No Code Deskripsi

1 74.4 Cesarean section of other specified type

2 86.3 Other local excision or destruction of lesion or tissue of skin and
3 53.05 Repair of inguinal hernia with graft or prosthesis, not otherwise specified
4 73.59 Other manually assisted delivery
5 85.21 Local excision of lesion of breast
6 60.29 Other transurethral prostatectomy
7 69.01 Dilation and curettage for termination of pregnancy
8 47.09 Other appendectomy
9 56 Transurethral removal of obstruction from ureter and renal pelvis
10 56.81 Lysis of intraluminal adhesions of ureter
11 82.29 Excision of other lesion of soft tissue of hand
12 49.46 Excision of hemorrhoids
13 83.39 Excision of lesion of other soft tissue
14 84.11 Amputation of toe
15 86.22 Excisional debridement of wound, infection, or burn
16 99.83 Other phototherapy
17 22.2 Intranasal antrotomy
18 99.18 Injection or infusion of electrolytes
19 28.3 Tonsillectomy with adenoidectomy
20 13.59 Other extracapsular extraction of lens
21 57.32 Other cystoscopy
22 87.03 Computerized axial tomography of head
23 54.11 Exploratory laparotomy
24 82.86 Other tenoplasty of hand
25 78.63 Removal of implanted device from radius and ulna
26 86.7 Pedicle or flap graft, not otherwise specified
27 65.61 Other removal of both ovaries and tubes at same operative episode
28 78.67 Removal of implanted device from tibia and fibula
29 79.32 Open reduction of fracture with internal fixation, radius and ulna
30 80.17 Other arthrotomy of ankle
31 79.34 Open reduction of fracture with internal fixation, phalanges of hand
32 99.03 Other transfusion of whole blood
33 40.23 Excision of axillary lymph node
34 80.16 Other arthrotomy of knee
35 85.12 Open biopsy of breast
36 56.31 Ureteroscopy
37 68.49 Other and unspecified total abdominal hysterectomy
38 78.65 Removal of implanted device from femur
39 79.36 Open reduction of fracture with internal fixation, tibia and fibula
40 11.32 Excision of pterygium with corneal graft
41 58.5 Release of urethral stricture
42 88.76 Diagnostic ultrasound of abdomen and retroperitoneum
43 57 Transurethral clearance of bladder
44 65.49 Other unilateral salpingo-oophorectomy
45 78.61 Removal of implanted device from scapula, clavicle, and thorax (ribs and sternum
46 82.21 Excision of lesion of tendon sheath of hand
47 54.59 Other lysis of peritoneal adhesions
48 64.44 Reconstruction of penis
49 79.3 Open reduction of fracture with internal fixation, unspecified site
50 79.35 Open reduction of fracture with internal fixation, femur
51 82.33 Other tenonectomy of hand
52 84.01 Amputation and disarticulation of finger
53 18.29 Excision or destruction of other lesion of external ear
54 57.19 Other cystotomy
55 71.22 Incision of Bartholin's gland (cyst)
56 79.31 Open reduction of fracture with internal fixation, humerus
57 82.45 Other suture of other tendon of hand
58 86.63 Full-thickness skin graft to other sites
59 97.71 Removal of intrauterine contraceptive device
60 38.6 Other excision of vessels, unspecified site
61 65.29 Other local excision or destruction of ovary
62 68.39 Other and unspecified subtotal abdominal hysterectomy
63 80.18 Other arthrotomy of foot and toe
64 83.91 Lysis of adhesions of muscle, tendon, fascia, and bursa
65 57.49 Other transurethral excision or destruction of lesion or tissue of bladder
66 62.5 Orchiopexy
67 73.6 Episiotomy
68 78.62 Removal of implanted device from humerus
69 79.38 Open reduction of fracture with internal fixation, phalanges of foot
70 79.64 Debridement of open fracture of phalanges of hand
71 79.68 Debridement of open fracture of phalanges of foot
72 86.23 Removal of nail, nailbed, or nail fold
73 86.72 Advancement of pedicle graft
74 86.73 Attachment of pedicle or flap graft to hand
75 93.9 Non-invasive mechanical ventilation
76 93.96 Other oxygen enrichment
77 49.12 Anal fistulectomy
