Tabel Icd

idIC Kode
D
ICD

Nama ICD

445 A 05.9 BACTERIAL FOOD BORNE INTOXICATION,UNSPECIFIED

3
2 A 06.0 Acute amoebic dysentry
3 A 06.1 Chronic intestinal amoebiasis
4 A 06.2 Amoebic nondysenteric colitis
5 A 06.3 Amoeboma of intestine
6 A 06.4 Amoebic liver abscess
7 A 06.5 Amoebic lung abscess(J99.8*)
8 A 06.6 Amoebic brain abscess (G07*)
9 A 06.7 Cutaneous amoebiasis
10 A 06.8 Amoebic infection of other sites
11 A 06.9 Amoebiasis, unspecified
12 A 07.0 Balantidiasis
13 A 07.1 Giardiasis(lambaliasis)
14 A 07.2 Cryptosporidiosis
15 A 07.3 Isosporiasis
16 A 07.8 Other specified protozoal intestinal diseases
17 A 07.9 Protozoal intestinal disease, unspecified
18 A 08.0 Rotaviral enteritis
19 A 08.1 Acute gastroenteropathy due to norwalk agent
20 A 08.2 Adenoviral enteritis
21 A 08.3 Other viral enteritis
22 A 08.4 Viral intestinal infection, unspecified
23 A 08.5 Other specified intestinal infections
24 A 09

GE of presumed infection origin (diare)/gastro enteritis

25 A 15.0 TBC of lung confirmed by sputum microscopy withor without culture

26 A 15.1 Tuberculosis of lung, confirmed by culture only
27 A 15.2 TBC of lung confirmed by histology
28 A 15.3 Tuberculosis of lung,confirmed by unspecified means
29 A 15.4 Tuberculosis of intrathoracic lymph nodes, confirmed bacteriologically
and histologically
30 A 15.5 Tuberculosis of larynx, trachea and bronchus, confirmed
bacteriologically and histologically
31 A 15.6 Tuberculosis pleurisy, confirmed bacteriologically and histologically
32 A 15.7 PKTB/Primary respiratory tuberculosis

Tabel Icd
idIC Kode
D
ICD

Nama ICD

33 A 15.8 Other repiratory tuberculosis, confirmed bacteriologically and

histologically
34 A 15.9 Respiratory TBC uns confirmed bacteriologically and histologically
35 A 16.0 TBC of lung bacteriollogically and histologically negative
36 A 16.1 Tuberculosis of lung, bacteriological and histological examination not
done
37 A 16.2 TBC of lung without mention of bacterilogical or histological
confirmation
38 A 16.3 TBC of intrathoracic lymph nodes, without mention of bacteriological or
histological confirmation
39 A 16.4 TBC of larynx,trachea and bronchus,without mention of bacteriological
confirmation
40 A 16.5 TBC pleurisy,without mention of bacteriological or histological
confirmation
41 A 16.7 Primary respiratory TBC without mention of bactery or histo
confirmation/tuberculosis complex
42 A 16.8 Other respiratory tuberculosis, without mention of bacteriological or
histological confirmation
43 A 16.9 KP/Tuberculose unsp.,without mention of bacterilogical confirmation
44 A 17.0 Tuberculous meningitis
45 A 17.1 Meningeal tuberculoma
46 A 17.8 Other tuberculosis of nervous system
47 A 17.9 Tuberculosis of nervous system, unspecified
48 A 18.0 TBC vertebral column
49 A 18.1 TBC of genitourinary system
50 A 18.2 TBC of intestine,perineum & mesentrium gland
51 A 18.3 TBC of intestines, peritoneum and inesentric glands
52 A 18.4 Tuberculosis of skin and subcutaneous tissue
53 A 18.5 Tuberculosis of eye
54 A 18.6 Tuberculosis of ear
55 A 18.7 Tuberculosis of adrenal glands
56 A 18.8 Tuberculosis of adrenal glands
57 A 19.0 Acute milliary tuberculosis of single specified site
58 A 19.1 Acute milliary tuberculosis of multiple sites
59 A 19.2 Acute milliary tuberculosis, unspecified
60 A 19.8 Other milliary tuberculosis

Tabel Icd
idIC Kode
D
ICD

Nama ICD

61 A 19.9 Milliary tuberculosis, unspecified

62 A 20.0 Bubonic plague
63 A 20.1 Cellulocutaneous plague
64 A 20.3 Plague meningitis
65 A 20.7 Septicaemia plague
66 A 20.8 Other forms of plague
67 A 20.9 Plague, unspecified
68 A 21.0 Ulceroglandular tularaemia
69 A 21.1 Oculoglandular tularaemia
70 A 21.2 Pulmonary tularaemia
71 A 21.3 Gastrointestinal tularaemia
72 A 21.7 Generalized tularaemia
73 A 21.8 Other forms of tularaemia
74 A 21.9 Tularaemia, unsopecified
75 A 22.0 Cutaneous anthrax
76 A 22.1 Pulmonary anthrax
77 A 22.2 Gastrointestinal anthrax
78 A 22.7 Anthrax septicaemia
79 A 22.8 Other forms of anthrax
80 A 22.9 Anthrax, unspecified
81 A 23.0 Brucellosis due to Brucella melitensis
82 A 23.1 Brucellosis due to Brucella abortus
83 A 23.2 Brucellosis due to Brucella suis
84 A 23.3 Brucellosis due to Brucella canis
85 A 23.8 Other brucellosis
86 A 23.9 Brucellosis, unspecified
87 A 24.0 Glanders
88 A 24.1 Acute and fulminating melioidosis
89 A 24.2 Subacute and chronic meliodosis
90 A 24.3 Other meliodosis
91 A 24.4 Meliodosis, unspecified
92 A 25.0 Spirillosis
93 A 25.1 Streptobacillosis
94 A 25.9 Rat-bite fever, unspecified

Tabel Icd
idIC Kode
D
ICD

Nama ICD

95 A 26.0 Cutaneous erysipeloid

96 A 26.7 Erysipelothrix septicaemia
97 A 26.8 Other forms of erysipeloid
98 A 26.9 Erysipeloid, unspecified
99 A 27.0 Leptospirosis icterohaemorrhagica
100 A 27.8 Other forms of leptospirosis
101 A 27.9 Leptospirosis, unspecified
102 A 28.0 Pasteurellosis
103 A 28.1 Cat-scrathh disease
104 A 28.2 Extraintestinal yersiniosis
105 A 28.8 Other specified zoonotic bacterial disease, not elsewhere classified
106 A 28.9 Zoonotic bacterial disease, unspecified
107 A 30.0 Indeterminate leprosy
108 A 30.1 Tuberculoid leprosy
109 A 30.2 Boederline tuberculoid leprosy
110 A 30.3 Borderline leprosy
111 A 30.4 Borderline lepromatous leprosy
112 A 30.5 Lepromatous leprosy
113 A 30.8 Other forms of leprosy
114 A 30.9 Leprosy , unspecified/MH/Morbus Hansen/Hansen's Disease
115 A 31.0 Pulmonary mycobacterial infection
116 A 31.1 Cutaneous mycobacterial infection
117 A 31.8 Other mycobacterial infections
118 A 31.9 Mycobacterial infection, unspecified
119 A 32.0 Cutaneous listeriosis
120 A 32.1 Listerial meningitis and meningoenchepalitis
121 A 32.7 Listerial septicaemia
122 A 32.8 Other forms of listeriosis
123 A 32.9 Listeriosis, unspecified
124 A 33

Tetanus neonatorum

125 A 34

Obstetrical tetanus

126 A 35

Other Tetanus

127 A 36.0 Pharyngeal diphtheria

128 A 36.1 Nasopharyngeal diphtheria

Tabel Icd
idIC Kode
D
ICD

Nama ICD

129 A 36.2 Laryngeal diptheria

130 A 36.3 Cutaneous diptheria
131 A 36.8 Other diptheria
132 A 36.9 Diphteria, unspecified
133 A 37.0 Whooping cough due to Bordetella pertusis
134 A 37.1 Whooping cough due to Bordetella parapertusis
135 A 37.8 Whooping cough due to other Bordetella species
136 A 37.9 Whooping cough,unsp/Pertusis
137 A 38

Scarlet fever

138 A 39.0 Meningococcal meningitis

139 A 39.1 Waterhaouse-Friderichsen syndrome
140 A 39.2 Acute meningococcaemia
141 A 39.3 Chronic meningococcaemia
142 A 39.4 Meningococcaemia, unspecified
143 A 39.5 Meningococcal heart disease
144 A 39.8 Other meningococcal infections
145 A 39.9 Meningococcal infection, unspecified
146 A 40.0 Septicaemia due to streptovoccus, group A
147 A 40.1 Septicaemia due to streptococcus, group B
148 A 40.2 Septicaemia due to streptococcus. group D
149 A 40.3 Septicaemia due to Streptococcus pneumoniae
150 A 40.8 Other sterptococcal septicaemia
151 A 40.9 Sterptococcal septicaemia, unspecified
152 A 41.0 Septicaemia due to staphylococcus aureus/Sepsis
153 A 41.1 Septicaemia due to other specified staphylococcus
154 A 41.2 Septicaemia due to unspecified stsphylococcus
155 A 41.3 Septicaemia dur to Haemophillus influenzae
156 A 41.4 Septicaemia due to anaerobes
157 A 41.5 Septicaemia due to other Gram-negative organisms
158 A 41.8 Other specified septicaemia
159 A 41.9 Septicaemia, unspecified
160 A 42.0 Pulmonary actinomycosis
161 A 42.1 Abdominal actinomycosis
162 A 42.2 Cervicofacial actinomycosis

Tabel Icd
idIC Kode
D
ICD

Nama ICD

163 A 42.7 Actinomycotic septicaemia

164 A 42.8 Other forms of actinomycosis
165 A 42.9 Actinomycosis, unspecified
166 A 43.0 Pulmonary nocardiosis
167 A 43.1 Cutaneous nocardiosis
168 A 43.8 Other forms of nocardiosis
169 A 43.9 Nocardiosis, unspecified
170 A 44.0 Systemic bartonellosis
171 A 44.1 Cutaneous and mucocutaneous bartonellosis
172 A 44.8 Other forms of bartonellosis
173 A 44.9 Bartonellosis, unspecified
174 A 46

Erysipelas

175 A 48.0 Gas Gangrene

176 A 48.1 Legionnaires' disease
177 A 48.2 Nonpneumonic Legionnoires'disease ( Pontiac fever )
178 A 48.3 Toxic shock syndrome
179 A 48.4 Brazillian purpuric fever
180 A 48.8 Other specified bacterial diseases
181 A 49.0 Staphylococcal infection, unspecified
182 A 49.1 Streptococcal infection, unspecified
183 A 49.2 Haemophilus influenzae infection, unspecified
184 A 49.3 Mycoplasma infection, unspecified
185 A 49.8 Other bacterial infections of unspecified site
186 A 49.9 Bacterial infection, unspecified
187 A 50.0 Early congenital syphilis, symptomatic
188 A 50.1 Early congenital syphilis, latent
189 A 50.2 Early congenital syphilis, unspecified
190 A 50.3 Late congenital syphilitic oculopathy
191 A 50.4 Late congenital neurosyphilis ( juvenile neurosyphilis )
192 A 50.5 Other late congenital syphilis, symptomatic
193 A 50.6 Late congenital syphilis, latent
194 A 50.7 Late congenital syphilis, unspecified
195 A 50.9 Congenital syphilis, unspecified
196 A 51.0 Primary genital syphilis

Tabel Icd
idIC Kode
D
ICD

Nama ICD

197 A 51.1 Primary anal syphilis

198 A 51.2 Primary syphilis of other sites
199 A 51.3 Secondary syphilis of skin and mucous membranes
200 A 51.4 Other secondary syphilis
201 A 51.5 Early syphilis, latent
202 A 51.9 Early syphilis, unspecified
203 A 52.0 Cardiovascular syphilis
204 A 52.1 Symptomatic neurosyphilis
205 A 52.2 Asymptomatic neurosyphilis
206 A 52.3 Neurosyphilis, unspecified
207 A 52.7 Other symptomatic late syphilis
208 A 52.8 Late syphilis, latent
209 A 52.9 Late syphilis, unspecified
210 A 53.0 Latent syphilis, unspecified as early or late
211 A 53.9 Syphilis, unspecified
212 A 54.0 NSU/NGSI/URETHRITIS
213 A 54.1 Gonococcal infection of lower genitourinary tract without ...
214 A 54.2 Gonococcal pelviperitonitis and other gonococcal genitourinary
infections
215 A 54.3 Gonococcal infection of eye
216 A 54.4 Gonococcal infection of musculoskeletal system
217 A 54.5 Gonococcal pharyngitis
218 A 54.6 Gonococcal infection of anus and rectum
219 A 54.8 Other gonococcal infections
220 A 54.9 GO/Gonorrhoe/Gonococcal infection,unsp.
221 A 55

Chlamydial lymphogranuloma ( venereum )

222 A 56.0 Chlamydial infection of lower genotourinary tract

223 A 56.1 Chlamydial infection of pelviperitoneum and other genotourinary
organs
224 A 56.2 Chlamydial infection of genotourinary tract, unspecified
225 A 56.3 Chlamydial infection of anus and rectum
226 A 56.4 Chlamydial infection of pharynx
227 A 56.8 Sexually transmitted chlamydial infection of other sites
228 A 57

Chancroid

229 A 58

Granuloma inguinale

Tabel Icd
idIC Kode
D
ICD

Nama ICD

230 A 59.0 Urogenital trichomononiasis

231 A 59.8 Trichomoniasis of other sites
232 A 59.9 Trichomoniosis, unspecified
233 A 60.0 Herpes viral infection of genetalia and urogenital tract
234 A 60.1 Herpesviral infection of genitalia and urogenital tract
235 A 60.9 Anogenital herpesviral infection, unspecified
236 A 63.0 Condyloma accuminata /anogenital(veneral)warts/furuncle
237 A 63.8 Other specified predominantly sexually transmitted diseases
238 A 64

Unspecified sexually transmitted disease

239 A 65

Nonvenereal syphilis

240 A 66.0 Initial lessions of yaws

241 A 66.1 Multiple papilloma and wet crab yaws
242 A 66.2 Other early skin lesions of yaws
243 A 66.3 Hyperkeratosis of yaws
244 A 66.4 Gummata and ulcers of yaws
245 A 66.5 Gangosa
246 A 66.6 Bone and joint lessions of yaws
247 A 66.7 Other manifestations of yaws
248 A 66.8 Latent yaws
249 A 66.9 Yaws, unspecified
250 A 67.0 Primary lesions of pinta
251 A 67.1 Intermediate lesions of pinta
252 A 67.2 Late lesions of pinta
253 A 67.3 Mixed lesions of pinta
254 A 67.9 Pinta, unspecified
255 A 68.0 Louse-borne relapsing fever
256 A 68.1 Tick-borne relapsing fever
257 A 68.9 Relapsing fever, unspecified
258 A 69.0 Necrotizing ulcerative stomatitis
259 A 69.1 Other vincent's infections
260 A 69.2 Lyme disease
261 A 69.8 Other specified spirochaetal infections
262 A 69.9 Spirochaetal infection, unspecified
263 A 70

Chlamydia psittaci infection

Tabel Icd
idIC Kode
D
ICD

Nama ICD

264 A 71.0 Initial stage of trachoma

265 A 71.1 Active stage of trachoma
266 A 71.9 Trachoma, unspecified
267 A 74.0 Chlamydial conjunctivitis
268 A 74.8 Other chlamydial diseases
269 A 74.9 Chlamydial infection, unspecified
270 A 75.0 Epidemic louse-borne typhus fever due to ricktettsia prowazekii
271 A 75.1 Recrudeccent typhus
272 A 75.2 Typhus fever due to rickettsia typhi
273 A 75.3 Typhus fever due to rickettsia tsutsugamushi
274 A 75.9 Typhus fever, unsp
275 A 77.0 Spotted fever due to rickettsia ricketsii
276 A 77.1 Spotted fever due to rickettsia conorii
277 A 77.2 Spotted fever due to rickettsia siberica
278 A 77.3 Spotted fever due to rickettsia australis
279 A 77.8 Other spotted fevers
280 A 77.9 Spotted fever, unspecified
281 A 78

Q fever

282 A 79.0 Trench fever

283 A 79.1 Rickettsialpox due to rickettsia akari
284 A 79.8 Other specified rickettsioses
285 A 79.9 Rickettsiosis, unspecified
286 A 80.0 Acute paralytic poliomyelitis, vaccine-associated
287 A 80.1 Acute paralytic poliomyelitis, wild virus, imported
288 A 80.2 Acute paralytic poliomyelitis, wild virus, indigenous
289 A 80.3 Acute paralytic poliomyelitis, other and unspecified
290 A 80.4 Acute nonparalytic poliomyelitis
291 A 80.9 Acute poliomyelitis, unspecified
292 A 81.0 Creutzfeld-Jakob disease
293 A 81.1 Subacute sclerosing panencephalitis
294 A 81.2 Progressive multifocal leukoencephalopathy
295 A 81.8 Other slow virus infections of central nervous system
296 A 81.9 Slow virus infection of central nervous system, unspecified
297 A 82.0 Sylvatic rabies

Tabel Icd
idIC Kode
D
ICD

Nama ICD

298 A 82.1 Urban rabies

299 A 82.9 rabies, unspecified
300 A 83.0 Japanese encephalitis
301 A 83.1 Western equine encephalitis
302 A 83.2 Eastern equine encephalitis
303 A 83.3 St Louis encephalitis
304 A 83.4 Australian encepalitis
305 A 83.5 California encephalitis
306 A 83.6 Rocio virus disease
307 A 83.8 Other mosquito-borne viral encephalitis
308 A 83.9 Mosquito-borne viral encephalitis, unspecified
309 A 84.0 Far eastern tick-borne encephalitis ( Russian spring-summer
encephalitis )
310 A 84.1 Central European tick-borne enchepalitis
311 A 84.8 Other tick-born viral encephalitis
312 A 84.9 Tick-borne viral encephalitis, unspecified
313 A 85.0 Enteroviral encephalitis (G05.1*)
314 A 85.1 Adenoviral encephalitis (G05.1.*)
315 A 85.2 Anthropod-borne viral enchepalitis, unspecified
316 A 85.8 Other specified viral encephalitis
317 A 86

Unspecified viral encephalitis

318 A 87.0 Enteroviral meningitis(G02.0*)

319 A 87.1 Adenoviral meningitis (G02.0*)
320 A 87.2 Lymphocytic choriomeningitis
321 A 87.8 Other viral meningitis
322 A 87.9 Meningitis Viral, unsp.
323 A 88.0 Enteroviral exanthematous fever ( Boston Exanthem )
324 A 88.1 Epidemic vertigo
325 A 88.8 Other specified viral infection of central nervous system
326 A 89

Unspecified viral infection of central nervous system

327 A 90

Dengue fever/DF

328 A 91

Dengue haemorrhagic fever/DHF

329 A 92.0 Chikungunya virus disease

330 A 92.1 O'nyong-nyong fever

Tabel Icd
idIC Kode
D
ICD

Nama ICD

331 A 92.2 Venezuelan equine fever

332 A 92.3 West Nile fever
333 A 92.4 Risft valley fever
334 A 92.8 Other specified mosquito-borne viral fevers
335 A 92.9 Mosquito-borne viral fever, unspecified
336 A 93.0 Oropouche virus disease
337 A 93.1 Sandfly fever
338 A 93.2 Colorado tick fever
339 A 93.8 Other specified arthropod-borne viral fever
340 A 95.0 Sylatic yellow fever
341 A 95.1 Urban yellow fever
342 A 95.9 Yellow fever, unspecified
343 A 96.0 Junin haemorrhagic fever
344 A 96.1 Machupo haemorrhagic fever
345 A 96.2 Lassa fever
346 A 96.8 Other arenaviral haemorrhagec fevers
347 A 96.9 Arenaviral haemorrhagic fever, unspecified
348 A 98.0 Crimean-Congo haemorrhagic fever
349 A 98.1 Omsk haemorrhagec fever
350 A 98.2 Kyasanur Forest disease
351 A 98.3 Marburg virus disease
352 A 98.4 Ebola virus disease
353 A 98.5 Haemorrhagic fever with renal syndrome
354 A 98.8 Other specified viral haemorrhagic fever
355 A 99

Unspecified viral haemorhagic fever

1 A01.0 THYPOID FEVER

356 B 00.0 Eczema herpeticum
357 B 00.1 Herpesviral vesicular dermatitis
358 B 00.2 Herpesviral gingivostomatitis and pharyngotonsillitis
359 B 00.3 Herpesviral meningitis ( G02.0*)
360 B 00.4 Herpesviral enchepalitis ( G 05.1 )
361 B 00.5 Herpesviral ocular disease
362 B 00.7 Disseminated herpesviral disease
363 B 00.8 Other forms of herpesviral infection

Tabel Icd
idIC Kode
D
ICD

Nama ICD

364 B 00.9 Herpes viral infection unsp.

365 B 01.0 Varicella meningitis
366 B 01.1 Varicella encephalitis
367 B 01.2 Varicella pneumonia
368 B 01.8 Varicella with other complications
369 B 01.9 Varicella without complication
370 B 02.0 Zoster enchepalitis ( G05.1*)
371 B 02.1 Zoster meningitis (G02.0*)
372 B 02.2 Zoster with other nervpus system involement
373 B 02.3 Zoster oculae disease
374 B 02.7 Disseminated Zoster
375 B 02.8 Zoster with other complications
376 B 02.9 Herpes Zoster without complication
377 B 03

Smallpox

378 B 04

Monkeypox

379 B 05.0 Measles complicated by encepphatitis ( G 05.1* )

380 B 05.1 Measles complicated by meningitis ( G 02.0*)
381 B 05.2 Measles complicated by Pneumonia ( J 17.1* )
382 B 05.3 Measles complicated by otitis media ( H 67.1 )
383 B 05.4 Measles with intestinal complications
384 B 05.8 Measles with other complications
385 B 05.9 Measles witout complication/Morbili
386 B 06.0 Rubella with neurological complications
387 B 06.8 Rubella with otehr complications
388 B 06.9 Rubella without complication
389 B 07

Viral warts

390 B 08.0 Other orthopoxvirus

391 B 08.1 Molluscum contagiosum
392 B 08.2 Exantema subitum (sixth disease)
393 B 08.3 Erythema infectiosum ( fifth disease )
394 B 08.4 Enteroviral vesicular stomatitis with exanthem
395 B 08.5 Enteroviral vesicular pharyngitis
396 B 08.8 Other specified viral infections characterized by skin and mucous
membrane lesions

Tabel Icd
idIC Kode
D
ICD
397 B 09

Nama ICD
Unspecified viral infection characterized by skin and mucous
membrane lessions

398 B 15.0 Hepatitis A with hepatic coma

399 B 15.9 Hepatitis A without hepatic coma
400 B 16.0 Acute hepatitis B with delta-agent ( coinfection ) with hepatic coma
401 B 16.1 Acute hepatitis B with delta-agent ( coinfection ) without hepatic coma
402 B 16.2 Hepatitis B Acute without delta agent with hepatic coma
403 B 16.9 Hepatitis B acute without delta-agent and without hepatic coma
404 B 17.0 Acute delta-(super)infection of hepatitis B carrier
405 B 17.1 Hepatitis C Acute
406 B 17.2 Acute hepatitis E
407 B 17.8 Other specified acute viral hepatitis
408 B 18.0 Chronic viral hepatitis B With delta-agent
409 B 18.1 Hepatitis B viral, Chronic
410 B 18.2 Chronic viral hepatitis C
411 B 18.8 Other viral hepatitis, unspecified
412 B 18.9 Chronic viral hepatitis, unspecified
413 B 19.0 Unspecified viral hepatitis with coma
414 B 19.9 Unspecified viral hepatitis without coma
415 B 20.0 HIV disease resulting in myobacterial infection
416 B 20.1 HIV disease resulting in bacterial infection
417 B 20.2 HIV disease resulting in cytomegaloviral disease
418 B 20.3 HIV disease resulting in other viral infection
419 B 20.4 HIV disease resulting in other candidiasis
420 B 20.5 HIV disease resulting in other mycosis
421 B 20.6 HIV disease resulting in Pneumocyitis carinii pneumonia
422 B 20.7 HIV disease resulting in multiple infections
423 B 20.8 HIV disease resulting in other infectious and parasitic diseases
424 B 20.9 HIV disease resulting in unspecifiedr infectious or parasitic diseases
425 B 21.0 HIV disease resulting in Kaposi's sarcoma
426 B 21.1 HIV disease resulting in Burkitt's lymphoma
427 B 21.2 HIV disease resulting in other types of n0n-hodgkin's lymphoma
428 B 21.3 HIV disease resulting in other malignant neoplasma of lymphoid,
haematopoietic and related tissue
429 B 21.7 HIV disease resulting in multiple malignant neoplasms

Tabel Icd
idIC Kode
D
ICD

Nama ICD

430 B 21.8 HIV disease resulting in other malignant neoplasms

431 B 21.9 HIV disease resulting in unspecified malignant neoplasms
432 B 22.0 HIV disease resulting in encephalopathy
433 B 22.1 HIV disease resulting in lymphoid interstitial pneumonitis
434 B 22.2 HIV disease resulting in wasting syndrome
435 B 22.7 HIV disease resulting in multiple diseases clasified
436 B 24

Unspecified human immunodeficiency virus (HIV) disease

437 B 25.1 Cytomegaloviral hepatitis

438 B 25.2 CMV/ Cytomegaloviral Pancreatitis
439 B 25.8 Other cytomegaloviral diseases
440 B 25.9 Cytomegaloviral disease, unspecified
441 B 26.9 Mumps without complication
442 B 34.0 Adenovirus infection, unspecified
443 B 34.8 Other viral infections of unspecified site
444 B 34.9 Viral Infection, Unsp.
445 B 35.3 Tinea Pedis
446 B 35.4 Tinea corporis
447 B 35.5 TINEA IMBRICATA
448 B 35.6 TINEA CRURIS
449 B 35.9 Tinea/Dermatophytosis/ringworm
450 B 36.0 TVC/Tinea vesicolor
451 B 36.9 Mycosis superficial, unsp.
452 B 37.0 Candidal stomatitis
453 B 37.1 Pulmonary candidiasis
454 B 37.2 Candidiasis os skin and nail
455 B 37.3 Candidiasis of unera and vagina
456 B 37.8 Candidiasis of other sites
457 B 37.9 Candidiasis ,unsp.
458 B 39.4 Histoplas,osis capsulati, unsp
459 B 49

Mycosis Unsp.

460 B 50.0 Plasmodium fakciparum malaria with cerebral complications

461 B 50.9 Malaria , Plasmodium falciparum ,unsp.
462 B 51.9 Malaria ,Plasmodium vivax without complication
463 B 54

Malaria

Tabel Icd
idIC Kode
D
ICD

Nama ICD

464 B 58.2 Toxoplasma meningoencephalitis

465 B 58.9 Toxoplasmosis
466 B 65.0 SCHISTOSOMIASIS DUE TO SCHISTOSOMA HAEMATOBIUN [URINARY
SCHISTOSOMIASIS]
467 B 69.0 Cystycercosis of central nervous system
468 B 71.0 Hymenolepis
469 B 74.9 Filariasis, unspecified
470 B 76.0 Ancylostommiasis
471 B 77.9 Ascariasis, unsp
451 B 79
1

TRCHIURIASIS

442 B 80
4

ENTEROBIASIS

472 B 83.9 Helminthiasis, unspecified

473 B 86

Scabies

474 B 88.8 Linguatulosis

475 B 90.0 Sequelae of central nervous system tuberculosis
476 B 90.9 Sequelelae resiratory and unspecified tuberculosis
477 B 91

Sequelae of poliomyelitis

478 B 94

Sequelae pf other and unspecified infectious and parasitic disease

479 B 94.2 Hepatitis Viral sequela

480 B 94.8 Sequelae of other specified infectious and parasitic diseases
481 B 94.9 Sequelae of unspecified infectious or parasitic disease
482 B 96.1 Klebsiella pneumonia
483 B 97.1 Enterovirus as the cause of disease clasified to other chapters
484 B 99

Other and unspecified infectious diseases

485 BATAL
486 C 00.9 Lip, unspecified
487 C 02.3 Anterior two-thirds of tongue, part unspecified
488 C 02.4 Ca lingual tonsil
489 C 02.9 Ca lingual tonsil/tongue, unsp
490 C 03.9 Ca gum/gingiva, unspecified
491 C 05.9 Ca palate
492 C 06.9 Ca mouth, unsp.
493 C 07

Malignant neo plasma of parotid gland

Tabel Icd
idIC Kode
D
ICD

Nama ICD

494 C 09.9 Ca tonsil , NOS

495 C 11.1 Ca Nasopharing posterial wallPosterior wall of nasopharinx
496 C 11.9 Ca nasopharinx
497 C 14.0 Malignant neoplasm of other and ill defided sites in the lip oral cavity
and pharinx
498 C 15.9 Ca ecophagus
499 C 16.4 Ca pylorus
500 C 16.9 Malignant neoplasm of stomach, unspecified
501 C 17.1 Ca Jejunum
502 C 18.0 Ca caecum
503 C 18.3 Ca Hepatic flexure
504 C 18.4 Ca Tranverse colon
505 C 18.5 Ca Splenic flexure
506 C 18.6 Ca Descending Colon
507 C 18.7 Ca signioid colon
508 C 18.9 Ca colon unsp
509 C 19

Malignant neoplasma of rectosigmoid juntion

510 C 20

Ca rectum

511 C 21.8 Ca Overlapping lesion of rectum, anus and anal canal

512 C 22.0 Hepatoma
513 C 22.1 Intra hepatic bile duct ca
514 C 22.9 Ca hepar/Malignant neoplasm of liver , unsp.
515 C 23

Malignant neoplasm of gallbladder

516 C 25.0 Ca Head of pancreas

517 C 25.1 Ca body of pancreas
518 C 25.9 Ca pancreas, unsp.
519 C 26.0 Ca intestinal track part , unsp.
520 C 26.1 Ca spleen
521 C 26.8 Overlapping lession of digestive system
522 C 30.0 Ca Nasal cavity
523 C 31.1 Ca ethmoidal sinus
524 C 31.9 Accessory sinus, unspecified
525 C 32.1 Ca supra glottis
526 C 32.9 Ca larynx

Tabel Icd
idIC Kode
D
ICD
527 C 33

Nama ICD
Malignant neoplasm of tracea

528 C 34.0 Ca Main bronchus

529 C 34.9 Ca brondus or lung unsp
530 C 37

Ca thymus

531 C 38.3 Ca mediastinum, part unsp

532 C 38.4 Ca pleura
533 C 40.2 Long bones of lower limb
534 C 41.0 Ca bones of skull and face
535 C 41.1 Ca mandible
536 C 41.2 Ca vertebral column
537 C 41.3 Ca Ribs, sternum and clavicle
538 C 41.4 Ca pelvic bones sacrum and coccyx
539 C 41.9 Neoplasms Neoplasm bone and articular cartilage, unsp.
540 C 43.1 Malignant melanoma of eyelid, including canthus
541 C 43.7 Malignant melanoma of lower limp, including hip
444 C 43.9 MELANOMA MALIGNANT
0
443 C 44
6

BASALIOMA

542 C 44.1 Malignant Neoplasm Skin of eyelid, including canthus

543 C 44.2 Malignant Neoplasm Skin of ear and external adrical canal
544 C 44.3 Malignant Neoplasm Skin of other and unsp part of face
545 C 44.4 Skin of scalp and neck
546 C 44.5 Malignant Neoplasm Skin of trunk
547 C 44.6 Malignant neoplasm of skin of upper limb
548 C 44.7 Skin of lower limb, including hip
549 C 44.9 Ca epidermoid/ kulit/skin(Malignant neoplasm of skin, unsp)
550 C 45.8 Other form of cryphotocosis
551 C 45.9 Ca meso thelioma, unsp
552 C 47.5 Ca pheripheral nerves of pelvis
553 C 47.9 Peripheral nerves and autonomic nervous system, unspecified
554 C 48.0 Ca Retroperitoneum
555 C 48.1 Malignant Neoplasm Specified parts of peritoneum
556 C 48.2 Ca peritoneum, unsp
557 C 49.0 Connective and soft tissue of head, face and neck

Tabel Icd
idIC Kode
D
ICD

Nama ICD

558 C 49.1 Connective and soft tissue of upper limb, including shoulder
559 C 49.2 Ca conective and soft tissue of lower limb including hip
560 C 49.3 Ca conective and soft tissue of thorax
561 C 49.4 Ca Connectivi and soft tissue of abdomen
562 C 49.5 Ca Conective and soft tissue of pelvis
563 C 49.9 Malignant Neoplasm Rhabdo myosarcoma/Ca Connective & soft tissue
564 C 50.0 Ca nipple and areola
565 C 50.2 Malignant Upper-inner quadrant of braest
566 C 50.9 Ca breast, unsp.
567 C 51.0 Ca of vulva (Labium Majus)
568 C 51.9 Ca of vulva, unspecified
569 C 53.0 Ca endocervix
570 C 53.1 Ca Exocervix
571 C 53.9 Ca cervix uteri unspecified
572 C 54.1 Ca endometrium
573 C 54.9 Ca corpus uteri, unspecified
574 C 55

Ca uteri/kandungan

575 C 56

Ca Ovary/Maligna Neoplasma of Ovary

576 C 58

Chorio carcenoma

577 C 60.9 Ca Penis

578 C 61

Ca prostat

579 C 62.9 Malignant neoplasm testis unsp.

580 C 63.7 Other specified male genital organs , Neoplasma
581 C 64

Malignant neoplasm of kidney except renal pelvis

582 C 67.3 Malignant neoplasm Anterior wall of bladder

583 C 67.9 Bladder Malignant Neoplasma, Unsp.
584 C 68.0 Urethra
585 C 69.2 Ca of retina
586 C 69.6 Malignant neoplasma of orbit
587 C 69.9 Malignant neoplasm of eye and adnexa, unsp
588 C 71.0 Cerebral ventricle cerebrum except lobes and venticles
589 C 71.3 Ca Parietal lobe
590 C 71.5 Ca Cerebral ventricle
591 C 71.6 Ca Cerebellum

Tabel Icd
idIC Kode
D
ICD

Nama ICD

592 C 71.9 Astrobblastoma

593 C 73

Malignant neoplasm of thyroid gland

594 C 76.0 Malignant neoplasms of Head, face and nesk

595 C 76.1 Ca Thorax
596 C 76.2 Malignant neoplasma abdomen
597 C 76.3 Ca pelvis
598 C 76.4 Ca upper limb
599 C 76.5 Malignant neoplasma lower limb
600 C 77.0 Lymph nocles of head, face and neck
601 C 77.1 Intrathoracic lymph nodes
602 C 77.2 Intra-abdominal lymph nodes
603 C 77.3 Axillary and upper limb lymph nodes
604 C 77.4 Inguinal and lower limb lymp nodes
605 C 77.5 Intrapelvic lymph nodes
606 C 77.9 Lymph node, unspecified
607 C 78.0 Secondary malignant neoplasm of lung
608 C 78.1 Secondary malignant neoplasm of mediastium
609 C 78.2 Secondary malignant neoplasm of pleura
610 C 78.3 SECONDARY MALIGNAT NEOPLASM OF OTHER AND UNSFECIFIED
RESPIRATORY ORGANS
611 C 78.4 Secondary malignant neoplasm of small intestine
612 C 78.5 Secondary malignant neoplasm of large intestine and rectum
613 C 78.6 Secondary malignant neoplasm of retro peritoneum and peritoneum
614 C 78.7 Secondary malignant neoplasm of liver
615 C 78.8 Secondary malignant neoplasm of other and unsp digestive organs
616 C 79.0 Secondary malignant neoplasm of kidney and renal pelvis
617 C 79.1 Secondary malignant neoplasm of bladder and other and unsp urivary
organs
618 C 79.2 Secondary malignant neoplasm of skin
619 C 79.3 Secondary malignant neoplasm of braind and urebral meninger
620 C 79.4 Secondary malignant neoplasm of other and unsp part of nervous
system
621 C 79.5 Secondary malignant neoplasm of bone and bone marrow
622 C 79.6 Secondary malignant neoplasm of ovary
623 C 79.8 Secondary malignant neoplasm of other specified sites

Tabel Icd
idIC Kode
D
ICD
624 C 80

Nama ICD
Malignant neoplasm without specification of sIte

625 C 81.1 Lymphocytic predominance

626 C 81.9 Hodgkins disease, unsp
627 C 83.0 Small cell (difuss) NHL
628 C 83.3 Large cell (difuss)
629 C 83.7 Burkitt's tumour
630 C 83.8 Other types of diffuse non-hodgkin's lymphoma
631 C 83.9 Diffuse non-Hodgikin's lymphoma, unsp
632 C 85.0 Lymphosarcoma
633 C 85.1 B-cell lymphoma, unsp
634 C 85.9 Non hodgkin lymphoma unsp type/NHL
635 C 90.0 Multiple myeloma
636 C 91.0 Acute limphoblastic leukaemia
637 C 91.1 Chronic lympho cytic leukaemia
638 C 91.2 Subacute lymphocytic leukaemia
639 C 91.9 Ca lymphoid leukaemia, unsp
640 C 92.0 Acute myeloid leukaemia
641 C 92.1 CML/Chronic myeloid leukaemia
642 C 93.0 Acute monocytis leukaemia
643 C 93.1 Chronic monocytic leukaemia
644 C 94.0 Acute erythraemia and very throleukaemia
645 C 94.5 Acute myelofibrosis
646 C 95.0 Acute leukaemia of unspecified cell type
647 C 95.9 Leukaemia unsp
648 C33

