ICD 9 dan 10

THT-KL

ICD 10 AUDIOLOGI-VESTIBULER
N
o
1
2

Diagnosis
Tuli Kongenital
Speech Delay

3
4
5
6
7
8
9
10
11
12

SNHL (Sensori Neural Hearing Loss)

CHL (Conductive Hearing Loss)
MHL (Mixed Hearing Loss)
NIHL (Noise Induce Hearing Loss)
SSNHL (Sudden Sensori Hearing Loss)
Akustik Trauma Hearing Loss
Presbiakusis
Tinitus
Vertigo Perifer
Meniere Disease

ICD 10
H 90.5
R 62.0 (Phisiologis),
F 80.0 (Psikologis)
H 90.5
H 90.2
H 90.8
H 83.3
H 91.2
H 83.3
H 91.1
H 93.1
H 81.3
H 81.0

ICD 9 AUDIOLOGI-VESTIBULER
N
o
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
.
11
.
12
.
13
.
14
.
15
.
16
.
17
.
18
.
19
.
20
.
21
.
22
.
23
.
24
.
25
.
26

Diagnosis dan Tindakan

Coustic neuroma
Menieres disease
Other and unspecified peripheral vertigo
Peripheral vertigo, unspecified
Benign Paroxysmal Positional veetigo
Vestibular neuronitis
Other (aural vertigo, Otogenic vertigo)
Vertigo of central origin
Other disorders of labyrinth
Unspecified vertiginous syndromes and
labyrinthine disorders
Presbyacusis

ICD 9
225.1
386.0
386.1
386.10
386.11
386.12
386.19
386.2
386.8
386.9
388.01

Noise effects on inner ear

388.1

Sudden hearing loss, unspecified

388.2

Tinnitus

388.3

Other abnormal auditory perception

388.4

Hyperacusis

388.42

Disorders of acoustic nerve

388.5

Conductive hearing loss

389.0

Sensorineural hearing loss

389.1

Mixed conductive and sensorineural hearing

loss
Deaf, non-speaking, not elsewhere
classifiable
Other specified forms of hearing loss

389.2

Unspecified hearing loss

389.9

389.7
389.8

Nonoperative procedures realated to

hearing
Audiometry

95.4
95.41

Clinical test of hearing

95.42
3

.
27
.
28
.
29
.
30
.

Audiological evaluation

95.43

Clinical versibular function test

95.44

Other auditory and vestibular function tests

95.46

Hearing examination, not otherwise

specified

95.47

ICD 10 Bronkoesofagologi

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

DIAGNOSIS
Odinophagia
Hoarseness
Foreign Body in Pharinx
Foreign Body in Larynx
Laringeal Papiloma
Vocal Cord Nodule
Achalasia Esophagus
Stenosis Esophagus
Foreign Body in Esophagus
Caustic chemical trauma of Esophagus
TracheoEsophageal Fistule
Benign Neoplasm of Larinx
Malignant Neoplasm of Larinx
Benign Neoplasm of Oropharing
Malignant Neoplasm of Oropharing
Benign Neoplasm of Hipopharing
Malignant Neoplasm of Hipopharing

ICD 10
J.37.0
R.49.0
T.17.2
T.17.0
D.14.1
J.38.2
K.22.0
K.22.2
T.18.1
H.83.3
J.86.0
D.14.1
C.32.9
D.10.5
C.10.9
D.10.7
C.13.9

ICD 9 Bronkoesofagologi

TREATMENT
1
2
3
4
5
6
7
8
9
10
11

Tracheostomi
Triple endoscopy
Laringeal Biopsy
Hipopharingeal Biopsy
Nasogastric tube insertion
Ventilator insertion
Removal of intraluminal foreign
mouth without incision
Removal of intraluminal foreign
esophagus without incision
Removal of intraluminal foreign
pharynx
Removal of intraluminal foreign
larynx
Removal of intraluminal foreign
trachea and bronchus

body from

ICD 9
31.2
31.42
31.3
42.3
96.07
96.71
98.01

body from

98.02

body from

98.13

body from

98.14

body from

98.15

No
1
2
3
4
5
6
7
8
9
10
11
12
13
14

15
16
17

18

19
20

21
22
23
24
25
26
27
28
29
30
31

DIAGNOSIS
nasopharynx
larynx (laryngeal papilloma)
tonsil
tongue
thyroid gland
midlle ear, nasal cavity and

Benign neoplasm of
Benign neoplasm of
Benign neoplasm of
Benign neoplasm of
Benign neoplasm of
Benign neoplasm of
accessory sinuses
Benign neoplasm of parotid gland
Benign neoplasm of other major salivary glands
Benign neoplasm of other parts of oropharynx
Benign neoplasm of hypopharynx
Benign neoplasm of unspecified part of mouth
Benign neoplasm of other parts of mouth
Hodgkin Malignant Lymphoma
NHML (Non Hodgkin Malignant Lymphoma)
Hemangioma unspecified site
Hemangioma of skin and subcutaneous tissue
Hemangioma of other sites
Lymphangioma, any site
Sialolithiasis
Sialodenitis
Congenital malformations ot other endocrine gland
(Ductus thyroglosus cyst)
ICD 10 Head and Neck (Onkologi)
Tuberculosis of Larynx, Trachea and Bronchus,
Confirmed Bacteriologically and Histologically
(Tuberculosis of: bronchus, glottis, larynx, trachea)
Tuberculosis of Lung, without mention of
Bacteriologically or Histologically Confirmation
Tuberculosis of of Larynx, Trachea and Bronchus,
without mention of Bacteriologically or Histologically
Confirmation
Tuberculosis of Pleurisy, without mention of
Bacteriologically or Histologically Confirmation
Other Tetanus
Pharyngeal diphtheria
Meningococcal infection, unspecified
Septicemia, unspecified (Septic shock)
Necrotizing ulcerative stomatitis
Dengue Haemorragic Fever
HIV disease resulting in Candidiasis
Candidiasis, unspecified
Nasopharyngeal myiasis
Malignant neoplasma of base of tongue Dorsal surface

