Substantiation Guide Assessment

Question 1

All non-mapping codes require support

Answer 1

True – – non-mapping codes can often be combined with another code to use a combo code example CKD1 and hypertension would code to I129 in order to use the CKD1 we would need support because the condition does not map on its own.

Question 2

Acute emergent conditions are treated differently than regular acute codes.

Answer 2

True, acute emergent conditions are often life-threatening and will be in an inpatient setting

Question 3

The word stable written next to an acute cancer, such as prostate cancer is enough support to pick up the cancer.

Answer 3

Faults, acute cancer, such as prostate cancer need extra support to Code. We need active treatment such as chemo or radiation or plans to have treatment. Refusal of treatment is also support.