Laporan ICD Semua Units Agustus 2023

Laporan Diagnosa RSUD NGIMBANG
Jl. Raya Babat - Jombang No. 227 Sendangrejo Ngimbang Lamongan Kode Pos 62273
Semua Units
Tanggal: 01-08-2023 s/d 01-09-2023
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th 25-44 th 45-64 th > 65

No. Kode Nama Baru Lama Total
L P L P L P L P L P L P L P L P L P
1 Z09.0 Follow-up examination after surgery for other conditions 1 638 639 4 10 3 18 15 34 29 159 188 115 64
2 I10 Essential (primary) hypertension 17 322 339 6 11 75 136 66 45
3 Z96.1 Presence of intraocular lens 1 304 305 2 1 62 102 73 65
4 Z09.8 Follow-up exam after other treatment for other conditions 238 238 6 4 4 2 8 6 8 6 1 2 7 22 39 79 14 30
5 E11 Non-insulin-dependent diabetes mellitus 2 220 222 5 13 42 108 26 28
6 M54.5 Low back pain 12 192 204 1 4 6 54 82 24 33
7 I11 Hypertensive heart disease 7 170 177 2 7 43 59 32 34
8 H25 Senile cataract 20 155 175 4 26 58 51 36
9 I50.0 Congestive heart failure 5 159 164 1 3 4 43 54 42 17
10 H25.9 Senile cataract, unspecified 31 97 128 25 48 34 21
11 Z09.4 Follow-up examination after treatment of fracture 1 118 119 7 2 16 5 48 5 17 13 1 5
12 M19 Other arthrosis 5 101 106 1 33 45 8 19
13 Z09 Follow-up examination after treatment for conditions other than malignant neoplasms 97 97 5 6 9 8 9 37 14 9
14 I25.1 Atherosclerotic heart disease 74 74 22 22 20 10
15 G20 Parkinson's disease 71 71 26 29 6 10
16 Z34.9 Supervision of normal pregnancy, unspecified 27 40 67 27 39 1
17 H04.1 Other disorders of lacrimal gland 7 59 66 1 3 6 29 11 16
18 K30 Dyspepsia 16 45 61 1 3 2 4 1 7 13 14 8 8
19 I63 Cerebral infarction 6 54 60 1 20 27 8 4
20 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed 57 57 5 6 5 2 18 9 6 6
21 R10.0 Acute abdomen 22 34 56 1 3 4 5 12 11 13 7
22 I48 Atrial fibrillation and flutter 3 52 55 1 1 18 21 11 3
23 G40 Epilepsy 51 51 2 2 5 2 6 7 10 8 7 2
24 N20.1 Calculus of ureter 2 48 50 7 1 19 22 1
25 R50.9 Fever, unspecified 13 37 50 15 4 6 4 2 4 5 3 2 3 2
26 G62.9 Polyneuropathy, unspecified 46 46 4 27 9 6
27 A01.0 Typhoid fever 20 24 44 2 9 5 9 2 1 2 3 2 1 4 2 2
28 G81 Hemiplegia 1 38 39 6 4 15 11 2 1
29 J44.9 Chronic obstructive pulmonary disease, unspecified 2 37 39 1 4 1 15 10 7 1
30 R11 Nausea and vomiting 6 33 39 5 2 1 1 2 2 3 3 7 6 5 2
31 B20 Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic dis 3 34 37 2 1 9 5 16 4
32 M51.8 Other specified intervertebral disc disorders 1 35 36 3 15 4 14
33 N40 Hyperplasia of prostate 4 32 36 5 31
34 O63.0 Prolonged first stage of labour 11 25 36 14 22
35 H40 Glaucoma 1 34 35 2 6 4 17 6
36 D64.9 Anaemia, unspecified 8 22 30 1 2 1 3 8 6 9
37 I61.9 Intracerebral haemorrhage, unspecified 30 30 2 1 6 13 5 3
38 K04.1 Necrosis of pulp 3 26 29 4 3 6 5 7 1 3
39 E10 Insulin-dependent diabetes mellitus 28 28 2 2 9 12 1 2
40 K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene 20 8 28 1 1 15 10 1
41 H40.2 Primary angle-closure glaucoma 2 24 26 2 11 4 9
42 N30.2 Other chronic cystitis 26 26 4 8 11 2 1
43 R06.0 Dyspnoea 8 18 26 6 3 14 3
44 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5 20 25 2 5 2 1 1 1 1 2 2 7 1
45 N20.0 Calculus of kidney 2 23 25 2 2 4 7 10
46 G44.2 Tension-type headache 24 24 6 5 7 1 5
47 H16 Keratitis 3 21 24 3 8 5 6 1 1
48 M17.0 Primary gonarthrosis, bilateral 24 24 4 18 2
49 M25.6 Stiffness of joint, not elsewhere classified 22 22 5 12 5
50 M51.1 Lumbar and other intervertebral disc disorders with radiculopathy 22 22 1 17 1 3
51 J18.9 Pneumonia, unspecified 6 15 21 2 1 4 1 1 2 8 2
52 E05 Thyrotoxicosis [hyperthyroidism] 1 19 20 6 1 6 2 5
53 F20.1 Hebephrenic schizophrenia 1 19 20 3 3 11 3
54 I21.4 Acute subendocardial myocardial infarction 2 18 20 1 1 1 2 4 7 4
55 N23 Unspecified renal colic 9 11 20 2 2 8 5 3
56 Z48.8 Other specified surgical follow-up care 20 20 5 15
57 H36.0* Diabetic retinopathy (E10-E14 with common fourth character 3) 3 16 19 1 5 13
58 H81.4 Vertigo of central origin 1 18 19 1 4 6 5 3
59 J42 Unspecified chronic bronchitis 19 19 1 5 7 4 2
60 D21.9 Benign neoplasm, connective and other soft tissue, unspecified 9 9 18 2 3 4 2 2 1 2 2
61 G44.8 Other specified headache syndromes 18 18 7 4 7
62 M17 Gonarthrosis [arthrosis of knee] 18 18 9 9
63 N21.0 Calculus in bladder 1 17 18 6 3 9
64 I21 Acute myocardial infarction 17 17 3 5 3 6
65 N13.3 Other and unspecified hydronephrosis 17 17 2 4 9 2
66 S42.0 Fracture of clavicle 17 17 4 4 3 6
67 H11.0 Pterygium 4 12 16 2 1 1 8 1 3
68 H40.1 Primary open-angle glaucoma 1 15 16 1 1 7 2 5
69 Z39.2 Routine postpartum follow-up 16 16 7 8 1
70 F32.1 Moderate depressive episode 15 15 1 1 3 5 5
71 G40.9 Epilepsy, unspecified 15 15 1 3 10 1
72 I05.1 Rheumatic mitral insufficiency 15 15 1 5 7 2
73 R33 Retention of urine 3 12 15 2 3 10
74 S42.2 Fracture of upper end of humerus 4 11 15 10 1 3 1
75 S82.3 Fracture of lower end of tibia 15 15 9 2 4
76 H61.2 Impacted cerumen 6 8 14 1 1 2 1 1 2 4 2
77 J40 Bronchitis, not specified as acute or chronic 4 10 14 1 4 1 1 2 3 1 1
78 R50.0 Fever with chills 5 9 14 3 5 1 1 1 1 2
79 S72 Fracture of femur 1 13 14 4 5 3 2
80 Z00.1 Routine child health examination 14 14 1 9 4
81 B90 Sequelae of tuberculosis 1 12 13 6 5 2
82 S62.6 Fracture of other finger 1 12 13 7 4 2
83 E14.5 Unspecified diabetes mellitus with peripheral circulatory complications 2 10 12 2 2 5 3
84 H16.0 Corneal ulcer 3 9 12 1 3 1 4 1 2
85 H52.1 Myopia 5 7 12 1 1 2 3 3 1 1
86 R07.4 Chest pain, unspecified 4 8 12 1 5 3 1 2
87 I20 Angina pectoris 1 10 11 4 2 4 1
88 R51 Headache 1 10 11 4 5 2
89 R73.9 Hyperglycaemia, unspecified 4 7 11 3 7 1
90 Z86.5 Personal history of other mental and behavioural disorders 11 11 2 1 6 2
91 E13 Other specified diabetes mellitus 4 6 10 1 6 3
92 E16.2 Hypoglycaemia, unspecified 3 7 10 2 3 1 4
93 I63.9 Cerebral infarction, unspecified 2 8 10 1 1 2 4 1 1
94 J45 Asthma 1 9 10 2 2 1 1 3 1
95 M67.4 Ganglion 8 2 10 2 6 2
96 O48 Prolonged pregnancy 1 9 10 5 5
97 P07.1 Other low birth weight 8 2 10 1 1 5 2 1
98 S52.5 Fracture of lower end of radius 1 9 10 2 2 1 5
99 Z09.9 Follow-up exam after unspecified treatment for other conditions 1 9 10 2 2 4 1 1
100 D50 Iron deficiency anaemia 9 9 2 3 3 1
101 D69.6 Thrombocytopenia, unspecified 3 6 9 1 1 1 1 2 3
102 H52 Disorders of refraction and accommodation 3 6 9 2 1 4 1 1
103 I20.9 Angina pectoris, unspecified 1 8 9 2 1 2 4
104 I25 Chronic ischaemic heart disease 9 9 1 1 3 3 1
105 I50.9 Heart failure, unspecified 9 9 1 2 4 2
106 J06.9 Acute upper respiratory infection, unspecified 2 7 9 3 1 1 1 2 1
107 K04.7 Periapical abscess without sinus 3 6 9 1 2 2 1 2 1
108 K35.9 Acute appendicitis, unspecified 5 4 9 2 2 1 2 1 1
109 P21.1 Mild and moderate birth asphyxia 9 9 2 3 1 3
110 P59.9 Neonatal jaundice, unspecified 8 1 9 2 5 2
111 S82.2 Fracture of shaft of tibia 1 8 9 7 2
112 T14 Injury of unspecified body region 3 6 9 1 1 3 2 1 1
113 E86 Volume depletion 4 4 8 1 3 1 1 2
114 H10 Conjunctivitis 4 4 8 1 1 1 3 2
115 H26.4 After-cataract 8 8 3 3 2
116 H52.4 Presbyopia 2 6 8 1 4 2 1
117 H65.0 Acute serous otitis media 1 7 8 1 1 2 4
118 I84 Haemorrhoids 4 4 8 2 5 1
119 K08.3 Retained dental root 2 6 8 1 1 1 1 3 1
120 K56.7 Ileus, unspecified 1 7 8 2 5 1
121 K92.1 Melaena 1 7 8 1 5 2
122 L02 Cutaneous abscess, furuncle and carbuncle 4 4 8 2 3 3
123 M62.6 Muscle strain 8 8 8
124 O14.9 Pre-eclampsia, unspecified 2 6 8 8
125 O33.9 Maternal care for disproportion, unspecified 2 6 8 2 6
126 R10.4 Other and unspecified abdominal pain 3 5 8 1 1 2 1 1 2
127 G51 Facial nerve disorders 1 6 7 1 2 4
128 G54.2 Cervical root disorders, not elsewhere classified 7 7 7
129 G61.9 Inflammatory polyneuropathy, unspecified 7 7 1 3 1 2
130 H27.0 Aphakia 7 7 2 1 4
131 H52.2 Astigmatism 3 4 7 1 1 4 1
132 H53.2 Diplopia 7 7 5 1 1
133 H81.1 Benign paroxysmal vertigo 2 5 7 2 1 1 3
134 J20.9 Acute bronchitis, unspecified 7 7 4 1 1 1
135 J45.9 Asthma, unspecified 1 6 7 1 1 2 1 2
136 K40 Inguinal hernia 2 5 7 2 5
137 M51.2 Other specified intervertebral disc displacement 7 7 2 2 3
138 N39.0 Urinary tract infection, site not specified 2 5 7 1 2 1 2 1
139 P39.9 Infection specific to the perinatal period, unspecified 5 2 7 2 3 1 1
140 S52.1 Fracture of upper end of radius 2 5 7 3 1 3
141 S92.1 Fracture of talus 7 7 7
142 T63.0 Toxic effect, snake venom 3 4 7 1 2 2 2
143 A35 Other tetanus 2 4 6 1 4 1
144 A91 Dengue haemorrhagic fever 1 5 6 1 2 1 1 1
145 F20.0 Paranoid schizophrenia 1 5 6 2 2 2
146 F25 Schizoaffective disorders 6 6 4 2
147 G50.0 Trigeminal neuralgia 6 6 2 4
148 H18.1 Bullous keratopathy 6 6 1 2 3
149 H60.8 Other otitis externa 1 5 6 1 1 1 2 1
150 I15 Secondary hypertension 3 3 6 2 1 1 2
151 I49.3 Ventricular premature depolarization 6 6 1 3 1 1
152 I50 Heart failure 6 6 3 3
153 J18 Pneumonia, organism unspecified 1 5 6 1 4 1
154 J90 Pleural effusion, not elsewhere classified 1 5 6 4 2
155 K07.4 Malocclusion, unspecified 6 6 2 4
156 K12.2 Cellulitis and abscess of mouth 2 4 6 6
157 K65.9 Peritonitis, unspecified 3 3 6 1 1 2 1 1
158 M54.3 Sciatica 6 6 1 5
159 N17.9 Acute renal failure, unspecified 4 2 6 2 2 1 1
160 N18.9 Chronic renal failure, unspecified 2 4 6 1 3 1 1
161 N35 Urethral stricture 6 6 2 4
162 P22.0 Respiratory distress syndrome of newborn 5 1 6 4 2
163 R04.2 Haemoptysis 2 4 6 1 3 1 1
164 S09.9 Unspecified injury of head 2 4 6 2 4
165 A90 Dengue fever [classical dengue] 4 1 5 3 1 1
166 D64 Other anaemias 3 2 5 2 3
167 G54.0 Brachial plexus disorders 5 5 5
168 G61.8 Other inflammatory polyneuropathies 5 5 3 2
169 H01.0 Blepharitis 3 2 5 1 3 1
170 I21.1 Acute transmural myocardial infarction of inferior wall 5 5 5
171 I21.9 Acute myocardial infarction, unspecified 2 3 5 2 1 2
172 J35.0 Chronic tonsillitis 2 3 5 1 4
173 K92.0 Haematemesis 2 3 5 1 1 1 1 1
174 M19.9 Arthrosis, unspecified 5 5 1 1 3
175 N17 Acute renal failure 1 4 5 1 2 2
176 N18 Chronic kidney disease 1 4 5 1 2 1 1
177 O41.0 Oligohydramnios 3 2 5 5
178 O60 Preterm labour and delivery 3 2 5 5
179 R53 Malaise and fatigue 1 4 5 2 1 1 1
180 R99 Other ill-defined and unspecified cause of mortality 2 3 5 1 3 1
181 S09.0 Injury of blood vessels of head, not elsewhere classified 5 5 4 1
182 T14.8 Other injuries of unspecified body region 3 2 5 3 1 1
183 T15.0 Foreign body in cornea 2 3 5 2 2 1
184 Z23.2 Need for immunization against tuberculosis [BCG] 5 5 3 2
185 A01 Typhoid and paratyphoid fevers 4 4 1 1 1 1
186 A15.9 Respiratory tb unspec confirm bact and histologically 4 4 1 3
187 B19 Unspecified viral hepatitis 3 1 4 3 1
188 F03 Unspecified dementia 4 4 4
189 G44 Other headache syndromes 1 3 4 1 3
190 G56.0 Carpal tunnel syndrome 4 4 4
191 H19.1* Herpesviral keratitis and keratoconjunctivitis 1 3 4 1 3
192 H35.9 Retinal disorder, unspecified 1 3 4 1 2 1
193 H43.1 Vitreous haemorrhage 4 4 1 3
194 H52.0 Hypermetropia 4 4 3 1
195 H81.3 Other peripheral vertigo 4 4 1 2 1
196 H93.1 Tinnitus 4 4 1 2 1
197 I21.3 Acute transmural myocardial infarction of unspecified site 1 3 4 2 1 1
198 I35.1 Aortic (valve) insufficiency 4 4 1 3
199 I64 Stroke, not specified as haemorrhage or infarction 1 3 4 1 1 2
200 J02 Acute pharyngitis 1 3 4 1 1 1 1
201 J03 Acute tonsillitis 1 3 4 1 3
202 J03.9 Acute tonsillitis, unspecified 1 3 4 3 1
203 J20 Acute bronchitis 2 2 4 1 1 2
204 J44 Other chronic obstructive pulmonary disease 1 3 4 1 3
205 K35 Acute appendicitis 3 1 4 1 3
206 K56.0 Paralytic ileus 3 1 4 3 1
207 M25.0 Haemarthrosis 2 2 4 4
208 M53.3 Sacrococcygeal disorders, not elsewhere classified 4 4 4
209 M54.2 Cervicalgia 4 4 1 3
210 M65.3 Trigger finger 4 4 4
211 M66 Spontaneous rupture of synovium and tendon 4 4 3 1
212 M75.5 Bursitis of shoulder 4 4 4
213 N60.2 Fibroadenosis of breast 2 2 4 4
214 O21.0 Mild hyperemesis gravidarum 4 4 4
215 R10 Abdominal and pelvic pain 1 3 4 1 1 2
216 R18 Ascites 4 4 2 2
217 R56 Convulsions, not elsewhere classified 2 2 4 2 2
218 S09.8 Other specified injuries of head 4 4 4
219 S42.3 Fracture of shaft of humerus 4 4 4
220 S91.3 Open wound of other parts of foot 4 4 4
221 S92.9 Fracture of foot, unspecified 4 4 4
222 A15.2 Tuberculosis of lung, confirmed histologically 3 3 2 1
223 A18.2 Tuberculous peripheral lymphadenopathy 3 3 1 2
224 A80.4 Acute nonparalytic poliomyelitis 3 3 3
225 B18.9 Chronic viral hepatitis, unspecified 3 3 3
226 C34 Malignant neoplasm of bronchus and lung 3 3 1 2
227 C69 Malignant neoplasm of eye and adnexa 3 3 1 2
228 E04.9 Nontoxic goitre, unspecified 2 1 3 1 2
229 E11.6 Non-insulin-dependent diabetes mellitus with other specified complications 1 2 3 1 1 1
230 F41.2 Mixed anxiety and depressive disorder 3 3 3
231 G51.0 Bell's palsy 3 3 3
232 G93.4 Encephalopathy, unspecified 1 2 3 1 1 1
233 H00 Hordeolum and chalazion 1 2 3 1 2
234 H00.0 Hordeolum and other deep inflammation of eyelid 3 3 1 1 1
235 H10.3 Acute conjunctivitis, unspecified 1 2 3 3
236 H17.0 Adherent leukoma 3 3 1 2
237 H47.2 Optic atrophy 3 3 1 2
238 H91.9 Hearing loss, unspecified 1 2 3 3
239 I11.0 Hypertensive heart disease with (congestive) heart failure 3 3 1 1 1
240 I20.0 Unstable angina 1 2 3 1 1 1
241 I45.1 Other and unspecified right bundle-branch block 3 3 1 2
242 I46.9 Cardiac arrest, unspecified 2 1 3 1 1 1
243 I47.1 Supraventricular tachycardia 3 3 2 1
244 I61 Intracerebral haemorrhage 2 1 3 1 2
245 J00 Acute nasopharyngitis [common cold] 3 3 1 1 1
246 J02.9 Acute pharyngitis, unspecified 3 3 1 2
247 J15.8 Other bacterial pneumonia 2 1 3 1 2
248 J44.1 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 3 3 2 1
249 J81 Pulmonary oedema 1 2 3 1 1 1
250 K00.6 Disturbances in tooth eruption 1 2 3 3
251 K02.1 Caries of dentine 1 2 3 1 2
252 K05.3 Chronic periodontitis 1 2 3 2 1
253 K21.9 Gastro-oesophageal reflux disease without oesophagitis 1 2 3 1 2
254 K52.9 Noninfective gastroenteritis and colitis, unspecified 3 3 1 2
255 K59.0 Constipation 2 1 3 1 2
256 L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified 1 2 3 1 1 1
257 L65.9 Nonscarring hair loss, unspecified 2 1 3 1 2
258 M43.1 Spondylolisthesis 1 2 3 3
259 M75.0 Adhesive capsulitis of shoulder 3 3 1 2
260 M75.1 Rotator cuff syndrome 3 3 3
261 N28.1 Cyst of kidney, acquired 3 3 1 1 1
262 N39 Other disorders of urinary system 3 3 3
263 N45 Orchitis and epididymitis 3 3 3
264 N60.9 Benign mammary dysplasia, unspecified 3 3 2 1
265 N83.0 Follicular cyst of ovary 3 3 3
266 O14.1 Severe pre-eclampsia 1 2 3 3
267 O42 Premature rupture of membranes 1 2 3 2 1
268 O63.9 Long labour, unspecified 1 2 3 2 1
269 P38 Omphalitis of newborn with or without mild haemorrhage 3 3 2 1
270 R04.0 Epistaxis 2 1 3 1 2
271 R50.1 Persistent fever 1 2 3 1 2
272 R63.0 Anorexia 1 2 3 1 2
273 R74.0 Elevated levels of transaminase & lactic acid dehydrogenase 2 1 3 1 1 1
274 S62.5 Fracture of thumb 1 2 3 1 2
275 S82 Fracture of lower leg, including ankle 3 3 3
276 S82.9 Fracture of lower leg, part unspecified 3 3 1 2
277 Z03.0 Observation for suspected tuberculosis 1 2 3 3
278 Z34.8 Supervision of other normal pregnancy 3 3 3
279 Z91.1 Personal hist noncompliance with med treatment and regimen 3 3 3
280 Z96.0 Presence of urogenital implants 3 3 1 2
281 A15.3 Tuberculosis of lung, confirmed by unspecified means 1 1 2 2
282 A15.8 Other respiratory tb confirm bact and histologically 2 2 2
283 A41.9 Septicaemia, unspecified 1 1 2 1 1
284 B00.5+ Herpesviral ocular disease 2 2 2
285 B02 Zoster [herpes zoster] 2 2 2
286 B16 Acute hepatitis B 2 2 2
287 B23 Human immunodeficiency virus [HIV] disease resulting in other conditions 2 2 2
288 B86 Scabies 1 1 2 1 1
289 C01 Malignant neoplasm of base of tongue 2 2 2
290 C11 Malignant neoplasm of nasopharynx 2 2 2
291 C53.9 Malignant neoplasm, cervix uteri, unspecified 2 2 1 1
292 D25 Leiomyoma of uterus 2 2 2
293 D28.2 Benign neoplasm, uterine tubes and ligaments 2 2 2
294 D50.0 Iron deficiency anaemia secondary to blood loss (chronic) 1 1 2 2
295 D50.9 Iron deficiency anaemia, unspecified 2 2 1 1
296 D72.8 Other specified disorders of white blood cells 2 2 1 1
297 E10.7 Insulin-dependent diabetes mellitus with multiple complications 1 1 2 1 1
298 E11.4+ Non-insulin-dependent diabetes mellitus with neurological complications 2 2 1 1
299 E11.5 Non-insulin-dependent diabetes mellitus with peripheral circulatory complications 2 2 2
300 E78 Disorders of lipoprotein metabolism and other lipidaemias 2 2 2
