No Kode INA- CBG Deskripsi Kode INA-CBG Tarif Kelas 3 Tarif Kelas 2 Tarif Kelas 1 1 A-4-10-I SEPTIKEMIA RINGAN 2 PDF

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Tarif INA-CBG 2013 Regional 1 Rumah Sakit Kelas B Rawat Inap Kode INA- No Deskripsi Kode INA-CBG Tarif Kelas 3 Tarif Kelas 2 Tarif Kelas 1 CBG 1 A-4-10-I SEPTIKEMIA RINGAN 2.287.601 2.745.121 3.202.642 2 A-4-10-II SEPTIKEMIA SEDANG 3.454.433 4.145.319 4.836.206 3 A-4-10-III SEPTIKEMIA BERAT 3.989.55...

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Tarif INA-CBG 2013 Regional 1 Rumah Sakit Kelas B Rawat Inap No

Kode INACBG A-4-10-I A-4-10-II A-4-10-III A-4-11-I A-4-11-II A-4-11-III A-4-12-I A-4-12-II A-4-12-III A-4-13-I A-4-13-II A-4-13-III

Deskripsi Kode INA-CBG

Tarif Kelas 3

Tarif Kelas 2

Tarif Kelas 1

SEPTIKEMIA RINGAN SEPTIKEMIA SEDANG SEPTIKEMIA BERAT INFEKSI SESUDAH OPERASI & TRAUMA RINGAN INFEKSI SESUDAH OPERASI & TRAUMA SEDANG INFEKSI SESUDAH OPERASI & TRAUMA BERAT DEMAM RINGAN DEMAM SEDANG DEMAM BERAT INFEKSI NON BAKTERI RINGAN INFEKSI NON BAKTERI SEDANG INFEKSI NON BAKTERI BERAT PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN RINGAN PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN SEDANG PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN BERAT INFEKSI HIV RINGAN INFEKSI HIV SEDANG INFEKSI HIV BERAT PROSEDUR PENCANGKOKAN HATI RINGAN PROSEDUR PENCANGKOKAN HATI SEDANG PROSEDUR PENCANGKOKAN HATI BERAT PROSEDUR HATI DAN PANKREAS RINGAN PROSEDUR HATI DAN PANKREAS SEDANG PROSEDUR HATI DAN PANKREAS BERAT

2.287.601 3.454.433 3.989.552 5.475.296 8.451.979 13.825.590 1.948.069 3.081.176 3.521.744 2.449.730 2.940.402 3.568.668

2.745.121 4.145.319 4.787.462 6.570.355 10.142.374 16.590.708 2.337.682 3.697.411 4.226.093 2.939.676 3.528.482 4.282.401

3.202.642 4.836.206 5.585.372 7.665.414 11.832.770 19.355.827 2.727.296 4.313.646 4.930.442 3.429.622 4.116.562 4.996.135

3.051.914

3.662.297

4.272.680

3.925.534

4.710.640

5.495.747

4.497.738

5.397.286

6.296.833

3.079.644 4.407.436 7.500.331 31.697.793 34.971.140 61.346.576 4.109.511 10.473.014 24.275.965

3.695.573 5.288.923 9.000.397 38.037.351 41.965.368 73.615.891 4.931.414 12.567.617 29.131.158

4.311.502 6.170.410 10.500.463 44.376.910 48.959.596 85.885.206 5.753.316 14.662.220 33.986.351

25 B-1-11-I

PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)

3.875.189

4.650.226

5.425.264

26 B-1-11-II

PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)

9.743.068

11.691.682

13.640.295

27 B-1-11-III

PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)

