1. DIVISI RINOLOGI

NO DIAGNOSIS ICD 10

1 Acute sinusitis J 01

2 acute maxillary sinusitis J01.00

3 acute recurrent maxilarry sinusitis J01.01

4 acute frontal sinusitis J01.11

5 acute recurrent frontal sinusitis J.01.2

6 acute etmoidal sinusitis J.01.21

7 acute reccurent etmoidal sinusitis J.01.3

8 acute sphenoid sinusitis J.01.31

9 acute reccurent sphenoid sinusitis J.01.4

10 acute pansinusitis J.01.41

11 acute reccurent pansinusitis J. 01.41

12 other aute sinusitis J.01.8

13 acute sinusitis unspecified J.01.8

14 vasomotor rhinitis J.01.9

15 allergic rhinitis due to pollen J.30.0

16 allergic rhinitis due to food J.30.1

17 allergic rhinitis due to cat/dog hair J.30.5

18 allergic rhinitis inspecified J.30.81

19 chronic rhinitis J.30.9

20 chronic maxillary sinusitis J.31.0

21 chronic frontal sinusitis J.32.0

22 chronic ethmoidal sinusitis J.32.1

23 chronic sphenoidal sinusitis J.32.2

24 chronic pansinusitis J.32.3

25 chronic sinusitis unspecified J.32.4

26 polyp of nasal cavity J.32.9

27 polypoid sinus degeneration J.33.0

28 other polyp of sinus J.33.1

29 nasal polyp of sinus J.33.8

30 nasal polip unspecified J.33.9

31 abscess, furuncle, and carbuncle of nose J.34.0

32 cyst and mucocele of nose and nasal sinus J.34.1

33 deviated nasal septum J.34.2

34 hypertrophy of nasal turbinates J.34.3

35 other specified disorders of nose and nasal sinuses J.34.8

36 nasal mucositis J.34.81

37 unspecified disorder of nose and nasal sinuses J.34.9

38 angiofibroma D.10.6

39 papiloma inverted D.14.0

40 LPR K.21.0

41 hipertrofi Adenoid J.35.2NO TINDAKAN THT RSCM

ICD 9ICD 9 PROCEDURE

1BSEF mini (I)

22.6sinusectomy , not otherwise specified

2 BSEF mini (II) + maksila/ etmoid 22.63 ethmoidectomy3 BSEF mini (III) + frontal / sfenoid 22.64 sphenoidectomy4 BSEF mini (IV) + maksila/ etmoid +

frontal/ sfenoid22.6

other nasal sinusectomy

5 BSEF lanjut 22.6 other nasal sinusectomy6 septoplasty 21.88 other septoplasty7 Caldwell Luc 22.39 caldwell luc approach8

Irigasi sinus ( DAWO) 22

aspirasi dan lavage of nasal sinus, not otherwise specified

9sinuskopi

22.5sinusectomy, not other wise specified

10sinuskopi dengan tindakan

33.5sinusotomy, not otherwise specified

11

ekstraksi benda asing98.12

removal of intraluminal foreign body from nose without incision

12nasoendoskopi dengan tindakan

22.19other diagnostic procedures on nasal sinuses

13 septoplasty ec trauma hidung 21.88 other septoplasty14 konkotomi/ konkoplasti 21.6 turbinectomy15

septum reseksi/ SMR21.5

submucose resection of nasal septum

2. NEUROTOLOGI

No NAMA PENYAKIT CODE ICD X1 Other Hearing Loss H912 ototoxic hearing loss H91.03 presbycusis H91.14 sudden idiopathic hearing loss H91.25 deaf mutism H91.36 other specified hearing loss H91.87 hearing loss, unspecified H91,98 Conductive and Sensorineural Hearing Loss H909 conductive hearing loss bilateral H90.0

10conductive hearing loss, unilateral with unrestricted hearing on the contralateral side H90.1

11 conducting hearing loss, unspecified H90.212 sensorineural hearing loss, bilateral H90.3

13sensorineural hearing loss, unilateral with restricted hearing on the contralateral side H90.4

14 sensorineural hearing loss, unspecified H90.515 mixed type hearing loss, bilateral H90.6

16mixed type hearing loss, unilateral with restricted hearing on contralateral side H90.7

17 mixed type hearing loss, unspecified H90.818 Other Disorder of Ear, not Elsewhere Classified H9319 degenerative and vascular disorders of ear H93.020 tinnitus H93.121 other abnormal auditory perceptions H93.222 Disorders of Verstibular Function H8123 meniere disease H81.024 BPPV H81.125 vestibular neuritis H81.226 other peripheral vertigo H81.327 Vertigo of central origin H81.428 other disorders of vestibular function H81.829 disorders of vestibular function, unspecified H81.930 Verttiginous Syndromes in Disease Classified Elsewhere H8231 Other Disease of Inner Ear H8332 labyrinthitis H83.033 labyrinthitis fistula H83.134 labyrinthitis dysfunction H83.235 noise effects on inner ear H83.336 other specified disease on inner ear H83.837 disease of inner ear, unspecified H83.938 Tube dysfunction H69.939 Tympanosclerotic H74.040 otalgia H92.0

NO NAMA TINDAKAN CODE ICD IX

1 Nonoperative Procedure Related to Hearing 95.42 audiometry 95.413 clinical test of hearing 95.424 audiological evaluation 95.435 clinical vestibular function tests 95.446 rotation tests 95.457 other auditory and vestibular function tests 95.468 hearing examination, not otherwise specified (BERA, OAE,

Frenzell) 95.479 fitting of hearing aid 95.4810 other nonoperative procedures related to hearing adjustment

(external components) of cochlear prostetic device 95.4911 Electromyogram of eye (EMG) 95.24

3. PLASTIK REKONSTRUKSI

Ket Diagnosis ICD 10Kelainan kongenital other congenital malformations of ear Q 18.1 excludes: preauricular sinus accessory auricle Q 17.0 accessory tragus polyotia preauricular appendage or tag supernumerary: ear, lobule Macrotia Q 17.1 microtia Q 17.2 other misshapen ear Q 17.3 pointed ear misplaced ear Q 17.4 low set ears exclude cervical aur prominent ear Q 17.5 bat ear other specified congenital malformations of ear Q 17.8 congenital absence of lobe ear

