Billing / Coding 4 Flashcards
Excludes 1
Exclusion note used when two conditions could not exist together, such as an acquired and a congenital condition; means “not coded here.”
Excludes 2
Exclusion note meaning that a particular condition is not included here, but a patient could have both conditions at the same time.
Subterm
Word or phrase that describes a main term in the Alphabetic Index.
Main term
Word that identifies a disease or condition in the Alphabetic Index.
Chief complaint
Patient’s description of the symptoms or other reasons for seeking medical care.
Eponym
A name or phrase formed from or based on a person’s name.
Etiology
A cause or origin of a disease or condition.
Sequelae
Conditions that remain after an acute illness or injury has been treated and resolved.
ICD-10-CM
HIPAA-mandated diagnosis code set as of October 1, 2015.
GEMs
An acronym for reference tables of related ICD-10-CM and ICD-9-CM codes
Z codes
Abbreviation for ICD-10-CM codes that identify factors that influence health status and encounters that are not due to illness or injury.
Conventions
A typographic technique that provides visual guidance for understanding information.
What provides an index of the disease descriptions that are found in the second major part of ICD-10-CM.
Alphabetic Index
The ICD-10-CM updates released by the National Center for Health Statistics are called
addenda
The ICD-10-CM code set contains approximately __________ codes, making it much larger than ICD-9-CM.
70,000