KKPMT 3

TIM DOSEN KKPMT

PERTEMUAN 8
BAB XV, KEHAMILAN,
KELAHIRAN
& MASA NIFAS (O00-O99)

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 BAB XV, KEHAMILAN, KELAHIRAN
& MASA NIFAS (O00-O99)
EXCLUDESs (Tidak termasuk ke Bab ini) adalah:

Penyakit dan Cedera tertentu yang mengaki-batkan

komplikasi kehamilan, persalinan, melahirkan dan
masa nifas yang terklasifikasi tempat lain-lian.
Penyebab luar lain (mortalitas) (VWXY)
Cedera, keracunan dan konsekuensi tertentu lain
akibat sebab luar (S00-T88.6-T98)
Gangguan mental dan prilaku berkaitan dengan
masa nifas (F23.-)

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Obstetrical tetanus (A34)

Post partum necrosis of pituitary gland (E23.0)
Osteomalacia postpartum (M83.0)
Supervisi dari:
Kehamilan berisiko tinggi (Z35-)
Kehamilan normal (Z34.-)

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 Bab XV (Lanjutan-1)

Bab ini meliput 8 blok sebagai berikut: (hal. 1-641)

O00-O08 Kehamilan dengan abortus
O10-O16 Edema, proteinuira & gangguan hipertensi
pada kehamilan, kelahiran & nifas
O20-O29 Gangguan-2 maternal lain yang utamanya
terkait kehamilan.
O30-O48 Asuhan maternal terkait janin, kantung
ketuban yang kemungkinan menimbulkan
masalah persalinan/kelahiran
O60-O75 Komplikasi persalinan dan kelahiran
O80-O84 Kelahiran/Metode persalinan
O85-O92 Komplikasi yang utamanya berkaitan
dengan masa nifas
O95-O99 Kondisi-kondisi lain obstetrik, NEC
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 Kehamilan dengan hasil Abortus
(O00-O08)
EXCL.: kehamilan berlanjut setelah satu atau
lebih dari satu janin gugur pada
suatu
kehamilan multipel.

Perhatikan:
O00 Ectopic pregnancy (Kehamilan di luar
kandungan)
Incl.: …
Use additional code dari …O08.-
O00.0 ada Excl.: ..
O00.1; O00.2 dan O00.8; O00.9

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O01 Hydatidiform mole

Use additional code dari … O08.-
Excl.: ...
O01.0; O01.1 dan O01.9
(mole = masa dalam uterus)
= proliferasi dan degenerasi cystic dari
chori- onic villi, bisa partial bisa komplit)

O02 Produk konsepsi abnormal lain-lain

(Other abnormal products of conception)
Use additional code dari … O08.-
Excl.: …
O02.0 dan O02.9
Pada O02.1 dan O02.8 ada Excl.: ...

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 [645]
The following fourth-character subdivision are for
use with categoris O03 – O06
Note: Incomplete abortion includes retained products
of conception following abortion.
[645]
.0 Incomplete, ... .5 Complete or unspeficied
.1 .6
.2 .7
.3 .8
.4 .9

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Kehamilan dengan hasil Abortus
(O00-O08) (Lanjutan-1)

Perhatikan:
Penjelasan di halaman [645] Volume 1:
Ada tersedia subdivisi dengan tambahan code
karakter ke-4 untuk melengkapi O03-O06

Adanya: [hal. 646]

[See before O03 for subdivisions] atau
yang ada pada masing-masing code terkait (O03-
O06)

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O03 Spontaneous abortion

[See before O03 for subdivisio]
Incl.: ...

O04 Medical abortion

[See before O03 for subdivision]
Incl.: ...

O05 Other abortion

[See before O03 for subdivision]

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O06 Unspecified abortion

[See before O03 for subdivision]
Incl.: ...

