prosedur rj

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ICD-9-CM 01.01 01.02 01.09 01.11 01.12 01.13 01.14 01.15 01.18 01.19 01.21 01.22 01.23 01.24 01.25 01.31 01.32 01.39 01.41 01.42 01.51 01.52 01.53 01.59 01.6 02.01 02.02 02.03 02.04 02.05 02.06 02.07 02.11 02.12 02.13 02.14 02.2 02.31 02.32 02.33 02.34 02.35 02.39 02.41 02.42 02.43 02.91

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Page 1: Prosedur RJ

DAFTAR TARIF PER PROSEDUR RS UMUM & KHUSUS KELAS C & D

ICD-9-CM

01.0101.0201.0901.1101.1201.1301.1401.1501.1801.1901.2101.2201.2301.2401.2501.3101.3201.3901.4101.4201.5101.5201.5301.5901.6

02.0102.0202.0302.0402.0502.0602.0702.1102.1202.1302.1402.2

02.3102.3202.3302.3402.3502.3902.4102.4202.4302.9102.9202.9302.94

Page 2: Prosedur RJ

02.9502.9602.9903.0103.0203.0903.1

03.2103.2903.3103.3203.3903.4

03.5103.5203.5303.5903.6

03.7103.7203.7903.8

03.9003.9103.9203.9303.9403.9503.9603.9703.9803.9904.0

04.0104.0204.0304.0404.0504.0604.0704.1

04.1104.1204.1904.204.304.4

04.4104.4204.4304.4404.4904.504.6

Page 3: Prosedur RJ

04.704.7104.7204.7304.7404.7504.7604.7904.8

04.8004.8104.8904.9

04.9104.9204.9304.9905.005.1

05.1105.1905.2

05.2105.2205.2305.2405.2505.2905.3

05.3105.3205.3905.8

05.8105.8905.906.0

06.0106.0206.0906.1

06.1106.1206.1306.1906.2

06.3106.3906.4

06.5006.5106.5206.606.7

Page 4: Prosedur RJ

06.8106.8906.9106.9206.9306.9406.9506.9806.9907.0007.0107.0207.1107.1207.1307.1407.1507.1607.1707.1907.2107.2207.2907.3

07.4107.4207.4307.4407.4507.4907.5107.5207.5307.5407.5907.6107.6207.6307.6407.6507.6807.6907.7107.7207.7907.8007.8107.8207.9107.9207.9307.9407.9908.01

Page 5: Prosedur RJ

08.0208.0908.1108.1908.2008.2108.2208.2308.2408.2508.3108.3208.3308.3408.3508.3608.3708.3808.4108.4208.4308.4408.4908.5108.5208.5908.6108.6208.6308.6408.6908.7008.7108.7208.7308.7408.8108.8208.8308.8408.8508.8608.8708.8908.9108.9208.9308.9909.0

09.1109.1209.1909.2009.21

Page 6: Prosedur RJ

09.2209.2309.3

09.4109.4209.4309.4409.4909.5109.5209.5309.5909.6

09.7109.7209.7309.8109.8209.8309.9109.9910.010.1

10.2110.2910.3110.3210.3310.4110.4210.4310.4410.4910.510.610.9

10.9110.9911.011.1

11.2111.2211.2911.3911.4111.4211.4311.4911.5111.5211.5311.5911.6011.61

Page 7: Prosedur RJ

11.6211.6311.6411.6911.7111.7211.7311.7411.7511.7611.7911.9111.9211.9912.0012.0112.0212.1112.1212.1312.1412.2112.2212.2912.3112.3212.3312.3412.3512.3912.4012.4112.4212.4312.4412.5112.5212.5312.5412.5512.5912.6112.6212.6312.6412.6512.6612.6912.7112.7212.7312.7412.7912.81

Page 8: Prosedur RJ

12.8212.8312.8412.8512.8612.8712.8812.8912.9112.9212.9312.9712.9812.9913.0013.0113.0213.1113.1913.213.3

13.4113.4213.5113.5913.6413.6513.6613.6913.7013.7113.7213.813.9

14.0014.0114.0214.2114.2214.2614.2714.2914.3114.3214.3314.3414.3514.3914.4114.4914.5114.5214.5314.54

Page 9: Prosedur RJ

14.5514.5914.6

14.7114.7214.7314.7414.7514.7914.9

15.0115.0915.1115.1215.1315.1915.2115.2215.2915.315.415.515.615.715.9

16.0116.0216.0916.1

16.2316.2916.3116.3916.4116.4216.4916.5116.5216.5916.6116.6216.6316.6416.6516.6616.6916.7116.7216.8116.8216.8916.9216.9316.98

Page 10: Prosedur RJ

16.9918.2118.3118.3918.518.6

18.7118.7218.7918.919.0

19.1119.1919.2119.2919.319.4

19.5219.5319.5419.5519.619.9

20.2120.2220.2320.3220.3920.4120.4220.4920.5120.5920.6120.6220.7120.7220.7920.9120.9220.9320.9520.9620.9720.9820.9921.0421.0521.0621.0721.0921.421.5

21.61

Page 11: Prosedur RJ

21.6221.6921.7221.8221.8321.8421.8521.8621.8721.8821.8921.9922.1222.3122.3922.4122.4222.5022.5122.5222.5322.6022.6122.6222.6322.6422.7122.7922.924.224.424.5

25.0225.125.225.325.4

25.5925.9425.9926.1226.2126.2926.3026.3126.3226.4126.4226.4926.9927.027.1

27.2127.22

Page 12: Prosedur RJ

27.3127.3227.4227.4327.4927.5327.5427.5527.5627.5727.5927.6127.6227.6327.6927.7127.7227.7327.7927.9227.9928.0

28.1128.1928.228.328.428.528.628.7

28.9128.9228.9929.029.229.3

29.3129.3229.3329.3929.4

29.5129.5229.5329.5429.5929.9229.9930.0130.0930.1

30.2130.2230.29

Page 13: Prosedur RJ

30.330.4

31.2131.2931.3

31.4531.5

31.6131.6231.6331.6431.6931.7131.7231.7331.7431.7531.7931.9131.9231.9531.9831.9932.0932.1

32.2132.2232.2932.332.432.532.632.933.033.1

33.2533.2833.2933.3433.3933.4133.4233.4333.4833.4933.5

33.5033.5233.6

33.9233.9333.9833.9934.01

Page 14: Prosedur RJ

34.0234.0334.1

34.2134.2234.2634.2734.2834.2934.334.4

34.5134.5934.6

34.7134.7234.7334.7434.7934.8134.8234.8334.8434.8534.8934.9134.9234.9334.9935.0035.0135.0235.0335.0435.1035.1135.1235.1335.1435.2035.2135.2235.2335.2435.2535.2635.2735.2835.3135.3235.3335.3435.3535.39

Page 15: Prosedur RJ

35.4135.4235.5035.5135.5235.5335.5435.6035.6135.6235.6335.7035.7135.7235.7335.8135.8235.8335.8435.9135.9235.9335.9435.9535.9635.9835.99

36.01

36.02

36.0336.0436.0536.0636.0936.1036.1136.1236.1336.1436.1536.1636.1736.1936.236.3

36.9136.9937.1037.1137.1237.2137.22

Page 16: Prosedur RJ

37.2337.2437.2637.2737.3137.3237.3337.3437.3537.437.5

37.6137.6237.6337.6437.6537.6637.7037.7137.7237.7337.7437.7537.7637.7737.7937.8037.8137.8237.83

37.85

37.8637.8737.8937.9137.9437.9537.9637.9737.9837.9938.0

38.0038.0138.0238.0338.0438.0538.0638.0738.0838.0938.10

Page 17: Prosedur RJ

38.1138.1238.1338.1438.1538.1638.1838.2138.2938.3038.3138.3238.3338.3438.3538.3638.3738.3838.3938.4038.4138.4238.4338.4438.4538.4638.4738.4838.4938.5038.5138.5238.5338.5538.5738.5938.6038.6138.6238.6338.6438.6538.6638.6738.6838.6938.738.839.039.139.2

39.2239.2339.24

Page 18: Prosedur RJ

39.2539.2639.2739.2839.2939.3

39.3139.3239.4139.4239.4339.4939.5039.5139.5239.5339.5439.5539.5639.5739.5839.5939.6

39.6439.6539.6639.839.9

39.9139.9239.9339.9439.9539.9940.0

40.1140.1940.2140.2240.2340.2440.2940.3

40.4040.4140.4240.5040.5140.5240.5340.5440.5940.6140.62

Page 19: Prosedur RJ

40.6340.6440.6940.9

41.0041.0141.0241.0341.0441.0541.0641.0741.0841.0941.2

41.3341.4141.4241.4341.5

41.9341.9441.9541.9942.0142.0942.1042.1142.1242.1942.2142.2542.3142.3242.3942.4042.4142.4242.5142.5242.5342.5442.5542.5642.5842.5942.6142.6242.6342.6442.6542.6642.6842.69

Page 20: Prosedur RJ

42.742.8242.8342.8442.8542.8642.8742.8942.9143.0

43.1943.3

43.4243.4943.543.643.7

43.8143.8943.9143.9944.0044.0144.0244.0344.1144.1544.2144.2944.3144.3244.3944.4044.4144.4244.4444.4944.5

44.6144.6244.6344.6444.6544.6644.6944.9144.9244.9945.0045.0145.0245.0345.1145.15

Page 21: Prosedur RJ

45.2145.2645.3145.3245.3345.3445.4145.4945.5045.5145.5245.6145.6245.6345.7145.7245.7345.7445.7545.7645.7945.8

45.9045.9145.9245.9345.9445.9546.0146.0246.0346.0446.1046.1146.1346.2046.2146.2246.2346.3946.4046.4146.4246.4346.5046.5146.5246.6046.6146.6246.6346.6446.7146.72

Page 22: Prosedur RJ

46.7346.7446.7546.7646.7946.8046.8146.8246.9146.9246.9346.9446.9746.9947.0147.0947.1147.1947.2

47.9147.9247.9948.048.1

48.2148.2548.2648.3148.3248.3348.3448.3548.3648.4148.4948.5

48.6148.6248.6348.6448.6548.6948.7148.7248.7348.7448.7548.7648.7948.8148.8248.9148.9248.93

Page 23: Prosedur RJ

48.9949.0149.0249.0349.0449.1149.1249.2249.2349.2949.4449.4549.4649.4949.5149.5249.5949.6

49.7149.7249.7349.7449.7549.7649.7949.9149.9249.9349.9449.9549.9950.1150.1250.1950.2150.2250.2950.350.4

50.5150.5950.6150.6950.9250.9951.0151.0251.0351.0451.1351.1951.2151.2251.23

Page 24: Prosedur RJ

51.2451.3151.3251.3351.3451.3551.3651.3751.3951.4151.4251.4351.4951.5151.5951.6151.6251.6351.6951.7151.7251.7951.8151.8251.8351.8951.9151.9251.9351.9451.9551.9952.0152.0952.1252.1952.2252.352.4

52.5152.5252.5352.5952.652.752.8

52.8152.8252.8352.8452.8552.8652.9252.95

Page 25: Prosedur RJ

52.9652.9752.9953.0053.0153.0253.0353.0453.0553.1053.1153.1253.1353.1453.1553.1653.1753.2153.2953.3153.3953.4153.4953.5153.5953.6153.6953.7

53.8053.8153.8253.954.0

54.1154.1254.1954.2154.2354.2954.354.4

54.5154.5954.6154.6254.6354.6454.7154.7254.7354.7454.7554.9254.93

Page 26: Prosedur RJ

54.9454.9554.9654.9754.9854.9955.0155.0255.0355.0455.1155.1255.2455.2955.3155.3955.4

55.5155.5255.5355.5455.6155.6955.7

55.8155.8255.8355.8455.8555.8655.8755.8955.9155.9755.9855.9956.056.156.2

56.3156.3256.3356.3456.3556.3956.4056.4156.4256.5156.5256.6156.6256.7156.72

Page 27: Prosedur RJ

56.7356.7456.7556.7956.8156.8256.8356.8456.8556.8656.8956.9256.9356.9456.9556.9957.0

57.1257.1757.1857.1957.2157.2257.3357.3457.3957.4157.4957.5157.5957.6

57.7157.7957.8157.8257.8357.8457.8557.8657.8757.8857.8957.9157.9357.9657.9757.9857.9958.058.1

58.2358.2458.2958.31

Page 28: Prosedur RJ

58.3958.4158.4258.4358.4458.4558.4658.4758.4958.5

58.9158.9258.9358.9959.0059.0259.0359.0959.1159.1259.1959.2159.2959.359.459.559.6

59.7159.7259.7959.9159.9259.9560.0

60.11

60.1260.1360.1460.1560.1860.1960.2160.2960.360.460.5

60.6160.6260.6960.7260.7360.7960.81

Page 29: Prosedur RJ

60.8260.9360.9460.9560.9760.9961.061.261.3

61.4161.4261.4961.9261.9962.0

62.1262.1962.262.3

62.4162.4262.5

62.6162.6962.7

62.9963.0963.163.263.363.463.5

63.5163.5263.5363.5963.6

63.7063.7163.7263.7363.8163.8263.8363.8463.8563.8963.9263.9363.9463.9563.9964.0

64.11

Page 30: Prosedur RJ

64.264.3

64.4164.4264.4364.4464.4564.4964.5

64.9264.9364.9664.9764.9864.9965.0165.0965.1165.1265.1365.1465.1965.2165.2265.2365.2465.2565.2965.3165.3965.4165.4965.5165.5265.5365.5465.6165.6265.6365.6465.7165.7265.7365.7465.7565.7665.7965.8165.8965.9165.9265.9365.9465.95

Page 31: Prosedur RJ

65.9966.0166.0266.1166.1966.2166.2266.2966.3166.3266.3966.4

66.5166.5266.6166.6266.6366.6966.7166.7266.7366.7466.7966.9166.9266.9366.9466.9566.9666.9766.9967.0

67.1167.1267.1967.2

67.3167.3267.3367.3967.4

67.5167.5967.6167.6267.6968.0

68.1268.1368.1468.1568.1668.1968.21

Page 32: Prosedur RJ

68.2268.2368.2968.368.468.5

68.5168.5968.668.768.868.9

69.0169.0269.0969.1969.2169.2269.2369.2969.369.4

69.4169.4269.4969.5169.5269.5969.9569.9769.9869.9970.0

70.1170.1270.1370.1470.2170.2270.2370.2470.2970.3170.3270.3370.4

70.5070.5170.5270.6170.6270.7170.7270.73

Page 33: Prosedur RJ

70.7470.7570.7670.7770.7970.8

70.9170.9271.0171.0971.1171.1971.2171.2271.2371.2471.2971.371.471.5

71.6171.6271.7171.7271.7971.871.974.074.174.274.374.4

74.9174.9975.075.1

75.3175.3375.3575.3675.5075.5175.5275.6175.62

75.69

75.9175.9275.9375.9976.0176.0976.11

Page 34: Prosedur RJ

76.1976.2

76.3176.3976.4176.4276.4376.4476.4576.4676.5

76.6176.6276.63

76.64

76.6576.6676.6776.6876.6976.7076.7176.7276.7476.7576.7676.7776.7876.7976.9176.9276.9376.9476.9776.9977.0077.0177.0277.0377.0477.0577.0677.0777.0877.0977.1077.1177.1277.1377.1477.1577.1677.17

Page 35: Prosedur RJ

77.1877.1977.2077.2177.2277.2377.2477.2577.2677.2777.2877.2977.3077.3177.3277.3377.3477.3577.3677.3777.3877.3977.4077.4177.4277.4377.4477.4577.4677.4777.4877.4977.5177.5277.5377.5477.5677.5777.5877.5977.6077.6177.6277.6377.6477.6577.6677.6777.6877.6977.7077.7177.7277.73

Page 36: Prosedur RJ

77.7477.7577.7677.7777.7877.7977.8077.8177.8277.8377.8477.8577.8677.8777.8877.8977.9077.9177.9277.9377.9477.9577.9677.9777.9877.9978.0078.0178.0278.0378.0478.0578.0678.0778.0878.0978.1078.1178.1278.1378.1478.1578.1678.1778.1878.1978.2078.2278.2378.2478.2578.2778.2878.29

Page 37: Prosedur RJ

78.3078.3278.3378.3478.3578.3778.3878.3978.4078.4178.4278.4378.4478.4578.4678.4778.4878.4978.50

78.51

78.5278.5378.5478.5578.5678.5778.58

78.59

78.6078.6178.6278.6378.6478.6578.6678.6778.7078.7178.7278.7378.7478.7578.7678.7778.7878.7978.80

78.81

78.8278.8378.84

Page 38: Prosedur RJ

78.8578.8678.8778.88

78.89

78.9078.9178.9278.9378.9478.9578.9678.9778.9878.9979.8079.8179.8279.8379.8479.8579.8679.8779.8879.8980.5080.5180.5280.5980.6

80.7080.7180.7280.7380.7480.7580.7680.7780.7880.7980.8080.8180.8280.8380.8480.8580.8680.8780.8880.8981.0081.0181.02

Page 39: Prosedur RJ

81.0381.0481.0581.0681.0781.0881.0981.1181.1281.1381.1481.1581.1681.1781.2081.2181.2281.2381.2481.2581.2681.2781.2881.2981.4081.4281.4381.4481.4581.4681.4781.4981.5181.5281.5381.5481.5581.5681.5781.5981.7181.7281.7381.7481.7581.7981.8081.8181.8281.8381.8481.8581.9381.94

Page 40: Prosedur RJ

81.9581.9681.9781.9881.9982.0182.0282.0382.0982.1182.1282.1982.2182.2282.2982.3182.3282.3382.3482.3582.3682.3982.4182.4282.4382.4482.4582.4682.5182.5282.5382.5482.5582.5682.5782.5882.5982.6182.6982.7182.7282.7982.8182.8282.8382.8482.8582.8682.8982.9182.9983.0183.0283.03

Page 41: Prosedur RJ

83.0983.1183.1283.1383.1483.1983.2983.3183.3283.3983.4183.4283.4383.4483.4583.4983.6183.6283.6383.6483.6583.7183.7283.7383.7483.7583.7683.7783.7983.8183.8283.8383.8483.8583.8683.8783.8883.8983.9183.9283.9383.9984.0084.0184.0284.0384.0484.0584.0684.0784.0884.0984.1084.11

Page 42: Prosedur RJ

84.1284.1384.1484.1584.1684.1784.1884.1984.2184.2284.2384.2484.2584.2684.2784.2884.2984.3

84.4084.4484.4884.9184.9284.9384.9985.0

85.1285.2085.2185.2285.2385.2485.2585.3185.3285.3385.3485.3585.3685.4185.4285.4385.4485.4585.4685.4785.4885.5085.5385.5485.685.7

85.8285.83

Page 43: Prosedur RJ

85.8485.8585.8685.8785.8985.9385.9485.9585.9685.9986.0686.0786.0986.2186.386.4

86.6086.6186.6286.6386.6586.6686.6786.6986.7086.7186.7286.7386.7486.7586.8186.8286.8386.8486.8586.8686.8986.9186.9388.5088.5188.5288.5388.5488.5588.5688.5788.5888.6088.6188.6288.6388.6488.65

Page 44: Prosedur RJ

88.6688.6788.6888.7188.7288.7388.7488.7588.7688.7788.7888.7988.8188.8288.8388.8488.8588.8688.8988.9088.91

88.92

88.9388.9488.9588.9788.9889.0189.0289.0389.0489.0589.0689.0789.0889.0989.1089.1189.1289.1389.1489.1589.1689.1789.1889.1989.2189.2289.2389.2489.2589.2689.29

Page 45: Prosedur RJ

89.3189.3289.3389.3489.3589.3689.37

89.38

89.39

89.4189.4289.4389.4489.4589.4689.4789.4889.5089.5189.5289.5389.5489.5589.5689.5789.5889.5989.6189.6289.6389.6489.6589.6689.6789.6889.6989.789.8

