DIAGNOSIS & TINDAKAN THT - KLPolip Nasi J 33.9 Hypoglycaemia E 16.2Hypertrophy of nasal turbinates J 34.3 Hyperglycaemia, unspecified R 73.9Other polyp of sinus J 33.8 Asma J 45Infected Papiloma D 14.0 Asphyxia R 09.0Kista sinus maksila, mukokal J 34.1 Pneumonia J 14Septum Deviasi J 34.2 ARDS J 80Fracture of nasal bones S 02.2 Udem Pulmonaris J 81Fracture of mandible S 02.6 Pneumothorax J 93/ J 93.Fracture maxillary bones S 02.4 Efusi plaura J 91Fracture Zygoma S 02.4 Efusi pericardial messif I 31.3Dislocation of TMJ S 03.0 Anemia ok peny kronis D 63Vocal Nodul J 38.2 Anemia ok perdarahan D 64.9Polip KV J 38.1 Anemia ok Ca D 63.0Kista KV J 38.2 Perdarahan R 58Granulasi KV J 38.3 Dehidrasi E 86Paralysis of vocal cords and larynx J 38.0 Adverse effect T 78 (T 78.9)Laryngeal Web Q 31.0 Hypoalbuminemia E 88.0 (R 77.0)Stenosis of larynx J 38.6 Hupokalemia E 87.6Leukoplakia Granuloma Abses KV J 38.3 Hyponalremia E 87.1Papiloma Laring D 14.1 Hypo/ hyperkloremia E 87.8Udin Laring & trakhea J 38.4 Leukositosis/ leukopenia D 72.8Trauma Laring & Trakhea S 17.0 Trombositopenia D 69.6SJNA (UAO) J 95.0 (J98.8) Diagnosis morfologi (PA)Kista duktus tyroglosus E 05.1 Dx ICD XKista Dentigerous K 09.0 Neoplasm, metastatic M 8000/5Developmental odontogenic cysts K 04.8 Carcinoma, undifferentiated M 8020/3Kista Daerah mulut, Unspecified K 09.0 Anaplastic Ca M 8021/3Kista Bronkial G 18.0 Large cell Ca NOS M 8012/3Keralokonjungtivitas H 16.2 Small cell Ca NOS M 8041/3Keratokonus H 18.6 Giant cell CA M 8031/3Neurofibroma coil P 36.1 Pleomorphic Ca M 8022/3Chailoachisis (labioschisis) Q 36 Epithelioma, benign M 8011/0Labiopalatoschisis Q 37 Epithelioma, malignant M8011/3Pataloschisis Q 35 Papilloma NOS M 8011/3Cleft uvula Q 35 ? Papillary Ca M 8050/0Ranula, mukoket kel ludah K11.6 Squarnous cell papilloma M 8052/0Stomatitis & related tesions K12 Transitional cell papilloma NOS M 8120/0Karles gigi K02 Squarnous cell papilloma M 8053/0Sialolithiasis K11.2 Squarnous cell papilloma well diff M 8070/3Presbikusis H91.1 Squarnous cell papilloma metastatic NOS M 8071/3Vertigo H81.1 Squarnous cell papilloma, keratinizing NOS M 8072/3Emfisema subkutis T79.7 Non-keratinizing (WHO type II) large cell Ca M 8073/3Otosklerosis H 80 Non-keratinizing (WHO type II) Small cell Ca M 8052/3Meniera’s disease H 81.0 Papillary squamous cell Ca M 8120/3BPPV H 81.1 Transtitional cell Ca NOS M8130/3Labirinitis H 83.0 Papillary transitional cell Ca M 8130/3Otalgia H 92.0 Adenoid squamous cell Ca M 8075/3Otonea H 92.1 Basal cell tumour M 8090/1Tinnitus/ telinga berdengung H 93.1 Basal cell Ca M 8090/3Neuralgia Trigeminal G 53.0 Basaloid Ca M 8123/3Dysphagia R 13 Basal cell adenoma M 8147/0Dysphonia R 49.0 Basal cell adenocarcinoma M 8147/3Dyspnoea R 06.0 Adenoma NOS M 8140/0HIV Disease B 20-B 24 Adeno Ca NOS M 8140/3Sepsis A 41.9 Adeno Ca metastatic NOS M 8140/6Septic shock A 41.9 Adenoid/adeno cystic Ca (Silindroma) M 8200/3Shock, Unspecified R 57.9 Adenomatous polyp NOS M 8210/0Hypovolemic shock R 57.1 Adenomatoid tumour NOS M 9054/0Toxic shock syndrome A 48.3 Tubular adenoma NOS M 8211/0Anaphylactic shock T 78.2 Tubular adeno Ca M 8211/3Cardiogenic shock R 57.0 Follicular adenoma M 8330/0Meningitis G 00.0 Follicular adeno Ca M 8330/3Somnolence R 40.2 Papillary adenoma NOS M 8260/0Gagal Nafas J 96.0 Papillary adeno Ca M 8260/3Respiratory failure R 09.2 Lipoadenoma M 8324/0Other sudden death, cause unknown R 96 Fibroadenoma, adenofibroma M 9013/0Cerebral aneurysm, nonruptured I 67.1 Adenocardinoid tumour M 8245/3HT I 10 Adenosquarmous Ca M 8560/3Hypotension I 95 Adenosa/coma M 8933/3Insulin-dependent diabetes mellitus E 10/E 11 Adenolymphoma M 8561/0

