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 9 ICD 9 PROCEDURE1 BSEF mini (I) 22.6 sinusectomy , not otherwise specified2 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

9 sinuskopi 22.5 sinusectomy, not other wise specified10 sinuskopi dengan tindakan 33.5 sinusotomy, not otherwise specified11

ekstraksi benda asing98.12

removal of intraluminal foreign body from nose without incision

12nasoendoskopi dengan tindakan

22.19 other diagnostic procedures on nasal sinuses

13 septoplasty ec trauma hidung 21.88 other septoplasty14 konkotomi/ konkoplasti 21.6 turbinectomy15 septum reseksi/ SMR 21.5 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 H90.616 mixed type hearing loss, unilateral with restricted hearing on contralateral side H90.717 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 IX1 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 95.9Kelainan 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 S 03.5

parts of head 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 face Q 67 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 septum3 revisi parut 86.84 relaxation of scar or web contracture of skin4 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 rhinoseptoplasty16 rekonstruksi telinga mikrotia tahap 1 18.71 construction of auricle of ear27 rekonstruksi telinga mikrotia tahap 2 18.71 construction of auricle of ear18 rekonstruksi hidung dengan defek 21.83 total nasal reconstruction

19rekonstruksi fraktur muka dengan

plate screw 76.92 insertion 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 Inggris

Column1 Column2 Column3 Column4 1 Massa Nasofaring D10.6 Benign Neoplasm Of

Nasopharynx

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

3 KNF Pasca KemoradiasiC11.9 - Z51.1 -

Z51.0

Malignant Neoplasm Of Nasopharynx, Unspecified - Radiotherapy session - Chemotherapy session for neoplasm

4 KNF On KemoradiasiC11.9 - Z51.1 -

Z51.0

Malignant Neoplasm Of Nasopharynx, Unspecified - Radiotherapy session - Chemotherapy session for neoplasm

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 C30.0 Maligna 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 C31.0 Malignant neoplasm of maxillary sinus

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

13 Massa Parotis D11.0 Benign Neoplasm of parotid gland

14 Ca Parotis C07 Maligna Neoplasm of parotid gland

15 Massa Tiroid D34 Benign neoplasm of thyroid gland

16 LMNH C96.9Malignant neoplasm of lymphoid, haematopoietic and related tissue, Unspecified

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

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

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

20 D02.0 Carcinoma In Situ Of Larinx

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

22 Ca Pangkal Lidah C01 Malignant neoplasm of base of tongue

23 C05.9 Malignant neoplasm of Palate

Unspecified24 K09.9 Cyst of oral region, Unspecified 25 Massa Tonsil D10.14 Benign neoplasm of tonsil

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

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

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

30 Lympadenopati colli dekstra / sinistra

R59.0 Localized enlarged lymph nodes

31 Lympadenopati colli Bilateral R59.1 Generalized enlarged lymph nodes

32 Lympadenopati Colli R59.9 Enlarged lymph nodes, Unspecified

33 TB Paru Observasi Z03.0 Observation For Suspected Tuberculosis

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

35 E63.1 Imbalance Of Constituents of food intake

36 E63.3 Feeding difficulties and mis management

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

38 E63.9 Nutritional deficiency, Unspesified

39 97.01 Replacement of ( Naso ) gastric or esophagostomy tube

40 R13 Dysphagia 41 K30 Dyspepsia

42 Nasoendoskopi dengan fiber 22.19 Other diagnostic prosedur on nasal sinuses

43 Konsultasi 89.09 Consultation, not otherwise specified

44 97.37 Removal of Trakeostomy tube

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

46 GV , Wound Toilet 93.57 Application of other wound dressing

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

48 Aff Tampon Hidung Anterior 97.32 Removal of nasal packing

49 Pasang dan Lepas Tampon Hidung Anterior

97.21 Replacement of nasal packing

50 21.02 Control of epistaxis by posterior and anterior packing

51 16.81 Repair of wound of orbit

52 06.02 Reopening of wound of tyroid field

53 Biopsi Nasofaring 21.22 Biopsy Of Nose

54 Kavum Nasi / Sinonasal 22.11 Closed ( 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 40.11 Biopsy of lymphatic structure 58 22.12 Open biopsy of nasal sinus

