DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF MATA
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM TINDAKAN OPERASI
TARIF INA-CBG’s
(Rp)1 Pseudophakia
katarak1 Z96.1
H25.13.71 ECCE 2.739.482
PseudophakiaKatarakDM Non Insulin
2 Z96.1H25.E11.
13.71 ECCE 3.123.009
PseudophakiaKatarakHIV
3 Z96.1H25.B20.
13.71 ECCE 5.210.628
2 Pterigium 1 H11 11.39 EXCISION 2.797.973
PterigiumANEMIA
2 H11D64.9
11.39 5.102.420
PterigiumAnemiasepticaemia
3 H11.D64.9A41.9
11.39 6.938.973
3 Ruptur Kornea S05.34 Glukoma H40.95 Granuloma H01.86 Ruptur Palpebrae -7 Entropion H02.08 Post Katarak -9 Suspectall di Cornea -
10
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’s(Rp)
1 Senile catarac H25 150.7912 Pres Byopia - -3 Conjunctivitis H10.9 128.3014 Myopia H52.1 150.7915 Other Specified Disorder of eye - -6 Glaucoma V H40 150.7917 Hordeolum Chalazion V H00.1 128.3018 Disorders of Lactimal sistem - -9 Pterygium V H11.0 150.791
10 Foreign Body On External Eye - -11 Conjunctival haemmorhage H11.3 128.30112 Keratitis V H16.9 150791
SOP MATA yang sudah dibuat tahun 2007
1. Konjungtivitis dapat disebabkan oleh iritasi, bacterial, viral atau allergic
2. Asthenopia
3. Katarak Sinilis
4. Hordeolum / chalazion
5. Keratiis / ulcus cornea
6. Keratitis pungtata superfisialis
7. Pterigium
8. Glaucoma Akut
9. Glaucoma Kronis
10. Tindakan Ekek + Lensa tanam
11. Anomali Refleksi
12. Tindakan SICS +IOL (katarak)
13. Enukleasi
14. Blefaritis
15. Insisi Hordeolum / Khalazion
16. Iridosiklitis uveritis Anterior
17. Eviscearsi
18. Extraksi Pterigium
19. Trebekulektomi
20. Pemakaian Slitlamp
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF THT
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM TINDAKAN OPERASI
TARIF INA-CBG’s(Rp)
1 Tonsilitis Akut 1 J35 22.8 TONSILEKTOMY 1.699.571Tonsilitisanemia
2 J35D64.9
22.8 2.414.971
TonsilitisAnemiasepticaemia
3 J35.D64.9A41.9
22.8 4.758.798
2Sinusitis
1 J32 22.39 SINUSITIS MAXILARIS
4.807.345
Sinusitisanemia
2 J32D64.9
22.39 8.772.458
SinusitisAnemiasepticaemia
3 J32.D64.9A41.9
22.39 11.391.203
3 Fr Os Nasal4 ICH5 Polip6 Granuloma7 Epistaksis R04.08 Faringitis J029 Tumor Kelenjar
10 Ca Naso Pharing C11
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’s(Rp)
1 Impacted Cerumen H61.2 150.7912 Otitis Externa H60.9 128.3013 Suppurative And Unspecified
OtitisH66.4 150.791
4 Choronic Maxillary Sinusitis J32.0 150.7915 Nonsuppurative Otitis Media H65.9 150.7916 Obstruction Of Eustactian Tube H68.1 150.7917 Vasomotor And Allergic Rhinitis J30.0 150.7918 Foreign Body In Ear T16 128.3019 Choronic Diseases Of Tonsilitis
And AdenoidJ35.9 150.791
10 Choronic Pharyngitis J31.2 150.79111 Other Specified Post Surgical
StatesZ98.8 150.791
12 Conductive And Sensorineveral H90.2 150.791
SOP THT yang sudah dibuat Tahun 2007:
1. Prosedur Pelayanan Diagnosa Dan Terapi Otitis Eksterna
2. Prosedur Pelayanan Diagnosa Dan Terapi Omsk ( Otitis Media Suppurativ Kronik )
3. Prosedur Pelayanan Dan Terapi Oma ( Otitits Media Akuta )
4. Prosedur Pelayanan Diagnosa Dan Terapi Rinitis Alergika
