KUMPULAN KODE DIAGNOSA DAN TINDAKAN

NO DIAGNOSA KODE
1 ABNORMLA GTT R73.0
2 AMPUTASI JARI S68
3 ANJURAN KARDIOGRAFI (EVALUASI) D48.6
4 ASHD I25.1
5 ASMA J46
ATRIAL FIBRILATION I48
6 BARTOLINI N75.1
7 BATUK ALERGI R05/T78.4
8 BAYI SEHAT Z76.2
9 BBL DGN IKTERIK P51.8/P59.9
10 BELLS PALSY G51.0
11 CA CERVIX D06.9
12 CA COLON D01.0
13 CA PAYUDARA D05.9
14 CAD I24.0
15 CARDIOMYOPATI I42.9
16 CEPHLAGIA R51
17 CEREBRAL INFARC I63.9
18 CHD M51.2
19 CHD I51.9
20 CHF I50.0
21 CHOLECYTITIS K81.9
22 CRONIC ISKEMIC HEART I25.9
23 CVD I67.9
24 DECOMP CORDIS I51.9
25 DERMATITIS ULCER/GANGREN L88
26 DISLIPIDEMIA E78.8
27 DISORDER EYE AND ANEXA H57.9
28 DM E14
29 DM TIPE I E10
30 DM TIPE II E11
31 EFUSI PLEURA J90/J30.4
32 EPILEPSI G40.9
33 EPISTAKSIS R04.0
34 FAM D24
35 FEVER R50.9
36 GERD K21.9
37 GRANULOMA ANNULARE L92.0
38 HAEMETESIS K92.0
39 HAEMOPTYSIS R04.2
40 HAEMORHOID I84.0
41 HAMIL DGN PERDARAHAN POST PARTUM O72.1
42 HEART FAILURE I50.0
43 HERNIA UMBILIKALIS K42.9
44 HERPEZ ZOSTER B02.9
45 HHD I11.9
46 HIPERAKTIF AIRWAY DESEASE Z87.3/M32.9
47 HIPERTENSI GRADE 2 I15.2
48 HIPOTENSI I95.9
49 HIPOTIROID E89.0
50 HNP M51.9
51 HYPOALBUMIN E46
52 ISPA J06.9
53 KATARAK I
54 KATARAK H26.9
55 KELOID L91.0
56 KISTA ATEROMA L72.0
57 KISTA PAYUDARA N60.0
58 KONSTIPASI K59.0
59 KONTROL ASMA Z87.0
60 KONTROL BAYI SEHAT Z00.1
61 KONTROL BBL (IMUNISASI) Z24.6 / Z00.0
62 KONTROL BELLS PALSY Z86.6
63 KONTROL CA Z08
64 KONTROL DYSPEPSIA Z87.1
65 KONTROL FISIO Z50.7
66 KONTROL GRANULOMA ANNALURE Z87.2
67 KONTROL HAEMORHOID Z86.7
68 KONTROL HAMIL Z34.9
69 KONTROL HAMIL RESTI Z35.8
70 KONTROL HD Z99.2/Z49.2
71 KONTROL HHD Z86.7
72 KONTROL HIV Z20.6
73 KONTROL KATARAK Z96.1
74 KONTROL KEJIAWAAN Z86.5/F32.9
75 KONTROL LUKA Z48.0
76 KONTROL NEONATUS JAUNDICE Z00.1
77 KONTROL OBAT HABIS Z76.0
78 KONTROL PERNAPASAN Z87.0
79 KONTROL POST OP Z48.9
80 Z09.8
81 KONTROL POST SC Z09.0/O82.9
82 KONTROL SNNT Z86.3
83 KONTROL STOMATITIS Z87.1
84 KONTROL SUSP NERVOUS Z03.3
85 KONTROL TYROID Z86.3
86 KONTROOL OMSK Z86.6
 87 LBP M54.9
88 LEUCORHEA N89.8
89 LIMPADENOPATI A18.2
90 LOCALIZED SWELLING MASS LUMP,HEAD R22.0
91 MENINGGAL DITEMPAT (DOA) R98/R96.0
92 NECROTIK/GANGREN R02
93 NEOPLASMA D48.7
94 NEPHROTIK SYNDR N04.9
95 NEUROPATI G62.9
96 OBSERVASI Z04/Z03
97 OBSERVASI SUSP MALIGNA Z03.1
98 OMSK H66.9
99 OTITIS MEDIA SUPURATIF H66.0
100 PERSONAL ENDOCRINE NUTRIONAL + METABOLIK Z86.3
101 PNEUMONIA CAP J15.9
102 POLYNEUROPATI G62.9
103 POST PARTUM Z39.2
104 POST SURGICAL (BEDAH) Z98.8
105 PPOK J44.1
106 PREGNANT STATE Z33
107 PSIKOSOMATIS F54.9
108 RADICULOPATY M54.9
109 RIWAYAT KEL STROKE Z82.3
110 RIWAYAT KELG (EPILEPSI) Z82.0
111 RIWAYAT PENY DULU (SYARAF) Z86.6
112 SCABIES B86
113 SNNT E04.9
114 STOMATITIS K12.1
115 STROKE I60/I64
116 SUSP CA Z03.1
117 SUSPECT Z03.9
118 TIA G45.9
119 TINEA CORPORIS B35.4
120 TINEA CRURIS B33.6
121 TONSIL KRONIK J35.0
122 TUMOR MAMAE DEX Z12.3
123 TYROID E05.9
124 ULCUS L98.4
125 ULCUS PEDIS SIN L98.4
126 VERTIGO R42
127 KONTROL PERNAPASAN Z87.0
OBS DYSPNEU R06.0
COLAPS PARU J98.1
ODE DIAGNOSA DAN TINDAKAN
TINDAKAN KODE OBAT KODE

