A resident has a diagnosis list that includes Alzheimer’s, urinary tract infection (UTI), congestive. Question
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A resident has a diagnosis list that includes Alzheimer’s, urinary tract infection (UTI), congestive heart failure (CHF), depression, pneumonia, diabetes, and osteoarthritis. The physician signed the diagnosis list within the past 30 days. She currently is on a dementia unit and takes Namenda. She is also receiving as needed (prn) acetaminophen for arthritis pain. She is followed by a psychiatrist for depression but has not been seen in the past 30 days and is on no medications for depression. Her PHQ-9© score was 0. UTI diagnosis and McGeer’s criteria supported UTI 32 days ago; antibiotics for the UTI and pneumonia ended 25 days ago, and she has been asymptomatic for the last month. She is on Lasix for CHF and insulin with blood sugar checks for diabetes BID. What diagnoses should be included in Section I?
Alzheimer’s, UTI, CHF, depression, pneumonia, diabetes, osteoarthritis
Alzheimer’s, pneumonia, CHF, diabetes, osteoarthritis
Alzheimer’s, UTI, CHF, depression, diabetes, osteoarthritis
Alzheimer’s, CHF, diabetes, osteoarthritis
5. A resident has an indwelling catheter in the look-back period with no diagnosis that supports its use. When coding Section I of the MDS, which of the following items is correct?
Enter the unknown code (dash) in obstructive uropathy and neurogenic bladder.
Code neurogenic bladder and follow-up with the physician to document and confirm reason for indwelling catheter.
Query the physician prior to the end of the look-back period to determine the diagnosis supporting catheter use.
Code “urinary retention” in I8000 since a nursing assessment has this block checked In the look-back period.
6. Mr. J fell and fractured his hip 2 years ago. At the time of the injury, the fracture was surgically repaired. Following the surgery, the resident received several weeks of physical therapy in an attempt to restore him to his previous ambulation status, which had been independent without any devices. Although he received therapy services at that time, he now requires assistance to stand from the chair and uses a walker. He also needs help with lower body dressing because of difficulties standing and leaning over. Based on this scenario, which of the following is correct?
a] Hip fracture (I3900) is checked because the resident has a need for assistance to stand and uses a walker.
b] Hip fracture (I3900) is not checked, although the resident has mobility and self-care limitations in ADLs due to the hip fracture.
c] Hip fracture is not checked, but the ICD-10 code is entered in I8000 for aftercare of the hip fracture.
d] Hip fracture (I3900) is checked because the physician signed a monthly order sheet that included ‘hip fracture’ as an active diagnosis.
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A resident has a diagnosis list that includes Alzheimer’s, urinary tract infection (UTI), congestive
