TARIF INACBGs KLAIM OBSGYN
DIAGNOSA PRIMER	DIAGNOSA SEKUNDER	ICD 10	TINDAKAN	ICD 9	TARIF
					KELAS 1	KELAS 2	KELAS 3
KET (KEHAMILAN EKTOPIK TERGANGGU)	-	O00.8	PARTIAL SALPINGOEKTOMI	66.69	8,591,700	7,525,800	6,459,900
KET (KEHAMILAN EKTOPIK TERGANGGU)	-	O00.8	UNILATERAL SALPINGO-OOPORECTOMY	65.41	8,591,700	7,525,800	6,459,900
KET (KEHAMILAN EKTOPIK TERGANGGU)	-	O00.8	BSO	65.61	8,591,700	7,525,800	6,459,900
KET (KEHAMILAN EKTOPIK TERGANGGU)	PERDARAHAN HEBAT/ EMBOLISM/ SHOCK/ GAGAL GINJAL	O00.8; O08.1 - O08.4	PARTIAL SALPINGOEKTOMI	66.69	14,256,700	12,488,000	10,719,300
KET (KEHAMILAN EKTOPIK TERGANGGU)	PERDARAHAN HEBAT/ EMBOLISM/ SHOCK/ GAGAL GINJAL	O00.8; O08.1 - O08.4	UNILATERAL SALPINGO-OOPORECTOMY	65.41	14,256,700	12,488,000	10,719,300
KET (KEHAMILAN EKTOPIK TERGANGGU)	PERDARAHAN HEBAT/ EMBOLISM/ SHOCK/ GAGAL GINJAL	O00.8; O08.1 - O08.4	BSO	65.61	14,256,700	12,488,000	10,719,300
KET (KEHAMILAN EKTOPIK TERGANGGU)	SEPSIS/INFEKSI GENITA URINARY/GANGGUAN METABOLIK	O00.8; O08.0/O08.5-O08.9	PARTIAL SALPINGOEKTOMI	66.69	10,736,400	9,404,500	8,072,500
KET (KEHAMILAN EKTOPIK TERGANGGU)	SEPSIS/INFEKSI GENITA URINARY/GANGGUAN METABOLIK	O00.8; O08.0/O08.5-O08.9	UNILATERAL SALPINGO-OOPORECTOMY	65.41	10,736,400	9,404,500	8,072,500
KET (KEHAMILAN EKTOPIK TERGANGGU)	SEPSIS/INFEKSI GENITA URINARY/GANGGUAN METABOLIK	O00.8; O08.0/O08.5-O08.9	BSO	65.61	10,736,400	9,404,500	8,072,500
KET (KEHAMILAN EKTOPIK TERGANGGU)	ANEMIA	O99.0	PARTIAL SALPINGOEKTOMI; TRANSFUSI	66.69; 99.04	10,736,400	9,404,500	8,072,500
KET (KEHAMILAN EKTOPIK TERGANGGU)	ANEMIA	O99.0	UNILATERAL SALPINGO-OOPORECTOMY; TRANSFUSI	65.41; 99.04	10,736,400	9,404,500	8,072,500
KET (KEHAMILAN EKTOPIK TERGANGGU)	ANEMIA	O99.0	BSO; TRANSFUSI	65.61; 99.04	10,736,400	9,404,500	8,072,500
MOLA	-	O01.9	KURET	69.01	3,324,400	2,912,000	2,499,600
MOLA	PERDARAHAN HEBAT/ EMBOLISM/ SHOCK/ GAGAL GINJAL	O01.9; O08.1 - O08.4	KURET	69.01	5,660,600	4,958,400	4,256,100
MOLA	SEPSIS/INFEKSI GENITA URINARY/GANGGUAN METABOLIK	O01.9; O08.0/O08.5-O08.9	KURET	69.01	5,060,200	4,432,500	3,804,700
MOLA	ANEMIA	O01.9; O99.0	KURET; TRANSFUSI	69.01;99.04	5,060,200	4,432,500	3,804,700
BO	-	O02.0	KURET	69.01	3,324,400	2,912,000	2,499,600
BO	PERDARAHAN HEBAT/ EMBOLISM/ SHOCK/ GAGAL GINJAL	O02.0; O08.1 - O08.4	KURET	69.01	5,660,600	4,958,400	4,256,100
BO	SEPSIS/INFEKSI GENITA URINARY/GANGGUAN METABOLIK	O02.0; O08.0/O08.5-O08.9	KURET	69.01	5,060,200	4,432,500	3,804,700
BO	ANEMIA	O02.0; O99.0	KURET; TRANSFUSI	69.01;99.04	5,060,200	4,432,500	3,804,700
MISSED ABORTION	-	O02.1	KURET	69.02	3,062,400	2,682,500	2,302,600
MISSED ABORTION	PERDARAHAN HEBAT/ EMBOLISM/ SHOCK/ GAGAL GINJAL	O02.1; O08.1 - O08.4	KURET	69.02	5,230,900	4,582,000	3,933,100
