Lampiran : Daftar 155 Penyakit di FKTP dan Kode ICD 10

DIAGNOSA ICD X LEVEL

NO NAMA DIAGNOSA
KODE NAMA DIAGNOSA KOMEPETNSI
1 TB PARU A15 Respiratory TB 4A
2 MORBILI B059 Measles without complication 4A
3 VARISELA B019 Varicella without complication 4A
4 MALARIA B54 Unspecified malaria 4A
5 DEMAM DENGUE DAN DEMAM A90, A91 Dengue fever, DHF 4A
BERDARAH DENGUE
6 LEPTOSPIROSIS A279 4A
7 INFEKSI PADA UMBILIKUS 4A
8 KANDIDIASIS MULUT B379 Candidiasis unspecified 4A
9 LEPRA A30 Leprosy 4A
10 KERACUNAN MAKANAN T622 Other ingested (parts of plant(s)) 4A
11 ALERGI MAKANAN 4A
12 EXANTHEMATOUS DRUG ERUPTION L270 Generalized skin eruption due to drugs and medicaments 4A

13 FIXED DRUG ERUPTION L270 Generalized skin eruption due to drugs and medicaments 4A

14 REAKSI ANAFILAKTIK 4A
15 SYOK R579 Shock, unspecified 3B
16 ANEMIA D649 Anaemia, unspecified (anemia defisiensi besi-4A, anemia 4A
hemolitik-3A, anemia makrositik-3A, anemia aplastik-2,
anemia megaloblastik-2)
17 HIV/AIDS TANPA KOMPLIKASI Z21 Asymptomatic HIV infection status 4A
18 LIMFADENITIS B70 Lymphadenitis Acute 4A
19 REFLUKS GASTROESOFAGEAL K219 Gastrooesophageal reflux disease without oesophagitis 4A
20 GASTRITIS K297 Gastritis, unspecified 4A
21 INTOLERANSI MAKANAN 4A
22 MALABSORBSI MAKANAN 3A
23 DEMAM TIFOID A010 Typhoid fever 4A
24 GASTROENTERITIS ( TERMASUK A09 Diarrhoea & gastroenteritis of presumed infection origin 4A
DISENTRI, KOLERA, GIARDIASIS)
25 DISENTRI BASILER DAN DISENTRI AMUBA 4A
26 APENDISITIS AKUT K359 Acute appendicitis 3B
27 PERDARAHAN SALURAN MAKAN BAGIAN 3B
ATAS
28 PERDARAHAN SALURAN MAKAN BAGIAN 3A
BAWAH
29 HEMOROID GRADE 1-2 4A
30 HEPATITIS A 4A
31 HEPATITIS B 3A
32 PAROTITIS K11.2 Sialoadenitis 4A
33 ASKARIASIS B77.9 Ascariaris unspecified 4A
34 CUTANEUS LARVA MIGRANS B76.9 Hookworm disease, unspecified 4A
35 PENYAKIT CACING TAMBANG B76.0 Ankylostomiasis ,Necatoriasis 4A
B76.1
36 SKISTOSOMIASIS B65.9 Skistosomiasisunspecified , Schistomiasis due to S. 4A
B65.2 Japonicum

37 STRONGILOIDIASIS B78.9 Strongyloidiasis 4A

38 TAENIASIS B68.9 Taeniasis 4A
39 PERITONISIS K65.9 Peritonitis, unspecified 3B
40 KOLESISTITIS K81.9 Cholecystitis, unspecified 3B
41 MATA KERING/DRY EYE H04.1 Other disorders of lacrimal gland 4A
42 BUTA SENJA H53.5 Colour vision deficiencies 4A
43 HORDEOLUM H00.0 Hordeolum and other deep inflammation of eyelid 4A
44 KONJUNGTIVITIS H10.9 Conjunctivitis, unspecified,,, Acute atopic conjunctivitis 4A
H10.1
45 BLEFARITIS H01.0 Blepharitis 4A
46 PERDARAHAN SUBKONJUNGTIVA H57.8 Other specified disorders of eye and adnexa 4A
47 BENDA ASING DI KONJUNGTIVA T15.9 Foreign body on external eye, part unspecified 4A
48 ASTIGMATISM H52.2 Astigmatism 4A
49 HIPERMETROPIA H52.0 Hypermetropia 4A
50 MIOPIA RINGAN H52.1 Myopia 4A
51 PRESBIOPIA H52.4 Presbyopia 4A
52 KATARAK PADA PASIEN DEWASA H26.9 Cataract, unspecified 2
53 GLAUKOMA AKUT H40.2 Primary angle-closure glaucoma 4A
54 OTITIS EKSTERNA H60.9 Otitis Externa, Unspecified 4A

