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Question 12Patient is diagnosed with kidney stones. What ICD-10-CM code is reported?Selected Answer:N20.0Answers:N20.9N20N20.2N20.0ResponseFeedback:In the ICD-10-CM Alphabetic Index look for Stone(s)/kidney which leads toN20.0, calculus of kidney. Verify in the Tabular List.Question 13Patient presents with follow-up of Type 1 Diabetes with Stage 3 CKD. What code(s) is/arereported?Selected Answer:E10.22, N18.34 out of 4 points4 out of 4 points4 out of 4 pointsReview Test Submission: Chapter 4 Review – MBC-201-900 -......6 of 128/4/17, 6:59 PM
Answers:E11.9, N18.3E10.22, N18.3E10.22E11.22, N18.3ResponseFeedback:In the ICD-10-CM Alphabetic Index, look for Diabetes, diabetic (mellitus)(sugar)/type 1/with/chronic kidney disease, which refers the user to E10.22. In theTabular List locate code E10.22. The note states to use an additional code toidentify the stage of the chronic kidney disease CKD (N18.1-N18.6). Looking forthose codes in the Tabular List shows that Stage 3 is coded as N18.3. Question 14A 16-year-old presents to the emergency room with possible head injury from falling off hisskateboard. The patient was wearing his helmet. Examination reveals no outward head injury.What ICD-10-CM codes are reported?Selected Answer:S09.90XA, V00.131A, Y93.51Answers:S09.90XA, V00.131A, Y93.51V00.131A, Y93.51, S09.90XAZ04.1, V00.131A, Y93.51S09.90XA, Z04.1, V00.131A, Y93.51ResponseFeedback:The patient had a possible head injury. ICD-10-CM coding guideline, section IV.H.states do not code diagnoses that indicate uncertainty. The head injury code,S09.90XA, is not reported. ICD-10-CM guideline, I.21.c.6, Observation Codes arereported when a person is being observed for a suspected condition that is ruledout. From the ICD-10-CM Alphabetic Index look for Observation/accident/transport.This index refers you to Z04.1 in the Tabular List. The observation codes are to beused as principal diagnosis only. ICD-10-CM guideline, I.C.20.a.6, An ExternalCause code can never be a principal diagnosis. Look in the Alphabetical Index toExternal Causes for Accident/transport/pedestrian/conveyance/skateboard/fall.This index refers you V00.131, which needs a 7thcharacter A. Then look forActivity/skateboarding. This refers you to Y93.51. Verify all codes in the TabularList.Question 15Patient is being treated for a metastatic thoracic spinal cord cancer from the lung. What ICD-10-CM codes are reported?Selected Answer:C79.49, C34.90Answers:C34.90, C79.490 out of 4 points4 out of 4 pointsReview Test Submission: Chapter 4 Review – MBC-201-900 -......7 of 128/4/17, 6:59 PM
C79.49, C34.90C72.0, C34.90C34.90, C72.0ResponseFeedback:According to ICD-10-CM guidelines section I.C.2.b: When a patient is admittedbecause of primary neoplasm with metastasis and treatment is directed towardthe secondary site only, the secondary neoplasm is designated as the principaldiagnosis even though the primary malignancy is still present.