Professional Documents
Culture Documents
Menimbang
a.
pelayanan
kesehatan
pada
fasilitas
kesehatan
Groups
(INA-BGs)
perlu
disesuaikan
dengan
bahwa
berdasarkan
pertimbangan
sebagaimana
Menteri
Indonesian
Case
Kesehatan
Base
Groups
tentang
Pedoman
(INA-CBG)
dalam
-2-
Mengingat
: 1.
2.
Undang-Undang
Nomor
36
Tahun
2009
tentang
Jaminan
Sosial
(Lembaran
Negara
Kesehatan
(Lembaran
Negara
Republik
kali
diubah,
terakhir
dengan
Peraturan
Standar
Tarif
Pelayanan
Kesehatan
dalam
1601)
Standar
Tarif
Pelayanan
Kesehatan
dalam
CASE
BASE
GROUPS
(INA-CBG)
DALAM
-3-
Pasal 1
Pedoman Indonesian Case Base Groups (INA-CBG) dalam
Pelaksanaan Jaminan Kesehatan Nasional merupakan acuan
bagi fasilitas kesehatan tingkat lanjutan, Badan Penyelenggara
Jaminan Sosial (BPJS) Kesehatan, dan pihak lain yang terkait
mengenai
metode
pembayaran
INA-CBG
dalam
Jaminan
Kesehatan
Nasional
sebagaimana
Menteri
ini
mulai
berlaku
pada
tanggal
-4-
Agar
setiap
orang
mengetahuinya,
memerintahkan
Ditetapkan di Jakarta
pada tanggal 27 Desember 2016
MENTERI KESEHATAN
REPUBLIK INDONESIA,
ttd
NILA FARID MOELOEK
Diundangkan di Jakarta
pada tanggal 10 Januari 2017
DIREKTUR JENDERAL
PERATURAN PERUNDANG-UNDANGAN
KEMENTERIAN HUKUM DAN HAK ASASI MANUSIA
REPUBLIK INDONESIA,
ttd
WIDODO EKATJAHJANA
Sekretaris Jenderal
Organisasi
Kementerian Kesehatan
Tanggal
Tanggal
Tanggal
Paraf
Paraf
Paraf
-5-
LAMPIRAN
PERATURAN MENTERI KESEHATAN
NOMOR 76 TAHUN 2016
TENTANG
PEDOMAN INDONESIAN CASE BASE
GROUPS (INA-CBG) DALAM
PELAKSANAAN JAMINAN KESEHATAN
NASIONAL
PEDOMAN INDONESIAN CASE BASE GROUPS (INA-CBG)
DALAM PELAKSANAAN JAMINAN KESEHATAN NASIONAL
BAB I
PENDAHULUAN
A.
Latar Belakang
Pembiayaan kesehatan merupakan bagian yang penting dalam
implementasi Jaminan Kesehatan Nasional (JKN). Pembiayaan kesehatan
di fasilitas kesehatan diperoleh dengan dilakukannya pembayaran oleh
penyelenggara
asuransi
kesehatan
atas
pelayanan
kesehatan
yang
pembayaran
retrospektif
adalah
metode
pembayaran
yang
pembayaran
prospektif
adalah
metode
pembayaran
yang
-6-
memiliki
kelebihan
dan
kekurangan.
Berikut
tabel
Provider
KELEBIHAN
Pembayaran lebih adil sesuai
dengan kompleksitas
akan menyebabkan
pelayanan
ketidaksesuaian proses
KEKURANGAN
grouping (pengelompokan
kasus)
Pengurangan Kuantitas
Pelayanan
lain
Memerlukan pemahaman
mengenai konsep prospektif
dalam implementasinya
Mendorong peningkatan
Klaim
sistem informasi
Tabel 2. Kelebihan dan Kekurangan Metode Pembayaran Retrospektif
PIHAK
KELEBIHAN
Risiko keuangan sangat kecil
Provider
Pasien
Pembayar
KEKURANGAN
Tidak ada insentif untuk yang
memberikan Preventif Care
"Supplier induced-demand"
Jumlah pasien di klinik sangat
banyak "Overcrowded clinics"
Kualitas pelayanan kurang
Biaya administrasi tinggi
untuk proses klaim
meningkatkan risiko keuangan
-7-
UNU
(United
Nation
University)
Grouper.
Kemudian,
dengan
Tujuan
Tujuan dari Sistem pembiayaan prospektif adalah :
1.
2.
3.
4.
5.
mendorong
provider
untuk
melakukan
kendali
biaya
(cost
containment)
C.
Pengertian
Di Indonesia, metode pembayaran prospektif dikenal dengan case
based payment (casemix), dan sudah diterapkan sejak Tahun 2008
sebagai
metode
Masyarakat
pembayaran
(Jamkesmas).
pada
Sistem
program
casemix
Jaminan
adalah
Kesehatan
pengelompokan
diagnosis dan prosedur dengan mengacu pada ciri klinis yang mirip/sama
dan
penggunaan
sumber
daya/biaya
perawatan
yang
mirip/sama.
-8-
Beberapa
pengertian
terkait
sistem
INA-CBG
sebagai
metode
2.
3.
Penyelenggara
pelayanan
kesehatan
meliputi
semua
Fasilitas
5.
6.
7.
harus
diberikan
secepatnya
untuk
mencegah
kematian,
pelayanan
kesehatan
darurat
medis,
pelayanan
-9-
9.
-10-
BAB II
PENYELENGGARAAN PEMBAYARAN INA-CBG
A.
Ketentuan Umum
Dalam pelaksanaan JKN, sistem INA-CBG merupakan salah satu
instrumen penting dalam pengajuan dan pembayaran klaim pembayaran
pelayanan kesehatan yang telah dilaksanakan oleh FKRTL yang telah
bekerjasama dengan BPJS Kesehatan, maka pihak manajemen maupun
fungsional
di
setiap
FKRTL
tersebut
perlu
memahami
konsep
pengelompokan
dalam
INA-CBG
menggunakan
sistem
-11-
Keterangan :
1.
2.
3.
4.
Kode CMG
8
9
10
M
L
E
11
12
13
14
Deleiveries Groups
15
16
-12-
NO
17
Kode CMG
C
18
19
20
21
22
2.
S
Z
23
Sub-Acute Groups
SF
24
Special Procedures
YY
25
Special Drugs
DD
26
Special Investigations
27
Special Prosthesis
RR
28
Chronic Groups
CF
29
Errors CMGs
II
Case Group
Adalah sub-group kedua yang menunjukkan spesifikasi atau tipe
kelompok kasus, yang dilabelkan dengan angka 1 (satu) sampai
dengan 9 (sembilan).
Tabel 4. Group Tipe Kasus dalam INA-CBG
GRUP
TIPE KASUS
Error
-13-
3.
Case Type
Adalah sub-group ketiga yang menunjukkan spesifik CBGs yang
dilambangkan dengan numerik mulai dari 01 sampai dengan 99.
4.
Severity Level
Adalah sub-group keempat yang menggambarkan tingkat keparahan
kasus yang dipengaruhi adanya komorbiditas ataupun komplikasi
dalam masa perawatan. Keparahan kasus dalam INA-CBG terbagi
menjadi :
a.
b.
c.
d.
Tipe
Kode
Layanan
INA-CBG
I 4 10 I
I 4 10 II
I 4 10 III
Rawat
Q 5 18 0
Jalan
Q 5 35 0
Infeksi Akut
Rawat
Inap
Istilah ringan, sedang dan berat dalam deskripsi dari Kode INA-CBG
bukan menggambarkan kondisi klinis pasien maupun diagnosis atau
prosedur namun menggambarkan tingkat keparahan (severity level) yang
dipengaruhi oleh diagnosis sekunder (komplikasi dan ko-morbiditi).
C.
Tarif INA-CBG
Tarif
INA-CBG
merupakan
tarif
paket
yang
meliputi
seluruh
merupakan data
biaya yang
-14-
Tarif
Rumah
Sakit
Umum
Pusat
Nasional
Dr.
Cipto
Mangunkusumo
b.
c.
d.
e.
f.
dengan
kelompok
tarif
Rumah
Sakit
Kelas
sesuai
regionalisasi masing-masing.
2.
RS Khusus
Rumah
Sakit
Khusus
adalah
rumah
sakit
yang
memberikan
pelayanan utama pada satu bidang atau satu jenis penyakit tertentu
berdasarkan disiplin ilmu, golongan umur, organ, jenis penyakit atau
kekhususan lainnya.
Dalam program JKN, berlaku perbedaan pembayaran kepada RS
Khusus untuk pelayanan yang sesuai kekhususannya dan pelayanan
di luar kekhususannya, dimana :
-15-
a.
Pembuluh
Darah
Harapan Kita,
Rumah Sakit Kanker Dharmais, berlaku kelompok tarif INACBG Rumah Sakit Pemerintah kelas A.
b.
kode
diagnosis
untuk
pelayanan
yang
sesuai
dengan
Diagnosis Sekunder
Diagnosis Sekunder
Diagnosis Sekunder
:-
-16-
Contoh 2 :
RS Jiwa XYZ, status kepemilikan RS adalah pemerintah, dengan
Penetapan kelas RS adalah kelas B.
Diagnosis Utama
Diagnosis Sekunder : Dikode G30.9 sebagai diagnosis utama dan F00.9* sebagai diagnosis
sekunder. Tanda dagger () dan asterisk (*) tidak diinput ke dalam
aplikasi INA-CBG.
Maka, pengajuan klaim menggunakan Tarif Rumah Sakit Pemerintah
Kelas B Pemerintah.
Dalam peraturan Menteri ini, daftar kode diagnosis untuk
pelayanan
yang
sesuai
dengan
kekhususan
rumah
sakit,
diperuntukkan bagi:
1. RS Khusus Kanker
2. RS Khusus Jantung dan Pembuluh Darah
3. RS Khusus Jiwa
4. RS Khusus Paru
5. RS Khusus Kusta
6. RS Khusus Ortopedi
7. RS Khusus Mata
8. RS Khusus Telinga, Hidung, dan Tenggorokan (THT)
9. RS Khusus Gigi dan Mulut
Daftar kode diagnosis untuk pelayanan yang sesuai dengan
kekhususan rumah sakit, sebagaimana terlampir.
Selain RS Khusus tersebut di atas, berlaku kelompok tarif INACBG sesuai dengan kelas rumah sakit yang ditetapkan untuk
pelayanan sesuai kekhususan dan diluar kekhususan.
3.
Special Procedure
b.
Special Drugs
-17-
c.
Special Investigation
d.
Special Prosthesis
e.
Subacute cases
f.
Chronic cases
Special CMG atau special group pada tarif INA-CBG saat ini
CMG
diberikan
untuk
beberapa
obat,
alat,
prosedur,
diberikan
kepada
pasien,
namun
merupakan
tambahan
DESKRIPSI SPECIAL
CMG
KODE
KODE
KODE
GROUP
DIAGNOSIS
PROSEDUR
INA-CBG
(ICD 10)
(ICD-9-CM)
I-4-10-I
1
DD-01-I
Streptokinase
I-4-10-II
I-4-10-III
DD-02-II
DD-03-II
DD-04-II
DD-05-II
Deferiprone
(Rawat Inap)
Deferoksamin
(Rawat Inap)
Deferasirox
(Rawat Inap)
Human Albumin for
Septicaemia
I21.0, I21.1,
I21.2, I21.3,
I21.4, I21.9,
I23.3
D-4-13-I
D-4-13-II
D56.1
D56.1
D56.1
D-4-13-III
D-4-13-I
D-4-13-II
D-4-13-III
D-4-13-I
D-4-13-II
D-4-13-III
A-4-10-I
A02.1,
A-4-10-II
A20.7,
A-4-10-III
A22.7,
-18-
KODE
NO SPECIAL
DESKRIPSI SPECIAL
CMG
CMG
KODE
KODE
KODE
GROUP
DIAGNOSIS
PROSEDUR
INA-CBG
(ICD 10)
(ICD-9-CM)
A39.1,
A39.2,
A39.3,
A39.4,
A39.8,
A39.9,
A40.0,
A40.1,
A40.2,
A40.3,
A40.8,
A40.9,
A41.0,
A41.1,
A41.2,
A41.3,
A41.4,
A41.5,
A41.8,
A41.9,
A42.7,
B37.7, R57.1
6
DD-06-II
D-4-11-I
D66, D67
DD-07-II
Deferiprone
Q-5-44-0
D56.1
DD-08-II
Deferoksamin
Q-5-44-0
D56.1
DD-09-II
Deferasirox
Q-5-44-0
D56.1
10
DD-10-II
Q-5-44-0
D66, D67
T20.3, T20.7,
11
DD-11-II
S-4-16-I
S-4-16-II
S-4-16-III
T21.3, T21.7,
T22.3, T22.7,
T23.3, T23.7,
T24.3, T24.7,
T25.3, T25.7,
-19-
KODE
NO SPECIAL
DESKRIPSI SPECIAL
CMG
CMG
KODE
KODE
KODE
GROUP
DIAGNOSIS
PROSEDUR
INA-CBG
(ICD 10)
(ICD-9-CM)
T29.3, T29.7,
T31.4, T31.5,
T31.6, T31.7,
T31.8, T31.9,
T32.4, T32.5,
T32.6, T32.7,
T32.8, T32.9
85.82,
85.83,
85.84,
T20.3, T20.7,
T21.3, T21.7,
T22.3, T22.7,
T23.3, T23.7,
T24.3, T24.7,
12
DD-11-II
L-1-20-I
T25.3, T25.7,
L-1-20-II
T29.3, T29.7,
L-1-20-III
T31.4, T31.5,
T31.6, T31.7,
T31.8, T31.9,
T32.4, T32.5,
T32.6, T32.7,
T32.8, T32.9
85.85,
86.60,
86.61,
86.62,
86.63,
86.65,
86.66,
86.67,
86.69,
86.70,
86.71,
86.72,
86.73,
86.74,
86.75,
86.91,
86.93
13
RR-01-II
Subdural Grid
Electrode
G-1-10-I
G-1-10-II
02.93
35.81
G-1-10-III
I-1-03-I
14
RR-02-II
Cote Graft
I-1-03-II
I-1-03-III
-20-
KODE
NO SPECIAL
DESKRIPSI SPECIAL
CMG
CMG
KODE
KODE
KODE
GROUP
DIAGNOSIS
PROSEDUR
INA-CBG
(ICD 10)
(ICD-9-CM)
M-1-60-I
15
M-1-60-II
76.5
M-1-60-III
81.51,
16
RR-04-III
Hip Implant/Knee
Implant
M-1-04-I
M-1-04-II
81.52,
-
M-1-04-III
81.53,
81.54,
81.55
I-1-20-I
17
I-1-20-II
I-1-20-III
39.71,
39.73
81.51,
18
YY-01-II
Hip Replacement/Knee
Replacement
M-1-04-I
M-1-04-II
81.52,
-
M-1-04-III
81.53,
81.54,
81.55
I-1-40-I
19
YY-02-III
PCI
I-1-40-II
I-1-40-III
36.06,
36.07
11.60,
11.61,
H-1-30-I
20
YY-03-III
Keratoplasty
H-1-30-II
H-1-30-III
11.62,
11.63,
11.64,
11.69
52.51,
B-1-10-I
21
YY-04-III
Pancreatectomy
B-1-10-II
B-1-10-III
22
YY-05-III
I-1-06-I
of Heart with
I-1-06-II
Prosthesis
I-1-06-III
52.52,
52.53,
52.59, 52.6
35.50,
35.51,
35.52,
35.53,
-21-
KODE
NO SPECIAL
CMG
DESKRIPSI SPECIAL
CMG
KODE
KODE
KODE
GROUP
DIAGNOSIS
PROSEDUR
INA-CBG
(ICD 10)
(ICD-9-CM)
35.55
92.21,
92.22,
92.23,
92.24,
92.25,
23
YY-06-III
92.26,
C-4-12-I
C-4-12-II
Z51.0
C-4-12-III
92.27,
92.28,
92.29,
92.30,
92.31,
92.32,
92.33,
92.39
J-1-30-I
24
YY-07-III
Torakotomi
J-1-30-II
J-1-30-III
J-1-10-I
25
YY-08-III
Lobektomi/Bilobektomi J-1-10-II
J-1-10-III
YY-09-III
Vitrectomy
H-1-30-II
H-1-30-III
27
YY-10-III
Phacoemulsification
H-2-36-0
34.03
32.41,
32.49
14.71,
H-1-30-I
26
34.02,
14.72,
14.73,
14.74
13.41
31.41,
28
YY-11-III
Microlaringoscopy
J-3-15-0
31.42,
31.44
51.10,
29
YY-12-III
Cholangiograph
B-3-11-0
51.11,
51.14,
51.15,
-22-
KODE
NO SPECIAL
DESKRIPSI SPECIAL
CMG
CMG
KODE
KODE
KODE
GROUP
DIAGNOSIS
PROSEDUR
INA-CBG
(ICD 10)
(ICD-9-CM)
52.13
30
II-01-III
Nuclear Medicine
Z-3-17-0
31
II-02-III
MRI
Z-3-16-0
92.05,
92.15
88.92,
88.93,
88.97
Diagnostic and
32
II-03-III
Imaging Procedure of
H-3-13-0
95.12
Eye
Special CMG untuk Subacute dan Chronic
Special CMG subakut dan kronis diperuntukkan untuk kasus-kasus
Psikiatri dan Kusta dengan ketentuan lama hari rawat (LOS) di FKRTL sebagai
berikut :
Fase Akut
Fase Subakut
Fase Kronis
Dalam hal pasien mendapatkan perawatan lebih dari 180 hari, maka
diklaimkan satu episode dengan fase kronis.
Special CMG subakut dan kronis berlaku di semua FKRTL yang memiliki
pelayanan psikiatri dan kusta serta memenuhi kriteria lama hari rawat sesuai
ketentuan diatas. Penghitungan tarif special CMG subakut dan kronis
menggunakan rumus sebagai berikut :
Fase Akut
Fase Subakut
Fase Kronis
-23-
penilaian
ditandatangani
oleh
Dokter
Penanggung
Jawab
-24-
BAB III
KODING INA-CBG
Koding adalah kegiatan memberikan kode diagnosis utama dan diagnosis
sekunder sesuai dengan ICD-10 (International Statistical Classification of
Diseases and Related Health Problems) yang diterbitkan oleh WHO serta
memberikan kode tindakan/prosedur sesuai dengan ICD-9-CM (International
Classification of Diseases Revision Clinical Modification).
Koding sangat penting dalam sistem pembiayaan prospektif yang akan
menentukan besarnya biaya yang dibayarkan ke FKRTL. Aturan dan pedoman
koding yang digunakan dalam INA-CBG adalah aturan koding morbiditas.
Koding dalam INACBG menggunakan ICD-10 revisi Tahun 2010 untuk
mengkode diagnosis utama dan diagnosis sekunder serta menggunakan ICD-9CM revisi Tahun 2010 untuk mengkode tindakan/prosedur. Sumber data
untuk mengkode INA-CBG berasal dari resume medis yaitu data diagnosis dan
tindakan/prosedur, apabila diperlukan dapat dilihat dalam berkas rekam
medis. Ketepatan koding diagnosis dan tindakan/prosedur sangat berpengaruh
terhadap hasil grouper dalam aplikasi INA-CBG.
Diagnosis utama adalah diagnosis yang ditegakkan oleh dokter pada akhir
episode perawatan yang menyebabkan pasien mendapatkan perawatan atau
pemeriksaan lebih lanjut. Jika terdapat lebih dari satu diagnosis, maka dipilih
yang menggunakan sumber daya paling banyak. Jika tidak terdapat diagnosis
yang dapat ditegakkan pada akhir episode perawatan, maka gejala utama,
hasil pemeriksaan penunjang yang tidak normal atau masalah lainnya dipilih
menjadi diagnosis utama.
Diagnosis Sekunder adalah diagnosis yang menyertai diagnosis utama
pada saat pasien masuk atau yang terjadi selama episode perawatan.
Diagnosis sekunder merupakan komorbiditas dan/atau komplikasi.
