Lampiran Surat Nomor 11523/III.

1/0918

Hal Updating dan Validasi Data FKTP KBK

dan Diagnosa Non Spesialistik pada Aplikasi
HFIS

TABEL REFERENSI DIAGNOSA NON SPESIALISTIK BARU

Keterangan
Kode Diagnosa (Kompetensi)
No Non Spesialistik Nama Diagnosa Non Spesialistik (ICD 10) Berdasar Permenkes
(ICD 10) 5/2014 dan
Kepmenkes 514/2015

1 A01.0 Typhoid fever 4A

2 A06.0 Acute amoebic dysentery 4A

3 A09.0 Other and unspecified gastroenteritis and colitis of 4A

infectious origin

4 A15.0 Respiratory tuberculosis, bacteriologically and 4A

histologically confirmed

5 A27.9 Leptospirosis, unspecified 4A

6 A30.0 Indeterminate leprosy 4A

7 A35 Other tetanus 4A

8 A54.9 Gonococcal infection, unspecified 4A

9 A90 Dengue fever [classical dengue] 4A

10 A91 Dengue haemorrhagic fever 4A

11 B00.9 Herpesviral infection, unspecified 4A

12 B01.9 Varicella without complication 4A

13 B02.9 Zoster without complication 4A

14 B05.9 Measles without complication 4A

15 B07 Viral warts 4A

16 B08.1 Molluscum contagiosum 4A

17 B15 Acute hepatitis A 4A

18 B26.0 Mumps orchitis 4A

19 B35 Dermatophytosis 4A

20 B35.0 Tinea barbae and tinea capitis 4A

21 B35.1 Tinea unguium 4A

22 B35.2 Tinea manuum 4A

23 B35.3 Tinea pedis 4A

24 B35.4 Tinea corporis 4A

25 B35.6 Tinea cruris 4A

26 B35.8 Other dermatophytoses 4A

27 B36.0 Pityriasis versicolor 4A

28 B37.9 Candidiasis, unspecified 4A

29 B54 Unspecified malaria 4A

30 B65.0 Schistosom due schis haematobium [urin schistosom] 4A

31 B65.2 Schistosomiasis due to Schistosoma japonicum 4A

32 B65.9 Schistosomiasis, unspecified 4A

33 B68.0 Taenia solium taeniasis 4A

34 B68.9 Taeniasis, unspecified 4A

35 B74.0 Filariasis due to wuchereria bancrofti 4A

36 B76.0 Ancylostomiasis 4A

37 B76.9 Hookworm disease, unspecified 4A

38 B77.9 Ascariasis, unspecified 4A

39 B78.0 Intestinal strongyloidiasis 4A

40 B78.9 Strongyloidiasis, unspecified 4A

41 B85.0 Pediculosis due to pediculus humanus capitis 4A

42 B85.3 Phthiriasis 4A

43 B86 Scabies 4A

44 D17.9 Benign lipomatous neoplasm, unspecified 4A

45 D50.0 Iron deficiency anaemia secondary to blood loss 4A

(chronic)
46 D50.9 Iron deficiency anaemia, unspecified 4A

47 E11.9 Non-insulin-dependent diabetes mellitus without 4A

complications

48 E16.2 Hypoglycaemia, unspecified 4A

49 E46 Unspecified protein-energy malnutrition 4A

50 E66.9 Obesity, unspecified 4A

51 E78.5 Hyperlipidaemia, unspecified 4A

52 E79.0 Hyperuricaem without sign inflamm 4A

arthritis+tophaceous dis

53 F45.0 Somatization disorder 4A

54 F51.0 Nonorganic insomnia 4A

55 G43.0 Migraine without aura [common migraine] 4A

56 G43.9 Migraine, unspecified 4A

57 G44.2 Tension-type headache 4A

58 G51.0 Bell's palsy 4A

59 H00.0 Hordeolum and other deep inflammation of eyelid 4A

60 H01.0 Blepharitis 4A

61 H02.0 Entropion and trichiasis of eyelid 4A

62 H04.1 Other disorders of lacrimal gland 4A

63 H10.1 Acute atopic conjunctivitis 4A

64 H10.9 Conjunctivitis, unspecified 4A

65 H15.1 Episcleritis 4A

66 H52.0 Hypermetropia 4A

67 H52.1 Myopia 4A

68 H52.2 Astigmatism 4A

69 H52.4 Presbyopia 4A

70 H53.6 Night blindness 4A

71 H57.8 Other specified disorders of eye and adnexa 4A

72 H60.9 Otitis externa, unspecified 4A