Kelainan didapatother acquired deformities of musculoskeletal system and connective tissue M.95

Acquired deformity of nose M 95.0 exclude deviated nasal septum J 34.2 cauliflower ear M 95.1 exclude other acquired deformities of ear H 61.1 other acquired deformities of head M 95.2 acquired deformity of neck M 95.3 acquired deformity of chest and rib M 95.4

acquired deformity of pelvis M 95.5

exclude maternal care for known or suspected disproportion O 33.-

other specified acquired deformities of musculoskeletal system M 95.8

acquired deformity of muskuloskeletal system, unspecified M 95.9

Kelainan akibat trauma Fracture of skull and facial bones S 02 Fracture of vault of skull S 02.0 Fracture bone Parietal bone Fracture of base of skull S 02.1 fossa: anterior, middle, posterior Occiput orbital roof sinus: ethmoid, frontal sphenoid temporal bone exclude: orbit NOS S 02.8 Orbital floor S 02.3 Fracture of orbital floor S 02.3 exclude orbit NOS S 02.8 Orbital roof S 02.1 Fracture of malar and maxillary bones S 02.4 superior maxilla upper jaw (bone) zygoma Fracture of tooth S 02.5 broken tooth fracture of mandible S 02.6 lower jaw (bone) Involving skull and facial bones S 02.7 Fracture of other skull and facial bones S 02.8 alveolus orbit NOS Palate excl: orbita floor, roof S 02.3 S 02.1 fracture of skul and facial bones, part unspecified S 02.9

Dislocation, sprain, and strain of joints and ligaments of head S 03

Dislocation of jaw S 03.0

jaw (cartilage)(meniscus), mandible, temporomandibular (joint)

dislocation of septal cartilage of nose S 03.1 Dislocation of tooth S 03.2

dislocation of other and unspecified parts of head S03.3 sprain and strain of jaw S 03.4 temporomandibular (joint)(ligament)

sprain and strain of joints and ligaments of other and unspecified parts of head S 03.5

Burn and corrosion of head and neck T 20 incl ear (any part) eye with other parts of face, head and neck lip nose (septum) scalp (any part) temple (region) exclude: burn and corrosion (of) confined to eye and adnexa T26.- mouth and pharynx T28.- burn of unspecified degree of head and neck T 20.0 burn of first degree of head and neck T 20.1 burn of second degree of head and neck T 20.2 burn of third degree of head and neck T 20.3 Corrosion of unspecified degree of head and neck T 20.4 Corrosion of first degree of head and neck T 20.5 Corrosion of second degree of head and neck T 20.6 Corrosion of third degree of head and neck T 20.7 hypoplasia of tongue microglossia Cleft palate Q 35 cleft hard palate Q 35.1 cleft soft palate Q 35.3 cleft hard palate with cleft soft palate 1 35.5 cleft uvula Q 35.7 cleft palate , unspecified Q 35.9 cleft lip Q 36 cleft lip, bilateral Q 36.0 cleft lip, median Q 36.1 cleft lip, unilateral Q 36.9 cleft palate with cleft lip Q 37 cleft hard palate with bilateral cleft lip Q 37.0 cleft hard palate with unilateral cleft lip Q 37.1 cleft soft palate with bilateral cleft lip Q 37.2 cleft soft palate with unilateral cleft lip Q 37.3 cleft hard and soft palate with bilateral cleft lip Q 37.4 cleft hard and soft palate with unilateral cleft lip Q 37.5 unspecified cleft palate with bilateral cleft lip Q 37.8 congenital musculoskeletal deformities of head and Q 67

face facial assymetry Q 67.0 compression facies Q 67.1 dolichocephaly Q 67.2 plagiocephaly Q 67.3 other congenital deformities of skull, face and jaw Q 67.4 depression in skull deviation of nasal septum, congenital hemifacial atrophy or hypertrophy squashed or bent nose, congenital

No Tindakan RSCM ICD 9 TINDAKAN ICD 91 Labioplasti unilateral 27.54 repair of cleft lip2 septum reseksi 21.5 submucous resection of nasal septum

3 revisi parut 86.84relaxation of scar or web contracture of skin

4 skin grafting 86.6 free skin graft5 septoplasty ec trauma hidung 21.88 other septoplasty6 konkoplasty/konkotomi 21.6 turbinectomy7 labioplasti bilateral 27.54 repair of cleft lip8 rekonstruksi fraktur rahang 76.76 open reduction of mandibular fracture9 palatoplasty 27.6 palatoplasty

10 faringeal flap 86.7 pedicle grafts or flaps11 forehead flap 86.7 pedicle grafts or flaps12 regional flap 86.7 pedicle grafts or flaps13 rinoplasty 21.87 other rhinoplasty

14rinoplasty dgn augmentasi

tulang rawan 21.85augmentation rhinoplasty

(augmentation rhinoplasty with: graft)15 septorinoplasty 21.84 rhinoseptoplasty

16rekonstruksi telinga mikrotia

tahap 1 18.71 construction of auricle of ear

27rekonstruksi telinga mikrotia

tahap 2 18.71 construction of auricle of ear

18rekonstruksi hidung dengan

defek 21.83 total nasal reconstruction

19rekonstruksi fraktur muka

dengan plate screw 76.92insertion of synthetic implant in facial

bone20 rekonstruksi mandibula 76.76 open reduction of mandibular fracture21 ekstirpasi preaurikuler fistel 18.21 excision of preauricular sinus22 otoplasty 18.71 construction of auricle of ear23 harvesting iga 76.91 bone graft to facial bone

4. ONKOLOGI

No Diagnosa

Indonesia ICD 10 InggrisColum

n1Column2 Column3 Column4

1 Massa Nasofaring D10.6Benign Neoplasm Of Nasopharynx

2 Karsinoma Nasofaring C11.9Malignant Neoplasm Of Nasopharynx, Unspecified

3 KNF Pasca KemoradiasiC11.9 - Z51.1

- Z51.0

Malignant Neoplasm Of Nasopharynx, Unspecified- Radiotherapy session - Chemotherapy session forneoplasm

