DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

1 Demam tifoid (A01-Typhoid and paratyphoid fevers); (A01.0-Typhoid fever);

(A01.1-Paratyphoid fever A); (A01.2-Paratyphoid fever B);
(A01.3-Paratyphoid fever C); (A01.4-Paratyphoid fever,
unspecified)

2 Disentri basiler, (A06-Amoebiasis); (A06.0-Acute amoebic dysentery); (A06.1-

disentri amuba Chronic intestinal amoebiasis); (A06.2-Amoebic nondysenteric
colitis); (A06.3-Amoeboma of intestine); (A06.7-Cutaneous
amoebiasis); (A06.8-Amoebic infection of other sites); (A06.9-
Amoebiasis, unspecified); (A03-Shigellosis); (A03.0-Shigellosis
due to Shigella dysenteriae); (A03.1-Shigellosis due to Shigella
flexneri); (A03.2-Shigellosis due to Shigella boydii); (A03.3-
Shigellosis due to Shigella sonnei); (A03.8-Other shigellosis);
(A03.9-Shigellosis, unspecified)

3 Gastroenteritis (A09-Other gastroenteritis and colitis of infectious and

(termasuk kolera, unspecified origin); (A09.0-Other and unspecified gastroenteritis
giardiasis) and colitis of infectious origin); (A09.9-Gastroenteritis and colitis
of unspecified origin); (A08-Viral and other specified intestinal
infections); (A08.0-Rotaviral enteritis); (A08.1-Acute
gastroenteropathy due to Norwalk agent); (A08.2-Adenoviral
enteritis); (A08.3-Other viral enteritis); (A08.4-Viral intestinal
infection, unspecified); (A08.5-Other specified intestinal
infections); (A02-Other salmonella infections); (A02.0-
Salmonella enteritis)

4 Tuberkulosis paru (A15-Respiratory tuberculosis, bacteriologically and

tanpa komplikasi histologically confirmed); (A15.0-Tuberculosis of lung, confirmed
by sputum microscopy with or without culture); (A15.1-
Tuberculosis of lung, confirmed by culture only); (A15.2-
Tuberculosis of lung, confirmed histologically); (A15.3-
Tuberculosis of lung, confirmed by unspecified means); (A15.4-
Tuberculosis of intrathoracic lymph nodes, confirmed
bacteriologically and histologically); (A15.5-Tuberculosis of
larynx, trachea and bronchus, confirmed bacteriologically and
histologically); (A15.6-Tuberculous pleurisy, confirmed
bacteriologically and histologically); (A15.7-Primary respiratory
tuberculosis, confirmed bacteriologically and histologically);
(A15.8-Other respiratory tuberculosis, confirmed
bacteriologically and histologically); (A15.9-Respiratory
tuberculosis unspecified, confirmed bacteriologically and
histologically); (A16.1-Tuberculosis of lung, bacteriological and
histological examination not done); (A16.2-Tuberculosis of lung,
without mention of bacteriological or histological confirmation);
(A16.7-Primary respiratory tuberculosis without mention of
bacteriological or histological confirmation); (A16.8-Other
respiratory tuberculosis, without mention of bacteriological or
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

histological confirmation); (A16.9-Respiratory tuberculosis

unspecified, without mention of bacteriological or histological
confirmation)

5 Skrofuloderma (A18-Tuberculosis of other organs); (A18.4-Tuberculosis of skin

and subcutaneous tissue)

6 Leptospirosis (tanpa (A27- Leptospirosis); (A27.0-Leptospirosis

komplikasi) icterohaemorrhagica); (A27.8-Other forms of leptospirosis);
(A27.9-Leptospirosis, unspecified)

7 Lepra (A30-Leprosy [Hansen disease]); (A30.0-Indeterminate leprosy);

(A30.1-Tuberculoid leprosy); (A30.2-Borderline tuberculoid
leprosy); (A30.3-Borderline leprosy); (A30.4-Borderline
lepromatous leprosy); (A30.5-Lepromatous leprosy); (A30.8-
Other forms of leprosy); (A30.9-Leprosy, unspecified); (B92-
Sequelae of leprosy)

8 Tetanus (A35-Other tetanus); (Y58.4-Tetanus vaccine); (Z11.2-Special

screening examination for other bacterial diseases); (Z23.5-
Need for immunization against tetanus alone); (Z27.1-Need for
immunization against diphtheria-tetanus-pertussis, combined
[DTP]); (Z27.2-Need for immunization against diphtheria-
tetanus-pertussis with typhoid-paratyphoid [DTP + TAB]);
(Z27.3-Need for immunization against diphtheria-tetanus-
pertussis with poliomyelitis [DTP + polio])

9 Pertusis (A37-Whooping cough); (A37.0-Whooping cough due to

Bordetella pertussis); (A37.1-Whooping cough due to Bordetella
parapertussis); (A37.8-Whooping cough due to other Bordetella
species); (A37.9-Whooping cough, unspecified)

10 Erisipelas (A46-Erysipelas); (O86.8-Other specified puerperal infections )

11 Sifilis stadium 1 dan 2 (A51-Early syphilis); (A51.3-Secondary syphilis of skin and

mucous membranes); (A53-Other and unspecified syphilis);
(A53.0-Latent syphilis, unspecified as early or late); (A53.9-
Syphilis, unspecified); (A65-Nonvenereal syphilis)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

12 Sindrom duh (A54-Gonococcal infection); (A54.0-Gonococcal infection of

(discharge) genital lower genitourinary tract without periurethral or accessory gland
(gonore dan non abscess); (A54.3-Gonococcal infection of eye); (A54.5-
gonore) Gonococcal pharyngitis); (A54.6-Gonococcal infection of anus
and rectum); (A54.8-Other gonococcal infections); (A54.9-
Gonococcal infection, unspecified); (A56-Other sexually
transmitted chlamydial diseases); (A56.0-Chlamydial infection of
lower genitourinary tract); (A56.2-Chlamydial infection of
genitourinary tract, unspecified); (A56.8-Sexually transmitted
chlamydial infection of other sites); (A64-Unspecified sexually
transmitted disease)

13 Gonore (A54-Gonococcal infection); (A54.0-Gonococcal infection of

lower genitourinary tract without periurethral or accessory gland
abscess); (A54.3-Gonococcal infection of eye); (A54.5-
Gonococcal pharyngitis); (A54.6-Gonococcal infection of anus
and rectum); (A54.8-Other gonococcal infections); (A54.9-
Gonococcal infection, unspecified); (A64-Unspecified sexually
transmitted disease)

