Deck 12: Coding Respiratory Conditions

Question 1

Discern between type 1, type 2, and gestational diabetes with regard to coding.

Answer 1

Diabetes mellitus is a chronic systemic disease characterized by malfunctioning of the pancreas to secrete an appropriate amount of insulin. It results in improper metabolism of carbohydrates, fats, and proteins in the body.
The different forms of the disease are type
, type
, and gestational diabetes mellitus. Type
diabetes is also known as juvenile diabetes or insulin-dependent diabetes mellitus. Type
is also known as non-insulin-dependent diabetes mellitus.
Under
, the different forms of diabetes were coded as
. Four to digits are required in
. Each numerical code after the decimal point
represents a level of metabolic control and complication. The complication is subcategorized by the second and third digit after the decimal.
The difference between type
, type
, and gestational diabetes with regard to coding are described as follows:
In the case of
, the different forms of diabetes are coded as
. Type
diabetes is coded as
, type
as
, and gestational diabetes as
. Under
, Type
diabetes is represented as
and type
as
.

Question 2

Joe Domini is seen at his doctor's office with a previous lab test positive for hyperglycemia. Dr.Ansewa writes in his chart that his diagnosis is suspected diabetes mellitus. The correct diagnosis code would report

A) Diabetes mellitus with unspecified complication.
B) Hyperglycemia; diabetes mellitus uncomplicated.
C) Hyperglycemia.
D) Diabetes mellitus with specified complication.

Answer 2

The normal blood glucose levels are in the range of
. Hyperglycemia refers to abnormally high levels of glucose in the blood. Hypoglycemia occurs when the blood glucose levels are abnormally low.
The correct diagnosis code would report diabetes mellitus with specified complication. Therefore, option d. is correct.
Reason for the correct statement:
Joe Domini has been tested positive for hyperglycemia and diagnosed with diabetes mellitus by Dr. Ansewa. Hyperglycemia is regarded as a specified complication associated with diabetes mellitus.
Hence, the option d. is correct.
Reasons for the incorrect statements:
Option a. is given as, "Diabetes mellitus with unspecified complication."
The lab results also indicate hyperglycemia. Therefore, it is a specified complication.
Option b. is given as, "Hyperglycemia; diabetes mellitus uncomplicated."
Hyperglycemia is an associated complication. This indicates diabetes mellitus with the complication of hyperglycemia.
Option c. is given as, "Hyperglycemia."
Joe Domini has also been diagnosed with diabetes mellitus by Dr. Ansewa. It suggests diabetes with hyperglycemia.
Hence, options a. , b. , and c. are incorrect.
Thus, diabetes mellitus with specified complication would be the correct diagnosis code.

Question 3

Apply the guidelines for coding diabetic manifestations and comorbidities.

Answer 3

Diabetes is a systemic disease that has many manifestations and comorbidities. Once a patient is diagnosed with diabetes, it is always included in the coding for a current encounter. Diabetes influences almost every treatment of any other circumstance.
codes from the
Diabetes mellitus category are used when a patient is diagnosed with diabetes. The manifestations and comorbidities of diabetes require additional code. Diabetes harms different systems and body areas of the human body.
The following codes are used for the representation of diabetic manifestation and comorbidities:
•
: Diabetes without mention of complication.
•
: Diabetes with ketoacidosis.
•
: Diabetes with other hyperosmolarity.
•
: Diabetes with another coma.
•
: Diabetes with renal manifestations.
•
: Diabetes with ophthalmic manifestations.
•
: Diabetes with neurological manifestations.
•
: Diabetes with peripheral circulatory disorders.
•
: Diabetes with other specified manifestations. It includes gum and bone infections in the mouth, heart disease and stroke, hypertension, and dermatologic conditions.
•
: Diabetes with unspecified complication.
There are several manifestations and comorbidities associated with diabetes mellitus. The fourth digit in the
code from
diabetes mellitus category determines diabetes-related complications. The fourth digit
represents complications such as ketoacidosis, hyperosmolarity, coma, renal manifestations, and other complications.

Question 4

________is not a type of diabetes.

A) Hypertension
B) Gestational
C) Type 1
D) Type 2

Question 5

Abstract encounter notes to determine whether or not the diabetes is controlled.

Question 6

In order to code diabetes correctly, you must know if the condition is

A) Chronic.
B) Acute.
C) Uncontrolled.
D) Newly diagnosed.

Question 7

Determine the correct sequencing for coding a diabetic patient's condition.

Question 8

Karin is diagnosed with diabetic hyperosmolarity. Code the hyperosmolarity

A) First.
B) After the diabetes code.
C) After the effect code.
D) It is included in the diabetes code.

Question 9

Correctly code the use of insulin and insulin pumps.

Question 10

_________may result in diabetic foot ulcers.

A) Diabetic neurological complications
B) Diabetic ketoacidosis
C) Diabetic peripheral vascular complications
D) Either ( a ) or ( c )

Question 11

Use guidelines properly for reporting diabetes during encounters for other diagnoses.

Question 12

Diabetes mellitus is a condition that affects an individual's

A) Heart.
B) Lungs.
C) Entire system.
D) Pancreas.

Question 13

An individual with type 2 diabetes

A) May use insulin.
B) Never uses insulin.
C) Always uses insulin.
D) Has temporary diabetes that will go away with treatment.

Question 14

An underdose of insulin may be caused by

A) An incorrect dosage.
B) A malfunctioning insulin pump.
C) Patient noncompliance.
D) All of these.

Question 15

Hyperglycemia is

A) Another term for diabetes.
B) An abnormally high level of glucose.
C) An abnormally low level of glucose.
D) Caused by eating too much salt.

Question 16

Gestational diabetes is a condition that can only affect an individual

A) Over the age of 65.
B) Under the age of 4.
C) Who is pregnant.
D) With hypertension.

Question 17