CPC Ch3- Introduction to ICD-10-CM Terms

Question 1

A condition with a rapid and short course

Answer 1

Acute

Question 2

Can mean either and or or when it is in the code description

Answer 2

And

Question 3

Body mass index

Answer 3

BMI

Question 4

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.

Answer 4

Brackets

Question 5

A condition that develops slowly and lasts a long time

Answer 5

Chronic

Question 6

Note in the Tabular List written in italics requiring the underlying disease be reported first

Answer 6

Code First

Question 7

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.

Answer 7

Colon

Question 8

Single code used to classify two diagnoses

Answer 8

Combination Code

Question 9

Chronic Obstructive Pulmonary Disease

Answer 9

COPD

Question 10

The code listed next to the main term and represents the condition most commonly associated with the main term.

Answer 10

Default Code

Question 11

Cause of the disease

Answer 11

Etiology

Question 12

Disease or syndrome named after a person.

Answer 12

Eponym

Question 13

Subterms that are listed below the main term in the alphabetical order and are indented.

Answer 13

Essential Modifiers

Question 14

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.

Answer 14

Excludes1

Question 15

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.

Answer 15

Excludes2

Question 16

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.

Answer 16

Includes

Question 17

Diagnosis codes organized by main term in an alphabetic index.

Answer 17

Index to Diseases and Injuries

Question 18

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.

Answer 18

Main Term

Question 19

Not elsewhere classified.

Answer 19

NEC

Question 20

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

Answer 20

Nonessential Modifiers

Question 21

Not otherwise specified.

Answer 21

NOS

Question 22

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.

Answer 22

Parentheses

Question 23

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.

Answer 23

Point Dash .-

Question 24

Three-character categories.

Answer 24

Rubrics

Question 25

Note in the ICD-10-CM Alphabetic Index that indicates additional information is available that may provide an additional diagnostic code.

Answer 25

See also

Question 26

Note in the ICD-10-CM Alphabetic Index that directs you to a more specific term under which the correct code can be found.

Answer 26

See

Question 27

A systemic disease associated with microorganisms or toxins in the blood. These toxins are caused by bacteria, viruses, fungi, or other organisms.

Answer 27

Septicemia

Question 28

Whole body inflammatory state. It generally refers to SIRS that is due to an infection.

Answer 28

Sepsis

Question 29

An inactive, residual effect or condition produced after the acute portion of an injury or illness has passed.

Answer 29

Sequela (late effect)

Question 30

Sepsis with associated acute organ dysfunction.

Answer 30

Severe Sepsis

Question 31

These terms are indented under the main term to describe differences in site, etiology, or clinical type. Subterms add specificity to the main term.

Answer 31

Subterms

Question 32

Diagnosis codes organized in numerical order.

Answer 32

Tabular List

Question 33

Codes are used when the information in the medical record is not available for coding more specificity.

Answer 33

Unspecified

Question 34

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.

Answer 34

Use Additional Code

Question 35

Codes used to describe circumstances or conditions that could influence patient care.

Answer 35

Z Codes

Question 36

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.

Answer 36

With