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CPC-Physician Based Medical Coding > CPC Ch5- ICD-10-CM Coding Chapters 12-22 > Flashcards

CPC Ch5- ICD-10-CM Coding Chapters 12-22 Flashcards

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1
Q

What ICD-10-CM coding is reported for a patient diagnosed with pressure ulcers on each heel, each heel displays bone involvement with evidence of necrosis and is identified as stage 4?
A. L97.406
B. L89.614
C. L89.619, L89.629
D. L89.614, L89.624

A

D. L89.614, L89.624

Rationale: Codes for pressure ulcers are determined by site, stage, and laterality. In this case, the patient has pressure ulcers on each heel, stage 4. Look in the ICD-10-CM Alphabetic Index for Ulcer/pressure/stage 4/heel L89.6-. In the Tabular List, a 5th character is required for laterality and 6th character is required for the stage. Report L89.614 for the right and L89.624 for the left.

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2
Q

A patient complains of a rash that is extremely itchy. It began when she started using a new laundry detergent. She is examined, and the provider diagnoses her with dermatitis, due to exposure to the laundry detergent. What ICD-10-CM coding is reported?
A. L23.9
B. L20.89
C. L23.5
D. L24.0

A

D. L24.0

Rationale: The patient is diagnosed with dermatitis due to detergent. In the ICD-10-CM Alphabetic Index, look for Dermatitis/due to/detergents (contact) (irritant). You are referred to L24.0. Verify the code selection in the Tabular List.

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3
Q

A provider performs an incision and drainage on a large abscess on the patient’s left leg. What ICD-10-CM coding is reported?
A. L02.416
B. L02.91
C. L72.9
D. L23.9

A

A. L02.416

Rationale: In the ICD-10-CM Alphabetic Index, look for Abscess/leg. This refers you to see Abscess, lower limb L02.41-. In the Tabular List, a 6th character is required for laterality and location. 6th character 6 is reported for the left lower limb.

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4
Q

An MRI confirmed the patient has sciatica caused by a herniated disc between L5 and S1. She is scheduled for an injection, after which she will be referred to a physical therapist in an effort to avoid surgery. What ICD-10-CM coding is reported?
A. M51.17
B. M51.71, M54.40
C. M51.15
D. M51.86

A

A. M51.17

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5
Q

A provider performs an arthroscopic procedure to repair an incomplete right degenerative rotator cuff tear on a patient with primary, degenerative arthritis in the same shoulder. What ICD-10-CM coding is reported?
A. M75.111, M19.211
B. M75.111, M19.011
C. M66.211, M19.011
D. S43.421A, M19.011

A

B. M75.111, M19.011

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6
Q

A patient with age-related osteoporosis suffers a pathologic fracture to her right hip. She is being seen for this new fracture today. What ICD-10-CM coding is reported?
A. m81.0, z87.311
B. S72.091A, M80.851A
C. M80.051A
D. M80.851A

A

C. M80.051A

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7
Q

A 55-year-old female with right hydronephrosis presents for a cystourethroscopy with a retrograde pyelogram. What ICD-10-CM coding is reported?
A. Q62.11
B. Q62.0
C. N13.30
D. N13.6

A

C. N13.30

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8
Q

A patient returns to her gynecologist’s office to review the results of her ultrasound. She has been experiencing heavy bleeding and painful menstruation. The results of the ultrasound reveal the patient has a uterine fibroid measuring 4.0 cm. What ICD-10-CM coding is reported?
A. N94.6, N92.0, D25.9
B. N94.6, N92.1, D25.1
C. D25.1
D. D25.9

A

D. D25.9

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9
Q

A pregnant female, at 21 weeks, is diagnosed with iron-deficiency anemia and is sent to the clinic for a transfusion. What ICD-10-CM coding is reported?
A. O99.012
B. D50.9, Z34.92
C. O99.012, D50.9, Z3A.21
D. D50.9, O99.012

A

C. O99.012, D50.9, Z3A.21

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10
Q

A woman is readmitted one week after delivery with a diagnosis of delayed hemorrhage due to retained placental fragments. What ICD-10-CM coding is reported?
A. O72.2
B. O72.0
C. O72.2, O71.9
D. O72.1

A

A. O72.2

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11
Q

A patient presented to the emergency department with second degree burns to both forearms, which makes up 9 percent TBSA (Total Body Surface Area). She is three months pregnant, 12 weeks. The burns are not affecting the pregnancy. What ICD-10-CM coding is reported?
A. T22.212A, T22.211A, T31.0, O09.90
B. T22.212A, T22.211A, T31.0, Z34.90
C. T22.212A, T22.211A, T31.0, Z34.80
D. T22.212A, T22.211A, T31.0, Z33.1

A

D. T22.212A, T22.211A, T31.0, Z33.1

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12
Q

Which statement is TRUE regarding the perinatal period?
A. It begins at six weeks
B. It ends at 28 days
C. It ends at 90 days
D. It begins at 29 days

A

B. It ends at 28 days

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13
Q

A male newborn, delivered vaginally in the hospital, is born with jaundice. What ICD-10-CM coding is reported for the newborn’s record?
A. P59.9, Z38.30
B. R17, O80, Z37.0
C. P59.9
D. Z38.00, P59.9

A

D. Z38.00, P59.9

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14
Q

What ICD-10-CM coding is reported for feeding problems in a newborn?
A. R63.30
B. P92.9
C. P92.01
D. P76.0

A

B. P92.9

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15
Q

A code from categories Q00-Q99 can be used until the patient reaches what age? Refer to ICD-10-CM guideline I.C.17.
A. They can be used throughout the life of the patient unless it has been corrected.
B. They can be used throughout the life of the patient.
C. From birth to the 28th day of life
D. From birth until age 18

A

A. They can be used throughout the life of the patient unless it has been corrected.

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16
Q

The hospital documentation states “normal vaginal delivery, live birth, female, with Down Syndrome.” What ICD-10-CM coding is reported for the infant’s record?
A. Q97.1
B. Q90.9
C. Z38.00, Q90.9
D. Q90.9, Z38.00

A

C. Z38.00, Q90.9

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17
Q

A 4-year-old male is brought to the hospital by his mother. Today he is going to have surgery to repair his Cheiloschisis. Assign the correct code for his condition.
A. Q38.0
B. Q38.5
C. Q36.9
D. Q37.9

A

C. Q36.9

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18
Q

Mrs. Bixby, 83, is being admitted for dehydration and anorexia. The probable cause is dementia. She was brought in by her daughter who is visiting from out of town. Her daughter will take her from our office to St. Mary’s. The gerontology unit will evaluate her mental condition tomorrow after she is stabilized. What ICD-10-CM coding is reported?
A. F50.00, E86.0
B. R63.0, E86.0
C. F50.00, E86.0, F02.80
D. R63.0, E86.0, F02.80

A

B. R63.0, E86.0

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19
Q

What is the diagnosis code for an elevated blood pressure reading?
A. I10
B. R03.0
C. I15.8
D. I95.9

A

B. R03.0

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20
Q

When should a code for signs and symptoms be reported? Refer to ICD-10-CM guidelines I.C.18.a and I.C.18.b.
A. When it is integral to the definitive diagnosis.
B. When a probable diagnosis is confirmed.
C. When it is not integral to the definitive diagnosis.
D. When it is a confirmed symptom of the diagnosis.

