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No Deskripsi Kode Diagnosa

1 Ibu O14.0 PER/ Moderate Pre Eclamsia
O14.1 PEB/ Severe Pre Eclamsia
O42.0 KPD -24 Jam
O42.1 KPD +24 Jam
O63. 9 PFL
O63. 9 PFA
O34.2 SC Riwayat SC
O75.7 Spontan Riwayat SC
O30.0 Gemelly
O48 Post Date
O66.9 Gagal Drip
O43.2 Placenta Accreta
O43.8 Placenta Other Dissorder
O44.0 PP/ Placenta Previa Tak Berdarah
O44.1 PP/ Placenta Previa Berdarah
O33.8 CPD/ Chepalo Pelvis Disporposional
O85 Sepsis
O24.9 Diabetes Ibu Hamil
O36.8 Ibu Rawat Inap Hamil
O10.9 Hypertensi Ibu Persalinan
O12.2 Oedema Portio
O36.4 IUFD Ibu
O60.1 Persalinan Prematur
O36.5 IUGR Ibu
O32.1 Letsu Ibu
O32.2 Letli Ibu
O66.2 Bayi Besar Ibu
O03 Spontan Abortion
O04 Medical Abortion
O47.0 False Labour Before 37 Weeks
O47.1 False Labour After 37 Weeks
O32.0 Maternal Care For Unstable Lie
O99.0 Anemia Komplikasi Ibu Hamil
O33.8 Cephalopelvic Disproportion
O21.0 Hyperemesis Gravidarum
O70.1 Rupture Perineum
O86.8 Puerperal Infection
O40 Polyhydramnion
O41.0 Oligohidramnion
 O68 Fetal Distress
O25 Malnutrusi Ibu Hamil
O00.8 Kehamilan Ektopik Terganggu
O43.8 Other Placental Disorders
O71.1 Rupture Uterus
O61.0 Failed Medical Forceps

2 Metode O80.0 Spontaneous Vertex Delivery

O80.1 Spontaneous Brach Delivery
O81.4 Vacuum Extractor Delivery
O82.0 Delivery by Elective SC
O82.1 Delivery by Emergency SC
O84.0 Multiple Delivery, All Spontaneous
O84.1 Multiple Delivery, All Vacuum
O84.2 Multiple Delivery, All by SC

3 Outcome Delivery Z37.0 Single Live Birth

Z37.1 Single Still Birth
Z37.2 Twins, Both Live Born
Z37.3 Twins, One Live Born & One Still Born
Z37.4 Twins, Still Born
Z37.5 Other Multiple Birth, All Live Born
Z37.6 Other Multiple Birth, Some Live Born
Z37.7 Other Multiple Birth, All Still Born
Z37.9 Other Multiple Birth, Unspesified

4 Curretage O02.0 BO/ Blighded Ovum

O02.1 Missed Abortus/ Abortus Imminens
O02.8 Dead Conceptus
O20.8 Perdarahan Awal Kehamilan
O46.8 Perdarahan Sebelum Persalinan
O72.0 Perdarahan Akreta Plasenta
O72.1 Perdarahan Post Partum
O73.1 Sisa Placenta tanpa Perdarahan
O05.4 Abortus Incomplete