5. Prosedur Pelayanan Diagnosa Dan Terapi Peritonsiler Abses
6. Prosedur Pelayanan Diagnosa Dan Terapi Polip Nasi
7. Prosedur Pelayanan Diagnosa Dan Terapi Polipektomi
8. Prosedur Pelayanan Diagnosa Dan Terapi Pharingitis
9. Prosedur Pelayanan Diagnosa Dan Terapi Tosilektomi
10. Prosedur Pelayanan Diagnosa Dan Terapi Sinusitis Maxilaris
11. Prosedur Pelayanan Diagnosa Dan Terapi Corpus Alienum Di Hidung Dan Telinga
12. Prosedur Pelayanan Diagnosa Dan Terapi Fraktur Os Nasale
13. Prosedur Pelayanan Diagnosa Dan Terapi Cerumen
14. Prosedur Pelayanan Diagnosa Dan Terapi Esophaguskopi
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF BEDAH UROLOGI
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM TINDAKAN OPERASI
TARIF INA-CBG’s(Rp)
1 BPH 1 N40 60.29 TURP 6.469.047BPHANEMIARETENSIO URINE
2 N40D64.9R33
9.408.674
BPHHIV
3 N40B20.
12.730.302
2 Batu Ginjal N20.03 Batu Buli N21.04 Retensi Urine R335 Batu Ureter N20.16 Striktur Uretra N13.57 Hydronephrosis N13.8 Hematuri R319 Phymosis N47
10 Coliletiasis K80.
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’s (Rp)
1 Hiperplasia Prostat N40 150.7912 Sistisis N30 118.2073 Uroliatiasis N20.9 140.9244 Scrotal Varices I86.1 150.7915 Redundant Prepuce, Phimosis
And ParaphimosisN47 150.791
6 Urethal Structure N35.9 150.7917 Retention Of Urine R33 140.9248 Hypospadias Q54.9 150.7919 Calculus In Kidney N20.0 140.924
10 Epididymitis - -11 Orchitis And Epididymitis N45 128.30112 Calculus In Bladder N21.0 150.79
SOP BEDAH UROLOGI Yang sudah dibuat Tahun 2007
1. Penanganan Kelenjar Prostat Jinak
2. Penanganan Saluran Kemih
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF BEDAH SYARAF
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM TINDAKAN OPERASI
TARIF INA-CBG’s(Rp)
1 Cedera Kepala Ringan (CDR) S06. - - 1.490.2392 Cedera Kepala Sedang (CKS)3 Cedera Kepala Berat (CKB)4 Hydrocephallus 1 G91. 02.31 VP.SHUNT 5.196.980
HYDROCEPHALUSANAEMIA
2 G91.D64.9
02.31 10.672.390
HYDROCEPHALUSANEMIASEPTICAEMIA
3 G91.D64.9A41.
02.3101.24
19.494.351
5 Meningioma6 EDH7 ICH ( Intra Cerebral
Haemorragic)8 HNP M51.29 Hemangioma
10 SNH (Stroke Non Haemorragic)
I63
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’s(Rp)
1 Supercial Injury Of Head S09.8 128.3012 Other Specified Intervetebral Disc -3 Malignant Neoplasm Of Brain C17.9 150.7914 Congnetial Hydrocepalus Q03.9 150.7915 Epilepsy G40.9 150.7916 Benign Lipomatous Neoplasm D17.9 150.7917 Headache R51 128.3018 Dementia In Huntingtons Disease F02.2 -9 Meninges Unspicified G03.9 163.642
10 Brain Unspecified G93.9 150.791
SOP BEDAH SYARAF yang sudah dibuat tahub 2007
1. Pelayanan Cedera Kepala
2. Pelayanan Hidrocephalus
3. Pelayanan Tumor Otak
4. Pelayanan Tumor / Infeksi Tulang Belakang
5. Pelayanan Cidera Tulang Belakang
6. Pelayanan Craniobifida / Spinabifida
7. Pelayanan Abses Otak
8. Pendarahan Intra Kranial Spontan
9. Pelayanan Medik Penyakit Degeneratif Spinal
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF BEDAH UMUM
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM TINDAKAN OPERASI
TARIF INA-CBG’s(Rp)
