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Koding RSAU Esnawan Antariksa (B Pemerintah)

SPINE
No Tindakan Diagnosis klinis
1 LESI HNP

Low back pain


Axial pain
Spinal stenosis

2 Epidurolisis HNP

Low back pain


Axial pain
Spinal stenosis

3 RF HNP

Low back pain


Axial pain
Spinal stenosis
Instabilitas

4 PELD HNP

Low back pain


Axial pain
Spinal stenosis
Instabilitas

5 Laser HNP

Low back pain


Axial pain
Spinal stenosis
Instabilitas
6 Laminektomi Spinal stenosis
dekompresi
Spondilolistesis

7 Stabilisasi pedikel Spinal stenosis


screw/fusi spinal
Spondilolistesis

Koding-koding diagnosis sekunder yang dapat meningkatkan severity level sedang dan berat yang relevan pad

No ICD 10 Peningkatan severity level


1 M51.0 Thoracic, sedang
thoracolumbar and
lumbosacral
intervertebral disc
disorders with
myelopathy

2 G82.2 Paraplegia sedang


3 G82.5 Tetraplegia berat
4 M96.1 sedang
Postlaminectomy
syndrome, not
elsewhere classified

6 G95.2 Other cord comsedang


5 D64.9 Anemia sedang
7 E87 Hipo/hiper Na/K sedang

CRANIAL
No Tindakan Diagnosis klinis
1 Kraniotomi/kraniekto Meningioma
mi dekompresi
High Grade Glioma

Low Grade Glioma

Ependymoma

ICH spontan

EDH

SDH

2 Endoskopi Meningioma

High Grade Glioma

Low Grade Glioma

Ependymoma

ICH spontan

3 Transsphenoid Adenoma hipofisis


4 VP shunt Hidrosefalus

PEDIATRIK
1 Rekonstruksi tutup deencephalocele

spina bifida aperta


spina bifida occulta

Koding-koding diagnosis sekunder yang dapat meningkatkan severity level sedang dan berat yang relevan pad

No ICD 10 Peningkatan severity level


1 G81.9 Hemiplegia sedang
2 G93.5 Compression sedang
of brain
3 H54 Blindness and sedang
low vision
4 H47.0 Disorder of sedang
optic nerve
6 E24.0 Cushing diseasesedang
5 D64.9 Anemia sedang
7 E87 Hipo/hiper Na/K sedang
8 I61.5 IVH berat
9 I61 Nontraumatic berat
intracerebral
hemorrhage
ICD 10
M51.16 Intervertebral disc disorders with radiculopathy, lumbar
region
M51.26 Other intervertebral disc displacement, lumbar region
M51.36 Other intervertebral disc degeneration, lumbar region
M54.1 Radiculopathy
M54.3 Sciatica
M54.4 Lumbago

M51.16 Intervertebral disc disorders with radiculopathy, lumbar


region
M51.26 Other intervertebral disc displacement, lumbar region
M51.36 Other intervertebral disc degeneration, lumbar region
M54.1 Radiculopathy
M54.3 Sciatica
M54.4 Lumbago

M51.16 Intervertebral disc disorders with radiculopathy, lumbar


region
M51.26 Other intervertebral disc displacement, lumbar region
M51.36 Other intervertebral disc degeneration, lumbar region
M54.1 Radiculopathy
M54.3 Sciatica
M54.4 Lumbago

M51.16 Intervertebral disc disorders with radiculopathy, lumbar


region
M51.26 Other intervertebral disc displacement, lumbar region
M51.36 Other intervertebral disc degeneration, lumbar region
M54.1 Radiculopathy
M54.3 Sciatica
M54.4 Lumbago

M51.16 Intervertebral disc disorders with radiculopathy, lumbar


region
M51.26 Other intervertebral disc displacement, lumbar region
M51.36 Other intervertebral disc degeneration, lumbar region
M54.1 Radiculopathy
M54.3 Sciatica
M54.4 Lumbago

