TARIF INACBGs PENYAKIT DALAM
DIAGNOSA PRIMER	DIAGNOSA SEKUNDER	ICD 10	TINDAKAN	ICD 9	TARIF
					KELAS 1	KELAS 2	KELAS 3
THYPOID FEVER	-	A01.0	LABORATORIUM SALMONELA	90.59	2,929,800	2,566,400	2,202,900
THYPOID FEVER	BRPN/PNEUMONIA/AKI/STROKE	A01.0;J17.0/N17.9/I64	LABORATORIUM SALMONELA; RO THORAK	90.59; 87.49	4,394,900	3,849,700	3,304,500
THYPOID FEVER	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	A01.0;E87.6/E87.1/E88.0;E87.8	LABORATORIUM SALMONELA; KOREKSI ELEKTROLIT	90.59; 99.18	3,650,100	3,197,300	2,744,500
DISENTRI AMOEBA	-	A06.0	LABORATORIUM FESES	90.99	1,739,800	1,524,000	1,308,200
DISENTRI AMOEBA	BRPN/PNEUMONIA/AKI/STROKE	A06.0;J18.0/J18.9/N17.9/I64	LABORATORIUM FESES; RO THORAK	90.99;87.49	2,966,600	2,598,500	2,230,500
DISENTRI AMOEBA	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	A09.9;E87.6/E87.1/E88.0;E87.8	LABORATORIUM FESES;DL: KOREKSI ELEKTROLIT	90.99; 90.59; 99.18	2,472,200	2,165,500	1,858,800
GEA	-	A09.9	LABORATORIUM FESES; DL	90.99	2,111,300	1,849,400	1,587,500
GEA	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	A09.9;E87.6/E87.1/E88.0;E87.8	LABORATORIUM FESES;DL: KOREKSI ELEKTROLIT	90.99; 90.59; 99.18	2,835,900	2,484,100	2,132,300
GEA	BRPN/PNEUMONIA/AKI/STROKE	A09.9;J18.0/J18.9/N17.9;I64	LABORATORIUM FESES; DL; RO THORAK	90.99;87.49	3,282,000	2,874,900	2,467,700
LEPTOSPIROSIS	-	A27.9	DL	90.59	2,929,800	2,566,400	2,202,900
LEPTOSPIROSIS	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	A27.9;E87.6/E87.1/E88.0;E87.8	DL; KOREKSI ELEKTROLIT	90.59; 99.18	3,650,100	3,197,300	2,744,500
LEPTOSPIROSIS	BRPN/PNEUMONIA/AKI/STROKE	A27.9;J18.0/J18.9/N17.9/I64	DL; RO THORAK	90.59; 87.49	4,394,900	3,849,700	3,304,500
TETANUS	-	A35	DL	90.59	2,929,800	2,566,400	2,202,900
TETANUS	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	A35;E87.6/E87.1/E88.0;E87.8	DL; KOREKSI ELEKTROLIT	90.59; 99.18	3,650,100	3,197,300	2,744,500
TETANUS	BRPN/PNEUMONIA/AKI/STROKE	A35;J18.0/J18.9/N17.9/I64	DL; RO THORAK	90.59; 87.49	4,394,900	3,849,700	3,304,500
TETANUS	ARDS	A35;J80	DL;VENTILATOR <96 JAM	90.59; 96.71	23,985,400	21,009,700	18,034,100
TETANUS	ARDS	A35;J80	DL;VENTILATOR >96 JAM	90.59; 96.72	41,759,700	36,578,900	31,398,200
BAKTERI INFEKSI	-	A49.9	DL	90.59	2,929,800	2,566,400	2,202,900
BAKTERI INFEKSI	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	A49.9;E87.6/E87.1/E88.0;E87.8	DL; KOREKSI ELEKTROLIT	90.59; 99.18	3,650,100	3,197,300	2,744,500
