Ccs General Quiz III

When pleural effusion is present with congestive heart failure (CHF), it is not separately coded because it is considered to be a manifestation or complication of CHF. Pleural effusion occurs when excess fluid accumulates in the pleural cavity surrounding the lungs, and it is commonly seen in patients with CHF due to increased pressure in the heart and blood vessels. Therefore, when coding for CHF, the presence of pleural effusion is not coded separately but is instead included as part of the CHF diagnosis.

When performing coronary artery bypass grafting (CABG) from the internal mammary artery to the left anterior descending (LAD) artery, the qualifier "L" is selected. This indicates that the procedure involves the left side of the body, specifically the left internal mammary artery. The LAD artery is one of the major coronary arteries located on the front surface of the heart, and it supplies blood to the front wall of the left ventricle.

In this question, the correct answer is "The injury." When an injury occurs, it can cause damage to blood vessels or nerves. Therefore, the injury itself is sequenced first before the resulting damage.

The correct answer is "immobilization." When a nondisplaced fracture is casted, the main purpose is to immobilize the affected area and prevent further movement or displacement of the bone. Immobilization is the appropriate root operation in the Placement section because it accurately describes the action of casting in this context.

Non-essential modifiers are additional information that can be removed from a sentence without changing its overall meaning. These modifiers are often enclosed in parentheses to set them apart from the main sentence and indicate that they are not essential to the sentence's structure or meaning. By using parentheses, the writer signals to the reader that the information contained within them is optional and can be omitted without affecting the coherence of the sentence.

A colostomy stoma is on the outside of the body. This means that it is located on the external surface of the body, rather than internally. A colostomy stoma is created surgically to divert the flow of waste from the colon to a stoma bag, which is attached to the outside of the body. By being located on the outside, it allows for easier management and care of the stoma and the stoma bag.

The given answer "output" completes the phrase "Cardiac Bypass indexes to Performance, Cardiac, Continuous, output." In this context, "output" refers to the measurement or result of a cardiac bypass procedure. It could indicate the effectiveness or success of the procedure, such as the amount of blood flow restored or the improvement in cardiac function.

When a patient experiences failure of a transplanted organ, it is important to code the specific organ failure first before coding for failure and rejection of the transplanted organ. This is because the specific organ failure provides more specific and detailed information about the condition, while the code for failure and rejection of a transplanted organ is a more general code that encompasses various reasons for organ failure. Therefore, coding the specific organ failure first ensures accurate and detailed documentation of the patient's condition.

T86 - Complications of transplanted organs and tissue

C80.2 Malignant neoplasm associated with transplanted organ

AND a code to identify the specific malignancy and location

Used for HIV patients

Can cause bronchiolitis in infants and more serious respiratory illnesses (pneumonia) in adults

The code for fracture of the temporal bone includes the orbital bone because the orbital bone is a part of the temporal bone. The temporal bone is a large, irregular bone situated at the sides and base of the skull, and it consists of several parts, including the orbital bone. Fractures of the temporal bone can involve various structures within the bone, including the orbital bone, which is responsible for housing and protecting the eye.

Procedures performed via indwelling device are coded to approach value, percutaneous. This means that when coding these procedures, the approach value should be percutaneous, indicating that the procedure was performed through the skin or a natural orifice, without the need for a surgical incision. This coding distinction is important for accurate medical documentation and billing purposes.

The correct answer is "aftercare" because aftercare refers to the care and support provided to a patient after a surgical procedure, especially in the context of managing potential complications and promoting recovery. In this case, the focus of the service is on the result of the patient's recent surgery for cancer, indicating that aftercare is the primary diagnosis as it encompasses the necessary follow-up care and monitoring needed post-surgery.

If a patient has cancer that has been removed and it returns, the appropriate code to use would be for "primary" malignant neoplasm by location. This means that the cancer has originated in the same location as before and is not a new or secondary cancer. The term "primary" refers to the original site of the cancer and distinguishes it from any secondary or metastatic cancers that may have spread to other parts of the body.