A

C. When it is not integral to the definitive diagnosis.

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21
Q

The provider performs an open reduction and internal fixation for left fibula and tibia fractures. What ICD-10-CM coding is reported?
A. S82.402A, S82.202A
B. S82.402B, S82.202B
C. S82.401A, S82.209A
D. S82.402B, S82.209B

A

A. S82.402A, S82.202A

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22
Q

A patient was sent home with a PICC line for Vancomycin treatment at home. He returns to his physician with an infection due to the PICC Line. The infection is determined to be MRSA. What ICD-10-CM coding is reported, in the correct sequence?
A. T80.218A
B. A49.02
C. T80.218A, A49.02
D. A49.02, T80.218A

A

C. T80.218A, A49.02

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23
Q

A patient was prescribed an antidepressant. She forgot she had taken her pills for the day and took another pill by accident. She is now complaining of dizziness and excessive sweating. What ICD-10-CM coding is reported, in the correct sequence?
A. R42, R61, T43.201A
B. R61, R42, T43.202A
C. T43.201A, F45.8, R61
D. T43.201A, R42, R61

A

D. T43.201A, R42, R61

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24
Q

A male patient was a passenger in an automobile involved in a serious collision with another automobile. He sustained a closed fracture of the coronoid process of the jaw and an open left shaft fracture, Type 1, of the radius with an open Type 1 shaft fracture of the left ulna. What ICD-10-CM coding is reported?
A. S52.302B, S52.292B, V43.62XA
B. S52.302A, S52.202A, S02.630A, V43.92XA
C. S52.302B, S52.292B, S02.630B, V43.32XA
D. S52.302B, S52.202B, S02.630A, V43.62XA

A

D. S52.302B, S52.202B, S02.630A, V43.62XA

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25
Q

The patient was hit in the nose by the ball playing basketball on the varsity team last evening at the gym and woke up with severe epistaxis. The family physician controlled the nasal hemorrhage with cauterization and afterwards packed the nose with nasal packs. What ICD-10-CM coding is reported?
A. R04.0, W21.09XA, Y92.39, Y93.79, Y99.8
B. R04.0, W21.05XA, Y92.39, Y93.67, Y99.8
C. I78.0, W21.05XA, Y92.39, Y93.79, Y99.8
D. I78.0, W21.00XA, Y92.39, Y93.67, Y99.8

A

B. R04.0, W21.05XA, Y92.39, Y93.67, Y99.8

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26
Q

Which statement is TRUE regarding external cause codes? Refer to ICD-10-CM guideline I.C.20.a.6.
A. External cause codes are never sequenced first.
B. External cause codes are only sequenced first if a definite diagnosis is not established.
C. External cause codes are used to indicate the reason for a screening exam.
D. External cause codes are used to report abnormal findings.

A

A. External cause codes are never sequenced first.

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27
Q

The provider orders serum blood tests as part of a pre-employment physical exam. What ICD-10-CM coding is reported?
A. Z00.00
B. Z00.01
C. Z02.1
D. Z02.79

A

C. Z02.1

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28
Q

The patient’s dense breast tissue made the screening mammogram unreadable, and she is here today for a breast ultrasound. Her mother and sister both have history of breast cancer. What ICD-10-CM coding is reported?
A. N60.01, N60.02, R92.30, Z80.3
B. Z12.31, N62, Z80.3
C. Z13.89, R92.30, R92.2, Z80.3
D. Z12.39, R92.30, R92.2, Z80.3

A

D. Z12.39, R92.30, R92.2, Z80.3

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29
Q

When a patient presents for a screening test and the provider finds something abnormal, what diagnosis code should be sequenced first? Refer to ICD-10-CM guideline I.C.21.c.5.
A. The diagnosis for the abnormality that was found
B. The Z code to identify the screening
C. The code for abnormal results
D. The signs and symptoms

A

B. The Z code to identify the screening

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30
Q

According to the ICD-10-CM Official Guidelines for Coding and Reporting, Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A), codes in this range have sequencing priority over what codes?
A. All codes including Z33.1
B. Codes from all other chapters.
C. Chapter 15 codes do not have sequencing priority over other codes.
D. Codes from Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99).

A

B. Codes from all other chapters

Rationale: According to the ICD-10-CM Official Guidelines for Coding and Reporting, Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A), codes in this range have sequencing priority over codes from all other chapters in the ICD-10-CM codebook.

31
Q

The provider documents CKD stage 5 and ESRD. What ICD-10-CM code(s) is/are reported?
A. N18.6, N18.5
B. N18.5
C. N18.6
D. N18.4, N18.6

A

C. N18.6

Rationale: According to ICD-10-CM guideline I.C.14.a.1 when both a stage of CKD and ESRD are documented, you assign only code N18.6. Verify code selection in the Tabular List.

32
Q

What does the root word colp/o stand for?
A. Fallopian Tubes
B. Uterus
C. Cervix
D. Vagina

A

D. Vagina

Rationale: Colp/o is the combining form referring to the vagina. As examples, colpocele (N81.5) and colpocystitis (N76.0) are medical conditions of the vagina.

33
Q

What does the abbreviation CKD stand for?
A. Chronic Kidney Disease
B. Congenital Kidney Disorder
C. Chronic Keratoderma
D. Chronic Kidney Dysfunction

A

A. Chronic Kidney Disease

Rationale: CKD is Chronic Kidney Disease. Category N18 in the Tabular List of the ICD-10-CM codebook contains the different stages of chronic kidney disease.

