Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
8 BENDA ASING DI HIDUNG T17.1 FOREIGN BODY IN OTHER AND MULTIPLE T17.8
(CORPUS ALIENUM NASAL) PARTS OF RESPIRATORY TRACT
9 BENDA ASING DI KONJUNGTIVA T15.9 FOREIGN BODY IN CONJUNCTIVAL SAC T15.1
(CORPUS ALIENUM CONJUNCTIVAL)
10 BLEFARITIS H01.0 OTHER SPECIFIED DISORDERS OF EYELID H02.8
Graha_Mitra_Clinic
20 TINEA CAPITIS B35.0 MYCOSIS FUNGOIDES C84.0
(TINEA KAPITIS)
21 TINEA BARBAE B35.0 MYCOSIS FUNGOIDES C84.0
Graha_Mitra_Clinic
43 HERPES ZOSTER TANPA KOMPLIKASI B02.9 RICKETTSIALPOX DUE TO RICKETTSIA AKARI A79.1
(ZOOSTER WITHOUT COMPLICATION)
44 HIPERMETROPIA RINGAN H52.0 LOW VISION, BOTH EYES H54.2
(HYPERMETROPIA)
45 HIPERTENSI ESENSIAL I10 OTHER SECONDARY HYPERTENSION I15.8
(ESSENTIAL PRIMARY HYPERTENSION)
46 HIPERURICEMIA M10 POLYARTHRITIS, UNSPECIFIED M13.0
(GOUT)
47 HIPOGLIKEMIA RINGAN E16.2 ADVERSE EFFECTS IN THE THERAPEUTIC Y42.3
(HYPOGLYCAEMIA, UNSPECIFIED) USE OF INSULIN AND ORAL HYPOLYCAEMIC
(ANTIDIABETIC) DRUGS
48 HIV AIDS TANPA KOMPLIKASI Z21 UNSPECIFIED HUMAN IMMUNODEFICIENCY B24
(ASYMPTOMATIC HIV INFECTION STATUS) VIRUS (HIV) DISEASE
49 HORDEOLUM H00.0 OTHER SPECIFIED DISORDERS OF EYELID H02.8
Graha_Mitra_Clinic
65 LUKA BAKAR DERAJAT 1 DAN 2 T30 BURNS CLASSIFIED ACCORDING TO EXTENT T31
(BURN AND CORROSION, UNSPECIFIED) OF BODY SURFACE INVOLVED
66 MALARIA B54 OTHER PARASITOLOGICALLY CONFIRMED B53
(MALARIA, UNSPECIFIED) MALARIA
67 MALNUTRISI ENERGI-PROTEIN (KEP) E46 RETARDED DEVELOPMENT FOLLOWING E45
(UNSPECIFIED PROTEIN-ENERGY PROTEIN-ENERGY MALNUTRITION
MALNUTRITION)
68 MASTITIS N61 OTHER SPECIFIED DISORDER OF BREAST N64.8
(INFLAMMATORY DISORDERS OF BREAST)
69 MATA KERING / DRY EYE SYNDROME H04.1 DISORDERS OF LACRIMAL SYSTEM AND H06
(OTHER DISORDERS OF LACRIMAL GLAND) ORBIT IN DISEASES CLASSIFIED ELSEWHERE
70 MIGREN / MIGRAIN G43 DISORDER OF OTHER CRANIAL NERVES G52
(MIGRAINE, UNSPECIFIED)
71 MILIARIA L74 APOCRINE MILIARIA L75.2
Graha_Mitra_Clinic
88 REAKSI ANAFILAKTIK / SYOK ANAFILAKTIK T78.2 TOXIC SHOCK SYNDROME A48.3
(ANAPHYLACTIC SHOCK, UNSPECIFIED)
89 REAKSI GIGITAN SERANGGA T63.4 CONTACT WITH OTHER SPECIFIED X25
(VENOM OF OTHER ARTHROPODS) VENOMOUS ARTHROPODS AS AN
EXTERNAL CAUSE OF MORBIDITI AND
MORTALITY
90 REFLUKS GASTROESOFAGEAL / GERD K21.9 GASTRIC ULCER K25
(GASTRO-OESOPHAGEAL REFLUX DISEASES)
91 RHINITIS AKUT / ISPA J00 CHRONIC RHINITIS, NASOPHARYNGITIS J31
(ACUTE NASOPHARYNGITIS / COMMON COLD) AND PHARYNGITIS
92 RHINITIS ALERGIKA / ALERGI J30.4 CHRONIC RHINITIS, NASOPHARYNGITIS J31
(ALLERGIC RHINITIS, UNSPECIFIED) AND PHARYNGITIS
93 RHINITIS VASOMOTOR J30.0 CHRONIC RHINITIS, NASOPHARYNGITIS J31
(VASOMOTOR RHINITIS) AND PHARYNGITIS
94 RUPTUR PERINEUM TINGKAT 1-2 O70.0 FOURTH DEGREE PERINEAL LACERATION O70.3
(PERINEAL FIRST OR SECOND DEGREE / DURING DELIVERY
LACERATION DURING DELIVERY) O70.1
95 SERUMEN PROP H61.2 OTALGIA AND EFFUSION OF EAR H92
(IMPACTED CERUMEN)
96 SKABIES / TUNGAU / GUDIK B86 UNSPECIFIED PARASITIC DISEASE B89
(SCABIES)
97 SKISTOSOMIASIS / CACING HATI B65 OTHER SPECIFIED FLUKE INFECTIONS B66.8
(SCHISTOSOMIASIS / BILHARZIASIS)
98 STRONGILOIDIASIS / CACING BENANG B78.9 INTESTINAL HELMINTHIASIS, UNSPECIFIED B82.0
