Week 1 Diagnosis Coding Test

Question 1

Insulin dependent diabetes mellitus (IDDM)

Answer 1

E11.9 DM, Z79.4 long term current use of insulin

Question 2

CAD (coronary artery disease)

Answer 2

I25.10 angina not specified

Question 3

Left radial shaft greenstick fracture from fall

Answer 3

S52.312A, W18.2XXA external cause code

Question 4

Torn complex medial meniscus, assume synovium

Answer 4

S83.232A specifies complex and medial

Question 5

Brain Mets from lung

Answer 5

Code primary site first (lung) C34.90, secondary C79.31 (brain)

Question 6

Metastatic carcinoma of brain

Answer 6

C79.31 brain neoplasm, primary site unknown code C80.1

Question 7

COPD with acute respiratory failure

Answer 7

Acute is primary, J96.00, then J44.9 for COPD

Question 8

Hematuria from UTI

Answer 8

N39.0 UTI only, hematuria is a symptom

Question 9

Nausea and vomiting resulting from ingesting gasoline

Answer 9

Code as accidental (unspecified) followed by combination code for nausea/vomiting

Question 10

X-ray of left knee for pain following fall. History of TKA 2 years ago. AP and lateral views of left knee demonstrate left knee replacement in satisfactory position. No fracture, subluxation seen

Answer 10

3 codes - knee pain M25.562, external cause code for fall W19.XXXA, presence of artificial knee joint Z96.652

Question 11

Laceration of right middle finger without nail damage

Answer 11

S61.212A

Question 12

Hypertensive heart disease

Answer 12

I11.9 combination code

Question 13

Chronic low back pain

Answer 13

M54.50

Question 15

COPD with acute bronchitis

Answer 15

J44.0 combination code

Question 16

Neoplasm of breast

Answer 16

D49.3 (not stated if malignant)

Question 17

Maternal venereal disease, postpartum

Answer 17

O98.33 (complicating peurperium)

Question 18

Encounter with vision loss of a 10-year-old due to accidental ingestion of the parents’ Prozac

Answer 18

H54.7 for vision loss, T43.221A accidental ingestion of Prozac (poisoning by SSRIs)

Question 19

Acute myeloid leukemia

Answer 19

C92.00