CCS Master Flashcards - Day 2

No. Insulin use is inherent to Type 1 diabetes.

Type 1 diabetes uses insulin. Code Z79.4?

Z79.4

Type 2 diabetic uses insulin. Additional code?

Combination code first, then CKD stage

Diabetes with CKD sequencing?

Use the diabetes combination code when available.

Diabetes with neuropathy?

Add a code for site and severity

Diabetes with foot ulcer?

No

Hyperglycemia without diabetes. Code diabetes?

STEMI

STEMI vs NSTEMI: more emergent?

No

Chest pain due to STEMI. Code both?

Yes, unless documented otherwise

HTN + heart failure. Relationships assumed?

Yes

HTN + CKD. Relationship assumed?

I13.-

HTN + CKD + HF category?

Don’t use history codes for active MI

History vs current MI?

Yes, if criteria are met

Can acute respiratory failure be principal?

Usually no

Respiratory symptoms explained by pneumonia?

Use the combination code

COPD with acute exacerbation?

D62

Acute blood loss anemia code?

No. Provider must document acute blood loss anemia

Always code D62 after surgery?

What is the reason for admission?

First question with sepsis?

Code both

Sepsis with localized infection?

Organ dysfunction code

Severe sepsis requires?

Sepsis code first

Septic shock sequencing?

N18 category?

CKD stages?

N18.6

ESRD?

Z99.2

Dialysis status?

Z51.11 principal

Chemo only admission?

Z51.0 principal

Radiation only admission?

After treatment complete and no active disease

History of malignancy?

Poisoning=incorrect use. Adverse effect=correct use with bad reaction

Poisoning vs adverse effect?

Reaction first, then T-code

Adverse effect coding?

Active treatment

Initial encounter

Routine healing

Subsequent encounter

Late effect after healing

Sequela?

Yes, if no definitive diagnosis

Can symptoms be principal?

Do not code dizziness separately

Dizziness with BPPV?

Code as if it exists

Possible/probable diagnosis inpatient?

Coding everything documented instead of only reportable conditions

Biggest ICD-10-CM CCS mistake?