1 APPENDICITIS 1 K35. 47.09 APP 2.755.252Appendicitisanemia
2 K35D64.9
47.09 APP 4.812.633
AppendicitisHIV
3 K35.B20.
47.09 APP 5.146.938
2 FAM 1 D24 85.21 EXCISION BREAST
4.873.588
FAMANEMIA
2 D24D64.9
85.21 8.772.458
FAMANEMIASEPTICAEMIA
3 D24D64.9A41.9
10.607143
3 Lipoma 1 D17 83.49 EXCISION 3.773.304LIPOMAANEMIA
2 D17.D64.9
83.49 6.823.023
LIPOMAANEMIASEPTICAEMIA
3 D17.D64.9A41.9
83.49 7.797.740
4 HIL K40 53.00 HILL5 Haemorhoid I84 49.466 Ca Mamae C50 85.41 MASTECTOMY7 SNNT E04 06.518 Illeus Obstruktif K56 54.11 LAPARATOMY9 Peritonitis K65 54.11
10 Soft Tissue Tumor D36.7 83.49
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’s(Rp)
1 Cutaneous Abscess Furuncle & Carbuncle
L02.9 128.301
2 Benign Neoplasm Of Breast D24 150.791
3 Acute Appendicitis K35.9 127.1684 Inguinal Hernia K40.9 150.7915 Enlarged Lymph Nodes R59.9 150.7916 Haemorrhoids V I84 150.7917 Nontoxic Goitre Unspecified E04.9 150.7918 Keloid Scar L91.0 150.7919 Malignant Neoplasm Of Breast C50.9 150.791
10 Fractures Involving Multiple Body Regions
T02 163.642
11 Hepatic Failure Unspecified K72.9 184.76212 Corns And Callosities L84 150.79113 Epidermal Cyst L72.0 150.791
SOP BEDAH UMUM yang sudah dibuat tahun 2007
1. Prosedur Penanganan Trauma Ginjal Tajam / Tembus
2. Prosedur Penanganan Trauma Tajam / Tembus Thorax
3. Prosedur Penanganan Pembesaran Klenjar Prostat
4. Prosedur Penanganan Apendicitis AKut
5. Prosedur Penanganan Tumor Ganas /Kanker Payudara
6. Prosedur Penanganan Tumor Jinak Payudara
7. Saluran Kemih
8. Prosedur Penanganan Hemoroid
9. Prosedur Penanganan Nyeri Abdomen Kanan Atas
10. Prosedur Penanganan Hernia Lipat Paha ( Iguinalis )
11. Prosedur Penanganan Fraktur Iga Simple
12. Prosedur Penanganan Trauma Tumpul Thorax
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF SYARAF
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM
TINDAKAN OPERASI
TARIF INA-CBG’s(Rp)
