KODE POLI ANAK

NO DIAGNOSA KODE
1 ANEMIA D64.9
2 ASPHYXIA RINGAN - SDG PADA BAYI P21.1
3 ASPHYXIA BERAT PADA BAYI P21.0
4 ASTHMA J45.9
5 ASTHMA ATTACK J46
6 BAYI LAHIR KEMBAR Z37.2
7 BBLR P07.1
8 BBLR EXTREME (< 999 GR) P07.0
9 BRONCHIOLITIS J21.9
10 Bronchopneumonia, unspecified J18.0
11 BAYI SC P03.4
12 BAYI LAHIR MATI Z37.1
13 CEPHALGIA R51
14 CHIKUNGUNYA A92.0
15 CIDERA KEPALA PADA BAYI P12.9
16 CONJUNGTIVITIS PADA BAYI P39.1
17 CAPUT SUCCEDANEUM P12.9
18 DEHIDRASI E86
19 DELAYED SPEECH F80.9
20 DENGUE FEVER A90
21 DERMATITIS / ECZEMA UNSPECIFIED L30.9
22 DHF A91
23 DYSPEPSIA K30
24 DERMATITIS ALERGI L23.9
25 Encephalopathy, unspecified G93.4
26 ENCHEPHALITIS ACUTE A86
27 ENCHEPHALITIS KRONIK, SUB ACUTE G04.9
28 ENTERITIS A09
29 EPILEPSY G40.9
30 EPISTAXIS R04.0
31 EQUINOVARUS Q66.0
32 EXANTHEMA SUBITUM B08.2
33 ECZEMA (DERMATITIS) L30.9
34 Febrile convulsions (KEJANG DEMAM) R56.0
35 FEBRIS / FEVER / HYPERPIREXIA R50.9
36 GASTROENTERITIS BERAT K52.9
37 GASTROENTERITIS PD BAYI P78.3
38 GE KRONIK K52.9
39 GEA A09
40 GASTRITIS K29.5
41 HYDROCELE PADA BAYI P83.5
42 ICTERUS NEONATAL P59.9
43 IMUN / VAKSIN OTHER Z23.8
44 IMUN. BCG Z23.2
45 IMUN. CAMPAK Z24.4
46 INFANTILE KOLIK R10.4
47 INSUF PLACENTA O36.5
48 ISK N39.0
49 ISPA J06.9
50 KEJANG DEMAM R56.0
51 KONTROL MRS Z09.8
52 LARYNGITIS AKUT J04.0
53 MONILIASIS / CANDIDIASIS B37.9
54 MORBILI / CAMPAK B05.9
55 NEONATAL AFFECTED MEMBRANE OTHER P02.8
56 NEONATAL INFECTION P39.9
57 NEONATAL POST-TERM (POST DATE) P08.2
58 NEONATAL PRETERM (PREMATURE) P07.3
59 NEONATUS POST DATE P08.2
60 OBS. VOMITING R11
61 OBS. FEBRIS R50.9
62 OBTSIFATION / CONSTIFATION K59.0
63 OTITIS MEDIA PURULENT H66.4
64 PAROTITIS K11.2
65 PHARYNGITIS J02.9
66 PNEUMONIA ASPIRATION J69.0
67 PNEUMONIA PD BAYI P23.9
68 PRE-ECLAMPSIA BERAT (PE B) O14.1
69 PRE-ECLAMPSIA RINGAN O13
70 PRE-ECLAMPSIA SEDANG (PE S) O14.0
71 PRE-ECLAMPSIA UNSPICIFIED O14.9
72 PRE-ECLAMPSIA SUPERIMPOSED O11
73 POST MRS ANAK Z09.8
74 PNEUMONIA PADA BAYI P24.9
75 RESPIRATORY FAILURE J96.9
76 RHINOPHARYNGITIS J00
77 RHINITIS ALERGI J30.1
78 SEPSIS A41.9
79 SEPSIS PADA BAYI P36.9
80 SINGLE LIVE BIRTH Z37.0
81 SINGLE LIVE BORN IN HOSPITAL Z38.0
82 STOMATITIS K12.1
83 TONSILITIS AKUT J03.9
84 TONSILITIS KRONIK J35.9
85 TONSILOPHARINGITIS J06.8
86 TRACHEO MALACIA J39.8
87 TYPHOID FEVER A01.0
88 TYPHUS FEVER A75.9
89 VOMITING PADA BAYI P92.0
90 VAKS POLIO + DPT Z27.3
VAKS POLIO Z24.0
VAKS PENTABIO Z23.6
VAKS BCG Z23.2
VAKS CAMPAK Z24.4
