Nama Penyakit
1 Demam tifoid
2 Disentri basiler, disentri amuba
3 Gastroenteritis (termasuk kolera,
giardiasis)
4 Tuberkulosis paru tanpa komplikasi
5 Skrofuloderma
6 Leptospirosis (tanpa komplikasi)
7 Lepra
8 Tetanus
9 Pertusis
10 Erisipelas
11 Sifilis stadium 1 dan 2
12 Sindrom duh (discharge) genital
(gonore dan non gonore)
13 Gonore
19 Veruka vulgaris
20 Moluskum kontagiosum
21 Hepatitis A
22 Parotitis
23 Tinea kapitis
24 Tinea barbe
25 Tinea unguium
26 Tinea manus
27 Tinea pedis
28 Tinea korporis
29 Tinea kruris
30 Tinea fasialis
31 Pitiriasis versikolor
34 Skistosomiasis
35 Taeniasis
36 Filariasis
37 Penyakit cacing tambang
40 Strongiloidiasis
41 Malaria
42 Pedikulosis pubis
43 Pedikulosis kapitis
44 Skabies
45 Lipoma
46 Anemia defisiensi besi
50 Hipoglikemia ringan
51 Malnutrisi energi-protein
52 Defisiensi vitamin
53 Defisiensi mineral
54 Obesitas
55 Dislipidemia
56 Hiperurisemia
57 Gangguan somatoform
58 Insomnia
59 Migren
60 Tension headache
61 Bells' palsy
62 Hordeolum
63 Blefaritis
64 Trikiasis
65 Mata kering
66 Konjungtivitis
67 Perdarahan subkonjungtiva
68 Episkleritis
69 Hipermetropia ringan
70 Miopia ringan
71 Astigmatism ringan
72 Presbiopia
73 Buta senja
74 Otitis eksterna
75 Serumen prop
76 Otitis media akut
77 Hipertensi esensial
78 Hemoroid grade 1-2
79 Limfadenitis
80 Rhinitis akut
81 Faringitis
82 Tonsilitis
83 Laringitis
84 Influenza
85 Pneumonia, bronkopneumonia
86 Bronkitis akut
87 Rhinitis vasomotor
88 Rhinitis alergika
93 Gastritis
94 Intoleransi makanan
95 Impetigo
96 Furunkel, karbunkel
97 Abses folikel rambut atau kelenjar
sebasea
98 Impetigo ulseratif (ektima)
99 Eritrasma
100 Dermatitis atopik (kecuali
recalcitrant)
118 Fimosis
119 Parafismosis
120 Mastitis
121 Salpingitis
122 Vaginitis
123 Vaginosis bakterialis
124 Vulvitis
125 Aborsi spontan komplit
131 Epistaksis
(A30-Leprosy [Hansen disease]); (A30.0-Indeterminate leprosy); (A30.1-Tuberculoid leprosy); (A30.2-Borderline tuberculoid lep
Borderline leprosy); (A30.4-Borderline lepromatous leprosy); (A30.5-Lepromatous leprosy); (A30.8-Other forms of leprosy); (A3
unspecified); (B92-Sequelae of leprosy)
(A35-Other tetanus); (Y58.4-Tetanus vaccine); (Z11.2-Special screening examination for other bacterial diseases); (Z23.5-Need
immunization against tetanus alone); (Z27.1-Need for immunization against diphtheria-tetanus-pertussis, combined [DTP]); (Z2
immunization against diphtheria-tetanus-pertussis with typhoid-paratyphoid [DTP + TAB]); (Z27.3-Need for immunization agains
tetanus-pertussis with poliomyelitis [DTP + polio])
(A37-Whooping cough); (A37.0-Whooping cough due to Bordetella pertussis); (A37.1-Whooping cough due to Bordetella parap
(A37.8-Whooping cough due to other Bordetella species); (A37.9-Whooping cough, unspecified)
(B07-Viral warts)
(B08-Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified); (B08.1-Molluscum c
(B37-Candidal stomatitis); (B37.2-Candidiasis of skin and nail); (B37.8-Candidiasis of other sites); (B37.9-Candidiasis, unspecif
(B37-Candidiasis); (B37.0-Candidal stomatitis); (B37.9-Candidiasis, unspecified)
(B74-Filariasis); (B74.0-Filariasis due to Wuchereria bancrofti); (B74.1-Filariasis due to Brugia malayi); (B74.2-Filariasis due to B
(B74.3-Loiasis); (B74.4-Mansonelliasis); (B74.8-Other filariases); (B74.9-Filariasis, unspecified); (Z11.6-Special screening exam
protozoal diseases and helminthiases)
(B76-Hookworm diseases); (B76.0-Ancylostomiasis); (B76.1-Necatoriasis); (B76.8-Other hookworm diseases); (B76.9-Hookwo
unspecified)
(B86-Scabies)
(D17-Benign lipomatous neoplasm); (D17.0-Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and ne
Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk); (D17.2-Benign lipomatous neoplasm of skin and subcu
