Daftar Kode ICD 10 dan ICD 9 paling sering Kasus Bedah

BEDAH ORTOPHAEDI
DIAGNOSA ICD 10 TINDAKAN ICD 9 CM INA-CBG
/TERAPI
Closed 79.0 PROSEDUR SISTEM M-1-60-II 17.433.460
reduction of MUSKULOSKLETAL &
fracture JARINGAN
fraktur calcaneus S92.0
without internal PENGHUBUNG LAIN-
fixation LAIN (SEDANG)

Closed 79.1 PROSEDUR LUTUT M-1-70- 33.219.858

reduction of DAN TUNGKAI III
fraktur cervical S12.9 fracture with BAWAH SELAIN KAKI
internal fixation (BERAT)

Open reduction 79.2 PROSEDUR KAKI M-1-30-II 22.961.068

of fracture SEDANG
fraktur clavicula S42.0
without internal
fixation
Open reduction 79.3 PROSEDUR TANGAN M-1-30-II 22.961.068
fraktur clavicula close S42.0.0 of fracture with SEDANG
internal fixation
Debridement of 79.6 PROSEDUR ANGGOTA M-1-80-II 18.232.339
fraktur colles S52.5 open fracture TUBUH ATAS SEDANG
site
Closed 79.7 PROSEDUR PADA M-1-05- 19.486.780
reduction of SENDI III
dislocation LENGAN/ANGGOTA
fraktur comperesion T14.2
TUBUH BAGIAN ATAS
MAYOR (BERAT)

Open reduction 79.8

fraktur cosial/coxle S32.2
of dislocation
Unspecified 79.9
fraktur costal/coxle
S32.2.1 operation on
open
bone injury
Finger 886.0
fraktur cruris distal S82.3 traumatic
amputation
Foot V49.73
fraktur elbow S 52,0
amputation
FRAKTUR FEMUR S72.9
 Imobilisasi Skin
Neck femur S720
traksi
Shaft Of femur S72.3
Lower end of femur S72.4
multiple femur
S72.7
fracture
fraktur fibula S82.4
fraktur
S02.0
frontalis/pariental
fraktur humarius S42.3
fraktur humarius
S42.3.1
open
S 12, S
Fraktur leher, toraks
22, S 32,
atau panggul
T 08
fraktur lumbar/l2 S32.0
fraktur maleolus S82.8
fraktur maluncin M84.0
fraktur mandibula S02.6
fraktur matacarpai S 62,3
fraktur maxilla S02.4
Fraktur meliputi
daerah badan T 02
multipel
fraktur metatarual S92.5
fraktur montigia S52.0
fraktur multiple T02.9
fraktur okanon S52.0
fraktur os pubis S32.5
Fraktur paha S 72
fraktur patella /genu S82.0
fraktur pelvis S32.8
fraktur phalink S92.5
fraktur radius
S52.0
antebrichis
fraktur rib lga S22.3
fraktur scapula S42.1
fraktur sinithis S52.5
fraktur talus S91.1
fraktur temporal S02.1
Fraktur tengkorak
S 02
dan tulang muka
fraktur tibia S82.2
fraktur trocanta S72.1
S 42, S
52, S 62,
Fraktur tulang
S 82 S
anggota gerak lainnya
92, T 10,T
12
fraktur ulna S52.2
fraktur vetebrata Y 08
fraktur weber S92.1
fraktur wist S62.8
Corpus alienum a.r
T17
plantar pedis sinistra
vulnus laceratum a.r
T 81
plantar pedis sinistra
Pelvic Ring Injury APC
S32
type 2
Closed pelvic ring
S 32
injury
Fraktur femur
S72.7
Multipel
Fraktur Terbuka
S820
Patela

Fraktur metatarsal S 92.3

Crush injury multiple PROSEDUR KAKI M-1-30-II 22.961.068

region of upper limb T04.4 SEDANG
and lower limb
Amputasi S68 PROSEDUR G-1-12-II 13.260.946
EKSTRIMITAS BAWAH
Diabetic Foot E11.59
SEDANG

