A B C D E

1
2
3
4
5 DATA 155 DIAGNOSA YANG HARUS SELESAI DI FKTP
6
7 DIAGNOSA ICD X LEVEL
NO NAMA DIAGNOSA KOMEPETN
8 KODE NAMA DIAGNOSA SI
9 1 TB PARU A15 Respiratory TB 4A
10 2 MORBILI B059 Measles without complication 4A
11 3 VARISELA B019 Varicella without complication 4A
12 4 MALARIA B54 Unspecified malaria 4A
5 DEMAM DENGUE DAN DEMAM BERDARAH A90, A91 Dengue fever, DHF 4A
13 DENGUE
14 6 LEPTOSPIROSIS A279 4A
15 7 INFEKSI PADA UMBILIKUS 4A
16 8 KANDIDIASIS MULUT B379 Candidiasis unspecified 4A
17 9 LEPRA A30 Leprosy 4A
18 10 KERACUNAN MAKANAN T622 Other ingested (parts of plant(s)) 4A
19 11 ALERGI MAKANAN 4A
12 EXANTHEMATOUS DRUG ERUPTION L270 Generalized skin eruption due to drugs and 4A
20 medicaments
13 FIXED DRUG ERUPTION L270 Generalized skin eruption due to drugs and 4A
21 medicaments
22 14 REAKSI ANAFILAKTIK 4A
23 15 SYOK R579 Shock, unspecified 3B
16 ANEMIA D649 Anaemia, unspecified (anemia defisiensi besi-4A, 4A
anemia hemolitik-3A, anemia makrositik-3A,
24 anemia aplastik-2, anemia megaloblastik-2)

25 17 HIV/AIDS TANPA KOMPLIKASI Z21 Asymptomatic HIV infection status 4A

26 18 LIMFADENITIS B70 Lymphadenitis Acute 4A
19 REFLUKS GASTROESOFAGEAL K219 Gastrooesophageal reflux disease without 4A
27 oesophagitis
28 20 GASTRITIS K297 Gastritis, unspecified 4A
29 21 INTOLERANSI MAKANAN 4A
30 22 MALABSORBSI MAKANAN 3A
31 23 DEMAM TIFOID A010 Typhoid fever 4A
24 GASTROENTERITIS ( TERMASUK DISENTRI, A09 Diarrhoea & gastroenteritis of presumed infection 4A
32 KOLERA, GIARDIASIS) origin
25 DISENTRI BASILER DAN DISENTRI AMUBA 4A
33

34 26 APENDISITIS AKUT K359 Acute appendicitis 3B

27 PERDARAHAN SALURAN MAKAN BAGIAN 3B
35 ATAS
28 PERDARAHAN SALURAN MAKAN BAGIAN 3A
36 BAWAH
37 29 HEMOROID GRADE 1-2 4A
38 30 HEPATITIS A 4A
39 31 HEPATITIS B 3A
40 32 PAROTITIS K11.2 Sialoadenitis 4A
41 33 ASKARIASIS B77.9 Ascariaris unspecified 4A
42 34 CUTANEUS LARVA MIGRANS B76.9 Hookworm disease, unspecified 4A
35 PENYAKIT CACING TAMBANG B76.0 Ankylostomiasis ,Necatoriasis 4A
43 B76.1
36 SKISTOSOMIASIS B65.9 Skistosomiasisunspecified , Schistomiasis due to 4A
44
B65.2 S. Japonicum
 A B C D E
45 37 STRONGILOIDIASIS B78.9 Strongyloidiasis 4A
46 38 TAENIASIS B68.9 Taeniasis 4A
47 39 PERITONISIS K65.9 Peritonitis, unspecified 3B
48 40 KOLESISTITIS K81.9 Cholecystitis, unspecified 3B
49 41 MATA KERING/DRY EYE H04.1 Other disorders of lacrimal gland 4A
50 42 BUTA SENJA H53.5 Colour vision deficiencies 4A
43 HORDEOLUM H00.0 Hordeolum and other deep inflammation of 4A
51 eyelid
44 KONJUNGTIVITIS H10.9 Conjunctivitis, unspecified,,, Acute atopic 4A
52 H10.1 conjunctivitis
53 45 BLEFARITIS H01.0 Blepharitis 4A
54 46 PERDARAHAN SUBKONJUNGTIVA H57.8 Other specified disorders of eye and adnexa 4A
47 BENDA ASING DI KONJUNGTIVA T15.9 Foreign body on external eye, part unspecified 4A
55

