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1 SKABIES B86 Scabies 4A

2 OTITIS MEDIA AKUT H66.0 Acute suppurative otitis 4A
media
3 HIPERTENSI ESENSIAL I10 Essential (primary) 4A
hypertension
4 ARTRITIS REUMATOID M53.3 Polymyalgia rheumatica 3A
5 ARTRITIS, OSTEOARTRITIS M19.9 Osteoarthrosis other 3A
6 LIPOMA D17.9 Benign lipomatous neopl 4A
7 VERTIGO R42 Dizziness and giddiness 4A
8 MIGREN G43.9 Migraine, unspecified 4A
9 FARINGITIS J02.9 Acute pharyngitis, 4A
unspecified
10 RHINITIS AKUT J00 Acute nasopharingitis 4A
(common cold)

11 RHINITIS ALERGIK J30.0 Vasomotor rhinitis 4A
12 INFLUENZA J11 Influenza 4A
13 TONSILITIS R76 Acute tonsillitis, unspeci 4A
14 INFLUENZA J11 Influenza 4A
15 SKABIES B86 Scabies 4A
16 HERPES ZOSTER B02.9 Zoster without complicat 4A
17 PAROTITIS K11.2 Sialoadenitis 4A
18 URTIKARIA L50 Urticaria 4A
19 DIABETES MELITUS 1 E10 Insulin-dependent 4A
diabetes mellitus
20 DIABETES MELITUS 2 E11 Non-insulin-dependent 4A
diabetes mellitus

21 INFEKSI SALURAN KEMIH N39.0 Urinary tarct infection, 4A
site not specified

22 KEHAMILAN NORMAL O80.9 Single spontaneus 4A
delivery, unspecified
23 GASTRITIS K297 Gastritis, unspecified 4A
24 DEMAM TIFOID A010 Typhoid fever 4A
25 GASTROENTERITIS ( TERMASUK DISENTRI, KOLERA, A09 Diarrhoea & 4A
GIARDIASIS) gastroenteritis of
presumed infection
origin

26 APENDISITIS AKUT K359 Acute appendicitis 3B
27 PAROTITIS K11.2 Sialoadenitis 4A
28 KONJUNGTIVITIS H10.9 Conjunctivitis, 4A
H10.1 unspecified,,, Acute
atopic conjunctivitis

29 OTITIS EKSTERNA H60.9 Otitis Externa, Unspecifie 4A

anemia hemolitik-3A. DATA 155 DIAGNOSA YANG HARUS SELESAI DI FKTP DIAGNOSA ICD X NO NAMA DIAGNOSA LEVEL KOMEPETNSI KODE NAMA DIAGNOSA 1 TB PARU A15 Respiratory TB 4A 2 MORBILI B059 Measles without complication 4A 3 VARISELA B019 Varicella without complication 4A 4 MALARIA B54 Unspecified malaria 4A 5 DEMAM DENGUE DAN DEMAM BERDARAH DENGUE A90. unspecified (anemia 4A defisiensi besi-4A. anemia aplastik-2. unspecified 4A 21 INTOLERANSI MAKANAN 4A 22 MALABSORBSI MAKANAN 3A 23 DEMAM TIFOID A010 Typhoid fever 4A 24 GASTROENTERITIS ( TERMASUK DISENTRI. anemia megaloblastik-2) 17 HIV/AIDS TANPA KOMPLIKASI Z21 Asymptomatic HIV infection 4A status 18 LIMFADENITIS B70 Lymphadenitis Acute 4A 19 REFLUKS GASTROESOFAGEAL K219 Gastrooesophageal reflux disease 4A without oesophagitis 20 GASTRITIS K297 Gastritis. KOLERA. DHF 4A A91 6 LEPTOSPIROSIS A279 4A 7 INFEKSI PADA UMBILIKUS 4A 8 KANDIDIASIS MULUT B379 Candidiasis unspecified 4A 9 LEPRA A30 Leprosy 4A 10 KERACUNAN MAKANAN T622 Other ingested (parts of plant(s)) 4A 11 ALERGI MAKANAN 4A 12 EXANTHEMATOUS DRUG ERUPTION L270 Generalized skin eruption due to 4A drugs and medicaments 13 FIXED DRUG ERUPTION L270 Generalized skin eruption due to 4A drugs and medicaments 14 REAKSI ANAFILAKTIK 4A 15 SYOK R579 Shock. anemia makrositik- 3A. A09 Diarrhoea & gastroenteritis of 4A GIARDIASIS) presumed infection origin 25 DISENTRI BASILER DAN DISENTRI AMUBA 4A 26 APENDISITIS AKUT K359 Acute appendicitis 3B 27 PERDARAHAN SALURAN MAKAN BAGIAN ATAS 3B 28 PERDARAHAN SALURAN MAKAN BAGIAN BAWAH 3A 29 HEMOROID GRADE 1-2 4A 30 HEPATITIS A 4A 31 HEPATITIS B 3A 32 PAROTITIS K11. unspecified 3B 16 ANEMIA D649 Anaemia.9 Ascariaris unspecified 4A .2 Sialoadenitis 4A 33 ASKARIASIS B77. Dengue fever.

