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  • Tarif Spesialis Mata DR Adbul Cholic

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    nesya ghaisani
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    1. The document lists various eye conditions and corresponding ICD-10 codes and medical procedures. Conditions include retinal detachment, vitreous hemorrhage, macular hole, retained lens material, and others. Procedures include vitrectomy, laser treatment, injections, and lens extraction. 2. It also includes BPJS insurance reimbursement rates for various ICD-9 codes, ranging from around Rp3.7 million to Rp17.3 million depending on the classification. Some procedures are eligible for "top up" payments. 3. Tariff rates are also listed for several diagnostic tests and procedures like OCT scans, YAG laser capsulotomy, and fundus photography.

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    Tarif Spesialis Mata Dr Adbul Cholic

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    1. The document lists various eye conditions and corresponding ICD-10 codes and medical procedures. Conditions include retinal detachment, vitreous hemorrhage, macular hole, retained lens material, and others. Procedures include vitrectomy, laser treatment, injections, and lens extraction. 2. It also includes BPJS insurance reimbursement rates for various ICD-9 codes, ranging from around Rp3.7 million to Rp17.3 million depending on the classification. Some procedures are eligible for "top up" payments. 3. Tariff rates are also listed for several diagnostic tests and procedures like OCT scans, YAG laser capsulotomy, and fundus photography.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    15 views4 pages

    Tarif Spesialis Mata DR Adbul Cholic

    Uploaded by

    nesya ghaisani
    1. The document lists various eye conditions and corresponding ICD-10 codes and medical procedures. Conditions include retinal detachment, vitreous hemorrhage, macular hole, retained lens material, and others. Procedures include vitrectomy, laser treatment, injections, and lens extraction. 2. It also includes BPJS insurance reimbursement rates for various ICD-9 codes, ranging from around Rp3.7 million to Rp17.3 million depending on the classification. Some procedures are eligible for "top up" payments. 3. Tariff rates are also listed for several diagnostic tests and procedures like OCT scans, YAG laser capsulotomy, and fundus photography.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 4

    NO Diagnosa ICD 10 Tindakan

    1 RRD H33.0 Sclera bucle


    2 RRD H33.0 Pars Plana Vitrectomy (vitrectomy)
    endolaser
    endo diatermi
    SO (ilicon oil)
    3 PV (perdarahan Vitreous) H43.1 PPV (vitrectomy)
    endolaser
    4 Macular Hok H35.3 PPV (vitrectomy)
    injeksi vitreus /Gas (injeksi udara)/AB (antibiotik)
    ILM peeling
    5 Retained lens M Drop H44.7 PPV (vitrectomy)
    exstirpasi lens
    ekstraksi iris
    removal posterior segment of eye(silicon oil)
    6 attached retina dan So filled eye H44.7 remova SO (silicon oil)

    7 aphakia h27.0 ekstraksi lensa

    8 TASS (toxic anterior segmen sybdrome) h59.8

    ophthalmitis H44.0 tap vitreous


    endopthalmitiss ppv

    FIBROSIS VITREOUS H43.3

    No Diagnosa ICD 10 Tindakan/prosedur operasi


    posterior capsular lens oppacity (after/sekunder ND(neodymium dopped) YAG(Yttrium aluminum garnet) Lasser,
    1 H26.4
    catarac) /capsulotomy lens/lasser capsul posterior lens
    2 KSI, KSH, KSN H25. iol
    SICS
    phaco (Top UP)
    3 hordeulum H00.0 incision hordeolum

    4 RVC(retina vascular occlusion) H34.8 OCT ( optical coherence tomography) non coronary vessel
    fundus fotography
    5 RRD H33.0 laser diatermi

    6 PCO (posterior capsular oppacity) H26.4 yag lasser (discission of secondarry membrane) after catarac

    7 PDR (Proliferatif Diabetik Retinopaty) E14.3 H36.0 injeksi VEGF/injeksi vitreus


    Tarif Klaim BPJS
    ICD 9CM
    kelas 3 kelas 2 kelas 1
    14.49 7,237,200 8,684,600 10,132,100
    14.74 Top up
    14.24
    14,474,400 15,921,800 17,369,300
    14.21
    14.79
    14.74 Top up
    14,474,400 15,921,800 17,369,300
    14.24
    14.74 Top up
    14,474,400 15,921,800 17,369,300
    14.79

    14.74 top up
    12.42
    14,474,400 15,921,800 17,369,300
    12.97
    14.00
    14.00 7,237,200 8,684,600 10,132,100

    13.19

    14.72
    14.74

    ICD 9CM tarif klaim rajal

    13.64 3,780,000

    13.71 3,780,000
    13.2 3,780,000
    13.41 3,780,000 top up 7,560,000
    08.09 256,100

    38.25 tarif oct gabung dengan foto fundus


    95.11 453,200
    14.24 654,900

    13.64 3,780,000

    14.75 2,049,400

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