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Published by , 2017-10-16 11:05:42

0B_LgSoVhr6OwX0t4NWlLQmVNTjA

0B_LgSoVhr6OwX0t4NWlLQmVNTjA

-51-

Contoh :
Laminectomy (decompression)
(for exploration) 03.09
as operative approach --omit code

3. Kata Code also (dikoding juga)
Jika ada pernyataan code also dibawah pernyataan tindakan/prosedur
maka harus dikoding.
Contoh :
42.69 Antesternal anastomosis of esophagus dengan gastrostomy
Code also any synchronous :
esophagectomy (42.40 – 42.42)
gastrostomy (43.1)
Dikode antesternal anastomosis of esophagus (42.69) dan other
gastrostomy (43.19)

4. Kata Exclude (tidak termasuk)
Jika ada pernyataan Exclude dibawah pernyataan tindakan/prosedur
maka harus dikoding yang lain sesuai dengan petunjuk exclude
Contoh :
Simple excision of lymphatic struture (40.2)
Exclude : biopsy of lyphatic structure (40.11)

5. Kata Includes (termasuk)
Jika ada pernyataan “includes” dibawah pernyataan tindakan/prosedur
maka pernyataan tindakan tersebut termasuk bagian atau contah
tindakan tersebut :
35.2 Replacement of heart valve
Includes : Excision of heart valve with replacement
Code also cardiopulmonary bypass (extracorporeal circulation) (heart-lung)
(39.61)

C. Aturan Koding Lainnya yang Berlaku Untuk INA-CBG
1. Dalam hal bayi lahir dengan tindakan persalinan menggunakan kode
P03.0 – P03.6 maka dapat diklaimkan terpisah dari klaim ibunya.

-52-

2. Kontrol Ulang
Dalam hal pasien yang datang untuk kontrol ulang di rawat jalan
dengan diagnosis yang sama pada kunjungan sebelumnya,
ditetapkan sebagai diagnosis utama menggunakan kode “Z” dan
diagnosis sekunder dikode sesuai penyakitnya.

Contoh :

Pasien datang ke rumah sakit untuk kontrol Hipertensi.

Diagnosis Utama : Kontrol Ulang

Diagnosis Sekunder : Hipertensi

Dikode kontrol ulang (Z09.8) sebagai diagnosis utama dan Hipertensi

(I10) sebagai diagnosis sekunder.

3. Terapi Berulang

Dalam hal pasien yang datang untuk mendapatkan terapi berulang di

rawat jalan seperti rehabilitasi medik, rehabilitasi psikososial,

hemodialisa, kemoterapi dan radioterapi ditetapkan sebagai diagnosis

utama menggunakan kode “Z” dan diagnosis sekunder dikode sesuai

penyakitnya.

Contoh :

Pasien datang ke RS untuk dilakukan kemoterapi karena Ca.

Mammae.

Diagnosis Utama : Kemoterapi

Diagnosis Sekunder : Ca. Mammae

Dikode kemoterapi (Z51.1) sebagai diagnosis utama dan Ca. Mammae

(C50.9) sebagai diagnosis sekunder.

4. Pengkodean untuk persalinan :
a. Bila terdapat penyulit atau komplikasi maka penyulit atau
komplikasi menjadi diagnosis utama
b. Metode persalinan (O80.0-O84.9) sebagai diagnosis sekunder
c. Outcome persalinan (Z37.0 – Z37.9) sebagai diagnosis sekunder

5. Pengkodean Neoplasma :
a. Pasien yang dirawat hanya untuk kemoterapi maka
menggunakan kode Z51.1 sebagai diagnosis utama dan
neoplasma menjadi diagnosis sekunder

-53-

b. Pasien yang dirawat hanya untuk radioterapi maka
menggunakan kode Z51.0 sebagai diagnosis utama dan
neoplasma menjadi diagnosis sekunder

c. Pasien yang datang ke rawat jalan dan mendapatkan obat
kemoterapi oral, menggunakan kode Z51.1 sebagai diagnosis
utama.

d. Pasien dengan riwayat neoplasma ganas menggunakan kode
Z85.0 – Z85.9

e. Pasien yang menjalani pemeriksaan neoplasma karena riwayat
keluarga dengan neoplasma ganas menggunakan kode Z80.0 –
Z80.9

f. Pasien yang dirawat untuk mengatasi anemia yang terkait
dengan neoplasma dan perawatan hanya untuk anemia, maka
yang menjadi diagnosis utama adalah neoplasma sedangkan
anemia pada neoplasma (D63.0) menjadi diagnosis sekunder.

6. Penggunaan kode Z29.0 Isolasi digunakan untuk kasus orang yang
datang ke rumah sakit untuk melindungi dirinya dari lingkungannya
atau untuk isolasi individual setelah melakukan kontak dengan
penyakit menular.

7. Pasien yang telah melahirkan di FKTP, namun dirujuk oleh dokter
untuk melakukan tubektomi interval di FKRTL maka dikode
Sterilization (Z30.2) sebagai diagnosis utama.

8. Pengkodean Thalasemia :
a. Pasien Thalasemia Mayor adalah pasien yang mempunyai
diagnosis utama maupun sekunder mempunyai kode ICD-10
yaitu D56.1
b. Jika pasien Thalasemia Mayor pada saat kontrol ulang diberikan
obat kelasi besi (Deferipone, Deferoksamin, dan Deferasirox)
maka diinputkan sebagai rawat jalan dengan menggunakan kode
D56.1 sebagai diagnosis utama

9. Pemasangan infus pump hanya menggunakan kode 99.18
10. Educational therapy menggunakan kode 94.42

-54-

D. Episode
Episode adalah jangka waktu perawatan pasien mulai dari pasien

masuk sampai pasien keluar rumah sakit baik rawat jalan maupun rawat
inap, termasuk konsultasi/pemeriksaan dokter dan atau pemeriksaan
penunjang maupun pemeriksaan lainnya. Untuk setiap episode hanya
dapat dilakukan satu kali klaim.

Pada sistem INA-CBG ada 2 episode yaitu episode rawat jalan dan
rawat inap, dengan beberapa kriteria di bawah ini :

1. Episode rawat jalan
Satu episode rawat jalan adalah satu rangkaian pertemuan
konsultasi antara pasien dan dokter dan atau pemeriksaan
penunjang sesuai indikasi medis dan atau tatalaksana yang
diberikan pada hari pelayanan yang sama.

Ketentuan tambahan terkait dengan episode rawat jalan yaitu :

a) Pada pemeriksaan penunjang yang tidak dapat dilakukan pada
hari yang sama yaitu pemeriksaan penunjang yang sesuai
indikasi medis memerlukan persiapan khusus dan atau kendala
kapasitas pelayanan penunjang maka tidak dihitung sebagai
episode baru.

b) Pasien yang mendapatkan pemeriksaan penunjang dan hasil
pemeriksaan tersebut tidak dapat diselesaikan pada hari yang
sama akan mendapatkan pelayanan konsultasi dokter lanjutan
dan merupakan episode baru.
Contoh A :

Satu Episode

Konsultasi Pemeriksaan Konsultasi
dokter Penunjang dokter

1 Jan 1 Jan 1 Jan
2016 2016 2016

-55-

Pasien A berkunjung ke dokter pada tanggal 1 Januari 2016 dan
dilakukan pemeriksaan penunjang kemudian konsultasi ke
dokter kembali pada hari yang sama, maka rangkaian tersebut
adalah satu episode.

Contoh B :

Episode 1 Episode 2

Konsultasi Pemeriksaan Konsultasi
dokter Penunjang dokter

1 Jan 2016 2 Jan 2016 3 Jan 2016

Pasien B datang ke rumah sakit tanggal 1 Januari 2016 karena
pemeriksaan penunjang tidak dapat dilakukan pada hari yang
sama, sehingga pemeriksaan penunjang dilakukan pada tanggal
2 januari 2016. Pada tanggal 3 januari 2016 pasien datang
kembali untuk konsultasi ke dokter dengan membawa hasil
pemeriksaan penunjangnya. Maka episode pelayanan pasien B
adalah 2 episode yaitu sebagai berikut :

(1) Episode pertama tanggal 1 januari 2016 dan 2 januari 2016
terdiri dari konsultasi dokter dan pemeriksaan penunjang

(2) Episode kedua tanggal 3 januari 2016 untuk konsultasi
dokter

-56-

Contoh C :

Satu Episode

Pemeriksaan Konsultasi
Penunjang dokter

9 Feb 2016 10 Feb 2016

Pasien C (pasien lama) datang ke rumah sakit pada tanggal 9
Februari 2016 untuk dilakukan pemeriksaan penunjang. Pada
tanggal 10 Februari 2016 pasien datang kembali untuk
konsultasi ke dokter. Maka episode pelayanan pasien C adalah
satu episode yaitu tanggal 10 Februari 2016 yang terdiri dari
pemeriksaan penunjang dan konsultasi dokter
c) Dalam hal pelayanan berupa prosedur atau terapi yang
berkelanjutan di pelayanan rawat jalan seperti radioterapi,
kemoterapi, rehabilitasi medik, rehabilitasi psikososial, transfusi
darah, dan pelayanan gigi, episode yang berlaku adalah per satu
kali kunjungan.
d) Pasien yang datang ke rumah sakit mendapatkan pelayanan
rawat jalan pada satu atau lebih klinik spesialis pada hari yang
sama, terdiri dari satu atau lebih diagnosis, dimana diagnosis
satu dengan yang lain saling berhubungan atau tidak
berhubungan, dihitung sebagai satu episode.
e) Pelayanan IGD yang kurang dari 6 jam dan/atau belum
mendapatkan pelayanan rawat inap, termasuk dalam satu
episode rawat jalan.
f) Pasien datang kembali ke rumah sakit dalam keadaan darurat
pada hari pelayanan yang sama, maka keadaan darurat tersebut
dianggap sebagai episode baru walaupun dengan diagnosis yang
sama.
g) Pasien yang datang ke IGD dan pada hari yang sama datang
kembali ke rumah sakit untuk mendapatkan pelayanan rawat

-57-

jalan, maka tidak dihitung sebagai episode baru.
h) Untuk pasien mendapatkan pelayanan rawat inap kurang dari 6

jam yang selanjutnya dirujuk, maka ditetapkan sebagai episode
rawat jalan.

2. Episode Rawat Inap
Satu episode rawat inap adalah satu rangkaian perawatan mulai
tanggal masuk sampai keluar rumah sakit termasuk perawatan di
ruang rawat inap, ruang intensif, dan ruang operasi.

Ketentuan tambahan terkait dengan episode rawat inap yaitu :
a. Pelayanan rawat inap yang menjadi kelanjutan dari proses

perawatan di rawat jalan atau gawat darurat, maka pelayanan
tersebut sudah termasuk dalam satu episode rawat inap.
b. Pelayanan IGD lebih dari 6 jam, telah mendapatkan pelayanan
rawat inap dan secara administrasi telah menjadi pasien rawat
inap termasuk satu episode rawat inap.
c. Dalam hal pasien telah mendapatkan pelayanan rawat inap yang
lama perawatan kurang dari 6 jam dan pasien meninggal
termasuk satu episode rawat inap.
d. Dalam hal pasien dirawat inap dan mendapat rencana operasi :
1) Pasien batal operasi atas alasan medis dan harus dilakukan

rawat inap atas kondisi tersebut maka ditagihkan sebagai
rawat inap dengan diagnosis yang menyebabkan batal
operasi
2) Pasien batal operasi atas alasan medis namun dapat
dilakukan terapi rawat jalan atau pulang maka dapat
ditagihkan sebagai rawat inap dengan kode diagnosis Z53.0
3) Pasien batal operasi atas alasan kurangnya persiapan
operasi oleh FKRTL maka tidak dapat ditagihkan.

E. Tugas dan Tanggung Jawab
Untuk mendapatkan hasil grouper yang benar diperlukan kerjasama yang
baik antara dokter dan koder. Kelengkapan rekam medis yang ditulis oleh
dokter akan sangat membantu koder dalam memberikan kode diagnosis
dan tindakan/prosedur yang tepat. Berikut tugas dan tanggung jawab
dari dokter dan koder.

-58-

1. Dokter
Tugas dan tanggung jawab dokter adalah menegakkan dan
menuliskan diagnosis utama, diagnosis sekunder dan
tindakan/prosedur yang telah dilaksanakan serta membuat resume
medis pasien secara lengkap, jelas dan spesifik selama pasien dirawat
di rumah sakit.

2. Koder
Tugas dan tanggung jawab seorang koder adalah melakukan
kodifikasi diagnosis dan tindakan/prosedur yang ditulis oleh dokter
yang merawat pasien sesuai dengan ICD-10 untuk diagnosis dan
ICD-9-CM untuk tindakan/prosedur yang bersumber dari rekam
medis pasien. Apabila dalam melakukan pengkodean diagnosis atau
tindakan/prosedur koder menemukan kesulitan ataupun
ketidaksesuaian dengan aturan umum pengkodean, maka koder
harus melakukan klarifikasi dengan dokter.

-59-

BAB IV
APLIKASI INA-CBG

Aplikasi INA-CBG merupakan aplikasi yang digunakan dalam program
Jaminan Kesehatan Nasional (JKN) yang dimulai pada 1 Januari 2014. Aplikasi
ini sebelumnya juga telah digunakan dalam program jaminan Kesehatan yang
dicanangkan oleh pemerintah seperti JAMKESMAS pada tahun 2010 dengan
versi sebelumnya.

Aplikasi INA-CBG pertama kali dikembangkan dengan versi 1.5 yang
berkembang sampai dengan saat ini menjadi versi 5 dengan pengembangan
pada beberapa hal diantaranya :
1. Interface
2. Fitur
3. Grouper
4. Penambahan variable
5. Tarif INA-CBG
6. Modul Protokol Integrasi dengan SIMRS serta BPJS
7. Rancang bangun Pengumpulan data dari rumah sakit ke BPJS Kesehatan

dan Kementerian Kesehatan RI

Pada Aplikasi ini yang akan digunakan pada tahun 2016 telah mengalami
perubahan yang cukup signifikan baik dari segi interface maupun rancang
bangun alur pengiriman data.