5 Bayi P21.0 Asphyxia Berat

P21.1 Asphyxia Sedang
P21.1 Asphyxia Ringan
P59.8 Ikterus
P24.8 Pneumonia Bayi/ Aspirasi
Q42 Atresia Ani
P07.3 Prematur
P05.9 IUGR Anak
P07.1 BBLR
P80 Hypotermi/ Cost Mahal RS Type B
P81.0 Hypertermi/ Cost Mahal RS Type B
P95 IUFD
K59.3 Megacolon
Q69.9 Polyductily
Q03.9 Hydrochepalus
P01.7 Letsu Bayi
P03.1 Letli Bayi
P02.4 Tali Pusat Menumbung
Q00.0 Anencepalus Bayi
P28.4 Apnea Bayi
P24.1 Aspirasi Pnemonia Bayi
Z33 Bayi Belum Lahir
P08.0 Bayi Besar
P92.2 Bayi Kurang Minum
P95 Bayi Mati
P03.3 Bayi Lahir Vakum
P03.4 Bayi Lahir SC
P12.0 Cepalhematoma Bayi
P91.5 Koma Bayi
P78.3 Diare Bayi Baru Lahir
P03.6 Drip Bayi Normal
P20.1 Fetal Bayi
P54.8 Hematoma Bayi
Q03.0 Hidrocepalus Bayi
P01.3 Hidrom Neos Bayi
P70.4 Hipoglikemia Bayi
P21.9 Hipoksia Bayi
P54.1 Melena Bayi
P37.5 Monoliasis Bayi
P94.0 Mysatenia Gravis Bayi
P03.1 Obstruksi Anus (Bawaan Lahir)
P51.9 Perdarahan Tali Pusat Bayi
P25.2 Pnemonia Deastinum Bayi
P55 Penyakit Hemolitik Janin/ Bayi
P02.0 Placenta Previa Bayi
P54.2 Rectal Bleeding Bayi
P22.9 Respiratory Distress Bayi
 P28.5 Respiratory Failure Bayi
P36.8 Bacterial Sepsis of Newborn
R95 Sindrom Mendadak Bayi
P01.5 Gemelly Bayi
P01.1 Fetus & Newborn Affected Cervix
P36.1 Bayi Panas/ Febris
P00.0 Bayi Dipengaruhi Hipertensi Ibu
P02.0 Bayi Dipengaruhi Plasenta Previa
P08.2 Bayi Postdate
P03.8 Bayi Dipengaruhi Komplikasi Ibu
Q02 Microcephaly
Q43.1 Hirschsprung Disease

6 Live Born Z38.0 Singleton, Born in Hospital

Z38.1 Singleton, Born Outside in Hospital
Z38.2 Singleton, Unspesific of Birth
Z38.3 Twin, Born in Hospital
Z38.4 Twin, Born Outside in Hospital
Z38.5 Twin, Unspesific of Birth
Z38.6 Other Multiple, Born in Hospital
Z38.7 Other Multiple, Born Outside Hospital
Z38.8 Other Multiple, Unspesific Of Birth

