Questions and Answers
In ICD-10-CM what condition is reported as the default code when the provider documents urosepsis?
The provider must be queried before an ICD-10-CM code can be applied.
According to the ICD-10-CM guidelines, how is bilateral glaucoma of the same type and stage reported?
A bilateral code can be used to report the type of glaucoma and the stage of glaucoma.
According to ICD-10-CM guidelines, what is the maximum length of time for a myocardial infarction to be considered acute?
Four weeks (28 days)
When is it appropriate to use history of malignancy from category Z85?
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If a diabetic patient uses insulin, and the type of diabetes is not documented, what type of diabetes would be coded according to ICD-10-CM guidelines?
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Patient with coronary arteriosclerosis disease (CAD) sees his cardiologist to discuss a coronary artery bypass graft (CABG). This will be the patient's first CABG. What ICD-10-CM code is reported?
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What diagnosis code is reported for secondary neoplasm of the descending colon?
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A 70 year-old patient with exacerbation COPD is admitted to the hospital along with acute exacerbation of bronchial asthma. What diagnosis code(s) is (are) reported?
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The patient has a significant visual impairment (category 2) due to astigmatism in the left eye. It is corrected with glasses. The right eye has normal vision. What ICD-10-CM code(s) is/are reported?
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What ICD-10-CM codes are reported for a 45 year-old patient scheduled to have an INFUSAID pump installed for primary liver cancer?
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A 35 year-old woman is experiencing dizziness with nausea and vomiting. The provider documents auditory vertigo of both ears, possible Meniere's disease. What ICD-10-CM code(s) is/are reported?
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What ICD-10-CM code is used for the first episode of an acute myocardial infarction?
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A lab screening shows congenital iodine-deficiency hypothyroidism for an infant with identified intellectual disability. What ICD-10-CM code(s) is/are reported?
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A confirmed HIV positive patient who presents to the clinic for a medication refill for a condition not related to his HIV. What ICD-10-CM codes are reported?
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A pediatrician sees an 8 month-old patient for ear pulling and excessive crying. The infant is diagnosed with bilateral chronic and acute serous otitis media. What ICD-10-CM code(s) is/are reported?
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A patient is coming in for follow-up of his essential hypertension and cardiomegaly. Both conditions are stable and he is told to continue with his medications. What ICD-10-CM code(s) is/are reported?
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A 33 year-old patient visits his primary care provider to discuss lap band procedure for his morbid obesity. His caloric intake is in excess of 4,000 calories per day and his BMI is currently 45. What ICD-10-CM code(s) is/are reported?
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The provider sees a 70 year-old patient with documented history of being combative and aggressive in the nursing home. The provider diagnoses the patient with dementia and refers the patient to a neurologist for further evaluation. What ICD-10-CM code(s) is/are reported?
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A patient is being treated for ketoacidosis and diabetic coma due to malignant neoplasm of the pancreatic body. The patient uses insulin routinely. What ICD-10-CM codes are reported?
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A young male was brought to the clinic by his mom. He has had periods of major depression for many years and is on Lithium. His provider also manages his migraine headaches and epilepsy. During the past week, he became psychotic, hearing voices to kill himself and intense feelings of worthlessness. On the day of the clinic visit, he had an epileptic seizure that could not be controlled by medication. What ICD-10-CM codes should be reported?
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What ICD-10-CM codes are reported for uncontrolled hypertension with stage 3 chronic kidney disease?
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A patient with type 2 diabetes presents with diabetic macular edema and proliferative diabetic retinopathy in the right eye. What ICD-10-CM code(s) is/are reported?
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A patient with chronic back and neck pain developed a drug dependency on oxycodone (opioid). After being taken off the drug, he was seen in the clinic for withdrawal symptoms. What ICD-10-CM codes are reported?
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A 58 year-old patient sees the provider for confusion and loss of memory. The provider diagnoses the patient with early onset stages of Alzheimer's disease with dementia. What ICD-10-CM codes are reported?
