No Diagnosa ICD X

1 Fracture of upper end of tibia S82.1

Fracture of upper end of tibia S82.1
Fracture of upper end of tibia S82.1
2 Fracture of shaft of tibia S82.2
Fracture of shaft of tibia S82.2
Fracture of shaft of tibia S82.2
3 Fracture of lower end of tibia S82.3
Fracture of lower end of tibia S82.3
Fracture of lower end of tibia S82.3
4 Fracture of fibula alone S82.4
Fracture of fibula alone S82.4
Fracture of fibula alone S82.4
5 Fracture of shaft of femur S723
Fracture of shaft of femur S723
Fracture of shaft of femur S723
6 Fracture of lower end of femur S724
Fracture of lower end of femur S724
Fracture of lower end of femur S724
7 Subtrochanteric fracture S722
Subtrochanteric fracture S722
Subtrochanteric fracture S722
8 Pertrochanteric fracture S721
Pertrochanteric fracture S721
Pertrochanteric fracture S721
9 Fracture collum femur S720
Fracture collum femur S720
10 Fracture of patella S820
Fracture of patella S820
11 Fracture of calcaneus S920
Fracture of calcaneus S920
12 Fracture of talus S921
Fracture of talus S921
13 Fracture of metatarsal S923
Fracture of metatarsal S923
14 Fracture of great toe S924
Fracture of great toe S924
15 Fracture of other toe S925
Fracture of other toe S925
16 Fracture of clavicle S420
17 Fracture of upper end humerus S422
Fracture of upper end humerus S422
Fracture of upper end humerus S422
18 Fracture of shaft humerus S423
Fracture of shaft humerus S423
Fracture of shaft humerus S423
19 Fracture of lower end humerus S424
Fracture of lower end humerus S424
Fracture of lower end humerus S424
20 Fracture of upper end of ulna S520
 Fracture of upper end of ulna S520
Fracture of upper end of ulna S520
21 Fracture of upper end of radius S521
Fracture of upper end of radius S521
Fracture of upper end of radius S521
22 Fracture of shaft ulna S522
Fracture of shaft ulna S522
Fracture of shaft ulna S522
23 Fracture of shaft radius S523
Fracture of shaft radius S523
Fracture of shaft radius S523
24 Fracture of ulna and radius S524
Fracture of ulna and radius S524
Fracture of ulna and radius S524
25 Fracture of lower end of radius S525
Fracture of lower end of radius S525
Fracture of lower end of radius S525
Fracture of lower end of radius S525
Fracture of lower end of radius S525
26 Fracture of lower end of radius ulna S526
Fracture of lower end of radius ulna S526
Fracture of lower end of radius ulna S526
Fracture of lower end of radius ulna S526
Fracture of lower end of radius ulna S526
27 Fracture of metakarpal S623
Fracture of metakarpal S623
Fracture of metakarpal S623
Fracture of metakarpal S623
28 Fracture of other finger S626
Fracture of other finger S626
Fracture of other finger S626
Fracture of other finger S626
29 Dislocation of hip S730
Dislocation of hip S730
30 Dislocation of knee S831
Dislocation of knee S831
Dislocation of knee S831
31 Dislocation of ankle S930
Dislocation of ankle S930
Dislocation of ankle S930
Dislocation of ankle S930
32 Dislocation of shoulder S430
Dislocation of shoulder S430
33 Dislocation of elbow S531
Dislocation of elbow S531
34 Follow-up care invol remov fract plate oth int fix Z470
Follow-up care invol remov fract plate oth int fix Z470
Follow-up care invol remov fract plate oth int fix Z470
Follow-up care invol remov fract plate oth int fix Z470
Follow-up care invol remov fract plate oth int fix Z470
 Follow-up care invol remov fract plate oth int fix Z470
Follow-up care invol remov fract plate oth int fix Z470
Follow-up care invol remov fract plate oth int fix Z470
35 Other cronic Osteomyelitis M866
Other cronic Osteomyelitis M866
Other cronic Osteomyelitis M866
Other cronic Osteomyelitis M866
Other cronic Osteomyelitis M866
Other cronic Osteomyelitis M866
Other cronic Osteomyelitis M866
36 Crush injury of upper limb S47
37 Crush injury other part finger S678
38 Crush injury thumb and finger S670
39 Crush injury of wrist and hand S67
Crush injury of wrist and hand S67
40 Crush injury of forearm S578
41 Crush injury of elbow S570
42 Crush injury of shoulder and upper arm S47
Crush injury of shoulder and upper arm S47
Crush injury of shoulder and upper arm S47
43 Crush injury of lower limb S878
44 Crush injury of toe S971
45 Crush injury of foot S978
46 Crush injury of ankle S970
Crush injury of ankle S970
47 Crush injury of knee S870
