KKPMT I Pertemuan 7 dr Mayang Anggraini Prodi

KKPMT I Pertemuan 7 dr. Mayang Anggraini Prodi RMIK, Fakultas Ilmu-ilmu Kesehatan

KKPMT I 7 ICD-10 CHAPTER XIII Diseases of the musculoskeletal system and connecive tissue (M 00 -M 99) DISUSUN OLEH dr. Mayang Anggraini Naga (Revisi 2017) 2

KEKHUSUSAN BAB XIII (M 00 -M 99) [557 -602] Gangguan muskuloskeletal dan jaringan ikat yang tidak diperkenankan diberi code Bab XIII tertampung pada kelompok Excl. : baca di [557] kondisi tertentu yang timbul pada periode perinatal (P 00 - P 96) penyakit infeksi dan parasitik tertentu (A 00 B 99) sindroma kompartmen (T 79. 6) komplikasi kehamilan, persalinan dan nifas (O 00 -O 99) 3

(Lanjutan) Excl. : . . . - malformasi kongenital, deformasi dan abnormalitas kromosomal (Q 00 -Q 99) penyakit endokrin, nutrisi dan metabolik (E 00 -E 90) cedera, keracunan dan konsekuensi tertentu akibat sebab luar (S 00 -T 98) neoplasma (C 00 -D 48) simtoma, tanda-2 dan temuan klinis, laboratoris NEC (R 00 - R 99) 4

Bab XIII tersusun dari Blok: • M 00 – M 25 Arthropathies: M 00 – M 03 M 05 – M 14 M 15 – M 19 M 20 – M 25 • M 30 – M 36 Systemic connective tissues disorders • M 40 – M 54 Dorsopathies M 40 – M 43 M 45 – M 49 M 50 – M 54 5

(Lanjutan) • M 60 – M 79 Soft tissue disoders M 60 – M 63 M 65 – M 68 M 70 – M 79 • M 80 – M 94 Osteopathies and chondropathies M 80 – M 85 M 86 – M 90 M 91 – M 94 • M 95 – M 99 Other disorders of the M-S system and connective tissue. 6

Site of musculoskeletal involvement [558 - 559] Tersedia subklasifikasi untuk menunjukkan site otot dan persendian yang terkena gangguan khusus untuk Bab XIII. Ada kemungkinan kebutuhan lokal memiliki nomor subklasifikasi sendiri, oleh karenanya klasifikasi suplementer ini hendaknya ditulis terpisah dari nomor code induk di depannya. (e. g. in an additional box). 7

Site of musculoskeletal involvement [558 -559] (Lanjutan) Tersedia juga subklasifikasi yang berbeda di halaman [570] (untuk lutut), [576] (untuk dorsopathy) dan [601] (untuk biomechanical lesions). Digit suplementer pada HAL [558 – 559], Vol. 1 adalah: 0 1 2 3 4 Multiple sites Shoulder region Upper arm Forearm Hand 5. 6. 7. 8. 9. Pelvic region and thigh Lower leg Ankle and foot Other Site unspecified 8

Bab XIII memuat Block (Blok): M 00 -M 25 Arthropathies [560 - 573] • M 00 -M 03 Infectious arthropathies (Gangguan sendi yang infeksi) Contoh: [560 -561] Staphylococcal arthritis & Polyarthritis M 00. 0 Post-meningococcal arthritis A 39. 8 M 03. 0* Meningococcal arthritis A 39. 8 M 01. 0* Note: This block comprises. . . Ada a) dan b) • M 00 Pyogenic arthritis [See site code at the beginning of this chap. ] M 00. 0; M 00. 1; M 00. 2; M 00. 9. Pada M 00. 8 Use ad. . 9

(Lanjutan) • M 01* Direct inf. of joint in inf. & par. d. cl. elsew. [See site code at the beginning of this chap. ] Excl. ; . . . M 01. 0* dan M 01. 1* ada Excl. : . . . M 01. 2*; M 01. 3*; M 01. 4*; M 01. 5*; M 01. 6*; M 01. 8*. • M 02 Reactive arthropathies [See site code at the beginning of this chap. ] Excl. ; . . . M 02. 0; M 02. 1; M 02. 2; M 02. 3 dan M 02. 8; M 02. 9. • M 03* Postinfect. And react. Arthropathies in. . [See site code at the beginning of this chap. ] Excl. ; . . M 03. 0*; M 03. 1*; M 03. 2* ada Excl. : . . . ; M 03. 6*. 10

