No Nama Kode

1. CTG 75.35
2. CVC 38.93
3. EKG 89.52
4. FUNGSI ASITES 54.91
5. GANTI BALUTAN / DRESSING 93.57
6. GIPS 93.53 / 79.0
7. HEMODIALISA 39.95
8. INCUBATOR 93.95
9. INFUS PUMP 86.06
10. INFUS 99.18
11. INJEKSI ANALGETIK 04.81
12. INJEKSI ANTI BIOTIK 99.21
13. INTUBASI 96.02
14. KATETERI SASI 57.94
15. KONTROL PENDARAHAN 39.98
16. LABOLATORIUM 90.54
17. MONITOR EKG 89.54
18. NEBULIZER 93.94
19. OKSIGEN 93.96
20. PHOTO CERVICAL 87.22
21. PHOTO PELVIS 87.24
22. PHOTO SCHEDEL (SKULL) 87.17
23. PHOTO THORAX 87.44
24. RJP 99.60
25. SUCTIONING 96.04
26. SUTURE KAKI 83.89
27. SUTURE KEPALA 86.89
28. SUTURE TANGAN 82.46
29. SYIIRNG PUMP 09.43
30. USG ABDOMEN 88.76
31. USG FAST 87.76
32. USG HEPATOBILIER 88.74
33. USG KANDUNGAN 88.78
34. CYSTOTOMY 57.19
35. USG URINARY 88.75
36. PERSALINAN FORCEPS 72.9
37. RADIOTHERAPY 92.23
38. CHEMOTERAPHY 99.25
39. CT SCAN KEPALA 87.03
40. PENCABUTAN GIGI 23.09
41. TRANFUSI DARAH 99.03
42. RENOGRAFI 92.03
43. other surgical extraction of tooth 23.19
44. Tambal gigi 23.2
45. Cabut gigi 23.09
46. Other dental restorasi 23.49
47. Removal of residual root 23.11
48. Exsisi eyelid 08.24
49. Removal pessary 97.74
50. Insertion pessary 96.18
51. Rawat luka 93.57
52. Ecg 89.52
53. O2 93.96
54. Infus 99.18
55. Inj Antidot 99.16
56. Inj AB 99.21
57. Lab darah 90.59
58. Lab UL 91.39
59. Nebulizer 93.94
60. NGT 96.07
61. IVP 87.73
62. USG biasa 88.76
63. USG Hamil 88.78
64. Kemoterapi 99.52
65. Foto thorax 87.49
66. HD 39.95
67. EEG 88.19
68. Pasang cateter 59.8
69. Lepas kateter 79.62
70. Aff Dj stent 97.65
71. TURP 56.75
72. Angkat jahitan 97.84
73. Hecting 86.59
74. URS 56.0
75. Aspirasi Hematros 83.94
76. Injeksi articulair 83.98
77. ESWL 98.51
78. Pasang gips 93.53
79. excisi 86.62
80. FNAB 91.69
81. Functional evaluation 93.01
82. Range of motion testing 93.05
83. Physical therapy exercises 93.1
84. Assisting exercise 93.11
85. Other musculoexercise 93.12
86. Resistive exercise 93.13
87. Training in joint movements 93.14
88. Mobilization of spine 93.15
89. Mobilization of other joints 93.16
90. passive musculoexercise 93.17
91. Exercise, not elsewhere classified 93.19
92. Diathermy 93.34
93. Other heat therapy 93.35
94. Other physical therapy 93.39
95. Soft tissue RO of face, head & neck 87.0
96. RO other soft tisue face,head & neck 87.09
97. RO full mouth of teeth 87.11
98. RO dental 87.12
99. RO of facial bones 87.16
100. RO of skulls 87.17
101. RO of cervical spine 87.22
102. RO of thoracic spine 87.23
103. RO of lumbosacral spine 87.24
104. RO of spine 87.29
105. other soft tissue RO of chest wall 87.39
106. RO of ribs, sternum and clavicle 87.43
107. routine chest RO, so described 87.44
108. other chest RO 87.49
109. Biliary tract RO 87.5
110. other biliary tract RO 87.59
111. RO of intestine 87.65
112. other digestive RO 87.69
113. RO of the urinary system 87.79
114. RO of female genital organs 87.8
115. RO of gravid uterus 87.81
116. RO of fallopian tuba &uterus 87.85
117. RO of female genital organ 87.89
118. RO of male genital organs 87.9
119. RO of prostate & seminal vesicles 87.92
120. RO of epididymis and vas deferens 87.95
121. other RO of male genital organs 87.99
122. RO of abdomen 88.19
123. RO of extremities and pelvis 88.2
124. RO of shoulder and upper arm 88.21
125. RO of elbow and fore arm 88.22
126. RO of wrist and hand 88.23
127. RO of upper lim 88.24
128. other RO of pevis and hip 88.26
129. RO of thigh, knee and lower leg 88.27
130. RO of ankle and foot 88.28
131. RO of lower limb not otherwise specified 88.29
TINDAKAN OPERASI
132. Angkat jahitan dengan general anastesi 97.39
133. Aspirasi massa lensa 13.65
134. Businasi/dilatasi uretra 58.6
135. Circumcision 64.0
