Coding Jeopardy

Know your HCCs

100

Major Depressive Disorder , mild belongs to this category

HCC 58

200

Atherosclerosis of Aorta belongs to this category 

HCC 108

300

Malignant neoplasm of nasopharynx, unspecified belongs to this category

HCC 11

400

Other fracture of head and neck of unspecified femur, initial encounter for closed fracture belongs to this category

HCC 170

500

Dependence on renal dialysis belongs to this category 

HCC 134

Pot Luck

100

Per the coder resource housecall document, this is the first query listed 

• Your HouseCalls visit documents the chronic condition INSERTDX in the patient’s past medical history. Based on your clinical judgment, can you please clarify if this chronic condition is still current and impacting patient care? If so, can the severity level of the patient’s major depression, be further specified to more accurately reflect the patient’s condition? Such as: mild, moderate, severe, in full or partial remission? Please indicate the treatment and plan along with any relevant information/documentation as of the date of service that you relied upon to provide this clarification.

200

Per the Job aid for Angina Pectoris, name one of the five fast facts for this condition

• Angina pectoris is a result of myocardial ischemia due to an imbalance of myocardial blood supply and oxygen demand

• Angina has been estimated to occur in 9.8 million Americans annually

• Interestingly, only 18% of people with coronary attacks have angina

• Risk factors include a family history of arteriosclerosis, diabetes, cigarettes smoking, hypercholesterolemia and hypertension

• Angina occurs as frequently in men as it does women

300

All job aids can be found in this portal

Ignite 

400

COVID- 19 stands for this 

CO (Corona) VI ( Virus) D ( Disease) - 2019

500

Documentation of _______can provide needed evidence to support a diagnosis of functional quadriplegia 

ADs ( Activities of Daily Living) / Barthel Index 

Clinical Indicator

100

An A1C of _____ is indicative of DM 

6.5 or greater 

200

Two GFRs less than _______ is indicative of CKD3 

60

300

COPD requires two of these clinical indicators 

SOB, wheezing, dyspnea, cough, sputum production

400

A Quantaflo of ______ is indicative of PVD

Equal to or less than 0.89

500

This medication would support a query for secondary hypercoaguable state / other thrombophilia 

• Xarelto
• Coumadin/Warfarin
• Eliquis
• Jantoven
• Lovenox
• Pradaxa

Name that diagnosis

100

E11.9 is the code for this 

Diabetes Mellitus 

200

J44.9 is the code for this

COPD 

300

C79.11 is the code for this 

Secondary malignant neoplasm of the bladder 

400

F11.20 is the code for this 

Opioid dependence , uncomplicated 

500

A021 is the code for this 

Salmonella sepsis

Know your ICD 10 coding guidelines

100

Excludes1 is used when 

 two conditions cannot occur together

200

NEC means this 

Not elsewhere classified

300

Code Also means this 

Alerts the coder that more than one code may be required to fully describe the condition

400

This symbol indicates additional digits are needed for code completion 

Red check box 

500

Codes with fewer than 6 characters that require a seventh character must contain this 

A placeholder X to fill in the empty characters