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