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1. DIVISI RINOLOGI N O



DIAGNOSIS



ICD 10



1 Acute sinusitis



J 01



2 acute maxillary sinusitis



J01.00



3 acute recurrent maxilarry sinusitis



J01.01



4 acute frontal sinusitis



J01.11



5 acute recurrent frontal sinusitis



J.01.2



6 acute etmoidal sinusitis



J.01.21



7 acute reccurent etmoidal sinusitis



J.01.3



8 acute sphenoid sinusitis



J.01.31



9 acute reccurent sphenoid sinusitis



J.01.4



10 acute pansinusitis



J.01.41



11 acute reccurent pansinusitis



J. 01.41



12 other aute sinusitis



J.01.8



13 acute sinusitis unspecified



J.01.8



14 vasomotor rhinitis



J.01.9



15 allergic rhinitis due to pollen



J.30.0



16 allergic rhinitis due to food



J.30.1



17 allergic rhinitis due to cat/dog hair



J.30.5



18 allergic rhinitis inspecified



J.30.81



19 chronic rhinitis



J.30.9



20 chronic maxillary sinusitis



J.31.0



21 chronic frontal sinusitis



J.32.0



22 chronic ethmoidal sinusitis



J.32.1



23 chronic sphenoidal sinusitis



J.32.2



24 chronic pansinusitis



J.32.3



25 chronic sinusitis unspecified



J.32.4



26 polyp of nasal cavity



J.32.9



27 polypoid sinus degeneration



J.33.0



28 other polyp of sinus



J.33.1



29 nasal polyp of sinus



J.33.8



30 nasal polip unspecified



J.33.9



31 abscess, furuncle, and carbuncle of nose



J.34.0



32 cyst and mucocele of nose and nasal sinus



J.34.1



33 deviated nasal septum



J.34.2



34 hypertrophy of nasal turbinates



J.34.3



35 other specified disorders of nose and nasal sinuses



J.34.8



36 nasal mucositis



J.34.81



37 unspecified disorder of nose and nasal sinuses



J.34.9



38 angiofibroma



D.10.6



39 papiloma inverted



D.14.0



40 LPR



K.21.0



41 hipertrofi Adenoid N O TINDAKAN THT RSCM 1 BSEF mini (I) 2 BSEF mini (II) + maksila/ etmoid 3 BSEF mini (III) + frontal / sfenoid 4 BSEF mini (IV) + maksila/ etmoid + frontal/ sfenoid 5 BSEF lanjut 6 septoplasty 7 Caldwell Luc 8



J.35.2 ICD 9 PROCEDURE



Irigasi sinus ( DAWO) 9 sinuskopi 10 sinuskopi dengan tindakan



ICD 9 22.6 22.63 22.64 22.6 22.6 21.88 22.39 22 22.5 33.5



11 98.12 ekstraksi benda asing 12 13 14 15



nasoendoskopi dengan tindakan septoplasty ec trauma hidung konkotomi/ konkoplasti septum reseksi/ SMR



2. NEUROTOLOGI



22.19 21.88 21.6 21.5



sinusectomy , not otherwise specified ethmoidectomy sphenoidectomy other nasal sinusectomy other nasal sinusectomy other septoplasty caldwell luc approach aspirasi dan lavage of nasal sinus, not otherwise specified sinusectomy, not other wise specified sinusotomy, not otherwise specified removal of intraluminal foreign body from nose without incision other diagnostic procedures on nasal sinuses other septoplasty turbinectomy submucose resection of nasal septum



No 1 2 3 4 5 6 7 8 9



NAMA PENYAKIT



16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40



Other Hearing Loss ototoxic hearing loss presbycusis sudden idiopathic hearing loss deaf mutism other specified hearing loss hearing loss, unspecified Conductive and Sensorineural Hearing Loss conductive hearing loss bilateral conductive hearing loss, unilateral with unrestricted hearing on the contralateral side conducting hearing loss, unspecified sensorineural hearing loss, bilateral sensorineural hearing loss, unilateral with restricted hearing on the contralateral side sensorineural hearing loss, unspecified mixed type hearing loss, bilateral mixed type hearing loss, unilateral with restricted hearing on contralateral side mixed type hearing loss, unspecified Other Disorder of Ear, not Elsewhere Classified degenerative and vascular disorders of ear tinnitus other abnormal auditory perceptions Disorders of Verstibular Function meniere disease BPPV vestibular neuritis other peripheral vertigo Vertigo of central origin other disorders of vestibular function disorders of vestibular function, unspecified Verttiginous Syndromes in Disease Classified Elsewhere Other Disease of Inner Ear labyrinthitis labyrinthitis fistula labyrinthitis dysfunction noise effects on inner ear other specified disease on inner ear disease of inner ear, unspecified Tube dysfunction Tympanosclerotic otalgia



NO



NAMA TINDAKAN



10 11 12 13 14 15



CODE ICD X H91 H91.0 H91.1 H91.2 H91.3 H91.8 H91,9 H90 H90.0 H90.1 H90.2 H90.3 H90.4 H90.5 H90.6 H90.7 H90.8 H93 H93.0 H93.1 H93.2 H81 H81.0 H81.1 H81.2 H81.3 H81.4 H81.8 H81.9 H82 H83 H83.0 H83.1 H83.2 H83.3 H83.8 H83.9 H69.9 H74.0 H92.0 CODE ICD IX



1 2 3 4 5 6 7 8 9 10 11



Nonoperative Procedure Related to Hearing audiometry clinical test of hearing audiological evaluation clinical vestibular function tests rotation tests other auditory and vestibular function tests hearing examination, not otherwise specified (BERA, OAE, Frenzell) fitting of hearing aid other nonoperative procedures related to hearing adjustment (external components) of cochlear prostetic device Electromyogram of eye (EMG)