FRAKTUR PELVIS ATAU M-4-11-I 14.742.764

Dislokasi anterior hip DISLOKASI SENDI
S73
Joint PANGGUL RINGAN

Dislokasi terbuka DIP

Joint digiti V manus S 63.1
sinistra
Dislokasi tertutup
anterior shoulder S.43
joint sinistra
Fingertip injury S 61.1 v-y flap 86.7
Fraktur neglected T740
Fraktur Tertutup
distal end radius
T87.2
Dekstra Frykman tipe
VI
Fraktur Tertutup
Patela Dekstra T75.2
Transverse Displaced
Trombectomy PROSEDUR PADA D-1-20-III 28.334.933
DARAH DAN ORGAN
Acute limb ischemic I99.8 PEMBENTUK DARAH
LAIN-LAIN (BERAT)

ekstrasi corpus 98.20 PROSEDUR SISTEM M-1-60-II 17.433.460

MUSKULOSKLETAL &
JARINGAN
Corpus alienum T14.0
PENGHUBUNG
LAIN-LAIN (BERAT)

skin traction 79.0 FRAKTUR PELVIS ATAU M-4-11-I 14.742.764

Dislokasi anterior hip DISLOKASI SENDI
S73.00
Joint PANGGUL RINGAN

Dislokasi terbuka DIP

Joint digiti,
S63.1
Subluxation and
dislocation of thumb
Other superficial
S60.5
injuries of hand

BEDAH UROLOGI
Diagnosis ICD 10 Tindakan ICD 9 INA-CBG Code
CM
Abses H05.109 Insisi dan drainase 86.0 PROSEDUR PADA V-1-13-III 39.477.478
skrotum SKROTUM DAN
PROSTAT NON
KOMPLEK (BERAT)

Epididimo- N45.3 PROSEDUR PADA V-1-13-II 17.973.478

orchitis SKROTUM DAN
PROSTAT NON
 KOMPLEK (SEDANG)

fistula K63.2 PERADANGAN L-4-12-III 11.509.494

vesikokutan KULIT/CELLULITIS
BERAT

Fournier M72.5 Nekrotomi 86.22 PROSEDUR ANAL K-1-50-II 9.931.830

gangren debridemen SEDANG

hidronefrosis N13.2 PROSEDUR INA-CBG Rp.

INTESTINALKOMPLEK K-1-20-III 51.867.582
(BERAT)

torsio testis N44.00 orchidectomy 62.3 PROSEDUR KANDUNG INA-CBG Rp.

KEMIH DAN SALURAN N-1-30-III 12.867.582
URINE

ruptur uretra N36.8

trauma uretra N36.8 Sistostomi 57.32 PROSEDUR KANDUNG N-1-30-I 11.155.604
KEMIH DAN SALURAN
URIN BAWAH RINGAN

