PEER RIVIEW DIAGNOSA PUSKESMAS .

No Nama Diagnosa Kode Umum Kode ICD X

KELOMPOK UMUM
1 TUBERKULOSIS (TB) PARU A70 Tuberkulosis A15
2 TB DENGAN HIV
TB A70 Tuberkulosis A15
HIV B90 HIV-infection/AIDS Z21
3 MORBILI A71 Measles B05.9
4 VARISELA A72 Chickenpox B01.9
5 MALARIA A73 Malaria B54
6 LEPTOSPIROSIS A78 Infection disease other/ NOS A27.9
B74
B74.0
7 FILARIASIS D96 Woms/other parasites
B74.1
B74.2
8 INFEKSI PADA UMBILIKUS A94 Perinatal morbidity other P38
9 KANDIDIASIS MULUT A78 Infectious desease other B37.9
10 LEPRA A78 Infectious disease other/NOS A30
11 KERACUNAN MAKANAN A86 Toxic Effect Non Medical Substance T62.2
12 ALERGI MAKANAN A92 Allergy/ allergic reaction NOS L27.2
13 SYOK K99 Cardiovascular disease other R57.9
14 REAKSI ANAFILAKTIK A92 Allergy/allergic reaction NOS T78.2
15 DEMAM DENGUE DAN DEMAM BERDARAH DENGUE A77 Viral disease other/NOS A90
A91
DARAH, PEMBENTUKAN DARAH DAN SISTEM IMUN
16 ANEMIA DEFISIENSI BESI B80 Iron Deficiency Anaemia B80
17 HIV/AIDS TANPA KOMPLIKASI B90 HIV-infection/AIDS Z21
18 LUPUS ERITEMATOSUS SISTEMIK L99 Systemic Lupus Erythematosus M32
19 LIMFADENITIS L04.9 Acute lymphadenitis, unspecified B70

DIGESTIVE
K12
20 ULKUS MULUT (AFTOSA, HERPES) D83 Mouth / tongue / lip disease
20 ULKUS MULUT (AFTOSA, HERPES) D83 Mouth / tongue / lip disease K12.0
K12.1
21 REFLUKSGASTROESOFAGEAL D84 Oesphagus disease K21.9
22 GASTRITIS D07 Dyspepsia/indigestion K29.7
23 INTOLERANSI MAKANAN D29 Digestive syndrome/complaint other K90.4
24 MALABSORBSI MAKANAN D29 Digestive syndrome/complaint other K90.9
25 DEMAM TIFOID D70 Gastrointestinal infection A01.0
26 GASTROENTERITIS (KOLERA DAN GIARDIASIS) D73 Gastroenteritis presumed infection A09
27 DISENTRI BASILER DAN DISENTRI AMUBA D70 Gastrointestinal infection A06.0
D14 Haematemesis/vomiting blood K92.2
28 PERDARAHAN GASTROINTESTINAL D15 Melaena K62.5
D16 Rectal Bleeling
29 HEMOROID GRADE 1-2 D95 Anal fissure/perianal abscess I84
30 HEPATITIS A D72 Viral Hepatitis B15
31 HEPATITIS B D72 Viral Hepatitis B16
32 KOLESISTITIS D98 Cholecystitis/cholelithiasis K81.9
33 APENDISITIS AKUT S87 Appendicitis K35.9
34 PERITONITIS D99 Disease digestive system, other K65.9
D71 Mumps
35 PAROTITIS B26
D99 Disease digestive system, other
36 ASKARIASIS (INFEKSI CACING GELANG) D96 Worms/ other parasites B77.9
B76.0
37 ANKILOSTOMIASIS (INFEKSI CACING TAMBANG) D96 Worms/ other parasites
B76.1
B65.9
38 SKISTOSOMIASIS D96 Worms/ other parasites
B65.2
39 TAENIASIS D96 Worms/ other parasites B68.9
40 STRONGILOIDIASIS D96 Worms/ other parasites B78.9

