Chapter 10 ICD 10

A person with an IQ of 30 would be diagnosed as having ______________________ intellectual disabilities.

SEVERE

Which of the following diagnoses would not be coded to F60.0? a. fanatic personality disorder b. inadequate personality disorder c. expansive paranoid personality disorder d. sensitive paranoid personality disorder

b. inadequate personality disorder

Category F53 is used to code: a. nymphomania. b. puerperal psychosis. c. hypoactive sexual disorder. d. aversion sexual disorder.

b. puerperal psychosis.

Hallucinations

false sensory experiences, such as seeing something in the absence of an external visual stimulus (not really there)

Delirium of mixed etiology is reported with code

F05

organic psychosis

F09

Vascular dementia with aggressive behavior is reported with code

F01.51

Presenile psychosis is reported with code

F03.90

Depression

A prolonged feeling of helplessness, hopelessness, and sadness

A chronic use of drugs that creates a compulsion to take the drug in order to experience the effects from the drug is known as .

DRUG DEPENDENCE

Mood disorders, also known as ________________disorders, are characterized by abnormal emotional states.

AFFECTIVE

anxiety

Anxiety is a feeling of apprehension, worry, uneasiness, or dread, especially of the future.

presenile dementia with violent behavior

F03.91

Psychiatric disorders diagnosed most commonly by psychiatrists are recorded by using , thus making coding challenging.

DSM-5

A slowly progressive decrease in mental abilities that includes lack of judgment, decreased memory, and a decrease in the ability to pay attention is known as

DEMENTIA

dissociative amnesia

Dissociative disorder characterized by the sudden and extensive inability to recall important personal information, usually of a traumatic or stressful nature.

vascular dementia

F01.50

Jerry Decker, a 90-year-old male, is admitted to Sunny Valley Residential Center. The H&P reports an admission diagnosis of vascular dementia with violent behavior.

F01.51

John Tops is admitted to an inpatient rehab center to determine if he has an addiction to alcohol. After extensive testing the assessment concludes alcohol dependence with withdrawal delirium.

F10.231

alcohol withdrawal syndrome

F10.239

John was admitted to Sunny Valley Rehab Center and the assessment by the physician records "alcohol dependence with alcohol-induced sleep disorder." This would be reported with code

F10.282

alcoholic paranoia

F10.950

ALCOHOLIC DEMENTIA

F10.97

heroin dependence

F11.20

Andrea Hops is being seen on an outpatient basis to address opioid use.

F11.90

marijuana abuse, current

F12.10

Cocaine abuse with cocaine-induced psychotic disorder with hallucinations is reported with code

F14.151

chronic paranoid schizophrenia

F20.0

Schizophrenic residual state is reported with code

F20.5

delusional dysmorphophobia

F22

Manic stupor is reported with code

F30.2

hypomanic-type psychosis

F30.8

Recurrent brief depressive episodes are reported with code

F33.8

neurotic depression

F34.1

social phobia

F40.10

Anxiety reaction is reported with code

F41.1

anxiety

F41.9

The diagnostic statement recorded on the psychological assessment is "obsessive-compulsive neurosis." This is reported with code

F42.8

obsessive-compulsive disorder

F42.9

acute stress reaction

F43.0

Adjustment disorder with depressed mood would be reported with code

F43.21

psychogenic confusion

F44.89

psychogenic dysuria

F45.8

anorexia nervosa

F50.00

Suzie Small, a 21-year-old female, is being seen today. She and her mother return to discuss the findings of various diagnostic and psychological tests that were completed to determine the reason for her loss of appetite, as reported by her mother, and weight loss. The laboratory tests show no physiological reason for the weight loss. Psychological testing concluded that the patient is not eating and that the patient is showing signs of anorexia nervosa. The provider is referring the patient to Dr. Jones for further psychological analysis. Assessment: eating disorder. This would be reported with code(s) _______

F50.09

hyperorexia nervosa

F50.2

Psychogenic loss of appetite is reported with code

F50.89

Primary insomnia is reported with code

F51.01

For the last 3 months Bob Smith has been experiencing difficulty sleeping after a number of changes in his life. He returns to the office today to discuss the testing that was completed at the sleep clinic. The provider's assessment is that he has adjustment insomnia.

