KUMPULAN KODE DIAGNODIAGNOSAKODE1ABNORMLA JARIS683ANJURAN KARDIOGRAFI EVALUASI ALERGIR05/ DGN ISKEMIC ULCER/ EYE AND TIPE IE1030DM TIPE IIE1131EFUSI PLEURAJ90/ DGN PERDARAHAN POST AIRWAY GRADE BAYI BBL IMUNISASI / BELLS CAZ0864KONTROL GRANULOMA HAMIL NEONATUS OBAT POST POST SUSP SWELLING MASS LUMP, DITEMPAT DOAR98/ SUSP MEDIA ENDOCRINE NUTRIONAL + SURGICAL BEDAH KEL KELG EPILEPSI PENY DULU SYARAF MAMAE PEDIS DAN TINDAKANTI TEST + MATA VARISESI80,23CELULITISL03,14HIPOALBUMINEMIAR77,05ASITESR186Want to read all 36 pages?Previewing 10 of 36 pagesUpload your study docs or become a to read all 36 pages?Previewing 10 of 36 pagesUpload your study docs or become a of previewWant to read all 36 pages?Upload your study docs or become a member.
Jenisdan Penyebab Tumor Payudara. Berdasarkan karakteristik yang telah disinggung sebelumnya, penyebab tumor payudara atau benjolan pada payudara dapat dibagi menjadi beberapa jenis sebagai berikut: 1. Fibroadenoma Mamae (FAM) Merupakan jenis tumor nonkanker yang paling dijumpai pada wanita muda usia sekitar 15 - 35 tahun.
Biopsi, shave removal dan excisi merupakan prosedur dasar yang secara rutin dilakukan oleh dermatologist untuk mendiagnosis penyakit, mengurangi gejala, dan mengobati kanker. Dari perspektif koding, 3 prosedur tersebut digambarkan berbeda berdasarkan tujuan dan kedalaman pengangkatan jaringannya. Kode biopsi khusus spesialistik tersedia untuk letak anatomik tertentu, dan kode excisi jaringan lunak soft tissue excision dapat digunakan sebagai pengganti kode standar untuk excisi kulit pada tumor tertentu. Dalam publikasi Stanford Health Care tentang Biopsy, disebutkan bahwa diantara berbagai jenis biopsy ada yang disebut excisional biopsy dan incisional biopsy. Bilamana seluruh tumor diangkat, prosedur ini disebut excisional biopsy. Jika hanya sebagian dari tumor diangkat, prosedur ini disebut incisional biopsy. Bila memungkinkan, excisional biopsy merupakan metode yang lebih dipilih bilamana mencurigai melanoma. Suatu excisional biopsy, disebut juga incisi lokal luas wide local incision, melibatkan pengangkatan tumor dan sebagian jaringan normal disekitarnya dengan pembedahan surgical. Jumlah jaringan normal yang ikut diangkat disebut clinical margin atau batas klinis tergantung dari ketebalan tumor. Dalam Implementasinya, di Indonesia kita masih menggunakan ICD-9-CM sebagai pedoman kode untuk prosedur medis, bukan CPT sehingga perlu menyesuaikan dengan kode-kode yang ada dalam ICD-9-CM. Namun dengan berbagai referensi tersebut di atas, diharapkan dapat memperjelas perbedaan koding untuk biopsy dan excisi. Jika excisi removal seluruh organ atau lesi diikuti pemeriksaan PA ; kodenya adalah kode excisi saja tanpa kode biopsi lagi dan kode pemeriksaan lab PA. Jika hanya sebagian jaringan yang diambil, baik dengan metode tertutup closed biopsy atau terbuka open biopsy atau incisional biopsy, kemudian dikirimkan untuk pemeriksaan lab PA, maka kode yang digunakan dalah kode biopsy dan pemeriksaan lab PA. Lesijinak payudara MANIFESTASI KLINIS Tumor jinak mamma maupun tumor non neoplasma bermanifestasi sebagai: 1. Tumor pada mamma 2. Jaringan mamma yang padat dan noduler. 3. Nyeri pada mamma GAMBARAN KLINIS KHAS 1. FIBROADENOMA MAMMA (ICD D24) Tumor pada mamma yang: Timbul pada wanita muda, 15-30 tahun Membesar sangat pelan, dalam tahunan Bentuk bulat atau oval Batas tegasDaftar Kode Diagnosis dan Tindakan INA - CBG BPJS Orthopaedi Januari 2014 Residen wajib mengisi lembar RM 1, Lembar Verifikasi dan laporan operasi sesuai dengan diagnosis dan tindakan yang tertera secara lengkap, setiap selesai operasi DAFTAR DIAGNOSIS ICD 10 DAN TINDAKAN ICD 9 DIVISI ORTHOPAEDI DAN TRAUMATOLOGI Hand kelainan dan luka di tangan Keterangan Remove implant ICD 10 Diagnosis Luka terbuka di tangan, crush injury Crushing injury of other and amputation through unspecified parts of wrist and hand hand. injury of radial artery at forearm level Synovitis and tenosynovitis incision and drainage of palmar at thenar space, homograft to skin Cutaneus abscess of the hand. incision and drainage of palmar at thenar space, homograft to skin ganglion Excision of other lesion of soft tissue of hand Fracture pada pergelangan tangan dan tangan fracture at