Crush injury of knee S870
48 Crush injury of thigh S771
49 Crush injury of hip S770
50 Injury of (anterior) (posterior) tibial artery S851
Injury of (anterior) (posterior) tibial artery S851
51 Injury of dorsal artery of foot S950
Injury of dorsal artery of foot S950
52 Injury of other blood vessel ankle foot S958
Injury of other blood vessel ankle foot S958
53 Injury of popliteal artery S850
Injury of popliteal artery S850
54 Injury of femoral artery S750
Injury of femoral artery S750
55 Injury of blood vessel of thumb S654
Injury of blood vessel of thumb S654
56 Injury of blood vessel of other finger S655
Injury of blood vessel of other finger S655
57 Injury of ulnar artery S550
Injury of ulnar artery S550
58 Injury of radial artery S551
Injury of radial artery S551
59 Injury of other blood vessel forearm S558
Injury of other blood vessel forearm S558
60 Injury of bracial artery S451
 Injury of bracial artery S451
61 Injury of other blood vessel upperarm S458
Injury of other blood vessel upperarm S458
62 Injury of muscle and tendon of extensor foot muscle S961
63 Injury of muscle and tendon of flexor foot muscle S960
64 Injury of achiles tendon S860
65 Injury of muscle tendon anterior lower leg S862
66 Injury of muscle tendon posterior lower leg S861
67 Injury of quadrisep of tendon S761
68 Injury of extensor muscle tendon finger hand S663
69 Injury of flexsor muscle tendon finger hand S661
Injury of flexsor muscle tendon finger hand S661
70 Injury of long flexsor muscle tendon forearm S562
71 Injury of extensor muscle tendon forearm S564
72 Haemarthrosis, lower leg M2506
73 Talipes equinovarus Q660
74 Hemangioma D180
75 Mononeuropaty G580
Muscle wasting atropy M6250
76 Nonunion fracture pelvic thigh M8415
Unequal limb length pelvic thigh M2175
77 Nonunion fracture lower leg M8416
Unequal limb length lower leg M2176
78 Nonunion fracture forearm M8413
Unequal limb length forearm M2173
79 Nonunion fracture upperarm M8412
Unequal limb length upperarm M2172
80 Malunion of fracture pelvic thigh M8405
Unequal limb of fracture pelvic thigh M2175
81 Malunion fracture lower leg M8406
Unequal limb length lower leg M2176
82 Malunion fracture forearm M8403
Unequal limb length forearm M2173
83 Malunion fracture upperarm M8402
Unequal limb length upperarm M2172
84 Syndactily Q709
Syndactily Q709
Syndactily Q709
85 Polydactily Q699
Polydactily Q699
86 Macrodactily Q749
Macrodactily Q749
87 Congenital dislocation of hip Q650
Congenital dislocation of hip Q650
88 Abses of bursa M7109
Abses of bursa M7109
Abses of bursa M7109
Abses of bursa M7109
Abses of bursa M7109
Abses of bursa M7109
Abses of bursa M7109
Abses of bursa M7109
Abses of bursa M7109
Tindakan ICD IX
Open reduction with internal fixation of fracture of tibia and fibula 79.36
Open reduction without internal fixation of fracture of tibia and fibula 79.26
External fixation of fracture of tibia and fibula 78.17
Open reduction with internal fixation of fracture of shaft of tibia 79.36
Open reduction without internal fixation of fracture of tshaft of tibia 79.26
External fixation of fracture of shaft of tibia 78.17
Open reduction with internal fixation of fracture of lower end of tibia 79.36
Open reduction without internal fixation of fracture of lower end of tibia 79.26
External fixation of fracture of lower end of tibia 78.17
Open reduction with internal fixation of fracture of fibula 79.36
Open reduction without internal fixation of fracture of tshaft of fibula 79.26
External fixation of fracture of fibula 78.17
open reduction of fracture with internal fixation femur 79.35
open reduction of fracture without internal fixation femur 79.25
external fixtation of fracture of femur 78.15
open reduction of fracture with internal fixation femur 79.35
open reduction of fracture without internal fixation femur 79.25
external fixtation of fracture of femur 78.15
open reduction of fracture with internal fixation femur 79.35
open reduction of fracture without internal fixation femur 79.25
external fixtation of fracture of femur 78.15
open reduction of fracture with internal fixation femur 79.35
open reduction of fracture without internal fixation femur 79.25
external fixtation of fracture of femur 78.15
open reduction of fracture with internal fixation femur 79.35
partial hip replacement 81.52
