Exam 6: Exam-Specific Guidelines ICD-10-CM Chapters 11-14

Osteoporosis is a systemic condition, meaning that all bones of the musculoskeletal system are affected.

Cyst of the salivary gland. ICD-10-CM Code:_____________________

For hemorrhage to be reported, there does not have to be active bleeding; however, there must be documentation in the medical record indicating active bleeding has occurred and the source of the bleeding must be identified.

Pressure ulcer of right elbow with partial thickness skin loss involving epidermis and dermis. ICD-10-CM Code: ____________________

Ruptured popliteal cyst. ICD-10-CM Code:____________________

Staphylococcus aureus arthritis of the left hip. ICD-10-CM Codes:____________________

Osteopathy of right lower leg following poliomyelitis. ICD-10-CM Codes:____________________

Postgastrectomy dumping syndrome. ICD-10-CM Code:_____________________

Contact dermatitis due to nickel allergy. ICD-10-CM Code: _____________________

Pressure ulcers develop when the circulation to an area is decreased by the application of pressure to the area.

Arthropathy of right shoulder due to sickle cell thalassemia. ICD-10-CM Codes:____________________

Ventral incisional hernia, without obstruction or gangrene. ICD-10-CM Code:____________________

Many conditions reported in the musculoskeletal chapter are a result of previous injury or trauma to a site, or are recurrent conditions.

Patient seen by rheumatologist for rheumatoid arthritis of the right elbow with leukopenia and splenoadenomegaly (Felty's syndrome). ICD-10-CM Code:____________________

Staphylococcus aureus arthritis of the left ankle is an example of when the organism is reported first, followed by a code to report the pyogenic arthritis.

Derangement of right knee.During arthroscopy, a medial meniscus tear from an old injury was found. ICD-10-CM Code:_____________________

Chapter 13 contains codes for bone, joint, and muscle conditions that are recurrent or chronic while Chapter 19 contains codes for current injuries.

There are two types of direct infections; reactive arthropathy and postinfective arthropathy.

The Includes and Excludes of a code are only listed in the Tabular; therefore, it is imperative that you reference the Tabular before selecting a code.

With indirect infections (Category M02) of joints due to infectious or parasitic disease classified elsewhere, the coder is directed to "code first" the underlying disease.