Bisa Ditangani Di

No Nama Penyakit Kode dan Nama Diagnosa ICD 10 Puskesmas

Ya Tidak
101 Dermatitis (L21-Seborrhoeic dermatitis); (L21.0-Seborrhoea
seboroik capitis); (L21.1-Seborrhoeic infantile dermatitis);
(L21.8-Other seborrhoeic dermatitis); (L21.9-
Seborrhoeic dermatitis, unspecified)

102 Napkin eczema (L22-Diaper [napkin] dermatitis)

103 Dermatitis (L24-Irritant contact dermatitis); (L24.0-Irritant contact
kontak iritan dermatitis due to detergents); (L24.1-Irritant contact
dermatitis due to oils and greases); (L24.2-Irritant
contact dermatitis due to solvents); (L24.3-Irritant
contact dermatitis due to cosmetics); (L24.4-Irritant
contact dermatitis due to drugs in contact with skin);
(L24.5-Irritant contact dermatitis due to other
chemical products); (L24.6-Irritant contact dermatitis
due to food in contact with skin); (L24.7-Irritant
contact dermatitis due to plants, except food); (L24.8-
Irritant contact dermatitis due to other agents); (L24.9-
Irritant contact dermatitis, unspecified cause); (L25-
Unspecified contact dermatitis); (L25.0-Unspecified
contact dermatitis due to cosmetics); (L25.1-
Unspecified contact dermatitis due to drugs in contact
with skin); (L25.2-Unspecified contact dermatitis due
to dyes); (L25.3-Unspecified contact dermatitis due to
other chemical products); (L25.4-Unspecified contact
dermatitis due to food in contact with skin); (L25.5-
Unspecified contact dermatitis due to plants, except
food); (L25.8-Unspecified contact dermatitis due to
other agents); (L25.9-Unspecified contact dermatitis,
unspecified cause)

104 Exanthematous (L27-Dermatitis due to substances taken internally);

drug eruption, (L27.0-Generalized skin eruption due to drugs and
fixed drug medicaments); (L27.1-Localized skin eruption due to
eruption drugs and medicaments); (R21-Rash and other
nonspecific skin eruption)

105 Alergi makanan (L27-Dermatitis due to substances taken internally);

(L27.2-Dermatitis due to ingested food); (L27.8-
Dermatitis due to other substances taken internally);
(L27.9-Dermatitis due to unspecified substance taken
internally); (T78.1-Other adverse food reactions, not
elsewhere classified); (T78.4-Allergy, unspecified);
(K52.2-Allergic and dietetic gastroenteritis and colitis)

106 Dermatitis (L30-Other dermatitis); (L30.0-Nummular dermatitis);

numularis (L30.8-Other specified dermatitis); (L30.9-Dermatitis,
unspecified)
107 Pitiriasis rosea (L42-Pityriasis rosea); (L30.5-Pityriasis alba)
 Bisa Ditangani Di
No Nama Penyakit Kode dan Nama Diagnosa ICD 10 Puskesmas
Ya Tidak
108 Urtikaria akut (L50-Urticaria); (L50.0-Allergic urticaria); (L50.2-
Urticaria due to cold and heat); (L50.3-
Dermatographic urticaria); (L50.4-Vibratory urticaria);
(L50.6-Contact urticaria); (L50.9-Urticaria,
unspecified); (L56.3-Solar urticaria); (L29-Pruritus);
(L29.0-Pruritus ani); (L29.1-Pruritus scroti); (L29.2-
Pruritus vulvae); (L29.3-Anogenital pruritus,
unspecified); (L29.8-Other pruritus); (L29.9-Pruritus,
unspecified); (T80.6-Other serum reactions)

109 Akne vulgaris (L70-Acne); (L70.0-Acne vulgaris); (L70.1-Acne

ringan conglobata); (L70.2-Acne varioliformis); (L70.3-Acne
tropica); (L70.4-Infantile acne); (L70.5-Acné excoriée
des jeunes filles); (L70.8-Other acne); (L70.9-Acne,
unspecified); (L71-Rosacea); (L71.1-Rhinophyma);
(L71.8-Other rosacea); (L71.9-Rosacea, unspecified)