14 Demam dengue, DHF (A90-Dengue fever [classical dengue]); (A91-Dengue

haemorrhagic fever)

15 Herpes simpleks (B00-Herpesviral [herpes simplex] infections); (B00.8-Other

tanpa komplikasi forms of herpesviral infection); (B00.9-Herpesviral infection,
unspecified)

16 Varisela tanpa (B01-Varicella [chickenpox]); (B01.9-Varicella without

komplikasi complication)

17 Herpes zoster tanpa (B02-Zoster [herpes zoster]); (B02.9-Zoster without

komplikasi complication)

18 Morbili tanpa (B05-Measles); (B05.9-Measles without complication)

komplikasi
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

19 Veruka vulgaris (B07-Viral warts)

20 Moluskum (B08-Other viral infections characterized by skin and mucous

kontagiosum membrane lesions, not elsewhere classified); (B08.1-Molluscum
contagiosum)

21 Hepatitis A (B15-Acute hepatitis A); (B15.9-Hepatitis A without hepatic

coma)

22 Parotitis (B26-Mumps); (B26.9-Mumps without complication)

23 Tinea kapitis (B35-Dermatophytosis); (B35.0- Tinea barbae and tinea capitis)

24 Tinea barbe (B35-Dermatophytosis); (B35.0- Tinea barbae and tinea capitis)

25 Tinea unguium (B35-Dermatophytosis); (B35.1- Tinea unguium)

26 Tinea manus (B35-Dermatophytosis); (B35.2-Tinea manuum)

27 Tinea pedis (B35-Dermatophytosis); (B35.3- Tinea pedis)

28 Tinea korporis (B35-Dermatophytosis); (B35.4-Tinea corporis); (B35.5-Tinea

imbricata)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

29 Tinea kruris (B35-Dermatophytosis); (B35.6-Tinea cruris)

30 Tinea fasialis (B35-Dermatophytosis); (B35.8-Other dermatophytoses);

(B35.9-Dermatophytosis, unspecified)

31 Pitiriasis versikolor (B36-Other superficial mycoses); (B36.0-Pityriasis versicolor);

(B36.1-Tinea nigra); (B36.2-White piedra); (B36.3-Black piedra);
(B36.8-Other specified superficial mycoses); (B36.9-Superficial
mycosis, unspecified)

32 Kandidosis (B37-Candidal stomatitis); (B37.2-Candidiasis of skin and nail);

mukokutan ringan (B37.8-Candidiasis of other sites); (B37.9-Candidiasis,
unspecified)

33 Kandidiasis mulut (B37-Candidiasis); (B37.0-Candidal stomatitis); (B37.9-

Candidiasis, unspecified)

34 Skistosomiasis (B65-Schistosomiasis [bilharziasis]); (B65.0-Schistosomiasis

due to Schistosoma haematobium [urinary schistosomiasis]);
(B65.1-Schistosomiasis due to Schistosoma mansoni [intestinal
schistosomiasis]); (B65.2-Schistosomiasis due to Schistosoma
japonicum); (B65.3-Cercarial dermatitis); (B65.8-Other
schistosomiases); (B65.9-Schistosomiasis, unspecified)

35 Taeniasis (B68-Taeniasis); (B68.0-Taenia solium taeniasis); (B68.1-Taenia

saginata taeniasis); (B68.9-Taeniasis, unspecified)

36 Filariasis (B74-Filariasis); (B74.0-Filariasis due to Wuchereria bancrofti);

(B74.1-Filariasis due to Brugia malayi); (B74.2-Filariasis due to
Brugia timori); (B74.3-Loiasis); (B74.4-Mansonelliasis); (B74.8-
Other filariases); (B74.9-Filariasis, unspecified); (Z11.6-Special
screening examination for other protozoal diseases and
helminthiases)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

37 Penyakit cacing (B76-Hookworm diseases); (B76.0-Ancylostomiasis); (B76.1-

tambang Necatoriasis); (B76.8-Other hookworm diseases); (B76.9-
Hookworm disease, unspecified)

38 Cutaneus larva (B76-Hookworm diseases); (B76.0-Ancylostomiasis); (B76.1-

migran Necatoriasis); (B76.8-Other hookworm diseases); (B76.9-
Hookworm disease, unspecified); (B87.0-Cutaneous myiasis);
(B87.9-Myiasis, unspecified)

39 Askariasis (B77-Ascariasis); (B77.9-Ascariasis, unspecified); (K93.8-

Disorders of other specified digestive organs in diseases
classified elsewhere)

40 Strongiloidiasis (B78-Strongyloidiasis); (B78.0-Intestinal strongyloidiasis);

(B78.1-Cutaneous strongyloidiasis); (B78.7-Disseminated
strongyloidiasis); (B78.9-Strongyloidiasis, unspecified)

41 Malaria (B85.3-Phthiriasis); (B50-Plasmodium falciparum malaria);

(B50.9-Plasmodium falciparum malaria, unspecified); (B51-
Plasmodium vivax malaria); (B51.8-Plasmodium vivax malaria
with other complications); (B51.9-Plasmodium vivax malaria
without complication); (B52-Plasmodium malariae malaria);
(B52.8-Plasmodium malariae malaria with other complications);
(B52.9-Plasmodium malariae malaria without complication);
(B53-Other parasitologically confirmed malaria); (B53.0-
Plasmodium ovale malaria); (B53.1-Malaria due to simian
plasmodia); (B53.8-Other parasitologically confirmed malaria,
not elsewhere classified); (B54-Unspecified malaria)

42 Pedikulosis pubis (B85-Pediculosis and phthiriasis); (B85.0- Pediculosis due to

Pediculus humanus capitis)

43 Pedikulosis kapitis (B85-Pediculosis and phthiriasis); (B85.0- Pediculosis due to

Pediculus humanus capitis); (B85.1- Pediculosis due to
Pediculus humanus corporis); (B85.4- Mixed pediculosis and
phthiriasis)

44 Skabies (B86-Scabies)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

45 Lipoma (D17-Benign lipomatous neoplasm); (D17.0-Benign lipomatous

neoplasm of skin and subcutaneous tissue of head, face and
neck); (D17.1-Benign lipomatous neoplasm of skin and
subcutaneous tissue of trunk); (D17.2-Benign lipomatous
neoplasm of skin and subcutaneous tissue of limbs); (D17.3-
Benign lipomatous neoplasm of skin and subcutaneous tissue of
other and unspecified sites); (D17.7-Benign lipomatous
neoplasm of other sites); (D17.9-Benign lipomatous neoplasm,
unspecified)

