ICD 10 & ICD 9 yang sering digunakan Jaga Ketik Bedah Umum

-- Bedah Trauma --
spontaneous pneumothorax (J93.1) chest tube V58.82 WSD
J94.2 Hemothorax
S27.3 Pulmonary contusion
J93.0 Spontaneous tension pneumothorax

Hernia
K40.30 Unilateral Inguinal Hernia, with
obstruction, without gangrene 53.0 Unilateral repair of inguinal hernia
K56.69 Other intestinal obstruction

Appendicitis
K35 Acute Appendicitis
47.0 Appendectomy
Maxillofacial Fracture
S.02.402A Zygomatic fracture, unspecified,
initial, encounter for closed fracture

Vulnus appertum
F42.4 Excoriation (skin-picking) disorder
S64 injury of nerves at wrist and hand level
S65 injury of blood vessels at wrist and hand
86.59 Hecting
level
39.3 suture of vessels
S66 injury of muscle, fascia and tendon at
86.22 Excisional debridement of wound,
wrist and hand level
infection, or burn
93.57 Application of other wound dressing
T63.0 Toxic effect of snake venomous bite
99.16 injection of antidote
99.2 Injection or infusion of other therapeutic
Z79.891 The use of analgetic
99.21 Injection of antibiotic
-- Bedah Saraf –
S.02 Skull Fracture
S02.0 Fracture of vault of skull
S02.1 Fracture of Base of skull 01.24 Trephination
S02.91 Unspecified fracture of skull 01.2 Craniotomy and craniectomy
S06.1 Traumatic cerebral edema decompressive
S06.3 Focal brain injury 93.96 Oxygen administration
S06.364 Traumatic hemorrhage of cerebrum, 02.02 Elevation of skull fracture segment
unspecified, with loss of consciousness of 6 02.21 Insertion or replacement of external
hours to 24 hours ventricular drain [EVD]
S06.4 Epidural Haemorrhage V45.2 VP shunt
S06.5 Traumatic Subdural Haemorrhage 99.2 Injection or infusion of other therapeutic
S06.6 Traumatic Subarachnoid Haemorrhage Z79.891 The use of analgetic
S06.9 Mild Head Injury 99.21 Injection of antibiotic
348.5 Cerebral Edema
I60.0 Intracranial hemorrhage
I61.9 Non Hemorrhage Stroke
G91.1 Obstructive hydrocephalus
G91.0 Communicating Hydrocephalus
I16.1 Hypertensive emergency
G93.89 Other specified disorders of brain
(pneumocephalus)
I61.5 nontraumatic intracerebral hemorrhage,
intraventricular (stroke)

Spinal Cord Injury

S14.109A Unspecified injury at unspecified
level of cervical spinal cord, initial encounter
S24.109A Unspecified injury at unspecified 03.09 decompression of spinal canal
level of thoracic spinal cord, initial encounter
S34.109A Unspecified injury to unspecified
level of lumbar spinal cord, initial encounter
Interna- Neurologi
R41.82 Altered mental status, unspecified
I62.00 Nontraumatic subdural hemorrhage,
unspecified
E11 Type 2 diabetes mellitus
A17.0 Tuberculous meningitis
R03.0 Essential (primary) hypertension
E942.6 Other antihypertensive agent causing
adverse effects in therapeutic use
99.17 injection of insulin
-- BTKV – 99.18 injection or infusion of electrolytes
L02.11 Cutaneous abscess of neck 760.77 anticonvulsants

E11.621 Type 2 diabetes mellitus with foot

ulcer
L02. 611 Cutaneous abscess of right foot
V58.82 Chest tube
J94.2 Hemothorax
38.95 insertion of infusion device into upper
I99.8 Acute Limb Ischemia
vein percutaneus approach (double lumen)
S22.4 Multiple fractures of ribs
38.95 Venous catheterization for renal
S22.3 Fracture of rib
dialysis
S22.30 Fracture of rib,closed
38.06 Thrombectomy
S22.31 Fracture of rib, open
79.39 Open reduction of fracture with internal
S27.3 Pulmonary contusion
fixation, other specified bone
J93.0 Spontaneous tension pneumothorax
34.04 Insertion of intercostal catheter for
drainage