110 Dermatitis (L71-Rosacea); (L71.0-Perioral dermatitis)

perioral
111 Folikulitis (L72-Follicular cysts of skin and subcutaneous
superfisialis tissue); (L72.0-Epidermal cyst); (L72.1-Trichilemmal
cyst); (L72.2-Steatocystoma multiplex); (L72.8-Other
follicular cysts of skin and subcutaneous tissue);
(L72.9-Follicular cyst of skin and subcutaneous
tissue, unspecified); (L08-Other local infections of
skin and subcutaneous tissue); (L08.0-Pyoderma);
(L08.8-Other specified local infections of skin and
subcutaneous tissue); (L08.9-Local infection of skin
and subcutaneous tissue, unspecified); (L66.2-
Folliculitis decalvans ); (L66.3-Perifolliculitis capitis
abscedens ); (L66.4-Folliculitis ulerythematosa
reticulata)

112 Hidradenitis (L73-Other follicular disorders); (L73.0-Acne keloid);

supuratif (L73.1-Pseudofolliculitis barbae); (L73.2-Hidradenitis
suppurativa); (L73.8-Other specified follicular
disorders); (L73.9-Follicular disorder, unspecified)

113 Miliaria (L74-Eccrine sweat disorders); (L74.0-Miliaria rubra);

(L74.1-Miliaria crystallina); (L74.2-Miliaria profunda);
(L74.3-Miliaria, unspecified); (L74.8-Other eccrine
sweat disorders); (L74.9-Eccrine sweat disorder,
unspecified)
 Bisa Ditangani Di
No Nama Penyakit Kode dan Nama Diagnosa ICD 10 Puskesmas
Ya Tidak
114 Ulkus pada (L97-Ulcer of lower limb, not elsewhere classified);
tungkai (I83-Varicose veins of lower extremities); (I83.0-
Varicose veins of lower extremities with ulcer); (I83.1-
Varicose veins of lower extremities with inflammation);
(I83.2-Varicose veins of lower extremities with both
ulcer and inflammation); (I83.9-Varicose veins of
lower extremities without ulcer or inflammation)

115 Pielonefritis (N10-Acute tubulo-interstitial nephritis); (N12-Tubulo-

tanpa komplikasi interstitial nephritis, not specified as acute or chronic)

116 Infeksi saluran (N39-Other disorders of urinary system); (N39.0-

kemih Urinary tract infection, site not specified); (N39.8-
Other specified disorders of urinary system); (N39.9-
Disorder of urinary system, unspecified); (O08.8-
Other complications following abortion and ectopic
and molar pregnancy); (N37.8-Other urethral
disorders in diseases classified elsewhere)

117 Infeksi saluran (N39-Other disorders of urinary system); (N39.0-

kemih bagian Urinary tract infection, site not specified); (N39.8-
bawah Other specified disorders of urinary system); (N39.9-
Disorder of urinary system, unspecified); (O08.8-
Other complications following abortion and ectopic
and molar pregnancy); (N37.8-Other urethral
disorders in diseases classified elsewhere)

118 Fimosis (N47-Redundant prepuce, phimosis and

paraphimosis)
119 Parafismosis (N47-Redundant prepuce, phimosis and
paraphimosis)
120 Mastitis (N61-Inflammatory disorders of breast); (O91-
Infections of breast associated with childbirth);
(O91.0-Infection of nipple associated with childbirth);
(O91.1-Abscess of breast associated with childbirth);
(O91.2-Nonpurulent mastitis associated with
childbirth)

121 Salpingitis (N70-Salpingitis and oophoritis); (N70.0-Acute

salpingitis and oophoritis); (N70.1-Chronic salpingitis
and oophoritis); (N70.9-Salpingitis and oophoritis,
unspecified)
122 Vaginitis (N76-Other inflammation of vagina and vulva);
(N76.0-Acute vaginitis); (N76.1-Subacute and chronic
vaginitis); (N76.6-Ulceration of vagina); (N76.8-Other
specified inflammation of vagina and vulva)
 Bisa Ditangani Di
No Nama Penyakit Kode dan Nama Diagnosa ICD 10 Puskesmas
Ya Tidak
123 Vaginosis (N76-Other inflammation of vagina and vulva);
bakterialis (N76.0-Acute vaginitis); (N76.1-Subacute and chronic
vaginitis); (N76.6-Ulceration of vagina); (N76.8-Other
specified inflammation of vagina and vulva); (N77-
Vulvovaginal ulceration and inflammation in diseases
classified elsewhere); (N77.1-Vaginitis, vulvitis and
vulvovaginitis in infectious and parasitic diseases
classified elsewhere); (N77.8-Vulvovaginal ulceration
and inflammation in other diseases classified
elsewhere)

