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LTC Chapter 7 Set 2
Learning to Code with ICD-9-CM, Ch 7 Digestive System
50
Medical
Professional
04/24/2010

Additional Medical Flashcards

 


 

Cards

Term

CODE

 

Peptic ulcer

Definition
533
Term

CODE

 

Take-down colostomy (V code, principal diagnosis)

Definition
V55.3
Term

CODE

 

Take down colostomy procedure code

Definition
46.52
Term

If a physician only documents peptic ulcer but does not specify the site, what should you do?

a) Assum the ulcer is in the stomach

b) assume the ulcr is in the duodenum

c) look in the record to find the exact location of the ulcer

d) query the physician

Definition
c
Term

CODE

 

GI bleed, not specified

Definition
578.9
Term
T or F: If there is evidence of a GI bleed but no active bleeding, you can't code "with GI bleed"
Definition

False

 

Bleeding was reason for examination

Term
colonoscopy
Definition
another name for lower endoscopy
Term
esophagogastroduodenoscopy
Definition
another name for upper endoscopy
Term
melena
Definition
dark blood in stool often associated with upper GI bleeding
Term
hematochezia
Definition
bright red blood per rectum, fresh blood--possibly fro hemorrhoids--associated with lower GI bleeding
Term
Stool hemoccult
Definition
another name for guaiac test
Term
What does a guaiac test detect?
Definition
occult blood in feces
Term
guaiac
Definition
chemical that reacts with small traces of blood not readily seen in the stool
Term

CODE

 

GI bleeding secondary to colon polps

Definition
211.3 (578.9)
Term

CODE

 

Acute blood loss anemia

Definition
285.1
Term

CODE

 

Chronic blood loss anemia

Definition
280.0
Term
esophagitis
Definition
inflammation of the esophagus
Term
reflux esophagitis
Definition
specific type of esophagitis associated with GERD and/or hiatal hernias, in which the stomach protrudes through the esophageal opening in the diaphragm
Term
diaphragm
Definition
a muscle that separates the abdominal and chest cavities and aids in breathing
Term

CODE

 

Esophagitis, unspecified

Definition
530.10
Term

CODE

 

Reflux exophagitis

Definition
530.11
Term

CODE

 

Acute esophagitis

Definition
530.12
Term

CODE

 

Esophagitis, specified

Definition
530.19
Term

CODE

 

Candidal esophagitis

Definition
112.84
Term

CODE

 

Tuberculosis esophagitis where tubercle bacilli was found in sputum by microscopy

Definition
017.83
Term
The fourth digit for gastritis determines what?
Definition
if it is acute or chronic
Term
The fifth digit for gastritis determines what?
Definition
if there is an associated hemorrhage
Term

CODE

 

Acute gastritis with hemorrhage

Definition
535.01
Term

CODE

 

Duodenitis with hemorrage

 

Definition
535.61
Term

CODE

 

Gastroduodentitis with hemorrhage

Definition
535.51
Term
gastroesophageal reflux disease
Definition
What does GERD stand for?
Term

CODE

 

Gastroesophageal reflux disease

Definition
530.81
Term
Gastroesophageal reflux disease
Definition
solid foods and liquids, along with hydrochloric acid, reflux from the stomach into the esophagus
Term
heartburn
Definition
associated with GERD, causes an epigastric burning sensation
Term

CODE

 

Gastroesophageal reflux disease that has progressed to reflux esophagitis

Definition

530.11

 

You only code for reflux esophagitis

Term
gallbladder
Definition
organ that is a reservoir for bile
Term
duodenum
Definition
first part of small intestine
Term
bile
Definition
a digestive enzyme that travels through the biliary ducts to enter the duodenum where it helps to break down and absorb fat
Term
common hepatic duct
Definition
duct that leads from the liver
Term
cystic duct
Definition
duct that leads from the gallbladder
Term
pancreatic duct
Definition
duct that leads from the pancreas to the duodenum
Term
common bile duct
Definition
duct that both common hepatic duct and cystic duct empty into and joins the pancreatic duct as it enters the duodenum
Term
cystitis
Definition
inflammation of the gallbladder, a commonly coded disease
Term
biliary colic
Definition
sharp pain associated with gallstones
Term
cholecystectomy
Definition
excision of the gallbladder
Term
choledocholithotomy
Definition
incision and exploration into the common bile duct to remove stones
Term

CODE

 

Cholecystecomy performed by open incision

Definition
51.22
Term

CODE

 

Cholecystecomy performed by a laparoscopic technique

Definition
51.23
Term
What are two reasons why laparoscopic procedures are being performed?
Definition
less invasive, shortened recovery time
Term
If a cholecystectomy is changed from a laparoscopic to an open procedure, you code the ________ procedure and add the code V64.41
Definition
open procedure
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