No ICD-10 Deskripsi

1 B34.9 Viral infection, unspecified

2 A91 Dengue haemorrhagic fever
3 A01.4 Paratyphoid fever, unspecified
4 K30 Dyspepsia
5 A01.0 Typhoid fever
6 A90 Dengue fever [classical dengue]
7 J18.9 Pneumonia, unspecified
8 A49.9 Bacterial infection, unspecified
9 A09.0 Other and unspecified gastroenteritis and colitis of infectious origin
10 A09.9 Gastroenteritis and colitis of unspecified origin
11 I10 Essential (primary) hypertension
12 N20.0 Calculus of kidney
13 N39.0 Urinary tract infection, site not specified
14 H81.1 Benign paroxysmal vertigo
15 J45.9 Asthma, unspecified
16 J06.9 Acute upper respiratory infection, unspecified
17 I11.0 Hypertensive heart disease with (congestive) heart failure
18 I86.1 Scrotal varices
19 J18.0 Bronchopneumonia, unspecified
20 N30.0 Acute cystitis
21 N93.9 Abnormal uterine and vaginal bleeding, unspecified
22 O34.2 Maternal care due to uterine scar from previous surgery
23 O80.9 Single spontaneous delivery, unspecified
24 B51.9 Plasmodium vivax malaria without complication
25 D26.9 Benign neoplasm, uterus, unspecified
26 E11.8 Non-insulin-dependent diabetes mellitus with unspecified complications
27 E11.9 Non-insulin-dependent diabetes mellitus without complications
28 I15.9 Secondary hypertension, unspecified
29 I20.9 Angina pectoris, unspecified
30 J44.1 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
31 J90 Pleural effusion, not elsewhere classified
32 K35.8 Acute appendicitis, other and unspecified
33 K76.0 Fatty (change of) liver, not elsewhere classified
34 K81.9 Cholecystitis, unspecified
35 L04.9 Acute lymphadenitis, unspecified
36 A05.9 Bacterial foodborne intoxication, unspecified
37 A15.1 Tuberculosis of lung, confirmed by culture only
38 B00.9 Herpesviral infection, unspecified
39 B20.6 HIV disease resulting in pneumocystis carinii pneumonia
40 B50.8 Other severe and complicated plasmodium falciparum malaria
41 B50.9 Plasmodium falciparum malaria, unspecified
42 C53.9 Malignant neoplasm, cervix uteri, unspecified
43 D16.2 Benign neoplasm, long bones of lower limb
44 D16.5 Benign neoplasm, lower jaw bone
45 D18.0 Haemangioma, any site
46 D21.5 Benign neoplasm, connective and other soft tissue of pelvis
47 D64.9 Anaemia, unspecified
48 E05.9 Thyrotoxicosis, unspecified
49 E11.4 Non-insulin-dependent diabetes mellitus with neurological complications
50 F23.2 Acute schizophrenia-like psychotic disorder
51 I20.0 Unstable angina
52 I63.9 Cerebral infarction, unspecified
53 I84.2 Internal haemorrhoids without complication
54 J03.9 Acute tonsillitis, unspecified
55 J40 Bronchitis, not specified as acute or chronic
56 K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene
57 K60.3 Anal fistula
58 K73.9 Chronic hepatitis, unspecified
59 K74.6 Other and unspecified cirrhosis of liver
60 K80.8 Other cholelithiasis
61 K81.0 Acute cholecystitis
62 L03.1 Cellulitis of other parts of limb
63 M00.87 Arthritis and polyarthritis due other specified bacterial agents, ankle and foot
