Scribd Logo
Upload

Welcome to Scribd!

  • Tarif Spesialis Mata DR Adbul Cholicc

    Uploaded by

    nesya ghaisani
    10 views1 page
    This document outlines tariff claims for BPJS or Indonesia's universal healthcare program. It includes 7 procedures related to retinal detachment (RRD) such as sclera buckle surgery, vitrectomy, endolaser, and silicon oil injection. It also lists tariffs for procedures to treat vitreous hemorrhage, macular hole, retained lens, and more. The tariffs provided vary based on the type of procedure and patient's membership class (class 1 paying the highest rates).

    Original Description:

    Original Title

    Tarif Spesialis Mata Dr Adbul Cholicc

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document outlines tariff claims for BPJS or Indonesia's universal healthcare program. It includes 7 procedures related to retinal detachment (RRD) such as sclera buckle surgery, vitrectomy, endolaser, and silicon oil injection. It also lists tariffs for procedures to treat vitreous hemorrhage, macular hole, retained lens, and more. The tariffs provided vary based on the type of procedure and patient's membership class (class 1 paying the highest rates).

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Tarif Spesialis Mata DR Adbul Cholicc

    Uploaded by

    nesya ghaisani
    This document outlines tariff claims for BPJS or Indonesia's universal healthcare program. It includes 7 procedures related to retinal detachment (RRD) such as sclera buckle surgery, vitrectomy, endolaser, and silicon oil injection. It also lists tariffs for procedures to treat vitreous hemorrhage, macular hole, retained lens, and more. The tariffs provided vary based on the type of procedure and patient's membership class (class 1 paying the highest rates).

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Tarif Klaim BPJS

    NO Diagnosa ICD 10 Tindakan ICD 9CM


    kelas 3 kelas 2 kelas 1
    1 RRD H33.0 Sclera bucle 14.49 7,237,200 8,684,600 10,132,100
    2 RRD H33.0 Pars Plana Vitrectomy (vitrectomy) 14.74 Top up
    endolaser 14.24
    14,474,400 15,921,800 17,369,300
    endo diatermi 14.21
    SO (ilicon oil) 14.79
    3 PV (perdarahan Vitreous) H43.1 PPV (vitrectomy) 14.74 Top up
    14,474,400 15,921,800 17,369,300
    endolaser 14.24
    4 Macular Hok H35.3 PPV (vitrectomy) 14.74 Top up
    14,474,400 15,921,800 17,369,300
    injeksi vitreus /Gas (injeksi udara)/AB (antibiotik) 14.79
    ILM peeling
    5 Retained lens M Drop H44.7 PPV (vitrectomy) 14.74 top up
    exstirpasi lens 12.42
    14,474,400 15,921,800 17,369,300
    ekstraksi iris 12.97
    removal posterior segment of eye(silicon oil) 14.00
    6 attached retina dan So filled eye H44.7 remova SO (silicon oil) 14.00 7,237,200 8,684,600 10,132,100

    7 aphakia h27.0 ekstraksi lensa 13,19

    8 TASS (toxic anterior segmen sybdrome) h59.8

    ophthalmitis H44.0 tap vitreous 14,72


    endopthalmitiss ppv 14,74

    FIBROSIS VITREOUS H43.3

    No Diagnosa ICD 10 Tindakan/prosedur operasi ICD 9CM tarif klaim rajal


    posterior capsular lens oppacity (after/sekunder ND(neodymium dopped) YAG(Yttrium aluminum garnet) Lasser,
    1 H26.4 13.64 3,780,000
    catarac) /capsulotomy lens/lasser capsul posterior lens
    2 KSI, KSH, KSN H25. iol 13.71 3,780,000
    SICS 13.2 3,780,000
    phaco (Top UP) 13.41 3,780,000 top up 7,560,000
    3 hordeulum H00.0 incision hordeolum 08.09 256.100

    4 RVC(retina vascular occlusion) H34.8 OCT ( optical coherence tomography) non coronary vessel 38,25 tarif oct gabung dengan foto fundus
    fundus fotography 95,11 453.200
    5 RRD H33.0 laser diatermi 14,24 654.900

    6 PCO (posterior capsular oppacity) H26.4 yag lasser (discission of secondarry membrane) after catarac 13,64 3,780,000

    7 PDR (Proliferatif Diabetik Retinopaty) E14.3 H36.0 injeksi VEGF/injeksi vitreus 14.75 2,049,400

    You might also like