MATA
41 MATA KERING/DRY EYE F99 Eye/adnexa disease, other H04.1
42 BUTA SENJA F99 Eye/adnexa disease, other H53.6
43 HORDEOLUM F72 Blepharitis/stye/chalazion H00.0
F70 Conjunctivitis infectious F71
44 KONJUNGTIVITIS
44 KONJUNGTIVITIS
H10.9 Conjunctivitis, unspecified H10.1
45 BLEFARITIS F72 Blepharitis/stye/chalazion H01.0
46 PERDARAHAN SUBKONJUNGTIVA F75 Contusion/ haemorrhage eye H57.8
47 BENDA ASING DI KONJUNGTIVA F76 Foreign body in eye T15.9
48 ASTIGMATISME F91 Refractive error H52.2
49 HIPERMETROPIA F91 Refractive error H52.0
50 MIOPIA RINGAN F91 Refractive error H52.1
51 PRESBIOPIA F91 Refractive error H52.4
52 KATARAK PADA PASIEN DEWASA F92 Cataract H26.9
53 GLAUKOMA AKUT F93 Glaucoma H40.2
54 GLAUKOMA KRONIS F93 Glaucoma H40.2
55 TRIKIASIS F99 Eye / adnexa disease, other H02
56 EPISKLERITIS F99 Eye / adnexa disease, other H15.1
57 TRAUMA KIMIA MATA F79 Injury eye other T26
58 LASERASI KELOPAK MATA F79 Injury eye other S01.1
59 HIFEMA F75 Contusion/haemorrhage eye H21.0
60 RETINOPATI DIABETIK F83 Retinopathy H36.0

TELINGA
61 OTITIS EKSTERNA H70 Otitis externa H60.9
H65.0
62 OTITIS MEDIA AKUT H71 Acute otitis media/myringitis H65.1
H66.0
H66.1
63 OTITIS MEDIA SUPURATIF KRONIK H74 Chronic otitis media H66.2
H66.3
64 BENDA ASING DI TELINGA H76 Foreign body in ear T16
65 SERUMEN PROP H81 Excessive ear wax H61.2

KARDIOVASKULER
66 ANGINA PEKTORIS STABIL K74 Ischaemic heart disease with angina I20.9
67 INFARK MIOKARD K75 Acute Myocardial Infarction I21.9
R00.0
68 TAKIKARDIA K79 Paroxysmal Tachicardy
68 TAKIKARDIA K79 Paroxysmal Tachicardy I47.1
I47.2
69 GAGAL JANTUNG AKUT DAN KRONIK K77 Heart failure I50.9
70 CARDIORESPIRATORY ARREST K80 cardiac arrhytmiaNOS R09.2
71 HIPERTENSI ESENSIAL K86 Hypertension uncomplicated I10

MUSKULOSKELETAL
72 FRAKTUR TERBUKA L76 fracture other T14
73 FRAKTUR TERTUTUP L76 fracture other T14
74 POLIMIALGIA REUMATIK L99 Musculosceletal disease other M53.3
75 ARTRITIS REUMATOID L99 Musculosceletal disease other M53.3
76 ARTRITIS, OSTEOARTRITIS L91 Osteoarthrosis other M19.9
S16 Bruise / Contusion
77 VULNUS S17 Abration / Scratch / Blister T14.1
S18 Laceration / Cut
78 LIPOMA S78 Lipoma D17.9

NEUROLOGI
79 TENSION HEADACHE N95 Tension Headache G44.2
80 MIGREN N89 Migraine G43.9
81 VERTIGO N17 Vertigo/dizziness R42
82 TETANUS N72 Tetanus A35
83 RABIES A77 Viral disease other/NOS A82.9
84 MALARIA SEREBRAL A73 Malaria
85 EPILEPSI N88 Epilepsy G40.9
86 TRANSIENT ISCHEMIC ATTACK (TIA) K89 Transient cerebral ischaemia G45.9
87 STROKE K90 Stroke/cerebrovascular accident I63.9
88 BELLS PALSY N91 Facial paralysis/Bells palsy G51.0
89 STATUS EPILEPTIKUS N88 Epilepsy G41.9
90 DELIRIUM P71 Organic psychosis other F05.9
91 KEJANG DEMAM N07 Convulsion/Seizure R56.0
92 TETANUS NEONATORUM N72 Tetanus A33
 PSIKIATRI
93 GANGGUAN SOMATOFORM P75 Somatization disorder F45
94 DEMENSIA P70 Dementia F03
95 INSOMNIA P06 Sleep disturbance F51
96 GANGGUAN CAMPURAN ANXIETAS DAN DEPRESI P74 Anxiety Disorder (anxiety state) F41.2
97 GANGGUAN PSIKOTIK P98 Psychosis NOS/other F20

