Daftar Kode Diagnosis dan TindakanINA - CBG BPJS Orthopaedi Januari 2014 Residen wajib mengisi lembar RM 1, Lembar Verifikasi dan laporan operasi sesuai dengan diagnosis dan tindakan yang tertera secara lengkap, setiap selesai operasi S55.04 incision and drainage of palmar at thenar space.DAFTAR DIAGNOSIS (ICD 10) DAN TINDAKAN (ICD 9) DIVISI ORTHOPAEDI DAN TRAUMATOLOGI Hand (kelainan dan luka di tangan) Keterangan Remove implant ICD 10 Diagnosis S52.03 amputation through unspecified parts of wrist and hand hand.51 Cutaneus abscess of the hand.66 homograft to skin L.4 ganglion 82.04 incision and drainage of palmar at thenar space.69 removal implant device from the bone 79.29 Excision of other lesion of soft tissue of hand 14.403.8 fracture at wrist and hand level 12.952.791 8. Plafon 3. 86.355 14.235 12.403. carpals and metacarpals.66 homograft to skin M67.1 injury of radial artery at forearm Luka kotor /infeksi di jaringan lunak Infeksi jaringan ganglion ICD 9 Prosedur 78.971 .34 open reduction of fracture with internal fixation . crush injury S67. 82. 86.952.1 injury of radial artery at forearm level M65.90 Luka terbuka di tangan.8 Crushing injury of other and 84. tangan (perlu amputasi) S68 traumatic amputasion of wrist 84.235 8.04 amputation and and hand level disarticulation of hand S55.355 Luka berat pada jari.8 Synovitis and tenosynovitis 82.485.485.02.975 Fracture pada pergelangan tangan dan tangan S62.765. 485.1 malignant neoplasm of short 84.055 Dislokasi pada jari S63.66 homograft to skin 81.408 S64 injury of nerves at wrist and hand level Q70 Syndactili 05.975 Infeksi pada sendi M00 Pyogenic infection 8.9 other operation on nervous system 86.80 other synovitis and tenosynovitis 81.66 homograft to skin Kerusakan sendi bukan karena rematik M06 other rheumatoid arthritis 8.404.29 arthhrodesis of other specified joints 86.84 open reduction of dislocation of hand and finger 12.235 Deformitas/ kelainan pada jari M20.03 amputation and disarticulation of Hand 9099.38 rheumatoid arthritis with rheumatoid factor M65.29 arthhrodesis of other specified joints 86.403.952.355 .235 12.355 8.1 injury of radial artery at forearm leve 14.03 amputation of through bones of upper limb hand S55.0 Deformity of finger Jepitan pada syaraf/carpal tunnel syndrome Syndactili 84.Deformitas/ kelainan pada jari level M20.29 arthhrodesis of other specified joints 86.0 Deformity of finger 81.485.8 other plastic operation 12. not otherwise specified 82.1 dislocation and sprain of joints and ligaments at wrist and hand level 79.403.164.485.355 Tumor ganas pada ekstremitas atas C40.231 Kerusakan sendi krn rematik M05 .72 pedicle or flap graft.85 correction of syndactyly 11. 12.72 pedicle or flap graft.66 homograft to skin 79. sural flap.403.376 .unspecified site Plafon 8.59 contracture unspecified site 82.1 injury of radial artery at forearm not otherwise spesified leve 8. Fracture clavikula dengan cedera kepala 3. not otherwise spesified S68.403.30 ORIF. S55. not elsewhere Traumatic amputasi perlu replantasi 82. Keterangan Non union perlu bone graft 2. semua tindakan flap L98.485.235 Raw surface.543 8.691. defek soft tissue. kontracture M24.235 ICD 10 Diagnosis M84.9 intracranial injury S42 fracture of shoulder and upper arm ICD 9 Prosedur 78.22 finger reattachment and hand level 86.30 ORIF.72 pedicle or flap graft.235 79.on hand.3 other excision of soft tissue of hand.9 traumatic amputasion of wrist 84.403.66 homograft to skin 8.403.03 amputation and disarticulation of finger: 86.90 disorder of continuity of bone . unspecified S42 fracture of shoulder and upper arm S.9 other disorders of skin and subcutaneous tissue.69 bone graft 86.06. Fracture clavikula 3.unspecified site 7.835.355 polidactili Q69 polidactyli 84.8 other plastic operation on hand 86.235 Trauma (Fracture) No 1. 