Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
MOP140
Chapter 3 Key Terms
| Question | Answer |
|---|---|
| Coding Conventions | General rules used in the ICD-10-CM classification system that are independent of coding guidelines |
| Abbreviations | Use of NEC (Not elsewhere classifiable) and NOS (not otherwise specified. NEC and NOS abbreviations do not appear in ICD-10-PCS |
| NEC (not elsewhere classifiable) | Not elsewhere classifiable |
| NOS (not otherwise specified) | Not otherwise specified |
| And | It is interpreted as meaning and/or |
| Boxed Note | Defines terms, provides coding instruction, and lists fifth-digit sub classifications for categories that use the same fifth digits; |
| Code Also | ICD-10-CM note that provides instruction that two codes may be required to fully describe a condition; this note does not provide sequencing direction. |
| Cross-References | Instruction to refer to another entry in the index (e.g. see, see also, see condition) or tabular (e.g., see category) to assign the correct code. |
| See | Instructional term that directs the coder to refer to another term in the indexes. |
| See Also | Instructional term that is located after a main term or sub term in the index and directs the coder to another main term (or sub term) that may provide additional useful index entries. |
| See Category | Instructional term that directs the coder to the tabular list, where a ode can be selected from the options provided there. |
| See Condition | Instructional term that directs the coder to the main term in the index for a condition. |
| Default Code | ICD-10-CM code listed next to a main term in the index; represents that condition that is most commonly associated with the main term, or is the unspecified code for the condition. |
| Due To | Index subterm (in alphabetical order) that indicates the presence of a cause and effect (or causal) relationship between two conditions. |
| Eponym | Disease, syndrome, or procedure named for a person |
| Etiology and Manifestation rules | Include the following in the tabular list; code first underlying disease; code, if applicable, any causal condition first; use additional code; and in diseases classified elsewhere. |
| Code first underlying Disease | Tabular list instructional note that assists with proper sequencing of codes. |
| Code, If applicable, any causal condition first | Tabular list instructional note that requires causal conditions to be sequenced first, if present. |
| In Diseases classified elsewhere | Indicates that manifestation codes are a component of the etiology/manifestation coding convention |
| Use additional code | Instructional notes that assists in proper sequencing of the codes. |
| Excludes 1 note | Appears below codes in the ICD-10-CM tabular list to direct the coder to another location in the tabular list to classify conditions that are excluded from the code-code either the original code or the code to which the excludes 1 note directs you. |
| Excludes 2 note | Appears below codes in the ICD-10CM Tabularlist to direct the coder to another location in the tabular list to classify conditions that are excluded from the code; both the original code and the code to which the excludes2 note directsyou can be reported |
| Format | For ease of reference index sub terms are indented two spaces below a main term; second, third, and fourth qualifiers are indented two, four and six spaces respectively, below the sub term |
| In | Index sub term (in alphabetical order) that indicates the presence of a cause and effect (or causal) relations |
| Includes note | Appears immediately below tabular list codes to further define terms or provide examples. |
| Inclusion term | Listed below certain codes in the tabular lists; includes conditions or procedures for which that for that code number is to be assigned; can be synonyms of the code title or, for "other" codes, a list of conditions or procedures assigned to that code. |
| Manifestation | Is a condition that occurs as the result of another condition, and manifestation codes are always reported as secondary codes. |
| Modifier | additional term following the colon is needed to make the condition assignable to a given category. |
| Other | When this word appears in a ICD-10-CM code description, the code is assigned when patient record documentation provides detail for which a specific code does not exist. |
| Other specified | When this word appears in a ICD-10-CM code description, the code is assigned when patient record documentation provides detail for which a specific code does not exist |
| Punctuation | Brackets, Parentheses, and colons |
| Brackets | Used in the index to enclose manifestation codes; used in the tabular list to enclose synonyms alternative wording, and explanatory phrases. |
| Colon | Used after an incomplete term in the tabular list when one or more additional terms (called modifiers) after the colon must be documented in the diagnostic or procedural statement or classify a condition or procedure. |
| Parentheses | Used in the index and tabular list to enclose nonessential modifiers, which are supplementary words that may be present in or absent from the physician's statement of a disease or procedure without affecting the code number to which it is assigned. |
| Syndrome | which is an association of clinically recognizable features such as signs (observed by others) symptoms ( reported by the patient) and or characteristics that often occur together. |
| Tables | |
| trust in index | Concept that inclusion terms listed in the Tabular list of diseases are not meant to be exhaustive and that additional terms found only in the index to Diseases (but not in the Tabular list of diseases) may also be assigned to a code. |
| typeface | For ease of reference, index main terms are boldfaced and manifestation codes are italicized. |
| unspecified code | Assigned when patient record documentation is insufficient to assign a more specific code |
| use | Directs the coder to a body part or a device in the ICD-10-PCS index |
| with | Index term that is located immediately below the main term, not in alphabetical order. |
Created by:
Hunt.desirae