DAFTAR NAMA PENYAKIT YANG HARUS DAPAT DITANGANI DI LAYANAN

PRIMER (TIDAK BOLEH DIRUJUK)

No

DIAGNOSA MENURUT KKI

SISTEM SARAF
1
Kejang demam
2
Tetanus
3
HIV AIDS tanpa komplikasi
4
Tension headache
5
Migren
6
Bells palsy

LEVEL Kode

KODE DIAGNOSA ASKES/BPJS

4A
4A
4A
4A
4A
4A

R56
A35
B20
G44
G43
G51

CONVULSIONS, NOT ELSEWHERE CLA

OTHER TETANUS
HIV DIS.RES.IN INFEC.PARASITIC
OTHER HEADACHE SYNDROMES
MIGRAINE
FACIAL NERVE DISORDERS

4A

H82

VERTIGINOUS SYNDROMES IN DISE.

PSIKIATRI
8
Gangguan somatoform
9
Insomnia

4A
4A

F45
G47

SOMATOFORM DISORDERS
SLEEP DISORDERS

SISTEM INDERA
10 Benda asing di konjungtiva
11 Konjungtivitis
12 Perdarahan subkonjungtiva
13 Mata kering
14 Blefaritis
15 Hordeolum
16 Trikiasis
17 Episkleritis
18 Hipermetropia ringan
19 Miopia ringan

4A
4A
4A
4A
4A
4A
4A
4A
4A
4A

T15
H10
H11
H04
H01
H00
H02
H15
H52
H52

FOREIGN BODY ON EXTERNAL EYE

CONJUNCTIVITIS
OTHER DISORDERS OF CONJUNCTIVA
DISORDERS OF LACRIMAL SYSTEM
OTHER INFLAMMATION OF EYELID
HORDEOLUM AND CHALAZION
OTHER DISORDERS OF EYELID
DISORDERS OF SCLERA
DISOR.OF REFRACTION & ACCOMMO.
DISOR.OF REFRACTION & ACCOMMO.

Vertigo (Benign paroxysmal positional

vertigo)

No
20
21
22
23
24
25
26
27
28
29
30
31

DIAGNOSA MENURUT KKI

Astigmatism ringan
Presbiopia
Buta senja
Otitis eksterna
Otitis media akut
Serumen prop
Mabuk perjalanan
Furunkel pada hidung
Rhinitis akut
Rhinitis vasomotor
Rhinitis alergika
Benda asing

LEVEL Kode
KODE DIAGNOSA ASKES/BPJS
4A
H52 DISOR.OF REFRACTION & ACCOMMO.
4A
H52 DISOR.OF REFRACTION & ACCOMMO.
4A
E50 VITAMIN A DEFICIENCY
4A
H60 OTITIS EXTERNA
4A
H67 OTITIS MEDIA IN DISEA.CLASS.E.
4A
H61 OTHER DISORDERS OF EXTERN. EAR
4A
T75 EFFECTS OTHER EXTERNAL CAUSES
4A
J34 OTHER DISOR.NOSE NASAL SINUSES
4A
J30 VASOMOTOR & ALLERGIC RHINITIS
4A
J30 VASOMOTOR & ALLERGIC RHINITIS
4A
J30 VASOMOTOR & ALLERGIC RHINITIS
4A
T17 FOREIGN BODY IN RESPIRATORY T.

SISTEM RESPIRASI
32 Epistaksis
33 Influenza
34 Pertusis
35 Faringitis
36 Tonsilitis
37 Laringitis
38 Asma bronkial
39 Bronkitis akut
40 Pneumonia, bronkopneumonia
41 Tuberkulosis paru tanpa komplikasi

4A
4A
4A
4A
4A
4A
4A
4A
4A
4A

R04
J11
A37
J02
J03
J04
J45
J20
J18
A15

HAEMORRHAGE FROM RESPIRATORY P

INFLUENZA,VIRUS NOT IDENTIFIED
WHOOPING COUGH
ACUTE PHARYNGITIS
ACUTE TONSILLITIS
ACUTE LARYNGITIS & TRACHEITIS
ASTHMA
ACUTE BRONCHITIS
PNEUMONIA,ORGANISM UNSPECIFIED
RESPIRATORY TUBERCOLOSIS, BACT

KARDIOVASKULAR
42 Hipertensi esensial

4A

I10

ESSENTIAL (PRIMARY) HYPERTENS.