Aplikasi INA-CBG sampai saat ini telah digunakan oleh rumah sakit, balai
dan klinik yang melayani peserta Jaminan Kesehatan Nasional (JKN)

Rumah sakit, balai dan klinik yang akan menggunakan aplikasi ini
diwajibkan memiliki kode registrasi yang dikeluarkan oleh Direktorat Jenderal
Pelayanan Kesehatan Kementerian Kesehataan RI. Kode registrasi adalah kode
bagi Fasilitas Kesehatan (faskes) yang dikeluarkan oleh Kementerian
Kesehatan RI yang menyatakan bawah faskes telah terdaftar di Kementerian
Kesehatan. Aplikasi INA-CBG diberikan secara gratis oleh Kementerian
Kesehatan kepada faskes atau pihak lain yang memerlukan sesuai dengan
kegunaannya. Persyaratan dan tatacara mendapatkan aplikasi INA-CBG
adalah sebagai berikut :

-60-

1. Bagi faskes yang belum memiliki kode registrasi

a. Faskes terlebih dahulu melakukan pengurusan kode registrasi secara

online melalui website : yankes.kemkes.go.id di Direktorat Jenderal

Pelayanan Kesehatan Kementerian Kesehatan RI.

b. Setelah mendapat kode registrasi, faskes diwajibkan menginformasikan

kepada Pusat Pembiayaan dan Jaminan Kesehatan untuk dapat

dimasukkan dalam aplikasi INA-CBG melalui email

[email protected] atau dapat langsung diserahkan ke Pusat

Pembiayaan dan Jaminan Kesehatan untuk selanjutnya database

faskes akan diberikan melalui email atau diberikan secara langsung

kepada faskes.

c. Aplikasi INA-CBG versi 5 dapat diperoleh dengan cara :
1) Mengunduh secara online melalui website inacbg.kemkes.go.id pada
menu download
2) Sekretariat Tim Tarif INA-CBG di Pusat Pembiayaan dan Jaminan
Kesehatan Lantai 14, Gdg. Prof. Suyudi Kementerian Kesehatan RI.
3) Dapat menyalin dari faskes terdekat yang telah memiliki aplikasi INA-
CBG versi 5 secara gratis
4) Tata cara instalasi dan operasional aplikasi dapat diunduh melalui
website inacbg.kemkes.go.id pada menu download

2. Bagi faskes yang telah memiliki kode registrasi dan pihak lain yang
memerlukan

a. Bagi faskes yang telah memiliki kode registrasi, namun belum terdaftar
dalam database INA-CBG versi 5 (setelah melakukan instalasi aplikasi
dan melakukan setup data faskes, namun tidak ditemukan data faskes
yang bersangkutan) dapat mengikuti langkah pada huruf b poin 1 diatas.

b. Untuk mendapatkan aplikasi dapat mengikuti langkah pada huruf c
diatas.

Beberapa hal yang perlu diperhatikan sebelum faskes dapat menggunakan
aplikasi INA-CBG versi 5 adalah melakukan pengecekan data setup faskes
pada aplikasi dengan kondisi faskes yang bersangkutan, beberapa hal sebagai
berikut :

-61-

1. Data Tarif faskes yang tertera dalam aplikasi sudah sesuai dengan kelas
faskes yang bersangkutan, dapat dilihat pada bagian kanan atas. Kelas
tarif INA-CBG faskes disesuaikan dengan SK Penetapan Kelas sesuai
dengan peraturan yang berlaku.

2. Data regionalisasi faskes sesuai dengan peraturan yang berlaku
3. Apabila ada ketidaksesuaian mengenai 2 point tersebut diatas, faskes

diwajibkan untuk melakukan pembaharuan (updating) data ke Sekretariat
Tim Tarif INA-CBG melalui email [email protected] atau datang
langsung ke Sekretariat Tim Tarif INA-CBG.
4. Database hasil updating akan diupload melalui website inacbg.kemkes.go.id
dan faskes dapat mendownload setelah mendapatkan feedback dari
Sekretariat Tim Tarif INA-CBG melalui email.

Setiap pembaharuan informasi mengenai sistem INA-CBG dan pendukungnya
akan dipublikasikan dalam website inacbg.kemkes.go.id.
Pertanyaan dan pemecahan masalah mengenai aplikasi INA-CBG versi 5 dapat
diemail ke [email protected] pada Subject email diberi judul sebagai
berikut :

• Perihal Updating database  UPDATE_KELAS_NAMA RS_KDRS
Perihal Penyesuaian Regionalisasi  UPDATE_REG_NAMA RS_KDRS
 LAIN2_APLIKASI_NAMA RS_KDRS
• Perihal Pemecahan Masalah Lain

Contoh :
UPDATE_AP_RS NCC_123456
Mohon pada badan email dapat diberikan informasi sebagai berikut :

a. Kode faskes
b. Nama faskes (HURUF BESAR)
c. Alamat faskes (HURUF BESAR)
d. Kabupaten/Kota (HURUF BESAR)
e. Propinsi (HURUF BESAR)
f. Kelas faskes
g. Regional pada tarif INA-CBG

-62-

BAB V
PENUTUP

Dalam metode pembayaran INA-CBG, terjadi perubahan cara pandang
dan perilaku dalam pengelolaan rumah sakit serta pelayanan terhadap pasien.
Rumah sakit harus memulai perubahan cara pandang dari pola pembayaran
fee for service ke pembayaran dari mulai tingkat manajemen rumah sakit,
dokter dan seluruh karyawan rumah sakit.

Seluruh komponen dalam rumah sakit harus bisa bekerja sama untuk
melakukan upaya efisiensi dan mutu pelayanan.dan memiliki komitmen untuk
melakukan efisiensi karena inefisiensi di salah satu bagian rumah sakit akan
menjadi beban seluruh komponen rumah sakit.

Dalam proses pembentukan tarif INA-CBG dilakukan pengumpulan data
keuangan secara agregat sehingga analisa kecukupan tarif juga harus
menggunakan data agregat, tidak bisa lagi melihat kasus per kasus yang rugi
atau untung, yang perlu dilihat adalah secara agregat pendapatan rumah
sakit, hal ini dikarenakan dalam tarif INA-CBG yang terdiri dari 1.075 group
tarif berlaku sistem subsidi silang antar group yang ada.

MENTERI KESEHATAN
REPUBLIK INDONESIA,

ttd

NILA FARID MOELOEK

-1-

Daftar Kode Diagnosis untuk Pelayanan
Sesuai dengan Kekhususan Rumah Sakit

A. Rumah Sakit Khusus Kanker

Kode Deskripsi
C000 Malignant neoplasm, external upper lip
C001 Malignant neoplasm, external lower lip
C002 Malignant neoplasm, external lip, unspecified
C003 Malignant neoplasm, upper lip, inner aspect
C004 Malignant neoplasm, lower lip, inner aspect
C005 Malignant neoplasm, lip, unspecified, inner aspect
C006 Malignant neoplasm, commissure of lip
C008 Malignant neoplasm, overlapping lesion of lip
C009 Malignant neoplasm, lip, unspecified
C01 Malignant neoplasm of base of tongue
C020 Malignant neoplasm, dorsal surface of tongue
C021 Malignant neoplasm, border of tongue
C022 Malignant neoplasm, ventral surface of tongue
C023 Malignant neoplasm, anterior two-thirds of tongue, part unspecified
C024 Malignant neoplasm, lingual tonsil
C028 Malignant neoplasm, overlapping lesion of tongue
C029 Malignant neoplasm, tongue, unspecified
C030 Malignant neoplasm, upper gum
C031 Malignant neoplasm, lower gum
C039 Malignant neoplasm, gum, unspecified
C040 Malignant neoplasm, anterior floor of mouth
C041 Malignant neoplasm, lateral floor of mouth
C048 Malignant neoplasm, overlapping lesion of floor of mouth
C049 Malignant neoplasm, floor of mouth, unspecified
C050 Malignant neoplasm, hard palate
C051 Malignant neoplasm, soft palate
C052 Malignant neoplasm, uvula
C058 Malignant neoplasm, overlapping lesion of palate
C059 Malignant neoplasm, palate, unspecified
C060 Malignant neoplasm, cheek mucosa
C061 Malignant neoplasm, vestibule of mouth
C062 Malignant neoplasm, retromolar area
C068 Malignant neoplasm, overlapping lesion of other and unspecified parts of mouth
C069 Malignant neoplasm, mouth, unspecified
C07 Malignant neoplasm of parotid gland
C080 Malignant neoplasm, submandibular gland
C081 Malignant neoplasm, sublingual gland
C088 Malignant neoplasm, overlapping lesion of major salivary glands
C089 Malignant neoplasm, major salivary gland, unspecified
C090 Malignant neoplasm, tonsillar fossa
C091 Malignant neoplasm, tonsillar pillar (anterior)(posterior)
C098 Malignant neoplasm, overlapping lesion of tonsil

-2-

Kode Deskripsi
C099 Malignant neoplasm, tonsil, unspecified
C100 Malignant neoplasm, vallecula
C101 Malignant neoplasm, anterior surface of epiglottis
C102 Malignant neoplasm, lateral wall of oropharynx
C103 Malignant neoplasm, posterior wall of oropharynx
C104 Malignant neoplasm, branchial cleft
C108 Malignant neoplasm, overlapping lesion of oropharynx
C109 Malignant neoplasm, oropharynx, unspecified
C110 Malignant neoplasm, superior wall of nasopharynx
C111 Malignant neoplasm, posterior wall of nasopharynx
C112 Malignant neoplasm, lateral wall of nasopharynx
C113 Malignant neoplasm, anterior wall of nasopharynx
C118 Malignant neoplasm, overlapping lesion of nasopharynx
C119 Malignant neoplasm, nasopharynx, unspecified
C12 Malignant neoplasm of pyriform sinus
C130 Malignant neoplasm, postcricoid region
C131 Malignant neoplasm, aryepiglottic fold, hypopharyngeal aspect
C132 Malignant neoplasm, posterior wall of hypopharynx
C138 Malignant neoplasm, overlapping lesion of hypopharynx
C139 Malignant neoplasm, hypopharynx, unspecified
C140 Malignant neoplasm, pharynx, unspecified
C141 Malignant neoplasm of laryngopharynx
C142 Malignant neoplasm, waldeyer's ring
C148 Malignant neoplasm, overlapping lesion of lip, oral cavity and pharynx
C150 Malignant neoplasm, cervical part of oesophagus
C151 Malignant neoplasm, thoracic part of oesophagus
C152 Malignant neoplasm, abdominal part of oesophagus
C153 Malignant neoplasm, upper third of oesophagus
C154 Malignant neoplasm, middle third of oesophagus
C155 Malignant neoplasm, lower third of oesophagus
C158 Malignant neoplasm, overlapping lesion of oesophagus
C159 Malignant neoplasm, oesophagus, unspecified
C160 Malignant neoplasm, cardia
C161 Malignant neoplasm, fundus of stomach
C162 Malignant neoplasm, body of stomach
C163 Malignant neoplasm, pyloric antrum
C164 Malignant neoplasm, pylorus
C165 Malignant neoplasm, lesser curvature of stomach, unspecified
C166 Malignant neoplasm, greater curvature of stomach, unspecified
C168 Malignant neoplasm, overlapping lesion of stomach
C169 Malignant neoplasm, stomach, unspecified
C170 Malignant neoplasm, duodenum
C171 Malignant neoplasm, jejunum
C172 Malignant neoplasm, ileum
C173 Malignant neoplasm, meckel's diverticulum
C178 Malignant neoplasm, overlapping lesion of small intestine
C179 Malignant neoplasm, small intestine, unspecified
C180 Malignant neoplasm, caecum

-3-

Kode Deskripsi
C181 Malignant neoplasm, appendix
C182 Malignant neoplasm, ascending colon
C183 Malignant neoplasm, hepatic flexure
C184 Malignant neoplasm, transverse colon
C185 Malignant neoplasm, splenic flexure
C186 Malignant neoplasm, descending colon
C187 Malignant neoplasm, sigmoid colon
C188 Malignant neoplasm, overlapping lesion of colon
C189 Malignant neoplasm, colon, unspecified
C19 Malignant neoplasm of rectosigmoid junction
C20 Malignant neoplasm of rectum
C210 Malignant neoplasm, anus, unspecified
C211 Malignant neoplasm, anal canal
C212 Malignant neoplasm, cloacogenic zone
C218 Malignant neoplasm, overlapping lesion of rectum, anus and anal canal
C220 Malignant neoplasm, liver cell carcinoma
C221 Malignant neoplasm, intrahepatic bile duct carcinoma
C222 Malignant neoplasm, hepatoblastoma
C223 Malignant neoplasm, angiosarcoma of liver
C224 Malignant neoplasm, other sarcomas of liver
C227 Malignant neoplasm, other specified carcinomas of liver
C229 Malignant neoplasm, liver, unspecified
C23 Malignant neoplasm of gallbladder
C240 Malignant neoplasm, extrahepatic bile duct
C241 Malignant neoplasm, ampulla of vater
C248 Malignant neoplasm, overlapping lesion of biliary tract
C249 Malignant neoplasm, biliary tract, unspecified
C250 Malignant neoplasm, head of pancreas
C251 Malignant neoplasm, body of pancreas
C252 Malignant neoplasm, tail of pancreas
C253 Malignant neoplasm, pancreatic duct
C254 Malignant neoplasm, endocrine pancreas
C257 Malignant neoplasm, other parts of pancreas
C258 Malignant neoplasm, overlapping lesion of pancreas
C259 Malignant neoplasm, pancreas, unspecified
C260 Malignant neoplasm, intestinal tract, part unspecified
C261 Malignant neoplasm, spleen
C268 Malignant neoplasm, overlapping lesion of digestive system
C269 Malignant neoplasm, ill-defined sites within the digestive system
C300 Malignant neoplasm, nasal cavity
C301 Malignant neoplasm, middle ear
C310 Malignant neoplasm, maxillary sinus
C311 Malignant neoplasm, ethmoidal sinus
C312 Malignant neoplasm, frontal sinus
C313 Malignant neoplasm, sphenoidal sinus
C318 Malignant neoplasm, overlapping lesion of accessory sinuses
C319 Malignant neoplasm, accessory sinus, unspecified
C320 Malignant neoplasm, glottis