95.4 95.41 95.42 95.43 95.44 95.45 95.46 95.47 95.48 95.49 95.24



3. PLASTIK REKONSTRUKSI Ket Kelainan kongenital



Kelainan didapat



Diagnosis



ICD 10



other congenital malformations of ear excludes: preauricular sinus accessory auricle accessory tragus polyotia preauricular appendage or tag supernumerary: ear, lobule Macrotia microtia other misshapen ear pointed ear misplaced ear low set ears exclude cervical aur prominent ear bat ear other specified congenital malformations of ear congenital absence of lobe ear other acquired deformities of musculoskeletal system and connective tissue Acquired deformity of nose exclude deviated nasal septum cauliflower ear exclude other acquired deformities of ear other acquired deformities of head acquired deformity of neck acquired deformity of chest and rib



Q 18.1 Q 17.0



Q 17.1 Q 17.2 Q 17.3 Q 17.4



Q 17.5 Q 17.8



M.95 M 95.0 J 34.2 M 95.1 H 61.1 M 95.2 M 95.3 M 95.4



Kelainan akibat trauma



acquired deformity of pelvis exclude maternal care for known or suspected disproportion other specified acquired deformities of musculoskeletal system acquired deformity of muskuloskeletal system, unspecified



M 95.5



Fracture of skull and facial bones Fracture of vault of skull Fracture bone Parietal bone Fracture of base of skull fossa: anterior, middle, posterior Occiput orbital roof sinus: ethmoid, frontal sphenoid temporal bone exclude: orbit NOS Orbital floor Fracture of orbital floor exclude orbit NOS Orbital roof Fracture of malar and maxillary bones superior maxilla upper jaw (bone) zygoma Fracture of tooth broken tooth fracture of mandible lower jaw (bone) Involving skull and facial bones Fracture of other skull and facial bones alveolus orbit NOS Palate excl: orbita floor, roof fracture of skul and facial bones, part unspecified Dislocation, sprain, and strain of joints and ligaments of head Dislocation of jaw jaw (cartilage)(meniscus), mandible, temporomandibular (joint) dislocation of septal cartilage of nose Dislocation of tooth



S 02 S 02.0



O 33.M 95.8 M 95.9



S 02.1



S 02.8 S 02.3 S 02.3 S 02.8 S 02.1 S 02.4



S 02.5 S 02.6 S 02.7 S 02.8



S 02.3 S 02.1 S 02.9 S 03 S 03.0



S 03.1 S 03.2



dislocation of other and unspecified parts of head sprain and strain of jaw temporomandibular (joint)(ligament) sprain and strain of joints and ligaments of other and unspecified parts of head Burn and corrosion of head and neck incl ear (any part) eye with other parts of face, head and neck lip nose (septum) scalp (any part) temple (region) exclude: burn and corrosion (of) confined to eye and adnexa mouth and pharynx burn of unspecified degree of head and neck burn of first degree of head and neck burn of second degree of head and neck burn of third degree of head and neck Corrosion of unspecified degree of head and neck Corrosion of first degree of head and neck Corrosion of second degree of head and neck Corrosion of third degree of head and neck hypoplasia of tongue microglossia Cleft palate cleft hard palate cleft soft palate cleft hard palate with cleft soft palate cleft uvula cleft palate , unspecified cleft lip cleft lip, bilateral cleft lip, median cleft lip, unilateral cleft palate with cleft lip cleft hard palate with bilateral cleft lip cleft hard palate with unilateral cleft lip cleft soft palate with bilateral cleft lip cleft soft palate with unilateral cleft lip cleft hard and soft palate with bilateral cleft lip cleft hard and soft palate with unilateral cleft lip unspecified cleft palate with bilateral cleft lip congenital musculoskeletal deformities of head and



S03.3 S 03.4



S 03.5 T 20



T26.T28.T 20.0 T 20.1 T 20.2 T 20.3 T 20.4 T 20.5 T 20.6 T 20.7



Q 35 Q 35.1 Q 35.3 1 35.5 Q 35.7 Q 35.9 Q 36 Q 36.0 Q 36.1 Q 36.9 Q 37 Q 37.0 Q 37.1 Q 37.2 Q 37.3 Q 37.4 Q 37.5 Q 37.8 Q 67



face facial assymetry compression facies dolichocephaly plagiocephaly other congenital deformities of skull, face and jaw depression in skull deviation of nasal septum, congenital hemifacial atrophy or hypertrophy squashed or bent nose, congenital



Q Q Q Q Q



67.0 67.1 67.2 67.3 67.4



N o 1 2



Tindakan RSCM Labioplasti unilateral septum reseksi



ICD 9 27.54 21.5



3 4 5 6 7 8 9 10 11 12 13



revisi parut skin grafting septoplasty ec trauma hidung konkoplasty/konkotomi labioplasti bilateral rekonstruksi fraktur rahang palatoplasty faringeal flap forehead flap regional flap rinoplasty



86.84 86.6 21.88 21.6 27.54 76.76 27.6 86.7 86.7 86.7 21.87



TINDAKAN ICD 9 repair of cleft lip submucous resection of nasal septum relaxation of scar or web contracture of skin free skin graft other septoplasty turbinectomy repair of cleft lip open reduction of mandibular fracture palatoplasty pedicle grafts or flaps pedicle grafts or flaps pedicle grafts or flaps other rhinoplasty



21.85 21.84



augmentation rhinoplasty (augmentation rhinoplasty with: graft) rhinoseptoplasty



18.71



construction of auricle of ear



18.71



construction of auricle of ear



21.83



total nasal reconstruction insertion of synthetic implant in facial bone open reduction of mandibular fracture excision of preauricular sinus construction of auricle of ear bone graft to facial bone



