SECTION II: Answer Keys to Textbook Chapter Exercises and Reviews
33
Chapter 6B ICD-10-CM and ICD-10-PCS Coding
EXERCISE 6B-1 ICD-9-CM Legacy Coding System
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
legacy coding system (or legacy classification system)
general equivalency mappings (GEMs)
1979
outdated and obsolete terminology
partial code freeze
False
A88.1
A98.3, A98.4, B33.8
078.88
078.89
EXERCISE 6B-2 Overview of ICD-10-CM and ICD-10-PCS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
disease data from inpatient and outpatient records
procedure data from inpatient records only
ICD-10-CM/PCS
inpatient, outpatient, hospice, home health care, and long-term care
evaluation of medical processes and outcomes
(ICD-9-CM) statistical groupings and trend analysis
7
Tabular list
specificity and clinical information
mortality and morbidity data
Medicare Catastrophic Coverage Act of 1988
HIPAA of 1996 (Administrative Simplification title)
medical necessity
encounter
purpose, scope, evidence, value
EXERCISE 6B-3 ICD-10-CM Coding Conventions
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Acariasis infestation
Costen’s complex
ST elevation myocardial infarction, anterior wall, involving left main coronary artery
Malaria with hepatitis
Acute lymphangitis
Absence of menstruation
Arterial atheroembolism
Cataract in hypoparathyroidism
Acromegaly
Cirrhosis due to Wilson’s disease
Keratoconjunctivitis in exanthema
Appendicitis with perforation
Abnormal acid–base balance
Parietoalveolar pneumopathy
GM2 gangliosidosis, juvenile
B88.0
M26.69
I21.01
B54, K75.9
L03.91
N91.2
I75.89
E20.9, H28
E22.0
E83.01
B09
K35.2
E87.4
J84.09
E75.09
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SECTION II: Answer Keys to Textbook Chapter Exercises and Reviews
EXERCISE 6B-4 Neoplasm Table
1.
2.
3.
4.
5.
right lung, brain
right breast, unknown site or unspecified
right kidney, bone
skin, bone
unknown site or unspecified, brain
NOTE: Sequence of codes for each diagnostic statement in 6 through 10 is primary, then secondary. In practice, coding sequence depends on the cancer site
that is being treated.
6.
7.
8.
9.
10.
Oat cell carcinoma of the right lung with spread to the brain
Metastatic carcinoma from right breast (to unknown site)
Metastatic carcinoma from right kidney to bone
Metastatic malignant melanoma (skin) of bone
Frontal lobe brain cancer (from unknown site as primary)
C34.91, C79.31
C50.911, C79.9
C64.1, C79.51
C43.9, C79.51
C80.1, C79.31
EXERCISE 6B-5 Table of Drugs and Chemicals
1.
2.
3.
4.
5.
Adverse reaction to pertussis vaccine, initial encounter
Cardiac arrhythmia caused by interaction between prescribed ephedrine and wine (alcohol beverage) (accident), initial encounter
Stupor, due to overdose of Nytol (suicide attempt), initial encounter
High blood pressure due to prescribed Albuterol, initial encounter
Rash due to combining prescribed Amoxicillin with prescribed Benadryl, initial encounter
T50.A15A
T44.991A,
T51.0x1A, I49.9
T45.0x2A, R40.1
T48.6x5A, R03.0
T36.0x1A,
T45.0x1A, L27.0
EXERCISE 6B-6 ICD-10-CM Index to Diseases and Injuries
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Index to Diseases and Injuries (or ICD-10-CM Alphabetic Index to Diseases and Injuries)
Table of Drugs and Chemicals
are, is not
Launois-Cleret syndrome
alphabetic
default
nonessential
essential
angina
history
EXERCISE 6B-7 ICD-10-CM Tabular List of Diseases and Injuries
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
21 separate chapters
major topic heading (or code block)
letters and numbers
3
valid code
4, 5
3, 4, 5, 6, or 7
code
boldfaced
codes
invalid
x
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35
13. Chapter 21 (Z codes)
14. M codes
NOTE: Do not confuse the “M codes” abbreviation for “morphology codes” with ICD-10-CM’s Chapter 13, Diseases of the Musculoskeletal System and
Connective Tissue (M00-M99), also called “M codes.”
