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ICD-9 Step by Step chapter 15

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Acute   refers to the condition which the primary reason for the current encounter  
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Addenda   Official update to ICD-9-CM published in October of each year since 1986  
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Adverse   Any response to a drug which is noxious (very Unpleasant) and unintended and occus with proper dosage.  
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Aftercare   An encounter for something planned in advance, for example, cast removal.  
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AHFS   American Hospital Formulary Service  
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Alphabetic   The portion of ICD-9-CM which lists definitions and codes in alphabetic order. Also referred to as Volume 2.  
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Category   Refers to diagnoses codes listed within a spedific three-digit catergory, for example category 250, Diabetes Mellitus.  
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Cause   That which brings about any condition or produces any effect.  
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Chronic   Continuing over a long period or time or recurring frequently.  
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Coding   The process of transferring written or verbal descriptions of diseses, injuries and procedures into numerical designations.  
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Combination   A code which combines a diagnosis with an associated secondary process or complication.  
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Complication   The occurrence of two or more diseases in the same patient at the same time.  
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Concurrent Care   When a patient is being treated by more than one provider for different conditions at the same time.  
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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.  
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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.  
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Diagnosis   A written Description of the reason(s) for the procedure, service , supply or encounter.  
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Diagnostic Statement   see DIAGNOSIS  
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Down Coding   The process where insurance carriers reduce the value of a procedure, and the resulting reimbursement.  
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E Codes   Specific ICD-9-CM codes used to identify the cause of injury, poisoning and other adverse effects.  
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Eponyms   Medical procedures or conditions named after a person or a place.  
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Etiology   The cause(s) or origin of a disease.  
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Fee Ticket   See SUPERBILL.  
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HCFA   Health Care Financing Administration. The governmnet agency which administers the Medicare and Medicaid programs.  
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HCFA1500   Uniform Health Insurance Claim Form used for billing services to Medicare and other insurance carries.  
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Hierarchy   A system which ranks items one above another.  
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ICD-9-CM   International Classification of Diseases, 9th Revision, Clinical Modification  
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ICD-10   International Classification of Diseases, 10th Revision.  
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Late Effect   A residual effect (condition produced) after the acute phase of an illness or injury has ended.  
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Main Term   Refers to listings in the Alphabetic Index appearing BOLDFACE type.  
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Manifestation   Characteristic signs or symptoms of an illenss.  
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Multiple Coding   Refers to the need to use more than one ICD-9-CM code to fully identify a condition.  
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Primary Code   The ICD-9-CM code which defines the main reason for the current encounter.  
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Residual   The long-term codition(s) resulting from a previous acute illness or injury.  
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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.  
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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.  
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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).  
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Sequencing   The process of listing ICD-9-CM codes in the proper order.  
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Specificity   Refers to the requirement to code to the highest number of digits possible, 3, 4, 5, when choosing an ICD-9-CM code.  
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Sub Term   Refers to listings appearing in the Alphabetic Index under MAIN TERMS and always indented two spaces to the right.  
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Subcategories   Refers to groupings of four-digit codes listed under three-digit categories.  
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Superbill   An encounter form designed to record procedures, services ans supplies along with corresponding diagnostics information.  
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Tabular List   The portion of ICD-9-CM which lists codes and definitions in numeric order. Also refered to as Volume 1.  
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V Codes   Specific ICD-9-CM codes used to identify encounters for reasons other than illenss or injury, for example, immunization.  
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Volume 1.   See TABULAR LIST  
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Volume 2.   see ALPHABETIC LIST  
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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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