Chapter XIV - Diseases of the genitourinary system

Question 1

Which conditions in Chapter XIV must be coded to I12.- Hypertensive renal disease when they are due to hypertension?

Answer 1

• N00-N07
• N18.- Chronic renal failure
• N19.- Unspecified renal failure
• N26.- Unspecified contracted kidney

Question 2

N42.3 Dysplasia of prostate is used to code which grades of prostatic intraepithelial neoplasia?

Answer 2

Grade I or Grade II

Question 3

D07.5 Carcinoma in situ of prostate is used to code which grade of prostatic intraepithelial neoplasia?

Answer 3

High grade intraepithelial neoplasia of prostate (HGIN)

Question 4

Which common symptom of BPH may be coded in addition if treated?

Answer 4

Urinary retention

Question 5

Name the 5 different types of vaginal wall prolapse.

Answer 5

1. Cystocele
2. Rectocele
3. Enterocele
4. Urethrocele
5. Cystourethrocele

Question 6

If a patient is recorded to have multiple stages of CKD on the same episode how should this be coded?

Answer 6

Code to the highest stage only and do not assign multiple codes from N18.-

Question 7

What does ‘GFR’ stand for?

Answer 7

Glomerular filtration rate

Question 8

What is the preferred term used to describe Acute Renal Failure (AFR)?

Answer 8

Acute Kidney Injury (AKI)

Question 9

How should urethral obstruction caused by BPH be coded?

Answer 9

It should not be coded as it is considered a symptom of BPH. Only the BPH should be coded.

Question 10

When a patient is documented to have multiple sites of endometriosis how should this be coded?

Answer 10

Multiple codes from N80.- must be assigned for each site.

Question 11

When coding CIN, VAIN and VIN of more than one grade, how should this be coded?

Answer 11

Code to the highest grade only.