AGNOSA YANG HARUS SELESAI DI FKTP NO
NAMA DIAGNOSA
D KODE A15 B059 B019 B54 A90, A91 A279
1 2 3 4 5 6 7 8 9 10 11 12
TB PARU MORBILI VARISELA MALARIA DEMAM DENGUE DAN DEMAM BERDARAH DENGUE LEPTOSPIROSIS INFEKSI PADA UMBILIKUS KANDIDIASIS MULUT LEPRA KERACUNAN MAKANAN ALERGI MAKANAN EXANTHEMATOUS DRUG ERUPTION
13
FIXED DRUG ERUPTION
L270
14 15 16
REAKSI ANAFILAKTIK SYOK ANEMIA
R579 D649
17 18 19 20 21 22 23 24
HIV/AIDS TANPA KOMPLIKASI LIMFADENITIS REFLUKS GASTROESOFAGEAL GASTRITIS INTOLERANSI MAKANAN MALABSORBSI MAKANAN DEMAM TIFOID GASTROENTERITIS ( TERMASUK DISENTRI, KOLERA, GIARDIASIS)
25 26 27 28 29 30 31 32 33 34 35
DISENTRI BASILER DAN DISENTRI AMUBA APENDISITIS AKUT PERDARAHAN SALURAN MAKAN BAGIAN ATAS PERDARAHAN SALURAN MAKAN BAGIAN BAWAH HEMOROID GRADE 1-2 HEPATITIS A HEPATITIS B PAROTITIS ASKARIASIS CUTANEUS LARVA MIGRANS PENYAKIT CACING TAMBANG
36
SKISTOSOMIASIS
B379 A30 T622 L270
Z21 B70 K219 K297
A010 A09
K359
K11.2 B77.9 B76.9 B76.0 B76.1 B65.9 B65.2
37 38 39 40 41 42 43 44
STRONGILOIDIASIS TAENIASIS PERITONISIS KOLESISTITIS MATA KERING/DRY EYE BUTA SENJA HORDEOLUM KONJUNGTIVITIS
B78.9 B68.9 K65.9 K81.9 H04.1 H53.5 H00.0 H10.9 H10.1
45 46 47 48 49 50 51 52 53 54
BLEFARITIS PERDARAHAN SUBKONJUNGTIVA BENDA ASING DI KONJUNGTIVA ASTIGMATISM HIPERMETROPIA MIOPIA RINGAN PRESBIOPIA KATARAK PADA PASIEN DEWASA GLAUKOMA AKUT OTITIS EKSTERNA
55 56 57 58 59 60
OTITIS MEDIA AKUT SERUMEN PROP BENDA ASING DI HIDUNG ANGINA PEKTORIS INFARK MIOKARD TAKIKARDIA
61
GAGAL JANTUNG AKUT DAN KRONIK
I50.9
62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
CARDIORESPIRATORY ARREST HIPERTENSI ESENSIAL INFARK SEREBRAL/STROKE FRAKTUR TERBUKA FRAKTUR TERTUTUP POLIMIALGIA REUMATIK ARTRITIS REUMATOID ARTRITIS, OSTEOARTRITIS LIPOMA KEJANG DEMAM VERTIGO DELIRIUM TETANUS RABIES EPILEPSI STATUS EPILEPTIKUS
K80 I10 I63.9 T14. T14. M53.3 M53.3 M19.9 D17.9 R56.0 R42 F05.9 A35 A82.9 G40.9 G41.9
H01.0 H57.8 T15.9 H52.2 H52.0 H52.1 H52.4 H26.9 H40.2 H60.9 H66.0 H61.2 T17.1 I20.9 I21.9 I47.1 I47.2
78 79 80 81
MIGREN BELLS' PALSY TENSION HEADACHE INSOMNIA
G43.9 G51.0 G44.2 G47.0
82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119
DEMENSIA GANGGUAN CAMPURAN ANXIETAS DAN DEPRESI GANGGUAN PSIKOTIK EPISTAKSIS FURUNKEL PADA HIDUNG FARINGITIS RHINITIS AKUT RHINITIS ALERGIK RHINITIS VASOMOTOR TONSILITIS LARINGITIS BRONKITIS AKUT INFLUENZA PNEUMONIA ASPIRASI PNEUMONIA DAN BRONKOPNEUMONIA PERTUSIS ASMA BRONKIAL MILIRIA VERUKA VULGARIS REAKSI GIGITAN SERANGGA HERPES ZOSTER HERPES SIMPLEKS SKABIES PEDIKULOSIS KAPITIS DERMATOFITOSIS : TINEA KAPITIS DERMATOFITOSIS : TINEA BARBAE DERMATOFITOSIS : TINEA FASIALIS DERMATOFITOSIS : TINEA KORPORIS DERMATOFITOSIS : TINEA MANUM DERMATOFITOSIS : TINEA UNGUIUM DERMATOFITOSIS : TINEA KRURIS DERMATOFITOSIS : TINEA PEDIS PITIRIASIS VERSIKOLOR/TINEA VERSIKOLOR PIODERMA DERMATITIS SEBOROIK DERMATITIS ATOPIK DERMATITIS NUMULARIS LIKE SIMPLEKS KRONIK (NEURODERMATITIS SIRKUMKRIPTA)
F03 F41.2 F20 R04.0 J34.0 J02.9 J00 J30.0 J30.0 R76 J04.0 J20.9 J11 J69.0 J18.9 A37.8 J45 L74.3 B07 T63.4 B02.9 B00.9 B86 B85.0 B35.0 B35.0
120 121 122 123
DERMATITIS KONTAK ALERGIK DERMATITIS KONTAK IRITAN NAPKIN ECZEMA 9DERMATITIS POPOK) PITIRIASIS ROSEA
B35.4 B35.2 B35.1 B35.6 B35.3 B36.0 L08.0 L21 L20 L20.8 L28.0 L23 L24 L22 L42
124 125 126 127 128 129 130 131
