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