15. International Classification of Diseases for Oncology, Third Revision (ICD-O-3)
EXERCISE 6B-8 Diagnostic Coding and Reporting Guidelines for Outpatient Services
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
cooperating parties for the ICD-10-CM/PCS
AHA, AHIMA, CMS, NCHS
HIPAA
encounter
provider
chronic asthma
abdominal pain
swelling, left leg
gastroenteritis
sore throat
acute bronchitis
acne
fainting
prostate cancer
acute appendicitis
ANSWERS TO REVIEW
Certain Infectious and Parasitic Diseases
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Aseptic meningitis due to AIDS
Asymptomatic HIV infection
Septicemia due to streptococcus
Dermatophytosis of the foot
Measles; no complications noted
Nodular pulmonary tuberculosis
Acute cystitis due to E. coli
Tuberculous osteomyelitis of left lower leg
Gas gangrene
Rotaviral enteritis
B20, G03.0
Z21
A40.9
B35.3
B05.9
A15.0
N30.00, B96.20
A18.03
A48.0
A08.0
Neoplasms
11.
12.
13.
14.
15.
16.
17.
18.
Primary malignant melanoma of skin of scalp
Lipoma of face
Glioma of the parietal lobe of the brain (Neoplasm table, brain, parietal lobe, malignant primary)
Primary adenocarcinoma of prostate (Neoplasm table, prostate, malignant primary)
Carcinoma in situ of vocal cord (Neoplasm table, vocal cord, Ca in situ)
Hodgkin’s granuloma of intra-abdominal lymph nodes and spleen
Paget’s disease with infiltrating duct carcinoma of nipple and areola of right breast (female) (Neoplasm, breast, malignant primary)
Secondary liver cancer (Neoplasm, liver, malignant secondary) (Neoplasm, unknown site or unspecified, malignant primary)
C43.4
D17.0
C71.3
C61
D02.0
C81.93, C81.97
C50.811
C78.7, C80.1
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SECTION II: Answer Keys to Textbook Chapter Exercises and Reviews
19.
20.
Metastatic adenocarcinoma from breast to brain (right mastectomy performed 5 years ago) (Neoplasm, brain, malignant secondary)
(History, personal (of), malignant neoplasm (of), breast)
Cancer of the pleura (primary site) (Neoplasm, pleura, malignant primary)
C79.31, Z85.3
C38.4
Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Sickle cell disease with crisis
Iron deficiency anemia secondary to chronic blood loss
von Willebrand’s disease
Chronic congestive splenomegaly
Congenital nonspherocytic hemolytic anemia
Essential thrombocytopenia
Malignant neutropenia
Fanconi’s anemia
Microangiopathic hemolytic anemia
Aplastic anemia secondary to antineoplastic medication for primary breast cancer (Table of Drugs and Chemicals,
antineoplastic NEC, adverse effect) (Neoplasm, breast,
primary malignancy)
D57.00
D50.0
D68.0
D73.2
D55.8
D69.3
D70.9
D61.09
D59.4
T45.1x5A, D61.1,
C50.919
NOTE: Aplastic anemia is an adverse reaction to (or adverse effect of) antineoplastic medication (e.g., chemotherapy). The adverse effect code is sequenced
first, followed by codes for anemia code and cancer.
Endocrine, Nutritional and Metabolic Diseases
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
Cushing’s syndrome
Hypokalemia
Type 2 diabetes mellitus with malnutrition
Hypogammaglobulinemia
Hypercholesterolemia
Nephrosis due to type 2 diabetes
Toxic diffuse goiter with thyrotoxic crisis
Cystic fibrosis
Panhypopituitarism
Rickets
E24.9
E87.6
E11.9, E46
D80.1
E78.0
E11.21
E05.01
E84.9
E23.0
E55.0
Mental and Behavioral Disorders
41. Acute exacerbation of chronic undifferentiated schizophrenia
F20.5
NOTE: Acute exacerbation is a sudden worsening of symptoms, which means the patient needs medical management. Thus, the condition is coded as
chronic undifferentiated, not acute undifferentiated.
42.
43.
44.
45.
46.
47.
48.
49.
50.
