ICD 10 - Penyakit Mata

NO NAMA PENYAKIT KODE KELAS 3 KELAS 2 KELAS 1

ICD-10
1 Ablasio retina RHEGMATOGEN H 33.0 2,318,400 2,782,100 3,245,800
2 ABLASIO EXUDATIF H 33.2 2,318,400 2,782,100 3,245,800
3 Afakia H 27.0 2,318,400 2,782,100 3,245,800
4 ARMD (Age related macular H 35.3 2,318,400 2,782,100 3,245,800
degeneration)
5 Amblyopia H 53.0 2,318,400 2,782,100 3,245,800
6 Astenopia H 53.1 2,318,400 2,782,100 3,245,800
7 Atropi papil H 47.2 2,318,400 2,782,100 3,245,800
8 Astigmatisme H 52.2 2,318,400 2,782,100 3,245,800
9 Blefaritis H 01.0 2,318,400 2,782,100 3,245,800
10 CRAO H 34.1 1,966,400 2,359,700 2,753,000
11 CRVO/BRVO H 34.8 1,966,400 2,359,700 2,753,000
12 dakrioadenitis H04.0 2,318,400 2,782,100 3,245,800
13 DES (Dry eye syndrome) H 04.1 2,318,400 2,782,100 3,245,800
14 Descemet fold H 18.3 2,318,400 2,782,100 3,245,800
15 Diplopia H 53.2 1,966,400 2,359,700 2,753,000
16 Dislokasi lensa H 27.1 2,318,400 2,782,100 3,245,800
17 epifora H 04.2 2,318,400 2,782,100 3,245,800
18 Entropion H 02.0 2,318,400 2,782,100 3,245,800
19 Ektropion H 02.1 2,318,400 2,782,100 3,245,800
20 Eksotropia H 50.1 2,318,400 2,782,100 3,245,800
21 Esotropia H 50.0 2,318,400 2,782,100 3,245,800
22 Glaucoma absolute H 44.5 2,318,400 2,782,100 3,245,800
23 Glaucoma fakolitik/fakomorfik H 40.5 2,318,400 2,782,100 3,245,800
24 Glaucoma sudut terbuka primer H 40.1 2,318,400 2,782,100 3,245,800
(POAG)
25 Glaukomasudut tertutup primer H 40.2 2,318,400 2,782,100 3,245,800
(PACG)
26 Hifema H 21.0 2,318,400 2,782,100 3,245,800
27 Hipermetropia H 52.0 2,318,400 2,782,100 3,245,800
28 Hipertensi okuli H 40.0 2,318,400 2,782,100 3,245,800
29 Hordeolum H 00.0 2,318,400 2,782,100 3,245,800
30 Kalazion H 00.1 2,318,400 2,782,100 3,245,800
31 Katarak hipermatur H 25.2 2,318,400 2,782,100 3,245,800
32 Katarak juvenile H 26.0 2,318,400 2,782,100 3,245,800
33 Katarak congenital Q 12.0 2,318,400 2,782,100 3,245,800
34 Katarak matur H 25.1 2,318,400 2,782,100 3,245,800
35 Katarak traumatika H 26.1 2,318,400 2,782,100 3,245,800
36 Keratitis viral H 16.1 2,318,400 2,782,100 3,245,800
37 Keratopati H 17.9 2,318,400 2,782,100 3,245,800
38 konjungtivitis H 10.3 2,318,400 2,782,100 3,245,800
39 blefarokonjungtivitis H10.5 2,318,400 2,782,100 3,245,800
40 Leukoma adheren H 17.0 2,318,400 2,782,100 3,245,800
41 Litiasis H 11.4 2,318,400 2,782,100 3,245,800
42 Macular hole H 35.3 2,318,400 2,782,100 3,245,800
43 Myopia simpleks H 52.1 2,318,400 2,782,100 3,245,800
44 NLDO H 04.5 2,318,400 2,782,100 3,245,800
45 NPDR / DM COMPLICATION H 36.0/ E 2,318,400 2,782,100 3,245,800
OPHTHALMIC 11.3
46 Oftalmoplegia total external H 49.3 1,966,400 2,359,700 2,753,000
47 Optic hipoplasia H 47.2 1,966,400 2,359,700 2,753,000
48 Optic neuritis H 46 1,966,400 2,359,700 2,753,000
49 PAPILLEDEMA H 47.1 1,966,400 2,359,700 2,753,000
50 Traumatik Optik H 47.0 1,966,400 2,359,700 2,753,000
Neuropati/ALKOHOL
51 Parese N. III (parese nervus tiga) H 49.0 1,966,400 2,359,700 2,753,000
52 Parese N. IV (parese nervus H 49.1 1,966,400 2,359,700 2,753,000
empat)
53 Parese N. VI (parese nervus H 49.2 1,966,400 2,359,700 2,753,000
enam)
54 PCO (posterior capsular opacity)/ H 26.4 2,318,400 2,782,100 3,245,800
After Cataract
55 Perdarahan retina H 35.6 2,318,400 2,782,100 3,245,800
56 Perdarahanvitreus H 43.1 2,318,400 2,782,100 3,245,800
57 Pinguekula H 11.4 2,318,400 2,782,100 3,245,800
58 PROPTOSIS/EXOFTALMUS H 05.2 2,318,400 2,782,100 3,245,800
59 ENOFTALMUS H 05.4 2,318,400 2,782,100 3,245,800
60 Presbiopia H 52.4 2,318,400 2,782,100 3,245,800
61 pseudofakia Z 96.1 2,318,400 2,782,100 3,245,800
62 Pterigium H 11.0 2,318,400 2,782,100 3,245,800
63 Ptosis H 02.4 2,318,400 2,782,100 3,245,800
64 Retinopati hipertensi H 35.0 2,318,400 2,782,100 3,245,800
65 Skleritis H 16.0 2,278,500 2,734,200 3,189,900
66 Subconjunctival bleeding H 11.3 2,318,400 2,782,100 3,245,800
67 Syok badan silier H 57.0 1,966,400 2,359,700 2,753,000
68 Trikiasis H 02.0 2,318,400 2,782,100 3,245,800
69 Ulkuskornea H 16.0 2,278,500 2,734,200 3,189,900
70 Uveitis H 20.0 2,318,400 2,782,100 3,245,800
71 Vitritis H 43.3 2,318,400 2,782,100 3,245,800
72 Xanthelasma H 02.6 1,964,400 2,359,700 2,753,000
 OPERASI KATARAK

NO NAMA PENYAKIT KODE KELAS 3 KELAS 2 KELAS 1

ICD-10
1 KATARAK + Other cataract H 2.9 + 5,797,800 6,957,400 8,117,000
extraction 13.69

RAWAT JALAN TANPA TINDAKAN

KLAIM Rp. 185,000

RAWAT JALAN TINDAKAN

CONTOH KATARAK IMATUR + ekstraksi corpus alienum mata

KLAIM Rp. 502.000