dr. Mayang Anggraini Naga KKPMT VI 1 ICD-10 CHAPTER XIX, Injury, poisoning and certain other cosequences of external causes (S00 – T98) Disusun oleh dr. Mayang Anggraini Naga FIKES - RM-IK - U – EU (Revisi 2016)

KOMPETENSI MAMPU: - Menentukan Kode ICD-10 diagnosis dan masalah kesehatan cedera, keracunan, dan gangguan lain akibat sebab luar dengan: - presisi, - tepat dan - benar.

BAB XIX CEDERA, KERACUNAN & GANGGUAN LAIN KONSEKUENSI AKIBAT PENYEBAB LUAR (S00 – T98) [789 -890] Excl.: birth trauma (P10-P15) obstetric trauma (O70-O71) Bab terdiri dari Blok-Blok: S00-S09 Cedera kepala S10-S19 Cedera leher S20-S29 Cedera dada S30-S39 Cedera abdomen, pinggang bawah, ruas tulang belakang lumbar dan rongga panggul (pelvis).

(Lanjutan-1) S40-S49 Cedera bahu dan lengan atas S50-S59 Cedera siku dan lengan bawah S60-S69 Cedera pergelangan tangan dan tangan S70-S79 Cedera pinggul dan paha S80-S89 Cedera lutut dan tungkai bawah S90-S99 Cedera pergelangan tumit dan kaki T00-T07 Cedera regio multiple pada tubuh T08-T14 Cedera bagian tubuh yang tidak dirinci, tungkai atau regio badan T15-T19 Efek benda asing yang masuk tubuh melalui lubang/jalan masuk alamiah

T20-T32 Luka bakar dan korosif T33-T35 Cedera beku (Lanjutan-2) T20-T32 Luka bakar dan korosif T33-T35 Cedera beku T36-T50 Keracunan obat, medicamenta dan substansia biologis T51-T65 Efek racun substansi yang utama sumbernya nonmedicinal T66-T78 Efek lain, dan tidak terinci, dari sebab luar T79 Komplikasi dini tertentu dari trauma. T80-T88 Komplikasi dari asuhan medis dan tindakan operasi yang NEC T90-T98 Sequelae (sisa) dari cedera, keracunan dan konsekuensi lain dari sebab luar

Bab ini menggunakan Seksi-S untuk mengkode berbagai: - tipe cedera, (Lanjutan-3) Bab ini menggunakan Seksi-S untuk mengkode berbagai: - tipe cedera, - keracunan dan - konsekuensi dari sebab luar yang terkait satu regio tubuh, Sedangkan Seksi-T untuk meliput: - cedera multiple atau - cedera yang mengena bagian tubuh yang tidak dirinci,

Apabila cedera site multiple dirinci khusus pada judul, maka: (Lanjutan-4) Apabila cedera site multiple dirinci khusus pada judul, maka: Kata “with” menunjukkan bahwa gangguan mengena kedua bagian sisi tubuh, sedangkan Kata “and” menunjukkan bahwa gangguan mengena salah satu atau kedua sisi tubuh.

Aturan bagi coding multiple seberapa mungkin harus diikuti. (Lanjutan-5) Aturan bagi coding multiple seberapa mungkin harus diikuti. Kombinasi kategori untuk cedera multiple disediakan untuk dimanfaatkan apabila: - ada keterangan cukup tentang bentuk alamiah kondisi individu, atau - untuk keperluan tabulasi primer apabila memang lebih memudahkan untuk merekam kode tunggal (single code); apabila tidak demikian, maka komponen cedera harus dikode secara terpisah.

Rujukan ke pedoman di Volume 2 tentang (Lanjutan-6) Rujukan ke pedoman di Volume 2 tentang Rules Morbidity dan Mortality harus diikuti dengan cermat. Blok pada Seksi S dan juga T00-T14 dan T90-T98 menampung cedera pada tingkat klasifikasi 3-karakter sesuai tipe sebagai berikut:

CEDERA SUPERFISIAL (SUPERFICIAL INJURY) [790] Meliput sebutan: - abrasion (abrasi, cedera gores) - blister (nonthermal) (pelepuh, nontermal) - contusion (cedera bentur) termasuk: bruise (memar) & hematoma (perdarahan di bawah kulit) - splinter (cedera akibat benda asing) tanpa luka terbuka - gigitan insekta (nonvenomous) (tidak beracun)

CEDERA LUKA TERBUKA [790] (OPEN WOUND) Ini meliputi sebutan: - animal bite (gigitan hewan) - cut (luka potong) - laceration (luka lecet) - puncture wound (luka tusuk) - NOS - with (penetrating) foreign body (tusukan benda asing)

FRAKTUR (PATAH TULANG) FRACTURE [791] CLOSED: (tulang patah tanpa merusak kulit, tertutup, simple, complete frracture) - comminuted - greenstick - simple - depressed - impacted - slipped - elevated - linear epiphysis - fissured - march - spiral dengan atau tanpa penyembuhan yang terhambat (delayed healing) - dislocated - displaced

Istilah medis FRACTURE Fracture = patah tulang Fracture closed = tulang patah tanpa merusak kulit (tertutup) simple, complete fracture Fracture, Colles = fraktur bagian distal radius di atas pergelangan tangan. Fracture, comminuted = fraktur dengan tulang hancur terserak dalam bagian kecil-kecil. Fracture greenstick = sebagian tulang melengkung dan fraktur inkomplit dengan sebagian tulang patah

(Lanjutan) Frature impacted = fraktur dengan tulang patah dan masuk ke bagian tulang yang lain. Fracture, open = fraktur dengan tulang yang patah mendesak kulit menongol ke luar, compound fracture. Pathological fracture = fraktur yang disebabkan oleh penyakit dasar atau penyakit penyebab kerapuhan tulang (Contoh: fraktur akibat osteoporosis)

Spur = penulangan di atas permukaan tulang. (Lanjutan) Compound fracture = ujung fraktur kontak dengan permukaan external dari tubuh disebut juga: open fracture. Herniated disk = pecahnya intervertebral disk yang menonjol di antara ruas tulang vertebra serta menekan akar saraf spinal (slipped disk) Spur = penulangan di atas permukaan tulang.