46 Anemia defisiensi (D50-Iron deficiency anaemia); (D50.8-Other iron deficiency

besi anaemias); (D50.9-Iron deficiency anaemia, unspecified); (D64-
Other anaemias); (D64.8-Other specified anaemias); (D64.9-
Anaemia, unspecified)

47 Anemia defisiensi (D50-Iron deficiency anaemia); (D50.8-Other iron deficiency

besi pada kehamilan anaemias); (D50.9-Iron deficiency anaemia, unspecified);
(O99.0-Anaemia complicating pregnancy, childbirth and the
puerperium)

48 Diabetes melitus tipe (E10-Insulin-dependent diabetes mellitus); (E10.9-Insulin-

1 dependent diabetes mellitus without complications)

49 Diabetes melitus tipe (E11-Non-insulin-dependent diabetes mellitus); (E11.9-Non-

2 insulin-dependent diabetes mellitus without complications)

50 Hipoglikemia ringan (E16-Other disorders of pancreatic internal secretion); (E16.1-

Other hypoglycaemia); (E16.2-Hypoglycaemia, unspecified)

51 Malnutrisi energi- (E40-Kwashiorkor); (E41-Nutritional marasmus); (E42-Marasmic

protein kwashiorkor); (E44-Protein-energy malnutrition of moderate and
mild degree); (E44.0-Moderate protein-energy malnutrition);
(E44.1-Mild protein-energy malnutrition); (E46-Unspecified
protein-energy malnutrition); (E64.0-Sequelae of protein-energy
malnutrition)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

52 Defisiensi vitamin (E50-Vitamin A deficiency); (E50.0-Vitamin A deficiency with

conjunctival xerosis); (E50.1-Vitamin A deficiency with Bitot spot
and conjunctival xerosis); (E50.2-Vitamin A deficiency with
corneal xerosis); (E50.3-Vitamin A deficiency with corneal
ulceration and xerosis); (E50.4-Vitamin A deficiency with
keratomalacia); (E50.5-Vitamin A deficiency with night
blindness); (E50.6-Vitamin A deficiency with xerophthalmic
scars of cornea); (E50.7-Other ocular manifestations of vitamin
A deficiency); (E50.8-Other manifestations of vitamin A
deficiency); (E50.9-Vitamin A deficiency, unspecified); (E51-
Thiamine deficiency); (E51.1-Beriberi); (E51.8-Other
manifestations of thiamine deficiency); (E51.9-Thiamine
deficiency, unspecified); (E52-Niacin deficiency [pellagra]);
(E53-Deficiency of other B group vitamins); (E53.0-Riboflavin
deficiency); (E53.1-Pyridoxine deficiency); (E53.8-Deficiency of
other specified B group vitamins); (E53.9-Vitamin B deficiency,
unspecified); (E54-Ascorbic acid deficiency); (E55-Vitamin D
deficiency); (E55.0-Rickets, active); (E55.9-Vitamin D deficiency,
unspecified); (E56-Other vitamin deficiencies); (E56.0-
Deficiency of vitamin E); (E56.1-Deficiency of vitamin K); (E56.8-
Deficiency of other vitamins); (E56.9-Vitamin deficiency,
unspecified); (E64-Sequelae of malnutrition and other nutritional
deficiencies); (E64.1-Sequelae of vitamin A deficiency); (E64.2-
Sequelae of vitamin C deficiency); (E64.3-Sequelae of rickets);
(E64.8-Sequelae of other nutritional deficiencies); (E64.9-
Sequelae of unspecified nutritional deficiency)

53 Defisiensi mineral (E58-Dietary calcium deficiency); (E59-Dietary selenium

deficiency); (E60-Dietary zinc deficiency); (E61-Deficiency of
other nutrient elements); (E61.0-Copper deficiency); (E61.1-Iron
deficiency); (E61.2-Magnesium deficiency); (E61.3-Manganese
deficiency); (E61.4-Chromium deficiency); (E61.5-Molybdenum
deficiency); (E61.6-Vanadium deficiency); (E61.7-Deficiency of
multiple nutrient elements); (E61.8-Deficiency of other specified
nutrient elements); (E61.9-Deficiency of nutrient element,
unspecified); (E63-Other nutritional deficiencies); (E63.0-
Essential fatty acid [EFA] deficiency); (E63.1-Imbalance of
constituents of food intake); (E63.8-Other specified nutritional
deficiencies); (E63.9-Nutritional deficiency, unspecified)

54 Obesitas (E66-Obesity); (E66.0-Obesity due to excess calories); (E66.1-

Drug-induced obesity); (E66.8-Other obesity); (E66.9-Obesity,
unspecified)

55 Dislipidemia (E78-Disorders of lipoprotein metabolism and other lipidaemias);

(E78.0-Pure hypercholesterolaemia); (E78.1-Pure
hyperglyceridaemia); (E78.2-Mixed hyperlipidaemia); (E78.3-
Hyperchylomicronaemia); (E78.4-Other hyperlipidaemia);
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

(E78.5-Hyperlipidaemia, unspecified); (E78.6-Lipoprotein

deficiency); (E78.8-Other disorders of lipoprotein metabolism);
(E78.9-Disorder of lipoprotein metabolism, unspecified)

56 Hiperurisemia (E79-Disorders of purine and pyrimidine metabolism); (E79.0-

Hyperuricaemia without signs of inflammatory arthritis and
tophaceous disease); (E79.1-Lesch-Nyhan syndrome); (E79.8-
Other disorders of purine and pyrimidine metabolism); (E79.9-
Disorder of purine and pyrimidine metabolism, unspecified)

57 Gangguan (F45-Somatoform disorders); (F45.0-Somatization disorder);

somatoform (F45.1-Undifferentiated somatoform disorder); (F45.2-
Hypochondriacal disorder); (F45.3-Somatoform autonomic
dysfunction); (F45.4-Persistent somatoform pain disorder);
(F45.8-Other somatoform disorders); (F45.9-Somatoform
disorder, unspecified)

58 Insomnia (F51-Nonorganic sleep disorders); (F51.0-Nonorganic

insomnia); (F51.2-Nonorganic disorder of the sleep-wake
schedule); (F51.8-Other nonorganic sleep disorders); (G47.0-
Disorders of initiating and maintaining sleep [insomnias])

