KODE ENTRY INA-CBG'S DIAGNOSA DAN TINDAKAN

NO DIAGNOSA KODE TINDAKAN

OBSGYN

1 ABORTUS IN-KOMPLIT O06.3 KURETASE

2 ABOTRUS IMMINENS O20.0
3 ADHESI TUBA OVARIUM
4 ADHESI USUS K66.0 ADHENSIONS
5 ATONIA UTERI PRE PARTUS O62.2
6 ATONIA UTERI POST PARTUS P03.6
7 ASPHYXIA P21.9
8 ASPHYXIA RINGAN P21.1
9 ASPHYXIA BERAT P21.0
10 BEKAS SC O34.2 SC
KURET SEBELUM BAYI LAHIR
11 BO O02.0
KURET SESUDAH BAYI LAHIR
12 BBLR P07.1
13 CA CERVIK D06.9
14 CEPALO PELVIK DISPROPORTION (CPD) O33.5
15 DISPROPORSI KEPALA PANGGUL O33.0 SC
16 FETAL DEATH O36.4
17 FETAL DISTRESS O68.9
18 GAGAL INDUKSI O61.9 / O66.4 + O82.9 SC + MOW
19 GESTATIONAL HIPERTENSI PREGNANCY O13
20 GEMELLI O30.0 / O63.2
21 HAMIL < 37 MINGGU O47.0
22 HAMIL > 37 MINGGU O47.1
23 HEMATOM VULVA O71.1
24 HIPEREMISIS GRAVIDARUM O21.1
25 HIPERTENSI DALAM KEHAMILAN O10.4
26 HIPERTIROID KLINIS O90.5
27 INERSIA UTERI / HIPOTONIA O62.2 VAKUM EKSTRASI
28 INTRAUTERINE GROWTH RESECTION O31.2
29 IUGR P05.9
30 KALA 1 LAMA O63.0
31 KALA 2 LAMA O63.1
32 KISTA BARTOLINI N75.0
33 KISTA COKLAT N80.1 KISTATECTOMY
34 KISTA ENDOMETRIOSIS N80.1 KISTATECTOMY
35 KISTA PARATUBA Q50.4
36 KISTA OVARIUM Q50.1 KISTATECTOMY
37 KOMA + STATUS EPILEPTIKUS + KRISIS TIROID + IUFD G48.8 + R40.2 + E05.5 + O68.9
38 KPD O42.0 / O42.9 PARTUS SPONTAN
39 KPD + SC O82.9 + O42.0 SC
40 LASERASI PERINEUM O70.9
41 LETAK OBLIQUE / LETAK LINTANG O32.2 SC
42 LETAK SUNGSANG O64.8 SC
43 MALPOSITION P03.1 VAKUM EKSTRASI
44 MOLA HIDATIDOSA O01.9
45 LEIOMYOMA UTERI D25.9 HYSTERECTOMY
46 OLIGOHIDRAMION / OLIGOHIDROMION O41.0
47 OLIGOMINORA N91.5
48 PANGGUL SEMPIT O33.0 SC
49 PAPILOMA D30.7 EKSTRIPASI PAPILOMA
50 PARTUS BAYI BESAR O66.2 SC
51 PARTUS MACET O65.0 SC
52 PARTUS SPONTAN O80.8 / O83.8 PARTUS SPONTAN
53 PARTUS SUNGSANG O83.2 EKSTRAKSI BOKONG
54 PARTUS TAK MAJU O61.9 SC
55 PEB O14.0 SC
56 PERDARAHAN ANTEPARTUM O46.9
57 PERDARAHAN PERVAGINA N93.8 KURET
58 PERDARAHAN POST PARTUM O72.1
59 PERLENGKETAN PERINIUM O73.0
60 PLACENTA HEMATOM O43.8
61 PLACENTA PREVIA (LETAK RENDAH) O44.0
62 PLACENTA SOLUSIO O45.9
63 PRESBO O32.1 SC
64 POLYHIDRAMNION O40
65 RETENSIO PLASENTA O73.1 EKSPLORASI CAVUM UTERI
66 RUPTUR KISTA OVARIUM N83.2 KURET
REPAIR VAGINA
67 RUPTUR PERINIUM N90.9
REPAIR PERINIUM
68 SYOK DFALAM KEHAMILAN O75.1
69 TORSI OVARIUM N83.5 REDICAL CYSTECTOMY