(Lanjutan) OPEN : - compound - infected - missile - puncture - with foreign body (benda asing) dengan atau tanpa penyembuhan terhambat. Excl.: fracture: - pathological (M84.4) - with osteoporosis (M80.-) - stress (M84.3) malunion of fracture (M84.0) nonunion of fracture [pseudoarthrosis] (M84/1)

DISLOCATION, SPRAIN & STRAIN [795] including: - avulsion (forcible tearing) - laceration (tear) - sprain (wrenching of a joint  stretching or laceration of the ligament) - strain (to draw tight) = excessive strectching; overuse of a part - traumatic: - haemarthrosis - rupture

- subluxation = incomplete dislocation; sprain - tear = robek dari: joint (capsule persendian), ligament (urat).

CEDERA SARAF & CORDA SPINALIS. Termasuk ini: [792] - lesi corda spinalis komplit atau in- komplit - lesi pada sambungan saraf dan corda spinalis traumatic: - division of nerve - haematomyelia - paralysis (transient) - paraplegia - quadriplegia

CEDERA PEMBULUH DARAH. [792] Termasuk ini: - avulsion - cut - laceration - traumatic: - aneurysm (dilatation) or fistula (arteriovenour) - arterial haematoma - rupture dari pembuluh darah

CEDERA OTOT , FASCIA DAN TENDON. [792] Termasuk ini: - avulsion - cut - laceration - traumatic rupture - strain dari otot dan tendon

CRUSHING INJURY, TRAUMATIC AMPUTATION, INJURY TO INTERNAL ORGANS [792] Termasuk ini: - blast injuries - bruise - concussion injuries - crushing - laceration - traumatic: hematoma; puncture; rupture; tear of internal organ. OTHER & UNSPECIFIED INJURIES

Injuries to the head (S00 - S09) [793 – 799] Incl.: ... Excl.: ... S00 Superficial injury of head Excl.: ... S00.0; S00.3; S00.4; S00.5; S00.7; S00.8; S00.9 Pada S00.1, S00.2 ada Excl.: .. S01 Open wound of head Excl.: ... S01.0 dan S01.5 ada Excl.: ... S01.1; S01.2; S01.3; S01.4; S01.7; S01.8; S01.9

HAL-HAL YANG PERLU PERHATIAN S02 [794-795] Note: For primary coding of fracture of skull and facial bones with associated intracranial injury, reference should be made … The following subdivision are provided … a fracture not indicated as closed or open should be classified as closed. 0 closed 1 open Peringatan ini ada di [794, 797, 800, 804, 806, 811,812, 817, 821, 825, 827, 831, 840, 841, 842.]

S02 Fracture of skull and facial bones Note: .... 0 closed, 1 open (Lanjutan-1) S02 Fracture of skull and facial bones Note: .... 0 closed, 1 open S02.0; S02.2; S02.4; S02.5; S02.6; S02.7; S02.9. Pada S02.1 dan S02.3 serta S02.8 ada Excl.: ... S03 Dislocation, sprain & strain of joints & ligaments of head S03.0; S03.1; S03.2; S03.3 dan S03.5. S04 Injury cranial nerves S04.0; S04.1; S04.2; S04.3; S04.4; S04.5; S04.6; S04.7 dan S04.8; S04.9.

S05 Injury of eye and orbit Excl.: ... (Lanjutan-2) S05 Injury of eye and orbit Excl.: ... S05.0, S05.1, S05.4, S05.5 ada Excl.: ... S05.2; S05.3; S05.6; S05.7 dan S05.8; S05.9. S06 Intracranial injury Note: For primary coding of intracranial .... The following subdivision ... 0 dan 1 S06.0; S06.1; S06.2; S06.3; S06.4; S06.5; S06.6, dan S06.7; S06.8. Pada S06.9 ada Excl.: ...

S07 Crushing injury of head S07.0; S07.1 dan S07.8; S07.9 (Lanjutan-3) S07 Crushing injury of head S07.0; S07.1 dan S07.8; S07.9 S08 Traumatic amputation of part of head S08.0; S08.1 dan S08.8. Pada S08.9 ada Excl.: ... S09 Other & unspecified injuries of head S09.0 Inury of bl. Vessels of head, NEC . Excl.: injury of: - cerebral bl. ves. (S06.-) - precerebral bl. ves. (S15.-) S09.1; S09.2; S09.7 dan S09.8; S09.9.

Injuries to the neck (S10 – S19) [799 – 802] Incl.: .... Excl.: ... S10 Superficial injury of neck S10.0; S10.1; S10.7 dan S10.8; S10.9. S11 Open wound of neck Excl.: ... S11.0 dan S11.2 ada Excl.: ... S11.1; S11.7 dan S11.8; S11.9.

S12 Fracture of neck Incl.: ... The following subdivision .... (Lanjutan-1) S12 Fracture of neck Incl.: ... The following subdivision .... 0 closed 1 open S12.0; S12.1; S12.7; S12.8; S12.9. Pada S12.2 ada Excl.: ... S13 Dislocation, sprain & strain of joints & ligaments at neck level Excl.: ... S13.0; S13.1; S13.2; S13.3; S13.4; S13.5; S13.6.

S14 Injury of nerves & spinal cord at neck lev. (Lanjutan-2) S14 Injury of nerves & spinal cord at neck lev. S14.0; S14.1; S14.2; S14.3; S14.4; S14.5; S14.6. S15 Injury of blood vessels at neck level S15.0; S15.1; S15.2; S15.3; S15.7; S15.8; S15.9. S16.X Injury of muscle and tendon at neck level S17 Crushing injury of neck S17.0 dan S17.8; S17.9

S18.X Traumatic amputation at necki level Incl.: decapitation (Lanjutan-3) S18.X Traumatic amputation at necki level Incl.: decapitation S19 Other and unspecified injuries of neck S19.7 Multiple injuries of neck Injuries classifiable to more than one of the categories S10 – S18 S19.8; S19.9

Injuries to the thorax (S20 – S29) [803 - 807] Incl.: ... Excl.: ... S20 Superficial injury of thorax S20.0; S20.1; S20.2; S20.3; S20.4; S20.7; dan S20.8. S21 Open wound of thorax Excl.: ... S21.0; S21.1; S21.2; S21.7 dan S21.8; S21.9.