RESPIRASI
98 INFLUENZA R80 Influenza J11
99 FARINGITIS AKUT R74 Upper respiratory infection acute J02.9
100 LARINGITIS AKUT R77 Laryngitis/tracheitis acute J04.0
J03
101 TONSILITIS AKUT R76 Tonsillitis acute
J35
102 BRONKITIS AKUT R78 Acute bronckitis /bronchiolitis J20.9
103 ASMA BRONKIAL (ASMA STABIL) R96 Asthma J45
104 STATUS ASMATIKUS (ASMA AKUT BERAT) R03 Wheezing J45.902
105 PNEUMONIA ASPIRASI R99 Respiratory disease other J69.0
J18.0
106 PNEUMONIA, BRONKOPNEUMONIA R81 Pneumonia
J18.9
107 PNEUMOTORAKS R99 Respiratory Disease Other J93.9
108 PPOK (PENYAKIT PARU OBSTRUKTIF KRONIS) R95 Chronic Obstructive Pulmonary Diseases J44.9
109 EPISTAKSIS R06 Nose bleed/epistaxis R04.0
110 BENDA ASING DI HIDUNG R87 Foreign body nose/larynx/bronch T17.1
111 FURUNKEL PADA HIDUNG R73 Boil/abscess nose J34.0
112 RINITIS AKUT R74 Upper respiratory infection acute J00
113 RINITIS VASOMOTOR R97 Allergic rhinitis J30.0
114 RINITIS ALERGI R97 Allergic rhinitis J30.4
J01
115 SINUSITIS (RINOSINUSITIS) R75 Sinusitis acute / chronic
J32

KULIT
116 MILIARIA S92 Sweat gland disease L74.3
117 VERUKA VULGARIS S03 Warts B07
118 HERPES ZOSTER S70 Herpes Zoster B02.9
119 HERPES SIMPLEKS S71 Herpes Simplex B00.9
120 MOLUSKUM KONTAGIOSUM S95 Molluscum contagiosum B08.1
121 REAKSI GIGITAN SERANGGA S12 Insect bite/sting T63.4
122 SKABIES S72 Scabies/other acariasis B86
123 PEDIKULOSIS KAPITIS S73 Pediculosis/skin infestation other B85.0
124 PEDIKULOSIS PUBIS S73 Pediculosis/skin infestation other B85.3
B35
B35.0
B35.1
B35.2
125 DERMATOFITOSIS S74 Dermatophytosis B35.3
B35.4
B35.5
B35.6
B35.8
126 PITIRIASIS VERSIKOLOR/ TINEA VERSIKOLOR S76 Skin infection other B36.0
S84 Impetigo L01
127 PIODERMA S76 Skin infection other L02
L08.0
128 ERISIPELAS S76 Skin infection other A46
129 DERMATITIS SEBOROIK S86 Dermatitis seborrhoeic L21
130 DERMATITIS ATOPIK S87 Dermatitis/atopic eczema L20
131 DERMATITIS NUMULARIS S87 Dermatitis/atopic eczema L20.8
132 LIKEN SIMPLEKS KRONIK (NEURODERMATITIS SIRKUMKRIPTA) S87 Dermatitis/atopic eczema L28.0
133 DERMATITIS KONTAK ALERGIK S88 Dermatitis contact/allergic L23
134 DERMATITIS KONTAK IRITAN S88 Dermatitis contact/allergic L24
135 NAPKIN ECZEMA(DERMATITIS POPOK) S89 Diaper rash L22
136 DERMATITIS PERIORAL S99 Skin disease other L71.0
137 PITIRIASIS ROSEA S90 Pityriasisrosea L42
138 ERITRASMA S76 Skin infection other L08.1
139 SKROFULODERMA A70 Tuberculosis A18.4
140 HIDRADENITIS SUPURATIF S92 Sweat gland disease L73.2
141 AKNE VULGARIS RINGAN S96 Acne L70.0
L50
142 URTIKARIA S98 Urticaria
L50.9
143 EXANTHEMATOUS DRUG ERUPTION S07 Rash generalized L27.0
144 FIXED DRUG ERUPTION A85 Adverse effect medical agent L27.0
145 CUTANEUS LARVA MIGRANS D96 Worms/other parasites B76.9
T30
146 LUKA BAKAR DERAJAT I DAN II S14 burn/scald T31
T32
I83.0
147 ULKUS PADA TUNGKAI S97 Chronic Ulcer Skin
L97
148 SINDROM STEVENS-JOHNSON S99 Skin disease other L51.1

