A

NO NAMA DIAGNOSA KODE ICD X

1 ABCES (Masuk Infeksi) L.02.9
2 ABCES AXILIA L.02.4
3 ABCES BORTHOLINS GLAND N.75.1
4 ABCES BRUNCHIALE J.98.0
5 ABCES GRANDULAR L.04.9
6 ABCES HEPAR K.75.0
7 ABCES OF VULVA N.76.4
8 ABCES MANDIBULA (JAW) K.10.2
9 ABCES MAMMAE N.61
10 ABCES NECK L.02.1
11 ABCES OF LIVER K.75.0
12 ABCES OF VULVA N.76.4
13 ABCES REXTROPERITONEAL K.65.0
14 ABCES TUMIT (HEEL) L.02.4
15 ABCES TOBO OVARIAN N.70.9
16 ABCES TUMIT L.02.4
17 ABDOMEN PAIN (LUMBAL PAIN) R.10
18 AB INKOMPLIT (ABORTION) O.06
19 AORTA INSUFFISIENCY (AI) L.35
20 ABDOMEN AKUT R.10.0
21 ABDOMINAL PAIN R.10.4
22 ABORTUS INCOMPLETE O.06
23 ABORTUS INSIPIEN O.06
24 ABORTUS IMMINENT O.05
25 ACNE (Jerawat) L.70
26 ACNE KELOID L.73.0
27 ACNE VULGARIS K.61.0
28 ACUTE APPENDISITIS K.35
29 ACUTE BROCHIOLITIS J.21
30 ACUTE BRONCHITIS J.20
31 ACUTE GINGIVITIS K.05.0
32 ACUTE HEPATITIS A B.15
33 ACUTE HEPATITIS B B.16
34 ACUTE LYMPHADENITIS L.04
35 ACUTE LIMPHOBLASTIC LEUKAEMIA (ALL ) C.91.0
36 ACUTE MYOCARDIAL INFARCTION I.21
37 ACUTE MYELOID LEUKAEMIA (AML) C.92.0
38 ACUTE PANCREATITIS K.85
39 ACUTE PERIODONTITIS K.05.2
40 ACUTE PHARYNGITIS J.02
41 ACUTE RHEUMATIC PERICARDITIS I.01.0
42 ACUTE SALPINGITIS AND OOPHORITIS N.70.0
43 ACUTE SINUSITIS J.01
44 ACUTE TONSILITIS J.03
45 ACUTE UPPER RESPIRATORY INFECTIONS
1 OF MULTIPLE J.06
 AND UNSPECIFIED SITES (URTI / ISPA)
46 ACUTE VAGINITIS (Infeksi Akut Vagina) N.76.0
47 ACUTE VIRAL HEPATITIS B.19.9
48 ACUTE VULVITIS (Infeksi Akut Vulva) N.76.2
49 ADENOCARCINOM INTRATHORACIC C.77.1
50 ADNEXITIS
51 ADENO MYOSIS
52 ASCARIASIS
53 EFFUSION PLEURAL
54 ALERGI
55 ALERGI, Unspecified
56 ALLERGIC CONTACT DERMATITIS
57 ALZHEIMERS DISEASE
58 AMENORRHOAE
59 AMENTIA

2
60 AMI = Anterior
61 AMI = Interior
62 AMMENORRHAE
63 AMPUTATIONS JARI
64 AMPUTATIONS KAKI
65 AMYOTROPIA
AMOEBIASIS
ANEMIA
ANEMIA APLASTIC
ABSCESS AXILA
ANEMIA KRONIS
ANEMIA DEFICIENCY
ANEMIA GLANDULAR
ANEMIA HYPOPLASTIC
ANEURYSMA
ANXIETY STATE
ANGINA PECTORIS
ANOREXIA
ANOSMIA
ANORCHIA
ANTEPARTUM HAEMORRHAGE, not elsewhere classified
ANURIA
ANXIETY
APHASIA
APNEA
APP (APPENDICITIS)
APPENDICITIS ABCES
APPENDICITIS CRONIC
APPENDICITIS INTERPAL
APPENDICITIS PERFORASI
ARF
ARTERIO SCLEROSIS
ARTHALGIA
ARHYTHMIA
ARTRITIS M.13.9
ASCARIASIS, Unspecified B.77.9
ASCITES R.18
ASHD (Penyakit Jantung Lainnya) I.25.1
ASPHYXIA / BERAT / SEDANG R.09.0
99 ASPHYXIA BAYI P.21.9
ASPIRASI P.24.1
ASTHMA J.45
ASTHMA BRONCIALE (ab) J.45.9
ASTHENIA R.53
ATELECTASIS TB A.16.2
ATHEROMA O.14.0
ATOPIC DERMATITIS L.20
ARTHRALGIA 3 M.25
 ATRESIA ANI Q.42.3
ATRIAL SEPTAL DEFECT Q.21.1
AUTISM F.84.0
AVULSION KUKU T.14.7
Aphakia H27.0

NO NAMA DIAGNOSA
B
KODE ICD X
1 BARTHOLINITIS N.75.8
2 BASALIOMA C.44.1
3 BATU BULI (Bladder) N.21.0
4 BATU EMPEDU N.21.9
5 BATU GINJAL N.20.0
6 BATUK KRONIS (Masuk Bronkitis) J.40
7 BATU RENAL N.21.1
8 BATU URETHRE N.23
9 BBLR (Berat Badan Lahir Rendah) P.05
10 BELLS PALSY G.51.0
11 BENIGN MAMMARY DYSPLASIA N.60
12 BITES (Kena Gigitan Kucing) T.14
13 BLIGHTED OVUM and NONHYDATIDIFORM MOLE O.02.0
14 BP (Broncho Pneumonia) J.18.0
15 BPH (BenignHypertrophy ot Prostat) N.40
16 BRADYCARDIA R.00.1
17 BRONCHIECTASIS J.47
18 BRONCITIS J.40
19 BRONCITIS ACUT J.20.9
20 BRONCITIS CRONIC J.42
21 BRONCHIOLITIS ACUT J.21.9
22 BURGERS DISEASE 4 I.73.1
23 BURSITIS M.71.9
24 BURSITIS (Non Elsewhere Classified) M.71.5

