Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #7)

July 1, 2013

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[

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]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[

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