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Coding exercises for Chapter I

1. Chronic viral hepatitis C B18.2

Hepatitis
- viral
- - chronic
- - - type
- - - - C -> B18.2

2. Congenital syphilis in an 18-month old child A50.2

Syphilis
- congenital
- - early or less than two years after birth -> A50.2

3. Non-infective diarrhoea in a 3-week old infant P78.3

Diarrhoea
- neonatal (non infective) -> P78.3

4. Tuberculosis of lung, confirmed A15.3

Tuberculosis
- lung - see Tuberculosis, pulmonary
- pulmonary
- - confirmed (by)
- - - unspecified means -> A.15.3

5. Axillary cutaneous abscess L02.4

Abscess
- axilla (region) -> L02.4

Coding exercises for Chapter II


1. Malignant bronchial adenoma

Bronchial

D38 (Neoplasm of uncertain or unknown behaviour of middle ear and respiratory


and intrathoracic organs)

D38.1 Trachea, bronchus and lung

2. Cholangiocarcinoma
C22 Malignant neoplasm of liver and intrahepatic bile ducts

C22.1 Intrahepatic bile duct carcinoma

Cholangiocarcinoma
3. Acute myelomonocytic leukemia

C92 Myeloid leukaemia

C92.5 Acute myelomonocytic leukaemia

4. Squamous cell carcinoma of cervix uteri

C53 Malignant neoplasm of cervix uteri

5. Bilateral synchronous Wilm's tumour (in a patient who is four years old)

C64 Malignant neoplasm of kidney, except renal pelvis

Coding exercises for Chapter III


1. Hypogammaglobulinemia

D80 Immunodeficiency with predominantly antibody defects

D80.0 Hereditary hypogammaglobulinaemia Autosomal recessive


agammaglobulinaemia (Swiss type) X-linked agammaglobulinaemia
[Bruton] (with growth hormone deficiency)

2. Thalassaemia major

D56 Thalassaemia

3. Hypochromic-microcytic anemia

D50 Iron deficiency anaemia

D50.8 Other iron deficiency anaemias

4. Hyperimmunoglobulin E(Hyper-IgE) syndrome

D82.4 Hyperimmunoglobulin E [IgE] syndrome

5. Thrombotic thrombocytopenic purpura

D69 Purpura and other hemorrhagic conditions

M31.1 Thrombotic microangiopathy


Thrombotic thrombocytopenic purpura

Coding exercises for Chapter IV


1. Type II diabetes mellitus with (related) peripheral angiopathy, left foot

E.11.5 † = Non-insulin-dependent diabetes mellitus with peripheral circulatory


complications (peripheral angiopathy)

179.2* = Peripheral angiopathy in diseases classified elsewhere

2. Cystic fibrosis, admitted because of chronic pseudomonas bronchitis

J42 = Unspecified chronic bronchitis

B96.5 = Pseudomonas (aeruginosa) as the cause of diseases classified to other


chapters

E84.0 = Cystic fibrosis with pulmonary manifestations

3. Obesity associated with Prader-Willi Syndrome

Q87.1 = Congenital malformation syndromes predominantly associated with short


stature

E66.8 = Other obesity

4. Medullary carcinoma of the thyroid with hyperparathyroidism

C73 = Malignant neoplasm of thyroid gland

M8510/3 = Medullary carcinoma NOS

E21.1 = Secondary hyperparathyroidism, not elsewhere classified

5. Gouty arthropathy, left ankle and knee

M10 = Gout

M10.6 = Gout for the knee

M10.7 = Gout for the ankle


Coding exercises for Chapter V
1. Trichotillomania

F63.3 = Trichotillomania

2. Psychogenic impotence

F52.2 = Failure of genital response

3. Korsakov's psychosis

F10.6 = Korsakov's (alcoholic)

4. Huntington's disease with dementia

G10 † = Huntington's disease

F02.2* = Dementia in Huntington's disease

5. Bipolar disorder, currently severely depressed but not psychotic

F31.4 = Bipolar affective disorder, current episode severe depression without


psychotic symptoms

F31.9 = Bipolar affective disorder, unspecified

Coding exercises for Chapter VI


1. Diabetic polyneuropathy

G63* Polyneuropathy in diseases classified elsewhere

G63.2* = Diabetic polyneuropathy

2. Herpesviral encephalitis

B00 = Herpesviral [herpes simplex] infections

B00.4† = Herpesviral encephalitis (G05.1*) Herpesviral meningoencephalitis


Simian B disease

3. Congenital muscular dystrophy

G71 Primary disorders of muscles

Excludes: arthrogryposis multiplex congenita ( Q74.3 )


metabolic disorders ( E70-E90 )

myositis ( M60.- )

