ICD-10-CM Chapter 1 Quiz & Flashcards for Coding

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the recommended ICD-10-CM code for patients with inconclusive HIV serology, but no definitive diagnosis or manifestations of the illness?

R75 (correct)

U07.1

B20

U09.9

For patients with a known prior diagnosis of an HIV-related illness, what ICD-10-CM code should be assigned?

R75

U09.9

B20 (correct)

U07.1

According to the guidelines, what is the exception for coding HIV infections in hospital inpatient settings?

Confirmation of HIV infection through diagnostic statement (correct)

No specific coding guidance provided

Positive serology or culture

Use of code R75 for suspected cases

Which ICD-10-CM code is assigned for patients seen for hypothyroidism with possible HIV infection and HIV-related illness is described by the provider?

B20 Signup and view all the answers

In what situation should code U07.1 be utilized according to the guidelines provided?

Confirmed cases of HIV infection Signup and view all the answers

Which ICD-10-CM code would be appropriate for patients with any known prior diagnosis of an HIV-related illness?

B20 Signup and view all the answers

What code should be assigned to identify the long-term use of antiretroviral medications?

Z79.899 Signup and view all the answers

When a patient is seen for HIV pre-exposure prophylaxis, which code should be assigned?

Z29.81 Signup and view all the answers

Which code should be used for infections classified in chapters other than Chapter 1 without an identified organism?

B95 Signup and view all the answers

What code should be applied for asymptomatic human immunodeficiency virus status?

Z21 Signup and view all the answers

For coding of severe sepsis, what is the minimum number of codes required?

2 Signup and view all the answers

In cases of septic shock, what code should be sequenced first?

R65.21 Signup and view all the answers

What diagnosis code should be assigned for a patient admitted because of an HIV-related condition during pregnancy?

O98.7 Signup and view all the answers

In the scenario of a patient with HIV disease admitted for an unrelated condition, what should be the principal diagnosis?

S93.491A Signup and view all the answers

What should be coded as the principal diagnosis when a patient is admitted with hemolytic-uremic syndrome associated with HIV disease?

D59.31 Signup and view all the answers

If a patient is being seen specifically for determining their HIV status, what is the appropriate diagnosis code?

Z11.4 Signup and view all the answers

For a patient managed on antiretroviral medications due to HIV disease, what is the correct diagnosis code to assign?

B20 Signup and view all the answers

During an encounter for HIV testing, what additional code may be used if counseling is provided?

Z71.7 Signup and view all the answers

What should be assigned when the type of infection or causal organism is not further specified in a diagnosis of sepsis?

Sepsis, A41.9 Sepsis, unspecified organism Signup and view all the answers

How should severe sepsis be sequenced if it is present on admission and meets the definition of principal diagnosis?

Assign the underlying systemic infection as the principal diagnosis, followed by the appropriate code from subcategory R65.2 Signup and view all the answers

How should severe sepsis be coded if it develops during an encounter (it was not present on admission)?

Assign the underlying systemic infection and the appropriate code from subcategory R65.2 as secondary diagnoses Signup and view all the answers

What is the correct approach for coding sepsis or severe sepsis with a localized infection?

Assign the appropriate sepsis/severe sepsis codes as the principal diagnosis, followed by the code for the localized infection Signup and view all the answers

How should acute organ dysfunction that is not clearly associated with the sepsis be coded?

Assign the code for the acute organ dysfunction as the principal diagnosis, followed by the appropriate sepsis/severe sepsis codes Signup and view all the answers

What is the correct approach for coding hemolytic-uremic syndrome associated with sepsis?

See guideline I.C.1.d.9 for instructions on coding infection-associated hemolytic-uremic syndrome with severe sepsis Signup and view all the answers

In the scenario of sepsis due to Pseudomonas pneumonia, which code should be assigned if an acute organ dysfunction is present and related to the sepsis?

A41.52, Sepsis due to Pseudomonas Signup and view all the answers

In the case of sepsis and acute respiratory failure due to a COPD exacerbation, which code should be assigned for the acute respiratory failure?

