Kode ICD X untuk bagian OBSGIN

Diagnosis dalam bhs Indonesia Bahasa Inggris Kode

Abnormal uterine bleeding Dysfunctional or functional uterine or N93.8
vaginal bleeding NOS
abortus imminens threatened abortion 020.0

abortus incomplete dg perdarahan incomplete abortion, with complication 003.1

incomplete abortion, with other and

abortus insipiens 003.3
unspeciffied complication

abortus medicinalis Medical abortion 004.1

abortus komplit complete abortion 003.6

abortus Tuba tubal abortion 003.9

abortus habitualis pregnancy care of habitual aborter O26.2

abses bartholin abscess of Bartholin's glands N75.1

Abses mama nifas mammary abscess O91.1

abses tuboovarial tuboovarial abscess N73.0

adenomyosis adenomyosis N80.0

adhesi dinding abdominal peritoneal adhesion K66.0

Adhesi pelvis N73.6

Adesi vagina post op N99.2

Adnexitis kronik salphingitis and oophoritis, kronik N73.1

agenesis vagina congenital abscence of vagina Q52.0

Akute abdomen R10.0

Alkalosis (metabolik/respiratorik) alkalosis E87.3

Alcohol (meminum) Z72.1

amenore primer primary amenorrhoea N91.0

amenore sekunder secondary amenorrhoea N91.1

anemia pada penyakit keganasan anemia in neoplastic diseases D63.0

anemia dalam kehamilan, anemia complicating pregnancy, O99.0

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 childbirth and the puerperium

Anemia blood loss acute D62

maternal care for (suspected) nervous

anencephaly (ibu hamil dgn encephali) system malformation in fetus O35.0
anencephally

anencephaly (pada bayi) Q00.0

appendisitis akut acute appendicitis, unspecified K35.0

appendisitis kronis chronic appendicitis K36

Adult Acute Respiratory Distress

ARDS/gagal napas J80
Syndrome

aritmia cardiac arhythmia, unspecified I49.9

asidosis (metabolik/respiratorik) acidosis E87.2

Asites ascites R 18

Asma asthma J45

Benda asing di vulva vagina T19.2

Benda asing di uterus T19.3

blighted ovum blighted ovum O02.0

cardiomyopati post partum cardiomyopathy in the puerperium I42.0

ca cervix malignant neoplasm of cervix uteri C53.8

ca corpus corpus uteri, unspecified C54.9

Ca corpus,(sarcoma)i malignant neoplasm of myometrium C54.2

ca endometrium malignant neoplasm of endometrium C54.1

ca ovarii malignant neoplasm of ovarii C56

Cedera ureter S37.1

Cedera kandung kemih S37.2

Cedera uretra S37.3

Cedera ovarium S37.4

Cedera tuba S37.5

Cedera uterus S37.61

Cedera multi organ pelvis S37.7

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Dehisiensi jahitan sc O90.0

Dehisiensi jahitan perineorafi O90..1

Deep transfer arrest O64.0

Diabetes sebelum hamil O24.3

DKP (disproporsi kepala panggul) pelvis

O33.0
deformitas

DKP (disproporsi kepala panggul) janin besar O33.5

DKP (disproporsi kepala panggul) janin cacat O33.7

Dismenorea primer primary dismenorhea N94.4

Dyspareunia N94.1

Dysplasia ringan servik N87.0

Dysplasia sedang servik N87.1

Dysplasia berat servik N87.2

Distokia bahu O66.0

Edema paru J81.0

Eklamsia saat persalinan O15.1

Eklamsia saat kehamilan O15.0

Eklamsia peurperalis Eclampsia in the puerpenium O15.2

Eksofthalmus Exopthalmic conditions HO5.2

Hypertrophic elongation of the cervix

Elongatio Serviks N88.4
uteri

Endometriosis uterus/ adenomiosis Adenomiosis N80.0

Endometriosis Ovarium / kista coklat Endometriosis of ovary N80.1

Endometriosis Pelvix Endometriosis of pelvis peritoneum N80.3

Endometriosis Tuba Endometriosis of fallopian tube N80.2

Endometriosis Usus Endometriosis of intestine N80.5

Endometriosis cavum douglas N80,4

Enterocele Vaginal enterocele N81.5

Embolism following abortion and

Emboli setelah abortus, mola, kehamilan ektopik O08.2
ectopic and molar pregnancy

