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POLIKLINIK GIGI A

11043 11002 11031 1105 11052 11035 1100 11072 11071 11073 11023 11082 1111 11144 Abnormal hard tissue formation in pulp Abnormalities of size and form of teeth Abrasion of teeth ACUTE GINGIVITIS ACUTE PERIODONTITIS Ankylosis of teeth Anodontia Anomalies of dental arch relationship Anomalies of jaw-cranial base relationship Anomalies of tooth position Arrested dental caries Atrophy of edentulous alveolar ridge Atrophy of salivary gland Atrophy of tongue papillae K04.3 K00.2 K03.1 K05.0 K05.2 K03.5 K00.0 K07.2 K07.1 K07.3 K02.3 K08.2 K11.0 K14.4

C
11020 11022 11021 11122 11045 11099
11862 1109

TABEL DIAGNOSIS

Caries limited to enamel Caries of cementum Caries of dentine Cellulitis and abscess of mouth Chronic apical periodontitis Cyst of oral region, unspecified
CYST OF PANCREAS CYSTS OF ORAL REGION- NOT ELSEWHERE CLASSIFIED

K02.0 K02.2 K02.1 K12.2 K04.5 K09.9


K86.2 K09

D
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TABEL DIAGNOSIS

POLIKLINIK GIGI
1102 1102.9 26012 1107 11079 11075 11036 11039 11069 11089 1100 11009 11006 11004 DENTAL CARIES Dental caries, unspecified DENTAL EXAMINATION DENTOFACIAL ANOMALIES Dentofacial anomaly, unspecified Dentofacial functional abnormalities Deposits [accretions] on teeth Disease of hard tissues of teeth, unspecified Disorder of gingiva and edentulous alveolar ridge, unspecified Disorder of teeth and supporting structures, unspecified Disorder of tooth development and eruption Disorder of tooth development, unspecified DISTURBANCES IN TOOTH ERUPTION Disturbances in tooth formation K02 K02.9 Z01.2 K07 K07.9 K07.5 K03.6 K03.9 K06.9 K08.9 K00 K00.9 K00.6 K00.4

E
1101 11010 11032 11030 11080 EMBEDDED AND IMPACTED TEETH EMBEDDED TEETH Erosion of teeth Excessive attrition of teeth Exfoliation of teeth due to systemic causes K01 K01.0 K03.2 K03.0 K08.0

G
11062 Gingival and edentulous alveolar ridge lesions associated withtrauma K06.2

G
11061 11060 Gingival enlargement Gingival recession K06.1 K06.0

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TABEL DIAGNOSIS

POLIKLINIK GIGI
1105 GINGIVITIS AND PERIODONTAL DISEASES K05

H
11034 Hypercementosis K03.4

I
11011 IMPACTED TEETH K01.1

L
11081 LOSS OF TEETH DUE TO ACCIDENT- EXTRACION OR LOCAL PERIODONTAL DISEASE K08.1

M
11070 303 11074 11003 Major anomalies of jaw size MALIGNANT NEOPLASM OF GUM Malocclusion, unspecified Mottled teeth K07.0 C03 K07.4 K00.3

TABEL DIAGNOSIS

N
11041 NECROSIS OF PULP K04.1

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POLIKLINIK GIGI O
11028 1108 11008 Other dental caries OTHER DISORDERS OF TEETH AND SUPPORTING STRUCTURES Other disorders of tooth development K02.8 K08 K00.8

P
11033 11046 11047 11056 11054 11037 11042 11040 Pathological resorption of teeth Periapical abscess with sinus Periapical abscess without sinus Periodontal disease, unspecified PERIODONTOSIS Posteruptive colour changes of dental hard tissues Pulp degeneration PULPITIS K03.3 K04.6 K04.7 K05.6 K05.4 K03.7 K04.2 K04.0

R TABEL DIAGNOSIS
11048 11120 11083 Radicular cyst Recurrent oral aphthae RETAINED DENTAL ROOT K04.8 K12.0 K08.3

T
11080 Tootache K08.0

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TABEL DIAGNOSIS

POLIKLINIK UMUM DAN PENYAKIT DALAM (INTERNIST) A


1810 11750 18100 1135 1021 1020 11290 11290 0215 0216 02171 1204 1000 18520 1185 1002 1006 1170 20784 18630 06500 0971 0974 2779 1045 0970 ABDOMINAL AND PELVIC PAIN ABSCESS OF LIVER ACUTE ABDOMEN ACUTE APPENDICITIS ACUTE BRONCHIOLITIS ACUTE BRONCHITIS ACUTE HAEMORRHAGIC GASTRITIS ACUTE HAEMORRHAGIC GASTRITIS ACUTE HEPATITIS A ACUTE HEPATITIS B ACUTE HEPATITIS C ACUTE LYMPHADENITIS ACUTE NASOPHRYNGITIS [COMMON COLD] ACUTE PAIN ACUTE PANCREATITIS ACUTE PHARYNGITIS Acute UPPER RESPIRATORY INFECTIONS OF MULTIPLE AND UNSPECIFIELD SITES ALCOHOLIC LIVER DISEASE Allergy, unspecified ANOREXIA ANOREXIA NERVOSA Aortic aneurysm and dissection Arterial embolism and thrombosis ASCARIASIS- UNSPECIFIED ASTHMA Atherosclerosis R10 K75.0 R10.0 K35 J21 J20 K29.0 K29.0 B15 B16 B17.1 L04 J00 R52.0 K85 J02 J06 K70 T78.4 R63.0 F50.0 I71 I74 B77.9 J45 I70

B
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ABEL DIAGNOSIS

POLIKLINIK UMUM DAN PENYAKIT DALAM (INTERNIST)


0149 0436 11835 2357 06502 2030 BACTERIAL INFECTION OF UNSPECIFIED SITE BENIGN NEOPLASM OF OTHER OF OTHER AND UNSPECIFIED SITES Biliary cyst Bitten or stung by nonvenomous insect and other nonvenomousarthropods BULIMIA NERVOSA BURN AND CORROSIONS- BODY REGION UNSPECIFIED A49 D36 K83.5 W57 F50.2 T30

C
14211 0237 0409 18074 11830 1181 1180 01009 11739 1418 11590 11590 1805 18252 1202 11862 1430 CALCULUS IN URETHRA CANDIDIASIS Carcinoma in situ of other and unspecified sites CHEST PAIN- UNSPECIFIED CHOLANGITIS CHOLECYSTITIS CHOLELITHIASIS CHOLERA- UNSPECIFIED Chronic hepatitis, unspecified CHRONIC RENAL FAILURE CONSTIPATION CONSTIPATION COUGH CRAMP AND SPASM CUTANEOUS ABSCESS- FURUNCLE AND CARBUNCLE CYST OF PANCREAS CYSTITIS N21.1 B37 D09 R07.4 K83.0 K81 K80 A00.9 K73.9 N18 K59.0 K59.0 R05 R25.2 L02 K86.2 N30

TABEL DIAGNOSIS

D
1289 DECUBITUS ULCER L89

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105

POLIKLINIK UMUM DAN PENYAKIT DALAM (INTERNIST)


0191 0109 2003 13899 14289 13629 1842 1130 DENGUE HAEMORRHAGIC FEVER DIARRHOEA AND GASTROENTERITIS OF PRESUMED INFECTIOUS ORIGIN Dislocations, sprains and strains involving multiple body regions DISORDER OF BONE- UNSPECIFIED DISORDER OF KIDNEY AND URETER- UNSPECIFIED DISORDER OF MUSCLE- UNSPECIFIED Dizziness and giddiness DYSPEPSIA A91 A09 T03 M89.9 N28.9 M62.9 R42 K30

E
01881 18040 EPIDEMIC VERTIGO EPISTAXIS A88.1 R04.0

F
1850 18509 1174 1814 FEVER OF UNKNOWN ORIGIN FEVER- UNSPECIFIED FIBROSIS AND CIRRHOSIS OF LIVER FLATULENCE AND RELATED CONDITIONS R50 R50.9 K74 R14

G
1125 13109 GASTRIC ULCER GOUT- UNSPECIFIED K25 M10.9

H
04699 0984 HAEMORRHAGIC CONDITION- UNSPECIFIED HAEMORRHOIDS D69.9 I84

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TABEL DIAGNOSIS

POLIKLINIK UMUM DAN PENYAKIT DALAM (INTERNIST)


1851 11729 0995 HEADACHE Hepatic failure, unspecified HYPOTENSION R51 K72.9 I95

I
11567 11763 1011 1140 2014 1158 ILEUS- UNSPECIFIED Infarction of liver INFLUENZA VIRUS NOT IDENTIFIELD INGUINAL HERNIA Injury of unspecified body region IRRITABLE BOWEL SYNDROME K56.7 K76.3 J11 K40 T14 K58

K
12910 KELOID SCAR L91.0

L TABEL DIAGNOSIS
13545 LOW BACK PAIN M54.5

M
1853 0699 13791 MALAISE AND FATIGUE MENTAL DISORDER NOT OTHERWISE SPECIFIED MYALGIA R53 F99 M79.1

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POLIKLINIK UMUM DAN PENYAKIT DALAM (INTERNIST) N


1811 13792 06480 0651 0988 NAUSEA AND VOMITTING NEURALGIA AND NEURITIS- UNSPECIFIED Neurasthenia NONORGANIC SLEEP DISORDERS NONSPECIFIC LYMPHADENITIS R11 M79.2 F48.0 F51 I88

O
0566 06523 1386 0464 0688 0507 0648 0513 OBESITY Orgasmic dysfunction OSTEOMYELITIS OTHER ANAEMIAS OTHER DISORDER OF PSYCHOLOGICAL DEVELOPMENT Other disorders of thyroid OTHER NEUROTIC DISORDER OTHER SPECIFIED DIABETES MELLITUS E66 F52.3 M86 D64 F88 E07 F48 E13

P
09739 0980 1018 2037 11766 06524 0926 Peripheral vascular disease, unspecified I73.9

P
PHLEBITIS AND THROMBOPHLEBITIS PNEUMONIA- ORGANISM UNSPECIFIED POISONING BY SYSTEMIC ANTI-INFECTIVES AND ANTIPARASITICS PORTAL HYPERTENSION Premature ejaculation PULMONARY EMBOLISM I80 J18 T37 K76.6 F52.4 I26

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TABEL DIAGNOSIS

POLIKLINIK UMUM DAN PENYAKIT DALAM (INTERNIST)


05780 PURE HYPERCHOLESTEROLAEMIA E78.0

R
09730 13069 Raynaud's syndrome RHEUMATOID ARTHRITIS- UNSPECIFIED I73.0 M06.9

S
0915 0564 0652 1112 1365 SECONDARY HYPERTENSION SEQUELAE OF MALNUTRITION AND OTHER NUTRITIONAL DEFICIENCIES SEXUAL DYSFUNCTION NOT CAUSED BY ORGANIC DISORDER OR DISEASE STOMATITIS AND RELATED LESIONS SYNOVITIS AND TENOSYNOVITIS I15 E64 F52 K12 M65

TABEL DIAGNOSIS

T
1171 01150 01010 Toxic liver disease TUBERCULOSIS OF LUNG- CONFIRMED BY SPUTUM MICROSCOPY WITH OR WITHOUT CULTURE K71 A15.0 A01.0

T
TYPHOID FEVER

U
1151 1042 14390 ULCERATIVE COLITIS UNSPECIFIED CHRONIS BRONCHITIS URINARY TRACT INFECTION- SITE NOT SPECIFIED K51 J42 N39.0

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POLIKLINIK UMUM DAN PENYAKIT DALAM (INTERNIST)

V
0201 0986 VARICELLA (CHICKENPOX) VARICOSE VEINS OF OTHER SITES B01 I86

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TABEL DIAGNOSIS

POLIKLINIK BEDAH / EMERGENCY DAN TRAUMA A


1320 13950 18100 1135 11603 2071 Acquired DEFORMITIES OF FINGER AND TOES Acquired deformity of nose ACUTE ABDOMEN ACUTE APPENDICITIS ANAL FISTULA ASPHYXIATION M20 M95.0 R10.0 K35 K60.3 T71

B
1460 2030 BENIGN MAMMARY DYSPLASIA BURN AND CORROSIONS- BODY REGION UNSPECIFIED N60 T30

C
14211 1420 14420 12033 1181 1180 1736 1735 13245 1856 1202 1430 CALCULUS IN URETHRA Calculus of kidney and ureter Calculus of prostate Cellulitis of trunk CHOLECYSTITIS CHOLELITHIASIS CLEFT LIP CLEFT PALATE Contracture of joint CONVULSIONS- NOT ELSEWHERE CLASSIFIED CUTANEOUS ABSCESS- FURUNCLE AND CARBUNCLE CYSTITIS N21.1 N20 N42.0 L03.3 K81 K80 Q36 Q35 M24.5 R56 L02 N30

D
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TABEL DIAGNOSIS

POLIKLINIK BEDAH / EMERGENCY DAN TRAUMA


10342 1144 1933 1842 2652 Deviated nasal septum DIAPHRAGMATIC HERNIA Dislocation, sprain and strain of joints and ligaments of lumbarspine and pelvis Dizziness and giddiness DONORS OF ORGANS AND TISSUES J34.2 K44 S33 R42 Z52

E
2015 26043 26042 Effects of foreign body entering throught natural orifice (Corpus Alineum) Examination and observation following other accident Examination and observation following work accident T15 Z04.3 Z04.2

F
1141 1160 26470 26090 26094 13966 2002 FEMORAL HERNIA Fissure and fistula of anal and rectal regions Follow-up care involving removal of fracture plate and otherinternal fixation device Follow-up examination after surgery for other conditions Follow-up examination after treatment of fracture Fracture of bone following insertion of orthopaedic implant, jointprosthesis, or bone plate FRACTURES INVOLVING MULTIPLE BODY REGIONS K41 K60 Z47.0 Z09.0 Z09.4 M96.6 T02

TABEL DIAGNOSIS

G
1802 Ganggrene, not elsewhere classified R02

G
13674 Ganglion M67.4

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99

POLIKLINIK BEDAH / EMERGENCY DAN TRAUMA H


9984 1443 1443 1440 1462 2068 HAEMORRHOIDS HYDROCELE AND SPERMATOCELE HYDROCELE AND SPERMATOCELE HYPERPLASIA OF PROSTATE HYPERTROPHY OF BREAST HYPOTHERMIA I84 N43 N43 N40 N62 T68

I
11567 1461 1140 1990 1940 1930 1950 1970 1980 1910 ILEUS- UNSPECIFIED Inflammatory disorders of breast INGUINAL HERNIA Injuries to the ankle and foot (contusion, open wound, laceration, fracture, dislocation, etc) Injuries to the shoulder and upper arm (contusion, open wound, fracture, dislocation, etc) Injuries to the abdomen, lower back, lumbar spine and pelvis Injuries to the elbow and forearm (contusion, open wound, fracture, dislocation, etc) Injuries to the hip and thigh (contusion, open wound, laceration, fracture, etc) Injuries to the knee and lower leg (contusion, open wound, laceration, dislocation, fracture, etc) INJURIES TO THE NECK K56.7 N61 K40 S90 S40 S30 S50 S70 S80 S10

I
1960 11561 Injuries to the wrist and hand (contusion, open wound, laceration, fracture, etc) Intussusception or invagination of bowel, colon, intestine, rectum S60 K56.1

K
1340 KYPHOSIS AND LORDOSIS M40

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TABEL DIAGNOSIS

POLIKLINIK BEDAH / EMERGENCY DAN TRAUMA M


20753 13626 MOTION SICKNESS MUSCLE STRAIN T75.3 M62.6

O
1860 1445 1386 11566 1137 13713 13715 1162 13711 2651 2647 2648 Oedema, not elsewhere classified ORCHITIS AND EPIDIDYMITIS OSTEOMYELITIS Other and unspecified intestinal obstruction Other appendicitis (chronic, recurrent) Other bursal cyst Other bursitis, not elsewhere classified Other diseases of anus and rectum Other infective bursitis Other Medical Care (radiotherapy, chemotherapy, blood transfusion, etc) OTHER ORTHOPAEDIC FOLLOW-UP CARE OTHER SURGICAL FOLLOW-UP CARE R60 N45 M86 K56.6 K37 M71.3 M71.5 K62 M71.1 Z51 Z47 Z48

TABEL DIAGNOSIS

P
1852 11560 1165 980 2041 2041 2036 2040 2043 PAIN- NOT ELSEWHERE CLASSIFIED Paralytic ileus PERITONITIS PHLEBITIS AND THROMBOPHLEBITIS Poisoning by anaesthetics and therapeutic gases Poisoning by anaesthetics and therapeutic gases Poisoning by antibiotics, anti-invective, hormone, nonopioid analgetics, antipyretics POISONING BY NARCOTICS AND PSYCHODYSLEPTICS (HALLUCINOGENS) POISONING BY PSYCHOTROPIC DRUGS- NOT ELSEWHERE CLASSIFIED R52 K56.0 K65 I80 T41 T41 T36 T40 T43