open reduction of fracture with internal fixation tibia 79.36
patella stabilitation 81.44
open reduction of fracture with internal fixation tarsal 79.37
open reduction of fracture without internal fixation tarsal 79.27
open reduction of fracture with internal fixation tarsal 79.37
open reduction of fracture without internal fixation tarsal 79.27
open reduction of fracture with internal fixation metatarsal 79.37
open reduction of fracture without internal fixation metatarsal 79.27
open reduction of fracture with internal fixation metatarsal 79.37
open reduction of fracture without internal fixation metatarsal 79.27
open reduction of fracture with internal fixation phalang foot 79.38
open reduction of fracture without internal fixation phalang foot 79.28
open reduction of fracture with internal fixation clavicle 79.3
open reduction of fracture with internal fixation humerus 79.31
open reduction of fracture without internal fixation humerus 79.21
external fixtation of fracture of humerus 78.12
open reduction of fracture with internal fixation humerus 79.31
open reduction of fracture without internal fixation humerus 79.21
external fixtation of fracture of humerus 78.12
open reduction of fracture with internal fixation humerus 79.31
open reduction of fracture without internal fixation humerus 79.21
external fixtation of fracture of humerus 78.12
open reduction of fracture with internal fixation ulna 79.32
open reduction of fracture without internal fixation ulna 79.22
external fixtation of fracture of ulna 78.13
open reduction of fracture with internal fixation radius 79.32
open reduction of fracture without internal fixation radius 79.22
external fixtation of fracture of radius 78.13
open reduction of fracture with internal fixation ulna 79.32
open reduction of fracture without internal fixation ulna 79.22
external fixtation of fracture of ulna 78.13
open reduction of fracture with internal fixation radius 79.32
open reduction of fracture without internal fixation radius 79.22
external fixtation of fracture of radius 78.13
open reduction of fracture with internal fixation ulna and radius 79.32
open reduction of fracture without internal fixation ulna and radius 79.22
external fixtation of fracture of ulna and radius 78.13
open reduction of fracture with internal fixation radius 79.32
open reduction of fracture without internal fixation radius 79.22
external fixtation of fracture of radius 78.13
close reduction without internal fixation 79.02
close reduction with internal fixation 79.12
open reduction of fracture without internal fixation radius 79.22
external fixtation of fracture of radius 78.13
close reduction without internal fixation 79.02
close reduction with internal fixation 79.12
open reduction of fracture with internal fixation radius 79.32
open reduction of fracture without internal fixation metakarpal 79.23
open reduction of fracture with internal fixation metakarpal 79.33
close reduction without internal fixation 79.03
close reduction with internal fixation 79.13
open reduction of fracture without internal fixation phalang 79.24
open reduction of fracture with internal fixation phalang 79.34
close reduction without internal fixation 79.04
close reduction with internal fixation 79.14
Closed reduction 79.75
Open reduction 79.85
Closed reduction 79.76
Open reduction 79.86
External fixation 78.17
Closed reduction 79.77
Open reduction 79.87
External fixation 78.17
Arthrodesis of foot and ankle 81,17
Closed reduction 79.71
Open reduction 79.81
Closed reduction 79.72
Open reduction 79.82
Removal of implanted devices from femur 78.65
Removal of implanted devices from patela 78.66
Removal of implanted devices from tibia/fibula 78.67
Removal of implanted devices from tarsal/metatarsal 78.68
Removal of implanted devices from clavicle 78.61
Removal of implanted devices from humerus 78.62
Removal of implanted devices from radius ulna 78.63
Removal of implanted devices from carpal/metacarpal 78.64
Sequestrectomy humerus 77.02
Sequestrectomy radius ulna 77.03
Sequestrectomy carpal/metacarpal 77.04
Sequestrectomy femur 77.05
Sequestrectomy patella 77.06
Sequestrectomy tibia fibula 77.07
Sequestrectomy tarsal/metatarsal 77.08
Amputation of Upper limb 8400
Amputation of disarticulation finger 84.01