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 Cervicitis with or without erosion or
Erosi serviks N72
ectopion

Labour and delivery complicated by

Fetal distress (denyut jantung abnormal) O68.0
fetal stress,

Fetal disteres (meconium release) O68.1

Fistula rektovaginal Rectovaginal fistule N82.3

Fistula vesikovaginal Vesicovaginal fistula N82.0

Frozen Pelvic Adesi pelvic peritoneal N 73.6

Gagal nafas Respiratory failure, unspecified J96.9

Galaktorea O92.6

Gestasional diabetes O24.4

Gestasional hypertension O13

Gestasional edema dan proteinuria O12.2

Gestasional Tropoblastik neoplasia malignant neoplasma of plasenta C58

false labour after 37 completed weeks

Hamil aterm 047.1
of gestation

Hamil post date/post term post dates, post term 048

false labour before 37 completed

Hamil preterm 047.0
weeks of gestation

Hamil inkompatibilitas rhesus O36.0

Hamil janin gemeli O30.0

Continuing pregnancy after

intrauterine death of one fetus or
Hamil Gemelli dengan satu janin IUFD moreti O31.2

maternal care for multiplegestation

Hamil Gemelli dengan malpresentasi pada satu with malpresentation of one fetus or
janin atau lebih more O 32.5

Hamil janin triplet O30.1

Hamil janin quadruplet O30.2

Hamil janin lebih banyak O30.9

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 Maternal care for known or suspected
Hamil dengan Janin besar large for dates O36.6

Hamil dengan janin hidup O36.7

Hamil dengan janin bermasalah O36.8

Hamil dengan IUD O26.3

Hamil dengan IUFD Maternal care for intrauterine death O36.4

Hamil dengan IUGR Maternal care for poor fetal growth O36.5

Hamil dg janin Presbo Maternal care for breech presentation O32.1

Hamil dengan janin presentasi maternal care for face, brow and clon
muka.dahi/puncak/kepala presentation O32.3

Maternal care for (suspected) damage

Hamil dg janin Kelainan kongenital karena infeksi to fetus from maternal
virus (rubella,CMV) cytomegalovirus infection,rubella 035.3

Maternal care for other (suspected)

Hamil dengan Kelainan kongenital karena fetal abnormality, from maternal
toxoplasmosis toxoplasmosis 035.8

Maternal care for other (suspected)

Hamil dengan Kelainan kongenital lainya fetal abnormality, 035.9

maternal are for compound

Hamil dengan presentasi majemuk presentation O32.6

Maternal care for transverse and

Hamil dengan Letak lintang/ letak oblik oblique lie presentation O32.2

Hamil dengan tumor uterus O34.1

Hamil dengan kelainan servik O34.4

material care due to uterine acar from

Hamil riwayat SC/operasi uterus previous section/previous surgery O34.2

HELLP syndrome O14.2

Hematokolpos haematocolpos N89.7

Hematometra haematometra N85.7

Hematosalping Haematosalpinx N83.6

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Hematoma Obstetrik (perineum, vagina, vulva) Obstetric haematoma of pelvis O71.7

