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35 Cards in this Set

  • Front
  • Back
Late effects coding
Code the condition or nature of the late effect, then use a late effect code.
CKD
Chronic kidney disease
AMI
Acute myocardial infarction
Coding pressure ulcer
Two codes are needed code 707.0 pressure ulcer to idenify the site, and 707.2 ulcer stage
Acute fractures vs. aftercare
Pathologic fractures are reported 733.1 while receiving active treatment, aftercare codes are use for encounters affter the completion of active treatment V54.0, V54.2, V54.8, V54.9 casting change or removal, adjustments and follow up visits.
Coding for congenital anomalies 740-759
when there is no unique code for the anomaly code manifestations. When there is a specific dodes and there are manifestation that are inherent with the anomaly do not code the manifestations. If there are manifestations that are not an inherent component then code them.
Perinatal period
Birth through the 28th day
Coding for congenital anomalies 740-759
when there is no unique code for the anomaly code manifestations. When there is a specific dodes and there are manifestation that are inherent with the anomaly do not code the manifestations. If there are manifestations that are not an inherent component then code them.
Coding for congenital anomalies 740-759
when there is no unique code for the anomaly code manifestations. When there is a specific codes and there are manifestation that are inherent with the anomaly do not code the manifestations. If there are manifestations that are not an inherent component then code them.
Perinatal codes 760-779
are never used on the maternal record, nor codes from chapter 11 obstetrics never permitted on the newborn record.
Perinatal period
Birth through the 28th day
Perinatal period
Birth through the 28th day
Sequencing of perinatal codes
Chap 15 codes listed first exception V30 birth episode.
Perinatal codes 760-779
are never used on the maternal record, nor codes from chapter 11 obstetrics never permitted on the newborn record.
Perinatal codes 760-779
are never used on the maternal record, nor codes from chapter 11 obstetrics never permitted on the newborn record.
Birth episode V30-V39
Assigned only once for type of birth and is principal diagnosis.
Sequencing of perinatal codes
Chap 15 codes listed first exception V30 birth episode.
Sequencing of perinatal codes
Chap 15 codes listed first exception V30 birth episode.
Birth episode V30-V39
Assigned only once for type of birth and is principal diagnosis.
Birth episode V30-V39
Assigned only once for type of birth and is principal diagnosis.
Newborn transfers
V30 series is not used at the receiving hospital
Code V29 observation and evaluation of newborns, suspected conditions not found.
When the patient has identifed signs or symptoms code the sign or symptom not V29.
Coding birth with a congenital anomaly
Code V30 birth first then the anomaly. 740-759
Injury coding
Code the most serious injury as determined by the provider and the focus of treatment first.
Superficial injuries, abrasions or contusions
Are not coded when associated with more severe injuries of the same site.
Primary injury with damage to nerves or blood vessels
Code the primary injury first with additional code for nerves and blood vessel injury.
950-957 or 900-904
Multiple fractures sequencing
sequenced accordance with the severity of the fracture.
Trama fractures vs. aftercare
Code using the acute fracture codes 800-929 while patient is receiving active treatment use aftercare codes for encournters during healing or recovery V54.0 ,
V54.1, V54.8, V54.9
Complications of fracture care, such as malunion
Code the complication
Sequencing of burn conditions
first code the highest degree of burn when more then one burn is present
When admitted for burn injuries and related conditions such as smoke inhalation/respiratory failure
Read documentation for circumstances of admission for first listed diagnosis.
Burns of same local site but different degrees
Code tothe highest degree
Assign separate codes for each burn site
Cat 946 multiple specified sites, should only be used when the documentation is unspecified of burn location or vague.
Burn coding must have percentage of total body surface involved
Cat code 948
Rule of 9
Estimating body surface involved: Head and neck are 9% each arm 9% each leg 18% anterior trunk 18% posterior trunk 18% and genitalia 1%