BEDAH

1 ABSES MAMAE N61 / O91.1 EKSISI OF BRAEST

2 ABSES LUMBAL M65.09 INSISI ABESE
3 ABSES TELINGA H60.0 EKSISI TELINGA
4 ABSES UMBILIKAL L02.2 INSISI ABDOMINAL WALL
5 APP K35.9 APENDICTOMY
6 BATU BULI N21.1 VESICOSTOMY
7 BATU GINJAL N20.0 NEPROTOMY
8 BATU URETRA / BATU SALURAN KEMIH N21.1 MEATOTOMI
9 BATU URETER N20.1 URETEROTOMY
10 BLADER NECK STENOSIS N32.0 Dilation Of Bladder Neck
11 BPH D29.1 PROSTATECTOMY
12 CA CERVIK C53.9
13 CA MAMAE C50.9
14 CYSTITIS N30.9
15 DJ STENT Z93.6 REMOVE DJ STENT
16 EXCISI CORPAL M79.52 EXCISION
17 FAM N60.3 EXCISION
18 GAGAL GINJAL AKUT N17.9
19 GAGAL GINJAL KRONIK N18.9 PEMASANGAN DOUBLELUMEN
20 HEMATOCREZIA K62.5
21 HEMOROID I84.2 HEMOROIDECTOMY
LAPAROTOMY
22 HERNIA
RESEKSI
23 HERNIA SCROTALIS K41.3 HERNIORAPHY
24 HERNIA FEMORALIS K41.9 HERNIORAPHY
25 HERNIA INGUINALIS K40.9 HERNIORAPHY
26 HEPATITIS K73.2
27 HIDRONEPROSIS + BATU URETRA N13.2 URETEROTOMY
28 ILEUS OBSTRUKSI K56.5 COLOSTOMY
29 ILEUS PARALITIS K56.0 COLOSTOMY
30 INJURY OF BLADDER S37.21
31 INJURY OF FEMORAL ARTERY S75.0
32 LIMPADENOPATI COLI R59.1 / L04.1 BIOPSI
33 MUCOCELE K11.6 EKSTERPASI MUCOCELE
34 PERITONITIS GENERALISATA K35.0 LAPAROTOMY / RESEKSI USUS
35 PERITONITIS TB A18.3 LAPAROTOMY
36 PHIMOSIS N47 SIRKUMSISI
37 POLIDAKTILI Q69.9 EXCISION
38 RUPTUR BULI / BLADDER N32.4
39 SINDAKTILI Q70.9 EXCISION
40 SNACK BITE T63.0 KONSERVATIF
41 SOFT TISSUE TUMOR (STT) D21.0 EXCISION OF TISSUE
42 SOFT TISSUE TUMOR PUNGGUNG (STT)
43 STRICTUR URETRA / BUSINASI N36.9 BUSINASI
44 TUMOR COLON D12.2 HERNICOLECTOMY
45 TUMOR MAMAE N60.9 EXCISION BREAST
46 TUMOR TESTIS D29.2 ORCHIECTOMY
47 TUMOR TELINGA C30.1 MASTIODECTOMY
48 ULCERATIVE COLLITIS K51.9
49 ULKUS MAMAE N61 EXCISION BREAST TISSUE
50 ULKUS WAJAH L03.2 EXCISION OF SOFT TISSUE
51 VARICOCEL I86.1 Other Operations On Scrotum and Tunica Vaginalis
52 VESIKOLITIASIS N21.0 VESICOSTOMY
53 VL SCROTUM S31.3 LASERASI SCROTUM

THT

1 FARINGITIS J02.9 KONSERVATIF

2 POLIP J33.9 NASAL FISTULA
3 TONSILITIS AKUT J03.9 TONSILECTOMY
4 TONSILITIS KRONIK J35.0 TONSILECTOMY
5 TYROID D44.0 TYROIDECTOMY
6 STRUMA E04.1 TYROIDECTOMY