Hemoroid pada masa nifas Haemorrhoids in the puerpurium O87.2

Hepatitis B kronik B18.1

Viral hepatitis compilcating pregnancy,

Hepatitis dalam kehamilan childbirth and the puerpurium O98.4

Herpes gestasional Herpes Gestationis O26.4

Hydronephrosis with uteropelvic

Hidronefrosis junction obstruction N13.0

Hidrosalping Hydrosalpinx N70.1

Hiperemesis Gravidarum Mild hyperemesis gravidarum O21.0

Hiperemesis Gravidarum dengan gangguan Hyperemesis gravidarum with

O21.1
metabolisme metabolic disturbance

Hiperplasia endometrium atipik Hyperplasia of endometrium atypical N85.1

Hipertensi esensial Essential (primary) hypertension I.10

I11.9
Hypertensive heart disease tanpa
heart failure

Hypertensive heart disease dengan I11.0

heart failure

Hypertensive renal disease with renal

I12.0
failure

Hypertensive renal disease with

without renal failure I12.9

Hyperthyroidisis NOS, thyrotoxicosis

Hipertiroid/ Tirotoksikosis unspecified E05.9

Hipotiroid Hyperthyroidism unspesified E03.9

Other oogenital malformation of uterus

Hipoplasi uteri and cervix Q51.8

Hipoalbuminemia Disorder of plasma protein metabolism E88.0

Hipokalemia Hypocalemia E87.6

Holoproensefali (ibu hamil dng holoproensefali)/ Maternal care for (suspected) nervous
holoproensefali (pada bayi) system malformation in fetus O35.0

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Hymen imperferata Imperforata hymen Q52.3

Hydrops fetalis Maternal care for hydrops fetalis NOS O36.2

Maternal care for (suspected) nervous

Hydrocephalus (ibu hamil dng hydrocephalus) system malformation in fetus O35.0

Hydrocephalus pada bayi Congenital hydrocephalus, unspecified Q03.9

Induksi gagal pada kasus abortus medisinalis

(blighted ovum, missed abortion atau death Other and unspecified failed attempted
conceptus) tanpa komplikasi abortion, with complication hemorrge. O07.6

Induksi gagal dng Prostaglandin dan Oksitosin Failed medical induction of labour O61.0

Failed instrumenrtal induction of labor,

Induksi gagal dengan balon catheter mechanical, surgical O61.1

Inertia uteri sekunder Secondary uterine inertia O62.1

Infeksi Ginjal Dalam Kehamilan Infection of kidney in pregnancy O23.0

Infection of the genital tract in

Infeksi pada saluran genital dalam kehamilan pregnancy O23.5

Infertilitas perempuan Female infertility, unspecified N97.9

Infark Plasenta Placental infarction O43.8

Inkompetensi Serviks (tidak hamil) Cervix incompetent N88.3

Maternal care for cervical

Inkompetensi Serviks pada kehamilan incompetence O34.3

Inkoordinasi Uteri Incoordinate uterine action O62.4

Interloking gemeli O66.1

Inversio Uteri post partum Post partum inversion of uterus O71.2

Unspecified infection of urinary tract in

ISK dalam kehamilan pregnancy O23.4

ISK Urinary tract infection, site on specified N39.0

Surveillance of intrauterine
IUD (pemeriksaan) contraceptive device Z30.5

Insertion of intrauterine contraceptive

IUD (insersi) device Z30.1

IUD tetap ditempat Presence of intrauterin contraceptive Z97.5

device

Janin tunggal hidup Single live birth Z37.0

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Janin tunggal mati Single still birth Z37.1