HEMODIALISIS 39.95
MANTUX TEST + PPD 99.33

SUNTIK INSULIN 99.17

AFF HECTING 86.22
EEG 89.14

CEK RAD 87.42

NGT 96.07
USG OBGYN 88.78
USG KEPALA 88.71

ENDOSKOPI HIDUNG 22.93

RO GIGI 87.12

FISIO EXERCISE 93.19

PERAWATAN LUKA 93.57

CEK LAB 90.59

HECTING 86.59

FISIO DYATERMI 93.34

FISIO TRACTION 93.21

INFUS 99.29

ECHO DOPLER 88.72

FISIO MASAGE 93.17

EKSISI LUKA 86.3

LENSA MATA TAMBAHAN 13.71

NEBULIZER 93.94

USG PAYUDARA 88.85

CT SCAN 88.38
PHACO 13.19

PERIMETRY 95.05
WSD 34.04
PUNKSI PLEURA 33.93
 KUMPULAN KODE DIAGNOSA DAN TINDAKAN
NO DIAGNOSA KODE TINDAKAN
1 CHF I50,0 RO THORAX
2 DVT (VARISES) I80,2 EKG
3 CELULITIS L03,1 HD
4 HIPOALBUMINEMIA R77,0 TRANSFUSI PRC
5 ASITES R18 BLUE LIGHT
6 HIPONATREMIA R79,0 SIRKUMSISI
7 GGN FUNGSI HATI K76,9/K47.6 INSISI GIGI
8 CKD N18,0 + N03.9 ODONTECTOMY
9 ANEMIA D64,9 RO LUMBOSACRAL
10 NCB SMK P03.4 FISIO (IR)
11 HIPERBILIRUBIN P59,9 FISIO (TENS)
12 DYSPEPSIA K30 EKSISI
13 HIPERTENSIR07.4 I10 HAEMOROIDEKTOMI
14 TYPHOID A01,0 NEBULIZER
15 DHF A91 EKSISI PAYUDARA
16 FIMOSIS N47 CPAP
17 KEJANG DEMAM SEDERHANA R56 RO THORAX
18 DIARE AKUT DEHID SEDANG A09 INFUS TALI PUSAT (UMBILICAL)
19 VOMITUS R11 INFUS D10
20 IMPACTED TEET K01,0 BLUE LIGHT
21 PERIAPICAL ABSES K04,7 USG KEPALA
22 HNP M51,1 NGT
23 MONONEUROPATI G58,9 USG ABD
24 OTHER CHOLELITHIASIS K80.8 INFUS D5
25 TUMOR RONGGA MULUT (SUSP) C06.9 LAPARATOMI EKSPLORASI
26 INFEKSI BAKTERIAL A04.9 APENDIKTOMI
27 VIRAL INFEKSI B34.9 BNO
28 CEPHALGIA R51 USG ABD
29 HIPOKALEMIA R79.0 USG ABD
30 HAEMORROID GRADE IV I84.1 INSULIN
31 G3 P3 A0 H 12 MGG + HEG O21.1 EKSISI STT (LUAS)
32 DEMAM (OBS FEBRIS) R50,9 NEBULIZER
33 ISPA J06.9 EKG
34 FAM DEXTRA D24 RO THORAX
35 ASFIKSIA BERAT P21.0 SECTIO SECAREA
36 SEPSIS A41.9 TONSILECTOMY
37 SUSP PJB Q24.9 USG OBGYN
38 NCB SMK P03.4 BNO IVP
39 NKB P07.3 USG ABD
40 BB LEBIH 4400 GR P08.0 CT SCAN NK
41 VERTIGO H81.1 NGT
42 GEA A09 VP SHUNT
43 BRONCHO PENUMONIA (BP) J18,0 KURET
44 BRONCHITIS J40 LAPARATOMI EKSPLORASI
45 PERITONITIS K65.0 OTHER APP
46 APP PERFORASI K35 OMENTEKTOMI
47 KISTA OVARIUM N83,2 RO THORAX
49 DM TIPE II E11.9 ADHELIOSILIS
50 CHOLELITHIASIS K80.2 USG ABD