of limbs); (D17.3-Benign lipomatous neoplasm of skin and subcutaneous tissue of other and unspecified sites); (D17.7-Benign l
neoplasm of other sites); (D17.9-Benign lipomatous neoplasm, unspecified)
(D50-Iron deficiency anaemia); (D50.8-Other iron deficiency anaemias); (D50.9-Iron deficiency anaemia, unspecified); (D64-Oth
(D64.8-Other specified anaemias); (D64.9-Anaemia, unspecified)
(D50-Iron deficiency anaemia); (D50.8-Other iron deficiency anaemias); (D50.9-Iron deficiency anaemia, unspecified); (O99.0-A
complicating pregnancy, childbirth and the puerperium)
(E10-Insulin-dependent diabetes mellitus); (E10.9-Insulin-dependent diabetes mellitus without complications)
(E66-Obesity); (E66.0-Obesity due to excess calories); (E66.1-Drug-induced obesity); (E66.8-Other obesity); (E66.9-Obesity, un
(E78-Disorders of lipoprotein metabolism and other lipidaemias); (E78.0-Pure hypercholesterolaemia); (E78.1-Pure hyperglycer
(E78.2-Mixed hyperlipidaemia); (E78.3-Hyperchylomicronaemia); (E78.4-Other hyperlipidaemia); (E78.5-Hyperlipidaemia, unsp
Lipoprotein deficiency); (E78.8-Other disorders of lipoprotein metabolism); (E78.9-Disorder of lipoprotein metabolism, unspecifie
(E79-Disorders of purine and pyrimidine metabolism); (E79.0-Hyperuricaemia without signs of inflammatory arthritis and tophac
(E79.1-Lesch-Nyhan syndrome); (E79.8-Other disorders of purine and pyrimidine metabolism); (E79.9-Disorder of purine and p
metabolism, unspecified)
(F45-Somatoform disorders); (F45.0-Somatization disorder); (F45.1-Undifferentiated somatoform disorder); (F45.2-Hypochondr
(F45.3-Somatoform autonomic dysfunction); (F45.4-Persistent somatoform pain disorder); (F45.8-Other somatoform disorders);
Somatoform disorder, unspecified)
(F51-Nonorganic sleep disorders); (F51.0-Nonorganic insomnia); (F51.2-Nonorganic disorder of the sleep-wake schedule); (F51
nonorganic sleep disorders); (G47.0-Disorders of initiating and maintaining sleep [insomnias])
(G43-Migraine); (G43.0-Migraine without aura [common migraine]); (G43.1-Migraine with aura [classical migraine]); (G43.2-Stat
(G43.8-Other migraine); (G43.9-Migraine, unspecified); (N94.3-Premenstrual tension syndrome)
(G44-Other Headache Syndromes); (G44.1-Vascular headache, not elsewhere classified); (G44.2-Tension-type headache); (G4
post-traumatic headache); (G44.4-Drug-induced headache, not elsewhere classified); (G44.8-Other specified headache syndro
Headache)
(J04-Acute laryngitis and tracheitis); (J04.0-Acute laryngitis); (J37-Chronic laryngitis and laryngotracheitis); (J37.0-Chronic laryn
(J10-Influenza due to other identified influenza virus); (J10.0-Influenza with pneumonia, other influenza virus identified); (J10.1-
other respiratory manifestations, other influenza virus identified); (J10.8-Influenza with other manifestations, other influenza viru
(J11-Influenza, virus not identified); (J11.0-Influenza with pneumonia, virus not identified); (J11.1-Influenza with other respiratory
virus not identified); (J11.8-Influenza with other manifestations, virus not identified); (A49.2-Haemophilus influenzae infection, u
(J12-Viral pneumonia, not elsewhere classified); (J12.0-Adenoviral pneumonia); (J12.1-Respiratory syncytial virus pneumonia);
Parainfluenza virus pneumonia); (J12.3-Human metapneumovirus pneumonia); (J12.8-Other viral pneumonia); (J12.9-Viral pne
unspecified); (J13-Pneumonia due to Streptococcus pneumoniae); (J14-Pneumonia due to Haemophilus influenzae); (J15-Bact
pneumonia, not elsewhere classified); (J15.0-Pneumonia due to Klebsiella pneumoniae); (J15.1-Pneumonia due to Pseudomon
Pneumonia due to staphylococcus); (J15.3-Pneumonia due to streptococcus, group B); (J15.4-Pneumonia due to other streptoc