Interna
N18 Chronic Kidney Disease
G93.4 Uremic Encephalopathy
I50 Heart Failure
86.09 other incision of skin and
I11 Hypertensive heart disease
E87.1 Hyponatremia and Hypo-osmolality subcutaneous skin
D64. 9 Anemia, unspecified 99.0 Transfusion of blood and blood
J18.9 Pneumonia, unspecified components
J69.0 Pneumonitis due to inhalation of
food and vomit
J90 Pleural effusion
I51.7 Cardiomegaly
R06.03 Acute respiratory distress
P23.9 Congenital pneumonia, unspecified
E46 Unspecified protein-calorie malnutrition
D72.829 Elevated white blood cell count
N18.9 Chronis Kidney Disease
D63.1 Anemia in chronic kidney disease
D4.60 Diabetes tipe II

-- Digestive –
K61.0 Anal Abscess
R19.7 Diarrhea, unspecified
K56 Paralytic ileus and intestinal obstruction
without hernia
R11.0 Nausea
C15.9 Malignant neoplasm of esophagus, 54.11 Exploratory laparotomy
unspecified 99.2 Injection or infusion of other therapeutic
Z92.21 Personal history of antineoplastic Z79.891 The use of analgetic
chemotherapy 99.21 Injection of antibiotic
E46 Unspecified protein-calorie malnutrition V65.9 Unspecified reason for consultation
D64. 9 Anemia, unspecified 99.2 Injection or infusion of other therapeutic

K65.0 Generalized (acute) peritonitis Z79.891 The use of analgetic

K65.1  Peritoneal abscess V65.3 Dietary surveillance and counseling
K65.2  Spontaneous bacterial peritonitis 99.0 Transfusion of blood and blood
K65.3 Choleperitonitis components
K65.4  Sclerosing mesenteritis
K65.8  Other peritonitis
K65.9  Peritonitis, unspecified
-- Orthopaedics --
S42.0 Fracture of clavicle
S32.0 Fracture of lumbar vertebra
M47 Spondylosis lumbar
S50-S59 Injuries to the elbow and
forearm
S52.50 Fracture of lower end of radius

-- Bedah Plastik --
T75.4 Eletrical injury
T30.0 Burn of unspecified body region,
unspecified degree
T31.10 Burn of Third degree
S.02.402A Zygomatic fracture, unspecified,
initial, encounter for closed fracture
S02.2 Fracture of nasal bones
S02.3 Fracture of orbital floor
S02.4 Fracture of malar, maxillary and
zygoma bones
S02.5 Fracture of tooth (traumatic)
S02.6 Fracture of mandible
S02.8 Fractures of other specified skull and
facial bones
S02.9 Fracture of unspecified skull and facial
bones
-- Bedah Anak --
Q42.2 Congenital abscence atresia &
stenosis of anus with fistula
Q39.0 Esophageal atresia without fistula
Q53.2 Undescended Testis Bilateral
K56.1 Intussusception
R10 abdominal and pelvic pain
Q00 Congenital malformations, deformations
and chromosomal abnormalities
Q05 Spina bifida
P36 Bacterial sepsis of newborn

INTERNA
Gangguan Elektrolit
D64.9 Anemia, unspecified
E88.09 Other disorders of plasma-protein
metabolism, not elsewhere classified
(hipoalbumin)
D47.3 Essential (hemorrhagic)
thrombocythemia
D72.82 Elevated white blood cell count
 E86.0 Dehydration
 E86.1 Hypovolemia
 E86.9 Volume depletion, unspecified

R74.0 Nonspecific elevation of levels of

transaminase and lactic acid
dehydrogenase [LDH]

