LATIHAN KODING (1)

TIPs N TRICKs
Perhatikan penulisan diagnosis, utk penentuan
lead term
Dlm Bhs Indonesia/Latin di depan
Dlm Bhs Inggris di tengah / di belakang
Termasuk apa ?
Nature of condition/disease Section 1
External causes Section 2
Poisoning (intoxication) Section 3

1. Hernia scrotal incarcerated, bilateral

Indeks Alfabetik Section 1 Hernia
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
- 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 Inggris
Lead 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 1

E11 Non-insulin-dependent diabetes mellitus
See before E10 for subdivisions
Includes:diabetes (mellitus) (nonobese) (obese):
-adult-onset
-maturity-onset
-nonketotic
-stable
-type II
non-insulin-dependent diabetes of the young
Excludes: 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 (E10E14)

The following fourth-character subdivisions are for use with
categories E10-E14:

.4 With neurological complications

Diabetic:
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
congenit
al pada
anak
berumur
18 bulan

Bronchiti
s, NOS