E- SIMULASI LIST OPERASI SPESIALIS BEDAH RS TYPE D ( inaCBG )

Sub Bedah Oncologi

DIAGNOSA ICD 10 TINDAKAN ICD 9 KELAS 3 KELAS 2 KELAS 1
BREAST
Accessory breast ( mammae abberans ) Q83.1 Excision of ectopic breast tissue 85.24 4,361,100 5,233,300 6,105,500
Benign neoplasm of breast D24 Local excision of lesion of breast 85.21 4,361,100 5,233,300 6,105,500
Malignant neoplasm, lower-outer quadrant of breast C50.5 Unilateral radical mastectomy (MRM) 85.45 4,361,100 5,233,300 6,105,500
Malignant neoplasm, lower-outer quadrant of breast C50.5 Open biopsy of breast 85.12 4,361,100 5,233,300 6,105,500
Inflammatory disorders of breast N61 Excisional debridement of wound, infection, or burn 86.22 1,964,400 2,357,300 2,750,200
Hypertrophy of breast N62 Local excision of lesion of breast 85.21 4,361,100 5,233,300 6,105,500
Secondary malignant neoplasm, axillary and upper limb lymph nodes C77.3 Radical excision of axillary lymph nodes 40.51 3,445,900 4,135,000 4,824,200

LYMPH
Acute lymphadenitis of SUM head and neck L04.0  Excision of deep cervical lymph node 40.21 3,445,900 4,135,000 4,824,200
Acute lymphadenitis of upper limb ( axilla ) L04.2 Excision of axillary lymph node 40.23 3,445,900 4,135,000 4,824,200
Tuberculous peripheral lymphadenopathy A18.2 Biopsy of lymphatic structure 40.11 3,445,900 4,135,000 4,824,200
Tuberculous peripheral lymphadenopathy C83.3 Biopsy of lymphatic structure 40.11 3,445,900 4,135,000 4,824,200

Soft Tissue Tumor

Benign neoplasm, skin of upper limb, including shoulder D23.6 Radical excision of skin lesion 86.4 3,445,900 4,141,000 4,831,200
Benign neoplasm, connective and other soft tissue of head, face and neck D21.0 Radical excision of skin lesion 86.4 3,445,900 4,141,000 4,831,200
Synovial cyst of popliteal space [Baker], lower leg M71.26 Radical excision of skin lesion 86.4 3,445,900 4,141,000 4,831,200
Synovial cyst of popliteal space [Baker], hand M71.24 Radical excision of skin lesion 86.4 3,445,900 4,141,000 4,831,200

NOTED dari verifikator : SEMUA TUMOR YANG DILAKUKAN EKSISI DG FLAP CUKUP DI KODING TUNGGAL 86.4
( radical excision of skin lession )

Malignant neoplasm, connective and soft tissue of head, face and neck C49.0  Radical excision of skin lesion 86.4 3,450,800 4,141,000 4,831,200
Malignant neoplasm, skin of eyelid, including canthus C44.1 Radical excision of skin lesion 86.4 3,450,800 4,141,000 4,831,200
Malignant neoplasm, skin of eyelid, including canthus C44.1 Other reconstruction of eyelid with flaps or graft 08.61 1,899,300 2,279,100 2,659,000
Malignant neoplasm, anterior two-thirds of tongue, part unspecified C02.3 Partial glossectomy 25.2 3,435,800 4,123,000 4,810,200

Benign neoplasm of major salivary glands ( parotid, submandibula ) D11.0 Other excision of salivary gland lesion 26.29 4,160,300 4,992,300 5,824,400
Benign neoplasm, other major salivary glands ( tumor submandibula ) D11.7 Complete sialoadenectomy 26.32 4,160,300 4,992,300 5,824,400
Submandibular abcess K12.2 Drainage of face and floor of mouth 27.0 3,435,800 4,123,000 4,810,200
Abscess of salivary gland K11.3 Incision of salivary gland or duct 26.0 1,787,100 2,144,500 2,501,900

