KODE TINDAKAN OPERASI

KELOMPOK NO TINDAKAN ICD 9 CM

OPERASI
I 1 Angkat jahitan dengan 97.39
general anastesi
I 2 Aspirasi massa lensa 13.65
I 3 Businasi / dilatasi uretra 58.6

I 4 Circumsisi 64.0
I 5 Closed reduction of 79.40
separated epiphysis reposisi
I 6 Debridemen & necrotomi 86.26
dekubitus local anastesi
I 7 Curratage of uterus 69.02

I 8 Dilatation of cervical canal 67.0

I 9 Excision of lesion of 83.39
muscle,tendon,fascia &
nursa general anastesi
I 10 Excision or distruction of 69.29
lelsion of uterus
I 11 Ekstraksi pterigium dengan 11.32
graf
I 12 Exicion of chalazion 11.001
I 13 Incision of chest wall and 34.0
pleura
I 14 Incisi of muscle tendon, 83.0
fascia and nursa (a)
I 15 Incisi of muscle tendon, 83.0
fascia and nursa (b)
I 16 Incisi abces perinium, 71.09
general anastesi
I 17 Incisi abces skrotum, general 61.0
anastesi
I 18 Iridektomi 12.1
I 19 Kauterisasi 43.39

I 20 Kauterisasi lesi kulit jinak , 86.3

local anastesi
I 21 Other bilateral destruction 66.39
or occlusion of fallopian
tunes / MOW
I 22 Nekrotomi sedang 86.22

I 23 Pasang water sealed 59.9

drainage / WSG
I 24 Repair of vulva and 71.71
perineum
I 25 Reposisi iol 13.9
 I 26 Reposisi iris 12.93

I 27 Simple advancement flap, 86.7

local anastesi
I 28 Vasectomi 63.72

I 29 Vena Sectie 38.00

II 1 Appendectomy 47.19
II 2 Batu Buli 57.09
II 3 Bulectomy dgn general 86.22
anastesi
II 4 Cystoscopy / aff dj stent 57.32
II 5 Cystostomy 57.18
II 6 Ekstirpasi tumor jinak wajah, 86.2
local anastesi
II 7 Eksisi intrakodal, jahit primer 86.2
local anastesi
II 8 Eksisi nevus wajah simple , 86.3
local anastesi
II 9 Eksisi varicocelel & 63.1
hydrocele di sprematic cord
II 10 Ekstra capsular extraction 13.2
with iol local anastesi (insert
of intra lens prosthesis at
time of cataract (ecce+iol
non phaco)
II 11 Ekstirpasi aterom wajah, 86.21
local anastesi
II 12 Ekstirpasi lipoma wajah, 86.3
local anastesi
II 13 Extra capsular extraction dgn 11.270
local anastesi ( other
extracapsular oxtraction of
lens )
II 14 Hemorrhoidectomy 49.46
II 15 Incisi khalazion bordeolum , 08.21
general anastesi
II 16 Local excision or 85.21
destructionof ovary
II 17 Local excision of lession of 60.5
breast (FAM)
II 18 Nekrotomy luas, general 86.22
anastesi
II 19 Open reduction of fracture 79.36
with internal fixation ( ddgn
diagnosis orif cruris, ankle
dan aff late )
II 20 Other 13.59
 extracapsularectraction of
lens with general anastesi
II 21 Other operation of testis 62.99
II 22 Repair of anus 49.99
II 23 Repair of inguinofemoralis 53.00
hernia
II 24 Repair of testis 62.99
II 25 Repair of umbilical hernia 53.49
II 26 Simple advancement flap, 86.7
local anastesi
II 27 Sachze / bladder neck insisi / 56.2
evakuasi blood clot
II 28 Section alta/vesikolithotomy 57.19
II 29 Sistoskopi 57.3
II 30 Sistoskopi perkutan 57.17
II 31 Sistoskopi terbuka 57.17
II 32 Small incision cataract 13.42
surgery with iol, local
anastesi
II 33 Surgical debridement 86.22
II 34 Toilet of open fracture site 79.64
II 35 Temporary Tracheostomy 31.1
II 36 Reconstruction of muscle 83.82
tendon and fascia
II 37 Removal of internal fixation 78.65
appliance dgn diagnosa aff
plate temur tibia
II 38 Unilateral oophoretoray 65.31
II 39 Uretroskopi/eretrosistoskopi 58.22
II 40 Varicocelektomi 63.1

