A01 Typhoid and paratyphoid fevers (A01.0 Typhoid Fever, A01.

4 Paratyphoid Fever) A01

A04 Other bacterial intestinal infections (A04.9 DCA Disentriform) A04
A06 Amoebiasis (A06.3 Amoebiasis Intestinal) A06
A09 Diarrhoea and gastroenteritis of presumed infectious origin (A09 DCA biasa tanpa DH)* A09
A15 Respiratory tuberculosis, bacteriologically and histologically confirmed (A15.0 TB Paru) A15
A18 Tuberculosis of other organs (A18.8 TB Ekstraparu) A18
A27 Leptospirosis (A27.9 Leptospirosis) A27
A48 Other bacterial diseases, not elsewhere classified (A48.8 Infeksi Sekunder) A48
A54 Gonococcal infection (A54.9 Suspek GO) A54
A59 Trichomoniasis (A59.0 Urogenital Trichomoniasis) A59
A60 Anogenital herpesviral [herpes simplex] infection (A60.0 Herpes Simplex Genital) A60
A90 Dengue fever [classical dengue] (A90 Dengue Fever/DF)* A90
A91 Dengue haemorrhagic fever (A91 Dengue Haemorrhagic Fever/DHF : Hmt naik, Tanda perdarahan ada)* A91

A92 Other mosquito-borne viral fevers (A92.0 Chikungunya) A92

B00 Herpesviral [herpes simplex] infections (B00.9 Herpes Simplex) B00
B01 Varicella [chickenpox] (B01.9 Varicella/Cacar Air) B01
B02 Zoster [herpes zoster] (B02.9 Herpes Zooster) B02
B05 Measles (B05.9 Morbili/Campak : harus konfirm serologis dulu) B05
B06 Rubella [German measles] (B06.9 Rubella : harus konfirm serologis dulu) B06
B07 Viral warts (B07 Veruka, Clavus)* B07
B19 Unspecified viral hepatitis (B19.9 Suspek Hepatitis) B19
B26 Mumps (B26.9 Parotitis) B26
B35 Dermatophytosis (B35.0 Tinea Capitis, B35.3 Tinea Pedis, B35.4 Tinea Corporis, B35.6 Tinea Cruris) B35

