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Diabetes
Obesity&BMI
Let's code it
Miscellaneous
It's a pain!
100
TRUE/FALSE - An adult can have Type 1 diabetes
TRUE
100
TRUE/FALSE: You read in the medical record that the patient is 600 lbs. Based on his weight, it's ok to consider him morbidly obese and code for it.
FALSE. Unless the doctor states that the patient is morbidly obese you cannot code for it.
100
Pain due to cancer is coded with subcategory
G89.3
100
Ray has Reye's syndrome. This diagnosis is an __________
Eponym
100
Poor me. I have both Chronic pain and Acute pain. Would you code both chronic pain and acute pain? If so, which would come first?
Code acute pain followed by chronic pain
200
What is the code for diabetes mellitus due to an underlying condition
E08
200
What is considered a secondary code which should be added when using code E66.0?
BMI (if stated in the documentation)
200
Sandy has type II diabetes. She was treated with insulin because her levels were high, but now she is ok and is able to manage her diabetes through diet and exercise. Code the encounter
E11 (Type II diabetes) ----- do not assign code Z79.4 for temporary use of insulin.
200
What is the code for diabetes complicating pregnancy (her diabetes is a preexisting condition)?
O24 (then also code Z3A.- for the number of weeks gestation)
200
Pain disorder exclusively related to a psych disorder is coded as ________
F45.41
300
The patient has been diagnosed with diabetes. What type of diabetes is it, and how do you know?
Type II Diabetes. You know because the rule is that when the type of Diabetes isn't specified, the default is Type II.
300
BMI codes are in category Z65
FALSE. BMI codes are in category Z68
300
Malignant neoplasm of the lower outer quadrant of the left female breast
C50.512
300
Jim has hemiplegia on his non-dominant side. What side are we referring to?
Left
300
If dependence, use, and abuse are all documented, assign only the code for _____________
DEPENDENCE
400
Jimmy is a Type 1 diabetes with LONG-term insulin use. Code the encounter.
E10. Do NOT code the Z79.4 (long term (current) insulin use) because it is included in the E10 code (Type 1 diabetics require are long-term insulin).
400
Patient is obese with a BMI of 32. Code the encounter.
E66.9, Z68.3
400
Septic encephalopathy
G93.41
400
Routine or expected postoperative pain immediately after surgery (should / should not) be coded?
SHOULD NOT
400
Jane goes to the doctor for pain management of his lower back. What would I code for... lower back pain, or pain management?
Pain management - it's the reason for the encounter and one of 2 scenarios where it can be the first listed Dx.
500
Sally was diagnosed with drug induced diabetes mellitus. What are the rules for reporting poisoning or adverse effects? (Hint: 4 possible things to code)
(1) Poisoning due to drug or toxin, if applicable (T36-T65), (2) Adverse effect, if applicable, (3) E09, (4) Additional code to identify any insulin use
500
A 10 year old girl is diagnosed with obesity due to excess calories. She is in the 85 percentile for her age. Code the encounter
E66.09, Z68.53 (If you guessed Z68.52, note the LESS THAN 85th percentile)
500
Patient is diabetic with CKD, stage 3. What's the code for the encounter?
E08.22, N18.3
500
Which EXCLUDES rule means that the two conditions cannot be reported together?
Excludes1
500
Central Pain Syndrome is assigned to code ________
G89.0