Z-Codes
In ICD-10-CM, what alphabetic letter is used as a placeholder?
What is "X"?
These are not coded when associated with a disease process and a definitive diagnosis can be assigned.
What are signs & symptoms?
How many alphanumeric characters must an ICD-10-CM code have, at the very least?
What is three?
Remember: The 3 Alphanumeric Character code is also your "Category Code" - Always look here for further clarification for code assignment.
When a fracture is not indicated as displaced or not displaced, the default is_______________
What is displaced?
When ICD-10-CM first came out, it was said to give coders hypertension. Ironically, what is the code for "Hypertension"
What is I10?
This code is used to capture the outcome of delivery on the Mother's chart? ________
What is Z37.-?
The ICD-10-CM classifies CKD based on severity. The severity of CKD is designated by stages ______.
What is 1-5?
N18.1 = CKD, Stage 1 N18.3, Stage 3
N18.2 = CKD, Stage 2 N18.4 , Stage 4
N18.5 = CKD, Stage 5
(Then you have ESRD = N18.6)
The “see” instruction following a main term in the Alphabetic Index indicates _________________.
That another term should be referenced?
GO...............
When a conditions is not stated as acute or chronic, ICD-10-CM guidelines tell you to code it to _____
What is acute?
For patients with both acute renal failure and chronic kidney disease, an additional code for _________ is required in addition to CKD.
What is "acute renal failure" (N19.-)
The aftercare Z codes would not be used for conditions such as injuries or poisonings, where the code has a __ character which includes aftercare in its description.
What is a 7th Character?
The aftercare Z codes should not be used for aftercare for conditions such as injuries or poisonings, where 7th characters are provided to identify subsequent care. For example, for aftercare of an injury, assign the acute injury code with the 7th character “D” (subsequent encounter).
If the patient is treated with both oral medications and insulin, only the code for ___________ should be assigned.
What is "long-term (current) use of insulin?
Brackets [] are used in the the tabular list to enclose synonyms, alternative wording or explanatory phrases. Brackets [] are used in the Alphabetic Index to identify __________________.
What are "manifestation codes"?
The documentation does not state whether the fracture is open or closed. ICD-10-CM Guidelines tell us to code the fracture as _____________
What is a closed fracture?
Assign this Hypertension code in a patient with Heart Disease.
What is I11.- ?
This Z code is used to report Asymptomatic HIV infections status.
What is Z21?
This code indicates that a patient has tested positive for HIV but has manifested no signs or symptoms of the disease.
How many weeks after an AMI is the AMI coded with an aftercare code versus ICD-10-CM code I21?
What is 4 weeks?
Includes Notes: this note appears immediately under a three-character code title to further define, or give examples of, the __________ of the category.
What is "content"?
This is a list of conditions that would be coded under this category.
Example: I26
If the type of diabetes mellitus is not documented in the medical record the default is ___________
What is E11.-, Type 2 diabetes mellitus?
Assigning ICD-10-CM code I13.- is saying the patient has ______________________
What is Hypertensive Heart and Chronic Kidney Disease?
If the treatment is directed at the malignancy, designate the malignancy as the principal diagnosis. The only exception to this guideline is if a patient admission/encounter is solely for the ___________.
What is administration of chemotherapy, immunotherapy or external beam radiation therapy?
Assigned Z51.--
If both a stage of CKD and ESRD are documented, assign code ______ only.
What is ESRD (N18.6)
A type 1 Excludes note is a pure excludes note. It means ___________.
What is NOT CODED HERE!
An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note.
A code listed next to a main term in the ICD-10-CM Alphabetic Index is referred to as a _______
What is a default code?
Hypertension:
The classification presumes a causal relationship between hypertension and heart involvement and between hypertension and kidney involvement, as the two conditions are linked by the term ____ in the Alphabetic Index.
What is "with"?