Icd-10 Flashcards
When certain conditions have both an underlying etiology and multiple body system manifestations due to underlying etiology in what order should you code?
Code 1st the underlying condition followed by the manifestation
What is indicative of a title marked “in diseases classified elsewhere “
Manifestation codes
These codes are never permitted as first listed or principal diagnosis codes
Describe a manifestation code
A symptom or a sign of an ailment
Give one example of a code manifestation and etiology
Dementia (symptom) is a manifestation of Parkinson’s (disease)
How should you code multiple burns and in what sequence?
Assign separate codes for each site, sequence the highest degree first
How would you code multiple burns of the same site with varying degrees?
Code only the highest degree
How is necrosis of burned skin codes?
As a nonhealing burn (acute burn)
How many codes are required for cellulitis with an injury or burn?
Two: one for the injury/burn one for the cellulitis
How do you code for diabetes when the type is not specified?
Code as type two diabetes
The terms compound, infected, missile, puncture, and for anybody or indicative of what type of fracture?
Open
When coding a residual condition what would you do if there’s no late affect code?
Only code the residual condition
What type of condition is always consider a late affect regardless of time?
Nonunion, malunion, scarring
When the final diagnosis for an encounter is rule out, how would you code?
Code for the patient’s symptoms
When the final diagnosis for an encounter is rule out, how would you code?
Code for the patient’s symptoms
When is it appropriate to code for acquired absence of an organ?
When the absence of that organ affects patient care
When should you code additional signs and symptoms?
When the signs/symptoms are not routinely w a disease process
When is BMI coded?
When it meets the definition of a reportable code
Physician documented the diagnosis
True or false congenital anomaly codes can be assigned as principal or secondary diagnoses
True
By what age do most people with type one diabetes develop the disease
Puberty
How long should you code Trumatic fractures
As long as the patient is receiving active treatment
When is BMI coded?
When it meets the definition of a reportable code
Physician documented the diagnosis
True or false congenital anomaly codes can be assigned as principal or secondary diagnoses
True
By what age do most people with type one diabetes develop the disease
Puberty
How long should you code Trumatic fractures
As long as the patient is receiving active treatment
When he fracture is not identified as open or closed how would you code
Closed
Screws, pins, Ross Staples, plates are examples of what type of fixation devices
Internal fixation devices
Casts, splints, traction device for example Kirchner wire or a Steinman pin are examples of what type of fixation device
External fixation device
True or false b20 should be coded for all HIV related illnesses on every subsequent admission
True
What codes represents asymptomatic HIV w a positive test
Z21
A symptomatic HIV positive patient is admitted for an unrelated reason. What is the principal and secondary dxs?
Principal -unrelated dxs
Secondary -b20
Admitted: Primary and secondary dxs for an asymptomatic HIV patient
P-cat O98.7
S-vo8
Admitted: Primary and secondary dxs for a symptomatic HIV patient
P-o98.7
A-b20
When can hypertensive heart disease be coded?
When the physician states the causal relationship between hypertension and heart disease such as due to hypertension, or hypertensive
True or false there’s a causal relationship between hypertension and acute renal failure
False , only chronic kidney disease
True or false hypertensive chronic kidney disease I12 assumes a causal relationship between hypertension and chronic kidney disease
True, code additional N18 to ID CKD stage
True or false superficial injuries such as abrasions or contusions are not coded when there are more severe injuries at the same site
True
True or false it is possible for the patient to be placed back on mechanical ventilation thus necessitating two codes for mechanical ventilation on the same admission
True
Or false cause for intubation or a tracheostomy can be assigned in addition to mechanical ventilation
True
I 21 describes which acute condition or with a duration of four weeks or less
Myocardial infarction
In what order would you code when a patient has S I RS with no subsequent infection and it is the result of non-infectious disease such as trauma, cancer, or pancreatitis
Code 1st The non infectious disease and then the code R65.10 or are R65.11 code also a acute organ dysfunction
In general what does the term sepsis refer to?
