Basic Medical Coding Using ICD

Graded Project

Basic Medical Coding Using ICD-10










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OVERVIEW As a medical coder, you’ll assign diagnosis codes and proce- dure codes using ICD-10. For this reason, you must be able to

1. Explain the instructional notations in ICD-10.

2. Provide examples that illustrate your ability to assign codes in ICD-10

3. Summarize what you’ve learned about coding using ICD-10

WRITING GUIDELINES 1. Open a new Word document and include the following

information at the top of your graded project:

� Name and address

� Student number

� Course title and number (HIT203, Basic Medical Coding)

� Research project number (38165400)

2. Copy and paste all exam questions into the Word docu- ment and add answers after reading the assignment and following the instructions carefully.

3. After completing the exam, click on File, Save As, Documents, name the file, and click Save.

4. Follow the directions on the last page of this assignment to submit your project.

Basic Medical Coding

Using ICD-10



Basic Medical Coding Using ICD-102

INSTRUCTIONS Your graded project has three parts. Be sure to complete all three parts prior to submitting your project.

Part 1: ICD-10 Instructional Notations In October 2015, coders transitioned from ICD-9 to ICD-10. Therefore, it’s important to have a firm understanding of the types of instructional notations that you’ll find in ICD-10. Test your knowledge of several important ICD-10 coding con- ventions by answering each of the following questions:

1. What is the difference between “Excludes1” and “Excludes2” in ICD-10-CM?


2. When should a coder assign placeholder “x” for a code in ICD-10-CM?


3. What’s the process of finding a corresponding diagnosis code between the old ICD-9 and the new ICD-10 called?


Part 1 is worth 15 points of your overall graded project.

Part 2: Assign Codes

Part 2a

Review each of the following diagnoses. Assign the ICD-10- CM code for each diagnosis listed.

Ankle pain

ICD-10 code __________________________


ICD-10 code __________________________


ICD-10 code __________________________



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Part 2b

Review each of the following procedures. Assign the ICD-10 procedure code for each procedure listed.

Tonsillectomy (external approach)

ICD-10 code __________________________

Destruction of the pancreas, open approach

ICD-10 code __________________________

X-ray of the left ankle with high osmolar contrast

ICD-10 code __________________________

Part 2 is worth 30 points of your overall graded project:

15 points for Part 2a and 15 points for Part 2b.

Part 3: Assign Multiple Codes

Review each of the following diagnoses. Assign the ICD-10 diagnosis codes and procedure codes, according to the instructions.

1. A patient is diagnosed with an emphysematous bleb, duodenitis without bleeding, and primary spontaneous pneumothorax. Assign the ICD-10-CM codes.

2. A patient undergoes an excision of a lesion from the left thyroid (open approach), and an excision of a lesion from the upper gum tissue (open approach). The physician also inserts an anterior nasal packing into the left nos- tril to control nose bleed (that is, epistaxis). Assign the ICD-10-PCS procedure codes.

3. A patient is diagnosed with a concussion with loss of consciousness of 16 hours after falling from a window at an office building. The physician performs a right occipi- tal craniectomy to treat the brain injury. Assign the ICD-10-CM code(s) and ICD-10-PCS procedure code.

Part 3 is worth 55 points of your overall graded project.



Basic Medical Coding Using ICD-104

GOAL Your goal is to demonstrate your understanding of ICD-10 and to accurately assign ICD-10 codes.

GRADING CRITERIA The graded project will be evaluated according to the following criteria:

Content For Part 1, the student

� Writes at least one to three paragraphs in each of the three columns for the table

� Writes in complete sentences, not just simple yes or no statements

� Highlights at least three key concepts in each of the three columns

� Stays focused on the assigned issues

� Writes in his or her own words with correct grammar, spelling, and punctuation

For Parts 2 and 3, the student

� Includes all required characters in each code

� Includes required decimal points in correct positions within each code



SUBMITTING YOUR PROJECT Be sure that your files contain the following information:

� Your name

� Your student ID number

� The lesson number (38165400)

� Your email address

Use the following steps to submit your project online:

1. Go to

2. Log in to your student portal.

3. Click on Take Exam next to the lesson you’re working on.

4. Follow the instructions provided to complete your exam.

Be sure to keep a backup copy of any files you submit to the school!

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