question

E11

answer

Type 2 Diabetes (default)

question

E11.51

answer

Type 2 Diabetes with angiopathy withOUT gangrene

question

E11.52

answer

Type 2 Diabetes with angiopathy WITH gangrene

question

E11.21

answer

Diabetes with neuropathy

question

E11.22

answer

Diabetes with chronic kidney disease (CKD). Physician must state they're related, otherwise code separately. Assign additional code from N18 to indicate stage of CKD

question

N18.1

answer

CKD stage 1

question

N18.2

answer

CKD stage 2

question

N18.3

answer

CKD stage 3

question

N18.4

answer

CKD stage 4

question

N18.5

answer

CKD stage 5

question

N18.6

answer

End Stage Renal Disease (ESRD). Use additional code to identify dialysis status Z99.2

question

Z99.2

answer

Dependence on renal dialysis

question

Z99.3

answer

Dependence on wheelchair

question

What is the correct sequence for a patient admitted for PT only following a recent fall due to ataxic gait?

answer

R26.0, Z91.81

question

A patient with a neurogenic bladder due to MS is being recertified for monthly Foley Catheter change. She is on long term antibiotics because of her history of recurrent urinary tract infections. Correct sequence is....

answer

Z46.6, N31.9, G35, Z79.2, Z87.440

question

E10

answer

Type 1 Diabetes

question

E10.40

answer

Type 1 Diabetes with diabetic neuropathy unspecified

question

E10.65

answer

Type 1 Diabetes with hyperglycemia (uncontrolled diabetes)

question

D64.9

answer

Anemia NOS

question

I10

answer

Hypertension

question

I11

answer

Hypertensive Heart Disease

question

J42

answer

Bronchitis chronic unspecified

question

J43

answer

Emphysema (use additional code to identity tobacco exposure, history, dependence, or use)

question

J44

answer

C.O.P.D. With chronic asthma, bronchitis, bronchitis with emphysema, chronic obstructive asthma, bronchitis (code also type of asthma if applicable)

question

J44.0

answer

C.O.P.D. With Acute Lower Respiratory Infection (code also infection)

question

J44.1

answer

C.O.P.D. With acute exacerbation

question

J44.9

answer

C.O.P.D. Unspecified

question

J45

answer

Asthma includes allergic asthma and allergic bronchitis NOS (use additional code for tobaccos)

question

Z77.2

answer

Exposure to environmental tobacco

question

Z72.0

answer

Tobacco use NOS (excluded F17 nicotine dependence)

question

Sequelae

answer

Late effect of a previous condition

question

I09.81

answer

Heart Failure due to Rheumatic Heart Disease

question

Is there a Z code for therapy in ICD 10?

answer

No

question

Surgical Aftercare Codes

answer

Are generally first listed and explain the reason for the encounter

question

Patient admitted with severe anemia due to right breast carcinoma of the central portion of the female breast. The focus of care is anemia. Correct sequencing and codes are

answer

C50.111, D63.0

question

A41.9

answer

Sepsis, unspecified organism, Septicemia NOS. Physician should be queried if bacteria responsible has not been identified.

question

Z87.891

answer

History of Tobacco Use

question

Z87.440

answer

History of UTI

question

Z57.31

answer

Occupational exposure to environmental tobacco smoke

question

F17.20

answer

Nicotine dependence unspecified

question

F17.21

answer

Nicotine dependence cigarettes

question

F17.22

answer

Nicotine dependence chewing tobacco

question

F17.29

answer

Nicotine dependence other tobacco product

question

E08

answer

Diabetes due to underlying condition

question

E09

answer

Drug or chemical induced diabetes

question

E09.51

answer

Drug or chemical induced diabetes with diabetic peripheral angiopathy without gangrene

question

T38.0X5D

answer

Adverse effect of steroids subsequent encounter

question

Z79.2

answer

Long term use of antibiotics

question

Z87.440

answer

Personal history of urinary tract infections

question

Z79.52

answer

Long term use of systemic steroids

question

Z79.4

answer

Long term use of insulin

question

Z79.01

answer

Long term use of anticoagulant

question

Z45.2

answer

I.V.

