Lampiran 1.

Updating dan Validasi Data FKTP KBK dan Diagnosa Non Spesialistik pada Aplikasi HFIS

TABEL REFERENSI DIAGNOSA NON SPESIALISTIK BARU

Kode Diagnosa Keterangan (Kompetensi) Dapat Tuntas Ditangani

Non Berdasar Permenkes di Faskes Saudara (*
No Nama Diagnosa Non Spesialistik (ICD 10) Kendala (Agar dituliskan dengan lengkap)
Spesialistik 5/2014 dan Kepmenkes mohon di checklist)
(ICD 10) 514/2015
YA TIDAK
1 A01.0 Typhoid fever 4A √

2 A06.0 Acute amoebic dysentery 4A √

Other and unspecified gastroenteritis and colitis of infectious √
3 A09.0 origin 4A
Respiratory tuberculosis, bacteriologically and histologically √
4 A15.0 confirmed 4A
5 A27.9 Leptospirosis, unspecified 4A √ Kesulitan penegakkan bila kasus infeksi berat

6 A30.0 Indeterminate leprosy 4A √

7 A35 Other tetanus 4A √
8 A54.9 Gonococcal infection, unspecified 4A √

9 A90 Dengue fever [classical dengue] 4A √

10 A91 Dengue haemorrhagic fever 4A √

11 B00.9 Herpesviral infection, unspecified 4A √

12 B01.9 Varicella without complication 4A √

13 B02.9 Zoster without complication 4A √

14 B05.9 Measles without complication 4A √

15 B07 Viral warts 4A √ √ Kesulitan kalau penanganan di wajah, berhubungan estetis

16 B08.1 Molluscum contagiosum 4A √

17 B15 Acute hepatitis A 4A √

18 B26.0 Mumps orchitis 4A √

19 B35 Dermatophytosis 4A √

20 B35.0 Tinea barbae and tinea capitis 4A √

21 B35.1 Tinea unguium 4A √

22 B35.2 Tinea manuum 4A √

23 B35.3 Tinea pedis 4A √

24 B35.4 Tinea corporis 4A √

25 B35.6 Tinea cruris 4A √

26 B35.8 Other dermatophytoses 4A √

27 B36.0 Pityriasis versicolor 4A √

28 B37.9 Candidiasis, unspecified 4A √

29 B54 Unspecified malaria 4A √

30 B65.0 Schistosom due schis haematobium [urin schistosom] 4A √

31 B65.2 Schistosomiasis due to Schistosoma japonicum 4A √

32 B65.9 Schistosomiasis, unspecified 4A √

33 B68.0 Taenia solium taeniasis 4A √

34 B68.9 Taeniasis, unspecified 4A √

35 B74.0 Filariasis due to wuchereria bancrofti 4A √

36 B76.0 Ancylostomiasis 4A √

37 B76.9 Hookworm disease, unspecified 4A √

38 B77.9 Ascariasis, unspecified 4A √

39 B78.0 Intestinal strongyloidiasis 4A √

40 B78.9 Strongyloidiasis, unspecified 4A √

41 B85.0 Pediculosis due to pediculus humanus capitis 4A √
42 B85.3 Phthiriasis 4A √

43 B86 Scabies 4A √
44 D17.9 Benign lipomatous neoplasm, unspecified 4A √
45 D50.0 Iron deficiency anaemia secondary to blood loss (chronic) 4A √
46 D50.9 Iron deficiency anaemia, unspecified 4A √
√
47 E11.9 Non-insulin-dependent diabetes mellitus without complications 4A

48 E16.2 Hypoglycaemia, unspecified 4A √

49 E46 Unspecified protein-energy malnutrition 4A √

50 E66.9 Obesity, unspecified 4A √
51 E78.5 Hyperlipidaemia, unspecified 4A √
√
52 E79.0 Hyperuricaem without sign inflamm arthritis+tophaceous dis 4A

53 F45.0 Somatization disorder 4A √

54 F51.0 Nonorganic insomnia 4A √

55 G43.0 Migraine without aura [common migraine] 4A √

56 G43.9 Migraine, unspecified 4A √

57 G44.2 Tension-type headache 4A √

58 G51.0 Bell's palsy 4A √

59 H00.0 Hordeolum and other deep inflammation of eyelid 4A √

60 H01.0 Blepharitis 4A √

61 H02.0 Entropion and trichiasis of eyelid 4A √

62 H04.1 Other disorders of lacrimal gland 4A √

63 H10.1 Acute atopic conjunctivitis 4A √
64 H10.9 Conjunctivitis, unspecified 4A √

65 H15.1 Episcleritis 4A √

66 H52.0 Hypermetropia 4A √ Kekurangan peralatan, perlu pelatihan khusus

67 H52.1 Myopia 4A √

68 H52.2 Astigmatism 4A √

69 H52.4 Presbyopia 4A √

70 H53.6 Night blindness 4A √

71 H57.8 Other specified disorders of eye and adnexa 4A √

72 H60.9 Otitis externa, unspecified 4A √

73 H61.2 Impacted cerumen 4A √

74 H65.0 Acute serous otitis media 4A √

75 H65.1 Other acute nonsuppurative otitis media 4A √

76 H66.0 Acute suppurative otitis media 4A √

77 I10 Essential (primary) hypertension 4A √

78 I83.9 Varicose veins lower extremities without ulcer or inflamm 4A √

79 I84.0 Internal thrombosed haemorrhoids 4A √ Pada kasus berat diperlukan pemeriksaan diagnostic dan tindakan
bedah
80 I84.2 Internal haemorrhoids without complication 4A √