51 PAROTITIS B26,9 APENDICOGRAM
52 SYOK HIPOVOLEMI E86 BNO
53 SOFT TISSUE TUMOR (STT) D10.3 DEBRIDEMENT
54 GANGLION M67.4 LE
55 NSTEMI I21.9 KISTEKTOMI
56 CHF I50.0 HIDROTUBASI
57 HIPERTENSI I10.0 ANTROSTOMI + WASH OUT KI
58 CEPHALGIA R51 COLON IN LOOP
59 CHOLECYSTITIS K81.9 HIDROCELECTOMI (EKSISI)
60 P1 A1 POST SC O82.1 KURET
61 GAWAT JANIN 068.9 EKSISI MATA
62 PI AO PRO SC O82.1 INDUKSI
63 CPD O65.4 MANUAL PLASENTA
64 PARAPARESE G82.2 KURET
65 HIPOKALEMIA R79.0 EPISIOTOMI
66 TONSILITIS KRONIK J35.0 SC
67 DIARE DEHIDRASI SEDANG A09 MOW
68 G2 P1 A0 H 4 BLN Z32.1 EKG
69 MALPRESENTASI (BAYI ai SC) O64.8 ADHELIOLISIS
70 PEB O14.1 SC
71 KPD O42.9 EKG
72 LILITAN TALI PUSAT O69.1 EKSISI BREAST
73 ATONIA UTERI O62.0 CTG
74 NEONATAL INFEKSI P39.9 LE
75 ISK N39.0 HISTEREKTOMI
76 MIOMA UTERI D25.9 OMENTEKTOMI
77 NEPHROLITHIASIS N20.0 SALPINGEKTOMI
78 BPH N40 EKG
79 HIDRONEFROSIS Q63.3 EKSISI
80 STROKE HEMORAGIK I61.9 EKSISI PAYUDARA
81 SNH I63.9 RO CRANIUM
82 HHD I11.9 RO HUMERUS
83 HIDROCEPHALUS G91.0 CYSTOSKOPI
84 HIPONATREMIA R79.0 AFF DJ STENT
85 MENIGITIS KP G00.9 WSD
86 P3 A2 POST KURET ai AB IMINEM O06.8 INTUBASI
87 APP AKUT K35.0 TRANSFUSI PRC
88 PERITONITIS K65.0 USG ABD
 89 OMENTUM RO THORAX
90 PERLENGKETAN K66.0 HERNIORAPHY + MESS
92 APP KRONIS K36 OMENTEKTOMI
93 ABSES COLI L02.1 HAEMORHOIDEKTOMI
94 MELENA K92.1 EKSTIRPASI + GRAFT KONJUNGTIVA
95 TB PARU A16.2 POLIPECTOMY
96 HAEMAPTOE R04.2 EKSISI
97 THALASEMIA D56,9 ENDOSKOPI
98 KISTA OVARIUM N83.2 PASANG CIMINO
99 SINUSITIS MAXILARIS SIN J32.0 EKSISI STT
100 INVAGINASI (SUSP) K56,1 BIOPSI STT
101 SISA PLASENTA O01.1 KONSULTASI
102 HIDROCELE NONCOMUNICANS (DEX) N43.3 PUNGSI PLEURA
103 BLIGHTED OVUM O02.0 BIOPSI SOFT TISSUE
104 CHALAZION OD H00.1 BIOPSI PLEURA
105 CEREBRAL PALSY G80.9 TREADMILL
106 EPILEPSI G40.9 DIATERMI FISIO
107 PARTUS INDUKSI O83.2 REHABILITASI
108 SISA PLASENTA 073.0 TELINGA PROSEDUR
109 MENINGOENCEPHALITIS A17.0 USG KEBIDANAN
110 SC ai BEKAS SC O82.0 CABUT KUKU
111 MOW (STERIL) T98.3 PACO
112 PERLENGKETAN K66.0
113 PI A0 POST SC O82.0
114 KPD O42.0
115 SEPSIS A41.9
116 MULTIPLE FAM SIN D24
117 TENSION HEADACHE G44.2
118 BBLR P07.1