56 48 ASTIGMATISM H52.2 Astigmatism 4A

57 49 HIPERMETROPIA H52.0 Hypermetropia 4A
58 50 MIOPIA RINGAN H52.1 Myopia 4A
59 51 PRESBIOPIA H52.4 Presbyopia 4A
60 52 KATARAK PADA PASIEN DEWASA H26.9 Cataract, unspecified 2
61 53 GLAUKOMA AKUT H40.2 Primary angle-closure glaucoma 4A
54 OTITIS EKSTERNA H60.9 Otitis Externa, Unspecified 4A
62

63 55 OTITIS MEDIA AKUT H66.0 Acute suppurative otitis media 4A

64 56 SERUMEN PROP H61.2 Impacted cerumen 4A
65 57 BENDA ASING DI HIDUNG T17.1 Foreign body in nostril 4A
66 58 ANGINA PEKTORIS I20.9 Angina pectoris 3B
67 59 INFARK MIOKARD I21.9 Acute Myocardial Infarction 3B
60 TAKIKARDIA I47.1 Supraventicular Tachicardy , Ventricular 3B
68 Tachicardy
I47.2
61 GAGAL JANTUNG AKUT DAN KRONIK I50.9 Heart failure Gagal
jantung
akut (3B)
Gagal
69 jantung
kronik (3A)

