| TARIF INACBGs KLAIM PARU | |||||||
| DIAGNOSA PRIMER | DIAGNOSA SEKUNDER | ICD 10 | TINDAKAN | ICD 9 | TARIF | ||
| KELAS 1 | KELAS 2 | KELAS 3 | |||||
| SOPT | - | B90.9 | Ro thorax | 87.49 | 5,402,200 | 4,732,000 | 4,061,800 |
| SOPT | Imbalance elektrolit | B90.9;E87-E88 | Ro thorax; Koreksi elektrolit | 87.49 | 6,126,500 | 5,366,400 | 4,606,400 |
| SOPT | Gagal napas akut | B90.9; J96.0 | Ro thorax; AGD | 87.49 | 6,765,900 | 5,926,600 | 5,087,200 |
| SOPT | Anemia | B90.9; D64.9 | Ro thorax; Lab; Transfusi | 87.49; 99/04 | 6,126,500 | 5,366,400 | 4,606,400 |
| SOPT | CPC | B90.9; I27.9 | Ro thorax; EKG | 87.49; 89.52 | 6,126,500 | 5,366,400 | 4,606,400 |
| Pneumonia | CHF | J18.9; I50.0 | Ro thorax; Echo | 87.49; 88.72 | 6,557,100 | 5,743,600 | 4,930,200 |
| Pneumonia | - | J18.9 | Ro thorax | 87.49 | 4,666,100 | 4,087,200 | 3,508,400 |
| Pneumonia | Asthma | J18.9; J45.9 | Ro thorax | 87.49 | 4,666,100 | 4,087,200 | 3,508,400 |
| Pneumonia | OMI | J18.9; I25.2 | Ro thorax; EKG | 87.49; 89.52 | 4,666,100 | 4,087,200 | 3,508,400 |
| Pneumonia | AKI; Suspek CHF; Hepatitis Akut | J18.9; N17.9; Z03.5; K72.0 | Ro thorax; Lab | 87.49; 90.59 | 8,290,500 | 7,262,000 | 6,233,500 |
| TB MTB Detected | - | A15.2 | Ro thorax; TCM | 87.49; 90.59 | 5,600,200 | 4,905,500 | 4,210,700 |
| TB Terkonfirmasi Klinis | - | A16.2 | Ro thorax | 87.49 | 5,600,200 | 4,905,500 | 4,210,700 |
| Pneumothorax | - | J93.9 | Ro thorax | 87.49 | 5,361,000 | 4,695,900 | 4,030,800 |
| TB | Efusi pleura | A16.5 | Ro thorax, Pungsi | 87.49; 34.91 | 5,600,200 | 4,905,500 | 4,210,700 |
| TB | Anemia | A16.2; D64.9 | Ro thorax; Lab; Transfusi | 87.49; 99.04 | 6,690,600 | 5,860,600 | 5,030,600 |
| TB | Imbalance elektrolit | A16.2; E87 | Ro thorax; Koreksi elektrolit | 87.49; 90.59 | 6,690,600 | 5,860,600 | 5,030,600 |
| TB | CPC | A16.2; I27.9 | Ro thorax; EKG | 87.49; 89.52 | 6,690,600 | 5,860,600 | 5,030,600 |
| TB | Hipoalbumin; Artritis gout | A16.2; E88.0; M10.49 | Ro thorax; Koreksi elektrolit | 87.49 | 6,690,600 | 5,860,600 | 5,030,600 |
| TB | Ensefalitis; SNH; Hiponatremia | A16.2; G04.9; I63.9; E87.1 | Ro thorax; Ct scan kepala; Fisioterapi; Koreksi elektrolit | 87.49; 87.03; 93.39; 93.19; 93.12 | 9,001,600 | 7,884,800 | 6,768,100 |
| TB | Hematemesis | A16.2; R04.2 | Ro thorax | 87.49 | 5,600,200 | 4,905,500 | 4,210,700 |
| TB | Gagal napas akut | A16.2; J96.0 | Ro thorax; AGD | 9,001,600 | 7,884,800 | 6,768,100 | |
| CKD | Bronchopneumonia; DM | N18; J18.0; E11.9 | Ro thorax; HD; Lab | 87.49; 39.95 | 7,048,300 | 6,173,900 | 5,299,500 |
| Bronchopneumonia | - | J18.0 | Ro thorax | 87.49 | 4,666,100 | 4,087,200 | 3,508,400 |
| Bronchopneumonia | GERD | J18.0; K21.9 | Ro thorax | 87.49 | 4,666,100 | 4,087,200 | 3,508,400 |
| Bronchopneumonia | Asthma | J18.0; J45.9 | Ro thorax | 87.49 | 2,874,500 | 2,517,900 | 2,161,300 |
| Bronchopneumonia | Dyspepsia | J18.0; K30 | Ro thorax | 87.49 | 4,666,100 | 4,087,200 | 3,508,400 |
| SNH | Bronchopneumonia | I63.9; J18.0 | Ro thorax; Ct scan; Fisioterapi | 87.49; 87.03; 93.39; 93.19; 93.12 | 9,207,100 | 8,064,900 | 6,922,600 |
| SNH | TB; DM; Imbalance elektrolit | I63.9; A16.2; E10-E11; E87 | Ro thorax; Fisioterapi; Koreksi elektrolit | 87.49; 87.03; 93.39; 93.19; 93.12 | 7,081,400 | 6,202,900 | 5,324,400 |
| Pneumonia | AKI; Imbalance elektrolit | J18.9; N17.9; E87 | Ro thorax; Koreksi elektrolit | 87.49 | 8,290,500 | 7,262,000 | 6,233,500 |
| DM | TB | E10-E11; A16.2 | Ro thorax; Lab | 87.49; 90.59 | 6,516,200 | 5,707,800 | 4,899,400 |
| DM | Pneumonia | E10-E11; J18.9 | Ro thorax; Lab | 87.49; 90.59 | 8,087,100 | 7,083,800 | 6,080,500 |
| Pneumonia | Gagal napas akut | J18.9; J96.0 | Ro thorax; AGD | 87.49 | 8,087,100 | 7,083,800 | 6,080,500 |
| Bronkitis | Asthma | J45.9 | Ro thorax | 87.49 | 2,874,500 | 2,517,900 | 2,161,300 |