MISSED ABORTION	SEPSIS/INFEKSI GENITA URINARY/GANGGUAN METABOLIK	O02.1; O08.0/O08.5-O08.9	KURET	69.02	4,786,800	4,193,000	3,599,100
MISSED ABORTION	ANEMIA	O02.1; O99.0	KURET; TRANSFUSI	69.02;99.04	4,786,800	4,193,000	3,599,100
ABORTUS KOMPLET	-	O03.9	KURET	69.02
ABORTUS KOMPLET	PERDARAHAN HEBAT/ EMBOLISM/ SHOCK/ GAGAL GINJAL	O03.9; O08.1 - O08.4	KURET	69.02	5,230,900	4,582,000	3,933,100
ABORTUS KOMPLET	SEPSIS/INFEKSI GENITA URINARY/GANGGUAN METABOLIK	O03.9; O08.0/O08.5-O08.9	KURET	69.02	4,786,800	4,193,000	3,599,100
ABORTUS KOMPLET	ANEMIA	O03.9; O99.0	KURET; TRANSFUSI	69.02;99.04	4,786,800	4,193,000	3,599,100
ABORTUS INKOMPLET	-	O06.4	KURET	69.02
ABORTUS INKOMPLET	PERDARAHAN HEBAT/ EMBOLISM/ SHOCK/ GAGAL GINJAL	O06.4; O08.1 - O08.4	KURET	69.02	5,230,900	4,582,000	3,933,100
ABORTUS INKOMPLET	SEPSIS/INFEKSI GENITA URINARY/GANGGUAN METABOLIK	O06.4; O08.0/O08.5-O08.9	KURET	69.02	4,786,800	4,193,000	3,599,100
ABORTUS INKOMPLET	ANEMIA	O06.4; O99.0	KURET; TRANSFUSI	69.02;99.04	4,786,800	4,193,000	3,599,100
HT DENGAN RIWAYAT HT SEBELUM HAMIL	-	O10.9	-	-	2,801,300	2,453,800	2,106,300
HT DENGAN RIWAYAT HT SEBELUM HAMIL	PARTUS SPONTAN / PARTUS INDUKSI; BAYI LAHIR HIDUP	O10.9; O83.9; Z37.0	PARTUS SPONTAN / PARTUS INDUKSI	73.59 / 73.4	2,807,000	2,458,800	2,110,600
HT DENGAN RIWAYAT HT SEBELUM HAMIL	PARTUS INDUKSI BALON KATETER; BAYI LAHIR HIDUP	O10.9; O83.9; Z37.0	PARTUS INDUKSI BALON KATETER	71.3	3,602,000	3,155,200	2,708,300
HT DENGAN RIWAYAT HT SEBELUM HAMIL	VACUUM EXTRACTION; BAYI LAHIR HIDUP	O10.9; O81.4; Z37.0	VACUUM EXTRACTION	72.79	3,602,000	3,155,200	2,708,300
HT DENGAN RIWAYAT HT SEBELUM HAMIL	SC; BAYI LAHIR HIDUP	O10.9; O82.-; Z37.0	SC	74.4	6,764,600	5,925,400	5,086,200
HT DENGAN RIWAYAT HT SEBELUM HAMIL	-	O11	-	-	2,801,300	2,453,800	2,106,300
HT DENGAN RIWAYAT HT SEBELUM HAMIL	PARTUS SPONTAN / PARTUS INDUKSI; BAYI LAHIR HIDUP	O11; O83.9; Z37.0	PARTUS SPONTAN / PARTUS INDUKSI	73.59 / 73.4	2,807,000	2,458,800	2,110,600
HT DENGAN RIWAYAT HT SEBELUM HAMIL	PARTUS INDUKSI BALON KATETER; BAYI LAHIR HIDUP	O11; O83.9; Z37.0	PARTUS INDUKSI BALON KATETER	71.3	3,602,000	3,155,200	2,708,300
HT DENGAN RIWAYAT HT SEBELUM HAMIL	VACUUM EXTRACTION; BAYI LAHIR HIDUP	O11; O81.4; Z37.0	VACUUM EXTRACTION	72.79	3,602,000	3,155,200	2,708,300
HT DENGAN RIWAYAT HT SEBELUM HAMIL	SC; BAYI LAHIR HIDUP	O11; O82.-; Z37.0	SC	74.4	6,764,600	5,925,400	5,086,200
HT GESTATIONAL	-	O13	-	-	2,801,300	2,453,800	2,106,300
HT GESTATIONAL	PARTUS SPONTAN / PARTUS INDUKSI; BAYI LAHIR HIDUP	O13; O83.9; Z37.0	PARTUS SPONTAN / PARTUS INDUKSI	73.59 / 73.4	2,807,000	2,458,800	2,110,600
HT GESTATIONAL	PARTUS INDUKSI BALON KATETER; BAYI LAHIR HIDUP	O13; O83.9; Z37.0	PARTUS INDUKSI BALON KATETER	71.3	3,602,000	3,155,200	2,708,300
