E13. Adanya gastropati diabetika patut dicurigai pada penderita diabetes yang mengalami gejala-gejala saluran cerna atas seperti misalnya mual,. 0): 008 Simultaneous pancreas and kidney transplant;ICD-10-CM Diagnosis Code E10. 1 Familial hypercholesterolemia E78. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Aug 27, 2015. Andrews FJ, Malcontenti-Wilson C, OBrien PE. Although the words “controlled” and. Konsul Konsulen yang. Disusun Oleh: Mulya Ito Astari, S. The 2024 edition of ICD-10-CM E11. hypoglycemia with coma. 1 Gastritis Akut N39. K12. Oleh : dr. Strong risk factors include older age, obesity, physical inactivity, prior gestational diabetes, pre-diabetes, non-white ancestry, family history of diabetes, and. Search All ICD-10; ICD-10-CM Diagnosis Codes;Z13. The following code (s) above K31. This is the American ICD-10-CM version of O24. The information here is not intended to serve as official Obesity coding or legal advice. Rezi Amalia Putri. Patients with this complication need to be well diagnosed and ruled out other diagnosis. Here are some commonly used ICD-10 codes for prediabetes and whether they are billable: R73. (ICD E11. Download the app! INSTALL. Drug or chemical induced diabetes mellitus with diabetic arthropathy. 620 became effective on October 1, 2023. 59. Neuropati perifer adalah jenis yang paling banyak terjadi pada pengidap diabetes. congestive portal K31. 39, E10. 57 konsul 89. Use Additional. ICD-10-CM Code E11. We would like to show you a description here but the site won’t allow us. The patient has type 2 diabetes and takes insulin on a daily basis. 09 INSISI ABESE. All neoplasms, whether functionally active or. Within Section I are the chapter-specific guidelines, where you will find the chapter for diabetes: Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00-E89). Short description: Type 2 diabetes mellitus with diabetic neuropathy, unsp. 649 . The 2024 edition of ICD-10-CM K29. This abbreviation is the equivalent of unspecified. Type 1 diabetes w proliferative diabetic retinopathy. Diabetes mellitus (DM) ICD-10-CM Clinical overview 222005ALL0523-D Disclaimer This document is intended for physicians and office staff. Pathophysiology and management of diabetic gastropathy: a guide for endocrinologists. A. Multiple sclerosis. 1 Familial hypercholesterolemia E78. ICD 10 code for Diabetes mellitus due to underlying condition with other circulatory complications. Close suggestions Search Search. A : Gastropati DM + Ulkus DM + Hipokalemia. Salah satunya Gastroparesis diabetik, kondisi ketika makanan mengendap di dalam perut dalam waktu yang lama akibat adanya kerusakan saraf. with ICD-10 – Quick reference guide 205 7. Gastropati NSAID dapat memberikan keluhan dan gambaran klinis yang bervariasi seperti dispepsia, ulkus, erosi, hingga perforasi. √ Kode ICD 10 Kolesterol 2023: Penyebab, Gejala & Pengobatan. 44 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. E11. 2 became effective on October 1, 2023. Pasien gastritis umumnya asimptomatik. 1 Codes. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. E11. 2 – Allergic and dietetic gastroenteritis and colitis. 9 Type 2 DM without complications E11. A 'billable code' is detailed enough to be used to specify a medical diagnosis. Fatma Yanti RUMAH SAKIT UMUM DAERAH KOTA SAWAHLUNTO 2014 BORANG PORTOFOLIO 0. Patients with portal hypertensive gastropathy. Gangguan fungsi saluran cerna merupakan masalah yang sering ditemui pada penderita diabetes mellitus dan berkaitan dengan terjadinya disfungsi neurogenik dari saluran cerna. 1 Definisi DM Diabetes mellitus adalah suatu penyakit metabolik kronik yang ditandai dengan kondisi hiperglikemia akibat gangguan sekresi insulin, aktifitas insulin atau keduanya (American Diabetic Association, 2010). Dalam keadaan tertentu, kadar gula darah normal berada dalam kisaran berikut: Kadar gula darah dalam keadaan setidaknya puasa 8 jam: 70−100 mg/dL. 8 TFA K29. 622 became effective on October 1, 2023. BLOG RESPONSE. Gastropati diabetik 0 0 0 0 1 12,5 Anemia + Gasrtopati diabetik 1 3. Adanya. ICD-10-CM Diagnosis Code E11. 43, ICD-10-CM Diagnosis Code E13. e. PENDAHULUAN Gastropati: kelainan pada mukosa lambung dengan karakteristik perdarahan subepitelial dan erosi Penyebab : NSAID (Non steroidal anti inflammatory drugs) alkohol, stres, ataupun faktor kimiawi. 29 konsul dr beda bagian 89. E10 Type 1 diabetes mellitus. Gastropati NSAID. 39 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 3. Namun, beberapa negara menganggap penyakit ini tidak menular, dalam hal ini gastroenteritis akut ICD 10 disebut sebagai K52. RR 20 x/m. 1,2 Di Indonesia, Gastropati NSAID merupakan. Diet spesifik telah diidentifikasi yang memiliki jumlah mereka (Nomor 1, 1a, 1b, 2, 3 dan 4) dan direkomendasikan untuk nutrisi selama eksaserbasi dan proses patologis kronis. The code E11. Swollen, congested blood vessels in your stomach lining. dan ACE-inhibitor atau diuretika yang menjaga kalium. 44 became effective on October 1, 2023. ICD-10: E11. ICD-10-CM Diagnosis Codes. There are three HCCs for diabetic diagnoses: HCC 17 Diabetes with Acute Complications. Polyneuropathy is a common complication to diabetes. ID dan Nama Wahana: RSUD Kota Sawahlunto Topik: Anemia e. We would like to show you a description here but the site won’t allow us. 3) Question: A 14-year-old female patient was seen in the Diabetes Clinic for a follow-up visit. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Swollen, congested blood vessels in your stomach lining. Definisi. We used the ICD-10 codes E08. Gastritis Uspesifik Disease Of Stomach And Duodenum Gastropati/ NSAID Guillain Barre Syndrome. 7. Type 2 diabetes mellitus. There are 4 terms under the parent term 'Gastropathy' in the ICD-10-CM Alphabetical Index . Diagnosis definitif dilakukan melalui pemeriksaan histopatologi, namun pemeriksaan ini jarang dilakukan pada praktik. 1 The American Diabetes Association (ADA) defines several types of diabetes, all caused by a deficiency of production or function of insulin (or both). 43 as they correlate with diabetic GP (DGP). Salah satu penyebab dari gastropati adalah efek dari. Dokter Spesialis. Nyeri/rasa panas di daerah ulu hati, rasa penuh/tidak nyaman setelah makan, rasa cepat kenyang, kembung, mual/muntah, bersendawa; Tanda bahaya ( alarm symptoms ): muntah yang menetap, perdarahan, anemia, massa di perut, penurunan berat badan yang tidak. Type 2 diabetes mellitus with . Available for iPhone, iPad, Android, and Web. Please guide for the same. Menderita penyakit diabetes mellitus akan meningkatkan risiko terjadinya penyakit kardiovaskular. 6 became effective on October 1, 2023. 43 kemotherapi 99. Gastropati diabetik. Ked 11310244 Pembimbing: Dr. Non-Billable Code Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. 1 BAB I PENDAHULUAN 1. ”. 419 may differ. 618 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. GASTROPATI NSAID. The 2024 edition of ICD-10-CM E11. HCC coding for Diabetes. Diabetes Mellitus Type 1 . 39, E11. 01 Family history of endo, nutritional and metabolic diseases. 9 Use when no other complications of diabetes exist. malabsorbsi yang tidak dapat dikoreksi. 630 [convert to ICD-9-CM] Type 2 diabetes mellitus with periodontal disease. fPatogenesis Seluruh mekanisme yang menimbulkan gastritis erosif. 6%. In addition, assign codes H25. However, under ICD-9, payers don’t require you. 89 Other diseases of stomach and duodenum. E11. Unspecified atherosclerosis of native arteries of extremities. Salah satu penyebab dari gastropati adalah efek dari NSAID (Non steroidal anti inflammatory drugs) serta beberapa faktor lain seperti alkohol, stres, ataupun faktor kimiawi. is grouped within Diagnostic Related Group (s) (MS-DRG. 65 - other international versions of ICD-10 E11. The 2024 edition of ICD-10-CM I96 became effective on October 1, 2023. Obat analgetik anti inflamasi, terutama aspirin. ICD-10-CM Diagnosis Code E09. Please guide for the same. 5 - other international versions of ICD-10 N18. 1–N18. 61 became effective on October 1, 2023. 89 became effective on October 1, 2023. 10,11 Hipertensi adalah masalah kesehatan masyarakat. fPatogenesis Seluruh mekanisme yang menimbulkan gastritis erosif. Only one code is reported for both eyelids, not two separate codes. 0): 391 Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc 392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc Convert K31. 89 became effective on. 1 is applicable to adult patients aged 15 - 124 years inclusive. 2024 ICD-10-CM Range K00-K95. Type 2 diabetes with . Lookup any ICD-10 diagnosis and procedure codes. . PenatalaksanaanIstirahat, O2 3-5 l/mDiet rendah protein 40 grIVFD RL gtt X / mnt (mikro) Furosemide 2 x 1 Amp IVCaCO3 3 x 500 mgAsam folat 1 x 1 grAmlodipin 1 x 10 mgClonidin 3 x 0, 15 mg. To code a diagnosis of this type, you must use one of the two child codes of E11. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. I. Short description: Type 2 diabetes mellitus w diabetic chronic kidney disease. Polyneuropathy is a common complication to diabetes. Tujuan dari penelitian ini adalah mengetahui gambaran mengenai penulisan diagnosis, hasil pemeriksaan penunjang, dan ketepatan kode penyakit Gastroenteritis berdasarkan ICD 10 periode triwulan IV tahun 2018 di RSD Bagas Waras Klaten. Amiloidosis. 46 years old patient with a history of DM. This is the American ICD-10-CM version of K52. 9 - other international versions of ICD-10 K31. Neuropati perifer menyebabkan kerusakan pada sistem saraf perifer, terutama pada tungkai dan kaki. 302 [1] HCC 18 Diabetes with chronic complications RAF 0. The following examples apply ICD-10-CM chapter 4, "Diabetes mellitus E08-E13," tabular list instructions and illustrate diabetes mellitus code combinations and code specificity. 2024 ICD-10-CM Range K00-K95. 0 ISK DESKRIPSI TOTAL E14. 1–N18. “Baik itu dalam bentuk. Dalam mendiagnosa gastroparesis diabetika perlu disingkirkan keadaan-keadaan lain yang dapat meyebabkan gastroparesis,obat-obatan yang mempengaruhi motilitas lambung harus dihentikan 12 24 jam sebelum test antara lain narkotik, benzodiazepin, adrenergic agonist, calcium channel blocker, levodopa, obat-obat dengan aktifitas anti cholinergic. 9 Gastropati DM disebabkan oleh neuropati pada nervus vagus yang mempersarafi lambung sehingga pengosongan lambung terganggu akibat menurunnya peristaltic lambung. We assessed the validity of International Classification of Disease, 10th Revision, Clinical Modification (ICD-10-CM) codes to discriminate between type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM) among health plan. 4. Acute gastritis with bleeding. 4), Pasien DM tipe II dengan atau tanpa penyakit penyerta. The updated guideline states that “the classification presumes a causal relationship between the two conditions linked by these. Diperkirakan sekitar 20-40% orang dengan diabetes melitus akan mengalami nefropati diabetik jika gula darah tidak dikendalikan dengan baik. 9 became effective on October 1, 2023. 419 - other international versions of ICD-10 O24. 2023 - New Code 2024 Billable/Specific Code POA Exempt. The above description is abbreviated. 8 ‘Other specified inflammatory liver diseases (non-alcoholic steatohepatitis)’ and K76. A. Status nutrisi pasien sebaiknya diperbaiki dengan modifikasi diet oral. The following code (s) above K29. These abnormalities range fromtachygastrias to antral hypomotility and frankgastroparesis. DHF 2. ICD-10 code lookup — find diagnosis codes (ICD-10-CM) and procedure codes (ICD-10-PCS) by disease, condition or ICD-10 code. 29 other abnormal glucose E10. ICD-10-CM Diagnosis Code. 11, Age-related nuclear. histopatologis yang terkait dengan uremia, sekunder akibat gagal ginjal (Rios et. Sindrom adalah kumpulan gejala yang muncul. 2165/00003495-200767120-00003. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The following examples apply ICD-10-CM chapter 4, "Diabetes mellitus E08-E13," tabular list instructions and illustrate diabetes mellitus code combinations and code specificity. P : Terapi dilanjutkan SEORANG WANITA 55 TAHUN DENGAN GASTROPATI UREMIKUM, CKD STAGE V DENGAN EDEMA PULMO, DAN CHF NYHA IV. Quick search helps you quickly navigate to a particular category. K52. ICD-10: K31. This can include everything from ulcers to gastritis. 1. Gastritis kronik DU : DHF DT : 1. E11 Type 2 diabetes mellitus. Just like 250. 8 Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere (more specific than I73. This is the American ICD-10-CM version of N18. The 2024 edition of ICD-10-CM E11. Open navigation menu. alkohol, riwayat ulkus, diabetes mellitus dan infeksi bakteri Helicobacter pylori. N18. Gastritis kronik DU : DHF DT : 1. Use Additional. Assign appropriate ICD 10 CM codes?2024 ICD-10-CM Diagnosis Code. K31. HCC 19 Diabetes without complications RAF 0. 5, No. Bronchitis 3. No. Gangrene, not elsewhere classified. 0 Bronchopneumonia B34. 618 - other international versions of ICD-10 E11. Gejalanya, antara lain: Kram atau nyeri. Kata kunci: hematemesis, melena,. DM that results from another condition is secondary diabetes. Best answers. These changes in the mucosa include friability of the mucosa and the presence of ectatic blood vessels at the surface. Rose Dinda Martini, SpPD,K-GER. O24. 500 results found. 1, 2020 . Discipline of Medicine, University of Adelaide, Royal Adelaide Hospital, Adelaide, South Australia, Australia. Glimepiride 20mg 2x1. Erosi/ gastropati gaster Esofagitis Lesi Dielafoy Telangiektasis Gastropati hipertensi portal GAVE (Gastric Antral Vascular Ectasia) = watermelon stomach. 89 erythematous K29. II. Fitria Rahma N. E10. 2 DM+ABSCESS (ATAU KOMPLIKASI LAIN) = E10. 07 av shunt 39. exudative - K90. Gastroparesis is defined by objective delaying of gastric emptying without any evidence of mechanical obstruction. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. The 2024 edition of ICD-10-CM K12. 73 m 2, dalam 5 sampai 10 tahun setelah didiagnosis diabetes. 22 Type 2 DM with CKD • Use additional code to identify CKD stage (N18. This is the American ICD-10-CM version of E11. 8 became effective on October 1, 2023. A : Gastropati DM+ Ulkus DM + Hipokalemia. 621 may differ. 8 Other Seniles Cataract 154 2 H59. Fitria Rahma N. This is the American ICD-10-CM version of E11. 7 Generalized lipodystrophy E88. Diabetic gastroenteropathy is a common complication in prolonged diabetic patients, particularly patients with poor glycemic control or other complications, including all form of diabetic complication on the gastrointestinal tract, which prompts various symptoms of heartburn, abdominal pain, nausea, vomiting, even constipation, diarrhea, and fecal incontinence. Personal history of (corrected) gastroschisis. Type 1 diabetes mellitus with unspecified diabetic retinopathy. 621 - other international versions of ICD-10 E11. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. 9 Insulinoma D13. There are 4 terms under the parent term 'Gastropathy' in the ICD-10-CM Alphabetical Index . LAPORAN KASUS Pembimbing : dr. 641. The ICD-10-CM Alphabetical Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. Ondansentron 3x1. E13. Some causes include: Ingested substances, such as alcohol and drugs. 2. 02 - Impaired glucose tolerance (oral): Yes, this code is billable. ICD-10-C Codes fo Diaetes-esi Diagnoses ICD-10 Code Diabetes-Obesity Diabetes mellitus Type 1 E10. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. , mild to moderate indigestion,. Symptoms are pleomorphic but include nausea, vomiting, dysphagia, dyspepsia, pain, bloating, diarrhoea, constipation. Neuropati Perifer. ID dan Nama Peserta: dr. YANI 2022 DIABETE MELITUS TYPE 2. 5 kg predicted delayed GE ( 4 ). A 'billable code' is detailed enough to be used to specify a medical diagnosis. 65 Type 2 diabetes mellitus with hyperglycemia. ICD-10-CM Diagnosis Code M15. Namun, ada beragam kondisi yang menyebabkan seseorang lebih mudah mengalami gastroparesis, yaitu: Diabetes tipe 1 atau tipe 2 yang tidak terkontrol. 84 instructs to code first underlying disease if known, such as: diabetes, (one of which listed is E11. X = T1DM and DE11. Anita Yulanda Kasih Pembimbing : dr. 9, diabetes uncomplicated. Applicable To. In the ICD-10-AM, two codes may be used to record NAFLD/NASH: K75. The patient has type 2 diabetes and takes insulin on a. Kadar besi berkurang walaupun kapasitas meningkat besi serum meningkat. G99141151. Diabetic gastroenteropathy is a complication of diabetes mellitus that affects the gastrointestinal tract and causes various symptoms that impair quality of life. 3 H21. Penyebab Gastroparesis. Clinical trials and real changes in the mucous membrane are associated with the actions of various etiological factors, while drug-induced gastritis is characterized by various structural changes in the gastric mucosa with minimal signs of inflammation, which has led to the. 4/E11. ICD-10-CM diabetes codes are combinations codes that include the type of diabetes mellitus, body system affected, and the complications affecting that body system. Kerusakan saraf ( neuropati diabetik ), yang dapat ditandai dengan mati rasa hingga nyeri di kaki, atau gangguan pada fungsi seksual. ICD-10-CM Diagnosis Code E09. 620 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. No known geographic variation in the United States Slight female predominance. Jika asupan oral tidak adekuat, maka nutrisi enteral melalui selang. Autonomic neuropathy due to type 1 diabetes mellitus; Diabetes type 1 with autonomic neuropathy; Diabetes type 1 with gastroparesis; Diabetic gastroparesis associated with type 1 diabetes mellitus; ICD-10-CM E10. 2 Other specified diabetes mellitus with kidney. S. lebih dari tiga daerah atau lebih di dalam lambung; dan Derajat 5 sudah terdapat tukak. Figure Box 1. This is the American ICD-10-CM version of K31. Anda mungkin diminta oleh dokter untuk menurunkan gula darah sebesar 70-130 mg/dL sebelum makan dan kurang dari 180 mg/dL gula darah setelah makan. ICD-10-CM Diagnosis Code E09. OLEH: Andhika Budhi Pipit Amelia Burhani Rezi Amalia Putri. PD IDENTIFIKASI PASIEN. ”. BACKGROUND: Diabetes mellitus (DM) is a metabolic disease whose its. E11. Audrey Amily. Berdasarkan penyebabnya, DM dapat diklasifikasikan menjadi 4 kelompok, yaitu DM tipe 1, DM tipe 2, DM gestasional dan DM tipe lain. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. 43, E10. K29. 65 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 6 became effective on October 1, 2023. diabetes mellitus E10- Type 1 diabetes mellitus E11- Type 2 diabetes mellitus E13- Other specified diabetes mellitus [NOTE: The first 3 characters in ICD-10 (like ICD-9) represent the “category” portion of the code. IDENTITAS PASIEN Nama : Tn. Gastroparesis is a relatively rare disorder of the stomach wall that only affects about 24. Gastritis kronik 2. Dermopati diabetik adalah masalah kulit yang umumnya muncul pada kaki bagian bawah pasien diabetes. 11. 1 Adult hypertrophic pyloric stenosis. 9 gea d24 fam dhf dhf d25. Pada pedoman ini, hiperglikemia yang dibahas adalah yang terkait dengan DM tipe 2 karena sebanyak 90- 95% kasus diabetes adalah DM tipe 2. Menurut CDC, terdapat 32,2% diabetesi berusia. c Melena e. Gangrene, not elsewhere classified. Hver av dem har egne behandlingsfunksjoner. E11. 111 1110313071 1110312003. 1. E10 Type 1 Diabetes Mellitus. HCC 17 Diabetes with acute complications RAF 0. This was the first year ICD-10-CM was implemented into the HIPAA code set. Refluks usus ke lambung. 10 Type 1 diabetes mellitus with ketoacidosis without coma BILLABLE;Prompt diagnosis of a diabetes-related foot infection decreases the risk of morbidity and mortality. ICD-10 code E11. Cempaka Irawati. Hipertensi yang tidak terkontrolDiet dengan gastropati. Keluhan dan gambaran klinis bervariasi dispepsia, ulkus, erosi, hingga perforasi. II Gastropati diabetic. 9 Type 2 DM without complications E11. A: It is important for health care professionals to ask people with diabetes whether they have some of the digestive symptoms of gastroparesis, such as. 0 DU : GEA DT : Gastritis kronik MB 3 11 286904 20 L 1 DK : 1. 43 which has Type 2 diabetes with diabetic gastroparesis listed under this code, does not instruct to include code for gastroparesis. Other specified diabetes mellitus with ketoacidosis with coma E13. Definisi. This is the American ICD-10-CM version of E11. WHO has authorized the development of an adaptation of ICD-10 for use in the United States for U. Though several approaches for limiting these side effects. Diabetic gastroparesis is a potential complication that occurs in the setting of poorly controlled diabetes, resulting from dysfunction in the coordination and function of the autonomic nervous system, neurons, and specialized. 2. 5 Diabetes Mellitus (2018 Vol. According to ICD-10 CM conventions and guidelines. 3 Pylorospasm, not elsewhere classified. 11731180, 1995. Penyakit Parkinson. A high prevalence of GI symptoms exists in the general population, which may be influenced by BMI, sex, psychological comorbidities, Helicobacter pylori infection, and age (). 10 Other specified diabetes mellitus with ketoacidosis without coma E13. E10. The 2024 edition of ICD-10-CM N18. The 2024 edition of ICD-10-CM K76. Ceftriaxon 2x1 amp. 100% (1) 100% menganggap dokumen ini bermanfaat (1. 1 is applicable to male patients. Ditinjau oleh dr. K31. Pathophysiology and management of diabetic gastropathy: a guide for endocrinologists. Diabetes, a group of diseases defined by persistent and recurrent hyperglycemia, affects more than 500 million adults worldwide. HCC 18 Diabetes with Chronic Complications. 621 - other international versions of ICD-10 E11. 1 Diabetes Mellitus (DM) 2. Kondisi ini dikenal juga sebagai pigmented pretibial patches atau shin spots (bintik tulang kering). The 2024 edition of ICD-10-CM K31. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 5 APP K35.