Lampiran : SK Kepala UPT Puskesmas Mangunharjo tentang Standarisasi

Klasifikasi Diagnosis dan Terminologi di Puskesmas Mangunharjo

Kecamatan Purwodadi.
Nomor SK : / /KPTS/PKM.MH/2018
Tanggal : 2018

KODE KLASIFIKASI DIAGNOSIS DAN TERMINOLOGI

DI PUSKESMAS MANGUNHARJO
DIAGNOSA MENURUT KODE DIAGNOSA
No LEVEL KODE
KKI ASKES/BPJS
SISTEM SARAF
1 Kejang Demam CONVULSIONS, NOT ELSE
4A R56
WHERECLA
2 Tetanus 4A 135 OTHER TETANUS
3 HIV AIDS tanpa HIV DISRES IN INFEC
4A B20
komplikasi PARASITIC
4 Tension headache OTHER HEADEACHE
4A G44
SYNDROM
5 Migren 4A G43 MIGRAINE
6 Bells’ palsy 4A G51 FACIAL NERVE DISORDES
7 Vertigo (Benign VERTIGINOUS SYNDROME
4A H28
paroxysmal) SINDISE
PSIKIATRI
8 Gangguan smotaform 4A F45 SOMATOFORM DISODERS
9 Insomnia 4A G47 SLEEP DISORDES
SISTEM INDERA
10 Benda asing FOREIGN BODY ON
4A T15
dikonjungtiva EXTERNAL EYE
11 Konjungtivitas 4A H10 CONJUNCTIVITIS
12 Perdarahan sub OTHER DISORDERS OF
4A H11
konjungtiva CONJUNTIVITA
13 Mata kering OTHER DISORDERS OF
4A H04
LACRIMAL SYSTEM
14 Blefaritis OTHER INFLAMMATION OF
4A H01
EYELID
15 Hordeolum HORDEOLUM AND
4A H00
CHALAZION
16 Trikiasis 4A H02 OTHER DISORDERS OF EYE
 LID
17 Episkleretis 4A H15 DISORDERS OF SCLERA
DISOR OF REFACTION &
18 Hipermotropia ringan 4A H52 ACOMMO

19 Miopia 4A H52 DISOR OF REFRACTION &

ACCOMO

DIAGNOSA MENURUT KODE DIAGNOSA

No LEVEL KODE
KKI ASKES/BPJS
20 Astigmatism ringan H52 DISOR OF REFACTION &
4A
ACCOMMO.
21 Presbiopia H52 DISOR OF REFRACTION &
4A
ACCOMO
22 Buta senja 4A E50 VITAMIN A DEFICIENCY
23 Otitis eksterna 4A H60 OTITIS EXTERNA
24 Otitis media akut H67 OTITIS MEDIA INDISEA
4A
CLASS E
25 Serumen prop H61 OTHER DISORDERS OF
4A
CAUSES
26 Mabuk perjalanan T75 EFFECTS OTHER EVTERNAL
4A
CAUSES
27 Furunke 1 pada hidung J34 OTHERS DISOR NOSE NASAL
4A
SINUSES
28 Rhinitis akut J30 VASOMOTOR & ALLERGIC
4A
RHINITIS
29 Rhinitis vasomotor J30 VASOMOTOR & ALLERGIC
4A
RHINITIS
30 Rhinitis alergika J30 VASOMOTOR & ALLERGIC
4A
RHINITIS
31 Benda asing T17 FOREIGN BODY
4A
INSEPIRATORY T.
SISTEM RESPIRASI
32 Epistaksis HAEMORRHAGE FROM
4A R04
RESPIRATORY
33 Influenza INFLUENZA, VIRUS NOT
4A J11
IDENTIFIED
34 Pertusis 4A A37 WHOOPING COUGH
35 Faringitis 4A J02 ACUTE PHARYNGITIS
36 Tonsilitis 4A J03 ACUTE TONSILLITIS
37 Laryngitis ACUTE LARYNGITIS &
4A J04
TRACHEITIS
38 Asma bronckial 4A J45 ASTHMA
39 Bronchitis akut 4A J20 ACUTE BRONCHITIS
40 Pneumonia, bronco PNEUMONIA, ORGANISMUN,
4A J18
pneumonia SPECIEFIED
41 Tuberculosis paru tanpa RESPIRATORY
4A A15
komplikasi TUBERCOLOSIS, BACT
KARDIOVASKULAR
42 Hipertensi esensial 4A I10 ESSENTIAL (PRIMARY)
HYPERTENS