Malignant neoplasm of rachea

649 D 02.2 Ca in situ bronchus and lung

D 04.3 SKIN OF OTHER AND UNSPECIFIED PART OF FACE
650 D 04.5 Ca Skin of trunk
651 D 04.6 SKIN OF UPPER LIMB, INCLUDING SHOULDER
652 D 04.7 Neoplasma Kulit Cunis
653 D 04.9 Papiloma
654 D 05.1 Intraductal carcinoma in situ
655 D 06.9 Ca Cervix, Unspecified
656 D 07.0 Ca Endometrium

Tabel Icd
idIC Kode
D
ICD

Nama ICD

657 D 09.0 Ca in situ of Bladder

658 D 09.1 Other and unspecified urinary organs
659 D 09.2 Ca Eye
660 D 10.0 Benign neoplasm lip
661 D 10.1 Benign neoplasm tongue
662 D 10.2 Benign neoplasm Floor of mouth
663 D 10.3 Benign neoplasm other & unsp. parts of mouth
664 D 10.4 Benign neoplasm tonsil
665 D 10.5 Benign neoplasma other part of oropharynx
666 D 10.6 Benign neoplasm nasopharynx
667 D 10.9 Pharynx, unspecified
668 D 11.0 Tu Parotid/Parotic gland
669 D 11.7 Other major saclivary gland
670 D 11.9 Major salivary gland, unspecified
671 D 12.0 Benign neoplasm caecum
672 D 12.2 Ascending colon
673 D 12.3 Benign neoplasma of Transerve colon
674 D 12.5 Benign neoplasm signoid colon
675 D 12.6 Benign neoplasm colon, unsp.
676 D 12.7 Rectosigmoid junction
677 D 12.8 Benign neoplasm rectum
678 D 13.0 Benign neoplasm of oesophagus
679 D 13.1 Benign neoplasm stomach
680 D 13.2 Benign neoplasm auodenum
681 D 13.3 Other and unspecified parts of small intestine
682 D 13.4 Benign neoplasm liver
683 D 13.5 Extrahepatic bile ducts
684 D 13.6 Benign neoplasm pancreas
685 D 13.7 Benign neoplasm Endocrine pancreas
686 D 13.9 Defined sites within the digestive system
687 D 14.0 Benign neoplasm of middle ear nasal cavity and acesory sinuses
688 D 14.1 Tu larynx
689 D 14.2 Tu Trachea
690 D 14.3 Tu bronchus and lung

Tabel Icd
idIC Kode
D
ICD

Nama ICD

691 D 15.0 Tu thymus

692 D 15.1 Tu heart
693 D 15.2 Tu mediastinum
694 D 16.0 Scapula and long bones og upper limb
695 D 16.1 Short bones of upper limb
696 D 16.2 Long bones of lower limb
697 D 16.3 Short bones of lower limb
698 D 16.4 Bones of skull and face
699 D 16.5 Lower jaw bone
700 D 16.6 Vertebral column
442 D 16.7 RIBS,STERNUM CLAVICLE
2
701 D 16.8 Benign neoplasma of bone
702 D 16.9 Osteoma/Bone and articular cartilage, unsp
703 D 17.0 Benign lipomateous neoplasm of skin and subcutaneous tissue of head,
face and neck
704 D 17.1 Benign lipomteous neoplasm of skin and subcutaneous tissue of head,
face and neck
705 D 17.2 Benign lipomateous neoplasma of skin and subcutaneous tissue of
limbs
706 D 17.3 Benign lipomatous neoplasm of skin
707 D 17.5 Benign lipomatous neoplasm of intra-abdominal organs
708 D 17.9 Lipoma/Benign lipomatous neoplasm unsp
709 D 18.0 Haemangioma, anysite
710 D 18.1 Lymphangioma anysite
443 D 18.7 KISTA KONJUNGTIVA
3
711 D 20.0 Benign neoplasma of Retroperitonium
712 D 20.1 Peritoneum
713 D 21.0 Tu leher/neck
714 D 21.1 Connective and other soft tissue of upper limb, including shoulder
715 D 21.2 Connective and other soft tissue of lower limb, including hip
716 D 21.4 Connective and other soft tissue of abdomen
717 D 21.5 Connective and other soft tissue of pelvis
718 D 21.9 Conective and other shoft tissue unsp

Tabel Icd
idIC Kode
D
ICD

Nama ICD

719 D 22.3 Melanocytic naevi of other and unspecified parts of face

720 D 22.5 Melanocytic naevi of trunk
721 D 22.9 Nevus
722 D 23.1 Tu skin of eyelid including canthus
723 D 23.2 Tu telinga / Skin of ear and external auricular canal
724 D 23.3 Skin of other and unspecified part of face
725 D 23.4 Skin of scalp and neck
726 D 23.5 Skin of trunk
727 D 23.6 Skin of upper limb , including shoulder
728 D 23.7 Skin of lower limb, including hip
729 D 23.9 Benign skin unsp.
730 D 24

Tu breast /Benign neoplasm of breast/FAM

731 D 25.0 Submucous leimyoma of uterus

732 D 25.1 Submucous leimyoma of uterus
733 D 25.2 Subserosal leimyoma of uterus
734 D 25.9 Leimomyoma of uterus unsp
735 D 26.9 Tu Uterus, unsp.
736 D 27

Tu ovary

737 D 28.0 Tu Labia mayora

738 D 28.1 VAGINA
739 D 28.2 Uterine tubes and ligaments
740 D 28.7 Other specified female genital organs
741 D 28.9 Benign neoplasm of Female genital organ, unspecified
742 D 29.0 Benign neoplasm of Penis
743 D 29.1 Benign neoplasm of Prostat ( Benign neoplasm of Prostat )
744 D 29.2 Bunign neoplasm of testis
745 D 29.4 Benign neoplasm of Sscrotum
746 D 30.0 Benign neoplasm of kidney ( Benign neoplasm of kidney )
747 D 30.2 Benign neoplasm of ureter
748 D 30.3 Benign neoplasm of bladder
749 D 30.9 Benign neoplasm of Urinary organ, unspecified
443 D 31.0 NEVUS PIGMENTOSA
2
750 D 31.6 Benign neoplasm of orbit, unsp.

Tabel Icd
idIC Kode
D
ICD

Nama ICD

751 D 31.9 Benign neoplasm of eye, unspecified

752 D 32.0 Benign neoplasm of Cerebral meninges
753 D 32.1 Benign neoplasm of spinal meninges
754 D 32.9 Benign neoplasm of Meninges, unspecified
755 D 33.0 Benign neoplasm brain suporatentorial
756 D 33.1 Benign brain intratentorial/Tu Cerebeum
757 D 33.2 Benign Neoplasm of brain, unsp.
758 D 33.3 Benign neoplasm of Cranial nerves
759 D 33.4 Benign neoplasm of Spinal Cord
760 D 34

Benign neoplasm of thyroid glang

761 D 35.2 Pituitary gland

762 D 35.4 Benign neoplam pineal gland
763 D 36.1 Neurofibroma/Peripheral nerves and autonomic nervous system
764 D 36.7 Benign neoplasm of unsp. Site
765 D 36.9 Benign neoplasm of unspecified site
766 D 37.0 Lip, oral cavity and pharynx
767 D 37.2 Benign Neoplasm of small intestine
768 D 37.4 Neoplasm of colon
769 D 37.7 Other digestive organ
770 D 37.9 Benign neoplasm digestive organ, unspecified
771 D 38.1 Neoplasm of Trachea, Bronchus and Lung
772 D 39.1 Neoplasm of uncertain or unknown behaviour of uterus
773 D 39.2 Neoplasm of uncertain or un known behavior of plcenta
451 D 39.7 KISTA BARTOLITIS
2
774 D 40.1 Neoplasm of testis
775 D 41.2 Ureter
776 D 41.4 Neoplasm of uncertain or unknown behaviour of bladder
777 D 42.1 Tu spinal meninges
448 D 43.2 BRAIN UNSPECIFIED
0
778 D 44.4 Chraniophryngeal
779 D 44.5 Pineal gland
780 D 45

Polycythaemia vera

781 D 46.9 Myelodyspastic syndrom , unsp.

Tabel Icd
idIC Kode
D
ICD

Nama ICD

782 D 47.1 Chronic myeloproliferative disease

783 D 48.0 Bone and articular cartilage
784 D 48.1 CONNECTIVE AND OTHER SOFT TISSUE
D 48.2 PERIPHEL NERVES AND AUTONOMIC NERVOUS SYSTEM
785 D 48.3 Retroperitonium
786 D 48.5 Skin(Neoplasma of uncertain or unknown behaviour of other and
unspecified sites)
787 D 48.6 Ca Breast (Neoplasma of uncertain or unknown behaviour of other and
unspecified sites)
788 D 48.7 Other specified sites
789 D 48.9 Neoplasma of uncertain or unknown behaviour unspecified sites)
790 D 50.0 Iron deficiency anaemia secondary to blood loss (chronic)
791 D 50.8 Other iron deficiency anaemia, unspecified
792 D 50.9 Iron deficiency anaemia unsp.
793 D 52.9 Folate deficiency anaemia, unsp.
794 D 53.1 Anemia megaloblastik NEC
795 D 53.9 Anemia, Nutritional
796 D 56.1 Thalasemia Beta
797 D 56.9 Thalasemia
798 D 58.2 Other haemoglobinopathies
799 D 58.9 Hereditary haemolytic anaemia, unspecified
800 D 59.1 Other autoimmune haemolytic anaemias
801 D 59.4 Other nonautoimmune haemolytic anaemia
802 D 60.8 Other acquired pure red cell aplasias
803 D 60.9 Acquired pure red cell aplasia, unspecified
804 D 61.1 Drug-induced aplastic anaemia
805 D 61.9 Anaemia aplastic, unsp.
806 D 62

Acute posthaemorrhagic anaemia

807 D 62.9 Anemia posthaemorrhagic acute

808 D 64.1 Secondary sideroblastic anaemia due to disease
809 D 64.3 Anemia sideroblastic, other
810 D 64.4 Congenital dyserythropoietic anaemia
811 D 64.8 Anemia, other specific
812 D 64.9 Anaemia, unsp
813 D 65

DIC

Tabel Icd
idIC Kode
D
ICD
814 D 66

Nama ICD
Hereditary factor VIII deficiency

815 D 68.1 Heredetary deficiency of other clothing factors

816 D 68.2 Hereditary deficiency of other clotting factors
817 D 68.9 Coagulation defect, unsp.
818 D 69.0 Vasculitis allergie
819 D 69.2 Purpura/Other nonthrombocytopenic purpura
820 D 69.3 ITP/Idiopathic thrombocytopenic purpura
821 D 69.4 Other primary thrombocytopenia
822 D 69.5 Secondary thrombocytopenia
823 D 69.6 Thrombocytopenia, unsp.
824 D 69.9 Haemorrhagic condition, unsp.
825 D 70

Agranulocytosis

826 D 72.0 Genetic anomalies leukocytes

827 D 72.1 Eosinophilia
828 D 72.8 Other specified disordersm of white blood cells
829 D 73.1 Hyper splenism
830 D 73.5 Infarction of spleen
831 D 75.1 Secondary polycythaemia
832 D 75.2 Essential thrombocytosis
833 D 76.3 Other hisiocystosis syndrome
834 D 77* Other disorders of blood and blood-forming organs in diseases
classified elsewhere
835 D 84.1 Defect in the complement system
836 D 86.9 Sarcoidosis, unsp.
837 D.12.2 Ascending colon
838 E 00.9 Congenital iodine-deficiency syndrome, unspecified
839 E 03.9 Hypo thyroidsm, unsp
840 E 04.0 Nontoxic diffuse goitre
841 E 04.1 Thyroid, nodule
842 E 04.2 Struma non toxic multinoduler
843 E 04.9 Struma non toxic, NOS
844 E 05.0 Thyrotoxicosis with diffuse goitre
845 E 05.2 Thyrotoxicosis with toxic single thyroid nodule
846 E 05.9 Hyperthyroidism (Thyrotoxicosis), unsp

Tabel Icd
idIC Kode
D
ICD

Nama ICD

847 E 06.0 Acute thyroiditis

848 E 06.3 Thyoiditis autommune
849 E 06.5 Other chronic thyroiditis
850 E 06.9 Thyroiditis, unspecified
851 E 10.0 IDDM With Coma
852 E 10.1 IDDM with ketoacidosis
853 E 10.2 IDDM with renal complications
854 E 10.3 IDDM with ophtalmic complication
855 E 10.4 IDDM with neurological complications
856 E 10.5 IDDM with peripheral circulatory complication
857 E 10.6 IDDM with otehr specified complications
858 E 10.7 IDDM with multiple complications
859 E 10.8 IDDM with unspecifioed complications
860 E 10.9 IDDM, without complication
861 E 11.0 NIDDM with coma
862 E 11.1 NIDDM with ketoacidosis
863 E 11.2 NIDDM with renal complications
864 E 11.3 NIDDM with opthalmic complications
865 E 11.4 NIDDM eith neurological complications
866 E 11.5 NIDDM with peripheral circulatory complications
867 E 11.6 NIDDM with oter specified complications
868 E 11.7 NIDDM with multiple complications
869 E 11.8 NIDDM with unspecified complications
870 E 11.9 NIDDM without complications
871 E 12.0 Malnutrition-related DM with coma
872 E 12.1 Malnutrition-related DM with ketoacidosis
873 E 12.2 Malnutrition-relatid DM with renal complications
874 E 12.3 Malnutrition-related DM with ophtalmic complications
875 E 12.4 Malnutrtition-related DM with neurological complications
876 E 12.5 Malnutrtition-related DM with peripheral circulatory complications
877 E 12.6 Malnutrition-related DM with otehr specified complications
878 E 12.7 Malnutrition-related DM with multiple complications
879 E 12.8 Malnutrition-related DM with Unspecified complications
880 E 12.9 Malnutrition-related DM without complication

Tabel Icd
idIC Kode
D
ICD

Nama ICD

881 E 13.0 Other specified DM with coma

882 E 13.1 Other specified DM with ketoacidosis
883 E 13.2 Other specified DM with renal complications
884 E 13.3 Other specified DM with pohtalmic complications
885 E 13.4 Other specified DM with neurogical complications
886 E 13.5 Other specified DM with peripheral circulatory complications
887 E 13.6 Other specified DM with other specified complications
888 E 13.7 Other specified DM with multiple complications
889 E 13.8 Other specified DM with unspecified complications
890 E 13.9 Other specified DM without complications
891 E 14

UNSPECIFIED DIABETES MELITUS

892 E 14.0 DM with coma

893 E 14.1 DM ketoacidosis
894 E 14.2 DM with renal complications
895 E 14.3 DM with Opthalmic complication
896 E 14.4 DM with neurological complication
897 E 14.5 DM with peripheral circulatory caution complication/ulcer DM
898 E 14.6 DM with other specified complication / Neurophaty
899 E 14.7 DM with multiple complications
900 E 14.8 DM with unsp complication
901 E 14.9 DM, Unsp/Unspecified diabetes mellitus.
902 E 15

Non diabetic hypoglycaemia coma

903 E 16.0 Other disorders of pancreatic internal secretion

904 E 16.1 Other hypoglycaemia
905 E 16.2 Hypoglycaemia, unspecified
906 E 20.9 Hypoparathyroidism, unspecified
907 E 21.3 Hyperparathyroid Sm
908 E 22.2 Syndrome of inapropriate secretion of antidiuretic hormone
909 E 23.2 Diabettes Insipidus
910 E 23.6 Other disorders of pituitary gland
911 E 24.9 Cushing's syndrome, unspecified
912 E 28.2 Polycitystic ovarian syndrome
913 E 32.0 Persistent hyperplasia of thymus
914 E 46

Protein energy malnutrition, Uns

Tabel Icd
idIC Kode
D
ICD

Nama ICD

915 E 56.1 Deficiency of vitamin K

916 E 66.9 Obesitas/Obsity unsp/Overweigh
917 E 67.8 Other specified hyperalimention
918 E 71.1 Other disorders of branched-cheqi amino acid metabolism
919 E 72.5 Disorders of glycine metabolism
448 E 73.9 LACTOSE INTOLERANCE,UNSPECIFIED
2
920 E 74.3 Other disorder of intestinal carbohydrate absorption
921 E 75.5 Other lipid storage disorders
922 E 75.6 Lipid storsge disorder, unspecified
923 E 75.8 Disorder lipid storage, other
924 E 77.8 Disorders of glycoprotein, other
925 E 78

THYPOID FEVER

926 E 78.
927 E 78.0 Hypercholesterolaemia, pure
928 E 78.1 Hyperglyceridaemia, pure/Hypertriglyceridaemia
929 E 78.3 Hyperchylomicronaemia
930 E 78.5 Hyperlipidemia unsp/Dyslipidemia
931 E 78.6 Lipoprotein deficiency
932 E 78.8 Other disorders of lipoprotein metabolism
933 E 79.0 Hyperuricemia
934 E 79.1 Lesch-Nyhan syndrome
935 E 80.6 Other disorders of bilirubin metabolism
936 E 83.5 Hypocalemia/Disordes of calcium metabolism
937 E 83.9 Disorder of mineral metabolism, unspecified
938 E 84.0 Cystic fibrosis with pulmonary manifestations
939 E 84.9 Cystic fibrosis, uns
940 E 85.9 Amyloidosis, unspecified
941 E 86

Dehidrasi

942 E 87.0 Hyperosmolality and hypernatraemia

943 E 87.1 Hypoosmolality and hyponatroemia
944 E 87.2 Acidosis
945 E 87.5 Hyperkalaemia
946 E 87.6 Hypokalaemia

Tabel Icd
idIC Kode
D
ICD

Nama ICD

947 E 87.8 Electrolit imbalance

948 E 88.0 Hypoalbumin/Disorders of plasma protein metabolism, not elsewhere
classified
949 E 88.9 Metabolic disorder, unspecified
950 F 03

Dementia, unsp.

542 F 04
4

GANGG MENTAL ORGANIK

951 F 05.9 Acut Brain Syndroma

952 F 06.3 UNSP DEMENTIA
953 F 06.9 Mental disorder due to brain damage and dysfunction and to physical
disease, Unsp.
954 F 07.2 Post concussional syndrome
955 F 09

Unsp orgnic or symptomatic mental disorder

956 F 09.0 UNSPECIFIED ORGANIC OR SYMPTOMATIC MENTAL DISORDER ACUTE

INTOXICATION
957 F 10.0 Mental and behavioural disorders due to use of alcohol
958 F 10.1 Mental and behavioural disorders due to use of alcohol/harmfuluse
959 F 10.2 Mental and behavioural disorders due to use of alcohol dependence
syndrom
960 F 10.7 Mental and behavioural disorders due to use of opioids (...
961 F 11.0 Mental and behavioural disorders due to use opioids ( acute
intoxication )
962 F 11.1 Mental and behavioural disorders due to use of opioids ( harmful use )
963 F 11.2 Mental and behavioural disorders due to use of opioids
964 F 12.1 Mental and behavioural disorders due to use of cannabinoids
965 F 13.1 Mental and behavioural disorders due to use of sedative or hypnotics
( dependence syndrome )
966 F 13.2 Mental and behavioural disorders due to use of sedative or hypnotics
( dependence syndrome )
967 F 14.0 Mental and behavioural disorders due to use of cocaine, acute
intoxication
968 F 14.2 Mental and behavioural disorders due to use of cocaine(dependence
syndrome)
969 F 14.9 Mental and behavioural disorders due to use of coccaine, unsp
970 F 15.0 Mental and behavioural disorders due to use of other stimultants,
including caffeian_acute intoxic..
971 F 16.1 Mental and behaviour disorders due to use of hallucinogens, Harmful

Tabel Icd
idIC Kode
D
ICD

Nama ICD
use

972 F 16.2 Mental and behaviorual disorders due to use of hallucinogens with
psychotic disorder
973 F 19.1 Mental and behavioural disorders due to use of ...
974 F 19.2 Mental and behavioural disorders due to use of ...
975 F 19.3 Mental and behavioureal disorders due to multiple drug use and ...
452 F 20.0 SKIZOFRENIA
1
976 F 20.2 Paranoid schhizoprenia
977 F 20.3 Indefferetiaded Schizophrenia
978 F 20.5 Schizophrenia, psychotic disorder
979 F 20.9 Schizophrenia, unsp
980 F 21

Schizotypal disease

981 F 22.0 Delusional disorder

982 F 23.0 Acute polymorphic psycotic disorder without symptomps of
schizophrenia
983 F 23.1 Acute polymorphic psychotic disorder with symptoms of scizophrenia
984 F 23.2 Acute Schizophrenia-like psychotic disorder
985 F 23.3 Other avute predominatly delusional psychotic disorders
986 F 23.8 Other acute and transient psycotic disorders
987 F 23.9 Acute and transient psychotic
988 F 25.0 Schizoaffective disorder, manic type
989 F 25.1 Schizoaffective disorders, harmful use
990 F 28

Other nonorganic psychotic disorders

991 F 29

Psychosis, Non Organic, unsp.

992 F 32.2 Severe depressive episode without psychotic symptoms

993 F 32.3 Severe depressive episode with psychotic symptoms
994 F 32.9 Depressive episode, unsp
995 F 33.9 RECCURENT DEPRESSIVE DISORDER, UNSPECIFIED
996 F 39

Unspecified mood (affective) disorder

997 F 40

PHOBIC ANXIETY DISORDERS

998 F 40.9 PHOBIC ANXIETY DISORDER,UNSPECIFIED

999 F 41.1 Anxiety disorder, unspecified
100 F 41.2 Anxiety mixed and depresive disorder
0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

100 F 41.9 Anxiety disorder, unsp

1
100 F 43.0 Acute stres reaction
2
451 F 43.1 PASCA TRAUMA STRESS DISORDER
9
100 F 43.9 Reaction to severe struss, unsp
3
100 F 44.3 Trance and possesion disorders
4
100 F 44.5 Convulsions hysteria
5
100 F 44.6 SNHL/Sensori Nerves Hearing Loss
6
100 F 44.8 Other dissociative (conversion) disorders
7
100 F 44.9 Conversi Hysteri/Dissociative (convertion) disorder unsp
8
100 F 45.0 Somatization disorder
9
101 F 45.3 Somatoform autonomic disfunction
0
101 F 45.4 Persistent somatoform pain disorder
1
101 F 45.8 Somatoform disorder, other
2
101 F 45.9 Psychosomatis (Somatoform disorder, unsp)
3
101 F 48.0 Neurasthenia
4
101 F 48.8 Other specified neurptic disorders
5
101 F 48.9 Neurosa/Neurotic disorder, unsp
6
101 F 50.0 Anorexia nervosa
7
452 F 51.0 INSOMNIA
4
101 F 52.2 Impoten/Failure of genital response

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8
101 F 52.9 Unspecified sexual dysfunction, not caused by organic disorder or
9
disease
102 F 53.0 Mild mental and behavioural disorders associated with the puerperium,
0
not elsewhere classified
102 F 53.1 Cervical Syndrom/Severe mental behaviour
1
102 F 54
2

Psychological and behavior factors

102 F 55
3

Abuse of non- dependen-producing substances

102 F 60.7 Dependent personality disorder

4
102 F 70.9 IQ 50-69
5
102 F 71.9 IQ 35-49
6
102 F 72.9 IQ 20-34
7
102 F 73
8

Profound mental retardation

102 F 73.9 IQ dibawah 20

9
103 F 78
0

Other mental retardation

103 F 79
1

Mental retardation , unsp.

103 F 84.0 Chilhood autism

2
103 F 89
3

Developmental disorder NOS/gangguan tumbuh kembang anak

103 F 90.9 Hyperkinetic syndrome

4
103 F 91.9 CONDUCT DISORDER, UNSPECIFIED
5
451 F 92
1

GANGGUAN EMOSIONAL

103 F 95.9 Tic disorder, unspecified

6

Tabel Icd
idIC Kode
D
ICD

Nama ICD

103 F33.9 RECURRENT DEPRESSIVE DISORDER,UNSPECIFIED

7
103 G 00.9 Bacterial meningitis, unspecified
8
103 G 01
9

Meningitis in bacterial diseases classified elsewhere

104 G 03.0 Nonpyogenic meningitis

0
104 G 03.1 CHRONIC MENINGITIS
1
104 G 03.9 Meningitis,unsp.
2
104 G 04.8 Other enchepalitis, myelitis and encephalomyelitis
3
104 G 04.9 Encephalitis,myelitis and encephalomyelitis,unsp.
4
104 G 05.0 Encephalitis, myelitis and encephalomyelitis in diseases classified
5
elsewhere
104 G 05.1 Encephalitis, myelitis and encephalomyelitis in viral disese clasified
6
elsewhere
104 G 05.2 Encephalitis, myelitis and encephalomyelitis in viral diseases classified
7
elsewhere
104 G 06.0 Intracranial abscess and granuloma
8
104 G 06.1 Instrapinal absces and granuloma
9
105 G 07
0

Intracranial and intraspinal abscess and granuloma in diseases clssified

alsewhere

105 G 09
1

Sequelae of inflammatory diseases of cenral nervous system

105 G 12.2 SOP

2
105 G 20
3

Parkinson's disease

105 G 24.5 Blepharopasm

4
105 G 24.9 Dystonia, unsp
5
105 G 25.5 Other chorea

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6
105 G 25.9 Extrapyramidal and movement disorders in diseases clssified
7
elsewhere
105 G 31.1 Snile degeneration of brain
8
105 G 31.2 Degeneration of nervous system due to alcohol
9
106 G 31.9 Atropic Cerebri / Degenerative disease of nervous system,unsp.
0
106 G
SUBACUTE COMBINED DEGENERATION OF SPINAL CORD IN DISEASES
1 32.0* CLASSIFIED ELSEWHERE
106 G 37.8 Other specified demyelinating diseases of central nervous system
2
106 G 40.0 Localization-related(focal)(partial idiopathic epilepsy and ...
3
106 G 40.1 Localization-related ( focal)(partial ) symptomatic...
4
106 G 40.3 Generalized idiopathic epilepsi and epileptic syndromes
5
G 40.5
106 G 40.6 Grandmal scizures, unsp
6
106 G 40.8 Other epilepsy
7
106 G 40.9 Epilepsy,unsp.
8
106 G 41.9 Status epilepticus,unsp.
9
107 G 43.1 Migraine with qura
0
107 G 43.9 Migraine,unsp.
1
107 G 44.0 Cluster headache syndrome
2
107 G 44.1 VASCULAR HEADCHE,NOT ELSEWHERE CLASSIFIED
3
107 G 44.2 TH/Tension-type headache
4
107 G 44.3 Chronic post traumatic headache/cephalgia post traumatic

Tabel Icd
idIC Kode
D
ICD

Nama ICD

5
107 G 44.8 Other specified headache syndromes
6
107 G 45.0 VBI/Vertebro-basilar artery syndrome
7
107 G 45.8 Other transient cerebral ischaemic attack and related syndromes
8
107 G 45.9 TIA/Trancient cerebral ischaemic attack,unsp.
9
108 G 46.2 POSTERIOR CEREBRAL ARTERY SYNDROME
0
108 G 47.0 Insomnia/Disorders of initiating and maintaining sleep
1
108 G 47.1 Disorders of excessive somnolence ( hypersomnias )
2
108 G 50.0 Trigeminal neuralgia
3
108 G 50.9 Disorder of trigeminal nerve, unspecified
4
108 G 51.0 Bell's palsy
5
108 G 51.8 OTHER DISORDERS OF FACIAL NERVE
6
108 G 51.9 Disorder of facial nerve,unsp.
7
108 G 52.1 Disorders of glossopharyngeal nerve
8
108 G 52.2 Disorders of vagus nerve
9
109 G 52.7 Disorders of multiple cranial nerves
0
109 G 53.0 Postzoster neuralgia
1
109 G 54.0 Brachial plexus disorders
2
109 G 54.1 Lumbosacral pelvis disorders
3
109 G 55.1 Nerve root and plexus compression in intervertebral disc disorders
4

Tabel Icd
idIC Kode
D
ICD

Nama ICD

109 G 56.0 CTS / Carpal Tuner Syndrom

5
109 G 56.1 Other lesions of median nerve
6
109 G 56.2 Lesion of ulnar nerve
7
109 G 57.3 Lesion of lateral popliteal nerve
8
109 G 58.9 Mononeuropathy,unsp./Neuropathy
9
110 G 59.0 Diabetic mononeuropathy(E14-E+ comon fourth caracter.4)
0
110 G 60.3 Idiopathic progresif neuropathy
1
110 G 61.0 Guillain-Barre syndrome
2
110 G 62.2 Polyneuropathy due to other agents
3
110 G 62.8 Other specified polyneuropathy
4
110 G 62.9 Polyneuropathy,unsp.
5
110 G 63.2 Diabetic polyneuropathy ( E 10 - 14 with common fourth character .4 )
6
110 G 64
7

Other disorders of peripheral nervous system

110 G 70.0 Myasthenia gravis

8
110 G 70.9 Myoneural disorder, unsp/Myastenia
9
111 G 72.3 Periodic paralysis
0
111 G 72.9 Myopathy, unspecified
1
111 G 80.0 Spastic cerebral palsy
2
111 G 80.1 Spastic displegia
3
111 G 80.8 Other infantile cerebral palsy

Tabel Icd
idIC Kode
D
ICD

Nama ICD

4
111 G 80.9 Infantile cerebral palsy, unspecified
5
111 G 81.0 Flaccid hemiplegia
6
111 G 81.1 Spastic hemiplegi
7
111 G 81.9 Hemiparese/Hemiplegia,unsp.
8
111 G 82.0 Flaccid paraplegia
9
112 G 82.1 Spastic paraplegia
0
112 G 82.2 Paraplegia,unsp./paraparese
1
112 G 82.3 Flaccio tetraplegia
2
112 G 82.4 Spastic tetraplegia
3
112 G 82.5 Tetraplegia,unsp.
4
112 G 83.0 Diplegia of upper limbs
5
112 G 83.1 Monoplegia of lower limb
6
112 G 83.2 Monoplegia of upper limb
7
112 G 83.3 Parese nerve../Monoplegia, unsp
8
112 G 83.8 OTHER SPECIFIED PARALYTIC SYNDROMES
9
113 G 83.9 Paralytic syndrome,unsp.
0
113 G 90.9 Disorder of autonomic nervous system, unspecified
1
113 G 91.0 Communicating hydrocephalus
2
113 G 91.1 Obstructive hydrocephalus
3

Tabel Icd
idIC Kode
D
ICD

Nama ICD

113 G 91.2 Normal-pressure hydrocephalus ( NPH )

4
113 G 91.3 Poat-traumatic hydrocephalus, unspecified
5
113 G 91.8 Other hydrocephalus
6
113 G 91.9 Hydrocephalus,unsp.
7
113 G 93.0 Cerebral cysts
8
113 G 93.2 Benign intracranial hypertension
9
114 G 93.3 POSTVIRAL FATIGUE SYNDROME
0
114 G 93.4 Encepalopathy,unsp.
1
114 G 93.5 Compression of brain
2
114 G 93.6 Cerebral oedema
3
114 G 93.7 Reye's syndroma
4
114 G 93.8 Other specified disorders of brain
5
114 G 93.9 Disorder of brain,unsp.
6
114 G 94.8 Other specified disorders of brain in diseases classifified elsewhere
7
114 G 95.0 Polyneuropathy due toother toxic agents
8
114 G 95.2 Cord compression, unspecified
9
115 G 95.9 Disease of spinal cord, unspecified
0
115 G 96.9 Disorder of central nervous system, unspecified
1
115 G 97.8 Other postprocedural disorders of nervous system
2
115 G12.2 Motor neuron diseases

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
115 H 00.0 Hordeolum and other deep inflammation of eyelid
4
115 H 00.1 Chalazion
5
115 H 01.0 Blepharitis
6
115 H 01.1 NONINFECTIOUS DERMATOSES OF EYELID
7
115 H 02.0 ENTROPION AND TRICHIASIS OF EYELID
8
115 H 02.4 Ptosis of eyelid
9
116 H 02.5 Other disorders affecting eyelid function
0
116 H 02.6 Xanthelasma of eyelid
1
116 H 02.7 OTHER DEGENERATIVE DISORDERS OF EYELID AND PERIOCULAR AREA
2
116 H 02.8 Other specified disorders of eyelid
3
116 H 02.9 Disorder of eyelid, unsp
4
440 H
Involvement of eyelid in other infection disease classified elsewhwre
7 03.1*
442 H 04.1 SYINDROM DRY EYE
7
116 H 04.3 ACUTE AND UNSPECCIFIED INFLAMMATIONOF LACRIMAL PASSAGES
5
440 H 04.4 CHRONIC INFLAMMATION OF LACRIMAL PASSAGES
7
119 H 04.5 STENOSIS AND INSUFICIENCY OF LACRIMAL PASSAGES
2
442 H 04.9 DISORDER OF LACRIMAL SYSTEM,UNSPECIFIED
8
116 H 05.0 Acute inflamation of orbit
6
116 H 05.2 Exophthalmic conditions/edema orbit
7

Tabel Icd
idIC Kode
D
ICD

Nama ICD

444 H 10.1 KONJUNGTIVITIS ALERGI

0
116 H 10.2 Other acute conjunctivitis
8
116 H 10.3 Acute conjunctivitis, unsp
9
117 H 10.9 Conjunctivitis ,unsp.
0
117 H 11.0 Pterygium
1
117 H 11.1 CONJUNTIVAL DEGENERATIONS AND DEPOSITS
2
117 H 11.3 Disorder of conjuntiva, unspecified
3
443 H 11.4 KISTA KONJUNGTIVA
9
117 H 11.9 DISORDER OF CONJUNCTIVA,UNSPECIFIED
4
444 H
SUBKONJUNGTIVA BLEEDING
0 13.1*
117 H 15.1 EPISCLERITIS
5
117 H 16.0 Corneal ulcer
6
117 H 16.2 Kerato conjunctivitis
7
117 H 16.3 Intersitial and deep keratitis
8
117 H 16.9 Keratitis, unspecified
9
118 H 17.8 Other corneal scars and opaties
0
118 H 17.9 CORNEAL SCAR AND OPACITY,UNSPECIFIED
1
445 H 18.2 ODEM KORNEA
5
118 H 18.7 OTHER CORNEAL DEFORMITIES
2
118 H 18.9 DISORDER OF CORNEA

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
118 H 20.9 Iridocyclitis, unspecified
4
118 H 21.8 Other specified disorders of inis audciliary body
5
118 H 25.2 Senile cataract, morgagnian type
6
118 H 25.9 Senile cataract,unsp.
7
118 H 26.0 Infantile, juvenile and presentile cataract
8
118 H 26.2 Complicated cataract
9
119 H 26.9 Cataract,unsp.
0
119 H 27.0 Apakhia
1
122 H 27.1 Dislocation of lens
4
119 H 28.0 Diabetic cataract
3
119 H 30.9 Retinitis
4
119 H 33.1 RETINOSCHISIS AND RETINAL CYSTS
5
119 H 33.2 Serous retinal detachment
6
445 H 34.2 OTHER RETINA ARTERY OCCULUSIONS
6
119 H 35.0 Background retinopathy and retinal vascular changes
7
119 H 35.1 RETINOPATHY OF PREMATURITY
8
119 H 35.6 Retinal Haemorrhage
9
441 H 35.7 SEPARATION OF RETINAL LAYERS
7
452 H 35.8 ATROPI RETINA
3

Tabel Icd
idIC Kode
D
ICD

Nama ICD

120 H 35.9 RETINAL DISORDER,UNSPECIFIED

0
120 H 36.0 Diabetic retinopathy
1
120 H 36.8 Other retinal disorders in diseases clasified elsewhere
2
120 H 40.1 Primary openangle glaucoma
3
120 H 40.4 Glaucoma secondary to eye inflamation
4
120 H 40.5 Glaucoma secondary to other eye disorders
5
120 H 40.9 Glaucoma, unsp
6
440 H 43.3 OTHER VITREUS OPACITIES
8
120 H 44.0 Purulent endophalmitis
7
120 H 44.1 Other endophthalmitis/iritasi mata
8
120 H 44.5 Degenerative conditions of globe
9
121 H 44.9 Disorder of globe, unspecified
0
121 H 46
1

Papilitis/Optic neuritis

121 H 47.0 Disorder of optic nerve, Nec

2
121 H 47.1 Papilloedema,unsp.
3
121 H 47.2 Optic athropi
4
121 H 47.7 Disorder of visual pathways, usnp/ODS
5
121 H 49.0 Third(oculomotor) nerve palsy
6
121 H 49.1 Fourth ( trochlear ) nerve palsy
7
121 H 49.2 Sixth(abducent) nerve palsy

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8
121 H 49.9 Paralytic strabismus, unspecified
9
445 H 50.1 STRABISMUS DIVERGEN
6
451 H 50.4 STRABISMUS KONKAMITANT
3
441 H 50.8 OTHER SPECIFIED SRTABISMUS
7
122 H 50.9 Strabismus, unspecified
0
122 H 52.0 HYPERMETROPIA
1
122 H 52.1 Myopia
2
122 H 52.2 ASTIGMATISM
3
126 H 52.3 ANISOMETROPIA AND ANISEIKONIA
3
122 H 52.4 Presbiopy
5
122 H 53.0 AMBLYOPIA EX ANOPSIA
6
122 H 53.1 Asthenopia
7
122 H 53.2 Diplopia
8
122 H 53.3 OTHER DISORDERS OF BINOCULAR VISION
9
123 H 54.0 Blindness,both eyes
0
441 H 54.2 LOW VISION,BOTH EYES
0
442 H 55
5

HISTAGMUS

123 H 57.0 Myotonic pupil

1
123 H 57.8 Other specified disorders of eye and adrexa
2

Tabel Icd
idIC Kode
D
ICD

Nama ICD

123 H 57.9 DISORDER OF EYE AND ADNEXA, UNSPECIFIED

3
123 H 58.8 Other specified disorders of eye and adnexa in diseases classified
4
elsewhere
123 H 60.0 Abscess of external ear
5
123 H 60.1 Cellulitis of external ear
6
123 H 60.2 Malignant otitis externa
7
123 H 60.3 OED/Infective otitis externa, other
8
123 H 60.4 Cholesteatoma of external ear
9
124 H 60.5 Acute Otitis Externa, Noninfective
0
124 H 60.9 Otitis externa, unspecified
1
124 H 61.1 Noninfective disorders of pinna
2
124 H 61.2 Cerumen p.../Impacted cerumen
3
124 H 61.9 Disorders of external ear, unsp/ADS
4
124 H 62.1
5
124 H
OTITIS EXTERNA IN VIRAL DISEASES CLASSIFIED ELSEWHERE
6 62.1*
124 H
OTITIS EXTERNA IN MYCOSES
7 62.2*
124 H 65.1 Other acute nonsuppurative otitis media
8
124 H 65.9 Nonsuppurative otitis media, unspecified
9
125 H 66.0 Otitis media suppuratif, acute
0
125 H 66.2 CHRONIC ATTICOANTRAL SUPPURATIVE OTITIS MEDIA
1
125 H 66.3 Otitis media supurativ chronic

Tabel Icd
idIC Kode
D
ICD

Nama ICD

2
125 H 66.4 OMP/Otitis media Purulent.
3
125 H 66.9 OMA/OMC/Otitis media,unsp.
4
442 H 68
8

SALPINGITIS DAN OBSTRUKSI TUBA EUSTAKIUS

443 H 69
4

OTHER DISORDERS OF EUSTACHIAN TUBE

125 H 70.0 Mastoiditis, acute

5
125 H 70.1 Chronic mastoiditis
6
125 H 70.2 Petrositis
7
125 H 70.9 Mastoiditis,unsp.
8
125 H 71
9

Cholestetoma of middle ear

126 H 72.9 Perforation of tympanic membrane,unsp.

0
126 H 73.0 Acute myringitis
1
126 H 73.8 Other specified disorder of tynphanic membrane/Tympanitis
2
451 H 74.4 POLIPOID
1
130 H 74.9 Disorder of middle ear and mastoid, unspecified
7
126 H 81.0 Meniere's disease
4
126 H 81.1 Benign paroxysmal vertigo
5
126 H 83.0 Labyrithitis
6
126 H 83.2 Labyrinthine dysfunction
7
445 H 91.1 PRESBICUSIS
0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

126 H 91.9 Hearing loss,unsp.

8
126 H 92.0 Pain of ear/Otalgia
9
127 H 92.1 Otorrhoea
0
127 H 92.2 Otorragia
1
127 H 93.1 Tinnitus
2
127 H 93.3 Neural deafnes/Disorders of acoustic nerve
3
127 H 93.9 Disorder of ear unsp
4
127 I 00
5

Rheumatic fever without mention of involvement

127 I 05.0 Mitral stenosis

6
127 I 05.2 Mitral stenosis with insufficiency
7
127 I 05.8 Diseases of mitral valve, other
8
127 I 07.1 Tricuspid insufficiency
9
128 I 08.0 Disorders of both mitral and aortic valves
0
128 I 09.0 RHEUMATIC MYOCARDITIS
1
128 I 09.9 Rheumatic heart disease,unsp.
2
128 I 10
3

Hypertension essential

128 I 11.0 Hypertensive heart disease with (congestive) heart failure

4
128 I 11.9 HHD/Hypertensive heart disease without (congestive) heart failure/LVH
5
128 I 12
6

Hypertensi Renal Disease (HRD)

128 I 12.0 Hypertensive renal disease with renal failure

Tabel Icd
idIC Kode
D
ICD

Nama ICD

7
128 I 12.9 Hypertensive renal disease without renal failure
8
128 I 13.9 Hypertensive heart and renal disease, unspecified
9
129 I 15.9 Secondary hypertension, unspecified
0
129 I 20.0 Unstable angina
1
129 I 20.1 Angina pectoris with documented spasm
2
129 I 20.8 Other forms of angina pectoris
3
129 I 20.9 Angina pectoris,unsp.
4
129 I 21.0 Acute myocardiac infarction transmural of anterion wall
5
129 I 21.1 Acute transmural myocardial infarction of inferior wall
6
129 I 21.4 Acute subendocardial myocardial infarction
7
129 I 21.9 AMI (Acute myocardial infarction ), unsp.
8
129 I 22.0 Subsequent myocardial infarction of anterior wall
9
130 I 22.1 Subsesquent myocardial infarction of other sites
0
130 I 22.9 SUBQUENT MYOCARDIAL INFRACTION UNSPECIFIED SITE
1
130 I 23.1 Atrial septal defect as current complication following acute myocardial
2
infarction
130 I 24.8 Insufficiency coronary
3
130 I 24.9 Acute ischaemic heart disease,unsp.
4
130 I 25.1 ASHD/CAD/Atherosclerotic heart disease
5
130 I 25.2 Old myocardial infarction
6

Tabel Icd
idIC Kode
D
ICD

Nama ICD

130 I 25.5 Ischaemic cardiomyopathy

7
130 I 25.8 MCI/Other forms of chronic ischaemic heart disease
8
130 I 25.9 IHD/Chronic ischaemic heart disease,unsp.
9
131 I 26.9 Pulmonary embolism with mention of acute cor pulmonale
0
131 I 27.0 Primary pulmonary hypertension
1
131 I 27.9 CPC ( Cord Pulmonaley Chronic ) Pulmonary heart disease,unsp.
2
131 I 28.8 Other specified disease of pulmonale vessel
3
131 I 31.3 Pericardial effusion(noninflammatory)
4
131 I 31.9 Disease of pericardium, unsp
5
131 I 32.0 Pericarditis in bacterial diseases clasified elsewhere
6
131 I 33.0 Zcute and subacute infective endocarditis
7
131 I 34.0 Mitral (valve) insufficiency
8
131 I 34.1 Mitral (valve) prolaps
9
132 I 34.2 Non rheumatic mitral valve disorders
0
132 I 35.0 Aortic(valve) stenosis
1
132 I 35.1 Aortic (valve) insufficienncy
2
132 I 35.2 Aortic (valve) stenosis with insufficiency
3
132 I 35.9 Aortic valve disorder, unsp
4
132 I 37.1 Pulmonary valve stenosis
5
132 I 38

Endocarditis,valve unsp.

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6
132 I 40.9 Acute myocarditis, unspecified
7
132 I 42.0 Dilated cardiomyopathy
8
132 I 42.1 Other hypertrophic cardiopati/IHSS= Idiopathic Hypertrophy Sub Aortic
9
Stenosis
133 I 42.2 Other hypertropic cardiomyopathi
0
133 I 42.9 Cardiomyopathy,unsp.
1
133 I 43.8 Cardiomyopathy in other diseases classified elsewhere
2
133 I 44.0 Atriventricular block, first degree
3
133 I 44.2 Atrioventricular block,complete
4
133 I 44.3 Other and unsp. atrioventricular block
5
133 I 44.7 Left bundle-branch blok (LBBB) unsp.
6
133 I 45.1 Right bundle-branch block (RBBB), unsp.
7
133 I 45.2 Bifascicular block
8
133 I 45.5 Other specified heart block
9
134 I 45.6 Pre excitation syndroom
0
134 I 45.9 Conduction disorder,unsp.
1
134 I 46.1 Sudden cardiac death,so described
2
134 I 46.9 Cardiac Arrest, unspecified
3
134 I 47.0 Re-entry ventricular arrhytmia
4
134 I 47.1 Supraventricular tachycardia/svt
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

134 I 47.2 Ventricular tachycardia

6
134 I 47.9 Sinus Tachycardi
7
134 I 48
8

Atrial fibrillation and flutter

134 I 49.0 Ventricular fibrillation and flutter

9
135 I 49.1 Atrial premature depolarization
0
135 I 49.2 Junctional premature depolarization
1
135 I 49.3 Ventricular premature depolarization/PVC/MPVC
2
135 I 49.4 Other and unsp.premature depolarization/vpb
3
135 I 49.5 Sick sinus syndrome
4
135 I 49.8 Other specified cardiac arrhythmias
5
135 I 49.9 Cardiac arrhythmia,unsp.
6
135 I 50.0 DC/Congestive heart failure (CHF)
7
135 I 50.1 Left ventricular failure
8
135 I 50.9 Heart failure,unsp.
9
136 I 51.0 Cardiac septal defect,aquored
0
136 I 51.1 Rupture of chordae tendineae, not elsewhere classified
1
136 I 51.4 Myocarditis,unsp.
2
136 I 51.5 Myocardial degeneration
3
136 I 51.6 Cardiovascular disease, unspecified
4
136 I 51.7 Cardiomegaly

Tabel Icd
idIC Kode
D
ICD

Nama ICD

5
136 I 51.8 Other ill-defined heart diseases
6
136 I 51.9 Heart disease,unsp.
7
136 I 60.8 Other subarracchnoid haemorrhage
8
136 I 60.9 Haemorrhage subarachnoid ,unsp.
9
137 I 61.0 Haemorrhage intracerebral in hempisphere sub cortical
0
137 I 61.1 Haemorrhage intracerebral, in hempisphere cortical
1
137 I 61.2 Intracerebral haemorrhage in hemisphere, unspecified
2
137 I 61.3 Haemorrhage intra cerebral, in brain stem
3
137 I 61.4 Haemorrhage Intracerebral, in cerebellum
4
137 I 61.5 Haemorrhage intracerebral ,intraventricular
5
137 I 61.8 Haemorrhagic intra cerebral, other
6
137 I 61.9 Hemorrhagic intracerebral, unsp.
7
137 I 62.0 Subdural haemorrhage(acute)(nontraumatic)
8
137 I 62.9 Haemorrhagic intracranial (nontraumatic unsp)
9
138 I 63.8 Other cerebral infarction
0
138 I 63.9 Cerebral infarction,unsp.
1
138 I 64
2

Stroke,not specified as haemorrhage or infarction/cva

138 I 65.0 Occlusion and stenosis of vertebral artery

3
138 I 65.2 Occlusion and stenosis of carotid artery
4

Tabel Icd
idIC Kode
D
ICD

Nama ICD

138 I 65.9 Occlusion and stenosis of unspecified precerebral artery

5
138 I 66.9 Occlusion and stenosis of unsp. cerebral artery
6
138 I 67.1 Cerebral aneurysm, nonruptured
7
138 I 67.4 Hypertensive encephalopathy
8
138 I 67.6 Nonpyogenic thrombosis of intracranial venous system
9
139 I 67.8 CVD, onther specific
0
139 I 67.9 Cerebrovascular disease, unspecified
1
139 I 69.1 Serquelae of Intracerebral haemorrhage , unspecified
2
139 I 69.2 Sequelae of other nontraumatic intracranial haemorrhage
3
139 I 69.3 Sequelqe of cerebral infarction
4
139 I 69.4 Sequelae of stroke, not specified as haemorrhage or infarction
5
139 I 69.8 Sequelae of other and unspecified cerebrovascular diseases
6
139 I 70.0 Atheroslerosis of aorta
7
139 I 70.9 Atheroma (Generalized and unsp. Atherosclerosis)
8
139 I 71.4 Abdominal aortie aneurysm, without mention of rupture
9
140 I 71.9 Aortic aneurysm of unsp. site,without mention of rupture
0
140 I 72.9 Aneurysma of unsp. site
1
140 I 73.1 Thromboangiitis obliterans(Buerger)
2
140 I 73.9 Peripheral vasculer disease, unspecified
3
140 I 74.2 Embolismand thrombosis of arteries of upper extremites

Tabel Icd
idIC Kode
D
ICD

Nama ICD

4
140 I 74.3 Embolism and thrombosis of arteries of lower extremities
5
140 I 74.8 Embolism and thrombosis of other arteries
6
140 I 74.9 Embolism and thrombosis of unsp. artery
7
140 I 77.0 Arteriovenous fistula, acquired
8
140 I 77.5 Necrosis of artery
9
141 I 77.6 Arteritis, unspecified
0
141 I 79.2 Peripheral angiopathy in disease classified elsewhere
1
141 I 80.3 Phlebitis and thrombophlebitis of lower extremies, unsp
2
141 I 80.9 Phlebitis and thrombophlebitis of unspecified site
3
141 I 81
4

Portal vein thrombosis

141 I 82.9 Embolism and thrombosis of unsp.vein

5
141 I 83.2 Varicose veins of lower extremitas with inflammation
6
141 I 83.9 Varices/varix/Varicose veins of lower extremities without ulcer or
7
inflammation
141 I 84.1 Internal haemorrhoids with other complications
8
141 I 84.2 Hemorrhoids ( Internal ) with complications
9
142 I 84.4 Hemorrhoids ( External ) with other complications
0
142 I 84.5 Hemorrhoids ( External ) without complication
1
142 I 84.7 Unspecified thrombosed haemorrhoids
2
142 I 84.8 Unspecified haemorrhoids with other complications/Hematoschezia
3

Tabel Icd
idIC Kode
D
ICD

Nama ICD

142 I 84.9 Haemorrhoids without complication, Unsp

4
142 I 85.0 Oesophageal varices with bleeding
5
142 I 85.9 Oesophageal varices without bleeding
6
142 I 86.1 Varicocel/Scrotal varices
7
142 I 86.2 Pelvic Varices
8
142 I 86.4 Gastric varices
9
143 I 86.8 Varicose veins of other specified sites
0
143 I 87.1 Compression of vein/vena cava
1
143 I 88.0 Nonspecific mesenteric lymphadenitis
2
143 I 88.1 Chronic lymphadenitis ,except mesenteric
3
143 I 88.9 Lymphadenitis/ Non specific lymphadenitis,unsp.
4
143 I 89.0 Lymphoedema,NEC
5
143 I 89.8 Other specified non infective disorder of lympatic vessels and lymph
6
nodes
143 I 95.1 Orthostatic hypotension
7
143 I 95.2 Hypotension due to drugs
8
143 I 95.8 Other hypotension
9
144 I 95.9 Hypotension,unsp.
0
144 I 97.2 Postmastectpmy lymphoedema syndrome
1
144 I 98.2 Oesophageal varices in diseases classified elsewhere
2
144 I 99

Angiopathia/Other and unsp.disorders of circulatory system

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
J
144 J 00
4

Common cold/CC/Nasopharyngitis acute/rhinopharyngitis

144 J 01.0 Acute maxillary sinusitis

5
144 J 02.8 Pharingitis acute due to other specified organism
6
144 J 02.9 Pharingitis acute/NOS
7
144 J 03.0 Streptococcal tonsilitis
8
144 J 03.8 Acute Tonsilitis due to other specified organism
9
145 J 03.9 Tonsilitis, acute
0
145 J 04.0 Laryngitis acute
1
442 J 04.1 ACUTE TRACHEITIS
5
145 J 04.2 Acute laryngotracheitis
2
442 J 04.9 LARINGITIS
8
145 J 05.1 Epiglotis, acute
3
145 J 06
4

Typhoid fever

145 J 06.8 Tonsilopharingitis/Other acute upper respiratory infections of multiple

5
145 J 06.9 ISPA (Acute upper respiratory infection,unsp.)
6
451 J 08.9 TONSILO FARINGITIS
0
145 J 11.1 Influenza with other respiratory manifestations,virus not identified
7
145 J 11.8 Influenza with other manifestation, virus not identified
8
145 J 15.7 Pneumonia due to mycoplasma pneumoniae

Tabel Icd
idIC Kode
D
ICD

Nama ICD

9
146 J 17.2 Pneumonia in mycoses
0
146 J 18.0 Bronchopneumonia,unsp.
1
146 J 18.1 Lobar pneumonia,unsp.
2
146 J 18.8 Other pneumonia,organism unsp.
3
146 J 18.9 Pneumonia,unsp.
4
146 J 20.9 Acute bronchitis,unsp.
5
450 J 21
3

BRONKIOLITIS

146 J 21.9 Acute bronchiolitis

6
146 J 22
7

Unspecified acute lower respiratory infection

146 J 30.1 Allergic rhinitis due to pollen

8
146 J 30.2 Other seasonal allergic rhinitis
9
147 J 30.3 Other allergic rhinitis
0
147 J 30.4 Allergic rhinitis,unsp.
1
443 J 30.9 RHINITIS ALERGI
0
147 J 31.0 Rhinitis chronic/Ozena
2
147 J 31.2 Pharingitis chronic
3
147 J 32.0 Chronic maxillary sinusitis
4
443 J 32.1 SINUSITIS FRONTAL
5
147 J 32.2 Chronic ethmoidal sinusitis
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

448 J 32.3 CHRONIC SPHENOIDAL SINUSITIS

3
147 J 32.4 Chronic pansinusitis
6
147 J 32.8 Other chronic sinusitis
7
147 J 32.9 Sinusitis Chronic ,unsp
8
147 J 33.0 Polyp of Nasal cavity
9
148 J 33.8 Other polyp of sinus
0
148 J 33.9 Nasal polyp, unsp
1
148 J 34.0 Absscess, furuncle and carbuncle of nose
2
148 J 34.1 Cyst and mucocele of nasal sinus
3
148 J 34.2 Septum Deviasi/Defiated nasal septum
4
148 J 34.3 Hypertrophy of nasal turbinates
5
148 J 34.8 Other specified disorders of nose and nasal sinuses
6
148 J 34.9 Other specified disorders of nose and nasal sinus
7
148 J 35.0 Tonsilitis chronic
8
148 J 35.1 Hyperthropy of tonsilis
9
149 J 35.2 Hypertrophy of adenoids
0
149 J 35.3 Hypertrophy of tonsils with hypertrophy of adenoids
1
149 J 35.8 Other chronic diseases of tonsils and adenoids
2
149 J 35.9 Chronic disease of tonsils and adenoids, unspecified
3
149 J 36

Peritonsillar abscess

Tabel Icd
idIC Kode
D
ICD

Nama ICD

4
149 J 37.0 CHRONIC LARINGITIS
5
451 J 37.1 CHRONIC LARINGOTRACHEITIS
2
149 J 38.0 Paralysis of vocalcords and larynx
6
149 J 38.4 Oedema of larynx
7
149 J 38.5 Larynx spasm
8
445 J 38.6 STENOSIS OF LARYNX
0
149 J 38.7 Other diseases of larynx
9
150 J 39.0 Retropharyngeal and parapharyngeal abscess
0
150 J 39.1 Other absces of pharynx
1
150 J 39.2 Other diseases of pharynx
2
150 J 39.8 Other specified disease of upper respiratory tract
3
150 J 40
4

Bronchitis ,not specified as acute or chronic

150 J 42
5

Bronchitis chronic, other

150 J 43.9 Emphysema,unsp.

6
150 J 44.1 Chronic obstructive pulmonary disease with acute exacerbation,unsp.
7
150 J 44.8 Other specified chronic obstructive pulmonary disease
8
150 J 44.9 COPD/Chronic obstructive pulmonary disease,unsp.
9
151 J 45.0 Predominantly allergic asthma
0
151 J 45.9 Asthma,unsp.
1

Tabel Icd
idIC Kode
D
ICD

Nama ICD

151 J 46
2

Status asthmaticus

151 J 47
3

Bronchiectasis

151 J 60.9 Coalworker's pneumoconiosis

4
151 J 64
5

Unspecfied pneumoconiosis

151 J 65
6

Pneumoconiosis associated with tuberculosis

151 J 66
7

Airway disease due to specific organic dust

151 J 67.9 BHR/Hypersensitivity pneumonitis due to unsp.organic dust

8
151 J 69.0 Pnumonitis due to food and vomit
9
152 J 69.8 Pneumonitis due to other solids and liquids
0
152 J 70.4 Drug-induced intersitial lung disorder, unspecified
1
152 J 80
2

Adult respiratory distress syndrome

152 J 81
3

Pulmonary oedema

152 J 82
4

Pulmonary eosinophilia, Not Elsewhere Classified

152 J 84.1 Fibrosis of lung/Other interstitial pulmonary diseases with fibrosis

5
152 J 84.9 Interstitial pulmonary disease,unsp.
6
152 J 85.2 Abscess of lung without pneumonia
7
152 J 86.0 Pyothorax with fistula
8
152 J 86.9 Pythorax without fistula
9
153 J 90
0

Pleural effusion,NEC

153 J 92.9 Pleural plaque without asbestos

Tabel Icd
idIC Kode
D
ICD

Nama ICD

1
153 J 93.0 Spontaneous tension pneumothorax
2
153 J 93.1 Other spontaneus pneumonia
3
153 J 93.8 Other pneumothorax
4
153 J 93.9 Pneumothorax,unsp.
5
442 J 94.0 CHYLOUS EFFUSION
0
153 J 94.2 Haemothorax
6
153 J 94.8 Hydrothorax/Other specified pleural conditions
7
441 J 94.9 PLEURA CONDITION,UNSPECIFIED
5
450 J 95.9 JAR GRANULASI
7
153 J 96.0 Acute respiratory failure
8
153 J 96.9 Respiratory failure,unsp.
9
154 J 98.0 Diseases of bronchus, not elsewhere classified
0
154 J 98.1 Pulmonary collapse
1
453 J 98.3 EMPISEMA
1
154 J 98.4 Other disorders of lung
2
451 J 98.5 MEDIASTINUM
0
154 J 98.8 Other speciffied respiratory disordes
3
154 J 98.9 Respiratory disorder, unsp/BHR
4
154 J 99.8 Respiratory disorders in other diseases classified elsewhere
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

445 K 00.1 SUPOERNUMERARY TEETH

1
154 K 00.6 Disturbances in tooth eruption
6
154 K 00.9 Disorder of tooth development,unspecified
7
154 K 01.0 Embedded teeth
8
154 K 01.1 Impacted teeth/Cabut Gigi
9
440 K 02.0 CARIES LIMITED TO ENAMEL
9
155 K 02.1 Caries of dentine
0
155 K 02.2 CARIES OF CEMENTUM
1
155 K 02.9 Dental caries,unsp.
2
155 K 03.1 ABRASION OF TEETH
3
155 K 03.4 Hypercementosis
4
155 K 03.6 DEPOSITS ON TEETH DENTAL CALCULUS
5
155 K 03.9 Scalling/ Disease of hard tissues of teeth, Unsp
6
155 K 04.0 Pulpitis
7
155 K 04.1 Ganggreen/Necrosis of pup
8
155 K 04.2 ODONTOCLASIA
9
156 K 04.7 Absces gigi/Periapical abscess without sinus
0
156 K 04.8 Radicular cyst
1
156 K 04.9 Other and unsp, diseases of pulp and periapical tissues
2
156 K 05.0 Acute gingivitis

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
156 K 05.1 Chronic gingivitis
4
156 K 05.3 Periodontitis, Chronic
5
156 K 05.4 Periodontosis
6
156 K 05.5 Other periodontal diseases
7
440 K 05.9 Hyper Tyroid
7
156 K 06.1 Gingival enlargement
8
156 K 06.8 Other specified disorders of gingiva and edentulous alveolar ridge
9
157 K 08.8 Pain of tooth/odontalgia
0
157 K 09.0 Developmenttal odontogenic cystic
1
445 K 09.1 KISTA PALATE
0
157 K 09.2 Other cysts of jaw
2
157 K 10.2 Inflammatory conditions of jaws
3
157 K 11.1 Hyperthropy of salivary gland
4
157 K 11.2 Parotitis/Sialoadenitis
5
157 K 11.3 Abscess of salivary gland
6
157 K 11.4 Fistula of salivary gland
7
157 K 11.6 Mucocele of salivary gland
8
157 K 12.0 Recurrent oral aphtae
9
158 K 12.1 Stomatis/Other forms of stomatitis
0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

158 K 12.2 Cellulitis and abscess of mouth/Submandibular abscess

1
158 K 13.0 Diseases of lips
2
158 K 13.7 Perdarahan mulut
3
158 K 14.0 Glossitis
4
158 K 14.8 Other diseases of tongue
5
158 K 20
6

Oesophagitis

158 K 22.0 Achalasia

7
158 K 22.1 Ulcer of oesophagus
8
158 K 22.2 Oesophageal obstruction
9
159 K 22.6 Gastro-oesophageal laceration-haemorrhage syndrome
0
159 K 22.8 Other Specified diseases of oesophagus
1
159 K 22.9 Disease of oesophagus,unsp.
2
159 K 25.1 Gastric ulcer, acute with perforation
3
159 K 25.2 Gastric ulcer, acute with both haemorrhage and perforetion
4
159 K 25.3 Gastric ulcer, acute without haemorrhage or perforation
5
159 K 25.5 Gastric ulcer, chronic or unspecified with perforation
6
159 K 25.9 Gastric ulcer unspecified as acute chronic, without haemorrhage or
7
perforation
159 K 26.5 Duodenal ulcer
8
159 K 26.9 Duodenal ulcer unsp.as acute or chronic,without haemorrhage or
9
perforation
160 K 27.9 Peptic ulcer,unsp.as acute or chronic,without haemorrhage or

Tabel Icd
idIC Kode
D
ICD
0

Nama ICD
perforation

160 K 29.0 Acute haemorrhagec gastritis

1
160 K 29.1 Other acute gastritis
2
160 K 29.3 Chronic superficial gastritis
3
160 K 29.4 Chronic atrophic gastritis
4
160 K 29.5 Chronic gastritis,unsp.
5
160 K 29.6 Gastritis, other
6
160 K 29.7 Gastritis,unsp.
7
160 K 29.8 Duodenitis
8
160 K 29.9 Gastroduodenitis,unsp.
9
161 K 30
0

Dyspepsia

161 K 31.1 Adult hypertrophic pyloric stenosis

1
161 K 31.3 Pylorospasm, not elsewhere classified
2
161 K 31.5 Obstruction of duodenum
3
161 K 31.6 Fistula of stomach and dudenum
4
161 K 31.8 Other specified diseases of stomach and duodenum
5
161 K 31.9 Disease of stomach and duodenum,unsp.
6
161 K 35.0 Appendicitis acute with generalized peritonitis
7
161 K 35.1 Appendicitis Acute with peritoneal abscess
8
161 K 35.9 Appendicitis acute ,unsp.
9

Tabel Icd
idIC Kode
D
ICD

Nama ICD

162 K 36
0

Appendicitis, other

162 K 37
1

Appenddicitis, unsp.

162 K 38.1 Appendicular concretions

2
162 K 38.2 Diverticulum of app
3
162 K 38.8 Other specified diseases of appendix
4
162 K 38.9 Disease of appebdix, unspecified
5
162 K 40.0 Bilateraling hernia, without gangrene
6
162 K 40.2 Bilateral inguinal hernia without obstruction or gangrene
7
162 K 40.3 Unilateral or unspecified inguinal hernia with obstruction without
8
gangrene
162 K 40.4 Unilateral or unspecified inguinal hernia, with gangrene
9
163 K 40.9 HILS/HILD/Unilateral or unsp.inguinal hernia,without obstruction or
0
gangrene
163 K 41.3 Unilateral or unspecified femoral hernia, with obstruction, without
1
ganggren
163 K 41.4 Unilateral or unspecified fentoral hernia with gangrene
2
163 K 41.9 Unilateral or unspecified femoral hernia, without obstruction or
3
ganggrene
163 K 42.0 Umbilical hernia with obstruction, without gangrene
4
163 K 42.9 Umbilical hernia without obstruction or gangrene
5
163 K 43.9 Ventral hernia without obstruction or gangrene
6
163 K 45.8 Other specified abdominal hernia without abstruction or gangrene
7
163 K 46.0 Unspecified abdominal with obstruction, without gangrene
8
163 K 46.9 Hernia (Unspecified abdominal hernia without obstruction or gangren)

Tabel Icd
idIC Kode
D
ICD

Nama ICD

9
164 K 50.0 Crohn,s disease of small intestine
0
164 K 50.1 Chron's diseases of large intestine
1
164 K 50.8 Other crohn's disease
2
164 K 50.9 Crohn's disease, unspecified
3
164 K 51.2 Ulcreative (chronic) proctitis
4
164 K 51.9 Ulcerative colitis
5
164 K 52.2 Allergic and dietetic gastroenteritis and colitis
6
164 K 52.8 Other specified noninfective gastroenteritis and colitis
7
164 K 52.9 Noninfective gastroenteritis and colitis unsp.
8
164 K 55.0 Acute vasculair disorders of intestine
9
165 K 55.9 Vascular disorder of of intestine, unspecified
0
165 K 56
1

Paralytic ileus and intestinal obstruction wthout hernia

165 K 56.0 Paralitic illeus

2
165 K 56.1 Intussusception
3
165 K 56.2 Volvulus
4
165 K 56.4 Other impaction of intestine
5
165 K 56.5 Intestinal adhesion (bands) with obstruction
6
165 K 56.6 Other and unsp.intestinal obstruction
7
165 K 56.7 Illeus,unsp.
8

Tabel Icd
idIC Kode
D
ICD

Nama ICD

165 K 57.1 Diverticular disease of small intestine with perforation and abscess
9
166 K 57.3 Diverticular disease of large intestine without perforation of abscess
0
166 K 57.8 Diverticular disease of intestine, part unspecified, with perforation and
1
abscess
166 K 57.9 Diverticular disease of intestine,part unsp.,without perforation or
2
abscess
166 K 58.9 Irritabel bowel syndrome without diarrhoea
3
166 K 59.0 Obstipasi/Constipation
4
166 K 59.3 Megacolon ,NEC
5
166 K 60.1 Chronic anal fissure
6
166 K 60.2 Anal fissure,unsp.
7
166 K 60.3 Anal fistula
8
166 K 60.4 Rectal fistula
9
167 K 61.0 Abscess perianal/Anal abscess
0
167 K 61.1 Rectal abscess
1
167 K 62.0 Anal Polyp
2
167 K 62.1 Polip Recti/Rectal polyp
3
167 K 62.2 Anal prolapse
4
167 K 62.3 Rectal prolapse
5
167 K 62.4 Stenosis of anus and rectum
6
167 K 62.5 Haemorrhage of anus and rectum
7
167 K 62.6 Ulcer of anus and rectum

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8
167 K 62.8 Other specified diseases of anus and rectum
9
168 K 62.9 DISEASE OF ANUS AND RECTUM,UNS
0
168 K 63.0 Abscess of intestine
1
168 K 63.1 Perforation of intestine(non traumatic)
2
168 K 63.2 Fistula of intestine
3
168 K 63.3 Rectal prolapse
4
168 K 63.4 Enteroptosis
5
168 K 63.9 Disease of intestine, unspecified
6
168 K 65.0 Acute peritonitis
7
168 K 65.8 Other peritonitis
8
168 K 65.9 Peritonitis,unsp.
9
169 K 66.0 Peritoneal adhesions
0
169 K 66.1 Haemoperitoneum
1
169 K 66.8 Other specified disorders of peritoneum
2
169 K 67.0 Chlamydial peritonoits ( A 74.8)
3
169 K 67.3 Tuberculous peritonitis ( A 18.3 )
4
169 K 70.1 Alcoholic hepatitis
5
169 K 71.0 Toxic liver diseases with cholestasis
6
169 K 71.1 Toxic liver disease with hepatic necrosis
7

Tabel Icd
idIC Kode
D
ICD

Nama ICD

169 K 71.6 Toxic liver disease with hepatitis,NEC

8
169 K 72.0 Acut and subacute hepatic failure
9
170 K 72.9 Hepatic failure,unsp
0
170 K 73.0 Chronic persistent hepatitis, nec
1
170 K 73.2 Chronic active hepatitis,NEC
2
170 K 73.9 Chronic hepatitis,unsp.
3
170 K 74.- Liver Disorders
4
170 K 74.0 Hepatic fibrosis
5
170 K 74.5 Biliary cerhosis
6
170 K 74.6 Cirrhosis of liver ( other and Unsp )
7
170 K 75.0 Abscess of liver
8
170 K 75.8 Other specified inflamatory liver diseases
9
171 K 75.9 Hepatitis (Inflammatory liver disease),unsp.
0
171 K 76.0 Fatty(change of) liver ,NEC
1
171 K 76.1 Chronic passive congestive of liver
2
171 K 76.6 Portal hypertension
3
171 K 76.7 Hepatorenal syndrome
4
171 K 76.8 Other specified diseases of liver
5
171 K 76.9 Liver disease,unsp.
6
171 K 77.0 Liver disorders in infectious and parasitic diseases classified elsewhere

Tabel Icd
idIC Kode
D
ICD

Nama ICD

7
171 K 80.1 Calculus of gallbladder with other cholecystitis
8
171 K 80.2 Calculus of gallbladder without cholecystitis/cholelitiasis
9
172 K 80.3 Calculus of bile duct with cholangitis
0
172 K 80.5 Calculus of bile duct without cholangitis or cholecystitis
1
172 K 80.8 Other cholelithiasis
2
172 K 81.0 Acute cholecystitis
3
172 K 81.1 Chronic cholecystitis
4
172 K 81.8 Other cholecystitis
5
172 K 81.9 Cholecystitis,unsp.
6
172 K 82.0 Obstruction of gallbladder
7
172 K 82.1 Hydrops of glallbladder
8
172 K 82.2 Perforation of gall blader
9
173 K 82.8 Other specified diseases of gallbladder
0
173 K 83.0 Cholangitis
1
173 K 83.1 Obrtsuction of bile duct
2
173 K 83.5 Biliary cyst
3
173 K 85
4

Pancreatitis acut

173 K 86.2 Cyst of pancreas

5
173 K 86.3 Pseudocyst of pancreas
6

Tabel Icd
idIC Kode
D
ICD

Nama ICD

173 K 90.2 Blind loopsyudr, NEC

7
173 K 90.4 Malabsorption due to intolerance,NEC
8
173 K 90.9 Intestinal malabsorption, unspecified
9
174 K 91.3 Postoperative intestinal obstruction
0
174 K 91.4 Postprocedural disorder of digestive system, unspecified
1
174 K 91.8 Other postprocedural disorders of digestive system, nec
2
174 K 92.0 Hematemesis
3
174 K 92.1 Melena
4
174 K 92.2 Gastrointestinal haemorrhage,unsp.
5
174 K 92.9 Disease of digestive system,unsp.
6
174 K 93.0 Tuberculous disorders of intestine, peritoneum and mesentric glands
7
174 K 93.8 Disorder of other specified digestive organs in disease clasified
8
elsewhere
174 K29.1 Other acute gastritis
9
175 K41.9 Unilateral or unsp.femoral hernia,without obstruction or gangren
0
175 L 00
1

Staphylococcal scalded skin syndrome

175 L 01.0 Impetigo (any organism)(any site)

2
175 L 02.0 Cutaneous abscess,furuncle and carbuncle of face
3
175 L 02.1 Cutaneous abscess,furuncle and carbucle of neck
4
175 L 02.2 Cutaneous abscess,furuncle and carbucle of trunk
5
175 L 02.3 Cutaneous abscess,furucle and carbuncle of buttock

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6
175 L 02.4 Cutaneous abscess,furuncle and carbucle of limb
7
175 L 02.8 Cutaneous abscess,furuncle and carbuncle of other sites
8
175 L 02.9 Abscess, furuncle and carbucle , unsp.
9
176 L 03.0 Cellulitis of finger and toe / paronychia
0
176 L 03.1 Cellulitis of other parts of limb
1
176 L 03.3 Cellulitis of trunk
2
176 L 03.9 Cellulitis,unsp.
3
176 L 04.0 Acute lymphadenitis of face, head and neck
4
176 L 04.2 Acute lynphadenitis
5
176 L 04.9 Acute lymphadenitis,unsp.
6
176 L 08.0 Pyoderma
7
176 L 08.9 Local infection of skin and subcutaneous tissue, unspecified
8
176 L 10.0 Pemphigus vulgaris
9
177 L 10.2 Pemphigus foliaceus
0
177 L 11.1 Transient acantholytic dermatosis ( Grover )
1
177 L 13.9 Bullous disorder,unsp.
2
177 L 20.9 Atopic dermatitis, unspecified
3
177 L 21.0 Dandruf
4
177 L 21.9 Seborrhoec dermatitis
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

177 L 23.0 Allergic contact dermatitis dur to metals

6
177 L 23.9 DKA/Allergic contact dermatitis,unsp./Atopy
7
447 L 24.9 IRITANT CONTACT DERMATITIS DUE TO PLANTS,EXCEPT FOOD
4
447 L 25.3 UNSPECIFIED CONTACT DERMATITIS DUE TO OTHER CHEMICAL
7
PRODUCTS
177 L 25.9 Unspecified contact dermatitis, unspecified cause
8
177 L 26
9

Exfoliative dermatitis

178 L 27.0 Generalized skin eruption due to drugs and medicament

0
178 L 28.0 Lichen simplex chronicus
1
178 L 28.2 Prurigo
2
178 L 29.0 Pruritus ani
3
178 L 29.8 OTHER PRURITUS
4
178 L 29.9 Pruritus,unsp.
5
178 L 30.0 Nummular dermatitis
6
178 L 30.1 Dyshidrosis/Pompolyx
7
178 L 30.3 Infective dermatitis
8
178 L 30.5 PITYRIASIS ALBA
9
179 L 30.9 Dermatitis,unsp.
0
179 L 35.3 Tinea pedis
1
179 L 35.6 Tinea cruris
2
179 L 40.0 Psoriasis vulgaris

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
179 L 40.9 Psoriasis
4
179 L 41.2 Lymphomatoid papulosis
5
453 L 42
3

PITRIASIS ROSEA

179 L 43.9 Lichen planus , unsp

6
179 L 50.0 Allergic urticaria
7
179 L 50.9 Urticaria,unsp.
8
179 L 51.1 Bullous erythema multiforme/Steven Johnson syndrome
9
180 L 51.9 Intervertebral disc disorder, unspecirfied
0
180 L 53.9 Erythematous condition,unsp/Erythema NOS
1
180 L 55.0 Sundurn of first degree
2
180 L 55.9 Sunburn,unsp.
3
450 L 56.2 ALERGI FOTOSENSITY
2
180 L 57.0 Keratosis
4
180 L 58.9 Radiodermatitis
5
180 L 60.0 Ingrowing nail
6
180 L 60.8 OTHER NAIL DISORDERS
7
180 L 63.9 Alopecia areata,unsp.
8
453 L 65.9 ALOPESIA
0
180 L 70.0 Acne vulgaris
9

Tabel Icd
idIC Kode
D
ICD

Nama ICD

181 L 70.1 ACNE CONGLOBATA

0
181 L 70.9 Acne/Jerawat/Kukul
1
181 L 71.9 Rosacea,unsp
2
181 L 72.0 Epidermal cyst
3
181 L 72.1 Trichilemmal
4
181 L 72.9 Cyste kulit/ Follicular cyst of skin and subcutaneus tissue,unsp.
5
181 L 73.2 Hidranitis suppurativa
6
181 L 73.9 Folliculitis/Follicular disorder,unsp
7
181 L 74.0 Milliaria rubra
8
181 L 74.3 Miliaria,unsp
9
182 L 80
0

Vitiligo

452 L 81.1 MELASMA

0
182 L 81.4 Melanoderma
1
182 L 81.8 TATTOO/Disorder of pigmentation,unsp
2
182 L 81.9 Disorgers of pigmentation, Unsp.
3
182 L 82
4

Seborroeil keratosis/veruca

182 L 84
5

Clavus (Corn and callosities)

182 L 85.0 ACQUIRED ICHTHYOSIS

6
452 L 85.3 XEROSIS VULGARIS
5
182 L 88

Pyoderma gangrenosum

Tabel Icd
idIC Kode
D
ICD

Nama ICD

7
182 L 89
8

Decubetus ulcer

182 L 89.4
9
183 L 90.5 Scar conditions and fibrosis of skin
0
183 L 90.6 Striae albicantes/atrophicae
1
183 L 90.9 Atrophic disorder of skin,unsp.
2
183 L 91.0 Keloid scar
3
183 L 91.8 Other hypertrophic disorders of skin
4
183 L 92.8 OTHER GRANULOMATOUS DISORDERS OF SKIN AND SUBCUTANEOUS
5
TISSUE
183 L 92.9 Granulomatous disorder of skin and subcutaneous tissue, unsp
6
183 L 93.0 Discoid lupus erythemotosus
7
183 L 97
8

Ulcer of lower limb ,NEC

183 L 98
9

OTHER DISORDERS OF SKIN AND SUBCUTANEOUS TISSUE NOT

ELSWHERE CLASSIFIED

184 L 98.1 Factitial dermatitis

0
184 L 98.4 Ulcer/Chronic ulcer of skin ,NEC
1
184 L 98.8 Fistula/Other specified disorders of skin and subcutaneous tissue
2
184 L 99.8 Other specified disorders of skin and subcutaneous tissue in disease
3
classified elsewhere
184 L40.9 PSORIASIS,UNSPECIFIED
4
184 M 00.9 Pyogenic artrithis, unspecified
5
184 M 01.0 Meningococcal arthritis
6

Tabel Icd
idIC Kode
D
ICD

Nama ICD

184 M 01.1 Tuberculosis arthritis ( A 18.0+)

7
184 M 06.8 Other specified rheumatoid arthritis
8
184 M 06.9 Rheumatoid arthritis, unsp
9
185 M 08.0 Juvenile rheuomatoid arthritis
0
185 M 08.9 Juvenile arthritis, unspecified
1
185 M 10.0 Idiopathic gout
2
185 M 10.9 Gout Unspecified
3
185 M 13.0 Polyarthritis,unsp.
4
185 M 13.1 Monoarthritis/coxitis,not elswhere classified
5
185 M 13.9 Arthritis,unsp.
6
185 M 14.6 Neuropathic arthropathy
7
185 M 16.9 Coxartthrosis, unspecified
8
185 M 17.4 Other secondary gonarthrosis, bilateral
9
186 M 17.9 Gonarthrosis, unspecified
0
186 M 18.9 Arthrosis of first carpometacarpal joint, unsp
1
186 M 19.1 Post traumatic arthrosis of other joint
2
186 M 19.8 Other specified arthrosis
3
186 M 19.9 Osteoarthrosis/Arthrosis,unsp.
4
186 M 20.0 Deformity of finger
5
186 M 20.5 Other deformities of toe(s) ( Acquired)

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6
186 M 21.1 Varus deformity, nec
7
445 M 21.3 WRIST OR FOOT DROP ( ACQUIRED )
2
186 M 21.5 Acquired clawhand, clubhand, clawfoot and clubfoot
8
186 M 21.7 Unequal limb length(acquired)
9
187 M 21.8 OTHER SPECIFIED ADQUIRED DEFORMITIES OF LIMBS
0
187 M 21.9
1
187 M 23 . Discoid meniscus (congenital)
21
187 M 24.2 Disorder of ligament
3
187 M 24.3 Patholo dislocation and subluxation of joint, not elsewhere classificied
4
187 M 24.4 Recurrent dislocation and subluxation of joint
5
187 M 24.5 Contracture of joint
6
187 M 24.6 Ankylosis of joint
7
187 M 25.0 Haemarthrosis
8
187 M 25.3 Other instability of joint
9
188 M 25.5 Arthralgia/Pain in joint
0
188 M 25.6 Stiffness of joint, not elsewhere clasified
1
188 M 25.8 Other specified joint disorders
2
188 M 31.4 Aortic arch syndrome
3
188 M 31.9 NECROTIZING VASCULOPATHY, UNSPECIFIED
4

Tabel Icd
idIC Kode
D
ICD

Nama ICD

188 M 32.0 Drug-induced systemic lupus erythematosus

5
188 M 32.1 Systemic lupus erythematosus with organ or system involvement
6
188 M 32.8 Other forms of systemic lupus erythematosus
7
188 M 32.9 SLE/Systemic lupus erythematosus,unsp.
8
188 M 34.9 Systemic selerosis, unsp
9
189 M 35.3 Polymyalgia rheumatica
0
189 M 35.9 Systemic involvement of connective tissue, unspecified
1
189 M 41.2 Other idiopathic scoliosis
2
189 M 41.9 Scoliosis,unsp.
3
189 M 43.0 Spondylolysis
4
189 M 43.1 Spondylolistesis
5
189 M 43.6 Torticolis
6
189 M 45
7

Ankylosing spondilitis

189 M 46.1 Sacroilitis, NEC

8
189 M 46.9 Inflammatory spondylopathy,unsp.
9
190 M 47.0 Anterior spinal
0
190 M 47.8 Other spondylosis
1
190 M 47.9 Spondylosis,unsp.
2
190 M 48.0 Stenosis spinal
3
190 M 48.3 Traumatic spondylopathy

Tabel Icd
idIC Kode
D
ICD

Nama ICD

4
190 M 49.0 Tuberculosis of spine
5
190 M 50.0 Cerviccal disorders with myelopathi
6
190 M 50.1 Cervical disc disorder withm radiculoaphty
7
190 M 50.2 Other cervical displacement
8
190 M 50.3 Other cervical disc degeneration
9
191 M 50.9 Cervical disc disorder, unsp.
0
191 M 51.1 Lumbar and other intervertebral disc disorders with radiculopathy
1
191 M 51.2 HNP/Other specific intervertebral disc displacement
2
191 M 51.3 Other specified intervertebral disc degeneration
3
191 M 51.4 Schmorl's nodes
4
191 M 51.9 Intervertebral disc disorder, unspecified
5
191 M 53.1 Cervicobrachial syndrome
6
443 M 53.2 UNSTABLE BACK
1
191 M 54.1 Radiculopathy
7
191 M 54.2 Cervicalgia
8
191 M 54.3 Ischialgia/Sciatica
9
192 M 54.4 Lumbago with sciatica
0
192 M 54.5 LBP/Low back pain/lumbago
1
447 M 54.6 PAIN IN THORACIC SPINE
2

Tabel Icd
idIC Kode
D
ICD

Nama ICD

192 M 54.8 Other dorsalgia

2
192 M 54.9 Dorsalgia, unsp
3
192 M 60.9 Myiositis, unspecified
4
192 M 62.4 Contracture of muscle
5
192 M 62.5 Muscle wasting and a troply, NEC
6
192 M 62.6 Muscle strain
7
192 M 62.8 Other specified disorders of muscle
8
192 M 62.9 Didorder of muscle, unspecified
9
445 M 65.3 TRIGER FINGER
8
193 M 65.9 Synovitis and tenosynovitis
0
450 M 66.2 Spontaneous ruptur of extensor tendons
9
193 M 67.0 Short Achilles tendon (acquired)
1
193 M 67.4 Ganglion
2
193 M 67.9 DISORDERS OF SYNOVIUM AND TENDON, UNSPECIFIED
3
193 M 71.0 Bursitis
4
193 M 71.2 Synovial cyst of poplitea space
5
193 M 71.9 Bursopathy,unsp
6
446 M 72.5 FASLICITIS NOT ELSEWHERE CLASSIFIED
0
193 M 75.0 Frozen Shoulder/Adhesive capsulitis of shoulder
7
193 M 75.8 Other shoulder lesions

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8
193 M 76.4 Tibial collateral bursitis ( Pellegrini-Steid)
9
194 M 77.9 Enthesopathy, unspecified
0
194 M 79.0 Rheumatism,unsp / Fibrositis
1
194 M 79.1 Myalgia
2
194 M 79.2 Neuralgia and neuritis,unsp.
3
194 M 79.3 Panniculitis, unspecified
4
194 M 79.4 Hypertrophy of (infra patellar) fatpad
5
194 M 79.6 Pain in limb
6
194 M 80.9 Osteoporosis with pathological fracture, Unsp.
7
194 M 81.2 Osteoporosis of disusu
8
194 M 81.6 Localized osteoporosis ( Lequesne )
9
195 M 81.8 Osteoporosis lainnya
0
195 M 81.9 Osteoporosis,unsp.
1
195 M 84.0 Malunion of fracture
2
195 M 84.1 Pseudoarthrosis
3
195 M 84.2 Delayed union of fraktur
4
195 M 84.4 Pathological fracture,not elsewhere classified
5
195 M 84.8 Other disorders of contiunity of bone
6
195 M 85.0 Fibrous dysplasia ( monostotic )
7

Tabel Icd
idIC Kode
D
ICD

Nama ICD

195 M 85.5 Aneurysmal Bone Cyst

8
195 M 85.6 Other cyst of bone
9
196 M 86.0 Acute haematogenous osteomyelitis
0
442 M 86.1 OTHER ACUTE OSTEOMYELITIS
1
196 M 86.6 Other chronic osteomyelitis
1
196 M 86.8 Other osteomyelitis
2
196 M 86.9 Osteomyelitis,unsp.
3
196 M 87.9 Osteonecrosis. unsp.
4
196 M 89.5 Osteolysis
5
196 M 89.8 Other speified disorders of bone
6
196 M 89.9 DISORDER OF BONE,UNSPECIFIED
7
196 M 90.0 Tuberculosis of bone
8
196 M 90.7 Fracture of bone in neoplastic disease
9
197 M 91.0 Juvenile osteochondrosis of pelvis
0
197 M 91.1 Juvenile osteochondrosis of head of femur ( Legg-Calve-Perthes )
1
197 M 92.5 Osgood-Schlatter disease or osteochondrosis
2
197 M 93.9 Osteochondropathy, unspecified
3
197 M 94.8 OTHER SPECIFIED DISORDERS OF CARTILAGE
4
197 M 95.0 Acquired deformity of nose
5
197 M 95.4 Acquired deformity of chest and rib

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6
197 M 96.1 Poslaminectomy syndrome, NEC
7
197 M 96.8 Other postprocedural musciloskeletal disorders
8
197 M 99.5 Intervertebral disc stenosis of neural canal
9
198 N 00
0

Acute nephritic syndrome

198 N 00.9 Acute nephritic syndrome

1
198 N 01.9 Rapidy progresive nephritic syndrome, unsp
2
198 N 02.8 Recurrent and resistent haematuriaa
3
198 N 02.9 Recurent and persistent haematuria
4
198 N 03.9 Nephritic Chronic syndrome, unsp/GNC
5
451 N 04
5

NEPROTIC SYDROME

198 N 04.9 Nephrotic syndrom, unsp

6
198 N 05
7

UNSPECIFIED NEPRITIC SYNDROME

198 N 05.8 Nephrotic syndrom, other

8
198 N 05.9 Unspecifid nephritic syndrome
9
199 N 08.3 Glomerular disorders in dm
0
199 N 08.5 Glomerular disorders in systemic connective tissue disorders
1
199 N 10
2

Acute tubulo - interstitial nephritis

199 N 11.8 PNC/ Pyelonephritis Chronic

3
199 N 11.9 Chronic tubulo nephritis,unsp.
4

Tabel Icd
idIC Kode
D
ICD
199 N 12
5

Nama ICD
Pyelitis/Pyelonephritis (Tubulo-interstitial nephritis,not specified as
acute or chronic )

199 N 13.1 Hidronephrosis with ureteral stricture, not elsewhere clasiified

6
199 N 13.2 Hydronephrosis with renal and ureteral calcolous obstruction
7
199 N 13.3 Other and unsp. hydronephrosis
8
199 N 13.4 Hydroureter
9
200 N 13.5 Kinking and stricture of ureter without hydronephrosis
0
200 N 13.6 Pyonephrosis
1
200 N 13.8 Other obstructive and reflux uropathy
2
200 N 13.9 Obstructive and reflux uropathy,unsp.
3
200 N 14.2 Nephropathy induced by other drugs medicament or biological
4
substance
200 N 15.1 Renal tubulo-interstitial disease,unsp.
5
200 N 15.9 Renal tubulo-interstitial disease, unspecified
6
200 N 17.9 Acute renal failure,unsp.
7
200 N 18.0 End-stage renal disease
8
200 N 18.3 Chronic renal failure, unspecified
9
201 N 18.9 CRF/Chronic renal failure
0
201 N 19
1

Renal failure, unspecified

201 N 20.0 Calculus of kidney/Nephrolithiasis

2
201 N 20.1 Calculus of ureter
3
201 N 20.2 Calculus of kidney with calculus of ureter

Tabel Icd
idIC Kode
D
ICD

Nama ICD

4
201 N 20.9 Urinary calculus ,unsp./Urolithiasis
5
201 N 21.0 Vesicolithiasis/Calculus in bladder
6
201 N 21.1 Calculus in urethra/BSK/Urethrolitiasis
7
201 N 23
8

Colic renal, unsp

201 N 25.9 Disorder resulting from impaired renal tubular function unsp.
9
202 N 28.1 Cyst of kidney,acquired
0
202 N 28.8 Other specified disorders of kidney and ureter
1
202 N 28.9 Disorder of kidney and ureter,unsp.
2
202 N 29.1 Other disorders of kidney and ureter in infectious and parasitic
3
diseases classified elsewhere
202 N 30.0 Acute cystitis
4
202 N 30.2 Other chronic cystitis
5
202 N 30.8 Other cystitis
6
202 N 30.9 Cystitis,unsp.
7
202 N 31.2 Flaccid neuropathic bladder,not elsewhere classified
8
202 N 31.9 Neuromuscular dysfunction of bladder,unsp.
9
203 N 32.0 Bladder-neck obstruction
0
203 N 32.1 Vesicointestinal fistula
1
203 N 32.2 Vesical fistula not elsewhere classified
2
203 N 32.3 Diverticulum of bladder
3

Tabel Icd
idIC Kode
D
ICD

Nama ICD

203 N 32.8 Other specified disorders of bladder

4
203 N 32.9 Bladder disorder, unspecified
5
203 N 34.2 Other urethritis
6
203 N 34.3 Urethral syndrom, unsp
7
203 N 34.9 Urethritis
8
203 N 35.0 Post-traumatic urethral stricture
9
204 N 35.8 Other urethral stricture
0
204 N 35.9 Stricture urethra/Urethral stricture unsp.
1
204 N 36.0 Urethral fistula
2
204 N 36.2 Urethral caruncle
3
204 N 36.8 Other specified disorders of urethra
4
204 N 36.9 Uretheral disorder, unspecified
5
204 N 37.0 Urethritis in diseases classified elsewhere
6
204 N 39.0 UTI (Urinary tract infection),site not specified / ISK
7
204 N 39.3 Stress incontinence
8
204 N 39.4 Other specified urinary incontinence
9
205 N 40
0

Hyperplasia of prostate

205 N 41.1 Chronic prostatitis

1
205 N 41.2 Abscess of prostate
2
205 N 41.9 Inflammatory disease of prostate,unsp.

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
205 N 42.8 OTHER SPECIFIED DISORDERS OF PROSTATE
4
205 N 42.9 Disorder of prostate, unsp
5
205 N 43.3 Hydrocele unsp.
6
205 N 43.4 Spermatocele
7
205 N 44
8

Torsion of testis

205 N 45.0 Orchitis,epididymitis and epidymo-orchitis with abscess

9
206 N 45.9 Orchitis,epididymitis and epididymo-orchitis without abscess
0
206 N 46
1

Male infertility

206 N 47
2

Phimosis/Redundant prepuce,phimosis and paraphimosis

206 N 48.1 Balanoposthitis

3
206 N 48.2 Other inflammantory disorders of penis/Infection penis
4
206 N 48.3 DE/Diffuse Erection
5
456 N 48.8
7
206 N 48.9 DISORDER OF PENIS,UNSPECIFIED
6
206 N 49.0 Vesiculitis/Inflammatory disorders of seminal vesicle
7
206 N 49.1 Corditis/Inflamantory disorders of spermatic cord, tunica vaginalis and
8
vas deferens
206 N 49.2 Inflammatory disorders of scrotum
9
443 N 49.9 ABSES GENITAL
8
207 N 50.0 Atrophy of testis
0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

207 N 50.8 Other specified disorders of male genital organs

1
207 N 51.1 Disorderss of testis and epidimysis in diseases classified elsewhere
2
207 N 60.0 Cystic of breast/Solitary cyst of breast
3
207 N 60.1 Diffuse cystic mastopathy
4
452 N 60.3 FIBROSCLEROSIS OF BREAST
0
207 N 61
5

Mastitis/Absces mamme/Inflammatory disorders of breast

207 N 62
6

BPH/Hypertrophy prostat

207 N 64.4 Mastodynia/Mastalgia

7
207 N 64.8 Other specified disorders of breast
8
207 N 64.9 Mastopathi/Disorders of breast,unsp.
9
208 N 70.1 Chronic salpingitis and oophoritis
0
208 N 70.9 Adnexitis/Salpingitis and oophoritis,unsp.
1
208 N 71.0 Acute disease of uterus
2
208 N 71.9 Inflammatory disease of uterus,unsp.
3
208 N 72
4

Inflammatory disease of cervix uteri

208 N 73.2 Unsp parametritis and pelvic cellulitis

5
208 N 73.3 Female acute pelvic peritonitis
6
208 N 73.5 Female pelvic peritonitis, unspecified
7
208 N 73.6 Female pelvic peritonealadhesions
8
208 N 73.9 Female pelvic inflammatory disease,unsp./PID

Tabel Icd
idIC Kode
D
ICD

Nama ICD

9
209 N 74.1 Tuberculous endometritis
0
209 N 74.8 Female pelvic inflamatory disorders in other diseases clasified
1
elsewhere
209 N 75.0 Cyst of bartholin's gland
2
209 N 75.1 Abscess of bartholin's
3
209 N 75.8 Other diseases of bartholi's gland
4
209 N 76.0 Vaginitis acute, NOS/Vulvovaginitis
5
209 N 76.2 Vulvitis
6
209 N 76.4 Abscess of vulva
7
209 N 77.0 Ulceration of vulva in infectius and parasitic diseases classified
8
elsewhere
209 N 77.1 Vaginitis, vulvitis and vulvovaginitis in infectious and parasitic diseases
9
clasified elsewhere
210 N
VAGINITIS,VULVITIS AND VULVOVAGINITIS IN INFECTIOUS AND
0 77.1* PARASITIC DISEASE CLASSIFIED ELSEWHERE
210 N 80.0 Endometriosis of uterus
1
210 N 80.1 Endometriosis of ovary
2
210 N 80.2 Endometriosis of fallopian tube
3
210 N 80.3 Endometriosis of pelvis peritoneum
4
210 N 80.8 Other endometriosis
5
210 N 80.9 Endometriosis ,unsp.
6
210 N 81.0 Female urethrocele
7
210 N 81.1 Cystocele
8

Tabel Icd
idIC Kode
D
ICD

Nama ICD

210 N 81.2 Incomplete uterovaginal prolapse

9
211 N 81.3 Complete uterovaginal prolapse
0
211 N 81.4 Uterovaginal prolapse,unsp.
1
211 N 81.6 Rectocele
2
445 N 81.8 OTHER FEMALE GENITAL PROPLASE
2
211 N 81.9 Prolaps uteri/Female genital prolaps, unsp
3
211 N 82.0 Vesicovaginal fistula
4
211 N 82.3 Fistula of vagina to small intestine
5
452 N 82.9 FEMALE GENITAL TRACT FISTULA,UNSPECIFIED
1
211 N 83.0 Follicular cyst of ovary
6
211 N 83.1 Corpus luteum cyst
7
211 N 83.2 Other and unsp.ovarian cyste
8
211 N 83.5 Torsion on ovary,ovarian pedicle and fallopian tube
9
212 N 83.6 Haematosalpinx
0
212 N 83.8 Other noninflammatory disorders of ovary, fallopin tube and broad
1
ligament
212 N 83.9 Noninflammatory disorder of ovary fallopian tube and broad ligament,
2
unsp
212 N 84.0 Polyp of corpus uteri
3
212 N 84.1 Polyp of cervix uteri
4
212 N 85.0 Endomatrial glandular hyperplasia
5
212 N 85.2 Hypertrophy of uterus

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6
212 N 85.7 Haematometra
7
212 N 85.8 Other specified noninflamatory disorders of uterus
8
212 N 85.9 Noninflamatory disorder of uterus, unspecified
9
213 N 86
0

Erosion and ectropion of cervix uteri

213 N 87.1 Moderate cervical dysplasia

1
213 N 87.2 Osteonecrosis due to previous trauma
2
213 N 87.9 Dysplasia of cervix uteri, unspecified
3
213 N 89.8 Leukorrhea/Cysta Vagina
4
213 N 89.9 Fluor albus/ leukoohea/keputihan
5
213 N 90.7 Vulvar cyst
6
213 N 90.8 Adhesion of vulva
7
213 N 91.0 Primary amenorhoe
8
213 N 91.1 Secondary amenorrhoea
9
214 N 91.2 Amenorrhoea,unsp.
0
214 N 92.0 Excessive and frequent menstruction with regular cycle/polymenorrhoe
1
214 N 92.1 Menometrorrhagia/Menorhagia/Excessive and frequent menstruation
2
with irregular cycle
214 N 92.2 EXCESSIVE MENSTRUATION AT PUBERTY
3
214 N 92.3 Ovulation bleeding
4
214 N 92.4 Excessive bleeding in the premenopausal period
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

214 N 92.6 Menstruation iregular/Menstuasi tak teratur/Terlambat haid

6
214 N 93.0 Post coital and contact bleeding
7
214 N 93.8 Other specified abnormal uterine and vaginal bleeding
8
214 N 93.9 Perdarahan per vagina/Abnormal uterine and vaginal bleeding,unsp.
9
215 N 94.0 Mittelschmerz
0
215 N 94.1 Coitus, painful (female)
1
215 N 94.6 Dysmenorrhoea,unsp.
2
215 N 94.8 Other specified conditions associated with female genital organs and
3
menstrual cycle
215 N 94.9 Unspecified condition associated with female genital organs and
4
menstrual cycle
215 N 95.0 Postmenopausal bleeding
5
215 N 95.1 Menopouse
6
215 N 95.2 Postmenopausal atrophic vaginitis
7
215 N 97.1 Female infertility of tubalorigin
8
215 N 97.9 Infertility female, unsp.
9
452 N 98.8 OTHER COMPLICATIONS ASSOCIATED WITH ARTIFICIAL FERTILIZATION
2
216 N 99.1 Postprocedural urethral stricture
0
216 N73.5 Female pelvic peritonitis unsp.
1
451 O 00.0 ECTOPIC PREGNANCY
3
216 O 00.1 Tubal pregnancy/HET
2
216 O 00.2 Ovarian pregnancy

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
216 O 00.8 Other ectopic pregnancy
4
216 O 00.9 Ectopic pregnancy,unsp.
5
216 O 01.0 Classical hydatidiform mole
6
216 O 01.9 Hydatidiform mole,unsp.
7
216 O 02.0 Blighted ovum and nonhydatidiform mole
8
216 O 02.1 Missed abortion
9
217 O 02.8 Other specified abnormal product of conception
0
217 O 02.9 Abnormal product of conception,unsp.
1
217 O 03.0 Spontaneous abortion, incomplete complicated by genital track and
2
pelvic infection
217 O 03.1 Spontaneous abortion, incomplete, complicated by delayed or
3
excessive haemorrhage
217 O 03.2 Spontaneous abortion, incomplete, complicated by embolism
4
217 O 03.3 Spontaneous abortion, incomplete, with other and unspecified
5
complication
217 O 03.4 Spontaneous abortion, incomplete,without complication
6
217 O 03.5 Spontaneous abortion, Complete or unspecified, complicated by genital
7
tract and pelvic infection
217 O 03.6 Spontaneous abortion, complete or unspecified, complicated by
8
delayed excessive haemorrhage
217 O 03.7 Spontaneous abortion complete or unspecified , complicated by
9
embolism
218 O 03.8 Spontaneous abortion complete or unspecified, with other and
0
unspecified complications
218 O 03.9 Spontaneous abortion, complete or unspecified, without complication
1
218 O 04.0 Medical abortion, incomplete complecated by genital tract and pelvic
2
infection

Tabel Icd
idIC Kode
D
ICD

Nama ICD

218 O 04.1 Medical abortion, incomplete by delayed or exxesive haemorhage

3
218 O 04.2 Medical abortion, incomplete complecated by embolism
4
218 O 04.3 Medical abortion, incomplete with other and unpsecified complication
5
218 O 04.4 Medical abortion, incomplete with complication
6
218 O 04.5 Medical abortion, complete or unspecified, complicated by genital tract
7
and pelvic infection
218 O 04.6 Medical abortion, complete or unspwcified complicated by delayed or
8
exessive haemorrhage
218 O 04.7 Medical abortion, complete or unspecified, complicated by embolism
9
219 O 04.8 Medical abortion, complete or unspecified, with other and unspecified
0
complications
219 O 04.9 Medical abortion, complete or unspecified, without complication
1
219 O 05.0 Other abortion, incomplete, complicated by genital tract and pelvic
2
infection
219 O 05.1 Other abortion, incomplete, complicated by delayed or exessive
3
haemorrhage
219 O 05.2 Other abortion, incomplete, complicated by embolism
4
219 O 05.3 Other abortion , incomplete with other and unspecified complications
5
219 O 05.4 Other abortion, incomplete, without complication
6
219 O 05.5 Other abortion, complete or unspecified, complicated by genital tract
7
and pelvic infection
219 O 05.6 Other abortion, complete or unpsecified, complicated by delayed or
8
exessive haemorrhage
219 O 05.7 Other abortion, complete, or unspecified, complicated by embolism
9
220 O 05.8 Other abortion, complete or unspecified, eith other and unspecified
0
complications
220 O 05.9 Other abortion, complete or unspecified, without complication
1
220 O 06

UNSPECIFIED ABORTION

Tabel Icd
idIC Kode
D
ICD

Nama ICD

2
220 O 06.0 Unspecified abortion, incomplete by genital tract and pelvic infection
3
220 O 06.1 Unspecified abortion, incomplete complicated by delayed or exessive
4
haemorrhage
220 O 06.2 Unspecified abortion, incomplete complicated by embolism
5
220 O 06.3 Unspecified abortion, incomplete, with other and unspecified
6
complications
220 O 06.4 Unspecified abortion, incomplete, without complication/abortus
7
incompletus
220 O 06.5 Unspecified abortion, complete or unsp, complicated by genital tract
8
and pelvic infection
220 O 06.6 Unspecified abortion, complete or unsp, complicated by delayed or
9
exessive haemorrhage
221 O 06.7 Unspecified abortion, complete or unspecified, complicated by
0
embolism
221 O 06.8 Unspecified abortion, complete or unspecified with other and
1
unspecified complications
221 O 06.9 Unspecified abortion, complete or unspecified, without complication
2
221 O 07.0 Failed medical abortion, complicated by genital tract and pelvic
3
infection
221 O 07.1 Failed medical abortion, complicated by delayed or exessive
4
haemorrhage
221 O 07.2 Failed medical abortion, complicated by embolism
5
221 O 07.3 Failed medical abortion, with other and unspecified complication
6
221 O 07.4 Failed medical abortion, without complication
7
221 O 07.5 Other and unsp failed attempet abortion, .../Abortus infection
8
221 O 07.6 Other and unspecified failed attemted abortion, ...
9
222 O 07.7 Other and unsp failed attemped abortion, complicated by embolism
0
222 O 07.8 Other and unsp failed attemped abortion, with other ..
1

Tabel Icd
idIC Kode
D
ICD

Nama ICD

222 O 07.9 Other and unsp.failed attempted abortion ,without complication

2
222 O 08.0 Genital tract and pelvic infection following abortion and ectopic and
3
molar pregnancy
222 O 08.1 Delayed or excessive haemorrhage following abortion and ectopic and
4
molar pregnancy
222 O 08.2 Embolism following abortion and ectopic and molar pragnancy
5
222 O 08.3 Shock following abortion and ectopic and molar pregnancy
6
222 O 08.4 Renal failure following abortion ectopic and molar pregnancy
7
222 O 08.5 Metabolic disorders following abortion and ectopic and molar
8
pregnancy
222 O 08.6 Damage to pelvic organs and tissues following abortion and ectopic
9
and molar pragnancy
223 O 08.7 Other venous complications following abortion and ectopic and molar
0
pregnancy
223 O 08.8 Other complications following abortion and ectopic and molar
1
pregnancy
223 O 08.9 Complication following abortion and ectopic and molar pregnancy,
2
unspecified
223 O 10.0 Pre-existing essential hypertension complicating pregnancy,childbirth
3
and the puerpurium
223 O 10.1 Pre-existing hypertensive heart disease complicating pregnancy,
4
chilbirth and puerperium
223 O 10.2 Pre-existing hypertensive renal disease complicating pregnancy,
5
chilbirth and puerperium
223 O 10.3 Pre-existing hypertensive heart and renal disease complicating
6
pregnancy, chilbirth and puerperium
223 O 10.4 Pre-existing secondary hypertension complicating pregnancy, chilbirt
7
and puerperium
223 O 10.9 Unspecified pre-existing hypertension complicating pregnancy, chilbirth
8
and purperium
223 O 11
9

Pre-existing hypertensive disorder with superimposed proteinuria

224 O 12.0 Gestational oedema

0
224 O 12.1 Gestational proteinuria

Tabel Icd
idIC Kode
D
ICD

Nama ICD

1
224 O 12.2 Gestational oedema with proteinuria
2
224 O 13
3

Mild pre-elampsia/edema gravis

224 O 14.0 Moderate pre eclampsia

4
224 O 14.1 Severe pre eclampsia
5
224 O 14.9 Pre-eclampsia,unsp.
6
224 O 15.0 Eclampsia in pregnancy
7
224 O 15.1 Eclampsia in labour
8
224 O 15.2 Eclampsia in the puerperium
9
225 O 15.9 Eclampsia,unspecified as to time period
0
225 O 16
1

Unspecified maternal hypertension

225 O 20.0 Abortus Iminent/Threatened abortion

2
225 O 20.8 Other haemorrhage in early pregnancy
3
225 O 20.9 Haemorrhage in early pregnancy, unspecified
4
225 O 21.0 Mild Hyperemesis gravidarum
5
225 O 21.1 Hyperemesis gravidarum with metabolic disturbance
6
225 O 21.2 Late vomiting of pragnancy
7
225 O 21.8 Other vomiting complicating pregnancy
8
225 O 21.9 Vomiting of pragnancy
9
226 O 22.0 Varicose veins of lower extremity in pragnancy
0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

226 O 22.1 Genital varices in pragnancy

1
226 O 22.2 Superficial thrombophlebitis in pregnancy
2
226 O 22.3 Deep phlebothrombosis in pregnancy
3
226 O 22.4 Haemorrhoid in pregnancy
4
226 O 22.5 Cerebral venous thrombosis in pragnancy
5
226 O 22.8 Other venous complications in pregnancy
6
226 O 22.9 Venous complication in pregnancy, unspecified
7
226 O 23.0 Infection of kidney in pregnancy
8
226 O 23.1 Infections of kidney in pregnancy
9
227 O 23.2 Infection of bladder in pregnancy
0
227 O 23.3 Infection of urethra in oregnancy
1
227 O 23.4 Unspecified infection of urinary tract in pregnancy
2
227 O 23.5 Infection of the genital tract in pregnancy
3
227 O 23.9 Other and unpsecified genitourinary tract infaction in pregnancy
4
227 O 24.0 Pre-existing diabetes mellitus, insulin-dependent
5
227 O 24.1 Pre-existing diabetes mellitus, non-insulin-dependemt
6
227 O 24.2 Pre-existing malnutrition-related diabetes mellitus
7
227 O 24.3 Pre-existing diabetes mellitus, unspecified
8
227 O 24.4 Diabetes mellitus arising in pregnancy
9
228 O 24.9 Diabetes mellitus in pregnancy, unspecified

Tabel Icd
idIC Kode
D
ICD

Nama ICD

0
228 O 25
1

Malnutrition in pregnancy

228 O 26.0 Excessive weigh gain in pragnancy

2
228 O 26.1 Low weight gain in pregnancy
3
228 O 26.2 Pregnancy care of habitual aborter
4
228 O 26.3 Retained intrauterine contraceptive device in pregnancy
5
228 O 26.4 Herpes gestationis
6
228 O 26.5 Maternal hypotension syndrome
7
228 O 26.6 Liver disorders in pregnancy ,childbirth and the puerperium
8
228 O 26.7 Subluxation of symphysis(pubis) in pregnancy, chilbirthh and the
9
puerperium
229 O 26.8 Other specified pregnancy-related conditions
0
229 O 26.9 Pragnancy-related condition, unspecified
1
229 O 28.0 Abnormal haemotological finding on antenatal screening of mother
2
229 O 28.1 Abnormal biochemical finding on antenatal screening of mother
3
229 O 28.2 Abnormal cytological finding on antenatal screening of mother
4
229 O 28.3 Abnormal ultrasonic finding on antenatal screening of mother
5
229 O 28.4 Abnormal radiological finding on antenatal screening of mother
6
229 O 28.5 Abnormal chromosomal and genetic finding on antenatal screening of
7
mother
229 O 28.8 Other abnormal findings on antenatal screening of mother
8
229 O 28.9 Abnormal finding on antenatal screening of mother, unpspecified
9

Tabel Icd
idIC Kode
D
ICD

Nama ICD

230 O 29.0 Pulmonary complications of anaesthesia during pregnancy

0
230 O 29.1 Cardiac complications of anaesthesia during pregnancy
1
230 O 29.2 Central nervous system complications of anaesthesia during pregnancy
2
230 O 29.3 Tpxic reaction to local anaesthesia during pragnancy
3
230 O 29.4 Spinal and epidural anaesthesia-induced headache during pregnancy
4
230 O 29.5 Other complications of spinal and epidural anaesthesia during
5
pragnancy
230 O 29.6 Failed or difficult intubation during pregnancy
6
230 O 29.8 Other complications of anaesthesia during pregnancy
7
230 O 29.9 Complication of anaesthasia during pregnancy, unspecified
8
230 O 30.0 Twin pregnancy
9
231 O 30.1 Tripled pregnancy
0
231 O 30.2 Quadruplet pregnancy
1
231 O 30.8 Other multiple gestation
2
231 O 30.9 Multiple gestation, unspecified
3
231 O 31.0 Papyraceous fetus
4
231 O 31.1 Continuing pragnancy after abortion of one fetus or more
5
231 O 31.2 Other complications specific to multiple gestation
6
231 O 31.8 Other complications specific to multiple gestation
7
231 O 32.0 Maternal care for unstable lie
8
231 O 32.1 Maternal Care of tranverse and oblique lia/LL

Tabel Icd
idIC Kode
D
ICD

Nama ICD

9
232 O 32.2 Maternal care for transverse and oblique lie
0
232 O 32.3 Maternal care for face,brow and chin presentation
1
232 O 32.4 Maternal care for high head at term
2
232 O 32.5 Maternal care for multiple gestation with malpresentation of one fetus
3
or more
232 O 32.6 Maternal care for compound presentation
4
232 O 32.8 Maternal care for other malpresentation of fetus
5
232 O 32.9 Maternal care for malpresentation of fetus, unsp
6
232 O 33.0 Maternal care for disproportion due to defirmity of maternal pelvic
7
bones
232 O 33.1 Maternal care for disproportion due to generally contracted pelvisbone
8
232 O 33.2 Maternal care for disproportion due to inlet contraction pelvis
9
233 O 33.3 Maternal care for disproportion due to outlet contraction of pelvis
0
233 O 33.4 Maternal care for disproportion of mixed maternal and fetal origin
1
233 O 33.5 Maternal care for disproportion due to unusually large fetus
2
233 O 33.6 Maternal care for disproprtion due to hydrocephalic fetus
3
233 O 33.7 Maternal care for disproportion due to other fetal deformities
4
233 O 33.8 Maternal care for disproportion of other origin
5
233 O 33.9 Maternal care for disproportion, unspecified
6
233 O 34.0 Maternal care for congenital malformation of uterus
7
233 O 34.1 Maternal care for tumour of corpus uteri
8

Tabel Icd
idIC Kode
D
ICD

Nama ICD

233 O 34.2 Maternal care due to uterine scar from previous surgery
9
234 O 34.3 Maternal care for cervical incompetence
0
234 O 34.4 Maternal care for other abnormalities of cervix
1
234 O 34.5 Maternal care for other other abnormalities of gravid uteris
2
234 O 34.6 Maternal care for abnormality of vagina
3
234 O 34.7 Maternal care for abnormality of vulva and perineum
4
234 O 34.8 Maternal care for other abnormalities of pelvic organs
5
234 O 34.9 Maternal care for abnormality of pelvic organ, unspecified
6
234 O 35.0 Maternal care for (suspected) central nervous system malformation in
7
fetus
234 O 35.1 Maternal care for (suspected) chromosomal abnormality in fetus
8
234 O 35.2 Maternal care for (suspected) hereditary disease in fetus
9
235 O 35.3 Maternal care for (suspected) damage to fetus from viral disease in
0
mother
235 O 35.4 Maternal care for (suspected) damage to fetus from alcohol
1
235 O 35.5 Maternal care for (suspected) damage to fetus by drugs
2
235 O 35.6 Maternal care for (suspected) damage to fetus by radiation
3
235 O 35.7 Maternal care for (suspected) damage to fetus by other medical
4
procedures
235 O 35.8 Maternal care for (suspected) fetal abnormality and damage
5
235 O 35.9 Maternal care fot (suspected) fetal abnormality and damage,
6
unspecified
235 O 36.0 Maternal care for rhesus isoimmumization
7
235 O 36.1 Maternal care for other isoimmunization

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8
235 O 36.2 Maternal care for hydrops fetalis
9
236 O 36.3 Maternal care for signs of fetal hypoxia
0
236 O 36.4 Maternal care for intrauterine death/iufd
1
236 O 36.5 Maternal care for poor fetal growth
2
236 O 36.6 Maternal care for excessive fetal growth
3
236 O 36.7 Maternal care for viable fetus in abdominal pregnancy
4
236 O 36.8 Maternal care for other specified fetal problem
5
236 O 36.9 Maternal care for fetal problem, unspecified
6
236 O 40
7

Polyhydramnios

236 O 41.0 Oligohydramnios

8
236 O 41.1 Infection of amniotic sac and membranes
9
237 O 41.8 Other specified disorders of amniotic fluid and memnranes
0
237 O 41.9 Disorders of amniotic fluid snd membranes, unspecified
1
237 O 42.0 Premature rupture of membranes, onset of labour within 24 hours
2
237 O 42.1 Premature rupture of membranes, onset of labour after hours
3
237 O 42.2 Premature rupture of membranes, labour delayed by therapy
4
237 O 42.9 Premature rupture of membranes,unsp./kpd
5
237 O 43.0 Placental transfusion syndromes
6
237 O 43.1 Malformation of placenta
7

Tabel Icd
idIC Kode
D
ICD

Nama ICD

237 O 43.8 Other placental disorders

8
237 O 43.9 Placental disorders, uspecified
9
238 O 44.0 Placenta praevia specified as without haemorhage
0
238 O 44.1 Placenta praevia with haemorrhage
1
238 O 45.0 Premature separation of placenta with coagulation defect
2
238 O 45.8 Other premature separation of placenta
3
238 O 45.9 Premature separation of placenta, unspecified
4
238 O 46.0 Antepart haem with coagulation defect
5
238 O 46.8 Other antepartum haemorrhage, unsp.
6
238 O 46.9 Antepartum haemorrhage,unsp.
7
238 O 47.0 Inpartu/False labour before 37 complete weeks of gestation
8
238 O 47.1 False labour at or after 37 completed weeks of gestation
9
239 O 47.9 False labour,unsp.
0
239 O 48
1

Prolonged pregnancy

239 O 60
2

Preterm delivery

239 O 61.0 Failed failed induction of labour

3
239 O 61.1 Failed medical induction of labour
4
239 O 61.8 Other failed induction of labour
5
239 O 61.9 Failed induction of labour ,unsp.
6
239 O 62.0 Primary inadequate contractions

Tabel Icd
idIC Kode
D
ICD

Nama ICD

7
239 O 62.1 Secondary uterine inertia
8
239 O 62.2 Other uterine inertia
9
240 O 62.3 Precipitate
0
240 O 62.4 Hypertonic incorordinate,and prolonged uterine contaction
1
240 O 62.8 Other abnormalities of foeces of labour, unpecified
2
240 O 62.9 Abnormality of forces of labour, unsp.
3
240 O 63.0 Prolonged first stage (of labour)
4
240 O 63.1 Prolonged second stage (of labour)
5
240 O 63.2 Delayed delivery of second twin teriplet
6
240 O 63.9 Long labour,unsp.
7
240 O 64.0 Obstructed labour due to incomplete rotation of fetal head
8
240 O 64.1 Obsructed labour due to breech presention/primi gravida
9
241 O 64.2 Obstructed labour due to face presentation
0
241 O 64.3 Obstructed labour due to brow presentation
1
241 O 64.4 Obstructed labour due to shoulder presentation
2
241 O 64.5 Obstructed labour due to compound presentation
3
241 O 64.8 Obstructed labour due to other malposition and malpresentation
4
241 O 64.9 Obstructive labour due to malposition and malpresentation unspecified
5
241 O 65.0 Obstructed labour dur to reformed pelvis
6

Tabel Icd
idIC Kode
D
ICD

Nama ICD

241 O 65.1 Obstructed labour due to generally contracted pelvis

7
241 O 65.2 Obstructed labour due to pelvic inlet contraction
8
241 O 65.3 Obstructed labour due to outlet and mid-cavity contraction
9
242 O 65.4 Obstructied labour due to fetopelvic disproportion, unspecified
0
242 O 65.5 Obstructed labour due to abnormality of maternal pelvic organs
1
242 O 65.8 Obstructed labour due to other maternal pelvic abnormalities
2
242 O 65.9 Obstructed labour due to maternal pelvic abnormality, unspecified
3
242 O 66.0 Obstructed labour due to shoulder dystocia
4
242 O 66.1 Obstructed labour due to locjed twins
5
242 O 66.2 Obstructed labour due to unusually large fetus
6
242 O 66.3 Obstructed labour due to other abnormality large fetus
7
242 O 66.4 Failed trial of labour, unspecified
8
242 O 66.5 Failed application of vaccum extractor and forceps,unsp.
9
243 O 66.8 Other specified aobstructed labour
0
243 O 66.9 Obstructed labour, unspecified
1
243 O 67.0 Intrapartum haemorrhage with coagulation defect
2
243 O 67.8 Other intrapartum haemorrhage
3
243 O 67.9 Intrapartum haemorrhage, unspecified
4
243 O 68.0 Labour and delivery complicated by fetal heart rate anomaly
5
243 O 68.1 Labour and delivery complicated by meconium in amniotic fluid

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6
243 O 68.2 Labour and delivery complicated by fetal heart rate anomaly with
7
meconium in amniotic fluid
243 O 68.3 Labour and delivery complicated by biochemical avidence of fetal
8
stress
243 O 68.8 Labour and delivery complicated by other evidence of fetal stress
9
244 O 68.9 Labour and delivery complicated by fetal stress,unsp.
0
244 O 69.0 Labour and delivery complicated by prolapse of cord
1
244 O 69.1 Labour abd delivery complicated by cord around neck. with
2
compression
244 O 69.2 Labour and delivery complicated by other cird entanglement
3
244 O 69.3 Labour and delivery complicated by short cord
4
244 O 69.4 Labour and delivery complicated by vassa praevia
5
244 O 69.5 Labour and delivery complicated by vascular lesion of cord
6
244 O 69.8 Labour and delivery complicated by other cord complications
7
244 O 69.9 Labour and delivery complicated by cord complication, unspecified
8
244 O 70.0 First degree perineal laceration during delivery
9
245 O 70.1 Second degree perineal laceration during delivery
0
245 O 70.2 Third degree perineal laceration during delivery
1
245 O 70.3 Fourth degree perineal laceration during delivery
2
245 O 70.9 Perineal laceration during delivery, unspecified
3
245 O 71.0 Rupture of uterus before onset of labour
4
245 O 71.1 Rupture Of Uterus During Labour
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

245 O 71.2 Postpartum inversion of uterus

6
245 O 71.3 Obstetric laceration of cervic
7
245 O 71.4 Obstetric high vaginal laceration alone
8
245 O 71.5 Other obstetric injury to pelvic organs
9
246 O 71.6 Obstetric damage to pelvic joints and ligamrnts
0
246 O 71.7 Obstetric haemoatoma of pelvic
1
246 O 71.8 Other specified obstetric trauma
2
246 O 71.9 Obstetric trauma, unspecified
3
246 O 72.0 Third-stage haemorrhage/retensio placenta
4
246 O 72.1 Other immediate postpartum haemorrhage
5
246 O 72.2 Delayed and secondary postpartum haemorrhage
6
246 O 72.3 Delayed and secondary postpartum haemorrhage
7
246 O 73.0 Retained placenta without haemorrhage
8
246 O 73.1 Retained portions of placenta and membranes,without haemorrhage
9
247 O 74.0 Aspiration pneumonitis due to anaesthesia during labour and delivery
0
247 O 74.1 Other pulmonary complications of anaesthesia during labour and
1
delivery
247 O 74.2 Cardiac complications of anaesthesia during labour and delivery
2
247 O 74.3 Central nervous system complications of anaesthesia during labour and
3
delivery
247 O 74.4 Toxic reaction to local anaestheia during labour and delivery
4
247 O 74.5 Spinal and epidural anaesthesia-induced headache during labour and

Tabel Icd
idIC Kode
D
ICD
5

Nama ICD
delivery

247 O 74.6 Other complications of spinal and epidural anaesthesia during labour
6
and delivery
247 O 74.7 Failed or difficult intubation during labour and delivery
7
247 O 74.8 Other complications of anaesthesia during labour and delivery
8
247 O 74.9 Complication of anaesthesia during labour and delivery, unspecified
9
248 O 75.0 Maternal distress during labour and delivery
0
248 O 75.1 Shock during or following labour and delivery
1
248 O 75.2 Pyrexia during labour, not elsewhere classified
2
248 O 75.3 Other infection during labour
3
248 O 75.4 Other complications of obstetric surgery and procedures
4
248 O 75.5 Delayed delivery after artificial rupture of membranes
5
248 O 75.6 Delayed delivery after spontaneous or unspecified rupture membranes
6
248 O 75.7 Vaginal delivery following previous caesarean section
7
248 O 75.8 Other specified complication of labour and delivery
8
248 O 75.9 Complication of labour and delivery, unspecified
9
249 O 80
0

SINGLE SPONTANEOUS DELIVERY

249 O 80.0 Spontaneous vertex delivery/partus

1
249 O 80.1 Spontaneous breech delivery
2
249 O 80.8 Other single spontaneous delivery
3
249 O 80.9 Single spontaneous delivery,unsp.
4

Tabel Icd
idIC Kode
D
ICD

Nama ICD

249 O 81.0 Low forceps delivery

5
249 O 81.1 Mid-cavity forceps delivery
6
249 O 81.2 Mid-cavity forceps with rotation
7
249 O 81.3 Other and unspecified forceps delivery
8
249 O 81.4 Vaccum extractor delivery
9
250 O 81.5 Delivery by combination of forceps and vacuum extractor
0
250 O 82
1

SINGLE DELIVERY BY CAESAREAN SECTION

250 O 82.0 Delivery by elective caesarian section

2
250 O 82.1 Delivery by emergency caesarean section
3
250 O 82.2 Delivery by caesarean hysterectomy
4
250 O 82.8 Other single delivery by caesarean section
5
250 O 82.9 Delivery by caesarean section,unsp.
6
250 O 83.0 Breech extraction
7
250 O 83.1 Other assisted breech delivery
8
250 O 83.2 Other manipulation-assisted delivery
9
251 O 83.3 Delivery of viable fetus in abdominal pregnancy
0
251 O 83.4 Destructive operation of delivery
1
251 O 83.8 Other specified assisted single delivery
2
251 O 83.9 Assisted single delivery, unspecified
3
251 O 84.0 Multiple delivery,all spontaneous

Tabel Icd
idIC Kode
D
ICD

Nama ICD

4
251 O 84.1 Multiple delivery, all by forceps and vacuum extractor
5
251 O 84.2 Multiple delivery, all by caesarean section
6
251 O 84.8 Other multiple delivery
7
251 O 84.9 Multiple delivery, unspecified
8
251 O 85
9

Puerperal sepsis

252 O 86.0 Infection of obstetric surgical wound

0
252 O 86.1 Other infection of genital tract following delivery
1
252 O 86.2 Urinary tract infection following delivery
2
252 O 86.3 Other genitourinary tract infections following delivery
3
252 O 86.4 Pyrexia of unknown origin following delivery
4
252 O 86.8 Other specified puerperal infections
5
252 O 88.0 Obstetric air embolism
6
252 O 88.1 Amniotic fluid embolism
7
252 O 88.2 Obstetric blood-clot embolism
8
252 O 88.3 Obstetric pyaemic and septic embolism
9
253 O 88.8 Other abstetric embolism
0
253 O 89.0 Pulmonary complications of anaesthesia during the puerperium
1
253 O 89.1 Cardiac complication of anaesthesia during the puerperium
2
253 O 89.2 Central nervous system complications of anaesthesia during the
3
puerperium

Tabel Icd
idIC Kode
D
ICD

Nama ICD

253 O 89.3 Toxic reaction to local anaesthesia during the puerperium

4
253 O 89.4 Spinal and epidural anaethesia-induced headache during puerperium
5
253 O 89.5 Other complications of spinal and epidural anaesthesia during the
6
puerperium
253 O 89.6 Failed or difficult intubation during the puerperium
7
253 O 89.8 Other complications of anaesthesia during the puerperium
8
253 O 89.9 Complication of anaesthesia during the puerperium, unspecified
9
254 O 90.0 Disruption of caecarean section wound
0
254 O 90.1 Disruption of perineal obstetric woun
1
254 O 90.2 Haematoma of obstetric wound
2
254 O 90.3 Cardiomyopathy in the puerperium
3
254 O 90.4 Postpartum acute renal failure
4
254 O 90.5 Postpartum Thyroiditis
5
254 O 90.8 Other complication of the puerperium, not elsewhere classified
6
254 O 90.9 Complication of the puerperium, unspecified
7
254 O 91.0 Infection of nipple associated with chilbirth
8
254 O 91.1 Abscess of breast associated with chilbirth
9
255 O 91.2 Nonpurulent mastitis associated with chilbirth
0
255 O 92.0 Retracted nipple associated with chilbirth
1
255 O 92.1 Cracked nipple associated with chilbirth
2
255 O 92.2 Other and unspecified disorders of breast associated with chilbirth

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
255 O 92.3 Agalactia
4
255 O 92.5 Supressed lactation
5
255 O 92.6 Galactorrhoea
6
255 O 92.7 Other and unspecified disorders of laceration
7
255 O 95
8

Obstetric death of unspecified cause

255 O 96
9

Death from any obstetric cause occuring more than 24 days but less
than one year after delivery

256 O 97
0

Death from sequelae of direct obsteric causes

256 O 98.0 Tuberculosis complicating pregnancy, chilbirth and the puerperium

1
256 O 98.1 Syphilis complicating pregnancy, childbirth & puerperium
2
256 O 98.2 Gonorrhoe complicating pregnancy, chilbirth and the puerperium
3
256 O 98.3 Other infections with a predominantly sexual mode of transmission
4
complicating pragnancy, ...
256 O 98.4 Viral hepatitis complicating pregnancy, chilbirth and the puerperium
5
256 O 98.5 Other viral disease complicating pregnancy, chilbirth and the
6
puerperium
256 O 98.6 Protozoal disease complicating pregnancy, chilbirth and the
7
puerperium
256 O 98.8 Other maternal infectious and parasitic diseases complicating
8
pregnancy, chilbirth and ...
256 O 98.9 Unspecified maternal infectious or parasitic disease complicating
9
pregnancy, chilbirth ...
257 O 99.0 Anaemia complicating pregnancy,childbirth and the puerperium
0
257 O 99.1 Other disease of blood and blood-forming organs and certain disorders
1
involving the immune ...
257 O 99.2 Endocrine, nutritional and metabolic disease complicating pregnancy,
2
chilbirth and ...

Tabel Icd
idIC Kode
D
ICD

Nama ICD

257 O 99.3 Mental disorders and diseasea of the nervous system complicating
3
pregnancy,childbirth and the puerp
257 O 99.4 Diseases of the circulatory system complicating pregnancy, chilbirth
4
257 O 99.5 Diseases of the resp system complicating pregnancy chilbirth and the
5
puerperium
257 O 99.6 Diseases of the digestive system complicating pregnancy, childbirth
6
and the puer pureum
257 O 99.7 Diseases of the skin and subcutaneus tissue complicating pregnancy,
7
chilbirth and the puer pureum
257 O 99.8 Other specified diseases and conditions and complicating pregnancy,
8
childbirt and the puerperium
257 O00.9 ECTOPIC PREGNANCY,UNSPECIFIED
9
440 P 00.1
7
440 P 00.2
8
440 P 00.3
9
441 P 00.4 CO GIZI
0
441 P 00.5
1
258 P 01.1 Fetus and newborn affected by premature of membranes
0
258 P 03.0 Prematuriy/Fetus and newborn affected by breech delivery and
1
extraction
258 P 03.2 Fetus and newborn affected by forceps delivery
2
258 P 03.3 Fetus and newborn effected by delivery by vaccum extractor(ventous)
3
258 P 03.4 Fetus and newborn affected by caesarean delivery
4
445 P 03.8 CRANIOTOMY
2
258 P 03.9 Fetus and newborn affected by complication of labour abd delivery,
5
unsp
258 P 05.0 Light for gestational age

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6
258 P 07.0 Extremely low birth weight
7
258 P 07.1 BBLR/Other low birth weight
8
258 P 07.2 Extreme immaturity
9
259 P 07.3 Other preterm infants/Prematurity NEC
0
259 P 12.0 Cephalhaematoma due to birth injury
1
259 P 13.3 Bierth injury to oather long bones
2
259 P 14.3 Other brachial plexus birth injuries
3
259 P 20.9 Intrauterine hypoxia, unspecified
4
259 P 21.0 Severe birth asphyxia
5
259 P 21.1 Mild and moderate birth asphyxia
6
259 P 21.9 Birth asphyxia,unsp.
7
259 P 22.0 Respiratory distress syndrome of newborn
8
259 P 22.9 Respiratory distress of newborn,unsp.
9
260 P 23.9 Congenital pneumonia, unspecified
0
260 P 24.0 Neonatal aspiration of meconium
1
260 P 24.1 Neonatal aspiration of amniotic fluid and mucus
2
260 P 24.3 Neonatal aspiration of Milk And Regungitated Food
3
260 P 24.9 Neonatal aspiration syndrome
4
260 P 25.1 Pneumothorax originating in the perinatal period
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

260 P 28.5 Respiratory failure of newborn

6
260 P 28.8 Other specified respiratory conditions of newborn
7
260 P 29.0 Neonatal cardiac failure
8
260 P 35.1 Congenital cytomegalovirus infection
9
261 P 36.8 Other bacterial sepsis of newborn
0
261 P 36.9 Bacterial sepsis of newborn,unsp.
1
261 P 37.1 Congenital toxoplasmosis
2
445 P 38
9

OMPHALITIS

261 P 38.8 Other specified infections specific to the perinatal period

3
261 P 39.1 Neonatal conjuctivitis and dacryocystitis
4
261 P 39.8 Other specified infection specific to the perinatal period
5
261 P 39.9 Infection specific to the perinatal period,unsp.
6
453 p 51.9 perdarahan umbilikus
0
261 P 52.3 Unspecified intraventricular (nontraumatic)haemorrhage of fetus and
7
newborn
261 P 54.3 Other gastrointestinal hemorrhage
8
261 P 54.6 Neonatal vaginal haemorrhage
9
262 P 54.8 Other specified neonatal haemorrhages
0
262 P 59.0 Neonatal Jaundice associated with preterm delivery
1
262 P 59.9 Neonatal jaundice,unsp.
2
262 P 61.2 Anaemia of prematurity

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
262 P 61.4 Other congenital anemias,not elsewhwre classified
4
262 P 61.9 Perinatal haematological disorder, unspecified
5
262 P 72.2 Other transitory neonatal disorders of thyroid function, nec
6
262 P 74.0 Late metabolic acidosis of newborn
7
262 P 74.1 Dehydration of newborn
8
262 P 76.0 Meconium fetus syndrom
9
263 P 76.1 Transitory ileus of newborn
0
263 P 76.9 Intestinal obstruction of newborn, unspecified
1
263 P 77
2

Necrotizing enterocolitis of fetus and newborn

263 P 78.3 Noninfective neonatal diarrhoea

3
263 P 78.9 Perinatal digestive system disorder, unspecified
4
263 P 83.5 Congenital hydrocele
5
263 P 90
6

Convulsion of newborn

263 P 91.3 Neonatal cerevral irritability

7
263 P 94.8 Other disorders of muscle tone of newborn
8
263 Q 00.0 Anencephaly
9
264 Q 01.1 Nasofrontal encephalocele
0
264 Q 01.2 Ocipital encephalocele
1
264 Q 01.9 Encephalocele, unsp
2

Tabel Icd
idIC Kode
D
ICD
264 Q 02
3

Nama ICD
Microcephaly

264 Q 03.9 Conenital hydrocephalus,unsp.

4
264 Q 04.3 Other reduction deformities of brain
5
264 Q 04.9 Congenital malformation of brain, unspecified
6
264 Q 05.0 Cervical spina bifida with hydrocephalus
7
264 Q 05.4 Unspecified spina bifida with hydrocephalus
8
264 Q 05.7 Lumbar spina bifida without hydrocephalus
9
265 Q 05.9 Spina bifida,unsp./Meningocele
0
265 Q 12.0 Congenital cataract
1
265 Q 15.9 Congenital malformation of eye, unspecified
2
265 Q 17.0 ACCESSORY AURICLE
3
265 Q 17.9 Congenital malformation of ear, unspecified
4
265 Q 18.0 Sinus, fistula and cyst of brachial cleft
5
265 Q 18.1 PREAURICULAR SINUS AND CYST
6
265 Q 21.0 Ventricular septal defect
7
265 Q 21.1 Atrial septal defect
8
265 Q 21.2 Atrioventricular septal defect
9
266 Q 21.3 Atrioventicular septal defect
0
266 Q 21.8 Other congenittal malformations of cardiac septa
1
266 Q 21.9 Congenital malformation of cardiac septum, unsp/VSD

Tabel Icd
idIC Kode
D
ICD

Nama ICD

2
266 Q 22.1 Congenital pulmonary valva stenosis
3
266 Q 23.8 Other congenital malformations aortic and mitral valves
4
266 Q 24.8 Other specified congenital malformation of heart
5
266 Q 24.9 Conenital malformation of heart,unsp.
6
266 Q 25.0 PANTENT DUCTUS ARTERIOSUS
7
266 Q 27.3 Peripheral arterio venous malformation
8
266 Q 28.9 Congenital malformation of circulatory system,unsp
9
267 Q 30.8 Other congenital malformations of nose
0
267 Q 31.9 Congenital malformation of larynx, unspecified
1
267 Q 35.0 Cleft hard palate, bilateral
2
267 Q 35.1 Cleft hard palate, unilateral
3
267 Q 35.3 Other congenital malformations of tongue
4
267 Q 35.8 Cleft palate,unsp.,bilateral
5
267 Q 35.9 Cleft palate,unspicified,unilateral
6
267 Q 36.0 Cleft lip, bilateral
7
267 Q 36.9 Cleft lip,unilateral
8
267 Q 37
9

CLEFT PALATE WITH CLEFT LIP

268 Q 37.0 Cleft hard palate with cleft lip, bilateral

0
268 Q 37.1 Cleft hard polate with cleft lip, unilateral
1

Tabel Icd
idIC Kode
D
ICD

Nama ICD

268 Q 37.2 Cleft hard polate with cleft lip bilateral

2
268 Q 37.8 Unspecified cleft palate with cleft lip, bilateral
3
268 Q 37.9 Unsp, clift polate wish cliftlip unilateral
4
268 Q 38.1 Ankyloglossia
5
268 Q 38.2 Macroglossia
6
268 Q 39.0 Atresia esophagus of esophagus without fistula
7
268 Q 40.0 Conegnital hypertropic pyloric stenosis
8
268 Q 40.2 Other specified congenintal malformations of stomach
9
269 Q 41.0 Congenital absence, atresia and stenosis of duodenum
0
269 Q 41.1 Congenital absence, atresia and stenosis of jejurum
1
269 Q 41.9 Congenital absence, atresia and stenosis of small intestin, parrt
2
unspecified
269 Q 42.2 Congenital absence, atresia and stenosis of anus with fistula
3
269 Q 42.3 Congenital absence,atresia and stenosis of anus without fistula
4
269 Q 43.0 Mechell divertikulum
5
269 Q 43.1 Hirschsprung's disease
6
269 Q 43.3 Congenital malformations of intestinal fixation
7
269 Q 43.5 Ectopic anus
8
269 Q 43.8 Other specified congenital malformation of intestine
9
270 Q 44.4 Choledochal cyst
0
270 Q 44.6 Cystic disease of liver

Tabel Icd
idIC Kode
D
ICD

Nama ICD

1
270 Q 50.5 Embryonic cyst of broad ligament
2
270 Q 51.0 Agenesis and aplasia of uterus
3
270 Q 52.0 Congenital absence of vagina
4
270 Q 52.3 Imperforate hymen
5
270 Q 53.0 Ectopic testis
6
270 Q 53.1 Undescended testicle, unilateral
7
270 Q 53.2 Undescended testicle,bilateral
8
270 Q 53.9 Undescended testicle,unsp.
9
271 Q 54.0 Hypospadias, balanic
0
271 Q 54.1 Hypospadias, penile
1
271 Q 54.2 Hypospadias, penoscrotal
2
271 Q 54.9 Hypospadias,unsp.
3
271 Q 55.2 Other congenitalmalformationsof testis and scrotum
4
271 Q 60.2 Renal agenesis, unspecified
5
271 Q 61.0 CONGENITAL SINGLE RENAL CYST
6
271 Q 61.3 Polycystic kidney,infantile type
7
271 Q 61.4 Renal dysplasia
8
271 Q 62.3 Other obstructive defects of renal pelvis and ureter
9
272 Q 62.5 Dupliqation of ureter
0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

272 Q 62.8 Other congenital malformations of ureter

1
272 Q 63.1 Lobulated, fused and horsesshoe kidney
2
272 Q 63.2 Ectopic kidney
3
272 Q 63.9 Congenital malformation of kidney, unspecified
4
272 Q 64.2 Congenital post or urethral volves
5
272 Q 65.8 Other congenital deformities of hip
6
272 Q 66.0 Talipes equinovarus/TEV
7
272 Q 69.9 Polydactyly
8
272 Q 70.9 Syndactyly
9
273 Q 74.0 OTHER CONGENITAL MALFORMATIONS OF UPPER LIMB(s),INCLUDING
0
SHOULDER GIRDLE
273 Q 74.9 Unsp, congenital malformation of limb(s)
1
273 Q 75.0 Craniosynostosis
2
273 Q 76.9 Congenintal malformation of bony thorax, unspecified
3
273 Q 78.8 Other specified osteochondrodysplasis
4
273 Q 78.9 Osteochondrodisplonia, unsp
5
273 Q 79.2 Exomphalos
6
273 Q 79.3 Gastroschisis
7
273 Q 79.8 Other congenital malformations of Musculo Shelesal System
8
273 Q 81.9 Epidermolysis bullosa, unspecified
9
274 Q 82.8 Darier disease

Tabel Icd
idIC Kode
D
ICD

Nama ICD

0
274 Q 83.1 Accesary breast
1
274 Q 85.0 Neurofibroma (multiple) (non malignant)
2
274 Q 86.2 Dysmorphism due to warforin
3
445 Q 87.2 SYNDROM VATER
7
Q 89.1 CONGENITAL MALFORMATION OF ADRENAL GLAND
274 Q 89.2 Cingebital malformations of other endocrine glans
4
274 Q 89.7 Multiple congenital malformation, NEC
5
274 Q 89.9 CONGENITAL MALFORMATION UNSPECIFIED
6
274 Q 90.9 Down's syndrome, unsp
7
274 R 00.0 Tachycardia
8
274 R 00.1 Brachicardie
9
275 R 00.2 Palpitations
0
275 R 00.8 Other and unsp, abnormalitis of heart plat
1
275 R 02
2

Gangrene,not elsewhere classified

275 R 04.0 Epistaxis

3
275 R 04.2 Haemoptysis
4
275 R 04.8 Haemaptoe / Pulmonary haemorrhage NOS
5
275 R 04.9 Haemorrhage from respiratory passages,unsp.
6
275 R 05
7

Batuk (Cough)

275 R 06.0 Dyspnoea

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8
275 R 06.2 Wheezing
9
276 R 06.4 Hyperventilation
0
276 R 06.6 Hiccugh/Singultus
1
276 R 06.8 Other and unspecified abnormalities of breathing
2
276 R 07.0 Paint in throat
3
276 R 07.2 Precordial pain
4
276 R 07.3 Other Chest pain
5
276 R 07.4 Chest pain,unsp.
6
276 R 09.0 Asphyxia
7
276 R 09.1 Pleurisy
8
276 R 09.2 Respiratory arrest
9
277 R 09.3 Abnormal sputum
0
277 R 10.0 Acute abdomen
1
277 R 10.1 Epigastric pain (Pain localized to upper abdomen )
2
277 R 10.2 Pelvic and perineal pain
3
277 R 10.4 Abdominal pain, other and unsp/Colic Abdomen
4
277 R 11
5

Vomiting/Nausea

277 R 12
6

Heartburn

277 R 13
7

Dysphagia/Dysplegia

Tabel Icd
idIC Kode
D
ICD

Nama ICD

277 R 14
8

Eructation/meteorismus/kembung/gas pain

277 R 15
9

Faecal incontinence

278 R 16.0 Hepatomegaly,not elsewhere classified

0
278 R 16.1 Splenomegaly,not elsewhere classified
1
278 R 16.2 Hepatomegaly with slenomegaly,not elsewhere classified
2
278 R 17
3

Unspecified jaundice/Icterus

278 R 18
4

Ascites

278 R 19.0 Intra-abdominal and pelvic dwelling, mass and lump

5
278 R 19.4 Change in Bowel habit
6
278 R 20.2 Hemiparestesia
7
278 R 20.8 Other and unsp disturbances of skin sensation
8
440 R 21
8

RASH AND OTHER NONSPECIFIC SKIN ERUPTION

278 R 22.4 Localized swelling, mass and lump, lower limb

9
279 R 23.0 Cyanosis
0
279 R 23.3 Spontaneous ecchymoses/Petechiae
1
279 R 23.8 Other and unspecified skin changes
2
279 R 25.1 Tremor,unsp.
3
279 R 25.2 Trismus/Cramp and spasm
4
279 R 25.8 Other and unspecified abnormal involuntary movement
5
279 R 27.0 Afaxia, unsp

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6
279 R 29.0 Tetany
7
279 R 29.1 Meningism
8
279 R 29.8 Other and unspecified symptoms and signs involving the nervous and
9
musculoskeletal systems
280 R 30.0 Dysuria
0
280 R 31
1

Haematuria, Unsp

280 R 32
2

Unsp. Urinary incontinence

280 R 33
3

Retention of urine

280 R 34
4

Anuria and uliguria

280 R 35
5

Polyuria

280 R 40.0 Somnolence

6
280 R 40.1 Stupor
7
280 R 40.2 Coma,unsp.
8
280 R 41.0 Disorientation, unsp
9
281 R 41.3 Other amnesia
0
281 R 42
1

Vertigo/ pusing (Dizzines and giddines)/Cephalgia

441 R 43.0 ANOSMIA

6
452 R 44.3 HALUSINASI
0
281 R 45.1 Restlesness and agitation
2
281 R 47.0 Dysphasia and aphasia
3

Tabel Icd
idIC Kode
D
ICD

Nama ICD

281 R 47.1 Dysarthria and anarthria

4
281 R 47.8 Dysphasia and aphasia
5
281 R 49.0 Dysphonia
6
281 R 50
7

Fever of Unknown Origin

281 R 50.0 Fever with chills

8
281 R 50.9 Fever,unsp./Febris
9
282 R 51
0

Headache

282 R 53
1

Asthenia ( Malaise and fatique )/fatigue

282 R 54
2

Senility

282 R 55
3

Syncope and collapse

282 R 56
4

CONVULSIONS,NOT ELSEWHERE CLASSIFIED

282 R 56.0 Febrile convulsions/KDS

5
282 R 56.8 Other and unspecified convulsions
6
282 R 57.0 Cardiogenic shock
7
282 R 57.1 Hypovolaemic shock
8
282 R 57.8 Other shock
9
283 R 57.9 Shock,unsp.
0
283 R 58
1

Haemorrhage, NEC

283 R 59.0 Localized enlarged lymph nodes

2
283 R 59.1 Generalized enlarged lymph nodes/Lymphadenophathy NOS

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
283 R 59.9 Enlarged lymp nodes, unsp.
4
283 R 60.0 Localized oedema
5
283 R 60.1 Generalized oedema
6
283 R 60.9 Oedema
7
283 R 61.9 Hyperhidrosis, unspecified
8
283 R 62.8 Other lack of expected normal physiological development
9
448 R 62.9 lack of expected normal physiological depelopment unspecified
6
284 R 63.0 Anorexia
0
284 R 64
1

Cachexia

284 R 68.8 Other specified general symptoms and sign

2
284 R 73.0 Abnormal glucose tolerance test
3
284 R 73.9 Hyperglycaemia,unsp.
4
284 R 74.9 Abnormal level of unspecified serum enzyme
5
284 R 75
6

HIV nonconclusive test in infants

284 R 78.8 Finding of other soecified

7
284 R 79.0 Abnormal level of blood mineral
8
284 R 79.8 Other specified abnormal findings of blood chemistry
9
285 R 80
0

Proteinuria

285 R 84
1

ABNORMAL FINDING

Tabel Icd
idIC Kode
D
ICD

Nama ICD

285 R 86
2

ABNORMAL FINDINGS IN SPECIMENS FROM RESPIRATORY ORGANS AND

THORAX

285 R 90.0 Intracranial space-occupyng lesion

3
285 R 90.8 Other abnormal findings on diagnostic imaging of central
4
285 R 91
5

Abnormal findings on diagnostic imaging of lung

285 R 93.4 Abnormal findings on diagnostic imaging of urinary organs

6
285 R 96.0 Instantaneous death
7
285 R 99
8

DOA

285 S 00.0 Superficial injury of scalp

9
286 S 00.1 Contusion of eyelid and periocular area
0
286 S 00.2 Other superficial injuries of eyelid and periocular area
1
286 S 00.3 Superficial injury of nose
2
286 S 00.4 Superficial injury of ear
3
286 S 00.5 Superficial injury of lip and oral cavity
4
286 S 00.7 Multiple superficial injuries of head
5
286 S 00.8 Superficial injury of other parts of head
6
286 S 00.9 Superficial injury of head,part unspecified
7
286 S 01.0 Open wound of scalp
8
286 S 01.1 Open wound of eyelid and periocular area
9
287 S 01.2 Open wound of nose
0
287 S 01.3 Open wound of ear

Tabel Icd
idIC Kode
D
ICD

Nama ICD

1
287 S 01.4 Open wound of cheek and temporomandibular area
2
287 S 01.5 Open wound of lip and oral cavity
3
287 S 01.7 Multiple open wounds of head
4
287 S 01.8 Open wound of other parts of head
5
287 S 01.9 Open wound of head,part unsp.
6
287 S
Closed - Fracture of vault of skull
7 02.0.0
287 S
Open - Fracture of vault of skull
8 02.0.1
287 S
Closed - Fracture of base of skull/temporal bone
9 02.1.0
288 S
Open - Fracture of base of skull
0 02.1.1
288 S
Closed - Fracture of nasal bones
1 02.2.0
288 S
Open - Fracture of nasal bones
2 02.2.1
288 S
Closed - Fracture of orbital floor
3 02.3.0
288 S
Open - Fracture of orbital floor
4 02.3.1
288 S
Closed - Fracture of malar and maxillary bones/zygoma
5 02.4.0
288 S
Open - Fracture of malar and maxilary bones/zygoma
6 02.4.1
288 S
Closed - fracture of tooth
7 02.5.0
288 S
Open - fracture of tooth
8 02.5.1
288 S
Closed - Fracture of mandible
9 02.6.0
289 S
Open - Fracture of mandible
0 02.6.1

Tabel Icd
idIC Kode
D
ICD

Nama ICD

289 S
Closed - Multiple fractures involving skull and facial bones
1 02.7.0
289 S
Open - Multiple fractures involving skull and facial bones
2 02.7.1
289 S
Closed - Fractures of other skull and facial bones
3 02.8.0
289 S
Open - Fractures of other skull and facial bones
4 02.8.1
289 S
Closed - Fracture of skull and facial bones,part unspecified
5 02.9.0
289 S
Open - Fracture of skull and facial bones, part unspecified
6 02.9.1
289 S 03.0 Dislocation of jaw/mandible
7
289 S 03.1 Dislocation of septal cartilage of nose
8
289 S 03.2 Dislocation of tooth
9
290 S 03.3 Dislocation of other and unspecified parts of head
0
290 S 03.4 Sprain and strain of jaw
1
290 S 03.5 Sprain and strain of joints and ligament of other and unsp parts of head
2
290 S 04.0 Injury of optic nerve and pathyways
3
290 S 04.1 Injury of oculomotor nerve
4
290 S 04.2 Injury of trochlear nerve
5
290 S 04.3 Injury of trigeminal nerve
6
290 S 04.4 Injury of abducent nerve
7
290 S 04.5 Injury of facial nerve
8
290 S 04.6 Injury of accoustic nerve
9
291 S 04.7 Injury of accessory nerve

Tabel Icd
idIC Kode
D
ICD

Nama ICD

0
291 S 04.8 Injury of other other cranial nerves
1
291 S 04.9 Injury of unspecified cranial nerve
2
291 S 05.0 Injury of conjuctiva and corneal abrasion without mention of foreign
3
body
291 S 05.1 Contusion of eyeball and orbital tissues
4
291 S 05.2 Ocular laceratiion and rupture with prolaps or lose of intraocular tissue
5
291 S 05.3 Ocular laceration without prolapse or lose of intraocullar tissue
6
291 S 05.4 Penerating wound of orbit with or without foreign body
7
291 S 05.5 Penetrating wound of eyeball with foreign body
8
291 S 05.6 Penetrating wound of eyeball without foreign body
9
292 S 05.7 Ovulsion of eye
0
292 S 05.8 Other injuries of eye and orbit
1
292 S 05.9 Injury of eye and orbir,part unsp.
2
292 S
Closed - concussion/CC/Comotio cerebri
3 06.0.0
292 S
Open - concussion/CC/Comotio cerebri
4 06.0.1
292 S
Closed - Traumatic cerebral oedema
5 06.1.0
292 S
Open - Traumatic cerebral oedema
6 06.1.1
292 S
Closed - Diffuse brain injury/contusio cerebri
7 06.2.0
292 S
Open - Diffuse brain injury/contusio cerebri
8 06.2.1
292 S
Closed - Focal brain injury
9 06.3.0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

293 S
Open - Focal brain injury
0 06.3.1
293 S
Closed - Epidural haemorrhage
1 06.4.0
293 S
Open - Epidural haemorrhage
2 06.4.1
293 S
Closed - Traumatik subdural haemorrhage
3 06.5.0
293 S
Open - Traumatic subdural haemorrhage
4 06.5.1
293 S
Closed - Traumatic subarachnoid haemorrhage
5 06.6.0
293 S
Open - Traumatic subarachnoid haemorrhage
6 06.6.1
293 S
Closed - Other intracranial injuries
7 06.8.0
293 S
Open - Other intracranial injuries
8 06.8.1
293 S
Closed - Intracranial injury,unsp.
9 06.9.0
294 S
Open - Intracranial injury, unsp
0 06.9.1
294 S 07.0 Crushing injury of face
1
294 S 07.1 Crushing injury of skull
2
294 S 07.8 Crushing injuri of other parts of head
3
294 S 07.9 Crushing injuri of head, part unspecified
4
294 S 08.0 Avulsion of scalp
5
294 S 08.1 Traumatic amputation of ear
6
294 S 08.8 Traumatic amputation of other parts of head
7
294 S 08.9 Traumatic amputation of unspecified part of head
8
294 S 09.0 Injury of blood vessels of head,not elsewhere classified

Tabel Icd
idIC Kode
D
ICD

Nama ICD

9
295 S 09.1 Injury of muscle and tendon of head
0
295 S 09.2 Traumatic rupture of ear drum
1
442 S 09.5 TRAUMA OKULI NON PERFORASI
6
295 S 09.7 Multiple injuries of head
2
295 S 09.8 Other specified injuries of head
3
295 S 09.9 Injury of head,unsp/Trauma Capitis
4
295 S 10.0 Contusion of throat
5
295 S 10.1 Other and Unspecified superficial injuries of throat
6
295 S 10.7 Multiple superficial injuries of neck
7
295 S 10.8 Superficial injury of other parts of neck
8
295 S 10.9 Superficial injuriy of neck, part unsp
9
296 S 11.0 Open wound involving larynx and trachea
0
296 S 11.1 Open wound involving thyroid gland
1
296 S 11.2 Open wound involving pharynx and cervical oeshopaghus
2
296 S 11.7 Multiple open of other parts of neck
3
296 S 11.8 Open wound of other parts of neck
4
296 S 11.9 Open wound of neck
5
296 S
Closed - Fracture of first cervical vertebra
6 12.0.0
296 S
Open - Fracture of first cervical vertebra
7 12.0.1

Tabel Icd
idIC Kode
D
ICD

Nama ICD

296 S
Closed - Fracture of second cervical vertebra
8 12.1.0
296 S
Open - Fracture of second cervical vertebra
9 12.1.1
297 S
Closed - Fracture of other specified cervical vertebra
0 12.2.0
297 S
Open - Fracture of other specified cervical vertebra
1 12.2.1
297 S
Closed - Multiple fractures of cervical spine
2 12.7.0
297 S
Open - Multiple fractures of cervical spine
3 12.7.1
297 S
Closed - Fracture of other parts of neck
4 12.8.0
297 S
Open - Fracture of other parts of neck
5 12.8.1
297 S
Closed - Fracture of neck,part unsp.
6 12.9.0
297 S
Open - Fracture of neck , part unsp.
7 12.9.1
297 S
8 13..0

Traumatic rupture of cervical intervertebral disc

297 S 13.1 Dislocation of cervical vertebra

9
298 S 13.2 Dislocation of other and unspecified parts of neck
0
298 S 13.3 Multiple dislocations of neck
1
298 S 13.4 Sprain and strain of cervical spine
2
298 S 13.5 Sprain and strain of thyroid region
3
298 S 13.6 Sprain and strain of join and ligament of other and unspecified parts of
4
neck
298 S 14.0 Concussion and oedema of cervical spinal cord
5
298 S 14.1 Other and unspecified injuries of cervical spinal cord
6
298 S 14.2 Injury of nerve root of cervical spine

Tabel Icd
idIC Kode
D
ICD

Nama ICD

7
298 S 14.3 Injuries of brachial plexus
8
298 S 14.4 Injury of peripheral nerves of neck
9
299 S 14.5 Injury of other cervical sympathetic nerves
0
299 S 14.6 Injury of other and unspecified nerves of neck
1
299 S 15.0 Injury of carotid artery
2
299 S 15.1 Injury of vertebral artery
3
299 S 15.2 Injury of external jugular vein
4
299 S 15.3 Injury of internal jugular vein
5
299 S 15.7 Injury of other multiple blood vessels at neck level
6
299 S 15.8 Injury of other blood vessels at neck level
7
299 S 15.9 Injury of unspecified blood vessel at neck level
8
299 S 16
9

Injury of muscle and tendon at neck level

300 S 17.0 Crushing injury of larynx and trachea

0
300 S 17.8 Crushing injury of other parts of neck
1
300 S 17.9 Crushing injury of neck, part unspecified
2
300 S 18
3

Traumatic amputation at neck level

300 S 19.7 Multiple injuries of neck

4
300 S 19.8 Other specified injuries of neck
5
300 S 19.9 Unspecified Injury of neck
6

Tabel Icd
idIC Kode
D
ICD

Nama ICD

300 S 20.0 Contusion of breast

7
300 S 20.1 Other and unspecified superficial injuries of breast
8
300 S 20.2 Contusion of thorax
9
301 S 20.3 Other superficial injuries of front wall of thorax
0
301 S 20.4 Other superficial injuries of back wall of thorax
1
301 S 20.7 Multiple Superfisial Injuries of thorax
2
301 S 20.8 Superficial injury of other and unsp.parts of thorax
3
301 S 21.0 Open wound of breast
4
301 S 21.1 Open wound of front wall of thorax
5
301 S 21.2 Open wound of back wall of thorax
6
301 S 21.7 Multiple open wound of thoracic wall
7
301 S 21.8 Open wound of other parts of thorax
8
301 S 21.9 Open wound of thorax,part unsp.
9
302 S
Closed - Fracture of thoracic vertebra
0 22.0.0
302 S
Open - Fracture of thoracic vertebra
1 22.0.1
302 S
Closed-multiple fractures of thoracic spine
2 22.1.0
302 S
Open-multiple fractures of thoracic spine
3 22.1.1
302 S
Closed-fracture of sternum
4 22.2.0
302 S
Open-fracture of rib
5 22.2.1
302 S

Closed - Fracture of rib

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6 22.3.0
302 S
Open - Fracture of rib
7 22.3.1
302 S
Closed - Multiple fractures of ribs
8 22.4.0
302 S
Open - Multiple fractures of ribs
9 22.4.1
303 S
Closed-flail chest
0 22.5.0
303 S
Open-flail chest
1 22.5.1
303 S
Closed-fracture of other parts of bony thorax
2 22.8.0
303 S
Open-fracture pf other parts of bony thorax
3 22.8.1
303 S
Closed - Fracture of bony thorax, part unspecified.
4 22.9.0
303 S
Open-fracture of bony thorax, parts unspecified
5 22.9.1
303 S 23.0 Traumatic rupture of thoracic intervertebral disc
6
303 S 23.1 Dislocation of thoracic vertebrae
7
303 S 23.2 Dislocation of other and unspecified parts of thorax
8
303 S 23.3 Sprain and strain of thoracic spine
9
304 S 23.4 Sprain and strain of ribs and sternum
0
304 S 23.5 Sprain and of other and unspecified parts of thorax
1
304 S 24.0 Concussion and oedema of thoracic spinal cord
2
304 S 24.1 Other and unspecified injuries of thoracic spinal cord
3
304 S 24.2 Injury of nerve root of thoracic spine
4
304 S 24.3 Injury of peripheral nerves of thorax
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

304 S 24.4 Injury of thoracic sympathetic nerves

6
304 S 24.5 Injury of other nerves of thorax
7
304 S 24.6 Injury of unspecified nerve of thorax
8
304 S 25.0 Injury of thoracicaorta
9
305 S 25.1 Injury of innominate or subclavian artery
0
305 S 25.2 Injury of superior vena cava
1
305 S 25.3 Injury of innominate or subclavian vein
2
305 S 25.4 Injury of pulmanary blood vessels
3
305 S 25.5 Injury of intercostal blood vessels
4
305 S 25.7 Injury of multiple blood vessels
5
305 S 25.8 Injury of other blood vessels ofthorax
6
305 S
Closed - Injury of heart with haemopericardium
7 26.0.0
305 S
Open - Injury of heart with haemopericardium
8 26.0.1
305 S
Closed - Other injuries of heart
9 26.8.0
306 S
Open - Other injuries of heart
0 26.8.1
306 S
Closed - Injury of heart, unsp
1 26.9.0
306 S
Open - Injury of heart, unsp
2 26.9.1
306 S
Closed - Traumatic pneumothorax
3 27.0.0
306 S
Open - Traumatic pneumothorax
4 27.0.1
306 S

Closed - Traumatic haemothorax

Tabel Icd
idIC Kode
D
ICD

Nama ICD

5 27.1.0
306 S
Open - Traumatic haemothorax
6 27.1.1
306 S
Closed - Traumatic haemopneumothorax
7 27.2.0
306 S
Open - Traumatic haemopneumothorax
8 27.2.1
306 S
Closed - Other injuries of lung
9 27.3.0
307 S
Open - Other injuries of lung
0 27.3.1
307 S
Injury of bronchus
1 27.4.0
307 S
Injury of thoracic trachea
2 27.5.0
307 S
Injury of pleura without open wound into thoracic cavity
3 27.6.0
307 S
Injury of pleura with open wound into thoracic cavity
4 27.6.1
307 S
Multiple injuries of intrathoracic organs
5 27.7.0
307 S
Injury of other specified intrathoracic organs/oeshopagus, without open
6 27.8.0 wound into thoracic cavity
307 S
Injury of other specified intrathoracic organs/oeshopagus, with open
7 27.8.1 wound into thoracic cavity
307 S
Injury of unspecified intrathoracic organ
8 27.9.0
307 S 28.0 Crushed chest
9
308 S 28.1 Traumatic amputation of part of thorax
0
308 S 29.0 Injury of muscle and tendon at thoraf lerel
1
308 S 29.7 Multiple injuries of thorax
2
308 S 29.8 Other specified injuries of thorax
3
308 S 29.9 Injury of thorax, Unsp
4

Tabel Icd
idIC Kode
D
ICD

Nama ICD

308 S 30.0 Contusion of lumbar/lower back and pelvis

5
308 S 30.1 Contusion of abdominal wall
6
308 S 30.2 Contusion of external genital organs
7
308 S 30.7 Multiple superficial injuries of abdomen, lower back and pelvis
8
308 S 30.8 Other superficial injuries of abd, lower back and pelvis
9
309 S 30.9 Superficial injury of abdomen, lower back and pelvis, parts unspecified
0
309 S 31.0 Open wound of lower back and pelvis
1
309 S 31.1 Open wound of abdominal wall
2
309 S 31.2 Open wound of penis
3
309 S 31.3 Open wound of scrotum and testes
4
309 S 31.4 Open wound of vagina and vulva
5
309 S 31.5 Open wound of other and unspecified external genital organs
6
309 S 31.7 Multiple open wounds of abdomen. lower back and pelvis
7
309 S 31.8 Open wound of other and unsp.parts of abdomen
8
309 S
Closed - Fracture of lumbar vertebra
9 32.0.0
310 S
Open - fracture of lumbar vertebra
0 32.0.1
310 S
Closed - Fracture of sacrum
1 32.1.0
310 S
Open - fracture of sacrum
2 32.1.1
310 S
Closed - fracture of coccyx
3 32.2.0
310 S

Open - fracture of coccyx

Tabel Icd
idIC Kode
D
ICD

Nama ICD

4 32.2.1
310 S
Closed - fracture of ilium
5 32.3.0
310 S
Open - fracture of ilium
6 32.3.1
310 S
Closed - fracture of acetabulum
7 32.4.0
310 S
Open - fracture of acetabulum
8 32.4.1
310 S
Closed - fracture of pubis
9 32.5.0
311 S
Open - fracture of pubis
0 32.5.1
311 S
Closed - Multiple fractures of lumbar spine and pelvis
1 32.7.0
311 S
Open - multiple fractures of lumbar spine and pelvis
2 32.7.1
311 S
Closed - fracture of other and unspecified parts of lumbar spine and
3 32.8.0 pelvis/pelvic
311 S
Open - fracture of other and unspecified parts of lumbar spine and
4 32.8.1 pelvis
311 S 33.0 Traumatic rupture of lumbar intervertebral disc
5
311 S 33.1 Dislocation of lumbar vertebra
6
311 S 33.2 Dislocation of sacroiliac and sacrococcygeal joint
7
311 S 33.3 Dislocation of other and unspecified parts of lumbar spine and pelvis
8
311 S 33.4 Traumatic rupture of symphysis pubis
9
312 S 33.5 Sprain and strain ofof lumbar spine
0
312 S 33.6 Sprain and strain of sacrooliac joint
1
312 S 33.7 Sprain and sprain of other and unspecified parts of lumbar spine and
2
spine
312 S 34.0 Concussion and aedema of lumbar spinal cord
3

Tabel Icd
idIC Kode
D
ICD

Nama ICD

312 S 34.1 Other injury of lumbar spinal cord

4
312 S 34.2 Injury of nerve root of lumbar and sacral spine
5
312 S 34.3 Injury of cauda equina
6
312 S 34.4 Injury of lumbosacral plexus
7
312 S 34.5 Injury of lumbar, sacral and pelvic sympathetic nerves
8
312 S 34.6 Injury of peripheral ( nerve(S) of abdomen, lower back and pelvis
9
313 S 34.8 Injury of other and unspecified nerves at abdomen, lower back and
0
pelvis level
313 S 35.0 Injury of abdominal aorta
1
313 S 35.1 Injury of inferior vena cava
2
313 S 35.2 Injury of coeliac or mesenteric artery
3
313 S 35.3 Injury of portal or splenic vein
4
313 S 35.4 Injury of renal blood vessels
5
313 S 35.5 Injury of illiac blood vessels
6
313 S 35.7 Injury of of multiple blood vessels at abdomen, lower back and pelvis
7
level
313 S 35.8 Injury of other blood vessels at abdomen, lower back and pelvis level
8
313 S 35.9 Injury of unspecified blood vessels at abdomen, lower back and pelvis
9
level
314 S
Inury of spleen ( without open wound into cavity )
0 36.0.0
314 S
Injury of spleen ( with open wound into cavity )
1 36.0.1
314 S
Injury of liver or galblader ( Without open wound into cavity )
2 36.1.0
314 S

Injury of liver or gallblader ( with open wound into cavity )

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3 36.1.1
314 S
Injury of pancreas( without open wound into cavity)
4 36.2.0
314 S
Injury of pancreas ( with open wound into cavity )
5 36.2.1
314 S
Injury of stomach ( without open wound into cavity )
6 36.3.0
314 S
Injury of stomach ( with open wound into cavity )
7 36.3.1
314 S
Injury of small intestine ( without open wound into cavity )
8 36.4.0
314 S
Injury of small intestine ( with open wound into cavity )
9 36.4.1
315 S
Injury of colon ( without open wound into cavity )
0 36.5.0
315 S
Injury of colon ( with open wound into cavity )
1 36.5.1
315 S
Injury of rectum ( without open wound into cavity )
2 36.6.0
315 S
Injury of rectum ( with open wound into cavity )
3 36.6.1
315 S
Injury of multiple intra-abdominal organs ( without open wound into
4 36.7.0 cavity )
315 S
Injury of multiple intra-abdominal organ ( with open wound into cavity )
5 36.7.1
315 S
Injury of other intra-abdominal organs ( without open wound into cavity
6 36.8.0 )
315 S
Injury of other intra-abdominal organs ( with open wound into cavity )
7 36.8.1
315 S
Injury of unspecified intra-abdominal organ ( without open wound into
8 36.9.0 cavity )
315 S
Injury of unspecified intra-abdominal organ ( witt open wound into
9 36.9.1 cavity )
316 S
Injury of kidney ( without open wound into cavity )
0 37.0.0
316 S
Injury of kidney ( with open wound into cavity )
1 37.0.1
316 S
Injury of ureter ( without open wound into cavity )
2 37.1.0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

316 S
Injury of ureter ( with open wound into cavity )
3 37.1.1
316 S
Injury of bladder ( without open wound into cavity )
4 37.2.0
316 S
Injury of bladder ( with open wound into cavity )
5 37.2.1
316 S
Injury of urethra ( without open wound into cavity )
6 37.3.0
316 S
Injury of urethra ( with open wound into cavity )
7 37.3.1
316 S
Injury of ovary ( without open wound into cavity )
8 37.4.0
316 S
Injury of ovary ( with open wound into cavity )
9 37.4.1
317 S
Injury of fallopin tube ( without open wound into cavity )
0 37.5.0
317 S
Injury of fallopin tube ( with open wound into cavity )
1 37.5.1
317 S
Injury of uterus ( Without open wound into cavity )
2 37.6.0
317 S
Injury of uterus ( with open wound into cavity )
3 37.6.1
317 S
Injury of multiple pelvic organs ( without open wound into cavity )
4 37.7.0
317 S
Injury of multiple pelvic organd ( with open wound into cavity )
5 37.7.1
317 S
Injury of other pelvic organs ( without open wound into cavity )
6 37.8.0
317 S
Injury of other pelvic organs ( without open wound into cavity )
7 37.8.1
317 S
Injury of unspecified pelvic organs ( without open wound into cavity )
8 37.9.0
317 S
Injury of unspecified pelvic organs ( with open wound into cavity )
9 37.9.1
318 S 38.0 Crushing injury of external traumatic genital organs
0
318 S 38.1 Crushing injury of other and unspecified parts of abdomen, lower back
1
and pelvis
318 S 38.2 Traumatic amputation of external genital organs

Tabel Icd
idIC Kode
D
ICD

Nama ICD

2
318 S 38.3 Traumatic amputation of other and unspecified parts of abdomen,
3
lower back and pelvis
318 S 39.0 Injury of muscle and tendon of abdomen, lower back and pelvis
4
318 S 39.6 Injury of intra-abdomen organ(s) with pelvic organ(s)
5
318 S 39.7 Other multiple injuries of abdomen, lower back and pelvis
6
318 S 39.8 Other specified injuries of abdomen, lower back and pelvis
7
318 S 39.9 Unspecified injury of abdomen, lower back and pelvis/vertebra
8
318 S 40.0 Contusion of shoulder and upper arm
9
319 S 40.7 Multiple superficial injuries of shoulder and upper arm
0
319 S 40.8 Other superficial injuries of shoulder and upper arm
1
319 S 40.9 Superficial injury of shoulder and upper arm, unsp
2
319 S 41.0 Open wound of shoulder
3
319 S 41.1 Open wound of upper arm
4
319 S 41.7 Multiple open wound of shoulder and upper arm
5
319 S 41.8 Open wound of other and unsp.parts of shoulder girdle
6
319 S
Closed - Fracture of clavicle
7 42.0.0
319 S
Open - Fracture of clavicle
8 42.0.1
319 S
Closed - Fracture of scapula
9 42.1.0
320 S
Open - Fracture of scapula
0 42.1.1
320 S
Closed - Fracture of upper end of humerus
1 42.2.0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

320 S
Open - Fracure of upper end of humerus
2 42.2.1
320 S 42.3 FRACTURE OF SHAFT OF HUMERUS
3
320 S
Closed - Fracture of shaft of humerus
4 42.3.0
320 S
Open - Fracture of shaft of humereus
5 42.3.1
320 S
Closed - Fracture of lower end of humerus/supracondylus
6 42.4.0
320 S
Open - Fracture of lower end of humerus/supracondylus
7 42.4.1
320 S
Closed - Multiple fractures of clavicle, scapula and humerus
8 42.7.0
320 S
Open - multiple fractures of clavicle, scapula and humerus
9 42.7.1
321 S
Closed - fracture of other parts of shoulder and upper arm
0 42.8.0
321 S
Open - fracture of other parts of shoulder and upper arm
1 42.8.1
321 S
Closed - Fracture of shoulder girdle, part unsp
2 42.9.0
321 S
Open - Fracture of shoulder girdle, part unsp
3 42.9.1
321 S 43.0 Dislocation of shoulder joint
4
321 S 43.1 Dislocation of acromioclavicular joint
5
321 S 43.2 Dislocation of sternoclavicular
6
321 S 43.3 Dislocation of other and unspecified parts of shoulder girdle
7
321 S 43.4 Sprain and strain of shoulder joint
8
321 S 43.5 Sprain and strain of acromioclavicular joint
9
322 S 43.6 Sprain and strain of sternoclavicular joint
0
322 S 43.7 Sprain and strain of other and unspecified parts of shoulder girdle

Tabel Icd
idIC Kode
D
ICD

Nama ICD

1
322 S 44.0 Injury of ulnar nerve at upper arm level
2
322 S 44.1 Injury of median nerve at upper arm level
3
322 S 44.2 Injury of radial nerve at upper arm level
4
322 S 44.3 Injury of axillary nerve
5
322 S 44.4 Injury of musculocutaneous nerve
6
322 S 44.5 Injury of cutaneous sensory nerve at shoulder and upper arm level
7
322 S 44.7 Injury of multiple nerves at shoulder and upper arm level
8
322 S 44.8 Injury of other nerves at shoulder and upper arm level
9
323 S 44.9 Injury of unspecified nerve at shoulder and upper arm level
0
323 S 45.0 Injury of axillary artery
1
323 S 45.1 Injury of brachial artery
2
323 S 45.2 Injury of axillary or brachial vein
3
323 S 45.3 Injury of superficial vein at shoulder and upper arm level
4
323 S 45.7 Injury of multiple blood vesells at shoulder and upper arm level
5
323 S 45.8 Injury of other vessels at shoulder and upper arm level
6
323 S 45.9 Injury of unspecified blood vessels at shoulder and upper arm level
7
323 S 46.0 Injury of tendon of the rotator cuff of shoulder
8
323 S 46.1 Injury of muscle and tendon of long head of biceps
9
324 S 46.2 Injury of muscle and tendon of other parts of biceps
0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

324 S 46.3 Injury of muscle and tendon of triceps

1
324 S 46.7 Injury of multiple muscles and tendons at shoulder and upper arm level
2
324 S 46.8 Injury of other muscles and tendons at shoulder and upper arm level
3
324 S 46.9 Injury of unsp muscle and tendon at shoulder and upper arm level
4
324 S 47
5

Crushing injury of shoulder of and upper arm

324 S 48.0 Traumatic amputation at shoulder joint

6
324 S 48.1 Ytaumatic amputation at level between shoulder and elbow
7
324 S 48.9 Traumatic amputation of sholuder and upper arm, level unspecified
8
324 S 49.7 Multiple injuries of shoulder and upper arm
9
325 S 49.8 Other specified of shoulder and upper arm
0
325 S 49.9 Unspecified injury of shoulder and upper arm
1
325 S 50.0 Contusion of elbow
2
325 S 50.1 Contusion of other and unspecified parts of forearm
3
325 S 50.7 Multiple superficial injuries of forearm
4
325 S 50.8 Other superficial injuries of forearm
5
325 S 50.9 Superficial injury of forearm, unspecified
6
325 S 51.0 Open wound of elbow
7
325 S 51.7 Multiple open wounds of forearm
8
325 S 51.8 Open wound of other parts of forearm
9
326 S 51.9 Open wound of forearm. part unspecified

Tabel Icd
idIC Kode
D
ICD

Nama ICD

0
326 S
Closed - Fracture of upper end of ulna/olecranon/elbow/cubiti
1 52.0.0
326 S
Open - fracture of upper and of ulna
2 52.0.1
326 S
Closed - fracture of upper end of radius
3 52.1.0
326 S
Open - fracture of upper end of radius
4 52.1.1
326 S
Closed -Fracture of shaft of ulna
5 52.2.0
326 S
Open - fracture of shaft of ulna
6 52.2.1
326 S
Closed- fracture of shaft of radius
7 52.3.0
326 S
Open - fracture of shaft of radius
8 52.3.1
326 S
Closed - Fracture of shaftof both ulna and radius
9 52.4.0
327 S
Open - fracture of shafs of both ulna and radius
0 52.4.1
327 S
Closed - Fracture of lower end of radius/colles/smith
1 52.5.0
327 S
Open - fracture pf lower end of radius
2 52.5.1
327 S
Closed- fracture of lower end of both ulna and radius
3 52.6.0
327 S
Open - fracture of lower end of both ulna and radius
4 52.6.1
327 S 52.7 MULTIPLE FRACTURES OF FOREARM
5
327 S
Closed - Fracture of Antebrachi /Multiple fractures of forearm
6 52.7.0
327 S
Open - Fracture of antebrachi/Multiple fractures of forearm
7 52.7.1
327 S 52.8 FRACTURE OF OTHER PARTS OF FOREARM
8
327 S
Closed - Fracture of other part of forearm
9 52.8.0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

328 S
Open - Fracture of other part of forearm
0 52.8.1
328 S
Closed - fracture of forearm, part unspecified
1 52.9.0
328 S
Open - fracture of forearm, part of unspecified
2 52.9.1
328 S 53.0 Dislocation of radial head
3
328 S 53.1 Dislocation of elbow, unspecified
4
328 S 53.2 Traumatic rupture of radial collateral ligament
5
328 S 53.3 Traumatic rupture of ulnar collateral ligament
6
328 S 53.4 Sprain and strain of elbow
7
328 S 54.0 Injury of ulnar nerve at forearm level
8
328 S 54.1 Injury of median nerve at forearm level
9
329 S 54.2 Injury of radial nerve at forearm level
0
329 S 54.3 Injury of cutaneous sensory nerve at forearm level
1
329 S 54.7 Injury of multiple nerves at forearm level
2
329 S 54.8 Injury of other nerves at forearm level
3
329 S 54.9 Injury of unspecified nerve at forearm level
4
329 S 55.0 Injury of ulnar artery at forearm level
5
329 S 55.1 Injury of radial artery at forearm level
6
329 S 55.2 Injury of vein at forearm level
7
329 S 55.7 Injury of multiple blood vessels atforearm level
8
329 S 55.8 Injury of other blood vessels at forearm level

Tabel Icd
idIC Kode
D
ICD

Nama ICD

9
330 S 55.9 Injury of unspecified blood vessels at forearm level
0
330 S 56.0 Injury of flexor muscle and tendon of thumb at forearm level
1
330 S 56.1 Injury of flexor muscle and tendon of other finger(s) at forearm level
2
330 S 56.2 Injury of Other flexor muscle and tendon forearm level
3
330 S 56.3 Injury of extensor or abductor muscles and tendons of thumb at
4
forearm level
330 S 56.4 Injury of extensor muscle and tendon of other finger(s) at forearm level
5
330 S 56.5 Injury of other extensor muscles and tendon at forearm level
6
330 S 56.7 Injury of multiple muscles and tendons at forearm level
7
330 S 56.8 Injury of other and unspecified muscles and tendons at forearm level
8
330 S 57.0 Crushing injury of elbow
9
331 S 57.8 Crushing injury of other parts of forearm
0
331 S 57.9 Crushing injury of forearm, part unspecified
1
331 S 58.0 Traumatic amputation at elbow level
2
331 S 58.1 Traumatic amputation at level betwwn elbow and wrist
3
331 S 58.9 Traumatic amputation of forearm, level unspecified
4
331 S 59.7 Multiple injuries of forearm
5
331 S 59.8 Other specified injuries of forearm
6
331 S 59.9 Unspecified injury of forearm
7
331 S 60.0 Contusion of finger(s) without damage to nail
8

Tabel Icd
idIC Kode
D
ICD

Nama ICD

331 S 60.1 Contusion of finger(s) with damage to nail

9
332 S 60.2 Contusion of other parts of writs and hand,cubiti/elbow
0
332 S 60.7 Mulriple superficial injuries of wrist and hand
1
332 S 60.8 Other superficial injuries of wrist and hand
2
332 S 60.9 Superficial injury of wrist and hand, unspecified
3
332 S 61
4

OPEN WOUND OF WRIST AND HAND

332 S 61.0 Open wound of finger(s) without damage to nail

5
332 S 61.1 Open wounds of finger(s) with damage to nail
6
332 S 61.7 Multiple open wounds of wrist and hand
7
332 S 61.8 Opend wound of other parts of wrist and hand
8
332 S 61.9 Open wound of wrist and hand part,part unsp.
9
333 S
Closed - fracture of navicular (scaphoid) bone of hand
0 62.0.0
333 S
Open - fracture of navicular (schapoid) bone of hand
1 62.0.1
333 S
Closed - fracture of other carpal bone(s)
2 62.1.0
333 S
Open - fracture of other carpal bone(s)
3 62.1.1
333 S
Closed - fracture of first metacarpal bone
4 62.2.0
333 S
Open - fracture of first metacarpal bone
5 62.2.1
333 S 62.3 FRACTUR OF OTHER METACARPAL BONE
6
333 S
Closed - fracture of other metacarpal bones
7 62.3.0
333 S

Open - fracture of other metacarpal bones

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8 62.3.1
333 S
Closed - multiple fracture of other metacarpal bones
9 62.4.0
334 S
Open - multiple fracture of other metacarpal bones
0 62.4.1
334 S
Closed - fracture of thumb
1 62.5.0
334 S
Open - fracture of thumb
2 62.5.1
334 S
Closed - fracture of other finger
3 62.6.0
334 S
Open - fracture of other finger
4 62.6.1
334 S
Closed Multiple fracture of finger
5 62.7.0
334 S
Open Multiple fracture of finger
6 62.7.1
334 S
Closed- fracture of other and unspecified parts of wrist and hand
7 62.8.0
334 S
Open - fracture of other and unspecified parts oof wrist and hand
8 62.8.1
334 S 63.0 Dislocation of wrist
9
335 S 63.1 Dislocation of finger
0
335 S 63.2 Multiple dislocations of fingers
1
335 S 63.3 Traumatic rupture of ligament of wrist and carpus
2
335 S 63.4 Traumatic rupture of ligament of finger at metacarpophalangeal and
3
interphalangeal joint(s)
335 S 63.5 Sprain and strain of wrist
4
335 S 63.6 Sprain and strain of finger(s)
5
335 S 63.7 Sprain and strain of other and unsp parts of hand
6
335 S 64.0 Injury of ulnar nerve at wrist and han level
7

Tabel Icd
idIC Kode
D
ICD

Nama ICD

335 S 64.1 Injury of median nerve at wrist and hand level

8
335 S 64.2 Injury of radial nerve at wrist and hand level
9
336 S 64.3 Injury of digital nerve of thumb
0
336 S 64.4 Injury of digital nerve of other finger
1
336 S 64.7 Injury of multiple nerves at wrist and hand level
2
336 S 64.8 Injury of other nerves at wrist and hand level
3
336 S 64.9 Injury of unspecified nerve at wrist and hand level
4
336 S 65.0 Injury of ulnar artery at wrist and hand level
5
336 S 65.1 Injury of radial artery at wrist and hand level
6
336 S 65.2 Injury of superficial palmar arch
7
336 S 65.3 Injury of deep palmar arch
8
336 S 65.4 Injury of blood vessel(s) of thumb
9
337 S 65.5 Injury of blood vessel(s) of other finger
0
337 S 65.6 THYPOID FEVER
1
337 S 65.7 Injury of multiple blood vessels at wrist and hand level
2
337 S 65.8 Injury of other blood vessels at wrist and hand level
3
337 S 65.9 Injury of unspecified blood vessels at wrist and hand level
4
337 S 66.0 Injury of long flexor muscle and tendor of thumb at wrist and hand level
5
337 S 66.1 Injury of flexor muscle and tendon of other finger at wrist and hand
6
level
337 S 66.2 Injury of extensor muscle and tendon of thumb at wrist and han level