Janin kembar dua-duanya hidup Twins both live born Z37.2

Janin kembar satu hidup satu mati Twins one live born one stillborn Z37.3

Janin kembar dua-duanya mati Z37.4

Janin multiple hidup semua Z37.5

Janin multiple beberapa hidup Z37.6

Janin multiple yang berikut belum lahir O63.2

janin papyraceous Papyraceous fetus O31.0

Kala 1 lama O63.0

Kala II tak maju Prolonged second stage of labour O63.1

Maternal care for viable fetus in

Kehamilan abdominal dengan janin hidup abdominal pregnancy O63.7

Kehamilan ovarium Ovarium pregnancy 000.2

Kehamilan ektopik lainya : serviks,kornu Other ectopic pregnancy 000.8

KET (tuba) Ectopic pregnancy, unspecified 000.1

Premature rupture onset of labour

Ketuban pecah dini onset persalinan <24 jam wihin 24 hours 042.0

Premature rupture onset of labour

Ketuban pecah dini onset persalinan >24 jam after 24 hours 042.1

Kista bartolini N75.0

Kistoma ovarii Benign Neoplasm of ovary D27

Kista folikel Follicular cyst of ovarii N83..0

kista Corpus luteum corpus luteum cyst N83.1

Kista fungsional Other and unspesicified Ovarian cyst N83.2

Korioamnionitis O41.1

Kunjungan poli ANC high risk supervision of high risk pregnancy Z35

Kunjungan poli ANC normal supervision of normal pregnancy Z34.8

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Kunjungan poli post operasi onko Z08.0

Kunjungan poli Pemeriksaan kehamilan awal Z32.1

Kunjungan poli Perawatan nifas Postpartum care Z39.2

Kunjungan poli Perawatan luka postop Z48.0

Kunjungan poli curiga keganasan Z03.1

Laserasi serviks dalam persalinan Obstetric laceration of cervix O71.3

Laserasi vagina bagian atas dalam persalinan Obstetric high vaginal laceration alcoe O71.4

Laserasi pada vesica dan uretra dalam persalinan Obstetric injury to bladder , urethra O71.5

Leukoplakia servik N88.0

Disorder of white blood cells,

Leukopenia unspecified D72.9

Lilitan tali pusat O69.1

Liver disorder in poregnancy,

Liver disorder in pregnancy Acute fatty liver childbirth and the puerpurium O26.6

Maternal care for (suspected) nervous

Mikrocefalus (ibu hamil dengan mikrocefalus) system malformation in fetus O35.0

Mikrocefalus (pada bayi) Microcephalus Q02

Menopausal and female climacteric

Menopause states N95.1

Menstruasi ireguler N92.6

Menoragia Menorraghia NOS N92.0

Methroragia/menomethroragia Menometrorhagia N92.1

Mioma servikalis Cervix uteri D26.0

Mioma submukous Submucous leiomyoma of uterus D25.0

Mioma uteri tak terinci Leyomyoma of uterus, unspecified D25.9

Mioma uteri intramural Intramural leiomyoma of uterus D25.1

Mioma uteri subserous Subserosal leiomyoma of uterus D25.2

Missed abortion O02.1

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Mola hidatosa Classical hydatidiform mole O01.0

Incomplete and partial hydatidiform

Mola parsial mole O01.1

Obstructive and reflux

Obstruksi uropati uropathy,unspecified N13.9

Oligohidramnion Oligohydramnion O41.0

Oligomenorhea Oligomenorrhea unspecified N91.5
Partus dengan SC emergency Delivery by emergency C section O82.1
Partus dengan SC elektif Delivery y elective C section O82.0
Partus dg forcep O81.3
Partus dengan Vakum VE delivery O81.4
Partus Spontan Gamelli Multiple delivery, all spontaneous O84.0
Partus Gamelli dengan SC Multiple delivery, all by SC O84.2
Partus Gamelli dengan VE Multiple delivery, all by VE and foroep O84.1
Partus prematurus imminen Preterm labour without delivery O60.0
Partus premature dg SC O60.3
Partus percobaan gagal Failed trial of labour, unspecified O66.4
Partus persipitatus Percipitate labour O62.3
Partus spontan preterm Spontaneous Preterm delivery O60.1
Partus spontan aterm Spontaneous vertex delivery O80.0
Partus spontan Presbo/Partus secara Bracht Spontaneous breech delivery O80.1
Partus spontan setelah SC/VBAC Vaginal delivery following previous O75.7
caesarean section
Partus tak maju oleh karena inersiauteri sekunder Secondary uterine inertia O62.1
PCOS PCOS E28.2
PEB Severe preeclamsia O14.1
PER Mild preeclamsia O14.0
PEB Superimposed Superimposed preeclamsia O11
Perdarahan Antepartum Antepartum haemorrhage, not O46.8
elsewhere classified
Perdaraha intra partum O67.8
Perdarahan post menopause Post menopausal bleeding N95.0

