This type of DM is always caused by another condition or event (e.g., cystic fibrosis, malignant neoplasm of pancreas, pancreatectomy, adverse effect of drug, or poisoning).
What is Secondary diabetes mellitus
100
When the patient is admitted for the management of dehydration due to a malignancy and the patient is given IV fluids. The ______ would be sequenced first.
What is Dehydration
100
Diabetes documented as being out of control is coded as _____
What is DM with hyperglycemia
200
PEG
What is percutaneous endoscopic gastrostomy
200
This means " not included here"
What is Excludes 2
200
Cases where the patient has advanced metastatic disease and no known primary or secondary sites are specified. Often described as "wide spread"
What is Disseminated/Carcinomatosis C80.0
200
When a patient presents with hemiplegia and the cause is stated as an acute CVA the correct sequencing would be
What is CVA followed by a code for the hemiplegia
200
Both a stage of CKD and ESRD are documented within the medical record, the correct code assignment is _______
What is only a code for ESRD N18.6.
300
TURP
What is Transurethral resection of the prostate
300
When the term ______ is used in a narrative statement it may be interpreted as " ___/ or".
What is And
300
If the type of DM is not documented in the medical record the default is____
What is Type II
300
If the encounter is for the treatment of anemia associated with the lung cancer and two units of PRBC are administered, the appropriate sequencing of the two conditions would be ______.
What is Lung cancer followed by the neoplastic anemia
300
A ____ is the residual effect (condition produced) after the acute phase of an illness or injury has terminated.
What is sequela
400
CIN
What is Cervical intraepithelial neoplasia
400
ICD 10 CM has a coding convention that requires the underlying condition be sequenced first followed by _______. In the index, brackets are used to identify these codes.
What is etiology/manifestation
400
If STEMI converts to NSTEMI due to thrombolytic therapy then it is coded as ____
What is STEMI
400
An HIV positive patient is admitted with Pneumocystis carinii and is treated appropriatley, the principal diagnosis would be ________.
What is HIV code B20
400
Each ICD 10 CM code can be reported a total of ___ times per encounter.
What is only once
This applies to bilateral conditions when there are no distinct codes identifying laterality or two different conditions classified to the same ICD 10 CM diagnosis codes.
500
PICC
What is peripherally inserted central catheter
500
A ___ is defined as a significant acute disease, a significant acute manifestation of a chronic disease, an advanced or end stage chronic disease, or a chronic disease associated with systemic physiological decompensation that have consistently greater impact on hospital resources. This affects the DRG assignment on INPATIENT accounts.
What is CC/MCC
500
A patient is admitted with a stage 1 sacral decubitus ulcer. During the 3 month admission the sacral decubitus ulcer progressed to a stage 4. The stage that is reported on the bill would be _______.
What is the highest stage documented -stage 4
500
Sam was admitted to ICU for an acute MI. He had a cardiac cath with stent placement and for his severe CAD. The appropriate principal dx would be the __________.
What is MI
500
If the same condition is described as both acute and chronic, and separate subentries exist in the Alphabetic index at the same indention level, the code assignment and sequencing for this scenario would be
What is code both the acute and chronic conditions and sequence the acute code first.