NAMA : NOFITA AIZZATUL NURONIYAH

KELAS : 2A-205020

MATKUL : KKPMT

1.Hamil dengan plasenta previa totalis dan perdarahan

Seksio kaisar emergensi
Bayi tunggal hidup, cyanosis

1 Diagnosa yang telah diterapkan DPJP Plasenta previa Delivery SC Outcome

2 Diagnosa yang akan dikode Hamil dengan plasenta Dengan SC Bayi tunggal hidup
previa totalis dan emergensi
pendarahan
placenta praevia with
3 Bahasa Termin hemorrhage Delivery of section Outcome of delivery
Plcenta cesarian emergency single liveborn
4 Lead Term Previa (central) Delivery Outcome of delivery
5 Identasi/modifiers (complete) (marginal) cesarean (for) single
(partial) (total) (with - emergency - liveborn
haemorrhage)
O44.1 O69.4 O69.4
-
6 Kode ICD 10 Vol. 3 O82.1 Z37.0
7 Kode ICD 10 Vol. 1 O82.1 Z37.0
8 Kode ICD 10 Main Condition - -
9 Kode ICD 10 Other Condition O82.1 Z37.0

2.Partus normal spontan, letsu

Bayi tunggal hidup
Bayi cenggeng, kurang ASI

1 Diagnosa yang telah diterapkan DPJP Letak sungsang Delivery normal Outcome
2 Diagnosa yang akan dikode Sungsang Partus normal spontan Bayi tunggal hidup
Normal spontaneous delivery
Delivery
3 Bahasa Termin Maternal care for Outcome of delivery
-spontaneous
breech presentation Presentation single liveborn Outcome of delivery
-- breech O80.1 O80.1
4 Lead Term - breech (mother) single
-
5 Identasi/modifiers - liveborn Z37.0 Z37.0
O80.1
-
Z37.0
6 Kode ICD 10 Vol. 3 O32.1
7 Kode ICD 10 Vol. 1 O32.1 O32.1
8 Kode ICD 10 Main Condition Kode ICD 10 Other
- Condition
9

3. Abortus spontan inkomplit

Infeksi post kuret

1 Diagnosa yang telah diterapkan DPJP Abortus spontan

inkomplit dengan infeksi post kuret

2 Diagnosa yang akan dikode Abortus spontan

inkomplit dengan infeksi post kuret

3 Bahasa Termin Abortus spontaneous

incomplete with previous curettage infection

4 Lead Term Abortus (Complate)

(incomplete)
 5 Identasi/modifiers -
6 Kode ICD 10 Vol. 3 O06.-

7 Kode ICD 10 Vol. 1 O06.9

8 Kode ICD 10 Main Condition O06.8

9 Kode ICD 10 Other Condition O08.9

4. Hamil 71/2 bulan sakit febris typhoidea

Partus spontan
Bayi prematur
Isterus fisiologis

1 Diagnosa yang telah diterapkan DPJP Hamil dengan sakit Delivery normal Outcome
febris
2 Diagnosa yang akan dikode Hamil 71/2 bulan sakit Partus spontan Bayi tunggal hidup
febris typhoidea

3 Bahasa Termin Pregnancy with typhoid Spontaneous delivery Outcome of delivery

fever Pregnancy single liveborn Outcome of delivery
4 Lead Term complicated by Delivery single
5 Identasi/modifiers - condition in - spontaneous - liveborn
- - - A00-A07

6 Kode ICD 10 Vol. 3 O98.8 O98.8 O80.9 O80.9 Z37.0 Z37.0

7 Kode ICD 10 Vol. 1 O98.8 - O80.9 - Z37.0
8 Kode ICD 10 Main Condition Kode ICD 10 Other
- Condition
9

5. Partus kembar 2, spontan. I letkep, II letsu

bayi prematur (BB < 1.750)

1 Diagnosa yang telah Letak sungsang Letak kepala Delivery Outcome

diterapkan DPJP Diagnosa yang akan dikode
2 Bahasa Termin Sungsang Letak kepala Partus kembar 2 Bayi kembar hidup

3 Maternal care for Maternal care Multiple delivery, Twins, both liveborn
breech presentation for high head at term all spontaneous
Maternal care high head at term (pregnancy)
O32.4 O32.4 O32.4
4 Lead Term Presentation Delivery Outcome of delivery
5 Identasi/modifiers breech (mother) multiple -twins
- all (by) - - both liveborn
- - spontaneous
O84.0 O84.0
6 Kode ICD 10 Vol. 3 O32.1 - Z37.2
7 Kode ICD 10 Vol. 1 KodeO32.1
ICD 10
O32.1
Main Condition Z37.2
8 Kode ICD 10 Other Condition -