59 Migren (G43-Migraine); (G43.0-Migraine without aura [common

migraine]); (G43.1-Migraine with aura [classical migraine]);
(G43.2-Status migrainosus); (G43.8-Other migraine); (G43.9-
Migraine, unspecified); (N94.3-Premenstrual tension syndrome)

60 Tension headache (G44-Other Headache Syndromes); (G44.1-Vascular headache,

not elsewhere classified); (G44.2-Tension-type headache);
(G44.3-Chronic post-traumatic headache); (G44.4-Drug-induced
headache, not elsewhere classified); (G44.8-Other specified
headache syndromes); (R51-Headache)

61 Bells' palsy (G51-Facial nerve disorders); (G51.0-Bell's palsy)

62 Hordeolum (H00-Hordeolum and chalazion); (H00.0-Hordeolum and other

deep inflammation of eyelid)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

63 Blefaritis (H01-Other inflammation of eyelid); (H01.0-Blepharitis)

64 Trikiasis (H02-Other disorders of eyelid); (H02.0-Entropion and trichiasis

of eyelid)

65 Mata kering (H04-Disorders of lacrimal system); (H04.1-Other disorders of

lacrimal gland)

66 Konjungtivitis (H10-Conjunctivitis); (H10.0-Mucopurulent conjunctivitis);

(H10.1-Acute atopic conjunctivitis); (H10.2-Other acute
conjunctivitis); (H10.3-Acute conjunctivitis, unspecified); (H10.4-
Chronic conjunctivitis); (H10.5-Blepharoconjunctivitis); (H10.8-
Other conjunctivitis); (H10.9-Conjunctivitis, unspecified); (B30-
Viral conjunctivitis); (B30.1-Conjunctivitis due to adenovirus );
(B30.2-Viral pharyngoconjunctivitis); (B30.8-Other viral
conjunctivitis ); (B30.9-Viral conjunctivitis, unspecified); (H13.1-
Conjunctivitis in infectious and parasitic diseases classified
elsewhere)

67 Perdarahan (H11-Other disorders of conjunctiva); (H11.3-Conjunctival

subkonjungtiva haemorrhage); (H57-Other disorders of eye and adnexa);
(H57.8-Other specified disorders of eye and adnexa); (H57.9-
Disorder of eye and adnexa, unspecified)

68 Episkleritis (H15-Disorders of sclera); (H15.1-Episcleritis)

69 Hipermetropia ringan (H52-Disorders of refraction and accommodation); (H52.0-

Hypermetropia); (H52.6-Other disorders of Refraction); (H52.7-
Disorder of refraction, unspecified)

70 Miopia ringan (H52-Disorders of refraction and accommodation); (H52.1-

Myopia); (H44.2-Degenerative myopia)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

71 Astigmatism ringan (H52-Disorders of refraction and accommodation); (H52.2-

Astigmatism)

72 Presbiopia (H52-Disorders of refraction and accommodation); (H52.4-

Presbyopia)

73 Buta senja (H53-Visual disturbances); (H53.6-Night blindness)

74 Otitis eksterna (H60-Otitis externa); (H60.0-Abscess of external ear); (H60.3-

Other infective otitis externa); (H60.5-Acute otitis externa,
noninfective); (H60.8-Other otitis externa); (H60.9-Otitis externa,
unspecified); (H62-Disorders of external ear in diseases
classified elsewhere); (H62.0-Otitis externa in bacterial diseases
classified elsewhere); (H62.1-Otitis externa in viral diseases
classified elsewhere); (H62.2-Otitis externa in mycoses); (H62.3-
Otitis externa in other infectious and parasitic diseases classified
elsewhere); (H62.4-Otitis externa in other diseases classified
elsewhere); (H62.8-Other disorders of external ear in diseases
classified elsewhere)

75 Serumen prop (H61-Other disorders of external ear); (H61.2-Impacted

cerumen)

76 Otitis media akut (H65-Nonsuppurative otitis media); (H65.1-Other acute

nonsuppurative otitis media); (H65.9-Nonsuppurative otitis
media, unspecified); (H66-Suppurative and unspecified otitis
media); (H66.0-Acute suppurative otitis media); (H66.4-
Suppurative otitis media, unspecified); (H66.9-Otitis media,
unspecified); (H67-Otitis media in diseases classified
elsewhere); (H67.0-Otitis media in bacterial diseases classified
elsewhere); (H67.1-Otitis media in viral diseases classified
elsewhere); (H67.8-Otitis media in other diseases classified
elsewhere)

77 Hipertensi esensial (I10-Essential (primary) hypertension)

 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

78 Hemoroid grade 1-2 (I84-Haemorrhoids); (I84.2-Internal haemorrhoids without

complication); (I84.5-External haemorrhoids without
complication); (I84.9-Unspecified haemorrhoids without
complication)

79 Limfadenitis (I88-Nonspecific lymphadenitis); (I88.0-Nonspecific mesenteric

lymphadenitis); (I88.1-Chronic lymphadenitis, except
mesenteric); (I88.8-Other nonspecific lymphadenitis); (I88.9-
Nonspecific lymphadenitis, unspecified); (L04-Acute
lymphadenitis); (L04.0-Acute lymphadenitis of face, head and
neck); (L04.1-Acute lymphadenitis of trunk); (L04.2-Acute
lymphadenitis of upper limb); (L04.3-Acute lymphadenitis of
lower limb); (L04.8-Acute lymphadenitis of other sites); (L04.9-
Acute lymphadenitis, unspecified)

80 Rhinitis akut (J00-Acute nasopharyngitis [common cold])

81 Faringitis (J02-Acute pharyngitis); (J02.0-Streptococcal pharyngitis);

(J02.8-Acute pharyngitis due to other specified organisms);
(J02.9-Acute pharyngitis, unspecified); (J31-Chronic rhinitis,
nasopharyngitis and pharyngitis); (J31.1-Chronic
nasopharyngitis); (J31.2-Chronic pharyngitis)

82 Tonsilitis (J03-Acute tonsillitis); (J03.0-Streptococcal tonsillitis); (J03.8-

Acute tonsillitis due to other specified organisms); (J03.9-Acute
tonsillitis, unspecified); (J35-Chronic diseases of tonsils and
adenoids); (J35.0-Chronic tonsillitis); (J35.1-Hypertrophy of
tonsils); (J35.8-Other chronic diseases of tonsils and adenoids);
(J35.9-Chronic disease of tonsils and adenoids, unspecified)

83 Laringitis (J04-Acute laryngitis and tracheitis); (J04.0-Acute laryngitis);

(J37-Chronic laryngitis and laryngotracheitis); (J37.0-Chronic
laryngitis)

