ICD-10-CM Chapter 6 Coding Guidelines Quiz
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ICD-10-CM Chapter 6 Coding Guidelines Quiz

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Questions and Answers

When should a code from category G89 be assigned as principal diagnosis?

  • When a patient undergoes spinal fusion surgery
  • When a neurostimulator is inserted during the same admission/encounter
  • When a patient is admitted for pain control or pain management only (correct)
  • When the encounter is for any other reason except pain control or management

    • In what scenario should a code for the underlying condition be assigned as the principal diagnosis?

  • When a patient presents with severe back pain
  • When an encounter is for pain control or management
  • When a patient is admitted for the insertion of a neurostimulator for pain control (correct)
  • When the encounter is for any other reason except pain control or management

    • Which statement correctly describes the sequencing of category G89 codes with site-specific pain codes?

  • Category G89 code followed by the code for the specific site of pain if the encounter is for pain control or management (correct)
  • Code for the specific site of pain followed by category G89 code if the encounter is for any other reason except pain control or management
  • Code for the specific site of pain followed by a category G89 code if a definitive diagnosis has been established
  • Category G89 code followed by the code for the specific site of pain if the encounter is not for pain control or management

    • When should a code for the underlying condition be assigned as the principal diagnosis in relation to neurostimulator insertion?

    <p>When a neurostimulator is inserted during the same admission/encounter</p> Signup and view all the answers

    What should be coded first if a related definitive diagnosis has not been established and an encounter is not for pain control or management?

    <p>Code identifying the specific site of pain</p> Signup and view all the answers

    In what situation should postoperative pain be coded according to Section IV.Diagnostic Coding and Reporting?

    <p><strong><em>Immediately after surgery</em></strong></p> Signup and view all the answers

    True or False: Chronic pain can be classified using subcategory G89.2.

    <p><strong>True</strong></p> Signup and view all the answers

    What should be reported as an additional diagnosis when pain control or management is the reason for admission/encounter?

    <p>Underlying cause of the pain</p> Signup and view all the answers

    How should postoperative pain associated with specific postoperative complications be coded?

    <p>Appropriate postoperative complication code in Chapter 19</p> Signup and view all the answers

    Which scenario requires coding of postoperative pain?

    <p>Pain from medical devices</p> Signup and view all the answers

    Which code from the ICD-10-CM classification system should be used to identify the affected side when the dominant or nondominant side is not specified in the documentation?

    <p>For ambidextrous patients, the default is to code the dominant side</p> Signup and view all the answers

    When should codes from category G89, Pain, not elsewhere classified, be used?

    <p>Codes from category G89 may be used in conjunction with codes from other categories and chapters to provide more detail about the pain, unless otherwise indicated</p> Signup and view all the answers

    According to the guidelines, when should a code from category G89, Pain, not elsewhere classified, not be assigned?

    <p>If the underlying (definitive) diagnosis is known, unless the reason for the encounter is pain control/management and not management of the underlying condition</p> Signup and view all the answers

    Which of the following is correct regarding the default coding for the affected side when the dominant or nondominant side is not specified?

    <p>If the left side is affected, the default is nondominant</p> Signup and view all the answers

    Which subcategories of G83 should be used to identify the affected limb when the dominant or nondominant side is not specified?

    <p>All of the above</p> Signup and view all the answers

    Which of the following statements is true regarding the default coding for the affected side when the dominant or nondominant side is not specified?

    <p>If the left side is affected, the default is nondominant</p> Signup and view all the answers

    Which subcategories of G83 should be used to identify the affected limb when the dominant or nondominant side is not specified?

    <p>All of the above</p> Signup and view all the answers

    Which of the following statements is correct regarding the use of codes from category G89, Pain, not elsewhere classified?

    <p>Codes from category G89 should not be assigned if the underlying (definitive) diagnosis is known, unless the reason for the encounter is pain control/management and not management of the underlying condition</p> Signup and view all the answers

    Which of the following codes should be used to identify hemiplegia or hemiparesis when the dominant or nondominant side is not specified?

    <p>Codes from category G81, Hemiplegia and hemiparesis</p> Signup and view all the answers

    When should a code from category G89, Pain, not elsewhere classified, be assigned?

