NO NO SEP DIAGNOSA AWAL

1 1321R0011018V001902 Hydronephrosis with renal and

ureteral calculous obstruction;I25.2
Old myocardial infarction

2 1321R00101180001845 I110Hypertensive heart disease with

congestive heart failure; I252 - Old
myocardial infarction; J188 - Other
pneumonia, organism unspecified; E876
- Hypokalaemia

3 1321R00101180007378 I110Hypertensive heart disease with

congestive heart failure;I252 - Old
myocardial infarction; J189 - Pneumonia,
unspecified; I493 - Ventricular premature
depolarization

4 1321R00101180011722 I110Hypertensive heart disease with

congestive heart failure;I25.2 - Old
myocardial infarction; I48 - Atrial
fibrillation and flutter; E875 -
Hyperkalaemia

5 1321R00101180011779 I110Hypertensive heart disease with

congestive heart failure; I25.2 - Old
myocardial infarction

6 1321R00101180014514 I10Essential primary hypertension;I252 -

Old myocardial infarction; R040 -
Epistaxis

7 1321R00101180017304 I10Essential primary hypertension;I252 -

Old myocardial infarction; E109 - Insulin-
dependent diabetes mellitus without
complications

8 1321R00102180001508 I110Hypertensive heart disease with

congestive heart failure;I252 - Old
myocardial infarction; E119 - Non-
insulin-dependent diabetes mellitus
without complications
 9 1321R00102180002742 I110Hypertensive heart disease with
congestive heart failure;I252 - Old
myocardial infarction

10 1321R00102180004930 I110Hypertensive heart disease with

congestive heart failure;I252 - Old
myocardial infarction; I493 - Ventricular
premature depolarization

11 1321R00102180005346 I110Hypertensive heart disease with

congestive heart failure;I20.0 - Unstable
angina

12 1321R00102180006434 I12.9 Hypertensive renal disease without

renal failure;I259 - Chronic ischaemic
heart disease, unspecified

13 1321R00102180008438 I110Hypertensive heart disease with

congestive heart failure;I252 - Old
myocardial infarction

14 1321R00102180010654 I110Hypertensive heart disease with

congestive heart failure;I252 - Old
myocardial infarction

15 1321R00103180003701 I110Hypertensive heart disease with

congestive heart failure;I252 - Old
myocardial infarction

16 1321R0010418V009172 O60.1 Preterm labour with preterm

delivery; O809 - Single spontaneous
delivery, unspecified
17 1321r0010618v002160(kls 3p36.9 Bacterial sepsis of newborn;P07.1
Other Low Birth;Z38.0 Singleton

18 1321r0010618v002260 (kls 3R50.0 Fever

19 1321r0010618v004428(kls 3N13.1 Hydronephrosis with urethral
stricture

20 1321r0010618v006672 (kls 3P07.1 Other Low Birth;Z38.0 Singleton

21 1321r0010618v010758 (kls 1Q62.1 Atresia and stenosis of ureter

22 1321r0010718v000923(kls 1N13.1 Hydronephrosis with urethral

stricture

23 1321r0010718v001842(kls 1H18.5 Hereditary corneal dystrophy;

Z41.9 Extracorporeal dialysis; D63.8
Anemia
24 1321r0010718v002651(kls3)A09.9 GEA; E86 Volume depletion ;
E87.6

25 1321r0010718v004447(kls 3N35.9 Uretral stricture ; N21.1 Calculuc

of uretra

26 1321R0010718V006550 i63.8 Cerebral infract; E10.9 IDDM ; I51.7

Cardiomegaly
27 1321r0010718v010581(kls 3N13.5 Kinking and stricture of ureter
without hydronephrosis

28 1321r0010818v003080 N13.2 hydronephrosis with renal and

uretral calculous obstruction N13.1
Hydronephrosis with urethral stricture

29 1321r0010818v010304 I25.2 OMI ; I45.1 Other and unspecified

RBBB

30 1321R0010818V012260 N20.1Calculus of ureter;

z96.1Presence of urogenital implants

31 1321r0010818v012281 P07.1 Other Low Birth;Z38.0 Singleton

32 1321R0010818V013411 O60.1 Preterm labour with preterm

delivery; O809 - Single spontaneous
delivery, unspecified
33 1321R0010918v000029 Calculus of kidney

34 1321r0010918v004567 P07.1Other low birth Z35.8 Singleton

35 1321r0010918V008562 B23.8 HIV disease resulting in other
specified condition

36 1321r0010918V008562(kls1)B23.8 HIV disease resulting in other

specified condition

37 1321r0010918v009579 p07.1 other low birth'P03.4 Fetus and

newborn affected by
sc,z38.0singleton
38 1321R0010918v013679 Calculus of kidney

39 1321r0010918v015787 M95.2 Other acquired deformity of

head

40 1321R0010918V016876 Calculus of kidney

41 1321R0010918v017063 p07.1 other low birth'P03.4 Fetus and

newborn affected by sc,z38.0singleton

42 1321R0011018V000544 Calculus of ureter

43 1321r0011018v008159 N40 BPH

44 1321R0011018V010235 Calculus of kidney

45 1321R0011018V013299 N18.5 CKD Stage 5; D63.8 Anemia;B24

Unspecified
46 1321r0011018v013970 m86.88 other osteomyelitis' E10.9 IDDM

47 1321R0011018V014672 Calculus of kidney

48 1321R0011018V015412 Calculus of kidney

49 1321R00112170016950 I110Hypertensive heart disease with

congestive heart failure;I252 - Old
myocardial infarction

50 1321R0010618V001186 J47
51 1321R0010618V001262 Z09.8; Q37.9 Unspecified cleft palate
with unilateral cleft lip

52 1321R0010618V000867 A30.9
53 1321R0010618V000859 I11.0
54 1321R0010618V000596 Z09.8;G80.9 Infantile cerebral palsy,
unspecified

55 1321R0010618V002076 K59.0
56 1321R0010618V001994 I25.2
57 1321R0010618V001957 I25.2
58 1321R0010618V001906 N18.5
59 1321R0010618V002448 E87.6
60 1321R0010618V002579 I25.1
61 1321R0010618V002850 E87.6
62 1321R0010618V002877 I25.2
63 1321R0010618V003396 J46
64 1321R0010618V004499 A41.9
65 1321R0010618V004473 K59.0
66 1321R0010618V004095 K30
67 1321R0010618V004073 j18.9; K30
68 1321R0010618V005206 K30
69 1321R0010618V006956 A36.9; J39.8
70 1321R0010618V010404 I21.9
71 1321R0010618V007195 N04.9
72 1321R0010618V007309 K30
73 1321R0010618V007365 J46
74 1321R0010618V007519 G62.9
75 1321R0010618V007931 R56.0
76 1321R0010618V008007 I25.1
77 1321R0010618V008265 K30
78 1321R0010618V009289 I11.0
79 1321R0010618V009449 N18.9
80 1321R0010618V008966 K30
81 1321R0010618V009334 I25.9; K30
82 1321R0010618V009641 I25.2; E11.9, K59.0
83 1321R0010618V009752 K30
84 1321R0010618V010577 J42; E11.9
85 1321R0010618V010545 J18.9
86 1321R0010618V010684 K30
87 1321R0010618V010609 E16.2; E79.0
88 1321R0010618V010121 I13.0
89 1321R0010618V011587 J90
90 1321R0010618V011468 J42
91 1321R0010618V011438 I25.1
92 1321R0010618V012129 Z09.8; E46 Unspecified protein-energy
malnutrition

93 1321R0010618V012287 K30
94 1321R0010618V012161 A16.5
95 1321R0010618V000444 Z50.1 Other physical therapy; M479 -
Spondylosis, unspecified
96 1321R0010718V000541 K30
97 1321R0010718V000653 K74.6
98 1321R0010718V000604 K30
99 1321R0010718V001558 F06.1
100 1321R0010718V001513 I11.0
101 1321R0010718V001526 K40.9; N40
102 1321R0010718V002350 K59.0
103 1321R0010718V002928 K30
104 1321R0010718V003236 I25.2
105 1321R0010718V003272 I11.0
106 1321R0010718V003060 I25.1
107 1321R0010718V003147 I21.9
108 1321R0010718V002732 B02.2; B86
109 1321R0010718V014398 Z50.1 Other physical therapy
110 1321R0010718V005367 Z09.8; F20.0
111 1321R0010718V004724 I25.2
112 1321R0010718V006267 J90
113 1321R0010718V006234 I50.9; I25.1; E11.9
114 1321R0010718V005960 R04.2
115 1321R0010718V005864 K30
116 1321R0010718V006951 J44.0
117 1321R0010718V007828 J18.9
118 1321R0010718V007737 K30
119 1321R0010718V008587 K21.9
120 1321R0010718V009512 E87.6; G62.9
121 1321R0010718V009361 K30
122 1321R0010718V009144 I25.2; E11.9
123 1321R0010718V010311 I25.2
124 1321R0010718V010186 I25.2
125 1321R0010718V010043 N20.0;K30
126 1321R0010718V011069 I25.2;I50.9
127 1321R0010718V011150 K30
128 1321R0010718V011794 I50.9
129 1321R0010718V011961 Q43.1
130 1321R0010718V011932 K30
131 1321R0010718V011854 J18.9
132 1321R0010718V012820 I25.1
133 1321R0010718V012728 I50.9;I25.1
134 1321R0010718V012725 N18.9
135 1321R0010718V012655 I21.9
136 1321R0010718V012705 I25.2; I50.9
137 1321R0010718V012666 I50.9; I25.1
138 1321R0010718V012698 G51.0
139 1321R0010718V012487 J18.9 ;I25.1
140 1321R0010718V014022 N18.9
141 1321R0010718V013391 K30
142 1321R0010718V014000 I25.1
143 1321R0010718V014135 A30.9
144 1321R0010718V014823 J18.9
145 1321R0010718V014870 J18.8
146 1321R0010718V014669 J18.9
147 1321R0010718V014721 I25.2; I50.9
148 1321R0010718V014946 A30.3
149 1321R0010718V014952 K30
150 1321R0010718V015680 I25.1
151 1321R0010718V015589 I25.1; I50.9
152 1321R0010718V016877 J18.9
153 1321R0010718V016690 K30
154 1321R0010718V016708 A30.9
155 1321R0010718V016635 K30
156 1321R0010718V016669 G51.0
157 1321R0010718V017409 K80.2; N18.9
158 1321R0010718V017426 K30; E10.9
159 1321R0010718V017448 K80.2; I12.9
160 1321R0010718V017391 I13.0; I25.2
161 1321R0010718V017922 K30
162 1321R0010718V017428 K30
163 1321R0010718V017712 Z09.8; F25.0
164 1321R0010718V017739 K30
165 1321R0010718V017818 N18.9; E88.0
166 1321R0010718V017677 I50.9; I25.1; N18.9
167 1321R0010718V017519 J90
168 1321R0010718V018279 B02.2;G63.0
169 1321R0010718V018703 K30
170 1321R0010718V018483 K30
171 1321R0010718V018398 K30
172 1321R0010718V018399 K80.2; K83.1
173 1321R0010718V018336 J47
174 1321R0010718V018357 K30
175 1321R0010718V019433 I25.2
176 1321R0010718V019785 K30
177 1321R0010718V019323 K30
178 1321R0010718V019296 K59.0
179 1321R0010119V012603 Z09.8; J90 Pleural effusion, not
elsewhere classified

