DISUSUN OLEH dr. Mayang Anggraini Naga (Revisi 2016)

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1 DISUSUN OLEH dr. Mayang Anggraini Naga (Revisi 2016)
KKPMT I 15 ICD-10 CHAPTER XIII Diseases of the musculoskeletal system and connecive tissue (M00-M99) DISUSUN OLEH dr. Mayang Anggraini Naga (Revisi 2016)

2 KOMPETENSI Mampu: Menentukan kode Diseases of the
Musculoskeletal System and Connective Tissue (M00-M99) dengan benar dan tepat sesuai kondisi yang disandang pasien

3 KEKHUSUSAN BAB XIII (M00-M99) [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 (P00- P96) - penyakit infeksi dan parasitik tertentu (A00- B99) - sindroma kompartmen (T79.6) - komplikasi kehamilan, persalinan dan nifas (O00-O99)

4 (Lanjutan) Excl.: ... - malformasi kongenital, deformasi dan abnormalitas kromosomal (Q00-Q99) - penyakit endokrin, nutrisi dan metabolik (E00-E90) - cedera, keracunan dan konsekuensi tertentu akibat sebab luar (S00-T98) - neoplasma (C00-D48) - simtoma, tanda-2 dan temuan klinis, laboratoris NEC (R00- R99)

5 Bab XIII tersusun dari Blok:
M00 – M25 Arthropathies: M00 – M03 M05 – M14 M15 – M19 M20 – M25 M30 – M36 Systemic connective tissues disorders M40 – M54 Dorsopathies M40 – M43 M45 – M49 M50 – M54

6 M60 – M79 Soft tissue disoders M60 – M63 M65 – M68 M70 – M79
(Lanjutan) M60 – M79 Soft tissue disoders M60 – M63 M65 – M68 M70 – M79 M80 – M94 Osteopathies and chondropathies M80 – M85 M86 – M90 M91 – M94 M95 – M99 Other disorders of the M-S system and connective tissue. tissue

7 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).

8 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 Multiple sites 5. Pelvic region and thigh 1 Shoulder region 6. Lower leg 2 Upper arm 7. Ankle and foot 3 Forearm 8. Other 4 Hand Site unspecified

9 Bab XIII memuat Block (Blok):
M00-M25 Arthropathies [ ] M00-M03 Infectious arthropathies (Gangguan sendi yang infeksi) Contoh: [ ] Staphylococcal arthritis & Polyarthritis M00.0 Post-meningococcal arthritis A M03.0* Meningococcal arthritis  A M01.0* Note: This block comprises Ada a) dan b) M00 Pyogenic arthritis [See site code at the beginning of this chap.] M00.0; M00.1; M00.2; M00.9. Pada M Use ad..

10 M01* Direct inf. of joint in inf. & par. d. cl. elsew.
(Lanjutan) M01* Direct inf. of joint in inf. & par. d. cl. elsew. [See site code at the beginning of this chap.] Excl.; ... M01.0* dan M01.1* ada Excl.: ... M01.2*; M01.3*; M01.4*; M01.5*; M01.6*; M01.8*. M02 Reactive arthropathies M02.0; M02.1; M02.2; M02.3 dan M02.8; M02.9. M03* Postinfect. And react. Arthropathies in .... Excl.; .. M03.0*; M03.1*; M03.2* ada Excl.: ; M03.6*.

11 M05 – M14 Inflamatory polyarthropathy
M05 – M14 Inflamatory polyarthropathy [ ] (Peradangan pada banyak sendi) Contoh: Rheumatoid arthritis menyerang otot jantung  M I41.8* Arthropathy sendi pinggul pada ulcerative colitis  K M07.5* 5 Arthropathies pada thyrotoxicosis E M14.5* Apa arti (–) di belakang E05.- ? M05 Seropositive rheum. Arthritis [See site code at ] Excl.: ... M05.0; M ; M05.2; M05.3 ; M05.8; M05.9

