Grouper 1 2 3 1 DHF A91 A-4-13-I Rp 2,166,100 Rp 1,897,400 Rp 1,628,700 2 DF A90 A-4-13-I Rp 2,166,100 Rp 1,897,400 Rp 1,628,700 3 Viral Infeksi B34.9 A-4-13-I Rp 2,166,100 Rp 1,897,400 Rp 1,628,700 4 Bakterial Infeksi A49.9 A-4-14-I Rp 2,929,600 Rp 2,566,100 Rp 2,202,700 5 GEA A09.9 K-4-17-I Rp 1,632,400 Rp 1,429,900 Rp 1,227,400 6 Asma J45.9 J-4-18-I Rp 2,730,600 Rp 2,391,800 Rp 2,053,100 7 Dyspnea R06.0 J-4-21-I Rp 3,539,200 Rp 3,100,100 Rp 2,661,000 8 Pneumonia J18.9 J-4-16-I Rp 4,432,400 Rp 3,882,500 Rp 3,332,600 JIKA HASIL BACAAN THORAX BUKAN 9 PNEUMONIA/ BRONCHOPNEUMONIA Bronchopneumonia J18.0 J-4-16-I Rp 4,432,400 Rp 3,882,500 Rp 3,332,600 KODING DENGAN DIAGNOSA DYSPNEA 10 ISPA J06.9 U-4-13-I Rp 2,429,100 Rp 2,127,800 Rp 1,826,400 11 RFA J00 U-4-13-I Rp 2,429,100 Rp 2,127,800 Rp 1,826,400 12 TFA J06.8 U-4-13-I Rp 2,429,100 Rp 2,127,800 Rp 1,826,400 13 Faringitis Akut J02.9 U-4-13-I Rp 2,429,100 Rp 2,127,800 Rp 1,826,400 14 GERD K21.9 K-4-12-I Rp 3,617,900 Rp 3,169,100 Rp 2,720,200 15 Dyspepsia K30 K-4-18-I Rp 1,517,900 Rp 1,329,600 Rp 1,141,300 16 Konstipasi K59.0 K-4-18-I Rp 1,517,900 Rp 1,329,600 Rp 1,141,300 17 Ileus K56.7 K-4-15-I Rp 2,523,000 Rp 2,210,000 Rp 1,897,000 18 Vertigo H81.3 U-4-11-I Rp 1,602,200 Rp 1,403,400 Rp 1,204,600 19 Epilepsi G40.9 G-4-22-I Rp 3,358,800 Rp 2,942,100 Rp 2,525,400 20 HT I10 I-4-17-I Rp 2,572,800 Rp 2,253,700 Rp 1,934,500 21 Stroke I64 G-4-15-I Rp 3,715,100 Rp 3,254,300 Rp 2,793,400 22 OA M19.9 M-4-18-I Rp 2,528,200 Rp 2,214,500 Rp 1,900,900 23 Artritis M13.9 M-4-18-I Rp 2,528,200 Rp 2,214,500 Rp 1,900,900 24 LBP M54.5 M-4-17-I Rp 3,345,100 Rp 2,930,100 Rp 2,515,100 25 Gout Arthritis M10.9 M-4-18-I Rp 2,528,200 Rp 2,214,500 Rp 1,900,900 26 DM insulin E10.9 E-4-10-I Rp 4,430,200 Rp 3,880,600 Rp 3,331,000 27 DM non insulin E11.9 E-4-10-I Rp 4,430,200 Rp 3,880,600 Rp 3,331,000 DIAGNOSA DISERTAI KODE ICD 10 DAN KODE GROUPER No. Diagnosa Kode ICD Kode Kelas KETERANGAN Grouper 1 2 3 E10.2 + N08.3 atau E11.2 + 28 DM + CKD N-4-16-I Rp 3,404,700 Rp 2,982,300 Rp 2,559,900 N08.3 E10.3 + H36.0 atau E11.3 + 29 DM + retinopathy H-4-12-I Rp 3,151,300 Rp 2,760,300 Rp 2,369,400 H36.0 