VAKS CAMPAK + RUBELLA Z27.4
NEONATAL HYPOGLICEMIA P70.4
FETAL BLOOD LOSS P50.8
NEONATAL DM (DM CONGENITAL) P70.2
CONGENITAL ANEMIA P61.4
BAYI LAHIR SPONTAN P03.8
 KODE POLI OBGYN
NO DIAGNOSA KODE
1 ABORTUS IMMINENS / SPONTAN O03
2 AB INCOMPLITE O04.4
3 ABSES TUBE OVARIAL (ATO) N70.9
4 Acidosis E87.2
5 ANEMIA D64.9
6 ANEMIA PREGNANCY, CHILBIRTH, PUERP O99.0
7 APB (ANTE PARTUM BLEEDING / hemmorr) O46.9
8 AUB (ABNORMAL UTERINE BLEEDING) UNSPICIFIED N93.9
9 ABORTUS DENGAN PERDARAHAN O08.1
10 AMENOREA SEKUNDER N91.2
11 ATONIA UTERI O62.2
12 ASTHMA PREGNANCY O99.5
13 Blighted ovum O02.0
14 CPD O33.9
15 CYSTA BARTOLIN'S GLAND N75.0
16 CYSTA OVARI N83.2
17 CYSTOMA OVARI (TUMOR) D27
18 CHORIOAMNIONITIS O41.1
19 DEATH CONSEPTIUS O02.1
20 DELIVERY COMPL. FETAL DISTRESS O68.9
21 DERMOID CYST D27
22 DYSTOSIA O66.8
23 DYSPEPSIA DALAM KEHAMILAN O99.6
24 EKTOPIC PREGNANCY O00.8
25 FETAL DISTRESS O68.9
26 FETAL TACHICARDIA COMPL. LABOR O68.0
27 FALSE LABOR < 37 BLN (PPI) O47.0
28 FALSE LABOR > 37 BLN (PPI) O47.1
29 GERD(GASTRO OESOPHAGEAL REFLUX DISEASE) K21.9
30 GYNECOLOGI Z01.4
31 GEA DALAM KEHAMILAN O99.6
32 GEMELI LETAK SUNGSANG/LINTANG O32.5
33 GEMELI O30.0
34 HEMATOMA OF PELVIS / VAGINA O71.7
35 hyperemesis gravidarum mild (tdk mrs) O21.0
36 HYPEREMESIS GRAVIDARUM SEVERE (mrs) O21.1
37 HYPEREMESIS GRAVIDARUM UNSPECIFIED O21.9
38 HYPERTENSION MATERNAL (PREGNANCY) O16
39 HEPATITIS PREGNANCY O98.4
40 HEMOROID PREGNANCY O22.4
41 HYPERTENSION GASTETIONAL PREGNANCY O13
42 HPP( HEMORAGHE POST PARTUM) O72.1
43 hyperemesis gravidarum O21.0
44 INSUF PLACENTA O36.5
45 IUFD o36.4
46 IUGR (Intra Uterine Growth Restriction) O36.5
47 INFEKSI PUERPERALIS O86.4
48 INVERTIL PRIMER N97.8
49 IMPENDING/SUPERIMPOSED ECLAMPSIA O11
50 KALA 1 O63.0
51 KALA 2 O63.1
52 KEHAMILAN SUNGSANG O32.1
53 KPD SBLM 24 JAM O42.0
54 KPD STLH 24 JAM O42.1
55 KPD THERAPY O42.2
56 KPD UNSFICIFIED O42.9 2
57 KONTROL POST PARTUM Z39.0
58 KONTROL POST CURRET Z03.8
59 KONTROL MRS Z09.8
60 IUD ( KONTROL) Z30.0
61 IUD ( MEMASANG) Z30.1
62 IUD ( DITEMUKAN DIDALAM VAGINA) Z97.5
63 KONTROL BAYI POST SC/ PARTUM Z09
64 KISTA OVARI N80.1
65 KET (KEHAMILAN EKTOPIK TERGANGGU) O00.9
66 LETAK OBLIQUE / LINTANG O32.2
67 LETAK SUNGSANG O32.1
68 LACERATION PERINIUM O70.9
69 LACERATION PERINIUM THIRD DEGREE O70.2
70 LACERATION PERINIUM SECOND DEGREE O70.1
71 LMR (Bekas SC) O34.2
72 MECONIUM O68.1
73 MAL POSISI/MALPRESENTATION O64.9
74 NST PATOLOGI O68.8
75 NYERI BIBIR VAGINA N94.8
76 OLIGOHYDROMNIOS O41.0
