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ICD-10-CM Coding Flashcards

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Read the first 7 ICD-10-CM Coding flashcards as text

  1. A patient presents to an outpatient clinic with a pathological fracture of the right femur due to metastatic bone disease from breast cancer. Which code is sequenced first?

    Answer: The metastatic bone disease code

    In outpatient coding, metastatic disease is coded first when it is the reason for the encounter, with the fracture as a secondary code.

  2. Which ICD-10-CM placeholder character 'X' is used when?

    Answer: To fill a code position so a 7th character can be added to a code with fewer than 6 characters

    The placeholder 'X' is inserted at empty positions so the required 7th character extension falls in the correct position.

  3. A patient is seen in the ED for acute exacerbation of COPD with acute bronchitis. How should these conditions be coded?

    Answer: Code the combination code J44.0 (COPD with acute lower respiratory infection)

    ICD-10-CM provides combination code J44.0 which captures COPD with acute lower respiratory infection, including acute bronchitis.

  4. Under ICD-10-CM, how is hypertensive chronic kidney disease coded?

    Answer: A combination code from category I12 linking hypertension and CKD

    ICD-10-CM assumes a causal relationship between hypertension and CKD, requiring a combination code from category I12.

  5. A patient is seen for a routine follow-up visit after completing treatment for malignant neoplasm of the colon; no evidence of disease is found. Which code is appropriate?

    Answer: Z08 – Encounter for follow-up examination after completed treatment for malignant neoplasm

    Z08 is used when the patient has completed treatment and presents for a follow-up with no current disease evidence.

  6. When coding an outpatient encounter for a condition that is documented as 'probable' or 'suspected,' what is the correct ICD-10-CM guideline?

    Answer: Code the signs and symptoms, not the unconfirmed diagnosis

    In outpatient settings, uncertain diagnoses such as 'probable' or 'suspected' should not be coded; instead, code the signs and symptoms.

  7. Which 7th character extension is used for the initial encounter for an open fracture of the shaft of the humerus in ICD-10-CM?

    Answer: B

    The 7th character 'B' designates the initial encounter for an open fracture (type I or II, or type IIIA, IIIB, or IIIC).

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