Tabel Icd
idIC Kode
D
ICD

Nama ICD

7
337 S 66.3 Injury of extensor muscle and tendon of other finger at wrist and hand
8
level
337 S 66.4 Injury of intrinsic muscle and tendon of thumb at wrist and hand level
9
338 S 66.5 Injury of intrinsic muscle and tendon of other finger at wrist and hand
0
level
338 S 66.6 Injury of multiple flexor muscles and tendons at wrist and hand level
1
338 S 66.7 Injury of multiple extensor muscles and tendons at wrist and hand level
2
338 S 66.8 Injury of other muscles and tendons at wrist and hand level
3
338 S 66.9 Injury unspecified muscle and tendon at wirst and hand level
4
338 S 67.0 Crusshing injury of thumb and other finger(s)
5
338 S 67.8 Crushing injury of other and unsp.parts of wirst and hand
6
338 S 68.0 Traumatic amputation of thumb (complete)(partial)
7
338 S 68.1 Traumatic amputation of other single finger(complete)(partial)
8
338 S 68.2 Fracture of two or more fingers alone (complete)(partial)
9
339 S 68.3 Combined traumatic amputation of (part of) finger(s) with other parts
0
of wrist and hand
339 S 68.4 Traumatic amputation of hand at wrist level
1
339 S 68.8 Traumatic amputation of other parts of wrist and hand
2
339 S 68.9 Traumatic amputation of wrist and hand, level unspecified
3
339 S 69
4

Cedera pada perg. Tangan

339 S 69.7 Multiple injury of wrist and hand

5
339 S 69.8 Other specified injuries of wrist and hand
6

Tabel Icd
idIC Kode
D
ICD

Nama ICD

339 S 69.9 Unspecified injury of wrist and hand

7
339 S 70.0 Contusion of hip
8
339 S 70.1 Contusion of thigh
9
340 S 70.7 Multiple superficial injuries of hip and thigh
0
340 S 70.8 Other superficial injuries of hip and thigh
1
340 S 70.9 Superficial injury of hip and thigh, unspecified
2
340 S 71.0 Open wound of hip
3
340 S 71.1 Open wound of thigh
4
340 S 71.7 Multiple open wound of hip and thigh
5
340 S 71.8 Open wound of other and unspecified parts of pelvic girdle
6
340 S 72.0 Fracture of neck of femur
7
340 S
Closed - fracture of neck of femur
8 72.0.0
340 S
Open - fracture of neck of femur
9 72.0.1
341 S
Closed - pertrochanteric fracture
0 72.1.0
341 S
Open - perthrochanteric fracture
1 72.1.1
341 S
Closed - subtrochanteric fracture
2 72.2.0
341 S
Open - subtrochanteric fracture
3 72.2.1
341 S
Closed - fracture of shaft of femur
4 72.3.0
341 S
Open - fracture of shaft of femur
5 72.3.1
341 S

Closed- fracture of lower end of femur

Tabel Icd
idIC Kode
D
ICD

Nama ICD

6 72.4.0
341 S
Open - fracture of lower end of femur
7 72.4.1
341 S
Closed - mulriple fractures of femur
8 72.7.0
341 S
Open - multiple fractures of femur
9 72.7.1
342 S
Closed - fracture of other parts of femur
0 72.8.0
342 S
Open - fracture of other parts of femur
1 72.8.1
342 S
Closed - fracture of femur, part unspecified
2 72.9.0
342 S
Open fracture of femur, part unspecified
3 72.9.1
342 S 73.0 Dislocation of hip
4
342 S 73.1 Sprain and strain of hip
5
342 S 74.0 Injury of sciatic nerve at hip and thigh level
6
342 S 74.1 Injuty of femoral nerve at hip and thigh level
7
342 S 74.2 Injury of cutaneous sensory nerve at hip and thigh level
8
342 S 74.7 Injury of multiple nerves at hip and thigh level
9
343 S 74.8 Injuty of other nerves at hip and thigh level
0
343 S 74.9 Injury of unspecified nerve at hip amd thigh ;evel
1
343 S 75.0 Injury of femoral artery
2
343 S 75.1 Injury of femoral vein at hip and thigh level
3
343 S 75.2 Injury of greater saphenous vein at hip and thigh level
4
343 S 75.7 Injury of multiple blood vessels at hip and thigh level
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

343 S 75.8 Injury of other blood vessels at hip and thigh level
6
343 S 75.9 Injury of unspecified blood cessels at hip and thigh level
7
343 S 76.0 Injury of muscle and tendon of hip
8
343 S 76.1 Injury of quadriceps muscle and tendon
9
344 S 76.2 Injury of adductor muscle and tendon of thigh
0
344 S 76.3 Injury of muscle and tendon of the psterior muscle group at thigh level
1
344 S 76.4 Injury of other and unspecified muscles and tndons at thigh level
2
344 S 76.7 Injury of multiple muscles and tendons at hip and thigh
3
344 S 77.0 Crshing injury of hip
4
344 S 77.1 Crushing injury of thigh
5
344 S 77.2 Crshing injury of hip with thigh
6
344 S 78.0 Traumatic amputation at hip joint
7
344 S 78.1 Traumatic amputation at level between hip and knee
8
344 S 78.9 Traumatic amputation of hip and thigh, level unspecified
9
345 S 79.7 Multiple injuries of hip and thigh
0
345 S 79.8 Unspecified injury of hip and thigh
1
345 S 79.9 Unspecified injury of hip and thigh
2
345 S 80.0 Contusion of knee
3
345 S 80.1 Contusion of other and unspecified parts of lower leg
4
345 S 80.7 Multiple superficial injuries of lower leg

Tabel Icd
idIC Kode
D
ICD

Nama ICD

5
345 S 80.8 Other superficial injuries of lower leg
6
345 S 80.9 Superficial injury of lower leg, unspecified
7
345 S 81.0 Open wound of knee
8
345 S 81.7 Multiple open wound of lower leg
9
346 S 81.8 Open wound of other parts of lower leg
0
346 S 81.9 Open wound of lower leg, part unsp
1
346 S
Closed - fracture of patella
2 82.0.0
346 S
Open - fracture of patella
3 82.0.1
346 S
Closed - fracture of upper end of tibia
4 82.1.0
346 S
Open - fracrture of upper end of tibia
5 82.1.1
346 S
Closed - fracture of shaft of tibia
6 82.2.0
346 S
Open - fracture of shaft of tibia
7 82.2.1
346 S
Closed - fracture of lower end of tibia
8 82.3.0
346 S
Open - fracture of lower end of tibia
9 82.3.1
347 S
Closed - fracture of fibula alone
0 82.4.0
347 S
Open - fracture of fibula alone
1 82.4.1
347 S
Closed - fracture of medical malleolus
2 82.5.0
347 S
Open - fracture of medical malleolus
3 82.5.1
347 S
Closed - fracture of lateral malleolus
4 82.6.0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

347 S
Open - fracture of lateral malleolus
5 82.6.1
347 S
Closed - multiple fractures of lower leg
6 82.7.0
347 S
Open - multiple fractures of lower leg
7 82.7.1
347 S
Closed - fractures of other parts of lower leg
8 82.8.0
347 S
Open - fractures other parts of lower leg
9 82.8.1
348 S
Closed - fracture of lower leg, part unspecified
0 82.9.0
348 S
Open - fracture of lower leg, part unspecified
1 82.9.1
348 S 83.0 Dislocation of patella
2
348 S 83.1 Dislocation of knee
3
348 S 83.2 Tear of meniscus current
4
348 S 83.3 Tear of articular cartilage of knee, current
5
348 S 83.4 Sprain and strain involving (fibular)(tibilal) collateral ligament of knee
6
348 S 83.5 Sprain and strain involving (anterior)(posterior) cruciate ligament knee
7
348 S 83.6 Sprain and strain of other and unsp. parts of knee
8
348 S 83.7 Injury to multiple structures of knee
9
349 S 84.0 Injury of tibial nerve at lower leg level
0
349 S 84.1 Injury of perineal nerve at lower leg level
1
349 S 84.2 Injury of cutaneous sensory nerve at lower leg level
2
349 S 84.7 Injury of multiple nerves at lower leg level
3
349 S 84.8 Injury of other nerves at lower leg level

Tabel Icd
idIC Kode
D
ICD

Nama ICD

4
349 S 84.9 Injury of unspecified nerve at lower leg level
5
349 S 85.0 Injury of popliteal artery
6
349 S 85.1 Injury of (anterior)(posterior) tibial artery
7
349 S 85.2 Injury of oeroneal artery
8
349 S 85.3 Injury of greater saphenous vein at lower leg level
9
350 S 85.4 Injury of lesser sphenous vein at lower leg level
0
350 S 85.5 Injury of popliteal vein
1
350 S 85.7 Injury of multiple blood vessels at lower leg level
2
350 S 85.8 Injury of other blood vessels at lower leg level
3
350 S 85.9 Injury of unspecified blood vessels at lower leg level
4
350 S 86.0 Injury of achilles tendon
5
350 S 86.1 Injury of other muscles(s) and tendon(s) of posterior muscle group at
6
lower leg level
350 S 86.2 Injury of muscle(s) and tendons of anterior muscle group at lower leg
7
level
350 S 86.3 Injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg
8
level
350 S 86.7 Injury of multiple muscles and tendons at lower leg level
9
351 S 86.8 Injury of other muscles and tendons at lower leg level
0
351 S 86.9 Injury of unspecified muscles and tendon at lower leg level
1
351 S 87.0 Crsushing injury of knee
2
351 S 87.8 Crushing injury of other and unspecified parts of lower leg
3

Tabel Icd
idIC Kode
D
ICD

Nama ICD

351 S 88.0 Traumatic amputation at knee level

4
351 S 88.1 Traumatic amputation at level between knee and ankle
5
351 S 88.9 Traumatic amputation of lower leg, level unspecified
6
351 S 89.7 Multiple injuries of lower leg
7
351 S 89.8 Other specified injuries of lower leg
8
351 S 89.9 Unspecified injury of lower
9
352 S 90.0 Contusion of ankle
0
352 S 90.1 Contusion of toe(s) without damage to nail
1
352 S 90.2 Contusion of toe(s) with damage to nail
2
352 S 90.3 Contusion of other and unsp.part of foot
3
352 S 90.7 Multiple superficial injuries of ankle and foot
4
352 S 90.8 Otehr superficial injuries of ankle and foot
5
352 S 90.9 Superficial injury of ankle and foot, unspecified
6
352 S 91.0 Open wound of ankle
7
352 S 91.1 Open wound of toe(s) without damage to nail
8
352 S 91.2 Open wound of to(s) with damage to nail
9
353 S 91.3 Open wound of other parts of foot
0
353 S 91.7 Multiple open wounds of ankle and foot
1
353 S
Closed - fracture of calcaneus
2 92.0.0
353 S

Open - fracture of calcaneus

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3 92.0.1
353 S
Closed - fracture of talus
4 92.1.0
353 S
Open - fracture of talus
5 92.1.1
353 S
Closed - fracture of other tarsal bone(s)
6 92.2.0
353 S
Open - fracture of other tarsal bone(s)
7 92.2.1
353 S
Closed - fracture of metatarsal bone
8 92.3.0
353 S
Open - fracture of metatarsal bone
9 92.3.1
354 S
Closed - fracture of great toe
0 92.4.0
354 S
Open - fracture of great toe
1 92.4.1
354 S 92.5 FRACTURE OF OTHER TOE
2
354 S
Closed - fracture of other toe
3 92.5.0
354 S
Open - fracturte of other toe
4 92.5.1
354 S
Closed - fracture of foot
5 92.7.0
354 S
Open - fracture of foot
6 92.7.1
354 S
Closed - fracture of foot , unspecified
7 92.9.0
354 S
Open - fracture of foot , unspecified
8 92.9.1
354 S 93.0 Dislocation of ankle joint
9
355 S 93.1 Fracture of toe(s)
0
355 S 93.2 Rupture of ligament at ankle and foot level
1
355 S 93.3 Dislocation of other and unsp, parts of foot
2

Tabel Icd
idIC Kode
D
ICD

Nama ICD

355 S 93.4 Sprainand strain of ankle

3
355 S 93.5 Sprain and strain of toe(s)
4
355 S 93.6 Sprain and strain of other and unspecified parts of foot
5
355 S 94.0 Injury of lateral plantar nerve
6
355 S 94.1 Injury of medial plantar nerve
7
355 S 94.2 Injury of deep peroneal nerve at ankle and foot level
8
355 S 94.3 Injury of cutaneous sensory nerve at ankle and foot level
9
356 S 94.7 Injury of multiple nerves at ankle and foot level
0
356 S 94.8 Injury of other nerves at ankle and foot level
1
356 S 94.9 Injury of unspecified nerve at ankle and foot level
2
356 S 95.0 Injury of dorsal artery of foot
3
356 S 95.1 Injury of plantar artery of foot
4
356 S 95.2 Injury of dorsal vein of foot
5
356 S 95.7 Injury of multiple blood vessels at ankle and foot level
6
356 S 95.8 Injury of other blood vessels at ankle and foot level
7
356 S 95.9 Injury of unspecified blood vessels at ankle foot level
8
356 S 96.0 Injury of muscle and tendon of long flexor muscle of toe at ankle and
9
foot level
357 S 96.1 Injury of muscle and tendon of long extensor muscle of toe at ankle
0
and foot level
357 S 96.2 Injury of intrinsic muscle and tendon at ankle and foot level
1
357 S 96.7 Injury of multiple muscles and tendons at ankle foot level

Tabel Icd
idIC Kode
D
ICD

Nama ICD

2
357 S 96.8 Injury of other muscles and tendons at ankle and foot level
3
357 S 96.9 Injury of unsp.muscle and tendon at ankle and foot level
4
357 S 97.0 Crushing injury of ankle
5
357 S 97.1 Crushing injury of toe(s)
6
357 S 97.8 Crushing injury of other parts of ankle and foot
7
357 S 98.0 Traumatic amputation of foot at ankle level
8
357 S 98.1 Traumatic amputation of one toe
9
358 S 98.2 Traumatic amputation of twoo or more toes
0
358 S 98.3 Traumatic amputation of other parts of foot
1
358 S 98.4 Traumatic amputation of other parts of foot
2
358 S 99.7 Multiple injuries of ankle and foot
3
358 S 99.8 Other specified injuries of ankle and foot
4
358 S 99.9 Unspecified injury of ankle and foot
5
358 S
6 9999

GOIYGUYH9

358 T 00.0 Superficial injuries involving head with neck

7
358 T 00.1 Superficial injuries involving thorax with abdomen. lower back and
8
pelvis
358 T 00.2 Superficial injuries involving multiple regions of upper limb(s)
9
359 T 00.3 Superficial injuries involving multiple regionas of lower limb(s)
0
359 T 00.6 Superficial injuries involving multiple regions of upper limb(s) with
1
lower limb(s)

Tabel Icd
idIC Kode
D
ICD

Nama ICD

359 T 00.8 Superficial injuries involving other combinations of body regions

2
359 T 00.9 Multiple superficial injuries, unspecified
3
359 T 01.0 Open wounds involving multiple head with neck
4
359 T 01.1 Open wounds involving thorax with abdomen, lower back and pelvis
5
359 T 01.2 Open wounds involving multiple regions of lower limb(s)
6
359 T 01.3 Open wounds involving multiple regions of upper limb(s)
7
359 T 01.6 Open wounds involving multiple regions of upper limb(s) with lower
8
limb(s)
359 T 01.8 Open wound involving other combinations of body regions
9
360 T 01.9 Multiple open wound, unspecified
0
360 T
Closed - Fractures involving head with neck
1 02.0.0
360 T
Open - Fractures involving head with neck
2 02.0.1
360 T
Closed - Fractures involving thorax with lower back and pelvis
3 02.1.0
360 T
Open - Fractures involving thorax with lower back and pelvis
4 02.1.1
360 T
Closed - Fractures involving multiple regions of one upper limb
5 02.2.0
360 T
Open - Fractures involving multiple regions of one upper limb
6 02.2.1
360 T
Closed - Fractures involving multiple regions of one lower limb
7 02.3.0
360 T
Open - Fractures involving multiple regions of one lower limb
8 02.3.1
360 T
Closed - Fractures involving multiple regions of both upper limbs
9 02.4.0
361 T
Open - Fractures involving multiple regions of both upper limbs
0 02.4.1
361 T

Closed - Fractures involving multiple regions of both lower limbs

Tabel Icd
idIC Kode
D
ICD

Nama ICD

1 02.5.0
361 T
Open - Fractures involving multiple regions of both lower limbs
2 02.5.1
361 T
Closed - Fractures involving multiple regions of upper limb(s) with
3 02.6.0 limb(s)
361 T
Open - Fractures involving multiple regions of upper limb(s) with limb(s)
4 02.6.1
361 T
Closed - Fractures involving thorax with lower back and pelvis with
5 02.7.0 limb(s)
361 T
Open - Fractures involving thorax with lower back and pelvis with
6 02.7.1 limb(s)
361 T
Closed - Fracture in volving other combinations of body regions
7 02.8.0
361 T
Open - Fracture in volving other combinations of body regions
8 02.8.1
361 T
Closed - Multiple fractures, unspecified
9 02.9.0
362 T
Open - Multiple fractures, unspecified
0 02.9.1
362 T 03.0 Dislocations, sprains and strains involving head with neck
1
362 T 03.1 Dislocations, sprain and strains involving thorax with lower back and
2
pelvis
362 T 03.2 Dislocations, sprain and strain involving multiple regions of upper
3
limb(s)
362 T 03.3 Dislocations, sprain and strains involving multiple regions of upper
4
limb(s) with lower limb(s)
362 T 03.4 Dislocations, sprain and strains involving multiple regions of upper
5
limb(s) with lower limb(s)
362 T 03.8 Dislocations, sprain and strains involving other combinations of body
6
regions
362 T 03.9 Multiple dislocations, sprains and strains, unspecified
7
362 T 04.0 Crushing injuries involving head with neck
8
362 T 04.1 Crushing injuries involving thorax with abdomen, lower bacj and pelvis
9
363 T 04.2 Crushing injuries involving multiple regions of upper limb(s)
0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

363 T 04.3 Crushing injuries involving multiple regions of lower limb(s)

1
363 T 04.4 Crushing injuries involving multiple regions of upper limb(s) with lower
2
limb(s)
363 T 04.7 Crushing injuries of thorax with abdomen, lower back and pelvis with
3
limb(s)
363 T 04.8 Crushing injuries involving other combinations of body regions
4
363 T 04.9 Multiple crushing injuries, unspecified
5
363 T 05.0 Traumatic amputation of booth hands
6
363 T 05.1 Traumatic amputation of both hands
7
363 T 05.2 Traumatic amputation of one hand other arm(any level, except han)
8
363 T 05.3 Traumatic amputation of both feet
9
364 T 05.4 Traumatic amputation of one foot and other leg (any level )
0
364 T 05.5 Traumatic amputation of both legs(any level)
1
364 T 05.6 Traumatic amputation of upper and lower limbs, any combination (any
2
level )
364 T 05.8 Traumatic amputations involving other combinations of body regions
3
364 T 05.9 Multiple traumatic amputations, unspecified
4
364 T 06.0 Injuries of brain and cranial nerves with injuries of nerves and spinal
5
cord at neck level
364 T 06.1 Injuries of nerves and spinal cord involving other multiple body regions
6
364 T 06.2 Injuries of nerves involving multiple body regions
7
364 T 06.3 Injuries of blood vessels involving multiple body regions
8
364 T 06.4 Injuries of muscles and tendons involving multiple body regions
9
365 T 06.5 Injuries of intrathoracic organs with intra-abdominal and pelvic organs

Tabel Icd
idIC Kode
D
ICD

Nama ICD

0
365 T 06.8 Other specified injuries involving multiple body regiona
1
365 T 07
2

Unspesified multiple injuries

365 T 08.0 Closed - fracture of spine, level unspecified

3
365 T 08.1 Open - fracture of spine, level unspecified
4
365 T 09.0 Superficial injury of trunk, level unspecified
5
365 T 09.1 Open wound of trunk, level unspecified
6
365 T 09.2 Dislocation, sprain and strain of unspecified joint and ligament of trunk
7
365 T 09.3 Injury of spinal cord,level unsp.
8
365 T 09.4 Injury of unspecified muscle and tendon of trunk
9
366 T 09.5 Injury of unspecified muscle and tendon of trunk
0
366 T 09.6 Traumatic amputation of trunk, level unspecified
1
366 T 09.8 Other specified injuries of trunk, level unspecified
2
366 T 09.9 Unspecified injury of trunk, level unspecified
3
366 T 10.0 Closed - fracture of upper limb, level unspecified
4
366 T 10.1 Open - fracture of upper limb, level unspecified
5
366 T 11.0 Superficial injury of upper limb, level unspecified
6
366 T 11.1 Open wound of upper limb, level unspecified
7
366 T 11.2 Dislocation,sprain and strain of unsp.joint and ligament of upper
8
limb,level unsp.
366 T 11.3 Injury of unspecified nerve of upper limb, level unspecified
9

Tabel Icd
idIC Kode
D
ICD

Nama ICD

367 T 11.4 Injury of unspecified blood vessels of upper limb, level unspecified
0
367 T 11.5 Injury of unspecified muscle and tendon of upper limb, level
1
unspecified
367 T 11.6 Traumatic amputation of upper limb, level unspecified
2
367 T 11.8 Other specified injuries of upper limb, level unspecified
3
367 T 11.9 Unspecified injury of upper limb, level unspecified
4
367 T 12.0 Closed - fracture of lower limb, level unspecified
5
367 T 12.1 Open - fracture of lower limb, level unspecified
6
367 T 13.0 Supeficial injury of lower limb, level unspecified
7
367 T 13.1 Open wound of lower limb, level unpsecified
8
367 T 13.2 Dislocation, sprain and strain of unspecified joint and ligament of lower
9
limb, level unspecified
368 T 13.3 Injury of unspecified nerve of lower limb, level unspecified
0
368 T 13.4 Injury of unspecified blood vessels of lower limb, level unspecified
1
368 T 13.5 Injury of unspecified muscle and tendon of lower limb, level unspecified
2
368 T 13.6 Traumatic amputation of lower limb, level unspecified
3
368 T 13.8 Other specified injuries of lower limb, level unspecified
4
368 T 13.9 Unspecified injury of lower limb, level unspecified
5
368 T 14.0 Superficial injury of uns. body region / haematoma NOS
6
368 T 14.1 Open wound of unsp.body region
7
368 T 14.2 Fraktur unsp.body region
8
368 T 14.3 Dislocation,sprain and strain of unsp.body region

Tabel Icd
idIC Kode
D
ICD

Nama ICD

9
369 T 14.4 Injury of nerve (s) of unsp.body region
0
369 T 14.5 Injury of tendons and muscles of unspecified body region
1
369 T 14.6 Injuri/rupture of tendon and muscle of unsp body region
2
369 T 14.7 Crushing injury and traumatic amputation of unsp.body region
3
369 T 14.8 Other injuries of unspecified body region
4
369 T 14.9 Injury, unspecified/CST
5
369 T 15.0 Foreign body in cornea
6
369 T 15.1 Foreign body in conjuntival sac
7
369 T 15.8 Foreign body in other and multiple parts of external eye
8
369 T 15.9 Foreign body on external eye, part unspecified
9
370 T 16
0

Foreign Body in ear

370 T 17.0 Foreign body in nasal sinus

1
370 T 17.1 Foreign body in nostril/Nose NOS
2
370 T 17.2 Foreign body in pharynx
3
370 T 17.3 Foreign body in larynx
4
370 T 17.4 Foreign body in trachea
5
370 T 17.5 Foreign body in bronchus
6
370 T 17.8 Foreign body in other and multiple parts of respiratory tract
7
370 T 17.9 Foreign body in repiratory tract, part unspecified
8

Tabel Icd
idIC Kode
D
ICD

Nama ICD

370 T 18.0 Foreign Body in Mouth

9
371 T 18.1 Foreign body in oesophagus
0
371 T 18.2 Foreign body in stomach
1
371 T 18.3 Foreign body in small intestine
2
371 T 18.4 Foreign body in colon
3
371 T 18.5 Foreign body in anus and rectum
4
371 T 18.8 Foreign body in other and multiple parts of alimentary tract
5
371 T 18.9 Foreign body in alimentary tract, part unspecified
6
371 T 19.0 Foreign body in urethra
7
371 T 19.1 Foreign body in bladder
8
371 T 19.2 Foreign body in vulva and vagina
9
372 T 19.3 Foreign body in uterus ( any part )
0
372 T 19.8 Foreign body in other and multiple parts of genitourinary tract
1
372 T 19.9 Foreign body in genitourinary tract, part unspecified
2
372 T 20.0 Burn of unspecified degree of head and neck
3
372 T 20.1 Burn of first degree of head and neck
4
372 T 20.2 Burn of second degree of head and neck
5
372 T 20.3 Burn of third degree of head and neck
6
372 T 20.4 Corrosion of unspecified degree of head and neck
7
372 T 20.5 Corrosion of first degree of head and neck

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8
372 T 20.6 Corrosion of second degree of head and neck
9
373 T 20.7 Corrosion of third degree of head and neck
0
373 T 21.0 Burn of unspecified degree of trunk
1
373 T 21.1 Burn of first degree of trunk
2
373 T 21.2 Burn of second degree of trunk
3
373 T 21.3 Burn of third degre of trunk
4
373 T 21.4 Corrosion of unspecified degree of trunk
5
373 T 21.5 Corrosion of first degree of trunk
6
373 T 21.6 Corrosion of second degree of trunk
7
373 T 21.7 Corrosion of third degree of trunk
8
373 T 22.0 Burn of unspecified degree of shoulder and upper limb, except wrist
9
and hand
374 T 22.1 Burn of first degree of shoulder and upper limb, except wrist and hand
0
374 T 22.2 Burn of second degree of shoulder and upperlimb except wrist and
1
hand
374 T 22.3 Burn of third degree of shoulder and upper limb, except wrist and hand
2
374 T 22.4 Corrosion of unspecified degree of shoulder and upper limb, except
3
wrist and hand
374 T 22.5 Corrosion of first degree of shoulder and upper limb, except wrist and
4
hand
374 T 22.6 Corrosion of second degree of shoulder and upper limb, except wrist
5
and hand
374 T 22.7 Corrosion of third degree of shoulder degree of shoulder and upper
6
limb, except wrist and hand
374 T 23.0 Burn of unspecified degree of wrist and hand
7

Tabel Icd
idIC Kode
D
ICD

Nama ICD

374 T 23.1 Burn of first degree of wrist and hand

8
374 T 23.2 Burn of second degree of wrist and hand
9
375 T 23.3 Burn of third degree of wrist and hand
0
375 T 23.4 Corrosion of unspecified degree of wrist and hand
1
375 T 23.5 Corrosion of first degree of wrist and hand
2
375 T 23.6 Corrosion of second degree of wrist and hand
3
375 T 23.7 Corrosion of third degree of wrist and hand
4
375 T 24.0 Burn of unsp degree of hip and lower limb
5
375 T 24.1 Burn of first degree of hip and lower limb, except ankle and foot
6
375 T 24.2 Burn of second degree of hip and lower limb except ankle and foot
7
375 T 24.3 Burn of third degree of hip and lower limb except ankle
8
375 T 24.4 Corrosion of unspecified degree of hip and lower limb, except ankle and
9
foot
376 T 24.5 Corrosion of first degree of hip and lower limb, except ankle and foot
0
376 T 24.6 Corrosion of second degree of hip and lower limb, except ankle and
1
foot
376 T 24.7 Corrosion of thiord degree of hip and lower limb, except ankle and foot
2
376 T 25.0 Burn of unspecified degree of ankle and foot
3
376 T 25.1 Burn of first degree of ankle and foot
4
376 T 25.2 Burn of second degree of ankle and foot
5
376 T 25.3 Burn of third degree of ankle and foot
6
376 T 25.4 Corrosion of unspecified degree of ankle and foot

Tabel Icd
idIC Kode
D
ICD

Nama ICD

7
376 T 25.5 Corrosion of first degree of ankle and foot
8
376 T 25.6 Corrosion of second degree of ankle and foot
9
377 T 25.7 Corrosion of third degree of ankle and foot
0
377 T 26.0 Burn of eyelid and periocular area
1
377 T 26.1 Burn of cornea and conjuntival sac
2
377 T 26.2 Burn with resulting rupture and destruction of eyeball
3
377 T 26.3 Burn of other parts of eye and adnexa
4
377 T 26.4 Burn of eye and adnexa, part unspecified
5
377 T 26.5 Corrosion of eyelid and periocular area
6
377 T 26.6 Corrosion of cornea and conjuntival sac
7
377 T 26.7 Corrosion with resulting rupture and destruction of eyeball
8
377 T 26.8 Corrosion of other parts of eye and adnexa
9
378 T 26.9 Corrosion of eye and adnexa, part unspecified
0
378 T 27.0 Burn of larynx and trachea
1
378 T 27.1 Burn involving larynx and trachea with lung
2
378 T 27.2 Burn of other parts of respiratory tract
3
378 T 27.3 Burn of respiratory tract, part unspecified
4
378 T 27.4 Corrosion of larynx and trachea
5
378 T 27.5 Corrosion involving larynx and trachea with lung
6

Tabel Icd
idIC Kode
D
ICD

Nama ICD

378 T 27.6 Corrosion of other parts of respiratory tract

7
378 T 27.7 Corrosion of respiratory tract, part unspecified
8
378 T 28.0 Burn of mouth and pharynx
9
379 T 28.1 Burn of oeshopagus
0
379 T 28.2 Burn of other parts of almentary tract
1
379 T 28.3 Burn of internal genitourinary organs
2
379 T 28.4 Burn of other and unspecified internal organs
3
379 T 28.5 Corrosion of mouth and pharynx
4
379 T 28.6 Corrosion of oeshopagus
5
379 T 28.7 Corrosion of other parts of alimentary tract
6
379 T 28.8 Corrosion of internal genitourinary organs
7
379 T 28.9 Corrosion of other and unspecified internal organs
8
379 T 29.0 Burns of multiple regions,unsp.degree
9
380 T 29.1 Burn of multiple regions, no more than first-degree burns mentioned
0
380 T 29.2 Burns of multiple regions,no more than second-degree burns
1
mentioned
380 T 29.3 Burns of multiple regions,at least one burn of third degree mentioned
2
380 T 29.4 Corrosions of multiple regions, unspecified degree
3
380 T 29.5 Corrosions of multiple regions, no more than of first-degree corrosions
4
mentioned
380 T 29.6 Corrosion of multiple regions, at least one corrosion of third degree
5
mentioned
380 T 29.7 Corrosion of multiple regions, at least one corrosion of third degree

Tabel Icd
idIC Kode
D
ICD
6

Nama ICD
mentioned

380 T 30.0 Burn of unspecified body region, unspecified degree /Combostio/Burn

7
NOS.
380 T 30.1 Burn of first degree, body region unspecified
8
380 T 30.2 Burn of second degree, body region unspecified
9
381 T 30.3 Burn of third degree, body region unspecified
0
381 T 30.4 Corrosion of unspecified body region unspecified
1
381 T 30.5 Corrosion of first degree, body region unspecified
2
381 T 30.6 Corrosion of second degree, body region unspecified
3
381 T 30.7 Corrosion of third degree, body region unspecified
4
381 T 31.0 Burns involving less than 10% of body surface
5
381 T 31.1 Burns involving 10-19 % of body surface
6
381 T 31.2 Burns involving 20 - 29 % of body surface
7
381 T 31.3 Burns involving 30 - 39 % of body surface
8
381 T 31.4 Burns involving 40 - 49 % of body surface
9
382 T 31.5 Burns involving 40 - 49 % of body surface
0
382 T 31.6 Burns involving 60 - 69 % of body surface
1
382 T 31.7 Burns involving 70 - 79 % of body surface
2
382 T 31.8 Burns involving 80 - 89 % of body surface
3
382 T 31.9 Burns involving 90% or More Of Body Surface
4
382 T 32.0 Corrosions involving less than 10 % of body surface
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

382 T 32.1 Corrosions involving 10 - 19 % of body surface

6
382 T 32.2 Corrosions involving 20 - 29 % of body surface
7
382 T 32.3 Corrosions involving 30 - 39 % of body surface
8
382 T 32.4 Corrosions involving 40 - 49 % of body surface
9
383 T 32.5 Corrosions involving 50 - 59 % of body surface
0
383 T 32.6 Corrosions involving 60 - 69 % of body surface
1
383 T 32.7 Corrosions involving 70 - 79 % of body surface
2
383 T 32.8 Corrosions involving 80 - 89 % of body surface
3
383 T 32.9 Corossions involving 90 or more of body surface
4
383 T 33.0 Superficial frostbite of head
5
383 T 33.1 Superficial frostbite of neck
6
383 T 33.2 Superficial frostbite of thorax
7
383 T 33.3 Superficial frostbite of abdominal wall, lower back and pelvis
8
383 T 33.4 Superficial frostibite of of arm
9
384 T 33.5 Superficial frostbite of wrist and hand
0
384 T 33.6 Superficial frostbite of of hip and thigh
1
384 T 33.7 Superficial frostbite of knee and lower leg
2
384 T 33.8 Superficial frostbite of ankle and foot
3
384 T 33.9 Superficial frostbite of other and unspecified sites
4
384 T 34.0 Frostbite with tissue necrosis of head

Tabel Icd
idIC Kode
D
ICD

Nama ICD

5
384 T 34.1 Frostbite with tissue of neck
6
384 T 34.2 Frostbite with tissue necrosis of thorax
7
384 T 34.3 Frostbite with tissue necrosis of abdominal wall, lower back and pelvis
8
384 T 34.4 Frostbite with tissue necrosis of arm
9
385 T 34.5 Frostbite with tissue necrosis of wrist and hand
0
385 T 34.6 Frostbite with tissue necrosis of hip and thig
1
385 T 34.7 Frostbite with tissue necrosis of knee and lower leg
2
385 T 34.8 Frostbite with tissue necrosis of ankle and foot
3
385 T 34.9 Frostbite with tissue necrosis of other and unspecified sites
4
385 T 35.0 Superficial frostbite involving multiple body regions
5
385 T 35.1 Frostbite with tissue necrosis involving multiple body regions
6
385 T 35.2 Unspecified frostbite of head and neck
7
385 T 35.3 Unspecified frostbite of thorax, abdomen, lower back and pelvis
8
385 T 35.4 Unspecified frostbite of upper limb
9
386 T 35.5 Unspecified frostbite of lower limb
0
386 T 35.6 Unspecified frostbite invoving multiple body regions
1
386 T 35.7 Unspecified frostbite of unspecified site
2
386 T 36.0 Penicillins(poisoning)
3
386 T 36.1 Cefalosporins and other beta lactam antibiotics(poisoning)
4

Tabel Icd
idIC Kode
D
ICD

Nama ICD

386 T 36.2 Chloramphenicol group(poisoning)

5
386 T 36.3 Macrolides(Poisoning)
6
386 T 36.4 Tatracyclines(poisoning)
7
386 T 36.5 Aminoglycosides(poisoning)
8
386 T 36.6 Rifamycins(poisoning)
9
387 T 36.7 Antifungal antibiotics, systemically(poisoning)
0
387 T 36.8 Other systemic antibiotics(poisoning)
1
387 T 36.9 Systemic antibiotic,unspecified(poisoning)
2
387 T 37.0 Sulfonamides(poisoning)
3
387 T 37.1 Antymucobacterial drugs(poisoning)
4
387 T 37.2 Antimalariae and drugs active on other blood protozoa(poisoning)
5
387 T 37.3 Other antiprotozoal(poisoning)
6
387 T 37.4 Anthelminthics(poisoning)
7
387 T 37.5 Antiviral drugs(poisoning)
8
387 T 37.8 Other specified systemic anti-infectives and antiparasitics(poisoning)
9
388 T 37.9 Systemic anti-infective and antiparasitic, unspecified(poisoning)
0
388 T 38.0 Glucocorticoids and synthetic analogues(poisoning)
1
388 T 38.1 Thyroid hormones and substitutes(poisoning)
2
388 T 38.2 Antithyroid drugs(poisoning)
3
388 T 38.3 Insulin and oral hypoglycaemic(antidiabetic)drugs(poisoning)

Tabel Icd
idIC Kode
D
ICD

Nama ICD

4
388 T 38.4 Oral contraceptives(poisoning)
5
388 T 38.5 Other estrogens and progestogens(poisoning)
6
388 T 38.6 Antigonadotrophins, anrtiestrogens, not elsewhere clasified(poisoning)
7
388 T 38.7 Androgen and anabolic congeners(poisoning)
8
388 T 38.8 Other and unspecified hormones and their synthetic
9
substitutes(poisoning)
389 T 38.9 Other and u unspecified hormone antagonists(poisoning)
0
389 T 39.0 Salicilates(poisoning)
1
389 T 39.1 4-Aminophenol derivatives(poisoning)
2
389 T 39.2 Pyrazolone derivatives(poisoning)
3
389 T 39.3 Other nonsteroidal anti-inflamatory drugs(NSAID)(poisoning)
4
389 T 39.4 Antirheumatic, not elsewhere clasified(poisoning)
5
389 T 39.8 Other nonopioid analgesics and antipyretics,not elsewhere
6
classified(poisoning)
389 T 39.9 Nonopioid analgesic, antipyretic and antirheumatic,
7
unspecified(poisoning)
389 T 40.0 Opium(poisoning)
8
389 T 40.1 Heroin(poisoning)
9
390 T 40.2 (Other opioids(poisoning)
0
390 T 40.3 Methadhone (poisoning)
1
390 T 40.4 Other and unspecified narcotics(poisoning)
2
390 T 40.5 Cocaine(poisoning)
3