B36 Other superficial mycoses (B36.0 Pityriasis Versicolor/PVC, B36.8 Otomycosis) B36
B37 Candidiasis (B37.0 Candidiasis Stomatitis, B37.3 Candidiasis Vulva dan Vagina) B37
B80 Enterobiasis (B80 Enterobiasis/Cacing Kremi)* B80
B86 Scabies (B86 Scabies)* B86
B76 Hookworm diseases (B76.9 Cutaneous Larva Migrans/CLM) B76
C11 Malignant neoplasm of nasopharynx (C11.9 Ca Nasopharynx) C11
C50 Malignant neoplasm of breast (C50.9 Ca Mammae) C50
D17 Benign lipomatous neoplasm (D17.9 Lipoma) D17
D18 Haemangioma and lymphangioma, any site (D18.0 Haemangioma) D18
D24 Benign neoplasm of breast (D24 Fibroadenoma Mammae/FAM)* D24
D25 Leiomyoma of uterus (D25.9 Myoma Uteri) D25
D27 Benign neoplasm of ovary (D27 Kista Ovarii)* D27
D29 Benign neoplasm of male genital organs (D29.1 Benign Prostatic Hyperplasia/BPH) D29
D50 Iron deficiency anaemia (D50.9 Anemia Ringan - Berat) D50
D69 Purpura and other haemorrhagic conditions (D69.3 ITP, D69. 6 Thrombocytopenia) D69
D72 Other disorders of white blood cells (D72.9 Leukositosis) D72
E04 Other nontoxic goitre (E04.9 Struma, Massa Thyroid) E04
E05 Thyrotoxicosis [hyperthyroidism] (E05.9 Hiperthyroid) E05
E10 Insulin-dependent diabetes mellitus (E10.9 IDDM) E10
E11 Non-insulin-dependent diabetes mellitus (E11.9 NIDDM) E11
E42 Marasmic kwashiorkor (E42 Marasmic Kwashiorkor)* E42
E78 Disorders of lipoprotein metabolism and other lipidaemias (E78.0 Hypercholesterolemia, E78.1 E78
Hypertrigliseridemia, E78.5 Dyslipidemia)
F20 Schizophrenia (F20.9 Schizophrenia) F20
F23 Acute and transient psychotic disorders (F23.0 Psikotik Akut) F23
F32 Depressive episode (F32.9 Depressive Episode/Depresi) F32
F41 Other anxiety disorders (F41.9 Anxiety Disorders/Gangguan Cemas) F41
F54 Psychological and behavioural factors associated with disorders or diseases classified elsewhere (F54 F54
Psikosomatis)*
G20 Parkinson's disease (G20 Parkinson's Disease)* G20
G40 Epilepsy (G40.9 Epilepsy) G40
G43 Migraine (G43.9 Migraine) G43
G44 Other headache syndromes (G44.0 Cluster Headache, G44.2 Tension Type Headache/TTH) G44
G47 Sleep disorders (G47.9 Insomnia/Gangguan Tidur) G47
G56 Mononeuropathies of upper limb (G56.0 Carpal Tunnel Syndrome/CTS) G56
H00 Hordeolum and chalazion (H00.0 Hordeolum, H00.1 Chalazion) H00
H04 Disorders of lacrimal system (H04.1 Dry Eyes) H04
H10 Conjunctivitis (H10.9 Conjunctivitis) H10
H11 Other disorders of conjunctiva (H11.0 Pterigium, H11.3 Conjungtiva Haemorage/Haematoma) H11
H16 Keratitis (H16.9 Keratitis Akut) H16
H17 Corneal scars and opacities (H17.9 Keratitis Kronis) H17
H25 Senile cataract (H25.9 Katarak Senilis) H25
H40 Glaucoma (H40.9 Glaucoma) H40
H52 Disorders of refraction and accommodation (H52.0 Hypermetropi, H52.1 Myopi, H52.2 Astigmatism, H52
H52.4 Presbyopi)
H60 Otitis externa (H60.9 Otitis Externa Diffusa/OED) H60
H61 Other disorders of external ear (H61.2 Cerumen Prop) H61
H65 Nonsuppurative otitis media (H65.9 OMA Non Suppurative) H65
H66 Suppurative and unspecified otitis media (H66.4 OMA Suppurative) H66
H81 Disorders of vestibular function (H81.1 BPVV Vertigo) H81
H90 Conductive and sensorineural hearing loss (H90.0 Tuli Konduksi, H90.3 Tuli Sensoris) H90
H91 Other hearing loss (H91.9 Tuli Tidak Terdefinisi) H91
