ICD CM SPECIALIZED CODING TRAINING WORKBOOK

[Pages:161]DPH ICD-10 IMPLEMENTATION PROJECT

ICD-10-CM SPECIALIZED CODING TRAINING WORKBOOK

FOR LOCAL HEALTH DEPARTMENTS AND RURAL HEALTH CLINICS (WITH ANSWERS)

WBS 2.5 Version 1.1

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Specialized Coding Training Workbook ? With Answers

Version Number & Date

V1.0 ? February 24, 2015 V1.1 ? February 26, 2015

Change History

Version Description

Modifications made to coincide with revisions made in training materials wherein training was broken into Units. Instead of separate workbooks for each Specialized course, a single workbook is developed for the Specialized courses.

Minor changes ? final product

Version Author

Sarah Brooks

Sarah Brooks

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Specialized Coding Training Workbook ? With Answers

Table of Contents

1. ICD-10-CM: THE CHAPTERS...........................................................................................................................9

2. ICD-10-CM: THE CHAPTER BLOCKS ..........................................................................................................10

2.1 CHAPTER 1 - CERTAIN INFECTIOUS AND PARASITIC DISEASES (A00-B99)......................................................10

2.2 CHAPTER 2 - NEOPLASMS (C00-D49) ............................................................................................................11

2.3 CHAPTER 3 - DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS AND CERTAIN DISORDERS INVOLVING THE IMMUNE MECHANISM (D50-D89) .....................................................................................................................12

2.4 CHAPTER 4 - ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES (E00-E89)..........................................12

2.5 CHAPTER 5 - MENTAL, BEHAVIORAL AND NEURODEVELOPMENTAL DISORDERS (F01-F99) ..........................13

2.6 CHAPTER 6 - DISEASES OF THE NERVOUS SYSTEM (G00-G99).....................................................................14

2.7 CHAPTER 7 ? DISEASES OF THE EYE AND ADNEXA (H00-H59) .....................................................................14

2.8 CHAPTER 8 - DISEASES OF THE EAR AND MASTOID PROCESS (H60-H95)........................................................15

2.9 CHAPTER 9 ? DISEASES OF THE CIRCULATORY SYSTEM (I00-I99) ..................................................................15

2.10 CHAPTER 10 ? DISEASES OF THE RESPIRATORY SYSTEM (J00-J99)............................................................16

2.11 CHAPTER 11 ? DISEASES OF THE DIGESTIVE SYSTEM (K00-K95) ..............................................................16

2.12 CHAPTER 12 ? DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE (L00-L99) ........................................17

2.13 CHAPTER 13 ? DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE (M00-M99)......17

2.14 CHAPTER 14 ? DISEASES OF THE GENITOURINARY SYSTEM (N00-N99).....................................................18

2.15 CHAPTER 15 ? PREGNANCY, CHILDBIRTH AND THE PUERPERIUM (O00-O9A) ...........................................19

2.16 CHAPTER 16 ? CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (P00-P96) .......................19

2.17 CHAPTER 17 ? CONGENITAL MALFORMATIONS, DEFORMATIONS AND CHROMOSOMAL ABNORMALITIES (Q00-Q99) ..............................................................................................................................................................20

2.18 CHAPTER 18 ? SYMPTOMS, SIGNS AND ABNORMAL CLINICAL AND LABORATORY FINDINGS, NOT ELSEWHERE CLASSIFIED (R00-R99) ........................................................................................................................21

2.19 T88)

CHAPTER 19 ? INJURY, POISONING, AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S0022

2.20 CHAPTER 20 ? EXTERNAL CAUSES OF MORBIDITY (V01-Y99) ............................................................23

2.21

CHAPTER 21 ? FACTORS INFLUENCING HEALTH STATUS AND CONTACT WITH HEALTH SERVICES (Z00-Z99) 24

3. ICD-10-CM: BEHAVIORAL HEALTH COURSE ..........................................................................................25

3.1 BEHAVIORAL HEALTH COURSE UNIT 1 - REVIEW QUESTIONS .......................................................................25

3.2 BEHAVIORAL HEALTH COURSE UNIT 1 ? CODING EXERCISE .........................................................................26

3.3 BEHAVIORAL HEALTH COURSE UNIT 2 - REVIEW QUESTIONS .......................................................................27

