ICD 10 CHAPTER XV KEHAMILAN PERTEMUAN 9 TIM

ICD 10, CHAPTER XV (KEHAMILAN) PERTEMUAN 9 TIM KKPMT IV PRODI RMIK DAN MIK, FAKULTAS ILMU KESEHATAN

KEMAMPUAN AKHIR YANG DIHARAPKAN • Mahasiswa mampu menentukan Kode ICD-10 tentang kondisi terkait kehamilan

BAB XV (O 00 -O 48) KEHAMILAN [641 – 678] The codes included in this chapter are to be. . . Excl. : • Certain d. or injuries compl. preg. , childb. and puerp. cl. elsew. : external causes (for mortality) (V, W, X, Y) • Cedera, keracunan & konsekuensi lain akibat sebab luar (S 00 -T 88. 1, T 88. 6 -T 98)

• Gangguan mental & prilaku yang terkait masa nifas (F 53. -) • Tetanus obstetrik (A 34) • Nekrosis postpartum kelenjar pituitari (E 23. 0) • Osteomalacia postpartum (M 83. 0) • Supervisi dari: Kehamilan berisiko tinggi (Z 35 -) Kehamilan normal (Z 34. -)

Bab ini meliput 8 blok sebagai berikut: O 00 -O 08 O 10 -O 16 O 20 -O 29 O 30 -O 48 Kehamilan dengan abortus Edema, proteinuira & gangguan hipertensi pada kehamilan, kelahiran & nifas Gangguan-gangguan maternal lain yang utamanya terkait kehamilan. Asuhan maternal terkait janin, kantung ketuban yang kemungkinan menimbulkan masalah persalinan / kelahiran

Kehamilan dengan hasil Abortus (O 00 -O 08) [642 – 647] EXCL. : kehamilan berlanjut setelah satu atau lebih dari satu janin gugur pada suatu kehamilan multipel. Tersedia karakter ke-4 sebagai subdivisi untuk dimanfaatkan melengkapi O 03 – O 06. Note: incomplete abortion includes retained products of conception following abortion. [642]. 0. 7 . 1 dan. 8 . 2 . 3. 9 . 4 . 5 . 6

Perhatikan: • O 00 Kehamilan di luar kandungan Incl. : … Use additional code dari …O 08. O 00. 0 ada Excl. : . . . O 00. 1; O 00. 2 dan O 00. 8; O 00. 9. • O 01 Mola hidatidiform Use additional code dari … O 08. Excl. : . . . O 01. 0; O 01. 1 dan O 01. 9 • O 02 Other abnormal products of conception Use additional code dari … O 08. Excl. : . . . O 02. 0 dan O 02. 9. Pada O 02. 1, O 02. 8 ada Excl. : . .

• O 03 Spontaneous abortion [See before O 03 for subdivisions] Incl. : . . . • O 04 Medical abortion [See before O 03 for subdivisions] Incl. : termination of pregnancy: legal, therapuetic abortion • O 05 Other abortion [See before O 03 for subdivisions] • O 06 Unspecified abortion [See before O 03 for subdivisions] Incl. : induced abortion NOS

• O 07 Failed attempted abortion Incl. : . . . Excl. : . . . O 07. 0, O 07. 1, O 07. 2, O 07. 3, O 07. 5, O 07. 6, O 07. 7 dan O 07. 8 semua disertai: with cond. in O 08. Pada O 07. 4, O 07. 9 ada Failed attemp abortion. • O 08 Complicating following abortion & ectopic & molar pregnancy Note: This code is provided primary for morbidity coding. For use of this category reference should be made to the morbidity coding rules & quidelines in Volume 2.