Komorbiditas adalah penyakit yang menyertai diagnosis utama atau
kondisi yang sudah ada sebelum pasien masuk rawat dan membutuhkan
pelayanan kesehatan setelah masuk maupun selama rawat.
Komplikasi adalah penyakit yang timbul dalam masa perawatan dan
memerlukan pelayanan tambahan sewaktu episode pelayanan, baik yang
disebabkan oleh kondisi yang ada atau muncul akibat dari pelayanan
kesehatan yang diberikan kepada pasien.
-25-
2.
Perikarditis Meningokokus
Jika tidak terdapat diagnosis yang dapat ditegakkan pada akhir episode
perawatan, maka gejala utama, hasil pemeriksaan penunjang yang tidak
normal atau masalah lainnya dipilih menjadi diagnosis utama.
3.
suatu
episode
perawatan
ditujukan
untuk
pengobatan
atau
pemeriksaan gejala sisa (sekuele) suatu penyakit lama yang sudah tidak
diderita lagi, maka diagnosis sekuele harus ditullis dengan asal-usulnya.
Contoh :
-
ditegakkan
diagnosis
sekuele
multipel.
Contoh:
sekuele
-26-
A.
2.
3.
Identifikasi tipe pernyataan yang akan dikode dan lihat di buku ICD
volume 3 (Alphabetical Index). Jika pernyataannya adalah penyakit
atau cedera atau lainnya diklasifikasikan dalam bab 1-19 dan 20-21
(Section I Volume 3). Jika pernyataannya adalah penyebab luar atau
cedera diklasifikasikan pada bab 20 (Section II Volume 3)
2.
3.
Baca dan ikuti semua catatan atau petunjuk dibawah kata kunci.
4.
5.
Ikuti setiap petunjuk rujukan silang (see dan see also) yang
ditemukan dalam index
6.
Cek ketepatan kode yang telah dipilih pada volume 1. Untuk Kategori
3 karakter dengan .- (point dash) berarti ada karakter ke 4 yang
harus ditentukan pada Volume 1 karena tidak terdapat dalam Index
-27-
7.
Brittle
juvenile-onset
ketosis-prone
type 1
malnutrition-related (E12.-)
neonatal (P70.2)
NOS (R81)
renal (E74.8)
-28-
b.
: Pneumonia measles
Diagnosis Sekunder
:-
: Perikarditis Tuberkulosa
:-
: DM Type II
Diagnosis Sekunder
Dikode
: Anemia
-29-
Diagnosis Sekunder
: Ca Mammae
: Anemia
Diagnosis Sekunder
:-
Diagnosis Sekunder
:-
-30-
: Epistaxis berat
Diagnosis Sekunder
:-
: HIV
disease
resulting
in
multiple
infections
Diagnosis Sekunder : HIV disease resulting in candidiasis
HIV
disease
resulting
in
other
viral
infections
Dikode HIV disease resulting in multiple infections (B20.7) sebagai
diagnosis utama, HIV disease resulting in candidiasis (B20.4) dan
HIV disease resulting in other viral infections (B20.3) sebagai
diagnosis sekunder.
Contoh :
Diagnosis Utama
Diagnosis Sekunder
-31-
Dikode
: Gagal ginjal
Diagnosis Sekunder
Glaukoma
karena
peradangan
mata
Diagnosis Sekunder
: Obstruksi usus
Diagnosis Sekunder
Katarak
diabetes
tergantung
insulin
Diagnosis Sekunder
: Hipertensi
Spesialisasi
: Oftalmologi
-32-
f.
digunakan
untuk
menunjukkan
kondisi
yang
tidak
Other
:-
post-traumatic
coxarthrosis
(M16.5)
sebagai
-33-
Diagnosis Sekunder
Spesialisasi
: Neurologi
ICD
menyediakan
untuk
kategori
atau
masing-masing kategori,
subkategori
tapi
tidak
yang
untuk
Diagnosis Sekunder
:-
obstruktif.
Diagnosis Sekunder
:-
luka
operasi,
komplikasi
mekanis
benda-benda
-34-
yang lalu.
Diagnosis Sekunder
:-
Spesialisasi
: Kedokteran umum
Perdarahan
berlebihan
setelah
pencabutan gigi.
Diagnosis Sekunder
:-
Spesialisasi
: Kedokteran gigi
Psikosis
pasca-bedah
setelah
operasi plastik.
Diagnosis Sekunder
:-
Spesialisasi
: Psikiatri
penanggungjawab
pelayanan
(DPJP),
maka
koder
-35-
insidental,
sedangkan
kondisi
tercatat
yang
sebagai
lebih
diagnosis
berarti,
relevan
utama,
dengan
: Sinusitis akut.
Diagnosis Sekunder
: Karsinoma endoserviks
Hipertensi
Prosedur
: Histerektomi total
Spesialisasi
: Ginekologi
: Arthritis rematoid
Diagnosis Sekunder
: Diabetes mellitus
Hernia femoralis terpuntir
Arteriosklerosis generalisata
Pasien di rumah sakit selama tiga
minggu
Prosedur
: Herniorrhaphy
Spesialisasi
: Bedah umum
Arthritis
rematoid,
Diabetes
melitus,
dan
: Epilepsy
Diagnosis Sekunder
: Otomikosis
Spesialisasi
-36-
Contoh :
Diagnosis Utama
Diagnosis Sekunder
Prosedur
Spesialisasi
: Katarak
Meningitis stafilokokus
Penyakit jantung iskemik.
Diagnosis Sekunder
:-
Spesialisasi
: Neurologi
Diagnosis Sekunder
:-
Spesialisasi
-37-
: Gastritis kronis
Keganasan
sekunder
di
nodus
limfe axilla
Karsinoma mammae
Diagnosis Sekunder
:-
Prosedur
: Mastektomi
Dikode
Neoplasma
ganas
mammae
(C50.9)
sebagai
suatu
gejala
atau
tanda
(pada
umumnya
diklasifikasikan
diagnosis
masalah
pada
utama, dan
dari
kondisi
Bab
XXI,
dicatat
merupakan
tanda,
yang
didiagnosis
telah
sebagai
gejala
atau
sebagai
: Hematuria
Diagnosis Sekunder
Pengobatan
Spesialisasi
: Urologi
Dikode
Papilomata
dinding
belakang
kandung
kemih
-38-
Contoh :
Diagnosis Utama
: Koma
Diagnosis Sekunder
Otosklerosis
Diabetes mellitus, insulin dependent
Spesialisasi
: Endokrinologi
Perawatan
: Kejang demam
Diagnosis Sekunder
: Anemia
: Cerebrovascular accident
Diagnosis Sekunder
: Diabetes mellitus
Hipertensi
Perdarahan otak
melitus
dan
Hipertensi
sebagai
diagnosis
-39-
Contoh :
Diagnosis Utama
Diagnosis Sekunder
Sakit
kepala
karena
stress
atau
:-
akut
Diagnosis Sekunder
:-
keracunan makanan
Diagnosis Sekunder
:-
-40-
infeksi
mycobacterium
dan
cytomegalovirus.
HIV
dengan
berbagai
penyakit
yang
harus
dikode.
Kondisi-kondisi
yang
bisa
B20
atau
apabila
B21).
Subkategori
terdapat
kondisi
B22.7
harus
yang
bisa
pasien HIV
Diagnosis Sekunder : -
-41-
sebagai
diagnosis
utama,
penyakit
HIV
yang
Penyakit
carinii,
HIV
limfoma
dengan
Burkitt
dan
pneumonia
kandidiasis
mulut.
Diagnosis Sekunder
:-
sebagai
menyebabkan
diagnosis
pneumonia
utama,
penyakit
Pneumocystis
HIV
carinii
yang
(B20.6),
pada
B20-B23.
Penentuan
penggunaan
neoplasma
baik
primer
atau
sekunder
-42-
: Karsinoma prostat
Diagnosis Sekunder
: Bronkitis kronis
Prosedur
: Prostatektomi
Diagnosis Sekunder
Prosedur
Dikode
Neoplasma
diagnosis
utama,
ganas
riwayat
paru-paru
neoplasma
(C78.0)
sebagai
mammae
(Z85.3)
Kanker
bladder
telah
:-
Prosedur
: Cystoscopy
-43-
: Carcinomatosis
Diagnosis Sekunder
:-
Dikode
Neoplasma
ganas
tanpa
penjelasan
mengenai
lokasinya (C80).
Contoh :
Diagnosis Utama
Multiple
myeloma
dan
:-
utama
tanpa
mengutamakan
salah
satu
di
glomerulonefrosis diabetes
Diagnosis Sekunder
:-
-44-
Contoh :
Diagnosis Utama
Diabetes
Melitus
tergantung
:-
untuk
kebutaan
itu
sendiri.
Ketika
penyebab
Diagnosis Sekunder
:-
contohnya
komplikasi
dari
abortus
pada
kategori
O00-O02
untuk
-45-
Contoh :
Diagnosis Utama
dengan syok.
Diagnosis Sekunder: Spesialisasi
: Ginekologi.
: Ginekologi
spesifik
(O06.3)
sebagai
diagnosis
utama.
:-
: Ginekologi
O80-O84 Melahirkan
Penggunaan kode-kode ini untuk diagnosis utama
terbatas
pada
kasus-kasus
ketika
informasi
yang
-46-
: Kehamilan.
Diagnosis Sekunder
: -
Prosedur
Kelahiran
dengan
forseps
rendah
Dikode Kelahiran dengan forseps rendah (O81.0) sebagai
dignosis utama, karena tidak ada informasi lain tersedia
dan outcome delivery (Z37.-) dikode sebagai diagnosis
sekunder.
Contoh :
Diagnosis Utama
: Melahirkan
Diagnosis Sekunder
Kegagalan
percobaan
persalinan
Prosedur
: Seksio Sesar
Diagnosis Sekunder
: -
Prosedur
: Kelahiran spontan
delivery
(Z37.-)
dikode
sebagai
diagnosis
sekunder.
Contoh :
Diagnosis Utama
Diagnosis Sekunder
: -
Prosedur
: Kelahiran spontan
-47-
pada
kondisi
ini
dinyatakan
mempersulit
: Toxoplasmosis.
Klinik
perawatan
beresiko
antenatal
tinggi
: KPD
Diagnosis Sekunder
: Persalinan SC
Anemia
Spesialisasi
Dikode
KPD
: Obgyn
(O42.1)
sebagai
diagnosis
utama,
-48-
fraktur
tulang
tengkorak
dan
muka
yang
b)
Contoh :
Diagnosis Utama
Cedera
kandung
kemih
dan
urethra.
Diagnosis Sekunder
:-
-49-
Contoh :
Diagnosis Utama
Luka
terbuka
intrakranium
:-
ICD-9-CM
(International
Classification
of
Diseases
Revision
Clinical
-50-
ada
pernyataan
(see,
see
also)
di
belakang
pernyataan
Artery 38.91
-51-
Contoh :
Laminectomy (decompression)
(for exploration) 03.09
as operative approach --omit code
3. Kata Code also (dikoding juga)
Jika ada pernyataan code also dibawah pernyataan tindakan/prosedur
maka harus dikoding.
Contoh :
42.69 Antesternal anastomosis of esophagus dengan gastrostomy
Code also any synchronous :
esophagectomy (42.40 42.42)
gastrostomy (43.1)
Dikode
antesternal
anastomosis
of
esophagus
(42.69)
dan
other
gastrostomy (43.19)
4. Kata Exclude (tidak termasuk)
Jika ada pernyataan Exclude dibawah pernyataan tindakan/prosedur
maka harus dikoding yang lain sesuai dengan petunjuk exclude
Contoh :
Simple excision of lymphatic struture (40.2)
Exclude : biopsy of lyphatic structure (40.11)
5. Kata Includes (termasuk)
Jika ada pernyataan includes dibawah pernyataan tindakan/prosedur
maka pernyataan tindakan tersebut termasuk bagian atau contah
tindakan tersebut :
35.2 Replacement of heart valve
Includes : Excision of heart valve with replacement
Code also cardiopulmonary bypass (extracorporeal circulation) (heart-lung)
(39.61)
C.
-52-
2.
Kontrol Ulang
Dalam hal pasien yang datang untuk kontrol ulang di rawat jalan
dengan
diagnosis
yang
sama
pada
kunjungan
sebelumnya,
: Kontrol Ulang
Diagnosis Sekunder
: Hipertensi
Terapi Berulang
Dalam hal pasien yang datang untuk mendapatkan terapi berulang di
rawat jalan seperti rehabilitasi medik, rehabilitasi psikososial,
hemodialisa, kemoterapi dan radioterapi ditetapkan sebagai diagnosis
utama menggunakan kode Z dan diagnosis sekunder dikode sesuai
penyakitnya.
Contoh :
Pasien datang ke RS untuk dilakukan kemoterapi karena Ca.
Mammae.
Diagnosis Utama
Kemoterapi
Diagnosis Sekunder :
Ca. Mammae
5.
b.
c.
Pengkodean Neoplasma :
a.
Pasien
yang
menggunakan
dirawat
kode
hanya
Z51.1
untuk
sebagai
kemoterapi
diagnosis
utama
maka
dan
-53-
b.
Pasien
yang
menggunakan
dirawat
kode
hanya
Z51.0
untuk
sebagai
radioterapi
diagnosis
maka
utama
dan
d.
e.
f.
6.
7.
melakukan
tubektomi
interval
di
FKRTL
maka
dikode
Pengkodean Thalasemia :
a.
b.
9.
10.
-54-
D.
Episode
Episode adalah jangka waktu perawatan pasien mulai dari pasien
masuk sampai pasien keluar rumah sakit baik rawat jalan maupun rawat
inap, termasuk konsultasi/pemeriksaan dokter dan atau pemeriksaan
penunjang maupun pemeriksaan lainnya. Untuk setiap episode hanya
dapat dilakukan satu kali klaim.
Pada sistem INA-CBG ada 2 episode yaitu episode rawat jalan dan
rawat inap, dengan beberapa kriteria di bawah ini :
1.
episode
rawat
jalan
konsultasi
antara
pasien
penunjang
sesuai
indikasi
adalah
dan
satu
dokter
medis
dan
rangkaian
dan
atau
atau
pertemuan
pemeriksaan
tatalaksana
yang
b)
Satu Episode
Konsultasi
dokter
Pemeriksaan
Penunjang
1 Jan
2016
1 Jan
2016
Konsultasi
dokter
1 Jan
2016
-55-
Contoh B :
Episode 1
Episode 2
Konsultasi
dokter
Pemeriksaan
Penunjang
1 Jan 2016
2 Jan 2016
Konsultasi
dokter
3 Jan 2016
(2)
-56-
Contoh C :
Satu Episode
Konsultasi
dokter
Pemeriksaan
Penunjang
10 Feb 2016
9 Feb 2016
10
Februari
2016
pasien
datang
kembali
untuk
Dalam
hal
pelayanan
berupa
prosedur
atau
terapi
yang
dengan
yang
lain
saling
berhubungan
atau
tidak
f)
g)
Pasien yang datang ke IGD dan pada hari yang sama datang
kembali ke rumah sakit untuk mendapatkan pelayanan rawat
-57-
2.
b.
c.
d.
2)
3)
E.
-58-
1.
Dokter
Tugas
dan
tanggung
menuliskan
jawab
diagnosis
dokter
utama,
adalah
diagnosis
menegakkan
dan
sekunder
dan
Koder
Tugas dan tanggung jawab seorang koder adalah melakukan
kodifikasi diagnosis dan tindakan/prosedur yang ditulis oleh dokter
yang merawat pasien sesuai dengan ICD-10 untuk diagnosis dan
ICD-9-CM untuk tindakan/prosedur yang bersumber dari rekam
medis pasien. Apabila dalam melakukan pengkodean diagnosis atau
tindakan/prosedur
koder
menemukan
kesulitan
ataupun
-59-
BAB IV
APLIKASI INA-CBG
Aplikasi INA-CBG merupakan aplikasi yang digunakan dalam program
Jaminan Kesehatan Nasional (JKN) yang dimulai pada 1 Januari 2014. Aplikasi
ini sebelumnya juga telah digunakan dalam program jaminan Kesehatan yang
dicanangkan oleh pemerintah seperti JAMKESMAS pada tahun 2010 dengan
versi sebelumnya.
Aplikasi INA-CBG pertama kali dikembangkan dengan versi 1.5 yang
berkembang sampai dengan saat ini menjadi versi 5 dengan pengembangan
pada beberapa hal diantaranya :
1. Interface
2. Fitur
3. Grouper
4. Penambahan variable
5. Tarif INA-CBG
6. Modul Protokol Integrasi dengan SIMRS serta BPJS
7. Rancang bangun Pengumpulan data dari rumah sakit ke BPJS Kesehatan
dan Kementerian Kesehatan RI
Pada Aplikasi ini yang akan digunakan pada tahun 2016 telah mengalami
perubahan yang cukup signifikan baik dari segi interface maupun rancang
bangun alur pengiriman data.
Aplikasi INA-CBG sampai saat ini telah digunakan oleh rumah sakit, balai
dan klinik yang melayani peserta Jaminan Kesehatan Nasional (JKN)
Rumah sakit, balai dan klinik yang akan menggunakan aplikasi ini
diwajibkan memiliki kode registrasi yang dikeluarkan oleh Direktorat Jenderal
Pelayanan Kesehatan Kementerian Kesehataan RI. Kode registrasi adalah kode
bagi
Fasilitas
Kesehatan
(faskes)
yang
dikeluarkan
oleh
Kementerian
-60-
dalam
aplikasi
INA-CBG
melalui
-61-
1. Data Tarif faskes yang tertera dalam aplikasi sudah sesuai dengan kelas
faskes yang bersangkutan, dapat dilihat pada bagian kanan atas. Kelas
tarif INA-CBG faskes disesuaikan dengan SK Penetapan Kelas sesuai
dengan peraturan yang berlaku.
2. Data regionalisasi faskes sesuai dengan peraturan yang berlaku
3. Apabila ada ketidaksesuaian mengenai 2 point tersebut diatas, faskes
diwajibkan untuk melakukan pembaharuan (updating) data ke Sekretariat
Tim Tarif INA-CBG melalui email aplikasi.inacbg@gmail.com atau datang
langsung ke Sekretariat Tim Tarif INA-CBG.
4. Database hasil updating akan diupload melalui website inacbg.kemkes.go.id
dan faskes dapat mendownload setelah mendapatkan feedback dari
Sekretariat Tim Tarif INA-CBG melalui email.
Setiap pembaharuan informasi mengenai sistem INA-CBG dan pendukungnya
akan dipublikasikan dalam website inacbg.kemkes.go.id.
Pertanyaan dan pemecahan masalah mengenai aplikasi INA-CBG versi 5 dapat
diemail ke aplikasi.inacbg@gmail.com pada Subject email diberi judul sebagai
berikut :
UPDATE_KELAS_NAMA RS_KDRS
UPDATE_REG_NAMA RS_KDRS
LAIN2_APLIKASI_NAMA RS_KDRS
Contoh :
UPDATE_AP_RS NCC_123456
Mohon pada badan email dapat diberikan informasi sebagai berikut :
a. Kode faskes
b. Nama faskes (HURUF BESAR)
c. Alamat faskes (HURUF BESAR)
d. Kabupaten/Kota (HURUF BESAR)
e. Propinsi (HURUF BESAR)
f. Kelas faskes
g. Regional pada tarif INA-CBG
-62-
BAB V
PENUTUP
Dalam metode pembayaran INA-CBG, terjadi perubahan cara pandang
dan perilaku dalam pengelolaan rumah sakit serta pelayanan terhadap pasien.
Rumah sakit harus memulai perubahan cara pandang dari pola pembayaran
fee for service ke pembayaran dari mulai tingkat manajemen rumah sakit,
dokter dan seluruh karyawan rumah sakit.
Seluruh komponen dalam rumah sakit harus bisa bekerja sama untuk
melakukan upaya efisiensi dan mutu pelayanan.dan memiliki komitmen untuk
melakukan efisiensi karena inefisiensi di salah satu bagian rumah sakit akan
menjadi beban seluruh komponen rumah sakit.