wrist and hand level Luka berat pada jari, tangan perlu amputasi S68 traumatic amputasion of wrist amputation and and hand level disarticulation of hand injury of radial artery at forearm Luka kotor /infeksi di jaringan lunak Infeksi jaringan ganglion ICD 9 Prosedur removal implant device from the bone open reduction of fracture with internal fixation , carpals and metacarpals. Plafon Deformitas/ kelainan pada jari level Deformity of finger Jepitan pada syaraf/carpal tunnel syndrome Syndactili amputation and disarticulation of Hand S64 injury of nerves at wrist and hand level Q70 Syndactili other operation on nervous system correction of syndactyly Dislokasi pada jari dislocation and sprain of joints and ligaments at wrist and hand level open reduction of dislocation of hand and finger Tumor ganas pada ekstremitas atas malignant neoplasm of short amputation of through bones of upper limb hand injury of radial artery at forearm leve Infeksi pada sendi M00 Pyogenic infection Kerusakan sendi krn rematik M05 .38 rheumatoid arthritis with rheumatoid factor other synovitis and tenosynovitis arthhrodesis of other specified joints homograft to skin arthhrodesis of other specified joints homograft to skin Kerusakan sendi bukan karena rematik M06 other rheumatoid arthritis Deformitas/ kelainan pada jari Deformity of finger arthhrodesis of other specified joints pedicle or flap graft, not otherwise specified other plastic operation on hand, kontracture contracture unspecified site other excision of soft tissue of hand; polidactili Q69 polidactyli amputation and disarticulation of finger homograft to skin Raw surface, defek soft tissue, sural flap, semua tindakan flap other disorders of skin and subcutaneous tissue, not elsewhere Traumatic amputasi perlu replantasi other plastic operation on hand pedicle or flap graft, not otherwise spesified traumatic amputasion of wrist finger reattachment and hand level pedicle or flap graft, injury of radial artery at forearm not otherwise spesified leve ICD 10 Diagnosis disorder of continuity of bone , unspecified S42 fracture of shoulder and upper arm intracranial injury S42 fracture of shoulder and upper arm ICD 9 Prosedur bone graft homograft to skin ORIF,unspecified site Plafon ORIF,unspecified site Trauma Fracture No 1. Keterangan Non union perlu bone graft 2. Fracture clavikula 3. Fracture clavikula dengan cedera kepala 4. Fracture tibia/fibula Fracture of shaft tibia ORIF , tibia and fibula 5. Fracture distal tibia Fracture of shaft tibia ORIF 6. Fracture femur fracture shaft femur ORIF , femur 7. Fracture radius fracture shaft radius ORIF , radius and ulna Klas 1= Klas 2 = Klas 3 = 6 . 8. Fracture ulna fracture shaft ulna ORIF , radius and ulna 9. Fr antebrachii 10. Fracture humerus fracture shaft forearm fracture shaft humerus ORIF , radius and ulna ORIF humerus 11. Fracture pada tangan, metacarpal, phalang 12. Fracture subtrochanter femur perlu ORIF S62 fracture at wrist and hand level ORIF phalank of hand subtrochanteric fracture of femur ORIF , femur Klas 1= Klas 2 = Klas 3 = 6 . 13. Fracture intercondylar femur, 14. Fracture intertrochanter femur S72 fracture shaft femur Osteoporosis Intertrochanteric fracture of femure ORIF , femur Hip implant Klas 1= Klas 2 = Klas 3 = 6 . ORIF , femur Knee implant Klas 1= Klas 2 = Klas 3 = 6 . Hip implant 15. Fracture galeazi fracture shaft radius ORIF , radius and ulna ; 16. Fracture montegia shaft ulna ORIF , radius and ulna ;, 17. Fracture prksimal humerus,neck humerus 18. OA Sendi lutut perlu TKR fracture of upper end of humerus other secondary gonarthrosis , bilateral secondary of the joint , lower leg ORIF humerus Total Knee Replacement 19. OA Sendi perlu TKR other secondary gonarthrosis , bilateral secondary of the joint , lower leg other repair of knee Klas 1 Klas 2 Klas 3 20. OA sendi Hip perlu THR secondary of the joint , lower leg Total Hip Replacement 21. OA Sendi perlu THR secondary of the joint , lower leg Repair of hip, not elsewhere classified Knee replacement Klas 1= Klas 2 = Klas 3 = 6 . Hip implant 22. Fracture collum femur, Osteoporosis Repair of hip, not Klas 1= fracture of head and neck of femur 23. Fracture plateau tibia 24. Fracture acetabulum S82 Fracture of tibia