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 (E10–E14)
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
congenital
pada anak
berumur 18
bulan
Bronchitis,
NOS