DAFTAR TILIK KETEPATAN PENGODEAN DIAGNOSA PENYAKIT DIABETES MILLITUS TYPE II DI RUMAH SAKIT UMUM MASSENREMPULU KABUPATEN ENREKANG BULAN SEPTEMBER-NOVEMBER 2015 0 = Tepat 1 = Tidak Tepat Reseleksi No
Diagnosa
Kode
Ketepatan
Tindakan
Kode
Diabetes Mellitus Type II,
E11.9
1
Pneumonia 2
4
5
6
Diabetes Mellitus Type II,
Diabetes Mellitus Type II
9
Tarif INA-CBGs
Rp. 2.752.500
Rp. 6.084.000
Rp. 4.800.000
Rp. 2.752.500
Rp. 2.752.500
Rp. 2.752.500
Rp. 4.800.000
Rp.4.240.000
Lab, pasang infus
90.59,99.18
0
90.59,99.18
1
E11.9
Lab, pasang infus
90.59,99.18
1
90.59,99.18
Q61.9
EKG
89.53
Lab, pasang infus
90.59,99.18
0
90.59,99.18
1
89.52,87.44
89.52
E11.9
Diabetes Mellitus Type II,
E11.9
1
E11.8
EKG,Foto Thorax
89.53,87.44
Tuberculosis
A16.2
A16.2
Lab, Pasang Infus
90.59,99.18
Diabetes Mellitus Type II,
E11.9
E11.8
Lab, Foto Thorax
90.59, 87.44
Pneumonia
J18.9
J18.9
Pasang infus
99.18
Diabetes Mellitus Type II,
E11.9
E11.8
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 2.752.500
E11.7
Lab, Pasang Infus
90.59,99.18
1
90.59,99.18
Rp. 4.800.000
I50.0, I10
EKG
89.53
E11.6
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 2.359.300
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 2.359.300
E11.8
Lab, Pasang Infus
90.59,99.18
1
90.59,99.18
Rp. 4.113.900
I50.0
EKG
89.53
Tindakan
Kode
1
1
A09
Diabetes Mellitus Type II,
E11.9
E11.9
Cellulitis
L03.9
Diabetes Mellitus Type II,
E11.9
1
1
E11.9
CHF
I50.0 Diagnosa
Kode
90.59, 87.44
Rp. 6.084.000
Rp. 2.980.000
99.18 Rp.3.230.000
Rp. 3.400.889
89.52 Rp. 1.500.625
L03.9 1
J06.9, I10
Diabetes Mellitus Type II,
0
A09
I50.0, I10
Diabetes Mellitus Type II,
90.59,99.18
E11.7
Rp. 3.809.124
J06.9, I10 1
Ketepatan
Reseleksi
Page 1
Rp.2.450.406
89.52
Reseleksi No
INA CBGs
0
ISPA, Hypertensi 10
Kode
E11.9
CHF, Hipertensi 8
E10 N18.0
Diare 7
Reseleksi
J18.9
CKD 3
E11.7
Tarif
Ketepatan
Kode 1
Reseleksi
Ketepatan
Tarif
Reseleksi
No
Diagnosa
Kode
Ketepatan
Tindakan
Kode
Ketepatan
Kode 11
Diabetes Mellitus Type II, Abdominal Infection
12
Diabetes Mellitus Type II, Gea, Hypertensi
13
14
15
L03.9
Diabetes Mellitus Type II,
E11.9
CAD
I25.1
Diabetes Mellitus Type II
18
Diabetes Mellitus Type II
0
90.59,99.18
Rp. 1.965.900
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 1.965.900
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 1.965.900
E11.6
Lab, Pasang Infus
90.59,99.18
1
90.59,99.18
Rp. 2.752.500
I25.1
EKG,Foto Thorax
89.53
E11.7
Lab, Pasang Infus
90.59, 99.18
I50.0, I10
EKG
89.53
E11.9
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 2.752.500
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 1.965.900
90.59,99.18
1
90.59,99.18
Rp. 6.084.000
E11.9
1
E11.6
1
1
0
0
E11.9
Hypertensi
I10
I10
Diabetes Mellitus Type II
E11.9
1
J06.9, J18.9 E11.9
1
Q61.9,I25.1
Diabetes Mellitus Type II
E11.9
0
K30
Diabetes Mellitus Type II
E11.9
Cellulitis
L03.9 Diagnosa
Kode
Rp. 2.250.000
Rp. 1.500.000
89.52, 87.44 1
90.59, 99.18
Rp. 4.800.000
Rp. 2.550.056
89.52
1
E11.7
Lab, Pasang Infus
J06.9, J18.9
Foto thorax
Rp. 2.752.500
E11.7
Lab, Pasang Infus
90.59,99.18
Q61, I25.1
EKG,Foto Thorax
89.53,87.44
E11.9
Lab, Pasang Infus
90.59,99.18
K30
EKG
89.53
E11.6
Lab, Pasang Infus
90.59,99.18
0
Tindakan
Kode
Ketepatan
Rp. 1.965.900
Rp. 6.084.000
87.44 1
90.59,99.18
Rp. 2.359.300
Rp. 2.359.300
89.52,87.44 1
90.59,99.18
Rp. 2.752.500
Rp. 2.752.500
89.52 Rp. 1.965.900
90.59,99.18
Rp. 1.965.900
Reseleksi
Tarif
Reseleksi
Kode
INA CBGs
Tarif INA-CBGs
L03.9 Reseleksi
No
Rp. 1.965.900
I10
B99
Diabetes Mellitus Type II
Rp. 1.965.900
L03.9
B99
Dyspepsia 21
E11.9
90.59,99.18
Tarif INA-CBGs
A09
I50.0, I10 E11.9
