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Chapter 5: Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) - Pain Disorders with Psychological Factors
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Chapter 5: Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) - Pain Disorders with Psychological Factors

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Questions and Answers

What is the basis for the ICD-10-CM classification of dementia?

  • Symptoms and duration
  • Age of the patient
  • Comorbid conditions
  • Etiology and severity (correct)
  • What does the text state is required to select the appropriate severity level for a dementia diagnosis?

  • Patient's self-report
  • Caregiver's assessment
  • Diagnostic test results
  • Provider's clinical judgment (correct)
  • How should codes be assigned for the severity of dementia?

  • Based on diagnostic test results
  • Based on the provider's clinical judgment (correct)
  • Based on the patient's self-report
  • Based on caregiver documentation
  • What does the text state should be done if the documentation does not provide information about the severity of the dementia?

    <p>Assign the code for unspecified severity</p> Signup and view all the answers

    What should be done if a patient's dementia progresses to a higher severity level during an inpatient stay?

    <p>Assign the code for the highest severity level reported</p> Signup and view all the answers

    What is the main focus of the text?

    <p>Classifying and coding dementia</p> Signup and view all the answers

    Which of the following is NOT mentioned in the text as a factor in the ICD-10-CM classification of dementia?

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

    What is the purpose of the information provided in the text?

    <p>To provide guidance on the classification and coding of dementia</p> Signup and view all the answers

    Which of the following is NOT a category of dementia mentioned in the text?

    <p>F04</p> Signup and view all the answers

    What is the main purpose of the guidelines discussed in the text?

    <p>To provide a standard system for classifying and coding dementia</p> Signup and view all the answers

    What code should be assigned for pain exclusively related to psychological disorders?

    <p>F45.41</p> Signup and view all the answers

    What is the appropriate code for a moderate or severe substance use disorder in early or sustained remission?

    <p>The appropriate code for substance dependence in remission</p> Signup and view all the answers

    When the provider documentation refers to use, abuse, and dependence of the same substance, which code should be assigned?

    <p>The code for dependence</p> Signup and view all the answers

    When should code F45.42 be used?

    <p>With code G89</p> Signup and view all the answers

    Which category should not be assigned with code F45.41 as per the Excludes 1 note under category G89?

    <p>G89</p> Signup and view all the answers

    When should the codes for unspecified psychoactive substance use (F10.9-, F11.9-, etc.) be assigned?

    <p>When the psychoactive substance use is associated with a substance related disorder or medical condition, and the relationship is documented by the provider</p> Signup and view all the answers

    How should medical conditions due to substance use, abuse, and dependence be coded?

    <p>Assign the diagnosis code for the medical condition along with the appropriate psychoactive substance use, abuse or dependence code</p> Signup and view all the answers

    For which type of pain should code F45.42 be used?

    <p>Acute or chronic pain with a psychological component</p> Signup and view all the answers

    When can a code from category Y90, Evidence of alcohol involvement determined by blood alcohol level, be assigned?

    <p>When the patient's provider has documented a condition classifiable to category F10, Alcohol related disorders</p> Signup and view all the answers

    When should codes in categories F10-F19 be selected as 'in remission'?

    <p>Based on the provider’s clinical judgment</p> Signup and view all the answers

    How should Munchausen's syndrome by proxy (MSBP) be coded?

    <p>Both b and c</p> Signup and view all the answers

    'In remission' codes for categories F10-F19 are assigned based on:

    <p>Provider's clinical judgment</p> Signup and view all the answers

    What is the difference between factitious disorder imposed on self and Munchausen's syndrome?

    <p>Factitious disorder imposed on self involves the patient falsely reporting or causing their own symptoms, while Munchausen's syndrome involves a caregiver falsely reporting or causing illness in another person</p> Signup and view all the answers

    'In remission' codes for psychoactive substance use disorders should be selected with which specific endings?

    <p>-.11, -.21, -.91</p> Signup and view all the answers

    Which code should be assigned for the victim of Munchausen's syndrome by proxy (MSBP)?

    <p>Codes from categories T74 or T76, Adult and child abuse, neglect and other maltreatment</p> Signup and view all the answers

    'In remission' codes for psychoactive substance use disorders are assigned based on:

    <p>'In remission' provider documentation only</p> Signup and view all the answers

    Which of the following is true regarding the coding of mild substance use disorders in remission?

    <p>They are classified to the appropriate codes for substance abuse in remission</p> Signup and view all the answers

    Which section provides guidance on selecting 'in remission' codes for psychoactive substance use disorders?

    <p>'In Remission' Section</p> Signup and view all the answers

    'In remission' codes for categories F10-F19 are selected unless instructed otherwise by:

    <p>'In Remission' official coding and reporting guidelines</p> Signup and view all the answers

    How should the code for alcohol-induced pancreatitis due to alcohol dependence be assigned?

    <p>Assign the code for alcoholic pancreatitis (K85.2) and the code for alcohol dependence (F10.2)</p> Signup and view all the answers

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