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No Nama Penyakit Kode Keterangan

Rheumatic Mitral Stenosis I 05.0 Rheumatic Heart Disease


Rheumatic Mitral Regurgitation I 05.1 Rheumatic Heart Disease
Rheumatic Mitral Steno-insufficiency I 05.2 Rheumatic Heart Disease
Rheumatic Aortic Stenosis I 06.0 Rheumatic Heart Disease
Rheumatic Aortic Regurgitation I 06.1 Rheumatic Heart Disease
Rheumatic Aortic Steo-Insufficiency I 06.2 Rheumatic Heart Disease

Essential Hypertension I 10
Hypertensive Heart Disease with congestive I 11.0
Hypertensive Heart Disease without congestive I 11.9
Hypertensive Heart and Renal Disease with congestive heart I 13.0 Cardiorenal Syndrome
Hypertensive Heart and Renal with renal Failure I 13.1 Cardiorenal Syndrome
Hypertensive Heart and Renal with both congestive heart and renal failure I 13.2 Cardiorenal Syndrome

Angina Pectoris I 20
Unstable Angina I 20.0
Angina Pectoris with documented spasm I 20.1 Prinzmetal Angina
AMI of anterior wall I 21.0
AMI of inferior wall I 21.1
AMI of other sites I 21.8
Subsequent MI of anterior wall I 22.0
Subsequent MI of inferior wall I 22.1
Subsequent MI of other sitesl I 22.8
Hemopericardium following AMI I 23.0
Ventricular Septal Defect following AMI I 23.2
Rupture of papillary muscle following AMI I 23.5
Atherosclerotic Heart Disease I 25.1 CAD
Old Myocardial Infarction I 25.2
Aneurism of heart I 25.3
Ischaemic Cardiomyopathy I 25.5

Pulmonary embolism with acute cor pulmonale I 26.0


Pulmonary embolism without acute cor pulmonale I 26.9
Primary Pulmonary Hypertension I 27.0
Kyphoscoliotic heart disease I 27.2

Acute nonspesific idiopathic pericarditis I 30.0


Infective pericarditis I 30.1
Nonrheumatic Mitral Regurgitation I 34.1
Mitral valve prolapse I 34.1
Nonrheumatic mitral stenosis I 34.2
Nonrheumatic Aortic Stenosis I 35.0
Nonrheumatic aortic regurgitation I 35.1
Pulmonary Stenosis I 37.0
Acute infective myocarditis I 40.0
Dilated Cardiomyopathy I 42.0
Obstructive Hypertrophic Cardiomyopathy I 42.1
Non-Obstructive Hypertrophic Cardiomyopathy I 42.2
Alcoholic Cardiomyopathy i 42.6
Cardiomyopathy due to drugs I 42.7

AV block first degree I 44.0


AV block second degree I 44.1
AV bloc complete I 44.2
Left anterior fascicular block I 44.4
Left posterior fascicular block I 44.5

Right Bundle Brach Block I 45.0


Bifascicular block I 45.2
Trifascicular block I 45.3
Nonspesific Intraventricular Block I 45.5
Pre-Excitation Syndrome I 45.6

Cardiac arrest with succesfull resuscitation I 46.0


Sudden cardiac death I 46.0

Supraventricular Tachycardia I 47.1


Ventricular Tachycardia I 47.2

Atrial Fibrillation or Flutter I 48

Ventricular Fibrillation I 49.0


Atrial premature depolarization I 49.1 PAC
Junctional premature depolarization I 49.2
Ventricular premature depolarization I 49.3
Sick sinus syndrome I 49.5

Congestive heart failure I 50.0 Left and right heart failure

I 50.1 Cardiac asthma, lung


Left ventricular failure edema
Intracardiac thrombosis I 51.0
Cardiomegaly I 51.7

Atherosclerosis of aorta I 70.0


Atherosclerosis of renal artery I 70.1
Atherosclerosis of extrimities arteries I 70.2
Dissection of aorta I 71.0
Thoracic aortic aneurism with rupture I 71.1
Thoracic aortic aneurism without rupture I 71.2
Abdominal aortic aneurism with rupture I 71.3
Abdominal aortic aneurism without rupture I 71.4
Thoraco-abdominal aortic aneurism with rupture I 71.5
Thoraco-abdominal aortic aneurism without rupture I 71.6
Tromboangitis obliterans (Buerger) I 73.0
Peripheral vascular disease unspesified I 73.9
Embolism and thrombosis of arteries of upper extrimities I 74.2
Embolism and thrombosis of arteries of lower extrimities I 74.3

Idiopathic hypotension I 95.0


Orthostatic hypotension I 95.1

Respiratory arrest R 09.2

Iron deficiency anemia D 50

Anemia due to chronic blood loss D 50.0

DM type 2 E 11

Hyperkalemia E 87.5

Hypokalemia E 87.6

Acidosis E 87.2

Cardiogenic shock R 57.0

Hypovolemic shock R 57.1

Septic shock R 57.8


No Nama Tindakan Kode
Percutaneous ASD closure 35.52
Percutaneous VSD Closure 35.55
Intracoronary artery thrombolytic infusion 36.04
PCI with BMS 36.06
PCI with DES 36.07
PCI other removal of coronary artery obstruction 36.09
Right heart catheterization 37.21
Left heart catheterization 37.22
Combined right-left heart catheterization 37.23
Biopsy of heart 37.25
TPM implantation 37.78
Single chamber PPM implantation 37.85
Dual chamber PPM implantation 35.87
Insertion of PPM, initial or replacement, type of device 37.80
Initial insertion of transvenous lead into atrium and ventricle 37.72
Pericardiocentesis 37.0
Aortography 88.42
Arteriography of renal artery 88.45
Arteriography of femoral and lower extrimities 88.48
Angiography of right heart structure 88.52
Angiography of left heart structure 88.53
Combined left and right heart angiography 88.54
Coronary angiography using single catheter 88.55
Coronary angiography using two catheter 88.56
Percutaneous Transluminal Angioplasty 39.50
Percutaneous Transluminal Angioplasty with stent 39.90
Keterangan

Thrombosuction, ballooning

PPM pakai kode ini


PPM pakai kode ini

Lower extrimity, upper extrimity, renal


Lower extrimity, upper extrimity, renal

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