34
Q

In which circumstances would an external cause code be reported?
A. Chemotherapy treatment of neoplasms.
B. Causes of injury or health condition.
C. Delivery of a newborn.
D. Only for the cause of motor vehicle accidents.

A

B. Causes of injury or health condition.

Rationale: ICD-10-CM guideline I.C.20.a.1 states, an external cause code may be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that is a health condition due to an external cause. Though they are most applicable to injuries, they are also valid for use with such things as infections or diseases due to an external source, and other health conditions, such as heart attack that occurs during strenuous physical activity.

35
Q

A 45-year-old mother of three children is having surgery to correct an anterior vaginal wall prolapse with an incomplete uterine prolapse. What ICD-10-CM code is reported?
A. N81.4
B. N81.3
C. N81.2
D. N81.10

A

C. N81.2

Rationale: In the ICD-10-CM Alphabetic Index, look for Prolapse/vagina (anterior) (wall)/with prolapse of uterus/incomplete, guiding you to code N81.2. Verify code selection in the Tabular List.

36
Q

A 55-year-old has developed a pressure ulcer on her right hip. The base of the ulcer is covered in eschar and the provider documents that the stage of the ulcer cannot be determined. What ICD-10-CM code is reported?
A. L89.319
B. L89.310
C. L89.210
D. L89.219

A

C. L89.210

Rationale: Refer to ICD-10-CM guideline I.C.12.a.2. If the pressure ulcer is documented as unstageable, assign L89.–0. Unstageable is when the base of the ulcer is covered in eschar or slough so much that it cannot be determined how deep the ulcer is. This diagnosis is determined based on the clinical documentation. This code should not be used if the stage is not documented. In that instance, report the unspecified code, L89.–9. In the ICD-10-CM Alphabetic Index, look for Ulcer, ulcerated, ulcerating, ulceration, ulcerative/pressure (pressure area)/unstageable/hip which directs you to L89.2-. In the Tabular List the 5th character 1 indicates the right hip and 6th character 0 indicates unstageable.

37
Q

A 4-year-old is brought into the ED crying. He cannot bend his left arm after his older sister pulled it. The provider performs an X-ray and it shows the patient has Nursemaid’s elbow. The ED provider reduces the elbow successfully. The patient can move his arm again after the reduction. What ICD-10-CM codes are reported?
A. S53.032A, X50.9XXA
B. S53.095S, X50.9XXS
C. S53.032S, X50.9XXS
D. S53.095A, X50.9XXA

A

A. S53.032A, X50.9XXA

Rationale: In the ICD-10-CM Alphabetic Index look for Nursemaid’s elbow directing you to S53.03-. In the Tabular List, 6th character 2 is reported for the left elbow and 7th character A is applied for the initial encounter.
The patient’s arm was injured due to his sister pulling on it. In the ICD-10-CM External Cause of Injuries Index look for Pulling, excessive which directs you to X50.9-. In the Tabular List, the code needs seven characters. Two Xs are needed as place holders for the 5th and 6th characters. The 7th character is A.

38
Q

The patient is seen for an initial replacement of a leaking dialysis catheter. What ICD-10-CM code is reported?
A. T82.41XB
B. Z49.02
C. T82.43XA
D. T85.611A

A

C. T82.43XA

Rationale: A leaking dialysis catheter would be a complication. In the ICD-10-CM Alphabetic Index look for Complication/catheter (device) NEC/dialysis (vascular)/mechanical/leakage, guiding you to subcategory code T82.43. The Tabular List indicates seven characters are needed to complete the code. The 6th character is for the placeholder X and the 7th character is A for the initial encounter. T82.43XA is the correct code.

39
Q

A 6-month-old patient is seen at the clinic for a routine well-child visit and vaccinations. During the examination the provider finds that the child has a fever and a diagnosis of acute otitis media in the right ear is documented. Vaccinations are not given at this time. What ICD-10-CM code(s) is/are reported?
A. H66.90, Z00.01
B. Z00.121
C. Z00.121, H66.90, Z23
D. Z00.121, H66.91, Z28.01

A

D. Z00.121, H66.91, Z28.01

Rationale: According to ICD-10-CM guideline I.C.21.13: During a routine exam, should a diagnosis or condition be discovered, it should be coded with abnormal findings. The abnormal finding should be coded as an additional code. Look in the ICD-10-CM Alphabetic Index for Examination (for) (following) (general) (of) (routine)/child (over 28 days-old)/with abnormal findings which directs you to Z00.121. To report the abnormal finding, look in the Alphabetic Index for Otitis (acute)/media/acute, subacute which directs you to H66.90. Verify code selection in the Tabular List. Subcategory code H66.9 is for Otitis media, unspecified. Report H66.91 for the right ear. Next, in the Alphabetic Index look for Vaccination/not done which states see Immunization, not done, because (of). Immunization/not done/because (of)/acute illness of patient directs you to Z28.01. Verify code selection in the Tabular List.

40
Q

What external cause code(s) are reported for a passenger involved in an MVA that lost control on the highway and hit a guardrail?
A. Y92.411
B. V47.6XXA, Y92.411
C. V47.5XXA
D. V47.6XXA

A

B. V47.6XXA, Y92.411

Rationale: In the ICD-10-CM External Cause of Injuries Index (after the ICD-10-CM Table of Drugs and Chemicals), look for Accident/transport/car occupant/passenger/collision (with)/stationary object (traffic), guiding you to V47.6-In the Tabular List a 7th character A is necessary for the initial encounter. You would use an additional external cause code when a place of occurrence (for example, home or parking lot) is documented. In this case, the location is documented as the highway. In the External Cause of Injuries Index, look for Place of occurrence/highway (interstate), guiding you to code Y92.411. Verify code selection in the Tabular List.

