A B

KODE
NO DIAGNOSA NO
ICD X
1 ABDOMINAL PAIN R10.4 1

2 ABLATION RETINAE H33.2 2

3 ABSCESS AXILLA L02.4 3

4 ABSCESS BARTHOLIN'S GLAD N75.1 4

5 ABSCESS PARU J85.2 5
6 ACNE CONGLOBATA L70.1 6
7 ACNE VULGARIS L70.0

8 ACUTE DECOMPENSATED HEART FAILURE (ADHF) I50.9

9 ADNEXITIS N70.9
10 AHD (ARTERIOSCLEROTIC HEART DISEASE) I25.1
11 AKI N17.8
12 ALCHOHOLIC STATE F10.3
13 ALLERGY T78.4
14 AMI (ACUTE MYOCARD INFARCT) I21
15 AMNESIA R41.3
16 ANAPHYLACTIC T78.2
17 ANEMIA D64.9
18 ANEMIA DEFICIENCY BESI (ADB) D50.9
19 ANEMIA MACROCYTIC D52.9
20 ANEMIA MEGABLASTIK D53.1
21 ANEMIA MICROCYTIC D50.8
22 ANGINA PECTORIS I20.9
23 ANOREXIA R63.0
24 ANTIPHOSPHOLIPID SYNDROME (APS) D68.8
25 ANURIA R34
26 ARRHYTHMIA I49.9
27 ARTERIAL FIBBRIALASI I77.3
28 ARTHRALGIA M25.5
29 ARTHRITIS M13.9
30 ARTHRITIS GOUTY M10.0

31 ASAM URAT E79.0

32 ASCARIASIS B77.9
33 ASCITES R18

34 ASHD (ATHEROSCLEROTIC HEART DISEASE) I25.1

35 ASMA J45.9
36 ASMA ACUTE J46

37 ASMA BRONCHIALE J45.9

38 Asuhan persiapan untuk dialisis Z49.0

39 ATHEROMA I70.9
40 ATRIAL FIBRILATION (AF) I48
41 ATRIOVENTRICULAR BLOCK (AV BLOCK) I44.3
 B C
KODE
DIAGNOSA NO
ICD X
BLEPHARITIS H01.0 1

BRANCHIAL PLEXUS SYND G54.0 2

BRONCHIOLITIS J21.9 3

BRONCHITIS J40 4
BRONCHOPNEUMONIA UNS J18.0 5
BULLA R23.8 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
 C D
KODE
DIAGNOSA NO
ICD X
CA MAMAE C50.9 1

CA NASOPHARYNX C11.9 2

CA. PENIS C60.9 3

CAMPAK B05 4
CANDIDIASIS B37.9 5
CARDIAC AREST I46.1 6
CARDIOMEGALY I51.7 7

CARDIOPATHY I51.9 8
CARPAL TUNNEL SYNDROME G56.0 9
CELLULITIS L03.9 10
CEPHALGIA R51 11
CHD (CARDIAC HEART DISEASE) I50.0 12
CHEST PAIN UNSPECIFIED R07.4 13
CHF (CONGESTIVE HEART FAILURE) I50.0 14
CHOLECYSTIS K81 15
CHOLECYSTITIS K81.9 16
CHOLELITHIASIS K80.2 17
CHOLESTASIS K83.1 18
CHRONIC MYELOID LEUKEMIA C92.1 19
CIRRHOSIS HEPATIC K74.6 20
CLAVUS L84 21
COLIC ABDOMEN R10.4
COLIC RENAL N23
COLIC URETER N23
COLOSTOMY Z43.3
COMMON COLD J00
CONDYLOMA A63.0
CONJUCTIVA H11.9
CONJUCTIVITIS H10
CONSTIPATION K59.0
CONVERSION HYSTERIA NEUROSIS OR
REACTION F44.9
CONVERSION REACTION F44.9
CONVULSION (KEJANG) R56.8

COUGH R05
CPCD (COR PULAUNALE CRONIC DISEASE) I27.9
CRONIC KIDNEY DISEASE N18.9

CRONIC KIDNEY DISEASE (CKD) N03.0

CUTANEOS ABSCESS, FIRINCLE AND
CARBUNCLE L02
CVA BLEEDING I61.9
CVA INFARK I63.9
CYSTITIS H30.9
 D E
KODE
DIAGNOSA NO
ICD X
DISPEPSIA K30 1

DIABETES MELLITUS TERGANTUNG INSULLIN (IDDM)/ TIPE I E10.9 2

DIABETES MELLITUS TIDAK TERGANTUNG INSULLIN
(IDDM)/TIPE II E11.9 3

DIABETES MELLITUS BERHUBUNGAN DENGAN MALNUTRISI E12 4

DIABETES MELLITUS DITENTUKAN LAINNYA E13 5
DIABETES MELLITUS E14 6
DERMATITIS KONTAK ALERGI (DKA) L23 7

DERMATITIS LAINNYA L30 8

DHF A91 9
DCA = GEA A09 10
DISTENTION ABDOMEN R14 11
DENGUE FEVER A90 12
DYSENTERY A09 13
DEHYDRATION E86
DEPRESI F32.9
DYSTONIA G24.9
DYSPNEA R06
DISPNEU R06
DERMATITIS KONTAK IRRITANT L24.9
DORV (DOUBLE OUTLET RIGHT VENTRICLE) Q20.1
DECUBITUS L89
DIZZINESS R42
DYSLIPIDEMIA E78.5
 E F
KODE
DIAGNOSA NO
ICD X
EPISTAXIS R04.0 1

