Patient has a diabetic condition due to drug poisoning
What is poisoning?
100
A life threatening medical condition as a result of insufficient blood flow throughout the body
What is shock?
100
Default for diabetes type
What is type 2
100
Abscess or carbuncle - which one is a CC
What is abscess?
100
Used when the patient is receiving active treatment for the injury
What is initial (A)
200
Patient with HIV is admitted with an un-related condition
What is unrelated condition?
200
A scab or eschar forming on the surface may obscure the true of extent of injury
What is an unstageable pressure ulcer?
200
If both use and abuse are documented, use
What is abuse?
200
What stage(s) of pressure ulcers when used principal diagnosis are also MCC conditions?
What is Stages 3 and 4?
200
Used for complications or conditions that arise as a direct result of an injury
What is Sequela (S)
300
Reason for admission is both sepsis and a localized infection
What is sepsis (systemic infection)?
300
Signs include: Ventricle doesn’t relax properly, EF 55-70%, common cause uncontrolled HTN or ESRD, impaired filling of blood, strong ventricular contraction
What is Diastolic Heart Failure?
300
Patient is admitted with pressure ulcer, stage 2. During the stay it progresses to stage 3. What code(s) is used?
What is Stage 3 (highest degree)?
300
Aortic valve disorder with mitral valve regurgitation assumes the aortic valve disorder is _______
What is Rheumatic?
300
Delivery occurs during current admission, patient is in 3rd trimester - options include 1st, 2nd, 3rd trimester, in childbirth
What is "in childbirth"?
400
Admitted for anemia associated with chemotherapy
What is anemia?
400
An inferior wall MI is most likely due to a blockage in this coronary artery
What is the RCA?
400
Patient here for delivery. After prolonged labor and maternal exhaustion, a c-section was done. What is reason for admission?
What is Prolonged labor or maternal exhaustion (reason for c-section)?
400
Patient transferred to our hospital from Barrow County with MI, what medication administered within 24 hours will result in a code assignment.
What is TPA?
400
Patient's CVA cause left sided paralysis with no documentation as to which side is dominant.
What is Non-dominant?
500
The patient is admitted with another MI. She just had an MI 3 weeks ago.
What is Subsequent MI?
500
The pattern of QRS complexes is irregular and there are more P waves than QRS’s. PR interval varies and the QRS complexes that look alike have an irregular pattern
What is second degree heart block type 1 (Wenckebach)?
500
Before birth through the 28th day following birth is known as the
What is Perinatal period?
500
Fractures not indicated as open or closed should be coded to _____ and if not indicated as displaced or non-displaced should be coded to ________ (fill in the blanks)
What is closed and displaced?
500
Used when patient has stopped receiving care for the injury during the healing or recovery phase (ex. cast change or removal)