BAB Q Malformasi, Deformasi Dan Abnormalitas Kromosomal

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1 BAB Q Malformasi, Deformasi Dan Abnormalitas Kromosomal
ICD-10 CHAPTER XVII BAB Q Malformasi, Deformasi Dan Abnormalitas Kromosomal

2 BAB XVII (Q00-Q99) CONGENITAL MALFORMATIONS, DEFORMATIONS, & CHROMOSOMAL ABNORMALITIES [705 -754]
Excl.: inborn errors of metabolism (E70-E90) Tersusun dalam Blocks: Q00-Q07 Congenital malformations of the nervous system Q10-Q18 Congenital malformations of eye, ear, face & neck Q20-Q28 Cong. malf. of the circulatory system Q30-Q34 Cong. malf. of the respiratory system

3 (Lanjutan) Q35-Q37 Cleft lip & cleft palate Q38-Q45 Other cong. malf. of the digestive syst. Q50-Q56 Congenital malf. of genital organs Q60-Q64 Congenital malf. of the urinary system Q65-Q79 Cong. Malf. & deformations of the musculoskeletal system Q80-Q89 Other congenital malformations Q90-Q99 Chromosomal abnormalities, NEC

4 BEBERAPA ISTILAH GANGGUAN KONGENITAL
Anencephaly = tidak memiliki kepala, pertum- buhan kepala tidak sempurna. Enchephalocele = hernia di kepala Microcephaly = ukuran kepala kecil dari normal Hydrocephalus = ukuran kepala > besar disertai adanya cairan di rongga tenGkorak kepala, bisa kongenital Spina bifida = (bisa pada cervical, thoracal, lumbar, sacral) Kegagalan menutup di bagian ujung canalis spinalis sehingga terbelah dua, menonjol dan berisi hernia meninges dan chorda spinalis

5 BEBERAPA ISTILAH GANGGUAN KONGENITAL (Lanjutan)
Malformasi = salah bentuk, kurang sempurna Glaucoma = tekanan bola mata meningkat, dan cataracta (kekeruhan lensa) mata bisa kongenital. Cardiac septa = sekat jantung dan klep jantung bisa bocor sejak lahir. Cleft lip = bibir sumbing cheiloschisis, labioschis- is. Palatoschisis sumbing s/d langit Atresia = lobang buntu (tidak terbentuk) Agenesis = tidak tumbuh. Conjoined twins = kembar dempet.

6 Congenital malformation of the NS (Q00 – Q07) [706 - 709]
Q00 Anencephaly & similar malformations Q00.0; Q00.1 dan Q00.2 Q01 Encephalocele Incl.: ... Excl.: ... Q00.0; Q00.1; Q00.2 dan Q00.8; Q00.9 Q02.X Microcephaly Q03 Congenital hydrocephalus Q03.0; Q03.1 dan Q03.8; Q03.9

7 Q04 Other congenital malformations of brain Excl.: ...
(Lanjutan) Q04 Other congenital malformations of brain Excl.: ... Q04.0; Q04.1; Q04.2; Q04.4; Q04.5; Q04.8; Q04.9. Pada Q04.3 dan Q04.6 ada Excl.: ... Q05 Spina bifida Incl.: ... Excl.: ... Q05.0; Q05.1; Q05.2; Q05.3 Q05.4; Q05.5; Q05.6; Q05.7 dan Q05.8; Q05.9 Q06 Other congenital malform. of spin. cord Q06.0; Q06.1; Q06.2; Q06.3; Q06.4; Q06.8; Q06.9

8 Q07 Other congenital malformation of N. S.
(Lanjutan) Q07 Other congenital malformation of N. S. Excl.: familial dysautonomia [Riley-Day] (G90.1) neurofiberomatosis (nonmaligmant) (Q85.0) Q Arnold-Chiari syndrome Q Other spec. cong. malf. of N.S Q Cong. malf. of nerv. syst., unspec.

