Question

37. What is the best way to code a complication of care? 38. How do you code infectious and parasitic disease? 39. How would you code organism-caused diseases? 40. Explain the difference in coding for HIV and AIDS 41. How is a neoplasm defined? 42. Name the six steps for coding neoplasms. 43. How do you code for diabetes mellitus and the use of insulin, according to you 44. If a patient with gestational diabetes is treated wit both diet and insulin, only used? 45. How is a myocardial infarction coded, according to your text? 46. A distinction is made in the ICD - 10- CM between "elevated" and "high" ble What is the distinction? 47. Coding for complications of pregnancy, childbirth, and the Puerperium can b Some important clinical terms regarding pregnancy are: antepartum, childbirth, p peripartum. Define each term. 48. When is the 7th character for fetus assigned? 49. How are fractures coded? 50. How are burns coded? is toxicity coded? Include poisoning, adverse effects, underdosing and 52. What is the Y92 code used for? 53. What is the activity code?

Answer 1

37.       Complications are an unfortunate outcome for some patients who receive medical treatment.

There has to be a relationship between the procedure performed and the diagnosis. Not all conditions that arise following medical or surgical care are complications. There needs to be a cause and effect relationship between the care provided and the condition.

To assign a complication code, there are a few things to consider. If something unexpected occurs during or after the provision of care, it is appropriate to assign a complication code. There must be a relationship that clarifies a cause and effect, and documentation should indicate that a complication occurred. In assigning codes related to complications of care, the coder should utilize all references.

Each body system provides intraoperative and postprocedural complications. There are complication codes related to transplanted organs and tissues. Complication codes are only assigned for transplanted organs if the function of the transplant is impacted. These codes are required to fully describe transplant complications. They include the complication of transplanted organ and the specific complication. The condition that was present prior to the transplant can be coded as a complication if it impacts the function of the transplanted organ.

To justify coding a complication, it must be clinically evaluated, diagnostically tested, and therapeutically treated. The complication must result in an extended length of stay in the hospital necessitating increased resources related to care. The condition should not be part of routine care. Even if the physician discusses potential outcomes prior to the surgery, it is important for the coder to seek clarification from the doctor before assigning a complication code. The physician must agree and must document that the condition is a complication.

38.       Sequel of infectious and parasitic diseases

It indicates the conditions in categories as the cause may be which are themselves classified. The sequel includes the conditions specified when they include residuals of diseases classifiable to the above categories if there is evidence that the disease itself is no longer present. In these conditions the codes from these categories are not to be used for chronic infections. It is specified that the code for the current infections to be considered as active infectious disease as appropriate.

Code first the condition resulting from the infectious or parasitic disease.

39.       Organism caused diseases.

Infectious diseases are caused by pathogens, which include bacteria, fungi, protozoa, worms, viruses, and even infectious proteins. Pathogens of all classes have mechanisms for entering their host and for evading immediate destruction in the immune system.

Most bacteria are not pathogenic. There are bacteria that contain specific virulence genes that mediate interactions with the host, eliciting particular responses from the cells that promote the replication and spread of the pathogen. Pathogenic fungi, protozoa, and other parasites typically pass through several different forms during the course of infection. They have the ability to switch among these forms which is usually required for the parasites to be able to survive in a host and cause disease.