Question | Answer |
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. |