Week 5 Coding Practice Chapter 6 Z-Codes

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What is the definition of History(of) within the Z Code Category?

Explains a​ patient's past medical condition that no longer exists and is not receiving any​ treatment, but that has the potential for​ recurrence, and therefore may require continued monitoring

Into how many categories are Z codes​ classified?

Z codes are classified into 15 categories.

Encounter for suspected maternal and fetal conditions ruled out.​ ICD-10-CM Code(s)

Z03.7

Encounter for​ follow-up examination after completed treatment for conditions other than malignant neoplasm.​ ICD-10-CM Code(s) nothing

Z09

Encounter for screening for infectious and parasitic diseases.​ ICD-10-CM Code(s)

Z11

Encounter for screening for malignant neoplasm of stomach.​ ICD-10-CM Code(s) nothing

Z12.0

Encounter for screening for malignant neoplasm of prostate.​ ICD-10-CM Code(s) nothing

Z12.5

Encounter for​ screening, unspecified.​ ICD-10-CM Code(s) nothing

Z13.9

A patient who does not show any sign or symptom of tuberculosis but is suspected to have been exposed to it by a close personal contact with an infected​ individual..ICD-10-CM Code(s)

Z20

Which code is an example of the Z code category ​Contact/Exposure​?

Z20, Categories can be found under the Official Guidelines for Coding and Reporting​ (OGCR) I.C.21.c.1.

Encounter for genetic counseling associated with procreative management.​ ICD-10-CM Code(s)

Z31.5

Encounter for supervision of normal first​ pregnancy, first trimester.​ ICD-10-CM Code(s) Upper Z 34.01

Z34.01

Encounter for supervision of normal first​ pregnancy, third trimester.​ ICD-10-CM Code(s) nothing

Z34.03

32 weeks gestation of pregnancy.​ ICD-10-CM Code(s) nothing

Z3A.32

Encounter for antineoplastic radiation therapy.​ ICD-10-CM Code(s)

Z51.0

A patient diagnosed with middle lobe lung cancer presents to the Cancer Center for their first cycle of antineoplastic chemotherapy.​ ICD-10-CM Code(s)

Z51.11, C34.2

What is the Z code for a procedure and treatment not carried​ out, unspecified​ reason?

Z53.9 s appropriate when an encounter occurs after a procedure was cancelled or a surgical approach converted.

What Official Guidelines for Coding and Reporting​ (OCGR) Z code category would a Z code that is appropriate for a patient receiving required care during the healing or recovery phase be​ found?

In the aftercare​ category, the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase or for the​ long-term consequences of the disease.

In which circumstance would a Z code be​ utilized?

Seemingly well individuals receive testing for a disease or disease precursors so that early detection and treatment can be provided for those who test positive for the disease. Next Question

What Main Term for a Z code should a coder refer to in the Index to assign a secondary code on records of mothers that include the delivery​ encounter?

The Main Term for a Z code used for an encounter where a patient gives birth is Outcome of delivery. Z37 Outcome of delivery must always be a secondary code on records of mothers that include the delivery encounter.

What Z code would be appropriate for Type A​ Blood, Rh​ positive?

The appropriate Z code for Type A​ blood, Rh positive is Z67.10

What is the definition of nonspecific within the Z code​ category?

They are used primarily in inpatient settings when there is no further documentation to permit more precise coding.

Patient has been put in restraints during the current encounter.​ ICD-10-CM Code(s) nothing

Z78.1

History of falling.​ ICD-10-CM Code(s) nothing

Z91.81

Personal history of contraception.​ ICD-10-CM Code(s)

Z92.0

Patient has personal history of antineoplastic chemotherapy..​ ICD-10-CM Code​ (s)

Z92.21

Status post administration of tPA in a different facility within the last 24 hours prior to admission to a current facility.​ ICD-10-CM Code(s) nothing

Z92.82


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