DIAGNOSA

Anaemia complicating pregnancy, childbirth and the puerperium O99.0 primary

Spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage
secondary
O03.1
Tindakan
Dilation and curettage following delivery or abortion 69.02

69.0 Dilation and curettage of uterus

69.01 Dilation and curettage for termination of pregnancy [+]
69.02 Dilation and curettage following delivery or abortion [+]
69.09 Other dilation and curettage [+]

DIAGNOSA
Severe pre-eclampsia O14.1 primary
Multiple gestation, unspecified O30.9 secondary
Unspecified protein-energy malnutrition E46 secondary
Tindakan
Low cervical cesarean section 74.1

DIAGNOSA
Hyperemesis gravidarum with metabolic disturbance O21.1 primary
Moderate protein-energy malnutrition E44.0 secondary

DIAGNOSA
Prolonged first stage (of labour) O63.0
primary
Prolonged second stage (of labour) O63.1

Tindakan
Medical induction of labor 73.4
DIAGNOSA
Subacute and chronic vaginitis N76.1 primary
Tindakan
Injection of antibiotic 99.21
Vaginal douche 96.44

Hasil Grouper
Operator/Waktu : Grouper Administrator / 6 Desember 2014 04:54
Tipe Pasien : Rawat Inap
Kode INACBG : W-4-11-I
Deskripsi : INFEKSI SISTEM REPRODUKSI WANITA RINGAN
Tipe CBG : Group - 4
Tarif : Rp 1.833.602,00

DIAGNOSA
Severe pre-eclampsia O14.1 primary
Status asthmaticus J46 secondary

Tindakan
Low cervical cesarean section 74.1
PROSEDUR OPERASI PEMBEDAHAN CAESAR
Deskripsi :
SEDANG
Tipe CBG : Group - 6
Tarif : Rp 4.478.350,00

DIAGNOSA
Maternal care for other abnormalities of gravid uterus O34.5 primary
Tindakan

Hasil Grouper

Kode INACBG : O-6-13-I

Deskripsi : PERSALINAN VAGINAL RINGAN
Tipe CBG : Group - 6
Tarif : Rp 2.031.754,00

DIAGNOSA
Hyperemesis gravidarum with metabolic disturbance O21.1 primary
Moderate protein-energy malnutrition E44.0
secondary
Unspecified protein-energy malnutrition E46
Tindakan

Hasil Grouper

Kode INACBG : W-4-16-III

Deskripsi : GANGGUAN ANTEPARTUM BERAT
Tipe CBG : Group - 4
Tarif : Rp 3.813.585,00

DIAGNOSA
Hyperemesis gravidarum with metabolic disturbance O21.1 primary
Tindakan

Hasil Grouper

Kode INACBG : W-4-16-I

Deskripsi : GANGGUAN ANTEPARTUM RINGAN
Tipe CBG : Group - 4
Tarif : Rp 2.104.103,00

DIAGNOSA
Anaemia complicating pregnancy, childbirth and the puerperium O99.0 primary
Tindakan
DIAGNOSA
Transfusion of packed cells 99.04

Hasil Grouper

Kode INACBG : W-4-16-I

Deskripsi : GANGGUAN ANTEPARTUM RINGAN
Tipe CBG : Group - 4
Tarif : Rp 2.104.103,00

DIAGNOSA
Severe pre-eclampsia O14.1 primary
Tindakan
Vacuum extraction with episiotomy 72.71

Hasil Grouper

Kode INACBG : W-4-16-I

Deskripsi : GANGGUAN ANTEPARTUM RINGAN
Tipe CBG : Group - 4
Tarif : Rp 2.104.103,00

DIAGNOSA
Maternal care for other abnormalities of gravid uterus O34.5 primary
Status asthmaticus J46 secondary
Tindakan

Hasil Grouper

Kode INACBG : W-4-16-II

Deskripsi : GANGGUAN ANTEPARTUM SEDANG
Tipe CBG : Group - 4
Tarif : Rp 2.813.767,00
DIAGNOSA
Endometriosis of ovary N80.1 secondary
Neoplasm of uncertain or unknown behavior of uterus D39.0 primary
Female chlamydial pelvic inflammatory disease N74.4 secondary
Septicaemia, unspecified A41.9 secondary
Tindakan
Total abdominal hysterectomy 68.4

