DAFTAR TINDAKAN & ICD-9 BEDAH SARAF

No. KODE NAMA TINDAKAN ICD-9

1 VP shunt 02.3 Extracranial ventricular shunt
02.31 Ventricular shunt to structure in head and neck
02.32 Ventricular shunt to circulatory system
02.34 Ventricular shunt to abdominal cavity and
organs
02.35 Ventricular shunt to urinary system
BD0975
02.39 Other operations to establish drainage of
ventricle
03.7 Shunt of spinal theca
03.71 Spinal subarachnoid-peritoneal shunt
03.72 Spinal subarachnoid-ureteral shunt
03.79 Other shunt of spinal theca
2 BD0976 Ventrikulostomi/VE Drainage 02.2 Ventriculostomy
3 BD0977 Sub Occipital Dekompresi 01.24 Other craniotomy
4 BD0978 Debridement Kraniektomi 01.25 Other craniectomy
5 BD0979 Dekompresi Syaraf tepi 04.49 Other peripheral nerve or ganglion decompression or lysis of adhesions
6 BD0980 Ekstirpasi Tumor Scalp / Cranium 02.06 Other cranial osteoplasty
7 BD0981 Koreksi Fraktur Impresif 02.02 Elevation of skull fracture fragments
Mikro Vaskuler Dekompresi (MVD) 04.4 Lysis of adhesions and decompression of cranial and peripheral
8
nerves
04.41 Decompression of trigeminal nerve root
BD0982
04.42 Other cranial nerve decompression
04.43 Release of carpal tunnel
04.44 Release of tarsal tunnel
 04.49 Other peripheral nerve or ganglion
decompression or lysis of
adhesions
9 BD0983 Functional Neuro Surgery
10 BD0984 Complicated Functional Neuro 03.21 Percutaneous chordotomy
Percuteneus Kordotomy
BD0985 Complicated Functional Neuro 81.66 Percutaneous vertebral augmentation
Percuteneus Paravertebra / Visceral
11 Block
12 BD0986 Suturektomi 02.01 Opening of cranial suture
13 BD0987 Functional Neuro Stereotaxy 92.3 Stereotactic radiosurgery
14 Kraniotomi Konvensional 01.24 Other
BD0988
(Dekompresi/evakuasi (all)) craniotomy
01.24 Other
BD0989 Kraniotomi + Bedah Mikro
15 craniotomy
16 01.24 Other
BD0990 Kraniotomi + Endoskopi
craniotomy
17 BD0991 Laminektomi 03.09 Other exploration and decompression of spinal canal
18 39.51 Clipping of aneurysm
BD0992 Kraniotomi + Clipping Aneurysma / AVM
39.52 Other repair of aneurysm
19 Neurektomi / Neurolise 04.0 Incision, division, and excision of cranial and peripheral nerves
04.01 Excision of acoustic neuroma
04.02 Division of trigeminal nerve
04.03 Division or crushing of other cranial and
peripheral nerves
BD0993
04.04 Other incision of cranial and peripheral nerves
04.05 Gasserian ganglionectomy
04.07 Other excision or avulsion of cranial and
peripheral nerves
05.29 Other sympathectomy and ganglionectomy
20 BD0994 Operasi Fusi Korpus Vertebra 81.0 Spinal fusion
81.00 Spinal fusion, not otherwise specified
81.01 Atlas-axis spinal fusion
81.02 Other cervical fusion, anterior technique
81.03 Other cervical fusion, posterior technique
81.04 Dorsal and dorsolumbar fusion, anterior
technique
81.05 Dorsal and dorsolumbar fusion, posterior
technique
81.06 Lumbar and lumbosacral fusion, anterior
technique
81.07 Lumbar and lumbosacral fusion, lateral
transverse process technique
81.08 Lumbar and lumbosacral fusion, posterior
technique
21 BD0995 Boorhole Drainase 01.28 Placement of intracerebral catheter(s) via burr hole(s)
22 Operasi konvensional Plexus Brakhialis / 04.5 Cranial or peripheral nerve graft
BD0996 Lumbalis Sacralis/ Cranialis / Spinalis 04.6 Transposition of cranial and peripheral nerves
Perifer
04.7 Other cranial or peripheral neuroplasty
23 BD0997 Kranioplasti 02.06 Other cranial osteoplasty
24 Intervensi Endovaskuler 39.7 Endovascular procedures on vessel (s)
39.72 Endovascular embolization or occlusion of head
and neck vessels