64 M10.38 Gout due to impairment of renal function, other sites
65 M47.26 Other spondylosis with radiculopathy, lumbar region
66 M54.57 Low back pain, lumbosacral region
67 M54.59 Low back pain, site unspecified
68 M79.9 Soft tissue disorder, unspecified
69 N21.0 Calculus in bladder
70 N85.0 Endometrial glandular hyperplasia
71 N94.6 Dysmenorrhoea, unspecified
72 O20.0 Threatened abortion
73 O21.0 Mild hyperemesis gravidarum
74 O23.4 Unspecified infection of urinary tract in pregnancy
75 O32.2 Maternal care for transverse and oblique lie
76 O41.0 Oligohydramnios
77 O42.0 Premature rupture of membranes, onset of labour within 24 hours
78 O63.0 Prolonged first stage of labour
79 P39.4 Neonatal skin infection
80 R11 Nausea and vomiting
81 R20.2 Paraesthesia of skin
Jumlah ALOS Tindakan Tindakan Bedah Konsul / Visit Tenaga Ahli Keperawatan
18 4 0 - 5,882,500 0 10,085,500
16 4.6875 0 - 5,527,500 0 10,202,000
12 4.333333 0 - 4,358,750 0 7,652,500
12 3.583333 0 - 3,360,000 0 7,472,000
12 3.75 0 - 3,222,500 0 6,682,500
10 5 0 - 3,433,750 0 6,134,500
9 4.666667 0 - 3,121,250 0 6,968,500
8 3.625 0 - 2,387,500 0 4,802,000
7 3.857143 0 - 1,968,750 0 4,013,500
6 4 0 - 2,526,250 0 3,566,500
6 3.666667 0 - 1,830,000 0 3,404,500
6 4 0 - 2,062,500 0 3,340,000
6 3.833333 0 - 1,631,250 0 3,509,500
5 3.4 0 - 1,515,000 0 2,777,500
5 4.2 0 - 1,493,750 0 4,024,000
4 4.5 0 - 1,526,250 0 3,109,500
3 3.666667 0 - 731,250 0 2,310,000
3 2 0 5,226,000 222,500 0 1,677,500
3 6 0 - 1,672,500 0 4,090,000
3 3.666667 0 - 727,500 0 1,769,500
3 3.333333 0 - 998,750 0 1,997,000
3 3 0 7,448,000 1,302,500 0 2,290,000
3 2 0 3,550,000 637,500 0 1,365,500
2 5.5 0 - 776,250 0 1,231,500
2 3.5 0 4,230,000 690,000 0 1,457,500
2 3.5 0 - 718,750 0 1,365,000
2 3.5 0 - 603,750 0 1,071,500
2 3.5 0 - 571,250 0 1,292,500
2 4 0 - 663,750 0 1,466,500
2 5 0 - 598,750 0 1,642,500
2 4 0 - 436,250 0 1,449,500
2 4 0 3,517,500 542,500 0 955,000
2 3.5 0 - 603,750 0 1,085,000
2 3 0 - 428,750 0 985,000
2 2.5 0 3,417,000 352,500 0 1,162,500
1 3 0 - 258,750 0 527,500
1 4 0 - 236,250 0 647,500
1 4 0 - 345,000 0 657,500
1 4 0 - 236,250 0 527,500
1 4 0 - 258,750 0 482,500
1 4 0 - 292,500 0 557,500
1 3 0 - 308,750 0 960,000
1 6 0 1,306,500 481,250 0 1,060,000
1 2 0 1,306,500 - 0 415,000
1 3 0 1,306,500 258,750 0 560,000
1 2 0 1,708,500 86,250 0 430,000
1 4 0 - 345,000 0 577,500
1 3 0 - 258,750 0 647,500
1 4 0 - 236,250 0 805,000
1 8 0 - 940,000 0 1,197,500
1 3 0 - 206,250 0 527,500
1 2 0 - 172,500 0 352,500
1 5 0 1,708,500 292,500 0 916,500
1 3 0 - 172,500 0 464,000
1 3 0 - 258,750 0 852,500
1 2 0 2,211,000 230,000 0 715,000
1 3 0 1,708,500 258,750 0 655,000
1 4 0 - 232,500 0 662,500
1 3 0 - 232,500 0 597,500
1 5 0 - 431,250 0 724,000
1 5 0 - 258,750 0 1,069,000
1 3 0 - 258,750 0 730,000
1 4 0 - 200,000 0 622,000
1 4 0 - 308,750 0 807,500
1 2 0 - 172,500 0 417,500
1 4 0 - 172,500 0 352,500
1 4 0 - 345,000 0 582,500
1 3 0 1,306,500 258,750 0 535,000
1 5 0 - 378,750 0 695,000
1 3 0 - 230,000 0 502,500
1 4 0 - 345,000 0 562,500
1 4 0 1,650,000 525,000 0 507,500
