1. ICD-10-CM: PRL Training Session 6 Practice Resources, LLC 2015

2. Fractures Remember if it is not documented whether the fracture is displaced or non-displaced, we are to code as displaced. If provider documents that they ‘reduced’ the fracture, it was displaced. Practice Resources, LLC 20152

3. Coding Example 1. 16 year old presents to ER after getting hit by a baseball while playing on a summer league at the local baseball field. Ball hit is left little finger while he was up to bat. On exam distal phalanx looks deformed. X-ray confirms displaced closed fracture of distal phalanx on left little finger. Provider reduces and applies finger splint. Additional x-ray confirms alignment. Injury? ______________ How did it happen? ______________ Where did it happen? _____________ ICD-10 code(s) ________________________ Practice Resources, LLC 20153

4. Coding Examples 2. Sickle-cell thalassemia (anemia) ICD-10 code _____________ 3. UTI (urinary tract infection) caused by E.Coli (escherichia coli) ICD-10 code(s) _____________ 4. GERD (gastro-esophageal reflux disease) w/o esophagitis ICD-10 code _______________ Practice Resources, LLC 20154

5. Coding Example 5. 57 year old presents for yearly eye examination. After completing the testing he was diagnosed with borderline glaucoma in the right eye & low tension glaucoma in the left eye, mild stage. ICD-10 code(s) ____________________________ Practice Resources, LLC 20155

6. Coding Examples 6. Abnormal liver function studies ICD-10 code ______________ 7. BPH (benign prostatic hyperplasia) w/o LUTS ICD-10 code ______________ 8. Cough, runny rose, sore throat ICD-10 code(s) _________________ Practice Resources, LLC 20156

7. Coding Example 9. Patient presents for follow up for her atonic seizures. She had one two days ago which caused her to lose balance and fall. She has a bruise on her right temple area which she did put ice on. Fall was witnessed by a friend who stated her head struck against the wall in her home during her fall. No other injuries per patient. ICD-10 code(s) __________________ * remember can only code what is documented Practice Resources, LLC 20157

8. Coding Examples 10. Diarrhea, vomiting with nausea ICD-10 code(s) _______________ 11. Diabetic neuropathy, daily insulin use ICD-10 code(s) _______________ 12. Screening for malignant neoplasm of the bladder ICD-10 code ________________ Practice Resources, LLC 20158

9. Answers 1.S62.637A, W21.03XA, Y92.320 2.D57.40 3.N39.0, B96.20 4.K21.9 5.Z01.01, H40.001, H40.1221 6.R94.5 7.N40.0 8.R05, R09.89, J02.9 9.G40.409, S00.83XA, W22.01XA, Y92.009 10.R19.7, R11.2 11.E11.40, Z79.4 12.Z12.6 Practice Resources, LLC 20159