Selamat Pagi

KKPMT II B
JURUSAN PEREKAM MEDIS
DAN
INFORMASI KESEHATAN
12 APRIL 2016

CHAPTER XIV
Diseases of the
genitourinary system
(N00N99)

Ginjal
Ureter
Vesica Urinaria
Urethra

The urinary system shown in anterior view.

(A) Frontal section of the right kidney showing internal structure and
blood vessels.
(B) The magnified section of the kidney shows several nephrons.

This chapter contains the following blocks:

N00N08 Glomerular diseases
N10N16 Renal tubulo-interstitial diseases
N17N19 Renal failure
N20N23 Urolithiasis
N25N29 Other disorders of kidney and ureter
N30N39 Other diseases of urinary system
N40N51 Diseases of male genital organs
N60N64 Disorders of breast
N70N77 Inflammatory diseases of female pelvic organs
N80N98 Noninflammatory disorders of female genital tract
N99
Other disorders of genitourinary tract

Asterisk categories for this chapter are provided as follows:

N08*

Glomerular disorders in diseases classified elsewhere

N16*

Renal tubulo-interstitial disorders in diseases classified elsewhere

N22*

Calculus of urinary tract in diseases classified elsewhere

N29*

Other disorders of kidney and ureter in diseases classified elsewhere

N33*

Bladder disorders in diseases classified elsewhere

N37*

Urethral disorders in diseases classified elsewhere

N51*

Disorders of male genital organs in diseases classified elsewhere

N74*

Female pelvic inflammatory disorders in diseases classified elsewhere

N77* Vulvovaginal ulceration and inflammation in diseases classified

elsewhere

N00N08 Glomerular diseases

The glomerulus (red) within

Bowman's capsule

A glomerulus is a network (as a tuft) of capillaries located at the

beginning of a nephron in the kidney. It serves as the first stage in the
filtering process of the blood carried out by the nephron in its
formation of urine

NOO NO8

.0 Minor glomerular abnormality

Minimal change lesion
.1 Focal and segmental glomerular lesions
Focal and segmental:
hyalinosis
sclerosis
Focal glomerulonephritis
.2 Diffuse membranous glomerulonephritis
.3 Diffuse mesangial proliferative glomerulonephritis
.4 Diffuse endocapillary proliferative glomerulonephritis
.5 Diffuse mesangiocapillary glomerulonephritis
Membranoproliferative glomerulonephritis, types 1 and 3, or NOS
.6 Dense deposit disease
Membranoproliferative glomerulonephritis, type 2
.7 Diffuse crescentic glomerulonephritis
Extracapillary glomerulonephritis
.8 Other
Proliferative glomerulonephritis NOS
.9 Unspecified

Subdivisions .0.8
should not normally be
used unless these have
been specifically identified
(e.g. by renal biopsy or
autopsy).

N01 Rapidly progressive nephritic syndrome

See before N00 for subdivisions
Includes: rapidly progressive:
- glomerular disease
- glomerulonephritis
- nephritis
Excludes: nephritic syndrome NOS (N05.-)
N02 Recurrent and persistent haematuria
See before N00 for subdivisions
Includes: haematuria:
- benign (familial)(of childhood)
- with morphological lesion specified in .0.8
Excludes: haematuria NOS (R31)

N03 Chronic nephritic syndrome

See before N00 for subdivisions
Includes: chronic:
- glomerular disease
- glomerulonephritis
- nephritis
- renal disease NOS
Excludes: chronic tubulo-interstitial nephritis (N11.-)
- diffuse sclerosing glomerulonephritis (N18.-)
- nephritic syndrome NOS (N05.-)

N04 Nephrotic syndrome

See before N00 for subdivisions
Includes: congenital nephrotic syndrome
lipoid nephrosis

