Audit Tim Fraud

LAPORAN AUDIT KO
BULAN JULI 20
No Nomor RM Nama Diagnosis ICD 10
Neoplasms of uncertain or unknown

behaviour of connective and other D48.1
1 671 DIDAH JUNAEDAH soft tissue )
Thalassaemia, unspecified ) D56.9

2 2123885 RAHMAT AJIE
Chemotherapy session for neoplasm Z51.1
3 2311754 SUHERNI )
Old myocardial infarction ) I25.2

4 1320259 DIANI RIKA HAPSARI
Atherosclerotic heart disease ) I25.1
5 2369371 AINURROES, TN
Hypertensive renal disease with
I12.0
6 2144357 SURYANI renal failure )
Non-insulin-dependent diabetes
mellitus with peripheral circulatory E11.5
7 2369107 SOEPARMI NGATINEM, NY complications )

8 2357496 SUPARMAN ZARKASIH
Urinary tract infection, site not N39.0
9 2370206 MUHAMMAD BILAL MAULANA specified )
10 2368550 FIKRI MUBAROK Melaena ) K92.1
Other specified cerebrovascular I67.8
11 2370432 RANGGA AL FARIQ diseases )
Arthrosis, unspecified, lower leg ) M19.96

12 2318435 SAYUTA, TN
13 2370405 ANNA ANTONETA A ,NY Atherosclerotic heart disease ) I25.1
Intracerebral haemorrhage in
I61.4
14 2357551 ANA JANARNI cerebellum )
Bacterial infection, unspecified ) A49.9

15 2357585 CLEMIRA DITRI, AN
16 1126550 MISNAR, NY Angina pectoris, unspecified ) I20.9
Gastroenteritis and colitis of A09.9
17 2331663 DARMALINDA ,NY unspecified origin )
18 2365778 AANG HARYATI Dengue haemorrhagic fever ) A91
Hypertensive renal disease with I12.0
19 2371113 IVONNE C WATUNG L, NY renal failure )
Hypertensive renal disease with I12.0
20 2370614 RUDY YARA renal failure )
21 1802715 ASMANI Status asthmaticus ) J46
22 2371096 DAHLIAH Angina pectoris, unspecified ) I20.9
23 1213208 MUSLIM,H Pyothorax without fistula ) J86.9

24 2370221 HENRI PERRI PERNANDO ,TN
25 2371068 TARMIDI
Anaemia, unspecified ) D64.9
26 2366081 KRISTIN MAULINA TRI W
27 2362483 FENNY AFFITRIJANI ,NY Ascites ) R18
Bronchiectasis ) J47
28 2369350 ROHANA
Hypokalaemia ) E87.6
29 2278375 SAWILAH
30 2275607 NURHAYATI, HJ, NY Encephalopathy, unspecified ) G93.4
Premature rupture of membranes, O42.0

onset of labour within 24 hours )
31 2289529 MARTIN BARIS
Hyper heart and renal disease both I13.2
32 2369534 MIA SITI SADDIAH, BY NY
Other and unspecified
gastroenteritis and colitis of A09.0
33 2369246 ADE INDAH BY NY infectious origin )
34 2371197 JARONAH Atherosclerotic heart disease ) I25.1
behaviour of bone and articular D48.0
35 1180926 ADNAN BIN MUHAMAD cartilage )
36 2371206 JONI AZWAR Bronchiectasis ) J47
37 2308280 GARDILLA SELVIANA RIZKY Unstable angina ) I20.0
Unstable angina ) I20.0

38 2363050 HERNI ROTUA TURNIP
Dyspepsia ) K30
39 2369443 MULYADI
Acute subendocardial myocardial I21.4
40 2370422 RUBIYEM infarction )
Other and unspecified ovarian N83.2

cysts )
41 2258054 ABDUL FAIZ FAHLEWI
Other specified chronic obstructive J44.8
42 2359384 NILAWATI pulmonary disease )
behaviour of bone and articular D48.0
43 2367096 NURPINA GINTING cartilage )
Subarachnoid haemorrhage, I60.9
44 2337229 HANIFA DESIANA unspecified )
Benign neoplasm of ovary ) D27

45 2366871 FITRI KUMALA
46 2370402 SUPRIYADI Asthma, unspecified ) J45.9
Other autoimmune haemolytic D59.1
47 527973 ENENG PATMAH, NY anaemias )
Compression of vein ) I87.1

48 541816 AGUS SUGIYANTO
Pneumonia due to other specified
infectious organisms ) J16.8
49 2361799 HOTLER SIPAYUNG .TN
Hypertensive heart disease with I11.0
50 2359798 SHOFA
Unilateral or unspecified inguinal
hernia, without obstruction or K40.9
51 2273733 ROHANI gangrene )
52 2370423 BY.NY.RUBIYEM Dyspepsia ) K30
Malignant neoplasm, breast,
unspecified ) C50.9
53 1162315 KEMIS
Hyper heart and renal disease both I13.2
54 2293035 JAKASANI
55 2313614 SETIONO, TN Atherosclerotic heart disease ) I25.1
Sequelae of other and unspecified I69.8

cerebrovascular diseases )
56 899245 JUMIYEM, NY
Acute subendocardial myocardial
I21.4
infarction )
57 2352414 MAHMUD
Delivery by emergency caesarean O82.1
58 2321695 ANNISA NUR RAHMA section )
Chronic obstructive pulmonary
disease with acute exacerbation, J44.1
59 2370424 AN. RIAN unspecified )
Calculus of gallbladder without K80.2

cholecystitis )
60 1840977 SAMAN SUHENDAR ,TN
61 581116 I NYOMAN SUDIARSA Aplastic anaemia, unspecified ) D61.9
Unspecified human
immunodeficiency virus [hiv] disease B24
62 2370197 SITI MULYANI ,NY )
63 192836 RONNIE ADRIAN Ulcerative colitis, unspecified ) K51.9
Noninfective gastroenteritis and K52.9
64 4498547 KUSMIRA colitis, unspecified )
65 2113876 MAY RONY ROLAND SIAHAAN Nontoxic goitre, unspecified ) E04.9
Malignant neoplasm, C54.1
66 2370667 AMIRUDDIN endometrium )
67 2371097 HARBUN TOLIP JOKO.H Chronic myeloid leukaemia ) C92.1
68 2356449 MUHAMMAD FATHUL ISLAMI Chronic myeloid leukaemia ) C92.1
Essential I10
69 2369699 SLUMUN
Pain, unspecified ) R52.9

70 2350689 SUJATMOKO ,TN
Chest pain, unspecified ) R07.4
71 2369718 MANIH HARYANI, NY
Other and unspecified
gastroenteritis and colitis of A09.0
72 2364880 EMI NURMAYANTI infectious origin )
73 2370929 HANIFA DESIANA BY NY Epilepsy, unspecified ) G40.9
Spontaneous abortion, incomplete, O03.4

without complication )
74 2295077 M SABAR, TN
75 2317767 EDI SUMAEDI, TN Severe birth asphyxia ) P21.0
76 2368198 akbar ramadhan saputra Prolonged first stage of labour ) O63.0
Tuberculous meningitis ) A17.0

77 2312245 H. EKA SOELAIMAN
Fetus and newborn affected by P03.4
78 2370665 LAELA, NY caesarean delivery )
79 2371165 RIF'AT FICKRY MALLAWIE caesarean delivery )
Prolonged second stage of labour ) O63.1

80 2369514 ABD MALIK RAHIM, TN
Premature rupture of membranes,
onset of labour within 24 hours ) O42.0
81 2369535 DADY KUSNADI, TN
82 2370155 SARBANI Neonatal jaundice, unspecified ) P59.9
False labour before 37 completed
weeks of gestation ) O47.0
83 2371175 SUPARDIO
Open wound of head, part S01.9
unspecified )
84 2355564 AHMAD BAEDOWI
85 2359974 Sukma Ahmaddin Novrizal Severe birth asphyxia ) P21.0

86 2041974 M. ALI MARZUKI
87 2369895 R DEDI IRAWAN Severe pre-eclampsia ) O14.1
88 2371114 NUR AVIFAH Severe pre-eclampsia ) O14.1
89 2342257 NURMALA BR SIAHAAN caesarean delivery )
Chronic obstructive pulmonary
disease with acute exacerbation, J44.1
90 1335307 ASRI HARAHAP. TN unspecified )

91 2047486 DANURI WATMO ,TN
Fetus and newborn affected by
caesarean delivery ) P03.4
92 2350579 TANTRI RESTUTYAS
93 2371199 MEGAZANTY
94 2270459 HJ MARKONAH Heart disease, unspecified ) I51.9
Singleton, born in hospital ) Z38.0

95 2330928 HERU HERLAMBANG
96 2299475 MAY RINI caesarean delivery )
Dengue haemorrhagic fever ) A91

97 2093156 ESIN BIN MAIL,tn
98 2370930 SRI WINANTI P NURHAYATI
Pneumonia due to other specified J16.8
99 2368101 SUWARTI infectious organisms )
Other and unspecified abdominal
R10.4
100 2370400 N YULY INDARWATI ,ny pain )
Tb lung without mention of bact or A16.2
101 2370401 SUHAELY ,TN histological confirm )
Rupture of uterus before onset of O71.0

labour )
102 1215113 SITI DJUCHROH, NY
Tuberculosis of lung, confirmed by A15.3
103 2370682 LATIEFAH unspecified means )
Abnormal uterine and vaginal
bleeding, unspecified ) N93.9
104 2326583 DEWI ASMAWATI
105 2354964 SUMITRI Atherosclerotic heart disease ) I25.1
Tb lung confirm sputum microscopy A15.0

with or without culture )
106 2347512 TATI SUNARTI
Tuberculosis of lung, confirmed by A15.3
107 1343493 FARIDA JALAL, dr. Sp.KK unspecified means )
108 393316 SUGIHARTI SETYO S ,NY Singleton, born in hospital ) Z38.0
109 2306852 NUR MANIH Anaemia, unspecified ) D64.9
110 2359708 WARSINI ,NY Malunion of fracture, other site ) M84.08
111 2369581 RAHMAT HIDAYAT Unstable angina ) I20.0
Prolonged second stage of labour ) O63.1

112 2295832 JARSINAH
Chronic obstructive pulmonary J44.9
113 2344301 NOVITA LESTARI, AN disease, unspecified )
Other specified infections specific to P39.8
114 1372160 RENNY AGUSTIEN the perinatal period )
Fracture of other and unspecified
parts of lumbar spine and pelvis, S32.80
115 2363812 Dede muhlasin closed )
Tb lung confirm sputum microscopy A15.0

with or without culture )
116 2370069 IRFAN HARDIANSYAH
117 2374954 RIZKY AMELIA PRATIWI ,NY Preterm labour without delivery ) O60.0
118 2374951 NURUL MAYSAROH BY NY Fetus and newborn affected by caesar P03.4
119 2374950 CUT AYSILA HUSNA Fetus and newborn affected by unspec P00.9
120 2374948 RACHMAH YANTI Pneumonia, unspecified ) J18.9
121 2374946 PUJI HARYANI BY NY Congenital pneumonia, unspecified ) P23.9
2374945 NURUL MAYASAROH O14.1

122 Severe pre-eclampsia )
2374944 NOVI ANDRIYANI O63.0
123 Prolonged first stage of labour )
2374935 JAKSON SIMAMORA K40.3

124 Unilateral or unspecified inguinal he
2374930 ABDUL HAKIM S.PDI N43.3
125 Hydrocele, unspecified )
126 2374928 ADZWA HABIBIE RIZKY Other and unspecified gastroenteritis a A09.0
127 2374923 ARI NOVANDARI BY NY Mild and moderate birth asphyxia ) P21.1
2374922 ARI NOVANDARI O80.0

128 Spontaneous vertex delivery )
LAPORAN AUDIT KODING
BULAN JULI 2018
KODER Verif Internal Tim Fraud
Tindakan ICD 9CM
sesuai tidak sesuai sesuai tidak sesuai Sesuai
Other partial ostectomy of
femur
77.85 v v v
Laparoscopic cholecystectomy
51.23 v v v
Excisional debridement of
wound, infection, or burn 86.22 v v v
51.23 v v v
Closed (endoscopic) biopsy of
bronchus 33.24 v v v
#N/A
- v v v
#N/A
- v v v
Injection or infusion of cancer
chemotherapeutic substance
99.25 v v v
Other phototherapy
99.83 v v v
Transfusion of packed cells 99.04 v v v
#N/A
- v v v
Transfusion of packed cells
99.04 v v v
#N/A - v v v
Complete substernal
thyroidectomy 06.52 v v v
Excision of secondary
membrane (after cataract) 13.65 v v v
#N/A - v v v
#N/A
- v v v
Temporary tracheostomy 31.1 v v v
99.04 v v v
99.04 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Computerized axial tomography
of thorax 87.41 v v v
Insertion of drug-eluting
coronary artery stent(s) 36.07 v v v
Other excision or destruction of
lesion of uterus 68.29 v v v
Closed (endoscopic) biopsy of
bronchus 33.24 v v v
Venous catheterization for renal
dialysis 38.95 v v v
#N/A - v v v
#N/A
- v v v
Other phototherapy
99.83 v v v
Non-invasive mechanical
ventilation
93.90 v v v
#N/A - v v v
#N/A
- v v v
Laparascopic appendectomy 47.01 v v v
Removal of both fallopian tubes
at same operative episode
66.51 v v v
Open and other Right
hemicolectomy 45.73 v v v
Low cervical cesarean section
74.1 v v v
Closed reduction of fracture
without internal fixation, tibia
and fibula 79.06 v v v
Hemodialysis
39.95 v v v
Endoscopic biopsy of lung
(closed)
33.27 v v v
74.1 v v v
Teleradiotherapy using protons
92.24 v v v
#N/A - v v v
#N/A
- v v v
Repair of inguinal hernia with
graft or prosthesis, not
otherwise specified 53.05 v v v
Amputation of penis
64.3 v v v
Excisional debridement of
wound, infection, or burn 86.22 v v v

99.04 v v v
#N/A - v v v
Respiratory medication
administered by nebulizer 93.94 v v v
#N/A
- v v v
#N/A - v v v
#N/A
- v v v
99.25 v v v
#N/A
- v v v
#N/A
- v v v
99.25 v v v
#N/A - v v v
#N/A
- v v v
#N/A - v v v
#N/A
- v v v
#N/A - v v v
#N/A
- v v v
#N/A - v v v
#N/A - v v v
Other intubation of respiratory
tract 96.05 v v v
99.25 v v v
Linear repair of laceration of
eyelid or eyebrow 08.81 v v v

99.04 v v v
Other phototherapy 99.83 v v v
#N/A
- v v v
#N/A - v v v
Exploratory thoracotomy 34.02 v v v
Other endoscopy of small
intestine 45.13 v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
99.25 v v v
#N/A - v v v
#N/A
- v v v
#N/A - v v v
#N/A - v v v
Colonoscopy
45.23 v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A - v v v
99.25 v v v
Other and unspecified partial
excision of large intestine 45.79 v v v
#N/A
- v v v
#N/A
- v v v
99.04 v v v
99.04 v v v
Cardiopulmonary resuscitation,
not otherwise specified
99.60 v v v
#N/A
- v v v
99.04 v v v
Ureterotomy 56.2 v v v
Other oxygen enrichment

93.96 v v v
Electrocardiogram
89.52 v v v
Other cystoscopy 57.32 v v v
Cholecystectomy 51.22 v v v
#N/A
- v v v
Insertion of intercostal catheter
for drainage 34.04 v v v
#N/A
- v v v
Excision of lesion of other soft
tissue
83.39 v v v

99.04 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Continuous invasive mechanical
ventilation for less than 96
consecutive hours
96.71 v v v
Respiratory therapy 93.9 v v v
74.1 v v v
Other manually assisted delivery
73.59 v v v
Excision of varicocele and
hydrocele of spermatic cord 63.1 v v v
#N/A - v v v
73.59 v v v
Tim Fraud
Tidak Sesuai
LAPORAN AUDIT KO
BULAN AGUSTUS
1 969321 NURWILIS RAID ,SH Calculus of gallbladder without cholecystit K80.2

2 95515 TUTIK Bronchiectasis ) J47
3 940122 POPOH BT OTING .NY Pneumonia due to other specified infecti J16.8
919707 NANA SUMARNA BIN SUKIRMAN, TN. J86.9

4 Pyothorax without fistula )
5 911016 R SUBANTARI NY Non-insulin-dependent diabetes mellitus E11.0
6 904491 HELMI .NY Guillain-barre syndrome ) G61.0
7 897087 NOVEL FAHRUROZI Anal abscess ) K61.0
8 887818 JOHAN ARIFIN .TN Chronic obstructive pulmonary disease, un J44.9
9 88739 MIRAWATI BT JAMIR R A Hydrocephalus, unspecified ) G91.9
10 864269 ALIYAH, NY Pneumonia due to other specified infecti J16.8
11 852230 ICE DARMAYANTI, NY Asthma, unspecified ) J45.9
12 827585 DRS HERMANSYAH Neoplasm of uncertain or unknown behavi D38.1
13 826350 TITIN SUHARTINI Atherosclerotic heart disease ) I25.1
14 819295 FIRMAN SAGERI Mitral stenosis ) I05.0
15 819176 GABELL SIREGAR, BA Neoplasm of uncertain or unknown behavi D40.0
16 819049 HISAR MANALU Chronic obstructive pulmonary disease, un J44.9
17 79884 ZAIMAR Chest pain, unspecified ) R07.4
18 778298 HARMAN TEJA S Atherosclerotic heart disease ) I25.1
19 749411 FARROS JENARDI [KPKK 1033 ] Fracture of other metacarpal bone, closed S62.30
20 747989 ROSILAWATI,NY Traumatic amputation of other and unspec S38.3
21 732569 SUMARDJONO,TN Unstable angina ) I20.0
22 730471 BAMBANG SETIYONO ,TN Non-insulin-dependent diabetes mellitus E11.0
23 711914 HARI MULYO MARSETIO Other specified headache syndromes ) G44.8
24 69323 I GEDE MADE TRESNO WYAKTI Attention to tracheostomy ) Z43.0
25 6905557 SITI FATIMAH,NY Gastrointestinal haemorrhage, unspecified K92.2
26 665961 NURDIN BASYAH Supraventricular tachycardia ) I47.1
27 625633 YARNI Hypo-osmolality and hyponatraemia ) E87.1
28 61698 SRI DADARI, DRA ,NY Other autoimmune haemolytic anaemias D59.1
29 609 NELFRIDA NR [IGD KEB ] Attention to other artificial openings of ur Z43.6
30 593309 MUHAMAD ISA Hypo-osmolality and hyponatraemia ) E87.1
31 582509 MASEATI.NY Malignant neoplasm, cervix uteri, unspeci C53.9
32 577982 MAHYUNI Hypertensive heart disease with I11.0
33 559065 MISWATI Non-insulin-dependent diabetes mellitus E11.9
34 553704 SARIMAH [PENSIUN ] Hypertensive heart and renal disease with I13.1
35 514078 SUHARTO DRS. Atherosclerotic heart disease ) I25.1
36 508791 SOLIMIN Atherosclerotic heart disease ) I25.1
37 508381 ASMAR HADI Other cerebral infarction ) I63.8
38 502802 MAKDA PASARIBU Asthma, unspecified ) J45.9
39 4501014 YUDI HAMZA Tb lung without mention of bact or histolo A16.2
40 4500994 REGGI DOMINGGOS Chest pain, unspecified ) R07.4
41 4500466 ROSIDAH HIV dis resulting in multiple diseases clas B22.7
42 414396 NONI.NY Chronic kidney disease, stage 3 ) N18.3
43 370911 H ABDUL ROZAK, TN Nontoxic goitre, unspecified ) E04.9
44 370911 H ABDUL ROZAK, TN Haematemesis ) K92.0
45 311883 YOHANES SIMANJUNTAK,TN Disorder of synovium and tendon, unspeci M67.9
46 310614 MIRADININGSIH.NY Pneumonia, unspecified ) J18.9
47 304896 LIS RUSDIYANTI Malignant neoplasm, cervix uteri, unspeci C53.9
48 277 BUNGA MANULANG Radiculopathy ) M54.1
49 250998 SUMIARNI, NY Phlebitis and thrombophlebitis oth deep v I80.2
50 25076 DARMINAH Other specified cerebrovascular diseases I67.8
51 2390697 AHMAD REIFFAN SYAH Viral infection, unspecified ) B34.9
52 2381083 POLMAR SILITONGA Neoplasm of uncertain or unknown behavi D41.4
53 2380230 EKA MURNIATI Spontaneous abortion, incomplete, withou O03.4
54 2380067 VIKA NUR ZAHRA Spontaneous abortion, complete or unspec O03.8
55 2380055 SANI, NY Neoplasm of uncertain or unknown behavi D39.0
56 2380040 MARGARETHA SIALLA, NN Gastroenteritis and colitis of unspecified o A09.9
57 2380038 THEN TJIN KHIM Secondary malignant neoplasm of brain a C79.3
58 2379914 SITI ZULAIKA Ocular lacn without prolapse or loss of int S05.3
59 2379909 RACHMAT INDRA GUNAWAN, TN Neoplasm of uncertain or unknown behav D38.3
60 2379890 EKA WAHYUNI Benign paroxysmal vertigo ) H81.1
61 2379886 BY NY SUSI RAHAYU Fetus and newborn affected by caesarean P03.4
62 2379884 SITI ASIAH Diseases of the circulatory system compli O99.4
63 2379856 RINA FEBRIYANTI BY NY Fetus and newborn affected by caesarean P03.4
64 2379770 MOH SUDY YUNUS Unspecified injury of abdomen, lower back S39.9
65 2379742 MUSTADJAB Non-insulin-dependent diabetes mellitus w E11.1
66 2379741 TONI ENDANG Tb pleurisy without mention of bact or his A16.5
67 2379738 SUPENDI Dyspepsia ) K30
68 2379733 NADIYA MAULIDA HUSNAH Volume depletion ) E86
69 2379728 KURNIA Other intracerebral haemorrhage ) I61.8
70 2379722 MISBAKHUL MUNIR AZZUHRI Dengue haemorrhagic fever ) A91
71 2379687 MARSHA JILIANDRA Chronic myeloid leukaemia ) C92.1
72 2379649 AZHARI PEBRYAN S Other cerebral infarction ) I63.8
73 2379559 NANI, NY Severe pre-eclampsia ) O14.1
74 2379558 AGUS SUHARDJA Pneumonia, unspecified ) J18.9
75 2379555 VERAWATI Tuberculosis of lung, confirmed by unspec A15.3
76 2379554 MUTIJI, TN Subarachnoid haemorrhage, unspecified ) I60.9
77 2379552 DAVID M SIMBOLON SE Open wound of head, part unspecified ) S01.9
78 2379551 SATIKEM ,NY Haematemesis ) K92.0
79 2379550 LUTFI DARMAWAN ,TN Dengue haemorrhagic fever ) A91
80 2379545 MOH HUSNI ,tn Other and unspecified cirrhosis of liver ) K74.6
81 2379538 NANIN KURNIATI Somnolence, stupor and coma ) R40
82 2379523 BENNY DOMAN ,TN Pneumonia due to other specified infecti J16.8
83 2379511 ZIAN GAVRELIO Other and unspecified gastroenteritis and c A09.0
84 2379499 MOHAMAD FIRMANSYAH Atrial fibrillation and flutter ) I48
85 2379488 SARTIKA Hypertensive heart disease with I11.0
86 2379487 SAPTI Other cerebral infarction ) I63.8
87 2379486 ARISTA RISMA MELATI Tb lung without mention of bact or histolo A16.2
88 2379483 CHRISTIAN HASIHOLAN T HIV disease resulting in mycobacterial infe B20.0
89 2379480 MASRIL KANIN ,TN Other pneumonia, organism unspecified ) J18.8
90 2379479 ASTY AMELIA, NY False labour before 37 completed weeks of O47.0
91 2379478 R. BORU SIAGIAN Pneumonia due to other specified infecti J16.8
92 2379472 MARISA HERLIANSYAH BY NY Bacterial sepsis of newborn, unspecified ) P36.9
93 2379471 ROMANTO, TN HIV dis resulting in multiple diseases clas B22.7
94 2379470 NURUL WIDIATY Preterm labour with preterm delivery ) O60.1
95 2379469 NARTI Hypokalaemia ) E87.6
96 2379467 MARYANA BY, NY Infection specific to the perinatal period, P39.9
97 2379465 ROTABAI PINTO, NN Tb lung without mention of bact or histolo A16.2
98 2379464 SASTHIA DWI PUTRI DARMAWAN Acute appendicitis, other and unspecified K35.8
99 2379462 NOVAL CAESAR SUBAGYO Unspecified injury of wrist and hand ) S69.9
100 2379453 SAYHAN IRWANSYAH Mild and moderate birth asphyxia ) P21.1
101 2379444 SAHAT SIMANJUNTAK ,TN Traumatic subarachnoid haemorrhage, wit S06.60
102 2379442 SRI SUMIYATI Non-insulin-dependent diabetes mellitus E11.9
103 2379377 H M WIRDA SUPRIATNA Chronic obstructive pulmonary disease, un J44.9
104 2379357 MUHAMAD MUSTA Epidural haemorrhage ) S06.4
105 2379354 ANANDRA AZKA ALFAZHA ARWIN Essential I10
106 2379351 HARYANTO B.TASLAM Deviated nasal septum ) J34.2
107 2379349 BY.NY.NITA PUSPITA DEWI Fet and newborn affected deliv vacuum ex P03.3
108 2379347 SUKATNO Status asthmaticus ) J46
109 2379345 NITA PUSPITA DEWI Prolonged second stage of labour ) O63.1
110 2379344 HILDA SILVIA Oligohydramnios ) O41.0
111 2379337 BY.NY.MAWAR TINAH Infection specific to the perinatal period, P39.9
112 2379325 RUKIAH Chronic kidney disease, stage 5 ) N18.5
113 2379323 By Ny SUKISMIATIK Neonatal jaundice, unspecified ) P59.9
114 2379322 OIF IFTAH HUDDIN Tb lung without mention of bact or histolo A16.2
115 2379319 MARISA HERLIANSYAH Severe pre-eclampsia ) O14.1
116 2379318 MAWAR TINAH Obstructed labour due to breech presenta O64.1
117 2379315 DODI ROSADI Tb lung confirm sputum microscopy with o A15.0
118 2379313 AZZAM ARRAAFI Unspecified injury of wrist and hand ) S69.9
119 2379298 MARIA SUSANTI, NY Impacted teeth ) K01.1
120 2379297 KHIRAN JULIANA ,AN Other and unspecified gastroenteritis and c A09.0
121 2379229 SRI SULISTIONO ,TN Tuberculosis of lung, confirmed histologica A15.2
122 2379134 AHMAD RASYID AL KHAWARIZMY Epilepsy, unspecified ) G40.9
123 2379133 CECEP ALEX SOPYAN Haematemesis ) K92.0
124 2379131 SUKISMIATIK Oligohydramnios ) O41.0
125 2379120 NALI SALLING Pneumonia due to other specified infecti J16.8
126 2379119 HARI Asthma, unspecified ) J45.9
127 2379117 SULAMI B KAROFIS Tb lung without mention of bact or histolo A16.2
128 2379112 EMYLIA MAHARANI Acute appendicitis, other and unspecified K35.8
BULAN AGUSTUS 2018
Tindakan ICD 9CM
sesuai tidak sesuai sesuai tidak sesuai Sesuai
Laparoscopic cholecystectomy 51.23 v v v
#N/A - v v v
#N/A - v v v
Insertion of intercostal catheter for d 34.04 v v v

#N/A - v v v
Incision of perianal abscess 49.01 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Endoscopic biopsy of lung (closed) 33.27 v v v
Other and unspecified coronary arter88.57 v v v
Other transurethral prostatectomy 60.29 v v v
#N/A - v v v
Open reduction of fracture with intern79.33 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A 3.92 v v v
Replacement of tracheostomy tube 97.23 v v v
Other endoscopy of small intestine 45.13 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Removal of urethral stent 97.65 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Insertion of non-drug -eluting coronar36.06 v v v
Insertion of drug-eluting coronary art36.07 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Hemodialysis 39.95 v v v
#N/A 6.4 v v v
#N/A 6.4 v v v
Radical excision of skin lesion 86.4 v v v
#N/A - v v v
Ureteral catheterization 59.8 v v v
#N/A - v v v
#N/A - v v v
Other intubation of respiratory tract 96.05 v v v
#N/A #N/A v v v
#N/A #N/A v v v
Dilation and curettage following deliv69.02 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A 8.89 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Thoracentesis 34.91 v v v
#N/A - v v v
#N/A - v v v
Conversion of cardiac rhythm 99.6 v v v
#N/A - v v v
#N/A - v v v
Low cervical cesarean section 74.1 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A #N/A v v v
#N/A - v v v
#N/A - v v v
Other intubation of respiratory tract 96.05 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Insertion of other (naso-)gastric tube 96.07 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Other manually assisted delivery 73.59 v v v
#N/A - v v v
#N/A - v v v
Other appendectomy 47.09 v v v
#N/A #N/A v v v
#N/A - v v v
Excisional debridement of wound, infe86.22 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Other vacuum extraction 72.79 v v v
Medical induction of labor 73.4 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Other plastic operations on hand 82.89 v v v
Other surgical extraction of tooth 23.19 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Tim Fraud
Tidak Sesuai
BULAN SEPTEMBER 2018
1 97796 EFNIDAR Malignant neoplasm of rectum ) C20
2 955607 MUSIAMI, NY M48.06

Spinal stenosis, lumbar region )
OEMAR PERWATA
3 955362 I12.0
ATMADJA,H Hypertensive renal disease with renal failure
4 955025 ROSINA HAMZAH Other and unspecified gastroenteritis and coliA09.0
5 933222 ALINDA Prolonged second stage of labour ) O63.1
6 911056 MOH.ZAINAL ABIDIN Fracture of femur, part unspecified, closed ) S72.90
KARENHAPUCH RUTH
7 857318 J34.8
AGNES SILALAHI Other specified disorders of nose and nasal
8 854410 HARMAIZUL,DRA,NY Fracture of femur, part unspecified, closed ) S72.90
9 848032 MUDJIONO.TN Chronic kidney disease, stage 5 ) N18.5
10 846595 SITI MARYAM, NY Other specified cerebrovascular diseases ) I67.8
BAMBANG SUBAGYO,
11 827062 K30
SPD DR Dyspepsia )
12 807503 ARYAH Hypotension, unspecified ) I95.9
13 775365 MISTIANI BT MUIN Asthma, unspecified ) J45.9
14 763993 ARIAH JAELANI Other peripheral vertigo ) H81.3
15 758936 FEBI ZULI YANTO Acute appendicitis, other and unspecified ) K35.8
16 732569 SUMARDJONO,TN Atherosclerotic heart disease ) I25.1
17 728697 SUPOYO, TN Bronchiectasis ) J47
18 721213 P.M TAMPUBOLON ,TN I21.4

Acute subendocardial myocardial infarction
MUHAMMAD IDRIS
19 705044 J47
( 705044 ) Bronchiectasis )
CHRISTINE GUNARTI,
20 704684 G91.9
NN Hydrocephalus, unspecified )
SRI YULIHARSINI NY
21 691023 I20.9
[KPKK 272 ] Angina pectoris, unspecified )
22 679174 NURHIDA,NY Neoplasm of uncertain or unknown behaviou D38.1
EUIS WIDIANINGSIH
23 634 N20.1
NR [ ICU ] Calculus of ureter )
24 534115 MARDIANAH, NY Dyspepsia ) K30
WHELMINAH PESIk
25 526747 E87.8
,NY Other disorders of electrolyte and fluid bal
26 510245 RATNA JUWITA, NY Other and unspecified abdominal pain ) R10.4
27 510245 RATNA JUWITA, NY Other and unspecified ovarian cysts ) N83.2
RUDATIN DEWI
28 4846639 E11.9
ANGGRAINI, NY Non-insulin-dependent diabetes mellitus wi
29 46253 AMIR HAMZAH, H ,TN J44.1
Chronic obstructive pulmonary disease with
H R NGT SITI AISAH,
30 4499651 J18.9
HJ. NY Pneumonia, unspecified )
31 4498480 SITI NUR QADRI.NY Other and unspecified cirrhosis of liver ) K74.6
32 4498149 BERLIN TAMPUBOLON K92.0

Haematemesis )
33 446174 SUMASNI,NY Asthma, unspecified ) J45.9
34 434207 RESIANA SIDABUTAR Gonarthrosis, unspecified ) M17.9
35 41545 SUTIKNO, IR Atherosclerotic heart disease ) I25.1
36 407809 YULIA MIRAWATI Pneumonia due to other specified infectious J16.8
37 40233 HELMA , NY Other and unspecified cirrhosis of liver ) K74.6
38 34940 HARNO, TN Bronchiectasis ) J47
39 34940 HARNO, TN Bronchiectasis ) J47
40 325052 LIES SUHARTINI ,NY Unstable angina ) I20.0
41 310680 ADIN ,TN Hypertensive heart disease with I11.0
42 277 BUNGA MANULANG Adhesive capsulitis of shoulder ) M75.0
43 238705 SITI ROHMAH M84.28

Delayed union of fracture, other site )
44 2384352 ONG TJAN HO Neoplasm of uncertain or unknown behaviou D38.1
45 2384269 M. HUSEIN Unstable angina ) I20.0
SAVA SAVERO
46 2384266 WARDANA A09.0
Other and unspecified gastroenteritis and coli
SAKHA SAVERO
47 2384265 A09.0
WARDANA ,AN Other and unspecified gastroenteritis and coli
AIRLANGGA Other and unspecified gastroenteritis and
49 2384249 A09.0
SAPUTRA ,AN colitis of infectious origin )
50 2384248 AULIAN TRI RAHAYU, Infection specific to the perinatal period, P39.9
NY BY unspecified )
51 2384246 R. WAYANG TANZILA Tb lung confirm sputum microscopy with A15.0
or without culture )
52 2384238 WAENI, NY Preterm labour without delivery ) O60.0
53 2384233 DINI PETRYANI Maternal care for poor fetal growth ) O36.5
54 2384214 JUDHI KRAMA Follow-up exam after other treatment for Z09.8
other conditions )
KASHVA ZAFRAN AL Other and unspecified gastroenteritis and
55 2384181 A09.0
FATIH SUDIBYO, AN colitis of infectious origin )
56 2384054 FAISAL AKBAR Pneumonia due to other specified J16.8

infectious organisms )
57 2384030 DEPI BY NY Infection specific to the perinatal period, P39.9
unspecified )
58 2384026 DEPI Prolonged second stage of labour ) O63.1
DAMAYANTI
59 2384023 SIMANGUNSONG BY Fetus and newborn affected by caesarean P03.4
NY delivery )
GILANG PRATAMA Other and unspecified gastroenteritis and
60 2384021 A09.0
PUTRA KUSUMA colitis of infectious origin )
SALSABILA RIZQIANI Fetus and newborn affected by caesarean
61 2384018 P03.4
ANDHIKA delivery )
62 2384012 MOH ARIF FRIANTO Tb larynx trachea and bronchus without A16.4
bact or hist confirm )
63 2384009 BY,NY NUR ANISAH Singleton, born in hospital ) Z38.0
64 2384004 SITI NURKADARIAH Oligohydramnios ) O41.0
65 2383767 RUMIYATI Acute subendocardial myocardial infarction I21.4
)
66 2383766 SOFIA HARINI BY NY Fetus and newborn affected by caesarean P03.4
delivery )
EDDY IDHAM Malignant neoplasm, bronchus or lung,
67 2383764 C34.9
SUPRIADI unspecified )
68 2383762 ANISA FEBRIYANTI Haemorrhage and haematoma T81.0
complicating a procedure nec )
69 2383760 SAMINI Premature rupture of membranes, onset of O42.1
labour after 24 hours )
70 2383758 YULIUS NURLIS Hypertensive heart disease with I11.0
71 2383757 HAMDANI Non-insulin-dependent diabetes mellitus E11.1

with ketoacidosis )
72 2383751 ROSNAWATY RASJID Pneumonia, unspecified ) J18.9
73 2383750 HARYADI Pneumonia due to other specified J16.8

ANASTASIA ANGGUN
74 2383744 STYANINGRUM Other and unspecified gastroenteritis and A09.0
PAMUNGKAS colitis of infectious origin )
75 2383743 IDA SAIDA O02.0
Blighted ovum and nonhydatidiform mole )
76 2383742 FAEYZA MADINAH ALI Other and unspecified gastroenteritis and A09.0
colitis of infectious origin )
SHAREEN ALZENA Acute upper respiratory infection,
77 2383739 J06.9
SHADAN unspecified )
78 2383738 MALIN DEMAN Non-insulin-dependent diabetes mellitus E11.0
with coma )
79 2383720 ARDIMAN TANJUNG Hypertensive renal disease with renal I12.0
failure )
KEANU REFFIT
80 2383713 P36.9
ALZARKHAN Bacterial sepsis of newborn, unspecified )
81 2383709 FANDU RIYADI Other and unspecified convulsions ) R56.8
BY,NY IDA Other specified infections specific to the
82 2383706 P39.8
RAHMAWATI perinatal period )
83 2383701 IDA RAHMAWATI Long labour, unspecified ) O63.9
84 2383685 SUGIARTI Non-insulin-dependent diabetes mellitus E11.9

without complications )
85 2383679 BURHAN Concussion ) S06.0
86 2383675 AL GIFAHRI Pharyngeal diphtheria ) A36.0
87 2383673 ALVIN NOVA RISYA Z03.0

Observation for suspected tuberculosis )
88 2383667 BY NY ERNI SILVIA Infection specific to the perinatal period, P39.9
unspecified )
89 2383660 SULAIMAN Bronchitis, not specified as acute or J40
chronic )
90 2383657 DARIS, TN Concussion, without open intracranial S06.00
wound )
91 2383652 M.NAMIN Other spontaneous pneumothorax ) J93.1
92 2383628 RIZKY FAUZIAH Dengue haemorrhagic fever ) A91
93 2383624 SUGIMAN Other cerebral infarction ) I63.8
BY.NY.SUCI Fetus and newborn affected by caesarean
94 2383621 P03.4
NURKHAYATI delivery )
95 2383601 FATIMAH Malignant neoplasm, bones of skull and C41.0
face )
DEVINA RIZKIA PUTRI,
96 2383522 P07.1
BY NY Other low birth weight )
MUHAMMAD Traumatic subdural haemorrhage, without
97 2383513 S06.50
IQBALIANDRI open intracranial wound )
98 2383511 DEVINA RIZKIA PUTRI O14.1
Severe pre-eclampsia )
99 2383507 SITI AMINAH, NY Haemoperitoneum ) K66.1
100 2383505 DJAMILI HS Unstable angina ) I20.0
101 2383503 MUGENI MARZUKI Pneumonia due to other specified J16.8

102 2383502 JAMHARI YAHYA Tb lung without mention of bact or A16.2
histological confirm )
103 2383497 ROHAYATI BY NY P36.9
Bacterial sepsis of newborn, unspecified )
NATASYA SAQILA Other and unspecified gastroenteritis and
104 2383487 A09.0
PUTRI colitis of infectious origin )
105 2383482 SANEN,TN Neoplasm of uncertain or unknown D38.1

behaviour of trachea, bronchus and lung )
106 2383481 BAMBANG SUTRISNO Neoplasm of uncertain or unknown D38.1

behaviour of trachea, bronchus and lung )
107 2383480 ANGGI DINANTI Abscess of Bartholin's gland ) N75.1
108 2383476 ASEP SETIAWAN Tb pleurisy without mention of bact or A16.5

histological confirm )
109 2383347 TARUMAN, TN Hyper heart and renal disease both I13.2
(congestive) heart failure and renal failure )
110 2383346 WINA NINGSIH Other tuberculosis of nervous system ) A17.8
BAYU AJI Tb lung without mention of bact or
111 2383342 A16.2
DEWANTORO histological confirm )
112 2383341 HADHI TAUFANI J90
Pleural effusion, not elsewhere classified )
113 2383340 DEDE JAHARI Asthma, unspecified ) J45.9
MUHAMMAD
114 2383330 K35.8
CHAIKAL Acute appendicitis, other and unspecified )
MUHAMAD CHAIRUL Other and unspecified gastroenteritis and
115 2383326 A09.0
UMAM colitis of infectious origin )
116 2383319 KWAN TING DJIANG Chronic obstructive pulmonary disease J44.0
with acute lower respiratory infection )
DRS DJUWANDI
117 2383314 Non-insulin-dependent diabetes mellitus E11.5
HANTARBUMI MM
with peripheral circulatory complications )
118 2383307 MARYADI I61.9
Intracerebral haemorrhage, unspecified )
119 2383302 BY NY LIDYA Fetus and newborn affected by caesarean P03.4
delivery )
ANDRE IRAWAN Tuberculous pleurisy, conf
120 2383288 A15.6
PUTRA bacteriologically/his'y )
121 2383252 OSIM MAULANA Syncope and collapse ) R55
122 2383241 TOMAN SIANTURI Malignant neoplasm, nasopharynx, C11.9

unspecified )
123 2383241 TOMAN SIANTURI Dyspepsia ) K30
124 2383222 MIN LIE Anaemia, unspecified ) D64.9
125 2383179 LITA ANGGAILINA Ectopic pregnancy, unspecified ) O00.9
126 2383170 BUDI KURNIAWAN K35.8

Acute appendicitis, other and unspecified )
127 2383165 PATAR PASARIBU Dyspepsia ) K30
128 2383164 MAYANG PUSPA Typhoid fever ) A01.0
BULAN SEPTEMBER 2018
Tindakan ICD 9CM
sesuai tidak sesuai sesuai tidak sesuai Sesuai Tidak Sesuai
Open and other Sigmoidectomy 45.76 v v v
#N/A 3.91 v v v

Partial hip replacement 81.52 v v v
Other diagnostic procedures on n 21.29 v v v

Total hip replacement 81.51 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Other and unspecified coronary a 88.57 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Continuous invasive mechanical ve96.72 v v v
#N/A - v v v
Closed (percutaneous)(needle) bio33.26 v v v
Transurethral removal of obstructi56.0 v v v

#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v


#N/A - v v v
#N/A 3.91 v v v
Other and unspecified coronary a 88.57 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A 3.91 v v v
Percutaneous vertebral augmenta81.66 v v v

#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A #N/A v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v

#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Other dilation and curettage of ut69.09 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v

#N/A - v v v
#N/A - v v v
Nonexcisional debridement of wou 86.28 v v v
#N/A #N/A v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Insertion of intercostal catheter f 34.04 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Temporary tracheostomy 31.1 v v v

#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v

Marsupialization of Bartholin's gla71.23 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Other amputation below knee 84.15 v v v
#N/A 1.24 v v v
#N/A - v v v
Insertion of intercostal catheter f 34.04 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Salpingotomy 66.01 v v v

#N/A - v v v
#N/A - v v v
congestive) heart failure )
BULAN OKTOBER 2018
1 989166 MUHADI.TN Bronchiectasis ) J47
2 955607 MUSIAMI, NY M48.06

Spinal stenosis, lumbar region )
3 927 NOURMANINGSIH,NR,NY K01.1
Impacted teeth )
4 903559 ADI SUPRIYONO, TN Pneumonia, unspecified ) J18.9
5 897434 M NASIR Bronchiectasis ) J47
6 872372 KIRIN N20.0

Calculus of kidney )
7 859458 D.M. SIMATUPANG, NY S42.20

Fracture of upper end of humerus, closed )
8 859 PURWATI Synovial cyst of popliteal space [Baker], lower M71.26
leg )
9 845799 M SOEDIARDJO H26.9

Cataract, unspecified )
SUGIJO BIN
10 8410 I21.4
SUTOPAWIRO, TN Acute subendocardial myocardial infarction )
11 825464 SUBANDI, TN Unilateral or unspecified inguinal hernia, K40.9

without obstruction or gangrene )
12 819176 GABELL SIREGAR, BA Z46.6
Fitting and adjustment of urinary device )
13 819176 GABELL SIREGAR, BA Tb lung without mention of bact or histological A16.2
confirm )
14 817146 SUDARSO KADAR TN Unilateral or unspecified inguinal hernia, K40.9

without obstruction or gangrene )
15 811619 MASENIN BID EDUL. TN Orchitis epididymitis and epididymo-orchitis N45.9
without abscess )
16 789151 TOGI TOGATOROP Unstable angina ) I20.0
DERLIANA HARAHAP
17 781669 I67.8
(SMF PARU) Other specified cerebrovascular diseases )
SABAR UNTUNG, TN
18 781635 I67.8
[KPKK 782 ] Other specified cerebrovascular diseases )
19 775365 MISTIANI BT MUIN Bronchiectasis ) J47
20 766684 HENNY SUHAENY, NY Dyspepsia ) K30
21 762558 ANTJE TUMIWA K80.2

Calculus of gallbladder without cholecystitis )
22 748219 SYANNE RUMBAYAN, NY Neoplasm of uncertain or unknown behaviour D38.1

of trachea, bronchus and lung )
HAPOSAN Non-insulin-dependent diabetes mellitus
23 747807 E11.9
TAMPUBOLON, TN without complications )
24 735307 DJUMHUR Gastric ulcer, chronic or unspecified with K25.4
haemorrhage )
25 732569 SUMARDJONO,TN Atherosclerotic heart disease ) I25.1
26 679174 NURHIDA,NY Neoplasm of uncertain or unknown behaviour D38.1

27 665476 ETY RAHAYU, NY Hypertensive heart disease with congestive I11.0
heart failure
28 665017 RIHANAH, NY Pneumonia due to other specified infectious J16.8
organisms )
29 665017 RIHANAH, NY I21.4
Acute subendocardial myocardial infarction )
EUIS WIDIANINGSIH NR [
30 634 Z46.6
ICU ] Fitting and adjustment of urinary device )
M. YUSUF ARIEF BIN Pneumonia due to other specified infectious
31 629236 J16.8
MASDI, TN organisms )
32 6184 HAMYANI Hypertensive heart disease without I11.9
33 553704 SARIMAH [PENSIUN ] Chronic kidney disease, stage 5 ) N18.5
34 550120 PRAPTARTI, NY I67.8

