For acute cholecystitis and cholelithiasis, assign ICD-10-CM code
a. K80.00
b. K80.62
c. K80.12
d. K80.10
2
The ICD-10-CM code for patient admitted with abdominal pain with a final diagnosis of gastritis is
3
Codes from ICD-10-CM A00.0 through T88.9 and Z00 through Z99.8 are reported to identify diagnoses, symptoms, conditions, problems, complaints, or other reason(s) for the encounter. This means that ICD-10-CM codes V00 through Y99 are reported for
a. health concerns not related to morbidity
b. poisonings, adverse effects, and underdosings
c. procedures and services
d. external causes of injury
The patient is treated as an inpatient in the intensive care unit for respiratory failure.
The ICD-10-CM code for this condition is
The Correct Answer and Explanation is :
1. ICD-10-CM Code for Acute Cholecystitis and Cholelithiasis
- Correct answer: c. K80.12
Explanation:
The ICD-10-CM code K80.12 refers to “Calculus of gallbladder with acute cholecystitis without obstruction.” This accurately describes the condition of both acute cholecystitis and cholelithiasis.
Other options:
- K80.00: Gallbladder calculus without cholecystitis.
- K80.62: Calculus of gallbladder with acute cholecystitis and obstruction (not applicable here since no obstruction is mentioned).
- K80.10: Calculus of gallbladder with chronic cholecystitis (does not describe acute inflammation).
2. ICD-10-CM Code for Abdominal Pain with Final Diagnosis of Gastritis
- Correct answer: K29.70
(Gastritis, unspecified, without bleeding)
Explanation:
The code is selected based on the final diagnosis of gastritis. Abdominal pain is a symptom; once a definitive diagnosis is made, the symptom code is not used. K29.70 is specific to gastritis of unspecified cause without bleeding.
3. Purpose of ICD-10-CM Codes V00 through Y99
- Correct answer: d. external causes of injury
Explanation:
ICD-10-CM codes V00 through Y99 are used to capture external causes of morbidity and mortality, including circumstances of injuries (e.g., falls, vehicle accidents) and external events contributing to injuries. They do not represent diseases or health conditions but help provide context for injuries.
Other options:
- a. health concerns not related to morbidity: Not applicable.
- b. poisonings, adverse effects, and underdosings: These are coded in the T36-T50 range.
- c. procedures and services: These are coded using CPT, not ICD-10-CM.
4. ICD-10-CM Code for Respiratory Failure
- Correct answer: J96.00
Explanation:
The ICD-10-CM code J96.00 refers to “Acute respiratory failure, unspecified whether with hypoxia or hypercapnia.” Since the patient is treated in the intensive care unit for respiratory failure, this diagnosis is most relevant.
Key details to ensure accurate coding:
- If specific information about hypoxia (J96.01) or hypercapnia (J96.02) is provided, it must be included.
- For chronic or acute on chronic respiratory failure, other subcodes of J96 are used.
The ICD-10-CM coding system is hierarchical and highly specific, ensuring detailed representation of patient conditions for accurate documentation and billing.