Reactive depressive psychosis due to the death of a child
Hysterical neurosis
Anxiety reaction manifested by fainting
Alcoholic gastritis due to chronic alcoholism (episodic)
Juvenile delinquency; patient was caught shoplifting
Depression
Hypochondria; patient also has continuous laxative habit
Acute senile dementia with Alzheimer’s disease
Epileptic psychosis with generalized grand mal epilepsy
F32.3, Z63.4
F44.9
F41.1
K29.20, F10.20
F91.8
F32.9
F45.21, F22.2
G30.9, F02.80
F06.8, G40.309
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37
Diseases of the Nervous System
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
Neisseria meningitis
Intracranial abscess
Postvaricella encephalitis
Hemiplegia due to old CVA
Encephalitis
Spastic diplegic cerebral palsy
Tonic-clonic epilepsy
Bell’s palsy
Congenital quadriplegia
Intraspinal abscess
A39.0
G06.0
B01.11
I69.359
G04.90
G80.8
G40.309
G51.0
G80.0
G06.1
Diseases of the Eye and Adnexa
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
Retinal detachment with single retinal break, right eye
Infantile glaucoma
Mature cataract
Blepharochalasis of right upper eyelid
Xanthelasma of right lower eyelid
Lacrimal gland dislocation, bilateral lacrimal glands
Stenosis of bilateral lacrimal sacs
Cyst of left orbit
Acute toxic conjunctivitis, left eye
Ocular pain, right eye
H33.011
Q15.0
H26.9
H02.31
H02.62
H04.163
H04.573
H05.812
H10.212
H57.11
Diseases of the Ear and Mastoid Process
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.
Acute contact otitis externa, right ear
Chronic perichondritis, left external ear
Chronic serous otitis media, bilateral
Acute eustachian salpingitis, right ear
Postauricular fistula, left ear
Attic perforation of tympanic membrane, left ear
Cochlear otosclerosis, right ear
Labyrinthitis, right ear
Tinnitus, left ear
Postprocedural stenosis of right external ear canal
H60.531
H61.022
H65.23
H68.011
H70.812
H72.12
H80.21
H83.01
H93.12
H95.811
Diseases of the Circulatory System
81.
82.
83.
84.
85.
86.
87.
88.
89.
90.
Congestive rheumatic heart failure
Mitral valve stenosis with aortic valve disease
Acute rheumatic heart disease
Hypertensive cardiovascular disease
Congestive heart failure due to hypertension
Secondary hypertension; stenosis of renal artery
Hypertensive nephropathy with chronic uremia
Hypertensive chronic end-stage renal disease
Acute STEMI myocardial infarction of inferolateral wall, initial episode of care
Arteriosclerotic heart disease (native coronary artery) with angina pectoris
I09.81, I50.9
I08.0
I01.9
I11.9
I11.0, I50.9
I15.0, I70.1
I12.9, N18.9
I12.0, N18.5
I21.19
I25.119
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SECTION II: Answer Keys to Textbook Chapter Exercises and Reviews
Diseases of the Respiratory System
91.
92.
93.
94.
95.
Aspiration pneumonia due to regurgitated food
Streptococcal Group B pneumonia
Respiratory failure due to myasthenia gravis
Mild intrinsic asthma with status asthmaticus
COPD with emphysema
J69.0
J15.3
J96.90, G70.00
J45.22
J44.9
NOTE: Combination code J44.9 is assigned for COPD with emphysema because the category J43 (Emphysema) Excludes1 instruction for Emphysema with
chronic (obstructive) bronchitis directs coders to category J44. Excludes1 instructions mean one code or the other is assigned, not both.
96.
97.
98.
99.
100.
Acute tracheitis with obstruction
Chlamydial pneumonia
Chronic tonsillitis and adenoiditis
Simple chronic bronchitis
Moderate persistent asthma with (acute) exacerbation
J04.11
J16.0
J35.03
J41.0
J45.41
Diseases of the Digestive System
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
Supernumerary tooth
Unilateral femoral hernia with gangrene
Cholesterolosis of gallbladder
Diarrhea
Acute perforated peptic ulcer
Acute hemorrhagic gastritis with acute blood loss anemia
Acute appendicitis with peritoneal abscess
Acute cholecystitis with cholelithiasis
Aphthous stomatitis
Diverticulosis and diverticulitis of large intestine
K00.1
K41.40
K82.4
R19.7
K27.1
K29.01, D62
K35.3
K80.00
K12.0
K57.30, K57.32
NOTE: The colon is the large intestine, and it extends from cecum to rectum.
Diseases of the Skin and Subcutaneous Tissue
111.
112.
113.
114.
115.
116.
