AAPC Chapter 4: ICD-10-CM Coding Flashcards
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Questions and Answers

What ICD-10-CM code(s) is/are reported for the admission of a patient with an open fracture of the head of the left femur and symptomatic HIV?

  • S72.052B, B20 (correct)
  • S72.052C, B22
  • S72.051B, B20
  • S72.052A, B21
  • Which ICD-10-CM codes are reported for a 22-year-old female admitted to ICU for acute renal failure due to sepsis?

  • A41.9, N17.9, R65.10
  • A41.0, R65.20, N17.8
  • A41.9, R65.21, N17.9
  • A41.9, R65.20, N17.9 (correct)
  • What ICD-10-CM code(s) is/are reported for pneumonia due to Staphylococcus aureus that is methicillin resistant (MRSA)?

    J15.212

    What ICD-10-CM codes are reported for a patient with ovarian cancer receiving Procrit® for anemia resulting from chemotherapy?

    <p>D64.81, C56.9, T45.1X5A</p> Signup and view all the answers

    What ICD-10-CM codes should be reported for a patient with prostate cancer experiencing anemia?

    <p>C61, D63.0</p> Signup and view all the answers

    What ICD-10-CM code(s) is/are reported for a 12-year-old child with well-controlled diabetes mellitus and no complications?

    <p>E11.9, Z79.84</p> Signup and view all the answers

    What is the diagnosis code for a child diagnosed with attention deficit hyperactivity disorder (ADHD), predominately inattentive type?

    <p>F90.0</p> Signup and view all the answers

    What ICD-10-CM codes should be reported for chronic pain in lower back resulting from a spinal injury?

    <p>G89.21, M54.5</p> Signup and view all the answers

    What ICD-10-CM code(s) is/are reported for a patient with pigmentary glaucoma bilaterally?

    <p>H40.1312, H40.1321</p> Signup and view all the answers

    What ICD-10-CM code(s) is (are) reported for Meniere's disease in the right ear?

    <p>H81.01</p> Signup and view all the answers

    Which of the following does NOT require documentation for a cause-and-effect relationship to be coded?

    <p>Hypertension and chronic kidney disease</p> Signup and view all the answers

    What is an acute exacerbation of asthma or COPD?

    <p>Worsening or decompensation of asthma or COPD</p> Signup and view all the answers

    When do you code acute respiratory failure as a secondary diagnosis?

    <p>When it occurs after admission.</p> Signup and view all the answers

    What ICD-10-CM code is assigned when a patient has an inconclusive blood test for HIV?

    <p>R75</p> Signup and view all the answers

    What does the 4th character in diabetes mellitus codes indicate?

    <p>Any complication associated with diabetes.</p> Signup and view all the answers

    How is anemia due to malignancy reported in ICD-10-CM guidelines?

    <p>The malignancy is reported first, followed by the code for anemia.</p> Signup and view all the answers

    Study Notes

    Admissions and Diagnoses

    • Admission for repair of open fracture of the left femur coded as S72.052B; associated with symptomatic HIV coded as B20.
    • Acute renal failure due to sepsis is coded as A41.9, followed by R65.20, then N17.9, reflecting the correct sequencing.
    • Pneumonia caused by Staphylococcus aureus (MRSA) is reported with code J15.212.

    Cancer Treatment and Anemia

    • Ovarian cancer treatment with Procrit® for chemotherapy-induced anemia is reported with D64.81, C56.9, and T45.1X5A.
    • Patient with prostate cancer experiences anemia due to cancer is coded C61 and D63.0 for the visit.

    Diabetes Management

    • Well-controlled diabetes mellitus without complications is coded as E11.9, with Z79.84 indicating ongoing use of antidiabetic medications.

    Behavioral Health

    • Diagnosis of ADHD, predominantly inattentive type, in a child is coded F90.0.

    Pain Management

    • Chronic back pain due to spinal injury is coded G89.21 for pain and M54.5 for the specific location.

    Eye and Ear Disorders

    • Bilateral pigmentary glaucoma is coded H40.1312 for moderate right stage and H40.1321 for mild left stage.
    • Meniere's disease affecting the right ear is documented with code H81.01.

    Documentation Guidelines

    • Hypertension and chronic kidney disease does not require documentation of a cause-and-effect relationship for coding.
    • Acute exacerbation of asthma or COPD signifies worsening or decompensation.
    • Acute respiratory failure is coded as a secondary diagnosis when it occurs post-admission.
    • Inconclusive HIV blood test results are coded R75.
    • The 4th character in diabetes codes indicates any related complications.
    • For management of anemia due to malignancy, code the malignancy first, followed by the anemia code.

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    Test your knowledge of ICD-10-CM coding with these flashcards from AAPC Chapter 4. This quiz covers chapters 1-11 and focuses on various medical scenarios requiring accurate coding. It's a great resource for students and professionals in medical coding.

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