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Lampiran Surat Nomor 11523/III.


Hal Updating dan Validasi Data FKTP KBK

dan Diagnosa Non Spesialistik pada Aplikasi


Kode Diagnosa (Kompetensi)
No Non Spesialistik Nama Diagnosa Non Spesialistik (ICD 10) Berdasar Permenkes
(ICD 10) 5/2014 dan
Kepmenkes 514/2015

1 A01.0 Typhoid fever 4A

2 A06.0 Acute amoebic dysentery 4A

3 A09.0 Other and unspecified gastroenteritis and colitis of 4A

infectious origin

4 A15.0 Respiratory tuberculosis, bacteriologically and 4A

histologically confirmed

5 A27.9 Leptospirosis, unspecified 4A

6 A30.0 Indeterminate leprosy 4A

7 A35 Other tetanus 4A

8 A54.9 Gonococcal infection, unspecified 4A

9 A90 Dengue fever [classical dengue] 4A

10 A91 Dengue haemorrhagic fever 4A

11 B00.9 Herpesviral infection, unspecified 4A

12 B01.9 Varicella without complication 4A

13 B02.9 Zoster without complication 4A

14 B05.9 Measles without complication 4A

15 B07 Viral warts 4A

16 B08.1 Molluscum contagiosum 4A

17 B15 Acute hepatitis A 4A

18 B26.0 Mumps orchitis 4A

19 B35 Dermatophytosis 4A

20 B35.0 Tinea barbae and tinea capitis 4A

21 B35.1 Tinea unguium 4A

22 B35.2 Tinea manuum 4A

23 B35.3 Tinea pedis 4A

24 B35.4 Tinea corporis 4A

25 B35.6 Tinea cruris 4A

26 B35.8 Other dermatophytoses 4A

27 B36.0 Pityriasis versicolor 4A

28 B37.9 Candidiasis, unspecified 4A

29 B54 Unspecified malaria 4A

30 B65.0 Schistosom due schis haematobium [urin schistosom] 4A

31 B65.2 Schistosomiasis due to Schistosoma japonicum 4A

32 B65.9 Schistosomiasis, unspecified 4A

33 B68.0 Taenia solium taeniasis 4A

34 B68.9 Taeniasis, unspecified 4A

35 B74.0 Filariasis due to wuchereria bancrofti 4A

36 B76.0 Ancylostomiasis 4A

37 B76.9 Hookworm disease, unspecified 4A

38 B77.9 Ascariasis, unspecified 4A

39 B78.0 Intestinal strongyloidiasis 4A

40 B78.9 Strongyloidiasis, unspecified 4A

41 B85.0 Pediculosis due to pediculus humanus capitis 4A

42 B85.3 Phthiriasis 4A

43 B86 Scabies 4A

44 D17.9 Benign lipomatous neoplasm, unspecified 4A

45 D50.0 Iron deficiency anaemia secondary to blood loss 4A

46 D50.9 Iron deficiency anaemia, unspecified 4A

47 E11.9 Non-insulin-dependent diabetes mellitus without 4A


48 E16.2 Hypoglycaemia, unspecified 4A

49 E46 Unspecified protein-energy malnutrition 4A

50 E66.9 Obesity, unspecified 4A

51 E78.5 Hyperlipidaemia, unspecified 4A

52 E79.0 Hyperuricaem without sign inflamm 4A

arthritis+tophaceous dis

53 F45.0 Somatization disorder 4A

54 F51.0 Nonorganic insomnia 4A

55 G43.0 Migraine without aura [common migraine] 4A

56 G43.9 Migraine, unspecified 4A

57 G44.2 Tension-type headache 4A

58 G51.0 Bell's palsy 4A

59 H00.0 Hordeolum and other deep inflammation of eyelid 4A

60 H01.0 Blepharitis 4A

61 H02.0 Entropion and trichiasis of eyelid 4A

62 H04.1 Other disorders of lacrimal gland 4A

63 H10.1 Acute atopic conjunctivitis 4A

64 H10.9 Conjunctivitis, unspecified 4A

65 H15.1 Episcleritis 4A

66 H52.0 Hypermetropia 4A

67 H52.1 Myopia 4A

68 H52.2 Astigmatism 4A

69 H52.4 Presbyopia 4A

70 H53.6 Night blindness 4A

71 H57.8 Other specified disorders of eye and adnexa 4A

72 H60.9 Otitis externa, unspecified 4A

73 H61.2 Impacted cerumen 4A

74 H65.0 Acute serous otitis media 4A

