KODING SIRKULATORY

invasif intervensi

DEFINISI

• Case - Mix

Suatu sistem pengklasifikasian penyakit yang

mengkombinasikan antara sekelompok penyakit dengan

karakteristik klinik serupa dengan biaya perawatan selama

dirawat disuatu rumah sakit • Cara pembayaran oleh penyandang dana

- besar biaya tidak berdasar jenis dan jumlah layanan

yang diberikan untuk setiap pasien

- tapi berdasarkan kesepakatan harga menurut

kelompok diagnosis penyakit (CBG’s) dimana pasien

tersebut termasuk

DASAR PENGELOMPOKAN

Tahun

2010

Principle Diagnosis International Classification of Disease (ICD)

Medical (ICD X)

Principle Diagnosis, Specific Conditions,

Symptoms, Other

Surgical (ICD IX CM)

Type of Surgery Major, Minor,

Other unrelated Dx

Others

CASE - MIX

Complication, Co-morbidities

or age split

Diagnosis Related Groups (DRG)

Major Diagnostic Category ( 23 groups )

severitas

CONTOH KODE INA-CBGs

Kasus Surgikal I‐1‐01‐I TRANPLANTASI PARU ATAU/DAN JANTUNG I‐1‐02‐I PROSEDUR KATUP JANTUNG DENGAN KATETERISASI I‐1‐03‐I OPERASI KARDIOTORASIK KOMPLEKS PADA JANTUNG ANOMALI I‐1‐04‐I PROSEDUR KATUP JANTUNG TANPA KATETERISASI JANTUNG I‐1‐05‐I PEMBEDAHAN BYPASS PEMBULUH KORONER DENGAN KATETERISASI JANTUNG I‐1‐06‐I PROSEDUR KARDIOTORASIK LAIN I‐1‐07‐I PROSEDUR BYPASS KORONER TANPA KATETERISASI JANTUNG I‐1‐11‐I DEFIBRILATOR JANTUNG DAN PEMASANGAN SISTEM BANTUAN JANTUNG I‐1‐12‐I PROSEDUR PEMBULUH DARAH TORASIK KOMPLEKS I‐1‐13‐I PROSEDUR PEMBULUH DARAH ABDOMINAL KOMPLEK I‐1‐14‐I PEMASANGAN PACEMAKER JANTUNG PERMANEN I‐1‐15‐I KATETERISASI JANTUNG I‐1‐16‐I REVISI DEFIBRILATOR & PACEMAKER JANTUNG TIDAK TERMASUK PENGGANTIAN ALAT I‐1‐17‐I LIGASI DAN STRIPPING PEMBULUH DARAH VENA I‐1‐20‐I PROSEDUR SISTIM PEREDARAN DARAH LAIN‐LAIN I‐1‐30‐I PENGGANTIAN ALAT DEFIBRILATOR DAN PACEMAKER JANTUNG I‐1‐40‐I PROSEDUR KARDIOVASKULAR PERKUTAN

Kasus Medikal I‐4‐10‐I INFARK MYOKARD AKUT I‐4‐11‐I ENDOKARDITIS AKUT DAN SUBAKUT I‐4‐12‐I KEGAGALAN JANTUNG I‐4‐13‐I THROMBOPHLEBITIS PADA PEMBULUH DARAH VENA I‐4‐14‐I CARDIAC ARREST DAN LAIN‐LAIN I‐4‐15‐I PENYAKIT PEMBULUH DARAH DAN LAIN‐LAIN I‐4‐16‐I ATHEROSKLEROSIS I‐4‐17‐I HIPERTENSI I‐4‐18‐I PENYAKIT JANTUNG KONGENITAL DAN KATUP JANTUNG I‐4‐19‐I GANGGUAN KONDUKSI & ARITMIA JANTUNG I‐4‐20‐I ANGINA PEKTORIS DAN NYERI DADA I‐4‐21‐I SYNCOPE & COLLAPSE I‐4‐22‐I KARDIOMIOPATHI I‐4‐23‐I MALFUNGSI, REAKSI DAN KOMPLIKASI DARI ALAT ATAU PROSEDUR KARDIOVASKULER I‐4‐24‐I GANGGUAN SISTEM PEMBULUH DARAH LAIN‐LAIN

TINDAKAN PTCA

Pengkodingan tindakan PTCA

00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary

atherectomy

Balloon angioplasty of coronary artery

Coronary atherectomy

Percutaneous coronary angioplasty NOS

PTCA NOS

Code also any:

injection or infusion of thrombolytic agent (99.10)

insertion of coronary artery stent(s) (36.06-36.07)

intracoronary artery thrombolytic infusion (36.04)

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

procedure on vessel bifurcation (00.44) SuperSaturated oxygen therapy (00.49)

TIDAK DI TOP UP

36.06 Insertion of non-drug-eluting coronary artery stent(s)

Bare stent(s)

Bonded stent(s)

Drug-coated stent(s), i.e. heparin coated

Endograft(s)

Endovascular graft(s)

Stent grafts

Code also any:

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

open chest coronary artery angioplasty (36.03)

percutaneous transluminal coronary angioplasty [PTCA] or coronary

atherectomy (00.66)

procedure on vessel bifurcation (00.44) Excludes: insertion of drug-eluting coronary artery stent(s) (36.07)

DI TOP UP

I71 Aortic aneurysm and dissection I71.0 Dissection of aorta [any part] Dissecting aneurysm of aorta (ruptured) [any part] I71.1 Thoracic aortic aneurysm, ruptured I71.2 Thoracic aortic aneurysm, without mention of rupture I71.3 Abdominal aortic aneurysm, ruptured I71.4 Abdominal aortic aneurysm, without mention of rupture I71.5 Thoracoabdominal aortic aneurysm, ruptured I71.6 Thoracoabdominal aortic aneurysm, without mention of rupture I71.8 Aortic aneurysm of unspecified site, ruptured Rupture of aorta NOS I71.9 Aortic aneurysm of unspecified site, without mention of rupture Aneurysm } Dilatation } of aorta Hyaline necrosis }