78 63.1 Excision of varicocele and hydrocele of spermatic cord
79 64 Circumcision
80 79.33 Open reduction of fracture with internal fixation, carpals and metacarpals
81 79.42 Closed reduction of separated epiphysis of radius and ulna
82 86.6 Free skin graft, not otherwise specified
83 86.61 Full-thickness skin graft to hand
84 86.69 Other skin graft to other sites
85 88.78 Diagnostic ultrasound of gravid uterus
86 97.64 Removal of other urinary drainage device
87 21.22 Biopsy of nose
88 21.32 Local excision or destruction of other lesion of nose
89 22.61 Excision of lesion of maxillary sinus with caldwell-luc approach
 90 22.62 Excision of lesion of maxillary sinus with other approach
91 28.11 Biopsy of tonsils and adenoids
92 45.79 Other and unspecified partial excision of large intestine
93 46.73 Suture of laceration of small intestine, except duodenum
94 48.69 Other resection of rectum
95 58.45 Repair of hypospadias or epispadias
96 67.12 Other cervical biopsy
97 68.31 Laparoscopic supracervical hysterectomy LSH
98 76.76 Open reduction of mandibular fracture
99 77.87 Other partial ostectomy of tibia and fibula
100 78.17 Application of external fixation device, tibia and fibula
101 79.12 Closed reduction of fracture with internal fixation, radius and ulna
102 79.39 Open reduction of fracture with internal fixation, other specified bone
103 81.44 Patellar stabilization
104 81.49 Other repair of ankle
105 82.91 Lysis of adhesions of hand
106 84.12 Amputation through foot
107 86.62 Other skin graft to hand
108 86.74 Attachment of pedicle or flap graft to other sites
109 93.57 Application of other wound dressing
110 93.94 Respiratory medication administered by nebulizer
111 4.49 Other peripheral nerve or ganglion decompression or lysis of adhesions
112 8.24 Excision of major lesion of eyelid, full-thickness
113 8.61 Reconstruction of eyelid with skin flap or graft
114 13.71 Insertion of intraocular lens prosthesis at time of cataract extract
115 18.12 Biopsy of external ear
116 18.39 Other excision of external ear
117 20.23 Incision of middle ear
118 21.72 Open reduction of nasal fracture
119 27.55 Full-thickness skin graft to lip and mouth
120 27.56 Other skin graft to lip and mouth
121 38.62 Other excision of vessels, other vessels of head and neck
122 58 Urethrotomy
123 66.51 Removal of both fallopian tubes at same operative episode
124 68.29 Other excision or destruction of lesion of uterus
125 69.09 Other dilation and curettage of uterus
126 71.09 Other incision of vulva and perineum
127 75.4 Manual removal of retained placenta
128 77.08 Sequestrectomy of tarsals and metatarsals
129 77.82 Other partial ostectomy of humerus
130 79.02 Closed reduction of fracture without internal fixation, radius and ulna
131 79.88 Open reduction of dislocation of foot and toe
132 82.39 Other excision of soft tissue of hand
133 83.31 Excision of lesion of tendon sheath
134 84.17 Amputation above knee
135 86.11 Biopsy of skin and subcutaneous tissue
136 97.65 Removal of urethral stent
137 99.23 Injection of steroid
138 8.22 Excision of other minor lesion of eyelid
139 8.44 Repair of entropion or ectropion with lid reconstruction
140 10.31 Excision of lesion or tissue of conjunctiva
141 16.39 Other evisceration of eyeball
142 18.09 Other incision of external ear
143 19.9 Other repair of middle ear
144 20.59 Other excision of middle ear
145 21.99 Other operations on nose
146 22.79 Other repair of nasal sinus
147 27 Drainage of face and floor of mouth
148 27.54 Repair of cleft lip
149 27.57 Attachment of pedicle or flap graft to lip and mouth
150 27.69 Other plastic repair of palate
151 28.2 Tonsillectomy without adenoidectomy
152 38.63 Other excision of vessels, upper limb vessels
153 40.3 Regional lymph node excision
154 45.13 Other endoscopy of small intestine