ICD 10
D 10.6
D 14.1
D 10.4
D 10.1
D 34
D 14.0
D 11.0
D 11.7
D 10.5
D 10.7
D 10.30
D 10.39
C 81.0
C 85.9
D 18.00
D 18.01
D 18.09
D 18.1
K 11.5
K 11.2
Q 89.2

A 15.5

A 16.2
A 16.4

A 16.5
A 35
A 36.0
A 39.9
A 41.9
A 69.0
A 91
B 20.4
B 37.9
B 87.3
C 01
7

32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74

of base of tongue, fixed part of tongue NOS, posterior

third of tongue
Malignant neoplasma of other and unspecified part of
tongue
Malignant neoplasma of Border of tongue
Malignant neoplasma of Ventral surface of tongue
Malignant neoplasma of Lingual tonsil
Malignant neoplasma of Tongue, unspecified
Malignant neoplasma of Gum, unspecified
Malignant neoplasma of lateral floor of mouth
Malignant neoplasma of palate
Malignant neoplasma of hard palate
Malignant neoplasma of soft palate
Overlapping lesion of palate
Malignant neoplasma of palate, unspecified
Malignant neoplasma of mouth, unspecified
Malignant neoplasma of parotid gland
Malignant neoplasma of submandibular gland
Malignant neoplasma of tonsil
Malignant neoplasma of tosillar fossa
Malignant neoplasma of tonsil, unspecified
Malignant neoplasma of anterior surface of epiglotis
Malignant neoplasma of posterior wall of oropharynx
Malignant neoplasma of oropharynx, unspecified
Malignant neoplasma of nasopharynx
Malignant neoplasma of superior wall of nasopharynx
Malignant neoplasma of posterior wall of nasopharynx
Malignant neoplasma of lateral wall of nasopharynx
Malignant neoplasma of anterior wall of nasopharynx
Overlapping lesion of nasopharynx
Malignant neoplasma of nasopharynx, unspecified
Malignant neoplasma of hypopharynx, unspecified
Malignant neoplasma of pharynx, unspecified
Malignant neoplasma of oesophagus, unspecified
Malignant neoplasma of cardia
Malignant neoplasma of nasal cavity
Malignant neoplasma of maxillary sinus > antrum
(Highmore) (maxillary)
Malignant neoplasma of ethmoidal sinus
Overlapping lesion of accessory sinus, unspecified
Malignant neoplasma of accessory sinus, unspecified
Malignant neoplasma of larynx
Malignant neoplasma of glottis
Malignant neoplasma of supraglotis
Malignant neoplasma of subglotis
Overlapping lesion of larynx
Malignant neoplasma of larynx, unspecified

C 02.0
C 02.1
C 02.2
C 02.4
C 02.9
C 03.9
C 04.1
C 05
C 05.0
C 05.1
C 05.8
C 05.9
C 06.9
C 07
C 08.0
C 09
C 09.0
C 09.9
C 10.1
C 10. 3
C 10. 6
C 11
C 11. 0
C 11. 1
C 11. 2
C 11. 3
C 11. 8
C 11. 9
C 13.9
C 14. 0
C 15. 9
C 16. 0
C 30. 0
C 31. 0
C 31. 1
C 31. 8
C 31. 9
C 32
C 32. 0
C 32. 1
C 32. 2
C 32. 8
C 32. 9
8

75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93

94
95

96

Malignant neoplasma of trachea

Malignant neoplasma of thymus
Malignant neoplasma of bones of skull and face
(maxilla, orbital bone)
Malignant neoplasma of bones mandible (lower jaw
bone)
Melanoma & other malignant neoplasm of skin other &
unspecified parts of face
Malignant neoplasma of skin of eyelid, including
canthus
Malignant neoplasma of ear and external auricular
canal
Malignant neoplasma of skin of other and unspecified of
face
Malignant neoplasma of scalp and neck
Malignant neoplasma of skin, unspecified
Malignant neoplasma of other connective and soft
tissue of head, face and neck > ear, eyelid
Malignant neoplasma of connective and soft tissue,
unspecified
Malignant neoplasma of lacrimal gland & duct
Malignant neoplasma of orbita
Malignant neoplasma of eye, unspecified
Malignant neoplasma of thyroid gland
Malignant neoplasma of other and ill- defined sites
Malignant neoplasma of head, face, and neck (cheek
NOS, nose NOS)
Secondary and unspecified malignant neoplasm of
lymph nodes of head, face and neck (supraclavicular
lymph nodes)
Secondary and unspecified malignant neoplasm ofother
and unspecified
Non-Hodgkin lymphoma, unspecified, unspecified site
Non-Hodgkin lymphoma, unspecified, nodes of head,
face and neck
Non-Hodgkin lymphoma, unspecified, axilla and upper
limb
Upper airway obstruction

