KLASIFIKASI PENYAKIT TELINGA ICD 10 Bab 8 Pertemuan

KLASIFIKASI PENYAKIT TELINGA (ICD 10 Bab 8) Pertemuan 2 Deasy Rosmala Dewi, SKM, MKes Prodi RMIK, Fakultas Ilmu-ilmu Kesehatan

KEMAMPUAN AKHIR YANG DIHARAPKAN • Memahami Bab ICD 10 Pancaindra ( Telinga ) • Menentukan nomor kode ICD 10 Pancaindra ( Telinga ) dengan presisi, benar dan tepat sesuai yang diderita pasien

BAB VIII Diseases of the Ear and Mastoid (H 60 -H 95) [Hal. 407 - 416] Excludes: certain condition originating in the perinatal period (P 00 -P 96) certain infectious and parasitic diseases (A 00 -B 99) complication of pregnancy, delivery and puerperium (O 00 -O 99) congenital malformation, deformation and chromosomal abnormalities (Q 00 -Q 99)

endocrine, nutritional and metabolic diseases (E 00 -E 99) injury, poisoning and certain other consequences of external causes (S 00 -S 98) neoplasms (C 00 -D 48) symptoms, signs and abnormal clinical and laboratory findings, NEC (R 00 -R 99) Bab ini sangat sederhana, jumlah jenis penyakitnya juga tidak terlalu banyak.

KEKHUSUSAN BAB VIII (ICD-10) • Bab VIII terbagi dalam 4 blok: H 60 -H 62 Diseases of external ear (penyakit telinga bagian luar) H 65 -H 73 Diseases of middle ear and mastoid (penyakit telinga bagian tengah dan mastoid) H 80 -H 83 Diseases of inner ear (penyakit telinga bagian dalam) H 90 -H 95 Other disorders of ear. (Gangguan lain-lain telinga)

• Code ber-asterisk ada: H 62* Disorder of external ear in diseases classified elsewhere H 67* Otitis media in diseases classified elsewhere H 75* Other disorders of middle ear and mastoid in diseases classified elsewhere H 82* Vertiginous syndromes in diseases classified elsewhere H 94* Other disorders of ear in diseases classified elsewhere

Diseases of External Ear [H 60 -H 62] [Hal. 408 -409] • H 60 Otitis externa H 60. 0, H 60. 1, H 60. 2, H 60. 3, H 60. 4, H 60. 5, dan H 60. 8, H 60. 9 • H 61 Other disorders of external ear H 61. 0, H 61. 1, H 61. 2, H 61. 3 dan H 61. 8, H 61. 9 Pada H 61. 1 ada Excludes: … • H 62* Disorders of external ear in diseases classified elsewhere H 62. 0*, H 62. 1*, H 62. 2*, H 62. 3*, H 62. 4* dan H 62. 8*

• H 65 Nonsuppurative otitis media Includes: … Use additional code (H 72), perforated tymp. m. H 65. 0; H 65. 2; H 65. 4 dan H 65. 9 H 65. 1 dan H 65. 3 ada Excludes: … • H 66 Suppurative and unspecified otitis media ada Includes: … Use additional code (H 72), perforated tymp. M H 66. 0; H 66. 1; H 66. 2; H 66. 3; H 66. 4 dan H 66. 9 • H 67* Otitis medis in diseases classified elsewhere ada H 67. 0*, H 67. 1* H 67. 8*

• H 68 Eustachian salpingitis and obstruction H 68. 0 dan H 68. 1 • H 69 Other disorders of Eustachian tube H 69. 0, H 69. 8, H 69. 9 • H 70 Mastoiditis and related conditions H 70. 0, H 70. 1, H 70. 2, H 70. 8, H 70. 9 • H 71 Cholesteatoma of middle ear ada Excludes: …