73 H61.2 Impacted cerumen 4A

74 H65.0 Acute serous otitis media 4A

75 H65.1 Other acute nonsuppurative otitis media 4A

76 H66.0 Acute suppurative otitis media 4A

77 I10 Essential (primary) hypertension 4A

78 I83.9 Varicose veins lower extremities without ulcer or 4A

inflamm

79 I84.0 Internal thrombosed haemorrhoids 4A

80 I84.2 Internal haemorrhoids without complication 4A

81 I84.9 Unspecified haemorrhoids without complication 4A

82 J00 Acute nasopharyngitis [common cold] 4A

83 J02 Acute pharyngitis 4A

84 J02.9 Acute pharyngitis, unspecified 4A

85 J03 Acute tonsillitis 4A

86 J03.9 Acute tonsillitis, unspecified 4A

87 J04.0 Acute laryngitis 4A

88 J11.0 Influenza, virus not identified 4A

89 J18.0 Bronchopneumonia, unspecified 4A

90 J18.9 Pneumonia, unspecified 4A

91 J20.9 Acute bronchitis, unspecified 4A

92 J30.0 Vasomotor rhinitis 4A

93 J30.4 Allergic rhinitis, unspecified 4A

94 J34.0 Abscess, furuncle and carbuncle of nose 4A

95 J35.0 Chronic tonsillitis 4A

96 J45.9 Asthma, unspecified 4A

97 K12 Stomatitis and related lesions 4A

98 K21.9 Gastro-oesophageal reflux disease without 4A

 oesophagitis

99 K29.7 Gastritis, unspecified 4A

100 K90.4 Malabsorption due to intolerance, not elsewhere 4A

classified

101 L01.0 Impetigo [any organism] [any site] 4A

102 L02.0 Cutaneous abscess, furuncle and carbuncle of face 4A

103 L02.2 Cutaneous abscess, furuncle and carbuncle of trunk 4A

104 L02.8 Cutaneous abscess, furuncle and carbuncle of other 4A

sites

105 L04.9 Acute lymphadenitis, unspecified 4A

106 L08.0 Pyoderma 4A

107 L08.1 Erythrasma 4A

108 L20.8 Other atopic dermatitis 4A

109 L21.0 Seborrhoea capitis 4A

110 L22 Diaper [napkin] dermatitis 4A

111 L24.0 Irritant contact dermatitis due to detergents 4A

112 L27.0 Generalized skin eruption due to drugs and 4A

medicaments

113 L27.2 Dermatitis due to ingested food 4A

114 L42 Pityriasis rosea 4A

115 L50.0 Allergic urticaria 4A

116 L50.9 Atrophic disorder of skin, unspecified 4A

117 L70.0 Acne vulgaris 4A

118 L71.0 Perioral dermatitis 4A

119 L73.2 Hidradenitis suppurativa 4A

120 L74.3 Miliaria, unspecified 4A

121 L97 Ulcer of lower limb, not elsewhere classified 4A

122 M10 Gout 4A

123 N10 Acute tubulo-interstitial nephritis 4A

124 N39.0 Urinary tract infection, site not specified 4A

125 N47 Redundant prepuce, phimosis and paraphimosis 4A

126 N61 Inflammatory disorders of breast 4A

127 N76.0 Acute vaginitis 4A

128 N98.9 Complication associated with artificial fertilization, 4A

unspecified

129 O03.9 Spontaneous abortion, Complete or unspecified, 4A

without complication

130 O70.0 First degree perineal laceration during delivery 4A

131 O80.9 Single spontaneous delivery, unspecified 4A

132 O92.0 Retracted nipple associated with childbirth 4A

133 P38 Omphalitis of newborn with or without mild 4A

haemorrhage

134 R04.0 Epistaxis 4A

135 R42 Dizziness and giddiness 4A

136 R56.0 Febrile convulsions 4A

137 T14 Injury of unspecified body region 4A

138 T14.1 Open wound of unspecified body region 4A

139 T15.9 Foreign body on external eye, part unspecified 4A

140 T17.1 Foreign body in nostril 4A

141 T30.1 Burn of first degree, body region unspecified 4A