Benign neoplasm of thyroid gland D34 Unilateral thyroid lobectomy 06.2 5,015,500 6,018,600 7,021,600
Nontoxic single thyroid nodule E04.1 Unilateral thyroid lobectomy 06.2 5,015,500 6,018,600 7,021,600
Thyroid Gland Neoplasma D44.0 Unilateral thyroid lobectomy 06.2 5,015,500 6,018,600 7,021,600
Thyroid Gland Neoplasma D44.0 Total Thyroidectomy 06.4 5,015,500 6,018,600 7,021,600
Thyroglossal cyst ( Congenital malformations of other endocrine glands Q89.2 Excision of thyroglossal duct or tract 06.7 5,015,500 6,018,600 7,021,600

Benign neoplasm of thyroid gland + Thyrotoxicosis with toxic multinodular Unilateral thyroid lobectomy 06.2
goitre D34 6,750,700 8,100,800 9,450,900
E05.2

Sub Bedah DIGESTIF

Acute appendicitis with localized peritonitis K35.3 Appendectomy open 47.09 2,507,700 3,009,200 3,510,800
Acute appendicitis with localized peritonitis K35.3 Laparascopic appendectomy 47.01 2,507,700 3,009,200 3,510,800
Acute appendicitis with Generalized Peritonitis K35,2 Laparotomy explorasi 54.11 5,199,600 6,239,600 7,279,500
PERITONITIS K65,8 Laparotomy explorasi 54.11 5,199,600 6,239,600 7,279,500
Peritonitis + Septicaemia K65,8 + A41,9 Laparotomy explorasi 54.11 9,715,000 11,658,000 13,601,000
Peritonitis + Perforasi Gaster Ulcer K65,8 + K25,5 Laparotomy explorasi + Suture gastric ulcer 54,11 + 44,41 16,070,700 19,284,800 22,499,000
Perforation of intestine (nontraumatic) K63.1 Exteriorization of small intestine 46.01 7,880,000 9,455,900 11,031,900
Intestinal adhesions [bands] with obstruction K56.5 Other lysis of peritoneal adhesions 54.59 5,456,800 6,548,200 7,639,600

Malignant neoplasm, descending colon  C18.6 Open and other Right hemicolectomy 45.75 7,880,000 9,455,900 11,031,900
Malignant neoplasm of rectum C20 Biopsy of anus 49.23 3,973,100 4,767,700 5,562,300
Malignant neoplasm of rectum C20 Temporary colostomy 46.11 7,880,000 9,455,900 11,031,900
Malignant neoplasm of rectum+ Ileus, unspecified C20 + K56.7 Temporary colostomy 46.11 11,006,500 13,207,800 15,409,100

Malignant neoplasm, caecum C18.0 Open and other Right hemicolectomy 45.73 7,880,000 9,455,900 11,031,900

Malignant neoplasm caecum + Congestive heart failure C18.0 45.73 11,006,500 13,207,300 15,549,300
Open and other Right hemicolectomy
I50.0
Malignant neoplasm, caecum + Hypertensive heart disease with (congestive) C18.0 Open and other Right hemicolectomy 45.73 19,284,800 22,499,000
16,070,700
heart failure I11.0

Colostomy status Z93.3 Closure of stoma of large intestine 46.52 5,299,400 6,359,200 7,419,100
Ileostomy status Z93.2 Closure of stoma of small intestine 46.51 5,299,400 6,359,200 7,419,100
Disruption of operation wound, not elsewhere classified , Dehiscence, ruptur , 54.61
burst abdomen T81.3 Reclosure of postoperative disruption of abdominal wall 5,199,600 6,239,600 7,279,500

Internal haemorrhoids with other complications 49.46

( bleeding,prolaps,strangulatad,ulcer) I84.1 Excision of hemorrhoids 3,973,100 4,767,700 5,562,300
Internal haemorrhoids with other complications 49.45
( bleeding,prolaps,strangulatad,ulcer) I84.1 Ligation of hemorrhoids ( Pila, Hal-rar) 3,973,100 4,767,700 5,562,300
Perianal Abscess K61.0 Incision of perianal abscess 49.01 3,973,100 4,767,700 5,562,300
Anorectal abscess K61.2 Incision of perianal abscess 49.01 3,973,100 4,767,700 5,562,300
Anal Fistula K60.3 Anal fistulectomy 49.12 3,973,100 4,767,700 5,562,300
Chronic anal fissure K60.1 Left lateral anal sphincterotomy 49.51 3,973,100 4,767,700 5,562,300
Anal prolapse K62.2 Reduction of anal prolapse 49.94 3,973,100 4,767,700 5,562,300
Stenosis of anus and rectum k62.4 Implantation or revision of artificial anal sphincter 49.75 3,973,100 4,767,700 5,562,300
Residual haemorrhoidal skin tags I84.6 Other procedures on hemorrhoids 49.49 3,973,100 4,767,700 5,562,300