155 45.26 Open biopsy of large intestine
156 45.9 Intestinal anastomosis, not otherwise specified
157 46.2 Ileostomy, not otherwise specified
158 47.01 Laparascopic appendectomy
159 48.49 Other pull-through resection of rectum
160 49.95 Control of (postoperative) hemorrhage of anus
161 53.03 Other and open repair of direct inguinal hernia with graft or prosthesis
162 57.95 Replacement of indwelling urinary catheter
163 58.41 Suture of laceration of urethra
164 59.8 Ureteral catheterization
165 61.3 Excision or destruction of lesion or tissue of scrotum
166 61.42 Repair of scrotal fistula
167 62.69 Other repair of testis
168 64.2 Local excision or destruction of lesion of penis
169 64.43 Construction of penis
170 64.92 Incision of penis
171 66.39 Other bilateral destruction or occlusion of fallopian tubes
172 67.39 Other excision or destruction of lesion or tissue of cervix
173 68.9 Other and unspecified hysterectomy
174 70.24 Vaginal biopsy
175 70.33 Excision or destruction of lesion of vagina
176 71.3 Other local excision or destruction of vulva and perineum
177 71.79 Other repair of vulva and perineum
178 74 Classical cesarean section
179 74.99 Other cesarean section of unspecified type
180 77.07 Sequestrectomy of tibia and fibula
181 77.72 Excision of bone for graft, humerus
182 77.83 Other partial ostectomy of radius and ulna
183 77.85 Other partial ostectomy of femur
184 78.06 Bone graft of patella
185 78.07 Bone graft of tibia and fibula
186 78.6 Removal of implanted device, unspecified site
187 78.66 Removal of implanted device from patella
188 78.69 Removal of implanted device from other bone, except facial bone
189 79.01 Closed reduction of fracture without internal fixation, humerus
190 79.03 Closed reduction of fracture without internal fixation, carpals and metacarpals
191 79.04 Closed reduction of fracture without internal fixation, phalanges of hand
192 79.05 Closed reduction of fracture without internal fixation, femur
193 79.06 Closed reduction of fracture without internal fixation, tibia and fibula
194 79.14 Closed reduction of fracture with internal fixation,phalanges of hand
195 79.24 Open reduction of fracture without internal fixation, phalanges of hand
196 79.37 Open reduction of fracture with internal fixation, tarsals and metatarsals
197 79.41 Closed reduction of separated epiphysis of humerus
198 79.66 Debridement of open fracture of tibia and fibula
199 79.73 Closed reduction of dislocation of wrist
200 79.81 Open reduction of dislocation of shoulder
201 79.87 Open reduction of dislocation of ankle
202 80.46 Division of joint capsule, ligament, or cartilage of knee
203 80.76 Synovectomy of knee
204 81.47 Other repair of knee
205 82.44 Other suture of flexor tendon of hand
206 83.42 Other tenonectomy
207 83.5 Bursectomy
208 83.64 Other suture of tendon
209 83.75 Tendon transfer or transplantation
210 83.83 Tendon pulley reconstruction
211 84.15 Other amputation below knee
212 85.24 Excision of ectopic breast tissue
213 85.81 Suture of laceration of breast
214 86.04 Other incision with drainage of skin and subcutaneous tissue
215 86.4 Radical excision of skin lesion
216 86.85 Correction of syndactyly
217 88.72 Diagnostic ultrasound of heart
218 93.19 Exercise, not elsewhere classified
219 97.62 Removal of ureterostomy tube and ureteral catheter
220 98.11 Removal of intraluminal foreign body from ear without incision
221 98.22 Removal of other foreign body without incision from head and neck
222 99.04 Transfusion of packed cells
223 4.43 Release of carpal tunnel
Jumlah ALOS Subtotal R Subtotal INA-CBG
451 3.06 ### ###
266 2.15 ### ###
115 3.18 ### ###
115 2.07 ### ###
105 2.2 ### ###
91 3.95 ### ###
79 1.96 ### ###
41 3.93 ### ###
39 3.51 ### ###
38 3 ### ###
38 1.97 ### ###
29 3.41 ### ###
27 2 ### ###
25 2.76 ### ###
24 2.79 ### ###
23 2.74 ### ###