9 Congenital malformations of eye, ear, face, & neck (Q10 – Q18) [709 -714]
Excl: ... Q10 Congenital malf. of eyelid, lacrimal app. And orbit Excl.: cryptophthalmos - NOS (Q11.2); syndrome (Q87.0) Q10.0; Q10.1; Q10.2; Q10.3; Q10.4; Q10.5; Q10.6 dan Q10.7. Q11 Anophthalmos, microphth. & macrophth. Q10.0; Q10.1. Pada Q10.2 dan Q10.3 ada Excl.: ...

10 Q12 Congenital lens formations
(Lanjutan) Q12 Congenital lens formations Q12.0; Q12.1; Q12.2; Q12.3; Q12.4; Q12.8; Q12.9. Q13 Cong. malform. of anterior segm. of eye Q13.0; Q13.1; Q13.2; Q13.3; Q13.4; Q13.5 dan Q13.8; Q13.9. Q14 Cong. malform. of post. segm. of eye Q14.0; Q14.1; Q14.2; Q14.3 dan Q14.8; Q14.9. Q15 Other cong. malform. of eye Excl.: ... Q dan Q15.8; Q15.9

11 Q16 Cong. malform. of ear causing impairment of hearing
(Lanjutan) Q16 Cong. malform. of ear causing impairment of hearing Excl.: congenital deafness (H90.-) Q16.0; Q16.1; Q16.2; Q16.3; Q16.4; Q16.5; Q16.9. Q17 Other cong. malform. of ear Excl.: preauricular sinus (Q18.1) Q17.0; Q17.1; Q17.2; Q17.3; Q17.5; Q17.8; Q17.9. Pada Q17.4 ada Excl.: ... Q18 Other cong. malform. of face & neck Excl.: ... Q18.0; Q18.1; Q18.2; Q18.3; Q18.4; Q18.5; Q18.6; Q dan Q18.8; Q18.9

12 Congenital malformation of the circulatory system (Q20 – Q28) [714 -720]
Q Cong. malf. cardiac chamb. & connections Excl.: ... Q20.0; Q20.1; Q20.2; Q20.3; Q20.4; Q20.5; Q20.6; dan Q20.8; Q20.9. Q21 Cong. malf. Cardiac septa Q21.0; Q21.1; Q21.2; Q21.3; Q21.4 dan Q21.9. Pada Q ada Excl.: ... Q22 Cong. malf. of pulmonary & tricusp. valv. Q22.0; Q22.1; Q22.2; Q22.3; Q22.4; Q22.5; Q22.6 dan Q22.8; Q22.9

13 Q23 Cong. malf. of aortic & mitral valv. Q23.0 ada Excl.: ...
(Lanjutan) Q23 Cong. malf. of aortic & mitral valv. Q ada Excl.: ... Q23.1; Q23.2; Q23.3; Q23.4 dan Q23.8; Q23.9 Q24 Other cong. malf. of heart Excl.: ... Q ada Excl.: Q ada Note: ... Q24.2; Q24.3; Q24.4; Q24.5; Q24.6; Q24.8; Q24.9. Q25 Cong. malf. Of g Cong. malf. of great art. Q25.0; Q25.1; Q25.2; Q25.5; Q25.6; Q25.7; Q25.8; Q Pada Q25.3 dan Q25.4 ada Excl.: ...

14 Q26 Cong. malf. of great vein
(Lanjutan) Q26 Cong. malf. of great vein Q26.0; Q26.1; Q26.2; Q26.3; Q26.4; Q26.5; Q25.6; dan Q26.8; Q26.9. Q27 Other cong. malf. of peripheral vasc. syst. Excl.: .. Q27.0; Q27.1; Q27.2; Q27.4 dan Q27.8; Q27.9; Pada Q27.3 ada Excl.:... Q28 Other cong. malf. of circ. syst. Excl.: ... Q28.0; Q28.1; Q28.2; Q28.3 dan Q28.8; Q28.9;

15 Congenital malformation of the respiratory system (Q30 – Q34) [720 - 722]
Q30 Congenital malformation of nose Excl.: ... Q30.0; Q30.1; Q30.2; Q30.3 dan Q30.8; Q30.9. Q31 Congenital malformation of larynx Q31.0; Q31.1; Q31.2; Q31.3; Q31.5; Q31.8; Q31.9. Q32 Cong. malformation of trachea & bronchus Q32.0; Q32.1; Q32.2; Q dan Q32.4.

