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Digestive System Cards Flashcards

(57 cards)

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1
Q

Scenario

A

Code

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2
Q

GI Hemorrhage

A
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3
Q

Hematemesis

A

indicates acute upper GI hemorrhage (K92.0)

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4
Q

Melena

A

indicates upper/lower GI hemorrhage (K92.1)

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5
Q

Occult blood

A

considered abnormal lab finding (R19.50)

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6
Q

Hematochezia

A

When source of bleeding is rectum – K62.5
When source of bleeding not stated – K92.2

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7
Q

Gastroenteritis

A
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8
Q

Intestinal infectious diseases

A

A00-A09

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9
Q

Allergic and dietetic gastroenteritis and colitis

A

K52.2

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10
Q

Toxic gastroenteritis and colitis

A

K52.1

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11
Q

Gastroenteritis and colitis due to radiation

A

K52.0

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12
Q

Noninfective gastroenteritis and colitis, unspecified

A

K52.9

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13
Q

Unspecified diarrhea

A

A09.9 ~ gastroenteritis and colitis of unspecified origin

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14
Q

Diarrhea is classified here only when described by physician as functional

A

K59.1 ~ functional diarrhea

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15
Q

Drug induced gastroenteritis/diarrhea

A

K52.1 ~ toxic gastroenteritis and colitis
Additional external cause code to identify drug

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16
Q

Intestinal Infectious Diseases

A
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17
Q

Intestinal Infectious Diseases

A

Gastroenteritis due to E coli = A04.4
Gastroenteritis due to Amebiasis = A06.0
Viral Gastroenteritis = A08.4
Infectious Gastroenteritis = A09.0
Gastroenteritis = A09.9

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18
Q

Clostridium Difficile Associated Disease (CDAD)

A

A04.7

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19
Q

IBS

A

K58.^ ~ irritable bowel syndrome
4th character identifies presence or absence of associated diarrhea

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20
Q

IBD

A
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21
Q

IBD

A

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

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22
Q

Final Diagnosis of IBD

A
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23
Q

Interventions

24
Q

Parenteral nutrition – mandatory to code

Study These Flashcards
A

1.LZ.35.HH-C6 ~ pharmacotherapy (local), percutaneous infusion approach, circulatory system NEC of parenteral nutrition
TPN = total parenteral nutrition