M 05 – M 14 Inflamatory polyarthropathy [562 -566] (Peradangan pada banyak sendi) Contoh: Rheumatoid arthritis menyerang otot jantung M 05. 3 I 41. 8* Arthropathy sendi pinggul pada ulcerative colitis K 51. 9 M 07. 5* 5 Arthropathies pada thyrotoxicosis E 05. - M 14. 5* Apa arti (–) di belakang E 05. - ? • M 05 Seropositive rheum. Arthritis [See site code at. . . ] Excl. : . . . M 05. 0; M 05. 1 ; M 05. 2; M 05. 3 ; M 05. 8; M 05. 9 11

(Lanjutan) • M 06 Other rheumatoid arthritis [See site code at. . . ] M 06. 0; M 06. 2; M 06. 3 dan M 06. 8; M 06. 9 Pada M 06. 1 dan M 06. 4 ada E#xcl. : . . . • M 07* Psoriatic & anteropathic arthropathies [See site code at. . . ] Excl. : . . . M 07. 0*; M 07. 1*; M 07. 2*; M 07. 3*; M 07. 4*; M 07. 5* dan M 07. 6* 12

(Lanjutan) • M 08 Juvenil arthritis [See site code at. . . ] Incl. : . . Excl. : . . . M 08. 0; M 08. 3; M 08. 4; M 08. 8; M 08. 9. Pada M 08. 1, M 08. 2 ada Excl. : . . . • M 09* Juvenil arthritis in dis. cl. elsew. [See site code at. . . ] Excl. : . . . M 09. 0*; M 09. 1*; M 09. 2* dan M 09. 8* 13

(Lanjutan) • M 10 Gout [See site code at. . . ] M 10. 0; M 10. 1 dan M 10. 8; M 10. 9 Pada M 10. 2 ada Use additional external cause (Chap. XX). . . Pada M 10. 3 ada Use additional code, if disired, to. . . (N 17 -N 19) • M 11 Other crystal arthropathies [See site code at. . . ] M 11. 0; M 11. 1; M 11. 2 dan M 11. 8; M 11. 9 14

(Lanjutan) • M 12 Other specific arthropathies [See site code at. . . ] Excl. : . . . M 12. 0; M 12. 1; M 12. 2; M 12. 3; M 12. 4 dan M 12. 8 Pada M 12. 5 Traumatic arthropathy ada Excl. : . . . • M 13 Other arthritis [See site code at. . . Excl. : . . . M 13. 0; M 13. 1 dan M 13. 8; M 13. 9 ] 15

(Lanjutan) • M 14* Arthropathies in other diseases cl. elsew. Excl. : arthropathy in: . . . M 14. 0*; M 14. 1*; M 14. 3*; M 14. 5*; M 14. 6* dan M 14. 8* Pada M 14. 2* ada Excl. : diabetic neuropathic ` arthropathy (M 14. 6*) 16

M 15 -M 19 Arthrosis [566 -568] Note: Osteoarthritis [arthrosis] [osteoarthritis]. . Excl. : osteoarthritis of spine (M 47. -) Apa arti M 47. - ? Contoh: kumpulan Gonarthrosis M 17 (gangguan pada lutut) Arthrosis sendi lain M 19 • M 15 Polyarthrosis incl. : . . Excl. : . . . M 15. 0; M 15. 1; M 15. 2; M 15. 3; M 15. 4; M 15. 8; M 15. 9 17

(Lanjutan) • M 16 Coxarthrosis [arthrosis of hip] M 16. 0; M 16. 1; M 16. 2; M 16. 3; M 16. 4; M 16. 5; M 16. 6 ; M 16. 7 dan M 16. 9. • M 17 Gonarthrosis [arthrosis of knee] M 17. 0; M 17. 1; M 17. 2; M 17. 3; M 17. 4; M 17. 5; M 17. 9. • M 18 Arthrosis of first carpometacarpal joint M 18. 0; M 18. 1; M 18. 2; M 18. 3; M 18. 4; M 18. 5; M 18. 9. • M 19 Other arthrosis [See site code at. . . ] Excl. : . . . M 19. 0; M 19. 1; M 19. 2 dan M 19. 8; M 19. 9; 18

