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