LAMPIRAN

JENIS PENYAKIT
NO SISTEM TUBUH KODE ICD X 2010
TINGKAT KEMAMPUAN 4A SKDI 2012
1 SISTEM SARAF 1 HIV AIDS tanpa komplikasi 1 Z21 Asymptomatic human immunodeficiency virus [HIV] infection status
2 Z11.4 Special screening examination for human immunodeficiency virus [HIV]
2 Tension headache 3 G44.2 Tension-type headache
3 Migren 4 R51 Headache
4 Bells' palsy 5 G51.0 Bell's palsy
5 Vertigo (Benign paroxymsmal positional vertigo) 6 R42 Dizziness and giddiness
2 SISTEM INDERA 6 Benda asing di konjungtiva 7 T15.1 Foreign body in conjunctival sac
7 Konjungtivitis 8 H10.0 Mucopurulent conjunctivitis
9 H10.1 Acute atopic conjunctivitis
10 H10.2 Other acute conjunctivitis
11 H10.3 Acute conjunctivitis, unspecified
12 H10.5 Blepharoconjunctivitis
13 H10.8 Other conjunctivitis
14 H10.9 Conjunctivitis, unspecified
15 B30.1 Conjunctivitis due to adenovirus
16 B30.2 Viral pharyngoconjunctivitis
17 B30.8 Other viral conjunctivitis
18 B30.9 Viral conjunctivitis, unspecified
8 Perdarahan subkonjungtiva 19 H11.3 Conjunctival haemorrhage
9 Blefaritis 20 H01.0 Blepharitis
10 Hordeolum 21 H00.0 Hordeolum and other deep inflammation of eyelid
11 Episkleritis 22 H15.1 Episcleritis
12 Hipermetropia ringan 23 H52.0 Hypermetropia
13 Miopia ringan 24 H52.1 Myopia
14 Astigmatism ringan 25 H52.2 Astigmatism
15 Presbiopia 26 H52.4 Presbyopia
16 Otitis eksterna 27 H60.0 Abscess of external ear
28 H60.3 Other infective otitis externa
29 H60.5 Acute otitis externa, noninfective
30 H60.8 Other otitis externa
31 H60.9 Otitis externa, unspecified
17 Otitis media akut 32 H65.0 Acute serous otitis media
33 H65.1 Other acute nonsuppurative otitis media
34 H65.9 Nonsuppurative otitis media, unspecified
35 H66.0 Acute suppurative otitis media
36 H66.4 Suppurative otitis media, unspecified
37 H66.9 Otitis media, unspecified
18 Serumen prop 38 H61.2 Impacted cerumen
19 Mabuk perjalanan 39 T75.3 Motion sickness
20 Furunkel pada hidung 40 J34.0 Abscess, furuncle and carbuncle of nose
21 Rhinitis akut 41 J00 Acute nasopharyngitis [common cold]
22 Rhinitis vasomotor 42 J30.0 Vasomotor rhinitis
23 Rhinitis alergika 43 J30.4 Allergic rhinitis, unspecified
44 J30.3 Other seasonal allergic rhinitis
45 J30.4 Other allergic rhinitis
24 Benda asing pada hidung 46 T17.1 Foreign body in nostril
25 Epistaksis 47 R04.0 Epistaxis
3 SISTEM RESPIRASI 26 Influenza 48 J11.1 Influenza with other respiratory manifestations, virus not identified
27 Faringitis 49 J02.9 Acute pharyngitis, unspecified
28 Tonsilitis 50 J03.9 Acute tonsillitis, unspecified
29 Laringitis 51 J04.0 Acute laryngitis
30 Asma bronkial 52 J45.0 Predominantly allergic asthma
53 J45.9 Asthma, unspecified
31 Bronkitis akut 54 J20.9 Acute bronchitis, unspecified
32 Tuberkulosis paru tanpa komplikasi 55 A15.0 Tuberculosis of lung, confirmed by sputum microscopy with or without culture
56 A16.0 Tuberculosis of lung, bacteriologically and histologically negative
57 A16.1 Tuberculosis of lung, bacteriological and histological examination not done
58 A16.2 Tuberculosis of lung, without mention of bacteriological or histological confirmation
59 Z03.0 Observation for suspected tuberculosis
4 KARDIOVASKULER 33 Hipertensi esensial 60 I10 Essential (primary) hypertension
5 SISTEM GASTROINTESTINAL 34 Kandidiasis mulut 61 B37.0 Candidal stomatitis
35 Ulkus mulut (aptosa, herpes) 62 K12.1 Other forms of stomatitis
36 Parotitis 63 B26.9 Mumps without complication
37 Infeksi pada umbilikus 64 P38 Omphalitis of newborn with or without mild haemorrhage
38 Gastritis (Dyspepsia) 65 K30 Dyspepsia