N05

Unspecified nephritic syndrome

See before N00 for subdivisions

Includes: glomerular disease }
glomerulonephritis } NOS
nephritis
}
nephropathy NOS and renal disease NOS with
morphological lesion specified in .0.8
Excludes: nephropathy NOS with no stated morphological lesion
(N28.9)
renal disease NOS with no stated morphological lesion
(N28.9)
tubulo-interstitial nephritis NOS (N12)

N06

Isolated proteinuria with specified morphological

lesion

See before N00 for subdivisions

Includes: proteinuria (isolated)(orthostatic)(persistent) with
morphological lesion specified in .0.8
Excludes: proteinuria:
NOS (R80)
Bence Jones (R80)
gestational (O12.1)
isolated NOS (R80)
orthostatic NOS (N39.2)
persistent NOS (N39.1)

N07 Hereditary nephropathy, not elsewhere classified

See before N00 for subdivisions
Excludes: Alport's syndrome (Q87.8)
hereditary amyloid nephropathy (E85.0)
nail patella syndrome (Q87.2)
non-neuropathic heredofamilial amyloidosis (E85.0)

N08* Glomerular disorders in diseases classified elsewhere

Includes: nephropathy in diseases classified elsewhere
Excludes: renal tubulo-interstitial disorders in diseases
classified elsewhere (N16.-*)
N08.0*

Glomerular disorders in infectious and parasitic diseases

classified elsewhere

Glomerular disorders in:

Plasmodium malariae malaria (B52.0)
mumps (B26.8)
schistosomiasis [bilharziasis] (B65.-)
septicaemia (A40A41)
strongyloidiasis (B78.-)
syphilis (A52.7)

N08.1* Glomerular disorders in neoplastic diseases

Glomerular disorders in:
multiple myeloma (C90.0)
Waldenstrm's macroglobulinaemia
(C88.0)
N08.2* Glomerular disorders in blood diseases and disorders
involving the immune mechanism

Glomerular disorders in:

cryoglobulinaemia (D89.1)
disseminated intravascular coagulation
[defibrination syndrome] (D65)
haemolytic-uraemic syndrome (D59.3)
Henoch(-Schnlein) purpura (D69.0)

N08.3* Glomerular disorders in diabetes mellitus

(E10-E14 with common fourth character.2)
N08.4* Glomerular disorders in endocrine, nutritional
and metabolic diseases
N08.5* Glomerular disorders in systemic connective
tissue disorders
N08.8* Glomerular disorders in other diseases
classified elsewhere
Glomerular disorders in subacute
bacterial
endocarditis (I33.0)[1]

Renal tubulo-interstitial diseases

(N10N16)
Includes: pyelonephritis
Excludes: pyeloureteritis cystica (N28.8)
N10

Acute tubulo-interstitial nephritis

Acute:
infectious interstitial nephritis
pyelitis
pyelonephritis

Renal tubular

ICD X

N11

Chronic tubulo-interstitial nephritis

N11.0 Nonobstructive reflux-associated chronic pyelonephritis

Pyelonephritis (chronic) associated with
(vesicoureteral) reflux
N11.1 Chronic obstructive pyelonephritis
N11.8 Other chronic tubulo-interstitial nephritis
Nonobstructive chronic pyelonephritis NOS
N11.9 Chronic tubulo-interstitial nephritis, unspecified

ICD X

N12
Tubulo-interstitial nephritis, not specified as acute
or chronic

Interstitial nephritis NOS

Pyelitis NOS
Pyelonephritis NOS
Excludes: calculous pyelonephritis (N20.9)

N13
Obstructive and reflux uropathy

Hydronephrosis
is the swelling of the kidneys when urine
flow is obstructed in any of part of the
urinary tract. Swelling of the ureter,
which always accompanies
hydronephrosis, is called hydroureter.
Hydronephrosis implies that a ureter
and the renal pelvis (the connection of
the ureter to the kidney) are overfilled
with urine

