DAFTAR JASA MEDIS TINDAKAN POLI THT-KL

NO TINDAKAN KODE THT KODE ICD-9

1 Endoskopi Telinga THT 01 18.19
2 Pasang Tampon Anterior Hidung THT 02 21.01
3 Pasang Tampon Posterior Hidung THT 03 21.02
4 Kaustik Hidung Epistaksis THT 04 21.03
5 Irigasi Sinus THT 05 22
6 Irigasi Sinus dari Ostium Alamiah THT 06 22.02
7 Nasoendoskopi THT 07 22.19
8 Nasoendoskopi Fleksibel THT 08 22.19
9 Nasofaringoskopi Rigid/ Fleksibel THT 09 22.19
10 Flexible Endoscopic Evaluation Of Swallowing (FEES) THT 10 29.19
12 Trakeoskopi Dengan BSO Melalui Stoma Trakeostomi THT 11 31.41
13 Rinolaringoskopi Fleksibel / Telelaringoskopi Rigid THT 12 31.42
14 Tes Penala/ Garpu Tala THT 13 95.42
15 Tes Berbisik THT 14 95.42
16 Pasang NGT THT 15 96.07
17 Pasang NGT Dengan Endoskopi THT 16 96.07
18 Pasang Tampon Telinga THT 17 96.11
19 Ekstraksi / Irigasi Serumen THT 18 96.52
20 Irigasi Hidung THT 19 96.53
21 Cuci Kanul Trakeostomi Pada Mucous Plug THT 20 96.55
22 Cuci Luka (Operasi Hidung/ Telinga) THT 21 96.59
23 Ganti NGT THT 22 97.01
24 Angkat NGT THT 23 97.01
25 Ganti Verban / Drain THT 24 97.16
26 Ganti Tampon Hidung THT 25 97.21
27 Angkat Tampon Hidung Anterior THT 26 97.32
28 Angkat Tampon Hidung Posterior THT 27 97.32
29 Angkat Kanul Trakeostomi THT 28 97.37
30 Angkat Jahitan Operasi THT 29 97.38
31 Ekstraksi Benda Asing Mulut THT 30 98.01
32 Ekstraksi Benda Asing Telinga THT 31 98.11
33 Ekstraksi Benda Asing Hidung THT 32 98.12
34 Ekstraksi Benda Asing Tonsil-Faring THT 33 98.13
35 Ekstraksi Benda Asing Faring Dengan Endoskopi THT 34 98.13
36 Tindik Telinga THT 35 18.01
37 Insisi Pseudokista / Hematoma Aurikula THT 36 18.09
38 Insisi Pseudokista / Hematoma Aurikula Dengan Pasang Gips THT 37 18.09
39 Biopsi Telinga Luar THT 38 18.12
40 Insisi Abses Preaurikular THT 39 18.21
41 Ekstraksi Granulasi Telinga THT 40 18.29
42 Ekstraksi Kolesteatoma Eksterna THT 41 18.29
43 Jahit Luka Telinga Luar THT 42 18.4
45 Pemasangan Pipa Ventilasi (Grommet) THT 43 20.01
46 Miringotomi / Aspirasi Telinga Tengah THT 44 20.09
47 Pelepasan Pipa Ventilasi (Grommet) THT 45 20.1
48 Insisi Abses Retroaurikular THT 46 20.21
50 Injeksi Intra Timpani THT 47 20.94
51 Insisi Hidung, Insisi Septum Hidung THT 48 21.1
52 Biopsi Hidung THT 49 21.22
53 Ekstraksi Massa / Polip Intranasal THT 50 21.31
54 Eksisi Lesi Hidung Lainnya (Sinekia, Pelebaran Ostium) THT 51 21.32
61 Biopsi Oral Cavity THT 52 27.24
62 Revisi Sinekia Hidung THT 53 21.91
65 Biopsi Tonsil & Adenoid THT 54 28.11
66 Biopsi Faring (Nasofaring / Orofaring / Hipofaring) THT 55 29.12
67 Biopsi Laring Per Endoskopik THT 56 31.43
69 Ganti Kanul Trakeostomi THT 57 97.23
KL
JASA MEDIS
 DAFTAR JASA MEDIS TINDAKAN BEDAH THT-KL
NO BIDANG TINDAKAN
1 Tindik telinga Dalam Narkose Umum
2 Insisi drenase liang telinga
3 Insisi pseudokista/hematoma aurikula
4 Biopsi liang telinga
5 Eksisi fistel/abses preaurikular
6 Eksisi lesi liang telinga
8 Hecting laserasi telinga luar
9 TELINGA Kanaloplasti/Meatoplasty