12 M06 Other rheumatoid arthritis [See site code at ..... ]
(Lanjutan) M06 Other rheumatoid arthritis [See site code at ] M06.0; M06.2; M06.3 dan M06.8; M06.9 Pada M06.1 dan M06.4 ada E#xcl.: ... M07* Psoriatic & anteropathic arthropathies [See site code at ] Excl.: ... M07.0*; M07.1*; M07.2*; M07.3*; M07.4*; M07.5* dan M07.6*

13 M09* Juvenil arthritis in dis. cl. elsew. Excl.: ...
(Lanjutan) M08 Juvenil arthritis [See site code at ] Incl.: Excl.: ... M08.0; M08.3; M08.4; M08.8; M08.9. Pada M08.1, M ada Excl.: ... M09* Juvenil arthritis in dis. cl. elsew. Excl.: ... M09.0*; M09.1*; M09.2* dan M09.8*

14 Pada M10.2 ada Use additional external cause (Chap. XX) ...
(Lanjutan) M10 Gout [See site code at ] M10.0; M10.1 dan M10.8; M10.9 Pada M10.2 ada Use additional external cause (Chap. XX) ... Pada M10.3 ada Use additional code, if disired, to (N17-N19) M11 Other crystal arthropathies M11.0; M11.1; M11.2 dan M11.8; M11.9

15 M12 Other specific arthropathies [See site code at ..... ] Excl.: ...
(Lanjutan) M12 Other specific arthropathies [See site code at ] Excl.: ... M12.0; M12.1; M12.2; M12.3; M12.4 dan M12.8 Pada M12.5 Traumatic arthropathy ada Excl.: ... M13 Other arthritis M13.0; M13.1 dan M13.8; M13.9

16 M14* Arthropathies in other diseases cl. elsew.
(Lanjutan) M14* Arthropathies in other diseases cl. elsew. Excl.: arthropathy in: ... M14.0*; M14.1*; M14.3*; M14.5*; M14.6* dan M14.8* Pada M14.2* ada Excl.: diabetic neuropathic ` arthropathy (M14.6*)

17 M15-M19 Arthrosis [ ] Note: Osteoarthritis [arthrosis] [osteoarthritis] .... Excl.: osteoarthritis of spine (M47.-) Apa arti M47.- ? Contoh: kumpulan Gonarthrosis  M17 (gangguan pada lutut) Arthrosis sendi lain  M19 M15 Polyarthrosis incl.: Excl.: ... M15.0; M15.1; M15.2; M15.3; M15.4; M15.8; M15.9

18 M16 Coxarthrosis [arthrosis of hip]
(Lanjutan) M16 Coxarthrosis [arthrosis of hip] M16.0; M16.1; M16.2; M16.3; M16.4; M16.5; M16.6 ; M dan M16.9. M17 Gonarthrosis [arthrosis of knee] M17.0; M17.1; M17.2; M17.3; M17.4; M17.5; M17.9. M18 Arthrosis of first carpometacarpal joint M18.0; M18.1; M18.2; M18.3; M18.4; M18.5; M18.9. M19 Other arthrosis [See site code at ] Excl.: ... M19.0; M19.1; M dan M19.8; M19.9;

19 M20-M25 Other joint disorders (Gangguan-gangguan sendi lain-lain) [569-573]
Excl.: joint of the spine (M40-M54) Contoh: Hallux vagus (acquired)  M20.1 Recurrent subluxation of patella M22.1 Khusus M23 dilengkapi digit untuk subklasi- fikasi gangguan pada sendi lutut M23.- M20 Acquired deformities of fingers & toes Excl.: ... M20.0 ada Excl.: ... M20.1; M20.2; M20.3; M20.4; M20.5 dan M20.6

20 M21 Other acquired deformities of limbs
(Lanjutan) M21 Other acquired deformities of limbs [See site code at the beginning of this ch.) Excl.: ... M21.0, M21.1, M21.4, M21.5 dan M21.6 ada Excl.: ... M21.2; M21.3; M217 dan M21.8; M21.9. M22 Disorders of patella M22.0; M22.1; M22.2; M22.3; M22.4 dan M22.8; M22.9

21 M23 Internal derangement of knee Excl.: ...
(Lanjutan) M23 Internal derangement of knee Excl.: ... Tersedia: angka 0, 1, 2, 3, 4, 5, 6, 7, 9 yang pemanfaat- annya optional untuk menunjukkan site yang terlibat. M23.0; M23.1; M23.2; M23.3; M23.4; M23.5; M23.6 dan M23.9 M24 Other specific joint derangements [See site code at the beginning of this ch.) M24.0, M24.1, M24.2; M24.3; M24.4; M24.5; M dan M24.8 ada Excl.: ... M24.7 dan M24.9.