ICD X

ICD X

N13.0 Hydronephrosis with ureteropelvic junction

obstruction
N13.1 Hydronephrosis with ureteral stricture, not
elsewhere classified
N13.2 Hydronephrosis with renal and ureteral
calculous obstruction
N13.3 Other and unspecified hydronephrosis
N13.4 Hydroureter
N13.5 Kinking and stricture of ureter without
hydronephrosis
N13.6 Pyonephrosis
N13.7 Vesicoureteral-reflux-associated uropathy
N13.8 Other obstructive and reflux uropathy
N13.9 Obstructive and reflux uropathy, unspecified

ICD X

N14
Drug- and heavy-metal-induced tubulo-interstitial and
tubular conditions

Renal tubular

ICD X

N14.0 Analgesic nephropathy

N14.1 Nephropathy induced by other drugs,
medicaments and biological substances
N14.2 Nephropathy induced by unspecified drug,
medicament or biological substance
N14.3 Nephropathy induced by heavy metals
N14.4 Toxic nephropathy, not elsewhere classified[1

N15

ICD X

Other renal tubulo-interstitial diseases

N15.0

Balkan nephropathy
Balkan endemic nephropathy

N15.1 Renal and perinephric abscess

N15.8 Other specified renal tubulo-interstitial dis

N15.9 Renal tubulo-interstitial disease, unspecifie

Infection of kidney NOS
[1]

ICD X

N16*
Renal tubulo-interstitial disorders in
diseases classified elsewhere

ICD X

N16.0* Renal tubulo-interstitial disorders in infectious

and parasitic diseases classified elsewhere
N16.1* Renal tubulo-interstitial disorders in neoplastic
diseases
N16.2* Renal tubulo-interstitial disorders in blood
diseases and disorders involving the immune
mechanism
N16.3* Renal tubulo-interstitial disorders in metabolic
diseases
N16.4* Renal tubulo-interstitial disorders in systemic
connective tissue disorders
N16.5* Renal tubulo-interstitial disorders in transplant
rejection (T86.-)
N16.8* Renal tubulo-interstitial disorders in other

Gagal ginjal / Renal Failure

adalah kerusakan ginjal progresif
yang berakibat fatal dan ditandai
dengan uremia (urea dan limbah
nitrogen lainnya yang beredar
dalam darah serta komplikasinya
jika tidak dilakukan dialisis atau
transplantasi ginjal), (Nursalam,
2006).

A
B

A Causes of renal
failure.
(A) Prerenal.
(B) Intrinsic renal.

Renal failure
(N17N19)
ICD X

Medullary necrosis

Urolithiasis
(N20N23)

N20 Calculus of kidney and ureter

Excludes: with hydronephrosis (N13.2)

N20.0
N20.1
N20.2
N20.9
ICD X

Calculus of kidney
Calculus of ureter
Calculus of kidney with calculus of ureter
Urinary calculus, unspecified

N21 Calculus of lower urinary tract

Includes:with cystitis and urethritis

N21.0
N21.1
N21.8
N21.9
ICD X

Calculus in bladder
Calculus in urethra
Other lower urinary tract calculus
Calculus of lower urinary tract, unspecified

Diverticulum of bladder

N22*

Calculus of urinary tract in diseases classified elsewh

N22.0* Urinary calculus in schistosomiasis [bilharziasis] (B65.-)

N22.8* Calculus of urinary tract in other diseases classified elsew
ICD X

N23 Unspecified renal colic

Other disorders of kidney and

ureter
(N25N29)
Excludes:

with urolithiasis (N20N23)

N25.0 Renal osteodystrophy

N25.1 Nephrogenic diabetes insipidus
N25.8 Other disorders resulting from
impaired renal tubular function
N25.9 Disorder resulting from impaired
renal tubular function,
unspecified
ICD X

Nephrogenic diabetes
insipidus
is a form of diabetes insipidus
primarily due to pathology of
the kidney.

