Labs
if RBC, WBC and Platelets are all low what can be presented?
Pancytopenia – D61.818 (HCC 47/HCC 109)
Calcified plaquing, Atheromatous changes and Atherosclerotic changes/calcifications are things on an image that would lead you to what condition?
Atherosclerosis of Aorta I70.0 (HCC 108)
This medication is the only one used to present Heart failure.
Entresto (Sacubitril/Valsartan)
This is a companion code is used to document immunocompromised state alongside the underlying condition.
D84.81 (HCC 47) - Immunodeficiency due to conditions classified elsewhere
This cardiology condition wouldn't be presented if documented as ischemic.
Cardiomyopathy
To present diabetes from glucose, the 2 recent fasting glucose need to greater than what?
2 recent fasting glucoses >125
COPD or Emphysema. Which are we presenting from an image?
Emphysema
Corticosteroids may be use for Immunodeficiency Due to Meds – D84.821 (HCC 47) when this criteria is met.
(Long-term ≥20 mg/day for ≥1 month)
This liver-related condition must be present within the last 6 months in order to present end-stage liver cirrhosis causing immunocompromised state.
Ascites
This pulmonology condition needs to be documented as severe in order to be presented.
Severe Persistent Asthma
if A1c is ≥ 9 what secondary condition can be presented?
Immunodeficiency - D84.81 (HCC 47)
In a chart for a 65-year-old patient, there is an ECHO with a RVSP of 35, what condition would we be looking for and would we present it?
RVSP in an ECHO would lead to Pulmonary Hypertension.
For a 65-year-old we need to see a RVSP ≥ 40
Isosorbide, Ranolazine (Ranexa) and Nifedipine are considered preventitve medciations for this condition.
Angina
This condition is also needed when using pulmonary fibrosis as causing immunocompromised state.
Chronic Respiratory Failure
Dementia, Parkinsons disease and cerebral palsy are all conditions normally found under this specialty.
Neurology
What stage of CKD can be presented if the 2 recent results were 22?
CKD Stage 4
This code is often used incorrectly and we never use it.
Never use code I77.9 (Disorder of arteries and arterioles, unspecified)
These medications need to be prescribed in the last 3 months to present Angina
Nitroglycerin/Nitro patch
If a patient has multiple causes for immunodeficiency, what is the default query related to medications
D84.821 (HCC 47) - Immunodeficiency due to drugs
These "double dippers" for diabetic retinopathy conditions code under HCC 18/HCC 37 and HCC122/HCC 298
Proliferative diabetic retinopathy with or without macular edema
Non-proliferative diabetic retinopathy with macular edema
When presenting based on labs, how many months from the current review date would we consider?
We should only consider labs that are within the last 13 months from the current review date
A Thoracic endovascular aortic repair (TEVAR) was completed for the patient. If we saw blank, we wouldn't present it. What is it?
Aortic Aneurysm - I71._ (HCC 108)
These 3 conditions are the only 3 we would present from meds.
Angina, Heart failure, Immunodeficiency due to meds
these codes would be used for a patient that has Centrilobular emphysema and is oxygen dependent.
Centrilobular emphysema J43.2, Chronic Respirtory failure J96._ , Oxygen Dependent Z99.81, Immunodeficiency due to conditions classified elsewhere D84.81
Amputations, diminished/decreased pedal pulses and ulcers are normally seen with this specialty.
Podiatry