Ch 6 Multisystemic or Unspecified Infections

Question 1

What is the sequence of codes when sepsis is involved?

Answer 1

sepsis, organ failure, shock, problem, cause, other problem, SIRS

Question 2

When there are two possible codes for a localized infection, always code from Chapter __

Answer 2

I

Question 3

How are infections with a causative organism classified?

Answer 3

1. combo code
2. dagger/asterisk or dual classification
3. use additional code

Question 4

B95-B97 codes are optional except when coding __, ___, or ___.

Answer 4

MRSA, VRE or ESBL

Question 5

B95-B97 codes are always type __

Answer 5

3

Question 6

T or F. Assign the appropriate code when the physician has confirmed that the organism reported in bacteriology reports is the cause of infection.

Answer 6

T

Question 7

What does one do when the physician doesn’t provide confirmation of causative organisms yet it exists elsewhere in documentation?

Answer 7

Assign the code to identify the infection by site with no code for the organism. Coders mustn’t assign codes on the basis of bacteriology reports alone

Question 8

Specific group of organisms with particular staining characteristics

Answer 8

gram negative bacteria

Question 9

Several gram-negative organisms may be seen but no single organism is identified as the causative agent

Answer 9

gram negative infection

Question 10

Gram ____ infections are usually more severe and require more intensive care than gram ____ infections.

Answer 10

negative more severe than postiive

Question 11

Classification block for sequelae; infections that are no longer present but cause another condition

Answer 11

B90;B94

Question 12

When coding sequelae, code presenting condition ___ then the code for the ___

Answer 12

first, sequela of previous infection

Question 13

Classification block for persons not ill with an infectious disease but carries the organism

Answer 13

Z22.-

Question 14

Carrier patient: code from Chapter __ not assigned

Answer 14

I

Question 15

Carrier codes are optional except when patient is carrying a _____ organism

Answer 15

drug resistant organism

Question 16

Classification block for infections in neonates which are acquired in utero or at birth

Answer 16

P35-P39

Question 17

Infections acquired in utero or at birth are assigned to P35-P39 except for five blocks of infection. List them.

Answer 17

1. A00-A09
2. HIV
3. gonococcal
4. syphillis
5. tetanus

Question 18

Classification block exempt from the P35-P39 block for neonatal coding

Answer 18

A00-A09

Question 19

T or F. Infections acquired after birth are coded to the appropriate category as is the case for any other patient

Answer 19

T

Question 20

Drug resistant organism infections require at least __ codes

Answer 20

two

Question 21

What are the three aspects of drug-resistant organism infections that must be captured?

Answer 21

1. infection site
2. organism
3. drug the organism is resistant to

Question 22

What are the three possible codes assigned for the drug the organism is resistant to?

Answer 22

U82.1, U82.2, U83.0

Question 23

A ____ must be applied when coding drug resistant organism infections, as per all U codes

Answer 23

diagnosis cluster

Question 24

Drug resistant organism site is typed as ___, organism is typed as ___, and specific drug resistance is typed ___.

Answer 24

MRDx, 3, 1/2

Question 25

It is mandatory for patients carrying drug resistant organisms to be coded as ____

Answer 25

Z22.30-

Question 26

Tuberculosis is also known as ____

Answer 26

consumption

Question 27

Tuberculosis may be coded to an axis at a ___ or ___ character level, which indicates ___ and ___ respectively

Answer 27

fourth or fifth | diagnosis method and presence/absence of cavitation

Question 28

When cause of a fever is determined, _____ is assigned for fever

Answer 28

no code

Question 29

When the cause of SIRS is an infection, it is documented as ____ or ____

Answer 29

sepsis, septicemia

Question 30

Bacteria in the blood

Answer 30

bacteremia

Question 31

When sepsis is due to obstetric conditions/procedures and procedures in general, an additional Chapter I code, typed __, must be assigned to identify ___ and ___

Answer 31

3, sepsis, causative organism

Question 32

How are sequelae codes sequenced?

Answer 32

1. presenting condition | 2. code for sequela of the previous infection

Question 33

How are drug resistant infections coded?

Answer 33

1. site 2. organism 3. drug resistance 4. diagnosis cluster 5. carrier patients SODDC

Question 34

SIRS is always typed __

Answer 34

3, except in the case of severe sepsis where organs aren't specified

Question 35

When sepsis is classified to an __ code, an additional code, typed 3, must be assigned to identify sepsis and causative organism

Answer 35

O, sepsis due to obstetrics

Question 36

When sepsis is classified to a __ code, an additional Chapter I code, typed 3, must be assigned to identify sepsis and causative organism

Answer 36

T; sepsis due to procedure

Question 37

Search for ___ when assigning a code for sepsis due to procedures

Answer 37

"infection following ____"

Question 38

Multiple organ failure is also called ____ or ____

Answer 38

multiple organ dysfunction syndrome (MODS), multiple organ failure (MOF)

Question 39

Severe sepsis indicates ___ failure

Answer 39

organ

Question 40

When there is a severe sepsis diagnosis and the organs that failed aren’t specified, R65.1 must be typed __

Answer 40

1/2

Question 41

SOS HP COP SR

Answer 41

``` severe sepsis sepsis M organ failure 1/2 shock 1/2 problem 1/2 cause 3 other problem 3 SIRS 3 ```

Question 42

Bacteremia is coded as ___ when sepsis isn't specified

Answer 42

A49.9

Question 43

COP SRSH

Answer 43

``` non-infectious sepsis cause other problem SIRS shock ```

Question 44

For tuberculosis, axis at the fourth character level is the ___

Answer 44

diagnosis method

Question 45

For tuberculosis, axis at the fifth character level is the __

Answer 45

presence/absence of cavitation

Question 46

T or F. When cause of fever is determined, fever is still coded

Answer 46

F. No code assigned for fever if cause determined