Nama : Fitriani

Golongan : A

Absen : 31

KODE ICD 9
NO. TINDAKAN LEAD TERM
CM
1 Insisi drenase abses wajah/ submandibula/ angina ludovici Drainage – ludwig’s angina 27.0
2 Insisi palatum Incision - plate 27.1
3 Biopsi palatum durum Biopsy – plate (bony) 27.21
4 Biopsi uvula/ palatum mole Biopsy - uvula 27.22
5 Eksisi lesi palatum durum Excision –plate(bony) 27.31
6 Eksisi luas lesi palatum durum Resection-> alveolar process
and palate 27.32
7 Hecting laserasi palatum Palatorrhaphy 27.61
8 Implan palatum Insertion->Palatal Implant 27.64
9 Insisi uvula Incision->Uvula 27.71
10 Eksisi uvula Excision->Uvula 27.72
11 Insisi drenase abses tonsil/peritonsil/parafaring/retrofaring Incision  tonsil 28.0
12 Biopsi tonsil dan adenoid Biopsy  tonsil
Biopsy  adenoid 28.11
13 Biopsi tonsil dan adenoid Biopsy  tonsil
Biopsy  adenoid 28.11
14 Tonsilektomi Tonsillectomy 28.2
15 Tonsilektomi dengan adenoidektomi Tonsillectomy  with
adenoidectomy 28.3
16 Eksisi tonsil lingual Excision  tonsil  lingual 28.5
17 Eksisi tag tonsil Excision  tonsil  tag 28.4
18 Eksisi tonsil lingual Excision  tonsil  lingual 28.5

19 Adenoidektomi Adenoidectomy (without

tonsillectomy) 28.6
20 Kontrol perdarahan pasca tonsilektomi dan adenoidektomi Control  hemorrhage 
adonids (postoperative)
Control  hemorrhage 
tonsils (postoperative) 28.7
21 Ekstraksi benda asing tonsil/adenoid dengan insisi Incision – tonsil 28.91
22 Eksisi lesi di tonsil dan adenoid Excision – tonsil 28.92
23 Faringotomi Pharyngotomy 29.0
24 Biopsi nasofaring/orofaring/hipofaring Biopsy – nasopharinx 29.12
25 Eksisi kista brakial Excision – branchial cleft cyst
or vestige 29.2
26 Miotomi krikofaring Myotomy -> cricopharyngeal 29.31
27 Divertikulektomi faring Diverticulectomy ->
Pharyngeal (by
cricopharyngeal myotomy) 29.32
28 Faringektomi Pharyngectomy (Partial) 29.33
29 Eksisi lesi di faring Excision -> pharynx 29.39
30 Nasofaringektomi Excision -> nasopharynx 29.3
31 Ekstirpasi angiofibroma nasofaring Excision - pharynx 29.39
32 Faringoplasti Suture - pharynx 29.51
33 Hecting laserasi faring pharyngoplasty 29.4
34 Penutupan fistel celah brakial closure - branchial 29.52
35 Penutupan fistel faring closure - pharynx 29.53
36 Ekstraksi benda asing faring Extraction > Removal – 98.13
Foreign Body – Pharynx
(Intraluminal)
37 Biopsi kelenjar tiroid Biopsy - Thyroid Gland Nec 06.11