Pneumonia due to Escherichia coli); (J15.6-Pneumonia due to other aerobic Gram-negative bacteria); (J15.7-Pneumonia due to
pneumoniae); (J15.8-Other bacterial pneumonia); (J15.9-Bacterial pneumonia, unspecified); (J16-Pneumonia due to other infec
organisms, not elsewhere classified); (J16.0-Chlamydial pneumonia); (J16.8-Pneumonia due to other specified infectious organ
Pneumonia in diseases classified elsewhere); (J17.0-Pneumonia in bacterial diseases classified elsewhere); (J17.1-Pneumonia
diseases classified elsewhere); (J17.2-Pneumonia in mycoses); (J17.3-Pneumonia in parasitic diseases); (J17.8-Pneumonia in
classified elsewhere); (J18-Pneumonia, organism unspecified); (J18.0-Bronchopneumonia, unspecified); (J18.1-Lobar pneumon
(J18.2-Hypostatic pneumonia, unspecified); (J18.8-Other pneumonia, organism unspecified); (J18.9-Pneumonia, unspecified)
(J20-Acute bronchitis); (J20.0-Acute bronchitis due to Mycoplasma pneumoniae); (J20.1-Acute bronchitis due to Haemophilus i
(J20.2-Acute bronchitis due to streptococcus); (J20.3-Acute bronchitis due to coxsackievirus); (J20.4-Acute bronchitis due to pa
virus); (J20.5-Acute bronchitis due to respiratory syncytial virus); (J20.6-Acute bronchitis due to rhinovirus); (J20.7-Acute bronch
echovirus); (J20.8-Acute bronchitis due to other specified organisms); (J20.9-Acute bronchitis, unspecified); (J40-Bronchitis, no
acute or chronic); (J41-Simple and mucopurulent chronic bronchitis); (J41.0-Simple chronic bronchitis); (J41.1-Mucopurulent ch
(J41.8-Mixed simple and mucopurulent chronic bronchitis); (J42-Unspecified chronic bronchitis)
(J34-Other disorders of nose and nasal sinuses); (J34.0-Abscess, furuncle and carbuncle of nose)
(J45-Asthma); (J45.0-Predominantly allergic asthma); (J45.1-Nonallergic asthma); (J45.8-Mixed asthma); (J45.9-Asthma, unspe
(K12-Stomatitis and related lesions); (K12.0-Recurrent oral aphthae); (K12.1-Other forms of stomatitis); (K12.2-Cellulitis and ab
(K12.3-Oral mucositis (ulcerative))
(K21-Gastro-oesophageal reflux disease); (K21.9-Gastro-oesophageal reflux disease without oesophagitis)
(K29-Gastritis and duodenitis); (K29.1-Other acute gastritis); (K29.2-Alcoholic gastritis); (K29.5-Chronic gastritis, unspecified); (
gastritis); (K29.7-Gastritis, unspecified); (K30-Functional dyspepsia); (R10.1-Pain localized to upper abdomen)
(K90-Intestinal malabsorption); (K90.4-Malabsorption due to intolerance, not elsewhere classified)
(L50-Urticaria); (L50.0-Allergic urticaria); (L50.2-Urticaria due to cold and heat); (L50.3-Dermatographic urticaria); (L50.4-Vibrat
(L50.6-Contact urticaria); (L50.9-Urticaria, unspecified); (L56.3-Solar urticaria); (L29-Pruritus); (L29.0-Pruritus ani); (L29.1-Pruri
(L29.2-Pruritus vulvae); (L29.3-Anogenital pruritus, unspecified); (L29.8-Other pruritus); (L29.9-Pruritus, unspecified); (T80.6-O
reactions)
(L70-Acne); (L70.0-Acne vulgaris); (L70.1-Acne conglobata); (L70.2-Acne varioliformis); (L70.3-Acne tropica); (L70.4-Infantile a
Acné excoriée des jeunes filles); (L70.8-Other acne); (L70.9-Acne, unspecified); (L71-Rosacea); (L71.1-Rhinophyma); (L71.8-O
(L71.9-Rosacea, unspecified)
(N70-Salpingitis and oophoritis); (N70.0-Acute salpingitis and oophoritis); (N70.1-Chronic salpingitis and oophoritis); (N70.9-Sal
oophoritis, unspecified)
(N76-Other inflammation of vagina and vulva); (N76.0-Acute vaginitis); (N76.1-Subacute and chronic vaginitis); (N76.6-Ulceratio
(N76.8-Other specified inflammation of vagina and vulva)
(N76-Other inflammation of vagina and vulva); (N76.0-Acute vaginitis); (N76.1-Subacute and chronic vaginitis); (N76.6-Ulceratio
