Chap 9 Exam Questions and Answers with Complete Solutions
UPDATED!!!!!.
Correct
Incorrect
,
,
, c. Z38.01, Z05.8
Z38.01 - single live born infant, deleivered by cesarean
P55.1 - ABO isoimmunization of newborn
Z05.8 - observation and evaluation of newborn for other spec suspected condition
ruled out
Z03.79 -encounter for other suspected maternal and fetal condition ruled out
Rationale: According to ICD-10-CM guideline 1.C.15.a.2 chapter 15 codes are only used
on the maternal record. Per ICD-10-CM guideline I.C.16.a.2 when coding the birth
episode in a newborn record, assign a code from category Z38 Liveborn infants
according to place of birth and type of delivery, as the principal diagnosis. Code Z38.01
is found in the ICD-10-CM Alphabetic Index by looking for Newborn (infant) (liveborn)
(singleton)/born in hospital/by cesarean. ABO incompatibility was documented but
ruled out due to the
Coomb's test being negative. Look in the Alphabetic Index for
Observation/newborn (for)/ruled out/specified condition NEC referring you
d. E11.622, L97.319 - T2DM with other skin ulcer, non pressure chronic ulcer of rightto Z05.8.
Report only codes Z38.01 and Z05.8.
ankle with unsp severity
Rationale: In the ICD-10-CM Alphabetic Index look for Diabetes, diabetic (mellitus)
(sugar)/with/skin ulcer NEC and you are directed to E11.622. In the Tabular List below
E11.622 there is a note to use an additional code to identify the site of the ulcer (L97.1-L97.9,
L98.41-L98.49). A review of this code range identifies L97.319 Nonpressure chronic ulcer of
right ankle with unspecified severity. Look in the
Alphabetic Index for Ulcer/lower limb/ankle/right which refers you to code L97.319. In the
Tabular List under category code L97 there is a note to code first any associated underlying
condition, including diabetic ulcers and their corresponding codes. Verify code selection in the
Tabular List.
d. I12.0, N18.6 - I12.0 - Hypertensive CKD with stage 5CKD or ESRD, ESRD
Rationale: ICD-10-CM guideline I.C.9.a.2 indicates to assign codes from category I12 when
conditions classified to category N18 are present with hypertension. A causal relationship is
assumed between hypertension and chronic kidney disease. Guideline I.C.14.a.1 tells us to
code N18.6 when the provider has documented end stage renal disease. In the ICD-10-CM
UPDATED!!!!!.
Correct
Incorrect
,
,
, c. Z38.01, Z05.8
Z38.01 - single live born infant, deleivered by cesarean
P55.1 - ABO isoimmunization of newborn
Z05.8 - observation and evaluation of newborn for other spec suspected condition
ruled out
Z03.79 -encounter for other suspected maternal and fetal condition ruled out
Rationale: According to ICD-10-CM guideline 1.C.15.a.2 chapter 15 codes are only used
on the maternal record. Per ICD-10-CM guideline I.C.16.a.2 when coding the birth
episode in a newborn record, assign a code from category Z38 Liveborn infants
according to place of birth and type of delivery, as the principal diagnosis. Code Z38.01
is found in the ICD-10-CM Alphabetic Index by looking for Newborn (infant) (liveborn)
(singleton)/born in hospital/by cesarean. ABO incompatibility was documented but
ruled out due to the
Coomb's test being negative. Look in the Alphabetic Index for
Observation/newborn (for)/ruled out/specified condition NEC referring you
d. E11.622, L97.319 - T2DM with other skin ulcer, non pressure chronic ulcer of rightto Z05.8.
Report only codes Z38.01 and Z05.8.
ankle with unsp severity
Rationale: In the ICD-10-CM Alphabetic Index look for Diabetes, diabetic (mellitus)
(sugar)/with/skin ulcer NEC and you are directed to E11.622. In the Tabular List below
E11.622 there is a note to use an additional code to identify the site of the ulcer (L97.1-L97.9,
L98.41-L98.49). A review of this code range identifies L97.319 Nonpressure chronic ulcer of
right ankle with unspecified severity. Look in the
Alphabetic Index for Ulcer/lower limb/ankle/right which refers you to code L97.319. In the
Tabular List under category code L97 there is a note to code first any associated underlying
condition, including diabetic ulcers and their corresponding codes. Verify code selection in the
Tabular List.
d. I12.0, N18.6 - I12.0 - Hypertensive CKD with stage 5CKD or ESRD, ESRD
Rationale: ICD-10-CM guideline I.C.9.a.2 indicates to assign codes from category I12 when
conditions classified to category N18 are present with hypertension. A causal relationship is
assumed between hypertension and chronic kidney disease. Guideline I.C.14.a.1 tells us to
code N18.6 when the provider has documented end stage renal disease. In the ICD-10-CM