Dalam proses pembentukan tarif INA-CBG dilakukan pengumpulan data
keuangan secara agregat sehingga analisa kecukupan tarif juga harus
menggunakan data agregat, tidak bisa lagi melihat kasus per kasus yang rugi
atau untung, yang perlu dilihat adalah secara agregat pendapatan rumah
sakit, hal ini dikarenakan dalam tarif INA-CBG yang terdiri dari 1.075 group
tarif berlaku sistem subsidi silang antar group yang ada.
MENTERI KESEHATAN
REPUBLIK INDONESIA,
ttd
NILA FARID MOELOEK
-1-
A.
Kode
Deskripsi
C000
C001
C002
C003
C004
C005
C006
C008
C009
C01
C020
C021
C022
C023
C024
C028
C029
C030
C031
C039
C040
C041
C048
C049
C050
C051
C052
C058
C059
C060
C061
C062
C068
C069
C07
C080
C081
C088
C089
C090
C091
C098
-2-
Kode
Deskripsi
C099
C100
C101
C102
C103
C104
C108
C109
C110
C111
C112
C113
C118
C119
C12
C130
C131
C132
C138
C139
C140
C141
C142
C148
C150
C151
C152
C153
C154
C155
C158
C159
C160
C161
C162
C163
C164
C165
C166
C168
C169
C170
C171
C172
C173
C178
C179
C180
-3-
Kode
Deskripsi
C181
C182
C183
C184
C185
C186
C187
C188
C189
C19
C20
C210
C211
C212
C218
C220
C221
C222
C223
C224
C227
C229
C23
C240
C241
C248
C249
C250
C251
C252
C253
C254
C257
C258
C259
C260
C261
C268
C269
C300
C301
C310
C311
C312
C313
C318
C319
C320
-4-
Kode
Deskripsi
C321
C322
C323
C328
C329
C33
C340
C341
C342
C343
C348
C349
C37
C380
C381
C382
C383
C384
C388
C390
C398
C399
C400
C401
C402
C403
C408
C409
C410
C411
C412
C413
C414
C418
C419
C430
C431
C432
C433
C434
C435
C436
C437
C438
C439
C440
C441
C442
-5-
Kode
Deskripsi
C443
C444
C445
C446
C447
C448
C449
C450
Mesothelioma of pleura
C451
Mesothelioma of peritoneum
C452
Mesothelioma of pericardium
C457
C459
Mesothelioma, unspecified
C460
C461
C462
C463
C467
C468
C469
C470
C471
C472
C473
C474
C475
C476
C478
C479
C480
C481
C482
C488
C490
Malignant neoplasm, connective and soft tissue of head, face and neck
C491
Malignant neoplasm, connective and soft tissue of upper limb, including shoulder
C492
Malignant neoplasm, connective and soft tissue of lower limb, including hip
C493
C494
C495
C496
C498
C499
C500
C501
C502
C503
C504
C505
C506
-6-
Kode
Deskripsi
C508
C509
C510
C511
C512
C518
C519
C52
C530
C531
C538
C539
C540
C541
C542
C543
C548
C549
C55
C56
C570
C571
C572
C573
C574
C577
C578
C579
C58
C600
C601
C602
C608
C609
C61
C620
C621
C629
C630
C631
C632
C637
C638
C639
C64
C65
C66
C670
-7-
Kode
Deskripsi
C671
C672
C673
C674
C675
C676
C677
C678
C679
C680
C681
C688
C689
C690
C691
C692
C693
C694
C695
C696
C698
C699
C700
C701
C709
C710
C711
C712
C713
C714
C715
C716
C717
C718
C719
C720
C721
C722
C723
C724
C725
C728
C729
C73
C740
C741
C749
C750
-8-
Kode
Deskripsi
C751
C752
C753
C754
C755
C758
C759
C760
C761
C762
C763
C764
C765
C767
C768
C770
C771
C772
C773
C774
C775
C778
C779
C780
C781
C782
C783
C784
C785
C786
C787
C788
C790
C791
Sec malignant neo bladder and oth and unspec urinary organ
C792
C793
C794
C795
C796
C797
C798
C80
C810
C811
C812
C813
C817
C819
-9-
Kode
Deskripsi
C820
C821
Follicular non-hodgkin's lymphoma, Mixed small cleaved and large cell, follicular
C822
C827
C829
C830
C831
C832
C833
C834
C835
C836
C837
C838
C839
C840
C841
C842
C843
C844
C845
C850
Lymphosarcoma
C851
C857
C859
C880
Waldenstram's macroglobulinaemia
C881
C882
C883
C887
C889
C900
Multiple myeloma
C901
C902
Plasmacytoma, extramedullary
C910
C911
C912
C913
Prolymphocytic leukaemia
C914
Hairy-cell leukaemia
C915
C917
C919
C920
C921
C922
C923
Myeloid sarcoma
C924
C925
-10-
Kode
Deskripsi
C927
C929
C930
C931
C932
C937
C939
C940
C941
Chronic erythraemia
C942
C943
C944
Acute panmyelosis
C945
Acute myelofibrosis
C947
C950
C951
C952
C957
C959
Leukaemia, unspecified
C960
Letterer-siwe disease
C961
Malignant histiocytosis
C962
C963
C967
C969
C97
D000
D001
D002
D010
D011
D012
D013
D014
D015
D017
D019
D020
D021
D022
D023
D024
D030
D031
D032
D033
D034
D035
-11-
Kode
Deskripsi
D036
D037
D038
D039
D040
D041
D042
D043
D044
D045
D046
D047
D048
D049
D050
D051
D057
D059
D060
D061
D067
D069
D070
D071
D072
D073
D074
D075
D076
D090
D091
D092
D093
D097
D099
D100
D101
D102
D103
D104
D105
D106
D107
D109
D110
D117
D119
D120
-12-
Kode
Deskripsi
D121
D122
D123
D124
D125
D126
D127
D128
D129
D130
D131
D132
D133
D134
D135
D136
D137
D139
D140
D141
D142
D143
D144
D150
D151
D152
D157
D159
D160
D161
D162
D163
D164
D165
D166
D167
D168
D169
D170
D171
D172
D173
D174
D175
D176
D177
D179
D180
-13-
Kode
Deskripsi
D181
D190
D191
D197
D199
D200
D201
D210
Benign neoplasm, connective and other soft tissue of head, face and neck
D211
Benign neoplasm, connective and other soft tis of upper limb, inc shoulder
D212
Benign neoplasm, connective and other soft tissue of lower limb, inc hip
D213
D214
D215
D216
D219
D220
D221
D222
D223
D224
D225
D226
D227
D229
D230
D231
D232
D233
D234
D235
D236
D237
D239
D24
D250
D251
D252
D259
D260
D261
D267
D269
D27
D280
D281
D282
D287
D289
-14-
Kode
Deskripsi
D290
D291
D292
D293
D294
D297
D299
D300
D301
D302
D303
D304
D307
D309
D310
D311
D312
D313
D314
D315
D316
D319
D320
D321
D329
D330
D331
D332
D333
D334
D337
D339
D34
D350
D351
D352
D353
D354
D355
D356
D357
D358
D359
D360
D361
D367
D369
D370
-15-
Kode
Deskripsi
D371
D372
D373
D374
D375
D376
D377
D379
D380
D381
D382
D383
D384
D385
D386
D390
D391
D392
D397
D399
D400
D401
D407
D409
D410
D411
D412
D413
D414
D417
D419
D420
D421
D429
D430
D431
D432
D433
D434
D437
D439
D440
D441
D442
D443
D444
D445
D446
-16-
Kode
Deskripsi
D447
D448
D449
D45
Polycythaemia vera
D460
D461
D462
D463
D464
D467
D469
D470
D471
D472
Monoclonal gammopathy
D473
D477
D480
D481
D482
D483
D484
D485
D486
D487
D489
B210
B211
B212
B213
HIV dis result oth mal neo lymphoid haematopoietic rel tis
B217
B218
B219
Q858
Q859
Phakomatosis, unspecified
Z031
Z080
Z081
Z082
Z087
Z088
Z089
Z090
Z091
Z092
Z098
D479
-17-
Kode
Deskripsi
Z120
Z121
Z122
Z123
Z124
Z125
Z126
Z128
Z129
Z292
Z400
Z540
Z541
Z542
Z547
Z510
Radiotherapy Session
Z511
Z512
Other chemotherapy
Z800
Z801
Z802
Z803
Z804
Z805
Z806
Z807
Z808
Z809
Z850
Z851
Z852
Z853
Z854
Z855
Z856
Z857
Z858
Z859
Z860
-18-
B.
Kode
Deskripsi
I00
I010
I011
I012
I018
I019
I020
I029
I050
Mitral stenosis
I051
I052
I058
I059
I060
I061
I062
I068
I069
I070
Tricuspid stenosis
I071
Tricuspid insufficiency
I072
I078
I079
I080
I081
I082
I083
I088
I089
I090
Rheumatic myocarditis
I091
I092
I098
I099
I10
I110
I119
I120
I129
I130
I131
I132
Hyper heart and renal disease both (congestive) heart failure and renal failure
I139
I150
Renovascular hypertension
I151
I152
-19-
Kode
Deskripsi
I158
I159
I200
Unstable angina
I201
I208
I209
I210
I211
I212
I213
I214
I219
I220
I221
I228
I229
I230
I231
I232
I238
I240
I241
Dressler's syndrome
I248
I249
I250
I251
I252
I253
Aneurysm of heart
I254
I255
Ischaemic cardiomyopathy
I256
I258
I259
I260
I269
I270
I271
I272
I278
I279
I233
I234
I235
I236
-20-
Kode
Deskripsi
I280
I281
I288
I289
I300
I301
Infective pericarditis
I308
I309
I310
I311
I312
I313
I318
I319
I320
I321
I328
I330
I339
I340
I341
I342
I348
I349
I350
I351
I352
I358
I359
I360
I361
I362
I368
I369
I370
I371
I372
I378
I379
I38
I390
I391
I392
I393
I394
I398
I400
Infective myocarditis
I401
Isolated myocarditis
-21-
Kode
Deskripsi
I408
I409
I410
I411
I412
I418
I420
Dilated cardiomyopathy
I421
I422
I423
I424
Endocardial fibroelastosis
I425
I426
Alcoholic cardiomyopathy
I427
I428
Other cardiomyopathies
I429
Cardiomyopathy, unspecified
I430
I431
I432
I438
I440
I441
I442
I443
I444
I445
I446
I447
I450
I451
I452
Bifascicular block
I453
Trifascicular block
I454
I455
I456
Pre-excitation syndrome
I458
I459
I460
I461
I469
I470
I471
Supraventricular tachycardia
I472
Ventricular tachycardia
I479
I48
I490
I491
I492
-22-
Kode
Deskripsi
I493
I494
I495
I498
I499
I500
I501
I509
I510
I511
I512
I513
I514
Myocarditis, unspecified
I515
Myocardial degeneration
I516
I517
Cardiomegaly
I518
I519
I520
I521
Oth heart disorders in oth infectious and parasitic disease classified elsewhere
I528
I600
I601
I602
I603
I604
I605
I606
I607
I608
I609
I610
I611
I612
I613
I614
I615
I616
I618
I619
I620
I621
I629
I630
I631
I632
I633
I634
-23-
Kode
Deskripsi
I635
I636
I638
I639
I64
I650
I651
I652
I653
I658
I659
I660
I661
I662
I663
I664
I668
I669
I670
I671
I672
Cerebral atherosclerosis
I673
I674
Hypertensive encephalopathy
I675
Moyamoya disease
I676
I677
I678
I679
I680
I681
I682
I688
I690
I691
I692
I693
I694
I698
I700
Atherosclerosis of aorta
I701
I702
I708
I709
I710
I711
I712
I713
I714
-24-
Kode
Deskripsi
I715
I716
I718
I719
I720
I721
I722
I723
I724
I728
I729
I730
Raynaud's syndrome
I731
I738
I739
I740
I741
I742
I743
I744
I745
I748
I749
I770
I771
Stricture of artery
I772
Rupture of artery
I773
I774
I775
Necrosis of artery
I776
Arteritis, unspecified
I778
I779
I780
I781
Naevus, non-neoplastic
I788
I789
I790
I791
I792
I798
I800
I801
I802
I803
I808
I809
I81
I820
Budd-chiari syndrome
-25-
Kode
Deskripsi
I821
Thrombophlebitis migrans
I822
I823
I828
I829
I830
I831
I832
I839
I840
I841
I842
I843
I844
I845
I846
I847
I848
I849
I850
I859
I860
Sublingual varices
I861
Scrotal varices
I862
Pelvic varices
I863
Vulval varices
I864
Gastric varices
I868
I870
Postphlebitic syndrome
I871
Compression of vein
I872
I878
I879
I880
I881
I888
I889
I890
I891
Lymphangitis
I898
I899
I950
Idiopathic hypotension
I951
Orthostatic hypotension
I952
I958
Other hypotension
I959
Hypotension, unspecified
I970
Postcardiotomy syndrome
I971
I972
-26-
Kode
Deskripsi
I978
I979
I980
Cardiovascular syphilis
I981
I982
I988
I99
Q200
Q201
Q202
Q203
Q204
Q205
Q206
Q208
Q209
Q210
Q211
Q212
Q213
Tetralogy of fallot
Q214
Q218
Q219
Q220
Q221
Q222
Q223
Q224
Q225
Ebstein's anomaly
Q226
Q228
Q229
Q230
Q231
Q232
Q233
Q234
Q238
Q239
Q240
Dextrocardia
Q241
Laevocardia
Q242
Cor triatriatum
Q243
Q244
Q245
Q246
Q248
Q249
-27-
Kode
Deskripsi
Q250
Q251
Coarctation of aorta
Q252
Atresia of aorta
Q253
Stenosis of aorta
Q254
Q255
Q256
Q257
Q258
Q259
Q260
Q261
Q262
Q263
Q264
Q265
Q266
Q268
Q269
Q270
Q271
Q272
Q273
Q274
Congenital phlebectasia
Q278
Q279
Q280
Q281
Q282
Q283
Q288
Q289
O100
P200
P201
P209
P210
P211
O101
O102
O103
O104
O109
-28-
Kode
Deskripsi
P219
P220
P221
P228
P229
P230
P231
P232
P233
P234
P235
P236
P238
P239
P240
P241
P242
P243
P248
P249
P250
P251
P252
P253
P258
P260
P261
P268
P269
P270
Wilson-mikity syndrome
P271
P278
P279
P280
P281
P282
P283
P284
P285
P288
P289
P290
P291
P292
Neonatal hypertension
P293
P294
P298
P299
-29-
Kode
Deskripsi
R000
Tachycardia, unspecified
R001
Bradycardia, unspecified
R002
Palpitations
R008
R010
R011
R012
R02
R030
R031
R040
Epistaxis
R041
R042
Haemoptysis
R048
R049
R05
Cough
R060
Dyspnoea
R061
Stridor
R062
Wheezing
R063
Periodic breathing
R064
Hyperventilation
R065
Mouth breathing
R066
Hiccough
R067
Sneezing
R068
R070
Pain in throat
R071
R072
Precordial pain
R073
R074
R090
Asphyxia
R091
Pleurisy
R092
Respiratory arrest
R093
Abnormal sputum
R098
Other specified symptoms and signs involving circulatory and respiratory systems
Z034
Z035
Z090
Z098
Z136
Z450
Z452
Z950
Z951
Z952
Z953
Z954
Z955
-30-
Kode
Deskripsi
Z958
Z959
C.
