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ICD621S-INTERNAL DISEASE CLASSIFICATION AND CODING-JAN 2020 |
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NAMIBIA UNIVERSITY
OF SCIENCE AND TECHNOLOGY
FACULTY OF HEALTH AND APPLIED SCIENCES
DEPARTMENT OF HEALTH SCIENCES
QUALIFICATION: BACHELOR OF HEALTH INFORMATION SYSTEMS MANAGEMENT
QUALIFICATION CODE: 07BHIS
LEVEL: 6
COURSE CODE: ICD621S
COURSE NAME: INTERNATIONAL DISEASE
CLASSIFICATION AND CODING
SESSION: January 2020
PAPER: PRACTICAL
DURATION: 2 HOURS
MARKS: 100
SUPPLEMENTARY / SECOND OPPORTUNITY EXAMINATION QUESTION PAPER °
EXAMINER
MR. JOMIN GEORGE
MODERATOR: | DR. LARAI AKU AKAI
INSTRUCTIONS
1. Answer ALL the questions.
2. Write clearly and neatly.
3. 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
THIS QUESTION PAPER CONSISTS OF 4 PAGES (Including this front page)
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SECTION A [40 MARKS]
QUESTION 1
[40 MARKS]
1. Code the following diagnostic terms using ICD- 10CM. Write the appropriate code next to the
number of the statement/phrase in the ANSWER BOOK. Each question carries 2 — marks
1.1 Corrosions involving 10%-19% of body surface with 0%—9% third degree corrosion:
1.2 Tear film insufficiency of right eye:
1.3 Encounter for adult general medical examination with abnormal findings:
1.4 Open displaced middle of femur shaft fracture, subsequent encounter routine healing, and
fracture classification Gustilo class II:
1.5
Poisoning by other progestogens and estrogens :
1.6 A 30-year-old male is diagnosed with hypersomnia:
1.7 Underdosing of antithyroid drugs:
1.8 Car driver injured in collision with sport utility vehicle in traffic accident, initial encounter:
1.9 Varicose veins of left lower extremity with both ulcer of heel and midfoot and inflammation:
1.10 Civilian activity done for pay:
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1.11 Exposure to flames in uncontrolled fire in building.
1.12 Drug-induced obesity:
1.13 Myocardial infarction ST elevation (STEMI) involving other anterior wall of coronary artery:
1.14 Upper back third degree, initial encounter:
1.15 Contact with boiling water, initial encounter:
1.16 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema:
1.17 Dependence on renal dialysis:
1.18 Atrophic macular degeneration, age-related:
1.19 Syphilis of thyroid gland:
1.20 Toxic cataract, both eyes:
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SECTION B [20 MARKS]
QUESTION 2
[20 MARKS]
2.ldentify the most suitable codes from ICD -10 CM by using chapter specific guidelines for the following
conditions. Write the appropriate code next to the number of the statement/phrase in the ANSWER
BOOK. Each question carries 4 - marks
2.1 Aman presents for treatment after falling on the moving walkway at the airport:
2.2 A 15-year-old is being seen by his family practice physician after suffering a contusion of his
nose from being hit by a football.
2.3. Hypertensive heart with Chronic kidney disease Stage 5 with heart failure.
2.4 A post-menopausal woman presents for a follow-up visit due to a pathological, osteoporotic
fracture of the right wrist that is healing well. She has a history of pathological fractures due to
osteoporosis.
2.5 Asingleton newborn was born vaginally in the hospital. The baby is being treated for Rh
incompatibility. The baby has type A+ blood and the mother is A-. What is the correct
diagnosis code(s)?
QUESTION 3
SECTION C [40 MARKS]
[40 MARKS]
Using chapter specific guidelines, identify the most suitable codes from ICD -10 CM by for the
following Scenarios. Write the appropriate code next to the number of the statement/phrase in the
ANSWER BOOK. Each question carries 10 - marks
3.1 45-year-old male diagnosed with small cell carcinoma of the left upper lobe of lung with
metastasis to the intrathoracic lymph nodes and left rib. Seen today because of severe anemia.
Client continues to smoke cigarettes-1 pack/day.
3.2. A 46-year-old male, working on his own home improvement projects, falls from a ladder
outside of his single-family home. After evaluation, it is determined that he has a non-
displaced femoral neck fracture on the left side. At this time, no surgical intervention is
planned. What diagnosis codes are assigned?
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3.3 A 75-year-old female was brought to the ER with severe difficulty in breathing..She was -
intubated started on mechanical ventilation and admitted. Diagnosis for this patient: Acute
respiratory failure, acute infectious bronchitis with acute exacerbation of chronic obstructive
pulmonary disease. What diagnosis codes are assigned?
3.4 A 38-year-old female was seen last week for annual examination. Blood work is consistent
with Hypercholesterolaemia. She returns today for follow-up and is given a prescription for
Pravastatin. Since she is a Type 2 diabetic on insulin, her blood sugar is checked and is
140mg/dl. She is obese at 240 pounds with a BMI of 41. Dietary counselling was provided.
GOOD LUCK.
TOTAL -100