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101

POLIKLINIK BEDAH / EMERGENCY DAN TRAUMA

R
1833 RETENTION OF URINE R33

S
9861 1857 1347 1366 1255 2000 1900 1920 1855 1365 Scrotal varices Shock, not elsewhere classified SPONDYLOSIS Spontaneous rupture of synovium and tendon SUNBURN Superficial injuries involving multiple body regions Superficial injury of head SUPERFICIAL INJURY OF THORAX SYNCOPE AND COLLAPSE SYNOVITIS AND TENOSYNOVITIS I86.1 R57 M47 M66 L55 T00 S00 S20 R55 M65

T
1444 2051 2694 20794 Torsion of testis Toxix effect of substances chiefly non medicinal as tosorce (alcohol, soap, metal, etc) Transplanted organ and tissue status TRAUMATIC SHOCK N44 T51 Z94 T79.4

U
1142 1423 1435 UMBILICAL HERNIA UNSPECIFIED RENAL COLIC Urethral stricture K42 N23 N35

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TABEL DIAGNOSIS

POLIKLINIK BEDAH / EMERGENCY DAN TRAUMA

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103

POLIKLINIK SPESIALIS JANTUNG A


09713 09714 1800 0933 09330 09339 09249 09219 0940 09409 0921 09300 0930 09309 09011 09019 09012 09010 09214 09210 09211 09212 09213 09426 09724 09721 09720 09253 Abdominal aortic aneurysm, ruptured Abdominal aortic aneurysm, without mention of rupture ABNORMALITIES OF HEART BEAT ACUTE AND SUBACUTE ENDOCARDITIS Acute and subacute infective endocarditis Acute endocarditis, unspecified Acute ischaemic heart disease, unspecified Acute myocardial infarction, unspecified ACUTE MYOCARDITIS Acute myocarditis, unspecified ACUTE MYORCARDIAL INFARCTION Acute nonspecific idiopathic pericarditis ACUTE PERICARDITIS Acute pericarditis, unspecified Acute rheumatic endocarditis Acute rheumatic heart disease, unspecified Acute rheumatic myocarditis Acute rheumatic pericarditis Acute subendocardial myocardial infarction Acute transmural myocardial infarction of anterior wall Acute transmural myocardial infarction of inferior wall Acute transmural myocardial infarction of other sites Acute transmural myocardial infarction of unspecified site Alcoholic cardiomyopathy Aneurysm of artery of lower extremity Aneurysm of artery of upper extremity Aneurysm of carotid artery Aneurysm of heart I71.3 I71.4 R00 I33 I33.0 I33.9 I24.9 I21.9 I40 I40.9 I21 I30.0 I30 I30.9 I01.1 I01.9 I01.2 I01.0 I21.4 I21.0 I21.1 I21.2 I21.3 I42.6 I72.4 I72.1 I72.0 I25.3

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TABEL DIAGNOSIS

TABEL DIAGNOSIS

POLIKLINIK SPESIALIS JANTUNG A


09723 09728 09281 09722 09729 0920 09201 09209 20783 09351 09350 09352 0971 09718 09719 09359 0974 09773 09280 09770 09776 0970 09700 09702 09708 09701 09250 09251 Aneurysm of iliac artery Aneurysm of other specified arteries Aneurysm of pulmonary artery Aneurysm of renal artery Aneurysm of unspecified site ANGINA PECTORIS Angina pectoris with documented spasm Angina pectoris, unspecified ANGIONEUROTIC OEDEMA Aortic (valve) insufficiency Aortic (valve) stenosis Aortic (valve) stenosis with insufficiency Aortic aneurysm and dissection Aortic aneurysm of unspecified site, ruptured Aortic aneurysm of unspecified site, without mention of rupture Aortic valve disorder, unspecified Arterial embolism and thrombosis Arterial fibromuscular dysplasia Arteriovenous fistula of pulmonary vessels Arteriovenous fistula, acquired Arteritis, unspecified Atherosclerosis Atherosclerosis of aorta Atherosclerosis of arteries of extremities Atherosclerosis of other arteries Atherosclerosis of renal artery Atherosclerotic cardiovascular disease, so described Atherosclerotic heart disease I72.3 I72.8 I28.1 I72.2 I72.9 I20 I20.1 I20.9 T78.3 I35.1 I35.0 I35.2 I71 I71.8 I71.9 I35.9 I74 I77.3 I28.0 I77.0 I77.6 I70 I70.0 I70.2 I70.8 I70.1 I25.0 I25.1

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POLIKLINIK SPESIALIS JANTUNG A


0948 09491 17211 09231 0944 09442 09440 09441 17212 Atrial fibrillation and flutter Atrial premature depolarization Atrial septal defect Atrial septal defect as current complication following acutemyocardial infarction Atrioventricular and left bundle-branch block Atrioventricular block, complete Atrioventricular block, first degree Atrioventricular block, second degree Atrioventricular septal defect I48 I49.1 Q21.1 I23.1 I44 I44.2 I44.0 I44.1 Q21.2

B
09452 09820 Bifascicular block Budd-Chiari syndrome I45.2 I82.0

C
0946 09460 09469 09499 09510 18570 09517 0942 09427 CARDIAC ARREST Cardiac arrest with successful resuscitation Cardiac arrest, unspecified Cardiac arrhythmia, unspecified Cardiac septal defect, acquired CARDIOGENIC SHOCK Cardiomegaly CARDIOMYOPATHY Cardiomyopathy due to drugs and other external agents I46 I46.0 I46.9 I49.9 I51.0 R57.0 I51.7 I42 I42.7

TABEL DIAGNOSIS

C
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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS JANTUNG


09429 09516 18074 0925 09259 09774 09083 0951 09871 09500 09254 09240 Cardiomyopathy, unspecified Cardiovascular disease, unspecified CHEST PAIN- UNSPECIFIED CHRONIC ISCHAEMIC HEART DISEASE Chronic ischaemic heart disease, unspecified Coeliac artery compression syndrome Combined disorders of mitral, aortic and tricuspid valves Complications and ill-defined descriptions of heart disease Compression of vein CONGESTIVE HEART FAILURE Coronary artery aneurysm Coronary thrombosis not resulting in myocardial infarction I42.9 I51.6 R07.4 I25 I25.9 I77.4 I08.3 I51 I87.1 I50.0 I25.4 I24.0

D
09420 09789 09319 0978 09779 09879 09082 09080 09081 09710 09241 0724 Dilated cardiomyopathy Disease of capillaries, unspecified Disease of pericardium, unspecified Diseases of capillaries Disorder of arteries and arterioles, unspecified Disorder of vein, unspecified Disorders of both aortic and tricuspid valves Disorders of both mitral and aortic valves Disorders of both mitral and tricuspid valves Dissection of aorta [any part] Dressler's syndrome DYSTONIA I42.0 I78.9 I31.9 I78 I77.9 I87.9 I08.2 I08.0 I08.1 I71.0 I24.1 G24

D
07249 Dystonia, unspecified G24.9

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS JANTUNG

H
09519 0950 09509 09780 05785 09152 09151 0913 09130 09132 09131 09139 0911 09110 09119 0912 09120 09129 Heart disease, unspecified HEART FAILURE Heart failure, unspecified Hereditary haemorrhagic telangiectasia Hyperlipidaemia, unspecified Hypertension secondary to endocrine disorders Hypertension secondary to other renal disorders Hypertensive heart and renal disease Hypertensive heart and renal disease with (congestive) heart failure Hypertensive heart and renal disease with both (congestive) heartfailure and renal failure Hypertensive heart and renal disease with renal failure Hypertensive heart and renal disease, unspecified Hypertensive heart disease Hypertensive heart disease with (congestive) heart failure Hypertensive heart disease without (congestive) heart failure Hypertensive renal disease Hypertensive renal disease with renal failure Hypertensive renal disease without renal failure I51.9 I50 I50.9 I78.0 E78.5 I15.2 I15.1 I13 I13.0 I13.2 I13.1 I13.9 I11 I11.0 I11.9 I12 I12.0 I12.9

TABEL DIAGNOSIS

L
09501 Left ventricular failure I50.1

M
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POLIKLINIK SPESIALIS JANTUNG


0338 09340 09341 09050 09052 09059 09675 09089 0908 09515 09514 MALIGNANT NEOPLASM OF HEART- MEDIASTRUM AND PLEURA Mitral (valve) insufficiency Mitral (valve) prolapse Mitral stenosis Mitral stenosis with insufficiency Mitral valve disease, unspecified Moyamoya disease Multiple valve disease, unspecified Multiple valve diseases Myocardial degeneration Myocarditis, unspecified C38 I34.0 I34.1 I05.0 I05.2 I05.9 I67.5 I08.9 I08 I51.5 I51.4

O
09252 0949 1724 09422 09958 09518 0927 09378 OLD MYORCARDIAL INFARCTION OTHER CARDIAC ARRHYTHMIAS OTHER CONGENITAL MALFORMATIONS OF HEART Other hypertrophic cardiomyopathy Other hypotension Other ill-defined heart diseases OTHER PULMONARY HEART DISEASES Other pulmonary valve disorders I25.2 I49 Q24 I42.2 I95.8 I51.8 I27 I37.8

O
09425 09068 0909 09158 09498 09678 Other restrictive cardiomyopathy Other rheumatic aortic valve diseases Other rheumatic heart diseases Other secondary hypertension Other specified cardiac arrhythmias Other specified cerebrovascular diseases I42.5 I06.8 I09 I15.8 I49.8 I67.8

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS JANTUNG


09458 09318 09288 09778 09878 09455 09898 09738 09278 09098 09608 09078 0982 Other specified conduction disorders Other specified diseases of pericardium Other specified diseases of pulmonary vessels Other specified disorders of arteries and arterioles Other specified disorders of veins Other specified heart block Other specified noninfective disorders of lymphatic vessels andlymph nodes Other specified peripheral vascular diseases Other specified pulmonary heart diseases Other specified rheumatic heart diseases Other subarachnoid haemorrhage Other tricuspid valve diseases Other venous embolism and thrombosis I45.8 I31.8 I28.8 I77.8 I87.8 I45.5 I89.8 I73.8 I27.8 I09.8 I60.8 I07.8 I82

P TABEL DIAGNOSIS
0947 09479 09862 PAROXYSMAL TACHYCARDIA Paroxysmal tachycardia, unspecified Pelvic varices I47 I47.9 I86.2

R
09150 09846 09061 09060 09062 09069 0906 0902 Renovascular hypertension Residual haemorrhoidal skin tags Rheumatic aortic insufficiency Rheumatic aortic stenosis Rheumatic aortic stenosis with insufficiency Rheumatic aortic valve disease, unspecified Rheumatic aortic valve diseases Rheumatic chorea I15.0 I84.6 I06.1 I06.0 I06.2 I06.9 I06 I02

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POLIKLINIK SPESIALIS JANTUNG


09020 09029 09091 0901 0900 09099 09051 0905 09090 0907 09450 09772 09233 09234 09511 09235 09512 Rheumatic chorea with heart involvement Rheumatic chorea without heart involvement Rheumatic diseases of endocardium, valve unspecified RHEUMATIC FEVER WITH HEART INVOLVEMENT Rheumatic FEVER WITHOUT MENTION OF HEART INVOLVEMENT Rheumatic heart disease, unspecified Rheumatic mitral insufficiency Rheumatic mitral valve diseases Rheumatic myocarditis Rheumatic tricuspid valve diseases Right fascicular block Rupture of artery Rupture of cardiac wall without haemopericardium as currentcomplication following acute myocardial i Rupture of chordae tendineae as current complication following acutemyocardial infarction Rupture of chordae tendineae, not elsewhere classified Rupture of papillary muscle as current complication following acutemyocardial infarction Rupture of papillary muscle, not elsewhere classified I02.0 I02.9 I09.1 I01 I00 I09.9 I05.1 I05 I09.0 I07 I45.0 I77.2 I23.3 I23.4 I51.1 I23.5 I51.2

S
0915 17253 17256 09771 SECONDARY HYPERTENSION STENOSIS OF AORTA STENOSIS OF PULMONARY ARTERY Stricture of artery I15 Q25.3 Q25.6 I77.1

T
17213 09711 09712 TETRALOGY OF FALLOT Thoracic aortic aneurysm, ruptured Thoracic aortic aneurysm, without mention of rupture Q21.3 I71.1 I71.2

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS JANTUNG


09715 09716 Thoracoabdominal aortic aneurysm, ruptured Thoracoabdominal aortic aneurysm, without mention of rupture I71.5 I71.6

U
09200 Unstable angina I20.0

V
17210 09232 09472 02332 09863 VENTRICULAR SEPTAL DEFECT Ventricular septal defect as current complication following acutemyocardial infarction Ventricular tachycardia VIRAL CARDITIS Vulval varices Q21.0 I23.2 I47.2 B33.2 I86.3

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS SARAF A


0730 07300 07301 07309 1345 ALZHEIMERS DISEASE Alzheimer's disease with early onset Alzheimer's disease with late onset Alzheimer's disease, unspecified ANKYLOSING SPONDYLITIS G30 G30.0 G30.1 G30.9 M45

B
07009 07042 07510 07932 0433 07032 Bacterial meningitis, unspecified Bacterial meningoencephalitis and meningomyelitis, not elsewhereclassified BELLS PALSY Benign intracranial hypertension BENIGN NEOPLASM OF BRAIN AND OTHER PARTS OF CENTRAL NERVOUS SYSTEM Benign recurrent meningitis [Mollaret] G00.9 G04.2 G51.0 G93.2 D33 G03.2

C
07560 07930 0963 07936 07960 07970 07542 13542 13530 CARPAL TUNNEL SYNDROME Cerebral cysts CEREBRAL INFARCTION Cerebral oedema Cerebrospinal fluid leak Cerebrospinal fluid leak from spinal puncture Cervical root disorders, not elsewhere classified Cervicalgia Cervicocranial syndrome G56.0 G93.0 I63 G93.6 G96.0 G97.0 G54.2 M54.2 M53.0

C
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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS SARAF


07031 07443 07310 07513 07440 07910 07412 07433 07935 07375 07702 07712 07110 07952 07529 Chronic meningitis Chronic post-traumatic headache Circumscribed brain atrophy Clonic hemifacial spasm Cluster headache syndrome Communicating hydrocephalus Complex partial status epilepticus Complicated migraine Compression of brain Concentric sclerosis [Bal] Congenital and developmental myasthenia Congenital myopathies Congenital nonprogressive ataxia Cord compression, unspecified Cranial nerve disorder, unspecified G03.1 G44.3 G31.0 G51.3 G44.0 G91.0 G41.2 G43.3 G93.5 G37.5 G70.2 G71.2 G11.0 G95.2 G52.9

D
07312 07239 07319 0602 07379 07370 07830 07959 Degeneration of nervous system due to alcohol Degenerative disease of basal ganglia, unspecified Degenerative disease of nervous system, unspecified DEMENTIA IN OTHER DISEASES CLASSIFIED ELSEWHERE Demyelinating disease of central nervous system, unspecified Diffuse sclerosis Diplegia of upper limbs Disease of spinal cord, unspecified G31.2 G23.9 G31.9 F02 G37.9 G37.0 G83.0 G95.9

TABEL DIAGNOSIS

D
07939 07969 DISORDER OF BRAIN- UNSPECIFIED Disorder of central nervous system, unspecified G93.9 G96.9

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POLIKLINIK SPESIALIS SARAF


07519 07509 0790 07471 07521 07523 07470 07961 07527 07520 0752 07528 07472 0750 07522 07254 07240 07444 07720 07620 07256 07251 07803 Disorder of facial nerve, unspecified Disorder of trigeminal nerve, unspecified Disorders of autonomic nervous system Disorders of excessive somnolence [hypersomnias] Disorders of glossopharyngeal nerve Disorders of hypoglossal nerve Disorders of initiating and maintaining sleep [insomnias] Disorders of meninges, not elsewhere classified Disorders of multiple cranial nerves Disorders of olfactory nerve Disorders of other cranial nerves Disorders of other specified cranial nerves Disorders of the sleep-wake schedule Disorders of trigeminal nerve Disorders of vagus nerve Drug-induced chorea Drug-induced dystonia Drug-induced headache, not elsewhere classified Drug-induced myopathy Drug-induced polyneuropathy Drug-induced tics and other tics of organic origin Drug-induced tremor Dyskinetic cerebral palsy G51.9 G50.9 G90 G47.1 G52.1 G52.3 G47.0 G96.1 G52.7 G52.0 G52 G52.8 G47.2 G50 G52.2 G25.4 G24.0 G44.4 G72.0 G62.0 G25.6 G25.1 G80.3

E
01881 07409 EPIDEMIC VERTIGO Epilepsy, unspecified A88.1 G40.9

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS SARAF G


07610 GUILLAIN-BARRE SYNDROME G61.0

H
07000 07230 1851 0781 07902 0710 07919 09674 Haemophilus meningitis Hallervorden-Spatz disease HEADACHE HEMIPLEGIA Horner's syndrome Huntington's disease Hydrocephalus, unspecified Hypertensive encephalopathy G00.0 G23.0 R51 G81 G90.2 G10 G91.9 I67.4

I TABEL DIAGNOSIS
07241 07242 07244 07900 07603 0780 Idiopathic familial dystonia Idiopathic nonfamilial dystonia Idiopathic orofacial dystonia Idiopathic peripheral autonomic neuropathy Idiopathic progressive neuropathy INFANTILE CEREBRAL PALSY G24.1 G24.2 G24.4 G90.0 G60.3 G80

