The document discusses liquid waste management from healthcare facilities. It covers categories of liquid waste, hazards posed, waste generated at facilities, treatment methods, and management approaches. Treatment involves either an effluent treatment plant (ETP) that uses primary and secondary treatment followed by disinfection, or local disinfection units for facilities without ETPs. One model discussed is Hypotreat, a continuous flow reactor in Ludhiana that ensures waste contacts disinfectant for sufficient time. Treated wastewater must meet standards before discharge to sewers. Proper liquid waste management is important to protect health.
This document is the operator's manual for the Sysmex KX-21N automated hematology analyzer. It provides instructions on installation, operation, maintenance and troubleshooting of the analyzer. The manual contains 10 chapters that cover topics such as sample analysis procedures, display and processing of analysis results, maintenance, quality control, calibration and troubleshooting. It also includes two appendices on installation and technical information.
This document provides an overview of pathology and laboratory coding. It describes various areas of pathology including anatomical pathology, cytopathology, cytogenetics, microbiology, surgical pathology, and reproductive medicine procedures. For each area, it provides the code ranges and notes on how to report specific tests and procedures. It also provides examples of how to code common pathology cases.
The document describes the design of a 0-9 binary coded decimal (BCD) counter circuit. The circuit uses a 74LS90 BCD decade counter integrated circuit to count from 0 to 9, and a 74LS47 BCD to 7-segment decoder driver integrated circuit to display the count on a 7-segment display. When a push button is pressed, the counter increments and the display updates to show the new count. Potential applications mentioned include token counters, production line counting systems, clocks, and timers.
The document discusses evaluation and management (E/M) coding guidelines. It covers the key components of E/M codes which are history, examination, and medical decision making. E/M codes are used to bill for office visits, hospital visits, consultations, and other services. Assignment of the codes depends on factors like new vs. established patient, type of service, place of service, patient age, and time spent. History, examination, and medical decision making are the three main components used to determine the level of E/M service provided.
Mohs micrographic surgery is a technique for completely removing skin cancer lesions. It involves the surgeon also acting as the pathologist to examine tissue sections under the microscope between surgical stages. The procedure involves removing tissue in blocks that are each examined microscopically until the edges are clear of cancer cells. Additional blocks are coded separately and any biopsies or repairs performed on the same day are also separately coded.
Breast procedures include incision and drainage of cysts, excision of tumors or biopsies, placement of localization devices, partial or total mastectomy, and stereotactic biopsy using imaging to target microcalcifications. Reconstruction techniques aim to repair the breast and can involve augmentation or mastopexy.
A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. There are several types of hernias including inguinal, hiatal, umbilical, and incisional hernias. Common causes are muscle weakness from birth defects, aging, coughing, or surgery. Risk factors include family history, obesity, smoking, and chronic coughing. Hernias may cause pain, weakness, or a feeling of heaviness and can be diagnosed through tests like barium x-rays, endoscopy, or ultrasound. Treatment options include lifestyle changes, medication, or surgery while prevention focuses on not smoking, maintaining a healthy weight, and avoiding heavy lifting or straining.
The document discusses liquid waste management from healthcare facilities. It covers categories of liquid waste, hazards posed, waste generated at facilities, treatment methods, and management approaches. Treatment involves either an effluent treatment plant (ETP) that uses primary and secondary treatment followed by disinfection, or local disinfection units for facilities without ETPs. One model discussed is Hypotreat, a continuous flow reactor in Ludhiana that ensures waste contacts disinfectant for sufficient time. Treated wastewater must meet standards before discharge to sewers. Proper liquid waste management is important to protect health.
This document is the operator's manual for the Sysmex KX-21N automated hematology analyzer. It provides instructions on installation, operation, maintenance and troubleshooting of the analyzer. The manual contains 10 chapters that cover topics such as sample analysis procedures, display and processing of analysis results, maintenance, quality control, calibration and troubleshooting. It also includes two appendices on installation and technical information.
This document provides an overview of pathology and laboratory coding. It describes various areas of pathology including anatomical pathology, cytopathology, cytogenetics, microbiology, surgical pathology, and reproductive medicine procedures. For each area, it provides the code ranges and notes on how to report specific tests and procedures. It also provides examples of how to code common pathology cases.
The document describes the design of a 0-9 binary coded decimal (BCD) counter circuit. The circuit uses a 74LS90 BCD decade counter integrated circuit to count from 0 to 9, and a 74LS47 BCD to 7-segment decoder driver integrated circuit to display the count on a 7-segment display. When a push button is pressed, the counter increments and the display updates to show the new count. Potential applications mentioned include token counters, production line counting systems, clocks, and timers.
