1.

Example: A young man who was severely burned during an extensive,

uncontrolled fire at the factory where he works was seen at the emergency room
for evaluation. Investigators are unable to determine the cause of the fire.

Appropriate ICD-9-CM codes are:

E891.3 Burning caused by conflagration in other and unspecified building or

structure

E988.1 Injury by burns or fire, undetermined whether accidentally or purposefully

inflicted

E849.3 Accidents occurring in industrial places and premises

E000.0 Civilian activity done for income or pay

Appropriate ICD-10-CM codes are:

X00.0XXA Exposure to flames in uncontrolled fire in building or structure, initial

encounter

Y26.XXXA Exposure to smoke, fire and flames, undetermined intent, initial

encounter

Y92.63 Factory as the place of occurrence of the external cause

Y99.0 Civilian activity done for income or pay

2.

Example: A patient has burns on 75 percent of his body surface. Approximately

1/3 (33 percent) of his body surface has third-degree burns.

In ICD-9-CM, appropriate coding is:

948.73 Burn [any degree] involving 70-79 percent of body surface with third
degree burn, 30-39%

T31.73 Burns involving 70-79% of body surface with 30-39% third-degree burns

Patient presents to ER with a second degree sunburn after an afternoon at the

beach playing volleyball with friends on vacation.

L55.1 – Sunburn of second degree

X32.XXXA – Exposure to sunlight, initial encounter

Y93.68 – Activity, volleyball

Y92.832 - Beach as the place of occurrence

Y998 – Other external cause status (leisure, hobby, recreation or sport activity not
for income or while a student)

Patient presents to ER with second degree burns of the face, chest and buttocks
due to tanning bed exposure. Triage record indicates patient stated she decided
to stay in tanning bed longer than advised by local vendor which resulted in her
burns. Patient had been going to salon for several weeks and decided it was time
to increase her tanning time for improved results.

L57.8 – Other skin changes due to chronic exposure to nonionizing radiation

189.1XXA – Exposure to tanning bed, initial encounter

Y93.89 – Activity, other specified

Y92.29 – Other specified public building as the place of occurrence

Y99.8 - Other external cause status (leisure, hobby, recreation or sport activity not
for income or while a student)

Food service employee sustained second -degree and third -degree burns, thumb
and two fingers, right hand, sustained from flames in controlled kitchen fire in
nursing home while cooking, initial encounter.

T23.341A, X02.0xxA, Y93.G3, Y99.0, Y92.120

First degree burn of lower left leg and second degree burns of left foot when
adding wood to bonfire at beach resort while on vacation

Correct Codes are:

T25.222A,

T24.132A,

Y93.89,

Y99.8,

Y92.838
True
7

Burns over 38 percent of body, with 10 percent of body involved in third-degree

burns and 28 percent involved in second-degree burns; firefighter burned in
forest fire.

Correct Code: True

T31.31,

X01.8xxA,

Y99.0,

Y92.821

Acid burns to left cornea from nitric acid

Correct Code: True

T54.2x1A,

T26.62xA

Coma due to acute barbiturate intoxication, attempted suicide.

Correct Code:
T42.3x2A,

R40.20

Two-year-old patient ingested an unknown quantity of mother's Enovid

Correct Code: True

T38.4x1A
Uncontrolled hypertension due to patient having reduce his antihypertensive
medication (patient couldn't afford it)

Correct Codes:( false)

I10, T46.5x6A, Z91.122

Complication of transplanted intestine. Malignant Neoplasm of colon related to

intestinal transplant.

Correct Codes: True

T86.858, C80.2, C18.9

Kidney transplant failure with chronic kidney disease, stage IV.

Correct Codes: (false)

T86.12, N18.45

A patient with single vessel coronary artery disease had a card you could to do
everything Asian an angioplasty with attempts to pass into the right coronary
artery. During manipulation of the wire, The wire broke off and became stock in
the right coronary artery and in the aorta. A snare was used to catch the wire and
pull it out.

Correct Codes: True

I25.10, T82.518A, 02703ZZ, 4A033BC

Post procedural hypertension

Correct Codes: ( False)

I97.0
A newborn infant is born in the hospital vaginal delivery with a unilateral hard
cleft palate and cleft lip.

Z38.00, Q37.1

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

A newborn infant is transferred to Community General Hospital for treatment of

an esophageal atresia. What codes should be reported for Community General
Hospital?

Q39.0

A newborn is born in the hospital vaginal delivery. Physical examination

demonstrates molding of the baby's scalp, which resolved prior to discharge
without treatment.

Z38.00

(Key phrase here is "resolved prior to discharge")

A one-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, A49.8
A patient developed a malunion of the medial condyle humeral fracture. The
original injury occurred 4 months ago.

S42.462P

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

A patient is admitted for infection of the tracheostomy stoma secondary to

cellulitis of the neck.

J95.02, L03.221

A patient is admitted for intentional overdose of valium and acute respiratory

failure with hypoxia.

T42.4x2A, J96.01

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.

Z04.3, S01.81xA

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.

S36.115A, S31.600A
A patient is admitted with a left nondisplaced comminuted patella fracture, a
displaced left spiral fracture of the shaft of the fibula, and a displaced
comminuted fracture of the shaft of the left tibia, initial encounter.

S82.045A, S82.442A, S82.252A

A patient is admitted with a nondisplaced fracture of the left medial malleolus,

initial encounter. The fracture was treated with a cast.

S82.52xA

A patient is admitted with an anaphylactic reaction due to eating strawberries,

initial encounter.

T78.04xA

A patient is admitted with cervical spina bifida wtih hydrocephalus.

Q05.0

A patient is admitted with dermatitis due to prescription topical antibiotic cream

used as directed by a physician, initial encounter.

L25.1, T49.0x5A

A patient is admitted with dizziness as a result of taking phenobarbital as

prescribed, initial encounter.

R42, T42.3x5A

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, Z37.0

A patient is admitted with pregnancy-induced hypertension with severe edema

and 24 weeks gestation.

O14.12, Z3A24

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

A patient is seen in the ED at 22 weeks gestation who is HIV positive.

O98.712, Z21, Z3A.22

The patient presents for a screening examination for lung cancer.

Z12.2 (This was not correct but it was the closest of the 4 answers, Z03.89,
C78.00, and C34.90)