77 PARTUS BY VACUM EXTRACTOR O81.4
78 PARTUS KEMBAR / GEMELLI DGN SC O84.2
79 partus letak muka O80.0
80 PARTUS MULTIPLE / GEMELLI UNSFICIFIED O84.9
81 PARTUS NORMAL O80.9
82 PARTUS PRETERM / PREMATURE O60
83 PARTUS SPONTAN / MELAHIRKAN NORMAL O80.9
84 PLACENTA PREV WITHOUT HEMORRHAGE O44.0
85 PLACENTA PREVIA WITH HEMORRHAGE O44.1
86 POST DATE O48
87 PPH (POST PARTUM HEMORRAGE) / HPP O72.1
88 PPH STAGE 2 DAN DELAYED O72.2
89 PPH THIRD STAGE O72.0
90 PPI (PARTUS PREMATURE IMMINENS) O60.0
91 PRE-ECLAMPSIA BERAT (PE B) O14.1
92 PRE-ECLAMPSIA RINGAN O13
93 PRE-ECLAMPSIA SEDANG (PE S) O14.0
94 PRE-ECLAMPSIA UNSPICIFIED O14.9
95 PRE-ECLAMPSIA SUPERIMPOSED O11
96 PRIMITUA O71.1
97 PROLONG LATEN FASE O63.9
98 PRP/PID(PENYAKIT RADANG PANGGUL) N73.9
 99 PROGRAM HAMIL Z01.4
100 RUI (Rupture Uterus Imminens) O71.1
101 RUPTUR PERENIUM COMPL. DELIVERY GR II O70.1
102 RUPTUR UTERY O71.1
103 RHPH (HAMIL) O99.5
104 repair perinium O70.2
105 SC CITO / EMERGENCY O82.1
106 SC ELEKTIF (TERENCANA) O82.0
107 SC UNSFICIFIED O82.9
SEPSIS ABORTION O07.5
TETANIA UTERI / HYPERTONI UTERI O62.4
TOPH (HAMIL) O99.5
TTH
SOL
DYSMINNOREA N94.6
PPI (PARTUS PREMATURE IMMINENS) O60.0
GANGGUAN PRETERM KOMBINASI PPI O99.8
HAMIL LAGI SETELAH BANYAK ABORSI (BAYI MAHAL) O31.1
MISSING TAIL (iud)
 KODE POLI GIGI
NO DIAGNOSA KODE
1 CALCULLUS DENTAL K03.6
2 DENTOLOUS K08.2
3 GANGRENE PULPAL (GANGRENE RADIKS) K04.1
4 KONTROL GIGI Z01.2
5 ORTHODONSIA/ORTHODONTICS/PROFRUSI Z51.8
6 GOYANG FISIOLOGIS (ERUPTION TOOTH) K00.6
7
8
9
10
11
12
13
14
15
 KODE POLI BEDAH
NO DIAGNOSA KODE
1 ABSES COLLI/ NECK (LEHER) L02.1
2 ABSES MANDIBULA K10.0
3 ABSCES PERINEAL/ANAL/PERINEUM K61.0
4 ABSCESS AXILLA L02.8
5 ABSCESS THORAX L02.2
6 ABSCESS REGIO ILEACA M71.05
7 BBB( BATU BULI BULI)/BSK(BATU SALURAN KEMIH) N21.0
8 BPH ( Benign Prostate Hyperthrophy ) N40
9 BATU GINJAL N20.0
10 BATU COLEDOCUS K80.5
11 CA MAMMAE C50.1
12 CF CALCANEUS S92.00
13 CF CLAVICULA/CLAVICLE S42.0
14 CF HUMERUS S42.3
15 CF METACARPAL MANUS ( TELAPAK TANGAN) S62.3
16 CF PHALANG MANUS (FRAKTUR OF OTHER FINGER) S62.60
17 CRUSH INJURY MANUS T14.7
18 CLOSED FRACTURE CALCANEUS S92.00
19 CF FEMUR (PROXIMAL/NECK/DIATAS) S72.00
20 CF GALEAZZI ( SAFT OF RADIUS) S52.30
21 CF FEMUR (DISTAL/LOWER) S72.40
22 CF LATERAL CONDYLE HUMERUS S42.40
23 CONTUSIO MUSCLE T14.6
24 CONTUSIO MUSCULORUM S60.2
25 CYSTA OVARI TERPELUNTIR / TORSION N83.5
26 CARCINOMA BUCCAL/CHEEK/PIPI C06.0
27 CHOLELITIASIS K80.8
28 DE QUERVAIN TENOSYNOVITIS M65.4