C 33
C 37
C 41. 0
C 41. 1
C 43. 3
C 44.1
C 44. 2
C 44. 3
C 44. 4
C 44. 9
C 49. 0
C 49. 9
C 69. 5
C 69. 6
C 69. 9
C 73
C 76
C 76. 0
C 77. 0

C 78. 8
C 85.90
C 85.91
C 85.94
J 44

ICD 9 Head and Neck (Onkologi)

1

2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

PROSEDUR
Control of epistaxis by anterior nasal packing
Control of epistaxis by posterior (and anterior) packing
Control of epistaxis by other means
Rhinoscopy
Closed (endoscopic) (needle) biopsy of nasal sinus
Open biopsy of nasal sinus
Complete parathyroidectomy
Other parathyroidectomy
Unilateral thyroid lobectomy
Complete thyroidectomy
Excision of thyroglossal duct or tract
Aspiration of thyroid field
Local excision or destruction of other lesion of nose
(Lateral rhinotomy)
Other external maxillary antrotomy (Radical
maxillectomy with orbital exenteration)
Excision of lession of maxillary sinus with other
approach (Maxillectomy)
Biopsy of nose
Incision of nose
Resection of nose
Closed (needle) biopsy of tongue
Open biopsy of tongue
Lingual frenectomy
Other glossotomy
Partial glossectomy
Complete glossectomy
Radical glossectomy
Sialoadenectomy
Incision of salivary gland or duct
Incision of palate
Pharyngoscopy
Pharyngeal biopsy (nasopharyngeal)
Partial mandibulectomy
Aspiration and lavage of nasal sinus, not otherwise
specified
Puncture of nasal sinus for aspiration or lavage
Hemilaryngectomy
Other partial laryngectomy
Epiglttidectomy
Vocal cordectomy
Other partial laryngectomy
Complete laryngectomy
Radical laryngectomy

ICD 9
21.01
21.02
21.09
21.21
22.11
22.12
06.81
06.89
06.2
06.4
06.7
06.01
21.32
22.39
22.62
21.22
21.1
21.4
25.01
25.02
25.92
25.94
25.2
25.3
25.4
26.3
26.0
27.1
29.11
29.12
76.31
22.00
22.01
30.1
30. 21
30.21
30.22
30.29
30.3
30.4
10

39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69

70
71
72
73
74

Other operations on larynx and trachea

Injection of larynx
Temporary of tracheostomy
Permanent tracheostomy
Mediastinal tracheostomy
Other permanent tracheostomy
Other incision of larynx or trachea
Diagnostic procedures on larynx and trachea
Tracheoscopy through artificial stoma
Laryngoscopy and other tracheoscopy
Closed (endoscopic) biopsy of larynx
Closed (endoscopic) biopsy of trachea
Open biopsy of larynx or trachea
Other diagnostic procedures of larynx
Other diagnostic procedures of trachea
Local excision or destruction of lesion or tissue of
trachea
Laryngotracheal fistulectomy
Revision of laryngostomy
Tracheoesophageal fistulectomy
Repair of larynx
Suture of laceration of larynx
Closure of fistula of larynx
Revision of laryngostomy
Repair of laryngeal fracture
Other repair of larynx
Repair and plastic operations of trachea
Suture of laceration of trachea
Closure of external fistula of trachea
Other nonoperative procedures
Transfusion of blood and blood components
Perioperative autologous transfusion of whole blood or
blood components
Transfusion of packed cells
Open biopsy of tongue
Injection or infusion of cancerchemotherapeutic
subctance
Injection or infusion platelet inhibitor
Injection of antibiotic
Injection of steroid

31
31.0
31.1
31.2
31.21
31.29
31.3
31.4
31.41
31.42
31.43
31.44
31.45
31.48
31.49
31.5
31.62
31.63
31.73
31.6
31.61
31.62
31.63
31.64
31.69
31.7
31.71
31.72
99
99.0
99.00
99.04
25.02
99.25
99.20
99.21
99.23

ICD 10 Laring-Faring
N
o
1

Diagnosis
Nasofaringitis akut [common cold]

ICD 10
J.00
11

2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

Sinusitis akut
Sinusitismaksillaris akut
Antritis akut
Sinusitisfrontalis akut
Sinusitisethmoidalis akut
Sinusitissfenoidalis akut
Pansinusitis akut
Sinusitis akut lain
Sinusitis akut yang melibatkan lebih dari satu
sinus, tapi bukan pansinusitis
Sinusitis akut, tidak dijelaskan
Faringitis akut
Faringitis streptokokus
Sorethroat streptokokus
Faringitis akut karena organisme lain yang
dijelaskan
Faringitisakut, tidak dijelaskan
Tonsillitisakut
Tonsillitisstreptokokus
Tonsillitis akut karena organisme lain yang
dijelaskan
Tonsillitis akut, tidak dijelaskan
Tonsillitis (akut) NOS, folikuler, gangrenosa,
infektif, ulseratif
Laryngitis dan trakheitis akut
Laringitis akut;
Laringitis (akut): NOS, edematosa, subglottis,
supuratif, ulseratif
Trakheitisakut
Trakheitis (akut) NOS, kataralis
Laryingotrakheitis akut
Laringotrakheitis NOS; trakheitis (akut) dengan
laringitis (akut)
Laringitis obstruksiakut [croup] dan epiglottitis
akut
Laringitis obstruktif akut [croup]
Laringitis obstruktif NOS
Epiglottitis akut
Epiglottitis NOS
Infeksisaluranpernafasanatasakutpadasitus
ganda dan tidakdijelaskan
Laringofaringitis akut
Infeksi saluran pernafasan atas akut lainnya
pada situs ganda
Infeksi saluran pernafasan atas akut, tidak
dijelaskan
Penyakit saluran pernafasan atas akut,
Infeksi saluran pernafasan atas [ISPA] NOS

