The first question is an ICD medical coding question.
At first I thought it was maybe a procedure when I saw the title, intraocular lens.
But the student asked, “What is the diagnosis code assignment for contraction of the anterior
capsule causing the intraocular lens implant to be displaced following extraction of a
cataract?
The physician uses a laser to repair the torn capsule and reposition the lens.”
Now, this came from, I believe, practice exam.
You can see answers A, B, C and D. Now the student said, “Can you explain why X…”
she told me what the correct one was… “is the correct choice?”
So I thought it would be cool to make this a little poll.
So I’m just going to try and pull up this answer sheet here.
Hang on.
And Boyd, if you wanted to pull up that poll, I’ll get to the questions here.
So these are the answers with the definitions next to them.
And Boyd will go ahead and launch that poll and you can tell us what do you think the
answer is for that?
And I’ll go and read the question again.
What is the diagnosis code assignment for contraction of the anterior capsule causing
the intraocular lens implant to be displaced following extraction of a cataract?
And so we have answer A, B, C, D. Is the poll going?
Yes, okay I see it.
Boyd: And let’s see I’ve learned anything.
I think sometimes it’s easier to find out the answer by what it's not, right?
Laureen: Yeah, process of elimination.
Very good.
Boyd: We’ve got 31% voted so still some people thinking out there.
Maybe repeat the question for everybody again.
Laureen: Sure.
What is the diagnosis code assignment for contraction of the anterior capsule causing
the intraocular lens implant to be displaced following extraction of a cataract?
So 996.69 is for infection and inflammatory reaction.
I was trying to make that one word.
B was mechanical complication due to ocular lens prosthesis. C was for cataract fragments
in eye following cataract surgery and D other specified complications of procedures.
So 55% voted, come on guys.
The iPad users have an excuse, you don’t.
Boyd: Okay, how much time would you… had you been able to spend on this on your exam?
Laureen: Well, you have 2 minutes.
Boyd: 2 minutes of question, right?
Laureen: What do you think it is, Boyd?
Boyd: As short as possible and move on.
Laureen: Alright, I think we got enough people.
Let’s see what they said.
Okay.
Boyd: Looks like B was the winner here.
Laureen: B is the winner, yeah.
So we had A – 10%, B – 38%, C – 31% and D – 21%.
So let’s break it down to see why.
What happened?
There we go.
Okay so she said, “The answer they say is B.” And her comments were, “Due to ocular
lens prosthesis but I’m not sure I agree with that because it says contraction of the
anterior capsule causing the intraocular lens implant to be displaced.”
I answered D because I thought that was the best of the choices.
While I don’t really agree with D, I definitely don’t agree with B because of the word ‘causing’.
So a little bit of overthinking here.
Can you explain why B is the correct choice?
So what is the diagnosis code?
Oh, I just rewrote it here.
What I have highlighted in red is what was key to me choosing B. It says lens implant
to be displaced.
To me, that is mechanical issue going on here.
It doesn’t really matter the cause of the choices because A, there’s no mention of
infection or inflammation.
So we can cross that off.
C, there’s no mention of cataract fragments so we can cross that off.
So really, the battle was between B – mechanical complication and D – other specified complications.
So when we read it again, it’s talking about contraction of the anterior capsule causing
the intraocular lens implant to be displaced.
So the implant is malfunctioning, it’s being displaced.
And that’s why B would be the correct answer, a mechanical complication.
And in doing a little research on this, apparently, it’s kind of common.
So that is your intraocular lens.