14 15 16 27 18 19 20 21 22 23



rinoplasty dgn augmentasi tulang rawan septorinoplasty rekonstruksi telinga mikrotia tahap 1 rekonstruksi telinga mikrotia tahap 2 rekonstruksi hidung dengan defek rekonstruksi fraktur muka dengan plate screw rekonstruksi mandibula ekstirpasi preaurikuler fistel otoplasty harvesting iga



76.92 76.76 18.21 18.71 76.91



4. ONKOLOGI



No



Diagnosa



Colum n1



Indonesia



ICD 10



Inggris



Column2



Column3



Column4



1



Massa Nasofaring



2



Karsinoma Nasofaring



3



KNF Pasca Kemoradiasi



4



KNF On Kemoradiasi



5



Massa Kavum Nasi



6



Massa Sinonasal



7



Ca Kavum Nasi



8



Ca Sinonasal / Papiloma



9



Ca Adenoid Cystic



10



Ca Sinus maxillary



11 12



Epistaksis



13



Massa Parotis



14



Ca Parotis



15



Massa Tiroid



16



LMNH



17



LNH



18



LNH - Diffuse



Benign Neoplasm Of Nasopharynx Malignant Neoplasm Of C11.9 Nasopharynx, Unspecified Malignant Neoplasm Of Nasopharynx, Unspecified C11.9 - Z51.1 - Radiotherapy session - Z51.0 Chemotherapy session for neoplasm Malignant Neoplasm Of Nasopharynx, Unspecified C11.9 - Z51.1 - Radiotherapy session - Z51.0 Chemotherapy session for neoplasm Benign Neoplasm of D14.0 middle ear, nasal cavity and accessory sinuses Benign Neoplasm of D14.0 middle ear, nasal cavity and accessory sinuses Maligna Neoplasm of C30.0 nasal cavity Maligna Neoplasm of C31.9 accessory sinuses unspecified D09.2 Carcinoma In Situ of Eye Malignant neoplasm of C31.0 maxillary sinus R04.0 Epistaksis D18.0 Hemangioma, any site Benign Neoplasm of D11.0 parotid gland Maligna Neoplasm of C07 parotid gland Benign neoplasm of D34 thyroid gland Malignant neoplasm of lymphoid, haematopoietic C96.9 and related tissue, Unspecified Non - Hodgkin's C85.9 lymphoma, Unspecified type C83.6 Undifferentiated (diffuse) Non - Hodgkin's D10.6



19



Ca Laring



20



C32.9 D02.0



21



Ca Lidah



22



Ca Pangkal Lidah



C02.9 C01



23



C05.9



24



K09.9



25



Massa Tonsil



26



Ca Tonsil



C09.9



27



Hipetropi tonsil dan adenoid



J35.3



28 29



Hipetropi tonsil Tonsilitis Kronik Lympadenopati colli dekstra / sinistra



J35.1 J35.0



30



D10.14



R59.0



31



Lympadenopati colli Bilateral



R59.1



32



Lympadenopati Colli



R59.9



33



TB Paru Observasi



Z03.0



34



TB Paru + Laboratorium



A15.9



35



E63.1



36



E63.3



37



E63.8



38



E63.9



39



97.01



40 41



R13 K30



Lymphoma Malignant neoplasm of larynx, Unspecified Carcinoma In Situ Of Larinx Malignant neoplasm of tongue, Unspecified Malignant neoplasm of base of tongue Malignant neoplasm of Palate Unspecified Cyst of oral region, Unspecified Benign neoplasm of tonsil Malignant neoplasm of tonsil, Unspecified Hypertrophy of tonsils with hypertrophy of adenoids Hypertrophy of tonsils Chronic tonsilitis Localized enlarged lymph nodes Generalized enlarged lymph nodes Enlarged lymph nodes, Unspecified Observation For Suspected Tuberculosis Observation For Suspected malignant Tuberculosis Imbalance Of Constituents of food intake Feeding difficulties and mis management Other Symptoms and Signs Concerning food and fluid intake Nutritional deficiency, Unspesified Replacement of ( Naso ) gastric or esophagostomy tube Dysphagia Dyspepsia



42



Nasoendoskopi dengan fiber



22.19



43



Konsultasi



89.09



44



97.37



45



D37.7



46



GV , Wound Toilet



93.57



47



Aff Hecting , Angkat Jahitan



97.38



48



Aff Tampon Hidung Anterior Pasang dan Lepas Tampon Hidung Anterior



97.32



49



97.21



50



21.02



51



16.81



52



06.02



53



Biopsi Nasofaring



21.22



54



Kavum Nasi / Sinonasal



22.11



55 56



Biopsi Lidah / Palatum Biopsi Tonsil



25.02 28.5



57



Biopsi Insisional Leher



40.11



58



22.12



59



H66.4



60



H66.3



NO



TINDAKAN RSCM



ICD 9



Other diagnostic prosedur on nasal sinuses Consultation, not otherwise specified Removal of Trakeostomy tube Neoplasm Of Uncertain or Unknown behavior of other digestive organs Application of other wound dressing Removal of suture from head and neck Removal of nasal packing Replacement of nasal packing Control of epistaxis by posterior and anterior packing Repair of wound of orbit Reopening of wound of tyroid field Biopsy Of Nose Closed ( endoscopic ) needle biopsy of nasal sinus Open biopsy of tongue Excision of ingual tonsil Biopsy of lymphatic structure Open biopsy of nasal sinus Suppurative otitis media, Unspecified Other Chronic suppurative otitis media Proptosis Okular Dekstra / Sinistra Angiofibroma nasofaring Papiloma Inverted



TINDAKAN ICD 9



Biopsy of nose, open biopsy of tongue, closed [endoscopic] [needle] biopsy of nasal sinus Biopsy of lymphatic structure