J96.00, Acute respiratory failure, unspecified whether hypoxia or hypercapnia Signup and view all the answers

In the case of sepsis due to a postprocedural infection, which code should be sequenced first?

A code from T81.41 to T81.43, Infection following a procedure Signup and view all the answers

If a postprocedural infection has resulted in postprocedural septic shock, which code should be assigned for the septic shock?

T81.12-, Postprocedural septic shock Signup and view all the answers

In the case of sepsis associated with a noninfectious process, such as trauma, which code should be sequenced first?

The code for the noninfectious condition, if it meets the definition for principal diagnosis Signup and view all the answers

If a patient has severe sepsis and acute organ dysfunction, which additional code(s) should be assigned along with the code for severe sepsis?

Code(s) for the acute organ dysfunction Signup and view all the answers

When should a code from subcategory R65.2 (Severe sepsis) be assigned?

When severe sepsis is present and any associated organ dysfunction(s) are present Signup and view all the answers

Which statement regarding the assignment of codes from category R65 (Symptoms and signs specifically associated with systemic inflammation and infection) is correct?

Only one code from category R65 should be assigned Signup and view all the answers

If a non-infectious condition leads to an infection resulting in severe sepsis, which code(s) should be assigned?

The appropriate code from subcategory R65.2 (Severe sepsis) only Signup and view all the answers

When a patient is diagnosed with an infection due to Methicillin-resistant Staphylococcus aureus (MRSA) and there is a combination code that includes the causal organism, which code(s) should be assigned?

The appropriate combination code for the condition (e.g., A41.02 for Sepsis due to Methicillin resistant Staphylococcus aureus) only Signup and view all the answers

Which code should be assigned for patients documented as having Methicillin-susceptible Staphylococcus aureus (MSSA) colonization?

Z22.321 (Carrier or suspected carrier of Methicillin susceptible Staphylococcus aureus) Signup and view all the answers

When should a code from subcategory R65.1 (Systemic inflammatory response syndrome of non-infectious origin) NOT be assigned?

When the patient has a non-infectious condition that leads to an infection resulting in severe sepsis Signup and view all the answers

According to the guidelines, when should the code Z22.322 (Carrier or suspected carrier of Methicillin resistant Staphylococcus aureus) be assigned?

Only when the patient is documented as having both MRSA colonization and infection during a hospital admission Signup and view all the answers

How should a provider's documentation of "suspected," "possible," or "probable" Zika virus infection be coded?

Assign a code(s) explaining the reason for encounter (such as fever, rash, or joint pain) and Z20.821 (Contact with and (suspected) exposure to Zika virus) Signup and view all the answers

In the context of coding COVID-19 infections, what does "confirmation" require according to the guidelines?

The provider's diagnostic statement that the condition is confirmed Signup and view all the answers

When should the code U07.1 (COVID-19) be assigned according to the guidelines?

Only when the provider documents a confirmed diagnosis of COVID-19 or a positive COVID-19 test result Signup and view all the answers

How should COVID-19 codes be sequenced when COVID-19 meets the definition of principal diagnosis?

Code U07.1 (COVID-19) should be sequenced first, followed by codes for associated manifestations Signup and view all the answers

According to the guidelines, how should COVID-19 infection in a lung transplant patient be coded?

Refer to Section I.C.19.g. for specific coding instructions Signup and view all the answers

How should a patient presenting with cough, fever, and fear of exposure to COVID-19 be coded according to the guidelines?

Assign codes for the signs and symptoms (cough and fever), followed by Z20.822 (Contact with and (suspected) exposure to COVID-19) Signup and view all the answers

When should code A92.5 (Zika virus disease) be assigned according to the guidelines?