Calculus of bile duct with cholecystitis K80.4 Cholecystectomy Open 51.22 4,556,200 5,467,400 6,378,700
Calculus of bile duct with cholecystitis K80.4 Laparoscopic cholecystectomy 51.23 4,986,500 5,467,400 6,981,100
other CHOLELITHIASIS K80.8 Cholecystectomy Open 51.22 4,556,200 6,080,700 6,378,700
Obstruction of bile duct K83.1 Anastomosis of gallbladder to intestine 51.32 4,666,100 5,599,300 6,532,500

Repair of inguinal hernia with graft or prosthesis, not otherwise 53.05

Unilateral or unspecified inguinal hernia, without obstruction or gangrene K40.9 specified 4,069,600 4,883,500 5,697,400
Repair of inguinal hernia with graft or prosthesis, not otherwise 53.05
Unilateral or unspecified inguinal hernia, with obstruction, without gangrene K40.3 specified 4,069,600 4,883,500 5,697,400
Repair of inguinal hernia with graft or prosthesis, not otherwise 53.05
Unilateral or unspecified inguinal hernia, with gangrene K40.4 specified 4,069,600 4,883,500 5,697,400

Unilateral or unspecified femoral hernia, with obstruction, without gangrene K41.3 Unilateral repair of femoral hernia with graft or prosthesis 53.21 4,069,600 4,883,500 5,697,400
Unilateral or unspecified femoral hernia, without obstruction or gangrene K41.9  Unilateral repair of femoral hernia with graft or prosthesis 53.21 4,069,600 4,883,500 5,697,400
Unilateral or unspecified femoral hernia, with gangrene K41.4 Unilateral repair of femoral hernia with graft or prosthesis 53.21 7,880,000 9,445,900 11,031,900
Other small-to-small intestinal anastomosis 45.91
Unilateral or unspecified femoral hernia, with gangrene + Perforation of K41.4 + K63.1 Unilateral repair of femoral hernia with graft or prosthesis 53.21 16,000,000 19,284,800
intestine (nontraumatic) Other small-to-small intestinal anastomosis 45.91 22,499,000

Unilateral or unspecified femoral hernia, with obstruction, without gangrene K41.3 Unilateral repair of femoral hernia with graft or prosthesis 53.21 5,199,600 6,239,600 7,279,500
Other repair of omentum 54.74

Unilateral or unspecified femoral hernia, with obstruction, without gangrene + K41.3 + K56.5 Unilateral repair of femoral hernia with graft or prosthesis 53.21
Intestinal adhesions [bands] with obstruction Other lysis of peritoneal adhesions 54.59 9,486,500 11,383,800 13,281,100

Umbilical hernia without obstruction or gangrene K42.9 Other open umbilical herniorrhaphy 53.49 2,223,500 2,668,200 3,112,900

Unspecified abdominal hernia with obstruction without gangrene K46.0 Incisional hernia repair 53.51 2,223,500 2,668,200 3,112,900

ASCITES R18 Percutaneous abdominal drainage Paracentesis ( pungsi ascites) 54.91 2,805,400 3,336,500 3,927,600

Sub UROLOGI
Calculus in bladder N21.0 Other cystotomy 57.19 5,795,200 6,954,200 8,113,300
Calculus of ureter N20.1 Ureterotomy 56.2 6,332,400 7,598,900 8,865,300
Calculus of kidney N20.0 Pyelotomy 55.11 6,332,400 7,598,900 8,865,300
Hyperplasia of prostate N40 Suprapubic prostatectomy 60.3 3,223,200 3,867,300 4,512,500
Hyperplasia of prostate + Cystitis N40 + N30.8 Suprapubic prostatectomy 60.3 6,639,800 7,967,700 9,295,700

