Chapter 1 – Sepsis

Norovirus – Other Specified

K92.89 – This is a digestive system problem which is not found in book
B97.89 – This is the virus which is not mentioned in the book

K92.89, B97.89
A00-A99, B00-B99

K45.9099 – Ulcer due to viral agent

Q - Pt presents with chest pain, After examining the cultures it was

found that the [pt has influenza due streptococcus bacteria
J11.1, b95.5

Pt presents with norovirus resistant to antivirals

K92.89, B97.89, Z16.39

Pt presents with Severe sepsis due to the streptococcus culture, at the

time of encounter the pt also had heart failure
A41.9, R65.20, I50.9
Pt presents with Severe sepsis due to the streptococcus culture, at the
time of encounter the pt also had acute heart failure
A40.9, R65.20, I50.9
Septic shock – R65.21

Pt presents with Severe sepsis due to the streptococcus culture, at the

time of encounter the pt also had heart failure and kidney failure.
A40.9, I50.9, N19
Pt presents with Severe sepsis due to the streptococcus culture, at the
time of encounter the pt also had acute heart and kidney failure.
A40.9, R65.20, N17.9, I50.9
Pt presents with Severe sepsis due to the streptococcus culture with
septic shock, at the time of encounter the pt also had acute heart and
kidney failure.
A40.9, R65.21, I50.9, N17.9

Pt presents with Severe sepsis with post procedural septic shock, at the
time of encounter the pt also had acute heart and kidney failure.

A41.9, T81.12, I50.9, N17.9.

12-10-24
1 - Pt presents with liver cirrhosis after lab workout in Emergency dept
it was found that the pt has MSSA culture in liver which caused the
ulcer, hence it was decided to excise the necrotizing area but after an 1
hour of the procedure pt went into septic shock with liver dysfunction
K74.60, B95.61
Procedure – Excision of Necrotizing tissue

T81.12XA, K76.89
2 - The pt had a below knee amputation and is following up with
provider for wound care, after a week pt developed drainage to the
surgical area and MRSA culture was found hence it was decided to
irrigate the area and reconstruct the wound also an antibiotic was
prescribed, later the pt was sent to home and instructed to return in 2
days for dressing change.
T81.41XA, B95.62

3 - Pt visited the Emergency dept for acute kidney failure due to severe
sepsis please report the correct ICD 10 CM codes
A41.9, R65.20

4- A 14 week pregnant inpatient women developed Severe sepsis due to

the recent surgical procedure of open treatment of left wrist fracture
with acute heart dysfunction

5 - The fracture in wrist caused infection and sepsis

A41.9, fracture, Infection
6 – Pt had infection and fell down the stairs which result into fracture
and sepsis
Sepsis, Infection, fracture

7 – The pt presents with high body temp and rapid heart rate caused
from anxiety.
Anxiety, Rapid heart rate, High body temp. Inflammatory response

Pt presents with Sepsis due to MRSA

A41.02
Sepsis due to Salmonella
A02.1

Clostridium botulinum causing sepsis.

Sepsis due to infectious agent classified elsewhere - A41.89
Other Bacteria - B96.89

What is the ICD code from wound infection due to MRSA

T14.90XA, A49.02

What is the ICD code from wound infection due to MRSA

A49.02
MRSA – Methicillin resisitant Staphylococcus Aureos
Pencilin resistant Staphylococcus Aureos
SA, Penicillin reistant
Antibiotics
Infection, SA, penicillin resistant

The pt presented for annual physical examination after lab work the
pathology came out to be MRSA positive.
Z22.321 – Carrier of MRSA without any sign or symptoms of infection.
The pt presented with the infection later from the pathology it was
found that the pt is a carrier of MRSA. The dr reviews the lab work and
stats prescription for infection he also considers the infection is related
with MRSA
Unspecified infection, MRSA carrier

The pt presented with the infection later from the pathology it was
found that the pt is a carrier of MRSA. The dr reviews the lab work and
starts prescription for infection he also considers the infection is
related with MRSA
Infection due to MRSA.