Tumor Buli Nefrostomy

Vulnus PROSEDUR SALURAN N-1-20-II 18.572.377

laserasi URIN BAWAH SEDANG

Abses Prostat N 41.2 amputasi penis 64.3

Atonia buli N 31.2 biopsi buli open 57.34
Batu Buli N 21.0 biopsi ginjal closed 55.23
Batu ginjal N 20.0 biopsi ginjal open 55.24
Batu ginjal &
ureter N 20.2 biopsi penis 64.11
biopsi ureter
Batu prostat N 42.0 endoskopik 56.32
Batu ureter N 20.1 biopsi ureter open 56.34
Batu uretra N 21.1 businasi 58.6
Batu cetak N 20.0 DJ stent 59.8
Bladder neck
obstruction N 32.0 fulgurasi uretra 58.31
BPH N 40 insisi abses prostat 60.0
ligasi vena
BXO N 48.6 spermatika 63.1
Ca adrenal C 74.0 meatotomi 58.1
Ca Buli C 67 nefrektomi 55.52
Ca Buli,
dinding ant C 67.3 nefrektomi bilateral 55.54
Ca Buli,
dinding
lateral C 67.2 nefropeksi 55.7
Ca Buli,
dinding post C 67.4 Nefrostomi open 55.02
Nefrostomi PCNL
Ca Buli, dome C 67.1 DJ/UK Kateter 55.04
Ca Buli, Nefrostomi
trigonum C 67.0 perkutaneus 55.03
Ca Pelvis
renalis C 65 Nefrotomi 55.01
Ca Penis C 60 nefroureterektomi 55.51
Ca Penis,
batang C 60.2 open prostatektomi 60.61
Ca Penis,
glans C 60.1 operasi penis lain 64.9
Ca Penis,
prepusium C 60.0 orkidektomi bilateral 62.4
orkidektomi
Ca Prostat C 61 unilateral 62.3
Ca urachus C 67.7 orkiopeksi 62.5
Ca Ureter C 66 pasang kateter urin 96.48
Ca uretra C 68 PCNL 55.04
chronic renal
failure N 18.0 radikal prostatektomi 60.5
contracted
kidney N 26 rekonstruksi penis 64.44
corpus
alienum dr
urethra T 19.0 release chordee 64.42
condyloma
accuminata A 63.0 repair buli lain 57.8
DE organik N 48.4 repair ginjal 55.8
Divertikel buli N 32.3 repair ureter 56.8
ejakulasi dini F 52.4 repair uretra 58.4
epididimitis N 45 RPG 87.74
Fimosis N 47 sachse 58.5
Fistel uretra N 36.0 sirkumsisi 64.0
Fistel vesika N 32.2 sistektomi parsial 57.6
fistel vesiko-
intestinal N 32.1 sistektomi total 57.7
fistel vesiko-
vagina N 82.0 sistoskopi 57.32
Gagal ginjal
kronis N 18 sistostomi 57.17
Gagal ginjal
kronis, end
stage N 18.0 sistotomi 57.11
Hidrokel N 43.0 spermatokelektomi 63.2
Hidrokel
terinfeksi N 43.1 suture penis 64.41
Transplantasi ginjal Z
Hidronefrosis N 13 94.0
Hidronefrosis,
batu ureter,
ginjal N 13.2 TULIP 60.21
Hidronefrosis,
infeksi N 13.6 TURBT 57.49
Hidronefrosis,
PUJO N 13.0 TURBT biopsi 57.33
Hidronefrosis,
striktur ureter N 13.1 TURP 60.29
ureterostomy N
Hidroureter N 13.4 (stoma) 99.5
Hipertonia
buli N 31.8 ureteroneosistostomi 56.51
Infeksi Penis N 48.2 ureterotomi 53.2
insufisiensu
renal N 19 urethrotomi 58.0
Infertilitas N 46 uretroskopi 58.22
Kaliektasis N 28.8 URS 56.0
Kolik renal /
ureter N 23
Leukoplakia N 48.0
Lichen planus L 43.9
Malrotasi
ginjal Q 63.2
Neurogenic
bladder L 28.0
Neurogenic
bladder N 31.9
Orkitis N 45
Parafimosis N 47
Pionefrosis N 13.6
Pionefritis N 12
Polycystic
kidney Q 61.3
Priapismus N 48.3
Prostatitis
akut N 41.0
Prostatitis
inflamasi non
bakteri N 41.8
Prostatitis
kronis N 41.1
Prostatitis lain N 41.9
Ren mobilis N 28.8
Retensi Urine R 33
ruptur buli
trauma S 37.2
Ruptur buli
non trauma N 32.4
sistitis akut N 30.0
sistitis
interstisial N 30.1
sistitis kronis N 30.2
sistitis lain N 30.8
sistitis radiasi N 30.4
Spermatokel N 43.3
Stenosis UPJ
kongenital Q 62.1
Striktur uretra N 35
Striktur uretra
pasca infeksi N 35.1
Striktur uretra
pasca trauma N 35.0
Torsio testis N 44
Tumor ginjal C 64
Tumor Testis C 62.1
Tumor Testis,
UDT C 62.0
Ulkus Penis N 48.5
Ureterokel N 28.8
ureterokel
kongenital Q 62.3
Urosepsis N 39.0
Uretritis N 34
Uretritis
lainnya N 34.2
Uretritis
Nonspesifik N 34.1
Wilm’s Tumor C 64

