Transcript
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ICD-10 BAB V
MENTAL AND BEHAVIOURAL
DISORDERS
(GANGGUAN MENTAL DAN
PERILAKU)
(F00 F99)
Aris Susanto
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DESKRIPSI
Satu-satunya Bab di ICD-10 yang setiap nomor
kode kategori disertai deskripsi lengkap dan
rinci tentang kondisi penyakit
Termasuk Bab ini adalah gangguan
pengembangan psychologis
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DESKRIPSI (Lanjutan-1)
Yang tidak termasuk ke Bab V ini adalah:
- simtoma (symptoms)
- tanda-tanda (sign)
- temuan klinis abnormal
- temuan laboratoris abnormal
yang tidak terklasifikasi di tempat lain
(NEC) (R00 R99)
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DESKRIPSI (Lanjutan-2)
Rentang kategori dari F00 F99
78 dari 100 nomor kode sudah terisi kategori.
Bab terbagi dalam 11 blok
Ada dua kategori bertanda *
F00* dan F02*
Masing kategori didahului penjelasan rinci tentang deskripsi gangguan terkait.
Ada penekanan gangguan prilaku dan juga gangguan mental.
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DESKRIPSI (Lanjutan-3)
Blok F00 F09 meliputi grup gangguan organik prilaku. Yakni, gangguan-gangguan hasil dari
sebab fisis, sebagai contoh: dementia pada
Alzheimers disease.
Block F10 F19 meliputi gangguan akibat penggunaan psychoactive atau substansi lain.
Karakter ke 3 mengindikasikan substansi yang
terlibat dan karakter ke 4 mengindikasikan status
klinis pasiennya.
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TUJUAN
Mampu mengenal kode kategori kondisi
gangguan mental dan prilaku.
Mampu mengenal berbagai kondisi gangguan
prilaku dan menentukan kodenya.
Mampu mengenal simtoma, tanda-tanda, dan
temuan abnormal klinis dan labora-torium (Kode
R) yang tidak tergolong ke Bab V.
Mampu menemukan kode berdagger bagi kode
F* (berasterisk)
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Contoh:
F12.2
Jenis substansi Menunjukkan pasien
yang terlibat nya secara klinis
Adalah: ketergantungan obat/
cannabinoid zat terkait.
[323;305]
F12.- Mental and behavioural disorders
due to use of cannabinoids.
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BAB V (Lanjutan-4)
Tobacco F17.1 dan F17.2 hanya bisa digunakan apabila dokumentasinya jelas
mengindikasikan ada hubungan causal antara
merokok dan, penggunaan untuk diagnosis
pengaruh jelek kegunaan tembakau pada pasien
atau, penyebab ketergantungannya
(dependence)
- kode tambahan pada kode diagnosis yang
spesifik
- gunakan Z72.0, Z86.4 untuk menunjukkan
sejarah penggunaan tembakau yang kini.
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F00*
[ 312-314; 294-296]
F00* Dementia in Alzheimers disease (G30.- )
F00.0*, F00.1*, F00.2*, F00.9*
F02* Dementia in other diseases classified
elsewhere
F02.0*, F02.1*, F02.2*, F02.3*, F02.4* dan
F02.8*
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F10-F19 Mental and behavioural disorders
due to psychoactive substance use
[320-323; 302-304]
Tersedia karakter ke-4 dimulai dari
.0, .1, .2, .3, .4, .5, .6, .7, .8, .9,
untuk merinci gangguan pada kode F10.- s/d
F19.-
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GANGGUAN TERKAIT GENDER & SEKS
[ 365-368; 343-345]
F64.- Gender identity disorders
F64.0, F64.1, F64.2, F64.8 dan F64.9
F65.- Disorders of sexual preference
F65.0, F65.1, F65.2, F65.3, F65.4, F65.5
F65.6, F65.8 dan F65.9
F66.- Psychological and behavioural disorders
associated with sexual developement
and orientation.
F66.0, F66.1, F66.2, F66.8 dan F66.9
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MENTAL RETARDATION (F70-F79) [ 369; 347]
Disediakan rincian terkait peringkat gangguan
prilaku dengan kode karakter ke 4.
.0 With the statement of no, or minimal,
impairment of behaviour
.1 Significant impairment of behaviour
requiring attention or treatment
.8 Other impairments and behaviour
dan .9 Without mention of impairment of behav.
Use additional code, if disired, to identify associated condition such as autism, other ....
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Soal Praktik Bab V
1. Trichotillomania
2. Psychogenic impotence
3. Korsakovs psychosis
4. Huntingtons disease with dementia
5. Bipolar disorder, currently severity depressed
but not psychotic.
6. Psychogenic asthma
7. Ketergantungan narkoba
8. IQ 50
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Abaikan Prosedur
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Praktik Penyelesaian Soal Bab V
Diskusi Soal 1
1. Trichotillomania
(541; 588) Trichotillomania F63.3
[364-365; 342-343]
F63 Habit and impilse disorders
This category includes certain disorders of behaviour that are not classifiable under other categories. ...
Excludes: habitual ...
impulse and habit disorders ...
F63.3 Trichotillomania
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Diskusi Soal 1 (Lanjutan)
A disorder characterized by noticeable hair-loss
due to a recurrent failure to resisit impulses to pull
out hairs. The hair-pulling is usually preceded by
mounting tension and is followed by a sense of
relief or gratification. The diagnosis should not be
made, if there is a pre-existing inflammation of the skin, or if the hair-pulling is in response to delusion or hallucination.
Excludes: stereotyped movement disorders with hair-plucking (F98.4)
Dx Kode
MC: Trichotillomania F63.3
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Diskusi Soal 2
2. Psychogenic Impotence (287; 313) Impotence (sexual) (psychogenic)
F52.2
- counsling Z70.1
- organic origin NEC N48.4
[355; 334 ] F52.2 Failure of genital response
The principal problem ...
-
-
Psychogenic impotence
Excludes: ...
MC: Psychogenic impotence F52.2
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Diskusi Soal 3
3. Korsakovs psychosis
(463-464; 504-505)
Psychosis
-
- Korsakovs (alcoholic) F10.6
- - induced by other psychoactive substance code to F11- F19
with 4th character .6
[322; 304] .6 Amnesic syndrome
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Diskusi Soal 3 (Lanjutan-1)
Karena pada kasus no. 3 ini tidak ada penjelasan substansi atau obat yang menjadi penyebab, maka kodenya cukup pada F10.6
[323; 302 - 304]
F10 Mental and behavioural disoders
due to use of alcohol
[See pages 321-323 for sub-division;
See before F10 for subdividions]
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Diskusi Soal 3 (Lanjutan-2)
[322; 304]
Perhatikan di atasnya: .6 Anmesic syndrome
... Korsakovs psychosis or syndrome,
alcohol- or other psychoactive substance- induced or unspecfied.
Dx Kode
MC: Korsakoves pscychosis F10.6
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Diskusi Soal 4
4. Huntingtons disease with dementia
(270; 294) Huntingtons disease or chorea G10
- with dementia G10 F02.2*
Tidak bisa dicari melalui disease.
Dementia
[149; 162] Dementia
- in
- - Huntingtons disease or
chorea G10 F02.2*
[397; 372] G10 Huntingtons disease
Huntingtons chorea
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Diskusi Soal 4 (Lanjutan)
[313; 295] F02* Dementia in other diseases
classified elsewhere
Cases of dementia due, .....other then Alzheimers disease or CVD. Onzet ...
[311; 294] Asterisk categories for this chapter are provided as follows; Use additional code, if desired, to identify the undelying cause.
F00* Dementia in Alzheimers disease F02* Dementia in other diseases classified
elsewhere
DX Kode
MC: Huntingtons disease G10 F02.2* with dementia
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Diskusi Soal 5
5. Bipolar disorder, currently severity (174; 188-189)
Disorder
- bipolar F13.9
- - affective F13.9
- - - current episode
- - - - severe depression (with-
out psychotic symptoms)
F31.4
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Diskusi Soal 5 (Lanjutan)
[334; 313-314]
Bipolar affective disorder, current episode severe depression without psychotic syndroms
The patient is currently depressed ...
Dx Kode
MC: Bipolar disorder, currently F31.4
severity
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Diskusi Soal 6
6. Psychogenic asthma
Asthma
(62; 66) Asthma, asthatic (bronchial) (catarrh)
(spasmodic) J45.9
(219; 238) Factor(s)
- psychic, associated with diseases
classified elsewhere F54
- psychological
- - affecting physical conditions
F54
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6. Lanjutan
[357; 336] F54 Psychological and behavioural
factors associated with disorders
or diseases classified elsewhere
...
Examples of the use of this category are:
- asthma F4 and J45.-
[536; 506] J45 Asthma
J45.1 Nonallergic asthma
Idiosyncratic asthma
Intrinsic nonallergic asthma
Dx: Kode:
MC: Psychogenic asthma F54 J45.1
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7. Ketergantungan narkoba
Dependence
(150; 163) Dependence
- due to
- - alcohol
- - narcotic (drug) NEC F19.2
[324; 305] F19.- Mental and behavioural disorders due to multiple drug use and use of other psychoactive substance
[See pages 321-323 for subdivisions]
Dx: Kode
MC: Dependence syndrome due to narcotic F19.2
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8. IQ 50
(319; 348) IQ
- under 0 F73.-
- 20 34 F72.-
- 35 49 F71.-
- 50 69 F70.-
[369; 347] F70 Mild mental retardation
Approximate IQ range of 50 to 69 (in adults,mental age from 9 to under 12 years). Likely to result in some learning difficulties in school. Many adults will be able to work and maintain good social relationships and contribute to society.
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Diskusi Soal 8 (Lanjutan)
Includes: feeble-mindness
mild mental subnormality
Perhatikan keterangan di atasnya:
The following fourth-character subdivisions are for use ...
.0 with the statement of no, or minimal, impairment of behaviour
.1 ...
.8 ...
.9 Without mention of impairment of behaviour.
Dx: Kode
MC: Mild mental retardation IQ 50 F70.9
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