90.0190.02

90.03

90.0490.05

90.06

90.0990.1190.1290.1390.1490.15

Page 46: Prosedur RJ

90.16

90.19

90.2190.2290.2390.2490.2590.2690.2990.3190.32

90.33

90.3490.35

90.36

90.39

90.41

90.42

90.43

90.44

90.45

90.46

90.49

90.5190.5290.5390.5490.5590.5690.5990.6190.6290.6390.6490.65

90.66

90.69

90.7190.7290.73

Page 47: Prosedur RJ

90.7490.75

90.76

90.79

90.81

90.82

90.83

90.84

90.85

90.86

90.89

90.91

90.92

90.93

90.94

90.95

90.96

90.99

91.0191.02

91.03

91.0491.05

91.06

91.09

91.1191.1291.1391.1491.15

91.16

91.19

91.21

91.22

Page 48: Prosedur RJ

91.23

91.24

91.25

91.26

91.29

91.31

91.32

91.33

91.34

91.35

91.36

91.39

91.4191.4291.4391.4491.45

91.46

91.49

91.51

91.52

91.53

91.54

91.55

91.56

91.59

91.6191.6291.6391.6491.65

91.66

Page 49: Prosedur RJ

91.69

91.7191.7291.7391.7491.75

91.76

91.7991.8191.8291.8391.8491.8591.8691.8991.9191.9291.9391.9491.9591.9691.9992.0192.0292.0392.0492.0592.0992.1192.1292.1392.1492.1592.1692.1792.1892.1992.2192.2292.2392.2492.2592.2692.2792.2892.2992.3

93.0193.0293.0393.0493.05

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93.0693.0793.0893.0993.1193.1293.1393.1493.1593.1693.1793.1893.1993.2193.2293.2393.2493.2593.2693.2793.2893.2993.3193.3293.3393.34

93.35

93.3693.3793.3893.39

93.41

93.4293.43

93.44

93.45

93.46

93.51

93.52

93.5393.5493.55

93.56

93.5793.5893.5993.61

Page 51: Prosedur RJ

93.62

93.63

93.6493.6593.6693.6793.7193.7293.7393.7493.7593.7693.7793.7893.8193.8293.8393.8493.8593.8993.9093.91

93.93

93.9493.95

93.96

93.9793.9893.9994.0194.0294.0394.0894.0994.1194.1294.1394.1994.2194.2294.2394.2494.2594.2694.2794.2994.3194.3294.3394.34

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94.3594.3694.3794.3894.3994.4194.4294.4394.4494.4594.4694.4994.5194.5294.5394.5494.5594.5994.6194.6294.6394.6494.6594.6694.6794.6894.6995.0195.02

95.03

95.0495.0595.0695.0795.0995.1195.1295.1395.1495.1595.1695.2195.2295.2395.2495.2595.2695.3195.3295.3395.3495.3595.36

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95.4195.4295.4395.4495.4595.4695.4795.4895.4996.0196.0296.0396.0496.0596.0696.0796.0896.0996.1196.1496.1596.1696.1796.1896.1996.2196.2296.2396.2496.2596.2696.2796.2896.3196.3296.3396.3496.3596.3696.3796.3896.3996.4196.4296.4396.4496.4596.4696.4796.4896.4996.5196.5296.53

Page 54: Prosedur RJ

96.5496.5596.5696.5796.5896.5996.6

96.7096.7196.7297.0397.0497.0597.1197.1297.1397.1497.1597.1697.2197.2297.2397.2497.2597.2697.2997.3197.3297.3397.3497.3597.3697.3797.3897.3997.4197.4297.4397.4997.5197.5297.5397.5497.5597.5697.5997.6197.6297.6397.6497.6597.6997.7197.72

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97.7397.7497.7597.7997.8197.8297.8397.8497.8597.8697.8797.8897.8998.0198.0498.0598.1198.1298.1398.1598.1698.1798.1898.1998.2098.2198.2298.2398.2498.2598.2698.2798.2898.2998.5198.5298.5999.0099.0199.0299.0399.0499.0599.0699.0799.0899.0999.1099.1199.1299.1399.14

99.15

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99.1699.1799.1899.1999.2199.2299.2399.24

99.25

99.2699.27

99.28

99.2999.3199.3299.3399.3499.3599.3699.3799.3899.3999.4199.4299.4399.4499.4599.4699.4799.4899.5199.5299.5399.54

99.55

99.5699.57

99.58

99.5999.6099.61

99.62

99.6399.6499.6999.7199.7299.7399.74

Page 57: Prosedur RJ

99.7999.8199.8299.83

99.84

99.85

99.86

99.8899.9199.9299.9399.9499.9599.9699.9799.98

Page 58: Prosedur RJ

DAFTAR TARIF PER PROSEDUR RS UMUM & KHUSUS KELAS C & D

DIAGNOSA

Cisternal punctureVentriculopuncture through previously implanted catheterOther cranial punctureClosed (percutaneous) (needle) biosy cerebralOpen biopsy of cerebral meningesClosed (percutaneous) (needle) biosy of brainOpen biopsy of brainBiopsy of skullOther diagnostic procedures on brain and cerebral meningesOther diagnostic procedures on skullIncision and drainage of cranial sinusRemoval of intaracranial neurostimulatorReopening of craniotomy siteOther craniotomyOther craniectomyIncision of cerebral meningesLobotomy and tractotomyOther incision of brainOperations on thalamus Operations on globus pallidusExcision of lesion or tissue of cerebral meningesHemispherectomyLobectomy of brainOther excision or destruction of lesion or tissue of brainExcision of lesion of skullOpening of cranial sutureElevation of skull fracture fragmentsFormation of cranial bane flapbone graft to skullInsertion of skull plateOther cranial osteoplastyRemoval of skull plateSimple suture of dura mater of brainOther repair of cerebral meningesLigation of meningeal vesselChoroid plexectomyVentriculostomyVentricular shunt to structure in head and neckVentricular shunt to circulatory systemVentricular shunt to thoracic cavityVentricular shunt to abdominal cavity ang organsVentricular shunt to urinary systemOther operations to establish drainage of ventricleIrrigation of ventricular shuntReplacement of ventrucular shuntRemoval of ventricular shuntLysis of cortical adhesionsRepair of brainImplantation of intracranial neurostimulatorInsertion or replacement of skull tongs or halo traction

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Removal of skull tongs or halo travtion deviceInsertion of sphenoidal electrodesOther operation on skullRemoval of foreign body from spinal canalReopening of laminectomy siteOther exploration and decompression of spinal canal Division of intraspinal nerve rootPercutaneus chordotomyOther chordotomySpinal tapBiopsy of spinal cord or spinal meninges Other diagnostic procedures on spinal cord and spinalExcision or destruction of lesion of spinal cord or spinal meningesRepair of spinal meningoceleRepair of spinal myelomeningoceleRepair of vertebral fractureOther repair and plastic operations on spinal cordLysis of adhesions of spinal cord and nerve rootsSpinal subarachnoid-peritoneal shuntSpinal subarachnoid-ureteral shuntOther shunt of spinal thecaInjection of destructive agent into spinal canalInsertion of catheter into spinal canal for infusionInjection of anesthetic into spinal canal for analgessiaInjection of other agent into spinal canalInsertion or replacement of spinal neurostimulatorRemoval of spinal neurostimulatorSpinal blood patchPercutaneus denervation of facetRevision of spinal thecal shuntRemoval of spinal thecal shuntOther operation on spinalIncision, division, and excision of cranialExcision of acoustic neuromaDivision of trigeminal nerveDivision or crushing of other cranial and peripheralOther incision of cranial and peripheral nervesGasserian ganglionectomyOther cranial or peripheral ganglionectomyOther excision or avulsion of cranial and peripheralDiagnostic procedural on peripheral nervous systemClose (percutaneous) (needle) biopsy of cranial or peripheralOpen biopsy of cranial or peripheral nerve or ganglionOther diagnostic procedures on cranial and peripheralDestruction of cranial and peripheral nervesSuture of cranial and peripheral nervesLysis of adhesions and decompression of cranialDecompression of trigeminal nerve rootOther cranial nerve decompressionRelease of carpal tunnelRelease of tarsal tunnelOther peripheral nerve or ganglion decompression or lysisCranial or peripheral nerve graftTransposition of cranial and peripheral nerves

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Other cranial or peripheral neuroplastyHypoglossal-facial anastomosisAccessory-facial anastomosisAccessory-hypoglossal anastomosisOther anastomosis of cranial or peripheral nerveRevision of previous repair of cranial and peripheral nervesRepair of old traumatic injury of cranial and peripheralOther neuroplastyInjection into peripheral nervePeripheral nerve injection, NOSInjection of anesthetic into perpheral nerve for analgesiaInjection of other agent, except neurolyticOther operations on cranial and peripheral nervesNeurectatasisImplantation of replecement of peripheral neurostimulatorRemoval of peipheral neurostimulatorOther opertions on cranialDivision of sympathetic nerve ganglionDiagnostic procedures on sympathetic nerves or gangliaBiopsy of sympathetic nerve ganglionOther diagnostic procedures on sympathetic nerves or gangliaSympathetomySphenopalatine ganglionectomyCervical sympathectomylumbar sympathectomyPresacral sympathectomyPeriarterial sympathectomyOther sympathectomy and ganglionectomyInjection into sympathetic nerve or ganglionInjection of anesthetic into sympathetic neve for analgesiaInjection of neurolytic agent into sympathetic nerveOther injection into sympathetic nerve ganglionOther operation on sympathetic nerves or gangliaRepair of sympathetic nerve or gangliaOther operation on sympathetic nerves or gangliaOther operations on nervous systemIncision of thyroid fieldAspiration of thyroid fieldReopening of wound of thyroid fieldOther incision of thyroid fieldDiagnostic procedures on thyroid and parathyroid glandsClose (percutaneous) (needle) biopsy of thyroid glandOpen biopsy of thyroid glandBiopsy of parathyroid glandOther diagnostic proceres on thyroid and parthyroid glansUnilateral thyroid lobectomyExcision of lesion of thyroidOther partial thyroidectomyComplete thyroidectomySubsternal thyroidectomyPartial subternal thyroidectomyComplete substernal thyroidectomyExcision of lingual thyroidExcision of thyroglossal duct or trac

Page 61: Prosedur RJ

Complete parathyroidectomyOther parathyroidectomyDivision of thyroid isthmusLigation of thyroid vesselsSuture of thyroid glansThyroid tissue reimplatationParathyroid tissue reimplantationOther operation on thyroid glansOther operations on parathyroid glansExploration of adrenal field Unilateral exploration of adrenal fieldBilateral explaration of adrenal fieldClose (percutaneous) (needle) biobsy of adrenalOpen biopsy of adrenal glansBiopsy of pituitary gland, transfrontal approachBiopsy of pituitary gland, transsphenoidal approachBiopsy of pituitary gland, unspecified approachBiopsy of thymusBiopsy of pineal glandOther diagnostic procedures on adrenal glandsExcision of lesion of adrenal glandUnilateral adrenalectomyOther partial adrenalectomyBilateral adrenalectomyIncision of adrenal glandDivision of nerves to adrenal glansLigation of adrenal vesselsRepair of adrenal glandReimplantation of adrenal tissueOther operations on adrenal glansExploration of pinel fieldIncision of pinel glandPartial excision of pineal glandTotal excision of pineal glansOther operations on pineal glandPartial excision of pituitary glandPartial excision of pituitary gland, transsphenoidalPartial excision of pituitary gland, unspecifiedTotal excision of pituitary gland, transfrontalTotal excision of pituitary gland, transsphenoidal approachTotal excision of pituitary gland, other specified appoachTotal excision of pituitary gland, unspecified approachExploration of pituitary fossaIncision of pituitary glandOther operations on hypophysisThymectomy NOSPatrial excision of thymusTotal excision of thymusExploration of thymus fieldIncision of thymusRepair of thymusTransplantation of thymusOther operation on thymusIncision of lid margin

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Severing of blepharorrhaphyOther incision of eyelidBiopsy of eyelidOther diagnostic procedures on eyelidRemoval of lesion of eyelidExcision of chalazionExcision of other minor lesion of eyelidExcision of major lesion of eyelid, prtial-thicknessExcision of major lesion of eyelid, full-thicknessDestruction of lesion of eyelidRepair of blepharoptosis by frontalis muscleRepair of blepharoptosis by frontalis muscle technigue with fascial slingRepair of blepharoptosis by resection or advancement of levatorRepair of blepharoptosis by other levatorRepair of blepharoptosis by tarsalRepair of blepharoptosis by other techniquesReduction of over correction of ptosisCorrection of lid retractionRepair of entropion or ectropion by thermocaurizationRepair of entropion or ectropion by suture techniqueRepair of entropion or ectropion with wedge resectionRepair of entropion or ectropion with fid recontructionOther repair of entropion or ectropionCanthotomyBlepharorrhaphyOther canthoplasty NOSReconstruction of eyelid with skin flapReconstruction of eyelid with mucous Reconstruction of eyelid with hair follicle graftReconstruction of eyelid with tarsoconjuctivalOther reconstruction of eyelid with flapsReconstruction of eyelid NOSReconctruction of eyelid invloing lid marginOther reconstruction of eyelid involving lid marginReconstruction of eyelid involving lid margin fullOther reconstruction of eyelid, full-thicknesLinear repair of leceration of eyelid or eyebrowRepair of laceration involving lid margin, partial thicknessOther repair of laceration of eyelid, partial-hicknessRepair of laceration involving lid margin, full-thicknessOther repair of laceration of eyelid, full-thicknessLower eyelid rhytidectomyUpper eyelid rhytidectomyOther eyelid repairElectrosugical epilation of eyelidCryosurgical epilation of eyelidOther epilation of eyelidOther operation on lacrimal systemIncision of lacrimal glandBiopsy of lacrimal glandBiopsy of lacrimal sacOther diagnostic procedures on lacrimal systemExcision of lacrinal gland, NOSExcision of lesion of lactimal gland

Page 63: Prosedur RJ

Other partial dacryoadenectomyTotal dacryoadenectomyOther operations on lacrimal glandProbing of lacrimal punctumProbing of lacrimal canaliculiProbing of nasolacrimal ductIntubation of nasolacrimal ductOther manipulation of lacrimal passageIncision of lacrimal punctumIncision of lacrimal canaliculiIncision of lacrimal sacOther incision of lacrimal paasagesExcision of lacrimal sac and passageCorrection of everted punctumOther repair of punctumRepair of canaliculusDacryocystorhinostomy ConjuctivocystorhinostomyConjuctivocystorhinostomy with insertion of tube or stentObliteration of lacrimal punctumOther operations on conjunctivaRemoval of embedded foreign body from conjuntivaOther incision of conjunctivaBiopsy of conjunctiva Other diagnostic procedures on conjunctivaExcision of lesion or tissue of conjunctiveDestruction of lesion of conjunctivaOther destructive procedures on conjunctiveRepair of symblepharon with free graftReconstruction of conjunctival cul-de-sac with free graftOther reconstruction of conjunctival cul-de-sacOther free graft to conjunctivaOther conjunctivoplastyLysis of adhesions of conjunctive and eyelidRepair of laceration of conjunctiveOther operations on conjunctivaSubconjunctival injectionOthersMagnetic removal of embedded foreign body from comeaIncision of comeaScraping of comea for smear or cultureBiopsy of corneaOther diagnostic procedures on comeaOther excision of pterygiumMechanical removal of comeal epitheliumThemocautenzation of comeal lesionCryotherapy of comeal lesionOther removal or destruction of comeal lesionSuture of comeal lacerationRepair of postoperative wound dehiscence of corneaRepair of corneal laceration or wound with conjuntival flapOther repair of corneaComeal transplant, NOSLamellar keratoplasty with autograft

Page 64: Prosedur RJ

Other lamellar keratoplastyPenetrating keratoplasty with autograftOther penetrating keratoplastyOther comeal transplantKeratomileusisKeratophakiaKeratoprosthesisThennokeratoplastyRadial keratotomyEpikeratophakiaOther operations on iris, ciliary body, scleraTattooing of cornea Removal of artificial implant from corneaOther operations operations on corneaRemoval of intraocular foreign body from ant seg of eye, NOSRemoval of intraocular fireign body from ant seg of eye with use of magnetRemoval of intraocular foreign body from ant seg of eye without use of magnetIridotomy with transfixionOther iridotomyExcision of prolapsed irisOther iridectomyDiagnostic aspirtion of ant chamber of eye Bipsy of irisOther diagnostic procedures on iris, cliary bodyLysis of goniosynechiaeLysis of other ant synechiaelysis of posterior sysnechiaelysis of coerneovitreal adhesionsCoreoplastyOther iridoplastyRemoval of lesion of ant seg of eye NOSDestruction of lesion of iris, nonexcisionalExcision of lesion of irisDestruction of lesion of ciliary body, nonexcisionalExcision of lesion of ciliary bodyGoniopuncture without goniotomyGoniotomy without goniopunctureGoniotomy with goniopunctureTrabeculotomy ab extemoCyciodialysisOther facilitation of intraocular circulationTrephination of sclera with indectomyThennocauterization of sclera with iridectomyIndencleisis and iridotasisTrabeculectomy ab extermoOther scleral fistulization with indectomyPostoperative revision of scleral fistulization proceduresOther fistulizing procedureCyclodiathermyCycllocryottherapyCyclophotocoagulationDiminution of ciliary body, NOSOther glaucoma proceduresSuture of laceration of sclera

Page 65: Prosedur RJ

Repair of sclera fistulaRevision of operative wound of ant seg NOSExcision or destruction of lesion of scleraRepair of scleral staphyloma with graftOther repair of scleral staphylomaScleral reinforcement with graftOther operations reinforcementOther operations on scleraTherapeutic evacuation of ant chamberInjection into ant chamberRemovale or destruction of epithefiral downgrowth fromOther operations on iris Other operations on ciliary bodyOther operations on ant chamberRemoval of foreign body from lens NOSRemoval of foreign body from lens with use of magnetRemoval of foreign body from lens without use of magnetIntracapsular extraction of lens by temporal inf routeOther intracap extractionExtracap extraction of lens by linear extra techniqueExtracap extraction of lens by simple aspirationPhaco and aspiration of cataracMechaic phacofragment and aspi of cataracExtracap extraction of lens by temporal infer routeOther extracap extrac of lensDiscission of secondary membraExcision of secondary membra Mechanical fragme of secondary membraOther catarac extractionInsert of psedophakos NOSInsert of intra lens prosthesis at time cataracSecondary insert of intrao lens prosthesisRemoval insert of intrao lens prosthesisOther oprations on lensRemoval of foreign body from post segment of eye NOSRemoval of foreign body from post segment of eye with use magnetRemoval of foreign body from post segment of eye without use magnetDestruction of chorioretinal lesion by diathermyDestruction of chorioretinal lesion by cryottherapyDestruction of chorioretinal lesion by radiationDestruction of chorioretinal lesion by implantOther destruction of chorioretinal lesionRepair of retinal tear by diathermyRepair of retinal tear by cryotherapyRepair of retinal tear by xenon arc photoRepair of retinal tear by laser photoRepair of retinal tear by photo of unspec typeOther repair of retinal detacScleral buckling with implantOther scleral bucklingRepair of retinal detac with diathermyRepair of retinal detac with cryotherapyRepair of retinal detac with xrnon arcRepair of retinal detac with laser

Page 66: Prosedur RJ

Repair of retinal detac with photoOther repair of retinal detacRemoval of surgically implant material from post seg of eyeRemoval of vireous, ant approachOther removal of vireousMechanical vitrectomy by ant appoachOther mechanical vitrectomyInjection of vitreous substituteOther operation on vitreousOther operations on retina, choroidBiopsy of extraocular muscle or tendonOther diagnostic procedures on extra musclesRecession of one extrao muscleAdvancement of one extrao muscle Resection of extraocular muscleOther operations on one extraocular muscle invlovLengthening procedure on one extrao muscleShortening procedure on one extrao muscleOther operations on one extraocular muscleOperations on two or more extrao muscles involvingOther operations on two or more extra muscles, one or both eyesTransplantation of extrao musclesRevision of injury of extra musclesRepair of injury of extra muscleOther operation on extraocular muscles and tendonsOrbitotomy with bone flapOrbitotomy with lateral approachOther orbitotomyRemoval of penetrating foreign body from eyeBiopsy of eyeball and orbitOther diagnostic procedures on orbit and eyeballRemoval of ocular contents with synchronous implant intoOther evisceration of eyeballEnucleation of eyeball synchronous implat into tendonEnucleation of eyeball with other syncho impalntOther enucleation of eyeballExenteration of orbital contentsExenteration of orbit with therapetic removal of orbital boneOther exenteration of orbitSecondary insert of ocular implantRevision and reinsert of ocular implantRevision of enucleation socket with graftOther revision of enucleation socketSecondary graft to exenter cavityOther revision of exentre cavityOther secondary procedures after removal of eyeballRemoval of ocular implantRemoval of orbital impaltRepair of woud of orbitRepair of rupture of eyeballOther repair of injury of eyebll or orbitExcision of lesion of orbitExcision of lesion of eye, unspecifiedOther operations on orbit

