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ICD-10-CM

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Question 1

STEMI myocardial infraction involving left anterior descending coronary artery

A	I22.0
B	I21.11
C	I21.02
D	I21.4

Question 1 Explanation:

STEMI Myocardial infarction of left anterior descending coronary artery leads to the code I21.02

Question 2

Type 1 diabetic patient is brought to the ER by ambulance in a coma. Patient is pale, rapid heartbeat, and their face is covered in sweat. Physician finds the insulin pump not delivering insulin and after reviewing the labs diagnosis the patient with diabetic ketoacidosis with diabetic coma

A	T85.614A, T38.31XA, E10.641
B	T85.614A, T38.3X6A, E10.11
C	E10.11, T85.614A, T38.3X6A
D	T85.614A, T38.3X6A, E11.641

Question 2 Explanation:

As per the guidelines The insulin pump malfunction should code as primary and Under dosing /Overdosing should sequence as secondary diagnosis and additional codes for complication

Question 3

A patient with AIDS is seen by her physician for severe dehydration. The final diagnosis by the physician is salmonella with dehydration code is

A	A02.8, B20
B	A02.9, B20
C	A02.9, Z21
D	B20, A02.8

Question 3 Explanation:

Patient with severe dehydration that was not caused due to AIDS so we have to code complication as primary and complication as secondary diagnosis

Question 4

Which statement is TRUE about Z codes:

A	Z codes are never reported as a primary code.
B	Z codes are only reported with injury codes.
C	Z codes may be used either as a primary code or a secondary code.
D	Z codes are always reported as a secondary code.

Question 4 Explanation:

According to ICD-10-CM Coding Guidelines (Section I.C.21.a): Z codes are for use in any healthcare setting. Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter. Certain Z codes may only be used as first-listed, others only as secondary codes. Multiple Choice C is the correct answer.

Question 5

Dennis has been battling bouts of dizziness and is diagnosed with bengin paroxysmal vertigo

A	H81.10, R42
B	R42
C	H81.10
D	H81.13

Question 5 Explanation:

Benign proximal vertigo of unspecified ear leads to the code H81.01

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ICD-10-CM

What is ICD 10-CM?

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