Hasil Grouper

Kode INACBG : W-1-20-III

Deskripsi : PROSEDUR PADA RAHIM & ADNEKSA BERAT
Tipe CBG : Group - 1
Tarif : Rp 9.056.753,00

DIAGNOSA
Endometriosis of ovary N80.1 secondary
Neoplasm of uncertain or unknown behavior of uterus D39.0 primary
Female chlamydial pelvic inflammatory disease N74.4 secondary
Septicaemia, unspecified A41.9 secondary
Tindakan
Radical abdominal hysterectomy 68.6

Hasil Grouper

Kode
W-1-01-III
INACBG :
PROSEDUR OPERASI PENGANGKATAN RAHIM DAN VULVA RADIKAL
Deskripsi :
& EVISCERASI BERAT
Tipe CBG : Group - 1
Tarif : Rp 12.642.494,00
DIAGNOSA
Oligohydramnios O41.0 primary
Tindakan
Medical induction of labor 73.4
Hasil Grouper

Kode INACBG : W-4-16-I

Deskripsi : GANGGUAN ANTEPARTUM RINGAN
Tipe CBG : Group - 4
Rp 2.104.103,00
Tarif :

DIAGNOSA
Obstructed labour due to other malposition and malpresentation O64.8 primary
Premature rupture of membranes, onset of labour after 24 hours O42.1 secondary
Tindakan
Other operations to assist delivery 73.99

Hasil Grouper
Operator/Waktu : Grouper Administrator / 10 November 2014 12:44
Tipe Pasien : Rawat Inap
Kode INACBG : O-6-13-II
Deskripsi : PERSALINAN VAGINAL SEDANG
Tipe CBG : Group - 6
Tarif : Rp 2.404.713,00

DIAGNOSA
Obstructed labour due to other malposition and malpresentation O64.8 primary
Premature rupture of membranes, onset of labour within 24 hours O42.0 secondary
Tindakan
Other operations to assist delivery 73.99

Hasil Grouper
Operator/Waktu : Grouper Administrator / 10 November 2014 12:47
Tipe Pasien : Rawat Inap
Kode INACBG : O-6-13-I
Deskripsi : PERSALINAN VAGINAL RINGAN
Tipe CBG : Group - 6
Tarif : Rp 2.031.754,00

DIAGNOSA
Severe pre-eclampsia O14.1 primary
Tindakan
Low forceps operation with episiotomy 72.1
Medical induction of labor 73.4

Hasil Grouper
Operator/Waktu : Grouper Administrator / 10 November 2014 12:53
Tipe Pasien : Rawat Inap
Kode INACBG : W-4-16-I
Deskripsi : GANGGUAN ANTEPARTUM RINGAN
Tipe CBG : Group - 4
Tarif : Rp 2.104.103,00

DIAGNOSA
Severe pre-eclampsia O14.1 primary
Tindakan
Low forceps operation with episiotomy 72.1
Suture of laceration of vulva or perineum 71.71

Hasil Grouper
Operator/Waktu : Grouper Administrator / 11 November 2014 07:43
Tipe Pasien : Rawat Inap
Kode INACBG : W-1-30-I
Deskripsi : PROSEDUR PADA VAGINA, SERVIK & VULVA RINGAN
Tipe CBG : Group - 1
Tarif : Rp 2.755.198,00
DIAGNOSA
Primary
Habitual aborter N96

Unspecified abortion, complete or unspecified, without complication O06.9 primary

Tindakan
Dilation and curettage following delivery or abortion 69.02

Hasil Grouper
Operator/Waktu : Grouper Administrator / 11 November 2014 08:04
Tipe Pasien : Rawat Inap
Kode INACBG : W-1-11-I
Deskripsi : PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK RINGAN
Tipe CBG : Group - 1
Tarif : Rp 2.757.173,00