The document discusses evaluation and management (E/M) coding guidelines. It covers the key components of E/M codes which are history, examination, and medical decision making. E/M codes are used to bill for office visits, hospital visits, consultations, and other services. Assignment of the codes depends on factors like new vs. established patient, type of service, place of service, patient age, and time spent. History, examination, and medical decision making are the three main components used to determine the level of E/M service provided.
Mohs micrographic surgery is a technique for completely removing skin cancer lesions. It involves the surgeon also acting as the pathologist to examine tissue sections under the microscope between surgical stages. The procedure involves removing tissue in blocks that are each examined microscopically until the edges are clear of cancer cells. Additional blocks are coded separately and any biopsies or repairs performed on the same day are also separately coded.
Breast procedures include incision and drainage of cysts, excision of tumors or biopsies, placement of localization devices, partial or total mastectomy, and stereotactic biopsy using imaging to target microcalcifications. Reconstruction techniques aim to repair the breast and can involve augmentation or mastopexy.
A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. There are several types of hernias including inguinal, hiatal, umbilical, and incisional hernias. Common causes are muscle weakness from birth defects, aging, coughing, or surgery. Risk factors include family history, obesity, smoking, and chronic coughing. Hernias may cause pain, weakness, or a feeling of heaviness and can be diagnosed through tests like barium x-rays, endoscopy, or ultrasound. Treatment options include lifestyle changes, medication, or surgery while prevention focuses on not smoking, maintaining a healthy weight, and avoiding heavy lifting or straining.
This document provides an overview and summary of medicine codes in CPT. It discusses several categories of medicine codes including evaluations and management, modifiers, immunizations, psychiatry, end-stage renal disease, cardiology, pulmonary, and more. Codes are organized by specialty and service type, with notes on proper use and billing.
Radiology uses medical imaging techniques like X-rays, ultrasound, CT, MRI and PET to diagnose and treat diseases. Radiography uses X-rays to view internal structures. Ultrasound uses sound waves to detect objects and for medical imaging. CT scans combine many X-ray images from different angles to produce cross-sectional images. MRI uses magnetic fields and radio waves to generate images of organs in the body. Procedures are coded based on the imaging technique used and whether contrast is used. Modifiers identify professional and technical components.
The document provides an overview of the Current Procedural Terminology (CPT) coding system. It describes CPT as a standardized coding system maintained by the American Medical Association to provide uniform descriptions and codes for medical services and procedures. The document outlines the 10 learning objectives of the chapter, including describing the purpose, organization, and use of CPT codes. It also summarizes the different code categories and sections within CPT as well as modifiers used to provide additional information about procedures.
This document provides guidance on using external cause of injury codes, including:
1. External cause codes describe the circumstances surrounding an injury, including how and where it occurred.
2. There are different types of external cause codes that describe how the injury happened, where it happened, what the patient was doing, and whether the intent was intentional or unintentional.
3. External cause codes are used with injury codes in ranges A00-T88 or Z00-Z99. The 7th character must match between the injury and external cause codes.
4. Examples are provided to demonstrate proper use of external cause codes according to the described guidelines.
Modifiers are two-character suffixes added to procedure codes to provide additional information about the service or procedure performed. The document discusses several common modifiers used in medical billing, including:
- Modifier -22 for increased procedure intensity
- Modifier -23 for unusual anesthesia
- Modifier -24 for unrelated E/M services during the postoperative period
- Modifier -25 for significant, separately identifiable E/M services on the same day
- Modifier -50 for bilateral procedures
- Modifier -76 for repeated procedures
- Modifier -80 for assistant surgeon services
The document provides definitions and examples for how and when to use these common billing modifiers to accurately report medical services and ensure proper
The document discusses evaluation and management (E/M) coding guidelines. It covers the key components of E/M codes which are history, examination, and medical decision making. E/M codes are used to bill for office visits, hospital visits, consultations, and other services. Assignment of the codes depends on factors like new vs. established patient, type of service, place of service, patient age, and time spent. History, examination, and medical decision making are the three main components used to determine the level of E/M service provided.
This document provides information about Dr. Santosh Kumar Guptha's medical coding training program through his company Medesun Healthcare Solutions. It outlines his qualifications and certifications in medical coding, as well as details of the Comprehensive Medical Coding and Billing Training program including modules covered, fees, enrollment process, and benefits of the training such as preparing students for the CPC certification exam. The training is offered both online and in-classroom formats.
The male and female reproductive systems work together to produce offspring. The male reproductive system consists of internal and external sex organs that produce sperm and semen. The testes produce testosterone and sperm, while the penis allows for sperm delivery during intercourse. Similarly, the female reproductive system includes ovaries, fallopian tubes, uterus, and vagina. The ovaries produce eggs and hormones, the fallopian tubes aid fertilization, and the uterus nourishes the developing fetus. Fertilization occurs when sperm meets egg, initiating pregnancy and embryonic development over three trimesters until birth.