S22 Fracture of rib(s), sternum & thorax. Spine Incl.: ... Excl.: ... (Lanjutan-1) S22 Fracture of rib(s), sternum & thorax. Spine Incl.: ... Excl.: ... The following .... 0 closed 1 open S22.0; S22.1; S22.2; S22.3; S22.4; S22.5 dan S22.8; S22.9. S23 Dislocation, sprain & strain of joints & ligaments of thorax. Excl.: ... S23.0; S23.1; S23.2; S23.3; S23.4 dan S23.5

S24 Injury of nerves & spinal cord at thorax lev Excl.: ... (Lanjutan-2) S24 Injury of nerves & spinal cord at thorax lev Excl.: ... S24.0; S24.1; S24.2; S24.3; S24.4; S24.5; S24.6. S25 Injury of blood vessels of thorax S25.0; S25.1; S25.2; S25.3; S25.4; S25.5; S25.7 dan S25.8; S25.9.

0 without open wound into thorax cavity (Lanjutan-3) S26 Injury of heart Incl.: ... The following ... 0 without open wound into thorax cavity 1 with open wound into thorax cavity S26.0 dan S26.8; S26.9 S27 Injury of other & unspec. Intrathoracic org. Excl.: ... S27.0; S27.1; S27.2; S27.3; S27.4; S27.5; S27.6; S27.7 dan S27.8; S27.9.

S28 Crushing injury of thorax and traumatic (Lanjutan-4) S28 Crushing injury of thorax and traumatic amputation of part of thorax S28.0 Crushed chest. Excl.: ... S28.1 Traumatic amputation of part of thorax S29 Other and unspecified injuries of thorax S29.0; S29.7 dan S29.8; S29.9

Injuries to the abdomen, lower back, lumbar spine and pelvis (S30 – S39) [807 – 813] Incl.: ... Excl.: ... S30 Superficial injury of abdomen, lower back and pelvis Excl.: superficial injury of hip (S70.-) S30.0; S30.1; S30.2; S30.7 dan S30.8; S30.9. S31 Open wound of abdomen, lower back and pelvis Excl.: ... S31.0; S31.1; S31.2; S31.3; S31.4; S31.5; S31.7 dan S31.8.

S32 Fracture of lumbar spine and pelvis Incl.: ... Excl.: ... (Lanjutan-1) S32 Fracture of lumbar spine and pelvis Incl.: ... Excl.: ... The following subdivisions are ... 0 closed 1 open S32.0; S32.1; S32.2; S32.3; S32.4; S32.5; S32.7 dan S32.8. S33 Dislocation, sprain & strain of joints & ligaments of lumbar spine and pelvis Excl.: ... S33.0; S33.1; S33.2; S33.3; S33.4; S33.5; S33.6 dan S33.7

S34 Injury of nerves & lumbar spinal cord at (Lanjutan-2) S34 Injury of nerves & lumbar spinal cord at abdomen, lower back and pelvis level S34.0; S34.1; S34.2; S34.3; S34.4; S34.5; S34.6 dan S34.8. S35 Injury of blood vessels at abdomen, lower back & pelvis level S35.0 dan S35.1 ada Excl.: ... S35.2; S35.3; S35.4; S35.5; S35.7 dan S35.8; S35.9.

S36 Injury of intra-abdominal organs (Lanjutan-3) S36 Injury of intra-abdominal organs The following subdivision are .... 0 without open wound into cavity 1 with open wound into cavity S36.0; S36.1; S36.2; S36.3; S36.4; S36.5; S36.6; S36.7 dan S36.8; S36.9. S37 Injury of urinary & pelvic organs Excl.: ... S37.0; S37.1; S37.2; S37.3; S37.4; S37.5; S37.6; S37.7; S37.9. Pada S37.8 ada Excl.: ...

S38 Crushing injury & traumatic amputation of (Lanjutan-4) S38 Crushing injury & traumatic amputation of part of abdomen, lower back & pelvis S38.0 Crush. inj. of external genital organs S38.1 Crush, inj. of other & unspec. Parts of abd. ... S38.2 Traumatic amputation of external organs Labium(min,/maj.),penis,scrotum,testis,vulva. S38.3 Traumatic amp. of other & unspec. ..... Excl.: ... S39 Other and unspecified injuries of abdomen, lower back & pelvis S39.0; S39.6; S39.8; S36.9. Pada S36.7 ada Excl.: ...

Injuries to the shoulder and upper arm (S40 – S49) [813 -816] Incl.: ... Excl.: ... S40 Superficial injury of shoulder & upp. Arm S40.0; S40.7 dan S40.8; S40.9 S41 Open wound of shoulder & upp. Arm Excl.: ... S41.0; S41.1; S41.7 dan S41,8. S42 Fracture of shoulder & upp. Arm The following ... 0 closed 1 open S42.0; S42.1; S42.2; S42.3; S42.7; S42,8; S42.9. Pada S42.4 ada Excl.: ...

S43 Dislo. sprain & strain of joints & lig. of sh. gir. (Lanjutan-1) S43 Dislo. sprain & strain of joints & lig. of sh. gir. S43.0; S43.1; S43.2; S43.3; S43.4; S43.5; S43.6; S43.7. S44 Injury to nerves at shoulder & upp. arms lev. Excl.: ... S44.0; S44.1; S44.2 ada Excl.: ... S44.3; S44.4; S44.5; S44.7 dan S44.8; S44.9. S45 Injury of bl. ves. at shoulder & up. arm lev. S45.0; S45.1; S45.2; S45.3; S45.7; S45.8; S45.9.

S46 Injury of muscle & tendon at shoulder & ... Excl.:... (Lanjutan-2) S46 Injury of muscle & tendon at shoulder & ... Excl.:... S46.0; S46.1; S46.2; S46.3; S46.7 dan S46.8; S46.9 S47.X Crushing injury of shoulder & up. arm Excl.: ... S48 Traumatic amput. of shoulder & up. arm S48.0; S48.1 dan S48.9 S49 Other and unspecified injuries of shoulder and up. arm S49.7; S49.8 dan S49.9

Injuries to the elbow and forearm (S50 – S59) [817 - 820] Excl.: ... S50 Superficial injury of forearm Excl.: ... S50.0; S50.1; S50.7 dan S50.8; S50.9 S51 Open wound of forearm Excl.: ... S51.0; S51.7 dan S51.8; S51.9

S52.0; S52.1; S52.2; S52.3; S52.4; S52.5; S52.6; dan S52.8; S52.9. (Lanjutan-1) S52 Fracture of forearm Excl.: ... The following .... 0 closed 1 open. S52.0; S52.1; S52.2; S52.3; S52.4; S52.5; S52.6; dan S52.8; S52.9. Pada S52.7 ada Excl.: ... S53 Dislocation, sprain & strain of joints & ligaments of elbow S53.0, S53.1 ada Excl.: ... . S53.2; S53.3 S52.4

S54 Injury of nerves at forearm level Excl.: ... (Lanjutan-2) S54 Injury of nerves at forearm level Excl.: ... S54.0; S54.1; S54.2; S54.3; S54.7; S54.8; S54.9. S55 Injury of blood vessels at forearm level S55.0; S55.1; S55.2; S55.7 dan S55.8; S55.9. S56 Injury of muscle & tendon at forearm lev. S56.0; S56.1; S56.2; S56.3; S56.4; S56.5; S56.7 dan S56.8.