M48.0 Spinal stenosis

M53.2 Spinal instabilities
M51.16 Intervertebral disc disorders with radiculopathy, lumbar
region
M51.26 Other intervertebral disc displacement, lumbar region
M51.36 Other intervertebral disc degeneration, lumbar region
M54.1 Radiculopathy
M54.3 Sciatica
M54.4 Lumbago

M48.0 Spinal stenosis

M53.2 Spinal instabilities

M43.16 Spondilolisthesis

M51.16 Intervertebral disc disorders with radiculopathy, lumbar


region
M51.26 Other intervertebral disc displacement, lumbar region
M51.36 Other intervertebral disc degeneration, lumbar region
M54.1 Radiculopathy
M54.3 Sciatica
M54.4 Lumbago

meningkatkan severity level sedang dan berat yang relevan pada tindakan spine
ICD 10
D32 Benign neoplasm of meninges
D42 Neoplasm of uncertain behavior of meninges
C71 Malignant neoplasm of brain
D43 Neoplasm of uncertain behavior of brain and central nervous
system
D33 Benign neoplasm of brain and other parts of central nervous
system
D43 Neoplasm of uncertain behavior of brain and central nervous
system
D33 Benign neoplasm of brain and other parts of central nervous
system
D43 Neoplasm of uncertain behavior of brain and central nervous
system
I61 Nontraumatic intracerebral hemorrhage

S06.4- Epidural hemorrhage

S06.5- Traumatic subdural hemorrhage

D32 Benign neoplasm of meninges


D42 Neoplasm of uncertain behavior of meninges
C71 Malignant neoplasm of brain
D43 Neoplasm of uncertain behavior of brain and central nervous
system
D33 Benign neoplasm of brain and other parts of central nervous
system
D43 Neoplasm of uncertain behavior of brain and central nervous
system
D33 Benign neoplasm of brain and other parts of central nervous
system
D43 Neoplasm of uncertain behavior of brain and central nervous
system
I61 Nontraumatic intracerebral hemorrhage

D35.2 Benign neoplasm of pituitary gland


G91 Hydrocephalus

Q01 Encephalocele

Q05 Spina bifida


Q76.0 Spina bifida occulta

meningkatkan severity level sedang dan berat yang relevan pada tindakan cranial
ICD 9 CM
03.92 Injection of other agent into spinal canal

99.23 Injection of steroid

03.6 Lysis of adhesions of spinal cord and nerve roots

04.2 Destruction of cranial and peripheral nerves

04.91 neurectasis

03.09 Other exploration and decompression of spinal canal

03.09 Other exploration and decompression of spinal canal


03.09 Other exploration and decompression of spinal canal

81.08 Lumbar and lumbosacral fusion of the anterior column,


posterior technique

ndakan spine
ICD 9 CM
01.24 Other craniotomy

01.25 Other craniectomy

01.13 Closed biopsy of brain

07.62 Partial excision of pituitary gland, transsphenoidal approach

07.65 Total excision of pituitary gland, transsphenoidal approach


02.34 ventricular shunt to abdominal cavity and organs

01.24 Other craniotomy

03.52 Repair of spinal myelomeningocele

ndakan cranial
Besaran CBG
Koding kelas III
Masalah bagian punggung/tulang belakang ringan IDR 3,580,400

Masalah bagian punggung/tulang belakang sedang IDR 5,007,600


Masalah bagian punggung/tulang belakang berat IDR 6,992,800

Prosedur tulang belakang ringan IDR 10,882,300

Prosedur tulang belakang sedang IDR 22,722,600


Prosedur tulang belakang berat IDR 30,955,900

Masalah bagian punggung/tulang belakang ringan IDR 3,580,400

Masalah bagian punggung/tulang belakang sedang IDR 5,007,600


Masalah bagian punggung/tulang belakang berat IDR 6,992,800
Prosedur saraf cranial/perifer ringan IDR 8,552,700
Prosedur saraf cranial/perifer sedang IDR 13,923,100
Prosedur saraf cranial/perifer berat IDR 12,618,000

