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  • Template Pengajuan Service Dan Upload Change Price Operasi Bedah Mulut

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    Farhan Sujar
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    This document contains a list of medical codes for dental procedures. It includes the code, valid date range, short description of the procedure, service category, and indicators for whether the procedure is surgical or non-surgical and whether different charges apply for BPJS insurance. The codes are grouped into categories based on the complexity of the procedure, with category 1 being the least complex and category 8 being the most complex.

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    Template Pengajuan service dan Upload Change Price Operasi Bedah Mulut

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    This document contains a list of medical codes for dental procedures. It includes the code, valid date range, short description of the procedure, service category, and indicators for whether the procedure is surgical or non-surgical and whether different charges apply for BPJS insurance. The codes are grouped into categories based on the complexity of the procedure, with category 1 being the least complex and category 8 being the most complex.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    7 views2 pages

    Template Pengajuan Service Dan Upload Change Price Operasi Bedah Mulut

    Uploaded by

    Farhan Sujar
    This document contains a list of medical codes for dental procedures. It includes the code, valid date range, short description of the procedure, service category, and indicators for whether the procedure is surgical or non-surgical and whether different charges apply for BPJS insurance. The codes are grouped into categories based on the complexity of the procedure, with category 1 being the least complex and category 8 being the most complex.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 2

    A B C D E F G H I J K L M N O P Q

    Used for Surgi5l/ non Share dr %


    Service Service Service Service Service Service Service Service Service Service surgi5l procedure 2sed
    Institution Service Code Valid From Valid To Short Text Service ( Description) Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8 Column 9 Ctgry 2 on gr1des ch1rges will OP Non
    BPJS
    be different (OP T1ble)

    3200 GBMD000001 01.04.2023 31.12.9999 Alveolektomi 1 Segmen 1 0


    3200 GBMD000014 01.04.2023 31.12.9999 Ekstirpasi Mucocel 1 0
    3200 GBMD000015 01.04.2023 31.12.9999 Ekstraksi 1 - 2 gigi 1 0
    3200 GBMD000021 01.04.2023 31.12.9999 Frenektomi 1 0
    3200 GBMD000027 01.04.2023 31.12.9999 Insisi Abses Intra Oral 1 0
    3200 GBMD000037 01.04.2023 31.12.9999 Operkulektomi 1 0
    3200 GBMD000002 01.04.2023 31.12.9999 Alveolektomi 2 Segmen 2 0
    3200 GBMD000004 01.04.2023 31.12.9999 Apex Resection 1 Akar 2 0
    3200 GBMD000007 01.04.2023 31.12.9999 Biopsi Insisi 2 0
    3200 GBMD000010 01.04.2023 31.12.9999 Debridement 2 0
    3200 GBMD000012 01.04.2023 31.12.9999 Eksisi Tumor Besar 2 0
    3200 GBMD000016 01.04.2023 31.12.9999 Ektraksi 3 - 5 gigi 2 0
    3200 GBMD000024 01.04.2023 31.12.9999 Hecting Luka Kecil 2 0
    3200 GBMD000026 01.04.2023 31.12.9999 Insisi Abses Ekstraoral 2 0
    3200 GBMD000028 01.04.2023 31.12.9999 Kuretase 1 segmen 2 0
    3200 GBMD000003 01.04.2023 31.12.9999 Alveolektomi > 2 Segmen 5 0
    3200 GBMD000005 01.04.2023 31.12.9999 Apex Resection 2 Akar 5 0
    3200 GBMD000008 01.04.2023 31.12.9999 Blok Reseksi 5 0
    3200 GBMD000013 01.04.2023 31.12.9999 Eksisi Tumor Kecil 5 0
    3200 GBMD000017 01.04.2023 31.12.9999 Ekstraksi 6-10 Gigi 5 0
    3200 GBMD000019 01.04.2023 31.12.9999 Enukleasi Kista 5 0
    3200 GBMD000022 01.04.2023 31.12.9999 Gingivektomi 5 0
    3200 GBMD000023 01.04.2023 31.12.9999 Hecting Luka Besar 5 0
    3200 GBMD000025 01.04.2023 31.12.9999 Insisi Abses dan drainase dengan penyulit 5 0
    3200 GBMD000006 01.04.2023 31.12.9999 Apex Resection > 2 Akar 6 0
    3200 GBMD000009 01.04.2023 31.12.9999 Bone graft 6 0
    3200 GBMD000018 01.04.2023 31.12.9999 Ekstraksi >10 Gigi 6 0
    3200 GBMD000020 01.04.2023 31.12.9999 Enukleasi Tumor Tulang 6 0
    3200 GBMD000030 01.04.2023 31.12.9999 Marsupialisasi 6 0
    3200 GBMD000031 01.04.2023 31.12.9999 OAF (Oro-Antral Fistula) Closure 6 0
    3200 GBMD000036 01.04.2023 31.12.9999 Operasi Caldwell Luc 6 0
    3200 GBMD000038 01.04.2023 31.12.9999 Replantasi Gigi 6 0
    3200 GBMD000039 01.04.2023 31.12.9999 Reposisi Fiksasi dengan Arch Bar 6 0
    3200 GBMD000042 01.04.2023 31.12.9999 Sialolitotomi 6 0
    3200 GBMD000011 01.04.2023 31.12.9999 Dental Implant 8 0
    3200 GBMD000029 01.04.2023 31.12.9999 Malunion dan Non Union Fraktur 8 0
    3200 GBMD000040 01.04.2023 31.12.9999 Reposisi Fiksasi dengan Mini Plate 8 0
    3200 GBMD000041 01.04.2023 31.12.9999 Reseksi Mandibula 8 0
    3200 GBMD000043 01.04.2023 31.12.9999 Sinus Lift Surgery 8 0
    R S T U V

    Share dr % Share dr % Share dr % Inhealth


    IP Non BPJS OP BPJS IP BPJS Kode ICD 9 Y/N

    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y
    90 Y

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