III 1 Amputation & disarculatioan 84.01

of finger
III 2 Amputation & disarculatioan 84.02
of foot
III 3 Amputation end forearm 84.05
and hand
III 4 Anastomosis end to end 56.79
ureter
III 5 Anastomosis, small to large 45.93
intestine
III 6 Bilateral repair of inguino 53.10
femoral hernia
III 7 Bilateral repair of inguino 53.17
femoral hernia with garte
III 8 Cholecystectomy 51.22
III 9 Classical cesarean section 082.0
III 10 Closure of intestinal stoma 46.50
III 11 Complete thyroidectomy 06.4
III 12 Eksisi webbed penis 64.2
III 13 Eksisi intrakeloidal wajah, 86.2
local anastesi
III 14 Eksisi venus wajah multiple, 86.3
local anastesi
III 15 Eviseeration of eye ball 16.39
III 16 Excision of throglossal tract 06.7
III 17 Excision or destruction of 54.4
peritoneum
III 18 Extended simple 85.43
mastectomy
III 19 Full thickness skin graf, 86.63
daeerah di luar wajah, local
anastesi
III 20 Full thickness skin graf pada 86.63
wajah, local anastesi
III 21 Fistulektomy rrepair fistel 58.43
uretrra
III 22 Insersi dj stent 59.8
III 23 Loid+archbarr fraktur 1 sisa, 76.73
general anastesi
III 24 Loid+archbarr fraktur 2 sisa, 76.73
general anastesi
III 25 Loid+imf (eyelet) fraktur 1 76.73
sisi general anastesi
III 26 Johansen 58.46
III 27 Jahit luka di wilayah daerah 86.59
estetik unit, local anastesi
III 28 Lithotrpsi 51.49
III 29 Other operation on 47.09
appendix
III 30 Open orif clavicula 79.30
III 31 Open orif digiti manus pedis 79.3
III 32 Open orif humeri antebrachi 73.33
III 33 Open fraktur repair maxilla 76.74
dan mandibulla
III 34 Operasi repair buli trauma 57.81
III 35 Orkhidopeksi ( torsio testis) 62.5
III 36 Other free skin graf 86.60
III 37 Other hernia repair 59.9
III 38 KET 66.99
III 39 Hecting hidung bedah plastic 21.99
III 40 Prostatektomy retro publik 60.4
III 41 Open prostatektomy 60.2
III 42 Open prostatektomy dan 60.69
sectio alta
III 43 Pyelotomy dan pyelostomy 55.12
III 44 Rekonstruksi dgn skin flap 86.7
local, LA
III 45 Aff plate pada antebrachi, 78.63
 digiti
III 46 Rupture pada usus 46.40
III 47 Repair palpebra 08.82
III 48 Repair hernia dgn pasang 53.05
prolen mess
III 49 Repair amputasi (stump 84.3
platy)
III 50 Rekonstruksidgn skin flap 86.6
grafing, local anastesi
III 51 Repair truma telingasimple, 18.4
LA
III 52 Subtotal abdominal 68.3
hysterectomy
III 53 Sub total thyroidectomy 06.50
III 54 Sutura of corneal laceration 11.51
III 55 Sutura of laceration of sclera 12.81
III 56 Total nephrectomy 55.51
III 57 Total abdominal 68.4
hysterectomy
III 58 Unilateral thyoid lobectomy 06.2
III 59 Uretrolihiotomy 56.2
III 60 Vasciotomy 89.14