119 ASFIKSIA SEDANG P21.1
120 HAP (HEMORAGIC ANTE PARTUM) O46.9
121 HPP O72.1
122 PPI (PLASENTA .) O60.0
123 PRESENTASI BOKONG
124 LETAK LINTANG O64.8
125 GASTRITIS K29.7
126 ADNEXITIS N73.9
127 FLOUR ALBUS N76.0
128 CYSTOCELE N81.1
129 RECTOCELE N81.9
130 POLIP CERVIX N848.1
131 DISTENSI ABD T81.3
132 MIOMA UTERI MULTIPLE D25.9
133 KISTA OVARI N83.2
134 HIDROSALPING ?
135 OA GENU M17.0
136 LBP M54.50
137 MULTIPLE LIMFADENOPATI + TUMOR COLI D21.0
138 TUMOR PARU KANAN D38.1
139 INTAKE SULIT E63.1
140 CANDIDIASIS B37.9
141 ABSES ISCHIORECTAL K61.3
142 INFEKSI SEKUNDER R79.0
143 HEPATITIS B B16.9
144 DISPLASIA MAMAE N60.9
145 KOLIK RENAL N23
146 MORBILI B05.2
147 POLINEUROPATI G62.9
148 ASMA BRONCHIALE J45.9
149 HERNIA INGUINALIS K40.9
150 MULTIPLE MYELOMA C90.0
151 URETHROLITHIASIS N20.1
152 ABORTUS INCOMPLIT O03.1
153 ENDOMETRIOSIS N80.9
154 NEONATAL INFEKSI P39.9
155 HEMEL B16.9
156 PVO ec SIRHEP D64.9
157 TROMBOSITOPENIA D69.6
158 EFUSI PLEURA J90
159 SYOK HIPOVOLEMIK K57.1
160 GASTRITIS EROSIF K92.1 + K29.0
161 ANEMIA D64.9
162 HIPOTENSI I95.9
163 HIPOALBUMIN R77.0
164 STOMATITIS K12.1
165 DERMATITIS L30.9
166 ISPA J06.9
167 HERNIA SCROTALIS DEX K45.0
168 TONSILO FARINGITIS AKUT J03.9
169 FARINGITIS J02.9
170 DEHIDRASI E86
171 PARTUS SPONTAN O80.0
172 SINUSITIS J32.0
173 HIPERTIROID E05.9
174 HAEMORHOID INT + EXT I84.1 + I84.4
175 DRUG INDUCE HEPATITS K76.9
176 DRUG ERUPTION L27.0
177 ATELECTASIS J44.9
178 LBP M54.50
179 GOUT M10.9
180 PTERIGIUM H11.0
181 POLIP NASI DEXT J33.9
182 PPOK J44.9
183 VES I49.4
184 MULTIPLE STT D21.9
185 ABORTUS IMINEMS O20.0
186 DISPEPSIA K30
187 STT TANGAN M79.4
188 GANGLION M67.4
189 INTOKSIKASI DETERGENT T55
190 HIPOGLIKEMI E16.2
191 KONTROL BEDAH Z48.9
192 KATARAK H26.9
193 KONTROL POST OP Z489
194
195
196
197
198
199
200
201
AN
KODE OBAT KODE
87.44 BICNAT 99.18
89.52 FUTROLIT 99.15
39.95 KCL 99.18
99.04 INFUS D5 99.15
99.82 FUTROLIT 99.15
64.0 INJ KENACORT 81.92
24.19 INJ FLAMICORT 82.94
27.92 BLISTRA 00.17
87.24 AMINOFLUID 99.15
93.34
37.20
83.39
49.46
93.94
85.21
93.90
87.44
38.92
99.15
99.82
88.71
96.07
88.76
99.15
54.11
47.09
87.69
88.76
88.76
99.17
83.39

