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Questions and Answers

Which part of the anatomy is the pump for pulmonary circulation?

  • Mitral valve
  • Right ventricle (correct)
  • Left ventricle
  • Right atrium
  • How is the patient's diagnosis coded for an 89-year-old woman with hypertensive cardiovascular disease and systolic congestive heart failure?

  • I11.0, I50.9
  • I11.0
  • I10, I50.21
  • I11.0, I50.21 (correct)
  • Which behaviors or conditions are heart disease risk factors? (Select all that apply)

  • High blood cholesterol (correct)
  • High blood pressure (correct)
  • Heavy use of alcohol (correct)
  • Tobacco smoke (correct)
  • Physical inactivity (correct)
  • Diabetes mellitus (correct)
  • What treatment will the physician provide for a patient with totally occluded right coronary artery and a 90% blockage in the left main coronary artery?

    <p>Perform a coronary artery bypass graft</p> Signup and view all the answers

    What is the correct code for CAD of bypass graft with unstable angina?

    <p>I25.700</p> Signup and view all the answers

    Which code block contains the code for mitral valve prolapse?

    <p>I30-I52</p> Signup and view all the answers

    What is the coding for hypertensive chronic kidney disease with stage 4 renal disease?

    <p>I12.9, N18.4</p> Signup and view all the answers

    Which conditions in this list are reported with code I20.0, Unstable angina? (Select all that apply)

    <p>Accelerated angina</p> Signup and view all the answers

    Which condition occurs when the heart can't pump enough blood to the body's other organs?

    <p>Heart failure</p> Signup and view all the answers

    Which classification of medication prevents the formation of blood clots?

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

    In a blood pressure reading, systolic is the term that represents the top number.

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

    What is the code used to report cardiac disease due to hypertension?

    <p>I11.9</p> Signup and view all the answers

    What is the coding and sequencing for a patient admitted with acute exacerbation of systolic congestive heart failure?

    <p>I13.2, N18.6, I50.23</p> Signup and view all the answers

    How is malignant hypertension coded?

    <p>I10</p> Signup and view all the answers

    Which of these situations causes blood pressure to decrease?

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

    How is elevated blood pressure reported?

    <p>R03.0</p> Signup and view all the answers

    What is the coding and sequencing for the diagnoses in a patient with secondary hypertension related to hyperthyroidism?

    <p>I15.2, I67.4, E05.90</p> Signup and view all the answers

    What is the coding and sequencing for a patient diagnosed with cerebral infarction due to cerebral artery thrombosis?

    <p>I63.30, I10</p> Signup and view all the answers

    The lack of signs and symptoms for hypertension often allows patients to develop complications from the condition without knowing they even have hypertension.

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

    Which of these blood pressure readings is considered normal for an adult?

    <p>119/79</p> Signup and view all the answers

    Which of the following disorders is included in the instructional note for myocardial infarction?

    <p>Tobacco abuse</p> Signup and view all the answers

    Which of the following medications is considered an "antiplatelet"?

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

    What is the coding and sequencing for a patient who expired after an anterior wall STEMI?

    <p>I21.09, E66.9, Z87.891, Z68.35</p> Signup and view all the answers

    A non-ST elevation myocardial infarction is defined as an MI without any ST elevation or Q-waves on the ECG.

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

    What is the diagnosis code for a septal STEMI that converts to a non-STEMI due to thrombolytic therapy?

    <p>I21.29</p> Signup and view all the answers

    What is the coding for a postmenopausal woman diagnosed with an NSTEMI after having a STEMI prior?

    <p>I22.2, I21.19</p> Signup and view all the answers

    Which of these procedures is performed by using an electrode catheter inserted into the heart to evaluate the cardiac electrical system?

    <p>Electrophysiological study (EP)</p> Signup and view all the answers

    What is the coding of the diagnosis for a myocardial infarction without Q-waves on the ECG?

    <p>I21.4</p> Signup and view all the answers

    Which of these risk factors for a myocardial infarction can a person control?

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

    Heart attacks most often occur as a result of a spasm of the coronary arteries.

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

    What is the coding and sequencing for a patient with chest pain under stress?

    <p>I21.19, I22.2, I95.89, F17.210</p> Signup and view all the answers

    What is the coding and sequencing for a patient diagnosed with acute subendocardial myocardial infarction and congestive heart failure?

    <p>I21.4, I11.0, I50.9</p> Signup and view all the answers

    Which condition is a cause of angina that is not associated with arteriosclerotic heart disease?

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

    Which drug class contains nitroglycerin?

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

    What is the coding and sequencing of diagnoses for a woman admitted with angina following AMI?

    <p>I23.7, I21.4, Z87.891, I10</p> Signup and view all the answers

    What is the coding and sequencing for a patient admitted due to chest pain and family history?

