Chapter 5 - General Coding Guidelines for Diagnosis Flashcards
DHHS
U.S. Department of Health and Human Services
Acute
a short and relatively severe course
Chronic
persistent over a period of time
Conventions
general rules for use in classification that must be followed for accurate coding.
Combination code
a singe code used to classify two diagnoses; or a diagnosis with an associated secondary process (manifestation); or a diagnosis with an associated complication.
Etiology
cause or origin of a disease or condition
Manifestation
symptom or condition that is the result of a disease
Residual condition or effect
when the acute phase off an illness or injury has passed, but a residual condition or health problem remains.
Sequelae
residual conditions or effects; time when the acute phase of an illness or injury has passed, but residual conditions or health problems remain.
Sign
objective evidence of a disease or of a patient’s condition as perceived by the patient’s examining physician.
Subacute
somewhat acute; between chronic and acute.
Symptom
subjective evidence of a disease or of a patient’s condition as perceived by the patient.