74.0
28.2
88.78
88.76
88.19 B NUTRION 99.15
87.03
96.07
99.04
69.02
54.11
47.09
54.74
87.44
54.59
88.76
88.19
87.65
86.22
54.11
57.6
66.95
22.39
87.69
63.1
69.09
08.21
73.4
75.4
69.09 /69.02
73.6
74.0
66.29
89.52
54.59
74.0
89.52
85.20
75.32
54.11
68.4
54.74
65.49
89.52
83.39
85.20
99.04
87.17
57.32
56.99
34.04
96.71
99.04
53.69
54.74
49.46
11.32
21.31
83.39
48.36
39.27
82.39
83.21
89.09
33.93
83.21
34.24
89.41
93.34
93.89
20.39
88.78
86.23
13.41
 GROUPING BERKAS RS P

NO DIAGNOSA KODE TINDAKAN KODE

KASUS INTERNIST
1 ASMA J45.9 INJ/INFUS ELEKTROLIT 99.18
LAB 90.59
RO THORAX 87.44

2 BP J18.0 INJ/INFUS ELEKTROLIT 99.18

MALNUTRISI E46 LAB 90.59
OKSIGEN 93.96
INJEKSI ANTIBIOTIK 99.21
NEBULIZER 93.94
FISIOTERAPI 93.35
FISIOTERAPI 93.09
NGT 93.07

3 DHF A91 INJ/INFUS ELEKTROLIT 99.18

LAB 90.59

4 DHF A91 INJ/INFUS ELEKTROLIT 99.18

GASTRITIS K29.1 LAB 90.59
INJEKSI ANTIBIOTIK 99.21

5 ASMA J45.9 INJ/INFUS ELEKTROLIT 99.18

LAB 90.59
INJEKSI ANTIBIOTIK 99.21
NEBULIZER 93.94
OKSIGEN 93.96

6 ANEMIA D64.9 INJ/INFUS ELEKTROLIT 99.18

TB A16.2 LAB 90.59
DYSPEPSIA K30 INJEKSI ANTIBIOTIK 99.21
RO THORAX 87.44
EKG 89.52
OKSIGEN 93.96
TRANSFUSI 99.04

7 HYPOGLIKEMIA E16.2 EKG 89.52

CVD I67.9 INJ/INFUS ELEKTROLIT 99.18
LEUKOSITOSIS D72.8 LAB 90.59
MONITORING OKSIGEN/TTV 89.67
INFUS PUMP 86.06
 MONITORING EKG 89.54
NGT 96.07

