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Chapter 11 basic cod
Chapter 8, diseases of the respiratory system
| Question | Answer |
|---|---|
| What is the title and code #'s for chapter 8 of ICD-9-CM? | Diseases of the respiratory system (460-519) |
| A "use additional code" note is included under code 487.0, Influenza with pneumonia to identify what? | The type of pneumonia |
| A diffuse obstruction of the smaller bronchi and bronchioles that results in coughing, wheezing, SOB, and disturbances of gas exchange. | Chronic Obstructive Pulmonary Disease COPD |
| If a patient has acute bronchitis with COPD how would you code this? | Code them together with one code: 491.22, Obstructive Chronic Bronchitis with acute bronchitis. |
| If the reason for the hospital visit is acute respiratory failure this would be coded as the principle diagnosis what types of chapter-specific guidelines would be examples of when respiratory failure may be listed as a secondary diagnosis? | Obstetrics, poisoning, HIV, newborn. Also if it occurs after admission. |
| How can endoscopic procedures in the respiratory system be coded? | B/c many lesions in the respiratory track can be removed by endoscopic means one code is used to describe both. |
| What are things that a coder should review when coding for a patient that is on invasive or non-invasive mechanical ventilation? | the number of hours a pt was on continuous mechanical ventilation. Also additional codes should be assigned to describe endotracheal tube insertion and tracheostomy. |
| Give 2 examples of noninvasive respiratory assistance. (mechanical ventilation) | Continuous positive airway pressure (CPAP) & Bilevel positive airway pressure |
| When a pt receives both invasive and noninvasive mechanical ventilation during the same episode of care but on different days in the hospital or in another health care facility how would this be coded? | Both types of mechanical ventilation would be coded. |
| Irreversible dilation of the bronchi with secondary infection. In adults, the condition may develop following a necrotizing pneumonia or lung abscess. | Bronchiectasis |
| What is the title and codes for chapter 8 of ICD-10-CM? | Diseases of the Respiratory System J00-J99 |
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