Xrays – mildly displaced

ICD
displaced fracture – forearm displaced fracture
Non - displaced fracture
Non displaced
Lab x ray
Dr consider s

Date 13-10-24
Class 4th
Covid only confirmed cases – U07.1

1 – Pt visited the hospital a week ago where covid cases were treated
after a week pt presents to Dr with fever and running nose how will be
code the ICD !
Fever, Running nose, Exposure to covid
R50.9, R09.89, Z20.822
1 – Pt visited the hospital a week ago where covid cases were treated
after a week pt presents to Dr. with fever and running nose, After the
lab work pt is diagnosed with Covid 19 and was given anti-viral a
further vaccine and counselling is also provided to the pt at the time of
encounter how will we code the ICD !
Covid 19. Counselling of Covid 19
U07.1, Z71.89
Pt presented with sepsis under Covid 19 with acute heart failure.
A41.9, R65.20, I50.9, U07.1
Pt presented with Severe sepsis with septic shock under Covid 19 with
acute heart failure.
A41.9. R65.21, I50.9, U07.1
- PT presents with Acute respiratory failure due to Covid 19 he is
taken to OR and was given supplemental oxygen for respiratory
failure recovery along with 5 steroid injections.
U07.1, J96.00, Z99.81, Z79.52
Covid with respiratory infection
U07.1, J98.8 (Other specified disorder of respiratory system)
- Gastritis due to Covid 19
U07.1 K29.70
- Two days ago the pt went for the covid test, now pt is having
respiratory distress and cough – R06.03, R05.9, Z20.8222
Respiratory Distress - R06.03
Cough - R05.9
Exposure of Covid – Z20.822
Pt visited the Dr a week ago for active treatment of Covid now the dr.
discontinued the Covid medicine as the infection is resolved. What
could be the correct ICD 10!
Encounter of Covid 19, History of Covid 19
Z09, Z86.16
Pt visited the Dr a week ago for active treatment of Covid now the dr.
suggest continuing the current medicine until the cough is resolved and
planned to see the pt for one more week the Covid medicine as the
infection is resolved. What could be the correct ICD 10!
U07.1, Cough
Pt visits Dr office with resolved Covid 19 and wants to confirm if he has
developed any anti bodies what the Appropriate ICD 10 Cm should be !
U07.1
Pt visits Dr office with resolved Covid 19 and wants to confirm if he has
developed any anti bodies what the Appropriate ICD 10 Cm should be !
Encounter of antibodies testing, History of covid
Z01.84, Z86.16