8 AKUT MCI I21.0 INJ/INFUS ELEKTROLIT 99.18

HEPATITIS AKUT K72.0 LAB 90.59
AKUT RENAL FAILURE N17.9 EKG 89.52
N39.0 OKSIGEN 93.96
HIPERKLAEMIA E87.5 INJEKSI ANTIBIOTIK 99.21
URTIKARIA L50.9

KASUS BEDAH UROLOGI

1 BPH N40 INJ/INFUS ELEKTROLIT 99.18
HIPERTENSI I10 LAB 90.59
INJEKSI ANTIBIOTIK 99.21
OKSIGEN 93.96
PROSTATECTOMY 60.29
OPEN BIOPSI PROSTAT 60.12
ANESTESI 03.91
MONITORING OKSIGEN/TTV 89.67

2 BATU SAL KEMIH N21.0 INJ/INFUS ELEKTROLIT 99.18

CYSTITIS N30.9 LAB 90.59
HIPERTENSI I10 OKSIGEN 93.96
ANEMIA D64.9 RO THORAX 87.44
ISK N39.0 OPERASI BLADDER 57.99
HEMATURIA R31 PASANG CATETER 57.94
ANESTESI 03.91
BIOPSI BLADDER 57.34
GV 93.57
EKG 89.52
BNO 87.79

3 BATU SAL KEMIH N21.0 INJ/INFUS ELEKTROLIT 99.18

LAB 90.59
OKSIGEN 93.96
INJEKSI ANTIBIOTIK 99.21
OPERASI BLADDER 57.99
PASANG CATETER 57.94
ANESTESI 03.91
BIOPSI BLADDER 57.34
GV 93.57
MONITORING OKSIGEN/TTV 89.67
KLISMA 96.33

4 STRICTUR URETER DEX N13.5 INJ/INFUS ELEKTROLIT 99.18

 CA UTERI (POST RADIASI) C53.9 LAB 90.59
ANEMIA D64.9 OKSIGEN 93.96
MONITORING OKSIGEN/TTV 89.67
ANESTESI 03.91
URS 56.39
URINARY DRAINAGE REMOVAL 97.64
GV 93.57
PASANG CATETER 57.94

5 RETENSI URIN ec BATU URETRA N21.1 INJ/INFUS ELEKTROLIT 99.18

STRICTUR URETRA N35.9 LAB 90.59
HEMATURIA R31 OKSIGEN 93.96
ANEMIA D64.9 INJEKSI ANTIBIOTIK 99.21
MONITORING OKSIGEN/TTV 89.67
RO THORAX 87.44
EKG 89.52
ANESTESI 03.91
LITOTRIPSI 56.0
PASANG CATETER 57.94

KASUS BEDAH
1 TUMOR PAYUDARA BILATERAL D24 INJ/INFUS ELEKTROLIT 99.18
LAB 90.59
OKSIGEN 93.96
INJEKSI ANTIBIOTIK 99.21
MONITORING OKSIGEN/TTV 89.67
KLISMA 96.33
EXSISI BILATERAL 85.20
BIOPSI 85.12
PASANG ETT 96.04
OBAT BIUS NITRIC ACID (FENTANYL) 00.12

2 APP KRONIS K36 INJ/INFUS ELEKTROLIT 99.18

OBSTRUKSI INTESTINAL ADHESIONS K56.5 LAB 90.59
OKSIGEN 93.96
INJEKSI ANTIBIOTIK 99.21
MONITORING OKSIGEN/TTV 89.67
PASANG CATETER 57.94
URINARY DRAINAGE REMOVAL 97.64
GV 93.57
ANESTESI 03.91
RO THORAX 87.44
APENDIKTOMI 47.09
BIOPSI 45.27
LYSIS OF PERITONEAL ADHESIONS 54.59
3 TUMOR INTRA ABD D48.7 INJ/INFUS ELEKTROLIT 99.18
CARDIOMEGALI I51.7 LAB 90.59
LEFT VENTRICULER FAILURE I50.1 OKSIGEN 93.96
EDEMA PARU J81 INJEKSI ANTIBIOTIK 99.21
HIPERTENSI I10 MONITORING OKSIGEN/TTV 89.67
OKSIGEN 93.96
RO THORAX 87.44
ANESTESI 03.91
EXSISI SOFT TISSUE 83.39
BIOPSI 86.11

4 HERNIA SIN K46.0 INJ/INFUS ELEKTROLIT 99.18

INJURY INSTESTINAL WITH OPEN WOUND S36.4 LAB 90.59
HIPERTENSI I10 OKSIGEN 93.96
INJEKSI ANTIBIOTIK 99.21
MONITORING OKSIGEN/TTV 89.67
OKSIGEN 93.96
RO THORAX 87.44
EKG 89.52
GV 93.57
ANESTESI 03.91
LASERASI DUODENUM 46.73
REPAIR INGUINAL HERNIA 53.00

5 PERPORASI OF INTESTINAL K63.1 INJ/INFUS ELEKTROLIT 99.18

SEPSIS A41.9 LAB 90.59
GAGAL NAPAS J96.9 OKSIGEN 93.96
CKD N28.9 MONITORING OKSIGEN/TTV 89.67
RO THORAX 87.44
PASANG CATETER 57.94
MONITORING EKG 89.54
EKG 89.52
INFUS PUMP 86.06
TRANSFUSI 99.04
ETT 96.04
VENTILATOR 96.70
USG ABD 88.76
REPAIR GASRTOCHISIS 54.71
BIOPSI 45.15

KASUS OBGYN
1 G2P1 HAMIL 25 MGG O60.1 INDUKSI 71.4
GEMELLI O84.0 MANUAL PLASENTA 73.99
PARTUS SPONTAN O80.9 INJ/INFUS ELEKTROLIT 99.18
 LAB 90.59
TRANSFUSI 99.04
HECTING PERINEUM 71.71

2 G2P1 HAMIL 40 MGG SC O82.1 SC 74.4

PEB O14.1 ANESTESI 03.91
BEKAS SC O34.2 PERLENGKETAN 54.59
PERLENGKETAN DGN OBSTRUKSI K56.5 MONITORING EKG/TTV 89.54
INFUS PUMP 86.06
RESUSITASI 93.93
GV 93.57
AFF CATETETER 97.64
OKSIGEN 93.96
EKG 89.52

3 G2PI HAMIL 11 MGG DGN BO O02.0 KURET 69.09

BIOPSI 68.13
OBAT BIUS 00.12
LAB 90.59
INJ/INFUS ELEKTROLIT 99.18
INJEKSI ANTIBIOTIK 99.21
MONITORING OKSIGEN/TTV 89.67

4 G4P1A2 HAMIL 30 MGG IUFD DGN INDUKSI O61.0 INDUKSI 74.4

PARTUS SPONTAN O80.9 MANUAL PLASENTA 73.59
IUFD O36.4 LAB 90.59
INJ/INFUS ELEKTROLIT 99.18
HECTING PERINEUM 71.71

5 G4P2A1 HAMIL 36 MGG DGN SC O82.0 SC 74.4

KEHAMILAN KOMPLIKASI O99.5 ANESTESI 03.91
LAB 90.59
INJ/INFUS ELEKTROLIT 99.18
INJEKSI ANTIBIOTIK 99.21
OKSIGEN 93.96
PASANG CATETER 57.94
MONITORING OKSIGEN/TTV 89.67
NEBULIZER 93.94

KASUS ORTHOPEDI
1 FRAKTUR HUMERUS DEX S42.20 PASANG GIPS 93.53
FRAKTUR TIBIA DEX S82.20 LAB 90.59
INJ/INFUS ELEKTROLIT 99.18
INJEKSI ANTIBIOTIK 99.21
RO THORAX 87.44
 OKSIGEN 93.96
MONITORING OKSIGEN/TTV 89.67
EKG 89.52
RO SHOULDER 88.21
RO ANKLE 88.28

2 BURSITIS GENU M70.5 EKSISI KNEE JOINT 80.96

BIOPSI OF STT 83.21
LAB 90.59
INJ/INFUS ELEKTROLIT 99.18
MONITORING OKSIGEN/TTV 89.67
RO THORAX 87.44
ANESTESI 03.91
PASANG CATETER 57.94
INJEKSI ANTIBIOTIK 99.21

3 FRAKTUR JARI TERTUTUP S62.60 ORIF 79.34

OBAT BIUS 00.12
LAB 90.59
INJ/INFUS ELEKTROLIT 99.18
INJEKSI ANTIBIOTIK 99.21
OKSIGEN 93.96
MONITORING OKSIGEN/TTV 89.67
RO THORAX 87.44
RO FINGER 88.23
ETT 96.04
GV 93.57
UPING BERKAS RS PMI

REAL COST TARIF INA CBGS (RP)

LOS KETERANGAN
(RP) I II III

2 HARI (KLS III) 1,020,700 2,871,982 2,461,699 2,051,416 ASMA PAKE KODE ELEKTROLIT??

4 HARI (INTENSIF) 4,820,900 12,447,162 10,668,996 8,890,830 SEVERITY LEVEL III

6 HARI (KLS III)

5 HARI (KLS III) 2,387,300 3,429,622 2,939,676 2,449,730

5 HARI (KLS III) 1,902,700 4,116,562 3,528,482 2,940,401

1 HARI (INTENSIF) 1,146,700 2,871,982 2,461,699 2,051,416

1 HARI (KLS III)

5 HARI (KLS III) 5,164,300 4,115,934 3,527,943 2,939,953 TB HARUSNYA JADI PRIMER

2 HARI (ICU) 12,505,100 12,058,319 10,335,702 8,613,085 ICU NON VENTI KECIL
4 HARI (KLS III)
7 HARI (KLS III) 3,568,816 15,947,874 13,669,607 11,391,339

3 HARI (KLS III) 10,429,000 10,176,458 8,722,678 7,268,898

1 HARI (KLS II) 19,056,700 15,466,267 13,256,800 11,047,333

10 HARI (KLS III)

4 HARI (KLS III) 6,935,600 10,347,527 8,869,308 7,391,090

5 HARI (KLS III) 10,345,500 19,986,770 17,131,517 14,276,264

4 HARI (KLS III) 11,933,450 14,653,745 12,560,353 10,466,961

3 HARI(KLS III) 8,805,000 17,492,979 14,993,982 12,494,985

1 HARI (RR)

5 HARI (KLS III) 7,719,500 28,382,120 24,327,532 20,272,943

4 HARI (KLS III) 10,654,100 23,055,524 19,761,878 16,468,231

5 HARI (KLS III) 10,795,400 16,206,729 13,891,482 11,576,235

2 HARI (INTENSIF) 28,687,900 38,133,277 32,685,666 27,238,055 PASIEN MENINGGAL

1 HARI (KLS III)

2 HARI (KLS III) 2,613,900 3,369,470 2,888,117 2,406,764

2 HARI (ICU) 19,643,600 7,169,010 6,144,865 5,120,721 TIND,TARIF,KLINIS PASIEN??
2 HARI (KLS III)
1 HARI (RR)

2 HARI (KLS III) 4,427,100 9,654,555 8,275,333 6,896,111

4 HARI (KLS III) 2,562,000 3,369,470 2,888,117 2,406,764 LOS >>>

4 HARI (KLS III) 10,430,727 6,194,085 5,309,216 4,424,347 BAYI???

1 HARI (RR)

3 HARI (KLS III) 5,878,500 4,812,564 4,125,055 3,437,545

3 HARI (KLS III) 13,994,600 30,748,959 26,356,251 21,963,542

3 HARI (KLS III) 18,356,100 17,492,979 14,993,982 12,494,985