3.4 BEHAVIORAL HEALTH COURSE UNIT 2 ? CODING EXERCISE .........................................................................28

4. ICD-10-CM: CHILD HEALTH AND HEALTH CHECK COURSE ...............................................................29

4.1 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 1 - REVIEW QUESTIONS ................................................29

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Specialized Coding Training Workbook ? With Answers

4.2 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 1 ? CODING EXERCISES ................................................30

4.3 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 2 - REVIEW QUESTIONS ................................................31

4.4 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 2 ? CODING EXERCISE ..................................................32

4.5 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 3 - REVIEW QUESTIONS ................................................33

4.6 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 3 - CODING EXERCISES .................................................34

4.7 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 4 - REVIEW QUESTIONS ................................................35

4.8 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 4 - CODING EXERCISES .................................................36

4.9 CHILD HEALTH AND HEALTH CHECK COURSE UNITS 1 - 4 CODING EXERCISES ............................................37

5. ICD-10-CM: FAMILY PLANNING COURSE.................................................................................................39

5.1 FAMILY PLANNING COURSE UNIT 1 - REVIEW QUESTIONS ............................................................................39

5.2 FAMILY PLANNING COURSE UNIT 1 ? CODING EXERCISE ..............................................................................40

5.3 FAMILY PLANNING COURSE UNIT 2 - REVIEW QUESTIONS ............................................................................41

5.4 FAMILY PLANNING COURSE UNIT 2 ? CODING EXERCISE ..............................................................................42

6. ICD-10-CM: MATERNAL HEALTH COURSE ..............................................................................................44

6.1 MATERNAL HEALTH COURSE UNIT 1 - REVIEW QUESTIONS ..........................................................................44

6.2 MATERNAL HEALTH COURSE UNIT 1 ? CODING EXERCISES ..........................................................................45

6.3 MATERNAL HEALTH COURSE UNIT 2 - REVIEW QUESTIONS ..........................................................................46

6.4 MATERNAL HEALTH COURSE UNIT 2 ? CODING EXERCISE............................................................................47

7. ICD-10-CM: PRIMARY CARE AND CHRONIC DISEASE COURSE..........................................................49

7.1 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 1 - REVIEW QUESTIONS ............................................49

7.2 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 1 ? CODING EXERCISES ............................................50

7.3 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 2 - REVIEW QUESTIONS ............................................51

7.4 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 2 ? CODING EXERCISE..............................................52

7.5 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 3 - REVIEW QUESTIONS ............................................53

7.6 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 3 - CODING EXERCISES.............................................53

7.7 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 4 - REVIEW QUESTIONS ............................................55

7.8 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 4 - CODING EXERCISES.............................................56

8. ICD-10-CM: STD, HIV, COMMUNICABLE DISEASE COURSE.................................................................60

8.1 STD, HIV, COMMUNICABLE DISEASE COURSE UNIT 1 - REVIEW QUESTIONS ...............................................60

8.2 STD, HIV, COMMUNICABLE DISEASE COURSE UNIT 1 ? CODING EXERCISE .................................................61

8.3 STD, HIV, COMMUNICABLE DISEASE COURSE UNIT 2 - REVIEW QUESTIONS ...............................................62

8.4 STD, HIV, COMMUNICABLE DISEASE COURSE UNIT 2 ? CODING EXERCISES ...............................................63

9. ICD-10-CM: WOMEN'S HEALTH AND BCCCP COURSE..........................................................................65

9.1 WOMEN'S HEALTH AND BCCCP COURSE UNIT 1 - REVIEW QUESTIONS.......................................................65

9.2 WOMEN'S HEALTH AND BCCCP COURSE UNIT 1 ? CODING EXERCISES .......................................................66

9.3 WOMEN'S HEALTH AND BCCCP COURSE UNIT 2 - REVIEW QUESTIONS.......................................................67

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Specialized Coding Training Workbook ? With Answers

9.4 WOMEN'S HEALTH AND BCCCP COURSE UNIT 2 ? CODING EXERCISE.........................................................68

9.5 WOMEN'S HEALTH AND BCCCP COURSE UNIT 3 - REVIEW QUESTIONS.......................................................69

9.6 WOMEN'S HEALTH AND BCCCP COURSE UNIT 3 - CODING EXERCISES........................................................70

10. SPECIALIZED CODING TRAINING ? RESOURCE MATERIALS .............................................................73

10.1 CODING STEPS...........................................................................................................................................73