10 Timpanoplasti tipe I/Miringoplasti
11 Pemasangan grommet
12 Miringotomi
13 Pelepasan grommet
14 Insisi drenase abses retroaurikular/mastoid
16 Injeksi telinga dalam
17 Ekstraksi benda asing telinga
18 Dakriosistorinostomi (DCR)
19 Kontrol epistaksis dengan tampon anterior
20 Kontrol epistaksis dengan tampon posterior dan anterior
21 Kontrol epistaksis dengan kauterisasi dan tampon
23 Insisi abses hidung/septum
24 Biopsi hidung
25 Eksisi lesi hidung
26 Polipektomi nasal
27 Reduksi konka dengan kauter/RDF
28 Konkotomi
29 Reduksi fraktur nasal tertutup
30 Hecting laserasi hidung
31 HIDUNG Penutupan fistel hidung
32 Revisi sinekia hidung
33 Irigasi sinus
34 Biopsi sinonasal dengan endoskopi
35 Biopsi sinonasal terbuka
36 Antrotomi intranasal (FESS)
37 Sinusektomi sinus frontal (FESS)
38 Caldwell Luc
39 Etmoidektomi (FESS)
40 Penggantian tampon hidung
41 Pengangkatan tampon hidung
42 Ekstraksi benda asing hidung
43 Insisi drenase abses wajah/ submandibula/ angina ludovici
44 Insisi palatum
45 Biopsi palatum durum
46 Biopsi uvula/ palatum mole
47 Eksisi lesi palatum durum
48 Eksisi luas lesi palatum durum
49 Hecting laserasi palatum
50 Insisi uvula
51 Eksisi uvula
52 Insisi drenase abses tonsil/peritonsil/parafaring/ retrofaring
53 Biopsi tonsil dan adenoid
55 Tonsilektomi
56 Tonsilektomi dengan adenoidektomi
57 Eksisi tonsil lingual
58 Eksisi tag tonsil
59 Eksisi tonsil lingual
60 Adenoidektomi
61 Kontrol perdarahan pasca tonsilektomi dan adenoidektomi
62 Ekstraksi benda asing tonsil/adenoid dengan insisi
63 Eksisi lesi di tonsil dan adenoid
65 Biopsi nasofaring/orofaring/hipofaring
66 Ekstraksi benda asing faring
67 Glosektomi parsial/ hemiglosektomi
68 Glosektomi total
69 TENGGOROK Glosektomi radikal
70 Trakeostomi temporer
71 Trakeostomi dengan penyulit
72 Trakeostomi permanen
74 Trakeoskopi melalui stoma trakea
76 Laringoskopi/trakeoskopi
77 Revisi trakeostomi
78 Pembersihan kanul trakeostomi
79 Cuci trakea dan bronkus
80 Penggantian NGT
81 Penggantian kanul trakeostomi
82 Pengangkatan kanul trakeostomi
83 Septoplasti
84 Repair perforasi septum hidung
85 pemasangan Arch bar
86 Revisi Arch bar
87 Buka Arch bar
88 Labioplasti pada celah bibir
89 Full-thickness skin graft pada bibir dan mulut
90 Lokal flap pada wajah
91 Attachment of pedicle or flap graft pada bibir dan mulut
92 Palatoplasty
93 Palatoplasti pada celah palatum
94 Revisi palatoplasti pada celah palatum
N BEDAH THT-KL
KODE ICD-9 JASA MEDIS
18.01
18.02
18.09
18.12
18.21
18.29
18.4
18.6
19.4
20.01
20.09
20.1
20.21
20.72
98.11
9.81
21.01
21.02
21.03
21.1
21.22
21.3
21.31
21.61
21.62
21.71
21.81
21.82
21.91
22
22.11
22.12
22.2
22.42
22.61
22.63
97.21
97.32
98.12
27
27.1
27.21
27.22
27.31
27.32
27.61
27.71
27.72
28
28.11
28.2
28.3
28.3
28.4
28.5
28.6
28.7
28.91
28.92
29.12
98.13
25.2
25.3
25.4
31.1
31.1
31.29
31.41
31.42
31.74
96.55
96.56
97.01
97.23
97.37
21.88
21.88
24.7
24.7
24.8
27.54
27.55
27.57
27.57
27.6
27.62
27.63
 KODE ICD-10 di BIDANG T.H.T.K.L.
