Chapter 3 ICD-10 CM Conventions
Terms in this set (22)
Used to further define, or give examples of, the content of the chapter, section or category.
May be synonyms or conditions similar enough to be classified to the same code.
Conditions that may be reported with those codes.
Indicate a particular condition that is not assigned to the code which the note applies to.
"code this condition elsewhere"
Not Coded Here = Given when two condition cannot occur together and therefore both codes cannot be used together.
Not Included Here = Condition excluded is not part of the condition represented by the code. One code does not include the other code. Both can be assigned.
indicates that a causal relationship must be present between the chronic pain and trauma.
Not otherwise specified
are indented under main terms and affect code assignment
Excludes 1; The colon indicates that
one or more of the modifiers following the colon must be present in the diagnostic statement in order for the Excludes 1 note to apply
Contain synonyms, alternative wordings, abbreviations, and explanatory phrases. These are not required in the diagnostic statement to assign the code.
Find the name of the condition in the index.
Mandatory instruction when coding.
"in diseases classified elsewhere,"
cannot be the principal diagnosis because it is a manifestation of another disease
Not elsewhere classified
Both conditions must be present to assign that code.
If condition is very specific but no specific diagnosis code present then
This falls into NEC
Non essential modifiers
In parentheses following main terms and do not affect the code assignment.
do not have to be mentioned in the diagnostic statement to assign the code
Ex. C85.9-, [N16]
- Code in brackets cannot be listed first
- Code in brackets in manifestation of first code.
- Both codes must be used.
Tells coder there is another place in the Alphabetic Index to which the coder must refer if the entries being considered do not provide a code for the specific condition or procedure.