S57 Crushing injury of forearm (Lanjutan-3) S57 Crushing injury of forearm Excl: crushing injury of wrist & hand (S67.-) S57.0 dan S57.8; S57.9 S58 Traumatic amputation of forearm Excl.: ... S58.0; S58.1 dan S58.9. S59 Other & unspec. Injuries of forearm S59.7 dan S59.8; S59.9

Injuries to the wrist and hand (S60 – S69) [820 – 824] Excl.: ... S60 Superficial injury of wrist and hand S60.0 ada Excl.: ... S60.1; S60.2; S60.7 dan S60.8; S60.9 S61 Open wound of wrist and hand S61.0 ada Excl.: ... S61.1; S61.7 dan S61.8; S61.9

S62 Fracture at wrist and hand level Excl.: ... 0 closed, 1 open. (Lanjutan-1) S62 Fracture at wrist and hand level Excl.: ... 0 closed, 1 open. S62.0; S62.1; S62.2; S62.3; S62.4; S62.5; S62.6 S62.7 dan S62.8. S63 Dislocation, sprain and strain of joints & ligaments at wrist and hand level S63.0; S63.1; S63.2; S63.3; S63.4; S63.5; S63.6 dan S63.7.

S64 Injury of nerves at wrist & hand level (Lanjutan-2) S64 Injury of nerves at wrist & hand level S64.0; S64.1; S64.2; S64.3; S64.4; S64.7 dan S64.8; S64.9 S65 Injury of blood ves. at wrist and hand lev. S65.0; S65.1; S65.2; S65.3; S65.4; S65.5; S65.7 dan S65.8; S65.9 S66 Injury of muscle & tend. At wrist/hand lev. S66.0; S66.1; S66.2; S66.3; S66.4; S66.5; S66.6; S66.7 dan S66.8; S66.9.

S67 Crushing injury of wrist and hand S67.0 dan S67.9. (Lanjutan-3) S67 Crushing injury of wrist and hand S67.0 dan S67.9. S68 Traumatic amputation of wrist & hand S68.0; S68.1; S68.2; S68.3; S68.4; dan S68.8; S68.9. S69 Other & unspec. Injuries of wrist & hand S69.7 dan S69.8; S69.9.

Injuries to the hip and thigh (S70 – S79) [824 – 826] Excl.: ... S70 Superficial injury of hip & thigh S70.0; S70.1; S70.7 dan S70.8; S70.9 S71 Open wound of hip 7 thigh S71.0; S71.1; S71.7 dan S71.8

S73 Dislocation, sprain and strain of joint .... S73.0 dan S73.1 (Lanjutan-1) S72 Fracture of femur 0 closed 1 open S72.0; S72.1; S72.2; S72.3; S72.4; S72.7 dan S72.8; S72.9. S73 Dislocation, sprain and strain of joint .... S73.0 dan S73.1 S74 Injury to nerves at hip and thigh level S74.0; S74.1; S74.2; S74.7 dan S74.8; S74.9.

S75 Injury to blood vessels at bhip & thigh lev. Escl.: ... (Lanjutan-2) S75 Injury to blood vessels at bhip & thigh lev. Escl.: ... S75.0; S75.1; S75.7 dan S75.8; S75.9. Pada S75.2 ada Excl.: ... S76 Injury of muscle & tendon at hip & thigh ... S76.0; S76.1; S76.2; S76.3; S76.4 dan S76.7.

S77 Crushing injury of hip & thigh S77.0; S77.1; S77,2 (Lanjutan-3) S77 Crushing injury of hip & thigh S77.0; S77.1; S77,2 S78 Traumatic amputation of hip & thigh Excl.: ... S78.0; S78.1 dan S78.9 S79 Other and specified injuries of hip & thigh S79.7 Multiple injuries of hip & thigh S79.8 Other specified ... S79.9 Unspecified injury ...

Injuries to the knee and lower leg (S80 – S89) [827 – 830] Incl.: ... Excl.: ... S80 Superficial injury of lower leg Excl.: ... S80.0; S80.1; S80.7 dan S80.8; S80.9 S81 Open wound of lower leg S81.0; S81.7 dan S81.8; S81.9

S82 Fracture of lower leg, including ankle Incl.: ... Excl.: ... (Lanjutan-1) S82 Fracture of lower leg, including ankle Incl.: ... Excl.: ... 0 closed 1 open S82.0; S82.1; S82.2; S82.5; S82.6; dan S82.8; S82.9. Pada S82.3; S82.4; S82.7 ada Excl.: ... S83 Dislocation, sprain & strain .... knee Excl.: ... S83.0; S83.1; S83.3; S83.4; S83.5 dan S83.7 Pada S83.2; S83.6 ada Excl.: ...

S84 Injury of nerves at lower leg level Excl.: ... (Lanjutan-2) S84 Injury of nerves at lower leg level Excl.: ... S84.0; S84.1; S84.2; S84.7 dan S84.8; S84.9. S85 Injury of blood vessels at lower leg level S85.0; S85.1; S85.2; S85.3; S85.4; S85.5; S85.7 dan S85.8; S85.9 S86 Injury of muscle & tendon at lower leg lev. S86.0; S86.1; S86.2; S86.3; S86.7; S86.8; S86.9

S87 Crushing injury of lower leg Excl.: ... S87.0 dan S87.8 (Lanjutan-3) S87 Crushing injury of lower leg Excl.: ... S87.0 dan S87.8 S88 Traumatic amputation of lower leg S88.0; S88.1 dan S88.9 S89 Other and unspecified inj. Of lower legs S89.7 dan S89.8; S89.9

Injuries to the ankle & foot (S90 – S99) [831 -834] Excl.: ... S90 Superficial injury of ankle & foot S90.0; S90.1; S90.2; S90.3; S90.7; S90.8; S90.9. S91 Open wound of ankle & foot S91.0; S91.1; S91.2; S91.3; S91.7. S92 Fracture of foot, except ankle 0 closed 1 open S92.0;S92.1;S92.2;S92.3;S92.4;S92.5;S92.7;S92.9.