117.
118.
119.
120.
Diaper rash
Acne vulgaris
Postinfective skin cicatrix
Cellulitis of left foot; culture reveals staphylococcus
Infected ingrowing nail, thumb, left hand
Carbuncle of face
Pemphigus foliaceous
Pressure ulcer of right elbow, stage 2
Factitial dermatitis
Seborrhea
L22
L70.0
L90.5
L03.116, B95.8
L60.0
L02.03
L10.2
L89.012
L98.1
L21.9
Diseases of the Musculoskeletal System and Connective Tissue
121.
122.
123.
124.
125.
126.
127.
Displacement of thoracic intervertebral disc
Primary localized osteoarthrosis of the left hip
Acute juvenile rheumatoid arthritis
Chondromalacia of the right patella
Pathologic fracture, cervical vertebra
Staphylococcal arthritis, left knee
Postimmunization arthropathy, right ankle and foot
M51.24
M16.12
M08.00
M22.41
M48.52xA
M00.062
M02.271
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128. Idiopathic chronic gout, right shoulder
129. Kaschin-Beck disease, left shoulder
130. Fibromyalgia
39
M1a.0110
M12.112
M79.7
Diseases of the Genitourinary System
131.
132.
133.
134.
135.
136.
137.
138.
139.
140.
Vesicoureteral reflux with bilateral reflux nephropathy
Acute glomerulonephritis
Actinomycotic cystitis
Subserosal uterine leiomyoma, cervical polyp, and endometriosis of uterus
Dysplasia of the cervix
Recurrent and persistent hematuria with dense deposit disease
Chronic obstructive pyelonephritis
Acute kidney failure with medullary necrosis
Stage 3 chronic kidney disease
Urethral stricture due to childbirth
N13.722
N00.9
N30.80, A42.89
D25.2, N84.1,
N80.0
N87.9
N02.6
N11.1
N17.2
N18.3
N35.021
Diseases of Pregnancy, Childbirth, and the Puerperium
141.
142.
143.
144.
145.
146.
147.
148.
149.
150.
Defibrination syndrome following termination of pregnancy procedure 2 weeks ago
Miscarriage at 19 weeks gestation
Incompetent cervix resulting in miscarriage and fetal death
Postpartum varicose veins of legs
Spontaneous breech delivery
Triplet pregnancy, delivered spontaneously
Retained placenta without hemorrhage, delivery this admission
Postpartum pyrexia of unknown origin (delivery during previous admission)
Late vomiting of pregnancy, undelivered
Pre-eclampsia complicating pregnancy, delivered this admission
O08.1
O03.9
O34.30, O03.9
O87.4
O32.1xx0, Z37.9
O30.109, Z37.9
O73.0, Z37.9
O86.4
O21.2
O14.90, Z37.9
Certain Conditions Originating in the Perinatal Period
151.
152.
153.
154.
155.
156.
157.
158.
159.
160.
Erythroblastosis fetalis
Hyperbilirubinemia of prematurity, prematurity (birthweight 2,000 grams)
Erb’s palsy
Hypoglycemia in infant with diabetic mother
Premature “crack” baby born in hospital to cocaine-dependent mother (birthweight 1,247 grams); neonatal withdrawal; cocaine dependence
Neonatal hematemesis
Sclerema neonatorum
Failure to thrive in newborn
Grey baby syndrome
Congenital renal failure
P55.9
P59.0, P07.18
P14.0
P70.1
P07.14, P04.41,
P96.1, F14.20
P54.0
P83.0
P92.6
P93.0
P96.0
Congenital Malformations, Deformations, and Chromosomal Abnormalities
161.
162.
163.
164.
Congenital diaphragmatic hernia
Single liveborn male (born in the hospital, vaginally) with polydactyly of fingers
Unilateral cleft lip and palate, incomplete
Patent ductus arteriosus
Q79.0
Z38.00, Q69.0
Q37.9
Q25.0
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SECTION II: Answer Keys to Textbook Chapter Exercises and Reviews
165.
166.
167.
168.
169.
170.
Congenital talipes equinovarus
Cervical spina bifida
Coloboma of left iris
Tetralogy of Fallot
Atresia of vas deferens
Klinefelter syndrome, karyotype 47, XXY
Q66.0
Q05.5
Q13.0
Q21.3
Q55.3
Q98.0
Symptoms, Signs, and Abnormal Clinical and Laboratory Findings
171.
