DIAGNOSA KODE ICD 10 KETERANGAN

Corpal Pharing T17.2

Blind Color Total H53.5

ARR H33.0

Detechmen Retina H33.2

Ablatio Retina H33.2

Branch Retinal Vein Oclusion H34.8

Chalazion H00.1

CSR H35.7

Candidiasis Intertrignosa B37.2

CSME H35.8

After Catarac h26.4

Retained Lens Material (RLM) H26.4

SINEKIA H21.5

Corpal Cornea T15.0

Conjungtivitis Viral B30.9 + H13.1

CSC (Central Serous Chororetinopaty) H35.7

Vitreous Opacity H43.3

Sicatrik Macula H31.0

Katarak Brown (brunessces) H25.1

Dystropy Macula H18.5

Katarak Komplikata H26.2

Diabetik Macular Edema H35.8

Epiphora H04.2

Diplopia H53.2

Edema Palpebra H02.8

Endoftalmitis H44.0

Edema Papil H47.1

Edema Macula H35.5

Anopthalmia Q11.1
Ulcus Statis I83.0
Ablatio Retina Traxioral H33.4
Sinekia H21.5
Sisa Kortek = PCO H26.4
Reaksi Alergi Obat T88.6 dan Pasien Mengalami Anapilatik Syok
PEX Syndrome (Pseudoexfoliation Syndrom) H40.1
Pseudophakia Pasien Baru H59.8
Tumor Palpebra D23.1
Tumor Conjungtiva D31.0
Trauma Tajam S05.0
Ptysis bulbi H44.5
Keratokonjungtivitis H16.2
keratopthy H18.1
CRVO H34.8
BRVO H34.8
hipema H21.0
AMD H35.3
Ptosis Kongenital Q10.0
Ptosis eyelid H02.4
Dacryocytitis Akut H04.3
Dacryocytitis Kronis H04.4
dislokasi lensa H27.1
CSME H35.8
SCB H11.3
Bullous Keratopathy H18.1
optic neuritis H46
PACG = PAC H40.2
Zonolisis/ Zonulisis H26.2
Conjungtivitis H10.
POAG h40.1
HHD I11.9
Grave Disease E05.0
Drop Nucleus H59.8
kataract Tanpa Lensa (aphakia)/ IOL Drop/ Dop Nukleus H27.0 IOL jgn di kode KL Pasien RANAp PAKAI H27.1
CSME H35.8
Leukoma H17.0
PCO (sisa Kortek) H26.4 Yag Laser Pasti Diagnosanya PCO
Eodema Macula H35.8
NPDR=PDR E14.3 +, H36.0 *
Pasien Operasi DME (NPDR +CSME) E14.3 +, H36.0 * E14.3 diagnosa utama
H35.8
Pasien Baru KSI + CSME H35.8, H25.8 Diagnosa Utama CSME H35.8
Pasien Lama NPDR + CSME Z09.8 Follup diisi kode E14.3 jika pasien operasi dgn injeksi avastin,
E14.3 +, H36.0 * jika kontrol kode E14.3 tdk disertakan KECUALI KASUS
H35.8 BARU KODE E14.3 BARU DISERTAKAN
Pseudophakia + Attched Retina H33.0 Jika Tindakan Laser Retina = 14.54
Follow up Z09.8 Laser Retina PRP dan Barrage laser
Post Operasi Z09.0
DM type II E11.9
Batal Oprasi Z53.0 Karena kondisi Pasien tidak memungkinkan
dan klaim di tipe B
suspect CSR PASIEN BARU/ Susp di mata Z03.8
TRD H33.4
Exotropia H50.1
Trauma Kimia S05.0
Diplopia H53.2
Low Vision H54.2
Trauma Tumpul S05.1
Glaucom CONGENITAL Q15.0
Dislocation of Lens H27.1 Jika Lensa Asli
PanUveitis H44.1
hypertensi oculi/ TIO Tinggi h40.0
Steroid Induced Glaucoma H406
