DAFTAR TINDAKAN FISIOTERAPI PASIEN BPJS

NO. KASUS KODE KETERANGAN

1 Stroke 93.01 Functional evaluation
93.04 Manual testing and muscle function
93.14 Training in joint movement
93.22 Ambulation and gait training
93.35 Other heat therapy
93.27 Stretching of muscle or tendon

2 Low back pain 93.01 Functional evaluation

93.27 Stretching of muscle or tendon
93.15 Mobilization of spine
93.11 Assisting exercise
93.34 Diathermy
93.41 Spinal traction using skull device
93.21 Manual and mecanical traction

3 OA/RA 93.01 Functional evaluation

93.05 Range of Motion Testing
93.14 Training in joint movement
93.13 Resistive exercise
93.35 Other heat therapy

4 Bell's Palsy 93.01 Functional evaluation

93.04 Manual testing and muscle function
93.14 Training in joint movement
93.34 Diathermy

5 Frozen Shoulder 93.01 Functional evaluation

93.05 Range of Motion Testing
93.14 Training in joint movement
 93.13 Resistive exercise
93.26 manual ruftur of joint adhesion
93.27 Stretching of muscle or tendon
93.34 Diathermy
93.28 Stretching of fascia

6 Fraktur ORIF 93.01 Functional evaluation

(besi masih ada) 93.04 Manual testing and muscle function
93.05 Range of Motion Testing
93.11 Assisting exercise
93.14 Training in joint movement
93.35 Other heat therapy
93.25 force extention of limb

7 Fraktur ORIF 93.01 Functional evaluation

(tdk ada besi) 93.04 Manual testing and muscle function
93.05 Range of Motion Testing
93.13 Resistive exercise
93.14 Training in joint movement
93.34 Diathermy
93.25 force extention of limb

8 Post Op ACL/PCL 93.01 Functional evaluation

93.35 Other heat therapy
93.05 Range of Motion Testing
93.14 Training in joint movement
93.04 Manual testing and muscle function
93.13 Resistive exercise

9 Post ACL/PCL 93.01 Functional evaluation

( Tidak Operasi) 93.34 Diathermy
93.05 Range of Motion Testing
 93.14 Training in joint movement
93.04 Manual testing and muscle function
93.13 Resistive exercise

10 Hypomobile 93.01 Functional evaluation

(otot dan sendi) 93.05 Range of Motion Testing
93.14 Training in joint movement
93.25 force extention of limb
93.35 Other heat therapy
93.27 Stretching of muscle or tendon

11 Myalgia/tendinitis/Te
nnis elbow 93.01 Functional evaluation
93.34 Diathermy
93.35 Other heat therapy
ESWT
TENS

12 Scoliosis 93.01 Functional evaluation

93.05 Range of Motion Testing
93.27 Stretching of muscle or tendon
93.29 Other forcible correction of deformity
 DAFTAR TINDAKAN FISIOTERAPI PASIEN BPJS

NO. KASUS KODE Tarif

1 Stroke 93.01
93.04
93.14
93.22
93.35
93.27

2 Low back pain 93.01

93.27
93.15
93.11
93.34
93.41
93.21

3 OA/RA 93.01
93.05
93.14
93.13
93.35

4 Bell's Palsy 93.01

93.04
93.14
93.34

5 Frozen Shoulder 93.01

93.05
93.14
93.13
93.26
93.27
93.34
93.28

6 Fraktur ORIF 93.01

(besi masih ada) 93.04
93.05
93.11
93.14
93.35
93.25

7 Fraktur ORIF 93.01

(tdk ada besi) 93.04
 93.05
93.13
93.14
93.34
93.25

8 Post Op ACL/PCL 93.01

93.35
93.05
93.14
93.04
93.13

9 Post ACL/PCL 93.01

( Tidak Operasi) 93.34
93.05
93.14
93.04
93.13

10 Hypomobile 93.01
(otot dan sendi) 93.05
93.14
93.25
93.35
93.27

11 Myalgia/tendinitis/Te
nnis elbow 93.01
93.34
93.35

12 Scoliosis 93.01
93.05
93.27
93.29