172.
173.
174.
175.
176.
177.
178.
179.
180.
Abnormal cervical Pap smear
Sudden infant death syndrome
Sleep apnea
Fluid retention and edema
Elevated blood pressure reading
Epistaxis
Acute abdomen
Dysphagia, pharyngeal phase
Retrograde amnesia
Irritable infant
R87.619
R99
G47.30
R60.9
R03.0
R04.0
R10.0
R13.13
R41.2
R68.12
Injury, Poisoning, and Certain Other Consequences of External Causes
181.
182.
183.
184.
Open frontal fracture with traumatic subarachnoid S02.0xxA,
hemorrhage (initial encounter)
S06.6x9A
Traumatic anterior dislocation, left elbow (initial encounter)
S53.115A
Sprain of lateral collateral ligament, right knee (subsequent encounter)
S83.421D
Chronic headaches due to old traumatic avulsion, left eyeG44.329,
S05.72xS
NOTE: This patient previously suffered a traumatic injury and is now treated for chronic headaches due to that injury. In addition to the reason for treatment
(chronic headaches), report the injury code (avulsion, left eye) with seventh-character “S” that indicates treatment for a sequela of the original condition.
185. Traumatic below-the-knee amputation, right (initial encounter)
S88.111A
NOTE: A below-the-knee amputation is located at level between knee and ankle, and according to the note below ICD-10-CM category S88, an amputation
not identified as partial or complete should be coded to complete.
Burns
186. Third-degree burn of left lower leg and second-degree burn T24.332A,
of left thigh (initial encounter) (Burn, extent)T24.212A,
T31.10
NOTE: According to the rule of nines for burns, the left lower leg represents 9% of the body surface affected by third-degree burns; therefore, code T31.10 is
assigned (instead of T31.11).
187. Third-degree burn of right forearm (initial encounter)
T22.311A, T31.0
188. Third-degree burn of upper back (subsequent encounter)T21.33xD,
T31.10
189. Thirty percent body burns with 10 percent third-degree burns T31.31
(initial encounter)
190. Painful scarring due to old first- and second-degree burns of right palmL90.5, T23.251S,
T31.0
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NOTE: This patient previously suffered burns to the right palm and is now treated for painful scarring due to the burns. The painful scarring is a late effect of
the previous burns, and according to ICD-10-CM coding guidelines the coding of late effects generally requires two codes sequenced in the following order: The
condition or nature of the late effect is sequenced first. The late effect code is sequenced second. Thus, the code for painful scarring is sequenced first followed
by codes for second-degree burn of right palm (with seventh-character “S” that indicates treatment for a sequela of the original condition) and extent of burn.
Foreign Bodies
191.
192.
193.
194.
195.
Coin in the bronchus causing asphyxiation (Foreign body) (initial encounter) T17.590A
Foreign body in right eye (initial encounter)
T15.91xA
Marble in colon (Foreign body) (initial encounter)
T18.4xxA
Bean in nose (Foreign body) (initial encounter)
T17.1xxA
Q-tip stuck in left ear (Foreign body) (initial encounter)
T16.2xxA
Complications
196.
197.
198.
199.
200.
Infected ventriculoperitoneal shunt (Complication) (initial encounter)
Displaced left breast prosthesis (Complication) (initial encounter)
Leakage of mitral valve prosthesis (Complication) (initial encounter)
Postoperative superficial thrombophlebitis of right leg (initial encounter)
Dislocated left hip internal prosthesis (Complication) (initial encounter)
T85.79xA
T85.42xA
T82.03xA
T81.72xA, I80.01
T84.021A
Poisonings, Adverse Effects, and Underdosing
NOTE: Use the Table of Drugs and Chemicals to begin the process of locating each code.
201.
202.
Accidental lead poisoning (child discovered eating paint chips) (initial encounter)
Anaphylactic shock due to allergic reaction to penicillin (initial encounter)
T56.0x1A
T36.0x5A,
T88.6xxA
NOTE: The note below ICD-10-CM code T88.6 states Code First: to identify drug T36-T50 with fifth or sixth character 5. Thus, code T88.6xxA is reported
as a secondary code.
203.
204.
205.
