DAFTAR PENYAKIT TERSERING BPJS

NO DIAGNOSIS KODE ICD 10 Tindakan IGD POLI KELAS 1 KELAS 2 KELAS 3

1 HEG keton (-) O21.0 IVFD, Inj. Obat, lab 2.883.800
2 GEA A09.9 IVFD, lab 2.027.800 1.738.100 1.448.400
3 Thypoid fever A01.0 IVFD, Inj. Obat, lab 2.155.300
4 Viral infection + ISPA + B34.9 + J06.9 + IVFD, lab 2.176.200
Dyspepsia K30
5 BPPV + LBP + myalgia H81.1 + M54.59 IVFD, Inj. Obat 1.351.100
+ M79.1
6 Pneumonia + HT J18.9 + I10 O2, nebul, IVFD, Inj. Steroid, inj. 3.432.600
Antibiotic, lab darah, EKG, X foto thorax,
AGD
7 UAP +AMI + IDDM I20.0 + I21.4 + Lab, EKG, UL, IVFD, inj. Antikoagulan, inj. 5.384.600
E10.6 insulin
8 BP + Bacterial infection + J18.0 + A49.9 + IVFD, inj. Obat, inj. Antibiotic, nebul, 4.823.600
cardiomegaly + enteritis viral I51.7 + A08.3 EKG, lab darah, X foto thorax, sputum
9 Kista ginjal + bacterial Q61.9 + A49.9 IVFD, inj. Antibiotic, inj. Obat, cek darah, 2.826.800
infection UL
10 Dyspepsia + hipokalemi + K30 + E87.6 + IVFD, inj. Obat, cek darah 2.182.500
ISPA J06.9
11 Kolik renal + HT + Dyspepsia N23 + I10 +K30 IVFD, inj. Obat, cek darah, UL 3.347.100
12 BPPV + Dyspepsia + HT H81.1 + K30 + IVFD, inj. Obat, EKG, cek darah 1.351.100
I10
13 AB inkomplit O05.4 Kuret DC, IVFD, cek darah, O2 2.048.200 1.706.800
14 HEG keton (-) + GEA O21.0 + A09.9 IVFD, inj. obat 2.059.800
15 Kolik renal + nefrolitiasis + N23 + N20.0 + IVFD, inj. Obat, cek darah, UL, USG 8.661.100
cholelitiasis + dyspepsia + K80.5 + K30 + abdomen, EKG
intake kurang + HT + AKI + Z59.4 + I10 +
Fatty liver N17.8 + K76.0
16 DHF A91 IVFD, inj. Obat, cek darah, UL 1.554.400
17 Arhytmia cordis + HT + VES I49.9 + I10 + IVFD, O2, X foto thorax, x foto pedis, x 2.994.300
149.3 foto lumbosacral, cek darah, EKG
18 Menometroraghia N92.1 Kuret AC, IVFD, inj. Obat, cek darah 2.751.400
19 Vertigo perifer H81.3 IVFD, inj. Obat, cek darah 1.621.300
20 GEA + Kejang demam A09.9 + R56.0 IVFD, inj. Antibiotik, cek darah, UL, FL 1.981.100
21 KDS + ISPA + Leukositosis R56.0 + J06.9 + IVFD, inj. antibiotik 3.323.400
D72.8
22 Dyspepsia + abdominal pain + K30 + R10.4 + IVFD, inj. Obat, cek darah, UL, 1.535.900
intake kurang Z59.4
23 Dyspepsia + ISPA K30 + J06.9 IVFD, inj. Obat, cek darah 1.279.900
24 IDDM + CKD + HHD dengan E10.7 + N18.9 + UL, EKG, X foto thorax, cek darah, AGD, 8.329.600
CHF I11.0 inj. Obat, inj. Insulin, O2, USG ginjal
25 Kolik renal N23 IVFD, inj. Obat, cek darah, UL, USG 4.686.000
abdomen, EKG
26 Pleuritis + cardiomegali + J94.9 + I51.7 + Cek darah, EKG, AGD, O2, nebul, x foto 4.415.400
bronchiektasis + HT J47 + I10 thorax, IVFD, inj. Obat, inj. Steroid, inj.