O02 Other abnormal products of conception

O02.0 Blighted ovum and nonhydatidiform mole [+]
O02.1 Missed abortion [+]
O02.8 Other specified abnormal products of conception [+]
O02.9 Abnormal product of conception, unspecified [+]

O03 Spontaneous abortion

O03.0 Spontaneous abortion, incomplete, complicated by genital tract and pelvic infection [+]
Spontaneous abortion, incomplete, complicated by delayed or excessive
O03.1
haemorrhage [+]
O03.2 Spontaneous abortion, incomplete, complicated by embolism [+]
O03.3 Spontaenous abortion, incomplete, with other and unspecified complications [+]
 O03.4 Spontaneous abortion, incomplete, without complication [+]
Spontaneous abortion, complete or unspecified, complicated by genital tract and pelvic
O03.5
infection [+]
Spontaneous abortion, complete or unspecified, complicated by delayed or excessive
O03.6
haemorrhage [+]
O03.7 Spontaneous abortion, complete or unspecified, complicated by embolism [+]
Spontaneous abortion, complete or unspecified, with other and unspecified
O03.8
complications [+]
O03.9 Spontaneous abortion, complete or unspecified, without complication [+]

O05 Other abortion

O05.0 Other abortion, incomplete, complicated by genital tract and pelvic infection [+]
O05.1 Other abortion, incomplete, complicated by delayed or excessive haemorrhage [+]
O05.2 Other abortion, incomplete, complicated by embolism [+]
O05.3 Other abortion, incomplete, with other and unspecified complications [+]
O05.4 Other abortion, incomplete, without complication [+]
Other abortion, complete or unspecified, complicated by genital tract and pelvic
O05.5
infection [+]
Other abortion, complete or unspecified, complicated by delayed or excessive
O05.6
haemorrhage [+]
O05.7 Other abortion, complete or unspecified, complicated by embolism [+]
O05.8 Other abortion, complete or unspecified, with other and unspecified complications [+]
O05.9 Other abortion, complete or unspecified, without complication [+]

DIAGNOSA
Other and unspecified failed attempted abortion, complicated by genital tract and
primary
pelvic infection O07.5
Shock following abortion and ectopic and molar pregnancy O08.3 secondary
Tindakan
Other dilation and curettage 69.09

Hasil Grouper
Operator/Waktu : Grouper Administrator / 15 November 2014 23:14
Tipe Pasien : Rawat Inap
Kode INACBG : W-1-11-III
Deskripsi : PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK BERAT
Tipe CBG : Group - 1
Tarif : Rp 10.207.312,00

DIAGNOSA

Prolonged second stage (of labour) O63.1 primary

Secondary uterine inertia O62.1 secondary
Tindakan
Medical induction of labor 73.4
Vacuum extraction with episiotomy 72.71

Hasil Grouper
Operator/Waktu : Grouper Administrator / 16 November 2014 00:23
Tipe Pasien : Rawat Inap
Kode INACBG : O-6-13-I
Deskripsi : PERSALINAN VAGINAL RINGAN
Tipe CBG : Group - 6
Tarif : Rp 2.031.754,00

DIAGNOSA

Cyst of Bartholin's gland N75.0 primary

Tindakan
Marsupialization of Bartholin's gland (cyst) 71.23

Hasil Grouper
Operator/Waktu : Grouper Administrator / 16 November 2014 00:32
Tipe Pasien : Rawat Inap
Kode INACBG : W-1-30-I
Deskripsi : PROSEDUR PADA VAGINA, SERVIK & VULVA RINGAN
Tipe CBG : Group - 1
Tarif : Rp 2.755.198,00
DIAGNOSA
Other antepartum haemorrhage O46.8 secondary
Severe pre-eclampsia O14.1 secondary
Delivery by emergency caesarean section O82.1 secondary
Tindakan
Low cervical cesarean section 74.1

Hasil Grouper
Operator/Waktu : Grouper Administrator / 16 November 2014 00:50
Tipe Pasien : Rawat Inap
Kode INACBG : O-6-10-I
Deskripsi : PROSEDUR OPERASI PEMBEDAHAN CAESAR RINGAN
Tipe CBG : Group - 6
Tarif : Rp 4.058.332,00