This document provides an overview of the cardiovascular system, including the heart, blood vessels, circulation, and common medical procedures. It describes the heart's location, layers, chambers, and functions. It explains the roles of arteries, veins, and blood vessels in oxygenated and deoxygenated blood transport. It also summarizes pacemaker systems, implantable defibrillators, coronary artery bypass grafting procedures, and common cardiac issues like tachycardia and bradycardia.
Anesthesia induces temporary loss of sensation or awareness through analgesia, paralysis, or amnesia. It can be categorized as general anesthesia, which suppresses the central nervous system, or regional/local anesthesia, which block nerve impulses in a targeted area. The main purposes of anesthesia are hypnosis, analgesia, and muscle relaxation. Anesthesia drugs include intravenous drugs like thiopentone and propofol, inhalational drugs like nitrous oxide and isoflurane, and analgesic drugs like opioids and NSAIDs. Anesthesia is classified and coded based on the type administered and physical status of the patient.
This document discusses several congenital malformations of the respiratory system. It describes choanal atresia where the nasal passage is blocked, as well as laryngeal webs that block the larynx. It also mentions laryngoceles, which are air sacs connecting to the larynx that protrude in the neck. Congenital cystic lung diseases and agenesis of the lung, where it is partially or completely absent, can also occur. Various conditions like these that affect the nose, larynx, trachea, bronchi and lungs are classified in the ICD-10 coding system.
The following information was taken from Chapter 3 of Buck's Step-by-Step Medical Coding, 2019 Edition. The book is cited on the last slide of the presentation. All information is relevant as of 2019. Any updates after November 2019 will not be in this presentation. This presentation was created through Canva.
The document provides updates to ICD-10-CM coding guidelines for 2023. Some key updates include clarifying that code assignment for complications of care is based on documentation of a relationship between the condition and care/procedure. Chapter-specific updates include guidance on coding HIV infections, sepsis, malignancies, diabetes, dementia, gestational diabetes, and termination of pregnancy. Social determinants of health codes and codes for underimmunization status are also addressed.
CMS has stopped being nice about ICD10. As of October 1, 2016, the grace period for not using specific codes for certain diagnoses is gone. If you are not precise with these codes, your denial rates will go up.
This presentatio helps you learn how you can avoid high denial rates and also explains:
- Key changes and revisions
- Written guidance from CMS and OIG that may negate a new guideline
- Chapter specific changes
- How to tell when you need documentation and when you don’t
Safety data reconciliation involves comparing safety data between a clinical database and safety database to ensure consistency. Key fields like adverse event term, action taken, causality, and outcome are reconciled. Discrepancies between the databases are identified and queries are issued to sites for resolution. The process aims to clean 100% of agreed upon safety data points and document any acceptable discrepancies.
The January 2015 issue of the CCHIS Newsletter "Coding Yesterday's Nomenclature Today" discusses Human Immunodeficiency Virus (HIV) Infection coding guidelines in both ICD-9 CM and ICD-10 CM.
The document provides information to help medical practices prepare for the transition from ICD-9 to ICD-10 coding standards. It discusses key differences between ICD-9 and ICD-10 such as greater clinical detail and specificity in ICD-10. The document reviews ICD-10 code structure and provides documentation and coding examples. It emphasizes the importance of education and resources to help providers and coders successfully implement ICD-10.
The document summarizes key aspects of medical jurisprudence in India. It discusses that the medical profession is governed by ethics and etiquette. It outlines the composition and functions of the Indian Medical Council and State Medical Councils, including maintaining medical registers and taking disciplinary action. It describes unethical acts and the process for issuing warning notices or erasing names from registers. It also covers professional secrecy and privileged communication, as well as the rights, duties and code of conduct for registered medical practitioners in India.
This document defines key terms related to adverse drug reactions such as adverse events, adverse drug reactions, and medication errors. It describes the etiology and various classification systems for adverse drug reactions. The document outlines methods for detecting, reporting, and assessing the severity and seriousness of adverse drug reactions. It also covers predicting and preventing adverse drug reactions, and how to manage adverse drug reactions when they occur. The document emphasizes the importance of reporting all suspected adverse drug reactions to assist in ensuring drug safety.
RCEM guidance on Rape/sexual assault care in ED & the HIV testing in EDRashid Abuelhassan
The document provides guidance on assessing and treating victims of sexual assault and rape in the emergency department (ED). It recommends that forensic examinations be performed by trained clinicians in an appropriate environment, and that emergency contraception, STI prophylaxis, and referrals to support services be provided. Information should only be shared without consent in exceptional circumstances involving children, incapacitated individuals, or violence. The role of the ED is to treat injuries, respect patient decisions, and refer to specialized centers when possible to avoid disrupting forensic evidence collection.
