Conventions Flashcards
What do brackets enclose in the tabular?
Synonyms, alternate wording or explanatory phrases
What do brackets enclose in the alphabetic index mean?
Manifestation codes
Index : see
Explicit direction to look elsewhere
Index: see also
Go elsewhere only if all the information you are searching for cannot be located
Index :see category
Directs to tabular for important information about that specific code
And (tab and index)
And or
With (tab and index)
Associated with or due to
Index of diseases main terms
Disease, condition, nouns, adjectives
eponyms (named for person) are listed as well as the main term for the disease
Never anatomical sites
Main terms alphabetic index of procedures
Procedure performed
Never anatomical sites
What is coded first, the manifestation or the etiology?
Etiology
If a patients’a condition is listed as both acute and chronic and the conditions are listed as separate entries in the alpha index at the same indentation level, what is the first listed?
Code acute first
Name the life threatening asthmatic status with symptoms of severe intractable wheezing and airway obstruction not relieved by medication
Asthmaticus
How would you code multiple burns?
Separate code for each side
Sequence burn with highest degree first
How would you code burns of varying degrees at the same site
Code only the highest degree
How would you code an infected burn site?
Code 958.3 as an additional diagnosis (post traumatic wound infection)