BEDAH DIGESTIF
DIAGNOSA ICD 10 TINDAKAN ICD 9 DIAGNOSA INA-CBG KODE TARIF
INA-
CBGS
Acute appendicitis K35.0 Appendectomy 47.01 MILD APPENDIX K-1-13-I 8.430.201
PROCEDURE
Suspected Acute K35.80 Appendectomy 47.09 MODERATE K-1-13- 15.430.201
Appendicitis APPENDIX II
PROCEDURE

Local Peritonitis K35.3 Exploratory 54.11 MODERATE K-1-13- 15.430.201

due to Suspected Laparotomy APPENDIX II
Perforation PROCEDURE
Appendicitis
Infiltrates K38.1 MODERATE K-1-13- 15.430.201
Appendicitis APPENDIX II
PROCEDURE

Acute Necrotizing K85.9 Laparascopic ANOTHER B-2-13- 13.705.470

Pancreatitis Pancreanecrot PROCEDURE ON 0
omy PANCREAS AND
HEPATOBILLIARY
Gastric Outlet
Obstruction
Obstructive
Jaundice
Burst Abdomen Exploratory COMPLEX K-1-20- 21.187.089
laparotomy + INTESTINAL II
wound toilet + PROCEDURE
TACD (MODERATE)
Short bowel
syndrome
 severe
malnutrition
Severe cholangitis Urgent biliary COMPLEX GALL B-1-11- 17.674.509
drainage BLADDER II
PROCEDURE(MODER
ATE)
suspected head of
pancreas mass
Symptomatic MILD BILLIARY TRACT B-1-11- 15.858.679
cholelithiasis COMPLEX I
PROCEDURE

Chronic (K 35.0) Appendectomy 47.01 Moderate Appendix K-1-13- 8.430.201

appendicitis Procedure II

Sepsis (R65.1)
Diffuse peritonitis (K63) Exploratory 54.11 COMPLEX K-1-20- 21.187.089
laparotomy INTESTINAL II
PROCEDURE
(MODERATE)
suspected peptic
ulcer perforation
Moderate
dehydration
suspected liver (K75.0) LIVER AND B-1-10- 32.727.261
abscess rupture PANCREAS III
PROCEDUR ( SEVERE
)

Obstructive
jaundice
hepatocellular
carcinoma
cholangiocarcinom
bilateral Hernioraphy MODERATE K-1-14- 12.853.354
irreducible Lateral PROCEDURE OF I
Hernia inguinal, SMALL BOWEL
with obstruction,
with gangren
susp of hollow (K25.5)
viscous
perforation
suspected
 diverticle
perforation
colon tumor COMPLEX K-1-13- 29.187.089
perforation INTESTINAL III
PROCEDURE
(SEVERE)
suspected Total adhesiolysis (20.23 PROSEDUR 1-30-II 19.516.277
Colonic ) DUODENUM,
Aganglionosis ESOFAGUS &
LAMBUNG NON
KOMPLEKS (SEDANG
ileal resection
ileostomy (K24.5
double barrel )
hypoalbuminemia
hyponatremia
suspicious
intraabdominal
bleeding
solid organ
ruptured
Abdominal blunt (S.30) Exploratory (65.1) COMPLEX K-1-20- 25.187.089
trauma Laparotomy INTESTINAL III
PROCEDURE
(SEVERE)
suspected peptic (K80)
ulcer perforation
abdominal SEVERE INTESTINAL K-1-20- 37.048.273
penetrating PROCEDURE III
wound
eviserated
omentum
Diffuse peritonitis (K35.0) Appendectomy (47.0) COMPLEX K-1-20- 21.187.089
due to per INTESTINAL II
appendicitis Laparotomy PROCEDURE
perforation (MODERATE)