Note – Severe Sepsis is Sepsis with acute

organ dysfunction

U09.9 for post Covid condition

Z28.310 – Unvaccinated Covid 19
Z28.311 – {Partially Vaccinated Covid 19

Chapter 1 Practice Questions

1.
1 point
A 36 year old HIV positive patient has a fever and shortness of
breath. The diagnostic workup includes chest X-ray and sputum
culture pneumocystis pneumonia. This was documented as
pneumocystis pneumonia due to AIDS.What is the correct
diagnosis code assignment?
B59
B20 , B59 -
Z21 , B59
B20
2.
1 point
What is sepsis?
Sepsis is a bone infection
Sepsis is a lung infection
Sepsis is a blood infection -
Sepsis is a organ failure
3.
1 point
A patient is admitted to the hospital with sepsis due to
pneumonia. Testing indicates the patient’s pneumonia is due to
MRSA. Applying the coding concept from ICD-10-CM guideline ,
what is the ICD-10-CM code selection?
J18.9
J15.212 -
A41.9, J15.212
J18.9, A41.02
4.
1 point
A patient is admitted to the hospital for repair of an open
fracture, type 1, of the head of the left femur. The patient has
been previously diagnosed with symptomatic HIV. Applying the
coding concept from ICD-10-CM guideline, what is the ICD-10-
CM code selection reported for the admission?
B20
S72.052B
B20, S72.052B
S72.052B, B20
5.
1 point
What is the sequence for sepsis coding
Severe sepsis, Septic shock,SEPSIS,
Septic shock, severe sepsis,sepsis
Sepsis, Severe sepsis,Septic shock,organ failure if applicable
Sepsis,organ failure 6.
1 point
What is the code for ZIKA VIRUS?
B97.89
P35.4
Z20.9
A92.5
7.
1 point
Code for scarlet fever
A98.5
A68.1
A92.5
A38.9
8.
1 point
A 75 Years old female patient was seen with fever, malaise and
right flank pain. A urinalysis was performed and showed
bacteria more than 100,000/ml. This was followed by a culture ,
showing E-coli growth as a cause of UTI. What diagnosis codes
are assigned ?
B96.20
N39.0 , B96.20
N39.0 , B95.61
B95.62, N39.0
9.
1 point
A patient is admitted to the hospital with pneumonia. Testing
indicates the patient’s pneumonia is due to Staphylococcus
aureus and is methicillin resistant (MRSA). Applying the coding
concept from ICD-10-CM guideline, what is the ICD-10-CM code
selection?
J18.9
J15.212 -
J15.212, A49.02
J18.9, A49.02
10.
1 point
An HIV patient is admitted for HIV related Kaposi’s sarcoma in
the right lung. The correct codes and sequence are:
C46.51,B20
B20,C46.51 -
B20
C46.51
11.
1 point
Which statement is true regarding HIV coding?
If a patient is admitted for an HIV-related condition, the
principal diagnosis should be B20, [HIV] disease followed by
additional diagnosis codes.
If a patient with HIV disease is admitted for an unrelated
condition (such as a traumatic injury), the code for the
unrelated condition (e.g., the nature of the injury
code) should be the principal diagnosis. second diagnoses
would be B20
Code Z21, for Asymptomatic human immunodeficiency virus
ALL the above –
12.
1 point
Expand MRSA
Methicillin susceptible Staphylococcus aureus
Methicillin Resistant Staphylococcus aureus -
Methicillin Resistant Streptococcus aureus
Methicillin Reduce Staphylococcus aureus 13.
1 point
Encounter for screening for human immunodeficiency virus
[HIV]?
B20
Z11.5
Z20.6
Z11.4 -
14.
0 / 1 point
A 56 Year old patient is seen for continued follow up for
Clostridium difficile colitis. Cultures of the organism have found
infection to be resistant to flagyl. What is the correct diagnosis
code assignment ?
A04.71, Z16.35
Z16.39, A04.71
A04.72 , Z16.39 -
A04.72 , Z16.30
15.
1 point
What is the sequence of coding HIV Infection in
Pregnancy,Childbirth and the Puerperium?
B20
O98.7-,Z21
B20,O98.7-
O98.7-,B20 -
16.
1 point
What is the code for Septic shock?
R65.21 -
A41.9,R65.21
A41.9
R65.20
17.
1 point
When reporting an encounter for a patient who is HIV positive
but has never had any symptoms, the following code is
assigned ?
B20
Z21 -
R75
Z20.6
18.
1 point
Patients with a prior diagnosis of a HIV related illness should be
assigned the codes for AIDS (B20) on every subsequent
admission ?
True
False
19.
1 point
A patient diagnoses include sepsis,acute kidney failure and
bladder cancer, if the cause of acute kidney failure is sepsis,
and reason for admission ,what are the codes and its sequence
Sepsis A41.9,AKF N17.9,Neoplasm C67.9
Severe sepsis R65.20,Sepsis A41.9,AKF N17.9,Neoplasm C67.9
Sepsis A41.9,Severe sepsis R65.20,AKF N17.9,Neoplasm C67.9
Sepsis A41.9,Septic sepsis R65.21,AKF N17.9,Neoplasm C67.9 –
20.
1 point
Code the history of covid -19 ?
Z86.12
Z87.898
Z86.19
Z86.16 -
21.
1 point
Which statement is true regarding Z71.7 coding ?
If a patient is being seen to determine his/her HIV status, use
code Z71.7, Encounter for screening for human
immunodeficiency virus [HIV]
If a patient with signs or symptoms is being seen for HIV
testing, code the signs and symptoms. An additional counseling
code Z71.7, Human immunodeficiency virus [HIV]
When a patient returns to be informed of his/her HIV test
results and the test result is negative, use code Z71.7, Human
immunodeficiency virus [HIV] counseling.
BOTH B AND C -
22.
1 point
What is the code for Sepsis?
R65.21
A41.9,R65.21
A41.9 -
R65.22
23.
1 point
A patient's diagnoses include sepsis,acute kidney failure and
bladder cancer, if the cause of acute kidney failure is bladder
cancer , and reason for admission. what are the codes and its
sequence
Sepsis A41.9,Neoplasm C67.9,AKF N17.9,
Neoplasm C67.9,AKF N17.9,Sepsis A41.9
Sepsis,severe sepsis,neoplasm,AKF
Neoplasm C67.9,AKF N17.9,Sepsis A41.9 –
24.
1 point
A 45 Years old patient came to the hospital with symptoms of
dysuria after an examination patient was diagnosed with
urinary tract infection due to MRSA. Physician planned patient
should receive antibiotics for the next 15 days. How would you
report the service ?
N39.0
B95.62 , N39.0
N39.0 , B95.62 -
P39.3
25.
1 point
A 75-year-old male from a nursing home presents with
shortness of breath and fever of 102.7. Patient was diagnosed
with pneumonia, confirmed on CXR. Laboratory tests come
back positive for COVID- 19.
U07.1
J12.9, U07.1
U07.1,J12.89 -
J18.9