ICD Guidelines Ch. 9 Diseases of the Circulatory System Flashcards Preview

ICD Guidelines Ch. 1 : Infectious/Parasitic Diseases > ICD Guidelines Ch. 9 Diseases of the Circulatory System > Flashcards

Flashcards in ICD Guidelines Ch. 9 Diseases of the Circulatory System Deck (35)
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1
Q

This can ONLY be coded together when the Dr. links the two as due to HTN or implied hypertensive

A

HTN w/ Heart Disease

2
Q

When HTN & Heart disease aren’t linked

A

code them separately

3
Q

HTN w/ CKD is a cause and effect relationship & whenever documented it’s

A

coded the smae NOT LINKED

4
Q

HTN Heart Disease & CKD are coded

A

when documented

5
Q

Code the Heart Failure and CKD as

A

additional codes

Should be 3 codes

6
Q

A casual relationship can be assumed in a pt. w/ both atherosclerosis & angina

A

unless documentation indicates the angina is due to something else

7
Q

AMI happens within

A

4 Weeks or 28 days

8
Q

AMI is considered old after

A

4 weeks or 28 days

9
Q

Subsequent AMI can be coded when it happens within 4 weeks of the

A

1st one. The sequencing depends on documentation

10
Q

Hypertension uses the same code

Essential, Malignant, Benign,

A

Sequencing 1st- I10

11
Q

Hypertension in the setting of Heart Disease Dr. DOES NOT have to Link DX

A

1st- I11

2nd- I50.- or I51.4- I51.9 (specify Heart Failure)

12
Q

Hypertensive Chronic Kidney Disease Dr. DOES NOT have to LINK DX

A

1st- I12

2nd- N18 ( To identify the Stage)

13
Q

Hypertensive Heart & Chronic Kidney Disease Dr. does not have to link DX

A

1st- I13
2nd- I50 (specify the heart faliure)
3rd- N18 ( to identify the stage)

14
Q

Dr. MUST specify the DX in Hypertension and

A

Cerebrovascular disease

15
Q

Hypertension Cerebrovascular disease

A

1st- I60- I69

2nd- HTN code

16
Q

Hypertensive Retinopathy

A

1st- I10 or H35.0

sequence w/ the reason for the encounter (RFE)

17
Q

Secondary HTN is do to an underlying condition. Two codes are rquired. One for the cause, and one for the hypertension

A

1st- I15 or the Underlying condition

sequence w/ the RFE

18
Q

Elevated blood pressure

ex: white coat syndrome

A

1st- RO3.0

19
Q

HTN controlled by therapy

A

Hypertension controlled

1st- I10-I15

20
Q

HTN not responding to therapy

A

Hypertension uncontrolled

1st- I10-I15

21
Q

Document for HTN crisis, & use a code to identify the type of HTN

A

1st- I16, I10- I15 (sequence events)

22
Q

Code pulmonary HTN, Code associated conditions or adverse effects of drugs and toxins.

A

1st- I27 (other pulmonary HTN)
2nd- I27.1, I27.2- (secondary HTN)
3rd- asociated conditions, or adverse effects of drug/ toxins sequence in reason for encounter

23
Q

Ch. 15 During pregnancy (gestational HTN or Preclampsia

A

1st- O13 for gestational HTN and O14 for preclampsia

24
Q

Atherosclerotic Coronary Artery disease ASHD & Angina

A

combo code w/ angina pectoris
1st- I25.11 (Native coronary artery) or
I25.7 (bypass grafts)

25
Q

AMI in ASHD- pt. admitted due to AMI

A

1st-AMI

2nd-I25.11 (CAD) coronary heart disease

26
Q

Acute Myocardial infarction

A

AMI- unspecified

1st-I21.9

27
Q

The segment is flat, isoelectric section of the EKG, typically it’s elevated

A

ST Elavation Myocardial infarction (STEMI) -Type 1

28
Q

STEMI-Type 1

A

1st- I21.0- I21.2 or I21.3- be sure to specify the site of the infection

29
Q

The NON ST segment is when the isoelectric section is depressed or below the lead

A

Non ST Elavation myocardial infarction (NSTEMI)- Type 1

1st-I21.4

30
Q

If DX as non transmural or subendocardial and the site of the infarction is provided code as

A

Subendocardial AMI

1st- I21.4

31
Q

If a type 1 NSTEMI evolves to a STEMI code the

A

STEMI

32
Q

If a type 1 STEMI converts to a NSTEMI due to thrombolytic therapy code the

A

STEMI

33
Q

ONLY the STEMI and the transmural MI without a dx site

A

Type 1 AMI- unspecified

34
Q

Use I22 for subsequent

A

type 1 AMI

35
Q

other types of AMI/ Type 3, 4a, 4b, 4c, & 5

A

1st- I21.A9 (other AMI type)