NO NAMA DIAGNOSA KODE ICD X

C
1 CANDIDIASIS B.37.9
2 CARIES K.02.9
3 CERVICITIS N.72
4 CATARACT H.26.9
5 CELLULITIS L.03.9
6 CHALAZION H.00.1
7 CHEMOTHERAPY Z.29
8 CHEPALGIA R.51
9 CYSTITIS N.30
10 CHOLANGITIS K.83.0
11 CHOLELITHIASIS K.80.2
12 CHOLECYSTITIS K.81.9
13 CHOLERA, Unspecified A.00.9
14 CONSTIPATION / Obstipation K.59.0
15 COUGH R.05
16 CRAMP and SPASM R.25.2
17 CHRONIC HEPATITIS Unspecified K.73.9
18 CHRONIC ISCHAEMIC HEART DISEASE I.25
19 CHRONIC NASOPHARYNGITIS J.31.1
20 CHRONIC PHARYNGITIS J.31.2
21 CHRONIC RENAL FAILURE N.18
22 CHRONIC RHINITIS, NASOPHARYNGITIS, & PHARYNGITIS J.31
23 CHRONIC SINUSITIS J.32
24 CIRCUMCISION Z.41.2
25 CLAVUS L.84
26 COMMOTIO CEREBRI S.06.0
27 CONGENITAL TALIPES EQUINOVARUS (CTEV) Q.66.0
28 CONJUNGTIVITIS (Infeksi conjunctiva) H.10.9
Conjungtivitis allergic (acute atopic conjungtivitis) H10.1
29 CONSTIPATION K.59.0
30 CONTUSION OF EYEBALL and ORBIT TISSUES S.05.1
31 CORNEAL SCARS and OPACITIES H.17
32 COUGH R.05
33 CALCULUS OF PROSTATE 5 N.42.0
34 CALCANEO APOPHYSITIS M.92.8
35 CA ABDOMEN C.76.2
36 CA BASAL CELL C.44.1
37 CA BLADDER (BULI) D.30.3
38 CA CARPUS UTERI C.54
39 CA CERVIX C.53.9
40 CA COLON C.18.9
41 CA CUTIS METASTASE C.44.5
42 CA ESOPHAGUS C.15.9
43 CA LARING C.32.9
44 CA LEHER C.76.0
46 CA LIDAH C.02.9
47 CA MAMMAE KIRI C.50.9
48 CA MUCUEFIDERMOIT C.79.5
49 CA NASOPHANYNX C.11.9
50 CA OVARIUM C.56
51 CA PANCREAS C.25
52 CA PARATIC C.79.8
53 CA PARU-PARU C.34.9
54 CA RECTUM C.20
55 CA PEDIS C.40.3
56 CA PULMO C.34.9
57 CA RECTUM C.20
58 CA SYNOVIOMA C.49.9
59 CA TELAPAK KAKI C.76.5
60 CA THYROID C.73
61 CA TONSIL C.09.9
62 CA TULANG C.41
63 CARDIAC ARREST I.46
64 CARDIAC ARRHYTHMIA, Unspecified I.49.9
65 CARDIO MEGALY (Pembesaran Jantung) I.51.7
66 CARDIO MYOPATHY I.42
67 CARDIOGENIC SHOCK R.57.0
68 CC (HLG Akibat Di Pukul) S.06.0.09
69 CEF (EE + FEBTUS + GE) Masuk Influensa J.10
70 CEFAL HEMATOMA (Masuk Chepalgia) R.51
71 CEREBRAL MALARIA B.50.0
72 CEREBRAL TRANSIENT ISCHEMIC I.67.2
73 CERVICAL SPONDYLOSIS M.47.8
74 CERVIVAL SPONOYLOSIS M.47.8
75 CHEST PAIN, unspecified (Nyeri dada, tidak spesifik) R.07.4
76 CH (Cementation Hyperplasia) K.03.4
77 CHD Q.24.9
78 CHF I.50.0
79 CHOLECYSTITIS ACUT K.81.0
80 CHEST PAIN R.10.2
81 CHOLELI THIASIS K.80.2
82 CHOLERA 6 A.00.9
 83 CHOREA SYDENHAMS L.02.9
84 CIRCUMSISI Z.41.2
85 CIRRHOSIS HEPATITIS K.74.6
86 CAD (Coronary Artery Diseases) I.25.1
87 CKD (Chronic Kidney Diseases) N.18
88 COLIC ABDOMEN R.10
89 COLIC RENAL = RENAL PAIN N.23
90 COLIC URETER N.23
91 COLIC URETER SINITRA N.23
92 COLIC GINJAL N.23
93 COLICYSTITIS N.30.8
94 COLITIS A.09
95 COLITIS CRONIC K.52.9
96 COLITIS ULCERATIVE K.51.9
97 COMA R.40.2
98 COMA DIABETIC E.10 - E.14
99 COMA HEPATIC K.72.9
100 COMBUSTIO (Luka Bakar) T.31.0
101 COMMOTIO (Gegar Otak) S.06.0
102 COMMOTIO CEREBRI S.06.0
103 CONCHO HIPERTROPI J.34.8
104 CONTUSIO (Memar Otak) S.06.2
105 CONTUSIO CEREBRI S.06.2
106 CONCHAHYPERTROPY J.34.8
107 CONGENITAL DEAFNESS H.90.5
108 CONGENITAL SYPHILIS A.50
109 CONTUSIO CEREBRI S.06.2
110 CORPUS ALIENUM T.16
111 CORPUS ALEANUM (VAGINA) S.31.4
112 CORPUS ALIENUM KNEE S.81.7
113 CORPUS ALIENUM LARYNX S.11.0
114 COMMON COLD (Influensa) J.10
115 CRF (Gagal Ginjal Lainnya) FALUT N.17.0
116 CVD (CEREBRO VASKULER DISEASE) I.67.9
117 PHIMOSIS N.47
118 CYSTITIS N.30
119 CYST OF PANCREAS K.86.2
120 CYSTOMA OVARII D.27
121 CYST THYROID CGS E.04.1
Cyst Globulamaxillaris K09.1
Cyst radicular K04.8
Contusion of other part wrist and hand S60.2
Multiple superficial injury of wrist and hand S60.7
clavus L84

