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Chapter 3

Introduction to ICD - 9 CM Glossary

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