VIRAL INFEKSI	-	B34.9	DL	90.59	2,503,900	2,193,300	1,882,600
VIRAL INFEKSI	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	B34.9;E87.6/E87.1/E88.0;E87.8	DL; KOREKSI ELEKTROLIT	90.59; 99.18	3,183,000	2,788,100	2,393,200
DENGUE FEVER/DHF	-	A90/A91	DL	90.59	2,503,900	2,193,300	1,882,600
DENGUE FEVER/DHF	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	A90/A91; E87.6/E87.1/E88.0;E87.8	DL; KOREKSI ELEKTROLIT	90.59;99.18	3,183,000	2,788,100	2,393,200
DENGUE FEVER/DHF	BRPN/PNEUMONIA/AKI/STROKE	A90/A91; J18.0/J18.9/N17.9/I64	DL; RO THORAK	90.59; 87.49	3,819,900	3,346,000	2,872,100
ANEMIA	-	D64.9	DL;TRANSFUSI DARAH	90.59;99.04	3,105,400	2,720,100	2,334,900
ANEMIA	MELENA	D64.9; K92.1	DL;TRANSFUSI DARAH	90.59;99.04	3,105,400	2,720,100	2,334,900
ANEMIA	HEMATOCHEZIA	D64.9; K62.5	DL;TRANSFUSI DARAH	90.59;99.04	3,105,400	2,720,100	2,334,900
ANEMIA	HEMATEMESIS	D64.9; K92.0	DL;TRANSFUSI DARAH	90.59;99.04	4,395,200	3,849,900	3,304,600
ANEMIA	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	D64.9; E87.6/E87.1/E88.0/E87.8	DL;TRANSFUSI DARAH;KOREKSI ELEKTROLIT	90.59;99.04;99.18	4,395,200	3,849,900	3,304,600
ANEMIA	BRPN/PNEUMONIA/AKI/STROKE	D64.9; J18.0/J18.9/N17.9/I64	DL; TRANSFUSI DARAH;RO THORAK	90.59;99.04;87.49	5,621,500	4,924,100	4,226,700
TROMBOSITOPENIA	-	D69.6	DL;TRANSFUSI TROMBOSIT	90.59;99.05	4,799,400	4,204,000	3,608,600
TROMBOITOPENIA	ANEMIA	D61.9	DL; TRANSFUSI TROMBOSIT;TRANSFUSI DARAH	90.59;99.05;99.04	3,105,400	2,720,100	2,334,900
TROMBOITOPENIA	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	D69.6; E87.6/E87.1/E88.0;E87.8	DL;TRANSFUSI TROMBOSIT;KOREKSI ELEKTROLIT	90.59;99.05;99.18	7,729,100	6,770,200	5,811,400
TROMBOITOPENIA	BRPN/PNEUMONIA/AKI/STROKE	D69.6; J18.0/J18.9	DL;TRANSFUSI TROMBOSIT;RO THORAK	90.59;99.05;87.49	10,509,400	9,205,600	7,901,800
DM	-	E11.9	DL	90.59	4,663,300	4,084,800	3,506,300
DM NEUROPATI	-	E11.4;G63.2	DL	90.59	6,131,000	5,370,300	4,609,700
DM KATARAK	-	E11.3;H28.0	DL	90.59	3,732,800	3,269,700	2,806,600
DM ULKUS	-	E11.5	DEBRIDEMENT	86.22	5,966,900	5,226,700	4,486,400
DM ULKUS	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	E11.5; E87.6/E87.1/E88.0;E87.8	DL; KOREKSI ELEKTROLIT	90.59;99.18	8,117,500	7,110,500	6,103,400
DM ULKUS	BRPN/PNEUMONIA/AKI/STROKE	E11.5; J18.0/J18.9/N17.9;I64	DL; RO THORAK	90.59; 87.49	9,741,000	8,532,600	7,324,100
