Gingivostomatitis 4. 4. Recurrent Intra Oral Herpes /Stomatitis Herpetika 5.

B08
Infeksi virus dengan lesi pada kulit dan selaput lendir, lainnya Other viral infection
characterized by skin and mucous membrane lesions, not elsewhere classified
B08.4 Stomatitis vesikular enterovirus dengan ruam Enteroviral vesicular stomatitis
with exanthem Hand, foot, mouth disease 5. Hand, foot and mouth disease (flu
Singapura) 6. B26 Gondong Mumps (Parotitis Epidemika) B26.9 Gondong tanpa
komplikasi B26.9X Manifestasi di mulut Oral manifestation 6 Mumps (gondongan)
-9- NO. ICD DA 3rd EDITION/ICD Version for 2010/ICD 10 CM 2013 PPK Mumps
without other complication 7. B37 Kandidiasis Candidiasis B37.0 Kandida stomatitis
Candidal stomatitis B37.00 Kandida stomatitis pseudomembran akut Acute
pseudomembranous candidal stomatitis 7 Kandidiasis pseudomembrano akut 8.
B37.03 Kandida stomatitis eritema (atrofik) kronik Chronic erythematous (atrophic)
candidal stomatitis Stomatitis gigi tiruan yang disebabkan oleh infeksi kandida
Denture stomatitis due to candidal infection 8 Kandidiasis Eritematous Kronik
(Denture Stomatitis/Candidaassociated denture stomatitis) 9. K00 Gangguan
perkembangan dan erupsi gigi Disorders of tooth develompment and eruption K00.6
Gangguan erupsi gigi Disturbances in tooth eruption K00.63 Gigi sulung tidak
tanggal (persistensi) Retained (persistent) primary tooth 9 Persistensi gigi sulung
10. K01 Gigi terbenam dan gigi impaksi Embedded and impacted teeth K01.1 Gigi
impaksi Impacted teeth K01.16 Molar rahang atas Maxillary molar 10 Impaksi M3
klasifikasi IA 11. K01.17 Molar bawah Mandibular molar 12. K02 Karies gigi Dental
caries K02.3 Karies terhenti Arrested caries 11 Arrested caries 13. K02.5 ICD10C
Karies gigi pada permukaan pit dan K02.51 Karies gigi pada permukaan pit dan 12
Demineralisasi Permukaan -10- NO. ICD DA 3rd EDITION/ICD Version for 2010/ICD 10
CM 2013 PPK M 2013 fissure Dental caries on pit and fissure surface fissure terbatas
pada lapisan email Dental caries on pit and fissure surface limited to enamel
Halus/Aproksimal Karies dini / lesi putih / karies email tanpa kavitas 14. K02.52
Karies gigi pada permukaan pit dan fissure mencapai lapisan dentin Dental caries
on pit and fissure surface penetrating into dentin 13 Karies mencapai dentin 15.
K02.6 ICD10C M 2013 Karies gigi pada permukaan halus Dental caries on smooth
surface K02.61 Karies gigi pada permukaan halus terbatas pada lapisan email
Dental caries on smooth surface limited to enamel Demineralisasi Permukaan
Halus/Aproksimal Karies dini / lesi putih / karies email tanpa kavitas 16. K02.62
Karies gigi pada permukaan halus mencapai dentin Dental caries on smooth surface
penetrating into dentin Karies mencapai dentin 17. K02.8 Karies gigi, lainnya, ydt
Other specified dental 14 Karies Mencapai Pulpa Vital Gigi Sulung -11- NO. ICD DA
3rd EDITION/ICD Version for 2010/ICD 10 CM 2013 PPK caries 18. K03 Penyakit
jaringan keras gigi lainnya Other disease of hard tissues of teeth K03.0 Atrisi gigi
berlebihan Excessive attrition of teeth 15 Atrisi, Abrasi, Erosi 19. K03.1 Abrasi gigi
Abrasion of teeth 20. K03.2 Erosi gigi Erosion of teeth 21. K03.6 Endapan (akresi)
pada gigi Deposits (accretions) on teeth 16 Oral Hygiene Buruk 22. K03.7
Perubahan warna pada jaringan keras gigi pasca erupsi Posteruptive color changes
of dental hard tissues 17 Perubahan Warna Mahkota Eksterna 23. K03.8 Penyakit
jaringan keras gigi, lainnya ydt Other specified diseases of hard tissues of teeth