84 Influenza (J10-Influenza due to other identified influenza virus); (J10.0-

Influenza with pneumonia, other influenza virus identified);
(J10.1-Influenza with other respiratory manifestations, other
influenza virus identified); (J10.8-Influenza with other
manifestations, other influenza virus identified); (J11-Influenza,
virus not identified); (J11.0-Influenza with pneumonia, virus not
identified); (J11.1-Influenza with other respiratory
manifestations, virus not identified); (J11.8-Influenza with other
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

manifestations, virus not identified); (A49.2-Haemophilus

influenzae infection, unspecified site)

85 Pneumonia, (J12-Viral pneumonia, not elsewhere classified); (J12.0-

bronkopneumonia Adenoviral pneumonia); (J12.1-Respiratory syncytial virus
pneumonia); (J12.2-Parainfluenza virus pneumonia); (J12.3-
Human metapneumovirus pneumonia); (J12.8-Other viral
pneumonia); (J12.9-Viral pneumonia, unspecified); (J13-
Pneumonia due to Streptococcus pneumoniae); (J14-
Pneumonia due to Haemophilus influenzae); (J15-Bacterial
pneumonia, not elsewhere classified); (J15.0-Pneumonia due to
Klebsiella pneumoniae); (J15.1-Pneumonia due to
Pseudomonas); (J15.2-Pneumonia due to staphylococcus);
(J15.3-Pneumonia due to streptococcus, group B); (J15.4-
Pneumonia due to other streptococci); (J15.5-Pneumonia due to
Escherichia coli); (J15.6-Pneumonia due to other aerobic Gram-
negative bacteria); (J15.7-Pneumonia due to Mycoplasma
pneumoniae); (J15.8-Other bacterial pneumonia); (J15.9-
Bacterial pneumonia, unspecified); (J16-Pneumonia due to other
infectious organisms, not elsewhere classified); (J16.0-
Chlamydial pneumonia); (J16.8-Pneumonia due to other
specified infectious organisms); (J17-Pneumonia in diseases
classified elsewhere); (J17.0-Pneumonia in bacterial diseases
classified elsewhere); (J17.1-Pneumonia in viral diseases
classified elsewhere); (J17.2-Pneumonia in mycoses); (J17.3-
Pneumonia in parasitic diseases); (J17.8-Pneumonia in other
diseases classified elsewhere); (J18-Pneumonia, organism
unspecified); (J18.0-Bronchopneumonia, unspecified); (J18.1-
Lobar pneumonia, unspecified); (J18.2-Hypostatic pneumonia,
unspecified); (J18.8-Other pneumonia, organism unspecified);
(J18.9-Pneumonia, unspecified)

86 Bronkitis akut (J20-Acute bronchitis); (J20.0-Acute bronchitis due to

Mycoplasma pneumoniae); (J20.1-Acute bronchitis due to
Haemophilus influenzae); (J20.2-Acute bronchitis due to
streptococcus); (J20.3-Acute bronchitis due to coxsackievirus);
(J20.4-Acute bronchitis due to parainfluenza virus); (J20.5-Acute
bronchitis due to respiratory syncytial virus); (J20.6-Acute
bronchitis due to rhinovirus); (J20.7-Acute bronchitis due to
echovirus); (J20.8-Acute bronchitis due to other specified
organisms); (J20.9-Acute bronchitis, unspecified); (J40-
Bronchitis, not specified as acute or chronic); (J41-Simple and
mucopurulent chronic bronchitis); (J41.0-Simple chronic
bronchitis); (J41.1-Mucopurulent chronic bronchitis); (J41.8-
Mixed simple and mucopurulent chronic bronchitis); (J42-
Unspecified chronic bronchitis)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

87 Rhinitis vasomotor (J30-Vasomotor and allergic rhinitis); (J30.1-Vasomotor rhinitis)

88 Rhinitis alergika (J30-Vasomotor and allergic rhinitis); (J30.2-Allergic rhinitis due

to pollen); (J30.3-Other seasonal allergic rhinitis); (J30.4- Other
allergic rhinitis); (J30.5-Allergic rhinitis, unspecified); (J45.0-
Predominantly allergic asthma)

89 Furunkel pada hidung (J34-Other disorders of nose and nasal sinuses); (J34.0-
Abscess, furuncle and carbuncle of nose)

90 Asma bronkial (J45-Asthma); (J45.0-Predominantly allergic asthma); (J45.1-

Nonallergic asthma); (J45.8-Mixed asthma); (J45.9-Asthma,
unspecified)

91 Ulkus mulut (aptosa, (K12-Stomatitis and related lesions); (K12.0-Recurrent oral

herpes) aphthae); (K12.1-Other forms of stomatitis); (K12.2-Cellulitis and
abscess of mouth); (K12.3-Oral mucositis (ulcerative))

92 Refluks (K21-Gastro-oesophageal reflux disease); (K21.9-Gastro-

gastroesofagus oesophageal reflux disease without oesophagitis)

93 Gastritis (K29-Gastritis and duodenitis); (K29.1-Other acute gastritis);

(K29.2-Alcoholic gastritis); (K29.5-Chronic gastritis, unspecified);
(K29.6-Other gastritis); (K29.7-Gastritis, unspecified); (K30-
Functional dyspepsia); (R10.1-Pain localized to upper abdomen)

94 Intoleransi makanan (K90-Intestinal malabsorption); (K90.4-Malabsorption due to

intolerance, not elsewhere classified)

95 Impetigo (L01-Impetigo); (L01.0-Impetigo [any organism] [any site]);

(L01.1-Impetiginization of other dermatoses)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

96 Furunkel, karbunkel (L02-cutaneous abscess, furuncle and carbuncle); (L02.0-

Cutaneous abscess, furuncle and carbuncle of face); (L02.1-
Cutaneous abscess, furuncle and carbuncle of neck); (L02.2-
Cutaneous abscess, furuncle and carbuncle of trunk); (L02.3-
Cutaneous abscess, furuncle and carbuncle of buttock); (L02.4-
Cutaneous abscess, furuncle and carbuncle of limb); (L02.8-
Cutaneous abscess, furuncle and carbuncle of other sites);
(L02.9-Cutaneous abscess, furuncle and carbuncle,
unspecified); (H04.0-Dacryoadenitis ); (H60.0-Abscess of
external ear ); (H04.3-Acute and unspecified inflammation of
lacrimal passages ); (N76.4-Abscess of vulva); (N48.2- Other
inflammatory disorders of penis); (N49.2-Inflammatory disorders
of scrotum); (N49.8-Inflammatory disorders of other specified
male genital organs  ); (N49.9-Inflammatory disorder of
unspecified male genital organ); (N61-Inflammatory disorders of
breast)