10.2 CODING DEMENTIA DUE TO EARLY-ONSET ALZHEIMER'S DISEASE...........................................................74

10.3 DOCUMENTING AUTISM IN ICD-10 ...........................................................................................................76

10.4 CLINICAL DOCUMENTATION FOR AUTISTIC PATIENTS ..............................................................................80

10.5 CODING TOBACCO USE AND NICOTINE DEPENDENCE (ICD-9-CM VS ICD-10-CM).................................83

10.6 DOCUMENTATION TIPS: DIABETES............................................................................................................85

10.7 DOCUMENTATION TIPS: TYPE 2 DIABETIC GASTROPARESIS......................................................................86

10.8 BODY MASS INDEX - CHILDREN................................................................................................................88

10.9 BODY MASS INDEX - ADULTS ...................................................................................................................90

10.10 CODING TIPS ? DOMINANT/NONDOMINANT ..............................................................................................91

10.11 DOCUMENTATION TIPS ? ASTHMA ............................................................................................................91

10.12 NHLBI ASTHMA SEVERITY CLASSIFICATION SCALE ................................................................................92

10.13 INJURY CODING TIPS.................................................................................................................................93

10.14 GUIDANCE ON CODING ADVERSE EFFECTS, POISONING, UNDERDOSING AND TOXIC EFFECT ...................94

10.15 CHAPTER 15 (PREGNANCY, CHILDBIRTH AND THE PUERPERIUM) - DOCUMENTATION TIPS .......................96

10.16 ICD-9/ICD-10 COMPARISON OF GESTATIONAL DIABETES .......................................................................97

10.17 ICD-9/ICD-10 COMPARISON OF ENCOUNTER FOR SCREENING MAMMOGRAM .........................................98

11. SPECIALIZED CODING TRAINING ? CROSSWORD PUZZLES .............................................................100

11.1 CHILDHOOD ILLNESSES AND DISEASES CROSSWORD PUZZLE .................................................................100

11.2 ENT CROSSWORD PUZZLE ......................................................................................................................102

11.3 ANATOMY OF THE EYE AND COMMON DISORDERS CROSSWORD PUZZLE ...............................................105

11.4 LOWER EXTREMITIES CROSSWORD PUZZLE ............................................................................................107

11.5 GASTROINTESTINAL CROSSWORD PUZZLE ..............................................................................................109

11.6 ANATOMY AND COMMON PROBLEMS OF THE SKIN CROSSWORD PUZZLE ...............................................111

11.7 URINARY TRACT CROSSWORD PUZZLE ...................................................................................................113

11.8 OBSTETRICS AND GYNECOLOGY CROSSWORD PUZZLE ...........................................................................116

12. TRAINING EVALUATION ...........................................................................................................................118

13. ANSWERS ? BEHAVIORAL HEALTH COURSE .......................................................................................120

13.1 BEHAVIORAL HEALTH COURSE UNIT 1 ? REVIEW QUESTIONS................................................................120

13.2 BEHAVIORAL HEALTH COURSE UNIT 1 ? CODING EXERCISE ..................................................................120

13.3 BEHAVIORAL HEALTH COURSE UNIT 2 ? REVIEW QUESTIONS................................................................121

13.4 BEHAVIORAL HEALTH COURSE UNIT 2 ? CODING EXERCISES ................................................................121

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Specialized Coding Training Workbook ? With Answers

14. ANSWERS ? CHILD HEALTH AND HEALTH CHECK COURSE ............................................................122

14.1 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 1 ? REVIEW QUESTIONS.........................................122

14.2 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 1 ? CODING EXERCISES..........................................122

14.3 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 2 ? REVIEW QUESTIONS.........................................123

14.4 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 2 ? CODING EXERCISES..........................................123

14.5 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 3 ? REVIEW QUESTIONS.........................................124

14.6 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 3 ? CODING EXERCISES..........................................124

14.7 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 4 ? REVIEW QUESTIONS.........................................125

14.8 CHILD HEALTH AND HEALTH CHECK COURSE UNIT 4 ? CODING EXERCISES..........................................125

14.9 CHILD HEALTH AND HEALTH CHECK COURSE UNITS 1 - 4 CODING EXERCISES......................................126

15. ANSWERS ? FAMILY PLANNING COURSE .............................................................................................127