Dislocation of Lens T85.2 Jika Post Katarak
Kapsul Robek H27.8
Pseudopakia + CSME Pseudopakia + CSME di Injeksi Avastin
Dx Utama : NPDR dan CSME
Pseudopakia jangan di kode
Pseudofakia + Ksi H26.4 dgn Tindakan Yag Laser diagnosa pasti PCO KSI Tidak Di kode
Meibomitis H00.0
Chemosis H11.4
Anopthalmia soket Dangkal Q11.1
Tumor Retrobulbar D31.6
TIO Tinggi H40.8
Sub Hyaloid Haemorrage + PV (Vitreous Haemorrhage) H43.1 dengan Tindakan VPP + MP+ EL+ Udara Steril
PV sebagai Diagnosa Utama
High Myopia + ARR H44.2, H33.0 Tindakan VPP + SB+ ED+ EL+ SF 6
ARR sebagai Diagnosa Utama
Neuritus Retro Bulbar H46
Vitreous Prolapse H43.0
Glaucoma SEKUNDER h40.5
Vasculitis Retina H35.0
Glaucoma Absolute H44.5
Esotropia H50.0
Corpal Di Kornea T15.0
Corpal Di Konjungtiva T15.1
NTG H40.1
Vitreo Macular Tractim H33.4
Traumatic Optic Neuropathy (TON) S04.0
Trauma Kimia S05.8
Erosi Kornea S05.0 erosi kornea krn Trauma
Corpal Kornea T15.0
Erosi Kornea biasa H16.0
PEX Syndrome/g laucoma H40.1
Sub Makular Haemorrhage H35.6
Sub Luxation Lensa H27.1
SMD (Senile Macula Degeneratif) H55.3
Cicatrik Macula H31.0
Cicatrik kornea H17.8
PHPV (Persisten Hyperplasia Primary Vitreous)
ulkus kornea h16.0
hipopion H02.0
CME h35.8
Pengueculitis H11.1
Papil Atropi H05.3
Papil Edema H47.1
Photopsis H53.1
Glaucoma Neovaskuler H40.8
Proptosis H05.2
PCO H26.4
myopia patalogis/ high H44.2
Ambliopia/ Ambliopia despiratif H53.0
MAS h521, H52.2
Anisometrop H52.3
Scleritis H15.0
PVD H43.8
Poschnes Schoner Syndrome (PSS) H40.8
Prolaps Vitreous H43.0
Optic Disc Sweeling H47.1
Opthalmoplegia H49.9
Observasi Ca Z023.1
Edema Kornea H18.2
Neuro Opthalmology Z01.0
Nevus Conjuctiva D09.2
Macula Bleeding H35.6
Macula Distropia H18.5
Macula RVO H17.0
Keratopaty Bullosa H18.1
Kelainan Refraksi H52.7
Bleparoconjungtivitis H10.5
KSKP H25.0
ERM H35.3
Kelainan Retina H14.1
Kerato Uveitis H20.9
Katarak Traumatik H26.1
Katarak Sentral Q12.0
KPS (Keratitis Puctata Syphilitic) A50.3+ H19.3*
Keratitis Flameatosa H16.1
Katarak Sekunder H26.4
Subhyaloid Haemorrhage H35.6
HT RT (Hypertensi Retinophaty) H35.0
Giant Retina Tear H33.3
Endoftalmitis H44.0
Eodema Palpebra H02.8
CSR H35.7
Catarak Developmental H26.0
Cataract Senile Polar H25.0
Ca di Kornea C69.1
Conjungtivitis Viral B30.9+ H13.1*
CSC (Central Serous Chororetinopathy) H35.7
Vcentra Retina Artery Occlusion H34.1
Vcentra Retina Vein Occlusion H34.8
Vitreous Opacity H43.3
Retina Pigmentosa H35.5
Optic Disc Sweeling H47.1
Bleparitis H01.0
Katarak Juvenile H26.0
Posterior Subcapsular Cataract (PSC) H25.0