4 KNF On KemoradiasiC11.9 - Z51.1

- Z51.0

Malignant Neoplasm Of Nasopharynx, Unspecified- Radiotherapy session - Chemotherapy session forneoplasm

5 Massa Kavum Nasi D14.0Benign Neoplasm of middle ear, nasal cavity and accessory sinuses

6 Massa Sinonasal D14.0Benign Neoplasm of middle ear, nasal cavity and accessory sinuses

7 Ca Kavum Nasi C30.0Maligna Neoplasm of nasal cavity

8 Ca Sinonasal / Papiloma C31.9 Maligna Neoplasm of accessory sinuses unspecified

9 Ca Adenoid Cystic D09.2 Carcinoma In Situ of Eye

10 Ca Sinus maxillary C31.0Malignant neoplasm of maxillary sinus

11 Epistaksis R04.0 Epistaksis 12 D18.0 Hemangioma, any site

13 Massa Parotis D11.0Benign Neoplasm of parotid gland

14 Ca Parotis C07Maligna Neoplasm of parotid gland

15 Massa Tiroid D34Benign neoplasm of thyroid gland

16 LMNH C96.9

Malignant neoplasm of lymphoid, haematopoieticand related tissue, Unspecified

17 LNH C85.9Non - Hodgkin's lymphoma, Unspecified type

18 LNH - Diffuse C83.6 Undifferentiated (diffuse) Non - Hodgkin's

Lymphoma

19 Ca Laring C32.9Malignant neoplasm of larynx, Unspecified

20 D02.0Carcinoma In Situ Of Larinx

21 Ca Lidah C02.9Malignant neoplasm of tongue, Unspecified

22 Ca Pangkal Lidah C01Malignant neoplasm of base of tongue

23 C05.9Malignant neoplasm of Palate Unspecified

24 K09.9Cyst of oral region, Unspecified

25 Massa Tonsil D10.14 Benign neoplasm of tonsil

26 Ca Tonsil C09.9Malignant neoplasm of tonsil, Unspecified

27 Hipetropi tonsil dan adenoid J35.3Hypertrophy of tonsils with hypertrophy of adenoids

28 Hipetropi tonsil J35.1 Hypertrophy of tonsils 29 Tonsilitis Kronik J35.0 Chronic tonsilitis

30Lympadenopati colli dekstra / sinistra

R59.0Localized enlarged lymph nodes

31 Lympadenopati colli Bilateral R59.1Generalized enlarged lymph nodes

32 Lympadenopati Colli R59.9Enlarged lymph nodes, Unspecified

33 TB Paru Observasi Z03.0Observation For Suspected Tuberculosis

34 TB Paru + Laboratorium A15.9Observation For Suspected malignant Tuberculosis

35 E63.1Imbalance Of Constituents of food intake

36 E63.3Feeding difficulties and mis management

37 E63.8Other Symptoms and Signs Concerning food and fluid intake

38 E63.9Nutritional deficiency, Unspesified

39 97.01Replacement of ( Naso ) gastric or esophagostomytube

40 R13 Dysphagia 41 K30 Dyspepsia

42 Nasoendoskopi dengan fiber 22.19Other diagnostic proseduron nasal sinuses

43 Konsultasi 89.09Consultation, not otherwise specified

44 97.37Removal of Trakeostomy tube

45 D37.7Neoplasm Of Uncertain orUnknown behavior of other digestive organs

46 GV , Wound Toilet 93.57Application of other wound dressing

47 Aff Hecting , Angkat Jahitan 97.38Removal of suture from head and neck

48 Aff Tampon Hidung Anterior 97.32 Removal of nasal packing

49Pasang dan Lepas Tampon Hidung Anterior

97.21Replacement of nasal packing

50 21.02Control of epistaxis by posterior and anterior packing

51 16.81 Repair of wound of orbit

52 06.02Reopening of wound of tyroid field

53 Biopsi Nasofaring 21.22 Biopsy Of Nose

54 Kavum Nasi / Sinonasal 22.11Closed ( endoscopic ) needle biopsy of nasal sinus

55 Biopsi Lidah / Palatum 25.02 Open biopsy of tongue 56 Biopsi Tonsil 28.5 Excision of ingual tonsil

57 Biopsi Insisional Leher 40.11Biopsy of lymphatic structure

58 22.12Open biopsy of nasal sinus

59 H66.4Suppurative otitis media, Unspecified

60 H66.3Other Chronic suppurative otitis media

Proptosis Okular Dekstra /Sinistra

Angiofibroma nasofaring Papiloma Inverted

NO TINDAKAN RSCM ICD 9 TINDAKAN ICD 9

1Biopsi tumor hidung lidah dan

nasofaring21.22/25.02/2

2.11

Biopsy of nose, open biopsyof tongue, closed

[endoscopic] [needle]biopsy of nasal sinus

2 Insisional biopsi kelenjar leher 40.11Biopsy of lymphatic

structure

3 Hemiglosektomi 25.3 Partial glossectomy

4Hemiglosektomi dan diseksi

leher25.3/40.40

Partial glossectomy, Radicalneck dissection, nototherwise specified

5Wide eksisi tumor tonsil,

orofaring28.2/27.99

Tonsillectomy withoutadenoidectomy, other

operations on oral cavity

6 Ekstirpasi angiofibroma 22.9Other operations on nasal

sinuses

7 Maksilektomi parsial 22.62Excision of lesion of

maxillary sinus with otherapproach

8 Maksilektomi total 22.62Excision of lesion of

maxillary sinus with otherapproach

9 Diseksi leher modified 40.3Regional lymph node

excision

10 Diseksi leher bilateral 40.42Radical neck dissection,

bilateral

11 Mandibulektomi parsial 76.31 Partial mandibulectomy

12 Ekstirpasi tumor jinak kel liur 26.3 Sialoadenectomy

13 Parotidektomi 26.3 Sialoadenectomy

14 Baloq tampon dengan narkose 21.02Control of epistaxis byposterior (and anterior)

packing

15Ekstirpasi tumor jinaksinonasal, oral cavity

22.9Other operations on nasal

sinuses

16 Ligasi karotis eksterna 21.06Control of epistaxis byligation of the external

