One from 4xx series code hypertensive chronic kidney disease, and secondary from 5xx series code .
Same with hypertensive cardiac disease.
BURN
At the same site, code the maximum degree of burn for eg. Second and third degree on arm, code only third degree, if second degree on trunk and third degree on arm, code both according to degree and if u are cding third degree 948 series code also need to be code, which describe total body surface area involved in third degree.
PAIN
Check guidelines for chronic pain and postoperative pain.
If patient comes for pain management, to code for pain. If it is mentioned it is chronic then take chronic (338.xx series) and if it is mentineod postoperative (9xxx series ).
SEPTICEMIA
038.XX is always primary whether it is due to infection or noninfection
Sepsis 995.91 or severe sepsis 995.92 will go secondary .
In case of severe sepsis there is multiple organ failure which need to code after that
For eg. 038.xx, 995.92, and then organ failures code.
DIABETS MELLITUS
Read the guidelines for how to take fifth digit in that
0 if unspecified and not stated as uncontrolled
1 _____
2
3
Prepare one anatomy theory
Prepare for 5 medical terminoly words;
Hepatomegaly, hysterectomy, salpingectomy etc.
52 MODIFIER
CCI EDITS- two scenarios, one is modifier allowed or one is not allowed, column 2 code
ORAL AND REC TAL CONTRAST
CONTRAST NAME: TECHNICHIUM, OMNIPAQUE
IF PATIENT COMES AFTER DRINKINGONE GLASS WATER, THAT IS ALSO NONCONTRAST
CHECK FOR COMPLETE AND LIMITED ABDOMINAL ULTRASOUND AND RETROPERITONEAL GUIDELINES
IN OB ULTRASOUND NO APPROACH IS MENTIONED, TAKE TRANSABDOMINAL DEFAULT
POISONING-Two scenarios
If it is poisoning, three codes will go
Like for eg. Cerebral anoxia resulting in barbitures overdose suicidal attempt
Pdx