420 Klas 3 = 6 . Fracture tibia/fibula S82.355 9.656 Klas 2 = 7. metacarpal. femur Hip implant : 6000.898.000 Klas 1= 8.7 fracture shaft forearm S42.21 Fracture of shaft tibia 79.420 Klas 3 = 6 .34 ORIF phalank of hand 12.356.485.656 Klas 2 = 7.356. 14. phalang 12.36 ORIF .420 Klas 3 = 6 . radius and ulna Klas 1= 8.35 ORIF .355 11. Fr antebrachii 10.14 Intertrochanteric fracture of femure 79. Fracture femur S72. Fracture humerus S52.31 fracture shaft femur 79.35 ORIF .656 Klas 2 = 7. femur Klas 1= 8.2 subtrochanteric fracture of femur 79.355 S72. Fracture distal tibia S82. radius and ulna 79.963.356.627. Fracture radius S52.183 . radius and ulna 12. Fracture ulna S52. femur Knee implant : 6000.000 Klas 1= 8.420 Klas 3 = 6 .183 13.898.35 ORIF .183 79. Fracture pada tangan. Fracture intercondylar femur.963.627.183 12.32 ORIF .542 6.485.542 5.898.3 fracture shaft humerus 79. Fracture intertrochanter femur S72 fracture shaft femur M81.32 ORIF .2 Fracture of shaft tibia 79. femur 7.2 fracture shaft ulna 79.356.355 12.31 ORIF humerus 12.627.627.485.32 ORIF .35 ORIF . tibia and fibula 21.898.4.36 ORIF 21.485.3 fracture shaft radius 79.485.65 Osteoporosis S72.355 8.656 Klas 2 = 7. Fracture subtrochanter femur perlu ORIF S62 fracture at wrist and hand level 79. 485.542 20. 12. M81.959 Klas 2:26.251 Klas 3: 21.420 Klas 3 = 6 . bilateral M19.54 Total Knee Replacement 5. not elsewhere classified Knee replacement 3. lower leg 81.485.592 19.26 secondary of the joint .3 fracture shaft radius 79.000 12. Fracture galeazi S52.neck humerus 18.4 other secondary gonarthrosis . lower leg 79.40 Repair of hip. lower leg 81..26 secondary of the joint . lower leg 81.65 Osteoporosis 81.31 ORIF humerus 12.40 Repair of hip. OA sendi Hip perlu THR M19.20 fracture of upper end of humerus M17.32 ORIF .656 Klas 2 = 7.356. bilateral M19.51 Total Hip Replacement 21.355 15. radius and ulna .32 ORIF .963.978.748.000 5. 16.485.47 other repair of knee Klas 1: 30.2 shaft ulna 79. Fracture montegia S52.592 Klas 1= 8.353.355 17. OA Sendi perlu THR M19. Fracture prksimal humerus.898.183 Hip implant : 22. Fracture collum femur. OA Sendi perlu TKR M17.898.978.355 81.000.Hip implant : 6000. OA Sendi lutut perlu TKR S42.26 secondary of the joint .627.4 other secondary gonarthrosis . radius and ulna .26 secondary of the joint . not Klas 1= 8.656 . 0 Dislocationand sprain of joint and ligament of hip 79.627. Fracture acetabulum S82 Fracture of tibia ) S32.000 31.metatarsal Hip implant : 6000. tibia and fibula 79.66 homograft to skin 28.72 closed reduction of dislocation . Fracture patella S82.30 ORIF . 86. Dislokasi pinggul S73.0 fracture of head and neck of femur 23.855. M01 direct infection of joint in infectious and parasitic disease classified elsewhere 81.356.420 Klas 3 = 6 . Fracture plateau tibia 24.75 closed reduction of dislocation .000 8.S72.72 pedicle or flap graft.000 21.183 Hip implant : 3000. including ankle 822. Dislokasi siku S53.542 11.44 patellar stabilization 21.37 ORIF tarsal. unspecified site 05.9 other operation on joint structure 86. not otherwise specified 79.948. tromboemboli M86 Osteomyelitis. Dislokasi bahu S43.71 closed reduction of dislocation shoulder 1.1 fracture of patella.948.352 .90 Fracture of lower leg .metacarpale.4 fracture acetabulum elsewhere classified 79.000 3481. elbow 1.36 ORIF .736 81.055 25.963. 29.542 27.0 Dislocation and sprain of joint and ligament of shoulder 79. hip 30. Infeksi pada sendi.open 79.ankle 26. Infeksi tulang.963.164. Fracture pedis.1 Dislocation and sprain of joint and ligament of elbow 79.9 other operation on nervous system Klas 2 = 7.6 debridement of open fracture site . 