136. Closed reduction of separated epiphysis/Reposisi 79.40
137. Debridemen dan necrotomi dekubitus, local anastesi 86.26
138. Curretage(of uterus)/ curet 69.02
139. Dilatation of cervical canal 67.0
140. Excision of lesion of muscle, tendon, fascia, and bursa 83.39
general anastesi
141. Excision or distruction of lelsion of uterus 69.29
142. Ekstraksi nevus
143. Ekstraksi gigi dengan GA
144. Ekstraksi pterigium dengan graft 11.32
145. Exicision of chalazion 11.001
146. Incisi abses extra oral ,GA
147. Incision of chest wall and pleura 34.0
148. Incisi of muscle ,tendon, fascia, and bursa(a) 83.0
149. Incisi of muscle ,tendon, fascia, and bursa(b) 83.0
150. Incisi abses perineum, GA 71.09
151. Insisi abses skrotum, GA 61.0
152. Iridektomi 12.1
153. Kauterisasi 49.39
154. Kauterisasi lesi kulit jinak ,local anastesi 86.3
155. Kauterisasi lesi kulit jinak ,local anastesi 86.3
156. Meatoplasty
157. Meatotomi
158. Other bilateral destruction or occlusion of fallopian tubes/ 66.39
MOW
159. Nekrotomi sedang 86.22
160. Pasang kateter dengan mandrain
161. Pasang water sealed drainage/WSD 59.9
162. Repair of vulva and perineum 71.71
163. Reposisi iol 13.9
164. Reposisi iris 12.83
165. Simple advancement flap(flap kulit sederhana), local anastesi 86.7
166. Vasectomy 63.72
167. Vena sectie 38.00
168.
169. Ankylotomy
170. Appendiktomy 47.19
171. Batu buli 57.19
172. Bulectomy dengan GA 86.22
173. Cabut dj stent
174. Cystoscopy/aff dj stent 57.32
175. cystostomy 57.18
176. Ekstirpasi tumor jinak wajah,local anastesi 86.2
177. Eksisi sialolith
178. Eksisi intrakeloidal + jahit primer, local anastesi 86.2
179. Eksisi nevus wajah simple,local anastesi 86.3
180. Eksisi varicocele dan hydrocele di spermatic cord 63.1
181. Ektra capsular extraction with iol local anastesi (insert of 13.2
intra lens prosthesis at time of cataract) (ecce+iol non phaco)
182. Ekstirpasi aterom wajah,local anastesi 86.21
183. Ekstirpasi lipoma wajah,local anastesi 86.3
184. Extracapsular extraction dengan local anastesi (other H.270
extracapsular extraction of lens)
185. Hemorrhoidectomy 49.46
186. Insisi abses disertai ekstrasi gigi penyebab (deep space
abses)
187. Insisi khalazion/hordeolum dengan general anastesi 08.21
188. Local excision or destruction of ovary 85.21
189. Local excision of lesion of breast (FAM) 60.5
190. Marsupialisasi,general anastesi
191. Nekrotomy luas,general anastesi 86.22
192. Odontektomi 1 gigi dengan general anastesi (pasien
hipersensitif oral)
193. Open reduction of fracture with internal fixation (dengan 79.36
diagnosis orif cruris,ankle dan aff plate)
194. Other extracapsularextraction of lens with general anastesi 13.59
195. Other operations of testis 62.99
196. Pencabutan plate dan screw
197. Pengambilan gigi dalam sinus maxillaries
198. Repair of anus 49.99
199. Repair of inguinofemoralis hernia 53.00
200. Repair of testis 62.99
201. Repair of umbilical hernia 53.49
202. Replantasi gigi dan fiksasi (arch bar)
203. Simple advancement flap,local anastesi 86.7
204. Sachze / bladder neck insisi / evakuasi blood clot 56.2
205. Section alta / vesikolithotomi 57.19
206. Sequesterectomi luas (osteomyelitis rahang)
207. Sistoskopi 57.3
208. Sistoskopi perkutan 57.17
209. Sistoskopi terbuka 57.17
210. Small incision cataract surgery with iol local anastesi 13.42
211. Surgical debridement 86.22
212. Toilet of open fraktur site 79.64
213. Temporary T racheostomy 31.1
214. Reconstruction of muscle,tendon and fascia 83.82
215. Removal of internal fixation appliance(dengan diagnosis aff 78.65
plate femur tibia
216. Unilateral oophoretoray 65.31
217. Uretroskopi /eretrosistoskopi 58.22
218. Varikokelektomi 63.1
219.