70 62 CARDIORESPIRATORY ARREST K80 Cardiac arrhytmia 3B

71 63 HIPERTENSI ESENSIAL I10 Essential (primary) hypertension 4A
72 64 INFARK SEREBRAL/STROKE I63.9 Cerebral infarction 3B
73 65 FRAKTUR TERBUKA T14. Fracture of unspecified body 3B
74 66 FRAKTUR TERTUTUP T14. Fracture of unspecified body 3B
75 67 POLIMIALGIA REUMATIK M53.3 Polymyalgia rheumatica 3A
76 68 ARTRITIS REUMATOID M53.3 Polymyalgia rheumatica 3A
77 69 ARTRITIS, OSTEOARTRITIS M19.9 Osteoarthrosis other 3A
78 70 LIPOMA D17.9 Benign lipomatous neoplasm 4A
79 71 KEJANG DEMAM R56.0 Febrile convulsions 4A
80 72 VERTIGO R42 Dizziness and giddiness 4A
81 73 DELIRIUM F05.9 Delirium 3A
82 74 TETANUS A35 Othertetanus 4A
83 75 RABIES A82.9 Rabies 3B
84 76 EPILEPSI G40.9 Epilepsy 3A
85 77 STATUS EPILEPTIKUS G41.9 Status epilepticus, unspecified 3B
86 78 MIGREN G43.9 Migraine, unspecified 4A
87 79 BELLS' PALSY G51.0 Bells palsy 4A
88 80 TENSION HEADACHE G44.2 Tensiontype headache 4A
89 81 INSOMNIA G47.0 Disorders of initiating and maintaining sleep 4A
90 (insomnias)
91 82 DEMENSIA F03 Unspecified dementia 3A
 A B C D E
92 83 GANGGUAN CAMPURAN ANXIETAS DAN DEPR F41.2 Mixed Anxiety and Depression Disorder 3A
93 84 GANGGUAN PSIKOTIK F20 Chronic Psychotic Disorder 3A
94 85 EPISTAKSIS R04.0 Epistaxis 4A
95 86 FURUNKEL PADA HIDUNG J34.0 Abscess, furuncle and carbuncle of nose 4A
96 87 FARINGITIS J02.9 Acute pharyngitis, unspecified 4A
97 88 RHINITIS AKUT J00 Acute nasopharingitis (common cold) 4A
98 89 RHINITIS ALERGIK J30.0 Vasomotor rhinitis 4A
99 90 RHINITIS VASOMOTOR J30.0 Vasomotor rhinitis 4A
100 91 TONSILITIS R76 Acute tonsillitis, unspecified 4A
101 92 LARINGITIS J04.0 Acute laryngitis 4A
102 93 BRONKITIS AKUT J20.9 Acute bronchitis, unspecified 4A
103 94 INFLUENZA J11 Influenza 4A
104 95 PNEUMONIA ASPIRASI J69.0 Pneumonitis due to food and vomit 3B
105 96 PNEUMONIA DAN BRONKOPNEUMONIA J18.9 Pneumonia, unspecified 4A
106 97 PERTUSIS A37.8 Whooping cough 4A
107 98 ASMA BRONKIAL J45 Asthma 4A
108 99 MILIRIA L74.3 Miliaria 4A
109 100 VERUKA VULGARIS B07 Viral warts 4A
110 101 REAKSI GIGITAN SERANGGA T63.4 Venom of other arthropods 4A
111 102 HERPES ZOSTER B02.9 Zoster without complication 4A
112 103 HERPES SIMPLEKS B00.9 Herpesviral infection, unspecified 4A
113 104 SKABIES B86 Scabies 4A
114 105 PEDIKULOSIS KAPITIS B85.0 Pediculosis due to Pediculus humanus capitis 4A
115 106 DERMATOFITOSIS : TINEA KAPITIS B35.0 Tinea barbae and tinea capitis 4A
116 107 DERMATOFITOSIS : TINEA BARBAE B35.0 Tinea barbae and tinea capitis 4A
117 108 DERMATOFITOSIS : TINEA FASIALIS TINEA FASIALIS 4A
118 109 DERMATOFITOSIS : TINEA KORPORIS B35.4 Tinea corporis 4A
119 110 DERMATOFITOSIS : TINEA MANUM B35.2 Tinea manuum 4A
120 111 DERMATOFITOSIS : TINEA UNGUIUM B35.1 TINEA UNGUIUM 4A
121 112 DERMATOFITOSIS : TINEA KRURIS B35.6 Tinea cruris 4A
122 113 DERMATOFITOSIS : TINEA PEDIS B35.3 Tinea pedis 4A
123 114 PITIRIASIS VERSIKOLOR/TINEA VERSIKOLOR B36.0 Pityriasis versicolor 4A
124 115 PIODERMA L08.0 Pyoderma 4A
125 116 DERMATITIS SEBOROIK L21 Seborrhoeic dermatitis 4A
126 117 DERMATITIS ATOPIK L20 Atopic dermatitis 4A
127 118 DERMATITIS NUMULARIS L20.8 Other atopic dermatitis 4A
119 LIKE SIMPLEKS KRONIK (NEURODERMATITIS L28.0 Lichen simplex chronicus 3A
128 SIRKUMKRIPTA)
129 120 DERMATITIS KONTAK ALERGIK L23 Allergic contact dermatitis 3A
130 121 DERMATITIS KONTAK IRITAN L24 Irritant contact dermatiti 4A
131 122 NAPKIN ECZEMA 9DERMATITIS POPOK) L22 Diaper(napkin) dermatitis 4A
132 123 PITIRIASIS ROSEA L42 Pityriasis rosea 4A
133 124 MOLUSKUM KONTAGIOSUM B08.1 Molluscum contagiosum 4A
134 125 URTIKARIA L50 Urticaria 4A
135 126 FILARIASIS B74 Filariasis 4A
136 127 LUKA BAKAR DERAJAT I DAN II S24 burn 4A
137 128 OBESITAS E66.9 obesity unspecified 4A
138 129 TIROTOKSIKOSIS E05.9 Tirotoksikosis unspecified 3B
139 130 HIPERGLIKEMIA HIPEROSMOLAR NON KETOTI R73.9 Hyperglycaemia unspecified 3B
131 HIPOGLIKEMIA E16.2 hypoglycaemia unspecified ringan 4A,
140 berat 3B
141 132 DIABETES MELITUS 1 E10 Insulin-dependent diabetes mellitus 4A
142 133 DIABETES MELITUS 2 E11 Non-insulin-dependent diabetes mellitus 4A
143 134 MALNUTRISI ENERGI PROTEIN (MEP) E46 Unspecified protein-energy malnutrition 4A
135 HIPERURICEMIA GOUT ARTHRITIS E79.0 Hyperuricemia without signs of inflammatory 4A
144 M10 arthritis and tophaceous disease
145 136 DISLIPIDEMIA E78.5 Hiperlipidemia 4A
 A B C D E
146 137 INFEKSI SALURAN KEMIH N39.0 Urinary tarct infection, site not specified 4A
147 138 HIPERMEMESIS GRAVIDARUM O21.0 Mild hyperemis gravidarum 3B
148 139 KEHAMILAN NORMAL O80.9 Single spontaneus delivery, unspecified 4A
149 140 PRE-EKLAMPSIA O14.9 Pre-eclampsia, unspecified 3B
150 141 EKLAMSIA O15.9 Eclampsia, unspecified as to time periode 3B
142 ABORTUS SPONTAN KOMPLIT O03.9 Unspecified abortion complete, without 4A
151 complication
143 ABORTUS MENGANCAM/INSIPIENS O06.3 Unspecified abortion incomplete, without 3B
152 complication
144 ABORTUS SPONTAN INKOMPLIT O06.4 Unspecified abortion incomplete, without 3B
153 complication
154 145 ANEMIA DEFISIENSI BESI PADA KEHAMILAN D50 Iron deficiency anemia 4A
146 KETUBAN PECAH DINI 042.9 Premature rupture of membrane, unspecified 3A
155

