Question 1

ICD-10
Determine the principal diagnosis in the following scenario:
Patient presents with abdominal pain and nausea. Previously diagnosed with a urinary tract infection. Patient is admitted for IV antibiotic therapy. Further workup of CT abdomen and pelvis reveals acute pyelonephritis.

Accepted Answer

The answer of ICD-10
Determine the principal diagnosis in the following...

Question 2

ICD-10
Assign the appropriate diagnoses for the following outpatient scenario:
Patient presents with abdominal pain, duration of 7 days, increasing in severity. Patient awoke this morning with temperature of 104.1 along with nausea and chills. Workup in ED was negative for appendicitis and gallbladder disease. Will prescribe pain meds and work up further as an outpatient for the possibility of gastritis.​

Accepted Answer

The answer of ICD-10
Assign the appropriate diagnoses for the following...

Question 3

ICD-10
Assign the appropriate ICD-10 diagnostic codes for the following setting:
Patient presents with a 4-day history of right, lower quadrant abdominal pain. An abdominal and pelvic CT with contrast is ordered that ruled out ectopic pregnancy.​

Accepted Answer

The answer of ICD-10
Assign the appropriate ICD-10 diagnostic codes for...

Question 4

ICD-10
Assign ICD-10 diagnostic codes for the following inpatient scenario. (You will need to assign an admitting diagnosis, a principal diagnosis, and a secondary diagnosis(es).)
​
57-year-old female presents with nausea and vomiting, which started last evening after ingestion of tuna salad sandwich. She presented suspecting she had food poisoning. Patient was dehydrated, so she was rehydrated with fluids and given pain meds. She was admitted with gastroenteritis, probably viral.​

Accepted Answer

The answer of ICD-10
Assign ICD-10 diagnostic codes for the following...

Question 5

ICD-10
A tympanoplasty would be found in what category of ICD-10 PCS procedure codes

Accepted Answer

The answer of ICD-10
A tympanoplasty would be found in what...

Question 6

ICD-9
Assign the appropriate ICD-9-CM diagnostic codes to the following scenario:
​
69 year old admitted to hospital due to altered mental status
​
Assessment/Plan:
Altered Mental Status
Dehydration
Multiple Myeloma
Hypertension
Type II Diabetes Mellitus​

Accepted Answer

The answer of ICD-9
Assign the appropriate ICD-9-CM diagnostic codes to...

Question 7

ICD-10
Assign the appropriate ICD-10-CM diagnostic codes to the following:
​
69 year old admitted for altered mental status
​
Assessment/Plan:
Altered mental status
Dehydration
Multiple myeloma
Hypertension
Type II Diabetes Mellitus​

Accepted Answer

The answer of ICD-10
Assign the appropriate ICD-10-CM diagnostic codes to...

Question 8

ICD-9
Assign the appropriate ICD-9-CM diagnostic codes to the following:
​
Patient initially treated with oral antibiotics but did not improve, therefore, admitted, treated with IV fluids and antibiotics. His dehydration improved, he became much more alert, and his white count improved
​
DISCHARGE DIAGNOSIS:
Pneumonia
Dehydration
Dementia
Chronic ITP
Peripheral Vascular Disease
AKA right leg
CHF​

Accepted Answer

The answer of ICD-9
Assign the appropriate ICD-9-CM diagnostic codes to...

Question 9

ICD-10
Assign the appropriate ICD-10-CM diagnostic codes for the following:
​
Patient treated with oral antibiotics, however, there was no improvement, and, he was admitted and treated with IV fluids and IV antibiotics. His dehydration improved, he became much more alert and his white count improved.
​
DISCHARGE DIAGNOSIS:
Pneumonia
Dehydration
Dementia
ITP
Peripheral Vascular Disease
AKA right leg
CHF​

Accepted Answer

The answer of ICD-10
Assign the appropriate ICD-10-CM diagnostic codes for...

Question 10

ICD-9-CM
Assign the appropriate ICD-9-CM diagnostic codes to the following:
​
82-year-old gentlemen who usually resides at a local nursing home, however, brought to hospital for significant respiratory symptoms over the past week. Chest x-ray was non-conclusive, however, patient was treated with IV antibiotics and IV hydration.
​
IMPRESSION:
Acute dyspnea, hypoxia
Dehydration
Chronic ITP
Chronic constipation
Peripheral vascular disease​

Accepted Answer

The answer of ICD-9-CM
Assign the appropriate ICD-9-CM diagnostic codes to...

