20 terms

kinns ch 14 terms

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International commission of the World Health Organization (WHO)
established the codes that define specific infectious diseases, parasites, symptoms, and causes of death
Manual of the international statistical classification of diseases, injuries, and causes of death (ICD)
the code set that was established by (WHO)
encounter
A meeting
Diagnosis
Identification of an injury or disease
Assessment
The evaluation or estimation of the nature, quality, or ability of someone or something.
Diagnostic coding
the translation of written descriptions of diseases, illnesses, or injuries into alphanumeric codes
Ancillary Diagnostic Services
Services that support patient diagnoses (e.g., laboratory or radiologic services).
ICD-9-CM codes
3-5 characters; character one is numeric or Alpha; Characters 2-5 numeric; always has at least three characters; decimal after character 3
ICD-10-CM
consists of 3-7 characters; character 1 is alpha; 2-3 numeric; 4-7 alpha/numeric; decimal place after character 3; all letters used except U.
code category
first 3 characters
General Equivalence Mappings
used to accurately report icd-10-cm codes that most closely match ICD-9-CM codes
Conventions
abbreviations, punctuation, symbols, instructional notations, and related entities that help the coder select an accurate specific code
where are conventions located?
in the tabular list
[ ]
enclosed synonyms, alternative wording, or explanatory phrases.
( )
used to enclose supplementary Words, which may be present or absent in the statement of a disease or procedure. Provide further definition or specificity to the code description
{ }
enclose a series of terms, Each of which is modified by the statement appearing to the right of the brace
Superbill
term used for an encounter form in the physician's office.
radiology, lab, and pathology
support and/or establish the diagnostic statement
operative report
preliminary diagnosis, the final diagnosis, and a detailed description of the operative procedure from start to finish
modifiers
2 digit, alphanumeric codes that report or indicate specific criteria, a specific condition, or a special circumstance
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