AGNOSA YANG HARUS SELESAI DI FKTP

NO

NAMA DIAGNOSA

D
KODE
A15
B059
B019
B54
A90, A91
A279

1
2
3
4
5
6
7
8
9
10
11
12

TB PARU
MORBILI
VARISELA
MALARIA
DEMAM DENGUE DAN DEMAM BERDARAH DENGUE
LEPTOSPIROSIS
INFEKSI PADA UMBILIKUS
KANDIDIASIS MULUT
LEPRA
KERACUNAN MAKANAN
ALERGI MAKANAN
EXANTHEMATOUS DRUG ERUPTION

13

FIXED DRUG ERUPTION

L270

14
15
16

REAKSI ANAFILAKTIK
SYOK
ANEMIA

R579
D649

17
18
19
20
21
22
23
24

HIV/AIDS TANPA KOMPLIKASI

LIMFADENITIS
REFLUKS GASTROESOFAGEAL
GASTRITIS
INTOLERANSI MAKANAN
MALABSORBSI MAKANAN
DEMAM TIFOID
GASTROENTERITIS ( TERMASUK DISENTRI, KOLERA,
GIARDIASIS)

25
26
27
28
29
30
31
32
33
34
35

DISENTRI BASILER DAN DISENTRI AMUBA

APENDISITIS AKUT
PERDARAHAN SALURAN MAKAN BAGIAN ATAS
PERDARAHAN SALURAN MAKAN BAGIAN BAWAH
HEMOROID GRADE 1-2
HEPATITIS A
HEPATITIS B
PAROTITIS
ASKARIASIS
CUTANEUS LARVA MIGRANS
PENYAKIT CACING TAMBANG

36

SKISTOSOMIASIS

B379
A30
T622
L270

Z21
B70
K219
K297

A010
A09

K359

K11.2
B77.9
B76.9
B76.0
B76.1
B65.9
B65.2

37
38
39
40
41
42
43
44

STRONGILOIDIASIS
TAENIASIS
PERITONISIS
KOLESISTITIS
MATA KERING/DRY EYE
BUTA SENJA
HORDEOLUM
KONJUNGTIVITIS

B78.9
B68.9
K65.9
K81.9
H04.1
H53.5
H00.0
H10.9
H10.1

45
46
47
48
49
50
51
52
53
54

BLEFARITIS
PERDARAHAN SUBKONJUNGTIVA
BENDA ASING DI KONJUNGTIVA
ASTIGMATISM
HIPERMETROPIA
MIOPIA RINGAN
PRESBIOPIA
KATARAK PADA PASIEN DEWASA
GLAUKOMA AKUT
OTITIS EKSTERNA

55
56
57
58
59
60

OTITIS MEDIA AKUT

SERUMEN PROP
BENDA ASING DI HIDUNG
ANGINA PEKTORIS
INFARK MIOKARD
TAKIKARDIA

61

GAGAL JANTUNG AKUT DAN KRONIK

I50.9

62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77

CARDIORESPIRATORY ARREST
HIPERTENSI ESENSIAL
INFARK SEREBRAL/STROKE
FRAKTUR TERBUKA
FRAKTUR TERTUTUP
POLIMIALGIA REUMATIK
ARTRITIS REUMATOID
ARTRITIS, OSTEOARTRITIS
LIPOMA
KEJANG DEMAM
VERTIGO
DELIRIUM
TETANUS
RABIES
EPILEPSI
STATUS EPILEPTIKUS