• H 72 Perforation of tympanic membrane ada Includes: … dan Excludes: … • H 73 Other disorders of tympanic membrane H 73. 0, H 73. 1 ada Excludes: . . • H 74 Other disorders of middle ear and mastoid H 74. 1 ada Excludes: … • H 75* Other disor. of middle ear & mastoid classified elsewhere Ada 2 group: H 75. 0* dan H 75. 8*

Diseases of inner ear [H 80 -H 83] [413 – 414] • H 80 Otosclerosis ada Includes: otospongiosis H 80. 0, H 80. 1, H 80. 2 dan H 80. 8, H 80. 9 • H 81 Disorders of vestibular function Excl: vertigo: - NOS (R 42) - epidemic (A 88. 1) Apa arti tanda baca (: ) di belakang istilah diagnosis? H 81. 0; H 81. 1; H 81. 2; H 81. 3; H 81. 4 dan H 81. 8; H 81. 9

• H 82* Vertiginous syndromes in diseases classified elsewhere. • H 83 Other diseases of inner ear H 83. 0; H 83. 1 dan H 83. 2 H 83. 3 Noise effects on inner ear Acoustic trauma Noise-induced hearing loss (Pendengaran kurang akibat suara bising) H 83. 8 Other. . . , dan H 83. 9. . . Unspec.

Other disorders of ear [H 90 -H 95] [Hal. 414 – 416] • H 90 Conductive and sensorineural hearing loss ada Includes: … Excludes: … H 90. 0; H 90. 1; H 90. 2; H 90. 3; H 90. 4; H 90. 5; H 90. 6; H 90. 7 dan H 90. 8 • H 91 Other hearing loss ada Excludes: … H 91. 0 ada Use additional … (Ch. XX). . . H 91. 1; H 91. 2; H 91. 3 dan H 91. 8; H 91. 9

• H 92 Otalgia and effusion of ear H 92. 0 Otalgia H 92. 1 Otorrhoea ada Excl. : leakage of cerebrospinal fluid through ear (G 96. 0) H 92. 2 Otorrhagia ada Excl. : . . . • H 93 Other disorders of ear, NEC H 93. 0, H 93. 2 ada Excludes: … H 93. 1 Tinnitus (telinga mendengung) H 93. 3 dan H 93. 8; H 93. 9

• H 94* Other disorders of ear in diseases classified elsewhere H 94. 0* dan H 94. 8* • H 95 Postprocedural disorders of ear and mastoid process, NEC Code ini untuk kondisi komplikasi/akibat tindakan medis. H 95. 0 H 95. 1 H 95. 8 dan H 95. 9

ISTILAH MEDIS PENYAKIT/ GANGGUAN TELINGA (Kode ICD-10) ISTILAH 1. 2. DEFINISI acoustic neuroma = tumor benign saraf akoustik Kode ICD-10 (476) (nerve) (M 9560/0) D 33. 3 [1046] M 9560/0 Neurilemmoma NOS [218] D 33. 3 Benign neoplasm, Cranial nerves, olfactory bulb. (? ? ? ) cholesteatoma = masa kistik/tumor yang tumbuh lambat, terjadi dari kumpulan debris epitel dan cholesterol, sering timbul di telinga tengah Kode ICD-10 (105) H 71 [412] H 71 Cholestetoma of middle ear Incl. : . . . Excl. : . . .

3. impacted cerumen = akumulasi eksesif cerumen Kode ICD-10 (102) Cerumen (accumulation) (impacted) H 61. 2 [409] H 61. 2 Impacted cerumen (wax in ear) 4. conductive deafness = tuli akibat gangguan transmisi gelombang suara melalui telinga luar/tengah Kode ICD-10 (173) H 90. 2 [415] H 90. 2 Conductive hearing loss, unspecified Conductive deafness NOS

