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

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

BAB XV (O00-O48) 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 (S00-T88.1, T88.6-T98)

Gangguan mental & prilaku yang terkait masa nifas (F53.-) Tetanus obstetrik (A34) Nekrosis postpartum kelenjar pituitari (E23.0) Osteomalacia postpartum (M83.0) Supervisi dari: Kehamilan berisiko tinggi (Z35-) Kehamilan normal (Z34.-)

Bab ini meliput 8 blok sebagai berikut: O00-O08 Kehamilan dengan abortus O10-O16 Edema, proteinuira & gangguan hipertensi pada kehamilan, kelahiran & nifas O20-O29 Gangguan-gangguan maternal lain yang utamanya terkait kehamilan. O30-O48 Asuhan maternal terkait janin, kantung ketuban yang kemungkinan menimbulkan masalah persalinan / kelahiran

Kehamilan dengan hasil Abortus (O00-O08) [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 O03 – O06. Note: incomplete abortion includes retained products of conception following abortion. [642] .0 .1 .2 .3 .4 .5 .6 .7 dan .8 .9

Perhatikan: O00 Kehamilan di luar kandungan Incl.: … Use additional code dari …O08.- O00.0 ada Excl.: ... O00.1; O00.2 dan O00.8; O00.9. O01 Mola hidatidiform Use additional code dari … O08.- Excl.: ... O01.0; O01.1 dan O01.9 O02 Other abnormal products of conception O02.0 dan O02.9. Pada O02.1, O02.8 ada Excl.: ..

O03 Spontaneous abortion [See before O03 for subdivisions] Incl.: ... O04 Medical abortion Incl.: termination of pregnancy: legal, therap. therapuetic abortion O05 Other abortion O06 Unspecified abortion Incl.: induced abortion NOS

O07 Failed attempted abortion Incl.: ... Excl.: ... O07.0, O07.1, O07.2, O07.3, O07.5, O07.6, O07.7 dan O07.8 semua disertai: with cond. in O08.- Pada O07.4, O07.9 ada Failed attemp abortion. O08 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.

O08.0 Genital tract and pelvic infect. follow. abort. and ectopic and molar preg. Ada tambah: septicaemia di bawah sepsis. Use add. Code (R57.2), ... Excl.: ... O08.1; O08.2; O08.4; O08.5; O08.6; O08.7 dan O08.8; O08.9 Pada O08.3 ada Excl.: septic shock (R57.2)

Oedema, proteinuria & hypertensive complicating disor. in preg Oedema, proteinuria & hypertensive complicating disor. in preg., childb. & the puer. (O10 – O16) [647 – 648] O10 Pre-existing hypertension ... Incl.: the listed cond. with preexisting proteinuria Excl.: that with superimposed preexclampsia (O11) O10.0; O10.1; O10.2; O10.3; O10.4 dan O10.9. O11.X Eclampsia superimposed on chronic hypertension Incl.: ...

O12 Gestational [pregancy-induced] oedema and proteinuria without hypertention O12.0; O12.1 dan O12.2 O13.X Gestational [pregancy-induced] hypertention without signif. Proteinuria Incl.: gestational hypertension NOS pregnancy induced hypertension O14 Gestational [pregancy-induced] hypertention with signif. Proteinuria Excl.: ... O14.0 Mild to moderate pre-eclampsia O14.1 Severe pre-eclamp. O14.2 dqn O14.9

O15 Eclampsia Incl.: convulsions following conditions in O10 – O14 and O16 exclampsia with pregnancy-induced or pre-existing hypertension O15.0; O15.1; O15.2 dan O15.9. O16.X Unspecified maternal hypertension

Other maternal disorders predominantly related to pregnancy (O20-O29) [649 -653] Note: Categories O24.- and O25 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 (O30-O48) - Disease classifiable elsewhere but complicating pregnancy, labour (labor) and delivery, and the puerperium.