I
07809 07802 13410 07120 07724 Infantile cerebral palsy, unspecified Infantile hemiplegia Infantile idiopathic scoliosis Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] Inflammatory myopathy, not elsewhere classified G80.9 G80.2 M41.0 G12.0 G72.4

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POLIKLINIK SPESIALIS SARAF


0761 07619 1904 1914 07580 0961 07060 0706 0708 07972 07061 Inflammatory polyneuropathy Inflammatory polyneuropathy, unspecified INJURY OF CRANIAL NERVES INJURY OF NERVES AND SPINAL CORD AT NECK LEVEL Intercostal neuropathy INTRACEREBRAL HAEMORRHAGE Intracranial abscess and granuloma Intracranial and intraspinal abscess and granuloma Intracranial and intraspinal phlebitis and thrombophlebitis Intracranial hypotension following ventricular shunting Intraspinal abscess and granuloma G61 G61.9 S04 S14 G58.0 I61 G06.0 G06 G08 G97.2 G06.1

J
13411 Juvenile idiopathic scoliosis M41.1

1340

KYPHOSIS AND LORDOSIS

M40

L
07112 13405 13545 07541 07544 Late-onset cerebellar ataxia Lordosis, unspecified LOW BACK PAIN Lumbosacral plexus disorders Lumbosacral root disorders, not elsewhere classified G11.2 M40.5 M54.5 G54.1 G54.4

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS SARAF M


0347 07210 07512 07038 07039 0743 07431 07430 07439 07713 07587 0757 0756 07579 07569 07589 07831 07832 07833 MALIGNANT NEOPLASM OF PERIPHERAL NERVES AND AUTOMATIC NERVOUS SYSTEM Malignant neuroleptic syndrome Melkersson's syndrome Meningitis due to other specified causes Meningitis, unspecified MIGRAINE Migraine with aura [classical migraine] Migraine without aura [common migraine] Migraine, unspecified Mitochondrial myopathy, not elsewhere classified Mononeuritis multiplex Mononeuropathies of lower limb MONONEUROPATHIES OF UPPER LIMB Mononeuropathy of lower limb, unspecified Mononeuropathy of upper limb, unspecified Mononeuropathy, unspecified Monoplegia of lower limb Monoplegia of upper limb Monoplegia, unspecified C47 G21.0 G51.2 G03.8 G03.9 G43 G43.1 G43.0 G43.9 G71.3 G58.7 G57 G56 G57.9 G56.9 G58.9 G83.1 G83.2 G83.3

TABEL DIAGNOSIS

M
07122 07452 0735 07903 07710 13791 07700 Motor neuron disease Multiple and bilateral precerebral artery syndromes MULTIPLE SCLEROSIS Multi-system degeneration Muscular dystrophy MYALGIA MYASTHENIA GRAVIS G12.2 G45.2 G35 G90.3 G71.0 M79.1 G70.0

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POLIKLINIK SPESIALIS SARAF


0770 07253 07709 07722 07729 07711 Myasthenia gravis and other myoneural disorders Myoclonus Myoneural disorder, unspecified Myopathy due to other toxic agents Myopathy, unspecified Myotonic disorders G70 G25.3 G70.9 G72.2 G72.9 G71.1

N
07474 07549 0754 13792 07545 13414 07360 07602 0651 07030 Narcolepsy and cataplexy Nerve root and plexus disorder, unspecified Nerve root and plexus disorders NEURALGIA AND NEURITIS- UNSPECIFIED Neuralgic amyotrophy Neuromuscular scoliosis Neuromyelitis optica [Devic] Neuropathy in association with hereditary ataxia NONORGANIC SLEEP DISORDERS Nonpyogenic meningitis G47.4 G54.9 G54 M79.2 G54.5 M41.4 G36.0 G60.2 F51 G03.0

O
07911 0736 07308 07008 0967 07255 1704 0723 0731 Obstructive hydrocephalus Other acute disseminated demyelination Other Alzheimer's disease Other bacterial meningitis OTHER CEREBROVASCULAR DISEASES Other chorea OTHER CONGENITAL MALFORMATIONS OF BRAIN Other degenerative diseases of basal ganglia Other degenerative diseases of nervous system, not elsewhereclassified G91.1 G36 G30.8 G00.8 I67 G25.5 Q04 G23 G31

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS SARAF


0737 0795 07908 1385 0793 0796 07518 0798 0764 07508 07211 07248 07048 07408 0725 13418 07404 0744 07608 Other demyelinating diseases of central nervous system Other diseases of spinal cord Other disorders of autonomic nervous system Other disorders of bone density and structure Other disorders of brain Other disorders of central nervous system Other disorders of facial nerve Other disorders of nervous system, not elsewhere classified Other disorders of peripheral nervous system Other disorders of trigeminal nerve Other drug-induced secondary parkinsonism Other dystonia Other encephalitis, myelitis and encephalomyelitis Other epilepsy OTHER EXTRAPYRAMIDAL AND MOVEMENT DISORDER Other forms of scoliosis Other generalized epilepsy and epileptic syndromes OTHER HEADACHE SYNDROMES Other hereditary and idiopathic neuropathies G37 G95 G90.8 M85 G93 G96 G51.8 G98 G64 G50.8 G21.1 G24.8 G04.8 G40.8 G25 M41.8 G40.4 G44 G60.8

TABEL DIAGNOSIS

O
07118 07918 13412 07808 07618 07121 07561 07438 0758 07578 Other hereditary ataxias Other hydrocephalus Other idiopathic scoliosis Other infantile cerebral palsy Other inflammatory polyneuropathies Other inherited spinal muscular atrophy Other lesions of median nerve Other migraine Other mononeuropathies Other mononeuropathies of lower limb G11.8 G91.8 M41.2 G80.8 G61.8 G12.1 G56.1 G43.8 G58 G57.8

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POLIKLINIK SPESIALIS SARAF


07568 0772 07548 0783 0762 07978 07718 07971 07218 13415 07478 07368 07238 07318 07378 07958 07938 07968 Other mononeuropathies of upper limb Other myopathies Other nerve root and plexus disorders OTHER PARALYTIC SYNDROMES OTHER POLYNEUROPATHIES Other postprocedural disorders of nervous system Other primary disorders of muscles Other reaction to spinal and lumbar puncture Other secondary parkinsonism Other secondary scoliosis Other sleep disorders Other specified acute disseminated demyelination Other specified degenerative diseases of basal ganglia Other specified degenerative diseases of nervous system Other specified demyelinating diseases of central nervous system Other specified diseases of spinal cord Other specified disorders of brain Other specified disorders of central nervous system G56.8 G72 G54.8 G83 G62 G97.8 G71.8 G97.1 G21.8 M41.5 G47.8 G36.8 G23.8 G31.8 G37.8 G95.8 G93.8 G96.8

O
07258 07252 07448 07588 07708 07728 07838 07628 07128 1348 13478 Other specified extrapyramidal and movement disorders Other specified forms of tremor Other specified headache syndromes Other specified mononeuropathies Other specified myoneural disorders Other specified myopathies Other specified paralytic syndromes Other specified polyneuropathies Other spinal muscular atrophies and related syndromes Other spondylopathies Other spondylosis G25.8 G25.2 G44.8 G58.8 G70.8 G72.8 G83.8 G62.8 G12.8 M48 M47.8

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS SARAF


13471 13472 07418 07458 Other spondylosis with myelopathy Other spondylosis with radiculopathy Other status epilepticus Other transient cerebral ischaemic attacks and related syndromes M47.1 M47.2 G41.8 G45.8

P
07839 0782 07822 0720 07723 07411 07407 07546 07547 Paralytic syndrome, unspecified PARAPLEGIA AND TETRAPLEGIA Paraplegia, unspecified PARKINSONS DISEASE Periodic paralysis Petit mal status epilepticus Petit mal, unspecified, without grand mal seizures Phantom limb syndrome with pain Phantom limb syndrome without pain G83.9 G82 G82.2 G20 G72.3 G41.1 G40.7 G54.6 G54.7

TABEL DIAGNOSIS

P
0640 07001 07622 07629 07213 07979 0797 07913 07933 07719 0771 07231 PHOBIC ANXIETY DISORDERS Pneumococcal meningitis Polyneuropathy due to other toxic agents Polyneuropathy, unspecified Postencephalitic parkinsonism Postprocedural disorder of nervous system, unspecified Postprocedural disorders of nervous system, not elsewhere classified Post-traumatic hydrocephalus, unspecified Postviral fatigue syndrome Primary disorder of muscle, unspecified Primary disorders of muscles Progressive supranuclear ophthalmoplegia[Steele-Richardson-Olszewski] F40 G00.1 G62.2 G62.9 G21.3 G97.9 G97 G91.3 G93.3 G71.9 G71 G23.1

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POLIKLINIK SPESIALIS SARAF

R
13541 07601 07937 Radiculopathy Refsum's disease Reye's syndrome M54.1 G60.1 G93.7

S TABEL DIAGNOSIS
13543 1341 13419 0721 Sciatica SCOLIOSIS Scoliosis, unspecified Secondary parkinsonism M54.3 M41 M41.9 G21

S
07219 07311 0709 07611 07473 07479 0747 07243 07800 07801 07811 07821 07824 07405 Secondary parkinsonism, unspecified Senile degeneration of brain, not elsewhere classified Sequelae of inflammatory diseases of central nervous system Serum neuropathy Sleep apnoea Sleep disorder, unspecified SLEEP DISORDERS Spasmodic torticollis Spastic cerebral palsy Spastic diplegia Spastic hemiplegia Spastic paraplegia Spastic tetraplegia Special epileptic syndromes G21.9 G31.1 G09 G61.1 G47.3 G47.9 G47 G24.3 G80.0 G80.1 G81.1 G82.1 G82.4 G40.5

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POLIKLINIK SPESIALIS SARAF


0712 07129 1347 13479 07003 0741 07419 07432 07002 07232 0964 07374 0960 07950 Spinal muscular atrophy and related syndromes Spinal muscular atrophy, unspecified SPONDYLOSIS Spondylosis, unspecified Staphylococcal meningitis STATUS EPILEPTICUS Status epilepticus, unspecified Status migrainosus Streptococcal meningitis Striatonigral degeneration STROKE NOT SPECIFIED AS HAEMORRHAGE OR INFARCTION Subacute necrotizing myelitis SUBARACHNOID HAEMORRHAGE Syringomyelia and syringobulbia G12 G12.9 M47 M47.9 G00.3 G41 G41.9 G43.2 G00.2 G23.2 I64 G37.4 I60 G95.0

TABEL DIAGNOSIS

T
07575 07442 07825 07543 13413 0792 07701 07459 0745 07454 07500 07041 01170 Tarsal tunnel syndrome TENSION-TYPE HEADACHE Tetraplegia, unspecified Thoracic root disorders, not elsewhere classified Thoracogenic scoliosis Toxic encephalopathy Toxic myoneural disorders Transient cerebral ischaemic attack, unspecified Transient cerebral ischaemic attacks and related syndromes Transient global amnesia Trigeminal neuralgia Tropical spastic paraplegia TUBERCULOSIS MENINGITIS G57.5 G44.2 G82.5 G54.3 M41.3 G92 G70.1 G45.9 G45 G45.4 G50.0 G04.1 A17.0

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POLIKLINIK SPESIALIS SARAF U


0186 0189 UNSPECIFIED VIRAL ENCEPHALITIS UNSPECIFIED VIRAL INFECTION OF CENTRAL NERVOUS SYSTEM A86 A89

V
07441 07951 07450 0882 0187 Vascular headache, not elsewhere classified Vascular myelopathies Vertebro-basilar artery syndrome VERTIGINOUS SYNDROMES IN DISEASES CLASSIFIED ELSEWHERE VIRAL MENINGITIS G44.1 G95.1 G45.0 H82 A87

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS ANAK A


0142 01060 1135 1021 10218 10210 10219 1020 10203 10207 10201 10200 10208 10204 10205 10206 10202 10702 10051 10012 10011 0216 10010 1000 10050 1005 10014 1002 ACTINOMYCOSIS ACUTE AMOEBIOTIC DYSENTRY ACUTE APPENDICITIS ACUTE BRONCHIOLITIS Acute bronchiolitis due to other specified organisms Acute bronchiolitis due to respiratory syncytial virus Acute bronchiolitis, unspecified ACUTE BRONCHITIS Acute bronchitis due to coxsackievirus Acute bronchitis due to echovirus Acute bronchitis due to Haemophilus influenzae Acute bronchitis due to Mycoplasma pneumoniae Acute bronchitis due to other specified organisms Acute bronchitis due to parainfluenza virus Acute bronchitis due to respiratory syncytial virus Acute bronchitis due to rhinovirus Acute bronchitis due to streptococcus Acute drug-induced interstitial lung disorders Acute epiglottitis Acute ethmoidal sinusitis Acute frontal sinusitis ACUTE HEPATITIS B Acute maxillary sinusitis Acute NASOPHRYNGITIS [COMMON COLD] Acute obstructive laryngitis [croup] Acute obstructive laryngitis [croup] and epiglottitis Acute pansinusitis ACUTE PHARYNGITIS A42 A06.0 K35 J21 J21.8 J21.0 J21.9 J20 J20.3 J20.7 J20.1 J20.0 J20.8 J20.4 J20.5 J20.6 J20.2 J70.2 J05.1 J01.2 J01.1 B16 J01.0 J00 J05.0 J05 J01.4 J02

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POLIKLINIK SPESIALIS ANAK A


10028 10952 10951 10700 10681 10960 1001 1003 10069 1006 01851 10120 1080 10677 10668 1066 1223 10301 10304 20784 10630 10840 0106 20782 02760 18630 02779 Acute pharyngitis due to other specified organisms Acute pulmonary insufficiency following nonthoracic surgery Acute pulmonary insufficiency following thoracic surgery Acute pulmonary manifestations due to radiation Acute pulmonary oedema due to chemicals, gases, fumes and vapours Acute respiratory failure Acute sinusitis Acute tonsilitis Acute upper respiratory infection, unspecified ACUTE UPPER RESPIRATORY INFECTIONS OF MULTIPLE AND UNSPECIFIELD SITES ADENOVIRAL ENCEPHALITIS Adenoviral pneumonia Adult respiratory distress syndrome Air-conditioner and humidifier lung Airway disease due to other specific organic dusts Airway disease due to specific organic dust ALLERGIC CONTACT DERMATITIS Allergic rhinitis due to pollen Allergic rhinitis, unspecified Allergy, unspecified Aluminosis (of lung) Alveolar and parietoalveolar conditions AMOEBIASIS ANAPHYLACTIC SHOCK- UNSPECIFIED ANCYLOSTOMIASIS ANOREXIA ASCARIASIS- UNSPECIFIED J02.8 J95.2 J95.1 J70.0 J68.1 J96.0 J01 J03 J06.9 J06 A85.1 J12.0 J80 J67.7 J66.8 J66 L23 J30.1 J30.4 T78.4 J63.0 J84.0 A06 T78.2 B76.0 R63.0 B77.9

TABEL DIAGNOSIS

A
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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS ANAK


1045 10459 17211 17212 06841 ASTHMA Asthma, unspecified Atrial septal defect Atrioventricular septal defect ATYPICAL AUTISM J45 J45.9 Q21.1 Q21.2 F84.1

B
0700 1015 10159 1636 10671 10631 10632 10672 1621 2357 1047 10680 1040 10180 10660 BACTERIAL MENINGITIS NOT ELSEWHERE CLASSIFIED BACTERIAL PNEUMONIA- NOT ELSEWHERE CLASSIFIED Bacterial pneumonia, unspecified Bacterial sepsis of newborn Bagassosis Bauxite fibrosis (of lung) Berylliosis Bird fancier's lung Birth asphyxia Bitten or stung by nonvenomous insect and other nonvenomousarthropods BRONCHIECTASIS Bronchitis and pneumonitis due to chemicals, gases, fumes andvapours Bronchitis, not specified as acute or chronic Bronchopneumonia, unspecified Byssinosis G00 J15 J15.9 P36 J67.1 J63.1 J63.2 J67.2 P21 W57 J47 J68.0 J40 J18.0 J66.0

C
02370 0237 CANDIDA STOMATITIS CANDIDIASIS B37.0 B37

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS ANAK


10662 10432 10160 01009 10701 10320 10441 10440 10449 10324 10953 10684 10961 10940 1060 10983 17423 1703 1623 1159 1690 1805 10341 Cannabinosis Centrilobular emphysema Chlamydial pneumonia CHOLERA- UNSPECIFIED Chronic and other pulmonary manifestations due to radiation Chronic maxillary sinusitis Chronic obstructive pulmonary disease with acute exacerbation,unspecified Chronic obstructive pulmonary disease with acute lower respiratoryinfection Chronic obstructive pulmonary disease, unspecified Chronic pansinusitis Chronic pulmonary insufficiency following surgery Chronic respiratory conditions due to chemicals, gases, fumes andvapours Chronic respiratory failure Chylous effusion Coalworker's pneumoconiosis Compensatory emphysema CONGENITAL ABSENCE- ATRESIA AND STENOSIS OF ANUS WITHOUT FISTULA CONGENITAL HYDOCEPHALUS CONGENITAL PNEUMONIA CONSTIPATION Convulsions of newborn COUGH Cyst and mucocele of nasal sinus J66.2 J43.2 J16.0 A00.9 J70.1 J32.0 J44.1 J44.0 J44.9 J32.4 J95.3 J68.4 J96.1 J94.0 J60 J98.3 Q42.3 Q03 P23 K59.0 P90 R05 J34.1