Congenital Hydrocele P83.5  Excision of hydrocele (of tunica vaginalis) 61.2 5,765,300 6,918,400 8,071,500
Hydrocele, unspecified N43.3 Excision of varicocele and hydrocele of spermatic cord 63.1 5,765,300 6,918,400 8,071,500
Scrotal varices I86.1 Excision of varicocele and hydrocele of spermatic cord 63.1 5,765,300 6,918,400 8,071,500
Undescended testicle, unilateral Q53.1 Orchiopexy 62.5 5,765,300 6,918,400 8,071,500
Torsion of testis N44 Unilateral orchiectomy 62.3 3,007,300 3,608,700 4,210,200
Malignant neoplasm, descended testis C62.1 Unilateral orchiectomy 62.3 3,007,300 3,608,700 4,210,200
Malformation of urachus Q64.4 Excision of urachus 57.51 5,795,200 6,954,300 8,113,300
86.22
Inflammatory disorders of other specified male genital organs ( fornier gangren )
N49.8 Excisional debridement of wound, infection, or burn 2,464,100 2,957,000 3,449,800
Phimosis N47 Circumsision 64.0 949,000 1,139,700 1,329,700

Sub BEDAH VASKULAR

Insulin-dependent diabetes mellitus with peripheral circulatory complications E10.5 Excisional debridement of wound, infection, or burn 86.22 4,170,400 6,808,300 7,943,000
Type 2 diabetes mellitus with other specified complications E11.6 Excisional debridement of wound, infection, or burn 86.22 4,170,400 5,004,500 5,838,600
Type 2 diabetes mellitus with circulatory complications E11.5 AMPUTATION OF TOE 84.11 6,154,600 7,385,600 8,616,500

CKD V N 18.5 ARTERIOVENOSTOMY FOR RENAL DIALYSIS ( AV-Shunt) 39.27 2,896,300 3,475,500 4,054,800
PERITONEAL DIALYSIS + INTRA-ABDOMINAL VASCULAR SHUNT 54,98 + 39,26
CKD V N18,5 OR BYPASS 7,558,900 9,070,700 10,582,500

Varicose veins of lower extremities with ulcer I83.0 Ligation and stripping of varicose veins ,lower limb varicose veins 38.59 8,822,300 10,586,800 12,351,300
Varicose veins of lower extremities with ulcer I83.0 Other excision of vessels, lower limb veins 38.69 8,822,300 10,586,800 12,351,300

Haemangioma, any site D18.0 Other excision of vessels, unspecified site 38.60 9,944,300 11,933,100 13.922.00
Aneurysm of unspecified site I72.9 Other repair of aneurysm 39.52 9,944,300 11,933,100 13.922.00

Cellulitis of other parts of limb L03.1 Excisional debridement of wound, infection, or burn 86.22 1,134,400 1,361,300 1,588,200
Necrotizing fasciitis, lower leg M72.66 Excisional debridement of wound, infection, or burn 86.22 1,970,100 2,364,100 2,758,100

Sub ORTHOPAEDI
Open wound of finger(s) with damage to nail S61.1 Other repair of hand, fingers, and wrist 81.79 5,612,900 6,735,500 7,858,100
Traumatic rupture of ligament of finger at metacarpophalangeal and 81.79
interphalangeal joint(s) S63.4  Other repair of hand, fingers, and wrist 5,612,900 6,735,500 7,858,100
Cellulitis of finger and toe L03.0 Debridement of nail, nail bed, or nail fold 86.27 1,134,400 1,361,300 1,588,100
Fracture of other finger , open S62.61 Debridement of open fracture of phalanges of hand 79.64 5,612,900 6,735,500 7,858,100
Fracture of other finger , open S62.61 Amputation and disarticulation of finger 84.01 5,612,900 6,735,500 7,858,100
Gonarthrosis, unspecified M17.9 Injection of therapeutic substance into joint or ligament 81.92 403,700
Humerus fracture ( close ) S42.2 ORIF 79.11 5,612,900 6,735,500 7,858,100