12.187.736

14.625.284

17.062.831

6.751.263

8.101.515

9.451.768

14.469.608

17.363.529

20.257.451

17.110.482

20.532.578

23.954.674

5.428.994

6.514.793

7.600.592

8.843.044

10.611.653

12.380.261

13.037.128

15.644.553

18.251.979

7.343.392

8.812.070

10.280.749

8.167.334

9.800.800

11.434.267

12.776.823

15.332.187

17.887.552

2.062.958 2.982.270 4.850.980

2.475.549 3.578.724 5.821.177

2.888.141 4.175.178 6.791.373

1 2 3 4 5 6 7 8 9 10 11 12

13 A-4-14-I 14 A-4-14-II 15 A-4-14-III 16 17 18 19 20 21 22 23 24

A-4-15-I A-4-15-II A-4-15-III B-1-01-I B-1-01-II B-1-01-III B-1-10-I B-1-10-II B-1-10-III

28 B-1-12-I 29 B-1-12-II 30 B-1-12-III 31 B-1-13-I 32 B-1-13-II 33 B-1-13-III 34 B-1-14-I 35 B-1-14-II 36 B-1-14-III 37 B-4-10-I 38 B-4-10-II 39 B-4-10-III

PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK RINGAN PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK SEDANG PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK BERAT PROSEDUR PANKREAS DAN HEPATOBILLIARI LAINLAIN (RINGAN) PROSEDUR PANKREAS DAN HEPATOBILLIARI LAINLAIN (SEDANG) PROSEDUR PANKREAS DAN HEPATOBILLIARI LAINLAIN (BERAT) PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK RINGAN PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK SEDANG PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK BERAT SIROSIS DAN HEPATITIS ALKOHOLIK RINGAN SIROSIS DAN HEPATITIS ALKOHOLIK SEDANG SIROSIS DAN HEPATITIS ALKOHOLIK BERAT

Tarif INA-CBG 2013 Regional 1 Rumah Sakit Kelas B Rawat Inap No

Kode INACBG

40 B-4-11-I 41 B-4-11-II 42 B-4-11-III

Deskripsi Kode INA-CBG TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS RINGAN TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS SEDANG TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS BERAT

Tarif Kelas 3

Tarif Kelas 2

Tarif Kelas 1

4.033.956

4.840.747

5.647.539

6.149.104

7.378.925

8.608.745

6.633.765

7.960.518

9.287.270

43 B-4-12-I

GANGGUAN PANKREAS SELAIN TUMOR (RINGAN)

3.516.103

4.219.324

4.922.544

44 B-4-12-II

GANGGUAN PANKREAS SELAIN TUMOR (SEDANG)

6.186.627

7.423.953

8.661.278

45 B-4-12-III

GANGGUAN PANKREAS SELAIN TUMOR (BERAT)

11.340.253

13.608.304

15.876.354

2.941.039

3.529.247

4.117.455

4.278.816

5.134.579

5.990.342

5.357.092

6.428.511

7.499.929

46 B-4-13-I 47 B-4-13-II 48 B-4-13-III

GANGGUAN HATI SELAIN TUMOR, SIROSIS ATAU HEPATITIS ALKOHOLIK RINGAN GANGGUAN HATI SELAIN TUMOR, SIROSIS ATAU HEPATITIS ALKOHOLIK SEDANG GANGGUAN HATI SELAIN TUMOR, SIROSIS ATAU HEPATITIS ALKOHOLIK BERAT

49 B-4-14-I

GANGGUAN SALURAN EMPEDU LAIN-LAIN RINGAN

3.471.595

4.165.915

4.860.234

50 B-4-14-II

GANGGUAN SALURAN EMPEDU LAIN-LAIN SEDANG

4.249.149

5.098.979

5.948.809

51 B-4-14-III

GANGGUAN SALURAN EMPEDU LAIN-LAIN BERAT

5.410.559

6.492.671

7.574.782

52 53 54 55 56 57 58 59 60 61 62 63

LEUKEMIA AKUT RINGAN LEUKEMIA AKUT SEDANG LEUKEMIA AKUT BERAT LIMFOMA & LEUKEMIA NON AKUT RINGAN LIMFOMA & LEUKEMIA NON AKUT SEDANG LIMFOMA & LEUKEMIA NON AKUT BERAT RADIOTERAPI RINGAN RADIOTERAPI SEDANG RADIOTERAPI BERAT KEMOTERAPI RINGAN KEMOTERAPI SEDANG KEMOTERAPI BERAT

3.833.803 7.484.017 11.028.480 3.875.646 4.439.278 8.927.540 1.954.338 7.234.515 14.654.890 1.953.412 3.919.829 5.093.944

