Putting ICD-10 into Practice: Coding exercises and scenarios

November 1, 2013

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These coding exercises and scenario 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: Diseases of the Eye and Adnexa

Coding exercises

Code the following conditions according to ICD-10 coding conventions and guidelines:

  1. Alternating exotropia with V pattern
  2. Aphakia of right eye (due to trauma)
  3. Atrophic age-related macular degeneration
  4. Choroideremia
  5. Convergence insufficiency
  6. Corneal ulcer
  7. Cyclophoria
  8. Fuchs? dystrophy
  9. Glaucoma (congenital, absolute-both eyes, suspected, traumatic-due to birth injury)
  10. Irregular astigmatism, left eye
  11. Monofixation syndrome
  12. Nuclear cataract of both eyes, non-senile
  13. Orbital congestion
  14. Presbyopia
  15. Primary open-angle glaucoma, moderate stage
  16. Retinal edema
  17. Sclera abscess
  18. Senile corneal changes, both eyes
  19. Tear film insufficiency of right eye
  20. Toxic cataract, both eyes

Coding scenario

Code the following scenario according to ICD-10 coding conventions and guidelines:

Robin and her husband are celebrating their daughter Kennedy?s 16th birthday. Kennedy is a well-mannered honor student and an avid athlete. To show their love and appreciation to their daughter, they purchased a new car for her. Kennedy began studying for her driver?s license immediately. While completing her application for the license, she came across questions on the form that asked if she had any of the following conditions: day, night, or color blindness; visual halos; double vision; glare sensitivity; or declared legally blind. Kennedy was concerned because she wears prescription glasses; fortunately, none of these conditions applied to her.

Narratives


ICD-10 code Code narrative Exercises H50.17 Alternating exotropia with V pattern H27.01 Aphakia, right eye H35.31 Nonexudative age-related macular degeneration H31.21 Choroideremia H51.11 Convergence insufficiency H16.009 Unspecified corneal ulcer, unspecified eye H50.54 Cyclophoria H18.51 Endothelial corneal dystrophy Q15.0 Congenital glaucoma H44.513 Absolute glaucoma, bilateral H40.009 Preglaucoma, unspecified, unspecified eye P15.3 Birth injury to eye H52.212 Irregular astigmatism, left eye H50.42 Monofixation syndrome H26.033 Infantile and juvenile nuclear cataract, bilateral H05.229 Edema of unspecified orbit H52.4 Presbyopia H40.11x2 Primary open-angle glaucoma, moderate stage H35.81 Retinal edema H15.099 Other scleritis, unspecified eye H18.413 Arcus senilis, bilateral H04.121 Dry eye syndrome of right lacrimal gland H26.33 Drug-induced cataract, bilateral Scenario H53.11 Day blindness H53.62 Acquired night blindness H53.50 Unspecified color vision deficiencies H53.19 Other subjective visual disturbances H53.2 Diplopia H53.71 Glare sensitivity H54.8 Legal blindness, as defined in USA

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, and ICD-10 coding exercises and scenarios.

Answers to coding exercises:
1) H50.17 2) H27.01 3) H35.31 4) H31.21
5) H51.11 6) H16.009 7) H50.54 8) H18.51 9) Q15.0, H44.513, H40.009, P15.3 10) H52.212
11) H50.42 12) H26.033 13) H05.229 14) H52.4 15) H40.11x2 16) H35.81 17) H15.099 18) H18.413 19) H04.121 20) H26.33

Answer to coding scenario:
H53.11, H53.62, H53.50, H53.19, H53.2, H53.71, H54.8

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