E10.4 + G63.2 atau E11.4 + 30 DM + neuropathy G-4-17-II Rp 5,348,800 Rp 4,685,200 Rp 4,021,600 G63.2 31 DM + ulkus/ gangreen E10.5 atau E11.5 I-4-15-I Rp 5,668,500 Rp 4,965,300 Rp 4,262,100 32 Hipoglikemia E16.2 E-4-10-I Rp 4,430,200 Rp 3,880,600 Rp 3,331,000 33 Hiperglikemia R73.9 E-4-10-I Rp 4,430,200 Rp 3,880,600 Rp 3,331,000 34 KDK R56.0 G-4-22-I Rp 3,358,800 Rp 2,942,100 Rp 2,525,400 35 Kejang R56.8 G-4-22-I Rp 3,358,800 Rp 2,942,100 Rp 2,525,400 36 TB Paru A16.2 J-4-15-I Rp 5,319,700 Rp 4,659,700 Rp 3,999,800 37 TB Kelenjar A18.2 D-4-14-I Rp 2,905,700 Rp 2,545,200 Rp 2,184,700 NILAI URINE LENGKAP LEUKOSIT HARUS > 38 ISK N39.0 N-4-12-I Rp 2,851,600 Rp 2,497,900 Rp 2,144,100 10.000 JIKA TIDAK KODING DENGAN DIAGNOSA VIRAL INFEKSI 39 BPH N40 V-4-11-I Rp 3,349,400 Rp 2,933,800 Rp 2,518,300 40 Hemoroid I84.9 K-4-18-I Rp 1,517,900 Rp 1,329,600 Rp 1,141,300 DISERTAI BUKTI KERTAS LAKMUS DAN 41 KPD O42.9 W-4-16-I Rp 2,670,200 Rp 2,339,000 Rp 2,007,700 DITULIS JAM KETUBAN PECAH JAM BERAPA DI CPPT DAN RESUME MEDIS 42 Kala I O63.0 W-4-16-I Rp 2,670,200 Rp 2,339,000 Rp 2,007,700 43 Kala II O63.1 W-4-16-I Rp 2,670,200 Rp 2,339,000 Rp 2,007,700 44 CPD O33.9 W-4-16-I Rp 2,670,200 Rp 2,339,000 Rp 2,007,700 45 Fetal Distress O68.9 W-4-16-I Rp 2,670,200 Rp 2,339,000 Rp 2,007,700 46 LTP O69.9 W-4-16-I Rp 2,670,200 Rp 2,339,000 Rp 2,007,700 47 Placenta Previa O44.0 W-4-16-I Rp 2,670,200 Rp 2,339,000 Rp 2,007,700 DIAGNOSA DISERTAI KODE ICD 10 DAN KODE GROUPER No. Diagnosa Kode ICD Kode Kelas KETERANGAN Grouper 1 2 3 DITULIS NILAI AFI DI RESUME MEDIS DAN 48 Oligohidramnion O41.0 W-4-16-I Rp 2,670,200 Rp 2,339,000 Rp 2,007,700 CPPT UNTUK PENDUKUNG OLIGOHIDRAMNION 49 Ab. Imminens O20.0 W-4-14-I Rp 2,733,700 Rp 2,394,600 Rp 2,055,500 50 Ab. Incomplete O06.1 W-4-13-I Rp 1,744,400 Rp 1,528,000 Rp 1,311,600 51 BO O02.0 W-4-16-I Rp 2,670,200 Rp 2,339,000 Rp 2,007,700 52 AUB N93.9 W-4-12-I Rp 3,552,900 Rp 3,112,100 Rp 2,671,300 53 Myoma Uteri D25.9 W-4-12-I Rp 3,552,900 Rp 3,112,100 Rp 2,671,300 54 Menometrorrhagia N92.1 W-4-12-I Rp 3,552,900 Rp 3,112,100 Rp 2,671,300 55 Prolaps Uteri N81.4 W-4-12-I Rp 3,552,900 Rp 3,112,100 Rp 2,671,300