K80
I10
I63.9
T14.
T14.
M53.3
M53.3
M19.9
D17.9
R56.0
R42
F05.9
A35
A82.9
G40.9
G41.9

H01.0
H57.8
T15.9
H52.2
H52.0
H52.1
H52.4
H26.9
H40.2
H60.9
H66.0
H61.2
T17.1
I20.9
I21.9
I47.1
I47.2

78
79
80
81

MIGREN
BELLS' PALSY
TENSION HEADACHE
INSOMNIA

G43.9
G51.0
G44.2
G47.0

82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119

DEMENSIA
GANGGUAN CAMPURAN ANXIETAS DAN DEPRESI
GANGGUAN PSIKOTIK
EPISTAKSIS
FURUNKEL PADA HIDUNG
FARINGITIS
RHINITIS AKUT
RHINITIS ALERGIK
RHINITIS VASOMOTOR
TONSILITIS
LARINGITIS
BRONKITIS AKUT
INFLUENZA
PNEUMONIA ASPIRASI
PNEUMONIA DAN BRONKOPNEUMONIA
PERTUSIS
ASMA BRONKIAL
MILIRIA
VERUKA VULGARIS
REAKSI GIGITAN SERANGGA
HERPES ZOSTER
HERPES SIMPLEKS
SKABIES
PEDIKULOSIS KAPITIS
DERMATOFITOSIS : TINEA KAPITIS
DERMATOFITOSIS : TINEA BARBAE
DERMATOFITOSIS : TINEA FASIALIS
DERMATOFITOSIS : TINEA KORPORIS
DERMATOFITOSIS : TINEA MANUM
DERMATOFITOSIS : TINEA UNGUIUM
DERMATOFITOSIS : TINEA KRURIS
DERMATOFITOSIS : TINEA PEDIS
PITIRIASIS VERSIKOLOR/TINEA VERSIKOLOR
PIODERMA
DERMATITIS SEBOROIK
DERMATITIS ATOPIK
DERMATITIS NUMULARIS
LIKE SIMPLEKS KRONIK (NEURODERMATITIS
SIRKUMKRIPTA)

F03
F41.2
F20
R04.0
J34.0
J02.9
J00
J30.0
J30.0
R76
J04.0
J20.9
J11
J69.0
J18.9
A37.8
J45
L74.3
B07
T63.4
B02.9
B00.9
B86
B85.0
B35.0
B35.0

120
121
122
123

DERMATITIS KONTAK ALERGIK

DERMATITIS KONTAK IRITAN
NAPKIN ECZEMA 9DERMATITIS POPOK)
PITIRIASIS ROSEA

B35.4
B35.2
B35.1
B35.6
B35.3
B36.0
L08.0
L21
L20
L20.8
L28.0
L23
L24
L22
L42

124
125
126
127
128
129
130
131

MOLUSKUM KONTAGIOSUM
URTIKARIA
FILARIASIS
LUKA BAKAR DERAJAT I DAN II
OBESITAS
TIROTOKSIKOSIS
HIPERGLIKEMIA HIPEROSMOLAR NON KETOTIK
HIPOGLIKEMIA

132
133
134
135

DIABETES MELITUS 1
DIABETES MELITUS 2
MALNUTRISI ENERGI PROTEIN (MEP)
HIPERURICEMIA GOUT ARTHRITIS

136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155

DISLIPIDEMIA
INFEKSI SALURAN KEMIH
HIPERMEMESIS GRAVIDARUM
KEHAMILAN NORMAL
PRE-EKLAMPSIA
EKLAMSIA
ABORTUS SPONTAN KOMPLIT
ABORTUS MENGANCAM/INSIPIENS
ABORTUS SPONTAN INKOMPLIT
ANEMIA DEFISIENSI BESI PADA KEHAMILAN
KETUBAN PECAH DINI
PERSALINAN LAMA
PERDARAHAN POST PARTUM
RUPTUR PERINEUM TINGKAT 1-2
MASTITIS
FLUOR ALBUS
SIFILIS
GONORE
VAGINITIS
VULVITIS

B08.1
L50
B74
S24
E66.9
E05.9
R73.9
E16.2
E10
E11
E46
E79.0
M10
E78.5
N39.0
O21.0
O80.9
O14.9
O15.9
O03.9
O06.3
O06.4
D50
042.9
O63.9
072.1
O70.0
N61
N98.9
A51
A54.9
N76.0
N76.0

DIAGNOSA ICD X
NAMA DIAGNOSA

Generalized skin eruption due to drugs and medicaments

LEVEL
KOMEPETNSI
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A

Generalized skin eruption due to drugs and medicaments

4A

Respiratory TB
Measles without complication
Varicella without complication
Unspecified malaria
Dengue fever, DHF

Candidiasis unspecified
Leprosy
Other ingested (parts of plant(s))

Shock, unspecified
Anaemia, unspecified (anemia defisiensi besi-4A, anemia
hemolitik-3A, anemia makrositik-3A, anemia aplastik-2, anemia
megaloblastik-2)
Asymptomatic HIV infection status
Lymphadenitis Acute
Gastrooesophageal reflux disease without oesophagitis
Gastritis, unspecified

Typhoid fever
Diarrhoea & gastroenteritis of presumed infection origin

4A
3B
4A

4A
4A
4A
4A
4A
3A
4A
4A

Sialoadenitis
Ascariaris unspecified
Hookworm disease, unspecified
Ankylostomiasis ,Necatoriasis

4A
3B
3B
3A
4A
4A
3A
4A
4A
4A
4A

Skistosomiasisunspecified , Schistomiasis due to S. Japonicum

4A

Acute appendicitis

Strongyloidiasis
Taeniasis
Peritonitis, unspecified
Cholecystitis, unspecified
Other disorders of lacrimal gland
Colour vision deficiencies
Hordeolum and other deep inflammation of eyelid
Conjunctivitis, unspecified,,,
Acute atopic conjunctivitis

4A
4A
3B
3B
4A
4A
4A
4A

Blepharitis
Other specified disorders of eye and adnexa
Foreign body on external eye, part unspecified
Astigmatism
Hypermetropia
Myopia
Presbyopia
Cataract, unspecified
Primary angle-closure glaucoma
Otitis Externa, Unspecified

4A
4A
4A
4A
4A
4A
4A
2
4A
4A

Acute suppurative otitis media

Impacted cerumen
Foreign body in nostril
Angina pectoris
Acute Myocardial Infarction
Supraventicular Tachicardy ,
Ventricular Tachicardy

4A
4A
4A
3B
3B
3B

Heart failure

Cardiac arrhytmia
Essential (primary) hypertension
Cerebral infarction
Fracture of unspecified body
Fracture of unspecified body
Polymyalgia rheumatica
Polymyalgia rheumatica
Osteoarthrosis other
Benign lipomatous neoplasm
Febrile convulsions
Dizziness and giddiness
Delirium
Othertetanus
Rabies
Epilepsy
Status epilepticus, unspecified

Gagal jantung
akut (3B)
Gagal jantung
kronik (3A)
3B
4A
3B
3B
3B
3A
3A
3A
4A
4A
4A
3A
4A
3B
3A
3B

Migraine, unspecified
Bells palsy
Tensiontype headache
Disorders of initiating and maintaining sleep (insomnias)

4A
4A
4A
4A

Unspecified dementia
Mixed Anxiety and Depression Disorder
Chronic Psychotic Disorder
Epistaxis
Abscess, furuncle and carbuncle of nose
Acute pharyngitis, unspecified
Acute nasopharingitis (common cold)
Vasomotor rhinitis
Vasomotor rhinitis
Acute tonsillitis, unspecified
Acute laryngitis
Acute bronchitis, unspecified
Influenza
Pneumonitis due to food and vomit
Pneumonia, unspecified
Whooping cough
Asthma
Miliaria
Viral warts
Venom of other arthropods
Zoster without complication
Herpesviral infection, unspecified
Scabies
Pediculosis due to Pediculus humanus capitis
Tinea barbae and tinea capitis
Tinea barbae and tinea capitis
TINEA FASIALIS
Tinea corporis
Tinea manuum
TINEA UNGUIUM
Tinea cruris
Tinea pedis
Pityriasis versicolor
Pyoderma
Seborrhoeic dermatitis
Atopic dermatitis
Other atopic dermatitis
Lichen simplex chronicus

3A
3A
3A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
3B
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
3A

Allergic contact dermatitis

Irritant contact dermatiti
Diaper(napkin) dermatitis
Pityriasis rosea

3A
4A
4A
4A

Molluscum contagiosum
Urticaria
Filariasis
burn
obesity unspecified
Tirotoksikosis unspecified
Hyperglycaemia unspecified
hypoglycaemia unspecified

4A
4A
4A
4A
4A
3B
3B
ringan 4A,
berat 3B

Insulin-dependent diabetes mellitus

Non-insulin-dependent diabetes mellitus
Unspecified protein-energy malnutrition
Hyperuricemia without signs of inflammatory arthritis and
tophaceous disease

4A
4A
4A
4A

Hiperlipidemia
Urinary tarct infection, site not specified
Mild hyperemis gravidarum
Single spontaneus delivery, unspecified
Pre-eclampsia, unspecified
Eclampsia, unspecified as to time periode
Unspecified abortion complete, without complication
Unspecified abortion incomplete, without complication
Unspecified abortion incomplete, without complication
Iron deficiency anemia
Premature rupture of membrane, unspecified
long labour
Other Immediate Postpartum haemorhage
First degree perineal laceration during delivery
Inflammatory disorders of breast

4A
4A
3B
4A
3B
3B
4A
3B
3B
4A
3A
3B
3B
4A
4A
4A
3A
4A
4A
4A

Early syphilis
Gonococcal infection, unspecified
Acute Vaginitis
Acute Vaginitis

1
2

SKABIES
OTITIS MEDIA AKUT

HIPERTENSI ESENSIAL

4
5
6
7
8
9

ARTRITIS REUMATOID
ARTRITIS, OSTEOARTRITIS
LIPOMA
VERTIGO
MIGREN
FARINGITIS

10 RHINITIS AKUT

11
12
13
14
15
16
17
18
19

RHINITIS ALERGIK
INFLUENZA
TONSILITIS
INFLUENZA
SKABIES
HERPES ZOSTER
PAROTITIS
URTIKARIA
DIABETES MELITUS 1

20 DIABETES MELITUS 2

B86
H66.0
I10
M53.3
M19.9
D17.9
R42
G43.9
J02.9
J00

J30.0
J11
R76
J11
B86
B02.9
K11.2
L50
E10
E11

21 INFEKSI SALURAN KEMIH

N39.0

22 KEHAMILAN NORMAL

O80.9

23 GASTRITIS
24 DEMAM TIFOID
25 GASTROENTERITIS ( TERMASUK DISENTRI, KOLERA,
GIARDIASIS)

K297
A010
A09

26 APENDISITIS AKUT
27 PAROTITIS
28 KONJUNGTIVITIS

K359
K11.2
H10.9
H10.1

29 OTITIS EKSTERNA

H60.9

Scabies
Acute suppurative otitis
media

4A
4A

Essential (primary)
hypertension

4A

Polymyalgia rheumatica
Osteoarthrosis other
Benign lipomatous neopl
Dizziness and giddiness
Migraine, unspecified
Acute pharyngitis,
unspecified

3A
3A
4A
4A
4A
4A

Acute nasopharingitis
(common cold)

4A

Vasomotor rhinitis
Influenza
Acute tonsillitis, unspecifi
Influenza
Scabies
Zoster without complicati
Sialoadenitis
Urticaria
Insulin-dependent
diabetes mellitus

4A
4A
4A
4A
4A
4A
4A
4A
4A

Non-insulin-dependent
diabetes mellitus

4A

Urinary tarct infection,

site not specified

4A

Single spontaneus
delivery, unspecified

4A

Gastritis, unspecified
Typhoid fever
Diarrhoea &
gastroenteritis of
presumed infection
origin

4A
4A
4A

Acute appendicitis
Sialoadenitis
Conjunctivitis,
unspecified,,,
Acute
atopic conjunctivitis

3B
4A
4A

Otitis Externa, Unspecifie

4A