SOAL :
1. Laki – laki usia 44 tahun menderita hipertensi sekunder pada mata. Tentukan kode ICD10
kasus tersebut!
3. Seorang wanita usia 36 tahun dengan kehamilan berusia 24 minggu, hamil didiagnosis
varicose veins pada tungkai bawah sinistra. Kemudian dilakukan tindakan veins stripping.
Tentukan kode ICD -10 dan ICD-9-CM untuk tindakan nya !
4. Seorang wanita usia 45 tahun dibawa ke UGD rumah sakit dalam keadaan tidak sadarkan
diri paska kecelakaan lalu lintas.
Diagnosis : Perdarahan subarachnoid basis cranii et causa KLL (Kecelakaan Lalu Lintas)
Prosedur : Craniotomy Dekompresi dan CT Scan Kepala
Tentukan kode diagnosis dan kode tindakan untuk pasien tersebut!
Nama : Naiya Salsabilla Larasati
Nim : 22.0.A.1640
Kelas : 2A RMIK
JAWABAN :
1. LT : Hypertension, hypertensive
V3 : Hypertension, hypertensive
(accelerated) (benign) (essential)
(idiopathic) (malignant) (primary)
(systemic) I10
- ocular H40.0
V1 : H40.0 Glaucoma suspect
Ocular hypertension
-KODE AKHIR : H40.0
2. LT : Insufficiency, insufficient
V3 : Insufficiency, insufficient
- renal (see also Failure, kidney) N19
V1 : Unspecified kidney failure
Renal insufficiency NOS
Uraemia NOS
Excludes: kidney failure with hypertension ( I12.0 )
uraemia of newborn ( P96.0 )
V1 : I12.0 Hypertensive renal disease with renal failure
Hypertensive renal failure
LT : Edema, edematous
V3 : Edema, edematous R60.9
- lung (acute) J81
- - with heart condition or failure (see
also Failure, ventricular, left) I50.1
V1 : I50.1 Left ventricular failure
Oedema of lung
Pulmonary oedema } with mention of heart disease NOS or heart failure
Cardiac asthma
Left heart failure
KODE AKHIR : I12.0 DAN I50.1
3. LT : Varicose
V3 : Varicose
- vein (lower limb) (ruptured) I83.9
V1 : I83 Varicose veins of lower extremities
Excludes: complicating:
· pregnancy ( O22.0 )
· puerperium ( O87.8 )
V1 : O22.0 Varicose veins of lower extremity in pregnancy
Varicose veins NOS in pregnancy
KODE AKHIR : O22.0
LT : STRIPPING
Varicose Veins (lower limb) 38.59
KODE AKHIR : 38.59
4. LT : Hemorrhage, hemorrhagic
V3 : Hemorrhage, hemorrhagic R58
- subarachnoid (nontraumatic) I60.
V1 : I60.4 Subarachnoid haemorrhage from basilar artery
KODE AKHIR : I60.4
LT : CRANIECTOMY 01.25
01.24 Other Craniotomy
Cranial
decompression
LT : SCAN, SCANNING
C.A.T
Head 87.03
KODE AKHIR : 01.24 dan 87.03