Both the coding exercises and scenario below are designed to help you put the
new ICD-10 guidelines and conventions into practice. An answer key is provided
so you can verify if your answers are correct. In addition, code narratives are
included to describe each ICD-10 code used in the exercises and scenario. If
needed, use the [
]ICD-10 Spotlight: Know the codes[] booklet for assistance with
these exercises.
[
]Specialty focus: Disease of the circulatory system[
]
[
]Coding exercises[
]
Code the following conditions according to ICD-10 coding conventions and
guidelines:
Atrial fibrillation, permanent
Bradytachycardia
Intermittent claudication
Deep vein thrombosis, right lower extremity
Healed myocardial infarction
Ventricular aneurysm
Rheumatic aortic regurgitation
Biventricular heart failure
Hypertensive heart failure
Cardiomyopathy from alcohol abuse
[
]Coding scenario[
]
Code the following scenario according to ICD-10 coding conventions and
guidelines:
While playing basketball with his sons, Jack began experiencing chest pain,
shortness of breath, and light-headedness. His sons rushed him to the hospital,
as they suspected he was having a heart attack. The emergency department
physician commended the sons for their quick response. Jack was indeed having a
heart attack and was diagnosed with an acute non-ST anterior wall myocardial
infarction.
[
]Narratives[
]
The following are the corresponding code narratives for each of the codes in
the answer key:
ICD-10 code
Code narrative
Exercises
I48.2
Chronic atrial fibrillation
I49.5
Sick sinus syndrome
I73.9
Peripheral vascular disease, unspecified
I82.401
Acute embolism and thrombosis of unspecified deep veins of right lower extremity
I25.2
Old myocardial infarction
I25.3
Aneurysm of heart
I06.1
Rheumatic aortic insufficiency
I50.9
Heart failure, unspecified
I11.0
Hypertensive heart disease with heart failure
I42.6
Alcoholic cardiomyopathy
F10.99
Alcohol use, unspecified with unspecified alcohol-induced disorder
Scenario
R07.9
Chest pain, unspecified
R06.02
Shortness of breath
R42
Dizziness and giddiness
I21.4
Non-ST elevation (NSTEMI) myocardial infarction
Please visit the [
]ICD-10[] section of
our website. On this site you will find additional information related to the
transition to ICD-10, including frequently asked questions, examples of how
ICD-9 codes will translate to ICD-10 codes in the [
]ICD-10 Spotlight: Know the codes[]
booklet, and examples of ICD-10 coding exercises and scenarios in the [
]Putting ICD-10 into Practice: Coding exercises
and scenarios[] booklet.
[
]Answers to coding exercises:
1) I48.2 2) I49.5 3) I73.9 4) I82.401 5) I25.2 6) I25.3 7) I06.1 8) I50.9 9)
I11.0 10) I42.6, F10.99
Answer to coding scenario:
R07.9, R06.02, R42, I21.4[
]