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Chapter 3
Introduction to ICD - 9 CM Glossary
| Term | Definition |
|---|---|
| Acute | A condition with a rapid and short course |
| Anatomical | Body Site |
| And | Can either mean "and" or "or" when it is in the code description |
| BMI | Body Mass Index |
| Brackets[] | Symbol to enclose synonyms, alternate wording, or explanatory phrases |
| Chronic | A condition that develops slowly and last a long time |
| Code First | Note in the tabular list written in italics requiring the underlying disease if reported first |
| Colon: | Used in Volume 1 after an incomplete term that needs one or more of the modifiers that follow to make it assignable to a given category |
| Combination Code | Single code used to classify two diagnoses |
| COPD | Chronic Obstructive Pulmonary Disease |
| E Codes | Codes reported to identify how an injury occurred an the location of where it occurred. E codes are never sequenced first |
| Etiology | Cause of disease |
| Eponym | Disease or syndrome named after a person |
| Essential Modifiers | Subterms that are listed below the main term in the alphabetical order, and are indented |
| Excludes | Note in the tabular list to indicate the terms listed are to be reported with a code from another category |
| Includes | Note in the tabular list under a three digit code title to define further, or to give an example of the contents of the category |
| Index to Diseases | Diagnosis codes organized in an Alphabetic Index |
| Late Effect | An inactive, residual effect or condition produced after the acute portion of an injury or illness has passed |
| NEC | Not else where classified |
| Nonessential Modifiers | Subterms that follow the main term and are enclosed in parentheses; they can clarify the diagnosis but are not required |
| NOS | Not otherwise specified |
| Parentheses () | Symbol to enclose supplementary words that may be present or absent in the statement of a disease or procedure; without affecting the code number to which it is assigned |
| Rubrics | Three Digit Categories |
| See also | Note in the Alphabetic Index that indicates additional information is available that may provide an additional diagnostic code |
| See | Note in the Alphabetic Index that directs you to a more specific term under which the correct code can be found |
| Septicemia | A systemic disease associated with microorganisms or toxins in the blood. These toxins are caused by bacteria, viruses, fungi, or other organisms |
| Sepsis | Whole body inflammatory state. It generally refers to SIRS that is due to an infection |
| Severe Sepsis | Sepsis with associated acute organ dysfunction |
| Slanted Brackets [] | Symbol to indicate multiple codes are required |
| Tabular List | Diagnosis codes organized in numerical order |
| Unspecified | Codes (usually with a fourth digit 9 or fifth digit 0) are used when the information in the medical record is not available for coding more specifically |
| Use Additional Code | Note in the tabular list instructing you report a second code, if the information is available, to provide a more complete picture of the diagnosis |
| V codes | Codes used to describe circumstances or conditions that could influence patient care |
| Volume 1 | Referred to as the Tabular List |
| Volume 2 | Referred to as the Alphabetical Index or Index to Diseases |
| Volume 3 | Referred to as the Alphabetical Index or Tabular List of Procedures; used by inpatient coders |
| With | Means "associated with" or "due to" in a code title in the Alphabetical Index or an instructional note in the Tabular List |
Created by:
BBracha
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