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Health Informatics Management 207 > Final Exam Review > Flashcards

Final Exam Review Flashcards

Cumulative Exam Review

1
Q

Indicates there is no separate code for the condition, even though the diagnostic statement may be very specific…

A

NEC (note elsewhere classified)

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2
Q

Indicates the code to use when a condition is not completely described…

A

NOS (not otherwise specified)

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3
Q

Not coded here…

A

Excludes 1

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4
Q

Not included here, the condition is not part of the condition that the code represents, however the patient may have both conditions together…

A

Excludes 2

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5
Q

Residual problem after the acute phase of an illness or injury has terminated…

A

Late Effect

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6
Q

How many codes do late effects require?

A

2, unless there is no residual in the diagnosis

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7
Q

Other words to notice when looking for late effects…

A

Late, old, sequela, due to previous injury

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8
Q

Care designed not to treat an illness but to provide physical and emotional comfort…

A

Palliative care

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9
Q

What is the principle diagnosis when a patient is admitted for the purpose of surveillance after initial treatment for a disease or injury has been completed?

A

Follow-up

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10
Q

When can you code “follow-up” as principle?

A

If there is a reoccurrence/ related condition

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11
Q

What is it called when a patient without a diagnosis is suspected to be at risk for an abnormal condition, but after the evaluation, the suspected condition is not identified?

A

Observation

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12
Q

To test or examine for the presence of something…

A

Screening

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13
Q

If screening identifies a disease, how is it coded?

A

It is coded as principle with an additional code for the disease that was found

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14
Q

Normal delivery is coded how?

A

080- single live born, no complications
Z37
Z30.2
Z codes can only be coded with this and never as the principle

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15
Q

How is sterilization coded?

A

Z30.2- can be coded for male or female, it is secondary when listed after delivery but principle when it is the primary reason for a visit

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16
Q

1st trimester length

A

< 14 weeks

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17
Q

2nd trimester length

A

14- <28 weeks

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18
Q

3rd trimester length

A

28 weeks to delivery

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19
Q

Outcome of delivery code

A

Z37 is assigned for the admission of which the delivery occurred, it is only on the moms record and never listed first

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20
Q

Newborn Z code

A

assigned for the admission when the baby is born, only on the baby’s record and never used again

21
Q

I21 acute STEMI and NSTEMI time period

A

(initial) 4 weeks or less from onset of original MI

22
Q

Code for subsequent encounter, suffrage of a new AMI within 4 weeks of an AMI

A

I22

23
Q

If a patient’s test results come back positive for HIV and the patient is symptomatic, what code should be used?

A

B20

24
Q

What code is used for a patient that is HIV positive and does not have any documented symptoms of an HIV related illness?

A

Z21

25
Q

What is the sequencing of HIV when admitted for treatment of AIDS complications?

A

B20 is first, condition is second

26
Q

When is B20 sequenced when patient is admitted for an unrelated condition?

A

B20 is second, the condition is first

27
Q

How is poisoning sequenced?

A

Poisoning is first, manifestations are second

28
Q

How are adverse effects sequenced?

A

Nature of the effect is first, then the code from the D&C table

29
Q

Underdosing sequencing rule…

A

Never the principle

30
Q

What is it called when something is wrong with a device?

A

Mechanical issue

31
Q

What is it called when there is an infection caused by a device, but nothing actually wrong with the device itself?

A

Nonmechanical issue

32
Q

What does the 7th character “A” represent?

A

Initial encounter

33
Q

What does the 7th character “D” represent?

A

Subsequent encounter

34
Q

What does the 7th character “S” represent?

A

Sequela

35
Q

Code for diabetes due to an underlying condition…

A

E08

36
Q

Code for drug or chemical induced diabetes…

A

E09

37
Q

Code for type 1 diabetes…

A

E10

38
Q

Code for type 2 diabetes…

A

E11

39
Q

What’s included in a combination code for diabetes?

A
  1. Type of diabetes
  2. Body system affected
  3. Complications affecting that body system
40
Q

What is a type of diabetes caused by another disease or certain drugs or chemicals?

A

Secondary diabetes

41
Q

These are not necessarily coded as a complication of surgery, unless the MD says they are…

A

Chronic/ acute anemia

42
Q

How do you code anemia/ chronic kidney disease?

A

Code the chronic kidney disease and it’s stage first, then anemia

43
Q

How to code anemia due to chemotherapy?

A

D68.4 for the chemotherapy plus the adverse effect T code

44
Q

How to code hemaplegia?

A

Unless specified, left side is non-dominant, right side is dominant

45
Q

T/F: Do you code for hemaplegia that has gone away before discharge?

A

True

46
Q

When a patient is admitted for _____ and the stage increases during the stay, you code the highest stage that was presented…

A

Glaucoma

47
Q

What is the 7th character for glaucoma indicating intermediate stage?

A

“4”

48
Q

What does “ruled out” indicate?

A

Indicates that a diagnosis once considered likely is no longer possible

Health Informatics Management 207 (1 decks)

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