APPENDICITIS DX AND CODING Flashcards
(16 cards)
What is the appendix?
A small finger-like projection found at the cecum, the beginning of the large intestine, in the lower right quadrant of the abdomen.
What is appendicitis?
An inflammation of the appendix caused by mucus, bacteria, foreign body, stool, or parasites.
What are common symptoms of appendicitis?
- Nausea
- Vomiting
- Loss of appetite
- Abdominal pain
- Pain when the abdomen is palpated
What is the urgency of appendicitis treatment?
Appendicitis is an urgent condition and requires removal of the appendix.
What are the two main procedures for appendicitis?
- Incision and drainage of an appendiceal abscess
- Appendectomy (removal of the appendix)
What is the default ICD-10 code for appendicitis?
K37
What sub-entries exist under acute appendicitis?
- With peritonitis
- Without peritonitis
- Acute and recurrent chronic
What are some complications of acute appendicitis?
- Abscess
- Appendiculoth
- Peritonitis
- Perforation or rupture
What code is used for appendicular abscess incision and drainage?
4-4-9-0-0
What differentiates open procedures for appendectomy?
- Inflamed appendix
- Ruptured appendix with abscess
- Generalized peritonitis
- Incidental appendectomy during another procedure
What does the code K35.80 represent?
Unspecified acute appendicitis, which includes acute appendicitis without peritonitis or rupture.
True or False: The appendix has a known function in humans.
False
Fill in the blank: The post-operative diagnosis for appendicitis can be non-_______ appendicitis.
perforated
What is important to do when coding for appendicitis?
Carefully read the operative note and verify the specific code in the tabular index.
What is the significance of unlisted laparoscopic procedures?
They do not have RVUs assigned to them.
What should you verify in the tabular index for coding appendicitis?
Ensure it is coded to the highest level of specificity.
