Delayed Reaction
Did you read me lately?
It's Official
100
When is new proposed implementation date for ICD-10?
October 1, 2014
100
True or False: You should code the harvesting procedures on an organ donor chart.
TRUE (Jan/Feb 2012 SHF Coding Newsletter)
100
What is the code assignment for depression and anxiety?
Assign codes 311 and 300.00 (Coding clinic 2011 3Q, Depression and Anxiety)
200
Definition : Altering the route of passage of the contents of a tubular body part Explanation: Rerouting contents around an area of a body part to another distal (downstream) area in the normal route; rerouting the contents to another different but similar route and body part; or to an abnormal route and another dissimilar body part. It includes one or more concurrent anastomoses with or without the use of a device such as autografts, tissue substitutes and synthetic substitutes Examples: Coronary artery bypass, colostomy formation
Bypass
200
A patient admitted with a principal diagnosis of pneumonia. While in the hospital, patient develops facial droop with a secondary diagnosis of "TIA vs stroke". What would be the correct secondary code or codes to report?
The symptom of facial droop would be the correct code. Do not assign a code for each condition if there is a contrasting or comparative secondary diagnosis. Assign a code for the symptoms only. The comparative/contrasting diagnosis guideline is only for the selection of the principal diagnosis. (Coding clinic 1998 1Q, Ischemic Event)
200
What is the correct code assignment for a solitary pulmonary nodule?
Assign code 793.11 (Coding clinic 2011 4Q, Solitary Pulmonary Nodule)
300
Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane Explanation: All CHANGE procedures are coded using the approach EXTERNAL Examples: Urinary catheter change, gastrostomy tube change
Change
300
How many codes are required to code acute and chronic diastolic and systolic congestive heart failure?
Two codes- 428.43 and 428.0 (SHF Coding Newsletter, May 2011)
300
DAILY DOUBLE Pregnant patient admitted for preeclampsia. Patient labored for 12 hours with no progress so a c-section was indicated and performed due to failure to progress. What is the correct principal diagnosis?
Preeclampsia is the Pdx followed by failure to progress.(ICD-9-CM Official Guidelines- Selection of OB Principal or First-Listed Diagnosis, #4- When a Delivery occurs)
400
DAILY DOUBLE Definition : Pulling or stripping out or off all or a portion of a body part by the use of force Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies Examples : Dilation and curettage, vein stripping
Extraction
400
What 5 specific items does CDIP need from the coder to generate a query?
1. MR# and FIN # 2. Patient first and last name 3. Date of service or discharge date 4. What is the specific information needed by the coder. The CDIP nurse can word the question so as not to make it leading. 5. Specify location of documentation in question. (Specific progress note by date, discharge summary, operative report, page in eweb.) (SHF Coding Newsletter March 2011)
400
Should V10.3 be used for a patient with a personal history of DCIS of the breast?
No, it should be coded to V13.8 since DCIS is not classified as a primary malignancy. (Coding clinic 2012 1Q, History of Ductal Carcinoma in Situ)
500
How many characters does an ICD-10-PCS code have?
7 characters long
500
Patient present with HIV with no documentation of a current or previous HIV related condition, what diagnosis code should be used?
Assign code V08 (SHF Coding newsletter May 2011)
500
What is the code for Schatzky's ring when a query is not an option?
750.3 is the default code (Coding clinic 2012, 1Q Schatzky's Ring)
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