fracture acetabulum elsewhere classified ORIF , tibia and fibula ORIF , unspecified site other operation on nervous system Klas 2 = Klas 3 = 6 . Hip implant 25. Fracture pedis,metacarpale,ankle 26. Fracture patella Fracture of lower leg , including ankle fracture of patella,open ORIF tarsal,metatarsal Hip implant patellar stabilization 27. Infeksi pada sendi, M01 direct infection of joint in infectious and parasitic disease classified elsewhere other operation on joint structure homograft to skin 28. Infeksi tulang, tromboemboli M86 Osteomyelitis, 29. Dislokasi pinggul Dislocationand sprain of joint and ligament of hip debridement of open fracture site ; pedicle or flap graft, not otherwise specified closed reduction of dislocation , hip 30. Dislokasi bahu Dislocation and sprain of joint and ligament of shoulder closed reduction of dislocation shoulder 31. Dislokasi siku Dislocation and sprain of joint and ligament of elbow closed reduction of dislocation , elbow 32. Fracture neglected disorder of continuity of bone,unspesified other repair of plastic operation of bone osteoclasis,unspecified site homograft to skin 33. Ruptur Tendon Achilles Paediatrik kelainan dan fracture pada anak < 15 th No 1. Keterangan Reposisi dan pasang gip ekstremitas atas dengan GA ICD 10 Diagnosis fracture at wrist and hand level ICD 9 Prosedur closed reduction of fracture without internal fixation Plafon 2 Reposisi dan pasang gip ekstremitas bawah dengan GA fracture of lower leg closed reduction of fracture without internal fixation 3 Rekonstruksi ibu jari kaki , halux valgus halux valgus/acquired other plastic operation on hand other buninectomy 4 Fracture neglected disorder of continuity of bone,unspesified 5 Kelainan congenital,CTEV,Blount other congenital varus other repair of plastic operation of bone osteoclasis,unspecified site homograft to skin other repair of plastic 6 disease deformities of feet, operation of bone Pemanjangan tulang other congenital varus deformities of feet, limb lengthening procedure Tumor Tulang No 1. Keterangan Biopsi tumor ICD 10 Diagnosis other benign neoplasm and other soft tissue ICD 9 Prosedur biopsy of joint structure plafon 2 Eksisi tumor Amputasi tumor di atas lututabove knee excision of other lesion of hand amputation above knee/transfemoral 3 4 Amputasi tumor di bawah lutut below knee below knee 5 Eksisi luas wide eksisi malignant neoplasm of bone and articular cartilage of limb,. malignant neoplasm of bone and articular cartilage of limb,. injury of popliteal artery malignant neoplasm of bone and articular cartilage of limb,. injury of popliteal artery neoplasm of unspecified behavior of bone , soft tissue , skin injury of popliteal artery 6 Fraktur dengan tumor tulang 7. Operasi tumor ganas local excision of lesion or tissue of bone unspecified site homograft to skin ORIF homograft to skin other repair of plastic operation of bone; pedicle or flap graft, not otherwise spesified malignant neoplasm of bone and articular cartilage of limb,. malignant neoplasm of bone and articular cartilage of limb,. injury of popliteal artery 8 Ganti sendi pada kasus tumor tulang/AMP secondary malignant neoplasm of unspecified site repair of hip Arthroscopy , Shoulder bahu dan Knee lutut No 1. Keterangan Infeksi sendi lutut, ICD 10 Diagnosis Gonarthrosis , unspecified arthritis in other bacterial disease lower leg diffuse fasciitis ICD 9 Prosedur other repair of knee plafon 2 Bahu kaku/frozen shoulder/ adhesive capsulitis adhesive capsulitis of shoulder diffuse fasciitis arthroscopy shoulder 3 Mengeluarkan benda asing di lutut/loose bodies stiffness of joint calcific tendinitis other repair of knee 4 5 Debridement shoulder stiffness of joint calcific tendinitis diffuse fasciitis arthroscopy shoulder; Klas 3 = Klass 2 = Klass1 6 7 Rotator cuff tear complete rotator cuff tear or rupture not specified as traumatic arthroscopy shoulder; division of joint, diffuse fascitis ligament or cartilage of other specified site 8 Rupture meniscus dearrangement of meniscus due to old tear or injury other operation of knee 9 Osteoarthritis lutut derajat ringan 1-2/ artroscopy debridement tear of meniscus,current other specified systemic involvement connective tissue other