carotid artery

17 Eksplorasi nasofaring 22.11Closed [endoscopic]

[needle] biopsy of nasalsinus

18 Pan endoskopi42.24/33.23/2

2.19

Nasoendoscopy withoutbiopsy, other

esophagoscopy, otherbronchoscopy

19 Diseksi leher radikal 40.40Radical neck dissection, not

otherwise specified

20Control of epistaxis by anterior

nasal packing21.01

Control of epistaxis byanterior nasal packing

21 diagnostic of nose 21.2 diagnostic of nose

22 rhinoscopy 21.21 rhinoscopy

23 Biopsy of nose 21.22 Biopsy of nose

24other diagnostic procedures on

nose21.29

other diagnostic procedureson nose

25diagnostic procedures on

tongue25.0

diagnostic procedures ontongue

5. ENDOSKOPI

No Diagnosis ICD 101 Laringomalacia Q31.82 Obstructive sleep apneu G47.33 Dysphagia Neurogenik R134 Dysphagia mekanik R135 Laringopharyngeal reflux K21.96 Benda asing saluran napas T17.97 Benda asing saluran cerna T18.18 Dysphonia R49.09 Akalasia esofagus K22.010 Massa esofagus D37.011 Gastro-esophageal reflux disease K2112 Benda asing mulut T18.013 Benda asing faring T17.214 Divertikulum esofagus K22.515 Fistel trakeoesofagus J95.0416 Stenosis esophagus K22.217 Barret esofagus K22.718 Esofagitis K21.019 Bronchomalasia Q32.220 Atelektasis J98.1121 Perforasi esofagus K22.3

No Tindakan ICD 91 Esofagoskopi diagnostik 42.22 Esofagoskopi ekstraksi 42.23 Bronkoskopi diagnostik 33.234 Bronkoskopi ekstraksi 33.235 Fiber optic bronchoscopy 33.22

6 Rhinopharingolaringoskopi 31.427

Flexible endoscopic Evaluation of Swallowing 42.238 Transnasal endoscopy 42.249 Pemasangan NGT 96.0710 Ekstraksi benda asing 98.2211 Esofagoskopi dilatasi 42.2

6. ALERGI

No Diagnosis ICD 10

1 Rinitis alergi J 30.3

2 rinitis non alergi

3 rinitis vasomotor J 30.0

4 septum deviasi J 34.2

5 rinitis kronik J 31.0

6 hipertrofi konka J 34.3

7 gangguan penciuman R 43

8 polip nasi J 33.0

9 hipertrofi tonsil J 35.110 hipertrofi adenoid J 35.211 alergi makanan Z 91.02

7.OTOLOGI

No ICD 10-Diagnosa

1H60 Otitis externa

2 H61 Other disorders of external ear3 H62 Disorders of external ear in diseases classified elsewhere4 H60 Otitis externa5 H60.0 Abscess of external ear6 H60.00 …… unspecified ear7 H60.01 Abscess of right external ear8 H60.02 Abscess of left external ear9 H60.03 …… bilateral

10 H60.1 Cellulitis of external ear11 H60.10 …… unspecified ear12 H60.11 Cellulitis of right external ear13 H60.12 Cellulitis of left external ear14 H60.13 …… bilateral15 H60.2 Malignant otitis externa16 H60.20 …… unspecified ear17 H60.21 …… right ear18 H60.22 …… left ear19 H60.23 …… bilateral20 H60.3 Other infective otitis externa21 H60.31 Diffuse otitis externa22 H60.311 …… right ear23 H60.312 …… left ear24 H60.313 …… bilateral25 H60.319 …… unspecified ear26 H60.32 Hemorrhagic otitis externa27 H60.321 …… right ear28 H60.322 …… left ear29 H60.323 …… bilateral30 H60.329 …… unspecified ear31 H60.33 Swimmer's ear32 H60.331 …… right ear33 H60.332 …… left ear34 H60.333 …… bilateral35 H60.339 …… unspecified ear36 H60.39 Other infective otitis externa37 H60.391 …… right ear38 H60.392 …… left ear39 H60.393 …… bilateral40 H60.399 …… unspecified ear41 H60.4 Cholesteatoma of external ear42 H60.40 …… unspecified ear43 H60.41 Cholesteatoma of right external ear44 H60.42 Cholesteatoma of left external ear45 H60.43 …… bilateral46 H60.5 Acute noninfective otitis externa47 H60.50 Unspecified acute noninfective otitis externa48 H60.501 …… right ear49 H60.502 …… left ear50 H60.503 …… bilateral51 H60.509 …… unspecified ear52 H60.51 Acute actinic otitis externa53 H60.511 …… right ear54 H60.512 …… left ear

55 H60.513 …… bilateral56 H60.519 …… unspecified ear57 H60.52 Acute chemical otitis externa58 H60.521 …… right ear59 H60.522 …… left ear60 H60.523 …… bilateral61 H60.529 …… unspecified ear62 H60.53 Acute contact otitis externa63 H60.531 …… right ear64 H60.532 …… left ear65 H60.533 …… bilateral66 H60.539 …… unspecified ear67 H60.54 Acute eczematoid otitis externa68 H60.541 …… right ear69 H60.542 …… left ear70 H60.543 …… bilateral71 H60.549 …… unspecified ear72 H60.55 Acute reactive otitis externa73 H60.551 …… right ear74 H60.552 …… left ear75 H60.553 …… bilateral76 H60.559 …… unspecified ear77 H60.59 Other noninfective acute otitis externa78 H60.591 …… right ear79 H60.592 …… left ear80 H60.593 …… bilateral81 H60.599 …… unspecified ear82 H60.6 Unspecified chronic otitis externa83 H60.60 …… unspecified ear84 H60.61 …… right ear85 H60.62 …… left ear86 H60.63 …… bilateral87 H60.8 Other otitis externa88 H60.8X Other otitis externa89 H60.8X1 …… right ear90 H60.8X2 …… left ear91 H60.8X3 …… bilateral92 H60.8X9 …… unspecified ear93 H60.9 Unspecified otitis externa94 H60.90 …… unspecified ear95 H60.91 …… right ear96 H60.92 …… left ear97 H60.93 …… bilateral

