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Intro to medicalcodi
Key terms
| Question | Answer |
|---|---|
| Parasite | Lives on or in another organism taking their nourishment |
| Pathogen | infectious organisms,causes diseases,invades the body |
| Etiology | the cause if disease |
| Truncated code | a code that doesnt contain all necessary digits |
| Bacteria | single celled organisms that are named according to their shape and arrangement |
| Morphology | the study of the behavior of organisms or neoplasms |
| Erythocytes | Red Blood Cells |
| Leukocutes | white blood cells |
| Thrombocytes | platelets |
| Coagulation | blood clotting |
| Plasma | the liquid portion of blood |
| Delirium | a confused disoriented state with the inability to think clearly |
| Delusions | a false perception that is maintained by a person despite proof that it is contrary to reality |
| Myocardial Inarction | (MI) Heart Attack |
| Occlusion | Blockage |
| Stenosis | Hardening of arteries |
| Duodenum | 1st part of small intestine |
| Ileum | last part of intestine |
| Jejunum | The middle part of the small intestine |
| Cecum | the beginning of the large intestine |
| Hepatic | Liver |
| End Stage Renal Disease (ESRD) | The late stages of chronic renal failure |
| Antiepartum | The time before childbirth |
| Postpartum | begins immediately after delivery lasting 6 weeks |
| Fetus (Baby) | From 9th week till birth |
| Embryo (Egg) | the developing child thru 8th week of pregnancy |
| Para | More than 20 weeks pregnant |
| Gravida | Pregnancies delivered |
| Arthritis | inflammation of a joint |
| Anterior | Front or forward of body |
| Lateral | away from midline or toward the side |
| Posterior | back or behind body |
| Medial | toward the midline |
| Sprain | an injury to a joint, specifically the ligament |
| Strain | injury to the muscle or tendon |
| Debridement | the cleaning out of a wound |
| Reduction | correcting or moving back into place |
| Manipulation | Movement in a skillful manor |
| Stent | a small device used to support a vessel but still allow blood to flow thru |
| Bypass | to go around a structure |
| Calculus (Calcium) | kidney stones |
| DNC(Dilation and Curettage) | procedure which the cervix is dilated or opened up and uterus is scrapped clean |
| CT (Cat scan) | a collection of xray images from various angles following an injection of a contrast medium |
| MRI (scan) | Magnetic resonance imaging, medicaal imaging using radio frequency signals as its source of energy |
| EKG | electrical record of the heart activity |
| EEG | electrical record of brain activity |
| Anatomical site | the body system involved |
| Adverse effect | the appearance of a pathological condition caused by ingestion or exposure to a chemical substance properly administered or taken |
| benign | not cancerous |
| Carcinoma | malignant tumor that is localized (Has not spread) |
| Coding conventions | are rules that apply to the assignment of ICD-9-CM codes |
| Comorbility | a concurrent that exists with the first listed diagnosis (Outpatient care) |
| Complication | a condition that develops after outpatient care has been provided |
| Congenital anomaly | disorders that are diagnosed in infants at birth |
| Contiguous sites | occur when the origin of the tumor (primary site) involves 2 adjacent sites |
| E-Code | Describe external causes of injury |
| Main Term | (conditions) are printed in bold face type and are folloed by the code number |
| NEC | Not Elsewhere Classified |
| Subterm | (or essential modifiers) qualify the main term by listing alternate sites |
| Late Effect | a residual effect or sequela of a previous acute illness, injury, or surgery. The underlying condition no longer exists |
| Malignant | Cancerous |
| Metastasize | the spread of cancer |
| Morbidity (disease) | data from inpatient and outpatient records |
| Neoplasm | new growths, or tumors, in which cell reproduction is out of control |
| Outpatient | length of stay must be 23 hours, 59 mins, & 59 seconds |
| Poisoning | occurs as the result of an overdose, wrong substance administered or taken, or intoxication |
| Primary Malignancy | The original tumor site. All malignant tumors are considered primary unless otherwise documented as metastatic or secondary |
| Primary Diagnosis | The condition determined after study which resulted in the patients admission to the hospital |
| Secondary Diagnosis | include comorbidities and complications |
| Secondary Malignancy | The tumor has matastasized (SPREAD) to a secondary site, or to a remote region of the body |
| Sequel | Pathological condition resulting from a disease, injury, or other trauma |
| Coding conventions | rules that apply to the assignment if ICD-9-CM codes |
| Categories | are printed in bold upper and lower case type and are preceded by a 3 digit code |
| Excludes | any excludes statement printed below a major topic heading applied only to the code numbers in parentheses after the major topic heading. NOT ENTIRE CHAPTER |
| NOS | Not otherwise specified |
| Subcategory | 4 digit subcategory's are indented and printed in the same fashion as the major category headings |
| Sub-classification | Require the assignment of a 5th digit |
| V-Code | assigned for patient encounters when a circumstance other than a disease or injury is present |
| Ch 1 | Infectious |
| Ch 2 | Neoplasms |
| Ch 3 | Endoctrine |
| Ch 4 | Blood |
| Ch 5 | Mental |
| Ch 6 | Nervous |
| ch 7 | Circulatory |
| ch 8 | Respiratory |
| ch 9 | Digestive |
| ch 10 | Genitourinary |
| ch 11 | Pregnancy |
| ch 12 | Skin |
| ch 13 | Musculoskeletal |
| ch 14 | Congenital anomalities |
| ch 15 | Perinatal |
| ch 16 | Symptoms |
| ch 17 | Injury |
| Supplemental classification | V-codes, E-codes |
| 4 Appendices | A-Neoplasm, C-Drugs, D-Industrial, E-Three Digit |
| comorbility | Secondary condition or concurrent condition that coexist with the primary condition |
| V-Codes | Subclassification of ICD-9-CM codes that are assigned to patient encounters when a circumstance other than a disease or injury is present |
| Mortality | pertaining to death/ rate or frequncey of death |
| Neoplasm | new growth, or tumor in which cell reproduction is out of control |
| Metastasize | the spread of cancer from primary to secondary sites |
| benign | non cancerous |
| complication | condition that develops subsequent to inpatient admission |
| Morbidity | Pertaining to illness or disease/ the rate or frequency of disease |
| Malignant | cancerous |
| Main Terms | are (conditions) that are printed in boldface type and are followed by the code number |
| Congenital | A disorder diagnosis in infants at birth |
| WHO | World Health Organization |
| E-Codes | describe external causes of injury,or poisoning or other adverse reactions affecting patient health |