25
Enteral nutrition
26
Insertion nasogastric tube/gastrostomy tube
1.NF.53.^^ ~ implantation device stomach 1.NK.53.^^ ~implantation device small intestine
27
Appendicitis
28
Acute Appendicitis
4th digit presence of generalized or localized peritonitis Code to K35.3 ~ acute appendicitis with localized peritonitis with no documentation of generalized peritonitis
29
Surgery for appendicitis - without actual appendicitis
Code to K35.3 ~ acute appendicitis with localized peritonitis with no documentation of generalized peritonitis
30
Appendectomy
1.NV.89.^^ ~ excision total appendix Status attribute mandatory Incidental appendectomy assign status attribute “B”
31
Hernia
32
Hernias
K40-K46
33
Hernia documented due to surgery
K40-K46 With additional external cause code Y83.^
34
Hernia Repair
Abdominal wall herniorrhaphy = 1.SY.80^^ ~ repair muscle chest/abdomen - location attribute mandatory as it affect CMG assignment - - if non-hernia select '0'
35
Unilateral inguinal hernia via open approach
Assign 2.OT.70.^^~ inspection abdominal cavity   - Location attribute B
36
Hiatus Hernia, diaphragmatic Hernia, repair
1.GX.80.^^ ~ repair diaphragm
37
GERD
38
GERD
K21.^ ~ gastro-esophageal reflux disease If caustic nature lead to esophagitis, stricture, ulceration then Barrett’s esophagus = K22.7)
39
GERD treatment:
1.NA.80.^^ ~repair esophagus using flap closure
40
Adenomas common
41
Diverticulosis/Diverticulitis
Classify to – K57.~ diverticular disease of intestine 4th character site within intestine and presence of perforation/abscess
42
Ulcers
43
Ulcers
Peptic Ulcer Disease (PUD) - Gastric, duodenal, gastrojejunal - 4th character – presence of associated hemorrhage/perforation - K27.^ ~ peptic ulcer
44
Bleeding ulcers
Acute blood loss anemia - D62 Chronic blood loss anemia – D50.0
45
Interventions
46
Ulcer Interventions
Vagotomy & Pyloroplasty 1.NE.80.^^ ~ repair pylorus 1.BK.59.^^ ~ destruction vagus nerve (vagotomy alone) Partial gastrectomy (antrectomy) 1.NF.87^^ ~ excision partial stomach Billroth I – gastroduodenostomy Billroth II - gastrojejunostomy Omental patch 1.NK.80.LA-XX-E ~ repair small intestine using local transposition flap
47
Intestinal Obstructions
- Obstruction implied in most codes - - Bilateral inguinal hernia with obstruction = K40.0 - When not implied can assign additional code for obstruction when warranted
48
Adhesions
Adhesions causing bowel obstruction K56.5 ~ intestinal adhesions with obstruction
49
Adhesions Treatment
Lysis adhesions 1.NP.72.^^ ~ release small and large intestine 1.OT.72.^^~ release abdominal cavity
50
Fistula
51
Closure of fistula:
External fistula classified to closure of internal anatomy site (eg. 1.NT.86.^ ~ closure fistula anus) Internal fistula classified to anatomy site of usual/assumed originating organ CCI advanced query – closure fistula + compound term
52
Hemorrhoids Treatment
Treatment : rubber band ligation (encirclage) or excision Outpatient or Day surgery 1.NQ.87.^^ ~ excision partial rectum (internal) 1.NT.87.^^ ~excision partial anus (external)
53
Endoscopic Procedures
Esophagoscopy ~ 2.NA.70.BA Gastroscopy ~ 2.NF.70.BA Duodenoscopy ~ 2.NK.70.BA Colonoscopy/Sigmoidoscopy ~ 2.NM.70.BA
54
Exploratory Laparotomy/Laparoscopy
If only intervention code to: 2.OT.70.^^~ inspection abdominal cavity
55
Excision and Destruction
56
Excision with Anastomosis and Bypass Interventions
Esophagojejunostomy – removal of stomach in total with re-anastomosis of esophagus to jejunum (1.NF.89.^^ ~ excision total stomach) Esophagogastrostomy – partial removal stomach with re-anastomosis of esophagus to remaining stomach (1.NF.87,^^ ~ excision partial stomach) Enteroenterostomy – removal of portion of small intestine with re-anastomosis of remaining segments of intestine (1.NK.87.^^ ~ excision partial small intestine using location attribute to indicate portion removed) Ileoproctostomy – total removal large intestine with reanastomosis of ileum to rectum (1.NM.89.^^ ~ excision total large intestine)
57
Ileostomy/ Colostomy
Classified to excision of small/large intestine with qualifier to identify creation of ileostomy/colostomy 1.NK.87.TF ~ excision partial small intestine, stoma formation 1.NK.87.TG ~ excision partial small intestine, stoma formation with mucous fistula Called a double-barrelled colostomy Temporary Exteriorization of ileum or colon = ileostomy/colostomy Ileostomy = 1.NK.77 ~bypass with exteriorization small intestine - Colostomy = 1.NM.77 ~ bypass with exteriorization large intestine Patients may be admitted for closure of temporary ileostomy/colostomy Assign as MRDX Z43.2 – attention to ileostomy Z43.3 – attention to colostomy CCI closure 1.NK.82.RR – reattachment small intestine 1.NM.82.RS – reattachment large intestine Assign K91.4- colostomy and enterostomy malfunction for complications of ileostomy/colostomy

Coding (14 decks)

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