41
Q

A patient, at 26 weeks’ gestation, presents with gestational diabetes controlled with diet and insulin. What ICD-10-CM codes are reported?
A. O24.410, O24.414, Z3A.26
B. E11.9, Z79.4, Z3A.26
C. O24.414, Z79.4, Z3A.26
D. O24.414, Z3A.26

A

D. O24.414, Z3A.26

Rationale: According to ICD-10-CM guideline I.C.15.i gestational diabetes is coded to subcategory O24.4-. Further in this guideline, it states that when gestational diabetes is controlled with both diet and insulin, only the insulin-controlled code is reported. To locate the code in the ICD-10-CM Alphabetic Index, look for Diabetes, diabetic/gestational/insulin (and diet) controlled O24.414. In the Tabular List, the codes under subcategory O24.4- are chosen based on timing (in pregnancy, childbirth, or the puerperium) and whether the gestational diabetes is known to be diet or insulin controlled. The 5th character 1 indicates gestational diabetes in pregnancy, and the 6th character 4 indicates insulin controlled. This same guideline indicates code O24.414 includes insulin, code Z79.4 is not required as an additional code. Chapter 15 has a note at the beginning of the chapter to use an additional code to report the weeks of gestation. The patient is 26 weeks gestation. Look in the Alphabetic Index for Pregnancy/weeks of gestation/26 weeks Z3A.26. Verify code selection in the Tabular List.

42
Q

A patient was referred to the radiology department for chronic low back pain. The radiology report indicated there was no marrow abnormality identified and the conus medullaris was unremarkable. Additional findings include: L4–L5: There is a minor diffusely bulging annulus at L4–L5. A small focal disc bulge is seen in far lateral position on the left at L4–L5 within the neural foramen. No definite encroachment on the exiting nerve root at this site is seen. No significant spinal stenosis is identified. L5–S1: There is a diffusely bulging annulus at L5–S1, with a small focal disc bulge centrally at this level. There is minor disc desiccation and disc space narrowing at L5–S1. No significant spinal stenosis is seen at L5–S1. The final diagnosis is minor degenerative disc disease at L4–L5 and L5–S1, as described. What ICD-10-CM code(s) is/are reported?
A. M51.36, M51.37
B. M51.36, M54.50
C. M51.37, M54.50
D. M51.36

A

A. M51.36, M51.37

Rationale: Look in the ICD-10-CM Alphabetic Index for Degeneration, degenerative/intervertebral disc NOS/lumbar region directing you to code M51.36. Look in the ICD-10-CM Alphabetic Index for Degeneration, degenerative/intervertebral disc NOS/lumbosacral region directing you to code M51.37. Verify code selection in the Tabular List. The low back pain is a symptom of the degenerative disc disease and is not reported separately.

43
Q

Mr. Smith presents to the office for a screening test to detect sickle cell disorder. What ICD-10-CM code(s) is/are reported?
A. Z13.0
B. D57.1, Z13.0
C. D57.1
D. D57.3

A

A. Z13.0

Rationale: This is considered a screening. Per ICD-10-CM guideline I.C.21.c.5, “Screening is the testing for disease or disease precursors in seemingly well individuals so that early detection and treatment can be provided for those who test positive for the disease.” In the ICD-10-CM Alphabetic Index look for Screening (for)/sickle-cell disease or trait, guiding you to code Z13.0. Verify this is the correct code in the Tabular List. The patient does not have a known sickle cell disorder so a code from D57 is not reported; results from the screening test will determine if the patient has sickle cell disorder.

44
Q

An X-ray is performed for pain in the left little finger. This is the initial encounter for this visit. The X-ray report shows a fractured distal phalanx that is dislocated. What ICD-10-CM code(s) is/are reported?
A. S62.637A
B. S62.635A
C. S62.637B, S63.257B
D. S62.637A, S63.257A

A

A. S62.637A

Rationale: When a fracture and dislocation occur in the same site, only the fracture code is reported. Look in the ICD-10-CM Alphabetic Index for Dislocation/with fracture and you are referred to see Fracture. Look for Fracture, traumatic/finger (except thumb)/little/distal phalanx (displaced), which leads you to subcategory S62.63-. Refer to the Tabular List. S62.637 is reported for the left little finger and the 7th character A is chosen to indicate this is the initial encounter.

45
Q

A child is seen in a hospital based pediatric clinic for active treatment of 10% first and second degree burns to the left calf area and 5% third degree burns on her right hand. What ICD-10-CM codes are reported?
A. T23.301A, T24.232A, T24.132A
B. T23.301A, T24.232A
C. T24.202A, T23.301A, T24.132A
D. T23.291A, T24.202A

A

B. T23.301A, T24.232A

Rationale: Burns are classified as burns or corrosions in ICD-10-CM. In this scenario, there is no specification as to what caused the burns, but they are stated as burns. ICD-10-CM guideline I.C.19.d.1 indicates to sequence first the code that reflects the highest degree of burn when more than one is present. In this case, the third degree burn on the right hand is listed first. In the ICD-10-CM Alphabetic Index, look for Burn/hand(s)/right/third degree directing you to T23.301-. In the Tabular List, a 7th character A is reported for the initial encounter (active treatment). ICD-10-CM guideline I.C.19.d.2 indicates to code burns of the same site, but of different degrees to the subcategory identifying the highest degree recorded. Therefore, report second degree burns to the left calf. Look in the Alphabetic Index for Burn/calf/left/second degree T24.232. In the Tabular List a 7th character A is reported for the initial encounter. ICD-10-CM guideline I.C.19.d.6 indicates a code from category T31 is reported when there is mention of a third-degree burn involving 20% or more of the body surface. This does not apply in this case, so a code from T31 is not required (unless reporting for a burn unit or other facility requiring the additional data). The codes in the burn section have a note to use additional external cause codes to identify the source, place and intent of the burn. This information is not known in this case so it cannot be reported. Verify code selection in the Tabular List.

46
Q

A patient suffered postoperative left heart failure following repair of an abdominal aortic aneurysm. What ICD-10-CM code(s) is/are reported?
A. I97.121, I71.40
B. I97.131, I50.1
C. I50.1
D. I97.131, I50.1, I71.40

A

B. I97.131, I50.1

Rationale: In the ICD-10-CM Alphabetic Index look for Complication(s) (from) (of)/postprocedural/heart failure/following other surgery or Failure, failed/heart/postprocedural directing you to code I97.131. Verify the code selection in the Tabular List. There is a note under subcategory I97.13 to use additional code to identify the heart failure (I50.-). The patient is in left heart failure. In the Alphabetic Index look for Failure, failed/heart/left (ventricular) which instructs you to see Failure, ventricular, left. In the Alphabetic Index look for Failure, failed/ventricular/left which guides you to code I50.1. Verify the code selection in the Tabular List. You do not code the abdominal aortic aneurysm because the patient no longer has that condition.

47
Q

A 60-year-old patient sustained a comminuted left calcaneal fracture after falling from a ladder. Initial ED treatment consisted of diagnostic radiology studies and surgical ORIF was performed 9 days later. The patient now presents to the orthopedic clinic for evaluation and cast change. The fracture is healing normally. What ICD-10-CM code(s) is/are reported?
A. S92.002D, W11.XXXD
B. S92.002A
C. S92.002D
D. S92.002A, W11.XXXA

A

A. S92.002D, W11.XXXD

Rationale: A comminuted fracture is one in which a bone is broken, splintered, or crushed into a number of pieces; therefore, it is considered displaced. Look in the ICD-10-CM Alphabetic Index for Fracture, traumatic/tarsal bone(s)/calcaneus directing you to subcategory S92.00-. The Tabular List indicates seven characters are needed to complete the code. The 6th character 2 indicates laterality as left. The patient has completed the initial fracture treatment phase and is healing normally; therefore, the 7th character D is chosen for subsequent encounter for fracture with routine healing. Cast change and removal are listed as examples of fracture aftercare in the ICD-10-CM guideline I.C.19.c.1. ICD-10-CM guideline I.C.20.a.2 instructs you to use the external cause code for the length of the treatment. In the ICD-10-CM External Cause of Injuries Index look for Fall, falling/from, off, out of/ladder directing you to category W11. In the Tabular List, there is a note that the code requires seven characters. The 4th, 5th, and 6th characters are reported with placeholder Xs and the 7th character chosen is D for subsequent encounter. The complete code is W11.XXXD. Verify code selection in the Tabular list.

48
Q

Newborn twin girls were delivered in the hospital via cesarean section at 27 weeks, weighing 850 grams for twin A and 900 grams for twin B. Both were diagnosed with extreme immaturity. What ICD-10-CM codes are reported for both twins?
A. P07.26, P07.03
B. P07.03, P07.26, Z38.31
C. P07.26, Z38.31
D. Z38.31, P07.03, P07.26

A

D. Z38.31, P07.03, P07.26

Rationale: Per ICD-10-CM guideline I.C.16.a.2 indicates when coding the birth episode in a newborn record, assign a code from category Z38 Liveborn infants according to place of birth and type of delivery, as the principal diagnosis. A code from this series is assigned only once to a newborn at the time of birth. In the ICD-10-CM Alphabetic Index look for Newborn/twin/born in hospital/by cesarean, directing you to code Z38.31. In the Alphabetic Index also look for Low/birthweight/extreme/with weight of/750-999 grams directing you to code P07.03. Additionally, look in the Alphabetic Index for Immaturity (less than 37 completed weeks)/extreme of newborn (less than 28 completed weeks of gestation)/gestational age/27 completed weeks directing you to code P07.26. Verify all code selections in the Tabular List. There is also an instructional note under category P07 to code the birth weight before the gestational age.

49
Q

After suffering a fracture of the ankle three months ago, a 69-year-old patient presented with what was found to be a malunion fracture. She was treated with additional surgery and discharged. Which injury diagnosis code(s) is/are assigned?
A. S82.899P
B. S82.899A
C. S82.899A, S82.899P
D. S82.899A, S82.899S

A

C. S82.899P

Rationale: The malunion fracture is a complication of the initial fracture. Per ICD-10-CM guideline I.C.19.c.1 “Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).” In the ICD-10-CM Alphabetic Index, look for Fracture, traumatic/ankle which guides you to S82.899. In the Tabular List the 7th character P is chosen for subsequent encounter for fracture with malunion. According to ICD-10-CM guideline 1.B.10, the code for the acute phase of an illness or injury that led to the sequela is never used with a code for the late effect.

50
Q

A patient had a spontaneous complete abortion three days ago. She returns to the ED and is bleeding. After the ED provider examines her, she still has retained products of conception (POC). What ICD-10-CM code is reported for this encounter?
A. O04.6
B. O03.1
C. O03.6
D. O02.1

A

B. O03.1

Rationale: ICD-10-CM guideline I.C.15.q.2 indicates when a patient has retained products of conception following a spontaneous abortion, report a code from category O03 Spontaneous abortion even when the patient has been discharged with a diagnosis of complete abortion previously. This is an incomplete abortion because there are retained products of conception. Look in the ICD-10-CM Alphabetic Index for Abortion/incomplete (spontaneous)/complicated by/hemorrhage (delayed) (excessive) directing you to O03.1. Verify code selection in the Tabular List.

51
Q

A 7-year-old female patient was seen in the emergency department after being bitten by a dog. The child received treatment for the puncture wounds to her left leg. She also received a rabies vaccine because the dog was known to have rabies. What ICD-10-CM codes are reported?
A. S81.812A, A82.9, Z23, W54.0XXA
B. S81.812A, Z20.3, Z23, W54.0XXA
C. S81.852A, Z23, W54.0XXA
D. S81.852A, Z20.3, Z23, W54.0XXA

A

D. S81.852A, Z20.3, Z23, W54.0XXA

Rationale: The child had puncture wounds to her left leg from a dog bite. Look in the ICD-10-CM Alphabetic Index for Bite(s) (animal) (human)/leg (lower) S81.85-. In the Tabular List, 6th character 2 is reported for the left leg and 7th character A is applied for the initial encounter. She did not have rabies but was exposed to it because the dog was known to have rabies. This exposure to rabies is reported. Look in the Alphabetic Index for Exposure (to)/rabies directing you to Z20.3. She received a rabies vaccination. Look in the Alphabetic Index for Immunization/encounter for directing you to Z23. Next, the circumstances for the injury are reported. The only thing we know is that it is a dog bite. Look in the ICD-10-CM External Cause of Injuries Index for Bite, bitten by/dog directing you to W54.0-. In the Tabular List the 7th character A is applied for the initial encounter. Placeholder Xs is used for the 5th and 6th characters to keep the 7th character in the 7th position. Verify code selection in the Tabular List.

52
Q

The patient has vaginitis three days after she was discharged from the hospital where she had a vaginal delivery of a healthy baby girl. What ICD-10-CM code is reported?
A. O86.13
B. N76.0
C. N76.1
D. O23.599

A

A. 86.13

Rationale: The postpartum period is also known as the puerperal period. In the ICD-10-CM Alphabetic Index look for Puerperal, puerperium (complicated by, complications)/vaginitis or Vaginitis/puerperal (postpartum) which directs you to code O86.13. Verify code selection in the Tabular List.

