In preparation for the transition to
ICD-10, each month IBC will include an article called Putting ICD-10 into Practice: Coding exercises and
scenarios in Partners in Health
UpdateSM. 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.
- Routine infant or child health
check
- Acquired loss of teeth due to
trauma, partial
- Influenzal myocarditis
- Elevated fasting
triglycerides
- Hungry bone syndrome
- Primary open-angle glaucoma,
moderate stage in left eye and mild stage in right eye
- Dorsal somatic dysfunction
- Invasive ductular carcinoma of
breast, completely excised
- Decompensated COPD with (acute)
exacerbation
- Concussion without loss of
consciousness, initial encounter with neck pain
Coding scenario
Code the following scenario
according to ICD-10 coding conventions and guidelines:
A
16-year-old student was at the gymnasium participating in a dancing contest to
raise money for her class. She slipped on the gym floor and fell, injuring her
left ankle. After she visited the emergency room, it was determined that she
did not fracture her ankle. However, she did suffer a sprain to that ankle.
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 scenarios:
ICD-10
Code narrative
Z00.129
Encounter for routine child health examination without abnormal findings
K08.419
Partial loss of teeth due to trauma, unspecified class
J10.89
Influenza due to other identified influenza virus with other manifestations
E78.1
Pure hyperglyceridemia
E83.81
Hungry bone syndrome
H40.11x2
Primary open-angle glaucoma, moderate stage
H40.11x1
Primary open-angle glaucoma, mild stage
M99.01
Segmental and somatic dysfunction of cervical region
C50.412
Malignant neoplasm of upper-outer quadrant of left female breast
J44.1
Chronic obstructive pulmonary disease with (acute) exacerbation
S06.0x0A
Concussion without loss of consciousness, initial encounter
M54.2
Cervicalgia
S93.402A
Sprain of unspecified ligament of left ankle, initial encounter
W01.0xxA
Fall on same level from slipping, tripping, and stumbling without subsequent
striking against object, initial encounter
Y92.39
Other specified sports and athletic area as the place of occurrence of the
external cause
Y93.41
Activity, dancing
Y99.2
Volunteer activity
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.