220. Amputation and disarculatioan of finger 84.01
221. Amputation and disarculatioan of foot 84.02
222. Amputation end forearmeand hand 84.05
223. Anastomosis end to end ureter 56.79
224. Anastomosis,small to large intestine 45.93
225. Bilateral repair of inguino femoral hernia 53.10
226. Bilateral repair of inguinofemoral hernia with garte 53.17
227. Cholecystectomy 51.22
228. Classical cesarean section 082.0
229. Closure of intestinal stoma 46.50
230. Complete thyroidectomy 06.4
231. Divertikulum uretra
232. Eksisi torus palatines/torus besar
233. Eksisi webbed penis 64.2
234. Eksisi luas tumor odontogen
235. Eksisi intrakeloidal wajah,local anastesi 86.2
236. Eksisi venus wajah multiple,local anastesi 86.3
237. Ektraksi batu
238. Enukleasikistaodontogen/odontogen
239. Eviseration of eye ball 16.39
240. Excision of thyroglossal tract 06.7
241. Excision or destruction of peritoneum 54.4
242. Extended simple mastectomy 85.43
243. Full thickness skin graft,daerah diluar wajah,local anastesi 86.63
244. Full thickness skin graf pada wajah,local anastesi 86.63
245. Fistulektomy/repair fistel uretra 58.43
246. Insersi dj stent 59.8
247. Ioid+archbarr farktur 1 sisa,general anastesi 76.73
248. Ioid+archbarr fraktur 2 sisa,general anastesi 76.73
249. Ioid+imf(eyelet)fraktur 1sisi,general anastesi 76.73
250. Johansen 58.46
251. Johansen
252. Jahit luka di wajah daerah estetik unit,local anastesi 86.59
253. Lithotripsi 51.49
254. Labioplasty
255. Other operation on appendix 47.09
256. Fraktur mandibula dengan miniplate
257. Open orif clavicula 79.30
258. Open orif digiti manus/pedis 79.3
259. Open orif humeri antebrachii 73.33
260. Open fraktur maxilla,1/3 wajah dg mini plate
261. Open fraktur repair maxilla dan mandubulla 76.74
262. Operasi repair buli trauma 57.81
263. Orkhidopeksi(torsio testis) 62.5
264. Other free skin graft 86.60
265. Other hernia repair 59.9
266. KET 66.99
267. Heacting hidung bedah plastic 21.99
268. Repair gaster
269. Prostatektomy retropubik 60.4
270. Open prostatectomy 60.2
271. Open prostatectomy dan sectio alta 60.69
272. Pyelotomy dan pyelostomy 55.12
273. Radikal mastectomy
274. Rekonstruksi dgn skin flap local,local anastesi 86.7
275. Rekonstruksi dgn skin flap komplek,local anastesi 86.7
276. Aff plate pada antebrachii,digiti 78.63
277. Ruftur pada usus 46.40
278. Repair palpebra 08.82
279. Repair hernia dgn pasang prolen mess 53.05
280. Repair amputasi (stump platy) 84.3
281. Rekonstruksi dgn skin flap grafting,local anastesi 86.6
282. Repair truma telinga simple,local anastesi 18.4
283. Subtotal abdominal hysterectomy 68.3
284. Subtotal thyroidectomy 06.50
285. Sutura of corneal laceration 11.51
286. Sutura of corneaasclera laceration general anastesi 11.51
287. Suture of laseration of sclera 12.81
288. Total nephrectomy 55.51
289. Total abdominal hysterectomy 68.4
290. Unilateral thyoid lobectomy 06.2
291. Ureterolithotomi proksimal
292. Ureterolithotomy 56.2
293. Vasciotomy 89.14
294.
295.
296.
297.
298.
299.
300.