H92 Otalgia and effusion of ear (H92.0 Otalgia, H92.1 Otorhea, H92.2 Otorhagia) H92
I10 Essential (primary) hypertension (I10 Hypertension)* I10
I11 Hypertensive heart disease (I11.9 Hypertensive Heart Disease/HHD) I11
I20 Angina pectoris (I20.9 Angina Pectoris) I20
I21 Acute myocardial infarction (I21.9 Acute Myocardial Infarction/AMI) I21
I25 Chronic ischaemic heart disease (I25.1 Atherosclerosis/Penyakit Jantung Koroner/PJK, I25.2 Old I25
Myocardial Infarction/OMI, I25.9 COHD Lainnya)
I45 Other conduction disorders (I45.1 Right Bundle Branch Block/RBBB) I45
I48 Atrial fibrillation and flutter (I48 Atrial Fibrillation/AF)* I48
I49 Other cardiac arrhythmias (I49.0 Ventricular Fibrillation/VF, I49.9 Aritmia Cordis) I49
I50 Heart failure (I50.0 Congestive Heart Failure/CHF) I50
I51 Complications and ill-defined descriptions of heart disease (I51.7 Cardiomegaly) I51
I64 Stroke, not specified as haemorrhage or infarction (I64 Stroke)* I64
I84 Haemorrhoids (I84.2 Haemorrhoids Internal, I84.5 Haemorrhoids Eksternal) I84
I86 Varicose veins of other sites (I86.1 Varicocele) I86
J00 Acute nasopharyngitis [common cold] (J00 Common Cold)* J00
J01 Acute sinusitis (J01.9 Acute Sinusitis) J01
J02 Acute pharyngitis (J02.9 Acute Pharyngitis/RFA) J02
J03 Acute tonsillitis (J03.9 Acute Tonsillitis) J03
J18 Pneumonia, organism unspecified (J18.9 Pneumonia) J18
J20 Acute bronchitis (J20.9 Acute Bronchitis) J20
J21 Acute bronchiolitis (J21.9 Acute Bronchiolitis) J21
J30 Vasomotor and allergic rhinitis (J30.4 Rhinitis Allergica) J30
J33 Nasal polyp (J33.9 Polyp Nasi) J33
J40 Bronchitis, not specified as acute or chronic (J40 Bronchitis)* J40
J44 Other chronic obstructive pulmonary disease (J44.9 COPD/PPOK) J44
J45 Asthma (J45.9 Asma Bronchiale, J45.90 Asma Bronchiale Dalam Serangan Ringan-Berat) J45
K02 Dental caries (K02.9 Caries Dentis) K02
K05 Gingivitis and periodontal diseases (K05.0 Gingivitis) K05
K12 Stomatitis and related lesions (K12.1 Stomatitis Biasa) K12
K13 Other diseases of lip and oral mucosa (K13.7 Observasi Leukoplakia) K13
K29 Gastritis and duodenitis (K29.1 Gastritis Akut, K29.5 Gastritis Kronis, K29.7 Gastritis) K29
K30 Dyspepsia (K30 Dyspepsia)* K30
K35 Acute appendicitis (K35.9 Appendicitis Akut) K35
K36 Other appendicitis (K36 Appendicitis Kronis/Partial) K36
K40 Inguinal hernia (K40.9 Hernia Inguinalis) K40
K41 Femoral hernia (K41.9 Hernia Femoralis) K41
K42 Umbilical hernia (K42.9 Hernia Umbilicalis) K42
K56 Paralytic ileus and intestinal obstruction without hernia (K56.7 Ileus) K56
K58 Irritable bowel syndrome (K58.9 Irritable Bowel Syndrome/IBS) K58
K59 Other functional intestinal disorders (K59.0 Konstipasi/Obstipasi, K59.3 Megacolon) K59
K65 Peritonitis (K65.0 Peritonitis Akut) K65
K80 Cholelithiasis (K80.8 Cholelithiasis) K80
K81 Cholecystitis (K81.9 Cholecystitis) K81
K92 Other diseases of digestive system (K92.0 Haematemesis, K92.1 Melena) K92
L01 Impetigo (L01.0 Impetigo Crustosa/Pustulosa) L01
L02 Cutaneous abscess, furuncle and carbuncle (L02.9 Cutaneous Abscess, Furuncle and Carbuncle) L02
L03 Cellulitis (L03.9 Sellulitis) L03
L04 Acute lymphadenitis (L04.9 Lymphadenitis) L04
L20 Atopic dermatitis (L20.9 Dermatitis Atopik) L20
