Disease: Tabular list. Contains the disease and condition codes and the descriptions also contains the V codes and E codes
Diseases: Alphabetic Index. This is the alphabetic index of volume 1 and contains table of drugs and chemicals and index of external causes of injury ( E codes )
Procedures: Tabular list and Alphabetic index. Contains codes for surgical, therapeutic, and diagnostic procedures; used primarily by hospitals.
There are (2)TWO supplemental classifications included in the TABULAR LIST (Volume 1): V Code(s): Supplemental Classification of Factors Influencing Health Status and Contact with Health Services (V01-V91). E Code(s): Supplemental Classification of External Causes of Injury and Poisoning (E000-E999.
Are composed of a group of three-digit categories representing a group of conditions or related conditions
Composed of three-digit codes representing a single disease or condition. The three-digit code is used only if it is not further subdivided. There are about a 100 of these codes.
Provide a 4 digit code ( one after the decimal point ) which is more specific then a category code in terms of cause, site, or manifestation of the condition. This must be used if available.
their presence or absence does not have an effect on the selection of the code listed for the main term
Terms derived from the name of a person, often a physician or scientist who was the first to identify a condition or technique such as Parkinson disease.
The _ _ cross reference directs you to look under another main term if all the information being searched for cannot be located under the first main term entry.
a direction to the coder to see a specific category (three-digit code), this instruction must always be followed
Display or disclosure of characteristics signs or symptoms of an illness; allow diagnosis to occur
Use additional Code
notes that indicate an additional code needs to be assigned to provide a more complete picture of the diagnosis or procedure.
enclose supplementary words or explanatory information tht may or may not be present i the statement of a diagnosis or procedure
Square Brackets [ ]
used to enclose synonyms. alternative wording, abbreviations and explanatory phrases
Enclose the manifestiation of the underlying condition, when a cose is listed inside you must sequence that code after the underlying condition code.
is used in the Tabular list after an incomplete term that need one or more modifiers in order to be assigned to a given category or code
a number of symptoms occurring together and characterizing a specific disease or condition
This code indicates the patient has tested positive for the HIV virus but has not manifested symptoms of HIV or AIDS.
Persons encountering health services in circumstance related to reproduction and development. Normal Pregnancy, Supervision of High-Risk Pregnancy and Postpartum care and examination
includes codes for contraceptive management, such as general contraception, counseling and advice.
includes codes for admissions or encounters for radiotherapy, antieoplastic chemotherapy, antineoplastic immunotherapy, attention to surgical dressings and sutures, other after care following surgery, and long-term drug use. therapeutic drug monitoring, and so forth.
Nonspecific V Codes
are unlikely to be used in inpatient settings because they are to nonspecific or vague, or generic.
(medicine) any objective evidence of the presence of a disorder or disease observed by the physician.
Other and Unspecified codes
usually a code with a 4th digit 8 or fifth-digit 9 for diagnosis codes, are for use when the information in the medical record provides detail for which a specific code does not exist.
used to diagnose the environment of injury (the letter e followed by 3 numeric digits, a decimal, and a fourth digit
sub-terms that indicate a relation ship between the main terms and an associated condition or etiology in alphabetic index