In preparation for the transition to ICD-10, each
month this section will feature an article to 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 on the
next page to describe each ICD-10 code.
Coding exercises
Code the following conditions according
to ICD-10 coding conventions and guidelines:
- Atrial tachycardia
- Irregular astigmatism of both
eyes
- Shaken infant syndrome,
initial encounter
- Painful respiration
- Neonatal esophageal reflux
- Twin pregnancy, one placenta,
two amniotic sacs, third trimester with complication of gestational
hypertension
- Lisping
- Subacute monocytic leukemia,
in remission
- Neoplasm of uncertain behavior
of the nasal cavities
- Benign carcinoid tumor of the
small intestine
- Atypical chest pain due to
angina
Coding scenario
Code the following scenario according to
ICD-10 coding conventions and guidelines:
Due to
ailing health, Jane?s grandfather will be moving in with her in a few months.
To understand what care is needed, Jane escorted her grandfather to his doctor
appointment for the first time. The doctor told Jane that her grandfather was
being treated for mild nonproliferative diabetic retinopathy with macular
edema. He has type 2 diabetes and takes insulin on a daily basis. He has also
developed diabetic cataract in his right eye.
Narratives
The following are the
corresponding code narratives for each of the ICD-10 codes in the answer key
for the coding exercises and coding scenario:
ICD-10 code
|
Code
narrative
|
I47.1
|
Supraventricular tachycardia
|
H52.213
|
Irregular astigmatism, bilateral
|
T74.4xxA
|
Shaken infant syndrome, initial
encounter
|
R07.1
|
Chest pain on breathing
|
P78.83
|
Newborn esophageal reflux
|
O30.033
|
Twin pregnancy,
monochorionic/diamniotic, third trimester
|
O13.3
|
Gestational (pregnancy-induced)
hypertension without significant proteinuria, third trimester
|
F80.0
|
Phonological disorder
|
C93.91
|
Monocytic leukemia, unspecified in
remission
|
D38.5
|
Neoplasm of uncertain behavior of
other respiratory organs
|
D3A.019
|
Benign carcinoid tumor of the small
intestine, unspecified portion
|
R07.89
|
Other chest pain
|
I20.9
|
Angina pectoris, unspecified
|
E11.321
|
Type 2 diabetes mellitus with mild
nonproliferative diabetic retinopathy with macular edema
|
E11.36
|
Type 2 diabetes mellitus with
diabetic cataract
|
Z79.4
|
Long term (current) use of
insulin
|
For additional information related to
the IBC 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. In addition, you will
find examples of ICD-10 coding exercises and scenarios in the Putting ICD-10 into Practice: Coding exercises and scenarios
booklet.