LATIHAN KODING (1)

LILY KRESNOWATI
 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, Volume 3. Index of Disease and
Nature of Injury. H
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
Sifilis congenital pada anak berumur 18 bulan
Bronchitis,
NOS