4.600.564 8.980.820 13.234.176 4.650.776 5.327.134 10.713.048 2.345.206 8.681.418 17.585.869 2.344.095 4.703.795 6.112.733

5.367.324 10.477.623 15.439.872 5.425.905 6.214.990 12.498.555 2.736.073 10.128.321 20.516.847 2.734.777 5.487.760 7.131.522

C-4-10-I C-4-10-II C-4-10-III C-4-11-I C-4-11-II C-4-11-III C-4-12-I C-4-12-II C-4-12-III C-4-13-I C-4-13-II C-4-13-III

64 C-4-14-I

TUMOR MYELOPROLIFERATIF LAIN-LAIN RINGAN

2.937.860

3.525.431

4.113.003

65 C-4-14-II

TUMOR MYELOPROLIFERATIF LAIN-LAIN SEDANG

4.978.570

5.974.283

6.969.997

66 C-4-14-III

TUMOR MYELOPROLIFERATIF LAIN-LAIN BERAT PROSEDUR PENCANGKOKAN SUMSUM TULANG RINGAN PROSEDUR PENCANGKOKAN SUMSUM TULANG SEDANG PROSEDUR PENCANGKOKAN SUMSUM TULANG BERAT PROSEDUR LIMPA RINGAN PROSEDUR LIMPA SEDANG PROSEDUR LIMPA BERAT PROSEDUR PADA DARAH DAN ORGAN PEMBENTUK DARAH LAIN-LAIN (RINGAN) PROSEDUR PADA DARAH DAN ORGAN PEMBENTUK DARAH LAIN-LAIN (SEDANG)

7.599.982

9.119.978

10.639.975

20.282.946

24.339.535

28.396.124

30.892.482

37.070.978

43.249.475

41.867.754

50.241.305

58.614.856

5.739.372 13.129.804 19.922.451

6.887.246 15.755.765 23.906.941

8.035.121 18.381.726 27.891.431

4.313.098

5.175.717

6.038.337

12.679.606

15.215.528

17.751.449

67 D-1-10-I 68 D-1-10-II 69 D-1-10-III 70 D-1-11-I 71 D-1-11-II 72 D-1-11-III 73 D-1-20-I 74 D-1-20-II

Tarif INA-CBG 2013 Regional 1 Rumah Sakit Kelas B Rawat Inap No

Kode INACBG

75 D-1-20-III 76 77 78 79 80 81 82 83 84

D-4-10-I D-4-10-II D-4-10-III D-4-11-I D-4-11-II D-4-11-III D-4-12-I D-4-12-II D-4-12-III

85 D-4-13-I 86 D-4-13-II 87 D-4-13-III 88 D-4-14-I 89 D-4-14-II 90 D-4-14-III 91 E-1-01-I 92 E-1-01-II

Deskripsi Kode INA-CBG PROSEDUR PADA DARAH DAN ORGAN PEMBENTUK DARAH LAIN-LAIN (BERAT) AGRANULOSITOSIS RINGAN AGRANULOSITOSIS SEDANG AGRANULOSITOSIS BERAT GANGGUAN PEMBEKUAN DARAH RINGAN GANGGUAN PEMBEKUAN DARAH SEDANG GANGGUAN PEMBEKUAN DARAH BERAT KRISIS ANEMIA SEL SICKLE RINGAN KRISIS ANEMIA SEL SICKLE SEDANG KRISIS ANEMIA SEL SICKLE BERAT GANGGUAN SEL DARAH MERAH SELAIN KRISIS ANEMIA SEL SICKLE RINGAN GANGGUAN SEL DARAH MERAH SELAIN KRISIS ANEMIA SEL SICKLE SEDANG GANGGUAN SEL DARAH MERAH SELAIN KRISIS ANEMIA SEL SICKLE BERAT GANGGUAN PADA DARAH & ORGAN PEMBENTUK DARAH LAIN-LAIN (RINGAN) GANGGUAN PADA DARAH & ORGAN PEMBENTUK DARAH LAIN-LAIN (SEDANG) GANGGUAN PADA DARAH & ORGAN PEMBENTUK DARAH LAIN-LAIN (BERAT) PROSEDUR KELENJAR PITUITARI DAN PINEAL RINGAN PROSEDUR KELENJAR PITUITARI DAN PINEAL SEDANG

