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Icd-10-pcs
UNIT 6 QUIZ - practice
Icd-10-Cm Coding (Rochester Community and Technical College)
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UNIT 6 QUIZ
What is the correct code for a diaphragmatic hernia with obstruction, without gangrene?..K44.0
Billy Young was diagnosed with fecal impaction of the intestine. What is the main term and
correct code?
....
What is the correct code for an acute gastric ulcer with perforation?...K25.1
Which of the following is the correct order of the segments of the small intestine?
....
What is the
correct code for sclerosing cholangitis?...K83.0
What is the tube-like structure that connects the hypopharynx to the stomach?...ESOPHAGUS
What is the correct code for an acute recurrent sialoadenitis?...K11.22
The inferior aspect of the pyloric sphincter is the_____
....
DUODENUM
What is the correct code for cholelithiasis with acute cholecystitis?...K80.00
Harry Wisemann, a 46-year-old male, comes in today with the complaint of long-lasting
heartburn and pain under his breastbone. Harry admits to taking aspirin several times a day for
many years. Dr. Camut diagnoses Harry with an ulcer of the esophagus due to ingestion of
aspirin.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Ulcer
What is the anatomical site – Esophagus
Due to - Aspirin
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - Yes
If so does the Code first note apply to the case study – No
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – Yes
If so does the Use additional code note apply to the case study – Yes
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K22.10
Second diagnosis:
Where should you begin to look up the code in the coding manual – Table of Drugs and
Chemicals
What is the key term – Aspirin
Do any of the following apply to the condition – Adverse effect
Do any of the following apply to the condition – Initial encounter
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
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Impaction, K56.41
Duodenum, jejunum, ileum
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Is there a Code first notation - Yes
If so does the Code first note apply to the case study – Yes
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – Yes
If so does the Use additional code note apply to the case study – No
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – T39.015A
Overall Feedback:
K22.10: Ulcer>esophagus>due to>aspirin
T39.015A: Drug table>Aspirin>adverse effect>initial encounter
C.E. Molyneaux, a 34-year-old male, comes in today with the complaint of a lump in
his groin area. Dr. Williams completes a physical examination of the groin region and
notes a bulge on the right side when C.E. is standing erect. A CT scan confirms a
diagnosis of a femoral hernia, unilateral. C.E. is admitted to the hospital for surgical
repair.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Hernia
What type – Femoral
Do any of the following apply to the condition - Unilateral
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – No
If so does the Excludes1 note apply to the case study – No Excludes1 notation
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K41.90
Overall Feedback:
K41.90: Hernia>femoral>unilateral
Leigh Norman, a 37-year-old female, comes in today with the complaint of shortness
of breath. Dr. Schimek notes tachypnea, tachycardia, and cyanosis. Upon
auscultation, bowel sounds are heard in the chest area. Leigh is admitted to Weston
Hospital. After reviewing the arterial blood gases, laboratory results, and CT scan,
Leigh is diagnosed with a diaphragmatic hernia with obstruction.
Surgery is scheduled.