DM	SNH	E11.9;I63.9	DL; CT SCAN	90.59;87.03	8,087,100	7,083,800	6,080,500
DM	CKD STAGE 5	E11.9;N18.5	DL; HEMODIALISA	90.59;39.95	4,663,300	4,084,800	3,506,300
DM	ANEMIA	E11.9;D64.9	DL; TRANSFUSI	90.59;99.04	6,516,200	5,707,800	4,899,400
DM	AKI	E11.9;N17.9	DL; EVALUASI KREATININ	90.59	8,087,100	7,083,800	6,080,500
DM	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	E11.9; E87.6/E87.1/E88.0;E87.8	DL	90.59	6,516,200	5,707,800	4,899,400
DM	BRPN/PNEUMONIA/AKI/STROKE	E11.9; J18.0/J18.9/I64	DL; RO THORAK	90.59; 87.49	8,087,100	7,083,800	6,080,500
DM	ISK	E11.9;N39.0	DL; CEK LEUKOSIT URIN	90.59;91.39	6,516,200	5,707,800	4,899,400
HYPERGLIKEMI	-	R73.9	DL	90.59	4,663,300	4,084,800	3,506,300
HYPOGLIKEMI	-	E16.2	DL	90.59	4,663,300	4,084,800	3,506,300
HYPERTENSI	-	I10	DL	90.59	2,708,200	2,372,300	2,036,300
HHD	-	I11.9	DL	90.59	2,708,200	2,372,300	2,036,300
HYPERTENSI	CKD	I12.0	DL	90.59	3,889,200	3,406,800	2,924,300
PNEUMONIA/BRPN	-	J18.9/J18.0	RO THORAK	87.49	4,666,100	4,087,200	3,508,400
PNEUMONIA/BRPN	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	J18.9/J18.0; E87.6/E87.1/E88.0;E87.8	DL; RO THORAK	90.59; 87.49	6,557,100	5,743,600	4,930,200
PNEUMONIA/BRPN	ISK	J18.9/J18.0; N39.0	RO THORAK; LAB URIN	87.49;91.39	6,557,100	5,743,600	4,930,200
PNEUMONIA/BRPN	ANEMIA	J18.9/J18.0;D64.9	RO THORAK; TRANSFUSI	87.49;99.04	6,557,100	5,743,600	4,930,200
PNEUMONIA/BRPN	DIARE AMOEBA	J18.9/J18.0;A06.0	RO THORAK; LAB FESES	87.49;90.99	6,557,100	5,743,600	4,930,200
PNEUMONIA/BRPN	HYPERTHYROID	J18.9/J18.0;E05.9	RO THORAK	87.49	6,557,100	5,743,600	4,930,200
BRONKITIS	-	J40	DL; RO THORAK	90.59;87.49	3,725,800	3,263,600	2,801,400
BRONKITIS	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	J40;E87.6/E87.1/E88.0/E87.8	DL; KOREKSI ELEKTROLIT; RO THORAK	90.59;99.18;87.49	6,002,200	5,257,500	4,512,900
BRONKITIS	AKI/STROKE	J40;N17.9;I64	DL; RO THORAK	90.59;87.49	8,375,500	7,336,400	6,297,400
ASTMA	-	J45.9	DL;RO THORAK	90.59;87.49	2,874,500	2,517,900	2,161,300
ASTMA	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	J45.9;E87.6/E87.1/E88.0/E87.8	DL;KOREKSI ELEKTROLIT;RO THORAK	90.59;99.18;87.49	3,953,600	3,463,200	2,972,700
GERD	-	K21.9	DL	90.59	4,300,700	3,767,200	3,233,600
GERD	HT	K21.9;I10	DL	90.59	4,300,700	3,767,200	3,233,600
GERD	ISK	K21.9;N39.0	DL;LAB URIN	90.59;91.39	4,978,300	4,360,700	3,743,100
