| Question |
Answer |
| Acute |
Refers to the condition that is the primary reason for the current encunter. e.g.: Sudden Onset |
| Adverse |
Any response to a drug that is noxious and unintended and occurs with proper dosage. e.g.: alergic reaction |
| Aftercare |
An encounter for something planned in advance, for example, cast removal. |
| Alphabetic |
The portion of the ICD-9-CM that lists definitions and codes in alphabetic order. Also called Volume 2. |
| Carry-Over Lines |
Are always indented more than two spaces from the level of the preceding line. |
| Category |
Refers to diagnoses code listed within a specific three-digit category, for example, category 250, Diabetes Mellitus. |
| Cause |
That which brings about any condition or produces any effect. |
| Chronic |
Continuing over a long period of time or recurring frequently. |
| Coding |
The process of transferring written or verbal descriptions of diseases, injuries and procedures into numerical designations. |
| Combination |
A code that combines a diagnosis with an associated secondary process or complication. |
| Complication |
The occurance of two or more diseases in the same patient at the same time. |
| Concurrent |
When a patient is being treated bymore than one provider for different care conditions at the same time. |
| 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. ($ Book) |
| Diagnosis |
A written description of the reason(s) for the procedure, service or encounter. |
| Down Coding |
The process where the insurance carriers reduce the value of a procedure and the resulting reimbursement due to either 1) a mismatch of CPT code and description or 2) ICD-9-CM does not justify the procedure or level of service. |
| 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 |
| Etiology |
The cause(s) or origin of a disease |
| ICD-9-CM |
Internationsl Classification of Diseases, 9th Revision, Clinical Modification |
| ICD-10 |
Internationsl Classification of Diseases, 10th Revision |
| Late Effect |
A residual effect condition produced after the acute phase of an illness ot injury has ended. e.g: arthritis from broken leg years before |
| Main Term |
Refers to listing in the Alphebetic Index appearing BOLDFACE type. |
| Manifestions |
Characteristics, signs or symptons of an illness |
| Multiple |
Refers to the need to use more than one ICD-9-CM code to fully identify a coding condition |
| Primary Code |
The ICD-9-CM code that defines the main reason for the current encounter |
| Residual |
The long-term condition(s) resulting froma 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(s) |
Listed after the primary code that further indicate the cause(s) code for the current encounter of define the need for higher levels of care. |
| Sequencing |
The process of listing ICD-9-CM codes in the proper order. |
| Specificity |
Refers to requirement to code to the highest number of digits possible, 3, 4 or 5, when choosing ICD-9-CM code. |
| Sub-Term |
Refers to listings appearing in the Alphebetic Index under Main Terms and always-indented two spaces to the right. |
| Sub Categories |
Refers to the groupings of four-digits coded listed under three-digit categories. |
| Tabular List |
Is the portion of the ICD-9-CM that lists codes and definitions in numeric order. Also referred to as Volume 1. |
| V Codes |
Specific ICD-9-CM codes used to identify encounters for reasons other than illness or injury, for example, immunization. |
| Volume 1 |
See Tabular List |
| Volume 2 |
See Alphabetic Index |
| Volume 3 |
Procedure codes used for hospital coding. Volume 3 contains both a numeric listing and alphabetic index. |