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Ch 3 Key Terms

3-2-1 Code It!

QuestionAnswer
coding conventions general rules used in the ICD-10-CM classification system that are independent of coding guidelines
coding conventions abbreviations use of NEC (not elsewhere classifiable) and NOS (not otherwise specified)
coding conventions NEC (not elsewhere classifiable) equivalent of "other specified"; identifies codes that are to be assigned when information needed to assign a more specific code cannot be located in the coding manual.
coding conventions NOS (not otherwise specified) equivalent of "unspecified"; identifies codes that are to be assigned when information needed to assign a more specific code cannot be obtained from the provider.
and interpreted as meaning "and/or"
boxed note defines terms, provides coding instruction, and lists fifth-digit subclassifications for categories that use the same fifth digits
code also ICD-10-CM note that provides instruction that two codes may be required to fully describe a condition; this not does not provide sequencing direction.
cross-references instruction to refer to another entry in the index or tabular list to assign the correct code
cross-references see instructional term that is located after a main term or subterm in the indexes
cross-references see also instructional term that is located after a main term or subterm, in the index and directs the coder to another main term that may provide additional useful index entries.
cross-references see category instructional term that directs the coder to the lobular list, where a code can be selected from the options provided there.
cross-references see condition instructional term that directs the coder to the main term in the index for a condition
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
due to index subterm that indicated the presence of a cause-and effect relationship between two conditions
eponym disease, syndrome, or procedure named for a person.
etiology and manifestation rules include the following in the tabular list: code first underlying disease; code, if applicable, any causal condition first; use additional code; and in diseases classified elsewhere.
code first underlying disease tabular list instructional note that assists with proper sequencing of codes.
code, if applicable, any casual condition first tabular list instructional note that requires casual conditions to be sequenced first, if present.
in diseases classified elsewhere indicates that manifestation codes are component of the etiology/manifestation coding convention.
use additional code instructional note that assists in proper sequencing of the codes.
excludes 1 note appears below codes in the ICD-10-CM tabular list to direct the coder to another location in tabular list to classify conditions that excluded from the code - code either the original code or the code to which the excludes 1 note directs you.
excludes 2 note appears below code in the ICD-10-CM tabular list to direct the coder to another location in the tabular list to classify conditions that are excluded from the code;
format for ease of reference, index subterms are indented two spaces below a main term; second, third, and fourth qualifiers are indented two, four, and six spaces, respectively, bellows the subterm.
in index subterm that indicates the presence of a cause-and-effect relationship between two conditions
includes note appears immediately below tabular list codes to further define terms or provide examples
inclusion term listed below certain codes in the tabular lists; includes conditions or procedure for which that code number is to be assigned
manifestation condition that occurs as the result of another condition; a manifestation code is always reported as a secondary code
modifier
other
other specified
punctuation
punctuation brackets
punctuation colon
punctuation parentheses
syndrome
tables
trust the index
type face
unspecified code
use
with
Created by: Cristinacholi
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