M 20 -M 25 Other joint disorders (Gangguan-gangguan sendi lain-lain) [569 -573] Excl. : joint of the spine (M 40 -M 54) Contoh: Hallux vagus (acquired) M 20. 1 Recurrent subluxation of patella M 22. 1 Khusus M 23 dilengkapi digit untuk subklasifikasi gangguan pada sendi lutut M 23. - • M 20 Acquired deformities of fingers & toes Excl. : . . . M 20. 0 ada Excl. : . . . M 20. 1; M 20. 2; M 20. 3; M 20. 4; M 20. 5 dan M 20. 6 19

(Lanjutan) • M 21 Other acquired deformities of limbs [See site code at the beginning of this ch. ) Excl. : . . . M 21. 0, M 21. 1, M 21. 4, M 21. 5 dan M 21. 6 ada Excl. : . . . M 21. 2; M 21. 3; M 217 dan M 21. 8; M 21. 9. • M 22 Disorders of patella Excl. : . . . M 22. 0; M 22. 1; M 22. 2; M 22. 3; M 22. 4 dan M 22. 8; M 22. 9 20

(Lanjutan) • M 23 Internal derangement of knee Excl. : . . . Tersedia: angka 0, 1, 2, 3, 4, 5, 6, 7, 9 yang pemanfaatannya optional untuk menunjukkan site yang terlibat. M 23. 0; M 23. 1; M 23. 2; M 23. 3; M 23. 4; M 23. 5; M 23. 6 dan M 23. 9 • M 24 Other specific joint derangements [See site code at the beginning of this ch. ) Excl. : . . . M 24. 0, M 24. 1, M 24. 2; M 24. 3; M 24. 4; M 24. 5; M 24. 6 dan M 24. 8 ada Excl. : . . . M 24. 7 dan M 24. 9. 21

(Lanjutan) [572] Instabillity of joint: bisa M 25. 3 Other instability of joint atau M 24. 2 Disorder of ligament Instability secondary to old ligament injury atau M 96. 8 Instability of joint secondary to removal of joint prosthesis Bergantung primer atau sekunder. 22

(Lanjutan) • M 25 Other joint disorders, NEC [See site code at the beginning of this ch. ) Excl. : abnormality of gait and mobility (R 26. -) calcification of: - bursa (M 71. 4) - shoulder (joint) (M 75. 3) - tendon (M 65. 2) deformities class. to M 20 -M 21 difficulty in walking (R 26. 2) M 25. 0, M 25. 3 dan M 25. 4 ada Excl. : . . . M 25. 1; M 25. 2; M 25. 5; M 25. 6; M 25. 7; M 25. 8; M 25. 9 23

Systemic connective tissue disorders (M 30 -M 36) (Gangguan jaringan ikat sistemik) [573 – 576] Incl. : . . . Excl. : . . . Contoh: SLE (systemic lupus erythematosus) menyerang paru M 32. 1 J 99. 1* • M 30 Polyarteritis nodosa & related cond. M 30. 0; M 30. 1; M 30. 2; M 30. 3 dan M 30. 8 • M 31 Other necrotizing vasculopathies M 31. 0; M 31. 1; M 31. 2; M 31. 3; M 31. 4; M 31. 5; M 31. 6 dan M 31. 8; M 31. 9. Pada M 31. 7 ada Excl. : . . . 24

(Lanjutan) • M 32 Systemic lupus erythematosis Excl. : . . . M 32. 0; M 32. 1 dan M 32. 8; M 32. 9 • M 33 Dermatopolymyositis M 33. 0; M 33. 1; M 33. 2; M 33. 9 • M 34 Systemic sclerosis Incl. : . . . Excl. : . . . M 34. 0; M 34. 1; M 34. 8; M 34. 9. M 34. 2 ada Use additional external cause code (Chapter XX), if disired, to. . . 25

(Lanjutan) • M 35 Other systemic involvement of connective tissue Excl. : . . . M 35. 0; M 35. 2; M 35. 4; M 35. 5 dan M 35. 8; M 35. 9. Pada M 35. 1, M 35. 3, M 35. 6, M 35. 7 ada Excl. : . . . • M 36* Systemic disor. of conn. tis. In d. cl. elsew. Excl. : . . . M 36. 0*; M 36. 1*; M 36. 2*; M 36. 4* dan M 36. 8* Pada M 36. 3* ada Excl. : . . . 26

