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ICD 9 CM CODING TEST

Symptoms, Signs and Ill defined conditions


1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Anorexia Failure to thrive, 35 year old patient Fussy infant Fever Syncope Chronic fatigue syndrome Chest pain Headache Polydipsia Abnormal GTT Nausea and vomiting Change in bowel habits Urinary frequency RUQ abdominal pain Cachexia Hyperventilation Abnormal EEG SIDS A patient with a four history of anorexia nervosa was seen in the physicians office because of significant weight loss over the past three months, going from 82 pound down to 53 pounds. She was admitted to increase body weight and to be given nutritional counseling because of her severe malnutrition Nonvisualization of gallbladder

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ICD 9 CM CODING TEST


Infectious and Parasitic diseases
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Meningitis due to ECHO virus Chickenpox Cutaneous anthrax Genital herpes Acute salpingitis due to gonococcal infection Typhoid fever Food poisoining due to staphylococcus organism Infectious diarrhea Pulmonary tuberculosis, bacilli identified with microscopy Scarlatina Steptococcal septicemia Dermatophytosis of scalp Pneumonia as a complication of measles Mumps Condylomata acuminate Infectious mononucleosis Inconclusive serologic test for HIV Positive HIV test in patient who is asymptomatic, presents no related symptoms, and has no history of HIV infection Chronic gonococcal urethritis Encephalitis due to typhus

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ICD 9 CM CODING TEST


Neoplasms
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Benign neoplasm of bronchus Carcinoma of the broad ligament ( confined to this location ) Carcinoma of the bladder trigone Adenoma of the islet cells of the pancreas Adenocarcinoma of the lesser curvature of the stomach Secondary carcinoma of the submandibular salivary gland Carcinoma in situ of the breast Bronchogenic carcinoma Carcinoma in situ of the uterine cervix Multiple myeloma in remission Acute myelogenous leukemia Hodgkins disease of thoracic lymph nodes Metastatic carcinoma from lung The patient presents with a lesion, which was identified by biopsy as Merkel cell carcinoma of the skin, right upper eyelid. Patient will be referred to a cosmetic surgeon to undergo Mohs micrographic surgery Carcinoma to brain from lung, previous resection of lung with no recurrence at primary site A 54 year old breast cancer patient presents for treatment of antineoplastic chemotherapy induced anemia A 33 year old female admitted for prophylactic removal of both breasts, with documented genetic susceptibility to breast cancer due to extensive family history of breast carcinoma Carcinoma of left breast, outer portion

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ICD 9 CM CODING TEST

Endocrine, Nutritional and Metabolic diseases


1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Agammaglobulinemia Hyponatremia Primary hypercholesterolemia Type 1 diabetes mellitus with diabetic renal nephrosis, out of control Diabetes mellitus Type 1 diabetes mellitus with proliferative retinopathy Type 1 diabetes mellitus with ketoacidosis Type 1 diabetes mellitus with ophthalmic manifestations Hypoinsulinemia following total pancreatectomy Hypopotassemia Cystic fibrosis with pulmonary manifestations Hypophyseal dwarfism Morbid obesity Polycystic ovaries Renal glycosuria Nodular goiter with hyperthyroidism Congenital hypothyroidism Chronic kidney disease, stage 4 due to type 1 diabetic nephritic syndrome

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ICD 9 CM CODING TEST

Disorders of Blood and Blood forming organs

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17.

Anemia Sickle cell trait Anemia due to acute blood loss Anemia in end stage renal disease Von Willebrands disease Fe deficiency anemia Folate deficiency anemia due to drugs Refractory megaloblastic anemia Osteosclerotic anemia Purpura fulminas Thrombocytopenia purpura Thrombocytopenia following massive blood transfusions Hemophilia Congenital aplastic anemia Acute hemolytic anemia Anemia secondary to vitamin B12 deficiency Iron deficiency anemia secondary to chronic blood loss

