ICD-10 Exercises
An 80-year-old female came in complaining of fever, malaise, and left lower flank pain. A urinalysis was performed and showed bacteria; this was followed by a culture, showing E. coli as the cause of the UTI. Final diagnosis is UTI caused by Bacterial, E. coli. What admitting and final diagnoses codes are assigned?
Admitting Dx: 1)____________
Final dx: 1)______________ 2)_________________
An 86-year-old very ill patient came into the ED with fever and altered mental status. After extensive work-up, patient was diagnosed with E. coli sepsis. Patient was transferred to a high level of care facility. Final diagnosis is sepsis, generalized, E. coli. What admitting and final diagnoses codes are assigned?
Admitting Dx: 1)__R41.82___________
Final Dx: 1)__A41.51____________
A 46-year-old female patient with carcinoma of the right breast, metastatic to the liver and brain, was seen for dehydration and chronic intractable neoplasm-related pain. Final diagnosis is dehydration; pain, chronic, neoplasm related; carcinoma, breast; secondary site, brain, liver. What admitting and final diagnosis codes are assigned?
Admitting Dx: 1)________________
Final Dx: 1)_______________ 2)______________ 3)_______________ 4)____________ 5)_________________
A 56-year-old male is complaining of right eye pain. Patient has known mild nonproliferative diabetic retinopathy with macular edema. He is an insulin-dependent, type 2 diabetic. The eye pain was determined to be caused by the macular edema. Final diagnosis is Type 2 diabetes with retinopathy, nonproliferative mild with macular edema; long term insulin use. What admitting and final diagnosis codes are assigned?
Admitting Dx: 1)_____________
Final Dx: 1)______________________ 2)_______________
Code the following final diagnoses: Stage 3 chronic kidney disease with congestive heart failure (CHF) due to hypertension.
Final Dx: 1)__I13.0____________ 2)______________ 3)__I50.9______________
A patient comes in complaining of shortness of breath. Upon discharge, final diagnosis was moderate persistent asthma with status asthmaticus and acute exacerbation of chronic obstructive pulmonary disease. What admitting and final diagnosis codes are assigned?
Admitting Dx: 1)________R06.02_________
Final Dx: 1)____J45.42___________ 2)_______J44.1___________
- This 35-year-old female patient is being seen for frequent urination with pain. Final diagnosis is suppurative cystitis, with hematuria due to E coli. What admitting and final codes are assigned?
Admitting Dx: 1)______R30_____________
Final Dx: 1)___N30.81________________ 2)_____Z20.01______________
- A 26-year-old came to the ED complaining of vomiting, without nausea. Pt is 16-weeks pregnant. After exam and lab tests were done, patient also has a UTI which grew E. coli. Final diagnosis is mild hyperemesis and UTI; infection, bacterial, E. coli. What admitting and diagnosis codes are assigned?
Admitting Dx: 1)___________________
Final Dx: 1)_______________ 2)________________ 3)___________________ 4)____________
- Patient comes in with a gangrenous pressure ulcer of the right hip and a pressure ulcer of the sacrum documented by the ED MD. The nursing assessment indicates a stage 2 pressure ulcer of the sacrum with a stage 3 decubitus ulcer of the right hip. Final diagnoses are ulcer, gangrenous (connective tissue) (skin); ulcer, stage 3, hip; ulcer, stage 2, sacral region (tailbone). What are the final diagnosis codes?
Final Dx: 1)_________________ 2)____________________ 3)_______________
- Mary is a 79-year-old female with senile osteoporosis. She complains of severe back pain with no history of trauma. X-rays revealed pathological compression fractures of several lumbar vertebrae. Final diagnosis is fracture, due to osteoporosis with pathological fracture, vertebra. What admitting and final diagnosis codes are assigned?
Admitting Dx: 1)_______________________
Final Dx: 1)_________________________
- Patient comes in today with elevated blood pressure, taken at home. Patient does have a history of hypertension. What admitting and final diagnosis codes are assigned?
Admitting Dx: 1)_______________
Final DX: 1)___________________
- This patient came in today with right arm injury after a fall on out stretched arm from a ladder. There appears to be an open wound. This was found to be a displaced, compound comminuted fracture of the radial shaft. It is a type II open fracture. Final diagnosis is fracture, traumatic, radius shaft, comminuted (displaced). What admitting and final diagnosis codes assigned to this visit? What is the external cause code?
Admitting Dx: 1)___________________________
Final Dx: 1)________________________ 2)__________________________
- A three-year-old male is seen for acute ear pain. Examination reveals left acute serous otitis media. Upon further examination, a totally perforated tympanic membrane was seen in the right ear due to chronic otitis media. Final diagnoses are otitis media acute, serous; otitis media, chronic; and perforation, tympanum, total. What admitting and final diagnoses are assigned??
Admitting Dx: 1)_________________
Final Dx: 1)_______________ 2)_______________ 3)____________________
- Male patient arrived complaining of increasing shortness of breath, weakness, and ineffective cough. Patient also smokes cigarettes. Final diagnoses are listed as acute respiratory insufficiency due to acute exacerbation of COPD and tobacco dependence. What admitting and final diagnosis codes are assigned?