7
NO NAMA DIAGNOSA KODE ICD X
D
1 DEAFNESS H.91.9
2 DECOMCORDIS (Jantung) I.51.6
3 DECOMPENSATION CORDIS I.51.9
4 DECUBITUS ULCER L.89
5 DEHIDRASI E.86
6 DEMAM PARATHYPOID A.01.4
7 DEMAM THYPOID / THYPOID FEVER A.01
8 DEMENTIA SENILIS F.03
9 PNEUMONIA J.18
10 DEPRESSION F.32.9
11 DERMATITIS L.30.9
12 DERMATIS ALERGIE L.23.9
13 DIARE / GE A.09
14 DIPTHERIA A.36
15 DISCITIS M.46.4
16 DISLOCATION T.03
17 DISPEPSIA K.30
18 DYSENTRI A.09
19 DYSPHAGIA R.13
20 DYSMENORRHEA N.94.6
21 DYSPNEA R.06.0
22 DYSPNOE R.06.0
23 DYSURIA = COLIC URETER N.23
24 DLI E.86
25 DIABETES ALRETIS E.14
DM type I ( insulin) E10
DM type II non insulin) E11
26 DIABETES MELITUS (DM) E.14
27 DIAPHRAGMATIC HERNIA K.44
28 DEAD INCOMPLED SO.36.4
29 DECUBITUS ULCER L.89
30 DIARE ACUT A.06.0
31 DISLOCATION HIP S.73.0
32 DISCOLATION SENDI S.43.0
33 DISLOCARI SHOULDER S.41.0
34 DISTORSI TESTIS Q.74.2
35 DRAG TUTOCATION T.65.9
36 DYSPNOE (Masuk Poeumonia) J.18
37 DYSPEPSIA K.30
38 DYSPNOE R.02
39 DYMENOR FLEA N.94
40 DYSPNEA / DYSPNOE R.06.0
41 DYSPLASIA OF CERVIX UTERI N.87
42 DBD (Demam Berdarah Dengue) A.91
43 DHF (Dengue Hemorragie Fever) A.91
44 8 of Presumed Infections
GEAD (Diarrhoe and Gastroenteritis A.09
 Origin)
45 DISIO CATION SHEYIDER JOINT S.43.0
46 DUT I.82.5
47 DSS A.91
Dilatation cardiac see also hypertrophy I51.7

NO NAMA DIAGNOSA KODE ICD X

E
1 ECLAMPSIA O.15.9
2 EMESIS R.11
3 ENCEPHALITIS G.04.9
4 ENCEPHALOCELE Q.01
5 ENDOMETRIOSIS H.80.9
6 EPIDIDYMITIS N.45.9
7 ENDOPHALMITIS H44.0
8 ENTERITIS A.09
9 EPISTAXIS (Mimisan) R.04.0
10 EPYLEPSY G.40.9
11 EROSI (Masuk Penyakit Infeksi & Parasit Lainnya) L.111.2
12 ESOPHAGITIS K.20
13 EARLY SYPHILLIS A.51
14 EPIDURAL HEMATOMA S.06.4
15 EPIDEMIC VERTIGO A.88.0
16 EPIGASTRIK PAIN K.31.9
17 EROSI CORNEA H.16.0
18 EDEMA PARU J.81
19 EDEMA VULUA N.90.8
20 EXTRATION VACUM (EV) 0.81.4
21 EFFUTION PLEURA KANAN J.90
22 EMPYEMA / ABCES HEPAR J.86.9
23 ENCEPHALO PATHY HYPERTENSIVE I67.4
24 ENCEPHALITIS MYELITIS and ENCEPHALOMYELITIS G.04
25 EPI GASTRIUM PAIN 9 R.10.1
NO NAMA DIAGNOSA
F
KODE ICD X
1 FARANGITIS J.02.9
2 FEBRIS R.50
3 FENOSIS (Phymosis) M.47
4 FISTULA L.98.8
5 FISTULA PENANOL K.60.3
6 FAILURE HEART (Gagal Jantung) I.50.9
7 FAM (Payu Dara) D.24
8 FASCITIS PLANTAR M.72.2
9 FIBROSIS AND CIRRHOSIS OF LIVER (Cirrhosis Hepatitis) K.74
10 FISTULA COLI K.63.2
11 FLATULENCE and RELATED CONDITIONS (Meteorismus) R.14
12 FURUN CLE L.02.9
13 FIB (Masuk Kirkes) Z.00
14 FRAKTUR ANTE BRACHI S.62.8
15 FRAKTUR BASIS CRANILI S.02.1
16 FRAKTUR CALCANUS S.92.0
17 FRAKTUR CALCANEUS S.92.0
18 FRAKTUR CLA VICULLA = CEAVICEL S.42.7
19 FRAKTUR CRURIS S.82.2
20 FRAKTUR DIGIT II,III,IV,V S.42
21 FRAKTUR FEDIS ZC FRAKTUR FEMUR S.42.4
22 FRAKTUR FEMUR S.72.9
23 FRAKTUR FRONTAL S.02.0
24 FRAKTUR HUMERUS S.42.3
25 FRAKTUR INVOLVING MULTIPLE BODY REGIONS T.02
26 FRAKTUR KONTRA TURME S.42
27 FRAKTUR LUMBO SACRAL SPINE S.32.8
28 FRAKTUR MADIBLE S.02.6
29 FRAKTUR MANUS PADA TANGAN S.61.8
30 FRAKTUR MAXILLA S.02.4
31 FRAKTUR META CARPAL S.62.3
32 FRAKTUR METATARSAL S.92.3
33 FRAKTUR METATARSAL BONE S.92.3
34 FRAKTUR NASAL S.02.2
35 FRAKTUR OLEC RAMON 2X S.52.0
36 FRAKTUR OLEC RONOM S.52.0
37 FRAKTUR ORBIT S.02
38 FRAKTUR ORBITA 10 S.02
39 FRAKTUR OTHORAX S.22.9
40 FRAKTUR PATELLA (Termasuk # Tulang Anggota Gerak) S.82.0
41 FRAKTUR PATELO S.82.0
42 FRAKTUR RADIUS S.52.8
43 FRAKTUR RADIUS ULNA S.52.7
44 FRAKTUR RAMUS INFERIOR KIRI S.32.5
45 FRAKTUR SUPRA COUDYLER S.42.4
46 FRAKTUR SUPRA PUBIS S.32.5
47 FRAKTUR TIBIA S.82.2
48 FRAKTUR ULNA S.52.2
49 FRAKTUR VERTEBRATA T.08
50 FLANTAS FAB CITIS M.72.5
51 FEBRIL COMPULSI (FEBRIS) R.50.9