1



Biopsi tumor hidung lidah dan nasofaring



21.22/25.02/2 2.11



2



Insisional biopsi kelenjar leher



40.11



3



Hemiglosektomi



25.3



4



Hemiglosektomi dan diseksi leher



25.3/40.40



5



Wide eksisi tumor tonsil, orofaring



28.2/27.99



6



Ekstirpasi angiofibroma



22.9



7



Maksilektomi parsial



22.62



8



Maksilektomi total



22.62



9



Diseksi leher modified



40.3



10



Diseksi leher bilateral



40.42



11



Mandibulektomi parsial



76.31



Partial mandibulectomy



12



Ekstirpasi tumor jinak kel liur



26.3



Sialoadenectomy



13



Parotidektomi



26.3



Sialoadenectomy



14



Baloq tampon dengan narkose



21.02



Control of epistaxis by posterior (and anterior) packing



15



Ekstirpasi tumor jinak sinonasal, oral cavity



22.9



Other operations on nasal sinuses



16



Ligasi karotis eksterna



21.06



17



Eksplorasi nasofaring



22.11



18



Pan endoskopi



42.24/33.23/2 2.19



19



Diseksi leher radikal



40.40



20



Control of epistaxis by anterior nasal packing



21.01



Partial glossectomy Partial glossectomy, Radical neck dissection, not otherwise specified Tonsillectomy without adenoidectomy, other operations on oral cavity Other operations on nasal sinuses Excision of lesion of maxillary sinus with other approach Excision of lesion of maxillary sinus with other approach Regional lymph node excision Radical neck dissection, bilateral



Control of epistaxis by ligation of the external carotid artery Closed [endoscopic] [needle] biopsy of nasal sinus Nasoendoscopy without biopsy, other esophagoscopy, other bronchoscopy Radical neck dissection, not otherwise specified Control of epistaxis by anterior nasal packing



21



diagnostic of nose



22



rhinoscopy



23 24 25



Biopsy of nose other diagnostic procedures on nose diagnostic procedures on tongue



21.2 21.21 21.22 21.29 25.0



diagnostic of nose rhinoscopy Biopsy of nose other diagnostic procedures on nose diagnostic procedures on tongue



5. ENDOSKOPI N o 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21



Diagnosis Laringomalacia Obstructive sleep apneu Dysphagia Neurogenik Dysphagia mekanik Laringopharyngeal reflux Benda asing saluran napas Benda asing saluran cerna Dysphonia Akalasia esofagus Massa esofagus Gastro-esophageal reflux disease Benda asing mulut Benda asing faring Divertikulum esofagus Fistel trakeoesofagus Stenosis esophagus Barret esofagus Esofagitis Bronchomalasia Atelektasis Perforasi esofagus



N o 1 2 3 4 5



Tindakan Esofagoskopi diagnostik Esofagoskopi ekstraksi Bronkoskopi diagnostik Bronkoskopi ekstraksi Fiber optic bronchoscopy



ICD 10 Q31.8 G47.3 R13 R13 K21.9 T17.9 T18.1 R49.0 K22.0 D37.0 K21 T18.0 T17.2 K22.5 J95.04 K22.2 K22.7 K21.0 Q32.2 J98.11 K22.3



ICD 9 42.2 42.2 33.23 33.23 33.22



6 7 8 9 10 11



Rhinopharingolaringoskopi



31.42



Flexible endoscopic Evaluation of Swallowing Transnasal endoscopy Pemasangan NGT Ekstraksi benda asing Esofagoskopi dilatasi



42.23 42.24 96.07 98.22 42.2



6. ALERGI



N o 1 2 3 4 5 6 7 8 9 1 0 1 1



Diagnosis Rinitis alergi rinitis non alergi rinitis vasomotor septum deviasi rinitis kronik hipertrofi konka gangguan penciuman polip nasi hipertrofi tonsil



ICD 10 J 30.3



hipertrofi adenoid



J 35.2



alergi makanan



Z 91.02



J 30.0 J 34.2 J 31.0 J 34.3 R 43 J 33.0 J 35.1



7.OTOLOGI No 1 2 3 4 5 6 7 8 9



ICD 10-Diagnosa H60 Otitis externa H61 Other disorders of external ear H62 Disorders of external ear in diseases classified elsewhere H60 Otitis externa H60.0 Abscess of external ear H60.00 …… unspecified ear H60.01 Abscess of right external ear H60.02 Abscess of left external ear H60.03 …… bilateral



10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54



H60.1 Cellulitis of external ear H60.10 …… unspecified ear H60.11 Cellulitis of right external ear H60.12 Cellulitis of left external ear H60.13 …… bilateral H60.2 Malignant otitis externa H60.20 …… unspecified ear H60.21 …… right ear H60.22 …… left ear H60.23 …… bilateral H60.3 Other infective otitis externa H60.31 Diffuse otitis externa H60.311 …… right ear H60.312 …… left ear H60.313 …… bilateral H60.319 …… unspecified ear H60.32 Hemorrhagic otitis externa H60.321 …… right ear H60.322 …… left ear H60.323 …… bilateral H60.329 …… unspecified ear H60.33 Swimmer's ear H60.331 …… right ear H60.332 …… left ear H60.333 …… bilateral H60.339 …… unspecified ear H60.39 Other infective otitis externa H60.391 …… right ear H60.392 …… left ear H60.393 …… bilateral H60.399 …… unspecified ear H60.4 Cholesteatoma of external ear H60.40 …… unspecified ear H60.41 Cholesteatoma of right external ear H60.42 Cholesteatoma of left external ear H60.43 …… bilateral H60.5 Acute noninfective otitis externa H60.50 Unspecified acute noninfective otitis externa H60.501 …… right ear H60.502 …… left ear H60.503 …… bilateral H60.509 …… unspecified ear H60.51 Acute actinic otitis externa H60.511 …… right ear H60.512 …… left ear