75 H65.1 Other acute nonsuppurative otitis media 4A

76 H66.0 Acute suppurative otitis media 4A

77 I10 Essential (primary) hypertension 4A

78 I83.9 Varicose veins lower extremities without ulcer or 4A


79 I84.0 Internal thrombosed haemorrhoids 4A

80 I84.2 Internal haemorrhoids without complication 4A

81 I84.9 Unspecified haemorrhoids without complication 4A

82 J00 Acute nasopharyngitis [common cold] 4A

83 J02 Acute pharyngitis 4A

84 J02.9 Acute pharyngitis, unspecified 4A

85 J03 Acute tonsillitis 4A

86 J03.9 Acute tonsillitis, unspecified 4A

87 J04.0 Acute laryngitis 4A

88 J11.0 Influenza, virus not identified 4A

89 J18.0 Bronchopneumonia, unspecified 4A

90 J18.9 Pneumonia, unspecified 4A

91 J20.9 Acute bronchitis, unspecified 4A

92 J30.0 Vasomotor rhinitis 4A

93 J30.4 Allergic rhinitis, unspecified 4A

94 J34.0 Abscess, furuncle and carbuncle of nose 4A

95 J35.0 Chronic tonsillitis 4A

96 J45.9 Asthma, unspecified 4A

97 K12 Stomatitis and related lesions 4A

98 K21.9 Gastro-oesophageal reflux disease without 4A


99 K29.7 Gastritis, unspecified 4A

100 K90.4 Malabsorption due to intolerance, not elsewhere 4A


101 L01.0 Impetigo [any organism] [any site] 4A

102 L02.0 Cutaneous abscess, furuncle and carbuncle of face 4A

103 L02.2 Cutaneous abscess, furuncle and carbuncle of trunk 4A

104 L02.8 Cutaneous abscess, furuncle and carbuncle of other 4A


105 L04.9 Acute lymphadenitis, unspecified 4A

106 L08.0 Pyoderma 4A

107 L08.1 Erythrasma 4A

108 L20.8 Other atopic dermatitis 4A

109 L21.0 Seborrhoea capitis 4A

110 L22 Diaper [napkin] dermatitis 4A

111 L24.0 Irritant contact dermatitis due to detergents 4A

112 L27.0 Generalized skin eruption due to drugs and 4A


113 L27.2 Dermatitis due to ingested food 4A

114 L42 Pityriasis rosea 4A

115 L50.0 Allergic urticaria 4A

116 L50.9 Atrophic disorder of skin, unspecified 4A

117 L70.0 Acne vulgaris 4A

118 L71.0 Perioral dermatitis 4A

119 L73.2 Hidradenitis suppurativa 4A

120 L74.3 Miliaria, unspecified 4A

121 L97 Ulcer of lower limb, not elsewhere classified 4A

122 M10 Gout 4A

123 N10 Acute tubulo-interstitial nephritis 4A

124 N39.0 Urinary tract infection, site not specified 4A

125 N47 Redundant prepuce, phimosis and paraphimosis 4A

126 N61 Inflammatory disorders of breast 4A

127 N76.0 Acute vaginitis 4A

128 N98.9 Complication associated with artificial fertilization, 4A


129 O03.9 Spontaneous abortion, Complete or unspecified, 4A

without complication

130 O70.0 First degree perineal laceration during delivery 4A

131 O80.9 Single spontaneous delivery, unspecified 4A

132 O92.0 Retracted nipple associated with childbirth 4A

133 P38 Omphalitis of newborn with or without mild 4A


134 R04.0 Epistaxis 4A

135 R42 Dizziness and giddiness 4A

136 R56.0 Febrile convulsions 4A

137 T14 Injury of unspecified body region 4A

138 T14.1 Open wound of unspecified body region 4A

139 T15.9 Foreign body on external eye, part unspecified 4A

140 T17.1 Foreign body in nostril 4A

141 T30.1 Burn of first degree, body region unspecified 4A

142 T30.2 Burn of second degree, body region unspecified 4A

143 T63.4 Venom of other arthropods 4A

144 T78.2 Anaphylactic shock, unspecified 4A

145 Z21 Asymptomatic human immunodeficiency virus [HIV] 4A

infection status