ICD-10 CM CODING SECTION

A patient is a type 2 diabetic with chronic kidney disease requiring dialysis. E09.29, N18.6, Z99.2 E11.22, N18.6, Z99.2 E11.21, N18.6, Z99.2 E13.21, N18.6, Z99.2

E11.22, N18.6, Z99.2

A female, 68 years old, was admitted with type 2 diabetes mellitus with a diabetic ulcer of the left heel involving the subcutaneous layer of the skin. The patient will be scheduled for wound care with whirlpool treatments. E11.621, L97.421 E11.620, I97.421 E11.621 L97.421, E11.621

E11.621, L97.421

A patient is admitted with severe protein calorie malnutrition. E42 E43 E46 E40

E46

A 67-year-old man is admitted with acute dehydration secondary to nausea and vomiting that is due to acute gastroenteritis. He is treated with IV fluids for the dehydration. K52.9, E86.0 E11.620, I97.421 86.0, E11.2, K52.9 E86.0, K52.9

E86.0, K52.9

A patient is admitted with acute alcohol intoxication with a blood alcohol level of 113 mg/100 ml. Y90.5, F10.129 F10.129, Y90.5 F10.129, Y90.6 F10.129, Y90.4

F10.129, Y90.5

A patient is admitted with delirium tremens with alcohol dependence. F10.221 F10.222 F10.121 F10.231

F10.221

A patient with chronic paranoia due to cocaine dependence with intoxication and drug delirium. F14.129 F14.221 F14.159 F14.19, F22

F14.221

A patient is admitted with catatonic schizophrenia. F20 F14.221 F20.2 F14.29

F20.2

A patient is admitted with severe recurrent major depression without psychotic features. F33.0 F33.3 F32.2 F33.2

F33.2

A patient is diagnosed with Alzheimer's disease and early onset dementia, and frequently wanders away from home. G30.8, F02.81, Z91.83 F02.81, G30.0, Z91.73 G30.0, F02.81, Z91.83 G30.0, Z91.73

G30.0, F02.81, Z91.83

A patient has intractable status epilepticus. G40.311 G40.301 G40.31 G40.201

G40.311

A patient is admitted for pain control secondary to metastatic carcinoma of the spinal cord. G89.3, C79.49 C79.51, C80.1, G89.3 C79.49, C80.1 , G89.3 G89.3, C79.49, C80.1

G89.3, C79.49, C80.1

A patient is admitted with sensorineural deafness of the left ear. The patient was fitted for a hearing aid. H90.71 H90.72 H90.42 H90.41

H90.42

A patient has end-stage kidney disease, which resulted from malignant hypertension. I12.0, N18.6 I10, N18.6 I13.11, N18.6 I15.1, N18.6

I12.0, N18.6

A patient is admitted with acute ST Inferolateral wall myocardial infarction. Several days later during the same episode of care, the patient sustained a subsequent non-ST subendocardial myocardial infarction. I21.09, I22.8 I21.02, I22.8 I22.2, I21.02 I21.19, I22.2

I21.19, I22.2

A patient with a diagnosis of coronary artery disease with ischemic chest pain. No history of CABG. I25.119 I25.119, I20.9 I25.9 I25.10, I20.9

I25.119

A patient is diagnosed with psychogenic paroxysmal tachycardia. I47.9 F54 I47.8, F54 I47.9, F54

I47.9, F54

A patient is admitted with a thrombosis of the right middle cerebral artery, with hemiplegia affecting the right dominant side. I66.01, I69.351 I63.311, I69.353 I63.311 I63.311, I69.351

I63.311, I69.351

A patient with atherosclerotic peripheral vascular disease of the left lower leg with intermittent claudication. Past surgical history is negative. I70.219 I70.212 I70.298 I70.208

I70.212

A patient is admitted with acute gastric ulcer with hemorrhage and perforation. K25.0, K25.1 K25.6 K25.4, K25.6 K25.2

K25.2

A patient is admitted to the hospital for repair of a recurrent incarcerated ventral hernia. The surgery is canceled after the chest x-ray revealed lower lobe pneumonia. The patient is placed on antibiotics for treatment of the pneumonia. K43.0, J18.9, Z53.09 J18.9, K43.0, Z53.09 K43.6, J18.9 J18.9, J43.6

K43.0, J18.9, Z53.09

A patient is admitted for rectal bleeding. The laboratory results reveal chronic blood-loss anemia. The CT and the Bleeding Scan results of the abdomen revealed that the rectal bleeding is due to Crohn's disease of the descending colon. K50.118, D50.0 K50.111, D50.0 K50.011, D50.0 K50.911, D50.0

K50.111, D50.0

A patient has diverticulitis of the large bowel with abscess. Patient was treated with IV antibiotics. K57.92 K57.12 K57.20 K57.52

