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KODE BPJS

NO KODE SUB KODE KETERANGAN


1 KO1. 0 EMBEDDED TEETH
1 IMPACTED TEETH

2 K02. 0 CARIES LIMITED TO ENAMEL


1 CARIES DENTIN
2 CARIES CEMENTUM
3 ARROSTED DENTAL CARIES
4 ODONTOCLASIA

3 K03. 0 EXCESSIVE ATTRITION OF TEETH


1 ABRASION OF TEETH
2 EROSION OF TEETH
3 PATHOLOGICAL RESORPTION OF TEETH
4 HYPERCEMENTOSIS
5 ANKYLOSIS OF TEETH
6 DEPOSITS (ACCRETION ON TEETH)
7 POST ERUPTIVE COLOUR CHANGE OF DENTAL HARD TISSUES
8 OTHER SPECIFIED DISEASES OF HARD TISSUES OF TEETH
9 DISEASE OF HARD TISSUES OF TEETH, UNSPECIFIED

4 K04. 0 PULPITIS
1 NECROSIS OF PULP
2 PULP DEGENERATION

3 ABNORMAL HARD TISSUE FORMATION ON PULP


4 ACUTE APICAL PERIODONTITIS OF PULP ORIGIN
CRONIC APICAL PERIODONTITIS
5
6 PERIAPICAL ABSCESS WITH SINUS
7 PERIAPICAL ABSCESS EITHOUT SINUS
8 RADICULAR CYST

5 K05. 0 ACUTE GINGIVITIS


1 CHRONIC GINGIVITIS
2 ACUTE PERIODONTITIS
3 CHRONIC PERIODONTITIS
4 PERIODONTOSIS
5 OTHER PERIODONTAL DISEASES
6 PERIODONTAL DISEASES, UNSPECIFIED

6 K06. 0 GINGIVAL RECESSION


1 GINGIVAL ENLARGEMENT
2 GINGIVAL AND EDENTOLOUS ALVEOLAR RIDGE LESIONS
3 ASSOCIATED WITH TRAUMA

7 K07. 0 MAJOR ANOMALIES OF JAW SIZE


1 ANOMALIES OF JAW CRANIAL BASE RELATIONSHIP
2 ANOMALIES OF DENTAL ARCH RELESIONSHIP
3 ANOMALIES OF TOOTH POSITION
4 MALOCCLUSION UNSPECIFIED
5 DENTOFACIAL FUNCTIONAL ABNORMALITIES
6 TEMPOROMANDIBULAR JOINT DISORDERS

8 K08. 0 EXFOLIATION OF TEETH DUE TO SYSTEMIC CAUSES


1 LOSS OF TEETH DUE TO ACCIDENT, EXTRACTION OR LOCAL
PERIODONTAL DISEASE
2 ATROPHY OF EDENTOLOUS ALVEOLAR RIDGE RETAINED DENTAL
ROOT

9 K09. 0 DEVELOPMENTAL ODONTOGENIC CYSTS


1 DEVELOPMENTAL NON ODONTOGENIC CYSTS OF ORAL REGION
2 OTHER CYSTS OF JAW
NO KODE SUB KODE KETERANGAN
10 K10. 0 DEVELOPMENTAL DISORDERS OF JAWS
1 GIANT CELL GRANULOMA, CENTRAL
2 INFLAMATORY CONDITION OF JAWS
3 ALVEOLITIS OF JAWS

11 K11. 0 ATROPHY OF SALIVARY GLAND


1 HYPERTROPY OF SALIVARY GLAND
2 SIALOADENTIS
3 ABSSESS OF SALIVARY GLAND
4 FISTULA OF SALIVARY GLAND
5 SIALOLITHIANS
6 MUCOCELE OF SALIVARY GLAND
7 DISTURBANCES OF SALIVARY GLAND SECRETION
8 OTHER DISEASES OF SALIVARY GLAND
9 DISEASES OF SALIVARY GLAND UNSPECIFIED

12 K12. 0 RECURRENT ORAL UPHTHAE


1 OTHER FORMS OF STOMATITIS
2 CELLULITIS AND ABSCESS OF MOUTH
3 ORAL MUCOSITIS ULCERATIVE

13 K13. 0 DISEASES OF LIPS


1 CHEEK AND LIP BITING
LEUKOPLAKIA AND OTHER DISTURBANCES OF ORAL EPITHELIUM,
2 INCLUDING TOUNGUE

3 HAIRY LEUKOPLAKIA

4
GRANULOMA AND GRANULOMA LIKE LESIONS OF ORAL MUCOSA
5 ORAL SUBMUCOUS FIBROSIS
6 IRRITATIVE HYPERPLASIA OF ORAL MUCOSA
7 OTHER AND UNSPECIFIED LESIONS OF ORAL MUCOSA

14 K14. 0 GLOSSITIS
1 GEOGRAPHIC TONGUE
2 MEDIAN RHOMBOID GLOSSITIS
3 HYPERTROPHY OF TONGUE PAPILLA
4 ATROPHY OF TONGUE PAPILLAE
5 PLICATED TONGUE
6 GLOSSODYNIA

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