DIAGNOSIS ICD X TINDAKAN ICD 9 CM

Appendicitis Akut K35.3 Appendectomy 47.09

Lap Appendectomy 47.01

Hernia Inguinal Reponibel K40.9 Hernioraphy 53.01

Hernia Inguinal Irreponibel K40.3 Hernioraphy Mesh 53.04
Hernia Femoralis K41.3 Hernioraphy Femoral 53.21

Appendicitis Perforasi K35.2 Laparotomy Explorasi 54.11

TB Usus A18.3 Biopsi KGB/Omentum 54.23
Peritonitis K65.0
Burst Abdomen K91.8 Repair Burst 54.61
Abses Hepar K75.0

Perforasi Gaster K25.5 Repair Gaster 44.61

Perforasi Duodenum K26.5 Repair Duodenum 46.71
Perforasi Usus K63.1 Repair Usus Besar 46.75
Ileus Obstruksi K56.7 Ileostomy 46.20
Volvulus K56.2 Colostomy 46.10
Invaginasi K56.1 Reseksi Usus Halus 45.62
Fistula Enterokutan K63.2 Reseksi Usus Besar 45.79
Ca Usus Halus C17.9 Anastomosis Usus Halus 45.91
Ca Kolon Kanan C18.2 Anastomosis Usus Besar 45.94
Ca Kolon Transversum C18.4 Anastomosis Usus Halus-Besar 45.93
Ca Kolon Kiri C18.6 Sigmoidectomy 45.76
Ca Kolon Sigmoid C18.7 Hemikolektomy Dextra 45.73
Ca Rekti C20 Hemikolektomy Sinistra 45.75
Miles Procedure 48.52

Post Ileostomy Z93.2 Tutup Stoma Usus Halus 46.51

Post Colostomy Z93.3 Tutup Stoma Usus Besar 46.52
Adhesive Peritoneal K66.0 Adhesiolisis 54.59
Intestinal Adhesions with Obstruction K56.5

Fistula Perianal K60.5 Fistulectomy 49.12

Abses Perianal K61.2 Insisi Abses Perianal 49.01
Hemorrhoid Interna I84.2 Hemorrhoidectomy 49.46
Hemorrhoid Interna Komplikasi I84.1
Hemorrhoid Eksterna I84.3
Ca Rekti C20 Biopsi Tumor Rekti 48.25

Cholelithiasis K80.2 Cholesistectomy 51.22

Cholesistitis Akut K80.0 Parsial Cholesistectomy 51.21
Cholesistitis Akut Tanpa Batu K81.0

Cholelithiasis K80.2 Laparoscopic Cholesistectomy 51.23

Cholesistitis Akut K80.0
Cholesistitis Akut Tanpa Batu K81.0

Ikterus Obstruktif K83.1 Choledocoenterostomy 51.36

Batu CBD K80.5 Bile Duct Anastomosis 51.39
Ca Kaput Pankreas C25.0 Cholecystotomy 51.04

Mastitis N61 Mastotomy 85.09

Tumor Mammae D24 Lumpectomy 85.21
Ca Mammae C50.9 Radical Mastectomy 85.45
Gynecomastia N62 Simple Mastectomy 85.41
Mammae Accessory Q83.1 Biopsi Mammae 85.12
Subcutan Mastectomy 85.34

Struma E04.9 Istmolobectomi 06.2

Ca Thyroid C73 Total thyroidectomy 06.4
Kista Duktus Tiroglosus Q89.2 Eksisi Kista Duktus Tiroglosus 06.7

Tumor Parotis D11.0 Sialoadenectomy Parsial 26.31

Ca Parotis C07 Sialoadenectomy Total 26.32
Tumor Kelenjar Ludah D11.7 Biopsi Kelenjar Ludah 26.12
Ca Kelenjar Ludah C08.9 Eksisi Kelenjar Ludah 26.29
Ca Submandibula C08.0

Tumor Coli Curiga Malignancy C76.0 Radical Neck Dissection 40.40

Melanoma D03.9 Pedicle or Flap Graf 86.70

Melanoma Maligna C43.9 Skin Graf 86.60
Malignant Neoplasm of Skin C44.9

Luka Bakar Kepala T20.0 Debridement dan Nekrotomi 86.22

LB Dada Perut T21.0 Debridement LB 86.28
LB Ekstremitas Atas T22.0
LB Tangan T23.0
LB Ekstremitas Bawah T24.0
LB Kaki T25.0

Skin Graf 86.60

STS Kepala Leher D21.0 Eksisi Tumor 83.39

STS Ekstremitas Atas D21.1 Eksisi Luas 86.4
STS Ekstremitas Bawah D21.2
STS Dada D21.3
STS Abdomen D21.4
STS Pelvis D21.5
STS Punggung D21.6
Limfadenopathy D36.0
Ganglion Cyst Antebrachii M71.23 Eksisi Ganglion 83.39
Ganglion Cyst Tangan M71.24
Ganglion Cyst Lutut (Baker's) M71.26
Ruptur Tendon Ekstremitas Atas T11.5 Repair Tendon 83.64
Ruptur Tendon Ekstremitas Bawah T13.5
Compartment Syndrome T79.6 Fasciotomy 83.14
Gout M10.9 Eksisi Gout 83.39
Gout Multipel M10.90