22 Instabillity of joint: bisa M25.3 Other instability of joint atau
(Lanjutan) [572] Instabillity of joint: bisa M25.3 Other instability of joint atau M24.2 Disorder of ligament Instability secondary to old ligament injury M96.8 Instability of joint secondary to removal of joint prosthesis Bergantung primer atau sekunder.

23 M25 Other joint disorders, NEC
(Lanjutan) M25 Other joint disorders, NEC [See site code at the beginning of this ch.) Excl.: abnormality of gait and mobility (R26.-) calcification of: - bursa (M71.4) - shoulder (joint) (M75.3) - tendon (M65.2) deformities class. to M20-M21 difficulty in walking (R26.2) M25.0, M25.3 dan M ada Excl.: ... M25.1; M25.2; M25.5; M25.6; M25.7; M25.8; M25.9

24 Systemic connective tissue disorders (M30-M36) (Gangguan jaringan ikat sistemik) [573 – 576]
Incl.: ... Excl.: ... Contoh: SLE (systemic lupus erythematosus) menyerang paru  M J99.1* M30 Polyarteritis nodosa & related cond. M30.0; M30.1; M30.2; M30.3 dan M30.8 M31 Other necrotizing vasculopathies M31.0; M31.1; M31.2; M31.3; M31.4; M31.5; M31.6 dan M31.8; M31.9. Pada M31.7 ada Excl.: ...

25 M32 Systemic lupus erythematosis Excl.: ...
(Lanjutan) M32 Systemic lupus erythematosis Excl.: ... M32.0; M dan M32.8; M32.9 M33 Dermatopolymyositis M33.0; M33.1; M33.2; M33.9 M34 Systemic sclerosis Incl.: ... Excl.: ... M34.0; M34.1; M34.8; M34.9. M ada Use additional external cause code (Chapter XX), if disired, to ...

26 M35 Other systemic involvement of connective tissue Excl.: ...
(Lanjutan) M35 Other systemic involvement of connective tissue Excl.: ... M35.0; M35.2; M35.4; M35.5 dan M35.8; M35.9. Pada M35.1, M35.3, M35.6, M35.7 ada Excl.: ... M36* Systemic disor. of conn. tis. In d. cl. elsew. M36.0*; M36.1*; M36.2*; M36.4* dan M36.8* Pada M36.3* ada Excl.: ...

27 M40 - M54 Dorsopathies [ ] Dilengkapi dengan digit subklasifikasi suplementer untuk menunjukkan site (lokasi) sendi punggung yang terganggu. Khusus untuk M50-M51 tidak perlu subklasifikasi dimaksud. Perhatikan angka 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 [576] yang menjelaskan site tulang vertebra yang terganggu. M40-M43 Deforming dorsopathies M45-M49 Spondylopathies M50-M54 Other dorsopathies

28 Postural kyphosis Vert. Th 11-12  M40.0 4
(Lanjutan) Contoh: Postural kyphosis Vert. Th  M40.0 4 Torticollis Vert C  M Tbc tulang punggung Th-L  A18.0 ! M49.0* 5 Gangguan Cervical disc dengan myelopathy  M50.0 ! G99.2* (tanpa digit suplementer) Cervicalgia ke 6  M54.2 2 M40 Kyphosis and lordosis [See site code before M40] Excl.: ... M40.0 Postural kyphosis Excl.: ... M40.1; M40.2; M40.3; M40.4 DAN M40.5

29 [See site code before M40] Incl.: ... Excl.: ...
(Lanjutan) M41 Scoliosis [See site code before M40] Incl.: ... Excl.: ... M41.0; M41.1; M41.2; M41.3; M41.4; M41.5 dan M41.8; M41.9 M42 Spinal osteochondrosis Excl.: ... M ada Excl.: ... M42.1 dan M42.9