EDEMA R60.9 2

ERUPTION TOOTH K00.6 3

EFFUSION PLEURA J90 4

ESOFAGITIS K20 5
ARYTHEMA L53.9 6
EYE DISEASE H57.9 7

ECTHYMA L08.9 8
ESOPAGUS K22 9
ENTEROBIUS VERMICULARIS B80 10
EPIPHYSIOLYSIS RADIUS M92.1 11
EDEMA PALPEBRA/EYELID H02.8 12
13
14
 F G
KODE
DIAGNOSA NO
ICD X
FEBRIS/ FEVER R50.9 1

FATIGUE R53 2

FIMOSIS N47 3

FLATUS R14 4
FISTULA ANUS/ FISSURE K60.3 5
FURUNCULOSIS L02.9 6
FIBROADENOMA MAMAE (FAM) D24 7

FLOUR N89.8 8
FOLLICULITIS L73.9 9
FUNICULITIS N49.1 10
FARINGITIS AKUT J02 11
FISSURE ANAL K60.2 12
FURUNCLE L02.9 13
FLAT FOOT M21.4 14
15
 G H
KODE
DIAGNOSA NO
ICD X
GASTROENTERITIS AKUT (GEA) A09 1

GASTRITIS AKUT K29.1 2

GASTRITIS TANPA SEBAB K29.7 3

GONORRHEA A54.9 4
GINGIVITIS K05.1 5
GANGLION M67.4 6
GGK (GAGAL GINJAL KRONIS) N18 7

GRANULA L92.9 8
GRANULOMA L92.9 9
GOUT, GOUTY M10.9 10
GANGRENE R02 11
GANGRENE WITH DM E10.5 12
GASTROESOPHAGEAL REFLUX DISEASE (GERD) K21.9 13
GASTROENTERITIS CRONIC K52.9 14
GENERAL CHECK UP Z00.0 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
 H I
KODE
DIAGNOSA NO
ICD X
HYPERPIREKSIA/ HYPERTHERMIA R50.9 1

HEMORRHOIDS I84 2

HIPERTENSION I10 3

HAEMATEMESIS K92.0 4
HYPOTENSION I95 5
HYPOGLICEMIA E16.2 6
HEADACHE R51 7

HERPES B00.9 8
HELMINTHIASIS B83.9 9
HYPERPERISTALSIS R19.2 10
HYPERGLYCEMIA R73.9 11
HICCUP R06 12
HYPERTHYROID E05.9 13
HEPATOMA C22.0 14
HYPOTHYROID E55 15
HORDEOLUM H00.0 16
HEMORRHAGIC R58 17
HHD I11.9 18
HEMOPHILIA D66 19
HEPATOMEGALY R16.0
HYPOKALEMIA E87.6
HEARTBURN R12
HFMD (FLU SINGAPORE) B08.4
HYDRONEPHROSIS N13.3
HEMOPTYSIS R04.2
HYPERHIDROSIS R61.9
HYPOTERMIA T68
HYPERCHOLESTEROLEMIA E78.0
HEPATITIS VIRUS TYPE A B15.9
HIPERTENSION GESTATIONAL O13

HYDROPYONEPHROSIS N13.6
HAEMATEMESIS MELENA N92.1
HALITOSIS R19.6

HEMATURIA R31
HEMIPARESIS G81.9
HEPATITIS VIRUS TYPE B B16.9

HSP (Honech schonlein purpura) D69.0

HYPERURICEMIA E79.0
HEPATOSPLENOMEGALY R16.2
HYDROSALPINX N70.1
 I J
KODE
DIAGNOSA NO
ICD X
ISPA J06.9 1

ICTERUS R17 2

IMPETIGO L01.0 3

INTOKSIKASI F10.0 4
INTOKSIKASI CHEMICAL T65.9
ISK N39.0
ILEUS OBSTRUCTIVE K56.6

ILEUS K56.7
INCONTINENCE URINE R32
INVAGINATION K56.1
INFECTION SKIN L08.9
INFESTATION B88.9
INSOMNIA G47.0
ISCHIALGIA M54.3
ITP (IDEOPATIC TROMBOCYTOPENIC PURANA) D69.3
INTOKSIKASI FOOD A05.9
ILEUS PARALITIK K56.0
INTOKSIKASI ALPRAZOLAM (OBAT TIDUR) T42.4
IMUNISASI RABIES Z24.2
 J K
KODE
DIAGNOSA NO DIAGNOSA
ICD X
JOUNDICE R17 1 KONSTIPASI

