Chapter 13 Flashcards
Hiatal (esophageal) Hernia
a portion of the stomach pokes through an opening in the diaphragm
umbilical hernia
the muscle around the navel does not close completely, permitting an internal organ to protrude
Incisional hernia
a defect that may occur at the site of a previous abdominal surgical opening (scar tissue)
Inguinal hernias
appear in the groin area
femoral hernias
appear in the upper thigh
ileum
the end of the small intestine
connect ileum with end
ilium
a portion of the hip bone think of the i in hip
When you are abstracting information regarding acquired loss of you will need to identify what three things?
- is the loss complete or partial?
- what is the cause of the loss?
- what class classification is documented?
What Key details do you need to abstract when Coding Gastrojejunal Ulcer
- is the ulcer identified as acute or chronic?
- Is the ulcer hemorrhaging
- has the ulcer perforated the wall of the small intestine?
- are hemorrhage and perforation both documented?
- has either hemorrhage or perforation been documented individually? If not of course, be certain to read the notations at the top of this code category
if the physician noted whether the patient suffers with alcohol abuse or alcohol dependence you will need to code this as well