M 40 - M 54 Dorsopathies [576 -583] Dilengkapi dengan digit subklasifikasi suplementer untuk menunjukkan site (lokasi) sendi punggung yang terganggu. Khusus untuk M 50 -M 51 tidak perlu subklasifikasi dimaksud. Perhatikan angka 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 [576] yang menjelaskan site tulang vertebra yang terganggu. M 40 -M 43 M 45 -M 49 M 50 -M 54 Deforming dorsopathies Spondylopathies Other dorsopathies 27

(Lanjutan) Contoh: Postural kyphosis Vert. Th 11 -12 M 40. 0 4 Torticollis Vert C 5 -6 M 43. 6 2 Tbc tulang punggung Th-L A 18. 0 ! M 49. 0* 5 Gangguan Cervical disc dengan myelopathy M 50. 0 ! G 99. 2* (tanpa digit suplementer) Cervicalgia ke 6 M 54. 2 2 • M 40 Kyphosis and lordosis [See site code before M 40] Excl. : . . . M 40. 0 Postural kyphosis Excl. : . . . M 40. 1; M 40. 2; M 40. 3; M 40. 4 DAN M 40. 5 28

(Lanjutan) • M 41 Scoliosis [See site code before M 40] Incl. : . . . Excl. : . . . M 41. 0; M 41. 1; M 41. 2; M 41. 3; M 41. 4; M 41. 5 dan M 41. 8; M 41. 9 • M 42 Spinal osteochondrosis [See site code before M 40] Excl. : . . . M 42. 0 ada Excl. : . . . M 42. 1 dan M 42. 9 29

(Lanjutan) • M 43 Other deforming dorsopathies [See site code before M 40] Excl. : congenital spondylolysis and spondylolithesis (Q 76. 2) hemivertebra (Q 76. 3 – Q 76. 4) dst. (kongenital) spinal curvature in: - osteoporosis (M 80 -M 81) - Paget d. of bone [ost. def. ] (M 88. -) M 43. 0; M 43. 1; M 43. 3; M 43. 4 dan M 43. 9 Pada M 43. 2, M 43. 5, M 43. 6, M 43. 8 ada Excl. : . . . 30

M 45 – M 49 Spondylopathies [579 – 581] • M 45 Ankylosing spondylitis [See site code before M 40] Incl. : . . . Excl. : . . M 45. 0; M 45. 1; M 45. 2; M 45. 4; M 45. 5; M 45. 8; M 45. 9. Pada M 45. 3 ada Use additional code (B 95 -B 98). . . • M 47 Spondylosis [See site code before M 40] Incl. : . . . M 47. 0 ; M 47. 2 dan M 47. 8; M 47. 9. Pada M 47. 1 ada Excl. : . . . 31

(Lanjutan) • M 49* Spondylopathies in diseases cl. elsew. [See site code before M 40] Excl. : psoriatic and enteropathic arthropathies (M 07. -*, M 09. -*) M 49. 0*; M 49. 1*; M 49. 2*; M 49. 4*; M 49. 5*; M 49. 8* Pada M 49. 3* ada Excl. : . . . 32

Contoh: Tbc tulang punggung (Spondylitis Tbc) (Pott’s curvature) Thoracal 11 -12 A 18. 0 M 49. 0* 4 Metastatic fracture of vertebra L 1 -2, dari Carcinoma payu dara C 79. 5 M 49. 5* 6 M 8010/6 Tumor ganas primernya C 50. 9 M 8010/3 Neuropathic-spondylopathy pd syringomyelia C 7 G 95. 0 M 49. 4* 2 33

(M 50 – M 54) Other dorsopathies [581 – 583] Excl. : . . . • M 50 Cervical disc disorders Incl. : . . . M 50. 0 ; sedangkan M 50. 1 ada Excl. : . . . M 50. 2; M 50. 3 dan M 50. 8; M 50. 9 • M 51 Other intervertebral disc disorders Incl. : . . . M 51. 0 ; sedangkan M 51. 1 ada Excl. : . . . M 51. 2; M 51. 3; M 51. 4 dan M 50. 8; M 50. 9 34

(Lanjutan) • M 53 Other dorsopathies, NEC [See site code before M 40] Excl. : . . . M 53. 0; M 53. 2; M 53. 3 dan M 53. 8; M 53. 9 Pada M 53. 1 ada Excl. : . . . • M 54 Dorsalgia [See site code before M 40] Excl. : psychogenic dorsalgia (F 45. 4) M 54. 0, M 54. 1, M 54. 2, M 54. 3, M 54. 4; M 54. 5 dan M 54. 6 masing-masing ada Excl. : . . M 54. 8 dan M 54. 9. 35

