NO.
TINDAKAN
LEAD TERM
2 3 4 5
Insisi drenase abses wajah/ submandibula/ angina ludovici Insisi palatum Biopsi palatum durum Biopsi uvula/ palatum mole Eksisi lesi palatum durum
6
Eksisi luas lesi palatum durum
7 8 9 10
Hecting laserasi palatum Implan palatum Insisi uvula Eksisi uvula Insisi drenase abses Incision - tonsil tonsil/peritonsil/parafaring/retrofaring Biopsy - tonsil Biopsi tonsil dan adenoid Biopsy - adenoid Biopsy - tonsil Biopsi tonsil dan adenoid Biopsy - adenoid Tonsilektomi Tonsillectomy Tonsillectomy - with Tonsilektomi dengan adenoidektomi adenoidectomy Eksisi tonsil lingual Excision - tonsil - lingual Eksisi tag tonsil Excision - tonsil - tag Eksisi tonsil lingual Excision - tonsil - lingual Adenoidectomy (without Adenoidektomi tonsillectomy) Control - hemorrhage - adonids Kontrol perdarahan pasca (postoperative) tonsilektomi dan adenoidektomi Control - hemorrhage - tonsils (postoperative) Ekstraksi benda asing tonsil/adenoid Incision - tonsil dengan insisi Eksisi lesi di tonsil dan adenoid Excision - tonsil Faringotomi Pharyngotomy Biopsi Biopsy - nasopharinx nasofaring/orofaring/hipofaring Excision - branchial cleft cyst or Eksisi kista brakial vestige Miotomi krikofaring Myotomy - cricopharyngeal Diverticulectomy - Pharyngeal (by Divertikulektomi faring cricopharyngeal myotomy)
1
11 12 13 14 15 16 17 18 19
20
21 22 23 24 25 26 27
KODE ICD 9 CM
Drainage - ludwig’s angina
27.0
Incision - plate Biopsy - plate (bony) Biopsy - uvula Excision - plate(bony) Resection - alveolar process and palate Palatorrhaphy Insertion - Palatal Implant Incision - Uvula Excision - Uvula
27.1 27.21 27.22 27.31 27.32 27.61 27.64 27.71 27.72 28.0 28.11 28.11 28.2 28.3 28.5 28.4 28.5 28.6
28.7
28.91 28.92 29.0 29.12 29.2 29.31 29.32
28 29 30 31 32 33 34 35
Faringektomi Eksisi lesi di faring Nasofaringektomi Ekstirpasi angiofibroma nasofaring Faringoplasti Hecting laserasi faring Penutupan fistel celah brakial Penutupan fistel faring
36
Ekstraksi benda asing faring
37 38 39 40 41
Biopsi kelenjar tiroid Biopsi kelenjar paratiroid Lobectomy tiroid unilateral Hemitiroidektomi Eksisi lesi tiroid (kista tiroid)
42
Tiroidektomi parsial
43 44 45 46 47
Near total tiroidektomi Tiroidektomi total Eksisi tiroid lingual Eksisi duktus tiroglosus Paratiroidektomi total
48
Ligasi pembuluh darah tiroid
49 50 51 52 53 54
Hecting kelenjar tiroid Rhinotomi lateral Maksilektomi medial Frontal sinusotomi (onkologi) Etmoidektomi eksternal (onkologi) Sfenoidektomi eksternal (onkologi)
55
Pendekatan sublabial
56 57 58 59
Midfasial degloving Glosektomi parsial/ hemiglosektomi Glosektomi total Glosektomi radikal
60
Sialendoskopi Diagnostik
61
Sialolithektomi
Pharyngectomy (Partial) Excision - pharynx Excision - nasopharynx Excision - pharynx Suture - pharynx Pharyngoplasty Closure - branchial Closure - pharynx Extraction - Removal - Foreign Body - Pharynx (Intraluminal) Biopsy - Thyroid Gland Nec Biopsy - Parathyroid Gland Lobectomy - Thyroid Unilateral Hemithyroidectomy Excision - lesion - thyroid Thyroidectomy - partial or subtotal NEC Tiroidectomy - NEC Hyroidectomy - complete or total Thyroidectomy - lingual Excition - duct – thyroglossal Parathyroidectomy – complete Ligation – thyroid vessel (arteri) (vein) Suture – Thyroid Gland Rhnotomy Maksilektomy Sinusotomi - Frontal Ethmoidectomy Sphenoidectomy Sinusectomy – maxillary – with Caldwel - Luc approach Sinusectomy – maxillary Glossectomy - partial Glossectomy (total) Glossectomy - radical Procedure – diagnostic – salivary gland Excision – lesion – salivary gland or duct NEC
29.33 29.39 29.3 29.39 29.51 29.4 29.52 29.53 98.13 06.11 06.13 06.2 06.2 06.31 06.39 06.39 06.4 06.6 06.6 06.81 06.92 06.93 21.1 22.31 22.41 22.63 22.64 22.61 22.62 25.2 25.3 25.4 26.19 26.29