K57.20

A patient is admitted with bleeding esophageal varices with alcoholic liver cirrhosis and portal hypertension. The patient is alcohol dependent. K76.6, I85.11, K70.30 I85.11, K76.6, K70.30 K70.30, I85.11, K76.6 K70.0. I85.11, K76.6

K70.30, I85.11, K76.6

A patient is admitted with acute gangrenous cholecystitis with cholelithiasis. K80.00 K80.12 K81.0, K80.80 K80.32

K80.00

A patient is admitted with a wound open to the left finger with cellulitis due to a dog bite initial encounter. The patient is given IV antibiotics for treatment of the infection. L03.012 L03.011 S61.201A L03.012, S61.201A

L03.012, S61.201A

A patient is admitted with dermatitis due to prescription topical antibiotic cream used as directed by a physician, initial encounter. L08.89, T49.0x5 L25.1, T49.0x5A L02.91, T49.0x5 T49.0x5, L25.1

L25.1, T49.0x5A

A patient is admitted with a stage 1 pressure ulcer of the sacrum. During the hospitalization, the ulcer progressed to a stage 2. L89.125 L89.151, L89.152 L89.152 L89.153

L89.152

A patient is admitted with pyogenic arthritis of the right hip due to Group A Streptococcus. Treatment consisted of IV antibiotics. M16.11, A49.1 M16.7, A49.1 M00.251 M00.851

M00.251

A patient is admitted with a back pain. A myelogram demonstrated the reason for the back pain is a herniated lumbar intervertebral disc with radiculopathy. M51.26, M54.16 M84.552, C79.51, Z85.118 M51.26 M51.16

M51.16

A patient is admitted with a fracture to the L1 vertebrae secondary to postmenopausal senile osteoporosis, initial encounter. M80.08 M80.88 M80.88xA M80.08xA

M80.08xA

A male patient presents to the ED with acute renal failure. He is also being treated for hypertension. I12.9, N17.9 N17.9, I15.9 N17.9, I12.9 N17.9, I10

N17.9, I10

A patient admitted with gross hematuria and benign prostatic hypertrophy. R31.0, N40.0 R31.0, N40.1 N40.0, R31.0 N40.1, R31.0

N40.0, R31.0

A patient is admitted that has urinary retention secondary to benign prostatic hypertrophy. N40.0, R33.8 N40.1, R39.11, R33.9 N40.1, R33.8 N40.3, R33.8

N40.1, R33.8

A patient is admitted with pregnancy-induced hypertension with severe edema and 24 weeks gestation. O14.12 I10, Z33.1 O14.12, Z3A24 O14.00, 23A24

O14.12, Z3A24

A patient is admitted with obstructed labor due to breech presentation. A single liveborn infant was delivered via Cesarean section. Do not assign the code for the procedure. O32.1xx0 O32.1xx0, Z37.0 032.8xx0, Z37.0 O32.6xx0, Z37.0

O32.1xx0, Z37.0

A patient is admitted who is 39 weeks gestation normal delivery single full-term newborn. During the same episode of care, patient experiences a 36-hour delayed hemorrhage following the delivery. O80, O72.2, Z37.0 O72.2, Z37.0 Z3A.39, O72.2, Z37.0 O72.2, Z3A.39, Z37.0

O72.2, Z3A.39, Z37.0

A woman has a vaginal delivery of a full-term liveborn infant after 38 weeks gestation. O80, Z37.0, Z3A.38 O80, Z37.0 Z3A.38, O80, Z37.0 Z37.0, Z3A.38, O80

O80, Z37.0, Z3A.38

In the Medical Surgical Section, the seventh character position represents? O80, Z37.0, Z3A.38 O80, Z37.0 Z3A.38, O80, Z37.0 Z37.0, Z3A.38, O80

O80, Z37.0, Z3A.38

A patient is seen in the ED at 22 weeks gestation who is HIV positive. B20, O98.712, Z3A.22 O98.712, Z21, Z3A.22 Z21, O98.712 P98.712, B20

O98.712, Z21, Z3A.22

A 1-week-old infant is admitted to the hospital with a diagnosis of urinary tract infection contracted prior to birth. The urine culture is positive for E. coli. P39.3 P39.3, N39.0, A49.8 P39.3, N30.90, A49.8 P39.3, A49.8

P39.3, A49.8

An infant has hypoglycemia and a mother with diabetes. P70.0 P70.2 P70.1 P70.4

P70.1

A patient is admitted with cervical spina bifida with hydrocephalus. Q76.0 Q05 Q05.0 Q05.5

Q05.0

A newborn infant is transferred to Community General Hospital for treatment of an esophageal atresia. What codes should be reported for Community General Hospital? Z38.00, Q39.0 Q39.0 Z38.00, Q39.1 Q39.1

