Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #5)

May 1, 2013

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Both the coding exercises and the coding scenario are designed to help you put the new ICD-10 guidelines and conventions into practice. An answer key is provided below 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.

Coding exercises

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

  1. Blindness (right eye), low vision (left eye)
  2. Hypotension due to drugs (diuretics), initial encounter
  3. Fecal impaction
  4. Irritable colon with diarrhea
  5. Constipation
  6. Allergy from cat hair
  7. Itch
  8. Rheumatoid nodule, both shoulders
  9. Kidney disease requiring chronic dialysis
  10. Kidney disease requiring chronic dialysis, non-compliant patient

Coding scenario

Code the following scenario according to both ICD-9 and ICD-10 coding conventions and guidelines:

Tim and Susan celebrated their wedding anniversary by making reservations at the restaurant where they had their first date. They both decided to order something they have never tried before. The meal was delicious, but later that evening Tim broke out in a rash and experienced abdominal cramping and diarrhea. Susan suspected it must have been something he ate and advised him to see his doctor. The physician confirmed Susan?s suspicion.

Narratives

The following are the corresponding code narratives for each of the codes in the answer key:


ICD-10 code Code narrative
Exercises
H54.11 Blindness, right eye, low vision left eye
I95.2 Hypotension due to drugs
T50.2x5A Adverse effect of carbonic-anhydrase inhibitors, benzothiadiazides, and other diuretics, initial encounter
K56.41 Fecal impaction
K58.0 Irritable bowel syndrome with diarrhea
K59.00 Constipation, unspecified
L23.81 Allergic contact dermatitis due to animal (cat) (dog) dander
L29.9 Pruritus, unspecified
M06.311 Rheumatoid nodule, right shoulder
M06.312 Rheumatoid nodule, left shoulder
N18.6 End stage renal disease
Z99.2 Dependence on renal dialysis
Z91.15 Patient?s noncompliance with renal dialysis
Scenario ? ICD-10
K52.2 Allergic and dietetic gastroenteritis and colitis
L27.2 Dermatitis due to ingested food
Y92.511 Restaurant or cafe as the place of occurrence of the external cause
Scenario — ICD-9
558.3 Gastroenteritis and colitis, allergic
693.1 Dermatitis due to food taken internally
787.91 Diarrhea
E849.6 Place of occurrence, public building

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) H54.11 2) I95.2, T50.2x5A 3) K56.41 4) K58.0 5) K59.00 6) L23.81 7) L29.9 8) M06.311, M06.312 9) N18.6, Z99.2 10) N18.6, Z91.15

Answer to coding scenario:
ICD-10: K52.2, L27.2, Y92.511
ICD-9: 558.3, 693.1, 787.91, E849.6

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