GERD	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	K21.9;E87.6/E87.1/E88.0/E87.8	DL; KOREKSI ELEKTROLIT	90.59;99.18	4,978,300	4,360,700	3,743,100
GERD	BRPN/PNEUMONIA/AKI/STROKE	K21.9;J18.0/J18.9/N17.9/I64	DL;RO THORAK	90.59;87.49	6,839,400	5,990,900	5,142,400
DISPEPSIA	-	K30	DL	90.59	1,739,800	1,524,000	1,308,200
KOSTIPASI	-	K59.0	DL	90.59	1,739,800	1,524,000	1,308,200
HEPATITIS	-	K75.9	DL;USG ABDOMEN	90.59;88.76	4,371,000	3,828,700	3,286,400
FATTY LIVER	-	K76.0	DL;USG ABDOMEN	90.59;88.76	4,371,000	3,828,700	3,286,400
CHIROSIS HEPATIC	-	K74.6	DL;USG ABDOMEN	90.59;88.76	4,371,000	3,828,700	3,286,400
CALCULUS BLADER	-	N21.0	DL;USG ABDOMEN	90.59;88.76	4,577,900	4,010,000	3,442,100
CALCULUS BLADER	CHOLECYSTITIS	K80.1	DL;USG ABDOMEN	90.59;88.76	4,366,300	3,824,600	3,282,900
CALCULUS BLADER	FATTY LIVER	N21.0;K76.0	DL;USG ABDOMEN	90.59;88.76	5,487,300	4,806,600	4,125,800
CALCULUS KIDNEY	-	N20.0	DL;USG ABDOMEN	90.59;88.76	4,577,900	4,010,000	3,442,100
CALCULUS KIDNEY	CYSTITIS	N20.0	DL;USG ABDOMEN	90.59;88.76	4,577,900	4,010,000	3,442,100
CALCULUS URETER	-	N20.1	DL;USG UROLOGI	90.59;88.75	4,577,900	4,010,000	3,442,100
HYDRONEPROSIS	-	N13.3	DL;USG UROLOGI	90.59;88.75	4,577,900	4,010,000	3,442,100
AKI	-	N17.9	DL	90.59	3,889,200	3,406,800	2,924,300
CKD STAGE 1-5	-	N18.5	DL	90.59	3,889,200	3,406,800	2,924,300
CKD STAGE 5	ANEMIA	N18.5;D64.9	DL;HEMODIALISA;TRANSFUSI	90.59;39.95;99.04	4,521,200	3,960,300	3,399,400
CKD STAGE 5	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	N18.5;E87.6/E87.1/E88.0/E87.8	DL;HEMODIALISA;KOREKSI ELEKTROLIT	90.59;39.95;99.18	4,521,200	3,960,300	3,399,400
CKD STAGE 5	BRPN/PNEUMONIA/AKI/STROKE	N18.5;J18.0/J18.9/N17.9/I64	DL;HEMODIALISA;RO THORAK	90.59;39.95;87.49	7,048,300	6,173,900	5,299,500
CYSTITIS	-	N30.9	DL;USG ABDOMEN	90.59;88.76	2,382,300	2,775,400	2,382,300
CYSTITIS	HYPOKALEMIA/HYPONATREMIA/HYPOALBUNIMEA/IMBALANCE ELEKTROLIT	N30.9;E87.6/E87.1/E88.0/E87.8	DL;USG ABDOMEN;KOREKSI ELEKTROLIT	90.59;88.76;99.18	5,682,400	4,977,500	4,272,500
CYSTITIS	BRPN/PNEUMONIA/AKI/STROKE	N30.9;J18.0/J18.9/N17.9/I64	DL;USG ABDOMEN;RO THORAK	90.59;88.76;87.49	6,793,600	5,950,800	5,108,000
CYSTITIS	ISK	N30.9;N39.0	DL;LAB URIN; USG ABDOMEN	90.59;91.39;88.76	2,382,300	2,775,400	2,382,300
ISK	-	N39.0	DL;LAB URIN	90.59;91.39	2,382,300	2,382,300	2,111,300
ABDOMINAL PAIN	-	R10.4	DL	90.59	2,111,300	1,849,400	1,587,500
VOMITUS	-	R11	DL	90.59	2,111,300	1,849,400	1,587,500