hypokalemia
suspected Gaster (K65.0) Exploratory (54.11 COMPLEX K-1-20- 21.187.089
perforation Laparotomy ) INTESTINAL II
PROCEDURE
(MODERATE)
primary suture (72.4)
 Omental Patch (44.61
)
Biopsi (86.1)
Peritoneal (97.8)
Toilet
typhoid
perforation
Psoas abscess
High output Intestinal Procedure K-1-20- 21.187.089
enterocutaneous Complex (severe) II I
fistula
Foreign Body at (N54.2) SIMPLE INTESTINAL K-1-13- 9.187.089
Gastrointestinal PROCEDURE (MILD) I
Tract

Hemorrhagic
shock (S36.80)
hepatolithiasis
choledocolithiasis open COMPLEX BILLIARY B-1-11- 27.050.813
Cholesistecto TRACT PROCEDURE III
my (SEVERE)
hernia inguinal Hernioraphy
lateralis elective
irreducible, no
obstruction, no
gangrenous
lateral inguinal (K.40) immediate (53.0) COMPLEKS K-1-20- 21.187.089
hernia irreducible hernia repair INTESTINAL II
with obstruction PROCEDUR
without gangrene (MEDIUM)

Hernioraphy (53.02
tension free )
Recurent (J53.1) Hernioraphy COMPLEKS K-1-20- 21.187.089
Irreducible tension free INTESTINAL II
inguinal hernia with mesh PROCEDUR
with obstruction graft (MODERATE)
without gangrene
MILD INGUINAL AND K-1-14- 7.481.201
FEMORAL HERNIA I
PROCEDURE
Acute Kidney (N21.0)
Injury
 BEDAH THORAX DAN KARDIOVASKULAR
Diagnosa ICD 10 INA-CBG Terapi / Tindakan ICD 9
CM
Abses dinding thorax L02.219 L-4-12-III Incision and Drainage 83.09
Contusio paru bilateral S27.329 G-4-24-II
Contusio paru unilateral S27.321 G-1-10-II
Efusi pericard I31.3 J-4-20-III Pericardial window 37.12
Cardiac tamponade I31.4 J-4-20-III
Efusi pleura ec TB A15.6 J-4-20-II CTT 34.09
Efusi pleura ec Malignansi J91.0 J-4-20-I
Postoperative pneumothorax J95.811 J-4-20-III
Traumatic pneumothorax S27.0 J-4-20-III
Spontaneus pneumothorax J93.83 J-4-20-III
Tension pneumothorax J93.0 J-4-20-III
Ateletaksis paru P28.10 G-1-10-2
Traumatic hemothorax S27.1 J-4-13-III
Hemothorax with pneumothorax S27.2 J-4-13-III
Pyopneumothorax J86.0 J-4-20-III
Tumor mediastinum D38.3 J-4-14-I
Flail chest S22.5 G-1-10-II
Fraktur costae S22.41 J-4-13-III

BEDAH VASCULAR
Limb ischaemic M62.262 D-1-20-III Thrombectomy 38.00
Limb ischaemic ec I70.20 D-1-20-III Fasciotomy 83.14
atherosclerosis
Amputatuon of lower limb 84.1
Arteriography 88.40
Aneurisma aorta abdominalis I71.4 I-1-13-III AV shunt 39.42
Buerger’s Disease I73.1 I-1-20-I
AVM I77.0 G-1-01-III
Compartment syndrome T79.A0 D-1-20-I
Deep vein thrombosis I82.53 I-1-20-II
Diabetic foot E11.621 G-1-12-II
Gangrene ec artherosclerosis I70.213 D-1-20-III
obliterans
Gangrene ec PAD I73.9 I-4-15-II
Hematome non trauma M79.81 I-4-13-I
Ruptur artery I77.2 I-1-20-II
Selulitis L03.1 I-1-20-II
Thrombophlebitis lower I80.3
extremity
Thrombophlebitis unspecified I80.9 I-1-20-II
sites
Vulnus morsum equus W55.03X G-4-24-I
A
Vulnus morsum serpentis T63.0 M-1-50-II