Enthesis & Enthesopathy Enthesis = gangguan akibat adanya implant metalic/material inorganik lain pengganti jaringan yang hilang. Blakiston’s New Gould Med. Dict. : En’the. sis [G, a putting in] The employment of metallic or other inorganic material to replace lost tissue. ICD: Enthesopathy baca definisi di Note: di [590] = generic term for lessions at these sites (varies disorders of peripheral ligamentous or muscular attachments). 36

M 60 – M 79 Soft Tissue Disorders [583 – 591] Termasuk ini: M 60 - M 63 Disorders of Muscle Excl. : - dermat–o–poly–my -os–itis (M 33. -) - muscular dys–trophies & my-o–pathies (G 71 – G 72) - myopathy in: - amyloidosis (E 85. -) - polyarteritis nodosa (M 30. 0) - rheumatoid arthritis (M 05. 3) - scleroderma (M 34. -) - Sjogren’s syndrome (M 35. 0) - SLE (M 32. -) 37

Amyloidosis Deposit amiloid (starchlike protein) yang luas pada berbagai organ tubuh, atau pada organ tertentu. Bisa primer, bisa sekunder. Contoh: pada - ginjal, - hati, - lien, sekunder pada penyakit - Tbc kronik ulceratif tulang, - Lepra, - Lues dsb. 38

Bab XIII, Blok: (lanjutan - 6 ) • M 60 Myositis [See site code at the beginning of this chap. ] M 60. 0 ada Use additional code (B 95 – B 98). . M 60. 2 ada Excl. : . . M 60. 1 dan M 60. 8; M 60. 9. • M 61 Calcification and ossification of muscle [See site code at the beginning of this chap. ] M 61. 0; M 61. 1; M 61. 2; M 61. 3; M 61. 5 dan M 61. 9. Pada M 61. 4 ada Excl. : . . . 39

(Lanjutan) • M 62 Other disorders of muscle [See site code at the beginning of this chap. ] Excl. : . . . M 62. 0; M 62. 3; M 62. 5 dan M 62. 8; M 62. 9 Pada M 62. 1, M 62. 2, M 62. 4, M 62. 6 ada Excl. : . . . • M 63* Disorders of muscle in diseases cl. elsew. Excl. : myopathy in: - endocrine diseases (G 73. 5*) - metabolic diseases (G 73. 6*) M 63. 0*; M 63. 1*; M 63. 2*; M 63. 3* dan M 63. 8* 40

M 65 – M 68 Disorders of Synovium & Tendon [585 – 587] • M 65 Synovitis & tenosynovitis [See site code at the beginning of this chap. ] Excl. : . . . M 65. 0 Ada Use additional. . . Bila gangguan peradangan disertai Abses maka nomor code M 65. 0 bisa dilengkapi dengan additional code (B 95 -B 96) untuk menjelaskan kuman penimbul abses terkait. M 65. 1; M 65. 3; M 65. 4 dan M 65. 8; M 65. 9. Pada M 65. 2 ada Excl. : . . . 41

(Lanjutan) • M 66 Spontaneuos rupture of synovium & tendon. [See site code at the beginning of this chap. ] Incl. : Termasuk: bila rupture timbul akibat tekanan berat di bawah kapasitas normal. Excl. : rotator cuff syndrome (M 75. 1) rupture where an abnormal force is applied to normal tissue see injury of tendon by body region M 66. 0; M 66. 2; M 66. 3; M 66. 4 dan M 66. 5 Pada M 66. 1 ada Excl. : . . 42

(Lanjutan) • M 67 Other disorders of synovium & tendon Excl. : [Dupuytren] (M 72. 0), tendinitis NOS (M 77. 9) xanthomatosis localized to tendon (E 78. 2) M 67. 0 dan M 67. 8; M 67. 9 Pada M 67. 1, M 67. 2, M 67. 3, M 67. 4 ada Excl. : . . . • M 68* Penyakit penyebabnya di Bab lain, cari code ber- di Bab lain. Bisa infeksi bisa juga lain-lain. M 68. 0* dan M 68. 8* 43

