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TARIF INACBGs KLAIM
PERINATOLOGI |
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DIAGNOSA
PRIMER |
DIAGNOSA SEKUNDER |
ICD 10 |
TINDAKAN |
ICD 9 |
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KELAS 3 |
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Neonatal pneumonia |
Asfiksia; Git
bleeding, BBLR |
P23.9; P21.9; P54.3;
P07.1 |
Ro thorax, NIV |
87.49; 93.90 |
11,184,900 |
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Neonatal pneumonia |
Asfiksia; Git
bleeding, BBLC |
P23.9; P21.9; P54.3 |
Ro thorax, NIV |
87.49; 93.90 |
9,291,100 |
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Neonatal pneumonia |
Hiperbilirubin;BBLR |
P23.9; P59.9; P07.1 |
Ro thorax; lab;
fototerapi |
87.49; 90.95; 99.83 |
5,252,800 |
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Neonatal pneumonia |
Hiperbilirubin;BBLC |
P23.9; P59.9 |
Ro thorax; lab;
fototerapi |
87.49; 90.95; 99.83 |
4,192,900 |
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Neonatal pneumonia |
BBLR |
P23.9; P07.1 |
Ro thorax |
87.49 |
5,252,800 |
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Neonatal pneumonia |
BBLC |
P23.9 |
Ro thorax |
87.49 |
4,192,900 |
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Neonatal pneumonia |
Git bleeding;
Hiperbilirubin; BBLR |
P23.9; P54.3; P59.9 |
Ro thorax; NIV; Lab;
Fototerapi |
87.49; 93.90; 90.95;
99.83 |
11,184,900 |
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Neonatal pneumonia |
Git bleeding;
Hiperbilirubin; BBLC |
P23.9; P54.3; P59.9 |
Ro thorax; NIV; Lab;
Fototerapi |
87.49; 93.90; 90.95;
99.83 |
9,291,100 |
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Neonatal pneumonia |
Hipoglikemia; BBLR |
P23.9; P70.4 |
Ro thorax; Lab |
87.49; 90.59 |
8,194,300 |
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Neonatal pneumonia |
Hipoglikemia; BBLC |
P23.9; P70.4 |
Ro thorax; Lab |
87.49; 90.59 |
5,738,100 |
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Neonatal pneumonia |
Ileus |
P23.9; P76.1 |
Ro thorax |
87.49 |
8,194,300 |
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Neonatal pneumonia |
Ileus |
P23.9; P76.1 |
Ro thorax |
87.49 |
5,738,100 |
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Hiperbilirubin (BBLR) |
- |
P59.9 |
Lab; Fototerapi |
90.59; 99.83 |
5,252,800 |
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Hiperbilirubin (BBLC) |
- |
P59.9 |
Lab; Fototerapi |
90.59; 99.83 |
3,501,600 |
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Hiperbilirubin (Bayi >7 hari) |
- |
P59.9 |
Lab; Fototerapi |
90.59; 99.83 |
3,286,400 |
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Hiperbilirubin |
Dacryocystitis; BBLR |
P59.9; P39.1 |
Lab; Fototerapi |
90.59; 99.83 |
5,252,800 |
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Hiperbilirubin |
Dacryocystitis; BBLC |
P59.9; P39.1 |
Lab; Fototerapi |
90.59; 99.83 |
3,501,600 |
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Neonatal infeksi (BBLR) |
- |
P39.9 |
Lab |
90.59 |
5,252,800 |
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Neonatal infeksi (BBLC) |
- |
P39.9 |
Lab |
90.59 |
3,009,500 |
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Neonatal infeksi |
Hiperbilirubin; BBLR |
P39.9; P59.9 |
Lab; Fototerapi |
90.59; 99.83 |
5,252,800 |
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Neonatal infeksi |
Hiperbilirubin; BBLC |
P39.9; P59.9 |
Lab; Fototerapi |
90.59; 99.83 |
3,009,500 |
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Neonatal infeksi |
Hipoglikemia; Git
bleeding; BBLR |
P39.9; P70.4; P54.3 |
Lab; Fototerapi;
Koreksi elektrolit |
90.59; 93.90 |
11,184,900 |
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Neonatal infeksi |
Hipoglikemia; Git
bleeding; BBLC |
P39.9; P70.4; P54.3 |
Lab; Fototerapi;
Koreksi elektrolit |
90.59; 93.90 |
8,959,700 |
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Neonatal infeksi |
Hipoglikemia;
Hiperbilirubin; BBLR |
P39.9; P70.4; P59.9 |
Lab; Fototerapi;
Koreksi elektrolit |
90.59; 93.90 |
8,194,300 |
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Neonatal infeksi |
Hipoglikemia;
Hiperbilirubin; BBLC |
P39.9; P70.4; P59.9 |
Lab; Fototerapi;
Koreksi elektrolit |
90.59; 93.90 |
4,180,400 |
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Neonatal infeksi |
Hipoglikemia;
Asfiksia sedang; BBLR |
P39.9; P70.4; P21.1 |
Lab; Koreksi
elektrolit |
90.59 |
8,194,300 |
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Neonatal infeksi |
Hipoglikemia;
Asfiksia sedang; BBLR |
P39.9; P70.4; P21.1 |
Lab; Koreksi
elektrolit |
90.59 |
4,180,400 |
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Pneumothorax |
Git bleeding; BBLR |
P25.1; P54.3; P07.1 |
Pungsi |
34.91 |
11,184,900 |
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Pneumothorax |
Git bleeding; BBLR |
P25.1; P54.3 |
Pungsi |
34.91 |
9,291,100 |
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TTN |
Hiperbilirubin;
Asfiksia; BBLR |
P22.1; P59.9; P21.1 |
Ro thorax; NIV;
Fototerapi |
87.49; 93.90; 99.83 |
5,252,800 |
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TTN |
Hiperbilirubin;
Asfiksia; BBLR |
P22.1; P59.9; P21.1 |
Ro thorax; NIV;
Fototerapi |
87.49; 93.90; 99.83 |
4,192,900 |
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BBLSR 1500-1999 |
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BBLR 2000-2499 |
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BBLC >2499 |
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