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Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Hernia
What type – Diaphragm
Do any of the following apply to the condition – With obstruction
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - No
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K44.0
Overall Feedback:
K44.0: Hernia>diaphragm>with>obstruction
Michelle Toatley, a 51-year-old female, presents with the complaints of stomach pain
and bloating. Michelle admits to vomiting. Dr. Mobley notes patient has a history of
heartburn and current alcohol abuse. The EGD confirms a diagnosis of acute gastric
ulcer.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Ulcer
What is the anatomical site – Stomach
Do any of the following apply to the condition – Acute
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – Yes
If so does the Use additional code note apply to the case study – Yes
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K25.3
Second diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Abuse
What type - Alcohol
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Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – Yes
If so does the Use additional code note apply to the case study – No
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – F10.10
Overall Feedback:
K25.3: Ulcer>stomach>acute
F10.10: Abuse>alcohol
Which of the following is the code assigned for nail dystrophy?...L60.3
What is the correct code for a stage 3 pressure ulcer of the right upper back?..L89.113
Which of the following is the code for rhinophyma?...L71.1
How many different types of glands are located within the skin?...3
What is the correct code for a patient who has a carbuncle of the chest wall?...L02.233
Which of the following lesions is flat with different pigmentation?...MACULE
Which of the following is the code for an ingrown nail?...L60.0
What is the correct code for acute lymphangitis of the left toe?...L03.042
Eugene Sanford, a 49-year-old male, comes in today with the complaint of a small red
prickly rash under his scrotum. Dr. Kimrey completes an examination and the
appropriate tests. Eugene is diagnosed with apocrine miliaria.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Miliria
What is the anatomical site – Apocrine
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
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Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – L75.2
Overall Feedback:
L75.2: Miliria>apocrine
Gary Sanders, a 78-year-old male, comes in today with the complaint that the mole
on his right ankle has begun to rapidly change in shape and color. Dr. Jones completes
an examination noting ABCD - asymmetry, elevation above skin surface with an
irregular border, blue-grey in color, firm to the touch, and a diameter of 8 mm and
thickness of 1.63 mm. Gary is admitted to Weston Hospital. Skin and lymph node
biopsies were ordered as well as imaging studies and blood tests. After reviewing the
results of the pathology report and other tests, Gary is diagnosed with a malignant
nodular melanoma. Excision of lesion is scheduled.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Melanoma
What is the anatomical site – Skin
What is the location – Ankle
What is the laterality - Right
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – C43.71
Overall Feedback:
C43.71: Melanoma>skin>ankle>right
Kathy Neal, a 56-year-old female, presents today with an itchy purple-colored lower
lip. Dr. Grimsley notes flat-topped papules intermingled with lacy white lines. Kathy is
diagnosed with bullous lichen planus.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Lichen planus
What type - Bullous
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
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If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – L43.1
Overall Feedback:
L43.1: Lichen>planus>bullous
____________ is a disease affecting the back of the torso…..DORSOPATHY
What is the correct code for adolescent postural kyphosis in the thoracolumbar
region?...M40.05
Refer to the ICD-10-CM Official Guidelines I.C.13.c, which states: 7th
character ____
is for use as long as the patient is receiving active treatment for the fracture…..A
There are ____ thoracic vertebrae…..12
___________ is an inflammation of the elbow joint that typically begins as a small tear in the
muscle and then is aggravated by activities…… EPICONDYLITIS
The patient is being seen for rheumatoid heart disease with rheumatoid arthritis of right knee.
The coder should assign code:….M05.361
What is the correct code for a patient with rheumatoid bursitis of the left knee?...M06.262
What is the correct code for a patient with a contusion of the right hand, initial
encounter?...S60.221A
James Ard, a 31-year-old male, comes in today to see Dr. Smyth. Jim complains his
head is tilting and he can’t control it. He also admits to neck spasms and it seems to
him that it is worse after he has taken his afternoon run. After a thorough
examination and testing, Dr. Smyth diagnoses Jim with spasmodic torticollis.
Principal diagnosis:
Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries
What is the key term - Tortocollis
What type - Spasmodic
Do any of the following apply to the condition - None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify - Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study - No Code first notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
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Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - G24.3
Overall Feedback:
G24.3: Tortocollis>spasmodic
Marygrace Fuller, a 16-year-old female, participated in rhythmic gymnastics yesterday
at the local gym. She woke up this morning and her left ankle was stiff and aches.
After an examination, Dr. Jefferson diagnosed Marygrace with Achilles tendinitis.