301 E79.0 Hyperuricaem without sign inflamm arthritis+tophaceous dis 2 2 1 1
302 E87 Other disorders of fluid, electrolyte and acid-base balance 2 2 2
303 F06.8 Other specified mental disorder brain damage and dysfunction/physcal disease 2 2 1 1
304 F20 Schizophrenia 2 2 2
305 F45 Somatoform disorders 2 2 2
306 G41 Status epilepticus 2 2 2
307 G59.0* Diabetic mononeuropathy 2 2 1 1
308 H02.0 Entropion and trichiasis of eyelid 2 2 1 1
309 H04 Disorders of lacrimal system 2 2 1 1
310 H10.5 Blepharoconjunctivitis 2 2 1 1
311 H16.8 Other keratitis 2 2 1 1
312 H26.2 Complicated cataract 2 2 1 1
313 H33.5 Other retinal detachments 1 1 2 1 1
314 H35.7 Separation of retinal layers 2 2 1 1
315 H66 Suppurative and unspecified otitis media 2 2 2
316 H68.1 Obstruction of Eustachian tube 2 2 1 1
317 I25.5 Ischaemic cardiomyopathy 2 2 1 1
318 I34.0 Mitral (valve) insufficiency 2 2 1 1
319 I46 Cardiac arrest 1 1 2 1 1
320 I51.7 Cardiomegaly 1 1 2 1 1
321 J30 Vasomotor and allergic rhinitis 1 1 2 1 1
322 J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection 1 1 2 1 1
323 K00.4 Disturbances in tooth formation 2 2 2
324 K04.0 Pulpitis 1 1 2 1 1
325 K07.2 Anomalies of dental arch relationship 2 2 2
326 K10.9 Disease of jaws, unspecified 2 2 2
327 K25 Gastric ulcer 2 2 2
328 K29.7 Gastritis, unspecified 1 1 2 1 1
329 K37 Unspecified appendicitis 2 2 2
330 K62.5 Haemorrhage of anus and rectum 2 2 2
331 K80 Cholelithiasis 2 2 2
332 L03 Cellulitis 2 2 2
333 L03.9 Cellulitis, unspecified 2 2 2
334 L04.9 Acute lymphadenitis, unspecified 2 2 2
335 L23.9 Allergic contact dermatitis, unspecified cause 2 2 1 1
336 L98.4 Chronic ulcer of skin, not elsewhere classified 2 2 2
337 M79.1 Myalgia 2 2 2
338 M79.2 Neuralgia and neuritis, unspecified 2 2 2
339 N30.9 Cystitis, unspecified 2 2 1 1
340 N34.3 Urethral syndrome, unspecified 2 2 2
341 N39.9 Disorder of urinary system, unspecified 2 2 1 1
342 N43 Hydrocele and spermatocele 2 2 2
343 N43.3 Hydrocele, unspecified 2 2 2
344 N47 Redundant prepuce, phimosis and paraphimosis 2 2 2
345 N83.2 Other and unspecified ovarian cysts 2 2 1 1
346 O02.0 Blighted ovum and nonhydatidiform mole 1 1 2 1 1
347 O02.9 Abnormal product of conception, unspecified 2 2 2
348 O03 Spontaneous abortion 2 2 1 1
349 O21.9 Vomiting of pregnancy, unspecified 2 2 2
350 O24 Diabetes mellitus in pregnancy 2 2 2
351 O36.4 Maternal care for intrauterine death 1 1 2 2
352 O42.9 Premature rupture of membranes, unspecified 1 1 2 2
353 O63.1 Prolonged second stage of labour 1 1 2 2
354 P07.0 Extremely low birth weight 2 2 2
355 P21.0 Severe birth asphyxia 2 2 1 1
356 P58.9 Neonatal jaundice due to excessive haemolysis, unspecified 1 1 2 1 1
357 P77 Necrotizing enterocolitis of fetus and newborn 1 1 2 2
358 P92 Feeding problems of newborn 2 2 1 1
359 Q21.1 Atrial septal defect 2 2 2
360 Q66.0 Talipes equinovarus 2 2 2
361 R02 Gangrene, not elsewhere classified 2 2 2
362 R06.8 Other and unspecified abnormalities of breathing 2 2 1 1
363 R16.0 Hepatomegaly, not elsewhere classified 2 2 2
364 R31 Unspecified haematuria 1 1 2 1 1
365 R40.2 Coma, unspecified 2 2 1 1
366 R55 Syncope and collapse 1 1 2 1 1
367 R56.0 Febrile convulsions 2 2 1 1
368 R63.8 Other symptoms and signs concerning food and fluid intake 1 1 2 1 1
369 S06 Intracranial injury 1 1 2 1 1
370 S06.9 Intracranial injury, unspecified 2 2 2
371 S22 Fracture of rib(s), sternum and thoracic spine 2 2 2
372 S22.0 Fracture of thoracic vertebra 1 1 2 2
373 S52 Fracture of forearm 1 1 2 1 1
374 S52.9 Fracture of forearm, part unspecified 2 2 2
375 S53 Dislocation, sprain and strain of joints and ligaments of elbow 2 2 2
376 S53.1 Dislocation of elbow, unspecified 2 2 1 1
377 S62 Fracture at wrist and hand level 2 2 2
378 S62.3 Fracture of other metacarpal bone 2 2 1 1
379 S72.3 Fracture of shaft of femur 1 1 2 2
380 S92 Fracture of foot, except ankle 2 2 2
381 Z12.4 Special screening examination for neoplasm of cervix 2 2 2
382 A01.4 Paratyphoid fever, unspecified 1 1 1
383 A41 Other sepsis 1 1 1
384 A41.0 Septicaemia due to staphylococcus aureus 1 1 1
385 A98.1 Omsk haemorrhagic fever 1 1 1
386 B08.4 Enteroviral vesicular stomatitis with exanthem 1 1 1
387 B15 Acute hepatitis A 1 1 1
388 B20.3 HIV disease resulting in other viral infections 1 1 1
389 B20.8 HIV disease resulting in other infectious and parasitic disease 1 1 1
390 B23.0 Acute HIV infection syndrome 1 1 1
391 B24 Unspecified human immunodeficiency virus [hiv] disease 1 1 1
392 B37.0 Candidal stomatitis 1 1 1
393 B37.3+ Candidiasis of vulva and vagina 1 1 1
394 C02.2 Malignant neoplasm, ventral surface of tongue 1 1 1
395 C18 Malignant neoplasm of colon 1 1 1
396 C31.0 Malignant neoplasm, maxillary sinus 1 1 1
397 C53 Malignant neoplasm of cervix uteri 1 1 1
398 C57 Malignant neoplasm of other and unspecified female genital organs 1 1 1
399 C64 Malignant neoplasm of kidney, except renal pelvis 1 1 1
400 C69.2 Malignant neoplasm, retina 1 1 1
401 C77.0 Secondary malignant neoplasm, lymph nodes of head, face and neck 1 1 1
402 D15.2 Benign neoplasm, mediastinum 1 1 1
403 D18.0 Haemangioma, any site 1 1 1
404 D21.4 Benign neoplasm, connective and other soft tissue of abdomen 1 1 1
405 D31.6 Benign neoplasm, orbit, unspecified 1 1 1
406 D33.0 Benign neoplasm, brain, supratentorial 1 1 1
407 D33.2 Benign neoplasm, brain, unspecified 1 1 1
408 D59 Acquired haemolytic anaemia 1 1 1
409 D59.1 Other autoimmune haemolytic anaemias 1 1 1
410 D69.4 Other primary thrombocytopenia 1 1 1
411 D69.9 Haemorrhagic condition, unspecified 1 1 1
412 E03 Other hypothyroidism 1 1 1
413 E06 Thyroiditis 1 1 1
414 E07.9 Disorder of thyroid, unspecified 1 1 1
415 E10.4+ Insulin-dependent diabetes mellitus with neurological complications 1 1 1
416 E11.2+ Non-insulin-dependent diabetes mellitus with renal complications 1 1 1
417 E11.9 Non-insulin-dependent diabetes mellitus without complications 1 1 1
418 E14.7 Unspecified diabetes mellitus with multiple complications 1 1 1
419 E63.9 Nutritional deficiency, unspecified 1 1 1
420 E78.5 Hyperlipidaemia, unspecified 1 1 1
421 E87.5 Hyperkalaemia 1 1 1
422 E87.6 Hypokalaemia 1 1 1
423 E87.8 Other disorders of electrolyte and fluid balance NEC 1 1 1
424 F06 Other mental disorders due to brain damage and dysfunction and to physical disease 1 1 1
425 F06.0 Organic hallucinosis 1 1 1
426 F06.3 Organic mood [affective] disorders 1 1 1
427 F23.1 Acute polymorphic psychot disorder with symptoms of schizophrenia 1 1 1
428 F48.8 Other specified neurotic disorders 1 1 1
429 G04.2 Bacterial meningoencephalitis and meningomyelitis nec 1 1 1
430 G25.5 Other chorea 1 1 1
431 G35 Multiple sclerosis 1 1 1
432 G40.8 Other epilepsy 1 1 1
433 G43.8 Other migraine 1 1 1
434 G60.2 Neuropathy in association with hereditary ataxia 1 1 1
435 G63* Polyneuropathy in diseases classified elsewhere 1 1 1
436 G63.2* Diabetic polyneuropathy 1 1 1
437 G63.3* Polyneuropathy in other endocrine and metabolic diseases 1 1 1
438 G80.0 Spastic cerebral palsy 1 1 1
439 G81.9 Hemiplegia, unspecified 1 1 1
440 G82.2 Paraplegia, unspecified 1 1 1
441 H00.1 Chalazion 1 1 1
442 H05 Disorders of orbit 1 1 1
443 H05.3 Deformity of orbit 1 1 1
444 H11.3 Conjunctival haemorrhage 1 1 1
445 H15.1 Episcleritis 1 1 1
446 H16.2 Keratoconjunctivitis 1 1 1
447 H16.9 Keratitis, unspecified 1 1 1
448 H18 Other disorders of cornea 1 1 1
449 H18.7 Other corneal deformities 1 1 1
450 H20.9 Iridocyclitis, unspecified 1 1 1
451 H31.8 Other specified disorders of choroid 1 1 1
452 H33 Retinal detachments and breaks 1 1 1
453 H35.1 Retinopathy of prematurity 1 1 1
454 H35.3 Degeneration of macula and posterior pole 1 1 1
455 H35.5 Hereditary retinal dystrophy 1 1 1
456 H40.0 Glaucoma suspect 1 1 1
457 H40.8 Other glaucoma 1 1 1
458 H44.2 Degenerative myopia 1 1 1
459 H47.0 Disorders of optic nerve, not elsewhere classified 1 1 1
460 H47.1 Papilloedema, unspecified 1 1 1
461 H53.0 Amblyopia ex anopsia 1 1 1
462 H54.4 Blindness, one eye 1 1 1
463 H60.3 Other infective otitis externa 1 1 1
464 H65.2 Chronic serous otitis media 1 1 1
465 H66.3 Other chronic suppurative otitis media 1 1 1
466 H66.9 Otitis media, unspecified 1 1 1
467 H80.1 Otosclerosis involving oval window, obliterative 1 1 1
468 H81 Disorders of vestibular function 1 1 1
469 I05.9 Mitral valve disease, unspecified 1 1 1
470 I07.0 Tricuspid stenosis 1 1 1
471 I07.1 Tricuspid insufficiency 1 1 1
472 I09.8 Other specified rheumatic heart diseases 1 1 1
473 I11.9 Hypertensive heart disease without (congestive) heart failure 1 1 1
474 I15.9 Secondary hypertension, unspecified 1 1 1
475 I24 Other acute ischaemic heart diseases 1 1 1
476 I25.2 Old myocardial infarction 1 1 1
477 I27.0 Primary pulmonary hypertension 1 1 1
478 I35.0 Aortic (valve) stenosis 1 1 1
479 I35.9 Aortic valve disorder, unspecified 1 1 1
480 I44.2 Atrioventricular block, complete 1 1 1
481 I44.7 Left bundle-branch block, unspecified 1 1 1
482 I49.1 Atrial premature depolarization 1 1 1
483 I84.2 Internal haemorrhoids without complication 1 1 1
484 J01.9 Acute sinusitis, unspecified 1 1 1
485 J16 Pneumonia due to other infectious organisms, not elsewhere classified 1 1 1
486 J21.9 Acute bronchiolitis, unspecified 1 1 1
487 J30.3 Other allergic rhinitis 1 1 1
488 J30.4 Allergic rhinitis, unspecified 1 1 1
489 J31.1 Chronic nasopharyngitis 1 1 1
490 J32.9 Chronic sinusitis, unspecified 1 1 1
491 J43.9 Emphysema, unspecified 1 1 1
492 J96 Respiratory failure, not elsewhere classified 1 1 1
493 J96.9 Respiratory failure, unspecified 1 1 1
494 K01 Embedded and impacted teeth 1 1 1
495 K01.1 Impacted teeth 1 1 1
496 K05.2 Acute periodontitis 1 1 1
497 K06 Other disorders of gingiva and edentulous alveolar ridge 1 1 1
498 K06.2 Gingival and edentulous alveolar ridge les assoc with traum 1 1 1
499 K06.9 Disorder of gingiva and edentulous alveolar ridge, unspec act 1 1 1
500 K09.8 Other cysts of oral region, not elsewhere classified 1 1 1
501 K14 Diseases of tongue 1 1 1
502 K29.5 Chronic gastritis, unspecified 1 1 1
503 K31.8 Other specified diseases of stomach and duodenum 1 1 1
504 K50.9 Crohn's disease, unspecified 1 1 1
505 K52.8 Other specified noninfective gastroenteritis and colitis 1 1 1
506 K65 Peritonitis 1 1 1
507 K65.0 Acute peritonitis 1 1 1
508 K71.2 Toxic liver disease with acute hepatitis 1 1 1
509 K71.3 Toxic liver disease with chronic persistent hepatitis 1 1 1
510 K73.8 Other chronic hepatitis, not elsewhere classified 1 1 1
511 K73.9 Chronic hepatitis, unspecified 1 1 1
512 K74.6 Other and unspecified cirrhosis of liver 1 1 1
513 K83.1 Obstruction of bile duct 1 1 1
514 L01 Impetigo 1 1 1
515 L23 Allergic contact dermatitis 1 1 1
516 L23.8 Allergic contact dermatitis due to other agents 1 1 1
517 L25 Unspecified contact dermatitis 1 1 1
518 L50 Urticaria 1 1 1
519 L50.9 Urticaria, unspecified 1 1 1
520 L51.2 Toxic epidermal necrolysis [lyell] 1 1 1
521 L74.3 Miliaria, unspecified 1 1 1
522 L84 Corns and callosities 1 1 1
523 L97 Ulcer of lower limb, not elsewhere classified 1 1 1
524 M21.5 Acquired clawhand, clubhand, clawfoot and clubfoot 1 1 1
525 M41 Scoliosis 1 1 1
526 M50.1 Cervical disc disorder with radiculopathy 1 1 1
527 M54.4 Lumbago with sciatica 1 1 1
528 M84.0 Malunion of fracture 1 1 1
529 N13.0 Hydronephrosis with ureteropelvic junction obstruction 1 1 1
530 N20 Calculus of kidney and ureter 1 1 1
531 N21.8 Other lower urinary tract calculus 1 1 1
532 N31.0 Uninhibited neuropathic bladder, not elsewhere classified 1 1 1
533 N35.9 Urethral stricture, unspecified 1 1 1
534 N36.2 Urethral caruncle 1 1 1
535 N44 Torsion of testis 1 1 1
536 N45.0 Orchitis, epididymitis and epididymo-orchitis with abscess 1 1 1
537 N64.2 Atrophy of breast 1 1 1
538 N75.1 Abscess of Bartholin's gland 1 1 1
539 N81.4 Uterovaginal prolapse, unspecified 1 1 1
540 N82 Fistulae involving female genital tract 1 1 1
541 N83.9 Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified 1 1 1
542 N85.8 Other specified noninflammatory disorders of uterus 1 1 1
543 O03.4 Spontaneous abortion, incomplete, without complication 1 1 1
544 O03.9 Spontaneous abortion, complete or unspecified, without complication 1 1 1
545 O14 Gestational [pregnancy-induced] hypertension with significant proteinuria 1 1 1
546 O15 Eclampsia 1 1 1
547 O20.8 Other haemorrhage in early pregnancy 1 1 1
548 O32.9 Maternal care for malpresentation of fetus, unspecified 1 1 1
549 O33 Maternal care for known or suspected disproportion 1 1 1
550 O33.5 Maternal care for disproportion due to unusually large fetus 1 1 1
551 O34.2 Maternal care due to uterine scar from previous surgery 1 1 1
552 O42.0 Premature rupture of membranes, onset of labour within 24 hours 1 1 1
553 O43 Placental disorders 1 1 1
554 O43.9 Placental disorder, unspecified 1 1 1
555 O44.1 Placenta praevia with haemorrhage 1 1 1
556 O46 Antepartum haemorrhage, not elsewhere classified 1 1 1
557 O47 False labour 1 1 1
558 O47.0 False labour before 37 completed weeks of gestation 1 1 1
559 O69.2 Labour and delivery complicated by other cord entanglement 1 1 1
560 O72 Postpartum haemorrhage 1 1 1
561 O72.3 Postpartum coagulation defects 1 1 1
562 O86.0 Infection of obstetric surgical wound 1 1 1
563 O86.1 Other infection of genital tract following delivery 1 1 1
564 O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium 1 1 1
565 P22.1 Transient tachypnoea of newborn 1 1 1
566 P24.0 Neonatal aspiration of meconium 1 1 1
567 P36.2 Sepsis of newborn due to staphylococcus aureus 1 1 1
568 P54.3 Other neonatal gastrointestinal haemorrhage 1 1 1
569 P80 Hypothermia of newborn 1 1 1
570 Q17.2 Microtia 1 1 1
571 Q21.3 Tetralogy of fallot 1 1 1
572 Q43.1 Hirschsprung's disease 1 1 1
573 Q56.4 Indeterminate sex, unspecified 1 1 1
574 Q65.5 Congenital subluxation of hip, unspecified 1 1 1
575 Q89.9 Congenital malformation, unspecified 1 1 1
576 R07.3 Other chest pain 1 1 1
577 R09.2 Respiratory arrest 1 1 1
578 R40 Somnolence, stupor and coma 1 1 1
579 R47.0 Dysphasia and aphasia 1 1 1
580 R48.2 Apraxia 1 1 1
581 R50 Fever of other and unknown origin 1 1 1
582 R57.9 Shock, unspecified 1 1 1
583 R63 Symptoms and signs concerning food and fluid intake 1 1 1
584 R74 Abnormal serum enzyme levels 1 1 1
585 R94.5 Abnormal results of liver function studies 1 1 1
586 S02.8 Fractures of other skull and facial bones 1 1 1
587 S05.3 Ocular lacn without prolapse or loss of intraocular tissue 1 1 1
588 S05.8 Other injuries of eye and orbit 1 1 1
589 S06.5 Traumatic subdural haemorrhage 1 1 1
590 S31.4 Open wound of vagina and vulva 1 1 1
591 S32.0 Fracture of lumbar vertebra 1 1 1
592 S42.4 Fracture of lower end of humerus 1 1 1
593 S52.4 Fracture of shafts of both ulna and radius 1 1 1
594 S67.0 Crushing injury of thumb and other finger(s) 1 1 1
595 S72.0 Fracture of neck of femur 1 1 1
596 S72.8 Fractures of other parts of femur 1 1 1
597 S73.0 Dislocation of hip 1 1 1
598 S83.6 Sprain and strain of other and unspecified parts of knee 1 1 1
599 S85.9 Injury of unspecified blood vessel at lower leg level 1 1 1
600 S86.8 Injury of other muscles and tendons at lower leg level 1 1 1
601 S91 Open wound of ankle and foot 1 1 1
602 S92.3 Fracture of metatarsal bone 1 1 1
603 S93.2 Rupture of ligaments at ankle and foot level 1 1 1
604 S97.1 Crushing injury of toe(s) 1 1 1
605 T15 Foreign body on external eye 1 1 1
606 T15.9 Foreign body on external eye, part unspecified 1 1 1
607 T16 Foreign body in ear 1 1 1
608 T30 Burn and corrosion, body region unspecified 1 1 1
609 T79.4 Traumatic shock 1 1 1
610 Z09.1 Follow-up examination after radiotherapy for oth conditions 1 1 1
611 Z11.1 Special screening examination for respiratory tuberculosis 1 1 1
612 Z11.5 Special screening examination for other viral diseases 1 1 1
613 Z23.6 Need for immunization against diphtheria alone 1 1 1
614 Z23.8 Need for immunization against other single bacterial diseases 1 1 1
615 Z27.3 Need for immunization against diphtheria-tetanus-pertussis with poliomyelitis [DTP + polio] 1 1 1
616 Z30 Contraceptive management 1 1 1
617 Z30.1 Insertion of (intrauterine) contraceptive device 1 1 1
618 Z50.5 Speech therapy 1 1 1
Rawat Jalan
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama
1 Z09.0 Follow-up examination after surgery for other conditions