G71.0 Muscular dystrophy

G71.2 Congenital myopathies

Congenital muscular dystrophy:

· NOS

· with specific morphological abnormalities of the muscle fibre

4. Carpal tunnel syndrome

G56 Mononeuropathies of upper limb

Excludes: current traumatic nerve disorder - see nerve injury by body region

G56.0 Carpal tunnel syndrome

5. Chronic fatigue syndrome

F48 Other neurotic disorders

F48.0 Neurasthenia

Fatigue syndrome

Use additional code, if desired, to identify previous physical illness

Coding exercises for Chapter VII

1. Juvenile cataract
Cataract (cortical) (immature) (incipient) (see also Cataracta) H26.9
- juvenile H26.0
So, code for juvenile cataract is H26.0
2. Tuberculous chorioretinitis
Chorioretinitis H30.9
- tuberculous A 18.5† (tuberculosis of eye) H32.0* (Chorioretinal inflammation in
infectious and parasitic diseases classified elsewhere Chorioretinitis:
· tuberculous ( A18.5† )
3. Progressive external ophthalmoplegia
Ophthalmoplegia (see also Strabismus, paralytic) H49.9
- progressive external H49.4
So, code for progressive external opthalmoplegia is H49.4
4. Blindness right eye, with concurrent low vision left eye
Blindness (acquired) (congenital) (both eyes) (binocular) H54.0
- one eye (other eye normal) H54.4
- - low vision, other eye H54.4
So, code for Blindness right eye, with concurrent low vision left eye is H54.4
5. Chronic simple glaucoma, both eyes
Glaucoma
- chronic H40.1
- - simple H40.1
So, code for Chronic simple glaucoma, both eyes is H40.1

Coding exercises for Chapter X


1. Subglottic edema
Edema, edematous
- subglottic (see also Edema, glottis) J38.4 (Oedema of larynx, Oedema (of): ·
glottis · subglottic · supraglottic)
So, code for subglottic edema is J38.4
2. Bronchitis (in a 10 year old female)
3. Aspiration pneumonitis after inhaling food whilst eating in restaurant
4. Anthracosis and Tuberculosis of lung (confirmed by x-ray and sputum microscopy)
5. Nasopharyngeal polyp

Coding exercises for Chapter XI


1. Adenomatous rectal polyp
K62.1 Rectal polyp
Excludes: adenomatous polyp ( D12.8 )
D12 Benign neoplasm of colon, rectum, anus and anal
canal
D12.8 Rectum

2. Chronic gastrojejunal ulcer


K28 Gastrojejunal ulcer

3. Obstructed left inguinal hernia


K40.3 Unilateral or unspecified inguinal hernia, with obstruction,
without gangrene

4. Diverticulitis of jejunum and ileum with perforation


K57 Diverticular disease of intestine

5. Postgastrectomy dumping syndrome


K91 Postprocedural disorders of digestive system, not
elsewhere classified
K91.1 Postgastric surgery syndromes
Syndrome:
· dumping
· postgastrectomy
· postvagotomy

Coding exercises for Chapter XII


1. Trichorrhexis invaginata
L67.0 Trichorrhexis nodosa
2. Drug induced androgenic alopecia
L64 Androgenic alopecia
Includes: male-pattern baldness
L64.0 Drug-induced androgenic alopecia
Use additional external cause code (Chapter XX), if desired, to
identify drug

3. Contact dermatitis due to cosmetics


L23 Allergic contact dermatitis
L23.2 Allergic contact dermatitis due to cosmetics
4. Arthropathic psoriasis
L40 Psoriasis
L40.5† Arthropathic psoriasis ( M07.0-M07.3 *, M09.0* )

5. Perforating granuloma annulare


L92 Granulomatous disorders of skin and subcutaneous tissue
L92.0 Granuloma annulare Perforating granuloma annulare

Coding exercises for Chapter XIII


1. Rubella arthritis
M01* Direct infections of joint in infectious and parasitic diseases classified
elsewhere
M01.4* Rubella arthritis ( B06.8† )
B06 Rubella [German measles]
B06.8 Rubella with other complications
Rubella: · arthritis† ( M01.4* )
2. Gout of the big toe
M10 Gout
M10.9 Gout, unspecified

3. Bilateral post-traumatic coxarthrosis


M16 Coxarthrosis [arthrosis of hip]
M16.4 Post-traumatic coxarthrosis, bilateral
4. Osteolysis
M89 Other disorders of bone
M89.5 Osteolysis

5. Tuberculous arthritis
A18 Tuberculosis of other organs
M01* Direct infections of joint in infectious and parasitic diseases classified
elsewhere
M01.1* Tuberculous arthritis ( A18.0† )

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