[
Throughout 2013, we have published an assortment of coding examples and
scenarios to help you put the new ICD-10
guidelines and conventions into practice. This final article in the series will
review some of those exercises.
An answer key is provided below 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. If needed, use the ICD-10 Spotlight: Know the codes booklet for assistance with these
exercises.
Coding exercises
Code the following conditions according to ICD-10 coding conventions and
guidelines:
- Subsequent encounter for obesity resulting from the prescription drug
Tryptanol®
- Morbid obesity with a Body Mass Index (BMI) of 42 in an adult
- Concussion without loss of consciousness, initial encounter with neck
pain
- Twin pregnancy, one placenta, two amniotic sacs, third trimester with
complication of gestational hypertension
- Hypotension due to drugs (diuretics), initial encounter
- Cardiomyopathy from alcohol abuse
- Uterine prolapse, first degree and third degree
- Plaque psoriasis
- Senile dementia
- Churg-Strauss syndrome
- Aphakia of right eye (due to trauma)
Narratives
The following are the corresponding code narratives for each of the codes in
the answer key:
ICD-10 code
Code narrative
E66.1
Drug-induced obesity
T43.015D
Adverse effect of tricyclic antidepressants, subsequent encounter
E66.01
Morbid (severe) obesity due to excess calories
Z68.41
Body mass index (BMI) 40.0-44.9, adult
S06.0x0A
Concussion without loss of consciousness, initial encounter
M54.2
Cervicalgia
O30.033
Cyclophoria
O13.3
Gestational (pregnancy-induced) hypertension without significant proteinuria,
third trimester
I95.2
Hypotension due to drugs
T50.2x5A
Adverse effect of carbonic-anhydrase inhibitors, benzothiadiazides, and other
diuretics, initial
encounter
N81.2
Incomplete uterovaginal prolapse
N81.3
Complete uterovaginal prolapse
I42.6
Alcoholic cardiomyopathy
F10.99
Alcohol use, unspecified with unspecified alcohol-induced disorder
L40.0
Psoriasis vulgaris
F03.90
Unspecified dementia without behavioral disturbance
M30.1
Polyarteritis with lung involvement (Churg-Strauss)
H27.01
Aphakia, right eye
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 ICD-10 coding exercises and scenarios in the Putting
ICD-10 into Practice: Coding exercises and scenarios booklet.
Answers to coding exercises:
1) E66.1, T43.015D 2) E66.01, Z68.41 3)
S06.0x0A, M54.2 4) O30.033, O13.3 5) I95.2, T50.2x5A 6) N81.2, N81.3 7) I42.6,
F10.99 8) L40.0
9) F03.90 10) M30.1 11) H27.01
]