(STRONGYLOIDIASIS)
99 TAENIASIS B68.9 INTESTINAL HELMINTHIASIS, UNSPECIFIED B82.0
Graha_Mitra_Clinic
109 VULVITIS N76.0 VAGINITIS, VULVITIS, AND VULVOVAGINITIS N77.1
(ACUTE VAGINITIS) IN INFECTIOUS AND PARASITIC DISEASES
CLASSIFIED ELSEWHERE
110 GANGGUAN SOMATOFORM / SOMATISASI F45 ADJUSTMENT DISORDERS F43.2
(SOMATOFORM DISORDERS)
111 TRIKIASIS / TRICHIASIS H02 DISORDERS OF EYELID IN DISEASES H03
ENTROPION AND TRICHIASIS OF EYELID CLASSIFIED ELSEWHERE
112 EPISKLERITIS / EPISCLERITIS H15.1 SCLERITIS AND EPISCLERITIS IN DISEASES H19.0
CLASSIFIED ELSEWHERE
113 MABUK PERJALANAN T75.3 VERTIGINOUS SYNDROMES IN DISEASES H82
(MOTION SICKNESS) CLASSIFIED ELSEWHERE
114 ULKUS MULUT / SARIAWAN K12 NECROTIZING ULCERATIVE STOMATITIS A69.0
(STOMATITIS AND RELATED LESIONS)
115 PIELONEFRITIS N10 OTHER CHRONIC TUBULO-INTERSTITIAL N11.8
(ACUTE TUBULO-INTERSTITIAL NEPHRITIS) NEPHRITIS
116 FIMOSIS N47 OTHER SPECIFIED DISORDERS OF PENIS N48.8
(PHIMOSIS)
117 PARAFIMOSIS N47 OTHER SPECIFIED DISORDERS OF PENIS N48.8
(PARAPHIMOSIS)
118 SINDROM DUH (DISCHARGE) GENITAL N98.9 GONOCOCCAL INFECTION A54
(GONORE DAN NON-GONORE)
119 INFEKSI SALURAN KEMIH / ISK N39.0 CYSTITIS N30
Graha_Mitra_Clinic
130 IMPETIGO BULOSA L01 OTHER INFILTRATIVE DISORDERS OF SKIN L98.6
/ IMPETIGO KRUSTOSA AND SUBCUTANEOUS TISSUE
131 IMPETIGO ULSERATIF / EKTIMA L01 OTHER INFILTRATIVE DISORDERS OF SKIN L98.6
AND SUBCUTANEOUS TISSUE
132 FOLIKULITIS SUPERFISIALIS L08.0 OTHER INFILTRATIVE DISORDERS OF SKIN L98.6
(PYODERMA) AND SUBCUTANEOUS TISSUE
133 FURUNKEL, KARBUNKEL L02 OTHER INFILTRATIVE DISORDERS OF SKIN L98.6
(CUTANEOUS ABSCESS, FURUNCLE & CARBUNCLE) AND SUBCUTANEOUS TISSUE
134 ERITRASMA L08.1 OTHER INFILTRATIVE DISORDERS OF SKIN L98.6
(ERYTHRASMA) AND SUBCUTANEOUS TISSUE
135 ERISIPELAS A46 OTHER INFILTRATIVE DISORDERS OF SKIN L98.6
(ERYSIPELAS) AND SUBCUTANEOUS TISSUE
136 SKROFULODERMA A18.4 OTHER INFILTRATIVE DISORDERS OF SKIN L98.6
(SCROFULODERMA / TB OF SKIN & SC TISSUE) AND SUBCUTANEOUS TISSUE
137 KANDIDOSIS MUKOKUTAN RINGAN B37.9 OTHER INFILTRATIVE DISORDERS OF SKIN L98.6
(CANDIDASIS, UNSPECIFIED) AND SUBCUTANEOUS TISSUE
138 PEDIKULOSIS PUBIS B85.3 UNSPECIFIED PARASITIC DISEASE B89
(PHTHIRIASIS)
139 AKNE VULGARIS RINGAN L70.0 ROSACEA L71
(ACNE VULGARIS)
140 HIDRADENITIS SUPURATIF L73.2 PYOGENIC GRANULOMA L98.0
(HIDRADENITIS SUPPURATIVA)
141 DERMATITIS PERIORAL L71.0 ROSACEA L71
(PERIORAL DERMATITIS)
142 VULNUS LACERATUM, PUNCTUM T14.1 - -
Apabila dalam hal pelayanan pasien peserta BPJS Kesehatan masih ada yang
diberikan rujukan lanjut ke Faskes Lanjutan (RS) dengan diagnosa non-
spesialistik, maka FKTP yang mengeluarkan rujukan lanjut diagnosa non-
spesialistik tersebut akan mengalami penurunan poin Kapitasi Berbasis Kinerja
(KBK) dalam sistem mutu pelayanan BPJS Kesehatan.
Bagi para dokter maupun para coder admin yang mencetakkan lembar rujukan,
pilihlah diagnosa kerja yg bersifat spesialistik untuk diagnosa rujukan pasien ke
Faskes Lanjutan yg dituju.
Graha_Mitra_Clinic
Upayakan untuk merujuk pasien ke poli tujuan sesuai kompetensinya poli tujuan
berdasar diagnosa kerja yang dibuat.
Graha_Mitra_Clinic