Kode
Deskripsi
F000
F001
F002
F009
F010
F011
Multi-infarct dementia
F012
F013
F018
F019
F020
F021
F022
F023
F024
F028
F03
Unspecified dementia
F04
F050
F051
F058
Other delirium
F059
Delirium, unspecified
F060
Organic hallucinosis
F061
F062
F063
F064
F065
F066
F067
F068
F069
F070
F071
Postencephalitic syndrome
F078
F079
F09
F100
F101
-31-
Kode
Deskripsi
F102
F103
F104
Mental & behavioural disorder due to use of alcohol: withdrawl state with delirium
F105
F106
F107
F110
Mental & behavioural disorder due to use of alcohol: residual & late-onset psychotic
disorder
Mental & behavioural disorder due to use of alcohol: other mental & behavioural
disorder
Mental & behavioural disorder due to use of alcohol: unspecified mental & behavioural
disorder
Mental & behavioural disorder due to use of opiods: acute intoxication
F111
F112
F113
F114
Mental & behavioural disorder due to use of opiods: withdrawl state with delirium
F115
F116
F117
F120
Mental & behavioural disorder due to use of opiods: residual & late-onset psychotic
disorder
Mental & behavioural disorder due to use of opiods: other mental & behavioural
disorder
Mental & behavioural disorder due to use of opiods: unspecified mental & behavioural
disorder
Mental & behavioural disorder due to use of cannabinoids: acute intoxication
F121
F122
F123
F124
F125
Mental & behavioural disorder due to use of cannabinoids: withdrawl state with
delirium
Mental & behavioural disorder due to use of cannabinoids: psychotic disorder
F126
F127
F130
Mental & behavioural disorder due to use of cannabinoids: residual & late-onset
psychotic disorder
Mental & behavioural disorder due to use of cannabinoids: other mental &
behavioural disorder
Mental & behavioural disorder due to use of cannabinoids: unspecified mental &
behavioural disorder
Mental & behavioural disorder due to use of sedatives or hypnotics: acute intoxication
F131
Mental & behavioural disorder due to use of sedatives or hypnotics: harmful use
F132
F108
F109
F118
F119
F128
F129
F133
F134
F135
F136
F137
or hypnotics: psychotic
or hypnotics: amnesic
-32-
Kode
F138
Deskripsi
F140
Mental & behavioural disorder due to use of sedatives or hypnotics: other mental &
behavioural disorder
Mental & behavioural disorder due to use of sedatives or hypnotics: unspecified
mental & behavioural disorder
Mental & behavioural disorder due to use of cocaine: acute intoxication
F141
F142
F143
F144
Mental & behavioural disorder due to use of cocaine: withdrawl state with delirium
F145
F146
F147
F160
Mental & behavioural disorder due to use of cocaine: residual & late-onset psychotic
disorder
Mental & behavioural disorder due to use of cocaine: other mental & behavioural
disorder
Mental & behavioural disorder due to use of cocaine: unspecified mental &
behavioural disorder
Mental & behavioural disorder due to use of other stimulants, including caffeine:
acute intoxication
Mental & behavioural disorder due to use of other stimulants, including caffeine:
harmful use
Mental & behavioural disorder due to use of other stimulants, including caffeine:
dependence syndrome
Mental & behavioural disorder due to use of other stimulants, including caffeine:
withdrawal state
Mental & behavioural disorder due to use of other stimulants, including caffeine:
withdrawl state with delirium
Mental & behavioural disorder due to use of other stimulants, including caffeine:
psychotic disorder
Mental & behavioural disorder due to use of other stimulants, including caffeine:
amnesic syndrome
Mental & behavioural disorder due to use of other stimulants, including caffeine:
residual & late-onset psychotic disorder
Mental & behavioural disorder due to use of other stimulants, including caffeine:
other mental & behavioural disorder
Mental & behavioural disorder due to use of other stimulants, including caffeine:
unspecified mental & behavioural disorder
Mental & behavioural disorder due to use hallucinogens: acute intoxication
F161
F162
F163
F164
F165
Mental & behavioural disorder due to use hallucinogens: withdrawl state with
delirium
Mental & behavioural disorder due to use hallucinogens: psychotic disorder
F166
F167
Mental & behavioural disorder due to use hallucinogens: residual & late-onset
psychotic disorder
Mental & behavioural disorder due to use hallucinogens: other mental & behavioural
disorder
Mental & behavioural disorder due to use hallucinogens: unspecified mental &
behavioural disorder
Mental & behavioural disorder due of tobacco: acute intoxication
F139
F148
F149
F150
F151
F152
F153
F154
F155
F156
F157
F158
F159
F168
F169
F170
-33-
Kode
Deskripsi
F171
F172
F173
F174
Mental & behavioural disorder due of tobacco: withdrawl state with delirium
F175
F176
F177
Mental & behavioural disorder due of tobacco: residual & late-onset psychotic disorder
F178
Mental & behavioural disorder due of tobacco: other mental & behavioural disorder
F179
F180
Mental & behavioural disorder due of tobacco: unspecified mental & behavioural
disorder
Mental & behavioural disorder due of volatile solvents: acute intoxication
F181
F182
F183
F184
Mental & behavioural disorder due of volatile solvents: withdrawl state with delirium
F185
F186
F187
F200
Mental & behavioural disorder due of volatile solvents: residual & late-onset psychotic
disorder
Mental & behavioural disorder due of volatile solvents: other mental & behavioural
disorder
Mental & behavioural disorder due of volatile solvents: unspecified mental &
behavioural disorder
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: acute intoxication
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: harmful use
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: dependence syndrome
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: withdrawal state
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: withdrawl state with delirium
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: psychotic disorder
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: amnesic syndrome
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: residual & late-onset psychotic disorder
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: other mental & behavioural disorder
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: unspecified mental & behavioural disorder
Paranoid schizophrenia
F201
Hebephrenic schizophrenia
F202
Catatonic schizophrenia
F203
Undifferentiated schizophrenia
F204
Post-schizophrenic depression
F205
Residual schizophrenia
F206
Simple schizophrenia
F208
Other schizophrenia
F188
F189
F190
F191
F192
F193
F194
F195
F196
F197
F198
F199
-34-
Kode
Deskripsi
F209
Schizophrenia, unspecified
F21
Schizotypal disorder
F220
Delusional disorder
F228
F229
F230
F231
F232
F233
F238
F239
F24
F250
F251
F252
F258
F259
F28
F29
F300
Hypomania
F301
F302
F308
F309
F310
F311
F312
F313
F314
F315
F316
F317
F318
F319
F320
F321
F322
F323
F328
F329
F330
F331
F332
F333
F334
F338
F339
-35-
Kode
Deskripsi
F340
Cyclothymia
F341
Dysthymia
F348
F349
F380
F381
F388
F39
F400
Agoraphobia
F401
Social phobias
F402
F408
F409
F410
F411
F412
F413
F418
F419
F420
F421
F422
F428
F429
F430
F431
F432
Adjustment disorders
F438
F439
F440
Dissociative amnesia
F441
Dissociative fugue
F442
Dissociative stupor
F443
F444
F445
Dissociative convulsions
F446
F447
F448
F449
F450
Somatization disorder
F451
F452
Hypochondriacal disorder
F453
F454
F458
F459
F480
Neurasthenia
F481
Depersonalization-derealization syndrome
-36-
Kode
Deskripsi
F488
F489
F500
Anorexia nervosa
F501
F502
Bulimia nervosa
F503
F504
F505
F508
F509
F510
Nonorganic insomnia
F511
Nonorganic hypersomnia
F512
F513
Sleepwalking [somnambulism]
F514
F515
Nightmares
F518
F519
F520
F521
F522
F523
Orgasmic dysfunction
F524
Premature ejaculation
F525
Nonorganic vaginismus
F526
Nonorganic dyspareunia
F527
F528
F529
F530
Mild mental and behavioural disorder associated with the puerperium NEC
F531
F538
Other mental and behavioural disorder associated with the puerperium NEC
F539
F54
F55
F59
F600
F601
F602
F603
F604
F605
F606
F607
F608
F609
F61
-37-
Kode
Deskripsi
F620
F621
F628
F629
F630
Pathological gambling
F631
F632
F633
Trichotillomania
F638
F639
F640
Transsexualism
F641
Dual-role transvestism
F642
F648
F649
F650
Fetishism
F651
Fetishistic transvestism
F652
Exhibitionism
F653
Voyeurism
F654
Paedophilia
F655
Sadomasochism
F656
F658
F659
F660
F661
F662
F668
F669
F680
F681
F688
F69
F700
F701
F708
F709
F710
F711
F718
F719
F720
F721
F728
F729
-38-
Kode
Deskripsi
F730
F731
F738
F739
F780
F781
F788
F789
F790
F791
F798
F799
F800
F801
F802
F803
F808
F809
F810
F811
F812
F813
F818
F819
F82
F83
F840
Childhood autism
F841
Atypical autism
F842
Rett's syndrome
F843
F844
F845
Asperger's syndrome
F848
F849
F88
F89
F900
F901
F908
F909
F910
F911
F912
F913
F918
F919
-39-
Kode
Deskripsi
F920
F928
F929
F930
F931
F932
F933
F938
F939
F940
Elective mutism
F941
F942
F948
F949
F950
F951
F952
F958
F959
F980
Nonorganic enuresis
F981
Nonorganic encopresis
F982
F983
F984
F985
Stuttering [stammering]
F986
Cluttering
F988
Other behavioral and emotional disorder onset usually ocurring childhood adolescence
F989
F99
G300
G301
G308
G309
G470
G471
G472
G478
G479
Q900
Q901
Q902
Q909
Q910
Q911
Q912
Q913
Q914
-40-
Kode
Deskripsi
Q915
Q916
Q917
Q932
Q933
Q934
Q935
Q936
Q937
Q938
Q939
R410
Disorientation, unspecified
R418
R440
Other and unspecified symptoms and signs involving cognitive functions and
awareness
Auditory hallucinations
R441
Visual hallucinations
R442
Other hallucinations
R443
Hallucinations, unspecified
R450
Nervousness
R451
R452
Unhappiness
R453
R454
R455
Hostility
R456
Physical violence
R457
R458
R460
R461
R462
R463
Overactivity
R465
R466
R467
R468
R480
R481
Agnosia
R482
Apraxia
R488
R54
Senility
R780
Z032
Z046
Z093
Z098
Z133
Z134
Z504
Psychotherapy, nec
-41-
Kode
Deskripsi
Z505
Speech therapy
Z507
Z508
Z509
Z543
Z600
Z601
Z602
Living alone
Z603
Acculturation difficulty
Z604
Z605
Z608
Z609
Z610
Z611
Z612
Z613
Z614
Z615
Problems related to alleged sexual abuse of child by person within primary support
group
Problems related to alleged sexual abuse of child by person out primary support group
Z616
Z617
Z618
Z619
Z620
Z621
Parental overprotection
Z622
Institutional upbringing
Z623
Z624
Z625
Z626
Z628
Z629
Z630
Z631
Z632
Z633
Z634
Z635
Z636
Z637
Z638
Z639
Z640
Z641
Z642
Z643
-42-
Kode
Deskripsi
Z644
Z650
Z651
Z652
Z653
Z654
Z655
Z658
Z659
Z700
Z701
Z702
Z703
Z708
Z709
Z710
Z711
Z718
Z719
Counselling, unspecified
Z720
Tobacco use
Z721
Alcohol use
Z722
Drug use
Z723
Z724
Z725
Z726
Z728
Z729
Z730
Burn-out
Z731
Z732
Z733
Stress, nec
Z734
Z735
Z736
Z738
Z739
Z740
Reduced mobility
Z741
Z742
Need for assistance at home and no other household member able render care
Z743
Z748
Z749
Z750
Z751
Z752
Z753
-43-
Kode
Deskripsi
Z754
Z755
Z758
Z759
Z810
Z811
Z812
Z813
Z814
Z818
Z864
Z865
D.
Kode
A065
Deskripsi
Amoebic lung abscess
A150
A151
A152
A153
A154
A155
A156
A157
A158
A159
A160
A161
A162
A163
A164
A165
A167
A168
A169
A202
Pneumonic plague
A212
Pulmonary tularaemia
A221
Pulmonary anthrax
A310
A370
A371
A378
A379
A420
Pulmonary actinomycosis
A430
Pulmonary nocardiosis
A481
Legionnaires' disease
-44-
Kode
Deskripsi
A482
B012
Varicella pneumonia
B052
B330
B334
B342
B371
Pulmonary candidiasis
B380
B381
B382
B390
B391
B392
B400
B401
B402
B410
Pulmonary paracoccidioidomycosis
B450
Pulmonary cryptococcosis
B460
Pulmonary mucormycosis
B583
Pulmonary toxoplasmosis
B59
Pneumocystosis
B664
Paragonimiasis
B671
B909
C33
C340
C341
C342
C343
C348
C349
C381
C382
C383
C384
C388
C398
C399
C450
Mesothelioma of pleura
C457
C459
Mesothelioma, unspecified
C761
C780
C781
C782
C783
D021
-45-
Kode
Deskripsi
D022
D023
D024
D142
D143
D144
D152
D157
D159
D167
D174
D190
D197
D199
D381
D382
D383
D384
D385
D386
D860
Sarcoidosis of lung
D861
D862
D863
Sarcoidosis of skin
D868
D869
Sarcoidosis, unspecified
E662
E840
E841
E848
E849
G473
Sleep apnoea
I260
I269
J041
Acute tracheitis
J09
J100
J110
J120
Adenoviral pneumonia
J121
J122
J123
J128
J129
J13
J14
J150
J151
-46-
Kode
Deskripsi
J152
J153
J154
J155
J156
J157
J158
J159
J160
Chlamydial pneumonia
J168
J170
J171
J172
Pneumonia in mycoses
J173
J178
J180
Bronchopneumonia, unspecified
J181
J182
J188
J189
Pneumonia, unspecified
J200
J201
J202
J203
J204
J205
J206
J207
J208
J209
J210
J211
J218
J219
J22
J40
J410
J411
J418
J42
J430
Macleod's syndrome
J431
Panlobular emphysema
J432
Centrilobular emphysema
J438
Other emphysema
J439
Emphysema, unspecified
J440
-47-
Kode
Deskripsi
J441
J448
J449
J450
J451
Nonallergic asthma
J458
Mixed asthma
J459
Asthma, unspecified
J46
Status asthmaticus
J47
Bronchiectasis
J60
Coalworker's pneumoconiosis
J61
J620
J628
J630
J631
J632
Berylliosis
J633
J634
Siderosis
J635
Stannosis
J638
J64
Unspecified pneumoconiosis
J65
J660
Byssinosis
J661
Flax-dresser's disease
J662
Cannabinosis
J668
J670
Farmer's lung
J671
Bagassosis
J672
J673
Suberosis
J674
Maltworker's lung
J675
Mushroom-worker's lung
J676
Maple-bark-stripper's lung
J677
J678
J679
J680
J681
J682
Upper respiratory inflammation due to chemicals gases, fumes and vapour not
elsewhere classified
J683
Other acute and subacute respiratory conditions due to chemicals, gases, fumes &
vapours (Reactive airways dysfunction syndrome)
J684
J688
J689
J690
J691
-48-
Kode
Deskripsi
J698
J700
J701
J702
J703
J704
J708
J709
J80
J81
Pulmonary oedema
J82
J840
J841
J848
J849
J850
J851
J852
J853
Abscess of mediastinum
J860
J869
J90
J91
J920
J929
J930
J931
J938
Other pneumothorax
J939
Pneumothorax, unspecified
J940
Chylous effusion
J941
Fibrothorax
J942
Haemothorax
J948
J949
J950
Tracheostomy malfunction
J951
J952
J953
J954
Mendelson's syndrome
J955
J958
J959
J960
J961
J969
J980
J981
Pulmonary collapse
J982
Interstitial emphysema
-49-
Kode
Deskripsi
J983
Compensatory emphysema
J984
J985
J986
Disorders of diaphragm
J988
J989
J990
J991
J998
J998
M051
M0510
M0511
M0512
M0513
M0514
M0515
M0516
M0517
M0518
M0519
M9408
P220
P228
P230
P231
P232
P233
P234
P235
P236
P238
P239
P240
P241
P242
P243
P248
P249
P250
P251
P252
P253
P258
P260
P261
P268
P269
-50-
Kode
Deskripsi
P270
Wilson-mikity syndrome
P271
P278
P279
P280
P281
P282
P283
P284
P285
P288
P289
Q320
Congenital tracheomalacia
Q321
Q322
Congenital bronchomalacia
Q323
Q324
Q330
Q331
Q332
Sequestration of lung
Q333
Agenesis of lung
Q334
Congenital bronchiectasis
Q335
Q336
Q338
Q339
Q340
Anomaly of pleura
Q341
Q348
Q349
Q676
Pectus excavatum
Q677
Pectus carinatum
Q678
Q766
Q767
Q768
Q769
Q790
Q791
R042
Haemoptysis
R048
R049
R05
Cough
R060
Dyspnoea
R061
Stridor
R062
Wheezing
R063
Periodic breathing
R064
Hyperventilation
-51-
Kode
Deskripsi
R066
Hiccough
R068
R071
R090
Asphyxia
R091
Pleurisy
R092
Respiratory arrest
R093
Abnormal sputum
R098
Oth spec symptoms and signs involving circ and resp systems
R222
R683
Clubbing of fingers
R761
R846
R91
R942
S2220
S2221
S2230
S2231
S2240
S2241
S2250
S2251
S2280
S2281
S2290
S2291
S232
S234
S2700
S2701
S2710
S2711
S2720
S2721
S2730
S2731
S2740
S2741
S2750
S2751
S2760
S2761
S2770
S2771
S2780
S2781
S2790
-52-
Kode
Deskripsi
S2791
S280
Crushed chest
S281
S290
S297
S298
S299
S432
S436
T174
T175
T178
T179
T270
T271
T272
T273
T274
T275
T276
T277
T790
T791
T797
T800
T868
T914
U049