Ruptur Tendon Tangan, Ekstensor S66.3 Repair Tendon Tangan 82.45

Ruptur Tendon Tangan, Flexor S66.1
Fraktur Humerus Tertutup S42.30 ORIF 79.31
Fraktur Humerus Terbuka S42.31 Debridement # Terbuka 79.61
Fraktur Antebrachii Tertutup S52.90 ORIF 79.32
Fraktur Antebrachii Terbuka S52.91 Debridement # Terbuka 79.62
Fraktur Metacarpal Tertutup S62.30 ORIF 79.33
Fraktur Metacarpal Terbuka S62.31 Debridement # Terbuka 79.63
Fraktur Phalang Tertutup Manus S62.60 ORIF 79.34
Fraktur Phalang Terbuka Manus S62.61 Debridement # Terbuka 79.64
Osteomyelitis Akut M86.1 Sequestrectomy Humerus 77.02
Osteomyelitis Kronik M86.6 Sequestrectomy Radius Ulna 77.03
Sequestrectomy Metacarpal 77.04

Fraktur Femur Tertutup S72.90 ORIF 79.35

Fraktur Femur Terbuka S72.91 Debridement # Terbuka 79.65
Osteomyelitis Akut M86.1 Closed Reduction Internal Fixation 79.15
Osteomyelitis Kronik M86.6 Sequestrectomy Femur 77.05

Fraktur Patella Tertutup ORIF 79.35

Fraktur Patella Terbuka Debridement # Terbuka 79.65
Fraktur Tibia Fibula Tertutup S82.90 ORIF 79.36
Fraktur Tibia Fibula Terbuka S82.91 Debridement # Terbuka 79.66
Osteomyelitis Akut M86.1 Sequestrectomy Tibia Fibula 77.07
Osteomyelitis Kronik M86.6 Sequestrectomy Patella 77.06

Fraktur Pedis Tertutup S92.90 ORIF Metatarsal 79.37

Fraktur Pedis Terbuka S92.91 ORIF Phalang 79.38
Osteomyelitis Akut M86.1 Debridement # Metatarsal 79.67
Osteomyelitis Kronik M86.6 Debridement # Phalang 79.68
Sequestrectomy Metatarsal 77.08

Fraktur Clavicula Tertutup S42.00 ORIF 79.39

Fraktur Clavicula Terbuka S42.01 Debridement # 79.69

AFF ORIF Humerus 78.62

AFF ORIF Radius Ulna 78.63
AFF ORIF Tangan 78.64
AFF ORIF Femur 78.65
AFF ORIF Patella 78.66
AFF ORIF Tibia Fibula 78.67
AFF ORIF Kaki 78.68

AFF ORIF Clavicula 78.61

Sequestrectomy Clavicula 77.01

Amputasi Ekstremitas Atas 84.00

Amputasi Ekstremitas Bawah 84.10
Amputasi Bellow Knee 84.15
Amputasi Above Knee 84.17

Efusi Pleura J90 Thoracentesis 34.91

Hemothorax J94.2 Pasang WSD 34.04
Pneumothorax J93.1
Empiema Paru J94.0
Abses Submandibula K11.3 Drainage of face and floor of mouth 27.0

Ulkus dan Ganggren DM E11.5 Debridement 86.22

Varises dengan Ulkus dan Inflamasi I83.2
Varises dengan Inflamasi I83.1
Varises dengan Ulkus I83.0

Abses Kulit L02.9 Insisi Drainasi 86.09

Corpus Alienum M79.5 Insisi dan Evakuasi 86.09
Selulitis L03.9 Multipel Insisi 86.09
Ulkus Kronik L98.4 Nekrotomi 86.09
Kontraktur Sendi M24.5 Release Contracture 86.84

Ruptur Arteri I77.2 Suture of Artery 39.31

Varises Tungkai Bawah I83.9 Scleroinjection 39.92

Hemorrhoid Interna I84.2
Hemorrhoid Interna Komplikasi I84.1

BPH N40 Cystotomy 57.19

Batu Buli N21.0 Vesicolithotomy 57.19
Bladder Neck Obstruction N32.0 Sphincterotomy of Bladder 57.91
Ruptur Uretra S37.3
Ca Prostat C61

Open Prostatectomy Suprapubic 60.3

Radical Prostatectomy 60.5
Open Prostatectomy Retropubic 60.4

Batu Uretra N21.1 Urethrotomy 58.0

Hidrokel N43.3 Hidrocelectomy 61.2
Varicocele I86.1 Varicocelectomy 63.1
Torsio Testis N44 Orchidopexy 62.5
UDT Q53.9 Detorsi Torsio 63.52
Orchidectomy Bilateral 62.41

Ulkus Penis N48.2 Penectomy 64.3

Ca Penis C60.9 Biopsi penis 64.11
Tumor Penis D29.0 Release Chordee 64.42
Open Wound of Penis S31.2 Eksisi Lokal Penis 64.2
Suture of Laceration of Penis 64.41

PENINGKATAN SEVERITY SCORE : II Anemia D64.9

II Anemia ec Malignancy D63.0
II Trombocytopenia D69.6
II Ileus Paralytic K56.0
II Postprocedural Pelvic Adhesions N99.4
II Artrial Fibrillation I48
II Bradikardia R00.1
II Gastritis Akut K29.1
II CHF I50.0
II Complication of Surgical and Medical Care T88.9
II Post Traumatic Wound Infection T79.3
II Hipokalemia E87.6
II Hiponatremia E87.1
II CKD N18.9
II Perdarahan Intraoperatif T81.0
II Anemia Post Perdarahan D62
II ARDS J80
II Ruptur Arteri I77.2
III Syok Intraoperatif T81.1
III Sepsis A41.9
III Syok Hipovolemik R57.1
III Pneumonia Orthostatik J18.9
III AKI N17.9
III Flail Chest S22.50
III Intestinal Adhesions with Obstruction K56.5