124 Vulvitis (N76-Other inflammation of vagina and vulva);

(N76.2-Acute vulvitis); (N76.3-Subacute and chronic
vulvitis); (N76.4-Abscess of vulva); (N76.6-Ulceration
of vulva); (N76.8-Other specified inflammation of
vagina and vulva)

125 Aborsi spontan (O03-Spontaneous abortion); (O03.9-Complete or

komplit unspecified, without complication); (O04-Medical
Abortion); (O04.9-Complete or unspecified, without
complication); (O05-Other Abortion); (O05.9-
Complete or unspecified, without complication); (O06-
Unspecified abortion); (O06.9-Complete or
unspecified, without complication)

126 Ruptur perineum (O70-Perineal laceration during delivery); (O70.0-First

tingkat 1-2 degree perineal laceration during delivery); (O70.1-
Second degree perineal laceration during delivery)

127 Kehamilan (O80-Single spontaneous delivery); (O80.0-

normal Spontaneous vertex delivery); (O80.1-Spontaneous
breech delivery); (O80.8-Other single spontaneous
delivery); (O80.9-Single spontaneous delivery,
unspecified); (O26.8-Other specified pregnancy-
related conditions); (O26.9-Pregnancy-related
condition, unspecified)

128 Inverted nipple (O92-Other disorders of breast and lactation

associated with childbirth); (O92.0-Retracted nipple
associated with childbirth)
129 Cracked nipple (O92-Other disorders of breast and lactation
associated with childbirth); (O92.1-Cracked nipple
associated with childbirth); (N64-Other disorders of
breast); (N64.0-Fissure and fistula of nipple)

130 Infeksi pada (P38-Omphalitis of newborn with or without mild

umbilikus haemorrhage)
131 Epistaksis (R04-Haemorrhage from respiratory passages);
(R04.0-Epistaxis)
132 Mabuk (R11-Nausea and vomiting); (T75.3-Motion sickness)
perjalanan
 Bisa Ditangani Di
No Nama Penyakit Kode dan Nama Diagnosa ICD 10 Puskesmas
Ya Tidak
133 Vertigo (Benign (R42-Dizziness and giddiness); (H81-Disorders of
paroxysmal vestibular function); (H81.1-Benign paroxysmal
positional vertigo); (H81.3-Other peripheral vertigo); (H81.4-
vertigo) Vertigo of central origin); (H82-Vertiginous syndromes
in diseases classified elsewhere); (T75.2-Effects of
vibration)

134 Kejang demam (R56-Convulsions, not elsewhere classified); (R56.0-

Febrile convulsions); (R56.8-Other and unspecified
convulsions)
135 Vulnus (T00-Superficial injuries involving multiple body
laseratum, regions); (T00.0-Superficial injuries involving head
vulnus punctum with neck); (T00.1-Superficial injuries involving thorax
with abdomen, lower back and pelvis); (T00.2-
Superficial injuries involving multiple regions of upper
limb(s)); (T00.3-Superficial injuries involving multiple
regions of lower limb(s)); (T00.6-Superficial injuries
involving multiple regions of upper limb(s) with lower
limb(s)); (T00.8-Superficial injuries involving other
combinations of body regions); (T00.9-Multiple
superficial injuries, unspecified); (T14-Injury of
unspecified body region); (T14.0-Superficial injury of
unspecified body region); (T14.1-Open wound of
unspecified body region); (T14.8-Other injuries of
unspecified body region); (T14.9-Injury, unspecified)

136 Benda asing di (T15-Foreign body on external eye); (T15.1-Foreign

konjungtiva body in conjunctival sac); (T15.8- Foreign body in
other and multiple parts of external eye); (T15.9-
Foreign body on external eye, part unspecified)

