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68 Cards in this Set
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- Back
acute exacerbation |
worsening or a decompensation of a chronic condition
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AIDS
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a chronic, potentially life-threatening disease; patient’s immune system is compromised, which makes him or her highly susceptible to diseases & infections; caused by HIV
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anemia
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decrease in the number of red blood cells
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atherosclerosis
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hardening of the arteries caused by fats in the blood
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benign hypertension
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continuous, mild blood pressure elevation
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benign neoplasm
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a non-malignant neoplasm
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carcinoma in situ
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a localized cancer that has not spread to adjacent structures
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cataracts
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flaws or clouds that develop in the crystalline lens
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cerebrovascular accident
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the sudden death of some brain cells due to lack of oxygen, when the blood flow to the brain is impaired by blockage or rupture of an artery to the brain
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cholelithiasis
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gallstones
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cholecystitis
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inflammation of the gallbladder
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congestive heart failure
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the heart is unable to pump away the blood returning to it fast enough, which causes congestion in the veins
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conjunctivitis
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inflammation or infection of the conjunctiva, which is the transparent layer that lines the part of the eye & the eyelid
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coronary artery diseases
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blockage of the coronary arteries
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dementia
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a group of symptoms that effect memory & cognitive functions such as judgment & communication
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epigastric hernia
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a protrusion of internal organs through the epigastrium above the umbilicus
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epilepsy
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causes disturbance in the electrical activity of the brain
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glaucoma
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a hypertensive condition of the eye caused by too much pressure from fluid
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goiter
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enlargement of the thyroid gland
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hernia
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organ or tissue protruding through the was or cavity that usually contains it
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HIV
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a virus that attacks the immune system
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incisional hernia
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protrusion of internal organs near an incompletely closed surgical incision site
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inguinal or ventral hernia
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protrusion of internal organs in the groin
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intractable
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severe migraine that does not respond to therapeutic treatment
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leukemia
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cancer of blood & bone marrow
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lipoma
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benign tumor made up of fat cells
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lymphoma
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cancer of the lymphatic system
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malignant hypertension
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cancerous tumor that tends to grow, invade, & metastasize
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manifestation
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condition or symptom that develops as a result of an underlying condition or cause
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melanoma
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skin cancer that originates in cells which produce pigment in the skin
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meningitis
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infection or inflammation of the membranes that surround the head & spinal cord
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metastases
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spread of cancer from one body area/organ to another
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myocardial infarction
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death of tissue of the myocardium
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neoplastic disease
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condition related to a tumor or growth
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neuropathy
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abnormal condition characterized by inflammation or degeneration of peripheral nerves
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NSTEMI
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not ST elevation myocardial infarction; blood clot partly occludes the artery, & only a portion of the heart muscle being supplied by the affected artery dies
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otitis media
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middle ear infection
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Parkinson’s disease
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slowly progressive, degenerative neurologic disease
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pleural effusion
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abnormal fluid accumulation in the pleural spaces
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sepsis
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a whole body inflammatory state
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status asthmaticus
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asthma that is not responding to treatment
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STEMI
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ST elevation myocardial infarction; coronary artery completely blocked, & nearly all the heart muscle being supplied by the affected artery starts to die
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thyrotoxicosis
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morbid condition due to over activity of the thyroid gland
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umbilical hernia
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protrusion of internal organs through the abdominal wall around the umbilicus
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urosepsis |
bacteremia resulting from urinary tract infection |
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SIRS
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systemic response to infection, burns, trauma, or cancer
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primary malignancy
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where the cancer originates
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secondary malignancy
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results from metastasis & forms a new focus of malignancy elsewhere
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non-infiltrating, non-invasive, or pre-cancerous
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3 other terms that can be used to describe cancer in situ
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atypia or dysplasia
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indications that the neoplasm is in transition from benign to malignant
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uncertain behavior
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If the pathology report indicates a neoplasm as atypia, dyspasia, or pre-cancerous, use the code for
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unspecified
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If the pathology report of a neoplasm has not been received before coding, the only code that can be used is
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199.1
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the secondary CPT code used when the patient encounter is for the secondary site of a malignant neoplasm & the primary site is not available
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Merkel cell carcinoma
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a rare & aggressive form of skin tumor affecting the release of hormones into the blood streatm & skin sensitivity
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type I diabetes
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an auto immune disease that results in the destruction of insulin-producing cells in the pancreas
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type II diabetes
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condition that causes the body to produce insufficient levels of insulin due to obesity, age, or genetic weakness
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cause-&-efffect relationship
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To code a disease or condition as a manifestation of the diabetes mellitus, the documentation must show a
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secondary
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a type of diabetes that is always caused by another condition or event
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Alzheimer’s disease
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a type of dementia characterized by degeneration of the brain tissue
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status migrainous
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condition when a migraine has been ongoing for more than 72 hours
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classic
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migraine with aura
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common
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migraine without aura
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338
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When a patient presents for pain management, the principal code is selected from the 3-digit code
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hypertension retinopathy
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condition in which increased pressure leads to the growth of unstable vessels in the eye
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V58.61
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When the documentation states a patient is taking or has a long-term use of an anticoagulant medication, report secondary code
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COPD
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chronic bronchitis & emphysema that causes the respiratory passages to narrow
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exacerbation
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an increased severity
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same indentation level
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When both acute & chronic conditions are documented, code acute first if acute & chronic have separate subentries in ICD-9 Alphabetic Index & they are at the |