16 Q33 Congenital malformation of lung Q33.0 dan Q33.6 ada Excl.: ...
(Lanjutan) Q33 Congenital malformation of lung Q dan Q ada Excl.: ... Q33.1; Q33.2; Q33.3; Q33.4; Q33.5; Q33.8; Q33.9. Q34 Other Congenital malformation of respiratory system Q34.0; Q34.1 dan Q34.8; Q34.9.

17 Cleft lip and cleft palate (Q35 – Q37) [722 – 723]
Use additional code (Q30.2) .... Excl.: ... Q35 Cleft palate Incl.:... Q35.1; Q35.3; Q35.5; Q35.7 dan Q35.9 Q36 Cleft lip Incl.: ... Excl.: ... Q36.0; Q dan Q36.9 Q37 Cleft palate with cleft lip Q37.0; Q37.1; Q37.2; Q37.3; Q37.4; Q37.5 dan Q37.8; Q37.9.

18 Other congenital malformations of the digestive system (Q38 – Q45) [723 - 728]
Q38 Other congenital malformation oftongue, mouth and pharynx Excl.: macrostomia (Q18.4); microst. (Q18.5) Q38.0, Q38.5 dan Q38.7 ada Excl.: ... Q38.1; Q38.2; Q38.3; Q38.4; Q38.6 dan Q38.8. Q39 Congenital malform. of oesophagus Q39.0; Q39.1; Q39.2; Q39.3; Q39.4; Q39.5; Q dan Q39.8; Q39.9 Q40 Other cong. malform. of upper alim. Tract Q40.0; Q40.2; Q40.3 dan Q40.8; Q40.9. Pada Q40.1 ada Excl.: ...

19 Q41 Cong. absence, atresia and stenosis of small intestine
(Lanjutan) Q41 Cong. absence, atresia and stenosis of small intestine Incl.: ... Excl.:... Q41.0; Q41.1; Q41.2 dan Q41.8; Q41.9. Q42 Cong. absence atresia and stenosis of large intestine Incl.: ... Q42.0; Q42.1; Q42.2 ; Q42.3 dan Q42.8; Q42.9. Q43 Other cong. malform. of intestine Q43.0; Q43.1; Q43.2 ; Q43.3; Q43.4; Q43.5; Q43.7 dan Q43.8; Q43.9. Pada Q43.6 ada Excl.: ....

20 Q44 Cong. malform. Of gallbl., bile d., & liver.
(Lanjutan) Q44 Cong. malform. Of gallbl., bile d., & liver. Q44.0; Q44.1; Q44.2; Q44.3; Q44.4; Q44.5; Q44.6; Q44.7. Q45 Other cong. malf. of digestive syst. Excl.: ... Q45.0; Q45.1; Q45.2; Q45.4; Q45.8; Q45.9. Pada Q45.3 ada Excl.: diabetes mellitus: - congenital (E10.-) - neonatal (P70.2) fibrocystic d. of pancr. (E.84.-)

21 Congenital malformations of genital organs (Q50 – Q56) [729 – 732]
Excl: ... Q50 Cong. malf. of ova., fall. tubes & broad lig. Pada Q50.0 ada Excl.: .. Q50.1; Q50.2; Q50.3; Q50.4; Q50.5 dan Q50.6. Q51 Cong. malf. of uterus and cervix Q51.0; Q51.1; Q51.2; Q51.3; Q51.4; Q51.5; Q51.6; Q51.7 dan Q51.8; Q51.9 Q52 Other cong. malf. of female genitalia Q52.0; Q52.3; Q52.4; Q52.5; Q52.6; Q52.7; Q52.8; Q Pada Q52.1 dan Q52.2 ada Excl.: ...

