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PAKET KETERANGAN

NO TINDAKAN KODE
1 2 3
1 TURP 60.29 9,719,200 8,330,700 6,942,300
2 Suprapubic prostatectomy 60.3 5,312,200 4,553,300 3,794,400
3 Radical prostatectomy 60.5 5,312,200 4,553,300 3,794,400
4 Local excision of lesion of prostat 60.61 4,956,300 4,248,200 3,540,200
5 Incision of seminal vesicle 60.72 4,956,300 4,248,200 3,540,200
6 Excision of seminal vesicle 60.73 9,501,800 8,144,400 6,787,000
7 Control of (postoperative) hemorrhage of prostate 60.94 9,501,800 8,144,400 6,787,000
8 Excision of hydrocele (of tunica vaginalis) 61.2 9,501,800 8,144,400 6,787,000
9 Excision or destruction of lesion or tissue of scrotum 61.3 4,956,300 4,248,200 3,540,200
10 Other repair of scrotum and tunica vaginalis 61.49 9,501,800 8,144,400 6,787,000
11 Suture of laceration of scrotum and tunica vaginalis 61.41 4,956,300 4,248,200 3,540,200
12 Incision of testis 62.0 4,956,300 4,248,200 3,540,200
13 Excision or destruction of testicular lesion 62.2 4,956,300 4,248,200 3,540,200
14 Unilateral orchiectomy 62.3 4,956,300 4,248,200 3,540,200
15 Bilateral orchiectomy 62.41 9,501,800 8,144,400 6,787,000
16 Circumcision 64.0 1,565,300 1,341,700 1,118,100
17 Local excision or destruction of lesion of penis 64.2 10,106,200 8,662,500 7,218,700
18 Suture of laceration of penis 64.41 10,106,200 8,662,500 7,218,700
19 Reconstruction of penis 64.44 10,106,200 8,662,500 7,218,700
20 Release of chordee 64.42 10,106,200 8,662,500 7,218,700
21 Nephrostomy 55.02 10,436,300 8,945,400 7,454,500
22 Nephrotomy 55.01 10,436,300 8,945,400 7,454,500
23 Percutaneous nephrostomy with fragmentation 55.04 10,436,300 8,945,400 7,454,500
24 Percutaneous nephrostomy without fragmentation 55.03 10,436,300 8,945,400 7,454,500
25 Removal of urethral stent 97.65 TIDAK ADA PAKET TINDAKAN, MENGIKUTI DIAGNOSA
26 Other cystoscopy 57.32 TIDAK ADA PAKET TINDAKAN, MENGIKUTI DIAGNOSA
27 Release of urethral stricture (sachse) 58.5 8,577,600 7,352,200 6,126,800
28 Transurethral removal of obstruction from ureter and 56.0 8,577,600 7,352,200 6,126,800
29 Other urethroscopy 58.22 TIDAK ADA PAKET TINDAKAN, MENGIKUTI DIAGNOSA
30 Percutaneous cystostomy 57.17 8,577,600 7,352,200 6,126,800
31 Percutaneous aspiration of bladder (cystotomy) 57.11 TIDAK ADA PAKET TINDAKAN, MENGIKUTI DIAGNOSA
32 Retrograde pyelogram (RPG) 87.74 TIDAK ADA PAKET TINDAKAN, MENGIKUTI DIAGNOSA
33 Ureterotomy 56.2 10,436,300 8,945,400 7,454,500
34 Transurethral clearance of bladder 57.0 8,577,600 7,352,200 6,126,800 termasuk evakuasi blood clot dalam bladder, batu dan foreign body
35 Cystolithotomy 57.19 9,551,100 8,186,600 6,822,200
PAKET
NO Diagnosa KODE KETERANGAN
1 2 3
1 BPH D29.1 4,061,100 3,481,000 2,900,800
2 Batu Ginjal N20.0 4,812,500 4,125,000 3,437,500
3 batu uretra N21.1 4,812,500 4,125,000 3,437,500
4 Batu ureter N20.1 4,812,500 4,125,000 3,437,500
5 Batu Buli N21.0 4,812,500 4,125,000 3,437,500
6 Other lower urinary tract calculus (BSK) N21.8 4,812,500 4,125,000 3,437,500
7 Hipospadia Q54.9 4,061,100 3,481,000 2,900,800
Semua diagnosa tanpa tindakan
8 Varicocele I86.1 4,061,100 3,481,000 2,900,800
9 Ca buli D09.0 4,064,400 3,483,800 2,903,200
10 Ca renal C64 3,644,300 3,123,700 2,603,000
11 Ca prostat D07.5 4,700,000 4,028,600 3,357,200
12 Hidrokel N43.3 4,061,100 3,481,000 2,900,800
13 orchitis N45.9 4,061,100 3,481,000 2,900,800
14 Torsio testis N44 4,061,100 3,481,000 2,900,800

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