J.01
J01.0
J01.1
J01.2
J01.3
J01.4
J01.8
J01.9
J02
J02.0
J02.8
J02.9
J03
J03.0
J03.8
J03.9
J04
J04.0
J04.1
J04.2
J05
J05.0
J05.1
J06
J06.0
J06.8
J06.9

12

29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53

Penyakit kronik tonsil dan adenoid

Tonsillitis kronik
Hipertrofi tonsil
Pembesaran tonsil
Hipertrofi adenoid
Pembesaran adenoid
Hipertrofi tonsil dengan hipertrofi adenoid
Penyakit kronik lain tonsil dan adenoid
Vegetasi adenoid, amigdalolith, sikatriks tonsil,
tonsillar tag, ulkus tonsil
Penyakit kronik tonsil dan adenoid, tidak
dijelaskan
Penyakit (kronik) tonsil dan adenoid NOS
Abses peritonsil
Abses tonsil, selulitis peritonsil, Quinsy
Laringitis dan laringotrakheitis kronik
Laringitis kronik
Laringitis kataralis, hipertrofik, sicca (kering)
Laringitis Laringotrakheitis kronik
Laringitis, kronik, dengan trakheitis (kronik)
Tracheitis, kronik, dengan laringitis
Penyakitpitasuaradanlarings, n.e.c.
Paralisis pita suara dan laring
Laringoplegia, paralisis glottis
Polip pita suara dan larings
Nodul pita suara
Chorditis (fibrinosa) (nodosa) (tuberosa),
singer'snodes, teacher's nodes
Penyakit lain pita suara
Abses, sellulitis, granuloma, leukokeratosis, atau
leukoplakia pada pita suara
Oedema larings:
Oedema (pada): glottis, subglottis, supraglottis
Spasme larings
Laringismus (stridulus)
Stenosis larings
Penyakit lain pada larings
Abses, sellulitis, penyakit NOS, nekrosis,
pakiderma, perikondritis, atau ulkus larings
Penyakit lain pada saluran pernafasan atas
Abses retrofarings dan parafarings
Abses perifarings
Abses lain pada farings
Sellulitis farings, abses nasofarings
Penyakit lain pada farings
Kista dan edema pada faring atau nasofarings
Reaksi hipersensitif saluran pernafasan atas,
situs tidak dijelaskan

J35
J35.0
J35.1
J35.2
J35.3
J35.8
J35.9
J36
J37
J37.0
J37.1
J38
J38.0
J38.1
J38.2
J38.3
J38.4
J38.5
J38.6
J38.7
J39
J39.0
J39.1
J39.2
J39.3

13

54
55

56

57
58
59

Penyakit lain yang dijelaskan padasaluran

pernafasan atas
Penyakit saluran pernafasan atas, tidak
dijelaskan
Malfungsi trakheostomi
Obstruksi saluran udara trakheostomi,
Perdarahan dari stoma trakheostomi,
Sepsis pada stoma trakheostomi,
Fistula tracheo-oesophagus menyusul
trakheostomi
Stenosis subglottis pasca-prosedur

J39.8

Nasofaringitis kronik
Faringitis kronik
Sore throat kronik
Faringitis (kronik): atrofik, granular, hipertrofik

J31.1
J31.2

J39.9
J95.0

J95.5

14

ICD 9 Laring-Faring
N
o
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

Prosedur

ICD 9

Other operation of salivary gland or duct

Drainage of face and floor of mouth
Incisionof palate
Biopsy of bony palate
Biopsy of uvula and bony palate
Biopsy of lip
Biopsy of mouth, unspecified structure
Other diagnostic procedures on oral cavity
Incision of uvula
Excision of uvula
Repair of uvula
Other operation of uvula
Labial frenotomy
Incision of mouth, unspecified structure
Other operation on oral cavity
Incision and drainage of tonsil and peritonsilar
structure
Biopsy of tonsils and adenoid
Other diagnostic procedures on tonsils and
adenoid
Tonsilectomy without adenoidectomy
Tonsilectomy with adenoidectomy
Exicision of tonsil tag
Exicision of lingual tonsil
Adenoidectomy withot tonsillectomy
Control of hemorrhage after tonsillectomy and
adenoidectomy
Removal foreign body from tonsil and adenoid by
incision
Exicision of lesion of tonsil and adenoid
Other operation on tonsils and adenoids
Pharyngotomi
Pharyngoscopy
Pharyngeal biopsy
Other diagnostic procedures on pharynx
Exicision of branchial cleft cyst or vestige
Cricopharyngeal myotomi
Pharyngeal diverculectomy
Pharyngectomi (partial)
Other exicision or destruction of lesion or tissue
of pharynx
Plastic operation of pharynx
Suture laceration of pharynx

2699
270
271
2721
2722
2723
2724
2729
2771
2772
2773
2779
2791
2792
2799
280
2811
2819
282
283
284
285
286
287
2891
2892
2899
290
2911
2912
2919
292
2931
2932
2933
2939
294
2951
15