180 1321R0010119V000042 T01.9 Multiple open wounds,

unspecified
181 1321R0010119V005766 K27.1; e87.6; e87.1,a16.2

182 1321R0010119V010942 S91.3

183 1321R0010119V001776 Z50.1 Other physical therapy; M17.9

Gonarthrosis, unspecified
184 1321R0010119V001736 Z50.1 Other physical therapy; M74.82
Other spondylosis, cervical region

185 1321R0010119V001671 Z50.1 Other physical therapy; M17.9

Gonarthrosis, unspecified
186 1321R0010119V002496 Z50.1 Other physical therapy; J32
Chronic maxillary sinusitis
187 1321R0010119V003611 Z50.1 Other physical therapy; I63.9
Cerebral infarction, unspecified

188 1321R0010119V003682 Z50.1 Other physical therapy; M53.1

Cervicobrachial syndrome
189 1321R0010119V005640 Z50.1 Other physical therapy; M53.1
Cervicobrachial syndrome
190 1321R0010119V006500 Z50.1 Other physical therapy; M54.5
Low back pain
191 1321R0010119V010869 Z50.1 Other physical therapy; F89
Unspecified disorder of psychological
development
192 1321R0010119V010757 Z50.1 Other physical therapy; G51.0
Bell's palsy
193 1321R0010119V018434 Z50.1 Other physical therapy; M47.86
Other spondylosis, lumbar region
194 1321R0010119V001566 I11.0

195 1321R0010119V004005 Z09.8; f31.0

196 1321R0010119V010583 I25.1; i50.9
197 1321R0011218V000442 K30
198 1321R0011218V000544 F91

199 1321R0011218V000906 Z50.1 Other physical therapy; M17.9

Gonarthrosis, unspecified
200 1321R0011218V001252 J47

201 1321R0011218V002700 K30

202 1321R0011218V003702 Z50.1 Other physical therapy; M47.86

Other spondylosis, lumbar region

203 1321R0011218V003836 I25.1

204 1321R0011218V003418 Z09.8; f31.0
205 1321R0011218V004667 Z09.3; F20.0

206 1321R0011218V007050 Z09.8; F06.8

207 1321R0011218V007870 Z50.1; G57.0

208 1321R0011218V007723 I20.0

209 1321R0011218V007808 Z50.1 Other physical therapy; M47.86
Other spondylosis, lumbar region

210 1321R0011218V009580 Z50.1 Other physical therapy;

211 1321R0011218V011386 I25.1

212 1321R0011218V011023 K76.1

213 1321R0011218V013322 F20.0

214 1321R0011218V013406 Z50.1 Other physical therapy; M25.68

215 1321R0011218V015437 Z09.8; F06.8

216 1321R0011118V000302 Z50.1 Other physical therapy; M53.1
Cervicobrachial syndrome
217 1321R0011118V000373 Z50.1 Other physical therapy; F82;

218 1321R0011118V002814 T32.5 Corrosions involving 50-59% of

body surface; M47.86 Other spondylosis,
lumbar region
219 1321R0011118V004217 Z50.1 Other physical therapy; M17.9
Gonarthrosis, unspecified
220 1321R0011118V004174 Z50.1 Other physical therapy; M17.9
Gonarthrosis, unspecified
221 1321R0011118V004144 Z50.1 Other physical therapy; M17.9
Gonarthrosis, unspecified
222 1321R0011118V004420 Z50.1 Other physical therapy; M47.86
Other spondylosis, lumbar region
223 1321R0011118V004415 Z50.1 Other physical therapy; M47.86
Other spondylosis, lumbar region
224 1321R0011118V004976 Z50.1 Other physical therapy; M47.86
Other spondylosis, lumbar region
225 1321R0011118V005938 Z50.1; M41.1

226 1321R0011118V006005 Z50.1; G51.0

227 1321R0011118V006826 Z50.1 Other physical therapy; M17.9

Gonarthrosis, unspecified
228 1321R0011118V007738 z50.1; m49.0, A18.0

229 1321R0011118V008838 Z50.1; I63.9

230 1321R0011118V008859 Z50.1; I63.9

231 1321R0011118V009946 Z50.1; F89

232 1321R0011118V010136 Z50.1 Other physical therapy; M17.9

Gonarthrosis, unspecified
233 1321R0011118V014622 Z50.1; I63.9

234 1321R0011118V016092 Z50.1 Other physical therapy; M17.9

Gonarthrosis, unspecified
235 1321R0011118V000464 K30;R11
236 1321R0011118V000264 N18.9; D63.8
237 1321R0011118V000429 M53.1

238 1321R0011118V000294 G50.0

239 1321R0011118V000015 Z09.8; F25.1

240 1321R0011118V000111 F82

241 1321R0011118V000354 N13.2

242 1321R0011118V000007 N13.2

243 1321R0011118V000936 N44

244 1321R0011118V000889 E87.6

245 1321R0011118V001192 N20.9
246 1321R0011118V000849 k30
247 1321R0011118V000902 k59.0
248 1321R0011118V000850 j90
249 1321R0011118V001917 N18.9
250 1321R0011118V002054 N20.0
251 1321R0011118V002510 A91
252 1321R0011118V002690 N18.9
253 1321R0011118V002758 J42
254 1321R0011118V003081 J85.2
255 1321R0011118V003589 R16.0
256 1321R0011118V003635 A91
257 1321R0011118V003479 N20.9

258 1321R0011118V004391 i25.2

259 1321R0011118V004007 S37.0
260 1321R0011118V004386 I21.9
261 1321R0011118V004074 F32.3
262 1321R0011118V004733 j90

263 1321R0011118V004652 K80.2

264 1321R0011118V004724 I25.1

265 1321R0011118V004717 I50.9
266 1321R0011118V006065 I21.9
267 1321R0011118V006186 K30
268 1321R0011118V005631 K30
269 1321R0011118V005672 K30
270 1321R0011118V006162 G62.9
271 1321R0011118V006303 I21.9
272 1321R0011118V006093 I50.9
273 1321R0011118V007061 I25.1

274 1321R0011118V006873 K80.2

275 1321R0011118V007534 I25.1
276 1321R0011118V007591 A91
277 1321R0011118V007364 N13.2

278 1321R0011118V007518 J46

279 1321R0011118V008018 R56.0
280 1321R0011118V008389 I50.9
281 1321R0011118V008500 K30
282 1321R0011118V008275 K80.2

283 1321R0011118V008353 C18.9

284 1321R0011118V008430 K30

285 1321R0011118V008731 I50.9

286 1321R0011118V009011 K30;J06.9
287 1321R0011118V008676 K30;N83.2
288 1321R0011118V010173 J42
289 1321R0011118V010291 A16.5
290 1321R0011118V009715 A91
291 1321R0011118V009716 K76.0; A91
292 1321R0011118V010077 K30

293 1321R0011118V010848 J42

294 1321R0011118V011133 J18.9;E11.9

295 1321R0011118V010875 J18.9
296 1321R0011118V010873 J90
297 1321R0011118V011237 I25.1;E11.9
298 1321R0011118V010988 I25.1; I50.9

299 1321R0011118V011358 K80.2

300 1321R0011118V011141 N23
301 1321R0011118V011413 R56.0
302 1321R0011118V010887 J42

303 1321R0011118V010810 N18.9

304 1321R0011118V010809 K30; I25.2
305 1321R0011118V012271 K30
306 1321R0011118V011711 N18.5
307 1321R0011118V012809 I50.9
308 1321R0011118V012580 I25.1
309 1321R0011118V012790 K30
310 1321R0011118V013530 I25.2,I50.9
311 1321R0011118V014003 F89

312 1321R0011118V013833 R56.0

313 1321R0011118V013843 I50.0;K30
314 1321R0011118V013871 K30;N18.9
315 1321R0011118V013442 N04.9
316 1321R0011118V014004 I25.2,I50.9
317 1321R0011118V014069 I25.2,I50.9
318 1321R0011118V014462 K30;I10
319 1321R0011118V014259 A91
320 1321R0011118V016458 Z09.8;F31.0
321 1321R0011118V014456 I11.0
322 1321R0011118V014937 K30
323 1321R0011118V016221 K30
324 1321R0011118V016186 K30
325 1321R0011118V015804 K30
326 1321R0011018V000042 K30
327 1321R0011018V000065 K30
328 1321R0011018V000623 K30;j06.9
329 1321R0011018V000398 I25.2; I50.9
330 1321R0011018V000119 a90
331 1321R0011018V000538 I25.2
332 1321R0011018V000516 J18.9
333 1321R0011018V000160 j47
334 1321R0011018V001236 G91.9; G80.9
335 1321R0011018V001124 K30
336 1321R0011018V000846 K30
337 1321R0011018V001041 K30
338 1321R0011018V001116 K30;K92.1
339 1321R0011018V001135 J18.9
340 1321R0011018V001238 J44.0
341 1321R0011018V001834 N18.9; J44.9; I25.9
342 1321R0011018V001836 B20.8
343 1321R0011018V001612 I25.2; I50.9
344 1321R0011018V001804 I34.0; I50.9
345 1321R0011018V001841 J18.9
346 1321R0011018V001729 N17.9; E05.9
347 1321R0011018V002220 I25.1; I50.9
348 1321R0011018V002207 I25.1; I50.9, E11.9
349 1321R0011018V002519 I25.2
350 1321R0011018V002795 I50.9
351 1321R0011018V002858 I25.1; I07.9
352 1321R0011018V004352 J42
353 1321R0011018V004063 J42
354 1321R0011018V003720 A91
355 1321R0011018V003731 G91.9
356 1321R0011018V004278 K30
357 1321R0011018V003693 I25.2; K80.2; N18.9
358 1321R0011018V004563 K30