S93 Dislocation, sprain and strain of joints .... (Lanjutan-1) S93 Dislocation, sprain and strain of joints .... S93.0; S93.1; S93.2; S93.3; S93.5 dan S93.6. Pada S93.4 ada Excl.: ... S94 Injury of nerves at ankle and foot level S94.0; S94.1; S94.2; S94.3; S94.7; S94.8; S94.9. S95 Injury to blood vessels at ankle & foot lev. Excl.: ... S95.0; S95.1; S95.2; S95.7 dan S95.8; S95.9.

S96 Injury of muscle & tendon at ankle ... (Lanjutan-2) S96 Injury of muscle & tendon at ankle ... Excl.: injury of Achilles tendon (S86.0) S96.0; S96.1; S96.2; S96.7 dan S96.8; S96.9. S97 Crushing injury of ankle & foot S97.0; S97.1 dan S97.8 S98 Traumatic amputation of ankle & foot S98.0; S98.1; S98.2; S98.3 dan S98.4. S99 Other and unspec. Injuries of ankle & foot S99.7 dan S99.8; S99.9

Injuries involving multiple body regions (T00 – T07) [834 – 840] Incl.: ... Excl.: ... T00 Superficial injuries involving multiple body regions T00.0, T00.1, T00.2, T00.3, T00.6 ada Excl.: ... T00.8; T00.9. T01 Open wounds invol. multiple body regions Excl.: ... T01.0, T01.1, T01.2, T01.3, T01.6 ada Excl.: ... T01.8; T01.9.

T02 Fractures involving multiple body regions The following ... (Lanjutan-1) T02 Fractures involving multiple body regions The following ... 0 closed 1 open T02.0, T02.1, T02.2, T02.3, T02.4, T02.5 dan T02.6 ada Excl.: ... T02.7 dan T02.8; T02.9. T03 Dislocatiions, sprains & strains involving multiple body regions T03.0, T03.1, T03.2, T03.3, T03.4 ada Excl.: ... T03.8; T03.9

T04 Crushing injuries involv. Multiple b. reg. (Lanjutan-2) T04 Crushing injuries involv. Multiple b. reg. T04.0, T04.1, T04.2, T04.3, T04.4 ada Excl.: ... T04.7 dan T04.8; T04.9 T05 Traumatic amputat. involv. multi. b. reg. Incl.: ... Excl.: ... T05.0; T05.1; T05.2; T05.3; T04.5; T04.6 dan T04.8; T04.9.

T06 Other injuries involv. multiple b. reg NEC (Lanjutan-3) T06 Other injuries involv. multiple b. reg NEC T06.0; T06.1; T05.3; T06.4; T06.5 T06.8. Pada T06.2 ada Excl.: ... T07.X Unspecified multiple injuries Excl.: injury NOS (T14.9)

Injuries to unspecified part of trunk, limb or body region (T08 – T14) [840 – 845] Excl.: ... T08.X Fracture of spine, level unspecified The following ... 0 closed 1 open T09 Other inj. of spine & trunk, level unspec. Excl.: ... T09.0; T09.1; T09.2; T09.3; T09.4; T09.5; T09.6 dan T09.8; T09.9

T10 .X Fracture of upper limb, level unspe. Incl.: ... Excl.: ... (Lanjutan-1) T10 .X Fracture of upper limb, level unspe. Incl.: ... Excl.: ... The following ... 0 closed 1 open T11 Other injuries of upp. limb, level unspec. Excl.: ... T11.0; T11.1; T11.2; T11.3; T11.4; T11.5; T11.6 dan T11.8; T11.9

T12.X Fracture of lower limb, level unspe. Incl.: ... Excl.: ... (Lanjutan-2) T12.X Fracture of lower limb, level unspe. Incl.: ... Excl.: ... The following ... 0 closed 1 open T13 Other injuries of lower limb, level unspec. Excl.: ... T13.0; T13.1; T13.2; T13.3; T13.4; T13.5; T13.6 dan T13.8; T13.9

T14 Injury to unspecified body region Excl.: ... (Lanjutan-3) T14 Injury to unspecified body region Excl.: ... Pada T14.0, T14.1, T14.3, T14.4, T14.5, T14.6 dan T14.7, T14.9 ada Excl.: ... T14.8. Pada T14.2 ada The following subdivisions are ... 0 closed 1 open

Benda asing masuk tubuh bisa melalui: (845 – 846) T15 Foreign body on external eye ( di atas mata) T16 Foreign body in ear (di dalam telinga) T17 Foreign body in respiratory tract ( di dalam saluran napas) T18 Foreign body in alimentary tract (di dalam saluran pencernaan) T19 Foreign body in genitourinary tract (di dalam saluran kemih-kelamin)

Effects of foreign body entering through natural orifice (T15 – T19) [845 – 846] Excl.: ... T15 Foreign body on external eye T15.0; T15.1 dan T15.8; T15.9. T16.X Foreign body in ear Incl.: ... T17 Foreign body in respiratory tract. T17.0; T17.1; T17.2; T17.3; T17.4; T17.5 dan T17.8; T17.9.

T18 Foreign body in alimentary tract. Excl.: ... (Lanjutan-) T18 Foreign body in alimentary tract. Excl.: ... T18.0; T18.1; T18.2; T18.3; T18.4; T18.5 dan T18.8; T18.9. T19 Foreign body in genitourinary tract Excl.: contraceptive dev. (intrauterine)(vag.) - mechanical complication (T83.3) - presence of (Z97.5) T19.0; T19.1; T19.2; T19.3 dan T19.8; T19.9.

