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ICD611S - INTERNATIONAL CLASSIFICATION OF DISEASE 1A - 2ND OPP - JANUARY 2025 |
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r
I
nAml BIA UnlVERSITY
OF SCIEnCE AnDTECHnOLOGY
FacultyofHealthN, atural
ResourceasndApplied
Sciences
Schoolof HealthSciences
Departmentof Preventative
HealthSciences _ - -
13JacksonKaujeua Street
Private Bag 13388
Windhoek
NAMIBIA
T: •264 612072970
F: •264 61207 9970
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QUALIFICATION:
MANAGEMENT
-
BACHELOROF-SCIENCEIN HEALTHINFORMATION SYSTEMS
QUALIFICATION CODE: 07BHSM
LEVEL:6
COURSE: INTERNATIONALCLASSIFIC~TIONOF DISEASE1A COURSECODE: ICD611S
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DATE: JANUARY2025
-
SESSION: 2
DURATION: 3 HOURS
MARKS: 100
SECONDOPPORTUNITY/SUPPLEMENTARY:EXAMINATION QUESTION PAPER
EXAMINER:
MODERATOR:
MS INDAA PAULUS
DR LARAIAKU-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.
PERMISSIBLEMATERIALS
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
(20)
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.Eachquestion
carries 1 (one) mark.
1.1 A sequela is the residual effect (condition produced) after the acute phase of an illness or injury has
terminated.
1.2 A combination code are double codes used to classify a diagnosis with an associated complication.
1.3 Codes that describe symptoms and si~ns, as opposed to diagnoses, are acceptable for reporting
purposes when a related definitive diagnosis has not been established by the provider.
1.4 A dash(-) at the end of an Alphabetic Index entry indicates that additional characters are required.
1.5 A "code also" note instructs that two codes may be required to fully describe a condition, but this
note does not provid~ sequencing direction.
1.6 The convention "see" indicates that there is an additional indexed entry where the coder may find
pertinent information related to the documerit"ed condition.
1.7 An exclude 2 note indicates that it is unacceptable to use both the specific code and the excluded
Code together.
1.8 The abbreviation NECis the equivalent of unspecified.
1.9 A three-character category with no further subdivision is not equivalent to a code.
1.10 Selection of codes for "in remission" from categories F10-F19 are assigned entirely on the basis of
provider documentation.
1.11 When the provider documentation refers to use, abuse and dependence of different substances, only
one code should be assigned to identify tne pattern of use.
1.12 A code from category G89 should be assigned if the definitive diagnosis is known, unless the reason
for the encounter is pain management and not management of the underlying condition.
1.13 Routine or expected postope~ative pain immediately after surgery should not be coded.
1.14 The exclude 1 note under category G89 indicates that G89 can be assigned with code F45.1 and code
F45.2.
1.15 The alphabetic index consists of the following parts: the Index of Diseasesand Injury, the
Index of External Causesof Injury, the Table of Neoplasms and the Table of Drugs and Chemicals.
INTERNATIONAL CLASSIFICATION OF-DISEASElA (ICD611S)
2nd Opportunity January 2025
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. .,.
1.16 A baby boy is born with huma~ immuno~eficiency virus (HIV) disease. The baby's condition will be
coded to chapter I (one) of-the Tabular list.
1.17 C93.91 is the correct diagnostic code for Aseptic meningitis in leptospirosis.
1.18 The Category block B95-B97 is never to be used for primary coding.
1.19 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.
1.20 The code B06.02 is the correct code for Meningitis due to Rubella.
SECTIONB:SHORTANSWERQUESTIONS
QUESTION 2
(30)
2. Code the following diagnostic terms using ICD- lOCM. Write the appropriate code next to the
number of the statement/phrase in the ANSWERBOOK.Each question carries 1 (one) mark.
2.1 Nephrogenic diabetes insipidus.
2.2 Personal history of in-situ neoplasm of cervix_~J~ri.
2.3 Bronchopneumonia due to Hemophilus influenzae.
2.4 Candidiasis of the mouth.
2.5 Enteritis due to C/ostridium difficile.
2.6 Multiple myeloma.
2.7 Acute blood-loss anemia.
2.8 Monocytic leukemia, unspecified in remission.
2.9 Dengue haemorrhagic fever.
2.10 Plasmodium falciparum malaria.
2.11 Dependence on renal dialysis.
2.12 Disease,sickle cell Hb-SE,with crisis, with acute chest syndrome.
2.13 Hungry Bone Syndrome.
2.14 Myxoma of the antrum of the stomach.
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2nd Opportunity January 2025
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2.15 Tuberculosis of pleura Tuberclllous empyema. ·
2.16 Personal history of Hodgkin lymphoma.
..
