6 0 89 KB
144 DIAGNOSA LAYANAN PRIMER YANG HARUS TUNTAS DITANGANI ( Merupakan diagnosa penyakit yang tidak boleh dirujuk ke FKTL /RS)
No.
Nama Diagnosa
Nama ICD X
Kode ICD X
Clinical Pathway (pada KMK 514/2015 halaman --)
1
Abortus spontan komplit
Unspecified abortion, complete, without complication
O03.9
707
2
Alergi makanan
Dermatitis due to ingested food
L27.2
66
3
Anemia defisiensi besi pada kehamilan
Iron deficiency anaemia
D50
693
4
Askariasis
Ascariaris unspecified
B77.9
176
5
Asma Bronkial
Asthma
J45
431
6
Astigmatism ringan
Astigmatisme
H52.2
212
7
Bell's Palsy
Bells’ palsy
G51.0
364
8
Benda asing di hidung Foreign body in nostril
T17.1
481
9
Benda asing di konjungtiva
Foreign body on external eye, part unspecified
T15.9
209
10 Blefaritis
Blepharitis
H01.0
204
11 Bronkitis akut 12 Buta senja
Acute bronchitis, unspecified Night blindness
J20.9 H53.6
427 196
13 Cutaneus larva migran
Hookworm disease, unspecified
B76.9
610
A91
79
A01.0
125
14 Demam dengue, DHF Dengue haemorrhagic fever
15 Demam tifoid
Typhoid fever
16 Dermatitis atopik (kecuali recalcitrant)
Atopic dermatitis
L20
555
17 Dermatitis kontak iritan
Irritant contact dermatitis
L24
571
18 Dermatitis numularis Other atopic dermatitis
L20.8
561
19 Dermatitis seboroik 20 Tinea kapitis
Seborrhoeic dermatitis Tinea barbae and tinea capitis
L21 B35.0
552 537
21 Tinea barbae 22 Tinea Imbricate 23 Tinea korporis
Tinea barbae and tinea capitis Other dermatophytoses Tinea corporis
B35.0 B35.8 B35.4
537 537 537
24 Tinea manum
Tinea manuum
B35.2
537
25 Tinea unguium 26 Tinea kruris
Tinea unguium Tinea cruris
B35.1 B35.6
537 537
27 Tinea pedis
Tinea pedis
B35.3
537
28 Diabetes melitus tipe Diabetes insulin dependent 1
T89
Ada di PMK no.5 tahun 2014 hal. 423
29 Diabetes melitus tipe Non-insulin-dependent diabetes mellitus 2
E11
635
30 Disentri basiler dan amuba
Acute amoebic dysentery
A06.0
144
31 Dislipidemia 32 Epistaksis 33 Exanthematous drug eruption
Hiperlipidemia Epistaxis Generalized skin eruption due to drugs and medicament
E78.5 R04.0 L27.0
652 475 604
34 Faringitis
Acute pharyngitis, unspecified
J02.9
411
35 Filariasis Filariasis 36 Furunkel pada hidung Abscess, furuncle and carbuncle of nose
B74 J34.0
42 485
37 Gastritis
Gastritis, unspecified
K29.7
117
38 Gastroenteritis (termasuk kolera, giardiasis)
Diarrhoea and gastroenteritis of presumed infection origin
A09
133
39 Gonore 40 Hemoroid grade 1-2
Gonococcal infection, unspecified Haemorrhoids
A54.9 I84
763 154
41 Hepatitis A 42 Herpes simpleks tanpa komplikasi
Acute Hepatitis A Herpesviral infection, unspecified
B15 B009
157 517
43 Herpes zoster tanpa komplikasi
Zoster without complication
B02.9
514
H52.0
214
I10
280
46 Hiperuricemia (Gout) Gout
M10
649
47 Hipoglikemia ringan
hypoglycaemia unspecified
E16.2
646
48 HIV AIDS tanpa komplikasi
Asymptomatic Human Immunodeficiency Virus (HIV) infection status
Z21
92
49 Hordeolum
Hordeolum and other deep inflammation of eyelid
H00.0
198