Principal diagnosis:
Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries
What is the key term - Tendinitis
What is the anatomical site - Achilles
Do any of the following apply to the condition - None of these
What is the laterality - Left
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify - No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study - No Code first notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - No
If so does the Excludes1 note apply to the case study - No Excludes1 notation
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - M76.62
Second diagnosis:
Where should you begin to look up the code in the coding manual - External cause of injuries index
What is the Place of Occurrence - Gymnasium
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify - No Includes notation
Is there a Code first notation - No Code First notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code Also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional notation
Is there an Excludes1 notation - No
If so does the Excludes1 note apply to the case study - No Excludes1
Is there an Excludes2 notation - No Excludes2
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - Y92.39
Third diagnosis:
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Where should you begin to look up the code in the coding manual - External cause of injuries index
What is the key term - Activity
What type - Gymnastics, rhythmic
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify - No Includes notation
Is there a Code first notation - No Code First notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code Also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
Is there an Excludes2 notation - No
If so does the Excludes2 note apply to the case study - No Exlcudes2 notation
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - Y93.43
Fourth diagnosis:
Where should you begin to look up the code in the coding manual - External cause of injuries index
What is the key term - Status
What type - Leisure activity
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify - No Includes notation
Is there a Code first notation - No Code First notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code Also notation
Is there a Use additional code notation -No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
Is there an Excludes2 notation - No
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - Y99.8
Overall Feedback:
M76.62: Tendinitis>Achilles>left
Y92.39: External Causes index>place of occurrence>gymnasium
Y93.43: External Causes index>activity>gymnastics, rhythmic
Y99.8: External Causes index>status>leisure activity
Jay Lawson, a 13-year-old male, is brought in by his parents to see Dr. Bouknight, his
pediatrician. Jay is complaining of left hip pain and stiffness. Dr. Bouknight completes
a physical examination and notes limited left hip motion as well as soft tissue
swelling. Jay is admitted to Weston Hospital. Aspiration of synovial fluid reveals an
elevated cell count of 136 cells/mL with 52% being polymorphonuclear leukocytes.
Jay is diagnosed with intermittent hydrarthrosis.
Principal diagnosis:
Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries
What is the key term - Hydrarthrosis
What type - Intermittent
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What is the anatomical site - Hip
Do any of the following apply to the condition - None of these
What is the laterality - Left
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify - Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study - No Code first notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - M12.452
Overall Feedback:
M12.452: Hydrarthrosis>intermittent>hip>left
_____ is an atypical hole in the wall of an organ or anatomical site….PERFORATION
Which of the following is triangular?
....
LIVER
What is the correct code for an acute peptic ulcer with perforation and hemorrhage?
….K27.2
What is the correct code for an acute peptic ulcer with perforation and
hemorrhage?...TRANSVERSE COLON
______is the section of an organ farthest from its opening…FUNDUS
What is the correct code for a diaphragmatic hernia with obstruction, without
gangrene?...K44.0
What is the correct code for stricture of the esophagus?...K22.2
What is the correct code for cholelithiasis with acute cholecystitis?...K80.00
Which portion of the colon connects the cecum to the hepatic flexure?...ASCENDING COLON
Leigh Norman, a 37-year-old female, comes in today with the complaint of shortness
of breath. Dr. Schimek notes tachypnea, tachycardia, and cyanosis. Upon
auscultation, bowel sounds are heard in the chest area. Leigh is admitted to Weston
Hospital. After reviewing the arterial blood gases, laboratory results, and CT scan,
Leigh is diagnosed with a diaphragmatic hernia with obstruction. Surgery is
scheduled.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Hernia
What type – Diaphragm
Do any of the following apply to the condition – With obstruction
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Downloaded by LaShawn Forrest (lalaforrest0304@outlook.com)
lOMoARcPSD|30654871
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - No
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K44.0
Overall Feedback:
K44.0: Hernia>diaphragm>with>obstruction
Harry Wisemann, a 46-year-old male, comes in today with the complaint of long-
lasting heartburn and pain under his breastbone. Harry admits to taking aspirin
several times a day for many years. Dr. Camut diagnoses Harry with an ulcer of the
esophagus due to ingestion of aspirin.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Ulcer
What is the anatomical site – Esophagus
Due to - Aspirin
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - Yes
If so does the Code first note apply to the case study – No
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – Yes
If so does the Use additional code note apply to the case study – Yes
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K22.10
Second diagnosis:
Where should you begin to look up the code in the coding manual – Table of Drugs and
Chemicals
What is the key term – Aspirin
Do any of the following apply to the condition – Adverse effect
Do any of the following apply to the condition – Initial encounter
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
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Is there a Code first notation - Yes
If so does the Code first note apply to the case study – Yes
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – Yes
If so does the Use additional code note apply to the case study – No
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – T39.015A
Overall Feedback:
K22.10: Ulcer>esophagus>due to>aspirin
T39.015A: Drug table>Aspirin>adverse effect>initial encounter
Allen Klebb, a 36-year-old male, comes in today complaining of diarrhea and vomiting. Allen just
finished his radiation treatments for his hand malignancy. Dr. Ard diagnoses Allen with
gastroenteritis due to radiation.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Gastroenteritis
Due to – Radiation
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K52.0
Overall Feedback:
K52.0: Gastroenteritis>due to>radiation
Dorothea Greig, a 26-year-old female, presents with the complaint of persistent pain in her
lower left abdomen, 1 week duration. Dorothea says she has also experienced nausea and
vomiting. Dr. Hendrix notes weakness and a temperature of 102.2 F. The decision is made to
admit the patient.