TABEL DIAGNOSIS

D
0191 0109 0136 1131.9 1842 DENGUE HAEMORRHAGIC FEVER DIARRHOEA AND GASTROENTERITIS OF PRESUMED INFECTIOUS ORIGIN DIPTHERIA DISEASE OF STOMACH AND DUODENUM- UNSPECIFIED Dizziness and giddiness A91 A09 A36 K31.9 R42

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POLIKLINIK SPESIALIS ANAK


10704 1130 Drug-induced interstitial lung disorders, unspecified DYSPEPSIA J70.4 K30

E
02000 1043 10439 0704 1701 0740 18040 ECZEMA HERPETICUM EMPHYSEMA Emphysema, unspecified ENCEPHALITIS MYELITIS AND ENCEPHALOMYELITIS Encephalocele EPILEPSY EPISTAXIS B00.0 J43 J43.9 G04 Q01 G40 R04.0

F TABEL DIAGNOSIS
10670 18560 1692 1141 18509 10941 Farmer's lung FEBRILE CONVULSIONS FEEDING PROBLEMS OF NEWBORN FEMORAL HERNIA FEVER- UNSPECIFIED Fibrothorax J67.0 R56.0 P92 K41 R50.9 J94.1

F
1814 10661 2002 1159.1 FLATULENCE AND RELATED CONDITIONS Flax-dresser's disease FRACTURES INVOLVING MULTIPLE BODY REGIONS FUNCTIONAL DIARRHOEA R14 J66.1 T02 K59.1

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POLIKLINIK SPESIALIS ANAK G


10850 1125 1129 10633 Gangrene and necrosis of lung GASTRIC ULCER GASTRITIS AND DUODENITIS Graphite fibrosis (of lung) J85.0 K25 K29 J63.3

H
1192 18042 1858 10942 17431 1443 0791 1067 10678 10679 1754 10182 HAEMATEMESIS HAEMOPTYSIS HAEMORRHAGE- NOT ELSEWHERE CLASSIFIED HAEMOTHORAX Hirschsprung's disease HYDROCELE AND SPERMATOCELE HYDROCEPHALUS Hypersensitivity pneumonitis due to organic dust Hypersensitivity pneumonitis due to other organic dusts Hypersensitivity pneumonitis due to unspecified organic dust HYPOSPADIAS Hypostatic pneumonia, unspecified K92.0 R04.2 R58 J94.2 Q43.1 N43 G91 J67 J67.8 J67.9 Q54 J18.2

TABEL DIAGNOSIS

H
2068 18571 HYPOTHERMIA HYPOVOLAEMIC SHOCK T68 R57.1

I
1010 1011 INFLUENZA DUE TO INDENTIFIED INFLUENZA VIRUS INFLUENZA VIRUS NOT IDENTIFIELD J10 J11

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67

POLIKLINIK SPESIALIS ANAK


10108 10118 10101 10111 10100 10110 2014 10982 10849 Influenza with other manifestations, influenza virus identified Influenza with other manifestations, virus not identified Influenza with other respiratory manifestations, influenza virusidentified Influenza with other respiratory manifestations, virus notidentified Influenza with pneumonia, influenza virus identified Influenza with pneumonia, virus not identified Injury of unspecified body region Interstitial emphysema Interstitial pulmonary disease, unspecified J10.8 J11.8 J10.1 J11.1 J10.0 J11.0 T14 J98.2 J84.9

K
1657 0540 KERNICTERUS KWASHIORKOR P57 E40

L
0573 10385 LACTOSE INTOLERANCE Laryngeal spasm E73 J38.5

N
10181 Lobar pneumonia, unspecified J18.1

M
10430 0542 0205 17430 MacLeod's syndrome MARASMIC KWASHIORKOR MEASLES (MORBILI) Meckel's diverticulum J43.0 E42 B05 Q43.0

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS ANAK


11921 10954 0703 1390 10458 10418 10411 02268 0226 10675 MELAENA Mendelson's syndrome MENINGITIS DUE TO OTHER AND UNSPECIFIED CAUSES MENINGOCOCCAL MENINGITIS Mixed asthma Mixed simple and mucopurulent chronic bronchitis Mucopurulent chronic bronchitis MUMP WITH OTHER COMPLICATIONS Mumps Mushroom-worker's lung K92.1 J95.4 G03 A39.0 J45.8 J41.8 J41.1 B26.8 B26 J67.5

N TABEL DIAGNOSIS
1811 26241 2624 26271 26251 NAUSEA AND VOMITTING Need for immunization against arthropod-borne viral encephalitis NEED FOR IMMUNIZATION AGAINST CERTAIN SINGLE VIRAL DISEASES Need for immunization against diphtheria-tetanus-pertussis, combined[DTP] Need for immunization against influenza R11 Z24.1 Z24 Z27.1 Z25.1

N
26244 26250 26240 26242 26245 26235 26232 26231 26246 26243 Need for immunization against measles alone Need for immunization against mumps alone Need for immunization against poliomyelitis Need for immunization against rabies Need for immunization against rubella alone Need for immunization against tetanus alone Need for immunization against tuberculosis [BCG] Need for immunization against typhoid-paratyphoid alone [TAB] Need for immunization against viral hepatitis Need for immunization against yellow fever Z24.4 Z25.0 Z24.0 Z24.2 Z24.5 Z23.5 Z23.2 Z23.1 Z24.6 Z24.3

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POLIKLINIK SPESIALIS ANAK


1624 1659 10382 10451 05639 NEONATAL ASPIRATION SYNDROMES NEONATAL JAUNDICE FROM OTHER AND UNSPECIFIED CAUSES Nodules of vocal cords Nonallergic asthma Nutritional deficiency, unspecified P24 P59 J38.2 J45.1 E63.9

O
0566 1638 0641 10158 1615 1044 10328 10438 1159 OBESITY Omphalitis of newborn with or without mild haemorrhage OTHER ANXIETY DISORDERS Other bacterial pneumonia Other birth injuries Other chronic obstructive pulmonary disease Other chronic sinusitis Other emphysema OTHER FUNCTIONAL INTESTINAL DISORDERS E66 P38 F41 J15.8 P15 J44 J32.8 J43.8 K59

O
1084 10841 1676 0563 1094 10188 10938 10338 10958 10688 1098 Other interstitial pulmonary diseases Other interstitial pulmonary diseases with fibrosis Other intestinal obstruction of newborn OTHER NUTRITIONAL DEFICIENCIES Other pleural conditions Other pneumonia, organism unspecified Other pneumothorax Other polyp of sinus Other postprocedural respiratory disorders Other respiratory conditions due to chemicals, gases, fumes andvapours Other respiratory disorders J84 J84.1 P76 E63 J94 J18.8 J93.8 J33.8 J95.8 J68.8 J98

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS ANAK


10302 10448 10398 10348 10848 10948 10988 10931 01083 10128 Other seasonal allergic rhinitis Other specified chronic obstructive pulmonary disease Other specified diseases of upper respiratory tract Other specified disorders of nose and nasal sinuses Other specified interstitial pulmonary diseases Other specified pleural conditions Other specified respiratory disorders Other spontaneous pneumothorax OTHER VIRAL ENTERITIS Other viral pneumonia J30.2 J44.8 J39.8 J34.8 J84.8 J94.8 J98.8 J93.1 A08.3 J12.8

TABEL DIAGNOSIS

P
10431 10122 10380 Panlobular emphysema Parainfluenza virus pneumonia Paralysis of vocal cords and larynx J43.1 J12.2 J38.0

P
17250 10949 1090 1092 10920 10929 1065 1061 1062 10628 1063 10638 Patent ductus arteriosus Pleural condition, unspecified PLEURAL EFFUSION- NOT ELSEWHERE CLASSIFIED Pleural plaque Pleural plaque with presence of asbestos Pleural plaque without asbestos Pneumoconiosis associated with tuberculosis Pneumoconiosis due to asbestos and other mineral fibres Pneumoconiosis due to dust containing silica Pneumoconiosis due to other dust containing silica Pneumoconiosis due to other inorganic dusts Pneumoconiosis due to other specified inorganic dusts Q25.0 J94.9 J90 J92 J92.0 J92.9 J65 J61 J62 J62.8 J63 J63.8

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POLIKLINIK SPESIALIS ANAK


10620 10155 1014 10150 10157 10156 1016 10168 10154 10151 10152 1013 10153 1018 10189 10690 Pneumoconiosis due to talc dust Pneumonia due to Escherichia coli Pneumonia due to Haemophilus influenzae Pneumonia due to Klebsiella pneumoniae Pneumonia due to Mycoplasma pneumoniae Pneumonia due to other aerobic Gram-negative bacteria Pneumonia due to other infectious organisms, not elsewhereclassified Pneumonia due to other specified infectious organisms Pneumonia due to other streptococci Pneumonia due to Pseudomonas Pneumonia due to staphylococcus Pneumonia due to Streptococcus pneumoniae Pneumonia due to streptococcus, group B PNEUMONIA- ORGANISM UNSPECIFIED Pneumonia, unspecified Pneumonitis due to food and vomit J62.0 J15.5 J14 J15.0 J15.7 J15.6 J16 J16.8 J15.4 J15.1 J15.2 J13 J15.3 J18 J18.9 J69.0

P
10691 10698 1069 1093 10939 1086 10860 10869 Pneumonitis due to oils and essences Pneumonitis due to other solids and liquids Pneumonitis due to solids and liquids PNEUMOTHORAX Pneumothorax, unspecified Pyothorax Pyothorax with fistula Pyothorax without fistula J69.1 J69.8 J69 J93 J93.9 J86 J86.0 J86.9

R
1068 Respiratory conditions due to inhalation of chemicals, gases, fumesand vapours J68

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS ANAK


1070 10708 10709 10989 1622 16285 1096 10969 10121 10390 26001 0206 Respiratory conditions due to other external agents Respiratory conditions due to other specified external agents Respiratory conditions due to unspecified external agent Respiratory disorder, unspecified Respiratory distress of newborn RESPIRATORY FAILURE OF NEWBORN Respiratory failure, not elsewhere classified Respiratory failure, unspecified Respiratory syncytial virus pneumonia Retropharyngeal and parapharyngeal abscess ROUTINE CHILD HEALTH EXAMINATION RUBELLA J70 J70.8 J70.9 J98.9 P22 P28.5 J96 J96.9 J12.1 J39.0 Z00.1 B06

TABEL DIAGNOSIS

S
1029 9861 1419 0564 1041 10410 1605 17253 17256 140 SAMONELLA INFECTION- UNSPECIFIED Scrotal varices Septicaemia, unspecified SEQUELAE OF MALNUTRITION AND OTHER NUTRITIONAL DEFICIENCIES Simple and mucopurulent chronic bronchitis Simple chronic bronchitis SLOW FETAL GROWTH AND FETAL MALNUTRITION STENOSIS OF AORTA STENOSIS OF PULMONARY ARTERY Streptococcal septicaemia A02.9 I86.1 A41.9 E64 J41 J41.0 P05 Q25.3 Q25.6 A40

T
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POLIKLINIK SPESIALIS ANAK


133 17213 10950 01150 01010 TETANUS NEONATORUM TETRALOGY OF FALLOT Tracheostomy malfunction TUBERCULOSIS OF LUNG- CONFIRMED BY SPUTUM MICROSCOPY WITH OR WITHOUT CULTURE TYPHOID FEVER A33 Q21.3 J95.0 A15.0 A01.0

U TABEL DIAGNOSIS
1022 1042 254 1064 UNSPECIFIED ACUTE LOWER RESPIRATORY INFECTION UNSPECIFIED CHRONIS BRONCHITIS UNSPECIFIED MALARIA Unspecified pneumoconiosis J22 J42 B54 J64

U
10689 10682 10393 Unspecified respiratory condition due to chemicals, gases, fumes andvapours Upper respiratory inflammation due to chemicals, gases, fumes andvapours, not elsewhere classified Upper respiratory tract hypersensitivity reaction, site unspecified J68.9 J68.2 J39.3

V
0201 10300 17210 0234 1012 10129 VARICELLA (CHICKENPOX) Vasomotor rhinitis VENTRICULAR SEPTAL DEFECT VIRAL INFECTION OF UNSPECIFIED SITES VIRAL PNEUMONIA- NOT ELSEWHERE CLASSIFIED Viral pneumonia, unspecified B01 J30.0 Q21.0 B34 J12 J12.9

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POLIKLINIK SPESIALIS ANAK W


0137 WHOOPING COUGH A37

Z
0202 ZOSTER (HERPES ZOSTER) B02

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS KULIT DAN KELAMIN A


1270 12701 12730 12703 12702 12700 12709 1223 12231 12232 12233 12234 12236 12230 12238 12235 12237 12239 04690 12500 20784 02482 12630 1263 12639 12652 12631 1220 Acne Acne conglobata Acne keloid Acne tropica Acne varioliformis Acne vulgaris Acne, unspecified ALLERGIC CONTACT DERMATITIS Allergic contact dermatitis due to adhesives Allergic contact dermatitis due to cosmetics Allergic contact dermatitis due to drugs in contact with skin Allergic contact dermatitis due to dyes Allergic contact dermatitis due to food in contact with skin Allergic contact dermatitis due to metals Allergic contact dermatitis due to other agents Allergic contact dermatitis due to other chemical products Allergic contact dermatitis due to plants, except food Allergic contact dermatitis, unspecified cause ALLERGIC PURPURA Allergic urticaria Allergy, unspecified Allescheriasis Alopecia (capitis) totalis ALOPECIA AERATA Alopecia areata, unspecified Alopecia mucinosa Alopecia universalis ATOPIC DERMATITIS L70 L70.1 L73.0 L70.3 L70.2 L70.0 L70.9 L23 L23.1 L23.2 L23.3 L23.4 L23.6 L23.0 L23.8 L23.5 L23.7 L23.9 D69.0 L50.0 T78.4 B48.2 L63.0 L63 L63.9 L65.2 L63.1 L20

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POLIKLINIK SPESIALIS KULIT DAN KELAMIN A


12209 12909 1290 12903 Atopic dermatitis, unspecified ATROPHIC DISORDER OF SKIN- UNSPECIFIED Atrophic disorders of skin Atrophoderma of Pasini and Pierini L20.9 L90.9 L90 L90.3

B
2026 2025 2020 2024 2029 2028 2027 2022 2021 2023 2030 20271 20261 20264 20260 20251 20201 20241 20221 20211 BURN AND CORROSION CONFINED TO EYE AND ADNEXA BURN AND CORROSION OF ANKLE AND FOOT BURN AND CORROSION OF HEAD AND NECK BURN AND CORROSION OF HIP AND LOWER LIMB BURN AND CORROSION OF MULTIPLE BODY REGIONS BURN AND CORROSION OF OTHER INTERNAL ORGANS BURN AND CORROSION OF RESPIRATORY TRACT BURN AND CORROSION OF SHOULDER ANNNND UPPER LIMB BURN AND CORROSION OF TRUNK BURN AND CORROSION OF WRIST AND HAND BURN AND CORROSIONS- BODY REGION UNSPECIFIED Burn involving larynx and trachea with lung Burn of cornea and conjunctival sac Burn of eye and adnexa, part unspecified Burn of eyelid and periocular area Burn of first degree of ankle and foot Burn of first degree of head and neck Burn of first degree of hip and lower limb, except ankle and foot Burn of first degree of shoulder and upper limb, except wrist andhand Burn of first degree of trunk T26 T25 T20 T24 T29 T28 T27 T22 T21 T23 T30 T27.1 T26.1 T26.4 T26.0 T25.1 T20.1 T24.1 T22.1 T21.1

ABEL DIAGNOSIS

B
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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS KULIT DAN KELAMIN


20231 20301 20283 20270 20280 20281 20284 20282 20263 20272 20273 20252 20202 20242 20222 20212 20232 20302 20253 20203 20243 20223 20213 20233 20303 20300 20250 20200 Burn of first degree of wrist and hand Burn of first degree, body region unspecified Burn of internal genitourinary organs Burn of larynx and trachea Burn of mouth and pharynx Burn of oesophagus Burn of other and unspecified internal organs Burn of other parts of alimentary tract Burn of other parts of eye and adnexa Burn of other parts of respiratory tract Burn of respiratory tract, part unspecified Burn of second degree of ankle and foot Burn of second degree of head and neck Burn of second degree of hip and lower limb, except ankle and foot Burn of second degree of shoulder and upper limb, except wrist andhand Burn of second degree of trunk Burn of second degree of wrist and hand Burn of second degree, body region unspecified Burn of third degree of ankle and foot Burn of third degree of head and neck Burn of third degree of hip and lower limb, except ankle and foot Burn of third degree of shoulder and upper limb, except wrist andhand Burn of third degree of trunk Burn of third degree of wrist and hand Burn of third degree, body region unspecified Burn of unspecified body region, unspecified degree Burn of unspecified degree of ankle and foot Burn of unspecified degree of head and neck T23.1 T30.1 T28.3 T27.0 T28.0 T28.1 T28.4 T28.2 T26.3 T27.2 T27.3 T25.2 T20.2 T24.2 T22.2 T21.2 T23.2 T30.2 T25.3 T20.3 T24.3 T22.3 T21.3 T23.3 T30.3 T30.0 T25.0 T20.0