BURN & CORROSIONS (LUKA BAKAR) Lihat ICD-10 Vol. 3 (85) Burn (electricity) (flame) (hot gas, liquid or object) (radiation) (steam) (thermal) T30.0 Note - The following fourth-character subdivisions are for use with categories T20-T25 and T30: Rincian keterangan tentang derajat status luka bakarnya. .0 Unspecifeid degree .1 First degree [erythema] .2 Second degree [blister, epidermal loss] .3 Third degree [deep necrosis of underlying tissue full-thickness skin loss]

Burn and corrosions (T20 – T32) [847 – 853] Incl.: ... Excl.: ... Burns and corrosions of external body surface, specified by site (T20 – T25) Incl.: ... T20 Burn and corrosions of head & neck Incl.: ... Excl.: ... T20.0;T20.1;T20.2;T20.3;T20.4;T20.5;T20.6;T20.7. T21 Burn and corrosions of trunk T21.0;T21.1;T21.2;T21.3;T21.4;T21.5;T21.6;T21.7.

T22 Burn and corrosion of shoulder & upper limb, except wrist & hand (Lanjutan-1) T22 Burn and corrosion of shoulder & upper limb, except wrist & hand Incl.: ... Excl.: ... T22.0;T22.1;T22.2;T22.3;T22.4;T22.5;T22.6;T22.7. T23 Burn and corrosion of wrist and hand Incl.: ... T23.0;T23.1;T23.2;T23.3;T23.4;T23.5;T23.6;T23.7.

T24 Burn and corrosion of hip & lower limb, except ankle & foot (Lanjutan-2) T24 Burn and corrosion of hip & lower limb, except ankle & foot Incl.: ... Excl.: ... T24.0;T24.1;T24.2;T24.3;T24.4;T24.5;T24.6;T24.7. T25 Burn and corrosion of ankle & foot Incl.: ... T25.0;T25.1;T25.2;T25.3;T25.4;T25.5;T25.6;T25.7.

Burns and corrosions confined to eye and Burns and corrosions confined to eye and internal organs (T26 – T28) [850 – 851] T26 Burn & corrosion confined to eye & adn. T26.0; T26.1; T26.2; T26.3; T26.4; T26.5; T26.6; T26.7 dan T26.8; T26.9. T27 Burn & corrosion of resp. tract. T27.0; T27.2; T27.3; T27.4; T27.5; T27.6; T27.7 Pada T27.1 ada Excl.: ... T28 Burn & corrosion of other internal organs T28.0; T28.1; T28.2; T28.3; T28.4; T28.5; T28.6; T28.7 dan T28.8; T28.9.

Burns and corrosions of multiple & unspecified body regions (T29 – T32) [851 -853] T29 Burns & corrosions of multiple body reg. Incl.: ... T29.0;T29.1;T29.2;T29.3;T29.4;T29.5;T29.6 dan T29.7. T30 Burns & corrosions, body reg. unspec. Excl.: ... T30.0;T30.1;T30.2;T30.3;T30.4;T30.5;T30.6 dan T30.7.

T31 Burns class. acc. to ext. of body surf. inv. (Lanjutan-1) T31 Burns class. acc. to ext. of body surf. inv. Note: This category is to be used as the primary code only when the site of the burn is unspecified. It may be used as a supplementary code, if desired, with categories T20-T25 or T29 when the site is specified. (Rincian dinyatakan dalam 10 % - 79% of body surface.) T31.0;T31.1;T31.2;T31.3;T31.4;T31.5;T31.6;T31.7 dan T31.8; T31.9.

T32 Corrosions classified according to extent of body surface involved (Lanjutan-2) T32 Corrosions classified according to extent of body surface involved Note: This category is to be used as the primary code only when the site of the corrosion is unspecified. It may be used as a supplementary code, if desired, with categories T20-T25 or T29 when the site is specified T32.0; T32.1; T32.2; T32.3; T32.,4; T32.5; T32.6; T32.7 dan T32.8; T32.9.

Frosbite (T33 – T35) [853 – 855] Excl.: hypothermia and other effects of reduced tempertaure (T68-T69) T33 Superficial frostbite Incl.: ... Excl.:... T33.0; T33.1; T33.2; T33.3; T33.5; T33.6; T33.8; T33.9. Pada T33.4 dan T33.7 ada Excl.: ...

T34 Frosbite with tissue necrosis Excl.: ... (Lanjutan) T34 Frosbite with tissue necrosis Excl.: ... T34.0; T34.1; T34.2; T34.3; T34.5; T34.6; T34.8; T34.9. Pada T34.4 dan T34.7 ada Excl.: ... T35 Frosbite involving multiple body .... T35.0; T35.1; T35.2; T35.3; T35.4; T35.5; T35.6; T35.7

Poisoning by drugs, medicamentrs & biological substances (T36 - T50) [855 - 863] Incl.: overdose of these substances wrong substance given or taken in error Excl.: ... T36 Poisoning by systemic antibiotics T36.0; T36.1; T36.2; T36.3; T36.4; T36.5; T36.6; T36.7 dan T36.8; T36.9.

T37 Poisoning by other systemic anti-infect. ... Excl.: ... (Lanjutan-1) T37 Poisoning by other systemic anti-infect. ... Excl.: ... T37.0; T37.3; T37.4 dan T37.9. Pada T37.1; T37.2; T37.5 dan T37.8 ada Excl.: ... T38 Poisoing by hormones & their synth. ... T38.0 ada Excl.:... T38.1;T38.2;T38.3;T38.4;T38.5;T38.6;T38.7;T38.8;T38.9

T39 Poison. by nonopioid analget., antipyr. ..... (Lanjutan) T39 Poison. by nonopioid analget., antipyr. ..... T39.0; T39.1; T39.2; T39.3 dan T39.8; T39.9. Pada T39.4 ada Excl.: ... T40 Poisoning by narcotics & psychodyslept. (hallucinogens) Excl.: ... T40.0; T40.1; T40.2; T40.3; T40.4; T40.5; T40.6 T40.7 dan T40.8; T40.9.

T41 Poisoning by anaesthetics & therapeutic gases Excl.: ... (Lanjutan-2) T41 Poisoning by anaesthetics & therapeutic gases Excl.: ... T41.0 ada Excl.: ... T41.1; T41.2; T41.3; T41.4 dan T41.5. T42 Poisoning by antiepileptic, sedative-hyp. and antiparkinsonism derugs T42.0; T42.1; T42.2; T42.4; T42.5; T42.7; T42.8. Pada T42.3 dan T42.6 ada Excl.: ...

