PROCEDURE CODING 101-009 WEEK 2 CHAPTER 4 QUIZ QUESTIONS AND ANSWERS

Question 1 10 out of 10 points 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 Coding guideline I.C.4.a., what ICD-10-CM code is reported? Selected Answer: a. E11.311 Answers: a. E11.311 b. E11.321 c. E08.311 d. E10.311 Response Feedback: Rationale: According to ICD-10-CM Official Coding Guidelines, Section I.C.4.a the diabetes codes are combination codes that include the type of diabetes, the body system affected, and the complications affecting that body system. To locate the codes in the ICD-10-CM code book, look in the ICD-10-CM Alphabetic Index for Diabetes, diabetic/with/retinopathy/with macular edema E11.311. Verify code choice in the Tabular List.  Question 2 0 out of 10 points A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis (causal 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)? PROCEDURE CODING 101-009 WEEK 2 CHAPTER 4 QUIZ QUESTIONS AND ANSWERS Selected Answer: b. N17.9, R65.20, A41.9 Answers: a. A41.9, R65.20, N17.9 b. N17.9, R65.20, A41.9 c. R65.21, A41.9, N17.9 d. N17.9, R65.21, A41.01 Response Feedback: Rationale: ICD-10-CM guideline I.C.1.d.1.b indicates: The coding of severe sepsis requires a minimum of two codes. First, a code for the underlying systemic infection, followed by a code from subcategory R65.2, Severe sepsis. If the causal organism is not documented, assign code A41.9, Sepsis, unspecified organism, for the infection. Additional codes(s) for the associated acute organ dysfunction are also required (if present). The first code to report is sepsis; look for the main term Sepsis in the ICD 10-CM Alphabetic Index referring you to code A41.9. Next, look for Sepsis/with organ dysfunction (acute) (multiple) referring you to code R65.20. For the last code, look for Failure/renal/acute referring you to code N17.9. In the Tabular List you will find an instructional note under subcategory R65.2 indicating what codes should be reported first and what codes should be reported as additional codes.