B
20240 Burn of unspecified degree of hip and lower limb, except ankle andfoot T24.0

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS KULIT DAN KELAMIN


20220 20210 20230 20262 2031 20311 20312 20313 20314 20315 20316 20317 20318 20319 20310 20293 20291 20292 20290 20434 Burn of unspecified degree of shoulder and upper limb, except wristand hand Burn of unspecified degree of trunk Burn of unspecified degree of wrist and hand Burn with resulting rupture and destruction of eyeball Burns classified according to extent of body surface involved Burns involving 10-19% of body surface Burns involving 20-29% of body surface Burns involving 30-39% of body surface Burns involving 40-49% of body surface Burns involving 50-59% of body surface Burns involving 60-69% of body surface Burns involving 70-79% of body surface Burns involving 80-89% of body surface Burns involving 90% or more of body surface Burns involving less than 10% of body surface Burns of multiple regions, at least one burn of third degreementioned Burns of multiple regions, no more than first-degree burns mentioned Burns of multiple regions, no more than second-degree burnsmentioned Burns of multiple regions, unspecified degree Butyrophenone and thioxanthene neuroleptics T22.0 T21.0 T23.0 T26.2 T31 T31.1 T31.2 T31.3 T31.4 T31.5 T31.6 T31.7 T31.8 T31.9 T31.0 T29.3 T29.1 T29.2 T29.0 T43.4

TABEL DIAGNOSIS

C
0237 02378 02372 CANDIDIASIS Candidiasis of other sites CANDIDIASIS OF SKIN AND NAIL B37 B37.8 B37.2

C
02379 0404 Candidiasis, unspecified CARCINOMA IN SITU OF SKIN B37.9 D04

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POLIKLINIK SPESIALIS KULIT DAN KELAMIN


1203 12032 12030 12031 12038 12033 12039 0150 1202 12023 12020 12024 12021 12028 12022 12029 CELLULITIS Cellulitis of face Cellulitis of finger and toe Cellulitis of other parts of limb Cellulitis of other sites Cellulitis of trunk Cellulitis, unspecified CONGENITAL SYPHILIS CUTANEOUS ABSCESS- FURUNCLE AND CARBUNCLE Cutaneous abscess, furuncle and carbuncle of buttock Cutaneous abscess, furuncle and carbuncle of face Cutaneous abscess, furuncle and carbuncle of limb Cutaneous abscess, furuncle and carbuncle of neck Cutaneous abscess, furuncle and carbuncle of other sites Cutaneous abscess, furuncle and carbuncle of trunk Cutaneous abscess, furuncle and carbuncle, unspecified L03 L03.2 L03.0 L03.1 L03.8 L03.3 L03.9 A50 L02 L02.3 L02.0 L02.4 L02.1 L02.8 L02.2 L02.9

D TABEL DIAGNOSIS
1289 0235 02359 26015 12819 12599 DECUBITUS ULCER DERMATOPHYTOSIS DERMATOPHYTOSIS- UNSPECIFIED DIAGNOSTIC SKIN AND SENSITIZATION TESTS DISORDER OF PIGMENTATION, UNSPECIFIED Disorder of skin and subcutaneous tissue related to radiation,unspecified L89 B35 B35.9 Z01.5 L81.9 L59.9

D
12989 DISORDER OF SKIN AND SUBCUTANEOUS TISSUE- UNSPECIFIED L98.9

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POLIKLINIK SPESIALIS KULIT DAN KELAMIN E


0151 02000 12720 0146 12081 EARLY SYPHILIS ECZEMA HERPETICUM Epidermal cyst ERYSIPELAS ERYTHRASMA A51 B00.0 L72.0 A46 L08.1

G
1802 01549 Ganggrene, not elsewhere classified GONOCOCCAL INFECTION- U NSPECIFIED R02 A54.9

H
0200 HERPESVIRAL (HERPES SIMPLEX) INFECTIOUS B00

I TABEL DIAGNOSIS
1201 1224 IMPETIGO Irritant contact dermatitis L01 L24

K
12910 KELOID SCAR L91.0

L
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POLIKLINIK SPESIALIS KULIT DAN KELAMIN


01309 12441 12661 1243 12439 12443 12900 12280 1228 12442 1293 LEPROSY, UNSPECIFIED Lichen nitidus Lichen planopilaris LICHEN PLANUS Lichen planus, unspecified Lichen ruber moniliformis Lichen sclerosus et atrophicus Lichen simplex chronicus LICHEN SIMPLEX CHRONICUS AND PRURIGO Lichen striatus LUPUS ERYTHEMATOSUS A30.9 L44.1 L66.1 L43 L43.9 L44.3 L90.0 L28.0 L28 L44.2 L93

M
0343 12740 12743 0119 20425 02814 02854 MALIGNANT MELANOMA OF SKIN Miliaria rubra Miliaria, unspecified MILLIARY TUBERCULLOSIS Mixed antiepileptics, not elsewhere classified Mixed intestinal helminthiases MIXED PEDICULOSIS AND PHTHIRIOSIS C43 L74.0 L74.3 A19 T42.5 B81.4 B85.4

N
12609 1260 Nail disorder, unspecified Nail disorders L60.9 L60

O
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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS KULIT DAN KELAMIN


12602 12601 0423 1230 Onychogryphosis Onycholysis OTHER BENIGN NEOPLASMA OF SKIN OTHER DERMATITIS L60.2 L60.1 D23 L30

P
1210 12305 12411 12410 1242 12440 02360 1229 1240 12080 PEMPHIGUS Pityriasis alba Pityriasis lichenoides chronica Pityriasis lichenoides et varioliformis acuta Pityriasis rosea Pityriasis rubra pilaris PITYRIASIS VERSICOLOR PRURITUS PSORIASIS PYODERMA L10 L30.5 L41.1 L41.0 L42 L44.0 B36.0 L29 L40 L08.0

TABEL DIAGNOSIS

R
1271 Rosacea L71

S
0286 1221 SCABIES SEBORRHOEIC DERMATITIS B86 L21

T
02350 TINEA BARBAE AND TINEA CAPITIS B35.0

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POLIKLINIK SPESIALIS KULIT DAN KELAMIN


02354 02356 02355 02352 02361 02353 02351 01184 TINEA CORPORIS TINEA CRURIS Tinea imbricata TINEA MANUUM TINEA NIGRA TINEA PEDIS TINEA UNGUIUM TUBERCULOSIS OF SKIN AND SUBCUTANANEOUS TISSUE B35.4 B35.6 B35.5 B35.2 B36.1 B35.3 B35.1 A18.4

U
1225 0249 0164 1250 UNSPECIFIED CONTACT DERMATITIS UNSPECIFIED MYCOSIS UNSPECIFIED SEXUALLY TRANSMITTED DISEASE URTICARIA L25 B49 A64 L50

0201

VARICELLA (CHICKENPOX)

B01

Z
0202 ZOSTER (HERPES ZOSTER) B02

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS KULIT DAN KELAMIN

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS THT A


03319 10040 1004 10060 10042 1001 10019 10013 08660 1003 10038 10039 10041 Accessory sinus, unspecified Acute laryngitis Acute laryngitis and tracheitis Acute laryngopharyngitis Acute laryngotracheitis Acute sinusitis Acute sinusitis, unspecified Acute sphenoidal sinusitis Acute suppurative otitis media Acute tonsilitis Acute tonsillitis due to other specified organisms Acute tonsillitis, unspecified Acute tracheitis C31.9 J04.0 J04 J06.0 J04.2 J01 J01.9 J01.3 H66.0 J03 J03.8 J03.9 J04.1

B
0414 08811 Benign neoplasm of middle ear and respiratory system Benign paroxysmal vertigo D14 H81.1

C TABEL DIAGNOSIS
08601 08720 08604 10359 1035 Cellulitis of external ear Central perforation of tympanic membrane Cholesteatoma of external ear Chronic disease of tonsils and adenoids, unspecified Chronic diseases of tonsils and adenoids H60.1 H72.0 H60.4 J35.9 J35

C
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POLIKLINIK SPESIALIS THT


10703 10322 10321 10370 1037 10371 10311 10312 10310 1031 1032 10329 10323 10350 0890 08900 08901 08902 08109 Chronic drug-induced interstitial lung disorders Chronic ethmoidal sinusitis Chronic frontal sinusitis Chronic laryngitis Chronic laryngitis and laryngotracheitis Chronic laryngotracheitis Chronic nasopharyngitis Chronic pharyngitis Chronic rhinitis Chronic rhinitis, nashopharyngitis and pharyngitis Chronic sinusitis Chronic sinusitis, unspecified Chronic sphenoidal sinusitis Chronic tonsillitis CONDUCTIVE AND SENSORINEURAL HEARING LOSS Conductive hearing loss, bilateral Conductive hearing loss, unilateral with unrestricted hearing on thecontralateral side Conductive hearing loss, unspecified Conjunctivitis, unspecified J70.3 J32.2 J32.1 J37.0 J37 J37.1 J31.1 J31.2 J31.0 J31 J32 J32.9 J32.3 J35.0 H90 H90.0 H90.1 H90.2 H10.9

D TABEL DIAGNOSIS
08930 10342 08742 08839 10399 Degenerative and vascular disorders of ear Deviated nasal septum Discontinuity and dislocation of ear ossicles Disease of inner ear, unspecified Disease of upper respiratory tract, unspecified H93.0 J34.2 H74.2 H83.9 J39.9

D
08930 Degenerative and vascular disorders of ear H93.0

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POLIKLINIK SPESIALIS THT


10342 08742 08839 10399 10980 10985 1038 08939 08619 08449 08749 08059 08739 08819 08477 08525 08933 10986 0804 0805 08475 Deviated nasal septum Discontinuity and dislocation of ear ossicles Disease of inner ear, unspecified Disease of upper respiratory tract, unspecified Diseases of bronchus, not elsewhere classified Diseases of mediastinum, not elsewhere classified Diseases of vocal cords and larynx, not elsewhere classified Disorder of ear, unspecified Disorder of external ear, unspecified Disorder of globe, unspecified Disorder of middle ear and mastoid, unspecified Disorder of orbit, unspecified Disorder of tympanic membrane, unspecified Disorder of vestibular function, unspecified Disorder of visual pathways, unspecified Disorders of accommodation Disorders of acoustic nerve Disorders of diaphragm DISORDERS OF LACRIMAL SYSTEM Disorders of orbit Disorders of other visual pathways J34.2 H74.2 H83.9 J39.9 J98.0 J98.5 J38 H93.9 H61.9 H44.9 H74.9 H05.9 H73.9 H81.9 H47.7 H52.5 H93.3 J98.6 H04 H05 H47.5

E
03311 08680 Ethmoidal sinus Eustachian salpingitis C31.1 H68.0

E
0868 08699 Eustachian salpingitis and obstruction Eustachian tube disorder, unspecified H68 H69.9

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS THT

F
08300 2016 20173 20170 20171 20172 2017 20174 08491 03312 Focal chorioretinal inflammation Foreign body in ear Foreign body in larynx Foreign body in nasal sinus Foreign body in nostril Foreign body in pharynx FOREIGN BODY IN RESPIRATORY TRACT Foreign body in trachea Fourth [trochlear] nerve palsy Frontal sinus H30.0 T16 T17.3 T17.0 T17.1 T17.2 T17 T17.4 H49.1 C31.2

H
08919 10352 10343 10351 10353 Hearing loss, unspecified Hypertrophy of adenoids Hypertrophy of nasal turbinates Hypertrophy of tonsils Hypertrophy of tonsils with hypertrophy of adenoids H91.9 J35.2 J34.3 J35.1 J35.3

TABEL DIAGNOSIS

I
08612 Impacted cerumen H61.2

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TABEL DIAGNO

POLIKLINIK SPESIALIS THT M


0331 0332 10674 10676 0870 08709 03310 03301 08906 08907 08908 Malignant neoplasm of accessory sinuses MALIGNANT NEOPLASM OF LARYNX Maltworker's lung Maple-bark-stripper's lung Mastoiditis and related conditions Mastoiditis, unspecified MAXILLARY SINUS Middle ear Mixed conductive and sensorineural hearing loss, bilateral Mixed conductive and sensorineural hearing loss, unilateral withunrestricted hearing on the contrala Mixed conductive and sensorineural hearing loss, unspecified C31 C32 J67.4 J67.6 H70 H70.9 C31.0 C30.1 H90.6 H90.7 H90.8

N
1033 10339 0865 08659 NASAL POLYP Nasal polyp, unspecified NONSUPPURATIVE OTITIS MEDIA Nonsuppurative otitis media, unspecified J33 J33.9 H65 H65.9

O
08681 10384 08920 0892 Obstruction of Eustachian tube Oedema of larynx OTALGIA Otalgia and effusion of ear H68.1 J38.4 H92.0 H92

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS THT


08932 10391 08743 10683 08102 08651 10018 10068 10303 10358 0883 10387 10392 1039 10383 08951 0893 0869 10984 0874 1034 0873 0891 Other abnormal auditory perceptions Other abscess of pharynx Other acquired abnormalities of ear ossicles Other acute and subacute respiratory conditions due to chemicals,gases, fumes and vapours Other acute conjunctivitis Other acute nonsuppurative otitis media Other acute sinusitis Other acute upper respiratory infections of multiple sites Other allergic rhinitis Other chronic diseases of tonsils and adenoids OTHER DISEASES OF INNER EAR Other diseases of larynx Other diseases of pharynx OTHER DISEASES OF UPPER RESPIRATORY TRACT Other diseases of vocal cords Other disorders following mastoidectomy Other disorders of ear, not elsewhere classified Other disorders of Eustachian tube Other disorders of lung OTHER DISORDERS OF MIDLLE EAR AND MASTOID OTHER DISORDERS OF NOSE AND SINUSES OTHER DISORDERS OF TYMPANIC MEMBRANCE OTHER HEARING LOSS H93.2 J39.1 H74.3 J68.3 H10.2 H65.1 J01.8 J06.8 J30.3 J35.8 H83 J38.7 J39.2 J39 J38.3 H95.1 H93 H69 J98.4 H74 J34 H73 H91

TABEL DIAGNOSIS

O
08608 08808 08921 Other otitis externa Other otosclerosis Otorrhoea H60.8 H80.8 H92.1

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POLIKLINIK SPESIALIS THT P


0872 08729 08610 1036 08744 10330 10381 10331 08302 08959 0895 10959 1095 10955 10450 08911 08494 10981 1082 1081 PERFORATION OF TYMPANIC MEMBRANE Perforation of tympanic membrane, unspecified Perichondritis of external ear PERITONSILLAR ABSCEES Polyp of middle ear Polyp of nasal cavity Polyp of vocal cord and larynx Polypoid sinus degeneration Posterior cyclitis Postprocedural disorder of ear and mastoid process, unspecified Postprocedural disorders of ear and mastoid process, not elsewhereclassified Postprocedural respiratory disorder, unspecified Postprocedural respiratory disorders, not elsewhere classified Postprocedural subglottic stenosis Predominantly allergic asthma Presbycusis Progressive external ophthalmoplegia Pulmonary collapse Pulmonary eosinophilia, not elsewhere classified PULMONARY OEDEMA H72 H72.9 H61.0 J36 H74.4 J33.0 J38.1 J33.1 H30.2 H95.9 H95 J95.9 J95 J95.5 J45.0 H91.1 H49.4 J98.1 J82 J81

S
08903 08904 08905 10634 03313 Sensorineural hearing loss, bilateral Sensorineural hearing loss, unilateral with unrestricted hearing onthe contralateral side Sensorineural hearing loss, unspecified Siderosis SPHENOIDAL SINUS H90.3 H90.4 H90.5 J63.4 C31.3

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS THT


10930 10635 1046 08045 10386 08509 10020 10030 10673 08912 0866 Spontaneous tension pneumothorax Stannosis STATUS ASTHMATICUS Stenosis and insufficiency of lacrimal passages Stenosis of larynx Strabismus, unspecified Streptococcal pharyngitis Streptococcal tonsillitis Suberosis Sudden idiopathic hearing loss SUPPURATIVE AND UNSPECIFIED OTITIS MEDIA J93.0 J63.5 J46 H04.5 J38.6 H50.9 J02.0 J03.0 J67.3 H91.2 H66

