DAFTAR KODE ICD 10 RAWAT JALAN

No. ICD 10 Diagnosa ICD 9

1 N18.5 Chronic Kidney Diseases 39.95
2 J45.9 Asma Bronchial
3 z09.8 +i11.9 kontrol Hypertensive Heart Diseases
4 R10.4 Other and unspecified abdominal pain
5 M54.59 Low Back Pain 93.35
6 R50.9 hiperpirexia
7 J45.9 Asma Bronchial 93.94
8 R52.0 Acute pain
9 E86 Volume depletion
10 H81.4 Vertigo of central origin
11 O68.9 Labour and delivery complicated by fetal stress 88.78
12 I25.1 Atherosclerotic heart disease 88.72
13 D34 Benign neoplasm of thyroid gland 88.71
14 D24 Benign neoplasm of breast 88.73
15 H61.2 Impacted cerumen 98.11

16 T16 Foreign body in ear 96.52

17 Z09.8 Kontrol Rawat Jalan (diagnosa apapun dari setiap poli)

Prosedur
Hemodialisa
Nebulizer
Diagnostic ultrasound of gravid uterus
Diagnostic ultrasound of heart
Diagnostic ultrasound of head and neck
Diagnostic ultrasound of other sites of thorax
Removal of intraluminal foreign body
from ear without incision
Irrigation of ear
Deskripsi
PROSEDUR DIALISIS
PENYAKIT KRONIS KECIL LAIN-LAIN
PENYAKIT KRONIS KECIL LAIN-LAIN
GASTROINTESTINAL AKUT
PROSEDUR THERAPI FISIK DAN PROSEDUR KECIL MU
PENYAKIT AKUT KECIL LAIN-LAIN
PROSEDUR TERAPI SALURAN PERNAFASAN
PENYAKIT AKUT KECIL LAIN-LAIN
GANGGUAN METABOLIK AKUT
PENYAKIT KRONIS KECIL LAIN-LAIN
PROSEDUR ULTRASOUND GINEKOLOGIK
PROSEDUR EKOKARDIOGRAFI
PROSEDUR ULTRASOUND LAIN-LAIN
PROSEDUR ULTRASOUND LAIN-LAIN
PROSEDUR LAIN-LAIN PADA TELINGA, HIDUNG,
MULUT DAN TENGGOROKAN
PROSEDUR LAIN-LAIN PADA TELINGA, HIDUNG,
MULUT DAN TENGGOROKAN
Tarif INAJumlah
833000 262
192100 57
192100 47
143700 34
113800 29
193500 29
326800 28
193500 20
382600 16
192100 14
314100
333800
582100
582100
265900

265901

192100
 DAFTAR KODE ICD 10

No. ICD 10 Diagnosa

1 N18.5 Chronic Kidney Diseases
2 N18.5 Chronic Kidney Diseases
3 M54.59 Low Back Pain
4 J45.9 Asma Bronchial
5 J45.9 Asma Bronchial
6 R10.4 Other and unspecified abdominal pain
7 R50.9 hiperpirexia
8 i11.9 Hypertensive Heart Diseases
9 M17.9 Gonarthrosis
10 M75.0 Adhesive capsulitis of shoulder
11 A01.0 Typhoid fever
12 A09.9 Gastroenteritis and colitis of unspecified origin
13 A16.2 Tuberculosis of lung, without mention of
14 bacteriological or histological confirmation
15 A91 Dengue haemorrhagic fever
16 C11.9 Nasopharynx, unspecified
17 C20 Malignant neoplasm of rectum
18 C40.2 Long bones of lower limb
19 C50.9 Breast, unspecified
20 C54.1 Endometrium
21 C73 Malignant neoplasm of thyroid gland
22 D16.4 Bones of skull and face
23 D24 Benign neoplasm of breast
24 D28.1 Benign neoplasm, vagina
25 D29.4 Benign neoplasm, scrotum
26 D68.3 Haemorrhagic disorder due to circulating anticoagulants
27 E05.9 Thyrotoxicosis
28 E06.2 Chronic thyroiditis with transient thyrotoxicosis
29 E11.4 Non-insulin-dependent diabetes mellitus with neurological complications
30 E11.4;M17.9Non-insulin-dependent diabetes mellitus with neurological complications
31 Gonarthrosis
32 E11.4;I25.1 Non-insulin-dependent diabetes mellitus with neurological complications
33 Atherosclerotic heart disease
34 E11.4;G63.2Non-insulin-dependent diabetes mellitus with neurological complications
35 Diabetic polyneuropathy
36 E11.5 Non-insulin-dependent diabetes mellitus with peripheral circulatory complications
37 E11.9 Non-insulin-dependent diabetes mellitus without complications
38 E11.9;I10 Non-insulin-dependent diabetes mellitus without complications
39 Essential (primary) hypertension
40 E14.5 Unspecified diabetes mellitus with peripheral circulatory complications
41 E16.2 Hypoglycaemia
42 E86 Volume depletion
43 F20.0 Paranoid schizophrenia
44 F51.0 Nonorganic insomnia
 ICD 9 Prosedur
39.95 Hemodialisa

93.35

93.94 Nebulizer

y complications
Deskripsi Tarif INA CBG
PROSEDUR DIALISIS 833000
PENYAKIT KRONIS BESAR LAIN-LAIN 277600
PROSEDUR THERAPI FISIK DAN PROSEDUR KECIL MUSKULOSKLETAL 113800
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PROSEDUR TERAPI SALURAN PERNAFASAN 326800
GASTROINTESTINAL AKUT 143700
PENYAKIT AKUT KECIL LAIN-LAIN 193500
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT AKUT KECIL LAIN-LAIN 192100
PENYAKIT AKUT KECIL LAIN-LAIN 193500
PENYAKIT KRONIS KECIL LAIN-LAIN 192100

PENYAKIT AKUT BESAR LAIN-LAIN 306600

PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100

PENYAKIT KRONIS KECIL LAIN-LAIN 192100

PENYAKIT KRONIS KECIL LAIN-LAIN 192100

PENYAKIT KRONIS KECIL LAIN-LAIN 192100

PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
PENYAKIT KRONIS KECIL LAIN-LAIN 192100
GANGGUAN METABOLIK AKUT 382600
GANGGUAN METABOLIK AKUT 382600
PSIKOTHERAPI INDIVIDU DEWASA BUKAN AKUT 206000
PSIKOTHERAPI INDIVIDU DEWASA BUKAN AKUT 206000