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35 Cards in this Set
- Front
- Back
Late effects coding
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Code the condition or nature of the late effect, then use a late effect code.
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CKD
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Chronic kidney disease
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AMI
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Acute myocardial infarction
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Coding pressure ulcer
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Two codes are needed code 707.0 pressure ulcer to idenify the site, and 707.2 ulcer stage
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Acute fractures vs. aftercare
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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.
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Coding for congenital anomalies 740-759
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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.
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Perinatal period
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Birth through the 28th day
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Coding for congenital anomalies 740-759
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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.
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Coding for congenital anomalies 740-759
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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.
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Perinatal codes 760-779
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are never used on the maternal record, nor codes from chapter 11 obstetrics never permitted on the newborn record.
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Perinatal period
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Birth through the 28th day
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Perinatal period
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Birth through the 28th day
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Sequencing of perinatal codes
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Chap 15 codes listed first exception V30 birth episode.
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Perinatal codes 760-779
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are never used on the maternal record, nor codes from chapter 11 obstetrics never permitted on the newborn record.
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Perinatal codes 760-779
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are never used on the maternal record, nor codes from chapter 11 obstetrics never permitted on the newborn record.
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Birth episode V30-V39
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Assigned only once for type of birth and is principal diagnosis.
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Sequencing of perinatal codes
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Chap 15 codes listed first exception V30 birth episode.
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Sequencing of perinatal codes
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Chap 15 codes listed first exception V30 birth episode.
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Birth episode V30-V39
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Assigned only once for type of birth and is principal diagnosis.
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Birth episode V30-V39
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Assigned only once for type of birth and is principal diagnosis.
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Newborn transfers
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V30 series is not used at the receiving hospital
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Code V29 observation and evaluation of newborns, suspected conditions not found.
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When the patient has identifed signs or symptoms code the sign or symptom not V29.
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Coding birth with a congenital anomaly
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Code V30 birth first then the anomaly. 740-759
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Injury coding
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Code the most serious injury as determined by the provider and the focus of treatment first.
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Superficial injuries, abrasions or contusions
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Are not coded when associated with more severe injuries of the same site.
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Primary injury with damage to nerves or blood vessels
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Code the primary injury first with additional code for nerves and blood vessel injury.
950-957 or 900-904 |
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Multiple fractures sequencing
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sequenced accordance with the severity of the fracture.
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Trama fractures vs. aftercare
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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 |
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Complications of fracture care, such as malunion
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Code the complication
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Sequencing of burn conditions
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first code the highest degree of burn when more then one burn is present
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When admitted for burn injuries and related conditions such as smoke inhalation/respiratory failure
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Read documentation for circumstances of admission for first listed diagnosis.
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Burns of same local site but different degrees
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Code tothe highest degree
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Assign separate codes for each burn site
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Cat 946 multiple specified sites, should only be used when the documentation is unspecified of burn location or vague.
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Burn coding must have percentage of total body surface involved
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Cat code 948
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Rule of 9
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Estimating body surface involved: Head and neck are 9% each arm 9% each leg 18% anterior trunk 18% posterior trunk 18% and genitalia 1%
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