This document provides an overview and summary of medicine codes in CPT. It discusses several categories of medicine codes including evaluations and management, modifiers, immunizations, psychiatry, end-stage renal disease, cardiology, pulmonary, and more. Codes are organized by specialty and service type, with notes on proper use and billing.
Radiology uses medical imaging techniques like X-rays, ultrasound, CT, MRI and PET to diagnose and treat diseases. Radiography uses X-rays to view internal structures. Ultrasound uses sound waves to detect objects and for medical imaging. CT scans combine many X-ray images from different angles to produce cross-sectional images. MRI uses magnetic fields and radio waves to generate images of organs in the body. Procedures are coded based on the imaging technique used and whether contrast is used. Modifiers identify professional and technical components.
The document provides an overview of the Current Procedural Terminology (CPT) coding system. It describes CPT as a standardized coding system maintained by the American Medical Association to provide uniform descriptions and codes for medical services and procedures. The document outlines the 10 learning objectives of the chapter, including describing the purpose, organization, and use of CPT codes. It also summarizes the different code categories and sections within CPT as well as modifiers used to provide additional information about procedures.
This document provides guidance on using external cause of injury codes, including:
1. External cause codes describe the circumstances surrounding an injury, including how and where it occurred.
2. There are different types of external cause codes that describe how the injury happened, where it happened, what the patient was doing, and whether the intent was intentional or unintentional.
3. External cause codes are used with injury codes in ranges A00-T88 or Z00-Z99. The 7th character must match between the injury and external cause codes.
4. Examples are provided to demonstrate proper use of external cause codes according to the described guidelines.
Modifiers are two-character suffixes added to procedure codes to provide additional information about the service or procedure performed. The document discusses several common modifiers used in medical billing, including:
- Modifier -22 for increased procedure intensity
- Modifier -23 for unusual anesthesia
- Modifier -24 for unrelated E/M services during the postoperative period
- Modifier -25 for significant, separately identifiable E/M services on the same day
- Modifier -50 for bilateral procedures
- Modifier -76 for repeated procedures
- Modifier -80 for assistant surgeon services
The document provides definitions and examples for how and when to use these common billing modifiers to accurately report medical services and ensure proper
The document discusses evaluation and management (E/M) coding guidelines. It covers the key components of E/M codes which are history, examination, and medical decision making. E/M codes are used to bill for office visits, hospital visits, consultations, and other services. Assignment of the codes depends on factors like new vs. established patient, type of service, place of service, patient age, and time spent. History, examination, and medical decision making are the three main components used to determine the level of E/M service provided.
This document provides information about Dr. Santosh Kumar Guptha's medical coding training program through his company Medesun Healthcare Solutions. It outlines his qualifications and certifications in medical coding, as well as details of the Comprehensive Medical Coding and Billing Training program including modules covered, fees, enrollment process, and benefits of the training such as preparing students for the CPC certification exam. The training is offered both online and in-classroom formats.
The male and female reproductive systems work together to produce offspring. The male reproductive system consists of internal and external sex organs that produce sperm and semen. The testes produce testosterone and sperm, while the penis allows for sperm delivery during intercourse. Similarly, the female reproductive system includes ovaries, fallopian tubes, uterus, and vagina. The ovaries produce eggs and hormones, the fallopian tubes aid fertilization, and the uterus nourishes the developing fetus. Fertilization occurs when sperm meets egg, initiating pregnancy and embryonic development over three trimesters until birth.
This document provides an overview of the cardiovascular system, including the heart, blood vessels, circulation, and common medical procedures. It describes the heart's location, layers, chambers, and functions. It explains the roles of arteries, veins, and blood vessels in oxygenated and deoxygenated blood transport. It also summarizes pacemaker systems, implantable defibrillators, coronary artery bypass grafting procedures, and common cardiac issues like tachycardia and bradycardia.
Anesthesia induces temporary loss of sensation or awareness through analgesia, paralysis, or amnesia. It can be categorized as general anesthesia, which suppresses the central nervous system, or regional/local anesthesia, which block nerve impulses in a targeted area. The main purposes of anesthesia are hypnosis, analgesia, and muscle relaxation. Anesthesia drugs include intravenous drugs like thiopentone and propofol, inhalational drugs like nitrous oxide and isoflurane, and analgesic drugs like opioids and NSAIDs. Anesthesia is classified and coded based on the type administered and physical status of the patient.
