pengkodean icd o
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( ICD – O )
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International Classification of Diseases for Oncology = ICD - O
ICD - O 1st ed th 1976 : terdiri dari 2 bagian (1) Topography - kode T dan (2) Morphology - Kode M
ICD - O 2nd ed th 1990 : Topography diganti kode C, diambil dari bab II ICD-10. Contoh : Pada ICD-10 kode C 50 Malignant Neoplasm of Breast Pada ICD - O kode C 50 merupakan Topography untuk Breast. Kode M dilengkapi.
ICD - O 3rd ed th 2000 : Kode C disesuaikan dengan bab II ICD - 10. Kode M disesuaikan dengan buku biru WHO.
Kode M pada ICD - O 3rd ed sebagian besar = ICD - 10 namun tidak semuanya sama.
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International Classification of Diseases for Oncology = ICD - O
Klasifikasi Penyakit Neoplasma ICD-O (WHO, 1976) ICD - 10 Bab II - Neoplasma ICD-O 2nd Ed (WHO,
1990) Revisi pada bab Morphology ICD-O 3rd Ed (WHO,
2000) Topography neoplasma= letak tumor -
Kode C. (3 angka) C --.- Kode C tetap sama baik untuk tumor jinak, Ca in situ,
tumor ganas maupun metastasis Morphology neoplasma = jenis histologi -
Kode M. (5 -6 angka) M ----/- atau M ----/-- Bukan neoplasma umumnya hanya diisi Kode C.
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Topography = Kode C.
C 50 BREAST C 50.0 Nipple, areola C 50.1 Breast - central portion C 50.2 Breast - upper inner quadrant C 50.3 Breast - lower inner quadrant C 50.4 Breast - upper outer quadrant C 50.5 Breast - lower outer quadrant C 50.6 Breast - axillary tail C 50.8 Breast - overlapping lesion C 50.9 Breast, NOS
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Kode C. Female Genital Organs
C 53.0 Endocervix uteri C 53.1 Exocervix uteri C 53.8 Cervix uteri - overlapping lession C 53.9 Cervix uteri, NOS C 54.0 Isthmus uteri C 54.1 Endometrium C 54.2 Myometrium C 54.3 Fundus uteri C 54.8 Corpus uteri - overlapping lession C 54.9 Corpus uteri, NOS C 55.9 Uterus, NOS C 56.9 Ovary C 57.8 Female genital organ - overlapping
lession C 57.9 Female genital tract, NOS
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Kode C berdasarkan asal Jaringan C 44 = Skin C 40 / C 41 = Bones, Joints and Articular Cartilage C 47 = Peripheral nerves & autonomic Nervous
system C 49 = Connective, subcutaneous and other soft
tissue C 77 = Lymph node Contoh :
Kulit lengan : C 44.6 Jaringan ikat lengan : C 49.1 Tendon dan otot lengan : C 49.1 Tulang lengan : C 40.0 Saraf perifer lengan : C 47.1 Kelenjar limfe lengan : C 77.3
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Morphology = Kode M ----/-
/0 = Benign /1 = Uncertain benign or malignant /2 = in situ /3 = malignant, primer /6 = malignant, sekunder / metastasis /9 = malignant, uncertain primer/ sekunder Contoh :
Adenoma = M 8140/0 Atypical adenoma = M 8140/1 Adenocarcinoma in situ = M 8140/2 Adenocarcinoma, NOS = M 8140/3 Adenocarcinoma, metastatic = M 8140/6
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Kode M yang berkaitan dengan Kode C
M 8090/3 Basal cell carcinoma( C44._ )
M 8130/3 Papillary Transitional Cell Ca ( C67._) M 8142/3 Linitis plastica (C 16._) M 8170/3 Hepatocellular carcinoma (C 22.0) M 8162/3 Tumor Klatskin (C 22.1, C 24.0 ) M 8204/0 Lactating adenoma ( C 50._ ) M 9180/3 Osteosarcoma (C40._ C41._) M 9510/3 Retinoblastoma,NOS (C 69.2)
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Angka ke 6 pada kode M
1 = Grade I Well differentiated 2 = Grade II Moderately differentiated 3 = Grade III Poorly differentited 4 = Grade IV Undifferentiated / anaplastic
5 = T - cell Lymphoma 6 = B - cell & 7 = Null cell Leukemia 8 = NK cell
9 = not determined
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Perbedaan ICD-O dan ICD - 10ICD-10 memberikan kode yang berbeda untuk neoplasma dari