SIRS due to infection
When is drug or alcohol withdrawal listed as the principal diagnosis
When the patient is admitted in withdrawal or when withdrawal develops after admission
When are Z Codes used
When a patient is seeking healthcare services other than for a disease or injury
What two ways can neoplasms be located in the alphabetical Index
By anatomic site or histological terms, such as carcinoma sarcoma.
What a patient has a primary malignancy with a metastasis when might the metastasis be coded as the principal diagnosis
When the treatment is directed toward the secondary site only
When would you code a history of malignant neoplasm and instead of a current condition of malignant neoplasm
When the primary neoplasm is eradicated and no more treatment is directed toward the primary malignancy
In what order would you code for pain management associated with a malignancy
Code G 89.3 as the principal diagnosis followed by the primary malignancy
How would you code for management of anemia associated with a malignancy
D 63.0 is the primary diagnosis followed by the malignancy
How would you code for anemia associated with chemotherapy immunotherapy or radiotherapy
Code first anemia due to Antiplastic therapy then the neoplasm as an additional
If patient is admitted for chemotherapy immunotherapy radiation therapy and complications occur how should you code
Code 1st the chemotherapy immunotherapy or radiation therapy followed by a codes for the complications
When might you have secondary diagnoses on a newborn
For significant conditions noted after birth
Insignificant or transient conditions that resolve without treatment or not coded
When might you use code P00 through P04 during the evaluation of a newborn
What I suspected condition proves not to exist as the baby exhibits no signs or symptoms
True or false tcodes from chapter 15 take sequencing precedence over other chapter codes
True
What does the postpartum period begin
Immediately after birth to six week.
Under what circumstances can codes from chapter 15 continue to be used after the six week period
When the physician documents that is pregnancy related
When should category G89 be used?
What a patient is admitted for pain control or management
When should category G8 9.1 and G89.2 NOT be used
When the underlying diagnosis is known unless the primary reason for admission is pain control
When can pleural effusion be coded?
When the effusions addressed and treated separately
true or false pleural effusion noted on an x-ray can be coded
False
True or false lobar pneumonia refers to the lobe of the lung that is affected
False it is a type of pneumonia
When do expected conditions occur
In the immediate postop. Period
True or false you should code pressure ulcers documented as healed
False
True or false ulcers documented as healing should be coded to the site and stage
True
How should you code a patient admitted with a pressure ulcer at one stage but then it progresses to a higher stage
Code to the highest stage
What are the two types of pulmonary edema
Cardiogenic or noncardiogenic
Describe noncardiogenic acute pulmonary edema
Pulmonary edema which occurs in the absence of heart failure or other heart disease
Name three diseases which pulmonary Edema is a manifestation of
Heart failure hypertension and rheumatic heart disease
When is the acute respiratory failure coded as the principal diagnosis
When it meets the definition of a principal diagnosis, code as secondary
When a patient is admitted with acute respiratory failure and another acute condition what determines the principal diagnosis
The main reason that caused the admission of the patient
True or false positive blood culture warrants the diagnosis of septicemia
False to code as septicemia the physician must document as such
What should you do if urosepsis is coded?
Query the MD. It’s not a code in 10
Four symptoms of SIRS
Fever, tachycardia tachypenea, leukocytosis
When coding sequelae of CVA right side affected hemiplegia , and dominant hand is not indicated how should you code
Right side affected, default dominant
When coding sequelae of CVA left side affected hemiplegia , and dominant hand is not indicated how should you code
Left side affected default is non dominant
When coding sequelae of CVA of an ambidextrous patient with a specified affected side documented (but no dominant hand can be determined because ambidexterity) how should you code
Default to dominant (basically assuming whatever side is being impacted, is their dominant side)
True or false when coding a fracture the assignment of the seventh character is based on whether the patient is undergoing active treatment and not whether the provider is seeing the patient for the first time
True
Patient’s surgery is canceled because they ate what is the first listed diagnosis?
The same as the diagnosis for surgery
Which diagnosis is first listed when postoperative diagnosis is different from the preoperative diagnosis
Postoperative
The patient is placed an observation care following surgery due to complications of the surgery what is the first listed diagnosis and what supplemental diagnoses should be at it
First listed is the reason for surgery additional diagnoses should reflect the complication