1 SNH (Stroke Non Haemorragic)
I63. - - 3.666.363
2 SH (Stroke Haemorragic) I613 Vertigo R424 Chepalgia R515 CKR (Cedera Kepala Ringan) S06.
6 ME (Meningo Enchephalis) G04.7 LBP (Low Back Pain) M54.58 SOL ( Space Occupiying
Lesson)D33
9 CHF (Cardiac Heart Failure) 1 I50. - - 4.736.686CHFDM NON INSULIN
2 I50.E11.
6.759.238
CHFDMMCILEKOSITOSIS
3 I50.E11.I21.
D72.8
8.199.906
10 SNH I63.
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’s(Rp)
1 Brains Stem Stroke Sydrome
G46.3 128.095
2 Low Back Pain M54.5 150.7913 Epilepsi G40.9 150.7914 Headache V R51 128.3015 Epidemic Vertigo A88.1 128.3016 Arthritis Unspecified M13.9 150.7917 Parkinsons Disease V G20 184.7628 Disorders Of Patella M22.9 150.7919 Myalgia M79.1 150.791
10 Other Disorders Of Central Nervous System
G96.9 150.791
11 Essential Hypertension I10 150.791
SOP SYARAF yang sudah dibuat tahun 2007
1. Penanganan Migren
2. Penanganan Cluster Headache
3. Penanganan Contration Headache
4. Penanganan Trigeminus Idiopatik
5. Penanganan Vertigo
6. Penanganan Terapi Gangguan
7. Perdarahan Otak (STROKE)
8. Penanganan Therapi Parkinsone
9. Penanganan Trauma Kepala
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF PENYAKIT DALAM
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM TINDAKAN OPERASI
TARIF INA-CBG’s(Rp)
1 DM 1 E10 s/d E14 2.259.199DM GANGREN 1 E10.5 2.894.297
2 Gastritis K29.3 HT (Hipertensi) I104 CKD (Cronic Kidney
Disease)1 N18. 2.221.835
CKDANEMIA
2 N18.D64.9
39.95 3.258.127
CKDANEMIACHFSEPTICAEMIA
3 N18.D64.9I50.
A41.9
39.95 6.420.721
5 TF (Typhoid Fever) 1 A01.0 1.702.6046 DHF 1 A91 1.808.9357 GE A098 ISK N34.29 Anemia D64.9
10 Hepatitis K75.9
RAWAT JALA
No Diagnosa SOP ICD-10 TARIF INA-CBG’s (Rp)
1 Non Insulin dependent diabetes Melitus
E11 150.791
2 Essential Hypertension I10 150.7913 Dyspepsia K30 150.7914 Cytitis N30.9 118.2075 Cronic Renal Failure
Hemodialysis =39.95N18.9 184.762
545.000
6 Thyrotoxicosis E05 150.7917 Respiratory
tuberculosis,BacteriologicallyA15.9 184.762
8 Primary Generalized M15.0 150.7919 Gastritis and duodenitis K29.9 128.301
10 Other Nontoxic Goritre E04.8 150.79111 Low Back Pain M54.5 150.79112 Vitamin B12 Deficiency Anemia D51.9 150.791
SOP PENYAKIT DALAM yang sudah dibuat tahun 2007
1. Prosedur penanganan Demam Tifoid
2. Prosedur Penanganan DBD
3. Prosedur Penanganan Tersangka DBD di IGD Protokol 1
4. Prosedur Penanganan Tersangka DBD di IGD Protokol 2
5. Prosedur Penanganan Tersangka DBD di IGD Protokol 3
6. Prosedur Penanganan Hipertensi
7. Prosedur Penaganan Infeksi saluran Kemih (ISK)
8. Prosedur Penanganan Gagal Ginjal Akut
9. Prosedur Penanganan Gagal Ginjal Kronik
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF JANTUNG
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM TINDAKAN OPERASI
TARIF INA-CBG’s
(Rp)1 CHF ( Cardiac Heart failure) 1 I50. 4.736.6862 MCI (Miocard Infark) I21. 4.560.7173 HHD ( Hipertensi Heart Disease
with congestive heart failure)1 I11.0 4.736.686
HHD(HYPERTENSIVE HEART DISEASE WITHOUT CONGESTIVE HEART FAILURE)
1 I11.9 2.613.200
4 PJB (Penyakit Jantung Bawaan)5 ACS (Acute Coronary Syndrome)6 CAD (Coronary Arterial Disease)7 Chest Pain