156 147 PERSALINAN LAMA O63.9 long labour 3B

157 148 PERDARAHAN POST PARTUM 072.1 Other Immediate Postpartum haemorhage 3B
149 RUPTUR PERINEUM TINGKAT 1-2 O70.0 First degree perineal laceration during delivery 4A
158

159 150 MASTITIS N61 Inflammatory disorders of breast 4A

160 151 FLUOR ALBUS N98.9 4A
161 152 SIFILIS A51 Early syphilis 3A
162 153 GONORE A54.9 Gonococcal infection, unspecified 4A
163 154 VAGINITIS N76.0 Acute Vaginitis 4A
164 155 VULVITIS N76.0 Acute Vaginitis 4A
1 SKABIES B86 Scabies 4A
2 OTITIS MEDIA AKUT H66.0 Acute suppurative otitis 4A
media
3 HIPERTENSI ESENSIAL I10 Essential (primary) 4A
hypertension
4 ARTRITIS REUMATOID M53.3 Polymyalgia rheumatica 3A
5 ARTRITIS, OSTEOARTRITIS M19.9 Osteoarthrosis other 3A
6 LIPOMA D17.9 Benign lipomatous neopl 4A
7 VERTIGO R42 Dizziness and giddiness 4A
8 MIGREN G43.9 Migraine, unspecified 4A
9 FARINGITIS J02.9 Acute pharyngitis, 4A
unspecified
10 RHINITIS AKUT J00 Acute nasopharingitis 4A
(common cold)

