ICD-10 Coding Exercises and Scenarios

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Code according to ICD-10 conventions and guidelines:
Emily Lightowlers
Flashcards by Emily Lightowlers, updated more than 1 year ago
Emily Lightowlers
Created by Emily Lightowlers almost 7 years ago
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Question Answer
Varicose vein of heel and mid-foot with presence of ulceration and swelling I83.224 Varicose veins of left lower extremity with both ulcer of heel and midfoot and inflammation
Premature menopause with headache E28.310 Symptomatic premature menopause
Acute myocardial infarction of the anterolateral wall I21.09 ST elevation myocardial infarction (STEMI) involving other coronary artery of anterior wall
Subsequent encounter for obesity resulting from the prescription drug Tryptanol® E66.1, T43.015D E66.1: Drug-induced obesity T43.015D: Adverse effect of tricyclic antidepressants, subsequent encounter
Crohn’s disease of ileum with rectal bleeding and abscess K50.011, K50.014 K50.011: Crohn’s disease of small intestine with rectal bleeding K50.014: Crohn’s disease of small intestine with abscess
Bilateral central corneal ulcer H16.013 Central corneal ulcer, bilateral
Severe generalized abdominal pain with abdominal rigidity R10.0 Acute abdomen
Female with bilateral breast cancer of lower outer quadrant C50.511, C50.512 C50.511: Malignant neoplasm of lower-outer quadrant of right female breast C50.512: Malignant neoplasm of lower-outer quadrant of left female breast
Acute nonsuppurative otitis media of the right ear H65.191 Other acute nonsuppurative otitis media, right ear
Initial encounter for concussion and edema of the thoracic spine S24.0xxA Concussion and edema of thoracic spinal cord, initial encounter
Initial encounter for third degree burn of the right thigh by gasoline to fifteen percent of the total body surface area T24.711A, T32.10, T52.0x1A T24.711A: Corrosion of third degree of right thigh, initial encounter T32.10: Corrosions involving 10%–19% of body surface with 0%–9% third degree corrosion T52.0x1A: Toxic effect of petroleum products, accidental (unintentional), initial encounter
CODING SCENARIO While chopping vegetables in the kitchen of his mobile home for the local food bank’s Thanksgiving dinner, John Doe lacerated his right thumb causing injury to the nail. S61.111A, W26.0xxA, Y92.020, Y93.G1, Y99.2 S61.111A: Laceration without foreign body of right thumb with damage to nail, initial encounter W26.0xxA: Contact with knife, initial encounter Y92.020: Kitchen in mobile home as the place of occurrence of the external cause Y93.G1: Activity, food preparation and clean up Y99.2: Volunteer activity
Borderline glaucoma H40.001 Preglaucoma, unspecified, right eye
Congestive heart failure due to hypertension I11.0 Hypertensive heart disease with heart failure
HIV positive status without symptom Z21 Asymptomatic human immunode ciency virus [HIV] infection status
Urinary frequency R35.0 Frequency of micturition
Morbid obesity with a BMI of 42 in an adult E66.01, Z68.41 E66.01: Morbid (severe) obesity due to excess calories Z68.41: Body mass index (BMI) 40.0 – 44.9, adult
Congenital red cell aplastic anemia D61.01 Constitutional (pure) red blood cell aplasia
Cleft palate involving both the soft and hard palate with bilateral cleft lip Q37.4 Cleft hard and soft palate with bilateral cleft lip
Severe persistent asthma with acute exacerbation J45.51 Severe persistent asthma with (acute) exacerbation
Fatigue fracture of vertebra, lumbar region, and subsequent encounter for fracture with delayed healing M48.46xG Fatigue fracture of vertebra, lumbar region, subsequent encounter for fracture with delayed healing
Interstitial cystitis due to E. coli with hematuria N30.11, B96.20 N30.11: Interstitial cystitis (chronic) with hematuria B96.20: Unspecified Escherichia coli [E. coli] as the cause of diseases classi ed elsewhere
Sleep-related teeth grinding G47.63 Sleep-related bruxism
Non-conclusive HIV-test finding in infants R75 Inconclusive laboratory evidence of human immunode ciency virus [HIV]
CODING SCENARIO Jane and John Doe were shopping at the mall the day after Thanksgiving to take advantage of the sales. While rushing for the newest iPhone, John fell down the stairs. Thankfully, John sustained only minor abrasions to his right elbow. S50.311A, W10.9xxA, Y92.59 S50.311A: Abrasion of right elbow, initial encounter W10.9xxA: Fall (on) (from) unspecified stairs and steps, initial encounter Y92.59: Other trade areas as the place of occurrence of the external cause
Routine infant or child health check Z00.129 Encounter for routine child health examination without abnormal findings
Acquired loss of teeth due to trauma, partial K08.419 Partial loss of teeth due to trauma, unspecified class
Influenzal myocarditis J10.89 Influenza due to other identified influenza virus with other manifestations
Elevated fasting triglycerides E78.1 Pure hyperglyceridemia
Hungry bone syndrome E83.81 Hungry bone syndrome
Primary open-angle glaucoma, moderate stage in left eye and mild stage in right eye H40.11x2, H40.11x1 H40.11x2: Primary open-angle glaucoma, moderate stage H40.11x1: Primary open-angle glaucoma, mild stage
Dorsal somatic dysfunction M99.01 Segmental and somatic dysfunction of cervical region
Invasive ductular carcinoma of breast, completely excised C50.412 Malignant neoplasm of upper-outer quadrant of left female breast
Decompensated COPD with (acute) exacerbation J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation
Concussion without loss of consciousness, initial encounter with neck pain S06.0x0A, M54.2 S06.0x0A: Concussion without loss of consciousness, initial encounter M54.2: Cervicalgia
CODING SCENARIO A 16-year-old student was at the gymnasium participating in a dancing contest to raise money for her class. She slipped on the gym floor and fell, injuring her left ankle. After she visited the emergency room, it was determined that she did not fracture her ankle. However, she did suffer a sprain to that ankle. S93.402A, W01.0xxA, Y92.39, Y93.41, Y99.2 S93.402A: Sprain of unspecified ligament of left ankle, initial encounter W01.0xxA: Fall on same level from slipping, tripping, and stumbling without subsequent striking against object, initial encounter Y92.39: Other specified sports and athletic area as the place of occurrence of the external cause Y93.41: Activity, dancing Y99.2: Volunteer activity
Atrial tachycardia I47.1 Supraventricular tachycardia
Irregular astigmatism of both eyes H52.213 Irregular astigmatism, bilateral
Shaken infant syndrome, initial encounter T74.4xxA Shaken infant syndrome, initial encounter
Painful respiration R07.1 Chest pain on breathing
Neonatal esophageal reflux P78.83 Newborn esophageal reflux
Twin pregnancy, one placenta, two amniotic sacs, third trimester with complication of gestational hypertension O30.033, O13.3 O30.033: Twin pregnancy, monochorionic/diamniotic, third trimester O13.3: Gestational (pregnancy-induced) hypertension without signi cant proteinuria, third trimester
Lisping F80.0 Phonological disorder
Subacute monocytic leukemia, in remission C93.91 Monocytic leukemia, unspecified in remission
Neoplasm of uncertain behavior of the nasal cavities D38.5 D38.5 Neoplasm of uncertain behavior of other respiratory organs
Benign carcinoid tumor of the small intestine D3A.019 Benign carcinoid tumor of the small intestine, unspeci ed portion
Atypical chest pain due to angina R07.89, I20.9 R07.89: Other chest pain I20.9: Angina pectoris, unspecified
CODING SCENARIO Due to ailing health, Jane’s grandfather will be moving in with her in a few months. To understand what care is needed, Jane escorted her grandfather to his doctor appointment for the first time. The doctor told Jane that her grandfather was being treated for mild nonproliferative diabetic retinopathy with macular edema. He has type 2 diabetes and takes insulin on a daily basis. He has also developed diabetic cataract in his right eye. E11.321, E11.36, Z79.4 E11.321: Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema E11.36: Type 2 diabetes mellitus with diabetic cataract Z79.4: Long term (current) use of insulin
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