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ICD-10 CM Convention

This is for the different ICD-10-CM conventions

TermDefinition
What does 'NEC' mean? Not Elsewhere Classified
What does 'NOS' mean? Not Otherwise Specified
What does '[ ]' represent? These brackets indicate multiple codes are required
What does '( )' represent? These parentheses indicate supplementary words that may be present or absent of a disease or procedure.
What does the 'BOLDFACE' type represent? It is used for all codes and titles in the Tabular List
What does the 'Includes' note represent? The includes note appears right after the 3-character code title to define or clarify the category
What does the 'Excludes1' note represent? It means that the condition is NOT CODED within that specific code
What does the 'Excludes2' note represent? It means that the condition is NOT INCLUDED within that specific code
What does the term 'Use Additional Code' represent? This means an additional code should be used, to provide a more complete picture of the diagnosis
What does the term 'Code First' represent? This means the categories are NOT INTENDED to be the principle diagnosis
What does the term 'Use Additional Code, If Applicable' represent? This means that the casual condition code may be assigned as a diagnosis when the casual condition is unknown or not applicable
What does the term 'Combination Code' represent? This is when a single code is used to classify 2 diagnosis; a diagnosis with an associated secondary process (manifestation), or a diagnosis with an associated complication
What does the term 'Eponym' represent? This is a code that describes a disease or syndrome named after a person
What does the term 'Modifier' represent? Modifiers are subterms listed in the Alphabetic Index . They can clarify the diagnosis, but are not required.
What does the term 'Notes' represent? Notes are used to define terms, clarify information, or list choices for additional characters.
What does the term 'Other' represent? Other/Other Unspecified codes are used when the information in the medical record provides details for which a specific code does not exist.
What does the term 'See' represent? This directs the coder to a more specific term
What does the term 'See Also' represent? This means additional information is available that may provide an additional diagnosis code.
What does the term 'See Category' represent? This means the specified category code should be reviewed before assigning a code.
What does the term 'Unspecified' represent? This means if the information in the medical record does not indicate a more specified disease/condition isn't noted, this can be used
What does the term 'And' represent? The word 'And' can be use as "and" or "or"
What does the term 'With' represent? The term 'With' is identified as a casual relationship between 2 conditions, and is located in the Alphabetic Index under the main category term
Created by: jacquelinerose