30 M43 Other deforming dorsopathies [See site code before M40]
(Lanjutan) M43 Other deforming dorsopathies [See site code before M40] Excl.: congenital spondylolysis and spondy- lolithesis (Q76.2) hemivertebra (Q76.3 – Q76.4) dst. (kongenital) spinal curvature in: - osteoporosis (M80-M81) - Paget d. of bone [ost. def.] (M88.-) M43.0; M43.1; M43.3; M43.4 dan M43.9 Pada M43.2, M43.5, M43.6, M43.8 ada Excl.: ...

31 M45 – M49 Spondylopathies [579 – 581]
M45 Ankylosing spondylitis [See site code before M40] Incl.: ... Excl.: .... M45.0; M45.1; M45.2; M45.4; M45.5; M45.8; M45.9. Pada M45.3 ada Use additional code (B95-B98) ... M47 Spondylosis Incl.: ... M ; M47.2 dan M47.8; M47.9. Pada M47.1 ada Excl.: ...

32 M49* Spondylopathies in diseases cl. elsew. [See site code before M40]
(Lanjutan) M49* Spondylopathies in diseases cl. elsew. [See site code before M40] Excl.: psoriatic and enteropathic arthro- pathies (M07.-*, M09.-*) M49.0*; M49.1*; M49.2*; M49.4*; M49.5*; M49.8* Pada M49.3* ada Excl.: ...

33 Contoh: Tbc tulang punggung (Spondylitis Tbc)
(Pott’s curvature) Thoracal  A M49.0* 4 Metastatic fracture of vertebra L1-2, dari Carcinoma payu dara  C M49.5* 6 M8010/6 Tumor ganas primernya  C50.9 M8010/3 Neuropathic-spondylopathy pd syringomyelia  C7 G M49.4* 2

34 (M50 – M54) Other dorsopathies [581 – 583] Excl.: ...
M50 Cervical disc disorders Incl.:... M50.0 ; sedangkan M50.1 ada Excl.: ... M50.2; M50.3 dan M50.8; M50.9 M51 Other intervertebral disc disorders Incl.: ... M51.0 ; sedangkan M ada Excl.: ... M51.2; M51.3; M51.4 dan M50.8; M50.9

35 M53 Other dorsopathies, NEC [See site code before M40] Excl.: ...
(Lanjutan) M53 Other dorsopathies, NEC [See site code before M40] Excl.: ... M53.0; M53.2; M53.3 dan M53.8; M53.9 Pada M53.1 ada Excl.:... M54 Dorsalgia Excl.: psychogenic dorsalgia (F45.4) M54.0, M54.1, M54.2, M54.3, M54.4; M54.5 dan M54.6 masing-masing ada Excl.: .. M54.8 dan M54.9.

36 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 ligament- ous or muscular attachments).

37 M60 – M79 Soft Tissue Disorders [583 – 591]
Termasuk ini: M60 - M Disorders of Muscle Excl.: - dermat–o–poly–my -os–itis  (M33.-) - muscular dys–trophies & my-o–pathies  (G71 – G72) - myopathy in: - amyloidosis (E85.-) - polyarteritis nodosa (M30.0) - rheumatoid arthritis (M05.3) - scleroderma (M34.-) - Sjogren’s syndrome (M35.0) - SLE (M32.-)

38 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.

39 Bab XIII, Blok: (lanjutan - 6 )
M60 Myositis [See site code at the beginning of this chap.] M60.0 ada Use additional code (B95 – B98) .... M ada Excl.: .. M dan M60.8; M60.9. M61 Calcification and ossification of muscle M61.0; M61.1; M61.2; M61.3; M61.5 dan M61.9. Pada M61.4 ada Excl.: ...