8 Syncope9 AF (Afraid Fibrilatory)
10 SLE (Sistemic Lupus Eritromatus)
RAWAT JALANNo Diagnosa SOP ICD-10 TARIF INA-CBG’s
(Rp)1 Essential ( Primary ) Hypertension I10 150.7912 Chronic Ischaemic Heart Disease I25.9 184.7623 Heart Failure, Unspection I50.9 294.2884 Pulmonary Heart
Disease,UnspecifiedI27.9 184.762
5 Hypertensive Heart Disease I11.9 150.7916 Atrial Fibrilation And Fluter I48 128.3017 Atrial - -8 Chest Pain, Unspection R07.4 163.6429 Angina Pectoris I20.9 184.762
10 Acute Myocardial Infraction I21.9 341.04811 Nonrheumatic Mitral Valve
DisordersI34.9 184.762
12 Palpitation R00.2 294.288
SOP JANTUNG yang sudah dibuat tahun 2007
1. Penanggulangan henti Jantung (CA) dikamar Bedah
2. Pemberian cairan / darah dikamar bedah
3. Prosedur Penanganan Penyakit JAantung Katup
4. Prosedur Penanganan Payah Jantung Kongstiv Anak
5. Prosedur Penanganan Gagal jantung Kronik
6. Prosedur Sindroma Koroner akut (SKA) ST Elevasi Miokard Infark (STEMI)
7. Penanganan Penyakit Jantung Bawaan Biru Tof
8. Prosedur Penanganan Edem Paru Akut
9. Prosedur Penanganan Endokarditis
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF PARU
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM TINDAKAN TARIF INA-CBG’s
OPERASI (Rp)1 Tuberculosis 1 A15. 2.739.424
TBCANEMIA
2 A15.D64.9
3.857.272
TBCANEMIAHIV
3 A15.D64.9B20.
4.847.157
2 BP (Bronkopneomoni) J183 COPD ( Cronic
Obstructive Pulmonary Disease)
J44
4 Asthma J455 EFUSI
PLEURA(TanpaTindakan)1 J90 - - 3.137.344
Efusi Pleura 1 J90 WSD 34.51 4.593.103EFUSI PLEURAANEMIA
2 J90D64.9
WSD 34.51 11.0940.13
EFUSI PLEURAANEMIAHIV
3 J90D64.9B20.
WSD 34.51 16.775.061
6 CA Paru C347 Pneumothorax J938 Abcess Paru J85.29 Dypsnea R06.0
10 SOPT J44
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’s (Rp)
1 Tuberculosis Of Lung,Confirmed By Unspecified Means
A15.3 150.791
2 Acute Upper Respiratoryinfection Of Multiple
J06.8 128.301
3 Other Chronic Obstructive Pulmonary Disease
J44.9 150.791
4 Acute Bronchitis J20.9 179.9985 Asthma J45.9 150.7916 Tuberculosis Of Intrathoracic Lymph
NodesA16.3 184.762
7 Tuberculosis Of Lung Confirmed By Sputum Microscopy
A15.0 150.791
8 Repiratory Tuberculosis, Bacteriologically
A15.9 150.791
9 Bronchitis J40 179.99810 Hiv B20.9 209.600
SOP PARU yang sudah dibuat tahun 2007
1. Pelayananan Gagal Nafas Hipoksemia ( Gagal Nafas Tipe I )
2. Pelayananan Gagal Nafas Hipoksemia ( Gagal Nafas Tipe I )
3. Pelayanan Infeksi Jamur Paru ( Mycosis Pulmonum)
4. kanker Paru
5. Sindrom Vena Kava Superior
6. ARSD ( Adult Respiratory Distress Syndrome) Acute Long injury
7. Efusi Pleura Ganas
8. Gagal napas Tipe II ( Gagagl Napas Kronik)
9. Empima Paru
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF ANAK
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM TINDAKAN OPERASI
TARIF INA-CBG’s(Rp)
1 Bronchopnemonia 1 J18. 1.871.207Bronchopneumoniaanemia
2 J18.D64.9 99.03
3.220.436
BronchopnemoniaAnemiaSepticaemiaHIV
3 J18.D64.9A41.B20.
5.276.804
2 Typhoid Fever3 Febris Convulsion R564 DHF A915 Dengue syock Syndrom A906 SEPSIS A417 Meningoenchephalitis G04.8 TB Paru A169 Thalasemi D56.
