| TARIF INACBGs KLAIM BEDAH | |||||||
| DIAGNOSA PRIMER | DIAGNOSA SEKUNDER | ICD 10 | TINDAKAN | ICD 9 | TARIF | ||
| KELAS 1 | KELAS 2 | KELAS 3 | |||||
| Fracture Radius, Closed | - | S52.30 | ORIF | 79.32 | 9,041,700 | 7,920,000 | 9,041,700 |
| Fracture Radius, Closed | Bronchopneumonia | S52.30;J18.0 | ORIF | 79.32 | 21,385,900 | 18,732,700 | 21,385,900 |
| Fracture Tibia, Closed | - | S82.20 | ORIF | 79.36 | 15,385,400 | 13,476,700 | 11,568,000 |
| Fracture Tibia, Closed | Bronchopneumonia | S82.20;J18.0 | ORIF | 79.36 | 19,375,700 | 16,971,900 | 14,568,200 |
| Fracture Humerus, Closed | - | S42.30 | ORIF | 79.31 | 6,798,300 | 7,920,000 | 6,798,300 |
| Fracture Humerus, Closed | Bronchopneumonia | S42.30;J18.0 | ORIF | 79.31 | 21,385,900 | 18,732,700 | 16,079,600 |
| Fracture Femur, Closed | - | S72.30 | ORIF | 79.35 | 14,540,700 | 12,736,800 | 10,932,900 |
| Fracture Femur, Closed | Bronchopneumonia | S72.30;J18.0 | ORIF | 79.35 | 40,870,500 | 35,800,100 | 30,729,700 |
| Fracture Finger, Closed | - | S62.60 | ORIF | 79.34 | 9,041,700 | 7,920,000 | 6,798,300 |
| Fracture Toe, Closed | - | S92.50 | ORIF | 79.38 | 8,814,700 | 7,721,200 | 6,627,600 |
| Fracture Clavicula, Closed | - | S42.00 | ORIF | 79.39 | 8,743,900 | 7,659,100 | 6,574,400 |
| Fracture Clavicula, Closed | Bronchopneumonia | S42.00;J18.0 | ORIF | 79.39 | 17,918,000 | 15,695,100 | 13,472,200 |
| Post ORIF | - | Z47.0 | ROI | 78.69 | 5,232,600 | 4,583,500 | 3,934,300 |
| Hydronephrosis | - | N13.3 | Insertion Of Cathether | 57.94 | 4,577,900 | 4,010,000 | 3,442,100 |
| HIL Unilateral / Bilateral | - | K40.9 / K40.2 | Herniarepair | 53.00 / 53.10 | 6,341,100 | 5,554,400 | 4,767,700 |
| HIL Unilateral / Bilateral | Bronchopneumonia | K40.9 /K40.2;J18.0 | Herniarepair | 53.00 / 53.10 | 11,676,100 | 10,227,600 | 8,779,000 |
| Stricture Urethra | - | N35.9 | Release of Urehteral Stricture | 58.5 | 8,902,200 | 7,797,800 | 6,693,400 |
| Stricture Urethra | Bronchopneumonia | N35.9;J18.0 | Release of Urehteral Stricture | 58.5 | 13,456,800 | 11,787,400 | 10,117,900 |
| Stenosis Ureter | - | N13.5 | Ureteral Meatotomy | 56.1 | 10,873,800 | 9,524,800 | 8,175,800 |
| STT | - | D48.1 | Enukelasi STT | 86.11 | 4,329,300 | 3,792,300 | 3,255,200 |
| Tumor Mamae | - | D48.5 | Enukelasi STT | 85.12 | 6,795,400 | 5,952,400 | 5,109,400 |
| Nephrolithiasis / Calculus of Kidney | - | N20.0 | Nephrolithotomy | 55.02 | 10,873,800 | 9,524,800 | 8,175,800 |
| Ureterolithiasis / Calculus of Ureter | - | N20.1 | Uretral Meatotomy | 56.1 | 8,902,200 | 7,797,800 | 6,693,400 |
| Urethrolithiasis / Calculus of Urethra | - | N21.1 | Internal Urethrotomy | 58.5 | 8,902,200 | 7,797,800 | 6,693,400 |
| Vesicolithiasis / Calculus of Bladder | - | N21.0 | SECTIO ALTA | 57.0 | 8,902,200 | 7,797,800 | 6,693,400 |
| Calculus of Kidney, Ureter, Urethra, Bladder | Bronchopneumonia | N20 - N21 ; J18.0 | 56.0 - 58.5 | 56.0 - 58.5 | 13,456,800 | 11,787,400 | 10,117,900 |
