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AHA American Hospital Association
AHIMA American Health Information Management Association
CMS Centers for Medicare and Medicaid Services,formerly the Health Care Financing Administration (HCFA)
NCHS National Center for Health Statistics
CC complications and comorbidities
MCC Major complications and comorbidities. MS-GRGs
MS-DRGs Medicare Severity Diagnosis Related Groups
Sequela is the residual effect (condition produced)
Coding of sequela generally requires two codes sequenced in the following order: The condition or nature of the sequela is sequenced first. The sequela code is sequenced second.
Impending about to occur
Arthritis Arthropathy, Osteoarthritis
serology The branch of science concerned with serum, especially with specific immune or lytic serums;
ST segment The part of an EKG tracing that begins at the end of a QRS complex, contains the J point, and ends at the beginning of the ensuing T wave.
queried To express doubt or uncertainty about
sepsis Systemic infection by pathogenic microorganisms, especially bacteria, that have invaded the bloodstream, usually from a local source.
exacerbation To increase the severity, violence, or bitterness of
postoperative Happening or done after a surgical operation.
Reactive arthropathy infection is identified in the body, but the organism and antigen are not identified in the joint.
postinfective arthropathy, the antigen is present, but the recovery of the organism is not constant, and there is no evidence that a microorganism is multiplying
Atrophic disorders of skin scar
hallax valgus / bunion an abnormal deviation of the big toe away from the midline of the body or toward the other toes of the foot
uncontrolled diabetes E10.65 Type 1 diabetes mellitus with hyperglycemia
ASD atrial septal defect
fetal newborn, liveborn
Status(post) shunts, inplant etc Z98
Respirator ventilator
Dependency Z99
Altered Alteration
bruit, cardiac heart murmur
abnormal - specimen Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis R83-R89
Abnormalities of breathing R06
BMI body mass index Z68
underweight R63.6
laceration rough, jagged tear (open wound )
symptomatic pertai ning to a symptom or symptoms.
asymptomatic showing no evidence of disease.
congenital of or relating to a condition present at birth, whether inherited or caused by the environment,
HIPAA Health Insurance Portability and Accountability Act of 1996: U.S.
Created by: ptenz