10 Hepatitis K7211 Neprotic Syndrom N04.12 Morbili B05.13 ISPA J06.
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’s (Rp)
1 Respiratory Tuberculosis,Bacteriologically
A15.9 184.762
2 Cough R05 150.7913 Acute Nasopharynitis J00. 128.3014 Fever of Unknown Origin R50. 128.3015 Epilepsi G40. 150.7916 Diarrhoea and gastroenteritis A09 128.3017 HIV B20.9 209.6008 General Examination and
investigation Z08 88.632
9 Nephrotic Syndrome N04 184.76210 Febrile Convulsions R56. 163.64211 Pneumonia,Organism
UnspecifiedJ18. 188.268
12 Sequelae Of Tuberculosis B90. 150.791
SOP ANAK yang sudah dibuat yang dibuat tahun 2007
1. Prosedur Standar Peralatan Pelayanan Medis Kesehatan Anak
2. Prosedur Penanganan Pada Bronkopenumonia Anak
3. Prosedur Penanganan Ikterus
4. Neinatorum Pada Anak
5. Prosedur Penanganan Tonsilofaringitis Akut
6. Prosedur Penanganan Hepatitis Virus A
7. Prosedur Penanganan Diare Akut
8. Prosedur Penanganan Demam Berdarah Dengue
9. Prosedur Penanganan Demam Tifoid
10. Prosedur Penanganan Muntah
11. Prosedur Penanganan Diare Kronik
12. Prosedur Penanganan Sakit Perut Berulang
13. Prosedur Penanganan Radang Telinga Tengah
14. Prosedur Penanganan Penyakit Kulit Pada Anak ( Impetigo Furunkel )
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL
(POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF KEBIDANAN
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM
TINDAKAN OPERASI
TARIF INA-CBG’s(Rp)
1 Partus SpontanKPD<24 JAM
1 O80.O42.0
1.545.967
PARTUS SPONTANKPD >24 JAM
2 O80.O42.1
1.806.069
PARTUS SPONTANHIVKehamilan dgn resiko tinggi
3 O80.B20.Z35.
2.246.087
Partus spontanPost partum haemorrhageAnemiaPEBSepticaemia/sepsisEmboli obstetrik
3 O80.O72.
D64.9O14.1A41.9O88.0
69.52 curet 5.446.921
2 LAHIR SCGAGAL INDUKSIMOW
1 O82.O61.Z30.2
74.0
66.32
Cesarean
sterilisasi
3.124.760
LAHIR SCKPD<2JAMANEMIA
2 O82.O42.1D64.9
74.0 3.468.960
Lahir scKehamilan dgn resiko tinggiHIVMOW
3 O82.Z35.B20.Z30.2
74.0
66.32
4.274.934
3 KPD (Ketuban Pecah Dini) O424 MOW Z30.2 66.325 Abortus Incomplit O03. 69.096 Sc dengan KPD O82.+O42.7 Sc dengan PEB O82.+O14.8 Kista Ovarium / Histrektomy
lecositosis2 N83.2
D28.765.21 Histerectomy 6.259.767
9 Pre Eklamsia Berat
10 Myoma Utterianemia
2 D25.D64.9
69.98 Operation uterus
7.797.740
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’s (Rp)
1 Supervision Of Normal Pregnancy Z34.9 150.7912 Other Specified Post Surgical
StressZ98.8 150.791
3 Excessive Frequent And Irregular Menstruation
N92.1 150.791
4 Other And Unspecifieds Ovarian Cytrs
N83.2 150.791
5 Cervix Uteri N88.9 150.7916 Erosion And Ectropion Of Cervix
UteriN86 150.791
7 Noninflamatory Disorders Of Vagina
N89.9 150.791
8 Choronic Salpingitis And Phoritis N70.1 128.3019 General Examination And
Investigation- -
10 Lelomyoma Of Uterus Unspecified
D25.9 150.791