O07 Failed attempted abortion

Incl.: ..
Excl.: ...
O07.0 s/d O07.9

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(O00-O08) (Lanjutan-2)

O08 Complicating following abortion &

ectopic & molar pregnancy

Note: This code is provided primary for

morbidity coding. For use of this
category reference sholud be made to
the morbidity coding rules & quidelines
in Volume 2.
O08.0 dan O08.3 ada Excl.: ...
O08.1; O08.2; O08.4; O08.5; O08.6; O08.7 dan
O08.8; O08.9

(ectopia = satu posisi abnormal dari organ atau bagian tubuh,

seringnya adalah kongenital)
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Oedema, proteinuria and hypertensive disorders in
pregnancy, childbirth and the puerperium
(O10-O16)
O10 Pre-existing hypertension complicating
pregnancy, childbirth & the puerperium
Incl.: the listed conditions with pre-
existing proteinuria
Excl.: that with increased or super-
imposed proteinuria (O11)
O10.0 s/d O10.4 dan O10.9

O11 Pre-eclampsia superimposed on chron. hypert. Incl.: ...

(Puerperium=Kondisi saat persalinan atau setelah melahirkan

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O12 Gestational [pregnancy-induced] oedema

and proteinuria without hypertension
O12.0; O12.1 dan O12.2

O13 Gestational [pregnancy-induced] hyper-

tension
Incl.: ...

O14 Pre-eclampsia
Excl.: ..
O14.0 mild; O14.1 severe; O14.2 HELLP s.
dan O14.9
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Perhatikan penjelasan pada masing-masing code

O15 Eclampsia
Ada koreksi dengan tambahan:
Incl.: convulsion following conditions in
O10-O14 and O16
eclampsia with pregnancy –induced
or
pre-existing hypertension.
O15.0; O15.1; O15.2 dan O15.9
(1. kejang-kejang. 2. satu kondisi sakit yang timbul,
umumnya pada pertengahan masa kehamilan dan disertai
darah tinggi, proteinuria, edem dan kejang)

O16 Unspecified materal hypertension

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 Other maternal disorders predominantly
related to pregnancy (O20-O29)

Note: Categories O24.- and O25 include the listed

conditions even if they occure during
childbirth or the puerperium.

Excludes: maternal:
care related to the fetus and amniotic cavity & possible
delivery problems (O30-O48)

Disease classifiable elsewhere but complicating

pregnancy, labour (labor) and delivery, and the
puerperium (O98-O99).

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O20 Haemorrhage in early pregnancy

Excl.: ..
O20.0; dan O20.8; O20.9

O21 Excessive vomiting in pregnancy

O21.0; O21.1; O21.2 dan O21.9
Pada O21.8 ada Use additional ...

O22 Venous complications & haemorrh. in

preg. Excl.: ...
O22.0 s/d O22.5 dan O22.8; O22.9

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O24 Diabetes mellitus in pregnancy

Incl.: …
O24.0 (DM tipe 1); O24.1 (DM tipe 2)
O24.2; O24.3; O24.4 dan O24.9

O25 Malnutrition in pregnancy

Incl.: ...

O26 Maternal care for other conditions

pre-domin. related to preg.
O26.0; O26.2; O26.6 dan O26.7 ada
Excl.: ..
O26.1; O26.3; O26.4; O26.5 dan O26.8;
O26.9
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O28 Abnormal findings on antenatal screening of

mother.
Excl.: ...
O28.0 s/d O28.5 dan O28.8; O28.9

O29 Complications of anaesthesia during preg.

Incl.: ...
Excl.: ...
O29.0 s/d O29.6 dan O29.8; O29.9

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 Maternal care related to the fetus and amniotic
cavity and possible delivery problems (O30-O48)

O30 Mutiple gestation

Excl.: ...
O30.0; O30.1; O30.2 dan O30.8; O30.9

O31 Complications specific to multiple gestation

Excl.: ...
O31.0; O31.1; O31.2 dan O31.8

O32 Maternal care for known or susp. malpres.