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Perdarahan kala 3 O72.0
Perdarahan post partum dini O72.1
Perdarahan post partum lambat O72.2
Perdarahan post partum dini oleh karena Postpartum coagulation defects O72.3
gangguan faktor pembekuan
Post coital bleeding N93.0
Plasenta bentuk abnormal O43.1
Placenta akreta O43.2
Plasenta Previa tanpa perdarahan Placenta previa specified as without O44.0
hemorrhage
Plasenta previa dengan perdarahan Placenta previa with hemorrhage O44.1
Pneumonia tak terinci J 16.8
Polihidramnion Polyhidramnion O40
Polimenore Polimenorhea N92.0
Polip Endometrium Polyp of endometrium N84.0
Polip servik Polyp of cervix uteri N84.1
Premenstrual syndrome N94.3

prolaps uteri derajat I dan II incomplate uterovaginal prolapse N81.2

prolaps uteri derajat III complate uterovaginal prolapse N81.3

labour and delivery complicated by

Prolaps tali pusat prolapsed of cord O69.0

Prolap vagina post hysterektomi N99.3

Pyometra pyometra N71.9

female pelvis inflammatory diseasae,

PID (pelvic inflmatory disease) NOS N73.9

Rectocel prolapse of posteriori vaginal wall N81.6

Acute renal failure, NOS

N17.9
cronic renal failure, unspecified N18.9

Renal failure gagal ginjal terminal N18.0

retensi plasenta tanpa perdarahan retaned placenta without hemorrhage O73.0

Retensi urine R33

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perdarahan post partum dini oleh karena retensi hemorrhage sesociated with ratained,
plasenta trapped or adherent placenta O72.1

delated and secondary post partur

perdarahan post partum lambat oleh retensi sisa hemorrhage sesociated with retained
plasenta portions of placenta or membranes O72.2

rupture of uterus before onset of

ruptur uteri sebelum persalinan labour O71.0

ruptur uteri during labour rupture of uterus during labour O71.1

first degree perinael laceration during

ruptur perineum der I delivery O70.0

second degree perinael laceration

ruptur perineun der II during delivery O70.1

third degree perineal leceration during

ruptur perineun der III delivery O70.2

fourth degree perineal leceration

ruptur perineum der IV during delivery O70.3

salpingistis akut (tubo ovarial abses) acute salpingitis and oophoritis N70.0

salpingistis kronik (hydrosalping) chronic salpingitis and oophoritis N70.1

secondary dismenorea second dysmenocrhea N94.5

Sepsis puerpuralis O85

Sepsis persalinan septicaemia O75.3

septum vagina doubling vagina/septate vagina Q52.1

Sub involusi uteri (nifas) O90.8

Servisitis cervicitis with or without erosion N72

sindrom turner turner syndrome Q96.9

Sinekia uteri N85.6

Septikemia septicacmia, unspecified A41.9

Sistokel cystocele N81.1

sitostatika pada Ca cyhemotherapy session of neoplasma Z51.1

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Solusio placenta dengan DIC Premature separation of palcenta with 045.0
coagulation

Solusio placenta Other premature separation of 045.8

placenta

Sterilisasi(Kontrasepsi MOW) Sterilization Z30.2

Syok Hipovolemik R57.1

Syok obstetri Obstetric shock 075.1

Syok kardiogenik Cardiogenic shock R57.0

Syok setelah abortus, ektopik dan kehamilan Shock following abotion and ectopic 008.3
mola and molar pregnancy