59 H66.4 Suppurative otitis media, Unspecified

60 H66.3 Other 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

nasofaring 21.22/25.02/22.11Biopsy of nose, open biopsy of

tongue, closed [endoscopic] [needle] biopsy of nasal sinus

2 Insisional biopsi kelenjar leher 40.11 Biopsy of lymphatic structure

3 Hemiglosektomi 25.3 Partial glossectomy

4 Hemiglosektomi dan diseksi leher 25.3/40.40 Partial glossectomy, Radical neck dissection, not otherwise specified

5 Wide eksisi tumor tonsil, orofaring 28.2/27.99Tonsillectomy without

adenoidectomy, other operations on oral cavity

6 Ekstirpasi angiofibroma 22.9 Other operations on nasal sinuses

7 Maksilektomi parsial 22.62 Excision of lesion of maxillary sinus with other approach

8 Maksilektomi total 22.62 Excision of lesion of maxillary sinus with other approach

9 Diseksi leher modified 40.3 Regional lymph node excision

10 Diseksi leher bilateral 40.42 Radical 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 21.02 Control of epistaxis by posterior (and anterior) packing

15 Ekstirpasi tumor jinak sinonasal, oral cavity

22.9 Other operations on nasal sinuses

16 Ligasi karotis eksterna 21.06 Control of epistaxis by ligation of the external carotid artery

17 Eksplorasi nasofaring 22.11 Closed [endoscopic] [needle] biopsy of nasal sinus

18 Pan endoskopi 42.24/33.23/22.19Nasoendoscopy without biopsy,

other esophagoscopy, other bronchoscopy

19 Diseksi leher radikal 40.40 Radical neck dissection, not otherwise specified

20 Control of epistaxis by anterior nasal packing

21.01 Control of epistaxis by anterior 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

24 other diagnostic procedures on nose 21.29 other diagnostic procedures on nose

25 diagnostic procedures on tongue 25.0 diagnostic procedures on tongue

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 R49.0

9 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 33.226 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 101 Rinitis alergi J 30.32 rinitis non alergi 3 rinitis vasomotor J 30.04 septum deviasi J 34.25 rinitis kronik J 31.06 hipertrofi konka J 34.37 gangguan penciuman R 43

8 polip nasi J 33.09 hipertrofi tonsil J 35.1

10 hipertrofi adenoid J 35.211 alergi makanan Z 91.02

7.OTOLOGI

No ICD 10-Diagnosa

1 H60 Otitis externa

2 H61 Other disorders of external ear 3 H62 Disorders of external ear in diseases classified elsewhere 4 H60 Otitis externa 5 H60.0 Abscess of external ear 6 H60.00 …… unspecified ear 7 H60.01 Abscess of right external ear 8 H60.02 Abscess of left external ear 9 H60.03 …… bilateral 10 H60.1 Cellulitis of external ear 11 H60.10 …… unspecified ear 12 H60.11 Cellulitis of right external ear 13 H60.12 Cellulitis of left external ear 14 H60.13 …… bilateral 15 H60.2 Malignant otitis externa 16 H60.20 …… unspecified ear 17 H60.21 …… right ear 18 H60.22 …… left ear 19 H60.23 …… bilateral 20 H60.3 Other infective otitis externa 21 H60.31 Diffuse otitis externa 22 H60.311 …… right ear 23 H60.312 …… left ear 24 H60.313 …… bilateral 25 H60.319 …… unspecified ear 26 H60.32 Hemorrhagic otitis externa 27 H60.321 …… right ear 28 H60.322 …… left ear 29 H60.323 …… bilateral 30 H60.329 …… unspecified ear 31 H60.33 Swimmer's ear 32 H60.331 …… right ear 33 H60.332 …… left ear 34 H60.333 …… bilateral