Lab, Pasang Infus
Abdominal Infection,
CKD,CAD 20
0
I10
ISPA, Pneumonia 19
E11.9
E11.9
INA CBGs
B99
A09
Cellulitis
Hypertensi 17
E11.9
E11.9
Diabetes Mellitus Type II
0
B99
Diabetes Mellitus Type II,
CHF, Hypertensi 16
E11.9
Kode
Ketepatan Kode
Page 2
22
23
Diabetes Mellitus Type II
E11.9
CKD
N18.0
Diabetes Mellitus Type II
E11.9
Hypertensi 24
25
26
27
Q61.9
EKG
E11.9
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 2.752.500
E11.8
Lab, Pasang Infus
90.59,99.18
1
90.59,99.18
Rp. 4.113.900
I50.0
EKG
89.53
E11.7
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 1.965.900
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 1.965.900
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 4. 113.900
E11.9
Lab, Pasang Infus
90.59,99.18
1
90.59,99.18
Rp. 2.752.500
Q61.9, I10
EKG
89.53
E11.6
Lab, Pasang Infus
90.59,99.18
B99
B99
EKG
89.53
N18.0, I10
I25.1, I10 Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp.2.359.300
E11.9
CHF
I50.0
Diabetes Mellitus Type II
E11.9
0
1
1
B99
B99
Hypertensi
I10
I10
Diabetes Mellitus Type II
E11.9
Gastritis
K29.7
Diabetes Mellitus Type II
E11.9
Diabetes Mellitus Type II
Diabetes Mellitus Type II
CAD, Hypertensi Diabetes Mellitus Type II Vertigo
0
0
E11.9
90.59,99.18
Rp. 4.133.900
Rp. 2.307.000
89.52 Rp. 2.752.500
E11.9
Rp. 2.500.185
89.52 Rp. 3.250.000
Rp. 1.965.900
E11.9
Rp. 4. 113.900
A90 1
I21.9, I10 E11.9
1
K29.7
A90 E11.9
90.59,99.18
I10
Abdominal Infection,
Abdominal Infection,
30
Lab, Pasang Infus
Diabetes Mellitus Type II
CKD, Hypertensi 29
E11.6
I10
Dengue Fever 28
1
1
0
R42
E11.9
Rp. 2.752.500
89.52 1
90.59,99.18
Rp. 1.965.900
Rp. 1.500.000
89.52
Rp.2.359.300
R42 Rp. 1.965.900
31
Diabetes Mellitus Type II
E11.9
0
E11.9
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 1.965.900
32
Diabetes Mellitus Type II
E11.9
1
E11.8
Lab, Pasang Infus
90.59,99.18
0
90.59,99.18
Rp. 2.752.500
ISPA
J06.9
Reseleksi
Tarif
Reseleksi
Tindakan
Kode
Ketepatan Kode
INA CBGs
Tarif INA-CBGs
90.59,99.18
Rp. 4.413.900
J06.9 Reseleksi
No
Diagnosa
Kode
Ketepatan Kode
33
Diabetes Mellitus Type II
E11.9
Rp. 2.752.500
1
E11.8
Lab,Pasang Infus
90.59,99.18
Page 3
0
Rp. 3.227.000
Tuberculosis
A16.2
Diabetes Mellitus Type II
E11.8
Pneumonia
J18.0
35
Diabetes Mellitus Type II
E11.9
36
Diabetes Mellitus Type II
E11.8
CHF
I50.0
Diabetes Mellitus Type II
E11.9
Cellulitis
L03.9
Diabetes Mellitus Type II
E11.9
34
37
38
Hypertensi 39
A16.2
Foto thorax
87.44
E11.8
Lab,Pasang Infus
90.59,99.18
J18.0
Foto thorax, EKG
87.44, 89.53
0
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.752.500
0
E11.8
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.752.500
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
RP. 2.359.300
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.752.500
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.752.500
0
Dyspesia
E11.9
1
90.59,99.18
Rp. 5.214.300
Rp. 5.214.300
87.44, 89.52 Rp. 2.752.500
Rp. 2.752.500
I50.0 0
E11.9
RP. 2.359.300
L03.9 0
I10
Diabetes Mellitus Type II
87.44
E11.9
Rp. 2.752.500
I10 1
K30
E11.9
Rp. 2.752.500
K30 Rp. 1.965.900
40
Diabetes Mellitus Type II
E11.9
1
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 1.965.900
41
Diabetes Mellitus Type II
E11.9
1
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
RP. 2.359.300
E11.8
Lab, pasang infus
90.59, 99.18
1
90.59, 99.18
RP. 2.359.300
I25
EKG
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.752.500
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.752.500
Reseleksi
Tarif
Reseleksi
Tindakan
Kode
Ketepatan Kode
INA CBGs
Tarif INA-CBGs
90.59, 99.18
Rp. 1.965.900
Abdominal Infection 42
