ICD 10 DIAGNOSA ICD 9 TINDAKAN KELAS 1 KELAS 2

C50.9 Malignant neoplasma of breast, unspecified 85.43 Unilateral extended simple mastectomy 6,105,500 5,233,300
K40.0 Bilateral inguinal hernia, with obstruction, without gangrene 53.05 unilateral repair of inguinal hernia ewith graft or preosthesis, not otherwise specified 5,697,400 4,883,500
D24 Benign neoplasma of breast 85.21 Local excision of lesion of breast 6,105,500 5,233,300
D23.7 Other benign neoplasma of skin of lower limb, including hip 86.3 Other local excision or destruction of lesion or tissue of skin and subcutancous tissue 4,650,800 3,986,400
I84.0 Internal thrombosed haemorrhoids 49.46 excision of hemoorrhoids 5,562,300 4,767,700
N40 Hyperplasia of prostate 60.3 Suprapubic prostatectomy 4,512,500 3,867,900
K60.3 Anal Fistula 49.12 Anal Fistulectomy 7,223,300 6,191,400
E11.8 Non insulin dependent diabetes melitus with unspecified complications 99.05 Tranfsfusion of Plateles
D69.6 Thrombocytopenia unspecified
D34 Benign neoplasma of thyroid gland 06.2 Unilateral thyroid lobectomy 7,021,600 6,018,600
K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene 53.05 Unilateral repair of inguinal hernia with graft or prosthesis not otherwise specified 5,697,400 4,883,500
N40 Hyperplasia of prostate 60.3 Suprapubic prostatectomy 4,512,500 3,867,900
I45.1 Other and unspecified right bundle-branch block
K40.9 Unilateral or unspecified inguinal hernia, with obstruction or gangrene 53.05 Unilateral repair of inguinal hernia with graft or prosthesis not otherwise specified 10,490,800 8,992,100
I11.o Hypertensive heart disease with (congestive)hearth failure
K35.2 Acute appendicitis with generalized peritonitis 47.09 Other Appendectomy 3,510,800 3,009,200
C20 MAlignant neoplasma of rectum 45.23 Colonoscopy 6,597,900 5,655,400
D63.0 Anaemia in neoplastie disease
N21.0 Calculus in bbladder 57.21 Vesicostomy 8,113,300 6,954,300
N47 Redundant prepuce, phimosis and paraphimosis 64.0 Circumcision 1,329,700 1,139,700
L02.2 Cutaneous abscess, furuncle and carbuncle of trunk 86.22 Excisional debridement of wound, infection or burn 1,588,200 1,361,300
J01.1 Acute maxilary sinusitis
N40 Hypeplasia of prostate 60.3 Suprapubic prostatectomy 4,512,500 3,867,900
D23.9 Other benign neoplasma of skin unspecified 86.3 Other local excision or destruction of lesion or tissue of skin and subcutancous tissue 4,650,800 3,986,400
K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene 53.05 Repair of inguinal hernia with graft or prosthesis, not otherwise specified 5,697,400 4,883,500
K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene 53.05 Repair of inguinal hernia with graft or prosthesis, not otherwise specified 5,697,400 4,883,500
L98.9 Disorder of skin and subcutaneous tissue, unspecified 86.60 Free skin graft, not otherwise specified 8,298,700 7,113,200
K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene 53.05 Repair of inguinal hernia with graft or prosthesis, not otherwise specified 5,697,400 4,883,500
D24 Benign neoplasm of breast 86.3 Other local excision or destruction of lesion or tissue of skin and 4,650,800 3,986,400
K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene
53.00 Unilateral repair of inguinal hernia, not otherwise specified 5,697,400 4,883,500
E11.6 Non-insulin-dependent diabetes mellitus with other specified complications
D16.3 Benign neoplasm, short bones of lower limb 80.87 Other local excision or destruction of lesion of ankle joint 13,823,500 11,848,700
D24 Benign neoplasm of breast 85.21 Local excision of lesion of breast 6,105,500 5,233,300
K60.3 Anal fistula
49.11 Anal fistulotomy 7,223,300 6,191,400
E11.5 Non-insulin-dependent diabetes mellitus with peripheral circulatory complications
D24 Benign neoplasm of breast
85.21 Local excision of lesion of breast 6,105,500 5,233,300
R73.9 Hyperglycaemia, unspecified
K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene 53.05 Repair of inguinal hernia with graft or prosthesis, not otherwise specified 5,697,400 4,883,500
D23.9 Benign neoplasm, skin, unspecified 86.3 Other local excision or destruction of lesion or tissue of skin and 4,650,800 3,986,400
K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene
53.05 Repair of inguinal hernia with graft or prosthesis, not otherwise specified 6,677,200 5,723,300
R00.1 Bradycardia, unspecified
D24 Benign neoplasm of breast 85.21 Local excision of lesion of breast 6,105,500 5,233,300
Hyperglycaemia, unspecified
K80.1 Calculus of gallbladder with other cholecystitis 51.22 Cholecystectomy 6,378,700 5,467,400
E16.2 Hypoglicemia unspecified
K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene 53.00 Unilateral repair of inguinal hernia, not otherwise specified 5,697,400 4,883,500
KELAS 3
4,361,100
4,069,600
4,361,100
3,322,000
3,973,100
3,223,300
5,159,500

