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ICD-10 BAB V
MENTAL AND BEHAVIOURAL
DISORDERS
(GANGGUAN MENTAL DAN
PERILAKU)
(F00 F99)
Aris Susanto

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

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)

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.

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.

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)

Contoh:
F12.2
Jenis substansi
yang terlibat
Adalah:
cannabinoid

Menunjukkan pasien
nya secara klinis
ketergantungan obat/
zat terkait.

[323;305]
F12.- Mental and behavioural disorders
due to use of cannabinoids.

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
but not psychotic.
6.
Psychogenic asthma
7.
Ketergantungan narkoba
8.
IQ 50

depressed

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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
MC: Trichotillomania

Kode
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 substanceinduced 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
MC: Huntingtons disease
with dementia

Kode
G10 F02.2*

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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 (without 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
[369; 347] F70

under 0 F73.20 34 F72.35 49 F71.50 69 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