DIAGNOSA
Secondary uterine inertia O62.1 primary
Tindakan
Medical induction of labor 73.4

Hasil Grouper
Operator/Waktu : Grouper Administrator / 16 November 2014 01:18
Tipe Pasien : Rawat Inap
Kode INACBG : W-4-16-I
Deskripsi : GANGGUAN ANTEPARTUM RINGAN
Tipe CBG : Group - 4
Tarif : Rp 2.104.103,00
DIAGNOSA
Female infertility of other origin N97.8 secondary
Endometriosis of ovary N80.1 primary
Tindakan
Other unilateral salpingo-oophorectomy 65.49

Hasil Grouper
Operator/Waktu : Grouper Administrator / 16 November 2014 01:26
Tipe Pasien : Rawat Inap
Kode INACBG : W-1-20-I
Deskripsi : PROSEDUR PADA RAHIM & ADNEKSA RINGAN
Tipe CBG : Group - 1
Tarif : Rp 5.320.234,00

DIAGNOSA
Anaemia complicating pregnancy, childbirth and the puerperium O99.0 primary
Spontaneous abortion, incomplete, complicated by delayed or excessive
secondary
haemorrhage O03.1
Tindakan
Dilation and curettage following delivery or abortion 69.02

Hasil Grouper
Operator/Waktu : Grouper Administrator / 26 November 2014 21:57
Tipe Pasien : Rawat Inap
Kode INACBG : W-1-11-II
Deskripsi : PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK SEDANG
Tipe CBG : Group - 1
Tarif : Rp 4.847.425,00

DIAGNOSA
Fetal death of unspecified cause P95 primary
Spontaneous abortion, incomplete, complicated by delayed or excessive secondary
DIAGNOSA
haemorrhage O03.1
Tindakan
Dilation and curettage following delivery or abortion 69.02

Hasil Grouper
Operator/Waktu : Grouper Administrator / 26 November 2014 22:10
Tipe Pasien : Rawat Inap
Kode INACBG : W-1-11-II
Deskripsi : PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK SEDANG
Tipe CBG : Group - 1
Tarif : Rp 4.847.425,00

DIAGNOSA
Endometrial glandular hyperplasia N85.0 primary
Anaemia in neoplastic disease D63.0 secondary
Tindakan
Dilation and curettage following delivery or abortion 69.02
Transfusion of packed cells 99.04

Hasil Grouper
Operator/Waktu : Grouper Administrator / 26 November 2014 23:30
Tipe Pasien : Rawat Inap
Kode INACBG : W-1-11-II
Deskripsi : PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK SEDANG
Tipe CBG : Group - 1
Tarif : Rp 4.847.425,00

DIAGNOSA
Retained placenta without haemorrhage O73.0 secondary
Premature rupture of membranes, labour delayed by therapy O42.2 primary
Other single spontaneous delivery O80.8 secondary
DIAGNOSA
Tindakan
Manual removal of retained placenta 75.4
Dilation and curettage following delivery or abortion 69.02

Hasil Grouper
Operator/Waktu : Grouper Administrator / 27 November 2014 04:37
Tipe Pasien : Rawat Inap
Kode INACBG : O-6-13-II
Deskripsi : PERSALINAN VAGINAL SEDANG
Tipe CBG : Group - 6
Tarif : Rp 2.404.713,00

Diagnosa
Endometriosis of uterus N80.0 primary
Endometriosis of ovary N80.1 secondary
Anaemia, unspecified D64.9 secondary
Tindakan
Total abdominal hysterectomy 68.4

Hasil Grouper
Operator/Waktu : Grouper Administrator / 6 Desember 2014 04:16
Tipe Pasien : Rawat Inap
Kode INACBG : W-1-20-II
Deskripsi : PROSEDUR PADA RAHIM & ADNEKSA SEDANG
Tipe CBG : Group - 1
Tarif : Rp 7.511.630,00