PRIMER SEKUNDER TINDAKAN

Hyperemesis Gravidarium with Metabolic

O21.1
Disturbances (HEG)
99.18 Injection or Infusion of Electrolisis
Unspecified maternal Infections & Parasitic
O98.9 A.010 Thypoid Fever
diseases Complication Pregnancy (TIFOID)
K29.7 Gastritis, Unspecified
Other Vomiting (GASTRITIS)
Complication Pregnancy Anaemia Complicating Pregnancy, Child Birth
O21.8 (GERD)
Diseases of Respiratory System Complicating O99.0 99.04 Transfusion Of Packed Cells (Darah)
and
ViralPuerperium (ANEMIA) Pregnancy, Child
Hepatitis Complicating
O99.5 Pregnancy
Other Viral (ASMA)
Diseases Complicating Pregnancy O98.4 99.07 Transfusion of other serum (Albumin)
Birth and Puerperium (Hep B)
O98.5 (DHF)
Endocrine Diseases Complicating Pregnancy D69.6 Trombocytopenia, unspecified 99.05 Transfusion of Platelets (Trombosit)
O99.2 (DM)
Diseases of Digestive System Complicating R77.0 Abnormality of Albumin (Hipoalbumin) 87.4 Other X Ray of Thorax
O99.6 Pregnancy
Diseases of(GEA)
Neuros sistem complicating 88.78 Diagnostic Ultrasound of Gravid Uterus (USG)
O99.3 Pregnancy (Vertigo)
Disease of circulatory sistem complicating 89.52 Electrocardiogram
Respiratory medication administered by
O99.4 pregnancy (ADHF) 93.94
nebulizer
O98.0 Tuberculosiscomplicating pregnancy (TB Paru) 99.21 Injection or infusion of antibiotic
O98.1 Syphilis complicaing Pregnancy (Sifilis)
ABORTUS
Aspiration Curettage of Uterus for Termination
O20.0 Threatened Abortion (Ab Imminen) 69.51
of Pregnancy
O02.0 Blighted Ovum
O02.1 Missed Abortion 69.59 Aspiration Curettage of Uterus (Kuret PA)
O03.1 Spontaneous
Spontaneous Abortion
Abortion :: Incomplete
Complete or
O03.9 Unspecified (Ab Komplit)
O01.9 Hydatidiform Mole, Unspecified (Molla)

PRIMER Premature Rupture SEKUNDER

of Membranes; unspecified TINDAKAN
O42.9 (KPD konservatif)
O14.0 Moderate Preeclampsia (PER)
Severe Preeclampsia
Gestational (PEB without
Hypertension / Impending
significant 99.18 Injection or Infusion of Electrolisis
Preterm Labour Without Delivery O14.1
eklampsi) complicating pregnancy,child
O60.0 proteinuria
(PPI) O13.4 birth,puerperium (HDK)
O44.1 Placenta Praevia with Haemmorhage (PPT) 88.78 Diagnostic Ultrasound of Gravid Uterus (USG)
Anaemia Complicating Pregnancy, Child Birth
O99.0 99.04 Transfusion Of Packed Cells (Darah)
and Puerperium
Multiple Delivery(ANEMIA)
All Spontaneous (keduanya
O84.0 letkep) 73.59 Other Manually Assisted Delivery
Multiple Delivery All By Forceps and Vaccum
O84.1 Extractor 72.71 Vaccum Extraction With Episiotomy
O84.8 72.1 Low Forceps operation with episiotomi
O30.0 Twin Pregnancy O84.9
Other
bokong)
Multiple
Multiple Delivery
delivery (SPT &(letkep
; unspecified VE) +
72.52 Other Partial Breech Delivery
O30.0 Twin Pregnancy
O84.2 Multiple Delivery all by Caesarean Section 74.1 Low Servical Caesarean Section
Z37.2 Twins Both Live Born 73.4 medical induction of labour
Delayed Delivery of Second Twins (Retensio
O63.2 Z37.3 Twins one live born and One Still Birth
Janin ke 2)
Q89.4 Conjoined
Severe Preeclampsia (PEB/impending
Twins (Kembar Siam) Z37.4 Twins Both Still Born (IUFD ALL)
O14.1 eklampsi) O80.9 Single Spontaneous Delivery Unspecified 99.18 Injection or Infusion Of Electrolisis
O14.2 HELLP SYNDROM 88.78 Diagnostic Ultrasound of Gravid Uterus
O15.0 Eclampsia in Pregnancy O82.1 Delivery By Emergency Caesarean Section 73.59 Other Manually Assisted Delivery
O15.1 Eclampsia in Labour 74.1 Low Servical Caesarean Section
O15.2 Eclampsia in Puerperium Z37.0 Single Live Birth 73.4 Medical induction of Labour

