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DIAGNOSA YANG HARUS SELESAI DI FKTP

DIAGNOSA ICD X
NO NAMA DIAGNOSA
KODE
1 TB PARU A15
2 MORBILI B059
3 VARISELA B019
4 MALARIA B54
5 DEMAM DENGUE DAN DEMAM BERDARAH DENGUE A90, A91

6 LEPTOSPIROSIS A279
7 INFEKSI PADA UMBILIKUS
8 KANDIDIASIS MULUT B379
9 LEPRA A30
10 KERACUNAN MAKANAN T622
11 ALERGI MAKANAN
12 EXANTHEMATOUS DRUG ERUPTION L270

13 FIXED DRUG ERUPTION L270

14 REAKSI ANAFILAKTIK
15 SYOK R579
16 ANEMIA D649

17 HIV/AIDS TANPA KOMPLIKASI Z21


18 LIMFADENITIS B70
19 REFLUKS GASTROESOFAGEAL K219
20 GASTRITIS K297
21 INTOLERANSI MAKANAN
22 MALABSORBSI MAKANAN
23 DEMAM TIFOID A010
24 GASTROENTERITIS ( TERMASUK DISENTRI, KOLERA, A09
GIARDIASIS)
25 DISENTRI BASILER DAN DISENTRI AMUBA
26 APENDISITIS AKUT K359
27 PERDARAHAN SALURAN MAKAN BAGIAN ATAS
28 PERDARAHAN SALURAN MAKAN BAGIAN BAWAH
29 HEMOROID GRADE 1-2
30 HEPATITIS A
31 HEPATITIS B
32 PAROTITIS K11.2
33 ASKARIASIS B77.9
34 CUTANEUS LARVA MIGRANS B76.9
35 PENYAKIT CACING TAMBANG B76.0
B76.1
36 SKISTOSOMIASIS B65.9
B65.2

37 STRONGILOIDIASIS B78.9
38 TAENIASIS B68.9
39 PERITONISIS K65.9
40 KOLESISTITIS K81.9
41 MATA KERING/DRY EYE H04.1
42 BUTA SENJA H53.5
43 HORDEOLUM H00.0
44 KONJUNGTIVITIS H10.9
H10.1
45 BLEFARITIS H01.0
46 PERDARAHAN SUBKONJUNGTIVA H57.8
47 BENDA ASING DI KONJUNGTIVA T15.9
48 ASTIGMATISM H52.2
49 HIPERMETROPIA H52.0
50 MIOPIA RINGAN H52.1
51 PRESBIOPIA H52.4
52 KATARAK PADA PASIEN DEWASA H26.9
53 GLAUKOMA AKUT H40.2
54 OTITIS EKSTERNA H60.9

55 OTITIS MEDIA AKUT H66.0


56 SERUMEN PROP H61.2
57 BENDA ASING DI HIDUNG T17.1
58 ANGINA PEKTORIS I20.9
59 INFARK MIOKARD I21.9
60 TAKIKARDIA I47.1
I47.2
61 GAGAL JANTUNG AKUT DAN KRONIK I50.9

62 CARDIORESPIRATORY ARREST K80


63 HIPERTENSI ESENSIAL I10
64 INFARK SEREBRAL/STROKE I63.9
65 FRAKTUR TERBUKA T14.
66 FRAKTUR TERTUTUP T14.
67 POLIMIALGIA REUMATIK M53.3
68 ARTRITIS REUMATOID M53.3
69 ARTRITIS, OSTEOARTRITIS M19.9
70 LIPOMA D17.9
71 KEJANG DEMAM R56.0
72 VERTIGO R42
73 DELIRIUM F05.9
74 TETANUS A35
75 RABIES A82.9
76 EPILEPSI G40.9
77 STATUS EPILEPTIKUS G41.9
78 MIGREN G43.9
79 BELLS' PALSY G51.0
80 TENSION HEADACHE G44.2
81 INSOMNIA G47.0

