Chapter 1: Infectious and Parasitic Diseases Quiz
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Questions and Answers

Other diagnoses would be B20 followed by additional diagnosis codes for all reported HIV-related ______

conditions

Whether the patient is newly diagnosed or has had previous admissions/encounters for HIV ______ is irrelevant to the sequencing decision

conditions

Asymptomatic human immunodeficiency virus Z21, Asymptomatic human immunodeficiency virus [HIV] infection status, is to be applied when the patient without any documentation of symptoms is listed as being “HIV ______”

positive

Patients with inconclusive HIV serology, but no definitive diagnosis or manifestations of the illness, may be assigned code R75, Inconclusive laboratory evidence of human immunodeficiency virus [HIV]

<p>infection</p> Signup and view all the answers

During pregnancy, childbirth or the puerperium, a patient admitted (or presenting for a health care encounter) because of an HIV-related illness should receive a principal diagnosis code of O98.7-, Human immunodeficiency [HIV] disease complicating ICD-10-CM Official Guidelines for Coding and Reporting FY 2024 Page 21 of 120 pregnancy, childbirth and the puerperium, followed by B20 and the code(s) for the HIV-related ______(es)

<p>illness</p> Signup and view all the answers

Code only confirmed cases of HIV ______

<p>infection/illness</p> Signup and view all the answers

If a patient is admitted for an HIV-related condition, the principal diagnosis should be B20, Human immunodeficiency virus [HIV] ______

<p>disease</p> Signup and view all the answers

An exception to this guideline is if the reason for admission is hemolytic-uremic syndrome associated with HIV ______

<p>disease</p> Signup and view all the answers

Assign code D59.31, Infection-associated hemolytic-uremic syndrome, followed by code B20, Human immunodeficiency virus [HIV] ______

<p>disease</p> Signup and view all the answers

If a patient with HIV disease is admitted for an unrelated condition, the code for the unrelated condition should be the ______ diagnosis

<p>principal</p> Signup and view all the answers

Match the following ICD-10 codes with their descriptions:

<p>A00-B99 = Certain Infectious and Parasitic Diseases U07.1 = COVID-19, virus identified U09.9 = Post-COVID-19 condition, unspecified D59.31 = Infection-associated hemolytic-uremic syndrome</p> Signup and view all the answers

Match the following guidelines with the corresponding scenario:

<p>Code only confirmed cases of HIV infection/illness. = Exception to the hospital inpatient guideline Section II, H. Patient admitted for HIV-related condition. = Principal diagnosis should be B20, Human immunodeficiency virus [HIV] disease. Patient with HIV disease admitted for unrelated condition. = The code for the unrelated condition should be the principal diagnosis. During pregnancy, childbirth or the puerperium, a patient admitted because of an HIV-related illness. = Principal diagnosis code of O98.7-, Human immunodeficiency [HIV] disease complicating pregnancy. Patients with inconclusive HIV serology, but no definitive diagnosis or manifestations of the illness. = May be assigned code R75, Inconclusive laboratory evidence of human immunodeficiency virus [HIV].</p> Signup and view all the answers

Match the following statements with their corresponding exception to coding guidelines:

<p>Confirmation of HIV infection/illness does not require positive serology or culture for HIV. = Provider's diagnostic statement that the patient is HIV positive or has an HIV-related illness is sufficient. Exception to coding guideline if reason for admission is hemolytic-uremic syndrome associated with HIV disease. = Assign code D59.31, Infection-associated hemolytic-uremic syndrome, followed by code B20, Human immunodeficiency virus [HIV] disease. Whether the patient is newly diagnosed or has had previous admissions/encounters for HIV is irrelevant to the sequencing decision. = An exception to this guideline. Other diagnoses would be B20 followed by additional diagnosis codes for all reported HIV-related conditions. = Exception to coding guideline for patient admitted for an HIV-related condition.</p> Signup and view all the answers

Match the following HIV-related conditions with their corresponding ICD-10-CM codes:

<p>Asymptomatic human immunodeficiency virus (HIV) infection status = Z21 Inconclusive laboratory evidence of HIV = R75 Confirmed HIV diagnosis = B20 HIV disease complicating pregnancy, childbirth, and the puerperium = O98.7</p> Signup and view all the answers

Match the following guidelines with their corresponding scenarios:

<p>Applying code Z11.4 for HIV screening = Encounters for testing for HIV Using code B20 as principal diagnosis = Admission for an HIV-related illness Applying code R75 for inconclusive HIV serology = Patients with inconclusive HIV serology Using code O98.7 as principal diagnosis during pregnancy = HIV infection in Pregnancy, Childbirth and the Puerperium</p> Signup and view all the answers

Match the following terms with their correct application scenarios:

<p>Newly diagnosed patient or previous admissions for HIV conditions = Irrelevant to the sequencing decision Documentation of symptoms listed as 'HIV positive' = Asymptomatic human immunodeficiency virus (HIV) infection status Known prior diagnosis of an HIV-related illness = Previously diagnosed HIV-related illness Admission for unrelated condition in a patient with HIV disease = Unrelated condition as principal diagnosis</p> Signup and view all the answers

Match the following terms with their correct application scenarios:

<p>Use of code D59.31 followed by B20 = Infection-associated hemolytic-uremic syndrome associated with HIV Principal diagnosis code O98.7 followed by B20 and related codes = HIV disease complicating pregnancy, childbirth, and the puerperium Use of code Z21 during pregnancy, childbirth, or the puerperium = Asymptomatic HIV infection status during pregnancy, childbirth, or the puerperium Use of B20 on every subsequent admission/encounter after developing an HIV-related illness = Previously diagnosed HIV-related illness</p> Signup and view all the answers

Match the following scenarios with their corresponding exceptions or additional instructions:

<p>Exception to using B20 as principal diagnosis for hemolytic-uremic syndrome associated with HIV = Assign code D59.31 followed by code B20 Exception to using Z21 during pregnancy, childbirth, or the puerperium when admitted for an unrelated condition = Use codes O98.7- and Z21 during pregnancy, childbirth, or the puerperium Exception to using R75 for inconclusive HIV serology in certain cases = No definitive diagnosis or manifestations of the illness Exception to using Z11.4 for HIV screening in case of signs or symptoms being present = Code the signs and symptoms</p> Signup and view all the answers

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