Assigning an ICD code :Examples
There are multiple examples in the following slides to understand the different ICD chapters, blocks and codes. The examples are explained in a tabular format as illustrated below
| Example | This is example no |
|---|---|
| Question | This a case scenario |
| Disease | This represents the name of the disease or diagnosis in the case scenario |
| Chapter | This represents the name of the chapter under which the disease falls into |
| Block | This represents the name of the block within the particular chapter under which the disease falls into |
| Code | This represents the code for the particular disease |
| Example | Example 1 |
|---|---|
| Question | A pedestrian died due to crushing injury of head after an accident |
| Disease | Crushing injury of head |
| Chapter | Chapter XIX: Injury, poisoning and certain other consequences of external causes |
| Block | Block - Injuries to the head |
| Code | Crushing injury of head- S07 |
| Example | Example 2 |
|---|---|
| Question | About 100 people died due to Cholera outbreak in a village in North Karnataka |
| Disease | Cholera |
| Chapter | Chapter I: Certain infectious and parasitic diseases |
| Block | Block - Intestinal infectious diseases |
| Code | Cholera - A00 |
| Example 3 |
|---|
| A tourist back from Africa who lived on street food has jaundice and elevated serum bilirubin levels |
| Acute hepatitis A |
| Chapter I: Certain infectious and parasitic diseases |
| Block - Viral hepatitis |
| Acute hepatitis A - B15 |
| Example 4 |
|---|
| Patient diagnosed with HIV dies due to secondaries in Lung |
| HIV with malignancy |
| Chapter I: Certain infectious and parasitic diseases |
| Block - Human immunodeficiency virus disease |
| Human immunodeficiency virus [HIV] disease with malignant neoplasms - B21 |
| Example | Example 5 |
|---|---|
| Question | A 50 year old man complaining of indigestion and severe weight loss died due a mass in the left upper quadrant |
| Disease | Malignancy of stomach |
| Chapter | Chapter II: Neoplasms |
| Block | Block - Malignant Neoplasms of digestive organs |
| Code | Malignancy of stomach - C16 |
| Example 6 |
|---|
| Patient on treatment for Hodgkin’s lymphoma died |
| Hodgkin lymphoma |
| Chapter II: Neoplasms |
| Block - Malignant neoplasms of lymphoid, haematopoietic and related tissue |
| Hodgkin’s disease - C81 |
| Example | Example 7 |
|---|---|
| Question | Haemoglobin levels of a pregnant lady is extremely low |
| Disease | Iron deficiency anaemia |
| Chapter | Chapter III: Diseases of blood and blood-forming organs and certain disorders involving the immune mechanisms |
| Block | Block - Nutritional anaemias |
| Code | Iron deficiency anaemia - D50 |
| Example 8 |
|---|
| A 35 yr old women is diagnosed with Cushing’s syndrome |
| Cushing's syndrome |
| Chapter IV: Endocrine, nutritional and metabolic diseases |
| Block - Disorders of other endocrine glands |
| Cushing's syndrome - E24 |
| Example 9 |
|---|
| A man died due to respiratory failure caused by Cystic fibrosis |
| Cystic fibrosis |
| Chapter IV: Endocrine, nutritional and metabolic diseases |
| Block - Disorders of other endocrine glands |
| Cystic fibrosis - E84 |
| Example | Example 10 |
|---|---|
| Question | A woman was diagnosed with Myasthenia gravis |
| Disease | Myasthenia gravis |
| Chapter | Chapter VI: Diseases of nervous system |
| Block | Block - Diseases of myoneural junction and muscle |
| Code | Myasthenia gravis - G70 |
| Example 11 |
|---|
| A 14 week old infant was diagnosed with hydrocephalus |
| Hydrocephalus |
| Chapter VI: Diseases of nervous system |
| Block - Other disorders of the nervous system |
| Hydrocephalus - G91 |
| Example | Example 12 |
|---|---|
| Question | Patient in the emergency had a sudden death due to pulmonary embolism |
| Disease | Pulmonary embolism |
| Chapter | Chapter IX: Diseases of cardiovascular system |
| Block | Block - Pulmonary heart disease and diseases of pulmonary circulation |
| Code | Pulmonary embolism - I26 |
| Example 13 |
|---|
| Echocardiogram of a recent death showed left ventricular systolic dysfunction and the physician diagnosed it as systolic heart failure |
| Heart failure |
| Chapter IX: Diseases of cardiovascular system |
| Block - Other forms of heart disease |
| Heart failure - I50 |
| Example | Example 14 |
|---|---|
| Question | A child with history of Asthma dies due to severe dyspnoea |
| Disease | Status Asthmaticus |
| Chapter | Chapter X: Diseases of respiratory system |
| Block | Block - Chronic lower respiratory diseases |
| Code | Status Asthmaticus - J46 |
| Example 15 |
|---|
| A heavy smoker in emergency complains of sudden stabbing pain in his right hemi thorax |
| Pneumothorax |
| Chapter X: Diseases of respiratory system |
| Block - Other diseases of pleura |
| Pneumothorax - J93 |
| Example 16 |
|---|
| A female with severe dyspnoea on exertion, progressive edema in lower extremities was diagnosed with emphysema |
| Emphysema |
| Chapter X: Diseases of respiratory system |
| Block - Chronic lower respiratory diseases |
| Emphysema - J43 |
| Example | Example 17 |
|---|---|
| Question | A patient with severe abdominal pain is diagnosed with H.pylori infection |
| Disease | Gastric ulcer |
| Chapter | Chapter XI: Diseases of the digestive system |
| Block | Block - Diseases of oesophagus, stomach and duodenum |