22 Q53 Undescended testicle Q53.0; Q53.1; Q53.2 dan Q53.9
(Lanjutan) Q53 Undescended testicle Q53.0; Q53.1; Q dan Q53.9 Q54 Hypospadia Excl.: ... Q54.0; Q54.1; Q54.2; Q54.3; Q54.4; Q54.8; Q54.9. Q55 Other cong. malf. Of male genital org. Excl.: ... Q55.0; Q55.1; Q55.2; Q55.3; Q55.4; Q55.5; Q55.6 dan Q55.8; Q55.9.

23 Q56 Indeterminate sex and pseudohema- phroditism
(Lanjutan) Q56 Indeterminate sex and pseudohema- phroditism Excl.: pseudohemaphroditism: - female, with adrenocort. dis. (E25.-) - male, with androgen resist. (E34.5) - with spec. Chrom. anom. (Q96-Q99) Q56.0; Q56.1; Q56.2; Q56.3; Q56.4;

24 Congenital malformations of the urinary system (Q60 – Q64) [732-735]
Q60 Renal agenesis & other reduction defects of kidney Incl.: ... Q60.0; Q60.1; Q60.2; Q60.3; Q60.4; Q60.5; Q60.6. Q61 Cystic kidney disease Excl.: ... Q61.0; Q61.1; Q61.2; Q61.3; Q61.5; Q61.8; Q61.9. Pada Q61.4 ada Excl.: ... Q62 Cong. Obstruct. Defect of renal pelvis ... Q62.0; Q62.1; Q62.2; Q62.3; Q62.4; Q62.5; Q62.6; Q62.7 dan Q62.8

25 Q63 Other cong. Malform. Of kidney Excl.: ...
(Lanjutan) Q63 Other cong. Malform. Of kidney Excl.: ... Q63.0; Q63.1; Q63.2; Q63.3 dan Q63.8; Q63.9 Q64 Other cong. malf. of urinary syst. Q Epispadias Excl.: hypospadias(Q54.-) Q64.1; Q64.2; Q64.3; Q64.4; Q64.5; Q64.6; Q dan Q64.8; Q64.9.

26 Congenital malformations & deformations of the muscuoloskeletal system (Q65 - Q79) [735 – 744]
Q65 Congenital deformities of hip Excl.: clicking hip (R29.4/ Q65.0; Q65.1; Q65.2; Q65.3; Q65.4; Q65.5; Q65.6 dan Q65.8; Q65.9. Q66 Congenital deformities of feet Excl.: ... Q66.0; Q66.1; Q66.2; Q66.3; Q66.4; Q66.5; Q66.6; Q66.7 dan Q66.8; Q66.9.

27 Q67 Cong. musculoskel. Deform. Of head, face, spine and chest.
(Lanjutan) Q67 Cong. musculoskel. Deform. Of head, face, spine and chest. Excl.: ... Q67.0; Q67.1; Q67.2; Q67.3; Q67.6; Q67.7; Q67.8. Pada Q67.4, Q ada Excl.: ... Q68 Other cong. Musculoskeletal deform. Q68.0; Q68.1; Q68.2; Q68.4; Q68.5; Q68.8. Pada Q68.3 ada Excl.: ...

28 Q71 Reduction defects of upper limb
(Lanjutan) Q69 Polydactyly Q69.0; Q69.1; Q69.2 dan Q69.9 Q70 Syndactyly Q70.0; Q70.1; Q70.2; Q70.3; Q70.4 dan Q70.9 Q71 Reduction defects of upper limb Q71.0; Q71.1; Q71.2; Q71.3; Q71.4; Q71.5; Q71.6 dan Q71.8; Q71.9. Q72 Reduction defects of lower limb Q72.0; Q72.1; Q72.2; Q72.3; Q72.4; Q72.5; Q72.6 ; Q dan Q72.8; Q71.9.