    <p>Codes from category G89 may be used in conjunction with codes from other categories and chapters to provide more detail about the pain, unless otherwise indicated</p> Signup and view all the answers

    What is the purpose of the G89.3 code according to the text?

    <p>To code for pain related to cancer or a tumor, regardless of whether the pain is acute or chronic</p> Signup and view all the answers

    When can the G89.3 code be assigned as the principal or first-listed code?

    <p>When the stated reason for the admission/encounter is documented as pain control/pain management</p> Signup and view all the answers

    What should be reported as an additional diagnosis when the G89.3 code is assigned?

    <p>The underlying neoplasm</p> Signup and view all the answers

    When can the G89.3 code be assigned as an additional diagnosis?

    <p>When the reason for the admission/encounter is management of the neoplasm and the pain associated with the neoplasm is also documented</p> Signup and view all the answers

    Which of the following is not necessary when assigning the G89.3 code?

    <p>Assigning an additional code for the site of the pain</p> Signup and view all the answers

    What is the purpose of the instructions in Section I.C.2. mentioned in the text?

    <p>To provide guidance on the sequencing of neoplasms for all other stated reasons for the admission/encounter, except for pain control/pain management</p> Signup and view all the answers

    What is the main purpose of the text?

    <p>To provide guidance on the use of the G89.3 code for neoplasm-related pain</p> Signup and view all the answers

    What is the main difference between the G89.0 code for central pain syndrome and the G89.4 code for chronic pain syndrome according to the text?

    <p>Central pain syndrome and chronic pain syndrome are different than the term 'chronic pain,' and codes should only be used when the provider has specifically documented this condition</p> Signup and view all the answers

    Study Notes

    Categories and Principal Diagnosis

    • Codes from category G89 should be assigned as principal diagnosis for patients with pain as the primary reason for the encounter.
    • If an underlying condition is responsible for chronic pain, that underlying condition should be assigned as the principal diagnosis instead of G89.
    • G89 codes should be sequenced correctly with site-specific pain codes, typically with G89 following the site-specific code.

    Neurostimulator Insertion

    • When coding for neurostimulator insertion, the underlying condition should be assigned as the principal diagnosis, especially if the procedure is intended to alleviate the effects of the underlying condition.

    Undefined Encounters

    • In cases where a definitive diagnosis hasn't been established and the encounter isn't focused on pain management, the symptom or reason for encounter should be coded first.

    Postoperative Pain Coding

    • Postoperative pain should be coded according to Section IV of Diagnostic Coding and Reporting when it is related to surgery and complicates the patient's condition.
    • If pain is due to specific postoperative complications, it should be coded in association with those specific complications.

    Coding for Dominant Side

    • When documentation doesn't specify dominant or nondominant side, the ICD-10-CM classification system defaults to codes for unspecified laterality or affected side.

    Usage of G89 Codes

    • Codes from category G89 should be used when pain cannot be classified elsewhere.
    • G89 codes should not be assigned if specific pain codes can be documented or determined.
    • Default coding for the affected side occurs when neither dominant nor nondominant sides are specified.

    Subcategories and Pain Coding

    • Subcategories from G83 should be used to identify the affected limb in situations where the side isn't specified in the documentation.
    • The G89.3 code, which indicates pain, can serve as either the principal diagnosis or an additional diagnosis depending on the scenario.

    Additional Diagnoses

    • When G89.3 is assigned, pain control or management should be indicated as an additional diagnosis, especially for pain management-focused encounters.

    Coding Requirements for G89.3

    • G89.3 can be assigned as an additional diagnosis when no specific underlying cause of pain is documented.
    • Assigning G89.3 requires the confirmation that pain control or management is the primary reason for the encounter.

    Key Differences in G89 Codes

    • The main difference between G89.0 (central pain syndrome) and G89.4 (chronic pain syndrome) lies in their underlying pathophysiology and implications for treatment and management.
    • Section I.C.2 instructions provide essential guidance for correctly assigning G89 codes in different clinical scenarios.

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    Description

    Test your knowledge on coding guidelines related to diseases of the nervous system in Chapter 6 of ICD-10-CM. Identify codes for hemiplegia, hemiparesis, and monoplegia and understand how to document the affected side according to the official guidelines.

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