PRIMER SEKUNDER TINDAKAN

O80.9 Single Spontaneous Delivery Unspecified
Preterm Spontaneous Labour With Preterm
O60.1 O83.1 Other Assisted Breech Delivery
Delivery (Partus Preterm) 73.59 Other Manually Assisted Delivery
Z37.0 Single Live Birth
Z37.1 Single Still Birth
O36.4 Maternal Care for Intra Uterine Death (IUFD) Preterm Delivery Without Spontaneous Labour Other Partial Breech Extraction (Manual
O60.3 (partus preterm tanpa his) 72.52
Aid)
Q00.0 Anencephaly (anensepal) O32.1 Maternal care for breech Presentation (letsu) 73.4 Medical Induction Of Labour
O63.0 Prolonged First Stage of Labour O80.9 Single Spontaneous Delivery Unspecified
73.59 Other Manually Assisted Delivery
O81.4 Vaccum Extractor Delivery
O63.1 Prolonged Second Stage of Labour O81.0 Low Forceps Delivery 72.71 Vaccum Extraction With Episiotomy
72.1 Low Forceps Operation With Episiotomy
Primary Inadequate Contraction (Inertia Uteri Z37.0 Single Live Birth
O62.0 Primer)
Secondary Uterine Inertia (Inertia Uteri
O62.1 Sekunder) 73.4 Medical Induction Of Labour
Vaginal Delivery Following Previous Caesarean
O75.7
Section (VBAC) Other Partial Breech Extraction (Manual
Obstructed Labour Due to Breech Presentation O83.1 Other Assisted Breech Delivery 72.52
O64.1 Aid)
Other Total Breech Extraction (Full
(LETSU) 72.54 Extraksi)
Obstructed Labour Due To Fetopelvic
O65.4 Disproportion (CPD)Due to Shoulder
Obstructed Labour
O64.4 Presentation (LINTANG)
Obstructed Labour Due To Face Presentation O82.1 Delivery By Emergency Caesarean Section
O64.2 (MUKA) 74.1 Low Servical Caesarean Section
Obstructed Labour Due to other malposition
O64.8 and mal presentation (OBLIQUE)
Obstructed Labour Due to Compound
O64.5 Presentation (MAJEMUK)
 PRIMER SEKUNDER TINDAKAN
Failed Medical Induction Of Labour (GAGAL
O61.0
INDUKSI)
Failed Application of Forceps / Vaccum (GAGAL
O66.5
FE/VE)
Maternal Care Due To Uterine Scar From 74.1 Low Servical Caesarean Section
O34.2 Previous Surgery (BSC)
O82.1 Delivery By Emergency Caesarean Section
O44.1 Placenta Praevia With Haemorrhage (PPT)
75.34 Other Fetal Monitoring (Jika FD)
Labour and Delivery Complicated by Fetal Insertion of Intra Uterine Contraceptive Device
O68.0 Heart Rate Anomally (FD) 69.7
Labour and Delivery Complicated by Prolapse (IUD) Bilateral Destruction or Occlusion of
Other
O69.0 Delivery By Emergency Caesarean 66.3 Fallopian Tube (MOW)
of Cord (Tali
Rupture PusatDuring
of Uterus Menumbung)
Labour (RUPTURE O82.2
O71.1 UTERI) Hysterectomy (SC&HT) 68.3 Subtotal Abdominal Hysterectomy
Premature Separation of Placenta; Unspecified
O45.9 Z37.0 Single Live Birth 68.49 Total Abdominal Hysterectomy (HT)
(SOLPLAS)
O14.0 Moderate Preeclampsia (PER)
O14.2 Gestational Hypertension without significant
HELLP SYNDROM
proteinuria complicating pregnancy,child
O13.4 birth,puerperium (HDK)
Premature Rupture of Membrane (KPD < 24
O42.0 jam)
Premature Rupture of Membrane (KPD > 24
O42.1 jam)
O42.2 PROM labour Delayed by Therapy
O42.9 PROM ; Unspecified (Konservatif tanpa mules)
Disorder of Amniotic Fluid and
O41.9
Membranes;Unspecified (POLIHIDRAMNION)
O41.0 Oligohidramnion
O48.0 Post Term Pregnancy (Serotinus)