69
Ekstirpasi kelenjar sublingual/ submandibula/ parotis parsial Parotidektomi parsial Parotidektomi superfisial Ekstirpasi kelenjar sublingual/ submandibula/ parotis total Parotidektomi total Sialendoskopi Diagnostik dan Dilatasi Sialendoskopi Diagnostik dan Terapeutik Radiofrekuensi Dasar Lidah
70
Eksplorasi Abses Multiple
71 72 73 74 75 76 77 78 79 80 81 82
Marsupialisasi kista laring Eksisi lesi laring (papiloma, nodul) Hemilaringektomi Epiglotiktomi Kordektomi Laringektomi parsial Laringektomi total Laringektomi radikal Injeksi laring Trakeostomi temporer Trakeostomi dengan penyulit Trakeostomi permanen
83
Trakeoskopi melalui stoma trakea
84
Trakeoskopi melalui stoma trakea
85 86 87 88 89 90 91 92
Laringoskopi/trakeoskopi Laringoskopi/trakeoskopi Biopsi laring dengan endoskopi Biopsi trakea dengan endoskopi Biopsi terbuka laring atau trakea Eksisi lesi trakea Laringofisure Hecting laserasi laring
62 63 64 65 66 67 68
Extirpation – see also excision – salivary gland – partial Parotidectomy - Partial Parotidectomy - Partial Extirpation - see also Excisition salivary gland – complete Parotidectomy - complete
26.31 26.31 26.31 26.32 26.32
Dilation - salivary duct
26.91
Operation - slivary gland or duct
26.99
Operation - oral cavity Drainage - abscess • Parapharyngeal • Peritonsilar • Retropharyngeal • Tonsil,tonsilar Marsupialization - larynx Excision - lesion - larynx Hemilaryngektomy Epiglotidectomy Cardectomy, vocal Laryngectomy - partial Laryngectomy - complete Laryngectomy - radical Injection - larynx Tracheostomy Tracheostomy -Temporary Tracheostomy - permanent Tracheoscopy – throught tracheostomy (stoma) Tracheoscopy – throught tracheostomy (stoma) Laryngoscopy Laryngoscopy Biopsy – larynx - closed Biopsy – trachea – closed Biopsy - larynx/-trachea -open Excision – lesion -trachea Laryngofissure Suture - larynx
27.99
28.0
30.01 30.09 30.1 30.21 30.22 30.29 30.3 30.4 31.0 31.1 31.1 31.29 31.41 31.41 31.61 31.61 31.43 31.44 31.45 31.5 30.29 31.61
93 94 95 96 97 98
102 103 104 105 106
Hecting laserasi laring Penutupan fistel laring Revisi laringostomi/ repair stoma Reparasi fraktur laring Eksisi neoplasma laring dengan laser Penutupan fistel trakea Penutupan stoma trakeostomi dengan repair trakea Revisi trakeostomi Rekonstruksi trakea dan konstruksi laring Lisis penyempitan trakea/laring Penggantian stent laring/trakea Pemasangan T-Tube/ganti T stent Injeksi obat terapetik ke trakea Fistulasasi trakeoesofagus
107
Bronkoskopi melalui stoma
108 109 110 111
Bronkoskopi fiber optik Bronkoskopi Biopsi bronkus dengan endoskopi Ligasi arteri karotis eksterna Biopsi eksisi kelenjar limfe leher simpel Biopsi insisi kelenjar limfe leher simpel
99 100 101
112 113 114
Eksisi kelenjar limfe regional
115
Diseksi leher selektif
116
Diseksi leher radikal unilateral
117
Diseksi leher radikal modifikasi
118
Diseksi leher radikal bilateral
119
Esofagotomi 1/3 proksimal
120
Insisi web esofagus
121 122
Esofagostomi Esofagostomi servikal
Suture of laceration of larynx Clouser of fistula of larynx Revision of laryngostomy Repair of laryngeal of other Repair - larynx Closure – fistula - trachea
31.61 31.62 31.63 31.64 31.69 31.72
Closure - tracheostomy
31.72
Revision - tracheoctomy Tracheoplasty - with artificial larynx Lysi – adhesions - trachea Replacement - Laryngeal stent Replacement – stent - trachea Injection - trachea Fistulization -tracheoesophageal Bronchoscopy - through tracheostomy Bronchoscopy - fiberoptic Bronchoscopy Bronchoscopy - with biopsy Ligation – artery - external carotid
31.74
Excision - lymph structure
40.29