DIAGNOSA MENURUT KODE DIAGNOSA

No LEVEL KODE
KKI ASKES/BPJS
SALURAN PENCERNAAN
43 Kandidiasis mulut 4A B37 CANDIDIASIS
44 Ulkus mulut (aptosa, STOMATITIS & RELATED
4A K12
herpes) LESIONS
45 Parotitis 4A B26 MUMPS
46 Infeksi pada umbilicus OMPHALITIS OF NEW BORN
4A P38
WITHOR
47 Gastritis 4A K29 GASTRITIS & DUODENITIS
48 Gastro enteritis DIARRHOEA AND GASTRO
(termasuk kolera, 4A A09 ENTERITIS
giardiasis)
49 Refluks gastro esophagus 4A K21 GASTRO OESOPHAGEAL
50 Demam tifoid 4A A01 TYPHOID AND PARATYPHOID
51 Intoleransi makanan INTESTINAL MAL
4A K90
ABSORPTION
52 Alergi makanan ADVERSE EFFECTS, NOT
4A T78
ELSEW, CL
53 Keracunan makanan POISON, BY PRIMAR, THE
4A T47
GASTROL
54 Penyakit cacing tambang 4A B76 HOOK WORM DISEASES
55 Strongiloidiasis 4A B78 STRONGYLOIDASIS
56 Askariasis 4A B77 ASCARIASIS
57 Skistosomiasis SCHISTOSOMIASIS
4A B65
(BILHARZIASIS)
58 Teaniasis 4A B68 TAENIASIS
59 Hepatitis A 4A B15 ACUTE HEPATITIS A
60 Disentri basiler, disentri DIARRHOEA AND GASTRO
4A A09
amuba ENTERITIS
61 Hemoroid grade ½ 4A I84 HAEMORRHOIDS

SISTEM GINJAL, SALURAN KEMIH

62 Infeksi Saluran Kemih OTHER DISORDERS OF
4A N39
URINARYSYS
63 Gonore 4A A54 GONOCOCCAL INFECTION
64 Pielo nefritis tanpa TUBULO INTERSTITIAL
4A N12
komplikasi NEPHRITIS
65 Fimosis REDUND ANTREPUCE
4A N47
PHIMOSISAN
66 Parafinosis REDUND ANTREPUCE,
4A N47
PHIMOSISAN

DIAGNOSA MENURUT KODE DIAGNOSA

No LEVEL KODE
KKI ASKES/BPJS
SISTEM REPRODUKSI
67 Sindrom duh (discharge) OTHER DISORDERS OF
genital (gonore dan non 4A A54 UNRINARYSYS
gonore)
68 Infeksi saluran kemih OTHER INFLAMMATION OF
4A N39
bagian bawah VAGINA A
69 Vulvitis OTHER INFLAMMATION OF
4A N76
VAGINA A
70 Vaginitis OTHER INFLAMMATION OF
4A N76
VAGINA A
71 Vaginosis bakterialis FEMAL PELVIC
4A N76
INFLAMMATORYDIS
72 Salpingitis SALPINGITIS AND
4A N70
OOPHORITIS
73 Kehamilan normal SUPERVISION OF NORMAL
4A Z34
PREGNANC
74 Aborsi spontan komplit 4A O03 SPONTANEO USA BORTION
75 Anemia defisiensi besi FOLATE DEFICIENCY
4A D52
pada kehamilan ANEMIA
76 Rupture perineum PERINEAL LACERATION
4A O70
tingkat ½ DURING DEL
77 Abses folikel rambut atau OTHER LOCAL INFECTIONS
kelenjar sebasea OF SKIN
78 Mastitis INFECTION OF BREAST
4A O91
ASSOCIATED
79 Cracked nipple OTHER DISORDERS OF
4A O92
BREAST AND
80 Inverted nipple OTHER DISORDERS OF
4A O92
BREAST AND
SISTEM INDOKRIN,
METABOLIK DAN NUTRISI KODE DIAGNOSA
ASKES/BPJS
81 Diabetes mellitus tipe 1 INSULIN-DEPENDENT
4A E10
DIABETES MELITUS
82 Diabetes mellitus tipe 2 NON-INSULIN-DEPENDET
4A E11
DIABETES
83 Hipoglikemia ringan SHOCK, NOT ELSE WHERE
4A R57
CLASSIFIE
84 Malnutrisi energy-protein PROTEIN-ENERGY MAL
4A E44
NUTRITION OF
85 Devisiensi vitamin OTHER VITAMIN
4A E56
DEFICIENCES
86 Defisiensi mineral OTHER NUTRITIONAL
4A E63
DEFICIENCIES
87 Dislipidemia OTHER ABNORMAL
4A R79
FINDINGS OF BLO
88 Hiperurisemia DISORDERS OF PURINE &
4A E79
PYRIMID