HT GESTATIONAL	VACUUM EXTRACTION; BAYI LAHIR HIDUP	O13; O81.4; Z37.0	VACUUM EXTRACTION	72.79	3,602,000	3,155,200	2,708,300
HT GESTATIONAL	SC; BAYI LAHIR HIDUP	O13; O82.-; Z37.0	SC	74.4	6,764,600	5,925,400	5,086,200
PREEKLAMSI	-	O14.0	-	-	2,801,300	2,453,800	2,106,300
PREEKLAMSI	PARTUS SPONTAN / PARTUS INDUKSI; BAYI LAHIR HIDUP	O14.0; O83.9; Z37.0	PARTUS SPONTAN / PARTUS INDUKSI	73.59 / 73.4	2,807,000	2,458,800	2,110,600
PREEKLAMSI	PARTUS INDUKSI BALON KATETER; BAYI LAHIR HIDUP	O14.0; O83.9; Z37.0	PARTUS INDUKSI BALON KATETER	71.3	3,602,000	3,155,200	2,708,300
PREEKLAMSI	VACUUM EXTRACTION; BAYI LAHIR HIDUP	O14.0; O81.4; Z37.0	VACUUM EXTRACTION	72.79	3,602,000	3,155,200	2,708,300
PREEKLAMSI	SC; BAYI LAHIR HIDUP	O14.0; O82.-; Z37.0	SC	74.4	6,764,600	5,925,400	5,086,200
PREEKLAMSI BERAT	-	O14.1	-	-	3,744,100	3,279,700	2,815,200
PREEKLAMSI BERAT	PARTUS SPONTAN / PARTUS INDUKSI; BAYI LAHIR HIDUP	O14.1; O83.9; Z37.0	PARTUS SPONTAN / PARTUS INDUKSI	73.59 / 73.4	3,590,800	3,145,400	2,699,900
PREEKLAMSI BERAT	PARTUS INDUKSI BALON KATETER; BAYI LAHIR HIDUP	O14.1; O83.9; Z37.0	PARTUS INDUKSI BALON KATETER	71.3	4,888,700	4,282,300	3,675,800
PREEKLAMSI BERAT	VACUUM EXTRACTION; BAYI LAHIR HIDUP	O14.1; O81.4; Z37.0	VACUUM EXTRACTION	72.79	4,888,700	4,282,300	3,675,800
PREEKLAMSI BERAT	SC; BAYI LAHIR HIDUP	O14.1; O82.-; Z37.0	SC	74.4	7,145,300	6,258,800	5,372,400
AB IMMINEN	-	O20.0	-	-	2,870,800	2,514,700	2,158,500
HEG	-	O21.-	-	-	2,801,300	2,453,800	2,106,300
ISK PADA KEHAMILAN	-	O23.4	-	-	2,801,300	2,453,800	2,106,300
ISK PADA KEHAMILAN	PARTUS SPONTAN / PARTUS INDUKSI; BAYI LAHIR HIDUP	O23.4; O83.9; Z37.0	PARTUS SPONTAN / PARTUS INDUKSI	73.59 / 73.4	2,807,000	2,458,800	2,110,600
ISK PADA KEHAMILAN	PARTUS INDUKSI BALON KATETER; BAYI LAHIR HIDUP	O23.4; O83.9; Z37.0	PARTUS INDUKSI BALON KATETER	71.3	3,602,000	3,155,200	2,708,300
ISK PADA KEHAMILAN	VACUUM EXTRACTION; BAYI LAHIR HIDUP	O23.4; O81.4; Z37.0	VACUUM EXTRACTION	72.79	3,602,000	3,155,200	2,708,300
ISK PADA KEHAMILAN	SC; BAYI LAHIR HIDUP	O23.4; O82.-; Z37.0	SC	74.4	6,764,600	5,925,400	5,086,200
DM PADA KEHAMILAN	-	O24.9	-	-	2,801,300	2,453,800	2,106,300
DM PADA KEHAMILAN	PARTUS SPONTAN / PARTUS INDUKSI; BAYI LAHIR HIDUP	O24.9; O83.9; Z37.0	PARTUS SPONTAN / PARTUS INDUKSI	73.59 / 73.4	2,807,000	2,458,800	2,110,600
DM PADA KEHAMILAN	PARTUS INDUKSI BALON KATETER; BAYI LAHIR HIDUP	O24.9; O83.9; Z37.0	PARTUS INDUKSI BALON KATETER	71.3	3,602,000	3,155,200	2,708,300
DM PADA KEHAMILAN	VACUUM EXTRACTION; BAYI LAHIR HIDUP	O24.9; O81.4; Z37.0	VACUUM EXTRACTION	72.79	3,602,000	3,155,200	2,708,300
DM PADA KEHAMILAN	SC; BAYI LAHIR HIDUP	O24.9; O82.-; Z37.0	SC	74.4	6,764,600	5,925,400	5,086,200