55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99



H60.513 …… bilateral H60.519 …… unspecified ear H60.52 Acute chemical otitis externa H60.521 …… right ear H60.522 …… left ear H60.523 …… bilateral H60.529 …… unspecified ear H60.53 Acute contact otitis externa H60.531 …… right ear H60.532 …… left ear H60.533 …… bilateral H60.539 …… unspecified ear H60.54 Acute eczematoid otitis externa H60.541 …… right ear H60.542 …… left ear H60.543 …… bilateral H60.549 …… unspecified ear H60.55 Acute reactive otitis externa H60.551 …… right ear H60.552 …… left ear H60.553 …… bilateral H60.559 …… unspecified ear H60.59 Other noninfective acute otitis externa H60.591 …… right ear H60.592 …… left ear H60.593 …… bilateral H60.599 …… unspecified ear H60.6 Unspecified chronic otitis externa H60.60 …… unspecified ear H60.61 …… right ear H60.62 …… left ear H60.63 …… bilateral H60.8 Other otitis externa H60.8X Other otitis externa H60.8X1 …… right ear H60.8X2 …… left ear H60.8X3 …… bilateral H60.8X9 …… unspecified ear H60.9 Unspecified otitis externa H60.90 …… unspecified ear H60.91 …… right ear H60.92 …… left ear H60.93 …… bilateral H61 Other disorders of external ear H61.0 Chondritis and perichondritis of external ear



100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144



H61.00 Unspecified perichondritis of external ear H61.001 Unspecified perichondritis of right external ear H61.002 Unspecified perichondritis of left external ear H61.003 …… bilateral H61.009 …… unspecified ear H61.01 Acute perichondritis of external ear H61.011 Acute perichondritis of right external ear H61.012 Acute perichondritis of left external ear H61.013 …… bilateral H61.019 …… unspecified ear H61.02 Chronic perichondritis of external ear H61.021 Chronic perichondritis of right external ear H61.022 Chronic perichondritis of left external ear H61.023 …… bilateral H61.029 …… unspecified ear H61.03 Chondritis of external ear H61.031 Chondritis of right external ear H61.032 Chondritis of left external ear H61.033 …… bilateral H61.039 …… unspecified ear H61.1 Noninfective disorders of pinna H61.10 Unspecified noninfective disorders of pinna H61.101 …… right ear H61.102 …… left ear H61.103 …… bilateral H61.109 …… unspecified ear H61.11 Acquired deformity of pinna H61.111 …… right ear H61.112 …… left ear H61.113 …… bilateral H61.119 …… unspecified ear H61.12 Hematoma of pinna H61.121 …… right ear H61.122 …… left ear H61.123 …… bilateral H61.129 …… unspecified ear H61.19 Other noninfective disorders of pinna H61.191 Noninfective disorders of pinna, right ear H61.192 Noninfective disorders of pinna, left ear H61.193 Noninfective disorders of pinna, bilateral H61.199 Noninfective disorders of pinna, unspecified ear H61.2 Impacted cerumen H61.20 …… unspecified ear H61.21 …… right ear H61.22 …… left ear



145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187



H61.23 …… bilateral H61.3 Acquired stenosis of external ear canal H61.30 Acquired stenosis of external ear canal, unspecified H61.301 Acquired stenosis of right external ear canal, unspecified H61.302 Acquired stenosis of left external ear canal, unspecified H61.303 …… bilateral H61.309 …… unspecified ear H61.31 Acquired stenosis of external ear canal secondary to trauma H61.311 Acquired stenosis of right external ear canal secondary to trauma H61.312 Acquired stenosis of left external ear canal secondary to trauma H61.313 …… bilateral H61.319 …… unspecified ear H61.32 Acquired stenosis of external ear canal secondary to inflammation and infection H61.321 Acquired stenosis of right external ear canal secondary to inflammation and infection H61.322 Acquired stenosis of left external ear canal secondary to inflammation and infection H61.323 …… bilateral H61.329 …… unspecified ear H61.39 Other acquired stenosis of external ear canal H61.391 Other acquired stenosis of right external ear canal H61.392 Other acquired stenosis of left external ear canal H61.393 …… bilateral H61.399 …… unspecified ear H61.8 Other specified disorders of external ear H61.81 Exostosis of external canal H61.811 Exostosis of right external canal H61.812 Exostosis of left external canal H61.813 …… bilateral H61.819 …… unspecified ear H61.89 Other specified disorders of external ear H61.891 Other specified disorders of right external ear H61.892 Other specified disorders of left external ear H61.893 …… bilateral H61.899 …… unspecified ear H61.9 Disorder of external ear, unspecified H61.90 …… unspecified ear H61.91 Disorder of right external ear, unspecified H61.92 Disorder of left external ear, unspecified H61.93 …… bilateral H62 Disorders of external ear in diseases classified elsewhere H62.4 Otitis externa in other diseases classified elsewhere H62.40 …… unspecified ear H62.41 …… right ear H62.42 …… left ear



188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232



H62.43 …… bilateral H62.8 Other disorders of external ear in diseases classified elsewhere H62.8X Other disorders of external ear in diseases classified elsewhere H62.8X1 Other disorders of right external ear in diseases classified elsewhere H62.8X2 Other disorders of left external ear in diseases classified elsewhere H62.8X3 …… bilateral H62.8X9 …… unspecified ear H65 Nonsuppurative otitis media H66 Suppurative and unspecified otitis media H67 Otitis media in diseases classified elsewhere H68 Eustachian salpingitis and obstruction H69 Other and unspecified disorders of Eustachian tube H70 Mastoiditis and related conditions H71 Cholesteatoma of middle ear H72 Perforation of tympanic membrane H73 Other disorders of tympanic membrane H74 Other disorders of middle ear mastoid H75 Other disorders of middle ear and mastoid in diseases classified elsewhere H65 Nonsuppurative otitis media H65.0 Acute serous otitis media H65.00 …… unspecified ear H65.01 …… right ear H65.02 …… left ear H65.03 …… bilateral H65.04 …… recurrent, right ear H65.05 …… recurrent, left ear H65.06 …… recurrent, bilateral H65.07 …… recurrent, unspecified ear H65.1 Other acute nonsuppurative otitis media H65.11 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous) H65.111 …… right ear H65.112 …… left ear H65.113 …… bilateral H65.114 …… recurrent, right ear H65.115 …… recurrent, left ear H65.116 …… recurrent, bilateral H65.117 …… recurrent, unspecified ear H65.119 …… unspecified ear H65.19 Other acute nonsuppurative otitis media H65.191 …… right ear H65.192 …… left ear H65.193 …… bilateral H65.194 …… recurrent, right ear H65.195 …… recurrent, left ear H65.196 …… recurrent, bilateral