7 Umum A91 Demam Berdarah/ DHF

S31.4 Open Wound Of Vagina & Vulva
N75.8 Bartholinitis
I84 Haemorrhoids
A90 Dengue Fever/ DF
A01.0 Thypoid Fever
R07.3 Chest Pain
G93.4 Encephalopathy
B26 Mumps
K65.0 Peritonitis Akut
B00.9 Herpes Viral Infection
M13.8 Other Specified Arthritis
R50.9 Demam/ Febris
D61.8 Pancytopenia
J06.9 ISPA
D56.8 Other Thalasemia
J00 Common Cold/ Nasofaringitis
K12.1 Stomatitis
J02.9 Faringitis
J03 Tonsilitis Akut
R05 Hiperaktif Bronkus/ Batuk
A15.8 TBC/ KP (Koch Pulmonal)
A18.3 Peritonial TB
K30 Dispepsia
K27.7 Ulkus Peptikum
R11 Mual/ Muntah/ Vomiting
R10.4 Nyeri Perut/ Abdomen
J46 Asma Akut
J45.9 Asma
R51 Headace/ Cephalgia
H52.1 Myopi
G70.0 Myasthenia Gravis
S50 Contusio Elbow (Siku Lecet)
S01.4 Luka Lecet Pipi
K36 Apendicities Kronis
K35.0 Apendicities Akut
K35.1 Apendicities Akut Perforasi
I10 Hypertensi/ HT Grade I/ Primer
I15.8 Hypertensi/ HT Grade II/ Sekunder
I20.9 Angina Pectoris
I50.9 Jantung
R00.1 Brachicardia
I21.9 Infark Myocard Akut
A37.0 Batuk
E88.0 Disorders Plasma Protein Metabolism
J11.1 Flu
J44.8 PPOK/ COPD
R58 Haemorrhage
G47.9 Insomnia
H26.8 Katarak
H26.2 Katarak Sekunder/ OD
H40.2 Glaucoma Acute
S06.0 COR/ COS/ CKR/ CKS
S09.8 COB
K59.0 Konstipasi
L02.9 Furunkel
J18.8 Pneumonia
J18.0 Bronkopnemonia
J20.8 Bronkitis Akut
J40 Bronkitis
I63.8 CVA Perdarahan/ ICH
I63.6 CVA Trombolik
F48.8 Neurosis Psikosa
I50.9 Decomp Cordis/ Heart Failure
K75.9 Hepatitis
E10.1 DM Insulin Ketoasidosi
E10.8 DM Insulin
E11.8 DM Non Insulin
E14.8 Unspesific Complication DM
K90.8 Malabsorbsi Usus
K56.7 Ileus Obstruksi
K56.1 Intussusception
S61.8 Open Wound Wrist & Hand
B34.8 Other Viral Infection
A09 Gastroenteritis Akut
K29.6 Gastritis Perdarahan
J81 Pulmonary Oedema
K29.1 Gastritis Akut
K29.5 Gastritis Kronis
R42 Vertigo
L91.8 Keloid
D17.7 Lipoma
H44.0 Endopthalmitis
K21.9 Gastro Oesophageal Reflux Disease
B05.9 Measles/ Morbili
R56.0 Febris Convulsi
G03.8 Meningitis
D25 Myoma Uteri
N81.8 Uterovaginal Prolapse
N83.2 Cysta Ovarium
L03.8 Selulitis Unspesifik
L03.0 Selulitis Kaki
N40 BPH
N20.0 Calculus Of Kidney/ Nephrolithiasis
N20.1 Calculus Of Ureter
N21.0 Calculus In Bladder
N21.1 Calculus In Urethra
N13.2 Hydronephrosis
N19 Kidney Failure
N11.8 Pyelonephritis
N30.1 Interstitial Cystisis
N35.8 Strikture Urethra
N39.0 Urinary Tract Infection
R33 Retensio Urine
N49.8 Inflammatory Male Genital
I25.2 Old Myocard Acute
L72.8 Kista Atheroma
I95.8 Hipotensi
H16.0 Ulkus Kornea/ Keratitis
S02.4 Fraktur Maxilaris
S02.0 Fraktur Cranii
S06.2 Contusio Cerebri
K92.1 Melena
K40.3 Hernia
K40.9 HIL
H11.0 Pterygium
S51.8 Luka Terbuka Tangan
S93.3 Dislokasi Kaki
S91.3 Luka Terbuka Kaki
C67.9 Carcinoma Bladder/ Buli
T31.8 Terbakar 80%
A41.8 Sepsis
M70.5 Bursitis
S32.0 Fraktur Lumbar
S01.0 Luka Lecet Pelipis Kepala
L30.8 Dermatitis
R73.9 Hiperglikemia
E16.1 Hipoglikemia
J98.4 Other Disorders Of Lung
J90 Efusi Pleura
C50.9 Fibroadenomatosis
N90.8 Disorder Vulva & Perineum
D69.3 Ideopatic Trombocytopenia Purpuralis
M66.4 Rupture Tendon
L89.0 Decubitus
L97 Ulkus
E04.8 Nontoxic Goitre
K80.8 Other Cholelithiasis
S98.4 Amputasi Kaki
T01.8 Vulnus Appertum
E86 Dehidrasi Berat
 R57.1 Hypovolaemic Shock
R06.0 Dyspnea
S82.7 Fracture Tibia & Fibula
S62.7 Fracture Finger
S42.0 Fracture Clavicle
S43.0 Dislocation Of Shoulder Joint
S52.4 Fracture Radius & Ulna
D50.8 Anemia
I25.1 Penyakit Jantung Koroner
I49.9 Arrhythmia Cardiac
G51.0 Bell Palsy
R04.2 Haemoptysis
J31.0 Chronic Rhinitis
M67.4 Ganglion
K76.0 Fatty Liver
E05.9 Thyrotoxicosis
R02 Gangren
M79.1 Myalgia
J01.8 Sinusitis
J33.9 Polip Nasal
S01.1 Laserasi Mata
S01.3 Laserasi Telinga
G83.0 Diplegia
D06.9 Carcinoma Cervix
M10.9 Gout
K91.8 Other Post Procedural Disorders Of Digestive