22 2.32 ### ###
21 6.43 ### ###
20 2.5 ### ###
19 2.42 ### ###
19 3.21 ### ###
18 4.72 ### ###
17 4.12 ### ###
16 2.13 ### ###
15 2.07 ### ###
15 2.47 ### ###
14 3.5 ### ###
14 2.07 ### ###
14 2.71 ### ###
14 3.21 ### ###
13 2.15 ### ###
13 2.77 ### ###
12 2.42 ### ###
12 2.25 ### ###
12 2.58 ### ###
11 2.18 ### ###
11 3.73 ### ###
11 2.09 ### ###
11 4.09 ### ###
10 1.9 ### ###
10 3.5 ### ###
10 3.3 ### ###
9 3.22 ### ###
9 3.22 ### ###
9 1.89 ### ###
9 2 ### ###
8 5.88 ### ###
8 2.75 ### ###
8 2.63 ### ###
8 3.63 ### ###
8 2 ### ###
8 2.25 ### ###
7 2.14 ### ###
7 3.43 ### ###
7 2 ### ###
7 2.86 ### ###
7 2.29 ### ###
7 2.14 ### ###
7 2.43 ### ###
6 2.67 ### ###
6 3 ### ###
6 3.33 ### ###
6 2.67 ### ###
6 2.17 ### ###
5 3.2 ### ###
5 2.8 ### ###
5 4 ### ###
5 2 ### ###
5 2.4 ### ###
5 2 ### ###
5 2.2 ### ###
5 1.8 ### ###
5 2.4 ### ###
5 2 ### ###
5 7 ### ###
5 4 ### ###
4 3.75 ### ###
4 2.25 ### ###
4 2.25 ### 4,790,200
4 2 ### ###
4 2 ### ###
4 2.5 ### ###
4 2.5 ### ###
4 2.25 ### ###
4 2 7,047,000 5,379,500
4 3.25 ### ###
3 2 ### 6,795,600
3 2.33 ### 8,607,600
3 2.67 ### ###
3 2.33 ### ###
3 1.67 ### ###
3 4 ### ###
3 3 ### ###
3 2.67 ### ###
3 2.33 ### ###
3 2.67 ### ###
3 5.33 ### ###
3 3 ### ###
3 2 ### ###
3 2.67 ### ###
3 2.67 ### ###
3 3.33 ### ###
3 2 ### ###
3 2.33 ### ###
3 2.33 ### ###
3 3 ### ###
3 2.67 ### ###
3 2 ### ###
3 4.33 ### 7,163,300
3 4.67 ### 8,328,700
2 2 ### ###
2 1.5 3,599,000 ###
2 2 ### 9,580,200
2 2.5 ### ###
2 2 ### 5,889,400
2 2 9,152,500 9,184,400
2 2 9,086,500 ###
2 1.5 8,414,500 9,184,400
2 3 ### 7,876,600
2 2.5 ### 9,278,500
2 2.5 ### 7,548,800
2 3.5 ### ###
2 3.5 ### ###
2 3 ### ###
2 2 8,628,000 3,755,000
2 2.5 ### 9,277,500
2 2 7,310,000 3,343,800
2 2.5 ### ###
2 2 ### ###
2 2 ### 5,861,200
2 2 ### ###
2 2 ### ###
2 2 ### 7,911,200
2 3.5 ### ###
2 2 ### 4,953,900
2 2 9,474,000 6,694,200
2 1.5 7,012,000 6,050,300
1 2 4,547,000 6,096,500
1 2 5,286,000 4,354,600
1 2 4,368,000 4,354,600
1 2 5,636,500 4,354,600
1 2 5,508,000 2,265,200
1 2 6,721,000 4,592,200
1 2 4,487,500 5,510,700
1 3 5,902,000 6,429,100
1 2 4,134,000 6,036,300
1 3 5,317,000 3,938,300
1 2 5,412,000 3,629,800
1 2 4,287,500 3,938,300
1 3 7,556,000 4,234,800
1 3 5,115,000 3,655,800
1 2 5,475,500 ###
1 3 6,910,000 ###
1 3 7,688,500 5,965,800
1 4 7,467,000 8,504,200
1 7 ### ###
1 9 ### 9,032,500
1 1 4,791,000 2,874,500
1 4 5,667,000 ###
1 5 8,080,000 5,914,100
1 4 6,375,000 4,664,800
1 2 4,151,000 3,954,300
1 3 6,257,000 5,965,800
1 4 3,575,000 2,946,700
1 5 7,379,500 7,903,500
1 5 9,278,000 6,608,600
1 5 8,770,000 4,136,500
1 2 7,782,000 7,028,900
1 2 4,124,000 7,028,900
1 3 6,962,500 9,840,500
1 2 3,861,500 2,203,500
1 1 4,288,500 5,691,400
1 3 7,491,000 6,321,000
1 4 4,715,000 4,281,900
1 2 4,567,000 3,568,300
1 2 5,482,000 3,568,300
1 2 2,804,000 3,568,300
1 3 5,613,000 4,975,200
1 3 5,487,000 4,975,200
1 2 6,043,500 ###
1 2 4,599,000 3,300,800
1 2 4,842,000 3,300,800
1 2 5,122,000 9,452,200
1 2 ### ###
1 2 5,507,500 ###
1 2 4,687,000 3,961,000
1 3 5,082,500 3,300,800
1 2 4,917,000 3,300,800
1 2 3,771,000 3,156,000
1 2 2,919,000 3,156,000
1 2 ### 3,156,000
1 2 4,527,000 2,266,400
1 1 5,770,000 2,254,300
1 2 5,264,000 7,720,600
1 2 6,536,000 6,433,900
1 2 6,715,500 6,484,500
1 2 4,818,000 9,007,400
1 3 7,813,000 ###
1 2 6,012,500 3,156,000
1 3 8,570,000 9,007,400
1 3 ### ###
1 2 6,784,000 ###
1 3 8,209,000 ###
1 2 6,230,500 ###
1 2 7,473,000 6,433,900
1 3 7,474,000 3,955,600
1 2 5,959,500 3,955,600
1 2 8,401,000 5,537,800
1 2 5,279,000 3,955,600
1 2 6,677,500 4,746,700
1 4 ### ###
1 2 5,401,000 6,998,500
1 4 7,419,000 2,703,500
1 4 7,698,500 4,549,600
1 2 5,121,000 3,955,600
1 2 7,139,500 6,433,900
1 4 4,175,000 2,652,900
1 5 7,990,000 7,717,300
1 5 6,593,000 2,946,700
1 2 4,292,500 2,265,200
1 2 6,697,000 2,334,600
1 4 6,454,000 3,372,100
1 1 4,769,000 1,138,600