Z030
Z031
Z080
Z081
Z082
Z087
Z088
Z089
Z090
Z091
Z092
Z098
Z111
Z122
Z201
Z232
Z290
Isolation
Z430
Attention to tracheostomy
Z515
Palliative care
Z716
-53-
Kode
Deskripsi
Z717
Z718
Z719
Counselling, unspecified
Z720
Tobacco use
Z801
Z802
Z812
Z851
Z852
Z870
Z902
Z942
Z943
E.
Deskripsi
A300
Indeterminate leprosy
A301
Tuberculoid leprosy
A302
A303
Borderline leprosy
A304
A305
Lepromatous leprosy
A308
A309
Leprosy, unspecified
G510
Bell's palsy
G589
Mononeuropathy, unspecified
H022
Lagophthalmos
H611
L52
Erythema nodosum
L538
L97
L984
M200
Deformity of finger(s)
M201
M202
Hallux rigidus
M203
M204
M205
M206
M210
M2100
M2101
M2102
M2103
-54-
Kode
Deskripsi
M2104
M2105
M2106
M2107
M2108
M2109
M211
M2110
M2111
M2112
M2113
M2114
M2115
M2116
M2117
M2118
M2119
M212
Flexion deformity
M2120
M2121
M2122
M2123
M2124
M2125
M2126
M2127
M2128
M2129
M213
M2134
M2137
M214
M2147
M215
M2154
M2157
M216
M2167
M217
M2170
M2171
M2172
M2173
M2174
M2175
M2176
M2177
M2178
-55-
Kode
Deskripsi
M2179
M218
M2180
M2181
M2182
M2183
M2184
M2185
M2186
M2187
M2188
M2189
M219
M2190
M2191
M2192
M2193
M2194
M2195
M2196
M2197
M2198
M2199
M245
Contracture of joint
M256
M478
M792
Ant spinal and vertebral artery compression syndromes, sacral and sacrococcygeal
region
Neuralgia and neuritis, unspecified
M864
M869
Osteomyelitis, unspecified
M898
M950
R200
Anaesthesia of skin
R201
Hypoaesthesia of skin
R202
Paraesthesia of skin
Z015
Z098
Z440
Z441
Z448
Z449
Z501
Z507
Z508
Z509
Z831
Z840
Z861
-56-
Kode
Deskripsi
Z872
Z890
Z891
Z892
Z893
Z894
Z895
Z896
Z897
Acquired absence of both lower limbs [any level, except toes alone]
Z898
Z899
Deskripsi
M000
M0000
M0001
M0002
M0003
M0004
M0005
M0006
M0007
M0008
M0009
M001
M0010
M0011
M0012
M0013
M0014
M0015
M0016
M0017
M0018
M0019
M002
M0020
M0021
M0022
M0023
M0024
-57-
Kode
Deskripsi
M0025
M0026
M0027
M0028
M0029
M008
M0080
Arthritis and polyarthritis due other specified bacterial agents, multiple sites
M0081
Arthritis and polyarthritis due other specified bacterial agents, shouder region
M0082
Arthritis and polyarthritis due other specified bacterial agents, upper arm
M0083
M0084
M0085
Arthritis and polyarthritis due other specified bacterial agents, pelvic and thigh
M0086
Arthritis and polyarthritis due other specified bacterial agents, lower leg
M0087
Arthritis and polyarthritis due other specified bacterial agents, ankle and foot
M0088
Arthritis and polyarthritis due other specified bacterial agents, other sites
M0089
Arthritis and polyarthritis due other specified bacterial agents, unspecified site
M009
M0090
M0091
M0092
M0093
M0094
M0095
M0096
M0097
M0098
M0099
M010
Meningococcal arthritis
M0100
M0101
M0102
M0103
M0104
M0105
M0106
M0107
M0108
M0109
M011
Tuberculous arthritis
M0110
M0111
M0112
-58-
Kode
Deskripsi
M0113
M0114
M0115
M0116
M0117
M0118
M0119
M012
M0120
M0121
M0122
M0123
M0124
M0125
M0126
M0127
M0128
M0129
M013
M0130
M0131
M0132
M0133
M0134
M0135
M0136
M0137
M0138
M0139
M014
Rubella arthritis
M0140
M0141
M0142
M0143
M0144
M0145
M0146
M0147
M0148
M0149
M015
M0150
-59-
Kode
Deskripsi
M0151
M0152
M0153
M0154
M0155
M0156
M0157
M0158
M0159
M016
Arhritis in mycoses
M0160
M0161
M0162
M0163
M0164
M0165
M0166
M0167
M0168
M0169
M018
M0182
Arthritis
Arthritis
sites
Arthritis
region
Arthritis
M0183
M0184
M020
M0200
M0201
M0202
M0203
M0204
M0205
M0206
M0207
M0180
M0181
M0185
M0186
M0187
M0188
M0189
-60-
Kode
Deskripsi
M0208
M0209
M021
Postdysenteric arthropathy
M0210
M0211
M0212
M0213
M0214
M0215
M0216
M0217
M0218
M0219
M022
Postimmunization arthropathy
M0220
M0221
M0222
M0223
M0224
M0225
M0226
M0227
M0228
M0229
M023
Reiter's disease
M0230
M0231
M0232
M0233
M0234
M0235
M0236
M0237
M0238
M0239
M028
M0280
M0281
M0282
M0283
M0284
M0285
-61-
Kode
Deskripsi
M0286
M0287
M0288
M0289
M029
M0290
M0291
M0292
M0293
M0294
M0295
M0296
M0297
M0298
M0299
M030
Postmeningococcal arthritis
M0300
M0301
M0302
M0303
M0304
M0305
M0306
M0307
M0308
M0309
M031
M0310
M0311
M0312
M0313
M0314
M0315
M0316
M0317
M0318
M0319
M032
M0320
M0321
M0322
M0323
-62-
Kode
Deskripsi
M0324
M0325
M0326
M0327
M0328
M0329
M036
M0360
M0361
M0362
M0363
M0364
M0365
M0366
M0367
M0368
M0369
M050
M0500
M0501
M0502
M0503
M0504
M0505
M0506
M0507
M0508
M0509
M051
M0510
M0511
M0512
M0513
M0514
M0515
M0516
M0517
M0518
M0519
M052
M0520
M0521
-63-
Kode
Deskripsi
M0522
M0523
M0524
M0525
M0526
M0527
M0528
M0529
M053
M058
M0580
M0581
M0582
M0583
M0584
M0585
M0586
M0587
M0588
M0589
M059
M0590
M0591
M0592
M0593
M0594
M0595
M0596
M0597
M0530
M0531
M0532
M0533
M0534
M0535
M0536
M0537
M0538
M0539
-64-
Kode
Deskripsi
M0598
M0599
M060
M0600
M0601
M0602
M0603
M0604
M0605
M0606
M0607
M0608
M0609
M061
M0610
M0611
M0612
M0613
M0614
M0615
M0616
M0617
M0618
M0619
M062
Rheumatoid bursitis
M0620
M0621
M0622
M0623
M0624
M0625
M0626
M0627
M0628
M0629
M063
Rheumatoid nodule
M0630
M0631
M0632
M0633
M0634
M0635
-65-
Kode
Deskripsi
M0636
M0637
M0638
M0639
M064
Inflammatory polyarthropathy
M0640
M0641
M0642
M0643
M0644
M0645
M0646
M0647
M0648
M0649
M068
M0680
M0681
M0682
M0683
M0684
M0685
M0686
M0687
M0688
M0689
M069
M0690
M0691
M0692
M0693
M0694
M0695
M0696
M0697
M0698
M0699
M070
M0700
M0704
M0707
M0709
-66-
Kode
Deskripsi
M071
Arthritis mutilans
M0710
M0711
M0712
M0713
M0714
M0715
M0716
M0717
M0718
M0719
M072
Psoriatic spondylitis
M073
M0730
M0731
M0732
M0733
M0734
M0735
M0736
M0737
M0738
M0739
M074
M0740
M0741
M0742
M0743
M0744
M0745
M0746
M0747
M0748
M0749
M075
M0750
M0751
M0752
M0753
M0754
M0755
M0756
-67-
Kode
Deskripsi
M0757
M0758
M0759
M076
M0760
M0761
M0762
M0763
M0764
M0765
M0766
M0767
M0768
M0769
M080
M0800
M0801
M0802
M0803
M0804
M0805
M0806
M0807
M0808
M0809
M081
M0810
M0811
M0812
M0813
M0814
M0815
M0816
M0817
M0818
M0819
M082
M0820
M0821
M0822
M0823
M0824
-68-
Kode
Deskripsi
M0825
M0826
M0827
M0828
M0829
M083
M0830
M0831
M0832
M0833
M0834
M0835
M0836
M0837
M0838
M0839
M084
M0840
M0841
M0842
M0843
M0844
M0845
M0846
M0847
M0848
M0849
M088
M0880
M0881
M0882
M0883
M0884
M0885
M0886
M0887
M0888
M0889
M089
M0890
M0891
M0892
-69-
Kode
Deskripsi
M0893
M0894
M0895
M0896
M0897
M0898
M0899
M090
M0900
M0901
M0902
M0903
M0904
M0905
M0906
M0907
M0908
M0909
M091
M0910
M0911
M0912
M0913
M0914
M0915
M0916
M0917
M0918
M0919
M092
M0920
M0921
M0922
M0923
M0924
M0925
M0926
M0927
M0928
M0929
M098
M0980
-70-
Kode
Deskripsi
M0981
M0982
M0983
M0984
M0985
M0986
M0987
M0988
M0989
M100
Idiopathic gout
M1000
M1001
M1002
M1003
M1004
M1005
M1006
M1007
M1008
M1009
M101
Lead-induced gout
M1010
M1011
M1012
M1013
M1014
M1015
M1016
M1017
M1018
M1019
M102
Drug-induced gout
M1020
M1021
M1022
M1023
M1024
M1025
M1026
M1027
M1028
M1029
-71-
Kode
Deskripsi
M103
M1030
M1031
M1032
M1033
M1034
M1035
M1036
M1037
M1038
M1039
M104
M1040
M1041
M1042
M1043
M1044
M1045
M1046
M1047
M1048
M1049
M109
Gout, unspecified
M1090
M1091
M1092
M1093
M1094
M1095
M1096
M1097
M1098
M1099
M110
M1100
M1101
M1102
M1103
M1104
M1105
M1106
M1107
-72-
Kode
Deskripsi
M1108
M1109
M111
Familial chondrocalcinosis
M1110
M1111
M1112
M1113
M1114
M1115
M1116
M1117
M1118
M1119
M112
Other chondrocalcinosis
M1120
M1121
M1122
M1123
M1124
M1125
M1126
M1127
M1128
M1129
M118
M1180
M1181
M1182
M1183
M1184
M1185
M1186
M1187
M1188
M1189
M119
M1190
M1191
M1192
M1193
M1194
M1195
-73-
Kode
Deskripsi
M1196
M1197
M1198
M1199
M120
M1200
M1201
M1202
M1203
M1204
M1205
M1206
M1207
M1208
M1209
M121
Kaschin-beck disease
M1210
M1211
M1212
M1213
M1214
M1215
M1216
M1217
M1218
M1219
M122
M1220
M1221
M1222
M1223
M1224
M1225
M1226
M1227
M1228
M1229
M123
Palindromic rheumatism
M1230
M1231
M1232
M1233
-74-
Kode
Deskripsi
M1234
M1235
M1236
M1237
M1238
M1239
M124
Intermittent hydrarthrosis
M1240
M1241
M1242
M1243
M1244
M1245
M1246
M1247
M1248
M1249
M125
Traumatic arthropathy
M1250
M1251
M1252
M1253
M1254
M1255
M1256
M1257
M1258
M1259
M128
M1280
M1281
M1282
M1283
M1284
M1285
M1286
M1287
M1288
M1289
M130
Polyarthritis, unspecified
M1300
M1301
-75-
Kode
Deskripsi
M1302
M1303
M1304
M1305
M1306
M1307
M1308
M1309
M131
M1310
M1311
M1312
M1313
M1314
M1315
M1316
M1317
M1318
M1319
M138
M1380
M1381
M1382
M1383
M1384
M1385
M1386
M1387
M1388
M1389
M139
Arthritis, unspecified
M1390
M1391
M1392
M1393
M1394
M1395
M1396
M1397
M1398
M1399
M140
-76-
Kode
Deskripsi
M141
M142
Diabetic arthropathy
M143
Lipoid dermatoarthritis
M144
Arthropathy in amylodosis
M145
M146
Neuropathic arthropathy
M148
M150
M151
M152
M153
M154
Erosive (osteo)arthrosis
M158
Other polyarthrosis
M159
Polyarthrosis, unspecified
M160
M161
M162
M163
M164
M165
M166
M167
M169
Coxarthrosis, unspecified
M170
M171
M172
M173
M174
M175
M179
Gonarthrosis, unspecified
M180
M181
M182
M183
M184
M185
M189
M190
M1900
M1901
M1902
M1903
-77-
Kode
Deskripsi
M1904
M1905
M1906
M1907
M1908
M1909
M191
M1910
M1911
M1912
M1913
M1914
M1915
M1916
M1917
M1918
M1919
M192
M1920
M1921
M1922
M1923
M1924
M1925
M1926
M1927
M1928
M1929
M198
M1980
M1981
M1982
M1983
M1984
M1985
M1986
M1987
M1988
M1989
M199
Arthrosis, unspecified
M1990
M1991
-78-
Kode
Deskripsi
M1992
M1993
M1994
M1995
M1996
M1997
M1998
M1999
M200
Deformity of finger(s)
M201
M202
Hallux rigidus
M203
M204
M205
M206
M210
M2100
M2101
M2102
M2103
M2104
M2105
M2106
M2107
M2108
M2109
M211
M2110
M2111
M2112
M2113
M2114
M2115
M2116
M2117
M2118
M2119
M212
Flexion deformity
M2120
M2121
M2122
M2123
-79-
Kode
Deskripsi
M2124
M2125
M2126
M2127
M2128
M2129
M213
M2134
M2137
M214
M2147
M215
M2154
M2157
M216
M2167
M217
M2170
M2171
M2172
M2173
M2174
M2175
M2176
M2177
M2178
M2179
M218
M2180
M2181
M2182
M2183
M2184
M2185
M2186
M2187
M2188
M2189
M219
M2190
M2191
M2192
-80-
Kode
Deskripsi
M2193
M2194
M2195
M2196
M2197
M2198
M2199
M220
M221
M222
Patellofemoral disorders 1
M223
M224
Chondromalacia patellae
M228
M229
M230
Cystic meniscus
M2300
M2301
M2302
M2304
M2305
M2306
M2307
M2309
M231
M2310
M2315
Discoid meniscus
Discoid meniscus
meniscus
Discoid meniscus
meniscus
Discoid meniscus
medial meniscus
Discoid meniscus
meniscus
Discoid meniscus
M2316
M2317
M2319
M232
M2320
M2303
M2311
M2312
M2313
M2314
M2321
M2322
M2323
-81-
Kode
M2324
M2325
M2326
M2327
M2329
M233
M2330
Deskripsi
Derangement of meniscus due to old tear or injury, lateral collateral ligament or
anterior horn of lateral meniscus
Derangement of meniscus due to old tear or injury, posterior horn of lateral
meniscus
Derangement of meniscus due to old tear or injury, other and unspecified lateral
meniscus
Derangement of meniscus due to old tear or injury, capsular ligament
Derangement of meniscus due to old tear or injury, unspecified ligament or
unspecified meniscus
Other meniscus derangements
M2335
M2336
M2337
M2339
M234
M235
M2350
M2355
Chronic instability
Chronic instability
meniscus
Chronic instability
meniscus
Chronic instability
medial meniscus
Chronic instability
meniscus
Chronic instability
M2356
M2357
M2359
M236
M2360
M2367
M2369
M2331
M2332
M2333
M2334
M2351
M2352
M2353
M2354
M2361
M2362
M2363
M2364
M2365
M2366
multiple sites
anterior cruciate ligament or anterior horn medial
posterior cruciate ligament or anterior horn medial
medial collateral ligament or other and unspecified
lateral collateral ligament or anterior horn of lateral
posterior horn of lateral meniscus
-82-
Kode
Deskripsi
unspecified meniscus
M238
M2380
M2385
M2386
M2387
M2389
M239
M2390
M2395
M2396
M2397
M240
M2400
M2401
M2402
M2403
M2404
M2405
M2406
M2407
M2408
M2409
M241
M2410
M2411
M2412
M2413
M2414
M2415
M2381
M2382
M2383
M2384
M2391
M2392
M2393
M2394
M2399
-83-
Kode
Deskripsi
M2416
M2417
M2418
M2419
M242
Disorder of ligament
M2420
M2421
M2422
M2423
M2424
M2425
M2426
M2427
M2428
M2429
M243
M2432
Pathological
Pathological
sites
Pathological
region
Pathological
M2433
M2434
M244
M2440
M2441
M2442
M2443
M2444
M2445
M2446
M2447
M2448
M2449
M245
Contracture of joint
M2450
M2451
M2430
M2431
M2435
M2436
M2437
M2438
M2439
-84-
Kode
Deskripsi
M2452
M2453
M2454
M2455
M2456
M2457
M2458
M2459
M246
Ankylosis of joint
M2460
M2461
M2462
M2463
M2464
M2465
M2466
M2467
M2468
M2469
M247
Protrusio acetabuli
M2475
M248
M2480
M2481
M2482
M2483
M2484
M2485
Other specific joint derangements, not elsewhere classified, pelvic and thigh
M2486
M2487
Other specific joint derangements, not elsewhere classified, ankle and foot
M2488
M2489
M249
M2490
M2491
M2492
M2493
M2494
M2495
M2496
M2497
M2498
-85-
Kode
Deskripsi
M2499
M250
Haemarthrosis
M2500
M2501
M2502
M2503
Haemarthrosis, forearm
M2504
Haemarthrosis, hand
M2505
M2506
M2507
M2508
M2509
M251
Fistula of joint
M2510
M2511
M2512
M2513
M2514
M2515
M2516
M2517
M2518
M2519
M252
Flail joint
M2520
M2521
M2522
M2523
M2524
M2525
M2526
M2527
M2528
M2529
M253
M2530
M2531
M2532
M2533
M2534
M2535
M2536
-86-
Kode
Deskripsi
M2537
M2538
M2539
M254
Effusion of joint
M2540
M2541
M2542
M2543
M2544
M2545
M2546
M2547
M2548
M2549
M255
Pain in joint
M2550
M2551
M2552
M2553
M2554
M2555
M2556
M2557
M2558
M2559
M256
M2560
M2561
M2562
M2563
M2564
M2565
M2566
M2567
M2568
M2569
M257
Osteophyte
M2570
M2571
M2572
M2573
Osteophyte, forearm
M2574
Osteophyte, hand
-87-
Kode
Deskripsi
M2575
M2576
M2577
M2578
M2579
M258
M2580
M2581
M2582
M2583
M2584
M2585
M2586
M2587
M2588
M2589
M259
M2590
M2591
M2592
M2593
M2594
M2595
M2596
M2597
M2598
M2599
M300
Polyarteritis nodosa
M301
M302
Juvenile polyarteritis
M303
M308
M310
Hypersensitivity angiitis
M311
Thrombotic microangiopathy
M312
M313
Wegener's granulomatosis
M314
M315
M316
M317
Microscopic polyangiitis
M318
M319
-88-
Kode
Deskripsi
M320
M321
M328
M329
M330
Juvenile dermatomyositis
M331
Other dermatomyositis
M332
Polymyositis
M339
Dermatopolymyositis, unspecified
M340
M341
CR(E)ST syndrome
M342
M348
M349
M350
M351
M352
Behcet's disease
M353
Polymyalgia rheumatica
M354
M355
Multifocal fibrosclerosis
M356
M357
Hypermobility syndrome
M358
M359
M360
M361
M362
Haemophilic arthropathy
M363
M364
M368
M400
Postural kyphosis
M4000
M4001
M4002
M4003
M4004
M4005
M4006
M4007
M4008
M4009
M401
M4010
-89-
Kode
Deskripsi
M4011
M4012
M4013
M4014
M4015
M4016
M4017
M4018
M4019
M402
M4020
M4021
M4022
M4023
M4024
M4025
M4026
M4027
M4028
M4029
M403
Flatback syndrome
M4030
M4031
M4032
M4033
M4034
M4035
M4036
M4037
M4038
M4039
M404
Other lordosis
M4040
M4041
M4042
M4043
M4044
M4045
M4046
M4047
M4048
M4049
-90-
Kode
Deskripsi
M405
Lordosis, unspecified
M4050
M4051
M4052
M4053
M4054
M4055
M4056
M4057
M4058
M4059
M410
M4100
M4101
M4102
M4103
M4104
M4105
M4106
M4107
M4108
M4109
M411
M4110
M4111
M4112
M4113
M4114
M4115
M4116
M4117
M4118
M4119
M412
M4120
M4121
M4122
M4123
M4124
M4125
M4126
M4127
-91-
Kode
Deskripsi
M4128
M4129
M413
Thoracogenic scoliosis
M4130
M4131
M4132
M4133
M4134
M4135
M4136
M4137
M4138
M4139
M414
Neuromuscular scoliosis
M4140
M4141
M4142
M4143
M4144
M4145
M4146
M4147
M4148
M4149
M415
M4150
M4151
M4152
M4153
M4154
M4155
M4156
M4157
M4158
M4159
M418
M4180
M4181
M4182
M4183
M4184
M4185
-92-
Kode
Deskripsi
M4186
M4187
M4188
M4189
M419
Scoliosis, unspecified
M4190
M4191
M4192
M4193
M4194
M4195
M4196
M4197
M4198
M4199
M420
M4200
M4201
M4202
M4203
M4204
M4205
M4206
M4207
M4208
M4209
M421
M4210
M4211
M4212
M4213
M4214
M4215
M4216
M4217
M4218
M4219
M429
M4290
M4291
M4292
M4293
-93-
Kode
Deskripsi
M4294
M4295
M4296
M4297
M4298
M4299
M430
Spondylolysis
M4300
M4301
M4302
M4303
M4304
M4305
M4306
M4307
M4308
M4309
M431
Spondylolisthesis
M4310