53
Q

A 28-year-old male was rushed to the ED after being found unconscious. Information from family members indicated the patient had left a suicide note and taken a large amount of LSD (a hallucinogenic). What ICD-10-CM codes are reported?
A. T40.8X1A, R40.4
B. T40.8X1A, R40.2440
C. T40.8X2A, R40.2440
D. T40.8X2A, R40.20

A

D. T40.8X2A, R40.20

Rationale: According to ICD-10-CM guideline I.C.19.e.5.b.ii, an overdose of a drug intentionally taken is reported as a poisoning. ICD-10-CM guideline I.C.19.e.5.b states that a poisoning is reported by first assigning the poisoning code (categories T36-T50), followed by a code for each manifestation. Any diagnosis of drug abuse or dependence is assigned as an additional code. Look in the ICD-10-CM Table of Drugs and Chemicals for LSD, and select the code from the Poisoning, Intentional Self-harm column which directs you to T40.8X2-. In the Tabular List, 7th character A is selected for the initial encounter. The manifestation is unconsciousness. Look in the ICD-10-CM Alphabetic Index for Unconscious(ness) which states to see Coma which directs you to R40.20. In the Tabular List, Unconsciousness NOS is an inclusion term under R40.20. There is no mention of drug abuse or drug use outside of the suicide attempt. According to ICD-10-CM guideline I.C.19.e the codes for poisoning include the intent and the substance taken; no additional external cause code is required.

54
Q

A patient visits the ED for ringing in the ears, nausea, vomiting and drowsiness. During the history taking, the provider learns the patient has been taking 2 aspirins every hour for the last three days. After examination and performing blood tests the provider diagnoses the patient with aspirin poisoning. What ICD-10-CM codes are reported?
A. T39.011A
B. H93.13, R11.2, R40.0, T39.011A
C. H93.13, R11.2, R40.0
D. T39.011A, H93.13, R11.2, R40.0

A

D. T39.011A, H93.13, R11.2, R40.0

Rationale: Over the counter medication taken in an improper dosage is considered a poisoning. ICD-10-CM guideline I.C.19.e.5.b states “When coding a poisoning or reaction to the improper use of a medication (for example: overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50.” This was an accident (taken incorrectly). In the ICD10-CM Table of Drugs and Chemicals, look for Aspirin/Poisoning, Accidental (unintentional) column directing you to T39.011. In the Tabular List this code needs a 7th character. The seventh character chosen is A. The first code to assign is the poisoning, T39.011A. The codes for the manifestations are assigned next and are found in the ICD-10-CM Alphabetic Index by looking for Tinnitus (ringing in the ear) H93.1-, 5th character 3 for both ears; Nausea/with vomiting (R11.2); and Drowsiness (R40.0). Verify code selection in the Tabular List.

55
Q

What does the 7th character A indicate in Chapter 19?
A. Sequela
B. Initial encounter
C. Subsequent encounter
D. Adverse effect

A

B. Initial encounter

Rationale: According to ICD-10-CM guideline I.C.19.a. the 7th character A represents the initial encounter for each encounter where active treatment is received for the condition.

56
Q

Which statement is TRUE for reporting burn codes?
A. The highest degree of burn is reported as the primary code.
B. Sunburns are classified with traumatic burns and is the only burn code reported.
C. First degree burns involve the epidermis and dermis and should always be sequenced first for multiple degrees of burns.
D. Burn codes are coded by the anatomical site and sequenced from top to bottom of the anatomical body.

A

A. The highest degree of burn is reported as the primary code.

Rationale: ICD-10-CM guideline I.C.19.d.1 instructs you to sequence first the code that reflects the highest degree of burn when more than one burn is present. Sunburns are not classified under the traumatic burn codes (T20-T25); they have their own set of codes under category code L55. First degree burns are superficial burns through only the epidermis.

57
Q

Where can you find the ICD-10-CM Table of Drugs and Chemicals?
A. The ICD-10-CM codebook
B. The ICD-10-CM and CPT codebooks
C. Index to Procedures of the ICD-10-CM codebook
D. CPT® codebook

A

A. The ICD-10-CM codebook

Rationale: The ICD-10-CM Table of Drugs and Chemicals is in the ICD-10-CM codebook immediately following the Table of Neoplasms.

58
Q

A patient is seen in the nursing home for dizziness and a healed stage II pressure ulcer is also noted. What ICD-10-CM code(s) is/are reported?
A. R42
B. R42, L89.92
C. R42, L89.90
D. R42, L89.95

A

A. R42

Rationale: Dizziness is found in the ICD-10-CM Alphabetic Index by looking for Dizziness and verified in the Tabular List as R42. The pressure ulcer is stated as healed and would not be coded according to ICD-10-CM guideline I.C.12.a.4, “No code is assigned if the documentation states that the pressure ulcer is completely healed.”

59
Q

A 70-year-old female patient presents with a complaint of left knee pain with weight bearing activities. She is also developing pain at rest. She denies any recent injury. There is pain with stair climbing and start up pain. AP, lateral and sunrise views of the left knee are ordered and interpreted. The diagnosis is left knee pain secondary to underlying primary degenerative arthritis. What ICD-10-CM code(s) is/are reported?
A. M17.12
B. M17.9
C. M17.9, M25.561
D. M17.12, M25.561

A

A. M17.12

Rationale: The scenario is reported with one ICD-10-CM code. In the ICD-10-CM Alphabetic Index look for Arthritis, arthritic/degenerative, which directs you to see Osteoarthritis. Osteoarthritis/primary/knee directing you to M17.1. A 4th character is required to report the laterality. Report code M17.12 for left knee. You do not report the ICD-10-CM code for knee pain as this is a symptom of the degenerative arthritis and is not reported separately.

60
Q

Patient is in the facility today for a screening colonoscopy. During the procedure, a polyp is found and removed with a hot biopsy technique. How would this be reported?
A. Z12.11, K63.5
B. K63.5
C. K63.5, Z12.11
D. Z12.11

A

A. Z12.11, K63.5

Rationale: ICD-10-CM guideline I.C.21.c.5 indicates, “A screening code may be a first listed code if the reason for the visit is specifically the screening exam. Should a condition be discovered during the screening then the code for the condition may be assigned as an additional diagnosis.” For this question, the screening code is reported first. Look in the ICD-10-CM Alphabetic Index for Screening/colonoscopy which directs you to Z12.11. Then, look for Polyp, polypus/colon which directs you to K63.5 as the secondary diagnosis. Verify both code selections in the Tabular List.

