(5) latihan koding (1)
TRANSCRIPT
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