T43 Poisoning by psychotropic drug, NEC Excl.: ... (Lanjutan-3) T43 Poisoning by psychotropic drug, NEC Excl.: ... T43.0; T43.1; T43.2; T43.3; T43.4; T43.8; T43.9. Pada T43.5; T43.6 ada Excl.: ... T44 Poisoning by drugs primarily affecting the autonomic nervous system T44.0; T44.1; T44.2; T44.3; T44.4; T44.7; T44.9. Pada T44.5; T44.6; T44.8 ada Excl.: ...

T45 Poisoning by primarily syst. & haem. ... (Lanjutan-4) T45 Poisoning by primarily syst. & haem. ... T45.0; T45.1; T45.2 dan T45.8 ada Excl.: .... T45.3; T45.4; T45.5; T45.6; T45.7 dan T45.9. T46 Poisoning by agents primarily affecting ... Excl.: metaraminol (T44.4) T46.0; T46.1; T46.4; T46.6 dan T46.8; T46.9 Pada T46.2; T46.3; T46.5; T46.7 ada Excl.: ...

T47 Poisoning by agents prim. Affecting the G-Intestinal syst. (Lanjutan-5) T47 Poisoning by agents prim. Affecting the G-Intestinal syst. T47.0; T47.1; T47.2; T47.3; T47.4; T47.5; T47.7; T47.8; T47.9. Pada T47.6 ada Excl.:... T48 Poison. by agents prim. act. on smooth and skeletal muscles and the respiratory system T48.0 dan T48.6 ada Excl.: ... T48.1; T48.2; T48.3; T48.4; T48.5 dan T48.7.

T49 Poison. by topical agents prim. aff. skin... Incl.: ... (Lanjutan-6) T49 Poison. by topical agents prim. aff. skin... Incl.: ... T49.0; T49.1; T49.2; T49.3; T49.4; T49.5; T49.6; T49.7 dan T49.8; T49.9. T50 Poisoning by diuretic and other ... T50.0; T50.1; T50.2; T50.3; T50.4; T50.5; T50.6; T50.7 dan T50.8; T50.9.

Toxic effects of substances chiefly nonmedicinal as to source (T51-T65) [864-869] Excl.: ... T51 Toxic effects of alcohol T51.0 Ethanol ada Excl.: ... T51.1; T51.2; T51.3 dan T51.8; T51.9 T52 Toxic effects of organic solvents Excl.: .. T52.0; T52.2; T52.3; T52.4 dan T52.8; T52.9 Pada T52.1 ada Excl.: ...

T53 Toxic effects of halogen derivatives of (Lanjutan-1) T53 Toxic effects of halogen derivatives of aliphatic and aromatic hydrocarbons T53.0; T53.1; T53.2; T53.3; T53.4; T53.5; T53.6; T53.7; T53.9. T54 Toxic effect of corrosive substances T54.0; T54.1; T54.2; T54.3 dan T54.9 T55 .X Toxic effect of soaps and detergents

T56 Toxic effect of metals Incl: ... Excl.: ... (Lanjutan-2) T56 Toxic effect of metals Incl: ... Excl.: ... T56.0; T56.1; T56.2; T56.3; T56.4; T56.5; T56.6 T56.7 dan T56.8; T56.9. T57 Toxic effect of other inorganic substanc. T57.0; T57.1; T57.2; T57.3 dan T57.8; T57.9. T58.X Toxic effect of carbon monoxide Incl.: from all sources

T59 Toxic effect of other gasses, fumes and vapours (Lanjutan-3) T59 Toxic effect of other gasses, fumes and vapours Incl.: ... Excl.: ... T59.0; T59.1; T59.2; T59.3; T59.4; T59.5; T59.6; T59.7 dan T59.8; T59.9. T60 Toxic effect of pesticides Incl.: wood preservatives T60.0; T60.2; T60.3; T60.1 dan T60.4 ada Excl.: ... T60.8; T60.9.

T61 Toxic effect of noxious subst. eaten as seafood Excl.: ... (Lanjutan-4) T61 Toxic effect of noxious subst. eaten as seafood Excl.: ... T61.0; T61.1; T61.2 dan T61.8; T61.9. T62 Toxic effect of other noxious subs. eaten as food T62.0; T62.1; T62.2 dan T62.8; T62.9

T63 Toxic effect of contact with venom anim. (Lanjutan-5) T63 Toxic effect of contact with venom anim. T63.0; T63.1; T63.2; T63.3; T63.4; T63.8; T63.9. Pada T63.5, T63.6 ada Excl.: ... T64.X Toxic effect of aflatoxin & other mycot. ... T65 Toxic effect of other and unspec. subst. T65.0 Cyanides Excl.: hydrogen cyanide (T57.3) T65.1; T65.2; T65.3; T65.4; T65.5; T65.6 dan T65.8; T65.9.

Other & unspec. effects of external causes (T66 – T78) [869 -874] T66.X Unspecified effects of radiation Incl.: ... Excl.: ... T67 Effects of heat and light T67.0; T67.1; T67.2; T67.4; T67.5; T67.6; T67.7 dan T67.8; T67.9. Pada T67.3 ada Excl.: ...

Incl.: accidental hypothermia Excl.: frosbite (T33-T35) (Lanjutan-1) T68.X Hypothermia Incl.: accidental hypothermia Excl.: frosbite (T33-T35) hypothermis (of) - following anaesthesia (T88.5) - newborn (P80.-) - not assoc. w. low envir. tem. (R68.0) T69 Other effects of reduced temperature T69.0; T69.1 dan T69.8; T69.9.

T70 Effects of air pressure and water pressure (Lanjutan-2) T70 Effects of air pressure and water pressure T70.0; T70.1; T70.3; T70.4 dan T70.8; T70.9. Pada T70.2 ada Excl.: ... T71.X Asphyxiation Incl.: suffocation (by strangulation) systemic oxygen deficiency due to: - low oxygen content in ambient air - mechanical threat to breathing Excl.: ...

T73 Effects of other deprivation (Lanjutan-3) T73 Effects of other deprivation T73.0; T73.1; T73.2; T73.3 dan T73.8; T73.9. T74 Maltreatment syndromes Use additional code, if desired, to identify current injury. T74.0; T74.1; T74.2; T74.3 dan T74.8; T74.9. T75 Effects of other external causes Excl: ... T75.0; T75.1; T75.2; T75.3 dan T75.4; T75.8.