This document discusses several congenital malformations of the respiratory system. It describes choanal atresia where the nasal passage is blocked, as well as laryngeal webs that block the larynx. It also mentions laryngoceles, which are air sacs connecting to the larynx that protrude in the neck. Congenital cystic lung diseases and agenesis of the lung, where it is partially or completely absent, can also occur. Various conditions like these that affect the nose, larynx, trachea, bronchi and lungs are classified in the ICD-10 coding system.
The following information was taken from Chapter 3 of Buck's Step-by-Step Medical Coding, 2019 Edition. The book is cited on the last slide of the presentation. All information is relevant as of 2019. Any updates after November 2019 will not be in this presentation. This presentation was created through Canva.
The document provides updates to ICD-10-CM coding guidelines for 2023. Some key updates include clarifying that code assignment for complications of care is based on documentation of a relationship between the condition and care/procedure. Chapter-specific updates include guidance on coding HIV infections, sepsis, malignancies, diabetes, dementia, gestational diabetes, and termination of pregnancy. Social determinants of health codes and codes for underimmunization status are also addressed.
CMS has stopped being nice about ICD10. As of October 1, 2016, the grace period for not using specific codes for certain diagnoses is gone. If you are not precise with these codes, your denial rates will go up.
This presentatio helps you learn how you can avoid high denial rates and also explains:
- Key changes and revisions
- Written guidance from CMS and OIG that may negate a new guideline
- Chapter specific changes
- How to tell when you need documentation and when you don’t
Safety data reconciliation involves comparing safety data between a clinical database and safety database to ensure consistency. Key fields like adverse event term, action taken, causality, and outcome are reconciled. Discrepancies between the databases are identified and queries are issued to sites for resolution. The process aims to clean 100% of agreed upon safety data points and document any acceptable discrepancies.
The January 2015 issue of the CCHIS Newsletter "Coding Yesterday's Nomenclature Today" discusses Human Immunodeficiency Virus (HIV) Infection coding guidelines in both ICD-9 CM and ICD-10 CM.
The document provides information to help medical practices prepare for the transition from ICD-9 to ICD-10 coding standards. It discusses key differences between ICD-9 and ICD-10 such as greater clinical detail and specificity in ICD-10. The document reviews ICD-10 code structure and provides documentation and coding examples. It emphasizes the importance of education and resources to help providers and coders successfully implement ICD-10.
The document summarizes key aspects of medical jurisprudence in India. It discusses that the medical profession is governed by ethics and etiquette. It outlines the composition and functions of the Indian Medical Council and State Medical Councils, including maintaining medical registers and taking disciplinary action. It describes unethical acts and the process for issuing warning notices or erasing names from registers. It also covers professional secrecy and privileged communication, as well as the rights, duties and code of conduct for registered medical practitioners in India.
This document defines key terms related to adverse drug reactions such as adverse events, adverse drug reactions, and medication errors. It describes the etiology and various classification systems for adverse drug reactions. The document outlines methods for detecting, reporting, and assessing the severity and seriousness of adverse drug reactions. It also covers predicting and preventing adverse drug reactions, and how to manage adverse drug reactions when they occur. The document emphasizes the importance of reporting all suspected adverse drug reactions to assist in ensuring drug safety.
RCEM guidance on Rape/sexual assault care in ED & the HIV testing in EDRashid Abuelhassan
The document provides guidance on assessing and treating victims of sexual assault and rape in the emergency department (ED). It recommends that forensic examinations be performed by trained clinicians in an appropriate environment, and that emergency contraception, STI prophylaxis, and referrals to support services be provided. Information should only be shared without consent in exceptional circumstances involving children, incapacitated individuals, or violence. The role of the ED is to treat injuries, respect patient decisions, and refer to specialized centers when possible to avoid disrupting forensic evidence collection.
This document discusses Oregon laws pertaining to HIV/AIDS testing and confidentiality. It outlines that informed consent is required for HIV testing, but testing may be done without consent if a health worker was exposed to bodily fluids, by court order. It also discusses situations where minors, prisoners, and others may be tested without consent. The document outlines when and how test results can be disclosed, with and without consent, as well as ethical duties regarding clients engaging in risky behaviors. Throughout it references the relevant Oregon Revised Statutes and Administrative Rules.
Medical documentation is essential for quality patient care, coordination of care between providers, and legal protection. It must be accurate, complete, and properly stored. Key information includes subjective patient history, objective examination findings, assessments, treatment plans, and progress notes. Proper documentation protects both patients and providers by creating an accurate record of care that can justify medical decisions if questions arise.
The document discusses Oregon laws pertaining to HIV/AIDS testing and confidentiality. It outlines that informed consent is required for HIV testing but exceptions exist for situations like occupational exposure or court orders. Test results must be kept confidential except for certain disclosures like to public health authorities. The duty to warn potential contacts exists if an infected person refuses to inform partners about their status and continues high-risk behaviors. Medical organizations recommend counseling the individual first before warning contacts if necessary.