Tabel Icd
idIC Kode
D
ICD

Nama ICD

390 T 40.6 Other and unspecified narcotics(poisoning)

4
390 T 40.7 Cannabis(derivatives)(poisoning)
5
390 T 40.8 Lysergide(LSD)(poisoning)
6
390 T 40.9 Other and unspecified psychodysleptics(hallucinogens)(poisoning)
7
390 T 41.0 Inhaled anaesthetics
8
390 T 41.1 Intravenous anaesthetics
9
391 T 41.2 Other and unspecified general anaesthethics
0
391 T 41.3 Local Anaesthetic
1
391 T 41.4 Anaesthetic, unspecified
2
391 T 41.5 Yheurapeutic gases
3
391 T 42.0 Hydantoin derivatives
4
391 T 42.1 Iminostilbenes
5
391 T 42.2 Succinimides and oxazolidinediones
6
391 T 42.3 Barbiturates
7
391 T 42.4 Benzodiazepines
8
391 T 42.5 Mixed antiepileptics, not elsewhere clasified
9
392 T 42.6 Other antiepileptic and sedative-hypnotic drugs
0
392 T 42.7 Antiepileptic and sedative-hypnotic drugs, unspecified
1
392 T 42.8 Antiparkinsonism drugs and other central muscle-tone depressants
2
392 T 43.0 Tricyclic and tetracyclic antidepressants

Tabel Icd
idIC Kode
D
ICD

Nama ICD

3
392 T 43.1 Monoamine-oxidase-inhibitor antidepressants
4
392 T 43.2 Other and unsp antidepresants
5
392 T 43.3 Phenothiazune antipsychotic and neuroleptics
6
392 T 43.4 Butyrophenone and thioxanthene neuroleptics
7
392 T 43.5 Other and unsp antipsychotic and neuroliptic
8
392 T 43.6 Psychostimulants with abuse potential
9
393 T 43.8 Other psychotropic drugs, not elsewhere clasified
0
393 T 43.9 Psychotropic drug,unspecified/Ectasi/Shabu-shabu
1
393 T 44.0 Anticholinesterase agents
2
393 T 44.1 Other parasympathomimetics(cholinergics)
3
393 T 44.2 Ganglionic blocking drugs, not elsewhere clasified
4
393 T 44.3 Other parasympathics(anticholinergics and antimuscarinics) and
5
spasmolytics, not elsewhere clasified
393 T 44.4 Predominantly alfa-adrenoreceptor aroganist, not elsewhere clasified
6
393 T 44.5 Predominantly beta-adrenoreceptor agonists, not elsewhere classified
7
393 T 44.6 Alfa-adrenoreceptor antagonists, not elsewhere clasified
8
393 T 44.7 Beta-adrenoreceptor antagonists, not elsewhere clasified
9
394 T 44.8 Centrally acting and adrenergic-neuron-blocking agents, not elsewhere
0
clasified
394 T 44.9 Other and unspecified drugs primarily affecting the autonomic nervous
1
system
394 T 45.0 Antiallergic and antiemetic drugs
2

Tabel Icd
idIC Kode
D
ICD

Nama ICD

394 T 45.1 Antineoplastic and immunosuppresive drugs

3
394 T 45.2 Vitamins, not elsewhere clasified
4
394 T 45.3 Enzymes, not elsewhere clasified
5
394 T 45.4 Iron and its compounds
6
394 T 45.5 Anticoagulants
7
394 T 45.6 Fibrinolysis-affecting drugs
8
394 T 45.7 Anticoagulant antagonists, vitamin K and other coagulants
9
395 T 45.8 Other primarily systemic and haematological agents
0
395 T 45.9 Primarily systemic and haematological agent, unspecified
1
395 T 46.0 Cardiac-stimulant glycosides and drugs of similar action
2
395 T 46.1 Calcium-chanel blockers
3
395 T 46.2 Other antidysrhytmic drugs, not elsewhere classified
4
395 T 46.3 Coronary vasodilators, not elsehwre classified
5
395 T 46.4 Angiotensin-converting-enzyme inhibitors
6
395 T 46.5 Other anti hypertensive drugs, NEC
7
395 T 46.6 Antihyperlipidaemic and antiarteriosclerotic drugs
8
395 T 46.7 Peripheral vasodilators
9
396 T 46.8 Antivaricose drugs, including sclerosing agents
0
396 T 46.9 Other and unspecified agents primary affecting the cardiovascular
1
system
396 T 47.0 Histamine H2-receptor antagonists

Tabel Icd
idIC Kode
D
ICD

Nama ICD

2
396 T 47.1 Other antacids and anti-gastric-secretion drugs
3
396 T 47.2 Stimulant laxatives
4
396 T 47.3 Saline and osmotic laxatives
5
396 T 47.4 Other laxatives
6
396 T 47.5 Digestants
7
396 T 47.6 Antidiarrhoeal drugs
8
396 T 47.7 Emetics
9
397 T 47.8 Other agent primarily affecting the gastrointestinal system
0
397 T 47.9 Agent primarily affecting the gastrointestinal system, unspecified
1
397 T 48.0 Oxytocic drugs
2
397 T 48.1 Skeletal muscle relaxant(neuromuscular blocking agents)
3
397 T 48.2 Other and unspecified agents primarily acting on muscles
4
397 T 48.3 Antitussives
5
397 T 48.4 Expectorants
6
397 T 48.5 Anti-common-cold drugs
7
397 T 48.6 Antiasthmatics, nec
8
397 T 48.7 Other and unspecified agents primarily acting on the respiratory
9
system
398 T 49.0 Local antifungal, anti-infective and anti-inflamatory drugs, nec
0
398 T 49.1 Antioruritics
1

Tabel Icd
idIC Kode
D
ICD

Nama ICD

398 T 49.2 Local astringents and local detergents

2
398 T 49.3 Emollients, demulcents and protectants
3
398 T 49.4 Keratolytics, keratoplastics and other hair treatment drugs and
4
preparations
398 T 49.5 Ophthalmological drugs and preparations
5
398 T 49.6 Otorhinolaryngological drugs and preparations
6
398 T 49.7 Dental drugs, topically applied
7
398 T 49.8 Other topical agents
8
398 T 49.9 Topical agent, unspecified
9
399 T 50.0 Mineralocorticoids and their atragonists
0
399 T 50.1 Loop (heigh-ceiling)diuretics
1
399 T 50.2 Carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics
2
399 T 50.3 Electrolytic, coloric and water balance agents
3
399 T 50.4 Drugs affecting uric acid metabolism
4
399 T 50.5 Appetite depressants
5
399 T 50.6 Antidotes and chelating agents, nec
6
399 T 50.7 Analeptics and opioid receptor antagonists
7
399 T 50.8 Diagnostic agents
8
399 T 50.9 Other and unsp.drugs,medicaments and biological substances
9
400 T 51.0 Ethanol(toxic effect of alcohol)
0
400 T 51.1 Methanol(toxic effect of alcohol)

Tabel Icd
idIC Kode
D
ICD

Nama ICD

1
400 T 51.2 2-fuse oil(toxic effect of alcohol)
2
400 T 51.3 Fusel oil(toxic effec of alcohol)
3
400 T 51.8 Other alcohols
4
400 T 51.9 Alcohol, unspecified
5
400 T 52.0 Toxic effect of petroleum product
6
400 T 52.1 Toxic effect of benzene
7
400 T 52.2 Toxic effect of homologues of benzene
8
400 T 52.3 Toxic effect of glycols
9
401 T 52.4 Toxic effect of ketones
0
401 T 52.8 Toxic effect of other organic solvents
1
401 T 52.9 Toxic effect of organic solvent, unspecified
2
401 T 53.0 Toxic effect of carbon tetrachloride
3
401 T 53.1 Toxic effect of chloroform
4
401 T 53.2 Toxic effect of tetrachloroethylene
5
401 T 53.3 Toxic effect of tetrachloroetthylene
6
401 T 53.4 Toxic effect of dichloromethane
7
401 T 53.5 Toxic effect of chlorofluorocarbons
8
401 T 53.6 Toxic effect of other halogen derivatives of aliphatic hydrocarbons
9
402 T 53.7 Toxic effect of halogen derivatives of aromatic hydrocarbons
0

Tabel Icd
idIC Kode
D
ICD

Nama ICD

402 T 53.9 Toxic effect of halogen derivative of aliphatic and aromatic

1
hydrocarbons, unspecified
402 T 54.0 Toxic effect of phenol and phenol homologues
2
402 T 54.1 Toxic effect of other corrosive organic compounds
3
402 T 54.2 Corrosive acids and acid like substance
4
402 T 54.3 Corrosive alkalis and alkali-like substances
5
402 T 54.9 Corrosive substance, unspecified
6
402 T 55
7

Toxic effect of soaps and detergents

402 T 56.0 Toxic effect of lead and its compounds

8
402 T 56.1 Toxic effect of mercury and its compounds
9
403 T 56.2 Toxic effect of chromium and its compounds
0
403 T 56.3 Toxic effect of cadmium and its compounds
1
403 T 56.4 Toxic effect of copper and its compounds
2
403 T 56.5 Toxic effect of zinc and its compouns
3
403 T 56.6 Toxic effect of tin and its compounds
4
403 T 56.7 Toxic effect beryllium and its compounds
5
403 T 56.8 Toxic effect of other metals
6
403 T 56.9 Toxic effect of metal, unspecified
7
403 T 57.0 Toxic effect of arsenic and its compounds
8
403 T 57.1 Toxic effect of phosphorus and its compounds
9
404 T 57.2 Toxic effect of manganese and its compounds

Tabel Icd
idIC Kode
D
ICD

Nama ICD

0
404 T 57.3 Toxic effect of hydrogen cyanide
1
404 T 57.8 Toxic effect of other specified inorganic substances
2
404 T 57.9 Toxic effect of inorganic substance, unspecified
3
404 T 58
4

Toxic effect of carbon monoxide

404 T 59.0 Toxic effect of nitrogen oxides

5
404 T 59.1 Toxic effect of sulfur dioxides
6
404 T 59.2 Toxic effect of formaldehyde
7
404 T 59.3 Toxic effect of lacrimogenic gas
8
404 T 59.4 Toxic effect of chlorine gas
9
405 T 59.5 Toxic effect of fluorine gas and hydrogen fluoride
0
405 T 59.6 Toxic effect of Hydrogen sulfide
1
405 T 59.7 Toxic effect of carbon dioxide
2
405 T 59.8 Toxic effect of other specified gases, fumes and vapours
3
405 T 59.9 Toxic of gases, fumes and vapours, unspecified
4
405 T 60.0 Toxic effect of organophosphate and carbamate insecticides
5
405 T 60.1 Halogenated insecticides
6
405 T 60.2 Other insecticides
7
405 T 60.3 Herbicides and fungicides
8
405 T 60.4 Rodenticides
9

Tabel Icd
idIC Kode
D
ICD

Nama ICD

406 T 60.6 Pesticide, unspecified

0
406 T 60.8 Other pesticides
1
406 T 60.9 Toxic effect of peptiside,unsp.
2
406 T 61.0 Ciguatera
3
406 T 61.1 Scombroid fish poisoning
4
406 T 61.2 Other fish and shllfish poisoning
5
406 T 61.8 Toxic effect of other seafoods
6
406 T 61.9 Toxic effect of unspecified seafood
7
406 T 62.0 Ingested mushrooms
8
406 T 62.1 Ingested berries
9
407 T 62.2 Other ingested (parts of) plant(s)
0
407 T 62.8 Other specified nonxious substances eaten as food
1
407 T 62.9 Toxic effect of noxious substance eaten as food,unsp.
2
407 T 63.0 Toxic effect of contact with venomous snake
3
407 T 63.1 Venom of other reptiles
4
407 T 63.2 Venom of scorpion
5
407 T 63.3 Venom of spider
6
407 T 63.4 Venom of other arthropods/insect bite or string, venomous
7
407 T 63.5 Toxic effect of contact with fish
8
407 T 63.6 Toxic effect of contact with fish

Tabel Icd
idIC Kode
D
ICD

Nama ICD

9
408 T 63.8 Toxic effect of contact other venomous animal
0
408 T 63.9 Toxic effect of contact with unsp. Venomous animals
1
408 T 64
2

Toxic effect of aflatoxin and other mycotoxin foof contaminants

408 T 65.0 Cyanides

3
408 T 65.1 Strychnine and its salts
4
408 T 65.2 Tobacco and nicotine
5
408 T 65.3 Nitroderivatives and aminoderivatives of benzene and its homologues
6
408 T 65.4 Carbon disulfide
7
408 T 65.5 Nitroglycerin and other nitric acids and esters
8
408 T 65.6 Paints and dyes, not elsewhere classified
9
409 T 65.8 Toxic effect of other specified substance
0
409 T 65.9 Toxic effect of unspecified substance/zat kimia/chemical intoxication
1
409 T 66
2

Unspecified effects of radiation

409 T 67.0 Effect of heat and light

3
409 T 67.1 Heat syncope
4
409 T 67.2 Heat cramp
5
409 T 67.3 Heat exhaustion, anyhydrotic
6
409 T 67.4 Heat exhaustion due to salt depletion
7
409 T 67.5 Heat exhaustion, unspecified
8

Tabel Icd
idIC Kode
D
ICD

Nama ICD

409 T 67.6 Heat fatigue, transient

9
410 T 67.7 Heat oedema
0
410 T 67.8 Other effects of heat and light
1
410 T 67.9 Effect of heat and light, unpsecified
2
410 T 68
3

Hypothermia

410 T 69.0 Immersion hand and foot

4
410 T 69.1 Chilblains
5
410 T 69.8 Other specified effect of reduced tempereture
6
410 T 69.9 Effect of reduced tempereture, unspecified
7
410 T 70.0 Otitic barotrauma
8
410 T 70.1 Sinus barotrauma
9
411 T 70.2 Other and unspecified effects of high altitude
0
411 T 70.3 Caison disease (decompression sickness)
1
411 T 70.4 Effect of high-pressure fluids
2
411 T 70.8 Other effect of air pressure and water pressure
3
411 T 70.9 Effect of air pressure and water pressure, unspecified
4
411 T 71
5

Asphyxiation

411 T 73.0 Effects of hunger

6
411 T 73.1 Effects of thirst
7
411 T 73.2 Exhaustion due to exposure

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8
411 T 73.3 Exchaustion due to excesive exertion
9
412 T 73.8 Other effects of deprivation
0
412 T 73.9 Effect of deprivation, unspecified
1
412 T 74.0 Neglect or abandonment
2
412 T 74.1 Physical abuse
3
412 T 74.2 Sexual abuse
4
412 T 74.3 Psychological abuse
5
412 T 74.8 Other maltreatment syndromes
6
412 T 74.9 Maltreatment syndrome, unspecified
7
412 T 75.0 Effects of lighning
8
412 T 75.1 Drowning and nonfatal submersion
9
413 T 75.2 Effects of vibration
0
413 T 75.3 Motion sickness
1
413 T 75.4 Effects of electric current
2
413 T 75.8 Other specified effect of external causes
3
413 T 78.0 Anaphylactic shock due to adverse food reaction
4
413 T 78.1 Other adverse food reactions, not elsewhere clasified
5
413 T 78.2 Anaphylactic shock, unsp
6
413 T 78.3 Angioneurotic
7

Tabel Icd
idIC Kode
D
ICD

Nama ICD

413 T 78.4 Allergy,unsp.

8
413 T 78.8 Other adverse effects, not elsewhere classified
9
414 T 78.9 Adverse effect,unsp.
0
414 T 79.0 Air embolism(traumatic)
1
414 T 79.1 Fat embolism (traumatic)
2
414 T 79.2 Traumatic secondary and recurrent haemorrhage
3
414 T 79.3 Post-traumatic wound infection,not elsewhere classified
4
414 T 79.4 Traumatic shock
5
414 T 79.5 Traumatic anuria
6
414 T 79.6 Traumatic ischaemie of muscle
7
414 T 79.7 Traumatic substance emphyema
8
414 T 79.8 Adverse effect, unsp
9
415 T 79.9 Unspecified early complication of trauma
0
415 T 80.0 Air embolism following infusion, tranfusion and therapeutic injection
1
415 T 80.1 Vascular complivations following infusion, tranfusion and therapeutic
2
injection
415 T 80.2 Infection following infusion, tranfusion and therapeutic injection
3
415 T 80.3 ABO incompatibility reaction
4
415 T 80.4 Rh incompatibility
5
415 T 80.5 Anaphylactic shock due to serum
6
415 T 80.6 Other serum reactions

Tabel Icd
idIC Kode
D
ICD

Nama ICD

7
415 T 80.8 Other complications following infusion, tranfusion and therapeutic
8
injection
415 T 80.9 Unspecified complication following infusion, tranfusion and therapeutic
9
injection
416 T 81.0 Perdarahan postoperative/Haemorrhage and haematoma complicating
0
a procedure,not elsewhere classified
416 T 81.1 Shock during or resulting from a procedure, not elsewhere classified
1
416 T 81.2 Accidental puncture and laceration during a procedure, not elsewhere
2
classified
416 T 81.3 Disruption of operation wound,not elsewhere classified
3
416 T 81.4 Infection following a procedure,not elsewhere classified
4
416 T 81.5 Foreign body accidentally left in body cavity or operation wound
5
following a procedure
416 T 81.6 Acute reaction to foreign substance accidentally left during a procedure
6
416 T 81.7 Vascular complications following a procedure, not elsewhere classified
7
416 T 81.8 Other complication of procedure not elsewhere classified
8
416 T 81.9 Unspecified complication of procedure
9
417 T 82.0 Mechanical complication of heart valve prosthesis
0
417 T 82.1 Mechanical complication of cardiac electronic device
1
417 T 82.2 Mechanical complication of coronary artery bypass and valve grafts
2
417 T 82.3 Mechanical complication of other vascular grafts
3
417 T 82.4 Mechanical complication of vascular dialysis catheter
4
417 T 82.5 Mechanical complication of other cardiac and vascular and implants
5
417 T 82.6 Infection and inflammatory reaction due to cardiac valve prosthesis
6

Tabel Icd
idIC Kode
D
ICD

Nama ICD

417 T 82.7 Infection and inflammatory reaction due to other cardiac and vascular
7
devices, implant and grafts
417 T 82.8 Other complications of cardiac and vascular prosthetic device, implants
8
and grafts
417 T 82.9 Unspecified complication of cardiac and vascular prosthetic device,
9
implant and graft
418 T 83.0 Mechanical complication of urinaty ( indwelling) catheter
0
418 T 83.1 Mechanical complication of other urinary device and implants
1
418 T 83.2 Mechanical complication of graft of urinary organ
2
418 T 83.3 Mechanical complication of intrauterine contraceptive device
3
418 T 83.4 Mechanical complication of other prosthetic devices, implant and grafts
4
in genital tract
418 T 83.5 Infection and inflamatory reaction due to prosthetic device, implant
5
and graft in urinary system
418 T 83.6 Infection and inflamatory reaction due to prosthetic device, implant
6
and graft in genital tract
418 T 83.8 Other complications of genitourinary prosthetic device, implant and
7
grafts
418 T 83.9 Unspecified complication of genitourinary prosthetic device implant
8
and graft
418 T 84.0 Mechanical complication of internal joint prosthesis
9
419 T 84.1 Mechanical complication of internal fixation device of bones of limb
0
419 T 84.2 Mechanical complication of internal fixation device of other bones
1
419 T 84.3 Mechanical complication of other bones devices, implants ang grafts
2
419 T 84.4 Mechanical complication of other internal orthopaedic devices, implan
3
and grafts
419 T 84.5 Infection and inflamatory reaction due to internal joint prsthesis
4
419 T 84.6 Infection and inflamatory reaction due to internal fixation device ( any
5
site )
419 T 84.7 Infection and inflamatory reaction due to other internal orthopaedic

Tabel Icd
idIC Kode
D
ICD
6

Nama ICD
prosthetic devices,...

419 T 84.8 Other complication of internal orthopaedic prosthetic device, ...

7
419 T 84.9 Unspecified complication of internal orthopaedic prosthetic device,
8
implant and graft
419 T 85.0 Mechanical complication of ventricular intracraniarl (communicating)
9
shunt
420 T 85.1 Mechanical complication of implanted electronic stimulator of nervous
0
system
420 T 85.2 Mechanical complication of intraocular lens
1
420 T 85.3 Mechanical complication of other ocular prosthetic deveces, implants
2
420 T 85.4 Mechanical complication of breast prsothesis and implant
3
420 T 85.5 Mechanical complication of gastrointestinal prsthetic devices, implant
4
and grafts
420 T 85.6 Mechanical complication of other specified internal pristhetic devices,
5
implant and grafts
420 T 85.7 Infection and inflammatory reaction due to other internal prsthetic
6
devices, implants and grafts
420 T 85.8 Other complications of internal prosthetic devices, implants and grafts,
7
not elsewhere classified
420 T 85.9 Unspecified complication of internal prosthetic device, implant and
8
grafts
420 T 86.0 Bone-marrow trasplant rejection
9
421 T 86.1 Kydney trasplant failure and rejection
0
421 T 86.2 Heart transplant failure and rejection
1
421 T 86.3 Heart-lung transplant failure and rejection
2
421 T 86.4 Liver transplant failure and rejection
3
421 T 86.8 Failure and rejection of other transplanted organs and rissues
4
421 T 86.9 Failure and rejection of unspecified transplanted organ and tissue
5

Tabel Icd
idIC Kode
D
ICD

Nama ICD

421 T 87.0 Complications of reattached (part of) upper extremity

6
421 T 87.1 Complications of reattached (part of) lower extremity
7
421 T 87.2 Complications of other reattached body part
8
421 T 87.3 Neuroma of amputation stump
9
422 T 87.4 Infection of amputation stump
0
422 T 87.5 Necrosis of amputation stump
1
422 T 87.6 Other and unspecified complications of amputation stump
2
422 T 88.0 Infection following immunization
3
422 T 88.1 Other complications following immunization, not elsewhere clasified
4
422 T 88.2 Shock due to anaesthesia
5
422 T 88.3 Malagnant hyperthermia dur to anaesthesia
6
422 T 88.4 Failed or difficul intubation
7
422 T 88.5 Other complications of anaesthesia
8
422 T 88.6 Anaphylactic shock due to adverse effect of correct drug or
9
medecament properly administered
423 T 88.7 Unspecified adverse effect of drugs or medicament
0
423 T 88.8 Other specified complications of surgical and medical care, not
1
elsewhere classified
423 T 88.9 Complication of surgical and medical care,unsp.
2
423 T 90.0 Sequelae of superficial injury of head
3
423 T 90.1 Sequelae of open wound of head
4
423 T 90.2 Sequelae of fracture of skull and facial bones

Tabel Icd
idIC Kode
D
ICD

Nama ICD

5
423 T 90.3 Sequelae of injury of cranial nerves
6
423 T 90.4 Sequelae of eye and orbit
7
423 T 90.5 Sequelae of intracranial injury
8
423 T 90.8 Sequelae of other specified injuries of head
9
424 T 90.9 Sequelae of unspecified injury of head
0
424 T 91.0 Sequelae of superficial injury and open wound of neck and trunk
1
424 T 91.1 Sequelae of fracture of spine
2
424 T 91.2 Sequelae of other fracture of thorax and pelvis
3
424 T 91.3 Sequelae of injury of spinal cord
4
424 T 91.4 Sequelae of injury of intrathoracic organs
5
424 T 91.5 Sequelae of injury of intra-abdominal and pelvic organs
6
424 T 91.8 Sequelae of other specified injuries of neck and trunk
7
424 T 91.9 Sequelae of unspecified injury of neck and trunk
8
424 T 92.0 Sequelae of open wound of upper limb
9
425 T 92.1 Sequelae of fracture of arm
0
425 T 92.2 Sequelae of fracture at wrist and hand level
1
425 T 92.3 Sequelae of dislocation, sprain and strain of upper limb
2
425 T 92.4 Sequelae of injury of nerve of upper limb
3
425 T 92.5 Sequelae of of muscle and tendon of upper limb
4

Tabel Icd
idIC Kode
D
ICD

Nama ICD

425 T 92.6 Sequelae of crushing injury and traumatic amputation of upper limb
5
425 T 92.8 Sequelae of other specified injuries of upper limb
6
425 T 92.9 Sequelae of unspecified injury of upper limb
7
425 T 93.0 Sequelae of open wound of lower limb
8
425 T 93.1 Sequele of fracture femen
9
426 T 93.2 Sequele of other fructure of lower limb
0
426 T 93.3 Sequelae of dislocation, sprain and strain of lower linb
1
426 T 93.4 Sequelae of injury of nerve of lower limb
2
426 T 93.5 Sequelae of injury of muscle and tendon of lower limb
3
426 T 93.6 Sequelae of crushing injury and traumatic amputation of lower limb
4
426 T 93.8 Sequelae of other specified injuries of lower limb
5
426 T 93.9 Sequelae of unpsecified injuries of lower limb
6
426 T 94.0 Sequelae of injuries involving multiple body regions
7
426 T 94.1 Sequelae of injuries, not specified by body region
8
426 T 95.0 Sequelae of burn,corrosion and frostbite of head and neck
9
427 T 95.1 Sequelae of burn, corrosion and frostbite of head and neck
0
427 T 95.2 Sequelae of burn,corrosion and frosbite of upper limb
1
427 T 95.3 Sequelae of burn,corrosion and frosbite of lower limb
2
427 T 95.4 Sequelae of burn and corrosion clasifiable only according to extent of
3
body surface involved
427 T 95.8 Sequelae of other specified burn, corrosion and frostbite

Tabel Icd
idIC Kode
D
ICD

Nama ICD

4
427 T 95.9 Sequelae of unspecified burn,corrosion and frosbite
5
427 T 96
6

Sequelae of poisoning by drugs, medicaments and biological

substances

427 T 97
7

Sequelae of toxic effect of substances chiefly nonmedicinal as to

source

427 T 98.0 Sequelae of effects of foreign body entering through natural orifice
8
427 T 98.1 Sequelae of other and unspecified effects of external causes
9
428 T 98.2 Sequelae of certain early complications of trauma
0
428 T 98.3 Sequelae of complications of surgical and medical care,not elsewhere
1
classified
448 V 21
0

MOTORCYCLE RIDER INJURED IN COLLISION WITH PEDAL CYCLE

447 V 29
1

Motorcycle rider injured in other and unspecifieed transport accidents

447 W 25
8

CONTACT WITH SHARP GLASS

428 W 36
2

Explosion and rupture of gas cylinder

460 W 54
0

DIGIGIT ANJING

441 W 64
8

EXPOSURE to other and unspecified animate mechanical forces

428 W 91
3

EXPOSURE TO UNSPECIFIET TYPE OF RADIATION

428 X
4

Shigellosis due to shigella sonnei

428 Z 00.0 General medical examination/Health chek up

5
428 Z 00.1 Routine child health examination
6
428 Z 00.2 Examination for period of rapid growth in childhood
7
428 Z 00.3 Examination for adolescent development
8

Tabel Icd
idIC Kode
D
ICD

Nama ICD

428 Z 00.4 General psychiatric examination, not elsewhere clasified

9
429 Z 00.5 Examination of potential donor of organ and tissue
0
429 Z 00.6 Examination for normal comparison and control in clinical research
1
programe
429 Z 00.8 Other general examinations
2
429 Z 01.0 Examination of eyes and vision
3
429 Z 01.1 Examination of ears and hearing
4
429 Z 01.2 Dental examination of blood pressure
5
429 Z 01.3 Examination of blood pressure
6
429 Z 01.4 Gynaecological examination(general)(routine)
7
429 Z 01.5 Diagnostic skin and sensitization test
8
429 Z 01.6 Radiological examination, not elsewhere clasified
9
430 Z 01.7 Laboratory examination
0
430 Z 01.8 Other specified special examinations
1
430 Z 01.9 Special examination, unspecified
2
430 Z 02.0 Examination for admission to educational instisution
3
430 Z 02.1 Pre-employment examination
4
430 Z 02.2 Examination for admission to residental institution
5
430 Z 02.3 Examination for recruitment to armed forces
6
430 Z 02.4 Examination for driving licence
7
430 Z 02.5 Examination for participation in sport

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8
430 Z 02.6 Examination for insurance purposes
9
431 Z 02.7 Issue of medical certificate
0
431 Z 02.8 Surat kesehatan/Other examination for administrative purposes
1
431 Z 02.9 Examination for administrative purpose, unspecified
2
431 Z 03.0 Observation for suspected tuberculosis/test mantok
3
431 Z 03.1 Observation for suspected tubercoluse
4
457 Z 03.2
1
456 Z 03.3
8
456 Z 03.5
9
457 Z 03.7
0
431 Z 03.8 Observation for other suspected diseases and conditions
5
431 Z 03.9 Observation for suspected disease or condition, unspecified
6
441 Z 04.0 BLOOD ALCHOHOL AND BLOOD DRUG TEST
1
431 Z 04.9 Observasi/examination for unsp reason
7
431 Z 08.9 Follow-up examination after unspecified tretment for malignant
8
neoplasm
431 Z 09.0 Follow-up examination after surgery for other conditions
9
450 Z 09.4 POST ORIF / FRAKTUR
8
455 Z 09.9 POST RI
5
432 Z 11.1 Chek up paru/Special screening examination for respiratory
0
tuberculosis

Tabel Icd
idIC Kode
D
ICD

Nama ICD

432 Z 11.4 Special screening examination for human immunodeficiency virus (HIV)
1
432 Z 12.4 Special Screening eaxamination for neoplasma of cervix
2
444 Z 13.0
7
444 Z 13.1
8
444 Z 13.2
9
445 Z 13.3
0
445 Z 13.4
1
445 Z 13.5
2
445 Z 13.6
3
445 Z 13.7
4
445 Z 13.8
5
445 Z 13.9
6
448 Z 17
5
432 Z 22.0 Carrier of typhoid
3
432 Z 22.5 Carrier of viral hepatitis
4
432 Z 23
5

kontrol kehamilan

432 Z 23.0 Imunisasi kolera

6
432 Z 23.2 Imunisasi BCG
7
432 Z 23.5 Imunisasi Tetanus
8
432 Z 23.6 Imunisasi Diphteri

Tabel Icd
idIC Kode
D
ICD

Nama ICD

9
433 Z 23.7 Imunisasi pertusis
0
433 Z 24.0 Imunisasi polio
1
433 Z 24.2 Imunisasi rabies
2
433 Z 24.4 Imunisasi campak/morbili/measles
3
433 Z 24.6 Imunisasi VHB/Hepatitis
4
433 Z 26.9 Imunisasi,Uns
5
433 Z 27.1 Imunisasi DTP
6
433 Z 27.2 TYPHOID FEVER
7
433 Z 27.3 Imunisasi DTP + POLIO
8
433 Z 27.4 Imunisasi MMR
9
434 Z 28.9 Imimisasi/Immunization not carried out for unspecified reason/vaksinasi
0
434 Z 30.0 General counselling and advice on contraception
1
434 Z 30.1 Insertion of ( intrauterine) contraceptive device
2
434 Z 30.2 Sterilization/KB/pasang iud
3
434 Z 30.4 Surveillance of contraceptive drugs
4
434 Z 30.5 Angkat iud
5
434 Z 30.9 Contraceptive management, unsp
6
434 Z 31.0 Tuboplasty or vasoplasty after previous sterilization
7
434 Z 31.8 IA
8

Tabel Icd
idIC Kode
D
ICD
434 Z 32
9

Nama ICD
PREGNANCY EXAMINATION AND TEST

435 Z 32.0 Test (s) pregnancy (possible) (unconfirmed)

0
435 Z 32.1 Prignancy confirmed
1
435 Z 33
2

Pregnant state,incidental

435 Z 34.0 Supervision of normal first pregnancy

3
435 Z 34.8 Supervision of other normal pregnancy
4
435 Z 34.9 Supervision of normal pregnancy unspesifik
5
435 Z 35.0 Supervision of pregnancy with history of infertility
6
435 Z 35.7 Supervision of high risk pregnancy
7
435 Z 37.0 Single live birth outcome delivery
8
435 Z 37.1 Single still birth outcome delivery
9
436 Z 37.2 Twins, both live born outcome delivery
0
436 Z 37.3 Twins, one live born and one still born outcome delivery
1
436 Z 37.4 Twins, both still born outcome delivery
2
436 Z 37.6 Other multiple births, some liveborn
3
436 Z 38.0 Neonatus/Singleton,born inside hospital
4
436 Z 38.1 Singleton born outside hospital
5
436 Z 38.2 Singleton, unspecified as to place of birth
6
436 Z 38.3 Twin,born in hospital
7
436 Z 38.4 Twin, born outside hospital

Tabel Icd
idIC Kode
D
ICD

Nama ICD

8
436 Z 39.0 Care and examination immediately after delivery
9
437 Z 39.2 Post partum/Routine post partum follow-up
0
437 Z 40.9 Prophyalatic sur
1
437 Z 41.2 Circumcisi
2
437 Z 42.0 Follow-up care involving plastic surgery of head and neck
3
437 Z 42.8 Follow-up care involving plastic surgery of other body part
4
437 Z 43.0 Attention to tracheostomy
5
437 Z 43.1 Attemtion to Gastrotomy
6
437 Z 43.3 Attention to ileostomy
7
441 Z 45
1

PENYESUAIAN DAN PENGOLAHAN ALAT YANG DITANAM

441 Z 46
2

PEMASANGAN DAN PENYESUAIAN ALAT LAIN

437 Z 46.3 Prothesa/gigi palsu

8
437 Z 46.4 Kontrol Ortho/fitting and adjustmen of orthodontic device
9
438 Z 47.0 Orif( Folw-up care involving removal of fracture plate and other internal
0
fixation device
438 Z 47.8 Other Specified orthopedic follow-up care
1
438 Z 47.9 Orthopaedic follow-up care, Unsp
2
442 Z 48.0 ATTENTION TO SURGICAL DRESSINGS AND SUTURES
3
438 Z 48.8 Other specified surgical follow up care
3
438 Z 48.9 Surgical follow-up care, unspecified
4

Tabel Icd
idIC Kode
D
ICD

Nama ICD

438 Z 49.1 Extracorporeal dialysis

5
438 Z 51.0 Radiotherapy session
6
438 Z 51.1 Sitostatika/Convalescence following chemoterapy.
7
438 Z 51.2 Other chemotherapy
8
438 Z 51.3 Blood tranfusion without reported diagnosis
9
439 Z 51.9 Post Curretage ? /medical care, unsp
0
439 Z 52.0 Blood donor
1
439 Z 52.1 Skin donor
2
439 Z 52.2 Bone donor
3
439 Z 53.9 Procedure not carried out, unsp reaseon
4
439 Z 54.0 Convalescence following surgery
5
451 Z 54.3 CONVALESCENCE FOLLOWING PSYCHOTHERAPY
7
439 Z 54.8 Convalescence following othre treatment
6
439 Z 60.3 Acculturation difficulty
7
439 Z 71.0 Person consulting on behalf of another person
8
439 Z 71.8 Konsultasi/Other Specified counseling
9
456 Z 85.0
5
446 Z 85.1
1
446 Z 85.2
2
446 Z 85.3

Tabel Icd
idIC Kode
D
ICD
3
446 Z 85.4
4
446 Z 85.5
5
446 Z 85.6
6
446 Z 85.7
7
446 Z 85.8
8
446 Z 85.9
9
447 Z 86.0
0
456 Z 86.1
6
458 Z 86.2
1
457 Z 86.3
1
447 Z 86.4
3
447 Z 86.5
5
447 Z 86.6
6
458 Z 86.7
2
458 Z 86.8
3
447 Z 86.9
9
448 Z 87.0
1
448 Z 87.1 dyspsia
4
441 Z 87.2
9

Nama ICD

Tabel Icd
idIC Kode
D
ICD

Nama ICD

456 Z 87.3 LBP

3
457 Z 87.4
6
458 Z 87.5
4
458 Z 87.6
5
458 Z 87.7
6
456 Z 87.8
4
458 Z 87.9
7
458 Z 89.4 ACQUIRED ABSENCE OF FOOT AND ANKLE
0
446 Z 92.0
3
446 Z 92.1
4
446 Z 92.2
5
446 Z 92.3
6
446 Z 92.4
7
446 Z 92.5
8
452 Z 92.6
9
452 Z 92.7
8
452 Z 92.8
7
452 Z 92.9
6
443 Z 93.0 TRACHEOSTOMI
1
440 Z 94.0 Kidney transplant status

Tabel Icd
idIC Kode
D
ICD

Nama ICD

1
440 Z 96.1 PRESENCE OF INTRAOCULAR LENS
2
440 Z 96.2 PRESENCE OF OTOLOGICAL AND AUDIOLOGICAL IMPLANTS
3
440 Z 98.0 Intestinal bypass and anastomosis status
4
440 Z 98.2 Presence of cerebrospinal fluid drainage device
5
440 Z 98.8 Other specified postsurgical states
6