Respiratory System Coding Test

1. The patient is diagnosed with acute exacerbation of COPD and has a past medical history of chronic asthma. What are the ICD codes for this visit?

Ans: 493.22

2. The patient is diagnosed with  Asthmatic bronchitis
Ans: 493.90


3. The patient is diagnosed with moderate persistent asthma with status asthmaticus,  COPD, and Acute bronchitis.
Ans:  493.91, 491.22


4. The patient is diagnosed with  acute exacerbation of COPD w/acute bronchitis
Ans:   491.22


5. The patient is diagnosed with chronic bronchitis in a resident with COPD
Ans:  491.20


6. The patient is diagnosed with hypoxia and COPD
Ans: 496 and 799.02

7. The patient is diagnosed with hypoxia and  acute respiratory failure
Ans: 481.81. Hypoxia is integral to acure respiratory failure so code 799.02 is not reported if acute respiratory failure is documented along with hypoxia.


8. An established patient with emphysema presents complaining of SOB. The physician provides inhalation treatment of albuterol with nebilizer. Documentation includes expanded problem-focused examination & medical decision-making of low complexity. What are the ICD and CPT codes for this visit?
Ans:
• ICD-9-CM 492.8, 786.05
• CPT 94640, 99213-25


9. The patient has CHF and pleurisy. The patient CHF was controlled with IV fluids of Lasix. The physician referred the patient to pulmonologist for a pleurocentesis? What are the ICD codes for this visit?
Ans: 486, 511.0


10. The patient was diagnosed with aspiration pneumonia due to Dysphagia.
Ans: 507.0, 787.2


11. The patient had a chest surgery a few weeks back. Today he came for chest pain. The physician diagnosed it to be pneumothorax due to medical intervention.
 Ans:  997.3, Complications affecting body systems, NEC, respiratory complications.


12. A patient with emphysema is admitted to the hospital for acute respiratory failure. What is the principal diagnoses.
Ans: Pr. Dx is acute respiratory failure, 518.81 (Coding Clinic, first quarter 2005, page 4)

12 The patient comes in with chest trauma and the physician diagnosed it as traumatic pneumothorax. How many codes are required to code this condition?
Ans: This condition requires two codes one to describe pneumothorax, and one to identify wound of specified body part and  E codes.

3 comments:

  1. # 9 should be 428.0 and 511.0, not 486

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  2. #11 should be 512.1; postoperative pneumothorax

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