137 Benda asing (T17-Foreign body in respiratory tract); (T17.1-

Foreign body in nostril)
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No Nama Penyakit Kode dan Nama Diagnosa ICD 10 Puskesmas
Ya Tidak
138 Luka bakar (T30.0-Burn of unspecified body region, unspecified
derajat 1 dan 2 degree); (T30.1-Burn of first degree, body region
unspecified); (T30.2-Burn of second degree, body
region unspecified); (T30.4-Corrosion of unspecified
body region, unspecified degree); (T30.5-Corrosion of
first degree, body region unspecified); (T30.6-
Corrosion of second degree, body region
unspecified); (T21-Burn and corrosion of trunk);
(T21.0-Burn of unspecified degree of trunk); (T21.1-
Burn of first degree of trunk); (T21.2-Burn of second
degree of trunk); (T21.4-Corrosion of unspecified
degree of trunk); (T21.5-Corrosion of first degree of
trunk); (T21.6-Corrosion of second degree of trunk);
(T22-Burn and corrosion of shoulder and upper limb,
except wrist and hand); (T22.0-Burn of unspecified
degree of shoulder and upper limb, except wrist and
hand); (T22.1-Burn of first degree of shoulder and
upper limb, except wrist and hand); (T22.2-Burn of
second degree of shoulder and upper limb, except
wrist and hand); (T22.4-Corrosion of unspecified
degree of shoulder and upper limb, except wrist and
hand); (T22.5-Corrosion of first degree of shoulder
and upper limb, except wrist and hand); (T22.6-
Corrosion of second degree of shoulder and upper
limb, except wrist and hand); (T23-Burn and corrosion
of wrist and hand); (T23.0-Burn of unspecified degree
of wrist and hand); (T23.1-Burn of first degree of wrist
and hand); (T23.2-Burn of second degree of wrist and
hand); (T23.4-Corrosion of unspecified degree of
wrist and hand); (T23.5-Corrosion of first degree of
wrist and hand); (T23.6-Corrosion of second degree
of wrist and hand); (T24-Burn and corrosion of hip
and lower limb, except ankle and foot); (T24.0-Burn of
unspecified degree of hip and lower limb, except
ankle and foot); (T24.1-Burn of first degree of hip and
lower limb, except ankle and foot); (T30-Burn and
corrosion, body region unspecified); (T24.2-Burn of
139 Keracunan (T62-Toxic effect of other noxious substances eaten
makanan as food); (T62.0-Ingested mushrooms); (T62.1-
Ingested berries); (T62.2-Other ingested (parts of)
plant(s)); (T62.8-Other specified noxious substances
eaten as food); (T62.9-Noxious substance eaten as
food, unspecified); (T61-Toxic effect of noxious
substances eaten as seafood); (T61.0-Ciguatera fish
poisoning); (T61.1-Scombroid fish poisoning); (T61.2-
Other fish and shellfish poisoning); (T61.8-Toxic effect
of other seafoods); (T61.9-Toxic effect of unspecified
seafood); (K52-Other noninfective gastroenteritis and
colitis); (K52.1-Toxic gastroenteritis and colitis);
(K52.8-Other specified noninfective gastroenteritis
and colitis); (K52.9-Noninfective gastroenteritis and
colitis, unspecified)

140 Reaksi gigitan (T63-Toxic effect of contact with venomous animals);

serangga (T63.4- Venom of other arthropods)
 Bisa Ditangani Di
No Nama Penyakit Kode dan Nama Diagnosa ICD 10 Puskesmas
Ya Tidak
141 Reaksi (T78-Adverse effects, not elsewhere classified);
anafilaktik (T78.2-Anaphylactic shock, unspecified); (T80.5-
Anaphylactic shock due to serum); (T78.0-
Anaphylactic shock due to adverse food reaction);
(T88.6-Anaphylactic shock due to adverse effect of
correct drug or medicament properly administered)

142 Kekerasan tajam (X99-Assault by sharp object); (X78-Intentional self-

harm by sharp object); (Y28-Contact with sharp
object, undetermined intent); (Y35.4-Legal
intervention involving sharp objects); (W22-Striking
against or struck by other objects); (W26.9-Contact
with unspecified sharp object(s))

143 Kekerasan (Y00-Assault by blunt object); (X79-Intentional self-

tumpul harm by blunt object); (Y29-Contact with blunt object,
undetermined intent); (Y35.3-Legal intervention
involving blunt objects); (W22-Striking against or
struck by other objects)

144 HIV AIDS tanpa (Z21-Asymptomatic human immunodeficiency virus

komplikasi [HIV] infection status); (R75-Laboratory evidence of
human immunodeficiency virus [HIV]); (Z11.4-Special
screening examination for human immunodeficiency
virus [HIV]); (Z20.6-Contact with and exposure to
human immunodeficiency virus [HIV]); (Z71.7-Human
immunodeficiency virus [HIV] counselling)