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Z. CDAB 1 > Ch 6 Multisystemic or Unspecified Infections > Flashcards

Ch 6 Multisystemic or Unspecified Infections Flashcards

1
Q

What is the sequence of codes when sepsis is involved?

A

sepsis, organ failure, shock, problem, cause, other problem, SIRS

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2
Q

When there are two possible codes for a localized infection, always code from Chapter __

A

I

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3
Q

How are infections with a causative organism classified?

A
  1. combo code
  2. dagger/asterisk or dual classification
  3. use additional code
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4
Q

B95-B97 codes are optional except when coding __, ___, or ___.

A

MRSA, VRE or ESBL

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5
Q

B95-B97 codes are always type __

A

3

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6
Q

T or F. Assign the appropriate code when the physician has confirmed that the organism reported in bacteriology reports is the cause of infection.

A

T

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7
Q

What does one do when the physician doesn’t provide confirmation of causative organisms yet it exists elsewhere in documentation?

A

Assign the code to identify the infection by site with no code for the organism. Coders mustn’t assign codes on the basis of bacteriology reports alone

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8
Q

Specific group of organisms with particular staining characteristics

A

gram negative bacteria

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9
Q

Several gram-negative organisms may be seen but no single organism is identified as the causative agent

A

gram negative infection

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10
Q

Gram ____ infections are usually more severe and require more intensive care than gram ____ infections.

A

negative more severe than postiive

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11
Q

Classification block for sequelae; infections that are no longer present but cause another condition

A

B90;B94

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12
Q

When coding sequelae, code presenting condition ___ then the code for the ___

A

first, sequela of previous infection

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13
Q

Classification block for persons not ill with an infectious disease but carries the organism

A

Z22.-

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14
Q

Carrier patient: code from Chapter __ not assigned

A

I

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15
Q

Carrier codes are optional except when patient is carrying a _____ organism

A

drug resistant organism

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16
Q

Classification block for infections in neonates which are acquired in utero or at birth

A

P35-P39

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17
Q

Infections acquired in utero or at birth are assigned to P35-P39 except for five blocks of infection. List them.

A
  1. A00-A09
  2. HIV
  3. gonococcal
  4. syphillis
  5. tetanus
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18
Q

Classification block exempt from the P35-P39 block for neonatal coding

A

A00-A09

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19
Q

T or F. Infections acquired after birth are coded to the appropriate category as is the case for any other patient

A

T

20
Q

Drug resistant organism infections require at least __ codes

A

two

21
Q

What are the three aspects of drug-resistant organism infections that must be captured?

A
  1. infection site
  2. organism
  3. drug the organism is resistant to
22
Q

What are the three possible codes assigned for the drug the organism is resistant to?

A

U82.1, U82.2, U83.0

23
Q

A ____ must be applied when coding drug resistant organism infections, as per all U codes

A

diagnosis cluster

24
Q

Drug resistant organism site is typed as ___, organism is typed as ___, and specific drug resistance is typed ___.

A

MRDx, 3, 1/2

25
Q

It is mandatory for patients carrying drug resistant organisms to be coded as ____

A

Z22.30-

26
Q

Tuberculosis is also known as ____

A

consumption

27
Q

Tuberculosis may be coded to an axis at a ___ or ___ character level, which indicates ___ and ___ respectively

A

fourth or fifth

diagnosis method and presence/absence of cavitation

28
Q

When cause of a fever is determined, _____ is assigned for fever

A

no code

29
Q

When the cause of SIRS is an infection, it is documented as ____ or ____

A

sepsis, septicemia

30
Q

Bacteria in the blood

A

bacteremia

31
Q

When sepsis is due to obstetric conditions/procedures and procedures in general, an additional Chapter I code, typed __, must be assigned to identify ___ and ___

A

3, sepsis, causative organism

32
Q

How are sequelae codes sequenced?

A
  1. presenting condition

2. code for sequela of the previous infection

33
Q

How are drug resistant infections coded?

A
  1. site
  2. organism
  3. drug resistance
  4. diagnosis cluster
  5. carrier patients

SODDC

34
Q

SIRS is always typed __

A

3, except in the case of severe sepsis where organs aren’t specified

35
Q

When sepsis is classified to an __ code, an additional code, typed 3, must be assigned to identify sepsis and causative organism

A

O, sepsis due to obstetrics

36
Q

When sepsis is classified to a __ code, an additional Chapter I code, typed 3, must be assigned to identify sepsis and causative organism

A

T; sepsis due to procedure

37
Q

Search for ___ when assigning a code for sepsis due to procedures

A

“infection following ____”

38
Q

Multiple organ failure is also called ____ or ____

A

multiple organ dysfunction syndrome (MODS), multiple organ failure (MOF)

39
Q

Severe sepsis indicates ___ failure

A

organ

40
Q

When there is a severe sepsis diagnosis and the organs that failed aren’t specified, R65.1 must be typed __

A

1/2

41
Q

SOS HP COP SR

A 
severe sepsis
sepsis M
organ failure 1/2
shock 1/2
problem 1/2
cause 3
other problem 3
SIRS 3
42
Q

Bacteremia is coded as ___ when sepsis isn’t specified

A

A49.9

43
Q

COP SRSH

A 
non-infectious sepsis
cause
other problem
SIRS
shock
44
Q

For tuberculosis, axis at the fourth character level is the ___

A

diagnosis method

45
Q

For tuberculosis, axis at the fifth character level is the __

A

presence/absence of cavitation

46
Q

T or F. When cause of fever is determined, fever is still coded

A

F. No code assigned for fever if cause determined

Z. CDAB 1 (5 decks)

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