39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81

Closure of branchial cleft fistula

Closure of other fistula of pharynx
Lysis of pharyngeal adhesions
Other repair of pharynx
Dilation of pharynx
Division of glossopharyngeal nerve
Other operation of pharynx
Marsupialization of laryngeal cyst
Other excision or destruction of lesion or tissue
of larynx
Hemylaryngectomy
Epiglottidectomy
Vocal cordectomy
Other partial laryngectomy
Complete laryngectomy
Radical laryngectomy
Injection of larynx
Temporary tracheostomy
Mediastinal tracheostomy
Other permanent tracheostomy
Other incision of larynx or trachea
Tracheoscopy through artifial stoma
Laryngoscopy and other tracheoscopy
Closed [endoscopic] biopsy of larynx
Closed [endoscopic] biopsy of trachea
Open biopsy of larynx or trachea
Other diagnostic procedures on larynx
Other diagnostic procedures on trachea
Local exicision or destruction of lesion or tissue
of trachea
Suture of laceration of larynx
Closure of fistula of larynx
Revision of laryngostomy
Repair of laryngeal fracture
Other repair of larynx
Suture of laceration of trachea
Closure of external fistula of trachea
Closure of other fistula of trachea
Revision of tracheostomy
Reconstruction of trachea and construction of
artificial larynx
Other repair and plastic operation on trachea
Division of laryngeal nerve
Lysis and adhesion of trachea or larynx
Replacement of laryngeal or tracheal stent
Injection of locally-acting theurapeutic substance
into trachea

2952
2953
2954
2959
2991
2992
2999
3001
3009
301
3021
3022
3029
303
304
310
311
3121
3129
313
3141
3142
3143
3144
3145
3148
3149
315
3161
3162
3163
3164
3169
3171
3172
3173
3174
3175
3179
3191
3192
3193
3194

16

82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98

99

10
0
10
1
10
2
10
3
10
4
10
5
10
6
10
7
10

Tracheoesophageal fistulization
Other operation on larynx
Other operation on trachea
Endoscopic excision or destruction of lesion or
tissue of bronchus
Other local excision or destruction of lesion or
tissue of bronchus
Other exicision of bronchus
Thoracoscopic excision of lesion or tissue of lung
Plication of emphysematous bleb
Contrast radiogram of nasopharynx
Contrast laryngogram
Other soft tissue x-ray of face, head, and neck
Microscopic examination of specimen from ear,
nose, throat, and laynx, bacterial smear
Microscopic examination of specimen from ear,
nose, throat, and laynx, culture
Microscopic examination of specimen from ear,
nose, throat, and laynx, culture and sensitivity
Microscopic examination of specimen from ear,
nose, throat, and laynx, parasitology
Microscopic examination of specimen from ear,
nose, throat, and laynx, toxicology
Microscopic examination of specimen from ear,
nose, throat, and laynx, cell block and
Papaniculaou smear
Microscopic examination of specimen from ear,
nose, throat, and laynx, other microscopic
examination
Insertion of nasopharyngeal airway

3195
3198
3199
3201

Insertion of oropharyngeal airway

9602

Insertion of esophageal obturator airway

9603

Insertion of endotracheal tube

9604

Other intubation of respiratory tract

9605

Insertion of Sengstaken tube

9606

Insertion of other (naso-)gastric tube

9607

Tracheostomy toilette

9655

Replacement of tracheostomy tube

9732

3209
321
3220
3221
8706
8707
8709
9031
9032
9033
9034
9035
9036

9039

9601

17

8
10
9
11
0
11
1
11
2
11
3
11
4
11
5

Removal of tracheostomy tube

9737

Removal of sutures from head and neck

9738

Removal of other theurapeutic devices from

head and neck
Removal of intraluminal foreign body from mouth
without incision
Removal of intraluminal foreign body from
pharynx without incision
Removal of intraluminal foreign body from larynx
without incision
Other miscellaneous procedures

9739
9801
9813
9814
9999

18

ICD 10 Maxilofacial
N
o
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41

Diagnosis

ICD 10

Congenital deviated nasal septum

Deviated nasal septum
Cleft hard palate
Cleft soft palate
Cleft hard palate with cleft soft palate
Cleft uvula
Cleft palate, unspecified
Cleft lip, bilateral
Cleft lip, medial
Cleft lip, unilateral
Superfisial injury of nose
Superfisial injury of ear
Superfisial injury of lip and oral cavity
Multiple superfisial injury of head
Superfisial injury of other parts of head
Superfisial injury of head, part unspicified
Open wound of eyelid and perioculer area
Open wound of nose
Open wound of ear
Open wound of cheek and temporomandibular area
Open wound of lip and oral cavity
Fracture of skull and facial bones
Fracture of vault of skull
Fracture of base of skull
Fracture of nasal bones
Fracture of orbital floor
Fracture of malar and maxillary bones
Fracture of tooth
Fracture of mandible
Multiple fractures involving skull and facial bones
Fractures of other skull and facial bones
Fractures of skull and facial bones, part unspecified
Dislocation, sprain and strain of joints and ligaments of head
Dislocation of jaw
Dislocation of septal cartilage of nose
Dislocation of tooth
Traumatic amputation of part of head
Traumatic amputation of ear
Traumatic amputation of other part of head
Traumatic amputation of unspecified part of head
Other and unspecified part of head

Q67.4
J34.2
Q35.1
Q35.3
Q35.5
Q35.7
Q35.9
Q36.0
Q36.1
Q36,9
S00.3
S00.4
S00.5
S00.7
S00.8
S00.9
S01.1
S01.2
S01.3
S01.4
S01.5
S02
S02.0
S02.1
S02.2
S02.3
S02.4
S02.5
S02.6
S02.7
S02.8
S02.9
S03
S03.0
S03.1
S03.2
S08
S08.1
S08.8
S08.9
S08.9