2 I10 Essential (primary) hypertension
3 Z96.1 Presence of intraocular lens
4 Z09.8 Follow-up exam after other treatment for other conditions
5 E11 Non-insulin-dependent diabetes mellitus
6 M54.5 Low back pain
7 I11 Hypertensive heart disease
8 H25 Senile cataract
9 I50.0 Congestive heart failure
10 H25.9 Senile cataract, unspecified
11 Z09.4 Follow-up examination after treatment of fracture
12 M19 Other arthrosis
13 Z09 Follow-up examination after treatment for conditions other than malignant neoplasms
14 I25.1 Atherosclerotic heart disease
15 G20 Parkinson's disease
16 H04.1 Other disorders of lacrimal gland
17 Z34.9 Supervision of normal pregnancy, unspecified
18 K30 Dyspepsia
19 I63 Cerebral infarction
20 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed
21 I48 Atrial fibrillation and flutter
22 G40 Epilepsy
23 R10.0 Acute abdomen
24 G62.9 Polyneuropathy, unspecified
25 R50.9 Fever, unspecified
26 A01.0 Typhoid fever
27 N20.1 Calculus of ureter
28 G81 Hemiplegia
29 J44.9 Chronic obstructive pulmonary disease, unspecified
30 R11 Nausea and vomiting
31 B20 Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic dis
32 M51.8 Other specified intervertebral disc disorders
33 H40 Glaucoma
34 N40 Hyperplasia of prostate
35 I61.9 Intracerebral haemorrhage, unspecified
36 D64.9 Anaemia, unspecified
37 K04.1 Necrosis of pulp
38 E10 Insulin-dependent diabetes mellitus
39 H40.2 Primary angle-closure glaucoma
40 R06.0 Dyspnoea
41 G44.2 Tension-type headache
42 H16 Keratitis
43 M17.0 Primary gonarthrosis, bilateral
44 O63.0 Prolonged first stage of labour
45 A09 Diarrhoea and gastroenteritis of presumed infectious origin
46 M25.6 Stiffness of joint, not elsewhere classified
47 M51.1 Lumbar and other intervertebral disc disorders with radiculopathy
48 N20.0 Calculus of kidney
49 N30.2 Other chronic cystitis
50 E05 Thyrotoxicosis [hyperthyroidism]
51 F20.1 Hebephrenic schizophrenia
52 Z48.8 Other specified surgical follow-up care
53 H36.0* Diabetic retinopathy (E10-E14 with common fourth character 3)
54 H81.4 Vertigo of central origin
55 I21.4 Acute subendocardial myocardial infarction
56 J42 Unspecified chronic bronchitis
57 G44.8 Other specified headache syndromes
58 M17 Gonarthrosis [arthrosis of knee]
59 I21 Acute myocardial infarction
60 J18.9 Pneumonia, unspecified
61 N13.3 Other and unspecified hydronephrosis
62 N21.0 Calculus in bladder
63 H11.0 Pterygium
64 H40.1 Primary open-angle glaucoma
65 Z39.2 Routine postpartum follow-up
66 G40.9 Epilepsy, unspecified
67 I05.1 Rheumatic mitral insufficiency
68 K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene
69 S82.3 Fracture of lower end of tibia
70 F32.1 Moderate depressive episode
71 H61.2 Impacted cerumen
72 S42.0 Fracture of clavicle
73 Z00.1 Routine child health examination
74 B90 Sequelae of tuberculosis
75 J40 Bronchitis, not specified as acute or chronic
76 N23 Unspecified renal colic
77 H16.0 Corneal ulcer
78 H52.1 Myopia
79 R07.4 Chest pain, unspecified
80 R50.0 Fever with chills
81 S42.2 Fracture of upper end of humerus
82 S62.6 Fracture of other finger
83 S72 Fracture of femur
84 D21.9 Benign neoplasm, connective and other soft tissue, unspecified
85 I20 Angina pectoris
86 R33 Retention of urine
87 R51 Headache
88 Z86.5 Personal history of other mental and behavioural disorders
89 E13 Other specified diabetes mellitus
90 E16.2 Hypoglycaemia, unspecified
91 I63.9 Cerebral infarction, unspecified
92 J45 Asthma
93 R73.9 Hyperglycaemia, unspecified
94 Z09.9 Follow-up exam after unspecified treatment for other conditions
95 D50 Iron deficiency anaemia
96 H52 Disorders of refraction and accommodation
97 I25 Chronic ischaemic heart disease
98 I50.9 Heart failure, unspecified
99 J06.9 Acute upper respiratory infection, unspecified
100 K04.7 Periapical abscess without sinus
101 S52.5 Fracture of lower end of radius
102 T14 Injury of unspecified body region
103 D69.6 Thrombocytopenia, unspecified
104 H10 Conjunctivitis
105 H26.4 After-cataract
106 H52.4 Presbyopia
107 H65.0 Acute serous otitis media
108 I20.9 Angina pectoris, unspecified
109 K08.3 Retained dental root
110 K92.1 Melaena
111 M62.6 Muscle strain
112 R10.4 Other and unspecified abdominal pain
113 S82.2 Fracture of shaft of tibia
114 E86 Volume depletion
115 G51 Facial nerve disorders
116 G54.2 Cervical root disorders, not elsewhere classified
117 G61.9 Inflammatory polyneuropathy, unspecified
118 H27.0 Aphakia
119 H52.2 Astigmatism
120 H53.2 Diplopia
121 J20.9 Acute bronchitis, unspecified
122 J45.9 Asthma, unspecified
123 M51.2 Other specified intervertebral disc displacement
124 O48 Prolonged pregnancy
125 A35 Other tetanus
126 E14.5 Unspecified diabetes mellitus with peripheral circulatory complications
127 F20.0 Paranoid schizophrenia
128 F25 Schizoaffective disorders
129 G50.0 Trigeminal neuralgia
130 H18.1 Bullous keratopathy
131 H60.8 Other otitis externa
132 H81.1 Benign paroxysmal vertigo
133 I15 Secondary hypertension
134 I49.3 Ventricular premature depolarization
135 I50 Heart failure
136 J18 Pneumonia, organism unspecified
137 J90 Pleural effusion, not elsewhere classified
138 K07.4 Malocclusion, unspecified
139 M54.3 Sciatica
140 N35 Urethral stricture
141 N39.0 Urinary tract infection, site not specified
142 O14.9 Pre-eclampsia, unspecified
143 R04.2 Haemoptysis
144 S92.1 Fracture of talus
145 A90 Dengue fever [classical dengue]
146 A91 Dengue haemorrhagic fever
147 D64 Other anaemias
148 G54.0 Brachial plexus disorders
149 G61.8 Other inflammatory polyneuropathies
150 H01.0 Blepharitis
151 I21.1 Acute transmural myocardial infarction of inferior wall
152 I21.9 Acute myocardial infarction, unspecified
153 J35.0 Chronic tonsillitis
154 K92.0 Haematemesis
155 M19.9 Arthrosis, unspecified
156 M67.4 Ganglion
157 N17 Acute renal failure
158 N17.9 Acute renal failure, unspecified
159 N18 Chronic kidney disease
160 N18.9 Chronic renal failure, unspecified
161 O33.9 Maternal care for disproportion, unspecified
162 R53 Malaise and fatigue
163 R99 Other ill-defined and unspecified cause of mortality
164 S09.0 Injury of blood vessels of head, not elsewhere classified
165 S09.9 Unspecified injury of head
166 S52.1 Fracture of upper end of radius
167 T14.8 Other injuries of unspecified body region
168 T15.0 Foreign body in cornea
169 T63.0 Toxic effect, snake venom
170 Z23.2 Need for immunization against tuberculosis [BCG]
171 A01 Typhoid and paratyphoid fevers
172 A15.9 Respiratory tb unspec confirm bact and histologically
173 F03 Unspecified dementia
174 G44 Other headache syndromes
175 G56.0 Carpal tunnel syndrome
176 H19.1* Herpesviral keratitis and keratoconjunctivitis
177 H35.9 Retinal disorder, unspecified
178 H43.1 Vitreous haemorrhage
179 H52.0 Hypermetropia
180 H81.3 Other peripheral vertigo
181 H93.1 Tinnitus
182 I21.3 Acute transmural myocardial infarction of unspecified site
183 I35.1 Aortic (valve) insufficiency
184 I64 Stroke, not specified as haemorrhage or infarction
185 I84 Haemorrhoids
186 J02 Acute pharyngitis
187 J03 Acute tonsillitis
188 J03.9 Acute tonsillitis, unspecified
189 J20 Acute bronchitis
190 J44 Other chronic obstructive pulmonary disease
191 K35.9 Acute appendicitis, unspecified
192 K40 Inguinal hernia
193 K56.7 Ileus, unspecified
194 K65.9 Peritonitis, unspecified
195 L02 Cutaneous abscess, furuncle and carbuncle
196 M53.3 Sacrococcygeal disorders, not elsewhere classified
197 M54.2 Cervicalgia
198 M65.3 Trigger finger
199 M75.5 Bursitis of shoulder
200 O21.0 Mild hyperemesis gravidarum
201 O60 Preterm labour and delivery
202 R18 Ascites
203 S09.8 Other specified injuries of head
204 S42.3 Fracture of shaft of humerus
205 S92.9 Fracture of foot, unspecified
206 A15.2 Tuberculosis of lung, confirmed histologically
207 A18.2 Tuberculous peripheral lymphadenopathy
208 A80.4 Acute nonparalytic poliomyelitis
209 B19 Unspecified viral hepatitis
210 C34 Malignant neoplasm of bronchus and lung
211 C69 Malignant neoplasm of eye and adnexa
212 E11.6 Non-insulin-dependent diabetes mellitus with other specified complications
213 F41.2 Mixed anxiety and depressive disorder
214 G51.0 Bell's palsy
215 G93.4 Encephalopathy, unspecified
216 H00 Hordeolum and chalazion
217 H00.0 Hordeolum and other deep inflammation of eyelid
218 H10.3 Acute conjunctivitis, unspecified
219 H17.0 Adherent leukoma
220 H47.2 Optic atrophy
221 H91.9 Hearing loss, unspecified
222 I11.0 Hypertensive heart disease with (congestive) heart failure
223 I45.1 Other and unspecified right bundle-branch block
224 I46.9 Cardiac arrest, unspecified
225 I47.1 Supraventricular tachycardia
226 I61 Intracerebral haemorrhage
227 J00 Acute nasopharyngitis [common cold]
228 J02.9 Acute pharyngitis, unspecified
229 J15.8 Other bacterial pneumonia
230 J44.1 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
231 J81 Pulmonary oedema
232 K00.6 Disturbances in tooth eruption
233 K02.1 Caries of dentine
234 K05.3 Chronic periodontitis
235 K12.2 Cellulitis and abscess of mouth
236 K21.9 Gastro-oesophageal reflux disease without oesophagitis
237 K35 Acute appendicitis
238 K52.9 Noninfective gastroenteritis and colitis, unspecified
239 K56.0 Paralytic ileus
240 K59.0 Constipation
241 L65.9 Nonscarring hair loss, unspecified
242 M25.0 Haemarthrosis
243 M43.1 Spondylolisthesis
244 M66 Spontaneous rupture of synovium and tendon
245 M75.0 Adhesive capsulitis of shoulder
246 M75.1 Rotator cuff syndrome
247 N28.1 Cyst of kidney, acquired
248 N39 Other disorders of urinary system
249 N60.9 Benign mammary dysplasia, unspecified
250 N83.0 Follicular cyst of ovary
251 O41.0 Oligohydramnios
252 O42 Premature rupture of membranes
253 O63.9 Long labour, unspecified
254 P38 Omphalitis of newborn with or without mild haemorrhage
255 R04.0 Epistaxis
256 R10 Abdominal and pelvic pain
257 R50.1 Persistent fever
258 R56 Convulsions, not elsewhere classified
259 R63.0 Anorexia
260 S91.3 Open wound of other parts of foot
261 Z03.0 Observation for suspected tuberculosis
262 Z34.8 Supervision of other normal pregnancy
263 Z91.1 Personal hist noncompliance with med treatment and regimen
264 Z96.0 Presence of urogenital implants
265 A15.3 Tuberculosis of lung, confirmed by unspecified means
266 A15.8 Other respiratory tb confirm bact and histologically
267 A41.9 Septicaemia, unspecified
268 B00.5+ Herpesviral ocular disease
269 B02 Zoster [herpes zoster]
270 B16 Acute hepatitis B
271 B18.9 Chronic viral hepatitis, unspecified
272 B23 Human immunodeficiency virus [HIV] disease resulting in other conditions
273 B86 Scabies
274 C01 Malignant neoplasm of base of tongue
275 C11 Malignant neoplasm of nasopharynx
276 C53.9 Malignant neoplasm, cervix uteri, unspecified
277 D28.2 Benign neoplasm, uterine tubes and ligaments
278 D50.0 Iron deficiency anaemia secondary to blood loss (chronic)
279 D50.9 Iron deficiency anaemia, unspecified
280 D72.8 Other specified disorders of white blood cells
281 E04.9 Nontoxic goitre, unspecified
282 E10.7 Insulin-dependent diabetes mellitus with multiple complications
283 E11.4+ Non-insulin-dependent diabetes mellitus with neurological complications
284 E78 Disorders of lipoprotein metabolism and other lipidaemias
285 E79.0 Hyperuricaem without sign inflamm arthritis+tophaceous dis
286 E87 Other disorders of fluid, electrolyte and acid-base balance
287 F06.8 Other specified mental disorder brain damage and dysfunction/physcal disease
288 F45 Somatoform disorders
289 G59.0* Diabetic mononeuropathy
290 H02.0 Entropion and trichiasis of eyelid
291 H04 Disorders of lacrimal system
292 H10.5 Blepharoconjunctivitis
293 H16.8 Other keratitis
294 H26.2 Complicated cataract
295 H33.5 Other retinal detachments
296 H35.7 Separation of retinal layers
297 H66 Suppurative and unspecified otitis media
298 H68.1 Obstruction of Eustachian tube
299 I20.0 Unstable angina
300 I25.5 Ischaemic cardiomyopathy
301 I34.0 Mitral (valve) insufficiency
302 I46 Cardiac arrest
303 I51.7 Cardiomegaly
304 J30 Vasomotor and allergic rhinitis
305 J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection
306 K00.4 Disturbances in tooth formation
307 K04.0 Pulpitis
308 K07.2 Anomalies of dental arch relationship
309 K25 Gastric ulcer
310 K29.7 Gastritis, unspecified
311 L23.9 Allergic contact dermatitis, unspecified cause
312 M79.1 Myalgia
313 M79.2 Neuralgia and neuritis, unspecified
314 N34.3 Urethral syndrome, unspecified
315 N39.9 Disorder of urinary system, unspecified
316 N43.3 Hydrocele, unspecified
317 N45 Orchitis and epididymitis
318 N60.2 Fibroadenosis of breast
319 N83.2 Other and unspecified ovarian cysts
320 O02.0 Blighted ovum and nonhydatidiform mole
321 O03 Spontaneous abortion
322 O14.1 Severe pre-eclampsia
323 O21.9 Vomiting of pregnancy, unspecified
324 O24 Diabetes mellitus in pregnancy
325 O36.4 Maternal care for intrauterine death
326 O42.9 Premature rupture of membranes, unspecified
327 O63.1 Prolonged second stage of labour
328 P07.0 Extremely low birth weight
329 P07.1 Other low birth weight
330 P39.9 Infection specific to the perinatal period, unspecified
331 P58.9 Neonatal jaundice due to excessive haemolysis, unspecified
332 Q21.1 Atrial septal defect
333 Q66.0 Talipes equinovarus
334 R06.8 Other and unspecified abnormalities of breathing
335 R31 Unspecified haematuria
336 R40.2 Coma, unspecified
337 R55 Syncope and collapse
338 R56.0 Febrile convulsions
339 R63.8 Other symptoms and signs concerning food and fluid intake
340 R74.0 Elevated levels of transaminase & lactic acid dehydrogenase
341 S06 Intracranial injury
342 S06.9 Intracranial injury, unspecified
343 S22.0 Fracture of thoracic vertebra
344 S52 Fracture of forearm
345 S52.9 Fracture of forearm, part unspecified
346 S53.1 Dislocation of elbow, unspecified
347 S62.3 Fracture of other metacarpal bone
348 S62.5 Fracture of thumb
349 S72.3 Fracture of shaft of femur
350 S82 Fracture of lower leg, including ankle
351 S82.9 Fracture of lower leg, part unspecified
352 S92 Fracture of foot, except ankle
353 Z12.4 Special screening examination for neoplasm of cervix
354 A01.4 Paratyphoid fever, unspecified
355 A41 Other sepsis
356 A41.0 Septicaemia due to staphylococcus aureus
357 A98.1 Omsk haemorrhagic fever
358 B08.4 Enteroviral vesicular stomatitis with exanthem
359 B15 Acute hepatitis A
360 B20.3 HIV disease resulting in other viral infections
361 B20.8 HIV disease resulting in other infectious and parasitic disease
362 B23.0 Acute HIV infection syndrome
363 B24 Unspecified human immunodeficiency virus [hiv] disease
364 B37.0 Candidal stomatitis
365 B37.3+ Candidiasis of vulva and vagina
366 C02.2 Malignant neoplasm, ventral surface of tongue
367 C18 Malignant neoplasm of colon
368 C31.0 Malignant neoplasm, maxillary sinus
369 C53 Malignant neoplasm of cervix uteri
370 C57 Malignant neoplasm of other and unspecified female genital organs
371 C64 Malignant neoplasm of kidney, except renal pelvis
372 C69.2 Malignant neoplasm, retina
373 C77.0 Secondary malignant neoplasm, lymph nodes of head, face and neck
374 D15.2 Benign neoplasm, mediastinum
375 D21.4 Benign neoplasm, connective and other soft tissue of abdomen
376 D25 Leiomyoma of uterus
377 D31.6 Benign neoplasm, orbit, unspecified
378 D33.0 Benign neoplasm, brain, supratentorial
379 D33.2 Benign neoplasm, brain, unspecified
380 D59 Acquired haemolytic anaemia
381 D59.1 Other autoimmune haemolytic anaemias
382 D69.4 Other primary thrombocytopenia
383 D69.9 Haemorrhagic condition, unspecified
384 E03 Other hypothyroidism
385 E06 Thyroiditis
386 E10.4+ Insulin-dependent diabetes mellitus with neurological complications
387 E11.2+ Non-insulin-dependent diabetes mellitus with renal complications
388 E11.5 Non-insulin-dependent diabetes mellitus with peripheral circulatory complications
389 E14.7 Unspecified diabetes mellitus with multiple complications
390 E63.9 Nutritional deficiency, unspecified
391 E78.5 Hyperlipidaemia, unspecified
392 E87.5 Hyperkalaemia
393 E87.8 Other disorders of electrolyte and fluid balance NEC
394 F06 Other mental disorders due to brain damage and dysfunction and to physical disease
395 F06.0 Organic hallucinosis
396 F06.3 Organic mood [affective] disorders
397 F23.1 Acute polymorphic psychot disorder with symptoms of schizophrenia
398 F48.8 Other specified neurotic disorders
399 G04.2 Bacterial meningoencephalitis and meningomyelitis nec
400 G25.5 Other chorea
401 G35 Multiple sclerosis
402 G40.8 Other epilepsy
403 G41 Status epilepticus
404 G43.8 Other migraine
405 G60.2 Neuropathy in association with hereditary ataxia
406 G63* Polyneuropathy in diseases classified elsewhere
407 G63.2* Diabetic polyneuropathy
408 G63.3* Polyneuropathy in other endocrine and metabolic diseases
409 G80.0 Spastic cerebral palsy
410 G81.9 Hemiplegia, unspecified
411 G82.2 Paraplegia, unspecified
412 H00.1 Chalazion
413 H05 Disorders of orbit
414 H05.3 Deformity of orbit
415 H11.3 Conjunctival haemorrhage
416 H15.1 Episcleritis
417 H16.2 Keratoconjunctivitis
418 H16.9 Keratitis, unspecified
419 H18 Other disorders of cornea
420 H18.7 Other corneal deformities
421 H20.9 Iridocyclitis, unspecified
422 H31.8 Other specified disorders of choroid
423 H33 Retinal detachments and breaks
424 H35.1 Retinopathy of prematurity
425 H35.3 Degeneration of macula and posterior pole
426 H35.5 Hereditary retinal dystrophy
427 H40.0 Glaucoma suspect
428 H40.8 Other glaucoma
429 H44.2 Degenerative myopia
430 H47.0 Disorders of optic nerve, not elsewhere classified
431 H47.1 Papilloedema, unspecified
432 H53.0 Amblyopia ex anopsia
433 H54.4 Blindness, one eye
434 H60.3 Other infective otitis externa
435 H65.2 Chronic serous otitis media
436 H66.3 Other chronic suppurative otitis media
437 H66.9 Otitis media, unspecified
438 H80.1 Otosclerosis involving oval window, obliterative
439 H81 Disorders of vestibular function
440 I05.9 Mitral valve disease, unspecified
441 I07.0 Tricuspid stenosis
442 I07.1 Tricuspid insufficiency
443 I09.8 Other specified rheumatic heart diseases
444 I11.9 Hypertensive heart disease without (congestive) heart failure
445 I15.9 Secondary hypertension, unspecified
446 I24 Other acute ischaemic heart diseases
447 I25.2 Old myocardial infarction
448 I27.0 Primary pulmonary hypertension
449 I35.0 Aortic (valve) stenosis
450 I35.9 Aortic valve disorder, unspecified
451 I44.2 Atrioventricular block, complete
452 I44.7 Left bundle-branch block, unspecified
453 I49.1 Atrial premature depolarization
454 I84.2 Internal haemorrhoids without complication
455 J01.9 Acute sinusitis, unspecified
456 J21.9 Acute bronchiolitis, unspecified
457 J30.3 Other allergic rhinitis
458 J30.4 Allergic rhinitis, unspecified
459 J31.1 Chronic nasopharyngitis
460 J32.9 Chronic sinusitis, unspecified
461 J43.9 Emphysema, unspecified
462 K01 Embedded and impacted teeth
463 K01.1 Impacted teeth
464 K05.2 Acute periodontitis
465 K06 Other disorders of gingiva and edentulous alveolar ridge
466 K06.2 Gingival and edentulous alveolar ridge les assoc with traum
467 K06.9 Disorder of gingiva and edentulous alveolar ridge, unspec act
468 K09.8 Other cysts of oral region, not elsewhere classified
469 K10.9 Disease of jaws, unspecified
470 K14 Diseases of tongue
471 K29.5 Chronic gastritis, unspecified
472 K31.8 Other specified diseases of stomach and duodenum
473 K37 Unspecified appendicitis
474 K50.9 Crohn's disease, unspecified
475 K52.8 Other specified noninfective gastroenteritis and colitis
476 K62.5 Haemorrhage of anus and rectum
477 K65 Peritonitis
478 K73.8 Other chronic hepatitis, not elsewhere classified
479 K73.9 Chronic hepatitis, unspecified
480 K74.6 Other and unspecified cirrhosis of liver
481 K80 Cholelithiasis
482 K83.1 Obstruction of bile duct
483 L01 Impetigo
484 L03 Cellulitis
485 L03.9 Cellulitis, unspecified
486 L04.9 Acute lymphadenitis, unspecified
487 L23 Allergic contact dermatitis
488 L23.8 Allergic contact dermatitis due to other agents
489 L25 Unspecified contact dermatitis
490 L50 Urticaria
491 L50.9 Urticaria, unspecified
492 L51.2 Toxic epidermal necrolysis [lyell]
493 L74.3 Miliaria, unspecified
494 L97 Ulcer of lower limb, not elsewhere classified
495 L98.4 Chronic ulcer of skin, not elsewhere classified
496 M21.5 Acquired clawhand, clubhand, clawfoot and clubfoot
497 M41 Scoliosis
498 M50.1 Cervical disc disorder with radiculopathy
499 M54.4 Lumbago with sciatica
500 M84.0 Malunion of fracture
501 N13.0 Hydronephrosis with ureteropelvic junction obstruction
502 N20 Calculus of kidney and ureter
503 N21.8 Other lower urinary tract calculus
504 N30.9 Cystitis, unspecified
505 N31.0 Uninhibited neuropathic bladder, not elsewhere classified
506 N35.9 Urethral stricture, unspecified
507 N36.2 Urethral caruncle
508 N43 Hydrocele and spermatocele
509 N47 Redundant prepuce, phimosis and paraphimosis
510 N64.2 Atrophy of breast
511 N75.1 Abscess of Bartholin's gland
512 N81.4 Uterovaginal prolapse, unspecified
513 N82 Fistulae involving female genital tract
514 N83.9 Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified
515 N85.8 Other specified noninflammatory disorders of uterus
516 O02.9 Abnormal product of conception, unspecified
517 O03.4 Spontaneous abortion, incomplete, without complication
518 O03.9 Spontaneous abortion, complete or unspecified, without complication
519 O14 Gestational [pregnancy-induced] hypertension with significant proteinuria
520 O15 Eclampsia
521 O20.8 Other haemorrhage in early pregnancy
522 O32.9 Maternal care for malpresentation of fetus, unspecified
523 O33 Maternal care for known or suspected disproportion
524 O33.5 Maternal care for disproportion due to unusually large fetus
525 O42.0 Premature rupture of membranes, onset of labour within 24 hours
526 O43 Placental disorders
527 O43.9 Placental disorder, unspecified
528 O44.1 Placenta praevia with haemorrhage
529 O46 Antepartum haemorrhage, not elsewhere classified
530 O69.2 Labour and delivery complicated by other cord entanglement
531 O72 Postpartum haemorrhage
532 O86.0 Infection of obstetric surgical wound
533 O86.1 Other infection of genital tract following delivery
534 P22.0 Respiratory distress syndrome of newborn
535 P59.9 Neonatal jaundice, unspecified
536 P80 Hypothermia of newborn
537 Q17.2 Microtia
538 Q21.3 Tetralogy of fallot
539 Q43.1 Hirschsprung's disease
540 Q56.4 Indeterminate sex, unspecified
541 Q65.5 Congenital subluxation of hip, unspecified
542 Q89.9 Congenital malformation, unspecified
543 R02 Gangrene, not elsewhere classified
544 R07.3 Other chest pain
545 R40 Somnolence, stupor and coma
546 R47.0 Dysphasia and aphasia
547 R48.2 Apraxia
548 R50 Fever of other and unknown origin
549 R63 Symptoms and signs concerning food and fluid intake
550 R74 Abnormal serum enzyme levels
551 R94.5 Abnormal results of liver function studies
552 S02.8 Fractures of other skull and facial bones
553 S05.3 Ocular lacn without prolapse or loss of intraocular tissue
554 S05.8 Other injuries of eye and orbit
555 S06.5 Traumatic subdural haemorrhage
556 S22 Fracture of rib(s), sternum and thoracic spine
557 S31.4 Open wound of vagina and vulva
558 S32.0 Fracture of lumbar vertebra
559 S42.4 Fracture of lower end of humerus
560 S52.4 Fracture of shafts of both ulna and radius
561 S53 Dislocation, sprain and strain of joints and ligaments of elbow
562 S62 Fracture at wrist and hand level
563 S67.0 Crushing injury of thumb and other finger(s)
564 S72.0 Fracture of neck of femur
565 S72.8 Fractures of other parts of femur
566 S73.0 Dislocation of hip
567 S83.6 Sprain and strain of other and unspecified parts of knee
568 S85.9 Injury of unspecified blood vessel at lower leg level
569 S86.8 Injury of other muscles and tendons at lower leg level
570 S91 Open wound of ankle and foot
571 S92.3 Fracture of metatarsal bone
572 S93.2 Rupture of ligaments at ankle and foot level
573 S97.1 Crushing injury of toe(s)
574 T15 Foreign body on external eye
575 T15.9 Foreign body on external eye, part unspecified
576 T16 Foreign body in ear
577 T30 Burn and corrosion, body region unspecified
578 T79.4 Traumatic shock
579 Z09.1 Follow-up examination after radiotherapy for oth conditions
580 Z11.1 Special screening examination for respiratory tuberculosis
581 Z11.5 Special screening examination for other viral diseases
582 Z23.6 Need for immunization against diphtheria alone
583 Z23.8 Need for immunization against other single bacterial diseases
584 Z27.3 Need for immunization against diphtheria-tetanus-pertussis with poliomyelitis [DTP + polio]
585 Z30 Contraceptive management
586 Z30.1 Insertion of (intrauterine) contraceptive device
587 Z50.5 Speech therapy
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
L P L P L P L P L P L P
1 629 630 4 10 3 18 15
16 322 338
1 304 305
238 238 6 4 4 2 8 6 8 6 1 2
2 218 220
12 192 204 1
7 170 177
20 155 175
4 159 163 1
31 97 128
1 117 118 7 2 16 5
5 101 106
nt neoplasms 97 97 5 6
74 74
71 71
7 59 66
27 38 65 26
16 45 61 1 3 2 4
6 54 60
57 57 5 6
2 52 54
50 50 2 2 5 2 6 6
17 33 50 1 3
46 46
11 34 45 12 4 5 4 2 3
19 22 41 2 7 5 9 1 1 2
1 40 41
1 38 39
2 37 39 1
6 32 38 4 2 1 1 2 2
3 34 37 2 1
1 35 36
1 34 35
3 29 32
30 30
8 21 29 1
3 26 29 4 3 6
28 28 2
2 24 26
8 18 26
24 24
3 21 24 3
24 24
7 16 23 9
5 17 22 2 3 1 1 1 1
22 22
22 22
1 21 22
22 22
1 19 20 6
1 19 20 3 3
20 20 5
3 16 19
1 18 19
1 18 19 1
19 19
18 18
18 18
17 17
3 14 17 1 1 3 1
17 17
1 16 17
4 12 16
1 15 16 1
16 16 7
15 15 1 3 10 1
15 15
11 4 15 1 1
15 15 9 2
14 14 1 1
6 8 14 1 1 2
14 14 3
14 14 1 9 4
1 12 13
3 10 13 1 3 1 1 2
5 8 13 1
3 9 12 1
5 7 12 1 1 2 3
4 8 12
4 8 12 2 4 1 1 1
2 10 12 8 1
12 12
12 12 3
5 6 11 1 2 3 1
1 10 11
2 9 11 1
1 10 11 4
11 11 2 1
4 6 10
3 7 10
2 8 10
1 9 10 2 2
4 6 10
1 9 10 2 2 4 1 1
9 9 2
3 6 9 2 1
9 9 1
9 9
2 7 9 3 1 1 1 2 1
3 6 9 1 2 2
1 8 9
3 6 9 1 1
2 6 8 1 1
4 4 8 1 1
8 8
2 6 8
1 7 8 1
8 8
2 6 8 1 1 1
1 7 8
8 8
3 5 8 1 1 2
8 8
4 3 7 1 2 1
1 6 7
7 7
7 7
7 7
3 4 7 1 1 4
7 7
7 7 4 1 1
1 6 7 1 1
7 7
1 6 7 4
2 4 6
1 5 6
1 5 6
6 6 4
6 6
6 6
1 5 6 1 1
2 4 6 1
3 3 6
6 6
6 6
1 5 6
1 5 6
6 6 2 4
6 6
6 6
2 4 6 1 1
2 4 6
2 4 6 1
6 6
4 1 5 3 1
1 4 5 1 1 1 1
3 2 5
5 5 5
5 5
3 2 5
5 5
2 3 5
2 3 5 1 4
2 3 5
5 5
4 1 5
1 4 5
3 2 5
1 4 5
1 4 5
2 3 5 1
1 4 5
2 3 5
5 5
1 4 5 1
1 4 5 2
3 2 5
2 3 5
2 3 5 1
5 5 3 2
4 4 1 1 1
4 4 1 3
4 4
1 3 4
4 4
1 3 4
1 3 4
4 4
4 4
4 4
4 4 1
1 3 4
4 4
1 3 4
2 2 4
1 3 4 1 1 1 1
1 3 4 1 3
1 3 4 3 1
2 2 4 1 1 2
1 3 4
2 2 4 1 1
1 3 4
4 4
2 2 4 1
2 2 4 1
4 4
4 4
4 4
4 4
4 4
2 2 4 4
4 4
4 4
4 4
4 4
3 3 2
3 3
3 3
2 1 3 2
3 3
3 3 1
1 2 3
3 3
3 3
1 2 3
1 2 3 1 2
3 3 1 1 1
1 2 3
3 3
3 3
1 2 3
3 3
3 3
2 1 3
3 3
2 1 3
3 3 1 1
3 3 1 2
2 1 3
3 3
1 2 3
1 2 3 3
1 2 3 1
1 2 3 2
1 2 3
1 2 3
2 1 3
3 3 1 2
2 1 3
2 1 3 1
2 1 3
1 2 3
1 2 3
3 3
3 3
3 3
3 3
3 3
3 3
3 3
1 2 3
1 2 3 2
1 2 3 2
3 3 2 1
2 1 3
1 2 3
1 2 3 1
1 2 3 2 1
1 2 3
3 3
1 2 3 3
3 3
3 3
3 3
1 1 2
2 2 2
1 1 2
2 2
2 2
2 2
2 2
2 2
1 1 2 1 1
2 2
2 2 2
2 2
2 2
1 1 2
2 2 1
2 2
1 1 2
1 1 2
2 2
2 2
2 2
2 2
2 2 1
2 2
2 2
2 2
2 2
2 2 1
2 2
2 2
1 1 2
2 2
2 2
2 2
2 2
2 2 1
2 2
1 1 2
1 1 2
1 1 2 1
1 1 2
2 2 2
1 1 2 1
2 2 2
2 2
1 1 2
2 2 1 1
2 2
2 2
2 2
2 2
2 2 2
2 2 2
1 1 2 2
2 2 1
1 1 2 1
2 2 1
1 1 2
2 2
2 2 2
1 1 2
1 1 2
1 1 2
2 2 2
2 2 1 1
2 2 1 1
1 1 2 1 1
2 2 2
2 2 2
2 2
1 1 2
2 2
1 1 2 1
2 2 1
1 1 2
1 1 2
1 1 2 1
2 2
1 1 2
1 1 2 1 1
2 2
2 2 1
2 2
1 1 2
1 1 2
2 2
2 2
2 2
2 2
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
sical disease 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
yelitis [DTP + polio] 1 1 1
1 1
1 1 1
1 1 1
25-44 th 45-64 th > 65
L P L P L P
33 28 158 186 111 64
6 11 75 136 65 45
2 1 62 102 73 65
7 22 39 79 14 30
5 13 42 107 25 28
4 6 54 82 24 33
2 7 43 59 32 34
4 26 58 51 36
3 4 43 53 42 17
25 48 34 21
47 5 17 13 1 5
1 33 45 8 19
9 8 9 37 14 9
22 22 20 10
26 29 6 10
1 3 6 29 11 16
38 1
1 7 13 14 8 8
1 20 27 8 4
5 2 18 9 6 6
1 1 18 20 11 3
10 8 7 2
3 5 10 10 12 6
4 27 9 6
5 3 2 3 2
3 2 1 4 2 2
6 1 15 18 1
6 4 15 11 2 1
4 1 15 10 7 1
3 3 7 6 5 2
9 5 16 4
3 15 4 14
2 6 4 17 6
5 27
2 1 6 13 5 3
2 1 3 7 6 9
5 7 1 3
2 9 12 1 2
2 11 4 9
6 3 14 3
6 5 7 1 5
8 5 6 1 1
4 18 2
14
1 2 2 7 1
5 12 5
1 17 1 3
2 2 3 7 8
3 7 9 2 1
1 6 2 5
11 3
15
1 5 13
1 4 6 5 3
1 2 4 7 4
1 5 7 4 2
7 4 7
9 9
3 5 3 6
1 1 7 2
2 4 9 2
6 3 8
2 1 1 8 1 3
1 7 2 5
8 1
1 5 7 2
8 4 1
4
3 5 4
1 1 2 4 2
3 3 5
6 5 2
3 1 1
2 4 3 3
3 1 4 1 2
3 1 1
1 5 3 1 2
1 2
2 1
7 3 2
4 3 2
1 1 1 1
4 2 4 1
2 8
5 2
6 2
1 6 3
2 3 1 4
1 1 2 4 1 1
1 1 3 1
3 6 1
3 3 1
4 1 1
1 3 3 1
1 2 4 2
1 2 1
2 2 1 4
3 2 1 1
1 1 2 2
1 3 2
3 3 2
1 4 2 1
1 2 4
1 1 2 4
1 3 1
1 5 2
8
1 1 2
7 1
1 2
1 2 4
7
1 3 1 2
2 1 4
1
5 1 1
1
2 1 2
2 2 3
3
1 4 1
1 1 2 2
2 2 2
2
2 4
1 2 3
1 2 1
1 1 3
2 1 1 2
1 3 1 1
3 3
1 4 1
4 2
1 5
2 4
1 2 1
6
3 1 1
6
1
1
2 3
3 2
1 3 1
5
2 1 2
1 1 1 1 1
1 1 3
1 3 1
1 2 2
2 1 1 1
1 2 1 1
1 2 1 1
4
2 1 1 1
1 3 1
4 1
4
1 2
3 1 1
2 2 1
2 1 1
4
1 3
4
1 3
1 2 1
1 3
3 1
1 2 1
2 1
2 1 1
1 3
1 1 2
1 2 1
1 3
1 1
1 3
1 3
1 1 1
2 1
4
1 3
4
4
4
2 2
4
4
4
1
1 2
3
1
1 2
2
1 1 1
3
3
1 1 1
3
1 2
1 2
3
1 1 1
1 2
1 1 1
2 1
1 2
1
1 2
2 1
1 1 1
2
1
3
1 2
1 2
2 1
2
1 2
3
3
2 1
1 2
3
1 1 1
3
2 1
3
3
1
1
1 2
1 2
2
1 2
3
3
3
1 2
2
1 1
2
2
2
2
2
1 1
2
2
1
1 1
1 1
1 1
1 1
2
1 1
2
1
2
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
2
1 1
1 1
1
1 1
1 1
1 1
1
1 1
2
1 1
2
2
2
1 1
1
1
1
2
2
2
2
2
1 1
1 1
1 1
1
1
1 1
1 1
1
2
2
2
1
1 1
1 1
2
2
1 1
2
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Rawat Inap
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