satu tempat ; contoh ICD-10 : Lung : malignant neoplasm C 34.9 Lung : metastatic neoplasm C 78.0 Lung : in situ neoplasm D 02.2 Lung : benign neoplasm D 14.3 Lung : uncertain neoplasm D 38.1
Pencatatan dengan ICD - O : Lung : malignant neoplasm/ carcinoma C 34.9 M
8010/3 Lung : metastatic neoplasm/ seminoma C 34.9M 9061/6 Lung : in situ neoplasm / SCC in situ C 34.9 M
8070/2 Lung : benign neoplasm / adenoma C 34.9 M 8140/0 Lung : uncertain neoplasm / carcinoid C 34.9 M
8240/1
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Hubungan Kode M dan ICD-10 Kode /0 Benign neoplasm ICD-10 : D10 - D 36 Kode /1 Uncertain behavior ICD-10 : D 37 - D
38 Kode /2 Neoplasm in situ ICD-10 : D 00 - D 09 Kode /3 Malignant neoplasm primer C 00 - C 76
C 80 - C 97 Kode /6 Malignant neoplasm sekunder C 77 - C 79
Kode bab II pada ICD-10 pada umumnya = kode C pada ICD-O, kecuali : C43 melanoma C 44._ M 872 - M 879 /3 C 45 mesothelioma C --.- M 905 /3 C 46 Kaposi’s sarcoma C --.- M 9140/3 C 81- C 96 malignant neoplasm lymphoid tissue
C 00 - C80 M 959 - M 998 /3
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Perbedaan ICD-O dan ICD-10
Kode khusus yang hanya ada pada ICD-O : C 42 Hematopoietic & reticuloendothelial systems C 42.0 Blood C 42.1 Bone marrow C 42.2 Spleen C 42.3 Reticuloendothelial system, NOS C 42.4 Hematopoietic system, NOS
C 77 pada ICD-10 : secondary malignant neoplasm of lymph nodes, pada ICD-O C 77 = kode topography untuk semua lymph nodes. Sedangkan limfoma maligna pada ICD-10 diberi kode C 81 - C 85
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Aturan Pemberian Kode Pada ICD-O
1. Bila diagnosis tidak menyebutkan jenis jaringan usahakan mencari jaringan yang sesuai. Contoh :
nevus pada lengan kode C44.6 (skin of arm) bukan C 76.4 (arm,NOS)
2. Bila asal jaringan/organ tidak jelas (peri-, para-, supra-) dapat dimasukkan ke dalam “tempat yang tidak jelas”. Contoh : - periadrenal = C48.0 (retroperitoneum), - para-aortic lymph node = C 77.2. - Bila tempat tidak jelas C 76
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Aturan Pemberian Kode Pada ICD-O
3. Bila tumor ada pada lebih dari 1 tempat masukkan dalam C--.8
4. Limfoma pada lymph node C 77.- Limfoma extranodal dimasukkan dalam kode organ ybs
5. Semua Leukemia masuk dalam C 42.1 (bone marrow
6. Isikan angka ke 5 pada kode M sesuai dengan jenis tumornya. Contoh : - Chordoma M 9370/3, - Bronkhial adenoma M----/1
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Aturan Pemberian Kode Pada ICD-O
7. Bila topography tidak disebutkan, sedapat mungkin kode C yang sesuai
M 9510/3 Retinoblastoma C 69.2 RetinaM 9530/0 Meningioma C 70.-
MeningenM 8470/3 Mucinous cystadenocarcinoma
C56.9
M 8160/3 Bile duct carcinoma C 22.1 intrahepatic bile duct atau C 24.0 extrahepatic bile duct
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Latihan Pemberian Kode ICD-O
1. Biopsi nasofaring dengan Lymphoepitelioma :Lyphoepithelioma M8082/3nasopharynx C11.9
2. Tumor paru dengan ductal carcinoma :carcinoma-ductal M8500/3lung C34.9
3. Nevus intradermal pada axilla : Nevus intradermal C44.5 M8750/04. Limfoma maligna lymphoblastic pada axilla :Lymphoma-lymphoblastic M9727/3Axilla C76.1
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5. Osteosarcoma pada paha :Osteosarcoma M9180/3Femoral C40.2 6. Poorly diferentiated squamos cell carcinoma, upper lobe of
lungCarcinoma Squamos cell – lung M8070/33Lung – upperlobe C34.17. Lipoma Otot lenganLipoma, NOS M8850/0Arm, Muscle C49.18. Biopsi cavum nasi dengan Reticulosis polimorfikReticulosis-polyformik=M-9719/3Nasal cavity=C30.0
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9. Epidermoid carcinoma well differentiated pada paru lobus inferior dan medius
Carcinoma epidermoid M-8070/31Lung overlapping C34.8