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Also Known As (AKA)
Potpourri
They're more like Guidelines!
When you say ____, do you mean _____?
The Chicken or the Egg?
100
AHA
What is the American Hospital Association
100
The guidelines have been approved by these four organizations that make up the Cooperating Parties for the ICD-10-CM
Who are the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and National Center for Health Statistics (NCHS)
100
According to the ICD 10 guidelines, NOS which means this, is used when a diagnosis is unspecified.
What is Not Otherwise Specified
100
Patient presents with left hemiparesis- resolved after treated with TPA in ER.
What is CVA This is not a TIA but an aborted stroke. Should query for this if they call it a TIA. Code I639
100
Chronic kidney disease, acute diastolic dysfunction and hypertensive heart disease.
What is Hypertensive heart and chronic kidney disease as PDX
200
DKA
What is diabetic ketoacidosis
200
In the guidelines it is defined as meaning and or or.
What is AND.
200
Of the two types, Excludes I and Excludes II notes, the one that means do not code here with this diagnosis.
What is Excludes I Excludes I example would be congenital and acquired problem, cannot be both. Excludes II means that the second diagnosis is not included in that first term and may be coded there if documentation supports it.
200
Patient diagnosed with sepsis due to UTI, lactic acid 5, and metabolic encephalopathy.
What is severe sepsis. The severe sepsis diagnosis will not change the DRG but does impact mortality indices.
200
When admission/encounter is for management of an anemia associated with the malignancy, and the treatment is only for anemia, the appropriate code for the -------is sequenced as the principal diagnosis followed by the appropriate code for the __________
What is malignancy and anemia.
300
NEC
What is Not Elsewhere Classifiable When a specific code is not available for a condition the Tabular list includes an NEC code to identify the code as the "other specified" code.
300
Which can be coded when documented by non-provider? -Radiology report of CVA -NIH stroke scale score -Glascow coma scale -Pathology report diagnosis -BMI
What is NIH stroke scale, GCS, BMI But the corresponding diagnoses of CVA, coma, and obesity or underweight must be diagnosed and documented by MD.
300
To code an ODX we must show the ODX required: clinical evaluation; or therapeutic treatment; or _________________ or extended length of hospital stay; or increased nursing care and/or monitoring.
What is diagnostic procedure
300
Patient with hyperglycemia, glucose 950, sodium 121, serum bicarb normal, documented as awake.
What is HHNK ( hyperosmolar hyperglycemic nonketotic without coma). AKA NKHHC(3 M 360) HHS
300
acute respiratory failure due to cocaine intoxication or cocaine poisoning?
What is cocaine poisoning This is in contrast to adverse effects of medications where the manifestation is coded first hypotension due to beta blocker would be hypotension as PDX with adverse effect of beta blocker as ODX.
400
HIPAA
What is the Health Insurance Portability and Accountability Act
400
A _____ is the residual effect (condition produced) after the acute phase of an illness or injury has terminated.
What is sequela
400
These are used in the Tabular List to enclose synonyms, alternative wording or explanatory phrases and are used in the Alphabetic Index to identify manifestation codes.
What are Brackets. [ ]
400
Paient presents with severe dehydration, AKI, decreased urine output, creatinine 5 on admission, 4.8 the next day, 4 the next day, with muddy brown urine and casts in urine sediment. Normal renal function 2 days PTA.
What is ATN Acute tubular necrosis is the second most common type of AKI seen in hospital. It involves ischemia to the kidney- usually due to sepsis, nephrotoxins. It is an MCC.
400
Intraoperative and postprocedural complication codes or the specific complication
What is the complication code followed by the specific complication.
500
UHDDS
What is the Uniform Hospital Discharge Data Set Issued by the CDC defines PDX, ODX.
500
“in diseases classified elsewhere.” refers to this type of code
What are manifestation codes The second part of the etiology manifestation convention
500
Two infectious diseases where only confirmed cases and not suspected cases are coded.
What is influenza and HIV. We do not need the actual lab test to confirm but the MD must state unequivocally that the patient has HIV or influenza.
500
The patient presents after recent hospitalization with LLL pneumonia. Will treat for HCAP which includes these organisms.
What are gram negative and anaerobic +/- staph/MRSA. Look at the antibiotic used to treat the pneumonia. If not ceftriaxone and zithromax try to see why not.
500
This comes first when coding Dementia due to Parkinson's Disease.
What is Parkinson's Disease. Dementia would be a manifestation code with PD as the etiology.