1 4 0 - 258,750 0 502,500
1 3 0 - 258,750 0 512,500
1 3 0 2,330,000 352,500 0 760,000
1 3 0 2,115,000 200,000 0 582,500
1 3 0 2,330,000 172,500 0 460,000
1 1 0 - - 0 440,000
1 2 0 - 172,500 0 512,750
1 2 0 - 146,250 0 447,500
1 3 0 - 180,000 0 540,000
Penunjang Laboratorium Radiologi Pelayanan Darah Rehabilitasi Kamar / Akomodasi
0 5,340,000 510,000 0 0 13,362,500
0 7,032,000 410,000 0 0 11,810,000
0 4,604,000 - 0 0 9,682,500
0 3,642,000 1,640,000 0 0 6,407,000
0 4,364,000 500,000 0 0 7,850,000
0 4,505,000 300,000 0 0 8,477,500
0 3,222,000 1,120,000 0 0 6,652,500
0 1,885,000 - 0 0 5,077,500
0 2,452,000 110,000 0 0 4,230,000
0 1,980,000 - 0 0 5,985,000
0 1,790,000 330,000 0 0 3,555,000
0 1,845,000 1,120,000 0 0 3,893,000
0 2,092,000 1,580,000 0 0 5,002,500
0 1,515,000 - 0 0 3,570,000
0 1,035,000 330,000 0 0 3,790,000
0 832,000 110,000 0 0 3,340,000
0 1,260,000 630,000 0 0 1,685,000
0 555,000 220,000 0 0 1,040,000
0 367,000 220,000 0 0 3,840,000
0 1,324,000 675,000 0 0 1,557,500
0 650,000 400,000 0 0 2,635,000
0 555,000 100,000 0 0 1,727,500
0 555,000 - 0 0 1,362,500
0 775,000 200,000 0 0 1,897,500
0 695,000 - 0 0 1,630,000
0 1,095,000 110,000 0 0 1,870,000
0 1,140,000 - 0 0 1,207,500
0 795,000 220,000 0 0 1,510,000
0 890,000 320,000 0 0 1,612,500
0 485,000 220,000 0 0 1,470,000
0 1,120,000 420,000 0 0 1,040,000
0 509,000 510,000 0 0 1,260,000
0 720,000 400,000 0 0 1,207,500
0 360,000 300,000 0 0 865,000
0 370,000 - 0 0 862,500
0 155,000 - 0 0 517,500
0 530,000 110,000 0 0 520,000
0 420,000 - 0 0 520,000
0 305,000 - 0 0 520,000
0 485,000 - 0 0 690,000
0 485,000 - 0 0 690,000
0 590,000 200,000 0 0 1,110,000
0 210,000 - 0 0 780,000
0 185,000 - 0 0 260,000
0 185,000 - 0 0 390,000
0 185,000 110,000 0 0 345,000
0 220,000 - 0 0 1,600,000
0 440,000 200,000 0 0 517,500
0 462,000 - 0 0 520,000
0 1,252,000 - 0 0 1,040,000
0 500,000 110,000 0 0 517,500
0 647,000 110,000 0 0 260,000
0 185,000 - 0 0 1,320,000
0 380,000 - 0 0 517,500
0 155,000 200,000 0 0 517,500
0 210,000 110,000 0 0 590,000
0 185,000 - 0 0 517,500
0 855,000 200,000 0 0 690,000
0 560,000 200,000 0 0 517,500
0 575,000 300,000 0 0 862,500
0 212,000 610,000 0 0 862,500
0 170,000 300,000 0 0 517,500
0 350,000 310,000 0 0 520,000
0 590,000 200,000 0 0 520,000
0 180,000 260,000 0 0 260,000
0 155,000 260,000 0 0 520,000
0 155,000 260,000 0 0 520,000
0 210,000 - 0 0 390,000
0 327,000 300,000 0 0 862,500
0 445,000 100,000 0 0 1,605,000
0 212,000 - 0 0 690,000
0 552,000 - 0 0 690,000
0 237,000 - 0 0 390,000
0 247,000 100,000 0 0 517,500
0 435,000 - 0 0 859,500
0 185,000 - 0 0 469,000
0 185,000 - 0 0 574,000
0 185,000 - 0 0 -
0 - - 0 0 345,000
0 155,000 - 0 0 345,000
0 460,000 - 0 0 517,500
Rawat Intensif Obat Alkes BMHP Sewa Alat Subtotal RS
0 9,298,222 0 160,000 0 44,661,597
0 9,612,863 0 100,000 0 44,694,363
0 7,459,605 0 140,000 0 33,897,355
0 6,749,416 0 100,000 0 29,370,416
0 6,874,326 0 100,000 0 29,593,326
0 4,232,601 0 40,000 0 27,123,351
0 13,257,155 0 100,000 0 34,441,405
0 7,021,857 0 60,000 0 21,233,857
