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Chapter 6 Basic Code
Medical Coding-Endocrine, nutritional and Metabolic diseases, and immunity disor
Question | Answer |
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What is the title and category codes for chapter 3 of ICD-9-CM? | Endocrine, Nutritional and Metabolic Diseases, and Immunity Disorders (240-279) |
What are some of the categories/diseases contained in Chapter 3 of ICD-9-CM? | Diabetes, cystic fibrosis, electrolyte imbalances, and disorders of the thyroid, parathyroid, and adrenal glands. Also it includes nutritional deficiencies, and immune disorders. |
What are some signs and symptoms of diabetes mellitus? | hyperglycemia, glycosuria, dehydration, excessive hunger, marked weakness, and weight loss. |
Uncontrolled diabetes; Toxic condition caused by the improper metabolism of fat; 'alcoholic' oder on the patient's breath. Manifestations are anorexia, air hunger, coma and death. | Ketoacidosis |
What are some of the complications of ketoacidosis? | hypercolesterolemia, premature atherosclerosis, neuropathy, retinopathy, increased susceptibility to infection leading to skin rashes and/or gangrene. |
If the type of diabetes (I or II) is not specified in the medical record what is the default type? | II |
Juvenile diabetes. It occurs when there is an absolute lack of inulin production. There is a lack of pancreatic beta cells. | Type I diabetes |
Most common type of diabetes. Risk factors maybe obesity and heredity. | Type II diabetes. |
For type II patients who routinely use insulin what code should also be assigned to indicate this? You would not use this for temporary use of insulin. | V58.67, long-term use of insulin |
A new category added to describe diabetes mellitus that is caused by another disease. | 249, secondary diabetes mellitus |
What are some diseases that can cause secondary diabetes mellitus? | cystic fibrosis, cushing's syndrome, a malignant neoplasm, and certain genetic disorders. |
Category 274 includes various conditions caused by gout such as what? | arthopathy, nephropathy, and other manifestations. |
A disorder in which uric acid or urate crystals are deposited in joints and soft tissues resulting in inflammations and degenerative changes. | Gout |
What are synonyms for acute gout? (in this condition the large joint of the big toe is most commonly affected) | Acute gouty arthropathy and gout attach or flare. |
Abnormally low circulating blood volume with significant edema or ascites. May be due to internal bleeding from the intestine or stomach, external bleeding from injury, or loss of blood volume and body fluid. | Hypovolemia |
Volume depletion may refer to what 2 things. | Hypovolemia or dehydration |
What are some symptoms hypovolmic shock? | Rapid or weak pulse, feeling faint, pale skin, cool or moist skin, rapid breathing, anxiety, overal weakness, and low BP. |
An inherited disease of the exocrine glands that affects the gastrointestinal and respiratory systems. It is characterized by chronic obstructive pulmonary disease, pancreatic insufficiency, and abnormally high sweat electrolytes. | Cystic fibrosis |
Occurs as a complication of a bone marrow transplant. | Graft-versus-host disease. |
This type of GVHD causes disorders in the skin, gastrointestinal tract, and liver and also causes increased susceptibility to infection. | Acute GVHD |
How is GVHD coded? | it is coded as an addition diagnosis after the code for complication of a transplanted organ or complication of blood transfution. |
What is the code range for Endocrine, Nutritional, and Metabolic Diseases in ICD-10-CM? | E00-E89 |
What is a difference between ICD-9-CM and ICD-10-CM in the way diabetes with complications are coded. | In ICD-9-CM at least two codes are used: one from cat. 250 for the diabetes followed by the complication code(s). In ICD-10-CM combination codes that include the type of diabetes, the body system effected and the complication affecting that body system. |