Chapter I Certain Infectious and Parasitic Diseases Flashcards
Primary diagnosis is Biliary Sepsis, consultant clearly stated, that the patient only has cholangitis, without generalized sepsis. Must we assign the code for Sepsis A41.9?
No, we must assign the code for cholangitis only DChS.I.1
If a code from categories B20-B24 HIV Disease fully classifies both HIV disease and ONE condition resulting from it, would there be instances when we are still required to assign an additional code with the range B20-B24?
Only if HIV results in a malignant neoplasm, a code from Chapter II has to be assigned in addition, even if fully classified at category B21
DCS.I.3
If HIV results in Candidial Stomatitis, is the code B20.4 HIV disease resulting in candidiasis the only code required? Does it fully classify the HIV disease and the condition resulting from it?
No, code from category B37 B37.0 Candidal stomatitis has to be used in addition to fully classify the condition resulting from HIV disease
DCS.I.3
If both sepsis and localized infection were caused by the same organism, which is resistant to antibiotics, where should the code from the range U82-U84 be coded?
Both following the Sepsis code and following the code from the range B95-B98 (after the localized infection)
DChS.I.1
If both sepsis and localized infection were caused by the same organism and sepsis code fully captures the infectious organism, e.g. A40.0 Sepsis due to Streptococcus, group A, how would that impact the assignment of the range B95-B98 following the localized infection code?
The appropriate code from the range B95-B98 must still be assigned for the relevant infectious organism
DChS.I.1
When is the code A04.8 Other specified bacterial intestinal
infections used to classify H-pylori intestinal infection?
Only when H-pylori is NOT the cause of a disease classifiable to another chapter
DCS.I.1
How must R57.2 Septic shock be sequenced in relation to the Sepsis code?
In ANY secondary position DChS.I.1
If Sepsis is stated, we index infection through lead term Sepsis, but the code we arrive at does not specifically classify ‘Sepsis’, do we still need to add a code that classifies ‘Sepsis’? (e.g. herpesviral sepsis B00.7 Disseminated Herpesviral Disease)
Yes DChS.I.1
When HIV disease results in multiple conditions classifiable at the same category, the coding rules for recording those multiple conditions are an exception to which General Diagnostic Coding Standard?
DGCS.10: Multiple condition codes
If Neutropenic sepsis is stated to be due to a drug, code from which chapter must we assign in addition to code D70.X Agranulocytosis?
Chapter XX - to identify adverse effect DChS.I.1
In which position are the codes from the range Bacterial, viral and other infectious agents (B95-B98) used in relation to the code classifying the site of the infection
In a secondary position
DCS.I.4
Can code R57.2 Septic shock be sequenced after the Organ Failure codes?
(e.g. A41.9, N39.0, N17.9, R57.2)
Yes, it can be sequenced in ANY secondary position following sepsis
DChS.I.1
Which type of chapter is Chapter I?
Special, it classifies conditions that do not focus on any one body
system ( first chapters I-V are special)
Can we use code R65.1 Systemic inflammatory response syndrome of infectious origin with
organ failure for the statement of Severe Sepsis, if organ failure is not mentioned?
Yes, we MUST use R65.1 for the statement ‘Severe Sepsis’
DChS.I.1
If HIV disease results in multiple conditions classifiable to the same category from the range B20-B22, how must they be coded?
a) using the subdivision .7 ‘resulting in multiple’, followed by codes for specific conditions
b) using individual codes from B20-B22
A using the subdivision .7 ‘resulting in multiple’, followed by codes for specific conditions
DCS.I.3