M 70 – M 79 Other Soft Tissue Disorders [587 - 591] • M 70 Soft tissue disorders related to use, overuse and pressure. [See site code at the beginning of this chap. ] Incl. : soft tissue disorders of occ. Origin Excl. : bursitis (of). . . M 70. 0; M 70. 1; M 70. 2; M 70. 3; M 70. 4; M 70. 5; M 70. 6 M 70. 7 dan M 70. 8; M 70. 9. • M 71 Other bursopathies Excl. : bunion (M 20. 1) dan. . . M 71. 0; M 71. 1 dan M 71. 8; M 71. 9 M 71. 2, M 71. 3, M 71. 4 dan M 71. 5 ada Excl. : . . 44

(Lanjutan) • M 72 Fibroblastic disorders [See site code at the beginning of this chap. ] Excl. : . . . M 72. 0; M 72. 1; M 72. 2; M 72. 4 dan M 72. 9. M 72. 6 ada Use additional code, if. . . M 72. 8 ada Excl. : . . . • M 73* Soft tissue disorders in diseases classified elsewhere [See site code at the beginning of this chap. ] M 73. 0* Gonococcal bursitis M 73. 1* Syphilitic bursitis M 73. 8* Other soft t. dis. in d. cla. elsew. 45

(Lanjutan) • M 75 Shoulder lesions Excl. : shoulder-hand syndr. (M 89. 0) M 75. 0; M 75. 1; M 75. 2; M 75. 3; M 75. 4; M 75. 5 dan M 75. 8; M 75. 9 • M 76 Enthesopathies of lower limb, excluding foot. [See site code at the beginning of this chap. ] Note: …. (baca) Excl. : . . . M 76. 0; M 76. 1; M 76. 2; M 76. 3; M 76. 4; M 76. 5; M 76. 6; M 76. 7 dan M 76. 8; M 76. 9 (Rincian sesuai lokasi gangguan) 46

(Lanjutan) • M 77 Other enthesopathies [See site code at the beginning of this chap. ] Excl. : . . . M 77. 0; M 77. 1; M 77. 2; M 77. 3; M 77. 5; M 77. 8; M 77. 9. Pada M 77. 4 Excl. : Morton metatarsalgia (G 57. 6) • M 79 Other soft tissue disorders, NEC [See site code at the beginning of this chap. ] Excl. : soft tissue pain, psychogenic (F 45. 4) M 79. 0, M 79. 1, M 79. 2, M 79. 3, M 79. 5 ada Excl. : . . . M 79. 4; M 79. 6; M 79. 7 dan M 79. 8; M 79. 9. 47

M 80 -M 94 Osteopathies & Chondropathies (Gangguan tl. dan tl. rawan) [592 -599] M 80 – M 85 Disorders of bone density & Structure • M 80 Osteoporosis with pathological fracture [See site code at the beginning of this chap. ] Incl. … Excl. : … M 80. 0; M 80. 1; M 80. 2; M 80. 3; M 80. 5; M 80. 8; M 80. 9. M 80. 4 ada Use additional external cause code. . . • M 81 Osteoporosis without path. Fracture [See site code at the beginning of this chap. ] Excl. : … M 81. 0; M 81. 1; M 81. 3; M 81. 5 dan M 81. 8; M 81. 9. M 81. 2 dan M 81. 6 ada Excl. . M 81. 4 Use add. . 48

(Lanjutan) • M 82* Osteoporosis in diseases classified [See site code at the beginning of this chap. ] M 82. 0*; M 82. 1* dan M 82. 8* • M 83 Adult osteomalacia [See site code at the beginning of this chap. ] Excl. : osteomalacia: - infantile and juvenile - vit. D-resistant renal osteodystrophy rickets active: . . . M 83. 0; M 83. 1; M 83. 2; M 83. 3; M 83. 4; M 83. 8; M 83. 9 M 83. 5 ada Use additional external cause code. . 49

(Lanjutan) • M 84 Disorders of continuity of bone [See site code at the beginning of this chap. ] M 84. 0; M 84. 2 dan M 84. 8; M 84. 9 Pada M 84. 1, M 84. 3 dan M 84. 4 ada Excl. : . . . • M 85 Other dis. of bone density & structure [See site code at the beginning of this chap. ] Excl. : M 85. 1; M 85. 2; M 85. 3 dan M 85. 9. Pada M 85. 0; M 85. 4; M 85. 5; M 85. 6 dan M 85. 8 ada Excl. : . . . 50

