1. ICD-10-CM: PRL Training Session 8 Practice Resources, LLC 2015

2. Ulcers Many different types- pressure, non-pressure, diabetic excluded Pay attention to any code first notations & excluded codes at the beginning of these sections Decubitus = pressure Pressure ulcers have Stages 1, 2, 3, 4, unstageable & unspecified stage. Next to each stage in the index you will see in ( ) the criteria related to that stage. Practice Resources, LLC 20152

3. Coding Examples 1. Stage 3 pressure ulcer of coccyx, with beginning stages of gangrene ICD-10 code(s) _________________ 2. Ulcer of buttock, break down of skin (non-pressure) ICD-10 code _________________ 3. Diabetic ulcer of left heel, exposed fat layer ICD-10 code _________________ 4. Decubitus ulcer of right hip, stage 1 ICD-10 code _________________ Practice Resources, LLC 20153

4. Coding Example 5. 8 year old was playing on the jungle gym earlier today at the park when he slipped and fell. He got his leg caught during the fall. This caused a twisting of his left knee. Has had immediate pain, swelling and difficulty walking since then. X-ray came back negative for any fracture. Provider believes it could be a possible meniscus tear, but thinks it is probably just a sprain. Ordering MRI to be done tomorrow. Patient to follow up after MRI. ICD-10 code(s) ______________________ Practice Resources, LLC 20154

5. Coding Examples 6. Chronic atrial fibrillation, chronic diastolic heart failure ICD-10 code(s) ________________ 7. Abnormal iron level in blood ICD-10 code ________________ 8. Immunization for DTaP (diphtheria tetanus pertussis combined) ICD-10 code ________________ 9. Myalgia & interstitial myositis of left lower leg ICD-10 code ________________ Practice Resources, LLC 20155

6. Answers 1.I96, L89.153 2.L98.411 3.E11.621, L97.422 4.L89.211 5.M25.562, M25.462, W09.2XXA, Y92.830 6.I48.2, I50.32 7.R79.0 8.Z23 9.M79.1 Practice Resources, LLC 20156