DecisionHealth | PIVOT Points

ICD-10 Quiz: Test your ICD knowledge
in preparation for the new code set

82-year-old female is admitted to HH care. She has a history of right breast cancer treated with lumpectomy. She now has bone mets to her lumbar spine. She was hospitalized for nausea and vomiting and resulting dehydration due to chemotherapy treatments. She was treated with IV fluids but physician documents some residual dehydration with potential for it to increase. SN is ordered to monitor the dehydration at home and instruct adequate hydration. She takes Lisinopril for her HTN which is documented as stable.
1. C67.51; E86.0; I10; Z85.3
2. C79.51; E86.0; Z85.3
3. E86.0; C79.51; I10; Z85.3
4. E86.0; C79.51; Z85.3
Pt has just been diagnosed with secondary DM due to cystic fibrosis. He has a history of CHF. He is admitted to home care for SN to assess his new diagnosis of diabetes and to instruct him in managing the disease.
1. E08.9; E84.8
2. E13.9; E84.9
3. E84.8; E08.9; I50.9
4. E84.9; E13.9;I50.9

Answers:

C

RATIONALE: Code the focus of home care – the dehydration as primary, followed by the underlying cause – the malignancy. HTN is a co morbid condition which should be included in the coding. History of cancer should be included...
C

RATIONALE: Although the diabetes is the focus of care, coding guidelines state to code the underlying cause for the diabetes, so cystic fibrosis is primary. CHF is a co-morbid condition which must be coded when present.