METABOLIK ENDOKRIN DAN NUTRISI

T82 obesity
149 OBESITAS E66.9
T83 overweight
150 TIROTOKSIKOSIS T85 Hipertiroidisme/tirotoksikosis E05.9
151 DIABETES MELLITUS TIPE 2 T90 Diabetes non-insulin dependent E11
152 HIPERGLIKEMIA HIPEROSMOLAR NON KETOTIK A91 Abnormal result invetigation NOS R73.9
153 HIPOGLIKEMIA T87 hypoglycaemia E16.2
E79.0
154 HIPERURISEMIA-GOUT ARTHRITIS T99 Endocrine/metabolic/nutritional disease
M10
155 LIPIDEMIA T93 Lipid disorder E78.5
156 MALNUTRISI ENERGI PROTEIN (MEP) T91 Vitamin/nutritional deficiency E46

GINJAL DAN SALURAN KEMIH

157 INFEKSI SALURAN KEMIH U71 Cystitis/urinary infection others N39.0
158 PIELONEFRITIS TANPA KOMPLIKASI U70 Pyelonephritis / pyelitis N10
159 FIMOSIS Y81 Phimosis N47
160 PARAFIMOSIS Y81 Paraphimosis N47.2

KESEHATAN WANITA
161 KEHAMILAN NORMAL W90 Uncomplicated labour/delivery livebirth O80.9
162 HIPEREMESIS GRAVIDARUM (MUAL DAN MUNTAH PADA KEHAMILAN) W05 Pregnancy vomiting/nausea O21.0
163 ANEMIA DEFISIENSI BESI PADA KEHAMILAN B80 Irondeficiency anaemia D50
164 PRE-EKLAMPSIA W81 Toxaemia of pregnancy O14.9
165 EKLAMPSI W81 Toxaemia of pregnancy O15.9
O03.9
166 ABORTUS W82 Abortion spontaneous
O06.4
167 KETUBAN PECAH DINI (KPD) W92 Complicated labour/delivery livebirth O42.9
W92 Life Birth
168 PERSALINAN LAMA O63.9
W93 Still birth
169 PERDARAHAN POST PARTUM / PENDARAHAN PASCASALIN W17 Post partum bleeding O72.1
170 RUPTUR PERINEUM TINGKAT 1-2 W92 Complicated labour/delivery livebirth O70.0
171 MASTITIS X21 Breast symptom/complaint female other N61
W95 Breast disorder in pregnancy other O92.02
172 INVERTED NIPPLE
X20 Nipple symptom/complaint female O92.03
W95 Breast disorder in pregnancy other O92.12
173 CRACKED NIPPLE
X20 Nipple symptom/complaint female O92.13

PENYAKIT KELAMIN
X14 vaginal discharge
X71 gonore pada wanita
174 FLUOR ALBUS / VAGINAL DISCHARGENON GONORE X72 urogenital candidiasis pada wanita N98.9
X73 trikomoniasis urogenital pada wanita
X92 klamidia genital pada wanita
175 SIFILIS Y70 Syphilis male A51
X70 Syphilis female A51.0
A52
A53.9
X71 Gonorrhoea female
176 GONORE A54.9
Y71 Gonorrhoea male
177 VAGINITIS X84 Vaginitis N76.0
178 VULVITIS X84 Vaginitis/Vulvitis N76.0
Mengetahui Kepala Puskesmas Sakra

J A M A L I, S.Kep

19701231 199103 1 054

KESMAS .
Kode ICD X Level Keterangan (alasan)