359 1321R0011018V004979 Z50.1; M,54.5

360 1321R0011018V004883 J18.9

361 1321R0011018V004718 I25.1

362 1321R0011018V005024 I11.0
363 1321R0011018V004967 N20.9

364 1321R0011018V004559 K80.2; K75.9

365 1321R0011018V004582 K30
366 1321R0011018V005455 K30; B18.1
367 1321R0011018V005745 k59.0
368 1321R0011018V005678 I25.2; I50.9
369 1321R0011018V005394 i25.2, e11.9
370 1321R0011018V005459 I25.2; I50.9
371 1321R0011018V005391 I25.2; I50.9
372 1321R0011018V006294 J85.2
373 1321R0011018V006149 K30
374 1321R0011018V006416 K30
375 1321R0011018V006010 K30; J44.9
376 1321R0011018V008894 K74.6; K30; E10.9
377 1321R0011018V006899 A90
378 1321R0011018V006768 K30; E79.0
379 1321R0011018V006693 I20.9
380 1321R0011018V008685 A91
381 1321R0011018V007524 N18.9; D63.8; A41.9
382 1321R0011018V007644 N13.2
383 1321R0011018V007502 I50.9
384 1321R0011018V008164 I25.2; I50.9
385 1321R0011018V007802 I50.9; e05.9
386 1321R0011018V007886 I25.2
387 1321R0011018V007771 I25.1
388 1321R0011018V008202 A91
389 1321R0011018V008567 I50.9; I44.7
390 1321R0011018V008639 N18.9; E87.5
391 1321R0011018V008721 N18.9
392 1321R0011018V008764 A16.5; E10.9
393 1321R0011018V008516 B01.9; k30
394 1321R0011018V008512 A16.9
395 1321R0011018V009047 K30
396 1321R0011018V009268 T32.9; R42; S06.4
397 1321R0011018V009238 i50.9;i25.2
398 1321R0011018V009731 T88.7; k30
399 1321R0011018V009768 K30
400 1321R0011018V010402 K30
401 1321R0011018V010405 K30; R02
402 1321R0011018V010420 I11.0
403 1321R0011018V010417 I25.1; I50.9; E11.9
404 1321R0011018V010649 K30
405 1321R0011018V010575 I25.1
406 1321R0011018V010749 K30; I10
407 1321R0011018V010684 I25.2
408 1321R0011018V012564 A18.2
409 1321R0011018V011563 K30
410 1321R0011018V011195 N17.9; K30
411 1321R0011018V011589 A18.2
412 1321R0011018V017162 K30'; E86; R11
413 1321R0011018V012198 I25.2
414 1321R0011018V011997 I25.2; I50.9
415 1321R0011018V011978 j47
416 1321R0011018V012367 E87.6; K30
417 1321R0011018V012201 A36.1
418 1321R0011018V012838 I25.1
419 1321R0011018V014725 C18.9
420 1321R0011018V012891 R33
421 1321R0011018V013129 I25.1; E11.9
422 1321R0011018V012935 I25.1; E11.9
423 1321R0011018V013102 a18.2
424 1321R0011018V013024 M32.9
425 1321R0011018V012975 A91
426 1321R0011018V013866 A16.5
427 1321R0011018V013655 I25.1;I50.9; E11.9
428 1321R0011018V013660 I50.9; I25.1
429 1321R0011018V013872 K30
430 1321R0011018V013523 N13.3
431 1321R0011018V013712 K30
432 1321R0011018V014169 A91
433 1321R0011018V014479 A18.2
434 1321R0011018V014098 I44.2; I45.2; I64
435 1321R0011018V015428 K59.0

436 1321R0011018V015063 K80.2; R10.4

437 1321R0011018V015482 A91
438 1321R0011018V015365 K30
439 1321R0011018V015561 I21.9
440 1321R0011018V015536 I25.1
441 1321R0011018V015431 I25.1
442 1321R0011018V014933 N13.2
443 1321R0011018V015845 I25.1; E11.9
444 1321R0011018V016190 K30
445 1321R0011018V016774 J18.9; B90.9
446 1321R0011018V016535 F23.0
447 1321R0011018V016783 A18.2
448 1321R0011018V016917 K66.0
449 1321R0011018V011399 Z50.1; M17.9
450 1321R0010718V003225 Z501 ; A180 - Tuberculosis of bones and
joints; M490 - Tuberculosis of spine

451 1321R0010718V005791 Z501 ; M2458 - Contracture of joint,

other sites
452 1321R0010718V010922 Z501 ; M653 - Trigger finger

453 1321R0010718V017103 Z501 ; G819 - Hemiplegia, unspecified

454 1321R0010818V001027 Z501 ; M419 - Scoliosis, unspecified

455 1321R0010818V010886 Z501 ; M545 - Low back pain

456 1321R0010818V016206 Z501 ; M531 - Cervicobrachial syndrome

457 1321R0010818V017736 Z501 ; M4782 - Other spondylosis,

cervical region
458 1321R0011018V015990 Z501 ; M4786 - Other spondylosis,
lumbar region
459 1321R0010418V009068 O06.9 Unspecified abortion, complete or
unspecified, without complication

460 1321R0010518V019346 O06.9 Unspecified abortion, complete or

unspecified, without complication

461 1321R0010618V007045 Z35.9Supervision of high-risk pregnancy,

unspecified

462 1321R0010518V017171

463 1321R0010818V009759

464 1321R0010618V007424

465 1321R00101180019398

466 1321R0010718V019542

467 1321R0010718V018424
468 1321R00111170013841

469 1321R0010318V003571

470 1321R0010818V015909

471 1321R00111170016382

472 1321R00111170014759

473 1321R00101180018107

474 1321R0010418V019648

475 1321R00103180012065

476 1321R0010618V011415

477 1321R0010918V012745

478 1321R00111170013740

479 1321R0010918V003657

480 1321R0010618V005592

481 1321R0010318V001678

482 1321R0010518V018835
483 1321R0010518V018129

484 1321R0010718V017827

485 1321R0010718V019388

486 1321R00101180017487

487 1321R00111170005543

488 1321R0010318V001577

489 1321R0010718V018980

490 1321R0010818V000750

491 1321R0010718V018227
 GROUPING
TINDAKAN AWAL BIAYA AWAL
AWAL

98.51 Extracorporeal shockwave N-1-20-I 9,498,600

lithotripsy [ESWL] of the kidney,
ureter and/or bladder

I-4-12-III 5794500

I-4-12-III 4828800

I-4-12-II 4828800

I-4-12-I 3471500

I-4-17-II 3017100

I-4-12-I 3471500

I-4-12-I 3471500
 I-4-12-I 4165800

I-4-12-III 4828800

I-4-12-II 4024000

N-4-16-I 4305900

I-4-12-I 3471500

I-4-12-I 4165800

I-4-12-I 3471500

7359 - Other manually assisted W-4-16-I 2105100

delivery

P-8-13-I 5,323,800

A-4-12-I 2,562,400
56.0 Transurethral removal of N-1-40-I 7,806,800
obstruction from ureter and
renal pelvis;59.8 ureteral
catheterization

P-3-18-I 5,323,800

56.0 Transurethral removal of N-1-40-I 10,929,600

obstruction from ureter and
renal pelvis 59.8 ureteral
catheterization

56.0 Transurethral removal of N-1-40-I 10,929,600

obstruction from ureter and
renal pelvis;59.8 ureteral
catheterization

39.95 Hemodialysis; 99.04 H-4-12-II 5,817,100

Transfusion

k-4-17-II 2,054,000

58.5 Release of urethral N-1-40-II 10,601,500

stricture

87.03 CT scan G-4-14-I 6,814,000

56.0 Transurethral removal of N-1-40-I 7,806,800
obstruction from ureter and
renal pelvis 59.8 ureteral
catheterization

56.0 Transurethral removal of N-1-40-I 9,368,200

obstruction from ureter and
renal pelvis 59.8 ureteral
catheterization

I-4-16-I 2,947,700

98.51 Extracorporeal shockwave N-1-20-I 9,498,600

lithotripsy [ESWL] of the kidney,
ureter and/or bladder,97.65
Removal of other urinary
drainage device
P-8-13-I 5,323,800

7359 - Other manually assisted W-4-16-I 2105100

delivery

98.51 Extracorporeal N-1-20-I 9,498,600

shockwave lithotripsy [ESWL]
of the kidney, ureter and/or
bladder,97.65 Removal of
other urinary drainage device

P-8-13-I 5,323,800
 A-4-15-I 19,664,800

A-4-15-I 19,664,800

P-8-13-I 5,323,800

98.51 Extracorporeal shockwave N-1-20-I 9,498,600

lithotripsy [ESWL] of the kidney,
ureter and/or bladder

02.07 removal of skull plate G-1-10-I 16,887,000

98.51 Extracorporeal shockwave N-1-20-I 11,398,300

lithotripsy [ESWL] of the kidney,
ureter and/or bladder

P-8-13-I 5,323,800

98.51 Extracorporeal shockwave N-1-20-I 9,498,600

lithotripsy [ESWL] of the kidney,
ureter and/or bladder

V-4-11-I 3,585,300
98.51 Extracorporeal shockwave N-1-20-I 9,498,600
lithotripsy [ESWL] of the kidney,
ureter and/or bladder

39.94Replacement of vessel-to- I-1-20-II 22,361,700

vessel cannula
M-4-14-I 5,434,000

98.51 Extracorporeal shockwave N-1-20-I 11,398,300

lithotripsy [ESWL] of the kidney,
ureter and/or bladder

98.51 Extracorporeal shockwave N-1-20-I 11,398,300

lithotripsy [ESWL] of the kidney,
ureter and/or bladder

I-4-12-I 3471500

Q-5-43-0 264800
96.07 Insertion of other K-3-10-0 253,100
(naso-)gastric tube

Q-5-43-0 264800
Q-5-43-0 264800
96.07 Insertion of other K-3-10-0 253,100
(naso-)gastric tube

K-5-18-0 257500
Q-5-43-0 264800
Q-5-43-0 264800
Q-5-43-0 264800
 Q-5-36-0 364900
Q-5-43-0 264800
Q-5-36-0 364900
Q-5-43-0 264800
Q-5-38-0 248400
Q-5-35-0 426300
K-5-18-0 257500
K-5-18-0 257500
Q-5-38-0 248400
K-5-18-0 257500
Q-5-41-0 292500
Q-5-30-0 610500
Q-5-43-0 264800
K-5-18-0 257500
Q-5-38-0 248400
G-5-17-0 257500
Q-5-41-0 292500
Q-5-43-0 264800
K-5-18-0 257500
Q-5-43-0 264800
Q-5-43-0 264800
K-5-18-0 257500
Q-5-43-0 264800
Q-5-43-0 264800
K-5-18-0 257500
Q-5-43-0 264800
Q-5-38-0 248400
K-5-18-0 257500
Q-5-36-0 364900
Q-5-43-0 264800
Q-5-38-0 248400
Q-5-43-0 264800
Q-5-43-0 264800
96.07 Insertion of other K-3-10-0 253,100
(naso-)gastric tube

