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68 Cards in this Set

  • Front
  • Back

acute exacerbation

worsening or a decompensation of a chronic condition
AIDS
a chronic, potentially life-threatening disease; patient’s immune system is compromised, which makes him or her highly susceptible to diseases & infections; caused by HIV
anemia
decrease in the number of red blood cells
atherosclerosis
hardening of the arteries caused by fats in the blood
benign hypertension
continuous, mild blood pressure elevation
benign neoplasm
a non-malignant neoplasm
carcinoma in situ
a localized cancer that has not spread to adjacent structures
cataracts
flaws or clouds that develop in the crystalline lens
cerebrovascular accident
the sudden death of some brain cells due to lack of oxygen, when the blood flow to the brain is impaired by blockage or rupture of an artery to the brain
cholelithiasis
gallstones
cholecystitis
inflammation of the gallbladder
congestive heart failure
the heart is unable to pump away the blood returning to it fast enough, which causes congestion in the veins
conjunctivitis
inflammation or infection of the conjunctiva, which is the transparent layer that lines the part of the eye & the eyelid
coronary artery diseases
blockage of the coronary arteries
dementia
a group of symptoms that effect memory & cognitive functions such as judgment & communication
epigastric hernia
a protrusion of internal organs through the epigastrium above the umbilicus
epilepsy
causes disturbance in the electrical activity of the brain
glaucoma
a hypertensive condition of the eye caused by too much pressure from fluid
goiter
enlargement of the thyroid gland
hernia
organ or tissue protruding through the was or cavity that usually contains it
HIV
a virus that attacks the immune system
incisional hernia
protrusion of internal organs near an incompletely closed surgical incision site
inguinal or ventral hernia
protrusion of internal organs in the groin
intractable
severe migraine that does not respond to therapeutic treatment
leukemia
cancer of blood & bone marrow
lipoma
benign tumor made up of fat cells
lymphoma
cancer of the lymphatic system
malignant hypertension
cancerous tumor that tends to grow, invade, & metastasize
manifestation
condition or symptom that develops as a result of an underlying condition or cause
melanoma
skin cancer that originates in cells which produce pigment in the skin
meningitis
infection or inflammation of the membranes that surround the head & spinal cord
metastases
spread of cancer from one body area/organ to another
myocardial infarction
death of tissue of the myocardium
neoplastic disease
condition related to a tumor or growth
neuropathy
abnormal condition characterized by inflammation or degeneration of peripheral nerves
NSTEMI
not ST elevation myocardial infarction; blood clot partly occludes the artery, & only a portion of the heart muscle being supplied by the affected artery dies
otitis media
middle ear infection
Parkinson’s disease
slowly progressive, degenerative neurologic disease
pleural effusion
abnormal fluid accumulation in the pleural spaces
sepsis
a whole body inflammatory state
status asthmaticus
asthma that is not responding to treatment
STEMI
ST elevation myocardial infarction; coronary artery completely blocked, & nearly all the heart muscle being supplied by the affected artery starts to die
thyrotoxicosis
morbid condition due to over activity of the thyroid gland
umbilical hernia
protrusion of internal organs through the abdominal wall around the umbilicus

urosepsis

bacteremia resulting from urinary tract infection

SIRS
systemic response to infection, burns, trauma, or cancer
primary malignancy
where the cancer originates
secondary malignancy
results from metastasis & forms a new focus of malignancy elsewhere
non-infiltrating, non-invasive, or pre-cancerous
3 other terms that can be used to describe cancer in situ
atypia or dysplasia
indications that the neoplasm is in transition from benign to malignant
uncertain behavior
If the pathology report indicates a neoplasm as atypia, dyspasia, or pre-cancerous, use the code for
unspecified
If the pathology report of a neoplasm has not been received before coding, the only code that can be used is
199.1
the secondary CPT code used when the patient encounter is for the secondary site of a malignant neoplasm & the primary site is not available
Merkel cell carcinoma
a rare & aggressive form of skin tumor affecting the release of hormones into the blood streatm & skin sensitivity
type I diabetes
an auto immune disease that results in the destruction of insulin-producing cells in the pancreas
type II diabetes
condition that causes the body to produce insufficient levels of insulin due to obesity, age, or genetic weakness
cause-&-efffect relationship
To code a disease or condition as a manifestation of the diabetes mellitus, the documentation must show a
secondary
a type of diabetes that is always caused by another condition or event
Alzheimer’s disease
a type of dementia characterized by degeneration of the brain tissue
status migrainous
condition when a migraine has been ongoing for more than 72 hours
classic
migraine with aura
common
migraine without aura
338
When a patient presents for pain management, the principal code is selected from the 3-digit code
hypertension retinopathy
condition in which increased pressure leads to the growth of unstable vessels in the eye
V58.61
When the documentation states a patient is taking or has a long-term use of an anticoagulant medication, report secondary code
COPD
chronic bronchitis & emphysema that causes the respiratory passages to narrow
exacerbation
an increased severity
same indentation level

When both acute & chronic conditions are documented, code acute first if acute & chronic have separate subentries in ICD-9 Alphabetic Index & they are at the