Chapter 19: Injury Coding with 7th Characters

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What 7th character is used for subsequent encounters when a patient is receiving routine care after completing active treatment for a condition?

C

D (correct)

B

A

Which character is used to identify complications or conditions that arise as a direct result of a condition, such as scar formation after a burn?

C

A

S (correct)

B

What should be sequenced first when coding an injury and its sequela?

Both codes together

Injury code

Injury code with 'S' character

Sequela code (correct)

Which chapter's injury codes should not be assigned for injuries occurring during medical interventions?

Chapter 19 Signup and view all the answers

When coding fractures, where should a fracture without indication of open or closed status be assigned?

Closed Signup and view all the answers

What are the three 7th character values that most categories in Chapter 19 have, except for fractures?

A, D, S Signup and view all the answers

How many 7th character values do categories for traumatic fractures have?

Three Signup and view all the answers

Which 7th character should be used for traumatic fractures during each encounter where the patient is receiving active treatment for the fracture?

'A' Signup and view all the answers

When assigning the 7th character in Chapter 19, what is it based on?

Whether the patient is undergoing active treatment Signup and view all the answers

In the context of complication codes, what does 'active treatment' refer to?

Treatment for the current condition described by the code Signup and view all the answers

For traumatic fractures, how many additional 7th character values do the categories have?

Three Signup and view all the answers

What should be considered when assigning the 7th character for a patient seen by a new or different provider during treatment?

Whether the patient is undergoing active treatment Signup and view all the answers

How should physeal fractures be coded according to the guidelines?

Assign only the code identifying the type of physeal fracture. Signup and view all the answers

Which classification is used for burns due to chemicals according to the ICD-10-CM guidelines?

Corrosions Signup and view all the answers

According to the guidelines, how should multiple fractures be sequenced?

In accordance with the severity of the fracture Signup and view all the answers

When coding for an open fracture where the Gustilo classification is not specified, which 7th character should be assigned?

Type I or II Signup and view all the answers

Which type of burns are classified by depth as first degree, second degree, and third degree?

Thermal burns Signup and view all the answers

For non-healing burns, how should they be coded according to the ICD-10-CM guidelines?

As acute burns Signup and view all the answers

Which of the following is the most appropriate way to code necrosis of burned skin?

Code it as a non-healed burn Signup and view all the answers

When coding burns, how should separate burn sites be handled?

Assign separate codes for each burn site Signup and view all the answers

What is the recommended approach for using categories T31 and T32 when coding burns?

All of the above Signup and view all the answers

How should external cause codes be used when coding burns and corrosions?

External cause codes should be used to identify the source and intent of the burn, as well as the place where it occurred Signup and view all the answers

When coding for adverse effects, poisoning, underdosing, and toxic effects, what is the recommended approach?

Both a and b Signup and view all the answers

What should be done when two or more drugs, medicinal or biological substances are taken?

Both a and b Signup and view all the answers

Which code should be assigned when a medication is taken in combination with a correctly prescribed and properly administered drug, resulting in drug toxicity?

Code for poisoning with accidental intent Signup and view all the answers

What should be coded if an overdose of a drug was intentionally taken and resulted in drug toxicity?

Poisoning code Signup and view all the answers

When coding for an adverse effect of a properly prescribed drug, what should the 5th or 6th character of the drug code be?

5 Signup and view all the answers

In the context of ICD-10-CM classification, what does underdosing refer to?

Taking less medication than prescribed Signup and view all the answers

What should be coded if there is an interaction between a drug(s) and alcohol that results in a harmful reaction?

Poisoning code with assault intent Signup and view all the answers

If there is documentation that a patient is taking less of a medication than prescribed, which code should be assigned?

Code from categories T36-T50 with character '5' Signup and view all the answers

What should be assigned first when coding a toxic effect?

Intent of the toxic effect Signup and view all the answers

When coding confirmed abuse or neglect, which external cause code should be added to identify the cause of any physical injuries?

Y07 Signup and view all the answers

In cases where abuse or neglect is documented as suspected, what additional code should not be reported?

Z04.71-Z04.82 codes Signup and view all the answers

When a suspected case of alleged rape or sexual abuse is ruled out during an encounter, which code should be used instead of a T76 code?

Z04.41-Z04.42 Signup and view all the answers

Which category is used for transplant complications other than kidney?

Categories T86-T87 Signup and view all the answers

When coding pain due to medical devices, which section should the appropriate code(s) be found in?

Chapter 19 Signup and view all the answers

What code should be assigned for documented complications of a kidney transplant, such as transplant failure or rejection?

T86.1 Signup and view all the answers

When should code T86.1- NOT be assigned for patients post kidney transplant with chronic kidney disease (CKD)?

If the patient has CKD but no transplant complications Signup and view all the answers

Where should complication codes from the body system chapters be sequenced for intraoperative and postprocedural complications?

First, followed by a code(s) for the specific complication Signup and view all the answers

What is the recommended course of action if the documentation is unclear about whether a patient has a complication of a kidney transplant?

Query the provider Signup and view all the answers

For patients with chronic kidney disease following a kidney transplant but without complications like failure or rejection, where should the codes be assigned?

Section I.C.1.d.4. Signup and view all the answers

What code should be assigned for conditions affecting the function of a transplanted kidney, other than chronic kidney disease?