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Koding Tarif Rawat Jalan

No Diagnosa ICD 10
1 Aritmia I49.9
2 Asma J45.9
3 Bacterial Infection A49.9
4 BPH N40
5 BPH N40
6 Cellulitis L03.9
7 Cephalgia R51
8 Cerebrovascular Disease Rujuk Z53.8 ; I67.9
9 Chest Pain R07.4
10 Chest Pain R07.4
11 CHF I50.0
12 CKD N28.8
13 Colic Abdomen R10.4
14 Colic Abdomen R10.4
15 Colic Ureter N23
16 Drug Eruption L27.0
17 Dypsnoe R06.0
18 Dypsnoe R06.0
19 Dypsnoe R06.0
20 Dypsnoe Rujuk Z53.8 ; R06.0
21 Dyspepsia K30
22 Dyspepsia K30
23 Dyspepsia K30
24 Dyspepsia K30
25 Febris R50.9
26 Febris R50.9
27 Febris R50.9
28 Febris R50.9
29 Gastritis K29.7
30 Gastritis K29.7
31 Gastritis Rujuk Z53.8 ; K29.7
32 GEA K52.9
33 GEA K52.9
34 GEA K52.9
35 GEA K52.9
36 GOUT M10.9
37 Hemiplegia G81.9
38 Hemorrhoid I84.9
39 Hipertensi I10
40 HNP M51.9
41 Hyperaesthesia R20.3
42 Injury T14.9
43 Injury T14.9
44 ISPA J06.9
45 ISPA J06.9
46 LBP M54.59
47 Neuropaty G62.9
48 NSTEMI I21.4
49 Retensi urine R33
50 Rujuk (kasus apapun) Z53.8
51 Scabies B86
52 SLE M329
53 STEMI I21.3
54 TTH G44.2
55 Urticaria L50.9
56 Vertigo R42
57 Vomitus R11
Koding Tarif Rawat Jalan
Tindakan ICD 9 Tarif INA-CBG
EKG 89.52 Rp 190,400.00
Nebulisasi; Oksigen 93.96; 93.94 Rp 323,900.00
Laboratorium; Infus; Oksigen 90.59; 99.18; 93.96 Rp 323,900.00
Pemasangan Kateter 96.46 Rp 352,900.00
- - Rp 190,400.00
Laboratorium 90.59 Rp 191,800.00
- Rp 191,800.00
Thorax; Lab 87.44; 90.59 Rp 109,300.00
EKG 89.52 Rp 323,900.00
Oksigen 93.96 Rp 323,900.00
- Rp 547,100.00
Laboratorium; EKG 90.59; 89.52 Rp 275,100.00
- - Rp 142,400.00
Laboratorium 90.59 Rp 142,400.00
- Rp 263,300.00
Laboratorium 90.59 Rp 191,800.00
Rp 191,400.00
Oksigen; Laboratorium 93.96; 90.59 Rp 323,900.00
Infus; EKG; Oksigen 99.18; 89.52; 93.96 Rp 323,900.00
Oksigen; EKG; Laboratorium 93.96; 89.52; 90.59 Rp 323,900.00
Rontgen Thorax 87.44 Rp 254,200.00
- Rp 254,200.00
EKG 89.52 Rp 254,200.00
Oksigen 93.96 Rp 323,900.00
- Rp 191,800.00
Laboratorium 90.59 Rp 191,800.00
Infus 99.18 Rp 191,800.00
Oksigen 93.96 Rp 323,900.00
- - Rp 142,400.00
Laboratorium 90.59 Rp 142,400.00
EKG; Lab; Thorax 89.52; 90.59; 87.44 Rp 109,300.00
- Rp 142,400.00
Laboratorium; Infus 90.59; 99.18 Rp 142,400.00
Infus 99.18 Rp 142,400.00
Infus 99.18 Rp 142,400.00
- - Rp 191,800.00
- - Rp 275,100.00
- - Rp 190,400.00
- - Rp 190,400.00
Laboratorium; Rontgen Lumbosacral 90.59; 87.24 Rp 190,400.00
Laboratorium; EKG 90.59; 89.52 Rp 190,400.00
Aff Hecting; GV 97.16; 97.89 Rp 193,100.00
Cabut Kuku 86.23 Rp 215,000.00
- - Rp 191,800.00
Laboratorium 90.59 Rp 191,800.00
- - Rp 190,400.00
- - Rp 254,200.00
Rp 634,300
Laboratorium 90.59 Rp 263,300.00
- - Rp 138,100.00
- - Rp 191,800.00
- - Rp 190,400.00
Rp 634,300
- - Rp 190,400.00
- - Rp 191,800.00
- - Rp 190,400.00
Pemasangan Infus 99.18 Rp 142,400.00

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