question

Q05.9

answer

Spina bifida

question

I69.351

answer

Hemiplegia following CVA affecting right dominant

question

I69.391

answer

Dysphagia following CVA

question

R13.11

answer

Dysphagia oral phase

question

All diagnoses must match on the OASIS, plan of care, and billing claim form (UB04). True or False?

answer

TRUE

question

1011

answer

Inpatient Diagnosis

question

1017

answer

Diagnoses requiring change during past 14 days

question

1021

answer

Primary Diagnosis most related to home health plan of care and represents the most ACUTE condition that is the MAIN focus of home care. In surgical aftercare list the relevant diagnosis only if it is still applicable, otherwise a Z code for surgical aftercare would be appropriate.

question

Z48.815

answer

Aftercare following surgery on the digestive system

question

1023

answer

All PERTINENT diagnoses relevant to the care being rendered for 1021

question

Comorbidity

answer

Disease or condition coexisting with primary disease and impacting the patient's plan of care

question

1025

answer

Optional diagnoses

question

Diabetes, hypertension, PVD, CAD, asthma, emphysema, COPD, HF, CHF, Parkinson's. Alzheimer's, and MS

answer

Comorbidities to always code in 1023 that may impact care

question

I73.9

answer

PVD

question

I50

answer

Heart Failure

question

I50.9

answer

CHF Congestive Heart Failure

question

F02.8

answer

Dementia in other diseases. Code first the underlying condition such as Alzheimer's G30.-

question

F02.80

answer

Dementia in other diseases WITHOUT behavioral disturbances

question

F02.81

answer

Dementia in other diseases WITH behavioral disturbances

question

Z91.83

answer

Wandering in diseases classified elsewhere

question

F03.91

answer

Unspecified Dementia WITH behavioral disturbance

question

G20

answer

Parkinson's

question

G30.0

answer

Alzheimer's early onset (younger than 65)

question

G30.1

answer

Alzheimer's late (after 65)

question

G30.9

answer

Alzheimer's Unspecified

question

G35

answer

Multiple sclerosis (MS) always code first and then associated symptoms

question

R29.6

answer

Repeated falls, tendency to fall Excludes at risk or history of falling (Z91.81) but can be coded with that Z code if applicable

question

Z91.81

answer

At risk for, or history of, falling. May be coded with R29.6 if applicable

question

H54.8

answer

Legal blindness

question

Z47.81

answer

Orthopedic aftercare following surgical amputation. Use additional code Z89 to specify which limb.

question

Z90-

answer

Acquired absence of organs

question

5th character

answer

Laterality

question

When do you code a history of neoplasm?

answer

When there is a current neoplasm

question

Diagnoses that have no impact on home health care, are historical in nature and not relevant to the current episode of care....

answer

Should NOT be coded

question

B95.61

answer

MSSA (Staph susceptible)

question

B95.62

answer

MRSA (Staph resistant)

question

All PERTINENT diagnoses by seriousness

answer

Sequencing

question

Z codes are used when

answer

They are more specific to the care being rendered than a medical diagnosis and a patient has a resolving disease or injury

question

Z74.01

answer

Bedridden

question

Z76.82

answer

Awaiting organ transplant

question

A resolved case mix diagnosis, replaced by a Z code in M1021 or M1023 may be placed in

answer

M1023 only

question

Which of the following is NOT an example of an etiology/manifestation pairing? G30.0, F0280 M36.1, C90.00 E85.9, G99.0 A78, I39

answer

M36.1, C90.00

question

In etiology/manifestation pairing can the manifestation ever be coded before the etiology?

answer

No

question

Can V, W, X and Y codes be listed as primary (1021)?

answer

No

question

A term in parentheses following the main term

answer

Nonessential modifier

question

Which comorbidity should always be coded even if it's not actively being treated?