Pharmacovigilance is the science of detecting, assessing, understanding, and preventing adverse effects of drugs. It involves monitoring drugs post-marketing to identify unknown or rare adverse drug reactions. Spontaneous reporting from healthcare professionals is a major method for identifying potential safety issues with drugs after approval. Other methods include active surveillance through sentinel sites, registries, and comparative observational studies which can help validate signals from spontaneous reports. International systems like INNs and ICD codes help standardize drug nomenclature and classification of adverse events globally.
Screening for diseases from community medicine. It explains the definition of screening, lead time, uses of screening, differences between screening and diagnostic test, criteria for a disease to be screened and criteria for a screening test, cut-off points, etc
This document outlines various medical laws and duties in India. It discusses the roles and responsibilities of the Indian Medical Council, State Medical Councils, and medical practitioners regarding patients, the state, and each other. Key topics covered include duties to patients, consent, negligence, privileged communication, professional misconduct, euthanasia, and medical registration and disciplinary processes.
This document discusses the duties and procedures of medical practitioners regarding medico-legal cases (MLCs). It notes that MLCs must be properly documented and samples collected according to procedure. Treatment of the patient is the top priority. All MLC details and samples are kept confidential except what is provided to investigating officers. Failure to follow MLC protocols could result in legal penalties for the medical practitioner.
Health Education/Risk Reduction referrals to HIV testing in non-clinical sett...CDC NPIN
1) The document analyzes data from California HE/RR and HIV testing programs from 2008-2011 to evaluate outcomes of clients referred from HE/RR to testing and identify implications for programs.
2) Over 12,000 HE/RR clients were successfully matched to an HIV test, with a positivity rate of 0.52%. High-risk clients like MSM and those with HIV+ partners had higher positivity.
3) Clients who previously tested but did not report their last test date had a higher positivity rate, suggesting the importance of referral for repeat testing. The successful matching rate was higher when HE/RR and testing services were co-located.
Similar to Factors influencing health status and contact with health services (17)
The CPMB certification by PMBAUSA.com is the best choice for individuals pursuing a career in medical billing. Its comprehensive training, industry recognition, accreditation, competitive advantage, adaptability, emphasis on ethical standards, and potential for career advancement make it the gold standard for those looking to excel in the field of medical billing.
Dysphasia is a partial or complete impairment of communication abilities caused by brain injury, while aphasia is an inability to understand or form language due to damage to specific brain regions, typically from a stroke or head trauma. Agnosia is the inability to process sensory information like recognizing objects or sounds despite intact senses, while apraxia is difficulty performing motor tasks like movements when asked despite understanding instructions. Acalculia and agraphia involve impaired mathematical and writing abilities, respectively, from acquired neurological disorders.
This document discusses various symptoms and signs involving cognition, perception, emotional state, and behavior. It introduces somnolence, stupor, coma and other conditions like catatonia. The Glasgow Coma Scale is discussed as a standardized scale for assessing levels of consciousness from deep unconsciousness to full alertness. Other conditions mentioned include delirium, amnesia, vertigo, anosmia, and parosmia. The document concludes by listing relevant ICD-10 codes covering symptoms related to cognitive functions, awareness, dizziness, smell and taste disturbances, general sensations, emotional state, and appearance/behavior.
This document provides general symptoms and signs for various medical conditions organized by ICD-10-CM guidelines. It lists common symptoms like fever, headache, malaise, fatigue, convulsions, and shock. It also describes conditions such as leukemia, neutropenia, anorexia nervosa, polydipsia, polyphagia, cachexia, and nail clubbing. The document instructs medical coders on classifying these symptoms and signs using ICD-10-CM codes ranging from fever of unknown origin to generalized hyperhidrosis to unspecified illness.
This document provides guidelines for coding signs and symptoms as well as abnormal laboratory findings. It explains that R codes should be used when a definitive diagnosis has not been provided. The guidelines indicate that signs and symptoms codes should not be used if they are part of the disease process for a confirmed diagnosis. Coma scale codes and their proper sequencing is also outlined. Functional quadriplegia and coding considerations for HIV are briefly discussed.
This document discusses congenital malformations, deformations, and chromosomal abnormalities that are present at birth. It outlines various types of congenital anomalies based on the ICD-10-CM classification system, including those involving the nervous system, eye/ear/face, circulatory system, respiratory system, digestive system, genital organs, urinary system, musculoskeletal system, and chromosomal abnormalities. The guidelines specify that acquired diseases are excluded and there is no age restriction on patients.
