Coding Index
What does "due to" indicate?
Identifies a relationship between the two conditions they link
77 y.o F w/HTN GERD HLD OA and obesity. Clinical indicators: BMI 35.58, 10/16/23 BMI 35.45, 7/31/2023.
What coding template would you use for this query?
Obesity
What act was passed in 1965 establishing a health insurance program for the elderly?
The 1965 Medicare Act
What update is going into effect in 2024 that will have a blended/phased model?
Changing from V24 to V28.
Which popular candy came first, Butterfingers or Reese’s cups?
Butterfingers
What does NOS mean?
Not Otherwise Specified.
Signifies that the information in the medical record is insufficient for assigning a more specific code.
BPA for Acute respiratory failure w/hypoxia, OV 8.21.23 “Acute on chronic cough. O2 sats about where they have been for him. No fever. Will get chest x-ray.” Chest x-ray result 8.22.23 “clear”; RA sat 91%.
Would you submit a query? If so, what type?
Yes, a DNC query.
What is a PHSO?
Population Health Services Organizations were created as alternative care models for a population of patients.
Can a patient with the diagnosis of HIV ever go from having a diagnosis of symptomatic HIV (B20) to the code for asymptomatic HIV status (Z21). For example patient presents with an opportunistic infection and code B20 is assigned. Once the infection resolves, would the patient go back to code Z21?
No, once a patient has been diagnosed with an HIV-related illness, B20 should be assigned on all subsequent encounters.
What state's flower is the Bluebonnet?
Texas
What do brackets [] mean?
Brackets [] enclose manifestation codes that can only be used as secondary codes to the underlying condition code immediately preceding it.
72 y.o. w/ DM-2 last A1C- 9.4 (9/2023) Note 10/2023- “lost right LE and with permanent neuropathy resulting."
What diagnosis would you query for?
DMII with hyperglycemia, DMII with neuropathy, s/p RLE amputation
What was the goal of the 2010 Patient Protection and Affordable Care Act (ACA)
To reduce healthcare costs by encouraging providers and healthcare systems to form networks that could coordinate care.
If a patient presents for right lower quadrant abdominal pain due to acute appendicitis is a code assigned for abdominal pain?
No, only a code for acute appendicitis is coded since the abdominal pain is expected in the disease process.
What is the most popular Beatles song according to American Songwriter published June 10, 2023?
"Here Comes the Sun"
What do parentheses () mean?
Parentheses () enclose nonessential modifiers, terms that are supplementary words or explanatory information that may or may not appear in the diagnostic statement and do not affect code selection.
Patient seen for post discharge follow up and was seen in the hospital for acute heart failure exacerbation. Patient continued on Lasix. Inpatient notes include mention of acute kidney failure. Labs show GFR 46 on 10/23/23, 54 on 8/16/23, and 52 on 7/2/23. Based on this information what diagnosis would you submit a query for?
a. CDK stage 2
b. CDK stage 3
c. Acute Kidney Injury
D. No query
b. CKD stage 3
What was Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
MACRA repealed the sustainable growth rate (physician fee schedules), rewarded providers for qaulity over volume and created alternative payment models.
When are Z codes used?
Z codes are reported when the patient is not sick and presents for specific care or to identify the status of the patient that may affect the management of care.
The purple finch is the state bird for what state?
New Hampshire
What is the difference between the alphabetic index and the tabular index?
The alphabetic index lists conditions and diagnosis codes. The tabular index includes details such as coding rules.
Patient with active problems including chronic DVT, COPD, and HTN. CT chest on 4/26/23 w/ finding, “Unremarkable aside from moderate atherosclerotic calcification of the aorta and coronary arteries.”
Should a query be submitted?
No, per CT results opportunity for atherosclerosis of aorta, however, active chronic DVT is the same HCC category - 108 vascular disease.
Which payment model does UVMHN fall into.
The Alternative Payment Model (APM).
What diagnosis is associated with 30% < FEV1 < 50% predicted? Be specific.
COPD Gold Stage 3
Which cakes are sometimes called fairy cakes in the UK or Australia?
Cupcakes