K-5-18-0 257500
Q-5-43-0 264800
Q-5-42-0 184,600

K-5-18-0 257500
Q-5-43-0 264800
K-5-18-0 257500
94.25; 94.38; 96.23 dilation of anK-3-11-0 397700
 Q-5-43-0 264800
K-5-18-0 257500
K-5-18-0 257500
K-5-18-0 257500
Q-5-43-0 264800
Q-5-43-0 264800
Q-5-43-0 264800
Q-5-30-0 610500
Q-5-41-0 292500
93.43 Intermittent skeletal tracti M-3-12-0 924700
94.23; 94.39 F-5-10-0 358600
Q-5-43-0 264800
Q-5-38-0 248400
Q-5-29-0 526600
Q-5-38-0 248400
K-5-18-0 257500
87.49 chest x ray Q-5-38-0 248400
Q-5-38-0 248400
K-5-18-0 257500
K-5-18-0 257500
Q-5-36-0 364900
K-5-18-0 257500
Q-5-43-0 264800
89.52 Q-5-43-0 264800
89.52 Q-5-43-0 264800
Q-5-32-0 253400
89.52 Q-5-43-0 264800
K-5-18-0 257500
Q-5-29-0 526600
K-5-18-0 257500
K-5-18-0 257500
Q-5-38-0 248400
Q-5-43-0 264800
Q-5-29-0 526600
Q-5-43-0 264800
89.52 Q-5-30-0 610500
Q-5-43-0 264800
Q-5-29-0 526600
G-5-17-0 257500
89.52 Q-5-38-0 248400
Q-5-43-0 264800
K-5-18-0 257500
Q-5-43-0 264800
Q-5-43-0 264800
Q-5-38-0 248400
Q-5-38-0 248400
 Q-5-38-0 248400
Q-5-43-0 264800
Q-5-43-0 264800
K-5-18-0 257500
Q-5-43-0 264800
Q-5-43-0 264800
Q-5-38-0 248400
K-5-18-0 257500
Q-5-43-0 264800
K-5-18-0 257500
G-5-17-0 257500
Q-5-43-0 264800
K-5-18-0 257500
Q-5-43-0 264800
Q-5-43-0 264800
K-5-18-0 257500
K-5-18-0 257500
94.22; 94.23 F-5-10-0 358600
K-5-18-0 257500
Q-5-43-0 264800
89.52 Q-5-29-0 526600
Q-5-38-0 248400
Q-5-41-0 292500
K-5-18-0 257500
K-5-18-0 257500
K-5-18-0 257500
Q-5-43-0 264800
87.49 Q-5-43-0 264800
K-5-18-0 257500
89.52 Q-5-43-0 264800
K-5-18-0 257500
K-5-18-0 257500
K-5-18-0 257500
87.89; Other x-ray of female Z-3-26-0 708,000
genital organs; 96.59 Other
irrigation of wound

89.59 Other nonoperative I-3-15-0 313,500

cardiac and vascular
measurements; 96.59 Other
irrigation of wound
96.07 Insertion of other B-3-11-0 1,066,100
(naso-)gastric tube; 93.96
Other oxygen enrichment; 89.52
Electrocardiogram; 88.19 Other
x-ray of abdomen; 52.94
Endoscopic removal of stone(s)
from pancreatic duct

89.59 Other nonoperative I-3-15-0 313,500

cardiac and vascular
measurements; 96.59 Other
irrigation of wound

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600
 Q-5-43-0 264,800

F-5-10-0 358,600
Q-5-43-0 264,800
K-5-18-0 257,500
F-5-10-0 358,600

Q-5-42-0 184,600

Q-5-43-0 264,800

K-5-18-0 257,500

Q-5-42-0 184600

Q-5-43-0 264,800
F-5-10-0 358,600
94.25 other psychiatric drug F-3-10-0 417300
therapy; 94.26 subconvulsive
electroshock therapy
94.23; 94.25; 94.39 F-5-10-0 358,600
Q-5-42-0 184600

Q-5-30-0 610,500
Q-5-42-0 184600

Q-5-42-0 184600

Q-5-43-0 264,800

Q-5-43-0 264,800

94.23; 94.39 F-5-10-0 358,600

Q-5-42-0 184600

94.23; 94.25; F-5-10-0 358,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-41-0 292,500
39.94 Replacement of vessel-to- I-2-23-0 453,200
vessel cannula
39.94 Replacement of vessel-to-vI-2-23-0 453200

39.94 Replacement of vessel-to-vI-2-23-0 453200

39.94 Replacement of vessel-to-vI-2-23-0 453200

39.94 Replacement of vessel-to-vI-2-23-0 453200

94.34 Individual therapy for psyc Q-5-42-0 184600

Q-5-42-0 184600

Q-5-42-0 184600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

K-5-18-0 257,500
Q-5-43-0 264,800
G-5-17-0 257,500

G-5-17-0 257,500

94.23; 94.25; F-5-10-0 358,600

F-5-16-0 265,600

Q-5-41-0 292,500

Q-5-41-0 292,500
 Q-5-41-0 292,500

Q-5-36-0 364,900
Q-5-32-0 253,400
K-5-18-0 257,500
K-5-18-0 257,500
Q-5-38-0 248,400
Q-5-43-0 264,800
Q-5-32-0 253,400
Q-5-41-0 292,500
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-38-0 248,400
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-32-0 253,400

Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-30-0 610,500
94.23; 94.25; F-5-10-0 358,600
Q-5-38-0 248,400

Q-5-43-0 264,800

Q-5-43-0 264,800
Q-5-29-0 526,600
Q-5-35-0 610,500
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
G-5-17-0 257,500
Q-5-35-0 610,500
Q-5-29-0 526,600
Q-5-43-0 264,800

Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-41-0 292,500

Q-5-38-0 248,400
Q-5-41-0 292,500
Q-5-29-0 526,600
K-5-18-0 257,500
 Q-5-43-0 264,800

K-5-18-0 257,500
K-5-18-0 257,500

Q-5-29-0 526,600
K-5-18-0 257,500
K-5-18-0 257,500
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-43-0 264,800
K-5-18-0 257,500

Q-5-43-0 264,800

Q-5-38-0 248,400
Q-5-38-0 248,400
Q-5-38-0 248,400
Q-5-43-0 264,800
Q-5-43-0 264,800

Q-5-43-0 264,800
Q-5-32-0 253,400
Q-5-41-0 292,500
Q-5-43-0 264,800

Q-5-43-0 264,800
K-5-18-0 257,500
K-5-18-0 257,500
Q-5-43-0 264,800
Q-5-29-0 526,600
Q-5-43-0 264,800
K-5-18-0 257,500
Q-5-43-0 264,800
F-5-16-0 265,600

Q-5-41-0 292,500
Q-5-29-0 526,600
K-5-18-0 257,500
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-43-0 264,800
K-5-18-0 257,500
Q-5-41-0 292,500
94.23; 94.25; 94.39 F-5-10-0 358,600
Q-5-43-0 264,800
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-43-0 264,800
Q-5-38-0 248,400
Q-5-43-0 264,800
Q-5-43-0 264,800
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
Q-5-38-0 248,400
Q-5-38-0 248,400
Q-5-43-0 264,800
Q-5-34-0 243,300
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-38-0 248,400
Q-5-32-0 253,400
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-29-0 526,600
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-43-0 264,800
K-5-18-0 257,500
Q-5-43-0 264,800
K-5-18-0 257,500

Q-5-42-0 184,600

Q-5-38-0 248,400

Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-32-0 253,400

Q-5-43-0 264,800
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-38-0 248,400
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
Q-5-43-0 264,800
Q-5-41-0 292,500
K-5-18-0 257,500
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-29-0 526,600
Q-5-43-0 264,800
Q-5-29-0 526,600
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-29-0 526,600
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-43-0 264,800
K-5-18-0 257,500
Q-5-41-0 292,500
Q-5-43-0 264,800
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
K-5-18-0 257,500
Q-5-43-0 264,800
Q-5-43-0 264,800
K-5-18-0 257,500
Q-5-43-0 264,800
K-5-18-0 257,500
Q-5-43-0 264,800
 Q-5-43-0 264,800
K-5-18-0 257,500
Q-5-32-0 253,400
Q-5-43-0 264,800
K-5-18-0 257,500
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-36-0 364,900
Q-5-41-0 292,500
Q-5-43-0 264,800
K-5-18-0 257,500
Q-5-32-0 253,400
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-29-0 526,600
K-5-18-0 257,500
Q-5-41-0 292,500
K-5-18-0 257,500
Q-5-41-0 292,500
Q-5-43-0 264,800
Q-5-43-0 264,800
K-5-18-0 257,500

Q-5-43-0 264,800
Q-5-41-0 292,500
K-5-18-0 257,500
Q-5-30-0 610,500
Q-5-43-0 264,800
Q-5-43-0 264,800
Q-5-41-0 292,500
Q-5-43-0 264,800
K-5-18-0 257,500
Q-5-38-0 248,400
94.23; 94.25; 94.39 F-5-10-0 358,600
Q-5-43-0 264,800
K-5-18-0 257,500
93.94 Respiratory medication J-3-13-0 311,700
administered by nebulizer
 Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

Q-5-42-0 184,600

8879 - Other diagnostic Z-3-23-0 564300

ultrasound

8879 - Other diagnostic Z-3-23-0 564300

ultrasound

8879 - Other diagnostic Z-3-23-0 564300

ultrasound

N-3-15-0 879,100.00

Q-5-44-0 183,300.00

Q-5-44-0 183,300.00

Z-3-27-0 198,900.00

Z-3-23-0 564,300.00

Z-3-25-0 315,300.00
Q-5-44-0 183,300.00

Z-3-25-0 315,300.00

J-3-13-0 311,700.00

N-3-14-0 339,700.00

Q-5-44-0 183,300.00

Z-3-27-0 198,900.00

Q-5-44-0 183,300.00

Q-5-25-0 146,700.00

Q-5-44-0 183,300.00

Q-5-25-0 146,700.00

Z-3-25-0 315,300.00

N-3-15-0 879,100.00

N-3-15-0 879,100.00

Q-5-44-0 183,300.00

Q-5-44-0 183,300.00
Z-3-19-0 1,091,000.00

Q-5-44-0 183,300.00

Q-5-44-0 183,300.00

Q-5-44-0 183,300.00

Q-5-44-0 183,300.00

Q-5-44-0 183,300.00

Q-5-44-0 183,300.00

Z-3-25-0 315,300.00

Q-5-44-0 183,300.00
 DIAGNOSA AUDIT TINDAKAN AUDIT GROUPING AUDIT BIAYA AUDIT

Hydronephrosis with renal and 98.51 N-1-20-I 3971200

ureteral calculous Extracorporeal
obstruction;I25.2 Old myocardial shockwave
lithotripsy [ESWL] of
infarction the kidney, ureter
and/or bladder

I252 - Old myocardial infarction; J188 I-4-16-III 4868600

- Other pneumonia, organism
unspecified

I252 - Old myocardial infarction; J189 I-4-16-III 4868600

- Pneumonia, unspecified; I493 -
Ventricular premature depolarization

I25.2 - Old myocardial infarction; I48 - I-4-16-III 4868600

Atrial fibrillation and flutter; E875 -
Hyperkalaemia

I25.2 - Old myocardial infarction I-4-16-I 2105500

I252 - Old myocardial infarction; R040 I-4-16-II 4733400

- Epistaxis

I252 - Old myocardial infarction; E109 I-4-16-I 2105500

- Insulin-dependent diabetes mellitus
without complications

I252 - Old myocardial infarction; E119 I-4-16-I 2105500

- Non-insulin-dependent diabetes
mellitus without complications
I252 - Old myocardial infarction I-4-16-I 2526500