11 RHINITIS ALERGIK J30.0 Vasomotor rhinitis 4A

12 INFLUENZA J11 Influenza 4A
13 TONSILITIS R76 Acute tonsillitis, unspeci 4A
14 INFLUENZA J11 Influenza 4A
15 SKABIES B86 Scabies 4A
16 HERPES ZOSTER B02.9 Zoster without complicat 4A
17 PAROTITIS K11.2 Sialoadenitis 4A
18 URTIKARIA L50 Urticaria 4A
19 DIABETES MELITUS 1 E10 Insulin-dependent 4A
diabetes mellitus
20 DIABETES MELITUS 2 E11 Non-insulin-dependent 4A
diabetes mellitus

21 INFEKSI SALURAN KEMIH N39.0 Urinary tarct infection, 4A

site not specified

22 KEHAMILAN NORMAL O80.9 Single spontaneus 4A

delivery, unspecified
23 GASTRITIS K297 Gastritis, unspecified 4A
24 DEMAM TIFOID A010 Typhoid fever 4A
25 GASTROENTERITIS ( TERMASUK DISENTRI, KOLERA, A09 Diarrhoea & 4A
GIARDIASIS) gastroenteritis of
presumed infection
origin

26 APENDISITIS AKUT K359 Acute appendicitis 3B

27 PAROTITIS K11.2 Sialoadenitis 4A
28 KONJUNGTIVITIS H10.9 Conjunctivitis, 4A
H10.1 unspecified,,, Acute
atopic conjunctivitis

29 OTITIS EKSTERNA H60.9 Otitis Externa, Unspecifie 4A

 LAMPIRAN
Surat Keputusan Kepala
Puskesmas Lubuk Begalung
Nomor : Tahun 2017
Tentang : 155 Diagnosis Yang Harus Selesai
di Puskesmas

DATA 155 DIAGNOSA YANG HARUS SELESAI DI PUSKESMAS

DIAGNOSA ICD X
NO NAMA DIAGNOSA LEVEL KOMEPETNSI
KODE NAMA DIAGNOSA
1 TB PARU A15 Respiratory TB 4A
2 MORBILI B059 Measles without complication 4A

3 VARISELA B019 Varicella without complication 4A

4 MALARIA B54 Unspecified malaria 4A

5 DEMAM DENGUE DAN DEMAM BERDARAH A90, Dengue fever, DHF 4A
DENGUE A91
6 LEPTOSPIROSIS A279 4A
7 INFEKSI PADA UMBILIKUS 4A
8 KANDIDIASIS MULUT B379 Candidiasis unspecified 4A
9 LEPRA A30 Leprosy 4A
10 KERACUNAN MAKANAN T622 Other ingested (parts of plant(s)) 4A

11 ALERGI MAKANAN 4A
12 EXANTHEMATOUS DRUG ERUPTION L270 Generalized skin eruption due 4A
to drugs and medicaments

13 FIXED DRUG ERUPTION L270 Generalized skin eruption due 4A

to drugs and medicaments

14 REAKSI ANAFILAKTIK 4A
15 SYOK R579 Shock, unspecified 3B
16 ANEMIA D649 Anaemia, unspecified (anemia 4A
defisiensi besi-4A, anemia
hemolitik-3A, anemia
makrositik-3A, anemia aplastik-
2, anemia megaloblastik-2)

17 HIV/AIDS TANPA KOMPLIKASI Z21 Asymptomatic HIV infection 4A

status
18 LIMFADENITIS B70 Lymphadenitis Acute 4A
19 REFLUKS GASTROESOFAGEAL K219 Gastrooesophageal reflux 4A
disease without oesophagitis
20 GASTRITIS K297 Gastritis, unspecified 4A
21 INTOLERANSI MAKANAN 4A
22 MALABSORBSI MAKANAN 3A
23 DEMAM TIFOID A010 Typhoid fever 4A
24 GASTROENTERITIS ( TERMASUK DISENTRI, A09 Diarrhoea & gastroenteritis of 4A
KOLERA, GIARDIASIS) presumed infection origin
25 DISENTRI BASILER DAN DISENTRI AMUBA 4A
26 APENDISITIS AKUT K359 Acute appendicitis 3B
27 PERDARAHAN SALURAN MAKAN BAGIAN ATAS 3B