Excision – lymph, lymphatic node(simple) Excision - lymph,lymphatic regional Excision – node – lymphatic dirainage area (inchuding skin, subcutaneous tissue, and fat) Dissection – neck radical – unilatral Dissection - see also excision neck,radical modifikasi(unilteral) Dissection - see also excitionneck,radical bilteral Esophgotomy Incision – cont esophagus.esophageal NEC - web Esophagostomy Esophagostomy – cervical
31.75 31.92 31.93 31.93 31.94 31.95 33.21 33.22 33.23 33.24 21.06
40.29 40.3 40.3 40.41 40.42 40.42 42.0 42.02 42.10 42.11
123
Esofagoskopi
124
Biopsi esofagus per endoskopi
125
Biopsi esofagus per endoskopi
126
Biopsi esofagus per endoskopi
127
Eksisi divertikulum esofagus
129 130 131 132 133 134 135
Tindakan esofagus kompleks (eksisi, varises) Reseksi esofagus Reparasi fistel esofagus Reparasi striktur esofagus Dilatasi esofagus Dilatasi esofagus Dilatasi esofagus Mandibulektomi parsial
136
Maksilektomi parsial
137 138 139
Maksilektomi total Maksilektomi radikal Mandibulektomi total Reduksi terbuka fraktur malar dan zigoma
128
140 141
Reduksi terbuka fraktur maksila
142
Reduksi terbuka fraktur mandibula
143 144
146
Eksisi kulit luas Esofageal manometri Intubasi dengan Flexible Bronkoskopi Pembersihan kanul trakeostomi
147
Cuci trakea dan bronkus
148
Penggantian NGT
149
Penggantian kanul trakeostomi
150
Pengangkatan kanul trakeostomi
151
Ekstraksi benda asing esofagus
145
Esophagoscopy Biopsy – Esophagus – closed(endoscopic) Biopsy – Esophagus – closed(endoscopic) Biopsy – Esophagus – closed(endoscopic) Excision – Diverticulus Esophagus Excision – Esophagus(Local) Endoscopic Reesection - esophagus Repair – esophagus - fistula Repair – esophagus – stricture Dilatation - esophagus Dilatation of esophagus Dilatation of esophagus Partial mandibulectomy Partial ostectomy of other facial bone Hemimaxillectomy Hemimaxillectomy Mandibulectomy -Total Reduction - Malar - Open Reduction – fracture – maxilla – open Reduction – fracture – mandible – open Excision – skin – radical (wide) Manometry – esophageal Insertion –Tube - Endotracheal Toilette - Tracheostomy Lavage –Bronchus NEC –Trachea NEC Replacement - Nasogastric Replacement – tube tracheostomy Removal – tube - tracheostomy Removal esophafus(intraluminal)
42.23 42.24 42.24 42.24 42.40 42.33 42.41 42.84 42.85 K22.8 42.92 42.92 76.31 76.39 76.39 76.39 76.42 76.72 76.74 76.76 86.4 89.32 96.04 96.55 96.56 97.01 97.23 97.37 98.02
152
Ekstraksi benda asing laring
153
Ekstraksi benda asing trakea
154
Ekstraksi benda asing bronkus
155
Biopsi sinonasal app gingivobuccal
156 157 158 159
Biopsi Lidah Hecting laserasi lidah Frenektomi lingual Insisi drenase kelenjar liur
160
Biopsi kelenjar liur
161
Marsupialisasi kista kelenjar liur
162
Hecting laserasi kelenjar liur
163
165 166 167 168 169 170 171
Probing saluran liur Insisi drenase abses wajah, submandibula, angina ludovici Biopsi bibir Biopsi mulut/ basis lidah Biopsi eksisi rongga mulut Frenektomi labial Hecting laserasi bibir Hecting laserasi mulut Penutupan fistel mulut
172
Ekstraksi benda asing mulut
164
Removal - larynx(intraluminal) Removal – foreign body – trachea (instraluminal) Removal – foreign body – bronkus (instraluminal) Excision – lesion – nasal sinus – with Caldwell - Luc approach Biopsy – tongue Suture – tongue Frenectomy – lingual Incision – salivary gland or duct Biopsy – salivary gland or duct – open Marsupialization – ranula,salivary gland Suture (laceration) – salivary gland Probing – salivary duct
98.14 98.15
Drainage – Facial region
27.0
Biopsy - lip Biopsy - mouth Procedure - oral cavity Frenectomy - labial Suture (laceration) - Lip Suture (laceration) - Mouth Closure - Fistula - Mouth Removal - Foreign body - Mouth (intraluminal)
27.23 27.24 27.29 27.41 27.51 27.52 27.53
98.15 22.61 25.01 25.51 25.92 26.0 26.12 26.21 26.41 26.91
98.01