Tetanus obstetri Obstetrical tetanus A34

Tetania uteri Tetanic contraction 062.4

Torsi kista Torsion of ovary N83.5

Trombositopenia Thrombocytopenia, unspecified D69,6

Tuba non paten Female infertility of tubal origin N97.1

Tuberkulosis dalam kehamilan, persalinan dan Tuberculosis complicating, childbirth 098.0

nifas and the puerperium

Tumor mesenterium Malignant neoplasm of the mesentery C48.1

Tumor padat ovarium Neoplasm of ovarii with uncertain and D39.1

uknown behavior

Twin to twin transfusion syndrome Twin to twin transfusion syndrome 043.0

Udema paru Pulmonary oedem a J81

Ulkus vagina Ulceration of vagina N76.5

Ulkus vulva Ulceration of vulva N76.6

umbillical accident Labour and delivery complicated by O69.2

other cord entanglement

Vaginitis senile/atropik N95.2

Vaginitis akut N76.0

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Vaginismus N94.2

Vakum ekstraksi gagal/forcep gagal Failed application of vacum extractor 066.5

and forcept, unspecified

Varises vagina/genital Genital varises in pregnancy 022.1

Vasa previa Labour anda delivery complicated by 069.4

vasa previa

Kode tindakan ICD 9 di bagian OBGIN (sesuai abjad)

Lysis adhesions of ovary and fallopian

Adesiolisis ovarium dan tuba tube 65.89

Adesiolisis peritoneum/usus/uterus Lysis of peritoneal adhesions 54.59

Analisis sperma Sperm analysis 91.39

Artifcal rupture of membrance after

Amniotomi onset of labour 73.09

Aminosintesis Diagnostic amniocentesis 75.1

Appendiktomi Appendictomy 47.19

Biopsi endometrium pada saat histeroskopi

laparaskopi Closed biopsy of uterus 68.16

Biopsi peritoneum Biopsy of peritonoum 54.23

Biopsi uterus (dg laparotomy) 68.13

Biopsy ligamentum uterus (laparotomy) 68.14

Biopsi vulva Biopsy of vulva 71.11

Biopsi vagina Vaginal biopsy 70.24

End cervical biopsy P unch biopsy of

Biopsi endocervix
cervix NOS 67.11

Biopsy cervik 67.12

Biopsi ovarium Other biopsy of ovary 65.12

Removal of booth ovaries and tube at

BSO
same operative episode 65.61

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BNO Other x ray of abdomen 88.19

Other excision or destruction of lesion

Cauterisasi Endometrial of uterus 68.23

Culdocentesis Culdocentesis 70.0

Other x ray of digestive system with

Colon in loop barium swallow 87.61

Colpoclesis Colpocleisis 70.4

colostomy permanen Permanent colostomy temporary 46.13

colostomy temporer colostomy 46.11

Cerclage cervix(pemasangan) cerclage of isthmus uleri/shirodkar 67.59

removal of cerclage material from

Cerclase cervik (pelepasan)
cervix 69.96

Destruction of lesion of cervix by

cryosurgery pada cervix cryosurgery 67.33

destruction of lesion of cervix by

Cauterization pada cervix cauterization 67.3

CTG (NST,CST) Fetal monitoring, NOS 75.34

CT scan abdomen Cscan of abdomen 88.01

CT scan kepala CT scan of head 87.03

Dilatasi cervixl insertion of prostaglandin suppository 67.0

Dilatation and curettage for

Dilatasi dan kuretase untuk terminasi kehamilan termination of pregancy 69.01

Dilatasi dan kuretase setelah persalinan atau Dilatation and curettage for following
abortus delivery or abortion 69.02

Drainase abdomen perkutaneus 54.91

Evacuation of other hematoms of

Evakuasi hematoma vulve dan vagina vulva or vagina 75.92

Eksplorasi uterus post partum 75.7

Episiotomy episiotomy 73.6

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Fistulektomi rectovagina Repair of rectovaginal fistula 70.73