(N76.8-Other specified inflammation of vagina and vulva); (N77-Vulvovaginal ulceration and inflammation in diseases classified
(N77.1-Vaginitis, vulvitis and vulvovaginitis in infectious and parasitic diseases classified elsewhere); (N77.8-Vulvovaginal ulcer
inflammation in other diseases classified elsewhere)
(N76-Other inflammation of vagina and vulva); (N76.2-Acute vulvitis); (N76.3-Subacute and chronic vulvitis); (N76.4-Abscess of
Ulceration of vulva); (N76.8-Other specified inflammation of vagina and vulva)
(O03-Spontaneous abortion); (O03.9-Complete or unspecified, without complication); (O04-Medical Abortion); (O04.9-Complete
without complication); (O05-Other Abortion); (O05.9-Complete or unspecified, without complication); (O06-Unspecified abortion
Complete or unspecified, without complication)
(O70-Perineal laceration during delivery); (O70.0-First degree perineal laceration during delivery); (O70.1-Second degree perin
during delivery)
(O80-Single spontaneous delivery); (O80.0-Spontaneous vertex delivery); (O80.1-Spontaneous breech delivery); (O80.8-Other
spontaneous delivery); (O80.9-Single spontaneous delivery, unspecified); (O26.8-Other specified pregnancy-related conditions)
Pregnancy-related condition, unspecified)
(O92-Other disorders of breast and lactation associated with childbirth); (O92.0-Retracted nipple associated with childbirth)
(O92-Other disorders of breast and lactation associated with childbirth); (O92.1-Cracked nipple associated with childbirth); (N64
disorders of breast); (N64.0-Fissure and fistula of nipple)
(R56-Convulsions, not elsewhere classified); (R56.0-Febrile convulsions); (R56.8-Other and unspecified convulsions)
(T00-Superficial injuries involving multiple body regions); (T00.0-Superficial injuries involving head with neck); (T00.1-Superficia
involving thorax with abdomen, lower back and pelvis); (T00.2-Superficial injuries involving multiple regions of upper limb(s)); (T
injuries involving multiple regions of lower limb(s)); (T00.6-Superficial injuries involving multiple regions of upper limb(s) with low
(T00.8-Superficial injuries involving other combinations of body regions); (T00.9-Multiple superficial injuries, unspecified); (T14-
unspecified body region); (T14.0-Superficial injury of unspecified body region); (T14.1-Open wound of unspecified body region)
injuries of unspecified body region); (T14.9-Injury, unspecified)
(T15-Foreign body on external eye); (T15.1-Foreign body in conjunctival sac); (T15.8- Foreign body in other and multiple parts
(T15.9-Foreign body on external eye, part unspecified)
(T63-Toxic effect of contact with venomous animals); (T63.4- Venom of other arthropods)
(T78-Adverse effects, not elsewhere classified); (T78.2-Anaphylactic shock, unspecified); (T80.5-Anaphylactic shock due to ser
Anaphylactic shock due to adverse food reaction); (T88.6-Anaphylactic shock due to adverse effect of correct drug or medicam
administered)
(X99-Assault by sharp object); (X78-Intentional self-harm by sharp object); (Y28-Contact with sharp object, undetermined intent
intervention involving sharp objects); (W22-Striking against or struck by other objects); (W26.9-Contact with unspecified sharp o
(Y00-Assault by blunt object); (X79-Intentional self-harm by blunt object); (Y29-Contact with blunt object, undetermined intent);
intervention involving blunt objects); (W22-Striking against or struck by other objects)
(Z21-Asymptomatic human immunodeficiency virus [HIV] infection status); (R75-Laboratory evidence of human immunodeficien
(Z11.4-Special screening examination for human immunodeficiency virus [HIV]); (Z20.6-Contact with and exposure to human im
virus [HIV]); (Z71.7-Human immunodeficiency virus [HIV] counselling)