38 Biopsi kelenjar paratiroid Biopsy – Parathyroid Gland 06.13

39 Lobectomy tiroid unilateral Lobectomy – Thyroid 06.2

Unilateral

40 Hemitiroidektomi Hemithyroidectomy 06.2

41 Eksisi lesi tiroid (kista tiroid) Excision-lesion-thyroid 06.31

42 Tiroidektomi parsial Thyroidectomy-partial or
subtotal NEC 06.39
43 Near total tiroidektomi Tiroidectomy-NEC 06.39
44 Tiroidektomi total hyroidectomy-complete or
total 06.4
45 Eksisi tiroid lingual Thyroidectomy - lingual 06.6
46 Eksisi duktus tiroglosus Excition – duct - thyroglossa 06.6
47 Paratiroidektomi total Parathyroidectomy - complete 06.81
48 Ligasi pembuluh darah tiroid Ligation – thyroid vessel
(arteri) (vein) 06.92
49 Hecting kelenjar tiroid Suture – Thyroid Gland 06.93
50 Rhinotomi lateral Rhnotomy 21.1
51 Maksilektomi medial Maksilektomy 22.31
52 Frontal sinusotomi (onkologi) Sinusotomi - Frontal 22.41
53 Etmoidektomi eksternal (onkologi) Ethmoidectomy 22.63
54 Sfenoidektomi eksternal (onkologi) Sphenoidectomy 22.64
55 Pendekatan sublabial Sinusectomy – maxillary –
with Caldwel-Luc approach 22.61
56 Midfasial degloving Sinusectomy – maxillary 22.62
57 Glosektomi parsial/ hemiglosektomi Glossectomy - partial 25.2
58 Glosektomi total Glossectomy (total) 25.3
59 Glosektomi radikal Glossectomy - radical 25.4
60 Sialendoskopi Diagnostik Procedure – diagnostic –
salivary gland 26.19
61 Sialolithektomi Excision – lesion – salivary
26.29
gland or duct NEC
62 Ekstirpasi kelenjar sublingual/ submandibula/ parotis Extirpation – see also excision
26.31
parsial – salivary gland -- partial
63 Parotidektomi parsial Parotidectomy => Partial 26.31
64 Parotidektomi superfisial Parotidectomy => Partial 26.31
65 Ekstirpasi kelenjar sublingual/ submandibula/ parotis total Extirpation -> see also
Excisition -> salivary gland -> 26.32
complete
66 Parotidektomi total Parotidectomy -> complete 26.32
67 Sialendoskopi Diagnostik dan Dilatasi Dilation -> salivary duct 26.91
68 Sialendoskopi Diagnostik dan Terapeutik Operation -> slivary gland or
26.99
duct
69 Radiofrekuensi Dasar Lidah Operation -> oral cavity 27.99
70 Eksplorasi Abses Multiple Drainage -> abscess
 Parapharyngeal
 Peritonsilar
 Retropharyngeal
 Tonsil,tonsilar 28.0
71 Marsupialisasi kista laring Marsupialization -> larynx 30.01
72 Eksisi lesi laring (papiloma, nodul) Excision -> lesion -> larynx 30.09
73 Hemilaringektomi Hemilaryngektomy 30.1
74 Epiglotiktomi Epiglotidectomy 30.21
75 Kordektomi Cardectomy, vocal 30.22
76 Laringektomi parsial Laryngectomy -> partial 30.29
77 Laringektomi total Laryngectomy - complete 30.3
78 Laringektomi radikal Laryngectomy - radical 30.4
79 Injeksi laring Injection - larynx 31.0
80 Trakeostomi temporer Tracheostomy 31.1
81 Trakeostomi dengan penyulit Tracheostomy -Temporary 31.1
82 Trakeostomi permanen Tracheostomy - permanent 31.29
83 Trakeoskopi melalui stoma trakea Tracheoscopy – throught
tracheostomy (stoma) 31.41
84 Trakeoskopi melalui stoma trakea Tracheoscopy – throught
tracheostomy (stoma) 31.41
85 Laringoskopi/trakeoskopi Laryngoscopy 31.61
86 Laringoskopi/trakeoskopi Laryngoscopy 31.61
87 Biopsi laring dengan endoskopi Biopsy – larynx - closed 31.43
88 Biopsi trakea dengan endoskopi Biopsy – trachea – closed 31.44
89 Biopsi terbuka laring atau trakea Biopsy, -larynx/-trachea, --
open 31.45
90 Eksisi lesi trakea Excision, -lesion, --trachea 31.5
91 Laringofisure Laryngofissure 30.29
92 Hecting laserasi laring Suture, -larynx 31.61
93 Hecting laserasi laring suture of laceration of laryn
31.61
94 Penutupan fistel laring clouser of fistula of larynx
31.62
95 Revisi laringostomi/ repair stoma revision of laryngostomy 31.63
96 Reparasi fraktur laring repair of laryngeal of other 31.64
97 Eksisi neoplasma laring dengan laser Repair-larynx 31.69
98 Penutupan fistel trakea Closure-fistula-trachea 31.72
99 Penutupan stoma trakeostomi dengan repair trakea Closure-tracheostomy 31.72
100 Revisi trakeostomi Revision-tracheoctomy 31.74
101 Rekonstruksi trakea dan konstruksi laring LT : Tracheoplasty
-with artificial larynx 31.75
102 Lisis penyempitan trakea/laring LT : Lysis
-adhesions
--trachea 31.92
103 Penggantian stent laring/trakea LT : Replacement
-Laryngeal stent 31.93
104 Pemasangan T-Tube/ganti T stent LT : Replacement
-stent
--trachea 31.93
105 Injeksi obat terapetik ke trakea Injection-trachea 31.94
106 Fistulasasi trakeoesofagus Fistulization-
tracheoesophageal 31.95
107 Bronkoskopi melalui stoma Bronchoscopy- through
tracheostomy 33.21
108 Bronkoskopi fiber optik Bronchoscopy-fiberoptic 33.22
109 Bronkoskopi Bronchoscopy 33.23
110 Biopsi bronkus dengan endoskopi Bronchoscopy-with biopsy 33.24
111 Ligasi arteri karotis eksterna Ligation-artery-external
carotid 21.06
112 Biopsi eksisi kelenjar limfe leher simpel Excision-lymph structure 40.29
113 Biopsi insisi kelenjar limfe leher simpel Excision – lymph, lymphatic
- node(simple) 40.29
114 Eksisi kelenjar limfe regional Excision -lymph,lymphatic -
regional 40.3
115 Diseksi leher selektif Excision – node – lymphatic
dirainage area (inchuding
skin, subcutaneous tissue, and
fat) 40.3
116 Diseksi leher radikal unilateral Dissection – neck radical –
unilatral 40.41
117 Diseksi leher radikal modifikasi Dissection-see also excision-
neck,radical 40.42
modifikasi(unilteral)
118 Diseksi leher radikal bilateral Dissection-see also excition-
40.42
neck,radical bilteral
119 Esofagotomi 1/3 proksimal Esophgotomy 42.0
120 Insisi web esofagus Incision-cont-
esophagus.esophageal NEC- 42.02
web
121 Esofagostomi Esophagostomy 42.10
122 Esofagostomi servikal Esophagostomy – cervical 42.11
123 Esofagoskopi Esophagoscopy 42.23
124 Biopsi esofagus per endoskopi Biopsy – Esophagus –
closed(endoscopic) 42.24
125 Biopsi esofagus per endoskopi Biopsy – Esophagus –
closed(endoscopic) 42.24
126 Biopsi esofagus per endoskopi Biopsy – Esophagus –
closed(endoscopic) 42.24
127 Eksisi divertikulum esofagus Excision – Diverticulus -
Esophagus 42.40
128 Tindakan esofagus kompleks (eksisi, varises) Excision –
Esophagus(Local) -
Endoscopic 42.33
129 Reseksi esofagus Reesection - esophagus 42.41
130 Reparasi fistel esofagus Repair – esophagus - fistula 42.84
131 Reparasi striktur esofagus Repair – esophagus - stricture 42.85
132 Dilatasi esofagus Dilatation - esophagus K22.8
133 Dilatasi esofagus Dilatation of esophagus
42.92
134 Dilatasi esofagus Dilatation of esophagus 42.92

