AAPC Ch. 5: ICD-10-CM Coding Chapters 12-21 Questions & Answers

Which statement is true regarding external cause codes? Refer to ICD-10-CM guideline I.C.20.a.6. - ANSWERSExternal cause codes are never sequenced first A patient is diagnosed with pressure ulcers on each heel. Each heel displays bone involvement with no evidence of necrosis. Select the diagnosis code(s). - ANSWERSL89.619, L89.629 A patient complains of a rash that is extremely itchy. It began when she started using a new laundry detergent. She is examined and the provider diagnoses her with dermatitis, due to exposure to the laundry detergent. What is the diagnosis code? - ANSWERSL24.0 A provider performs an incision and drainage on a large abscess on the patient's left leg. What is the diagnosis code? - ANSWERSL02.416 An MRI confirmed the patient has sciatica caused by a herniated disc between L5 and S1. She is scheduled for an injection, after which she will be referred to a physical therapist in an effort to avoid surgery. Select the diagnosis code(s). - ANSWERSM51.17 A provider performs an arthroscopic procedure to repair an incomplete right degenerative rotator cuff tear on a patient with primary, degenerative arthritis in the same shoulder. Select the diagnosis codes. - ANSWERSM75.111, M19.011 A patient with age-related osteoporosis suffers a pathologic fracture to her right hip. She is being seen for this new fracture today. Select the diagnosis code(s) - ANSWERSM80.051A A 55-year-old female with right hydronephrosis presents for a cystourethroscopy with a retrograde pyelogram. What is the correct diagnosis code? - ANSWERSN13.6 A patient returns to her gynecologist's office to review the results of her ultrasound. She has been experiencing heavy bleeding and painful menstruation. The results of the ultrasound reveal the patient has a uterine fibroid measuring 4.0 cm. Select the diagnosis code(s). - ANSWERSD25.9 A patient diagnosed with BPH presents with urinary urgency. Select the diagnosis code(s). - ANSWERSN40.1, R39.15 A pregnant female, at 21 weeks, is diagnosed with iron-deficiency anemia and is sent to the clinic for a transfusion. Select the diagnosis code(s). - ANSWERSO99.012, D50.9, Z3A.21 A woman is readmitted one week after delivery with a diagnosis of delayed hemorrhage due to retained placental fragments. Which ICD-10-CM code(s) should be reported? - ANSWERSO72.2 A patient presented to the emergency department with second degree burns to both forearms, which makes up 9 percent TBSA. She is three months pregnant, 12 weeks. The burns are not affecting the pregnancy. Select the diagnosis codes. - ANSWERST22.212A, T22.211A, T31.0, Z33.1 Which statement is true regarding the perinatal period? - ANSWERSIt ends at 28 days A male newborn, delivered vaginally in the hospital, is born with jaundice. Select the diagnosis code(s) for the newborn's record. - ANSWERSZ38.00, P59.9 Assign the code for feeding problems in newborn. - ANSWERSP92.9 A code from categories Q00-Q99 can be used until the patient reaches what age? Refer to ICD-10-CM guideline I.C.17. - ANSWERSThey can be used throughout the life of the patient. The hospital documentation states "normal vaginal delivery, live birth, female, with down syndrome." Select the correct code(s) for the infant's record. - ANSWERSZ38.00, Q90.9 A 4-year-old male is brought to the hospital by his mother. Today he is going to have surgery to repair his Cheiloschisis. Assign the correct code for his condition. - ANSWERSQ36.9 Mrs. Bixby, 83, is being admitted for dehydration and anorexia. The probable cause is dementia. She was brought in by her daughter who is visiting from out of town. Her daughter will take her from our office to St. Mary's. The gerontology unit will evaluate her mental condition tomorrow after she is stabilized. How would you code the diagnoses? - ANSWERSR63.0, E86.0 What is the diagnosis code for an elevated blood pressure reading? - ANSWERSR03.0 When should a code for signs and symptoms be report? Refer to