98 H61 Other disorders of external ear

99 H61.0 Chondritis and perichondritis of external ear

100 H61.00 Unspecified perichondritis of external ear101 H61.001 Unspecified perichondritis of right external ear102 H61.002 Unspecified perichondritis of left external ear103 H61.003 …… bilateral104 H61.009 …… unspecified ear105 H61.01 Acute perichondritis of external ear106 H61.011 Acute perichondritis of right external ear107 H61.012 Acute perichondritis of left external ear108 H61.013 …… bilateral109 H61.019 …… unspecified ear110 H61.02 Chronic perichondritis of external ear111 H61.021 Chronic perichondritis of right external ear112 H61.022 Chronic perichondritis of left external ear113 H61.023 …… bilateral114 H61.029 …… unspecified ear115 H61.03 Chondritis of external ear116 H61.031 Chondritis of right external ear117 H61.032 Chondritis of left external ear118 H61.033 …… bilateral119 H61.039 …… unspecified ear120 H61.1 Noninfective disorders of pinna121 H61.10 Unspecified noninfective disorders of pinna122 H61.101 …… right ear123 H61.102 …… left ear124 H61.103 …… bilateral125 H61.109 …… unspecified ear126 H61.11 Acquired deformity of pinna127 H61.111 …… right ear128 H61.112 …… left ear129 H61.113 …… bilateral130 H61.119 …… unspecified ear131 H61.12 Hematoma of pinna132 H61.121 …… right ear133 H61.122 …… left ear134 H61.123 …… bilateral135 H61.129 …… unspecified ear136 H61.19 Other noninfective disorders of pinna137 H61.191 Noninfective disorders of pinna, right ear138 H61.192 Noninfective disorders of pinna, left ear139 H61.193 Noninfective disorders of pinna, bilateral140 H61.199 Noninfective disorders of pinna, unspecified ear141 H61.2 Impacted cerumen142 H61.20 …… unspecified ear143 H61.21 …… right ear144 H61.22 …… left ear

145 H61.23 …… bilateral146 H61.3 Acquired stenosis of external ear canal147 H61.30 Acquired stenosis of external ear canal, unspecified148 H61.301 Acquired stenosis of right external ear canal, unspecified149 H61.302 Acquired stenosis of left external ear canal, unspecified150 H61.303 …… bilateral151 H61.309 …… unspecified ear152 H61.31 Acquired stenosis of external ear canal secondary to trauma153 H61.311 Acquired stenosis of right external ear canal secondary to trauma154 H61.312 Acquired stenosis of left external ear canal secondary to trauma155 H61.313 …… bilateral156 H61.319 …… unspecified ear

157 H61.32 Acquired stenosis of external ear canal secondary to inflammation and infection

158 H61.321 Acquired stenosis of right external ear canal secondary to inflammation and infection

159 H61.322 Acquired stenosis of left external ear canal secondary to inflammation and infection

160 H61.323 …… bilateral161 H61.329 …… unspecified ear162 H61.39 Other acquired stenosis of external ear canal163 H61.391 Other acquired stenosis of right external ear canal164 H61.392 Other acquired stenosis of left external ear canal165 H61.393 …… bilateral166 H61.399 …… unspecified ear167 H61.8 Other specified disorders of external ear168 H61.81 Exostosis of external canal169 H61.811 Exostosis of right external canal170 H61.812 Exostosis of left external canal171 H61.813 …… bilateral172 H61.819 …… unspecified ear173 H61.89 Other specified disorders of external ear174 H61.891 Other specified disorders of right external ear175 H61.892 Other specified disorders of left external ear176 H61.893 …… bilateral177 H61.899 …… unspecified ear178 H61.9 Disorder of external ear, unspecified179 H61.90 …… unspecified ear180 H61.91 Disorder of right external ear, unspecified181 H61.92 Disorder of left external ear, unspecified182 H61.93 …… bilateral183 H62 Disorders of external ear in diseases classified elsewhere184 H62.4 Otitis externa in other diseases classified elsewhere185 H62.40 …… unspecified ear186 H62.41 …… right ear187 H62.42 …… left ear

188 H62.43 …… bilateral189 H62.8 Other disorders of external ear in diseases classified elsewhere190 H62.8X Other disorders of external ear in diseases classified elsewhere191 H62.8X1 Other disorders of right external ear in diseases classified elsewhere192 H62.8X2 Other disorders of left external ear in diseases classified elsewhere193 H62.8X3 …… bilateral194 H62.8X9 …… unspecified ear195 H65 Nonsuppurative otitis media196 H66 Suppurative and unspecified otitis media197 H67 Otitis media in diseases classified elsewhere198 H68 Eustachian salpingitis and obstruction199 H69 Other and unspecified disorders of Eustachian tube200 H70 Mastoiditis and related conditions201 H71 Cholesteatoma of middle ear202 H72 Perforation of tympanic membrane203 H73 Other disorders of tympanic membrane204 H74 Other disorders of middle ear mastoid205 H75 Other disorders of middle ear and mastoid in diseases classified elsewhere

206 H65 Nonsuppurative otitis media

207 H65.0 Acute serous otitis media208 H65.00 …… unspecified ear209 H65.01 …… right ear210 H65.02 …… left ear211 H65.03 …… bilateral212 H65.04 …… recurrent, right ear213 H65.05 …… recurrent, left ear214 H65.06 …… recurrent, bilateral215 H65.07 …… recurrent, unspecified ear216 H65.1 Other acute nonsuppurative otitis media217 H65.11 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous)218 H65.111 …… right ear219 H65.112 …… left ear220 H65.113 …… bilateral221 H65.114 …… recurrent, right ear222 H65.115 …… recurrent, left ear223 H65.116 …… recurrent, bilateral224 H65.117 …… recurrent, unspecified ear225 H65.119 …… unspecified ear226 H65.19 Other acute nonsuppurative otitis media227 H65.191 …… right ear228 H65.192 …… left ear229 H65.193 …… bilateral230 H65.194 …… recurrent, right ear231 H65.195 …… recurrent, left ear232 H65.196 …… recurrent, bilateral

