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MRT 132 > Chapter 4 > Flashcards

Chapter 4 Flashcards

1
Q

Sepsis

A
  • caused by the body’s immune response to an infection

- Immune system releases chemicals into the blood to fight the infection and triggers widespread inflammation

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2
Q

Sepsis does not

A

occur without a reason

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3
Q

What causes sepsis?

A

Bacterial infections are most common

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4
Q

Rapid breathing, change in mental status, fever, chills, decreased urination, rapid plus and breathing, nausea and vomiting,

A

Symptoms of sepsis

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5
Q

mottled skin, difficulty breathing, abnormal heart function, sign, decreased union

A

severe sepsis symptoms

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6
Q

Severe sepsis

A

(systemic inflammatory response syndrome (SIRS))

  • Severe sepsis is an infection with associated acute organ dysfunction
  • One or more of the body organs will fail
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7
Q

Septic Shock

A
  • occurs in extreme cases when the patient develops very low blood pressure and heart failure
  • Causes circulatory failure
  • Causes failure of the lungs, kidneys, and liver
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8
Q

If unknown type of sepsis, code

A

A41.9 Sepsis, unspecified

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9
Q

Coding Severe sepsis

A

requires a minimum of two codes.

  1. A code
  2. R65.2
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10
Q

R65.2

A

(only when dx of severe sepsis or associated acute organ dysfunction has been doc)

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11
Q

Pt admitted with both (severe) sepsis and a localized infection (cellulitis)

A
  1. Systemic infection

2. localized infection

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12
Q

If (severe) sepsis doesn’t occur until after the admission for a localized infection

A
  1. localized infection

2. (severe) sepsis

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13
Q

SIRS

A

severe sepsis

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14
Q

Human immunodeficiency virus (HIV) disease (AIDS ARC)

A

B20

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15
Q

Asymptomatic human immunodeficiency virus (HIV) infection status

A

Z21

-NO HIV-realted illness

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16
Q

Coding HIV

A
  • Only confirmed cases of HIV infection or illness are coded

- Suspected, possible or other terms that reflect uncertainty are not coded per guidelines

17
Q

HIV- Related Illness

A
  • minimus of two codes
    1. B20 -identify the HIV disease
    2. manifestations
18
Q

When a patient with HIV disease is admitted for an unrelated condition, such as a traumatic injury or a disease that was not caused by the HIV disease

A

code first the unrelated condition

19
Q

Asymtomatic HIV Infection Status

A

Z21- PT has HIV but no documentation of symptoms of the infection
-NO HIV-related illnesses

20
Q

Patient known with prior diagnosis of HIV-realted illness

A

code with B20 (no more use of Z21)

-once B20 use, always use it in every subsequent visit or admission

21
Q

Encounter for testing HIV

High rise behaviors

Counseling HIV

Positive HIV test

A

Z11.4

Z72.5-

Z71.7

Z21

22
Q

infections documented as drug resistant

A

Codes in Z16

23
Q

Finding infections in index

A

Resistance, resistant

-organism, to, drug

24
Q

MRSA

A

– Combination code that identifies the infection is due to MRSA
• A41.01, Sepsis due to MRSA

– Using an additional code to identify the MRSA as the causative organism with a code for the site of the infection
• I33.0, Acute or subacute infective endocarditis
• B95.62, Methicillin-resistant Staphlococcus aureus infection as cause of disease classified elsewhere

25
Q

Zika Virus

A

Code only confirmed cases

A92.5

26
Q

Severe sepsis with extremely low blood pressure (hypotension), not responsive to fluids. Represents circulatory failure

A

Septic Shock

27
Q

SIRS (body’s immune response to infection) and an infection. This represents a systemic infection

A

Sepsis

28
Q

Sepsis with acute organ dysfunction/failure

A

Severe Sepsis

29
Q

Symptomatic HIV, HIV related illness, AIDS, AIDS related complex

A

B20

30
Q

Asymptomatic HIV, no history of HIV related illness

A

Z21

31
Q

Inconclusive laboratory evidence of HIV, Nonconclusive HIV test finding.

A

R75

32
Q

If a patient was admitted 6 months ago with an HIV related illness and now presents for an acute asthma exacerbation, what code will be assigned for the HIV by the coder when it is reported as an additional diagnosis?

A

B20

MRT 132 (4 decks)

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