11 Primary Amenorrhoea N91.0 150.79112 Procedures For Purpose Other
Than RemedyingZ41.9 150.791
SOP KEBIDANAN yang sudah Dibuat Tahun 2007
1. Prosedur Penanganan Heperemis Gravidarum
2. Prosedur Penanganan Kehamilan Ektopik Terganggu
3. Prosedur Penanganan Preklamsia / Eklamsia
4. Prosedur Penanganan Distosia
5. Prosedur Penanganan Perdarahan Ante Partum
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF BEDAH ORTHOPEDI
RAWAT INAP
No Diagnosa SEVERITY ICD-10 ICD-9-CM TINDAKAN OPERASI
TARIF INA-CBG’s(Rp)
1 Fraktur Femur S72.2 Ruptur Tendon T14.3 Osteomyelitis M86.4 Ganglion 1 M67.4 82.21 ganglion 3.073.6245 Gangren DM E10.56 Fraktur Clavicula S42.07 Fraktur Tibia
FIBROBLASTIC1 S82.2
M72.79.66 DEBRIDEMEN
T3.814.711
FACTURE TIBIANECROTIZINGANEMIA
2 S82.2M72.D64.9
79.66 - 7.783.899
FRACTURE TIBIA NECROTIZINGANEMIASEPTICAEMIA
3 S82.M72.D64.9A41.9
79.66 - 12.548.390
8 Fraktur Distal -9 Fraktue Phalank S92.
10 Kontraktor -
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’S ( Rp )
1 Fractures Involving Multiple Body Regions
T02.9 163.642
2 Cutaneous Abscess L02. 128.3013 Other Arthiritis M13.9 150.7914 Pedestrian Injured V09.9 -5 Ganglion M67.4 150.7916 Low Back Pain M54.4 150.7917 Gangrene, Not Else Where
ClassifiedR02 163.642
8 Follicular Cyst Of Skin And Subcutaneous
L72.9 150.791
9 Arthrosis, Unspecified M19.9 150.791
10 Other Infective Bursititis M71.18 128.3011112
SOP BEDAH ORTHOPEDI yang sudah dibuat tahun 2007
1. Penanganan Patah Tulang Tertutup
2. Penanganan Patah Tulang Femur Tertutup
3. Penanganan Infeksi Tulang Kronis
4. Ekteremitas ( OSTEOMIELITIS )
5. Penanganan Ganglion
6. Penanganan Dislokasi Sendi Panggul Posterior
7. Penanganan Patah Tulang Clavicula
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF KULIT DAN KELAMIN
RAWAT INAP
No Diagnosa SOP123456789
10
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-CBG’s ( Rp)
1 Other Dermatitis L30.9 128.3012 Seborrhoeic Dermatits L21.9 150.7913 Acne Vulgaris L70.0 150.7914 Allergic Contact Demartitis L23.9 128.3015 Atopic Dermatitis L20.9 128.3016 Tinea Crusis B35.6 128.301
7 Cutaneous Abscess,Foruncle And Carbulance
L02 128.301
8 Irritant Contact Dermatitis L24.9 128.3019 Urticaria L50.9 128.301
10 Lichen Simplex Chronicus L28.0 150.79111 Tinea Corporis B35.4 128.30112 Lepromatous Leprosy A30.5 184.762
SOP KULIT & KELAMIN yang sudah dibuat tahun 2007: 1. Penanganan Dermatitis
2. Penanganan Pioderma
3. Penanganan Tuberkulosis Kutis
4. Penanganan Kusta5. Penanganan Dermatofitosis6. Penanganan Pitiriasis Versikolor7. Penanganan Kadidosis Kutis / Kuku /