M96.8 Musculoskeletal Disorders

C22.7 Carcinomas Liver
G70.0 Myasthenia Gravis

8 Kontrol/ Periksa Z00.0 General Check Up

Z01.2 Periksa Gigi
Z01.3 Periksa Tekanan Darah
Z01.4 Gynaecological Examination
Z01.6 Periksa Radiologi
Z01.7 Periksa Laboratorium
Z02.0 Periksa Kesehatan untuk Pendidikan
Z02.1 Periksa Kesehatan untuk Kerja
Z03.0 Observasi Suspek TBC
Z03.1 Observasi Suspek Neoplasma
Z03.8 Observasi Suspek Penyakit Lainnya
Z04.0 Observasi Alkohol/ Narkoba
Z04.1 Periksa Akibat Kecelakaan di Jalan Raya
Z04.2 Periksa Akibat Kecelakaan Kerja
Z04.3 Periksa Akibat Kecelakaan Lainnya
Z08.0 Kontrol Setelah Operasi Neoplasma
Z08.2 Kontrol Setelah Kemoterapi
Z09.0/ Z48.8 Kontrol Setelah Operasi
Z09.8 Kontrol Setelah Rawat Inap
Z09.4 Kontrol Setelah Patah Tulang
Z39.2 Kontrol Post Partum
Z87.6 Kontrol Bayi Post MRS
Z00.1 Kontrol Bayi Sehat
Z30.2 Sterilisasi (MOW)
Z35.9 Periksa Sebelum Curettage
Z35.8 Primi Tua Primer
Z35.5 Primi Tua Sekunder
Z35.6 Primigravida < 17 th
Z34.8 Pemeriksaan Kehamilan
Z24 Imunisasi
Z01.0 Periksa Mata
Z30.0 Konsultasi Kontrasepsi
Z93 Colostomy Kontrol
Z23 Vaksinasi
 Keterangan
Pre Eklamsi Sedang
Pre Eklamsi Berat

Ketuban Pecah Dini

Ketuban Pecah Dini
Pro-long Fase Aktif

Kembar
Lebih Bulan
Gagal Rangsang
Plasenta Lengket di Rahim
Placenta Letak Rendah/ PLR

Marginalis
Pinggul Sempit

HT/ HDK/ Hipertensi Dalam Kehamilan

Ibu kurang dari < 37 mgg

Intra Uterine Growth Retardation

Oblique

Aborsi Spontan
Aborsi Medis
Persalinan Palsu Kurang 37 Minggu
Persalinan Palsu Lebih 37 Minggu
Perawatan Ibu Persalinan Palsu

CPD
HEG
Robek/ Laserasi Perineum
Infeksi Pasca Persalinan
KEK/ Kekurangan Energi Kronis
KET
Plasenta Letak Rendah

Gagal Drip/ Induksi

Persalinan Normal
Persalinan Letak Sungsang/ Lintang
Persalinan Vakum
Persalinan SC Terencana
Persalinan SC Darurat
Persalinan Multipel, Spontan Semua
Persalinan Multipel, Vakum Semua
Persalinan Multipel, SC Semua