61
Q

A patient was admitted three weeks following a normal vaginal delivery with a postpartum breast abscess. What ICD-10-CM code is reported?
A. O91.22
B. O91.13
C. N61.1
D. O91.12

A

D. O91.12

Rationale: In the ICD-10-CM Alphabetic Index look for Abscess/breast (acute) (chronic) (nonpuerperal)/puerperal, postpartum, gestational which guides you to see Mastitis, obstetric, purulent. Look for Mastitis (acute) (diffuse) (nonpuerperal) (subacute)/obstetric/purulent/associated with/puerperium guiding you to code O91.12. In the Tabular List, the description under O91.12 includes puerperal mammary abscess. The puerperium is the period of six weeks or 42 days following childbirth.

62
Q

A patient has an open displaced sunburst fracture of the second cervical vertebra. This is her fifth visit and the fracture is healing normally. What ICD-10-CM code is reported?
A. S12.190A
B. S12.9XXD
C. S12.190D
D. S12.9XXS

A

C. S12.190D

Rationale: In the ICD-10-CM Alphabetic Index look for Fracture, traumatic/neck/cervical vertebra/second (displaced)/specified type NEC (displaced) guiding you to subcategory S12.190- . In the Tabular List this code is for Other displaced fracture of second cervical vertebra. This is chosen because the original fracture was an open displaced fracture. The 7th character D is chosen to indicate that this is the subsequent encounter for fracture with routine healing.

63
Q

A 32-year-old who is 21 weeks pregnant (antepartum) presents with vaginal bleeding. She is admitted to the observation unit to rule out a spontaneous abortion. What ICD-10-CM code(s) is/are reported?
A. Z33.1
B. O03.9
C. Z34.92, Z3A.21
D. O46.92, Z3A.21

A

D. O46.92, Z3A.21

Rationale: In the ICD-10-CM Alphabetic Index look for Hemorrhage, hemorrhagic/antepartum (with), guiding you to code O46.90. Turn to the Tabular List. The 5th character 0 is for an unspecified antepartum hemorrhage, unspecified trimester. Notes at the beginning of chapter 15 indicate that 21 weeks lies in the 2nd trimester. Further review of the codes in this category show that 5th character 2 indicates second trimester, resulting in code O46.92. Code Z33.1 is only reported when the provider documents the medical condition is not related to the pregnancy. The spontaneous abortion code O03.9 is not reported because it is documented as a rule out. Z34.92 is for supervision of a normal pregnancy, which is not the case in this scenario with vaginal bleeding. At the beginning of chapter 15, under the notes, there is a reference to use additional code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy.” Look in the Alphabetic Index for Pregnancy/weeks of gestation/21 weeks guiding you to code Z3A.21. Verify code selection in the Tabular List.

64
Q

A child has a splinter under the right middle fingernail. What ICD-10-CM code is reported?
A. S61.222A
B. S61.227A
C. S60.452A
D. S61.242A

A

C. S60.452A

Rationale: In the ICD-10-CM Alphabetic Index look for Splinter –see Foreign body, superficial, by site. The Alphabetic Index entry at Foreign body/superficial, without open wound/ finger(s)/middle guides you to subcategory S60.45-. In the Tabular List seven characters are needed to complete the code. The 6th character 2 indicates the right middle finger and the 7th character A indicates the initial encounter. There was no mention of laceration or puncture wound so the other codes are incorrect. Verify code selection in the Tabular List.

65
Q

What is a TRUE statement in reporting pressure ulcers?
A. The site of the ulcer and the stage of the ulcer are reported with two separate codes.
B. When documentation does not provide the stage of the pressure ulcer, report the unstageable pressure ulcer code (L89.95).
C. Two codes are assigned when a patient is admitted with a pressure ulcer that evolves to another stage during the admission.
D. When a pressure ulcer is at one stage and progresses to the higher stage, report the lowest stage for that site.

A

C. Two codes are assigned when a patient is admitted with a pressure ulcer that evolves to another stage during the admission.

Rationale: Refer to ICD-10-CM guideline I.C.12.a for pressure ulcer stage codes. ICD-10-CM guideline I.C.12.a.2 indicates that when there is no documentation regarding the stage of the pressure ulcer, assign the appropriate unspecified stage code. Reporting an unstageable pressure ulcer is based on the clinical documentation. ICD-10-CM guideline I.C.12.a.6 indicates if a patient is admitted with a pressure ulcer at one stage and it progresses to a higher stage, assign two codes: 1) assign the code for the site and stage of the ulcer on admission and 2) assign the code for the highest stage reported for that site. Section I.C.12.a.1 indicates that one code, combination code, is reported for both the site of the ulcer and stage of the ulcer.

66
Q

A patient presents for an initial encounter for swelling, tenderness and erythema at the upper extremity injection site following Hepatitis B vaccination. The patient has a local infection. What ICD-10-CM code is reported?
A. T88.0XXA
B. T80.29XA
C. T80.29XD
D. T50.Z95A

A

A. T88.0XXA

Rationale: In the ICD-10-CM Alphabetic Index, look for Infection, infected, infective/due to or resulting from/immunization or vaccination. This refers you to T88.0. Cross-reference to the Tabular List shows that seven characters are needed to complete the code. A placeholder X is required for the 5th and 6th characters and the 7th character A is chosen to indicate this is the initial encounter.

67
Q

A 63-year-old fractured her scaphoid bone in her right wrist three months ago in an accident. She now presents with a nonunion of the scaphoid bone. What ICD-10-CM code is reported?
A. S62.001A
B. M84.433A
C. S62.001K
D. M84.433K

A

C. S62.001K

Rationale: A nonunion fracture is when the broken bone has failed to heal or is not healing. According to ICD-10-CM guideline I.C.19.c.1 Care of complications of fractures, such as malunion and nonunion, is reported with the appropriate 7th character for subsequent care. The fracture was due to an accident and there is no mention of osteoporosis so this is a traumatic fracture. In the ICD-10-CM Alphabetic Index, look for Fracture, traumatic/scaphoid (hand) and you are directed to see also Fracture, carpal, navicular. In the Alphabetic Index, look for Fracture, traumatic/carpal bone(s)/navicular guides you to S62.00-. In the Tabular List a 6th character 1 is selected for the right wrist and 7th character K is selected for a subsequent encounter for fracture with nonunion. Verify code selection in the Tabular List.

