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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