Coding
2013 Edition
Answer Key
Lou Ann Schraffenberger, MBA, RHIA, CCS, CCS-P, FAHIMA
,
,Answer Key
The answer key includes the correct ICD-10-CM/PCS codes and the Alphabetic Index entry used to
locate each code.
Chapter 1 5. Main term=Stenosis
N88.2 Stenosis, endocervical—see
Introduction to ICD-10-CM Stenosis cervix
Exercise 1.1 Exercise 1.4
1. N63 Mass, breast 1. A41.9 Sepsis NOS
2. N13.30 Hydronephrosis (primary) 2. A49.8 Infection, bacteroides NEC
3. J34.2 Deviated, nasal septum 3. I31.9 Pericarditis (with effusion)
4. R59.0 Adenopathy, inguinal 4. B08.3 Disease, fifth
5. I25.10 Disease, arteriosclerotic— Tabular List—B08.3—Erythema
seeDisease, heart, ischemic, infectiosum [fifth disease]
atherosclerotic. Arteriosclerotic heart— 5. Dementia, with, Lewy bodies G31.83
see Arteriosclerosis, coronary (artery) [F02.80]
6. G44.209 Headache, tension See the "Use additional code" note
7. K85.9 Pancreatitis undercategory G31
(suppurative) Use additional code to identify dementia
8. K00.6 Eruption, tooth with behavioral disturbance (F02.81)
abnormal(premature) Use additional code to identify dementia
9. I33.0 Endocarditis, infectious without behavioral disturbance
10. I08.0 Endocarditis, mitral with (F02.80)
aortic(valve) disease, active or acute
Exercise 1.5
Exercise 1.2 1. Intrahepatic bile duct
1. Nonessential modifier = congenital 2. Diabetes mellitus arising in
Q67.8 Distortion (congenital) chest pregnancyGestational diabetes
(wall) mellitus
2. Nonessential modifier=acute 3. Anorexia nervosa
K57.32 Diverticulitis (acute) intestine, 4. Blackout, Fainting, Vasovagal attack
large 5. Diverticulum of appendix
3. Nonessential modifier = bleeding
K64.4 Hemorrhoids external Exercise 1.6
4. Nonessential modifier=cardiac 1. I85.11 Varix, esophagus, in, cirrhosis of
R01.0 Murmur (cardiac) liver, bleeding
functional 2. N39.0 Infection, urinary (tract)
5. Nonessential modifier=chronic Use additional code (B95–B97) to
J32.0 Sinusitis (chronic) maxillary identify infectious agent
B96.20 Infection, Escherichia coli as
Exercise 1.3 cause of disease classified elsewhere
1. Main term=Endomyometritis 3. K26.0 Ulcer, duodenum, acute, with
N71.0 Endomyometritis—see hemorrhage
Endometritis, acute 4. P61.2 Anemia, due to, prematurity
2. Main term=Metrorrhexis 5. Z04.1 Examination, following, motor
N85.8 Metrorrhexis—see Rupture, uterus, vehicle accident
nontraumatic
3. Main term=Osteoarthrosis Review Exercises: Chapter 1
M19.019 Osteoarthrosis—see also
Osteoarthritis, shoulder, M19.01- 1. K35.2 Appendicitis, acute, with
(unspecified = M19.019) perforation
4. Main term=Prolapse 2. J15.4 Pneumonia, streptococcal NEC
M50.20 Prolapse—see Displacement, 3. R07.2 Pain, chest, precordial
intervertebral disc, cervical
,4. I26.09 Cor, pulmonale, acute
5. M19.071 Osteoarthrosis—see
Osteoarthritis, primary, ankle,
right
6. E05.20 Goiter, nodular, toxic
7. Q89.2 Extra—see Accessory, thyroid
8. K55.21 Angiodysplasia (colon) with
bleeding
9. J20.9 Tracheobronchitis—see
alsoBronchitis, acute
10. I25.119 Disease, heart,
arteriosclerotic—see Disease, heart,
ischemic, atherosclerotic with angina
pectoris—seeArteriosclerosis, coronary
(artery) nativevessel with angina
pectoris
11. M32.14 Nephritis, due to, systemic lupus
erythematosus
12. Z34.02 Prenatal, care, normal first
pregnancy—see Pregnancy, normal,
first,second trimester
13. S72.142A Fracture, femur, upper end,
intertrochanteric, left The coder must see
the Tabular List for assignment of the left
side and the seventh character ―A‖ for
theclosed fracture, initial encounter to
identify the encounter.
14. A59.02 Prostatitis, trichomonal
15. I63.239 Occlusion, artery, carotid,
withcerebral infarction
I10 Hypertension (essential)
16. B17.11, Hepatitis, C, acute, with hepatic
coma
17. C91.01, Leukemia, acute lymphoblastic,
see Tabular List for sixth character for
inremission
18. D3A.020, Tumor, carcinoid, benign,
appendix
19. N40.1, Enlarged, prostate, with
lowerurinary tract symptoms
(urinary obstruction)
N13.8 verified in Tabular List under code
N40.1
N13.8 Obstruction, urinary, specified.
Inclusion notes under N13.8 state urinary
obstruction due to specified cause and
there is a ―code first‖ note present to
codethe causal condition such as enlarge
prostate
Corrected from Alphabetic Index: N13.9,
Obstruction, urinary
20. Z85.3, History, personal,
malignantneoplasm (of), breast
, Chapter 2
Introduction to ICD-10-PCS
Review Exercises: Chapter 2
1. Answer: 0DJO8ZZ
Character Explanation
Section Medical and Surgical
Body Gastrointestinal System
Syst
em
Root Inspection
Ope
rati
o
n
Body Part Upper Intestinal Tract
Approach Via Natural or Artificial
Opening Endoscopic
Device No Device
Qualifier No Qualifier
‗‘‘‘‘@@@
INDEX: Root Operation: Inspection. Index:
Esophagogastroduodenoscopy (0DJ08ZZ)
In this example, the complete seven character
code is listed in the Index. The code still
must be confirmed using the code Tables.
EGD is an inspection procedure when no
other procedures, such as a biopsy or
excision, are performed with the EGD.
Body part inspected is the upper
intestinaltract. Approach is through the
mouth so ―via natural or artificial
opening endoscopic‖ is the choice for
this procedure.
2. Answer: 0HBU0ZZ
Character Explanation
Section Medical and Surgical
Body System Skin and Breast
Root Excision
Oper
ation
Body Part Breast, Left
Approach Open
Device No Device
Qualifier No Qualifier
INDEX: When consulting the Index, the main
term Mastectomy has two subterms: see
Excision, Skin and Breast and see
Resection, Skin and Breast. Since only
part of the breast was removed, the
rootoperation is Excision.