2 KDS

3 KEJANG (CONVULSION)

4 KETOACIDOSIS DIABETIC (KAD) DM TIPE I

5 KOMA
6 KETOACIDOSIS DIABETIC (KAD) DM TIPE II
 L M
KODE ICD KODE ICD
NO DIAGNOSA NO
X X
K59.0 1 LIPOMA D17.9 1

R56.8 2 LBP (LOW BACK PAIN) M54.5 2

R56.8 3 LYMPHADENITIS I88.9 3

E10.1 4 LYMPHADENITIS ACUTE L04.9 4

R40.2 5 LARYNGITIS J04.0 5
E11.1 6 LYMPHADENOPATHY R59.1 6
7 LYMPHOGRANULOMA VENEREUM (LGV) A55 7

8 LIGAMENT LAXITY M24.2 8

9
10
11
12
13
14
 M N
KODE ICD
DIAGNOSA NO
X
MUMPS B26.9 1

MYALGIA M79.1 2

MIGRAINE G43 3

MALASSEZ'S DISEASE N50.8 4

MASTITIS N61 5
MELENA K92.1 6
MUSCLE M62.9

MALARIA B54
MYOPIA H52.1
MENINGITIS G03.9
MOLLUSCUM CONTAGIOSUM B08.1
MASTALGIA N64.4
MALAISE R53
MASTOIDITIS H70.9
 N O
KODE ICD
DIAGNOSA NO
X
NEURODERMATITIS L28.0 1

NAUSEA R11 2

NAILS L60.9 3

NEPHROLITHIASIS N20 4
NEURITIS M79.2 5
NEPHROTIC SYNDROME N04.9 6
7

8
9
10
 O P
KODE
DIAGNOSA NO
ICD X
OEDEMA/ EDEMA R60.9 1

OXALOSIS
E74.8 2

OSTEOARTHRITIS
M19.9 3

OSTEOARTHROSIS
M19.9 4
OSTEOPHOROSIS M81.9 5
ORCHITIS N45.9 6
OLIGURIA R34 7

OXYURIS VERMICULARIS
B80 8
OSTEOARTHRITIS GENUE M17.9 9
OTALGIA H92.0 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
 P R
KODE ICD
DIAGNOSA NO
X
PHARYNGITIS J02.9 1

PHARYNGITIS ACUTE J02.9

2

PALPITATIONS R00.2
3

PNEUMONIA J18.9
4
PPOK WITH EXCERBATION UNSPECIFIED J44.1 5
PRURITUS L29.9 6
PHIMOSIS N47 7

PAROTITIS/ PAROTIDITIS K11.2

8
PAPILOMA D41 9
PPOK UNSPECIFIED J44.9 10
PSYCHOSOMATIC F45.9 11
PITYRIASIS VERSICOLOR B36.0
PANCYTOPENIA D61.9
PERITONITIS K65.9
PAROTITIS EPIDEMIC B26.9
POLYURIA R35
PYODERMA L08.0
PRURIGO L28.2
PTERYGIUM H11.0
PERIODONTITIS K05.3
POLIP RECTAL/ RECTUM K62.1
PSORIASIS L40.9
PARAPHIMOSIS N47
PYONEPHIRITIS N12
PULPITIS K04.0
PROLAPSE KIDNEY N28.8
PERICORONITIS K05.3
PARALYSIS G83.9
PYELONEPHRITIS ACUTE (PNA) N10
PERPORATION GASTRIC K25.1

PARESTHESIA R20.2

PERIODONTITIS ACUTE K05.2

PIONIKIA L03.0
Pemeriksaan follow-up setelah khemoterapi untuk
neoplasma ganas Z08.2
Pemeriksaan follow-up setelah radioterapi untuk
neoplasma ganas Z08.1
Pemeriksaan laboratorium Z01.7
Pemeriksaan penyaring khusus terhadap diabetes
mellitus Z13.1

Pemeriksaan radiologis Z01.6

Pemeriksaan tekanan darah Z01.3
POLYARTHRITIS M13.0
 R S
KODE ICD
DIAGNOSA NO
X
RHINITIS J31.0 1

RETENTION URINE R33 2

RHEUMATOID ARTHRITIS M06.9 3

RHINOPHARYNGITIS J00 4
RHD I09.9 5
RHEUMATIC FEVER I00 6
RONTGEN RAY T66 7

RESORPTION TEETH K03.3 8

RENAL DISEASE N28.9 9
RUPTURE HYMEN N89.8 10
RHINITIS ALERGI J30.4 11
RHEUMATISM NONARTICULAR M79.0 12
13
14
15
16
17
18
 S T
KODE ICD
DIAGNOSA NO
X
STOMATITIS K12.1 1

SNAKE BITE T63.0 2

SYNCOPE R55 3

SCABIES B86 4
STRUMA E04.9 5
STEATORRHEA K90.4 6
STRESS PHYSICAL Z73.3 7

SEPSIS A41.9 8
SYSTEMIC LUPUS ERYTEMATOSUS (SLE) M32.9 9
STEVENS-JOHNSON DISEASE OR SYNDROME L51.1 10
SPASM R25.2 11
SHOCK SEPTIC A41.9 12
SHOCK HYPOVOLEMIC R57.1 13
SYPHILIS A53.9 14
SHOCK PSYCHIC F43.0 15
SHOCK R57.9 16
SURAT KETERANGAN SEHAT Z71 17
SCOLIOSIS M41.9 18
19
20
21
22
23
24
 T U
KODE ICD
DIAGNOSA NO
X
TONSILITIS J03.9 1

TONSILLOPHARYNGITIS (TPA/TFA) J06.8 2

TONSILITIS CHRONIC J35.0 3

THYPOID AND PARATHYPOID FEVERS A01.0 4

TENSION TYPE HEADACHE (TTH) G44.2 5
TINEA B35.9 6
TINEA VERSICOLOR B36.0 7

TINEA PEDIS B35.3 8

TINEA CRURIS B35.6 9
TUMOR PANKREAS C25.4 10
TUBERCULOSIS A16.9 11
TB PARU A16.2 12
TACHYCARDIA R00.0 13
THYROID E07.9 14
TUMOR OVARY O34.8 15
TUMOR ABDOMEN D36.7
TUMOR PAYUDARA D24
TETANUS A35
TINEA CORPURIS B35.4
TRANSIENT ISCHEMIC ATTACK (TIA) G45.9
TUMOR GLUTEAL D36.7
TUMOR SPINE D16.6
TUMOR D36.9
THROMBOCYTOPENIA D69.6
 U V
KODE ICD
DIAGNOSA NO
X
URTICARIA TANPA SEBAB L50 1

ULCUS PEPTICUM K27.9 2

URACHUS PERSISTENT Q64.4 3

URETEROLITHIASIS N20.1 4
URICEMIA E79.0 5
URETHROLITHIASIS N21.1 6
ULCUS CONJUCTIVA H10.8 7

UROARTHRITIS M02.3 8
ULCUS DIABETES E14.5
UROLITHIASIS N20.9
URINARY TRACT DISEASE (UTI) N39.9
ULCUS DECUBITUS L89
UNSTABLE ANGINA (UAP) I20.0
ULCER LIP K13.0
 V W
KODE ICD
DIAGNOSA NO
X
VARICELLA B01 1

VERTIGO R42

VOMITING (MUNTAH) R11

VARICES I83.9
VERTICAL TALUS Q66.9
VIRAL INFECTION B34.9
VARICOCELE I86.1

VERUCCA B07
 W
KODE ICD
DIAGNOSA X
WORMY (CACINGAN) B83.9
 KODE ICD
NO DIAGNOSA X
1 ASCARIASIS B77.9
2 ASMA J45.9
3 ASMA ACUTE J46
4 ASMA BRONCHIALE J45.9
5 BRONCHIOLITIS J21.9
6 BRONCHITIS J40
7 BRONCHOPNEUMONIA UNS J18.0
8 COMMON COLD J00
9 CONJUCTIVITIS H10
10 CONSTIPATION K59.0
11 CONVULSION (KEJANG) R56.8
12 DCA = GEA A09
13 DEHYDRATION E86
14 DENGUE FEVER A90
15 DHF A91
16 DISTENTION ABDOMEN R14
17 DYSENTERY A09
18 FARINGITIS AKUT J02
19 FEBRIS/ FEVER R50.9
20 GASTRITIS AKUT K29.1
21 GASTRITIS TANPA SEBAB K29.7
22 GASTROENTERITIS AKUT (GEA) A09
23 GENERAL CHECK UP ANAK Z00.1
24 HELMINTHIASIS B83.9
25 HERPES B00.9
26 HERPES ZOSTER B02.9
27 HYPERPIREKSIA/ HYPERTHERMIA R50.9
28 IMUNISASI BCG Z23.2
29 IMUNISASI CAMPAK Z24.4
30 IMUNISASI DPT Z23.6
31 IMUNISASI DPT+POLIO Z27.3
32 IMUNISASI HEPATITIS Z24.6
33 IMUNISASI INFLUENZA Z25.1
34 IMUNISASI MMR Z27.4
35 IMUNISASI MUMPS Z25.0
36 IMUNISASI POLIO Z24.0
37 ISPA J06.9
38 JOUNDICE R17
39 KDS R56.8
40 KEJANG (CONVULSION) R56.8
41 KONSTIPASI K59.0
42 LARYNGITIS J04.0
43 METEORISMUS (PERUT KEMBUNG) R14
44 MILIARIA L74.3
45 MORBILI/ MEASLES B05.9
46 MUMPS B26.9
47 PHARYNGITIS J02.9
48 PHARYNGITIS ACUTE J02.9
PLACENTA PRAVIA BAYI P02.0
49 PNEUMONIA J18.9
50 RHINITIS J31.0
51 RHINITIS ALERGI J30.4
52 RHINOPHARYNGITIS J00
53 STOMATITIS K12.1
54 THYPOID AND PARATHYPOID FEVERS A01.0
55 TINDIK Z41.3
56 TONSILITIS J03.9
57 TONSILITIS CHRONIC J35.0
58 TONSILLOPHARYNGITIS (TPA/TFA) J06.8
59 VARICELLA B01
60 VOMITING (MUNTAH) R11
61 WORMY (CACINGAN) B83.9
 KODE
NO DIAGNOSA ICD X
1 FARINGITIS AKUT J02
2 OTITIS EXTERNA H60
3 OTITIS EXTERNA DIFUSA H60.3
4 OTITIS MEDIA AKUT (OMA) H66.9
5 OTITIS MEDIA KRONIK (OMK) H66
6 Pemeriksaan telinga dan pendengaran Z01.1
7 POLYP NOSE J33.9
8 RHINITIS J31.0
9 SINUSITIS AKUT J01
10 SINUSITIS KRONIS J32.9
11 TINNITUS H93.1
12 TONSILITIS AKUT, TIDAK SPESIFIK J03.9
13 TONSILITIS KRONIS J35.0
14 NASOFARINGITIS AKUT J00
15 TONSILOFARINGITIS (TPA/TFA) J06.8
16 CROUP (LARINGITIS OBSTRUKTIF AKUT) J05.0
 A
KODE ICD
NO DIAGNOSA NO
X