T
0893 08931 TINNITUS Tinnitus H93. H93.1

V
1030 VASOMOTOR AND ALLERGIC RHINITIS J30

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN) A


15000 15281 15285 15282 15289 1528 15280 15284 15283 14939 14764 1491 14700 14760 14762 14912 15990 14140 2636 1546 15460 15469 14905 Abdominal pregnancy Abnormal biochemical finding on antenatal screening of mother Abnormal chromosomal and genetic finding on antenatal screening ofmother Abnormal cytological finding on antenatal screening of mother Abnormal finding on antenatal screening of mother, unspecified Abnormal findings on antenatal screening of mother Abnormal haematological finding on antenatal screening of mother Abnormal radiological finding on antenatal screening of mother Abnormal ultrasonic finding on antenatal screening of mother Abnormal uterine and vaginal bleeding, unspecified ABSCESS OF VULVA Absent, scanty and rare menstruation ACUTE SALPINGITIS AND OOPHORITIS ACUTE VAGINITIS ACUTE VULVITIS AMENORRHOEA- UNSPECIFIED ANAEMIA COMPLICATING PREGNANCY-CHILDBIRTH AND THE PUERPERIUM Analgesic nephropathy ANTENATAL SCREENING ANTEPARTUM HAEMORRHAGE- NOT ELSEWHERE CLASSIFIED Antepartum haemorrhage with coagulation defect Antepartum haemorrhage, unspecified Atrophy of vulva O00.0 O28.1 O28.5 O28.2 O28.9 O28 O28.0 O28.4 O28.3 N93.9 N76.4 N91 N70.0 N76.0 N76.2 N91.2 O99.0 N14.0 Z36 O46 O46.0 O46.9 N90.5

ABEL DIAGNOSIS

B
1460 BENIGN MAMMARY DYSPLASIA N60

B
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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


14609 0424 15020 Benign mammary dysplasia, unspecified BENIGN NEOPLASM OF BREAST BLIGTED OVUM AND NONHYDATIDIFORM MOLE N60.9 D24 O02.0

C
02373 0406 14701 15089 15299 1508 1529 15311 15312 2630 14831 1483 CANDIDIASIS OF VULVA AND VAGINA CARCINOMA IN SITU OF CERVIC UTERI CHRONIC SALPINGITIS AND OOPHORITIS Complication following abortion and ectopic and molar pregnancy,unspecified Complication of anaesthesia during pregnancy, unspecified Complications following abortion and ectopic and molar pregnancy Complications of anaesthesia during pregnancy Continuing pregnancy after abortion of one fetus or more Continuing pregnancy after intrauterine death of one fetus or more CONTRACEPTIVE MANAGEMENT Corpus lutheum cyst Cyst Ovarium B37.3 D06 N70.1 O08.9 O29.9 O08 O29 O31.1 O31.2 Z30 N83.1 N83

15086 1596 1597

Damage to pelvic organs and tissues following abortion and ectopicand molar pregnancy Death from any obstetric cause occurring more than 42 days but lessthan one year after delivery Death from sequelae of direct obstetric causes

O08.6 O96 O97

D
15223 15871 15722 15755 Deep phlebothrombosis in pregnancy Deep phlebothrombosis in the puerperium Delayed and secondary postpartum haemorrhage Delayed delivery after artificial rupture of membranes O22.3 O87.1 O72.2 O75.5

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


15756 15632 15081 15822 15829 15815 15820 15821 15833 15834 1524 15244 15249 14759 1475 15994 15996 15995 Delayed delivery after spontaneous or unspecified rupture ofmembranes Delayed delivery of second twin, triplet, etc. Delayed or excessive haemorrhage following abortion and ectopic andmolar pregnancy Delivery by caesarean hysterectomy Delivery by caesarean section, unspecified Delivery by combination of forceps and vacuum extractor Delivery by elective caesarean section Delivery by emergency caesarean section Delivery of viable fetus in abdominal pregnancy Destructive operation for delivery DIABETES MELITUS IN PREGNANCY Diabetes mellitus arising in pregnancy Diabetes mellitus in pregnancy, unspecified Disease of Bartholin's gland, unspecified DISEASES OF BARTHOLINS GLAND Diseases of the circulatory system complicating pregnancy,childbirth and the puerperium Diseases of the digestive system complicating pregnancy, childbirthand the puerperium Diseases of the respiratory system complicating pregnancy,childbirth and the puerperium Diseases of the skin and subcutaneous tissue complicating pregnancy,childbirth and the puerperium Disorder of amniotic fluid and membranes, unspecified Disruption of caesarean section wound O75.6 O63.2 O08.1 O82.2 O82.9 O81.5 O82.0 O82.1 O83.3 O83.4 O24 O24.4 O24.9 N75.9 N75 O99.4 O99.6 O99.5 O99.7 O41.9 O90.0

TABEL DIAGNOSIS

15997 15419 15900

D
14941 1487 14879 14893 14903 DYSPAREUNIA DYSPLASIA OF CERVIX UTERI Dysplasia of cervix uteri, unspecified Dysplasia of vagina, unspecified Dysplasia of vulva, unspecified N94.1 N87 N87.9 N89.3 N90.3

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN) E


1515 1500 15009 15082 14851 1480 1486 14921 14920 14924 14922 1521 15260 1492 ECLAMPSIA ECTOPIC PREGNANCY Ectopic pregnancy, unspecified Embolism following abortion and ectopic and molar pregnancy Endometrial adenomatous hyperplasia ENDOMETRIOSIS Erosion and ectropion of cervix uteri EXCESSIVE AND FREQUENT MENSTRUATION WITH IRREGULAR CYCLE EXCESSIVE AND FREQUENT MENSTRUATION WITH REGULER CYCLE Excessive bleeding in the premenopausal period Excessive menstruation at puberty EXCESSIVE VOMITTING IN PREGNANCY Excessive weight gain in pregnancy Excessive, frequent and irregular menstruation O15 O00 O00.9 O08.2 N85.1 N80 N86 N92.1 N92.0 N92.4 N92.2 O21 O26.0 N92

F
15665 Failed application of vacuum extractor and forceps, unspecified O66.5

F
1507 1561 15619 15611 15071 15072 15070 15073 Failed attempted abortion Failed induction of labour Failed induction of labour, unspecified Failed instrumental induction of labour Failed medical abortion, complicated by delayed or excessivehaemorrhage Failed medical abortion, complicated by embolism Failed medical abortion, complicated by genital tract and pelvicinfection Failed medical abortion, with other and unspecified complications O07 O61 O61.9 O61.1 O07.1 O07.2 O07.0 O07.3

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


15074 15610 15747 15296 15896 15664 1547 15471 15470 15479 14733 14734 04289 1481 14819 14829 14825 1497 14970 14974 Failed medical abortion, without complication Failed medical induction of labour Failed or difficult intubation during labour and delivery Failed or difficult intubation during pregnancy Failed or difficult intubation during the puerperium Failed trial of labour, unspecified FALSE LABOUR False labour at or after 37 completed weeks of gestation False labour before 37 completed weeks of gestation False labour, unspecified Female acute pelvic peritonitis Female chronic pelvic peritonitis Female genital organ, unspecified Female genital prolapse Female genital prolapse, unspecified Female genital tract fistula, unspecified Female genital tract-skin fistulae FEMALE INFERTILITY Female infertility associated with anovulation Female infertility associated with male factors O07.4 O61.0 O74.7 O29.6 O89.6 O66.4 O47 O47.1 O47.0 O47.9 N73.3 N73.4 D28.9 N81 N81.9 N82.9 N82.5 N97 N97.0 N97.4

TABEL DIAGNOSIS

F
14973 14978 14971 14972 14979 14739 14736 14735 14810 Female infertility of cervical origin Female infertility of other origin Female infertility of tubal origin Female infertility of uterine origin Female infertility, unspecified Female pelvic inflammatory disease, unspecified Female pelvic peritoneal adhesions Female pelvic peritonitis, unspecified Female urethrocele N97.3 N97.8 N97.1 N97.2 N97.9 N73.9 N73.6 N73.5 N81.0

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


14602 14603 15700 14640 14823 14822 1482 14312 14830 15703 FIBROADENOSIS OF BREAST Fibrosclerosis of breast First degree perineal laceration during delivery Fissure and fistula of nipple Fistula of vagina to large intestine Fistula of vagina to small intestine FISTULAE INVOLVING FEMALE GENITAL TRACT Flaccid neuropathic bladder, not elsewhere classified Follicular cyst of ovary Fourth degree perineal laceration during delivery N60.2 N60.3 O70.0 N64.0 N82.3 N82.2 N82 N31.2 N83.0 O70.3

G TABEL DIAGNOSIS
15926 14643 15080 15221 1514 Galactorrhoea Galactorrhoea not associated with childbirth Genital tract and pelvic infection following abortion and ectopicand molar pregnancy Genital varices in pregnancy Gestational [pregnancy-induced] hypertension with significantproteinuria O92.6 N64.3 O08.0 O22.1 O14

G
1513 1512 15120 15122 15121 15982 26014 Gestational [pregnancy-induced] hypertension without significantproteinuria Gestational [pregnancy-induced] oedema and proteinuria withouthypertension Gestational oedema Gestational oedema with proteinuria Gestational proteinuria Gonorrhoea complicating pregnancy, childbirth and the puerperium GYNAECOLOGICAL EXAMINATION (GENERAL)(ROUTINE) O13 O12 O12.0 O12.2 O12.1 O98.2 Z01.4

H
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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


1520 15209 15224 15872 1501 1462 14852 14906 15924 HAEMORRHAGE IN EARLY PREGNANCY Haemorrhage in early pregnancy, unspecified Haemorrhoids in pregnancy Haemorrhoids in the puerperium HYDATIDIFORM MOLE HYPERTROPHY OF BREAST Hypertrophy of uterus Hypertrophy of vulva Hypogalactia O20 O20.9 O22.4 O87.2 O01 N62 N85.2 N90.6 O92.4

I TABEL DIAGNOSIS
14484 14883 15011 14812 Impotence of organic origin Incompetence of cervix uteri Incomplete and partial hydatidiform mole Incomplete uterovaginal prolapse N48.4 N88.3 O01.1 N81.2

I
14431 14980 15411 15910 15860 15231 1591 1523 15230 15233 15235 15232 Infected hydrocele Infection associated with artificial insemination Infection of amniotic sac and membranes Infection of nipple associated with childbirth Infection of obstetric surgical wound Infections of bladder in pregnancy Infections of breast associated with childbirth Infections of genitourinary tract in pregnancy Infections of kidney in pregnancy Infections of other parts of urinary tract in pregnancy Infections of the genital tract in pregnancy Infections of urethra in pregnancy N43.1 N98.0 O41.1 O91.0 O86.0 O23.1 O91 O23 O23.0 O23.3 O23.5 O23.2

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


1472 14419 1471 14719 1441 14499 1461 1449 14498 14492 14490 14491 14301 15670 15679 14856 Inflammatory disease of cervix uteri Inflammatory disease of prostate, unspecified Inflammatory disease of uterus, except cervix Inflammatory disease of uterus, unspecified INFLAMMATORY DISEASES OF PROSTATE Inflammatory disorder of unspecified male genital organ Inflammatory disorders of breast Inflammatory disorders of male genital organs, not elsewhereclassified Inflammatory disorders of other specified male genital organs Inflammatory disorders of scrotum Inflammatory disorders of seminal vesicle Inflammatory disorders of spermatic cord, tunica vaginalis and vasdeferens Interstitial cystitis (chronic) Intrapartum haemorrhage with coagulation defect Intrapartum haemorrhage, unspecified Intrauterine synechiae N72 N41.9 N71 N71.9 N41 N49.9 N61 N49 N49.8 N49.2 N49.0 N49.1 N30.1 O67.0 O67.9 N85.6

I
14855 14304 14926 Inversion of uterus Irradiation cystitis IRREGULAR MENSTRUATION- UNSPECIFIED N85.5 N30.4 N92.6

L
15212 0425 14894 14904 15266 1563 Late vomiting of pregnancy LEIOMYOMA OF UTERUS Leukoplakia of vagina Leukoplakia of vulva Liver disorders in pregnancy, childbirth and the puerperium LONG LABOUR O21.2 D25 N89.4 N90.4 O26.6 O63

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


15639 15810 15261 Long labour, unspecified Low forceps delivery Low weight gain in pregnancy O63.9 O81.0 O26.1

M
1446 15431 14995 0353 0354 0357 0356 0352 Male infertility Malformation of placenta Malfunction of external stoma of urinary tract MALIGNANT NEOPLASM OF CERVIC UTERI MALIGNANT NEOPLASM OF CORPUS UTERI MALIGNANT NEOPLASM OF OTHER UNSPECIFIED FEMALE GENITAL ORGANS MALIGNANT NEOPLASM OF OVARI MALIGNANT NEOPLASM OF VAGINA N46 O43.1 N99.5 C53 C54 C57 C56 C52

TABEL DIAGNOSIS

M
0351 1525 14854 14604 14644 15342 15350 15351 15355 15357 15356 15354 15353 15359 MALIGNANT NEOPLASM OF VULVA MALNUTRITION IN PREGNANCY Malposition of uterus Mammary duct ectasia Mastodynia Maternal care due to uterine scar from previous surgery Maternal care for (suspected) central nervous system malformation infetus Maternal care for (suspected) chromosomal abnormality in fetus Maternal care for (suspected) damage to fetus by drugs Maternal care for (suspected) damage to fetus by other medicalprocedures Maternal care for (suspected) damage to fetus by radiation Maternal care for (suspected) damage to fetus from alcohol Maternal care for (suspected) damage to fetus from viral disease inmother Maternal care for (suspected) fetal abnormality and damage,unspecified C51 O25 N85.4 N60.4 N64.4 O34.2 O35.0 O35.1 O35.5 O35.7 O35.6 O35.4 O35.3 O35.9

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


15352 15349 15346 15347 15321 15343 15326 15340 15330 15331 15336 15332 15337 15333 Maternal care for (suspected) hereditary disease in fetus Maternal care for abnormality of pelvic organ, unspecified Maternal care for abnormality of vagina Maternal care for abnormality of vulva and perineum Maternal care for breech presentation Maternal care for cervical incompetence Maternal care for compound presentation Maternal care for congenital malformation of uterus Maternal care for disproportion due to deformity of maternal pelvicbones Maternal care for disproportion due to generally contracted pelvis Maternal care for disproportion due to hydrocephalic fetus Maternal care for disproportion due to inlet contraction of pelvis Maternal care for disproportion due to other fetal deformities Maternal care for disproportion due to outlet contraction of pelvis O35.2 O34.9 O34.6 O34.7 O32.1 O34.3 O32.6 O34.0 O33.0 O33.1 O33.6 O33.2 O33.7 O33.3

M
15335 15334 15338 15339 15366 15323 15369 15324 15362 15364 1534 1533 1535 1532 15329 Maternal care for disproportion due to unusually large fetus Maternal care for disproportion of mixed maternal and fetal origin Maternal care for disproportion of other origin Maternal care for disproportion, unspecified Maternal care for excessive fetal growth Maternal care for face, brow and chin presentation Maternal care for fetal problem, unspecified Maternal care for high head at term Maternal care for hydrops fetalis Maternal care for intrauterine death Maternal care for known or suspected abnormality of pelvic organs Maternal care for known or suspected disproportion Maternal care for known or suspected fetal abnormality and damage Maternal care for known or suspected malpresentation of fetus Maternal care for malpresentation of fetus, unspecified O33.5 O33.4 O33.8 O33.9 O36.6 O32.3 O36.9 O32.4 O36.2 O36.4 O34 O33 O35 O32 O32.9

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


15325 15358 15344 15345 15348 1526 15361 1536 15328 15368 15365 15360 15363 Maternal care for multiple gestation with malpresentation of onefetus or more Maternal care for other (suspected) fetal abnormality and damage Maternal care for other abnormalities of cervix Maternal care for other abnormalities of gravid uterus Maternal care for other abnormalities of pelvic organs Maternal care for other conditions predominantly related topregnancy Maternal care for other isoimmunization Maternal care for other known or suspected fetal problems Maternal care for other malpresentation of fetus Maternal care for other specified fetal problems Maternal care for poor fetal growth Maternal care for rhesus isoimmunization Maternal care for signs of fetal hypoxia O32.5 O35.8 O34.4 O34.5 O34.8 O26 O36.1 O36 O32.8 O36.8 O36.5 O36.0 O36.3

TABEL DIAGNOSIS

M
15322 15341 15320 15367 15750 15265 1598 1504 15046 15047 15045 15048 15049 15041 15042 Maternal care for transverse and oblique lie Maternal care for tumour of corpus uteri Maternal care for unstable lie Maternal care for viable fetus in abdominal pregnancy Maternal distress during labour and delivery Maternal hypotension syndrome Maternal infectious and parasitic diseases classifiable elsewherebut complicating pregnancy, childbi MEDICAL ABORTION Medical abortion, complete or unspecified, complicated by delayed orexcessive haemorrhage Medical abortion, complete or unspecified, complicated by embolism Medical abortion, complete or unspecified, complicated by genitaltract and pelvic infection Medical abortion, complete or unspecified, with other andunspecified complications Medical abortion, complete or unspecified, without complication Medical abortion, incomplete, complicated by delayed or excessivehaemorrhage Medical abortion, incomplete, complicated by embolism O32.2 O34.1 O32.0 O36.7 O75.0 O26.5 O98 O04 O04.6 O04.7 O04.5 O04.8 O04.9 O04.1 O04.2