    <p>R07.9, Z82.41</p> Signup and view all the answers

    Which condition can cause chest pain? (Select all that apply)

    <p>Strain of muscles or tendons</p> Signup and view all the answers

    What is the coding and sequencing for crescendo angina with hypertension and hyperlipidemia?

    <p>I20.0, I10, E78.5, Z82.49</p> Signup and view all the answers

    How is variant angina coded?

    <p>I20.1</p> Signup and view all the answers

    Which is the most common type of angina?

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

    What is the definitive test for coronary artery disease?

    <p>Coronary angiography</p> Signup and view all the answers

    When a patient has both angina and coronary atherosclerosis, only one code is needed to completely code the condition.

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

    What is the coding and sequencing for a patient diagnosed with coronary slow flow syndrome?

    <p>I20.8, I15.2, E11.59, Z87.891</p> Signup and view all the answers

    Study Notes

    Pulmonary Circulation

    • The pump for the pulmonary circulation is the right ventricle, facilitating blood movement between the heart and lungs.

    Hypertensive Heart Disease and Congestive Heart Failure

    • An 89-year-old woman with hypertensive cardiovascular disease was treated for systolic congestive heart failure using diuretics.
    • Coding for her condition: I11.0, I50.21 denotes hypertensive heart disease with heart failure.

    Heart Disease Risk Factors

    • Major risk factors for heart disease include:
      • Tobacco smoke
      • High blood cholesterol
      • High blood pressure
      • Physical inactivity
      • Heavy alcohol use
      • Diabetes mellitus

    Treatment of Coronary Artery Disease (CAD)

    • For a patient with CAD and a totally occluded right coronary artery, the appropriate treatment is to perform a coronary artery bypass graft.

    Coding for CAD and Angina

    • The correct code for CAD of bypass graft with unstable angina is I25.700.
    • Mitral valve prolapse is found in the code block I30-I52.

    Chronic Kidney Disease and Hypertension

    • A diagnosis of hypertensive chronic kidney disease with stage 4 renal disease is coded as I12.9, N18.4.

    Unstable Angina Conditions

    • Conditions reported under the code I20.0 (Unstable angina) include:
      • Accelerated angina
      • Creshendo angina
      • De novo effort angina

    Heart Failure

    • Heart failure occurs when the heart does not pump enough blood to meet the body's needs for oxygen and nutrients.

    Medications and Blood Pressure

    • Anticoagulants are medications that prevent blood clot formation.
    • In blood pressure readings, systolic refers to the top number, indicating pressure during heartbeats.

    Reporting Cardiac Disease Due to Hypertension

    • Cardiac disease due to hypertension is reported with code I11.9.

    Coding for Exacerbations of Heart Disease

    • For a 67-year-old man with end-stage renal disease and exacerbated systolic congestive heart failure, coding is I13.2, N18.6, I50.23.

    Malignant Hypertension

    • Malignant hypertension is coded as I10.

    Blood Pressure Patterns

    • Sleeping can cause a decrease in blood pressure.

    Elevated Blood Pressure

    • Elevated blood pressure is reported with the code R03.0.

    Stroke and Hypertension

    • For a patient with hypertensive encephalopathy due to secondary hypertension from hyperthyroidism, the coding is I15.2, I67.4, E05.90.

    Misconceptions about Hypertension

    • The condition can progress without symptoms, often leading to complications without the patient being aware.

    Normal Blood Pressure Reading

    • A normal blood pressure reading for an adult is 119/79 mmHg.

    Risk Factor Control

    • Diabetes is a controllable risk factor for myocardial infarction.

    Myocardial Infarction

    • A non-ST elevation myocardial infarction (NSTEMI) occurs without ST elevation visible on an ECG.

    Angina Types

    • The most common type of angina is stable angina, which occurs under predictable scenarios.

    Diagnostic Tests

    • Coronary angiography is the definitive test for diagnosing coronary artery disease.

    Combination Codes in Coding

    • When angina and coronary atherosclerosis coexist, only one combination code is needed for coding.

    Chest Pain Diagnosis

    • In cases where the cause of chest pain is undefined, the diagnosis code is R07.9.

    Angina Causes and Classifications

    • Variant angina is coded as I20.1.
    • Other conditions that can cause chest pain include pericarditis, gallstones, muscle strain, panic attacks.

    Coding for Specific Cases

    • For a patient presenting with chest pain and arrhythmia, coding can aggregate conditions such as crescendo angina, hypertension, and hyperlipidemia.

    Importance of Family History

    • Family history of ischemic heart disease is coded as Z82.49, indicating potential hereditary risk factors.

    Comprehensive Patient Case Coding

    • Complex coding scenarios involve multiple diagnoses and require procedures to document conditions accurately, including the use of additional codes for personal health histories.

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