This document discusses several congenital malformations of the nervous system, including anencephaly, acephaly, microcephaly, congenital hydrocephalus, agyria, lissencephaly, and spina bifida. Anencephaly is the absence of a major portion of the brain, skull, and scalp that occurs during embryonic development. Microcephaly is a condition where the brain does not develop properly, resulting in a smaller than normal head. Congenital hydrocephalus is a condition where there is abnormal accumulation of cerebrospinal fluid within the brain, typically causing increased pressure inside the skull. Spina bifida is a birth defect where there is incomplete closing of the backbone and membranes
This document discusses various problems that can affect newborns, including acidemia, acidosis, anoxia, asphyxia, hypercapnia, hypoxemia, and hypoxia. It defines each condition and provides details on their symptoms and causes. Acidemia refers to an increased acidity in the blood, while acidosis is a more general term for increased acidity throughout the body. Anoxia means a total lack of oxygen, and asphyxia is a deficient oxygen supply caused by abnormal breathing. Hypercapnia is an elevated level of carbon dioxide in the blood. Hypoxemia and hypoxia both refer to low oxygen levels, with hypoxemia specifically affecting arterial blood. The document concludes
This document discusses various problems that can affect newborns, including acidemia, acidosis, anoxia, asphyxia, hypercapnia, hypoxemia, and hypoxia. It defines each condition and provides details on their symptoms and causes. Acidemia refers to an increased acidity in the blood, while acidosis is a more general term for increased acidity throughout the body. Anoxia means a total lack of oxygen, and asphyxia is a deficient oxygen supply caused by abnormal breathing. Hypercapnia is an elevated level of carbon dioxide in the blood. Hypoxemia is low oxygen in the arterial blood, while hypoxia refers more broadly to insufficient oxygen supply at the tissue level
Omphalitis, or inflammation of the umbilical cord stump, is a common bacterial infection in newborns that typically occurs within 3-45 days after birth. The bacteria infects the small remaining portion of the umbilical cord after birth. This can lead to redness, swelling, and in severe cases a spread of the infection through the umbilical vessels to the rest of the body. Other infections specific to the perinatal period discussed include neonatal mastitis, which is breast inflammation usually due to infection, and neonatal pyoderma, which refers to pus-forming skin infections like impetigo that affect newborns. The document also provides ICD-10 codes for coding various infections
This document discusses several digestive disorders that can affect newborns. Meconium plug syndrome refers to a functional colonic obstruction caused by a meconium plug, usually in the left colon. Meconium peritonitis occurs when the bowel ruptures before birth, releasing meconium into the abdominal cavity and causing inflammation. Twenty percent of infants with meconium peritonitis will have vomiting, dilated bowels visible on x-rays, and require surgery. It can sometimes be diagnosed prenatally via ultrasound showing calcifications in the abdominal cavity. The document also lists ICD-10 codes for various newborn digestive disorders including necrotizing enterocolitis which is classified into stages of severity.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
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How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
The simplified electron and muon model, Oscillating Spacetime: The Foundation...RitikBhardwaj56
Discover the Simplified Electron and Muon Model: A New Wave-Based Approach to Understanding Particles delves into a groundbreaking theory that presents electrons and muons as rotating soliton waves within oscillating spacetime. Geared towards students, researchers, and science buffs, this book breaks down complex ideas into simple explanations. It covers topics such as electron waves, temporal dynamics, and the implications of this model on particle physics. With clear illustrations and easy-to-follow explanations, readers will gain a new outlook on the universe's fundamental nature.
How to Add Chatter in the odoo 17 ERP ModuleCeline George
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ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
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Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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2. INTRODUCTION
• Z codes are used as primary codes or secondary codes
• USE OF Z CODES IN ANY HEALTHCARE SETTING
• Z codes are for use in any healthcare setting.Z codes
may be used as either a first-listed or secondary code,
depending on the circumstances of the encounter.
certain z codes may only be used as first listed or
primary code.
3. • Z codes indicate reason for an encounter.
• These are not procedure codes.A corresponding
procedure code must accompany a Z code to describe
any procedure performed.
4. • Use codes from category z20 and z27 for patients who
have been exposed to the disease but who have no
signs and symptoms of the disease. you can use them
as a primary codes for testing encounters or as
secondary codes to supply information about risk.
• Use z23 as a secondary code when the patient has the
inoculation as part of a preventive healthcare visit.
5. Status codes
• A status code offers information about the patient that
may affect treatment,such as presence of a prosthetic
don’t confuse status codes with history codes, which you
use when the patient does not have the condition
anymore.
• When a code description contains status code
information don’t report status code separately
6. • Drug use; do not use codes from category z79 for
patients addicted to drugs or in
detoxification/maintainence programmes.use drug
dependence code instead.
• Genetic susceptibility assign codes from category z15
only as a secondary code and if the patient has a gene
that increases the patient risk for that disease.
