Test 2 Flashcards
When the organism is specified but is not indexed under the main term for the condition, refer to the main term Infection or to the main term for the organism
organism or Infection
What is the code for Zika Virus?
A92.5, only code confirmed cases by the provider
If it is a “suspected,” “possible,” or “probable” Zika case. Do not code A92.5. Instead, assign a code or codes explaining __________.
Explaining the reason for encounter (such as fever, rash, or joint pain),
What is the code if a person had contact with or suspected exposure to someone with Zika virus?
Z20.821
very serious – you base it on the guidelines not what pays more, never base it on what the labs say, but what the doctors say and his evaluation
Gram-negative bacteria
means carrier of infection – not necessarily having an illness due to the infection
Colonization
What is the carrier code?
Z22
What is the code for drug resistants?
- Use only as additional codes and only when the physician specifically documents an infection that has become drug-resistant
Z16 category
Do not code _______ cases of HIV/AIDS (i.e., possible, probably, likely, etc.)
Unconfirmed
What is the code for Human Immunodeficiency Virus (HIV) disease: Patients with HIV-related illness or prior diagnosis of HIV-related illness. (AIDS, acquired immune deficiency syndrome, acquired immunodeficiency syndrome, AIDS-related complex (ARC), AIDS-related conditions, HIV infection, symptomatic)?
B20
What is the code for Asymptomatic human immunodeficiency virus (HIV) infection: patients with physician documented asymptomatic HIV infection who have never had an HIV-related illness?
Z21
What is the code for Nonspecific serologic evidence of human immunodeficiency virus (HIV): patients with inconclusive HIV test results?
R75
What is the code for Screening for HIV – same rules apply here as for all other screening Z codes?
Z11.4
What is the code for Exposure to HIV?
Z20.6
What is the code for At risk lifestyle with HIV?
Z72.89
When a patient is admitted for treatment of an HIV infection or any related complications code _______ first and then assign __________.
B20, and then additional code
When a patient with an HIV infection is admitted for treatment of an entirely unrelated condition, such as an injury code the ________ and then _______.
Unrelated condition and then B20
If an obstetric patient tests positive for HIV but has no symptoms and no history of an HIV infection code ________ only
Z21
When a pregnant women comes into the hospital having HIV positive, but has complications with her pregnancy code ________ and then code ______ as an additional code
O98.7 and then B20
Test result is positive, but the patient displays no symptoms and has no related complications and no established diagnosis of HIV infection
Assign code Z21
Do not assign code Z21 when the term AIDS is used, when the patient is under treatment for an HIV-related illness, or when the patient is described as having any active HIV-related condition
Assign code B20
Asymptomatic patient without prior diagnosis of HIV infection or positive-HIV status requests testing to determine his or her HIV status. Encounter for screening for human immunodeficiency virus [HIV].
Assign code Z11.4
Patient shows signs or symptoms of illness or has been diagnosed with a condition related to HIV infection
Code the signs and symptoms or the diagnosis
Assign code ______, Human immunodeficiency virus [HIV] counseling, as the reason for the encounter when the test result is negative or inconclusive (R75)
Z71.7
Can be assigned as an additional code when counseling is provided for patients who test HIV-positive, but B20 is first coded
Z71.7
Other problems related to lifestyle, can be assigned as an additional code after B20 is coded.
Z72.89
once a person develops a problems and doctor connects it means they are a B20, once you get to B20 you never go back to Z21
Aids
The code for a pregnant mom is ______
O
A new born baby code is a ______
P
Z codes on mothers are sequenced _______.
Second
A “newborn Z code” is always sequenced _____.
First
In order to locate “newborn Z codes” you should look under the main term _____.
New Born
“Newborn Z codes” are only assigned for the admission in which the infant was ____.
Born
_______ is never used again on subsequent admissions or transfers between facilities
Z code
Main terms to look under for expecting mothers are ______, ______, and ______.
Delivery
Pregnancy
Labor
Should be assigned as a secondary code with the condition sequenced first. SHOULD NEVER BE ASSIGNED WITH A CODE FROM THE PREGNANCY CHAPTER
Totally unrelated to the pregnancy
Z33.1
When codes for both gestational age and birth weight are assigned, the code for _____ _____ is sequenced first
Birth Weight
The codes _______ and _______ are the two Z codes which can be assigned with code O80 Normal Delivery.
Z37.0 and Z30.2
The code Z37.0 represents _______ and can never be sequenced _____
Outcome of delivery single live born and first
The code Z3A is assigned as an additional code and represents ________.
Weeks of Gestation
The code ______ is assigned when the reason for an admission is not related to an obstetric condition but the patient is pregnant. This code is never sequenced ______.
Z33.1 and first
Almost all of the codes related to pregnancy begin with an ____
O
The main terms which can be used to locate obstetric codes are _____, ______, and _____. Another option is to locate the main term for the condition (such as embolism) and look for a subterm related to obstetrics (such as postpartum).
Pregnancy, delivery, and labor
Used when patient seeking healthcare services for contraceptive sterilization
Male or female
Sequenced second when sterilization procedure follows delivery; may be assigned with category O80
Sequenced first when patient is admitted strictly for sterilization procedure
Not assigned when another procedure leaves a patient sterile (i.e. hysterectomy)
Z30.2
During pregnancy, childbirth or the puerperium, patients who are admitted because of HIV-related illness should receive a principal diagnosis from subcategory ______.
O98.7 and secondary code is B20 or Z21
Observation for suspected maternal and fetal conditions ruled out
Use in very limited circumstances when a suspected condition is ruled out; if the condition is confirmed, code that condition
Do not use if signs/symptoms are present; code signs/symptoms instead
Do not use for antenatal screening
Z03.7
If prematurity birth weight is known, should also be coded; birth weight is sequenced _____, before gestational age
First
Main term to find birth weight
Low