Optic Disc Swelling H47.3
Abses Scela H15.0
HAM H52.2
uveitis H20.8 descemetocele/prolap bulbi/mata keluar
Pseudofakia kontrol pertama kali H59.8
hypertensi oculi H40.0 Redentached Retina/AR
Retinitis pigmentosa H35.5 Pneumatic Retinopexy/ARR
Attaced Retina/ ARR H33.0 Retina Attached/ ARR
Maculophaty H35.3 So Filled Eye/ AR
Scleritis H15.0
AR/ SoFilled Eye H33.2 Luksasi lensa/ Subluksasi Lensa/Aphakia
Iridodyalisis H21.5 Attaced Retina/ ARR
DRY EYES H041 Retina Break/ ARR
seclusion pupil H21.4 PVR/ AR
degeneratif latice h35.4 Drop nucleus/ Aphakia
Floater H433 Pseudofakia dgn Evakuasi SO/AR
Anopthalmia Q11.1 Pseudofakia dgn Reposisi IOL/ KSI/KSM
MAC H52.1, H52.2 Rebleeding AMD
ART H33.4 Trauma Tembus Kornea/Other Injuries Of Eye and Orbit
myopia H52.1 Prolap Lens/ Mechanical Complication of Intracular lens
Amblopia h53.0 Fibrosis Vitreous/ Fibrosis Opacities
PVD Komplit H43.8 CSME
Retinophaty hipertensi H35.0
baggy eyelid H02.4
Iridoplegia H57.0
Sub Makular Haemorrhage H35.6
Pterigium H11.0
VKH (Vogt Koyonagi Harada) H20.8
Maculopati H35.3
PVD H43.8
Hypotony H44.4
Macular Degeneratif H35.3
Epiternal Membran H35.3
macular hole H35.3
AMD H35.3
Floaters H43.3
CSC (Central Serous Chororetinopathy) H35.7
Enteropion H02.0
Post Trab Pasien Baru H59.8
sikatrik Kornea H17.8
sikatri vitreous H17.8
Sikatrik Makula H31.0
Sikatrik Retina H31.0
nigtagmus H55
Sisa Kortek = PCO H26.4
Sub Macular Haemorrhage H35.6
Subluxation lensa Desentrasi IOL H27.1
Senili macula Degeneratif H55.3
Iridodialisis H21.5
Cicatrik Macula H31.0
Steroid Induced Glaucoma H40.6
Subhyaloid Haemoorgic H35.6
dislocation of lens H27.1
Vitreous Haemorrhage H43.1
Vitreous Macylar Tractim H33.4
Presbyopia H52.4
Hypermetropi H52.0
Detechmentn Retina = AR H33.2
ARR H33.0
AMD/ ARMD H35.3
Ablatio Retina Traxioral H33.4
PCO (sisa Kortek) H26.4
Reaksi Alergi Obat pasien mengalami anafilatik Syok T88.6
PV + PDR H43.1, E14.3+ H36.0
Sub luksasi lensa H27.0
degeneratif latice H35.4
Glaucoma Sekunder + Phaco H40.5
Streoid Inducod Glaucoma H40.6
Trauma Oculi S04.0
Ulcus Kornea Hypopion H16.0
Glaucoma Juvenile (10-35 th) O15.0
Anopthalmia Z09.8
Epiretinal Membran Macular Pungkring H35.3
PPCRA (Pigmented Paravenous Retinachoroidal Athropy) H35.8
CLG (Conjungtival Lumbal Graft)
Vibrosis Vitreous H43.8
VHO (Visial Acix Opacities) H26.4
Fibrosis Vitreous/ Fibrosis Opacities H43.8
Retinal Haemorrhage H35.6
Susp Obstruksi Duktus Nasolakrimalis h04.3
Normal Tension Glaucoma H40.1
Zolulysis H26.2
PCV (polivoidal Choroidal Vasculopathy)
 CATATAN KODE

