Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
|
What are some reasons that Z codes are used? |
Special therapy, personal history, family history, birth status of newborn, patient is not currently ill but seeking treatment |
|
|
What are some common main terms that are used to find Z codes? |
Admission, examination, history, status, aftercare, problem, observation |
|
|
If a patient comes in for a followup to see if cancer has recurred, you would use a Z code but if the cancer is found as recurring then you would not use a Z code. |
--- |
|
|
A patient had carcinoma of the antrum of the stomach which was removed two years ago, the patient is now seen for EGD to evaluate the status of the digestive tract. EGD is normal with no evidence or recurrence of cancer. What diagnosis code(s) would you use on this case? |
Examination, followup, malignant neoplasm gives you code Z08. History, personal, malignant neoplasm, stomach gives you code Z85.028. The diagnostic procedure code would be 0DJ08ZZ. (Exam code is first, followed by the history code then the diagnostic code is last.) |
|
|
Code Hepatitis B carrier..... |
The code is Z22.51 |
|
|
Code history of colonic polyps.... |
The main term is history, the code is Z83.71 |
|
|
Code family history of lung cancer.... |
The main term is history, then family, then malignant neoplasm and finally lung gives you the code Z80.1 |
|
|
Code an encounter for amniocentesis for screening for chromosomal anomalies.... |
The main term is screening, the code is Z13.79 |
|
|
What is the code for amniocentesis... |
The main term is drainage, products of conception, amniotic fluid, diagnostic. The code is 10903ZU |
|
|
Medical examination of 4 year old child prior to admission to preschool.... |
The main term is examination, medical, admission to school. The code is Z02.0 |
|
|
Patient seen for fitting of right artificial leg after patient had below the knee amputation due to medical condition.... |
The main term fitting, leg says see admission, adjustment, artificial leg, partial. The code is Z44.121 |
|
|
Postmenopausal osteoporosis in a 63 year old female with a history of healed osteoporotic fracture of the ankle.... |
The main term for the first code is osteoporosis, the code is Z87.310. The second code main term is history, personal, fracture, osteoporosis, the code is Z87.310 |
|
|
A woman with no symptoms is referred to hospital outpatient xray for screening mammogram. The patient is considered high risk for breast cancer secondary to family history of breast malignancy in mother and sister... |
The main term is screening, the code is Z12.31. The second code is Z80.3, family history of malignant neoplasm of breast |
|
|
A patient is seen for home care for dressing changes for treatment related to a healing stage 3 ulcer of the left heel.... |
The main term is change, dressing; the code is Z48.00. The main term for the ulcer of the heel is ulcer, pressure, stage 3, heel; the code is L89.623. |
|
|
For inpatients can we code diagnoses that are described as possible, probable or suspected? |
Yes, but not for outpatients |
|
|
What is the difference between sign and symptom? |
Sign is seen by M.D., symptom is described by patient |
|
|
Can signs and symptoms be used as principal diagnosis? |
Yes, when there is no definitive diagnosis or when no diagnosis is identified |
|
|
Can you use sugn and symptom as a secondary diagnosis? |
Yes |
|
|
Can you code abnormal findings on an inpatient chart? |
Not usually but you can if the M.D. states it in documentation |
|
|
Can you code incidental findings from xray reports? |
No, you cant code it unless the M.D. documents it |
|
|
The reason for the patients admission was substernal chest pain with some arm involvement. A combined right and left selective low osmolar contrast coronary angiography and a bilateral low osmolar contrast pulmonary angiography were performed. No coronary artery disease or pulmonary embolus was found. Discharge diagnosis-Chest pain without occlusive coronary artery disease.... |
The diagnosis code would be for pain, chest; the code would be R07.9 |
|
|
Inpatient admission: The patient, a 19 year old man, was transferred from another hospital with intractable headache. The accompanying CT scan was normal, but clinical symptomatology was suggestive of subarachnoid hemorrhage. Lumbar puncture, non-contrast bilateral internal carotid cerebral arteriogram and contrast cerebral MRI were all normal. When findings were discussed with the patient, he became increasingly belligerent. Although his headaches were only somewhat improved, he refused further treatment and was discharged for follow-up with his own physician. Discharge diagnosis-Headache |
The diagnosis code would be for the headache; the code is R51. The code for the MRI would be B33RYZZ. |
|
|
Inpatient admission: The patient has a known diagnosis of prostate cancer. He started having fevers approximately one week earlier. The fevers did not respond to outpatient antibiotics. Blood and urine cultures showed no growth. He was admitted for workup of the fever with possible prostatic abscess formation. There were no obvious signs of infection or abscess on a transrectal untrasound of the prostate. An iodine-123 radiosotope bone scan of the body reavealed no skeletal metastases. The antibiotic therapy was changed and he was given an IV push. He improved and was discharged. Discharge diagnosis-(1)Fever of unknown origin, (2) cancer of the prostate.... |
The diagnosis code is R50.9 for fever. Code C61 for the current neoplasm code. |
|
|
Inpatient admission: The 2 year old patient had an acute onset of fever and some shaking chills at home. He was thought to have experienced a febrile seizure and was admitted for workup and treatment. There was some infiltrate in the right lung per chest x-ray. All lab work was within normal limits. He was discharged for office follow-up. Discharge diagnosis-Rule out febrile seizure....
|
The diagnosis code would be R56.00 for the febrile seizure. |
