Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Normal Size Small Size show me how
chapter 3 key terms
coding conventions
| Term | Definition |
|---|---|
| coding conventions | general rules used in the classification and they are independent of the coding guidelines |
| abbreviations | to save space |
| NEC ( not elsewhere classifiable) | means other or other specified |
| NOS (not otherwise specified) | equivalent of unspecified |
| and | appears in category titles and code descriptions in icd-10-cm tabular list of diseases and injuries, icd-10-pcs index, icd-10-pcs tables, interpreted as and/or |
| boxed note | define terms and provide coding instructions |
| code also | alerts the coder that more than one code may be required to fully describe the condition. |
| cross-reference | used in icd-10-cm and icd-10-pcs, instructs the coder to refer to another entry in the index or tabular list to assign the correct code. |
| see | instructions after a main term directs the coder to another term in icd-10-cm and icd-10-pcs indexes to locate code. |
| see also | located after main term or subterm in the icd-10-cm indexes and directs the coder to another main term or subterm that may provide useful index entries |
| see category | directs coder to the icd-10-cm tabular list where a code can b selected from the options provided there |
| see condition | directs coder to the main term for a condition, found in icd-10-cm disease index |
| default code | code listed next to the main term in the icd-10-cm indexes |
| due to | located in icd-10-cm index to diseases & injuries, alphabetical order to indicae the presence of cause and effect relationship between two conditions. |
| eponym | disease or syndrome that are named for people |
| etiology and manifestation rules | icd-10-cm tabular list of diseases and injuries, code first underlying disease, code, if applicable, any casual condition first, use additional code, in diseases classified elsewhere |
| code first underlying disease | the manifestation code |
| code, if applicable, any casual condition first | the casual condition to be sequenced first if present |
| in diseases classified elsewhere | indicates that the manifestation codes are component of the etiology/manifestation coding convention |
| use additional code | etiology and manifestation combination of codes exists the tabular list etiology code containes |
| excludes1 note | pure excludes, means not coded here and indicates mutually exclusive codes. |
| excludes2 note | meant not included here and indicates that although the excluded condition is not classified as part of the condition it is excluded from |
| format | for ease in refrence |
| in | appears in icd-10-cm disease index located in alphabetical order below the main term, physician must document both conditions in patients record |
| includes note | list below certain categories to further define, clarify, or give examples about the content below a code category |
| inclusion term | indicate some of the conditions for which that code may be assigned |
| manifestation | condition that occurs as the result of another condition and manifestation codes as always reported as a secondary codes |
| modifier | additional terms |
| other | code is assigned when patient record documentation provides detail for which a specific code does not exist in icd-10-cm |
| other specified | same as other. |
| punctuation | brackets, colons, parentheses |
| brackets | identify manifestation codes in the icd-10-cm index to diseases and injuries |
| colon | used after incomplete term or phrase to make the code assignable to given category |
| parentheses | enclose nonessential modifiers, used in icd-10-cm and icd-10-ocs indexes |
| syndrome | association of clinically recognizable features such as signs, symptoms, and/or characteristics that often occur |
| tables | organize subterms, 2nd & 3rd qualifiers, their codes in columns and rows to make it easier to select the proper code |
| trust the index | a concept that that icd-10-cm disease index containing many diagnostic terms that do not appear in tabular list |
| typeface | for ease in reference. bold face, italicized types. |
| unspecified code | assigned because patient record documentation is insufficient to assign a more specific code. |
| use | directs coder to a body part or device in icd-10-pcs index |
| with | located immediately below the main term, not in alphabetical order. appears in icd-10-cm index to diseases and injuries, physician must document both presence of conditions or procedures in patients record |
Created by:
jenthebunbun