Test 1 Flashcards
What does ICD-10 PCS stand for?
International Classification of Diseases, Tenth Revision, Procedure Coding System.
What does ICD-10 CM stand for?
International Classification of Diseases, Tenth Revision, Clinical Modification.
What is the Tabular List?
A chronological list of codes divided into chapters based on the body system or condition.
What is the index?
An alphabetical list of terms and their corresponding code.
What is a section?
Groups of three-character categories. Ex: L00-L08
What is a Category?
Three-character code numbers. Ex: L02
What is a subcategory?
Four-character code numbers. Ex: L02.2
What is a subclassification?
Five, six, or seven character code numbers. Ex: L02.211
What is the placeholder character in ICD-10?
X
What is the UHDDS?
Used for reporting inpatient data in acute care, short-term, and long-term care hospitals.
What is a Principal Diagnosis?
The condition established after study to be chiefly responsible for admission of the patient to the hospital for care.
What is a Secondary Diagnosis?
Those conditions that coexist at the time of admission or develop subsequently or affect patient care for the current hospital episode.
What does UHDDS stand for?
Uniform Hospital Discharge Data Set.
What are General Notes?
They provide information on usage in a specific section.
What are Inclusion Notes?
Notes used to further define, or give examples of, the content of the chapter, section, or category.
What does excludes1 mean?
“NOT CODED HERE” It instructs that the code excluded should never be used at the same time as the code above the note.
What does exludes2 mean?
“NOT INCLUDED HERE” It instructs that the condition excluded is not part of the condition represented by the code. Under certain conditions, it is OK to use an exculdes2 code.