M4311
M4312
M4313
M4314
M4315
M4316
M4317
M4318
M4319
M432
M4320
M4321
M4322
M4323
M4324
M4325
M4326
M4327
M4328
M4329
M433
M4330
M4331
-94-
Kode
Deskripsi
M4332
M4333
M4334
M4335
M4336
M4337
M4339
M434
M4340
M4341
M4342
M4343
M4344
M4345
M4346
M4347
M4348
M4349
M435
M4350
M4351
M4352
M4353
M4354
M4355
M4356
M4357
M4358
M4359
M436
Torticollis
M4360
M4361
M4362
M4363
M4364
M4365
M4366
M4367
M4368
M4369
M438
M4338
-95-
Kode
Deskripsi
M4380
M4381
Other specified deforming dorsopathies, occipito and atlanto and axial region
M4382
M4383
M4384
M4385
M4386
M4387
M4388
M4389
M439
M4390
M4391
M4392
M4393
M4394
M4395
M4396
M4397
M4398
M4399
M45
Ankylosing spondylitis
M450
M451
M452
M453
M454
M455
M456
M457
M458
M459
M46
Spinal enthesopathy
M4600
M4601
M4602
M4603
M4604
M4605
M4606
M4607
M4608
-96-
Kode
Deskripsi
M4609
M461
M4610
M4611
M4612
M4613
M4614
M4615
M4616
M4617
M4618
M4619
M462
Osteomyelitis of vertebra
M4620
M4621
M4622
M4623
M4624
M4625
M4626
M4627
M4628
M4629
M463
M4630
M4631
M4632
M4633
M4634
M4635
M4636
M4637
M4638
M4639
M464
Discitis, unspecified
M4640
M4641
M4642
M4643
M4644
M4645
M4646
-97-
Kode
Deskripsi
M4647
M4648
M4649
M465
M4650
M4651
M4652
M4653
M4654
M4655
M4656
M4657
M4658
M4659
M468
M4680
M4681
M4682
M4683
M4684
M4685
M4686
M4687
M4688
M4689
M469
M4690
M4691
M4692
M4693
M4694
M4695
M4696
M4697
M4698
M4699
M470
M4710
M4711
M4712
M4713
M471
-98-
Kode
Deskripsi
M4714
M4715
M4716
M4717
M4718
M4719
M472
M4720
M4721
M4722
M4723
M4724
M4725
M4726
M4727
M4728
M4729
M473
M474
M475
M476
M477
M4780
M4781
M4782
M4783
M4784
M4785
M4786
M4787
M4788
M4789
M479
M4790
M4791
M4792
M4793
M4794
M4795
M4796
M4797
M478
-99-
Kode
Deskripsi
M4798
M4799
M480
Spinal stenosis
M4800
M4801
M4802
M4803
M4804
M4805
M4806
M4807
M4808
M4809
M481
M4810
M4811
M4812
M4813
M4814
M4815
M4816
M4817
M4818
M4819
M482
Kissing spine
M4820
M4821
M4822
M4823
M4824
M4825
M4826
M4827
M4828
M4829
M483
Traumatic spondylopathy
M4830
M4831
M4832
M4833
M4834
M4835
-100-
Kode
Deskripsi
M4836
M4837
M4838
M4839
M484
M4840
M4841
M4842
M4843
M4844
M4845
M4846
M4847
M4848
M4849
M485
M4850
M4851
M4852
M4853
M4854
M4855
M4856
M4857
M4858
M4859
M488
M4880
M4881
M4882
M4883
M4884
M4885
M4886
M4887
M4888
M4889
M489
Spondylopathy, unspecified
M4890
M4891
M4892
M4893
-101-
Kode
Deskripsi
M4894
M4895
M4896
M4897
M4898
M4899
M490
Tuberculosis of spine
M4900
M4901
M4902
M4903
M4904
M4905
M4906
M4907
M4908
M4909
M491
Brucella spondylitis
M4910
M4911
M4912
M4913
M4914
M4915
M4916
M4917
M4918
M4919
M492
Enterobacterial spondylitis
M4920
M4921
M4922
M4923
M4924
M4925
M4926
M4927
M4928
M4929
M493
M4930
M4931
-102-
Kode
Deskripsi
M4932
M4933
M4934
M4935
M4936
M4937
M4939
M494
Neuropathic spondylopathy
M4940
M4941
M4942
M4943
M4944
M4945
M4946
M4947
M4948
M4949
M495
M4950
M4951
M4952
M4953
M4954
M4955
M4956
M4957
M4958
M4959
M498
M4980
M4981
M4982
M4983
M4984
M4985
M4986
M4987
M4989
M500
M4938
M4988
-103-
Kode
Deskripsi
M501
M502
M503
M508
M509
M510
M511
M512
M513
M514
Schmorl's nodes
M518
M519
M530
Cervicocranial syndrome
M5300
M5301
M5302
M5303
M5304
M5305
M5306
M5307
M5308
M5309
M531
Cervicobrachial syndrome
M5310
M5311
M5312
M5313
M5314
M5315
M5316
M5317
M5318
M5319
M532
Spinal instabilities
M5320
M5321
M5322
M5323
M5324
M5325
M5326
-104-
Kode
Deskripsi
M5327
M5328
M5329
M533
M5330
M5331
M5332
M5333
M5334
M5335
M5336
M5337
M5338
M5339
M538
M5380
M5381
M5382
M5383
M5384
M5385
M5386
M5387
M5388
M5389
M539
Dorsopathy, unspecified
M5390
M5391
M5392
M5393
M5394
M5395
M5396
M5397
M5398
M5399
M540
M5400
M5401
M5402
M5403
M5404
-105-
Kode
Deskripsi
M5405
M5406
M5407
M5408
Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region
M5409
M541
Radiculopathy
M5410
M5411
M5412
M5413
M5414
M5415
M5416
M5417
M5418
M5419
M542
Cervicalgia
M5420
M5421
M5422
M5423
M5424
M5425
M5426
M5427
M5428
M5429
M543
Sciatica
M5430
M5431
M5432
M5433
M5434
M5435
M5436
M5437
M5438
M5439
M544
M5440
M5441
M5442
-106-
Kode
Deskripsi
M5443
M5444
M5445
M5446
M5447
M5448
M5449
M545
M5450
M5451
M5452
M5453
M5454
M5455
M5456
M5457
M5458
M5459
M546
M5460
M5461
M5462
M5463
M5464
M5465
M5466
M5467
M5468
M5469
M548
Other dorsalgia
M5480
M5481
M5482
M5483
M5484
M5485
M5486
M5487
M5488
M5489
M549
Dorsalgia, unspecified
M5490
-107-
Kode
Deskripsi
M5491
M5492
M5493
M5494
M5495
M5496
M5497
M5498
M5499
M600
Infective myositis
M6000
M6001
M6002
M6003
M6004
M6005
M6006
M6007
M6008
M6009
M601
Interstitial myositis
M6010
M6011
M6012
M6013
M6014
M6015
M6016
M6017
M6018
M6019
M602
M6020
M6021
M6022
M6023
M6024
M6025
M6026
M6027
M6028
M6029
-108-
Kode
Deskripsi
M608
Other myositis
M6080
M6081
M6082
M6083
M6084
M6085
M6086
M6087
M6088
M6089
M609
Myositis, unspecified
M6090
M6091
M6092
M6093
M6094
M6095
M6096
M6097
M6098
M6099
M610
M6100
M6101
M6102
M6103
M6104
M6105
M6106
M6107
M6108
M6109
M611
M6110
M6111
M6112
M6113
M6114
M6115
M6116
M6117
-109-
Kode
Deskripsi
M6118
M6119
M612
M6120
M6121
M6122
M6123
M6124
M6125
M6126
M6127
M6128
M6129
M613
M6130
M6131
M6132
M6133
M6134
M6135
Calcification and ossification of muscles assco with burns, pelvic region and thigh
M6136
M6137
Calcification and ossification of muscles assco with burns, ankle and foot
M6138
M6139
M614
M6140
M6141
M6142
M6143
M6144
M6145
M6146
M6147
M6148
M6149
M615
M6150
M6151
M6152
M6153
M6154
M6155
-110-
Kode
Deskripsi
M6156
M6157
M6158
M6159
M619
M6190
M6191
M6192
M6193
M6194
M6195
M6196
M6197
M6198
M6199
M620
Diastasis of muscle
M6200
M6201
M6202
M6203
M6204
M6205
M6206
M6207
M6208
M6209
M621
M6210
M6211
M6212
M6213
M6214
M6215
M6216
M6217
M6218
M6219
M622
M6220
M6221
M6222
M6223
-111-
Kode
Deskripsi
M6224
M6225
M6226
M6227
M6228
M6229
M623
M6230
M6231
M6232
M6233
M6234
M6235
M6236
M6237
M6238
M6239
M624
Contracture of muscle
M6240
M6241
M6242
M6243
M6244
M6245
M6246
M6247
M6248
M6249
M625
M6250
M6251
M6252
M6253
M6254
M6255
M6256
M6257
M6258
M6259
M626
Muscle strain
M6260
M6261
-112-
Kode
Deskripsi
M6262
M6263
M6264
M6265
M6266
M6267
M6268
M6269
M628
M6280
M6281
M6282
M6283
M6284
M6285
M6286
M6287
M6288
M6289
M629
M6290
M6291
M6292
M6293
M6294
M6295
M6296
M6297
M6298
M6299
M630
M631
M632
M633
Myositis in sarcoidosis
M638
M650
M6500
M6501
M6502
M6503
M6504
M6505
-113-
Kode
Deskripsi
M6506
M6507
M6508
M6509
M651
M6510
M6511
M6512
M6513
M6514
M6515
M6516
M6517
M6518
M6519
M652
Calcific tendinitis
M6520
M6521
M6522
M6523
M6524
M6525
M6526
M6527
M6528
M6529
M653
Trigger finger
M6530
M6531
M6532
M6533
M6534
M6535
M6536
M6537
M6538
M6539
M654
M6540
M6541
M6542
M6543
-114-
Kode
Deskripsi
M6544
M6545
M6546
M6547
M6548
M6549
M658
M6580
M6581
M6582
M6583
M6584
M6585
M6586
M6587
M6588
M6589
M659
M6590
M6591
M6592
M6593
M6594
M6595
M6596
M6597
M6598
M6599
M660
M6600
M6601
M6602
M6603
M6604
M6605
M6606
M6607
M6608
M6609
M661
Rupture of synovium
M6610
M6611
-115-
Kode
Deskripsi
M6612
M6613
M6614
M6615
M6616
M6617
M6618
M6619
M662
M6620
M6621
M6622
M6623
M6624
M6625
M6626
M6627
M6628
M6629
M663
M6630
M6631
M6632
M6633
M6634
M6635
M6636
M6637
M6638
M6639
M664
M6640
M6641
M6642
M6643
M6644
M6645
M6646
M6647
M6648
M6649
M665
-116-
Kode
Deskripsi
M6650
M6651
M6652
M6653
M6654
M6655
M6656
M6657
M6658
M6659
M670
M671
M672
M673
Transient synovitis
M674
Ganglion
M678
M679
M680
M688
M700
M7000
M7001
M7002
M7003
M7004
M7005
Chronic crepitant synovitis of hand and wrist, pelvic region and thigh
M7006
M7007
M7008
M7009
M701
Bursitis of hand
M7010
M7011
M7012
M7013
M7014
M7015
M7016
M7017
M7018
M7019
M702
Olecranon bursitis
-117-
Kode
Deskripsi
M7020
M7021
M7022
M7023
M7024
M7025
M7026
M7027
M7028
M7029
M703
M7030
M7031
M7032
M7033
M7034
M7035
M7036
M7037
M7038
M7039
M704
Prepatellar bursitis
M7040
M7041
M7042
M7043
M7044
M7045
M7046
M7047
M7048
M7049
M705
M7050
M7051
M7052
M7053
M7054
M7055
M7056
M7057
M7058
-118-
Kode
Deskripsi
M7059
M706
Trochanteric bursitis
M7060
M7061
M7062
M7063
M7064
M7065
M7066
M7067
M7068
M7069
M707
M7070
M7071
M7072
M7073
M7074
M7075
M7076
M7077
M7078
M7079
M708
M7080
Other soft tissue disorder related to use overuse and pressure, multiple sites
M7081
Other soft tissue disorder related to use overuse and pressure, shoulder region
M7082
Other soft tissue disorder related to use overuse and pressure, upper arm
M7083
Other soft tissue disorder related to use overuse and pressure, forearm
M7084
M7086
Other soft tissue disorder related to use overuse and pressure, hand
Other soft tissue disorder related to use overuse and pressure, pelvic region and
thigh
Other soft tissue disorder related to use overuse and pressure, lower leg
M7087
Other soft tissue disorder related to use overuse and pressure, ankle and foot
M7088
Other soft tissue disorder related to use overuse and pressure, other
M7089
Other soft tissue disorder related to use overuse and pressure, site unspecified
M709
M7090
M7092
Unspecified soft tissue disorder related to use overuse and pressure, multiple sites
Unspecified soft tissue disorder related to use overuse and pressure, shoulder
region
Unspecified soft tissue disorder related to use overuse and pressure, upper arm
M7093
Unspecified soft tissue disorder related to use overuse and pressure, forearm
M7094
Unspecified soft tissue disorder related to use overuse and pressure, hand
Unspecified soft tissue disorder related to use overuse and pressure, pelvic region
and thigh
M7085
M7091
M7095
-119-
Kode
Deskripsi
M7096
Unspecified soft tissue disorder related to use overuse and pressure, lower leg
M7097
Unspecified soft tissue disorder related to use overuse and pressure, ankle and foot
M7098
Unspecified soft tissue disorder related to use overuse and pressure, other
M7099
Unspecified soft tissue disorder related to use overuse and pressure, site unspecified
M710
Abscess of bursa
M7100
M7101
M7102
M7103
M7104
M7105
M7106
M7107
M7108
M7109
M711
M7110
M7111
M7112
M7113
M7114
M7115
M7116
M7117
M7118
M7119
M712
M7120
M7121
M7122
M7123
M7124
M7125
M7126
M7127
M7128
M7129
M713
M7130
M7131
M7132
M7133
-120-
Kode
Deskripsi
M7134
M7135
M7136
M7137
M7138
M7139
M714
M7140
M7142
M7143
M7144
M7145
M7146
M7147
M7148
M7149
M715
M7150
M7152
M7153
M7154
M7155
M7156
M7157
M7158
M7159
M718
M7180
M7181
M7182
M7183
M7184
M7185
M7186
M7187
M7188
M7189
M719
Bursopathy, unspecified
M7190
M7191
M7192
M7193
-121-
Kode
Deskripsi
M7194
M7195
M7196
M7197
M7198
M7199
M720
M7200
M7201
M7202
M7203
M7204
M7205
M7206
M7207
M7208
M7209
M721
Knuckle pads
M7210
M7211
M7212
M7213
M7214
M7215
M7216
M7217
M7218
M7219
M722
M7220
M7221
M7222
M7223
M7224
M7225
M7226
M7227
M7228
M7229
M724
Pseudosarcomatous fibromatosis
M7240
M7241
-122-
Kode
Deskripsi
M7242
M7243
M7244
M7245
M7246
M7247
M7248
M7249
M725
M7250
M7251
M7252
M7253
M7254
M7255
M7256
M7257
M7258
M7259
M726
Necrotizing fasciitis
M7260
M7261
M7262
M7263
M7264
M7265
M7266
M7267
M7268
M7269
M728
M7280
M7281
M7282
M7283
M7284
M7285
M7286
M7287
M7288
M7289
M729
-123-
Kode
Deskripsi
M7290
M7291
M7292
M7293
M7294
M7295
M7296
M7297
M7298
M7299
M730
Gonococcal bursitis
M7300
M7301
M7302
M7303
M7304
M7305
M7306
M7307
M7308
M7309
M731
Syphilitic bursitis
M7310
M7311
M7312
M7313
M7314
M7315
M7316
M7317
M7318
M7319
M738
M7380
M7381
M7382
M7383
M7384
M7385
Other soft tissue disorders in diseases classified elsewhere, pelvic region and thigh
M7386
M7387
Other soft tissue disorders in diseases classified elsewhere, ankle and foot
M7388
-124-
Kode
Deskripsi
M7389
M750
M751
M752
Bicipital tendinitis
M753
M754
M755
Bursitis of shoulder
M758
M759
M760
Gluteal tendinitis
M7600
M7601
M7602
M7603
M7604
M7605
M7606
M7607
M7608
M7609
M761
Psoas tendinitis
M7610
M7611
M7612
M7613
M7614
M7615
M7616
M7617
M7618
M7619
M762
M7620
M7621
M7622
M7623
M7624
M7625
M7626
M7627
M7628
M7629
-125-
Kode
Deskripsi
M763
M7630
M7631
M7632
M7633
M7634
M7635
M7636
M7637
M7638
M7639
M764
M7640
M7641
M7642
M7643
M7644
M7645
M7646
M7647
M7648
M7649
M765
Patellar tendinitis
M7650
M7651
M7652
M7653
M7654
M7655
M7656
M7657
M7658
M7659
M766
Achilles tendinitis
M7660
M7661
M7662
M7663
M7664
M7665
M7666
M7667
-126-
Kode
Deskripsi
M7668
M7669
M767
Peroneal tendinitis
M7670
M7671
M7672
M7673
M7674
M7675
M7676
M7677
M7678
M7679
M768
M7680
M7681
M7682
M7683
M7684
M7685
Other enthesopathies of lower limb, excluding foot, pelvic region and thigh
M7686
M7687
M7688
M7689
M769
M7690
M7691
M7692
M7693
M7694
M7695
M7696
M7697
M7698
M7699
M770
Medial epicondylitis
M7700
M7701
M7702
M7703
M7704
M7705
-127-
Kode
Deskripsi
M7706
M7707
M7708
M7709
M771
Lateral epicondylitis
M7710
M7711
M7712
M7713
M7714
M7715
M7716
M7717
M7718
M7719
M772
Periarthritis of wrist
M7720
M7721
M7722
M7723
M7724
M7725
M7726
M7727
M7728
M7729
M773
Calcaneal spur
M7730
M7731
M7732
M7733
M7734
M7735
M7736
M7737
M7738
M7739
M774
Metatarsalgia
M7740
M7741
M7742
M7743
Metatarsalgia, forearm
-128-
Kode
Deskripsi
M7744
Metatarsalgia, hand
M7745
M7746
M7747
M7748
Metatarsalgia, other
M7749
M775
M7750
M7751
M7752
M7753
M7754
M7755
M7756
M7757
M7758
M7759
M778
M7780
M7781
M7782
M7783
M7784
M7785
M7786
M7787
M7788
M7789
M779
Enthesopathy, unspecified
M7790
M7791
M7792
M7793
M7794
M7795
M7796
M7797
M7798
M7799
M790
Rheumatism, unspecified
M7900
M7901
-129-
Kode
Deskripsi
M7902
M7903
M7904
M7905
M7906
M7907
M7908
M7909
M791
Myalgia
M7910
M7911
M7912
M7913
Myalgia, forearm
M7914
Myalgia, hand
M7915
M7916
M7917
M7918
M7919
M792
M7920
M7921
M7922
M7923
M7924
M7925
M7926
M7927
M7928
M7929
M793
Panniculitis, unspecified
M7930
M7931
M7932
M7933
M7934
M7935
M7936
M7937
M7938
M7939
M794
-130-
Kode
Deskripsi
M7940
M7941
M7942
M7943
M7944
M7945
M7946
M7947
M7948
M7949
M795
M7950
M7951
M7952
M7953
M7954
M7955
M7956
M7957
M7958
M7959
M796
Pain in limb
M7960
M7961
M7962
M7963
M7964
M7965
M7966
M7967
M7968
M7969
M798
M7980
M7981
M7982
M7983
M7984
M7985
M7986
M7987
M7988
-131-
Kode
Deskripsi
M7989
M799
M7990
M7991
M7992
M7993
M7994
M7995
M7996
M7997
M7998
M7999
M800
M8000
M8001
M8002
M8003
M8004
M8005
M8006
M8007
M8008
M8009
M801
M8010
M8011
M8012
M8013
M8014
M8015
M8016
M8017
M8018
M8019
M802
M8020
M8021
M8022
M8023
M8024
M8025
M8026
-132-
Kode
Deskripsi
M8027
M8028
M8029
M803
M8030
M8031
M8032
M8033
M8034
M8035
M8036
M8037
M8038
M8039
M804
M8040
M8041
M8042
M8043
M8044
M8045
M8046
M8047
M8048
M8049
M805
M8050
M8051
M8052
M8053
M8054
M8055
M8056
M8057
M8058
M8059
M808
M8080
M8081
M8082
M8083
M8084
-133-
Kode
Deskripsi
M8085
M8086
M8087
M8088
M8089
M809
M8090
M8091
M8092
M8093
M8094
M8095
M8096
M8097
M8098
M8099
M810
Postmenopausal osteoporosis
M8100
M8101
M8102
M8103
M8104
M8105
M8106
M8107
M8108
M8109
M811
Postoophorectomy osteoporosis
M8110
M8111
M8112
M8113
M8114
M8115
M8116
M8117
M8118
M8119
M812
Osteoporosis of disuse
M8120
M8121
M8122
-134-
Kode
Deskripsi
M8123
M8124
M8125
M8126
M8127
M8128
M8129
M813
M8130
M8131
M8132
M8133
M8134
M8135
M8136
M8137
M8138
M8139
M814
Drug-induced osteoporosis
M8140
M8141
M8142
M8143
M8144
M8145
M8146
M8147
M8148
M8149
M815
Idiopathic osteoporosis
M8150
M8151
M8152
M8153
M8154
M8155
M8156
M8157
M8158
M8159
M816
M8160
-135-
Kode
Deskripsi
M8161
M8162
M8163
M8164
M8165
M8166
M8167
M8168
M8169
M818
Other osteoporosis
M8180
M8181
M8182
M8183
M8184
M8185
M8186
M8187
M8188
M8189
M819
Osteoporosis, unspecified
M8190
M8191
M8192
M8193
M8194
M8195
M8196
M8197
M8198
M8199
M820
M8200
M8201
M8202