Other specified cerebrovascular diseases )
35 4846722 YUSRI NURDIN Chronic obstructive pulmonary disease, J44.9
unspecified )
36 4501286 FIRMAN DIDI S Amoebiasis, unspecified ) A06.9
37 4497377 BUDJANG Acute haemorrhagic gastritis ) K29.0
DRS M ABDUS SYUKUR Follow-up exam after other treatment for other
38 449694 Z09.8
AZIZ conditions )
39 44037 GAMRINA NOHO Other peripheral vertigo ) H81.3
FIRMAN LIMBONG, BA
40 415031 Procedure not carried out because patient's Z53.2
,TN
decision for other unspecified reasons )
41 398964 TUGIYO TN [KPKK 90 ] I21.4
Acute subendocardial myocardial infarction )
42 345 ERMAWATI .NY Atrial fibrillation and flutter ) I48
43 34479 HJ. SYAMSUENAR, NY Pneumonia due to other specified infectious J16.8

organisms )
44 314 SUPARSIH, NY Chronic myeloid leukaemia ) C92.1
45 277135 NOER AZRIL,TN Unspecified injury of wrist and hand ) S69.9
46 249906 SAPRI MUALI, TN Non-insulin-dependent diabetes mellitus E11.9

without complications )
47 2391259 SANTI YULIAWATI NY BY Z38.0
Singleton, born in hospital )
48 2391245 MUHAMAD FURQON Pneumonia due to other specified infectious J16.8
organisms )
49 2391191 MULYONO S92.51
Fracture of other toe, open )
50 2391043 AYU MARSELINA, NY O63.0
Prolonged first stage of labour )
51 2391038 SANJAWI, TN Neoplasm of uncertain or unknown behaviour D38.1

52 2391028 LISA FIBRIA SIMATUPANG O63.1
Prolonged second stage of labour )
53 2391025 AHMAD Hypo-osmolality and hyponatraemia ) E87.1
54 2391014 FATIH KANZA ZAD Other and unspecified gastroenteritis and colitis A09.0
of infectious origin )
55 2390998 HALIM LATIEF S01.2
Open wound of nose )
56 2390847 TEDDY KUSNADI Cutaneous abscess, furuncle and carbuncle of L02.8
other sites )
57 2390756 IRMA ANDRIANI Other and unspecified gastroenteritis and colitis A09.0
BY.NY.RINI
58 2390740 Z38.0
MAULIDURRAHMAN Singleton, born in hospital )
59 2390739 MARYANIH Tb lung without mention of bact or histological A16.2
confirm )
RINI
60 2390735 O63.0
MAULIDURRAHMAN Prolonged first stage of labour )
ADNAN STEFANY
61 2390734 S06.00
ARDIYANTO Concussion, without open intracranial wound )
62 2390733 DEBORA ULI CHRISTINA S92.51
Fracture of other toe, open )
63 2390732 BY.NY.ANIS NOPITA Other low birth weight ) P07.1
64 2390726 ANIS NOPITA SARI Premature rupture of membranes, onset of O42.0

labour within 24 hours )
65 2390718 H. ABDUL MUTIH C67.9
Malignant neoplasm, bladder, unspecified )
CHANDRA ROSA Abnormal uterine and vaginal bleeding,
66 2390717 N93.9
AGUSTINAH unspecified )
67 2390707 IR.H.SUDJATI BUDI Neoplasm of uncertain or unknown behaviour D38.1

68 2390704 SUYATMI J90
Pleural effusion, not elsewhere classified )
69 2390697 AHMAD REIFFAN SYAH N10
Acute tubulo-interstitial nephritis )
70 2390697 AHMAD REIFFAN SYAH N39.0
Urinary tract infection, site not specified )
71 2390692 SITI AISAH False labour before 37 completed weeks of O47.0
gestation )
MUHAMMAD AGUNG Traumatic subdural haemorrhage, without open
72 2390684 S06.50
NUGROHO intracranial wound )
73 2390683 DESWITA Congestive heart failure ) I50.0
74 2390680 SITI NADYA FATIMAH Tuberculosis of lung, confirmed by unspecified A15.3

means )
75 2390673 SULASTINI Leiomyoma of uterus, unspecified ) D25.9
76 2390671 RINDA JULIANA Severe pre-eclampsia ) O14.1
77 2390660 STEFANUS Acute transmural myocardial infarction of I21.0

anterior wall )
78 2390658 SITI WAHYUNI O14.1
Severe pre-eclampsia )
ANNISA KHARISMA
79 2390656 M54.16
SORAYA, NY Radiculopathy, lumbar region )
80 2390647 YUSNIARDI, NY Tuberculosis of lung, confirmed by unspecified A15.3
means )
81 2390525 NADHILLAH OKTA RIANTI S69.9
Unspecified injury of wrist and hand )
82 2390518 MURSALIM Neoplasm of uncertain or unknown behaviour D38.1

83 2390517 YOSEP SAEFUL Tb lung without mention of bact or histological A16.2
confirm )
84 2390516 SAFILA AZ-ZAHRA Nausea and vomiting ) R11
85 2390509 ENDANG RETNOWATI Excessive and frequent menstruation with N92.1

irregular cycle )
86 2390065 SITI MUSRIFAH, NY A09.9
Gastroenteritis and colitis of unspecified origin )
87 2390064 MUHAMAD ISHAK Tb lung confirm sputum microscopy with or A15.0
without culture )
88 2390064 MUHAMAD ISHAK Tb lung confirm sputum microscopy with or A15.0
without culture )
89 2390063 MARWANAH Premature rupture of membranes, onset of O42.0
VICKY ALAN RUSTAM Tb lung without mention of bact or histological
90 2390058 A16.2
ARLAN confirm )
91 2390057 BY.NY NELLA SAKINA Mild and moderate birth asphyxia ) P21.1
NARENDRA SALMA
92 2390051 R56.0
KAHYANG AYU Febrile convulsions )
93 2390049 RUSMANTO Dilated cardiomyopathy ) I42.0
94 2390047 TAUFIK HIDAYAT Neoplasm of uncertain or unknown behaviour D38.1

95 2390046 ROBBY ROBERT S Pneumonia due to other specified infectious J16.8
organisms )
96 2390043 FITRI WILIS Third-stage haemorrhage ) O72.0
97 2390042 SUHARMI Other peripheral vertigo ) H81.3
YULIAH BT ZAINAL Non-insulin-dependent diabetes mellitus
98 2390038 E11.9
ABIDIN without complications )
99 2390031 DEDEN ARYA HIDAYAT S06.00
Concussion, without open intracranial wound )
100 2390029 SACHRONI Chronic obstructive pulmonary disease with J44.1
acute exacerbation, unspecified )
101 2390028 DRS.SINUR N39.0
Urinary tract infection, site not specified )
102 2389842 SUTARNO Neoplasm of uncertain or unknown behaviour D38.1

103 2389814 RATNA KOMALA SARI O72.0
Third-stage haemorrhage )
104 2389813 GEVIO RAFFAEL SIREGAR A09.9
105 2389811 ADLLI GOFUR MALLIK A09.9
106 2389808 RINI HERU MURTI Other specified noninflammatory disorders of N89.8
vagina )
107 2389808 RINI HERU MURTI Premature rupture of membranes, onset of O42.0
108 2389799 BY,NY INDIKA SARAH(II) Neonatal jaundice associated with preterm P59.0
delivery )
109 2389798 NOVI CANTIKA DEWI Constipation ) K59.0
110 2389797 UMMU KULSUM Liver disease, unspecified ) K76.9
111 2389794 NONASIH I12.0

Hypertensive renal disease with renal failure )
112 2389791 MIRAH Lobar pneumonia, unspecified ) J18.1
113 2389790 MARWAN Non-insulin-dependent diabetes mellitus with E11.1

ketoacidosis )
114 2389702 SRI WAHYUNI J98.4
Other disorders of lung )
115 2389662 ST HASANAH Gastric ulcer, unspec as acute or chronic w'out K25.9
haemorrhage or perforation )
116 2389575 JAJANG SURYANA Neoplasm of uncertain or unknown behaviour D38.1

117 2389550 SARIAH NY BY Neonatal jaundice, unspecified ) P59.9
118 2389542 SUGIMAH O16

Unspecified maternal hypertension )
MUHAMMAD BILAL
119 2389541 A09.9
ROZA Gastroenteritis and colitis of unspecified origin )
120 2389540 SARIAH Severe pre-eclampsia ) O14.1
121 2389521 INDIKA SARAH Premature rupture of membranes, onset of O42.0

122 2389517 ERNI PURNAMASARI Preterm labour without delivery ) O60.0
123 2389514 ADITYA DIKA A09.9

124 2389513 WARTINI Premature rupture of membranes, onset of O42.0
125 2389510 MAUZA NAFILAH RAHMA Other and unspecified gastroenteritis and colitis A09.0
126 2389509 SILVESTER GABREL FOUK Neoplasm of uncertain or unknown behaviour D38.1
127 2389508 YULIANINGSIH Placenta praevia with haemorrhage ) O44.1
128 2389506 ISNAINI TAUFIKOH Premature rupture of membranes, onset of O42.0

BULAN OKTOBER 2018
KODER Verifikator Medis Tim Fraud
Tindakan ICD 9CM
sesuai tidak sesuai sesuai tidak sesuai Sesuai Tidak Sesuai
#N/A - v v v
Injection of anesthetic into spinal 03.91 v v v
canal for analgesia
23.19 v v v
Other surgical extraction of tooth
Percutaneous nephrostomy with 55.04 v v v
fragmentation
Open reduction of fracture with 79.31 v v v

internal fixation, humerus
83.39 v v v
Excision of lesion of other soft tissue
Insertion of intraocular lens 13.71 v v v

prosthesis at time of cataract extract
- v v v
#N/A
Repair of inguinal hernia with graft

or prosthesis, not otherwise 53.05 v v v
specified
97.65 v v v
Removal of urethral stent
97.65 v v v
Unilateral repair of inguinal hernia, 53.00 v v v

not otherwise specified
- v v v
#N/A
#N/A - v v v
- v v v
#N/A
- v v v
#N/A
#N/A - v v v
#N/A - v v v
51.23 v v v
Closed (endoscopic) biopsy of 33.24 v v v

bronchus
- v v v
#N/A
45.13 v v v
Other endoscopy of small intestine
#N/A - v v v
33.27 v v v
Endoscopic biopsy of lung (closed)
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
97.65 v v v
- v v v
#N/A
#N/A - v v v
- v v v
#N/A
- v v v
#N/A
#N/A - v v v
Excisional debridement of wound, 86.22 v v v
infection, or burn
#N/A - v v v
- v v v
#N/A
Insertion of non-drug -eluting 36.06 v v v
coronary artery stent(s)
#N/A - v v v
- v v v
#N/A
Other reconstruction of thumb 82.69 v v v
- v v v
#N/A
#N/A v v v
#N/A
- v v v
#N/A
Debridement of open fracture of 79.68 v v v
phalanges of foot
73.59 v v v
- v v v
#N/A
73.59 v v v
- v v v
#N/A
93.57 v v v
Application of other wound dressing
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
99.04 v v v
73.59 v v v
- v v v
#N/A
Debridement of open fracture of 79.69 v v v
other specified bone
#N/A - v v v
74.1 v v v
- v v v
#N/A
99.04 v v v
- v v v
#N/A
34.91 v v v
Thoracentesis
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
#N/A - v v v
- v v v
#N/A
- v v v
#N/A
73.59 v v v
- v v v
#N/A
- v v v
#N/A
Excisional debridement of wound, 86.22 v v v
infection, or burn
- v v v
#N/A
99.04 v v v
#N/A - v v v
99.04 v v v
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
74.1 v v v
- v v v
#N/A
- v v v
#N/A
#N/A - v v v
- v v v
#N/A
- v v v
#N/A
#N/A - v v v
#N/A - v v v
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
60.29 v v v
Other transurethral prostatectomy
Closed (percutaneous)(needle) 33.26 v v v

biopsy of lung
Other dilation and curettage of 69.09 v v v
uterus
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
99.83 v v v
Other phototherapy
#N/A - v v v
#N/A - v v v
Venous catheterization for renal 38.95 v v v
dialysis
#N/A - v v v
- v v v
#N/A
92.31 v v v
Single source photon radiosurgery
45.13 v v v
Other endoscopy of small intestine
Closed (percutaneous)(needle) 33.26 v v v

biopsy of lung
Other bilateral destruction or 66.39 v v v
occlusion of fallopian tubes
- v v v
#N/A
74.1 v v v
#N/A - v v v
- v v v
#N/A
73.59 v v v
- v v v
#N/A
Closed (endoscopic) biopsy of 33.24 v v v

bronchus
Insertion of intrauterine 69.7 v v v
contraceptive device

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LAPORAN AUDIT KO

No Nomor RM Nama Diagnosis ICD 10

Neoplasms of uncertain or unknown

Thalassaemia, unspecified ) D56.9

Old myocardial infarction ) I25.2

Atherosclerotic heart disease ) I25.1

Arthrosis, unspecified, lower leg ) M19.96

Bacterial infection, unspecified ) A49.9

Atherosclerotic heart disease ) I25.1

Premature rupture of membranes, O42.0

Unstable angina ) I20.0

Other and unspecified ovarian N83.2

Benign neoplasm of ovary ) D27

Compression of vein ) I87.1

Sequelae of other and unspecified I69.8

Calculus of gallbladder without K80.2

Pain, unspecified ) R52.9

Spontaneous abortion, incomplete, O03.4

Tuberculous meningitis ) A17.0

Prolonged second stage of labour ) O63.1

Premature rupture of membranes, O42.0

Premature rupture of membranes, O42.0

Singleton, born in hospital ) Z38.0

Dengue haemorrhagic fever ) A91

Rupture of uterus before onset of O71.0

Tb lung confirm sputum microscopy A15.0

Prolonged second stage of labour ) O63.1

Tb lung confirm sputum microscopy A15.0

120 2374948 RACHMAH YANTI Pneumonia, unspecified ) J18.9

121 2374946 PUJI HARYANI BY NY Congenital pneumonia, unspecified ) P23.9

2374945 NURUL MAYASAROH O14.1

2374935 JAKSON SIMAMORA K40.3

2374922 ARI NOVANDARI O80.0

Transfusion of packed cells

Transfusion of packed cells

Other oxygen enrichment

Transfusion of packed cells

No Nomor RM Nama Diagnosis ICD 10

1 969321 NURWILIS RAID ,SH Calculus of gallbladder without cholecystit K80.2

919707 NANA SUMARNA BIN SUKIRMAN, TN. J86.9

Insertion of intercostal catheter for d 34.04 v v v

No Nomor RM Nama Diagnosis ICD 10

1 97796 EFNIDAR Malignant neoplasm of rectum ) C20

2 955607 MUSIAMI, NY M48.06

18 721213 P.M TAMPUBOLON ,TN I21.4

32 4498149 BERLIN TAMPUBOLON K92.0

43 238705 SITI ROHMAH M84.28

56 2384054 FAISAL AKBAR Pneumonia due to other specified J16.8

71 2383757 HAMDANI Non-insulin-dependent diabetes mellitus E11.1

73 2383750 HARYADI Pneumonia due to other specified J16.8

84 2383685 SUGIARTI Non-insulin-dependent diabetes mellitus E11.9

87 2383673 ALVIN NOVA RISYA Z03.0

101 2383503 MUGENI MARZUKI Pneumonia due to other specified J16.8

105 2383482 SANEN,TN Neoplasm of uncertain or unknown D38.1

106 2383481 BAMBANG SUTRISNO Neoplasm of uncertain or unknown D38.1

108 2383476 ASEP SETIAWAN Tb pleurisy without mention of bact or A16.5

122 2383241 TOMAN SIANTURI Malignant neoplasm, nasopharynx, C11.9