Diagnosa Tindakan Inagruper KELAS 3 KELAS 2 KELAS 1

MATA
Catarac Phaco H-2-36-0 7,342,000
Ulkus kornea corneal transplant H-1-30-I 6,685,700 8,022,800 9,359,900
Pterigium conjungtiva graft H-1-20-I 4,393,800 5,272,600 6,151,400
THT
Sinusitis etmoidektomi U-1-12-I 5,075,500 6,090,600 7,105,700
Hipertrofi konka turbunektomi U-1-20-I 4,633,600 5,560,300 6,487,000
Tonsilitis tonsilektomi U-1-15-I 3,688,700 4,426,400 5,164,100
UROLOGI
Batu Ureter urs N-1-40-I 6,019,400 7,223,300 8,427,200
Batu Ginjal uretotomi N-1-40-I 6,019,400 7,223,300 8,427,200
Batu Buli vesikolitotripsi N-1-40-I 6,019,400 7,223,300 8,427,200
BPH TURP V-1-14-I 6,820,600 8,184,700 9,548,800
Batu ginjal PCNL N-1-20-I 7,323,900 8,788,600 10,253,400
Batu ginjal nephrostomy N-1-20-I 7,323,900 8,788,600 10,253,400
Phimosis circumsisi V-1-15-I 1,098,500 1,318,200 1,537,800
Strictur uretra release stricture N-1-40-I 6,019,400 7,223,300 8,427,200
Hidrocele excision hydrocele V-1-12-I 6,668,000 8,001,600 9,335,200
BEDAH
Appendicitis appendectomi K-1-13-I 2,900,300 3,480,400 4,060,500
Hernia hernioraphy dengan mesh K-1-14-I 4,706,700 5,648,100 6,589,400
herniotomy K-1-14-I 4,706,700 5,648,100 6,589,400
Hemoroid hemoroidektomi K-1-50-I 4,595,100 5,514,200 6,433,200
Cholelitiasis cholesistektomi B-1-12-I 5,269,600 6,323,500 7,377,400
FAM eksisi/ biopsy L-1-50-I 5,043,900 6,052,700 7,061,500
STT eksisi/ biopsy L-1-40-I 3,842,100 4,610,500 5,379,000
Skin loss STSG L-1-30-I 6,855,800 8,226,900 9,598,100
Ulkus diabetikum debridemen I-4-15-I 4,429,400 5,315,300 6,201,200
OBGYN
Kista endometrium kistektomi W-1-20-I 6,377,900 7,653,400 8,929,000
Pro SC Pro SC O-6-10-I 5,019,900 6,023,900 7,027,900
Partus Normal O-6-13-I 1,605,500 1,926,700 2,247,800
Prolaps uterus TVH W-1-30-I 3,600,400 4,320,500 5,040,600
Mioma uteri miomektomi W-1-20-I 6,377,900 7,653,400 8,929,000
Abortus curretage W-1-10-I 1,647,700 1,977,200 2,306,800
BEDAH ONKOLOGI
Tumor Mamae eksisi / biopsy L-1-50-I 5,043,900 6,052,700 7,061,500
radical mastektomi L-1-50-I 5,043,900 6,052,700 7,061,500
Limfadenopati coli eksisi / biopsy D-1-20-I 3,985,400 4,782,500 5,579,600
SNNT tiroidektomi E-1-20-I 5,800,800 6,960,900 8,121,100
Orthopedi
Fraktur Tibia - Fibula ORIF M-1-70-I 11,420,000 13,703,900 15,987,900
Fraktur Radius -
Ulna ORIF M-1-80-I 6,491,800 7,790,100 9,088,500
Removal Implan M-1-40-I 3,330,600 3,996,700 4,662,800
TKR/THR M-1-04-I 22,313,300 24,098,300 25,883,400