15.1 FAMILY PLANNING COURSE UNIT 1 ? REVIEW QUESTIONS.....................................................................127

15.2 FAMILY PLANNING COURSE UNIT 1 ? CODING EXERCISE .......................................................................127

15.3 FAMILY PLANNING COURSE UNIT 2 ? REVIEW QUESTIONS.....................................................................128

15.4 FAMILY PLANNING COURSE UNIT 2 ? CODING EXERCISES......................................................................128

16. ANSWERS ? MATERNAL HEALTH COURSE ...........................................................................................130

16.1 MATERNAL HEALTH COURSE UNIT 1 ? REVIEW QUESTIONS ..................................................................130

16.2 MATERNAL HEALTH COURSE UNIT 1 ? CODING EXERCISE .....................................................................130

16.3 MATERNAL HEALTH COURSE UNIT 2 ? REVIEW QUESTIONS ..................................................................131

16.4 MATERNAL HEALTH COURSE UNIT 2 ? CODING EXERCISES ...................................................................131

17. ANSWERS ? PRIMARY CARE AND CHRONIC DISEASE COURSE ......................................................133

17.1 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 1 ? REVIEW QUESTIONS ....................................133

17.2 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 1 ? CODING EXERCISES .....................................133

17.3 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 2 ? REVIEW QUESTIONS ....................................134

17.4 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 2 ? CODING EXERCISES .....................................134

17.5 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 3 ? REVIEW QUESTIONS ....................................135

17.6 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 3 ? CODING EXERCISES .....................................135

17.7 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 4 ? REVIEW QUESTIONS ....................................136

17.8 PRIMARY CARE AND CHRONIC DISEASE COURSE UNIT 4 - CODING EXERCISES ......................................136

18. ANSWERS ? STD, HIV, COMMUNICABLE DISEASE COURSE .............................................................139

18.1 STD, HIV, COMMUNICABLE DISEASE COURSE UNIT 1 ? REVIEW QUESTIONS........................................139

18.2 STD, HIV, COMMUNICABLE DISEASE COURSE UNIT 1 ? CODING EXERCISE ..........................................139

18.3 STD, HIV, COMMUNICABLE DISEASE COURSE UNIT 2 ? REVIEW QUESTIONS........................................140

18.4 STD, HIV, COMMUNICABLE DISEASE COURSE UNIT 2 ? CODING EXERCISES ........................................140

19. ANSWERS ? WOMEN'S HEALTH AND BCCCP COURSE.......................................................................142

19.1 WOMEN'S HEALTH AND BCCCP COURSE UNIT 1 ? REVIEW QUESTIONS ...............................................142

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Specialized Coding Training Workbook ? With Answers

19.2 WOMEN'S HEALTH AND BCCCP COURSE UNIT 1 ? CODING EXERCISES ................................................142

19.3 WOMEN'S HEALTH AND BCCCP COURSE UNIT 2 ? REVIEW QUESTIONS ...............................................143

19.4 WOMEN'S HEALTH AND BCCCP COURSE UNIT 2 ? CODING EXERCISES ................................................143

19.5 WOMEN'S HEALTH AND BCCCP COURSE UNIT 3 ? REVIEW QUESTIONS ...............................................144

19.6 WOMEN'S HEALTH AND BCCCP COURSE UNIT 3 - CODING EXERCISES.................................................144

20. ANSWERS ? CROSSWORD PUZZLES........................................................................................................146

20.1 CHILDHOOD ILLNESSES AND DISEASES CROSSWORD PUZZLE .................................................................146

20.2 ENT CROSSWORD PUZZLE ......................................................................................................................147

20.3 ANATOMY OF THE EYE AND COMMON DISORDERS CROSSWORD PUZZLE ...............................................150

20.4 LOWER EXTREMITIES CROSSWORD PUZZLE ............................................................................................152

20.5 GASTROINTESTINAL CROSSWORD PUZZLE ..............................................................................................153

20.6 ANATOMY AND COMMON PROBLEMS OF THE SKIN CROSSWORD PUZZLE ...............................................154

20.7 URINARY TRACT CROSSWORD PUZZLE ANSWER KEY ............................................................................157

20.8 OBSTETRICS AND GYNECOLOGY CROSSWORD PUZZLE ANSWER KEY ....................................................160

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