AAPC CPC Chapter 4 Questions And
Answers.
HIV Can only be coded if confirmed case true or false? -
\True, you can only code HIV if case is confirmed
Does confirmation of HIV require documentation of positive serology or culture? -
\No, the providers diagnostic statement that the patient is HIV Positive or has and HIV
related illness is sufficient.
Proper sequencing for HIV depends on what? -
\The reason for the admission or encounter.
If a patient is admitted for an HIV related condition what is coded first? -
\B20, HIV followed by additional diagnosis codes for all reported HIV related conditions.
What conditions are always considered HIV related conditions? -
\Kaposi's sarcoma, lymphoma, pneumocystis cabrini pneumonia, cryptococcal
meningitis, and cytomegalovirus disease. These conditions are consider opportunistic
infections.
What is coded first with HIV disease admitted for unrelated condition such as fracture? -
\The code for the unrelated condition would be first, and then B20, and any additional dx
codes for all reported HIV related conditions.
Code Z21 Asymptomatic human immunodeficiency virus infection status is applied
when? -
\Patient is HIV positive, but does not have any documented symptoms of HIV related
illness. Do not use if term AIDS is used.
Code R75 Inconclusive laboratory evidence of human immunodeficiency virus is used
when? -
\Inconclusive HIV serology, and no definitive diagnosis or manifestation of the illness.
True or False. After a patient has developed HIV related illness the patients condition
should be assigned B20 on every subsequent admission//encounter? -
\True, never assign R75 or Z21 to a patient with an earlier diagnosis of AID or
symptomatic HIV
What is the sequence for HIV infection in pregnancy, childbirth and the puerperium? -
\First would be code from subcategory O98.7-Human immunodeficiency virus disease
complicating pregnancy, childbirth, and puerperium, followed by B20, and the codes for
HIV related illness, and Z3A for weeks gestation
, What sequence for patients with asymptomatic HIV infection status admitted or
presenting for a healthcare encounter during pregnancy? -
\O98.7 followed by Z21, and Z3A for weeks gestation
What code is used for a patient being seen to determine HIV status? -
\Z11.4, encounter for screening for human immunodeficiency virus, code signs and
symptoms, Z71.7 HIV counseling if provided
A patient has toxic shock syndrome caused by staphylococcus aureus what would be
the sequence? -
\A48.3 Toxic shock syndrome followed by the organism that caused B95.61 Methicillin
susceptible staphylococcus aureus infection
A patient has penicillin resistant pneumonia what would be the sequence? -
\J18.9 Pneumonia, followed by Z16.11 Resistance to penicillins.
What is the appropriate code for sepsis when the tie of infection or causal organism is
not further specified? -
\A41.9 Sepsis unspecified organism
True or False. The code R65.2 should be assigned when there is no acute organ
dysfunction documented. -
\False, R65.2 Severe sepsis should not be assigned unless severe sepsis or an
associated acute organ dysfunction is documented.
Should negative or inconclusive blood cultures and sepsis preclude a diagnosis of
sepsis in patients with clinical evidence of the condition? -
\No, however the provider should be queried
Urosepsis -
\a nonspecific term it is not to be considered synonymous with sepsis. It has no default
code in the alpha index, provider must be queried for clarification.
Sepsis with organ dysfunction -
\If a patient has sepsis and associated acute organ dysfunction or multiple organ
dysfunction, follow instructions for severe sepsis.
Acute organ dysfunction not clearly associated with the sepsis -
\Do not code from severe sepsis R65.2, If not clear query the provider.
Coding sequence for Severe Sepsis -
\Code underlying systemic infection first if causal organism is not documented assign
A41.9, Then subcategory from R65.2, and then the associated acute organ dysfunction.
Can Severe sepsis R65.20-R65.21 be sequenced first? -
Answers.
HIV Can only be coded if confirmed case true or false? -
\True, you can only code HIV if case is confirmed
Does confirmation of HIV require documentation of positive serology or culture? -
\No, the providers diagnostic statement that the patient is HIV Positive or has and HIV
related illness is sufficient.
Proper sequencing for HIV depends on what? -
\The reason for the admission or encounter.
If a patient is admitted for an HIV related condition what is coded first? -
\B20, HIV followed by additional diagnosis codes for all reported HIV related conditions.
What conditions are always considered HIV related conditions? -
\Kaposi's sarcoma, lymphoma, pneumocystis cabrini pneumonia, cryptococcal
meningitis, and cytomegalovirus disease. These conditions are consider opportunistic
infections.
What is coded first with HIV disease admitted for unrelated condition such as fracture? -
\The code for the unrelated condition would be first, and then B20, and any additional dx
codes for all reported HIV related conditions.
Code Z21 Asymptomatic human immunodeficiency virus infection status is applied
when? -
\Patient is HIV positive, but does not have any documented symptoms of HIV related
illness. Do not use if term AIDS is used.
Code R75 Inconclusive laboratory evidence of human immunodeficiency virus is used
when? -
\Inconclusive HIV serology, and no definitive diagnosis or manifestation of the illness.
True or False. After a patient has developed HIV related illness the patients condition
should be assigned B20 on every subsequent admission//encounter? -
\True, never assign R75 or Z21 to a patient with an earlier diagnosis of AID or
symptomatic HIV
What is the sequence for HIV infection in pregnancy, childbirth and the puerperium? -
\First would be code from subcategory O98.7-Human immunodeficiency virus disease
complicating pregnancy, childbirth, and puerperium, followed by B20, and the codes for
HIV related illness, and Z3A for weeks gestation
, What sequence for patients with asymptomatic HIV infection status admitted or
presenting for a healthcare encounter during pregnancy? -
\O98.7 followed by Z21, and Z3A for weeks gestation
What code is used for a patient being seen to determine HIV status? -
\Z11.4, encounter for screening for human immunodeficiency virus, code signs and
symptoms, Z71.7 HIV counseling if provided
A patient has toxic shock syndrome caused by staphylococcus aureus what would be
the sequence? -
\A48.3 Toxic shock syndrome followed by the organism that caused B95.61 Methicillin
susceptible staphylococcus aureus infection
A patient has penicillin resistant pneumonia what would be the sequence? -
\J18.9 Pneumonia, followed by Z16.11 Resistance to penicillins.
What is the appropriate code for sepsis when the tie of infection or causal organism is
not further specified? -
\A41.9 Sepsis unspecified organism
True or False. The code R65.2 should be assigned when there is no acute organ
dysfunction documented. -
\False, R65.2 Severe sepsis should not be assigned unless severe sepsis or an
associated acute organ dysfunction is documented.
Should negative or inconclusive blood cultures and sepsis preclude a diagnosis of
sepsis in patients with clinical evidence of the condition? -
\No, however the provider should be queried
Urosepsis -
\a nonspecific term it is not to be considered synonymous with sepsis. It has no default
code in the alpha index, provider must be queried for clarification.
Sepsis with organ dysfunction -
\If a patient has sepsis and associated acute organ dysfunction or multiple organ
dysfunction, follow instructions for severe sepsis.
Acute organ dysfunction not clearly associated with the sepsis -
\Do not code from severe sepsis R65.2, If not clear query the provider.
Coding sequence for Severe Sepsis -
\Code underlying systemic infection first if causal organism is not documented assign
A41.9, Then subcategory from R65.2, and then the associated acute organ dysfunction.
Can Severe sepsis R65.20-R65.21 be sequenced first? -