DIAGNOSA MENURUT KODE DIAGNOSA

No LEVEL KODE
KKI ASKES/BPJS
89 Obesitas 4A E66 OBESITY
HEMATOLOGI DAN IMUNOLOGI
90 Anemia defisiensi besi 4A D50 IRON DEFICIENCY ANEMIA
91 Limfa denitis NON SPESIFIC LYMPHA
4A I88
DENITIS
92 Demam dengue, DHF DENGUE HAEMORRHAGIC
4A A91
FEVER
93 Malaria 4A B54 UNSPECIFIED MALARIA
94 Leptospirosis (tanpa LEPTOSPIROSIS
4A A27
komplikasi)
95 Reaksi anafilaktik ADVERSE EFFECTS, NOT
4A T78
ELSEW, CL
SISTEM MUSKULOS KELETAL
96 Ulkus pada tungkai ULCER OF LOWE, LIMB, NOT
4A L97
ELSE
97 Lipoma BENIGN LIPOMA TOUS
4A D17
NEOPLASM
SISTEM INTEGUMEN
98 Veruka vulgaris 4A B07 VIRAL WARTS
99 Moluskum kontagiosum OTHER VIRAL INFECTION
4A B08
SCHARAC
100 Herpes zoster tanpa ZOSTER (HERPES ZOSTER)
4A B02
komplikasi
101 Morbili tanpa komplikasi 4A B05 MEASLES
102 Varisela tanpa VARICELLA (CHICKEN POX)
4A B01
komplikasi
103 Herpes simpleks tanpa GESPER VIRAL (HERPES
4A B00
komplikasi SIMPLEX)
104 Impetigo 4A L01 IMPETIGO
105 Impetigo ulseratif IMPETIGO
4A L02
(ektima)
106 Folkulitis superfisialis OTHER FOLLICULAR
4A L73
DISORDERS
107 Furunkel, karbunkel CUTANEOUS ABSCESS,
4A L02
FURUNCLE & C
108 Eritrasma OTHER LOCAL INFECTIONS
4A L08
OF SKIN
109 Erysipelas 4A A46 ERYSIPELAS
110 Skofulo derma TIBERCOLOSIS OF OTHER
4A A18
ORGANS
111 Lepra 4A A30 INTERMINA TELEPROSY

DIAGNOSA MENURUT KODE DIAGNOSA

No LEVEL KODE
KKI ASKES/BPJS
112 Stifilis stadium 1 dan 2 4A A51 EARLY SYPHILIS
113 Tinea kapitis 4A B35 DERMATO PHYTOSIS
114 Tinea barbe 4A B35 DERMATO PHYTOSIS
115 Tinea fasialis 4A B35 DERMATO PHYTOSIS
116 Tinea korporis 4A B35 DERMATO PHYTOSIS
117 Tinea manus 4A B35 DERMATO PHYTOSIS
118 Tinea ungunium 4A B35 DERMATO PHYTOSIS
119 Tinea kruris 4A B35 DERMATO PHYTOSIS
120 Tinea pedis 4A B35 DERMATO PHYTOSIS
121 Pitriasis vesikolor PEDICULOSIS AND
4A B85
PHTHIRIASIS
122 Kandidosis mukokutan DERMATO PHYTOSIS
4A B35
ringan
123 Cutaneus larva migrant 4A B74 FILARIASIS
124 Filariasis 4A B74 FILARIASIS
125 Pedikulosis kapitis PEDICULOSIS AND
4A B85
PHTHIRIASIS
126 Pedikulosis pubis PEDICULOSIS AND
4A B85
PHTHIRIASIS
127 Scabies 4A B86 SCABIES
128 Reaksi gigitan serangga UNSPECIFIED CONTACT
4A L25
DERMATITIS
129 Dermatitis kontak iritan 4A L24 IRRITANT CONTACT
130 Dermatitis atopic (kecuali ATOPIC DERMATITIS
4A L20
recal citrant)
131 Dermatitis numularis 4A L20 ATOPIC DERMATITIS
132 Napkin eczema DIAPER (NAPKIN)
4A L22
DERMATITIS
133 Dermatitis seboroik 4A L21 SEBORRHOEIC DERMATITIS
134 Pitiriasis rosea 4A L42 PITYRIASIS ROSEA
135 Akne vulgaris ringan 4A L70 ACNE
136 Hydra denitis supuratif 4A L30 OTHER DERMATITIS
137 Dermatitis perioral 4A L30 OTHER DERMATITIS

DIAGNOSA MENURUT KODE DIAGNOSA

No LEVEL KODE
KKI ASKES/BPJS
138 Miliaria 4A L30 OTHER DERMATITIS
139 Urtikaria akut 4A L50 URTICARIA
140 Exanthematous drug DERMATITIS SUB
eruption, fixed drug 4A L27 STANCESTAKENI
eruption
141 Vulnus laseratum, SUPERFICIAL INJURIES IN
4A T00
punctum VOLVING
142 Luka bakar derajat 1 dan HEARTBURN
4A R12
2
FORENSIK DAN MEDIKOLEGAL
143 Kekerasan tumpul OTHER AND UNSPECIFIED
4A S09
INJUIRES
144 Kekerasan tajam 4A S10 OTHER AND UNSPECIFIED
 INJUIRES

Ditetapkan Di : Mangunharjo
Pada Tanggal : 2018
KEPALA UPT PUSKESMAS
MANGUNHARJO
KECAMATAN PURWODADI

YULI ZULAIKHA, SKM

NIP. 19810716 200501 2 009