Only when the provider documents a confirmed diagnosis of Zika virus disease Signup and view all the answers

Study Notes

HIV and AIDS

Inconclusive HIV serology with no definitive diagnosis or manifestations: R75 (Inconclusive laboratory evidence of HIV)
Known prior diagnosis of HIV-related illness: B20-B24 (HIV disease) codes
Exception for coding HIV infections in hospital inpatient settings: code for the manifestations or conditions rather than the HIV infection itself
Patient seen for hypothyroidism with possible HIV infection and HIV-related illness: assign both hypothyroidism and R75 codes
Code U07.1: for documented or confirmed COVID-19 cases only
Patients with known prior diagnosis of HIV-related illness: B20-B24 codes
Long-term use of antiretroviral medications: Z79.899 (Long-term use of antiretroviral therapy)
HIV pre-exposure prophylaxis: Z30.8 (Encounter for other prophylactic measures)
Infections without identified organism: R07.819 (Other infection, unspecified)
Asymptomatic human immunodeficiency virus status: Z21 (Asymptomatic human immunodeficiency virus [HIV] infection status)

Sepsis

Coding of severe sepsis: minimum 2 codes required (sepsis and underlying condition)
Sequencing for septic shock: code for septic shock first, then underlying condition
Principal diagnosis for HIV-related condition during pregnancy: O98.7- (Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium)
Principal diagnosis for HIV disease admitted for an unrelated condition: the unrelated condition
Principal diagnosis for hemolytic-uremic syndrome associated with HIV disease: the hemolytic-uremic syndrome code
Determining HIV status: Z11.4 (Encounter for screening for HIV)
Managed on antiretroviral medications due to HIV disease: Z79.899 (Long-term use of antiretroviral therapy)
Counseling during HIV testing: Z71.7 (Human immunodeficiency virus [HIV] counseling)

Sepsis Coding

Sepsis without specified organism: R65.19 (Severe sepsis, unspecified)
Sequencing for severe sepsis:-coded as principal diagnosis if present on admission
Sequencing for severe sepsis developed during an encounter: coded as secondary diagnosis
Coding sepsis with localized infection: code for sepsis first, then localized infection
Acute organ dysfunction not clearly associated with sepsis: code separately
Coding hemolytic-uremic syndrome associated with sepsis: code for hemolytic-uremic syndrome first, then sepsis
Sepsis due to Pseudomonas pneumonia with acute organ dysfunction: code for pneumonia, sepsis, and acute organ dysfunction
Sepsis due to COPD exacerbation with acute respiratory failure: code for COPD, sepsis, and acute respiratory failure
Sepsis due to postprocedural infection: code for postprocedural infection, then sepsis
Postprocedural infection resulting in septic shock: code for septic shock, then postprocedural infection
Sepsis associated with non-infectious process: code for non-infectious process, then sepsis

COVID-19 and Other Infections

Confirmation of COVID-19: positive results from a COVID-19 test or physician documentation
Assignment of code U07.1: for confirmed COVID-19 cases only
Sequencing for COVID-19: coded as principal diagnosis if meets definition
COVID-19 infection in a lung transplant patient: code for COVID-19, then lung transplant
Patient presenting with cough, fever, and fear of exposure to COVID-19: code for symptoms (cough and fever) and Z20.828 (Contact with and (suspected) exposure to COVID-19)
Assignment of code A92.5 (Zika virus disease): for confirmed Zika virus cases only

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on the chapter-specific guidelines for coding Certain Infectious and Parasitic Diseases (A00–B99) along with U07.1, U09.9 codes. This quiz includes coding examples related to Human immunodeficiency virus (HIV) infections and other related topics.

ICD-10-CM Chapter 1 Coding Guidelines Quiz

Podcast Beta

Questions and Answers

What is the recommended ICD-10-CM code for patients with inconclusive HIV serology, but no definitive diagnosis or manifestations of the illness?

For patients with a known prior diagnosis of an HIV-related illness, what ICD-10-CM code should be assigned?

According to the guidelines, what is the exception for coding HIV infections in hospital inpatient settings?

Which ICD-10-CM code is assigned for patients seen for hypothyroidism with possible HIV infection and HIV-related illness is described by the provider?

In what situation should code U07.1 be utilized according to the guidelines provided?

Which ICD-10-CM code would be appropriate for patients with any known prior diagnosis of an HIV-related illness?