0 3,901,692 0 60,000 0 16,735,942
0 3,142,591 0 40,000 0 17,241,617
0 3,274,405 0 100,000 0 14,283,905
0 3,298,747 0 40,000 0 15,599,247
0 4,795,455 0 80,000 0 18,690,705
0 2,380,449 0 40,000 0 11,797,949
0 3,503,581 0 40,000 0 14,226,681
0 1,600,674 0 60,000 0 10,581,488
0 857,103 0 - 0 7,473,353
0 4,315,280 0 40,000 0 13,296,280
0 2,678,661 0 40,000 0 12,908,161
0 2,411,008 0 20,000 0 8,484,508
0 1,052,189 0 - 0 7,732,939
0 5,781,876 0 20,000 0 19,224,876
0 1,330,551 0 - 0 8,801,051
0 1,737,900 0 20,000 0 6,638,150
0 3,947,001 0 - 0 12,649,501
0 1,058,819 0 100,000 0 6,317,569
0 710,868 0 - 0 4,733,618
0 839,210 0 20,000 0 5,247,960
0 816,286 0 20,000 0 5,789,036
0 2,263,023 0 - 0 6,679,273
0 2,220,628 0 40,000 0 6,726,378
0 4,032,284 0 - 0 11,326,284
0 873,863 0 20,000 0 4,910,113
0 979,088 0 20,000 0 3,937,838
0 3,336,627 0 60,000 0 9,561,127
0 198,141 0 - 0 1,656,891
0 428,566 0 40,000 0 2,512,316
0 452,452 0 - 0 2,394,952
0 393,933 0 20,000 0 2,002,683
0 331,055 0 - 0 2,247,305
0 135,362 0 - 0 2,160,362
0 885,226 0 - 0 4,053,976
0 1,933,838 0 40,000 0 5,811,588
0 2,140,120 0 - 0 4,306,620
0 1,246,688 0 20,000 0 3,966,938
0 1,369,927 0 - 0 4,234,677
0 1,097,934 0 - 0 3,840,434
0 282,801 0 - 0 2,346,551
0 805,362 0 20,000 0 2,848,612
0 610,695 0 - 0 5,040,195
0 469,558 0 - 0 2,330,808
0 470,760 0 - 0 2,012,760
0 1,734,935 0 20,000 0 6,177,435
0 1,006,258 0 40,000 0 2,580,258
0 1,037,531 0 - 0 3,021,281
0 1,488,679 0 - 0 5,554,679
0 1,457,000 0 20,000 0 4,801,750
0 452,129 0 20,000 0 3,112,129
0 1,148,376 0 - 0 3,255,876
0 2,210,395 0 - 0 5,103,145
0 580,085 0 - 0 3,592,335
0 439,369 0 20,000 0 2,438,809
0 573,569 0 - 0 2,575,569
0 766,449 0 20,000 0 3,212,699
0 191,495 0 - 0 1,481,495
0 347,183 0 - 0 1,812,933
0 577,796 0 - 0 2,440,296
0 622,756 0 20,000 0 3,343,006
0 835,447 0 - 0 3,398,697
0 733,544 0 - 0 3,616,044
0 585,801 0 - 0 2,395,301
0 696,233 0 - 0 4,620,733
0 298,179 0 20,000 0 1,706,429
0 605,031 0 - 0 2,240,781
0 1,841,559 0 - 0 6,578,559
0 1,038,985 0 - 0 4,590,485
0 1,472,079 0 - 0 5,193,579
0 270,364 0 20,000 0 915,364
0 43,986 0 - 0 1,074,236
0 109,355 0 40,000 0 1,243,105
0 227,881 0 - 0 1,925,381
Subtotal INA-CBG
33,645,500
29,229,000
35,021,000
15,814,100
30,989,300
17,396,500
33,936,300
19,892,400
9,703,700
9,711,000
13,407,300
25,637,100
15,411,700
7,491,100
12,318,200
8,550,000
7,957,700
13,986,500
12,323,100
8,723,800
9,922,300
15,210,400
5,623,300
5,185,200
11,095,800
8,306,900
7,841,200
4,553,800
7,708,300
5,689,100
7,105,600
7,239,500
6,749,200
6,264,600
8,260,700
1,343,300
4,041,000
2,129,200
3,048,100
2,592,600
2,533,600
3,368,400
2,910,400
2,922,300
2,076,100
3,390,600
2,058,000
2,967,700
3,098,700
3,265,400
3,599,300
3,453,900
4,922,700
2,149,700
3,132,100
5,588,500
5,735,000
3,374,600
3,374,600
3,371,000
3,371,000
1,637,500
2,652,200
1,920,500
2,541,000
2,541,000
2,541,000
3,380,500
3,737,900
4,928,200
4,316,800
2,597,300
2,028,400
2,363,100
5,321,400
4,567,700
5,321,400
1,917,000
2,897,100
1,444,700
3,199,300