35 H60.339 …… unspecified ear 36 H60.39 Other infective otitis externa 37 H60.391 …… right ear 38 H60.392 …… left ear 39 H60.393 …… bilateral 40 H60.399 …… unspecified ear 41 H60.4 Cholesteatoma of external ear 42 H60.40 …… unspecified ear 43 H60.41 Cholesteatoma of right external ear 44 H60.42 Cholesteatoma of left external ear 45 H60.43 …… bilateral 46 H60.5 Acute noninfective otitis externa 47 H60.50 Unspecified acute noninfective otitis externa 48 H60.501 …… right ear 49 H60.502 …… left ear 50 H60.503 …… bilateral 51 H60.509 …… unspecified ear 52 H60.51 Acute actinic otitis externa 53 H60.511 …… right ear 54 H60.512 …… left ear 55 H60.513 …… bilateral 56 H60.519 …… unspecified ear 57 H60.52 Acute chemical otitis externa 58 H60.521 …… right ear 59 H60.522 …… left ear 60 H60.523 …… bilateral 61 H60.529 …… unspecified ear 62 H60.53 Acute contact otitis externa 63 H60.531 …… right ear 64 H60.532 …… left ear 65 H60.533 …… bilateral 66 H60.539 …… unspecified ear 67 H60.54 Acute eczematoid otitis externa 68 H60.541 …… right ear 69 H60.542 …… left ear 70 H60.543 …… bilateral 71 H60.549 …… unspecified ear 72 H60.55 Acute reactive otitis externa 73 H60.551 …… right ear 74 H60.552 …… left ear 75 H60.553 …… bilateral 76 H60.559 …… unspecified ear 77 H60.59 Other noninfective acute otitis externa 78 H60.591 …… right ear 79 H60.592 …… left ear

80 H60.593 …… bilateral 81 H60.599 …… unspecified ear 82 H60.6 Unspecified chronic otitis externa 83 H60.60 …… unspecified ear 84 H60.61 …… right ear 85 H60.62 …… left ear 86 H60.63 …… bilateral 87 H60.8 Other otitis externa 88 H60.8X Other otitis externa 89 H60.8X1 …… right ear 90 H60.8X2 …… left ear 91 H60.8X3 …… bilateral 92 H60.8X9 …… unspecified ear 93 H60.9 Unspecified otitis externa 94 H60.90 …… unspecified ear 95 H60.91 …… right ear 96 H60.92 …… left ear 97 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 ear 101 H61.001 Unspecified perichondritis of right external ear 102 H61.002 Unspecified perichondritis of left external ear 103 H61.003 …… bilateral 104 H61.009 …… unspecified ear 105 H61.01 Acute perichondritis of external ear 106 H61.011 Acute perichondritis of right external ear 107 H61.012 Acute perichondritis of left external ear 108 H61.013 …… bilateral 109 H61.019 …… unspecified ear 110 H61.02 Chronic perichondritis of external ear 111 H61.021 Chronic perichondritis of right external ear 112 H61.022 Chronic perichondritis of left external ear 113 H61.023 …… bilateral 114 H61.029 …… unspecified ear 115 H61.03 Chondritis of external ear 116 H61.031 Chondritis of right external ear 117 H61.032 Chondritis of left external ear 118 H61.033 …… bilateral 119 H61.039 …… unspecified ear 120 H61.1 Noninfective disorders of pinna 121 H61.10 Unspecified noninfective disorders of pinna 122 H61.101 …… right ear 123 H61.102 …… left ear 124 H61.103 …… bilateral