L21 Seborrhoeic dermatitis (L21.9 Dermatitis Seboroik) L21
L22 Diaper [napkin] dermatitis (L22 Diaper Rash)* L22
L23 Allergic contact dermatitis (L23.9 Dermatitis Kontak Alergika/DKA) L23
L24 Irritant contact dermatitis (L24.9 Dermatitis Kontak Irritan/DKI) L24
L27 Dermatitis due to substances taken internally (L27.0 Drug Eruption) L27
L28 Lichen simplex chronicus and prurigo (L28.0 Likhen Simpleks Kronis/LSK) L28
L29 Pruritus (L29.9 Pruritus Senilis) L29
L30 Other dermatitis (L30.0 Dermatitis Numularis, L30.1 Pompholyx) L30
L40 Psoriasis (L40.0 Psoriasis Vulgaris) L40
L50 Urticaria (L50.9 Urticaria) L50
L60 Nail disorders (L60.8 Pro Nail Extraction/NE) L60
L70 Acne (L70.0 Acne Vulgaris) L70
L72 Follicular cysts of skin and subcutaneous tissue (L72.0 Epidermal Cyst/Atheroma) L72
L80 Vitiligo (L80 Vitiligo)* L80
L89 Decubitus ulcer (L89 Ulkus Decubitus)* L89
L90 Atrophic disorders of skin (L90.5 Cicatrix) L90
L91 Hypertrophic disorders of skin (L91.0 Keloid) L91
M06 Other rheumatoid arthritis (M06.0 Rheumatoid Arthritis/RA) M06
M10 Gout (M10.0 Gout) M10
M15 Polyarthrosis (M15.0 Osteoarthritis/OA) M15
M16 Coxarthrosis [arthrosis of hip] (M16.9 Osteoarthritis Coxa/OA Coxa) M16
M17 Gonarthrosis [arthrosis of knee] (M17.9 Osteoarthritis Genu/OA Genu) M17
M18 Arthrosis of first carpometacarpal joint (M18.9 Osteoarthritis Metacarpal/OA Metacarpal) M18
M25 Other joint disorders, not elsewhere classified (M25.5 Arthralgia) M25
M51 Other intervertebral disc disorders (M51.9 Hernia Nucleus Pulposus/HNP) M51
M54 Dorsalgia (M54.1 Low Back Pain/LBP, M54.2 Cervicalgia/Leher Cengeng, M54.3 Ischialgia) M54
M67 Other disorders of synovium and tendon (M67.4 Ganglion) M67
M75 Shoulder lesions (M75.0 Frozen Shoulder) M75
M77 Other enthesopathies (M77.3 Calcaneal Spur/Taji Tulang Calcaneus) M77
M79 Other soft tissue disorders, not elsewhere classified (M79.1 Myalgia, M79.2 Neuralgia) M79
N17 Acute renal failure (N17.9 Acute Renal Failure/ARF) N17
N18 Chronic renal failure (N18.9 Chronic Renal Failure/CRF) N18
N20 Calculus of kidney and ureter (N20.0 Urolithiasis) N20
N39 Other disorders of urinary system (N39.0 Infeksi Saluran Kencing/ISK) N39
N40 Hyperplasia of prostate (N40 Benign Prostate Hyperplasia/BPH) N40
N43 Hydrocele and spermatocele (N43.3 Hydrocele) N43
N45 Orchitis and epididymitis (N45.9 Orchitis dan Epididymitis) N45
N47 Redundant prepuce, phimosis and paraphimosis (N47 Phimosis/Paraphimosis)* N47
N61 Inflammatory disorders of breast (N61 Mastitis)* N61
N72 Inflammatory disease of cervix uteri (N72 Cervicitis/Radang Cervix Uteri) N72
N73 Other female pelvic inflammatory diseases (N73.9 Pelvic Inflammatory Disease/PID) N73
N75 Diseases of Bartholin's gland (N75.0 Kista Bartholini, N75.1 Bartholinitis) N75
N80 Endometriosis (N80.9 Endometriosis) N80
N81 Female genital prolapse (N81.4 Prolaps Uteri) N81
N89 Other noninflammatory disorders of vagina (N89.9 Observasi Leukorrhea) N89
N91 Absent, scanty and rare menstruation (N91.0 Amenorrhea) N91
N92 Excessive, frequent and irregular menstruation (N92.1 Menometroragia) N92
N94 Pain and other conditions associated with female genital organs and menstrual cycle (N94.6 N94
Dysmenorrhea)