answer

I10 Hypertension

question

R26-

answer

Abnormality of gait

question

Patient admitted for infected diabetic toe ulcers on left foot and management of Type 2 diabetes. Insulin dose requires frequent readjustment. She also has PVD. Proper coding sequence is....

answer

E11.621, L97.529, I73.9, Z79.4

question

L03-

answer

Cellulitis. Code first wound or ostomy if applicable

question

Your agency is administering IV antibiotics for 3 days to a patient with a laceration of the right middle finger with cellulitis. Sequence code should be....

answer

S61.212D, L03.011, Z45.2

question

Gastric bleed resulting from a cumulative effect of Coumadin being taken prophylactically due to a history of pulmonary embolism.

answer

K92.2, T45.515D, Z86.711, Z79.01

question

Patient has cirrhosis of the liver who is awaiting a liver transplant. Patient is bed bound. Symptoms include jaundice, ascites, anorexia, chronic urticaria, and generalized weakness. Nursing PT and OT services have been ordered, with therapy being primary focus. Correct sequencing is...

answer

K74.60, Z76.82, Z74.01

question

All diagnoses MUST be stated or confirmed by the physician and supported by the documentation in the medical record.

answer

True

question

M80-

answer

Osteoporosis with current pathological fracture. Use when a patient with osteo has a fracture not clearly attributed to trauma

question

When a patient has anemia due to a neoplasm and the focus of care is managing the anemia, the neoplasm should be coded first.

answer

True

question

H Codes

answer

Eyes and Ears

question

Z80-Z87

answer

Personal or family history

question

Z88-

answer

Allergy status to drugs

question

Z89-Z90.89

answer

Acquired absence of limb (post procedural and post traumatic

question

There are no Z codes for injuries or poisonings. Instead code 7th character of D or S.

answer

True

question

Z47.1

answer

Aftercare following joint replacement surgery

question

Z48.01

answer

Attention to surgical dressings

question

E11.9

answer

Type 2 without complications

question

E11.621

answer

Type 2 with foot ulcer

question

E11.622

answer

Type 2 with skin ulcer

question

K70-

answer

Alcoholic liver

question

K71-

answer

Toxic liver (drug or toxin)

question

K72-

answer

Hepatic Liver

question

K73

answer

Chronic hepatitis (NEC)

question

K74.60

answer

Cirrhosis Liver (NOS)

question

Z48.22

answer

Aftercare following kidney transplant

question

Z94.0

answer

Kidney transplant status

question

N39.0

answer

Urinary Tract Infection (UTI) site not specific

question

R39.81

answer

Functional urinary incontinence

question

Z43.5

answer

Encounter for attention to cystosomy

question

Complication kidney transplant (doctor MUST note complications)

answer

T86.-

question

R53.2

answer

Functional quadriplegia due to severe PHYSICAL disability or frailty. Doctor must document.

question

G82.5-

answer

NEUROLOGICAL quadriplegic

question

E89.1

answer

Post pancreatectomy hyperglycemia

question

Z99.81

answer

Oxygen dependent

question

Z98.84

answer

Gastric banding/bypass

question

R26.0

answer

Ataxic gait

question

I11.0, I50.9

answer

Congestive heart failure due to hypertension with pulmonary edema

question

I70.632

answer

Artherosclerosis with gangrene

question

K95.01, L03.311, B95.61

answer

Infection due to gastric band procedure with cellulitis of abdominal wall due to staphylococcus aureus

question

R41.3

answer

Memory loss

question

R23.8

answer

Other skin changes such as blisters

question

L27.0

answer

Dermatitis

question

Codes from table of drugs and chemicals require what?

answer

7th character D or if sequelae (drug out of system) use S.

question

T36.0X5D

answer

Adverse effect of penicillin

question

Z96-

answer

Presence of orthopedic joint

Home Health ICD 10 Codes – Flashcards

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