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Chap. 7 Basic Coding
Diseases of the Blood and Blood-Forming Organs
| Question | Answer |
|---|---|
| What is the title and category codes for chapter 4 of ICD-9-CM? | Diseases of the Blood and Blood-Forming Organs (280-289) |
| What types of disease are included in chapter 4 of ICD-9-CM? | Anemias, coagulation defects, purpura, and other hemorrhagic conditions and disease of the white blood cells. |
| A disease in which there is a decrease in the number of erythrocytes, the quantity of hemoglobin, or the volume of packed red cells in the blood or a decrease hematocrit. | Anemia |
| Type of anemia that refers to an abnormal reduction of RBC's caused by an increased rate of RBC destruction and the inability of the bone marrow to compensate. They maybe hereditary or acquired. | Hemolytic Anemias |
| This type of anemia includes bone marrow diorders. It is usually accompanied by agranulocytosis and thrombocytopenia (or pancytopenia) | Aplastic Anemia, 284 |
| What are some toxins that can cause aplastic anemia? | radiation, chemotherapy, chloramphenicol, sulfomides, and phenytoin. |
| How would bleeding that occurs in a patient taking Coumadin or heparin be coded? | A code for the condition and associated hemorrhage is assigned, with an additional code of E934.2 to indicate the drug responsible for the bleeding. |
| What are the two types of thrombocytopenia (low platelets)? | Primary (aka idiopathic or immune thrombocytopenic purpura ITP) and secondary. |
| A new category in ICD-10-CM it includes codes for intraoperative hemorrahage and hematoma of the spleen, accidental puncuture and laceration of the spleen, and postprocedural hemorrage and hematoma of the spleen. | D78, Intraoperative and postproccedural complications of the spleen |
| What is the code range for ICD-10-CM, Diseases of Blood and Blood-forming Organs and Certain Disorder Involving the Immune System? | D50-D89 |
| Sudden and severe thrombocytopenia, usually occurring 5-10 days following transfusions of whole blood, plasma, platelets, or red blood cells. | Posttransfusion purpura, 287.41 |
| Category 288 in diseases of the blood and blood-forming organs; consist of granular and nongranular leukocytes. | White blood cells |
| A WBC acute condition characterized by the absence of neutrophils and an extremely low granulocyte count. Most common cause is drug toxicity (chemo). | Agranulocytosis (neutropenia) 288.0 |
| This WBC disease is frequently present in patients with bacterial infections. Pediatricians frequently use this diagnosis in children when the source of an infection is unknown. | Bandemia 288.66 |
| Found in category 289, conditions not classified elsewhere; A chronic progressive disease in which fibrous tissue replaces normal bone marrow. What is the code for the primary form of the disease? | 238.76, Myelofibrosis with myeloid metaplasia. (code 289.83 is used to code the unspecified form or secondary form of myelofibrosis) |
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