ICD 9 ICD 9 ICD 10

Tindakan Kode Proclist Proclist Kode Diaglist

Coronary arteriography using a single catheter/

CAG 88.55/88.56/88.57 Coronary arteriography using two catheter/ 125.1/120.9
Other and unspecified Coronary arteriography

Percutaneous transluminal coronary

angioplasty (PTCA) or coronary atherectomy
PCI 00.66(36.06/36.07) (Insertion of non drug-eluting coronary artery 125.1/120.9/I21
stent (s)/ Insertion of drug-eluting coronary
artery stent (s))

Percutaneous transluminal coronary I21

angioplasty (PTCA) or coronary atherectomy (I21.0/I21.1/I21.
PCI Primary 00.66(36.06/36.07) (Insertion of non drug-eluting coronary artery 2/I21.3/I21.4/I2
stent (s)/ Insertion of drug-eluting coronary 1.9)
artery stent (s))
 Percutaneous transluminal coronary I21
angioplasty (PTCA) or coronary atherectomy (I21.0/I21.1/I21.
PCI Primary 00.66(36.06/36.07) (Insertion of non drug-eluting coronary artery 2/I21.3/I21.4/I2
stent (s)/ Insertion of drug-eluting coronary 1.9)
artery stent (s))

Insertion of permanent pacemaker, initial or I44

replacement, type of device not specified/
(I44.0/I44.1/I44.
PEMASANGAN PPM 37.80/37.81/37.82/37. Initial insertion of single-chamber device, not
83 specified as rate responsive/ Initial insertion of 2/I44.3/I44.4/I4
single-chamber device, rate responsive/Initial 4.5/I44.6/I44.7)
/I49.5
insertion of dual-chamber device

Replacement of any type pacemaker device

with single-chamber device, not specified as I44
(I44.0/I44.1/I44.2
rate responsive/ Replacement of any type of /I44.3/I44.4/I44.
PENGGANTIAN PPM 37.85/37.86/37.87 pacemaker device with single-chamber device, 5/I44.6/I44.7)/I4
rate responsive /Replacement of any type 9.5
pacemaker device with dual-chamber device

Initial insertion of lead [electrode], not

otherwise specified/ Initial insertion of
transvenous lead [electrode] into ventricle/
Initial insertion of transvenous leads
[electrodes] into atrium and ventricle/ Initial
37.70/ 37.71/ 37.72/ insertion of transvenous lead [electrode] into I44
(I44.0/I44.1/I44.2
37.73/ 37.74/ 37.75/ atrium/ Insertion or replacement of epicardial /I44.3/I44.4/I44.
TPM 37.78/ 37.76/ 37.77/ lead [electrode] into epicardium/ Revision of 5/I44.6/I44.7)/I4
37.79 lead [electrode]/ Insertion of temporary 9.5
transvenous pacemaker system/ Replacement
of transvenous atrial and/or ventricular lead(s)
[electrode]/ Removal of lead(s) [electrode]
without replacement/ Revision or relocation of
pacemaker pocket
Penunjang
 KODING TINDAKAN DAN DIAGNOSA

ICD 10 ICD 10

Diaglist Utama Kode Diaglist

I11.0
N17.9
I49.3
E10.0
E10.1
R57.0
R57.1
ASHD (Atherosclerotic heart disease)/ APS (Angina Pectoris,
unspecified) I23.3

I23.4

I23.5
I46.0
I46.1
I46.2
I47.0
I63.3
I63.4
I63.5
ASHD (Atherosclerotic heart disease)/ APS (Angina Pectoris, I63.8
unspecified), Acute myocardial infarction (Acute transmural I63.9
myocardial infarction of anterior wall/Acute transmural I50.0
myocardial infarction of inferior wall/Acute transmural
myocardial infarction of ather sites/ Acute transmural I50.1
myocardial infarction unspecified site/ Acute Subendocardial i50.9
myocardial infarction / Acute myocardial infarction, I49.1
unspecified)
I49.4
E10.2
E10.3
E10.4
E10.5
E10.6
E10.7
E10.8

Acute myocardial infarction (Acute transmural myocardial I23.0

infarction of anterior wall/Acute transmural myocardial
infarction of inferior wall/Acute transmural myocardial
infarction of ather sites/ Acute transmural myocardial infarction
unspecified site/ Acute Subendocardial myocardial infarction /
Acute myocardial infarction, unspecified)
 Acute myocardial infarction (Acute transmural myocardial
infarction of anterior wall/Acute transmural myocardial
infarction of inferior wall/Acute transmural myocardial
infarction of ather sites/ Acute transmural myocardial infarction I23.1
unspecified site/ Acute Subendocardial myocardial infarction /
Acute myocardial infarction, unspecified) I23.2
I05.1

I05.2
I05.8
I05.9
I42.0
Atrioventricular and left bundle-branch block (Atrioventricular I42.1
block, first degree /Atrioventricular block, second
degree/Atrioventricular block, complete /Other and unspecified I42.2
atrioventricular block/Left anterior fascicular block/Left I42.3
posterior fascicular block/Other and unspecified fascicular I42.4
block/Left bundle-branch block, unspecified)/Sick sinus
syndrome I42.5
I42.6
I42.7
I42.8
I42.9
I44.1
I44.2
Atrioventricular and left bundle-branch block (Atrioventricular block, I47.1
first degree /Atrioventricular block, second degree/Atrioventricular I47.2
block, complete /Other and unspecified atrioventricular block/Left
anterior fascicular block/Left posterior fascicular block/Other and I47.9
unspecified fascicular block/Left bundle-branch block, I63.0
unspecified)/Sick sinus syndrome I63.1