Incl.: .... Excl.: ....
O32.0 s/d O32.6 dan O32.8; O32.9

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O33 Maternal care for known or suspected

disproportion
Incl.: ... Excl.: ...
O33.0 s/d O33.9

O34 Maternal care for known or suspected

abnormality of pelvic organs
Incl.: ... Excl.: ...
O34.0; O34.3; O34.4; O34.5 dan O34.8; O34.9
Pada O34.1; O34.2; O34.6 dan O34.7 ada
Excl.: ....
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O35 Maternal care for known or suspected fetal

abnormality and damage
Incl.: .. Excl.: ...
O35.0; O35.2; O35.5 ada Excl.: ...
O35.1; O35.3; O35.4; O35.6; O35.7; O35.8
dan O35.9
O36 Maternal care for other known or suspected
fetal problems
Incl.: .. Excl.: ...
O36.0 s/d O36.3; O36.5 s/d O35.9
Pada O36.4 ada Excl.: ...
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O40 Polyhydramnios
Excl.: hydramios

O41 Other disorders of amniotic fluid & membr.

Excl.: ...
O41.0; O41.1 dan O41.8; O41.9

O42 Premature ruptur of membranes

O42.0 (dalam 24 jam)
O42.1 ada Excl.: ...
O42.2 dan O42.9
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O43 Placental disorders

Excl.; ...
O43.0; O43.1 dan O43.8; O43.9
Pada O43.2 ada Use additional code, if ...

O44 Pacenta praevia

O44.0
O44.1 ada Excl.:...

O45 Premature sperat. of plac. [abruptio plac.]

O45.0 dan O45.8; O45.9

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O46 Antepartum haemorrhage, NEC

Excl.: ...
O46.0; O46.8; O46.9

O47 False labour

O47.0; O47.1 dan O47.9

O48 Prolonged pregnancy

Incl.: post-dates
post-term

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Complications of labour and delivery
(O60-O75) [662 – 670]

O60 Preterm delivery

Incl.: ...
O60.0; O60.1; O60.2 dan O60.3

O61 Failed induction of labour

O61.0; O61.1 dan O61.8; O61.9

O62 Abnormalities of forces of labour

O62.0 s/d O62.3; dan O62.8; O62.9
O62.4 ada Excl.: ...
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O63 Long labour

Perhatikan hubungan long labour
dengan kala persalinan.
O63.0 ( first stage); O63.1 (second
stage)
O63.2 dan O63.9

O64 Obstructed labour due to malposition &

malpresentation of fetus (sebab adalah
letak/presentasi janin)
O64.0 s/d O64.3; O64.5 dan O64.8;
O64.9
Pada O64.4 ada Excl.: ...
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O66 Other obstructed labour

O66.0 s/d O66.5 dan O66.8; O66.9

O67 Labour & delivery complcated by

intra- partum haem., NEC
Excl.: ...
O67.0 dan O67.8; O67.9

O68 Labour & deliv. compl. by fetal stress

Incl.: ...
O68.0; O68.1 ada Excl.:...
O68.2; O68.3 dan O68.8; O68.9

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O69 Labour and delivery complicated

by
umbilical cord complications
O69.0 s/d O69.5 dan O69.8;
O69.9

O70 Perineal laceration during delivery

(Luka lecet/gores pada perineum
saat
proses kelahiran)
Incl.: episiotomy extended by
lacerat.
Excl.: obstetric high vaginal
laceration alone (O71.4)
O70.0; O70.1; O70.2 ada Excl: ....
O70.3 dan O70.9
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O71 Other obstetric trauma

Incl.: damage from instruments.
O71.0; O71.1; O71.2; O71.3 dan
O71.6;
O71.7; O71.8; O71.9
Pada O71.4 dan O71.5 ada Excl.: ...

