Putting ICD-10 into Practice: Coding exercises and scenarios

August 29, 2013

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The coding exercises and scenario in this section are designed to help you put the new ICD-10 guidelines andconventions into practice. An answer key is provided below so you can verify if your answers are correct. In addition,code narratives are included on the next page 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. It is available here.

Specialty focus: Mental and Behavioral Health Disorders

Coding exercises

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

  1. Bulimia
  2. Obsessive compulsive neurosis
  3. Bipolar disorder with current severe manic episodes and psychotic symptoms
  4. Psychogenic impotence
  5. PCP dependence with intoxication and delirium
  6. Pathological stealing
  7. Autistic disorder
  8. Stuttering ? adult

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

Mary and Jack take a family vacation every year. However, due to Jack?s fear of flying, they typically drive and therefore have never vacationed out of the country. This year Mary wanted to do something different, but it would require them to fly instead of drive. Jack reluctantly agreed, as this trip would require him to face many of his fears. In addition to a fear of flying, Jack also had a fear of hospitals. And due to the area where they were traveling, it was essential that they get certain vaccines at the hospital.

On the morning of the flight, it was raining and thunderstorming. All Jack could think about were the tight quarters hewould have to deal with for such a long flight. Jack hates thunderstorms and tight spaces. Before the flight took off,Jack had a panic attack in the airport. Mary always believed Jack was a hypochondriac, but she finally realized that hisfears were real.

Narratives

The following are the corresponding code narratives for each of the codes in the answer key:ICD-10 code Code narrativeExercisesF20.0 Paranoid schizophreniaF95.2 Tourette?s disorderF34.0 Cyclothymic disorderF40.240 ClaustrophobiaF10.180 Alcohol abuse with alcohol-induced anxiety disorderF03.90 Unspecified dementia without behavioral disturbanceF63.0 Pathological gamblingF90.9 Attention-deficit hyperactivity disorder, unspecified typeF32.9 Major depressive disorder, single episode, unspecifiedF50.2 Bulimia nervosaF42 Obsessive compulsive disorderF31.2 Bipolar disorder, current episode manic severe with psychotic featuresF52.21 Male erectile disorderF16.221 Hallucinogen dependence with intoxication with deliriumF63.2 KleptomaniaF84.0 Autistic disorderF98.5 Adult onset fluency disorderScenarioF40.243 Fear of flyingF40.232 Fear of other medical careF40.220 Fear of thunderstormsF40.240 ClaustrophobiaF45.21 HypochondriasisF41.0 Panic disorder [episodic paroxysmal anxiety] without agoraphobia Please visit the ICD-10 section of our website at www.ibx.com/icd10. 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) F20.0 2) F95.2 3) F34.0 4) F40.240 5) F10.180 6) F03.90 7) F63.0 8) F90.9 9) F32.9 10) F50.2 11) F42 12) F31.2 13) F52.21 14) F16.221
15) F63.2 16) F84.0 17) F98.5

Answer to coding scenario:
F40.243, F40.232, F40.220, F40.240, F45.21, F41.0

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