Certain early complication of trauma (T79) (Lanjutan-4) T78 Adverse effects, NEC Note: ... Excl.: ... T78.0 dan T78.8. Pada T78.1, T78.2, T78.3, T78.4, T78.9 ada Excl.:... Certain early complication of trauma (T79) T79 Certain early compl. of trauma, NEC T79.0, T79.1, T79.4, T79.6, T79.7 ada Excl.: .... T79.2; T79.5 dan T79.8; T79.9. Pada T79.3 ada Use additional code (B95-B98), ...

COMPLICATIONS OF SURGICAL & MEDICAL CARE, NEC (T80 – T88) [876 – 886] Use additional external cause code (Chapter XX), if desired, to identify devices involved and details of circumstances. Use additional code (B95-B97), if desired, to identify infectious agent. Excl.: ... T80 Complic. follow. Infus., transf. & thera. Inj. Incl.: ... Excl.: ... T80.0; T80.3; T80.4 dan T80.8; T80.9. Pada T80.1, T80.2, T80.5, T80.6 ada Excl.: ...

T81 Complication of procedures, NEC Excl.: ... (Lanjutan-1) T81 Complication of procedures, NEC Excl.: ... T81.0, T81.1, T81.2, T81.3, T81.4, T81.5, T81.7 dan T81.8 semua ada Excl.: ... T81.6 dan T81.9 T82 Complication of cardiac & vascular pros- thetic devices, implants and grafts T82.0, T82.1, T82.2, T82.3, T82.6, T82.7 dan T82.8; T82.9. Pada T82.4 dan T82.5 ada Excl.: ...

T83 Complic. of genito-ur. prosthetic device, implants and grafts (Lanjutan-2) T83 Complic. of genito-ur. prosthetic device, implants and grafts Excl.: ... T83.0,T83.1 s/d T83.6 dan T83.8,T83.9 T84 Complication of internal orthopaedic prosthetic devices, implants and grafts Excl.: failure and rejection of transplanted organs and tissues (T86.-). fracture of bone following insertion of orthopaedic implant, joint prosthesis or bone plate (M96.6). T84.0; T84.1; T84.2 s/d T84.8; T84.9.

T85 Complications of other internal prosthetic (Lanjutan-3) T85 Complications of other internal prosthetic devices, implants and grafts Excl.: failure & rejection of transplanted org... T85.0; T85.1; T85.2; T85.3; T85.4; T85.5; T85.7 dan T85.8; T85.9. Pada T85.6 ada Excl.: ... T86 Failure & rejection of transplanted org. ... T86.0; T86.1; T86.3; T86.4 dan T86.8; T86.9. Pada T86.2 ada Excl.: ...

T87 Complications peculiar to reattachment and amputation (Lanjutan-4) T87 Complications peculiar to reattachment and amputation T87.0; T87.1; T87.2; T87.3; T87.4; T87.5. Pada T87.6 Other and unspecified complications of amputation stump Amputation stump: - contracture (flexion) ( ) ( ) - hematoma - oedema ada Excl.: phamtom limb ...

T88 Other compl. of surg. & med. care NEC Excl.: ... (Lanjutan-5) T88 Other compl. of surg. & med. care NEC Excl.: ... T88.0; T88.3; T88.4; T88.5 dan T88.8 Pada: T88.1 Excl.: anaphylactic shock due to serum other serum reaction postimmunization T88.2 Excl.: complication of anaesthesia: ... T88.6 Excl.: anaphylactic shock due to serum T88.7 Excl.: specified adverse effects .... T88.9 Excl.: adverse effects NOS (T78.9)

SEQUELAE OF INJURIES, OF POISONING & OF OTHER CONSEQUENCES OF EXTERNAL CAUSES (T90-T98) [887 – 890] Note: Kategori T90 – T98 hanya dimanfaatkan untuk mengkode kondisi-kondisi pada S00-S99 dan T00-T88 sebagai late effects, yang mereka sendiri terklasifikasi di tempat lain. ‘Sequelae’ meliputi mereka yang memang kondisi sequelae, atau late effects, dan yang hadir satu tahun atau lebih post cedera akutnya. Not to be used for chronic poisoning & harmful exposure. Code these to current poisoning and harmful exposure.

Klasifikasi Sequelae terkelompok: - Sequelae cedera kepala (T90) - Sequelae cedera leher & badan (T91) - Sequelae tungkai atas. (T92) - Sequelae tungkai bawah (T93) - Sequelae terkait cedera multiple (site tidak dirinci) (T94) - Sequelae luka bakar, korosi dan frostbite (T95) - Sequelae keracunan obat dll. (T96) - Sequelae efek racun substansi nonmedicinal. (T97) - Sequelae lain-lain terkait efek kausa external. (T98)

T90 Sequelae of injuries of head (Lanjutan-1) T90 Sequelae of injuries of head T90.0; T90.1; T90.2; T90.3; T90.4; T90.5 dan T90.8; T90.9. T91 Sequelae of injuries of neck and trunk T91.0; T91.1; T91.2; T91.3; T91.4; T91.5 dan T91.8; T91.9. T92 Sequelae of injuries of upper limb T92.0; T92.1; T92.2; T92.3; T92.4; T92.5; T92.6 dan T92.8; T92.9.

T93 Sequelae of injuries of lower limb (Lanjutan-2) T93 Sequelae of injuries of lower limb T93.0; T93.1; T93.2; T93.3; T93.4; T93.5; T93.6 dan T93.8; T93.9. T94 Sequelae of injuries involving multiple and unspecified body regions T94.0 dan T94.1 T95 Sequelae of burns, corrosions & frostbite T95.0; T95.1; T95.2; T95.3; T954 dan T95.8; T95.9.

T96 Sequelae of poisoning by drugs, medica- (Lanjutan-3) T96 Sequelae of poisoning by drugs, medica- ments and biological substances Incl.: sequelae of poisoning callsifiable to (T36-t50) T97 Sequelae of toxic effects of substances chiefly nonmedicinal as to source Incl.: sequelae of toxic effects classifiable to (T51 – T65)

T98 Sequalae of other and unspecified effects of external causes (Lanjutan-4) T98 Sequalae of other and unspecified effects of external causes T98.0 Sequelae of .... (T15 – T19) T98.1 Sequelae of .... (T66 – T78) T98.2 Sequelae of .... (T79.- ) T98.3 Sequelae of .... (T80 – T88)

Kecelakaan Lalu-Lintas LATIHAN PENYELESAIAN Soal – Soal Kecelakaan Lalu-Lintas