K03.80 Sensitive dentin 18 Dentin hipersensitif 24. K04 Penyakit jaringan pulpa dan
periapikal Diseases of pulp and periapical tissues K04.0 Pulpitis K04.00 Awal
(hiperemi) Initial (hyperaemia) 19 Hyperemia Pulpa Gigi Tetap Muda 25. K04.01
Acute 20 Iritasi Pulpa Gigi Tetap Muda 26. Irreversible pulpitis 21 Pulpitis irreversibel
(Akar tunggal, akar jamak yang -12- NO. ICD DA 3rd EDITION/ICD Version for
2010/ICD 10 CM 2013 PPK lurus dengan sudut pandang kerja pada orifice tidak
terhalang) 27. Reversible pulpitis 22 Pulpitis reversibel / Pulpitis awal / Pulpa Pada
gigi sulung atau gigi permanen, pasien dewasa muda 28. K04.1 Nekrosis pulpa
Necrosis of pulp 23 Nekrosis pulpa 29. K04.6 Abses periapikal dengan sinus
Periapical abcess with sinus 24 Abses Periapikal 30. K04.7 Abses periapikal tanpa
sinus Periapical abcess without sinus 31. K05 Gingivitis dan penyakit periodontal
Gingivitis and periodontal disease K05.0 Gingivitis akut Acute gingivitis K05.00
ICD10CM Gingivitis akut akibat plak Acute gingivitis, plaque induced 25 Gingivitis
akut akibat Plak Mikrobial 32. K05.2 Periodontitis agresif Aggressive periodontitis
K05.21 Aggressive periodontitis, localized/ periodontal abcess 26 Abses Periodontal
33. K05.3 Periodontitis kronik Chronic periodontitis K05.30 Simplex 27 Periodontitis
Kronis dengan kehilangan jaringan periodontal ringan - sedang -13- NO. ICD DA 3rd
EDITION/ICD Version for 2010/ICD 10 CM 2013 PPK 34. K07 Anomali dentofasial
Dentofacial anomalies K07.2 Anomali hubungan antar lengkung gigi Anomalies of
dental arch relationship K07.20 Distoklusi Disto-occlusion 28 Maloklusi Klas I 35.
K07.21 Mesioklusi Mesio-occlusion 36. K07.22 Jarak gigit berlebih (tumpang gigit
horizontal) overjetExcessive overjet (horizontal overbite) 37. K07.23 Tumpang gigit
berlebih (tumpang gigit vertikal) overbite Excessive overbite (vertical overbite) 38.
K07.25 Gigitan terbuka Openbite 39. K07.26 Gigitan bersilang depan, belakang
Crossbite (anterior, posterior) 40. K07.27 Oklusi lingual gigi posterior rahang bawah
Posterior lingual occlusion of mandibular teeth 41. K07.3 Anomali letak gigi
Anomalies of tooth 29 Anomali letak gigi karena kehilangan prematur gigi -14- NO.
ICD DA 3rd EDITION/ICD Version for 2010/ICD 10 CM 2013 PPK position sulung 42.
K07.5 Kelainan fungsi dentofasial Dentofacial functional abnormalities K07.51
Maloklusi akibat kelainan menelan Malocclusion due to abnormal swallowing 30
Kelainan Fungsi Dentofasial 43. K07.54 Maloklusi akibat kelainan menelan
Malocclusion due to mouth breathing 44. K07.55 Maloklusi akibat kebiasaan buruk
lidah, bibir atau jari tangan Malocclusion due to tongue, lip or finger habits 45. K08
Gangguan gigi dan jaringan pendukung lainnya Other disorders of teeth and
supporting structures K08.1 ICD10C M Seluruh gigi tanggal Complete loss of teeth
K08.10 Seluruh gigi tanggal tanpa penyebab spesifik Complete loss of teeth,
unspecified cause 31 Kelainan fungsi sistem stomatognatik akibat kehilangan
semua gigi asli, tetapi tulang alveolar 46. K08.11 Seluruh gigi tanggal masih baik
akibat trauma Complete loss of teeth, due to trauma 47. K08.12 Seluruh gigi
tanggal akibat penyakit periodontal Complete loss of teeth due to periodontal -15NO. ICD DA 3rd EDITION/ICD Version for 2010/ICD 10 CM 2013 PPK disease 48.
K08.13 Seluruh gigi tanggal akibat karies Complete loss of teeth due to caries 49.
K08.3 Akar gigi tertinggal Retained dental root 32 Akar Gigi Tertinggal 50. K08.4
ICD10C M Sebagian gigi tanggal Partial loss of teeth K08.40 Sebagian gigi tanggal

tanpa penyebab spesifik Partial loss of teeth, unspecified cause 33 Kelainan fungsi
system stomatognatik akibat kehilangan satu atau beberapa gigi asli 51. K08.41
Sebagian gigi tanggal akibat trauma Partial loss of teeth due to trauma 52. K08.42
Sebagian gigi tanggal akibat penyakit periodontal Partial loss of teeth due to
periodontal diseases 53. K08.43 Sebagian gigi tanggal akibat karies Partial loss of
teeth due to caries 54. K12 Stomatitis dan lesi-lesi yang berhubungan Stomatitis
and related lesions K12.0 Afte mulut rekuren Recurrent oral aphthae K12.00 Afte
(minor) kambuhan Recurrent aphthous ulcer 34 Stomatitis Aphtosa recurent 55.
K12.04 Luka traumatik 35 Ulkus traumatik -16- NO. ICD DA 3rd EDITION/ICD Version
for 2010/ICD 10 CM 2013 PPK Traumatic ulcer 56. K13 Penyakit bibir dan mukosa
mulut lainnya Other diseases of lip and oral mucosa K13.0 Penyakit bibir dan
mukosa mulut lainnya Diseases of lips Angular cheilitis 36 Cheilitis angularis 57. L51
Eritema multiforme Erythema multiforme L51.0 Eritema multiforme non bulosa
L.51.0X Manifestasi di mulut 37 Eritema multiformis 58. L51.1 Eritema multiforme
bulosa L51.1X Manifestasi di mulut 59. R51 Sakit kepala Headache ICD10 CM Sakit
kepala ytt Facial pain no otherwise specified 38 Nyeri orofasial 60. S02 Fraktur
tengkorak dan tulang muka Fracture of skull and facial bones S02.5 Fraktur gigi
Fracture of tooth S02.50 Fraktur email gigi saja Fracture of