233 H65.197 …… recurrent, unspecified ear234 H65.199 …… unspecified ear235 H65.2 Chronic serous otitis media236 H65.20 …… unspecified ear237 H65.21 …… right ear238 H65.22 …… left ear239 H65.23 …… bilateral240 H65.3 Chronic mucoid otitis media241 H65.30 …… unspecified ear242 H65.31 …… right ear243 H65.32 …… left ear244 H65.33 …… bilateral245 H65.4 Other chronic nonsuppurative otitis media246 H65.41 Chronic allergic otitis media247 H65.411 …… right ear248 H65.412 …… left ear249 H65.413 …… bilateral250 H65.419 …… unspecified ear251 H65.49 Other chronic nonsuppurative otitis media252 H65.491 …… right ear253 H65.492 …… left ear254 H65.493 …… bilateral255 H65.499 …… unspecified ear256 H65.9 Unspecified nonsuppurative otitis media257 H65.90 …… unspecified ear258 H65.91 …… right ear259 H65.92 …… left ear260 H65.93 …… bilateral

261 H66 Suppurative and unspecified otitis media

262 H66.0 Acute suppurative otitis media263 H66.00 Acute suppurative otitis media without spontaneous rupture of ear drum264 H66.001 …… right ear265 H66.002 …… left ear266 H66.003 …… bilateral267 H66.004 …… recurrent, right ear268 H66.005 …… recurrent, left ear269 H66.006 …… recurrent, bilateral270 H66.007 …… recurrent, unspecified ear271 H66.009 …… unspecified ear272 H66.01 Acute suppurative otitis media with spontaneous rupture of ear drum273 H66.011 …… right ear274 H66.012 …… left ear275 H66.013 …… bilateral276 H66.014 …… recurrent, right ear277 H66.015 …… recurrent, left ear

278 H66.016 …… recurrent, bilateral279 H66.017 …… recurrent, unspecified ear280 H66.019 …… unspecified ear281 H66.1 Chronic tubotympanic suppurative otitis media282 H66.10 …… unspecified283 H66.11 …… right ear284 H66.12 …… left ear285 H66.13 …… bilateral286 H66.2 Chronic atticoantral suppurative otitis media287 H66.20 …… unspecified ear288 H66.21 …… right ear289 H66.22 …… left ear290 H66.23 …… bilateral291 H66.3 Other chronic suppurative otitis media292 H66.3X Other chronic suppurative otitis media293 H66.3X1 …… right ear294 H66.3X2 …… left ear295 H66.3X3 …… bilateral296 H66.3X9 …… unspecified ear297 H66.4 Suppurative otitis media, unspecified298 H66.40 …… unspecified ear299 H66.41 …… right ear300 H66.42 …… left ear301 H66.43 …… bilateral302 H66.9 Otitis media, unspecified303 H66.90 …… unspecified ear304 H66.91 …… right ear305 H66.92 …… left ear306 H66.93 …… bilateral307 H67 Otitis media in diseases classified elsewhere308 H67.1 Otitis media in diseases classified elsewhere, right ear309 H67.2 Otitis media in diseases classified elsewhere, left ear310 H67.3 Otitis media in diseases classified elsewhere, bilateral311 H67.9 Otitis media in diseases classified elsewhere, unspecified ear312 H68 Eustachian salpingitis and obstruction313 H68.0 Eustachian salpingitis314 H68.00 Unspecified Eustachian salpingitis315 H68.001 …… right ear316 H68.002 …… left ear317 H68.003 …… bilateral318 H68.009 …… unspecified ear319 H68.01 Acute Eustachian salpingitis320 H68.011 …… right ear321 H68.012 …… left ear322 H68.013 …… bilateral

323 H68.019 …… unspecified ear324 H68.02 Chronic Eustachian salpingitis325 H68.021 …… right ear326 H68.022 …… left ear327 H68.023 …… bilateral328 H68.029 …… unspecified ear329 H68.1 Obstruction of Eustachian tube330 H68.10 Unspecified obstruction of Eustachian tube331 H68.101 …… right ear332 H68.102 …… left ear333 H68.103 …… bilateral334 H68.109 …… unspecified ear335 H68.11 Osseous obstruction of Eustachian tube336 H68.111 …… right ear337 H68.112 …… left ear338 H68.113 …… bilateral339 H68.119 …… unspecified ear340 H68.12 Intrinsic cartilagenous obstruction of Eustachian tube341 H68.121 …… right ear342 H68.122 …… left ear343 H68.123 …… bilateral344 H68.129 …… unspecified ear345 H68.13 Extrinsic cartilagenous obstruction of Eustachian tube346 H68.131 …… right ear347 H68.132 …… left ear348 H68.133 …… bilateral349 H68.139 …… unspecified ear

350 H69 Other and unspecified disorders of Eustachian tube

351 H69.0 Patulous Eustachian tube352 H69.00 …… unspecified ear353 H69.01 …… right ear354 H69.02 …… left ear355 H69.03 …… bilateral356 H69.8 Other specified disorders of Eustachian tube357 H69.80 …… unspecified ear358 H69.81 …… right ear359 H69.82 …… left ear360 H69.83 …… bilateral361 H69.9 Unspecified Eustachian tube disorder362 H69.90 …… unspecified ear363 H69.91 …… right ear364 H69.92 …… left ear365 H69.93 …… bilateral

366 H70 Mastoiditis and related conditions

367 H70.0 Acute mastoiditis368 H70.00 Acute mastoiditis without complications369 H70.001 …… right ear370 H70.002 …… left ear371 H70.003 …… bilateral372 H70.009 …… unspecified ear373 H70.01 Subperiosteal abscess of mastoid374 H70.011 …… right ear375 H70.012 …… left ear376 H70.013 …… bilateral377 H70.019 …… unspecified ear378 H70.09 Acute mastoiditis with other complications379 H70.091 …… right ear380 H70.092 …… left ear381 H70.093 …… bilateral382 H70.099 …… unspecified ear383 H70.1 Chronic mastoiditis384 H70.10 …… unspecified ear385 H70.11 …… right ear386 H70.12 …… left ear387 H70.13 …… bilateral388 H70.2 Petrositis389 H70.20 Unspecified petrositis390 H70.201 …… right ear391 H70.202 …… left ear392 H70.203 …… bilateral393 H70.209 …… unspecified ear394 H70.21 Acute petrositis395 H70.211 …… right ear396 H70.212 …… left ear397 H70.213 …… bilateral398 H70.219 …… unspecified ear399 H70.22 Chronic petrositis400 H70.221 …… right ear401 H70.222 …… left ear402 H70.223 …… bilateral403 H70.229 …… unspecified ear404 H70.8 Other mastoiditis and related conditions405 H70.81 Postauricular fistula406 H70.811 …… right ear407 H70.812 …… left ear408 H70.813 …… bilateral409 H70.819 …… unspecified ear410 H70.89 Other mastoiditis and related conditions411 H70.891 …… right ear

