DAFTAR KODE DIAGNOSA

Nomor : PRD.F.008

Tanggal : 03 Maret 2017

Halaman : 1 of 8

PRD.F.008

144 Daftar Penyakit Kompetensi 4a - PENYAKIT YANG DAPAT DITANGANI DI LAYANAN PRIMER

No NAMA PENYAKIT KODE ICD 10

1 Kejang demam R56.0

2 Tetanus A35

3 HIV AIDS tanpa komplikasi B24

4 Tension headache G44

5 Migren G43

6 Bells’ palsy G51.0

7 Vertigo (Benign paroxysmal positional vertigo) H81.1

8 Gangguan somatoform F45

9 Insomnia F51

10 Benda asing di konjungtiva S05.0

11 Konjungtivitis H10

12 Perdarahan subkonjungtiva H11.3

13 Mata kering H04.1

14 Blefaritis H01.0

15 Hordeolum H00
16 Trikiasis H02.0

17 Episkleritis H15.1

18 Hipermetropia ringan H52.0

19 Miopia ringan H52.1

20 Astigmatism ringan H52.2

21 Presbiopia H52.4

22 Buta senja H53.6

23 Otitis eksterna H60

24 Otitis media akut H66.9

25 Serumen prop H61.2

DAFTAR KODE DIAGNOSA

Nomor : PRD.F.008

Tanggal : 03 Maret 2017

Halaman : 2 of 8

PRD.F.008

No NAMA PENYAKIT KODE ICD 10

26 Mabuk perjalanan T75.3

27 Furunkel pada hidung J34.0

28 Rhinitis akut J30

29 Rhinitis vasomotor J30

30 Rhinitis alergika J30

31 Benda asing LIHAT REGIONYA

32 Epistaksis R04.0

33 Influenza J09

34 Pertusis A37.0

35 Faringitis J31.2

36 Tonsilitis J03

37 Laringitis J04.0

38 Asma bronkial J45

39 Bronkitis akut J20

40 Pneumonia, bronkopneumonia J18.0

41 Tuberkulosis paru tanpa komplikasi A15

42 Hipertensi esensial I15

43 Kandidiasis mulut B37.0

44 Ulkus mulut (aptosa, herpes) A69.0

45 Parotitis B26.9

46 Infeksi pada umbilikus L08.82

47 Gastritis K29

48 Gastroenteritis (termasuk kolera, giardiasis) A09

49 Refluks gastroesofagus K21

50 Demam tifoid A01

DAFTAR KODE DIAGNOSA

Nomor : PRD.F.008

Tanggal : 03 Maret 2017

Halaman : 3 of 8

PRD.F.008

No NAMA PENYAKIT KODE ICD 10

51 Intoleransi makanan K90.4

52 Alergi makanan T62.9

53 Keracunan makanan T62.9

54 Penyakit cacing tambang B76.0

55 Strongiloidiasis B78

56 Askariasis B77

57 Skistosomiasis B77

58 Taeniasis B68.9

59 Hepatitis A B15

60 Disentri basiler, disentri amuba A06.0

61 Hemoroid grade 1/2 K64

62 Infeksi saluran kemih N39.0

63 Gonore A54

64 Pielonefritis tanpa komplikasi N12

65 Fimosis N47.1

66 Parafimosis N47.2

67 Sindrom duh (discharge) genital (gonore dan nongonore) R36

68 Infeksi saluran kemih bagian bawah N39.0

69 Vulvitis N76.2

70 Vaginitis N77.1

71 Vaginosis bakterialis N76.0

72 Salpingitis N70

73 Kehamilan normal Z34

74 Aborsi spontan komplit O03

75 Anemia defisiensi besi pada kehamilan O99.0

DAFTAR KODE DIAGNOSA

Nomor : PRD.F.008

Tanggal : 03 Maret 2017

Halaman : 4 of 8

PRD.F.008

No NAMA PENYAKIT KODE ICD 10

76 Ruptur perineum tingkat 1/2 O70

77 Abses folikel rambut atau kelenjar sebasea L72

78 Mastitis N61.0

79 Cracked nipple O92

80 Inverted nipple N64.53

81 Diabetes melitus tipe 1 E10

82 Diabetes melitus tipe 2 E11

83 Hipoglikemia ringan E16.2

84 Malnutrisi energi-protein E46

85 Defisiensi vitamin E56

86 Defisiensi mineral E61.8

87 Dislipidemia E78
88 Hiperurisemia E79

89 Obesitas E66

90 Anemia defisiensi besi D50

91 Limfadenitis I88.9

92 Demam dengue, DHF A91

93 Malaria B54

94 Leptospirosis (tanpa komplikasi) A27

95 Reaksi anafilaktik T78.2

96 Ulkus pada tungkai L97

97 Lipoma D17.9

98 Veruka vulgaris B07

99 Moluskum kontagiosum B08.1

100 Herpes zoster tanpa komplikasi B02.9

DAFTAR KODE DIAGNOSA

Nomor : PRD.F.008

Tanggal : 03 Maret 2017

Halaman : 5 of 8

PRD.F.008

No NAMA PENYAKIT KODE ICD 10

101 Morbili tanpa komplikasi B05.9

102 Varisela tanpa komplikasi B01.9

103 Herpes simpleks tanpa komplikasi B00

104 Impetigo L01

105 Impetigo ulseratif (ektima) L01.0

106 Folikulitis superfisialis L72

107 Furunkel, karbunkel L02

108 Eritrasma L08.1

109 Erisipelas A46

110 Skrofuloderma A18.4

111 Lepra A30

112 Sifilis stadium 1 dan 2 A53

113 Tinea kapitis B35.8

114 Tinea barbe B35.0

115 Tinea fasialis B35.8

116 Tinea korporis B35.4

