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ICD-9 Terminology ol
ICD-9 Step by Step chapter 15
| Question | Answer |
|---|---|
| Acute | refers to the condition which the primary reason for the current encounter |
| Addenda | Official update to ICD-9-CM published in October of each year since 1986 |
| Adverse | Any response to a drug which is noxious (very Unpleasant) and unintended and occus with proper dosage. |
| Aftercare | An encounter for something planned in advance, for example, cast removal. |
| AHFS | American Hospital Formulary Service |
| Alphabetic | The portion of ICD-9-CM which lists definitions and codes in alphabetic order. Also referred to as Volume 2. |
| Category | Refers to diagnoses codes listed within a spedific three-digit catergory, for example category 250, Diabetes Mellitus. |
| Cause | That which brings about any condition or produces any effect. |
| Chronic | Continuing over a long period or time or recurring frequently. |
| Coding | The process of transferring written or verbal descriptions of diseses, injuries and procedures into numerical designations. |
| Combination | A code which combines a diagnosis with an associated secondary process or complication. |
| Complication | The occurrence of two or more diseases in the same patient at the same time. |
| Concurrent Care | When a patient is being treated by more than one provider for different conditions at the same time. |
| Conventions | Refers to the use of certain abbreviations, punctuation, symbols, type faces, and other instructions which must be clearly understod in order to use ICD-9-CM. |
| CPT | Current Procedural Terminology. Listing of codes and descriptions for procedures, services and supplies published by the American Medical Association. Used to bill insurance carriers. |
| Diagnosis | A written Description of the reason(s) for the procedure, service , supply or encounter. |
| Diagnostic Statement | see DIAGNOSIS |
| Down Coding | The process where insurance carriers reduce the value of a procedure, and the resulting reimbursement. |
| E Codes | Specific ICD-9-CM codes used to identify the cause of injury, poisoning and other adverse effects. |
| Eponyms | Medical procedures or conditions named after a person or a place. |
| Etiology | The cause(s) or origin of a disease. |
| Fee Ticket | See SUPERBILL. |
| HCFA | Health Care Financing Administration. The governmnet agency which administers the Medicare and Medicaid programs. |
| HCFA1500 | Uniform Health Insurance Claim Form used for billing services to Medicare and other insurance carries. |
| Hierarchy | A system which ranks items one above another. |
| ICD-9-CM | International Classification of Diseases, 9th Revision, Clinical Modification |
| ICD-10 | International Classification of Diseases, 10th Revision. |
| Late Effect | A residual effect (condition produced) after the acute phase of an illness or injury has ended. |
| Main Term | Refers to listings in the Alphabetic Index appearing BOLDFACE type. |
| Manifestation | Characteristic signs or symptoms of an illenss. |
| Multiple Coding | Refers to the need to use more than one ICD-9-CM code to fully identify a condition. |
| Primary Code | The ICD-9-CM code which defines the main reason for the current encounter. |
| Residual | The long-term codition(s) resulting from a previous acute illness or injury. |
| Rule Out | Refers to a method used to indicate that a condition is probable, suspected, or questionable but unconfirmed. ICD-9-CM has no provisions for the use of this term. |
| Secondary Code | Code(s) listed after the primary code which further indicate the cause(s) for the current encounter or define the need for higher levels of care. |
| Sections | Refers to portions of the Tabular List which are organized in groups of three-digit code numbers. For example, Malignant Neoplasm of Lip, Oral Cavity and Pharynx (140-149). |
| Sequencing | The process of listing ICD-9-CM codes in the proper order. |
| Specificity | Refers to the requirement to code to the highest number of digits possible, 3, 4, 5, when choosing an ICD-9-CM code. |
| Sub Term | Refers to listings appearing in the Alphabetic Index under MAIN TERMS and always indented two spaces to the right. |
| Subcategories | Refers to groupings of four-digit codes listed under three-digit categories. |
| Superbill | An encounter form designed to record procedures, services ans supplies along with corresponding diagnostics information. |
| Tabular List | The portion of ICD-9-CM which lists codes and definitions in numeric order. Also refered to as Volume 1. |
| V Codes | Specific ICD-9-CM codes used to identify encounters for reasons other than illenss or injury, for example, immunization. |
| Volume 1. | See TABULAR LIST |
| Volume 2. | see ALPHABETIC LIST |
| Volume 3. | Procedure codes used only for hospital coding. Volum 3 contains both a numeric listing and alphabetic indes. Thise codes are now maintained by the American Health Information Management Association (AHIMA) |
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