Abbreviations
Coding Guidelines - Ch. 9
Heart Functions
Coding Exercises 1
Coding Exercises 2
100
CAD
Coronary Artery Disease
100
True or False: If a patient has hypertensive chronic kidney disease and acute renal failure; an additional code for the acute renal failure is required.
True.
100
How many chambers does the heart have?
4 chambers.
100
Assign code(s) for: Pt is seen today for follow-up for his benign hypertension.
I10
100
Assign code(s) for: Arteriosclerotic heart disease and hypertension.
I25.10, I10
200
PAD
Peripheral Artery Disease
200
Do you code NSTEMI or STEMI if: NSTEMI evolves to STEMI.
STEMI.
200
The four chambers of the heart are connected by _______?
Valves.
200
Assign code(s) for: This OP was seen today in the Radiology Department for a Doppler ultrasound of his left lower extremity. the pt has a chronic embolism in the popliteal vein of his lower left leg. The pt has been on anticoagulation therapy. The pt recently complained of edema of his left lower leg along with discoloration and inflammation of the extremity. His physician has diagnosed inflammation due to postthrombotic syndrome in addition to the chronic embolism.
I82.532, I87.022
200
Assign code(s) for: CKD, Stage 3, hypertension.
I12.9, N18.3
300
STEMI
ST Elevation Myocardial Infarction
300
Do you code NSTEMI or STEMI if: STEMI converts to NSTEMI due to thrombolytic therapy.
STEMI.
300
What side of the heart pumps blood to the lungs to be oxygenated?
Right side of the heart.
300
Assign code(s) for: 63 year old male is being seen for treatment of his unstable angina. This gentleman has a history of 2-vessel coronary artery bypass about 18 months ago. A recent cardiac catheterization shows continued evidence of coronary arteriosclerorsis but both of the bypass grafts are patent. Also, of note, is that his pt. suffered a cerebrovascular infarction 3 years ago which resulted in right-side (dominant) hemiparesis.
I25.110, I69.351, Z95.1
300
Assign code(s) for: Angina; Atherosclerosis of bypass vein graft (autologous).
I25.719
400
ASHD
Arteriosclerotic Heart Disease
400
What dx is sequenced first: If a patient with coronary artery disease is admitted due to an acute myocardial infarction (AMI).
AMI should be sequenced before the coronary artery disease.
400
What is the function of the left side of the heart?
Left side of the heart pumps oxygenated blood out to the body.
400
Assign code(s) for: 54 year old female is being treated for an acute non-ST anterior wall myocardial infarction which she suffered 5 days ago. She also has atrial fibrillation.
I21.4, I48.91
400
Assign code(s) for: Unstable angina; severe coronary artery disease.
I25.110
500
SVT
Supraventricular Tachycardia
500
True or False: in order to assign a code from category I11, a casual relationship between hypertension and the heart disease must be documented. Examples of this include: heart disease due to hypertension and hypertensive heart disease.
True
500
What is the function of the right atria?
The right atria pushes unoxygenated blood into the right ventricle which in turn pumps it to the lungs where it is oxygenated.
500
Assign code(s) for: The physician has documented the following diagnoses for this elderly patient: COPD with emphysema, CHF, hypertension, and atrial fibrillation.
J43.9, I50.9, I10, I48.91
500
Assign code(s) for: An elderly man was referred to a vascular surgeon due to an open sore on his right ankle, extremity pain at rest, and diminished pulse in the extremity. The surgeon examined the pt and noted an ulcer of the ankle with skin breakdown. he ordered an arteriogram of the lower extremity which revealed atherosclerotic disease of the arteries of the lower extremity. The pt is scheduled to follow up with the surgeon next week to discuss treatment options. The surgeon's diagnosis were: atherosclerosis of native artery of right lower extremity with rest pain and ulcer of the ankle.
I70.233, L97.311
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