Following a review of the laboratory tests, liver function tests, and the CT scan, Dorothea is
diagnosed with diverticulitis of both the small and large intestines; abscess is noted.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Diverticulitis
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lOMoARcPSD|30654871
What is the anatomical site – Intestine, large with small
Do any of the following apply to the condition – With abscess
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K57.40
Overall Feedback:
K57.40: index>diverticulitis>intestine>large>with>small>with>abscess
Which of the following lesions is raised with a diameter of more than 5 mm?..NODULE
______ are deep grooves, horizontal lines (from side to side) on either a fingernail or a
toenai..BEAU’S LINES
What is the correct code for a patient who has a carbuncle of the chest wall?..L02.233
As a coder, what do you need to know when coding a pressure ulcer?...BOTH
ANATHOMICAL LOCATION AND DEPTH OF LESION
Which of the following is the code for an ingrown nail?..L60.0
Which of the following lesions is a fluid- or gas-filled bubble in the skin?...CYST
In which stage of pressure ulcers is there a crater with visible damage to the tissue below the
skin?...STAGE 3
______ is a white area shaped like a crescent moon….LUNULA
Angie Ullman, a 7-year-old female, is brought into the ER by her parents due to a
painful rash on her legs. The ER physician documents a temperature of 101 F and
admits Angie to the hospital with the diagnosis of severe poison ivy. Angie’s mother
admitted she was walking their dog at the local park this morning and must have
come in contact with the poison ivy there.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Dermatitis
What type – Contact
What type – Allergic
Due to – Plants, non-food
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
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Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – L23.7
Second diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries index
What is the key term – Contact
With – Plant leaves
Do any of these apply to the condition – Initial encounter
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation - No
If so does the Code also note apply to the case study – No Code Also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - No
If so does the Excludes2 note apply to the case study – No Excludes2 notation
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - Yes
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – W60.XXXA
Third diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries index
What is the Place of Occurrence – Park
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation – No
If so does the Code first notation apply to the case study - No Code First notation
Is there a Code also notation - No
If so does the Code also note apply to the case study – No Code Also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional notation
Is there an Excludes1 notation – No
If so does the Excludes1 note apply to the case study – No Excludes1
Is there an Excludes2 notation – No Excludes2
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – Y92.830
Fourth diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries index
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What is the key term - Activity
What type – Walking an animal
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation – No
If so does the Code first notation apply to the case study - No Code First notation
Is there a Code also notation - No
If so does the Code also note apply to the case study – No Code Also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation – No
If so does the Excludes2 note apply to the case study – No Excludes2 notation
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – Y93.K1
Fifth diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries index
What is the key term - Status
What type - Leisure activity
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation – No
If so does the Code first notation apply to the case study - No Code First notation
Is there a Code also notation - No
If so does the Code also note apply to the case study – No Code Also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation – No
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – Y99.8
Overall Feedback:
L23.7: Dermatitis>contact>allergic>due to>plants, non-food
W60.XXXA: External cause index>contact>plant>leaves>initial encounter
Y92.830: External cause index>place of occurrence>park
Y93.K1: External cause index>activity>walking>an animal
Y99.8: External cause index>status>leisure activity
A.G. Harrison, a 62-year-old male, complains of a deep sore on his right heel. After an
examination, Dr. Miles notes that the subcutaneous tissue is visible with necrosis and
admits A.G. to the hospital. Dr. Miles diagnoses A.G. with a decubitus ulcer of the
heel, stage 3.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Necrosis
What is the anatomical site – Skin or subcutaneous tissue NEC
Do any of the following apply to the condition – None of these
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lOMoARcPSD|30654871
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - No
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – I96
Second diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Ulcer
What type – Pressure
What stage - 3
What is the anatomical site – Heel
What is the laterality - Right
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
Is there a Code first notation - Yes
If so does the Code first note apply to the case study – Yes
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – No
If so does the Excludes1 note apply to the case study – No Excludes1 notation
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – L89.613
Overall Feedback:
I96: Necrosis>skin or subcutaneous tissue NEC
L89.613: Ulcer>pressure>stage 3>heel>right
Instructions for sequencing can be found under category L89
Gary Sanders, a 78-year-old male, comes in today with the complaint that the mole
on his right ankle has begun to rapidly change in shape and color. Dr. Jones completes
an examination noting ABCD - asymmetry, elevation above skin surface with an
irregular border, blue-grey in color, firm to the touch, and a diameter of 8 mm and
thickness of 1.63 mm. Gary is admitted to Weston Hospital. Skin and lymph node
biopsies were ordered as well as imaging studies and blood tests. After reviewing the
results of the pathology report and other tests, Gary is diagnosed with a malignant
nodular melanoma. Excision of lesion is scheduled.