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Other operations on eyeballExcision of preauricular sinusRadical excision of lesion of external earOther amputation of external earSurgical correction of prominent earReconstruction of external auditory canalConstruction of auricle of earReattachrment of amputated earOther plastic repair of external earOther operation on external earStapes mobilizationStapedectomy with incus replacementOther stapedectomyRevision of stapedectomy with incus replacementOther revision of stapedectomyOther operations on ossicular chainMyringoplastyType II tympanoplastyType III tympanoplastyType IV tympanoplastyType V tympanoplastyRevision of tympanoplastyOther repair of middle earincision of mastoid and midlle earincision of petrous pyramid air cellsincision of middle earbiopsy of middle and inner earother diagnostic procedures on middle and inner earsimple mastoidectomyradical mastoidectomyother mastoidectomyexcision of lesion of middle earother excision of middle earfenestration of inner earrevision of fenestation of inner earendolymphatic shuntinjection into inner earother incision, excision, and destruction of inner eartympanosympathectomyrevision of mastoidectomyrepair of oval and round windowsimplantation of electromagnetic hearing deviceimplantation or replacement of cochlearprosthetic device,single channelimplantation or replacement of cochlearprosthetic device,multiple channelimplantation or replacement of cochlear prosthetic device, single channelimplantation or replacement of cochlear prosthetic device, multiple channelcontrol of epistaxis by ligation ofethmodial arteriescontrol of epistaxis by (transratal) ligation of the maxillary arterycontrol of epistaxis by ligation of the external carotid artery control of epistaxis by exicison of nasal mucosa turbinectomy associated with sinusectomyresection of nosesubmucous resection of nasal septumturbinectomy by diathermy of cryosurgery

Page 68: Prosedur RJ

fractures of turbinatesother turbinectomyopen reduction of nasal fractureclosure of nasal fistulatotal nasal reconstructionrevision rhinoplastyaugmentation rhinoplastylimited rhinoplastyother rhinoplastyother septoplastyother repair and plastic operation on nose other operations on noseopen biopsy of nasal sinusradical maxilary antrotomyother external maxillary antrotomyfrontal sinusotomyfrontal sinusectomysinusotomy not otherwise specifiedethmoidotomysphenoidotomyincision of multiple nasal sinusessinusectomy, not otherwise specifiedexcision of lesion of maxillary sinus with caldwell-lucexcision of lesion of maxillary sinus with other approachethmoidectomysphenoidectomyclosure of nasal sinus fistulaother repair of nasal sinusother operation of nasal sinusgingivoplastyexcision of dental lesion of jawsalveoloplastyopen biopsy of tongueexcision or destruction of lesion or tissue of tonguepartial glossectomycomplete glossectomyradical glossectomyother repair and plastic operation of tongueother glossotomyother operations on tongueopen biopsy of salivary gland or ductmarsupialization of salivary gland cystother excision of salivary gland lesionsialoadenectomy, unspecifiedpartial sialoadenectomycomplete sialoadenectomysuture of laceration of salivary glandclosure of salivary fistulaother repair and plastic operations on salivary gland or ductother operations salivary gland or ductdrainage of face and floor of mouthincision of palatebiopsy of bony palatebiopsy of uvula and soft palate

Page 69: Prosedur RJ

local excision or destruction of lesion or tissue of bony palatewide excision or destruction of lesion or tissue of bony palatewide excision of lesion of lipother excision of lesion or tissue of lipother excision of mouthclosure of fistula of mouthrepair of cleft lipfull thickness skin graft to lip and mouthother skin graft to life and mouthattachment of pedicle or flap graft to lip and mouthother plastic repair of mouthsuture of laceration of palatecorrection of cleft palaterevision of cleft palate repairother plastic repair of palateincision of ovulaexcision of uvularepair of uvulaother operation of uvulaincison of mouth, unspecified structureother operation on oral cavity incision and drainage of tonsil and peritonsilar structuresbiopsy of tonsil and adenoidother diagnostic procedureson tonsil and adenoidstonsillectomy without adennoidectomytonsillectomy with adennoidectomyexcision of tonsil tagexcision of lingual tonsiladenoidectomy without tonsillectomycontrol of hemmorhage after tosillectomy and adenoidectomyremoval of foreign body from tonsil and adenoid by incisionexcision of lesion of tonsil and adenoidother operations on tonsils and adenoidspharyngotomyexcision on branchial cleft cyst or vestigeexcision or destruction of lesion or tissue of pharynxcricopharyngeal myotomypharyngeal diverticulectomypharyngectomy (partial)other excision or destruction of lesion or tissue of pharynxplastic operation of pharynxsuture of laceration of pharynxclosure of branchial cleft fistulaclosure of other fistula of pharynxlysis of pharyngeal adhesion other repair of pharynxdivision of glossopharyngeal nerveother operations on pharynxMarsupialization of laryngeal cystOther excision or destruction of lesion or tissue or larynxHemilaryngectomyEpiglottidectomyVocal cordectomyOther partial laryngectomy

Page 70: Prosedur RJ

Complete laryngectomyRadical laryngectomyMediastinal tracheostomyOther permanent TracheostomyOther incision of larynx or tracheaOpen biopsy of larynx or tracheaLocal excision or destruction of lesion or tissue of tracheaSuture of laceration of larynxClosure of fistula of larynxRevision of laryngostomyRepair of laryngeal fractureOther repair of larynxSuture of laceration of tracheaClosure of external fistula of tracheaClosure of other fistula of tracheaRevision of tracheostomyReconstruction of trachea and construction of artificial larynxOther repair and plastic operations of tracheaDivision of laryngeal nerveLysis of adhesions of trachea or larynxTracheoesophangeal fistulizationOther operations on larynxOther operations on tracheaOther local excision or destruction of lesion or tissue of bronchusOther excision of bronchusPlication of emphysematous blebLung volume reduction surgeryOther local excision or destruction of lesion or tissue of lungSegmental resection of lungLobectomy of lungComplete pneumonectomyRadical dissection of thoracic structuresOther excision of lungIncision of bronchusIncision of lungOpen biopsy of bronchusOpen biopsy of lungOther diagnostic procedures on lung and bronchusThoracoplastyOther surgical for collapse of lungSuture of laceration of bronchusClosure of bronchial fistulaClosure of laceration of lungOther repair and plastic operations of bronchusOther repair and plastic operations of lungLung transplantLung transplantation, not otherwise specified 33.51Bilatera lung transplantationCombined heart-lung transplantationLigation of bronchusPuncture of lungOther operations on bronchusOther operations on lungIncission of chest wall

Page 71: Prosedur RJ

Exploratory thoracotomyReopening of recent thoracotomy siteIncision of mediastinumTranspleural thoracoscopyMediastinoscopyOpen mediastinum biopsyBiopsy of diaphragmOther diagnostic procedures on chest wall, pleura, mediastinum, and diaphragmOther diagnostic procedures on mediastinumExcision or destruction of lesion or tissue on mediastinumExcision or destruction of lesion of chest wallDecortication of lungOther excision of pleuraScarification of pleuraSuture of chest wall lacerationClosure of thoracostomyClosure of other fistula of thoraxRepair of pectus deformityOther repair of chest wallExcision of lesion or tissue of diaphragmSuture of laceration of diaphragmClosure of fistula of diaphragmOther repair of diaphragmImplantation of diaphragmatic pacemakerOther operations on diaphragmThoracentesisInjection into thoracic cavityRepair of pleuraOther opraetion on thoraxClosed heart valvotomy, unspecified valveClosed heart valvotomy, aortic valveClosed heart valvotomy, mitral valveClosed heart valvotomy, pulmonary valveClosed heart valvotomy, tricuspid valveOpen heart valvuloplasty without replacement, unspecified valveOpen heart valvuloplasty of aortic valve without replacementOpen heart valvuloplasty of mitral valve without replacementOpen heart valvuloplasty of pulmonary valve without replacementOpen heart valvuloplasty of tricuspid valve without replacementReplacement of unspecified heart valveReplacement of aortic valve with tissue graftOther replacement of aortic valveReplacement of mitral valve with tissue graftOther replacement of mitral valveReplacement of pulmonary valve with tissue graftOther replacement of pulmonary valveReplacement of tricusopid valve with tissue graftOther replacement of tricusopid valveOperations on papillary muscleOperations on chordae tendineaeAnnuloplastyInflundibulectomyOperations on trabeculae corneae cordisOperations on other structures adjacent to valves of heart

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Enlargement of existing atrial septal defectCreation of septal defect in heartRepair of unspecified septal defect of heart with prothesisRepair of atrial septal defect with prosthesis, open techniqueRepair of atrial septal defect with prosthesis, closed techniqueRepair ventricular septal defect with prosthesisRepair of endocardial cushion defect with prosthesisRepair of unspecified septal defect of heart with tissue graftRepair of atrial septal defect with tissue graftRepair of ventricular septal defect with tissue graftRepair of endocardial cushion defect with tissue graftOther and unspecified repair of unspecified septal defect of heartOther and unspecified repair of atrial septal defectOther and unspecified repair of ventricular septal defectOther and unspecified repair of endocardial cushion defectTotal repair of tetralogy of fallotTotal repair of total anomalous pulmonary venous connectionTotal repair of truncus arteriosusTotal correction of transposition of great vessels, not otherwise specifiedInteratrial transposition of venous returnCreation of conduit between right ventricle and pulmonary arteryCreation of conduit between left ventricle and aortaCreation of conduit between atrium and pulmonary arteryRevision of corrective procedure on heartPercutaneous valvuloplastyOther operations on septa of heartOther operations on valves of heart

Open chest coronary artery angioplastyIntracoronary artery thrombolytic infusionMultiple vessel percutaneous transluminal coronaryInsertion of coronary artery stent(s)Other removal of coronary artery obstructionAortocoronary bypass for heart revascularization, not otherwise specifiedAortocoronary bypass of one coronary arteryAortocoronary bypass of two coronary arteriesAortocoronary bypass of three coronary arteriesAortocoronary bypass of four or more coronary arteriesSingle internal Mammary-coronary artery bypassDouble internal Mammary-coronary artery bypassAbdominal-coronary artery bypassOther bypass anastomosis for heart revascularizationHeart revascularization by arterial implantOther heart revascularizationRepair of aneurysm of coronary vesselOther operations on vessels of heartIncision of heart, not otherwise specifiedCardiotomyPericardiotomyRight heart cardiac catheterization Left heart cardiac catheterization

Single vessel percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy without mention of thrombolytic agent

Single vessel percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy with mention of thrombolytic agent

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Combined right and left heart cardiac catheterization Biopsy of pericardiumCardiac electrophysiologic stimulation and recording studiesCardiac mappingPericardiectomyExcision of aneurysm of heartExcision of destruction on other lesion or tissue of heartCatheter ablation of lesion or tissues of heartPartial ventriculectomyRepair of heart and pericardiumHeart transplantationImplant of pulsation baloonImplant of other heart assist systemReplacement and repair of heart assist systemRemoval of heart assist systemImplant of external, pulsatile heart assist systemImplant of an implantable, pulsatile heart assist systemInitial insertion of lead [electrode], not otherwise specifiedInitial insertion of transvenous lead [electrode] into ventricleInitial insertion of transvenous leads [electrodes] into atriumInitial insertion of transvenous lead [electrode] into atriumInsertion of replacement of epicardial lead [electrode] into epicardiumRevision of lead [electrode]Replacement of transvenous atrial and/or ventricular lead(s)[electrode]Removal of lead(s)[electrode] without replacementRevision or relocation of pacemaker pocketInsertion of permanent pacemaker, initial or replacement, type of device not specifiedInitial insertion of single-chamber device, not specified as rate responsiveInitial insertion of single-chamber device, rate responsiveInitial insertion of dual-chamber device

Replacement of any type of pacemaker device with single-chamber device, rate responsiveReplacement of any type pacemaker device with dual-chamber deviceRevision or removal of pacemaker deviceOpen chest cardiac massageImplantation or replacement of automatic cardioverter/defibrillator, total system [AICD]Implantation of automatic cardioverter/defibrillator with lead(s) onlyImplantation of automatic cardioverter/defibrillator pulse generator onlyReplacement of automatic cardioverter/defibrillator with lead(s) onlyReplacement of automatic cardioverter/defibrillator pulse generator onlyOther oprations on heart and pericardiumIncision of vesselIncision of vessel, unspecified siteIncision of vessel, intracranial vesselsIncision of vessel, other vesel of head and neckIncision of vessel, upper limb vesselsIncision of vessel, aorta, abdominalIncision of vessel, thoracic vesselsIncision of vessel abdominal arteriesIncision of vessel abdominal veinsIncision of vessel, lower limb arteriesIncision of vessel, lower limb veinsEndarterectomy, unspecified site

Replacement of any type of pacemaker device with single-chamber device, not specified as rate responsive

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Endarterectomy intracranial vesselsEndarterectomy other vesel of head and neckEndarterectomy upper limb vesselsEmdarterectopmy aorta, abdominalEndarterectomy thoracic vesselsEndarterectomy abdominal arteriesEndarterectomy lower limb arteriesBiopsy of blod vesselsOther diagnostic procedures on blood vesselsResection of vessel with anastomosis, unspecified siteResection of vessel with anastomosis intracranial vesselsResection of vessel with anastomosis other vesel of head and neckResection of vessel with anastomosis upper limb vesselsResectin of vessel with anastomosis aorta, abdominalResection of vessel with anastomosis thoracic vesselsResection of vessel with anastomosis abdominal arteriesIncision of vessel abdominal arteriesResection of vessel with anastomosis lower limb arteriesResection of vessel with anastomosis lower limb veinsResection of vessel with replacement, unspecified siteResection of vessel with replacement intracranial vesselsResection of vessel with replacement other vesel of head and neckResection of vessel with replacement upper limb vesselsResectin of vessel with replacement aorta, abdominalResection of vessel with replacement thoracic vesselsResection of vessel with replacement abdominal arteriesResection of vessel with replacement abdominal veinsResection of vessel with replacement lower limb arteriesResection of vessel with replacement lower limb veinsLigation and stripping of varicose veins, unspecified siteLigation and stripping of varicose veins, intracranial vesselsLigation and stripping of varicose veins, other vesel of head and neckLigation and stripping of varicose veins, upper limb vesselsLigation and stripping of varicose veins, thoracic vesselsLigation and stripping of varicose veins abdominal veinsLigation and stripping of varicose veins, lower limb veinsOther excision of vessel, unspecified siteOther excision of vessel intracranial vesselsOther excision of vessel other vesel of head and neckOther excision of vessel upper limb vesselsOther excision of vessel aorta, abdominalOther excision of vessel thoracic vesselsOther excision of vessel abdominal arteriesOther excision of vesselabdominal veinsOther excision of vessel lower limb arteriesOther excision of vessel lower limb veinsInterruption of the vena cavaOther surgical occlusion of vesselsSystemic to pulmonary artery shuntIntra abdominal venous shuntOther shunt or vascular bypassAorta subclavian carotid by passOther intra thoracic vascular shunt or by passAorta renal bypass

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Aorta -iliac- femoral by passOther intra abdomial vascular shunt or by passArteriovenostomy for renal dialysisExtracranial-intracranial (EC-IC) vascular by passOther (peripheral) vascular shunt or bypassSuture of vesselSuture of arterySuture of veinControl of hemmorhage following vascular surgeryRevision of arteriovenous shunt for renal dialysisRemoval of arteriovenous shunt for renal dialysisOther revision of vascular proceduresAngioplasty or atherectomy of non-coronary vesselClipping of anneurysmOther repair of aneurysmRepair of arteriovenous fistulaRe-entry operation (aorta)Reimplantation of aberrant renal vesselRepair of blood vessel with tissueRepair of blood with synthetic patch graftRepair of blood vessel with unspecified type of patch graftOther repair of vesselExtracorporeal circulation and procedure auxialiary to heartIntraoperative cardiac pacemakerExtracorporeal membrane oxygenationPercutaneous cardiopulmonary bypassOperations on carotid body and other vascula bodiesOther operations on vesselFreeing the vesselInjection of sclerosing agent into veinInsertion of vessel-to-vessel canulaReplacement of vessel-to-vessel canulaHemodialysisOther operations of vesselsIncision of lymphatic structuresBiopsy of lymphatic structuresOther diagnostic procedures on lymphatic structuresExcision of deep cervial lymph nodeExcision of internal mammary lymph nodeExcision of axillary lymph nodeExcision of inguinal lymph nodeSimple excision of other lymphatic structureRegional lymph node excsionRadical neck dissection, not otherwise specifiedRadical neck dissection, unilateralRadical neck dissection, bilateralRadical excision of lymph nodes, not otherwise specifiedRadical excision of axillary lymph nodesRadical excision of periaortic lymph nodesRadical excision of iliac lymph nodesRadical groin dissectionRadical excision of other lymph nodesCannulation of thoracic ductFistulization of thoracic duct

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Closure of fistula of thoracic ductLigation of thoracic ductOther operations on thoracic ductOther operations on lymphatic structuresBone marrow transplant, not otherwise specifiedAutologous bone marrow transplantAllogeneic bone marrow transplant with purgingAllogeneic bone marrow transplant without purgingAutologous hematopoietic stem cell transplantAllogeneic hematopoietic stem cell transplantCord blood stem cell transplantAutologous hematopoietic stem cell transplant with purgingAllogeneic hematopoietic stem cell transplant with purgingAutologous bone marrow transplant with purgingSplenotomyOpen biopsy of spleenMarsupialization of splenic cystExcision of lesion or tissue of spleenPartian splenectomyTotal splenectomyExcision of accessory spleenTransplantation of spleenRepair and plastic operations on spleenOther operations on spleenIncision of eshopageal webOther incision of esophagusEsophagostomy, not otherwise specifiedCervical esophagostomyExteriorization of esopagheal pouchOther external fistulization of esophagusOperative esophagoscopy by incisionOpen biopsy of esophagusLocal excision of esophageal diverticulumLocal excision of other lesion or tissue of esophagusOther destruction of lesion or tissue of esophagusEsophagectomy, not otherwise specifiedPartial esophagectomyTotal esophagectomyIntrathoracic esophagoesophagostomyIntrathoracic esophagogastrostomyIntrathoracic esophageal anastomosis with interposition of small bowelOther intrathoracic esophagoenterostomyIntrathoracic esophageal anastomosis with interposition of colonOther intrathoracic esophagocolostomyIntrathoracic esophageal anastomosis with other interpositionOther intrathoracic anastomosis of esophagusAntesternal esophagoesophagostomyAntesternal esophagogastrostomyAntesternal esophageal anastomosis with interposition of small bowelOther antesternal esophagoenterostomyAntesternal esophageal anastomosis with interposition of colonOther antesternal esophagocolostomyAntesternal esophageal anastomosis with interpositionOther antesternal anastomosis of esophagus

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EsophagomyotomySuture of laceration of esophagusClosure of esophagostomyRepair of esophageal fistula, not elsewhere classifiedRepair of esophageal structureProduction of subcutaneous tunnel without esophageal anastomosisOther graft of esopagusOther repair of esopagusLigation of esophageal varicesGastrotomyOther gastrostomyPyloromyotomyLocal excision of other lesion or tissue of stomachOther destruction of lesion or tissue of stomachPartial gastrectomy with anastomosis to esophagusPartial gastrectomy with anastomosis to duodenumPartial gastrectomy with anastomosis to jejunumPartial gastrectomy with jejunal transpositionOther partial gastrectomyTotal gastrectomy with intestinal interpositionOther total gastrectomyVagotomy, not otherwise specifiedTruncal vagotomyHighly selective vagotomyOther selective vagotomyTransabdominal gastroscopyOpen biopsy of stomachDilation of pylorus by incisionOther pyloroplastyHigh gastric bypassPercutaneous [endoscopic] gastrojejunustomyOther gastroenterostomySuture of peptic ulcer, not otherwise specifiedSuture of gastric ulcer siteSuture of duodenal ulcer siteTranscatheter embolization for gastric or duodenal bleedingOther control of hemorrhage of stomach or duodenumRevision of gastric anastomosisSuture of laceration of stomachClosure of gastrostomyClosure of other gastric fistulaGastropexyEsophagogastroplastyOther procedures for creation of esophagogastric sphincteric competenceOther repair of stomachLigation of gastric varicesIntraoperative manipulation of stomachOther oparations on stomachIncision of intestine, not otherwise specifiedIncision of duodenumOther incision of small intestineIncision of large intestineTransabdominal endoscopy of small intestineOpen biopsy of small intestine

