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