40 M62 Other disorders of muscle
(Lanjutan) M62 Other disorders of muscle [See site code at the beginning of this chap.] Excl.: ... M62.0; M62.3; M62.5 dan M62.8; M62.9 Pada M62.1, M62.2, M62.4, M62.6 ada Excl.: ... M63* Disorders of muscle in diseases cl. elsew. Excl.: myopathy in: - endocrine diseases (G73.5*) - metabolic diseases (G73.6*) M63.0*; M63.1*; M63.2*; M63.3* dan M63.8*

41 M65 – M68 Disorders of Synovium & Tendon [585 – 587]
M65 Synovitis & tenosynovitis [See site code at the beginning of this chap.] Excl.: ... M Ada Use additional ..... Bila gangguan peradangan disertai Abses maka nomor code M65.0 bisa dilengkapi dengan additional code (B95-B96) untuk menjelaskan kuman penimbul abses terkait. M65.1; M65.3; M65.4 dan M65.8; M65.9. Pada M65.2 ada Excl.: ...

42 M66 Spontaneuos rupture of synovium & tendon.
(Lanjutan) M66 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 (M75.1) rupture where an abnormal force is applied to normal tissue  see injury of tendon by body region M66.0; M66.2; M66.3; M66.4 dan M66.5 Pada M66.1 ada Excl.: ....

43 M67 Other disorders of synovium & tendon Excl.: [Dupuytren] (M72.0),
(Lanjutan) M67 Other disorders of synovium & tendon Excl.: [Dupuytren] (M72.0), tendinitis NOS (M77.9) xanthomatosis localized to tendon (E78.2) M67.0 dan M67.8; M67.9 Pada M67.1, M67.2, M67.3, M67.4 ada Excl.: ... M68* Penyakit penyebabnya di Bab lain, cari code ber- di Bab lain. Bisa infeksi bisa juga lain-lain. M68.0* dan M68.8*

44 M70 – M79 Other Soft Tissue Disorders [587- 591]
M70 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) ..... M70.0; M70.1; M70.2; M70.3; M70.4; M70.5; M70.6 M70.7 dan M70.8; M70.9. M Other bursopathies Excl. : bunion  (M20.1) dan ... M71.0; M71.1 dan M71.8; M71.9 M71.2, M71.3, M71.4 dan M71.5 ada Excl.: ....

45 M72 Fibroblastic disorders
(Lanjutan) M72 Fibroblastic disorders [See site code at the beginning of this chap.] Excl.: ... M72.0; M72.1; M72.2; M72.4 dan M72.9. M72.6 ada Use additional code, if ... M72.8 ada Excl.: ... M73* Soft tissue disorders in diseases classified elsewhere M73.0* Gonococcal bursitis M73.1* Syphilitic bursitis M73.8* Other soft t. dis. in d. cla. elsew.

46 Excl.: shoulder-hand syndr. (M89.0)
(Lanjutan) M75 Shoulder lesions Excl.: shoulder-hand syndr. (M89.0) M75.0; M75.1; M75.2; M75.3; M75.4; M75.5 dan M75.8; M75.9 M76 Enthesopathies of lower limb, excluding foot. [See site code at the beginning of this chap.] Note: …. (baca) Excl.: ... M76.0; M76.1; M76.2; M76.3; M76.4; M76.5; M76.6; M76.7 dan M76.8; M76.9 (Rincian sesuai lokasi gangguan)

47 M77 Other enthesopathies
(Lanjutan) M77 Other enthesopathies [See site code at the beginning of this chap.] Excl.: ... M77.0; M77.1; M77.2; M77.3; M77.5; M77.8; M77.9. Pada M77.4  Excl.: Morton metatarsalgia (G57.6) M79 Other soft tissue disorders, NEC Excl.: soft tissue pain, psychogenic (F45.4) M79.0, M79.1, M79.2, M79.3, M79.5 ada Excl.: ... M79.4; M79.6; M79.7 dan M79.8; M79.9.