125 H61.109 …… unspecified ear 126 H61.11 Acquired deformity of pinna 127 H61.111 …… right ear 128 H61.112 …… left ear 129 H61.113 …… bilateral 130 H61.119 …… unspecified ear 131 H61.12 Hematoma of pinna 132 H61.121 …… right ear 133 H61.122 …… left ear 134 H61.123 …… bilateral 135 H61.129 …… unspecified ear 136 H61.19 Other noninfective disorders of pinna 137 H61.191 Noninfective disorders of pinna, right ear 138 H61.192 Noninfective disorders of pinna, left ear 139 H61.193 Noninfective disorders of pinna, bilateral 140 H61.199 Noninfective disorders of pinna, unspecified ear 141 H61.2 Impacted cerumen 142 H61.20 …… unspecified ear 143 H61.21 …… right ear 144 H61.22 …… left ear 145 H61.23 …… bilateral 146 H61.3 Acquired stenosis of external ear canal 147 H61.30 Acquired stenosis of external ear canal, unspecified 148 H61.301 Acquired stenosis of right external ear canal, unspecified 149 H61.302 Acquired stenosis of left external ear canal, unspecified 150 H61.303 …… bilateral 151 H61.309 …… unspecified ear 152 H61.31 Acquired stenosis of external ear canal secondary to trauma 153 H61.311 Acquired stenosis of right external ear canal secondary to trauma 154 H61.312 Acquired stenosis of left external ear canal secondary to trauma 155 H61.313 …… bilateral 156 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 …… bilateral 161 H61.329 …… unspecified ear 162 H61.39 Other acquired stenosis of external ear canal 163 H61.391 Other acquired stenosis of right external ear canal 164 H61.392 Other acquired stenosis of left external ear canal 165 H61.393 …… bilateral 166 H61.399 …… unspecified ear 167 H61.8 Other specified disorders of external ear 168 H61.81 Exostosis of external canal 169 H61.811 Exostosis of right external canal

170 H61.812 Exostosis of left external canal 171 H61.813 …… bilateral 172 H61.819 …… unspecified ear 173 H61.89 Other specified disorders of external ear 174 H61.891 Other specified disorders of right external ear 175 H61.892 Other specified disorders of left external ear 176 H61.893 …… bilateral 177 H61.899 …… unspecified ear 178 H61.9 Disorder of external ear, unspecified 179 H61.90 …… unspecified ear 180 H61.91 Disorder of right external ear, unspecified 181 H61.92 Disorder of left external ear, unspecified 182 H61.93 …… bilateral 183 H62 Disorders of external ear in diseases classified elsewhere 184 H62.4 Otitis externa in other diseases classified elsewhere 185 H62.40 …… unspecified ear 186 H62.41 …… right ear 187 H62.42 …… left ear 188 H62.43 …… bilateral 189 H62.8 Other disorders of external ear in diseases classified elsewhere 190 H62.8X Other disorders of external ear in diseases classified elsewhere 191 H62.8X1 Other disorders of right external ear in diseases classified elsewhere 192 H62.8X2 Other disorders of left external ear in diseases classified elsewhere 193 H62.8X3 …… bilateral 194 H62.8X9 …… unspecified ear 195 H65 Nonsuppurative otitis media 196 H66 Suppurative and unspecified otitis media 197 H67 Otitis media in diseases classified elsewhere 198 H68 Eustachian salpingitis and obstruction 199 H69 Other and unspecified disorders of Eustachian tube 200 H70 Mastoiditis and related conditions 201 H71 Cholesteatoma of middle ear 202 H72 Perforation of tympanic membrane 203 H73 Other disorders of tympanic membrane 204 H74 Other disorders of middle ear mastoid 205 H75 Other disorders of middle ear and mastoid in diseases classified elsewhere

206 H65 Nonsuppurative otitis media

207 H65.0 Acute serous otitis media 208 H65.00 …… unspecified ear 209 H65.01 …… right ear 210 H65.02 …… left ear 211 H65.03 …… bilateral 212 H65.04 …… recurrent, right ear 213 H65.05 …… recurrent, left ear 214 H65.06 …… recurrent, bilateral

