TINJAUAN KETEPATAN KODEFIKASI DIAGNOSIS KASUS CHRONIC KIDNEY DISEASE BERDASARKAN ICD-10 DI RSUD 45 KUNINGAN TAHUN 2023

SUSANAH, SUSANAH (2025) TINJAUAN KETEPATAN KODEFIKASI DIAGNOSIS KASUS CHRONIC KIDNEY DISEASE BERDASARKAN ICD-10 DI RSUD 45 KUNINGAN TAHUN 2023. Diploma thesis, POLITEKNIK KESEHATAN TASIKMALAYA.

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Abstract

Latar Belakang: Chronic Kidney Disease merupakan penyakit ginjal yang bersifat irreversible, dengan kelainan struktur maupun fungsi ginjal. Berdasarkan laporan BPJS Kesehatan, jumlah penderita penyakit katastropik di Indonesia meningkat sekitar 29,7 juta kasus pada tahun 2023. Penyakit gagal ginjal menempati urutan ke-4, dengan peningkatan kasus dari 1,3 juta menjadi 1,5 juta kasus dengan biaya pengobatan Rp 2,9 triliun. Ketepatan pengkodean diagnosis berdasarkan ICD-10 sangat penting untuk kualitas pelayanan rumah sakit, pelaporan, serta ketepatan tarif klaim INA-CBG’s. Oleh karena itu, penelitian ini bertujuan untuk menilai ketepatan kodefikasi diagnosis kasus Chronic Kidney Disease berdasarkan ICD-10 di RSUD 45 Kuningan pada tahun 2023. Metodologi Penelitian: Penelitian deskriptif kuantitatif, total sampel 146 dokumen rekam medis diagnosa utama Cronic Kidney Disease pasien rawat inap Hasil penelitian: Pelaksanaan kodefikasi penyakit di RSUD 45 Kuningan telah menggunakan Standar Operasional Prosedur (SOP) kodefikasi penyakit sesuai dengan ICD-10 tahun 2010 yang ditetapkan oleh Direktur RSUD 45 Kuningan. Persentase ketepatan kodefikasi diagnosis Chronic Kidney Disease (CKD) pasien rawat inap berdasarkan ICD-10 di RSUD 45 Kuningan tahun 2023 sebesar 77% dengan 112 dokumen rekam medis, sedangkan untuk persentase tidak tepat yaitu 23% dengan 34 dokumen rekam medis. Kesimpulan : Persentase ketepatan kodefikasi diagnosis Chronic Kidney Disease (CKD) pasien rawat inap berdasarkan ICD-10 di RSUD 45 Kuningan tahun 2023 sebesar 77%, sedangkan untuk persentase tidak tepat yaitu 23%. Background: Chronic Kidney Disease is an irreversible kidney disease, with abnormalities in kidney structure and function. Based on the BPJS Health report, the number of catastrophic disease sufferers in Indonesia will increase to around 29.7 million cases by 2023. Kidney failure disease ranks 4th, with an increase in cases from 1.3 million to 1.5 million cases with treatment costs of IDR 2.9 trillion. The accuracy of diagnosis coding based on ICD-10 is very important for the quality of hospital services, reporting, and accuracy of INA-CBG's claim rates. Therefore, this study aims to assess the accuracy of diagnosis coding of Chronic Kidney Disease cases based on ICD-10 at RSUD 45 Kuningan in 2023. Research Methodology: Quantitative descriptive research, total sample of 146 medical record documents of the main diagnosis of Cronic Kidney Disease for inpatients. Research results: The implementation of disease coding at RSUD 45 Kuningan has used Standard Operating Procedures (SOP) for disease coding in accordance with ICD-10 in 2010 established by the Director of RSUD 45 Kuningan. The percentage of accuracy of the diagnosis codefication of Chronic Kidney Disease (CKD) for inpatients based on ICD-10 at RSUD 45 Kuningan in 2023 was 77% with 112 medical record documents, while the percentage of inaccuracy was 23% with 34 medical record documents. Conclusion: The percentage of accuracy of the diagnosis codefication of Chronic Kidney Disease (CKD) for hospitalized patients based on ICD-10 at RSUD 45 Kuningan in 2023 was 77%, while the percentage of inaccuracy was 23%.

Item Type:

Thesis (Diploma)

Contributors:

Contribution	Contributors	NIDN/NIDK	Email
UNSPECIFIED	ARYANI, BHAKTI	UNSPECIFIED	UNSPECIFIED
UNSPECIFIED	HARYANTO, YANTO	UNSPECIFIED	UNSPECIFIED
UNSPECIFIED	RAHMAWATI, FITRIA DEWI	UNSPECIFIED	UNSPECIFIED