MOLUSKUM KONTAGIOSUM URTIKARIA FILARIASIS LUKA BAKAR DERAJAT I DAN II OBESITAS TIROTOKSIKOSIS HIPERGLIKEMIA HIPEROSMOLAR NON KETOTIK HIPOGLIKEMIA
132 133 134 135
DIABETES MELITUS 1 DIABETES MELITUS 2 MALNUTRISI ENERGI PROTEIN (MEP) HIPERURICEMIA GOUT ARTHRITIS
136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155
DISLIPIDEMIA INFEKSI SALURAN KEMIH HIPERMEMESIS GRAVIDARUM KEHAMILAN NORMAL PRE-EKLAMPSIA EKLAMSIA ABORTUS SPONTAN KOMPLIT ABORTUS MENGANCAM/INSIPIENS ABORTUS SPONTAN INKOMPLIT ANEMIA DEFISIENSI BESI PADA KEHAMILAN KETUBAN PECAH DINI PERSALINAN LAMA PERDARAHAN POST PARTUM RUPTUR PERINEUM TINGKAT 1-2 MASTITIS FLUOR ALBUS SIFILIS GONORE VAGINITIS VULVITIS
B08.1 L50 B74 S24 E66.9 E05.9 R73.9 E16.2 E10 E11 E46 E79.0 M10 E78.5 N39.0 O21.0 O80.9 O14.9 O15.9 O03.9 O06.3 O06.4 D50 042.9 O63.9 072.1 O70.0 N61 N98.9 A51 A54.9 N76.0 N76.0
DIAGNOSA ICD X NAMA DIAGNOSA
Generalized skin eruption due to drugs and medicaments
LEVEL KOMEPETNSI 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A
Generalized skin eruption due to drugs and medicaments
4A
Respiratory TB Measles without complication Varicella without complication Unspecified malaria Dengue fever, DHF
Candidiasis unspecified Leprosy Other ingested (parts of plant(s))
Shock, unspecified Anaemia, unspecified (anemia defisiensi besi-4A, anemia hemolitik-3A, anemia makrositik-3A, anemia aplastik-2, anemia megaloblastik-2) Asymptomatic HIV infection status Lymphadenitis Acute Gastrooesophageal reflux disease without oesophagitis Gastritis, unspecified
Typhoid fever Diarrhoea & gastroenteritis of presumed infection origin
4A 3B 4A
4A 4A 4A 4A 4A 3A 4A 4A
Sialoadenitis Ascariaris unspecified Hookworm disease, unspecified Ankylostomiasis ,Necatoriasis
4A 3B 3B 3A 4A 4A 3A 4A 4A 4A 4A
Skistosomiasisunspecified , Schistomiasis due to S. Japonicum
4A
Acute appendicitis
Strongyloidiasis Taeniasis Peritonitis, unspecified Cholecystitis, unspecified Other disorders of lacrimal gland Colour vision deficiencies Hordeolum and other deep inflammation of eyelid Conjunctivitis, unspecified,,, Acute atopic conjunctivitis
4A 4A 3B 3B 4A 4A 4A 4A
Blepharitis Other specified disorders of eye and adnexa Foreign body on external eye, part unspecified Astigmatism Hypermetropia Myopia Presbyopia Cataract, unspecified Primary angle-closure glaucoma Otitis Externa, Unspecified
4A 4A 4A 4A 4A 4A 4A 2 4A 4A
Acute suppurative otitis media Impacted cerumen Foreign body in nostril Angina pectoris Acute Myocardial Infarction Supraventicular Tachicardy , Ventricular Tachicardy
4A 4A 4A 3B 3B 3B
Heart failure
Cardiac arrhytmia Essential (primary) hypertension Cerebral infarction Fracture of unspecified body Fracture of unspecified body Polymyalgia rheumatica Polymyalgia rheumatica Osteoarthrosis other Benign lipomatous neoplasm Febrile convulsions Dizziness and giddiness Delirium Othertetanus Rabies Epilepsy Status epilepticus, unspecified
Gagal jantung akut (3B) Gagal jantung kronik (3A) 3B 4A 3B 3B 3B 3A 3A 3A 4A 4A 4A 3A 4A 3B 3A 3B
Migraine, unspecified Bells’ palsy Tension–type headache Disorders of initiating and maintaining sleep (insomnias)
4A 4A 4A 4A
Unspecified dementia Mixed Anxiety and Depression Disorder Chronic Psychotic Disorder Epistaxis Abscess, furuncle and carbuncle of nose Acute pharyngitis, unspecified Acute nasopharingitis (common cold) Vasomotor rhinitis Vasomotor rhinitis Acute tonsillitis, unspecified Acute laryngitis Acute bronchitis, unspecified Influenza Pneumonitis due to food and vomit Pneumonia, unspecified Whooping cough Asthma Miliaria Viral warts Venom of other arthropods Zoster without complication Herpesviral infection, unspecified Scabies Pediculosis due to Pediculus humanus capitis Tinea barbae and tinea capitis Tinea barbae and tinea capitis TINEA FASIALIS Tinea corporis Tinea manuum TINEA UNGUIUM Tinea cruris Tinea pedis Pityriasis versicolor Pyoderma Seborrhoeic dermatitis Atopic dermatitis Other atopic dermatitis Lichen simplex chronicus
3A 3A 3A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 3B 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 4A 3A
Allergic contact dermatitis Irritant contact dermatiti Diaper(napkin) dermatitis Pityriasis rosea
3A 4A 4A 4A
Molluscum contagiosum Urticaria Filariasis burn obesity unspecified Tirotoksikosis unspecified Hyperglycaemia unspecified hypoglycaemia unspecified
4A 4A 4A 4A 4A 3B 3B ringan 4A, berat 3B
Insulin-dependent diabetes mellitus Non-insulin-dependent diabetes mellitus Unspecified protein-energy malnutrition Hyperuricemia without signs of inflammatory arthritis and tophaceous disease
4A 4A 4A 4A
Hiperlipidemia Urinary tarct infection, site not specified Mild hyperemis gravidarum Single spontaneus delivery, unspecified Pre-eclampsia, unspecified Eclampsia, unspecified as to time periode Unspecified abortion complete, without complication Unspecified abortion incomplete, without complication Unspecified abortion incomplete, without complication Iron deficiency anemia Premature rupture of membrane, unspecified long labour Other Immediate Postpartum haemorhage First degree perineal laceration during delivery Inflammatory disorders of breast
4A 4A 3B 4A 3B 3B 4A 3B 3B 4A 3A 3B 3B 4A 4A 4A 3A 4A 4A 4A
Early syphilis Gonococcal infection, unspecified Acute Vaginitis Acute Vaginitis
1 2
SKABIES OTITIS MEDIA AKUT
3
HIPERTENSI ESENSIAL
4 5 6 7 8 9
ARTRITIS REUMATOID ARTRITIS, OSTEOARTRITIS LIPOMA VERTIGO MIGREN FARINGITIS
10 RHINITIS AKUT
11 12 13 14 15 16 17 18 19
RHINITIS ALERGIK INFLUENZA TONSILITIS INFLUENZA SKABIES HERPES ZOSTER PAROTITIS URTIKARIA DIABETES MELITUS 1
20 DIABETES MELITUS 2
B86 H66.0 I10 M53.3 M19.9 D17.9 R42 G43.9 J02.9 J00
J30.0 J11 R76 J11 B86 B02.9 K11.2 L50 E10 E11
21 INFEKSI SALURAN KEMIH
N39.0
22 KEHAMILAN NORMAL
O80.9
23 GASTRITIS 24 DEMAM TIFOID 25 GASTROENTERITIS ( TERMASUK DISENTRI, KOLERA, GIARDIASIS)
K297 A010 A09
26 APENDISITIS AKUT 27 PAROTITIS 28 KONJUNGTIVITIS
K359 K11.2 H10.9 H10.1
29 OTITIS EKSTERNA
H60.9
Scabies Acute suppurative otitis media
4A 4A
Essential (primary) hypertension
4A
Polymyalgia rheumatica Osteoarthrosis other Benign lipomatous neopl Dizziness and giddiness Migraine, unspecified Acute pharyngitis, unspecified
3A 3A 4A 4A 4A 4A
Acute nasopharingitis (common cold)
4A
Vasomotor rhinitis Influenza Acute tonsillitis, unspecifi Influenza Scabies Zoster without complicati Sialoadenitis Urticaria Insulin-dependent diabetes mellitus
4A 4A 4A 4A 4A 4A 4A 4A 4A
Non-insulin-dependent diabetes mellitus
4A
Urinary tarct infection, site not specified
4A
Single spontaneus delivery, unspecified
4A
Gastritis, unspecified Typhoid fever Diarrhoea & gastroenteritis of presumed infection origin
4A 4A 4A
Acute appendicitis Sialoadenitis Conjunctivitis, unspecified,,, Acute atopic conjunctivitis
3B 4A 4A
Otitis Externa, Unspecifie
4A