-4-

Kode Deskripsi
C321 Malignant neoplasm, supraglottis
C322 Malignant neoplasm, subglottis
C323 Malignant neoplasm, laryngeal cartilage
C328 Malignant neoplasm, overlapping lesion of larynx
C329 Malignant neoplasm, larynx, unspecified
C33 Malignant neoplasm of trachea
C340 Malignant neoplasm, main bronchus
C341 Malignant neoplasm, upper lobe, bronchus or lung
C342 Malignant neoplasm, middle lobe, bronchus or lung
C343 Malignant neoplasm, lower lobe, bronchus or lung
C348 Malignant neoplasm, overlapping lesion of bronchus and lung
C349 Malignant neoplasm, bronchus or lung, unspecified
C37 Malignant neoplasm of thymus
C380 Malignant neoplasm, heart
C381 Malignant neoplasm, anterior mediastinum
C382 Malignant neoplasm, posterior mediastinum
C383 Malignant neoplasm, mediastinum, part unspecified
C384 Malignant neoplasm, pleura
C388 Malignant neoplasm, overlapping lesion of heart, mediastinum and pleura
C390 Malignant neoplasm, upper respiratory tract, part unspecified
C398 Malignant neoplasm, overlapping lesion of respiratory and intrathoracic organs
C399 Malignant neoplasm, ill-defined sites within the respiratory system
C400 Malignant neoplasm, scapula and long bones of upper limb
C401 Malignant neoplasm, short bones of upper limb
C402 Malignant neoplasm, long bones of lower limb
C403 Malignant neoplasm, short bones of lower limb
C408 Malignant neoplasm, overlapping lesion of bone and articular cartilage of limbs
C409 Malignant neoplasm, bone and articular cartilage of limb, unspecified
C410 Malignant neoplasm, bones of skull and face
C411 Malignant neoplasm, mandible
C412 Malignant neoplasm, vertebral column
C413 Malignant neoplasm, ribs, sternum and clavicle
C414 Malignant neoplasm, pelvic bones, sacrum and coccyx
C418 Malignant neoplasm, overlapping lesion of bone and articular cartilage
C419 Malignant neoplasm, bone and articular cartilage, unspecified
C430 Malignant melanoma of lip
C431 Malignant melanoma of eyelid, including canthus
C432 Malignant melanoma of ear and external auricular canal
C433 Malignant melanoma of other and unspecified parts of face
C434 Malignant melanoma of scalp and neck
C435 Malignant melanoma of trunk
C436 Malignant melanoma of upper limb, including shoulder
C437 Malignant melanoma of lower limb, including hip
C438 Malignant neoplasm, overlapping malignant melanoma of skin
C439 Malignant melanoma of skin, unspecified
C440 Malignant neoplasm, skin of lip
C441 Malignant neoplasm, skin of eyelid, including canthus
C442 Malignant neoplasm, skin of ear and external auricular canal

-5-

Kode Deskripsi
C443 Malignant neoplasm, skin of other and unspecified parts of face
C444 Malignant neoplasm, skin of scalp and neck
C445 Malignant neoplasm, skin of trunk
C446 Malignant neoplasm, skin of upper limb, including shoulder
C447 Malignant neoplasm, skin of lower limb, including hip
C448 Malignant neoplasm, overlapping lesion of skin
C449 Malignant neoplasm of skin, unspecified
C450 Mesothelioma of pleura
C451 Mesothelioma of peritoneum
C452 Mesothelioma of pericardium
C457 Mesothelioma of other sites
C459 Mesothelioma, unspecified
C460 Kaposi's sarcoma of skin
C461 Kaposi's sarcoma of soft tissue
C462 Kaposi's sarcoma of palate
C463 Kaposi's sarcoma of lymph nodes
C467 Kaposi's sarcoma of other sites
C468 Kaposi's sarcoma of multiple organs
C469 Kaposi's sarcoma, unspecified
C470 Malignant neoplasm, peripheral nerves of head, face and neck
C471 Malignant neoplasm, peripheral nerves of upper limb, including shoulder
C472 Malignant neoplasm, peripheral nerves of lower limb, including hip
C473 Malignant neoplasm, peripheral nerves of thorax
C474 Malignant neoplasm, peripheral nerves of abdomen
C475 Malignant neoplasm, peripheral nerves of pelvis
C476 Malignant neoplasm, peripheral nerves of trunk, unspecified
C478 Malignant neoplasm, overlapping lesion peripheral nerve/autonomic nervous syst
C479 Malignant neoplasm, peripheral nerves and autonomic nervous system, unspecified
C480 Malignant neoplasm, retroperitoneum
C481 Malignant neoplasm, specified parts of peritoneum
C482 Malignant neoplasm, peritoneum, unspecified
C488 Malignant neoplasm, overlapping lesion of retroperitoneum and peritoneum
C490 Malignant neoplasm, connective and soft tissue of head, face and neck
C491 Malignant neoplasm, connective and soft tissue of upper limb, including shoulder
C492 Malignant neoplasm, connective and soft tissue of lower limb, including hip
C493 Malignant neoplasm, connective and soft tissue of thorax
C494 Malignant neoplasm, connective and soft tissue of abdomen
C495 Malignant neoplasm, connective and soft tissue of pelvis
C496 Malignant neoplasm, connective and soft tissue of trunk, unspecified
C498 Malignant neoplasm, overlapping lesion of connective and soft tissue
C499 Malignant neoplasm, connective and soft tissue, unspecified
C500 Malignant neoplasm, nipple and areola
C501 Malignant neoplasm, central portion of breast
C502 Malignant neoplasm, upper-inner quadrant of breast
C503 Malignant neoplasm, lower-inner quadrant of breast
C504 Malignant neoplasm, upper-outer quadrant of breast
C505 Malignant neoplasm, lower-outer quadrant of breast
C506 Malignant neoplasm, axillary tail of breast

-6-

Kode Deskripsi
C508 Malignant neoplasm, overlapping lesion of breast
C509 Malignant neoplasm, breast, unspecified
C510 Malignant neoplasm, labium majus
C511 Malignant neoplasm, labium minus
C512 Malignant neoplasm, clitoris
C518 Malignant neoplasm, overlapping lesion of vulva
C519 Malignant neoplasm, vulva, unspecified
C52 Malignant neoplasm of vagina
C530 Malignant neoplasm, endocervix
C531 Malignant neoplasm, exocervix
C538 Malignant neoplasm, overlapping lesion of cervix uteri
C539 Malignant neoplasm, cervix uteri, unspecified
C540 Malignant neoplasm, isthmus uteri
C541 Malignant neoplasm, endometrium
C542 Malignant neoplasm, myometrium
C543 Malignant neoplasm, fundus uteri
C548 Malignant neoplasm, overlapping lesion of corpus uteri
C549 Malignant neoplasm, corpus uteri, unspecified
C55 Malignant neoplasm of uterus, part unspecified
C56 Malignant neoplasm of ovary
C570 Malignant neoplasm, fallopian tube
C571 Malignant neoplasm, broad ligament
C572 Malignant neoplasm, round ligament
C573 Malignant neoplasm, parametrium
C574 Malignant neoplasm, uterine adnexa, unspecified
C577 Malignant neoplasm, other specified female genital organs
C578 Malignant neoplasm, overlapping lesion of female genital organs
C579 Malignant neoplasm, female genital organ, unspecified
C58 Malignant neoplasm of placenta
C600 Malignant neoplasm, prepuce
C601 Malignant neoplasm, glans penis
C602 Malignant neoplasm, body of penis
C608 Malignant neoplasm, overlapping lesion of penis
C609 Malignant neoplasm, penis, unspecified
C61 Malignant neoplasm of prostate
C620 Malignant neoplasm, undescended testis
C621 Malignant neoplasm, descended testis
C629 Malignant neoplasm, testis, unspecified
C630 Malignant neoplasm, epididymis
C631 Malignant neoplasm, spermatic cord
C632 Malignant neoplasm, scrotum
C637 Malignant neoplasm, other specified male genital organs
C638 Malignant neoplasm, overlapping lesion of male genital organs
C639 Malignant neoplasm, male genital organ, unspecified
C64 Malignant neoplasm of kidney, except renal pelvis
C65 Malignant neoplasm of renal pelvis
C66 Malignant neoplasm of ureter
C670 Malignant neoplasm, trigone of bladder

-7-

Kode Deskripsi
C671 Malignant neoplasm, dome of bladder
C672 Malignant neoplasm, lateral wall of bladder
C673 Malignant neoplasm, anterior wall of bladder
C674 Malignant neoplasm, posterior wall of bladder
C675 Malignant neoplasm, bladder neck
C676 Malignant neoplasm, ureteric orifice
C677 Malignant neoplasm, urachus
C678 Malignant neoplasm, overlapping lesion of bladder
C679 Malignant neoplasm, bladder, unspecified
C680 Malignant neoplasm, urethra
C681 Malignant neoplasm, paraurethral gland
C688 Malignant neoplasm, overlapping lesion of urinary organs
C689 Malignant neoplasm, urinary organ, unspecified
C690 Malignant neoplasm, conjunctiva
C691 Malignant neoplasm, cornea
C692 Malignant neoplasm, retina
C693 Malignant neoplasm, choroid
C694 Malignant neoplasm, ciliary body
C695 Malignant neoplasm, lacrimal gland and duct
C696 Malignant neoplasm, orbit
C698 Malignant neoplasm, overlapping lesion of eye and adnexa
C699 Malignant neoplasm, eye, unspecified
C700 Malignant neoplasm, cerebral meninges
C701 Malignant neoplasm, spinal meninges
C709 Malignant neoplasm, meninges, unspecified
C710 Malignant neoplasm, cerebrum, except lobes and ventricles
C711 Malignant neoplasm, frontal lobe
C712 Malignant neoplasm, temporal lobe
C713 Malignant neoplasm, parietal lobe
C714 Malignant neoplasm, occipital lobe
C715 Malignant neoplasm, cerebral ventricle
C716 Malignant neoplasm, cerebellum
C717 Malignant neoplasm, brain stem
C718 Malignant neoplasm, overlapping lesion of brain
C719 Malignant neoplasm, brain, unspecified
C720 Malignant neoplasm, spinal cord
C721 Malignant neoplasm, cauda equina
C722 Malignant neoplasm, olfactory nerve
C723 Malignant neoplasm, optic nerve
C724 Malignant neoplasm, acoustic nerve
C725 Malignant neoplasm, other and unspecified cranial nerves
C728 Malignant neoplasm, overlapping lesion of brain and other parts of cns
C729 Malignant neoplasm, central nervous system, unspecified
C73 Malignant neoplasm of thyroid gland
C740 Malignant neoplasm, cortex of adrenal gland
C741 Malignant neoplasm, medulla of adrenal gland
C749 Malignant neoplasm, adrenal gland, unspecified
C750 Malignant neoplasm, parathyroid gland

-8-

Kode Deskripsi
C751 Malignant neoplasm, pituitary gland
C752 Malignant neoplasm, craniopharyngeal duct
C753 Malignant neoplasm, pineal gland
C754 Malignant neoplasm, carotid body
C755 Malignant neoplasm, aortic body and other paraganglia
C758 Malignant neoplasm, pluriglandular involvement, unspecified
C759 Malignant neoplasm, endocrine gland, unspecified
C760 Malignant neoplasm, head, face and neck
C761 Malignant neoplasm, thorax
C762 Malignant neoplasm, abdomen
C763 Malignant neoplasm, pelvis
C764 Malignant neoplasm, upper limb
C765 Malignant neoplasm, lower limb
C767 Malignant neoplasm, other ill-defined sites
C768 Malignant neoplasm, overlapping lesion of other and ill-defined sites
C770 Secondary malignant neoplasm, lymph nodes of head, face and neck
C771 Secondary malignant neoplasm, intrathoracic lymph nodes
C772 Secondary malignant neoplasm, intra-abdominal lymph nodes
C773 Secondary malignant neoplasm, axillary and upper limb lymph nodes
C774 Secondary malignant neoplasm, inguinal and lower limb lymph nodes
C775 Secondary malignant neoplasm, intrapelvic lymph nodes
C778 Secondary malignant neoplasm, lymph nodes of multiple regions
C779 Secondary malignant neoplasm, lymph node, unspecified
C780 Secondary malignant neoplasm of lung
C781 Secondary malignant neoplasm of mediastinum
C782 Secondary malignant neoplasm of pleura
C783 Secondary malignant neoplasm, other and unspecified respiratory organs
C784 Secondary malignant neoplasm of small intestine
C785 Secondary malignant neoplasm of large intestine and rectum
C786 Sec malignant neoplasm of retroperitoneum and peritoneum
C787 Secondary malignant neoplasm of liver
C788 Sec malignant neoplasm of other and unspec digestive organs
C790 Secondary malignant neoplasm of kidney and renal pelvis
C791 Sec malignant neo bladder and oth and unspec urinary organ
C792 Secondary malignant neoplasm of skin
C793 Secondary malignant neoplasm of brain and cerebral meninges
C794 Sec malignant neo of other and unspec parts of nervous sys
C795 Secondary malignant neoplasm of bone and bone marrow
C796 Secondary malignant neoplasm of ovary
C797 Secondary malignant neoplasm of adrenal gland
C798 Secondary malignant neoplasm of other specified sites
C80 Malignant neoplasm without specification of site
C810 Hodgkin's disease, Lymphocytic predominance
C811 Hodgkin's disease, Nodular sclerosis
C812 Hodgkin's disease, Mixed cellularity
C813 Hodgkin's disease, Lymphocytic depletion
C817 Other hodgkin's disease
C819 Hodgkin's disease, unspecified