66 R12 Heartburn
39 Gastroenteritis (termasuk kolera, giardiasis) 67 A09.0 Other and unspecified gastroenteritis and colitis of infectious origin
68 A09.9 Gastroenteritis and colitis of unspecified origin
40 Refluks gastroesofagus 69 K21.9 Gastro-oesophageal reflux disease without oesophagitis
41 Demam tifoid 70 A01.0 Typhoid fever
71 A01.1 Paratyphoid fever A
72 A01.2 Paratyphoid fever B
73 A01.3 Paratyphoid fever C
74 A01.4
Z03.9 Paratyphoid fever, unspecified
75 Observation for suspected disease or condition, unspecified
42 Intoleransi makanan 76 K90.4 Malabsorption due to intolerance, not elsewhere classified
43 Alergi makanan 77 L27.2 Dermatitis due to ingested food
78 T78.1 Other adverse food reactions, not elsewhere classified  
44 Keracunan makanan 79 A05.9 Bacterial foodborne intoxication, unspecified
80 T62.0 Toxic effect of ingested mushrooms
81 T62.1 Toxic effect of ingested berries
82 T62.2 Other ingested (parts of) plant(s)
83 T62.8 Toxic effect of other specified noxious substances eaten as food
84 T62.9 Toxic effect of noxious substance eaten as food, unspecified
45 Penyakit cacing tambang 85 B76.0 Ancylostomiasis
86 B76.1 Necatoriasis
46 Strongiloidiasis 87 B78.9 Strongyloidiasis, unspecified
47 Askariasis 88 B77.9 Ascariasis, unspecified
48 Skistosomiasis 89 B65.0 Schistosom due to schis haematobium [urin schistosom]
90 B65.1 Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis]
91 B65.2 Schistosomiasis due to Schistosoma japonicum
92 B65.3 Cercarial dermatitis
93 B65.8 Other schistosomiases
94 B65.9 Schistosomiasis, unspecified
49 Taeniasis 95 B68.0 Taenia solium taeniasis
96 B68.1 Taenia saginata taeniasis
97 B68.9 Taeniasis, unspecified
50 Disentri basiler, disentri amuba 98 A06.0 Acute amoebic dysentery
6 SISTEM GINJAL DAN 51 Hemoroid grade 1-2 99 I84.0 Internal thrombosed haemorrhoids
SALURAN KEMIH 100 I84.2 Internal haemorrhoids without complication
101 I84.9 Unspecified haemorrhoids without complication
52 Infeksi saluran kemih 102 N39.0 Urinary tract infection, site not specified
53 Gonore 103 A54.9 Gonococcal infection, unspecified
54 Pielonefritis tanpa komplikasi 104 N10 Acute tubulo-interstitial nephritis
55 Fimosis 105 N47 Redundant prepuce, phimosis and paraphimosis
56 Parafismosis 106 N47 Redundant prepuce, phimosis and paraphimosis
7 SISTEM REPRODUKSI 57 Sindrom duh (discharge) genital (gonore dan non gonore) 107 A54.0 Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess
58 Infeksi saluran kemih bagian bawah 108 N39.0 Urinary tract infection, site not specified
59 Vulvitis 109 N76.2 Acute vulvitis
60 Vaginitis 110 N76.0 Acute vaginitis
61 Kehamilan normal 111 Z34.0 Supervision of normal first pregnancy
112 Z34.8 Supervision of other normal pregnancy
113 Z34.9 Supervision of normal pregnancy, unspecified
62 Aborsi spontan komplit 114 O03.9 Spontaneous abortion, Complete or unspecified, without complication
63 Anemia defisiensi besi pada kehamilan 115 D50.0 Iron deficiency anaemia secondary to blood loss (chronic)
116 D50.8 Other iron deficiency anaemias
 117 D50.9 Iron deficiency anaemia, unspecified
118 O99.0 Anaemia complicating pregnancy, childbirth and the puerperium
64 Ruptur perineum tingkat 1-2 119 O70.0 First degree perineal laceration during delivery
120 O70.1 Second degree perineal laceration during delivery
65 Abses folikel rambut atau kelenjar sebasea pada organ genital 121 L73.9 Follicular disorder, unspecified
66 Mastitis 122 N61 Inflammatory disorders of breast
123 O92 Other disorders of breast and lactation associated with childbirth