5,015,500
4,069,600
3,223,200

7,493,400

2,507,700
4,712,800

5,795,200
949,800
1,134,400

3,223,200
3,322,000
4,069,600
4,069,400
5,927,600
4,069,400
3,322,000

4,069,400

9,873,900
 4,361,100

5,159,500

4,361,100

4,069,600
3,322,000

4,769,400

4,361,100

4,556,200

4,069,600
 ICD 10 DIAGNOSA ICD 9 TINDAKAN KELAS 1 KELAS 2 KELAS 3

K60.3 Anal Fistula 49.12 Anal Fistulectomy 7,223,300 6,191,400 5,159,500

E11.8 Non insulin dependent diabetes melitus with unspecified complications 99.05 Tranfsfusion of Plateles

D69.6 Thrombocytopenia unspecified

D34 Benign neoplasma of thyroid gland 06.2 Unilateral thyroid lobectomy 7,021,600 6,018,600 5,015,500

K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene 53.05 Unilateral repair of inguinal hernia with graft or prosthesis not otherwise specified 5,697,400 4,883,500 4,069,600

N40 Hyperplasia of prostate 60.3 Suprapubic prostatectomy 4,512,500 3,867,900 3,223,200

I45.1 Other and unspecified right bundle-branch block

K40.9 Unilateral or unspecified inguinal hernia, with obstruction or gangrene 53.05 Unilateral repair of inguinal hernia with graft or prosthesis not otherwise specified 10,490,800 8,992,100 7,493,400

I11.0 Hypertensive heart disease with (congestive)hearth failure

K35.2 Acute appendicitis with generalized peritonitis 47.09 Other Appendectomy 3,510,800 3,009,200 2,507,700

C20 MAlignant neoplasma of rectum 45.23 Colonoscopy 6,597,900 5,655,400 4,712,800

D63.0 Anaemia in neoplastie disease

N21.0 Calculus in bbladder 57.21 Vesicostomy 8,113,300 6,954,300 5,795,200

N47 Redundant prepuce, phimosis and paraphimosis 64.0 Circumcision 1,329,700 1,139,700 949,800

L02.2 Cutaneous abscess, furuncle and carbuncle of trunk 86.22 Excisional debridement of wound, infection or burn 1,588,200 1,361,300 1,134,400

J01.1 Acute maxilary sinusitis

N40 Hypeplasia of prostate 60.3 Suprapubic prostatectomy 4,512,500 3,867,900 3,223,200

D23.9 Other benign neoplasma of skin unspecified 86.3 Other local excision or destruction of lesion or tissue of skin and subcutancous tissue 4,650,800 3,986,400 3,322,000

K35.8 Acute Appendicitis , unspecified 47.09 Other Appendectomy 3,510,800 3,009,200 2,507,700

T31.5 Burns involving 50-59% of body surface 86.22 Excisional debridement of wound, infection or burn 8,781,600 7,527,100 6,272,600

A41.9 Septicaemia unspecified

E44.0 Moderate protein enrgy malnutrition

K35.8 Acute Appendicitis unspecified 47.09 Other Appendectomy 3,861,900 3,310,200 2,758,500

K76.0 Fatty(change 0f) liver, not elsewhere classified

K80.1 Calculus of gallbladder with other cholecystitis 51.22 Cholecystectomy 6,378,700 5,467,400 4,556,200

E16.2 Hypoglicemia unspecified

K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene 53.00 Unilateral repair of inguinal hernia, not otherwise specified 5,697,400 4,883,500 4,069,600
 ICD 10 DIAGNOSA ICD 9