DIAGNOSA KODE
SERUMEN PROP H612
BENDA ASING TELINGA T16
OE SIRKUMSKRIP H600
H601
OE DIFUSA H603
OTOMIKOSIS B372
KOLESTEATOMA EKSTERNA H604
OE MALIGNA H602
OTALGIA H920
STENOSIS LIANG TELINGA H613
PERIKONDRITIS H610
PSEUDOKISTA/HEMATOMA H611
OKLUSI TUBA H680
H681
TUBA PATOULUS H690
OMA H660
OME AKUT H650
H651
OME KRONIK H652
H653
H654
OMSK BENIGNA AKTIF H661
OMSK BENIGNA TENANG H720
OMSK MALIGNA H662
H71
BAROTRAUMA T700
OMSK TBC A186
PARESIS FASIALIS H519
ABSES/FISTEL RETROAURIKULAR H700
H701
GANGGUAN KESEIMBANGAN H811
H810
TELINGA H812
H814
DELAYED SPEECH F809
TINITUS H931
GANGGUAN PENDENGARAN H900
H901
H903
H904
H906
H907
 H911
H912
H833
H910
OTITIS MEDIA ADHESIVE H741
TIMPANOSKLEROSIS H740
OTOSKLEROSIS H800
H801
H802
GANGGUAN TULANG PENDENGARAN H742
H743
TRAUMA TELINGA S004
S013
S021
S045
S046
S092
HERPES B001
B028
PASCA OPERASI MASTOID H950
H951
DEFORMITAS TELINGA M951
KELAINAN KONGENITAL TELINGA Q160
Q161
Q162
Q163
Q164
Q165
Q169
Q170
Q171
Q172
Q182
SINUSITIS AKUT J01
J010
J011
J012
J013
J014
J018
RINOSINUSITIS KRONIK J310
J320
J321
J322
J323

HIDUNG
 J324
J328
J329
HIDUNG J330
J331
J338
J339
RINITIS VASOMOTOR J300
RINITIS ALERGI J304
J450
SEPTUM DEVIASI J342
HIPERTROFI KONKA J343
RINOLITH/PERFORASI SEPTUM J348
EPISTAKSIS R040
ABSES/FURUNKEL J340
KISTA/ MUKOSIL SINUS J341
DEFORMITAS HIDUNG M950
TRAUMA HIDUNG S003
S012
S021
S022
S031
S040
BENDA ASING T170
T171
OSAS G4733
LCS LEAKAGE G960
SELULITIS ORBITA H050
ATRESIA KOANA Q300
TONSILITIS AKUT J030
J038
J039
TONSILITIS KRONIK J350
HIPERTROFI TONSIL J351
HIPERTROFI ADENOID J352
HIPERTROFI TONSIL ADENOID J353
FARINGITIS AKUT B302
J00
J020
J028
FARINGITIS KRONIK J311
J312
LARINGITIS AKUT J040
J050
J051
 J060
LARINGITIS KRONIK J370
KELAINAN LARING J380
J381
J382
J383
J384
J385
J386
J387
TBC LARING/KELENJAR LEHER A155
A182
LARING FARING REFLUKS LARING-FARING K210
DISFAGIA R13
OBSTRUKSI JALAN NAFAS ATAS J960
J961
KOMPLIKASI TRAKEOSTROMI T818
J950
ABSES LEHER DALAM J36
J390
BENDA ASING T172
T173
T174
T175
PAROTITIS B26
KELAINAN TMJ M266
CELAH BIBIR & LANGIT- LANGIT Q35
Q36
Q37
DIFTERI A360
A361
A362
DISFONIA R490

ANAFILAKSIS SALURAN NAPAS J393

KELAINAN ESOFAGUS K220
K223
K225
KELAINAN KELENJAR LIUR K110
K111
K112
10 di BIDANG T.H.T.K.L.
DIAGNOSIS ICD-10
Impacted cerumen
Foreign body in ear
Abscess of external ear
Cellulitis of external ear
Diffuse otitis externa, Swimmer ear, Hemorragic
Candidiasis
Cholesteatoma of external ear
Malignant otitis externa
Otalgia
Acquired stenosis of secondary trauma, inflammation, infection
Pericondritis of external ear
Noninfective disorders of pinna
Eustachian salpingitis
Obstruction of Eustachius tube: compression, stenosis, stricture
Patulous Eustachian tube
Acute suppurative otitis media
Acute serous otitis media
Acute and subacute allergic otitis media (mucoid) (serous)
Chronic serous otitis media
Chronic mucoid otitis media (Glue Ear)
Chronic allergic otitis media
Chronic tubotympanic suppurative otitis media
Central perforation of tympanic membrane
Chronic atticoantral suppurative otitis media
Cholesteatoma of middle ear
Otitic Barotrauma
Tuberculosis of (inner) (middle) ear
Disorder of facial nerve, unspecified
Acute mastoiditis: abcess of mastoid
Chronic mastoiditis: Fistula of mastoid
Benign paroxysmal vertigo
Meniere's disease
Vestibular neuronitis
Vertigo of central origin
Developmental disorder of speech and language, unspecified
Tinnitus
Conductive hearing loss, bilateral
Conductive hearing loss, unilateral, normal on contralateral
Sensorineural hearing loss, bilateral
Sensorineural hearing loss, unilateral normal on contralateral
Mixed hearing loss, bilateral
Mixed hearing loss, unilateral, normal on the contralateral
Presbycusis
Sudden idiopathic hearing loss
Noise effects on inner ear : acoustic trauma, NIHL
Ototoxic hearing loss
Adhesive middle ear disease
Tympanosclerosis