55 OTITIS MEDIA AKUT H66.0 Acute suppurative otitis media 4A

56 SERUMEN PROP H61.2 Impacted cerumen 4A
57 BENDA ASING DI HIDUNG T17.1 Foreign body in nostril 4A
58 ANGINA PEKTORIS I20.9 Angina pectoris 3B
59 INFARK MIOKARD I21.9 Acute Myocardial Infarction 3B
60 TAKIKARDIA I47.1 Supraventicular Tachicardy , Ventricular Tachicardy 3B
I47.2
61 GAGAL JANTUNG AKUT DAN KRONIK I50.9 Heart failure Gagal jantung akut
(3B) Gagal jantung
kronik (3A)

62 CARDIORESPIRATORY ARREST K80 Cardiac arrhytmia 3B

63 HIPERTENSI ESENSIAL I10 Essential (primary) hypertension 4A
64 INFARK SEREBRAL/STROKE I63.9 Cerebral infarction 3B
65 FRAKTUR TERBUKA T14. Fracture of unspecified body 3B
66 FRAKTUR TERTUTUP T14. Fracture of unspecified body 3B
67 POLIMIALGIA REUMATIK M53.3 Polymyalgia rheumatica 3A
68 ARTRITIS REUMATOID M53.3 Polymyalgia rheumatica 3A
69 ARTRITIS, OSTEOARTRITIS M19.9 Osteoarthrosis other 3A
70 LIPOMA D17.9 Benign lipomatous neoplasm 4A
71 KEJANG DEMAM R56.0 Febrile convulsions 4A
72 VERTIGO R42 Dizziness and giddiness 4A
73 DELIRIUM F05.9 Delirium 3A
74 TETANUS A35 Othertetanus 4A
75 RABIES A82.9 Rabies 3B
76 EPILEPSI G40.9 Epilepsy 3A
77 STATUS EPILEPTIKUS G41.9 Status epilepticus, unspecified 3B
78 MIGREN G43.9 Migraine, unspecified 4A
79 BELLS' PALSY G51.0 Bells’ palsy 4A
80 TENSION HEADACHE G44.2 Tension–type headache 4A
81 INSOMNIA G47.0 Disorders of initiating and maintaining sleep (insomnias) 4A