N95 Menopausal and other perimenopausal disorders (N95.9 Pre-menopause/Menopause Syndrome) N95

O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium (O10.0 Pre-existing O10
Essential HT Complicating Pregnancy)
O11 Pre-existing hypertensive disorder with superimposed proteinuria (O11 Pre-existing HT with O11
Superimposed Proteinuria)
O12 Gestational [pregnancy-induced] oedema and proteinuria without hypertension (O12.0 Gestational O12
Oedema, O12.1 Gestational Proteinuria (tanpa HT), O12.2 Gestational Oedema with Proteinuria)

O13 Gestational [pregnancy-induced] hypertension without significant proteinuria (O13 Gestational O13
Hypertension Without Proteinuria)*
O14 Gestational [pregnancy-induced] hypertension with significant proteinuria (O14.9 Pre-eclampsia) O14

O15 Eclampsia (O15.0 Eclampsia in Pregnancy) O15

P59 Neonatal jaundice from other and unspecified causes (P59.9 Ikterik Neonatorum) P59
Q54 Hypospadias (Q54.9 Hypospadia) Q54
R00 Abnormalities of heart beat (R00.0 Takikardi, R00.1 Bradicardi, R00.2 Palpitasi) R00
R04 Haemorrhage from respiratory passages (R04.0 Epistaxis, R04.2 Haemoptysis/Haemoptoe) R04
R05 Cough (R05 Observasi Batuk)* R05
R06 Abnormalities of breathing (R06.0 Dyspnea/Takipnea, R06.1 Stridor, R06.6 Hiccups) R06
R07 Pain in throat and chest (R07.4 Observasi Chest Pain) R07
R10 Abdominal and pelvic pain (R10.0 Acute Abdomen, R10.4 Observasi Abdominal Pain) R10
R11 Nausea and vomiting (R11 Nausea dan Vomitus)* R11
R13 Dysphagia (R13 Dysphagia)* R13
R14 Flatulence and related conditions (R14 Flatulence/Observasi Distensi Abdomen)* R14
R16 Hepatomegaly and splenomegaly, not elsewhere classified (R16.0 Hepatomegaly, R16.1 Splenomegaly, R16
R16.2 Hepatomegaly dan Splenomegaly)
R17 Unspecified jaundice (R17 Jaundice/Observasi Ikterik Dewasa)* R17
R18 Ascites (R18 Ascites)* R18
R20 Disturbances of skin sensation (R20.2 Parestesia of Skin) R20
R30 Pain associated with micturition (R30.0 Dysuria) R30
R31 Unspecified haematuria (R31 Haematuria)* R31
R32 Unspecified urinary incontinence (R32 Inkontinensia Urine)* R32
R33 Retention of urine (R33 Retensi Urine)* R33
R40 Somnolence, stupor and coma (Observasi Penurunan Kesadaran : R40.0 Somnolence, R40.1 Stupor, R40
R40.2 Coma)
R50 Fever of unknown origin (R50.0 Observasi Febris) R50
R51 Headache (R51 Cephalgia)* R51
R53 Malaise and fatigue (R53 Malaise)* R53
R54 Senility (R54 Geriartri/Lansia)* R54
R55 Syncope and collapse (R55 Sinkop/Pingsan)* R55
R56 Convulsions, not elsewhere classified (R56.0 Kejang Demam Sederhana/Kompleks, R56.8 Kejang Tanpa R56
Demam)
R57 Shock, not elsewhere classified (R57.0 Cardiogenic Shock, R57.1 Hypovolaemic Shock, R57.9 Shock) R57

R59 Enlarged lymph nodes (R59.9 Lymphadenitis) R59

R60 Oedema, not elsewhere classified (R60.9 Observasi Oedema) R60
R61 Hyperhidrosis (R61.9 Hyperhidrosis) R61
R62 Lack of expected normal physiological development (R62.9 Gangguan Tumbuh Kembang) R62
R63 Symptoms and signs concerning food and fluid intake (R63.0 Anorexia) R63
S02 Fracture of skull and facial bones (S02.9 Fraktur Regio Kepala) S02
S06 Intracranial injury (S06.0 Contusio Cerebri, S06.4 Epidural Haemorrhage/EDH, S06.5 Subdural S06
Haemorrhage/SDH, S06.9 Intracranial Haemorrhage Unspecified)
S09 Other and unspecified injuries of head (S09.9 Cedera Kepala Ringan/Sedang/Berat) S09
S12 Fracture of neck (S12.9 Fraktur Cervical) S12
S22 Fracture of rib(s), sternum and thoracic spine (S22.0 Fraktur Vertebra Thorakal, S22.2 Fraktur Sternum, S22
S22.3 Fraktur Costa, S22.5 Flail Chest)
S32 Fracture of lumbar spine and pelvis (S32.0 Fraktus Vertebra Lumbal, S32.1 Fraktur Os Sacrum, S32.2 S32
Fraktur Os Coccyxgeum, S32.3 Fraktur Os Illium, S32.5 Fraktur Os Pubis)
S42 Fracture of shoulder and upper arm (S42.0 Fraktur Os Clavicula, S42.1 Fraktur Os Scapula, S42.2 Fraktur S42
Os Humerus Proximal, S42.3 Fraktur Os Humerus Media, S42.4 Fraktur Os Humerus Distal, S42.7 Fraktur
Multipel Os Clavicula Scapula Humerus)