 E87.0 Hyperosmolality and hypernatremia

 E87.1 Hypo-osmolality and
hyponatremia
 E87.2 Acidosis
 E87.3 Alkalosis
 E87.4 Mixed disorder of acid-base balance
 E87.5 Hyperkalemia
 E87.6 Hypokalemia
 E87.7 Fluid overload
 E87.70 …… unspecified
 E87.71 Transfusion associated circulatory
overload
 E87.79 Other fluid overload
E87.8 Other disorders of electrolyte and
fluid balance, not elsewhere classified
R79.1 - Abnormal coagulation profile

 candidiasis of urinary tract (B37.4-)

 neonatal urinary tract infection
(P39.3)
 pyuria (R82.81)
 urinary tract infection of specified
site, such as:
 cystitis (N30.-)
 urethritis (N34.-)

Vaskuler
N18. 9 Chronic kidney disease,
unspecified

D64. 9 Anemia, unspecified

E87.5 Hyperkalemia

E87.2 Acidosis

I50.9 Heart failure, unspecified

 D72.82 Elevated white blood cell count

 D72.820 Lymphocytosis (symptomatic)
 D72.821 Monocytosis (symptomatic)
 D72.822 Plasmacytosis
 D72.823 Leukemoid reaction
 D72.824 Basophilia
 D72.825 Bandemia
 D72.828 Other elevated white blood cell
count
 D72.829 …… unspecified

D24.1 Malignant phyllodes of left

breast

J90 Pleural effusion

G89.3 Neoplasm related pain

 R10.9 Unspecified abdominal pain

 R11 Nausea and vomiting
 R11.0 Nausea
 R11.1 Vomiting
 R11.10 …… unspecified
 R11.11 …… without nausea
 R11.12 Projectile vomiting
 R11.13 …… of fecal matter
 R11.14 Bilious vomiting
 R11.15 Cyclical vomiting syndrome
unrelated to migraine
 R11.2 Nausea with vomiting,
unspecified
 R12 Heartburn
 R13 Aphagia and dysphagia
 R13.0 Aphagia
 R13.1 Dysphagia
 R13.10 …… unspecified
 R13.11 …… oral phase
 R13.12 …… oropharyngeal phase
 R13.13 …… pharyngeal phase
 R13.14 …… pharyngoesophageal phase
 R13.19 Other dysphagia

C77.4 Secondary and unspecified

malignant neoplasm of inguinal and lower
limb lymph nodes
R19.00 Intra-abdominal and
pelvic swelling, mass and lump,
unspecified site 03.09 decompression of spinal canal
N18.9 Chronic Kidney disease
I82. 40. Acute embolism
and thrombosis of unspecified deep
veins of lower extremity
D64.9 Anemia
E88.09 Other disorders of plasma-protein
metabolism
E79.0 hyperuricemia without signs of
inflammatory arthritis and tophaceous
disease

Q43.1 Hirschsprung's disease

R06.03 Acute respiratory distress
E86.1 Hypovolemia
R19.7 Diarrea
J18.9 Pneumonia
R56.8 Seizure
D64.9 Anemia

N18.9 Chronic kidney disease

B20 Human Immunodeficiency Virus
B37.0 Candidal stomatitis
M62.50 Muscle wasting and atrophy
B58.2 Toxoplasma meningoencephalitis
N39.0 Urinary tract infection
D69.41 Evans syndrome
D64.9 Anemia
R56.9 Unspecified convulsions

