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ICD 9 - Terminology
Terminology Quiz
Question | Answer |
---|---|
Acute | Refers to the condition that is the primary reason for the current encunter. e.g.: Sudden Onset |
Adverse | Any response to a drug that is noxious and unintended and occurs with proper dosage. e.g.: alergic reaction |
Aftercare | An encounter for something planned in advance, for example, cast removal. |
Alphabetic | The portion of the ICD-9-CM that lists definitions and codes in alphabetic order. Also called Volume 2. |
Carry-Over Lines | Are always indented more than two spaces from the level of the preceding line. |
Category | Refers to diagnoses code listed within a specific three-digit category, for example, category 250, Diabetes Mellitus. |
Cause | That which brings about any condition or produces any effect. |
Chronic | Continuing over a long period of time or recurring frequently. |
Coding | The process of transferring written or verbal descriptions of diseases, injuries and procedures into numerical designations. |
Combination | A code that combines a diagnosis with an associated secondary process or complication. |
Complication | The occurance of two or more diseases in the same patient at the same time. |
Concurrent | When a patient is being treated bymore than one provider for different care conditions at the same time. |
CPT - Current Procedural Terminology | Listing of codes and descriptions for procedures, services and supplies published by the American Medical Association. Used to bill insurance carriers. ($ Book) |
Diagnosis | A written description of the reason(s) for the procedure, service or encounter. |
Down Coding | The process where the insurance carriers reduce the value of a procedure and the resulting reimbursement due to either 1) a mismatch of CPT code and description or 2) ICD-9-CM does not justify the procedure or level of service. |
E Codes | Specific ICD-9-CM codes used to identify the cause of injury, poisoning and other adverse effects. |
Eponyms | Medical procedures or conditions named after a person |
Etiology | The cause(s) or origin of a disease |
ICD-9-CM | Internationsl Classification of Diseases, 9th Revision, Clinical Modification |
ICD-10 | Internationsl Classification of Diseases, 10th Revision |
Late Effect | A residual effect condition produced after the acute phase of an illness ot injury has ended. e.g: arthritis from broken leg years before |
Main Term | Refers to listing in the Alphebetic Index appearing BOLDFACE type. |
Manifestions | Characteristics, signs or symptons of an illness |
Multiple | Refers to the need to use more than one ICD-9-CM code to fully identify a coding condition |
Primary Code | The ICD-9-CM code that defines the main reason for the current encounter |
Residual | The long-term condition(s) resulting froma previous acute illness or injury. |
Rule Out | Refers to a method used to indicate that a condition is probable, suspected or questionable but unconfirmed. ICD-9-CM has no provisions for the use of this term. |
Secondary Code(s) | Listed after the primary code that further indicate the cause(s) code for the current encounter of define the need for higher levels of care. |
Sequencing | The process of listing ICD-9-CM codes in the proper order. |
Specificity | Refers to requirement to code to the highest number of digits possible, 3, 4 or 5, when choosing ICD-9-CM code. |
Sub-Term | Refers to listings appearing in the Alphebetic Index under Main Terms and always-indented two spaces to the right. |
Sub Categories | Refers to the groupings of four-digits coded listed under three-digit categories. |
Tabular List | Is the portion of the ICD-9-CM that lists codes and definitions in numeric order. Also referred to as Volume 1. |
V Codes | Specific ICD-9-CM codes used to identify encounters for reasons other than illness or injury, for example, immunization. |
Volume 1 | See Tabular List |
Volume 2 | See Alphabetic Index |
Volume 3 | Procedure codes used for hospital coding. Volume 3 contains both a numeric listing and alphabetic index. |