Respiratory System Diseases: COPD and Asthma Quiz

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Which of the following statements is true about an acute exacerbation of chronic obstructive bronchitis and asthma?

It is a new condition unrelated to the chronic condition.

It is a worsening or decompensation of a chronic condition. (correct)

It is equivalent to an infection superimposed on a chronic condition.

It is a temporary improvement in a chronic condition.

Which category codes distinguish between uncomplicated cases and those in acute exacerbation?

J45 and J46

J44 and J45 (correct)

J46 and J47

J43 and J44

What is the primary reason for assigning a code from subcategory J96.0 or J96.2 as a principal diagnosis?

It is the condition that required the longest hospital stay.

It is the condition established after study to be chiefly responsible for occasioning the admission to the hospital. (correct)

It is the condition that is the most severe.

It is the condition that is the most common among patients.

Which of the following statements about acute respiratory failure is true according to the text?

It can be assigned as a principal diagnosis if it meets certain criteria. Signup and view all the answers

What is the difference between subcategories J96.0 and J96.2?

J96.0 is for acute respiratory failure, and J96.2 is for acute and chronic respiratory failure. Signup and view all the answers

Which of the following is NOT a factor in determining whether a code from subcategory J96.0 or J96.2 can be assigned as a principal diagnosis?

The condition being the most severe condition present. Signup and view all the answers

What is the difference between an acute exacerbation and an infection superimposed on a chronic condition?

An acute exacerbation is a worsening of a chronic condition, while an infection is a separate condition. Signup and view all the answers

Which of the following is NOT a requirement for assigning a code from subcategory J96.0 or J96.2 as a principal diagnosis?

The condition being the most severe condition present. Signup and view all the answers

Which of the following statements is true about the relationship between an acute exacerbation and an infection?

An acute exacerbation may be triggered by an infection. Signup and view all the answers

Which of the following statements is NOT true about acute respiratory failure according to the text?

It is always the most severe condition present. Signup and view all the answers

What takes precedence over the general coding guidelines?

Chapter-specific coding guidelines for conditions like obstetrics and poisoning Signup and view all the answers

When can respiratory failure be listed as a secondary diagnosis?

Both of the above Signup and view all the answers

When a patient is admitted with respiratory failure and another acute condition, how is the principal diagnosis determined?

The principal diagnosis depends on the circumstances of admission and whether one condition is more responsible for occasioning the admission Signup and view all the answers

How should confirmed cases of influenza due to certain identified influenza viruses be coded?

Code only confirmed cases using category J09 or J10 Signup and view all the answers

When should the code J95.851, Ventilator associated pneumonia, be assigned?

Only when the provider has documented ventilator associated pneumonia (VAP) Signup and view all the answers

If a patient is admitted with one type of pneumonia and subsequently develops ventilator associated pneumonia (VAP), how should it be coded?

Assign the code for the initial type of pneumonia and the code J95.851 for VAP Signup and view all the answers

When the provider documents 'suspected' or 'possible' avian influenza, novel influenza, or other identified influenza, which code category should be used?

Category J11 (Influenza due to unidentified influenza virus) Signup and view all the answers

When assigning a code for ventilator associated pneumonia (VAP), should an additional code be assigned to identify the organism?

Yes, an additional code to identify the organism should be assigned Signup and view all the answers

If the documentation is unclear as to whether the patient has a pneumonia that is a complication attributable to the mechanical ventilator, what should be done?

Query the provider for clarification Signup and view all the answers

When a patient is admitted with respiratory failure and another acute condition, and both are equally responsible for occasioning the admission, how should the principal diagnosis be determined?

The guideline regarding two or more diagnoses that equally meet the definition for principal diagnosis may be applied Signup and view all the answers

Which code would be assigned as the principal diagnosis for a patient admitted with pneumonia?

A code from categories J12-J18 Signup and view all the answers

If a patient is documented to have ventilator-associated pneumonia, which code should be assigned in addition to the principal diagnosis?

Code J95.851, Ventilator associated pneumonia Signup and view all the answers

For a patient presenting with a vaping-related disorder, which code should be assigned as the principal diagnosis?

Code U07.0, Vaping-related disorder Signup and view all the answers

If a patient has lung injury due to vaping, which code(s) should be assigned?

Code U07.0, Vaping-related disorder Signup and view all the answers

If a patient has respiratory signs and symptoms due to vaping, such as cough and shortness of breath, and a definitive diagnosis has been established, should these signs and symptoms be coded separately?

No, they should not be coded separately Signup and view all the answers

If a patient has gastrointestinal symptoms, such as diarrhea and abdominal pain, in addition to a vaping-related disorder, should these symptoms be coded separately?

Yes, they should be coded separately Signup and view all the answers

For pneumonia confirmed as due to COVID-19, which section of the coding guidelines should be referenced?

Section I.C.1.g.1.c.i Signup and view all the answers

If a patient has both ventilator-associated pneumonia and a vaping-related disorder, which codes should be assigned?

A code from categories J12-J18 for the pneumonia, code J95.851, Ventilator associated pneumonia, and code U07.0, Vaping-related disorder Signup and view all the answers

If a patient has pneumonitis and respiratory failure due to vaping, which codes should be assigned?

Code U07.0, Vaping-related disorder, code J68.0, Pneumonitis, and code(s) from subcategory J96.0- for acute respiratory failure Signup and view all the answers

If a patient has a vaping-related disorder and associated gastrointestinal symptoms, but no respiratory symptoms, which codes should be assigned?

Code U07.0, Vaping-related disorder, and appropriate code(s) for the gastrointestinal symptoms Signup and view all the answers