97 Abses folikel rambut (L02-Cutaneous abscess, furuncle, and carbuncle); (L02.0-

atau kelenjar sebasea Cutaneous abscess, furuncle and carbuncle of face); (L02.1-
Cutaneous abscess, furuncle and carbuncle of neck); (L02.2-
Cutaneous abscess, furuncle and carbuncle of trunk); (L02.3-
Cutaneous abscess, furuncle and carbuncle of buttock); (L02.4-
Cutaneous abscess, furuncle and carbuncle of limb); (L02.8-
Cutaneous abscess, furuncle and carbuncle of other sites);
(L02.9-Cutaneous abscess, furuncle and carbuncle, unspecified)

98 Impetigo ulseratif (L08-Other local infections of skin and subcutaneous tissue);

(ektima) (L08.0-Pyoderma); (L08.8-Other specified local infections of skin
and subcutaneous tissue); (L08.9-Local infection of skin and
subcutaneous tissue, unspecified)

99 Eritrasma (L08-Other local infections of skin and subcutaneous tissue);

(L08.1-Erythrasma)

10 Dermatitis atopik (L20-Atopic dermatitis); (L20.0-Besnier prurigo); (L20.8-Other

0 (kecuali recalcitrant) atopic dermatitis); (L20.9-Atopic dermatitis, unspecified)

10 Dermatitis seboroik (L21-Seborrhoeic dermatitis); (L21.0-Seborrhoea capitis);

1 (L21.1-Seborrhoeic infantile dermatitis); (L21.8-Other
seborrhoeic dermatitis); (L21.9-Seborrhoeic dermatitis,
unspecified)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

10 Napkin eczema (L22-Diaper [napkin] dermatitis)

2

10 Dermatitis kontak (L24-Irritant contact dermatitis); (L24.0-Irritant contact dermatitis

3 iritan due to detergents); (L24.1-Irritant contact dermatitis due to oils
and greases); (L24.2-Irritant contact dermatitis due to solvents);
(L24.3-Irritant contact dermatitis due to cosmetics); (L24.4-
Irritant contact dermatitis due to drugs in contact with skin);
(L24.5-Irritant contact dermatitis due to other chemical
products); (L24.6-Irritant contact dermatitis due to food in
contact with skin); (L24.7-Irritant contact dermatitis due to
plants, except food); (L24.8-Irritant contact dermatitis due to
other agents); (L24.9-Irritant contact dermatitis, unspecified
cause); (L25-Unspecified contact dermatitis); (L25.0-Unspecified
contact dermatitis due to cosmetics); (L25.1-Unspecified contact
dermatitis due to drugs in contact with skin); (L25.2-Unspecified
contact dermatitis due to dyes); (L25.3-Unspecified contact
dermatitis due to other chemical products); (L25.4-Unspecified
contact dermatitis due to food in contact with skin); (L25.5-
Unspecified contact dermatitis due to plants, except food);
(L25.8-Unspecified contact dermatitis due to other agents);
(L25.9-Unspecified contact dermatitis, unspecified cause)

10 Exanthematous drug (L27-Dermatitis due to substances taken internally); (L27.0-

4 eruption, fixed drug Generalized skin eruption due to drugs and medicaments);
eruption (L27.1-Localized skin eruption due to drugs and medicaments);
(R21-Rash and other nonspecific skin eruption)

10 Alergi makanan (L27-Dermatitis due to substances taken internally); (L27.2-

5 Dermatitis due to ingested food); (L27.8-Dermatitis due to other
substances taken internally); (L27.9-Dermatitis due to
unspecified substance taken internally); (T78.1-Other adverse
food reactions, not elsewhere classified); (T78.4-Allergy,
unspecified); (K52.2-Allergic and dietetic gastroenteritis and
colitis)

10 Dermatitis numularis (L30-Other dermatitis); (L30.0-Nummular dermatitis); (L30.8-

6 Other specified dermatitis); (L30.9-Dermatitis, unspecified)

10 Pitiriasis rosea (L42-Pityriasis rosea); (L30.5-Pityriasis alba)

7
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

10 Urtikaria akut (L50-Urticaria); (L50.0-Allergic urticaria); (L50.2-Urticaria due to

8 cold and heat); (L50.3-Dermatographic urticaria); (L50.4-
Vibratory urticaria); (L50.6-Contact urticaria); (L50.9-Urticaria,
unspecified); (L56.3-Solar urticaria); (L29-Pruritus); (L29.0-
Pruritus ani); (L29.1-Pruritus scroti); (L29.2-Pruritus vulvae);
(L29.3-Anogenital pruritus, unspecified); (L29.8-Other pruritus);
(L29.9-Pruritus, unspecified); (T80.6-Other serum reactions)

10 Akne vulgaris ringan (L70-Acne); (L70.0-Acne vulgaris); (L70.1-Acne conglobata);

9 (L70.2-Acne varioliformis); (L70.3-Acne tropica); (L70.4-Infantile
acne); (L70.5-Acné excoriée des jeunes filles); (L70.8-Other
acne); (L70.9-Acne, unspecified); (L71-Rosacea); (L71.1-
Rhinophyma); (L71.8-Other rosacea); (L71.9-Rosacea,
unspecified)

11 Dermatitis perioral (L71-Rosacea); (L71.0-Perioral dermatitis)

0

11 Folikulitis superfisialis (L72-Follicular cysts of skin and subcutaneous tissue); (L72.0-

1 Epidermal cyst); (L72.1-Trichilemmal cyst); (L72.2-
Steatocystoma multiplex); (L72.8-Other follicular cysts of skin
and subcutaneous tissue); (L72.9-Follicular cyst of skin and
subcutaneous tissue, unspecified); (L08-Other local infections of
skin and subcutaneous tissue); (L08.0-Pyoderma); (L08.8-Other
specified local infections of skin and subcutaneous tissue);
(L08.9-Local infection of skin and subcutaneous tissue,
unspecified); (L66.2-Folliculitis decalvans ); (L66.3-Perifolliculitis
capitis abscedens  ); (L66.4-Folliculitis ulerythematosa
reticulata)