Maternal Care forSEKUNDER

Excessive Fetal Growth
O36.6 (GIANT BABY)
O36.5 Maternal Care for Poor Fetal Growth (IUGR)
O32.1 Maternal
Maternal Care
Care For
For Breech Presentation
Transverse (LETSU)
and Oblique Lie
O32.2 (OBLIQUE)
Maternal care for Compound Presentation
O32.6 (Majemuk)
Maternal care For Disproportion due
O33.6 Hydrocephalic fetus (hidrocepalus)
O98.7 HIV Disease Complicating Pregnancy (B20)
 Viral Hepatitis
Labour Complicating
and Delivery Pregnancy,
Complicated by CordChild
O98.4
Birth, Puerperium
Around Neck With(HbSAg Reaktif)
Compression (Lilitan Tali
O69.1 Pusat)
Tuberculosis Complication Pregnancy, Child
O98.0 Birth, Puerperium (TBC)
A63.0 Anogenital Warts (Condiloma)
N39.0 ISK
O75.3 Other Infection During Labour
B34.2 Corona Virus infection
Mental Disorders ; unspecified
and Diseases of The Nervous
O99.3 System Complicating Pregnancy, child
birth,puerperium (ODGJ)

HPP
PRIMER SEKUNDER TINDAKAN
Evacuation of Other Hematoma of Vulva or
O90.2 Hematoma Of Obstetric Wound (HEMATOM) 75.92 Vagina
Other Immediate Post Partum Haemorrhage Obstetric Laceration of Serviks (Laserasi
O72.1 O71.3 Portio) Repair of Other Current Obstetric Laceration
(HPP < 24 jam) First Degree Perineal Laceration During 75.6
O70.0 Delivery ( GradePerineal
1) (HZ)
Second Degree Laceration During
Delayed Immediate Post Partum O70.1 Delivery (Grade 2) 99.18 Injection or Infusion of Electrolisis
O72.2 Third Degree Perineal Laceration During
Haemmorhage (HPP >24 Jam) O70.2 Delivery ( GradePerineal
3) 88.78 Diagnostic Ultrasound of Gravid Uterus
Complication of The Puerperium ;Unspecified Fourth Degree Laceration During
O90.9 O70.3 Delivery ( Grade 4) 99.04 Transfusion Of Packed Cells
(KOMPLIKASI POST PARTUM) Obstetric Trauma ; unspecified (RUPTUR Manual Removal of Retained Placenta (MAN
O73.0 Retained Placenta (RETPLAS) O71.9 DINDING VAGINA) 75.4
PLAC)
Aspiration Curettage Following Delivery
R57.1 Hypovolaemic Shock 69.52 (KURET SISA)
Retained Portions of Placenta and Membranes Anaemia Complicating Pregnancy, Child Birth
O73.1 O99.0 68.49 Total Abdominal Hysterectomy (HT)
(SISA PLAC) and Puerperium (ANEMIA)
68.3 Subtotal Abdominal Hysterectomy
O43.2 Morbidly Adherent Placenta (AKRETA) 99.07 Transfusion of Other Serum (INF ALBUMIN)
Post Partum Inversion of Uterus (INVERSIO Surgical Correction of Inverted Uterus
O71.2 UTERI) 75.93
Disruption of Caesarean Section Wound (WH (REPOSISI of
Reclosure INVERSIO UTERI) Disruption
Post Operative
O90.0 akibat SC) of Operation Wound (WH akibat Op R77.0 Abnormally of Albumin 54.61 ofAbdominal wall (RE HZ ABDOMEN)
