The Basics
These numbers indicate a patient is tiered good, fair, and serious, respectively.
30, 40, and 25
This blood test can be considered to screen for CHF when a patient exhibits 2+ risk factors.
BNP
Lyrica/pregabalin will prompt a suspect for this complication of diabetes.
Neuropathy
The letter Z in an ICD-10 code indicates this.
History of conditions, Absence of organs/anatomy, presence of devices, newborn conditions, personal history, family history, body mass index (BMI), drug resistance, weeks of gestation, allergy status, etc.
These two classes of medications are considered FIRST-LINE antihypertensive agents.
Ace inhibitors (ACE-I) and Angiotensin receptor blockers (ARBs)
99202 is an example of an E&M code for this type of visit.
Welcome visit
This suspect may be prompted if a patient has a history of stroke and residual weakness.
Hemiplegia or monoplegia
These are ocular complications of diabetes (need at least 2)
Retinopathy, macular edema, cataracts, and glaucoma
This diagnosis can be added if a patient had a heart attack within the last 4 weeks of the visit.
I21.9 Acute myocardial infarction, unspecified (Can specify type and artery if known)
These BIRADS categories DO NOT require additional imaging.
1 & 2
This should be printed when EMS is contacted and a patient will be going to the hospital.
Patient Summary Report
Aricept (Donepezil), Memantine (Namenda), Galantamine (Razadyne), Rivastigmine (Exelon) will trigger this suspect.
Dementia
This glucose value in the labs flowsheet will trigger a suspect for Diabetes with hyperglycemia.
120 mg/dL
This code should be present for a patient with atrial fibrillation on anticoagulation.
D68.69 Secondary hypercoagulable state
Warfarin/Coumadin, Heparin, Xarelto/Rivaroxaban, Pradaxa, and Eliquis/Apixaban are all medications that treat this condition.
Hypercoagulable state
OPQRSTA stands for this. (Need 4 of 6)
Onset, provocation/palliation, quality, radiation/region, severity, time, association
This diagnosis is suspected when a patient has a pacemaker treating bradycardia
I49.5 Sick Sinus Syndrome
This code can be used when a diabetic patient has a single recent GFR less than 60 but no other GFRs to diagnose CKD.
E11.21 Type 2 diabetes mellitus with diabetic nephropathy
Anastrozole, Letrozole, Exemestane, or Tamoxifen use on medication list and a history of lumpectomy or mastectomy may indicate the patient should be coded with this.
Breast cancer
An elevated TSH indicates this condition.
Hypothyroidism
Restless leg syndrome covers this limited coverage lab. (won't deduct points if wrong)
RLS DOES NOT COVER ANY LABS
Dyspnea on exertion, SOB, fatigue, and Nausea & Vomiting are known as this.
Anginal Equivalents
This complication of diabetes is revealed by elevated triglycerides, low HDL, truncal obesity, and impaired fasting blood glucose.
Metabolic syndrome - E11.69 Type 2 diabetes mellitus with other specified complication
The letter R in an ICD-10 code indicates the code describes this.
Symptoms, Signs, and Abnormal Clinical and Laboratory Findings.
This class of medications (can give drug name) can be used in treatment of hypertension, atrial fibrillation, and coronary artery disease.
Beta-blockers (metoprolol, carvedilol, atenolol, etc.)