ICD-10-CM guidelines I.C.18.a and I.C.18.b. - ANSWERSWhen it is not integral to the definitive diagnosis The provider performs an open reduction and internal fixation for left fibula and tibia fractures. Select the codes. - ANSWERSS82.402A, S82.202A A patient was sent home with a PICC line for Vancomycin treatment at home. He returns to his physician with an infection due to the PICC line. The infection is determined to be MRSA. Select the diagnosis code(s) in the correct sequence. - ANSWERST80.218A, A49.02 A patient was prescribed an antidepressant. She forgot she had taken her pills for the day and took another pill by accident. She is now complaining of dizziness and excessive sweating. Select the diagnosis codes in the correct sequence. - ANSWERST43.201A, R42, R61 A male patient was a passenger in an automobile involved in a serious collision with another automobile. He sustained a closed fracture of the coronoid process of the jaw and an open left shaft fracture, Type 1, of the radius with an open, Type 1 shaft fracture of the left ulna. What are the diagnosis codes? - ANSWERSS52.302B, S52.202B, S02.630A, V43.32XA The patient was hit in the nose by the ball playing basketball on the varsity team last evening at the gym and woke up with sever epistaxis. The family physician controlled the nasal hemorrhage with cauterization and afterwards packed the nose with nasal packs. What are the correct diagnosis codes? - ANSWERSR04.0, W21.05XA, Y92.39, Y93.67, Y99.8 The provider orders serum blood tests as part of a pre-employment physical exam. What is the diagnosis? - ANSWERSZ02.01 The patient's dense breast tissue made the screening mammogram unreadable, and she is here today for a breast ultrasound. Her mother and sister both have history of breast cancer. What are the correct diagnosis codes? - ANSWERSZ12.39,R92.2, Z80.3 When a patient presents for a screening test and the provider finds something abnormal, what diagnosis code should be sequenced first? Refer to ICD-10-CM guideline I.C.21.c.5. - ANSWERSThe Z code to identify the screening Case 1 Reason for consult: Acute Renal Failure HPI: The patient was followed in the past by my associate for CKD, with baseline creatinine of 1.8 two weeks ago. Found to have severe ARF this morning associated with acidosis and moderate hyperkalemia after presenting to the ER with complaint of dehydration. The patient is admitted under observation status to the hospitalist service and the renal team is called for a consult. ROS: Cardiovascular: Negative for CP/PND. GI: Negative for nausea; positive for diarrhea. GU: Negative for obstructive symptoms or documented exposure to nephrotoxins. All other systems reviewed are negative. PFSH: Negative family history of hereditary renal disease and negative history of tobacco or ETOH abuse. Exam: Constitutional: 99/52, 18, 102. NAD. Conversant. Eyes: anicteric sclera, no proptosis, PERRL. ENMT: Normal aside from somewhat dry mucus membranes. Cardiovascular: RRR, no MRGs, no e - ANSWERSN17.9, E86.0, N18.3, I95.5 Case 2 Chief Complaint: Multiple Ulcers. Subjective: The patient returns, accompanied by her caregiver, who states that she believes the ulcers have gotten "about as good as they are going to." The edema of the leg seems to be controlled much better. Objective: Exam reveals marked improvement of the edema of both lower legs, the right is better than the left. All of the ulcers are now extremely superficial and seem to almost be partial thickness skin. There is no cellulitis. The only uncomfortable are seems to be on the sole of the left foot where there are considerable bony abnormality and/or tophaceous deposits, which have distorted the bottom of her foot dramatically. To relieve the left foot pain, a sole nerve block posterior to the lateral malleolus is carried out with a 50:50 mixture of 1% lidocaine with epinephrine and .5% Marcaine. Following this, she gets good relief from the pain of the lateral posterior pa - ANSWERSL97.521, L97.511, R60.0, M79.672