M 86 – M 90 Other Osteopathies Excl. : postprocedural osteopathies (M 96. -) • M 86 Osteomyelitis [See site code at the beginning of this chap. ] Use additional code (B 95 -B 96), if desired, to identify infectious agent Excl. : osteomyelitis (of) - due to salmonella (A 01 -A 02) - jaw (K 10. 2) - vertebra (M 46. 2) M 86. 0; M 86. 1; M 86. 2; M 86. 3; M 86. 4; M 86. 5; M 86. 6 dan M 86. 8; M 86. 9 51

(Lanjutan) • M 87 Osteonecrosis [see site code …. ] Incl. : … Excl. : … M 87. 0; M 87. 2; M 87. 3 dan M 87. 8; M 87. 9 Pada M 87. 1 Osteonecrosis due to drugs Use add. external cause code (Bab. XX), if desired, to identify drug. • M 88 Paget’s dis. of bone [osteitis deformans] [see site code …. ] M 88. 0 Paget dis. of skull M 88. 8 Paget dis. of other bones M 88. 9 Paget dis. of bone, unspec. 52

(Lanjutan) • M 89 Other disorders of bone [see site code …. ] M 89. 0; M 89. 1; M 89. 2; M 89. 3; M 89. 4; M 89. 5 dan M 89. 8; M 89. 9. Pada M 89. 6 ada Use add. Code (B 91), if desired. . Excl. : post polio syndrome (G 14) • M 90* Osteopathies in diseases classified elsewhere [see site code …. ] M 90. 0* dan M 90. 7* ada Excl. : . . . M 90. 1*; M 90. 2*; M 90. 3*; M 90. 4*; M 90. 5*; M 90. 6*; M 90. 8* 53

M 91 – M 94 Chondropathies Excl. : post procedural chondropathies (M 96. ) • M 91 Juvenil osteochondrosis of hip & pelvis [see site code …. ] Excl. : … M 91. 0; M 91. 1; M 91. 2; M 91. 3 dan M 91. 8; M 91. 9 • M 92 Other juvenil osteochondrosis M 92. 0; M 92. 1; M 92. 2; M 92. 3 dan M 92. 4; M 92. 5; M 92. 6; M 92. 7 dan M 92. 8; M 92. 9 54

(Lanjutan) • M 93 • M 94 Other disorders of cartilage [see site code at the beginning of this chap. ] M 94. 0; M 94. 1; M 94. 3 dan M 94. 8; M 94. 9 Pada M 94. 2 ada Excl. : . . . Other osteochondropathies Excl. : osteochondrosis of spine (M 42. -) M 93. 0; M 93. 1; M 93. 2 dan M 93. 8; M 93. 9 55

M 95 – M 99 Other disorders of the muskuloskeletal system and connective tissue [600 -602] • M 95 Other acq. deform. of m-sk s. & con. tis. Excl. : . . . M 95. 0; M 95. 1; M 95. 5 ada Excl. : . . M 95. 2; M 95. 3; M 95. 4 dan M 95. 8; M 95. 9 • M 96 Postprocedural m-sk dis. NEC Excl. : . . . M 96. 0; M 96. 1; M 96. 2; M 96. 3; M 96. 4; M 96. 5 dan M 96. 8; M 96. 9 Pada M 96. 6 ada Excl. : . . . 56

M 99 Biomechanical lesions, NEC (601) Note: This category should not be used if the condition can be classified elsewhere. Tersedia subklasifikasi suplementer (optional) untuk kategori M 99. - ; 0 Head: region occipitocervical 1 Cervical: region cervicothoracal 2 Thoracic: region thoracolumbar 3 Lumbar: region lumbosacral 4 Sacral: region sacrococcygeal, sacroiliac 57

(Lanjutan) 5 Pelvic: region hip, pubic 6 Lower extremity 7 Upper extremity acromioclavicular, sternoclavicular 8 Rib cage costochondral, costovertebral, sternochondrial. 9 Abdomen and other 58

(Lanjutan) • • M 99. 0 Segmental and somatic dysfunction M 99. 1 Subluxation complex (vertebral) M 99. 2 Subluxation stenosis of neural canal M 99. 3 Osseous stenosis of neural canal M 99. 4 Connective tissue stenosis of neural canal M 99. 5 Intervertebral disc stenosis of neural canal M 99. 6 Osseous and subluxation stenosis of intervertebral foramina • M 99. 7 Connective tissue and disc stenosis of intervertebral foramina • M 99. 8 Other biomechanical lessions • M 99. 9 Biomechanical lession, unspecified. 59