48 M80-M94 Osteopathies & Chondropathies. (Gangguan tl. dan tl
M80-M94 Osteopathies & Chondropathies (Gangguan tl. dan tl. rawan) [ ] M80 – M85 Disorders of bone density & Structure M80 Osteoporosis with pathological fracture [See site code at the beginning of this chap.] Incl. … Excl.: … M80.0; M80.1; M80.2; M80.3; M80.5; M80.8; M80.9. M80.4 ada Use additional external cause code ..... M81 Osteoporosis without path. Fracture [See site code at the beginning of this chap.] Excl.: … M81.0; M81.1; M81.3; M81.5 dan M81.8; M81.9. M81.2 dan M81.6 ada Excl.... M81.4 Use add. ...

49 M82* Osteoporosis in diseases classified
(Lanjutan) M82* Osteoporosis in diseases classified [See site code at the beginning of this chap.] M82.0*; M82.1* dan M82.8* M83 Adult osteomalacia Excl.: osteomalacia: - infantile and juvenile - vit. D-resistant renal osteodystrophy rickets active: ... M83.0; M83.1; M83.2; M83.3; M83.4; M83.8; M83.9 M83.5 ada Use additional external cause code ....

50 M84 Disorders of continuity of bone
(Lanjutan) M84 Disorders of continuity of bone [See site code at the beginning of this chap.] M84.0; M84.2 dan M84.8; M84.9 Pada M84.1, M84.3 dan M ada Excl.:... M85 Other dis. of bone density & structure Excl.: M85.1; M85.2; M85.3 dan M85.9. Pada M85.0; M85.4; M85.5; M85.6 dan M85.8 ada Excl.:...

51 M86 – M90 Other Osteopathies Excl. : postprocedural osteopathies (M96
M86 Osteomyelitis [See site code at the beginning of this chap.] Use additional code (B95-B96), if desired, to identify infectious agent Excl.: osteomyelitis (of) - due to salmonella  (A01-A02) - jaw  (K10.2) - vertebra  (M46.2) M86.0; M86.1; M86.2; M86.3; M86.4; M86.5; M86.6 dan M86.8; M86.9

52 Pada M87.1 Osteonecrosis due to drugs
(Lanjutan) M87 Osteonecrosis [see site code ….] Incl.: … Excl.: … M87.0; M87.2; M87.3 dan M87.8; M87.9 Pada M87.1 Osteonecrosis due to drugs Use add. external cause code (Bab. XX), if desired, to identify drug. M88 Paget’s dis. of bone [osteitis deformans] [see site code ….] M88.0 Paget dis. of skull M88.8 Paget dis. of other bones M88.9 Paget dis. of bone, unspec.

53 M89 Other disorders of bone [see site code ….]
(Lanjutan) M89 Other disorders of bone [see site code ….] M89.0; M89.1; M89.2; M89.3; M89.4; M89.5 dan M89.8; M89.9. Pada M89.6 ada Use add. Code (B91), if desired.... Excl.: post polio syndrome (G14) M90* Osteopathies in diseases classified elsewhere M90.0* dan M90.7* ada Excl.:... M90.1*; M90.2*; M90.3*; M90.4*; M90.5*; M90.6*; M90.8*

54 M91 – M94 Chondropathies Excl.: post procedural chondropathies (M96.-)
M91 Juvenil osteochondrosis of hip & pelvis [see site code ….] Excl.: … M91.0; M91.1; M91.2; M91.3 dan M91.8; M91.9 M92 Other juvenil osteochondrosis M92.0; M92.1; M92.2; M92.3 dan M92.4; M92.5; M92.6; M92.7 dan M92.8; M92.9

55 M93 Other osteochondropathies Excl.: osteochondrosis of spine (M42.-)
(Lanjutan) M93 Other osteochondropathies Excl.: osteochondrosis of spine (M42.-) M93.0; M93.1; M93.2 dan M93.8; M93.9 M94 Other disorders of cartilage [see site code at the beginning of this chap.] M94.0; M94.1; M94.3 dan M94.8; M94.9 Pada M94.2 ada Excl.: ...

56 M95 – M99 Other disorders of the muskuloskeletal system and connective tissue [600-602]
M95 Other acq. deform. of m-sk s. & con. tis. Excl.: ... M95.0; M95.1; M95.5 ada Excl.: .... M95.2; M95.3; M95.4 dan M95.8; M95.9 M96 Postprocedural m-sk dis. NEC M96.0; M96.1; M96.2; M96.3; M96.4; M96.5 dan M96.8; M96.9 Pada M96.6 ada Excl.: ...