Diabetes Mellitus Type II PJK
43
E11.8
B99 1
I25
Diabetes Mellitus Type II Hypertensi
44
B99
E11.9
1
I10
Diabetes Mellitus Type II Dypepsia
E11.9
Kode
1
E11.9
Diabetes Mellitus Type II
E11.9
Rp. 2.752.500
K30 Ketepatan Kode
45
Rp. 2.752.500
I10
K30 Diagnosa
RP. 2.359.300
89.52
Reseleksi No
RP. 2.359.300
0
E11.9
Lab, pasang infus
90.59, 99.18
Page 4
0
Rp. 1.965.900
46
Diabetes Mellitus Type II Dengue Fever
47
E11.9
1
A90
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
RP. 2.359.300
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 4.800.000
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
RP. 2.359.300
A90
Diabetes Mellitus Type II
E11.9
Tuberculosis
A16.2
Diabetes Mellitus Type II
E11.9
Gastritis
K29.7
49
Diabetes Mellitus Type II
E11.9
0
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
RP. 2.359.300
50
Diabetes Mellitus Type II
E11.9
0
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
RP. 2.359.300
ISPA
J06.9
Diabetes Mellitus Type II
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
RP. 2.359.300
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 1.965.900
48
51
CKD 52
1
GEA
E11.9
E11.8
Rp. 2.746.038
A16.2 1
E11.9
Rp. 2.402.374
K29.7 RP. 2.359.300
RP. 2.359.300
J06.9 1
N18
Diabetes Mellitus Type II
Rp. 1.741.875
E11.9
RP. 2.359.300
Q61.9 1
A09
E11.6
Rp. 1.965.900
A09 Rp. 1.965.900
53
Diabetes Mellitus Type II
E11.9
0
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 1.965.900
54
Diabetes Mellitus Type II
E11.9
0
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 4.113.900
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.359.300
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 1.965.900
Reseleksi
Tarif
Reseleksi
Tindakan
Kode
Ketepatan Kode
INA CBGs
Tarif INA-CBGs
90.59, 99.18
Rp. 2.752.500
Hypertensi, Ulcus 55
56
I10,L98.4
Diabetes Mellitus Type II
E11.9
Cellulitis
L03.9
Diabetes Mellitus Type II
E11.9
Hypertensi
I10,L98.4 0
E11.9
0
I10 Diagnosa
Kode
E11.9
Diabetes Mellitus Type II Diare
E11.9 A09
Rp. 1.965.900
I10 Ketepatan Kode
57
Rp. 2.359.300
L03.9
Reseleksi No
Rp. 4.113.900
1
E11.6
Lab, pasang infus
90.59, 99.18
A09
Page 5
0
Rp. 2.752.500
58
Diabetes Mellitus Type II
E11.9
0
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.752.500
59
Diabetes Mellitus Type II
E11.9
0
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 6.084.000
Bronkopneumonia
J18.9
Diabetes Mellitus Type II
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 4.800.000
60
Tuberculosis, Diare
Rp. 2.752.500
Rp. 6.084.000
J18.9 1
A16.2,A09
E11.6
Rp. 4.800.000
A16.2, A09 Rp. 1.965.900
61
Diabetes Mellitus Type II
E11.9
0
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 1.965.900
62
Diabetes Mellitus Type II
E11.9
0
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.752.500
Gastritis
K29.7
Diabetes Mellitus Type II
E11.9
E11.8
Lab, pasang infus
90.59, 99.18
1
90.59, 99.18
Rp. 2.752.500
CHF
I50.0
I50.0
EKG
64
Diabetes Mellitus Type II
E11.9
0
E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 1.965.900
65
Diabetes Mellitus Type II ISPA Diabetes Mellitus Type II Hypertensi Diabetes Mellitus Type II Dyspepsia Diabetes Mellitus Type II
E11.9 J06.9 E11.9 I10 E11.9 K30 E11.9
0
E11.9 J06.9 E11.9 I10 E11.9 K30 E11.9
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.752.500
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.359.300
Rp. 2.359.300
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 2.752.500
Rp. 2.752.500
Lab, pasang infus
90.59, 99.18
0
90.59, 99.18
Rp. 1.965.900
Rp. 1.965.900
63
66 67 68
Rp. 2.752.500
K29.7 1
0 0 0
Rp. 2.752.500
89.52
Page 6
Rp. 1.965.900
Rp. 2.752.500
