Chapter 4 Flashcards

1
Q

Diagnosis codes organized in an Alphabetic Index

A

Index of Diseases and Injuries

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2
Q

A condition with a rapid and short course.

A

Acute

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3
Q

Body site.

A

Anatomical

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4
Q

Can mean either “and” or “or” when it is in the code

description.

A

And

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5
Q

Symbol to enclose synonyms, alternate wording,

or explanatory phrases.

A

Brackets [ ]

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6
Q

A condition that develops slowly and lasts a long

time.

A

Chronic

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7
Q

Single code used to classify two

diagnoses.

A

Combination Code

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8
Q

Codes reported to identify how an injury

occurred and the location of where it occurred.

A

External Codes

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9
Q

Cause of the disease.

A

Etiology

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10
Q

Disease or syndrome named after a person.

A

Eponym

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11
Q

Subterms that are listed below the main

term in alphabetical order and are indented.

A

Essential Modifiers

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12
Q

Note to indicate the terms listed are to be reported

with a code from another category.

A

Excludes1

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13
Q

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.

A

Excludes2

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14
Q

Note under a three-character category title to define

further or to give an example of the contents of the category.

A

Includes

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15
Q

Not elsewhere classifiable.

A

NEC

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16
Q

Subterms that follow the main term
and are enclosed in parentheses. They can clarify the diagnosis
but are not required.

A

Nonessential Modifiers

17
Q

Not otherwise specified.

A

NOS

18
Q

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.

A

Parentheses ( )

19
Q

Note that indicates additional information is available that may provide an additional diagnostic code.

A

See Also

20
Q

Note that directs you to a more specific term under

which the correct code can be found.

A

See

21
Q

A residual effect or condition produced after the

acute portion of an injury or illness has passed.

A

Sequela

22
Q

Diagnosis codes organized in numerical order

A

Tabular List

23
Q

Codes are used when the information in the

medical record is not available for coding more specifically.

A

Unspecified

24
Q

Note instructing you report a second
code, if the information is available, to provide a more
complete picture of the diagnosis.

A

Use Additional Code

25
Q

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.

A

With

26
Q

Codes used to describe circumstances or conditions

that could influence patient care.

A

Z Codes