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Transabdominal endoscopy of large intestineOpen biopsy of large intestineOther local excision or destruction of lesion of duodenumOther destruction of lesion of duodenumLocal excision of lesion or tissue of small intestine, except duodenumOther destruction of lesion or tissue of small intestine, except duodenumExcision of lesion or tissue of large intestineOther destrudtion of lesion of large intestineIsolation of intestinal segment, not otherwise specifiedIsolation of segment of small intestineIsolation of segment of large intestineMultiple segmental resection of small intestineOther partial resection of small intestineTotal removal of small intestineMultiple segmental resection of large intestineCecectomyRight hemicolectomyResection of transverse colonLeft hemicolectomySigmoidectomyOther partial excision of large intestineTotal intra-abdominal colectomyIntestinal anastomosis, not otherwise specifiedSmall-to-small intestinal anastomosisAnastomosis of small intensite to rectal stumpOther small-to-large intestinal anastomosisLarge-to-large intestinal anastomosisAnastomosis to anusExteriorization of small intestineResection of exteriorized segment of small intestineExteriorization of large intestineResection of exteriorized segment of large intestineColostomy, not otherwise specifiedTemporary colostomyPermanent colostomyIleostomy, not otherwise specifiedTemporary ileostomyContinent ileostomyPermanent ileostomyOther enterostomyRevision of intestinal stoma, not otherwise specifiedRevision of stoma of small intestineRepair of pericolostomy herniaOther revision of stoma of large intestineClosure of intestinal stoma, not otherwise specifiedClosure of stoma of small intestineClosure of stoma of large intestineFixation of intestine, not otherwise specifiedFixation of small intestine to abdominal wallOther fixation of small intestineFixation of large intestine to abdominal wallOther fixation of large intestineSuture of laceration of duodenumClosure of fistula of duodenum

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Suture of laceration of small intestine, except duodenumClosure of fistula of small intestine, except duodenumSuture of laceration of large intestineClosure of fistula of large intestineOther repair of intestineIntra-abdominal manipulation of intestine, not otherwise specifiedIntra-abdominal manipulation of small intestineIntra-abdominal manipulation of large intestineMyotomy of sigmoid colonMyotomy of other parts of colonRevision of anastomosis of small intestineRevision of anastomosis of large intestineTransplat of intestineOther operations on intestinesLaparoscopic appendectomyOther appendectomyLaparoscopic incidental appendectomyOther incidental appendectomyDrainage of appediceal abscessAppendicostomy Closure of appendiceal fistulaOther operations on intestinesProctotomyProctostomyTransabdominal proctosigmoidoscopyOpen biopsy of rectumBiopsy of perirectal tissueRadical electrocoagulation of rectal lesion or tissueOther electrocoagulation of rectal lesion or tissueDestruction of rectal lesion or tissue by laserDestruction of rectal lesion or tissue by cryosurgeryLocal excision of rectal lesion or tissue[Endoscopic] polypectomy of rectumSoave submucosal resection of rectumOther pull-through resection of rectumAbdominoperineal resection of rectumTranssacral rectosigmoidectomyAnterior resection of rectum with synchronous colostomyOther anterior resection of rectumPosterior resection of rectumDuhamel resection of rectumOther resection of rectumSuture of laceration of rectumClosure of proctostomyClosure of other rectal fistulaRectorectostomyAbdominal proctopexyOther proctopexyOther repair of rectumIncision of perirectal tissueExcision of perirectal tissueIncision of rectal strictureAnorectal myectomyRepair of perirectal fistula

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Other opeartions on rectum and perirectal tissueIncision of perianal abscessOther incision of perianal tissueExcision of perianal skin tagsOther excision of perianal tissueAnal fistulotomyAnal fistulectomyBiopsy of perianal tissueBiopsy of anusDiagnostic procedure on anus and perianal tissueDestruction of hemorrhoids by cryotherapyLigation of hemorrhoidsExcision of hemorrhoidsOther procedures on hemorrhoidsLeft lateral anal sphincterotomyPosterior anal sphincterotomyOther anal sphincterotomyExcision of anusSuture of laceration of anusAnal cerclageClosure of anal fistulaGracilis muscle transplant for anal incontinenceImplantation or revision of artificial anal sphincterRemoval of artificial anal sphincterOther repair of anal sphincterIncision of anal spectumInsertion of subcutaneous electrical anal stimulatorOther incision of anusReduction of anal prolapseControl of (postoperative) hemorrhage of anusOther operations on anusClosed (percutaneus/needle) biopsy of liverOpen biopsy of liverOther diagnostic procedures on liverMarsupialization of lesion of liverPartial hepatectomyOther destruction of lesion of liver Lobectomy of liverTotal hepatectomyAuxiliary liver transplantOther transplant of liverClosure of leceration of liverOther repair of liverExtracorporeal hepatic assistanceOther opeartions on liverPercutaneus aspiration of gall bladderTrocar cholecystotomyOther cholecystotomyOther cholecystostomyOpen biopsy of gallbladder or bile ductsOther diagnostic procedures on biliary tractOther partial cholecystectomyCholecystectomyLaparoscopic cholecystectomy

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Laparoscopic partial cholecystectomyAnastomosis of gallbladder to hepatic ductsAnastomosis of gallbladder to intestineAnastomosis of gallbladder to pancreasAnastomosis of gallbladder to stomachOther gallbladder anastomosisCholedochoenterostomyAnastomosis of hepatic duct to gastrointestinal tractOther bile duct anastomosisCommon duct exploration for removal of calculusCommon duct exploration for relief of other obstructionInsertion of choledochohepatic tube for decompressionIncision of other bile ducts for relief of obstructionExploration of common ductIncision of other bile ductExcision of cystic duct remnantExcision of ampullaof Vater (with reimplantation of common duct)Other excision of common ductExcision of other bile ductSimple suture of common bile ductCholedochoplastyRepair of other bile ductsDilation of sphincter of OddiPancreatic sphincterotomyPancreatic sphincteroplastyOther operations on sphincter of OddiRepair of laceration of gallbladderClosure of cholecystostomyClosure of other biliary fistulaRevision of anastomosis of biliary tractRemoval of prosthetic device from bile duct nonoperative removal (97.55)Other opeartions on biliary tractDrainage of pancreatic cyst by catheterOther pancreatotomyOpern biopsy of pancreasOther diagnostic procedures of pancreasOther excision or destruction of lesion or tissue of pancreas or pancreatic ductMarsupialization of pancrteatic cyst drainage of cyst by catheter (52.01)Internal drainage of pancreatic cystProximal pancreatectomyDistal pancreatectomyRadical subtotal pancreatectomyOther partial pancreatectomyTotal pancreatectomyRadical pancreaticoduodenectomyPancreatic transplant, not otherwise specifiedReimplantation of pancreatic tissueHomotransplant of pancreasHeterotranplant of pancreasAutotransplantation of cells of islets of LangerhansAllotransplantation of cells of islets of LangerhansTransplantation of cells of islets of LangerhansCannulation of pancreatic dustOther repair of pancreas

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Anastomosis of pancreasEndoscopic insertion of nasopancreatic drainage tubeOther opeartions on pancreasUnilateral repair of inguinal hernia, not otherwise specifiedRepair of direct inguinal herniaRepair of indirect inguinal herniaRepair of direct inguinal hernia with graft or prosthesisRepair of indirect inguinal hernia with graft or prosthesisRepair of inguinal hernia with graft or prosthesis, not otherwise specifiedBilateral repair of inguinal hernia, not otherwise specifiedBilateral repair of direct inguinal herniaBilateral repair of indirect inguinal herniaBilateral repair of inguinal hernia, one direct and one indirectBilateral repair of direct inguinal hernia with graft or prosthetisBilateral repair of indirect inguinal hernia with graft or prosthesisBilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesisBilateral inguinal hernia repair with graft or prosthesis, not otherwise specifiedUnilateral repair of femoral hernia with graft or prosthesisOther unilateral femoral herniorraphyBilateral repair of femoral hernia with graft of prosthesisOther bilateral femoral herniorraphyRepair of umbilical hernia with prosthesisOther umbilical herniorraphyIncisional hernia repairRepair of other hernia of anterior abdominal wallIncisional hernia repair with prosthesisRepair of other hernia of anterior abdominal wall with prosthesisRepair of diaphragmatic hernia, abdominal approachRepair of diaphragmatic hernia with thoracic approach, not otherwise specifiedPlication of the diaphagmRepair of parasternal herniaOther hernia repairIncision of abdominal wallExploratory laparotomyReopening of recent laparotomy siteOther laparotomyLaparoscopyBiopsy of peritoneumOther diagnostic procedures of abdominal regionExcision or destruction of lession or tissue of abdominal wall or umbilicusExcision or destruction of peritoneal tissueLaparoscopic lysis of peritoneal adhesionsOther lysis of peritoneal adhesionsReclosure of postoperative disruption of abdominal wallDelayed closure of granulating abdominal woundOther suture of abdominal wallSuture of peritoneumRepair of gastroschisisOther repair of abdominal wallOther repair of peritoneumOther repair of omentumOther repair of mesenteryRemoval of foreign body from peritoeal cavityCreation of cutaneoperitoneal fistula

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Creation of peritoneovascular shuntIncision of pertoneumInjection of air into peritoneal cavityInjection of locally acting therapeutic substance into peritoneal cavityPeritoneal dialysisAbdominal region operationNephrotomyNephrostomyPercutaneous nephrostomy without fragmentationPercutaneous nephrostomy with fragmentationPyelotomyPyelostomyOpen biopsy of kidneyOther diagnostic procedures on kidneyMarsupialization of kidney lesionOther local destruction or exicion of renal lesion or tissuePartial nephrectomyNephroureterectomyNephrectomy of remaininmg kidneyRemoval of transplanted or rejected kidneyBilateran nephrectomyRenal autotransplantationOther kidney transplantationNephropexySuture of laceration of kidneyClosure of nephrostomy and pyelostomyClosure of other fistula of kidneyReduction of torsion of renal pedicleSymphysiotomy for horseshoe kidneyAnastomosis of kidneyCorrection of ureteropelvic junctionOther repair of kidneyDecapsulatiojn of kidneyInplantation of replacement of mecanical kidneyRemoval of mecanical kidneyOther operations on kidneyTransurethral removal of obstruction from ureter and renal pelvisUreteral meatotomyUreterotomyUreteroscopyClosed percutaneous biopsy of ureterClosed endoscopic biopsy of ureterOpen biopsy of ureterEndoscopy (cystoscopy)(looposcopy) of ileal conduitOther diagnostic prosedures on ureterUreterectomy, nor otherwise specifiedPartial ureterectomyTotal ureterectomyFormation of cutaneous uretero-ileostomyRevision of cutaneous uretero-ileostomyFormation of other cutaneous ureterostomyRevision of other cutaneous ureterostomyUrinary diversion to intestineRevision of ureterointestinal anastomosis

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Nephrocystanastomosis, not otherwise specifiedUreteroneocystostomyTransureteroureterostomyOther anastomosis or bypass of ureterLysis of intraluminal adhesions of ureterSuture of laceration of ureterrepair of ureter, Closure of ureterostomyClosure of other fistula of ureterUreteropexyRemoval of ligature from ureterOther repair of ureterImplantation of electronic ureteral smulatorReplacement of electronic ureteral smulatorRemoval of electronic ureteral smulatorLigation of ureterOther operations on ureterTransurethral clearance of bladderLysis of intraluminal adhesions with incision into bladderPercutaneous cystostomyOther suprapubic cystostomyOther cystostomyVesicostomyRevision or closure of vesicostomyClosed [transurethral] biopsy of bladderOpen biopsy of bladderOther diagnostic procedures on bladderTransurethral lysis of intraluminal adhesionsOther transurethral excision or destruction of lesion or tissue of bladderExcision of urachusOther excision or destruction of other lesion or tissue of bladderPartial cystectomyRadical cystectomyOther total cystectomySutuire of lacerationof bladderClosure of cystectomyReopair of fistula involving bladder and intensiteRepair of other fistula of bladderCystourethroplasty and plasticrepair of bladder neckRepair of bladder exthropyReconstruction of urinary bladderOther anastomosis of bladderOther repair of bladderSphincterotomy of bladderControl of (postoperative) hemorrhage of bladderImplantation of electronic bladder smulatorReplacement of electronic bladder smulatorRemoval of electronic bladder smulatorOther operation on bladderUrethrotomyUrethral meatotomyBiopsy of urethraBiopsy of periurethral tissueOther diagnostic procedures on urethra and periurethral tissueEndoscopic excision or destruction of lesion or tissue of urethra

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Other local excision or destruction of lesion or tissue of urethraSuture of laceration of urethraRepair of urethra, Closure of urethrostomyClosure of other fistula of urethraReanastomisis of urethraRepair of hypospadias or epispadiasOther reconstruction of urethraUrethral meatoplastyOther repair of urethraRelease of urethral strictureIncision of periurethral tissueExcision of periurethral tissueImplantation of artificial urinary sphincter [AUS]Other operation on urethra and periurethral tissueRetroperitoneal dissection, not otherwisespecifiedOther lysis of perirenal or periureteral adhesions that by laparoscope (59.03)Laparoscopic lysis of perirenal or periureteral adhesionsOther incision of perirenal or periureteral tissueOther lysis of perivesical adhesionsLaparoscopic lysis of perivesical adhesionsOther incisionof of |perivesical tissueBiopsy of perirenal and perivesical tissueOther Diagnostic procedures on perirenal tissue, perivesical tissue, and retroperitoneumPlication of urethrovesical junctionSuprapubic sling operationRethropubic urethral suspensionParaurethral suspensionLevator muscle operation for urethrovesical suspensionInjection of implant intourethra and/or bladder neckRepair of urinary incontinenceExcision of perirenal or perivesical tissueOther operations on perirenal or perivesical tissueUltrasonic fragmentation of urinary stonesincision of prostate

Closed [percutaneous][needle] biopsy of prostate Aproach: transrectal transurethral, punch biopsy

open biopsy of prostateClosed [percutaneous] biopsy of seminal vesicles, needle biopsy of seminal vesiclesopen biopsy of seminal vesiclesbiopsy of periprostatic tissueother diangnostic procedures on prostate and periprostatic tissueother diagnostic procedures on seminal vesiclestransurethral (ultrasound) guided laser induced prostatectomyother transurethral prostatectomysuprapubic prostatectomyretropubic prostatectomyradical prostatectomylocal excision of lesion of prostateperineal prostatectomyprostatectomyinscision of seminal vesicleexcision of seminal vesicle other operations of seminal vesicleinscision of periprostatic tissue

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excision of periprostatic tissuerepair of prostatecontrol of (postoperative)hemorrhage of prostatetransurethral balloon dilation of the prostatic urethratransurethral destruction of the prostate tissue by other thermotheOperation of prostateinscision and drainage of scrotum and tunica vaginalisexcision of hydrocele (of tunica vaginalis)excision or destruction of lesion or tissue of scrotum suture of laceration of scrotum and tunica vaginalisrepair of scrotal fistulaother repair of scrotum and tunica vaginalisexcision of lesion of tunica vaginalis other than hydroceleother operation on scrotum and tunica vaginalisinscision of testisopen biopsy of testisother diagnostic procedures on testesexcision or destruction of testicular lesionunilateral orchiectomyremoval of both testis removal of remaining testisorchiopexysuture of laceration of testisother repair of testesinsertion of testicular prosthesisother operations on testesother diagnostic procedures on spermatic cord, epididymis or vas deferensexcision of varicocele and hydrocele of spermatic cordexcision of cysst of epididymisexcision of other lesion or tissue of spermatic cord and epididymisepididymectomyrepair of spermatic cord and epididymissuture of laceration of spermatic cord and epididymisreduction of torsion of testis of spermatic cordtransplantation of spermatic cordother repair of spermatic cord and epididymisvasotomyLigation of vas deferensLigation of spermatic cordVasectomyAspiration of spermatocelesuture of laceration of vas deferens and epididymisreconstruction of surgically divided vas deferensepididymotomyremoval of ligature from vas deferensremoval of valve from vas deferensother repair of vas deferens and epididymisepididiotomyincision of spermatic cordlysis of adhesions of spermatic cordinsertion of valve in vas deferensother operation on spermatic cord/epididymis/vas deferenscircumcisionbiopsy of penis

Page 87: Prosedur RJ

local excision or destruction of lesion of penisamputation of penissuture of laceration of penisrelease of chordeeconstruction of penisreconstruction of penisreplantation of penis other repair of penisoperations for sex transformation, not elsewhere classifiedincision of penisdivision of penile adhesionsremoval of internal prosthesis of penisinsertion or replacement of non inflatable penil prosthesisother operation on penisother operation on male genital organlaparoscopic oophorotomyother oophorotomyaspiration biopsy of ovaryother biopsy of ovarylaparoscopic biopsy of ovaryother laparoscopic diagnostic procedures on ovariesother diagnostic procedures on ovariesmarsupalization of ovarian cystwedge resection of ovarylaparoscopic marsupaliazation of ovarian cystlaparoscopic wedge resection of ovaryother laparoscopic local excision or destruction of ovaryother local excision or destruction of ovarylaparoscopic unilateral oophorectomyother unilateral oophorectomylaparoscopic unilateral salpingo -oophorectomyother unilateral salpingo-oophorectomyother removal of both ovaries at same operative prosedurother removal remaining ovarylaparoscopic removal of both ovaries at same laparoscopic removal of remaining ovaryother removal of both ovaries and tubes at same operative episodeother removal of remaining ovary and tubelaparoscopic removal of both ovaries and tubes at same operative episodelaparoscopic removal of remaining ovary other simple suture of ovaryother reimplantation of ovaryother salpingo-oophoroblastylaparoscopic simple suture of ovarylaparoscopic reimplantation of ovarylaparoscopic salpingo-oophoroplastyother repair of ovarylaparoscopic lysis of adhesion of ovary other lysis of adhesion of ovary and fallopian tubeaspiration of ovarytransplantation of ovarymanual rupture of ovarian cystovarian denervationrelease of torsion of ovary

Page 88: Prosedur RJ

other operation on ovarysalpingotomysalpingostomybiopsy of falopian tubeother diagnostic procedures on fallopian tubesbilateral endoscopic ligation and crushing of fallopian tubesbilateral endoscopic destruction or occlusion of fallopian tubes''other bilateral endoscopic destruction or occlusion of fallopian tubesother bilateral ligation and crushing of fallopian tubesother bilateral ligation and division of fallopian tubesother bilateral destruction or occlusion of fallopian tubestotal unilateral salpingectomremoval bothi fallopian tubes at same operative episode removal of remaining fallopian tubeexcision or destruction of lesion of fallopian tubesalpingectomy with removal of tubal pregnancybilateral partial salpingectomy, not otherwise specifiedother partial salpingectomysimple suture of falopian tubesalpingo-oophorostomysalpingo-salpingostomysalpingo-uterostomyother repair of allopian tubeAspiration of spermatoceleunilateral destruction or occlusion of fallopian tubeimplantation or replacement of protsthesis of fallopian tuberemoval of prosthesis of fallopian tubeinsufflation of therapeutic agent into fallopian tubesdilation of fallopian tubesburying of fimbriae in uterine wallother operations on fallopian tubesDilation of cervical canalendocervical biopsyother cervical biopsyother diagnostic procedures on cervixConization of cervixmarsupalization of cervical cystdestruction of lesion of cervix by cauterizationdestruction of lesion of cervix by cryosurgeryother excision or destruction of lesion or tissue of cervixtransabdominal cerclage of cervixamputation of cervixrepair of internal cervical ossuture of laceration of cervixrepair of fistula of cervixother repair of cervixHysterotomyHysteroscopyopen biopsy of uterusopen biopsy of uterine ligamentsclosed biopsy of uterine ligamentsclosed biopsy of uterusother diagnostic procedures on uterus and supporting stucturesdivision of endometrial synnechiae