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ICD 9 CM CODING TEST


Circulatory system
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Left ventricular aneurysm Mitral valve stenosis Hypertension, malignant Atrial flutter Ventricular fibrillation Chronic diastolic heart failure Preinfarction angina Pulmonary infarction ASHD of transplanted heart Atherosclerosis of left internal mammary artery bypass graft A patient with hypertensive and diabetic chronic kidney disease who is on chronic dialysis is admitted because of dialysis disequilibrium (electrolyte imbalance) Orthostatic hypotension Varicose veins of the legs with ulceration Abdominal aortic aneurysm, ruptured Left heart failure with benign hypertension Acute congestive heart failure due to hypertension Hypertensive heart disease myocardial degeneration A patient was admitted to community hospital on 3/3 with severe chest pain, which was identified as an acute anterolateral wall infarction (no history of earlier care). Patient was transferred to university hospital late on 3/3 for angioplasty and returned to Community hospital on 3/6 to continue recovery. Patient was discharged on 3/8. Codes for community hospital and university hospital The patient in the previous situation was readmitted to community hospital on 3/12 because he was having severe chest pains. Extension of infarction was suspected but ruled out
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ICD 9 CM CODING TEST


Respiratory system
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Acute bronchitis Acute laryngitis with airway obstruction Hypertrophy of tonsils and adenoids Maxillary sinus polyp Pneumonia due to Gram negative anaerobic organisms Acute exacerbation of chronic obstructive pulmonary disease Emphysema Bilateral granulomatous hemorrhagic septic pneumonia Aspiratin pneumonia Chronic obstructive asthma with status asthmaticus Postoperative pneumothorax Chronic respiratory failure Tracheostomy stenosis Postinfective bronchiectasis Spontaneous pneumothorax COPD Radiation pneumonitis Common cold A patient with chronic myasthenia gravis goes in to acute exacerbation and develops acute respiratory failure. The patient is admitted due to the respiratory failure Deviated nasal septum, allergic rhinitis and ethmoidal sinusitis

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ICD 9 CM CODING TEST


Skin and subcutaneous tissue

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17.

Carbuncle of the hand Paronychia of finger Sunburn Cellulitis of face Pilonidal cyst Poison ivy Dermatitis due to base metals in jewelry Lupus erythematosus Keloid scar Actinic keratosis Alopecia areata Lichen planus, generalized Contact dermatitis due to new detergent Abscess of axilla Erythema multiforme Second degree sunburn Ammonia dermatitis from soiled diapers

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ICD 9 CM CODING TEST

Musculoskeletal system and connective tissue


1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Pyogenic arthritis of the hip Rheumatoid arthritis involving the hands Aseptic necrosis of femoral head Osteoarthritis of the knees Degenerative joint disease, generalized Chronic bucket handle tear of the lateral meniscus of the knee Chondromalacia patellae Hemarthrosis of the elbow, chronic Ankylosing spondylitis Osteoarthritis of the cervical spine with cord compression documented at surgery Degenerative disc disease of lumbar spine Low back pain Synovial cyst of wrist Systemic lupus erythematosus (SLE) Osteomyelitis, acute , of first and second metatarsal Postmenopausal osteoporosis Pathologic fracture of neck of femur Hallux valgus Genu varum

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ICD 9 CM CODING TEST


Pregnancy, Childbirth and the puerperium

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

Gestational diabetes, admitted for control, not delivered Maternal hypotension syndrome, onset 10 minutes after delivery Family planning counselling Primary uterine inertia, delivered this admission Vaginal delivery with fourth degree perineal laceration Encounter for insertion of intrauterine contraceptive device Elderly primigravida (37 years old), term delivery, spontaneous, of living female infant False labor, 39 weeks, not delivered Hydatidiform mole Pregnancy in bicornuate uterus, 20 weeks, undelivered this admission Term pregnancy, spontaneous delivery, vortex presentation liveborn male infant Term pregnancy with spontaneous delivery, twin pregnancy with one live born and one still born Delivery of twins, both still born Delivery of liveborn, female infant A patient who had a completely normal delivery suffered a postpartum hemorrhage several hours after delivery A patient who had a previous cesarean delivery was admitted for a second cesarean delivery. She also had type 1 diabetes. Antepartum supervision of pregnancy in patient with history of 3 previous still births Office visit for care of elderly patient who is in the fourth month of her third pregnancy

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ICD 9 CM CODING TEST

Newborn and Congenital disorders

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18.

