HIM1222C - Vocabulary

Mid-Term
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Terms in this set (...)

acute
refers to the condition that is the primary reason for the current encounter
addenda
official updates to ICD-9-CM published continuously each year since 1986, that become effective on October 1st of each year
adverse
with any response to a drug that is noxious and unintended and occurs with proper dosage
aftercare
an encounter for something planned in advance, for example, cast removal
AHFS
American Hospital Formulary Service
alphabetic index
the portion of the ICD-9-CM that lists definitions and codes in alphabetic order. Also called volume 2
category
refer to diagnoses codes 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 occurrence of 2 or more diseases in the same patient at the same time
concurrent
when a patient is being treated by more than one provider for different care conditions at the same time
conventions
refers to the use of certain abbreviations, punctuations, symbols, type faces, and other instructions that must by clearly understood in order to use ICD-9-CM
CPT
Current Procedural Terminology. Listing of codes and descriptions for procedures, services and supplies published by and American Medical Association. Used to bill insurance carries
diagnosis
a written description of the reason(s) for the procedure, service, supply, or encounter
down coding
the process where insurance carriers reduce the value of a procedure, and the resulting reimbursement , due either 1) a mismatch of CPT codes and descriptions or 2) ICD-9-CM code does not justify the procedure of 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 or a place
etioloy
the cause(s) or origin of a disease
HCFA1500
Uniform health insurance claim form used for billing services to Medicare and other insurance companies
hierarchy
a system that ranks items one above another
ICD-9-CM
International Classifications of Disease, 9th revision, Clinical Modification
ICD-10
International Classification of Diseases, 10th revision
late effect
a residual effect (condition produced) after the acute phase of an illness or injury has ended
main term
refers to listings in the Alphabetic Index appearing BOLD FACE type
manifestation
characteristic signs or symptoms of an illness
multiple
refers to the need to use more than one ICD-9-CM code to fully identify coding a condition
primary code
the ICD-9-CM code that defines the main reason for the current encounter
residual
the long-term condition(s) resulting from a previous acute illness or injury
rule out
refers to a method used to indication 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 or to define the need for higher levels of care.
sections
refers to portions of the tabular list that are organized in groups of 3-digit numbers. For example, Malignant Neoplasm of Lip, Oral Cavity and Pharynx (140-149)
sequencing
the process of listing ICD-9-CM codes in proper order
specificity
refers to the requirement to code to the highest number of digits as possible, 3, 4, or 5, when choosing an ICD-9-CM code
sub term
refers to the listings appearing in the alphabetic index until MAIN TERMS and always indented 2 spaces to the right
subcategories
refers to groupings of 4-digit codes listed under 3-digit categories
Tabular List
the portion of the ICD-9-CM that list codes and definitions in numeric order. Also referred to as Volume One.
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 only for hospital coding. Volume 3 contains both a numeric listing and an alphabetic index.