Certified Inpatient Coding (CIC) Practice Exam

When coding a diagnosis of right internal carotid artery dissection, what codes should be used?

1. I72.0, W51.XXXA, Y93.64, Y92.320

2. I77.71, W51.XXXA, Y93.64, Y92.328

3. I77.71, W51.XXXA, Y93.64, Y92.320

4. I77.71

The correct answer is: I77.71, W51.XXXA, Y93.64, Y92.320

The coding for a diagnosis of right internal carotid artery dissection is best represented by the choice that includes proper codes for the condition itself along with any additional codes that signify the circumstances or the manifestations associated with it. In this case, the appropriate code for the right internal carotid artery dissection is included in the chosen option. The diagnosis code I77.71 is specific for arterial dissection, indicating a disorder of the arteries, which in this instance pertains to the internal carotid artery. The inclusion of the W51.XXXA code is relevant as it represents an occurrence of an external cause, possibly related to the dissection event, which could involve activities or incidents that lead to such a condition. Additional codes Y93.64 and Y92.320 provide further context about outside factors or locations related to the event, ensuring comprehensive representation of the patient's condition for coding purposes. Together, these codes help to portray a complete clinical picture, indicating not only the primary diagnosis but also external factors and any relevant locations. This thorough approach is essential for accurate coding in the context of medical billing and health record keeping. Thus, the combination provided in the correct choice captures the necessary details for coding right internal carotid artery dissection effectively.