O 08. 0 Genital tract and pelvic infect. follow. abort. and ectopic and molar preg. Ada tambah: septicaemia di bawah sepsis. Use add. Code (R 57. 2), . . . Excl. : . . . O 08. 1; O 08. 2; O 08. 4; O 08. 5; O 08. 6; O 08. 7 dan O 08. 8; O 08. 9 Pada O 08. 3 ada Excl. : septic shock (R 57. 2)

Oedema, proteinuria & hypertensive complicating disor. in preg. , childb. & the puer. (O 10 – O 16) [647 – 648] • O 10 Pre-existing hypertension. . . Incl. : the listed cond. with preexisting proteinuria Excl. : that with superimposed preexclampsia (O 11) O 10. 0; O 10. 1; O 10. 2; O 10. 3; O 10. 4 dan O 10. 9. • O 11. X Incl. : . . . Eclampsia superimposed on chronic hypertension

• O 12 Gestational [pregancy-induced] oedema and proteinuria without hypertention O 12. 0; O 12. 1 dan O 12. 2 • O 13. X Gestational [pregancy-induced] hypertention without signif. Proteinuria Incl. : gestational hypertension NOS pregnancy induced hypertension • O 14 Gestational [pregancy-induced] hypertention with signif. Proteinuria Excl. : . . . O 14. 0 Mild to moderate pre-eclampsia O 14. 1 Severe pre-eclamp. O 14. 2 dqn O 14. 9

• O 15 Eclampsia Incl. : convulsions following conditions in O 10 – O 14 and O 16 exclampsia with pregnancy-induced or pre-existing hypertension O 15. 0; O 15. 1; O 15. 2 dan O 15. 9. • O 16. X Unspecified maternal hypertension

Other maternal disorders predominantly related to pregnancy (O 20 -O 29) [649 -653] Note: Categories O 24. - and O 25 include the listed conditions even if they occur during childbirth or the puerperium. Exclu. : maternal: care related to the fetus and amniotic cavity & possible delivery problems (O 30 -O 48) Disease classifiable elsewhere but complicating pregnancy, labour (labor) and delivery, and the puerperium.

Perhatikan definisi untuk: • O 20 Haemorrhage in early pregnancy Excl. : … O 20. 0 dan O 20. 8; (O 20. 9 • O 21 Excessive vomiting in pregnancy O 21. 0; O 21. 1 dan O 21. 9 Pada O 21. 2 ada Excl. : . . . Pada O 21. 8 ada Use additional code, if. . . • O 22 Venous complications in pregnancy Excl. : … O 22. 0; O 22. 1; O 22. 2; O 22. 3; O 22. 4; O 22. 5 dan O 22. 8; O 22. 9

• O 24 Diabetes mellitus in pregnancy Incl. : in childbirth and the puerperium O 24. 0, O 24. 1, O 24. 2, O 24. 3 (pre-existing DM. . . ) O 24. 4 Gestational DM NOS O 24. 9 DM in preg. unspecified. • O 25. X Malnutrition in pregnancy Incl. : malnutrition in child. and the puerp. • O 26 Maternal care for other condi. predom. Related to pregnancy O 26. 0, O 26. 2, O 26. 6 dan O 26. 7 ada Excl. : . . . O 26. 3, O 26. 4, O 24. 5 dan O 26. 8; O 26. 9 O 26. 1;

• O 28 Abnormal find. on antenat. screening of m Excl. : diagnostic findings class. elsew. – see Alphab. Index maternal care related to the fetus and amniotic cavity and possible delivery problems (O 30 -O 48) O 28. 0; O 28. 1; O 28. 2; O 28. 3; O 28. 4; O 28. 5 dan O 28. 8; O 28. 9. • O 29 Complication of anaesthesia during preg. Incl. : … Excl. : . . . O 29. 0; O 29. 1; O 29. 2; O 29. 3; O 29. 4; O 29. 5; O 29. 6 dan O 29. 8; O 29. 9.

