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Exam (elaborations)

Advanced ICD-10 Coding QUESTIONS WITH COMPLETE SOLUTIONS

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Case 1 Page 589, Case 5: Outpatient Clinic Visit 1. What is the correct coding and sequencing for this case? Correct Answer: Your Answer: B20, F11.20, Z53.1 Code B20 is assigned for all HIV infections and is designated as the reason for the encounter when the patient was seen for HIV infection or a related condition. Code L04.0, acute lymphadenitis of face, head and neck should NOT be assigned along with code B20 because of the Excludes 1 note at category L04 excluding HIV disease resulting in generalized lymphadenopathy (B20). Reference the index for reference to F11.20 for opioid dependence. Code Z53.1 may be assigned to show the refusal of medication for religious reasons. Case 2 Page 598, Case 6: Inpatient Admission 1. What code is the principal diagnosis for this case? Correct Answer: Your Answer: K29.01 K29.01 is a combination code that includes both the gastritis and hemorrhage. Case 3 Page 610, Case 5: Outpatient Visit 1. The diverticular disease mentioned in the case study would be classified to which of the following? Correct Answer: Your Answer: large intestine The classification system differentiates between diverticulitis and diverticulosis. In addition, codes are provided to identify the site, in this case the large intestine. Case 4 Page 626, Case 1: Inpatient Admission 1. What is the correct ICD-10-CM coding and sequencing for this case? Correct Answer: Your Answer: S01.01xA, L03.811, H60.12 Note the Excludes 2 note under L03.211 specifically states "cellulitis of ear." Case 5 Page 685, Case 14: Emergency Department Visit 1. What is the correct ICD-10-CM code assignment for this visit? Correct Answer: Your Answer: R56.9 Code R56.9 is appropriate for this encounter. "Probable" conditions are not coded in the outpatient setting. Case 6

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