M8203
M8204
M8205
M8206
M8207
M8208
M8209
-136-
Kode
Deskripsi
M821
M8210
M8211
M8212
M8213
M8214
M8215
M8216
M8217
M8218
M8219
M828
M8280
M8281
M8282
M8283
M8284
M8285
M8286
M8287
M8288
M8289
M830
Puerperal osteomalacia
M8300
M8301
M8302
M8303
M8304
M8305
M8306
M8307
M8308
M8309
M831
Senile osteomalacia
M8310
M8311
M8312
M8313
M8314
M8315
M8316
M8317
-137-
Kode
Deskripsi
M8318
M8319
M832
M8320
M8321
M8322
M8323
M8324
M8325
M8326
M8327
M8328
M8329
M833
M8330
M8331
M8332
M8333
M8334
M8335
M8336
M8337
M8338
M8339
M834
M8340
M8341
M8342
M8343
M8344
M8345
M8346
M8347
M8348
M8349
M835
M8350
M8351
M8352
M8353
M8354
M8355
-138-
Kode
Deskripsi
M8356
M8357
M8358
M8359
M838
M8380
M8381
M8382
M8383
M8384
M8385
M8386
M8387
M8388
M8389
M839
M8390
M8391
M8392
M8393
M8394
M8395
M8396
M8397
M8398
M8399
M840
Malunion of fracture
M8400
M8401
M8402
M8403
M8404
M8405
M8406
M8407
M8408
M8409
M841
M8410
M8411
M8412
M8413
-139-
Kode
Deskripsi
M8414
M8415
M8416
M8417
M8418
M8419
M842
M8420
M8421
M8422
M8423
M8424
M8425
M8426
M8427
M8428
M8429
M843
M8430
M8431
M8432
M8433
M8434
M8435
M8436
M8437
M8438
M8439
M844
M8440
M8441
M8442
M8443
M8444
M8445
M8446
M8447
M8448
M8449
M848
M8480
M8481
-140-
Kode
Deskripsi
M8482
M8483
M8484
M8485
M8486
M8487
M8488
M8489
M849
M8490
M8491
M8492
M8493
M8494
M8495
M8496
M8497
M8498
M8499
M850
M8500
M8501
M8502
M8503
M8504
M8505
M8506
M8507
M8508
M8509
M851
Skeletal fluorosis
M8510
M8511
M8512
M8513
M8514
M8515
M8516
M8517
M8518
M8519
M852
Hyperostosis of skull
-141-
Kode
Deskripsi
M8520
M8521
M8522
M8523
M8524
M8525
M8526
M8527
M8528
M8529
M853
Osteitis condensans
M8530
M8531
M8532
M8533
M8534
M8535
M8536
M8537
M8538
M8539
M854
M8540
M8541
M8542
M8543
M8544
M8545
M8546
M8547
M8548
M8549
M855
M8550
M8551
M8552
M8553
M8554
M8555
M8556
M8557
M8558
-142-
Kode
Deskripsi
M8559
M856
M8560
M8561
M8562
M8563
M8564
M8565
M8566
M8567
M8568
M8569
M858
M8580
M8581
M8582
M8583
M8584
M8585
Other specified disorders of bone density and structure, pelvic and thigh
M8586
M8587
Other specified disorders of bone density and structure, ankle and foot
M8588
M8589
M859
M8590
M8591
M8592
M8593
M8594
M8595
M8596
M8597
M8598
M8599
M860
M8600
M8601
M8602
M8603
M8604
M8605
M8606
-143-
Kode
Deskripsi
M8607
M8608
M8609
M861
M8610
M8611
M8612
M8613
M8614
M8615
M8616
M8617
M8618
M8619
M862
Subacute osteomyelitis
M8620
M8621
M8622
M8623
M8624
M8625
M8626
M8627
M8628
M8629
M863
M8630
M8631
M8632
M8633
M8634
M8635
M8636
M8637
M8638
M8639
M864
M8640
M8641
M8642
M8643
M8644
-144-
Kode
Deskripsi
M8645
M8646
M8647
M8648
M8649
M865
M8650
M8651
M8652
M8653
M8654
M8655
M8656
M8657
M8658
M8659
M866
M8660
M8661
M8662
M8663
M8664
M8665
M8666
M8667
M8668
M8669
M868
Other osteomyelitis
M8680
M8681
M8682
M8683
M8684
M8685
M8686
M8687
M8688
M8689
M869
Osteomyelitis, unspecified
M8690
M8691
M8692
-145-
Kode
Deskripsi
M8693
M8694
M8695
M8696
M8697
M8698
M8699
M870
M8700
M8701
M8702
M8703
M8704
M8705
M8706
M8707
M8708
M8709
M871
M8710
M8711
M8712
M8713
M8714
M8715
M8716
M8717
M8718
M8719
M872
M8720
M8721
M8722
M8723
M8724
M8725
M8726
M8727
M8728
M8729
M873
M8730
-146-
Kode
Deskripsi
M8731
M8732
M8733
M8734
M8735
M8736
M8737
M8738
M8739
M878
Other osteonecrosis
M8780
M8781
M8782
M8783
M8784
M8785
M8786
M8787
M8788
M8789
M879
Osteonecrosis, unspecified
M8790
M8791
M8792
M8793
M8794
M8795
M8796
M8797
M8798
M8799
M880
M8809
M888
M8880
M8881
M8882
M8883
M8884
M8885
M8886
M8887
-147-
Kode
Deskripsi
M8888
M8889
M889
M8890
M8891
M8892
M8893
M8894
M8895
M8896
M8897
M8898
M8899
M890
Algoneurodystrophy
M8900
M8901
M8902
M8903
Algoneurodystrophy, forearm
M8904
Algoneurodystrophy, hand
M8905
M8906
M8907
M8908
M8909
M891
Epiphyseal arrest
M8910
M8911
M8912
M8913
M8914
M8915
M8916
M8917
M8918
M8919
M892
M8920
M8921
M8922
M8923
M8924
M8925
-148-
Kode
Deskripsi
M8926
M8927
M8928
M8929
M893
Hypertrophy of bone
M8930
M8931
M8932
M8933
M8934
M8935
M8936
M8937
M8938
M8939
M894
M8940
M8941
M8942
M8943
M8944
M8945
M8946
M8947
M8948
M8949
M895
Osteolysis
M8950
M8951
M8952
M8953
Osteolysis, forearm
M8954
Osteolysis, hand
M8955
M8956
M8957
M8958
M8959
M896
M8960
M8961
M8962
M8963
-149-
Kode
Deskripsi
M8964
M8965
M8966
M8967
M8968
M8969
M898
M8980
M8981
M8982
M8983
M8984
M8985
M8986
M8987
M8988
M8989
M899
M8990
M8991
M8992
M8993
M8994
M8995
M8996
M8997
M8998
M8999
M900
Tuberculosis of bone
M9000
M9001
M9002
M9003
M9004
M9005
M9006
M9007
M9008
M9009
M901
M9010
M9011
-150-
Kode
Deskripsi
M9012
M9013
M9014
M9015
M9016
M9017
M9018
M9019
M902
M9020
M9021
M9022
M9023
M9024
M9025
M9026
M9027
M9028
M9029
M903
M9030
M9031
M9032
M9033
M9034
M9035
M9036
M9037
M9038
M9039
M904
M9040
M9041
M9042
M9043
M9044
M9045
M9046
M9047
M9048
M9049
M905
-151-
Kode
Deskripsi
M9050
M9051
M9052
M9053
M9054
M9055
M9056
M9057
M9058
M9059
M906
M9060
M9061
M9062
M9063
M9064
M9065
M9066
M9067
M9068
M9069
M907
M9070
M9071
M9072
M9073
M9074
M9075
M9076
M9077
M9078
M9079
M908
M9080
M9081
M9082
M9083
M9084
M9085
M9086
M9087
M9088
-152-
Kode
Deskripsi
M9089
M910
M9100
M9101
M9102
M9103
M9104
M9105
M9106
M9107
M9108
M9109
M911
M9110
M9111
M9112
M9113
M9114
M9115
Juv osteochondrosis head of femur [legg-calv -perthes], pelvic region and thigh
M9116
M9117
M9118
M9119
M912
Coxa plana
M9120
M9121
M9122
M9123
M9124
M9125
M9126
M9127
M9128
M9129
M913
Pseudocoxalgia
M9130
M9131
M9132
M9133
Pseudocoxalgia, forearm
M9134
Pseudocoxalgia, hand
M9135
M9136
-153-
Kode
Deskripsi
M9137
M9138
Pseudocoxalgia, other
M9139
M918
M9180
M9181
M9182
M9183
M9184
M9185
Other juvenile osteochondrosis of hip and pelvis, pelvic region and thigh
M9186
M9187
M9188
M9189
M919
M9190
M9191
M9192
M9193
M9194
M9195
Juvenile osteochondrosis of hip and pelvis, unspecified, pelvic region and thigh
M9196
M9197
M9198
M9199
M920
M9200
M9201
M9202
M9203
M9204
M9205
M9206
M9207
M9208
M9209
M921
M9210
M9211
M9212
M9213
M9214
-154-
Kode
Deskripsi
M9215
M9216
M9217
M9218
M9219
M922
M9220
M9221
M9222
M9223
M9224
M9225
M9226
M9227
M9228
M9229
M923
M9230
M9231
M9232
M9233
M9234
M9235
M9236
M9237
M9238
M9239
M924
M9240
M9241
M9242
M9243
M9244
M9245
M9246
M9247
M9248
M9249
M925
M9250
M9251
M9252
-155-
Kode
Deskripsi
M9253
M9254
M9255
M9256
M9257
M9258
M9259
M926
M9260
M9261
M9262
M9263
M9264
M9265
M9266
M9267
M9268
M9269
M927
M9270
M9271
M9272
M9273
M9274
M9275
M9276
M9277
M9278
M9279
M928
M9280
M9281
M9282
M9283
M9284
M9285
M9286
M9287
M9288
M9289
M929
M9290
-156-
Kode
Deskripsi
M9291
M9292
M9293
M9294
M9295
M9296
M9297
M9298
M9299
M930
M9300
M9301
M9302
M9303
M9304
M9305
M9306
M9307
M9308
M9309
M931
M9310
M9311
M9312
M9313
M9314
M9315
M9316
M9317
M9318
M9319
M932
Osteochondritis dissecans
M9320
M9321
M9322
M9323
M9324
M9325
M9326
M9327
M9328
M9329
-157-
Kode
Deskripsi
M938
M9380
M9381
M9382
M9383
M9384
M9385
M9386
M9387
M9388
M9389
M939
Osteochondropathy, unspecified
M9390
M9391
M9392
M9393
M9394
M9395
M9396
M9397
M9398
M9399
M940
M9400
M9401
M9402
M9403
M9404
M9405
M9406
M9407
M9408
M9409
M941
Relapsing polychondritis
M9410
M9411
M9412
M9413
M9414
M9415
M9416
M9417
-158-
Kode
Deskripsi
M9418
M9419
M942
Chondromalacia
M9420
M9421
M9422
M9423
Chondromalacia, forearm
M9424
Chondromalacia, hand
M9425
M9426
M9427
M9428
M9429
M943
Chondrolysis
M9430
M9431
M9432
M9433
Chondrolysis, forearm
M9434
Chondrolysis, hand
M9435
M9436
M9437
M9438
M9439
M948
M9480
M9481
M9482
M9483
M9484
M9485
M9486
M9487
M9488
M9489
M949
M9490
M9491
M9492
M9493
M9494
M9495
-159-
Kode
Deskripsi
M9496
M9497
M9498
M9499
M950
M951
Cauliflower ear
M952
M953
M954
M955
M958
M959
M960
M961
M962
Postradiation kyphosis
M963
Postlaminectomy kyphosis
M964
Postsurgical lordosis
M965
Postradiation scoliosis
M966
Fract bone fllg ins orthopae implt jnt prosthesis and bone plate
M968
M969
M990
M9900
M9901
M9902
M9903
M9904
M9905
M9906
M9907
M9908
M9909
M991
M9910
M9911
M9912
M9913
M9914
M9915
M9916
M9917
M9918
-160-
Kode
Deskripsi
M9919
M992
M9920
M9921
M9922
M9923
M9924
M9925
M9926
M9927
M9928
M9929
M993
M9930
M9931
M9932
M9933
M9934
M9935
M9936
M9937
M9938
M9939
M994
M9940
M9941
M9942
M9943
M9944
M9945
M9946
M9947
M9948
M9949
M995
M9950
M9951
M9952
M9953
M9954
M9955
M9956
-161-
Kode
Deskripsi
M9957
M9958
M9959
Intervertebral disc stenosis of neural canal , pelvic region, abdomen and other
M996
M9960
M9961
M9962
M9963
M9964
M9965
M9966
M9967
M9968
M9969
M997
M9970
M9971
M9972
M9973
M9974
M9975
M9976
M9977
M9978
M9979
Connective tis and disc stenosis of intervertebral foramina, abdomen and other
M998
M9980
M9981
M9982
M9983
M9984
M9985
M9986
M9987
M9988
M9989
M999
M9990
M9991
M9992
M9993
M9994
-162-
Kode
Deskripsi
M9995
M9996
M9997
M9998
M9999
Z440
Z441
Z467
Z470
Follow-up care involving removal of fracture plate and other internal fixation device
Z478
Z479
Z544
Z522
Bone donor
Z523
Z946
Z952
Z966
Z967
A180
A544
A666
B453
Osseous cryptococcosis
B672
B902
C400
C401
C402
C403
C408
C409
C410
C411
C412
C413
C414
C418
C419
C470
C471
C472
C473
Z826
-163-
Kode
Deskripsi
C474
C475
C476
C478
C479
C490
Malignant neoplasm, connective and soft tissue of head, face and neck
C491
Malignant neoplasm, connective and soft tissue of upper limb, including shoulder
C492
Malignant neoplasm, connective and soft tissue of lower limb, including hip
C493
C494
C495
C496
C498
C499
C795
D160
D161
D162
D163
D164
D165
D166
D167
D168
D169
D197
D199
D210
Benign neoplasm, connective and other soft tissue of head, face and neck
D211
Benign neoplasm, connective and other soft tis of upper limb, inc shoulder
D212
Benign neoplasm, connective and other soft tissue of lower limb, inc hip
D213
D214
D215
D216
D219
D361
D480
D481
E550
E643
Sequelae of rickets
E850
D482
-164-
Kode
Deskripsi
E851
E852
E853
E854
Organ-limited amyloidosis
E858
Other amyloidosis
E859
Amyloidosis, unspecified
G551
G552
G553
G560
G575
G600
I00
I730
Raynaud's syndrome
I776
Arteritis, unspecified
I791
L405
Arthropathic psoriasis
P130
P131
P132
P133
P134
P138
P139
P152
P948
P949
Q650
Q651
Q652
Q653
Q654
Q655
Q656
Unstable hip
Q658
Q659
Q660
Talipes equinovarus
Q661
Talipes calcaneovarus
Q662
Metatarsus varus
Q663
Q664
Talipes calcaneovalgus
Q665
-165-
Kode
Deskripsi
Q666
Q667
Pes cavus
Q667
Pes cavus
Q668
Q669
Q670
Facial asymmetry
Q671
Compression facies
Q672
Dolichocephaly
Q673
Plagiocephaly
Q674
Q675
Q680
Q681
Q682
Q683
Q684
Q685
Q688
Q690
Accessory finger(s)
Q691
Accessory thumb(s)
Q692
Accessory toe(s)
Q699
Polydactyly, unspecified
Q700
Fused fingers
Q701
Webbed fingers
Q702
Fused toes
Q703
Webbed toes
Q704
Polysyndactyly
Q709
Syndactyly, unspecified
Q710
Q711
Q712
Q713
Q714
Q715
Q716
Lobster-claw hand
Q718
Q719
Q720
Q721
Q722
Q723
Q724
-166-
Kode
Deskripsi
Q725
Q726
Q727
Split foot
Q728
Q729
Q730
Q731
Q738
Q740
Q741
Q742
Q743
Q748
Q749
Q750
Craniosynostosis
Q751
Craniofacial dysostosis
Q752
Hypertelorism
Q753
Macrocephaly
Q754
Mandibulofacial dysostosis
Q755
Oculomandibular dysostosis
Q758
Q759
Q760
Q761
Klippel-feil syndrome
Q762
Congenital spondylolisthesis
Q763
Q764
Q765
Cervical rib
Q766
Q767
Q768
Q769
Q770
Achondrogenesis
Q771
Q772
Q773
Chondrodysplasia punctata
Q774
Achondroplasia
Q775
Dystrophic dysplasia
Q776
Chondroectodermal dysplasia
Q777
Spondyloepiphyseal dysplasia
Q778
Q779
-167-
Kode
Deskripsi
Q780
Osteogenesis imperfecta
Q781
Q782
Osteopetrosis
Q783
Q784
Enchondromatosis
Q785
Metaphyseal dysplasia
Q786
Q788
Q789
Osteochondrodysplasia, unspecified
Q796
Ehlers-danlos syndrome
Q798
Q799
Q870
Q871
Q872
Q873
R252
R262
R294
Clicking hip
R762
R936
R937
S0270
S0271
S0280
S0281
S029
S0290
S0291
S035
Sprain and strain joints ligs other and unspec parts head
S091
S1200
S1201
S1210
S1211
S1220
S1221
S1270
S1271
S1290
S1291
S130
-168-
Kode
Deskripsi
S131
S132
S133
S134
S135
S136
Sprain and strain of joints and ligaments of other and unspecified parts of neck
S16
S2200
S2201
S2210
S2211
S2230
S2231
S230
S231
S232
S233
S234
S235
S290
S3200
S3201
S3210
S3211
S3220
S3221
S3230
S3231
S324
Fracture of acetabulum
S3240
S3241
S3250
S3251
S3270
S3271
S3280
Fracture of other and unspecified parts of lumbar spine and pelvis, closed
S3281
Fracture of other and unspecified parts of lumbar spine and pelvis, open
S330
S331
S332
S333
S334
-169-
Kode
Deskripsi
S335
S336
S337
Sprain and strain of other and unspec partsof lumbar spine pelvis
S390
S4200
S4201
S4210
S4211
S4220
S4221
S4230
S4231
S4240
S4241
S4270
S4271
S4280
S4281
S4290
S4291
S430
S431
S432
S433
S434
S435
S436
S437
S460
S461
S462
S463
S467
Injury multiple muscles and tendons shoulder and upper arm level
S468
Injury of other muscles and tendons at shoulder and upper arm level
S469
Injury unspecified muscle and tendon at shoulder and upper arm level
S47
S480
S481
S489
S497
S498
S499
-170-
Kode
Deskripsi
S5200
S5201
S5210
S5211
S5220
S5221
S5230
S5231
S5240
S5241
S5250
S5251
S5260
S5261
S5270
S5271
S5280
S5281
S5290
S5291
S530
S531
S532
S533
S534
S560
S561
Injury long flexor muscle and tendon other finger(s) forearm level
S562
S563
S564
S565
S567
S568
S570
S578
S579
S580
S581
S589
S597
S598
S599
-171-
Kode
Deskripsi
S6200
S6201
S6210
S6211
S6220
S6221
S6230
S6231
S6240
S6241
S6250
S6251
S6260
S6261
S6270
S6271
S6280
S6281
S630
Dislocation of wrist
S631
Dislocation of finger
S632
S633
S635
S636
S637
S660
Injury of long flexor muscle and tendon of thumb at wrist and hand level
S661
Injury of flexor muscle and tendon of other finger at wrist and hand level
S662
Injury of extensor muscle and tendon of thumb at wrist and hand level
S663
Injury of extensor muscle and tendon of other finger at wrist and hand level
S664
Injury of intrinsic muscle and tendon of thumb at wrist and hand level
S665
Injury of intrinsic muscle and tendon other finger at wrist and hand level
S666
Injury of multiple flexor muscles and tendons at wrist and hand level
S667
Injury of multiple extensor muscles and tendons at wrist and hand level
S668
S669
S680
S681
S682
S684
S688
S634
S683
-172-
Kode
Deskripsi
S689
S697
S698
S699
S7200
S7201
S7210
S7211
S7220
S7221
S7230
S7231
S7240
S7241
S7270
S7271
S7280
S7281
S7290
S7291
S730
Dislocation of hip
S731
S760
S761
S762
S763
Injury of muscle and tendon of the posterior muscle group at thigh level
S764
S767
S770
S771
S772
S780
S781
S789
S797
S8200
S8201
S8210
S8211
S8220
S8221
S8230
-173-
Kode
Deskripsi
S8231
S8240
S8241
S8250
S8251
S8260
S8261
S8270
S8271
S8280
S8281
S8290
S8291
S830
Dislocation of patella
S831
Dislocation of knee
S832
S833
S834
S835
S836
S837
S860
S861
Injury other muscle(s) tendon(s) of posterior muscle group at low leg level
S862
Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level
S863
Injury of muscle(s) and tendon(s) peroneal muscle group at lower leg level
S867
S868
S869
S870
S878
S880
S881
S889
S897
S898
S899
S9200
S9201
S9210
S9211
S9220
S9221
-174-
Kode
Deskripsi
S9230
S9231
S9240
S9241
S9250
S9251
S9270
S9271
S9290
S9291
S930
S931
Dislocation of toe(s)
S932
S933
S934
S935
S936
S960
Injury muscle and tendon of long flexor muscle toe at ankle and foot level
S961
Injury muscle & tendon long extensor muscle toe at ankle and foot level
S962
S967
S968
S969
S970
S971
S978
S980
S981
S982
S983
S984
S997
S998
S999
T0210
T0211
T0220
T0221
T0230
T0231
T030
T031
Dislocation sprains and strains involving thorax wth lower back and pelvis
-175-
Kode
Deskripsi
T032
T033
