|MOST COMMON QUESTIONS WITH CORRECTLY
VERIFIED ANSWERS (the recent quizes)|ALREADY
A+ GRADED|GUARANTEED PASS
1 - A young female, was brought to the clinic by her sister. She has had periods of severe
depression for many years and is on Lithium. Her provider also manages her manic-depressive
psychosis, hypothyroidism, and migraine headaches. Additional medications are Synthroid and
Midrin. During the past week, she became manic, running all her credit cards to the limit,
getting inappropriately involved in a friend's suicide attempt, quitting her job, and trying to take
over the pulpit at church. On the day of the clinic visit, she threatened to strike the telephone
repairman with a lead pipe. She was admitted for Lithium adjustment. Diagnoses are: moderate
manic-depressive bipolar with circular current manic state, hypothyroidism, and migraine. What
ICD-10-CM codes are reported?
a.
F31.32, E03.9, G43.909
b.
F31.89, G43.911, E03.8
c.
F31.62, E03.9, G43.911
d.
F31.12, E03.9, G43.909 - d.
F31.12, E03.9, G43.909
,Rationale: In the ICD-10-CM Alphabetic Index look for Disorder/bipolar/current (or most recent)
episode/manic/without psychotic features/moderate guiding you to code F31.12. No code
assignment is necessary for depression because depression is a component of bipolar disorder.
Although not psychiatric conditions, both hypothyroidism and migraine headaches are
coexisting conditions under treatment and are coded. In the Alphabetic Index, look for
Hypothyroidism which directs you to E03.9 and look for Migraine directing you to code G43.90-.
Verify the codes in the Tabular List. When reviewing code G43.90 in the Tabular List, a 6th
character of 9 is selected because there is no mention of an intractable migraine or status
migrainosus.
2 - A 65 year-old female patient returns to her primary care provider for follow up of an upper
respiratory infection diagnosed the previous week. Her condition has not improved and her
cough has increased. She has a long history of smoking. She currently smokes one pack a day
and is dependent on the cigarettes. She uses a bronchodilator for her COPD. The provider
changes her antibiotics to treat her acute bronchitis with COPD. What ICD-10-CM codes are
reported for this visit?
a.
J44.0, Z72.0
b.
J44.9, J20.9, Z72.0
c.
J44.0, J20.9, F17.210
d.
J44.0, J21.9, F17.210 - c.
, J44.0, J20.9, F17.210
Rationale: In the ICD-10-CM Alphabetic Index look for Disease, diseased/pulmonary/chronic
obstructive/with/acute bronchitis J44.0. In the Tabular List, there is an instructional note to
code also to identify the infection. For this example, the infection is reported with a code from
category code J20 Acute Bronchitis. Because there is no indication of the infectious agent for
the acute bronchitis, an unspecified code is used. Look for Bronchitis/acute or subacute (with
bronchospasm or obstruction) J20.9. In the Tabular List category J44 has a note to code also the
type of asthma which is not applicable to this case so it is not coded. J44 also has a note to
report an additional code for use of or exposure to smoke. The patient is currently still smoking
and is dependent on cigarettes. Look for Dependence (on)/nicotine/cigarettes F17.210. Verify
code selection in the Tabular List.
3 - After referral from the ED, patient is seeing the ophthalmologist to examine an old injury
with retained magnetic iron metal foreign body in his posterior wall within the right eye with
the possibility of infection. What ICD-10-CM codes are reported?
a.
I51.7
b.
I11.0, I51.3
c.
I10, I51.7
d.
I11.9, I51.7 - c.
I10, I51.7