-9-

Kode Deskripsi
C820 Follicular non-hodgkin's lymphoma, Small cleaved cell, follicular
C821 Follicular non-hodgkin's lymphoma, Mixed small cleaved and large cell, follicular
C822 Follicular non-hodgkin's lymphoma, Large cell, follicular
C827 Other types of follicular non-hodgkin's lymphoma
C829 Follicular non-hodgkin's lymphoma, unspecified
C830 Diffuse non-hodgkin's lymphoma, Small cell (diffuse)
C831 Diffuse non-hodgkin's lymphoma, Small cleaved cell (diffuse)
C832 Diffuse non-hodgkin's lymphoma, Mixed small and large cell (diffuse)
C833 Diffuse non-hodgkin's lymphoma, Large cell (diffuse)
C834 Diffuse non-hodgkin's lymphoma, Immunoblastic (diffuse)
C835 Diffuse non-hodgkin's lymphoma, Lymphoblastic (diffuse)
C836 Diffuse non-hodgkin's lymphoma, Undifferentiated (diffuse)
C837 Diffuse non-hodgkin's lymphoma, Burkitt's tumour
C838 Other types of diffuse non-hodgkin's lymphoma
C839 Diffuse non-hodgkin's lymphoma, unspecified
C840 Peripheral and cutaneous T-cell lymphoma, Mycosis fungoides
C841 Peripheral and cutaneous T-cell lymphoma, Sezary's disease
C842 Peripheral and cutaneous T-cell lymphoma, T-zone lymphoma
C843 Peripheral and cutaneous T-cell lymphoma, Lymphoepithelioid lymphoma
C844 Peripheral t-cell lymphoma
C845 Other and unspecified t-cell lymphomas
C850 Lymphosarcoma
C851 B-cell lymphoma, unspecified
C857 Other specified types of non-hodgkin's lymphoma
C859 Non-hodgkin's lymphoma, unspecified type
C880 Waldenstram's macroglobulinaemia
C881 Alpha heavy chain disease
C882 Gamma heavy chain disease
C883 Immunoproliferative small intestinal disease
C887 Other malignant immunoproliferative diseases
C889 Malignant immunoproliferative diseases, unspecified
C900 Multiple myeloma
C901 Plasma cell leukaemia
C902 Plasmacytoma, extramedullary
C910 Acute lymphoblastic leukaemia
C911 Chronic lymphocytic leukaemia
C912 Subacute lymphocytic leukaemia
C913 Prolymphocytic leukaemia
C914 Hairy-cell leukaemia
C915 Adult t-cell leukaemia
C917 Other lymphoid leukaemia
C919 Lymphoid leukaemia, unspecified
C920 Acute myeloid leukaemia
C921 Chronic myeloid leukaemia
C922 Subacute myeloid leukaemia
C923 Myeloid sarcoma
C924 Acute promyelocytic leukaemia
C925 Acute myelomonocytic leukaemia

-10-

Kode Deskripsi
C927 Other myeloid leukaemia
C929 Myeloid leukaemia, unspecified
C930 Acute monocytic leukaemia
C931 Chronic monocytic leukaemia
C932 Subacute monocytic leukaemia
C937 Other monocytic leukaemia
C939 Monocytic leukaemia, unspecified
C940 Acute erythraemia and erythroleukaemia
C941 Chronic erythraemia
C942 Acute megakaryoblastic leukaemia
C943 Mast cell leukaemia
C944 Acute panmyelosis
C945 Acute myelofibrosis
C947 Other specified leukaemias
C950 Acute leukaemia of unspecified cell type
C951 Chronic leukaemia of unspecified cell type
C952 Subacute leukaemia of unspecified cell type
C957 Other leukaemia of unspecified cell type
C959 Leukaemia, unspecified
C960 Letterer-siwe disease
C961 Malignant histiocytosis
C962 Malignant mast cell tumour
C963 True histiocytic lymphoma
C967 Other specified malignant neoplasm lymphoid, hematopoietic & related tissue
C969 Malignant neoplasm of lymphoid, haematopoietic and related tissue, unspecified
C97 Malignant neoplasms of independent (primary) multiple sites
D000 Carcinoma in situ of lip, oral cavity and pharynx
D001 Carcinoma in situ of oesophagus
D002 Carcinoma in situ of stomach
D010 Carcinoma in situ of colon
D011 Carcinoma in situ of rectosigmoid junction
D012 Carcinoma in situ of rectum
D013 Carcinoma in situ of anus and anal canal
D014 Carcinoma in situ of other and unspecified parts of intestine
D015 Carcinoma in situ of liver, gallbladder and bile ducts
D017 Carcinoma in situ of other specified digestive organs
D019 Carcinoma in situ of digestive organ, unspecified
D020 Carcinoma in situ of larynx
D021 Carcinoma in situ of trachea
D022 Carcinoma in situ of bronchus and lung
D023 Carcinoma in situ of other parts of respiratory system
D024 Carcinoma in situ of respiratory system, unspecified
D030 Melanoma in situ of lip
D031 Melanoma in situ of eyelid, including canthus
D032 Melanoma in situ of ear and external auricular canal
D033 Melanoma in situ of other and unspecified parts of face
D034 Melanoma in situ of scalp and neck
D035 Melanoma in situ of trunk

-11-

Kode Deskripsi
D036 Melanoma in situ of upper limb, including shoulder
D037 Melanoma in situ of lower limb, including hip
D038 Melanoma in situ of other sites
D039 Melanoma in situ, unspecified
D040 Carcinoma in situ skin of lip
D041 Carcinoma in situ skin of eyelid, including canthus
D042 Carcinoma in situ skin of ear and external auricular canal
D043 Carcinoma in situ skin of other and unspecified parts of face
D044 Carcinoma in situ skin of scalp and neck
D045 Carcinoma in situ skin of trunk
D046 Carcinoma in situ skin of upper limb, including shoulder
D047 Carcinoma in situ skin of lower limb, including hip
D048 Carcinoma in situ skin of other sites
D049 Carcinoma in situ skin, unspecified
D050 Lobular carcinoma in situ
D051 Intraductal carcinoma in situ
D057 Other carcinoma in situ of breast
D059 Carcinoma in situ of breast, unspecified
D060 Carcinoma in situ of endocervix
D061 Carcinoma in situ of exocervix
D067 Carcinoma in situ of other parts of cervix
D069 Carcinoma in situ of cervix, unspecified
D070 Carcinoma in situ of endometrium
D071 Carcinoma in situ of vulva
D072 Carcinoma in situ of vagina
D073 Carcinoma in situ of other and unspecified female genital organs
D074 Carcinoma in situ of penis
D075 Carcinoma in situ of prostate
D076 Carcinoma in situ of other and unspecified male genital organs
D090 Carcinoma in situ of bladder
D091 Carcinoma in situ of other and unspecified urinary organs
D092 Carcinoma in situ of eye
D093 Carcinoma in situ of thyroid and other endocrine glands
D097 Carcinoma in situ of other specified sites
D099 Carcinoma in situ, unspecified
D100 Benign neoplasm, lip
D101 Benign neoplasm, tongue
D102 Benign neoplasm, floor of mouth
D103 Benign neoplasm, other and unspecified parts of mouth
D104 Benign neoplasm, tonsil
D105 Benign neoplasm, other parts of oropharynx
D106 Benign neoplasm, nasopharynx
D107 Benign neoplasm, hypopharynx
D109 Benign neoplasm, pharynx, unspecified
D110 Benign neoplasm, parotid gland
D117 Benign neoplasm, other major salivary glands
D119 Benign neoplasm, major salivary gland, unspecified
D120 Benign neoplasm, caecum

-12-

Kode Deskripsi
D121 Benign neoplasm, appendix
D122 Benign neoplasm, ascending colon
D123 Benign neoplasm, transverse colon
D124 Benign neoplasm, descending colon
D125 Benign neoplasm, sigmoid colon
D126 Benign neoplasm, colon, unspecified
D127 Benign neoplasm, rectosigmoid junction
D128 Benign neoplasm, rectum
D129 Benign neoplasm, anus and anal canal
D130 Benign neoplasm, oesophagus
D131 Benign neoplasm, stomach
D132 Benign neoplasm, duodenum
D133 Benign neoplasm, other and unspecified parts of small intestine
D134 Benign neoplasm, liver
D135 Benign neoplasm, extrahepatic bile ducts
D136 Benign neoplasm, pancreas
D137 Benign neoplasm, endocrine pancreas
D139 Benign neoplasm, ill-defined sites within the digestive system
D140 Benign neoplasm, middle ear, nasal cavity and accessory sinuses
D141 Benign neoplasm, larynx
D142 Benign neoplasm, trachea
D143 Benign neoplasm, bronchus and lung
D144 Benign neoplasm, respiratory system, unspecified
D150 Benign neoplasm, thymus
D151 Benign neoplasm, heart
D152 Benign neoplasm, mediastinum
D157 Benign neoplasm, other specified intrathoracic organs
D159 Benign neoplasm, intrathoracic organ, unspecified
D160 Benign neoplasm, scapula and long bones of upper limb
D161 Benign neoplasm, short bones of upper limb
D162 Benign neoplasm, long bones of lower limb
D163 Benign neoplasm, short bones of lower limb
D164 Benign neoplasm, bones of skull and face
D165 Benign neoplasm, lower jaw bone
D166 Benign neoplasm, vertebral column
D167 Benign neoplasm, ribs, sternum and clavicle
D168 Benign neoplasm, pelvic bones, sacrum and coccyx
D169 Benign neoplasm, bone and articular cartilage, unspecified
D170 Benign lipomatous neopl skin/subcut tis head face & neck
D171 Benign lipomatous neoplasm skin and subcut tissue of trunk
D172 Benign lipomatous neoplasm skin and subcut tissue of limbs
D173 Benign lipomatous neopl skin/subcut tis other/unspec sites
D174 Benign lipomatous neoplasm of intrathoracic organs
D175 Benign lipomatous neoplasm of intra-abdominal organs
D176 Benign lipomatous neoplasm of spermatic cord
D177 Benign lipomatous neoplasm of other sites
D179 Benign lipomatous neoplasm, unspecified
D180 Haemangioma, any site

-13-

Kode Deskripsi
D181 Lymphangioma, any site
D190 Benign neoplasm, mesothelial tissue of pleura
D191 Benign neoplasm, mesothelial tissue of peritoneum
D197 Benign neoplasm, mesothelial tissue of other sites
D199 Benign neoplasm, mesothelial tissue, unspecified
D200 Benign neoplasm, retroperitoneum
D201 Benign neoplasm, peritoneum
D210 Benign neoplasm, connective and other soft tissue of head, face and neck
D211 Benign neoplasm, connective and other soft tis of upper limb, inc shoulder
D212 Benign neoplasm, connective and other soft tissue of lower limb, inc hip
D213 Benign neoplasm, connective and other soft tissue of thorax
D214 Benign neoplasm, connective and other soft tissue of abdomen
D215 Benign neoplasm, connective and other soft tissue of pelvis
D216 Benign neoplasm, connective and other soft tissue of trunk, unspecified
D219 Benign neoplasm, connective and other soft tissue, unspecified
D220 Melanocytic naevi of lip
D221 Melanocytic naevi of eyelid, including canthus
D222 Melanocytic naevi of ear and external auricular canal
D223 Melanocytic naevi of other and unspecified parts of face
D224 Melanocytic naevi of scalp and neck
D225 Melanocytic naevi of trunk
D226 Melanocytic naevi of upper limb, including shoulder
D227 Melanocytic naevi of lower limb, including hip
D229 Melanocytic naevi, unspecified
D230 Benign neoplasm, skin of lip
D231 Benign neoplasm, skin of eyelid, including canthus
D232 Benign neoplasm, skin of ear and external auricular canal
D233 Benign neoplasm, skin of other and unspecified parts of face
D234 Benign neoplasm, skin of scalp and neck
D235 Benign neoplasm, skin of trunk
D236 Benign neoplasm, skin of upper limb, including shoulder
D237 Benign neoplasm, skin of lower limb, including hip
D239 Benign neoplasm, skin, unspecified
D24 Benign neoplasm of breast
D250 Submucous leiomyoma of uterus
D251 Intramural leiomyoma of uterus
D252 Subserosal leiomyoma of uterus
D259 Leiomyoma of uterus, unspecified
D260 Benign neoplasm, cervix uteri
D261 Benign neoplasm, corpus uteri
D267 Benign neoplasm, other parts of uterus
D269 Benign neoplasm, uterus, unspecified
D27 Benign neoplasm of ovary
D280 Benign neoplasm, vulva
D281 Benign neoplasm, vagina
D282 Benign neoplasm, uterine tubes and ligaments
D287 Benign neoplasm, other specified female genital organs
D289 Benign neoplasm, female genital organ, unspecified

-14-

Kode Deskripsi
D290 Benign neoplasm, penis
D291 Benign neoplasm, prostate
D292 Benign neoplasm, testis
D293 Benign neoplasm, epididymis
D294 Benign neoplasm, scrotum
D297 Benign neoplasm, other male genital organs
D299 Benign neoplasm, male genital organ, unspecified
D300 Benign neoplasm, kidney
D301 Benign neoplasm, renal pelvis
D302 Benign neoplasm, ureter
D303 Benign neoplasm, bladder
D304 Benign neoplasm, urethra
D307 Benign neoplasm, other urinary organs
D309 Benign neoplasm, urinary organ, unspecified
D310 Benign neoplasm, conjunctiva
D311 Benign neoplasm, cornea
D312 Benign neoplasm, retina
D313 Benign neoplasm, choroid
D314 Benign neoplasm, ciliary body
D315 Benign neoplasm, lacrimal gland and duct
D316 Benign neoplasm, orbit, unspecified
D319 Benign neoplasm, eye, unspecified
D320 Benign neoplasm, cerebral meninges
D321 Benign neoplasm, spinal meninges
D329 Benign neoplasm, meninges, unspecified
D330 Benign neoplasm, brain, supratentorial
D331 Benign neoplasm, brain, infratentorial
D332 Benign neoplasm, brain, unspecified
D333 Benign neoplasm, cranial nerves
D334 Benign neoplasm, spinal cord
D337 Benign neoplasm, other specified parts of central nervous system
D339 Benign neoplasm, central nervous system, unspecified
D34 Benign neoplasm of thyroid gland
D350 Benign neoplasm, adrenal gland
D351 Benign neoplasm, parathyroid gland
D352 Benign neoplasm, pituitary gland
D353 Benign neoplasm, craniopharyngeal duct
D354 Benign neoplasm, pineal gland
D355 Benign neoplasm, carotid body
D356 Benign neoplasm, aortic body and other paraganglia
D357 Benign neoplasm, other specified endocrine glands
D358 Benign neoplasm, pluriglandular involvement
D359 Benign neoplasm, endocrine gland, unspecified
D360 Benign neoplasm, lymph nodes
D361 Benign neoplasm, peripheral nerves and autonomic nervous system
D367 Benign neoplasm, other specified sites
D369 Benign neoplasm of unspecified site
D370 Neoplasm of uncertain or unknown behaviour of lip, oral cavity and pharynx

