Question

Please assist with these coding problems for ICD10

1. Mitral regurgitation

2. Polycystic kidney's adult type

3. Congenital pyloric stenosis

4. Primary, open-angle glaucoma, moderate stage, bilateral

5. Encephalitis due to typhus

6. Angina pectoris with essential hypertension

7. Down syndrome

8. Classical hemophilia

9. Thalassemia

10. Removal of foreign body from nose

11. Blepharoptosis, congenital, bilateral

12. Long term use of antibiotics

13. Destruction of spinal cord lesion via open approach

14. Parkinson's disease

15. Thrombectomy of right femoral artery, percutaneous

16. Cerebrovascular accident with left-sided hemiparesis

17. Alzheimer's disease with delirium

18. Herpes zoster with meninigitis

19. Insertion of cardiac defibrillator lead, right ventricle, percutaneous

20. Raynaud's syndrome with gangrene

21. Biopsy of right external ear lesion

Answer 1

1) ICD 10 CM code for mitral regurgitation

I00-I99 - Diseases of the circulatory system

I34 - Nonrheumatic mitral valve disorders

I34.0 Nonrheumatic mitral (valve) insufficiency

I34. 0 is a billable ICD code used to specify a diagnosis of nonrheumatic mitral (valve) insufficiency.

We try to choose one general category of the disease and then followed by the subcategories to specify the diagnosis.

2) ICD 10 CM code for polycystic kidney's of adult type

Q00-Q99 - Congenital malformations, deformations, and chromosomal abnormalities.

Q60-Q64 - Congenital malformations of the urinary system

Q61 - Cystic kidney disease

Q61.2 - Polycystic kidney, adult type

So, Q61.2 is a billable ICD code for the polycystic kidney of adult type.

3) ICD 10 CM code for congenital pyloric stenosis is Q40.0

Q00-Q99 - Congenital malformations, deformations, and chromosomal abnormalities.

Q38-Q45 - Other congenital malformations of the digestive system

Q40 - Other congenital malformations of the upper alimentary tract

Q40.0 - Congenital hypertrophic pyloric stenosis

4) ICD 10 CM code for primary open-angle glaucoma, moderate stage bilateral is H40.1132

H00-H59 - Diseases of the eye and adnexa

H40-H42 - Glaucoma

H40 - Glaucoma

H40.1132 -moderate stage

5) ICD 10 CM code for Encephalitis due to typhus is A75.3

A00-B99 - Certain infectious and parasitic diseases

A75-A79 - Rickettsioses

A75 - Typhus fever

A75.3 - Typhus fever due to Rickettsia tsutsugamushi

Rickettsia tsutsugamushi causes scrub typhus disease and involve the nervous system causing meningoencephalitis.

6) ICD 10 CM code for angina pectoris with essential hypertension

I00-I99 - Diseases of the circulatory system

I20-I25 - Ischemic heart diseases

I20 - Angina pectoris

I20.9 - Angina pectoris, unspecified

7) ICD 10 CM code for down syndrome is Q90.0

Q00-Q99 - Congenital malformations, deformations, and chromosomal abnormalities.

Q90-Q99 - Chromosomal abnormalities, not elsewhere classified.

Q90 - Down syndrome

Q90.0 - Down syndrome, nonmosaicism (meiotic nondisjunction)

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