Nomor : PRD.F.

008

DAFTAR KODE DIAGNOSA Tanggal : 03 Maret 2017

Halaman : 1 of 8

144 Daftar Penyakit Kompetensi 4a - PENYAKIT YANG DAPAT DITANGANI DI LAYANAN PRIMER
No NAMA PENYAKIT KODE ICD 10
1 Kejang demam R56.0
2 Tetanus A35
3 HIV AIDS tanpa komplikasi B24
4 Tension headache G44
5 Migren G43
6 Bells palsy G51.0
7 Vertigo (Benign paroxysmal positional vertigo) H81.1
8 Gangguan somatoform F45
9 Insomnia F51
10 Benda asing di konjungtiva S05.0
11 Konjungtivitis H10
12 Perdarahan subkonjungtiva H11.3
13 Mata kering H04.1
14 Blefaritis H01.0
15 Hordeolum H00
16 Trikiasis H02.0
17 Episkleritis H15.1
18 Hipermetropia ringan H52.0
19 Miopia ringan H52.1
20 Astigmatism ringan H52.2
21 Presbiopia H52.4
22 Buta senja H53.6
23 Otitis eksterna H60
24 Otitis media akut H66.9
25 Serumen prop H61.2

PRD.F.008
 Nomor : PRD.F.008

DAFTAR KODE DIAGNOSA Tanggal : 03 Maret 2017

Halaman : 2 of 8

No NAMA PENYAKIT KODE ICD 10

26 Mabuk perjalanan T75.3
27 Furunkel pada hidung J34.0
28 Rhinitis akut J30
29 Rhinitis vasomotor J30
30 Rhinitis alergika J30
31 Benda asing LIHAT REGIONYA
32 Epistaksis R04.0
33 Influenza J09
34 Pertusis A37.0
35 Faringitis J31.2
36 Tonsilitis J03
37 Laringitis J04.0
38 Asma bronkial J45
39 Bronkitis akut J20
40 Pneumonia, bronkopneumonia J18.0
41 Tuberkulosis paru tanpa komplikasi A15
42 Hipertensi esensial I15
43 Kandidiasis mulut B37.0
44 Ulkus mulut (aptosa, herpes) A69.0
45 Parotitis B26.9
46 Infeksi pada umbilikus L08.82
47 Gastritis K29
48 Gastroenteritis (termasuk kolera, giardiasis) A09
49 Refluks gastroesofagus K21
50 Demam tifoid A01

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DAFTAR KODE DIAGNOSA Tanggal : 03 Maret 2017

Halaman : 3 of 8

No NAMA PENYAKIT KODE ICD 10

51 Intoleransi makanan K90.4
52 Alergi makanan T62.9
53 Keracunan makanan T62.9
54 Penyakit cacing tambang B76.0
55 Strongiloidiasis B78
56 Askariasis B77
57 Skistosomiasis B77
58 Taeniasis B68.9
59 Hepatitis A B15
60 Disentri basiler, disentri amuba A06.0
61 Hemoroid grade 1/2 K64
62 Infeksi saluran kemih N39.0
63 Gonore A54
64 Pielonefritis tanpa komplikasi N12
65 Fimosis N47.1
66 Parafimosis N47.2
67 Sindrom duh (discharge) genital (gonore dan nongonore) R36
68 Infeksi saluran kemih bagian bawah N39.0
69 Vulvitis N76.2
70 Vaginitis N77.1
71 Vaginosis bakterialis N76.0
72 Salpingitis N70
73 Kehamilan normal Z34
74 Aborsi spontan komplit O03
75 Anemia defisiensi besi pada kehamilan O99.0

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No NAMA PENYAKIT KODE ICD 10

76 Ruptur perineum tingkat 1/2 O70
77 Abses folikel rambut atau kelenjar sebasea L72
78 Mastitis N61.0
79 Cracked nipple O92
80 Inverted nipple N64.53
81 Diabetes melitus tipe 1 E10
82 Diabetes melitus tipe 2 E11
83 Hipoglikemia ringan E16.2
84 Malnutrisi energi-protein E46
85 Defisiensi vitamin E56
86 Defisiensi mineral E61.8
87 Dislipidemia E78
88 Hiperurisemia E79
89 Obesitas E66
90 Anemia defisiensi besi D50
91 Limfadenitis I88.9
92 Demam dengue, DHF A91
93 Malaria B54
94 Leptospirosis (tanpa komplikasi) A27
95 Reaksi anafilaktik T78.2
96 Ulkus pada tungkai L97
97 Lipoma D17.9
98 Veruka vulgaris B07
99 Moluskum kontagiosum B08.1
100 Herpes zoster tanpa komplikasi B02.9

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DAFTAR KODE DIAGNOSA Tanggal : 03 Maret 2017