I252 - Old myocardial infarction; I493 I-4-16-III 4057200

- Ventricular premature
depolarization

I20.0 - Unstable angina I-4-20-I 4080200

I25.9 - Chronic ischaemic heart I-4-16-I 2526600

disease, unspecified

I252 - Old myocardial infarction I-4-16-I 2105500

I252 - Old myocardial infarction I-4-16-I 2526600

I252 - Old myocardial infarction I-4-16-I 2105500

O60.1 Preterm labour with preterm O-6-13-I 1626200

delivery; O809 - Single spontaneous
delivery, unspecified
z38.0 Singleton

A90 Dengue fever A-4-13-I 2029100

N13.1 Hydronephrosis with urethral 56.31ureteroscopy N-4-13-I 3318100
stricture

Z38.0 Singleton 0 0

Q62.1 Atresia and stenosis of ureter 56.31 ureteroscopy N-4-16-I 5023500

59.8 ureteral
catheterization

N13.1 Hydronephrosis with urethral 56.31ureteroscopy N-4-13-I 4645300

stricture

N18.50 ESRD;Z41.9 Extracorporeal 39.95 Hemodialysis; N-4-10-II 5,616,400

dialysis; D63.8 Anemia 99.04 Transfusion

A09.9 GEA; E86 Volume depletion K-4-17-I 1667900

N21.1 Calculuc of uretra 58.5 Release of N-1-40-I 7806800

urethral stricture

I64.0 Stroke not specified E10.9 87.03 CT scan G-4-15-i 5567600

IDDM ; I51.7 Cardiomegaly
N13.5 Kinking and stricture of ureter 56.31ureteroscopy N-4-12-I 2323000
without hydronephrosis

N13.2 hydronephrosis with renal and 56.31 ureteroscopy N-4-13-I 4016600

uretral calculous obstruction N13.1 59.8 ureteral
Hydronephrosis with urethral catheterization
stricture

I10.0 essential HT; I45.1 Other RBBB I-4-17-I 2535900

N20.1Calculus of ureter; 98.51 N-1-20-I 3971200

z96.1Presence of urogenital Extracorporeal
implants shockwave
lithotripsy [ESWL] of
the kidney, ureter
P07.1 Other Low Birth;Z38.0 and/or P-8-13-I 0
Singleton bladder,97.65
Removal of other
urinary drainage
device

O60.1 Preterm labour with preterm O-6-13-I 1626200

delivery; O809 - Single spontaneous
delivery, unspecified

Calculus of kidney 98.51 N-1-20-I 3971200

Extracorporeal
shockwave
lithotripsy [ESWL] of
the kidney, ureter
and/or
bladder,97.65
Removal of other
urinary drainage
device

P071Other low birth Z358 P-8-13-I -

Singleton
E876 Hypokalemia ;R568 E-4-11-II 6,123,200
Convulsi; K92 hematemesis

E87.6 Hypokalemia ;R56.8 Convulsi; E-4-11-II 6,123,200

K92 hematemesis

p071 other low birth'P034 Fetus P-8-13-I -

and newborn affected by
sc,z380singleton
Calculus of kidney 98.51 N-1-20-I 3971200
Extracorporeal
shockwave
lithotripsy [ESWL] of
the kidney, ureter
and/or bladder

M952 Other acquired deformity of 7860 removal of im M-1-40-I 4,189,900

head

Calculus of kidney 98.51 N-1-20-I 3971200

Extracorporeal
shockwave
lithotripsy [ESWL] of
the kidney, ureter
and/or bladder

p07.1 other low birth'P03.4 Fetus and P-8-13-I 0

newborn affected by
sc,z38.0singleton

Calculus of ureter 98.51 N-1-20-I 3971200

Extracorporeal
shockwave
lithotripsy [ESWL] of
the kidney, ureter
and/or bladder

N40 BPH 60.29 TUR P V-1-14-I 8580500

Calculus of kidney 98.51 N-1-20-I 3971200
Extracorporeal
shockwave
lithotripsy [ESWL] of
the kidney, ureter
and/or bladder

N18.5 CKD Stage 5; D63.8 99.04 Transfusi of N-4-10-II 4,814,100

Anemia;B24 Unspecified packed red cell
L02.4 cutaneous Abcess E10.9 L-4-12-I 1701600

Calculus of kidney 98.51 N-1-20-I 3971200

Extracorporeal
shockwave
lithotripsy [ESWL] of
the kidney, ureter
and/or bladder

Calculus of kidney 98.51 N-1-20-I 3971200

Extracorporeal
shockwave
lithotripsy [ESWL] of
the kidney, ureter
and/or bladder

I252 - Old myocardial infarction I-4-16-I 2105500

Z09.8 Q-5-44-0 183,300

Z09.8; Q37.9 Unspecified cleft palate 96,6 Enteral Q-5-44-0 183,300
with unilateral cleft lip infusion of
concentrated
nutritional
substances

Z09.8 Q-5-44-0 183,300

Z09.8 Q-5-44-0 183,300
Z09.8; Q37.9 Unspecified cleft palate 96,6 Enteral Q-5-44-0 183,300
with unilateral cleft lip infusion of
concentrated
nutritional
substances

Z09.8; K59.0 Q-5-44-0 183,300

Z09.8;I25.2 Q-5-44-0 183,300
Z09.8;I25.2 Q-5-44-0 183,300
Z09.8;N18.5 Q-5-44-0 183,300
Z09.8;E87.6 Q-5-44-0 183,300
Z09.8;I25.1 Q-5-44-0 183,300
Z09.8;E87.6 Q-5-44-0 183,300
Z09.8;I25.2 Q-5-44-0 183,300
Z09.8;J46 Q-5-44-0 183,300
Z09.8;A41.9 Q-5-44-0 183,300
Z09.8;K59.0 Q-5-44-0 183,300
Z09.8;K30 Q-5-44-0 183,300
Z09.8;j18.9; K30 Q-5-44-0 183,300
Z09.8;K30 Q-5-44-0 183,300
Z09.8;A36.9; J39.8 Q-5-44-0 183,300
Z09.8;I21.9 Q-5-44-0 183,300
Z09.8;N04.9 Q-5-44-0 183,300
Z09.8;K30 Q-5-44-0 183,300
Z09.8;J46 Q-5-44-0 183,300
Z09.8;G62.9 Q-5-44-0 183,300
Z09.8;R56.0 Q-5-44-0 183,300
Z09.8;I25.1 Q-5-44-0 183,300
Z09.8;K30 Q-5-44-0 183,300
Z09.8;I11.0 Q-5-44-0 183,300
Z09.8;N18.9 Q-5-44-0 183,300
Z09.8;K30 Q-5-44-0 183,300
Z09.8;I25.9; K30 Q-5-44-0 183,300
Z09.8;I25.2; E11.9, K59.0 Q-5-44-0 183,300
Z09.8;K30 Q-5-44-0 183,300
Z09.8; J42; E11.9 Q-5-44-0 183,300
Z09.8; J18.9 Q-5-44-0 183,300
Z09.8; K30 Q-5-44-0 183,300
Z09.8; E16.2; E79.0 Q-5-44-0 183,300
Z09.8; I13.0 Q-5-44-0 183,300
Z09.8; J90 Q-5-44-0 183,300
Z09.8;J42 Q-5-44-0 183,300
Z09.8;I25.1 Q-5-44-0 183,300
Z09.8; E46 Unspecified protein- 96,6 Enteral Q-5-44-0 183,300
energy malnutrition infusion of
concentrated
nutritional
substances

Z09.8;K30 Q-5-44-0 183,300

Z09.8;A16.5 Q-5-44-0 183,300
Z50.1 Other physical therapy; M479 - 93.39 Other physical M-3-16-0 113,100
Spondylosis, unspecified therapy
Z09.8; K30 Q-5-44-0 183300
Z09.8; K74.6 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; F06.1 94.25; 94.38 F-5-10-0 358600
Z09.8; I11.0 Q-5-44-0 183300
Z09.8; K40.9; N40 Q-5-44-0 183300
Z09.8; K59.0 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; I25.2 Q-5-44-0 183300
Z09.8; I11.0 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300
Z09.8; I21.9 Q-5-44-0 183300
Z09.8; B02.2; B86 Q-5-44-0 183300
Z50.1 Other physical therapy 93.39 othe physical t M-3-16-0 113100
Z09.3; F20.0 94.23; 94.39 Q-5-44-0 183300
Z09.8; I25.2 Q-5-44-0 183300
Z09.8; J90 Q-5-44-0 183300
Z09.8; I50.9; I25.1; E11.9 Q-5-44-0 183300
Z09.8; R04.2 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; J44.0 Q-5-44-0 183300
Z09.8; J18.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K21.9 Q-5-44-0 183300
Z09.8; E87.6; G62.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; I25.2; E11.9 Q-5-44-0 183300
Z09.8; I25.2 Q-5-44-0 183300
Z09.8; I25.2 Q-5-44-0 183300
Z09.8; N20.0;K30 Q-5-44-0 183300
Z09.8; I25.2;I50.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; I50.9 Q-5-44-0 183300
Z09.8; Q43.1 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; J18.9 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300
Z09.8; I50.9;I25.1 Q-5-44-0 183300
Z09.8; N18.9 Q-5-44-0 183300
Z09.8; I21.9 Q-5-44-0 183300
Z09.8; I25.2; I50.9 Q-5-44-0 183300
Z09.8; I50.9; I25.1 Q-5-44-0 183300
Z09.8; G51.0 Q-5-44-0 183300
Z09.8; J18.9 ;I25.1 Q-5-44-0 183300
Z09.8; N18.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300
Z09.8; A30.9 Q-5-44-0 183300
Z09.8; J18.9 Q-5-44-0 183300
Z09.8; J18.8 Q-5-44-0 183300
Z09.8; J18.9 Q-5-44-0 183300
Z09.8; I25.2; I50.9 Q-5-44-0 183300
Z09.8; A30.3 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300
Z09.8; I25.1; I50.9 Q-5-44-0 183300
Z09.8; J18.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; A30.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; G51.0 Q-5-44-0 183300
Z09.8; K80.2; N18.9 Q-5-44-0 183300
Z09.8; K30; E10.9 Q-5-44-0 183300
Z09.8; K80.2; I12.9 Q-5-44-0 183300
Z09.8; I13.0; I25.2 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.3; F25.0 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; N18.9; E88.0 Q-5-44-0 183300
Z09.8; I50.9; I25.1; N18.9 Q-5-44-0 183300
Z09.8; J90 Q-5-44-0 183300
Z09.8; B02.2;G63.0 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K80.2; K83.1 Q-5-44-0 183300
Z09.8; J47 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; I25.2 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K59.0 Q-5-44-0 183300
Z09.8; J90 Pleural effusion, not 97.89 Removal of Z-3-27-0 198,900
elsewhere classified other therapeutic
device; 96.59 Other
irrigation of wound

T01.9 Multiple open wounds, 86.59 Closure of L-3-12-0 206,900

unspecified skin and
subcutaneous
tissue of other
sites; 96.59 Other
irrigation of wound
K27.1; e87.6; e87.1,a16.2 96.07 Insertion of K-3-10-0 253100
other (naso-)gastric
tube; 93.96 Other
oxygen enrichment;
89.52
Electrocardiogram;
88.19 Other x-ray of
abdomen; 57.94
Insertion of
indwelling urinary
catheter

S91.3 86.59 Closure of L-3-12-0 206,900

skin and
subcutaneous
tissue of other
sites; 96.59 Other
irrigation of wound

Z50.1 Other physical therapy; M17.9 93.35 Other heat M-3-16-0 113100
Gonarthrosis, unspecified therapy
Z50.1 Other physical therapy; M74.82 93.35 Other heat M-3-16-0 113,100
Other spondylosis, cervical region therapy

Z50.1 Other physical therapy; M17.9 93.35 Other heat M-3-16-0 113100
Gonarthrosis, unspecified therapy
Z50.1 Other physical therapy; J32 93.35 Other heat M-3-16-0 113100
Chronic maxillary sinusitis therapy
Z50.1 Other physical therapy; I63.9 93.35 Other heat M-3-16-0 113100
Cerebral infarction, unspecified therapy

Z50.1 Other physical therapy; M53.1 93.35 Other heat M-3-16-0 113100
Cervicobrachial syndrome therapy
Z50.1 Other physical therapy; M53.1 93.35 Other heat M-3-16-0 113100
Cervicobrachial syndrome therapy
Z50.1 Other physical therapy; M54.5 93.35 Other heat M-3-16-0 113100
Low back pain therapy
Z50.1 Other physical therapy; F89 93.35 Other heat M-3-16-0 113100
Unspecified disorder of psychological therapy
development
Z50.1 Other physical therapy; G51.0 93.35 Other heat M-3-16-0 113100
Bell's palsy therapy
Z50.1 Other physical therapy; 93.35 Other heat M-3-16-0 113100
M47.86 Other spondylosis, lumbar therapy
region
z09.8; I11.0 Q-5-44-0 183300

Z09.3; f31.0 Q-5-44-0 183300

z09.8; I25.1; i50.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183,300
Z09.3; F91 Q-5-44-0 183,300

Z50.1 Other physical therapy; M17.9 93.35 Other heat M-3-16-0 113100
Gonarthrosis, unspecified therapy
Z09.8; J47 Q-5-44-0 183,300

Z09.8; K30 Q-5-44-0 183,300

Z50.1 Other physical therapy; M47.86 93.35 Other heat M-3-16-0 113100
therapy

Z09.8; I25.1 Q-5-44-0 183,300

Z09.3; F31.0 Q-5-44-0 183,300
Z09.3; F20.0 94.25 other Q-5-44-0 183,300
psychiatric drug
therapy;
Z09.3; F06.8 94.23; 94.25; 94.39 Q-5-44-0 183,300
Z50.1; G57.0 93.35 Other heat theM-3-16-0 113100

Z09.8; I20.0 Q-5-44-0 183,300

Z50.1 Other physical therapy; M47.8693.35 Other heat theM-3-16-0 113100

Z50.1 Other physical therapy 93.35 Other heat theM-3-16-0 113100

Z09.8; I25.1 Q-5-44-0 183,300

Z09.8;K76.1 Q-5-44-0 183,300

Z09.3; F20.0 94.23; 94.39 Q-5-44-0 183,300

Z50.1 Other physical therapy; 93.35 Other heat theM-3-16-0 113100
M25.68
Z09.3; F06.8 94.23; 94.25; Q-5-44-0 183,300
Z50.1 Other physical therapy; M53.1 93.35 Other heat M-3-16-0 113100
Cervicobrachial syndrome therapy
Z50.1 Other physical therapy; F82; 93.35 Other heat M-3-16-0 113100
therapy
Z50.1 Other physical therapy; 93.35 Other heat M-3-16-0 113100
M47.86 Other spondylosis, lumbar therapy
region
Z50.1 Other physical therapy; M17.9 93.34 Diathermy M-3-16-0 113100
Gonarthrosis, unspecified
Z50.1 Other physical therapy; M17.9 G93.34 Diathermy M-3-16-0 113100

Z50.1 Other physical therapy; M17.9 G93.34 Diathermy M-3-16-0 113100

Z50.1 Other physical therapy; M47.86 93.34 Diathermy M-3-16-0 113100

Z50.1 Other physical therapy; M47.86 93.34 Diathermy M-3-16-0 113100

Z50.1 Other physical therapy; M47.86 93.34 Diathermy M-3-16-0 113100

Z50.1; M41.1 93.35 Other heat M-3-16-0 113100

therapy
Z50.1; G51.0 93.35 Other heat M-3-16-0 113100
therapy
Z50.1 Other physical therapy; M17.9 93.35 Other heat M-3-16-0 113100
Gonarthrosis, unspecified therapy
z50.1; m49.0, A18.0 93.35 Other heat M-3-16-0 113100
therapy
Z50.1; I63.9 93.35 Other heat M-3-16-0 113100
therapy
Z50.1; I63.9 93.35 Other heat M-3-16-0 113100
therapy
Z50.1; F89 93.35 Other heat M-3-16-0 113100
therapy
Z50.1 Other physical therapy; M17.9 93.35 Other heat M-3-16-0 113100
Gonarthrosis, unspecified therapy
Z50.1; I63.9 93.35 Other heat M-3-16-0 113100
therapy
Z50.1 Other physical therapy; M17.9 93.35 Other heat M-3-16-0 113100
Gonarthrosis, unspecified therapy
Z09.8; K30;R11 Q-5-44-0 183,300
Z09.8; N18.9; D63.8 Q-5-44-0 183,300
Z09.8; M53.1 Q-5-44-0 183,300

Z09.8; G50.0 Q-5-44-0 183,300

Z09.3; F25.1 94.23; 94.25; Q-5-44-0 183,300

Z09.8; F82 Q-5-44-0 183,300

Z09.8; N13.2 Q-5-44-0 183,300

Z09.8; N13.2 Q-5-44-0 183,300

Z09.8; N44 Q-5-44-0 183,300

Z09.8; E87.6 Q-5-44-0 183,300

Z09.8; N20.9 Q-5-44-0 183,300
Z09.8; k30 Q-5-44-0 183,300
Z09.8; k59.0 Q-5-44-0 183300
Z09.8; j90 Q-5-44-0 183300
Z09.8; N18.9 Q-5-44-0 183300
Z09.8; N20.0 Q-5-44-0 183300
Z09.8; A91 Q-5-44-0 183300
Z09.8; N18.9 Q-5-44-0 183300
Z09.8; J42 Q-5-44-0 183300
Z09.8; J85.2 Q-5-44-0 183300
Z09.8; R16.0 Q-5-44-0 183300
Z09.8; A91 Q-5-44-0 183300
Z09.8; N20.9 Q-5-44-0 183300

Z09.8; i25.2 Q-5-44-0 183300

Z09.8; S37.0 Q-5-44-0 183300
Z09.8; I21.9 Q-5-44-0 183300
Z09.3; F32.3 94.23; 94.25; Q-5-44-0 183,300
Z09.8; j90 Q-5-44-0 183300

Z09.8; K80.2 Q-5-44-0 183300

Z09.8; I25.1 Q-5-44-0 183300

Z09.8; I50.9 Q-5-44-0 183300
Z09.8; I21.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; G62.9 Q-5-44-0 183300
Z09.8; I21.9 Q-5-44-0 183300
Z09.8; I50.9 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300

Z09.8; K80.2 Q-5-44-0 183300

Z09.8; I25.1 Q-5-44-0 183300
Z09.8; A91 Q-5-44-0 183300
Z09.8; N13.2 Q-5-44-0 183300

Z09.8; J46 Q-5-44-0 183300

Z09.8; R56.0 Q-5-44-0 183300
Z09.8; I50.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K80.2 Q-5-44-0 183300

Z09.8; C18.9 Q-5-44-0 183300

Z09.8; K30 Q-5-44-0 183300

Z09.8; I50.9 Q-5-44-0 183300

Z09.8; K30;J06.9 Q-5-44-0 183300
Z09.8; K30;N83.2 Q-5-44-0 183300
Z09.8; J42 Q-5-44-0 183300
Z09.8; A16.5 Q-5-44-0 183300
Z09.8; A91 Q-5-44-0 183300
Z09.8; K76.0; A91 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300

Z09.8; J42 Q-5-44-0 183300

Z09.8; J18.9;E11.9 Q-5-44-0 183300

Z09.8; J18.9 Q-5-44-0 183300
Z09.8; J90 Q-5-44-0 183300
Z09.8; I25.1;E11.9 Q-5-44-0 183300
Z09.8; I25.1; I50.9 Q-5-44-0 183300

Z09.8; K80.2 Q-5-44-0 183300

Z09.8; N23 Q-5-44-0 183300
Z09.8; R56.0 Q-5-44-0 183300
Z09.8; J42 Q-5-44-0 183300

Z09.8; N18.9 Q-5-44-0 183300

Z09.8; K30; I25.2 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; N18.5 Q-5-44-0 183300
Z09.8; I50.9 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; I25.2,I50.9 Q-5-44-0 183300
Z09.8; F89 Q-5-44-0 183300

Z09.8; R56.0 Q-5-44-0 183300

Z09.8; I50.0;K30 Q-5-44-0 183300
Z09.8; K30;N18.9 Q-5-44-0 183300
Z09.8; N04.9 Q-5-44-0 183300
Z09.8; I25.2,I50.9 Q-5-44-0 183300
Z09.8; I25.2,I50.9 Q-5-44-0 183300
Z09.8; K30;I10 Q-5-44-0 183300
Z09.8; A91 Q-5-44-0 183300
Z09.3;F31.0 94.23; 94.25; 94.39 Q-5-44-0 183300
Z09.8; I11.0 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30;j06.9 Q-5-44-0 183300
Z09.8; I25.2; I50.9 Q-5-44-0 183300
Z09.8; a90 Q-5-44-0 183300
Z09.8; I25.2 Q-5-44-0 183300
Z09.8; J18.9 Q-5-44-0 183300
Z09.8; j47 Q-5-44-0 183300
Z09.8; G91.9; G80.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30;K92.1 Q-5-44-0 183300
Z09.8; J18.9 Q-5-44-0 183300
Z09.8; J44.0 Q-5-44-0 183300
Z09.8; N18.9; J44.9; I25.9 Q-5-44-0 183300
Z09.8; B20.8 Q-5-44-0 183300
Z09.8; I25.2; I50.9 Q-5-44-0 183300
Z09.8; I34.0; I50.9 Q-5-44-0 183300
Z09.8; J18.9 Q-5-44-0 183300
Z09.8; N17.9; E05.9 Q-5-44-0 183300
Z09.8; I25.1; I50.9 Q-5-44-0 183300
Z09.8; I25.1; I50.9, E11.9 Q-5-44-0 183300
Z09.8; I25.2 Q-5-44-0 183300
Z09.8; I50.9 Q-5-44-0 183300
Z09.8; I25.1; I07.9 Q-5-44-0 183300
Z09.8; J42 Q-5-44-0 183300
Z09.8; J42 Q-5-44-0 183300
Z09.8; A91 Q-5-44-0 183300
Z09.8; G91.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; I25.2; K80.2; N18.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300