Disruption Closure of Skin and Subcutaneous tisue of
T81.3 selain SC) 86.59
Other Sites (RE HZ KULIT)
 Submucous Leiomyoma PRIMER
of Uterus (MYOMA SEKUNDER Other Excission or TINDAKAN
Destruction of Lesion of
D25.0 GEBURT) 68.29 Uterus
Excision or Destruction of Lesion of Vagina
D28.1 Benign
Female Neoplasma Vagina
Genital Track (KISTA
Fistula GARTNER)
; unspecified 70.33 (EKSISI KISTA GARTNER)
N82.9 (FISTULA VAGINA)
Non Inflammatory Disorder of Vagina ; 71.79 Other Repair
Suture of Vulvaofand
of Laceration Perineum
Vagina (HZ LASERASI
N89.9 unspecified (TRAUMA VAGINA)
Perineum ; unspecified (TRAUMA VULVA 70.71 VAGINA)
Suture of Laceration of Vulva or Perineum (HZ
N90.9 &PERINEUM ) 71.71
LASERASI VULVA/PERI)
N75.1 Abscess of Bartholin Gland (KISTA BARTHOLIN) 71.23 Marsupialization of Bartholin Gland
Q52.3 Imperforate Hymen 70.31 Hymenectomy
N90.7 Vulva Cyst (STT LABIA) Maglinant Neoplasm Cerviks Uteri ; 71.11 Biopsy of Vulva
C53.9 Unspecified 99.18 injection or infusion of Electrolisis
Z51.5 Palliative Care (CA CERVIKS)
D64.9 Anaemia ; unspecified 99.04 Transfusion
Other of Packed
Excission cells of Lesion or
or Destruction
N84.1 Polyp of Cerviks
Complete Uteri Prolapse (PROLAPS
Uterovaginal I15.9 Other Secondary
Acute Viral Hypertension (HT
Hepatitis;unspecified KRONIK)
(HEPATITIS 67.3 Tissue of Cerviks (BIOPSI SERVIKS)
N81.3 UTERI)
Maglinant Neoplasma uterine Adnexa ; B17.9 AKUT) 68.5 Vaginal Hysterectomy
C57.4 unspecified
Neoplasm of(TUMOR
UnceryainGANAS OVARIUM)
or Unknown Behaviour
D34.0 Uterus (SUSP
Abnormal CHORIO
Uterine and CARSINOMA)
Vaginal Bleeding ;
N93.9 Unspecified (PUA/DUB)
Female Pelvic Inflammatory Disease ; N85.0 Endometrial Hyperflasia 69.59 Aspiration Curettage of Uterus (KURET PA)
N73.9 unspecified (PID)
Mechanical Complication of Intrauterine A63.0 Anogenital Warts (CONDILOMA) Removal of Intra Uterine Contraceptive (AFF
T83.3 Contraceptive Device (TRANSLOKASI IUD) 97.71 IUD)

PRIMER SEKUNDER TINDAKAN

Anaemia Complicating Pregnancy, Child Birth
O00.1 Tubal Pregnancy (KET) O99.0 Salpingectomy With Removal of Tubal
and Puerperium (ANEMIA) 66.62
O00.2 Ovarian Pregnancy Pregnancy
D64.9 Anaemia ; unspecified 65.21 Marsupialization of Ovarian Cyst (KISTEKTOMI)
Other and Unspecified Ovarian Cyst (KISTA 54.11 Exploratory Laparatomy
N83.2
OVARIUM) 65.4 Unilateral Salpingoovarectomy (SOD/SOS)
65.6 Bilateral Salpingoovarectomy (SOB)
Other Excision or Destruction of Lesion of
68.29
Uterus (MIOMEKTOMI)
Leiomyoma of Uterus ; Unspecified (MIOMA 68.3 Subtotal Abdominal Hysterectomy
D25.9
UTERI) 68.4 Total Abdominal Hysterectomy
99.04 Transfusion of Packed cells