11 Hidradenitis supuratif (L73-Other follicular disorders); (L73.0-Acne keloid); (L73.1-

2 Pseudofolliculitis barbae); (L73.2-Hidradenitis suppurativa);
(L73.8-Other specified follicular disorders); (L73.9-Follicular
disorder, unspecified)

11 Miliaria (L74-Eccrine sweat disorders); (L74.0-Miliaria rubra); (L74.1-

3 Miliaria crystallina); (L74.2-Miliaria profunda); (L74.3-Miliaria,
unspecified); (L74.8-Other eccrine sweat disorders); (L74.9-
Eccrine sweat disorder, unspecified)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

11 Ulkus pada tungkai (L97-Ulcer of lower limb, not elsewhere classified); (I83-Varicose
4 veins of lower extremities); (I83.0-Varicose veins of lower
extremities with ulcer); (I83.1-Varicose veins of lower extremities
with inflammation); (I83.2-Varicose veins of lower extremities
with both ulcer and inflammation); (I83.9-Varicose veins of lower
extremities without ulcer or inflammation)

11 Pielonefritis tanpa (N10-Acute tubulo-interstitial nephritis); (N12-Tubulo-interstitial

5 komplikasi nephritis, not specified as acute or chronic)

11 Infeksi saluran kemih (N39-Other disorders of urinary system); (N39.0-Urinary tract

6 infection, site not specified); (N39.8-Other specified disorders of
urinary system); (N39.9-Disorder of urinary system,
unspecified); (O08.8-Other complications following abortion and
ectopic and molar pregnancy); (N37.8-Other urethral disorders
in diseases classified elsewhere)

11 Infeksi saluran kemih (N39-Other disorders of urinary system); (N39.0-Urinary tract

7 bagian bawah infection, site not specified); (N39.8-Other specified disorders of
urinary system); (N39.9-Disorder of urinary system,
unspecified); (O08.8-Other complications following abortion and
ectopic and molar pregnancy); (N37.8-Other urethral disorders
in diseases classified elsewhere)

11 Fimosis (N47-Redundant prepuce, phimosis and paraphimosis)

8

11 Parafismosis (N47-Redundant prepuce, phimosis and paraphimosis)

9

12 Mastitis (N61-Inflammatory disorders of breast); (O91-Infections of

0 breast associated with childbirth); (O91.0-Infection of nipple
associated with childbirth); (O91.1-Abscess of breast associated
with childbirth); (O91.2-Nonpurulent mastitis associated with
childbirth)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

12 Salpingitis (N70-Salpingitis and oophoritis); (N70.0-Acute salpingitis and

1 oophoritis); (N70.1-Chronic salpingitis and oophoritis); (N70.9-
Salpingitis and oophoritis, unspecified)

12 Vaginitis (N76-Other inflammation of vagina and vulva); (N76.0-Acute

2 vaginitis); (N76.1-Subacute and chronic vaginitis); (N76.6-
Ulceration of vagina); (N76.8-Other specified inflammation of
vagina and vulva)

12 Vaginosis bakterialis (N76-Other inflammation of vagina and vulva); (N76.0-Acute

3 vaginitis); (N76.1-Subacute and chronic vaginitis); (N76.6-
Ulceration of vagina); (N76.8-Other specified inflammation of
vagina and vulva); (N77-Vulvovaginal ulceration and
inflammation in diseases classified elsewhere); (N77.1-Vaginitis,
vulvitis and vulvovaginitis in infectious and parasitic diseases
classified elsewhere); (N77.8-Vulvovaginal ulceration and
inflammation in other diseases classified elsewhere)

12 Vulvitis (N76-Other inflammation of vagina and vulva); (N76.2-Acute

4 vulvitis); (N76.3-Subacute and chronic vulvitis); (N76.4-Abscess
of vulva); (N76.6-Ulceration of vulva); (N76.8-Other specified
inflammation of vagina and vulva)

12 Aborsi spontan (O03-Spontaneous abortion); (O03.9-Complete or unspecified,

5 komplit without complication); (O04-Medical Abortion); (O04.9-Complete
or unspecified, without complication); (O05-Other Abortion);
(O05.9-Complete or unspecified, without complication); (O06-
Unspecified abortion); (O06.9-Complete or unspecified, without
complication)

12 Ruptur perineum (O70-Perineal laceration during delivery); (O70.0-First degree

6 tingkat 1-2 perineal laceration during delivery); (O70.1-Second degree
perineal laceration during delivery)

12 Kehamilan normal (O80-Single spontaneous delivery); (O80.0-Spontaneous vertex

7 delivery); (O80.1-Spontaneous breech delivery); (O80.8-Other
single spontaneous delivery); (O80.9-Single spontaneous
delivery, unspecified); (O26.8-Other specified pregnancy-related
conditions); (O26.9-Pregnancy-related condition, unspecified)
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

12 Inverted nipple (O92-Other disorders of breast and lactation associated with

8 childbirth); (O92.0-Retracted nipple associated with childbirth)

12 Cracked nipple (O92-Other disorders of breast and lactation associated with

9 childbirth); (O92.1-Cracked nipple associated with childbirth);
(N64-Other disorders of breast); (N64.0-Fissure and fistula of
nipple)

13 Infeksi pada umbilikus (P38-Omphalitis of newborn with or without mild haemorrhage)

0

13 Epistaksis (R04-Haemorrhage from respiratory passages); (R04.0-

1 Epistaxis)

13 Mabuk perjalanan (R11-Nausea and vomiting); (T75.3-Motion sickness)

2

13 Vertigo (Benign (R42-Dizziness and giddiness); (H81-Disorders of vestibular

3 paroxysmal positional function); (H81.1-Benign paroxysmal vertigo); (H81.3-Other
vertigo) peripheral vertigo); (H81.4-Vertigo of central origin); (H82-
Vertiginous syndromes in diseases classified elsewhere);
(T75.2-Effects of vibration)

13 Kejang demam (R56-Convulsions, not elsewhere classified); (R56.0-Febrile

4 convulsions); (R56.8-Other and unspecified convulsions)

13 Vulnus laseratum, (T00-Superficial injuries involving multiple body regions); (T00.0-

5 vulnus punctum Superficial injuries involving head with neck); (T00.1-Superficial
injuries involving thorax with abdomen, lower back and pelvis);
(T00.2-Superficial injuries involving multiple regions of upper
limb(s)); (T00.3-Superficial injuries involving multiple regions of
lower limb(s)); (T00.6-Superficial injuries involving multiple
regions of upper limb(s) with lower limb(s)); (T00.8-Superficial
injuries involving other combinations of body regions); (T00.9-
Multiple superficial injuries, unspecified); (T14-Injury of
unspecified body region); (T14.0-Superficial injury of unspecified
body region); (T14.1-Open wound of unspecified body region);
(T14.8-Other injuries of unspecified body region); (T14.9-Injury,
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

unspecified)

