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[
]