1 ABORTUS IMMINENS O02.1 1

2 ABORTUS INKOMPLIT O06.4 2

3 ABORTUS INSIPIENS O03.9 3

4 ABORTUS SEPTIK O07.5

5 ABORTUS TUBA O00.1

6 ABSES TUBA OVARIAN N70.9

7 AMENORREA SEKUNDER N91.1
8 ANENCEPALI O06.9
9 APB (ANTEPARTUM BLEEDING) O46.9
10 APB (ANTEPARTUM HAEMORRHAGE) O46.9
11 ATONIA UTERI O62.2
12 AUB (ABNORMAL UTERI BLEEDING) N93.9
13
 B C
KODE
DIAGNOSA NO
ICD X

BARTHOLINITIS N75.8 1

BLEEDING POST MENOPAUSAL N95.0 2

BLIGHTED OVUM O02.0 3

4
5
 C D
KODE
DIAGNOSA NO DIAGNOSA
ICD X

CA CERVIC C53.9 1 DEATH CONSEPTUS

CA OVARY C56 2 DUB

CERVIX UTERI, KELAINAN NON INFLAMASI N88 3 DYSMENORRHEA

CYST OVARY N83.2

CPD O33.9
 E F
KODE KODE ICD
NO DIAGNOSA NO
ICD X X

O36.4 1 ECTOPIC PREGNANCY O00.9 1

N93.8 2 EROSION PORTIO N86 2

N94.6 3 EXTRATION IUD Z30.9 3
 F G
KODE ICD
DIAGNOSA NO
X

Fertilisasi in vitro Z31.2 1

FETUS NEC, KNOWN OR SUSPECTED, AFFECTING O35.8
MANAGEMENT OR PREGNANCY 2
FOLLOW UP OBGIN (post sc/followup sc) Z09.0 3

4
5

6
 G H
KODE ICD
DIAGNOSA NO
X

G1P0A0 (Periksa Hamil) Z36.9 1

GAWAT JANIN (Gerak Bayi Berkurang) O36.8 2

GEA UTK IBU HAMIL O98.8 3

GEMILI (Partus Normal) O84.0 4

GEMILI (SC) O84.2 5

GES HT (Gastrosional HT) O16 6

7
8
9
 H I
KODE ICD
DIAGNOSA NO
X

HAMIL + DHF O98.5 1

Hamil, dipastikan Z32.1 2

Hamil, tidak atau belum dipastikan Z32.0 3

HDK (Hypertensi Dalam Kehamilan) O16 4

HEMORAGIC POST PARTUM (HPP) O72.1
HIPEREMESIS GRAVIDARUM DENGAN GANGGUAN
METABOLIK O21.1
HPP SKUNDER EC REST PLACENTA O72.2
HYDROSALPINX N70.1
HYPEREMESIS GRAVIDARUM O21.0
 I K
KODE ICD
DIAGNOSA NO
X

IMUNISASI TETANUS Z23.5 1

INFERTILITY FEMALE N97.9 2

INSERSI IUD Z30.1 3

ISK IBU HAMIL O23.4 4

5

6
 K L
KODE ICD
DIAGNOSA NO
X

O80.0
KEHAMILAN BIASA Z37.0 1

KEHAMILAN EKTOPIK O00 2

KEHAMILAN LETAK SUSANG / LINTANG O32.1 3

KONTROL LUKA POST OP Z48.9

KONTROL POST PARTUM Z39.2

KPD (PREMATURE RUPTURE OF MEMBRANES) O42.9

 L M
KODE ICD
DIAGNOSA NO
X

LACERATION VAGINAL S31.4 1

LEUKORRHEA N89.9 2
LMR O34.2 3

4
5

6
7
8
 M O
KODE ICD
DIAGNOSA NO
X

MENOMETRORRHAGIA N92.1 1

MENOPAUSE N95.1 2
MENORRHAGIA N92.0 3

Metode fertilisasi terbantu lainnya Z31.3

METRORRHAGIA N92.1

MOLE HYDATIDIFORM O01.9

MOW Z30.2
MYOMA UTERI D26.9
 O P
KODE ICD
DIAGNOSA NO
X

OBLEQIU ( Letsu + Letli) O32.9 1

OLIGOHIDRONION O41.0 2
OLIGOMENORRHEA N91.5 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
 P R
KODE ICD
DIAGNOSA NO
X