Respiratory tuberkulosis, bacteriologically and histologically conf 4A

Respiratory
Asymptomatictuberkulosis, bacteriologically andvirus
human immunodeficiency histologically conf 3A
(HIV) infection status
Measles without complication (Measles NOS) 4A
Varicella without complication (Varicella NOS) 4A
Unspecified malaria 4A
Leptospirosis, unspecified 4A
Filariasis
Filariasis due to Wuchereria bancrofti
4A
Filariasis due to Brugia malayi
Filariasis due to Brugia timori
Omphalitis of newborn with or without mild haemorrhage 4A
Candidiasis unspecified 4A
Leprosy [Hansen disease] 4A
Other Ingested (parts of plant(s) 4A
Dermatitis due to ingested food 4A
Shock, unspecified 3B
Anaphylactic shock, unspecified 4A
Dengue fever
4A
Dengue haemorrhagic fever

Iron Deficiency Anaemias 4A

Asymptomatic Human Immunodeficiency Virus (HIV) infection sta 4A
Systemic Lupus Erythematosus 3A
Lymphadenitis Acute 4A

Stomatitis and related lesions

4A
Recurrent oral aphtae 4A
Other form of stomatitis
Gastro-oesophageal reflux disease without oesophagitis 4A
Gastritis, unspecified 4A
Malabsorption due to intolerance 4A
Intestinal malabsorbtion, unspecified 3A
Typhoid fever 4A
Diarrhoea and gastroenteritis of presumed infection origin 4A
Acute amoebic dysentery 4A
Gastrointestinal haemorrhage, unspecified
Haemorrhage of anus and rectum 3B

Haemorrhoids 4A
Acute Hepatitis A 4A
Acute Hepatitis B 3B
Cholecystitis, unspecified 3B
Acute appendicitis 3B
Peritonitis, unspecified 3B

Mumps 4A

Ascariaris unspecified 4A
Ankylostomiasis
4A
Necatoriasis
Skistosomiasisunspecified
4A
Schistomiasis due to S. japonicum
Taeniasis 4A
Strongyloidiasis 4A

Otherdisorders of lacrimal gland 4A

Night blindness 4A
Hordeolum and other deep inflammation of eyelid 4A
Conjunctivitis allergic
4A
 4A
Acute atopic conjunctivitis
Blepharitis 4A
Other specified disorders of eye and adnexa 4A
Foreign body on external eye, part unspecified 4A
Astigmatisme 4A
Hypermetropia ringan 4A
Myopia 4A
Presbyopia 4A
Cataract, unspecified 2
Primary angle-closure glaucoma 3B
Primary angle-closure glaucoma 3B
Entropion and trichiasis of eyelid 4A
Episcleritis 4A
Burn and corrosion confined to eye and adnexa 3A
Open wound of eyelid and periocular area 3B
Hyphaema 3A
Diabetic retinopathy 2

Otitis externa, unspecified 4A

Acute serous otitis media
Other acure nonsuppurative otitis media 4A
Acute suppurative otitis media
Chronic tubotympanic suppurative otitis media
Chronic atticoantral suppurative otitis media 3A
Other chronic suppurative otitis media
Foreign body in ear 3A
Impacted cerumen 4A

Angina pectoris, unspecified 3B

Acute Myocardial Infarction, Unspecified 3B
Tachicardy Unspecified
3B
Supraventicular Tachicardy 3B
Ventricular Tachicardy
Heart failure, unspecified 3B & 3A
Respiratory arrest/ Cardiorespiratory failure 3B
Essential (primary) hypertension 4A

fracture of unspecified body 3B

fracture of unspecified body 3B
Polymyalgia rheumatica 3A
Polymyalgia rheumatica 3A
Osteoarthrosis other 3A
4A
Open wound of unspecified body region 3B

Benign lipomatous neoplasm 4A

Tensiontype headache 4A
Migraine, Unspecified 4A
Dizziness and giddiness 4A
Other Tetanus 4A
Rabies, Unspecified 3B
Plasmodium falciparum with cerebral complication 3B
Epilepsy, unspecified 3A
Transient cerebral ischaemic attack, unspecified 3B
Cerebral infarction, unspecified 3B
Bells palsy 4A
Status epilepticus, unspecified 3B
Delirium, unspecified 3A
Febrile convulsions 4A
Tetanus Neonatorum 3B
Somatization disorder 4A
Unspecified dementia 3A
Insomnia non organik pada psikiatri 4A
Mixed Anxiety and Depression Disorder 3A
Chronic Psychotic Disorder 3A