Tarif Kelas 3

Tarif Kelas 2

Tarif Kelas 1

19.892.387

23.870.864

27.849.342

2.186.874 3.255.128 5.121.166 2.435.149 4.917.109 11.850.437 2.444.092 3.390.196 5.205.648

2.624.249 3.906.154 6.145.399 2.922.179 5.900.531 14.220.524 2.932.911 4.068.235 6.246.778

3.061.623 4.557.179 7.169.632 3.409.209 6.883.952 16.590.611 3.421.729 4.746.275 7.287.907

1.960.306

2.352.367

2.744.428

2.939.953

3.527.944

4.115.934

4.057.471

4.868.965

5.680.460

2.436.190

2.923.429

3.410.667

4.367.655

5.241.185

6.114.716

6.124.405

7.349.286

8.574.167

6.084.613

7.301.535

8.518.458

7.970.264

9.564.316

11.158.369

93 E-1-01-III

PROSEDUR KELENJAR PITUITARI DAN PINEAL BERAT

15.798.389

18.958.067

22.117.744

94 E-1-10-I 95 E-1-10-II 96 E-1-10-III

PROSEDUR KELENJAR ADRENAL RINGAN PROSEDUR KELENJAR ADRENAL SEDANG PROSEDUR KELENJAR ADRENAL BERAT PROSEDUR PADA TIROID, PARATIROID DAN SALURAN TIROGLOSAL RINGAN PROSEDUR PADA TIROID, PARATIROID DAN SALURAN TIROGLOSAL SEDANG PROSEDUR PADA TIROID, PARATIROID DAN SALURAN TIROGLOSAL BERAT PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/ METABOLIK RINGAN PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/ METABOLIK SEDANG PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/ METABOLIK BERAT

4.655.642 5.650.856 11.910.341

5.586.770 6.781.027 14.292.409

6.517.898 7.911.199 16.674.478

5.843.413

7.012.095

8.180.778

9.561.003

11.473.203

13.385.404

17.936.193

21.523.432

25.110.671

3.059.460

3.671.353

4.283.245

4.235.205

5.082.246

5.929.287

6.461.474

7.753.768

9.046.063

97 E-1-20-I 98 E-1-20-II 99 E-1-20-III 100 E-4-10-I 101 E-4-10-II 102 E-4-10-III 103 E-4-11-I

HIPOVOLEMIA & GANGGUAN ELEKROLIT RINGAN

2.240.204

2.688.245

3.136.286

104 E-4-11-II

HIPOVOLEMIA & GANGGUAN ELEKROLIT SEDANG

4.327.889

5.193.467

6.059.044

105 106 107 108

HIPOVOLEMIA & GANGGUAN ELEKROLIT BERAT GANGGUAN METABOLIK BAWAAN RINGAN GANGGUAN METABOLIK BAWAAN SEDANG GANGGUAN METABOLIK BAWAAN BERAT GANGGUAN KELENJAR ENDOKRIN LAIN-LAIN RINGAN

