ICD DIAGNOSIS PENYAKIT DAN TINDAKAN TERKAIT THTNo.Nama PenyakitKode ICDTindakanKode ICDHarga

TELINGA

1.OMEH 65.9Miringotomy insertion Tube20.012.546.800

2.OMSKH 66.0-Tympanoplasty tipe I-Tympanoplasty tipe II-Tympanoplasty tipe III-Tympanoplasty tipe IV-Timpano ME19.52

19.53

19.54

19.55

20.917.563.000

3.Kista OMED 14.0-Other Mastoidektomi-Simple Mastoidektomi-Radical Mastoidektomi 20.49

20.41

20.428.283.600

8.283.600

8.283.600

4.Granulasi MAEH 95.1Ekstirpasi Jaringan Granulasi98.113.730.200

5.OthohematomaH61.1Insisi telinga luar18.09/18.023.730.200/3.730.200

HIDUNG

6.Polip NasiJ 33.0Polipektomi

7.Sinusitis MaksilarisJ 32.0-Irigasi Sinus-CWL22.398.287.600

8.PansinusitisJ32.4CWL22.61/22.398.283.600

9.Hipertrofi KonkaJ 34.3Reduksi Konka21.697.563.000

10.Rinitis AlergiJ 30.42.546.800

11.Hipertropi AdenoidJ 39.0Adenoidectomy28.62.929.700

12.EpistaksisR.04 0-Tampon Anterior-Tampon Posterior21.0121.02

13.Tumor SinonasalD14.0-Ekstirpasi tumor-Biopsi sinonasal22.398.283.600

14.-Tumor Nasofaring-Ca NasofaringD 10.6C 11.9-Biopsi Nasofaring-Ekstirpasi Tumor-Kemoterapi29.124.667.700

-Hipertensi gr.2-DM tipe 2I 10E 14.9

15.Septum DeviasiJ 34.2Septoplasti 21.88

TENGGOROKAN

16.Corpal Trakea (Jarum Pentul)T16Ekstraksi Corpal Trakea3.730.200

17.Corpal Esofagus (Bakso)T16Rigid Esofaguscopy Eksplorasi

18.Tonsilitis KronisJ35.0Tonsilektomi28.22.929.700

19.Tumor TonsilD10.4Biopsi Tonsil29.123.730.200

20.Disfagia dgn Tumor NasofaringF45.8/D10.6Pasang OGT3.718.800

KELOMPOK XXIV-IPage 1