operation of knee Ligament ACL/PCL lutut putus other spontaneous disruption of ligament of knee, ACL /Anterior horn medial meniscus other operation of cruciate ligament Klas 3= Klas 2= Klas 1= 10 11 Implant knee 12 13 14 Ganti sendi lutut/ total knee arthroplasty/osteoarthritis derajat berat Rematik di lutut derajat berat perlu ganti sendi M17 osteoartritis of knee rhaumatoid arthritis of left knee with involvement of other organ and system other operation of knee other operation of knee Klas 1 Klas 2 Klas 3 Knee replacement Klas 1 Klas 2 Klas 3 Knee replacement 15 Spine/ Tulang Belakang No 1. Keterangan scoliosis ICD 10 Diagnosis scoliosis injury of unspecified blood vessel of thorax vertebral subluxation ICD 9 Prosedur , 360 degree spinal fusion, single incision approach reattachment of muscle other division of scapula, clavicle,and thorax rib and sternum plafon 2 Spondilolisthesis, canal stenosis spondilolisthesis; spinal stenosis collapse vertebrae injury of other blood vessel of thorax Klass 3= Klass 2= Klass 1 = 3. Tumor tulang belakang malignant neoplasm of vertebral column ; spinal stenosis collapse vertebrae injury of other blood vessel of thorax other exploration and decompression of spinal canal insertion of other spinal device; fusion of 2-3 vertebrae Dorsal fusion other exploration and decompression of spinal canal insertion of other spinal device; fusion of 2-3 vertebrae Dorsal fusion 4 HNP/canal stenosis di cervical dengan tetraparese dengan implan cervical disc disorder; spinal stenosis collapse vertebrae other exploration and decompression of spinal canal Klass 3= Klass 2= Klass 1 = Klass 3= Klass 2= Klass 1 = flaccid tetraplegia insertion of other spinal device; fusion of 2-3 vertebrae Dorsal fusion other exploration and decompression of spinal canal insertion of other spinal device; fusion of 2-3 vertebrae Dorsal fusion 5 HNP/canal stenosis di thorakal/lumbal dengan implan thoraxic , thoracolumbal and lumbosacral intervertebral disc disorder; spinal stenosis collapse vertebrae injury of other blood vessel of thorax Klass 3= Klass 2= Klass 1 = 6 HNP/Canal stenosis di cervical tetraparese tanpa implan cervical disc disorder; spinal stenosis collapse vertebrae flaccid tetraplegia other exploration and decompression of spinal canal fusion of 2-3 vertebrae Dorsal fusion 7 HNP/canal stenosis di thorakal/lumbal tanpa implant thoraxic , thoracolumbal and lumbosacral intervertebral disc disorder; spinal stenosis collapse vertebrae other exploration and decompression of spinal canal fusion of 2-3 vertebrae Dorsal fusion 8 Fraktur tulang belakang dengan implan fracture of lumbar spine and pelvis; spinal stenosis collapse vertebrae injury of other blood vessel of thorax other exploration and decompression of spinal canal insertion of other spinal device; fusion of 2-3 vertebrae Dorsal fusion Klass 3= Klass 2= Klass 1 =Thisis a shortened version of the second chapter of the ICD-9: Neoplasms. It covers ICD codes 140 to 239. The full chapter can be found on pages 101 to 144 of Volume 1, which contains all categories of the ICD-9. Volume 2 is an alphabetical index of Volume 1. Both volumes can be downloaded for free from the website of the World Health Organization. See here for a tabular overview of primary, secondary, in situ, and benign neoplasms.
ICD-10-CM Codes › C00-D49 › D10-D36 › Benign neoplasm of breast D24 Type 2 ExcludesType 2 Excludes HelpA type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code D24 and the excluded code together. adenofibrosis of breast ICD-10-CM Diagnosis Code of breast2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code Applicable ToAdenofibrosis of breastType 2 Excludesfibroadenoma of breast cyst of breast ICD-10-CM Diagnosis Code N60 N60 Benign mammary dysplasia Solitary cyst of breast Solitary cyst of right breast Solitary cyst of left breast Solitary cyst of unspecified breast Diffuse cystic mastopathy …… of right breast …… of left breast Diffuse cystic mastopathy of unspecified brea... Fibroadenosis of breast Fibroadenosis of right breast Fibroadenosis of left breast Fibroadenosis of unspecified breast Fibrosclerosis of breast Fibrosclerosis of right breast Fibrosclerosis of left breast Fibrosclerosis of unspecified breast Mammary duct ectasia …… of right breast …… of left breast …… of unspecified breast Other benign mammary dysplasias Other benign mammary dysplasias of right brea... Other benign mammary dysplasias of left breas... Other benign mammary dysplasias of unspecifie... Unspecified benign mammary dysplasia Unspecified benign mammary dysplasia of right... Unspecified benign mammary dysplasia of left ... Unspecified benign mammary dysplasia of unspe... mammary dysplasia ICD-10-CM Diagnosis Code N60 N60 Benign mammary dysplasia Solitary cyst of breast Solitary cyst of right breast Solitary cyst of left breast Solitary cyst of unspecified breast Diffuse cystic mastopathy …… of right breast …… of left breast Diffuse cystic mastopathy of unspecified brea... Fibroadenosis of breast Fibroadenosis of right breast Fibroadenosis of left breast Fibroadenosis of unspecified breast Fibrosclerosis of breast Fibrosclerosis of right breast Fibrosclerosis of left breast Fibrosclerosis of unspecified breast Mammary duct ectasia …… of right breast …… of left breast …… of unspecified breast Other benign mammary dysplasias Other benign mammary dysplasias of right brea... Other benign mammary dysplasias of left breas... Other benign mammary dysplasias of unspecifie... Unspecified benign mammary dysplasia Unspecified benign mammary dysplasia of right... Unspecified benign mammary dysplasia of left ... Unspecified benign mammary dysplasia of unspe... neoplasm of skin of breast ICD-10-CM Diagnosis Code nevi of trunk2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Applicable ToMelanocytic nevi of anal marginMelanocytic nevi of anal skinMelanocytic nevi of perianal skinMelanocytic nevi of skin of ICD-10-CM Diagnosis Code benign neoplasm of skin of trunk2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Applicable ToOther benign neoplasm of anal marginOther benign neoplasm of anal skinOther benign neoplasm of perianal skinOther benign neoplasm of skin of breastType 1 Excludesbenign neoplasm of anus NOS disease of breast ICD-10-CM Diagnosis Code N60 N60 Benign mammary dysplasia Solitary cyst of breast Solitary cyst of right breast Solitary cyst of left breast Solitary cyst of unspecified breast Diffuse cystic mastopathy …… of right breast …… of left breast Diffuse cystic mastopathy of unspecified brea... Fibroadenosis of breast Fibroadenosis of right breast Fibroadenosis of left breast Fibroadenosis of unspecified breast Fibrosclerosis of breast Fibrosclerosis of right breast Fibrosclerosis of left breast Fibrosclerosis of unspecified breast Mammary duct ectasia …… of right breast …… of left breast …… of unspecified breast Other benign mammary dysplasias Other benign mammary dysplasias of right brea... Other benign mammary dysplasias of left breas... Other benign mammary dysplasias of unspecifie... Unspecified benign mammary dysplasia Unspecified benign mammary dysplasia of right... Unspecified benign mammary dysplasia of left ... Unspecified benign mammary dysplasia of unspe... IncludesIncludes Help"Includes" further defines, or give examples of, the content of the code or neoplasm of connective tissue of breastbenign neoplasm of soft parts of breastfibroadenoma of breast Clinical Information A benign not cancer tumor that usually forms in the breast from both fibrous and glandular tissue. Fibroadenomas are the most common benign breast tumors. A benign neoplasm originating from glandular cells with a fibrous or fibroblastic component. A benign tumor of the breast characterized by the presence of stromal and epithelial elements. It presents as a painless, solitary, slow growing, firm, and mobile mass. It is the most common benign breast lesion. It usually occurs in women of childbearing age. The majority of fibroadenomas do not recur after complete excision. A slightly increased risk of developing cancer within fibroadenomas or in the breast tissue of patients previously treated for fibroadenomas has been reported. A non-metastasizing neoplasm arising from the breast parenchyma. A non-metastasizing tumor arising from the breast parenchyma. Codes D24 Benign neoplasm of breast Benign neoplasm of right breast Benign neoplasm of left breast Benign neoplasm of unspecified breast