N25.8
LightwoodAlbright syndrome
is a form of renal tubular acidosis.
It is also known as Lightwood syndrome.
[1]

It is named for Reginald Cyril Lightwood and

Fuller Albright

N26 Unspecified contracted kidney

Atrophy of kidney (terminal)
Renal sclerosis NOS
Excludes: contracted kidney with hypertension
(I12.-)
diffuse sclerosing glomerulonephritis
(N18.-)
hypertensive nephrosclerosis (arteriolar)
(arteriosclerotic) (I12.-)
small kidney of unknown cause (N27.-)

N26
sclerosis (skl-rss)
A thickening or hardening of a
body part, as of an artery,
especially from excessive
formation of fibrous interstitial
tissue.

N27 Small kidney of unknown cause

N27.0 Small kidney, unilateral
N27.1 Small kidney, bilateral
N27.9 Small kidney, unspecified

N27

N28 Other disorders of kidney and ureter,

not elsewhere classified
Excludes: hydroureter (N13.4)
renal disease:
acute NOS (N00.9)
chronic NOS (N03.9)
ureteric kinking and stricture:
with hydronephrosis (N13.1)
without hydronephrosis (N13.5)

N28.0 Ischaemia and infarction of kidney

Renal artery:
embolism
obstruction
occlusion
thrombosis
Renal infarct
Excludes: Goldblatt's kidney (I70.1)
renal artery (extrarenal part):
atherosclerosis (I70.1)
congenital stenosis (Q27.1)

28.8 Other specified disorders of kidney and ureter

Cyst (multiple)(solitary) of kidney, acquired

Excludes: cystic kidney disease (congenital) (Q61.-)

N28.8 Other specified disorders of kidney and

ureter
Hypertrophy of kidney
Megaloureter
Nephroptosis
Pyelitis
}
Pyeloureteritis } cystica
Ureteritis
}
Ureterocele

N28.9 Disorder of kidney and ureter, unspecified

Nephropathy NOS
Renal disease NOS

Excludes: nephropathy NOS and renal disease NO

with morphological lesion specified in .0.8
before N00.- (N05.-)

IC D X

N29*
Other disorders of kidney and ureter in diseases
classified elsewhere

diseases of urinary system

N39)

xcludes: urinary infection (complicating):

abortion or ectopic or molar pregnancy (O0
pregnancy, childbirth and the puerperium (O
with urolithiasis (N20N23)
ICD X

N30 Cystitis

Use additional code, if desired, to identify infectiou

agent (B95B97) or responsible external agent
(Chapter XX).
Excludes: prostatocystitis (N41.3)

N30.0 Acute cystitis

Excludes: irradiation cystitis (N30.4)
trigonitis (N30.3)
N30.1 Interstitial cystitis (chronic)
N30.2 Other chronic cystitis
N30.3 Trigonitis
Urethrotrigonitis
N30.4 Irradiation cystitis
N30.8 Other cystitis
Abscess of bladder

N30.9 Cystitis, unspecified

Acute cystitis

N30.4
Radiation cystitis
is a complication of radiation therapy
to pelvic tumors. The urinary bladder
can be irradiated intentionally for the
treatment of bladder cancer or
incidentally for the treatment of other
pelvic malignancies.

Irradiation cystitis

N31 Neuromuscular dysfunction of bladder,

not elsewhere classified
Excludes: cord bladder NOS (G95.8)
due to spinal cord lesion (G95.8)
neurogenic bladder due to c auda
equina syndrome (G83.4)
urinary incontinence:
NOS (R32)
specified (N39.3N39.4)

Neuromuscular diseases
are those that affect the muscles
and/or their direct nervous system
control

N31.0 Uninhibited neuropathic bladder, not elsewhere

classified
N31.1 Reflex neuropathic bladder, not elsewhere
classified
N31.2 Flaccid neuropathic bladder, not elsewhere
classified
Neuropathic bladder:
atonic (motor)(sensory)
autonomous
nonreflex
N31.8 Other neuromuscular dysfunction of bladder
N31.9 Neuromuscular dysfunction of bladder, unspecified
Neurogenic bladder dysfunction NOS

