ICD vocab Flashcards
ICD
international classification of diseases
clinical condition ex. appendicitis
the general name of the disease
clinical impression
ex. acute appendicitis with peritoneal abscess
a specific final Dx
clinical concept
example. onset (acute) pertitoneal abscess (associated sx).
documentaion that describes and supports the clincal impression
risk factors
what caused or could have contributed to the Dx
resulting complications
ex. bowel obstruction with perforation
sequelae
the after effect of a disease such as scar tissue
how can you make sure the ICD is supported by your documentation?
remember the 8 elements of the HPI
T/F less specific codes are better and result in higher reimbursement
FALSE
ICD code = ?
Diagnoses
Modifier
a code that indicates a service or procedure is unique or changed
to ensure billed properly
what is the phrase that describes a compliant ICD code?
SPECIFIC AND SUPPORTED