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incision or excision of congenital septum of uterusendometrial ablationother excision or destruction of lesion or tissue of uterussubtotal abdominal hysterectomytotal abdominal hysterectomyvaginal hysterectomylaparoscopically assisted vaginal hysterectomy (LAVH)other vaginal hysterectomyradical abdominal hysterectomyradical vaginal hysterectomypelvic eviscerationother and unspecified hysterectomydilation and curettage for termination of pregnancydilation and curettage following delivery or abortionother dilation and curettageother excision or destruction of lesion or tissue of uterus and supporting structuresinterposition operationother uterine suspensionvaginal repair of chronic inversion of uterusother repair of uterus and supporting structuresparacervical uterine denervationuterine repairsuture of laceration of uterusclosure of fistula of uterusother repair of uterusaspiration curettage of uterus for termination of pregnancyaspiration curettage following delivery or abortionAspiration curretage of uterusincision of cervixremoval of other penetrating foreign body from cervixother operations on supporting structures of uterusother operations on cervix and uterusCuldocentesisHymenotomyculdotomylysis of intraluminal adhesions of vaginaother vaginotomyVaginoscopyCuldoscopybiopsy of cul-de-sacvaginal biopsyother diagnostic procedures on vagina and cul-de-sachymenectomyExcision/destruction of lesion cul-de-sacexcision or destruction of lesion of vaginaobliteration and total excision of vaginarepair of cystocelerepair of rectocelevaginal construction and reconstructionvaginal constructionvaginal reconstructionsuture of laceration of vaginarepair of colovaginal fistularepair of rectovaginal fistula

Page 90: Prosedur RJ

repair of other vaginoenteric fistularepair of other fistula of vaginahymenorraphyvaginal suspension and vixationother repair of vaginaobliteration of vagina vaultother operations on vaginaother operations on cul-de-saclysis of vulvar adhesionsother incision of vulva and perineumDiagnostic procedures on vulva, biopsy of vulvaother diagnostic procedures on vulvaPercutaneous aspiration of Bartholin's gland (cyst)incision of Bartholin's gland (cyst)marsupialization of Bartholin's gland (cyst)excision or other destruction of Bartholin's gland (cyst)other operations on Bartholin's glandother local excision or destruction of vulva and perineumoperations on clitorisradical vulvectomyunilateral vulvectomybilateral vulvectomysuture of laceration of vulva or perineumrepair of fistula of vulva or perineumother repair of vulva and perineumother operations on vulvaother operations on female genital organsclassical cesarean sectionlow cervical cesarean sectionextraperitoneal cesarean sectionremoval of extratubal ectopic pregnancycesarean section of other specified typehysterotomy to terminate pregnancyother cesarean section of unspecified typeIntra-amniotic injection for abortiondiagnostic amnioscentesisamnioscopyfetal blood sampling and biopsyother diagnostic procedures on fetus and amnioncorrection of fetal defectrepair of current obstetric laceration of uterus not otherwise specifiedrepair of current obstetric laceration of cervixrepair of current obstetric laceration of corpus uterirepair of current obstetric laceration of bladder and urethrarepair of current obstetric laceration of rectum and sphincter ani

repair of other current obstetric laceration Episioperineorrhaphy secondary repair of episiotomy

evacuation of obstetrical insicional hematoma of perineumevacuation of other hematoma of vulva or vaginasurgical corrections of inverted uterusother obstectric operationssequestrectomy of facial boneother incision of facial bone reopening of osteotomy site of facial bonebiopsy of facial bone

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other diagnostic procedures on facial bones and jointslocal excision or destruction of lesion of facial bone partial mandibulectomy hemimandibulectomypartial ostectomy of other facial bone hemimaxilectomytotal mandibulectomy with synchronous reconstructionother total mandibulectomyother reconstruction of mandibletotal ostectomy of other facial bone with synchronous reconstructionother total ostectomy of other facial boneother reconsteruction of other facial bonetemporomandibular arthroplastyclosed osteoplasty (ostetomy) of mandibular ramus Gigli saw osteotomyopen osteoplasty of mandibular ramusosteoplasty (osteotomy) of body mandible

segmental osteoplasty (osteotomy) of maxilla maxillary osteoplastytotal osteoplasty (osteotomy) of maxillareduction genioplasty reduction mentoplastyaugmentation genioplasty mentoplasty: NOS with graft or implantother facial bone repair osteoplasty of facial bone NOSreudction of facial fracture, not otherwise specifiedClosed reduction of malar & zygomatic fractureopen reduction of malar and zygomatic fractureopen reduction of maxillary fractureClosed reduction of mandibular fractureOpen reduction of mandibular fracturopen reduction of alveolar fractureClosed reduction of facial fractureother open reduction of facial fracturebone graft to facial boneinsertion of synthetic implant in facial boneClosed reduction of temporomandibular dislocationopen reduction of temporomandibular disloactionremoval of internal fixation device from facial boneother operations on facial bones and jointsSequestrectomy, unspecified siteSequestrectomy, scapula, clavicle, and thorax (ribs and sternum)Sequestrectomy, humerusSequestrectomy, radius and ulnaSequestrectomy, carpals and metacarpalsSequestrectomy, femurSequestrectomy, patellaSequestrectomy, tibia and fibulaSequestrectomy, tarsals and metatarsalsSequestrectomy, other pelvic bones phalanges (foot/hand) vertebraeOther incision of bone without division, unspecified siteOther incision of bone without division, scapula, clavicle, and thorax (ribs and sternum)Other incision of bone without division, humerusOther incision of bone without division, radius and ulnaOther incision of bone without division, carpals and metacarpalsOther incision of bone without division, femurOther incision of bone without division, patellaOther incision of bone without division, tibia and fibula

other orthognathic surgery on mandible mandibular osteoplasty NOS segmental nor subapical osteotomy

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Other incision of bone without division, tarsals and metatarsalsOther incision of bone without division, other pelvic bones phalanges (foot/hand) vertebraeWedge osteotomy, unspecified siteWedge osteotomy, scapula, clavicle, and thorax (ribs and sternum)Wedge osteotomy, humerusWedge osteotomy, radius and ulnaWedge osteotomy, carpals and metacarpalsWedge osteotomy, femurWedge osteotomy, patellaWedge osteotomy, tibia and fibulaWedge osteotomy, tarsals and metatarsalsWedge osteotomy, other pelvic bones phalanges (foot/hand) vertebraeOther division of bone, unspecified siteOther division of bone, scapula, clavicle, and thorax (ribs and sternum)Other division of bone, humerusOther division of bone, radius and ulnaOther division of bone, carpals and metacarpalsOther division of bone, femurOther division of bone, patellaOther division of bone, tibia and fibulaOther division of bone, tarsals and metatarsalsOther division of bone, other pelvic bones phalanges (foot/hand) vertebraeBiopsy of bone, unspecified siteBiopsy of bone, scapula, clavicle, and thorax (ribs and sternum)Biopsy of bone, humerusBiopsy of bone, radius and ulnaBiopsy of bone, carpals and metacarpalsBiopsy of bone, femurBiopsy of bone, patellaBiopsy of bone, tibia and fibulaBiopsy of bone, tarsals and metatarsalsBiopsy of bone, other pelvic bones phalanges (foot/hand) vertebraebunionectomy with soft tissue correction and osteotomy of the first metatarsalbunionectomy with soft tissue correction and arthrodesisother bunionectomy with soft tissue correctionexcision or correction of bunionetterepair of hammer toerepair of claw toeother excision of lesion or tissue of boneother bunionectomyLocal excision of lesion or tissue of bone unspecified siteLocal excision of lesion or tissue of bone scapula, clavicle, and thorax (ribs and sternum)Local excision of lesion or tissue of bone, humerusLocal excision of lesion or tissue of bone, radius and ulnaLocal excision of lesion or tissue of bone, carpals and metacarpalsLocal excision of lesion or tissue of bone, femurLocal excision of lesion or tissue of bone, patellaLocal excision of lesion or tissue of bone, tibia and fibulaLocal excision of lesion or tissue of bone, tarsals and metatarsalsLocal excision of lesion or tissue of bone, other pelvic bones phalanges (foot/hand) vertebraeExcision of bone for graft, unspecified siteExcision of bone for graft, scapula, clavicle, and thorax (ribs and sternum)Excision of bone for graft, humerusExcision of bone for graft, radius and ulna

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Excision of bone for graft, carpals and metacarpalsExcision of bone for graft, femurExcision of bone for graft, patellaExcision of bone for graft, tibia and fibulaExcision of bone for graft, tarsals and metatarsalsExcision of bone for graft, other pelvic bones phalanges (foot/hand) vertebraeOther partial ostectomy, unspecified siteOther partial ostectomy, scapula, clavicle, and thorax (ribs and sternum)Other partial ostectomy, humerusOther partial ostectomy, radius and ulnaOther partial ostectomy, carpals and metacarpalsOther partial ostectomy, femurOther partial ostectomy, patellaOther partial ostectomy, tibia and fibulaOther partial ostectomy, tarsals and metatarsalsOther partial ostectomy, other pelvic bones phalanges (foot/hand) vertebraeTotal ostectomy, unspecified siteTotal ostectomy, scapula, clavicle, and thorax (ribs and sternum)Total ostectomy, humerusTotal ostectomy, radius and ulnaTotal ostectomy, carpals and metacarpalsTotal ostectomy, femurTotal ostectomy, patellaTotal ostectomy, tibia and fibulaTotal ostectomy, tarsals and metatarsalsTotal ostectomy, other pelvic bones phalanges (foot/hand) vertebraeBone graft, unspecified siteBone graft, scapula, clavicle, and thorax (ribs and sternum)Bone graft, humerusBone graft, radius and ulnaBone graft, carpals and metacarpalsBone graft, femurBone graft, patellaBone graft, tibia and fibulaBone graft, tarsals and metatarsalsBone graft, other pelvic bones phalanges (foot/hand) vertebraeApplication of external fixation device, unspecified siteApplication of external fixation device, scapula, clavicle, and thorax (ribs and sternum)Application of external fixation device, humerusApplication of external fixation device, radius and ulnaApplication of external fixation device, carpals and metacarpalsApplication of external fixation device, femurApplication of external fixation device, patellaApplication of external fixation device, tibia and fibulaApplication of external fixation device, tarsals and metatarsalsApplication of external fixation device, other pelvic bones phalanges (foot/hand) vertebraeLimb shortening procedures, unspecified siteLimb shortening procedures, humerusLimb shortening procedures, radius and ulnaLimb shortening procedures, carpals and metacarpalsLimb shortening procedures, femurLimb shortening procedures, tibia and fibulaLimb shortening procedures, tarsals and metatarsalsLimb shortening procedures, other pelvic bones phalanges (foot/hand) vertebrae

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Limb lighthening procedures, unspecified siteLimb lighthening procedures, humerusLimb lighthening procedures, radius and ulnaLimb lighthening procedures, carpals and metacarpalsLimb lighthening procedures, femurLimb lighthening procedures, tibia and fibulaLimb lighthening procedures, tarsals and metatarsalsLimb lighthening procedures, other pelvic bones phalanges (foot/hand) vertebraeOther repair or plastic operations of bone, unspecified siteOther repair or plastic operations of bone, scapula, clavicle, and thorax (ribs and sternum)Other repair or plastic operations of bone, humerusOther repair or plastic operations of bone, radius and ulnaOther repair or plastic operations of bone, carpals and metacarpalsOther repair or plastic operations of bone, femurOther repair or plastic operations of bone, patellaOther repair or plastic operations of bone, tibia and fibulaOther repair or plastic operations of bone, tarsals and metatarsalsOther repair or plastic operations of bone, other pelvic bones phalanges (foot/hand) vertebraeinternal fixation of bone without fracture reduction, unspecified site

internal fixation of bone without fracture reduction, scapula, clavicle, and thorax (ribs and sternum)

internal fixation of bone without fracture reduction, humerusinternal fixation of bone without fracture reduction, radius and ulnainternal fixation of bone without fracture reduction, carpals and metacarpalsinternal fixation of bone without fracture reduction, femurinternal fixation of bone without fracture reduction, patellainternal fixation of bone without fracture reduction, tibia and fibulaInternal fixation of bone without fracture reduction, tarsal/metatarsal

Removal of implanted devices from bone, unspecified siteRemoval of implanted devices from bone, scapula, clavicle, and thorax (ribs and sternum)Removal of implanted devices from bone, humerusRemoval of implanted devices from bone, radius and ulnaRemoval of implanted devices from bone, carpals and metacarpalsRemoval of implanted devices from bone, femurRemoval of implanted devices from bone, patellaRemoval of implanted devices from tibia/fibulaOsteoclasis, unspecified siteOsteoclasis, scapula, clavicle, and thorax (ribs and sternum)Osteoclasis, humerusOsteoclasis, radius and ulnaOsteoclasis, carpals and metacarpalsOsteoclasis, femurOsteoclasis, patellaOsteoclasis, tibia and fibulaOsteoclasis, tarsals and metatarsalsOsteoclasis, other pelvic bones phalanges (foot/hand) vertebraeDiagnosis procedures on bone, not elsewhere classified, unspecified site

Diagnosis procedures on bone, not elsewhere classified, humerusDiagnosis procedures on bone, not elsewhere classified, radius and ulnaDiagnosis procedures on bone, not elsewhere classified, carpals and metacarpals

Internal fixation of bone without fracture reduction, other, pelvic bones, phalanges, vertebra, bone graft

Diagnosis procedures on bone, not elsewhere classified, scapula, clavicle, and thorax (ribs and sternum)

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Diagnosis procedures on bone, not elsewhere classified, femurDiagnosis procedures on bone, not elsewhere classified, patellaDiagnosis procedures on bone, not elsewhere classified, tibia and fibulaDiagnosis procedures on bone, not elsewhere classified, tarsals and metatarsals

Insertion of bone growth stimulator into unspecified boneInsertion of bone growth stimulator into scapula, clavicula, and thoraxInsertion of bone growth stimulator into humerusInsertion of bone growth stimulator into radius and ulnaInsertion of bone growth stimulator into carpals and metacarpalsInsertion of bone growth stimulator into femurInsertion of bone growth stimulator into patellaInsertion of bone growth stimulator into tibia and fibulaInsertion of bone growth stimulator into tarsals and metatarsalsInsertion of bone growth stimulator into other, pelvic bones, phalanges, vertebrae, bone graftopen reduction of dislocation unspecified siteopen reduction of dislocation of shoulderopen reduction of dislocation of elbowopen reduction of dislocation of wristopen reduction of dislocation of hand and fingeropen reduction of dislocation of hipopen reduction of dislocation of kneeopen reduction of dislocation of ankleopen reduction of dislocation of foot and toeopen reduction of dislocation of other specified siteexcision or destruction of intervertebral discexcision of intervertebral discIntervertebral chemonucleolysisother destruction of intervertebral discexcision of semilunar cartilage of kneeSynovectomy of unspecified siteSynovectomy of shoulderSynovectomy of elbowSynovectomy of wristSynovectomy of hand and fingerSynovectomy of hipSynovectomy of kneeSynovectomy of ankleSynovectomy of foot and toeSynovectomy of other specified sites, spineOther local excision or destruction of lesion of joint of unspecified siteOther local excision or destruction of lesion of joint of shouldersOther local excision or destruction of lesion of joint of elbowsOther local excision or destruction of lesion of joint of wristsOther local excision or destruction of lesion of joint of hand and fingersOther local excision or destruction of lesion of joint of hipsOther local excision or destruction of lesion of joint of kneesOther local excision or destruction of lesion of joint of anklesOther local excision or destruction of lesion of joint of foot and toesOther local excision or destruction of lesion of joint of other specified sites, spinesspinal fusion, not elsewhere specifiedatlas axis spinal fusionother cervical fusion, anterior technique

Diagnosis procedures on bone, not elsewhere classified, other pelvic bones phalanges (foot/hand) vertebrae

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other cervical fusion, posterior techniquedorsal and dorsolumbar fusion, anterior techniquedorsal and dorsolumbar fusion, posterior techniquelumbar and lumbosacral fusion, anterior techniquelumbar and lumbosacral fusion, lateral transverse process techniquelumbar and lumbosacral fusion, posterior tecniquerefusion of spine, any level or technique ankle fusiontriple arthrodesissubfalar fusionmidtarsal fusiontarsometatarsal fusionmetatarsophalangeal fusionother fusion of footarthrodesis of unspecified jointarthrodesis of hiparthrodesis of kneearthrodesis of shoulderarthrodesis of elbowcarporadial fusionmetacarpocarpal fusionmetacarpophalangeal fusioninterphalangeal fusionarthrodesis of other specified jointsrepair of hip, not elsewhere classifiedfive-in-one repair of kneetriad knee repairpatellar stabilizationother repair of the cruciate ligamentsother repair of the colateral ligamentsother repair of kneeother repair of ankletotal hip replacementpartial hip replacementreplacement of prolapsed umbilical cordtotal knee replacementrevision of knee replacementtotal ankle replacementreplacement of joint of foot and toerevision of joint replacement of lower extremity, not elsewhere classifiedarthroplasty of metacarpophalangeal and interphalangeal joint with implantarthroplasty of metacarpophalangeal and interphalangeal joint without implanttotal wrist replacementarthroplasty of carpocarpal or carpometacarpal joint with implantarthroplasty of carpocarpal or carpometacarpal joint without implantother repair of hand, finger and wirsttotal shoulder replacementpartial shoulder replacementrepair of recurrent dislocation of shoulderother repair of shouldertotal elbow replacementother repair of elbowsuture of capsule or ligament of upper extremitysuture of capsule or ligament of ankle and foot

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suture of capsule or ligament of other lower extremityother repair of jointrevision of joint replacement of upper extremity other diagnostic procedures on joint structuresother operations on joint structuresexploration of tendon sheath of handmyotomy of handbursotomy of handother incision of soft tissue and handtenotomy of hand fasciotomy of handother division of soft tissue of handexcision of lesion of tendon sheath of handexcision of other lesion of tendon sheath (wrist)excision of other lesion of soft tissue of handbursectomy of handexcision of tendon of hand for graftother tenonectomy of handexcision of muscle or fascia of hand for graftother fasciectomy of handother myectomy of handother excision of soft tissue and handsuture of tendon sheath of handdelayed suture of flexor tendon of hand delayed suture of other tendon of handother suture of flexor tendon of handother suture of other tendon of handsuture of muscle or fascia of handTransplantation of muscle and tendon of hand advancement of tendon of handrecession of tendon of handreattachment of tendon of handreattachment of muscle and handother change in hand muscle or tendon lengthother hand tendon transfer or transplantationother hand tendon transpositionother hand muscle transfer or transplantationother muscle transpositionpoliization operation carrying over nerves and blood supplyother reconstruction of thumbstendon pulley reconstructionplastic operation on hand with graft of muscle or fasciaplastic operation on hand with other graft or implanttransfer of finger, except thumbrepair of cleft handrepair of macrodactylyrepair of mallet fingerother tenodesis of handother tenoplasty of handother palstic operations of handlysis of adhesion of handother operations on muscle, tendon and fascia of handexploration of tendon sheathmyotomybursotomy

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other incision of soft tissueachillotenotomyadductor tenotomy of hipother tenotomyfasciotomyother division of soft tissueother diagnostic prosedures on muscle, tendon, fascia and bursa including that of handexcision of lesion of tendon sheathexcision of lesion of muscleexcision of lesion of other soft tissueexcision of tendon for graftother tenonectomyexcision muscle or fascia for graftother fasciectomyother myectomyother excision of soft tissuesuture of tendon sheathdelayed suture of tendonrotator cuff repairother suture of tendonother suture of muscle of fasciaReconstruction of muscle and tendon advancement of tendon of handrecession of tendonreattachement of tendonreattachement of muscletendon transfer or transplantationother tendon transpositionmuscle transfer or transplantationother muscle transpositiontendon graftgraft of muscle or fasciatendon pulley reconstructionrelease of clubfoot, not elsewhere classifiedother change in muscle and tendon lengthquadricepsplastyother plastic operations of muscleother plastic operations of tendonother plastic operations on fascialysis of adhesions of muscl, tendon, fascia and bursainsertion or replacement of skeletal muscle stimulatorremoval of skeletal muscle stimulatorother operations on muscle, tendon, fascia and bursaupper limb amputation, not otherwise specifiedamputation and disarticulation of fingeramputation and disarticulation of thumbAmputation of upper limb amputation through handdisarticulation of wristAmputation of upper limb amputation through forearmdisarticulation of shoulderamputation through forearmdisarticulation of shoulderinterthoracospular amputationlower limb amputation, not otherwise specifiedamputation of toe