NO NAMA DIAGNOSA
G
KODE ICD X
1 GANGGRENE, not elsewhere classified R.02
2 GANGRENE DM E.11.5
3 GANGRENE SCROTUM N.49.2
4 GANGLION* M.67.4
5 GANGLION PUPLETIA M.67
6 GASA ROEM TERITIS A.09
7 GASTRIC ULCER K.25
8 GASTRITIS K.29.7
9 GASTRITIS CRONIC K.29.5
10 GE CRONIC K.52.9
11 GIGANTISME E.22.0
12 GINGIVITIS K.05.1
13 GGK (Gagal Ginjal Lainnya) N.17
14 GLAUKOMA H.40.9
15 GLAUKOMA ABSOLUT H.44.5
16 GNA (GLOMERULONEPHUITIS ACUT) N.00
17 GLOMERULONEPHUITIS CRONIC N.03
18 GNC (GLUMERULO HEPHRITIS CHRONIS) N.05
19 GOUT, unsepicified M.10.9
20 GONDOK E.05
21 GONORRHEA A.54.9
22 GRANULOMA L.92.9
23 GRASTRITIS ACUTE K.29.1
24 GRAVES DISEASE E.05.0
25 GULLIAN BARE SYNDROMA G.61.0
26 GUSI BLODING (HEMOGRAGE GUM) K.06.8
27 GYNE COMASTIA N.62
Gangguan tidur (sleep disorders) G47.9
11
NO NAMA DIAGNOSA
H
KODE ICD X
1 HAEMATEMESIS (Muntah Darah) K.92.0
2 HAEMOPTYSIS (Batuk Darah) R.04.2
3 HAEMORRHAGIC ANTE PARTUM (HAP) O.46.9
4 HAEMORRHAGIC POST PARTUM (HPP) O.72.1
5 HAEMORRHOIDS (Ambein) I.84.2
6 HEART FAILURE (Gagal Jantung) I.50
7 HEMAGIOMA PUNGGUNG D.16.6
8 HEMANGIOMA D.18.0
9 HEMAROGI ANTA PARTUM (Pendarahan Hamil) 0.47.8
10 HEMATEMESIS K.92.0
11 HEMATOMA (Pembengkakan) T.14.0
12 HEMATOMA EPIDURAL S.06.4
13 HEMATOMA PENIS N.48.8
14 HEPATOMA C.22.0
15 HEMAPTOE (Tuborkolisis Lainnya) A.18.0
16 HEMATURIA R.31
17 HEMI PARESIS G.81.9
18 HEMIPLEGIA G.81
19 HEMOLYTIC ANEMIS D.59.4
20 HEMORHAGIA CEREBRI I.61.4
21 HEPATITIS AKUT K.72.0
22 HEPATITIS CHAORIC K.73.9
23 HEPATIC FAILURE, unspecified K.72.9
24 HEPATITIS K.75.9
25 HEPATITIS VIRUS ACUTE B.19.9
26 HEPATOMEGALI R.16.0
27 HEPATOMA C.22.9
28 HERNIA K.46.9
29 HERNIA NUCLEUS PALPALUS (HNP) M.51.2
30 HERNIA SCROTALIS K.40.9
31 HERPES B.00.9
32 HERPES ZOSTER B.02.9
33 HERPES ZOSTER OPHTHAL MICUS B.02.3
34 HERNIA INGUALIS K.40.9
35 HERPETIC = HERPES B.00.9
36 HIPERTENSI I.10
37 HIRSCHPRUNGS DISEASE Q.43.1
38 HISTERIS F.44.9
39 HND M.51.2
40 HODG KINS DISEASE C.81.9
41 HORDEOLUM 12 H.00.0
42 HIPERLASIA N.85.0
43 HIPERGLIKEMIA ec DM E.12.0
44 HP (HIPERLASIA PROSTAT) N.40
45 HPP (Perdarahan Pasca Persalinan) 0.72
46 HYDROCEPHALUS G.91
47 HYDRONEPROSIS N.13.3
48 HYDROCELE N.43.3
49 HYDROPNEUMATHORAX J.94.8
50 HYPERBILIRUBINIA P.59.9
51 HYPERES THESIA R.20.3
52 HYPEREMESIS GRAVIDARUM O.21.0
53 HYPEREMIA KONJUNETIVA H.11.4
54 HYPEREMIA R.68.8
55 HYPERTENSI I.10
56 HHD (HYPERTENSION HEART DISEASE) I.11.0
57 HYPERTHROPY OF TONSILS J.35.1
58 HYPERTHROPY PROSTATE N.40
59 HYPERURITEMIA E.79.0
60 HYPHAEMA (Hypeme) H.21.0
61 HYPOGLYCEMIA E.16.2
62 HYPOKALEMIA E.87.6
63 HYPOKALOMIC PERIODIC PALALYSIS G.72.3
64 HYPOSPADIA Q.54.9
65 HYPOTENSION I.95.9
66 HYPOTHERMIA T.68
67 HYTERECTOMY O.82.2
Hypertyroid E05.9