4 P21.1 Mild and moderate birth asphyxia
13 M67.4 Ganglion
17 I84 Haemorrhoids
28 L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified
35 F20 Schizophrenia
40 P21.0 Severe birth asphyxia
41 P77 Necrotizing enterocolitis of fetus and newborn
42 P92 Feeding problems of newborn
43 R16.0 Hepatomegaly, not elsewhere classified
52 D18.0 Haemangioma, any site
57 E07.9 Disorder of thyroid, unspecified
59 E11.9 Non-insulin-dependent diabetes mellitus without complications
61 E87.6 Hypokalaemia
63 G40 Epilepsy
72 J16 Pneumonia due to other infectious organisms, not elsewhere classified
74 J96 Respiratory failure, not elsewhere classified
75 J96.9 Respiratory failure, unspecified
81 K65.0 Acute peritonitis
82 K71.2 Toxic liver disease with acute hepatitis
83 K71.3 Toxic liver disease with chronic persistent hepatitis
85 L03 Cellulitis
88 L84 Corns and callosities
98 N44 Torsion of testis
100 N45.0 Orchitis, epididymitis and epididymo-orchitis with abscess
104 O34.2 Maternal care due to uterine scar from previous surgery
105 O47 False labour
106 O47.0 False labour before 37 completed weeks of gestation
108 O72.3 Postpartum coagulation defects
109 O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium
110 P22.1 Transient tachypnoea of newborn
111 P24.0 Neonatal aspiration of meconium
112 P36.2 Sepsis of newborn due to staphylococcus aureus
113 P54.3 Other neonatal gastrointestinal haemorrhage
115 R09.2 Respiratory arrest
119 R57.9 Shock, unspecified
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
9 4 13
4 9 13 5
1 8 9
9 9 2 3 1 3
9 9
8 8 1 1 4 2
8 8 2 4 2
4 3 7 1 1 1 1
4 3 7 1
1 5 6
5 1 6
3 2 5 1 1 1
4 1 5
5 5 3 2
5 5 2 3
2 3 5 3 1 1
2 2 4
3 1 4 1 1
1 3 4
2 2 4 1
4 4
1 3 4
1 3 4 1
1 2 3 2 1
3 3 2 1
1 2 3
1 2 3
1 2 3 1
1 2 3
3 3 1
3 3 1
3 3 1
2 1 3 2
2 2
2 2
1 1 2
1 1 2 2
2 2
2 2
2 2 1 1
1 1 2 2
2 2 1 1
2 2
1 1 2 1 1
1 1 2 1
1 1 2 1
1 1 2
2 2 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
7 6
8
1 4 4
1 1 1 2 4
1 1 1
4 2
1 1 3 1
1 2 1 1 1
1 1
1 3 1
1 3
1 1
1 2 1
1 2
1 1 2
4
1 2
3
1 2
1 1
1 2
2
2
1 1
1
1 1
2
1 1
2
2
2
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
IGD
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

