click below
click below
Normal Size Small Size show me how
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 |