No

DIAGNOSA MENURUT KKI

LEVEL Kode

KODE DIAGNOSA ASKES/BPJS

SALURAN PENCERNAAN
43 Kandidiasis mulut
44 Ulkus mulut (aptosa, herpes)
45 Parotitis
46 Infeksi pada umbilikus
47 Gastritis
48
49
50
51
52
53
54
55
56
57
58
59
60
61

Gastroenteritis (termasuk kolera, giardiasis)

Refluks gastroesofagus
Demam tifoid
Intoleransi makanan
Alergi makanan
Keracunan makanan
Penyakit cacing tambang
Strongiloidiasis
Askariasis
Skistosomiasis
Taeniasis
Hepatitis A
Disentri basiler, disentri amuba
Hemoroid grade 1/2

SISTEM GINJAL, SALURAN KEMIH

62 Infeksi saluran kemih
63 Gonore
64 Pielonefritis tanpa komplikasi
65 Fimosis
66 Parafimosis
No
DIAGNOSA MENURUT KKI
SISTEM REPRODUKSI

4A
4A
4A
4A
4A

B37
K12
B26
P38
K29

CANDIDIASIS
STOMATITIS & RELATED LESIONS
MUMPS
OMPHALITIS OF NEWBORN WITH OR
GASTRITIS & DUODENITIS

4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A

A09
K21
A01
K90
T78
T47
B76
B78
B77
B65
B68
B15
A09
I84

DIARRHOEA AND GASTROENTERITIS

GASTRO-OESOPHAGEAL REFLUX DIS.
TYPHOID AND PARATYPHOID FEVERS
INTESTINAL MALABSORPTION
ADVERSE EFFECTS, NOT ELSEW.CL
POISON.BY PRIMAR. THE GASTROI.
HOOKWORM DISEASES
STRONGYLOIDIASIS
ASCARIASIS
SCHISTOSOMIASIS (BILHARZIASIS)
TAENIASIS
ACUTE HEPATITIS A
DIARRHOEA AND GASTROENTERITIS
HAEMORRHOIDS

4A
4A
4A
4A
4A

N39
A54
N12
N47
N47

OTHER DISORDERS OF URINARY SYS

GONOCOCCAL INFECTION
TUBULO-INTERSTITIAL NEPHRITIS
REDUNDANT PREPUCE, PHIMOSIS AN
REDUNDANT PREPUCE, PHIMOSIS AN

LEVEL Kode

KODE DIAGNOSA ASKES/BPJS

67
68
69
70
71
72
73
74
75
76

Sindrom duh (discharge) genital (gonore dan

nongonore)
Infeksi saluran kemih bagian bawah
Vulvitis
Vaginitis
Vaginosis bakterialis
Salpingitis
Kehamilan normal
Aborsi spontan komplit
Anemia defisiensi besi pada kehamilan
Ruptur perineum tingkat 1/2

77 Abses folikel rambut atau kelenjar sebasea

78 Mastitis
79 Cracked nipple
80 Inverted nipple
SISTEM ENDOKRIN,METABOLIK DAN
NUTRISI
81 Diabetes melitus tipe 1
82 Diabetes melitus tipe 2
83 Hipoglikemia ringan
84 Malnutrisi energi-protein
85 Defisiensi vitamin
86 Defisiensi mineral
87 Dislipidemia
88 Hiperurisemia
No

DIAGNOSA MENURUT KKI

4A
4A
4A
4A
4A
4A
4A
4A
4A
4A

A54
N39
N76
N76
N76
N70
Z34
O03
D52
O70

GONOCOCCAL INFECTION
OTHER DISORDERS OF URINARY SYS
OTHER INFLAMMATION OF VAGINA A
OTHER INFLAMMATION OF VAGINA A
FEMALE PELVIC INFLAMMATORY DIS
SALPINGITIS AND OOPHORITIS
SUPERVISION OF NORMAL PREGNANC
SPONTANEOUS ABORTION
FOLATE DEFICIENCY ANAEMIA
PERINEAL LACERATION DURING DEL

4A
4A
4A
4A

L08
O91
O92
O92

OTHER LOCAL INFECTIONS OF SKIN

INFECTION OF BREAST ASSOCIATED
OTHER DISORDERS OF BREAST AND
OTHER DISORDERS OF BREAST AND

4A
4A
4A
4A
4A
4A
4A
4A

E10
E11
R57
E44
E56
E63
R79
E79

INSULIN-DEPENDENT DIABETES ME.

NON-INSULIN-DEPENDENT DIABETES
SHOCK, NOT ELSEWHERE CLASSIFIE
PROTEIN-ENERGY MALNUTRITION OF
OTHER VITAMIN DEFICIENCIES
OTHER NUTRITIONAL DEFICIENCIES
OTHER ABNORMAL FINDINGS OF BLO
DISORDERS OF PURINE & PYRIMID.