19

ICD 9 Maxilofacial
N
o
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

Prosedur

ICD 9

Procedure control of epistaxis by (transnasal) ligation of

maxillary artery
Procedure radical maxiilaryantrotomy
Procedure other external maxillary antrotomy
Procedure excision of lesion of maxillary sinus with CaldwellLuc approach
Procedureexcision of lesion of maxillary sinus with other
approach
Procedure segmental osteoplasty (osteotomy) of maxilla
Procedure total osteoplasty (osteotomy) of maxilla
Procedure closed reduction of maxillary fracture
Procedure open reduction of maxillary fracture
Procedure other reconstruction of mandible
Procedureosteoplasty (osteotomy) of body of mandible
Procedureosteoplasty other orthognathic surgery on
mandible
Proceduredilation of frontonasal duct
Procedure irrigation of nasal passage
Procedure control of epistaxis by anterior nasal packing
Procedure control of epistaxis by excision of nasal mucosa
and skin grafting of septum and lateral nasal wall
Procedure local excision or destruction of intranasal lesion
Proceduresubmucous resection of nasal septum
Procedure closed reduction of nasal fracture
Procedure open reduction of nasal fracture
Procedure closure of nasal fistula
Proceduretotal nasal recontruction
Procedure aspiration and lavage of nasal sinu, not otherwise
specified
Procedure puncture of nasal sinus for aspiration or lavage
Procedureaspiration or lavage of nasal sinus through natural
ostium
Procedure closed (endoscopic) (needle) biopsy of nasal
sinus
Procedure open biopsy of nasal sinus
Procedure other diagnostic procedure on nasal sinuses
Procedureintranasal antrotomy
Procedure incision of multiple nasal sinuses
Procedure closure of nasal sinus fistula
Procedure other repair of nasal sinus
Procedure other operations on nasal sinuses
Procedure nasal function study
Proceduretransillumination of nasal sinuses
Procedure replacement of nasal packing

210.5
223.1
223.9
226.1
226.2
766.5
766.6
767.3
767.4
764.3
766.3
766.4
962.1
965.3
210.1
210.7
213.1
215
217.1
217.2
218.2
218.3
220.0
220.1
220.2
221.1
221.2
221.9
222
225.3
227.1
227.9
229
891.2
893.5
972.1
20

37

Procedure removal of nasal packing

973.2

ICD 10 Otologi
N
o
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37

Diagnosis

ICD 10

Abscess of external ear

Cellulitis of external ear
Malignant otitis externa
Other infective otitis externa
Diffuse otitis externa
Hemorrhagic otitis externa
Swimmer's ear
Cholesteatoma of external ear
Acute noninfective otitis externa
Unspecified acute noninfective otitis externa
Acute actinic otitis externa
Acute chemical otitis externa
Acute contact otitis externa
Acute eczematoid otitis externa
Acute reactive otitis externa
Other noninfective acute otitis externa
Unspecified chronic otitis externa
Other otitis externa
Unspecified otitis externa
Chondritis and perichondritis of external ear
Unspecified perichondritis of external ear
Acute perichondritis of external ear
Chronic perichondritis of external ear
Chondritis of external ear
Noninfective disorders of pinna
Unspecified noninfective disorders of pinna
Acquired eformity of pinna
Hematoma of pinna
Other noninfective disorders of pinna
Impacted cerumen
Acquired stenosis of external ear canal
Acquired stenosis of external ear canal,
unspecified
Acquired stenosis of external ear canal secondary
to trauma
Acquired stenosis of external ear canal secondary
to inflammation and infection
Other acquired stenosis of right external ear canal
Other specified disorders of external ear
Exostosis of external canal

H60.0
H60.1
H60.2
H60.3
H60.31
H60.32
H60.33
H60.4
H60.5
H60.50
H60.51
H60.52
H60.53
H60.54
H60.55
H60.59
H60.6
H60.8
H60.9
H61.0
H61.00
H61.01
H61.02
H61.03
H61.1
H61.10
H61.11
H61.12
H61.19
H61.2
H61.3
H61.30
H61.31
H61.32
H61.39
H61.89
H61.81
21

38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77

Disorder of external ear, unspecified

Otitis externa in other diseases classified
elsewhere
Others disorders of external ear in diseases
classified elsewhere
Acute serous otitis media
Other acute nonsuppurative otitis media
Acute and subacute allergic otitis media (mucoid)
(sanguinous) (serous)
Chronic serous otitis media
Chronic mucoid otitis media
Other chronic nonsuppurative otitis media
Chronic allergic otitis media
Unspecified nonsuppurative otitis media
Acute suppurative otitis media
Acute suppurative otitis media without
spontaneous rupture of ear drum
Acute suppurative otitis media with spontaneous
rupture of ear drum
Chronic tubotympanic suppurative otitis media
Chronic atticoantral suppurative otitis media
Other chronic suppurative otitis media
Suppurative otitis media, unspecified
Otitis media, unspecified
Eustachian salpingitis
Unspecified eustachian salpingitis
Acute euatachian salpingitis
Chronic eustachian salpingitis
Obstruction of eustachian tube
Unspecified obstruction of eustachian tube
Osseous obstruction of eustachian tube
Intrinsic cartilagenous obstruction of eustachian
tube
Extrinsic cartilagenous obstruction of eustachian
tube
Patulous eustachian tube
Other specified disorders of eustachian tube
Unspecified eustachian tube disorders
Acute mastoiditis
Acute mastoiditis without complications
Subperiosteal abscess of mastoid
Acute mastoiditis with other complications
Chronic mastoiditis
Petrositis
Unspecified petrositis
Acute petrositis
Chronic petrositis