-15-

Kode Deskripsi
D371 Neoplasm of uncertain or unknown behaviour of stomach
D372 Neoplasm of uncertain or unknown behaviour of small intestine
D373 Neoplasm of uncertain or unknown behaviour of appendix
D374 Neoplasm of uncertain or unknown behaviour of colon
D375 Neoplasm of uncertain or unknown behaviour of rectum
D376 Neoplasm of uncertain or unknown behaviour of liver, gallbladder and bile ducts
D377 Neoplasm of uncertain or unknown behaviour of other digestive organs
D379 Neoplasm of uncertain or unknown behaviour of digestive organ, unspecified
D380 Neoplasm of uncertain or unknown behaviour of larynx
D381 Neoplasm of uncertain or unknown behaviour of trachea, bronchus and lung
D382 Neoplasm of uncertain or unknown behaviour of pleura
D383 Neoplasm of uncertain or unknown behaviour of mediastinum
D384 Neoplasm of uncertain or unknown behaviour of thymus
D385 Neoplasm of uncertain or unknown behaviour of other respiratory organs
D386 Neoplasm of uncertain or unknown behaviour of respiratory organ, unspecified
D390 Neoplasm of uncertain or unknown behaviour of uterus
D391 Neoplasm of uncertain or unknown behaviour of ovary
D392 Neoplasm of uncertain or unknown behaviour of placenta
D397 Neoplasm of uncertain or unknown behaviour of other female genital organs
D399 Neoplasm of uncertain or unknown behaviour of female genital organ, unspecified
D400 Neoplasm of uncertain or unknown behaviour of prostate
D401 Neoplasm of uncertain or unknown behaviour of testis
D407 Neoplasm of uncertain or unknown behaviour of other male genital organs
D409 Neoplasm of uncertain or unknown behaviour of male genital organ, unspecified
D410 Neoplasm of uncertain or unknown behaviour of kidney
D411 Neoplasm of uncertain or unknown behaviour of renal pelvis
D412 Neoplasm of uncertain or unknown behaviour of ureter
D413 Neoplasm of uncertain or unknown behaviour of urethra
D414 Neoplasm of uncertain or unknown behaviour of bladder
D417 Neoplasm of uncertain or unknown behaviour of other urinary organs
D419 Neoplasm of uncertain or unknown behaviour of urinary organ, unspecified
D420 Neoplasm of uncertain or unknown behaviour of cerebral meninges
D421 Neoplasm of uncertain or unknown behaviour of spinal meninges
D429 Neoplasm of uncertain or unknown behaviour of meninges, unspecified
D430 Neoplasm of uncertain or unknown behaviour of brain, supratentorial
D431 Neoplasm of uncertain or unknown behaviour of brain, infratentorial
D432 Neoplasm of uncertain or unknown behaviour of brain, unspecified
D433 Neoplasm of uncertain or unknown behaviour of cranial nerves
D434 Neoplasm of uncertain or unknown behaviour of spinal cord
D437 Neoplasm of uncertain or unknown behaviour of other parts of central nervous system
D439 Neoplasm of uncertain or unknown behaviour of central nervous system, unspecified
D440 Neoplasm of uncertain or unknown behaviour of thyroid gland
D441 Neoplasm of uncertain or unknown behaviour of adrenal gland
D442 Neoplasm of uncertain or unknown behaviour of parathyroid gland
D443 Neoplasm of uncertain or unknown behaviour of pituitary gland
D444 Neoplasm of uncertain or unknown behaviour of craniopharyngeal duct
D445 Neoplasm of uncertain or unknown behaviour of pineal gland
D446 Neoplasm of uncertain or unknown behaviour of carotid body

-16-

Kode Deskripsi
D447 Neoplasm of uncertain or unknown behaviour of aortic body and other paraganglia
D448 Neoplasm of uncertain or unknown behaviour of pluriglandular involvement
D449 Neoplasm of uncertain or unknown behaviour of endocrine gland, unspecified
D45 Polycythaemia vera
D460 Refractory anaemia without sideroblasts, so stated
D461 Refractory anaemia with sideroblasts
D462 Refractory anaemia with excess of blasts
D463 Refractory anaemia with excess of blasts with transformation
D464 Refractory anaemia, unspecified
D467 Other myelodysplastic syndromes
D469 Myelodysplastic syndrome, unspecified
D470 Histiocytic and mast cell tumours uncertain and unknown behaviour
D471 Chronic myeloproliferative disease
D472 Monoclonal gammopathy
D473 Essential (haemorrhagic) thrombocythaemia
D477 Other specified neoplasms of uncertain or unknown behaviour of lymphoid,
haematopoietic and related tissue
D479 Neoplasms of uncertain or unknown behaviour of lymphoid, haematopoietic and
related tissue, unspecified
D480 Neoplasms of uncertain or unknown behaviour of bone and articular cartilage
D481 Neoplasms of uncertain or unknown behaviour of connective and other soft tissue
D482 Neoplasms of uncertain or unknown behaviour of peripheral nerves and autonomic
nervous system
D483 Neoplasms of uncertain or unknown behaviour of retroperitoneum
D484 Neoplasms of uncertain or unknown behaviour of peritoneum
D485 Neoplasms of uncertain or unknown behaviour of skin
D486 Neoplasms of uncertain or unknown behaviour of breast
D487 Neoplasms of uncertain or unknown behaviour of other specified sites
D489 Neoplasm of uncertain or unknown behaviour, unspecified
B210 HIV disease resulting in kaposi's sarcoma
B211 HIV disease resulting in burkitt's lymphoma
B212 HIV dis resulting oth types of non-hodgkin's lymphoma
B213 HIV dis result oth mal neo lymphoid haematopoietic rel tis
B217 HIV disease resulting in multiple malignant neoplasms
B218 HIV disease resulting in other malignant neoplasms
B219 HIV disease resulting in unspecified malignant neoplasm
Q858 Other phakomatoses, not elsewhere classified
Q859 Phakomatosis, unspecified
Z031 Observation for suspected malignant neoplasm
Z080 Follow-up examination after surgery for malignant neoplasm
Z081 Follow-up examination after radiotherapy for malignant neoplasm
Z082 Follow-up examination after chemotherapy for malignant neoplasm
Z087 Follow-up examination after combined treatment for malig neoplasm
Z088 Follow-up examination after other treatment for malignant neoplasm
Z089 Follow-up examination after unspecified treatment for malignant neoplasm
Z090 Follow-up examination after surgery for other conditions
Z091 Follow-up examination after radiotherapy for other conditions
Z092 Follow-up examination after chemotherapy for other conditions
Z098 Follow-up exam after other treatment for other conditions

-17-

Kode Deskripsi
Z120 Special screening examination for neoplasm of stomach
Z121 Special screening examination for neoplasm of intestinal tract
Z122 Special screening examination for neoplasm of respiratory organs
Z123 Special screening examination for neoplasm of breast
Z124 Special screening examination for neoplasm of cervix
Z125 Special screening examination for neoplasm of prostate
Z126 Special screening examination for neoplasm of bladder
Z128 Special screening examination for neoplasms of other sites
Z129 Special screening examination for neoplasm, unspecified
Z292 Other prophylactic chemotherapy
Z400 Prophylactic surgery for risk-factors related to malignant neoplasms
Z540 Convalescence following surgery
Z541 Convalescence following radiotherapy
Z542 Convalescence following chemotherapy
Z547 Convalescence following combined treatment
Z510 Radiotherapy Session
Z511 Chemotherapy Session for Neoplasm
Z512 Other chemotherapy
Z800 Family history of malignant neoplasm of digestive organs
Z801 Family history of malignant neoplasm of trachea, bronchus and lung
Z802 Family history of malignant neoplasm of other respiratory and intrathoracic orgs
Z803 Family history of malignant neoplasm of breast
Z804 Family history of malignant neoplasm of genital organs
Z805 Family history of malignant neoplasm of urinary tract
Z806 Family history of leukaemia
Z807 Famly history of other malignant neoplasms of lymphoid, heematopoietic and and
related tissues
Z808 Family history of malignant neoplasm of other organs or systems
Z809 Family history of malignant neoplasm, unspecified
Z850 Personal history of malignant neoplasm of digestive organs
Z851 Personal history of malignant neoplasm of trachea, bronchus and lung
Z852 Personal history malignant neoplasm of other respiratory and intrathoracic organs
Z853 Personal history of malignant neoplasm of breast
Z854 Personal history of malignant neoplasm of genital organs
Z855 Personal history of malignant neoplasm of urinary tract
Z856 Personal history of leukaemia
Z857 Personal history of other malignant neoplasms of lymphoid haematopoietic and related
tissue
Z858 Personal history of malignant neoplasms of other organs and system
Z859 Personal history of malignant neoplasm, unspecified
Z860 Personal history of other neoplasms

-18-

B. Rumah Sakit Khusus Jantung dan Pembuluh Darah

Kode Deskripsi
I00 Rheumatic fever without mention of heart involvement
I010 Acute rheumatic pericarditis
I011 Acute rheumatic endocarditis
I012 Acute rheumatic myocarditis
I018 Other acute rheumatic heart disease
I019 Acute rheumatic heart disease, unspecified
I020 Rheumatic chorea with heart involvement
I029 Rheumatic chorea without heart involvement
I050 Mitral stenosis
I051 Rheumatic mitral insufficiency
I052 Mitral stenosis with insufficiency
I058 Other mitral valve diseases
I059 Mitral valve disease, unspecified
I060 Rheumatic aortic stenosis
I061 Rheumatic aortic insufficiency
I062 Rheumatic aortic stenosis with insufficiency
I068 Other rheumatic aortic valve diseases
I069 Rheumatic aortic valve disease, unspecified
I070 Tricuspid stenosis
I071 Tricuspid insufficiency
I072 Tricuspid stenosis with insufficiency
I078 Other tricuspid valve diseases
I079 Tricuspid valve disease, unspecified
I080 Disorders of both mitral and aortic valves
I081 Disorders of both mitral and tricuspid valves
I082 Disorders of both aortic and tricuspid valves
I083 Combined disorders of mitral, aortic and tricuspid valves
I088 Other multiple valve diseases
I089 Multiple valve disease, unspecified
I090 Rheumatic myocarditis
I091 Rheumatic diseases of endocardium, valve unspecified
I092 Chronic rheumatic pericarditis
I098 Other specified rheumatic heart diseases
I099 Rheumatic heart disease, unspecified
I10 Essential (primary) hypertension
I110 Hypertensive heart disease with (congestive) heart failure
I119 Hypertensive heart disease without (congestive) heart failure
I120 Hypertensive renal disease with renal failure
I129 Hypertensive renal disease without renal failure
I130 Hypertens heart and renal dis with (congestive) heart failure
I131 Hypertensive heart and renal disease with renal failure
I132 Hyper heart and renal disease both (congestive) heart failure and renal failure
I139 Hypertensive heart and renal disease, unspecified
I150 Renovascular hypertension
I151 Hypertension secondary to other renal disorders
I152 Hypertension secondary to endocrine disorders

-19-

Kode Deskripsi
I158 Other secondary hypertension
I159 Secondary hypertension, unspecified
I200 Unstable angina
I201
I208 Angina pectoris with documented spasm
I209 Other forms of angina pectoris
I210 Angina pectoris, unspecified
I211 Acute transmural myocardial infarction of anterior wall
I212 Acute transmural myocardial infarction of inferior wall
I213 Acute transmural myocardial infarction of other sites
I214
I219 Acute transmural myocardial infarction of unspecified site
I220 Acute subendocardial myocardial infarction
I221 Acute myocardial infarction, unspecified
I228 Subsequent myocardial infarction of anterior wall
I229 Subsequent myocardial infarction of inferior wall
I230 Subsequent myocardial infarction of other sites
I231
I232 Subsequent myocardial infarction of unspecified site
Haemopericardium as current complication following acute myocardial infarction
I233 Atrial septal defect as current complication following acute myocardial infarction
Ventricular septal defect as current complication following acute myocardial
I234 infarction
Rupture cardiac wall without haemopericardium as current complication following
I235 acute myocardial infarction
Rupture chordae tendineae as current complication following acut myocardial
I236 infarction
Rupture of papilary muscle as current complication following acute myocardial
I238 infarction
I240 Thrombosis of atrium, auricular appendage ventricle as current complication
I241 following acute myocardial infarction
I248 Oth current complications following acute myocardial infarction
I249 Coronary thrombosis not resulting in myocardial infarction
I250 Dressler's syndrome
I251 Other forms of acute ischaemic heart disease
I252
I253 Acute ischaemic heart disease, unspecified
I254 Atherosclerotic cardiovascular disease, so described
I255 Atherosclerotic heart disease
I256 Old myocardial infarction
I258 Aneurysm of heart
I259 Coronary artery aneurysm
I260
I269 Ischaemic cardiomyopathy
I270 Silent myocardial ischaemia
I271 Other forms of chronic ischaemic heart disease
I272 Chronic ischaemic heart disease, unspecified
I278 Pulmonary embolism with mention of acute cor pulmonale
I279 Pulmonary embolism without mention of acute cor pulmonale

Primary pulmonary hypertension
Kyphoscoliotic heart disease
Other secondary pulmonary hypertension
Other specified pulmonary heart diseases
Pulmonary heart disease, unspecified

-20-

Kode Deskripsi
I280 Arteriovenous fistula of pulmonary vessels
I281 Aneurysm of pulmonary artery
I288 Other specified diseases of pulmonary vessels
I289 Disease of pulmonary vessels, unspecified
I300 Acute nonspecific idiopathic pericarditis
I301 Infective pericarditis
I308 Other forms of acute pericarditis
I309 Acute pericarditis, unspecified
I310 Chronic adhesive pericarditis
I311 Chronic constrictive pericarditis
I312 Haemopericardium, not elsewhere classified
I313 Pericardial effusion (noninflammatory)
I318 Other specified diseases of pericardium
I319 Disease of pericardium, unspecified
I320 Pericarditis in bacterial diseases classified elsewhere
I321 Pericarditis in other infectious and parasitic diseases classified elsewhere
I328 Pericarditis in other diseases classified elsewhere
I330 Acute and subacute infective endocarditis
I339 Acute endocarditis, unspecified
I340 Mitral (valve) insufficiency
I341 Mitral (valve) prolapse
I342 Nonrheumatic mitral (valve) stenosis
I348 Other nonrheumatic mitral valve disorders
I349 Nonrheumatic mitral valve disorder, unspecified
I350 Aortic (valve) stenosis
I351 Aortic (valve) insufficiency
I352 Aortic (valve) stenosis with insufficiency
I358 Other aortic valve disorders
I359 Aortic valve disorder, unspecified
I360 Nonrheumatic tricuspid (valve) stenosis
I361 Nonrheumatic tricuspid (valve) insufficiency
I362 Nonrheumatic tricuspid (valve) stenosis with insufficiency
I368 Other nonrheumatic tricuspid valve disorders
I369 Nonrheumatic tricuspid valve disorder, unspecified
I370 Pulmonary valve stenosis
I371 Pulmonary valve insufficiency
I372 Pulmonary valve stenosis with insufficiency
I378 Other pulmonary valve disorders
I379 Pulmonary valve disorder, unspecified
I38 Endocarditis, valve unspecified
I390 Mitral valve disorders in diseases classified elsewhere
I391 Aortic valve disorders in diseases classified elsewhere
I392 Tricuspid valve disorders in diseases classified elsewhere
I393 Pulmonary valve disorders in diseases classified elsewhere
I394 Multiple valve disorders in diseases classified elsewhere
I398 Endocarditis, valve unspec, in diseases class elsewhere
I400 Infective myocarditis
I401 Isolated myocarditis

