The ICD-10 Spotlight: Know the codes feature that appeared in Partners in
Health Update throughout 2012 was designed to communicate various coding
conventions, general guidelines, and chapter-specific guidelines in ICD-10.
These conventions and guidelines are rules and instructions that must be
followed to classify and assign the most appropriate code. As with ICD-9,
adherence to these guidelines is required under the Health Insurance
Portability and Accountability Act (HIPAA).
This year, we are introducing a new feature called Putting ICD-10 into
Practice: Coding exercises and scenarios. Each month this feature will help you
put the new guidelines and conventions you learned about last year into
practice. If needed, use the [
]ICD-10 Spotlight: Know the codes[] booklet for
assistance with these exercises. An answer key is provided below so you can
verify if your answers are correct. In addition, a list of code narratives is
included to describe each ICD-10 code.
[
]Coding exercises[
]
Code the following conditions according to ICD-10 coding conventions and
guidelines:
1. Varicose vein of heel and mid-foot with presence of ulceration and swelling
2. Premature menopause with headache
3. Acute myocardial infarction of the anterolateral wall
4. Subsequent encounter for obesity resulting from the prescription drug
Tryptanol[
]?[]
5. Crohn?s disease of ileum with rectal bleeding and abscess
6. Bilateral central corneal ulcer
7. Severe generalized abdominal pain with abdominal rigidity
8. Female with bilateral breast cancer of lower outer quadrant
9. Acute nonsuppurative otitis media of the right ear
10. Initial encounter for concussion and edema of the thoracic spine
11. Initial encounter for third degree burn of the right thigh by gasoline to
fifteen percent of the total body surface area
[
]Coding scenario[
]
Code the following scenario according to ICD-10 coding conventions and
guidelines:
While chopping vegetables in the kitchen of his mobile home for the local food
bank?s Thanksgiving dinner, John Doe lacerated his right thumb causing injury
to the nail.
[]
[
]Narratives[
]
The following are the corresponding code narratives for each of the ICD-10
codes in the answer key:
I83.224: Varicose veins of left lower extremity with both ulcer of heel and
midfoot and inflammation
E28.310: Symptomatic premature menopause
I21.09: ST elevation myocardial infarction (STEMI) involving other coronary
artery of anterior wall
E66.1: Drug-induced obesity
T43.015D: Adverse effect of tricyclic antidepressants, subsequent encounter
K50.011: Crohn?s disease of small intestine with rectal bleeding
K50.014: Crohn?s disease of small intestine with abscess
H16.013: Central corneal ulcer, bilateral
R10.0: Acute abdomen
C50.511: Malignant neoplasm of lower-outer quadrant of right female breast
C50.512: Malignant neoplasm of lower-outer quadrant of left female breast
H65.191: Other acute nonsuppurative otitis media, right ear
S24.0xxA: Concussion and edema of thoracic spinal cord, initial encounter
T24.711A: Corrosion of third degree of right thigh, initial encounter
T52.0x1A: Toxic effect of petroleum products, accidental (unintentional),
initial encounter
T32.10: Corrosions involving 10%?19% of body surface with 0%?9% third degree
corrosion
Y93.G1: Activity, food preparation and clean up
W26.0xxA: Contact with knife, initial encounter
S61.111A: Laceration without foreign body of right thumb with damage to nail,
initial encounter
Y92.020: Kitchen in mobile home as the place of occurrence of the external cause
Y99.2: Volunteer activity
For additional information related to the AmeriHealth transition to ICD-10,
please visit the [
]ICD-10[]
section of our website. On this site you will find examples of how ICD-9 codes
will translate to ICD-10 codes in the [
]ICD-10 Spotlight: Know the codes[] booklet.