67 Cracked nipple 124 O92.1 Cracked nipple associated with childbirth
68 Inverted nipple 125 O92.0 Retracted nipple associated with childbirth
126 O92.2 Other and unspecified disorders of breast associated with childbirth
8 SISTEM ENDOKRIN DAN 69 Diabetes melitus tipe 2 127 E11.9 Non-insulin-dependent diabetes mellitus without complications
METABOLIK 70 Hipoglikemia ringan 128 E16.2 Hypoglycaemia, unspecified
71 Malnutrisi energi-protein 129 E40 Kwashiorkor
130 E41 Nutritional marasmus  
131 E42 Marasmic kwashiorkor  
132 E44.0 Moderate protein-energy malnutrition
133 E44.1 Mild protein-energy malnutrition
134 E46 Unspecified protein-energy malnutrition
72 Dislipidemia 135 E78.0 Pure hypercholesterolaemia
136 E78.1 Pure hyperglyceridaemia
137 E78.2 Mixed hyperlipidaemia
73 Hiperurisemia 138 E79.0 Hyperuricaemia without signs of inflammatory arthritis and tophaceous disease
139 M10.0 Idiopathic gout
74 Obesitas 140 E66.0 Obesity due to excess calories
141 E66.9 Obesity, unspecified
9 SISTEM HEMATOLOGI DAN 75 Anemia defisiensi besi 142 D64.9 Anaemia, unspecified
IMUNOLOGI 76 Limfadenitis 143 L04.0 Acute lymphadenitis of face, head, and neck
144 L04.1 Acute lymphadenitis of trunk
145 L04.2 Acute lymphadenitis of upper limb
146 L04.3 Acute lymphadenitis of lower limb
147 L04.8 Acute lymphadenitis of other sites
148 L04.9 Acute lymphadenitis, unspecified
77 Malaria 149 B50.9 Plasmodium falciparum malaria unspecified
150 B51.9 Plasmodium vivax malaria without complication
151 B52.9 Plasmodium malariae malaria without complication
152 B53.8 Other parasitologically confirmed malaria, not elsewhere classified
153 B53.0 Plasmodium ovale malaria
78 Reaksi anafilaktik 154 T78.0 Anaphylactic shock due to adverse food reaction
155 T78.2 Anaphylactic shock, unspecified
156 T88.6 Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
157 T88.7 Unspecified adverse effect of drug or medicament
10 SISTEM MUSKULOSKELETAL 79 Ulkus pada tungkai 158 I83.9 Varicose veins of lower extremities without ulcer or inflammation
159 L97 Ulcer of lower limb, not elsewhere classified
80 Lipoma 160 D17.1 Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk
161 D17.2 Benign lipomatous neoplasm of skin and subcutaneous tissue of limbs
162 D17.3 Benign lipomatous neoplasm of skin and subcutaneous tissue of other and unspecified sites
163 D17.9 Benign lipomatous neoplasm, unspecified
11 SISTEM INTEGUMEN 81 Veruka vulgaris, Veruka simpleks 164 B07 Viral warts
82 Moluskum kontagiosum 165 B08.1 Molluscum contagiosum
83 Herpes zoster tanpa komplikasi 166 B02.9 Zoster without complication
84 Morbili tanpa komplikasi 167 B05.9 Measles without complication
85 Varisela tanpa komplikasi 168 B01.9 Varicela without complication
86 Herpes simpleks tanpa komplikasi 169 B00.1 Herpesviral Vasculo Dermatitis
170 B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis
87 Impetigo 171 L01.0 Impetigo [any organism] [any site]
88 Impetigo ulseratif (ektima) 172 L01.1 Impetiginization of other dermatoses
89 Folikulitis superfisialis 173 L08.8 Other specified local infections of skin and subcutaneous tissue
174 L08.9 Local infection of skin and subcutaneous tissue, unspecified
90 Furunkel, karbunkel 175 L02.2 Cutaneous abscess furuncle and carbuncle of trunck
176 L02.3 Cutaneous abscess furuncle and carbuncle of buttock
177 L02.4 Cutaneous abscess furuncle and carbuncle of limb
178 L02.8 Cutaneous abscess, furuncle and carbuncle of other sites
179 L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified
180 L08 Other local infections of skin and subcutaneous tissue
91 Eritrasma 181 L08.1 Erythrasma
92 Erisipelas 182 A46 Erysipelas
93 Skrofuloderma 183 A18.4 Tuberculosis of skin and subcutaneous tissue
94 Lepra 184 A30.1 Tuberculoid leprosy
185 A30.2 Borderline tuberculoid leprosy
186 A30.3 Borderline leprosy
187 A30.4 Borderline lepromatous leprosy
188 A30.5 Lepromatous leprosy
189 A30.9 Leprosy, unspecified
95 Sifilis stadium 1 dan 2 190 A51.0 Primary genital syphilis
191 A53.9 Syphilis, unspecified
96 Tinea kapitis 192 B35.0 Tinea barbae and tinea capitis
97 Tinea barbe 193 B35.0 Tinea barbae and tinea capitis
98 Tinea fasialis 194 B35.8 Other dermatophytoses
99 Tinea korporis 195 B35.4 Tinea corporis
100 Tinea manus 196 B35.2 Tinea manuum
101 Tinea unguium 197 B35.1 Tinea unguium
102 Tinea kruris 198 B35.6 Tinea cruris
103 Tinea pedis 199 B35.3 Tinea pedis
104 Pitiriasis versikolor 200 B36.0 Pityriasis versicolor
105 Kandidosis mukokutan ringan 201 B37.8 Candidiasis of other sites
202 B37.9 Candidiasis, unspecified
106 Cutaneus larva migran 203 B76.9 Hookworm disease, unspecified
107 Filariasis 204 B74.9 Filariasis, unspecified
205 B74.0 Filariasis due to Wuchereria bancrofti
206 B74.1 Filariasis due to Brugia malayi
207 B74.2 Filariasis due to Brugia timori
108 Pedikulosis kapitis 208 B85.0 Pediculosis due to pediculus humanus capitis
109 Pedikulosis pubis 209 B85.3 Phthiriasis
110 Skabies 210 B86 Scabies
111 Reaksi gigitan serangga 211 T63.4 Venom of other arthropods
112 Dermatitis kontak iritan 212 L24.0 Irritant contact dermatitis due to detergents
213 L24.1 Irritant contact dermatitis due to oils and greases
214 L24.2 Irritant contact dermatitis due to solvents
215 L24.3 Irritant contact dermatitis due to cosmetics
216 L24.4 Irritant contact dermatitis due to drugs in contact with skin
217 L24.5 Irritant contact dermatitis due to other chemical products
218 L24.6 Irritant contact dermatitis due to food in contact with skin
219 L24.7 Irritant contact dermatitis due to plants, except food
220 L24.8 Irritant contact dermatitis due to other agents
221 L24.9 Irritant contact dermatitis, unspecified cause
113 Dermatitis numularis 222 L30.0 Nummular dermatitis
114 Napkin eczema 223 L22 Diaper [napkin] dermatitis
115 Pitiriasis rosea 224 L42 Pityriasis rosea
116 Akne vulgaris ringan 225 L70.0 Acne vulgaris
117 Miliaria 226 L74.3 Miliaria, unspecified
118 Urtikaria akut 227 L50.0 Allergic urticaria
228 L50.1 Idiopathic urticaria
229 L50.2 Urticaria due to cold and heat
230 L50.3 Dermatographic urticaria
231 L50.4 Vibratory urticaria
232 L50.5 Cholinergic urticaria
233 L50.6 Contact urticaria
234 L50.8 Other urticaria
235 L50.9 Urticaria, unspecified
119 Exanthematous drug eruption, fixed drug eruption 236 L27.0 Generalized skin eruption due to drugs and medicaments
120 Vulnus laseratum, vulnus punctum 237 T14.0 Superficial injury of unspecified body region
 238 T14.1 Open wound of unspecified body region
121 Luka bakar derajat 1 dan 2 239 T30.0 Burn of unspecified body region, unspecified degree
240 T30.1 Burn of first degree, body region unspecified
241 T30.2 Burn of second degree, body region unspecified
242 T30.4 Corrosion of unspecified body region, unspecified degree
243 T30.5 Corrosion of first degree, body region unspecified
244 T30.6 Corrosion of second degree, body region unspecified
245 T31.0 Burns involving less than 10% of body surface
246 T31.1 Burns involving 10-19% of body surface
247 T32.0 Corrosions involving less than 10% of body surface
248 T32.1 Corrosions involving 10-19% of body surface