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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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
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e-MCCD M2U2LA2
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