215 H65.07 …… recurrent, unspecified ear 216 H65.1 Other acute nonsuppurative otitis media 217 H65.11 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous) 218 H65.111 …… right ear 219 H65.112 …… left ear 220 H65.113 …… bilateral 221 H65.114 …… recurrent, right ear 222 H65.115 …… recurrent, left ear 223 H65.116 …… recurrent, bilateral 224 H65.117 …… recurrent, unspecified ear 225 H65.119 …… unspecified ear 226 H65.19 Other acute nonsuppurative otitis media 227 H65.191 …… right ear 228 H65.192 …… left ear 229 H65.193 …… bilateral 230 H65.194 …… recurrent, right ear 231 H65.195 …… recurrent, left ear 232 H65.196 …… recurrent, bilateral 233 H65.197 …… recurrent, unspecified ear 234 H65.199 …… unspecified ear 235 H65.2 Chronic serous otitis media 236 H65.20 …… unspecified ear 237 H65.21 …… right ear 238 H65.22 …… left ear 239 H65.23 …… bilateral 240 H65.3 Chronic mucoid otitis media 241 H65.30 …… unspecified ear 242 H65.31 …… right ear 243 H65.32 …… left ear 244 H65.33 …… bilateral 245 H65.4 Other chronic nonsuppurative otitis media 246 H65.41 Chronic allergic otitis media 247 H65.411 …… right ear 248 H65.412 …… left ear 249 H65.413 …… bilateral 250 H65.419 …… unspecified ear 251 H65.49 Other chronic nonsuppurative otitis media 252 H65.491 …… right ear 253 H65.492 …… left ear 254 H65.493 …… bilateral 255 H65.499 …… unspecified ear 256 H65.9 Unspecified nonsuppurative otitis media 257 H65.90 …… unspecified ear 258 H65.91 …… right ear 259 H65.92 …… left ear

260 H65.93 …… bilateral

261 H66 Suppurative and unspecified otitis media

262 H66.0 Acute suppurative otitis media 263 H66.00 Acute suppurative otitis media without spontaneous rupture of ear drum 264 H66.001 …… right ear 265 H66.002 …… left ear 266 H66.003 …… bilateral 267 H66.004 …… recurrent, right ear 268 H66.005 …… recurrent, left ear 269 H66.006 …… recurrent, bilateral 270 H66.007 …… recurrent, unspecified ear 271 H66.009 …… unspecified ear 272 H66.01 Acute suppurative otitis media with spontaneous rupture of ear drum 273 H66.011 …… right ear 274 H66.012 …… left ear 275 H66.013 …… bilateral 276 H66.014 …… recurrent, right ear 277 H66.015 …… recurrent, left ear 278 H66.016 …… recurrent, bilateral 279 H66.017 …… recurrent, unspecified ear 280 H66.019 …… unspecified ear 281 H66.1 Chronic tubotympanic suppurative otitis media 282 H66.10 …… unspecified 283 H66.11 …… right ear 284 H66.12 …… left ear 285 H66.13 …… bilateral 286 H66.2 Chronic atticoantral suppurative otitis media 287 H66.20 …… unspecified ear 288 H66.21 …… right ear 289 H66.22 …… left ear 290 H66.23 …… bilateral 291 H66.3 Other chronic suppurative otitis media 292 H66.3X Other chronic suppurative otitis media 293 H66.3X1 …… right ear 294 H66.3X2 …… left ear 295 H66.3X3 …… bilateral 296 H66.3X9 …… unspecified ear 297 H66.4 Suppurative otitis media, unspecified 298 H66.40 …… unspecified ear 299 H66.41 …… right ear 300 H66.42 …… left ear 301 H66.43 …… bilateral 302 H66.9 Otitis media, unspecified 303 H66.90 …… unspecified ear 304 H66.91 …… right ear