Otosclerosis involving oval window, nonobliterative
Otosclerosis involving oval window, obliterative
Cochlear otosclerosis
Discontinuity and dislocation of ear ossicles
Ankylosis and partial loss of ear ossicles
Superficial injury of ear
Open wound of ear
Fracture of Base of Skull
Injury of facial nerve
Injury of acoustic nerve
Traumatic rupture of ear drum
Herpes simpleks infection
Zoster with other complications
Recurrent cholesteatoma of postmastoidectomy cavity
Chronic inflam, granulation, mucosal cyst of postmastoidectomy
Cauli flower ear
Congenital absence of ear auricle (anotia)
Congenital absence, atresia and stricture of auditory canal
Absence of eustachian tube
Congenital malformation of ear ossicles
Other congenital malformations of middle ear
Congenital malformation of inner ear
Congenital malformation of ear causing impairment of hearing
Accessory auricle
Macrotia
Microtia
Other branchial cleft malformations
Acute sinusitis
Acute maxillary sinusitis
Acute frontal sinusitis
Acute ethmoidal sinusitis
Acute sphenoidal sinusitis, unspecified
Acute pansinusitis, unspecified
Other acute sinusitis, more than one sinus, not pansinusitis
Chronic rhinitis : atropic, granulomatous
Chronic maxillary sinusitis
Chronic frontal sinusitis
Chronic ethmoidal sinusitis
Chronic sphenoidal sinusitis
Chronic pansinusitis
Other chronic sinusitis, more than one sinus, not pansinusitis
Chronic sinusitis, unspecified
Polyp of nasal cavity : choanal, nasopharyngeal
Polypoid sinus degeneration : Woakes' Syndrome
Other polyp of sinus : polyp of ethmoidal, maxillary, spenoidal
Nasal polyp, unspecified
Vasomotor rhinitis
Allergic rhinitis, unspecified
Allergic rhinits with asthma
Deviated nasal septum
Hypertrophy of nasal turbinates
Perforation of nasal septum, rinolith
Epistaxis
Abscess, furuncle and carbuncle of nose
Cyst and mucocele of nose and nasal sinus
Acquired deformity of nose
Superficial injury of nose
Open wound of nose
Fracture of Base of Skull
Fracture of Nasal Bones
Dislocation of Septal Cartilage of Nose
Injury of optic nerve and pathwayas
Foreign Body in nasal sinus
Foreign Body in nostril
Obstructive sleep apnea (adult) (pediatric)
Cerebrospinal fluid leak
Cellulitis of orbit
Choanal Atresia
Acute streptococcal tonsillitis
Acute tonsillitis due to other specified organisms
Acute tonsillitis, unspecified
Chronic tonsillitis
Hypertrophy of tonsils
Hypertrophy of adenoids
Hypertrophy of tonsils with hypertrophy of adenoids
Viral pharyngoconjunctivitis
Acute nasopharyngitis [common cold]
Streptococcal pharyngitis
Acute pharyngitis due to other specified organisms
Chronic nasopharyngitis
Chronic pharyngitis : atrophi, granular, hipertrophic
Acute laryngitis
Acute obstructive laryngitis [croup]
Acute epiglotitis
Acute laryngopharyngitis
Chronic laryngitis
Paralysis of vocal cords and larynx
Polyp of vocal cord and larynx
Nodules of vocal cords
Other diseases of vocal cords
Edema of larynx
Laryngeal spasm
Stenosis of larynx
Other diseases of larynx : abscess, cellulitis, perichondritis
Tuberculosis of larynx, trachea and bronchus
Tuberculosis of perypheral lymphadenopathy
Gastro-esophageal reflux disease
Dysphagia
Acute respiratory failure
Chronic respiratory failure
Emphysema (subcutaneous) resulting from procedure
Tracheostomy malfunction : haemorrhage, obstruction, fistula
Peritonsillar abscess
Retropharyngeal and parapharyngeal abscess
Foreign body in pharynx
Foreign body in larynx
Foreign body in trachea
Foreign body in bronchus
Mumps
Temporomandibular joint disorder
Cleft palate
Cleft lip
Cleft palate with cleft lip
Pharyngeal diphtheria
Nasopharyngeal diphtheria
Laryngeal diphtheria
Disfonia
Upper respiratory tract
hypersensitivity reaction, site unspecified
Achalasia of cardia
Perforation of esophagus
Diverticulum of esophagus, acquired
Atrophy of salivary gland
Hypertrophy of salivary gland
Sialoadenitis