 43.99
145 Tracheostomi 31.1
146 Transanal Mucosektomy 48.49
46.50
147 Tutup Stoma Usus usus halus 46.51
kolon 46.52

148 Uretero Neosistostomi 56.74

149 Urethroplasty (Hispopadia) + Chordectomy 64.3

150 Urethroplasty repair urethrocutan Fistel 58.43

151 Vena Seksi Dan Pasang Akses Vaskuler 38.94
46.39
152 Yeyunostomi Feeding
153 Ligasi Tinggi Kelas II ( Narkose) unilateral 53.02
bilateral 53.12
AH ANAK
ICD - 10
Malformasi Anorektal Q 42.2 / Q 42.3
Hirchsprung's Disease Q 43.1
Kista Branchial Q 18.0
Appendicitis K 35.0, K 35.1, K 35.9, K 35.6
Appendicitis K 35.0
Neoplasma Gaster C 16.0 - C 16.9
Hirchsprung's Disease Q 43.1
Hirchsprung's Disease Q 43.1
Hirchsprung's Disease Q 43.1

Hernia Diafragmatika Q 79.0 Eventrasio Q 79.1

Hypospadia Q 54.0 - Q 54.3
Kista Ductus Choledokus Q 44.4

Torsio Testis N 44

Atresia Duodenum Q 41.0, Pancreas Anulare

Q54.1
Baker Cyst M 71.2
Granuloma Umbilikal L 92.8

Hemangioma D 18.0 / M 91.20

Hemangioma D 18.0 / M 91.20

Hemangioma D 18.0 / M 91.20
Higroma Colli D 18.1
Higroma Colli D 18.1
Lymphadenopathy R 59.1
Lymphadenopathy R 59.1
Kista Brachialis Q 18.2
Duktus Thyroglosus Persistent Q 89.2
Kista Duktus Choledokus Q 44.4
Kista Urachus Q 64.4
Neuroblastoma C 74.9 / M 95.00 - 3
Teratoma M 90.80 - 1, D 48.4
Teratoma Sacrococygeal M 90.80 - 1, D48.3,
Tumor Jinak Jaringan Ikat D 17, D 18, D 23
Tumor Jinak Jaringan Ikat D 17, D 18, D 23
Tumor Jinak Jaringan Ikat D 17, D 18, D 23
Hirchsprung's Disease Q 43.1
Polip Kolon K 63.5, Rektum K 62.1

Achalasia K 22.0
Atresia Esofagus Q 39.0 - Q 39.2

Atresia Esofagus Q 39.0 - Q 39.2

Fistula Perianal K 60.3

Congenital Hiatal Hernia Q 40.1, GERD K21.0 /
K21.9
Atresia Esofagus Q 39.0 - Q 39.2
Atresia Esofagus Q 39.0 - Q 39.2

Ambigu Genitalia Q 56.4

Hernia Inguinalis Lateralis D/S K 40.0 - 40.9

Hernia Inguinalis Lateralis D/S K 40.0 - 40.9
Hernia Umbilikalis K 42.9

Hernia Inguinalis Lateralis D/S K 40.0 - 40.9

Atresia Ileum Q 41.1 - 41.9, Invaginasi K 56.1

Abses Perianal K 61.0
Abses Perianal K 61.0
Tongue Tie Q 38.1
Polidactyly Q 69
Ring Constriction Q 74.8
Ring Constriction Q 74.8
Syndactyly Q 70.0 - 70.1
Syndactyly Q 70.0 - 70.1
Kista Urachus Q 46.4
Kolesistektomi K 80.2 - 80.5
Atresia Ani Q 42.2 - Q 42.3, Hirschsprung's
Disease Q 43.1 - Q 42.3
Atresia Ani Q 42.2 - Q 42.3, Hirschsprung's
Disease Q 43.1 - Q 42.3
Laparotomy Atresia Duodenum Q 41.0
Thyroid Nodule E 04
Ranula Q 38.6 / K 11.6
Malformasi Anorektal Q 42.2 / Q 42.3
Thyroid Nodule E 04
Wilm's Tumor C 64
Wilm's Tumor C 64

Torsio Testis M 44
Torsio Testis M 44
Torsio Testis M 44

Pasang Shock R 57.9

Eventratio Q 79.1
Polip Recty K 62.1
Polip Recty K 62.1
Atresia Bilier Q 44.2
Malformasi Anorektal Q 42.2 / Q 42.3
Cloaca Q 43.7
Hirchsprung's Disease Q 43.1
Prolap Recti K 62.3
Malformasi Anorektal Q 42.2 / Q 42.3
Obstruksi Urethro Pelvix Q 62.1
HPS Q 40.0
Sinekhia Vagina Q 52.5
Exthrophy Buli Q 64.1
Exthrophy Buli Q 64.1
Gastrochizis / Omphalocele Q 79.2 - 79.3
Hernia Umbilikalis K 42.9
Malformasi Anorektal Q 42.2 / Q 42.3

Atresia Esofagus Q 29.0 - Q 39.9

Atresia Ileum Q 41.1 - 41.9, Atresia Duodenum

Q 41.0

Atresia Esofagus Q 29.0 - Q 39.9

Ca. Gaster C 16.0 - 16.9

Tumor Hepar C 22.2

Hirchsprung's Disease Q 43.1
Kista Urachus Q 46.4
Hirchsprung's Disease Q 43.1

Kista Urachus Q 46.4, Teratoma M 90.80 / 1

Phymosis & paraphymosis N 47

Hypospadia Q 54.0 - 54.2, Malformasi Anorectal
Q 42.3 / 42.2
Higroma Colli D 18.1 / M 51.73
Hirchsprung's Disease Q 43.1
Ruptur Lien S 36.0
Atresia Bilier Q 44.2, Thalasemia D 56.9
Hemangioma D 18.0 / M 91.20
Atresia Esofagus Q 29.0 - Q 39.9
Thyroid Nodule E 04
Ca. Gaster C 16.0 - 16.9
Cedera Kepala S 00
Hirchsprung's Disease Q 43.1

Malformasi Anorektal Q 42.2 / Q 42.3,

Hypospadia Q 54.0 - 54.2
Malformasi Anorektal Q 42.2 / Q 42.3,
Hypospadia Q 54.0 - 54.2

Pasang Shock R 57.9

Atresia Ileum Q 41.1 - 41.9, Atresia Jejunum Ileal
Q 41.1 - 41.9, Short Bowel Syndrome

Hernia Inguinalis Lateralis D/S K 40.0 - 40.9

Hernia Inguinalis Lateralis D/S K 40.0 - 40.9