Influenza, virus not identified 4A

Acute pharyngitis, unspecified 4A
Acute laryngitis 4A
Acute tonsillitis
4A
Chronic tonsilitis
Acute bronchitis, unspecified 4A
Asthma 4A
Unspecified asthma with status asthmaticus 3B
Pneumonitis due to food and vomit 3B
Bronchopneumonia, unspecified
4A
Pneumonia, unspecified
Respiratory Disease other 4A
Chronic Obstructive Pulmonary Diseasesm unspecified 3B
Epistaxis 4A
Foreign body in nostril 4A
Abscess, furuncle and carbuncle of nose 4A
Acute nasopharyngitis (common cold) 4A
Vasomotor rhinitis 4A
Allergic rhinitis, unspecified 4A
Acute sinusitis 4A
Chronic sinusitis 3A

Miliaria, unspecified 4A
Viral warts 4A
Zoster without complication 4A
Herpesviral infection, unspecified 4A
Molluscum contagiosum 4A
Venom of other arthropods 4A
Scabies 4A
Pediculosis due to Pediculus humanus capitis 4A
Pthiriasis 4A
Dermatophytosis
Tinea barbae and tinea capitis
Tinea unguium
Tinea manuum
Tinea pedis 4A
Tinea corporis
Tinea imbricate
Tinea cruris
Other dermatophytoses
Pityriasis versicolor 4A
Impetigo
Cutaneous abscess, furuncle and carbuncle 4A
Pyoderma
Erysipelas 4A
Seborrhoeic dermatitis 4A
Atopic dermatitis 4A
Other atopic dermatitis 4A
Lichen simplex chronicus 3A
Allergic contact dermatitis 3A
Irritant contact dermatitis 4A
Diaper (napkin) dermatitis 4A
Perioral dermatitis 4A
Pityriasisrosea 4A
Erythrasmay 4A
Tuberculosis of skin and subcutaneous tissue 4A
Hidradenitis suppurativa 4A
Acne vulgaris 4A
Urticaria 4A
Urticaia, unspecified 3A
Generalized skin eruption due to drugs and medicament 4A
Generalized skin eruption due to drugs and medicaments 4A
Hookworm disease, unspecified 4A
burn and corrosion, body region unspecified
burns classified according to extent of body surface involved 4A
corrosions classified according to extent of body surface involved
aricose veins of lower extremities with ulcer
4A
Ulcer of lower limb, notelsewhere classified
Bullous erythema multiforme 3B

obesity unspecified 4A

Tirotoksikosis unspecified 3B
Non-insulin-dependent diabetes mellitus 4A
Hyperglycaemia unspecified 3B
hypoglycaemia unspecified 4A
Hyperuricemia without signs of inflammatory arthritis and top
4A
Gout
Hiperlipidemia 4A
Unspecified protein-energy malnutrition 4A

Urinary tract infection, site not specified 4A

Acute tubulo-interstitial nephritis (applicable to: acute pyeloneph 4A
Phimosis 4A
Paraphimosis 4A

Single spontaneous delivery, unspecified 4A

Mild hyperemis gravidarum 3B
Iron deficiency anaemia 4A
Pre-eclampsia, unspecified 3B
Eclampsia, unspecified as to time period 3B
Unspecified abortion, complete, without complication 4A
Unspecified abortion, incomplete, without complication 3B
Premature rupture of membrane, unspecified 3A

Long Labour 3B

Other Immediate Postpartum haemorrhage 3B

First degree perineal laceration during delivery 4A
Inflammatory disorders of breast 4A
Retracted nipple associated with the puerperium
4A
Retracted nipple associated with lactation
Cracked nipple associated with the puerperium
4A
Cracked nipple associated with lactation

Complication associated with artificial fertilization, unspecified 4A

Early syphilis
Primary genital syphilis
3A
Late syphilis
Syphilis, unspecified

Gonococcal infection, unspecified 4A

AcuteVaginitis 4A
AcuteVaginitis 4A

Sakra, Nopember 2016

dr. Puskesmas Sakra

dr. Dwi Septa M