10 PENYAKIT TERBANYAK B

NO DIAGNOSA TINDAKAN
1. STT EKSISI
2. IMPAKSI GIGI ODONTECTOMY
3. ABSES DEBRIDEMEN
4. GRAVIDA SC
5. APPENDICITIS APPENDICTOMY
6. VARICOCELE LIGASI
7. TONSILITIS TONSILECTOMY
8. HERNIA HERNIOTOMY
9. HEMOROID TANPA KOMP HEMOROIDECTOMY
10 DIABETIC FOOT AMPUTATION , NOT OTHERWISE SPECIFI
11 OTHER AND UNSPESIFIC OVARIAN CYSTS LAPAROTOMY EXPLORASI
12 FRACTURE CLAVICULA ORIF
13 FRACTURE RADIUS ULNA ORIF
14 OTHER AND UNSPESIFIC OVARIAN CYSTS OTHER TOTAL CYSTECTOMY
15 OTHER AND UNSPESIFIC OVARIAN CYSTS MANUAL RUPTURE OF OVARIAN CYST
16 KISTA RADIKULER EKSISI
17 PHIMOSIS CIRCUMSISI
0 PENYAKIT TERBANYAK BEDAH (OK)
KODE ICD 10 KODE ICD 9 TARIF INACBG KELAS 3 TARIF INACBG KEAS 2
M79.9.. 83.39 3,944,000 4,732,800
K01.1 23.19 2,812,800 3,375,300
L02… 86.22 1,296,600 1,555,900
O82.0,Z37.0 74.99 4,960,700 5,952,800
K35… 47.09 2,866,100 3,439,300
I86.1 63.1 6,589,300 7,907,200
J35.0 28.3 3,645,100 4,374,100
K40 53.. 2,541,300 3,049,600
I84… 49.46 4,540,900 5,449,100
E11.5 84.91 7,034,300 8,441,100
N83.2 54.11 5,942,800 7,131,300
S42.00 79.30 6,091,200 7,309,500
S52.40 79.39 6,415,100 7,698,100
N83.2 57.79 6,494,900 7,793,900
N83.2 65.93 6,302,600 7,563,100
K04.8 24.4 3,926,900 4,712,200
N47 64.0 1,085,500 1,302,600
TARIF INACBG KELAS 1
5,512,600
3,937,900
1,815,200
6,944,900
4,012,500
9,225,000
5,103,200
3,557,800
6,357,200
9,848,000
8,319,900
8,527,700
8,981,200
9,092,800
8,823,600
5,497,600
1,519,700
 TARIF INA-CBG OBSTETRI DAN GYNECOLOGI + PERINATO
NO DIAGNOSA TINDAKAN
1. PERSALINAN SPONTAN NORMAL APN
2. PERSALINAN DGN INDUKSI INDUKSI
3. PERSALINAN SC GAGAL INDUKSI INDUKSI + SC CITO
4. ABORTUS IMINEN
5. APPENDICITIS DILATASI KURETASE
6. HEG
7. ABSES BARTOLINI MARSUPIALISASI
8. HIPERBILIRUBINEMIA FOTOTERAPI
9. ASFIKSIA NEONATORUM
10. AMPUTATION , NOT OTHERWISE SPECIFIED
OTHER AND UNSPESIFIC OVARIAN CYSTS
FRACTURE CLAVICULA
FRACTURE RADIUS ULNA
OTHER AND UNSPESIFIC OVARIAN CYSTS OTHER TOTAL CYSTECTOMY
OTHER AND UNSPESIFIC OVARIAN CYSTS MANUAL RUPTURE OF OVARIAN CYST

17
GYNECOLOGI + PERINATOLOGI
TARIF INACBG KELAS 3 TARIF INACBG KEAS 2 TARIF INACBG KELAS 1
1,586,600 1,903,900 2,221,200
1,586,600 1,903,900 2,221,200
4,960,700 5,952,800 6,944,900
O82.0,Z37.0 74.99 4,960,700 5,952,800
1,701,900 2,042,200 2,382,600
2,053,800 2,464,600 2,875,400
3,557,900 4,269,500 4,981,000
3,206,300 3,847,600 4,488,900
3,945,300 4,734,300 5,523,400
WISE SPECIFIED

79.39
N83.2 57.79 6,494,900 7,793,900
6,944,900

9,092,800