29 DENTOLOUS K08.2
30 FISTULA PERIEANAL K60.3
31 EPIDIDIMO ORCHITIS D. N45.9
32 GALBLADER/COLESITIASIS K80.2
33 GASTRITIS K29.5
34 GANGLION M67.4
35 HIL/HIM(HERNIA INGUINAL LATERAL) BILATERAL K40.2
36 HIL/HIM(HERNIA INGUINAL LATERAL) UNILATERAL K40.9
37 HIL/HIM (HERNIA INGUINAL MEDIALIS/LATERALIS)INKARSERATA K40.3
38 HIL/HIM (HERNIA INGUINAL MEDIALIS/LATERALIS)SRANGULATA K40.4
39 INFECTED UNION TIBIA PLATEAU T84.6
40 KNEE EFUSI M25.46
41 LOW BACK PAIN M54.5
42 LIPOMA R. STERNUW D17.1
43 MALUNION ULNA ( MALUNION OF FRACTURE) M84.0
44 MEDIAL MALLEOLUS S82.5
45 MAMMAE ABERANCE/ABERRANT Q83.8
46 MUSCLE SPRAINT ( PUNGGUNG BAWAH/PELVIS) S39.0
47 MUSCLE SPASME/PUNDAK/SHOULDER M62.81
48 MNT(MULTIPLE NODULAR THYROID) E04.2
49 NEGLETED MALUNION DISTAL RADIUS/Fracture of lower end of radius S52.5
50 OF PHALANG 1 PEDIS ( FRACTURE OF OTHER TOE) S92.5
51 OF PHALANG MANUS ( PHALANG FINGER) S62.61
52 OPEN FRACTURE CALCANEUS S92.01
53 OF GALEAZZI ( SAFT OF RADIUS) S52.31
54 ORCHITIS N45.9
55 OF ULNA PROXIMAL S52.01
56 PERITONITIS GENERALIZED DENGAN APPENDICT K35.2
57 POST OPERASI Z48.8
58 POST OPERASI TULANG Z47
59 PSEUDOJONES FRACTURE / FRACTURE OF METATARCAL S92.3
60 PHIMOSIS N47
61 SNT(SINGLE NODULAR THYROID) E04.1
62 STT ( SOFT TISSUE TUMOR) AXILLA / THORAX D21.3
63 STT ( SOFT TISSUE TUMOR) THORAX D21.3
64 STT ( SOFT TISSUE TUMOR) HEAD/FACE/COLLI/NECK/MANDIBULA/MAXILLA D21.0
65 STT ( SOFT TISSUE TUMOR) SCAPULA/SHOULDER D21.1
66 STT ( SOFT TISSUE TUMOR) GENU/KNEE/LUTUT D21.2
67 STT REGIO BRACHII UPPER ARM M79.92
68 TENDINITIS M77.94
69 TUMOR MAXILLA (PIPI KIRI) D16.4
70 TRINGGER FINGER M65.3
TUMOR MAMMAE/BREAST D24
WRIST STIFF M25.64
ISK N39.0
ABSES MAMAE N61
 KODE TINDAKAN

NO TINDAKAN KODE
1 ADESIOLISIS 54.59
2 DC DIIKUTI KELAHIRAN / ABORSI 69.02
3 DC OTHER 69.09
4 DC PREGNANCY / KEHAMILAN 69.01
5 DELIVERY assisted spontaneous 73.59
6 EKSISI CYSTA BARTOLIN 71.24
7 EKSISI LESION / TISSUE OF CERVIX 67.39
8 HISTERECTOMY UNSFICIFIED 68.9
9 HYSTERECTOMY ABDOMINAL 68.49
10 HYSTERECTOMY OF VAGINAL 68.59
11 INDUKSI OTHER 73.1
12 INDUKSI SURGICAL 73.01
13 LAPARATOMY 54.19
14 OXIGEN 93.96
15 PARTUS NORMAL 73.59
16 PEMERIKSAAN FISIK 89.7
17 SALPHINGO-OOPHORECTOMY 65.49
18 SC CLASICAL (BIASA) ` 74.0
19 SC OTHER / SCTP 74.4
20 SC UNSFISIFIED 74.99
21 STERILIZATION / TUBECTOMY 66.39
22 Tonsillectomy without adenoidectomy 28.2
23 TRANSFUSI PACKED CELLS / PRC 99.04
24 LABORATORIUM
25 REPAIR OF VAGINA 70.79
26 MARSUPILIASI CYSTA BARTOLIN 71.23
27 CYSTECTOMY OF OVARI 65.29
