Medical Coding Examples ICD-10 with Answers

Posted on

Medical Coding Examples ICD-10 with AnswersPracticing to answer the medical coding examples International Classification of Diseases, 10th Revision, Clinical Modification or ICD-10 is important to make sure that you can take the right action when facing any kinds of cases in real life as a medical coder.

In order to find such examples, you can take the advantage of the popular platform named Youtube. On the platform, there are a lot of videos with the ICD-10 content that you can watch to sharpen your skills. One of them is shared by a channel called MedicalCodingCert. The video about the ICD-10 practice question shared by this channel was posted on December 28 seven years ago. Since the first time it was released, it has earned a total of 140,829 views and 571 likes.

In the video, the question that is used as an example is: A 23 year old male who previously suffered a metacarpal fracture of the left hand, 2nd metacarpal bone, as the result of a gunshot wound develops a non-union of the metacarpal.

As the answer to the question, here is everything that is explained on the video: One of the things that is different in ICD-10 than ICD-9 is when a person comes in for a sequela which is a late effect and this person has a late effect, it’s a nonunion of the metacarpal. As the metacarpal bones are in the hand, you have the carpals are the little square bones, and then the long bones in the hands are the metacarpals. Then you have the phalanges, then you have the digits; your phalanges are your fingers. So, the long bones that are between your wrist and that first knuckle in your hand that you can feel in there, those long bones, that’s the metacarpals. So, obviously, this guy has an injury; he had a gunshot wound in the hand, and it developed a nonunion (the bones did not stay lined up). For those who have no idea about the non-union, it is described as a failure of the ends of a fractured bone to unite.

So, you would be able to code for – there’s literally a code for nonunion. And then, at the end of the code, remember in the previous that we were talking about, the letters at the front, now you have letters at the end that would say whether it was the initial encounter or a subsequent or sequela. An initial encounter, a second visit or subsequent visit, then you had sequela (late effect).

In case you are wondering about E-code and would there be one, they’re apparently in ICD-10, there are not E-codes. There are E-codes, but they are not the E-codes as we know them in ICD-9. They actually still have codes like-codes, but they’re in the Z section. So, to be able to tell that this guy suffered this injury from a gunshot wound, you can use that. Now, in addition, E-codes in ICD-9 are only used the first time that the person is being seen, you would not use it on a sequela or a subsequent visit. But with ICD-10, you can.

Talking about the medical coding examples ICD-10, there is a good video on Youtube that displays the ICD 10 CM practice scenarios. The video was posted by sai on December 10, 2018. There are a total of 20 practice scenarios included in the video, including:

  1. Case: HIV or AIDS conformed

Answer: B20

  1. Case: Pt present with respiratory failure due to bacterial pneumonia due to strepcoccus group-b

Answer: J96.00 – respiratory failure
J15.3 – pneumonia

  1. Case: UTI due to e-coli infection

Answer: N39.0 – UTI
B95.20 – e-coli

  1. Case: Pt is admitted with Kaposi sarcoma and aids

Answer: B20 – aids
C46.9 – Kaposi sarcoma

  1. Case: Pt have colilithiasis with HIV

Answer: B20 + K80.80

  1. Case: AIDs Pt present with treatment of dehydration

Answer: E86.0 – dehydration

  1. Case: 20 weeks pregnant pt admitted with streptococcus sepsis

Answer: 098.812 – (parasitic diseases complicating pregnancy)
A40.9 – (sepsis because of streptococcus)
Z3A.20

  1. Case: Pt is 5 weeks pregnant now with abdominal pain and nausea

Answer: 026.891 – other pregnancy related condition
R10.0 – abdominal pain
099.89 – other specified diseases and conditions complicating pregnancy, childbirth, and the puerperium
R11.0 – Nausea

  1. Case: Postoperative septic shock

Answer: T81.4XXA, A41.9,T18.12XXA

  1. Case: Gastrostomy tube infection

Answer: K94.22

  1. Case: PICC (peripheral inserted catheter) line infection

Answer: T80.219A infection – central line

  1. Case: Pt have pneumococcus sepsis due to pneumococcal pneumonia with SIRS and Renal failure

Answer: A40.3 – Pneumococcus sepsis
J13 – pneumonia
R65.20 – Renal failure

  1. Case: Puerperal sepsis

Answer: 085

  1. Case: Pt is septic shock in 30 weeks of pregnancy

Answer: 098.813 –
A41.9 – secptic shock
R65.21 – sepsis

  1. Case: Screening of HIV

Answer: Z11.4

  1. Case: Sepsis due to streptococcus of new born

Answer: P36.10 – sepsis – newborn – streptococcus

  1. Case: AIDS pt admitted with fracture of upper end of right said femur

Answer: S72.001A – fracture
B20 – aids

  1. Case: Pt have fever + other sign and symptoms Pt is evaluated HIV but lab report is – ve

Answer: R50.9 + other signs + Z71.7
If lab test is positive give only – Z21

  1. Case: A present pt in her second trimester at 17th week present for checkup. She is HIV positive symptomatic

Answer: 098.7
B20
Z3A.17

  1. Case: Infectious mononucleosis due to Epstein-barr virus

Answer: B27.00

Aside from these, you are also able to find some other medical coding examples ICD-10 with answers on Youtube by going to the platform, entering the keyword, and pressing Enter. Not only Youtube, you can also open your favorite browser and start hunting. Practice makes perfect so please do not stop practicing and do not get tired of it. While you might make some mistakes, do not give up and keep your head up and keep trying until you can do your job well. To make everything perfect, you might want to seek help from the professionals who have been in the industry for a long time. Do not hesitate to seek help from them.

Leave a Reply

Your email address will not be published.