NO NAMA DIAGNOSA KODE ICD X

I
1 ICH I.61.9
2 ICTERUS R.17
3 ILEUS K.56.7
4 ILEUS OBSTRUCTIVE K.56.6
5 IMMUNIZATION Z.26.9
6 IMPACTED CERUMEN (Kotoran di Telinga) H.61.2
7 IMPETIGO L.01.0
8 IMPOTENCE F.52.2
9 INCONTINENCE R.32
10 IDDM (Insulin Dependent Diabetes Melitus) E.10
11 INFAK AKUT I.21.9
12 INFECTED BRONCHIECTASIS J.40
13 INFECTION TOOTH 13 K.04.7
14 INFECTION VIRAL B.34.9
15 INFEKSI B.99
16 INFERTILITY / FIB N.97.9
17 INFLUENZA J.11.1
18 INJURY FACE S.09.9.
19 INJURY FINGER S.65.5
20 INJURY OF Unspecified BODY REGION T.14
21 INJURIES TO THE ABDOMEN, lower back, lumbar spine and S.30
pelvis
22 INJURIES TO THE ELBOW and FOREARM (contusion, open S.50
wound, fracture, dislocation, etc)
23 INJURIES TO THE HEAD (contusion, open wound, laceration, S.00
fracture, etc)
24 INJURIES TO THE HIP and THIGH (contusion, open wound, S.70
laceration, fracture, etc)
25 INJURIES TO THE NECK (open wound,fracture,dislocation,etc) S.10
26 INJURIES TO THE SHOULDER and UPPER ARM (contusion, S.40
open wound, fracture, dislocation, etc)
27 INJURIES TO THE THORAX (contusion, open wound, S.20
laceration, fracture, etc)
28 INJURIES TO THE WRIST and HAND (contusion, open wound, S.60
laceration, fracture, etc)
29 INPARTU (G1 P0 A0 dst Masuk Peraslinan Tidak Spontan) O.80
30 INPAKSI GIGI K.01.1
31 INSOMNIA G.47
32 INTOXILATION ALCOHOLIC F.10.0
33 INTOXILATION BAYGON T.65
34 INTOXILATION DRUG (Obat, Shabu-shabu) T.65.9
35 INTOXILATION FOOD (Makanan) A.05.9
36 IRRITABLE BOWEL SYNDROME K.58
37 ISCHIALGIA M.54.3
38 ISK N.34.2
39 ISPA J.06.0
40 ITP D.69.1
41 IUFD (Intra Uterine Fetal Death) O.36.4
42 INVAGINASI K.56.1

14
NO NAMA DIAGNOSA KODE ICD X
K
1 KATARAK H.26.9
2 KATARAK SENILISIS H.25.9
3 KATARAK PRESENIL H.26.0
4 KATARAK TRAUMATIK H.26.1
5 KATARAK FOTALIS H.26.9
6 KD (KEJANG DEMAM) R.56
7 KELOID BAHU L.73.0
8 KELOID SCAR L.91.0
9 KERACUNAN EKSTASI T.43.6
10 KERATITIS H.16.9
11 KERNICTERUS (Icterus) P.57
12 KET (KEHAMILAN ECTOPIK TERGANGGU) O.00.1
13 KIR KES (Kesehatan) HL.10
14 KISTE BARTOLIN N.75.0
15 KLINIS TYPHOID A.75.9
16 KONTROL POST SC O.85 0.99
17 KONTROL POST OP O.85 0.99
18 KONTUSIO SELEBRI S.06.2
19 KKP J.42
20 KP (KOCH PULMONUM) A.15
21 KUNJUNGTIVITIS H.10

NO 15
NAMA DIAGNOSA
L
KODE ICD X
1 LARINGITIS acute J.04.0
2 LEUKOMA H.17.8
3 LEUKEMIA C.95.9
4 LEUKEMIA GRANULOCYTIC KRONIC C.92.1
5 LABIO SCHISIS (Bibir Sumbing) Q.36
6 LATE HPP (Sisa Plasenta) O.72.2
7 LBP M.54.5
8 LHF I.50.1
9 LOW IN TAKE H.19
10 LUMBALGIA M.54.5
11 LUMBAL SIONOSIS (Deferatif) S.79.9
12 LUMBAGO WITH SCIATICA M.54.3
13 LUPUS ERYTHEMATUSUS L.93.0
14 LYMPHADENITIS I.88.9
15 LYMPHOMA D.17.9
16 LYMPHOPATHIE A.55
17 LYMPHOMA MALIGNANT C.85.9
18 LYMPHADE NOPATHY R.59.1
19 LYMPHOMA NON HODGINS C.85.9
Labioplasti Q36.9
Labio palate Q37.9
Palate Q35.9

