LATIHAN KODING (1)

Perhatikan penulisan diagnosis, utk penentuan lead term Dlm Bhs Indonesia/Latin di depanDlm Bhs Inggris di tengah / di belakang

Termasuk apa ? Nature of condition/disease Section 1External causes Section 2Poisoning (intoxication) Section 3

TIPs N TRICKs

1. Hernia scrotal incarcerated, bilateral

Indeks Alfabetik Section 1 HerniaHernia, hernial (acquired) (recurrent) K46.9

- with- - gangrene (see also Hernia, by site, with, gangrene) K46.1

- - obstruction (see also Hernia, by site, with, obstruction) K46.0

- abdomen, abdominal K46.9

- - specified site NEC K45.8

Selanjutnya telusuri utk menemukan modifier2 lain scrotal, incarcerated, bilateral

Extracted from ICD-10 Second Edition, 2005, H.

1. Hernia scrotal incarcerated, bilateral

Indeks Alfabetik Section 1 Hernia

Selanjutnya telusuri utk menemukan modifier2 lain scrotal, incarcerated, bilateral

Extracted from ICD-10 Second Edition, 2005, H.

Hernia, hernial (acquired) (recurrent) K46.9 - with - - gangrene (see also Hernia, by site, with, gangrene) K46.1 - - obstruction (see also Hernia, by site, with, obstruction) K46.0 - double (inguinal) — see Hernia, inguinal, bilateral - incarcerated — see also Hernia, by site, with obstruction - - with gangrene — see Hernia, by site, with gangrene - incisional — see Hernia, ventral - indirect (inguinal) — see Hernia, inguinal - inguinal (direct) (external) (funicular) (indirect) (internal) (oblique) (scrotal) (sliding)

K40.9 - - with - - - gangrene (and obstruction) K40.4 - - - obstruction K40.3 - - bilateral K40.2 - - - with - - - - gangrene (and obstruction) K40.1 - - - - obstruction K40.0 - scrotum, scrotal — see Hernia, inguinal - sliding (inguinal) — see also Hernia, inguinal - - hiatus — see Hernia, hiatal Extracted from ICD-10 Second Edition, 2005, H.

Setelah itu di- cross check ke Volume 1

Extracted from ICD-10 Second Edition, 2005, Diseases of the digestive system

2. Type II diabetes mellitus with (related) peripheral angiopathy, left foot

Dlm bhs InggrisLead term ??Type II diabetes mellitus with (related)

peripheral angiopathy, left foot

Coba cek ke Indeks Alfabetik

Diabetes, diabetic (mellitus) (controlled) (familial) (severe) E14.-

- type I E10.- - type II (nonobese) (obese) E11.- Extracted from ICD-10 Second Edition, 2005, D.

Tetapi modifier lain tidak ditemukan dalam indeks Note : tidak semua modifier muncul dlm indeks.

Terkadang baru terlihat dalam daftar tabulasi (vol 1)

Coba cek Vol 1E11 Non-insulin-dependent diabetes mellitus

See before E10 for subdivisionsIncludes: diabetes (mellitus) (nonobese) (obese):

-adult-onset -maturity-onset -nonketotic -stable -type II

non-insulin-dependent diabetes of the youngExcludes: diabetes mellitus (in):

-malnutrition-related (E12.-) -neonatal (P70.2) -pregnancy, childbirth and the puerperium (O24.-)

-glycosuria: -NOS (R81) -renal (E74.8)impaired glucose tolerance (R73.0)postsurgical hypoinsulinaemia (E89.1)

Extracted from ICD-10 Second Edition, 2005, Endocrine, nutritional and metabolic diseases.

Diabetes mellitus (E10–E14) The following fourth-character subdivisions are for use with categories E10-

E14:

.4† With neurological complicationsDiabetic:• amyotrophy (G73.0*)• autonomic neuropathy (G99.0*)• mononeuropathy (G59.0*)• polyneuropathy (G63.2*)

• autonomic (G99.0*).5 With peripheral circulatory complications

Diabetic:• gangrene• peripheral angiopathy† (I79.2*)• ulcer

CATATAN KHUSUS

• Dalam koding .. adanya tambahan keterangan tentang karakteristik pasien, misalnya umur, dapat menjadi modifier pemilihan kode, meskipun tidak selalu demikian

Urethritis gonorrhoea, wanita usia 30 th

Sifilis congenital pada anak

berumur 18 bulan

Bronchitis, NOS