antibiotik
27 Mioma uteri D25.9 IVFD, inj. Obat, cek darah 2.751.400
28 GEA + hipokalemi + hamil A09.9 + E87.6 + IVFD, inj. Obat, USG hamil, cek darah 2.377.300
Z32.1
29 Pneumonia + TB + Bacterial J18.9 + A16.0 + IVFD, inj. Antibiotik, inj. Obat, nebul, 4.119.100
infection A49.9 sputum, x foto thorax, cek darah
30 FA + intake kurang + J02.8 + Z59.4 + IVFD, inj. Antibiotik, cek darah 2.661.200
exantema subitum + B08.2 + B36.9
dermatomikosis
31 ISK + dyspepsia + akut N39.0 + K30 + IVFD, inj. Obat, cek darah, UL, USG 2.220.000
abdomen R10.0 abdomen
32 Thypoid fever + epilepsi A01.0 + G40.9 IVFD, inj. Antibiotik, inj. Steroid, cek 3.139.400
darah, UL
33 Vertigo perifer + dyspepsia H81.3 + K30 IVFD, inj. obat 1.351.100
34 Bacterial infection A49.9 IVFD, inj. Antibiotik, cek darah, UL 3.017.400
35 GEA + intake kurang A09.9 + Z59.4 IVFD, inj. Antibiotik, cek darah 1.448.400
36 Bronchitis + asma J40 + J45.9 IVFD, inj. Antibiotik, nebul, inj. Obat, cek 3.289.000
darah, x foto thorax
37 GEA + Hipokalemi A09.9 + E87.6 IVFD, inj. Obat, FL, Cek darah, inj. 2.377.300 1.981.100
antibiotik
38 Hepatitis A tanpa koma B15.9 + E80.7 + IVFD, inj. Antibiotik, inj. Obat, cek darah 4.495.400
hepatik + hiperbilirubinemia R74.0 + D69.6
+ peningkatan enzim
transaminase +
 trombositopenia
39 Dyspepsia + melena + susp. K30 + K29.1 + IVFD, Inj. Obat, cek darah 1.791.800
keganasan Z03.1
40 HT + Chest pain + dyspepsia I10 + R07.4 + IVFD + inj. Obat + cek darah + EKG + x 1.811.400
K30 foto thorax
41 Bacterial infection + GEA A49.9 + A09.9 IVFD, inj. Antibiotik, UL 2.586.400
42 Ab imminens O20.0 IVFD, inj. Obat, USG hamil, cek darah 1.525.600
43 Dyspepsia + viral infection + K30 + B34.9 + IVFD, inj. Obat, cek darah, UL, FL 1.535.900
melena K92.1
44 Dyspepsia K30 IVFD, inj. Obat, cek darah 1.279.900
45 IDDM + ISK + bacterial E10.7 + N39.0 + IVFD, inj. Obat, inj. Insulin, inj. Antibiotik, 4.793.500
infection + HT + hipokalemi A49.9 + I10 + cek darah, UL, EKG
E87.6
46 SNH + hipokalemi + palpitasi I64 + E87.6 + Cek darah, x foto thorax, CT scan kepala, 4.486.900
+ cardiomegaly + HT R00.2 + I51.7 + EKG, IVFD, inj. obat
I10
47 Kolik renal + hydronefrosis + N23 + N13.2 + IVFD, inj. Obat, inj. Antibiotik, cek darah, 5.651.800
ISK + dyspepsia N39.0 + K30 UL, USG abdomen
48 Cholelitiasis + dyspepsia K80.2 + K30 IVFD, cek darah, USG abdomen, inj. 3.212.300
Antibiotik, inj. obat
49 TB paru + bacterial infection A15.2 + A49.9 + IVFD, inj. Obat, inj. Antibiotik, nebul, 4.119.700
+ dyspepsia K30 AGD, x foto thorax, sputum, cek darah,
O2
50 Thypoid fever + hipokalemi A01.0 + E87.6 IVFD, Inj. Obat, inj. Antibiotik, cek darah, 2.616.200
FL
51 BP J18.0 IVFD + cek darah + x foto thorax 4.119.100 3.432.600
52 Dyspepsia + BPPV K30 + H81.1 IVFD, inj. OBAT, cek darah 1.279.900
53 STT punggung D23.6 IVFD, inj. Obat, eksisi lesi 5.537.800 4.746.700
54 Bacterial infection + A49.9 + K30 IVFD, inj. Obat, cek darah, UL, X foto 2.155.300
dyspepsia thorax
55 Tumor Ovarium D27 Salpingo oophorostomy, IVFD, inj. Obat, 7.585.200
spinal analgetik, DC urin, inj. antibiotik
56 STT abdomen D21.4 IVFD, inj. Obat, eksisi lesi 4.746.700
57 Appendicitis akut K35.3 Appendectomy, IVFD, inj. Obat, inj. 2.874.500
Antibiotik, cek darah
58 CHF + HT + cardiomegaly I50.0 + I10 + IVFD, inj. Obat, inj. Antibiotik, cek darah, 2.652.900
 I51.7 UL, x foto thorax
59 DHF + IDDM + ISPA + HT + A91 + E10.8 + IVFD, cek darah, x foto thorax, EKG, inj. 3.278.400
Phlebitis J06.9 + I10 + Antibiotik, inj. Obat, inj. Insulin,
I80.9
60 SC karena BSC 034.2 SC, IVFD, inj. Obat, spinal anestesi, DC 6.965.200 4.975.200
urin, USG abdomen
61 Asma + pneumoni + J45.9 + J18.9 + IVFD, inj. Obat, inj. Antibiotik, nebul, cek 3.673.800
dyspepsia + ISK + bacterial K30 + N39.0 + darah, UL, x foto thorax
infection A49.9
62 Kolik renal + hematuri + batu N23 + R31 + IVFD + inj. Obat + cek darah + UL + USG 4.686.000 4.016.600
ginjal + dyspepsia N20.0 + K30 abdomen
63 Pneumonia + bronchiektasis J18.9 + J47 IVFD + inj. Obat + inj. Antibiotik + nebul + 4.823.600
cek darah + sputum + chest fisioterapi +
inj. steroid
64 Mioma uteri D26.1 Laparatomi, IVFD, inj. Antibiotik, tranfusi 6.571.300
PRC, inj. Obat, cek darah
65 IDDM + dyspepsia + HT E10.6 + K30 + IVFD, inj. insulin, cek darah, UL, AGD, 4.116.600
I10 EKG
66 IDDM + ULKUS DM + E10.6 + L98.4 + IVFD, inj. insulin, inj. Obat, inj. Antibiotik, 5.752.200
dyspepsia + HT K30 + I10 cek darah, x foto thorax, EKG
67 SC + steril O34.2 + Z30.2 SC, IVFD, inj. Obat, spinal anestesi, DC 8.849.400
urin, USG abdomen + 66.99
68 KAD + GEA + hipokalemi E10.1 + A09.9 + IVFD, inj. Antibiotik, inj. Insulin, inj. Obat, 4793.500
E87.6 x foto thorax, cek darah, AGD