T034
Dislocation sprains and strains involving multiple regions upper & lower limb(s)
T038
T039
T050
T051
Traumatic amputation of one hand and other arm [any level, except hand]
T052
T053
T054
Traumatic amputation of one foot and other leg [any level except foot]
T055
T056
Traumatic amputation of upper and lower limbs, any combination [any level]
T058
T059
T064
T080
T081
T092
T095
T100
T101
T112
Disl'n sprain/strain unsp joint & ligament upr limb lvl unsp
T115
Injury of unspec muscle & tendon of upr limb level unspec act
T120
T121
T135
T1420
T1421
T143
T1460
T1461
T796
T840
T841
T842
T843
T844
T845
T846
Infection and inflammatory reaction due internal fixation device [any site]
Infection and inflammatory reaction due to other internal orthopedic prosthetic
devices, implants and grafts
Other complications of internal orthopaedic prosthtic devices, implants & grafts
T132
T847
T848
-176-
Kode
Deskripsi
T849
T870
T871
T872
T873
T874
T875
T876
T920
T921
T922
T923
T924
T925
T926
T928
T929
T931
T932
T933
T935
T936
T938
T939
Kode
Deskripsi
A185
Tuberculosis of eye
A503
A543
A710
A711
A719
Trachoma, unspecified
A740
Chlamydial conjunctivitis
B005
B023
B300
B301
-177-
Kode
Deskripsi
B302
Viral pharyngoconjunctivitis
B303
B308
B309
B580
Toxoplasma oculopathy
B691
Cysticercosis of eye
B831
Gnathostomiasis
B940
Sequelae of trachoma
C431
C441
C690
C691
C692
C693
C694
C695
C696
C698
C699
D031
D041
D092
D221
D231
D310
D311
D312
D313
D314
D315
D316
D319
E103
E113
E123
E133
E143
E500
E501
E502
E503
E504
-178-
Kode
Deskripsi
E505
E506
E507
G245
Blepharospasm
G453
Amaurosis fugax
H000
H001
Chalazion
H010
Blepharitis
H011
H018
H019
H020
H021
Ectropion of eyelid
H022
Lagophthalmos
H023
Blepharochalasis
H024
Ptosis of eyelid
H025
H026
Xanthelasma of eyelid
H027
H028
H029
H030
H031
H038
H040
Dacryoadenitis
H041
H042
Epiphora
H043
H044
H045
H046
H048
H049
H050
H051
H052
Exophthalmic conditions
H053
Deformity of orbit
H054
Enophthalmos
H055
H058
H059
H060
-179-
Kode
Deskripsi
H061
H062
Dysthyroid exophthalmos
H063
H100
Mucopurulent conjunctivitis
H101
H102
H103
H104
Chronic conjunctivitis
H105
Blepharoconjunctivitis
H108
Other conjunctivitis
H109
Conjunctivitis, unspecified
H110
Pterygium
H111
H112
Conjunctival scars
H113
Conjunctival haemorrhage
H114
H118
H119
H130
H131
H132
H133
Ocular pemphigoid
H138
H150
Scleritis
H151
Episcleritis
H158
H159
H160
Corneal ulcer
H161
H162
Keratoconjunctivitis
H163
H164
Corneal neovascularization
H168
Other keratitis
H169
Keratitis, unspecified
H170
Adherent leukoma
H171
H178
H179
H180
H181
Bullous keratopathy
H182
H183
-180-
Kode
Deskripsi
H184
Corneal degeneration
H185
H186
Keratoconus
H187
H188
H189
H190
H191
H193
H198
H200
H201
Chronic iridocyclitis
H202
Lens-induced iridocyclitis
H208
Other iridocyclitis
H209
Iridocyclitis, unspecified
H210
Hyphaema
H211
H212
H213
H214
Pupillary membranes
H215
H218
H219
H220
H221
H228
H250
H251
H252
H258
H259
H260
H261
Traumatic cataract
H262
Complicated cataract
H263
Drug-induced cataract
H264
After-cataract
H268
H269
Cataract, unspecified
H270
Aphakia
H271
Dislocation of lens
H278
H192
-181-
Kode
Deskripsi
H279
H280
H281
H282
H288
H300
H301
H302
Posterior cyclitis
H308
H309
H310
Chorioretinal scars
H311
Choroidal degeneration
H312
H313
H314
Choroidal detachment
H318
H319
H320
H328
H330
H331
H332
H333
H334
H335
H340
H341
H342
H348
H349
H350
H351
Retinopathy of prematurity
H352
H353
H354
H355
H356
Retinal haemorrhage
H357
H358
H359
H36
H360
-182-
Kode
Deskripsi
H368
H400
Glaucoma suspect
H401
H402
H403
H404
H405
H406
H408
Other glaucoma
H409
Glaucoma, unspecified
H420
H428
H430
Vitreous prolapse
H431
Vitreous haemorrhage
H432
H433
H438
H439
H440
Purulent endophthalmitis
H441
Other endophthalmitis
H442
Degenerative myopia
H443
H444
Hypotony of eye
H445
H446
H447
H448
H449
H450
H451
H458
H46
Optic neuritis
H470
H471
Papilloedema, unspecified
H472
Optic atrophy
H473
H474
H475
H476
H477
H480
H481
-183-
Kode
Deskripsi
H488
Other disorder of optic nerve and visual pathways in diseases classified elsewhere
H490
H491
H492
H493
H494
H498
H499
H500
H501
H502
Vertical strabismus
H503
Intermittent heterotropia
H504
H505
Heterophoria
H506
Mechanical strabismus
H508
H509
Strabismus, unspecified
H510
H511
H512
Internuclear ophthalmoplegia
H518
H519
H520
Hypermetropia
H521
Myopia
H522
Astigmatism
H523
H524
Presbyopia
H525
Disorders of accommodation
H526
H527
H530
Amblyopia ex anopsia
H531
H532
Diplopia
H533
H534
H535
H536
Night blindness
H538
H539
H540
H541
H542
-184-
Kode
Deskripsi
H543
H544
H545
H546
H549
H55
H570
H571
Ocular pain
H578
H579
H580
H581
H588
H590
H598
H599
P153
P391
Q100
Congenital ptosis
Q101
Congenital ectropion
Q102
Congenital entropion
Q103
Q104
Q105
Q106
Q107
Q110
Cystic eyeball
Q111
Other anophthalmos
Q112
Microphthalmos
Q113
Macrophthalmos
Q120
Congenital cataract
Q121
Q122
Coloboma of lens
Q123
Congenital aphakia
Q124
Spherophakia
Q128
Q129
Q130
Coloboma of iris
Q131
Absence of iris
Q132
Q133
Q134
-185-
Kode
Deskripsi
Q135
Blue sclera
Q138
Q139
Q140
Q141
Q142
Q143
Q148
Q149
Q150
Congenital glaucoma
Q158
Q159
S001
S002
S011
S023
S0230
S0231
S040
S050
S051
S052
S053
S054
S055
S056
S057
Avulsion of eye
S058
S059
T150
T151
T158
T159
T260
T261
T262
T263
T264
T265
T266
T267
T268
-186-
Kode
Deskripsi
T269
T495
T852
T853
T904
Z010
Z080
Z081
Z082
Z087
Z088
Z089
Z090
Z091
Z092
Z097
Z098
Z135
Z442
Z510
Z511
Z512
Z525
Z835
Z947
Z961
Z970
Kode
Deskripsi
A186
Tuberculosis of ear
A360
Pharyngeal diphtheria
A361
Nasopharyngeal diphtheria
A362
Laryngeal diphtheria
A545
Gonococcal pharyngitis
A564
A665
Gangosa
A690
A691
B002
B053
-187-
Kode
Deskripsi
B085
B370
Candidal stomatitis
B442
Tonsillar aspergillosis
C000
C001
C002
C003
C004
C005
C006
C008
C009
C01
C020
C021
C022
C023
C024
C028
C029
C030
C031
C039
C040
C041
C048
C049
C050
C051
C052
C058
C059
C060
C061
C062
C068
C069
C07
C080
C081
C088
C089
C090
C091
C098
C099
-188-
Kode
Deskripsi
C100
C101
C102
C103
C104
C108
C109
C110
C111
C112
C113
C118
C119
C12
C130
C131
C132
C138
C139
C140
C141
C142
C148
C300
C301
C310
C311
C312
C313
C318
C319
C320
C321
C322
C323
C328
C329
C390
C462
C490
C760
C860
D000
D020
D032
D033
-189-
Kode
D034
Deskripsi
Melanoma in situ of scalp and neck
D042
D043
D044
D101
D102
D103
D104
D105
D106
D107
D109
D110
D117
D119
D140
D141
D165
D170
D210
Benign neoplasm, connective and other soft tissue of head, face and neck
D220
D222
D223
D224
D232
D233
D234
D370
D380
H600
H601
H602
H603
H604
H605
H608
H609
H610
H611
H612
Impacted cerumen
H613
H618
H619
H620
H621
H622
-190-
Kode
Deskripsi
H623
H624
H628
H650
H651
H652
H653
H654
H659
H660
H661
H662
H663
H664
H669
H670
H671
H678
H680
Eustachian salpingitis
H681
H690
H698
H699
H700
Acute mastoiditis
H701
Chronic mastoiditis
H702
Petrositis
H708
H709
Mastoiditis, unspecified
H71
H720
H721
H722
H728
H729
H730
Acute myringitis
H731
Chronic myringitis
H738
H739
H740
Tympanosclerosis
H741
H742
H743
H744
H748
H749
H750
-191-
Kode
Deskripsi
H758
H800
H801
H802
Cochlear otosclerosis
H808
Other otosclerosis
H809
Otosclerosis, unspecified
H810
Meniere's disease
H811
H812
Vestibular neuronitis
H813
H814
H818
H819
H82
H830
Labyrinthitis
H831
Labyrinthine fistula
H832
Labyrinthine dysfunction
H833
H838
H839
H900
H901
H902
H903
H904
H905
H906
H907
H908
H910
H911
Presbycusis
H912
H913
H918
H919
H920
Otalgia
H921
Otorrhoea
H922
Otorrhagia
H930
H931
Tinnitus
H932
H933
H938
H939
H940
-192-
Kode
Deskripsi
H948
H950
H951
H958
H959
J00
J010
J011
J012
J013
J014
Acute pansinusitis
J018
J019
J020
Streptococcal pharyngitis
J028
J029
J030
Streptococcal tonsillitis
J038
J039
J040
Acute laryngitis
J042
Acute laryngotracheitis
J050
J051
Acute epiglottitis
J060
Acute laryngopharyngitis
J068
J069
J101
J108
J111
J300
Vasomotor rhinitis
J301
J302
J303
J304
J310
Chronic rhinitis
J311
Chronic nasopharyngitis
J312
Chronic pharyngitis
J320
J321
J322
J323
J324
Chronic pansinusitis
J328
J329
J330
J331
-193-
Kode
Deskripsi
J338
J339
J340
J341
J342
J343
J348
J350
Chronic tonsillitis
J351
Hypertrophy of tonsils
J352
Hypertrophy of adenoids
J353
J358
J359
J36
Peritonsillar abscess
J370
Chronic laryngitis
J371
Chronic laryngotracheitis
J380
J381
J382
J383
J384
Oedema of larynx
J385
Laryngeal spasm
J386
Stenosis of larynx
J387
J390
J391
J392
J393
J398
J399
K090
K091
K092
K098
K099
K112
Sialoadenitis
K113
K114
K115
Sialolithiasis
K116
K117
K118
K119
K120
K121
K122
-194-
Kode
Deskripsi
K123
K141
Geographic tongue
M950
M951
Cauliflower ear
Q160
Q161
Q162
Q163
Q164
Q165
Q169
Q170
Accessory auricle
Q171
Macrotia
Q172
Microtia
Q173
Q174
Misplaced ear
Q175
Prominent ear
Q178
Q179
Q180
Q181
Q182
Q183
Webbing of neck
Q184
Macrostomia
Q185
Microstomia
Q186
Macrocheilia
Q187
Microcheilia
Q188
Q189
Q300
Choanal atresia
Q301
Q302
Q303
Q308
Q309
Q310
Web of larynx
Q311
Q312
Laryngeal hypoplasia
Q313
Q315
Laryngocele
Congenital laryngomalacia
Q318
Q319
Q351
Q353
Q355
Q357
Cleft uvula
-195-
Kode
Deskripsi
Q359
Q360
Q361
Q369
Q370
Q371
Q372
Q373
Q374
Q375
Q378
Q379
Q380
Q381
Ankyloglossia
Q382
Macroglossia
Q383
Q384
Q385
Q386
Q387
Pharyngeal pouch
Q388
R040
Epistaxis
R041
R065
Mouth breathing
R067
Sneezing
R070
R13
Pain in throat
Dysphagia
R196
R220
Halitosis
Localized swelling, mass and lump, head
R221
R42
R430
R431
Anosmia
Parosmia
R432
Parageusia
R438
R470
R471
R478
R490
Dysphonia
R491
Aphonia
R492
R498
R682
S003
S004
S005
-196-
Kode
Deskripsi
S012
S013
S014
S015
S022
S0220
S0221
S024
S0240
S0241
S025
Fracture of tooth
S0250
S0251
S026
Fracture of mandible
S0260
S0261
S030
Dislocation of jaw
S031
S045
S046
S081
S092
S100
S101
S107
S108
S109
S110
S112
S117
S118
S119
S128
S1280
S1281
S144
S146
S157
S158
S159
S16
S170
S178
S179
S198
S199
-197-
Kode
Deskripsi
T16
T170
T171
T172
T173
T180
T280
T285
T700
Otitic barotrauma
T701
Sinus barotrauma
T752
Effects of vibration
T753
Motion sickness
Z011
Z031
Z081
Z082
Z087
Z088
Z089
Z090
Z091
Z092
Z094
Z097
Z098
Z115
Z128
Z129
Z135
Z137
Z222
Carrier of diphtheria
Z400
Z408
Z409
Z430
Attention to tracheostomy
Z453
Z461
Z510
Radiotherapy session
Z511
Z512
Other chemotherapy
Z516
Desensitization to allergens
Z540
Z541
Z542
Z801
-198-
Kode
Z822
Z827
Z835
Z851
Z877
I.
Deskripsi
Deskripsi
Necrotizing ulcerative stomatitis
A691
B002
B370
Candidal stomatitis
C000
C001
C002
C003
C004
C005
C006
C008
C009
C01
C020
C021
C022
C023
C024
C028
C029
C030
C031
C039
C040
C041
C048
C049
C050
C051
C052
C058
C059
C060
C061
-199-
Kode
C062
Deskripsi
Malignant neoplasm, retromolar area
C068
C069
C07
C080
C081
C088
C089
D000
D100
D101
D102
D103
D117
D119
D164
D165
D370
K000
Anodontia
K001
Supernumerary teeth
K002
K003
Mottled teeth
K004
K005
K006
K007
Teething syndrome
K008
K009
K010
Embedded teeth
K011
Impacted teeth
K020
K021
Caries of dentine
K022
Caries of cementum
K023
K024
Odontoclasia
K028
K029
K030
K031
Abrasion of teeth
K032
Erosion of teeth
K033
K034
Hypercementosis
K035
Ankylosis of teeth
K036
K037
K038
-200-
Kode
K039
Deskripsi
Disease of hard tissues of teeth, unspecified
K040
Pulpitis
K041
Necrosis of pulp
K042
Pulp degeneration
K043
K044
K045
K046
K047
K048
Radicular cyst
K049
K050
Acute gingivitis
K051
Chronic gingivitis
K052
Acute periodontitis
K053
Chronic periodontitis
K054
Periodontosis
K055
K056
Periodontal diseases
K060
Gingival recession
K061
Gingival enlargement
K062
K068
K069
K070
K071
K072
K073
K074
Malocclusion, unspecified
K075
K076
K078
K079
K080
K081
K082
K083
K088
K089
K090
K091
K092
K098
K099
K100
K101
K102
-201-
Kode
K103
Deskripsi
Alveolitis of jaws
K108
K109
K110
K111
K112
Sialoadenitis
K113
K114
K115
Sialolithiasis
K116
K117
K118
K119
K120
K121
K122
K123
K130
Disease of lips
K131
K132
K133
Hairy leukoplakia
K134
K135
K136
K137
K140
Glossitis
k141
Geographic tongue
K142
K143
K144
K145
Plicated tongue
K146
Glossodynia
K148
K149
Q382
Macroglossia
Q383
Q384
R065
Mouth breathing
R196
R682
Halitosis
S030
Dislocation of jaw
S032
Dislocation of tooth
S034
T180
T280
T285
-202-
Kode
Z012
Deskripsi
Dental examination
Z090
Z128
Z138
Z463
Z464
Z808
Z965
-203-
Untuk mendapatkan versi yang lebih detail silahkan merujuk ke WHO DAS
2.0 manual Measuring Health and Disability : Manual For WHO Disability
Assesment Schedule WHO DAS 2.0 (WHO,2010)
Ijin untuk translasi instrumen ini ke bahasa yang lain harus diberikan dari
WHO, dan semua translasi harus mengacu pada The WHO Translation
guideline.
Untuk informasi lebih lanjut kunjungi www.who.int/whodas
-204-
Kuisioner ini terdiri dari 12 pertanyaan WHO DAS 2.0 yang dilakukan
pewawancara.
Instruksi untuk pewawancara adalah yang ditulis tebal dan miring,
jangan dibacakan keras.
Text untuk ditanyakan kepada responden adalah yang tertulis
dengan tinta biru.
Baca dengan jelas.
Bagian 1. Lembar Awal
Lengkapi butir F1 F5 sebelum memulai interview
F
1
Nomor Identitas
responden
F
2
Nomor Identitas
pewawancara
F
3
F
4
Waktu wawancara
F
5
1. Hari ke-43
2. Hari ke-104
Tanggal :
Bulan :
Tahun :
Mandiri di komunitas
Laki-laki
perempuan
A
2
...................tahun
A
3
.tahun
A
4
A
5
Belum Kawin
Kawin
Berpisah
Cerai hidup
Cerai mati
Karyawan
Wiraswasta
Pekerja sukarela
Pelajar
Pensiunan
Lain-lain.
-206Bagian 3. Pembukaan
Sampaikan kepada responden:
Wawancara ini adalah tentang kesulitan yang dialami seseorang akibat
masalah kesehatannya.
Tunjukkan Kartu Petunjuk Pertama kepada responden
Yang dimaksud masalah kesehatan adalah penyakit atau masalah
kesehatan lain yang dapat berlangsung jangka pendek atau panjang;
cedera; masalah kejiwaan atau emosional; dan masalah dengan alkohol
atau zat psikoaktif.
Ingatlah untuk memikirkan semua masalah kesehatan saat Anda menjawab
pertanyaan. Bila saya bertanya tentang kesulitan dalam melakukan
aktivitas, pikirkan
Tunjuk ke Kartu Petunjuk Pertama
Saat menjawab, saya minta Anda untuk memikirkan kembali dalam jangka
waktu 30 hari terakhir. Saya juga minta Anda untuk menjawab pertanyaan
tersebut dengan memikirkan tentang seberapa besar rata-rata kesulitan yang
Anda alami saat melakukan aktivitas yang biasa Anda lakukan selama 30
hari terakhir.
Tunjukkan kartu petunjuk kedua kepada responden
Gunakan skala ini saat menjawab
Bacakan skala dengan suara jelas :
Tidak ada, ringan, sedang, berat, sangat berat atau tidak mampu melakukan.
Pastikan bahwa responden dapat dengan mudah melihat Kartu Petunjuk
Pertama dan Kedua selama wawancara.
-207-
Melakukan pekerjaan
S2 rumah?
S8 Mandi
S9 Berpakaian
S10
S11
Mempertahankan
pertemanan
S12
-208-
lanjutan
Bagian 4 Pertanyaan Inti
H1
H2
H3
..............., .................................
Dokter Penanggung Jawab
________________________________
NIP. ..........................................
-209-
Tidak ada
Ringan
Sedang
Berat
adalah
instrumen
Instrumen
ini
yang
digunakan
dikembangkan
oleh
untuk
mengukur
Tim
Klasifikasi,
dengan
menunjukkan
salah
satu
angka/nilai.
Saat
-212-
7. Pada bagian 1, nomor identitas responden diisi nama lengkap dan nomor
rekam medik pasien, sedangkan nomor identitas pewawancara diisi nama
pewawancara dan nama ruangan.
8. Pewawancara melakukan penilaian pada bagian 4 dengan panduan
sebagai berikut:
a. Pewawancara menanyakan langsung masing-masing item pertanyaan
b. Bila
pasien
tidak
dapat
menjawab
langsung
pertanyaan
dari
-213-
H1
H2
H3