Spina bifida of lumbar region Brochial cleft cyst Coarctation of the aorta Bilateral complete cleft palate Hypospadias Polycystic kidney disease Congenital dislocation of left hip, with subluxation of right hip Spondylolisthesis, L5-S1 Gastroschisis Klinefelters syndrome Osteogenesis imperfecta Meconium aspiration syndrome Drug withdrawal syndrome in newborn Necrotizing enterocolitis of the newborn Left trigger thumb, congenital Congenital pyloric stenosis Cystic lung ,congenital Bilateral talipes equinovarus, congenital

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ICD 9 CM CODING TEST

V Codes

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

Hepatitis B carrier History of carcinoma of the breast History of colonic polyps Family history of ovarian cancer Well baby visit Incidental pregnancy Visit to lactation clinic Kidney transplant status, with out complications Cardiac pacemaker status Admission for chemotherapy Encounter for screening mammogram Admission to donate kidney Status post aortocoronary bypass procedure Adjustment of cardiac pacemaker Long term use of anticoagulant therapy Visit to change surgical dressing

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ICD 9 CM CODING TEST

E Codes

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Fall from ladder Injury from rattle snake bite Injury from fireworks Injury from dog bite Burn from boiling water Injury due to fall from horse Injury in a fight Laceration of hand from assault with knife Injury due to tackle in a football game Drowning in the bathtub

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ICD 9 CM CODING TEST

Digestive system
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Dental caries Acute duodenal ulcer with bleeding Gastric ulcer Leukoplakia of tongue Angiodysplasia of the stomach Alcoholic gastritis with hemorrhage Acute obstructive appendicitis Incisional hernia Bilateral inguinal hernia, recurrent Incarcerated right femoral hernia Crohns disease of the small bowel Ulcerative colitis Ileus due to gallstones impacting the intestine Postoperative peritoneal adhesions Cholelithiasis with acute cholecystitis Acute pancreatitis Melena

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ICD 9 CM CODING TEST

Genitourinary system
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Acute renal failure Ureterolithiasis Acute pyelonephritis Urethrolithiasis Hydronephrosis Urinary tract infection (UTI) due to E.Coli Overactive bladder Hematuria Mastodynia Pelvic inflammatory disease (PID) Endometriosis of the broad ligament Corpus luteum cyst of ovary Dysmenorrhea Postmenopausal atrophic vaginitis The patient had a history of frequent episodes of severe chronic interstitial cystitis. Despite previous treatment, she has had no resolution of her symptoms. She was admitted for and received a cystectomy and ileoureterostomy. The patient, a woman with insignificant past medical and surgical history, was the sister of a patient with end stage renal disease secondary to hypertension. She was to be a living related kidney donor for her brother. She was prepared for surgery the day of admission, but due to her brothers active hepatitis C infection, the surgery was canceled. Code 1) Kidney donor 2) procedure canceled

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ICD 9 CM CODING TEST

Nervous system and Sense organs


1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Endophthalmitis Duchennes muscular dystrophy Central retinal artery occlusion Nuclear cataract Retinal detachment, traction type Senile cataract, posterior subcapsular Angle closure glaucoma, acute Bullous keratopathy Dacryocystitis Chronic serous otitis media Acute suppurative otitis media with eardrum rupture due to pressure Cholesteatoma involving middle ear and mastoid Hyperactive labyrinth, right side Anisocordia Malignant otitis externa Otitis media Reflex sympathetic dystrophy, both arms Pain management for acute low back pain due to trauma A 50 year old female with a long history of refractory temporal lobe epilepsy presents for followup, MRI to assess neurological changes, MRI reveals mesial temporal sclerosis
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ICD 9 CM CODING TEST

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