S43 Dislocation, sprain and strain of joints and ligaments of shoulder girdle (S43.0 Dislokasi Sendi Bahu) S43

S52 Fracture of forearm (S52 Fraktur Os Radius, Fraktur Os Ulna, bagian fraktur tinggal pilih di ICD BPJS) S52

S62 Fracture at wrist and hand level (S62 Fraktur Os Wrist, Fraktur Os Carpal, Os Metacarpal, Os Phalanx, S62
bagian fraktur tinggal pilih di ICD BPJS)
S72 Fracture of femur (S72 Fraktur Os Femur, bagian fraktur tinggal pilih di ICD BPJS) S72
S73 Dislocation, sprain and strain of joint and ligaments of hip (S73.0 Dislokasi Sendi Femur) S73
S82 Fracture of lower leg, including ankle (S82 Fraktur Os Patella, Fraktur Os Tibia, Fraktur Os Fibula, bagian S82
fraktur tinggal pilih di ICD BPJS)

S83 Dislocation, sprain and strain of joints and ligaments of knee (S83.0 Dislokasi Os Patella) S83
S92 Fracture of foot, except ankle (S92 Fraktur Os Wrist, Fraktur Os Carpal, Os Metacarpal, Os Phalanx, S92
bagian fraktur tinggal pilih di ICD BPJS)
T00 Superficial injuries involving multiple body regions (T00.9 Vulnus Excoriatum/VE dan Vulnus T00
Punctum/VP)
T01 Open wounds involving multiple body regions (T01.9 Vulnus Laceratum/VL) T01
T15 Foreign body on external eye (T15.0 Corpal Kornea, T15.1 Corpal Conjungtiva) T15
T16 Foreign body in ear (T16 Corpal Telinga)* T16
T20 Burn and corrosion of head and neck (T20 Luka Bakar Regio Kepala dan Leher. Derajat Luka Bakar tinggal T20
pilih di ICD BPJS)
T21 Burn and corrosion of trunk (T21 Luka Bakar Regio Dada, Perut, Punggung. Derajat Luka Bakar tinggal T21
pilih di ICD BPJS)
T22 Burn and corrosion of shoulder and upper limb, except wrist and hand (T22 Luka Bakar Regio Bahu, T22
Lengan Atas. Derajat Luka Bakar tinggal pilih di ICD BPJS)
T23 Burn and corrosion of wrist and hand (T23 Luka Bakar Regio Lengan Bawah, Tangan. Derajat Luka Bakar T23
tinggal pilih di ICD BPJS)
T24 Burn and corrosion of hip and lower limb, except ankle and foot (T24 Luka Bakar Regio Pinggang, T24
Kelamin, Paha, Pantat. Derajat Luka Bakar tinggal pilih di ICD BPJS)
T25 Burn and corrosion of ankle and foot (T25 Luka Bakar Regio Pedis, Cruris. Derajat Luka Bakar tinggal pilih T25
di ICD BPJS)
T26 Burn and corrosion confined to eye and adnexa (T26 Luka Bakar Regio Mata, Jaringan Lunak. Derajat T26
T27 Luka
Burn Bakar tinggal pilih
and corrosion di ICD BPJS)
of respiratory tract (T27 Luka Bakar Regio Traktus Respiratorius. Derajat Luka Bakar T27
tinggal pilih di ICD BPJS)
T28 Burn and corrosion of other internal organs (T28 Luka Bakar Regio Organ Dalam. Derajat Luka Bakar T28
T29 tinggal pilihcorrosions
Burns and di ICD BPJS)
of multiple body regions (T29 Luka Bakar Regio MULTIPLE. Derajat Luka Bakar T29
tinggal pilih di ICD BPJS)
T17 Foreign body in respiratory tract (T17.0 Corpal Nasal Sinus, T17.2 Corpal Pharynx, T17.3 Corpal Larynx) T17

T63 Toxic effect of contact with venomous animals (T63.0 Snake Bite, T63.4 Insect Bite) T63
T64 Toxic effect of aflatoxin and other mycotoxin food contaminants (T64 Keracunan Makanan)* T64

Z00 General examination and investigation of persons without complaint and reported diagnosis (Z00.0 Z00
General Medical Examination/Sehat)
D508 other iron deficiency anaemias
M791 Myalgia