2.17 Eosinophilic meningoencephalitis-due1:o Parastrongy/us cantonensis.
2.18 Diabetes mellitus due to u·nderlying condition with diabetic necrobiosis lipoidica.
2.19 Renal tubular degeneration in diabetes mellitus due to underlying condition.
2.20 Neutropenia Unspecified.
2.21 Unstable hemoglobin hemolytic disease.
2.22 Malignant neoplasm of female genitourinary tract.
2.23 Chemotherapy for malignancy of stomach.
2.24 Benign neoplasm of lingual tonsil.
2.25 Cerebrovascular.accident, ischemic.
2.26 Compulsive gambling.
.. ,
2.27 Claustrophobia.
2.28 Depression with anxiety.
2.29 Stroke due to verteliral artery occlusion.
2.30 Stenosis of left lacrimal sac.
'SECTIONC: SEMI- STRUCTUREDANSWER QUESTIONS
QUESTION 3
{30)
3. Identify the most suitable codes from ICD-10 CM by using chapter specific guidelines for the
following cases.
3.1 Female patient admitted with severe Anemia due to right breast malignant Neoplasm.
The focus of care is the Anemia.
(3)
3.2 Meningitis due to Proteus mqrganii.
(3)
3.3 A 40-year-old woman was admitted with\\:vorsening headaches and nausea. She was
Investigated and a.diagnosis of metastatic Cancer to the brain was made. Her
Symptoms were controlled, and st,e was di_s_chargeTd.he patient is undergoing
treatment for primary ovarian Cancer..
3.4 Rheumatoid neuritis with localized Amyloidosis.
INTERNATIONAL CLASSIFICATION OF DISEASE1A (ICD611S)
2n_Od pportunity January 2025
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(3)
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3.5 A 17-year-old college student was'treat~a for cough, fever, body aches and headache.
Diagnosis: Upper respiratory tra~t i~fectfon due to novel influenza A virus.
(1)
3.6 Secondary glaucoma due to ocular inflammation was discovered in a patient with
recurrent acute iridocyclitis in both eyes. Th·e-iefteye is in a severe condition, while the
right eye is at a moderate level.
(3)
3.7 Acute maxillary sinusitis due to Hemophilus influenza.
(3)
3.8 A patient is admitted to the hospital with acute diastolic heart failure due to hypertension
with end stage renal disease (ESRD).
(4)
3.9 Respiratory failure due to congestive heart failure.
(3)
3.10 A routine follow up visit for a 25 year old Type I diabetic patient in her 2nd trimester at
15 weeks of pregnancy. She administers insulin once per day.
(4)
'SECTIOND: STRUCTUREDANSWERQUESTIONS
QUESTION4
(20)
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 Hyperte-nsion 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 This 75-year-old female was brought to the ERwith severe difficulty in breathing. She
was intubated and started on mechanical ventilation and admitted. Diagnosis for this
patient: Acute respiratory failure, acute infectious bronchitis with acute exacerbation
of Chronic Obstructive Pulmonary Disease (COPD).
(5)
4.3 A 79-year-old patient is admitted with dizziness and dysuria. A urine sample is collected
on admission and is positive for Klebsiella pneumoniae. The blood sample, taken on
admission, is also positive for Klebsiella. The doctor lists: Urinary tract infection (UTI)
due to Klebsiella, bacteremia due tci Klebsiella. ·
(4)
4.4 Patient presents for immunotherapy for a malignant, primary neoplasm of the trigone
of the bladder.
(3)
4.5 A patient who is allergic to penicillin is ·admitted to the hospital for treatment of pneumonia
using intravenous antibiotics.
(3)
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END OF EXAMINATION QUESTION PAPER
INTERNATIONALCLASSIFICATIONOF DISEASElA (ICD611S)
2nd Opportunity January 2025
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