117 Tinea manus B35.2

118 Tinea unguium B35.1

119 Tinea kruris B35.6

120 Tinea pedis B35.3

121 Pitiriasis vesikolor B36.0

122 Kandidosis mukokutan ringan B37.2

123 Cutaneus larva migran B83.0

124 Filariasis B74

125 Pedikulosis kapitis B85.0

DAFTAR KODE DIAGNOSA

Nomor : PRD.F.008

Tanggal : 03 Maret 2017

Halaman : 6 of 8

PRD.F.008

No NAMA PENYAKIT KODE ICD 10

126 Pedikulosis pubis B85.2

127 Skabies B86

128 Reaksi gigitan serangga W57

129 Dermatitis kontak iritan L23

130 Dermatitis atopik (kecuali recalcitrant) L20

131 Dermatitis numularis L30.0

132 Napkin eczema L22

133 Dermatitis seboroik L21

134 Pitiriasis rosea L42

135 Akne vulgaris ringan L70.0

136 Hidradenitis supuratif L73.2

137 Dermatitis perioral L70.0

138 Miliaria L74.0

139 Urtikaria akut L50

140 Exanthematous drug eruption, fixed drug eruption L27.0

141 Vulnus laseratum, punctum T14.1

142 Luka bakar derajat 1 dan 2 T29

143 Kekerasan tumpul LIHAT REGIONYA

144 Kekerasan tajam LIHAT REGIONYA

DAFTAR KODE DIAGNOSA

Nomor : PRD.F.008

Tanggal : 03 Maret 2017

Halaman : 7 of 8

PRD.F.008

KODE DIAGNOSA RAWAT JALAN

Code Diagnosis Description

Code Diagnosis Description

A01 Typhoid and paratyphoid fevers

K01 Embedded and impacted teeth

A09 Diarrhoea and gastroenteritis

K02 Dental caries

A15 Respiratory Tuberculosis

K05 Gingivitis and Periodontitis

A54 Gonococcal infection

K12 Stomatitis and related lesions

A91 Dengue haemorrhagic fever

K35 Appendicitis

B00 Herpesviral [herpes simplex] infections

K40 Inguinal hernia

B01 Varicella [chikenpox]

K80 Cholelithiasis

B05 Measles

K81 Cholecystitis

B17 Acute viral hepatitis

K85 Pancreatitis

B26 Mumps

K60 Fissure and fistula of anal and rectal regions

B34 Viral Fever /Infection

N30 Urinary tract infection (UTI)

B83 Helminthiases
L02 Furuncle/warts and carbuncle

H00 Hordeolum and chalazion

L20 Dermatitis

H01 Inflamation of eyelid

L50 Urticaria

H10 Conjunctivitis

L70 Acne

H53 Visual disturbances

L72 Cysts of skin and subcutaneous tissue

H60 Otitis

B37 Candidiasis

H70 Mastoiditis and related conditions

R11 Nausea and Vomiting

H81 Disorders of vestibular function

R50 Fever

H92 Otalgia and effusion of ear

R51 Headache

J00 Nasopharingitis [common cold]

R53 Malaise and fatigue

J01 Sinusitis

H81 Vertigo

J02 Pharyngitis

G43 Migraine

J03 Tonsilitis

R56 Convulsions

DAFTAR KODE DIAGNOSA

Nomor : PRD.F.008

Tanggal : 03 Maret 2017

Halaman : 8 of 8

PRD.F.008

Code Diagnosis Description Code Diagnosis Description

J06 Acute upper respiratory infections (URTI)

S00 Superficial injury of head

J18 Pneumonia
T14 Injury, unspecified

J20 Acute bronchitis

M10 Gout

J30 Vasomotor and allergic Rhinitis / VMR

M20 Arthralgia / Myalgia

J33 Nasal polyp

M54 Backache / body ache / joint ache

J45 Asthma

N17 Renal failure

K29 Gastritis and duodenitis

N20 Calculus of kidney and ureter

K30 Dyspepsia

N23 Renal colic

E06 Thyroiditis

R10 Abdominal and Pelvic pain / Colic

E11 Diabetes Melitus

N92 Menometrorrhagia

E20 Hypoparathyroidism

N94 Dysmenorrhoea

E78 Hyperlipidemia

Z00 General examination

G40 Epilepsy

Z30 Contraceptive management

I15 Hypertension

Z34 Supervision of normal pregnancy / Maternal healthcare

I20 Angina pectoris

Z39 Postpartum care/Maternal healthcare

I21 Acute mycordial infarction

Z23 Immunization/Vaccination for Tuberculosis

I25 IHD / Coronary Disease

Z24 Immunization/Vaccination for Hepatitis B

I84 Haemorrhoids

Z25 Immunization/Vaccination for Haemophilus Influenzae type B

I95 Hypotension

Z26 Immunization/Vaccination for Polio(oral)

H26 Cataract

Z27 Immunization/Vaccination for Diphteria, tetanus, pertussis (DPT)

N60 Benign mammary dysplasia / FAM

Z28 Immunization / Vaccination for Measles, mumps and Rubella (MMR)

N71 Inflammatory disease of uterus, except cervix

N74 Female Pelvic Inflamatory Disease (PID)

N80 Endometriosis