Z09.8; Z50.1; M,54.5 M-3-16-0 113100

Z09.8; J18.9 Q-5-44-0 183300

Z09.8; I25.1 Q-5-44-0 183300

Z09.8; I11.0 Q-5-44-0 183300
Z09.8; N20.9 Q-5-44-0 183300

Z09.8; K80.2; K75.9 Q-5-44-0 183300

Z09.8; K30 Q-5-44-0 183300
Z09.8; K30; B18.1 Q-5-44-0 183300
Z09.8; k59.0 Q-5-44-0 183300
Z09.8; I25.2; I50.9 Q-5-44-0 183300
Z09.8; i25.2, e11.9 Q-5-44-0 183300
Z09.8; I25.2; I50.9 Q-5-44-0 183300
Z09.8; I25.2; I50.9 Q-5-44-0 183300
Z09.8; J85.2 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30; J44.9 Q-5-44-0 183300
Z09.8; K74.6; K30; E10.9 Q-5-44-0 183300
Z09.8; A90 Q-5-44-0 183300
Z09.8; K30; E79.0 Q-5-44-0 183300
Z09.8; I20.9 Q-5-44-0 183300
Z09.8; A91 Q-5-44-0 183300
Z09.8; N18.9; D63.8; A41.9 Q-5-44-0 183300
Z09.8; N13.2 Q-5-44-0 183300
Z09.8; I50.9 Q-5-44-0 183300
Z09.8; I25.2; I50.9 Q-5-44-0 183300
Z09.8; I50.9; e05.9 Q-5-44-0 183300
Z09.8; I25.2 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300
Z09.8; A91 Q-5-44-0 183300
Z09.8; I50.9; I44.7 Q-5-44-0 183300
Z09.8; N18.9; E87.5 Q-5-44-0 183300
Z09.8; N18.9 Q-5-44-0 183300
Z09.8; A16.5; E10.9 Q-5-44-0 183300
Z09.8; B01.9; k30 Q-5-44-0 183300
Z09.8; A16.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; R42; S06.4 Q-5-44-0 183300
Z09.8; i50.9;i25.2 Q-5-44-0 183300
Z09.8; T88.7; k30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; K30; R02 Q-5-44-0 183300
Z09.8; I11.0 Q-5-44-0 183300
Z09.8; I25.1; I50.9; E11.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300
Z09.8; K30; I10 Q-5-44-0 183300
Z09.8; I25.2 Q-5-44-0 183300
Z09.8; A18.2 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; N17.9; K30 Q-5-44-0 183300
Z09.8; A18.2 Q-5-44-0 183300
Z09.8; K30'; E86; R11 Q-5-44-0 183300
Z09.8; I25.2 Q-5-44-0 183300
Z09.8; I25.2; I50.9 Q-5-44-0 183300
Z09.8; j47 Q-5-44-0 183300
Z09.8; E87.6; K30 Q-5-44-0 183300
Z09.8; A36.1 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300
Z09.8; C18.9 Q-5-44-0 183300
Z09.8; R33 Q-5-44-0 183300
Z09.8; I25.1; E11.9 Q-5-44-0 183300
Z09.8; I25.1; E11.9 Q-5-44-0 183300
Z09.8; a18.2 Q-5-44-0 183300
Z09.8; M32.9 Q-5-44-0 183300
Z09.8; A91 Q-5-44-0 183300
Z09.8; A16.5 Q-5-44-0 183300
Z09.8; I25.1;I50.9; E11.9 Q-5-44-0 183300
Z09.8; I50.9; I25.1 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; N13.3 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; A91 Q-5-44-0 183300
Z09.8; A18.2 Q-5-44-0 183300
Z09.8; I44.2; I45.2; I64 Q-5-44-0 183300
Z09.8; K59.0 Q-5-44-0 183300

Z09.8; K80.2; R10.4 Q-5-44-0 183300

Z09.8; A91 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; I21.9 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300
Z09.8; I25.1 Q-5-44-0 183300
Z09.8; N13.2 Q-5-44-0 183300
Z09.8; I25.1; E11.9 Q-5-44-0 183300
Z09.8; K30 Q-5-44-0 183300
Z09.8; J18.9; B90.9 Q-5-44-0 183300
Z09.3; F23.0 94.23; 94.25; 94.39 Q-5-44-0 183300
Z09.8; A18.2 Q-5-44-0 183300
Z09.8; K66.0 Q-5-44-0 183300
Z50.1; M17.9 93.35 M-3-16-0 113100
Z501 ; A180 - Tuberculosis of bones 93.35 M-3-16-0 113100
and joints; M490 - Tuberculosis of
spine
Z501 ; M2458 - Contracture of joint, 93.35 M-3-16-0 113100
other sites
Z501 ; M653 - Trigger finger 93.35 M-3-16-0 113100

Z501 ; G819 - Hemiplegia, 93.35 M-3-16-0 113100

unspecified
Z501 ; M419 - Scoliosis, unspecified 93.35 M-3-16-0 113100

Z501 ; M545 - Low back pain 93.35 M-3-16-0 113100

Z501 ; M531 - Cervicobrachial 93.35 M-3-16-0 113100

syndrome
Z501 ; M4782 - Other spondylosis, 93.35 M-3-16-0 113100
cervical region
Z501 ; M4786 - Other spondylosis, 93.35 M-3-16-0 113100
lumbar region
O06.9 Unspecified abortion, 88.78 Diagnostic Z-3-25-0 315300
complete or unspecified, without ultrasound of gravid
complication uterus
O06.9 Unspecified abortion, 88.78 Diagnostic Z-3-25-0 315300
complete or unspecified, without ultrasound of gravid
complication uterus
Z35.9Supervision of high-risk 88.78 Diagnostic Z-3-25-0 315300
pregnancy, unspecified ultrasound of gravid
uterus
N-3-15-0 0

Q-5-44-0 0

Q-5-44-0 0

Z-3-27-0 0

Z-3-23-0 0

Z-3-25-0 0
Q-5-44-0 0

Z-3-25-0 0

J-3-13-0 0

N-3-14-0 0

Q-5-44-0 0

Z-3-27-0 0

Q-5-44-0 0

Q-5-25-0 0

Q-5-44-0 0

Q-5-25-0 0

Z-3-25-0 0

N-3-15-0 0

N-3-15-0 0

Q-5-44-0 0

Q-5-44-0 0
Z-3-19-0 0

Q-5-44-0 0

Q-5-44-0 0

Q-5-44-0 0

Q-5-44-0 0

Q-5-44-0 0

Q-5-44-0 0

Z-3-25-0 0

Q-5-44-0 0
SELISIH ANALISA DASAR AUDIT

5,527,400 Sesuai Hasil DPM Nasional DPM Nasional

tindakan ESWL dilakukan
pada pelayanan rawat jalan

925900 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

-39800 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

-39800 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

1366000 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

-1716300 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

1366000 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

1366000 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25
1639300 Sesuai kriteria include ICDX ICDX 2010
2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

771600 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

-56200 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

1779300 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

1366000 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

1639200 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

1366000 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

478900 Setiap kasus persalinan PMK 76 th 2016

harus dikoding outcome
dilivery
5,323,800 Bayi didiagnosa SNAD PMK 76 tahun
tetapi tidak ada asuhan 2016 bahwa
khusus untuk terapi sepsis diagnosa utama
dan BBLR nya, hanya dan diagnosa
mendapatkan perawatan sekunder bila
bayi essensial terdapat asuhan
khusus saat
perawatan

533,300 Sesuai resume DPJP PMK 76 Th 2016

diagnosa dengue fever
sesuai juga dengan
pmeriksaan pasien yang
dicantumkan di resume
4,488,700 penggunaan kode 56.0 ICD9cm
untuk removal of
calculus,blood clot atau
corpus alienum pada kasus
ini tidak dilakukan hal
tersebut

5,323,800 Tidak ada asuhan khusus PMK 76 2016

bayi rawat gabung dengan
ibu dan mendapatkan
perawatan essensial saja
tanpa ada asuhan khusus

5,906,100 kode 56.0 Transurethral ICD9 CM 2010

removal of obstruction
from ureter and renal
pelvis digunakan untuk
removal blood
clot,calculus,dan bend
asing.Pada kasus ini
tindakan hanya
ureterecoscopy tidak
mengacu pada kode
tersebut

6,284,300 penggunaan kode 56.0 ICD9cm

untuk removal of
calculus,blood clot atau
corpus alienum pada kasus
ini tidak dilakukan hal
tersebut

200,700 salah entry diagnosa Resume DPJP

386,100 Kadar kalium >3,5, sesuai SE Menkes HK

SE Menkes HK518 th 2016 518 th 2016
Hipokalemia sebagai DS
bila <3,5

2,794,700 Sesuai kriteria exclude di ICDX 2010

ICD X yaitu N30-39 ketika
dg urolithiasis ( N20-N23)

1,246,400 Sesuai Manual koding Manual coding

untuk Kode I 63.8 CT scan+
plus pemeriksaan klinis
5,483,800 penggunaan kode 56.0 ICD9cm
untuk removal of
calculus,blood clot atau
corpus alienum pada kasus
ini tidak dilakukan hal
tersebut

5,351,600 kode 56.0 Transurethral PMK 76 Th 2016

removal of obstruction
from ureter and renal
pelvis digunakan untuk
removal blood
clot,calculus,dan bend
asing.Pada kasus ini
tindakan hanya
ureterecoscopy tidak
mengacu pada kod
etersebut

411,800 Sesuai Resume DPJP dx PMK 76 Th 2016

utama HT dan Ds RBB. Yng
dikode dan di resume dpjp
berbeda

5,527,400 Sesuai Hasil DPM Nasional DPM Nasional

tindakan ESWL dilakukan
pada pelayanan rawat jalan

5,323,800 Tidak ada asuhan khusus

bayi rawat gabung dengan
ibu dan mendapatkan
perawatan essensial saja
tanpa ada asuhan khusus

478900 Setiap kasus persalinan PMK 76 th 2016

harus dikoding outcome
dilivery
5,527,400 Sesuai Hasil DPM Nasional DPM Nasional
tindakan ESWL dilakukan
pada pelayanan rawat jalan