7. • The z code section includes codes for both personal
history and family history
• Personal history codes typically apply to conditions the
patient used to have that have the potential to occur
again.family history codes represent conditions found in
the patients family suggesting the patient may be at
higher risk for the disease.
8. • Use the screening z codes for tests on patients with no
signs or symptoms of the disease being tested for. if a
patient has a sign or symptom then the test is diagnostic
and a screening code is not appropriate.use the sign or
symptom code for the test encounter instead.
9. • A code categories include the following
1. Z11-encounter for screening for infectious and parasitic
diseases
2. Z12-encounter for screening for malignant neoplasms
3. Z13-encounter for screening for other diseases and
disorders.except z13.9 encounter for screening
unspecified
4. Z36-encounter for antenatal screening for mother
10. • Use observation codes only as the primary diagnosis
code. other codes may be added only if they are
unrelated to the reason for observation.
11. • Code Z21 on a medical record indicates that a patient is
HIV positive and developed AIDS.
• A code from category z22 on a medical record indicates
that the person is capable of transmitting the infection of
an organism and is showing symptoms of that disease
12. • Code z33.1 pregnant state, incidental should always be
assigned as secondary/additional diagnosis.
• A code from z 79 category may be assigned if a patient
is receiving a medication for an extended period as a
prophylactic measure
• Personal history z codes explain a patients past medical
condition that no longer exists and is not receiving any
treatment and that has no potential for recurrence.
13. • Family history z codes may be used with screening
codes and personal history z codes with follow-up codes.
• History z codes are used on any medical record
regardless of reason for visit
• Testing a person to rule out or confirm a suspected
condition because the patient has some signs or
symptoms is considered as screening examination and
the visit should be coded with a code for screening
14. • A screening code is not necessary if the screening is
inherent to a routine examination
• If a condition is confirmed during screening the z code
for screening should not be coded instead only the
confirmed diagnosis should be coded
• Observation codes are to be used as additional
diagnosis always
15. • Status z codes may be used with aftercare z codes
• A status z code should not be used along with a z code
for aftercare if the aftercare code indicates the type of
status
• A follow up z code indicates that visit is for ongoing care
of a healing condition or its sequelae.
16. • Z code for follow up examination after surgery should be
coded with history code for the condition treated and
follow up code should be sequenced first followed by the
history code.
• If a condition treated is found to have recurred on a
follow up visit then code only for the recurred condition
17. • Autologus organ donation conditions may be coded with
a code from category z52
• Counseling z codes are not reported with a diagnosis
code when the counseling component of care is
considered integral to standard treatment
• Codes from z37 category should always assign as
secondary codes
18. • Codes from z34 category are always used as primary
codes
• A code from category z40.0 encounter for prophylactic
surgery for risk factors related to neoplasms may be
assigned for the removal of ovaries for the treatment of
uterine cancer.
19. LIST OF SECTIONS
• Z00-Z13 Persons encountering health services for
examinations
• Z14-Z15 Genetic carrier and genetic susceptibility to
disease
• Z16-Z16 Resistance to antimicrobial drugs
• Z17-Z17 Estrogen receptor status
• Z18-Z18 Retained foreign body fragments
20. • Z19-Z19 Hormone sensitivity malignancy status
• Z20-Z29 Persons with potential health hazards related
to communicable diseases
• Z30-Z39 Persons encountering health services in
circumstances related to reproduction
• Z40-Z53 Encounters for other specific health care
• Z55-Z65 Persons with potential health hazards related
to socioeconomic and psychosocial circumstances
21. • Z66-Z66 Do not resuscitate status
• Z67-Z67 Blood type
• Z68-Z68 Body mass index (BMI)
• Z69-Z76 Persons encountering health services in other
circumstances
• Z77-Z99 Persons with potential health hazards related
to family and personal history and certain conditions
influencing health status
22. examples
• Ex; 45-year old male presented for general examination.
O/E physician noticed pedal edema and advised further
workup
• Ans;z00.01,R60.0
• Ex; A patient is referred to the radiology department for a
chest x-ray as part of a routine physical examination
noted decreased lung sounds on examination
• Ans;z00.01
23. • Ex;well-child visit the clinician notes enlarged lymph
nodes.code the exam with abnormal findings and in
addition add the code for enlarged cervical lymph nodes
• Ans;Z00.121,R59.0
24. • EX;Encounter for examination of eyes and vision without
abnormal findings
• Ans;Z01.00
• Ex; Encounter for examination of eyes and vision with
abnormal findings
• Ans;Z01.01
25. • Resistance to antimicrobial drugs-Z16
• Code first the infection
• MRSA code from chapter-1 resistance to
antibiotics,antifungals,antivirals etc.assign the code from
category Z16.
• https://www.medesunglobal.com