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COCL 2000 > Digestive Disorders - Slides > Flashcards

Digestive Disorders - Slides Flashcards

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1
Q

What is Hematemesis?

A

Vomiting of blood, indicates acute upper GI hemorrhage

Code K92.0

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2
Q

What does Melena indicate?

A

Black tarry stools, indicates upper/lower GI hemorrhage

Code K92.1

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3
Q

What is Occult blood?

A

Presence of blood in stool, considered abnormal lab finding

Code R19.50

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4
Q

What is Hematochezia?

A

Passage of bright colored blood from rectum, indicates lower GI bleed

Code K62.5 when source of bleeding is rectum; K92.2 when not stated

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5
Q

Classify Gastroenteritis in ICD-10-CA according to cause.

A
  • A00-A09: Intestinal infectious diseases
  • K52.2: Allergic and dietetic gastroenteritis and colitis
  • K52.1: Toxic gastroenteritis and colitis
  • K52.0: Gastroenteritis and colitis due to radiation
  • K52.9: Noninfective gastroenteritis and colitis, unspecified
  • P78.3: Noninfective neonatal diarrhea
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6
Q

What is the lead term for Gastroenteritis?

A

Enteritis

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7
Q

What is the classification for unspecified diarrhea?

A
  • A09.9: Gastroenteritis and colitis of unspecified origin
  • K59.1: Functional diarrhea - ONLY USED WHEN CHART STATES “FUNCTIONAL”
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8
Q

What is Clostridium Difficile Associated Disease (CDAD)?

A

Toxins of bacterium C. difficile cause inflammation of colon leading to diarrhea and pseudomembraneous colitis (PMC)

Most common nosocomial infection, associated with antibiotic use

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9
Q

What characterizes Irritable Bowel Syndrome (IBS)?

A

Chronic functional disorder characterized by recurrent abdominal pain and altered bowel habits

Classified as K58.^

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10
Q

What is Inflammatory Bowel Disease (IBD)?

A

Chronic life-long and relapsing inflammatory disease of bowel

Ulcerative colitis = K51.^; Crohn’s disease = K50.^

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11
Q

What interventions are involved in managing Inflammatory Bowel Disease (IBD)?

A
  • Pharmacotherapy
  • Nutritional support via CVC or PVC or tube feeding
  • Parenteral nutrition
  • Enteral nutrition
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12
Q

What is Appendicitis classified as?

A

Acute appendicitis, classified as K35.^

4th digit indicates presence of generalized or localized peritonitis

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13
Q

What is a Hernia?

A

Protrusion (outpouching) of abdominal viscus through a defect or weak spot in abdominal wall or other structure

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14
Q

What types of hernias are classified under K40-K46?

A
  • Inguinal
  • Femoral
  • Umbilical
  • Ventral (incisional)
  • Hiatus hernia (diaphragmatic)
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15
Q

What are complications that can occur with Hernias?

A
  • Strangulation
  • Obstruction of bowel
  • Gangrene of bowel
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16
Q

What is the coding for Hernia Repair?

A

Abdominal wall herniorrhaphy = 1.SY.80^^

May involve mesh as reinforcement

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17
Q

What is a Hiatus Hernia?

A

Protrusion of stomach through opening in diaphragm into thoracic cavity

Complications include GERD

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18
Q

What causes Gastroesophageal Reflux Disease (GERD)?

A

An incompetent lower esophageal sphincter results in reflux

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19
Q

What is Barrett’s esophagus classified as?

20
Q

What is Peptic Ulcer Disease (PUD)?

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A

Includes gastric, duodenal, and gastrojejunal ulcers

4th character indicates presence of associated hemorrhage/perforation

21
Q

What is Diverticulosis?

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A

Presence of diverticula in colon without inflammation/infection

22
Q

What is Diverticulitis?

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A

Presence of diverticula in colon with inflammation/infection

23
Q

What is included in Ulcer Interventions?

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A
  • Endoscopy with/without biopsy
  • Vagotomy/Pyloroplasty
  • Partial gastrectomy
24
Q

What is the purpose of an Exploratory Laparotomy/Laparoscopy?

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A

Diagnostic tools for intra-abdominal disorders

25
What does an Endoscopic Procedure classify?
Endoscopic inspections are classified to the further site visualized
26
What is an Internal Fistula?
Abnormal communication between a hollow viscus and another hollow viscus
27
What is the classification for Hemorrhoids?
* Internal: subepithelial cushions of connective tissue * External: arise from inferior hemorrhoidal veins
28
What treatments are available for Hemorrhoids?
* Rubber band ligation * Excision
29
What is the classification for an Ileostomy?
1.NK.77 ~ bypass with exteriorization small intestine
30
What is the classification for a Colostomy?
1.NM.77 ~ bypass with exteriorization large intestine
31
What is the code for closure of a temporary ileostomy?
Z43.2 – attention to ileostomy
32
What is the code for closure of a temporary colostomy?
Z43.3 – attention to colostomy
33
What is the MRDX code for attention to ileostomy?
Z43.2 ## Footnote This code is used for patients admitted for closure of temporary ileostomy.
34
What is the MRDX code for attention to colostomy?
Z43.3 ## Footnote This code is used for patients admitted for closure of temporary colostomy.
35
What is the CCI code for reattachment of the small intestine?
1.NK.82.RR ## Footnote This code is used for surgical procedures involving the reattachment of the small intestine.
36
What is the CCI code for reattachment of the large intestine?
1.NM.82.RS ## Footnote This code is used for surgical procedures involving the reattachment of the large intestine.
37
What is the code assigned for complications of ileostomy/colostomy?
K91.4 ## Footnote This code refers to colostomy and enterostomy malfunction.
38
What does CDAD stand for?
Clostridium Difficile-Associated Disease ## Footnote A condition caused by the bacterium Clostridium difficile.
39
What does GERD stand for?
Gastroesophageal Reflux Disease ## Footnote A digestive disorder affecting the lower esophageal sphincter.
40
What does GI stand for?
Gastrointestinal ## Footnote Referring to the stomach and intestines.
41
What does IBD stand for?
Inflammatory bowel disease ## Footnote A group of inflammatory conditions of the colon and small intestine.
42
What does IBS stand for?
Irritable bowel syndrome ## Footnote A common disorder affecting the large intestine.
43
What does PMC stand for?
Pseudomembranous colitis ## Footnote An inflammation of the colon associated with the overgrowth of Clostridium difficile.
44
What does PUD stand for?
Peptic ulcer disease ## Footnote A condition where sores develop on the lining of the stomach or the first part of the small intestine.
45
What does TPN stand for?
Total parenteral nutrition ## Footnote A method of feeding that bypasses the gastrointestinal tract.
46
What is the title of the 2022 Canadian coding standards reference?
Canadian coding standards for version 2022 ICD-10-CA and CCI ## Footnote This document provides guidelines for coding in Canada.
47
Who authored the ICD-10-CA/CCI Classification primer, 9th ed?
Fletcher, J. ## Footnote A key resource for understanding the ICD-10-CA and CCI classification systems.

COCL 2000 (7 decks)

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