68
Q

A patient is prescribed anticonvulsant medication for her seizures. She returns to her doctor three days later with nausea and rash from taking the anticonvulsant medication. The provider notes that this is a drug reaction to an anticonvulsant and changes the medication. What ICD-10-CM codes are reported?
A. L27.0, R11.2, T42.71XA
B. R21, R11.2, T42.71XA
C. L27.0, R11.0, T42.75XA
D. R21, R11.0, T42.75XA

A

C. L27.0, R11.0, T42.75XA

Rationale: Per ICD-10-CM guideline I.C.19.e.5.a when the drug was correctly prescribed and properly administered, drug toxicity is considered an adverse effect. Code the nature of the adverse effect (nausea and rash in this case), followed by the appropriate code for the adverse effect of the drug (T36-T50). Look in the ICD-10-CM Alphabetic Index for Nausea (without vomiting) directing you to R11.0 and Rash (toxic)/drug (internal use) directing you to L27.0. Do not use the code for general rash, R21, because L27.0 is a more specific code. Look in the ICD-10-CM Table of Drugs and Chemicals for Anticonvulsant and select the code from the Adverse effect column which directs you to T42.75-. In the Tabular List a 6th character placeholder X is required and 7th character A is appended for the initial encounter. Verify code selection in the Tabular List.

69
Q

A 24-year-old woman developed a keloid scar as a result of a third degree burn on the left upper arm. What ICD-10-CM code(s) is/are reported?
A. T22.332A, L91.0
B. T22.332D, L91.0
C. L91.0
D. L91.0, T22.332S

A

D. L91.0, T22.332S

Rationale: A keloid is a type of scar resulting from granulation tissue at the site of healed skin injury. This would be considered a sequela (late effect) after the acute phase of the burn. Per ICD-10-CM guideline I.B.10, Coding of sequela generally requires two codes sequenced in the following order: The condition or nature of the sequela is sequenced first (keloid). The sequela code is sequenced second. In the ICD-10-CM Alphabetic Index look for Scar, scarring/keloid directing you to L91.0. To find the late effect code, look for Sequelae (of) (see also condition)/burn and corrosion – code to injury with seventh character S. Look for Burn/above elbow/left/third degree which directs you to subcategory T22.332. Verify code selection in the Tabular List. 7th character S is used to indicate sequela.

70
Q

The diagnostic statement indicates respiratory failure due to administering incorrect medication. Valium was administered instead of Xanax. What ICD-10-CM codes are reported?
A. T42.4X4B, J96.00
B. T42.4X1A, J96.90
C. J96.90, T42.4X1A
D. T42.4X5A, J96.00

A

B. T42.4X1A, J96.90

Rationale: Poisoning codes are sequenced by 1) the poison code, and 2) the condition or manifestation. ICD-10-CM guideline I.C.19.e.5.b.i states examples of poisoning include “Errors made in drug prescription or in the administration of the drug by provider, nurse, patient, or other person.” In the ICD-10-CM Table of Drugs and Chemicals, find Valium and use the code from the Poisoning, Accidental (unintentional) column which is T42.4X1. In the Tabular List the code requires a 7th character and in this case the A is used for the initial encounter. The manifestation is respiratory failure. In the ICD-10-CM Alphabetic Index, look for Failure, failed/respiration, respiratory directing you to J96.90. Verify the code selection in the Tabular List. Per ICD-10-CM guideline I.C.19.e no additional external cause code is required for poisoning, toxic effects, adverse effects, and underdosing codes.

71
Q

A patient is dependent on a respiratory ventilator and has a tracheostomy in need of revision due to redundant scar tissue formation surrounding the site at the skin of the neck. Under general anesthesia and establishing the airway to maintain ventilation, the scar tissue is resected and then repair is accomplished using skin flap rotation from the adjacent tissue of the neck. What ICD-10-CM codes are reported?
A. L90.5, Z43.0
B. J95.09, L90.5, Z43.0, Z99.11
C. J95.09, L90.5, Z99.11
D. J95.09, J39.8, Z43.0

A

C. J95.09, L90.5, Z99.11

Rationale: ICD-10-CM guideline I.C.19.g.5 indicates that intraoperative and postprocedural complication codes are found within the body system chapters with codes specific to the organs and structures of that body system. These codes are sequenced first, followed by a code(s) for the specific complication, if applicable. In the ICD-10-CM Alphabetic Index look for Complications/tracheostomy/specified type NEC directing you to J95.09. Next, look in the Alphabetic Index for Scar, scarring directing you to L90.5. The code for scarring of the trachea is not used because the scar is of the skin of the neck, not the trachea itself. Verify both code selections in the Tabular List. Z43.0 Encounter for attention to tracheostomy, is not reported. In the Tabular List Z43.0 has an Excludes1 note that excludes J95.0-. We also need to report the patient’s dependence on the ventilator. Look in the Alphabetic Index for Dependence/on/ventilator directing you to Z99.11. Verify code selection in the Tabular List.

72
Q

Ten days following a surgical below the knee amputation, the patient sees her provider. The provider notes that the amputation stump is not healing and is infected. What ICD-10-CM code(s) is/are reported?
A. T87.89
B. S88.119D
C. T87.40
D. T87.43, T87.44

A

C. T87.40

Rationale: In the ICD-10-CM Alphabetic Index look for Complication (s) (from) (of)/amputation stump (surgical) (late) NEC/infection or inflammation/lower limb guiding you to subcategory T87.4-. The Tabular List shows that a 5th character is needed to complete the code. The documentation does not state which side has the amputation which makes 0 the correct 5th character. Code S88.119D is not reported because the encounter is not for a patient with a traumatic amputation. Verify code selection in the Tabular List.

73
Q

A patient is coming in for follow up of a second-degree burn on the left forearm. The provider notes the burn is healing well. He is to come back in two weeks for continued care to checkup on the healing of the burn. What ICD-10-CM code is reported?
A. T22.212D
B. T22.219D
C. T22.212A
D. T22.212S

A

A. T22.212D

Rationale: In the ICD-10-CM Alphabetic Index look for Burn/forearm/left/second degree, guiding you to subcategory T22.212. Per ICD-10-CM guideline I.C.19.a indicates that the 7th character D subsequent encounter is used for encounters after the patient has received active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase. Examples of subsequent care are: cast change or removal, an X-ray to check healing status of fracture, removal of external or internal fixation device, medication adjustment, other aftercare and follow up visits following treatment of the injury or condition.” Verify code selection in the Tabular List.

CPC-Physician Based Medical Coding (45 decks)

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