No. DIAGNOSA KODE ICD 10

Ablatio Retina Traxioral H33.4
Aff. Cornea Laceration 11.51
Aff. Cornea Post Op/ Aff. Heating 11.52
Ekstraksi Benda asing di korne dewasa 98.21
AMD H35.3
Anopthalmia Q11.1
ARR H33.0
Barrage Laser 14.34
Biometri, Keratometri, Funduscopi TIDAK DI KODING
Cryotherapi Sclera 12.84
Curretage Kalazion 08.25
Debridement/ Wound Toilet 96.59
Detechmentn Retina = AR H33.2
ECCE 13.59
ED (endo Drainge) 14.54
ED/EL 14.54
Retinektomy TIDAK DI KODING
EKG 89.52
Eksisi Biopsi Conjunctiva 10.21
Eksisi Biopsi Palpebra 08.11
Eksisi Tumor Conjungtiva 10.31
Eksplantasi IOL 13.8
Extraksi IOL 13.19
Eksterpasi Lensa/IOL 13.8
Ekstraksi CA Di Mata 98.21
Ekstraksi Corpal di Hidung 98.12
Ekstraksi Corpal di Telinga 98.11
Ekstraksi Kista Conjungtiva 10.31
Ekstraksi Sisa Kortek I/A 13.3
Ekstraksi Lensa 13.9
Epilasi 08.93
Esvicerasi 16.39
Evakuasi SO 14.6
Eviscerasi 16.39
Foto Fundus 95.11
Gonioscopy 12.29
Incisi Chalazion 08.09
Injeksi Avastin 14.79
Revair COA 16.89
Injeksi Intravena TIDAK DI KODING
Injeksi IVTA 14.59
Insisi Anterior 13.71
Insisi Kalazion 08.09
Dermato Fat Graft (DFG) 86.69
CTR 13.9o
IOL 13.71
IOL Sekunder 13.72
Iridectomy 12.14
Irigasi Mata/bola mata 96.51
Lab 90.59
Laser Glaucoma 12.73
Laser Retina/PRP 14.54
Laser Iridektomy 12.12
PI (Perifer Iridektomy)/ Iridektomy 12.14
MP TIDAK DI KODING
NCT 89.11
Nebuliser 93.94
Needling 5 Fu 12.35
OCT 95.14
Parasintesa 12.91
Pasang Infus 99.18
Perimetri Humprey 95.05
Peritomy 10.31
Phaco 13.41
Pneumatic 14.75
Pneumatic Retipexy 14.75
SICH 13.51
PPC 13.65
pterigium 11.32
Pterygoplasti Dengan Conjungtiva Graf (CLG) 11.39 + 10.44
Pterygoplasti Dengan Corneal Graf 11.32
Pupilotomy 12.35
Rawat Luka Di IGD 93.52
Repair Prolaps Iris 12.39
Reposisi Enteropion 8.42
Reposisi IOL 13.9o
Reposisi Iris 12.39
SB 14.49
Sclera Fixation 12.11
Secondary Implant 16.61
SF TIDAK DI KODING
SF6 14.75
SFE 14.75
SICS 13.51
SO 14.75
Tindakan Ulcus Statis 86.28
Trab 12.64
Udara Steril 14.75
USG 95.13
VPP + SB 14.49
VPP Anterior 14.73
VPP Posterior 14.74
Reform COA 12.99
Yag Laser 13.64
Fixsasi Sclera 12.11
Vitrektomi Anterior manual Tdk di Kode
Gonio synechialysis 12.31
Radiologi Thorak 87.44
Injeksi Antibiotik/ IVAB 99.21
Cryoteraphy Ulkus Cornea 11.43
Conjungtival Flap 10.49
Irigasi Aspirasi Hipopion 12.91
Irigasi Aspirasi Hipema 12.91
Anteror Stroma Punkture 11.99
Amnion graf 11.6o
Membranectomy 12.32
Protesa/ Pasang Protesa 13.91
Repair Contracted Socket dgn Graf 16.63
Repair Robekan Conjuntiva 10.6
periosteal graft ulkus cornea 11.63
Sclera Fixation 12.11
koreksi entropion 08.49
SO Exchange 1 4.6
AI 13.69
Pakai kode kontrol Z09.8
 12.91

Conjunvctiva Limbal Graf

SETIAP ADA TINDAKAN SB TAMBAHKAN KODE TINDAKA PERITOMY (10.31) lihat laporan Ope
vitrektomi mekanik
vpp