Perhatikan definisi untuk: O20 Haemorrhage in early pregnancy Excl.: … O20.0 dan O20.8; (O20.9 O21 Excessive vomiting in pregnancy O21.0; O21.1 dan O21.9 Pada O21.2 ada Excl.: ... Pada O21.8 ada Use additional code, if ... O22 Venous complications in pregnancy O22.0; O22.1; O22.2; O22.3; O22.4; O22.5 dan O22.8; O22.9

O24 Diabetes mellitus in pregnancy Incl.: in childbirth and the puerperium O24.0, O24.1, O24.2, O24.3 (pre-existing DM ...) O24.4 Gestational DM NOS O24.9 DM in preg. unspecified. O25.X Malnutrition in pregnancy Incl.: malnutrition in child. and the puerp. O26 Maternal care for other condi. predom. Related to pregnancy O26.0, O26.2, O26.6 dan O26.7 ada Excl.: ... O26.1; O26.3, O26.4, O24.5 dan O26.8; O26.9

O28 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 (O30-O48) O28.0; O28.1; O28.2; O28.3; O28.4; O28.5 dan O28.8; O28.9. O29 Complication of anaesthesia during preg. Incl.: … Excl.: ... O29.0; O29.1; O29.2; O29.3; O29.4; O29.5; O29.6 dan O29.8; O29.9.

Maternal care related to the fetus & amniotic cavity & possible delivery problems (O30-O48) [653-660] O30 Multiple gestation Excl.: ... O30.0; O30.1; O30.2 dan O30.8; O30.9 O31 Complications specific to mutiple gest. Excl.: conjoined twins causing ... delayed delivery of 2nd twin ... malpresenttaion of one fetus or ... with obstructed labour ... O31.0; O31.1; O31.2 dan O31.8

O32 Maternal car for known or suspected malpres. Of fetus Incl.: ... Excl.: ... O32.0; O32.1; O32.2; O32.3; O32.4; O32.5 O32.6 dan O32.8; O32.9 O33 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.: ... O33.0; O33.1 s/d O33.8; O33.9

O34 Maternal care for known or suspected abnormal. of pelv. Organs Incl.: ... Excl.: ... O34.0; O34.3; O34.4; O34.5; dan O34.8; O34.9. Pada O34.1, O34.2, O34.6, O34.7 ada Excl.: ... O35 Maternal care for known or suspected fetal abnorm. and damage O35.0, O35.2 dan O35.5 ada Excl.: ... O35.1; O35.3; O35.4; O35.6; O35.7 dan O35.8; O35.9.

O36 Maternal care for other known or suspect. fetal problems Incl.: ... Excl.: ... O36.0; O36.1; O36.2; O36.3; O36.5; O36.6; O36.7 dan O36.8; O36.9. Pada O36.4 ada Excl.: ... O40.X Polyhydramios Incl.: ... O41 Other disord. Of amn. fluid & membranes Excl.: ... O41.0; O41.1 dan O41.8; O41.9.

O42 Premature rupture of membranee (KPD = ketuban pecah dini) K42.0; K42.2 dan K42.9 Pada K42.1 ada Excl.: with labour delayed by ... O43 Placenta disorders Excl.: ... K43.0; K43.1 dan K43.8; K43.9. Pada K43.2 Morbidity adherent placenta Use additional .... O44 Placenta praevia O44.0 (without haemorhage) Pada O44.1 ada Excl.: ...

O45 Premature separation of placenta [abruptio placentae] O45.0; O45.8 dan O45.9 O46 Antepartum haemorrhage, NEC Excl.: ... O46.0; O46.8 dan O46.9 O47 False labour O47.0 (<37 weeks); O47.1 (= atau > 37 weeks) O47.9 (unspecified) O48.X Prolonged pregnancy Incl.: post-dates; post-term

LATIHAN Hamil dengan plasenta previa totalis dan perdarahan Definisi Lead Term ICD 10 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

Primigravida (G1A0P0 hamil 2 mg) Secundigravida (G2A0P0 hamil 5 mg) Definisi Lead Term ICD 10 Primigravida (G1A0P0 hamil 2 mg) Secundigravida (G2A0P0 hamil 5 mg) Multigravida (G3A0P0 hamil 10 mg) Nulligravida (G2A0P0 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

Malnutrition in pregnancy Perdarahan diawal kehamilan Polyhydramios Definisi Lead Term ICD 10 Malnutrition in pregnancy Perdarahan diawal kehamilan Polyhydramios Placenta Previa tanpa perdarahan G3A0P2, hamil 10 bulan Perdarahan Antepartum False labour