Save
Busy. Please wait.
Log in using Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Coding Terms

TermDefinition
NEC not elsewhere classified; used in the Alpha Index to indicate that there is no separate code for the condition even though the diagnostic statement is specific
NOS not otherwise specified; equivalent to the term "unspecified"
Excludes1 NOT CODED HERE
Excludes2 NOT INCLUDED HERE
Parentheses used to enclose supplementary words or explanatory info that may be either present or absent in the statement of diagnosis without affecting the code to which it is assigned.
Non-Essential Modifiers are used to suggest the terms in the parentheses are included in the code but need to be stated in the diagnosis
Square Brackets used in the Tabular List to enclose synonyms, alternative wordings, abbreviations and explanatory phrases that provide additional info; never be assigned as principal diagnosis
Colons used in the Tabular List in both inclusion and exclusion notes after an incomplete term that needs one or more of the modifiers following the colon in order for the term to apply
"And" should be interpreted to mean either "and" or "or"
"With" should be interpreted to mean "associated with" or "due to"
MS-DRG System Medicare Severity-Adjusted Diagnosis-Related Groups system; a patient classification system used in hospital inpatient reimbursement
Other Reportable Diagnoses conditions that coexist a the time of admission, develop subsequently, or affect patient care during the hospital stay
Principal Diagnosis the condition established after study that is chiefly responsible for admission of the patient to the hospital
UHDDS Uniform Hospital Discharge Data Set; info used for reporting inpatient data in acute care, short-term care and long-term care hospitals
POA Indicator present on admission indicator; a data element that applies to diagnosis codes for claims involving inpatient care
Provider a physician or any qualified health care practitioner, who is legally accountable for establishing the patient's diagnosis
Tabular List contains categories, subcategories and valid codes
"Rule Out" indicates that a diagnosis is still possible
"Ruled Out" indicates that a diagnosis once considered likely is no longer possible
Character an axis of classification that specifies information about the procedure performed
ValueApproach the 5th character in the code in the Medical and Surgical Section; the way the procedure site is reached
Qualifier the 7th character in the code in the Medical and Surgical Section; it carries additional info for that particular procedure
Root Operation the 3rd character in ICD-10-PCS code, which refers to the objective of the procedure
Principal Procedure procedure performed for definitive treatment (rather than for the diagnostic or exploratory purposes)
Z Codes codes for factors influencing health status and contact with health services
External Cause of Morbidity Codes codes for external causes to provide info for injury research and evaluation of injury prevention strategies
Aftercare Management continued care during the healing phase or long-term care due to the consequences of a disease
Sign objective evidence of disease observed by the examining physician
Symptom subjective observation reported by the patient
Created by: wallace263
 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards