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Chapter 3
| Question | Answer |
|---|---|
| Coding conventions for ICD -10-CM and ICD -10-PCS | Are general rules used in the ICD -10-CM classification system that are independent of coding guidelines |
| Default code | ICD -10-CM code listed next to a main term in the index.....represents that condition that is most commonly associated with the main term,or is the unspecified code for the condition |
| Syndromes | Are clinically recognizable features such as signs(observed by others)symptoms (reported by the patient)and characteristics that often occur together |
| Eponyms | Are diseases or syndromes that are named for people... listed in alphabetical sequence as main terms,they are listed as subterms below the main terms,a description of the disease syndrome or procedure is usually included in parentheses following the epony |
| NEC | Not elsewhere classifiable...means "others" or "other specified "and identifies codes that are to be assigned when information needed to assign a specific code can't be located |
| NOS | Not otherwise specified..it identifies codes that are to be assigned when information needed to assign a more specific code cannot be obtained from the provider. |
| Brackets | Are used to identify manifestation codes |
| Manifestation | Is a condition that occurs as the result of another condition..manifestation codes are reported as secondary codes |
| Boxed notes | Defines |
| If an index entry is too long to fit on the line,additional text is | Printed on the next line and indented five spaces |
| Each ICD-10-CM and ICD -10-PCS index uses an indented format for ease in reference | All ICD -10-CM index to disease and injuries subterms associated with main terms are indented two spaces with 2nd an 3rd qualifiers with the main term indented by 2 and 4 spaces,if a index require more than 1 line the text is printed on the next line and |
| ICD-10-CM and ICD -10-PCS also makes use of the boldface and italic typeface for ease in reference | Boldface type is used for main entries alphabetical indexes,all codes and descriptions in the tabular list, italicized type is used for tabular list exclude1 an exclude2 to identify manifestation codes |
| ICD -10-CM included the following punctuation | Bracket,colons,and parentheses |
| Parentheses are used in both ICD -10-CM index and tabular list ICD -10-PCS index to enclose nonessential modifiers which are supplementary words that maybe present or absent for physicians notes | |
| Colon | Used after an incomplete term or phrase in the ICD -10-CM disease index and tabular list |
| Modifiers (additional terms) | Following the colon is needed to make the condition assignable to a given category |
| Tables | Organize subterms 2nd qualifiers and 3rd qualifiers,their codes in columns and rows to make it easier to select the proper code |
| Neoplasm is an alphabetical index of anatomical sites,there is 6 possible codes which is.... | Malignant, benign,in situ,of certain behavior, or of unspecified nature |
| The table of drugs and chemicals in ICD -10-CM is alphabetical in |