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The application of various icd-10-cm coding guidelines and principles. It presents several case scenarios and questions related to the appropriate icd-10-cm code selection for conditions such as diabetes, eating disorders, pain management, glaucoma, eye infections, cataracts, ear issues, hypertensive retinopathy, myocardial infarction, asthma, copd, hernias, liver transplants, anemia, and more. The document aims to test the user's understanding and application of icd-10-cm coding guidelines across a range of medical conditions and scenarios. It provides a valuable resource for healthcare professionals, coders, and students to enhance their icd-10-cm coding knowledge and skills.
Typology: Exams
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A 12 year old's diabetes mellitus is well controlled with oral antidiabetic medications. The patient has no complications. Applying the coding concepts from ICD-10-CM guidelines I.C.4.a.1, I.C.4.a.2, and I.C.4.a.3, what ICD-10-CM code(s) is/are reported? A. E11.9, Z79. B. E10. C. E13.9, Z79. D. E08.9, Z79.84 - Answer>> A. E11.9, Z79. A type 2 diabetic patient with diabetic retinopathy visits his ophthalmologist for blurred vision. After performing a visual acuity test and a dilated eye exam, the provider states the patient has macular edema. Applying the coding concept from ICD-10-CM guideline I.C.4.a, what ICD-10-CM code is reported? A. E11. B. E11. C. E08. D. E10.311 - Answer>> A. E11. A patient with a 4 year history of eating disorders is seen in the physician's office due to significant weight loss over the past 3 months. She went from 82lbs. to 53lbs due to restricting her food intake. She is diagnosed with anorexia nervosa. Select the diagnosis code(s). A. F50. B. F50.02, R63. C. F50.01, R63. D. F50.01 - Answer>> D. F50.
A patient presents to her physician and tells him she drinks each night when she gets home from work. She asks her physician to recommend an alcohol treatment center because her life has become unmanageable and she wishes to quit drinking. The patient is diagnosed with uncomplicated alcohol dependence. Select the diagnosis code. A. F10. B. F10. C. F10. D. F10.288 - Answer>> B. F10. A mother brings her son into the doctor because he has been getting in trouble in school for his behavior. He is not paying attention or following the instructions. He is constantly losing his pencil and forgetting to bring his homework in. After evaluating the child, the provider diagnoses him with attention deficit hyperactivity disorder (ADHD), predominantly inattentive type, and sends the patient for a consultation with a psychiatrist to see if medication can help. Select the diagnosis code. D. F90.2 - Answer>> A. F90. Referencing the ICD-10-CM guideline I.C.6.b.1.a, when should a code from category G89 be reported as a 1st code listed? A. Whenever it is documented B. When the pain control or pain management is the purpose of the encounter C. Only within the 1st 72 hours of continuous pain D. When the pain is chronic - Answer>> B. When the pain control or pain management is the purpose of the encounter
Mr. Elliot visits the surgeon for evaluation for a wedge resection of left lung cancer. During the admission, the patient reports pain in the chest due to the malignancy. Applying the coding concept from ICD-10-CM guideline I.C.6.b.5, what ICD-10-CM code(s) should be reported? A. C34. D. G89.3 - Answer>> B. C34.92, G89. Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the injury, he has been suffering from chronic pain in his lower back for several years. Today he presents for insertion of a neurostimulator for pain control. Applying the coding concept from ICD-10-CM guidelines I.C.6.b.1.a and I.C.6.b.1.b.ii, what ICD-10- CM codes should be reported for the pain? (Do not code the external cause.) A. M54.9, G89. B. M54.5, G89. C. G89.21, M54. D. G89.29, M54.9 - Answer>> C. G89.21, M54. A patient presents with pigmentary glaucoma bilaterally, moderate stage on the right, mild stage on the left. Reference ICD-10-CM guideline I.C.7.a.3. What ICD-10-CM code(s) is/are reported? A. H40. B. H40.1312, H40. C. H40.1332, H40. D. H40.1312, H40.1321 - Answer>> D. H40.1312, H40. A mother takes her child to the pediatrician because her right eye is red, itchy, with a mucus discharge coming from the eye. The provider documents the child has pink eye. What ICD-10-CM code is reported?
D. H10.023 - Answer>> B. H10. A patient is having phacoemulsification of an age-related nuclear cataract of the left eye. What ICD-10-CM code is reported? A. H25. B. H26. C. H26. D. Q12.0 - Answer>> A. H25. A patient presents with right ear pain and fever. The provider diagnoses acute otitis media. What ICD-10-CM code(s) is/are reported? A. H92.02, R50. D. H66.91 - Answer>> D. H66. A patient sees her provider for spontaneous episodes of vertigo lasting 30 minutes each, fluctuating hearing loss, and tinnitus. The provider performs a hearing test and confirms hearing loss in the right ear. The provider documents the patient has Meniere's disease in the right ear. What ICD-10-CM code(s) is/are reported? A. R42, H91.91, H93. B. H81. C. H93.8X D. H81.01, H81.4, H91.21, H93.11 - Answer>> B. H81. A patient sees his family practitioner for a muted feeling in his ears. The provider determines there is impacted cerumen in both ears. What ICD-10- CM code(s) is/are reported? A. H61.
D. H61.21, H61.22, H90.5 - Answer>> A. H61. Applying the coding concept from ICD-10-CM guideline I.C.9.a.5, how do you code hypertensive retinopathy? A. 1st code the hypertension, then the retinopathy B. 1st code the retinopathy, then the heart disease C. 1st code the heart disease, then the retinopathy D. Sequencing is based on the reason for the encounter - Answer>> D. Sequencing is based on the reason for the encounter If an ST elevation myocardial infarction converts to a non-ST elevation myocardial infarction in the course of thrombolytic therapy, how is it coded? (Reference ICD-10-CM guideline I.C.9.e.1). A. Sequence the STEMI 1st then NSTEMI B. Sequence NSTEMI 1st, then STEMI C. Code only STEMI D. Code only NSTEMI - Answer>> C. Code only STEMI Which of the following does NOT require documentation for a cause and effect relationship to be coded? (Reference ICD-10- CM guidelines I.C.9.a. and I.C.9.a.3.) A. Cerebrovascular hemorrhage due to an operation B. Hypertension and chronic kidney disease C. Hypertension and encephalopathy D. All require cause and effect to be documented - Answer>> B. Hypertension and chronic kidney disease What is an acute exacerbation of asthma or COPD? (Reference ICD-10-CM guideline I.C.10.a.1.) A. Uncomplicated asthma or COPD
B. Worsening or decompensation of ashtma or COPD C. An infection superimposed on asthma or COPD D. When a condition is severe enough to be admitted to a hospital
A patient with COPD visits the physician with acute bronchitis. What ICD- 10-CM code(s) should be reported?
A 39 year old patient underwent a left femoral hernia repair. The postoperative diagnosis was recurrent left femoral hernia. What is the diagnosis code for this encounter? D. K40.91 - Answer>> A. K41. A patient presents for a liver transplant. The provider documents the patient has Laennec's cirrhosis associated with long term
alcohol dependent use. What are the diagnosis codes for this encounter? D. K70.0, F10.99 - Answer>> B. K70.30, F10. A patient presents with abdominal pain. The physician performs an abdominal ultrasound and discovers the patient has gallstones and inflammation of the gallbladder. Select the diagnosis code(s). A. R10.9, K80. B. K80.10, K80. C. K80. D. K80.70 - Answer>> C. K80. Mrs. Fryer visits her nephrologists for an erythropoietin (EPO) injection for her anemia. She has stage 3 chronic kidney failure disease, which is the cause of the anemia. Applying the coding concept from ICD-10-CM guideline I.A.13, what ICD-10-CM code(s) should be reported for the EPO injection? A. D63. B. N18.3, D63. C. D63.1, N18.3 - Answer>> D. 63. B. N18.3, D63. Mr. McFarland visits his oncologist for prostate cancer. He is reporting more fatigue than usual. Lab tests determine the patient has anemia due to the cancer. Applying the coding concept from ICD-10-CM guideline I.C.2.c.1, what ICD-10-CM codes should be reported for the visit? A. C61, D63. B. C61, D64. C. D63.0, C61 - Answer>> A. C61, D63.
Referencing the ICD-10-CM guideline I.A.13, when using a code from category D63, it is also necessary to code first: A. the hematocrit level of the patient B. a primary (1st listed) diagnosis C. the chronic condition causing the anemia D. the acute condition presented - Answer>> C. the chronic condition causing the anemia A 45 year old female with ovarian cancer visits her oncologist to receive an injection of Procrit. The procrit has been prescribed to her for treatment of her anemia resulting from antineoplastic chemotherapy treatment. Applying the coding concept from ICD- 10-CM guideline I.C.2.c.2, what ICD-10-CM codes should be reported? - Answer>> D64.81, C56.9, T45.1X5A A 32 year old female had a mastectomy for breast cancer. The mastectomy completely removed the breast cancer with no further treatment. On a followup visit to her oncologist, it is determined the cancer has metastasized to the right lung. The patient is now undergoing a lung resection for the lung cancer. Applying the coding concept from ICD-10-CM guideline I.C.2.b.d, what ICD-10- CM codes are reported for the lung resection? - Answer>> C78.01, Z85. A patient is admitted to the hospital for repair of an open fracture, Type 1, of the head of left femur. The patient has been previously diagnosed with symptomatic HIV. Applying the coding concept of ICD-10-CM guideline I.C.1.a.2.b, what is the ICD-10-CM code(s) reported for the admission? - Answer>> S72.052B, B20 Rationale: code HIV secondary when not being seen for non HIV related diseases A patient is admitted to the hospital for repair of an open fracture, type 1, of the head of the left femur. The patient has been previously diagnosed with symptomatic HIV. Applying the coding concept from ICD-10-CM guideline I.C.1.a.2.b, what ICD-10-CM code(s) is/are reported for the admission? A. B B. S72.052B C.B20, S72.052B D. S72.052B, B20 - Answer>> D. S72.052B, B A 22 year old female is admitted to ICU for acute renal (kidney) failure due to sepsis (casual organism unknown). Applying the coding concept from ICD-10-CM guideline I.C.1.d.1.b, what ICD- 10-CM codes are reported (in the correct sequencing)?
D. N17.9, R65.21, A41.01 - Answer>> A. A41.9, R65.20, N17. A patient is admitted to the hospital with pneumonia. Testing indicates the patient's pneumonia is due to staphylococcus aureus and is methicillin resistant (MRSA). Applying the coding concept from ICD-10-CM guideline I.C.1.e.1.a, what ICD-10-CM code(s) are reported? A. J18. B. J15. C. J15.212, A41. D. J18.9, A41.02 - Answer>> B. J15.
A 32 year old female had a mastectomy for breast cancer. The mastectomy completely removed the breast cancer with no further treatment. On a followup visit to her oncologist, it is determined the cancer has metastasized to the right lung. The patient is now undergoing a lung resection for the lung cancer. Applying the coding concept from ICD-10-CM guidelines I.C.2.b and I.C.2.d, what ICD-10-CM codes are reported for the lung resection? A. C50.911, C78. B. Z85.3, C78. C. C78.01, C50. D. C78.01, Z85.3 - Answer>> D. C78.01, Z85. A 45 year old female with ovarian cancer visits her oncologist to receive an injection of Procrit. The Procrit has been prescribed to her for treatment of her anemia resulting from antineoplastic chemotherapy treatment. Applying the coding concept from ICD- 10-CM guideline I.C.2.c.2, what ICD-10-CM codes should be reported? A. D64.81, C56.9, T45.1X5A B. D64.81, C56. C. C56.9, D64. D. T45.1X5A, D64.81, C56.9 - Answer>> A. D64.81, C56.9, T45.1X5A A patient with a Pancoast's tumor in the left lung arrives at the oncologist office for chemotherapy. Applying the coding concept from ICD-10-CM guideline I.C.2.e.2, what ICD-10-CM code(s) should be reported? Note: Use the ICD-10-CM Alphabetic Index instead of the Table of Neoplasms to locate the code for a Pancoast's tumor. A. C34. B. Z51. C. C34.12, Z51. D. Z51.11, C34.12 - Answer>> D. Z51.11, C34.
Referencing the ICD-10-CM guideline I.A.13, when using a code from category D63, it is also necessary to code 1st: A. The hematocrit level of the patient B. A primary (1st listed) diagnosis C. The chronic condition causing the anemia D. The acute condition presented in the patient encounter - Answer>> C. The chronic condition causing the anemia Mr. McFarland visits his oncologist for prostate cancer. He is reporting more fatigue than usual. Lab tests determine the patient has anemia due to the cancer. Applying the coding concept from ICD-10-CM guideline I.C.2.c.1, what ICD-10-CM codes should be reported for the visit? A. C61, D63. B. C61, D64. C. D63.0, C D. D64.81, C61 - Answer>> A. C61, D63. Mrs. Fryer visits her nephrologist for an erythropoietin (EPO) injection for her anemia. She has stage 3 chronic kidney disease, which is the cause of the anemia. Applying the coding concept from ICD-10-CM guideline I.A.13, what ICD-10-CM code(s) should be reported for the EPO injection? A. D63. B. N18.30, D63. C. D63.1, N18. D. N18.30 - Answer>> B. N18.30, D63. Name an example of when a problem caused by diabetes is NOT sequenced after the code for diabetes. Refer to ICD-10-CM guideline I.C.4.a.5.a. A. When a patient's insulin pump malfunctions. B. When the patient has type 2 diabetes.
C. When the patient has type 1 diabetes. D. When the patient has end stage renal disease caused by diabetes. - Answer>> A. When the patient's insulin pump malfunctions. Case 1 Progress Note
This patient is a 50-year-old female who began developing bleeding, bright red blood per rectum, approximately two weeks ago. She is referred by her family physician. She states that after a bowel movement she noticed blood in the toilet. She denied any prior history of bleeding or pain with defecation. She states that she has had an external hemorrhoid that did bleed at times but that is not where this bleeding is coming from. She is presently concerned because a close friend of hers was recently diagnosed with rectal carcinoma requiring chemotherapy that was missed by her primary doctor. She is here today for evaluation for a colonoscopy. Physical examination, she appears to be a well appearing 50- year-old, white female. Abdomen is soft, non-tender, non- distended. Assessment: 50-year-old female with rectal bleeding. Plan: We'll schedule the patient for an outpatient colonoscopy. The patient w - Answer>> K62. Case 2 Preoperative Diagnosis: Bilateral profound sensorineural hearing loss. Postoperative Diagnosis: Bilateral profound sensorineural hearing loss. Procedures Performed:
Anesthesia: General. Indications: This is a 69-year-old woman who has had progressive hearing loss over the last 10-15 years. Hearing aids are not useful for her. She is a candidate for cochlear implant by FDA standards. The risks, benefits, and alternatives of procedure were described to the patient, who voiced understanding and wished to proceed.
Procedure: After properly identifying the patient, she was taken to the main operating room, where general anesthetic was induced. The table was turned to 180 degrees and a standard left-sided post auricular shave and injection of 1% lidocaine plus 1:100,000 epinephrine was performed. The patient was t - Answer>> H90. Case 3 CC: HTN Interval History: No new complaints. Exam: NAD. 130/80, 84, 22. Lungs are clear. Heart RRR, no MRGs. Abdomen is soft, non-tender. No peripheral edema. Impression: Stable HTN on current meds. Plan: No changes needed. RTC in six months with labs. What diagnosis code(s) are reported? - Answer>> I Case 4 Subjective: Low-grade fever at home. She has had some lumps in the abdominal wall and when she injects her insulin; it does seem to hurt there. She stopped four of her medications including Neurontin, Depakote, Lasix, and Premarin, and, overall she feels quite well. Unfortunately, she has put on 20 pounds since our last visit. Objective: HEENT: Tympanic membranes are retracted, but otherwise clear. The nose shows significant green rhinorrhea present. Throat is mildly inflamed with moderate postnasal drainage. Neck: No significant adenopathy. Lungs: Clear. Heart: Regular rate and rhythm. Abdomen: Soft, obese, and non-tender. Multiple lipomas are palpated. Assessment:
Plan: At this time, I have recommended the addition of some Keflex for her acute sinusitis. I have given her a chair for the shower. They will not cover her Glucerna anymore - Answer>> E10.40, J01. Case 5 Preoperative Diagnosis: Cataract, left eye. Postoperative Diagnosis: Cataract, left eye, Presbyopia Procedure:
Procedure Detail: The patient was brought to the operating room under neuroleptic anesthesia monitoring. A topical anesthetic was placed within the operative eye and the patient was prepped and draped in usual manner for sterile ophthalmic surgery. A lid speculum was inserted into the right infrapalpebral space. A 6-0 silk suture was placed through the episclera at 12 o'clock. A subconjunctival injection of non-preserved lidocaine was given. A peritomy was fashioned from 11 o'clock to 1 o'clock with Westcott scissors. Hemostasis was achieved with the wet-field cautery. A 3 mm incision was made in the cornea and dissected anteriorly with a crescent blade. The anterior chamber was entered at 12 o'clock and 2 o'cl - Answer>> H26.9, H52. Case 6 Subjective: Here to follow up on her atrial fibrillation. No new problems. Feeling well. Medications are per medication sheet. These were reconstituted with the medications that she was discharged home on. Objective: Blood pressure is 110/64. Pulse is regular at 72. Neck is supple. Chest is clear. Cardiac normal sinus rhythm. Assessment: Atrial fibrillation, currently stable.
Plan:
other problems in the meantime. Will also check a creatinine and potassium today. What diagnosis code(s) are reported? - Answer>> I48.91, Z79.01, Z51. Case 7 Follow-up Visit: The patient has some memory problems. She is hard of hearing. She is legally blind. Her pharmacist and her family are very worried about her memory issues. She lives at home, family takes care of laying out her medications and helping with the chores, but she does take care of her own home to best of her ability. Exam: Pleasant 85-year-old woman in no acute distress. She has postop changes of her eyes. TMs are dull. Pharynx is clear. Neck is supple without adenopathy. Lungs are clear. Good air movement. Heart is regular. She had a slight murmur. Abdomen is soft. Moderately obese. Non-tender. Extremities: no clubbing or edema. Foot exam shows some bunion deformity but otherwise healthy. Light touch is preserved. There is no ankle edema or stasis change. Examination of the upper arms reveals good range of motion. There is significant pain in her shoulder with rotational movements. It is localize - Answer>> F03.90, M25.511, I11.9, E11. Case 8 S: The patient presents today for reevaluation and titration of carvedilol for his coronary artery disease and hyperlipidemia. His weight is up 7 pounds. He has quit smoking. He has no further cough and he states he is feeling well except for the weight gain. He states he doesn't feel he's eating more, but his wife says he's eating more. We've been attempting to titrate up his carvedilol to
25 mg twice a day from initially 6.25 mg. He has tolerated the titration quite well. He gets cephalgias on occasion. He states he has a weak spell but this is before he takes his morning medicine. I updated his medical list here today. I gave him samples of Lipitor. O: Weight is 217, pulse rate 68, respirations 16, and blood pressure 138/82. HEENT examination is unchanged. His heart is a regular rate. His lungs are clear. A:1.CAD 2.Hyperlipidemia P:1.The plan is samples of Lipitor, using the two months' supply that I have
abdominal abscesses.
Findings: This is a 42-year-old man who was recently admitted to the medical service with a splenic defect and found to have a splenic vein thrombosis. He was treated with antibiotics and anticoagulation. He returned and was admitted with a CT scan showing mass of left, upper quadrant with abscesses surrounding both sides of the spleen, as well as multiple other intra-abdominal abscesses below the left lobe of the liver in both lower quadrants and in the pelvis. The patient has a psychiatric illness and was difficult to conse - Answer>> B20, D73.3, K65.1, B19.
Case 10 Dear Dr. Smith, Mr. Martin was seen in the office for continued management of his breast cancer. He's having some increasing pain in his breast|1| which is due to the cancer. He is also complaining of neck pain. It does not seem to be worse at night; it seems to be worse with activity. He has no other symptoms. Otherwise his review of systems is unremarkable. He's had no constitutional symptoms. On physical exam, he is alert and oriented. Eyes: EOMI, PERRLA, no icterus. The heart had a regular rate and rhythm; S1, S2 within normal limits. The lungs are clear to auscultation and percussion. The abdomen was soft, without masses or organomegaly. He was tender to palpation over the left anterior iliac crest. Otherwise, he had no point tenderness over his musculoskeletal system. Neck: Supple. No tenderness, no enlarged lymph nodes in the neck. Assessment: Adenocarcinoma of the left breast, positive estrogen recept - Answer>> C50.922, G89.3, M54.2, Z17.0, Z79. If a diabetic patient uses insulin, and the type of diabetes is not documented, what type of diabetes would be coded according to ICD-10-CM guidelines? - Answer>> Type 2 According to the ICD-10-CM guidelines, how is bilateral glaucoma of the same type and stage reported? - Answer>> A bilateral code can be used to report the type of glaucoma and the stage According to ICD-10-CM guidelines, when a patient is seen for management of anemia due to malignancy, how is it reported? - Answer>> The malignancy is reported 1st, followed by the code for the anemia. When it is documented that the patient is both using tobacco and has a dependence on tobacco, how is it reported in ICD-10-CM? -
Answer>> The dependence on tobacco is the only code reported based on the hierarchy in the ICD-10-CM guidelines. What does the 4th character in diabetes mellitus codes indicate? - Answer>> Any complication associated with diabetes. A 9 year old with a history of reactive airway disease (RAD) was admitted into overnight observation with complaints of a 2 day history of increased wheezing. Parents stated that nebulizer treatments were not helping. After monitoring and additional treatments given while in observation, breathing was stabilized. Documented diagnosis is RAD exacerbation. What ICD-10-CM code(s) is/are reported? - Answer>> J45. A 45 year old patient is scheduled to have an INFUSAID pump installed. He has primary liver cancer and the pump is being inserted for continuous administration of 5-FU. A pocket is created just under the skin and the pump is placed in the pocket. A catheter is attached to the pump and to the subclavian vein. The pump is filled with a chemotherapy agent provided by the codes are reported? - Answer>> Z51.11, C22. What diagnosis code is reported for secondary neoplasm of the descending colon? - Answer>> C78. A 32 year old male was seen in the ASC for removal of 2 lipomas. 1 was located on his back and the other was located on the right forearm. Both involved subcutaneous tissue. What ICD-10-CM code(s) is/are reported? - Answer>> D17.21, D17.
A patient returns to the provider for an injection to relieve low back pain from a car accident. What ICD-10-CM code(s) is/are reported? - Answer>> M54. A patient has a history of MRSA. She has just been diagnosed with pneumonia due to possible staphylococcus aureus. What ICD-10-CM code(s) is/are reported? - Answer>> J18.9, Z86. A 35 year old woman is experience dizziness with nausea and vomiting. The provider documents auditory vertigo of both ears, possible Meniere's disease. What ICD-10-CM code(s) is/are reported? - Answer>> H81. A 54 year old male goes to his primary care provider with dizziness. On physical exam, his blood pressure is 200/130. After a complete work-up, including laboratory tests, the provider makes a diagnosis of end stage renal disease and hypertension. What are the appropriate diagnosis codes for this encounter? - Answer>> I12.0, N18. What ICD-10-CM code is used for the 1st episode of an acute myocardial infarction? - Answer>> I21. A young female was brought to the clinic by her sister. She has had periods of severe depression for many years and is on Lithium. Her provider also manages her manic-depressive psychosis, hypothyroidism, and migraine headaches. Additional medications are synthroid and midrin. During the past week, she became manic, running all her credit cards to the limit, getting inappropriately involved in a friend's suicide attempt, quitting her job, and trying to take over the pulpit at church. On the day of the clinic visit, she threatened to strike the telephone repairman with a lead pipe. She was admitted for lithium adjustment. Diagnoses
are moderate manic-depressive bipolar with circular current manic state, hypothyroidism, and migraine. What ICD-10-CM codes are reported? - Answer>> F31.12, E03.9, G43.909 A young male was brought to the clinic by his mother. He has had periods of major depression for many years and is on lithium. His prover also manages his migraine headaches and epilepsy. During the past week, he became psychotic, hearing voices telling him to kill himself, and intense feelings of worthlessness. On the day of the clinic visit, he had an epileptic seizure that could not be controlled by medication. He was admitted for lithium adjustment. Final diagnoses are: severe depression with psychotic behavior and epileptic seizure poorly controlled with medication. What ICD- 10-CM codes should be reported? - Answer>> F33.3, G40.919 A patient arrives by ambulance with convulsions. After examination and workup is complete, it is determined the convulsions were due to alcohol abuse with intoxication. What ICD-10-CM code(s) is/are reported? - Answer>> R56.9, F10.129 A 45 year old male patient developed an ulcer on his upper back. He has had diabetes for several years and is on insulin. The provider determines that the ulcer is due to his diabetes. What ICD-10-CM codes are reported? - Answer>> E11.622, L98.429, Z79.4 A 33 year old patient visits his primary care provider to discuss a lap band procedure for his morbid obesity. His caloric intake is in excess of 4,000 calories per day and his BMI is currently 45. What ICD-10-CM code(s) is/are reported? - Answer>> E66.01, Z68.42
Mrs. Johnson is here today to receive an intercostal nerve block to mitigate the debilitating pain of her malignancy. Her cancer has metastasized to her bones in her thoracic spine. Primary cancer is unknown. What ICD-10-CM codes are reported? - Answer>> G89.3, C79.51, C80.1 A 65 year old female patient returns to her primary care provider for followup of an upper respiratory infection diagnosed the previous week. Her condition has not improved and her cough has increased. She has a long history of smoking. She currently smokes 1 pack a day and is dependent on the cigarettes. She uses a bronchodilator for her COPD. The provider changes her antibiotics to treat her acute bronchitis with COPD. What ICD- 10- CM codes are reported for this visit? - Answer>> J44.0, J20.9, F17.210 After referral from the ED, a patient sees an ophthalmologist to examine an old injury with a retained magnetic iron metal foreign body in his posterior wall within the right eye. There is concern for an infection. What ICD-10-CM codes are reported? - Answer>> H44.641, Z18.11 A patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes are reported? - Answer>> E85.4, N08 A patient is being treated for ketoacidosis and diabetic coma due to malignant neoplasm of the pancreatic body. The patient sues insulin routinely. What ICD-10-CM codes are reported? - Answer>> C25.1, E08.11, Z79.4 When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned? - Answer>> R75
A patient is seen in the ED for having unprotected sexual intercourse a few months prior. She recently found out that the individual she was with has HIV. She is only being tested for HIV. What ICD-10-CM code(s) is/are reported? - Answer>> Z11.4 A pediatrician sees an 8 month old patient for ear pulling and reported? - Answer>> H65.03, H65.23 A 70 year old patient with decompensated COPD is admitted to the hospital with acute exacerbation of bronchial asthma. What diagnosis code(s) is/are reported? - Answer>> J44.1, J45.901 A patient is having surgery to repair a recurrent left inguinal hernia without obstruction. What ICD-10-CM code is reported? - Answer>> K40.91 A patient is admitted to the hospital with streptococcal group B severe sepsis which has caused pneumonia. What codes are assigned? - Answer>> A40.1, J15.3, R65.20 A 32 year old patient with hyperthyroidism has an ultrasound to determine why her neck is enlarged. The results of the ultrasound reveal a uninodular goiter. What ICD-10-CM code is reported? - Answer>> E05.10 A male patient is seen by his primary care provider for rectal bleeding and persistent intestinal cramps. After a colonoscopy with biopsy, the results come back and the provider documents that the patient has malignant neoplasm in his sigmoid colon. What ICD-10-CM code(s) is/are reported? - Answer>> C18.7
A lab screening shows congenital iodine deficiency hypothyroidism for an infant with identified intellectual disability. What ICD-10-CM code(s) is/are reported? - Answer>> E00.9, F79 The patient has a history of unstable angina, hypertension, and chronic systolic heart failure. He is seen in the ED after prolonged chest pain that was not relieved by medication. Cardiac enzymes are elevated, and EKG shows anterior infarct. A decision was made to perform a cardiac catheterization and coronary angiography. Left heart catheterization was performed in order to perform a left ventriculogram. He tolerated the procedure well and will be discharged. His final diagnosis is chronic systolic heart failure and hypertension. The 2 conditions are unrelated. What ICD-10-CM code(s) is/are reported? - Answer>> I50.22, I10 A patient is admitted after being found unresponsive at home. The patient had right-sided hemiplegia and aphasia from a previous CVA. The provider documents a current cerebral infarction due to occlusion of the right middle cerebral artery as the final diagnosis and the patient is transferred for rehabilitation. What ICD-10-CM code(s) is/are reported? - Answer>> I63.511, I69.351, I69.320 A patient with hypertension presents to the outpatient hospital radiology department for an ultrasound due to a suspected suspicious mass. The patient's provider performed an ACTH and a 24 hour urinary free cortisol and short suppression test confirming the diagnosis of Cushing's disease. The radiology report indicated a 5.5cm right adrenal mass that appeared well circumscribed and rounded. The final diagnosis indicated Cushing's disease secondary to a right adrenal tumor. The hypertension is due to the Cushing's syndrome. What ICD-10-CM codes are reported? - Answer>> D49.7, E24.9, I15.2
Thank you for your purchase! An HIV positive patient was admitted with skin lesions on the chest and back. Biopsies were taken, and the pathologic diagnosis was Kaposi's sarcoma. Leukoplakia of the lips and splenomegaly were also noted on physical examination. Discharge Diagnoses: 1. HIV infection 2. Kaposi's sarcoma 3. Leukoplakia 4. Splenomegaly. What ICD-10-CM codes should be reported? - Answer>> B20, C46.0, K13.21, R16.1 A 58 year old patient sees the provider for confusion and loss of memory. The provider diagnoses the patient with early onset stages of Alzheimer's disease with dementia. What ICD-10-CM codes are reported? - Answer>> G30.0, F02.80 A 22 year old patient status postsurgery developed a postoperative infection. The patient quickly deteriorated and became septic, developed gas gangrene (gas bacillus infection) and went into postprocedural septic shock. With aggressive intravenous antibiotic management, the patient improved. What ICD-10-CM codes are reported? - Answer>> T81.44XA, A48.0, T81.12XA A patient with metastatic bone cancer (primary site unknown) presents to the oncologist's office for a chemotherapy treatment. On examination, the oncologist finds the patient to be severely dehydrated and cancels the chemotherapy. The patient receives intravenous hydration in the office and reschedules the chemotherapy treatment. What ICD-10-CM codes are reported? - Answer>> E86.0, C79.51, C80.1