Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #4)

March 28, 2013

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In preparation for the transition to ICD-10, each month this section will feature an article to 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 on the next page to describe each ICD-10 code.

Coding exercises

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

  1. Atrial tachycardia
  2. Irregular astigmatism of both eyes
  3. Shaken infant syndrome, initial encounter
  4. Painful respiration
  5. Neonatal esophageal reflux
  6. Twin pregnancy, one placenta, two amniotic sacs, third trimester with complication of gestational hypertension
  7. Lisping
  8. Subacute monocytic leukemia, in remission
  9. Neoplasm of uncertain behavior of the nasal cavities
  10. Benign carcinoid tumor of the small intestine
  11. Atypical chest pain due to angina

Coding scenario

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

Due to ailing health, Jane?s grandfather will be moving in with her in a few months. To understand what care is needed, Jane escorted her grandfather to his doctor appointment for the first time. The doctor told Jane that her grandfather was being treated for mild nonproliferative diabetic retinopathy with macular edema. He has type 2 diabetes and takes insulin on a daily basis. He has also developed diabetic cataract in his right eye.

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 scenario:


ICD-10 code

Code narrative

I47.1

Supraventricular tachycardia

H52.213

Irregular astigmatism, bilateral

T74.4xxA

Shaken infant syndrome, initial encounter

R07.1

Chest pain on breathing

P78.83

Newborn esophageal reflux

O30.033

Twin pregnancy, monochorionic/diamniotic, third trimester

O13.3

Gestational (pregnancy-induced) hypertension without significant proteinuria, third trimester

F80.0

Phonological disorder

C93.91

Monocytic leukemia, unspecified in remission

D38.5

Neoplasm of uncertain behavior of other respiratory organs

D3A.019

Benign carcinoid tumor of the small intestine, unspecified portion

R07.89

Other chest pain

I20.9

Angina pectoris, unspecified

E11.321

Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema

E11.36

Type 2 diabetes mellitus with diabetic cataract

Z79.4

Long term (current) use of insulin

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.


Answers to coding exercises:
1) I47.1 2) H52.213 3) T74.4xxA 4) R07.1 5) P78.83 6) O30.033, O13.3 7) F80.0 8) C93.91 9) D38.5 10) D3A.019 11) R07.89, I20.9

Answer to coding scenario:
E11.321, E11.36, Z79.4

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