82 DEMENSIA F03 Unspecified dementia 3A

83 GANGGUAN CAMPURAN ANXIETAS DAN F41.2 Mixed Anxiety and Depression Disorder 3A
DEPRESI
84 GANGGUAN PSIKOTIK F20 Chronic Psychotic Disorder 3A
85 EPISTAKSIS R04.0 Epistaxis 4A
86 FURUNKEL PADA HIDUNG J34.0 Abscess, furuncle and carbuncle of nose 4A
87 FARINGITIS J02.9 Acute pharyngitis, unspecified 4A
88 RHINITIS AKUT J00 Acute nasopharingitis (common cold) 4A
89 RHINITIS ALERGIK J30.0 Vasomotor rhinitis 4A
90 RHINITIS VASOMOTOR J30.0 Vasomotor rhinitis 4A
91 TONSILITIS R76 Acute tonsillitis, unspecified 4A
92 LARINGITIS J04.0 Acute laryngitis 4A
93 BRONKITIS AKUT J20.9 Acute bronchitis, unspecified 4A
94 INFLUENZA J11 Influenza 4A
95 PNEUMONIA ASPIRASI J69.0 Pneumonitis due to food and vomit 3B
96 PNEUMONIA DAN BRONKOPNEUMONIA J18.9 Pneumonia, unspecified 4A
97 PERTUSIS A37.8 Whooping cough 4A
98 ASMA BRONKIAL J45 Asthma 4A
99 MILIRIA L74.3 Miliaria 4A
100 VERUKA VULGARIS B07 Viral warts 4A
101 REAKSI GIGITAN SERANGGA T63.4 Venom of other arthropods 4A
102 HERPES ZOSTER B02.9 Zoster without complication 4A
103 HERPES SIMPLEKS B00.9 Herpesviral infection, unspecified 4A
104 SKABIES B86 Scabies 4A
105 PEDIKULOSIS KAPITIS B85.0 Pediculosis due to Pediculus humanus capitis 4A
106 DERMATOFITOSIS : TINEA KAPITIS B35.0 Tinea barbae and tinea capitis 4A
107 DERMATOFITOSIS : TINEA BARBAE B35.0 Tinea barbae and tinea capitis 4A
108 DERMATOFITOSIS : TINEA FASIALIS TINEA FASIALIS 4A
109 DERMATOFITOSIS : TINEA KORPORIS B35.4 Tinea corporis 4A
110 DERMATOFITOSIS : TINEA MANUM B35.2 Tinea manuum 4A
111 DERMATOFITOSIS : TINEA UNGUIUM B35.1 TINEA UNGUIUM 4A
112 DERMATOFITOSIS : TINEA KRURIS B35.6 Tinea cruris 4A
113 DERMATOFITOSIS : TINEA PEDIS B35.3 Tinea pedis 4A
114 PITIRIASIS VERSIKOLOR/TINEA B36.0 Pityriasis versicolor 4A
VERSIKOLOR
115 PIODERMA L08.0 Pyoderma 4A
116 DERMATITIS SEBOROIK L21 Seborrhoeic dermatitis 4A
117 DERMATITIS ATOPIK L20 Atopic dermatitis 4A
118 DERMATITIS NUMULARIS L20.8 Other atopic dermatitis 4A
119 LIKE SIMPLEKS KRONIK L28.0 Lichen simplex chronicus 3A
(NEURODERMATITIS SIRKUMKRIPTA)
120 DERMATITIS KONTAK ALERGIK L23 Allergic contact dermatitis 3A
121 DERMATITIS KONTAK IRITAN L24 Irritant contact dermatiti 4A
122 NAPKIN ECZEMA 9DERMATITIS POPOK) L22 Diaper(napkin) dermatitis 4A
123 PITIRIASIS ROSEA L42 Pityriasis rosea 4A
124 MOLUSKUM KONTAGIOSUM B08.1 Molluscum contagiosum 4A
125 URTIKARIA L50 Urticaria 4A
126 FILARIASIS B74 Filariasis 4A
127 LUKA BAKAR DERAJAT I DAN II S24 burn 4A
128 OBESITAS E66.9 obesity unspecified 4A
129 TIROTOKSIKOSIS E05.9 Tirotoksikosis unspecified 3B
130 HIPERGLIKEMIA HIPEROSMOLAR NON R73.9 Hyperglycaemia unspecified 3B
KETOTIK
131 HIPOGLIKEMIA E16.2 hypoglycaemia unspecified ringan 4A, berat 3B

132 DIABETES MELITUS 1 E10 Insulin-dependent diabetes mellitus 4A

133 DIABETES MELITUS 2 E11 Non-insulin-dependent diabetes mellitus 4A
134 MALNUTRISI ENERGI PROTEIN (MEP) E46 Unspecified protein-energy malnutrition 4A
135 HIPERURICEMIA GOUT ARTHRITIS E79.0 Hyperuricemia without signs of inflammatory arthritis and 4A
M10 tophaceous disease
136 DISLIPIDEMIA E78.5 Hiperlipidemia 4A
137 INFEKSI SALURAN KEMIH N39.0 Urinary tarct infection, site not specified 4A
138 HIPERMEMESIS GRAVIDARUM O21.0 Mild hyperemis gravidarum 3B
139 KEHAMILAN NORMAL O80.9 Single spontaneus delivery, unspecified 4A
140 PRE-EKLAMPSIA O14.9 Pre-eclampsia, unspecified 3B
141 EKLAMSIA O15.9 Eclampsia, unspecified as to time periode 3B
142 ABORTUS SPONTAN KOMPLIT O03.9 Unspecified abortion complete, without complication 4A
143 ABORTUS MENGANCAM/INSIPIENS O06.3 Unspecified abortion incomplete, without complication 3B
144 ABORTUS SPONTAN INKOMPLIT O06.4 Unspecified abortion incomplete, without complication 3B
145 ANEMIA DEFISIENSI BESI PADA D50 Iron deficiency anemia 4A
KEHAMILAN
146 KETUBAN PECAH DINI 042.9 Premature rupture of membrane, unspecified 3A
147 PERSALINAN LAMA O63.9 long labour 3B
148 PERDARAHAN POST PARTUM 072.1 Other Immediate Postpartum haemorhage 3B
149 RUPTUR PERINEUM TINGKAT 1-2 O70.0 First degree perineal laceration during delivery 4A
150 MASTITIS N61 Inflammatory disorders of breast 4A
151 FLUOR ALBUS N98.9 4A
152 SIFILIS A51 Early syphilis 3A
153 GONORE A54.9 Gonococcal infection, unspecified 4A
154 VAGINITIS N76.0 Acute Vaginitis 4A
155 VULVITIS N76.0 Acute Vaginitis 4A