-21-

Kode Deskripsi
I408 Other acute myocarditis
I409 Acute myocarditis, unspecified
I410 Myocarditis in bacterial diseases classified elsewhere
I411 Myocarditis in viral diseases classified elsewhere
I412 Myocarditis in other infectious and parasitic diseases classified elsewhere
I418 Myocarditis in other diseases classified elsewhere
I420 Dilated cardiomyopathy
I421 Obstructive hypertrophic cardiomyopathy
I422 Other hypertrophic cardiomyopathy
I423 Endomyocardial (eosinophilic) disease
I424 Endocardial fibroelastosis
I425 Other restrictive cardiomyopathy
I426 Alcoholic cardiomyopathy
I427 Cardiomyopathy due to drugs and other external agents
I428 Other cardiomyopathies
I429 Cardiomyopathy, unspecified
I430 Cardiomyopathy in infectious & parasitic diseases classified elsewhere
I431 Cardiomyopathy in metabolic diseases
I432 Cardiomyopathy in nutritional diseases
I438 Cardiomyopathy in other diseases classified elsewhere
I440 Atrioventricular block, first degree
I441 Atrioventricular block, second degree
I442 Atrioventricular block, complete
I443 Other and unspecified atrioventricular block
I444 Left anterior fascicular block
I445 Left posterior fascicular block
I446 Other and unspecified fascicular block
I447 Left bundle-branch block, unspecified
I450 Right fascicular block
I451 Other and unspecified right bundle-branch block
I452 Bifascicular block
I453 Trifascicular block
I454 Nonspecific intraventricular block
I455 Other specified heart block
I456 Pre-excitation syndrome
I458 Other specified conduction disorders
I459 Conduction disorder, unspecified
I460 Cardiac arrest with successful resuscitation
I461 Sudden cardiac death, so described
I469 Cardiac arrest, unspecified
I470 Re-entry ventricular arrhythmia
I471 Supraventricular tachycardia
I472 Ventricular tachycardia
I479 Paroxysmal tachycardia, unspecified
I48 Atrial fibrillation and flutter
I490 Ventricular fibrillation and flutter
I491 Atrial premature depolarization
I492 Junctional premature depolarization

-22-

Kode Deskripsi
I493 Ventricular premature depolarization
I494 Other and unspecified premature depolarization
I495 Sick sinus syndrome
I498 Other specified cardiac arrhythmias
I499 Cardiac arrhythmia, unspecified
I500 Congestive heart failure
I501 Left ventricular failure
I509 Heart failure, unspecified
I510 Cardiac septal defect, acquired
I511 Rupture of chordae tendineae, not elsewhere classified
I512 Rupture of papillary muscle, not elsewhere classified
I513 Intracardiac thrombosis, not elsewhere classified
I514 Myocarditis, unspecified
I515 Myocardial degeneration
I516 Cardiovascular disease, unspecified
I517 Cardiomegaly
I518 Other ill-defined heart diseases
I519 Heart disease, unspecified
I520 Other heart disorders in bacterial diseases classified elsewhere
I521 Oth heart disorders in oth infectious and parasitic disease classified elsewhere
I528 Other heart disorders in other diseases classified elsewhere
I600 Subarachnoid haemorrhage from carotid siphon and bifurcation
I601 Subarachnoid haemorrhage from middle cerebral artery
I602 Subarachnoid haemorrhage from anterior communicating artery
I603 Subarachnoid haemorrhage from posterior communicating artery
I604 Subarachnoid haemorrhage from basilar artery
I605 Subarachnoid haemorrhage from vertebral artery
I606 Subarachnoid haemorrhage from other intracranial arteries
I607 Subarachnoid haemorrhage from intracranial artery, unspecified
I608 Other subarachnoid haemorrhage
I609 Subarachnoid haemorrhage, unspecified
I610 Intracerebral haemorrhage in hemisphere, subcortical
I611 Intracerebral haemorrhage in hemisphere, cortical
I612 Intracerebral haemorrhage in hemisphere, unspecified
I613 Intracerebral haemorrhage in brain stem
I614 Intracerebral haemorrhage in cerebellum
I615 Intracerebral haemorrhage, intraventricular
I616 Intracerebral haemorrhage, multiple localized
I618 Other intracerebral haemorrhage
I619 Intracerebral haemorrhage, unspecified
I620 Subdural haemorrhage (acute)(nontraumatic)
I621 Nontraumatic extradural haemorrhage
I629 Intracranial haemorrhage (nontraumatic), unspecified
I630 Cerebral infarct due to thrombosis of precerebral arteries
I631 Cerebral infarction due to embolism of precerebral arteries
I632 Cerebral infarction due unspecified occlusion or stenosis precerebral arteries
I633 Cerebral infarction due to thrombosis of cerebral arteries
I634 Cerebral infarction due to embolism of cerebral arteries

-23-

Kode Deskripsi
I635 Cerebral infarction due unspecified occlusion or stenos cerebrl arteries
I636 Cerebral infarction due cerebral venous thrombosis, nonpyogenic
I638 Other cerebral infarction
I639 Cerebral infarction, unspecified
I64 Stroke, not specified as haemorrhage or infarction
I650 Occlusion and stenosis of vertebral artery
I651 Occlusion and stenosis of basilar artery
I652 Occlusion and stenosis of carotid artery
I653 Occlusion and stenosis of multip and bilat precerebral arteries
I658 Occlusion and stenosis of other precerebral artery
I659 Occlusion and stenosis of unspecified precerebral artery
I660 Occlusion and stenosis of middle cerebral artery
I661 Occlusion and stenosis of anterior cerebral artery
I662 Occlusion and stenosis of posterior cerebral artery
I663 Occlusion and stenosis of cerebellar arteries
I664 Occlusion and stenosis of multiple and bilat cerebral arts
I668 Occlusion and stenosis of other cerebral artery
I669 Occlusion and stenosis of unspecified cerebral artery
I670 Dissection of cerebral arteries, nonruptured
I671 Cerebral aneurysm, nonruptured
I672 Cerebral atherosclerosis
I673 Progressive vascular leukoencephalopathy
I674 Hypertensive encephalopathy
I675 Moyamoya disease
I676 Nonpyogenic thrombosis of intracranial venous system
I677 Cerebral arteritis, not elsewhere classified
I678 Other specified cerebrovascular diseases
I679 Cerebrovascular disease, unspecified
I680 Cerebral amyloid angiopathy
I681 Cerebral arteritis in infectious & parasitic diseases classified elsewhere
I682 Cerebral arteritis in other diseases classified elsewhere
I688 Other cerebrovascular disorders in diseases classified elsewhere
I690 Sequelae of subarachnoid haemorrhage
I691 Sequelae of intracerebral haemorrhage
I692 Sequelae of other nontraumatic intracranial haemorrhage
I693 Sequelae of cerebral infarction
I694 Sequelae of stroke, not specified as haemorrhage or infarction
I698 Sequelae of other and unspecified cerebrovascular diseases
I700 Atherosclerosis of aorta
I701 Atherosclerosis of renal artery
I702 Atherosclerosis of arteries of extremities
I708 Atherosclerosis of other arteries
I709 Generalized and unspecified atherosclerosis
I710 Dissection of aorta [any part]
I711 Thoracic aortic aneurysm, ruptured
I712 Thoracic aortic aneurysm, without mention of rupture
I713 Abdominal aortic aneurysm, ruptured
I714 Abdominal aortic aneurysm, without mention of rupture

-24-

Kode Deskripsi
I715 Thoracoabdominal aortic aneurysm, ruptured
I716 Thoracoabdominal aortic aneurysm, without mention of rupture
I718 Aortic aneurysm of unspecified site, ruptured
I719 Aortic aneurysm of unspecified site, without mention of rupture
I720 Aneurysm of carotid artery
I721 Aneurysm of artery of upper extremity
I722 Aneurysm of renal artery
I723 Aneurysm of iliac artery
I724 Aneurysm of artery of lower extremity
I728 Aneurysm of other specified arteries
I729 Aneurysm of unspecified site
I730 Raynaud's syndrome
I731 Thromboangiitis obliterans [buerger]
I738 Other specified peripheral vascular diseases
I739 Peripheral vascular disease, unspecified
I740 Embolism and thrombosis of abdominal aorta
I741 Embolism and thrombosis of other and unspecified parts of aorta
I742 Embolism and thrombosis of arteries of upper extremities
I743 Embolism and thrombosis of arteries of lower extremities
I744 Embolism and thrombosis of arteries of extremities, unspecified
I745 Embolism and thrombosis of iliac artery
I748 Embolism and thrombosis of other arteries
I749 Embolism and thrombosis of unspecified artery
I770 Arteriovenous fistula, acquired
I771 Stricture of artery
I772 Rupture of artery
I773 Arterial fibromuscular dysplasia
I774 Coeliac artery compression syndrome
I775 Necrosis of artery
I776 Arteritis, unspecified
I778 Other specified disorders of arteries and arterioles
I779 Disorder of arteries and arterioles, unspecified
I780 Hereditary haemorrhagic telangiectasia
I781 Naevus, non-neoplastic
I788 Other diseases of capillaries
I789 Disease of capillaries, unspecified
I790 Aneurysm of aorta in diseases classified elsewhere
I791 Aortitis in diseases classified elsewhere
I792 Peripheral angiopathy in diseases classified elsewhere
I798 Oth disord arteries, arterioles & capillaries in diseases classified elsewhere
I800 Phlebitis and thrombophlebitis superficial vessels low extremities
I801 Phlebitis and thrombophlebitis of femoral vein
I802 Phlebitis and thrombophlebitis oth deep vessels low extremities
I803 Phlebitis and thrombophlebitis of lower extremities, unspecified
I808 Phlebitis and thrombophlebitis of other sites
I809 Phlebitis and thrombophlebitis of unspecified site
I81 Portal vein thrombosis
I820 Budd-chiari syndrome

-25-

Kode Deskripsi
I821 Thrombophlebitis migrans
I822 Embolism and thrombosis of vena cava
I823 Embolism and thrombosis of renal vein
I828 Embolism and thrombosis of other specified veins
I829 Embolism and thrombosis of unspecified vein
I830 Varicose veins of lower extremities with ulcer
I831 Varicose veins of lower extremities with inflammation
I832 Varicose veins low extremities with both ulcer and inflammation
I839 Varicose veins lower extremities without ulcer or inflammation
I840 Internal thrombosed haemorrhoids
I841 Internal haemorrhoids with other complications
I842 Internal haemorrhoids without complication
I843 External thrombosed haemorrhoids
I844 External haemorrhoids with other complications
I845 External haemorrhoids without complication
I846 Residual haemorrhoidal skin tags
I847 Unspecified thrombosed haemorrhoids
I848 Unspecified haemorrhoids with other complications
I849 Unspecified haemorrhoids without complication
I850 Oesophageal varices with bleeding
I859 Oesophageal varices without bleeding
I860 Sublingual varices
I861 Scrotal varices
I862 Pelvic varices
I863 Vulval varices
I864 Gastric varices
I868 Varicose veins of other specified sites
I870 Postphlebitic syndrome
I871 Compression of vein
I872 Venous insufficiency (chronic)(peripheral)
I878 Other specified disorders of veins
I879 Disorder of vein, unspecified
I880 Nonspecific mesenteric lymphadenitis
I881 Chronic lymphadenitis, except mesenteric
I888 Other nonspecific lymphadenitis
I889 Nonspecific lymphadenitis, unspecified
I890 Lymphoedema, not elsewhere classified
I891 Lymphangitis
I898 Other specified noninfective disorders lymphatic vessels and lymph nodes
I899 Noninfective disorder lymphatic vessels and lymph nodes, unspecified
I950 Idiopathic hypotension
I951 Orthostatic hypotension
I952 Hypotension due to drugs
I958 Other hypotension
I959 Hypotension, unspecified
I970 Postcardiotomy syndrome
I971 Other functional disturbances following cardiac surgery
I972 Postmastectomy lymphoedema syndrome

-26-

Kode Deskripsi
I978 Other postprocedural disorders of circulatory system , not elsewhere classified
I979 Postprocedural disorder of circulatory system, unspecified
I980 Cardiovascular syphilis
I981 Cardiovascular disorder other infectious and parasitic diseases classified elsewhere
I982 Oesophageal varices in diseases classified elsewhere
I988 Other specified disorders of circulatory system in diseases classified elsewhere
I99 Other and unspecified disorders of circulatory system
Q200 Common arterial trunk
Q201 Double outlet right ventricle
Q202 Double outlet left ventricle
Q203 Discordant ventriculoarterial connection
Q204 Double inlet ventricle
Q205 Discordant atrioventricular connection
Q206 Isomerism of atrial appendages
Q208 Other congenital malformations of cardiac chambers and connections
Q209 Congenital malformation of cardiac chambers and connections unspecified
Q210 Ventricular septal defect
Q211 Atrial septal defect
Q212 Atrioventricular septal defect
Q213 Tetralogy of fallot
Q214 Aortopulmonary septal defect
Q218 Other congenital malformations of cardiac septa
Q219 Congenital malformation of cardiac septum, unspecified
Q220 Pulmonary valve atresia
Q221 Congenital pulmonary valve stenosis
Q222 Congenital pulmonary valve insufficiency
Q223 Other congenital malformations of pulmonary valve
Q224 Congenital tricuspid stenosis
Q225 Ebstein's anomaly
Q226 Hypoplastic right heart syndrome
Q228 Other congenital malformations of tricuspid valve
Q229 Congenital malformation of tricuspid valve, unspecified
Q230 Congenital stenosis of aortic valve
Q231 Congenital insufficiency of aortic valve
Q232 Congenital mitral stenosis
Q233 Congenital mitral insufficiency
Q234 Hypoplastic left heart syndrome
Q238 Other congenital malformations of aortic and mitral valves
Q239 Congenital malformation of aortic and mitral valves unspecified
Q240 Dextrocardia
Q241 Laevocardia
Q242 Cor triatriatum
Q243 Pulmonary infundibular stenosis
Q244 Congenital subaortic stenosis
Q245 Malformation of coronary vessels
Q246 Congenital heart block
Q248 Other specified congenital malformations of heart
Q249 Congenital malformation of heart, unspecified