82 DEMENSIA F03
83 GANGGUAN CAMPURAN ANXIETAS DAN DEPRESI F41.2
84 GANGGUAN PSIKOTIK F20
85 EPISTAKSIS R04.0
86 FURUNKEL PADA HIDUNG J34.0
87 FARINGITIS J02.9
88 RHINITIS AKUT J00
89 RHINITIS ALERGIK J30.0
90 RHINITIS VASOMOTOR J30.0
91 TONSILITIS R76
92 LARINGITIS J04.0
93 BRONKITIS AKUT J20.9
94 INFLUENZA J11
95 PNEUMONIA ASPIRASI J69.0
96 PNEUMONIA DAN BRONKOPNEUMONIA J18.9
97 PERTUSIS A37.8
98 ASMA BRONKIAL J45
99 MILIRIA L74.3
100 VERUKA VULGARIS B07
101 REAKSI GIGITAN SERANGGA T63.4
102 HERPES ZOSTER B02.9
103 HERPES SIMPLEKS B00.9
104 SKABIES B86
105 PEDIKULOSIS KAPITIS B85.0
106 DERMATOFITOSIS : TINEA KAPITIS B35.0
107 DERMATOFITOSIS : TINEA BARBAE B35.0
108 DERMATOFITOSIS : TINEA FASIALIS
109 DERMATOFITOSIS : TINEA KORPORIS B35.4
110 DERMATOFITOSIS : TINEA MANUM B35.2
111 DERMATOFITOSIS : TINEA UNGUIUM B35.1
112 DERMATOFITOSIS : TINEA KRURIS B35.6
113 DERMATOFITOSIS : TINEA PEDIS B35.3
114 PITIRIASIS VERSIKOLOR/TINEA VERSIKOLOR B36.0
115 PIODERMA L08.0
116 DERMATITIS SEBOROIK L21
117 DERMATITIS ATOPIK L20
118 DERMATITIS NUMULARIS L20.8
119 LIKE SIMPLEKS KRONIK (NEURODERMATITIS L28.0
SIRKUMKRIPTA)
120 DERMATITIS KONTAK ALERGIK L23
121 DERMATITIS KONTAK IRITAN L24
122 NAPKIN ECZEMA 9DERMATITIS POPOK) L22
123 PITIRIASIS ROSEA L42
124 MOLUSKUM KONTAGIOSUM B08.1
125 URTIKARIA L50
126 FILARIASIS B74
127 LUKA BAKAR DERAJAT I DAN II S24
128 OBESITAS E66.9
129 TIROTOKSIKOSIS E05.9
130 HIPERGLIKEMIA HIPEROSMOLAR NON KETOTIK R73.9
131 HIPOGLIKEMIA E16.2

132 DIABETES MELITUS 1 E10


133 DIABETES MELITUS 2 E11
134 MALNUTRISI ENERGI PROTEIN (MEP) E46
135 HIPERURICEMIA GOUT ARTHRITIS E79.0
M10
136 DISLIPIDEMIA E78.5
137 INFEKSI SALURAN KEMIH N39.0
138 HIPERMEMESIS GRAVIDARUM O21.0
139 KEHAMILAN NORMAL O80.9
140 PRE-EKLAMPSIA O14.9
141 EKLAMSIA O15.9
142 ABORTUS SPONTAN KOMPLIT O03.9
143 ABORTUS MENGANCAM/INSIPIENS O06.3
144 ABORTUS SPONTAN INKOMPLIT O06.4
145 ANEMIA DEFISIENSI BESI PADA KEHAMILAN D50
146 KETUBAN PECAH DINI 042.9
147 PERSALINAN LAMA O63.9
148 PERDARAHAN POST PARTUM 072.1
149 RUPTUR PERINEUM TINGKAT 1-2 O70.0
150 MASTITIS N61
151 FLUOR ALBUS N98.9
152 SIFILIS A51
153 GONORE A54.9
154 VAGINITIS N76.0
155 VULVITIS N76.0
DIAGNOSA ICD X LEVEL
NAMA DIAGNOSA KOMEPETNSI
Respiratory TB 4A
Measles without complication 4A
Varicella without complication 4A
Unspecified malaria 4A
Dengue fever, DHF 4A

4A
4A
Candidiasis unspecified 4A
Leprosy 4A
Other ingested (parts of plant(s)) 4A
4A
Generalized skin eruption due to drugs and medicaments 4A

Generalized skin eruption due to drugs and medicaments 4A

4A
Shock, unspecified 3B
Anaemia, unspecified (anemia defisiensi besi-4A, anemia 4A
hemolitik-3A, anemia makrositik-3A, anemia aplastik-2, anemia
megaloblastik-2)

Asymptomatic HIV infection status 4A


Lymphadenitis Acute 4A
Gastrooesophageal reflux disease without oesophagitis 4A
Gastritis, unspecified 4A
4A
3A
Typhoid fever 4A
Diarrhoea & gastroenteritis of presumed infection origin 4A

4A
Acute appendicitis 3B
3B
3A
4A
4A
3A
Sialoadenitis 4A
Ascariaris unspecified 4A
Hookworm disease, unspecified 4A
Ankylostomiasis ,Necatoriasis 4A
Skistosomiasisunspecified , Schistomiasis due to S. Japonicum 4A