NO NAMA DIAGNOSA KODE ICD X

M
1 MALNUTRITION E.46
2 MASTITIS H.61
3 MASTOIDITIS H.70.9
4 MEASLES (Campak) B.05
5 MELANOMA C.43.9
6 MELASMA L.81.1
7 MELENA K.92.1
8 MENOPAUSE N.95.1
9 METATARSALGIA M.77.4
16
10 METRORRHAGIA N.92.1
11 MICOSIS B.49
12 MIGRAINE G.43.9
13 MILIARIA L.74.3
14 MONILIASIS B.37.9
15 MONOPARESE G.83.2
16 MUNTABER (Masuk GE) A.09
17 MYELOMA C.90.0
18 MYOPIA (Rabun Jauh) H.52.1
19 MALARIA B.54
20 MALARIA FALCIPARUM B.50.9
21 MALARIA TERTIANA B.51.9
22 MALARIA TROPICAL B.50.9
23 MALARIA VIVAX B.51.9
24 MALAISE AND VOMITING R.11
25 MALIGNANT NEOPLASM OF CERVIC UTERI C.53
26 MALIGNANT NEOPLASM OF OVARI C.56
27 MALIGNANT NEOPLASM OF VAGINA C.52
28 MALIGNANT NEOPLASM OF VULVA C.51
29 MAXILLARY SINUS C.31.0
30 MEMBRAN HYALINE P.22.0
31 MENINGGAL MASAL D.36.7
32 MENINGISMUS R.29.1
33 MENINGITIS G.03.9
34 MENINGITIS BACTERIALIS G.00.9
35 MENINGITIS DUE TO OTHER and unspecified causes G.03
36 MENINGOCOCCAL MENINGITIS A.39.0
37 MENINGO ENSEFALITIS G.04.9
38 MENOMETYRORRHAGIA N.92.1
39 MISSED ABORTUS O.02.1
40 MITRAL INSUFFICIENCY I.34.0
41 MITRAL STENOSIS I.05.0
42 MORBILI MEASHES B.05.9
43 MORBUS HANSEN A.30.9
44 MOLA HIDATI DOSA O.01
45 MYALGIA (Nyeri Otot, Pegal-pegal) M.79.1
46 MYASTENIA GRAVIS G.70.0
46 MYOCARDITIS, unspecified I.51.4
47 MYOMA UTERI D.25.9
48 MYOPIA H.52.1
49 MCI (MYOCORD INFART) I.21.9
Mucocelle of salivary glands K11.6
Mucocelle focal oral unspesicifed K13.7
Molluscum contagiosum B08.1

17
NO NAMA DIAGNOSA KODE ICD X
N
1 NEMOTODIASIS B.82.0
2 NEPRITIS N.05
3 NEPROLITHIASIS N.20
4 NERVOUS R.45.0
5 NEURALGIA M.79.2
6 NEURASTHENIA F.48.0
7 NEURITIS M.79.2
8 NIDDM E.11
9 NASAL POLYP J.33
10 NEOPLASMA MANDIBULA D.16.5
11 NEOPLASMA NASAL D.14.0
12 NEOPLASMA PAHA D.16.2
13 NEOPLASMA TULANG PAHA D.16.2
14 NEONATAL INFEKSI P.37.5
15 NATAL K.00.6
16 NEONATAL ASPIRATION SYNDROMES P.24
17 NEONATAL JAUNDICE FROM OTHER and unspecified causes P.59
18 NEPROPHATHY N.28.9
19 NEPROPHATHY OBSTRUCTIVE N.13.8
20 NEPHROTIC SYNDROME N.04
21 NEURO FIBROMA TOSIS Q.85.0
22 NEURO GENIC BLADER N.31.9
23 NEVUS NECK D.22.4
24 NON HODGKINS LYMPHOMA C.85.9
25 NONORGANIC SLEEP DISORDERS / INSOMNIA F.51
26 NYERI EPIGASTRIK + STES F.45.3
Nebula cornea H17.8

O
Neurophaty / polyneuropathy G62.9
Neuritis perifer G62.9
Neprotic syndrome N04

NO NAMA DIAGNOSA KODE ICD X

1 OBSTIPASI K.59.0
2 ODONTEKTOMI S.23.1
3 OEDEMA, not elsewhere classified R.60
4 OMPHALITIS 18 P.38
5 ORCHITIS N.45.9
6 OSTEOMYELITIS M.86
7 OSTEOPOROSIS M.81.9
8 OSTEOSARCOMA C.79.5
9 OTOMYCOSIS B.36.9 +
H.62.2
10 OE H.02
11 OMA H.66.9
12 OBSTRUCTIV JOUNDICE / ICTERUS E.80.4
13 OMP H.66
14 OLD MYOCARDIAL INFARCTION I.25.2
15 ORCHITIS AND EPIDIDYMITIS N.45
16 OTALGIA (Nyeri Telinga) H.92.0
17 OTHER BURSAL CYST M.71.3
18 OTHER CATARACT (Katarak) H.26
19 OTHER DERMATITIS L.30
20 OTHER PRURIGO L.28.2
21 OTHER RETINAL DISORDERS H.35
22 OTHER SPECIFIED DIABETES MELLITUS E.13
23 OTITIS H.66
24 OTITIS ACUTE H.60.5

