The document reviews the anatomy and physiology of the heart and lungs, their structures and functions, as well as common diseases coded with ICD-10 codes. Key cardiac structures include the atria, ventricles, and valves, while pulmonary function is to oxygenate blood and remove carbon dioxide. Common cardiac issues covered are valves disorders, muscle abnormalities, and heart failure symptoms.
power point presentation of Clinical evaluation of strabismus
Cardiopulmonary Disease by Deirdre Woods, MD
1. Cardiopulmonary Anatomy and
Physiology : Review for ICD
Coding
Deidra Woods, MD, FACP, CMD,
FAAHPM
November 16, 2011
GCHIMA
2. Cardiac and Pulmonary Function
• Pulmonary Function
– Oxygenate the blood
• Cardiac Function—act as a pump to
– Deliver unoxygenated blood to the lungs
– Return oxygenated blood from the lungs and
– Then deliver it to the rest of the body
7. Cardiac Impulse
Conduction/Disturbance
• Sinoatrial node (SA node)
– Bradycardia
– Sinus tachyardia
– Sick sinus syndrome (SSS)
• Atrioventricular node (AV node)
– Varying ―degrees‖ of AV block
• First degree
• Second degree
• Third degree or complete
– Junctional rhythms
• Right and Left ventricular bundles
– RBBB, LBBB
• Purkinje fibers
8. Cardiac Structures ICD 10 I
• Valves
– Insufficiency or regurgitation
• Leaky or floppy—let blood flow the wrong way
– Stenosis
• Tight—restrict blood flow, cause the muscle to work too hard to get
blood out of the heart chamber
• Rheumatic aortic stenosis I06.0
• Non-rheumatic aortic stenosis I35.0
• Muscle itself
– Hypertrophy
• large, overdeveloped, due to hypertension, accumulation of iron,
amyloid
– Dilated
• Thin, floppy, ineffective contractions due to damage from MI {I25.5
ischemic cardiomyopathy}, muscular dystrophy, viral infection, unknown
cause
9. Cardiac Function
– { I50 } Heart failure indicates that the pump
function of the heart is not adequate
– Symptoms vary depending on the cause
• Right sided or diastolic heart failure {I50.32}
– Swelling (edema) in legs
– Enlarged liver (hepatomegaly)
– Loss of appetite (anorexia)
– Fatigue
– Dyspnea
– Increased neck vein distention (JVD—jugular vein
distention)
10. Cardiac Function Diseases ICD 10
I 50
• Left sided heart failure
– Dyspnea R06.00
– Edema
– Can’t lie flat without dyspnea (orthopnea)
– Wakens with acute dyspnea (paroxysmal nocturnal
dyspnea or PND)
– Palpitations (sensation of heart beating irregularly or
quickly)
– Irregular heart beat
– Rapid weight gain or weight loss
– Anorexia R63.0
11. Pulmonary Function
• Purpose of the lungs is to oxygenate blood
and remove carbon dioxide from the body
• Heart delivers blood from the right
ventricle via pulmonary artery to the lungs
and returned to the heart (the left atrium)
via the pulmonary veins
16. Hospice Patients
– End stage of any illness
– Poor functional status
– Need assist with activities of daily living
– House bound
– Palliative Performance Scale 40% or less
– Frequent hospitalizations or emergency room
visits for symptom management
17. Palliative Performance Scale
– Scale rated 0% (dead) to 100% (normal)
– Assesses
• Ambulation
• Activity and evidence of disease progression
• Self care
• Intake
• Consciousness
– Most hospice patients rated at 40% or lower