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An HIV positive patient was admitted with skin lesions on the chest and back. Biopsies were taken, and the pathologic diagnosis was Kaposi's sarcoma. Leukoplakia of the lips and splenomegaly were also noted on physical examination. What ICD-10-CM codes should be reported?
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Study Notes
Urosepsis and Querying Provider
- Urosepsis is reported with a default ICD-10-CM code pending provider query.
Bilateral Glaucoma Coding
- Bilateral glaucoma of the same type and stage can be reported using a bilateral code.
Myocardial Infarction Duration
- To be classified as acute, a myocardial infarction must occur within four weeks (28 days).
History of Malignancy Use
- Use category Z85 for history of malignancy when the malignancy has been excised, no evidence of recurrence exists, and no further treatment is planned.
Coding for Diabetic Patients
- When the type of diabetes is unspecified, code as Type 2 diabetes if insulin is being used.
Coronary Arteriosclerosis and CABG
- The reported ICD-10-CM code for the first coronary artery bypass graft (CABG) in a patient with coronary arteriosclerosis is I25.10.
Secondary Neoplasm Coding
- The diagnosis code for secondary neoplasm of the descending colon is C78.5.
Diagnosis Codes for COPD and Asthma
- Report J44.1 for exacerbation of COPD and J45.901 for acute bronchial asthma exacerbation.
Visual Impairment Coding
- Significant visual impairment due to astigmatism corrected with glasses is coded as H52.202 and H54.52A2.
Cancer Treatment Coding
- For chemotherapy pump installation in a patient with primary liver cancer, the codes to report are Z51.11 and C22.8.
Auditory Vertigo Diagnosis
- The ICD-10-CM code for auditory vertigo of both ears, possibly Meniere's disease, is H81.313.
Acute Myocardial Infarction Episode
- The first episode of acute myocardial infarction is coded as I21.9.
Congenital Hypothyroidism with Intellectual Disability
- Diagnostic codes for congenital iodine-deficiency hypothyroidism and intellectual disability in an infant are E00.9 and F79.
HIV Patient Medication Refill
- For an HIV positive patient seeking medication for a non-HIV related condition, use codes Z76.0 and Z21.
Pediatric Otitis Media Coding
- Diagnosis of bilateral chronic and acute serous otitis media in an infant is coded as H65.03 and H65.23.
Essential Hypertension and Cardiomegaly Follow-Up
- The stable conditions of essential hypertension and cardiomegaly are coded as I10 and I51.7 respectively.
Morbid Obesity and Lap Band Procedure
- For a patient with a BMI of 45 seeking a lap band procedure, report E66.01 and Z68.42.
Dementia Diagnosis in Combative Patient
- A patient diagnosed with dementia and history of aggressive behavior is coded as F03.91.
Diabetic Ketoacidosis and Neoplasm
- ICD-10-CM codes for diabetic ketoacidosis, diabetic coma, and malignant neoplasm of the pancreatic body are C25.1, E08.11, and Z79.4.
Severe Depression with Comorbid Conditions
- Severe depression with psychotic features and poorly controlled epilepsy is reported with codes F33.3 and G40.919.
Uncontrolled Hypertension and CKD
- Uncontrolled hypertension with stage 3 chronic kidney disease is coded as I12.9 and N18.3.
Diabetic Macular Edema Coding
- For diabetic macular edema and proliferative diabetic retinopathy in a type 2 diabetic patient, use the code E11.3511.
Substance Dependency and Withdrawal
- Chronic pain patient with opioid dependency and withdrawal symptoms is coded as F11.23 and T40.2X5A.
Early Onset Alzheimer's Disease
- Diagnostic codes for early onset Alzheimer’s disease with dementia are G30.0 and F02.80.
Kaposi's Sarcoma and HIV Presentation
- An HIV positive patient with Kaposi’s sarcoma, leukoplakia, and splenomegaly is coded as B20, C46.0, K13.21, and R16.1.
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Description
This quiz covers essential knowledge in ICD-10 coding for conditions such as urosepsis, glaucoma, myocardial infarctions, diabetes, and more. Test your understanding of when and how to apply specific codes effectively in clinical documentation.