Multiple adenomatous polyps M 8221/0

DX ICDX

Malignant melanoma NOS M 8720/3Mucoepdermord tumor M 8430/1Mucoepidermoind Ca M 8430/3Inflammatory Ca M 8530/3Cystic mesothemoma M 9055/1Giornus jugulare tumour M 8690/1Carotid body tumour M 8692/1Gtomus tumour M 8711/0Glomangiosarcoma M 8710/3Soft tissue tumour, benign M 8800/0Sarcoma NOS M 8800/3Giant cell sarcoma M 8802/3Small cell sarcoma M 8803/3Epitheloid sarcoma M 8804/3Liporna M 8850/0Liposarcoma NOS M 8850/3Liposarcorna well diff M8851/3Liposarcoma, undiff M 8858/3Myoma M 8895/0Myosarcoma M 8895/3Rhabdomyoma NOS M 8900/0Rhabdomyosarcoma NOS M 8900/3Mixed tumour. Malignant M 8940/3Teratoma NOS M 9080/0Teratocarcinoma M 9081/3Dermoid cyst M 9084/3Fibroma NOS M 8810/0Fibrosarcoma NOS M 8810/3Dermatofibroma NOS M 8832/0Dermatofibrosarcoma NOS M 8832/0Haemangioma NOS M 9120/0Haemangiosarcoma M 9120/3 Haemangioendothelioma, Benin M 9130/0 Haemangioendothelioma, malignant M 9130/3Epitheloid Haemangioendothelioma M 9133/1Epitheioid Haemangioendothelioma, malignant M 9133/3Haemangiocapillary M 9131/0Haemangiopericytorna, benign M 9150/1Haemangiopencytorna. malignant M 9150/3Haemangiobiastoma M 9161/1Angiofibroma M 9160/0Lymphangioma NOS M 9170/0Lymphangiosarcoma M 9170/3Cystic lymphangioma M 9173Chondroma M 9220Chondrosarcoma NOS M 9229Chondroblastoma M 9230Osteosarcoma M 9180Osteoblastoma NOS M 9180Ossifying fibroma M 9200Odontogenic tumor, Benin M 9262Odontogenic tumor, malignant M 9270Squarnous odontogenic tumor M 9270Cementifying fibroma M 9312Ameloblastic fibro odontorn M 9274Ameloblastic odontosarcoma M 9290Ameloblastoma NOS M 9290Ameloblastoma, malignant M 9310Ameloblastic fibroma M 9310Ameloblastic fibrosarcoma M 9330Ganglioneuroma M 9330Ganglioneuroblastoma M 9490Neuroblastoma M 9490

Neurocytoma M 9500Olfactory neurogenic tumor M 9506Meningioma M 9520Meningioma malignant M 9530Neurofibroma M 9530Neurofibrosarcoma M 9540Neurilemmoma NOS M 9540Neurilemmoma malignant M 9560Neuroma NOS M 9570Lymphoma malignant M 9590Lymphoma malignant, non Hodgkin's M 9591Microglioma M 9594Hodgkin's disease NOS M 9650Burkitt's lymphoma NOS M 9687Plasmacytoma M 9731Multiple myeloma M 9732Sebaseus adenoma M 8410Sebaseus adeno Ca M 8410Epidermoid Cad M 8011Schwanoma M 9560Lymphoproliferative disease NOS M 9970Myelodysplastie syndrome ( MDS ) M 9989

