- Which ICD-10-CM code would you use to document trichiasis of the upper right eyelid without entropion?
A. H02.051
B. H02.052
C. H02.054
D. H02.055
2. A 10-year-old patient presents with symptoms of fatigue, frequent infections, and abnormal bleeding. After a series of diagnostic tests, the patient is diagnosed with Fanconi anemia. Which ICD-10-CM code should be assigned to this diagnosis?
A. D61.01
B. D61.09
C. D61.03
D. D61.1
3. A licensed acupuncturist places acupuncture needles in the feet and knees of a patient and connects an e-stim device for 20 minutes. The practitioner stays with the patient and monitors the treatment progress. After disconnecting the lead wires, the practitioner adds two more needles in the wrists, which takes 8 minutes, and then leaves the room. The practitioner returns 20 minutes later and removes the needles. Total face-to-face time is 25 minutes. Assuming the patient’s insurance covers this, how is this coded?
A. 97813, 97811
B. 97810, 97814, 97811
C. 97813, 97811 x2
D. 97813, 97814, 97811
Rationale: The initial 15 minutes consisted of e-stim (97813). The second acupuncture unit was without e-stim (+97811) but only the 8 minutes spent face to face with the patient may be counted. Add-on codes 97811 and 97814 can be reported with either 97810 or 97813.
4. Which category is postsurgical hypothyroidism classified under?
A. E01
B. E03
C. E05
D. E89
Rationale: Not every thyroid disease is classified under Disorders of thyroid gland (E00-E07) in ICD-10-CM. Postsurgical hypothyroidism is classified under category E89.
4. A physician places a peri-auricular nerve stimulation device on the left ear of a patient. This takes 10 minutes. He spends an additional 22 face-to-face minutes observing the patient to make sure they tolerate the procedure. Total face-to-face time is 32 minutes. How is this coded?
A. 99213-25, 97813
B. L8679
C. 97813, 97814
D. 97813, 97811
Rationale: The peri-auricular nerve stimulation device is placed within the first 23 minutes, so CPT code 97813 is the appropriate code. The physician spent additional face-to-face time with the patient that was not significantly complicated and included electrical stimulation, therefore code 97814 is added.
5. Which CPT code is appropriate for the manual removal of misdirected eyelashes using forceps?
A. 67820
B. 67825
C. 99203
D. 67850
Rationale :Code 67820 describes the correction of trichiasis by manual epilation (removal) of eyelashes using forceps.
6. A patient presents for T2DM follow-up. His current regimen is Victoza and Metformin after trialing many medications and doses over the previous six months. Today’s labs show great control; however, today the patient mentions having some nausea without vomiting and is wondering what to do to prevent that side effect. What ICD-10-CM codes should be reported?
A. E10.9, R11.0, T38.3X5A, Z79.85, Z79.84
B. E11.9, R11.0, T38.3X5A, Z79.84, Z79.85
C. E11.9, Z79.85, Z79.84, R11.0, T38.3X5A
D. E11.65, R11.0, T38.3X5A, Z79.84, Z79.85
Rationale: Type 2 diabetes mellitus (T2DM) is identified with ICD-10-CM code E11.-. Under the category T36 codes, there is an instructional note to “Code first, for adverse effects, the nature of the adverse effect, such as: adverse effect NOS (T88.7) ….” Adverse effects of medications to treat diabetes depend on the medication and mechanism of action. Common adverse effects by medication type includes nausea (R11.-) among others. The adverse effect of insulin and oral hypoglycemic drugs is reported with T38.3X5 and the 7th character A is added for the initial encounter. Lastly, report the Z codes for long-term drug use: Metformin is reported with Z79.84 and Victoza is Z79.85.
7. A patient has latent autoimmune diabetes mellitus treated with insulin and oral saxagliptin. She is being seen for level 2 hypoglycemia after accidentally taking her morning medications twice. What ICD-10-CM codes should be reported?
A. T38.3X1A, E13.649, E16.A2, Z79.4, Z79.84
B. T38.3X1A, E16.0, E13.9, Z79.4, Z79.85
C. E10.649, Z79.4, Z79.84, T38.3X1A
D. E10.9, Z79.4, Z79.84
MUST BUY CPT & ICD-10 CM CODING EBOOKS
Rationale : Overdosing of a medication is also called poisoning, and coding depends on intent. T38.3X1 is for accidental (unintentional) poisoning. Next, we code the diabetes (E13.649). New for fiscal year 2025: ICD-10-CM instructional notes specify to also use an additional code for the patient’s hypoglycemia level with E16.A1, E16.A2, or E16.A3 when the physician documents diabetes “with hypoglycemia.” Lastly, report the patient’s long-term use of insulin (Z79.4) and saxagliptin (Z79.84).
a