7.147.827 2.685.437 4.299.270 6.189.716

8.577.392 3.222.525 5.159.124 7.427.660

10.006.958 3.759.612 6.018.978 8.665.603

2.966.249

3.559.499

4.152.749

E-4-11-III E-4-12-I E-4-12-II E-4-12-III

109 E-4-13-I

Tarif INA-CBG 2013 Regional 1 Rumah Sakit Kelas B Rawat Inap No

Kode INACBG

Deskripsi Kode INA-CBG

Tarif Kelas 3

Tarif Kelas 2

Tarif Kelas 1

110 E-4-13-II

GANGGUAN KELENJAR ENDOKRIN LAIN-LAIN SEDANG

5.013.858

6.016.630

7.019.402

111 E-4-13-III

GANGGUAN KELENJAR ENDOKRIN LAIN-LAIN BERAT

8.549.884

10.259.861

11.969.838

112 113 114 115 116 117

SCHIZOFRENIA RINGAN SCHIZOFRENIA SEDANG SCHIZOFRENIA BERAT DEPRESI MAYOR RINGAN DEPRESI MAYOR SEDANG DEPRESI MAYOR BERAT GANGGUAN PERSONALITI & KONTROL IMPULSE RINGAN GANGGUAN PERSONALITI & KONTROL IMPULSE SEDANG GANGGUAN PERSONALITI & KONTROL IMPULSE BERAT GANGGUAN BIPOLAR RINGAN GANGGUAN BIPOLAR SEDANG GANGGUAN BIPOLAR BERAT DEPRESI RINGAN DEPRESI SEDANG DEPRESI BERAT NEUROSA SELAIN DEPRESI RINGAN NEUROSA SELAIN DEPRESI SEDANG NEUROSA SELAIN DEPRESI BERAT GANGGUAN ORGANIK DAN KETERBELAKANGAN MENTAL RINGAN GANGGUAN ORGANIK DAN KETERBELAKANGAN MENTAL SEDANG GANGGUAN ORGANIK DAN KETERBELAKANGAN MENTAL BERAT

4.327.265 4.795.953 7.100.514 3.985.086 4.643.004 5.954.028

5.192.718 5.755.143 8.520.616 4.782.103 5.571.605 7.144.833

6.058.171 6.714.334 9.940.719 5.579.121 6.500.205 8.335.639

1.877.806

2.253.368

2.628.929

2.489.455

2.987.346

3.485.237

4.876.306

5.851.567

6.826.828

3.212.190 4.250.501 5.480.478 1.840.325 2.360.590 3.176.279 2.672.400 3.775.476 4.715.522

3.854.628 5.100.601 6.576.574 2.208.390 2.832.708 3.811.535 3.206.881 4.530.571 5.658.627

4.497.066 5.950.701 7.672.669 2.576.455 3.304.826 4.446.791 3.741.361 5.285.666 6.601.731

5.767.718

6.921.262

8.074.805

6.702.373

8.042.847

9.383.322

8.946.548

10.735.858

12.525.168

F-4-10-I F-4-10-II F-4-10-III F-4-11-I F-4-11-II F-4-11-III

118 F-4-12-I 119 F-4-12-II 120 F-4-12-III 121 122 123 124 125 126 127 128 129

F-4-13-I F-4-13-II F-4-13-III F-4-14-I F-4-14-II F-4-14-III F-4-15-I F-4-15-II F-4-15-III

130 F-4-16-I 131 F-4-16-II 132 F-4-16-III 133 F-4-17-I

GANGGUAN MENTAL PADA KANAK-KANAK RINGAN

965.803

1.158.963

1.352.124

134 F-4-17-II

GANGGUAN MENTAL PADA KANAK-KANAK SEDANG

2.830.676

3.396.811

3.962.946

135 F-4-17-III

GANGGUAN MENTAL PADA KANAK-KANAK BERAT

3.020.123

3.624.147

4.228.172

136 137 138 139 140 141

GANGGUAN NUTRISI KOMPULSIF RINGAN GANGGUAN NUTRISI KOMPULSIF SEDANG GANGGUAN NUTRISI KOMPULSIF BERAT GANGGUAN MENTAL LAIN-LAIN RINGAN GANGGUAN MENTAL LAIN-LAIN SEDANG GANGGUAN MENTAL LAIN-LAIN BERAT PROSEDUR PADA PEMBULUH DARAH INTRA KRANIAL RINGAN PROSEDUR PEMBULUH DARAH INTRA KRANIAL SEDANG PROSEDUR PEMBULUH DARAH INTRA KRANIAL BERAT PROSEDUR KRANIOTOMI RINGAN PROSEDUR KRANIOTOMI SEDANG PROSEDUR KRANIOTOMI BERAT PROSEDUR VENTRICULAR SHUNT RINGAN PROSEDUR VENTRICULAR SHUNT SEDANG