TINDAKAN THT – KLTX ICD IX – CMinsisi abses subrnandibula 27.0insisi abses septum nasi 21.1insisi abses tarsi. pentonsil, parafaring retrotanng 28.0Insisi abses retroaurikular 18.09insisi hidung 21.1insisi palatum 27.1insisi uvula 27.71insisi lidah 25.94Bronkoskopi rigid / fiber Optic. Bronkoscopy (FOB) 33.23/33.22Esofaguskopi 42.23Esofaguskopi biopsi 42.24 Businasi dilatasi esotagus 42.92Trakotomi emergency, temporer 31.1Trakeotomi permanen 31.29Revisi-trakeotomi 31.74Perawatan trekeotomi. Tracheototomy toilette 96.54Tutup stoma trakeotomi 31.72Repair stoma, replacerment kaul trakeotomi 74 (97.23)Dekanulasi 97.37Trakeoskopi via stoma 31.41Eksisi perikondritis 18Ekstirpasi fistel/strius preaurikuler 18.21Tyrnpanoplasty ( type II, III. IV, V ) 19.5Mynngoplasty tympanoplasty The I 19.4Revisi tympanoplasty 19.6Obilterast kavum tympanomastotd 19.9Minngotomy, parasentests 20 .0Asptrasi telinga tengah 20.09BLM (Bedah Lanny Mikroskopik MLS) 30.09BLM biopsy 31.43Ariteodectomy 30.29Cordectorny eksisi KV 30.22Insersi scent trakea 31.75(31.93)Aft scent trakea 31.98End to end anastornose trakua 31.79Speech terapi 93.75pasang T-tube 31.75Atf T-tube 97.39Insersi orofaryngeal tube 49.89Insersi esophageal tube 42.81

Tampon MAE 96.11

Rekonstruksi MAE 18.6 Biopsi 28.11/28.10

Insisi MAE 18.12 Biopsi 28.12

Eksisi tumor MAE 18.29 Biopsi 28.13/28.14

Pasang grommet 20.01 Biopsi 28.15

Aff grommet 20.1 Biopsi laring 86.10

Irigasi telinga 18.9 Biopsi nasofaring 86.11

Eksisi eksostosis MAE,ekstraksi

granulasi MAE

18.29 Biopsi kulit 23.34

Rekonstruksi MAE,canaloplasty 18.6 Parotidectomy 26.99

Ekstirpasi fistel pre aurikula 18.21 Tyroidectomy

unilateral,hemithyroidektomy

06.2

Repair telinga luar,otoplasty,skin graft 18.7 (18.79) Tyroidectomy parsial lain 06.3

Jahitan laserasi telinga luar 18.4 Tyroidectomy komplit 06.4

Fenestrasi telinga dalam 20.6 Parathyroidectomy complete/partial 06.81/06.89

Kateterisasi tuba Eustachii, intubasi 20.8 Subtotal lobektomy 06.39

Koklear implant, BAHA 20.95 DCR (dacryocystorhinostomy) 09.81

Repair & aff cochlear prostetik device 20.99 CDCR

(conjunctivodacryocystorhynostomy)

09.82

Radikal mastoidektomy 20.42 DCR or CDCR with stent insertion 09.83

Simple mastoidektomy 20.41 Repair esophagial fistula 42.84

Repair bronkoesophagial fistula 33.42

Timpanomastoidektomy 19.53 Repair fistel oroanthral

(fistulektomi)

22.71

Atikoantrostomi 20.49 Repair fistel oronasal 21.82

Stapedectomi 19.1 Fistulektomi trakheooesophageal

permanen

31.73

Tampon nasal anterior 21.01 Eksisi kulit (kauterisasi) Z Plasty 86.3

Aff tampon nasal 97.32 Ekstirpasi Kista Duktus thyroglosus 06.7

Tampon belocque, posterior & anterior

nasal pack

21.02 Eksisi Kista dasar mulut 20.29

RL ( Rhinotomy lateral) 21.0 (21.1) Ekstirpasi kista dentigerous 24.4

KS ( Kaars spooling, irigasi sinus

maksila)

22.00 Reposisi Fr os nasal closed / open 21.71/21.72

FESS (Functional endoscopic sinus

surgery, BSEF)

22.9 Reposisi Fr os mandibula closed /

open

76.75/76.76

CWL (Caldwel luc maksilaris

sinus/antrotomy)

22.39 Reposisi Fr os maksila closed / open 76.73/76.72

Kottle 22.62 Reposisi Fr os zygoma closed / open 76.71/76.72

Killian 22.62 Plating Mandibula 76.76

Claue 22.62 Plating Maxila wiring 76.74

Transiluminasi sinus nasal 89.35 Plating zygoma 76.72

NE (Naspendoscopy) 21.2 Aff plate 78.50

Sinoscopy 22.19 Pasang gips 81.5

PE nasal/polipectomy 21.31 Pemasangan arch bars, orthodontic

wiring

24.7

Turbinectomy 21.6 Aff arch bars 24.8

Konkotomy,reduksi konkanasi 21.69 NF (Nasofaringoscopy) 29.11

Sinustomi nasal 22.5 LD (Laringoskopi direk) 31.42

Jahitan laserasi hidung 21.81 LD-biopsi 31.43

Rhinoplasty /Rhinoseptoplasti 21.87/21.84 FOL (Fiber optic laringoscopy) /

FOL + biopsi

31.42/31.43

Septoplasty 21.5 FEES (Functional Endoscopic

Evaluation of Swallowing)

Other septoplasty 21.88 PSG (Polysomnogram), sleep

recording

89.17

Ekstirpasi / ANJ (angiofibroma 29.39 Multiple sleep latency test (MSLT) 89.18

nasofaring juvenilis)

Reseksi submukosa septum nasai 21.5 Jahitan kulit dan subkutan 86.59

Diseksi leher fungsional 31/3 AJ (angkat jahitan) 86.59

Neck dissection (RND/MRND/partial) 40.40 Wound toilete 86.28

Radical neck dissertion (RND),

unilateral / bilateral

40.41/40.42 Wound debridement 86.22

Radical excision KGB leher 40.4 Wide excision lesi kulit radical

excision

86.4

Mandibulektomy / Osteoplasty maksila 76.41/75.63 Wide excision lesi bibir 27.42

Maksilektomy / Osteoplasty maksila 76.45/76.65 Wide excision regio palatum, reseksi

proc alv

27.32

Partial glosektomy, hemi glosektomy 25.2 TPN 99.16

Complete glossectomy 25.3 RJPO 99.93

Radical glossectomy 25.4 Nebulizer 93.94

Glosoplasty, repair lidah 25.6 Postural drainase, chest fisioterapi 93.99

Marsupialisasi kista kel ludah 26.21 Gastrostomi 96.02

Palatopiasty /palatorafi 27.8/27.81 Aff tube gastrostomi 97.51

Ekstirpasi ranula 26.29 Penutupan stroma gastrostomi 44.62

Repair labioschisis 27.54 Laparatomy 54.10

TL (total laringektomi) laringektomi

komplet

30.3 Insersi NGT 96.07

Radical laringektomy 30.4 Terapi oksigen 93.96

TE (tongsilectomy) 28.2 Insersi drain pneumothorax, efusi

pleura

34.04

ATE (adenotonsilectomy) 28.3 Aff drain pneumothorax, efusi pleura 97.41

ADE (adenoidectomy) 28.6 Open perikardiostomi 37.12

Kemoterapi 99.25 Perikardiosentesis 37.0

Radioterapi 92.29 Transfusi PRO, whoole blood 99.04/99.03

Biopsi telinga luar / telinga tengah &

dalam

18.12/20.32 Transfusi platelet

Transfusi lain-lain

99.05

99.03

Biopsi hidung, kavum nasi 21.22 Transfusi plasma 99.07

Biopsi sinus nasal 22.12

Biopsi tonsil & adenoid 28.11

Biopsi telinga luar 18.12

Biopsi telinga tengah & dalam 20.32

DiagnosaDx ICD X

Lymphadenopathy B 23.1Limfadenitis TB A 18.2Selulitis L 03 (L 03.8)Phlebitis (Thromboplebitis) T 80.1TB paru A 15.0TB laring, trakea, bronkus A 15.5TB nasal, sinus, nasofaring A 15.8Difteria tonsil, faring A 36.0Difteria nasofaring, laring, trakea A 36.1OSA (Obstructive Sleep Apnea) G 47.3Dyspepsia K 30GERD (Gastroesofageal Reflux Disease) K 21Esophagial reflux K 21.9Esophagus obstruksi K 22.2Esophagus perforasi K 22.3Achalasia K 22.0Laringitis akut J 04Laringitis akut obstruktif & epiglotitis J 05Laryngitis kronik J 37.0Faringitis akut J 02.9Faringitis kronik J 31.2Fistel faring J 39.2Fistel faringokutan J 86.0Rinitis akut (nasofaringitis akut) J 00Rinitis kronis J 31.0Rinitis alergi J 30.1 (J 30.4)Rinitis vasomotor J 30.0Ozaena J 31.0Sinusitis maksilaris akut J 01.0Sinusitis maksilaris kronis J 32.0Pansinusitis akut J 01.4Pansinusitis kronis J 32.4Tonsillitis akut J 03Tonsillitis kronis J 35.0Adenotonsilitis kronis J 35 (J 35.8)Adenoid hypertrophy J 35.2Fistel preaurikular H 81.1Perikondritis aurikularis H 61.0Othematom / Psedo othematom H 61.1

