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Chapter 19 Diseases of the Genitourinary System OBJECTIVES At the conclusion of this chapter, the learner should be able to: 1. Identify the anatomical structures of the urinary system. 2. Identify the anatomical structures of the male and female genital tracts. 3. Explain the conditions related to the genitourinary system. 4. Discuss specific coding guidelines related to the conditions encountered in the genitourinary system. 5. Select and code diagnoses from case studies. EXERCISE ANSWERS 19.1. Code Selection for Category Codes N00–N39 1. N36.0 2. N19 3. N20.1 4. N13.6 5. N17.1 6. N32.1 7. N19 8. N34.0 9. N25.0 10. N34.1 CHAPTER REVIEW ANSWERS True/False 1. False 2. True 3. False 4. True 5. False Fill-in-the-Blank 6. urinary bladder 7. Chronic kidney disease 8. Nephrosis 9. Menopause 10. kidney, nephrons Coding Assignments 1. N26.1 2. N64.3 3. N27.1 4. N31.2 5. N18.9 6. N95.0 7. N87.9 8. N17.1 9. N40.1, N13.8 10. N36.8 11. N17.0 12. N40.0 13. N39.0 14. N81.82 15. N20.1 16. N17.1 17. N30.10 18. N48.6 19. N70.03 20. N32.81 21. N60.39 22. N50.8 23. N46.01 24. N45.4 25. N05.9 Case Studies Case 1: N03.1 Reference the main term Sclerosis, then focal and segmental. (glomerular) (see also N00–N07 with fourth character .1). Case 2: N80.3 Reference Endometriosis, then pelvic peritoneum. Case 3: N40.1, R33.8 Reference the main term Enlargement, then prostate, with lower urinary tract symptoms; see the instructional notation at code N40.1 that instructs the coder to Use additional code for urinary retention. Case 4: N13.30 Reference the main term Hydronephrosis. Case 5: N30.90 Reference the main term Cystitis. Case 6: N39.0, B96.20 Reference the main term Infection, urinary (tract). At N39.0 an instructional notation appears that instructs the coder to add an additional code to identify the infectious agent. Reference the main term Escherichia coli (E. coli), as cause of disease classified elsewhere. Case 7: N20.2 Reference the main term Calculus, calculi, calculous, then kidney with calculus, ureter. Case 8: N18.4 Reference the main term Disease, diseased, then kidney, chronic, stage 4 (severe). Case 9: N10 Reference the main term Pyelonephritis, acute. Case 10: N43.3 Reference the main term Hydrocele (spermatic cord) (testis) (tunica vaginalis).