66 homograft to skin 33.000 3 Rekonstruksi ibu jari kaki . Fracture neglected M84.855.70 osteoclasis.89 other plastic operation on hand 77.7 fracture of lower leg 79.9 disorder of continuity of bone. halux valgus M20. Keterangan Reposisi dan pasang gip ekstremitas atas dengan GA ICD 10 Diagnosis S62.4 other repair of plastic operation of bone 78.CTEV.07 closed reduction of fracture without internal fixation 1.1 halux valgus/acquired 82.80 fracture at wrist and hand level ICD 9 Prosedur 79.355 .4 other repair of plastic 12.9 disorder of continuity of bone.4 other repair of plastic operation of bone 78.04 closed reduction of fracture without internal fixation Plafon 1.948.unspecified site 86.Blount Q66.32.3 other congenital varus 78.51 other buninectomy 8.948.66 homograft to skin 78.unspecified site 86. Ruptur Tendon Achilles Paediatrik (kelainan dan fracture pada anak < 15 th) No 1.70 osteoclasis.000 2 Reposisi dan pasang gip ekstremitas bawah dengan GA S82.731 4 Fracture neglected M84.unspesified 5 Kelainan congenital.485.unspesified 78. 9 malignant neoplasm of bone and articular cartilage of limb.66 homograft to skin 78.60 local excision of lesion or tissue of bone unspecified site 86.400 5 Eksisi luas (wide eksisi) C40.0 injury of popliteal artery 9. 86.049.17 amputation above knee/transfemoral 12..29 excision of other lesion of hand 84.4 other repair of plastic operation of bone.. skin S85.9 malignant neoplasm of bone and articular cartilage of limb.9 malignant neoplasm of bone and articular cartilage of limb.0 injury of popliteal artery 12.3 ORIF 86.0 injury of popliteal artery C40. Keterangan Biopsi tumor ICD 10 Diagnosis D21.31 biopsy of joint structure plafon 2.403. S85.485.9 malignant neoplasm of bone and articular cartilage of limb.9 other benign neoplasm and other soft tissue ICD 9 Prosedur 80.0 injury of popliteal artery D49.3 other congenital varus deformities of feet.6 disease deformities of feet..2 neoplasm of unspecified behavior of bone .099. C40..15amputation below knee 9.235 . S85. S85.355 6 Fraktur dengan tumor tulang 7. C40.485. 78..3 limb lengthening procedure 21.099.72 pedicle or flap graft. not otherwise spesified C40. Operasi tumor ganas 77. soft tissue . operation of bone Pemanjangan tulang Q66.953.737 2 Eksisi tumor Amputasi tumor di atas lutut(above knee) 82.9 malignant neoplasm of bone and articular cartilage of limb.542 Tumor Tulang No 1.400 8.355 3 4 Amputasi tumor di bawah lutut (below knee) 84.66 homograft to skin 79. 47 other repair of knee plafon 21.9 Gonarthrosis .229.000.8 Ganti sendi pada kasus tumor tulang/AMP C79.160 6 7 Rotator cuff tear M75.1 complete rotator cuff tear or rupture not specified as traumatic 80. Klas 3 = 7. unspecified M01.768.000 Klass1: 10.235 Arthroscopy .000 2 Bahu kaku/frozen shoulder/ adhesive capsulitis M75.47 other repair of knee 21. Shoulder (bahu) dan Knee (lutut) No 1.852 .56 arthritis in other bacterial disease lower leg M35.26 calcific tendinitis M35.0 adhesive capsulitis of shoulder M35.68 stiffness of joint M65.000.21 arthroscopy shoulder 7.000 4 5 Debridement shoulder M25.21 arthroscopy shoulder.4 diffuse fasciitis 80.4 diffuse fasciitis ICD 9 Prosedur 81.4 diffuse fasciitis 80.68 stiffness of joint M65.26 calcific tendinitis 81. 80.9 secondary malignant neoplasm of unspecified site 81.547 Klass 2 =9226.691.691.403.21 arthroscopy shoulder.49 division of joint. 9.40 repair of hip 8.547 3 Mengeluarkan benda asing di lutut/loose bodies M25. Keterangan Infeksi sendi lutut. ICD 10 Diagnosis M17. 