233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277



H65.197 …… recurrent, unspecified ear H65.199 …… unspecified ear H65.2 Chronic serous otitis media H65.20 …… unspecified ear H65.21 …… right ear H65.22 …… left ear H65.23 …… bilateral H65.3 Chronic mucoid otitis media H65.30 …… unspecified ear H65.31 …… right ear H65.32 …… left ear H65.33 …… bilateral H65.4 Other chronic nonsuppurative otitis media H65.41 Chronic allergic otitis media H65.411 …… right ear H65.412 …… left ear H65.413 …… bilateral H65.419 …… unspecified ear H65.49 Other chronic nonsuppurative otitis media H65.491 …… right ear H65.492 …… left ear H65.493 …… bilateral H65.499 …… unspecified ear H65.9 Unspecified nonsuppurative otitis media H65.90 …… unspecified ear H65.91 …… right ear H65.92 …… left ear H65.93 …… bilateral H66 Suppurative and unspecified otitis media H66.0 Acute suppurative otitis media H66.00 Acute suppurative otitis media without spontaneous rupture of ear drum H66.001 …… right ear H66.002 …… left ear H66.003 …… bilateral H66.004 …… recurrent, right ear H66.005 …… recurrent, left ear H66.006 …… recurrent, bilateral H66.007 …… recurrent, unspecified ear H66.009 …… unspecified ear H66.01 Acute suppurative otitis media with spontaneous rupture of ear drum H66.011 …… right ear H66.012 …… left ear H66.013 …… bilateral H66.014 …… recurrent, right ear H66.015 …… recurrent, left ear



278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322



H66.016 …… recurrent, bilateral H66.017 …… recurrent, unspecified ear H66.019 …… unspecified ear H66.1 Chronic tubotympanic suppurative otitis media H66.10 …… unspecified H66.11 …… right ear H66.12 …… left ear H66.13 …… bilateral H66.2 Chronic atticoantral suppurative otitis media H66.20 …… unspecified ear H66.21 …… right ear H66.22 …… left ear H66.23 …… bilateral H66.3 Other chronic suppurative otitis media H66.3X Other chronic suppurative otitis media H66.3X1 …… right ear H66.3X2 …… left ear H66.3X3 …… bilateral H66.3X9 …… unspecified ear H66.4 Suppurative otitis media, unspecified H66.40 …… unspecified ear H66.41 …… right ear H66.42 …… left ear H66.43 …… bilateral H66.9 Otitis media, unspecified H66.90 …… unspecified ear H66.91 …… right ear H66.92 …… left ear H66.93 …… bilateral H67 Otitis media in diseases classified elsewhere H67.1 Otitis media in diseases classified elsewhere, right ear H67.2 Otitis media in diseases classified elsewhere, left ear H67.3 Otitis media in diseases classified elsewhere, bilateral H67.9 Otitis media in diseases classified elsewhere, unspecified ear H68 Eustachian salpingitis and obstruction H68.0 Eustachian salpingitis H68.00 Unspecified Eustachian salpingitis H68.001 …… right ear H68.002 …… left ear H68.003 …… bilateral H68.009 …… unspecified ear H68.01 Acute Eustachian salpingitis H68.011 …… right ear H68.012 …… left ear H68.013 …… bilateral



323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366



H68.019 …… unspecified ear H68.02 Chronic Eustachian salpingitis H68.021 …… right ear H68.022 …… left ear H68.023 …… bilateral H68.029 …… unspecified ear H68.1 Obstruction of Eustachian tube H68.10 Unspecified obstruction of Eustachian tube H68.101 …… right ear H68.102 …… left ear H68.103 …… bilateral H68.109 …… unspecified ear H68.11 Osseous obstruction of Eustachian tube H68.111 …… right ear H68.112 …… left ear H68.113 …… bilateral H68.119 …… unspecified ear H68.12 Intrinsic cartilagenous obstruction of Eustachian tube H68.121 …… right ear H68.122 …… left ear H68.123 …… bilateral H68.129 …… unspecified ear H68.13 Extrinsic cartilagenous obstruction of Eustachian tube H68.131 …… right ear H68.132 …… left ear H68.133 …… bilateral H68.139 …… unspecified ear H69 Other and unspecified disorders of Eustachian tube H69.0 Patulous Eustachian tube H69.00 …… unspecified ear H69.01 …… right ear H69.02 …… left ear H69.03 …… bilateral H69.8 Other specified disorders of Eustachian tube H69.80 …… unspecified ear H69.81 …… right ear H69.82 …… left ear H69.83 …… bilateral H69.9 Unspecified Eustachian tube disorder H69.90 …… unspecified ear H69.91 …… right ear H69.92 …… left ear H69.93 …… bilateral H70 Mastoiditis and related conditions



