Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #3)

March 1, 2013

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In preparation for the transition to ICD-10, each month IBC will include an article called Putting ICD-10 into Practice: Coding exercises and scenarios in Partners in Health UpdateSM. This feature will 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 to describe each ICD-10 code.

Coding exercises

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

  1. Routine infant or child health check
  2. Acquired loss of teeth due to trauma, partial
  3. Influenzal myocarditis
  4. Elevated fasting triglycerides
  5. Hungry bone syndrome
  6. Primary open-angle glaucoma, moderate stage in left eye and mild stage in right eye
  7. Dorsal somatic dysfunction
  8. Invasive ductular carcinoma of breast, completely excised
  9. Decompensated COPD with (acute) exacerbation
  10. Concussion without loss of consciousness, initial encounter with neck pain

Coding scenario

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

A 16-year-old student was at the gymnasium participating in a dancing contest to raise money for her class. She slipped on the gym floor and fell, injuring her left ankle. After she visited the emergency room, it was determined that she did not fracture her ankle. However, she did suffer a sprain to that ankle.

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 scenarios:

ICD-10 Code narrative Z00.129 Encounter for routine child health examination without abnormal findings K08.419 Partial loss of teeth due to trauma, unspecified class J10.89 Influenza due to other identified influenza virus with other manifestations E78.1 Pure hyperglyceridemia E83.81 Hungry bone syndrome H40.11x2 Primary open-angle glaucoma, moderate stage H40.11x1 Primary open-angle glaucoma, mild stage M99.01 Segmental and somatic dysfunction of cervical region C50.412 Malignant neoplasm of upper-outer quadrant of left female breast J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation S06.0x0A Concussion without loss of consciousness, initial encounter M54.2 Cervicalgia S93.402A Sprain of unspecified ligament of left ankle, initial encounter W01.0xxA Fall on same level from slipping, tripping, and stumbling without subsequent striking against object, initial encounter Y92.39 Other specified sports and athletic area as the place of occurrence of the external cause Y93.41 Activity, dancing Y99.2 Volunteer activity

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) Z00.129 2) K08.419 3) J10.89 4) E78.1 5) E83.81 6) H40.11x2, H40.11x1 7) M99.01 8) C50.412 9) J44.1 10) S06.0x0A, M54.2

Answer to coding scenario:
S93.402A, W01.0xxA, Y92.39, Y93.41, Y99.2

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