pada kasus after cataract

VA/ AV
TOMY (10.31) lihat laporan Opeasi
 CATATAN KODE

No. DIAGNOSA KODE ICD 10 KETERANGAN

Tindakan Ulcus Statis 86.28
Ekstraksi Corpal di Hidung 98.12
Ekstraksi Corpal di Telinga 98.11
Ekstraksi Corpal di MATA 98.21
Rawat Luka Di IGD 93.52
NCT 89.11
Lab 90.59
Debridement/ Wound Toilet 96.59
Aff. Cornea Post Op 11.52
Aff. Cornea Laceration 11.51
USG 95.13
EKG 89.52
Perimetry Oculus 95.05
Irigasi Mata 96.51
OCT 95.14
Gonioscopy 12.29
auto refraksi, refraksi 95.01
Biometri, Keratometri, Funduscopi, tdk Di koding
Foto Fundus 95.11
Incisi Chalazion 08.09
Pterygoplasti 11.32
irigasi aspirasi 13.69
Eksisi Biopsi Conjunctiva 10.21
Ekstraksi Kista Conjungtiva 10.31
Eksisi Biopsi Palpebra 08.11
ECCE 13.59
Laser Glaucoma 12.73
Needling 5 Fu 12.35
Epilasi 08.93
Laser Retina/PRP 14.54
Pakai kode kontrol Z09.8
Barrage Laser 14.34
Yag Laser 13.64
Perimetri Humprey 95.05
Phaco 13.41
IOL 13.71
Evakuasi SO 14.6
Injeksi Avastin 14.59
Iridectomy 12.14
Reposisi IOL 13.9
IOL Sekunder 13.72
Ekstraksi CA Di Mata 98.21
Injeksi IVTA 14.59
Udara Steril 14.75
ED/EL/ PRP 14.54
VPP Posterior 14.74
vPP Anterior 14.73
VPP + SB 14.49
SICS 13.51
Trab 12.64
SO 14.75
Pasang Infus 99.18
MP TIDAK DI KODING
SF TIDAK DI KODING
Repair Prolaps Iris 12.39
Insisi Anterior 13.71
Eksisi Tumor Conjungtiva 10.31
Cryotherapi Sclera 12.84
Reposisi Iris 12.39
Peritomy 10.31
Eksplantasi IOL 13.8
PPC 13.51
Nebuliser 93.94
Ekstraksi Sisa Kortek I/A 13.3
Eksplantasi IOL 13.8
Eksterpasi Lensa 13.8
Sclera Fixation 12.11
Parasintesa 12.91
Eviscerasi 16.39
Pneumatic 14.75
Secondary Implant 16.61
IOL Sekunder 13/72
SF6 14.75
Injeksi Intravena TIDAK DI KODING
Yag Laser 13.64
PPC 13.6
SB 14.49
ED (endo Drainge) 14.54
Anopthalmia Q11.1
eks. pterigium 11.32
Pupilotomy 12.35
SFE 14.75
Insisi Kalazion 08.09
Curretage Kalazion 08.25
Esvicerasi 16.39
Pneumatic 14.75
Reposisi Enteropion 8.42
Bleparoplasty 08.70
Aff hecting 11.52
Protesa/ Pasang Protesa 13.91
Aff Palpebra
Funduscopy Indirek 95.02
 RAWAT INAP
No DIAGNOSA KODE ICD 10 TINDAKAN KODE ICD 9 CM KETERANGAN
1 Attached Retina + cataract complicata H33.0, H26.2 Evakuasi SO+ EL + Phaco+ IOL Evakuasi SO = 14.6
Phaco = 13.41
IOL = 13.71 Jika diagnosa dr diah katarak dan retina, gunakan
Infus = 99.18 retina sebagai diagnosa utama
Wound Toilet 96.59
NCT = 89.11
2 Afakia + Vitreous Opacyti H43.3, H27.0 VPP + EL+IOL+SF VPP = 14.74 Diagnosa Utama : Vitreous Opacity
IOL Sekunder = 13.72 SF tidak di kode
EL = 14.54
Udara Steril = 14.75
Infus = 99.18
NCT = 89.11
Wound Toilet 96.59
3 PDR (Pendarahan Vitreous) E14.3+, H36.0 Diagnosa Utama : pendarahan Vitreous

4 Pseudophakia + PV + PDR VPP + MP + EL + Udara Steril MP tidak di kode Pseudophakia tdk di kode
Pakai PV sebagai Diagnosa Utama

5 Peritomy di centang (v) Peritomi Dikode apabila tindakannya VPP + SB

Jika Peritomi hanya dengan VPP tdk Di kode

6 Aphakia + Vitreous Opacity (diagnosa Utama) VPP + EL + SF + IOL Tindakan SF tidak dikode

Glaucoma Sekunder + Phaco SICS + IOL + PI Phaco + H26.2

IOL
Trab

BATAl Operasi krn diluar kekhususan di B Z53.0

misal GDS tinggi dan alergi obat

Batal operasi dengan Kekhususan di A Kode Ranap sesuai yg menyebabbkan pasien batal

HIGh Myopia Tindakannya Phaco + IOL

Aphakia + Sisa Cortex H59.8, H27.0 Irigasi Aspirasi Sisa Kortek, 12.91
Scelra Fiksasi 13.72
Secondary Implant 12.11

Pasien Suspek di klaim ke B

YANg PERLU DIKONFIRMASI UNTUK BERKAS RAWAT INAP

KASUS RETINA dengan PNEUMATIC DISPLACEMENT

batal operasi RJ diluar mata seperti GDS TINGGI
batal operasi RJ/RI dgn diagnosa mata,
rawat inap batal operasi diklaim kan di RI dgn diagnosa yg menyebabkan dia batal
misal :
pAsien di diagnosa POAG + KSI
Rencana Tindakan Phaco + IOL + Trab
namun dapat tindakan di rawat inap hanya observasi TIO/ NCT
PASIEN BATAl TINDAKAN krn TIO TINggi/ Hypertensi Okuler = H40.0

Kode di BPJS
DX Utama : H40.0, (kode yang menyebabkan dia batal OK)
kl tidak dapat obat, isis kode Z53.0
Tindakan : 8911
simpan dan grouper
Z53.0 diklaim di B
Z53.0 klaim di A