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amputation of through footdisarticulation of ankleamputation of ankle through malleoli of tibia and fibulaother amputation below kneedisarticulation of kneeamputation above kneedisarticulation of hipabdominopelvic amputationthumb reattachmentfinger reattachmentforearm, wrist, or hand attachmentReattachment of extrimity, upper arm reattachmenttoe reattachmentfoot reattachmentlower leg or ankle reattachmentthigh reattachmentother reattachmentrevision of amputationimplantation of fitting of prosthetic limb deviceimplantation of prosthetic device of armimplantation on musculosceletal systemamputation, not otherwise specifiedseparation of equal conjoined twinsseparation of unequal conjoined twinsother operations on musculosceletal systemMastotomyOpen biopsy of breastExcision or destruction of breast tissue, nor otherwise specifiedLocal excision of lesion of breastResection of quadrant of breastSubtotal mastectomyExcision of ectopic breast tissueExcision of nippleUnilateral reduction mammoplastyBilateral reduction mammoplastyUnilateral subcutaneous mammectomy with synchronous implantOther unilateral subcutaneous mammectomyBilateral subcutaneous mammectomy with synchronous implantOther bilateral subcutaneous mammectomyUnilateral simple mastectomyBilateral simple mastectomyUnilateral extended simple mastectomyBilateral extended simple mastectomyUnilateral radical mastectomyBilateral radical mastectomyUnilateral extended radical mastectomyBilateral extended radical mastectomyAugmentation mammoplasty, not otherwise specifiedUnilateral breast implantBilateral breast implantMastopexyTotal reconstruction of breastSplit-thickness graft to breastFull-thickness graft to breast

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Pedicle graft to breastMuscle flap graft to breastTransportation of nippleOther repair or reconstruction of nippleOther mammoplastyRevision of implant of breastRemoval of implant of breastInsertion of breast tissue expanderRemoval of breast tissue expanderOther operations on the breast Insertion of totally implantable infusion pumpInsertion of totally implantable vascular access device (VAD)Other incision of skin and subcutaneous tissueExcision of pilonidal cyst or sinusOther local excision or destruction of lesion or tissue of skin and subcutaneous tissueRadical excision of skin lesionFree skin graft, not otherwise specifiedFull-thickness skin graft to handOther skin graft to handFull-thickness skin graft to other sitesHeterograft of skinHomograft of skinDermal regenerative graftOther skin graft to other sitesPedicle or flaps graft, not otherwise specifiedCutting and preparation of pedicle grafts or flapsAdvancement of pedicle graftAttachment of pedicle of flap graft to handAttachment of pedicle of flap graft to other siteRevision of pedicle of flap graftRepair for facial weaknessFacial rhytidectomySize reduction plastic operationRelaxation of scar or web contracture of skinCorrection of syndactylyOnychoplastyOther repair and reconstruction of skin and subcutaneous tissueExcision of skin for graftInsertion of tissue expanderAngiocardiography, not otherwise specifiedAngiocardiography of venae cavaeAngiocardiography of right heart structuresAngiocardiography of left heart structuresCombined right and left heart angiocardiographyCoronary arteriography using a single catheterCoronary arteriography using two cathetersOther and unspecified coronary arteriographyNegative-contrast cardiac roentgenographyPhlebography using contrast material, unspecified sitePhlebography of veins of head and neck using contrast materialPhlebography of pulmonary veins using contrast materialPhlebography of other intrathoracic veins using contrast materialPhlebography of the portal venous system using contrast materialPhlebography of other intra-abdominal veins using contrast material

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Phlebography of femoral and other lower extremity veins using contrast materialPhlebography of other specified sites using contrast materialImpedance phlebographyDiagnostic ultrasound of head and neckDiagnostic ultrasound of heartDiagnostic ultrasound of other sites of thoraxDiagnostic ultrasound of digestive systemDiagnostic ultrasound of urinary systemDiagnostic ultrasound of abdomen and retroperitoneumDiagnostic ultrasound of peripheral vascular systemDiagnostic ultrasound of gravid uterusOther diagnostic ultrasoundCerebral thermographyOcular thermographyBone thermographyMuscle thermographyBreast thermographyBlood vessel thermographyThermography of other sitesDiagnostic imaging, not elsewhere classifiedMagnetic resonance imaging of brain and brain stem

Magnetic resonance imaging of spinal canalMagnetic resonance imaging of musculoskeletalMagnetic resonance imaging of pelvis, prostate, and bladderMagnetic resonance imaging of other and unspecified sitesBone mineral density studiesInterview and evaluation, described as briefInterview and evaluation, described as limitedInterview and evaluation, described as comprehensiveOther interview and evaluation Diagnostic interview and evaluation, not otherwise specifiedConsultation, described as limitedConsultation, described as comprehensiveOther consultationConsultation, not otherwise specifiedIntracarotid amobarbital test, Wada testTonometryNasal function study, rhinomanometryNeurologic examinationElectroencephalogramOther nonoperative neurologic function testsTransillumination of newborn skullPolysomnogramOther sleep disorder function testsVideo and radio-telemetered electroencephalographic monitoringUrinary manometryCystometrogramUrethral sphincter electromyogramUroflowmetry [UFR]Urethral pressure profile [UPP]Gynecological examinationOther nonoperative genitourinary system measurements

Magnetic resonance imaging of chest and myocardium for evaluation of hilar and mediastinal lymphadenopathy

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Dental examination, oral mucosal survey, periodontal surveyEsophageal manometryDigital examination of enterostomy stomaDigital examination of rectumTransillumination of nasal sinusesManual examination of breastVital capacity determination

Cardiovascular stress test using treadmillMasters' two-step stress testCardiovascular stress test using bicycle ergometerOther cardiovascular stress test, Thalium stress test with or without transesophageal pacingArtificial pacemaker rate check, artificial pacemaker function check NOSArtificial pacemaker artifact wave form checkArtificial pacemaker electrode impedance checkArtificial pacemaker voltage or amperage threshold checkAmbulatory cardiac monitoring, analog devices [Holter type]Rhythm electrocardiogram (with onw to three leads)Electrocardiogram NOS (with 12 or more leads)Vectorcardiogram (with ECG)Electrographic monitoring, telemetryPhonocardiogram with ECG leadCarotid pulse tracing with ECG leadApexcardiogram (with ECG lead)PlethysmogramOther nonoperative cardiac and vascular measurementsSystemic arterial pressure monitoringCentral venous pressure monitoringPulmonary artery pressure monitoringPulmonary artery wedge monitoringMeasurement of systemic arterial blood gasesMeasurement of mixed venous blood gasesMonitoring of cardiac output by oxygen consumption techniqueMonitoring of cardiac output by other technique, COP monitor by thermodilution indicatorMonitoring of coronary blood flow, coronary blood flow monitoring by coincidenceGeneral physical examinationAutopsyMicroscopic examination of specimen from nervous system and spinal fluid, bacterial smearMicroscopic examination of specimen from nervous system and spinal fluid, culture

Microscopic examination of specimen from nervous system and spinal fluid, culture and sensitivity

Microscopic examination of specimen from nervous system and spinal fluid, parasitologyMicroscopic examination of specimen from nervous system and spinal fluid, toxicology

Microscopic examination of specimen from nervous system and spinal fluid, bacterial smearMicroscopic examination of specimen from endocrine gland, NEC, bacterial smearMicroscopic examination of specimen from endocrine gland, NEC, cultureMicroscopic examination of specimen from endocrine gland, NEC, culture and sensitivityMicroscopic examination of specimen from endocrine gland, NEC, parasitologyMicroscopic examination of specimen from endocrine gland, NEC, toxicology

Other nonoperative respiratory measurements Plethysmography for measurement of respiratory function, Thoracic impedance plethysmography

Other nonoperative measurements and examinations, 14 C Urea breath test, Basal metabolic rate, Gastric: analysis, function NEC

Microscopic examination of specimen from nervous system and spinal fluid, cell block and papaniculaou smear

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Microscopic examination of specimen from endocrine gland, NEC, other microscopic examination

Microscopic examination of specimen from eye, bacterial smearMicroscopic examination of specimen from eye, cultureMicroscopic examination of specimen from eye, culture and sensitivityMicroscopic examination of specimen from eye, parasitologyMicroscopic examination of specimen from eye, toxicologyMicroscopic examination of specimen from eye, cell block and papaniculaou smearMicroscopic examination of specimen from eye, other microscopic examinationMicroscopic examination of specimen from ear, nose, throat and larynx, bacterial smearMicroscopic examination of specimen from ear, nose, throat and larynx, culture

Microscopic examination of specimen from ear, nose, throat and larynx, culture and sensitivity

Microscopic examination of specimen from ear, nose, throat and larynx, parasitologyMicroscopic examination of specimen from ear, nose, throat and larynx, toxicology

Microscopic examination of blood, bacterial smearMicroscopic examination of blood, cultureMicroscopic examination of blood, culture and sensitivityMicroscopic examination of blood, parasitologyMicroscopic examination of blood, toxicologyMicroscopic examination of blood, cell block and papaniculaou smearMicroscopic examination of blood, other microscopic examinationMicroscopic examination of specimen from spleen and of bone marow, bacterial smearMicroscopic examination of specimen from spleen and of bone marow, cultureMicroscopic examination of specimen from spleen and of bone marow, culture and sensitivityMicroscopic examination of specimen from spleen and of bone marow, parasitologyMicroscopic examination of specimen from spleen and of bone marow, toxicology

Microscopic examination of specimen from lymph node and of lymph, bacterial smearMicroscopic examination of specimen from lymph node and of lymph, cultureMicroscopic examination of specimen from lymph node and of lymph, culture and sensitivity

Microscopic examination of specimen from endocrine gland, NEC, cell block and papaniculaou smear

Microscopic examination of specimen from ear, nose, throat and larynx, cell block and papaniculaou smear

Microscopic examination of specimen from ear, nose, throat and larynx, other microscopic examination

Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, bacterial smear

Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, culture

Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, culture and sensitivity

Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, parasitology

Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, toxicology

Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, cell block and papaniculaou smear

Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, other microscopic examination

Microscopic examination of specimen from spleen and of bone marow, cell block and papaniculaou smear

Microscopic examination of specimen from spleen and of bone marow, other microscopic examination

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Microscopic examination of specimen from lymph node and of lymph, parasitologyMicroscopic examination of specimen from lymph node and of lymph, toxicology

Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, culture

Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, parasitology

Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, toxicology

Microscopic examination of specimen from lower gastrointestinal tract and of stool, bacterial smear

Microscopic examination of specimen from lower gastrointestinal tract and of stool, culture

Microscopic examination of specimen from lower gastrointestinal tract and of stool, parasitology

Microscopic examination of specimen from lower gastrointestinal tract and of stool, toxicology

Microscopic examination of specimen from liver, biliary tract, and pancreas, bacterial smearMicroscopic examination of specimen from liver, biliary tract, and pancreas, culture

Microscopic examination of specimen from liver, biliary tract, and pancreas, culture and sensitivity

Microscopic examination of specimen from liver, biliary tract, and pancreas, parasitologyMicroscopic examination of specimen from liver, biliary tract, and pancreas, toxicology

Microscopic examination of peritoneal and retroperitoneal specimen, bacterial smearMicroscopic examination of peritoneal and retroperitoneal specimen, cultureMicroscopic examination of peritoneal and retroperitoneal specimen, culture and sensitivityMicroscopic examination of peritoneal and retroperitoneal specimen, parasitologyMicroscopic examination of peritoneal and retroperitoneal specimen, toxicology

Microscopic examination of peritoneal and retroperitoneal specimen, other microscopic examination

Microscopic examination of specimen from lymph node and of lymph, cell block and papaniculaou smear

Microscopic examination of specimen from lymph node and of lymph, other microscopic examination

Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, bacterial smear

Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, culture and sensitivity

Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, cell block and papaniculaou smear

Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, other microscopic examination

Microscopic examination of specimen from lower gastrointestinal tract and of stool, culture and sensitivity

Microscopic examination of specimen from lower gastrointestinal tract and of stool, cell block and papaniculaou smear

Microscopic examination of specimen from lower gastrointestinal tract and of stool, other microscopic examination

Microscopic examination of specimen from liver, biliary tract, and pancreas, cell block and papaniculaou smear

Microscopic examination of specimen from liver, biliary tract, and pancreas, other microscopic examination

Microscopic examination of peritoneal and retroperitoneal specimen, cell block and papaniculaou smear

Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue bacterial smear

Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue bacterial smear

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Microscopic examination of specimen from female genital tract, bacterial smearMicroscopic examination of specimen from female genital tract, cultureMicroscopic examination of specimen from female genital tract, culture and sensitivityMicroscopic examination of specimen from female genital tract, parasitologyMicroscopic examination of specimen from female genital tract, toxicology

Microscopic examination of specimen from female genital tract, cell block and papaniculaou smear

Microscopic examination of specimen from female genital tract, other microscopic examination

Microscopic examination of specimen from musculoskeletal system and of joint fluid, culture

Microscopic examination of specimen from musculoskeletal system and of joint fluid, parasitology

Microscopic examination of specimen from musculoskeletal system and of joint fluid, toxicology

Microscopic examination of specimen from skin and other integument, bacterial smearMicroscopic examination of specimen from skin and other integument, bacterial smearMicroscopic examination of specimen from skin and other integument, culture and sensitivityMicroscopic examination of specimen from skin and other integument, parasitologyMicroscopic examination of specimen from skin and other integument, toxicology

Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue culture and sensitivity

Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue parasitology

Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue toxicology

Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue cell block and papaniculaou smear

Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue other microscopic examination

Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, bacterial smear

Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, culture

Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, culture and sensitivity

Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, parasitology

Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, toxicology

Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, cell block and papaniculaou smear

Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, other microscopic examination

Microscopic examination of specimen from musculoskeletal system and of joint fluid, bacterial smear

Microscopic examination of specimen from musculoskeletal system and of joint fluid, culture and sensitivity

Microscopic examination of specimen from musculoskeletal system and of joint fluid, cell block and papaniculaou smear

Microscopic examination of specimen from musculoskeletal system and of joint fluid, other microscopic examination

Microscopic examination of specimen from skin and other integument, cell block and papaniculaou smear

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Microscopic examination of specimen from operative wound, bacterial smearMicroscopic examination of specimen from operative wound, cultureMicroscopic examination of specimen from operative wound, culture and sensitivityMicroscopic examination of specimen from operative wound, parasitologyMicroscopic examination of specimen from operative wound, toxicology

Microscopic examination of specimen from operative wound, cell block and papaniculaou smear

Microscopic examination of specimen from operative wound, other microscopic examinationMicroscopic examination of specimen from other site, bacterial smearMicroscopic examination of specimen from other site, cultureMicroscopic examination of specimen from other site, culture and sensitivityMicroscopic examination of specimen from other site, parasitologyMicroscopic examination of specimen from other site, toxicologyMicroscopic examination of specimen from other site, cell block and papaniculaou smearMicroscopic examination of specimen from other site, other microscopic examinationMicroscopic examination of specimen from unspecified, bacterial smearMicroscopic examination of specimen from unspecified, cultureMicroscopic examination of specimen from unspecified, culture and sensitivityMicroscopic examination of specimen from unspecified, parasitologyMicroscopic examination of specimen from unspecified, toxicologyMicroscopic examination of specimen from unspecified, cell block and papaniculaou smearMicroscopic examination of specimen from unspecified, other microscopic examinationThyroid scan and radioisotope function studiesLiver scan and radioisotope function studyRenal scan and radioisotope function studyGastrointestinal scan and radioisotope function studyCardiovascular and hematopoietic scan and radioisotope function studyOther radioisotope function studiesCerebral scanScan of other sites of headParathyroid scanBone scanPulmonary scanScan of lymphatic systemPlacental scanTotal body scanScan of other sitesSuperficial radiation, contact radiation [up to 150 KVP]Orthovoltage radiation, deep radiation [200-300 KVP]Radioisotopic teleradiotherapyTeleradiotherapy using photonsTeleradiotherapy using electronsTeleradiotherapy of other particulate radiationImplantation or insertion of radioactive elementsInjection or instillation of radioisotopesOther radiotherapeutic procedureStereotactic radiosurgeryFunctional evaluationOrthotic evaluationProsthetic evaluationManual testing of muscle functionRange of motion testing

Microscopic examination of specimen from skin and other integument, other microscopic examination

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Measurement of limb lengthBody measurementElectromyographyOther diagnostic physical therapy procedureAssisting exerciseOther active musculoskeletal exerciseResistive exerciseTraining in joint movementsMobilization of spineMobilization of other jointsOther passive musculoskeletal exerciseBreathing exerciseExercise, not elsewhere classifiedManual and mechanical tractionAmbulation and gait trainingFitting of orthotic deviceTraining in use of prosthetic or orthotic deviceForced extension of limbManual rupture of joint adhesionsStretching of muscle or tendonStretching of fasciaOther forcible correction of deformityAssisted exercise in poolWhirlpool treatmentOther hydrotherapyDiathermy

Cardiac retrainingPrenatal trainingCombined physical therapy without mention of the componentsOther physical therapy

Other spinal traction, Cotrel's tractionIntermittent skeletal traction

Other skeletal traction, Bryant's traction, Dunlop's traction, Lyman Smith traction, Russell's traction

Thomas' splint traction

Other skin traction of limbs, adhesive tape traction, Boot traction, Buck's traction, Gallows traction

Application of plaster jacket

Application of neck support, application of: cervical collar, Minerva jacket, molded neck support,

Application of other castApplication of splint, plaster splint, Tray splintDental wiring

Application of other wound dressingApplication of pressure trousers, application of: anti shock trousers, vasopneumatic deviceOther immobilization, pressure, and attention to wound, elastic stockings, Electronic gaiterOsteopathic manipulative treatment for general mobilization, general articulatory treatment

Other heat therapy, Acupuncture with with smouldering moxa, hot packs, Hyperthermia NEC, infrared irradiation, moxibution, paraffin bath

Spinal traction using skull device, traction using: calliper tongs, Crutchfield tongs, halo device, Vinke tongs

Application of pressure dressing, application of: Gibney bandage, Robert Jones' bandage, Shanz dressing

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Osteopathic manipulative treatment using high- velocity, low amplitude forces, Thrusting forces

Osteopathic manipulative treatment using low- velocity, high amplitude forces, Springing forces

Osteopathic manipulative treatment using isotonic, isometric forcesOsteopathic manipulative treatment using indirect forcesOsteopathic manipulative treatment to move tissue fluids, Lymphatic pumpOther specified Osteopathic manipulative treatmentDyslexia trainingDysphasia trainingEsophageal speech trainingSpeech defect trainingOther speech training and therapyTraining in use of lead dog for the blindTraining in braille or MoonOther rehabilitation for the blindRecreation therapy, diversional therapy, play therapyEducational therapy, Edication of bed-bound children, special schooling for the handicappedOccupational therapy, special daily liing therapyMusic therapyVocational rehabilitationRehabilitation, not elsewhere classifiedContinuous positive airway pressure [CPAP]Intermittent positive pressure breathing [IPPB]

Respiratory medication administered by nebulizer, mist therapyHyperbaric oxygenation

Decompression chamberOther control of atmospheric pressure and compositionOther respiratory procedures, continous negative pressure ventilation, postural drainageAdministration of intelligence testAdministration of psychologic testCharacter analysisOther psychologic evaluation and testingPsychologic mental status determination, not otherwise specifiedPsychiatric mental status determinationRoutine psychiatric visit, not otherwise specifiedPsychiatric commitment evaluationOther psychiatric interview and evaluationNarcoanalysisLithium therapyNeuroleptic therapyChemical shock therapyOther psychiatric drug therapySubconvulsive electroshock therapyOther electroshock therapy, electroconvulsive therapy (ECT), ESTOther psychiatric somatotherapyPsychoanalysisHypnotherapyBehavior therapyIndividual therapy for psychosexual dysfunction

Nonmechanical methods of resuscitation, artificial respiration, manual resuscitation, mouth-to-mouth resuscitation

Other oxygen enrichment, catalytic oxygen therapy, cytoreductive effect, oxygenators, oxygen therapy

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Crisis interventionPlay psychotherapyExploratory verbal psychotherapySupportive verbal psychotherapyOther individual psychotherapy, biofeedbackGroup therapy for psychosexual dysfunctionFamily therapyPsychodramaOther group therapyDrug addiction counsellingAlcoholism counsellingOther counsellingReferral for psychotherapyReferral for psychiatric aftercare:Referral for alcoholism rehabilitationReferral for drug addiction rehabilitationReferral for vocational rehabilitationReferral for other psychologic rehabilitationAlcohol rehabilitationAlcohol detoxificationAlcohol rehabilitation and detoxificationDrug rehabilitationDrug detoxificationDrug rehabilitation and detoxificationCombined alcohol and drug rehabilitationCombined alcohol and drug detoxificationCombined alcohol and drug rehabilitation and detoxificationLimited eye examination, eye examination with prescription of spectaclesComprehensive eye examination, eye examination covering all aspects of the visual system