28 PERDARAHAN SALURAN MAKAN BAGIAN BAWAH 3A

29 HEMOROID GRADE 1-2 4A

30 HEPATITIS A 4A
31 HEPATITIS B 3A
32 PAROTITIS K11.2 Sialoadenitis 4A
33 ASKARIASIS B77.9 Ascariaris unspecified 4A
34 CUTANEUS LARVA MIGRANS B76.9 Hookworm disease, unspecified 4A

35 PENYAKIT CACING TAMBANG B76.0 Ankylostomiasis ,Necatoriasis 4A

B76.1
36 SKISTOSOMIASIS B65.9 Skistosomiasisunspecified , 4A
B65.2 Schistomiasis due to S.
Japonicum
37 STRONGILOIDIASIS B78.9 Strongyloidiasis 4A
38 TAENIASIS B68.9 Taeniasis 4A
39 PERITONISIS K65.9 Peritonitis, unspecified 3B
40 KOLESISTITIS K81.9 Cholecystitis, unspecified 3B
41 MATA KERING/DRY EYE H04.1 Other disorders of lacrimal 4A
gland
42 BUTA SENJA H53.5 Colour vision deficiencies 4A
43 HORDEOLUM H00.0 Hordeolum and other deep 4A
inflammation of eyelid
44 KONJUNGTIVITIS H10.9 Conjunctivitis, unspecified,,, 4A
Acute atopic conjunctivitis
45 BLEFARITIS H10.1
H01.0 Blepharitis 4A
46 PERDARAHAN SUBKONJUNGTIVA H57.8 Other specified disorders of eye 4A
and adnexa
47 BENDA ASING DI KONJUNGTIVA T15.9 Foreign body on external eye, 4A
part unspecified
48 ASTIGMATISM H52.2 Astigmatism 4A
49 HIPERMETROPIA H52.0 Hypermetropia 4A
50 MIOPIA RINGAN H52.1 Myopia 4A
51 PRESBIOPIA H52.4 Presbyopia 4A
52 KATARAK PADA PASIEN DEWASA H26.9 Cataract, unspecified 2
53 GLAUKOMA AKUT H40.2 Primary angle-closure glaucoma 4A

54 OTITIS EKSTERNA H60.9 Otitis Externa, Unspecified 4A

55 OTITIS MEDIA AKUT H66.0 Acute suppurative otitis media 4A

56 SERUMEN PROP H61.2 Impacted cerumen 4A

57 BENDA ASING DI HIDUNG T17.1 Foreign body in nostril 4A
58 ANGINA PEKTORIS I20.9 Angina pectoris 3B
59 INFARK MIOKARD I21.9 Acute Myocardial Infarction 3B
60 TAKIKARDIA I47.1 Supraventicular Tachicardy , 3B
Ventricular Tachicardy
61 GAGAL JANTUNG AKUT DAN KRONIK I50.9 Heart failure Gagal jantung akut
(3B) Gagal jantung
kronik (3A)