PEB O14.9 1

PELVIC INFLAMMATORY DISEASE (PID) N73.9

2
Pemeriksaan ginekologis(umum)(rutin) Z01.4 3

Pengawasan hamil lain yang normal Z34.8

Pengawasan hamil pertama yang normal Z34.0

PERIKSA KANDUNGAN Z36.9

PK I O63.0
PK II/ KALA II LAMA O63.1
PLACENTA PREVIA TOTALIS O44.0
PN (Partus Normal) O80.9
POLIP ENDO SERVIK N84.1
POLIP ENDOMETRUM N84.0
POLIP UTERI (SERVIX) N84.1
POLIP VAGINA ( cervic) N84.2
POST DATE (Problem pregnancy) O48
POST SC Z09.0
PPI ( Kelahiran/persalinan dbwah 37 mg berat bayi dibawah
2500gr) O60
PPI (hanya sakit diatas 37 minggu) O47.9
PPI (Hanya sakit perut tapi tidak melahirkan usia dbawah 37
minggu) O47.0
PR (Preklamsi ringan) O14.9
PRE EKLAMASI BERAT O15.0
PROLAPSE UTERI N81.4
PROM ( prematur Ruptur of membrane) O42.1
PUA ( pendarahan uterus abnomal) /AUB N93.9
Pengawasan kehamilan dengan riwayat infertilitas Z35.0
Pengawasan kehamilan dengan riwayat abortus Z35.1
Pengawasan kehamilan dengan riwayat reproduksi atau
obstetri lain yang buruk Z35.2
Pengawasan primigravida tua Z35.5
Pengawasan primigravida sangat muda Z35.6
Persalinan terhambat akibat panggul secara umum sempit O65.1
PERTUMBUHAN JANIN LAMBAT O36.5
PLACENTA PREVIA O44.1
 R S
KODE ICD
DIAGNOSA NO DIAGNOSA
X

SC ( Delivery by ceasarean sectio -

REST OVARIAN Q50.6 1 unspecified)

RETENTION PLACENTA O72.0 2 SC GEMELY/ KEMBAR

RUPTURE VAGINA S31 3 SOLUSIO PLACENTA

4 SOLUSIO PLACENTA DG PENDARAHAN

 T V
KODE ICD KODE ICD
NO DIAGNOSA NO
X X

O82.9 1 TAH Z90.7 1

Tuboplasty atau vasoplasty setelah
O84.2 2 sterilisasi sebelumnya Z31.0 2
O45.9 3 TUMOR OVARY O34.8 3

O45.0 4
5

6
 V
KODE ICD
DIAGNOSA X

VAGINAL BLEEDING N93.9

VAGINAL LACERATION S31.4

VAGINALITIS N49.1

VAGINITIS N76.0
VARISES VAGINA O22.1

VE (VACUM EKSTRAKSI) O81.4

 KODE ICD
NO DIAGNOSA X
1 ASFIKSIA u/ bayi P22.1
ANENCEPHALUS Q00.0
2 BABY CRYING R68.1
3 BAYI BERAT DIBAWAH 2500 GR P07.1
4 BAYI GEMELI (Kembar) P01.5
5 BBLR P07.0
6 BAYI BESAR P08.0
7 BIBIR SUMBING Q36.9
8 CAPUT SUCCEDANEUM P12.8
9 DEFISIENSI VITAMIN K OF NEW BORN P53
DOWN SYNDROME Q90.9
DANDY WALKER SYNDROME Q03.1
10 FETAL DEATH P95
11 HIPERBILIRUBIN P59.9
12 HIPOTERMIA U/ BAYI P80.9
13 HIDROSEFALUS G91.9
14 IKTERUS NEONATORUM Q24.9
15 INSUFFIENSI PLASENTA O36.5
16 IUFD O36.4
17 NKB / PREMATUR P07.3
18 PJB (PENYAKIT JANTUNG BAWAAN) KONGINETAL P07.3
19 PNEMOUNIA U/ BAYI P24.9
PLACENTA PREVIA NEWBORN P02.0
20 TTNB (TRANSIENT TACHYPNOEA OF NEWBORN) P22.1
21 PDA (PERSISTENT DUKTUS ARTERIOSUS) Q25.0
22 VSD (VENTRICULAR SEPTAL DEFECT) Q21.0
23 ASD (ATRIAL SEPTAL DEFECT) Q21.1
 KODE ICD
NO DIAGNOSA X

