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Ch 4 Key Terms
3-2-1 Code It!
| Question | Answer |
|---|---|
| benign | not cancerous |
| carcinoma (Ca) in situ | malignant tumor that is localized, circumscribed, encapsulated, and noninvasive, but had not spread to deeper or adjacent tissues or organs. |
| closed fracture | type of fracture that is contained BENEATH THE SKIN AND HAD INTACT LIGAMENTS AND SKIN |
| combination code | single code used to classify two diagnoses, a diagnosis with an associated secondary process, or a diagnosis with an associated complication. |
| compound fracture | see open fracture |
| contiguous sites | adjacent locations as in cancer of multiple sites that overlap or order each other |
| fracture | break in a bone resulting from injury or a disease process |
| laterality | in ICD-10-CM, whether the condition occurs on the left, the right, or is bilateral; in CPT procedure is performed bilaterally |
| malignant | cancerous |
| malunion | failure of the ends of a fractured bone to heal |
| metastatic cancer | see secondary malignancy |
| multiple codes | more than one ICD-10-CM code that is assigned to completely classify the elements of a complex diagnosis statement |
| neoplasm | new growth, or tumor, in which cell reproduction is out of control |
| nonunion | see malunion |
| open fracture | type of fracture that has an associated open wound |
| opportunistic infection | one that takes advantage of the body's weakened defenses, such as in an HIV-positive patient |
| overlapping sites | see contiguous sites |
| perinatal period | interval of time occurring before, during and up to 28 days following birth |
| primary malignancy | original tumor site |
| residual effect | condition produced after the acute phase of an illness or injury had terminated |
| secondary malignancy | tumor that has metastasized, or spread, to a secondary site either adjacent to the primary site or to a remote region of the body |
| sequela | residual (long-term condition produced) that develops after the acute phase of an illness or injury has ended |
| simple fracture | see closed fracture |
| type 1 diabetes mellitus | a condition in which the patient's body is unable to produce insulin |
| type 2 diabetes mellitus | a condition in which the patient's body is unable to properly use insulin produced |
| uncertain behavior | subsequent morphology or behavior that cannot be predicted based in the submitted specimen |
| unspecified nature | neoplasm is identified, but the results of pathology examination are not available; thus, there is no indication as to histology or nature of the tumor |