D69.6 Thrombocytopenia
R31.9 Hematuria
R44.3 Hallucinations
A18.2 Tuberculous peripheral
lymphadenopathy
A15.0Tuberculosis of lung
76.7 Reduction of facial fracture
Includes: internal fixation
Code also any synchronous:
bone graft (76.91)
synthetic implant (76.92)
Excludes:
that of nasal bones (21.71-21.72)
76.70 Reduction of facial fracture, not
otherwise specified
76.71 Closed reduction of malar and
zygomatic fracture
76.72 Open reduction of malar and
zygomatic fracture
76.73 Closed reduction of maxillary
fracture
76.74 Open reduction of maxillary
fracture
76.75 Closed reduction of mandibular
fracture
76.76 Open reduction of mandibular
fracture
76.77 Open reduction of alveolar fracture
Reduction of alveolar fracture with
stabilization of teeth
76.78 Other closed reduction of facial
fracture
Closed reduction of orbital fracture
Excludes:
nasal bone (21.71)
76.79 Other open reduction of facial
fracture
Open reduction of orbit rim or wall
Excludes:
nasal bone (21.72)
NO NAMA TINDAKAN KODE TINDAKAN
         1. CTG 75.35
         2. CVC 38.93
         3. EKG 89.52
         4. FUNGSI ASITES 54.91
         5. GANTI BALUTAN/DRESSING 93.57
         6. GIPS 93.53 / 79.0
         7. HEMODIALISA 39.95
         8. INCUBATOR 93.35
         9. INFUS PUMP 86.06
       10. INFUS 99.18
       11. INJEKSI ANALGENTIK 04.81
       12. INJEKSI ANTI BIOTIK 99.21
       13. INTUBASI 96.02
       14. KATETERISASI 57.94
       15. KONTROL PENDARAHAN 39.98
       16. LABOLATORIUM 90.54
       17. MONITOR EKG 89.54
       18. NEBULIZER 93.94
       19. OKSIGEN 93.96
       20. PHOTO CERVICAL 87.22
       21. PHOTO PELVIS 87.24
       22. PHOTO SCHEDEL (SKULL) 87.17
       23. PHOTO TORAX 87.44
       24. RJP 99.60
       25. SUCTIONING 96.04
        26. SUTURE KAKI 83.89
       27. SUTURE KEPALA 86.59
       28. SUTURE TANGAN 82.46
       29. SYIRING PUMP 09.43
       30. USG ABDOMEN 88.76
       31. USG FAST 87.76
       32. USG HEPATOBILIER 88.74
       33. USG KANDUNGAN 88.78
       34. CYSTOTOMY 57.19
       35. USG URINARY 88.75
       36. PERSALINAN FORCEPS 72.9
       37. RADIOTHERAPY 92.23
       38. CHEMOTERAPHY 99.25
       39. CT SCAN KEPALA 87.03
       40. PENCABUTAN GIGI 23.09
       41. TRANFUSI DARAH 99.03
       42. RENOGRAFI 92.03

99.2 Injection or infusion of other therapeutic or prophylactic substance

96.07 Insertion gastric tube
96.38 Irrigation of rectum
R93.3 Gastrointestinal tract imaging
48.2 Diagnostic Procedures On Rectum, Rectosigmoid, And Perirectal Tissue
99.2 Injection or infusion of other therapeutic or prophylactic substance
V58.69 The use of other medication
Z79.891 The use of analgetic
86.22 Debridement of wound, infection, or burn
T31.0 Burns involving less than 10% of body surface
D72.829 Elevated white blood cell count
E87.1 Hyponatremia
G89.1 Acute pain
K12.2 Ludwig's angina
E11 Type 2 diabetes mellitus
D72.829 Elevated white blood cell count
E88.09 Hypoalbumin
E87.1 Hyponatremia
E87.6 Hypokalemia
G89.1 Acute pain
99.2 Injection or infusion of other therapeutic or prophylactic substance
99.21 Injection of antibiotic
Z79.891 The use of analgetic
86.04 Incision with drainage
99.17 Injection of insulin
99.15 Parenteral infusion of concentrated nutritional substances
S06 Traumatic brain injury
S06.5X9A Traumatic subdural hemorrhage
S06.330A Contusion brain
D72.829 Elevated white blood cell count
E87.1 Hyponatremia
G89.1 Acute pain
93.96 Oxygen administration
99.2 Injection or infusion of other therapeutic or prophylactic substance