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ch-18 basic coding
symptoms, signs, and ill defined conditions 780-799
| Question | Answer |
|---|---|
| What is the title and code numbers for chapter 16 of ICD-9-CM? | Symptoms, signs and ill-defined conditions (780-799) |
| Objective evidence of a disease observed by the physiscian | Sign |
| Any subjective evidence of disease reported by the patient to the physician | Symptom |
| What types of symtoms are located in chapter 16? | Symtoms associated with many systems or are of unknown cause.ex) fever, cp, cough, coma, vomiting. |
| What are some instances when it is ok to use a code from chapter 16? | No diagnosis for the signs or symtoms can be made, including if the pt failed to return for further investigation or care or was sent somewhere else for care. |
| When is it ok to code a symptom as an additional code for a known cause or disease? | When certain symtoms represent important problems in medical care or the symptoms are not integral to the disease. |
| Code: Nause and vomiting with gastroenteritis. | 558.9 |
| code:Pt w metastases to brain admitted in comatose state | 198.3; 780.01. - coma is a significant condition that is not routinely associated with brain metastases. |
| A non epileptic fever associated seizure that is focal, prolonged (more than 15min)or recurs within 24hrs in children between 6mo and 5yrs. | Febrile seizures "complicated or atipical" |
| What words/phrases would you look up in the alphabetic index to code signs or nonspecific findings from laboratory, x-ray or other diagnostic test. | Abnormal,findings, elevation, high or positive. |
| Code: elevated prostate specific antigen (PSA) | 790.93 |
| Code: attending physician- fracute, left tibia; radiologis describes fracture on the shaft of the tibia | 823.20 |
| What system is followed for reporting abnormal Pap smears? | The Bethesda System of Cytologic Examination |
| Code: Asymptomatic pt who tested positive for anthraxby nasal swab. | 795.31(non-specific findings category) |
| Code: individual has been exposed to anthrax but has not tested positive. | V01.81 (non-specific findings category) |
| What do you code 1st when a symptom is coded and is followed by a contrasting/comparative diagnoses. For example, abdominal pain due to either pancreatitis or cholecyctitis. | Symptom is sequenced 1st so code only abdomial pain. |
| For inpatients or long (or short) -term what is the guideline for coding a diagnosis when a physician documents the diagnosis as "probable" "suspected" "questionable" or "likely"? | Code as if it existed or was established. |
| For out patients only what is the guideline for coding a diagnosis when a physician documents the diagnosis as "probable" "suspected" "questionable" or "rule out"? Ex)rule our pneumoinia for symptoms of fever, cough, and malaise. | Only code the 3 symtoms |
| What is the title and codes for chapter 18 of ICD-10-CM? | Symptoms, signs, abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) |
| A coded statement used only in ICD-10-CM. It is frequently used by physicians as the explanation of why a patient was receiving a health evaluation. | R29.6, Repeated falls |
Created by:
marrufotheresa
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