367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411



H70.0 Acute mastoiditis H70.00 Acute mastoiditis without complications H70.001 …… right ear H70.002 …… left ear H70.003 …… bilateral H70.009 …… unspecified ear H70.01 Subperiosteal abscess of mastoid H70.011 …… right ear H70.012 …… left ear H70.013 …… bilateral H70.019 …… unspecified ear H70.09 Acute mastoiditis with other complications H70.091 …… right ear H70.092 …… left ear H70.093 …… bilateral H70.099 …… unspecified ear H70.1 Chronic mastoiditis H70.10 …… unspecified ear H70.11 …… right ear H70.12 …… left ear H70.13 …… bilateral H70.2 Petrositis H70.20 Unspecified petrositis H70.201 …… right ear H70.202 …… left ear H70.203 …… bilateral H70.209 …… unspecified ear H70.21 Acute petrositis H70.211 …… right ear H70.212 …… left ear H70.213 …… bilateral H70.219 …… unspecified ear H70.22 Chronic petrositis H70.221 …… right ear H70.222 …… left ear H70.223 …… bilateral H70.229 …… unspecified ear H70.8 Other mastoiditis and related conditions H70.81 Postauricular fistula H70.811 …… right ear H70.812 …… left ear H70.813 …… bilateral H70.819 …… unspecified ear H70.89 Other mastoiditis and related conditions H70.891 …… right ear



412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456



H70.892 …… left ear H70.893 …… bilateral H70.899 …… unspecified ear H70.9 Unspecified mastoiditis H70.90 …… unspecified ear H70.91 …… right ear H70.92 …… left ear H70.93 …… bilateral H71 Cholesteatoma of middle ear H71.0 Cholesteatoma of attic H71.00 …… unspecified ear H71.01 …… right ear H71.02 …… left ear H71.03 …… bilateral H71.1 Cholesteatoma of tympanum H71.10 …… unspecified ear H71.11 …… right ear H71.12 …… left ear H71.13 …… bilateral H71.2 Cholesteatoma of mastoid H71.20 …… unspecified ear H71.21 …… right ear H71.22 …… left ear H71.23 …… bilateral H71.3 Diffuse cholesteatosis H71.30 …… unspecified ear H71.31 …… right ear H71.32 …… left ear H71.33 …… bilateral H71.9 Unspecified cholesteatoma H71.90 …… unspecified ear H71.91 …… right ear H71.92 …… left ear H71.93 …… bilateral H72 Perforation of tympanic membrane H72.0 Central perforation of tympanic membrane H72.00 …… unspecified ear H72.01 …… right ear H72.02 …… left ear H72.03 …… bilateral H72.1 Attic perforation of tympanic membrane H72.10 …… unspecified ear H72.11 …… right ear H72.12 …… left ear H72.13 …… bilateral



457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501



H72.2 Other marginal perforations of tympanic membrane H72.2X Other marginal perforations of tympanic membrane H72.2X1 …… right ear H72.2X2 …… left ear H72.2X3 …… bilateral H72.2X9 …… unspecified ear H72.8 Other perforations of tympanic membrane H72.81 Multiple perforations of tympanic membrane H72.811 …… right ear H72.812 …… left ear H72.813 …… bilateral H72.819 …… unspecified ear H72.82 Total perforations of tympanic membrane H72.821 …… right ear H72.822 …… left ear H72.823 …… bilateral H72.829 …… unspecified ear H72.9 Unspecified perforation of tympanic membrane H72.90 …… unspecified ear H72.91 …… right ear H72.92 …… left ear H72.93 …… bilateral H73 Other disorders of tympanic membrane H73.0 Acute myringitis H73.00 Unspecified acute myringitis H73.001 Acute myringitis, right ear H73.002 Acute myringitis, left ear H73.003 Acute myringitis, bilateral H73.009 Acute myringitis, unspecified ear H73.01 Bullous myringitis H73.011 …… right ear H73.012 …… left ear H73.013 …… bilateral H73.019 …… unspecified ear H73.09 Other acute myringitis H73.091 …… right ear H73.092 …… left ear H73.093 …… bilateral H73.099 …… unspecified ear H73.1 Chronic myringitis H73.10 …… unspecified ear H73.11 …… right ear H73.12 …… left ear H73.13 …… bilateral H73.2 Unspecified myringitis



502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546



H73.20 …… unspecified ear H73.21 …… right ear H73.22 …… left ear H73.23 …… bilateral H73.8 Other specified disorders of tympanic membrane H73.81 Atrophic flaccid tympanic membrane H73.811 …… right ear H73.812 …… left ear H73.813 …… bilateral H73.819 …… unspecified ear H73.82 Atrophic nonflaccid tympanic membrane H73.821 …… right ear H73.822 …… left ear H73.823 …… bilateral H73.829 …… unspecified ear H73.89 Other specified disorders of tympanic membrane H73.891 …… right ear H73.892 …… left ear H73.893 …… bilateral H73.899 …… unspecified ear H73.9 Unspecified disorder of tympanic membrane H73.90 …… unspecified ear H73.91 …… right ear H73.92 …… left ear H73.93 …… bilateral H74 Other disorders of middle ear mastoid H74.0 Tympanosclerosis H74.01 …… right ear H74.02 …… left ear H74.03 …… bilateral H74.09 …… unspecified ear H74.1 Adhesive middle ear disease H74.11 Adhesive right middle ear disease H74.12 Adhesive left middle ear disease H74.13 …… bilateral H74.19 …… unspecified ear H74.2 Discontinuity and dislocation of ear ossicles H74.20 …… unspecified ear H74.21 Discontinuity and dislocation of right ear ossicles H74.22 Discontinuity and dislocation of left ear ossicles H74.23 …… bilateral H74.3 Other acquired abnormalities of ear ossicles H74.31 Ankylosis of ear ossicles H74.311 …… right ear H74.312 …… left ear



