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KSPP II

ICD-10 BAB XIV


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PRODI PEREKAM DAN INFORMASI KESEHATAN UNIVERSITAS JENDERAL ACHMAD YANI YOGYAKARTA
CHAPTER XIV (N00-N99)
Diseases Of The Genitourinary System

Penyakit Sistem Kemih-Kelamin.


• Excl:... Perhatikan keterangan pada excludes!
• Bab terbagi dalam 11 blok
N00-N08 Penyakit Glomeruler
N10-N16 Penyakit tubulo-interstisil
N17-N19 Renal failure (Gagal Ginjal)
N20-N23 Urolithiasis (Batu sistem kemih)
N25-N29 Gangguan ginjal (Kidney) & ureter
(saluran yang keluar dari ginjal ke vesica
urinaria)

3
(Lanjutan)

N40-N51 Penyakit organ kelamin pria


N60-N64 Gangguan payu dara
N70-N77 Penyakit radang organ pelvic wanita
N80-N98 Gangguan non-radang saluran kelamin
wanita
N99 Gangguan lain-lain sistem genito-urinaria

Ada 9 kode ber-*: N08* N16* N22* N29* N33* N37*


N51* N74* N77*.

4
Glomerular diseases (N00-N08)
Perhatikan keterangan di bawah judul ini:
Ada tambahan:
Use additional code, if desired, to identify associated
chronic kidney disease (N18.-)

Use additional code, .... (Gunakan code tam-bahan,


bila menginginkan, untuk mengidenti-
fikasi external cause (Chapter XX) atau adanya gagal
ginjal (renal failure) (N17-N19)

Excl.: hypertensive renal disease (I12.-)

5
(Lanjutan)

Disediakan karakter ke 4 ( .0  .9 )
Karakter ke-4 dimaksud untuk melengkapi
sub-devisi N00-N07.

Sudivisi .0 - .8 tidak umum digunakan kecuali


telah ada hasil biopsi ginjal atau autopsy.

Kategori 3-karakter berkaitan dengan sindorma


klinis.

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(Lanjutan)

Tawaran kelengkapan code 4 karakter muncul


di bawah masing judul kategori N00 - N07

N08* Gangguan glomerular pada penyakit-2 yang


terklasifikasi di bab-bab lain. Nomor kode yang akan
dipasangkan dengan

N08* harus diberi ! (dagger).


N08.0*; N08.1*; N08.2*; N08.3*; N08.4*;
N08.5*; N08.8*
septicaemia diganti dengan sepsis (A04-
A41 )

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Renal tubulo-interstitial diseases
(N10-N16)

Incl.: ....
Ada tambahan:
Use additional code, if desired, to identify
associated chronic kidney disease (N18.-)

Excl.: ....

8
(Lanjutan)

• N10 dan N11


Ada use additional code (B95-B97), if desired to
identify infectious agent.

• N12 dan N13, N13.0; N13.1; N13.2; N13.3;


N13.4; N13.5 ada Excl.: ....

Perhatikan pada N13.6 ada Use additional ...


N13.7 juga: Ada Excl.: ....
N13.8 ; N13.9

9
(Lanjutan)

• N14
Ada Use additional ....
N14.0; N14.1; n14.2; N14.3; N14.4

• N15 (N15.0; N15.1; N15.2; N15.8;


pada N15.9 ada Excl.: ....

• N16*
Ada perbaikan pada N16.0 yakni:
Septicaemia diganti dengan Sepsis

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Renal failure (N17-N19)

• Use addiitonal ....


Excl.: ....

• N17 Acute renal failure


Tambah:
Incl.: Acute renal impairment

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Banyak perbaikan pada N18

• N18 Chronic kidney disease


Incl.: chronic renal failure
chronic uraemia
diffuse sclerosing glomerulo-nephritis
Use additional code, if desired, to identifying
underlying disease

Excl.:chr. renal failure with hyperten..(I12.0)

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(Lanjutan)

• N18.0 dan N18.8 dihapus!


Ditambah dengan:

• N18.1 Chronic kidney disease, stage 1


Kidney damage with normal or increased GFR
(>90 mL/min)

• N18.2 Chronic kidney disease, stage 2


Kidney damage with mild decreased GFR
(60-89 mL/min)

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(Lanjutan)

• N18.3 Chronic kidney disease, stage 3


Kidney damage with moderate decreased
GFR (30-59mL/min)

• N18.4 Chronic kidney disease, stage 4


Kidney damange with severely decreased GFR
(15-29 mL/min)

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(Lanjutan)

• N18.5 Chronic kidney disease, stage 5


Chronic uraemia.
End-stage kidney disease.
- in allograft failure
- NOS
- on dialysis
- without dialysis or transplant
Renal retinitis (H32.8*)
Ureamic:

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(Lanjutan)

Ureamic
- apoplexia (I68.8*)
- dementia (F02.8*)
- neuropathy (G63.8*)
- paralysis (G99.8*)
- pericarditis (I32.8*)

N18.9 Chronic kidney disease, unspecified

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(Lanjutan)

Uraemic:
- apoplexia (I68.8*)
- dementia (F02.8*)
- neuropathy (G63.8*)
- paralysis (G99.8*)
- pericarditis (I32.8*)

•N18.9 Chronic kidney disease, unspecified

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(Lanjutan)

• N18.9 Chronic kidney disease,


unspeciied

• N19 Unspecified kidney failure


Incl.: renal insufficiency NOS
Excl.: kidney failure with hyper-
tension (I12.0)
uraemia of newborn (P96.0)

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Urolithiasis (N20-N23)

• N20 Calculus of kidney and ureter


Incl.: calculus pyelonephritis
Excl.: with hydronephrosis (N13.2)
N20.0; N20.1; N20.2;
N20.9 Calculus of lower urinary tract,
unspecified.
• N21: N21.0; N21.1; N21.8; N21.9
• N22*: N22.0*; N22.8*
• N23 Unspecified renal colic

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Other disorders of kidney and ureter
(N25 – N29)
Excl.: metabolic disorders classifiable
to E70 – E90
E25.0; E25.1; E25.8 dan E25.9

N26 Unspecified contracted kidney


Ada perubahan pada:
Excl.: menjadi Contracted kidney due to
hypertension (I12.-)

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(Lanjutan)

• N28 Other disorders of kidney and ureter, NEC.


Excl.: ....
N28.0; N28.1; N28.8 dan N28.9

• N29* Other disorders of kidney and ureter in other


diseases classified elsewhere
N29.0*;
N29.1*;
N29.8* Other disorders ....
Ada tambahan:
Cystine storage disease (E72.0 )
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Other Diseases of urinary system
(N30-N39)

Tambahan ada pada


• N39 Other disorders of urinary system.

N39.3 Stress incontinence


Ditambah:
Use additional code (N32.8), if desired, to
identify overactive bladder or destrusor
muscle hyperactivity.

22
(Lanjutan)

Tambahan pada:
N39.4 Other specified urinary incontinence
Overflow
dst.

Use additional code (N32.8), if desired, to


identify overactive bladder or detrusor
muscle hyperactivity
Excl.: dst.

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Diseases of male genital organs
(N40-N51)
• N40 Hyperplasia of prostate
• N41 Inflamatory diseases of prostate
N41.0; N41.1; N41.2; N41.3; N41.8; N41.9
• N42 Other disorders of prostate
N42.0; N42.1; N42.2
Ada tambahan:
N42.3 Dysplasia of prostate
Low grade dysplasia
Excl.: high gradw dysplasia of prostate
(D07.5)

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(Lanjutan)

• N43; N44; N45; N46; N47; N48; N49;


• N50; s/d N51* tidak ada tambahan atau perubahan.

Tidak ada perubahan/tambahan pada!


- Disorders of Breast (N60-N64)
- Inflammatory dis. of female ....(N70-N77)
- Noninflammatory .... (N80-N98)
- Other disorders of the genitour-...(N99)

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Latihan Penyelesaian Soal-Soal
1. Sindroma nefrotik dengan lesi mininal glomerular
yang kongenital No: N04.0
2. Gangguan glomerular pada multiple myeloma No: C90.0† N08.1*
3. Gangguan glomerular pada neuropathic
heredofammilial amyloidosis No:E85.1† N08.4*
4. Chronic obstructive pyelonephritis, hasil
laboratorium kuman: E Coli (+) N11.1 , B96.2
5. Analgesic nephropathy, akibat keracunan N14.0, T39.1, Y10.99
paracetamol dibeli di toko obat tanpa resep 50 tablet diminum
sekaligus, di rumah No: No:
6. Gangguan renal tubulo-insterstitial pada SLE No: M32.1 † , N16.4
No:
7. Fibroadenoma prostate No:
8. Balanitis amebic No: No:
9. Salpingoophoritis infeksi stafilokokal No: No:
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10. Endometriosis pada usus No:
Soal-Soal Latihan Mandiri

1. Gagal ginjal kronik dengan uremic pericarditis No: No;


2. Hydronephrosis dengan batu ginjal No:
3. Polymenorrhae pada siklus mens normal No:
4. Fractur tumit postoophorectomy osteoporosis No:
5. Infertile akibat tuba tersumbat No:
6. Multiple cyst pada ginjal, kongenital No:
7. Cystitis GO, pria No:
8. Batu pada ginjal dan ureter No:
9. Gagal ginjal pada hepatorenal sindrom No: No:
10. Infeksi ginjal No:
11. Gangguan renal tubulo-insterstitial septicaemia No: No:
infeksi kuman anaerob
12: Mastitis sedang menyusui No:
13. Fibroadenosis mammae No:
14. TB prostate No: No:
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Latihan Penyelesaian Soal-Soal
1. Sindroma nefrotik dengan lesi mininal glomerular
yang kongenital No:
2. Gangguan glomerular pada multiple myeloma No: No:
3. Gangguan glomerular pada neuropathic
heredofammilial amyloidosis No: No:
4. Chronic obstructive pyelonephritis, hasil
laboratorium kuman: E Coli (+) No: No:
5. Analgesic nephropathy, akibat keracunan
paracetamol dibeli di toko obat tanpa resep No: No:
6. Gangguan renal tubulo-insterstitial pada SLE No: No:
7. Fibroadenoma prostate No:
8. Balanitis amebic No: No:
9. Salpingoophoritis infeksi stafilokokal No: No:
10. Endometriosis pada usus No:
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Soal-Soal Latihan Mandiri

1. Gagal ginjal kronik dengan uremic pericarditis No: No;


2. Hydronephrosis dengan batu ginjal No:
3. Polymenorrhae pada siklus mens normal No:
4. Fractur tumit postoophorectomy osteoporosis No:
5. Infertile akibat tuba tersumbat No:
6. Multiple cyst pada ginjal, kongenital No:
7. Cystitis GO, pria No:
8. Batu pada ginjal dan ureter No:
9. Gagal ginjal pada hepatorenal sindrom No: No:
10. Infeksi ginjal No:
11. Gangguan renal tubulo-insterstitial septicaemia No: No:
infeksi kuman anaerob
12: Mastitis sedang menyusui No:
13. Fibroadenosis mammae No:
14. TB prostate No: No:
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