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\nRevised December 2, 2013  \nIndependence Blue Cross offers products directly, through its subsidiaries Keystone Health Plan East and QCC Insurance Company, and with Highmark Blue Shield—independent licensees of the Blue Cross and Blue Shield Association.  \nPutting ICD-10 into Practice: Coding exercises and scenarios  \nTable of Contents  \n\n| Partners in Health UpdateSM edition | Page |  |\n| --- | --- | --- |\n| January 2013 | 3 |  |\n| February 2013 | 5 |  |\n| March 2013 | 7 |  |\n| April 2013 | 9 |  |\n| May 2013 | 11 |  |\n| June 2013 | 13 |  |\n| July 2013 | 15 |  |\n| August 2013 | 17 |  |\n| September 2013 | 19 |  |\n| October 2013 | 21 |  |\n| November 2013 | 23 |  |\n| December 2013 | 25 |  |\n\nPutting ICD-10 into Practice: Coding exercises and scenarios  \nThe ICD-10 Spotlight: Know the codes feature that appeared in Partners in Health Update throughout 2012 was designed to communicate various coding conventions, general guidelines, and chapter-specific guidelines in ICD-10 . These conventions and guidelines are rules and instructions that must be followed to classify and assign the most appropriate code. As with ICD-9, adherence to these guidelines is required under the Health Insurance Portability and Accountability Act (HIPAA) .  \nThis year, we are introducing a new feature called Putting ICD-10 into Practice: Coding exercises and scenarios. Each month this feature will help you put the new guidelines and conventions you learned about last year into practice. If needed, use the ICD-10 Spotlight: Know the codes booklet for assistance with these exercises. An answer key is provided below so you can verify if your answers are correct. In addition, a list of code narratives is included to describe each ICD-10 code.  \nCoding exercises  \nCode the following conditions according to ICD-10 coding conventions and guidelines:  \n1. Varicose vein of heel and mid-foot with presence of ulceration and swelling  \n2. Premature menopause with headache  \n3. Acute myocardial infarction of the anterolateral wall  \n4. Subsequent encounter for obesity resulting from the prescription drug Tryptanol®  \n5. Crohn’s disease of ileum with rectal bleeding and abscess  \n6. Bilateral central corneal ulcer  \n7. Severe generalized abdominal pain with abdominal rigidity  \n8. Female with bilateral breast cancer of lower outer quadrant  \n9. Acute nonsuppurative otitis media of the right ear  \n10. Initial encounter for concussion and edema of the thoracic spine  \n11. Initial encounter for third degree burn of the right thigh by gasoline to fifteen percent of the total body surface area  \nCoding scenario  \nCode the following scenario according to ICD-10 coding conventions and guidelines:  \nWhile chopping vegetables in the kitchen of his mobile home for the local food bank’s Thanksgiving dinner, John Doe lacerated his right thumb causing injury to the nail.  \nAnswers to coding exercises:  \n1) I83.224 2) E28.310 3) I21.09 4) E66.1, T43.015D 5) K50.011, K50.014 6) H16.013 7) R10.0 8) C50.511, C50.512 9) H65.191  \n10) S24.0xxA 11) T24.711A, T32.10, T52.0x1A  \nAnswer to coding scenario:  \nS61.111A, W26.0xxA, Y92.020, Y93.G1, Y99.2,  \ncontinued on the next page  \nJanuary 2013 | Partners in Health UpdateSM 3 [www.ibx.com/providers](www.ibx.com/providers)  \nPutting ICD-10 into Practice: Coding exercises and scenarios  \nNarratives  \nThe following are the corresponding code narratives for each of the ICD-10 codes in the answer key: I83.224: Varicose veins of left lower extremity with both ulcer of heel and midfoot and inflammation  \nE28.310: Symptomatic premature menopause  \nI21 .09: ST elevation myocardial infarction (STEMI) involving other coronary artery of anterior wall  \nE66.1: Drug-induced obesity  \nT43.015D: Adverse effect of tricyclic antidepressants, subsequent encounter  \nK50.011: Crohn’s disease of small intestine with rectal bleeding  \nK50 .014: Crohn’s disease of small intestine with abscess  \nH16 .013: C","cbCaifmcG2mmK19y","https://ap.wps.com/l/cbCaifmcG2mmK19y","pdf",546051,26,"English","# Coding exercises\n# Coding scenario\n# Answers to coding exercises\n# Answer to coding scenario\n# Narratives","[{\"question\":\"What is the purpose of the “Putting ICD-10 into Practice: Coding exercises and scenarios” feature?\",\"answer\":\"It helps readers apply ICD-10 guidelines and conventions learned previously by practicing monthly coding exercises and scenarios.\"},{\"question\":\"What resources are provided to check the correctness of answers?\",\"answer\":\"An answer key is provided below the exercises, and a list of code narratives describes each ICD-10 code included in the answers.\"},{\"question\":\"How are the exercises structured in this document?\",\"answer\":\"The document includes coding exercises for specific conditions followed by a separate coding scenario, each to be coded according to ICD-10 conventions and guidelines.\"}]","Putting ICD-10 into Practice - Coding exercises and scenarios - January 2013 | PDF",1790775847,66]