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Chapter 1

Acute A condition with rapid and short course
Anatomical Body site
And "And" or " or
BMI body mass index
brackets Synonymous alternate word explanation phrases
Chronic Develops slowly last a long time.
Code first Note in intalics in the tabular to code the underlying disease first
Colon Used in tabular list after incomplete term that need one or more modifiers.
Combination code Single code used to clasify two diagnosis
COPD chronic obstructive pulmonary Disease
Default Code Code listed next to main term abd represents the condition commonly associated with the main term
Etioligy Cause of disease
Eponym Disease or syndrome named after a person
Essential modifiers Subterms listed below main term alpha order and indented
Excludes1 Term is to be reported with a code from another category and not be used with a current selected category
Excludes 2 Term may be used with current category and another category if both conditions exist
Include Note in tabular list under thre character code to define further or give example of contents of same category
Main term Key word to reference the disease condition or system in alpha index it is in bold
NEC Not elsewhere classified
Non essential modifiers
Point dash Symbol found in Icd 10 alpha index after certain codes.code is incomplet. And go category or subcategory to complete
Parentheses Symbol that encloses supplementary words wo affecting the code
Rubris 3 characters category
See also Additional info is available to provide another code
See Directs to a more specific term where correct code can be found
Septicemia Systemic disease from microorganisms or toxins in blood
Sepsis Whole body inflammation It Generally refers to SIRS
SEQUELA LATE effect an inactive residual condition produced after an acute injury or illness
Severe sepsis Acute organ dysfunction
Subterms Indented un main terms to describe differences in site,condition etioligy.they add specificity.
Unspecified Codes used when the info in medical record is not available
Use additional codes Note in tab list instructing to report another code to provide a complete pic of code
Z codes Code use to describe circumstances or condition that influence patient care
With Associated with or due to
MSSA METHICILLIN susceptible Staph aureus skin infection that is not resistant to certain antibiotics
HIV Human immunodeficiency virus breaks down your immune system
Pcp Pneumocytitis carini pneumo inflammation and fluid build up in the lungs
PJP pneumocytitis jiroveci pneumonia Pcp in HIV
SIRS systemic inflammatory response syndrome The body's response to infection or bacteria that leads to multiple system organ failure
Carcin\o Cancer
Neo New
Plasm Clear yellowish fluid portion of blood lymphor intramuscular fluid
Granul/o Small grains
Coagul Blood clot
Cbc Complete blood count
Esr Erythrocytes transportation of O2 Co2
Rbc Red blood cells
Wbc White blood cells
Produce in pancreas
Changing attracting a response
Schizo Split cleft
Add Attention deficit disorder
Adhd Attention deficit. Hyperative disorder
Mdd Major depression disorder
Ocd Compulsive depressive disorder
Ptsd Post traumatic disorde
Sad Seasonal affective disorder
Created by: sdt024