28 RAWAT LUKA RJ 96.59
29 PAP SMEAR 91.41
30 PEMERIKSAAN NST 75.34
31 USG KEHAMILAN 88.78
32 REPAIR PERINIUM 75.69
33 LUKA ROBEK (JAHIT, RAWAT LUKA) 86.22
34 LUKA ROBEK (BUKA JAHITAN kepala dan leher) 97.38
35 HYSTERORAPHY 69.41
36 OOPORECTOMY 65.39
37 ADESIOLISIS 54.59
OPEN REDUCTION INTERNAL FIXATION IN TIBIA 79.3
BIOPSY CERVIX 67.12
BIOPSY VULVA 71.11
BIOPSY VAGINA 70.24
FOTOTERAPY 99.83
OPEN REDUCTION OF FRACTURE 79.31
EXTIRPASI POLYP ENDUCERVIX/CONIZATION OF CERVIX 67.2
DILATASI 67'.0
CURRETAGE 69.52
ORIF(Open Reduction Internal Fixation) 79'.80
repair vagina obstetric 75'.69
DEBRIDEMENT KAKI 79'.68
DEBRIDEMENT TANGAN Z
TINDAKAN KB ( IUD) 69.7
INCISION BIOPSY BREAST ( PAYUDARA) 85.0
OPEN BIOPSY OF BREAST 85.12
PERAWATAN LUKA (BALUT LUKA) 93.57
tindakan luka bakar 86.28
BUKA JAHITAN (seluruh bagian tubuh) 97.89
OSTEOTOMI PARTIAL 77.30
EXERCISE 93.19
EXCISION SOFT TISSUE TUMOR HAND 82.29
X-RAY ABDOMEN (PERUT) 88.19
X-RAY METACARPAL (HAND) 88.23
X-RAY METATARSAL (FOOT/TELAPAK KAKI) 88.28
X-RAY KNEE/GENU(LUTUT) 88.27
X-RAY PADA LENGAN ATAS ( SHOULDER AND UPPER ARM) 88.21
X-RAY PADA LENGAN BAWAH ( ELBOW AND FORE ARM) 88.22
X-RAY PADA PERGELANGAN TANGAN ( WRIST AND HAND) 88.23
X-RAY MULTIPLE EXTREIMTAS ATAS 88.24
X-RAY PADA PINGGUL DAN PANGGUL (PELVIS AND HIP) 88.26
X-RAY thigh, knee, and lower leg (PAHA. LUTUT, BETIS) 88.27
X-RAY ankle and foot ( PERGELANGAN KAKI DAN KAKI) 88.28
HERNIOTOMY BILATERAL 53.11
INJECTION INTRAARTICULAR 83.98
INCISION PERINEAL ABSCES 49.01
PEMASANGAN GIPS 93.53
Extraction of other tooth (CABUT GIGI) 23.09
ORIF(Open Reduction Internal Fixation) ulna 79.32
FISTULECTOMY 49.12
NEBULIZER 93.94
DIVISION OF JOINT 80.49
REPOSISI 79.01
OPEN HERNIOTOMY UNILATERAL 53.02
EXCISION LUAS 83.39
HERNIORAPHY BILLATERAL 53.1
NECROTOMY 86.22
GAIT EXERCISE 93.22
EXCISON TUMOR MAMAE 85.24
OTHER HERNIA REPAIR 53.9
INCISION DRAINAGE 86.04
EKSTIRPASI 71.9
TUMPATAN (TAMBAL GIGI) 23.2
BUKA SPLINT 97.88
 KODE POLI INTERNA
NO DIAGNOSA KODE
1 CHF ( CONGESTIV HEART FAILURE) I50.0
2 CKD (CHRONIC KIDNEY DISEASE ) N18
3 DM (DIABETES MELLITUS) INSULIN E10.8
4 DYSPEPSIA K30
5 HYPERTENSION I10
6 ICTERUS R17
7 LOW BACK PAIN M54.5
8 PPOK/COPD (CRONIC OBSTRUCTIVE PULMONARY DISEASE) J44.9
9 OSTEOARTRHITIS M19.9
10 TTH G44.2
11
12
13
14
15
16
17
18
19
20
 KODE POLI SARAF
NO DIAGNOSA KODE
1 TRANS ISCEMIC (TIC) FASIALIS F95.9
2 VERTIGO H81.1
3 HYPERTENSION I10
4 STROKE LAMA I61.9
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20