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Chap. 9 Basic Coding
Diseases of the Nervous system and Sense Organs (320-389)
| Question | Answer |
|---|---|
| What is the title and codes for chapter 6 of ICD-9-CM? | Diseases of the Nervous System and Sense Organs (320-389) |
| What are some of the conditions classified in chapter 6 of ICD-9-CM? | Conditions affecting the brain and spinal cord as well as the peripheral nervous system. It also classifies a variety of eye and adnexal disorders and diseaes of the ear and mastoid process. |
| Inflammatory disease of the brain and spinal cord (CNS). It may be caused by a variety of microorganisms or viruses (from chap 1). | 322.9, Meningitis |
| This category is found in inflammatory disease of the CNS and classifies various types of insomnia, hypersomnia, and sleep apnea. | 327, Organic Sleep disorders |
| This code describes the condition that can be caused by damage to the central nervous system by trauma or brain-related disease (ex CVA, MS, tumors, or epilepsy) | 338.0, Central pain syndrome |
| When is 338.0 central pain syndrome accepted as the primary diagnosis? | (1) the related definitive diagnosis has not been confirmed. (2) pain control or pain management is the reason for the admission or outpatient visit. |
| If a 338 code is reported but not identified as acute or chronic how would you code this? | Both codes would be assigned. (also the site of pain would come before a code from category 338) |
| Under category other disorders of the Nervous System. Both these terms refer to one side of the body. | Hemiplegia and himiparesis |
| These terms are assigned to category code 780.39, Other Convulsions. | Seizures, repetitive seizures, convulsions, recurrent convulsions, repetitive convulsions, epileptiform convulsions and convulsive disorder. |
| These terms are assigned to category code 345, Epilepsy and recurrent seizures. | Recurrent seizures, epileptic convulsions, and seizure disorder |
| An infection of the external auditory canal that may be classified as acute or chronic. | Otitis externa, external otitis, swimmer's ear. |
| Type of otitis externa. Characterized by moderate to severe pain, fever, regional cellulites, and partial hearing loss | Acute otitis externa |
| Type of otitis externa. It is characterized by pruritus, which leads to scaling and a thickening of the skin. | Chronic otitis externa |
| Type of OM that is characterized by severe, deep, throbbing pain; sneezing and coughing; mild to high fever; hearing loss; dizziness; nausea and vomiting. | Acute suppurative OM |
| Type of OM that is characterized by severe conductive hearing loss and, in some cases a sensation of fullness in the ear with popping, cracking, or clicking sounds on swallowing or jaw movement. | Acute secretory OM |
| Type of OM that has its origin in the childhood years but usually persists into adulthood. Cumulative effects include thickening and scarring of the tympanic membrane, decreased or absent tympanic mobility, cholesteatoma, and painless purulent discharge. | Chronic OM |
| What is the difference between chapter 6 of ICD-9-CM and ICD-10-CM? | ICD-9-CM includes diseases of the nervous system and sense organs while ICD-10-CM has 3 separate chapters for these same conditions (G00-H59). |
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