39 Questions
What is the main purpose of the diabetes mellitus codes?
To identify the type of diabetes mellitus and associated complications
How should the diabetes codes be sequenced?
Based on the reason for the particular encounter
What is the default code assignment if the type of diabetes mellitus is not documented in the medical record?
E11.-, Type 2 diabetes mellitus
What is the reason why type 1 diabetes mellitus is also referred to as juvenile diabetes?
Most type 1 diabetics develop the condition before reaching puberty
If the documentation indicates the patient uses insulin, but does not specify the type of diabetes, what code should be assigned?
E11.-, Type 2 diabetes mellitus
What is the main difference between type 1 and type 2 diabetes mellitus?
The age of onset
How many codes from categories E08 - E13 should be assigned to identify all the associated conditions the patient has?
As many codes as necessary
Which of the following is NOT a factor in determining the type of diabetes mellitus?
The specific body systems affected
What is the main purpose of using combination codes for diabetes mellitus?
To describe all the associated complications
Which of the following is the most accurate statement regarding the use of diabetes mellitus codes?
The codes should be sequenced based on the reason for the particular encounter
Which code should be assigned if the patient is treated with both oral hypoglycemic drugs and an injectable non-insulin antidiabetic drug?
Z79.84 and Z79.85
What code should be assigned for postpancreatectomy diabetes mellitus?
E89.1 and Z90.41
Which code should be used for pain that is exclusively related to psychological disorders?
F45.41
How should codes describing "in remission" for categories F10-F19 (Mental and behavioral disorders due to psychoactive substance use) be selected?
Based on the provider's clinical judgment and documentation
Which code should be assigned if the provider documents both use and abuse of the same psychoactive substance?
The code for abuse
What is the hierarchy for assigning codes when the provider documents use, abuse, and dependence of the same psychoactive substance?
Assign the code for dependence
When should the codes for unspecified psychoactive substance use (F10.9-, F11.9-, etc.) be assigned?
Only when they meet the definition of a reportable diagnosis
Which Excludes 1 note should be considered when assigning code F45.41 for pain related to psychological factors?
The Excludes 1 note under category G89
Which code should be assigned if the provider documents both use and dependence of the same psychoactive substance?
The code for dependence
What is the difference between codes F45.41 and F45.42 for pain disorders?
F45.41 is for pain exclusively related to psychological factors, while F45.42 is for pain with related psychological factors
When should the psychoactive substance use codes be used?
When the psychoactive substance use is associated with a substance related disorder or medical condition, and the relationship is documented by the provider
How should medical conditions due to substance use, abuse, and dependence be coded?
Assign the diagnosis code for the medical condition along with the appropriate psychoactive substance use, abuse or dependence code
What is the appropriate code to use for alcoholic pancreatitis due to alcohol dependence?
Assign the code for alcohol-induced acute pancreatitis and the code for alcohol dependence, uncomplicated
When can a code from category Y90, Evidence of alcohol involvement determined by blood alcohol level, be assigned?
When the blood alcohol level is documented by any clinician and the patient has an alcohol-related disorder
What is the diagnosis for Munchausen's syndrome by proxy?
Factitious disorder imposed on another
How should the severity of dementia be coded?
Assign the code for the severity level documented by the provider
What is the appropriate code to use for the victim of Munchausen's syndrome by proxy?
T76, Adult and child abuse, neglect and other maltreatment, suspected
What is the difference between factitious disorder imposed on self and factitious disorder imposed on another?
Factitious disorder imposed on self is a disorder in which a person falsely reports or causes their own signs or symptoms, while factitious disorder imposed on another is when a caregiver falsely reports or causes illness or injury in another person
Which of the following is not a common feature of dementia according to the text?
Severity is always specified as unspecified, mild, moderate or severe
Which of the following is true about coding medical conditions due to substance use, abuse, and dependence?
Medical conditions due to substance use, abuse, and dependence are classified as substance-induced disorders
Which codes should be assigned if a patient is treated with both oral hypoglycemic drugs and insulin?
Z79.4 and Z79.84
If a patient is treated with insulin and an injectable non-insulin antidiabetic drug, which codes should be assigned?
Z79.4 and Z79.85
If a patient is treated with both oral hypoglycemic drugs and an injectable non-insulin antidiabetic drug, which codes should be assigned?
Z79.84 and Z79.85
When should code Z79.4 (Long term use of insulin) not be assigned?
When insulin is given temporarily to bring a type 2 patient's blood sugar under control during an encounter
What is the principal or first-listed code for an encounter due to an insulin pump malfunction resulting in an underdose of insulin?
A code from subcategory T85.6 (Mechanical complication of other specified internal and external prosthetic devices, implants and grafts)
What additional code(s) should be assigned for an underdose of insulin due to an insulin pump failure?
A code from subcategory T38.3X6 (Underdosing of insulin and oral hypoglycemic drugs)
What is the principal or first-listed code for an encounter due to an insulin pump malfunction resulting in an overdose of insulin?
A code from subcategory T85.6 (Mechanical complication of other specified internal and external prosthetic devices, implants and grafts)
What additional code should be assigned for an overdose of insulin due to an insulin pump failure?
A code from subcategory T38.3X1 (Poisoning by insulin and oral hypoglycemic drugs, accidental)
Which categories identify complications/manifestations associated with secondary diabetes mellitus?
E08 (Diabetes mellitus due to underlying condition), E09 (Drug or chemical induced diabetes mellitus), and E13 (Other specified diabetes mellitus)
Learn about coding guidelines for diabetes mellitus including the types, body systems affected, and complications. Understand the importance of sequencing codes in the right order for encounters. Practice assigning diagnosis codes from categories E08-E13 for accurate reporting.
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