ICD-10-CM Guidelines
Name that Credential
Name the Condition/Code
Extras
Eat Your Carrots - Healthy Eyes
100

This condition may last a year or a lifetime. What is?...

Chronic Conditions

100

Is RES an acceptable credential? Name the provider.

Resident is an acceptable provider but RES is not an acceptable credential.

100

Alzheimer's requires 2 codes. What is the second code and name the condition. 

What is Dementia and F02.80

100

Considering you can capture conditions from the PL but not the PMH - You have HLD noted in the PL with Statin in the med list. You also noticed that you have hypercholesteremia in the PMH. What code should be captured?  

E785

100

Open Angle Glaucoma
moderate stage. Name the code.....

What is H4010x2 - 

Unspecified open-angle glaucoma, moderate stage

200

These conditions comes on very quickly and are resolved quickly. What is?

Acute Conditions

200

 When is PhD., and PsyD an acceptable credential and what does PhD., and PsyD. stand for? 

PhD - Doctor of Philosophy ( Mental Health Services Only)

PsyD - Doctor of Psychology (Mental Health Services Only)

200

E063

Autoimmune Thyroiditis (Hashimoto's)

200

Considering you can capture chronic conditions from the PMH without support. You have a diagnosis of Myeloma in remission. Would this be coded and if so what code?

Yes C90.01   Multiple myeloma in remission

200

Nuclear Sclerosis is documented in the PE. It is also noted that patient has Diabetes. How would this be coded?

E1136 - Diabetic Cataract

300

Is for patients who have a current pathologic fracture at the time of an encounter. The codes under M80 identify the site of the fracture. A code from category M80, not a traumatic fracture code, should be used for any patient with this known condition who suffers a fracture, even if the patient had a minor fall or trauma, if that fall or trauma would not usually break a normal, healthy bone.  What is....

Osteoporosis with current pathological fracture

300

Which Credential is not acceptable LSW or LCSW and why?

LSW - They may need to work under a LCSW. They cannot diagnose a mental disorder.

300

E11.3213

Type 2 Diabetes Mellitus with Mild Non-Proliferative Diabetic Retinopathy with Macular Edema Bilateral

300

Using all your resources - The project does not give you any direction on how to code Lupus. Where can you find guidance and would Lupus be coded?

Ciox Best Practice Document. You would code Lupus to SLE - M32.9

300

Ophthalmology exam revealed POAG OU mild OD, Severe OS in patient with Diabetes. Considering support for all.... How is this coded?

E11.9, H40.1111, H40.1123

400

Identify the site and stage. The ICD-10-CM classifies the stages based on severity, which is designated by stages 1-4, deep tissue pressure injury, unspecified stage, and unstageable. Assign as many codes as needed to identify all that the patient has, if applicable. What is.....

Pressure Ulcers

400

DOS

What is a Doctor of Dental Surgery

400

Glipizide treats this condition. What is....? 

Diabetes

400

Assessment notes Diabetic CKD. Med list states Lantus and test strips. Plan states patient stopped Lantus 2 months ago stating she does not have any desire to continue taking this medication. Project GLs states only 1 support needed for combo codes.  How would this be coded and why? 

E1122 - Test strips support the Diabetes. We owuld not code the Insulin since it was discontinued

400

Patient diagnosed with Non proliferative  Diabetic Retinopathy OS severe with Macula Edema.  How is this coded?

E11.3412

500

The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated or when another guideline exists that specifically requires a documented linkage between two conditions  Name these linking terms.

What is "With", "In", "Associated With", or "Due to"

500

OD

Doctor of Optometry

500

- HPI: Hx of Mood Disorder and stable mood on med(Quetiapine FUMARATE). What is....?

F39 - Unspecified mood [affective] disorder 

500

Patient is noted in the exam to be mentally retarded due to a previous brain injury. How would you code this?

F79 - Mental Retardation

S06305S - late effect of brain injury: sequela

500

+NS OD and +NS OS is noted in the Eye Exam. Patient has Diabetes and is taking Novolog and Metformin. Name the codes.

E1136, Z794

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