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ICD-9 Terminology ol

ICD-9 Step by Step chapter 15

QuestionAnswer
Acute refers to the condition which the primary reason for the current encounter
Addenda Official update to ICD-9-CM published in October of each year since 1986
Adverse Any response to a drug which is noxious (very Unpleasant) and unintended and occus with proper dosage.
Aftercare An encounter for something planned in advance, for example, cast removal.
AHFS American Hospital Formulary Service
Alphabetic The portion of ICD-9-CM which lists definitions and codes in alphabetic order. Also referred to as Volume 2.
Category Refers to diagnoses codes listed within a spedific three-digit catergory, for example category 250, Diabetes Mellitus.
Cause That which brings about any condition or produces any effect.
Chronic Continuing over a long period or time or recurring frequently.
Coding The process of transferring written or verbal descriptions of diseses, injuries and procedures into numerical designations.
Combination A code which combines a diagnosis with an associated secondary process or complication.
Complication The occurrence of two or more diseases in the same patient at the same time.
Concurrent Care When a patient is being treated by more than one provider for different conditions at the same time.
Conventions Refers to the use of certain abbreviations, punctuation, symbols, type faces, and other instructions which must be clearly understod in order to use ICD-9-CM.
CPT Current Procedural Terminology. Listing of codes and descriptions for procedures, services and supplies published by the American Medical Association. Used to bill insurance carriers.
Diagnosis A written Description of the reason(s) for the procedure, service , supply or encounter.
Diagnostic Statement see DIAGNOSIS
Down Coding The process where insurance carriers reduce the value of a procedure, and the resulting reimbursement.
E Codes Specific ICD-9-CM codes used to identify the cause of injury, poisoning and other adverse effects.
Eponyms Medical procedures or conditions named after a person or a place.
Etiology The cause(s) or origin of a disease.
Fee Ticket See SUPERBILL.
HCFA Health Care Financing Administration. The governmnet agency which administers the Medicare and Medicaid programs.
HCFA1500 Uniform Health Insurance Claim Form used for billing services to Medicare and other insurance carries.
Hierarchy A system which ranks items one above another.
ICD-9-CM International Classification of Diseases, 9th Revision, Clinical Modification
ICD-10 International Classification of Diseases, 10th Revision.
Late Effect A residual effect (condition produced) after the acute phase of an illness or injury has ended.
Main Term Refers to listings in the Alphabetic Index appearing BOLDFACE type.
Manifestation Characteristic signs or symptoms of an illenss.
Multiple Coding Refers to the need to use more than one ICD-9-CM code to fully identify a condition.
Primary Code The ICD-9-CM code which defines the main reason for the current encounter.
Residual The long-term codition(s) resulting from a previous acute illness or injury.
Rule Out Refers to a method used to indicate that a condition is probable, suspected, or questionable but unconfirmed. ICD-9-CM has no provisions for the use of this term.
Secondary Code Code(s) listed after the primary code which further indicate the cause(s) for the current encounter or define the need for higher levels of care.
Sections Refers to portions of the Tabular List which are organized in groups of three-digit code numbers. For example, Malignant Neoplasm of Lip, Oral Cavity and Pharynx (140-149).
Sequencing The process of listing ICD-9-CM codes in the proper order.
Specificity Refers to the requirement to code to the highest number of digits possible, 3, 4, 5, when choosing an ICD-9-CM code.
Sub Term Refers to listings appearing in the Alphabetic Index under MAIN TERMS and always indented two spaces to the right.
Subcategories Refers to groupings of four-digit codes listed under three-digit categories.
Superbill An encounter form designed to record procedures, services ans supplies along with corresponding diagnostics information.
Tabular List The portion of ICD-9-CM which lists codes and definitions in numeric order. Also refered to as Volume 1.
V Codes Specific ICD-9-CM codes used to identify encounters for reasons other than illenss or injury, for example, immunization.
Volume 1. See TABULAR LIST
Volume 2. see ALPHABETIC LIST
Volume 3. Procedure codes used only for hospital coding. Volum 3 contains both a numeric listing and alphabetic indes. Thise codes are now maintained by the American Health Information Management Association (AHIMA)
Created by: koka2k1
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