Eye examination under anesthesiaVisual field studyColor vision studyDark adaptation studyEye examination, not otherwise specifiedFundus photographyFluorescein angiography or angioscopy of eyeUltrasound study of eyeX-ray study of eyeOcular motility studyP32 and other tracer studies of eyeElectroretinogram [ERG]Electro-oculogram [EOG]Visual evoked potential [VEP]Electronystagmogram [ENG)Electromyogram of eye [EfviGjTonography, provocative tests, and other glaucoma testingFitting and dispensing of spectaclesPrescription, fitting, and dispensing of contact lensDispensing of other low vision aidsOcular prostheticsOrthoptic trainingOphthalmologic counselling and instruction

Extended Ophthalmologic work-up, examination for: glaucoma, neuro-ophtalmology, retinal diseases

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AudiometryClinical test of hearingAudiological evaluationClinical vestibular function testsRotation testsOther auditory and vestibular function testsHearing examination, not otherwise specifiedFitting of hearing aidOther nonoperative procedures related to hearingInsertion of nasopharyngeal airwayInsertion of oropharyngeal airwayInsertion of esophageal obturator airwayInsertion of endotracheal tubeOther intubation of respiratory tractInsertion of Sengstaken tubeInsertion of other (naso-)gastric tubeInsertion of (naso-)intestinal tubeInsertion of rectal tubePacking of external auditory canalVaginal packingInsertion of vaginal moldOther vaginal dilationInsertion of vaginal diaphragmInsertion of other vaginal pessaryRectal packingDilation of frontonasal ductDilation of rectumDilation of anal sphincterDilation and manipulation of enterostomy stomaTherapeutic distention of bladderManual reduction of rectal prolapseManual reduction of herniaManual reduction of enterostomy prolapseGastric coolingGastric freezingGastric lavageOther irrigation of (naso-)gastric tubeGastric gavageIrrigation of gastrostomy or enterostomyProctoclysisRemoval of impacted feces, by flushing manuallyOther transanal enema, rectal irrigationIrrigation of cholecystostomy and other biliary tubeIrrigation of pancreatic tubeDigestive tract instillation, except gastric gavageVaginal doucheIrrigation of nephrostomy and pyelostomyIrrigation of ureterostomy and ureteral catheterIrrigation of cystostomyIrrigation of other indwelling urinary catheterOther genitourinary instillation, insertion of prostaglandin suppositoryIrrigation of eyeIrrigation of earIrrigation of nasal passages

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Dental scaling, polishing, and debridementTracheostomy toiletteOther lavage of bronchus and tracheaIrrigation of vascular catheterIrrigation of wound catheterOther irrigation of wound, wound cleaning NOSEnteral infusion of concentrated nutritional substancesContinuous mechanical ventilation of unspecified duration, mecahnical ventilation NOSContinuous mechanical ventilation for less than 96 consecutive hoursContinuous mechanical ventilation for 96 consecutive hours or moreReplacement of tube or enterostomy device of smallReplacement of tube or enterostomy device of largeReplacement of stent (tube) in biliary or pancreatic ductReplacement of cast on upper limbReplacement of cast on lower limbReplacement of other castReplacement of other device for musculoskeletal immobilizationReplacement of wound catheterReplacement of wound packing or drainReplacement of nasal packingReplacement of dental packingReplacement of tracheostomy tubeReplacement and refitting of vaginal diaphragmReplacement of other vaginal pessaryReplacement of vaginal or vulvar packing or drainOther nonoperative replacementsRemoval of eye prosthesisRemoval of nasal packingRemoval of dental wiringRemoval of dental packingRemoval of dental prosthesisRemoval of other external mandibular fixation deviceRemoval of tracheostomy tubeRemoval of sutures from head and neckRemoval of other therapeutic device from head and neckRemoval of thoracotomy tube or pleural cavity drainRemoval of mediastinal drainRemoval of sutures from thoraxRemoval of other device from thoraxRemoval of gastrostomy tubeRemoval of tube from small intestineRemoval of tube from large intestine or appendixRemoval of cholecystostomy tubeRemoval of T-tube, other bile duct tube, or liver tubeRemoval of pancreatic tube or drainRemoval of other device from digestive systemRemoval of pyelostomy and nephrostomy tubeRemoval of ureterostomy tube and ureteral catheterRemoval of cystostomy tubeRemoval of other urinary drainage deviceRemoval of urethral stentRemoval of other device from urinary systemRemoval of intrauterine contraceptive deviceRemoval of intrauterine pack

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Removal of vaginal diaphragmRemoval of other vaginal pessaryRemoval of vaginal or vulvar packingRemoval ot other device from genital tractRemoval of retroperitoneal drainage deviceRemoval of peritoneal drainage deviceRemoval of abdominal wall suturesRemoval of sutures from trunk, not elsewhere classifiedRemoval of packing from trunk, not elsewhere classifiedRemoval of other device from abdomenRemoval of other device from trunkRemoval of external immobilization deviceRemoval of other therapeutic deviceRemoval of intraluminal foreign body from mouth, without incisionRemoval of intraluminal foreign body from large intestine without incisionRemoval of intraluminal foreign body from rectum and anus without incisionRemoval of intraluminal foreign body from ear without incisionRemoval of intraluminal foreign body from nose without incisionRemoval of intraluminal foreign body from pharynx without incisionRemoval of intraluminal foreign body from trachea and bronchus without incisionRemoval of intraluminal foreign body from uterus without incisionRemoval of intraluminal foreign body from vagina without incisionRemoval of intraluminal foreign body from artificial stoma without incisionRemoval of intraluminal foreign body from urethra without incisionRemoval of foreign body, not otherwise specifiedRemoval of superficial foreign body from eye without incisionRemoval of other foreign body without incision from head and neckRemoval of foreign body from vulva without incision Removal of foreign body from scrotum or penis without incisionRemoval of other foreign body without incision from trunk except scrotum, penis, or vulvaRemoval of foreign body from hand without incisionRemoval of foreign body without incision from upper limb, except handRemoval of foreign body from foot without incisionRemoval of foreign body without incision from lower limb, excapt foot.Extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter, and or bladderExtracorporeal shockwave lithotripsy [ESWL] of the gallbladder and or bile ductExtracorporeal shockwave lithotripsy of other sitesPerioperative autologous transfusion of whole blood orExchange transfusionTransfusion of previously collected autologous bloodOther transfusion of whole blood, Transfusion blood NOS, HemodilutionTransfusion of packed cellsTransfusion of platelets, Transfusion of thrombocytesTransfusion of coagulation factors, Transfusion of antihemophillic factorTransfusion of other serum, Transfusion of plasmaTransfusion of blood expander, Transfusion of dextranTransfusion of other substance, Transfusion of blood surrogate, granulocytesInjection or infusion of therapeutic or prophylactic substanceInjection of Rh immune globulin, Injection of anti-D (rhesus) globulin, Injection of RhoGAMImmunization for allergy, DesensilizationImmunization for autoimmune diseaseInjection of gamma globulin, Injection on immune seraParenteral infusion of concentrated nutritional substances, Hyperalimentation, Total parenteral nutrition (TPN), Peripheral parenteral nutrition (PPN)

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Injection of antidote, Injection of antivenin, Injection of heavy metal antagonistInjection of InsulinInjection or infusion of electrolytesInjection of anticoagulantInjection of antibioticInjection of other anti-infectiveInjection of steroid, Injection of cortisone, Subdermal implantation of progesteroneInjection of other hormone

Injection of tranquilizerIontophoresis

Injection or infusion of other therapeutic or prophylactic substanceVaccination against choleraVaccination against typhoid and paratyphoid feverVaccination against tuberculosisVaccination against plagueVaccination against tularemiaAdministration of diphtheria toxoidVaccination against pertussisAdministration of tetanus toxoidAdministration of diphtheria-tetanus- pertussis.Administration of poliomyelitis vaccineVaccination against smallpoxVaccination against yellow feverVaccination against rabiesVaccination against measlesVaccination against mumpsVaccination against rubellaAdministration of measles-mumps-rubella vaccineProphylactic vaccination against the common coldProphylactic vaccination against influenzaProphylactic vaccination against arthropod- borne viral encephalitisProphylactic vaccination against other arthropod-borne viral diseases

Administration of tetanus antitoxinAdministration of botulism antitoxin

Other vaccination and inoculation, Vaccination NOSCardiopulmonary resuscitation, not otherwise specifiedAtrial cardioversion

Closed chest cardiac massage, Cardiac message NOS, Manual external cardiac messageCarotid sinus stimulationOther conversion of cardiac rhythmTherapeutic plasmapheresisTherapeutic leukopheresis, Therapeutic leukocytapheresisTherapeutic erythrocytapheresis, Therapeutic erythropheresisTherapeutic plateletpheresis

Injection or infusion of cancer chemotherapeutic substance, Chermoembolization, Injection ot infusion of antineoplastic agent

Injection or infusion of biological response modifier (BRM] as an antineoplastic agent, Immunotherapy, antineoplastic

Prophylactic administration of vaccine against other diseases, Vaccination against anthrax, bruceliosis, rocky mountain spotted fever, staphylococcus, streptococcus, thypus

Administration of other antitoxins, Administration of diphtheria antitoxin, gas gangrene antitoxin, scarlet fever antitoxin

Other electric countershock of heart, Cardioversion : NOS, external, Conversion to sinus rhythm, Defibrillation, External electrocode stimulation

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Other, Apheresis (harvest) of stem cellsHypothermia (central) (local)Ultraviolet light therapy, ActinotherapyOther phototherapy, Phototherapy of the newborn

Therapeutic photopheresis, Extracorporeal photochemotherapy, Extracorporeal photopheresisAcupuncture for anesthesiaOther acupunctureRectal massage (for levator spasm)Prostatic massageStretching of foreskinCollection of sperm for artificial InseminationFitting of dentureExtraction of milk from lactating breast

Isolation, Isolation after contact with infection disease, Protection of individual from his surroundings, Protection surroundings fro individual

Hyperthermia for treatment of cancer Hyperthermia (adjunct therapy) induced by microwave, ultrasound, low energy radio frequency, probes (interstitial) or other means in the treatment of cancer

Non-invasive placement of bone growth stimulator, Transcutaneous (surface) placement of pads or patches for stimulation to aid bone healing

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DAFTAR TARIF PER PROSEDUR RS UMUM & KHUSUS KELAS C & D

ALOS KELAS C&D

1.0 203,883 1.0 203,883 1.0 203,883 1.0 203,883 0.0 - 1.0 54,554 0.0 - 1.0 69,567 1.0 54,554 1.0 69,567 1.0 54,554 1.0 54,554 1.0 54,554 1.0 54,554 1.0 54,554 1.0 54,554 0.0 - 1.0 54,554 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 54,554 1.0 54,554 1.0 54,554 0.0 - 1.0 54,554 0.0 - 0.0 - 1.0 54,554 0.0 - 0.0 - 0.0 - 0.0 - 1.0 54,554 1.0 472,894 1.0 472,894 1.0 472,894 1.0 472,894 1.0 472,894 1.0 472,894 1.0 93,430 1.0 472,894 1.0 472,894 0.0 - 0.0 - 1.0 54,554 1.0 203,883

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1.0 203,883 1.0 203,883 1.0 54,554 1.0 235,397 1.0 459,221 0.0 - 0.0 - 1.0 459,221 1.0 459,221 1.0 93,430 1.0 235,397 1.0 235,397 0.0 - 0.0 - 0.0 - 1.0 69,567 1.0 459,221 1.0 459,221 1.0 235,397 1.0 235,397 1.0 235,397 1.0 93,430 1.0 93,430 1.0 93,430 1.0 93,430 1.0 459,221 1.0 235,397 1.0 93,430 1.0 203,883 1.0 235,397 1.0 235,397 1.0 235,397 0.0 - 1.0 54,554 1.0 278,301 1.0 278,301 1.0 278,301 1.0 306,639 1.0 306,639 1.0 306,639 0.0 - 1.0 203,883 1.0 278,301 1.0 278,301 1.0 203,883 1.0 306,639 0.0 - 1.0 54,554 1.0 306,639 1.0 168,129 1.0 94,617 1.0 278,301 1.0 306,639 1.0 306,639

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0.0 - 1.0 306,639 1.0 306,639 1.0 306,639 1.0 306,639 1.0 306,639 1.0 306,639 1.0 278,301 0.0 - 1.0 124,431 1.0 124,431 1.0 124,431 0.0 - 1.0 278,301 1.0 306,639 1.0 278,301 1.0 278,301 1.0 278,301 0.0 - 1.0 278,301 1.0 278,301 0.0 - 1.0 306,639 1.0 306,639 1.0 306,639 1.0 306,639 1.0 306,639 1.0 306,639 0.0 - 1.0 124,431 1.0 124,431 0.0 - 0.0 - 1.0 306,639 1.0 306,639 1.0 278,301 0.0 - 1.0 80,902 1.0 69,567 1.0 69,567 0.0 - 1.0 80,902 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567

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1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 95,959 1.0 95,959 1.0 95,959 1.0 80,902 1.0 95,959 0.0 - 0.0 - 0.0 - 1.0 86,021 0.0 - 1.0 95,959 1.0 95,959 0.0 - 0.0 - 0.0 - 1.0 95,959 1.0 95,959 1.0 95,959 1.0 95,959 1.0 95,959 1.0 95,959 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 391,948 1.0 391,948 1.0 391,948 1.0 391,948 1.0 391,948 1.0 391,948 1.0 391,948 1.0 391,948 1.0 68,894

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1.0 68,894 1.0 68,894 1.0 68,894 1.0 68,894 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 68,894 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 68,894 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567

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1.0 69,567 1.0 267,597 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 68,894 1.0 68,894 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 0.0 - 1.0 68,894 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 46,132 1.0 69,567 1.0 443,251 1.0 69,567 1.0 443,251 1.0 443,251

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1.0 443,251 1.0 443,251 1.0 443,251 1.0 443,251 1.0 46,132 1.0 46,132 1.0 443,251 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 69,567 1.0 69,567 1.0 46,132 1.0 69,567 1.0 46,132 1.0 46,132 1.0 69,567 1.0 69,567 1.0 69,567 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 69,567 1.0 46,132 1.0 46,132 1.0 69,567 1.0 443,251 1.0 69,567 1.0 69,567 1.0 69,567 1.0 443,251 1.0 46,132 1.0 46,132 1.0 46,132 1.0 443,251 1.0 443,251 1.0 443,251 1.0 443,251 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 46,132 1.0 443,251 1.0 69,567

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1.0 46,132 1.0 46,132 1.0 69,567 1.0 443,251 1.0 46,132 1.0 69,567 1.0 69,567 1.0 69,567 1.0 46,132 1.0 69,567 1.0 46,132 1.0 69,567 1.0 69,567 1.0 46,132 1.0 69,567 1.0 69,567 1.0 69,567 1.0 353,698 1.0 353,698 1.0 353,698 1.0 353,698 1.0 353,698 1.0 353,698 1.0 353,698 1.0 353,698 1.0 353,698 1.0 353,698 1.0 69,567 1.0 353,698 1.0 353,698 1.0 353,698 1.0 353,698 1.0 69,567 1.0 69,567 1.0 198,853 1.0 198,853 1.0 198,853 1.0 65,527 1.0 65,527 1.0 65,527 1.0 198,853 1.0 65,527 1.0 198,853 1.0 376,527 1.0 376,527 1.0 376,527 1.0 376,527 1.0 376,527 1.0 198,853 1.0 198,853 1.0 376,527 1.0 376,527 1.0 376,527 1.0 376,527

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1.0 376,527 1.0 376,527 1.0 69,567 1.0 65,527 1.0 65,527 1.0 65,527 1.0 65,527 1.0 65,527 1.0 65,527 1.0 65,527 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 267,597 1.0 65,527 1.0 65,527 1.0 65,527 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 267,597 1.0 267,597 1.0 267,597 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 267,597 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567

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1.0 69,567 1.0 205,627 1.0 106,428 1.0 106,428 1.0 106,428 1.0 106,428 1.0 106,428 1.0 106,428 1.0 106,428 1.0 205,627 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 66,032 1.0 66,032 1.0 86,569 1.0 86,569 1.0 86,569 1.0 66,032 1.0 66,032 1.0 66,032 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 66,032 1.0 86,569 1.0 600,146 1.0 600,146 1.0 600,146 1.0 600,146 1.0 86,569 1.0 106,428 1.0 106,428 1.0 106,428 1.0 106,428 1.0 227,078 1.0 106,428 1.0 269,438 1.0 227,078

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1.0 227,078 1.0 227,078 1.0 227,078 1.0 106,428 1.0 269,438 1.0 269,438 1.0 269,438 1.0 269,438 1.0 269,438 1.0 269,438 1.0 227,078 1.0 227,078 1.0 66,032 0.0 - 0.0 - 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 66,032 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 69,567 0.0 - 0.0 - 1.0 69,567 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 0.0 - 1.0 86,569 1.0 86,569 1.0 86,569

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1.0 69,567 0.0 - 1.0 69,567 1.0 69,567 1.0 86,569 1.0 86,569 1.0 160,806 1.0 69,567 1.0 69,567 1.0 69,567 1.0 86,569 1.0 86,569 1.0 160,806 1.0 160,806 1.0 160,806 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 86,569 1.0 91,367 1.0 91,367 1.0 91,367 1.0 91,367 1.0 91,367 1.0 91,367 1.0 91,367 1.0 91,367 1.0 91,367 1.0 91,367 1.0 91,367 1.0 91,367 1.0 205,627 1.0 106,428 1.0 205,627 1.0 106,428 1.0 205,627 1.0 106,428 1.0 205,627 1.0 106,428 1.0 205,627 1.0 106,428 1.0 106,428 1.0 205,627 1.0 205,627 1.0 106,428 1.0 205,627 1.0 106,428 1.0 205,627 1.0 504,914 1.0 106,428 1.0 205,627 1.0 504,914

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1.0 504,914 1.0 504,914 1.0 106,428 1.0 106,428 1.0 346,502 1.0 346,502 1.0 346,502 1.0 106,428 1.0 106,428 1.0 106,428 1.0 504,914 1.0 504,914 1.0 346,502 1.0 346,502 1.0 426,544 1.0 346,502 1.0 426,544 1.0 426,544 1.0 106,428 1.0 346,502 1.0 334,461 1.0 106,428 1.0 346,502 1.0 334,461 1.0 426,544 1.0 334,461 1.0 426,544 1.0 334,461 0.0 - 0.0 - 0.0 - 0.0 - 1.0 334,461 1.0 334,461 1.0 334,461 1.0 334,461 1.0 334,461 1.0 334,461 0.0 - 1.0 334,461 1.0 426,544 1.0 426,544 0.0 - 1.0 426,544 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 426,544 1.0 334,461 1.0 426,544 1.0 334,461 1.0 69,567

Page 128: Prosedur RJ

1.0 334,461 1.0 334,461 1.0 334,461 1.0 449,444 1.0 449,444 1.0 334,461 1.0 334,461 1.0 334,461 1.0 334,461 1.0 334,461 1.0 346,502 0.0 - 1.0 334,461 1.0 334,461 1.0 69,567 1.0 346,502 1.0 334,461 1.0 426,544 1.0 334,461 1.0 334,461 1.0 334,461 1.0 334,461 1.0 334,461 1.0 334,461 1.0 334,461 1.0 75,950 1.0 69,567 1.0 334,461 1.0 334,461 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 -

Page 129: Prosedur RJ

1.0 948,763 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 948,763 0.0 - 0.0 -

1.0 948,763

1.0 948,763

0.0 - 1.0 948,763 1.0 948,763 1.0 948,763 1.0 948,763 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 76,598 1.0 76,598

Page 130: Prosedur RJ

1.0 76,598 0.0 - 1.0 816,024 1.0 816,024 0.0 - 0.0 - 0.0 - 1.0 816,024 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 584,749 0.0 - 0.0 - 1.0 804,509 1.0 804,509 1.0 804,509 1.0 804,509 1.0 804,509 1.0 804,509 1.0 804,509 1.0 804,509 1.0 804,509 1.0 1,217,016 1.0 1,217,016 1.0 1,217,016 1.0 1,217,016

1.0 1,217,016

1.0 1,217,016 1.0 1,217,016 1.0 804,509 0.0 - 1.0 805,382 1.0 804,509 1.0 930,691 1.0 804,509 1.0 930,691 0.0 - 8.8 3,418,117 1.0 119,667 0.0 -