Q39.0

A patient is admitted with right lower quadrant abdominal pain. The discharge diagnosis is listed as abdominal pain due to gastroenteritis or diverticulosis. K52.9, K57.90 K57.90, K52.9 R10.31, K52.9, K57.90 K52.9, K57.90, R10.31

R10.31, K52.9, K57.90

A patient is admitted with dizziness as a result of taking phenobarbital as prescribed, initial encounter. R42, T42.4x1A R42, T42.3x5A T42.4x2A, R42 T42.4x1A, R42

R42, T42.3x5A

A patient is admitted with fever due to bacteremia. R78.81 R50.9 R78.81, F50.81 R78.81, R50.9

R78.81, R50.9

A patient is admitted with a gunshot wound to the right upper quadrant of the abdomen, which involves a moderate laceration to the liver, initial encounter. S36.118A S36.115A, S31.101A S36.115A S36.115A, S31.600A

S36.115A, S31.600A

A patient developed a malunion of the left medial condyle humeral fracture. The original injury occurred 4 months ago. S42.462K S42.462G S42.462P S42.462D

S42.462P

A patient is seen for a cast removal. Six weeks ago, the patient underwent open reduction internal fixation for a displaced fracture left radial styloid process. S52.512D Z47.89 S52.515A Z47.2

S52.512D

A patient is admitted with a nondisplaced fracture of the left medial malleolus, initial encounter. The fracture was treated with a cast. S82.52xB S82.55xA S82.62xA S82.63xA

S82.55xA

A patient was admitted for removal of internal pins from the left ankle. One month ago the patient sustained a displaced bimalleolar fracture to the left ankle. S82.842K S82.842D S82.842S S84.842G

S82.842D

A woman experienced third-degree burns to her thigh and second-degree burns to her right and left foot, initial encounter. She stated that the burns were from hot liquid. T24.319A, T25.229A T24.31xA, T24.331A, T24.332A T24.319A, T25.222A, T25.221A T24.719A, T25.222A, T25.221A

T24.319A, T25.222A, T25.221A

A patient is admitted for intentional overdose of valium and acute respiratory failure with hypoxia. J96.01, T42.4x2A J96.01, T42.4x2A, R09.02 T42.4x2A, J96.01 T42.4x2A, J96.00, R09.02

T42.4x2A, J96.01

A patient is admitted with an anaphylactic reaction due to eating strawberries, initial encounter. T78.04xA T78.49 T78.2 T78.04

T78.04xA

A patient had a cholecystectomy 3 days ago and is now readmitted with cellulitis at the site of the operative incision. T81.4, K68.11, 95.61 T81.4xxA, L03.311 K68.11, B95.61 L03.31, T81.4xxA

T81.4xxA, L03.311

Patient was initially admitted and treated for an amebic abscess of the liver. During the stay the patient developed a "hospital acquired bacterial pneumonia." A06.4, J15.8; Y95 A06.4, J18.9, Y95 A06.4, J95.89, Y95 A06.4, J15.9, Y95

A06.4, J15.9, Y95

A patient was admitted with severe sepsis due to MRSA with septic shock and acute respiratory failure with hypoxia. R65.21, A41.02, J96.02 A49.01, R65.21, J96.01 J96.01, R65.21, A41.02 A41.02, R65.21, J96.01

A41.02, R65.21, J96.01

A patient is admitted with poliovirus meningitis. G02, A80.9 A80.9, G02 A80.3, G02 A80.0, G02

A80.9, G02

A patient is admitted with fever and severe headache. The physician's diagnostic statement at discharge is: Fever and severe headache probably due to viral meningitis. A87.9, R50.9, R51 A87.8, R50.9, R51 A87.8 A87.9

A87.9

A patient is admitted for observation for a head injury. The patient was struck while playing football. The patient also suffered a minor laceration to the forehead. Head injury was ruled out. Z71.4 S01.81xA, Z71.4 S01.81xA Z04.3, S01.81xA

Z04.3, S01.81xA

Positive HIV test in a patient who is asymptomatic and has a high-risk lifestyle for HIV infection. Z21, Z72.89 B20, Z20.6, Z72.89 B20, Z21, Z72.89 B20, Z20.6, Z72.89

Z21, Z72.89

A Newborn infant is born in the hospital vaginal delivery with a unilateral hard cleft palate and cleft lip. O37.1, Z38.00 O37.2, Z38.00 Z38.00, O37.1 Z38.00, O37.2

Z38.00, O37.1

A newborn infant is born in the hospital, delivered vaginally, and sustained a fracture of the clavicle due to birth trauma. Z38.00, P13.4 Z38.00, S42.009A P13.4 Z38.00, P13.4, S42.009A