N31.0
Kandung Kemih Neurogenik /Neurogenic
Bladder
adalah hilangnya fungsi kandung
kemih yang normal akibat kerusakan
pada sebagian sistem sarafnya

N32 Other disorders of bladder

Excludes: calculus in bladder (N21.0)
cystocele (N81.1)
hernia or prolapse of bladder, female (N81.1)

.0 Bladder-neck obstruction
Bladder-neck stenosis (acquired)
.1 Vesicointestinal fistula
Vesicorectal fistula
.2 Vesical fistula, not elsewhere classified
Excludes: fistula between bladder and female
genital tract (N82.0N82.1)
.3 Diverticulum of bladder
Diverticulitis of bladder
Excludes: calculus in diverticulum of bladder (
.4 Rupture of bladder, nontraumatic
.8 Other specified disorders of bladder
Bladder:
calcified
contracted
.9 Bladder disorder, unspecified

Diverticulum of bladder

N32.8

Calcification posterior wall of urinary bladder

N33* Bladder disorders in diseases classified elsewhere

N33.0*

Tuberculous cystitis (A18.1)

N33.8*
Bladder disorders in other diseases classified
elsewhere
Bladder disorder in schistosomiasis [bilharziasis]
(B65.-)

N34 Urethritis and urethral syndrome

Use additional code (B95B97), if desired,
to identify infectious agent.
Excludes: Reiter's disease (M02.3)
urethritis in diseases with a
predominantly sexual mode of
transmission (A50A64)
urethrotrigonitis (N30.3)

ICD X

N34.0 Urethral abscess

N34.1 Nonspecific urethritis
N34.2 Other urethritis
N34.3 Urethral syndrome, unspecified

Abscess

an enclosed collection of liquefied

tissue, known as pus, somewhere in the
body. It is the result of the body's
defensive reaction to foreign material.

N34.0
Periurethal abscess
has a tender inflamed area in his
perineum, or under his penis.

5 Urethral stricture

xcludes: postprocedural urethral stricture (N9

ICD X

N35.0 Post-traumatic urethral stricture

N35.1 Postinfective urethral stricture, not
N35.8 Other urethral stricture
N35.9 Urethral stricture, unspecified

ICD X

N36 Other disorders of urethra

N36.0Urethral fistula
N36.1Urethral diverticulum
N36.2Urethral caruncle
N36.3Prolapsed urethral mucosa
N36.8Other specified disorders of ureth
N36.9Urethral disorder, unspecified

Urethral fistula

Urethral fistula

N36.1 Urethral diverticulum

N36.2 Urethral caruncle

Urethral prolapse ( N36.3 )

is a circular protrusion of the distal
urethra through the external meatus.

37* Urethral disorders in diseases classified elsewhere

37.0* Urethritis in diseases classified elsewhere

Candidal urethritis (B37.4)

37.8* Other urethral disorders in diseases classified

ICD X

N39.0 Urinary tract infection, site not specified

N39.1 Persistent proteinuria, unspecified
N39.2 Orthostatic proteinuria, unspecified
N39.3 Stress incontinence
N39.4 Other specified urinary incontinence
N39.8 Other specified disorders of urinary system
N39.9 Disorder of urinary system, unspecified [1]

N39 Other disorders of urinary system

Excludes: haematuria:
NOS (R31)
recurrent and persistent (N02.-)
with specified morphological lesion
proteinuria NOS (R80)

N39.2

Orthostatic proteinuria, unspecified

Orthostatic proteinuria
(synonyms: orthostatic albuminuria, postural
proteinuria) is a benign condition.
protein (mostly albumin) to appear in urine when they
are in the

standing position.

N39.3 Stress incontinence

It is the loss of small amounts of urine

associated with coughing, laughing,
sneezing, exercising or other
movements that increase intraabdominal pressure and thus increase
pressure on the bladde

PERTANYAAN
SEMOGA
BERMANFAAT