Contoh Soal-Soal Telusuri istilah di halaman buku (Volume 3) -> kemudian kontrol nomor code dimaksud ke halaman di buku [Volume 1] 1. Arthritis komplikasi gondongan (mumps, parotitis epidemica) No: * 2. Arhtritis pada penyakit onychomycosis ibu jari kaki No: * 3. Gouty arthritis akibat minum obat aspirin untuk terapi jantung No: No: 4. IDDM neuropathic arthropathy No: * 5. Loose body pada caspuler ligament lutut No: 6. Fatique fracture di tulang vertebra dada No: 7. Sciatica sacral-sacro and coccygeal region No: 8. Bursitis pada bahu kanan No: 9. Hip osteoporosis post operasi angkat indung telur No: 60

SOAL-SOAL LATIHAN MANDIRI 1. 2. 3. 4. 5. 6. 7. 8. Arthritis pada penderita Hansen disease (BB leprosy) No: Post infections arthropathies karena viral hepatitis B acute No: Juvenile arthritis pada Crohn’s disease No: Arthrosis pada joint karena jatuh 2 tahun yang lalu No: Kronik instability pada caspul ligamnent lutut No: SLE dengan gangguan ginjal No: Sicca syndromes dengan keratoconjunctivitis No: Haemophilic arthropathy defisiensi faktor IX, herediter No: 61

(Lanjutan) 9. Pott’s kyphosis pada vert. cervical C 2 10. Thoracogenic scoliosis (thoracic region) No: 11. Postmenopausal osteoporosis with pathological fracture No: 12. Osteomyelitis chronic akibat infeksi gigi dan gusi No: 13. Osteomyelitis komplikasi infeksi Salmonella typhosa No: 14. Tendon flexor robek spontan No: 15. Disfungsi somatik dan segmental regio lumbar No: 62

Jawaban Soal-Soal Latihan Mandiri 1. Arthritis pd. penderita Hansen dis. (B leprosy) (62) No: A 30. - M 01. 3* [113] No: A 30. 3 [561] No: A 30. - M 01. 3* Perhatikan code site code di [558 -559] A 30. 3 M 01. 3* 2. Post infections arthropathies karena viral hepatitis B acute (64) No: B 19. 9 M 03. 2* [140 139] B 16. 9 03. 2* 9 3. Juvenile arthritis pada Crohn’s disease (63) No: K 50. - M 09. 1* [509] K 50. 9 M 09. 1* 9 [564] 63

(Lanjutan) 4. 5. Arthrosis pada joint karena jatuh 2 tahun yang lalu (65) No: M 19. 1 [568] M 19. 1 9 Kronik instability pada capsul ligamnent lutut (377) M 23. 5 [571] No: M 23. 5 7 6. SLE dengan gangguan ginjal No: M 32. 9 (612) M 32. 9 [574] M 32. 1 (N 08. 5*, N 16. 4*) [607, 610] No: M 32. 1 N 08. 5* No: M 32. 1 N 16. 4* 64

(Lanjutan) 7. Sicca syndromes dengan keratoconjunctivitis (606) M 35. 0 [575] M 35. 0 H 19. 3* [387] H 19. 3* (M 35. 0 ) 8. Haemophilic arthropathy defisiensi faktor IX, herediter (64) D 66 M 36. 2* [235] D 67 [570] D 67. X M 36. 2* 9. Pott’s kyphosis pada vert. cervical C 2 No: A 18. 0 M 49. 0* 2 (526) [580] [See site code before M 40] 65

(Lanjutan) 10. Thoracogenic scoliosis (thoracic region) (568 -569) [577 576] No: M 41. 3 4 10. Postmenopausal osteoporosis with pathologicl fracture (492) [592] No: M 80. 0 9 Apa disertai disuse? M 80. 2 No: M 80. 2 9 12. Osteomyelitis chronic akibat infeksi gigi dan gusi (492) No: M 86. 6 [595] Pada M 86 ada Use additional … No: M 86. 6 9 (492) [494] K 10. 2 B 99. X 66

(Lanjutan) 13. Osteomyelitis komplikasi infeksi salmonella typhosa (492) [596] No: A 01. 0 M 90. 2* 9 14. Tendon flexor robek spontan (562) see also injury muscle flexor site lokasi? Ruptur tendon spontan No: M 66. 5 9 [586] M 66. 5 9 Spontaneous rupt. of unspec. tendon 15. Disfungsi somatik dan segmental regio lumbar (240) M 99. 0 [602] [601] No: M 99. 0 3 67