Question 11

ICD-10-CM
​
Assign the appropriate ICD-10-CM diagnostic codes for the following:
​
Patient usually resides at a local nursing home and was brought to ED for significant respiratory symptoms. Chest x-ray was not clear, but, patient was admitted for IV antibiotics and IV hydration.
​
IMPRESSION:
Acute dyspnea
Hypoxia
Dehydration
ITP
Chronic constipation
Peripheral vascular disease​

Accepted Answer

The answer of ICD-10-CM
​
Assign the appropriate ICD-10-CM diagnostic codes for...

Question 12

ICD-9-CM
​
Assign ICD-9-CM diagnostic codes to the following:
​
62 year old admitted with chest discomfort. Electrocardiogram (EKG) shows atrial fibrillation , with no evidence of angina or myocardial infarction.
​
FINAL DIAGNOSIS:
Congestive heart failure with PND
Atrial fibrillation
Hypercholesterolemia
Chronic DJD knee, right
Coronary artery disease​

Accepted Answer

The answer of ICD-9-CM
​
Assign ICD-9-CM diagnostic codes to the following:
​
62...

Question 13

ICD-10-CM
​
Assign the appropriate ICD-10 diagnostic codes to the following:
​
62 year old admitted with chest discomfort. EKG shows atrial fibrillation with no evidence of angina or myocardial infarction.
​
FINAL DIAGNOSIS:
Congestive heart failure
CAD
Atrial fibrillation
Hypercholesterolemia
Chronic DJD Knee, Right​

Accepted Answer

The answer of ICD-10-CM
​
Assign the appropriate ICD-10 diagnostic codes to...

Quiz 5: Inpatient Coding

ICD-10 Determine the principal diagnosis in the following scenario: Patient presents with abdominal pain and nausea. Previously diagnosed with a urinary tract infection. Patient is admitted for IV antibiotic therapy. Further workup of CT abdomen and pelvis reveals acute pyelonephritis.

ICD-10 Assign the appropriate ICD-10 diagnostic codes for the following setting: Patient presents with a 4-day history of right, lower quadrant abdominal pain. An abdominal and pelvic CT with contrast is ordered that ruled out ectopic pregnancy.

ICD-10 A tympanoplasty would be found in what category of ICD-10 PCS procedure codes

ICD-9 Assign the appropriate ICD-9-CM diagnostic codes to the following scenario: 69 year old admitted to hospital due to altered mental status Assessment/Plan: Altered Mental Status Dehydration Multiple Myeloma Hypertension Type II Diabetes Mellitus

ICD-10 Assign the appropriate ICD-10-CM diagnostic codes to the following: 69 year old admitted for altered mental status Assessment/Plan: Altered mental status Dehydration Multiple myeloma Hypertension Type II Diabetes Mellitus

Quiz 5: Inpatient Coding

ICD-10 Determine the principal diagnosis in the following scenario: Patient presents with abdominal pain and nausea. Previously diagnosed with a urinary tract infection. Patient is admitted for IV antibiotic therapy. Further workup of CT abdomen and pelvis reveals acute pyelonephritis.

ICD-10 Assign the appropriate ICD-10 diagnostic codes for the following setting: Patient presents with a 4-day history of right, lower quadrant abdominal pain. An abdominal and pelvic CT with contrast is ordered that ruled out ectopic pregnancy.​

ICD-10 A tympanoplasty would be found in what category of ICD-10 PCS procedure codes

ICD-9 Assign the appropriate ICD-9-CM diagnostic codes to the following scenario: ​ 69 year old admitted to hospital due to altered mental status ​ Assessment/Plan: Altered Mental Status Dehydration Multiple Myeloma Hypertension Type II Diabetes Mellitus​

ICD-10 Assign the appropriate ICD-10-CM diagnostic codes to the following: ​ 69 year old admitted for altered mental status ​ Assessment/Plan: Altered mental status Dehydration Multiple myeloma Hypertension Type II Diabetes Mellitus​

ICD-10 Assign the appropriate ICD-10 diagnostic codes for the following setting: Patient presents with a 4-day history of right, lower quadrant abdominal pain. An abdominal and pelvic CT with contrast is ordered that ruled out ectopic pregnancy.

ICD-9 Assign the appropriate ICD-9-CM diagnostic codes to the following scenario: 69 year old admitted to hospital due to altered mental status Assessment/Plan: Altered Mental Status Dehydration Multiple Myeloma Hypertension Type II Diabetes Mellitus

ICD-10 Assign the appropriate ICD-10-CM diagnostic codes to the following: 69 year old admitted for altered mental status Assessment/Plan: Altered mental status Dehydration Multiple myeloma Hypertension Type II Diabetes Mellitus