Admitting Dx: 1)_____________
Final Dx: 1)_______________ 2)_________________
- This 35-year-old male has a history of Crohn’s disease of the small intestine since he was 19-year-old. He has had several exacerbations of the disease in the past years. At this time, an x-ray was done which showed a small bowel obstruction, this was found to be a result of an exacerbation of his Crohn’s disease. Final diagnosis is Crohn’s disease, with complication, obstruction. What is the final diagnosis code?
Final Dx: 1)___________________
- Assign the code(s) for the following final diagnosis: Dermatitis covering entire body due to antibiotics (penicillin) taken correctly as prescribed.
Final Dx: 1)___________________ 2)______________________
- What code(s) are assigned for 2cm laceration of the left heel with foreign body? This is a current injury.
Final Dx: 1)________________________
- A young male snowboarder suffered crash at a local ski area. He has suffered multiple injuries and was transported to this facility for treatment. He was found to have right-sided fracture of 3 ribs, a right chest contusion and a fractured right wrist. None of his injuries required surgical intervention. Final diagnoses are fracture, traumatic, rib, multiple; and fracture, traumatic, wrist. What are the final diagnosis codes? (Do not assign external cause codes).
Final Dx: 1)______________________ 2)______________________
- A 16-year-old male presents with cough and fever for the last week. There has been no improvement using over the counter medication. X-ray of lungs is clear. Final diagnosis is bronchitis. What are the admitting and diagnosis codes that are assigned?
Admitting Dx: 1)_______________
Final Dx: 1)_________________________
- A 32-year-old male comes in complaining of tooth pain. On exam, patient was found to have severe dental caries but no infection or abscess. Patient’s final diagnosis is dental pain due to dental caries. What admitting and final diagnoses are assigned?
Admitting Dx: 1)_____________________
Final Dx: 1)_______________________
Procedure Questions
:
13 yr. old male comes in after a bicycle accident; he has a 3 cm simple laceration to the right forearm and a 7 cm intermediate laceration to the right lower leg with no tendon damage. Wounds were sutured. What CPT codes are used?
Codes: ________________________________________
Patient comes in with an abscess on the left hip. An incision and drainage was done. What CPT code is used?
Code: ___________
65 yr. old male on Coumadin comes in with epistaxis from the left nares. His nose has been bleeding for over an hour so he presents to the ED for treatment. Several attempts to control the bleeding are made with cautery and packing and finally a rhino rocket is inserted and bleeding is controlled. The patient is observed for 2 hours without any more bleeding. He is advised to leave the Rhino Rocket in place until he sees his PCP tomorrow. What CPT code is used?
Code: _______________________
15 yr. old male comes in after being hit in the nose by a basketball, complaining of epistaxis from the right nares. Anterior bleeding stopped after chemical coagulation and nose clamp applied. Patient was observed for 2 hours with no more bleeding. What CPT code is used?
Code: __________________
Patient is a 45 yr. old male who was using a weed eater in his yard when some yard debris flew up into his right eye. Patient says his eye really hurts and is watering a lot. ED provider has patient lay back and using a slit lamp, finds foreign body embedded in the cornea, which is removed. What CPT code is used?
Code: ___________________
16 yr. old female patient comes to the ED for wrist pain after fall on out-stretched right arm while playing volleyball. X-ray is taken and patient is found to have a closed fracture of the right distal radius and ulna. Patient’s fracture is manipulated back into position. What CPT code is used?
Code: ________________
This 13 yr. old boy was running, stepped into a hole and fell. He is now unable to bear weight on the left ankle. Ankle is swollen with obvious deformity. X-ray shows dislocation of the left ankle. The ankle is manipulated back into correct anatomical position. What CPT code is used?
Code: ______________________
71 yr. old female is brought to the ED in atrial fib. Cardioversion was discussed with patient as the appropriate treatment to reverse her Atrial Fib. Patient consented and wanted to move forward with treatment. What CPT code is used?
Code: ____________________________
83 yr. old female patient was brought in by ALS in cardiac arrest. CPR was started and patient was intubated by ED Physician upon arrival to ED. After 15 minutes of resuscitative efforts, CPR was discontinued and patient was declared deceased. What CPT codes are used?
Codes: ___________________________
45 yr. old male construction worker comes in after smashing his finger with a hammer. He was diagnosed with and treated for a subungual hematoma of the left thumb. The provider used an electrocautery needle to pierce the nail plate to drain the hematoma. What CPT code is used?
Code: _______________________________
__________________________________________________________________
Infusion and Injection administration
Which on is the Initial ?
Circle the correct answer for each.
1. Infusion, push, and hydratioin?
2. Infusion and push?
3. Hydration and a push?
4. Hydration and an infusion?
True or False?
1. Keep vein open (KVO) and to keep open (TKO) are not charged as hydration?
2. An infusion of a medication takes 16 minutes and up to 1 hour?
3. An IV push takes 15 minutes or less to give?
4. Only one initial service code should be reported, unless two separate and distinct IV sites are used to administer the medication?