29 Q73 Reduction defects of unspecified limb Q73.0; Q73.1 dan Q73.8
(Lanjutan) Q73 Reduction defects of unspecified limb Q73.0; Q73.1 dan Q73.8 Q74 Other cong. malfrom. of limb(s) Excl.: ... Q74.0; Q74.3 dan Q74.8; Q74.9 Pada Q74.1 dan Q74.2 ada Excl.: ... Q75 Other cong. malf. Of skull and face bones Q75.0; Q75.1; Q75.2; Q75.3; Q75.4; Q75.5 dan Q75.8; Q75.9

30 Q76 Cong. malf. of spine and bony thorax Excl.: ...
(Lanjutan) Q76 Cong. malf. of spine and bony thorax Excl.: ... Q76.0, Q76.2 dan Q76.6 ada Excl.: ... Q76.1; Q76.3; Q76.4; Q76.5; Q76.7; Q76.8; Q76.9. Q77 Osteochondrodysplasia with defects ... Q77.0; Q77.1; Q77.2; Q77.3; Q77.4; Q77.5; Q77.6; Q77.7 dan Q77.8; Q77.9. Q78 Other osteochondrodysplasia Q78.0; Q78.1; Q78.2; Q78.3; Q78.4; Q78.5; Q dan Q78.8; Q78.9.

31 Q79 Cong. malform. of the musculoskeletal system, NEC Excl.: ...
(Lanjutan) Q79 Cong. malform. of the musculoskeletal system, NEC Excl.: ... Q  Excl.: congenital hiatus hernia (Q40.1) Q79.2,  Excl.: umbilical hernia (K42.-) Q  Excl.: umbilical hernia (K42) Q79.1; Q79.3; Q79.4; Q79.6 dan Q79.8; Q79.9

32 Other congenital malformations (Q80 – Q89) [745 -750]
Q80 Congenital ichthyosis Excl.: Refsum disease (G60.1) Q80.0; Q80.1; Q80.2; Q80.3; Q80.4; Q80.8; Q80.9. Q81 Epidermolysis bullosa Q ada Excl.: ... Q81.1; Q81.2 dan Q81.8; Q81.9. Q82 Other cong. malf. of skin Excl.: ... Q82.0; Q82.1; Q82.3 dan Q82.9 Q82.2, Q82.4, Q82.5 dan Q82.8 ada Excl.: ...

33 Excl.: absence of pectoral muscle (Q70.8)
(Lanjutan) Q83 Cong. malf. of breast Excl.: absence of pectoral muscle (Q70.8) Q83.0; Q83.1; Q83.2; Q83.3 dan Q83.8; Q83.9 Q84 Other cong. malf. Of integument Q84.0; Q84.2; Q84.4; Q84.5; Q84.6; Q84.8; Q84.9. Pada Q84.1; Q84.3 ada Excl.: ... Q85 Phakomatoses, NEC Excl.: ... Q85.0; Q85.1 dan Q85.9 Pada Q85.8 ada Excl.: ...

34 Q86 Cong. malf. synd. due to known exogen. causes, NEC Excl.: ...
(Lanjutan) Q86 Cong. malf. synd. due to known exogen. causes, NEC Excl.: ... Q86.0; Q86.1; Q86.2 dan Q86.8 Q87 Other spec. cong. malf. synd. affecting multiple syst. Q87.0; Q87.2; Q87.3; Q87.4; Q87.5; Q87.8. Pada Q ada Excl.: ... Q89 Other cong. malf. NEC Q89.0; Q89.1; Q89.3; Q89.7 ada Excl.: ... Q89.2; Q dan Q89.8; Q89.9

35 Chromosomal abnormalities, NEC (Q90 – Q99) [751 -754]
Q90 Down syndrome Q90.0; Q90.1; Q90.2 dan Q90.8 Q91 Edwards syndrome and Patau syndrome Q91.0; Q91.1; Q91.2; Q91.3; Q91.4; Q91.5; Q91.6 dan Q91.7 Q92 Other trisomies & partial trisomies of the outosomes, NEC Incl.: ... Excl.: ... Q92.0; Q92.1; Q92.2; Q92.3; Q92.4; Q92.5; Q92.6 Q dan Q92.8; Q92.9.