Lahir Satu Hidup

Lahir Satu Mati
Lahir Kembar Hidup Semua
Lahir Kembar, 1 Hidup 1 Mati
Lahir Kembar Mati
Lahir Lebih dari 2, Hidup Semua
Lahir Lebih dari 2, Beberapa Hidup
Lahir Lebih dari 2, Hanya Lahir Saja
Lahir Lebih dari 2, Tidak Spesifik

HPP
Retensio Plasenta

Bayi Kebiru"an Berat (AS 0-3)

Bayi Kebiru"an Sedang (AS 4-7)
Bayi Kebiru"an Ringan (AS 4-7)
Bayi Kuning
Tersedak
Tidak Punya Anus
Kelahiran bayi < 28 mg

Kelahiran bayi < 2500 gram

Suhu tubuh terlalu dingin
Suhu tubuh terlalu panas
bayi keluar mati apapun

Letak Sungsang
Letak Lintang
Tali Pusat Keluar Lebih Dulu

Inpartu
Sepsis/ Infeksi Bakteri

Bayi Dipengaruhi KPD

PER/ PEB

PFL/ PFA
Tidak Ada Batok Kepala
Megacolon Bayi

Lahir Satu diluar Rumah Sakit

Lahir Satu Tidak Spesifik
Lahir Kembar di Rumah Sakit
Lahir Kembar diluar Rumah Sakit
Lahir Kembar Tidak Spesifik
Lahir Lebih Dari 2 di Rumah Sakit
Lahir Lebih Dari 2 diluar Rumah Sakit
Lahir Lebih Dari 2 Tidak Spesifik

Robekan Jalan Lahir/ ROJ

Wasir

Demam Tipes
Dada Sesak

Parotitis

Artritis
Panas

Masuk Angin/ Pilek/ BP

TB Paru

Gangguan Pernapasan

Cholic Abdomen
Status Asmatikus
Bronchiale
Pusing
Rabun Jauh

Darah Tinggi

Brakikardi
OMI/ IMA

Hypoalbumin

Paru Menahun
Perdarahan
Susah Tidur

Chatarac Secondary to Occular Disorders

Glukoma
Cidera Otak Sedang/ Ringan
Cidera Otak Berat
Sembelit
Bisul/ Benjolan
 Stroke

Gangguan Psikologi Syaraf

Gagal Jantung

KAD
Type I
Type II
Koma Asidosis Diabetik/ KAD

Invaginasi
Luka Robek Pada Tangan

Mencret/Diare/ GEA/ GEADS

Congestive Pulmonum

Benjolan

Mata Sakit
GERD
Campak
Kejang

Prolaps Uteri/ Peranakan Jatuh

Kista Ovarium

Prostat
Batu Ginjal/ Staghorn
Batu Ureter
Batu Kandung Kemih/ BBB
Urolithiasis
Ginjal Bengkak/ HN/ Akibat Batu Ginjal
Gagal Ginjal/ GGK
Kantong Kemih Sakit
Stenosis
ISK/ UTI

DM

Ulcer Cornea

Hernia Inguinalis

Combustio Degree 80%

Empisema
Kanker Payudara/ FAM

Tendon Putus
Dekubitus
Ulcer
Struma/ Gondok
Batu Empedu
Sesak Nafas/ Nafas Pendek

Jari
Patah Tulang Belikat/ Klavikula
Dislokasi Tulang Sendi Bahu/ Klavikula
Antebrachii

PJK
Aritmia

Batuk Darah

Sakit Hati
Hyperthyroidism

Luka Mata
Luka Telinga

Asam Urat
Post Kolostomi, Hernia, Ileus

Jaringan Lunak
Hepatoma

Pap Smear
Rontgen/ Ronsen
Mabuk/ Mendem/ Oplosan
Tabrakan
Kejatuhan Genting
Jatuh di Toilet
Kista

SC/ BPH/ dll

Post DHF/ ISPA/ dll

Partus Normal
Ikterus/ Aspiksia/ dll

Usia Ibu > 35 th

KB
Operasi membuat saluran untuk BAB