Fistulektomi vesicovagina Repair of vesicovaginal fistula 57.84

Fistulektomi uretrovagina Repair of uretrovaginal fistula 58.43

Foto thorax X ray of chest NOS 87.44

Hemodialisa Hemodialysis 39.95

Histerektomi vaginam Vaginal hysterectomy 68.59

HisterektomiSupravesikal Supravesical Hysterectomy 68.39

Histerectomi total Total Abdominal Hysterectomy 68.4

Histerectomi radikal / Wertheim Radical abdominal hysterectomy / 68.6

Wertheim’s operation

Histerorafi pada kasus obstetri Repair of current obstetric 75.50

laceration of uterus NOS

Histerorafi kasus ginekologis Suture of laceration of uterus 69.41

Histeroskopi Hysteroscopy H 68.12

Histerostomi Hysterostomy 68.0

Histerostomi untuk terminasi kehamilan Histerotomi with termination of 74.91

pregnancy

Histerosalfingografi Opaque dye contrast 87.83

hysterosalpingogram

Himenektomi pada hymen imperforate Hymenectomy 70.31

Himenorafi Hymenorrhaphy 70.76

Incisi abses bartholini Incision of bartholin’s gland (cyst) 71.22

Induksi persalinan dengan misoprostol Medical induction of labour 73.4

16
Induksi persalinan dengan balon kateter Other surgical induction of labour 73.1

Injeksi antibiotik 99.21

Injeksi hormon 99.24

Injeksi steroid 99.23

Injeksi tranquiliser 99.26

Infus parenteral nutrition 99.15

Insersi laminaria Insertion of laminaria 69.93

IUD cabut Removal of IUD 97.71

IUD insersi Insertion of IUD 69.7

Inseminasi buatan Artificial Insemination 69.92

IVP Intravenous pyelogram 87.73

Kateter indweling 57.94

Kistektomi Other local excision or destruction 65.29

of ovary

Kemoterapi 99.25

Kolporafi Anterior dan Posterior Repair of cystocele and rectocele 70.50

Kolporafi Anterior Anterior colphoraphy 70.51

Kolporafi Posterior Posterior colphoraphy 70.52

Konservasi ovarium Other repair of ovary 65.79

Konisasi cervix Conization of cervix 67.2

Kuretase aspirasi pd abortus 69.52

Kuretasi aspirasi tak terinci Other aspiration curettage of uterus 69.59

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Kuretase dx ix Diagnostic dilatation and curretage 69.09

(dilatasidan)kuretage untuk terminasi Dilatation and curettage for 69.01

kehamilan terminatiom of pregnancy

(dilatasidan) kuretase setelah persalinan atau Dilatation and curettage following 69.02
abortus delivery or abortion

Kultur dan sensivitas cairan cervix/vagina/air Microscopie examinationof specimen 91,43

tetuban/abses from female genical trect:culture and
sencitivity

Kultur dan sensitivitas darah Culture and sensitivity of flood 90,53

Kultur dan sensitivitas urin sperma dll Culture and sensitivity of urine 91,33

Kultur dan sensitivitas luka operasi Culture and sensitivityof specimen 91,73
from operative wound

Laparoskopi Laparoscopy 54,21

Laparotomi eksplorasi Exploratory laparatomy 54,11

(Re)laparatomi, eksplorasi Reopening of recent laparatomy site 54,12

Lavement 96.39

Limfadenectomi Lymp glang dissection 40,3

Manual Placenta Manual removal of retained placenta 75,4

Marsupialisasi kel.Batholini Marszupillization of bartholini’s gland 71,23

(cyst)

MOW Bilateral ligation and divicion of 66,32

fallopian tubes

Miomektomi Uterinemyomectomy 68,29

Nebulizer 93.94

Nefrostomi bilateral Neprhostomy 55,02

Omentektomi Omentectomy 54,4

Partus Breech delivery/partial/manua aid Other partial breech extraction 72.52

Partus Breech extraction ( total ) Other total breech extraction 72.54

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Partus Forcep ekstraksi 72.21

