Which identifies codes that are assigned when information needed to assign a more specific code Cannot be located?

Which identifies codes that are assigned when information needed to assign a more specific code Cannot be located?

Question	Answer
NOS	Not otherwise specified..it identifies codes that are to be assigned when information needed to assign a more specific code cannot be obtained from the provider.
Brackets	Are used to identify manifestation codes

What are coding conventions ICD 10?

ICD-10-CM Volume I Coding Convention Definitions Coding conventions include specific symbols and instructional notes to aid the coder to code the diagnosis to the highest level of specificity allowed by the medical record documentation and narrative data available.

How do you find the main term in coding?

For ICD-9 your main term is the condition, disease or symptom. For CPT the main term could be the condition, name of procedure or medical service, name of anatomic site or organ, OR synonyms, eponyms or abbreviations. 2.

Where are the instructional notations located within the tabular list?

Instructional notes, punctuation marks, abbreviations, and symbols. Appear in both the tabular list and alphabetic index of ICD-10-CM.

When coding for an ambulatory surgical procedure How is the diagnosis determined?

For ambulatory surgery, code the dx for which the surgery was performed. If the post-op dx is known to be different from the pre-op dx at the time the diagnosis is confirmed, select the post-op dx for coding, since it is the most definitive.

Which identifies codes that are assigned when patient record documentation provides detail for which a specific code does not exist in ICD-10-CM?

When “other and other specified” appear in a code description, the codes are assigned when a patient record documentation provides detail for which a specific code does not exist in ICD-9-CM or ICD-10-CM. Unspecified codes are assigned because patient record documentation is insufficient to assign a more specific code.

What is the fifth step in the coding process?

A Five-Step Process

1. Step 1: Search the Alphabetical Index for a diagnostic term.
2. Step 2: Check the Tabular List.
3. Step 3: Read the code’s instructions.
4. Step 4: If it is an injury or trauma, add a seventh character.
5. Step 5: If glaucoma, you may need to add a seventh character.

What is a coding guideline?

Coding conventions are a set of guidelines for a specific programming language that recommend programming style, practices, and methods for each aspect of a program written in that language.

What does the alphabetic index provide in the coding process?

The Alphabetic Index helps you determine which section to refer to in the Tabular List. It does not always provide the full code. The Alphabetic Index has two parts: • Index to Diseases and Injuries; and • Index to External Causes of Injury.

Which of the following provides code numbers for neoplasms based on their anatomical site and divided by the description quizlet?

The second major part is the ICD-10-CM Tabular List of Diseases and Injuries. The Tabular List is made up of 21 chapters of disease descriptions and their codes. The Neoplasm Table provides code numbers for neoplasms by anatomical site and is divided by the description of the neoplasm.

What does the tabular list provides in the coding process?

Tabular List: A chronological list of ICD-10-CM codes divided into chapters based on body system or condition. It is essential to use both the Alphabetic Index and Tabular List when locating and assigning a code.

What are instructional notes in coding?

“NOTES,” which is positioned immediately under a code title, is a convention illustrating the content of the category and frequently providing examples. There are also instructions for ‘excludes,’ ‘includes,’ ‘code also,’ and ‘code first’ which help guide you through the coding process.

Which is an example of an ICD 10 cm code?

Example: Amentia—see also Disability, intellectual —Meynert’s (nonalcoholic) F04 Annular—see also condition ICD-10-CM Conventions 24 ICD-10-CM Overview and Coding Guidelines Code listed next to a main term in the ICD-10-CM Index is referred to as a default code.

How are etiology and manifestation codes sequenced in ICD 10 cm?

Code First/Use Additional Code Notes –Etiology/manifestation paired codes have a specific index entry structure . –In the index both conditions are listed together with the etiology code first followed by the manifestation codes in brackets. –The code in brackets is always to be sequenced second. ICD-10-CM Conventions

What kind of manual is used for diagnostic coding?

To perform diagnostic coding, Mike uses a manual called the International Classification of Diseases, Ninth Revision, Clinical Modification, or ICD-9-CM. Mike’s experience working in medical records gives him an understanding of the importance of correct, thorough documentation.

When did the ICD-10 code come into use?

•ICD-10 was endorsed by the 43rd World Health Assembly in May 1990 –Came into use in 1994 –ICD has origins into the 1850’s History of ICD 7 ICD-10-CM Overview and Coding Guidelines •Expanded to include health-related conditions and to provide greater specificity at the 6th character level and with a 7th character extension