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


15040 15043 15044 14951 1495 14959 15993 15085 15811 Medical abortion, incomplete, complicated by genital tract andpelvic infection Medical abortion, incomplete, with other and unspecifiedcomplications Medical abortion, incomplete, without complication Menopausal and female climacteric states Menopausal and other perimenopausal disorders Menopausal and perimenopausal disorder, unspecified Mental disorders and diseases of the nervous system complicatingpregnancy, childbirth and the puerpe Metabolic disorders following abortion and ectopic and molarpregnancy Mid-cavity forceps delivery O04.0 O04.3 O04.4 N95.1 N95 N95.9 O99.3 O08.5 O81.1

M
15812 14870 15210 14890 14900 15021 14940 14871 15140 14891 14901 1584 15842 15841 15840 15849 1530 15309 Mid-cavity forceps with rotation Mild cervical dysplasia Mild hyperemesis gravidarum Mild vaginal dysplasia Mild vulvar dysplasia MISSED ABORTION Mittelschmerz Moderate cervical dysplasia Moderate pre-eclampsia Moderate vaginal dysplasia Moderate vulvar dysplasia MULTIPLE DELIVERY Multiple delivery, all by caesarean section Multiple delivery, all by forceps and vacuum extractor Multiple delivery, all spontaneous Multiple delivery, unspecified MULTIPLE GESTATION Multiple gestation, unspecified O81.2 N87.0 O21.0 N89.0 N90.0 O02.1 N94.0 N87.1 O14.0 N89.1 N90.1 O84 O84.2 O84.1 O84.0 O84.9 O30 O30.9

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN) N


0439 14839 14859 14899 14909 1483 NEOPLASM OF UNCERTAIN OR UNKNOWN BEHAVIOUR OF FEMALE GENITAL ORGAN Noninflammatory disorder of ovary, fallopian tube and broadligament, unspecified Noninflammatory disorder of uterus, unspecified Noninflammatory disorder of vagina, unspecified Noninflammatory disorder of vulva and perineum, unspecified Noninflammatory disorders of ovary, fallopian tube and broadligament D39 N83.9 N85.9 N89.9 N90.9 N83

TABEL DIAGNOSIS

N
14110 15912 14341 Nonobstructive reflux-associated chronic pyelonephritis Nonpurulent mastitis associated with childbirth NONSPECIFIC URETHRITIS N11.0 O91.2 N34.1

O
15288 1502 1493 15628 1505 15056 15057 15055 15058 15059 15051 15052 15050 Other abnormal findings on antenatal screening of mother OTHER ABNORMAL PRODUCTS OF CONCEPTION OTHER ABNORMAL UTERINE AND VAGINAL BLEEDING Other abnormalities of forces of labour Other abortion Other abortion, complete or unspecified, complicated by delayed orexcessive haemorrhage Other abortion, complete or unspecified, complicated by embolism Other abortion, complete or unspecified, complicated by genitaltract and pelvic infection Other abortion, complete or unspecified, with other and unspecifiedcomplications Other abortion, complete or unspecified, without complication Other abortion, incomplete, complicated by delayed or excessivehaemorrhage Other abortion, incomplete, complicated by embolism Other abortion, incomplete, complicated by genital tract and pelvicinfection O28.8 O02 N93 O62.8 O05 O05.6 O05.7 O05.5 O05.8 O05.9 O05.1 O05.2 O05.0

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


15053 15054 14178 15922 15927 Other abortion, incomplete, with other and unspecified complications Other abortion, incomplete, without complication Other acute renal failure Other and unspecified disorders of breast associated with childbirth Other and unspecified disorders of lactation O05.3 O05.4 N17.8 O92.2 O92.7

O
15076 15077 15075 15078 15079 15813 15239 14133 14832 15468 15831 1583 14608 0426 14302 14188 14118 14988 15088 15748 15298 15898 1575 Other and unspecified failed attempted abortion, complicated bydelayed or excessive haemorrhage Other and unspecified failed attempted abortion, complicated byembolism Other and unspecified failed attempted abortion, complicated bygenital tract and pelvic infection Other and unspecified failed attempted abortion, with other andunspecified complications Other and unspecified failed attempted abortion, withoutcomplication Other and unspecified forceps delivery Other and unspecified genitourinary tract infection in pregnancy Other and unspecified hydronephrosis Other and unspecified ovarian cysts Other antepartum haemorrhage Other assisted breech delivery Other assisted single delivery Other benign mammary dysplasias OTHER BENIGN NEOPLASM OF UTERUS Other chronic cystitis Other chronic renal failure Other chronic tubulo-interstitial nephritis Other complications associated with artificial fertilization Other complications following abortion and ectopic and molarpregnancy Other complications of anaesthesia during labour and delivery Other complications of anaesthesia during pregnancy Other complications of anaesthesia during the puerperium Other complications of labour and delivery, not elsewhere classified O07.6 O07.7 O07.5 O07.8 O07.9 O81.3 O23.9 N13.3 N83.2 O46.8 O83.1 O83 N60.8 D26 N30.2 N18.8 N11.8 N98.8 O08.8 O74.8 O29.8 O89.8 O75

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN) TABEL DIAGNOSIS


15754 15746 Other complications of obstetric surgery and procedures Other complications of spinal and epidural anaesthesia during labourand delivery O75.4 O74.6

O
15895 15295 15908 15318 14308 14758 15991 1541 1432 1464 1592 0861 1428 1450 1448 1442 1436 1439 14258 15008 14808 15618 14818 14828 14824 1473 Other complications of spinal and epidural anaesthesia during thepuerperium Other complications of spinal and epidural anaesthesia duringpregnancy Other complications of the puerperium, not elsewhere classified Other complications specific to multiple gestation Other cystitis Other diseases of Bartholin's gland Other diseases of the blood and blood-forming organs and certaindisorders involving the immune mecha Other disorders of amniotic fluid and membranes OTHER DISORDERS OF BLADDER OTHER DISORDERS OF BREAST Other disorders of breast and lactation associated with childbirth Other disorders of external ear Other disorders of kidney and ureter, not elsewhere classified Other disorders of male genital organs OTHER DISORDERS OF PENIS Other disorders of prostate Other disorders of urethra Other disorders of urinary system Other disorders resulting from impaired renal tubular function Other ectopic pregnancy Other endometriosis Other failed induction of labour Other female genital prolapse Other female genital tract fistulae Other female intestinal-genital tract fistulae Other female pelvic inflammatory diseases O89.5 O29.5 O90.8 O31.8 N30.8 N75.8 O99.1 O41 N32 N64 O92 H61 N28 N50 N48 N42 N36 N39 N25.8 O00.8 N80.8 O61.8 N81.8 N82.8 N82.4 N73

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14821

Other female urinary-genital tract fistulae

N82.1

O
15863 15208 14432 15721 15753 15861 15983 1476 14418 14482 15678 14218 15832 1599 15988 15848 15308 14318 1488 14838 1485 1489 1490 15888 15715 Other genitourinary tract infections following delivery Other haemorrhage in early pregnancy Other hydrocele Other immediate postpartum haemorrhage Other infection during labour Other infection of genital tract following delivery Other infections with a predominantly sexual mode of transmissioncomplicating pregnancy, childbirth OTHER INFLAMMATION OF VAGINA AND VULVA Other inflammatory diseases of prostate Other inflammatory disorders of penis Other intrapartum haemorrhage Other lower urinary tract calculus Other manipulation-assisted delivery Other maternal diseases classifiable elsewhere but complicatingpregnancy, childbirth and the puerper Other maternal infectious and parasitic diseases complicatingpregnancy, childbirth and the puerperiu Other multiple delivery Other multiple gestation Other neuromuscular dysfunction of bladder Other noninflammatory disorders of cervix uteri Other noninflammatory disorders of ovary, fallopian tube and broadligament Other noninflammatory disorders of uterus, except cervix Other noninflammatory disorders of vagina Other noninflammatory disorders of vulva and perineum Other obstetric embolism Other obstetric injury to pelvic organs O86.3 O20.8 N43.2 O72.1 O75.3 O86.1 O98.3 N76 N41.8 N48.2 O67.8 N21.8 O83.2 O99 O98.8 O84.8 O30.8 N31.8 N88 N83.8 N85 N89 N90 O88.8 O71.5

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)

TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN) O


1571 1566 14138 15438 14998 15458 1586 15741 1415 14645 15828 15808 15028 14938 15838 15758 14948 15998 15418 14328 14648 14288 14508 14488 14428 14368 14398 OTHER OBSTETRIC TRAUMA Other obstructed labour Other obstructive and reflux uropathy Other placental disorders Other postprocedural disorders of genitourinary system Other premature separation of placenta Other puerperal infections Other pulmonary complications of anaesthesia during labour anddelivery Other renal tubulo-interstitial diseases Other signs and symptoms in breast Other single delivery by caesarean section Other single spontaneous delivery Other specified abnormal products of conception Other specified abnormal uterine and vaginal bleeding Other specified assisted single delivery Other specified complications of labour and delivery Other specified conditions associated with female genital organs andmenstrual cycle Other specified diseases and conditions complicating pregnancy,childbirth and the puerperium Other specified disorders of amniotic fluid and membranes Other specified disorders of bladder Other specified disorders of breast Other specified disorders of kidney and ureter Other specified disorders of male genital organs Other specified disorders of penis Other specified disorders of prostate Other specified disorders of urethra Other specified disorders of urinary system O71 O66 N13.8 O43.8 N99.8 O45.8 O86 O74.1 N15 N64.5 O82.8 O80.8 O02.8 N93.8 O83.8 O75.8 N94.8 O99.8 O41.8 N32.8 N64.8 N28.8 N50.8 N48.8 N42.8 N36.8 N39.8

O
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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


04287 14738 14768 14925 14958 14888 14858 14898 14908 15718 15668 15268 15868 14158 14394 14358 14342 15622 15087 15228 15878 15985 15218 0528 15002 14923 Other specified female genital organs Other specified female pelvic inflammatory diseases Other specified inflammation of vagina and vulva Other specified irregular menstruation Other specified menopausal and perimenopausal disorders Other specified noninflammatory disorders of cervix uteri Other specified noninflammatory disorders of uterus Other specified noninflammatory disorders of vagina Other specified noninflammatory disorders of vulva and perineum Other specified obstetric trauma Other specified obstructed labour Other specified pregnancy-related conditions Other specified puerperal infections Other specified renal tubulo-interstitial diseases Other specified urinary incontinence Other urethral stricture OTHER URETHRITIS Other uterine inertia Other venous complications following abortion and ectopic and molarpregnancy Other venous complications in pregnancy Other venous complications in the puerperium Other viral diseases complicating pregnancy, childbirth and thepuerperium Other vomiting complicating pregnancy OVARIAN DYSFUNCTION Ovarian pregnancy Ovulation bleeding D28.7 N73.8 N76.8 N92.5 N95.8 N88.8 N85.8 N89.8 N90.8 O71.8 O66.8 O26.8 O86.8 N15.8 N39.4 N35.8 N34.2 O62.2 O08.7 O22.8 O87.8 O98.5 O21.8 E28 O00.2 N92.3

TABEL DIAGNOSIS

P
1494 15310 Pain and other conditions associated with female genital organs andmenstrual cycle Papyraceous fetus N94 O31.0

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


1570 15709 14391 1544 15440 15441 15439 1543 15430 1540 14841 14840 1484 14849 14848 14842 14843 14930 14351 14952 14950 14992 15904 2639 15723 1572 Perineal laceration during delivery Perineal laceration during delivery, unspecified Persistent proteinuria, unspecified PLACENTA PRAEVIA Placenta praevia specified as without haemorrhage Placenta praevia with haemorrhage Placental disorder, unspecified Placental disorders Placental transfusion syndromes POLYHYDRAMNIOS Polyp of cervix uteri Polyp of corpus uteri POLYP OF FEMALE GENITAL TRACT Polyp of female genital tract, unspecified Polyp of other parts of female genital tract Polyp of vagina Polyp of vulva Postcoital and contact bleeding Postinfective urethral stricture, not elsewhere classified Postmenopausal atrophic vaginitis Postmenopausal bleeding Postoperative adhesions of vagina Postpartum acute renal failure POSTPARTUM CARE AND EXAMINATION Postpartum coagulation defects POSTPARTUM HAEMORRHAGE O70 O70.9 N39.1 O44 O44.0 O44.1 O43.9 O43 O43.0 O40 N84.1 N84.0 N84 N84.9 N84.8 N84.2 N84.3 N93.0 N35.1 N95.2 N95.0 N99.2 O90.4 Z39 O72.3 O72

P
15712 15905 14999 Postpartum inversion of uterus Postpartum thyroiditis Postprocedural disorder of genitourinary system, unspecified O71.2 O90.5 N99.9

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


1499 14994 14990 14991 14350 15623 15149 15240 15241 15243 15100 1510 1511 15103 15101 15102 15242 15104 15262 Postprocedural disorders of genitourinary system, not elsewhereclassified Postprocedural pelvic peritoneal adhesions Postprocedural renal failure Postprocedural urethral stricture Post-traumatic urethral stricture Precipitate labour Pre-eclampsia, unspecified Pre-existing diabetes mellitus, insulin-dependent Pre-existing diabetes mellitus, non-insulin-dependent Pre-existing diabetes mellitus, unspecified Pre-existing essential hypertension complicating pregnancy,childbirth and the puerperium PRE-EXISTING HYPERTENSION COMPLICATING PREGNANCY- CHILDBIRTH AND THE PUERPERIUM Pre-existing hypertensive disorder with superimposed proteinuria Pre-existing hypertensive heart and renal disease complicatingpregnancy, childbirth and the puerperi Pre-existing hypertensive heart disease complicating pregnancy,childbirth and the puerperium Pre-existing hypertensive renal disease complicating pregnancy,childbirth and the puerperium Pre-existing malnutrition-related diabetes mellitus Pre-existing secondary hypertension complicating pregnancy,childbirth and the puerperium Pregnancy care of habitual aborter N99 N99.4 N99.0 N99.1 N35.0 O62.3 O14.9 O24.0 O24.1 O24.3 O10.0 O10 O11 O10.3 O10.1 O10.2 O24.2 O10.4 O26.2

TABEL DIAGNOSIS

P
26321 2632 26320 15269 2633 1542 15422 15421 Pregnancy confirmed PREGNANCY EXAMINATION AND TEST Pregnancy, not (yet) confirmed Pregnancy-related condition, unspecified Pregnant state, incidental Premature rupture of membranes Premature rupture of membranes, labour delayed by therapy Premature rupture of membranes, onset of labour after 24 hours Z32.1 Z32 Z32.0 O26.9 Z33 O42 O42.2 O42.1

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


15420 15429 1545 15450 15459 14943 1560 14483 14910 14944 15620 14913 14834 14993 14363 15630 1548 15631 14413 15986 Premature rupture of membranes, onset of labour within 24 hours Premature rupture of membranes, unspecified Premature separation of placenta [abruptio placentae] Premature separation of placenta with coagulation defect Premature separation of placenta, unspecified Premenstrual tension syndrome Preterm delivery Priapism PRIMARY AMENORRHOEA Primary dysmenorrhoea Primary inadequate contractions Primary oligomenorrhoea Prolapse and hernia of ovary and fallopian tube Prolapse of vaginal vault after hysterectomy Prolapsed urethral mucosa Prolonged first stage (of labour) PROLONGED PREGNANCY Prolonged second stage (of labour) Prostatocystitis Protozoal diseases complicating pregnancy, childbirth and thepuerperium O42.0 O42.9 O45 O45.0 O45.9 N94.3 O60 N48.3 N91.0 N94.4 O62.0 N91.3 N83.4 N99.3 N36.3 O63.0 O48 O63.1 N41.3 O98.6

P
1585 15290 15890 14136 15752 15864 Puerperal sepsis Pulmonary complications of anaesthesia during pregnancy Pulmonary complications of anaesthesia during the puerperium Pyonephrosis Pyrexia during labour, not elsewhere classified Pyrexia of unknown origin following delivery O85 O29.0 O89.0 N13.6 O75.2 O86.4

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN) Q


15302 Quadruplet pregnancy O30.2

S
1470 14709 15701 14911 14945 14914 15621 14872 15141 14892 14902 15751 15083 Salpingitis and oophoritis Salpingitis and oophoritis, unspecified Second degree perineal laceration during delivery SECONDARY AMENORRHOEA Secondary dysmenorrhoea Secondary oligomenorrhoea Secondary uterine inertia Severe cervical dysplasia, not elsewhere classified Severe pre-eclampsia Severe vaginal dysplasia, not elsewhere classified Severe vulvar dysplasia, not elsewhere classified Shock during or following labour and delivery Shock following abortion and ectopic and molar pregnancy N70 N70.9 O70.1 N91.1 N94.5 N91.4 O62.1 N87.2 O14.1 N89.2 N90.2 O75.1 O08.3

TABEL DIAGNOSIS

S
1582 1581 15809 1580 1427 14271 14270 14279 14600 SINGLE DELIVERY BY CAESAREAN SECTION SINGLE DELIVERY BY FORCEPS AND VACUUM EXTRACTOR Single spontaneous delivery, unspecified SINGLE SPONTANEOUS DELIVERY/NORMAL DELIVERY Small kidney of unknown cause Small kidney, bilateral Small kidney, unilateral Small kidney, unspecified Solitary cyst of breast O82 O81 O80.9 O80 N27 N27.1 N27.0 N27.9 N60.0