Principal diagnosis:
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lOMoARcPSD|30654871
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Melanoma
What is the anatomical site – Skin
What is the location – Ankle
What is the laterality - Right
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – C43.71
Overall Feedback:
C43.71: Melanoma>skin>ankle>right
_____ are involuntary twitches often caused by myositis or fibromyositis… MUSCLE SPASMS
_____________ is a condition in which the sternocleidomastoid muscle becomes spasmed
(shortened), causing the head to bend to one side and the chin to the opposite side:…
TORTICOLLIS
What is the correct code for a patient with rheumatoid bursitis of the left knee?...M06.262
What is the correct code for a Baker's cyst of the right knee?...M71.21
Refer to the ICD-10-CM Official Guidelines I.C.13.a, which states: Most of the codes within
Chapter ____ have site and laterality designations…..13
What is the correct code for congenital acetabular dysplasia?...Q65.89
Turn to code M36.8 in the Tabular List. You will found a
Code first
notation under code M36.8.
Under the
Code first
notation, what is the code associated with ochronosis?...E70.2
_________ is a disease affecting the vertebrae…SPONDYLOPATHY
Valerie Halsey, a 51-year-old female, complains of lower back pain and numbness.
Valerie also admits it is sometimes difficult to control her left leg. Dr. Spratt
completes a physical examination and history of the symptoms. Dr. Spratt has Valerie
perform the straight leg raise test, which was positive for Lasegue’s sign. Valerie is
diagnosed with wallet sciatica, left side.
Principal diagnosis:
Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries
What is the key term - Sciatica
What type - Wallet
Do any of the following apply to the condition - None of these
What is the laterality - Left
Begin to code the encounter
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Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify - No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study - No Code first notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - M54.32
Overall Feedback:
M54.32: Sciatica>wallet>left side
Tamara Gibbons, a 37-year-old female, presents today with pain on the inside of her
right knee. Dr. Booker completes a history and physical examination. After reviewing
the MRI results, Tamara is diagnosed with Plica syndrome.
Principal diagnosis:
Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries
What is the key term - Plica
What type - Syndrome, knee
Do any of the following apply to the condition - None of these
What is the laterality - Right
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify - No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study - No Code first notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - M67.51
Overall Feedback:
M67.51: Plica>syndrome, knee>right
Nancy Nottingham, a 52-year-old female, presents today with a severe burning pain
and swelling in her upper right arm and fingers. Dr. Olden notes edema and allodynia.
After a thorough examination, Nancy is diagnosed with reflex sympathetic dystrophy
(RSD).
Principal diagnosis:
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lOMoARcPSD|30654871
Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries
What is the key term - Syndrome
What type - Pain
What type - Complex region
What is the anatomical site - Upper limb
Do any of the following apply to the condition - None of these
What is the laterality - Right
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify - No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study - No Code first notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - G90.511
Overall Feedback:
G90.511: Dystrophy> reflex sympathetic ~redirects us ~ Syndrome>pain>complex region I>upper limb>right
What is the correct code for sclerosing cholangitis?...K83.0
____ means the absence of teeth….EDENTULISM
Which of the following codes will be reported for a recurrent bilateral inguinal hernia with
obstruction without gangrene?...K40.01
______ is a fold of a membrane that carries blood to the small intestine and connects it to the
posterior wall of the abdominal cavity…..MESENTERY Which of the following is pear
shaped?...GALLBLADDER
______is the section of an organ farthest from its opening..FUNDUS
What is the correct code for unilateral inguinal hernia, with obstruction, without
gangrene?...K40.30
Turn to code category K27 in the Tabular List. What notations are associated with code category
K27?