Evar/Tevar

39.71 Endovascular implantation of graft in abdominal aorta Endovascular repair of abdominal aortic aneurysm with graft Stent graft(s) Code also intra-aneurysm sac pressure monitoring (intraoperative) (00.58)

39.73 Endovascular implantation of graft in thoracic aorta Endograft(s) Endovascular graft(s) Endovascular repair of defect of thoracic aorta with graft(s) or device(s) Stent graft(s) or device(s) That for repair of aneurysm, dissection, or injury Code also intra-aneurysm sac pressure monitoring (intraoperative) (00.58)

EVAR

TEVAR

PPM

I44 Atrioventrikular dan blok bundel-cabang kiri I44.0 Blok Atrioventrikular, tingkat pertama I44.1 Blok Atrioventrikular, derajat kedua Blok atrioventrikular, tipe I dan II Blok Möbitz, tipe I dan II Blok derajat kedua, tipe I dan II Blok Wenckebach I44.2 Blok atrioventrikular, lengkap Blok jantung lengkap NOS Blok derajat ketiga I44.3 Blok atrioventrikular lainnya dan tidak spesifik Blok Atrioventrikular NOS I44.4 Blok fasciculus anterior kiri I44.5 Blok fasciculus posterior kiri I44.6 Blok fascicular lain dan tidak spesifik hemiblock cabang-cabang kiri NOS I44.7 Blok bundel-cabang kiri, tidak ditentukan

Koding PPM

37.8 Insertion, replacement, removal, and revision of pacemaker device

Note: Device testing during procedure - omit code

Code also any lead insertion, lead replacement, lead removal and/or lead

revision (37.70-37.77)

Excludes: implantation of cardiac resynchronization pacemaker [CRT-P]

(00.50)

implantation or replacement of cardiac resynchronization pacemaker

pulse generator only [CRT-P] (00.53)

37.80 Insertion of permanent pacemaker, initial or replacement, type of device

not specified

37.81 Initial insertion of single-chamber device, not specified as rate responsive

Excludes: replacement of existing pacemaker device (37.85-37.87)

37.82 Initial insertion of single-chamber device, rate responsive

37.83 Initial insertion of dual-chamber device

INSERT PPM

Angioplasty Non Coronary Vessel

I80 Phlebitis and thrombophlebitis Includes: endophlebitis inflammation, vein periphlebitis suppurative phlebitis Use additional external cause code (Chapter XX),if desired, to identify drug, if drug-induced. Excludes: phlebitis and thrombophlebitis (of): complicating: abortion or ectopic or molar pregnancy (O00–O07, O08.7) pregnancy, childbirth and the puerperium (O22.-, O87.-) intracranial and intraspinal, septic or NOS (G08) intracranial, nonpyogenic (I67.6) intraspinal, nonpyogenic (G95.1) portal (vein) (K75.1) postphlebitic syndrome (I87.0) thrombophlebitis migrans (I82.1)

I80.0 Phlebitis and thrombophlebitis of superficial vessels of lower extremities I80.1 Phlebitis and thrombophlebitis of femoral vein I80.2 Phlebitis and thrombophlebitis of other deep vessels of lower extremities Deep vein thrombosis NOS I80.3 Phlebitis and thrombophlebitis of lower extremities, unspecified Embolism or thrombosis of lower extremity NOS I80.8 Phlebitis and thrombophlebitis of other sites I80.9 Phlebitis and thrombophlebitis of unspecified site

PTA 39.50 Angioplasty or atherectomy of other non-coronary vessel(s) Percutaneous transluminal angioplasty (PTA) of non-coronary vessels: Lower extremity vessels Mesenteric artery Renal artery Upper extremity vessels Code also any: injection or infusion of thrombolytic agent (99.10) insertion of drug-eluting peripheral vessel stent (00.55) insertion of non-drug-eluting peripheral vessel stent(s) or stent grafts(s) (39.90) number of vascular stents inserted (00.45-00.48) number of vessels treated (00.40-00.43) procedure on vessel bifurcation (00.44) Excludes: percutaneous angioplasty or atherectomy of precerebral or cerebral vessel(s) (00.61-00.62)

PTA

Penyakit Jantung Kongenital

ASO

35.52 Repair of atrial septal defect with

prosthesis, closed technique Insertion of atrial septal umbrella [King-Mills]

AVO

35.55 Repair of ventricular septal defect with prosthesis, closed technique

CONTEGRA

35.81 Total repair of tetralogy of Fallot

One-stage total correction of tetralogy of Fallot

with or without:

commissurotomy of pulmonary valve

infundibulectomy

outflow tract prosthesis

patch graft of outflow tract

prosthetic tube for pulmonary artery

repair of ventricular septal defect (with prosthesis)

take-down of previous systemic-pulmonary artery anastomosis

Layanan Unggulan

Belum menjadi Standar Pelayanan JKN

• Ablasi Cryo

• Leadless Pacemaker

• Mitral Clip

• TAVI

• ECMO

• ICD

• CRT-D

Pelayanan JKN dengan Subsidi dari RS

• TEVAR/EVAR

• ADO

• AMVO

• Ablasi 3D

• CRT-P

• MICS Procedure

• MAZE Procedure

Verifikator

Koder

Dokter Koder

Kayun Kasmidi hp : 08128636413

Email : kayunkasmidi65@gmail.com