4 K30 Dyspepsia
7 R06.0 Dyspnoea
12 E16.2 Hypoglycaemia, unspecified
22 K92.1 Melaena
23 R10.4 Other and unspecified abdominal pain
28 I15 Secondary hypertension
32 D64 Other anaemias
34 K92.0 Haematemesis
37 R53 Malaise and fatigue
38 R99 Other ill-defined and unspecified cause of mortality
39 T14.8 Other injuries of unspecified body region
41 A01 Typhoid and paratyphoid fevers
56 E11.6 Non-insulin-dependent diabetes mellitus with other specified complications
57 G93.4 Encephalopathy, unspecified
59 I46.9 Cardiac arrest, unspecified
60 I61 Intracerebral haemorrhage
62 J15.8 Other bacterial pneumonia
63 J44.1 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
64 J81 Pulmonary oedema
70 O42 Premature rupture of membranes
72 O63.9 Long labour, unspecified
73 R04.0 Epistaxis
75 R50.1 Persistent fever
77 R63.0 Anorexia
81 A41.9 Septicaemia, unspecified
82 B02 Zoster [herpes zoster]
85 D72.8 Other specified disorders of white blood cells
86 E10.7 Insulin-dependent diabetes mellitus with multiple complications
87 E11.4+ Non-insulin-dependent diabetes mellitus with neurological complications
88 E78 Disorders of lipoprotein metabolism and other lipidaemias
89 E87 Other disorders of fluid, electrolyte and acid-base balance
90 G40 Epilepsy
94 I46 Cardiac arrest
99 I84 Haemorrhoids
103 J45 Asthma
105 K29.7 Gastritis, unspecified
111 N39.9 Disorder of urinary system, unspecified
113 O02.0 Blighted ovum and nonhydatidiform mole
116 O42.9 Premature rupture of membranes, unspecified
117 O63.1 Prolonged second stage of labour
118 R06.8 Other and unspecified abnormalities of breathing
119 R31 Unspecified haematuria
120 R40.2 Coma, unspecified
121 R55 Syncope and collapse
122 R56.0 Febrile convulsions
123 R63.8 Other symptoms and signs concerning food and fluid intake
125 S52 Fracture of forearm
127 S53.1 Dislocation of elbow, unspecified
129 A01.4 Paratyphoid fever, unspecified
132 A41 Other sepsis
133 A41.0 Septicaemia due to staphylococcus aureus
134 B37.0 Candidal stomatitis
137 D33.2 Benign neoplasm, brain, unspecified
138 D59 Acquired haemolytic anaemia
139 D59.1 Other autoimmune haemolytic anaemias
140 D69.4 Other primary thrombocytopenia
141 D69.9 Haemorrhagic condition, unspecified
144 E10.4+ Insulin-dependent diabetes mellitus with neurological complications
146 E14.7 Unspecified diabetes mellitus with multiple complications
147 E87.5 Hyperkalaemia
148 E87.8 Other disorders of electrolyte and fluid balance NEC
149 G04.2 Bacterial meningoencephalitis and meningomyelitis nec
153 G60.2 Neuropathy in association with hereditary ataxia
154 G81 Hemiplegia
155 G82.2 Paraplegia, unspecified
156 H80.1 Otosclerosis involving oval window, obliterative
157 H81 Disorders of vestibular function
158 I05.9 Mitral valve disease, unspecified
159 I11.9 Hypertensive heart disease without (congestive) heart failure
160 I15.9 Secondary hypertension, unspecified
163 I24 Other acute ischaemic heart diseases
164 I25.2 Old myocardial infarction
165 I35.9 Aortic valve disorder, unspecified
166 I44.2 Atrioventricular block, complete
169 I84.2 Internal haemorrhoids without complication
175 J43.9 Emphysema, unspecified
181 K14 Diseases of tongue
182 K31.8 Other specified diseases of stomach and duodenum
185 K65 Peritonitis
186 K73.9 Chronic hepatitis, unspecified
187 K74.6 Other and unspecified cirrhosis of liver
188 L03 Cellulitis
190 L50 Urticaria
191 L50.9 Urticaria, unspecified
192 L51.2 Toxic epidermal necrolysis [lyell]
195 M21.5 Acquired clawhand, clubhand, clawfoot and clubfoot
196 M50.1 Cervical disc disorder with radiculopathy
199 N21.8 Other lower urinary tract calculus
201 N75.1 Abscess of Bartholin's gland
202 N83.9 Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified
204 O15 Eclampsia
205 O20.8 Other haemorrhage in early pregnancy
207 O32.9 Maternal care for malpresentation of fetus, unspecified
208 O33 Maternal care for known or suspected disproportion
209 O33.5 Maternal care for disproportion due to unusually large fetus
212 O42.0 Premature rupture of membranes, onset of labour within 24 hours
213 O43 Placental disorders
214 O43.9 Placental disorder, unspecified
215 O44.1 Placenta praevia with haemorrhage
216 O69.2 Labour and delivery complicated by other cord entanglement
217 O72 Postpartum haemorrhage
218 P80 Hypothermia of newborn
220 R07.3 Other chest pain
221 R18 Ascites
222 R40 Somnolence, stupor and coma
223 R47.0 Dysphasia and aphasia
224 R48.2 Apraxia
225 R50 Fever of other and unknown origin
226 R63 Symptoms and signs concerning food and fluid intake
227 R74 Abnormal serum enzyme levels
228 R94.5 Abnormal results of liver function studies
229 S05.3 Ocular lacn without prolapse or loss of intraocular tissue
230 S05.8 Other injuries of eye and orbit
231 S06.5 Traumatic subdural haemorrhage
234 S42.4 Fracture of lower end of humerus
236 S52.4 Fracture of shafts of both ulna and radius
238 S67.0 Crushing injury of thumb and other finger(s)
241 S85.9 Injury of unspecified blood vessel at lower leg level
243 S92.3 Fracture of metatarsal bone
244 S97.1 Crushing injury of toe(s)
245 T15 Foreign body on external eye
246 T16 Foreign body in ear
247 T30 Burn and corrosion, body region unspecified
248 T79.4 Traumatic shock
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
17 30 47 1 3
6 31 37 3 2 1 1 2 2
11 26 37 9 3 2 4 2 3
9 22 31 1 2 4
8 19 27 1
12 15 27
8 18 26
14 11 25 3 1 4 1 2
7 16 23 9
5 16 21 1 3 1 1 1 1
4 8 12 2 4 1 1 1
3 7 10
5 5 10
4 6 10
4 6 10
3 6 9
5 4 9 1
2 6 8 1 1
4 4 8
2 6 8
3 5 8 1
1 7 8
3 5 8 1 1 2
3 5 8 1 1
4 3 7 1 2 1
2 5 7
2 5 7 1
3 3 6
6 6
3 3 6
4 2 6
3 2 5
2 3 5 1
2 3 5
3 2 5
2 3 5 1
1 4 5
2 3 5
3 2 5
2 3 5 1
4 4 1 1 1
4 4 1
1 3 4 1 1 1
4 4
1 3 4
2 2 4
2 2 4 1 1
1 3 4
2 2 4 1
1 3 4
1 3 4
2 2 4 4
2 2 4 1
2 1 3 1 1
2 1 3 1
1 2 3
1 2 3
3 3
2 1 3
2 1 3
1 2 3
2 1 3
3 3
1 2 3
2 1 3
3 3 1
2 1 3
1 2 3
1 2 3
1 2 3 2
3 3 2
1 2 3 2
2 1 3
1 2 3
1 2 3 1
1 2 3 2 1
1 2 3
3 3 1
2 1 3 2
2 2
1 1 2
2 2
2 2 2
2 2
2 2
1 1 2
2 2
2 2
2 2
2 2 1
2 2
2 2
1 1 2
1 1 2
2 2
2 2
2 2
2 2
1 1 2
1 1 2 1 1
1 1 2 2
1 1 2
1 1 2
2 2
1 1 2
1 1 2
1 1 2
1 1 2
1 1 2
2 2
2 2
2 2 2
1 1 2 1
1 1 2
2 2
1 1 2
1 1 2
2 2
1 1 2
2 2
1 1 2 1
2 2 1
1 1 2
1 1 2
1 1 2 1 1
1 1 2
2 2 1
1 1 2
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
3 5 8 9 12 6
3 3 7 6 5 2
4 3 2 3 2
1 5 3 7 3 5
1 3 7 6 9
1 10 7 3 6
6 3 14 3
3 2 1 4 2 2
14
1 2 2 7 1
1 2
2 3 1 4
1 2 3 2 2
4 3 1 2
3 6 1
1 3 5
2 2 3 1
1 1 2 2
5 3
2 3 3
1 4 2
1 5 2
1 1 2
2 2 1 1
1 2
1 2 2 1 1
1 5
2 1 1 2
1 2 3
2 2 1 1
2 1 2 1
2 3
1 1 2
1 1 1 1 1
2 1 1 1
4
2 1 1 1
1 3 1
3 1 1
2 1 1
1
2 1
1
3 1
1 2 1
1 1 2
1 1
1 3
1 1 1
2 2
1 1 1 1
2 1
1
1 1
1 1 1
1 1 1
3
1 1 1
1 2
1 1 1
1 2
2 1
1 1 1
1 2
2
2 1
3
3
1
1
1
1 2
1 2
2
1 2
1 1
1
1 1
1 1
2
2
1 1
1 1
1 1
2
2
1
1 1
1 1
1 1
1 1
1 1
1 1
2
1 1
1 1
1 1
1 1
2
1 1
2
1 1
1 1
1 1
2
1 1
1
2
2
2
2
1 1
1 1
1 1
1
1
1 1
1 1
1 1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Poli Anak
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