36 Q93 Monosomies and deletions from the autosomes, NEC
(Lanjutan) Q93 Monosomies and deletions from the autosomes, NEC Q93.0; Q93.1; Q93.2; Q93.3; Q93.4; Q93.5; Q93.6 Q dan Q93.8; Q93.9. Q95 Balanced rearrangements and structural markers, NEC Incl.: ... Q95.0; Q95.1; Q95.2; Q95.3; Q95.4; Q94.5; dan Q95.8; Q95.9

37 Excl.: Noonan syndrome (Q87.1)
(Lanjutan) Q96 Turner syndrome Excl.: Noonan syndrome (Q87.1) Q96.0; Q96.1; Q96.2; Q96.3; Q96.4; Q96.8; Q96.9. Q97 Other sex chromosome abnormalities, female phenotype, NEC Excl.: Turner syndrome (Q96.-) Q97.0; Q97.1; Q97.2; Q97.3 dan Q97.8; Q97.9. Q98 Other sex chrom. abn. Male phenot. NEC Q98.0; Q98.1; Q98.2; Q98.3; Q98.4; Q98.5; Q98.6; Q98.7 dan Q98.8; Q98.9

38 Q99 Other chromosomes abnormalities, NEC Q99.0 Chimera 46,XX/46,XY
(Lanjutan) Q99 Other chromosomes abnormalities, NEC Q Chimera 46,XX/46,XY Q ,XX true hermaphroite Q Fragile X chromosome Q Other specified chromosome a=bnormalities Q Chromosomal abnormality, unspecified.

39 SOAL-SOAL LATIHAN MANDIRI
Occipital encephalocele No: Congenital ectropion No: 3. Anisocoria congenital No: 4. Macrotia No: 5. DORV(double outlet right ventricle) No: 6. AVSD(atrioventricular septal defect) No: 7. Coartation aortae No: 8. Cyptorchism NOS No: 9. Multiple congenital malformations No: 10. Down’s syndrome (Trisomy 21) No:

40 Soal-soal latihan mandiri (Lanjutan-1)
11. Spina bifida lumbar & hidrosefalus No: 12. Saluran air mata tersumbat kongen. No: Afakia kongenital No: Telinga tidak tumbuh sejak lahir No: Tetralogi Fallot No: 16. Jari-2 tumbuh saling melekat seperti kaki No: 17. Kaki tumbuh mirip tongkat golf No: Kembar siam dua, dempet di kepala No: 19. Albino generelized No: 20. Pes fagus No:

41 21. Kelenjar air mata tidak terbentuk No:
(Lanjutan-2) 21. Kelenjar air mata tidak terbentuk No: Bola mata tidak terbentuk No: 23. Pentalogi Fallot No: 24. Mitral stenosis kongenital No: 25. Bronchiectasis congenital No: 26. Pyloric spasm congenital No: Ibu jari tumbuh dua pada satu tangan No: Epidermolysis bullosa No: Transposition of appendix No: Accessory breast (Supernumerary breast) No:

42 31. Bayi lahir dengan ginjal tidak terbentuk No:
(Lanjutan-3) Bayi lahir dengan ginjal tidak terbentuk No: 32. Bayi lahir berkelamin ganda No: 33. Lubang dubur tidak terbentuk No: Lahir dengan jantung letak kanan No: Lahir dengan stenosis katub aorta No: Lahir tanpa kepala No: Lahir tanpa daun telinga No: Megaloureter congenital No: Oxycephaly No: Xeroderma pigmentosum No: