Indikasi Medis Kode ICD X

1
3

15
Hernia Inguinal K40,
Internal haemorrhoids without complication I84.2,

Phimosis, Hiposdadi, Epispadi

Appendicitis

Gangrene, Abses, Selulitis

Tumor Ganglion
FAM

cholelitiasis
Soft Tissue D36.7
Post Ruptur Perinium N80.8

Leukositosis + Cellulitis + Dm gangren D72.9, L03.9, E10.5,

Tindakan Medis Kode ICD IX-CM
Laparatomi 54.1
Penutupan perforasi usus kecil dan besar 46.73 , 46.75
Appendektomi terbuka 47.0
Kolesistektomi terbuka 51.22
Herniotomi (Inguinal, Femoralis, Umbilikal) 53, 53.0, 53.1, 53.2, 53.3, 53.4
Hemoroidektomi 49.4
Repair Hernia diafragmatika kongenital/kel. Diafragma
53.7, 53.8
kongenital
Circumsisi 64.0
Appendektomi 47.0
06.2 (L-Total), 06.4 (T-Total),
Strumektomi (lobectomy & thyroidectomy)
06.39 (L/T-Parsial)
Debridement, amputasi gangren diabetik atau penyakit
84.91
y.l
Debridement skin / luka bakar 86.28
Insisi abses (termasuk submandibular abses, dll) 86.0
Ganglionectomy 82.21
Extirpation Mammae 85.21
Eksisi Breast
cholelitotomi
Eksisi Soft Tissue 83.49
Insisi Bartolini
Soft Tissue Skin 86.3
DEBRIDEMENT 86.28
Kode INA CBG's Tarif INA CBG's