3 G40.9 Epilepsy, unspecified
4 Z00.1 Routine child health examination
5 G40 Epilepsy
6 Z09.9 Follow-up exam after unspecified treatment for other conditions
10 Z23.2 Need for immunization against tuberculosis [BCG]
11 A15.9 Respiratory tb unspec confirm bact and histologically
12 J02 Acute pharyngitis
15 J02.9 Acute pharyngitis, unspecified
17 K52.9 Noninfective gastroenteritis and colitis, unspecified
18 P38 Omphalitis of newborn with or without mild haemorrhage
19 Z03.0 Observation for suspected tuberculosis
22 A15.8 Other respiratory tb confirm bact and histologically
24 B86 Scabies
27 J45 Asthma
29 K30 Dyspepsia
30 L23.9 Allergic contact dermatitis, unspecified cause
31 P07.0 Extremely low birth weight
34 P58.9 Neonatal jaundice due to excessive haemolysis, unspecified
35 Q21.1 Atrial septal defect
38 B08.4 Enteroviral vesicular stomatitis with exanthem
39 B23.0 Acute HIV infection syndrome
40 B24 Unspecified human immunodeficiency virus [hiv] disease
42 E63.9 Nutritional deficiency, unspecified
43 G40.8 Other epilepsy
44 G80.0 Spastic cerebral palsy
45 G81.9 Hemiplegia, unspecified
46 J01.9 Acute sinusitis, unspecified
48 J21.9 Acute bronchiolitis, unspecified
50 K50.9 Crohn's disease, unspecified
51 K52.8 Other specified noninfective gastroenteritis and colitis
53 L01 Impetigo
54 L23 Allergic contact dermatitis
55 L23.8 Allergic contact dermatitis due to other agents
56 L25 Unspecified contact dermatitis
57 L74.3 Miliaria, unspecified
61 Q21.3 Tetralogy of fallot
62 Q43.1 Hirschsprung's disease
63 Q56.4 Indeterminate sex, unspecified
65 S31.4 Open wound of vagina and vulva
66 Z11.1 Special screening examination for respiratory tuberculosis
67 Z11.5 Special screening examination for other viral diseases
68 Z23.6 Need for immunization against diphtheria alone
69 Z23.8 Need for immunization against other single bacterial diseases
70 Z27.3 Need for immunization against diphtheria-tetanus-pertussis with poliomyelitis [DTP + polio]
71 Z50.5 Speech therapy
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
44 44 6 4 4 2 8 6 8 6
5 11 16 2 4 4 5 1
15 15 1 3 10 1
14 14 1 9 4
10 10 2 2 4 2
1 9 10 2 2 4 1 1
1 6 7 3 1 2 1
7 7 3 1 3
6 6 4 1 1
5 5 3 2
4 4 1 3
1 3 4 1 1 1 1
4 4 1 1 2
4 4 1 2 1
3 3 1 2
1 2 3 3
3 3 1 2
3 3 2 1
1 2 3 3
3 3 3
2 2 2
2 2 2
2 2 2
1 1 2 1 1
2 2 1 1
1 1 2 1 1
2 2 2
2 2 1 1
2 2 2
2 2 1 1
2 2 2
2 2 1 1
2 2 1 1
1 1 2 1 1
2 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
yelitis [DTP + polio] 1 1 1
1 1 1
25-44 th 45-64 th > 65
L P L P L P
Poli Kandungan
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

