ch. 18

Question 1

Alphabetic Index

Answer 1

one of two ways diagnoses are listed in the ICD manual. They will appear in alphabetical order with their diagnosis codes.

Question 2

Category

Answer 2

the first three digits of the diagnosis code in ICD-10.

Question 3

Chapters

Answer 3

the breakdown of diagnosis codes by body system or disease.

Question 4

Chief Complaint

Answer 4

the patient’s main concern/issue of pain or ailment

Question 5

Combination Code

Answer 5

an ICD code in which two diagnoses are included in one code.

Question 6

Convention

Answer 6

a list of punctuations, abbreviations, typefaces, symbols, and instructional notes appearing in the beginning of the ICD-10. It provides the guidelines for using the code set.

Question 7

Cross-reference

Answer 7

The notation within the ICD-10 of the word “see” after a main term in the index. The reference of “see” means that the main term first checked is not correct and another category has to be used.

Question 8

Diagnosis

Answer 8

(Dx) the primary condition for which a patient is receiving care.

Question 9

Etiology

Answer 9

the science and study of the causes of disease and their mode of operation.

Question 10

International Classification of Disease

Answer 10

code set that is based on a system maintained by the WHO of the United Nations. ICD-10 codes allow for more specificity and accuracy when coding.

Question 11

Laterality

Answer 11

• the side of the body affected by the diagnosis in ICD-10.

Question 12

Morbidity

Answer 12

frequency of the appearance of complications following a surgical procedure or other treatment; a disease state.

Question 13

Mortality

Answer 13

A fatal outcome

Question 14

Primary Diagnosis

Answer 14

the diagnosis given as the primary reason for the patient seeking care.

Question 15

Principal DIagnosis

Answer 15

the diagnosis that is found, after testing and study, to be the main reason for the patients need for healthcare services.

Question 16

Rubric

Answer 16

three-character ICD categories used to specify diseases, injuries, and symptoms

Question 17

Secondary Diagnosis

Answer 17

diagnosis other than the primary diagnosis for other conditions that are also affecting the patient at the time of the visit.

Question 18

Subcategory

Answer 18

the fourth digit added to many ICD-10 codes giving further specificity to the diagnosis.

Question 19

Tabular List

Answer 19

one of the two ways that diagnoses are listed in the ICD-10. The diagnosis codes are listed in numeric order with additional instructions in the Tabular list.

Question 20

World Health Organization (WHO)

Answer 20

a unit of the United Nations devoted to international health problems.