1 ABSES PERINEUM L02.2

ABSES MAMAE N61
2 ANIMAL BITE T14.1
3 APPENDICITIS AKUT K35.9
4 APPENDICITIS CRONIC K37
5 AVULSION T14.7
6 AVULSION GIGI S03.2
7 AVULSION KUKU S69.9
8 BALANOPOSTHITIS N48.1
9 BATU BULI-BULI (STONE BLADDER) N21
10 BATU GINJAL N20.0
11 BATU URETER N20.1
12 BLEEDING POST EKSTRAKSI GIGI T81.0
13 BPH N40
14 BSK (BATU SALURAN KENCING) N21.1
15 CEPHALEMATOMA S09.8
16 CHEMOTHERAPY Z51.2
17 CKR S09.9
18 COMBUSTIO GRD I T31.1
19 COMBUSTIO GRD II T31.3
20 COMBUSTIO GRD III T31.6
21 COMMOTIO CELEBRI S06.0
22 CONTUSION T14.0
23 CORONARY ARTERY DISEASE (CAD) I25.1
24 CORPUS T15
25 DISLOCATION T14.3
26 DISLOCATION ELBOW S53.1
27 DISLOCATION ELBOW S53.1
28 DISLOCATION MANDIBLE (KEPALA) S03.0
DISLOCATION OF OTHER AND UNSPECIFIED PARTS OF
29 FOOT (KAKI) S93.9
30 DISLOCATION SCAPULA S43.3
31 DISLOCATION SHOULDER (BAHU) S43.0
32 DOG BITE T14
33 FIBROADENOMA MAMAE (FAM) D24
34 HEMATOMA T14.0
35 HEMATOMA PENIS N48.8
36 HEPATITIS ACUTE K72.0
37 HERNIA K46.9
38 HERNIA K46.9
39 HERNIA INGUINAL K40.9
40 HERNIA INGUINAL K40.9
41 HERNIA SCROTAL K40.9
42 HERNIA SCROTAL K40.9
43 HERNIA UMBILICUS K42.9
44 HERNIA UMBILICUS K42.9
45 HIL (HERNIA INGUINALIS LATERAL) K40.9
46 HIL (HERNIA INGUINALIS LATERAL) K40.9
47 HNP (HERNIA NUCLEUS PULPOSUS) M51.2
48 HNP (HERNIA NUCLEUS PULPOSUS) M51.2
49 HYDROCELE N43.3
50 HYDROCELE N43.3
51 ILEUS K56.7
52 ILEUS OBSTRUCTIVE K56.6
53 ILEUS PARALITIK K56.0
54 IMPOTENCE F52.2
55 INFECTED WOUND T79.3
56 INFECTION B99
57 INFLAMASI H95.1
58 INJURY FOOT/ PEDIS S99.9
59 INJURY HAND S69.9
60 INJURY HAND S69.9
61 INSECT BITE T63.4
62 KELOID (CHELOID) L91.0
63 LEFT BUNDLE BRANCH BLOCK (LBBB) I44.7
64 LVH (LEFT VENTRICULAR HYPERTROPHY) I51.7
65 MORSUM CANIS T14.0
66 Perawatan tracheostomy Z43.0
67 PROSTATE UNSPECIFIED N42.9
68 RUPTURE TENDON T14.6
69 SPRAIN T14.3
70 SPRAIN ANKLE S93.4
71 SPRAIN ELBOW S53.4
72 SPRAIN HAND S63.7
73 SPRAIN SHOULDER GIRDLE S43.7
74 STRAIN MUSCLE M62.6
75 TRAUMA T14.9
76 TRAUMA ACOUSTIC H83.3
77 TRAUMA ANKLE S99.9
78 TRAUMA ANTEBRACHII S49.9
79 TRAUMA FACE S09.9
80 TRAUMA FOOT S99.9
81 TRAUMA GENU/ KNEE/ LUTUT S89.9
82 TRAUMA HEAD S09.9
83 TRAUMA KUKU/MANUS/FINGER S69.9
84 TRAUMA MEMBRANE S06.8
85 TRAUMA NECK S19.9
86 TRAUMA OKULI/ MATA S05.9
87 TRAUMA PELVIS S39.9
88 TRAUMA PENIS S68.2
89 TRAUMA SHOULDER S49.9
90 TRAUMA THIGH (PAHA) (FEMUR) S79.9
91 TRAUMA THORAX S29.9
92 TRAUMA TUMPUL S68
93 TRAUMA WRIST S69.9
94 VULNUS APPERTUM T14.1
95 VULNUS EXTRACTION T14.1
96 VULNUS ICTUM T14.1
97 WOUND WRIST S61.9
 KODE
NO DIAGNOSA ICD X

1 BUKA PEN (uniom fractur femur) S72.9

2 FRACTURE ( CEDERA PADA BAGIAN TUBUH YANG TIDAK SPESIFIK) T14.2
3 FRACTURE ANKLE (FRAKTUR TULANG TUNGKAI BAWAH TERMASUK ANKLE) S82.8
4 FRACTURE ANTABRACHI (FRAKTUR YANG MENGENAI BANYAK BAGIAN TUBUH) T02