I63.2

I63.6
I48

I11.9
N18.1 - N18.5
E10.9

Atrioventricular and left bundle-branch block (Atrioventricular block, I23.6

first degree /Atrioventricular block, second degree/Atrioventricular
block, complete /Other and unspecified atrioventricular block/Left
anterior fascicular block/Left posterior fascicular block/Other and I23.8
unspecified fascicular block/Left bundle-branch block,
unspecified)/Sick sinus syndrome I34.0
I34.1
I34.2
I34.8
I34.9
I05.0
I44.0
: 1. Hasil Echo
2. Hasil Rontgen
3. Hasil Lab Darah
4. Hasil EKG

Diastolik Heart Failure = E/A < 1 atau E/a >2, kardiomegali Hasil Echo, Rontgen
Sistolik Heart Failure = EF < 52 %, kardiomegali Hasil Echo, Rontgen
DM = Glukosa > 200 Hasil Lab Darah
HHD = Kardiomegali Hasil Rontgen
HHD = IVSD >10 mm Hasil Echo
VES = > 3x per menit Hasil EKG/Log EKG
AKI = Kreatinin P= 0,5 -1 mg/dl, L= 0,7-1,2 mg/dl Hasil Lab Darah
AKI = Ureum P= 15-40 mg/dl, L= 19-44 mg/dl Hasil Lab Darah
VES/AF/TAVB/AVB = Grafik EKG Hasil EKG
 ICD 10

Diaglist Skunder Klasifikasi

HHD With CHF (Hypertensive heart disease with (congestive)

heart failure Berat
AKI (Acute renal failure, unspecified) Berat
VES (Ventricular premature depolarization) Berat
Diabetes Mellitus with coma Berat
Diabetes Mellitus with ketoacidosis Berat
Cardiogenic shock Berat
Hypovolaemic shock Berat
Rupture of carciac wall without haemopericardium as current
complication following acute myocardial infarction Berat
Rupture of chordae tendineae as current complication following
acute myocardial infarction Berat
Rupture of papillary muscle as current compilation following
acute myocardial infarction Berat
Cardiac arrest with succesful resuscitation Berat
Sudden cardiac death, so described Berat
cardiac arrest, unspecified Berat
Re entry ventricular arrthythmia Berat
Cerebral infarction due to trombosis of cerebral arteries Berat
Cerebral
Cerebral infarction
infarction duedue to embolismocclusion
to unspecified of cerebral arteries of
or stenosis Berat
cerebral arteries Berat
Other cerebral infarction Berat
Cerebral infarction, unspecified Berat
CHF (Congestive heart failure) Sedang
CHF (Left Ventricular failure) Sedang
Heart failure, unspecified Sedang
Atrial premature depolarization Sedang
VES (other and unspecified premature depolarization) Sedang
Diabetes Mellitus with renal complications Sedang
Diabetes Mellitus with ophthalmic complications Sedang
Diabetes Mellitus with neurogical complications Sedang
Diabetes Mellitus with peripheral circulatory complications Sedang
Diabetes Mellitus with other specified complications Sedang
Diabetes Mellitus with multiple complications Sedang
Diabetes Mellitus with unspecified complications Sedang
Haemopericardium as current complication following acute
myocardial infaction Sedang
 Atrial Septal defect as current complication following acute
myocardial infarction Sedang
Ventricular septal defect as current complication following acute
myocardial infarction Sedang
Rheumatic mitral insufficiency Sedang

Mitral Stenosis with insufficiency Sedang

Other mitral valve disease Sedang
Mitral valve disease, unspecified Sedang
Dilated Cardiomyopathy Sedang
Obstructive Hypertropic Cardiomyopathy Sedang
Other Hypertropic Cardiomyopathy Sedang
Endomyocardial (eosinophilic) disease Sedang
Endocardial fibroelastosis Sedang
Other Restrictive Cardiomyopathy Sedang
Alcoholic Cardiomyopathy Sedang
Cardiomyopathy due to drugs and other external agents Sedang
Other Cardiomyopathy Sedang
Cardiomyopathy Unspecified Sedang
Atrioventicular block, second degree Sedang
Atrioventicular block, complete Sedang
Supraventricular tachycardia Sedang
Ventricular tachycardia Sedang
Paroxysmal tachycardia, unspecified Sedang
Cerebral infarction due to trombosis of precerebral arteries Sedang
Cerebral infarction due to embolism of precerebral arteries Sedang
Cerebral infarction due to unspecified occlusion or stenosis of
precerebral arteries Sedang
Cerebral infarction due to cerebral venous thrombosis,
nonpyogenic Sedang
Atrial Fibrillation and flutter Sedang
HHD (Hypertensive heart disease without (congestive) heart
failure) Ringan
CRF (Cronic Kidney Disease) Ringan
Diabetes Mellitus without complications Ringan
Trombosis of atrium, auricular appendage, and verticle as current
complications following acute myocardial infarction Ringan

Other current complication following acute myocardial infarction Ringan

Mitral (Valve) insufficiency Ringan
Mitral (Valve) Prolapse Ringan
Nonrheumatical mitral (valve) stenosis Ringan
Other nonrheumatical mitral valve disolders Ringan
Nonrheumatical mitral valve disolder, unspecified Ringan
Mitral Stenosis Ringan
Atrioventicular block, first degree Ringan
Nilai normal lab tergantung standar lab masing masing RS
Nilai normal lab tergantung standar lab masing masing RS