Week 1

Question 1

Index to Disease and Injuries

Answer 1

alphabetic listing of terms and corresponding codes in the ICD-10-CM.

Question 2

Index to External Causes of Injury

Answer 2

alphabetic listing of terms and corresponding codes in the ICD-10-CM.

Question 3

Tabular List of Diseases and Injuries

Answer 3

an alphanumerical list of codes, commonly referred to as the Tabular; divided into chapters based on body system (anatomical site) or condition (etiology).

Question 4

Tabular List of Diseases and Injuries (Tabular)

Answer 4

an alphanumerical list of codes, commonly referred to as the Tabular; divided into chapters based on body system (anatomical site) or condition (etiology).

Question 5

Code First

Answer 5

notes appearing in the Tabular section of ICD-10-CM and identifying for the coder the sequence of the code assignment.

Question 6

Code Also

Answer 6

instructs the coder that two codes may be needed to fully code the diagnostic phrase being coded; no sequencing directions are provided.

Question 7

Brackets

Answer 7

used in the Tabular Listing and Alphabetic Index to enclose synonyms, alternative wording, abbreviations, or explanatory phrases.

Question 8

Colon

Answer 8

used in the Tabular listing after a term that is modified by one or more terms following the colon.

Question 9

Conventions

Answer 9

a group of instructional notes, punctuation marks, abbreviations, and symbols.

Question 10

Excludes1

Answer 10

used to signify that the diagnostic terms listed are not coded to the category or subcategory; therefore, the two conditions are mutually exclusive.

Question 11

Excludes

Answer 11

notes used to signify that the conditions listed are not assigned to the category or block of category codes.

Question 12

Includes

Answer 12

note used to define and/or give examples of the content of a particular category or a block of category codes.

Question 13

Excludes2

Answer 13

used to signify that the diagnostic terms listed after the note are not part of the condition(s) represented by the code or code block.

Question 14

In Diseases Classified Elsewhere

Answer 14

applies to the etiology/manifestation conventions.

Question 15

NEC (not elsewhere classified)

Answer 15

used to signal coders that the term being coded is considered a general term.

Question 16

Instructional notes

Answer 16

appear in both the Tabular List and Alphabetic Index of ICD-10-CM and provide further instruction for the coder.

Question 17

Nonessential modifiers

Answer 17

the terms found in the parentheses that do not change code assignment.

Question 18

Point dash

Answer 18

a signal to the coder that the code contains a list of options at a level of specificity past the three-character category.

Question 19

Parentheses

Answer 19

used in both Tabular List and Alphabetic Index around terms providing additional information about the main diagnostic term.

Question 20

See

Answer 20

used in the Alphabetic Index and instructs the coder to cross-reference the term or diagnosis following the notation.

Question 21

NOS (not otherwise specified)

Answer 21

codes are not specific and should be used only after the coder has clarified with the physician that a more specific code is not available.

Question 22

See Also

Answer 22

refers the coder to another location in the Alphabetic Index when the initial listing does not contain all the necessary information to select an accurate code.

Question 23

NEC

Answer 23

used to signal coders that the term being coded is considered a general term.

Question 24

Use Additional Code

Answer 24

instructs the coder to use an additional code to identify the manifestation that is present.

Question 25

not otherwise specified

Answer 25

codes are not specific and should be used only after the coder has clarified with the physician that a more specific code is not available.

Question 26

NOS

Answer 26

codes are not specific and should be used only after the coder has clarified with the physician that a more specific code is not available.

Question 27

not elsewhere classifiable

Answer 27

used to signal coders that the term being coded is considered a general term.

Question 28

Granularity

Answer 28

the level of detail.

Question 29

Laterality

Answer 29

for bilateral sites ICD-10-CM indicates the specific site.

Question 30

Combination code

Answer 30

a single code used to classify two diagnoses, a diagnosis with an associated secondary process, or a diagnosis with an associated complication.

Question 31

Sequela (late effect)

Answer 31

the residual effect (condition produced) after the acute phase of an illness or injury has terminated.

Question 32

Principal diagnosis

Answer 32

the condition defined after study as the main reason for admission of a patient to the hospital.

Question 33

Secondary diagnoses

Answer 33

conditions that are not responsible for admission but that exist at the time of treatment.