1. ICD-10-CM: PRL Training Session 5 Practice Resources, LLC 20151

2. External Cause Codes Remember they have their own index located after the table of drugs & chemicals, right before the tabular. How, place of occurrence & activity will be found here. Are used for injury coding. Are not mandatory for NYS. Practice Resources, LLC 20152

3. Coding Examples 1.Presents to ER with left knee pain after falling off a dock at the beach today. Feels he twisted his knee and now has a hard time bearing weight. Diagnosed with buckle handle tear of medial meniscus. When did this happen? ________________ Where did this happen? ________________ How did this happen?_________________ Laterality? ______________ ICD-10 code(s) ___________________________________ Practice Resources, LLC 20153

4. Coding Examples 2. 10 year old visiting Uncle’s farm this weekend. Was in the pasture with the pigs when a playful one came up behind and butted the child. She fell on right elbow. After x-rays, was diagnosed with closed Salter Harris III fracture of the physeal radius. *Hint- elbow is considered your upper end of radius. Consider pasture a field. -When? __________ -Where? _________ -How? __________ -Laterality? __________ -ICD-10 code(s) ______________________________ Practice Resources, LLC 20154

5. Coding Examples 3. Vitamin B12 Deficiency anemia, NOS. ICD-10 code _______________ 4. Mixed Hyperlipidemia, idiopathic hypertension, long term use of warfarin* ICD-10 code(s) ______________ *Hint- warfarin is an anticoagulant Practice Resources, LLC 20155

6. Coding Examples 5. Left Carpal Tunnel Syndrome ICD-10 code _____________ 6. Bone on bone primary osteoarthritis of bilateral hips ICD-10 code _____________ 7. Secondary osteoarthritis of left elbow & primary osteoarthritis of right shoulder ICD-10 code(s) ____________ Practice Resources, LLC 20156

7. Coding Examples 8. 7 year old comes in for routine child exam. No abnormal findings. ICD-10 code ___________ 9. Diverticulitis of small intestine, no bleeding & no abscess. ICD-10 code ___________ 10. Lumbar disc stenosis of the intervertebral foramina ICD-10 code ___________ Practice Resources, LLC 20157

8. Answers 1.Today, beach, fall off dock, left. S83.212A, W17.4XXA, Y92.832 2.Weekend, farm, butted by pig, right, S59.131A, W55.42XA, Y92.73 3.D51.9 4.E78.2, I10, Z79.01 5.G56.02 6.M16.0 7.M19.222, M19.011 8.Z00.129 9.K57.12 10.M99.73 Practice Resources, LLC 20158