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ICD611S - ICD621S - INTERNATIONAL CLASSIFICATION OF DISEASE 1A - INTERNATIONAL CLASSIFICATION OF DISEASE - 2ND OPP - JANUARY 2024 |
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'I
nAml BIA UnlVERSITY
OFscienceAnorecHnoLOGY
FacultyofHealthN, atural
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Sciences
Schoolof HealthSciences
DepartmentofPreventative
HealthSciences
13JacksonKaujeuaStreet T: +264612072970
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QUALIFICATION: BACHELOR OF SCIENCE IN HEALTH INFORMATION SYSTEMS
MANAGEMENT
QUALIFICATION CODE: 07BHSM
LEVEL:6
COURSE: INTERNATIONAL CLASSIFICATION OF DISEASE
!A/INTERNATIONAL CLASSIFICATION OF DISEASE
COURSECODE:
ICD611S/ICD621S
DATE: JANUARY 2024
SESSION: 2
DURATION: 3 HOURS
MARKS: 100
EXAMINER:
MODERATOR:
SECOND OPORTUNITY/SUPPLEMENTARY: QUESTION PAPER
MS INDAA PAULUS
DR LARAI AKU AKAi
INSTRUCTIONS
1. Answer all questions on the separate answer sheet.
2. Please write neatly and legibly.
3. Do not use the left side margin of the exam paper. This must be allowed for the
examiner.
4. No books, notes and other additional aids are allowed.
5. Mark all answers clearly with their respective question numbers.
6. Students are allowed to refer to only 3 volumes of ICD-10 CM Pdf file. No other Windows
& Internet applications are allowed.
PERMISSIBLE MATERIALS
1. Three volumes of ICD-10 CM Pdf
ATTACHMENTS
1. None
This question paper consistsof 5 pages including this front page.
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QUESTION 1
1. Evaluate the statements and select whether the statement is true or false. Write the word
'True' or 'False' next to the corresponding number on your ANSWERSHEET.Each question
carries 1 (one) mark.
1.1 A baby boy is born with human immunodeficiency virus (HIV) disease. The baby's
condition will be coded to chapter I (one) of the Tabular list.
1.2 The Category block B95-B97 is never to be used for primary coding.
1.3 The convention "see" indicates that there is an additional indexed entry where the coder
may find pertinent information related to the documented condition.
1.4 An exclude 2 note indicates that it is unacceptable to use both the specific code and
the excluded code together.
1.5 The terms "with" and "due to" are used in the Alphabetic Index and Tabular list to indicate
a causal relationship between two or more conditions.
1.6 An ambidextrous patient with flaccid hemiplegia, the code selection will be non-dominant.
1.7 Selection of codes for "in remission" from categories F10-F19 are assigned entirely based on
provider documentation.
1.8 When a provider documentation refers to use, abuse, and dependence of the same substance,
only one code should be assigned to identify the pattern of use.
1.9 Routine postoperative pain immediately after surgery should be coded.
1.10 Colonization means that Methicillin Susceptible Staphylococcus Aureus (MSSA) is present in the
body and not necessarily causing illness.
INTERNATIONAL CLASSIFICATION OF DISEASElA (ICD611S)/ INTERNATIONALCLASSIFICATIONOF
DISEASEICD621S
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SECTIONS: SHORT ANSWER.QUESTIONS
QUESTION 2
2. Code the following diagnostic terms using ICD- 10CM. Write the appropriate code next to the
number of the statement/phrase in the ANSWERBOOK.Each question carries 1 (one) mark.
2.1 Ewing's Sarcoma.
2.2 Syphilis of thyroid gland.
2.3 Type 2 Diabetes Mellitus with mild nonproliferative diabetic retinopathy with macular edema.
2.4 Croup
2.5 Congenital iodine-deficiency syndrome, mixed type.
2.6 'Eosinophilic meningoencephalitis due to Parastrongylus cantonensis.
