KKPMT I

Pertemuan 7
dr. Mayang Anggraini
Prodi RMIK, Fakultas Ilmu-ilmu Kesehatan
 KKPMT I
7
ICD-10 CHAPTER XIII
Diseases of the musculoskeletal
system
and connecive tissue
(M00-M99)

DISUSUN OLEH
dr. Mayang Anggraini Naga
(Revisi 2017)

2
 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)

3
(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)

4
 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
5
(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.

6
 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).

7
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 9. Site unspecified
8
 Bab XIII memuat Block (Blok):

M00-M25 Arthropathies [560 - 573]

• M00-M03 Infectious arthropathies

(Gangguan sendi yang infeksi)
Contoh: [560-561]
Staphylococcal arthritis & Polyarthritis M00.0
Post-meningococcal arthritis A39.8 M03.0*
Meningococcal arthritis  A39.8 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 M00.8 Use ad..
9
(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
[See site code at the beginning of this chap.]
Excl.; ...
M02.0; M02.1; M02.2; M02.3 dan M02.8; M02.9.
• M03* Postinfect. And react. Arthropathies in ....
[See site code at the beginning of this chap.]
Excl.; ..
M03.0*; M03.1*; M03.2* ada Excl.: ... ; M03.6*.
10
 M05 – M14 Inflamatory polyarthropathy
[562-566] (Peradangan pada banyak sendi)

Contoh: Rheumatoid arthritis menyerang otot jantung

 M05.3 I41.8*
Arthropathy sendi pinggul pada ulcerative colitis
 K51.9 M07.5* 5
Arthropathies pada thyrotoxicosis E05.- M14.5*

Apa arti (–) di belakang E05.- ?

• M05 Seropositive rheum. Arthritis

[See site code at ..... ]
Excl.: ...
M05.0; M05.1 ; M05.2; M05.3 ; M05.8; M05.9
11
(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*

12
(Lanjutan)

• M08 Juvenil arthritis

[See site code at ..... ]
Incl.: .... Excl.: ...
M08.0; M08.3; M08.4; M08.8; M08.9.
Pada M08.1, M08.2 ada Excl.: ...

• M09* Juvenil arthritis in dis. cl. elsew.

[See site code at ..... ]
Excl.: ...
M09.0*; M09.1*; M09.2* dan M09.8*

13
(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

[See site code at ..... ]
M11.0; M11.1; M11.2 dan M11.8; M11.9

14
(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

[See site code at ..... ]
Excl.: ...
M13.0; M13.1 dan M13.8; M13.9

15
(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*)

16
 M15-M19 Arthrosis [566-568]
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
17
(Lanjutan)

• M16 Coxarthrosis [arthrosis of hip]

M16.0; M16.1; M16.2; M16.3; M16.4; M16.5;
M16.6 ; M16.7 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; M19.2 dan M19.8; M19.9;
18
 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

19
(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

Excl.: ...
M22.0; M22.1; M22.2; M22.3; M22.4 dan
M22.8; M22.9

20
 (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.)
Excl.: ...
M24.0, M24.1, M24.2; M24.3; M24.4; M24.5; M24.6
dan M24.8 ada Excl.: ...
M24.7 dan M24.9.
21
(Lanjutan)

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

Bergantung primer atau sekunder.

22
(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 M25.4 ada Excl.: ...

M25.1; M25.2; M25.5; M25.6; M25.7; M25.8; M25.9

23
 Systemic connective tissue disorders
(M30-M36)
(Gangguan jaringan ikat sistemik) [573 – 576]

Incl.: ...
Excl.: ...
Contoh: SLE (systemic lupus erythematosus)
menyerang paru  M32.1 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.: ...
24
(Lanjutan)

• M32 Systemic lupus erythematosis

Excl.: ...
M32.0; M32.1 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.
M34.2 ada Use additional external cause code
(Chapter XX), if disired, to ...
25
(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.

Excl.: ...
M36.0*; M36.1*; M36.2*; M36.4* dan M36.8*
Pada M36.3* ada Excl.: ...

26
 M40 - M54 Dorsopathies [576-583]

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
27
(Lanjutan)

Contoh:
Postural kyphosis Vert. Th 11-12  M40.0 4
Torticollis Vert C 5-6  M43.6 2
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

28
(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

[See site code before M40]
Excl.: ...
M42.0 ada Excl.: ...
M42.1 dan M42.9

29
(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.: ...

30
 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
[See site code before M40]
Incl.: ...
M47.0 ; M47.2 dan M47.8; M47.9.
Pada M47.1 ada Excl.: ...

31
(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.: ...

32
 Contoh:

Tbc tulang punggung (Spondylitis Tbc)

(Pott’s curvature) Thoracal 11-12 
A18.0 M49.0* 4
Metastatic fracture of vertebra L1-2, dari
Carcinoma payu dara 
C79.5 M49.5* 6 M8010/6
Tumor ganas primernya  C50.9 M8010/3

Neuropathic-spondylopathy pd syringomyelia 
C7 G95.0 M49.4* 2

33
 (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 M51.1 ada Excl.: ...
M51.2; M51.3; M51.4 dan M50.8; M50.9
34
(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
[See site code before M40]
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.

35
 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).

36
 M60 – M79 Soft Tissue Disorders
[583 – 591]
Termasuk ini:
M60 - M63 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.-)
37
 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.

38
Bab XIII, Blok: (lanjutan - 6 )

• M60 Myositis
[See site code at the beginning of this chap.]
M60.0 ada Use additional code (B95 – B98) ....
M60.2 ada Excl.: ..
M60.1 dan M60.8; M60.9.

• M61 Calcification and ossification of muscle

[See site code at the beginning of this chap.]
M61.0; M61.1; M61.2; M61.3; M61.5 dan M61.9.
Pada M61.4 ada Excl.: ...

39
(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*

40
M65 – M68 Disorders of Synovium & Tendon
[585 – 587]

• M65 Synovitis & tenosynovitis

[See site code at the beginning of this chap.]
Excl.: ...
M65.0 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.: ...

41
(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.: ....

42
(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*

43
 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.

• M71 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.: ....

44
 (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
[See site code at the beginning of this chap.]
M73.0* Gonococcal bursitis
M73.1* Syphilitic bursitis
M73.8* Other soft t. dis. in d. cla. elsew.

45
(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)

46
 (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

[See site code at the beginning of this chap.]
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.

47
M80-M94 Osteopathies & Chondropathies
(Gangguan tl. dan tl. rawan) [592-599]
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. ...
48
(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

[See site code at the beginning of this chap.]
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 ....

49
(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 M84.4 ada Excl.:...
• M85 Other dis. of bone density & structure
[See site code at the beginning of this chap.]
Excl.:
M85.1; M85.2; M85.3 dan M85.9.
Pada M85.0; M85.4; M85.5; M85.6 dan M85.8
ada Excl.:...

50
 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

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 (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.
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(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
[see site code ….]
M90.0* dan M90.7* ada Excl.:...
M90.1*; M90.2*; M90.3*; M90.4*; M90.5*; M90.6*; M90.8*
53
 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

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(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.: ...

55
 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

Excl.: ...
M96.0; M96.1; M96.2; M96.3; M96.4; M96.5 dan
M96.8; M96.9
Pada M96.6 ada Excl.: ...
56
 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
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5 Pelvic: region hip, pubic

6 Lower extremity
7 Upper extremity
acromioclavicular,
sternoclavicular
8 Rib cage
costochondral,
costovertebral,
sternochondrial.
9 Abdomen and other

58
 (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
intervertebral foramina
• M99.8 Other biomechanical lessions
• M99.9 Biomechanical lession, unspecified.
59
 Contoh Soal-Soal

Telusuri istilah di halaman buku (Volume 3) -> kemudian kontrol

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

1. Arthritis pada penderita Hansen disease (BB

leprosy) No:
2. Post infections arthropathies karena viral hepatitis
B acute No:
3. Juvenile arthritis pada Crohn’s disease
No:
4. Arthrosis pada joint karena jatuh 2 tahun yang lalu
No:
5. Kronik instability pada caspul ligamnent lutut
No:
6. SLE dengan gangguan ginjal No:
7. Sicca syndromes dengan keratoconjunctivitis
No:
8. Haemophilic arthropathy defisiensi faktor IX,
herediter No: 61
 (Lanjutan)

9. Pott’s kyphosis pada vert. cervical C2 No:

10. Thoracogenic scoliosis (thoracic region) No:

11. Postmenopausal osteoporosis with
pathological fracture No:
12. Osteomyelitis chronic akibat infeksi
gigi dan gusi No:
13. Osteomyelitis komplikasi infeksi
Salmonella typhosa No:

14. Tendon flexor robek spontan No:

15. Disfungsi somatik dan segmental regio lumbar No:

62
 Jawaban Soal-Soal Latihan Mandiri

1. Arthritis pd. penderita Hansen dis. (B leprosy)

(62) No: A30.- M01.3*  [113]  No: A30.3
[561] No: A30.- M01.3*
Perhatikan code site code di [558-559]
 A30.3 M01.3*

2. Post infections arthropathies karena viral hepatitis

B acute
(64) No:B19.9 M03.2*[140139] B16.9 03.2* 9

3. Juvenile arthritis pada Crohn’s disease

(63) No: K50.- M09.1*  [509]  K50.9 M09.1* 9
[564]

63
(Lanjutan)

4. Arthrosis pada joint karena jatuh 2 tahun yang lalu

(65) No: M19.1  [568] M19.1 9

5. Kronik instability pada capsul ligamnent lutut

(377) M23.5  [571]  No: M23.5 7

6. SLE dengan gangguan ginjal No:M32.9

(612)  M32.9  [574] M32.1 (N08.5*, N16.4*)

 [607, 610] No: M32.1 N08.5*
No: M32.1 N16.4*

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(Lanjutan)

7. Sicca syndromes dengan keratoconjunctivitis

(606) M35.0  [575] M35.0 H19.3*
[387] H19.3* (M35.0 )

8. Haemophilic arthropathy defisiensi faktor IX,

herediter
(64) D66 M36.2*  [235]  D67 
[570]  D67.X M36.2*

9. Pott’s kyphosis pada vert. cervical C2

No: A18.0 M49.0* 2
(526)  [580]  [See site code before M40]

65
(Lanjutan)

10. Thoracogenic scoliosis (thoracic region)

(568-569)  [577 576] No:M41.3 4

10. Postmenopausal osteoporosis with pathologicl

fracture
(492) [592] No: M80.0 9
Apa disertai disuse?  M80.2  No: M80.2 9

12. Osteomyelitis chronic akibat infeksi gigi dan gusi

(492) No: M86.6  [595]
Pada M86 ada Use additional …
 No: M86.6 9  (492)  [494] K10.2 B99.X

66
(Lanjutan)

13. Osteomyelitis komplikasi infeksi salmonella

typhosa
(492) [596]  No:A01.0 M90.2* 9

14. Tendon flexor robek spontan

(562)  see also injury muscle flexor  site lokasi?
Ruptur tendon spontan No: M66.5 9
[586] M66.5 9 Spontaneous rupt. of unspec. tendon

15. Disfungsi somatik dan segmental regio lumbar

(240)  M99.0 [602]  [601] No: M99.0 3

67