O72 Postpartum haemorrhage

Incl.: haemorrhage after …
Pada O72.0 ada Use add. .....
O71.1; O71.2 dan O71.3

O73 Retained placenta & membranes,

without haemorrhage.
O73.0 ada Use additional ...
O73.1 29
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O74 Complications of anaesthesia during

labour & delivery
Incl.: ...
O74.0 s/d O74.9

O75 Other complications of labour &

delivery NEC
Excl.: puerperal
- infectious
- sepsis
O75.0 s/d O75.3; O75.5; dan O75.7;
O75.8; O75.9
Pada O75.4 dan O75.6 ada Excl.: ...

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 Delivery (PERSALINAN)
(O80-O84)

Note: Kode O80-O84 tersedia untuk kepentingan

code morbiditas.
Kode-kode di blok ini hendaknya
digunakan
untuk kode primer morbiditas hanya apabila
tidak ada kondisi lain yang terklasifikasi di
bab XV ter-rekam.

Bila kategori-kategori ini akan

digunakan,
rujuklah ke peraturan Morbidity Coding
Rules di Volume 2.
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Lanjutan)

O80 Single spontaneous delivery

Incl.: ...
O80.0; O80.1 dan O80.8; O80.9

O81 Single delivery by forceps & vacuum

extractor
Excl.: ...
O81.0 s/d O81.5

O82 Single delivery by caesarean section

O82.0 s/d O82.2 dan O82.8;
O82.9
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O83 Other assisted single delivery

O83.0; O83.1; O83.2; O82.3; O82.4 dan
O83.8; O83.9

O84 Multiple delivery

Use additional code (O80-O83), if
disired, to indicate the method of
delivery of each fetus (janin) or infant
(bayi)
O84.0; O84.1; O84.2 dan O84.8; O84.9

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 Complications predominantly related to
the puerperium (O85-O92) [672-676]

Komplikasi yang utamanya terkait masa nifas:

Note: Categories O88.-, O91.-,O92.- include the

listed conditions even if they occur
during
pregnancy and childbirth.

Excl.: mental & behavioural disorders associated

with the puerperium (F53.-)
ostetrical tetanus (A34)
puerperal osteomalacia (M83.0)

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O85 Puerperal sepsis

Incl.: puerperal:
- endometritis, - fever,
- peritonitis, - sepsis
Use additional code (B95-B97), if desired, to
identify infectious agent.
Excl.: …

O86 Other puerperal infection

Use additional code .... Infectious agent.
Excl.: infection during labour (O75.3)
O86.0; O86.1; O86.2; O86.3 dan O86.8
Pada O86.4 ada Excl.: ....

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O87 Venous complications in the puerperium
Incl.: in labour, delivery, and the
puerperium.
Excl.: obstetric embolism (O88.-)
venous compl. in pregnancy (O22.-)
O87.0; O87.1; O87.2; O87.3 dan O87.8;
O87.9

O88 Obstetric embolism

Incl.: pulm. emboli in preg., childb., or puerp.
Excl.: embolism complicating abortion or
ectopic
or molar pregnancy (O00-O07, O08.2)
O88.0; O88.1; O88.2; O88.3 dan O88.8

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O89 Complication of anesthesia during the

puerperium
Incl.:
maternal complications arising from the
administration of general / local
anaesthet- ic, analgesic or other sedation
during the puerperium.
O89.0 s/d O89.6 dan O89.8; O89.9

O90 Complications of the puerperium, NEC

O90.0 s/d O90.5 dan O90.8; O90.9

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O91 Infections of breast associated with childbirth

Incl.: the listed conditions during pregnancy,
the puerpurium or lactatiion
O91.0; O91.1 dan O91.2

O92 Other disorders of breast and lactation

associated with childbirth.
Incl.: …
O92.0; O92.1; O92.2; O92.4; O92.5 dan
O92.7
Pada O92.6 ada Excl.: ...

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 Other obstetric conditions, NEC
(O95-O99)
Note:
This category is to be used for morbidity coding
only to indicate conditions in categories O00-O75
and O88-O92 as the cause of sequelae, which are
themselves classified elsewhere. The ‘sequelae’
include conditions specified as such or as late effects, or
those present one year or more after the
onset of the causal condition
Not to be used for chronic complications
of
pregnancy, childbirth and the pueperium.
Code these to O00 – O75 and O85 – 92

Excl.: that resulting in death (O96.- O97.-)

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O95 Obstetric death of unspecified cause
Incl.: Maternal death from unspecified cause
occurring during pregnancy, labour
and delivery, or the puerperium.

O96 Death from any obstetric cause occurring >

than 42 days but < than one year after
delivery.
Note: This category is to be used to indicate
death from any obstetric cause
(conditions
in categories O00-O75, O85-O92 and
O98-O99, occuring more than 42 days
but less than one year after delivery.

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Use additional code, if desired, to identify

obstetric cause of death.
Excl.: conditions specified as sequelae or late
effects of obstetric causes that are not
resulting in death (O94)

O97.0 Death from sequelae of direct obstetric

causes.
O97.1 Death from sequelae of indirect obst.
cause
O97.9 Death from sequelae of obstetric
cause, unspecified

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O98 Maternal Infectious & parasitic

diseases classifiable elsewhere but
complicating pregnancy, childbirth
and the puerperium
Incl.: …
Use additional code (Chapter I) if
desired, to identify specific
condition.
Excl.: …
O98.0 (cond. in A15-A19)
O98.1 (cond. In A50-A53)
O98.2 s/d O98.7
O98.8 (Other maternal infectious ...)
O98.9 (Unspecified maternal infectious...)
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O99 Other maternal diseases classifiable
elsewhere but complicating pregnancy,
childbirth and the puerperium.
Note: This categories includes conditions
which complicate the pregnancy state,
are aggravated by pregnancy or are
a
main reason for obstetric care and
for which the Alphabetical Index does
not indicate a specific rubric in Chapter
XV.
Use additional code, if desired, to identify
specific condition.

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Excl.:
Infectious and parasitic diseases
(O98.-)
Injury, poisoning and certain other
consequences of external causes (S00-T98).
When the reason for maternal care is
that the condition is known or suspected to
have affected the fetus (O35-O36).

Perhatikan Includes dan Excludes yang ada

pada masing kategori
O99.0 (Cond. in D50 – D64 )
O99.5 (Cond. in J00 – DJ99)

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Ada Excl.: .... Pada:

O99.1 (Cond. in D65 – D89) Excl.:...
O99.2 (Cond. in E00 – E90) Excl.:...
O99.3 (Cond. in F00 – F99 and G00 – G99) Excl.: ...
O99.4 (Cond. in I00 – I99) Excl.: ...
O99.5 (Cond. in J00 – J99)
O99.6 (Cond. in K00 – K93)
O99.7 (Cond. in L00 – L99)
O99.8 (Cond. In O99.0 – O99.7; C00 – C48;
H00 – H95; M00 – M99; N00 – N99;
Q00 – Q99 NEC ) Excl.: ...

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 LATIHAN PENYELESAIAN SOAL-SOAL
1. Hamil dengan plasenta previa totalis dan perdarahan
No:
Seksio kaiser emergensi, No:
Bayi tunggal hidup, cyanosis No:
2. Partus normal spontan, letsu No:
Bayi tunggal hidup No:
Bayi cenggeng, kurang ASI No:
3. Abortus spontan inkomplit, No:
Infeksi post kuret No:
4. Hamil 71/2 bulan sakit febris typhoidea No:
Partus spontan, No:
Bayi prematur No:
Isterus fisiologis No:
5. Partus kembar 2, spontan. I letkep, II letsu No:
bayi prematur (BB < 1.750) No:

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6. Kardiomyopati masa nifas

(Cardiomyopathy in the puerperium No:

7. Kehamilan tuba kanan pecah (Rupture

right tubal pregnancy) No:

8. Normal spontaneous vaginal delivery

following two previous casarean sections) No:

9. Fetal distress affecting labour and delivary No:

10. Protein deficiency anemia complicating
pregnancy No:

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Terima Kasih

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