HCS-D new guidelines Prep Exam
Questions With Solved Solutions.
Non-healing surgical wounds - Answer *no code for nonhealing surgical wound
-use: T81.89x-, other complications of procedures, NEC
*If not healing due to Infection
-use: T81.4xx-, infection following a procedure
*If closed at one time and no longer closed
-use: T81.3-, disruption of wound, NEC
Aftercare codes - Answer only for surgery/procedures
*NOT related to an injury/trauma
Pressure Ulcers - Answer *must be DX by doctor
-can be staged by documentation
*(OASIS) Pressure Ulcer with skin graft is NOT a PU anymore it's a SURGICAL WOUND
-use: Unstageable PU
Pressure Ulcers - Answer *Gangrene coded 1st - I96
*Combo code - L89.-
-does NOT need additional code for location
*Do NOT code sages 1 & 2 when healed, 3 & 4 when closed
, *Do not reverse stage
-once a stage always a stage
Diabetic Ulcer
-with Gangrene? - Answer *Code DM code E__.621, followed by location Lcode
*DM Gangrene has combo code
-E__.52
NO aftercare codes for... - Answer *Trauma injuries of any kind
*Do NOT use Zcodes for care of trauma injury
-use 7th characters
*7th character determined by TYPE of care needed
*Continue to code the injury until HEALED
"with" guideline - Answer *Presumes a casual relationship between 2 conditions and should be coded
as related, even if the Dr doesn't explicitly link them
-DM with
*cataract
*Charcot's joint
DM, CKD, and HTN - Answer E11.22 (DM w/CKD)
I12.9 (HTN CKD)
N18.9 (CKD stage)
Questions With Solved Solutions.
Non-healing surgical wounds - Answer *no code for nonhealing surgical wound
-use: T81.89x-, other complications of procedures, NEC
*If not healing due to Infection
-use: T81.4xx-, infection following a procedure
*If closed at one time and no longer closed
-use: T81.3-, disruption of wound, NEC
Aftercare codes - Answer only for surgery/procedures
*NOT related to an injury/trauma
Pressure Ulcers - Answer *must be DX by doctor
-can be staged by documentation
*(OASIS) Pressure Ulcer with skin graft is NOT a PU anymore it's a SURGICAL WOUND
-use: Unstageable PU
Pressure Ulcers - Answer *Gangrene coded 1st - I96
*Combo code - L89.-
-does NOT need additional code for location
*Do NOT code sages 1 & 2 when healed, 3 & 4 when closed
, *Do not reverse stage
-once a stage always a stage
Diabetic Ulcer
-with Gangrene? - Answer *Code DM code E__.621, followed by location Lcode
*DM Gangrene has combo code
-E__.52
NO aftercare codes for... - Answer *Trauma injuries of any kind
*Do NOT use Zcodes for care of trauma injury
-use 7th characters
*7th character determined by TYPE of care needed
*Continue to code the injury until HEALED
"with" guideline - Answer *Presumes a casual relationship between 2 conditions and should be coded
as related, even if the Dr doesn't explicitly link them
-DM with
*cataract
*Charcot's joint
DM, CKD, and HTN - Answer E11.22 (DM w/CKD)
I12.9 (HTN CKD)
N18.9 (CKD stage)
