Chapter 2 Flashcards
ICD 10 was originally issued in 1993 by____
The World Health Organization
This country uses ICD10-AM
Australia
ICD-10 is designed for classification of patient ______ and ________
Morbidity, mortality
CM in ICD-10-CM stands for?
Clinical modifications
Four reasons why dx codes are used.
- Facilitates payment
2.Evaluate use of healthcare facilities - Research quality of healthcare
- Predict trends
- Plan for future healthcare needs
ICD 10 is used to translate _________ descriptive information into alphanumeric codes.
Verbal or narrative
Three sections of alphabetic index
Disease and injuries
Table of drugs and chemicals
External causes of injury
Main terms
Bold and flush with left margins
Sub terms
Under main terms indented to the right
Essential modifiers
Sub terms modify main terms, creating greater specificity
Connecting words
Define relationship between main and sub terms
Neoplasms C00-D49
C for cancer
Endocrine, nutritional, and metabolic diseases
E for Endocrine
Nervous system G00-G99
G for ganglia
Ear and mastoid process H60-95
H for hearing
Circulatory system I10-I99
I for infarct
Musculoskeletal system, and connective tissue M00-M99
M for musculoskeletal
Genitourinary system N00-N99
N for nephrology
Certain conditions originated in the perinatal Period P00-P96
P for perinatal
Section
Group of three digit categories that represent a group of conditions or related conditions 
Category
A three character category code represents a single condition or disease
Subcategory
Four character code provides specificity in terms of cause sight or manifestation of the condition
Sub classification
5 to 7 character code, add some more information and specificity to a conditions description
Italicize type
Not a primary diagnosis
Examples of code 1st
Bold type
Main term
NEC
Not elsewhere classifiable
NOS
Not otherwise specified
NEC two ways of use
Directions to coder to other classifications
codes that does not have greater specificity
NOS use
Equivalent of unspecified
Should ask physician for more specific information
Brackets
Include synonyms, alternative wording, or explanatory phrases
Parentheses
Supplementary words that may be present or absent in the statement of a disease or procedure
Nonessential modifiers
Words that are used to clarify the diagnoses, but do not affect the code assignment
Colon
Incomplete term that needs one or more of the modifiers that follow in order to make the condition assignable
And
Means and/or
With
With/in
Includes
Gives examples of other issues
Excludes 1
When two conditions cannot occur together
Excludes 2
Both conditions can occur at the same time
Etiology
Use additional follow up code
Manifestation (in diseases classified elsewhere)
Goes second to etiology
Half moon indicates
Manifestation code
Code also
Instructed that two codes may be required to fully describe condition
Default code
Most commonly associated with main term or unspecified code
Code assignments and clinical criteria
Providers diagnostic statement that conditions exist.
Acronym for I10 system reports inpatient procedures
PCS-Procedure coding system
Index listed by
Symptoms
Encounter
Complication
Combination codes
A code that reports more than one dx
See category
Describes general type of injury or disease
See also
Additional term should be referenced to provide other information
See
Following main term or sub term