305 H66.92 …… left ear 306 H66.93 …… bilateral 307 H67 Otitis media in diseases classified elsewhere 308 H67.1 Otitis media in diseases classified elsewhere, right ear 309 H67.2 Otitis media in diseases classified elsewhere, left ear 310 H67.3 Otitis media in diseases classified elsewhere, bilateral 311 H67.9 Otitis media in diseases classified elsewhere, unspecified ear 312 H68 Eustachian salpingitis and obstruction 313 H68.0 Eustachian salpingitis 314 H68.00 Unspecified Eustachian salpingitis 315 H68.001 …… right ear 316 H68.002 …… left ear 317 H68.003 …… bilateral 318 H68.009 …… unspecified ear 319 H68.01 Acute Eustachian salpingitis 320 H68.011 …… right ear 321 H68.012 …… left ear 322 H68.013 …… bilateral 323 H68.019 …… unspecified ear 324 H68.02 Chronic Eustachian salpingitis 325 H68.021 …… right ear 326 H68.022 …… left ear 327 H68.023 …… bilateral 328 H68.029 …… unspecified ear 329 H68.1 Obstruction of Eustachian tube 330 H68.10 Unspecified obstruction of Eustachian tube 331 H68.101 …… right ear 332 H68.102 …… left ear 333 H68.103 …… bilateral 334 H68.109 …… unspecified ear 335 H68.11 Osseous obstruction of Eustachian tube 336 H68.111 …… right ear 337 H68.112 …… left ear 338 H68.113 …… bilateral 339 H68.119 …… unspecified ear 340 H68.12 Intrinsic cartilagenous obstruction of Eustachian tube 341 H68.121 …… right ear 342 H68.122 …… left ear 343 H68.123 …… bilateral 344 H68.129 …… unspecified ear 345 H68.13 Extrinsic cartilagenous obstruction of Eustachian tube 346 H68.131 …… right ear 347 H68.132 …… left ear 348 H68.133 …… bilateral 349 H68.139 …… unspecified ear

350 H69 Other and unspecified disorders of Eustachian tube

351 H69.0 Patulous Eustachian tube 352 H69.00 …… unspecified ear 353 H69.01 …… right ear 354 H69.02 …… left ear 355 H69.03 …… bilateral 356 H69.8 Other specified disorders of Eustachian tube 357 H69.80 …… unspecified ear 358 H69.81 …… right ear 359 H69.82 …… left ear 360 H69.83 …… bilateral 361 H69.9 Unspecified Eustachian tube disorder 362 H69.90 …… unspecified ear 363 H69.91 …… right ear 364 H69.92 …… left ear 365 H69.93 …… bilateral

366 H70 Mastoiditis and related conditions

367 H70.0 Acute mastoiditis 368 H70.00 Acute mastoiditis without complications 369 H70.001 …… right ear 370 H70.002 …… left ear 371 H70.003 …… bilateral 372 H70.009 …… unspecified ear 373 H70.01 Subperiosteal abscess of mastoid 374 H70.011 …… right ear 375 H70.012 …… left ear 376 H70.013 …… bilateral 377 H70.019 …… unspecified ear 378 H70.09 Acute mastoiditis with other complications 379 H70.091 …… right ear 380 H70.092 …… left ear 381 H70.093 …… bilateral 382 H70.099 …… unspecified ear 383 H70.1 Chronic mastoiditis 384 H70.10 …… unspecified ear 385 H70.11 …… right ear 386 H70.12 …… left ear 387 H70.13 …… bilateral 388 H70.2 Petrositis 389 H70.20 Unspecified petrositis 390 H70.201 …… right ear 391 H70.202 …… left ear 392 H70.203 …… bilateral 393 H70.209 …… unspecified ear

394 H70.21 Acute petrositis 395 H70.211 …… right ear 396 H70.212 …… left ear 397 H70.213 …… bilateral 398 H70.219 …… unspecified ear 399 H70.22 Chronic petrositis 400 H70.221 …… right ear 401 H70.222 …… left ear 402 H70.223 …… bilateral 403 H70.229 …… unspecified ear 404 H70.8 Other mastoiditis and related conditions 405 H70.81 Postauricular fistula 406 H70.811 …… right ear 407 H70.812 …… left ear 408 H70.813 …… bilateral 409 H70.819 …… unspecified ear 410 H70.89 Other mastoiditis and related conditions 411 H70.891 …… right ear 412 H70.892 …… left ear 413 H70.893 …… bilateral 414 H70.899 …… unspecified ear 415 H70.9 Unspecified mastoiditis 416 H70.90 …… unspecified ear 417 H70.91 …… right ear 418 H70.92 …… left ear 419 H70.93 …… bilateral 420 H71 Cholesteatoma of middle ear 421 H71.0 Cholesteatoma of attic 422 H71.00 …… unspecified ear 423 H71.01 …… right ear 424 H71.02 …… left ear 425 H71.03 …… bilateral 426 H71.1 Cholesteatoma of tympanum 427 H71.10 …… unspecified ear 428 H71.11 …… right ear 429 H71.12 …… left ear 430 H71.13 …… bilateral 431 H71.2 Cholesteatoma of mastoid 432 H71.20 …… unspecified ear 433 H71.21 …… right ear 434 H71.22 …… left ear 435 H71.23 …… bilateral 436 H71.3 Diffuse cholesteatosis 437 H71.30 …… unspecified ear 438 H71.31 …… right ear