F51.02

Psychogenic impotence is reported with code

F52.21

premature ejaculation

F52.4

This 29-year-old patient is seen today because she admits to taking 10 multivitamins a day. Her husband confirms this. She is being referred for psychological assessment.

F55.4

borderline personality disorder

F60.3

passive personality disorder

F60.7

narcissistic personality disorder

F60.81

An IQ assessment determines an IQ of 24 indicating severe mental subnormality

F72

intellectual disabilities, IQ of 29

F72

Check My Work John, a 3-year-old male, is being seen today to follow up on previous OT and PT evaluations. His parents have noticed that he appears to have coordination problems. The OT and PT evaluations are unremarkable. Dr. Smith feels that John has developmental coordination disorder. This case would be reported with code ________

F82

Which code is used for the diagnosis of infantile autism?

F84.0

After extensive testing Dr. Jones has determined that Molly has a conduct disorder that is confined to family context. This would be reported with code

F91.0

Pica of infancy is reported with code

F98.3

After completing a speech evaluation on Tom Tops, a 42-year-old male, the therapist recorded a diagnosis of stuttering. The stuttering has started in the last 3 months. This is reported with diagnosis code

F98.5

Assign code F45.41 for pain that is exclusively related to psychological disorders. As indicated by the Excludes1 note under category G89, a code from category G89 should be assigned with code F45.41. a. True b. False

FALSE

DSM-5 is the preferred nomenclature of mental disorders for third-party reimbursement. a. True b. False

FALSE

Mental disorders are always congenital. a. True b. False

FALSE

Mild intellectual disabilites are diagnosed when a person has an IQ of 30.

FALSE

When the provider documentation refers to use and abuse of the same substance, assign only one code. If both use and abuse are documented, assign only the code for use. a. True b. False

FALSE

When the provider documentation refers to use, abuse, and dependence of the same substance, assign only one code for the abuse. a. True b. False

FALSE

Paranoid Reactions

Functional psychoses marked by systematic delusions involving persecution and overblown feelings of self-importance

Alcohol abuse and dependence are classified to different codes in ICD-10-CM. a. True b. False

TRUE

Code F45.42, Pain disorders with related psychological factors, should be used with a code from category G89, Pain, not elsewhere classified, if there is documentation of a psychological component for a patient with acute or chronic pain. a. True b. False

TRUE

Ginger Gin is admitted to New Days Drug and Alcohol Treatment Facility with the following diagnoses: gastritis due to alcoholism, continuous alcohol dependence. The code for the alcohol dependence should be sequenced first when payment for services is billed. a. True b. False

TRUE

When the provider documentation refers to abuse and dependence of the same substance assign only one code for the dependence. a. True b. False

TRUE

Schizophrenia

a group of severe disorders characterized by disorganized and delusional thinking, disturbed perceptions, and inappropriate emotions and actions

Dementia

a slowly progressive decline in mental abilities, including memory, thinking, and judgment, that is often accompanied by personality changes

Which of the following diagnoses are coded with F51.01? a. adjustment insomnia b. paradoxical insomnia c. primary insomnia d. unspecified insomnia

c. primary insomnia

Category F03 includes all of the following diagnoses except: a. presenile dementia. b. senile dementia. c. presenile psychosis. d. senility.

d. senility.

attention deficit disorder

neurological disorder characterized by short attention span and poor concentration

personality disorder

persistent pattern of emotions, cognitions, and behavior that results in enduring emotional distress for the person affected and/or for others and may cause difficulties with work and relationships

panic attack

sudden onset of intense panic in which multiple physical symptoms of stress occur, often with feelings that one is dying