Amputation of disarticulation thumb 84.02
Amputation of hand 84.03
Disarticulation wrist 84.04
Amputation of forearm 84.05
Disarticulation elbow 84.06
Amputation of humerus 84.07
Disarticulation shoulder 84.08
Forequarter amputation 84.09
Amputation lower limb 8410
Amputation of toe 84.11
Amputation foot 84.12
Disarticulation ankle 84.13
Amputation ankle 84.14
Amputation below knee 84.15
Disarticulation knee 84.16
Amputation above knee 84.17
Disarticulation hip 84.18
Other surgical occlusion of vessels 38.88
Suture artery 39.31
Other surgical occlusion of vessels 38.88
Suture artery 39.31
Other surgical occlusion of vessels 38.88
Suture artery 39.31
Other surgical occlusion of vessels 38.88
Suture artery 39.31
Other surgical occlusion of vessels 38.88
Suture artery 39.31
Other surgical occlusion of vessels 38.83
Suture artery 39.31
Other surgical occlusion of vessels 38.83
Suture artery 39.31
Other surgical occlusion of vessels 38.83
Suture artery 39.31
Other surgical occlusion of vessels 38.83
Suture artery 39.31
Other surgical occlusion of vessels 38.83
Suture artery 39.31
Other surgical occlusion of vessels 38.83
Suture artery 39.31
Other surgical occlusion of vessels 38.83
Suture artery 39.31
Reattachment of tendon 83.73
Reattachment of tendon 83.73
Achilllorrhaphy 83.64
Reattachment of tendon 83.73
Reattachment of tendon 83.73
Quadrisep plasty 83.86
Reattachment of tendon 82.53
Reattachment of tendon 82.53
Tendon pulley reconstruction 82.71
Reattachment of tendon 82.53
Reattachment of tendon 82.53
Arthrocentesis 81.91
Division of joint capsule,ligament,or cartilage an 80.47
Other surgical occlusion of vessels 38.83
Other incision peripheral nerve 04.04
Other plastic operation femur 78.45
Bonegraft femur 78.05
Other plastic operation lower leg 78.47
Bonegraft tibia fibula 78.07
Other plastic operation forearm 78.43
Bonegraft radius ulna 78.03
Other plastic operation upperarm 78.42
Bonegraft humerus 78.02
Other plastic operation femur 78.45
Bonegraft femur 78.05
Other plastic operation lower leg 78.47
Bonegraft tibia fibula 78.07
Other plastic operation forearm 78.43
Bonegraft radius ulna 78.03
Other plastic operation upperarm 78.42
Bonegraft humerus 78.02
Correction of Syndactily 86.85
Fullthickness skingraft 86.61
Operation on vessel 39.99
Fullthickness skingraft 86.61
Operation on vessel 39.99
Amputation of toe 84.11
Internal fixation of bone 7850
Open reduction dislocation 79.85
Internal fixation of hip 79.35
Arthrotomy shoulder 80.11
Arthrotomy elbow 80.12
Arthrotomy wrist 80.13
Arthrotomy hand 80.14
Arthrotomy hip 80.15
Arthrotomy knee 80.16
Arthrotomy ankle 80.17
Arthrotomy foot 80.18
Arthrotomy other spesified site 80.19
GROUPING Kelas 1
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PADA SENDI TUNGKAI BAWAH (RINGAN) 15,719,500
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN) 10,856,300
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
FRAKTUR/DISLOKASI SELAIN FEMUR DAN PELVIS (RINGAN) 4,006,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
FRAKTUR/DISLOKASI SELAIN FEMUR DAN PELVIS (RINGAN) 4,006,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
FRAKTUR/DISLOKASI SELAIN FEMUR DAN PELVIS (RINGAN) 4,006,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
FRAKTUR PELVIS ATAU DISLOKASI SENDI PANGGUL (RINGAN) 5,018,800
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
FRAKTUR/DISLOKASI SELAIN FEMUR DAN PELVIS (RINGAN) 4,006,100
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
FRAKTUR/DISLOKASI SELAIN FEMUR DAN PELVIS (RINGAN) 4,006,100
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR KAKI (RINGAN) 11,879,900
FRAKTUR/DISLOKASI SELAIN FEMUR DAN PELVIS (RINGAN) 4,006,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
FRAKTUR/DISLOKASI SELAIN FEMUR DAN PELVIS (RINGAN) 4,006,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI INTERNAL (RINGAN) 5,865,900
EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI INTERNAL (RINGAN) 5,865,900
EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI INTERNAL (RINGAN) 5,865,900
EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI INTERNAL (RINGAN) 5,865,900
PROSEDUR SISTEM PERNAFASAN KOMPLEKS (RINGAN) 9,937,100
EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI INTERNAL (RINGAN) 5,865,900
EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI INTERNAL (RINGAN) 5,865,900
EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI INTERNAL (RINGAN) 5,865,900
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR KAKI (RINGAN) 11,879,900
AMPUTASI (RINGAN) 12,924,800
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
PROSEDUR KAKI (RINGAN) 11,879,900
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
AMPUTASI (RINGAN) 12,924,800
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR JARINGAN LUNAK (RINGAN) 7,246,800
PROSEDUR JARINGAN LUNAK (RINGAN) 7,246,800
PROSEDUR JARINGAN LUNAK (RINGAN) 7,246,800
PROSEDUR JARINGAN LUNAK (RINGAN) 7,246,800
PROSEDUR JARINGAN LUNAK (RINGAN) 7,246,800
PROSEDUR JARINGAN LUNAK (RINGAN) 7,246,800
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PENYAKIT TULANG DAN SENDI LAIN-LAIN (RINGAN) 3,788,700
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR SARAF KRANIAL DAN PERIFER (RINGAN) 11,973,700
PROSEDUR SARAF KRANIAL DAN PERIFER (RINGAN) 11,973,700
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PEMINDAHAN KULIT TANPA LUKA BAKAR (RINGAN) 12,074,600
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PEMINDAHAN KULIT TANPA LUKA BAKAR (RINGAN) 12,074,600
PROSEDUR SISTIM PEREDARAN DARAH LAIN-LAIN (RINGAN) 20,883,000
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN) 10,856,300
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 11,787,100
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN) 16,797,400
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN) 20,735,300
PROSEDUR KAKI (RINGAN) 11,879,900
PROSEDUR SISTEM MUSKULOSKLETAL & JARINGAN PENGHUBUNG LAIN-LAIN (RINGAN) 10,856,300
Kelas 2 Kelas 3
17,773,100 14,810,900
17,773,100 14,810,900
17,773,100 14,810,900
17,773,100 14,810,900
17,773,100 14,810,900
17,773,100 14,810,900
17,773,100 14,810,900
17,773,100 14,810,900
17,773,100 14,810,900
17,773,100 14,810,900
17,773,100 14,810,900
17,773,100 14,810,900
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
14,397,800 11,998,200
13,473,900 11,228,200
17,773,100 14,810,900
17,773,100 14,810,900
10,182,800 8,485,600
10,182,800 8,485,600
10,182,800 8,485,600
10,182,800 8,485,600
10,182,800 8,485,600
10,182,800 8,485,600
10,182,800 8,485,600
10,182,800 8,485,600
10,182,800 8,485,600
10,182,800 8,485,600
9,305,400 7,754,500
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
3,433,800 2,861,500
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
3,433,800 2,861,500
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
3,433,800 2,861,500
10,103,300 8,419,400
4,301,800 3,584,800
14,397,800 11,998,200
3,433,800 2,861,500
17,773,100 14,810,900
17,773,100 14,810,900
3,433,800 2,861,500
17,773,100 14,810,900
10,182,800 8,485,600
10,182,800 8,485,600
3,433,800 2,861,500
10,103,300 8,419,400
3,433,800 2,861,500
10,103,300 8,419,400
5,027,900 4,189,900
5,027,900 4,189,900
5,027,900 4,189,900
5,027,900 4,189,900
8,517,500 7,097,900
5,027,900 4,189,900
5,027,900 4,189,900
5,027,900 4,189,900
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
14,397,800 11,998,200
17,773,100 14,810,900
17,773,100 14,810,900
10,182,800 8,485,600
11,078,400 9,232,000
10,103,300 8,419,400
10,103,300 8,419,400
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
10,182,800 8,485,600
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
11,078,400 9,232,000
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
17,899,700 14,916,500
6,211,500 5,176,300
6,211,500 5,176,300
6,211,500 5,176,300
6,211,500 5,176,300
6,211,500 5,176,300
6,211,500 5,176,300
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
3,247,500 2,706,200
17,773,100 14,810,900
17,899,700 14,916,500
10,263,200 8,552,700
10,263,200 8,552,700
14,397,800 11,998,200
14,397,800 11,998,200
17,773,100 14,810,900
17,773,100 14,810,900
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
14,397,800 11,998,200
14,397,800 11,998,200
17,773,100 14,810,900
17,773,100 14,810,900
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,349,700 8,624,700
17,899,700 14,916,500
10,349,700 8,624,700
17,899,700 14,916,500
10,182,800 8,485,600
9,305,400 7,754,500
14,397,800 11,998,200
14,397,800 11,998,200
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
10,103,300 8,419,400
14,397,800 11,998,200
17,773,100 14,810,900
17,773,100 14,810,900
10,182,800 8,485,600
9,305,400 7,754,500