ALREADY PASSED GRADED A+.
⫸ What are the correct codes for benign hypertensive heart disease
and stage 3 chronic kidney disease?
A. I10, I12.9, I11.9, N18.3
B. I13.10, N18.3
C. N18.3, I13.10
D. I12.9, N18.3 Answer: B. I13.10, N18.3
There is a combination code for hypertensive heart and chronic
kidney disease, so that code is used instead of a combination of
others. Code I13.10, Hypertensive heart and chronic kidney disease,
without heart failure and with chronic kidney disease stage I through
stage IV or unspecified, has a use additional note that states to code
the stage of CKD as a secondary code. Code N18.3 is the correct code
for stage 3 chronic kidney disease. The codes must be sequenced with
the hypertension code first.
⫸ What general guideline is addressed in I.C.1.2.c.?
A. Documentation unclear as to whether sepsis or severe sepsis is
present on admission
B. Other codes for MRSA
C. Whether the patient is newly diagnosed
,D. Code only confirmed cases Answer: C. Whether the patient is
newly diagnosed
Section I. Conventions, general coding guidelines and chapter specific
guidelines
Section I.C. Chapter-Specific Coding Guidelines Section I.C.1
Chapter 1: Certain Infectious and Parasitic Diseases A00-B99
Section I.C.1.2 Selection and sequencing of HIV codes
Section I.C.1.2.c Whether the patient is newly diagnosed
⫸ OB patient at 36 weeks presents with mild headache, leg edema.
Her UA shows protein. She is diagnosed with pre-eclampsia and
admitted for observation. What ICD-10-CM code(s) is/are reported?
A. O14.93, Z3A.36
B. R51, R60.9
C. O14.93
D. O14.13, Z3A.36 Answer: A. O14.93, Z3A.36
Chapter 15 Coding guidelines state that Chapter 15 codes have
sequencing priority over codes from other chapters. In the Alphabetic
Index, look for Pregnancy/ complicated by/ pre-eclampsia which
leads to subcategory O14.9. The notes at the beginning of the chapter
state that the 3rd
trimester is 28 weeks until delivery, and to use an additional code
from category Z3A, Weeks of gestation, to identify the specific week
, of the pregnancy. The 5th character 3 is used for the third trimester
and code Z3A.36 indicates she is at 36 weeks.
⫸ 30-year-old female suffers from menstrual migraines. She is in the
ED because the medication has not relieved the migraine. What ICD-
10-CM code is reported?
A. G43.829
B. G43.839
C. G43.919
D. G43.909 Answer: B. G43.839
From the Alphabetic Index look for Migraine/menstrual. This refers
you to category G43. In the Tabular List, there is a note under the
category that states "Note: the following terms are to be considered
equivalent to intractable: pharmacoresistant (pharmacologically
resistant), treatment resistant, refractory (medically) and poorly
controlled." Therefore, since the migraine is not responding to
medication, it is considered intractable. Further reference in the
Tabular List shows the correct code to be G43.839.
⫸ The patient's dense breast tissue made the screening mammogram
unreadable, and she is here today for a breast ultrasound. Her mother
and aunt both have a history of breast cancer. What ICD-10-CM codes
are reported for breast ultrasound?:
A. Z12.39, R92.2, Z80.3