H61.9
H62.4
H62.8
H65.0
H65.19
H65.11
H65.2
H65.3
H65.49
H65.41
H65.9
H66.0
H66.00
H66.01
H66.1
H66.2
H66.3
H66.4
H66.9
H68.0
H68.00
H68.01
H68.02
H68.1
H68.10
H68.11
H68.12
H68.13
H69.0
H69.8
H69.9
H70.0
H70.00
H70.01
H70.09
H70.1
H70.2
H70.20
H70.21
H70.22
22

78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
10
0
10
1
10
2
10
3
10
4
10
5
10
6
10
7
10
8
10
9
11
0
11

Other mastoiditis and related conditions

Postauricular fistula
Unspecified mastoiditis
Cholesteatoma of attic
Cholesteatoma of tympanum
Cholesteatoma of mastoid
Diffuse cholesteatosis
Unspecified cholesteatoma
Central perforation of tympanic membrane
Attic perforation of tympanic membrane
Other marginal perforations of tympanic
membrane
Other perforations of tympanic membrane
Multiple perforations of tympanic membrane
Total perforations of tympanic membrane
Unspecified perforation of tympanic membrane
Acute myringitis
Unspecified acute myringitis
Bullous myringitis
Other acute myringitis
Chronic myringitis
Unspecified myringitis
Other specified disorders of tympanic membrane
Atrophic flaccid tympanic membrane
Atrophic nonflaccid tympanic membrane
Unspecified disorder of tympanic membrane
Tympanosclerosis
Adhesive middle ear disease
Discontinuity and dislocation of ear ossicles
Other acquired abnormalities of ear ossicles
Ankylosis of ear ossicles
Partial loss of ear ossicles
Polyp of middle ear
Other specified disorders of middle ear and
mastoid
Unspecified disorder of middle ear and mastoid

H70.89
H70.81
H70.9
H71.0
H71.1
H71.2
H71.3
H71.9
H72.0
H72.1
H72.2
H72.8
H72.81
H72.82
H72.9
H73.0
H73.00
H73.01
H73.09
H73.1
H73.2
H73.89
H73.81
H73.82
H73.9
H74.0
H74.1
H74.2
H74.39
H74.31
H74.32
H74.4
H74.8
H74.9
23

1
11
2
11
3
11
4
11
5
11
6
11
7
11
8
11
9
12
0
12
1
12
2
12
3
12
4
12
5
12
6
12
7
12
8
12
9
13
0
13
1
13
2
13
3

Mastoiditis in infectious and parasitic diseases

classified elsewhere
Other specified disorders of middle ear and
mastoid in diseases classified elsewhere
Otosclerosis involving oval window,
nonobliterative
Otosclerosis involving oval window, obliterative
Cochlear otosclerosis
Other otosclerosis
Unspecified otosclerosis
Otalgia
Otorrhea
Otorrhagia
Degenerative and vascular disorders of ear
Unspecified degenerative and vascular disorders
of ear
Tinnitus
Other specified disorders of ear
Unspecified disorder of ear
Recurrent cholesteatoma of postmastoidectomy
cavity
Other disorders of ear and mastoid process
following mastoidectomy
Chronic inflammation of postmastoidectomy cavity
Granulation of postmastoidectomy cavity
Mucosal cyst of postmastoidectomy cavity
Other disorders of following mastoidectomy
Intraoperative hemorrhage and hematoma of ear
and mastoid process complicating a procedure

H75.0
H75.8
H80.0
H80.1
H80.2
H80.8
H80.9
H92.0
H92.1
H92.2
H93.0
H93.09
H93.1
H93.8
H93.9
H95.0
H95.1
H95.11
H95.12
H95.13
H95.19
H95.2
24

13
4
13
5
13
6
13
7
13
8
13
9
14
0
14
1
14
2
14
3
14
4
14
5
14
6
14
7
14
8
14
9
15
0
15
1
15
2
15
3
15
4
15
5

Accidental puncture and laceration of ear and

mastoid process during a procedure
Postprocedural hemorrhage and hematoma of ear
and mastoid process following a procedure
Other intraoperative and postprocedural
complications and disorders of the ear and
mastoid process, not elsewhere classified
Postprocedural stenosis of external ear canal
Congenital absence of (ear) auricle
Congenital absence, atresia and stricture of
auditory canal (external)
Absence of eustachian tube
Congenital malformation of ear ossicles
Other congenital malformations of middle ear
Congenital malformation of inner ear
Congenital malformation of ear causing
impairment of hearing, unspecified
Accessory auricle
Macrotia
Microtia
Other misshapen ear
Misplaced ear
Prominent ear
Other specified congenital malformations of ear
Congenital malformation of ear, unspecified
Preauricular sinus and cyst
Malignant neoplasm of middle ear
Malignant melanoma of ear and external auricular
canal

H95.3
H95.4
H95.8
H95.81
Q16.0
Q16.1
Q16.2
Q16.3
Q16.4
Q16.5
Q16.9
Q17.0
Q17.1
Q17.2
Q17.3
Q17.4
Q17.5
Q17.8
Q17.9
Q18.1
C30.1
C43.2
25

15
6
15
7
15
8
15
9
16
0

Other and unspecified malignant neoplasm of skin

of ear and external auricular canal
Unspecified malignant neoplasm of skin of ear and
external auricular canal
Basal cell carcinoma of skin of ear and external
auricular canal
Squamous cell carcinoma of skin of ear and
external auricular canal
Other specified malignant neoplasm of skin of ear
and external auricular canal

C44.2
C44.20
C44.21
C44.22
C44.29

26

ICD 9 Prosedur Otologi

N
o
1.
2.