412 H70.892 …… left ear413 H70.893 …… bilateral414 H70.899 …… unspecified ear415 H70.9 Unspecified mastoiditis416 H70.90 …… unspecified ear417 H70.91 …… right ear418 H70.92 …… left ear419 H70.93 …… bilateral420 H71 Cholesteatoma of middle ear421 H71.0 Cholesteatoma of attic422 H71.00 …… unspecified ear423 H71.01 …… right ear424 H71.02 …… left ear425 H71.03 …… bilateral426 H71.1 Cholesteatoma of tympanum427 H71.10 …… unspecified ear428 H71.11 …… right ear429 H71.12 …… left ear430 H71.13 …… bilateral431 H71.2 Cholesteatoma of mastoid432 H71.20 …… unspecified ear433 H71.21 …… right ear434 H71.22 …… left ear435 H71.23 …… bilateral436 H71.3 Diffuse cholesteatosis437 H71.30 …… unspecified ear438 H71.31 …… right ear439 H71.32 …… left ear440 H71.33 …… bilateral441 H71.9 Unspecified cholesteatoma442 H71.90 …… unspecified ear443 H71.91 …… right ear444 H71.92 …… left ear445 H71.93 …… bilateral

446 H72 Perforation of tympanic membrane

447 H72.0 Central perforation of tympanic membrane448 H72.00 …… unspecified ear449 H72.01 …… right ear450 H72.02 …… left ear451 H72.03 …… bilateral452 H72.1 Attic perforation of tympanic membrane453 H72.10 …… unspecified ear454 H72.11 …… right ear455 H72.12 …… left ear456 H72.13 …… bilateral

457 H72.2 Other marginal perforations of tympanic membrane458 H72.2X Other marginal perforations of tympanic membrane459 H72.2X1 …… right ear460 H72.2X2 …… left ear461 H72.2X3 …… bilateral462 H72.2X9 …… unspecified ear463 H72.8 Other perforations of tympanic membrane464 H72.81 Multiple perforations of tympanic membrane465 H72.811 …… right ear466 H72.812 …… left ear467 H72.813 …… bilateral468 H72.819 …… unspecified ear469 H72.82 Total perforations of tympanic membrane470 H72.821 …… right ear471 H72.822 …… left ear472 H72.823 …… bilateral473 H72.829 …… unspecified ear474 H72.9 Unspecified perforation of tympanic membrane475 H72.90 …… unspecified ear476 H72.91 …… right ear477 H72.92 …… left ear478 H72.93 …… bilateral479 H73 Other disorders of tympanic membrane480 H73.0 Acute myringitis481 H73.00 Unspecified acute myringitis482 H73.001 Acute myringitis, right ear483 H73.002 Acute myringitis, left ear484 H73.003 Acute myringitis, bilateral485 H73.009 Acute myringitis, unspecified ear486 H73.01 Bullous myringitis487 H73.011 …… right ear488 H73.012 …… left ear489 H73.013 …… bilateral490 H73.019 …… unspecified ear491 H73.09 Other acute myringitis492 H73.091 …… right ear493 H73.092 …… left ear494 H73.093 …… bilateral495 H73.099 …… unspecified ear496 H73.1 Chronic myringitis497 H73.10 …… unspecified ear498 H73.11 …… right ear499 H73.12 …… left ear500 H73.13 …… bilateral501 H73.2 Unspecified myringitis

502 H73.20 …… unspecified ear503 H73.21 …… right ear504 H73.22 …… left ear505 H73.23 …… bilateral506 H73.8 Other specified disorders of tympanic membrane507 H73.81 Atrophic flaccid tympanic membrane508 H73.811 …… right ear509 H73.812 …… left ear510 H73.813 …… bilateral511 H73.819 …… unspecified ear512 H73.82 Atrophic nonflaccid tympanic membrane513 H73.821 …… right ear514 H73.822 …… left ear515 H73.823 …… bilateral516 H73.829 …… unspecified ear517 H73.89 Other specified disorders of tympanic membrane518 H73.891 …… right ear519 H73.892 …… left ear520 H73.893 …… bilateral521 H73.899 …… unspecified ear522 H73.9 Unspecified disorder of tympanic membrane523 H73.90 …… unspecified ear524 H73.91 …… right ear525 H73.92 …… left ear526 H73.93 …… bilateral527 H74 Other disorders of middle ear mastoid528 H74.0 Tympanosclerosis529 H74.01 …… right ear530 H74.02 …… left ear531 H74.03 …… bilateral532 H74.09 …… unspecified ear533 H74.1 Adhesive middle ear disease534 H74.11 Adhesive right middle ear disease535 H74.12 Adhesive left middle ear disease536 H74.13 …… bilateral537 H74.19 …… unspecified ear538 H74.2 Discontinuity and dislocation of ear ossicles539 H74.20 …… unspecified ear540 H74.21 Discontinuity and dislocation of right ear ossicles541 H74.22 Discontinuity and dislocation of left ear ossicles542 H74.23 …… bilateral543 H74.3 Other acquired abnormalities of ear ossicles544 H74.31 Ankylosis of ear ossicles545 H74.311 …… right ear546 H74.312 …… left ear