62 CARDIORESPIRATORY ARREST K80 Cardiac arrhytmia 3B

63 HIPERTENSI ESENSIAL I10 Essential (primary) hypertension 4A

64 INFARK SEREBRAL/STROKE I63.9 Cerebral infarction 3B

65 FRAKTUR TERBUKA T14. Fracture of unspecified body 3B
66 FRAKTUR TERTUTUP T14. Fracture of unspecified body 3B
67 POLIMIALGIA REUMATIK M53.3 Polymyalgia rheumatica 3A
68 ARTRITIS REUMATOID M53.3 Polymyalgia rheumatica 3A
69 ARTRITIS, OSTEOARTRITIS M19.9 Osteoarthrosis other 3A
70 LIPOMA D17.9 Benign lipomatous neoplasm 4A
71 KEJANG DEMAM R56.0 Febrile convulsions 4A
72 VERTIGO R42 Dizziness and giddiness 4A
73 DELIRIUM F05.9 Delirium 3A
74 TETANUS A35 Othertetanus 4A
75 RABIES A82.9 Rabies 3B
76 EPILEPSI G40.9 Epilepsy 3A
77 STATUS EPILEPTIKUS G41.9 Status epilepticus, unspecified 3B
78 MIGREN G43.9 Migraine, unspecified 4A
79 BELLS' PALSY G51.0 Bells palsy 4A
80 TENSION HEADACHE G44.2 Tensiontype headache 4A
81 INSOMNIA G47.0 Disorders of initiating and 4A
maintaining sleep (insomnias)
82 DEMENSIA F03 Unspecified dementia 3A
83 GANGGUAN CAMPURAN ANXIETAS DAN DEPRESI F41.2 Mixed Anxiety and Depression 3A
Disorder
84 GANGGUAN PSIKOTIK F20 Chronic Psychotic Disorder 3A
85 EPISTAKSIS R04.0 Epistaxis 4A
86 FURUNKEL PADA HIDUNG J34.0 Abscess, furuncle and 4A
carbuncle of nose
87 FARINGITIS J02.9 Acute pharyngitis, unspecified 4A

88 RHINITIS AKUT J00 Acute nasopharingitis (common 4A

cold)
89 RHINITIS ALERGIK J30.0 Vasomotor rhinitis 4A
90 RHINITIS VASOMOTOR J30.0 Vasomotor rhinitis 4A
91 TONSILITIS R76 Acute tonsillitis, unspecified 4A
92 LARINGITIS J04.0 Acute laryngitis 4A
93 BRONKITIS AKUT J20.9 Acute bronchitis, unspecified 4A
94 INFLUENZA J11 Influenza 4A
95 PNEUMONIA ASPIRASI J69.0 Pneumonitis due to food and 3B
vomit
96 PNEUMONIA DAN BRONKOPNEUMONIA J18.9 Pneumonia, unspecified 4A
97 PERTUSIS A37.8 Whooping cough 4A
98 ASMA BRONKIAL J45 Asthma 4A
99 MILIRIA L74.3 Miliaria 4A
100 VERUKA VULGARIS B07 Viral warts 4A
101 REAKSI GIGITAN SERANGGA T63.4 Venom of other arthropods 4A
102 HERPES ZOSTER B02.9 Zoster without complication 4A
103 HERPES SIMPLEKS B00.9 Herpesviral infection, 4A
unspecified
104 SKABIES B86 Scabies 4A
105 PEDIKULOSIS KAPITIS B85.0 Pediculosis due to Pediculus 4A
humanus capitis
106 DERMATOFITOSIS : TINEA KAPITIS B35.0 Tinea barbae and tinea capitis 4A