0 Acute suppurative otitis media 4A 56 SERUMEN PROP H61. Unspecified 4A 55 OTITIS MEDIA AKUT H66.9 Cataract.1 Supraventicular Tachicardy .9 Cerebral infarction 3B 65 FRAKTUR TERBUKA T14.2 Primary angle-closure glaucoma 4A 54 OTITIS EKSTERNA H60.1 Myopia 4A 51 PRESBIOPIA H52.. unspecified 3B 40 KOLESISTITIS K81. unspecified 3B 41 MATA KERING/DRY EYE H04.1 45 BLEFARITIS H01.0 Hypermetropia 4A 50 MIOPIA RINGAN H52.Necatoriasis 4A B76.9 Acute Myocardial Infarction 3B 60 TAKIKARDIA I47.9 Angina pectoris 3B 59 INFARK MIOKARD I21. unspecified 2 53 GLAUKOMA AKUT H40. 4A part unspecified 48 ASTIGMATISM H52.. Fracture of unspecified body 3B 66 FRAKTUR TERTUTUP T14.9 Strongyloidiasis 4A 38 TAENIASIS B68. Japonicum 37 STRONGILOIDIASIS B78.8 Other specified disorders of eye 4A and adnexa 47 BENDA ASING DI KONJUNGTIVA T15. 4A B65.9 Taeniasis 4A 39 PERITONISIS K65. unspecified.4 Presbyopia 4A 52 KATARAK PADA PASIEN DEWASA H26.1 Other disorders of lacrimal gland 4A 42 BUTA SENJA H53.9 Cholecystitis.1 Foreign body in nostril 4A 58 ANGINA PEKTORIS I20.9 Heart failure Gagal jantung akut (3B) Gagal jantung kronik (3A) 62 CARDIORESPIRATORY ARREST K80 Cardiac arrhytmia 3B 63 HIPERTENSI ESENSIAL I10 Essential (primary) hypertension 4A 64 INFARK SEREBRAL/STROKE I63.0 Ankylostomiasis . unspecified 4A 35 PENYAKIT CACING TAMBANG B76.34 CUTANEUS LARVA MIGRANS B76.2 61 GAGAL JANTUNG AKUT DAN KRONIK I50. Fracture of unspecified body 3B 67 POLIMIALGIA REUMATIK M53.0 Hordeolum and other deep 4A inflammation of eyelid 44 KONJUNGTIVITIS H10.9 Conjunctivitis.0 Blepharitis 4A 46 PERDARAHAN SUBKONJUNGTIVA H57.3 Polymyalgia rheumatica 3A 68 ARTRITIS REUMATOID M53.2 Astigmatism 4A 49 HIPERMETROPIA H52.9 Peritonitis.9 Hookworm disease. 4A Acute atopic conjunctivitis H10.2 Impacted cerumen 4A 57 BENDA ASING DI HIDUNG T17.5 Colour vision deficiencies 4A 43 HORDEOLUM H00.1 36 SKISTOSOMIASIS B65.3 Polymyalgia rheumatica 3A .9 Otitis Externa.2 Schistomiasis due to S.9 Skistosomiasisunspecified . 3B Ventricular Tachicardy I47.9 Foreign body on external eye.