ORTHOPAEDY

1 ARTHRITIS M13.86 TOTAL KNEE

2 ARTHRITIS M13.86 SQUESTRECTOMY
3 CTEV Q66.0 GIPS + TENOTOMY
4 S43.0 OPEN REPOSITION
5 DISLOCATION SHOULDER M21.67 LENGTHENING TENDON ACILES
6 EQUIS DEFORMITI PEDIS S32.40 SKIN TRAKSI
7 FRACTUR ACETABULUM S92.00 REPLACEMENT OF CAST ON UPPER LIMB
8 FRACTUR COLLUM FEMUR S72.0 HEMIARTROPLASTY / TOTAL HIP REPLACEMENT (THR)
9 FRACTUR COLLUM FEMUR S72.0 TOTAL KNEE REPLACEMENT (TKR)
10 FRACTUR FEMUR S32.0 SKELETAL TRAKSI + OSTEOCLASIS
11 FRACTUR LUMBAL S32.5 LAMINECTOMY
12 FRACTUR PUBIS S32.0
13 FRACTUR THORACAL M75.0 LAMINECTOMY
14 FROZEN SHOULDER M51.1 + G55.1
15 HNP (HERNIA NUCLEUS POLPUSUS) LUMBAL M51.1 + G55.1 LAMINECTOMY
16 HNP (HERNIA NUCLEUS POLPUSUS) THORACAL M25.55 LAMINECTOMY
17 KNEE PAIN M84.06
18 MALUNION TIBIA Q78.9 OSTEOTOMY TIBIA
19 OSTEOCONDROMA S98.1 EXCISION BONE
20 TRAUMATIC AMPUTATION PHALANG FOOT S20.3 / S20.8 / S22.5 REPAIR STUMB
21 TRAUMA THORAX G54.0
22 PLECUS BRANCHIALIS S66.1 KONSERVATIF
23 RUPTUR TENDON A18.0 + M49.06* REPAIR TENDON
24 SPONDILITIS TB LUMBAL A18.0 + M49.06* LAMINECTOMY
25 SPONDILITIS TB THORACAL S91 LAMINECTOMY
VULNUS (OPEN WOUND) SUTURE

INTERNIST

1 ves R10.4 KONSERVATIF

2 ACUTE HEPATITIS C B17.1
3 ACUTE RENAL FAILURE (ARF) N17.9 KONSERVATIF
4 ALERGI L23.6 KONSERVATIF
5 ASCITES R18
6 ASTHMA J45.9 NEBULIEZER
7 BRONCHITIS J20.9 KONSERVATIF
8 BRONCHOPNEUMONIA J18.0 KONSERVATIF
9 CAP J96.9 / A16.1 KONSERVATIF
10 CEROSISHEPATIS K74.6 KONSERVATIF
11 CHEST PAIN R07.3 KONSERVATIF
12 CHF I50.0 / I50.9 KONSERVATIF
13 CHF / HHD / HT I11.0 KONSERVATIF
14 COLIC RENAL N23 KONSERVATIF
15 CLONORCHIASIS B66.1
16 CRONIC RENAL FAILURE (CRF) N18.9 KONSERVATIF
17 DHF A91 KONSERVATIF
18 DRUG INDUCED LIVER INJURY K71.6
19 DISPEPSIA K30 KONSERVATIF
20 DISPNOEA R06.0 KONSERVATIF
21 DM TYPE 1 E10
22 DM TYPE 2 E11
23 EFUSI PLEURA J90 WSD
24 EPILEPSI G40.9
25 EPITAXIS R04.0
26 FARINGITIS AKUT J02.9 KONSERVATIF
27 FARINGITIS KRONIK J31.2 KONSERVATIF
28 FEVER R50.9 KONSERVATIF
29 GASTRITIS K29.7 KONSERVATIF
30 GASTROPATI DM K31.8 KONSERVATIF
31 HEMAPTOE R04.2 KONSERVATIF
32 HEMATOCHREZIA K62.5 KONSERVATIF
33 HEPATITIS K73.2 KONSERVATIF
34 HEPATORENAL SYNDROM K76.7
35 HIDRONEPROSIS WITH RENAL AND URETERAL N13.2
36 HIPERGLIKEMIA DAN HIPOGLIKEMIA R73.9 & E16.2
37 HIPERTENSION HEART DESEASE (HHD) I11.9 KONSERVATIF
38 HIPOKALEMIA E87.6
39 ISCHIALGIA M54.3
40 ISK N39.0 KONSERVATIF
41 ISK + VIRAL INFECTION N39.0 + B34.9 KONSERVATIF
42 ISPA J06.9 KONSERVATIF
43 KANKER PAYUDARA TIDAK SPESIFIK Z08.8
44 KANKER PAYUDARA SETELAH PA KELUAR C50.9 KEMOTERAPI
45 KEJANG R56.8
46 KONSTIPASI K59.0 KONSERVATIF
47 LIMPADENOPATI COLLI R59.1
48 LIMPADENOPATI TB A18.2
49 MELAENA K92.1 KONSERVATIF
50 MENINGITIS G03.9
51 MORBILI B05.9 KONSERVATIF
52 PENURUNAN KESADARAN R40.2 / P91.5 KONSERVATIF
53 PJK I25.9 KONSERVATIF
54 PNEUMONIA J18.9 KONSERVATIF
55 PPOK J44.8 KONSERVATIF
56 TB PARU / TERAPI A16.1 / Z92.9
57 THYPOID FEVER A01.0 KONSERVATIF
58 SIROSIS HEPATITIS K74.6
59 SEPSIS A41.9 KONSERVATIF
60 STEMI I21.9 / I51.9
61 STRUMA NON TOXIC E04.1 LOBECTOMY
62 SYNDROM GERIATRI G90.3
63 SYNDROM STEVEN JOHNSON L51.1 KONSERVATIF
64 VL FRONTAL T01.0 HEATING
65 VULNUS DI KEPALA S01.8
 SYARAF

