Deck 6: Chapter-Specific Guidelines ICD-10-CM Chapters 11-14

Question 1

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

Answer 1

True

Question 2

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

Answer 2

True

Question 3

A stage 2 pressure ulcer is considered a full-thickness loss of skin.

Answer 3

False

Question 4

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

Question 5

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

Question 6

Chapter 11, Diseases of the Digestive System (K00-K94), contains many combination codes that require careful reading.

Question 7

Patient who habitually chews tobacco is diagnosed with leukoplakia of the tongue, nicotine induced.
ICD-10-CM Codes: ____________________ (two codes)

Question 8

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.

Question 9

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

Question 10

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.

Question 11

A stress fracture is the same as a pathologic fracture.

Question 12

Patient with alcohol dependence is found to have chronic gastric atrophy.
ICD-10-CM Codes:____________________ (two codes)

Question 13

For certain conditions, the bone may be affected at the upper or lower end such as with avascular necrosis of the femur in the knee joint.When the site is at the joint, report the condition of the joint, not the bone.

Question 14

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

Question 15

There are only two code categories assigned to report infectious arthropathies: M00 and M01.

Question 16

Staphylococcus aureus arthritis of the left hip.
ICD-10-CM Codes:____________________ (two codes)

Question 17

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.

Question 18

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.

Question 19

Stress fracture of the right foot, subsequent encounter with delayed healing.
ICD-10-CM Code:____________________

Question 20

A symptom code should not be assigned when it is considered to be routinely associated with a disease process.

Question 21

Choledocholithiasis (calculus of the bile duct) with acute and chronic cholangitis.
ICD-10-CM Code:_____________________

Question 22

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

Question 23

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

Question 24

Acquired hallux valgus, right foot.
ICD-10-CM Code:____________________

Question 25

Choledochoduodenal fistula.
ICD-10-CM Code:_____________________

Question 26

Crohn's disease of the small and large bowel complicated by pyoderma gangrenosum.
ICD-10-CM Codes:____________________ (two codes)

Question 27

Osteopathy of right lower leg following poliomyelitis.
ICD-10-CM Codes:____________________ (two codes)

Question 28

Patient with arthropathy of left hip associated with dysentery due to enteritis Yersina enterocolitica.
ICD-10-CM Codes: ____________________ (two codes)

Question 29

Boil on the face, due to Staphylococcus epidermidis.
ICD-10-CM Codes:____________________ (two codes)

Question 30

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

Question 31

Pneumococcal arthritis of the left knee due to Streptococcus pneumoniae.
ICD-10-CM Codes:_________________________________________ (two codes)

Question 32

Itching.
ICD-10-CM Code:____________________

Question 33

Obstructed intestinal hernia with gangrene.
ICD-10-CM Code:____________________

Question 34

Initial encounter for a pathologic fracture left metatarsal due to age-related postmenopausal osteoporosis.This patient had a previous pathologic fracture of the hip due to osteoporosis.
ICD-10-CM Codes:_______________________________________ (two codes)

Question 35

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

Question 36

Patient diagnosed after esophagoscopy with a small abscess of the esophagus.
ICD-10-CM Code:____________________

Question 37

Pathologic fracture of right femur, subsequent encounter with malunion.
ICD-10-CM Code:____________________

Question 38

Acute hematogenous osteomyelitis of the right hand, due to Streptococcus, group A.
ICD-10-CM Codes:____________________ (two codes)

Question 39

Ruptured appendix with generalized peritonitis.
ICD-10-CM Code:_____________________

Question 40

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

Question 41

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

Question 42

Mucocele of the gallbladder.
ICD-10-CM Code:_____________________

Question 43

Chronic ulcerative proctitis with fistula.
ICD-10-CM Code:____________________

Question 44

Recurrent chronic pancreatitis
ICD-10-CM Code:_____________________

Question 45

Keratoderma in a patient with Reiter's disease of the right shoulder.
ICD-10-CM Codes:____________________ (two codes)

Question 46

Celiac disease.
ICD-10-CM Code:____________________

Question 47

Mucinosis of the skin.
ICD-10-CM Code: _____________________

Question 48

Dyskinesia of esophagus.
ICD-10-CM Code:_____________________

Question 49

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

Question 50

Loose body in the right ankle joint.
ICD-10-CM Code:____________________

Question 51

Direct infection of the left ankle due to leprosy (Mycobacterium leprae).
ICD-10-CM Codes: ____________________ (two codes)

Question 52

Degenerative tear of the posterior horn of the lateral meniscus of right knee, due to old injury.
ICD-10-CM Code:____________________

Question 53

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

Question 54

Acute pseudo-obstruction of the intestine.
ICD-10-CM Code:_____________________

Question 55

Acute gastrectasis (distention of stomach).
ICD-10-CM Code:_____________________