13 Benda asing di (T15-Foreign body on external eye); (T15.1-Foreign body in

6 konjungtiva conjunctival sac); (T15.8- Foreign body in other and multiple
parts of external eye); (T15.9-Foreign body on external eye, part
unspecified)

13 Benda asing (T17-Foreign body in respiratory tract); (T17.1-Foreign body in

7 nostril)

13 Luka bakar derajat 1 (T30.0-Burn of unspecified body region, unspecified degree);

8 dan 2 (T30.1-Burn of first degree, body region unspecified); (T30.2-
Burn of second degree, body region unspecified); (T30.4-
Corrosion of unspecified body region, unspecified degree);
(T30.5-Corrosion of first degree, body region unspecified);
(T30.6-Corrosion of second degree, body region unspecified);
(T21-Burn and corrosion of trunk); (T21.0-Burn of unspecified
degree of trunk); (T21.1-Burn of first degree of trunk); (T21.2-
Burn of second degree of trunk); (T21.4-Corrosion of
unspecified degree of trunk); (T21.5-Corrosion of first degree of
trunk); (T21.6-Corrosion of second degree of trunk); (T22-Burn
and corrosion of shoulder and upper limb, except wrist and
hand); (T22.0-Burn of unspecified degree of shoulder and upper
limb, except wrist and hand); (T22.1-Burn of first degree of
shoulder and upper limb, except wrist and hand); (T22.2-Burn of
second degree of shoulder and upper limb, except wrist and
hand); (T22.4-Corrosion of unspecified degree of shoulder and
upper limb, except wrist and hand); (T22.5-Corrosion of first
degree of shoulder and upper limb, except wrist and hand);
(T22.6-Corrosion of second degree of shoulder and upper limb,
except wrist and hand); (T23-Burn and corrosion of wrist and
hand); (T23.0-Burn of unspecified degree of wrist and hand);
(T23.1-Burn of first degree of wrist and hand); (T23.2-Burn of
second degree of wrist and hand); (T23.4-Corrosion of
unspecified degree of wrist and hand); (T23.5-Corrosion of first
degree of wrist and hand); (T23.6-Corrosion of second degree of
wrist and hand); (T24-Burn and corrosion of hip and lower limb,
except ankle and foot); (T24.0-Burn of unspecified degree of hip
and lower limb, except ankle and foot); (T24.1-Burn of first
degree of hip and lower limb, except ankle and foot); (T30-Burn
and corrosion, body region unspecified); (T24.2-Burn of second
degree of hip and lower limb, except ankle and foot); (T24.4-
Corrosion of unspecified degree of hip and lower limb, except
ankle and foot); (T24.5-Corrosion of first degree of hip and lower
limb, except ankle and foot); (T24.6-Corrosion of second degree
of hip and lower limb, except ankle and foot); (T25-Burn and
corrosion of ankle and foot); (T25.0-Burn of unspecified degree
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

of ankle and foot); (T25.1-Burn of first degree of ankle and foot);

(T25.2-Burn of second degree of ankle and foot); (T25.4-
Corrosion of unspecified degree of ankle and foot); (T25.5-
Corrosion of first degree of ankle and foot); (T25.6-Corrosion of
second degree of ankle and foot); (T29-Burns and corrosions of
multiple body regions); (T29.0-Burns of multiple regions,
unspecified degree); (T29.1-Burns of multiple regions, no more
than first-degree burns mentioned); (T29.2-Burns of multiple
regions, no more than second-degree burns mentioned); (T29.4-
Corrosions of multiple regions, unspecified degree); (T29.5-
Corrosions of multiple regions, no more than first-degree
corrosions mentioned); (T29.6-Corrosions of multiple regions, no
more than second-degree corrosions mentioned)

13 Keracunan makanan (T62-Toxic effect of other noxious substances eaten as food);

9 (T62.0-Ingested mushrooms); (T62.1-Ingested berries); (T62.2-
Other ingested (parts of) plant(s)); (T62.8-Other specified
noxious substances eaten as food); (T62.9-Noxious substance
eaten as food, unspecified); (T61-Toxic effect of noxious
substances eaten as seafood); (T61.0-Ciguatera fish poisoning);
(T61.1-Scombroid fish poisoning); (T61.2-Other fish and
shellfish poisoning); (T61.8-Toxic effect of other seafoods);
(T61.9-Toxic effect of unspecified seafood); (K52-Other
noninfective gastroenteritis and colitis); (K52.1-Toxic
gastroenteritis and colitis); (K52.8-Other specified noninfective
gastroenteritis and colitis); (K52.9-Noninfective gastroenteritis
and colitis, unspecified)

14 Reaksi gigitan (T63-Toxic effect of contact with venomous animals); (T63.4-

0 serangga Venom of other arthropods)

14 Reaksi anafilaktik (T78-Adverse effects, not elsewhere classified); (T78.2-

1 Anaphylactic shock, unspecified); (T80.5-Anaphylactic shock
due to serum); (T78.0-Anaphylactic shock due to adverse food
reaction); (T88.6-Anaphylactic shock due to adverse effect of
correct drug or medicament properly administered)

14 Kekerasan tajam (X99-Assault by sharp object); (X78-Intentional self-harm by

2 sharp object); (Y28-Contact with sharp object, undetermined
intent); (Y35.4-Legal intervention involving sharp objects); (W22-
Striking against or struck by other objects); (W26.9-Contact with
unspecified sharp object(s))
 DIAGNOSA NON SPESIALISTIK YANG TIDAK BISA DIRUJUK KE RUMAH SAKIT

14 Kekerasan tumpul (Y00-Assault by blunt object); (X79-Intentional self-harm by

3 blunt object); (Y29-Contact with blunt object, undetermined
intent); (Y35.3-Legal intervention involving blunt objects); (W22-
Striking against or struck by other objects)

14 HIV AIDS tanpa (Z21-Asymptomatic human immunodeficiency virus [HIV]

4 komplikasi infection status); (R75-Laboratory evidence of human
immunodeficiency virus [HIV]); (Z11.4-Special screening
examination for human immunodeficiency virus [HIV]); (Z20.6-
Contact with and exposure to human immunodeficiency virus
[HIV]); (Z71.7-Human immunodeficiency virus [HIV] counselling)