FRACTURE BS CRAINI (FRAKTUR TULANG TENGKORAK DAN TULANG-TULANG MUKA)

5 S02.9
6 FRACTURE CERVICAL (FRAKTUR TULANG LEHER) S12.9
7 FRACTURE CLAVICLE (FRAKTUR LENGAN BAHU DAN LENGAN) S42.0
8 FRACTURE COLLES S52.5
9 FRACTURE CRURIS (FRAKTURE TULANG KAKI) S92.9
10 FRACTURE CULLES (FRAKTUR TULANG LENGAN ATAS) S52.5
11 FRACTURE ELBOW S52.0
12 FRACTURE FEMUR (FRAKTUR TULANG PINGGUL DAN PAHA) S72.9
13 FRACTURE FIBULA S82.4
14 FRACTURE FINGER (FRAKTUR PADA PERGELANGAN TANGAN) S62.6
15 FRACTURE HAND S62.8
16 FRACTURE HIP S72.0
17 FRACTURE HUMERUS (FRAKTUR TULANG BAHU) S42.3
18 FRACTURE HUMERUS TUBEROSITY S42.2

FRACTURE MAXILLA (FRAKTUR TULANG TENGKORAK DAN TULANG-TULANG MUKA)

19 S02.4
20 FRACTURE METAKARPAL S62.3
21 FRACTURE METATARSAL S92.3
22 FRACTURE MULTIPLE T02.9
23 FRACTURE PATELLA S82.0
24 FRACTURE PEDIS S92.9
25 FRACTURE RADIUS (FRAKTUR TULANG LENGAN BAWAH) S52.8
26 FRACTURE RADIUS ULNA S52.7
27 FRACTURE SACRUM S32.1
28 FRACTURE SCAPULA S42.1
29 FRACTURE TIBIA S82.2
30 FRACTURE WRIST S62.8
31 FRACTURE VERTEBRA THORACIC S22.0
32 Pemeriksaan follow-up setelah pengobatan fraktur Z09.4
33 POST AMPUTATION FOOT Z89.4
 KODE
NO DIAGNOSA ICD X

1 ACUTE DECOMPENSATED HEART FAILURE (ADHF) I50.9

2 AHD (ARTERIOSCLEROTIC HEART DISEASE) I25.1
3 AMI (ACUTE MYOCARD INFARCT) I21
4 ANGINA PECTORIS I20.9
5 ARTERIAL FIBRILASI I77.3
6 ASHD (ATHEROSCLEROTIC HEART DISEASE) I25.1
7 ATRIAL FIBRILATION (AF) I48
8 ATRIOVENTRICULAR BLOCK (AV BLOCK) I44.3
9 BUNDLE BRANCH BLOCK I45.4
10 CARDIAC AREST I46.1
11 CARDIOMEGALY I51.7
12 CARDIOPATHY I51.9
13 CEREBRO VASCULAR ATTACK INFARK CEREBROVASCULAR I67.9
14 CHD (CARDIAC HEART DISEASE) I50.0
15 CHF (CONGESTIVE HEART FAILURE) I50.0
16 CPCD (COR PULAUNALE CRONIC DISEASE) I27.9
17 CVA BLEEDING I61.9
18 CVA INFARK I63.9
19 INFARCT MYOCARDIUM ACUTE I21.9
20 ISCHEMIC I99
21 NSTEMI I25.2
22 OMI (OLD MYOKARD INFARK) I25.2
23 PJB (PENYAKIT JANTUNG BAWAAN) KONGINETAL Q24.9
24 PJK (PENYAKIT JANTUNG KORONER) R01
25 RBBB ( RIGHT BUNDLE BRANCH BLOCK ) I45.1
26 STEMI I21.3
27 SUPRAVENTICULAR TACHYCARDIA (SVT) I47.1
28 UNSTABLE ANGINA (UAP) I20.0
 KODE
NO DIAGNOSA ICD X

1 ALZHEIMER G30.9
2 BELL'S PALSY PARALYSIS G51.0
3 BPPV (BENIGN POSITION PAROXYSMAL VERTIGO) H81.1
4 DYSLEKSIA R48.0
5 EPILEPSY G40.9
6 HYDROSEFALUS G91.9
7 MENINGITIS G03.9
8 NEUROPATHY G62.9
9 PARESIS G83.9
10 PARKINSON DISEASE G20
11 RABIES A82.9
12 SNH (STROKE NON HEMORAGIC) I63.9
13 STROKE HEMORAGIC (SH) I61.9
14 STROKE, TIDAK SPESIFIK I64
15 SUBARACHNOID HEMORAGIC (SAH) I60.9
16 LBP M54.5
17 TTH G44.2
18 CERVICOGENIC G45.9
19 ALS G12.2
20 HND M51.2
21 CERVICAL DISC DISORDER M50.9
22 SOL (SPACE OCOPEYING LETIEN ) R90.0