Connecticut New Hire Training

Code mo ko day!

100

What is the code for History of UTI

Z87.440

200

What is the code for Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side

I69.341

300

What is the code for Type 2 Polyneuropathy in Diabetes/ Diabetes type 2 with Polyneuropathy

E11.42

400

What is the code for COPD with Asthma/ Chronic Obstructive Asthma

J449 AND J45909

500

What is the code for Chronic Venous Hypertension of Lower Extremity with ulcer of unspecified lower extremity and Non-pressure chronic ulcer of unspecified calf with unspecified severity

I87.319 AND L97.209

Help Please

100

What is the support for Atherosclerosis of aorta

Bruit of aorta

200

What are the support/s used for Huntington's Chorea

Chorea or Athetoid

300

What is the support for Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side

Upper and Lower left Limb weakness due to stroke with Right side as Dominant side

400

What is an example of a support for Vascular Induced Dementia

 History of CVA/TIA, or  Atherosclerosis of any body part or  Treatment with statins or  Coronary artery disease or  Plaque-removal procedures (stents, grafts, endarterectomy) or  PVD/intermittent claudication or  Aortic aneurysm or  Bruit and  Positive for cognitive impairment or  Observation about member’s cognitive status that was concerning or  Memory loss that significantly interferes with daily activities

500

What are the diagnoses that are supported by Venous Stasis/Insufficiency

1. PVD 2. Diabetes with Peripheral Angiopathy without gangrene 3. Chronic venous Hypertension of Lower Extremity

The General

100

Documentation of "high" or "low" in a diagnosis can be understood as what medical term?

"Hyper" and "Hypo"

200

If there are multiple "active" Documented Diagnoses for a condition, what do we code?

The unspecified code

300

We can code the BMI if the Height and Weight is self-reported. True or False

False

400

What must we do as a coder if the DVT is not indicated as acute or chronic?

Do not code

500

When do we assign the code Z85.6?

When the Leukemia is stated as "completely cured"

Major, Major

100

If there is a linked treatment for seizure and there is one Active Documented Diagnosis for Epilepsy, what code will we use?

Epilepsy- G40.909

200

Linked treatment indicates “Allergies” and Seasonal Allergies is tagged as YES and there is active DD of Allergic Rhinitis, do we code J309?

Code allergic rhinitis J309

300

If the member has Osteoarthritis and chronic pain is diagnosed, can we code Chronic pain with Osteoarthritis as support?

Yes

400

If a member has a diagnosis of CKD (any stage or unspecified), and the member is on chronic dialysis, then what code will we use?

N18.6 ESRD—CKD requiring chronic dialysis should be coded

500

If the patient is taking Vitamin D and the diagnosis states "Vitamin Deficiency," what is the next step that we should look for in the chart?

Active Documented Diagnosis of Vitamin D Deficiency

Doctor my code is sick

100

What is the appropriate ICD-10-CM code assignment for a diagnosis of chronic systolic heart failure, currently decompensated?

Assign code I50.23, Acute on chronic systolic heart failure, for decompensated systolic heart failure. As previously stated “decompensated” indicates there has been a flare-up (acute phase) of a condition. Coding Clinic, Third Quarter 2008, p. 12

200

Is it appropriate to assign a code for hyperglycemia together with another diabetes code? For example, if hyperglycemia is documented along with type 2 diabetic retinopathy, should multiple diabetes codes be assigned?

Yes, assign codes E11.319, Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema, and E11.65, Type 2 diabetes mellitus with hyperglycemia. Any combination of the diabetes codes can be assigned together, unless one diabetic condition is inherent in another.

300

Is it appropriate to assign a code for hyperglycemia together with another diabetes code? For example, if hyperglycemia is documented along with type 2 diabetic retinopathy, should multiple diabetes codes be assigned?

Yes, assign codes E11.319, Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema, and E11.65, Type 2 diabetes mellitus with hyperglycemia. Any combination of the diabetes codes can be assigned together, unless one diabetic condition is inherent in another.

400

Coding Clinic for ICD-9-CM states that ketoacidosis is inherently uncontrolled diabetes. Therefore, how would you report uncontrolled type I diabetes with ketoacidosis in ICD-10-CM? Should the code for diabetes with hyperglycemia (E10.65) be reported in addition to the code for diabetes ketoacidosis (E10.10)? Or should only the code for diabetic ketoacidosis be reported since ketoacidosis is considered uncontrolled diabetes?

No, in this case, it is not appropriate to assign code E10.65, Type 1 diabetes mellitus with hyperglycemia, together with code E10.10. Assign only code E10.10, Type 1 diabetes mellitus with ketoacidosis without coma. Ketoacidosis signifies uncontrolled diabetes.

500

Coding Clinic, First Quarter 2004, pages 14-15, indicated that “ICD-9-CM assumes a relationship between diabetes and osteomyelitis when both conditions are present, unless the physician has indicated in the medical record that the acute osteomyelitis is totally unrelated to the diabetes.” Is the same relationship between diabetes and osteomyelitis true for ICD-10-CM?

No, ICD-10-CM does not presume a linkage between diabetes and osteomyelitis. The provider will need to document a linkage or relationship between the two conditions before it can be coded as such.