2 Z48.8 Other specified surgical follow-up care
3 Z39.2 Routine postpartum follow-up
6 N83.0 Follicular cyst of ovary
8 Z34.8 Supervision of other normal pregnancy
9 C53.9 Malignant neoplasm, cervix uteri, unspecified
10 N83.2 Other and unspecified ovarian cysts
11 O03 Spontaneous abortion
14 Z12.4 Special screening examination for neoplasm of cervix
15 B37.3+ Candidiasis of vulva and vagina
16 C02.2 Malignant neoplasm, ventral surface of tongue
17 C53 Malignant neoplasm of cervix uteri
19 N85.8 Other specified noninflammatory disorders of uterus
20 O03.4 Spontaneous abortion, incomplete, without complication
21 O03.9 Spontaneous abortion, complete or unspecified, without complication
22 O14 Gestational [pregnancy-induced] hypertension with significant proteinuria
26 O46 Antepartum haemorrhage, not elsewhere classified
27 O86.1 Other infection of genital tract following delivery
28 Z30 Contraceptive management
29 Z30.1 Insertion of (intrauterine) contraceptive device
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
27 38 65 26
20 20 5
16 16 7
9 9 2
1 3 4 2
3 3
1 2 3
3 3
2 2
2 2 1
2 2 1
2 2
1 1 2
2 2
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
25-44 th 45-64 th > 65
L P L P L P
38 1
15
8 1
7
2
3
3
3
1 1
1
1
2
2
2
1
1
1
1
1
1
1
1
1
1
1
1
Poli Gigi
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama
1 K04.1 Necrosis of pulp

2 K04.7 Periapical abscess without sinus
3 K08.3 Retained dental root
4 K07.4 Malocclusion, unspecified
5 K00.6 Disturbances in tooth eruption
6 K02.1 Caries of dentine
7 K05.3 Chronic periodontitis
8 K00.4 Disturbances in tooth formation
9 K04.0 Pulpitis
10 K07.2 Anomalies of dental arch relationship
11 F48.8 Other specified neurotic disorders
12 K01 Embedded and impacted teeth
13 K01.1 Impacted teeth
14 K05.2 Acute periodontitis
15 K06 Other disorders of gingiva and edentulous alveolar ridge
16 K06.2 Gingival and edentulous alveolar ridge les assoc with traum
17 K06.9 Disorder of gingiva and edentulous alveolar ridge, unspec act
18 K09.8 Other cysts of oral region, not elsewhere classified
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
3 26 29 4 3 6
3 6 9 1 2 2
2 6 8 1 1 1
6 6 2 4
1 2 3 3
1 2 3 1
1 2 3 2
2 2 2
1 1 2 1
2 2 2
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
5 7 1 3
1 2 1
1 3 1
2
1
1
1
1
1
1
Poli Bedah
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

5 M67.4 Ganglion
7 N60.9 Benign mammary dysplasia, unspecified
9 I84 Haemorrhoids
12 C18 Malignant neoplasm of colon
13 C57 Malignant neoplasm of other and unspecified female genital organs
14 C77.0 Secondary malignant neoplasm, lymph nodes of head, face and neck
18 M84.0 Malunion of fracture
22 N64.2 Atrophy of breast
23 Q89.9 Congenital malformation, unspecified
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
1 121 122 4 6 3 9 7
8 4 12 1
5 6 11 1 2 3 1
1 5 6
4 1 5
2 2 4 1
3 3
1 1 2
1 1 2
1 1 2
1 1 2 2
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
10 9 26 28 14 6
6 4 1
1 1 1 1
1 1 2 2
1 3 1
2 1
2 1
1 1
1 1
2
1
1
1
1
1
1
1
Poli Mata
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama
1 Z96.1 Presence of intraocular lens

2 H25 Senile cataract
3 H25.9 Senile cataract, unspecified
4 H04.1 Other disorders of lacrimal gland
5 H40 Glaucoma
6 H40.2 Primary angle-closure glaucoma
7 H16 Keratitis
9 H11.0 Pterygium
10 H40.1 Primary open-angle glaucoma
11 H16.0 Corneal ulcer
12 H52.1 Myopia
13 H52 Disorders of refraction and accommodation
14 H10 Conjunctivitis
15 H26.4 After-cataract
16 H52.4 Presbyopia
18 H27.0 Aphakia
19 H52.2 Astigmatism
20 H18.1 Bullous keratopathy
21 H01.0 Blepharitis
22 T15.0 Foreign body in cornea
23 H19.1* Herpesviral keratitis and keratoconjunctivitis
24 H35.9 Retinal disorder, unspecified
25 H43.1 Vitreous haemorrhage
26 H52.0 Hypermetropia
27 H00 Hordeolum and chalazion
28 H00.0 Hordeolum and other deep inflammation of eyelid
29 H10.3 Acute conjunctivitis, unspecified
30 H17.0 Adherent leukoma
31 H47.2 Optic atrophy
33 Z96.0 Presence of urogenital implants
34 B00.5+ Herpesviral ocular disease
36 H02.0 Entropion and trichiasis of eyelid
37 H04 Disorders of lacrimal system
38 H10.5 Blepharoconjunctivitis
39 H16.8 Other keratitis
40 H26.2 Complicated cataract
41 H33.5 Other retinal detachments
42 H35.7 Separation of retinal layers
44 C69.2 Malignant neoplasm, retina
45 D31.6 Benign neoplasm, orbit, unspecified
46 G43.8 Other migraine
47 H00.1 Chalazion
48 H05 Disorders of orbit
49 H05.3 Deformity of orbit
50 H11.3 Conjunctival haemorrhage
51 H15.1 Episcleritis
52 H16.2 Keratoconjunctivitis
53 H16.9 Keratitis, unspecified
54 H18 Other disorders of cornea
55 H18.7 Other corneal deformities
56 H20.9 Iridocyclitis, unspecified
57 H31.8 Other specified disorders of choroid
58 H33 Retinal detachments and breaks
59 H35.1 Retinopathy of prematurity
60 H35.3 Degeneration of macula and posterior pole
61 H35.5 Hereditary retinal dystrophy
62 H40.0 Glaucoma suspect
63 H40.8 Other glaucoma
64 H44.2 Degenerative myopia
65 H47.0 Disorders of optic nerve, not elsewhere classified
66 H47.1 Papilloedema, unspecified
67 H53.0 Amblyopia ex anopsia
68 H54.4 Blindness, one eye
70 S02.8 Fractures of other skull and facial bones
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
1 304 305
20 155 175
31 97 128
7 59 66
1 34 35
2 24 26
3 21 24 3
3 15 18
4 12 16
1 15 16 1
3 9 12 1
5 7 12 1 1 2 3
3 6 9 2 1
4 4 8 1 1
8 8
2 6 8
7 7
7 7
3 4 7 1 1 4
6 6
3 2 5
2 3 5
1 3 4
1 3 4
4 4
4 4
1 2 3 1 2
3 3 1 1 1
1 2 3
3 3
3 3
3 3
3 3
2 2
2 2
2 2
2 2
2 2 1
2 2
2 2
1 1 2
2 2
1 1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
2 1 62 102 73 65
4 26 58 51 36
25 48 34 21
1 3 6 29 11 16
2 6 4 17 6
2 11 4 9
8 5 6 1 1
1 5 12
2 1 1 8 1 3
1 7 2 5
3 1 4 1 2
3 1 1
4 1 1
1 3 2
3 3 2
1 4 2 1
1 2 2 2
2 1 4
1
1 2 3
1 3 1
2 2 1
1 3
1 2 1
1 3
3 1
3
1 2
1 2
1 1 1
1 2
2
2
1 1
1 1
1
1 1
1 1
1 1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Poli Paru
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

7 J45 Asthma
10 B20 Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic diseases
15 A18.2 Tuberculous peripheral lymphadenopathy
16 B23 Human immunodeficiency virus [HIV] disease resulting in other conditions
25 K30 Dyspepsia
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
53 53 4 6
1 37 38
18 18
18 18 2
12 12
2 6 8 1 2
6 6 2
5 5 1
5 5
parasitic diseases 4 4
4 4
4 4
1 3 4
4 4
3 3
2 2
2 2
2 2 2
2 2
2 2
1 1
1 1
1 1
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
5 2 16 8 6 6
4 1 15 10 7 1
1 5 6 4 2
4 5 5 2
6 5 1
3 1 1
1 1 2
1 3
4 1
2 2
1 3
2 2
4
1 1 2
1 2
2
2
1 1
2
1
1
1
1
1
1
Poli Syaraf
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

7 G20 Parkinson's disease
9 G40 Epilepsy
14 G44.8 Other specified headache syndromes
16 R51 Headache
18 G61.9 Inflammatory polyneuropathy, unspecified
19 H53.2 Diplopia
20 M51.2 Other specified intervertebral disc displacement
21 G50.0 Trigeminal neuralgia
23 G61.8 Other inflammatory polyneuropathies
24 S09.0 Injury of blood vessels of head, not elsewhere classified
26 F03 Unspecified dementia
28 M75.5 Bursitis of shoulder
29 S09.8 Other specified injuries of head
31 A80.4 Acute nonparalytic poliomyelitis
40 M79.2 Neuralgia and neuritis, unspecified
41 D33.0 Benign neoplasm, brain, supratentorial
42 G25.5 Other chorea
43 G35 Multiple sclerosis
44 G63* Polyneuropathy in diseases classified elsewhere
45 G63.2* Diabetic polyneuropathy
46 G63.3* Polyneuropathy in other endocrine and metabolic diseases
50 M54.3 Sciatica
51 M54.4 Lumbago with sciatica
53 Z09.1 Follow-up examination after radiotherapy for oth conditions
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
342 342 5 8
2 262 264
182 182 1
6 106 112
1 94 95
73 73
71 71
3 51 54
38 38 1 6 5
37 37
35 35
28 28
19 19
18 18
14 14
1 10 11 4
nt neoplasms 8 8
7 7
7 7
7 7
6 6
1 4 5
5 5
5 5
4 4
4 4
4 4
4 4
4 4
4 4
3 3
3 3
3 3
3 3
3 3
3 3
2 2
2 2
2 2
2 2
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
17 11 87 112 51 51
6 6 56 106 56 34
7 15 38 78 14 29
2 3 34 40 19 14
28 42 7 18
17 34 13 9
26 29 6 10
1 18 25 7 3
9 8 7 2
4 23 4 6
2 15 4 14
2 1 5 12 5 3
6 3 4 1 5
7 4 7
1 3 4 5 1
5 2
1 1 6
1 3 1 2
5 1 1
2 2 3
2 4
1 4
3 2
4 1
4
4
4
4
4
4
3
3
3
3
3
1 2
2
2
1 1
2
1
1
1
1
1
1
1
1
1
1
1
Poli Dalam
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

