ICD-10 CM
ICD-PCS
Queries
HAC's
Clinical Documentation Improvement
100
Placeholder character
What is the letter "x"?
100
Pulling or stripping out or off all or a portion of a body part by the use of force.
What is the root operation Extraction?
100
The 2 cooperating parties that developed 2013 query practice brief.
What is AHIMA and ACDIS?
100
HAC
What is Hospital Acquired Condition?
100
ACDIS
What is the Association of Clinical Documentation Improvement Specialists?
200
Two diagnoses, or A diagnosis with an associated secondary process, or A diagnosis with an associated complication
What is combination code?
200
Cutting off all or part of the upper or lower extremities
What is the root operation Detachment?
200
Is the patient's pneumonia due to aspiration?
What is a leading query?
200
Patient develops DVT after colon resection. This is coded to a HAC. True or False
What is false?
200
CCDS
What is Certified Clinical Documentation Specialist?
300
PDxCC or PDxMCC
What is a diagnosis code that acts as it's own mcc or cc? Example would be Sickle cell with Acute chest syndrome = PDxCC
300
Moving to it's normal location or other suitable location all or a portion of a body part. The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location.
What is the root operation Reposition?
300
Patient presents to ED with Bipap in place. O2 sat at 92%. PCO2 60 and PH 7.33. Patient with history end stage COPD and home 02 at 2L.
What is Acute on Chronic hypercarbic respiratory failure?
300
996.64
What is Catheter-Associated Urinary Tract Infection?
300
The condition established after careful study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.
What is the Pdx?
400
Drug and Chemical or Neoplasm
What is a table?
400
Taking or cutting out solid matter from a body part. The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not not have been previously broken into pieces.
What is root operation Extirpation?
400
Patient presents with GIB. H/H = 8.4/24. Patient recieved 2 units of PRBC's.
What is ABLA?
400
POA
What is ithe ndicator when a condition is documented at the time of the inpatient order?
400
Date CMS developed the MS-DRG system
What is 10/2007?
500
Codes starting with letter V, W, X, Y
What are External causes of Morbidity codes?
500
Cutting out or off, without replacement, a portion of a body part
What is the root operation Excision?
500
• Is conflicting, imprecise, incomplete, illegible, ambiguous, or inconsistent • Describes or is associated with clinical indicators without a definitive relationship to an underlying diagnosis • Includes clinical indicators, diagnostic evaluation, and/or treatment not related to a specific condition or procedure • Provides a diagnosis without underlying clinical validation • Is unclear for present on admission indicator assignment
What is: Guidelines when to query
500
These types of hospitals are exempt from HAC provisions. Name 3.
What is: Critical Access Hospitals (CAHs), ❖❖ Long-Term Care Hospitals (LTCHs), ❖❖ Maryland Waiver Hospitals, ❖❖ Cancer Hospitals, Children’s Inpatient Facilities, ❖❖ Rural Health Clinics, ❖❖ Federally Qualified Health Centers (FQHCs), ❖❖ Religious Non-Medical Health Care Institutions, ❖❖ Inpatient Psychiatric Hospitals, ❖❖ Inpatient Rehabilitation Facilities (IRFs), and ❖❖ Veterans Administration/Department of Defense Hospitals.
500
IPPS
What is Inpatient Prospective Payment System?
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