Partus spontan Assisted apontaneous delivery 73,59

Partus dg Vakum ekstraksi +episiotomy Vacum extraction with episiotomy 72.71

Pap smear Pap smear 91,46

Pessarium pasang Insertion of pessary 96,18

Pessarium lepas Removal of pessary 97,74

Pelvimetri radiologis Pelvimetry 88,25

Pemuntiran polip cervix Other excision or descruction or tssue 67,39

of cevix

Pembebasan torsi ovarium Releas of torsion of ovary 65,95

Pemeriksaan uterus bimanual 68.11

Pemeriksaan ginekologi 89.26

Pengangkatan produk kehamilan diluar tuba Removal of extraubal octopy 74,3

pregnancy

Pengankatan benda asing vulva 98.23

Pengangkatan jahitan 97.83

Perineorafy Repair of perineum ,vagina , vulva 75,69

Peritoneum eksisi 54.4

Peritoneum jahit 54.64

Peritoneum repair 54.73

Pungsi asites Aspiration of ascites 54,91

Radikal vulvektomi Radycal vulvectomy 71,5

Limfadenektomi Lymph glad dissection 40,3

Reclosure Reclosure of postoperative disruption 54,61

of abdominal wall

Repair cidera ureter pada kasus ginekologi Suture af laceration of ureter 56,82

Repair cidera vu pada kasus ginekologi Suture af laceration of bladder 57,81

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Repair cidera VU dan uretra pada kasus Repair of current obstrectic laceration 75,61
persalinani of bladder and urethra

Repair laserasi rektum dan spineter ani setelah Repair of current obstrectic laceration 75,62
persalinan of rectum and sphincter ani

Repair laserasi cervix setelah persalinan Repair of current obstrectic laceration 75,51
of cervix

Repair dehisiensi perenium Repair of current obstrectic laceration 71,79

of vulva or perineum

Reposisi inversi uteri post partum Manual replacement of inverted 75.94

uterus

Reposisi tali pusat pada prolaps tali pusat Replacement of prolaps ed umbilical 73.92
cord

RJP (kompresi jantung luar) 99.63

Salpingektomi dan pengangkatan produk Salpingektomy with removal of tubal 66.62

kehamilan pregnant

Salpingoooforektomi unilateral Unilateral salpingoooforectomy 65.49

Salpingostomi Salpingostomy 66.02

SC/ReSC Lower uterine segment C section 74.1

Sterilisasi tubektomi secara laparoskopi Bilateral endoscopic ligation and 66.22

division of fallopian tubes

Tampon uterus dan vagina postpartum Obstetric tamponade of uterus or 75.8

vagina

Tes patensi tuba Insufflation of fallopian tube 66.8

Transfusi PRC Transfusion for packedcell 99.04

Transfusi WB Other transfusion of whole blood 99.03

Transfusi trombosit Transfusion of platelets 99.05

Transfusi faktor pembekuan Transfusion of coagulation factors 99.06

Transfusi plasma Transfusion of plasma 99.07

Pengambilan benda asing dari rongga peritoneum Removal of foreign body from 54.92
peritoneal cavity

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Tuba plasty Reopening of divided fallopian 66.79
tube/salpingoplasty

USG ibu hamil Diagnostis ultrasound of gravid uterus 88.78

USG dalam kondisi tidak hamil Other diagnostic ultrasound 88.79

Vagina konstruksi Vaginal construction 70,61

Vagina rekonstruksi Vaginal reconstruction 70,62

Vaginal swab Vaginal swab 91.44

Versi ekstraksi internal Internal and combined version with 73.22

extraction

Versi luar External version 73.91

Wedge resection ovarium Wedge resection of ovary 65.22

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