1 EPILEPSI G40.9 KONSERVATIF

2 EPISTOTANUS G40.7
3 PARAPLEGHI G82.2 KONSERVATIF
4 STROKE (SH / SNH) I64 KONSERVATIF
5 SYNCOPE R55
6 VERTIGO H81.4 KONSERVATIF
 KODE

69.52 / 69.02

54.59

74.4
69.01
69.02

74.4

74.4 + 66.62
 72.79

65.21
65.21

65.29 / 65.21

73.4
74.4

74.4
74.4
72.79

68.4

74.4
71.3
74.4
74.4
73.4
72.54
 74.4
74.4

69.0

74.4

75.7
69.0
70.79
71.71

57.71

85.20 / 85.21
86.09

54.0
47.91
57.21
55.01
58.1
56.2
57.92
60.69
 97.64
86.05
85.24

59.8 / 39.27

49.46
54.19
46.02
53.29
53.29
53.02

56.2
46.10
46.10

40.11
26.29
54.19 / 45.61
54.19
64.0
80.94

86.85
90.59 + 99.21
 83.49

58.6
45.73
85.12 / 85.24
62.3
20.42

85.20
83.49
61.99
57.21 / 57.19
61.41

90.59 + 99.21
21.82
28.2
28.2
06.52
06.2

81.54
77.06
93.53 + 83.13
79.81
 78.39
93.46
97.11
81.52
81.54
93.44 + 78.75
03.09 + 81.08

03.09 + 81.05

03.09 + 81.08
03.09 + 81.05

77.27
77.69
84.3

90.59 + 99.21
83.83
03.09 + 81.08
03.09 + 81.05

90.59 + 99.21

90.59 + 99.21
90.59 + 99.21
 93.94
90.59 + 99.21
90.59 + 99.21
90.59 + 99.22
90.59 + 99.21
90.59 + 99.21
90.59 + 99.21
90.59 + 99.21
90.59 + 99.21

90.59 + 99.21
90.59 + 99.21

90.59 + 99.21
90.59 + 99.21

34.04

90.59 + 99.21
90.59 + 99.21
90.59 + 99.21
90.59 + 99.21
90.59 + 99.21
90.59 + 99.21
90.59 + 99.21
90.59 + 99.21
 90.59 + 99.14

