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65 Cards in this Set

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  • Back

abrasion

an area on the skin, or some other surface of the body, that has been damaged by scraping or rubbing
acute renal failure
a rapid loss of kidney function
adverse effect
a harmful, unintended reaction to a drug administered at the correct dose
aftercare
continued care of the patient following the acute phase of treatment for an illness, injury, or condition
antepartum
relating to the period before birth
arthritis
an inflammation of joint(s), & may also involve the muscles & connective tissue
benign prostatic hypertrophy
enlargement of the prostate gland
bladder
organ that collects urine excreted by the kidneys before disposal by urination
cellulitis
bacterial infection of the skin & subcutaneous tissue
chronic kidney disease
a progressive loss in renal function
closed fracture
a broken bone that does not pierce through the skin
congenital abnormalities
birth defects or abnormalities present at birth
convulsions
involuntary muscular contractions of the extremities, trunk, & head
decubitus ulcer
a pressure ulcer caused by lack of circulation caused by bones compressing the skin
dermatitis
inflammation of the skin
dermis
layer of skin beneath the epidermis that contains blood, lymph vessels, sweat glands, & nerve endings
dysplasia
abnormal development of tissue or organs
E codes
codes used to identify the external causes of injuries & poisonings
elective abortion
legally induced abortion performed by a medical professional for therapeutic or elective reasons
epidermis
outer layer of the skin
failed abortion
an unsuccessful elective abortion; the patient is still pregnant
first degree
a burn that affects the epidermis only
follow-up care
medical encounters to evaluate a condition that has healed &/or no longer exists
gestational diabetes
a condition in which women have high blood glucose levels only during pregnancy without a previous history
late effect
a condition that appears or remains after the acute phase of an earlier, casual condition has resolved
malunion
incomplete union of a previously fractured bone
meninges
the membrane that covers the brain & spinal cord
nonunion
failure of a broken bone to heal
open fracture
a broken bone that pierces the skin
osteoarthritis
gradual loss of cartilage of the joints
pathologic fracture
a broken bone caused by disease
perinatal
time from birth through day 28 following birth
poisoning
the act of administering a toxic substance; can result by the improper use of medications
postpartum
time from childbirth to six weeks after childbirth
puerperal sepsis
an infection in the genital tract that develops during the postpartum period
second degree
a partial thickness burn involving the epidermis & the dermis
spontaneous abortion
occurs without any intervention with drugs or instrumentation
stress fracture
a small fracture of a bone caused by repeated physical strain
subcutaneous
tissue that lies under the skin
third degree
a burn that destroys both the epidermis & the dermis, often also involving the subcutaneous tissue
ureters
structures that carry urine from the kidneys to the urinary bladder
urethra
structure that carries urine from the urinary bladder to the outside of the body
urinary incontinence
inability to control urination
V codes

codes reported to support services that are rendered when a patient does not have an acute medical condition

diabetes
When a patient has CKD & diabetes, which code is sequenced first?
rapid onset
Acute renal failure develops differently than CKD because ARF has a
urge incontinence
sudden need to urinate followed by the involuntary release of urine
nephrolithiasis or calculus
kidney stone
endometriosis
a disorder of the female reproductive system where the lining of the uterus grows outside of the uterus
leiomyoma
uterine fibroids
submucous
type of uterine fibroid that lies beneath the endometrium
intramural
type of uterine fibroid that lies within the uterine wall
subserous
type of uterine fibroid that lies under the serous surface of the uterus
cervical intraepithelial neoplasia or cervical dysplasia
an abnormal growth or pre-malignant cells of the cervix
CIN III
dysplasia that is considered carcinoma in situ of the cervix
delivery code
When a patient delivers outside of the hospital, do not report a
generalized
type of osteoarthritis that involves more than 1 joint or group of joints
primary
type of localized osteoarthritis that does not have a known cause
secondary
type of osteoarthritis that develops as a result of an injury or disease
spina bifida
congenital anomaly in which there is an incomplete closure of the spinal neural tube
closed
A fracture not indicated as closed or open should be coded as
severity
Multiple fractures are sequenced according to
vesiculation
blistering of burned skin
identifies the drug
To code poisoning correctly, the first code

healing or recovery phase

Aftercare codes are only reported during the