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diagnostic coding
medical matching terms
| Term | Definition |
|---|---|
| highest level of specificity | the diagnosis must be coded to the absolute highest level for that code, meaning that the maximum number of digits for the code being used |
| medicare | a federally funded health insurance program for Americans aged 65 and older |
| seven | final code consists of this many characters |
| parenthesis | used around descriptions in the alphabetic index that do not affect the code |
| code linkage | analysis of the connection between the diagnostic and procedural information in order to evaluate the medical necessity of the reported changes |
| conventions | a list of abbreviations, punctuations, symbols, typefaces and instructional notes that appears at the beginning of the ICD-10 |
| third party payers | a health plan that agrees to carry the risk of paying for patients services |
| alphabetic index | looking up a diagnostic term such as bronchitis should start here |
| brackets | used around synonyms, alternative wordings, or explanations |
| diagnosis related group | method used by Medicare to determine the number of hospital days required to treat specific illnesses |
| X | the ICD-10 uses this letter to hold a place for future expansion of the code specificity |
| tabular list | the alphabetic index will direct you to the lists of appropriate codes in this area |
| diagnosis | the identification of the nature of an illness or other problem by examination of the symptoms, made by a physician |
| principle diagnosis | used in inpatient, that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care |
| October 1 | codes are updated every year on this date |
| code first underlying disease | this instruction appears when the category is not to be used as the primary diagnosis |
| combination code | a code in which two diagnosis are included in one code |
| primary diagnosis | used in outpatient, defined as the main reason for the patient visit |
| superbill | a form that combines the charges for services rendered, an invoice for payment or insurance copayment |
| comorbidities | additional conditions or symptoms that affect the patient management |
Created by:
dyturner-13
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