90.59 + 99.21
90.59 + 99.21
90.59 + 99.21

Z51.1

90.59 + 99.21

90.59 + 99.21

90.59 + 99.22
90.59 + 99.21
90.59 + 99.21
90.59 + 99.21
90.59 + 99.14

90.59 + 99.21

90.59 + 99.21

32.41 / 32.49 / 06.2

90.59 + 99.21
86.59
90.59 + 99.21

90.59 + 99.21
90.59 + 99.21

90.59 + 99.21
 OBGYN
1 BEKAS SC O34.2
2 BBLR P07.1
3 CA CERVIK D06.9
4 DISPROPORSI KEPALA PANGGUL O33.0
5 FETAL DEATH O36.4
6 GAGAL INDUKSI O61.9 / O66.4 + O82.9
7 GEMELLI O30.0 / O63.2
8 HAMIL < 37 MINGGU O47.0
9 HAMIL > 37 MINGGU O47.1
10 HEMATOM VULVA O71.1
11 HIPERTENSI DALAM KEHAMILAN O10.4
12 KALA 1 LAMA O63.0
13 KALA 2 LAMA O63.1
14 KISTA BARTOLINI N75.0
15 KISTA COKLAT N80.1
16 KISTA OVARIUM Q50.1
17 KPD O42.0 / O42.9
18 KPD + SC O82.9 + O42.0
19 LETAK OBLIQUE / LETAK LINTANG O32.2
20 LETAK SUNGSANG O64.8
21 PANGGUL SEMPIT O33.0
22 PAPILOMA D30.7
23 PARTUS BAYI BESAR O66.2
24 PARTUS MACET O65.0
25 PARTUS SPONTAN O80.8 / O83.8
26 PARTUS SUNGSANG O83.2
27 PARTUS TAK MAJU O61.9
28 PEB O14.0
29 PERDARAHAN ANTEPARTUM O46.9
30 PERDARAHAN PERVAGINA N93.8
31 PERDARAHAN POST PARTUM O72.1
32 PLACENTA PREVIA (LETAK RENDAH) O44.0
33 PLACENTA SOLUSIO O45.9
34 BATU URETRA / BATU SALURAN KEMIH N21.1
35 BATU URETER N20.1
36 BLADER NECK STENOSIS N32.0
37 BPH D29.1
38 CA CERVIK C53.9
39 CA MAMAE C50.9
40 FAM N60.3
41 GAGAL GINJAL AKUT N17.9
42 GAGAL GINJAL KRONIK N18.9
43 HEMOROID I84.2
44 HERNIA
45
46 HERNIA SCROTALIS K41.3
47 HERNIA FEMORALIS K41.9
48 HERNIA INGUINALIS K40.9
49 HEPATITIS K73.2
50 LIMPADENOPATI COLI R59.1 / L04.1
51 PERITONITIS GENERALISATA K35.0
52 PERITONITIS TB A18.3
53 PHIMOSIS N47
54 POLIDAKTILI Q69.9
55 SOFT TISSUE TUMOR (STT) D21.0
56 SOFT TISSUE TUMOR PUNGGUNG (STT)
57 STRICTUR URETRA / BUSINASI N36.9
58 TUMOR MAMAE N60.9
59 TUMOR TESTIS D29.2
60 TUMOR TELINGA C30.1
61 ULKUS MAMAE N61
62 ULKUS WAJAH L03.2
THT
1 FARINGITIS J02.9
2 POLIP J33.9
3 TONSILITIS AKUT J03.9
4 TONSILITIS KRONIK J35.0
5 TYROID D44.0
6 STRUMA E04.1
ORTHOPAEDY
2 ARTHRITIS M13.86
3 CTEV Q66.0
4 DISLOCATION SHOULDER S43.0
9 FRACTUR FEMUR S72.3
10 FRACTUR LUMBAL S32.0
11 FRACTUR PUBIS S32.5
12 FRACTUR THORACAL S32.0
13 FROZEN SHOULDER M75.0
14 HNP (HERNIA NUCLEUS POLPUSUS) LUMBAL M51.1 + G55.1
15 HNP (HERNIA NUCLEUS POLPUSUS) THORACAL M51.1 + G55.1
16 KNEE PAIN M25.55
20 TRAUMA THORAX S20.3 / S20.8 / S22.5
21 PLECUS BRANCHIALIS G54.0
22 RUPTUR TENDON S66.1
23 SPONDILITIS TB LUMBAL A18.0 + M49.06*
24 SPONDILITIS TB THORACAL A18.0 + M49.06*
INTERNIS
1 ABDOMAIN PAIN / COLIC ABDOMEN R10.4
4 ALERGI L23.6
5 ASCITES R18
6 ASTHMA J45.9
7 BRONCHITIS J20.9
9 CAP J96.9 / A16.1
11 CHEST PAIN R07.3
12 CHF I50.0 / I50.9
13 CHF / HHD / HT I11.0
14 COLIC RENAL N23
16 CRONIC RENAL FAILURE (CRF) N18.9
17 DHF A91
19 DISPEPSIA K30
21 DM TYPE 1 E10
22 DM TYPE 2 E11
23 EFUSI PLEURA J90
24 EPILEPSI G40.9
28 FEVER R50.9
29 GASTRITIS K29.7
32 HEPATITIS K73.2
33 HEPATORENAL SYNDROM K76.7
36 HIPERTENSION HEART DESEASE (HHD) I11.9
37 HIPOKALEMIA E87.6
39 ISK N39.0
40 ISK + VIRAL INFECTION N39.0 + B34.9
41 ISPA J06.9
42 KANKER PAYUDARA TIDAK SPESIFIK Z08.8
44 KEJANG R56.8
45 KONSTIPASI K59.0
46 LIMPADENOPATI COLLI R59.1
47 LIMPADENOPATI TB A18.2
48 MELAENA K92.1
49 MENINGITIS G03.9
51 PENURUNAN KESADARAN R40.2 / P91.5
53 PNEUMONIA J18.9
54 PPOK J44.8
55 TB PARU / TERAPI A16.1 / Z92.9
56 THYPOID FEVER A01.0
SYARAF
1 EPILEPSI G40.9
2 EPISTOTANUS G40.7
3 PARAPLEGHI G82.2
4 STROKE (SH / SNH) I64
5 SYNCOPE R55
6 VERTIGO H81.4