CPC Ch3- Introduction to ICD-10-CM Terms Flashcards
A condition with a rapid and short course
Acute
Can mean either and or or when it is in the code description
And
Body mass index
BMI
Symbol to enclose synonyms, alternate wording, or explanatory phrases in the Tabular List. Brackets are used in the ICD-10-CM Alphabetic Index to identify manifestation codes in which multiple coding and sequencing rules will apply.
Brackets
A condition that develops slowly and lasts a long time
Chronic
Note in the Tabular List written in italics requiring the underlying disease be reported first
Code First
Used in the Tabular List after an incomplete term that needs one or more of the modifiers that follow to make it assignable to a given category.
Colon
Single code used to classify two diagnoses
Combination Code
Chronic Obstructive Pulmonary Disease
COPD
The code listed next to the main term and represents the condition most commonly associated with the main term.
Default Code
Cause of the disease
Etiology
Disease or syndrome named after a person.
Eponym
Subterms that are listed below the main term in the alphabetical order and are indented.
Essential Modifiers
Note in the Tabular List to indicate the terms listed are to be reported with a code from another category and are not to be reported with the current selected code.
Excludes1
Note in the Tabular List to indicate the terms listed are to be reported from another category and may be reported with the current selected code if both conditions exist.
Excludes2
Note in the Tabular List under a three-character code title to define further, or to give an example of the contents of the category.
Includes
Diagnosis codes organized by main term in an alphabetic index.
Index to Diseases and Injuries
The key word to reference the disease, condition, or symptom in the ICD-10-CM Alphabetic Index. Main terms are bolded in the ICD-10-CM Alphabetic Index.
Main Term
Not elsewhere classified.
NEC
Subterms that follow the main term and are enclosed in parentheses used to 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
This symbol is found in the ICD-10-CM Alphabetic Index after certain codes. It indicates that the code is incomplete and go to that category or subcategory of codes to complete that code.
Point Dash .-
Three-character categories.
Rubrics
Note in the ICD-10-CM Alphabetic Index that indicates additional information is available that may provide an additional diagnostic code.
See also
Note in the ICD-10-CM Alphabetic Index that directs you to a more specific term under which the correct code can be found.
See
A systemic disease associated with microorganisms or toxins in the blood. These toxins are caused by bacteria, viruses, fungi, or other organisms.
Septicemia
Whole body inflammatory state. It generally refers to SIRS that is due to an infection.
Sepsis
An inactive, residual effect or condition produced after the acute portion of an injury or illness has passed.
Sequela (late effect)
Sepsis with associated acute organ dysfunction.
Severe Sepsis
These terms are indented under the main term to describe differences in site, etiology, or clinical type. Subterms add specificity to the main term.
Subterms
Diagnosis codes organized in numerical order.
Tabular List
Codes are used when the information in the medical record is not available for coding more specificity.
Unspecified
Note in the Tabular List instructing you to report a second code, if the information is available, to provide a more complete picture of the diagnosis.
Use Additional Code
Codes used to describe circumstances or conditions that could influence patient care.
Z Codes
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