81 I84.9 Unspecified haemorrhoids without complication 4A √

82 J00 Acute nasopharyngitis [common cold] 4A √

83 J02 Acute pharyngitis 4A √

84 J02.9 Acute pharyngitis, unspecified 4A √

85 J03 Acute tonsillitis 4A √

86 J03.9 Acute tonsillitis, unspecified 4A √

87 J04.0 Acute laryngitis 4A √

88 J11.0 Influenza, virus not identified 4A √

89 J18.0 Bronchopneumonia, unspecified 4A √

90 J18.9 Pneumonia, unspecified 4A √

91 J20.9 Acute bronchitis, unspecified 4A √

92 J30.0 Vasomotor rhinitis 4A √

93 J30.4 Allergic rhinitis, unspecified 4A √

94 J34.0 Abscess, furuncle and carbuncle of nose 4A √

95 J35.0 Chronic tonsillitis 4A √

96 J45.9 Asthma, unspecified 4A √

97 K12 Stomatitis and related lesions 4A √

98 K21.9 Gastro-oesophageal reflux disease without oesophagitis 4A √

99 K29.7 Gastritis, unspecified 4A √

Malabsorption due to intolerance, not elsewhere classified √

100 K90.4 4A
101 L01.0 Impetigo [any organism] [any site] 4A √

102 L02.0 Cutaneous abscess, furuncle and carbuncle of face 4A √

103 L02.2 Cutaneous abscess, furuncle and carbuncle of trunk 4A √

104 L02.8 Cutaneous abscess, furuncle and carbuncle of other sites 4A √

105 L04.9 Acute lymphadenitis, unspecified 4A √

106 L08.0 Pyoderma 4A √

107 L08.1 Erythrasma 4A √

108 L20.8 Other atopic dermatitis 4A √

109 L21.0 Seborrhoea capitis 4A √

110 L22 Diaper [napkin] dermatitis 4A √

111 L24.0 Irritant contact dermatitis due to detergents 4A √

Generalized skin eruption due to drugs and medicaments √

112 L27.0 4A
113 L27.2 Dermatitis due to ingested food 4A √

114 L42 Pityriasis rosea 4A √

115 L50.0 Allergic urticaria 4A √

116 L50.9 Atrophic disorder of skin, unspecified 4A √

117 L70.0 Acne vulgaris 4A √

118 L71.0 Perioral dermatitis 4A √

119 L73.2 Hidradenitis suppurativa 4A √

120 L74.3 Miliaria, unspecified 4A √

121 L97 Ulcer of lower limb, not elsewhere classified 4A √

122 M10 Gout 4A √

123 N10 Acute tubulo-interstitial nephritis 4A √

124 N39.0 Urinary tract infection, site not specified 4A √

125 N47 Redundant prepuce, phimosis and paraphimosis 4A √

126 N61 Inflammatory disorders of breast 4A √

127 N76.0 Acute vaginitis 4A √

√
128 N98.9 Complication associated with artificial fertilization, unspecified 4A
Spontaneous abortion, Complete or unspecified, without √
129 O03.9 4A
complication
130 O70.0 First degree perineal laceration during delivery 4A √

131 O80.9 Single spontaneous delivery, unspecified 4A √

132 O92.0 Retracted nipple associated with childbirth 4A √

133 P38 Omphalitis of newborn with or without mild haemorrhage 4A √

134 R04.0 Epistaxis 4A √

135 R42 Dizziness and giddiness 4A √

136 R56.0 Febrile convulsions 4A √

137 T14 Injury of unspecified body region 4A √

138 T14.1 Open wound of unspecified body region 4A √

139 T15.9 Foreign body on external eye, part unspecified 4A √

140 T17.1 Foreign body in nostril 4A √

141 T30.1 Burn of first degree, body region unspecified 4A √

142 T30.2 Burn of second degree, body region unspecified 4A √

143 T63.4 Venom of other arthropods 4A √ Kesulitan pada kasus berat

144 T78.2 Anaphylactic shock, unspecified 4A √

Asymptomatic human immunodeficiency virus [HIV] infection √ Kesulitan Diagnostik

145 Z21 4A
status

Jambi, 2018
Mengetahui,
Dokter Penanggung Jawab FKTP Kepala/Pimpinan FKTP

Dr. Zuhdi Darma