-27-

Kode Deskripsi
Q250
Q251 Patent ductus arteriosus
Q252
Q253 Coarctation of aorta
Q254
Q255 Atresia of aorta
Q256
Q257 Stenosis of aorta
Q258
Q259 Other congenital malformations of aorta
Q260
Q261 Atresia of pulmonary artery
Q262
Q263 Stenosis of pulmonary artery
Q264
Q265 Other congenital malformations of pulmonary artery
Q266
Q268 Other congenital malformations of great arteries
Q269
Q270 Congenital malformation of great arteries, unspecified
Q271
Q272 Congenital stenosis of vena cava
Q273
Q274 Persistent left superior vena cava
Q278
Q279 Total anomalous pulmonary venous connection
Q280
Q281 Partial anomalous pulmonary venous connection
Q282
Q283 Anomalous pulmonary venous connection, unspecified
Q288
Q289 Anomalous portal venous connection
O100
Portal vein-hepatic artery fistula
O101
Other congenital malformations of great veins
O102
Congenital malformation of great vein, unspecified
O103
Congenital absence and hypoplasia of umbilical artery
O104
Congenital renal artery stenosis
O109
Other congenital malformations of renal artery
P200
P201 Peripheral arteriovenous malformation
P209
P210 Congenital phlebectasia
P211
Other specified congenitalo malformations of peripheral vascular system

Congenital malformation of peripheral vascular system unspecified

Arteriovenous malformation of precerebral vessels

Other malformations of precerebral vessels

Arteriovenous malformation of cerebral vessels

Other malformations of cerebral vessels

Other specified congenital malformations of circulatory system

Congenital malformation of circulatory system, unspecified

Pre-existing essential hypertension complicating pregnancy, childbirth and the
puerperium
Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the
puerperium
Pre-existing hypertensive renal disease complicating pregnancy, childbirth and
puerperium
Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth
and the puerperium
Pre-existing secondary hypertension complicating pregnancy, childbirth and the
puerperium
Unspecified pre-existing hypertension complicating pregnancy, childbirth and the
puerperium
Intrauterine hypoxia first noted before onset of labour

Intrauterine hypoxia first noted during labour and delivery

Intrauterine hypoxia, unspecified

Severe birth asphyxia

Mild and moderate birth asphyxia

-28-

Kode Deskripsi
P219 Birth asphyxia, unspecified
P220 Respiratory distress syndrome of newborn
P221 Transient tachypnoea of newborn
P228 Other respiratory distress of newborn
P229 Respiratory distress of newborn, unspecified
P230 Congenital pneumonia due to viral agent
P231 Congenital pneumonia due to chlamydia
P232 Congenital pneumonia due to staphylococcus
P233 Congenital pneumonia due to streptococcus, group b
P234 Congenital pneumonia due to escherichia coli
P235 Congenital pneumonia due to pseudomonas
P236 Congenital pneumonia due to other bacterial agents
P238 Congenital pneumonia due to other organisms
P239 Congenital pneumonia, unspecified
P240 Neonatal aspiration of meconium
P241 Neonatal aspiration of amniotic fluid and mucus
P242 Neonatal aspiration of blood
P243 Neonatal aspiration of milk and regurgitated food
P248 Other neonatal aspiration syndromes
P249 Neonatal aspiration syndrome, unspecified
P250 Interstitial emphysema originating in the perinatal period
P251 Pneumothorax originating in the perinatal period
P252 Pneumomediastinum originating in the perinatal period
P253 Pneumopericardium originating in the perinatal period
P258 Oth conds rel interstit emphysema orig in perinatal period
P260 Tracheobronchial haemorrhage origin in the perinatal period
P261 Massive pulmonary haemorrhage orig in the perinatal period
P268 Oth pulmonary haemorrhages originating in perinatal period
P269 Unspec pulmonary haemorrhage origin in the perinatal period
P270 Wilson-mikity syndrome
P271 Bronchopulmonary dysplasia origin in the perinatal period
P278 Other chronic resp diseases origin in the perinatal period
P279 Unspec chronic resp disease origin in the perinatal period
P280 Primary atelectasis of newborn
P281 Other and unspecified atelectasis of newborn
P282 Cyanotic attacks of newborn
P283 Primary sleep apnoea of newborn
P284 Other apnoea of newborn
P285 Respiratory failure of newborn
P288 Other specified respiratory conditions of newborn
P289 Respiratory condition of newborn, unspecified
P290 Neonatal cardiac failure
P291 Neonatal cardiac dysrhythmia
P292 Neonatal hypertension
P293 Persistent fetal circulation
P294 Transient myocardial ischaemia of newborn
P298 Oth cardiovascular disorders origin in the perinatal period
P299 Cardiovascular disorder origin in the perinatal period unsp

-29-

Kode Deskripsi
R000 Tachycardia, unspecified
R001 Bradycardia, unspecified
R002 Palpitations
R008 Other and unspecified abnormalities of heart beat
R010 Benign and innocent cardiac murmurs
R011 Cardiac murmur, unspecified
R012 Other cardiac sounds
R02 Gangrene, not elsewhere classified
R030 Elevated blood-pressure reading without diagnosis of hypertension
R031 Nonspecific low blood-pressure reading
R040 Epistaxis
R041 Haemorrhage from throat
R042 Haemoptysis
R048 Haemorrhage from other sites in respiratory passages
R049 Haemorrhage from respiratory passages, unspecified
R05 Cough
R060 Dyspnoea
R061 Stridor
R062 Wheezing
R063 Periodic breathing
R064 Hyperventilation
R065 Mouth breathing
R066 Hiccough
R067 Sneezing
R068 Other and unspecified abnormalities of breathing
R070 Pain in throat
R071 Chest pain on breathing
R072 Precordial pain
R073 Other chest pain
R074 Chest pain, unspecified
R090 Asphyxia
R091 Pleurisy
R092 Respiratory arrest
R093 Abnormal sputum
R098 Other specified symptoms and signs involving circulatory and respiratory systems
Z034 Observation for suspected myocardial infarction
Z035 Observation for other suspected cardiovascular diseases
Z090 Follow-up examination after surgery for other conditions
Z098 Follow-up exam after other treatment for other conditions
Z136 Special screening examination for cardiovascular disorders
Z450 Adjustment and management of cardiac pacemaker
Z452 Adjustment and management of vascular access device
Z950 Presence of cardiac pacemaker
Z951 Presence of aortocoronary bypass graft
Z952 Presence of prosthetic heart valve
Z953 Presence of xenogenic heart valve
Z954 Presence of other heart-valve replacement
Z955 Presence of coronary angioplasty implant and graft

-30-

Kode Deskripsi
Z958 Presence of other cardiac and vascular implants and grafts
Z959 Presence of cardiac and vascular implant and graft unspec act

C. Rumah Sakit Khusus Jiwa

Kode Deskripsi
F000
F001 Dementia in alzheimer's disease with early onset
F002 Dementia in alzheimer's disease with late onset
F009 Dementia in alzheimer's disease, atypical or mixed type
F010 Dementia in alzheimer's disease, unspecified
F011 Vascular dementia of acute onset
F012 Multi-infarct dementia
F013 Subcortical vascular dementia
F018 Mixed cortical and subcortical vascular dementia
F019 Other vascular dementia
F020 Vascular dementia, unspecified
F021 Dementia in Pick's disease
F022 Dementia in Creutzfeldt-Jakob disease
F023 Dementia in Huntington's disease
F024 Dementia in Parkinson's disease
F028 Dementia in human immunodef virus [HIV] disease
F03 Dementia in other specified diseases classified elsewhere
F04 Unspecified dementia
F050 Organic amnesic syndrome not induced alcohol/other psychoactive substances
F051 Delirium not superimposed on dementia, so described
F058 Delirium superimposed on dementia
F059 Other delirium
F060 Delirium, unspecified
F061 Organic hallucinosis
F062 Organic catatonic disorder
F063 Organic delusional [schizophrenia-like] disorder
F064 Organic mood [affective] disorders
F065 Organic anxiety disorder
F066 Organic dissociative disorder
F067 Organic emotionally labile [asthenic] disorder
F068 Mild cognitive disorder
F069 Other specified mental disorder brain damage and dysfunction/physcal disease
F070 Unspecified mental disorder brain damage and dysfunction/physcal disease
F071 Organic personality disorder
F078 Postencephalitic syndrome
Other organ personality behavioural disorders due to brain disease, damage
F079 dysfunction
F09 Unspecified organ personality behavioural disorder brain damage and dysfunction
F100 Unspecified organic or symptomatic mental disorder
F101 Mental & behavioural disorder due to use of alcohol: acute intoxication
Mental & behavioural disorder due to use of alcohol: harmful use

-31-

Kode Deskripsi
F102
F103 Mental & behavioural disorder due to use of alcohol: dependence syndrome
F104
F105 Mental & behavioural disorder due to use of alcohol: withdrawal state
F106
F107 Mental & behavioural disorder due to use of alcohol: withdrawl state with delirium

F108 Mental & behavioural disorder due to use of alcohol: psychotic disorder

F109 Mental & behavioural disorder due to use of alcohol: amnesic syndrome

F110 Mental & behavioural disorder due to use of alcohol: residual & late-onset psychotic
F111 disorder
F112 Mental & behavioural disorder due to use of alcohol: other mental & behavioural
F113 disorder
F114 Mental & behavioural disorder due to use of alcohol: unspecified mental & behavioural
F115 disorder
F116 Mental & behavioural disorder due to use of opiods: acute intoxication
F117
Mental & behavioural disorder due to use of opiods: harmful use
F118
Mental & behavioural disorder due to use of opiods: dependence syndrome
F119
Mental & behavioural disorder due to use of opiods: withdrawal state
F120
F121 Mental & behavioural disorder due to use of opiods: withdrawl state with delirium
F122
F123 Mental & behavioural disorder due to use of opiods: psychotic disorder
F124
Mental & behavioural disorder due to use of opiods: amnesic syndrome
F125
F126 Mental & behavioural disorder due to use of opiods: residual & late-onset psychotic
F127 disorder
Mental & behavioural disorder due to use of opiods: other mental & behavioural
F128 disorder
Mental & behavioural disorder due to use of opiods: unspecified mental & behavioural
F129 disorder
Mental & behavioural disorder due to use of cannabinoids: acute intoxication
F130
F131 Mental & behavioural disorder due to use of cannabinoids: harmful use
F132
Mental & behavioural disorder due to use of cannabinoids: dependence syndrome
F133
F134 Mental & behavioural disorder due to use of cannabinoids: withdrawal state

F135 Mental & behavioural disorder due to use of cannabinoids: withdrawl state with
delirium
F136 Mental & behavioural disorder due to use of cannabinoids: psychotic disorder

F137 Mental & behavioural disorder due to use of cannabinoids: amnesic syndrome

Mental & behavioural disorder due to use of cannabinoids: residual & late-onset
psychotic disorder
Mental & behavioural disorder due to use of cannabinoids: other mental &
behavioural disorder
Mental & behavioural disorder due to use of cannabinoids: unspecified mental &
behavioural disorder
Mental & behavioural disorder due to use of sedatives or hypnotics: acute intoxication

Mental & behavioural disorder due to use of sedatives or hypnotics: harmful use

Mental & behavioural disorder due to use of sedatives or hypnotics: dependence
syndrome
Mental & behavioural disorder due to use of sedatives or hypnotics: withdrawal state

Mental & behavioural disorder due to use of sedatives or hypnotics: withdrawl state
with delirium
Mental & behavioural disorder due to use of sedatives or hypnotics: psychotic
disorder
Mental & behavioural disorder due to use of sedatives or hypnotics: amnesic
syndrome
Mental & behavioural disorder due to use of sedatives or hypnotics: residual & late-
onset psychotic disorder

-32-

Kode Deskripsi
F138
Mental & behavioural disorder due to use of sedatives or hypnotics: other mental &
F139 behavioural disorder
Mental & behavioural disorder due to use of sedatives or hypnotics: unspecified
F140 mental & behavioural disorder
F141 Mental & behavioural disorder due to use of cocaine: acute intoxication
F142
F143 Mental & behavioural disorder due to use of cocaine: harmful use
F144
F145 Mental & behavioural disorder due to use of cocaine: dependence syndrome
F146
F147 Mental & behavioural disorder due to use of cocaine: withdrawal state

F148 Mental & behavioural disorder due to use of cocaine: withdrawl state with delirium

F149 Mental & behavioural disorder due to use of cocaine: psychotic disorder

F150 Mental & behavioural disorder due to use of cocaine: amnesic syndrome

F151 Mental & behavioural disorder due to use of cocaine: residual & late-onset psychotic
disorder
F152 Mental & behavioural disorder due to use of cocaine: other mental & behavioural
disorder
F153 Mental & behavioural disorder due to use of cocaine: unspecified mental &
behavioural disorder
F154 Mental & behavioural disorder due to use of other stimulants, including caffeine:
acute intoxication
F155 Mental & behavioural disorder due to use of other stimulants, including caffeine:
harmful use
F156 Mental & behavioural disorder due to use of other stimulants, including caffeine:
dependence syndrome
F157 Mental & behavioural disorder due to use of other stimulants, including caffeine:
withdrawal state
F158 Mental & behavioural disorder due to use of other stimulants, including caffeine:
withdrawl state with delirium
F159 Mental & behavioural disorder due to use of other stimulants, including caffeine:
psychotic disorder
F160 Mental & behavioural disorder due to use of other stimulants, including caffeine:
F161 amnesic syndrome
F162 Mental & behavioural disorder due to use of other stimulants, including caffeine:
F163 residual & late-onset psychotic disorder
F164 Mental & behavioural disorder due to use of other stimulants, including caffeine:
other mental & behavioural disorder
F165 Mental & behavioural disorder due to use of other stimulants, including caffeine:
F166 unspecified mental & behavioural disorder
F167 Mental & behavioural disorder due to use hallucinogens: acute intoxication

