Official Instructional Notations in the ICD-10-CM Flashcards
NEC
not elsewhere classified
NOS
not otherwise specified
NEC or NOS?
Used in both the Alphabetic Index and Tabular List
NEC
code may not fully describe the disease process or medical condition
NEC
directs the coder to other classifications
NEC
used when ICD-10-CM does not have any codes that provide greater specificity
NEC
NEC or NOC?
Equivalent of “unspecified”. Used when the information at hand does not permit a more specific code assignment
NOC
encloses synonyms, alternative wording, or explanatory phrases.
brackets
symbol found in the Tabular list
brackets
brackets in the Alphabetic Index identify…
manifestation
where are the brackets on the claim form
listed second
enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting code assignment
parenthesis
words that may be used to clarify the diagnosis but do not affect code assignment
nonessential modifiers
located in the Tabular list after an incomplete term that needs on or more of the modifiers that follow in order to make the condition assignable to a given category
colon
means and/or
and
with/in and indicates that two conditions are included in the code and both conditions must be present to report the code
with
appears under certain categories to further define or give examples of the content of a category. Located in the Tabular list
Includes
“NOT CODED HERE” and indicates that the code excluded should not be assigned at the same time as the code above the Excludes1 note
Excludes1
“Not included here” and indicates the condition excluded is not part of the condition it is excluded from and a patient may have both conditions at the same time
Excludes2
“Use additional code” is paired with the _______ code
etiology
“Code first” is paired with the _____ code
manifestation
the code title ____ _____ _____ _____ indicates that it is a manifestation code
“in diseases classified elsewhere”
never first-listed codes
“in diseases classified elsewhere”
codes that must be used in conjunction with an underlying condition code and must follow the underlying condition code.
“in diseases classified elsewhere”
note instructs that two codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the circumstances for the encounter
“Code also”
what is assigned for codes that are less than 6 characters that require a 7th character;
a placeholder X
three types of cross-references
- “see”
- “see” also
- “see” category
cross-reference “see”
- cross-reference which is an explicit direction to look elsewhere
- used for anatomic sites and many modifiers not normally used in the Alphabetic Index
- used to reference the appropriate main term under which all the information concerning a specific disease will be located
cross-reference “see” also
directs the coder to reference another main term if all the information being searched for cannot be located under the first main term entry