NO NAMA DIAGNOSA KODE ICD X

P
1 PALPITATIONS R.00.2
2 PAPILLITIS H.46
3 PARAPARESIS G.82.2
4 PARESIS (PARALYSIS) G.83.9
5 PARKINSONS G.20
6 PARONILIA L.03
7 PAROTITIS K.11.2
8 PERTUSIS A.37.9
9 PHARYNGITIS J.02.9
10 PHYMOSIS N.74
11 PISLOCATION T.14.3
.14.3
12 PNA N.10
13 PNEUMONIA J.18.9
14 PNEUMOTHORAX J.93.9
15 POLINEURITIS 19 G.62.9
16 PRESBYOPIA H.52.4
17 PSYCHOSOMATIC F.45.9
18 PTERYGIUM H.11.0
19 PULPITIS K.04.0
20 PARALITIK ILEUS K.56.0
21 PARAPLEGIA AND TETRAPLEGIA G.82
22 PERSALINAN NORMAL / SPONTAN O.80
23 PERITONITIS K.65.9
24 PERITONSILITIS J.36
25 PERITONITIS ACUTE K.65.0
26 PERIODONTOSIS K.05.4
27 PPOK (Penyakit Paru) J.44.9
28 PERITONISIS K.65
29 PEMPHIGUS VULGARIS I.10.0
30 PENANOL FIRTULA K.60.3
31 PERITONSILAR ABCES J.36
32 PERFORASI ILEUS K.63.1
33 PHLEBITIS AND THROMBOIPHLEBITIS I.80
34 PLACENTA PREVIA N.81.9
34 PLEURAL EFFUSTION J.90
35 PLEURISY EXUDATNE J.00
36 POLYP NASAL J.33.9
37 POLYP SEPTUM J.33.0
38 POLYP CERVIX N.84.1
39 POST OF COLOSTOMY Z.93.3
40 POST SKIBILITIS PARU G.81
41 PROLAPSE IRIS S.05.2
42 PROLASE UTERI N.81.9
43 PROSTATE HYPERTROPHY N.40
44 PROTEIN CALORI MALNUTRISI (PCM) E.46
45 PPOK J.44.9
46 PSIKOSIS NON ORGANIK F.23.9
47 PULMONAL HYPERTENSIVE) I.27.0
48 PYELONEPHRITIS N.12
49 PYELONEPHRITIS ACUTE N.10
50 PYELONEPHRITIS CHRONIC N.11.9
Pseodophakia Z96.1

20
NO NAMA DIAGNOSA KODE ICD X
R
1 RDS P.22.0
2 REFAIR VAGINA S.75.7
3 REGURGITATION I.35.1
4 RETENSIO PLASENTA O.72
5 RETENSIO URINE R.33
6 RETINO BLASTOMA E.69.2
7 RHEUMATHOID ARTHRITIS, unspecified M.06.9
8 RHINITIS J.13.0
9 RHINITIS AKUT J.00
10 RIND (Renople Isckemic Neuralgia Defect) M.79.2
11 RINO FARINGITIS J.00
12 RENAL COLIC N.23
13 RETINITIS H.30.9
14 RUBELLA B.06
15 RUPTURE GASTER K.31.8
16 RUPTURE LIGAMINTUM S.33.4
17 RUPTURE PERINEUM N.90.8
18 RUPTURE TENDOM T.14.6
19 RUPTURE OF TENDON M.66

NO NAMA DIAGNOSA KODE ICD X

S
1 SALPINGITIS N.70.9
2 SCABIES B.86
3 SCHIZOPHRENIA F.20.9
4 SCLERITIS H.15.0
5 SCOLIOSIS 21 M.41.9
7 SCROTAL VARICES (Varicocele) I.86.1
 8 SEPTICAEMIA, Unspecified A.41.9
9 SEPSIS A.41.9
10 SHOCK R.57
11 SINGULTUS R.06.6
12 SISTITIS N.30.9
13 SKIBILITIS (POST) G.81
14 SPONDYLOSIS M.47.9
15 STAINING K.03.6
16 STEMI I.51.5
17 STERIL Z.30
18 SUNBURN L.55
19 SYNCOPE R.55
20 SIE M.32.9
21 SGB G.61.0
22 SHI S.26.9
23 SLE L.93.0
24 SNNT E.04.9
25 SOL R.90
26 SCARLET FEVER A.38
27 SEPSIS NEW BOR P.36.9
28 SEREFULA DERMA A.18.2
29 SINUSITIS J.32.9
30 SINUSITIS MAXILARIS J.32.0
31 SINUS TACHICARDIS I.47.1
32 SIROSIS HEPATIS K.74.6
33 SISA ABORTUS O.05
34 SISA MOLA KURET O.01
35 SLEEP DISORDERS (Gangguan Tidur) G.47
36 SPEKTRUM NASAL D.14.0
37 SPLENOMEGALY R.16.1
38 SPACE OCCIPYING LESIM / SOL G.93.9
39 SPASME OTOT LEHER KIRI R.25.2
40 SPONDYLOSIS M.47
41 SPONDYLOARTHOSIS M.47.9
42 STATUS ASMATICUS J.46
43 STATUS EPILEPTICUS G.41
44 STENOSIS PYLORUS K.31.1
45 STEVEN JHONSON SYNDROME L.51.1
46 STOMATITIS K.12.1
47 STOMATITIS APHTHOVI K.12.0
48 STOMATITIS AND RELATED LESIONS K.12
49 STROKE HEMORAGHIE I.67.9
50 STROKE NON HEMORAGHIE I.64
51 STRUMA / TOXIC E.05
52 STRUMA KISTA / TYROID D.34
53 STRUMA MODUSA E.04
54 STUMA NADOSA B.26.9
55 SUPER FICIAL 22 T.14.0
56 SIMPATHIS HYPERACTIF K.31.8
56 SYNDROME ASPIRASI P.24.9
57 SYNDROME NEPHROTIC N.04
58 SYNDROME DISENTRI BASILER A.03.9
59 SYNCOPE AND COLLAPSE R.55
60 SYNOVITIS AND TENOSYNOVITIS M.65

