Basics
Sepsis
Pulmonary
Diabetes Renal
Heart of the Matter
100
If an ICD-10 code requires a 7th character these are frequently needed. Hint: They are always an "X"
What is a placeholder - - Page 7 and 8 in the official guidelines.
100
True or False - - Severe Sepsis requires assignment of 2 codes
What is TRUE Page 21 in the official Guidelines
100
I am the definition of this medical statement - Worsening or a decompensation of a chronic condition
What is an "acute exacerbation"
100
True or False - Hypertension with Renal Failure require two codes similar to ICD-9.
What us TRUE
100
True or False - - In ICD-10 there is a new Hypertension Table
What is FALSE
200
They are known as type 1 - Not coded here and type 2 - Not included here; if the documentation supports additionally assigning the code you should assign it.
What are "Excludes Notes" Page 10 of your official coding guidelines.
200
Fill in the blank - - - In severe sepsis you assign the code for the _________________ first followed by to code from subcategory R65.2, Severe Sepsis.
What is "underlying systemic infection" or "infection"
200
True or False: An exacerbation can be triggered by an infection.
What is True - - Page 45 of the guidelines
200
Secondary Diabetes due to underlying condition - is assigned under category
What is E08
200
Following Official Coding Guidelines - an automatic assumption can be made these two medical conditions have a cause and effect relationship without the provider stating such - those medical conditions are -
What are Hypertension and Chronic Kidney Disease
300
True or False: "And" should NOT be interpreted to mean "And" or "Or" when it appears in a title.
What is FALSE - Page 11 of your official guidelines Rationale - And is to be interpreted as "and" or "or" in ICD-10 Tabular code descriptions.
300
Give the diagnosis coded - - What code is assigned with Severe Sepsis if the underlying systemic infection is not documented - you default and assign - code.
What is A41.9 - Sepsis, unspecified organism, for the infection. Official coding rules page 21.
300
In several of the code categories in the pulmonary section; several of the categories have instructions to add these codes.
What is "use additional code" notes
300
True or False - You must follow sequencing instructions for secondary diabetes found in the Tabular List for categories E08, E09, and E13.
What is TRUE - page 33 on the official guidelines.
300
The definitive diagnosis of NSTEMI or STEMI cannot be known without a Cardiac Catheter result because of the diagnostic difference between them. Describe main difference between STEMI and NSTEMI - - The question identifies the difference between NSTEMI and STEMI
One indicates a full blockage of the artery and the other indicates a partial blockage of the artery. STEMI - More serious the artery is completely occluded and likely patient will require a CABG NSTEMI - Partially occluded artery found on cath and can be treated with angioplasty and stent often with good result.
400
If an acute and chronic condition are both documented and separate entries exist in the Alphabetic Index (codes for both Acute and Chronic.) - Which code is sequenced first?
What is "acute".
400
True or False - - Urosepsis is a specific term and can be considered synonymous with sepsis.
What is FALSE. Page 20 in the official coding guidelines. Rationale: You must query the provider stating this diagnosis is not a valid diagnostic medical term.
400
True or False - When coding Asthma there are different Classifications including Mild, persistent, moderate, moderate.
What is True
400
What type of diabetes is the default if no specific documentation is found?
What is Diabetes Type II , Page 32 of the official coding guidelines.
400
If present an additional code is assigned with Hypertensive Kidney Disease (Combo Code) and is assigned in Category I50 to code for this condition.
What is Heart Failure - Page 41 of the official coding guidelines
500
Codes assigned when a definitive diagnosis has not yet been established by the end of the encounter.
What are signs and symptom codes?
500
Generally refers to circulatory failure associated with severe sepsis; therefore it represents a type of acute organ dysfunction.
What is Septic Shock aka Sepsis with Organ Failure - - Official Guidelines page 21
500
There are Excludes 1 and Excludes 2 code notes all over ICD-10; are present in a specific area of the Official Coding Guidelines and pertain to all chapters in ICD-10
What are coding rules and/or conventions
500
Chronic kidney disease with other conditions - - most commonly diabetes and hypertension. Sequencing rules for these conditions are available in the
What are conventions in the Tabular List. Page 51 of the guidelines.
500
I22 is never assigned without a code from this category
What is category I21 - Rationale - per official coding guidelines the subsequent AMI is never assigned without an initial AMI code being assigned. These codes are only used when a patient has two AMI's within a 4 week period.
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