39.74 Endovascular removal of obstruction from head
and neck vessel(s)
BD0998
39.75 Endovascular embolization or occlusion of
vessel(s) of head or neck using bare coils
39.76 Endovascular embolization or occlusion of
vessel(s) of head or
neck using bioactive coils
 39.79 Other endovascular procedures on other vessels
00.6 Procedures on blood vessels
00.61 Percutaneous angioplasty or atherectomy of
precerebral (extracranial) vessel(s)
00.62 Percutaneous angioplasty or atherectomy of
intracranial vessel(s)
00.63 Percutaneous insertion of carotid artery stent(s)
00.64 Percutaneous insertion of other precerebral
(extracranial) artery
stent(s)
00.65 Percutaneous insertion of intracranial vascular
stent(s)
25 Operasi Mikro Plexus Brakhialis / 04.5 Cranial or peripheral nerve graft
BD0999 Lumbalis / Sacralis / Spinalis / Perifer 04.6 Transposition of cranial and peripheral nerves
04.7 Other cranial or peripheral neuroplasty
26 BD1000 Operasi Pemasangan fiksasi interna pada
02.05 Insertion of skull plate
kasus bedah syaraf
27 BD1001 Operasi Tumor Spinal 03.4 Excision or destruction of lesion of spinal cord or spinal meninges
28 BD1002 Laminektomi + Bedah Mikro 03.09 Other exploration and decompression of spinal canal
29 BD1003 Laminektomi + Endoskopi 03.09 Other exploration and decompression of spinal canal
30 BD1004 Laminoplasty 03.09 Other exploration and decompression of spinal canal
31 Rekontruksi Meningokel / Myelokel 03.51 Repair of spinal meningocele
BD1005 03.52 Repair of spinal myelomeningocele
02.12 Other repair of cerebral meninges (repair encephalocele)
32 Embolisasi vaskuler otak 39.72 Endovascular embolization or occlusion of head and neck vessels
39.75 Endovascular embolization or occlusion of vessel(s) of head or neck using
BD1006 bare coils
39.76 Endovascular embolization or occlusion of vessel(s) of head or
neck using bioactive coils
33 Konservatif/Observasi ICD-9 dikosongin aja (jangan lupa klik pasien rawat inap)
 96.70 Continuous mechanical ventilation of unspecified duration (tidak
34 Penggunaan ventilator
disebutkan berapa lama penggunaannya)
96.71 Continuous mechanical ventilation for less than 96 consecutive hours
(penggunaan ventilator < 4 hari)
96.72 Continuous mechanical ventilation for 96 consecutive hours or more
(penggunaan ventilator ≥ 4 hari)
96.67 Other continuous invasive mechanical ventilation (penggunaan ventilasi
mekanik invasif lainnya)
35 Penggunaan CPAP/ventilasi mekanik 93.90 Continuous positive airway pressure [CPAP]
invasif lainnya
36 Diskectomy 80.51 Excision of intervertebral disc
37 Anterior Cervical Discectomy + Fusi 81.02 Other cervical fusion, anterior technique (untuk canalis stenosis vertebra
(ACDF) cervical (VC))
38 Operasi Rekonstruksi tulang wajah 76.46 Other reconstruction of other facial bone (untuk fraktur tulang wajah
multiple (> 1 tulang atau yang membutuhkan rekonstruksi wajah), misalnya
fraktur Le fort II disertai fraktur mandibula)
39 Kraniotomi/ Craniotomy eksisi tumor 01.59 Other excision or destruction of lesion or tissue of brain (untuk eksisi
tumor otak/cerebri, misal: astrocytoma, medulablastoma, glioma)
01.51 Excision of lesion or tissue of cerebral meninges (untuk eksisi tumor
meninges (meningioma)di otak)
40 Laminektomi eksisi tumor 03.4 Excision or destruction of lesion of spinal cord or spinal meninges (untuk
eksisi tumor medula spinalis/ meningioma di medulla spinalis)
41 Kraniotomi burr hole 01.24 other craniotomy

42 CT Scan 88.38 Other computerized axial tomography

87.03 Computerized axial tomography of head
44 Tracheostomy 31.1 Temporary tracheostomy