50 Infeksi pada umbilikus
Omphalitis of newborn with or without mild haemorrhage
P38
49
51 Infeksi saluran kemih Urinary tract infection, site not specified
N39.0
666
52 Influenza 53 Insomnia 54 Intoleransi makanan
Influenza, virus not identified Insomnia non organik pada psikiatri Malabsorption due to intolerance
J11 F51 K90.4
408 396 120
55 Kandidiasis mulut 56 Kehamilan normal
Candidiasis unspecified Single spontaneous delivery, unspecified
B37.9 O80.9
52 678
44 Hipermetropia ringan Hypermetropia 45 Hipertensi esensial
Essential (primary) hypertension
57 Kejang demam 58 Keracunan makanan
Febrile convulsions Other Ingested (parts of plant(s))
R56.0 T62.2
378 63
59 Konjungtivitis 60 Laringitis 61 Lepra
Conjunctivitis, unspecified Acute laryngitis Leprosy [Hansen disease]
H10.9 J04.0 A30
201 416 53
62 Leptospirosis (tanpa komplikasi)
Leptospirosis, unspecified
A27.9
39
63 Limfadenitis 64 Lipoma 65 Luka bakar derajat 1 dan 2
Lymphadenitis Acute Benign lipomatous neoplasm burn and corrosion, body region unspecified
B70 D17.9 T30
104 307 613
66 Malaria
Unspecified malaria
B54
35
67 Malnutirisi energiprotein
Unspecified protein-energy malnutrition
E46
662
68 Mastitis 69 Mata kering 70 Migren
Inflammatory disorders of breast Otherdisorders of lacrimal gland Migraine, unspecified
N61 H04.1 G43.9
742 193 313
71 Miliaria 72 Miopia ringan 73 Moluskum kontagiosum
Miliaria, unspecified Myopia Molluscum contagiosum
L74.3 H52.1 B08,1
507 216 521
74 Morbili tanpa komplikasi
Measles without complication (Measles NOS).
B05.9
29
75 Napkin eczema
Diaper (napkin) dermatitis
L22
575
76 Obesitas 77 Otitis eksterna
obesity unspecified Otitis externa, unspecified
E66.9 H60.9
628 246
78 Otitis media akut
Acute serous otitis media
H65.0
249
79 Parotitis 80 Pedikulosis kapitis
Mumps Pediculosis due to Pediculus humanus capitis
B26 B85.0
172 531
81 Penyakit cacing tambang
Ankylostomiasis
B76.0
180
82 Perdarahan subkonjungtiva
Other specified disorders of eye and adnexa
H57.8
207
83 Pertusis 84 Pitiriasis rosea 85 Pitiriasis versikolor
*tidak ditemukan Panduan Klinis di KMK Pityriasis versicolor
L42 B36.0
582 541
86 Pneumonia, bronkopneumonia
Bronchopneumonia, unspecified
J18.0
457
87 Presbiopia
Presbyopia
H52.4
218
88 Reaksi anafilaktik 89 Reaksi gigitan serangga
Anaphylactic shock, unspecified Venom of other arthropods
T78.2 T63.4
74 524
90 Refluks gastroesofageal
Gastro-oesophageal reflux disease without oesophagitis
K21.9
114
90 Refluks gastroesofageal
Gastro-oesophageal reflux disease without oesophagitis
K21.9
114
91 Rhinitis akut 92 Rhinitis alergika 93 Rhinitis vasomotor
Acute nasopharyngitis (common cold) Allergic rhinitis, unspecified Vasomotor rhinitis
J00 J30.4 J30.0
487 494 491
94 Ruptur perineum tingkat 1-2
First degree perineal laceration during delivery
O70.0
733
95 96 97 98 99 100 101 102 103
Impacted cerumen Scabies Skistosomiasis unspecified Strongyloidiasis Taeniasis Tension–type headache Other tetanus Acute tonsillitis Respiratory tuberkulosis, bacteriologically and histologically confirmed