• Maternal care related to the fetus & amniotic cavity & possible delivery problems (O 30 -O 48) [653 -660] O 30 Multiple gestation Excl. : . . . O 30. 0; O 30. 1; O 30. 2 dan O 30. 8; O 30. 9 • O 31 Complications specific to mutiple gest. Excl. : conjoined twins causing. . . delayed delivery of 2 nd twin. . . malpresenttaion of one fetus or. . . with obstructed labour. . . O 31. 0; O 31. 1; O 31. 2 dan O 31. 8

• O 32 Maternal car for known or suspected malpres. Of fetus Incl. : . . . Excl. : . . . O 32. 0; O 32. 1; O 32. 2; O 32. 3; O 32. 4; O 32. 5 O 32. 6 dan O 32. 8; O 32. 9 • O 33 Maternal care for known or susp. disprop. Incl. : the listed conditions as a reason for observation, hospitalization or other obstet. care of the mother, or for C-S before onset of labour Excl. : . . . O 33. 0; O 33. 1 s/d O 33. 8; O 33. 9

• O 34 Maternal care for known or suspected abnormal. of pelv. Organs Incl. : . . . Excl. : . . . O 34. 0; O 34. 3; O 34. 4; O 34. 5; dan O 34. 8; O 34. 9. Pada O 34. 1, O 34. 2, O 34. 6, O 34. 7 ada Excl. : . . . • O 35 Maternal care for known or suspected fetal abnorm. and damage Incl. : . . . Excl. : . . . O 35. 0, O 35. 2 dan O 35. 5 ada Excl. : . . . O 35. 1; O 35. 3; O 35. 4; O 35. 6; O 35. 7 dan O 35. 8; O 35. 9.

• O 36 Maternal care for other known or suspect. fetal problems Incl. : . . . Excl. : . . . O 36. 0; O 36. 1; O 36. 2; O 36. 3; O 36. 5; O 36. 6; O 36. 7 dan O 36. 8; O 36. 9. Pada O 36. 4 ada Excl. : . . . • O 40. X Polyhydramios Incl. : . . . • O 41 Other disord. Of amn. fluid & membranes Excl. : . . . O 41. 0; O 41. 1 dan O 41. 8; O 41. 9.

• O 42 Premature rupture of membranee (KPD = ketuban pecah dini) K 42. 0; K 42. 2 dan K 42. 9 Pada K 42. 1 ada Excl. : with labour delayed by. . . • O 43 Placenta disorders Excl. : . . . K 43. 0; K 43. 1 dan K 43. 8; K 43. 9. Pada K 43. 2 Morbidity adherent placenta Use additional. . • O 44 Placenta praevia O 44. 0 (without haemorhage) Pada O 44. 1 ada Excl. : . . .

• O 45 Premature separation of placenta [abruptio placentae] O 45. 0; O 45. 8 dan O 45. 9 • O 46 Antepartum haemorrhage, NEC Excl. : . . . O 46. 0; O 46. 8 dan O 46. 9 • O 47 False labour O 47. 0 (<37 weeks); O 47. 1 (= atau > 37 weeks) O 47. 9 (unspecified) • O 48. X Prolonged pregnancy Incl. : post-dates; post-term

LATIHAN 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Hamil dengan plasenta previa totalis dan perdarahan Abortus spontan inkomplit, Infeksi post kuret Hamil 71/2 bulan sakit febris typhoidea Bumil 6 bulan, HIV positif Gestational Diabetes Gestational hypertension Hydatidiform mole Hyperemesis Gravidarum Hysterorrhexis Incompetent cervix Occiput posterior position Pre eclamsia Rh incompatibility Transverse Presentation Definisi Lead Term ICD 10

Definisi 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. Primigravida (G 1 A 0 P 0 hamil 2 mg) Secundigravida (G 2 A 0 P 0 hamil 5 mg) Multigravida (G 3 A 0 P 0 hamil 10 mg) Nulligravida (G 2 A 0 P 0 hamil 5 mg) Pseudocyntesis Antepartum thretened abortion Frank breech presentation, successfully delivered Hyperemesis grafidarum with dehydration Anteflexion of the uterus Ectopic tubal pregnancy without uterine pregnancy Mild pre eclampsia, antepartum condition Hydatidiform mole Abruptio placentae Lead Term ICD 10

29. 30. 31. 32. 33. 34. 35. Malnutrition in pregnancy Perdarahan diawal kehamilan Polyhydramios Placenta Previa tanpa perdarahan G 3 A 0 P 2, hamil 10 bulan Perdarahan Antepartum False labour Definisi Lead Term ICD 10