4 Tinea corporis 4A 110 DERMATOFITOSIS : TINEA MANUM B35.0 Epistaxis 4A 86 FURUNKEL PADA HIDUNG J34. unspecified 4A 94 INFLUENZA J11 Influenza 4A 95 PNEUMONIA ASPIRASI J69.69 ARTRITIS.9 Rabies 3B 76 EPILEPSI G40.9 Status epilepticus.6 Tinea cruris 4A .0 Disorders of initiating and 4A maintaining sleep (insomnias) 82 DEMENSIA F03 Unspecified dementia 3A 83 GANGGUAN CAMPURAN ANXIETAS DAN DEPRESI F41.9 Benign lipomatous neoplasm 4A 71 KEJANG DEMAM R56.4 Venom of other arthropods 4A 102 HERPES ZOSTER B02.9 Migraine.9 Osteoarthrosis other 3A 70 LIPOMA D17. unspecified 4A 88 RHINITIS AKUT J00 Acute nasopharingitis (common 4A cold) 89 RHINITIS ALERGIK J30.0 Vasomotor rhinitis 4A 91 TONSILITIS R76 Acute tonsillitis.0 Febrile convulsions 4A 72 VERTIGO R42 Dizziness and giddiness 4A 73 DELIRIUM F05.2 Tinea manuum 4A 111 DERMATOFITOSIS : TINEA UNGUIUM B35.9 Acute bronchitis.0 Pneumonitis due to food and 3B vomit 96 PNEUMONIA DAN BRONKOPNEUMONIA J18.0 Acute laryngitis 4A 93 BRONKITIS AKUT J20.0 Pediculosis due to Pediculus 4A humanus capitis 106 DERMATOFITOSIS : TINEA KAPITIS B35.0 Abscess.0 Bells’ palsy 4A 80 TENSION HEADACHE G44.9 Acute pharyngitis.3 Miliaria 4A 100 VERUKA VULGARIS B07 Viral warts 4A 101 REAKSI GIGITAN SERANGGA T63. unspecified 4A 97 PERTUSIS A37.0 Tinea barbae and tinea capitis 4A 108 DERMATOFITOSIS : TINEA FASIALIS TINEA FASIALIS 4A 109 DERMATOFITOSIS : TINEA KORPORIS B35. unspecified 4A 79 BELLS' PALSY G51.2 Mixed Anxiety and Depression 3A Disorder 84 GANGGUAN PSIKOTIK F20 Chronic Psychotic Disorder 3A 85 EPISTAKSIS R04.1 TINEA UNGUIUM 4A 112 DERMATOFITOSIS : TINEA KRURIS B35.8 Whooping cough 4A 98 ASMA BRONKIAL J45 Asthma 4A 99 MILIRIA L74.9 Delirium 3A 74 TETANUS A35 Othertetanus 4A 75 RABIES A82.2 Tension–type headache 4A 81 INSOMNIA G47. unspecified 3B 78 MIGREN G43. unspecified 4A 92 LARINGITIS J04.0 Vasomotor rhinitis 4A 90 RHINITIS VASOMOTOR J30.9 Zoster without complication 4A 103 HERPES SIMPLEKS B00. OSTEOARTRITIS M19. furuncle and carbuncle 4A of nose 87 FARINGITIS J02.9 Pneumonia.0 Tinea barbae and tinea capitis 4A 107 DERMATOFITOSIS : TINEA BARBAE B35. unspecified 4A 104 SKABIES B86 Scabies 4A 105 PEDIKULOSIS KAPITIS B85.9 Herpesviral infection.9 Epilepsy 3A 77 STATUS EPILEPTIKUS G41.