| Code | Gastric ulcer - K25 |
| Example 18 |
|---|
| A patient hospitalised for acute pancreatitis dies in emergency |
| Acute pancreatitis |
| Chapter XI: Diseases of the digestive system |
| Block - Disorders of gallbladder, biliary tract and pancreas |
| Acute pancreatitis - K85 |
| Example 19 |
|---|
| A patient has discomfort and a lump in the right groin. The lump disappears when supine |
| Inguinal hernia |
| Chapter XI: Diseases of the digestive system |
| Block - Hernia |
| Inguinal hernia - K40 |
| Example 20 |
|---|
| A women aged 40 years died due to Systemic lupus erythematosus |
| SLE |
| Chapter XIII: Diseases of the musculoskeletal system and connective tissue |
| Block - Systemic connective tissue disorders |
| Systemic lupus erythematosus - M32 |
| Example | Example 21 |
|---|---|
| Question | A patient with facial puffiness and proteinuria was diagnosed with nephrotic syndrome |
| Disease | Nephrotic syndrome |
| Chapter | Chapter XIV: Diseases of the genitourinary system |
| Block | Block - Glomerular diseases |
| Code | Nephrotic syndrome - N04 |
| Example 22 |
|---|
| A patient has crush-injury to the kidneys with extremely low urine output |
| Acute Renal failure |
| Chapter XIV: Diseases of the genitourinary system |
| Block - Renal failure |
| Acute Renal failure - N17 |
| Example 23 |
|---|
| A 14-yr-old football player presents with diffused testicular pain and swelling |
| Torsion of testis |
| Chapter XIV: Diseases of the genitourinary system |
| Block - Diseases of male genital organs |
| Torsion of testis - N44 |
| Example | Example 24 |
|---|---|
| Question | A 22 week pregnant woman with high blood pressure, proteinuria and convulsions is brought to emergency |
| Disease | Eclampsia |
| Chapter | Chapter XV: Pregnancy, childbirth and the puerperium |
| Block | Block - Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium |
| Code | Eclampsia - O15 |
| Example 25 |
|---|
| A pregnant woman develops regular contractions at 32 weeks of pregnancy |
| Preterm labour |
| Chapter XV: Pregnancy, childbirth and the puerperium |
| Block - Complications of labour and delivery |
| Preterm labour -O60 |
| Example 26 |
|---|
| Post-delivery, a woman develops high fever, chills and stomach ache |
| Puerperal sepsis |
| Chapter XV: Pregnancy, childbirth and the puerperium |
| Block - Complications predominantly related to the puerperium |
| Puerperal sepsis - O85 |
| Example | Example 27 |
|---|---|
| Question | A Neonate with G6PD deficiency died due to Kernicterus |
| Disease | Kernicterus |
| Chapter | Chapter XVI: Certain conditions originating in the perinatal period |
| Block | Block - Haemorrhagic and haematological disorders of fetus and newborn |
| Code | Kernicterus - P57 |
| Example 28 |
|---|
| A low-birth-weight newborn died due to hypothermia |
| Hypothermia of newborn |
| Chapter XVI: Certain conditions originating in the perinatal period |
| Block - Conditions involving the integument and temperature regulation of fetus and newborn |
| Hypothermia of newborn - P80 |
| Example | Example 29 |
|---|---|
| Question | A neonate is diagnosed with microcephaly |
| Disease | Microcephaly |
| Chapter | Chapter XVII: Congenital malformations, deformations and chromosomal abnormalities |
| Block | Block - Congenital malformations of the nervous system |
| Code | Microcephaly - Q02 |
| Example 30 |
|---|
| A child is diagnosed with the genetic disorder Trisomy 21 |
| Down syndrome |
| Chapter XVII: Congenital malformations, deformations and chromosomal abnormalities |
| Block - Chromosomal abnormalities, not elsewhere classified |
| Down syndrome - Q90 |
| Example | Example 31 |
|---|---|
| Question | A patient who was well the previous night, was found dead the next morning with cause not known |
| Disease | Unattended death |
| Chapter | Chapter XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified |
| Block | Block -Ill-defined and unknown causes of mortality |
| Code | R98 -Unattended death |
| Example 32 |
|---|
| A patient has fever lasting more than 3 weeks and the physician could not determine the cause of fever |
| Fever of unknown origin |
| Chapter XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified |
| Block - General symptoms and signs |
| Fever of unknown origin - R50 |
| Example | Example 33 |
|---|---|
| Question | A child died after a fall from a ladder |
| Disease | Fall from ladder |
| Chapter | Chapter XX: External causes of morbidity and mortality |
| Block | Block - Other external causes of accidental injury |
| Code | Fall from ladder - W11 |
| Example 34 |
|---|
| A bus passenger died after bus accident |
| Bus occupant injured in collision with heavy transport vehicle or bus |
| Chapter XX: External causes of morbidity and mortality |
| Block - Bus occupant injured in transport accident |
| Bus occupant injured in collision with heavy transport vehicle or bus - V74 |
| Example 35 |
|---|
| A 11 yr old boy drowned in a swimming-pool |
| Drowning and submersion while in swimming-pool |
| Chapter XX: External causes of morbidity and mortality |
| Block - Accidental drowning and submersion |
| Drowning and submersion while in swimming-pool - W67 |
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e-MCCD M2U2LA2
By drkavya1
e-MCCD M2U2LA2
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