57 M99 Biomechanical lesions, NEC (601)
Note: This category should not be used if the condition can be classified elsewhere. Tersedia subklasifikasi suplementer (optional) untuk kategori M99.- ; 0 Head: region occipitocervical 1 Cervical: region cervicothoracal 2 Thoracic: region thoracolumbar 3 Lumbar: region lumbosacral 4 Sacral: region sacrococcygeal, sacroiliac

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

59 M99.0 Segmental and somatic dysfunction
(Lanjutan) M99.0 Segmental and somatic dysfunction M99.1 Subluxation complex (vertebral) M99.2 Subluxation stenosis of neural canal M99.3 Osseous stenosis of neural canal M99.4 Connective tissue stenosis of neural canal M99.5 Intervertebral disc stenosis of neural canal M99.6 Osseous and subluxation stenosis of intervertebral foramina M99.7 Connective tissue and disc stenosis of M99.8 Other biomechanical lessions M99.9 Biomechanical lession, unspecified.

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

61 SOAL-SOAL LATIHAN MANDIRI
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:

62 Pott’s kyphosis pada vert. cervical C2 No:
(Lanjutan) Pott’s kyphosis pada vert. cervical C2 No: Thoracogenic scoliosis (thoracic region) No: Postmenopausal osteoporosis with pathological fracture No: Osteomyelitis chronic akibat infeksi gigi dan gusi No: Osteomyelitis komplikasi infeksi Salmonella typhosa No: Tendon flexor robek spontan No: 15. Disfungsi somatik dan segmental regio lumbar No:

63 Jawaban Soal-Soal Latihan Mandiri
Arthritis pd. penderita Hansen dis. (B leprosy) (62) No: A M01.3*  [113]  No: A30.3 [561] No: A M01.3* Perhatikan code site code di [ ]  A M01.3* Post infections arthropathies karena viral hepatitis B acute (64) No:B M03.2*[140139] B * 9 Juvenile arthritis pada Crohn’s disease (63) No: K M09.1*  [509]  K M09.1* 9 [564]

64 4. Arthrosis pada joint karena jatuh 2 tahun yang lalu
(Lanjutan) 4. Arthrosis pada joint karena jatuh 2 tahun yang lalu (65) No: M19.1  [568] M19.1 9 Kronik instability pada capsul ligamnent lutut (377) M23.5  [571]  No: M SLE dengan gangguan ginjal No:M32.9 (612)  M32.9  [574] M (N08.5*, N16.4*)  [607, 610] No: M N08.5* No: M N16.4*

65 Sicca syndromes dengan keratoconjunctivitis
(Lanjutan) Sicca syndromes dengan keratoconjunctivitis (606) M35.0  [575] M H19.3* [387] H19.3* (M ) Haemophilic arthropathy defisiensi faktor IX, herediter (64) D66 M36.2*  [235]  D67  [570]  D67.X M36.2* Pott’s kyphosis pada vert. cervical C2 No: A M49.0* 2 (526)  [580]  [See site code before M40]

66 Thoracogenic scoliosis (thoracic region)
(Lanjutan) Thoracogenic scoliosis (thoracic region) ( )  [577 576] No:M Postmenopausal osteoporosis with pathologicl fracture (492) [592] No: M Apa disertai disuse?  M80.2  No: M Osteomyelitis chronic akibat infeksi gigi dan gusi (492) No: M86.6  [595] Pada M86 ada Use additional …  No: M  (492)  [494] K10.2 B99.X

67 Osteomyelitis komplikasi infeksi salmonella typhosa
(Lanjutan) Osteomyelitis komplikasi infeksi salmonella typhosa (492) [596]  No:A M90.2* 9 Tendon flexor robek spontan (562)  see also injury muscle flexor  site lokasi? Ruptur tendon spontan No: M66.5 9 [586] M Spontaneous rupt. of unspec. tendon Disfungsi somatik dan segmental regio lumbar (240)  M [602]  [601] No: M99.0 3