THT-KL

T17.1/T17.0 Corpal kavum nasi/sinusT17.2 Corpal faringT17.5 Corpal bronkusT18.1 Corpal esophagusK22.3 Perforasi esophagusJ34.0 Abses hidung & paranasalJ36 Abses peritonsilK12.2 Abses submandibulaJ38 Abses parafaringJ39.0 Abses parafaring & retrofaringJ39.0 Infeksi leher dalamJ85 Abses paru & mediastinumJ39 MediastinitisG06.0 Abses cerebri (intracranial abses)Z03.1 Observasi dengan suspek CaC03 Ca gingival (alveolar)C41.0 (C41.1) Ca odontogenikC05.0 Ca palatumC13 (C13.9) Ca hypofaringC10 Ca orofaringC11 (C11.9) Ca nasofaring (KNF)

C73 Ca tyroidC07 Ca parotisC32 (C32.9) Ca laringC09 Ca tonsilC30.0 (C31.9) Ca sinonasalC02/C01 Ca lidah / dasar lidahC04.0 Ca dasar mulutC41.0 Ca maksilaC31.0 Ca sinus maksila (antrum)C41.1 Ca mandibulaC30.1 Ca mastoidC15(C15.9) Ca esophagusC76 Ca colliC30 Ca cavum nasi ( ca cavum timpani)C30.0 Ca vestibulum nasiC34 Ca paruC85.9 LNH (Lymphoma Non Hogdkin)C83 LNH diffuse

DiagnosaDx ICD X

Congenital absence, atresia and stricture of auditory canal (external)

Q18.1

Disorder of external ear, unspecified H61.9Hypertrophic disorders of skin L91.0Other infective otitis externa H60.3

H60.2Malignant otitis externa H60.2Cellulitis of external ear H60.1Otitis externa Furunkel Mae Abses H60.0Lesi MAE S00.4Other otitis externa H61.8Obstruction of Eustachian tube H68.1OMSA Suppurative and unspecified otitis media H66.3OMSK Chronic tubotympanic suppurative otitis media H66.1OME Chronic atticoantral suppurative otitis media H66.2OME kronis H65.0Acute serous otitis media H65.2Nonsuppurative otitis media, unspecified H65.9Central perforation of tympanic membrane H72.0Attic perforation of tympanic membrane H72.1Traumatic rupture of ear drum S09.2Otorrhagia H92.2Acute mastoiditis H70.0Chronic mastoiditis H70.1Cholesteatoma of external ear H60.4Cholesteatoma of middle ear H71Kolesteatoma rekuren H95.0Parese n VII G51.0Epistaksis R04.0ANJ D10.6LNH nodular (iollicular) C 82LH ( Lymphoma Hogdkin) C 81.9Unknown primary tumor C 80Follow up Ca post kemoterapi Z 08.2Follow up Ca post radioterapi Z 08.1Follow up Ca post operasi Z 08.1Tumor (jinak) mulut dan faring D 10Tumor (jinak) mediastinum D 38Tumor (jinak) nasal D 38.5Tumor (jinak) lidah D 10.1Tumor (jinak) tonsil D 10.4Tumor (jinak) nasofaring D 10.6Tumor (jinak) kel ludah D 11.7Tumor (jinak) laring D 14.1Tumor (jinak) tiroid D 34Tumor (jinak) parotis D 11.0Tumor (jinak) trakea, bronkus, paru D 38.1Tumor (jinak) duktus dan kel air mata D 31.5Tumor (jinak) kulit D 23Tumor MAE D 23.2Struma nodusa non toksika E 04.1Struma nodusa toksika E 05.1Hipotioroidism E 03 ( E 03.9 )Hypertiroidism (thyrotoxicosis) E 05Midline granuloma C 05Limfadenitis akut L 04Limfadenitis akut waja, kepala, leher L 04.0Limfadenitis kronis I 88.1Limfadenitis non spesifik I 88