2.7 Chronic obstructive pulmonary disease [COPD] with acute bronchitis.
2.8 Plasmodium falciparum Malaria.
2.9 Malignant neoplasm of upper-outer quadrant of left female breast.
2.10 Hypertensive heart disease with heart failure.
2.11 Procreative counselling and advice using natural family planning.
2.12 Hungry bone syndrome.
2.13 Orthostatic hypotension due to drugs.
2.14 Recurrent isolated sleep paralysis.
2.15 Dengue haemorrhagic fever.
2.16 Meningitis due to Rubella.
2.17 Encounter for screening for malignant neoplasm of oral cavity.
2.18 Cerebrovascular accident, ischemic.
2.19 Fever and shortness of breath due to pneumonia.
2.20 Neurogenic orthostatic hypotension.
2.21 Multiple myeloma.
2.22 Psychogenic impotence.
2.23 Subphrenic abscess following a procedure.
2.24 Withdrawal from heroin dependence, daily use.
2.25 Stenosis of left lacrimal sac.
2.26 Chronic rheumatic mediastinopericarditis.
2.27 Bilateral phlebitis and thrombophlebitis of popliteal vein.
2.28 Pneumoconiosis due to talc dust.
2.29 Hemorrhage from tracheostomy stoma.
2.30 Malignant neoplasm of head, face and neck.
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2.31 Secondary malignant neoplasm of cerebral meninges.
2.32 Necrotizing encephalopathy, subacute.
2.33 Tuberculous cardiomyopathy.
2.34 Vascular anomalies of the right lower eyelid.
2.35 Arachnophobia.
SECTION C: SEMI- STRUCTURED ANSWER q~ESTIONS
QUESTION3
3. Identify the most suitable codes from ICD-10 CM by using chapter specific guidelines for the
following cases.
3.1 Suzie Small, a 21-year-old, is being seen today. She and her mother return to discuss
the findings of various diagnostic and psychological tests that were completed to
determine the reason for her loss of appetite and weight loss as reported by
her mother. The laboratory tests show no physiological reason for the weight loss.
Psychological testing concluded that the patient is not eating and is showing signs
of anorexia nervosa. The provider is referring the patient to Dr Naholo for further
psychological analysis. Assessment: eating disorder.
(4)
3.2 Mr Johnson is admitted to the hospital with chest and epigastric pain. He is
evaluated by the emergency department physician with a diagnosis of myocardial
infarction rule out. Mr. Johnson is then transferred to a larger facility for further work-up.
(4)
3.3 A 60 year old woman presents for a follow-up visit due to a pathological age-related
osteoporosis on the left lower leg that is healing well. She also has a history of pathological (4)
fractures due to osteoporosis.
3.4 Thomas was involved in an accident years ago in which his neck was injured. Today he
is being seen for a neck pain complain.
(4)
3.5 A Patient admitted with severe Anaemia due to right breast carcinoma of the central
portion of the female breast. The focus of care is the anaemia.
(4)
3.6 Severe sepsis due to Pseudomonas with septic shock.
(4)
3.7 An asymptomatic Human Immunodeficiency Virus (HIV) patient never had any
opportunistic infections. He is being seen today by his physician for moderate,
(4)
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major depressive disorder, single episode.
3.8 A patient presents with a chief complaint of a backache and after examination,
the physician determines the patient has acute kidney infection due to Escherichia coli.
(4)
3.9 A patient diagnosed with pressure ulcers on each heel, each heel displays bone
involvement with evidence of necrosis and is identified as stage 4.
(4)
3.10 A 36-year-old patient with advanced HIV is admitted to the hospital with red purplish
spots and severe leg swelling. The patient is diagnosed with skin Kaposi sarcoma .
(4)
Question 4
..-~ (15MARKS)
4. Identify the most suitable codes from ICD-10 CM by using chapter specific guidelines for
the following scenarios. Sequencing carries 1 (one) mark.
4.1 A 60-year-old male has Hypertension with Stage 4 chronic kidney disease. He walked
into clinic reporting of blood in urine and severe lower abdominal pain. The urine was
positive for heavy blood and abdomen is distended. The Emergency medical services
were called.
(5)
4.2 A 43-year-old obese female with secondary diabetes mellitus due to acute idiopathic
pancreatitis. She has been on insulin for 3 years and today her blood sugar is 300 mg/di.
(4)
4.3 Patient admitted with malignant neoplasm of anterior wall of nasopharynx due to
occupational exposure to environmental tobacco smoke.
{3)
4.4 Baby born with thrombocytopenic purpura and also found to have an absent radius.
(3)
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END OF QUESTION PAPER
INTERNATIONAL CLASSIFICATIONOF DISEASE1A (ICD611S)/ INTERNATIONALCLASSIFICATIONOF
DISEASEICD621S
2nd Opportunity January 2024 5