Chapter 1: Coding for Infectious Diseases/Parasitc Diseases & Blood Related Disorders

Question 1

HIV True or False:

Doesn’t require documentation of a positive culture, just a diagnosis statement.

Answer 1

True

Question 2

Coding HIV

Answer 2

Code HIV (B20) as principal diagnosis, THEN additional HIV-related conditions.

Question 3

T or F?

If patient is admitted for unrelated conditions to HIV, the unrelated conditions should be coded as the primary diagnoses.

Answer 3

True.

Question 4

Z21-

Answer 4

Asymptomatic HIV Infection status.

-Coded when patient has no documentation of HIV symptoms.

Question 5

Antibiotic resistant infections should be identified with a code from the ___ class.

Answer 5

Z16-

Question 6

Sepsis

Answer 6

A potentially fatal inflammation caused by a severe infection.

• Occurs when chemicals released into bloodstream to fight the infection trigger inflammation.
• Can continue after the infection is gone.

Question 7

Most common sources of sepsis (4)?

Answer 7

• Lungs
• Abdomen
• Urinary tract
• NOS

Question 8

T or F

Over 50% of sepsis is caused by staph?

Answer 8

True

Question 9

Severe Sepsis

Answer 9

Sepsis complicated by organ dysfunction or failure.

Question 10

Septic Shock

Answer 10

Sepsis complicated by high lactate levels, or shock that doesn’t improve after fluid resuscitation.

Question 11

Bacteremia

Answer 11

Presence of viable bacteria in blood.

Question 12

When coding sepsis…

Answer 12

Assign appropriate code for underlying systemic infection.

Question 13

Urosepsis

Answer 13

• Non-specific term.
• Cannot be coded with ICD-10.
• Must be coded to a condition.
• E.g. UTI

Question 14

When coding severe sepsis…

Answer 14

1. Code first the underlying systemic infections.
2. Code from R65.2.

IF causal organism is not documented, assign a code from A41.9.

Question 15

T or F

Septic shock can be coded as principal diagnosis.

Answer 15

False.

Septic shock cannot be coded as primary diagnosis.

Question 16

What class of code should be used if the provider documents a post-procedural infection?

Answer 16

T code, followed with a code for specified condition (sepsis).
(E.g. - T80.2, T88, T81.4, etc.)

Question 17

If a post-procedural infection has occurred and resulted in severe sepsis AND post-procedural septic shock, code:

Answer 17

1. The complication.
2. Additional code to follow complication to identify type of infection.
3. R65.21
4. Code(s) for acute organ dysfunction.

Question 18

MRSA

Answer 18

Methicillin Resistant Staphylococcal Aureus

Question 19

MSSA

Answer 19

Methicillin Susceptible Staphylococcal Aureus

Question 20

A41.01

Answer 20

Sepsis due to MSSA

Question 21

A41.02

Answer 21

Sepsis due to MRSA

Question 22

J15.211

Answer 22

Pneumonia due to MSSA

Question 23

J15.212

Answer 23

Pneumonia due to MRSA

Question 24

A49.01

Answer 24

MSSA Unspecified

Question 25

A49.02

Answer 25

MRSA Unspecified