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


14434 15745 15294 15894 15033 1503 15037 15036 15035 15038 15039 15031 15032 15030 15034 15801 Spermatocele Spinal and epidural anaesthesia-induced headache during labour anddelivery Spinal and epidural anaesthesia-induced headache during pregnancy Spinal and epidural anaesthesia-induced headache during thepuerperium Spontaenous abortion, incomplete, with other and unspecifiedcomplications SPONTANEOUS ABORTION Spontaneous abortion, complete or unspecified, complicated by embolism Spontaneous abortion, complete or unspecified, complicated bydelayed or excessive haemorrhage Spontaneous abortion, complete or unspecified, complicated bygenital tract and pelvic infection Spontaneous abortion, complete or unspecified, with other andunspecified complications Spontaneous abortion, complete or unspecified, without complication Spontaneous abortion, incomplete, complicated by delayed orexcessive haemorrhage Spontaneous abortion, incomplete, complicated by embolism Spontaneous abortion, incomplete, complicated by genital tract andpelvic infection Spontaneous abortion, incomplete, without complication Spontaneous breech delivery N43.4 O74.5 O29.4 O89.4 O03.3 O03 O03.7 O03.6 O03.5 O03.8 O03.9 O03.1 O03.2 O03.0 O03.4 O80.1

S
15800 14953 14393 14895 14882 14761 14763 14853 15267 15222 15870 26355 2635 Spontaneous vertex delivery States associated with artificial menopause Stress incontinence Stricture and atresia of vagina Stricture and stenosis of cervix uteri Subacute and chronic vaginitis Subacute and chronic vulvitis Subinvolution of uterus Subluxation of symphysis (pubis) in pregnancy, childbirth and thepuerperium Superficial thrombophlebitis in pregnancy Superficial thrombophlebitis in the puerperium Supervision of elderly primigravida SUPERVISION OF HIGH-RISK PREGNANCY O80.0 N95.3 N39.3 N89.5 N88.2 N76.1 N76.3 N85.3 O26.7 O22.2 O87.0 Z35.5 Z35

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


26340 2634 26349 26348 26354 26351 26350 26353 26352 26356 15925 15981 Supervision of normal first pregnancy SUPERVISION OF NORMAL PREGNANCY Supervision of normal pregnancy, unspecified Supervision of other normal pregnancy Supervision of pregnancy with grand multiparity Supervision of pregnancy with history of abortive outcome Supervision of pregnancy with history of infertility Supervision of pregnancy with history of insufficient antenatal care Supervision of pregnancy with other poor reproductive or obstetrichistory Supervision of very young primigravida Suppressed lactation Syphilis complicating pregnancy, childbirth and the puerperium Z34.0 Z34 Z34.9 Z34.8 Z35.4 Z35.1 Z35.0 Z35.3 Z35.2 Z35.6 O92.5 O98.1

TABEL DIAGNOSIS

T
15702 15720 15200 14896 14835 1444 14144 15744 15293 15893 14303 15301 15001 15980 Third degree perineal laceration during delivery Third-stage haemorrhage Threatened abortion Tight hymenal ring Torsion of ovary, ovarian pedicle and fallopian tube Torsion of testis Toxic nephropathy, not elsewhere classified Toxic reaction to local anaesthesia during labour and delivery Toxic reaction to local anaesthesia during pregnancy Toxic reaction to local anaesthesia during the puerperium Trigonitis Triplet pregnancy Tubal pregnancy Tuberculosis complicating pregnancy, childbirth and the puerperium O70.2 O72.0 O20.0 N89.6 N83.5 N44 N14.4 O74.4 O29.3 O89.3 N30.3 O30.1 O00.1 O98.0

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


1412 15300 Tubulo-interstitial nephritis, not specified as acute or chronic Twin pregnancy N12 O30.0

U
14485 14765 14766 14310 1506 15066 15067 Ulcer of penis Ulceration of vagina Ulceration of vulva Uninhibited neuropathic bladder, not elsewhere classified Unspecified abortion Unspecified abortion, complete or unspecified, complicated bydelayed or excessive haemorrhage Unspecified abortion, complete or unspecified, complicated byembolism N48.5 N76.5 N76.6 N31.0 O06 O06.6 O06.7

U
15065 15068 15069 15061 15062 15060 15063 15064 14949 1426 15234 1463 1516 15989 1405 Unspecified abortion, complete or unspecified, complicated bygenital tract and pelvic infection Unspecified abortion, complete or unspecified, with other andunspecified complications Unspecified abortion, complete or unspecified, without complication Unspecified abortion, incomplete, complicated by delayed orexcessive haemorrhage Unspecified abortion, incomplete, complicated by embolism Unspecified abortion, incomplete, complicated by genital tract andpelvic infection Unspecified abortion, incomplete, with other and unspecifiedcomplications Unspecified abortion, incomplete, without complication Unspecified condition associated with female genital organs andmenstrual cycle Unspecified contracted kidney Unspecified infection of urinary tract in pregnancy Unspecified lump in breast Unspecified maternal hypertension Unspecified maternal infectious or parasitic disease complicatingpregnancy, childbirth and the puerp Unspecified nephritic syndrome O06.5 O06.8 O06.9 O06.1 O06.2 O06.0 O06.3 O06.4 N94.9 N26 O23.4 N63 O16 O98.9 N05

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TABEL DIAGNOSIS

POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN)


14056 14057 14054 14052 14053 14055 14051 14050 14058 14059 Unspecified nephritic syndrome, dense deposit disease Unspecified nephritic syndrome, diffuse crescenticglomerulonephritis Unspecified nephritic syndrome, diffuse endocapillary proliferativeglomerulonephritis Unspecified nephritic syndrome, diffuse membranousglomerulonephritis Unspecified nephritic syndrome, diffuse mesangial proliferativeglomerulonephritis Unspecified nephritic syndrome, diffuse mesangiocapillaryglomerulonephritis Unspecified nephritic syndrome, focal and segmental glomerularlesions Unspecified nephritic syndrome, minor glomerular abnormality Unspecified nephritic syndrome, other Unspecified nephritic syndrome, unspecified N05.6 N05.7 N05.4 N05.2 N05.3 N05.5 N05.1 N05.0 N05.8 N05.9

TABEL DIAGNOSIS

U
14732 15109 1423 1419 14362 14369 14361 14360 1435 14359 14343 1434 14340 14209 15862 14390 14814 Unspecified parametritis and pelvic cellulites Unspecified pre-existing hypertension complicating pregnancy,childbirth and the puerperium UNSPECIFIED RENAL COLIC Unspecified renal failure Urethral caruncle Urethral disorder, unspecified Urethral diverticulum URETHRAL FISTULA Urethral stricture Urethral stricture, unspecified Urethral syndrome, unspecified Urethritis and urethral syndrome URETRAL ABSCESS Urinary calculus, unspecified Urinary tract infection following delivery URINARY TRACT INFECTION- SITE NOT SPECIFIED Uterovaginal prolapse, unspecified N73.2 O10.9 N23 N19 N36.2 N36.9 N36.1 N36.0 N35 N35.9 N34.3 N34 N34.0 N20.9 O86.2 N39.0 N81.4

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POLIKLINIK SPOG (KANDUNGAN DAN KEBIDANAN) V TABEL DIAGNOSIS


15814 04281 15757 14815 14942 15220 Vacuum extractor delivery Vagina Vaginal delivery following previous caesarean section Vaginal enterocele Vaginismus Varicose veins of lower extremity in pregnancy O81.4 D28.1 O75.7 N81.5 N94.2 O22.0

V
14501 15229 15879 1522 1587 14322 14321 14137 14820 15984 15219 04280 14907 Vascular disorders of male genital organs Venous complication in pregnancy, unspecified Venous complication in the puerperium, unspecified VENOUS COMPLICATIONS IN PREGNANCY Venous complications in the puerperium Vesical fistula, not elsewhere classified Vesicointestinal fistula Vesicoureteral-reflux-associated uropathy Vesicovaginal fistula Viral hepatitis complicating pregnancy, childbirth and thepuerperium Vomiting of pregnancy, unspecified Vulva Vulvar cyst N50.1 O22.9 O87.9 O22 O87 N32.2 N32.1 N13.7 N82.0 O98.4 O21.9 D28.0 N90.7

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS MATA A


08530 08523 08270 08531 08522 Amblyopia ex anopsia Anisometropia and aniseikonia Aphakia Asthenopia ASTIGMATISM H53.0 H52.3 H27.0 H53.1 H52.2

B
0431 08105 0854 08540 08544 08541 2026 BENIGN NEOPLASM OF EYE AND ADNEXA Blepharoconjunctivitis BLINDNESS AND LOW VISION Blindness, both eyes Blindness, one eye Blindness, one eye, low vision other eye BURN AND CORROSION CONFINED TO EYE AND ADNEXA D31 H10.5 H54 H54.0 H54.4 H54.1 T26

C
08269 08001 08183 08535 08262 08113 0810 19051 Cataract, unspecified Chalazion Changes in corneal membranes Colour vision deficiencies Complicated cataract Conjunctival haemorrhage CONJUNCTIVITIS Contusion of eyeball and orbital tissues H26.9 H00.1 H18.3 H53.5 H26.2 H11.3 H10 S05.1

C
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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS MATA


08184 08164 08180 08179 0817 08160 Corneal degeneration Corneal neovascularization Corneal pigmentations and deposits Corneal scar and opacity, unspecified CORNEAL SCARS AND OPACITIES Corneal ulcer H18.4 H16.4 H18.0 H17.9 H17 H16.0

D
08442 08532 08271 08519 `08319 08119 08189 08579 08029 08219 08049 08279 0852 08527 08159 08439 0803 0844 Degenerative myopia DIPLOPIA Dislocation of lens Disorder of binocular movement, unspecified Disorder of choroid, unspecified Disorder of conjunctiva, unspecified Disorder of cornea, unspecified Disorder of eye and adnexa, unspecified Disorder of eyelid, unspecified Disorder of iris and ciliary body, unspecified Disorder of lacrimal system, unspecified Disorder of lens, unspecified DISORDER OF REFRACTION AND ACCOMMODATION Disorder of refraction, unspecified Disorder of sclera, unspecified Disorder of vitreous body, unspecified DISORDERS OF EYELID IN DISEASES CLASSIFIED ELSEWHERE DISORDERS OF GLOBE H44.2 H53.2 H27.1 H51.9 H31.9 H11.9 H18.9 H57.9 H02.9 H21.9 H04.9 H27.9 H52 H52.7 H15.9 H43.9 H03 H44

TABEL DIAGNOSIS

D
08474 Disorders of optic chiasm H47.4

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POLIKLINIK SPESIALIS MATA


08470 0815 0843 08501 08263 Disorders of optic nerve, not elsewhere classified DISORDERS OF SCLERA DISORDERS OF VITREOUS BODY Divergent concomitant strabismus Drug-induced cataract H47.0 H15 H43 H50.1 H26.3

E
08021 2015 08020 26010 Ectropion of eyelid Effects of foreign body entering throught natural orifice (Corpus Alineum) Entropion and trichiasis of eyelid EXAMINATION OF EYES AND VISION H02.1 T15 H02.0 Z01.0

G
0840 08406 08404 08403 08405 08400 08409 GLAUCOMA Glaucoma secondary to drugs Glaucoma secondary to eye inflammation Glaucoma secondary to eye trauma Glaucoma secondary to other eye disorders Glaucoma suspect Glaucoma, unspecified H40 H40.6 H40.4 H40.3 H40.5 H40.0 H40.9

H
0800 08000 08210 Hordeolum and chalazion Hordeolum and other deep inflammation of eyelid HYPAEMA H00 H00.0 H21.0

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS MATA


08520 08444 HYPERMETROPIA Hypotony of eye H52.0 H44.4

I
08019 08503 0820 Inflammation of eyelid, unspecified Intermittent heterotropia IRIDOCYCLITIS H01.9 H50.3 H20

K
0816 08169 08162 08186 KERATITIS Keratitis, unspecified Keratoconjunctivitis Keratoconus H16 H16.9 H16.2 H18.6

L TABEL DIAGNOSIS
08832 08831 08830 08022 08202 Labyrinthine dysfunction Labyrinthine fistula Labyrinthitis Lagophthalmos Lens-induced iridocyclitis H83.2 H83.1 H83.0 H02.2 H20.2

L
08542 08545 Low vision, both eyes Low vision, one eye H54.2 H54.5

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POLIKLINIK SPESIALIS MATA M


08810 0369 08602 07700 08521 Mnire's disease MALIGNANT NEOPLASM OF EYE AND ADNEXA Malignant otitis externa MYASTHENIA GRAVIS MYOPIA H81.0 C69 H60.2 G70.0 H52.1

N
08536 08011 0855 Night blindness Noninfectious dermatoses of eyelid Nystagmus and other irregular eye movements H53.6 H01.1 H55

O
08571 08472 0846 0826 08171 08187 08182 Ocular pain Optic atrophy Optic neuritis OTHER CATARACT Other central corneal opacity Other corneal deformities Other corneal oedema H57.1 H47.2 H46 H26 H17.1 H18.7 H18.2

O
08178 08027 0802 08025 0851 Other corneal scars and opacities Other degenerative disorders of eyelid and periocular area OTHER DISORDER OF EYELID Other disorders affecting eyelid function Other disorders of binocular movement H17.8 H02.7 H02 H02.5 H51

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS MATA


08533 0831 0811 0818 0857 08448 0821 08041 08048 0827 0847 08473 08158 08408 0801 19058 08208 08168 08342 08335 0835 08348 08258 Other disorders of binocular vision Other disorders of choroid Other disorders of conjunctiva OTHER DISORDERS OF CORNEA OTHER DISORDERS OF EYE AND ADNEXA Other disorders of globe Other disorders of iris and ciliary body Other disorders of lacrimal gland Other disorders of lacrimal system OTHER DISORDERS OF LENS Other disorders of optic [2nd] nerve and visual pathways Other disorders of optic disc Other disorders of sclera Other glaucoma OTHER INFLAMMATION OF EYELID Other injuries of eye and orbit Other iridocyclitis Other keratitis Other retinal artery occlusions Other retinal detachments OTHER RETINAL DISORDERS Other retinal vascular occlusions Other senile cataract H53.3 H31 H11 H18 H57 H44.8 H21 H04.1 H04.8 H27 H47 H47.3 H15.8 H40.8 H01 S05.8 H20.8 H16.8 H34.2 H33.5 H35 H34.8 H25.8

TABEL DIAGNOSIS

O
08268 08518 08318 08118 08188 08578 Other specified cataract Other specified disorders of binocular movement Other specified disorders of choroid Other specified disorders of conjunctiva Other specified disorders of cornea Other specified disorders of eye and adnexa H26.8 H51.8 H31.8 H11.8 H18.8 H57.8

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POLIKLINIK SPESIALIS MATA


08028 08218 08278 08358 08161 08211 08538 08433 0850 Other specified disorders of eyelid Other specified disorders of iris and ciliary body Other specified disorders of lens Other specified retinal disorders Other superficial keratitis without conjunctivitis Other vascular disorders of iris and ciliary body Other visual disturbances Other vitreous opacities OTHER STRABISMUS H02.8 H21.8 H27.8 H35.8 H16.1 H21.1 H53.8 H43.3 H50

P
08354 08599 0859 08524 08402 08401 08110 08024 08214 Peripheral retinal degeneration Postprocedural disorder of eye and adnexa, unspecified Postprocedural disorders of eye and adnexa, not elsewhere classified PRESBYOPIA Primary angle-closure glaucoma Primary open-angle glaucoma PTERYGIUM Ptosis of eyelid Pupillary membranes H35.4 H59.9 H59 H52.4 H40.2 H40.1 H11.0 H02.4 H21.4

P
08440 Purulent endophthalmitis H44.0

R
08333 08330 0833 Retinal breaks without detachment Retinal detachment with retinal break Retinal detachments and breaks H33.3 H33.0 H33

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TABEL DIAGNOSIS

POLIKLINIK SPESIALIS MATA


08359 08356 08349 0834 08351 08331 Retinal disorder, unspecified Retinal haemorrhage Retinal vascular occlusion, unspecified Retinal vascular occlusions Retinopathy of prematurity Retinoschisis and retinal cysts H35.9 H35.6 H34.9 H34 H35.1 H33.1

S
08150 0825 08252 08259 08250 08251 08357 08332 Scleritis SENILE CATARACT Senile cataract, morgagnian type Senile cataract, unspecified Senile incipient cataract Senile nuclear cataract Separation of retinal layers Serous retinal detachment H15.0 H25 H25.2 H25.9 H25.0 H25.1 H35.7 H33.2

TABEL DIAGNOSIS

T
0171 08334 08340 08261 TRACHOMA Traction detachment of retina Transient retinal artery occlusion Traumatic cataract A71 H33.4 H34.0 H26.1

U
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POLIKLINIK SPESIALIS MATA


08543 08546 08547 Unqualified visual loss, both eyes Unqualified visual loss, one eye Unspecified visual loss H54.3 H54.6 H54.7

V
0230 08539 0853 08534 08590 VIRAL CONJUTIVITIS Visual disturbance, unspecified VISUAL DISTURBANCES Visual field defects Vitreous syndrome following cataract surgery B30 H53.9 H53 H53.4 H59.0

X
08026 XANTHELASMA OF EYELID H02.6

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