Diagnosis dan Tindakan

Suture Of Laceration Of External Ear

Reconstruction Of External Auditory Canal
(Meatoplasty)
3. Otoscopy
4. Myringoplasty
5. Type II Tympanoplasty
6. Type III Tympanoplasty
7. Type IV Tympanoplasty
8. Type V Tympanoplasty
9. Simple Mastoidectomy (CWU)
10 Radical Mastoidectomy (CWD)
.
11 Biopsy Of Middle And Inner Ear
.
12 Incision Of Mastoid
.
13 Revision Of Mastoidectomy
.
14 Injection Into Inner Ear
.
15 Packing Of External Auditory Canal
.
16 Injection Of Antibiotic
.
17 Injection Or Infusion Of Electrolytes
.
18 Injection Of Steroid
.

ICD 9
18.4
18.6
18.11
19.4
19.52
19.53
19.54
19.55
20.41
20.42
20.32
20.21
20.92
20.72
96.11
99. 21
99.18
99.23

27

ICD 10 Rhinologi
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

DIAGNOSIS
Abses, furuncle, and carbuncle of nose
Acute ethmoidalis sinusitis
Acute frontal sinusitis
Acute maxillary sinusitis
Acute nasopharyngitis
Acute pansinusitis
Acute recurrent ethmoidalis sinusitis
Acute recurrent frontal sinusitis
Acute recurrent maxillary sinusitis
Acute recurrent pan sinusitis
Acute recurrent sinusitis
Acute recurrent sphenoidal sinusitis
Acute sinusitis
Acute sphenoidal sinusitis
Allergic rhinitis
Allergic rhinitis due to animal (cat/dog) hair
and dander
Allergic rhinitis due to food
Allergic rhinitis due to pollen
Allergic rhinitis with asthma
Benign neoplasma of
Benign neoplasma, unspecified site include
inverted papilloma of nose
Cavernosus sinus thrombosis
Cellulitis of bilateral orbit
Cellulitis of left orbit
Cellulitis of right orbit
Choanal atresia
Chronic ethmoidalis sinusitis
Chronic frontal sinusitis
Chronic maxillary sinusitis
Chronic nasopharyngitis
Chronic pansinusitis
Chronic rhinitis
Chronic sinusitis
Chronic sphenoidals sinusitis
Cyst and mucocele of nose and nasal sinus
Deviated nasal septum
Epistaxis
Foreign body in nasal sinus, initial
encounter
Foreign body in nasal sinus, sequele
Foreign body in nasal sinus, subsequent
encounter

KODE ICD 10
J34.0
J01.20
J01.10
J01.00
J00
J01.40
J01.21
J01.11
J01.01
J01.41
J01.91
J01.31
J01.90
J01.30
J30.9
J30.81
J30.5
J30.1
J45.909
D14.0
D36.9
G08
H05.013
H05.012
H05.011
Q30.0
J32.2
J32.1
J32.0
J31.1
J32.4
J31.0
J32.9
J32.3
J34.1
J34.2
R04.0
T17.0XXA
T17.0XXS
T17.0XXD

28

41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62

Foreign body in nostril, initial encounter

Foreign body in nasal sinus, sequele
Foreign body in nasal sinus, subsequent
encounter
Hypertrohy of nasal turbinate
Lethal midline granuloma
Nasal mucositis (ulserative)
Nasal polyp
Other acute recurrent sinusitis
Other acute sinusitis
Other allergic rhinitis
Other chronic sinusitis
Other polyp of sinus
Other seasonal allergic rhinitis
Other specified disorder of nose and nasal
sinuses
Perforasi of nasal septum
Polyp of nasal cavity
Polypoid sinus degeneration
Unspecified disorder of nose and nasal
sinuses
Vasomotor rhinitis
Wagener granuloma
Wagener granuloma with renal involvement
Wagener
granuloma
without
renal
involvement

T17.1XXA
T17.1XXS
T17.1XXD
J34.3
M31.2
J34.81
J33.9
J01.81
J01.80
J30.89
J32.8
J33.8
J30.2
J34.89
J34.2
J33.0
J33.1
J34.9
J30.0
M31.3
M31.31
M31.30

29

ICD 9 Rhinologi
N
O
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

TINDAKAN

KODE ICD 9

Aspiration and lavage of nasal sinuses

Control of epistaxis
Control of epistaxis by anterior nasal paely
Control of epistaxis by cauterization
Control of epistaxis by ligation of the
maxillary artery
Control of epistaxis by posterior paely
Ethmoidectomy
Excision of lession of maxillary sinus with
Caldwell Luc approach
Fracture of turbinate
Intranasal antrotomy
Other operations on nasal sinuses
Rhinoscopy
Septoplasty
Sphenoidectomy
Sinusectomy of frontal sinus
Turbinectomy
Turbinectomy by diathermy or cryosurgery

22.00
21.0
21.01
21.03
21.05
21.02
22.64
22.61
22.62
22.2
22.9
21.21
21.8
22.64
22.42
21.6
21.61

30