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Questions and Answers
Which part of the anatomy is the pump for pulmonary circulation?
How is the patient's diagnosis coded for an 89-year-old woman with hypertensive cardiovascular disease and systolic congestive heart failure?
Which behaviors or conditions are heart disease risk factors? (Select all that apply)
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?
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What is the correct code for CAD of bypass graft with unstable angina?
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Which code block contains the code for mitral valve prolapse?
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What is the coding for hypertensive chronic kidney disease with stage 4 renal disease?
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Which conditions in this list are reported with code I20.0, Unstable angina? (Select all that apply)
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Which condition occurs when the heart can't pump enough blood to the body's other organs?
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Which classification of medication prevents the formation of blood clots?
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In a blood pressure reading, systolic is the term that represents the top number.
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What is the code used to report cardiac disease due to hypertension?
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What is the coding and sequencing for a patient admitted with acute exacerbation of systolic congestive heart failure?
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How is malignant hypertension coded?
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Which of these situations causes blood pressure to decrease?
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How is elevated blood pressure reported?
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What is the coding and sequencing for the diagnoses in a patient with secondary hypertension related to hyperthyroidism?
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What is the coding and sequencing for a patient diagnosed with cerebral infarction due to cerebral artery thrombosis?
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The lack of signs and symptoms for hypertension often allows patients to develop complications from the condition without knowing they even have hypertension.
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Which of these blood pressure readings is considered normal for an adult?
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Which of the following disorders is included in the instructional note for myocardial infarction?
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Which of the following medications is considered an "antiplatelet"?
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What is the coding and sequencing for a patient who expired after an anterior wall STEMI?
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A non-ST elevation myocardial infarction is defined as an MI without any ST elevation or Q-waves on the ECG.
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What is the diagnosis code for a septal STEMI that converts to a non-STEMI due to thrombolytic therapy?
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What is the coding for a postmenopausal woman diagnosed with an NSTEMI after having a STEMI prior?
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Which of these procedures is performed by using an electrode catheter inserted into the heart to evaluate the cardiac electrical system?
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What is the coding of the diagnosis for a myocardial infarction without Q-waves on the ECG?
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Which of these risk factors for a myocardial infarction can a person control?
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Heart attacks most often occur as a result of a spasm of the coronary arteries.
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What is the coding and sequencing for a patient with chest pain under stress?
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What is the coding and sequencing for a patient diagnosed with acute subendocardial myocardial infarction and congestive heart failure?
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Which condition is a cause of angina that is not associated with arteriosclerotic heart disease?
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Which drug class contains nitroglycerin?
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What is the coding and sequencing of diagnoses for a woman admitted with angina following AMI?
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What is the coding and sequencing for a patient admitted due to chest pain and family history?
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Which condition can cause chest pain? (Select all that apply)
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What is the coding and sequencing for crescendo angina with hypertension and hyperlipidemia?
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How is variant angina coded?
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Which is the most common type of angina?
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What is the definitive test for coronary artery disease?
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When a patient has both angina and coronary atherosclerosis, only one code is needed to completely code the condition.
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What is the coding and sequencing for a patient diagnosed with coronary slow flow syndrome?
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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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