K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene 53.05

K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene 53.05

L98.9 Disorder of skin and subcutaneous tissue, unspecified 86.60

K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene 53.05

K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene 53.05

K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene

53.00
E11.6 Non-insulin-dependent diabetes mellitus with other specified complications

D16.3 Benign neoplasm, short bones of lower limb 80.87

D24 Benign neoplasm of breast 85.21

K60.3 Anal fistula

49.11
E11.5 Non-insulin-dependent diabetes mellitus with peripheral circulatory complications

D24 Benign neoplasm of breast

85.21
R73.9 Hyperglycaemia, unspecified
 TINDAKAN KELAS 1 KELAS 2 KELAS 3

Repair of inguinal hernia with graft or prosthesis, not otherwise specified 5,697,400 4,883,500 4,069,600

Repair of inguinal hernia with graft or prosthesis, not otherwise specified 5,697,400 4,883,500 4,069,400

Free skin graft, not otherwise specified 8,298,700 7,113,200 5,927,600

Repair of inguinal hernia with graft or prosthesis, not otherwise specified 5,697,400 4,883,500 4,069,400

Repair of inguinal hernia with graft or prosthesis, not otherwise specified 5,697,400 4,883,500 4,069,400

Unilateral repair of inguinal hernia, not otherwise specified 5,697,400 4,883,500 4,069,400

Other local excision or destruction of lesion of ankle joint 13,823,500 11,848,700 9,873,900

Local excision of lesion of breast 6,105,500 5,233,300 4,361,100

Anal fistulotomy 7,223,300 6,191,400 5,159,500

Local excision of lesion of breast 6,105,500 5,233,300 4,361,100

 ICD 10 DIAGNOSA ICD 9
C50.9 Malignant Neoplasm of breast 85.21
N40 Benign prostate hiperplasia 53.61
K40.9 Hernia Inguinal Lateral 53.00
K35.8 Acute Appendicitis 54.11
D24 Benign prostate hiperplasia 85.21
D24 Benign prostate hiperplasia 85.21
86.72
N40 Hyperplasia of prostate 53.61
K80.0 Calculus of gallbladder with acute cholecystis 21.22
K35.8 Acute Appendicitis, unspoecified
I84.0 Internal Thrombosed Haemoorhoids 49.46
K62.5 Haemorrhage of anus and rectum 49.45
N40 Hyperplasia of prostate 60.3
R31 Unspecified Haematuria

ICD 10 DIAGNOSA ICD 9

C50.9 Malignant neoplasm of breast, unspecified 85.43
40.51
85.84
D23.9 Benign Neoplasm of skin unspecified 86.3
K40.3 Unilateral or unspecified inguinal hernia, without obstruction or gangrene 53.00
R00.1 Bradycardia unspecified
D24 Benign neoplasm of breast 06.39
K35.8 Acute Appendicitis, unspecified 47.09
N47 Redundant pepuce phimosis and paraphymosis 64.2
86.72
TINDAKAN KELAS 1 KELAS 2 KELAS 3
Local excision of lesion of breast 6,105,000 5,233,300 4,361,100
Other open incisional hernia repair with graft or prosthesis 3,112,900 2,668,200 2,223,500
Unilateral repair of inguinal lateral 5,697,400 4,883,500 4,069,600
Explorasi Laparatomy 7,279,500 6,239,600 5,199,600
Excisi mamme 6,105,500 5,223,300 4,361,100
Local excision of lesion of breast 8,298,700 7,113,200 5,927,600
Advancedment of pedicle graft
Other open incisional hernia repair with graft or prosthesis 3,112,900 2,668,200 2,223,500
Cholecystectomy 6,378,700 5,467,400 4,556,200
Other Appendectomy
Excision of hemoorrhoid 5,562,300 4,767,700 3,973,100
Ligation of hemoorhoids
Suprapubic Prostatectomy 4,512,500 3,867,900

TINDAKAN KELAS 1 KELAS 2 KELAS 3

Unilateral extended simple mastectomy 8,298,700 7,113,200 5,927,600
Radical excision of axillary limph nodes
pedicle graft to breast
Other local excision or destruction of lesion or tissue of skin and subcutaneous tissue 4,650,800 3,986,400 3,322,000
Unilateral repair of inguinal hernia with graft or prosthesis not otherwise specified 6,677,200 5,723,300 4,769,400

Other partial thyroidectomy 7,021,600 6,018,600 5,015,500

Other Appendectomy 3,510,800 3,009,200 2,507,700
Local excision or destruction of lesion of penis 8,298,700 7,113,200 5,927,600
Advancement of pedicle graft