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Eye and Adnexa
AMI
Hypertension
Circulatory Combo Codes
Miscellaneous
100
Increased pressure within the eyeball is called ___________
Glaucoma
100
What is the code for AMI (Acute Myocardial Infarction)
I21.3
100
What is another name for an Acute Myocardial Infarction (AMI)
Heart Attack
100
What is the code for essential or primary Hypertension?
I10
100
What is White Coat Syndrome?
Anxiety a patient gets when they have to go to the doctor. It can cause a rise in blood pressure.
200
What character in the ICD-10-CM code identifies the STAGE of the Glaucoma?
7th
200
An OLD myocardial infarction is defined as having occurred more than ____ days ago?
28
200
What is another name for CVA (Cerebral Vascular Accident)?
A stroke
200
Patient has hypertension w/ heart disease. Doctor does not specify a causal relationship. Can you code I11?
No. For Hypertension with heart disease the doctor must specify a causal relationship
200
Which EXCLUDES rule means that the two conditions cannot be reported together?
Excludes1
300
Patient has glaucoma in both eyes. Same type of Glaucoma, but different stages. How many ICD-10-CM codes will you code?
2
300
A patient comes to the ED because they are experiencing an AMI. They had a previous AMI 28 days ago. Is this considered an OLD AMI?
No. Per the guideline Ch 9.e.1 "For encounters occurring while the myocardial infarction is equal to, or less than four weeks old... codes from category I21 may continue to be reported." Another way of saying equal to or less than 4 weeks ago is to say LESS THAN 29 DAYS.
300
ASHD stands for what?
Arteriosclerotic Heart Disease
300
Patient has hypertension w/ Chronic Kidney Disease. Doctor does not specify a causal relationship. Can you code I12?
Yes. Hypertensive Chronic Kidney Disease has an implied or assumed causal relationship. The doctor does not have to document that in the medical record.
300
The default for the Dominant side is the __________ side; the Non-Dominant side is the _________ side.
Dominant = Right side; Non-Dominant = Left side
400
Bilateral Glaucoma with the same type and stage. Will you use 1 code or 2 codes?
1 code
400
Patient has controlled hypertension? Can you use code I10? If not, what code should be used?
I10 can be coded.
400
Secondary hypertension requires how many codes?
Guideline Chapter 9.a.6: Two codes are required: one to identify the underlying etiology and one from category I15 to identify the hypertension. Sequencing of codes is determined by the reason for admission/encounter.
400
Patient has hypertensive Chronic Kidney Disease. Coder assigns code I12.0. What additional code is necessary?
N18.- = stage of CKD
400
Which EXCLUDES rule means that the two conditions may be reported together? (it's possible)
Excludes2
500
Patient has glaucoma. Both eyes are documented as being the same type and stage, and the classification does not provide a code for bilateral glaucoma. Do you report 1 code or 2 codes?
1 code. Per Chapter 7.a.2 guidelines, when the classification "does not provide a code for bilateral glaucoma, report only one code for the type of glaucoma with the appropriate 7th character for the stage."
500
Patient has uncontrolled hypertension? Can you use code I10? If not, what code should be used?
Yes, I10 is the correct code.
500
True/False - High blood pressure is synonymous with hypertension?
False. While hypertension is abnormally high blood pressure, you can have high blood pressure that is not high enough to be considered hypertensive.
500
What is important for the doctor to document for a patient who has hypertensive heart and CKD?
The causal relationship between the hypertension and the heart disease. The causal relationship between HTN (hypertension) and CKD (Chronic kidney disease) is implied.
500
What are the 3 steps to look up a code in ICD-10-CM?
(1) Look up the main term in the ALPHABETIC INDEX, (2) Verify the code in the TABULAR LIST, (3) Review guidelines to determine the highest level of specificity.