F168 Mental & behavioural disorder due to use hallucinogens: harmful use

F169 Mental & behavioural disorder due to use hallucinogens: dependence syndrome

F170 Mental & behavioural disorder due to use hallucinogens: withdrawal state

Mental & behavioural disorder due to use hallucinogens: withdrawl state with
delirium
Mental & behavioural disorder due to use hallucinogens: psychotic disorder

Mental & behavioural disorder due to use hallucinogens: amnesic syndrome

Mental & behavioural disorder due to use hallucinogens: residual & late-onset
psychotic disorder
Mental & behavioural disorder due to use hallucinogens: other mental & behavioural
disorder
Mental & behavioural disorder due to use hallucinogens: unspecified mental &
behavioural disorder
Mental & behavioural disorder due of tobacco: acute intoxication

-33-

Kode Deskripsi
F171
F172 Mental & behavioural disorder due of tobacco: harmful use
F173
F174 Mental & behavioural disorder due of tobacco: dependence syndrome
F175
F176 Mental & behavioural disorder due of tobacco: withdrawal state
F177
F178 Mental & behavioural disorder due of tobacco: withdrawl state with delirium
F179
Mental & behavioural disorder due of tobacco: psychotic disorder
F180
F181 Mental & behavioural disorder due of tobacco: amnesic syndrome
F182
F183 Mental & behavioural disorder due of tobacco: residual & late-onset psychotic disorder
F184
F185 Mental & behavioural disorder due of tobacco: other mental & behavioural disorder
F186
F187 Mental & behavioural disorder due of tobacco: unspecified mental & behavioural
disorder
F188 Mental & behavioural disorder due of volatile solvents: acute intoxication

F189 Mental & behavioural disorder due of volatile solvents: harmful use

F190 Mental & behavioural disorder due of volatile solvents: dependence syndrome

F191 Mental & behavioural disorder due of volatile solvents: withdrawal state

F192 Mental & behavioural disorder due of volatile solvents: withdrawl state with delirium

F193 Mental & behavioural disorder due of volatile solvents: psychotic disorder

F194 Mental & behavioural disorder due of volatile solvents: amnesic syndrome

F195 Mental & behavioural disorder due of volatile solvents: residual & late-onset psychotic
disorder
F196 Mental & behavioural disorder due of volatile solvents: other mental & behavioural
disorder
F197 Mental & behavioural disorder due of volatile solvents: unspecified mental &
behavioural disorder
F198 Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: acute intoxication
F199 Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: harmful use
F200 Mental & behavioural disorder due to multiple drug use and use of other psychoactive
F201 substances: dependence syndrome
F202 Mental & behavioural disorder due to multiple drug use and use of other psychoactive
F203 substances: withdrawal state
F204 Mental & behavioural disorder due to multiple drug use and use of other psychoactive
F205 substances: withdrawl state with delirium
F206 Mental & behavioural disorder due to multiple drug use and use of other psychoactive
F208 substances: psychotic disorder
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: amnesic syndrome
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: residual & late-onset psychotic disorder
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: other mental & behavioural disorder
Mental & behavioural disorder due to multiple drug use and use of other psychoactive
substances: unspecified mental & behavioural disorder
Paranoid schizophrenia

Hebephrenic schizophrenia

Catatonic schizophrenia

Undifferentiated schizophrenia

Post-schizophrenic depression

Residual schizophrenia

Simple schizophrenia

Other schizophrenia

-34-

Kode Deskripsi
F209
F21 Schizophrenia, unspecified
F220 Schizotypal disorder
F228 Delusional disorder
F229 Other persistent delusional disorders
F230 Persistent delusional disorder, unspecified
F231 Acute polymorphic psychot disorder without symptoms of schizophrenia
F232 Acute polymorphic psychot disorder with symptoms of schizophrenia
F233 Acute schizophrenia-like psychotic disorder
F238 Other acute predominantly delusional psychotic disorders
F239 Other acute and transient psychotic disorders
F24 Acute and transient psychotic disorder, unspecified
F250 Induced delusional disorder
F251 Schizoaffective disorder, manic type
F252 Schizoaffective disorder, depressive type
F258 Schizoaffective disorder, mixed type
F259 Other schizoaffective disorders
F28 Schizoaffective disorder, unspecified
F29 Other nonorganic psychotic disorders
F300 Unspecified nonorganic psychosis
F301 Hypomania
F302 Mania without psychotic symptoms
F308 Mania with psychotic symptoms
F309 Other manic episodes
F310 Manic episode, unspecified
F311 Bipolar affective disorder, current episode hypomanic
F312 Bipolar affective disorder, current episode without psychotic symptoms
F313 Bipolar affective disorder, current episode manic with psychotic symptoms
F314 Bipolar affective disorder, current episode mild or moderate depression
Bipolar affective disorder, current episode severe depression without psychotic
F315 symptoms
F316 Bipolar affective disorder, current episode severe depression with psychotic symptoms
F317 Bipolar affective disorder, current episode mixed
F318 Bipolar affective disorder, currently in remission
F319 Other bipolar affective disorders
F320 Bipolar affective disorder, unspecified
F321 Mild depressive episode
F322 Moderate depressive episode
F323 Severe depressive episode without psychotic symptoms
F328 Severe depressive episode with psychotic symptoms
F329 Other depressive episodes
F330 Depressive episode, unspecified
F331 Recurrent depressive disorder, current episode mild
F332 Recurrent depressive disorder, current episode moderate
F333 Recurrent depress disorder current episode severe without symptoms
F334 Recurrent depress disorder current episode severe with psyc symp
F338 Recurrent depressive disorder, currently in remission
F339 Other recurrent depressive disorders
Recurrent depressive disorder, unspecified

-35-

Kode Deskripsi

F340 Cyclothymia
F341 Dysthymia
F348 Other persistent mood [affective] disorders
F349 Persistent mood [affective] disorder, unspecified
F380 Other single mood [affective] disorders
F381 Other recurrent mood [affective] disorders
F388 Other specified mood [affective] disorders
F39 Unspecified mood [affective] disorder
F400 Agoraphobia
F401 Social phobias
F402 Specific (isolated) phobias
F408 Other phobic anxiety disorders
F409 Phobic anxiety disorder, unspecified
F410 Panic disorder [episodic paroxysmal anxiety]
F411 Generalized anxiety disorder
F412 Mixed anxiety and depressive disorder
F413 Other mixed anxiety disorders
F418 Other specified anxiety disorders
F419 Anxiety disorder, unspecified
F420 Predominantly obsessional thoughts or ruminations
F421 Predominantly compulsive acts [obsessional rituals]
F422 Mixed obsessional thoughts and acts
F428 Other obsessive-compulsive disorders
F429 Obsessive-compulsive disorder, unspecified
F430 Acute stress reaction
F431 Post-traumatic stress disorder
F432 Adjustment disorders
F438 Other reactions to severe stress
F439 Reaction to severe stress, unspecified
F440 Dissociative amnesia
F441 Dissociative fugue
F442 Dissociative stupor
F443 Trance and possession disorders
F444 Dissociative motor disorders
F445 Dissociative convulsions
F446 Dissociative anaesthesia and sensory loss
F447 Mixed dissociative [conversion] disorders
F448 Other dissociative [conversion] disorders
F449 Dissociative [conversion] disorder, unspecified
F450 Somatization disorder
F451 Undifferentiated somatoform disorder
F452 Hypochondriacal disorder
F453 Somatoform autonomic dysfunction
F454 Persistent somatoform pain disorder
F458 Other somatoform disorders
F459 Somatoform disorder, unspecified
F480 Neurasthenia
F481 Depersonalization-derealization syndrome

-36-

Kode Deskripsi
F488
F489 Other specified neurotic disorders
F500 Neurotic disorder, unspecified
F501 Anorexia nervosa
F502 Atypical anorexia nervosa
F503 Bulimia nervosa
F504 Atypical bulimia nervosa
F505 Overeating associated with other psychological disturbances
F508 Vomiting associated with other psychological disturbances
F509 Other eating disorders
F510 Eating disorder, unspecified
F511 Nonorganic insomnia
F512 Nonorganic hypersomnia
F513 Nonorganic disorder of the sleep-wake schedule
F514 Sleepwalking [somnambulism]
F515 Sleep terrors [night terrors]
F518 Nightmares
F519 Other nonorganic sleep disorders
F520 Nonorganic sleep disorder, unspecified
F521 Lack or loss of sexual desire
F522 Sexual aversion and lack of sexual enjoyment
F523 Failure of genital response
F524 Orgasmic dysfunction
F525 Premature ejaculation
F526 Nonorganic vaginismus
F527 Nonorganic dyspareunia
F528 Excessive sexual drive
F529 Other sexual dysfunction not caused by organic disorder/disease
F530 Unspecified sexual dysfunction not caused by organic disorder or disease
F531 Mild mental and behavioural disorder associated with the puerperium NEC
F538 Severe mental and behavioural disorder associated with puerperium NEC
F539 Other mental and behavioural disorder associated with the puerperium NEC
F54 Puerperal mental disorder, unspecified
Psychological and behavioural factor associated with disord or disease Classified
F55 elsewhere
F59 Abuse of non-dependence-producing substances
Unspecified behavaviural syndrome associated with physiological disturbances and
F600 physical factor
F601 Paranoid personality disorder
F602 Schizoid personality disorder
F603 Dissocial personality disorder
F604 Emotionally unstable personality disorder
F605 Histrionic personality disorder
F606 Anankastic personality disorder
F607 Anxious [avoidant] personality disorder
F608 Dependent personality disorder
F609 Other specific personality disorders
F61 Personality disorder, unspecified
Mixed and other personality disorders

-37-

Kode Deskripsi
F620
F621 Enduring personality change after catastrophic experience
F628 Enduring personality change after psychiatric illness
F629 Other enduring personality changes
F630 Enduring personality change, unspecified
F631 Pathological gambling
F632 Pathological fire-setting [pyromania]
F633 Pathological stealing [kleptomania]
F638 Trichotillomania
F639 Other habit and impulse disorders
F640 Habit and impulse disorder, unspecified
F641 Transsexualism
F642 Dual-role transvestism
F648 Gender identity disorder of childhood
F649 Other gender identity disorders
F650 Gender identity disorder, unspecified
F651 Fetishism
F652 Fetishistic transvestism
F653 Exhibitionism
F654 Voyeurism
F655 Paedophilia
F656 Sadomasochism
F658 Multiple disorders of sexual preference
F659 Other disorders of sexual preference
F660 Disorder of sexual preference, unspecified
F661 Sexual maturation disorder
F662 Egodystonic sexual orientation
F668 Sexual relationship disorder
F669 Other psychosexual development disorders
F680 Psychosexual development disorder, unspecified
F681 Elaboration of physical symptoms for psychological reasons
Intentional production/feigning of symptoms/disabilities either physical/psychological
F688 [factititous disorder)
F69 Other specified disorders of adult personality and behaviour
F700 Unspecified disorder of adult personality and behaviour
F701 Mild mental retardation: with statement no or minimal, impairment of behaviour
Mild mental retardation: significant impairment behaviour requiring attentiom /
F708 treatment
F709 Mild mental retardation: other impairments of behaviour
F710 Mild mental retardation: without mention of impairment behaviour
F711 Mod mental retardation: with statement no or minimal, impairment of behaviour
Mod mental retardation: significant impairment behaviour requiring attentiom /
F718 treatment
F719 Mod mental retardation: other impairments of behaviour
F720 Mod mental retardation: without mention of impairment behaviour
F721 Severe mental retardation: with statement no or minimal, impairment of behaviour
Severe mental retardation: significant impairment behaviour requiring attentiom /
F728 treatment
F729 Severe mental retardation: other impairments of behaviour
Severe mental retardation: without mention of impairment behaviour

-38-

Kode Deskripsi
F730
F731 Profound mental retardation: with statement no or minimal, impairment of behavior
Profound mental retardation: significant impairment behaviour requiring attentiom /
F738 treatment
F739 Profound mental retardation: other impairments of behaviour
F780 Profound mental retardation: without mention of impairment behaviour
F781 other mental retardation: with statement no or minimal, impairment of behaviour
other mental retardation: significant impairment behaviour requiring attentiom /
F788 treatment
F789 other mental retardation: other impairments of behaviour
F790 other mental retardation: without mention of impairment behaviour
F791 Unspecified mental retardation: with statement no or minimal, impairment of behavior
Unspecified mental retardation: significant impairment behaviour requiring attentiom
F798 / treatment
F799 Unspecified mental retardation: other impairments of behaviour
F800 Unspecified mental retardation: without mention of impairment behaviour
F801 Specific speech articulation disorder
F802 Expressive language disorder
F803 Receptive language disorder
F808 Acquired aphasia with epilepsy [landau-kleffner]
F809 Other developmental disorders of speech and language
F810 Developmental disorder of speech and language, unspecified
F811 Specific reading disorder
F812 Specific spelling disorder
F813 Specific disorder of arithmetical skills
F818 Mixed disorder of scholastic skills
F819 Other developmental disorders of scholastic skills
F82 Developmental disorder of scholastic skills, unspecified
F83 Specific developmental disorder of motor function
F840 Mixed specific developmental disorders
F841 Childhood autism
F842 Atypical autism
F843 Rett's syndrome
F844 Other childhood disintegrative disorder
F845 Overactive disorder associated with mental retardation and stereotype movements
F848 Asperger's syndrome
F849 Other pervasive developmental disorders
F88 Pervasive developmental disorder, unspecified
F89 Other disorders of psychological development
F900 Unspecified disorder of psychological development
F901 Disturbance of activity and attention
F908 Hyperkinetic conduct disorder
F909 Other hyperkinetic disorders
F910 Hyperkinetic disorder, unspecified
F911 Conduct disorder confined to the family context
F912 Unsocialized conduct disorder
F913 Socialized conduct disorder
F918 Oppositional defiant disorder
F919 Other conduct disorders
Conduct disorder, unspecified


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