9 - - O84.0 Z37.2

6. Partus seksio
Kembar dempet terhubung di abdomen
Berat badan kedua bayi di atas 2.250 kg.
Cengeng sulit menete ASI

1 Diagnosa yang telah diterapkan DPJP Delivery Outcome

 2 Diagnosa yang akan dikode Partus seksio akibat Bayi kembar hidup
bayi kembar dempet terhubung di abdomen
Multiple delivery, all by caesan section Delivery
multiple
- all (by)
3 Bahasa Termin Twins, both liveborn
- - caesarean section
O84.2
4 Lead Term Identasi/modifiers Outcome of delivery
5 -twins
- - both liveborn

6 Kode ICD 10 Vol. 3 Z37.2

7 Kode ICD 10 Vol. 1 O84.2 Z37.2
8 Kode ICD 10 Main Condition - -
9 Kode ICD 10 Other Condition O84.2 Z37.2

7. Persalinan macet
Myoma uteri
Lahir vakum
Bayi cephalohematom

Diagnosa yang telah diterapkan Persalinan macet Lahir vakum Outcome

DPJP akibat myoma uteri Persalinan macet akibat myoma uteri Obstructed labour due to abnormality
Diagnosa yang akan dikode Obstruction Lahir vakum Bayi tunggal hidup
-labor
- due to
3Bahasa Termin Delivery
- - soft tissues and organs of pelvis of vacuum
O65.5 Outcome of delivery
O65.5 O65.5 extractor single liveborn
-
4 Lead Term Delivery Outcome of delivery
5 Identasi/modifiers - single
- liveborn

6 Kode ICD 10 Vol. 3 O81.4 Z37.0

7 Kode ICD 10 Vol. 1 O81.4 Z37.0
8 Kode ICD 10 Main Condition Kode ICD 10 Other Condition - O81.4 - Z37.0
9

8. Partus spontan
Cukup bulan
Bayi sehat

1 Diagnosa yang telah diterapkan DPJP Delivery normal Outcome

2 Diagnosa yang akan dikode Partus spontan Bayi tunggal hidup

3 Bahasa Termin Spontaneous delivery Outcome of delivery

single liveborn
4 Lead Term Delivery Outcome of delivery
5 Identasi/modifiers - spontaneous - single
- - liveborn
6 Kode ICD 10 Vol. 3 O80.9 Z37.0
7 Kode ICD 10 Vol. 1 O80.9 Z37.0
8 Kode ICD 10 Main Condition O80.9 -
9 Kode ICD 10 Other Condition - Z37.0

9. Persalinan induksi gagal dengan gagal dengan suntikan oxytocin uterin inertia,akhirnya diseksio dengan
hysterectomy
Bayi hydrosefalus toksoplasmosis

1 Diagnosa yang telah diterapkan DPJP Persalinan induksi gagal Delivery Outcome
dengan suntikan
oxytocin
 2 Diagnosa yang akan dikode Partus spontan Seksio dengan Bayi tunggal hidup
hysterectomy Delivery by caesarean hysterectomy Delivery
3 Bahasa Termin Failed medical cesarean (for) Outcome of delivery
induction of labour - with hysterectomy O82.2 single liveborn
O82.2
4 Lead Term induction Outcome of delivery
5 Identasi/modifiers -normal single
- liveborn
Z37.0 Z37.0
6 Kode ICD 10 Vol. 3 O61.0
7 Kode ICD 10 Vol. 1 O61.0

8 Kode ICD 10 Main Condition Kode ICD 10 Other

O61.0Condition - - Z37.0
9 -

10. Solutio Placentae, Sectio

Bayi premature BB 490 G

1 Diagnosa yang telah diterapkan DPJP SC akibat Solutio Outcome

Placentae
2 Diagnosa yang akan dikode SC akibat Solutio Placentae Bayi tunggal hidup
Delivery of section cesarian for abruptio placentae
Delivery
3 Bahasa Termin cesarean (for) Outcome of delivery
- abruptio placentae single liveborn

4 Lead Term O45.9 O45.9 Outcome of delivery

5 Identasi/modifiers O45.9 single
- - liveborn

6 Kode ICD 10 Vol. 3 Z37.0 Z37.0

7 Kode ICD 10 Vol. 1 - Z37.0
8 Kode ICD 10 Main Condition Kode ICD 10 Other Condition
9