ICD 10 CM Diagnosis's and Procedures Injuries, Burns, Poisonings/Adverse Effects, Complications Questions & Answers

A 26-year-old male is admitted to the hospital after an assault at a local bar. The patient was stabbed once in the abdomen with a large knife and had an abdominal laceration in the epigastric area that also created an internal injury, with a moderate laceration of the head of his pancreas. What is the coding and sequencing for the diagnoses in this case? Do not assign Chapter 20, "External Causes of Morbidity" (V00-Y99), codes to identify external cause. - ANSWERSS36.250A, S31.612A All of the following are true regarding external cause codes, EXCEPT: - ANSWERSAre required for poisonings When coding an open wound, such as with a code found in category S71, Open Wound of Hip and Thigh, the coder is instructed to additionally code which of the following? - ANSWERSAny associated infection A 62-year-old male stepped on an old nail 2 weeks prior. He is a type 2 diabetic. The nail penetrated his shoe and punctured the bottom of his left foot. His daughter brought him to the emergency department with a high fever, nausea, vomiting, and inability to put pressure on his left foot. He states that he has been on oral antibiotic cephalexin (Keflex) from his family provider for the past 2 weeks and his foot is getting progressively more painful. His tetanus history is up to date. Cultures show the patient has a puncture wound with an Escherichia coli [E. coli] infection. The patient is admitted for an incision and drainage procedure with IV antibiotic azithromycin (Zithromax) therapy. The patient had some retained foreign body (material from the sole of his shoe) in the wound. What is the coding and sequencing of the diagnoses in this case? Do not assign Chapter 20, "External Causes of Morbidity" (V00-Y99), cod - ANSWERSS91.342A, B96.20, E11.9 The patient is admitted for traumatic amputation of left hand at the wrist. The patient had been attempting to service an industrial punch press when the injury occurred. What is the correct coding for the diagnosis in this case? Do not assign Chapter 20, "External Causes of Morbidity" (V00-Y99), codes to identify external cause. - ANSWERSS68.412A Which category or code is used as an additional code to identify any retained foreign body when applicable and present with an injury? - ANSWERSZ18.- A 21 year old carrying a glass water bottle in her right hand tripped on the sidewalk and fell on her right hand. The bottle broke in her hand and a shard of glass punctured her right index finger and severed the common palmar digital branch of the median nerve. The puncture extended on the lateral side of the index finger. There was considerable bleeding from the radialis indicis artery, which was also severed. There was several slivers of glass still in her finger. There was no nail damage. What is the coding and sequencing for this case? Do not assign Chapter 20, "External Causes of Morbidity" (V00-Y99), codes to identify external cause. - ANSWERSS65.510A, S64.490A, S61.240A Bite injury codes are assigned based on whether it was a human or animal bite. - ANSWERSFalse Which of the following injury scenarios is sequenced correctly for coding purposes? - ANSWERSPartial traumatic amputation of the right pinky finger, hematoma of the right palm The patient has an injury to his right hand and wrist after falling from a bicycle. There is a 5 cm jagged laceration with a foreign body in the tissue of the right index finger. There is also extensive damage to the right index fingernail. The patient also has a large contusion to his right wrist and an abrasion on his right elbow. The foreign body was removed in the ED. Upon admission, he is seen by a hand specialist to have the laceration and nail repaired. The contusion of the wrist was treated with ice and elevation. What is the coding and sequencing of the diagnoses in this case? Do not assign Chapter 20, "External Causes of Morbidity" (V00-Y99), codes to identify external cause. - ANSWERSS61.320A, S60.211A, S50.311A A 35-year-old male was playing soccer with some friends. He slipped and fell while trying to kick the ball. One of the friends accidently ran over the back of his leg with soccer cleats, and he experienced severe pain on the back of the left leg. He was taken to the hospital, where an ultrasound verified the diagnosis of gastrocnemius tear. An open reattachment of traumatic left gastrocnemius avulsion was performed. What is the procedure code for this case? - ANSWERS0KMT0ZZ A patient had a craniotomy and placement of a device for drainage of excess cerebrospinal fluid after a head injury. The craniotomy is not coded because it is considered the operative approach to the procedure. - ANSWERSTrue A 7-year-old girl was injured while being dropped off at school. She became wedged under a car that had struck her while she was crossing the street. The most severe injury resulting from the accident and requiring surgery was the severing of her right ear. After evaluation for her injuries, the severed ear was reattached. What is the procedure coding for this case? - ANSWERS09M0XZZ The Uniform Hospital Discharge Data Set (UHDDS) requires that all significant procedures be reported. Which of the following is a component of the UHDDS definition of "significant procedure"? - ANSWERSCarries a procedural risk A 32-year-old man was rushed to the hospital after his left hand was crushed by a log-splitting machine. The log-splitting machine was jammed, and when he tried to remove the log, his left hand was severely crushed in the process, resulting in the need for a complete fifth-ray carpometacarpal joint amputation. What is the procedure code for the amputation? - ANSWERS0X6K0Z8 A 25-year-old woman fell while exiting a ski lift. The sharp side of one of her skis cut a deep laceration at the groin region into the femoral vein on her left leg. The associated bleeding was controlled with application of localized pressure with the patient's clothing, and she was rushed to the hospital. The laceration of the femoral vein was repaired by open approach. What is the procedure coding for this case? - ANSWERS06QN0ZZ A patient has sustained a crushing injury to his left lower arm as a result of a factory accident, with subsequent development of compartment syndrome. He now has a fasciotomy to release the fascia in his left lower arm. What is the procedure code for the fasciotomy? - ANSWERS0J8H0ZZ A patient had a brain injury that resulted in a subdural hematoma. A burr hole craniotomy is performed to remove the hematoma. How is the burr hole craniotomy coded? - ANSWERS00C40ZZ A patient was involved in an industrial accident resulting in multiple injuries. She is in surgery today to have a percutaneous repair on the musculocutaneous and subclavius nerves. How is this procedure coded? - ANSWERS01Q33ZZ, 01Q33ZZ If a patient had all of the following procedures performed during the same hospital admission, which of them is the principal procedure? - ANSWERSOpen suture of a laceration of the left lobe of the liver A patient is seen in the ED with melena due to an adverse effect of his Coumadin. What is the correct coding and sequencing for the diagnoses in this case? - ANSWERSK92.1, T45.515A Statins are commonly used for controlling cholesterol. What is an adverse effect specific to statins? - ANSWERSMuscle degeneration Codes in categories T36-T65 need an additional external cause code with adverse effects of drugs. - ANSWERSFalse