Halaman : 5 of 8

No NAMA PENYAKIT KODE ICD 10

101 Morbili tanpa komplikasi B05.9
102 Varisela tanpa komplikasi B01.9
103 Herpes simpleks tanpa komplikasi B00
104 Impetigo L01
105 Impetigo ulseratif (ektima) L01.0
106 Folikulitis superfisialis L72
107 Furunkel, karbunkel L02
108 Eritrasma L08.1
109 Erisipelas A46
110 Skrofuloderma A18.4
111 Lepra A30
112 Sifilis stadium 1 dan 2 A53
113 Tinea kapitis B35.8
114 Tinea barbe B35.0
115 Tinea fasialis B35.8
116 Tinea korporis B35.4
117 Tinea manus B35.2
118 Tinea unguium B35.1
119 Tinea kruris B35.6
120 Tinea pedis B35.3
121 Pitiriasis vesikolor B36.0
122 Kandidosis mukokutan ringan B37.2
123 Cutaneus larva migran B83.0
124 Filariasis B74
125 Pedikulosis kapitis B85.0

PRD.F.008
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DAFTAR KODE DIAGNOSA Tanggal : 03 Maret 2017

Halaman : 6 of 8

No NAMA PENYAKIT KODE ICD 10

126 Pedikulosis pubis B85.2
127 Skabies B86
128 Reaksi gigitan serangga W57
129 Dermatitis kontak iritan L23
130 Dermatitis atopik (kecuali recalcitrant) L20
131 Dermatitis numularis L30.0
132 Napkin eczema L22
133 Dermatitis seboroik L21
134 Pitiriasis rosea L42
135 Akne vulgaris ringan L70.0
136 Hidradenitis supuratif L73.2
137 Dermatitis perioral L70.0
138 Miliaria L74.0
139 Urtikaria akut L50
140 Exanthematous drug eruption, fixed drug eruption L27.0
141 Vulnus laseratum, punctum T14.1
142 Luka bakar derajat 1 dan 2 T29
143 Kekerasan tumpul LIHAT REGIONYA
144 Kekerasan tajam LIHAT REGIONYA

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DAFTAR KODE DIAGNOSA Tanggal : 03 Maret 2017

Halaman : 7 of 8

KODE DIAGNOSA RAWAT JALAN

Code Diagnosis Description Code Diagnosis Description

A01 Typhoid and paratyphoid fevers K01 Embedded and impacted teeth
A09 Diarrhoea and gastroenteritis K02 Dental caries
A15 Respiratory Tuberculosis K05 Gingivitis and Periodontitis
A54 Gonococcal infection K12 Stomatitis and related lesions
A91 Dengue haemorrhagic fever K35 Appendicitis
B00 Herpesviral [herpes simplex] infections K40 Inguinal hernia
B01 Varicella [chikenpox] K80 Cholelithiasis
B05 Measles K81 Cholecystitis
B17 Acute viral hepatitis K85 Pancreatitis
B26 Mumps K60 Fissure and fistula of anal and rectal regions
B34 Viral Fever /Infection N30 Urinary tract infection (UTI)
B83 Helminthiases L02 Furuncle/warts and carbuncle
H00 Hordeolum and chalazion L20 Dermatitis
H01 Inflamation of eyelid L50 Urticaria
H10 Conjunctivitis L70 Acne
H53 Visual disturbances L72 Cysts of skin and subcutaneous tissue
H60 Otitis B37 Candidiasis
H70 Mastoiditis and related conditions R11 Nausea and Vomiting
H81 Disorders of vestibular function R50 Fever
H92 Otalgia and effusion of ear R51 Headache
J00 Nasopharingitis [common cold] R53 Malaise and fatigue
J01 Sinusitis H81 Vertigo
J02 Pharyngitis G43 Migraine
J03 Tonsilitis R56 Convulsions

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DAFTAR KODE DIAGNOSA Tanggal : 03 Maret 2017

Halaman : 8 of 8

Code Diagnosis Description Code Diagnosis Description

J06 Acute upper respiratory infections (URTI) S00 Superficial injury of head
J18 Pneumonia T14 Injury, unspecified
J20 Acute bronchitis M10 Gout
J30 Vasomotor and allergic Rhinitis / VMR M20 Arthralgia / Myalgia
J33 Nasal polyp M54 Backache / body ache / joint ache
J45 Asthma N17 Renal failure
K29 Gastritis and duodenitis N20 Calculus of kidney and ureter
K30 Dyspepsia N23 Renal colic
E06 Thyroiditis R10 Abdominal and Pelvic pain / Colic
E11 Diabetes Melitus N92 Menometrorrhagia
E20 Hypoparathyroidism N94 Dysmenorrhoea
E78 Hyperlipidemia Z00 General examination
G40 Epilepsy Z30 Contraceptive management
I15 Hypertension Z34 Supervision of normal pregnancy / Maternal healthcare
I20 Angina pectoris Z39 Postpartum care/Maternal healthcare
I21 Acute mycordial infarction Z23 Immunization/Vaccination for Tuberculosis
I25 IHD / Coronary Disease Z24 Immunization/Vaccination for Hepatitis B
I84 Haemorrhoids Z25 Immunization/Vaccination for Haemophilus Influenzae type B
I95 Hypotension Z26 Immunization/Vaccination for Polio(oral)
H26 Cataract Z27 Immunization/Vaccination for Diphteria, tetanus, pertussis (DPT)
N60 Benign mammary dysplasia / FAM Z28 Immunization / Vaccination for Measles, mumps and Rubella (MMR)
N71 Inflammatory disease of uterus, except cervix
N74 Female Pelvic Inflamatory Disease (PID)
N80 Endometriosis

PRD.F.008