Prosedur tulang belakang ringan IDR 10,882,300

Prosedur tulang belakang sedang IDR 22,722,600


Prosedur tulang belakang berat IDR 30,955,900

Prosedur tulang belakang ringan IDR 10,882,300

Prosedur tulang belakang sedang IDR 22,722,600


Prosedur tulang belakang berat IDR 30,955,900
Prosedur tulang belakang ringan IDR 10,882,300

Prosedur tulang belakang sedang IDR 22,722,600


Prosedur tulang belakang berat IDR 30,955,900

Prosedur fusi tulang belakang pada lengkungan IDR 22,601,500


tulang belakang ringan
Prosedur fusi tulang belakang pada lengkungan IDR 26,435,700
tulang belakang sedang
Prosedur fusi tulang belakang pada lengkungan IDR 32,718,600
tulang belakang berat
Besaran CBG
Koding kelas III
Kraniotomi ringan IDR 16,887,000

Kraniotomi sedang IDR 19,882,700

Kraniotomi berat IDR 21,906,500

Kraniotomi ringan IDR 16,887,000

Kraniotomi sedang IDR 19,882,700

Kraniotomi berat IDR 21,906,500

Prosedur kelenjar pituitari dan pineal ringan IDR 6,820,100

Prosedur kelenjar pituitari dan pineal sedang IDR 9,310,500


Prosedur kelenjar pituitari dan pineal berat IDR 22,448,600

Prosedur ventrikular shunt ringan IDR 9,039,800


Prosedur ventrikular shunt sedang IDR 16,526,800
Prosedur ventrikular shunt berat IDR 30,471,300

Kraniotomi ringan IDR 16,887,000


Kraniotomi sedang IDR 19,882,700
Kraniotomi berat IDR 21,906,500
Prosedur tulang belakang ringan IDR 10,882,300
Prosedur tulang belakang sedang IDR 22,722,600
Prosedur tulang belakang berat IDR 30,955,900
kelas II Kelas I
IDR 4,296,500 IDR 5,012,600

IDR 6,009,100 IDR 7,010,600


IDR 8,391,300 IDR 9,789,900

IDR 13,058,800 IDR 15,235,200

IDR 27,267,100 IDR 31,811,600


IDR 37,147,100 IDR 43,338,300

IDR 4,296,500 IDR 5,012,600

IDR 6,009,100 IDR 7,010,600


IDR 8,391,300 IDR 9,789,900
IDR 10,263,200 IDR 11,973,700
IDR 16,707,800 IDR 19,492,400
IDR 25,640,700 IDR 29,914,200

IDR 13,058,800 IDR 15,235,200

IDR 27,267,100 IDR 31,811,600


IDR 37,147,100 IDR 43,338,300

IDR 13,058,800 IDR 15,235,200

IDR 27,267,100 IDR 31,811,600


IDR 37,147,100 IDR 43,338,300
IDR 13,058,800 IDR 15,235,200

IDR 27,267,100 IDR 31,811,600


IDR 37,147,100 IDR 43,338,300

IDR 27,121,800 IDR 31,642,100

IDR 31,722,900 IDR 37,010,000

IDR 39,262,300 IDR 45,806,100


kelas II Kelas I
IDR 20,264,400 IDR 23,641,700

IDR 23,859,200 IDR 27,835,700

IDR 26,287,800 IDR 30,669,100

IDR 20,264,400 IDR 23,641,700

IDR 23,859,200 IDR 27,835,700

IDR 26,287,800 IDR 30,669,100

IDR 8,184,200 IDR 9,548,200

IDR 11,172,600 IDR 13,034,700


IDR 26,938,300 IDR 31,428,000

IDR 10,847,700 IDR 12,655,700


IDR 19,832,200 IDR 23,137,500
IDR 36,565,600 IDR 42,659,900

IDR 20,264,400 IDR 23,641,700


IDR 23,859,200 IDR 27,835,700
IDR 26,287,800 IDR 30,669,100
IDR 13,058,800 IDR 15,235,200
IDR 27,267,100 IDR 31,811,600
IDR 37,147,100 IDR 43,338,300

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