PANDUAN KODING PASIEN BPJS RS tipe C Reg.

Paket INA
Diagnosis ICD 10 Tindakan ICD 9 CM
CBGs
Fraktur Extremitas Atas
Fracture of clavicle S42.0 ORIF 79.39
J-1-30
Fracture of scapula S42.1 Bone Graft 78.01

Fracture of upper end

S42.2
of humerus
Fracture of shaft of ORIF 79.31
S42.3
humerus Bone Graft (+/-) 78.02
Fracture of lower end
S42.4
of humerus
Fracture of upper end
S52.0
of ulna
Fracture of upper end
S52.1
of radius
Fracture of shaft of
S52.2
ulna
Fracture of shaft of ORIF 79.32
S52.3
radius Bone Graft (+/-) 78.03
Fracture of shafts of
S52.4 M-1-80
both ulna and radius
Fracture of lower end
S52.5
of radius
Fracture of lower end
S52.6
of both ulna and radius
Fracture of navicular
[scaphoid] bone of S62.0
hand
Fracture of other
S62.1 ORIF 79.33
carpal bone(s)
Bone Graft (+/-) 78.04
Fracture of first
S62.2
metacarpal bone
Fracture of other
S62.3
metacarpal bone
Fracture of thumb S62.5
ORIF 76.34
Fracture of other finger S62.6

 Fraktur Extremitas Bawah

Fracture of neck femur S72.0
Pertrochanteric
S72.1
fracture
Subtrochanteric
S72.2 ORIF 79.35
fracture M-1-20
Bone Graft (+/-) 78.05
Fracture of shaft of
S72.3
femur
Fracture of lower end
S72.4
of femur
Internal Fixation 78.56
Fracture patella S82.0
Bone Graft (+/-) 78.06
Fracture of upper end
S82.1
of tibia
Fracture of shaft of
S82.2
tibia
Fracture of lower end
S82.3 M-1-70
of tibia ORIF 79.36
Fracture of fibula Bone Graft (+/-) 78.07
S82.4
alone
Fracture of medial
S82.5
malleolus
Fracture of lateral
S82.6
malleolus
Fracture of calcaneus S92.0
Fracture talus S92.1
Fracrture of other ORIF 79.37
S92.2 Bone Graft (+/-) 78.08
tarsal bone(s)
M-1-30
Fracture of metatarsal
S92.3
bone
Fracture of great toe S92.4 ORIF 79.38
Fracture of other toe S92.5 Bone Graft (+/-) 78.09

Removal Implant
Remove Implant
78.62
Humerus
Remove Implant
78.63
radius and Ulna
Remove Implant
Carpal and 78.64
Metacarpal

 Remove Implant
78.65
Femur
M-1-40
Remove Implant
78.66
Patella
Remove Implant
78.67
Tibia and Fibula
Remove Implant
Tarsal and 78.68
Metatarsal
Remove Implant
78.69
Other Bone
Amputation
Traumatic Amputation
S68.9 Amputation Hand 84.03
Hand
Traumatic Amputation Disarticulation
S68.4 84.04
Wrist Wrist
Traumatic Amputation Amputation
S58.1 84.05
Forearm Forearm
Traumatic Amputation Disarticulation
S58.0 84.06
Elbow Elbow
Traumatic Amputation Amputation
S48.1 84.07
Humerus Humerus
Traumatic Amputation Disarticulation
S48.0 84.08
Shoulder Shoulder
Traumatic Amputation
S98.4 Amputation Foot 84.12
Foot M-1-02
Disarticulation
Traumatic Amputation 84.13
S98.0 Ankle
Ankle
Amputation Ankle 84.14
Traumatic Amputation Below Knee
S88.1 84.15
Lower Leg Amputation
Traumatic Amputation Disarticulation
S88.0 84.16
Knee Joint Knee
Traumatic Amputation Amputation Above
S78.1 84.17
Upper Leg Knee
Traumatic Amputation
S78.0 Disarticulation Hip 84.18
Hip
Amputation, not
84.91
Specified
 Lain-lain
Excision of
semilunar 80.6
Tear of meniscus, cartilage of knee
S83.2 M-1-70
current
Other repair of
81.47
knee
Tendon
Talipes Equinovarus Q66.0 83.85 M-1-50
Lengthening
Lumbar and
Lumbosacral
81.06
Fusion, Posterior
TB of Bones and Technique
A18.0 M-1-03
Joints
Insertion of
Interbody Spinal 84.51
Fusion Device
Total Hip M-1-04
Fracture of neck femur S72.0 81.51
Replacement

+
Total Knee
Primary OA Bilateral M17.0 81.54
Replacement

RR05
+
YY02