439 H71.32 …… left ear 440 H71.33 …… bilateral 441 H71.9 Unspecified cholesteatoma 442 H71.90 …… unspecified ear 443 H71.91 …… right ear 444 H71.92 …… left ear 445 H71.93 …… bilateral

446 H72 Perforation of tympanic membrane

447 H72.0 Central perforation of tympanic membrane 448 H72.00 …… unspecified ear 449 H72.01 …… right ear 450 H72.02 …… left ear 451 H72.03 …… bilateral 452 H72.1 Attic perforation of tympanic membrane 453 H72.10 …… unspecified ear 454 H72.11 …… right ear 455 H72.12 …… left ear 456 H72.13 …… bilateral 457 H72.2 Other marginal perforations of tympanic membrane 458 H72.2X Other marginal perforations of tympanic membrane 459 H72.2X1 …… right ear 460 H72.2X2 …… left ear 461 H72.2X3 …… bilateral 462 H72.2X9 …… unspecified ear 463 H72.8 Other perforations of tympanic membrane 464 H72.81 Multiple perforations of tympanic membrane 465 H72.811 …… right ear 466 H72.812 …… left ear 467 H72.813 …… bilateral 468 H72.819 …… unspecified ear 469 H72.82 Total perforations of tympanic membrane 470 H72.821 …… right ear 471 H72.822 …… left ear 472 H72.823 …… bilateral 473 H72.829 …… unspecified ear 474 H72.9 Unspecified perforation of tympanic membrane 475 H72.90 …… unspecified ear 476 H72.91 …… right ear 477 H72.92 …… left ear 478 H72.93 …… bilateral 479 H73 Other disorders of tympanic membrane 480 H73.0 Acute myringitis 481 H73.00 Unspecified acute myringitis 482 H73.001 Acute myringitis, right ear 483 H73.002 Acute myringitis, left ear

484 H73.003 Acute myringitis, bilateral 485 H73.009 Acute myringitis, unspecified ear 486 H73.01 Bullous myringitis 487 H73.011 …… right ear 488 H73.012 …… left ear 489 H73.013 …… bilateral 490 H73.019 …… unspecified ear 491 H73.09 Other acute myringitis 492 H73.091 …… right ear 493 H73.092 …… left ear 494 H73.093 …… bilateral 495 H73.099 …… unspecified ear 496 H73.1 Chronic myringitis 497 H73.10 …… unspecified ear 498 H73.11 …… right ear 499 H73.12 …… left ear 500 H73.13 …… bilateral 501 H73.2 Unspecified myringitis 502 H73.20 …… unspecified ear 503 H73.21 …… right ear 504 H73.22 …… left ear 505 H73.23 …… bilateral 506 H73.8 Other specified disorders of tympanic membrane 507 H73.81 Atrophic flaccid tympanic membrane 508 H73.811 …… right ear 509 H73.812 …… left ear 510 H73.813 …… bilateral 511 H73.819 …… unspecified ear 512 H73.82 Atrophic nonflaccid tympanic membrane 513 H73.821 …… right ear 514 H73.822 …… left ear 515 H73.823 …… bilateral 516 H73.829 …… unspecified ear 517 H73.89 Other specified disorders of tympanic membrane 518 H73.891 …… right ear 519 H73.892 …… left ear 520 H73.893 …… bilateral 521 H73.899 …… unspecified ear 522 H73.9 Unspecified disorder of tympanic membrane 523 H73.90 …… unspecified ear 524 H73.91 …… right ear 525 H73.92 …… left ear 526 H73.93 …… bilateral 527 H74 Other disorders of middle ear mastoid 528 H74.0 Tympanosclerosis

