ICD-10 CM
Fracture codes default to this type when they remain "Unspecified"
a. Displaced
b. Non - Displaced
What is "Non- Displaced"
How should COPD and emphysema be coded when both are documented and supported in the medical record?
What is Emphysema, unspecified. (J43.9)
Per Coding Clinic, Fourth Quarter ICD-10 2017
Emphysema is a specific type of COPD.
If the prefix "peri" is combined with a body part to identify the site of the procedure, and the site of the procedure isn't further specified, where do you code the procedure to
What is the body part that is named
For example: "perirenal" would be coded to the kidney.
The postpartum period, (puerperium) begins immediately after delivery and includes how many of the subsequent weeks?
What is 6 weeks
A patient’s own tissue (skin, fat, muscle, or bone) transplanted from one part of their body to another to reconstruct or repair damaged areas.
What is Autologous tissue
A code from category I22 - Subsequent ST elevation MI (STEMI) and non-ST elevation MI (NSTEMI) is to be used when a patient who has suffered a type 1 or unspecified MI has a new Acute MI within the what time frame of the initial Acute MI?
What is within 4 weeks (28 days) or less of previous MI.
How many codes are needed to capture an underdose of insulin due to insulin pump failure
What is "3"
The required codes include:
T85.6- (Mechanical complication of pump)
T38.3X6- (Underdosing of insulin/oral drugs)
Appropriate diabetes code (e.g., E11.65, E10.65
DOUBLE JEOPARDY (2 POSSIBLE ANSWERS)
***ICD 10 PCS root operation for Fine needle aspiration biopsy of lung
TRIPLE JEOPARDY IF YOU CAN ALSO NAME THE APPROPRIATE QUALIFIER
What is Extraction (if tissue is obtained )
What is Drainage (If only fluid or gas is removed)
Bonus: What is the qualifier "Diagnostic"
Conditions in this Chapter include:
Encephalocele
Microcephaly
Spina bifida
What is Chapter 17 : Congenital malformations, Deformations and Chromosomal Abnormalities (Q00-Q99 )
A mandatory indicator for inpatient acute care claims, defining whether a diagnosis was present at the time the order for inpatient admission occurs
What is Present on admission
The term used by some physicians to denote "Sepsis with UTI"- that does not have a corresponding code in ICD-10 and should be queried for clarification
What is "Urosepsis"
How is anemia associated with malignancy sequenced when only the anemia is being treated?
What is the principal diagnosis, followed by the code for the anemia
(D63.0, Anemia in neoplastic disease).
Name the "Approach" for the resection of tonsils
What is "External"
(Procedures performed within an orifice on structures that are visible without the aid of any instrumentation are coded to the approach External)
Respiratory disorder usually seen shortly after delivery in full or near-term babies, characterized by rapid breathing, bluish skin color and flaring nostrils. Usually resolves within 24 hours.
What is Transient tachypnea of newborn (P22.1)
A patient is admitted with pneumonia and has a history of COPD. Which condition should be sequenced first?
a) Pneumonia.
b) COPD.
c) The condition requiring the most treatment.
What is Pneumonia
The principal diagnosis is the condition responsible for the admission, in this case, pneumonia.
You could query for this instead of "post op respiratory insufficiency"
What is "post op pulmonary insufficiency"
How do you code Avascular necrosis of the femur in the knee joint ?
What is Avascular necrosis of the femur?
ICD-10-CM guidelines: even if the condition is located at the joint (e.g., the upper or lower end of a bone), the site designation is the bone itself.
What is the root operation for placing Mesh during a Herniorrhaphy.
Supplement (U) involves putting in or on biological or synthetic material to physically reinforce or augment the function of a body part
(Reinforces or augments a body part's function)
True or False:
A patient cannot have both preexisting diabetes and gestational diabetes.
What is True.
The condition must be identified as one or the other. If documentation is not clear, you must query the physician.
A tool developed by the Agency for Healthcare Research and Quality (AHRQ) to measure potentially avoidable in-hospital complications.
What is PSI (patient safety indicators)
What condition is not longer specified by the types Benign, malignant or unspecified?
What is Hypertension.
DOUBLE JEOPARDY - 2 POSSIBLE ANSWERS
How do you define the root operation for a spinal decompression procedure that involves removing the lamina?
What is "Excision" if partial lamina is removed,
What is "Detachment" if the entire lamina is removed
These are the two letters never used in ICD-10-PCS codes to avoid confusion with digits.
What are I and O?
When coding the birth episode in a newborn record, what code would be the PRINCIPLE diagnosis ?
What is Z38
An unwanted medical complication or injury that a patient develops while in the hospital
What is a HAC (hospital acquired condition)