107 DERMATOFITOSIS : TINEA BARBAE B35.0 Tinea barbae and tinea capitis 4A

108 DERMATOFITOSIS : TINEA FASIALIS TINEA FASIALIS 4A

109 DERMATOFITOSIS : TINEA KORPORIS B35.4 Tinea corporis 4A
110 DERMATOFITOSIS : TINEA MANUM B35.2 Tinea manuum 4A
111 DERMATOFITOSIS : TINEA UNGUIUM B35.1 TINEA UNGUIUM 4A
112 DERMATOFITOSIS : TINEA KRURIS B35.6 Tinea cruris 4A
113 DERMATOFITOSIS : TINEA PEDIS B35.3 Tinea pedis 4A
114 PITIRIASIS VERSIKOLOR/TINEA VERSIKOLOR B36.0 Pityriasis versicolor 4A
115 PIODERMA L08.0 Pyoderma 4A
116 DERMATITIS SEBOROIK L21 Seborrhoeic dermatitis 4A
117 DERMATITIS ATOPIK L20 Atopic dermatitis 4A
118 DERMATITIS NUMULARIS L20.8 Other atopic dermatitis 4A
119 LIKE SIMPLEKS KRONIK (NEURODERMATITIS L28.0 Lichen simplex chronicus 3A
SIRKUMKRIPTA)
120 DERMATITIS KONTAK ALERGIK L23 Allergic contact dermatitis 3A
121 DERMATITIS KONTAK IRITAN L24 Irritant contact dermatiti 4A
122 NAPKIN ECZEMA 9DERMATITIS POPOK) L22 Diaper(napkin) dermatitis 4A
123 PITIRIASIS ROSEA L42 Pityriasis rosea 4A
124 MOLUSKUM KONTAGIOSUM B08.1 Molluscum contagiosum 4A
125 URTIKARIA L50 Urticaria 4A
126 FILARIASIS B74 Filariasis 4A
127 LUKA BAKAR DERAJAT I DAN II S24 burn 4A
128 OBESITAS E66.9 obesity unspecified 4A
129 TIROTOKSIKOSIS E05.9 Tirotoksikosis unspecified 3B
130 HIPERGLIKEMIA HIPEROSMOLAR NON KETOTIK R73.9 Hyperglycaemia unspecified 3B
131 HIPOGLIKEMIA E16.2 hypoglycaemia unspecified ringan 4A, berat 3B

132 DIABETES MELITUS 1 E10 Insulin-dependent diabetes 4A

mellitus
133 DIABETES MELITUS 2 E11 Non-insulin-dependent diabetes 4A
mellitus
134 MALNUTRISI ENERGI PROTEIN (MEP) E46 Unspecified protein-energy 4A
malnutrition
135 HIPERURICEMIA GOUT ARTHRITIS E79.0 Hyperuricemia without signs of 4A
inflammatory arthritis and
M10 tophaceous disease
136 DISLIPIDEMIA E78.5 Hiperlipidemia 4A
137 INFEKSI SALURAN KEMIH N39.0 Urinary tarct infection, site not 4A
specified
138 HIPERMEMESIS GRAVIDARUM O21.0 Mild hyperemis gravidarum 3B
139 KEHAMILAN NORMAL O80.9 Single spontaneus delivery, 4A
unspecified
140 PRE-EKLAMPSIA O14.9 Pre-eclampsia, unspecified 3B
141 EKLAMSIA O15.9 Eclampsia, unspecified as to 3B
time periode
142 ABORTUS SPONTAN KOMPLIT O03.9 Unspecified abortion complete, 4A
without complication

143 ABORTUS MENGANCAM/INSIPIENS O06.3 Unspecified abortion 3B

incomplete, without
complication
144 ABORTUS SPONTAN INKOMPLIT O06.4 Unspecified abortion 3B
incomplete, without
complication
145 ANEMIA DEFISIENSI BESI PADA KEHAMILAN D50 Iron deficiency anemia 4A
146 KETUBAN PECAH DINI 042.9 Premature rupture of 3A
membrane, unspecified
147 PERSALINAN LAMA O63.9 long labour 3B
148 PERDARAHAN POST PARTUM 072.1 Other Immediate Postpartum 3B
haemorhage
149 RUPTUR PERINEUM TINGKAT 1-2 O70.0 First degree perineal laceration 4A
during delivery
150 MASTITIS N61 Inflammatory disorders of 4A
breast
151 FLUOR ALBUS N98.9 4A
152 SIFILIS A51 Early syphilis 3A
153 GONORE A54.9 Gonococcal infection, 4A
unspecified
154 VAGINITIS N76.0 Acute Vaginitis 4A
155 VULVITIS N76.0 Acute Vaginitis 4A

KEPALA PUSKESMAS LUBUK BEGALUNG

SYILVIA DEWI ANWAR