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No Diagnosa

1
2
3 Counseling of opthalmic

4 corpus alienum konjungtiva


5 corpus alienum konjungtiva ( incisi )
6 corpus elienum palpebra
7 stenosis and insuficiency of lacrimal passages
8 entropion and thrichiasis of eyelid
obeservation for other suspected disease and
9 conditions
obeservation for other suspected disease and
10 conditions
obeservation for other suspected disease and
11 conditions
obeservation for other suspected disease and
12 conditions
obeservation for other suspected disease and
13 conditions
obeservation for other suspected disease and
14 conditions
15 Counseling of opthalmic
16 Counseling of opthalmic
17 follow up examination
18 Conjuntivitis
19
obeservation for other suspected disease and
20 conditions
21 Counseling of opthalmic
22 Counseling of opthalmic
23
24
25
26 disorder of lacrimal system unsp
27
28 Hordeolum/absces/furuncle eyelid
29 Chalazion
30 Blepharitis
31 Ectropion
32 lagophthalmos
33 Ptois
34 Xanthelasma
35 Dacryocystitis
36 Pterygium
37 Schleritis
38 Ulcus Kornea
39 Keratitis unsp
40 Cataract Senile
41 Cataract Juvenille
42 Aphakia
43 Diabetic Cataract
44 Glaucoma
Tindakan ICD 10 ICD 9
Anel tes 09.42
Biometri 95.13
Z04.8 95.36
removal of superfiacial foreign body from eye
without incision T15.1 98.21
incision of cornea T15.0 11.1
Ekstraksi corpus elienum palpebra T15.1 98.21
ekstraksi lithiasis H04.5 98.21
epilasi H02.0 08.93

funduskopi direk Z038 16.21

funduskopi indirect Z03.8 95.03

fluoresin tes Z03.8 11.29

Gonioskopi Z03.8 12.29

irigasi mata Z03.8 96.51

tes buta warna/ishihara Z03.8 95.06


lepas jahitan konjungtiva Z48.0 97.38
lepas jahitan palpebra Z48.0 97.38
lepas pasang lensa kontak Z09 95.32
Membrane Peeling Conjungtiva Palpebra H01.9 10.29
pemeriksaan lapang pandang/Perimetri 95.05

Pemeriksaan lensa Z03.8 95.03


Pemeriksaan Visus Z04.8 95.09
perawatan luka post op Z48.8 93.57
rawat dan Fitting Protesa Z04.8 97.31,95.34
Refraksi Z09.8 95.01/16.21/95.31
Slit Lamp Z09.8 95.02
Sondage kanalikuli lakrimalis H04.9 95.02
Tonometri kontak/non kontak 89.11
H00.0
H00.1
H01.0
H02.1
H02.2
H02.4
H02.6
H04.3
H11.0
H15.0
H16.0
H16.9
H25
H26.0
H27.0
E10-E14.3 with common fourth character
H40
106,300
242,700
215,300

258.400/208.700
260,300
258,400
268,400
533,700

215,300

215,300

706,300

260,300

215,300

215,300
255,300
255,300
215,300
258,400
215,300

215,300
184,900
200,700
215,300

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