142 T30.2 Burn of second degree, body region unspecified 4A

143 T63.4 Venom of other arthropods 4A

144 T78.2 Anaphylactic shock, unspecified 4A

145 Z21 Asymptomatic human immunodeficiency virus [HIV] 4A

infection status
 TABEL REFERENSI DIAGNOSA NON SPESIALISTIK LAMA

Kode
Diagnosa
No Non Nama Diagnosa Non Spesialistik
Spesialistik
(ICD 10)
1 A010 Typhoid fever
2 A059 Bacterial foodborne intoxication, unspecified
3 A060 Acute amoebic dysentery
4 A150 Tb lung confirm sputum microscopy with or without culture
5 A184 Tuberculosis of skin and subcutaneous tissue
6 A270 Leptospirosis icterohaemorrhagica
7 A300 Indeterminate leprosy
8 A35 Other tetanus
9 A370 Whooping cough due to bordetella pertussis
10 A46 Erysipelas
11 A510 Primary genital syphilis
12 A520 Cardiovascular syphilis
13 A540 Gc inf low gu tract without periurethral / acces gland abs
14 A90 Dengue fever [classical dengue]
15 A91 Dengue haemorrhagic fever
16 A920 Chikungunya virus disease
17 B001 Herpesviral vesicular dermatitis
18 B009 Herpesviral infection, unspecified
19 B019 Varicella without complication
20 B029 Zoster without complication
21 B059 Measles without complication
22 B07 Viral warts
23 B081 Molluscum contagiosum
24 B150 Hepatitis a with hepatic coma
25 B160 Acute hep b with delta-agent (coinfection) with hep coma
26 B170 Acute delta-(super)infection of hepatitis b carrier
27 B171 Acute hepatitis c
28 B172 Acute hepatitis e
29 B24 Unspecified human immunodeficiency virus [hiv] disease
30 B260 Mumps orchitis
31 B350 Tinea barbae and tinea capitis
32 B351 Tinea unguium
33 B352 Tinea manuum
34 B353 Tinea pedis
35 B354 Tinea corporis
36 B356 Tinea cruris
37 B359 Dermatophytosis, unspecified
38 B360 Pityriasis versicolor
39 B500 Plasmodium falciparum malaria with cerebral complications
40 B510 Plasmodium vivax malaria with rupture of spleen
41 B520 Plasmodium malariae malaria with nephropathy
42 B530 Plasmodium ovale malaria
43 B54 Unspecified malaria
44 B650 Schistosom due schis haematobium [urin schistosom]
45 B680 Taenia solium taeniasis
46 B740 Filariasis due to wuchereria bancrofti
47 B760 Ancylostomiasis
48 B769 Hookworm disease, unspecified
49 B770 Ascariasis with intestinal complications
50 B780 Intestinal strongyloidiasis
51 B850 Pediculosis due to pediculus humanus capitis
52 B853 Phthiriasis
53 B86 Scabies
54 D179 Benign lipomatous neoplasm, unspecified
55 D500 Iron deficiency anaemia secondary to blood loss (chronic)
56 D649 Anaemia, unspecified
57 E100 Insulin-dependent diabetes mellitus with coma
58 E110 Non-insulin-dependent diabetes mellitus with coma
59 E162 Hypoglycaemia, unspecified
60 E46 Unspecified protein-energy malnutrition
61 E569 Vitamin deficiency, unspecified
62 E610 Copper deficiency
63 E660 Obesity due to excess calories
64 E740 Glycogen storage disease
65 E785 Hyperlipidaemia, unspecified
66 E790 Hyperuricaem without sign inflamm arthritis+tophaceous dis
67 F450 Somatization disorder
68 G430 Migraine without aura [common migraine]
69 G442 Tension-type headache
70 G470 Disorders of initiating and maintaining sleep [insomnias]
71 G510 Bell's palsy
72 H000 Hordeolum and other deep inflammation of eyelid
73 H010 Blepharitis
74 H020 Entropion and trichiasis of eyelid
75 H100 Mucopurulent conjunctivitis