4 Unspecified abortion incomplete.0 Mild hyperemis gravidarum 3B 139 KEHAMILAN NORMAL O80. 4A unspecified 140 PRE-EKLAMPSIA O14.0 Urinary tarct infection.8 Other atopic dermatitis 4A 119 LIKE SIMPLEKS KRONIK (NEURODERMATITIS L28.3 Unspecified abortion incomplete. unspecified as to time 3B periode 142 ABORTUS SPONTAN KOMPLIT O03.9 Pre-eclampsia.9 Premature rupture of 3A membrane. berat 3B 132 DIABETES MELITUS 1 E10 Insulin-dependent diabetes 4A mellitus 133 DIABETES MELITUS 2 E11 Non-insulin-dependent diabetes 4A mellitus 134 MALNUTRISI ENERGI PROTEIN (MEP) E46 Unspecified protein-energy 4A malnutrition 135 HIPERURICEMIA GOUT ARTHRITIS E79. 3B without complication 144 ABORTUS SPONTAN INKOMPLIT O06.1 Molluscum contagiosum 4A 125 URTIKARIA L50 Urticaria 4A 126 FILARIASIS B74 Filariasis 4A 127 LUKA BAKAR DERAJAT I DAN II S24 burn 4A 128 OBESITAS E66. 4A without complication 143 ABORTUS MENGANCAM/INSIPIENS O06.2 hypoglycaemia unspecified ringan 4A.0 Lichen simplex chronicus 3A SIRKUMKRIPTA) 120 DERMATITIS KONTAK ALERGIK L23 Allergic contact dermatitis 3A 121 DERMATITIS KONTAK IRITAN L24 Irritant contact dermatiti 4A 122 NAPKIN ECZEMA 9DERMATITIS POPOK) L22 Diaper(napkin) dermatitis 4A 123 PITIRIASIS ROSEA L42 Pityriasis rosea 4A 124 MOLUSKUM KONTAGIOSUM B08. unspecified 3B 141 EKLAMSIA O15.9 Single spontaneus delivery.5 Hiperlipidemia 4A 137 INFEKSI SALURAN KEMIH N39.0Hyperuricemia without signs of 4A inflammatory arthritis and M10 tophaceous disease 136 DISLIPIDEMIA E78. unspecified 147 PERSALINAN LAMA O63.9 long labour 3B .9 Hyperglycaemia unspecified 3B 131 HIPOGLIKEMIA E16.9 Unspecified abortion complete.9 Tirotoksikosis unspecified 3B 130 HIPERGLIKEMIA HIPEROSMOLAR NON KETOTIK R73. site not 4A specified 138 HIPERMEMESIS GRAVIDARUM O21.3 Tinea pedis 4A 114 PITIRIASIS VERSIKOLOR/TINEA VERSIKOLOR B36.9 obesity unspecified 4A 129 TIROTOKSIKOSIS E05.9 Eclampsia.0 Pyoderma 4A 116 DERMATITIS SEBOROIK L21 Seborrhoeic dermatitis 4A 117 DERMATITIS ATOPIK L20 Atopic dermatitis 4A 118 DERMATITIS NUMULARIS L20.0 Pityriasis versicolor 4A 115 PIODERMA L08.113 DERMATOFITOSIS : TINEA PEDIS B35. 3B without complication 145 ANEMIA DEFISIENSI BESI PADA KEHAMILAN D50 Iron deficiency anemia 4A 146 KETUBAN PECAH DINI 042.

9 4A 152 SIFILIS A51 Early syphilis 3A 153 GONORE A54.1 Other Immediate Postpartum 3B haemorhage 149 RUPTUR PERINEUM TINGKAT 1-2 O70.0 Acute Vaginitis 4A .148 PERDARAHAN POST PARTUM 072.0 First degree perineal laceration 4A during delivery 150 MASTITIS N61 Inflammatory disorders of breast 4A 151 FLUOR ALBUS N98.0 Acute Vaginitis 4A 155 VULVITIS N76.9 Gonococcal infection. unspecified 4A 154 VAGINITIS N76.