4.828.292 5.312.485 8.189.658 3.831.084 4.905.801 6.107.788

5.793.950 6.374.982 9.827.590 4.597.300 5.886.961 7.329.346

6.759.609 7.437.479 11.465.522 5.363.517 6.868.122 8.550.903

8.839.961

10.607.954

12.375.946

12.640.865

15.169.038

17.697.212

24.516.105

29.419.327

34.322.548

6.104.121 8.613.437 10.169.935 7.011.991 14.443.708

7.324.945 10.336.124 12.203.922 8.414.389 17.332.450

8.545.769 12.058.811 14.237.909 9.816.787 20.221.192

F-4-18-I F-4-18-II F-4-18-III F-4-19-I F-4-19-II F-4-19-III

142 G-1-01-I 143 G-1-01-II 144 G-1-01-III 145 146 147 148 149

G-1-10-I G-1-10-II G-1-10-III G-1-11-I G-1-11-II

Tarif INA-CBG 2013 Regional 1 Rumah Sakit Kelas B Rawat Inap Kode INACBG 150 G-1-11-III No

Tarif Kelas 3

Tarif Kelas 2

Tarif Kelas 1

26.402.348

31.682.817

36.963.287

4.463.864

5.356.637

6.249.410

9.628.711

11.554.453

13.480.196

14.301.419

17.161.703

20.021.987

154 G-1-13-I 155 G-1-13-II 156 G-1-13-III

PROSEDUR VENTRICULAR SHUNT BERAT PROSEDUR PEMBULUH DARAH EXTRA KRANIAL RINGAN PROSEDUR PEMBULUH DARAH EXTRA KRANIAL SEDANG PROSEDUR PEMBULUH DARAH EXTRA KRANIAL BERAT PROSEDUR CARPAL TUNNEL RELEASE RINGAN PROSEDUR CARPAL TUNNEL RELEASE SEDANG PROSEDUR CARPAL TUNNEL RELEASE BERAT

1.043.759 2.803.422 6.325.701

1.252.511 3.364.106 7.590.841

1.461.263 3.924.791 8.855.981

157 G-1-20-I

PROSEDUR SARAF KRANIAL DAN PERIFER RINGAN

11.164.056

13.396.867

15.629.678

158 G-1-20-II

PROSEDUR SARAF KRANIAL DAN PERIFER SEDANG

14.496.331

17.395.597

20.294.863

159 G-1-20-III

PROSEDUR SARAF KRANIAL DAN PERIFER BERAT

28.805.607

34.566.728

40.327.850

160 G-1-30-I 161 G-1-30-II 162 G-1-30-III

PROSEDUR TULANG BELAKANG RINGAN PROSEDUR TULANG BELAKANG SEDANG PROSEDUR TULANG BELAKANG BERAT KECEDERAAN & GANGGUAN TULANG BELAKANG RINGAN KECEDERAAN & GANGGUAN TULANG BELAKANG SEDANG KECEDERAAN & GANGGUAN TULANG BELAKANG BERAT TUMOR SISTEM PERSARAFAN & GANGGUAN DEGENERATIF RINGAN TUMOR SISTEM PERSARAFAN & GANGGUAN DEGENERATIF SEDANG TUMOR SISTEM PERSARAFAN & GANGGUAN DEGENERATIF BERAT

8.747.687 22.529.909 25.306.227

10.497.224 27.035.891 30.367.472

12.246.762 31.541.873 35.428.718

2.927.168

3.512.602

4.098.035

4.007.482

4.808.978

5.610.474

6.939.080

8.326.896

9.714.712

5.316.990

6.380.388

7.443.786

6.704.874

8.045.849

9.386.823

8.601.400

10.321.680

12.041.959

151 G-1-12-I 152 G-1-12-II 153 G-1-12-III

163 G-4-10-I 164 G-4-10-II 165 G-4-10-III 166 G-4-11-I 167 G-4-11-II 168 G-4-11-III

Deskripsi Kode INA-CBG

169 G-4-12-I

SKLEROSIS MULTIPLE & ATAXIA CEREBELAR RINGAN

4.855.938

5.827.126

6.798.314

170 G-4-12-II

SKLEROSIS MULTIPLE & ATAXIA CEREBELAR SEDANG

5.920.019

7.104.023

8.288.027

171 G-4-12-III

SKLEROSIS MULTIPLE & ATAXIA CEREBELAR BERAT

8.598.123

10.317.748

12.037.373

2.705.048

3.246.057

3.787.067

3.752.059

4.502.470

5.252.882

4.398.569

5.278.283

6.157.997

3.684.854

4.421.824

5.158.795

6.663.579

7.996.295

...