Strongyloidiasis 4A
Taeniasis 4A
Peritonitis, unspecified 3B
Cholecystitis, unspecified 3B
Other disorders of lacrimal gland 4A
Colour vision deficiencies 4A
Hordeolum and other deep inflammation of eyelid 4A
Conjunctivitis, unspecified,,, Acute atopic conjunctivitis 4A

Blepharitis 4A
Other specified disorders of eye and adnexa 4A
Foreign body on external eye, part unspecified 4A
Astigmatism 4A
Hypermetropia 4A
Myopia 4A
Presbyopia 4A
Cataract, unspecified 2
Primary angle-closure glaucoma 4A
Otitis Externa, Unspecified 4A

Acute suppurative otitis media 4A


Impacted cerumen 4A
Foreign body in nostril 4A
Angina pectoris 3B
Acute Myocardial Infarction 3B
Supraventicular Tachicardy , Ventricular Tachicardy 3B

Heart failure Gagal jantung


akut (3B)
Gagal jantung
kronik (3A)

Cardiac arrhytmia 3B
Essential (primary) hypertension 4A
Cerebral infarction 3B
Fracture of unspecified body 3B
Fracture of unspecified body 3B
Polymyalgia rheumatica 3A
Polymyalgia rheumatica 3A
Osteoarthrosis other 3A
Benign lipomatous neoplasm 4A
Febrile convulsions 4A
Dizziness and giddiness 4A
Delirium 3A
Othertetanus 4A
Rabies 3B
Epilepsy 3A
Status epilepticus, unspecified 3B
Migraine, unspecified 4A
Bells palsy 4A
Tensiontype headache 4A
Disorders of initiating and maintaining sleep (insomnias) 4A

Unspecified dementia 3A
Mixed Anxiety and Depression Disorder 3A
Chronic Psychotic Disorder 3A
Epistaxis 4A
Abscess, furuncle and carbuncle of nose 4A
Acute pharyngitis, unspecified 4A
Acute nasopharingitis (common cold) 4A
Vasomotor rhinitis 4A
Vasomotor rhinitis 4A
Acute tonsillitis, unspecified 4A
Acute laryngitis 4A
Acute bronchitis, unspecified 4A
Influenza 4A
Pneumonitis due to food and vomit 3B
Pneumonia, unspecified 4A
Whooping cough 4A
Asthma 4A
Miliaria 4A
Viral warts 4A
Venom of other arthropods 4A
Zoster without complication 4A
Herpesviral infection, unspecified 4A
Scabies 4A
Pediculosis due to Pediculus humanus capitis 4A
Tinea barbae and tinea capitis 4A
Tinea barbae and tinea capitis 4A
TINEA FASIALIS 4A
Tinea corporis 4A
Tinea manuum 4A
TINEA UNGUIUM 4A
Tinea cruris 4A
Tinea pedis 4A
Pityriasis versicolor 4A
Pyoderma 4A
Seborrhoeic dermatitis 4A
Atopic dermatitis 4A
Other atopic dermatitis 4A
Lichen simplex chronicus 3A

Allergic contact dermatitis 3A


Irritant contact dermatiti 4A
Diaper(napkin) dermatitis 4A
Pityriasis rosea 4A
Molluscum contagiosum 4A
Urticaria 4A
Filariasis 4A
burn 4A
obesity unspecified 4A
Tirotoksikosis unspecified 3B
Hyperglycaemia unspecified 3B
hypoglycaemia unspecified ringan 4A,
berat 3B
Insulin-dependent diabetes mellitus 4A
Non-insulin-dependent diabetes mellitus 4A
Unspecified protein-energy malnutrition 4A
Hyperuricemia without signs of inflammatory arthritis and 4A
tophaceous disease
Hiperlipidemia 4A
Urinary tarct infection, site not specified 4A
Mild hyperemis gravidarum 3B
Single spontaneus delivery, unspecified 4A
Pre-eclampsia, unspecified 3B
Eclampsia, unspecified as to time periode 3B
Unspecified abortion complete, without complication 4A
Unspecified abortion incomplete, without complication 3B
Unspecified abortion incomplete, without complication 3B
Iron deficiency anemia 4A
Premature rupture of membrane, unspecified 3A
long labour 3B
Other Immediate Postpartum haemorhage 3B
First degree perineal laceration during delivery 4A
Inflammatory disorders of breast 4A
4A
Early syphilis 3A
Gonococcal infection, unspecified 4A
Acute Vaginitis 4A
Acute Vaginitis 4A