What code should be assigned to identify the long-term use of antiretroviral medications?

When a patient is seen for HIV pre-exposure prophylaxis, which code should be assigned?

Which code should be used for infections classified in chapters other than Chapter 1 without an identified organism?

What code should be applied for asymptomatic human immunodeficiency virus status?

For coding of severe sepsis, what is the minimum number of codes required?

In cases of septic shock, what code should be sequenced first?

What diagnosis code should be assigned for a patient admitted because of an HIV-related condition during pregnancy?

In the scenario of a patient with HIV disease admitted for an unrelated condition, what should be the principal diagnosis?

What should be coded as the principal diagnosis when a patient is admitted with hemolytic-uremic syndrome associated with HIV disease?

If a patient is being seen specifically for determining their HIV status, what is the appropriate diagnosis code?

For a patient managed on antiretroviral medications due to HIV disease, what is the correct diagnosis code to assign?

During an encounter for HIV testing, what additional code may be used if counseling is provided?

What should be assigned when the type of infection or causal organism is not further specified in a diagnosis of sepsis?

How should severe sepsis be sequenced if it is present on admission and meets the definition of principal diagnosis?

How should severe sepsis be coded if it develops during an encounter (it was not present on admission)?

What is the correct approach for coding sepsis or severe sepsis with a localized infection?

How should acute organ dysfunction that is not clearly associated with the sepsis be coded?

What is the correct approach for coding hemolytic-uremic syndrome associated with sepsis?

In the scenario of sepsis due to Pseudomonas pneumonia, which code should be assigned if an acute organ dysfunction is present and related to the sepsis?

In the case of sepsis and acute respiratory failure due to a COPD exacerbation, which code should be assigned for the acute respiratory failure?

In the case of sepsis due to a postprocedural infection, which code should be sequenced first?

If a postprocedural infection has resulted in postprocedural septic shock, which code should be assigned for the septic shock?

In the case of sepsis associated with a noninfectious process, such as trauma, which code should be sequenced first?

If a patient has severe sepsis and acute organ dysfunction, which additional code(s) should be assigned along with the code for severe sepsis?

When should a code from subcategory R65.2 (Severe sepsis) be assigned?

Which statement regarding the assignment of codes from category R65 (Symptoms and signs specifically associated with systemic inflammation and infection) is correct?

If a non-infectious condition leads to an infection resulting in severe sepsis, which code(s) should be assigned?

When a patient is diagnosed with an infection due to Methicillin-resistant Staphylococcus aureus (MRSA) and there is a combination code that includes the causal organism, which code(s) should be assigned?

Which code should be assigned for patients documented as having Methicillin-susceptible Staphylococcus aureus (MSSA) colonization?

When should a code from subcategory R65.1 (Systemic inflammatory response syndrome of non-infectious origin) NOT be assigned?

According to the guidelines, when should the code Z22.322 (Carrier or suspected carrier of Methicillin resistant Staphylococcus aureus) be assigned?

How should a provider's documentation of "suspected," "possible," or "probable" Zika virus infection be coded?

In the context of coding COVID-19 infections, what does "confirmation" require according to the guidelines?

When should the code U07.1 (COVID-19) be assigned according to the guidelines?

How should COVID-19 codes be sequenced when COVID-19 meets the definition of principal diagnosis?

According to the guidelines, how should COVID-19 infection in a lung transplant patient be coded?

How should a patient presenting with cough, fever, and fear of exposure to COVID-19 be coded according to the guidelines?

When should code A92.5 (Zika virus disease) be assigned according to the guidelines?

Study Notes

HIV and AIDS

Sepsis

Sepsis Coding

COVID-19 and Other Infections

Studying That Suits You

Description

More Quizzes Like This

ICD-10-CM Chapter 2 Quiz: Neoplasms General Guidelines Questions and A...

Chapter 4: Diabetes Mellitus Coding Guidelines

ICD-10-CM Chapter 6 Coding Guidelines Quiz

ICD-10-CM Coding: Aftercare and Heart Conditions