BEDAH ANAK
Acute appendicitis K35.80 K-1-13-II Gastrostomy 43.89
Atresia bilier Q44.2 B-1-11-II Laparatomy eksplorasi 54.11
Atresia Oesophagus Q39.0 K-1-40-III Herniotomy 53.00
Atresia jejunum Q41.1 K-1-10-II Colostomy 45.8
Hernia diafragmatika K44.9 M-1-50-II Colonoscopy 45.23
Hernia inguinalis lateralis K41.9 K-1-14-II Orchidectomy 62.3
Hirschprung disease Q43.1 M-1-50-II Orchiopexy 62.5
Ileus parsial K56.7 K-1-40-III
Ileus total K56.7 K-1-20-II
Intususepsi K56.1 K-1-40-III
Malformasi anorektal Q42.3 K-1-14-II
Peritonitis local K65 K-1-13-II
Prolaps recti K62.3 K-1-40-III
Retracted stoma K94.03 K-1-14-II
Torsio testis N44.00 V-1-13-II

BEDAH SARAF
Cerebral edema S06.1 Craniotomy & Craniectomy 01.2
Intracranial Hemorrhage (ICH) S06.8 Laminectomy 03.09
Subdural Hemorrhage (SDH) S06.5
Cerebral contusion S06.0
Epidural Hematome S06.4
Subarachnoid Bleeding S06.6
Fraktur linier S02.0
Fraktur Depressed S02.0
Skull Base Fracture (SBF) S02.1
Space Occupasion Lesion R90.0
Cerebral
Spinal cord injury S24.1
Vulnus laceratum S01.01
Vulnus sclopectorum S01.90
 Trauma Kepala Sedang

BEDAH PLASTIK
DIAGNOSA ICD 10 TINDAKAN/TERAPI ICD 9 INA CBG KODE HARGA
CM
Avulsi Parsial Nasal S08
Fraktur of Skull and facial S02 Intermolar wiring
bone
S02.42XA
Fracture of alveolus of
maxilla
Fraktur Le fort 1 S02.411B PROSEDUR M-1-10-II 12.085.140
KRANIAL DAN
REKONSTRUK
SI TULANG
WAJAH
(SEDANG)
Fraktur lefort 2 S02.412D
Fraktur lefort 3 S02.413G
Fraktur tertutup simpisis S02.66 ORIF ELEKTIF 79.0
mandibula
Vulnus Laceratum ar S91.31 JAHIT PRIMER
nasolabial superior

Fraktur Mandibula S02.60

Fracture of ramus of S02.64
mandible
Fracture of nasal bones S02.2
Maxillary fracture, S02.401
unspecified side
Zygomatic fracture S02.402
Burns and corrosions of T30 excisional debridement of 86.22
multiple and unspecified wound, infection or burn
body regions
Burn 1st degree head and T20.1 Nonexcisional debridement 86.28
neck of wound, infection or burn
Burn 2nd degree head and T20.2
neck
Burn 3rd degree head and T20.3
neck
selulitis of finger or toe L03.0 ND 82.12
Selulits of face L03.2 debridemant
Other specified disorder L98.8 FTSG 86.63 Prosedur M-1-10-1 23.170.986
of skin and subcutaneous kranial dan
tissue ( skinn avulsi ) rekonstruksi
wajah ringan

Unspecified open wound S61.4

of left hand, initial
encounter

Abses Gluteal