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