6 K30 Dyspepsia
10 B20 Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic diseases
13 R18 Ascites
14 B16 Acute hepatitis B
16 G59.0* Diabetic mononeuropathy
18 B15 Acute hepatitis A
20 B20.8 HIV disease resulting in other infectious and parasitic disease
22 D15.2 Benign neoplasm, mediastinum
23 D21.4 Benign neoplasm, connective and other soft tissue of abdomen
26 E03 Other hypothyroidism
27 E06 Thyroiditis
28 E11.2+ Non-insulin-dependent diabetes mellitus with renal complications
29 E78.5 Hyperlipidaemia, unspecified
35 K29.5 Chronic gastritis, unspecified
36 K73.8 Other chronic hepatitis, not elsewhere classified
37 K83.1 Obstruction of bile duct
38 L97 Ulcer of lower limb, not elsewhere classified
41 N20 Calculus of kidney and ureter
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
2 129 131
nt neoplasms 82 82 4 6
2 50 52
1 37 38
27 27 2
7 15 22 1
1 17 18 5
2 4 6
5 5
parasitic diseases 3 3
3 3
1 2 3
3 3
2 2
2 2
2 2
2 2
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
4 13 24 65 9 16
8 7 9 30 11 7
4 9 20 7 12
3 8 19 3 5
2 9 11 1 2
2 8 3 5 3
1 6 2 4
3 1 1 1
3 1 1
3
1 1 1
1 1 1
1 2
2
2
1 1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
VCT
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama
2 B20.3 HIV disease resulting in other viral infections
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
1 26 27 1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
7 4 10 4
1
Fisioterapi
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

2 G81 Hemiplegia
3 M17.0 Primary gonarthrosis, bilateral
4 M25.6 Stiffness of joint, not elsewhere classified
5 M51.1 Lumbar and other intervertebral disc disorders with radiculopathy
6 M17 Gonarthrosis [arthrosis of knee]
8 M62.6 Muscle strain
9 G54.0 Brachial plexus disorders
10 M54.3 Sciatica
11 G56.0 Carpal tunnel syndrome
12 M53.3 Sacrococcygeal disorders, not elsewhere classified
13 M54.2 Cervicalgia
14 M65.3 Trigger finger
16 M43.1 Spondylolisthesis
17 M75.0 Adhesive capsulitis of shoulder
18 M75.1 Rotator cuff syndrome
19 M79.1 Myalgia
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
1 77 78 1
1 37 38
24 24
22 22
22 22
18 18
9 9
8 8
5 5 5
5 5
4 4
4 4
4 4
4 4
3 3
1 2 3
3 3
3 3
2 2
1 1
25-44 th 45-64 th > 65
L P L P L P
2 16 40 2 17
6 4 14 11 2 1
4 18 2
5 12 5
1 17 1 3
9 9
4 5
8
5
4
4
1 3
4
3
3
1 2
3
2
1
ICU
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
1
1
1
Flamboyan
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama
1 F20 Schizophrenia
2 R16.0 Hepatomegaly, not elsewhere classified
4 K71.2 Toxic liver disease with acute hepatitis
5 K71.3 Toxic liver disease with chronic persistent hepatitis
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
2 2
2 2
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
2
2
1
1
1
Anggrek
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

9 M67.4 Ganglion
10 I84 Haemorrhoids
21 L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified
36 E07.9 Disorder of thyroid, unspecified
38 E11.9 Non-insulin-dependent diabetes mellitus without complications
50 K65.0 Acute peritonitis
52 L03 Cellulitis
55 L84 Corns and callosities
63 N44 Torsion of testis
65 N45.0 Orchitis, epididymitis and epididymo-orchitis with abscess
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
9 4 13
1 8 9
9 9
4 3 7 1 1 1 1
4 3 7 1
1 5 6
5 1 6
3 2 5 1 1 1
4 1 5
2 2 4
1 3 4
2 2 4 1
4 4
1 3 4
1 3 4 1
2 2 4 3 1
1 2 3 2 1
3 3 2 1
1 2 3
1 2 3
1 2 3 1
1 2 3
3 3 1
2 1 3 2
2 2
1 1 2
1 1 2 2
1 1 2 1 1
1 1 2 1
1 1 2 1
1 1 2
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
7 6
1 4 4
1 1 1 2 4
1 1 1
4 2
1 1 3 1
1 2 1 1 1
1 1
1 3 1
1 3
1 2 1
1 2
1 1 2
4
1 2
3
1 2
1 1
1 2
1 1
1
1 1
1 1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Ibu Anak
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

9 G40 Epilepsy
12 O47 False labour
14 O72.3 Postpartum coagulation defects
15 O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
4 9 13 5
3 3 1
3 3 1
2 2
2 2
2 2 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1 1
25-44 th 45-64 th > 65
L P L P L P
8
2
2
2
2
1
1
1
VK
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama
1 O34.2 Maternal care due to uterine scar from previous surgery

2 O47.0 False labour before 37 completed weeks of gestation
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
1 1 1
1 1 1
25-44 th 45-64 th > 65
L P L P L P
Poli Urologi
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

6 N13.3 Other and unspecified hydronephrosis
8 N35 Urethral stricture
12 K30 Dyspepsia
14 N28.1 Cyst of kidney, acquired
17 N34.3 Urethral syndrome, unspecified
18 C64 Malignant neoplasm of kidney, except renal pelvis
19 N13.0 Hydronephrosis with ureteropelvic junction obstruction
21 N31.0 Uninhibited neuropathic bladder, not elsewhere classified
22 N35.9 Urethral stricture, unspecified
23 N36.2 Urethral caruncle
25 N81.4 Uterovaginal prolapse, unspecified
26 N82 Fistulae involving female genital tract
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
125 125 1
39 39
2 27 29
22 22
20 20
17 17
1 16 17
6 6
4 4
2 2 4
4 4
3 3
3 3
3 3
3 3
2 2
2 2
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
4 7 34 36 40 3
6 1 14 18
5 24
3 7 9 2 1
2 2 2 7 7
2 4 9 2
6 3 8
2 4
2 2
1 2 1
1 3
3
3
1 1 1
2 1
1 1
2
1
1
1
1
1
1
1
Poli Orthopedi
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

2 S82.3 Fracture of lower end of tibia
12 S42.3 Fracture of shaft of humerus
14 S92.9 Fracture of foot, unspecified
19 Q66.0 Talipes equinovarus
20 S06.9 Intracranial injury, unspecified
21 S22.0 Fracture of thoracic vertebra
22 S52.9 Fracture of forearm, part unspecified
23 S62.3 Fracture of other metacarpal bone
26 S92 Fracture of foot, except ankle
29 M41 Scoliosis
30 O86.0 Infection of obstetric surgical wound
31 Q65.5 Congenital subluxation of hip, unspecified
32 S32.0 Fracture of lumbar vertebra
34 S72.0 Fracture of neck of femur
36 S72.8 Fractures of other parts of femur
37 S73.0 Dislocation of hip
39 S83.6 Sprain and strain of other and unspecified parts of knee
40 S86.8 Injury of other muscles and tendons at lower leg level
41 S91 Open wound of ankle and foot
42 S93.2 Rupture of ligaments at ankle and foot level
44 T15.9 Foreign body on external eye, part unspecified
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
1 117 118 7 2 16 5
15 15 9 2
14 14 1 1
12 12
12 12 3
11 11 2
9 9 6 1
8 8
7 7
6 6
2 3 5
4 4
4 4 2
4 4
1 2 3
3 3
2 2
2 2
2 2 2
2 2
1 1 2
2 2
2 2
2 2
2 2
2 2
nt neoplasms 2 2
1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
47 5 17 13 1 5
4
1 1 5 2 1 2
7 3 2
4 3 2
3 2 4
1 1
7 1
2 2 3
6
1 2 2
4
2
4
3
1 2
2
1 1
2
2
2
1 1
2
2
2
2
1
1
1
1
1
1
1
1
1
1
1
Poli THT
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama
1 H61.2 Impacted cerumen

2 H65.0 Acute serous otitis media
3 H60.8 Other otitis externa
4 H93.1 Tinnitus
5 H91.9 Hearing loss, unspecified
7 L65.9 Nonscarring hair loss, unspecified
8 C01 Malignant neoplasm of base of tongue
9 C11 Malignant neoplasm of nasopharynx
10 D28.2 Benign neoplasm, uterine tubes and ligaments
11 H66 Suppurative and unspecified otitis media
12 H68.1 Obstruction of Eustachian tube
14 J30 Vasomotor and allergic rhinitis
16 A98.1 Omsk haemorrhagic fever
17 C31.0 Malignant neoplasm, maxillary sinus
18 H60.3 Other infective otitis externa
19 H65.2 Chronic serous otitis media
20 H66.3 Other chronic suppurative otitis media
21 H66.9 Otitis media, unspecified
23 J30.3 Other allergic rhinitis
24 J30.4 Allergic rhinitis, unspecified
25 J31.1 Chronic nasopharyngitis
26 J32.9 Chronic sinusitis, unspecified
28 Q17.2 Microtia
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
6 8 14 1 1 2
1 7 8 1
1 5 6 1 1
4 4 1
1 2 3
1 2 3 3
2 1 3
2 2
2 2 2
2 2
2 2
2 2
1 1 2 2
1 1 2 1
2 2
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
25-44 th 45-64 th > 65
L P L P L P
1 1 2 4 2
1 2 4
1 2 1
2 1
3
1 2
2
2
2
1 1
1
2
1
1
1
1
1
1
1
1
Poli Psychiatri
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama
1 F20.1 Hebephrenic schizophrenia

3 Z86.5 Personal history of other mental and behavioural disorders
4 F20.0 Paranoid schizophrenia
5 F25 Schizoaffective disorders
6 F41.2 Mixed anxiety and depressive disorder
7 Z91.1 Personal hist noncompliance with med treatment and regimen
8 F06.8 Other specified mental disorder brain damage and dysfunction/physcal disease
9 F45 Somatoform disorders
10 F06 Other mental disorders due to brain damage and dysfunction and to physical disease
11 F06.0 Organic hallucinosis
12 F06.3 Organic mood [affective] disorders
13 F23.1 Acute polymorphic psychot disorder with symptoms of schizophrenia
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
1 19 20 3 3
14 14 1 1
11 11 2 1
1 5 6
6 6 4
3 3
3 3
2 2 1
2 2
sical disease 1 1
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
11 3
3 5 4
6 2
2 2 2
2
3
3
1
2
1
1
1
1
Poli Jantung
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama

3 I25.1 Atherosclerotic heart disease
9 I25 Chronic ischaemic heart disease
13 H81.3 Other peripheral vertigo
14 I35.1 Aortic (valve) insufficiency
18 I11.0 Hypertensive heart disease with (congestive) heart failure
20 D50.0 Iron deficiency anaemia secondary to blood loss (chronic)
23 I25.5 Ischaemic cardiomyopathy
24 I34.0 Mitral (valve) insufficiency
26 K30 Dyspepsia
31 I07.0 Tricuspid stenosis
32 I07.1 Tricuspid insufficiency
33 I09.8 Other specified rheumatic heart diseases
35 I27.0 Primary pulmonary hypertension
36 I35.0 Aortic (valve) stenosis
37 I44.7 Left bundle-branch block, unspecified
39 I49.1 Atrial premature depolarization
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
1 147 148 1
114 114
74 74
46 46
16 16
1 15 16 1
12 12
10 10
9 9 1
6 6
nt neoplasms 5 5 1
4 4
4 4
4 4
4 4
4 4
3 3
3 3
3 3
1 1 2
2 2
2 2
2 2 1
2 2
2 2
2 2
2 2
2 2
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
3 4 41 49 34 16
1 3 32 35 23 20
22 22 20 10
1 1 16 17 8 3
3 5 2 6
1 2 4 4 4
1 5 4 2
4 2 3 1
1 3 3 1
1 1 1 3
1 3
2 2
1 2 1
1 3
2 1 1
1 3
1 1 1
1 1 1
1 2
2
2
2
1
1 1
1 1
2
2
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
NICU
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama
1 P21.1 Mild and moderate birth asphyxia

6 P21.0 Severe birth asphyxia
7 P77 Necrotizing enterocolitis of fetus and newborn
8 P92 Feeding problems of newborn
9 D18.0 Haemangioma, any site
11 P22.1 Transient tachypnoea of newborn
12 P24.0 Neonatal aspiration of meconium
13 P54.3 Other neonatal gastrointestinal haemorrhage
14 R09.2 Respiratory arrest
15 R57.9 Shock, unspecified
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
9 9 2 3 1 3
8 8 1 1 4 2
8 8 2 4 2
5 5 3 2
5 5 2 3
2 2 1 1
1 1 2 2
2 2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
25-44 th 45-64 th > 65
L P L P L P
HCU
Tanggal: 01-08-2023 s/d 01-09-2023
No. Kode Nama
1 E87.6 Hypokalaemia
7 J16 Pneumonia due to other infectious organisms, not elsewhere classified
9 J96 Respiratory failure, not elsewhere classified
10 J96.9 Respiratory failure, unspecified
12 P36.2 Sepsis of newborn due to staphylococcus aureus
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
25-44 th 45-64 th > 65
L P L P L P
1
1
1
1
1
1
1
1
1
1
1
1
1
No. Kode Nama
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
25-44 th 45-64 th > 65
L P L P L P
No. Kode Nama
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
25-44 th 45-64 th > 65
L P L P L P
No. Kode Nama
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
25-44 th 45-64 th > 65
L P L P L P
No. Kode Nama
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
25-44 th 45-64 th > 65
L P L P L P
No. Kode Nama
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
25-44 th 45-64 th > 65
L P L P L P
No. Kode Nama
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
25-44 th 45-64 th > 65
L P L P L P
No. Kode Nama
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
25-44 th 45-64 th > 65
L P L P L P
No. Kode Nama
0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th
Baru Lama Total
25-44 th 45-64 th > 65
L P L P L P

Laporan ICD Semua Units Agustus 2023

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Laporan ICD Semua Units Agustus 2023

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Laporan Diagnosa RSUD NGIMBANG

0-6 hr 7-28 hr 28 hr - 1th 1-4 th 5-14 th 15-24 th 25-44 th 45-64 th > 65

No. Kode Nama

1 Z09.0 Follow-up examination after surgery for other conditions

No. Kode Nama

1 K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene

No. Kode Nama

1 R10.0 Acute abdomen

No. Kode Nama

1 Z09.8 Follow-up exam after other treatment for other conditions

No. Kode Nama

1 Z34.9 Supervision of normal pregnancy, unspecified

No. Kode Nama

1 K04.1 Necrosis of pulp

No. Kode Nama

1 Z09.0 Follow-up examination after surgery for other conditions

No. Kode Nama

1 Z96.1 Presence of intraocular lens

No. Kode Nama

1 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed

No. Kode Nama

1 Z09.0 Follow-up examination after surgery for other conditions

No. Kode Nama

1 E11 Non-insulin-dependent diabetes mellitus

No. Kode Nama

No. Kode Nama

1 M54.5 Low back pain

No. Kode Nama

1 D69.6 Thrombocytopenia, unspecified

No. Kode Nama

No. Kode Nama

1 K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene

No. Kode Nama

1 O63.0 Prolonged first stage of labour

No. Kode Nama

1 O34.2 Maternal care due to uterine scar from previous surgery

No. Kode Nama

1 Z09.0 Follow-up examination after surgery for other conditions

No. Kode Nama

1 Z09.4 Follow-up examination after treatment of fracture

No. Kode Nama

1 H61.2 Impacted cerumen

No. Kode Nama

1 F20.1 Hebephrenic schizophrenia

No. Kode Nama

1 I50.0 Congestive heart failure

No. Kode Nama

1 P21.1 Mild and moderate birth asphyxia

No. Kode Nama

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