135 Mandibulektomi parsial Partial mandibulectomy 76.31

136 Maksilektomi parsial Partial ostectomy of other

facial bone
76.39
137 Maksilektomi total Hemimaxillectomy 76.39
138 Maksilektomi radikal Hemimaxillectomy 76.39
139 Mandibulektomi total Mandibulectomy -Total 76.42
140 Reduksi terbuka fraktur malar dan zigoma Reduction - Malar - Open 76.72
141 Reduksi terbuka fraktur maksila Reduction – fracture – maxilla
– open 76.74
142 Reduksi terbuka fraktur mandibula Reduction – fracture –
mandible – open 76.76
143 Eksisi kulit luas Excision – skin – radical
(wide) 86.4
144 Esofageal manometri Manometry – esophageal 89.32
145 Intubasi dengan Flexible Bronkoskopi Insertion –Tube
- Endotracheal 96.04
146 Pembersihan kanul trakeostomi Toilette - Tracheostomy 96.55
147 Cuci trakea dan bronkus Lavage –Bronchus NEC –
Trachea NEC 96.56
148 Penggantian NGT Replacement
- Nasogastric 97.01
149 Penggantian kanul trakeostomi Replacement-tube-
tracheostomy 97.23
150 Pengangkatan kanul trakeostomi Removal-tube- tracheostomy 97.37
151 Ekstraksi benda asing esofagus Removal-
esophafus(intraluminal) 98.02
152 Ekstraksi benda asing laring Removal-larynx(intraluminal) 98.14
153 Ekstraksi benda asing trakea Removal – foreign body – 98.15
trachea (instraluminal)
154 Ekstraksi benda asing bronkus Removal – foreign body – 98.15
bronkus (instraluminal)
155 Biopsi sinonasal app gingivobuccal Excision – lesion – nasal sinus 22.61
– with Caldwell-Luc approach
156 Biopsi Lidah Biopsy – tongue 25.01
157 Hecting laserasi lidah Suture - tongue
25.51
158 Frenektomi lingual Frenectomy - lingual 25.92
159 Insisi drenase kelenjar liur Incision – salivary gland or
duct 26.0
160 Biopsi kelenjar liur Biopsy – salivary gland or
duct - open 26.12
161 Marsupialisasi kista kelenjar liur Marsupialization –
ranula,salivary gland 26.21
162 Hecting laserasi kelenjar liur Suture (laceration) – salivary
gland 26.41
163 Probing saluran liur Probing – salivary duct 26.91
164 Insisi drenase abses wajah, submandibula, angina ludovici Drainage –Facial region 27.0
165 Biopsi bibir Biopsy -> lip 27.23
166 Biopsi mulut/ basis lidah Biopsy-> mouth 27.24
167 Biopsi eksisi rongga mulut Procedure->oral cavity 27.29
168 Frenektomi labial Frenectomy-> labial 27.41
169 Hecting laserasi bibir Suture (laceration)  Lip 27.51
170 Hecting laserasi mulut Suture (laceration)  Mouth 27.52
171 Penutupan fistel mulut Closure  Fistula  Mouth 27.53
172 Ekstraksi benda asing mulut Removal  Foreign body 
98.01
Mouth (intraluminal)
1. Seorang pasien mendatangi poli THT dengan keluhan hidung sering tersumbat,ingus kental ,
terasa sakit di wajah bagian sekitar mata dan gejala tersebut semakin terasa saat menundukkan
kepala. Dari gejaala yang di paparkan, apa diagnosa yang tepat untuk penyakit tersebut?
a. Sinusitis
b. Salesma
c. Flu
d. Rninitis allergic
e. influenza