DAFTAR PENYAKIT GIGI DAN MULUT

Tarif
No ICD 10 Diagnosa ICD 9 keterangan INACBGs
1 k00.6 Retained(persistent)primary tooth 89.31 ; 23.01 ; 23.11 dental examination ; Extraction of deciduous tooth ; Removal of residual root Rp298.000
2 k08.3 Retained dental root 89.31 ; 23.11 dental examination ; Removal of residual root Rp298.000
Atrophy of edentulous alveolar
3 k08.2 ridge 89.31 ; 23.11 dental examination ; Removal of residual root Rp298.000
dental examination ; Restoration of tooth by filling ; Root canal ; Other dental
4 k02.1 caries dentin 89.31 ; 23.2 ; 23.70 ; 24.99 operations Rp298.000
5 k05.0 Acute gingivitis 89.31; dental examination; Rp217.000
6 k05.1 Chronic gingivitis 89.31 ; 96.54 dental examination ; Dental scaling, polishing, and debridement Rp298.000
7 k01.1 impaksi 89.31 ; 87.11 dental examination ; Panoramic xray Rp217.000
8 k04.0 Acute pulpitis 23.2 ; 23.70 Restoration of tooth by filling ; Root canal Rp298.000
9 k04.1 Necrosis of pulp 23.09 ; 23.11 Extraction of other tooth ; Removal of residual root Rp298.000
10 k04.6 Periapical abcess with sinus 24.99 ; 24.0 Other dental operations ; Incision of gum or alveolar bone Rp298.000
11 k04.7 Periapical abcess without sinus 24.99 ; 24.0 Other dental operations ; Incision of gum or alveolar bone Rp298.000
12 k12.1 stomatitis 89.31; dental examiation Rp217.000