547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591



H74.313 …… bilateral H74.319 …… unspecified ear H74.32 Partial loss of ear ossicles H74.321 …… right ear H74.322 …… left ear H74.323 …… bilateral H74.329 …… unspecified ear H74.39 Other acquired abnormalities of ear ossicles H74.391 Other acquired abnormalities of right ear ossicles H74.392 Other acquired abnormalities of left ear ossicles H74.393 …… bilateral H74.399 …… unspecified ear H74.4 Polyp of middle ear H74.40 …… unspecified ear H74.41 Polyp of right middle ear H74.42 Polyp of left middle ear H74.43 …… bilateral H74.8 Other specified disorders of middle ear and mastoid H74.8X Other specified disorders of middle ear and mastoid H74.8X1 Other specified disorders of right middle ear and mastoid H74.8X2 Other specified disorders of left middle ear and mastoid H74.8X3 …… bilateral H74.8X9 …… unspecified ear H74.9 Unspecified disorder of middle ear and mastoid H74.90 …… unspecified ear H74.91 Unspecified disorder of right middle ear and mastoid H74.92 Unspecified disorder of left middle ear and mastoid H74.93 …… bilateral H80 Otosclerosis H81 Disorders of vestibular function H82 Vertiginous syndromes in diseases classified elsewhere H83 Other diseases of inner ear H80 Otosclerosis H80.0 Otosclerosis involving oval window, nonobliterative H80.00 …… unspecified ear H80.01 …… right ear H80.02 …… left ear H80.03 …… bilateral H80.1 Otosclerosis involving oval window, obliterative H80.10 …… unspecified ear H80.11 …… right ear H80.12 …… left ear H80.13 …… bilateral H80.2 Cochlear otosclerosis H80.20 …… unspecified ear



592 593 594 595 596 597 598 599 600 601 602 603 604



H80.21 …… right ear H80.22 …… left ear H80.23 …… bilateral H80.8 Other otosclerosis H80.80 …… unspecified ear H80.81 …… right ear H80.82 …… left ear H80.83 …… bilateral H80.9 Unspecified otosclerosis H80.90 …… unspecified ear H80.91 …… right ear H80.92 …… left ear H80.93 …… bilateral



NO



Tindakan Ear toilet Otomikroskopi Angkat jahitan Timpanoplasti Laserasi liang telinga Meatoplasti Biopsy of external ear Application of other wound dressing Consultation Incision of external ear Follow up examination Ambil bahan kultur Removal of sutures from head and neck Mastoidektomi Biopsi of skin and subcutaneus tissue Angkat tampon GV Miringotomi with insertion tube



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18



ICD 9 96.52 97.38 97.38 95.31 Z48.8 18.6 18.12 93.57 89.09 18.9 Z09.8 90.32 97.38 Z48.8 86.11 97.32 93.57 20.01



8 LARING FARING NO 1 2 3 4 5 6



DIAGNOSA Obstructive laryngitis Laryngiritis TB Laryngomalacia Stenosis Esophagus Stenosis Glotis Stenosis Congenital



ICD J 05.0 A 16.4 Q 31.5 K 22.9 J 38.6 Q 31.1



7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 N O



Post Decanulation Tracheostenosis Stenosis Subglotis Foreign Body Post Extraction Larynx Esophagus Pharynx Trachea Tongue Post op malignant neoplasm Chemoradiation Chemotherapy Follow up cancer Wound toilet Post tonsiloadenoidectomy Post laryngoscope biopsy post total laryngectomy post fistula repair Fistula Acute pharyngitis Acute tonsilitis Acute laryngitis Acute epiglotitis Chronic pharyngitis Chronic tonsilitis Hypertrophy tonsil Hypertrophy adenoid Hypertrophy tonsiloadenoid Chronic laryngitis Peritonsillar abscess Retropharyngeal abscess Vocal cord paralisis Polyp of vocal cord Nodule of vocal cord Laryngeal edema Laryngeal stenosis



TINDAKAN 1 Foreign Body Post Extraction Larynx Esophagus Pharynx Trachea Tongue



Z 43.0 J 39.8 J 95.5 T 17.3 T 18.1 T 17.2 T 17.4 T 18.0 Z 08.0 Z 08.1 Z 08.2 Z 08.9 93.57 69.5 12.5 Z 48.8 Z 48.8 J 95.0 J 02 J 03 J 04 J 05.0 J 31.2 J 35.0 J 35.1 J 35.1 J 35.3 J 37.0 J 36 J 36 J 38.0 J 38.1 J 38.2 J 38.4 J 38.6



ICD 9 T T T T T



17.3 18.1 17.2 17.4 18.0



2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45



Chemoradiation Chemotherapy Wound toilet RFL Tracheostomy revision Insertion NGT for nutrition support Insertion NGT for decompression Tracheostomy toilet Bronchial wash Replace wound pack/drain Replace NGT Replace tracheostomy tube Decanulation suture removal Drainage incision tonsil and peritonsillar biopsy tonsil adenoid Excision tonsil adenoid lession Foreign body removal tonsil adenoid without incision tonsil adenoid by incision pharyngoscopy pharyngeal biopsy Tonsillectomy tonsiloadenoidectomy tonsil tag excision lingual tonsil excision adenoidectomy control hemorrhage post tonsiloadenoidectomy endoscopic closed biopsy larynx closed biopsy trachea open biopsy larynx/trachea larynx excision other partial laryngectomy epiglottidectomy vocal cordectomy laryngeal cartilage excision larynx biopsy laryngeal fistulectomy laryngotracheal fistulectomy hemilaryngectomy complete laryngectomy radical laryngectomy temporary tracheostomy



Z 08.1 Z 08.2 93.57 31.42 31.74 96.6 96.07 96.55 96.56 97.16 97.01 97.23 97.37 97.38 28.0 28.11 28.92 98.13 28.91 29.11 29.12 28.2 283 28.4 28.5 28.6 28.7 31.43 31.44 31.45 20 30.2 30.21 30.22 30.29 31.43 31.62 31.62 30.1 30.3 30.4 31.1



46 47 48 49 50



larynx repair laceration suture larynx closure fistula larynx laryngostomy revision laryngeal fracture suture 9. THT KOMUNITAS



31.6 31.61 31.62 31.63 31.64