Chapter 4 Flashcards
Diagnosis codes organized in an Alphabetic Index
Index of Diseases and Injuries
A condition with a rapid and short course.
Acute
Body site.
Anatomical
Can mean either “and” or “or” when it is in the code
description.
And
Symbol to enclose synonyms, alternate wording,
or explanatory phrases.
Brackets [ ]
A condition that develops slowly and lasts a long
time.
Chronic
Single code used to classify two
diagnoses.
Combination Code
Codes reported to identify how an injury
occurred and the location of where it occurred.
External Codes
Cause of the disease.
Etiology
Disease or syndrome named after a person.
Eponym
Subterms that are listed below the main
term in alphabetical order and are indented.
Essential Modifiers
Note to indicate the terms listed are to be reported
with a code from another category.
Excludes1
Note indicates that the condition excluded is not
part of the condition represented by the code. A patient may
have both conditions at the same time. When an Excludes2
note appears under a code, it is acceptable to use both the code
and the excluded code together.
Excludes2
Note under a three-character category title to define
further or to give an example of the contents of the category.
Includes
Not elsewhere classifiable.
NEC
Subterms that follow the main term
and are enclosed in parentheses. They can clarify the diagnosis
but are not required.
Nonessential Modifiers
Not otherwise specified.
NOS
Symbol to enclose supplementary words
that may be present or absent in the statement of a disease or
procedure, without affecting the code number to which it is
assigned.
Parentheses ( )
Note that indicates additional information is available that may provide an additional diagnostic code.
See Also
Note that directs you to a more specific term under
which the correct code can be found.
See
A residual effect or condition produced after the
acute portion of an injury or illness has passed.
Sequela
Diagnosis codes organized in numerical order
Tabular List
Codes are used when the information in the
medical record is not available for coding more specifically.
Unspecified
Note instructing you report a second
code, if the information is available, to provide a more
complete picture of the diagnosis.
Use Additional Code
Means “associated with” or “due to” in a code title in
the ICD-10-CM Alphabetic Index or an instructional note in
the Tabular List.
With
Codes used to describe circumstances or conditions
that could influence patient care.
Z Codes
