life threatening blood infection that causes inflammation of the whole body
Sepsis
abnormal tissue mass that is the result of rapid, progressive cell growth
Neoplasm
study of cell structures under a microscope
Histology
What are the three things that blood disorders may impact?
Erythrocytes, Leukocytes, & Platelets
Describe the difference between a combination code assignment and assignment of multiple codes.
Combination code is used to combine multiple diagnoses into one code and assignment of multiple codes are separate codes for each diagnosis.
True or False? When assigning the principal diagnosis for a patient with HIV, the code for HIV would always be sequenced before any other conditions.
false
True or False? Patients with a prior diagnosis of an HIV-related illness should be assigned the code for HIV (B20) on every subsequent admission.
true
What is the first step in locating a neoplasm code when the histological term is stated?
Locate the histology term in the Alphabetic Index
When coding severe sepsis, what is the minimum number of codes that are required?
2
The diagnosis, aphasia due to an old cerebrovascular accident, is an example of what?
Sequela
In coding certain infectious and parasitic diseases, the entire health record must be reviewed to identify the following 4 things
Body site
Specific organism responsible
Etiology of disease
Severity of the disease
What is the infection that is associated acute organ dysfunction where one or more of the body’s organs fail.
Severe sepsis
How many codes are required for the coding of severe sepsis?
minimum of two codes
What does MRSA stand for?
methicillin-resistant staphylococcus aureus
Coding of conditions due to MRSA bacteria are coded in one of two ways:
*With a combination code that identifies the infection is due to MRSA
*With the use of an additional code to identify the MRSA as the causative organism with a code for the site of the infection
Which neoplasms can invade and destroy adjacent structures, as well as spread to distant sites to cause death
Malignant
the site where a neoplasm originated
Malignant primary
a neoplasm that may be described as a metastatic site
Malignant secondary
the movement or spreading of cancer cells from one organ or tissue to another
Metastasis
the site(s) to where the neoplasm has spread
secondary neoplasm
What are the four ways a neoplasm can spread to another site?
*Direct extension, in which the primary neoplasm infiltrates and invades adjacent structures
*Metastasis to local lymph vessels by tumor cell infiltration
*Invasion of local blood vessels
*Implantation in which tumor cells shed into body cavities
What neoplasms are tumor cells that undergo malignant changes but are still confined to the point of origin without invasion of surrounding normal tissue
Carcinoma in situ
What is a growth that does not invade adjacent structures or spread to distant sites
Benign
What neoplasms are tumors that a pathologist cannot determine as being benign or malignant
Uncertain behavior neoplasms