LEVEL Kode

KODE DIAGNOSA ASKES/BPJS

89

4A

E66

OBESITY

HEMATOLOGI DAN IMUNOLOGI

90 Anemia defisiensi besi
91 Limfadenitis
92 Demam dengue, DHF
93 Malaria
94 Leptospirosis (tanpa komplikasi)
95 Reaksi anafilaktik

4A
4A
4A
4A
4A
4A

D50
I88
A91
B54
A27
T78

IRON DEFICIENCY ANAEMIA

NONSPECIFIC LYMPHADENITIS
DENGUE HAEMORRHAGIC FEVER
UNSPECIFIED MALARIA
LEPTOSPIROSIS
ADVERSE EFFECTS, NOT ELSEW.CL

SISTEM MUSKULOSKELETAL
96 Ulkus pada tungkai
97 Lipoma

4A
4A

L97
D17

ULCER OF LOWE. LIMB, NOT ELSE.

BENIGN LIPOMATOUS NEOPLASM

SISTEM INTEGUMEN
98 Veruka vulgaris
99 Moluskum kontagiosum
100 Herpes zoster tanpa komplikasi
101 Morbili tanpa komplikasi
102 Varisela tanpa komplikasi
103 Herpes simpleks tanpa komplikasi
104 Impetigo
105 Impetigo ulseratif (ektima)
106 Folikulitis superfisialis
107 Furunkel, karbunkel
108 Eritrasma
109 Erisipelas
110 Skrofuloderma
111 Lepra

4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A

B07
B08
B02
B05
B01
B00
L01
L02
L73
L02
L08
A46
A18
A30

VIRAL WARTS
OTHER VIRAL INFECTIONS CHARAC.
ZOSTER (HERPES ZOSTER)
MEASLES
VARICELLA (CHICKENPOX)
HESPERVIRAL (HERPES SIMPLEX)
IMPETIGO
IMPETIGO
OTHER FOLLICULAR DISORDERS
CUTANEOUS ABSCESS,FURUNCLE & C
OTHER LOCAL INFECTIONS OF SKIN
ERYSIPELAS
TUBERCOLOSIS OF OTHER ORGANS
INTERMINATE LEPROSY

No

Obesitas

DIAGNOSA MENURUT KKI

LEVEL Kode

KODE DIAGNOSA ASKES/BPJS

112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
No
138

Sifilis stadium 1 dan 2

Tinea kapitis
Tinea barbe
Tinea fasialis
Tinea korporis
Tinea manus
Tinea unguium
Tinea kruris
Tinea pedis
Pitiriasis vesikolor
Kandidosis mukokutan ringan
Cutaneus larva migran
Filariasis
Pedikulosis kapitis
Pedikulosis pubis
Skabies
Reaksi gigitan serangga
Dermatitis kontak iritan
Dermatitis atopik (kecuali recalcitrant)
Dermatitis numularis
Napkin eczema
Dermatitis seboroik
Pitiriasis rosea
Akne vulgaris ringan
Hidradenitis supuratif
Dermatitis perioral
DIAGNOSA MENURUT KKI
Miliaria

4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A

A51
B35
B35
B35
B35
B35
B35
B35
B35
B85
B35
B74
B74
B85
B85
B86
L25
L24
L20
L20
L22
L21
L42
L70
L30
L30

EARLY SYPHILIS
DERMATOPHYTOSIS
DERMATOPHYTOSIS
DERMATOPHYTOSIS
DERMATOPHYTOSIS
DERMATOPHYTOSIS
DERMATOPHYTOSIS
DERMATOPHYTOSIS
DERMATOPHYTOSIS
PEDICULOSIS AND PHTHIRIASIS
DERMATOPHYTOSIS
FILARIASIS
FILARIASIS
PEDICULOSIS AND PHTHIRIASIS
PEDICULOSIS AND PHTHIRIASIS
SCABIES
UNSPECIFIED CONTACT DERMATITIS
IRRITANT CONTACT DERMATITIS
ATOPIC DERMATITIS
ATOPIC DERMATITIS
DIAPER (NAPKIN) DERMATITIS
SEBORRHOEIC DERMATITIS
PITYRIASIS ROSEA
ACNE
OTHER DERMATITIS
OTHER DERMATITIS

LEVEL Kode
KODE DIAGNOSA ASKES/BPJS
4A
L30 OTHER DERMATITIS

139

Urtikaria akut

4A

L50

URTICARIA

140
141
142

Exanthematous drug eruption, fixed drug

eruption
Vulnus laseratum, punctum
Luka bakar derajat 1 dan 2

4A
4A
4A

L27
T00
R12

DERMATITIS SUBSTANCES TAKEN I.

SUPERFICIAL INJURIES INVOLVING
HEARTBURN

4A
4A

S09
S10

OTHER AND UNSPECIFIED INJURIES

OTHER AND UNSPECIFIED INJURIES

FORENSIK DAN MEDIKOLEGAL

143 Kekerasan tumpul
144 Kekerasan tajam