Uhdss Flashcards

1
Q

4 coop bodies develop and maintain icd 10 cm

A

AHA
AHIMA
Center for Medicare and medicaid
Cdc

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2
Q

OBv to IP

A

Medical condition that led to admission

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3
Q

Admission from post op obv

A

Condition or complication that develops post op

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4
Q

Ops to Ip

Due to complication

A

Complication from surgery

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5
Q

Ops to Ip

No complication or any other reason

A

Reason for ops

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6
Q

Ops to Ip

Unrelated to surgery

A

Unrelated reason

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7
Q

Rehab Ip or op

A

Reason for rehab

If no longer present - report aftercare

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8
Q

Admit for rehab

A

Condition for which service performed (hemiplegia following cerebral infarct)

If condition is no longer present reports after care
(Hip replacement for osteo)
Injury with subsequent character
(Traumatic injury with subsequent )

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9
Q

Two or more dx equally meet pdx

A

If tx totally or primarily that dx is primary

Did one condition require Ip care

Is there another guideline

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10
Q

Two or more comparable or contrasting

A

Both coded- pdx depends on dx work up or therapy

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11
Q

Original plan cannot be carried out

A

Dx for surgery no matter if they didn’t get to perform

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12
Q

Other dx

A
Clinical eval
Further eval by dx proc or consult
Ther tx
Extend length of stay
Increase nursing care
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13
Q

Previous conditions

A

Must have bearing on this stay

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14
Q

Other diagnosis with no diagnosis supporting

A

Query

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15
Q

Chronic conditions that are not thrust

A
Severity?
Use of alt measures to treat pdx
Dx or therapeutic services 
Close monitoring 
Modifications of nursing care plan
Increase nursing care plan
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16
Q

Conditions integral to disease

A

Do not report

17
Q

Conditions not integral part of disease

A

Code them

18
Q

Significant procedure

A
Any of these :
Surgical
Carries anesthesic risk
Carries procedural risk
Requires special training