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?
Which ICD-10-CM codes are reported for a 22-year-old female admitted to ICU for acute renal failure due to sepsis?
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?
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What ICD-10-CM codes should be reported for a patient with prostate cancer experiencing anemia?
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What ICD-10-CM code(s) is/are reported for a 12-year-old child with well-controlled diabetes mellitus and no complications?
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What is the diagnosis code for a child diagnosed with attention deficit hyperactivity disorder (ADHD), predominately inattentive type?
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What ICD-10-CM codes should be reported for chronic pain in lower back resulting from a spinal injury?
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What ICD-10-CM code(s) is/are reported for a patient with pigmentary glaucoma bilaterally?
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What ICD-10-CM code(s) is (are) reported for Meniere's disease in the right ear?
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Which of the following does NOT require documentation for a cause-and-effect relationship to be coded?
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What is an acute exacerbation of asthma or COPD?
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When do you code acute respiratory failure as a secondary diagnosis?
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What ICD-10-CM code is assigned when a patient has an inconclusive blood test for HIV?
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What does the 4th character in diabetes mellitus codes indicate?
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How is anemia due to malignancy reported in ICD-10-CM guidelines?
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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.
Studying That Suits You
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Description
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.