76 H113 Conjunctival haemorrhage
77 H151 Episcleritis
78 H162 Keratoconjunctivitis
79 H520 Hypermetropia
80 H521 Myopia
81 H522 Astigmatism
82 H524 Presbyopia
83 H531 Subjective visual disturbances
84 H600 Abscess of external ear
85 H612 Impacted cerumen
86 H669 Otitis media, unspecified
87 H810 M?ni?re's disease
88 I10 Essential (primary) hypertension
89 I839 Varicose veins lower extremities without ulcer or inflamm
90 I840 Internal thrombosed haemorrhoids
91 I880 Nonspecific mesenteric lymphadenitis
92 J00 Acute nasopharyngitis [common cold]
93 J020 Streptococcal pharyngitis
94 J030 Streptococcal tonsillitis
95 J040 Acute laryngitis
96 J100 Influenza with pneumonia, influenza virus identified
97 J120 Adenoviral pneumonia
98 J300 Vasomotor rhinitis
99 J304 Allergic rhinitis, unspecified
100 J340 Abscess, furuncle and carbuncle of nose
101 J40 Bronchitis, not specified as acute or chronic
102 J459 Asthma, unspecified
103 K210 Gastro-oesophageal reflux disease with oesophagitis
104 K291 Other acute gastritis
105 K529 Noninfective gastroenteritis and colitis, unspecified
106 L010 Impetigo [any organism] [any site]
107 L020 Cutaneous abscess, furuncle and carbuncle of face
108 L022 Cutaneous abscess, furuncle and carbuncle of trunk
109 L028 Cutaneous abscess, furuncle and carbuncle of other sites
110 L080 Pyoderma
111 L081 Erythrasma
112 L089 Local infection of skin and subcutaneous tissue, unspecified
113 L200 Besnier's prurigo
114 L210 Seborrhoea capitis
115 L240 Irritant contact dermatitis due to detergents
116 L270 Generalized skin eruption due to drugs and medicaments
117 L271 Localized skin eruption due to drugs and medicaments
118 L272 Dermatitis due to ingested food
119 L300 Nummular dermatitis
120 L309 Dermatitis, unspecified
121 L42 Pityriasis rosea
122 L500 Allergic urticaria
123 L700 Acne vulgaris
124 L710 Perioral dermatitis
125 L732 Hidradenitis suppurativa
126 L743 Miliaria, unspecified
127 N12 Tubulo-interstitial nephritis not spec as acute or chronic
128 N390 Urinary tract infection, site not specified
129 N47 Redundant prepuce, phimosis and paraphimosis
130 N508 Other specified disorders of male genital organs
131 N61 Inflammatory disorders of breast
132 N645 Other signs and symptoms in breast
133 N700 Acute salpingitis and oophoritis
134 N760 Acute vaginitis
135 N762 Acute vulvitis
136 N768 Other specified inflammation of vagina and vulva
137 O000 Abdominal pregnancy
Spontaneous abortion, incomplete abortion complicated by genital tract and
138 O030 pelvic infection
139 O25 Malnutrition in pregnancy
140 O700 First degree perineal laceration during delivery
141 O701 Second degree perineal laceration during delivery
142 O702 Third degree perineal laceration during delivery
143 O703 Fourth degree perineal laceration during delivery
144 O921 Cracked nipple associated with childbirth
145 R040 Epistaxis
146 R560 Febrile convulsions
147 T151 Foreign body in conjunctival sac
148 T171 Foreign body in nostril
149 T301 Burn of first degree, body region unspecified
150 T302 Burn of second degree, body region unspecified
151 T753 Motion sickness
152 T782 Anaphylactic shock, unspecified
153 T812 Accidental puncture and laceration during a procedure nec