ICD-9-CM CODING FUNDAMENTALS CODING EXERCISES
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1 Steps to Accurate Coding Underline the main term, then locate code: Stenosis of Carotid Artery Transient Ischemic Attack Gastrointestinal hemorrhage Degenerative Joint Disease Coronary Artery Disease Alcoholic Cirrhosis of the liver Infectious and Parasitic Diseases ( ) Pneumonia due to Diplococcus Clostridium difficille enteritis Cellulitis of the right thumb, Staphylococcus aureus infection AIDS with Kaposi's sarcoma UTI with methicillin resistant Staphylococcus aureus (MRSA) Vancomycin Resistant Enterococcus (VRE) without mention of multiple drug resistance Page 1
2 Neoplasms ( ) Breast cancer (female), under current treatment, with metastasis to brain Cancer, skin of neck Benign tumor of lip Malignant neoplasm of lung with multiple metastasis Metastatic carcinoma of prostate Page 2
3 Endocrine, Nutritional, Metabolic and Immunity Disorders ( ) Diabetic ulcer of the left 4th and 5th toes, Type II diabetes, uncontrolled Neuropathy due to Type II diabetes mellitus Renal diabetes with neurogenic bladder Type I with diabetic gangrene, right foot Diabetes Mellitus Dehydration Hypothyroidism Malnutrition, mild Vitamin B12 deficiency Page 3
4 Mental Disorders ( ) Alzheimer s disease Alzheimer s dementia with behavior disorders Alzheimer s disease with agitation Depression Depression with insomnia Depression with anxiety Major depression (psychotic) Sundown Syndrome Dementia Vascular Dementia with depression Alcoholic dependence syndrome, unspecified Mental retardation Organic Brain Syndrome, psychotic Page 4
5 Circulatory Disorders ( ) Acute subendocardial MI, following hospital stay Arteriosclerotic heart disease (ASHD) Arteriosclerotic Cardiovascular disease (ASCVD) Congestive Heart Failure CVA with aphasia, seizures Chronic renal failure and hypertension Hypertensive Heart disease with CHF Page 5
6 Respiratory System ( ) Chronic asthma with acute exacerbation of COPD Asthmatic bronchitis Chronic emphysema Chronic bronchitis in a resident with COPD Aspiration pneumonia due to Dysphagia Pseudomonas pneumonia Pneumonia unspecified Left lower lobe (LLL) pneumonia Lobar pneumonia Digestive System ( ) Duodenal ulcer with hemorrhage GERD Peptic ulcer with obstruction Recurrent femoral hernias, bilateral Diverticulitis of colon Page 6
7 Genitourinary system ( ) E-coli UTI Chronic renal failure due to Type I Diabetes Mellitus, not stated as uncontrolled Benign prostatic hypertrophy (BPH) with retention Kidney stones with hematuria Chronic interstitial cystitis Skin and subcutaneous tissue ( ) Lupus Erythematosus Decubitus ulcer, right hip Cellulitis, right finger Gangrenous ulcer of heel, arteriosclerotic Dermatitis caused by eating strawberries Page 7
8 Musculoskeletal system and connective tissue ( ) Osteoarthritis (Degenerative Joint Disease (DJD) knees Rheumatoid arthritis Osteoporosis Osteomyelitis of the ankle Osteoarthritis of the spine Symptoms, Signs and Illdefined conditions ( ) Sleep disturbance Malaise, fatigue Gait disturbance Weakness Positive PPD Altered Mental Status Failure to thrive Weight loss Page 8
9 Injury and Poisoning, Hives due to adverse reaction to amoxicillin Acute finger fracture (diagnosed by portable x-rayin the NF) Infection of dialysis shunt Coding with V- Codes Pathologic fracture of the vertebrae Colostomy care and management Personal history of colon cancer Below Knee Amputation Aftercare traumatic hip fracture Aftercare, pathologic ulna fracture Long term drug use, antibiotic Status post ventricular peritoneal shunt Hip replacement for hip fracture due to a fall Page 9
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Supplementary appendix
Supplementary appendix This appendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Williams CM, Maher CG, Latimer J, et al. Efficacy