H61.2 B86 B65.9 B78.9 B68.9 G44.2 A35 J03 A15
259 528 184 190 187 309 327 421 13
L50
599
N76.0 B01.9
767 32
R42
319
Serumen prop Skabies Skistosomiasis Strongiloidiasis Taeniasis Tension headache Tetanus Tonsilitis Tuberkulosis paru tanpa komplikasi
104 Urtikaria (akut & kronis)
Urticaria
105 Vaginitis 106 Varisela tanpa komplikasi
Acute Vaginitis Varicella without complication (Varicella NOS)
107 Vertigo (Benign Dizziness and giddiness paroxysmal positional vertigo) 108 Veruka vulgaris 109 Vulvitis 110 Gangguan somatoform
Viral warts Acute Vaginitis Somatoform disorders
B07 N76.0 F45
511 771 387
111 112 113 114
Entropion and trichiasis of eyelid Episcleritis *tidak ditemukan Panduan Klinis di KMK Stomatitis and related lesions
H02 H15.1
229 232
K12
108
N10
669
Trikiasis Episkleritis Mabuk perjalanan Ulkus mulut (aptosa, herpes)
115 Pielonefritis tanpa komplikasi
Acute tubulo-interstitial nephritis (applicable to: acute pyelonephritis)
116 Fimosis 117 Parafimosis
Phimosis Paraphimosis
N47 N47.2
673 676
118 Sindrom duh (discharge) genital (gonore dan nongonore)
Complication associated with artificial fertilization, unspecified
N98.9
751
119 Infeksi saluran kemih Urinary tract infection, site not specified bagian bawah
N39.0
666
120 Vaginosis bakterialis
Acute Vaginitis
N76.0
767
121 Salpingitis
*tidak ditemukan Panduan Klinis di KMK
Cracked nipple associated with the O9212; puerperium; Cracked nipple associated with lactation O9213
748
122 Abses folikel rambut *tidak ditemukan Panduan Klinis di KMK atau kelenjar sebasea 123 Cracked nipple
124 Inverted nipple
Retracted nipple associated with the puerperium; Retracted nipple associated with lactation
125 Defisiensi vitamin
*tidak ditemukan Panduan Klinis di KMK
126 Defisiensi mineral 127 Anemia defisiensi besi
*tidak ditemukan Panduan Klinis di KMK Iron Deficiency Anemias
128 Ulkus pada tungkai
Varicose veins of lower extremities with ulcer; Ulcer of lower limb, notelsewhere classified 129 Sifilis stadium 1 dan 2 *tidak ditemukan Panduan Klinis di KMK
O92.02; O92.03
745
280
88
I83.0; L97
618
130 Impetigo
Impetigo
L01
544
131 Impetigo ulseratif (ektima)
Impetigo
L02
545
L08.0
544
L02
544
132 Folikulitis superfisialis Pioderma 133 Furunkel, karbunkel
Cutaneous abscess, furuncle and carbuncle
134 Eritrasma
Erythrasmay
L08.1
584
135 Erisipelas 136 Skrofuloderma
Erysipelas Tuberculosis of skin and subcutaneous tissue
A46 A18.4
549 587
137 Kandidosis mukokutan ringan
Candidiasis unspecified
B37.9
52
138 Pedikulosis pubis
Pthiriasis
B85.3
535
139 Akne vulgaris ringan
Acne vulgaris
L70.0
594
140 Hidradenitis supuratif Hidradenitis suppurativa
L73.2
590
141 Dermatitis perioral 142 Vulnus laseratum, punctum
Perioral dermatitis Open wound of unspecified body region
L71.0 T14.1
578 303
143 Kekerasan tumpul 144 Kekerasan tajam
*tidak ditemukan Panduan Klinis di KMK *tidak ditemukan Panduan Klinis di KMK