Home Health ICD-9/ICD-10 Alert

Can you code these milestones of a lifetime?

It seems as if there's an ICD-9 code for everything. Grab your ICD-9 manual and test your coding skills by filling in the codes for this life story 

My life began on a sunny November morning when after a long labor in the hospital (Dx 1: ________), I was born a healthy baby (Dx 2: ________). I had 10 fingers and 10 toes, and my parents thought I was beautiful, even though I had a rather large birthmark (Dx 3: ________) on the left side of my face.

I was a good baby, although my nocturia (Dx 4: ________) caused my parents some sleep deprivation (Dx 5: _______).

I had an uneventful childhood, suffering from the usual maladies of chicken pox, measles, and mumps (Dx 6, 7, & 8: ________). Too bad vaccines for these diseases hadn't been invented yet -- I could have used them! (Dx 9: ________).

As I grew, I was a real tomboy, always trying to outdo the boys on the playground, until one day I took a bad fall from a tree (Dx 10: ________). After that, my mother needed to provide aftercare for my fractured wrist (Dx 11: ________).

Because I was a normal teenager in the 60's, my parents thought I had a case of social maladjustment (Dx 12: ________), but the only trouble I was ever involved in was getting my ears pierced (Dx 13: ________) without permission.

At the age of 17, I took my driving license exam (Dx 14: ________), and I have been on the go ever since!

Answers:

Dx 1: 662.10 (Prolonged labor, unspecified; unspecified as to episode of care or not applicable)

Dx 2: V30.00 (Single liveborn; born in hospital; delivered without mention of cesarean delivery)

Dx 3: 757.32 (Birthmarks)

Dx 4: 788.43 (Nocturia)

Dx 5: V69.4 (Sleep deprivation)

Dx 6, 7, & 8: 052.9 (Chickenpox NOS), 055.9 (Measles without mention of complication) and 072.9 (Mumps without mention of complication).

Dx 9: V04.x (Need for prophylactic vaccination and inoculation against certain viral diseases)

Dx 10: E884.9 (Fall from tree)

Dx 11: V54.12 (Aftercare for healing traumatic fracture of lower arm)

Dx 12: V62.4 (Social maladjustment)

Dx 13: V50.3 (Ear piercing)

Dx 14: V70.3 (Driving license exam)

This coding quiz was contributed by Lynn Yetman, RN, MA, HCS-D, COS-C, LNC, of Reingruber & Company in St. Petersburg, FL.