Sub BEDAH Thorax

Pleural effusion in conditions classified elsewhere J91 Insertion of intercostal catheter for drainage 34.04 3,440,500 4,141,000 4,831,200
MULTIPLE FR COSTAE + HEMATOTHORAX S22,80 + J94,2 ORIF COSTAE + CHEST TUBE THORACOSTOMY 79,89 + 34,09 10,121,900 12,146,200 14,170,600

Benign neoplasm, connective and other soft tissue of thorax D21.3 Radical excision of skin lesion 86.4 3,445,900 4,141,000 4,831,200
Benign neoplasm, connective and other soft tissue of thorax D21.3 Other repair of chest wall 34.79 4,878,300 5,853,900 6,829,600

Repair of diaphragmatic hernia, abdominal approach, not otherwise 53.75

Diaphragmatic hernia with obstruction, without gangrene K44.0 specified 4,878,300 5,853,900 6,829,600

Sub Bedah PLASTIK

Temporomandibular joint disorders K07.6 Closed reduction of temporomandibular dislocation 76.93 2,461,000 2,953,200 3,445,400
Fracture of malar and maxillary bones, closed S02.40 Open reduction of maxillary fracture 76.74 5,329,500 6,395,500 7,461,400
Fracture of nasal bones, closed S02.20 Closed reduction of nasal fracture 21.71 1,976,100 2,371,400 2,766,600
Fracture of mandible S02.6 Open reduction of mandibular fracture 76.76 5,329,500 6,395,500 7,461,400
Union Fr maxilofacial Z 47.0 removal of implant ( removal archbar ) 76.97 5,329,500 6,395,500 7,461,400

Syndactyly, unspecified Q70.9 Correction of syndactyly 86.85 5,612,900 6,735,500 7,858,100

Cleft lip, unilateral Q36.9 Repair of cleft lip 27.54 2,638,900 3,166,700 3,694,500
Keloid scar L91.0 Other operations on skin and subcutaneous tissue 86.99 1,896,000 2,275,200 2,654,200
Scar conditions and fibrosis of skin L90.5 Radical excision of skin lesion 86.4 3,450,800 4,141,000 4,831,200
Scar conditions and fibrosis of skin + Sequelae of burn, corrosion and frostbite 86.4
of upper limb L90.5 + T95.2 Radical excision of skin lesion 5,726,600 6,872,000 8,017,300

Contracture of joint, hand M24.54 Relaxation of scar or web contracture of skin 86.84 3,322,000 3,986,400 4,650,800
M24.54 86.84
Contracture of joint, hand + Sequelae of burn, corrosion and frostbite of upper limb T95.2 Relaxation of scar or web contracture of skin 6,663,100 7,995,800 9,328,400

Sub Bedah Plastik

Decubitus ulcer and pressure area, unspecified L89.9 Pedicle or flap graft, not otherwise specified 86.70 5,927,600 7,113,200 8,298,700
Decubitus ulcer and pressure area, unspecified L89.9 Nonexcisional debridement of wound, infection, or burn 86.22 1,140,700 1,368,800 1,596,900

86.69
Granulomatous disorder of the skin and subcutaneous tissue, unspecified L92,9 SKIN GRAFT 5,927,600 7,113,200 7,298,700

Burn of second degree, body region unspecified T30.2 Excisional debridement of wound, infection, or burn 86.22 3,444,700 4,133,700 4,822,600
Burns involving 10-19% of body surface T31.1 Excisional debridement of wound, infection, or burn 86.22 3,444,700 4,133,700 4,822,600
Burns involving 20-29% of body surface T31.2 Excisional debridement of wound, infection, or burn 86.22 3,444,700 4,133,700 4,822,600
Burns multi regions at least one burn of third degree mentioned T29.3 Excisional debridement of wound, infection, or burn 86.22 3,444,700 4,133,700 4,822,600

Excisional debridement of wound, infection, or burn 86.22

Burns multi regions at least one burn of third degree mentioned T29.3 Other skin graft to other sites 86.69 12,563,600 15,076,300 17,589,100

Epidural haemorrhage S06.4 Other craniotomy 01.24 3,224,200 3,889,000 4,510,800