5,323,800 Bayi sehat 1 paket PMK 76 th

dengan ibu 2016
13,541,600 Sesuai manual koding Manual coding
Bhawa kode B23.8
untuk penyakit yang
berhubungan dengan
HIV nya
13,541,600 Sesuai manual koding Manual coding
Bahwa kode B23.8 untuk
penyakit yang
berhubungan dengan HIV
nya

5,323,800 Bayi sehat 1 paket PMK 76 th

dengan ibu 2016

5,527,400 Sesuai Hasil DPM Nasional DPM Nasional

tindakan ESWL dilakukan
pada pelayanan rawat jalan

12,697,100 Prosedur yang dilakukan ICD 9 CM

di laporan operasi
hanyalah mencabut
titanium mash yang
terexposed bukan
meremove skull plate

7,427,100 Sesuai Hasil DPM Nasional DPM Nasional

tindakan ESWL dilakukan
pada pelayanan rawat jalan

5,323,800 Bayi sehat 1 paket dengan

ibu

5,527,400 Sesuai Hasil DPM Nasional DPM Nasional

tindakan ESWL dilakukan
pada pelayanan rawat jalan

-4,995,200 Prosedur belum dikoding PMK 76 Th 2016

 5,527,400 Sesuai Hasil DPM Nasional DPM Nasional
tindakan ESWL dilakukan
pada pelayanan rawat jalan

17,547,600 Kode yang dientry salah IC9cm

tidak sesuia tindakan
3,732,400 Kode diagnosa tidak sesuai ICD X
resume DPJP
7,427,100 Sesuai Hasil DPM Nasional DPM Nasional
tindakan ESWL dilakukan
pada pelayanan rawat jalan

7,427,100 Sesuai Hasil DPM Nasional DPM Nasional

tindakan ESWL dilakukan
pada pelayanan rawat jalan

1366000 Sesuai kriteria include ICDX ICDX 2010

2010 yaitu untuk diagnosa
I10-I15 include di diagnosa
I20-I25

81,500 kontrol post MRS PMK 76

69,800 pemasangan NGT untuk ICD 9
pemberian nutrisi= 96.6;
96.07 untuk dekompresi

81,500 kunjungan kontrol PMK 76

81,500 kunjungan kontrol PMK 76
69,800 pemasangan NGT untuk ICD 9
pemberian nutrisi= 96.6;
96.07 untuk dekompresi

74,200 kontrol post MRS PMK 76

81,500 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
181,600 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
181,600 kunjungan kontrol PMK 76
81,500 kontrol post MRS PMK 76
65,100 kontrol post MRS PMK 76
243,000 kontrol post MRS PMK 76
74,200 kontrol post MRS PMK 76
74,200 kontrol post MRS PMK 76
65,100 kunjungan kontrol PMK 76
74,200 kontrol post MRS PMK 76
109,200 kontrol post MRS PMK 76
427,200 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
74,200 kontrol post MRS PMK 76
65,100 kontrol post MRS PMK 76
74,200 kontrol post MRS PMK 76
109,200 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
74,200 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
74,200 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
74,200 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
65,100 kontrol post MRS PMK 76
74,200 kontrol post MRS PMK 76
181,600 kontrol post MRS PMK 76
81,500 kontrol post MRS PMK 76
65,100 kontrol post MRS PMK 76
81,500 kunjungan kontrol PMK 76
81,500 kontrol post MRS PMK 76
69,800 pemasangan NGT untuk ICD 9
pemberian nutrisi= 96.6;
96.07 untuk dekompresi

74,200 kontrol post MRS PMK 76

81,500 kontrol post MRS PMK 76
71,500 PROSEDUR FISIOTERAPI PMK 76
BELUM DIKODING
74200 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
39100 tidak ada prosedur dlatasi aICD 9
 81500 kontrol post MRS ICD 10
74200 kunjungn kontrol ICD 10
74200 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
427200 kontrol post MRS ICD 10
109200 kunjungn kontrol ICD 10
811600 salah entri kode prosedur fisICD 9
175300 kunjungan kontrol post psik ICD 10
81500 kontrol post MRS ICD 10
65100 kontrol post MRS ICD 10
343300 kontrol post MRS ICD 10
65100 kunjungan kontrol ICD 10
74200 kontrol post MRS ICD 10
65100 kontrol post MRS ICD 10
65100 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
181600 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
70100 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
343300 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
65100 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
343300 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
427200 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
343300 kontrol post MRS ICD 10
74200 kunjungan kontrol ICD 10
65100 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
81500 kunjungn kontrol ICD 10
81500 kontrol post MRS ICD 10
65100 kontrol post MRS ICD 10
65100 kontrol post MRS ICD 10
 65100 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
81500 kunjungan kontrol ICD 10
74200 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
65100 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
81500 kunjungan kontrol ICD 10
74200 kontrol post MRS ICD 10
74200 kunjungan kontrol ICD 10
81500 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
175300 kontrol jiwa Z09.3 ICD 10
74200 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
343300 kontrol post MRS ICD 10
65100 kontrol post MRS ICD 10
109200 kunjungan kontrol ICD 10
74200 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
81500 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
74200 kontrol post MRS ICD 10
509,100 salah entri kode prosedur, ICD 9
sesuai SOAP tindakan yg
dilakukan aff jahitan dan
rawat luka

106,600 salah entri kode prosedur, ICD 9

sesuai SOAP tindakan yg
dilakukan jahit dan rawat
luka
813,000 salah entri kode prosedur ICD 9
pasang kateter

106,600 salah entri kode prosedur, ICD 9

sesuai SOAP tindakan yg
dilakukan jahit dan rawat
luka

71,500 prosedur fisioterapi belum PMK 76

dientri
71,500 prosedur fisioterapi belum PMK 76
dientri

71,500 prosedur fisioterapi belum PMK 76

dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri

71,500 prosedur fisioterapi belum PMK 76

dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri

71,500 prosedur fisioterapi belum PMK 76

dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
 81,500 kunjungan kontrol post ICD 10
rawat inap
175,300 kunjungan kontrol jiwa ICD 10
81,500 kunjungan kontrol ICD 10
74,200 kontrol post ranap PMK 76
175,300 kunjungan kontrol, PMK 76
sehingga kode Z
71,500 prosedur fisioterapi belum PMK 76
dientri
81,500 kunjungan kontrol, PMK 76
sehingga kode Z
74,200 kunjungan kontrol, PMK 76
sehingga kode Z
71,500 prosedur fisioterapi belum PMK 76
dientri

81,500 kontrol post ranap PMK 76

175,300 kunjungan kontrol jiwa PMK 76
234,000 tidak ada prosedur syok PMK 76
terapi

175,300 kunjungan kontrol jiwa PMK 76

71,500 prosedur fisioterapi belum PMK 76
dientri
427,200 kontrol post ranap PMK 76
71,500 prosedur fisioterapi belum PMK 76
dientri

71,500 prosedur fisioterapi belum PMK 76

dientri
81,500 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kunjungan kontrol, PMK 76
sehingga kode Z
175,300 kunjungan kontrol jiwa PMK 76
71,500 prosedur fisioterapi belum PMK 76
dientri
175,300 kunjungan kontrol jiwa PMK 76
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
179,400 prosedur fisioterapi belum PMK 76
dientri
340,100 salah entri kode prosedur ICD 9

340,100 salah entri kode prosedur ICD 9

340,100 salah entri kode prosedur ICD 9

340,100 salah entri kode prosedur ICD 9

340,100 salah entri kode prosedur ICD 9

71,500 salah entri kode prosedur ICD 9

71,500 prosedur fisioterapi belum PMK 76

dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kunjungan kontrol, PMK 76
sehingga kode Z
74,200 kunjungan kontrol, PMK 76
sehingga kode Z
175,300 kunjungan kontrol jiwa PMK 76
82,300 kunjungan kontrol, PMK 76
sehingga kode Z
109,200 kunjungan kontrol, PMK 76
sehingga kode Z
109,200 kunjungan kontrol, PMK 76
sehingga kode Z
109,200 kunjungan kontrol, PMK 76
sehingga kode Z
181,600 kontrol post ranap PMK 76
70,100 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
65,100 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
70,100 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
65,100 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
70,100 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
427,200 kontrol post ranap PMK 76
175,300 kunjungan kontrol jiwa PMK 76
65,100 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kontrol post ranap PMK 76
343,300 kontrol post ranap PMK 76
427,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
427,200 kontrol post ranap PMK 76
343,300 kontrol post ranap PMK 76
81,500 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
109,200 kunjungan kontrol, PMK 76
sehingga kode Z
65,100 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
343,300 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
 81,500 kunjungan kontrol, PMK 76
sehingga kode Z
74,200 kontrol post ranap PMK 76
74,200 kunjungan kontrol, PMK 76
sehingga kode Z
343,300 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kunjungan kontrol, PMK 76
sehingga kode Z
65,100 kontrol post ranap PMK 76
65,100 kontrol post ranap PMK 76
65,100 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kontrol post ranap PMK 76
70,100 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
343,300 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
82,300 kunjungan kontrol, PMK 76
sehingga kode Z
109,200 kontrol post ranap PMK 76
343,300 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
175,300 kunjungan kontrol jiwa PMK 76
 81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
65,100 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
65,100 kontrol post ranap PMK 76
65,100 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
60,000 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
65,100 kontrol post ranap PMK 76
70,100 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
343,300 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kunjungan kontrol, PMK 76
sehingga kode Z
71,500 prosedur fisioterapi belum PMK 76
dientri
65,100 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
 70,100 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
65,100 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
343,300 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
343,300 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
343,300 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
 81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
70,100 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
181,600 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
70,100 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
343,300 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kunjungan kontrol, PMK 76
sehingga kode Z
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
427,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
109,200 kontrol post ranap PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
65,100 kontrol post ranap PMK 76
175,300 kunjungan kontrol jiwa PMK 76
81,500 kontrol post ranap PMK 76
74,200 kontrol post ranap PMK 76
198,600 salah entri kode prosedur ICD 9
fisioterapi
 71,500 prosedur fisioterapi belum PMK 76
dientri

71,500 prosedur fisioterapi belum PMK 76

dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
71,500 prosedur fisioterapi belum PMK 76
dientri
249,000 Kode USG untuk ibu hamil ICD X 2010
88.78

249000 Kode USG untuk ibu hamil ICD X 2010

88.78

249000 Kode USG untuk ibu hamil ICD X 2010

88.78

879,100.00 Rawat jalan irisan dengan PMK 76 th 2016

rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
198,900.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
564,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
315,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
315,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
311,700.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
339,700.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
198,900.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
146,700.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
146,700.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
315,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
879,100.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
879,100.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
1,091,000.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
315,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)
183,300.00 Rawat jalan irisan dengan PMK 76 th 2016
rawat inap(pada hari yang
sama)

245,807,800