547 H74.313 …… bilateral548 H74.319 …… unspecified ear549 H74.32 Partial loss of ear ossicles550 H74.321 …… right ear551 H74.322 …… left ear552 H74.323 …… bilateral553 H74.329 …… unspecified ear554 H74.39 Other acquired abnormalities of ear ossicles555 H74.391 Other acquired abnormalities of right ear ossicles556 H74.392 Other acquired abnormalities of left ear ossicles557 H74.393 …… bilateral558 H74.399 …… unspecified ear559 H74.4 Polyp of middle ear560 H74.40 …… unspecified ear561 H74.41 Polyp of right middle ear562 H74.42 Polyp of left middle ear563 H74.43 …… bilateral564 H74.8 Other specified disorders of middle ear and mastoid565 H74.8X Other specified disorders of middle ear and mastoid566 H74.8X1 Other specified disorders of right middle ear and mastoid567 H74.8X2 Other specified disorders of left middle ear and mastoid568 H74.8X3 …… bilateral569 H74.8X9 …… unspecified ear570 H74.9 Unspecified disorder of middle ear and mastoid571 H74.90 …… unspecified ear572 H74.91 Unspecified disorder of right middle ear and mastoid573 H74.92 Unspecified disorder of left middle ear and mastoid574 H74.93 …… bilateral575 H80 Otosclerosis576 H81 Disorders of vestibular function577 H82 Vertiginous syndromes in diseases classified elsewhere578 H83 Other diseases of inner ear579 H80 Otosclerosis580 H80.0 Otosclerosis involving oval window, nonobliterative581 H80.00 …… unspecified ear582 H80.01 …… right ear583 H80.02 …… left ear584 H80.03 …… bilateral585 H80.1 Otosclerosis involving oval window, obliterative586 H80.10 …… unspecified ear587 H80.11 …… right ear588 H80.12 …… left ear589 H80.13 …… bilateral590 H80.2 Cochlear otosclerosis591 H80.20 …… unspecified ear

592 H80.21 …… right ear593 H80.22 …… left ear594 H80.23 …… bilateral595 H80.8 Other otosclerosis596 H80.80 …… unspecified ear597 H80.81 …… right ear598 H80.82 …… left ear599 H80.83 …… bilateral600 H80.9 Unspecified otosclerosis601 H80.90 …… unspecified ear602 H80.91 …… right ear603 H80.92 …… left ear604 H80.93 …… bilateral

NO Tindakan ICD 91 Ear toilet 96.522 Otomikroskopi 97.383 Angkat jahitan 97.384 Timpanoplasti 95.315 Laserasi liang telinga Z48.86 Meatoplasti 18.67 Biopsy of external ear 18.12

8Application of other wound dressing 93.57

9 Consultation 89.0910 Incision of external ear 18.911 Follow up examination Z09.812 Ambil bahan kultur 90.32

13Removal of sutures from head and neck 97.38

14 Mastoidektomi Z48.8

15Biopsi of skin and subcutaneus tissue 86.11

16 Angkat tampon 97.3217 GV 93.5718 Miringotomi with insertion tube 20.01

8 LARING FARING

NO DIAGNOSA ICD1 Obstructive laryngitis J 05.02 Laryngiritis TB A 16.43 Laryngomalacia Q 31.54 Stenosis Esophagus K 22.95 Stenosis Glotis J 38.66 Stenosis Congenital Q 31.1

7 Post Decanulation Z 43.08 Tracheostenosis J 39.89 Stenosis Subglotis J 95.5

10 Foreign Body Post Extraction 11 Larynx T 17.312 Esophagus T 18.113 Pharynx T 17.214 Trachea T 17.415 Tongue T 18.016 Post op malignant neoplasm Z 08.017 Chemoradiation Z 08.118 Chemotherapy Z 08.219 Follow up cancer Z 08.920 Wound toilet 93.5721 Post tonsiloadenoidectomy 69.522 Post laryngoscope biopsy 12.523 post total laryngectomy Z 48.824 post fistula repair Z 48.825 Fistula J 95.026 Acute pharyngitis J 0227 Acute tonsilitis J 0328 Acute laryngitis J 0429 Acute epiglotitis J 05.030 Chronic pharyngitis J 31.231 Chronic tonsilitis J 35.032 Hypertrophy tonsil J 35.133 Hypertrophy adenoid J 35.134 Hypertrophy tonsiloadenoid J 35.335 Chronic laryngitis J 37.036 Peritonsillar abscess J 3637 Retropharyngeal abscess J 3638 Vocal cord paralisis J 38.039 Polyp of vocal cord J 38.140 Nodule of vocal cord J 38.241 Laryngeal edema J 38.442 Laryngeal stenosis J 38.6

NO TINDAKAN ICD 9

1 Foreign Body Post Extraction Larynx T 17.3 Esophagus T 18.1 Pharynx T 17.2 Trachea T 17.4 Tongue T 18.0

2 Chemoradiation Z 08.13 Chemotherapy Z 08.24 Wound toilet 93.575 RFL 31.426 Tracheostomy revision 31.747 Insertion NGT for nutrition support 96.68 Insertion NGT for decompression 96.079 Tracheostomy toilet 96.55

10 Bronchial wash 96.5611 Replace wound pack/drain 97.1612 Replace NGT 97.0113 Replace tracheostomy tube 97.2314 Decanulation 97.3715 suture removal 97.38

16Drainage incision tonsil and peritonsillar 28.0

17 biopsy tonsil adenoid 28.1118 Excision tonsil adenoid lession 28.9219 Foreign body removal 20 tonsil adenoid without incision 98.1321 tonsil adenoid by incision 28.9122 pharyngoscopy 29.1123 pharyngeal biopsy 29.1224 Tonsillectomy 28.225 tonsiloadenoidectomy 28326 tonsil tag excision 28.427 lingual tonsil excision 28.528 adenoidectomy 28.6

29control hemorrhage post tonsiloadenoidectomy 28.7

30 endoscopic 31 closed biopsy larynx 31.4332 closed biopsy trachea 31.4433 open biopsy larynx/trachea 31.4534 larynx excision 2035 other partial laryngectomy 30.236 epiglottidectomy 30.2137 vocal cordectomy 30.2238 laryngeal cartilage excision 30.2939 larynx biopsy 31.4340 laryngeal fistulectomy 31.6241 laryngotracheal fistulectomy 31.6242 hemilaryngectomy 30.143 complete laryngectomy 30.344 radical laryngectomy 30.445 temporary tracheostomy 31.1

46 larynx repair 31.647 laceration suture larynx 31.6148 closure fistula larynx 31.6249 laryngostomy revision 31.6350 laryngeal fracture suture 31.64

9. THT KOMUNITAS