ABSTRAKSI KASUS CODING (SYMTOM, DIAGNOSIS, DAN TINDAKAN) DAN MELAKUKAN AUDIT CODING

BERDASARKAN ICD-10 DAN ICD-9 CM

KODE KODE KODE KODE

NO NO. DIAGNOSA ICD-10 ICD-10 DESKRIPSI TINDAKAN ICD-9 ICD-9 CM DESKRIPSI TEPAT TDK
RM RS MHS ICD-10 CM RS MHS ICD-10 TEPAT
1. 689403 Leptosirisis A27.9 A27.9 Leptospirosi, Hemodialisa 39.95 39.95 Hemodialysis √
unspecified
Obstruktive N13.9 N13.9 Obstructive Hemodialisa 39.95 39.95 Hemodialysis √
uropathy and reflux
uropathy,
2. 685503 unspecified
CA Cervix C53.9 C53.9 Cervix uteri, - - - - √
III unspecified
Kiddny N19. N19 Unspecified - - - - √
failure kidney failure
Febrile R56.0 Febrile - - - - √
Convulsions convulsions
3. 696803 Bronchopneu J18.0 Bronchopneu - - - - √
monia monia,
unspecified
CKB S06.2 S06.2 Diffuse brain Tracheostomy 31.1 31.1 Tracheostomy √
injury

ICH S06.8 S06.8 Other - - - - √

intracranial
injuries
4. 678903 SAH S06.0 S06.0 Commotio - - - - √
cerebri
Frakture S02.1 S02.1 Fracture of - - - - √
temporal base of skull
5 614703 SDH I62.0 I62.0 Subdural Caraniostomy 01.24 01.24 Caraniostomy
subacute on haemorrhage √
chronic (acute)(nontr
aumatic)
6. 634105 Polip servix N84.1 N84.1 Polyp of Pemuntiran 67.39 67.39 Destruction of
cervix uteri Polip cervix √
Kuretase 69.09 69.09 Other dilation
and curettage √
7. 697505 Fracture S42.0 S42.0 Fracture of ORIF 79.31 79.31 ORIF √
clavicle clavicle
HT I10 I10 hypertension - - - - √
8. 717703 Close S42.3.0 S42.3.0 Close ORIF 79.31 79.31 ORIF √
Fracture Fracture
humerus humerus
9. 529305 Bilghted O02.0 O02.0 Blighted Kuretase 69.09 69.09 Other dilation √
Ovum ovum and and curettage
nonhydatidif
orm mole
10. 688105 Diare cair A09.9 A09.9 Gastroenteriti - - - - √
akut s and colitis
of
unspecified
origin
11. 717506 Vomitus R11 R11 Nausea and - - - - √
Profuse vomiting
12. 649509 Febris R56.0 R56.0 Febrile - - - - √
colvusions convulsions
13. 698731 Lowbackpain M54.5 M54.5 Low back - - - - √
pain
14. 659105 DHF A91 A91 Dengue - - - - √
haemorrhagic
fever
15. 664205 Susp DHF A91 A91 Dengue - - - - √
haemorrhagic
fever
16. 620405 Susp A92.0 A92.0 Chikungunya - - - - √
Chikumunya virus disease
17. Batu ureter Hydronephro
677405 proxsimal sis with renal
sinistra N13.2 N13.2 and ureteral Uretrolitotomy 58.0 58.0 Urethrotomy √
calculous
obstruction
18. Limphadenop Localized Simple
haty enlarged excision of
714005 submandibul R59.0 R59.0 lymph nodes Eksisi 40.29 40.29 other √
a dextra lymphatic
structure
19. 694205 Ikterik P59.9 P59.9 Neonatal - - - - √
Neonatorum jaundice,
unspecified
20. 378848 Peritoneal K66.0 K66.0 Other Laparoscopic 54.51 54.51 Laparoscopic √
Adhesions disorders of lysis of
peritoneum Peritoneal
Adhesions