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Ch 2 Key Terms
3-2-1 Code It!
| Question | Answer |
|---|---|
| category | three-character ICD-10-CM disease code within a section |
| cooperating parties for the ICD-10-CM/PCS | AHA, AHIMA, CMS, and NCHS |
| encoder | software that automates the coding process |
| encounter | face-to face contact between a patient and a health care provider who assesses and treats the patient's condition |
| essential modifier | see subterm |
| etiology | cause of disease |
| general equivalence mapping (GEM) | published crosswalks of codes that facilitate the location of corresponding diagnosis and procedure codes between two code sets, such as ICD-9-CM and ICD-10-CM |
| ICD-10 coordination and Maintenance Committee | NCHS and CMS Department of HHS federal agencies that are responsible for overseeing all changes and modifications to ICD-10-CM (NCHS) and ICD-10-PCS (CMS) |
| Index to Diseases and Injuries | alphabetical listing of ICD-10-CM main terms and their codes |
| International Classification of Diseases (ICD) | published by the World Health Organization and used to classify mortality data from death certificates |
| legacy classification system | see legacy coding system |
| legacy coding system | classification system that is use as archive data; is no longer supported or updated |
| main term | printed in boldfaced type and followed by the ICD-10-CM code number |
| Medicare Prescription Drug, Improvement and Modernization Act (MMA) | federal legislation that requires all code sets to be valid at the time services are provided |
| morbidity | disease |
| mortality | death |
| nonessential modifier | qualifying word contained in parentheses after the main term in the ICD-10-CM Index to Diseases and Injuries that does not have to be included in the diagnostic or procedural statement for the code number listed after the parentheses to be assigned |
| Official ICD-10-CM Guidelines for Coding and Reporting | rules developed to accompany and complement official conventions and instructions provided in ICD-10-CM |
| Official ICD-10-PCS Guidelines for Coding and Reporting | rules developed to accompany and complement official conventions and instructions provided in ICD-10-PCS |
| placeholder | use of the letter "x" in certain ICD-10-CM codes to allow for future expansion |
| subcategory | ICD-10-CM codes that contain four, five, six, or seven characters |
| subterm | qualifying work listed below the main term in the ICd-10-CM Index to Diseases and Injuries |
| Tabular List of Diseases and Injuries | chronological list of ICD-10-CM codes, divided into 21 chapters based on body system or condition |