Vaginalis8. Penanganan Varisela zoster9. Penanganan Herpes Zoster10. Penanganan Herpes Simpleks11. Penanganan Veruka Vulgaris12. Penanganan Kondiloma Akuminatum13. Penanganan Moloskum Kontagiosum14. Penanganan Skabies15. Penanganan Pedikulosis16. Penanganan Cutaneous Larva Migran17. Penanganan Erupsi Alergi Obat18. Penanganan Urtikaria19. Penanganan Psoriasis20. Penanganan Eritroderma21. Penanganan Klavus / Kalus22. Penanganan Tumor Kulit Jinak23. Penanganan Agne24. Penanganan Prurigo25. Penanganan Miliaria
26. Penanganan Melasma27. Penanganan Alopesia28. Penanganan In Growing Nail29. Penanganan Paronika30. Penanganan Infeksi Genital Non
Spesifik31. Penanganan Gonore32. Penanganan Trikomoniasis33. Penanganan Vaginosis Bakterial34. Penanganan Sifilis35. Penanganan Limfogranuloma Venerium36. Penanganan Ulkus Mole
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF GIGI DAN MULUT
RAWAT INAP
No Diagnosa SOP123456789
10
RAWAT JALAN
No Diagnosa ICD-9-CM ICD-10 TARIF INA-CBG’s (RP)
1 Necrociss Of Pulp K04.1 116.6272
Caries Of Dentine
23.19(other surgical
extraction of tooth)
K02.1 159.565
3 Impacted Teeth K01.1 116.627
4 Retained Dental Root K08.3 116.627
5 Deposit On Teeth K03.6 116.627
6 Pulpitis K04.0 116.627
7 Distubances in Tooth Formation K00.4 116.627
8 Teething Syndrome K00.7 116.627
9 Periapical Abscess Withouth Sinus K04.6 116.627
10 Distubances in tooth Eruptions K00.6 116.627
11 Perriodontosis K05.4 116.627
12 Chronic Periodontitis K05.3 116.627
SOP Gigi & Mulut yang sudah dibuat tahun 2007 :
1. Pelayanan Hiperemia Pulpa
2. Penanganan Pulpitis Akut
3. Penanganan Periodontitis karena Gangraen Pulpa
4. Tindakan Pembersiha Karang Gigi
5. Tindakan Penumpatan Amalgam
6. Tindakan Penumpatan Resin Composite + Light Cure
7. Tindakan Pulpektomi
8. Tindakan Ekstraksi Gigi
9. Penanganan Gigi Persisitensi
10. Penanganan Gingivitis
11. Penanganan Abses Sub Mucosa
12. Penanganan Periodontitis
13. Penanganan Alveoleltomy
14. Penanganan Abses Sub Gingival
15. Penanganan Pericoronitis
16. Tindakan eksirfasi Mucocele
17. Tindakan Odontektomi
18. Penanganan Gigi Impaksi Molar
DATA SIM BILLING SISTEM RSUD KOTA BEKASI 10 PENYAKIT TERBANYAK DI RAJAL (POLIKLINIK) DAN RANAP (RAWAT INAP)
*Mohon Koreksi apabila ada perubahan
SMF JIWA
RAWAT INAP
No Diagnosa SOP1
2345
6789
10
RAWAT JALAN
No Diagnosa SOP ICD-10 TARIF INA-
CBG’s (Rp)
1 Schizophrenia F20.9 -2 General Examination And
Investigation - -
3 Depressive Episode F32.9 -4 Mental And Behavioural Disorders
Due To Use Of SedativesF13.9 -
5 Phobic Anxiety Disorders F40.9 -6 Mental And Behavioural Disorders F16.9 -7 Mental And Behavioural Disorders
Due To Use Tobacco- -
8 Mild Mental Retardation F70.9 -9
10Catatan : TIDAK MENGGUNAKAN KODE F KARENA TIDAK KELUAR TARIF INA-CBG’s JADI MENGGUNAKAN KODE Z51.9 = Rp.151.791
SOP JIWA Yang sudah dibuat tahun 2007 :
1. Penanganan Gangguan penyesuaian
2. Penanganan factor Psikologik yang mempengaruhi kondisi fisik
3. Penanganan Depresi Berat dengan cirri Psikosis
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