......
What is the correct code for parastomal hernia, with gangrene?
.....
K43.4
Archie Blume, a 41-year-old male, presents with the complaint of swollen tender
gums and bleeding after he brushes his teeth. Dr. Day notes Archie uses tobacco.
After an examination and x-rays, Archie is diagnosed with acute gingivitis, non-plaque
induced.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Gingivitis
Do any of the following apply to the condition – Acute
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Includes, Use additional code, Excludes1
lOMoARcPSD|30654871
What type – Non-plaque induced
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – Yes
If so does the Use additional code note apply to the case study – Yes
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K05.01
Second diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Tobacco
What type – Use
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – Z72.0
Overall Feedback:
K05.01: Gingivitis>acute>non-plaque induced
Z72.0: Tobacco>use
Allen Klebb, a 36-year-old male, comes in today complaining of diarrhea and
vomiting. Allen just finished his radiation treatments for his hand malignancy. Dr. Ard
diagnoses Allen with gastroenteritis due to radiation.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Gastroenteritis
Due to – Radiation
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
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If so does the Includes note help to clarify – Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K52.0
Overall Feedback:
K52.0: Gastroenteritis>due to>radiation
Kent Rhodes, a 28-month-old male, is brought in by his parents for a checkup. Dr.
Washington notes Kent’s deciduous teeth are smaller than normal and widely spaced
with notches on the biting surface. Kent is diagnosed with Hutchinson’s teeth.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Hutchinson’s
What type – teeth
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - No
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – A50.52
Overall Feedback:
A50.52: Hutchinson’s>teeth
Robert Thomas, an 82-year-old male, presents today with severe epigastric pain.
Robert also has been experiencing sharp chest pain that radiated to the left side of
the neck and arm. Robert is admitted to the hospital, where an upper GI series
confirms the diagnosis of volvulus of the colon with perforation.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Volvulus
Do any of the following apply to the condition – With perforation
Begin to code the encounter
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lOMoARcPSD|30654871
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – K56.2
Overall Feedback:
K56.2: Volvulus>with perforation
______ are deep grooves, horizontal lines (from side to side) on either a fingernail or a
toenail…….. BEAU’S LINES
Which of the following lesions is flaky exfoliated epidermis?...SCALE
The line between the epidermis and the dermis has hills and ridges, known as:….DERMAL
PAPILLAE
Which of the following is the outermost layer of the skin?
....
EPIDERMIS
Which of the following layers of skin is a sturdy collagenous layer?
.....
DERMIS
The most frequently diagnosed malignancy in the United States is ______ cancer…..SKIN
How many stages of pressure ulcers are there?
....
4
Which of the following is the code assigned for nail dystrophy?...L60.3
Gary Sanders, a 78-year-old male, comes in today with the complaint that the mole
on his right ankle has begun to rapidly change in shape and color. Dr. Jones completes
an examination noting ABCD - asymmetry, elevation above skin surface with an
irregular border, blue-grey in color, firm to the touch, and a diameter of 8 mm and
thickness of 1.63 mm. Gary is admitted to Weston Hospital. Skin and lymph node
biopsies were ordered as well as imaging studies and blood tests. After reviewing the
results of the pathology report and other tests, Gary is diagnosed with a malignant
nodular melanoma. Excision of lesion is scheduled.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Melanoma
What is the anatomical site – Skin
What is the location – Ankle
What is the laterality - Right
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
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If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – C43.71
Overall Feedback:
C43.71: Melanoma>skin>ankle>right
Brenda Mets, a 32-year-old female, was diagnosed with basal cell carcinoma on her
nose 10 days ago. Brenda is admitted to the hospital today for electrodesiccation and
curettage by Dr. Dease.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Table of Neoplasms
What is the anatomical site – Nose
What is the location – Skin
What type - Basal cell carcinoma
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - No
If so does the Excludes2 note apply to the case study – No Excludes2 notation
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – C44.311
Overall Feedback:
C44.311: Neoplasm table>nose>skin>basal cell carcinoma
Anna Morris, a 22-year-old female, presents today with a blister on her left elbow. Her elbow is
painful and warm to the touch. After an examination, Dr. Lane diagnoses Anna with a pressure
ulcer of the elbow, stage 2.
Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Ulcer
What type – Pressure
What stage - 2
What is the anatomical site – Elbow
What is the laterality - Left
Do any of the following apply to the condition – None of these
Begin to code the encounter
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lOMoARcPSD|30654871
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - Yes
If so does the Code first note apply to the case study – No
Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation
Is there a Use additional code notation – No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – No
If so does the Excludes1 note apply to the case study – No Excludes1 notation
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – L89.022
Overall Feedback:
L89.022: Ulcer>pressure>stage 2>elbow>left
Which of the following is a chronic autoimmune disorder that causes muscle
weakness?
.....
MYASTHENIA GRAVIS
How many bones are in the adult human body?
....
206
Turn to code M36.8 in the Tabular List. You will found a
Code first
notation under code M36.8.
Under the
Code first
notation, what is the code associated with ochronosis?
....
E70.2
What is the correct code for Reiter's disease, right hip?...M02.351
The patient is being seen for rheumatoid heart disease with rheumatoid arthritis of right knee.
The coder should assign code:…M05.361
Which of the following seventh characters is used to show that the patient was seen for
subsequent care for a pathological fracture with delayed healing?
....
G
What is the correct code for a muscle spasm of the back?...M62.830
What is the correct code for patellofemoral disorder, right knee?
....
M22.2X1 Ned Taylor, a 33-
year-old male, presents today with severe weakness in his left hip. Dr. Louthan notes enlarged
neck lymph node, a rash, and high fever. Ned admits to some eye and chest pain with general
lethargy. After a thorough examination, Dr. Louthan decides to admit Ned to the hospital. The
laboratory test and MRI confirmed the diagnosis of arthritis of the hip due to O’nyong-nyong
fever.
Principal diagnosis:
Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries
What is the key term - Arthritis
What type - O’nyong-nyong
Do any of the following apply to the condition - None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify - Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study - No Code first notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code also notation
Is there a Use additional code notation - Yes
If so does the Use additional code note apply to the case study - No
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Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - A92.1
Second diagnosis:
Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries
What is the key term - Arthritis
Due to - Infectious disease NEC
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify - Yes
Is there a Code first notation - Yes
If so does the Code first note apply to the case study - Yes
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - M01.X52
Overall Feedback:
A92.1: Arthritis>in>O’nyong-nyong
M01.X52: Arthritis>due to>infectious disease NEC
Tamara Gibbons, a 37-year-old female, presents today with pain on the inside of her
right knee. Dr. Booker completes a history and physical examination. After reviewing
the MRI results, Tamara is diagnosed with Plica syndrome.
Principal diagnosis:
Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries
What is the key term - Plica
What type - Syndrome, knee
Do any of the following apply to the condition - None of these
What is the laterality - Right
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - No
If so does the Includes note help to clarify - No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study - No Code first notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study - No
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Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - M67.51
Overall Feedback:
M67.51: Plica>syndrome, knee>right
Rykia Huffman, a 21-year-old female, presents today with the complaint of uneven
hips and leg length. Dr. Gamble completes a physical examination and orders a
weight-bearing, full-length spine x-ray, AP, which confirms the diagnosis of idiopathic
scoliosis, lumbosacral region.
Principal diagnosis:
Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries
What is the key term - Scoliosis
What type - Idiopathic
What is the anatomical site - Lumbosacral region
Do any of the following apply to the condition - None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes
Is there an Includes notation - Yes
If so does the Includes note help to clarify - Yes
Is there a Code first notation - No
If so does the Code first note apply to the case study - No Code first notation
Is there a Code also notation - No
If so does the Code also note apply to the case study - No Code also notation
Is there a Use additional code notation - No
If so does the Use additional code note apply to the case study - No Use additional code notation
Is there an Excludes1 notation - Yes
If so does the Excludes1 note apply to the case study - No
Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study - No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code - M41.27
Overall Feedback:
M41.27: Scoliosis>idiopathic>lumbosacral region
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