CODING GUIDELINES
This single code is used to classify
two diagnoses, or
a diagnosis with an associated secondary process (manifestation code), or a diagnosis with an associated complication
The provider documents use, abuse, and dependence of opiods on this patient. When coding this the coder should use________________________
What is the code for dependence?
Coding guideline Chapter 5.b.2
True or false
If the patient has sepsis and difficulty breathing, severe sepsis should be assigned.
True or false
Leukemia is not coded from the Neoplasm Table, but rather indexed under the term Leukemia.
What is true?
This abbreviation stands for Clinical Modification.
What is the CM in ICD-10-CM?
The patient is admitted for pain related to cancer. The coder should code____________, as principal dx, and __________________ as secondary dx.
What is pain and underlying (cancer) condition
True or False
The term "mass" is considered a neoplastic growth unless the provider documents it as benign.
What is false?
When a primary malignancy has been previously excised or eradicated from its site, there is no further treatment (of the malignancy) directed to that site, and there is no evidence of any existing primary malignancy the code assignment of ____________________ should be used to indicate the former site of the malignancy.
Personal history of malignant neoplasm.
This note signifies to the coder that it is acceptable to code both conditions.
What is "Excludes 2" note?
True or False
If a condition originates in the perinatal period, and continue throughout the life of the patient, the perinatal code should continue to be used regardless of the patient's age.
What is true?
True or FalseThe sequela is the residual effect after the acute phase of injuries only.
What is false? Sequela is for an injury or illness.
Melanoma __-_____ has a unique category in ICD-10-CM.
What is in-situ?
Use this code when the information in the medical record provides detail for a specific code that does not exist.
What is “other” or “other specified?"
It is a "pure excludes" note.
What is "Excludes 1" note.
Doctor has document Stage 3 CKD and ESRD, how would the coder code this?
Stages of CKD
Stage 2-Code N18.2, mild CKD
Stage 3- Code N18.3,moderate CKD
Stage 4- Code N18.4, severe CKD
ESRD- Code N18.6
What is N18.6?
Coding guideline 14.a.1
If the patient is admitted for an HIV __________ ________, the primary diagnosis should be B20.
What is related condition?
When the patient presents solely for the treatment of anemia associated with malignancy, the __________ is sequenced first followed by the appropriate code for the ________?
What is malignancy, anemia?
The patient is seen for muscle atrophy after a previous bout with encephalitis. The condition or nature of the sequela is coded_______.
What is first?
True or false
In ICD-10-CM all inclusion notes contain all conditions for which a particular code number is to be used and are considered to be “exhaustive.”
What is false? Inclusion notes contain terms that are the condition for which that code number is to be used. The terms may be synonyms of the code title, or in the case of “other specified” codes, the terms are a list of various conditions assigned to that code. The inclusion terms are not necessarily exhaustive.
Patient is admitted for treatment of external multiple burns.
The sequencing for this code assignment is __________
What is the code that reflects the burn of the highest degree first?
For a diagnosis of sepsis, assign the appropriate code for the ___________ condition.
What is underlying?
These malignant neoplasms should be classifed to .8 unless the combination is indexed elsewhere.
What are primary malignant neoplasms that overlaps two or more contiguous sites.