Z38.00, P13.4

A full-term infant born in hospital vaginal delivery was diagnosed with polycystic kidneys. Z38.00, Q61.11 Z38.00, Q61.19 Z38.00, Q61.3 Z38.00, Q61.8

Z38.00, Q61.19

A full-term newborn vaginal delivery was born in the hospital to a mother who is addicted to cocaine; however, the infant tested negative. Z38.00, F14.10 Z38.00, F14.129 Z38.00, F14.20 Z38.00, Z03.79

Z38.00, Z03.79

A preterm infant 34 weeks gestation is born via Cesarean section and has severe birth asphyxia. Z38.01, P84, P07.37 Z38.01, P84, R09.01 Z38.01, P84, R09.02 Z38.01, P84, R09.2, P07.37

Z38.01, P84, P07.37

A patient is being admitted for chemotherapy for primary lung cancer, left lower lobe. Z51.11 Z51.11, Z85.118 C34.32, Z51.11 Z51.11, C34.32

Z51.11, C34.32

A 32-year-old female patient presents with right arm (dominant) paralysis due to childhood poliomyelitis. B91, G83.21 A80.39 A80.39, G83.21 A80.39, G83.3

B91, G83.21

A patient is admitted with abdominal pain. A CT and MRI of the abdomen reveal a malignant neoplasm to the head of the pancreas with metastatic disease to the peritoneal cavity. C25.1, C78.6 C25.0, C78.6 C78.89, C78.89 D01.7, C78.6

C25.0, C78.6

A patient to an OP Clinic with a large growth on the left side of the neck. An MRI is performed and demonstrates metastatic disease to the lymph nodes. C77.2, C80.0 C77.0, C80.1 C77.2, R22.1, C81.1 C77.8, C80.0

C77.0, C80.1

A patient with a history of malignant neoplasm of the lung status post lobectomy was admitted after experiencing a violent seizure lasting more than several minutes. During the course of the hospitalization the patient has continued to have seizures. Workup revealed metastatic lesions to the brain. The patient's seizures were treated with IV Dilantin. C79.31, R56.9, Z85.118 C79.3, Z85.118, F56.9 C79.31, F56.9 F56.9 C79.32, Z85.118

C79.31, R56.9, Z85.118

A patient is admitted with extrinsic asthma with status asthmaticus with bronchospasm. J45.901 J45.32 J45.902 J45.90

J45.902

A patient is admitted with acute respiratory failure with hypercapnia due to acute asthmatic bronchitis with status asthmaticus. Treatment consisted of IV steroids. J45.902, J96.02 J96.02, J45.902 J45.901, J96.02 J45.52, J96.02

J45.902, J96.02

A patient has aspiration pneumonia with pneumonia due to Staphylococcus aureus. J15.211 J69.0 J69.0, J15 J69.0, J15.211

J69.0, J15.211

A patient is admitted for infection of the tracheostomy stoma secondary to cellulitis of the neck. L03.221, J95.02 J95.02, L03.221 J95.03, L03.221 J95.09, L03.221

J95.02, L03.221

A patient is admitted with anemia due to end-stage renal disease. The patient is treated for anemia. N18.6, D63.8 D63.1, N18.6 D63.1, N18.5 D63.1

D63.1, N18.6

A patient is admitted with aplastic anemia secondary to chemotherapy administered for multiple myeloma initial encounter. D61.1, T45.1x5A, C90.00 T45.1x5A, C90.00, D61.3 C90.00, T45.1x5A, D61.1 D61.1, T45.1x5A, D61.3

D61.1, T45.1x5A, C90.00

A patient is admitted for treatment of anemia, neutropenia, and thrombocytopenia. D70.8, D69.59, D59.2 D61.810 D70.8, D69.59, D59.2, D61.810 D61.818

D61.818

A patient is readmitted for post-op anemia due to acute blood loss. Patient is 5 days status postcholecystectomy. D62, R58 K91.840, D62 K91.89, D62 D62

D62

A patient is admitted for control of exacerbation of chronic obstructive lung disease. The patient had stopped taking the prednisone as prescribed due to gaining weight, a known side effect for this drug. J44.1, T38.0x6A, Z91.14 T38.0x6A, J44.1, Z91.14 J44.0, T38.0x6A, Z91.14 T38.0x6A, Z91.14, J44.0

J44.1, T38.0x6A, Z91.14

A patient is admitted with acute exacerbation chronic obstructive pulmonary disease with a history of tobacco dependence. J44.1, Z87.891 J44.9, Z72.0 J44.0, Z87.891 J44.1, Z72.0

J44.1, Z87.891

A patient is admitted for treatment of influenza and pneumonia. J11.1, J18.9 J11.00 J11.08, J11.1 J11.1

J11.00