Theophylline toxicity (initial encounter)
Carbon monoxide poisoning from car exhaust (suicide attempt) (initial encounter)
Hypertension due to underdosing of Aldomet occurred (initial encounter)
T48.6x5A
T58.02xA
I10, T46.5x6A
NOTE: According to ICD-10-CM coding guidelines, underdosing refers to taking less of a medication than is prescribed by a provider or a manufacturer’s
instruction. For underdosing, assign the code from categories T36-T50 (fifth or sixth character “6”). Codes for underdosing should never be assigned as
­principal or first-listed codes. If a patient has a relapse or exacerbation of the medical condition for which the drug is prescribed because of the reduction in
dose, then the medical condition itself should be coded. Noncompliance (Z91.12-Z91.13) or complications of care (Y63.61, Y63.8-Y63.9) codes are to be used
with an underdosing code to indicate intent, if known. Thus, the code for hypertension is sequenced first, followed by the underdosing of Aldomet code
(with seventh-character “A” to indicate initial encounter).
External Causes of Morbidity
NOTE: Use the ICD-10-CM Index to Diseases and Injuries to begin the process of locating the condition (e.g., abrasion). Then, use the ICD-10-CM Index to
External Causes to begin the process of locating each code.
206. Bicyclist fell of bicycle in parking lot; chin abrasions treated S00.81A,
(initial encounter) (Accident, transport, pedal cyclist) V18.0xxA
(Place of occurrence) (Activity) (External cause status)Y92.481, Y93.55,
Y99.8
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SECTION II: Answer Keys to Textbook Chapter Exercises and Reviews
207.
208.
Boy wearing heelies-type sneakers used the wheels F48.9,
(in the sneaker’s heels) to glide and collided with tree in
V00.152A
yard of single family home while playing; child got upset Y92.017,
(initial encounter) (Accident, transport, pedestrian, conveyance) Y93.89, Y99.8
(Place of occurrence) (Activity) (External cause status)
Pedestrian was walking to work through deep snow at local S63.501A,
college and fell, spraining right wrist (initial encounter) W00.9xxA,
(Fall) (Place of occurrence) (Activity) (External cause status)Y92.214,
Y93.29, Y93.01,
Y99.8
209. Patient walked into lamppost while walking on sidewalk, R42, W22.02xA,
striking her head causing dizziness (initial encounter) Y92.480,
(Walked into stationary object) (Place of occurrence) (Activity) Y93.01, Y99.8
(External cause status)
210. Patient lacerated right hand while slicing tomatoes in college S61.411A,
dormitory kitchen (initial encounter) (Contact, with, tool, W27.4,
hand, kitchen utensil) (Exposure) (Place of occurrence) X58.xxxA,
(Activity) (External cause status)
Y92.160,
Y93.g1, Y99.8
Factors Influencing Health Status and Contact with Health Services
211.
212.
213.
214.
Exposure to tuberculosis
Family history of colon carcinoma
Postoperative follow-up examination, human kidney donor
Encounter for removal of cast from healed pathologic fracture of right ankle
Z20.1
Z80.0
Z09, Z52.4
M84.471D
NOTE: Do not report code Z47.89 (in addition to or instead of the fracture code) because ICD-10-CM coding guidelines state that the aftercare Z codes
should not be used for aftercare for injuries. For aftercare of an injury, assign the acute injury code with the appropriate 7th character (for subsequent encounter). Thus, code M84.471 is reported with seventh-character “D” to indicate an subsequent encounter (that involved removal of the cast).
215.
216.
217.
218.
219.
Admitted as bone marrow donor
Encounter for chemotherapy for patient with Hodgkin lymphoma
Encounter for reprogramming (adjustment) of cardiac pacemaker
Encounter for replacement of tracheostomy tube (Attention to)
Encounter for renal dialysis in patient with end-stage renal failure
Z52.3
Z51.11, C81.90
Z45.018
Z43.0
N18.6, Z99.2
NOTE: Do not report code Z49.31, which is an encounter for adequacy testing for hemodialysis. The encounter for renal dialysis is reported with code N18.6,
which also states use additional code to identify dialysis status Z99.2 when classifying end-stage renal disease. Because this patient’s encounter was for renal
dialysis, code N18.6 is reported first (to classify the reason for encounter) and code Z99.2 is reported second (to classify the patient’s dialysis status).
220. Encounter for speech therapy for patient with dysphasia secondary
to an old CVA
Z51.89, I69.921
© Delmar, Cengage Learning 2013
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