| DJ Stent Insitu | - | T83.1 | Removal Of Cathether | 97.65 | 2,775,000 | 2,430,700 | 2,086,400 |
| DJ Stent Insitu | Bronchopneumonia | T83.1;J18.0 | Removal Of Cathether | 97.65 | 6,041,600 | 5,292,000 | 4,542,500 |
| Ulcus Digiti Pedis | - | L97 | Debridement | 86.22 | 2,267,500 | 1,986,200 | 1,704,900 |
| Ulcus Digiti Pedis | Bronchopneumonia | L97;J18.0 | Debridement | 86.22 | 3,229,300 | 2,828,700 | 2,428,000 |
| Ulcus Digiti Pedis | - | L97 | Amputation of Toe | 84.11 | 8,814,700 | 7,721,200 | 6,627,600 |
| Ulcus Digiti Pedis | Diabetes Mellitus Type 2 | E10.5 | Amputation of Toe | 84.11 | 8,814,700 | 7,721,200 | 6,627,600 |
| Ulcus Digiti Pedis | Diabetes Mellitus Type 2, Bronchopneumonia | E10.5;J18.0 | Amputation of Toe | 84.11 | 20,424,100 | 17,890,300 | 15,356,500 |
| BPH | - | N40 | TURP | 60.29 | 9,189,000 | 8,049,000 | 6,909,000 |
| BPH | Vesicolithiasis | N40;N21.0 | TURP;Transurethral Cleareance of Bladder | 60.29;57.0 | 13,351,300 | 11,694,900 | 10,038,600 |
| BPH | Vesicolithiasis, Bronchopneumonia | N40;N21.0;J18.0 | TURP;Transurethral Cleareance of Bladder | 60.29;57.0 | 16,671,500 | 14,603,300 | 12,535,000 |
| Abscess Mamae | - | N61 | Debridement Mamae | 85.22 | 6,795,400 | 5,952,400 | 5,109,400 |
| Abscess Mamae | Bronchopneumonia | N61;J18.0 | Debridement Mamae | 85.22 | 12,893,600 | 11,294,000 | 9,694,500 |
| Hemmorhoid Grade 3-4 | - | I84.9 | Hemmorhoidectomy | 49.46 | 7,428,200 | 6,506,600 | 5,585,100 |
| Hemmorhoid Grade 3-5 | Bronchopneumonia | I84.9;J18.0 | Hemmorhoidectomy | 49.46 | 11,473,600 | 10,050,200 | 8,626,800 |
| Hemmorhoid Grade 3-5 | Anemia | I84.0;D64.9 | Hemmorhoidectomy | 49.46;99.04 | 8,842,500 | 7,745,500 | 6,648,500 |
| Hemmorhoid Grade 3-5 | Anemia, Bronchopneumonia | I84.0;D64.9;J18.0 | Hemmorhoidectomy | 49.46;99.04 | 11,473,600 | 10,050,200 | 8,626,800 |
| HNP Lumbal | - | M51.1 | X-Ray Lumbosacral Spine | 87.24 | 3,834,300 | 3,358,700 | 2,883,000 |
| HNP Lumbal | Pneumonia | M51.1;J18.9 | X-Ray Lumbosacral Spine | 87.24 | 7,488,700 | 6,559,700 | 5,630,600 |
| Lymphadenopathy | - | R59.0 | Excici | 40.11 | 5,369,300 | 4,703,200 | 4,037,100 |
| CKR | - | S06.0 | CT Scan Kepala | 87.03 | 2,757,100 | 2,415,100 | 2,073,000 |
| CKR | Bronchopneumonia | S06.0;J18.0 | CT Scan Kepala | 87.03 | 4,395,000 | 3,849,800 | 3,304,500 |
| Hypospadia | - | Q54.9 | Rekontruksi Penis | 64.44 | 7,184,200 | 8,369,500 | 7,184,200 |
| Hypospadia | Bronchopneumonia | Q54.9 | Rekontruksi Penis | 64.44 | 17,086,400 | 14,966,600 | 12,846,900 |
| Rupture Tendon, Unspecified | - | M66.59 | Repair Tendon | 83.88 | 5,914,200 | 5,180,500 | 4,446,800 |
| Rupture Tendon, Unspecified | Bronchopneumonia | M66.59;J18.0 | Repair Tendon | 83.88 | 16,119,700 | 14,119,900 | 12,120,100 |
| Snake Bite | - | T63.0 | - | - | 2,169,500 | 1,900,400 | 1,631,200 |
| Snake Bite | Bronchopneumonia | T63.0;J18.0 | - | - | 5,261,600 | 4,608,900 | 3,956,100 |