Practice Quiz

Medical Coding

Category - ICD-10-CM Volumes 1 and 2

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A 33-year-old woman follows up with her psychiatrist for ongoing major depressive disorder that is considered moderate. She is on a daily medication for this disorder. She also follows up with him for generalized anxiety disorder. She smokes 1.5 packs of cigarettes per day and she reports that this helps her anxiety and, when she doesn’t smoke, her anxiety increases. What ICD-10-CM codes are correct and what sequence should they be listed?
  1. F33.0, F41.9, F17.200
  2. F33.1, F41.1, F17.210
  3. F33.0, F41.1, F17.200
  4. F33.1, F41.9, F17.210
Explanation
Answer: B - F33.1, F41.1, F17.210 is the correct ICD code sequence for this patient. F33.1 is the correct code for moderate recurrent major depressive disorder. F41.1 is the correct code for generalized anxiety disorder and F17.210 is the correct code for nicotine dependency by cigarettes without complications.
F33.0 is incorrect because this code is for mild recurrent major depressive disorder. F41.9 is incorrect because this code is for unspecified anxiety disorder. F17.200 is incorrect because this code is for unspecified uncomplicated nicotine dependence and this patient’s nicotine of choice is cigarettes.
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