NO NAMA DIAGNOSA KODE ICD X

T
1 THALLASSEMIA D.56.9
2 THYROID E.04.1
3 THYROIDITIS E.06.0
4 TINNITUS (Telinga Berdengung) H.93.1
5 TRACHOMA A.71
6 TREMOR, unspecified R.25.1
7 TENDINITIS ACHILLES M.76.7
8 TB PULMONUM MODRATE AKTIF A.16.2
9 TBC A.15
10 TBC USUS A.18.3
11 TDBD A.91
12 TIA G.45.9
13 TTN P.22.1
14 TENSION TYPE HEADACHE G.44.2
15 TEROMORTIBI POUND DRAHANPEULA N DIODE N.39.9
16 TETANUS A.35
17 TETANUS NEONATORUM A.33
18 TETRAPARISE (HEMIPARESE) G.81.9
19 TINEA B.35.9
20 TINEA CRURIS B.35.6
21 TINEA VERSICOLOR B.36.0
22 TONSILITIS J.03
23 TONSILITIS KRONIK J.35.0
24 TONSIL HYPERTROPHY J.35.0
25 TONSILO PHARINGITIS J.06.8
26 TRAUMA T.14.9
27 TRAUMA ABDOMEN S.39.9
28 TRAUMA CAPITIS S.06
29 TRAUMA LUMBOSACRAL S.34.2
30 TRAUMA THORAX S.29.7
31 TRAUMA TUMPUL S.06.0
32 TRAUMA KAPITIS BERAT S.06.2
33 TROMBOSIS CEREBRI I.66.9
34 TUBERCULOSIS MENINGITIS A.17.0
35 TUBERCULOSIS PARU A.16.2
36 TUMOR ABD D.09.7
37 TUMOR AXILLA 23 D.21.3
38 TUMOR BACK (Punggung) D.36.7
39 TUMOR BAHU D.36.7
40 TUMOR BULI D.30.3
41 TIROIDITIS KRONIK E.06.5
42 TUMOR GLANDULA LACRIMALIS D.35.9
42 TUMOR HEAD (Kepala) C.75.0
TUMOR SCALP D23.4
43 TUMOR HIDUNG D.36.7
44 TUMOR LEHER D.36.7
45 TUMOR LIDAH (Tongue) C.02.9
46 TUMOR LINGUAL D.10.1
47 TUMOR OTAK (Brain / Cerebral) D.33
48 TUMOR TULANG PAHA D.16.2
49 TUMOR PAROTIS / SNNT D.11.0
50 TUMOR PARU (Lungs) D.14.3
51 TUMOR PINGGANG (Wrist) D.36.7
52 TUMOR RAHIM D.26.9
53 TUMOR SCROTALIS DEXTRA D.29.4
54 TUMOR SIGMOID D.12.5
55 TUMOR TELINGA D.23.2
56 TUMOR TONSIL D.10.4
57 TUMOR TESTIS D.29.2
58 TUMOR TIROID D.34
59 TUMOR VESICA URINARIA D.30.3
TTH TENSION TYPE HEADACHE G44.2
60 TACHYCARDIA R.00.0
61 TYPHOID FEVER A.01.0
62 THYPUS (FEVER) A.75.9

NO
1
2
3
UREMIA
UROLITHIASIS
ULCUS PEPTIC
NAMA DIAGNOSA
N.19U
KODE ICD X

N.20.9
K.27.9
4 ULCUS VENTRIKULI K.25.9
5 URETHRAL STRICTURE N.35
6 URTICARIA / PRURITUS (Gatal-gatal) L.50
7 UTI P.39.3

NO
1
NAMA DIAGNOSA
VARICELLA (Chickenpox)
KODE ICD X
B.01.9
V
2 VARICESS I.83.9
3 VARICOCELE I.86.3
4 VERTIGO R.42
5 VERUCA B.07
6 VESICULA R.23.8
7 VITILIGO L.80
8 VULVITIS 24 N.76.2
 9 VIRAL HEPATITIS B.16.9
10 VULNUS CERVICAL ESOPHANGUS / JOINT S.11.2
11 VULNUS MORSUM (Digigit Binatang) T.14.1
12 VULNUS EXCORIASI DECK (Punggung) S.21.2
13 VULNUS EXCORIASI FACE (Pipi) S.01.8
14 VULNUS EXCORIASI FOOT (Lutut) S.91.3
15 VULNUS EXCORIASI HAND (Tangan) S.61.9
16 VULNUS SCISSUM pada BAHU + KEPALA S.01.2
17 VULNUS SCISSUM SHOULDER (Bahu) S.41.0
18 VULNUS SCISSUM THORAX S.21.9
19 VULNUS TRAUMATIC ABDOMEN S.31.0
20 VULNUS SCLOPECTORUM ABD PENETRAN S.31.8
21 VENTRICULAR SEPTAL DEFECT Q.21.0
22 VIRAL INFECTION OF UNSPECIFIED SITES B.34
23 VIRAL MENINGITIS A.87

NO
1
2
WOUND ANUS
WOUND NECK
NAMA DIAGNOSA KODE ICD X
S.31.8
S.11.9
W
3 WOUND (TERIPLE) PELIPIS S.01.8
4 WOUND TELINGA (EAR) S.01.3

Z
NO NAMA DIAGNOSA KODE ICD X
1 ZOSTER (Herpes Zoster) B.02

25