5. labyrinthitis = inflamasi atau infeksi telinga dalam Kode ICD-10 (391) (circumscribed)(destructive) (diffuse)(inner ear)(latent)(purulent) (suppurative) H 83. 0 [414] H 83. 0 Labyrinthitis 6. Meniere’s diseases = penyakit kronik telinga dalam dengan gejala akumulasi eksesif cairan di dalamnya. Kode ICD-10 (420) , syndrome or vertigo H 81. 0 [413] H 81. 0 Meniere disease (Baca Excl. : pada H 81)

7. myringitis 8. otalgia/earache = sakit telinga Kode ICD-10 (492) H 92. 0 (244) earache H 92. 0 [416] H 92. 0 Otalgia = inflamasi atau infeksi genderang telinga Kode ICD-10 (433) H 73. 8 [412] H 73. 8 Other specified disorders of the tympanic membrane

9. otitis externa = radang atau infeksi saluran telinga luar (swimmer’s ear) Kode ICD-10 (493) H 60. 9 acute H 60. 5 chronic H 60. 8 [408] H 60. 9 Otitis externa, unspecified. 10. otitis media = radang atau infeksi telinga tengah. Kode ICD-10 (493) H 66. 9 (acute, chronic, subacute) [411] H 66. 9 Otitis media, unspecified (NOS, acute NOS, chronic NOS)

11. otomycosis = infeksi telinga luar akibat jamur (di external auditory meatus) Kode ICD-10 (493) (diffuse)(in) B 36. 9 H 62. 2* [409] H 62. 2* Otitis externa in mycoses Otomycosis NOS (B 36. 9 ) 12. otorrhea = pengeluaran cairan dari telinga Kode ICD-10 (493) H 92. 1 [416] H 92. 1 Otorrhoea Excl. : traumatic otorrhagia – code by type of injury.

13. otosclerosis = kekakuan telinga (bagian stapes) Kode ICD-10 (493 -494) H 80. 9 [413] H 80. 9 Otosclerosis, unspecified. 14. perforation of the tympanic membrane = genderang telinga ruptur atau berlobang Kode ICD-10 (505 – 507) (persistent post traumatic) (post inflammatory) H 72. 9 - traumatic S 09. 2 [412] H 72. 9 Perforation of t. Membrane, unspec.

15. presbycusis = gangguan pendengaran pada manula Kode ICD-10 (533) presbyacusia H 91. 1 [415] H 91. 1 Presbycusis (presbyacusia) 16. sensoneural deafness = tuli sensoneural akibat kerusakan sel saraf auditori atau jaringan Kode ICD-10 (173) – sensorineural H 90. 5 [415] H 90. 5 Sensorineural hearing loss, unspecified Congenital deafness NOS dst.

17. serous otitis media = infeksi telinga tengah disertai akumulasi cairan serosa (jernih/bening) Kode ICD-10 (493) Otitis media acute serous H 65. 0 Otitis media chronic serous H 65. 2 [409 – 410] H 65. 0 Acute serous otitis media H 65. 2 Chronic serous otitis media 18. suppurative otitis media = infeksi telinga tengah disertai pengeluaran nanah OM acute suppurative H 66. 0 OM chronic suppurative H 66. 3

19. tinnitus = sensasi mendengung di telinga Kode ICD-10 (622) (audible)(aurium)(subjective) [416] H 93. 1 Tinnitus 20. tympanitis = radang pada membrane tympani Kode ICD-10 (638 -639) H 73. 8 [412] - chronic H 73. 1; acute H 73. 0 21. vertigo = pusing, terasa terputar-putar. Kode ICD-10 (650) R 42 ( baca rinciannya!)

LATIHAN Cari Kode ICD-10 pada kasus dibawah, 1. Acoustic neuroma No: 2. Cholesteatoma No: 3. Impacted cerumen No: 4. Conductive deafness No: 5. Laryrinthitis No: 6. Menier’s diseases No: 7. Myringitis No: 8. Otalgia/ earache No: 9. Otitis externa No: 10. Otitis media No: 11. Otomycosis No: 12. Otorrhea No: