ICD-10-CM Coding Cases – Part 1

Total questions:112

Combination codes are a single code used to classify two diagnoses, or a diagnosis with an associated secondary process or associated ____?

A symptom code should not be used with a ________ diagnosis if the symptom is integral to the diagnosis.

A late effect is the ______ effect after the acute phase of an illness or injury has terminated.

In ICD-10-CM a placeholder character is used for codes requiring the seventh character extender. This placeholder is represented as _____?

A ______ code is listed next to a main term in the ICD-10 index.

A patient with AIDS is seen by her physician for severe dehydration. The final diagnosis by the physician is Salmonella with dehydration. Code(s): ______

Patient presents to the doctor for HIV testing. Code(s): ______

Six months ago Mary tested positive for HIV but has been symptom free. Today she presents to the physician and is diagnosed with acute tonsillitis. Code(s): ______

James was admitted with acute hepatitis A without a coma. Code(s): ______

Nancy returns to the physician today for the results of her HIV testing and the results were negative. Code(s): ______

Tim is diagnosed today with viral gastroenteritis. ______

SIRS with acute respiratory failure due to bacterial meningitis. ____

Sepsis due to puncture wound of the lower back and pelvis without a foreign body, initial encounter. ______

Timmy presents to his pediatrician with gastrointestinal complaints. His physician diagnosed him with rotaviral enteritis. ______

Tina was treated at her doctor’s office for warts on her hands. _____

Personal history of liver cancer._______

Malignant neoplasm of the lower segment of the uterus, primary. ______

Primary cancer of the vulva. _____

Metastatic lung cancer, right lower lobe, spread from the liver with treatment directed to the lung._____

Tammy was treated at her dermatologist for basal cell carcinoma of the skin of the chin._____

Sideropenic dysphagia is included in the ICD-10-CM category of _____________ anemia.

A patient diagnosed with Beta thalassemia minor should be coded:

Posthemorrhagic anemia, acute

Patient with thyroid cancer has fever and found to have chemo drug induced agranulocytosis

Patient is diagnosed with leukocytosis

A patient with Type 1 diabetes with diabetic retinopathy is seen for an eye checkup. After a thorough examination, the ophthalmologist determines the patient has retinal edema. ______

Type 1 diabetic patient is brought to the ER by ambulance in a coma. Patient is pale, rapid heartbeat, and their face is covered in sweat. Physician finds the insulin pump not delivering insulin and after reviewing the lab's diagnosis the patient with diabetic ketoacidosis with diabetic coma. ______

Ms. B has Type 1 diabetes without complications. ______

Emily has a deficiency of vitamin C. _____

40 year-old Tim’s diet has him morbidly obese with a BMI of 47.6. _____

Epileptic psychosis. ______

Marijuana abuse with marijuana induced anxiety disorder. ______

Persistent somatoform pain disorder. ______

Sonny has been a one pack per day cigarette smoker for over 29 years. His physician prescribes him smoking cessation medication. ______

Patient presents with pain associated with his primary lung cancer of the left upper lobe.

Encounter for pain management for acute neck pain from trauma. ______

Three-month-old Susan suffers from Leigh’s disease.______

Peter suffers from spastic quadriplegic cerebral palsy since birth. _____

Jim suffers from paralysis of his upper right arm. He is left handed. ______

Sally presents to her physician with acute serous conjunctivitis, non-viral bilaterally. ______

Edema of the right orbit. ______

Tina presents to her doctor with complaints of her eye not closing right. He diagnoses her with keratoconjunctivitis. ______

Patient presents with a central corneal ulcer of the left eye. ______

Tim is diagnosed with a single break retinal detachment of the right eye. ______

Tim presents with a boil in the external ear of the left side. _____

Tina suffers from a sudden onset of eczematoid otitis externa of the right ear. ______

Impacted cerumen of both ears. ______

Linda has suffered ongoing for years with complaints of chronic allergic otitis media that affects the left ear.

Dennis has been battling bouts of dizziness and is diagnosed with benign paroxysmal vertigo.______

A patient presents to the nephrology clinic suffering from malignant hypertensive heart and Stage V chronic kidney disease, without heart failure, due to hypertension. ______

Acute subendocardial myocardial infarction. ______

STEMI myocardial infarction involving left anterior descending coronary artery. ______

Tim suffers from hypertension that is uncontrolled. ______

Patient is diagnosed with acute infective myocarditis due to streptococcus pneumoniae.

Acute influenza upper respiratory infection due to Avian flu. _____

Chronic obstructive pulmonary disease, unspecified. ______

Emphysema in a patient with long time previous tobacco use. ______

ICD-10-CM has how many chapters?

Acute respiratory failure. ______

Patient with tobacco use has acute gingivitis, non plaque induced. ______

A patient is diagnosed with bleeding and is found to have acute erosion of the duodenum. ______

Patient with alcohol abuse complains of GERD. _____

Patient diagnosed with cellulitis of the abdominal wall and has an enterostomy infection. ______

Acute duodenal ulcer with bleeding. ______

Patient is admitted for colostomy closure. _________

A patient is treated for three pressure ulcers: bilateral buttock ulcers, stage 3 on the right and stage 2 on the left; and a stage 4 on the sacral area.

A mother brings her 1-year-old daughter in to see the dermatologist. She has had a persistent rash on her legs, neck, and arms. Recently, the rash has progressed into painful, raised bumps. She is diagnosed with infantile atopic dermatitis and started on a corticosteroid ointment. ______

A patient presents for cryotherapy of his prurigo nodularis. ______

A 7-year-old is brought in to be seen for a red rash on his entire back, followed by diffuse epidermal exfoliation. Blood tests confirm Staphylococcal scalded skin syndrome (SSSS).

Patient presents with a boils in both axillae. _____

Polymyositis with myopathy. ______

A 79-year-old with osteoporosis with a new pathological fracture of the right femur. ______

Displaced closed fracture of the acromial process left shoulder, initial encounter.______

Juvenile osteochondrosis, right hand. _____

Chronic kidney disease in a Type 1 diabetic patient, which is moderate. ______

Renal failure. ______

CKD stage V requiring chronic dialysis. ______

Hypertensive chronic kidney disease, which is severe. ______

Postprocedural renal failure. ______

Full term, uncomplicated delivery of a single live birth. ______

Pregnancy associated cardiomyopathy. ______

Routine prenatal visit for normal first pregnancy. ______

Patient is diagnosed with an ectopic pregnancy that is found to be in the fallopian tubes

Patient is seen in her first trimester at 12 weeks 3/7 days; she has a history of ectopic pregnancy. ______

A baby is born with melena due to swallowed maternal blood. ______

A newborn is suspected to be affected by his mother’s malnutrition during her pregnancy. ______

After administration of IV chloramphenicol, a newborn becomes hypotensive and cyanotic. She is diagnosed with grey baby syndrome. ______

A newborn is found to have a subarachnoid hemorrhage due to birth trauma. ______

A baby born at 34 weeks and weighs 4.85 lbs. ______

Tongue tied. ______

Axenfeld’s anomaly. ______

Loss of voice. ______

Newborn full term considered light for gestational age at 1000 grams. ______

Patient is seen in follow-up for history of falls. ______

Functional Quadriplegia. ______

John is seen in the office for complaints of tremors. ______

Tina is seen in the office for the first time with complaints of hematuria. ______

Little Timmy was seen for a fever of 101 degrees.______

Patient is seen for the first time for an abrasion of the scalp. ______

Patient seen last week for laceration of the left ear presents again today for recheck.

Patient is seen initially for contusion of buttocks. ______

Unspecified closed fracture of the right upper end of the right ulna initial encounter. ______

Patient seen for multiple burns of the left shoulder and upper arm. This is his third visit for the burns. ______

A man presents for treatment after falling on the moving walkway at the airport.

While learning to ride a bike, Tommy hit a street pole. ______

A man was injured helping build walls for houses for Habitat for Humanity as a volunteer. ______

A little girl is bitten by a dog in the public park. ______

Patient treated for carpal tunnel syndrome from excessive, long-time computer keyboarding at work. ______

Exposure to TB. ______

Patient is seen for elective termination of pregnancy. ______

Physician documents that patient has been non compliant with medications and has only been taking half dose to save on money. ______

Patient comes in for vaccinations. ______