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No Diagnosa ICD X

76 Trigger finger M6530


77 Radial styloid tenosinovitis M6549
78 Stiffness of joint M2560
92 Lumbar and Intervertebral disorder M511
Lumbar and Intervertebral disorder M511
93 Fracture of servical S122
Tetraparesa G825
Fracture of servical S122
Tetraparesa G825
94 Fracture lumbar vertebra S320
Paraparesa G822
95 Fracture of Thorasic vertebra S220
Paraparesa G822
96 Tuberculosis spine A1801
Tuberculosis spine A1801
Tuberculosis spine A1801
Tuberculosis spine A1801
Tuberculosis spine A1801
Tuberculosis spine A1801
Tuberculosis spine A1801
Tuberculosis spine A1801
Tuberculosis spine A1801
97 Osteoarthitis of hip M169
98 Osteoarthitis of knee M179
99 Osteoarthitis of carpometacarpal M189
100 Osteoarthitis of other M19
Osteoarthitis of other M19
Osteoarthitis of other M19
Osteoarthitis of other M19
Osteoarthitis of other M19
101 Osteoarthitis of hip M169
102 Osteoarthitis of knee M179
103 Septic arthitis M0080
Septic arthitis M0080
Septic arthitis M0080
Septic arthitis M0080
Septic arthitis M0080
Septic arthitis M0080
Septic arthitis M0080
Septic arthitis M0080
Septic arthitis M0080
104 Fracture of lower end humerus S424
105 Fracture of lower end of radius ulna S526
106 Fracture of lower end of femur S724
107 Fracture of upper and tibia S821
108 -
109 Fracture of lower end humerus S424
110 Fracture of lower end of radius ulna S526
111 Fracture of lower end of femur S724
112 Fracture of upper and tibia S821
113 -
114 Constriction band syndrome Q798
Tindakan ICD IX
Incision tendon sheath hand 82.01
Incision tendon sheath hand 82.01
Division of joint capsule,ligament,or cartilage 80.49
Lumbar posterior fusion 81.08
Decompresion spinal canal 03.09
Anterior cervical surgery in spine stabilitation 81.02
Decompresion spinal canal 03.09
Posterior cervical surgery in spine stabilitation 81.03
Decompresion spinal canal 03.09
Anterior technique lumbar surgery in spine stabilitation 81.04
Decompresion spinal canal 03.09
Posterior technique lumbar surgery in spine stabilitation 81.05
Decompresion spinal canal 03.09
Decompresion spinal canal 03.09
Anterior cervical surgery in spine stabilitation 81.02
Decompresion spinal canal 03.09
Posterior cervical surgery in spine stabilitation 81.03
Decompresion spinal canal 03.09
Anterior technique lumbar surgery in spine stabilitation 81.04
Decompresion spinal canal 03.09
Posterior technique lumbar surgery in spine stabilitation 81.05
Decompresion spinal canal 03.09
Arthroscopy hip 80.25
Arthroscopy knee 80.26
Arthroscopy finger 80.24
Arthroscopy shoulder 80.21
Arthroscopy elbow 80.22
Arthroscopy wrist 80.23
Arthroscopy ankle 80.27
Arthroscopy foot 80.28
Total hip replacement 81.51
Total knee replacement 81.54
Arthotomy shoulder 80.11
Arthotomy elbow 80.12
Arthotomy wrist 80.13
Arthotomy hand 80.14
Arthotomy hip 80.15
Arthotomy knee 80.16
Arthotomy ankle 80.17
Arthotomy foot 80.18
Arthotomy unspecified 80.19
Close reduction separated epiphysis humerus 79.41
Close reduction separated epiphysis radius ulna 79.42
Close reduction separated epiphysis femur 79.45
Close reduction separated epiphysis tibia 79.46
Close reduction separated epiphysis unspecified 79.49
Open reduction seperated epiphysis humerus 79.51
Open reduction separated epiphysis radius ulna 79.52
Open reduction separated epiphysis femur 79.55
Open reduction separated epiphysis tibia 79.56
Open reduction separated epiphysis unspecified 79.59
Other repair construction skin and subcutan 86.89
Other surgical occlusion of vessels 38.88
GROUPING Kelas 1
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG BELAKANG (RINGAN)
PROSEDUR TULANG BELAKANG (RINGAN)
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG BELAKANG (RINGAN)
PROSEDUR TULANG BELAKANG (RINGAN)
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG BELAKANG (RINGAN)
PROSEDUR TULANG BELAKANG (RINGAN)
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG BELAKANG (RINGAN)
PROSEDUR TULANG BELAKANG (RINGAN)
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG BELAKANG (RINGAN)
PROSEDUR TULANG BELAKANG (RINGAN)
PROSEDUR TULANG BELAKANG (RINGAN)
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG BELAKANG (RINGAN)
PROSEDUR TULANG BELAKANG (RINGAN)
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG BELAKANG (RINGAN)
PROSEDUR TULANG BELAKANG (RINGAN)
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG BELAKANG (RINGAN)
PROSEDUR TULANG BELAKANG (RINGAN)
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG BELAKANG (RINGAN)
PROSEDUR TULANG BELAKANG (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR PADA SENDI TUNGKAI BAWAH (RINGAN)
PROSEDUR PADA SENDI TUNGKAI BAWAH (RINGAN)
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN)
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN)
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN)
PROSEDUR KAKI (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN)
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN)
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN)
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN)
PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN PAYUDARA (RINGAN)
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN)
Kelas 2 Kelas 3

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