- 1.0 119,667 0.0 - 1.0 566,271 1.0 719,697 1.0 719,697 1.0 119,667 1.0 265,224 1.0 584,749

Page 131: Prosedur RJ

0.0 - 1.0 472,894 1.0 584,749 1.0 566,271 1.0 566,271 1.0 719,697 1.0 584,749 1.0 119,667 1.0 119,667 1.0 584,749 0.0 - 1.0 472,894 1.0 584,749 0.0 - 1.0 566,271 1.0 719,697 1.0 719,697 1.0 584,749 1.0 265,224 1.0 584,749 0.0 - 1.0 472,894 1.0 584,749 0.0 - 0.0 - 1.0 719,697 1.0 719,697 1.0 584,749 1.0 265,224 1.0 265,224 0.0 - 1.0 472,894 1.0 265,224 1.0 566,271 1.0 119,667 1.0 265,224 1.0 119,667 0.0 - 1.0 472,894 1.0 119,667 0.0 - 1.0 566,271 1.0 719,697 1.0 719,697 1.0 119,667 1.0 265,224 1.0 584,749 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 -

Page 132: Prosedur RJ

1.0 719,697 0.0 - 1.0 531,660 0.0 - 1.0 584,749 0.0 - 1.0 119,667 1.0 265,224 1.0 119,667 1.0 531,660 1.0 531,660 1.0 584,749 1.0 620,967 1.0 584,749 1.0 584,749 1.0 584,749 0.0 - 1.0 584,749 1.0 584,749 1.0 584,749 1.0 584,749 1.0 584,749 0.0 - 0.0 - 0.0 - 0.0 - 1.0 584,749 0.0 - 1.0 119,667 1.0 265,224 1.0 119,667 1.0 119,667 1.0 264,033 1.0 119,667 1.0 86,021 1.0 86,021 1.0 86,021 1.0 86,021 1.0 86,021 1.0 86,021 1.0 86,021 1.0 86,021 1.0 86,021 1.0 600,146 1.0 600,146 1.0 600,146 1.0 391,948 1.0 391,948 1.0 391,948 1.0 391,948 1.0 391,948 1.0 391,948 1.0 334,461 1.0 334,461

Page 133: Prosedur RJ

1.0 334,461 1.0 334,461 1.0 334,461 1.0 86,021 1.0 373,207 1.0 373,207 1.0 373,207 1.0 373,207 1.0 373,207 1.0 373,207 1.0 373,207 1.0 373,207 1.0 373,207 1.0 373,207 1.0 467,319 1.0 467,319 1.0 467,319 1.0 467,319 1.0 467,319 1.0 467,319 1.0 467,319 1.0 467,319 1.0 467,319 1.0 467,319 1.0 300,640 1.0 300,640 1.0 300,640 1.0 300,640 1.0 300,640 1.0 300,640 1.0 300,640 1.0 300,640 1.0 300,640 1.0 300,640 1.0 300,640 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 -

Page 134: Prosedur RJ

1.0 894,100 1.0 894,100 1.0 300,640 1.0 894,100 1.0 894,100 1.0 300,640 0.0 - 1.0 894,100 1.0 894,100 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 306,639 0.0 - 0.0 - 0.0 - 1.0 69,567 1.0 300,640 1.0 300,640 1.0 300,640 0.0 - 1.0 69,567 1.0 894,100 0.0 - 0.0 - 0.0 - 1.0 620,967 1.0 300,640 0.0 - 0.0 - 1.0 69,567 1.0 894,100 1.0 300,640 1.0 894,100 1.0 894,100 1.0 894,100 1.0 894,100 1.0 69,567 1.0 69,567 1.0 200,237 1.0 69,567 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237

Page 135: Prosedur RJ

1.0 200,237 1.0 200,237 1.0 69,567 1.0 300,640 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 200,237 1.0 69,567 1.0 69,567 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 0.0 - 1.0 69,567

Page 136: Prosedur RJ

1.0 200,237 1.0 200,237 0.0 - 1.0 69,567 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 200,237 1.0 69,567 1.0 69,567 0.0 - 1.0 200,237 1.0 534,211 1.0 534,211 1.0 534,211 1.0 534,211 1.0 534,211 1.0 534,211 1.0 534,211 1.0 534,211 1.0 200,237 1.0 200,237 1.0 200,237 1.0 119,667 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 119,667 1.0 200,237 1.0 119,667 0.0 - 0.0 - 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667

Page 137: Prosedur RJ

1.0 69,567 1.0 69,567 1.0 69,567 1.0 132,381 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 132,381 1.0 219,448 1.0 219,448 1.0 219,448 1.0 219,448 1.0 69,567 1.0 69,567 1.0 69,567 1.0 119,667 1.0 69,567 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 69,567 1.0 119,667 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 169,494 1.0 578,677 1.0 578,677 1.0 290,285 0.0 - 1.0 290,285 0.0 - 0.0 - 0.0 - 0.0 - 1.0 290,285 1.0 290,285 0.0 - 1.0 77,656 1.0 169,494 1.0 376,545 1.0 376,545 1.0 376,545 1.0 578,677 1.0 578,677 1.0 700,236 1.0 700,236 1.0 483,435

Page 138: Prosedur RJ

1.0 483,435 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 578,677 1.0 578,677 1.0 376,545 1.0 376,545 1.0 578,677 1.0 376,545 1.0 376,545 1.0 376,545 1.0 376,545 1.0 376,545 1.0 376,545 1.0 376,545 1.0 376,545 1.0 290,285 1.0 290,285 1.0 376,545 0.0 - 1.0 376,545 1.0 376,545 0.0 - 1.0 376,545 1.0 376,545 1.0 290,285 1.0 290,285 1.0 578,677 1.0 578,677 1.0 290,285 1.0 290,285 1.0 290,285 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 77,656 1.0 77,656 1.0 77,656 1.0 290,285 0.0 -

Page 139: Prosedur RJ

0.0 - 1.0 377,950 1.0 290,285 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 328,229 1.0 328,229 1.0 328,229 1.0 328,229 1.0 328,229 1.0 334,461 1.0 334,461 1.0 334,461 1.0 334,461 1.0 328,229 1.0 69,567 1.0 94,617 1.0 94,617 1.0 94,617 1.0 331,162 1.0 94,617 1.0 69,567 1.0 94,617 1.0 94,617 1.0 427,588 1.0 427,588 1.0 94,617 1.0 94,617 1.0 94,617 1.0 94,617 1.0 69,567 1.0 328,229 1.0 94,617 1.0 94,617 1.0 94,617 1.0 94,617 1.0 94,617

Page 140: Prosedur RJ

1.0 94,617 1.0 94,617 1.0 132,381 1.0 132,381

- 1.0 132,381 1.0 119,667 1.0 119,667 1.0 386,724 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 386,724 1.0 119,667 1.0 119,667 1.0 119,667 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 0.0 - 1.0 119,667 1.0 386,724 1.0 119,667 1.0 386,724 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 107,142 1.0 386,724 0.0 - 0.0 - 0.0 - 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667

Page 141: Prosedur RJ

1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 386,724 1.0 386,724 1.0 386,724 1.0 119,667 1.0 119,667 1.0 202,380 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 325,559 1.0 119,667 1.0 202,380 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 325,559 1.0 325,559 1.0 919,047 0.0 - 0.0 - 1.0 325,559 1.0 119,667 1.0 919,047 1.0 919,047 1.0 919,047 1.0 919,047 0.0 - 1.0 919,047 1.0 919,047 1.0 119,667 1.0 119,667 1.0 325,559 1.0 325,559 1.0 119,667 1.0 119,667 1.0 202,380 1.0 202,380 1.0 202,380 1.0 202,380 1.0 202,380 1.0 202,380

Page 142: Prosedur RJ

1.0 202,380 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 919,047 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 325,559 1.0 325,559 1.0 119,667 1.0 119,667 1.0 325,559 1.0 119,667 0.0 - 0.0 - 0.0 - 0.0 - 1.0 202,380 0.0 - 1.0 325,559 1.0 325,559 1.0 119,667 1.0 119,667

-

1.0 119,667 -

1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 753,008 1.0 753,008 1.0 753,008 1.0 119,667 1.0 753,008 1.0 119,667 1.0 119,667 1.0 270,992 1.0 119,667 1.0 119,667

Page 143: Prosedur RJ

1.0 270,992 1.0 119,667 1.0 270,992 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 270,992 1.0 119,667 1.0 119,667 1.0 270,992 1.0 270,992 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 270,992 1.0 119,667 1.0 270,992 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 270,992 1.0 119,667 1.0 119,667 1.0 270,992 0.0 - 1.0 119,667 1.0 270,992 1.0 270,992 1.0 119,667 1.0 119,667

1.0 119,667 1.0 270,992 1.0 270,992

- 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 65,527 1.0 84,920

Page 144: Prosedur RJ

1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 84,920 1.0 203,952 1.0 61,118 1.0 61,118 1.0 61,118 1.0 203,952 1.0 203,952 1.0 61,118 1.0 61,118 1.0 61,118 1.0 203,952 1.0 203,952 1.0 203,952 1.0 61,118 1.0 203,952 1.0 61,118 1.0 203,952 1.0 581,183 1.0 581,183 1.0 61,118 1.0 203,952 1.0 203,952 1.0 581,183 1.0 61,118 1.0 203,952 1.0 203,952 1.0 61,118 1.0 61,118 1.0 61,118 1.0 203,952 1.0 203,952 1.0 203,952 1.0 61,118 1.0 203,952 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118

Page 145: Prosedur RJ

1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 67,877 1.0 46,368 1.0 46,368 1.0 46,368 1.0 289,107 1.0 289,107 1.0 289,107 1.0 61,118 1.0 581,183 1.0 61,118 1.0 61,118 1.0 61,118 1.0 289,107 1.0 61,118 1.0 61,118 1.0 61,118 1.0 581,183 1.0 581,183 1.0 581,183 1.0 131,870 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 131,870 1.0 67,877 1.0 67,877 1.0 67,877 1.0 199,569

- 1.0 67,877 1.0 67,877 1.0 67,877 1.0 199,569 1.0 199,569 1.0 199,569 1.0 199,569 1.0 199,569 1.0 199,569 1.0 581,183 1.0 164,968 1.0 61,118 1.0 61,118 1.0 203,952 1.0 203,952 1.0 61,118 1.0 61,118

Page 146: Prosedur RJ

1.0 61,118 1.0 203,952 1.0 61,118 1.0 581,183 1.0 581,183 1.0 669,514 1.0 669,514 1.0 669,514 0.0 - 0.0 - 0.0 - 1.0 581,183 1.0 136,660 1.0 61,118 1.0 61,118 1.0 581,183 1.0 581,183 1.0 581,183 1.0 61,118 1.0 581,183 1.0 61,118 0.0 - 1.0 581,183 1.0 581,183 1.0 581,183 1.0 136,660 1.0 61,118 1.0 136,660 1.0 199,569 1.0 199,569 1.0 581,183 1.0 61,118 1.0 131,870 1.0 131,870 1.0 199,569 1.0 199,569 1.0 199,569 1.0 164,968 1.0 164,968 1.0 67,877 1.0 67,877 1.0 67,877 1.0 199,569 1.0 199,569 1.0 67,877 1.0 469,560 1.0 469,560 1.0 469,560 1.0 469,560 1.0 469,560 1.0 669,514 1.0 199,569 1.0 200,237 1.0 119,667

Page 147: Prosedur RJ

1.0 200,237 1.0 469,560 1.0 199,569 1.0 469,560 1.0 199,569 1.0 669,514 1.0 199,569 1.0 199,569 1.0 67,877 1.0 67,877 1.0 67,877 1.0 67,877 1.0 61,118 1.0 67,877 1.0 199,569 1.0 199,569 1.0 67,877 1.0 199,569 0.0 - 1.0 469,560 1.0 469,560 1.0 199,569 1.0 199,569 1.0 199,569 1.0 199,569 1.0 61,118 1.0 44,082 1.0 44,082 1.0 44,082 0.0 - 1.0 44,082 1.0 136,660 1.0 44,082 1.0 67,877 1.0 131,870 1.0 67,877 1.0 67,877 1.0 67,877 1.0 67,877 1.0 61,118 1.0 61,118 1.0 67,877 1.0 61,118 1.0 119,667 1.0 199,569

1.0 199,569

1.0 199,569 1.0 199,569 1.0 61,118 1.0 61,118 1.0 69,567 1.0 69,567 1.0 69,567

Page 148: Prosedur RJ

1.0 69,567 1.0 69,567 1.0 467,547 1.0 548,852 1.0 467,547 1.0 548,852 1.0 548,852 1.0 548,852 1.0 548,852 1.0 548,852 1.0 467,547 1.0 548,852 1.0 548,852 1.0 548,852

1.0 548,852

1.0 548,852 1.0 548,852 1.0 548,852 1.0 548,852 1.0 69,567 1.0 69,567 1.0 138,727 1.0 467,547 1.0 467,547 1.0 138,727 1.0 467,547 1.0 69,567 1.0 138,727 1.0 467,547 1.0 467,547 1.0 467,547 1.0 138,727 1.0 467,547 1.0 69,567 1.0 69,567 1.0 342,828 1.0 334,461 1.0 360,844 1.0 360,844 1.0 69,567 1.0 119,667 1.0 333,106 1.0 333,106 1.0 94,617 1.0 342,828 1.0 94,617 1.0 334,461 1.0 94,617 1.0 94,617 1.0 69,567 1.0 94,617 1.0 94,617 1.0 94,617

Page 149: Prosedur RJ

1.0 94,617 1.0 94,617 1.0 342,828 1.0 334,461 1.0 360,844 1.0 360,844 1.0 69,567 1.0 119,667 1.0 345,173 1.0 345,173 1.0 94,617 1.0 342,828 1.0 342,828 1.0 334,461 1.0 360,844 1.0 360,844 1.0 69,567 1.0 119,667 1.0 333,106 1.0 345,173 1.0 94,617 1.0 342,828 1.0 342,828 1.0 342,828 1.0 342,828 1.0 342,828 1.0 342,828 1.0 342,828 1.0 342,828 1.0 342,828 1.0 342,828 1.0 342,828 1.0 298,558 1.0 298,558 1.0 298,558 1.0 298,558 1.0 298,558 1.0 298,558 1.0 298,558 1.0 298,558 1.0 94,617 1.0 94,617 1.0 94,617 1.0 94,617 1.0 69,567 1.0 94,617 1.0 94,617 1.0 94,617 1.0 94,617 1.0 94,617 1.0 94,617 1.0 334,461 1.0 94,617 1.0 94,617

Page 150: Prosedur RJ

1.0 69,567 1.0 94,617 1.0 94,617 1.0 94,617 1.0 94,617 1.0 94,617 1.0 342,828 1.0 334,461 1.0 496,732 1.0 496,732 1.0 69,567 1.0 119,667 1.0 345,173 1.0 345,173 1.0 94,617 1.0 342,828 1.0 342,828 1.0 334,461 1.0 496,732 1.0 496,732 1.0 69,567 1.0 119,667 1.0 345,173 1.0 345,173 1.0 94,617 1.0 342,828 1.0 342,828 1.0 334,461 1.0 496,732 1.0 496,732 1.0 69,567 1.0 491,535 1.0 345,173 1.0 345,173 1.0 94,617 1.0 342,828 1.0 342,828 1.0 334,461 1.0 360,844 1.0 360,844 1.0 69,567 1.0 119,667 1.0 333,106 1.0 333,106 1.0 94,617 1.0 342,828 1.0 69,567 1.0 496,732 1.0 496,732 1.0 69,567 1.0 491,535 1.0 345,173 1.0 94,617 1.0 69,567

Page 151: Prosedur RJ

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1.0 334,461

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1.0 342,828

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Page 155: Prosedur RJ

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Page 156: Prosedur RJ

0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 0.0 - 1.0 69,567 1.0 69,567 0.0 - 0.0 - 1.0 94,617 0.0 - 0.0 - 0.0 - 1.0 69,567 1.0 69,567 1.0 342,828 1.0 360,844 1.0 333,106 0.0 - 0.0 - 0.0 - 1.0 342,828 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 410,421 1.0 536,474 1.0 69,567 1.0 69,567 1.0 410,421 1.0 410,421 1.0 536,474 1.0 536,474 1.0 536,474 1.0 536,474 1.0 536,474 1.0 536,474 1.0 536,474 1.0 536,474 1.0 536,474 1.0 536,474 1.0 536,474 1.0 536,474 1.0 410,421 1.0 410,421 1.0 410,421 1.0 410,421 1.0 410,421 1.0 118,666 1.0 118,666

Page 157: Prosedur RJ

1.0 118,666 1.0 118,666 1.0 69,567 1.0 410,421 1.0 410,421 1.0 69,567 1.0 69,567 1.0 410,421 1.0 69,567 1.0 69,567 1.0 358,329 1.0 80,367 1.0 80,367 1.0 80,367 1.0 80,367 1.0 69,567 1.0 119,667 1.0 118,666 1.0 119,667 1.0 118,666 1.0 119,667 1.0 119,667 1.0 119,667 1.0 119,667 1.0 118,666 1.0 118,666 1.0 119,667 1.0 118,666 1.0 118,666 1.0 119,667 1.0 358,329 1.0 358,329 1.0 358,329 1.0 80,367 1.0 69,567 1.0 80,367 1.0 80,367 1.0 119,667 1.0 119,667 1.0 61,118 1.0 61,118 1.0 76,598 1.0 76,598 1.0 76,598 1.0 76,598 1.0 76,598 1.0 76,598 1.0 76,598 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118

Page 158: Prosedur RJ

1.0 61,118 1.0 61,118 1.0 61,118 1.0 719,697 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 141,014 1.0 62,807 1.0 71,770 1.0 200,504 1.0 69,838 1.0 200,504 1.0 200,504 1.0 69,567 1.0 200,504 1.0 69,567 1.0 200,504 1.0 223,289

1.0 223,289

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1.0 76,598 1.0 71,928 1.0 78,473 0.0 - 1.0 203,906 0.0 - 0.0 - 1.0 106,551 1.0 106,551 1.0 203,906 1.0 138,651 1.0 138,651 1.0 138,651 1.0 138,651 1.0 138,651 0.0 - 1.0 138,651

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Page 165: Prosedur RJ

1.0 198,557

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1.0 198,557 1.0 198,557 1.0 198,557 1.0 198,557 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 88,306 1.0 111,779 1.0 111,779

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1.0 111,779 1.0 111,779

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Page 166: Prosedur RJ

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1.0 71,928

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Page 167: Prosedur RJ

1.0 78,473 1.0 78,473 1.0 78,473 1.0 78,473 1.0 78,473 1.0 78,473 1.0 78,473 1.0 68,436 1.0 82,765 1.0 69,567 1.0 69,567 1.0 69,567 1.0 68,759 1.0 69,567 1.0 132,381 1.0 132,381 1.0 132,381 1.0 132,381 1.0 68,436 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 79,587 1.0 68,436 1.0 79,587 1.0 79,587 1.0 79,587 1.0 102,967 1.0 79,587 1.0 132,381 1.0 132,381 1.0 132,381 1.0 132,381 1.0 132,381 1.0 119,302 1.0 132,381 1.0 119,302 1.0 132,381 1.0 132,381 1.0 132,381 1.0 77,656 1.0 77,656 1.0 132,381 0.0 - 1.0 102,967 1.0 102,967 1.0 102,967 1.0 102,967 1.0 131,870 1.0 71,928 1.0 68,436 1.0 68,436

Page 168: Prosedur RJ

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Page 169: Prosedur RJ

1.0 61,118 1.0 61,118 1.0 61,118 1.0 61,118 1.0 119,302 1.0 119,302 1.0 119,302 1.0 119,302 1.0 119,302 1.0 119,302 1.0 119,302 1.0 110,088 1.0 110,088 1.0 68,436 1.0 69,567 1.0 79,587 1.0 68,436 1.0 68,436 1.0 68,436 1.0 69,567 1.0 61,118 1.0 61,118 1.0 119,302 1.0 202,380 1.0 119,302 1.0 68,894 1.0 69,975 1.0 61,118

1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 69,567 1.0 528,857 1.0 578,677 1.0 528,857 1.0 62,307 1.0 62,307 1.0 62,307 1.0 62,307 1.0 62,307 1.0 62,307 1.0 62,307 1.0 62,307 1.0 62,307 1.0 62,307 1.0 62,307 0.0 - 0.0 - 0.0 - 0.0 -

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Page 170: Prosedur RJ

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Page 171: Prosedur RJ

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