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AAPC ICD-10 Chapter 12-21

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26 Questions

What ICD-10-CM coding is reported for the patient with a closed fracture of the coronoid process of the jaw, an open left shaft fracture of the radius, and an open shaft fracture of the left ulna?

S52.302A, S52.202A, S02.630A, V43.92XA

What ICD-10-CM coding is reported for the patient with severe epistaxis (nosebleed) after being hit in the nose by a ball while playing basketball on the varsity team?

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

Which statement is TRUE regarding the use of external cause codes in ICD-10-CM?

External cause codes are only sequenced first if a definite diagnosis is not established.

What ICD-10-CM coding is reported for a pre-employment physical exam with serum blood tests?

Z00.01

What ICD-10-CM coding is reported for a patient with dense breast tissue who requires a breast ultrasound, and has a family history of breast cancer?

Z12.39, R92.2, Z80.3

When a patient presents for a screening test and the provider finds something abnormal, what diagnosis code should be sequenced first?

The diagnosis for the abnormality that was found

A patient presents for a routine physical exam. During the exam, the provider orders serum blood tests. What is the appropriate ICD-10-CM code to report for this visit?

Z00.01

A patient presents for a screening mammogram, but the results are unreadable due to dense breast tissue. The provider orders a breast ultrasound, and the patient has a family history of breast cancer. What is the appropriate ICD-10-CM coding for this visit?

Z12.39, R92.2, Z80.3

What is the proper way to sequence external cause codes in ICD-10-CM?

External cause codes are only sequenced first if a definitive diagnosis is not established.

A patient presents for a pre-employment physical exam, and the provider orders serum blood tests. What is the appropriate ICD-10-CM code to report for this visit?

Z00.01

What ICD-10-CM coding is reported for a patient with pressure ulcers on each heel, displaying bone involvement and necrosis, identified as stage 4?

L89.614

What ICD-10-CM coding is reported for a patient diagnosed with dermatitis due to exposure to a new laundry detergent?

L23.5

What ICD-10-CM coding is reported for a large abscess on the patient’s left leg that required incision and drainage?

L02.416

What ICD-10-CM coding is reported for sciatica caused by a herniated disc between L5 and S1 in a patient scheduled for an injection?

M51.17, M54.40

What ICD-10-CM coding is reported for a patient with an incomplete right degenerative rotator cuff tear and primary degenerative arthritis in the same shoulder?

M75.111, M19.211

What ICD-10-CM coding is reported for a pathologic fracture to the right hip in a patient with age-related osteoporosis?

M81.0, Z87.311

What is the correct ICD-10-CM code combination for a 55-year-old female with right hydronephrosis undergoing a cystourethroscopy with a retrograde pyelogram?

N13.6, Q62.0

For a patient with a uterine fibroid measuring 4.0 cm, experiencing heavy bleeding and painful menstruation, what is the correct ICD-10-CM code combination?

N92.1, N94.6, D25.1

For a patient diagnosed with BPH presenting with urinary urgency, what is the correct ICD-10-CM code combination?

N40.1, R39.15

For a 21-week pregnant female diagnosed with iron-deficiency anemia and sent for a transfusion, what is the correct ICD-10-CM code combination?

O99.012, D50.9, Z3A.21

For a woman readmitted one week after delivery with delayed hemorrhage due to retained placental fragments, what is the correct ICD-10-CM code?

O72.2

For a 12-week pregnant patient with second-degree burns to both forearms (9% TBSA) not affecting the pregnancy, what is the correct ICD-10-CM code combination?

T22.212A, T22.211A, T31.0, Z34.90

Which statement is TRUE regarding the perinatal period?

It ends at 90 days

For a male newborn, delivered vaginally in the hospital, born with jaundice, what is the correct ICD-10-CM code combination?

Z38.00, P59.9

What is the correct ICD-10-CM code for feeding problems in a newborn?

P92.01

For an 83-year-old patient admitted for dehydration and anorexia, with probable cause of dementia, what is the correct ICD-10-CM code combination?

F50.00, E86.0, F02.80

Study Notes

ICD-10-CM Coding

  • ICD-10-CM coding is used to report diagnoses and procedures in healthcare settings.
  • It is essential to use the correct coding to ensure accurate reimbursement and data analysis.

Coding Scenarios

  • A 55-year-old female with right hydronephrosis presents for a cystourethroscopy with a retrograde pyelogram: N13.30
  • A patient returns to her gynecologist's office to review the results of her ultrasound, revealing a uterine fibroid measuring 4.0 cm: D25.1
  • A patient diagnosed with BPH presents with urinary urgency: N40.1, R39.15
  • A pregnant female, at 21 weeks, is diagnosed with iron-deficiency anemia and is sent to the clinic for a transfusion: D50.9, O99.012, Z3A.21
  • A woman is readmitted one week after delivery with a diagnosis of delayed hemorrhage due to retained placental fragments: O72.2, O71.9
  • A patient presented to the emergency department with second-degree burns to both forearms, which makes up 9% TBSA: T22.212A, T22.211A, T31.0, Z34.90
  • A male newborn, delivered vaginally in the hospital, is born with jaundice: P59.9, Z38.30
  • A patient is being admitted for dehydration and anorexia due to dementia: F50.00, E86.0, F02.80
  • A patient has an elevated blood pressure reading: I10
  • A provider performs an open reduction and internal fixation for left fibula and tibia fractures: S82.402A, S82.202A
  • A patient was sent home with a PICC line for Vancomycin treatment at home and returns to his physician with an infection due to the PICC line, diagnosed with MRSA: T80.218A, A49.02
  • A patient was prescribed an antidepressant and took an accidental overdose, complaining of dizziness and excessive sweating: T43.201A, F45.8, R61
  • A male patient was a passenger in an automobile involved in a serious collision with another automobile and sustained a closed fracture of the coronoid process of the jaw and an open left shaft fracture: S52.302B, S52.292B, S02.630B, V43.62XA

Guidelines and Principles

  • The perinatal period begins at 28 weeks and ends at 7 days: C
  • External cause codes are used to report the cause of an injury or illness, not the reason for a screening exam: A
  • When a patient presents for a screening test and the provider finds something abnormal, the diagnosis code for the abnormality should be sequenced first: A
  • Codes for signs and symptoms should be reported when they are not integral to the definitive diagnosis: C
  • When a patient has a diagnosis that is not confirmed, a code for the signs and symptoms should be reported: C

Test your knowledge on ICD-10-CM coding for pressure ulcers with bone involvement and necrosis, as well as dermatitis due to exposure to a specific agent. Choose the correct codes based on the given scenarios.

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