529 H74.01 …… right ear 530 H74.02 …… left ear 531 H74.03 …… bilateral 532 H74.09 …… unspecified ear 533 H74.1 Adhesive middle ear disease 534 H74.11 Adhesive right middle ear disease 535 H74.12 Adhesive left middle ear disease 536 H74.13 …… bilateral 537 H74.19 …… unspecified ear 538 H74.2 Discontinuity and dislocation of ear ossicles 539 H74.20 …… unspecified ear 540 H74.21 Discontinuity and dislocation of right ear ossicles 541 H74.22 Discontinuity and dislocation of left ear ossicles 542 H74.23 …… bilateral 543 H74.3 Other acquired abnormalities of ear ossicles 544 H74.31 Ankylosis of ear ossicles 545 H74.311 …… right ear 546 H74.312 …… left ear 547 H74.313 …… bilateral 548 H74.319 …… unspecified ear 549 H74.32 Partial loss of ear ossicles 550 H74.321 …… right ear 551 H74.322 …… left ear 552 H74.323 …… bilateral 553 H74.329 …… unspecified ear 554 H74.39 Other acquired abnormalities of ear ossicles 555 H74.391 Other acquired abnormalities of right ear ossicles 556 H74.392 Other acquired abnormalities of left ear ossicles 557 H74.393 …… bilateral 558 H74.399 …… unspecified ear 559 H74.4 Polyp of middle ear 560 H74.40 …… unspecified ear 561 H74.41 Polyp of right middle ear 562 H74.42 Polyp of left middle ear 563 H74.43 …… bilateral 564 H74.8 Other specified disorders of middle ear and mastoid 565 H74.8X Other specified disorders of middle ear and mastoid 566 H74.8X1 Other specified disorders of right middle ear and mastoid 567 H74.8X2 Other specified disorders of left middle ear and mastoid 568 H74.8X3 …… bilateral 569 H74.8X9 …… unspecified ear 570 H74.9 Unspecified disorder of middle ear and mastoid 571 H74.90 …… unspecified ear 572 H74.91 Unspecified disorder of right middle ear and mastoid 573 H74.92 Unspecified disorder of left middle ear and mastoid

574 H74.93 …… bilateral 575 H80 Otosclerosis 576 H81 Disorders of vestibular function 577 H82 Vertiginous syndromes in diseases classified elsewhere 578 H83 Other diseases of inner ear 579 H80 Otosclerosis 580 H80.0 Otosclerosis involving oval window, nonobliterative 581 H80.00 …… unspecified ear 582 H80.01 …… right ear 583 H80.02 …… left ear 584 H80.03 …… bilateral 585 H80.1 Otosclerosis involving oval window, obliterative 586 H80.10 …… unspecified ear 587 H80.11 …… right ear 588 H80.12 …… left ear 589 H80.13 …… bilateral 590 H80.2 Cochlear otosclerosis 591 H80.20 …… unspecified ear 592 H80.21 …… right ear 593 H80.22 …… left ear 594 H80.23 …… bilateral 595 H80.8 Other otosclerosis 596 H80.80 …… unspecified ear 597 H80.81 …… right ear 598 H80.82 …… left ear 599 H80.83 …… bilateral 600 H80.9 Unspecified otosclerosis 601 H80.90 …… unspecified ear 602 H80.91 …… right ear 603 H80.92 …… left ear 604 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 18.128 Application of other wound dressing 93.579 Consultation 89.09

10 Incision of external ear 18.911 Follow up examination Z09.812 Ambil bahan kultur 90.32

13 Removal of sutures from head and neck 97.3814 Mastoidektomi Z48.815 Biopsi of skin and subcutaneus tissue 86.1116 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 31.17 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 37.0

36 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 91 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 97.3816 Drainage incision tonsil and peritonsillar 28.017 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 31.146 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