47 other operation of knee Klas 1: 30.748.000 9 Osteoarthritis lutut derajat ringan (1-2)/ artroscopy debridement S83.47 other operation of knee 81.000.8 other specified systemic involvement connective tissue 81.000 Ligament ACL/PCL lutut putus M23.000.356.47 other operation of knee 21.251 Klas 3: 21.353.2 tear of meniscus.959 Klas 2:26.661 rhaumatoid arthritis of left knee with involvement of other organ and system 81.959 Klas 2:26.963.000.4 diffuse fascitis ligament or cartilage of other specified site 8 Rupture meniscus M23.542 Knee replacement 3.963.000 12 13 14 Ganti sendi lutut/ total knee arthroplasty/osteoarthritis derajat berat Rematik di lutut derajat berat perlu ganti sendi M17 osteoartritis of knee ) M05.748.542 Klas 2= 26.251 Klas 1= 30.000.2 dearrangement of meniscus due to old tear or injury 81.353.47 other operation of cruciate ligament Klas 3= 21.542 Knee replacement 3.M35.959 10 11 Implant knee : 6000.963.748.47 other operation of knee 21.61 other spontaneous disruption of ligament of knee.000 15 .current M35. ACL /Anterior horn medial meniscus 81.000 Klas 1: 30.251 Klas 3: 21. 8 injury of other blood vessel of thorax 03. clavicle. 360 degree spinal fusion.000 Klass 1 = 35.74 reattachment of muscle 77.231.09 other exploration and decompression of spinal canal Klass 3= 25.165.and thorax (rib and sternum) plafon 34. single incision approach 83.278 Klass 2= 30.62 fusion of 2-3 vertebrae 81.51 insertion of other spinal device.54 collapse vertebrae S25.05 spinal stenosis M48.000.54 collapse vertebrae 03.2 malignant neoplasm of vertebral column .Spine/ Tulang Belakang No 1.05 spinal stenosis M48.231. canal stenosis M43. M48.9 injury of unspecified blood vessel of thorax M43.15 spondilolisthesis.000 Klass 1 = 35.62 fusion of 2-3 vertebrae 81.278 Klass 2= 30.09 other exploration and decompression of spinal canal 84.000 Klass 1 = 35.1 cervical disc disorder.151 2 Spondilolisthesis.590.04 Dorsal fusion 03.000.05 spinal stenosis M48.278 Klass 2= 30. Tumor tulang belakang C41.000.04 Dorsal fusion 4 HNP/canal stenosis di cervical dengan tetraparese dengan implan M50.54 collapse vertebrae S25.55 scoliosis S25. 81.231.31 other division of scapula.165.60 . 81.390 .390 3.09 other exploration and decompression of spinal canal 84. M48. M48.54 vertebral subluxation ICD 9 Prosedur 81. Keterangan scoliosis ICD 10 Diagnosis M41.8 injury of other blood vessel of thorax Klass 3= 25.51 insertion of other spinal device.390 Klass 3= 25.165. 51 insertion of other spinal device.09 other exploration and decompression of spinal canal 81.000.04 Dorsal fusion 03.51 insertion of other spinal device.04 Dorsal fusion 5 HNP/canal stenosis di thorakal/lumbal dengan implan M51.52 collapse vertebrae G82.54 collapse vertebrae 03.165.G82.54 collapse vertebrae S25.4 flaccid tetraplegia 84.000 Klass 1 = 35.000. M48.09 other exploration and decompression of spinal canal 84.055 8 Fraktur tulang belakang dengan implan S32.278 Klass 2= 30.165.62 fusion of 2-3 vertebrae 81.390 .7 fracture of lumbar spine and pelvis. M48.09 other exploration and decompression of spinal canal 84.62 fusion of 2-3 vertebrae 81. 81.04 Dorsal fusion Klass 3= 25.950.05 spinal stenosis M48.1 thoraxic .8 injury of other blood vessel of thorax 03.62 fusion of 2-3 vertebrae 81. thoracolumbal and lumbosacral intervertebral disc disorder.231.278 7 HNP/canal stenosis di thorakal/lumbal tanpa implant M51.04 Dorsal fusion 19.04 Dorsal fusion 25. M48.62 fusion of 2-3 vertebrae 81.231.02 spinal stenosis M48. M48.62 fusion of 2-3 vertebrae 81. 81. thoracolumbal and lumbosacral intervertebral disc disorder.1 thoraxic .0 spinal stenosis M48.000 Klass 1 = 35.278 Klass 2= 30.05 spinal stenosis M48.1 cervical disc disorder.8 injury of other blood vessel of thorax Klass 3= 25.51 insertion of other spinal device.390 6 HNP/Canal stenosis di cervical tetraparese tanpa implan M50. 81.54 collapse vertebrae S25.09 other exploration and decompression of spinal canal 81.4 flaccid tetraplegia 03.165.
Report "DAFTAR DIAGNOSIS Dan Tindakan Orthopaedi INA-CBG Baru Dan PlafonB"