Characters
Coding Conventions & General Guidelines
Abbreviations and Punctuation
"A" Terminology
Miscellaneous
100

This is always a letter.

What is the first character of any ICD-10-CM code?

100

In the Alphabetic Index, this instruction indicates that another term should be referenced. It is necessary to go to the referenced term in order to locate the correct code.

What is "See"?

100

This abbreviation is the equivalent of unspecified.

What is NOS (not otherwise specified)?

100

This prefix means: no, not, without or lack of.

What is 'a-' or 'an-'?

100

This many (a range) characters comprise all ICD-10-CM diagnosis codes.

What is 3-7?

200

This 7th character indicates an Initial Encounter.

What is the letter A?

200

In the Alphabetic Index, this instruction indicates that there is another term that may also be referenced that may provide additional Alphabetic Index entries that may be useful.  It is not necessary to follow the referenced term when the original main term provides the necessary code.

What is "See Also"?

200

This abbreviation indicates “other specified” and is used when a specific code is not available for a condition

What is NEC (not elsewhere classified)?

200

The meaning of the prefix: acu-.

What is sharp?

200

Term that refers to a side of the body.

What is Laterality?

300

A designated placeholder or "dummy" character for ICD-10-CM.

What is the letter X?

300

Two codes may be required to fully describe the condition, but this note does not provide sequencing direction

What is "Code Also"?

300

In the Tabular List, used to show synonyms, alternative wording or explanatory phrases.  In the Alphabetic Index, used to identify manifestation codes.

What are Brackets [ ]?

300

The meaning of the prefix: algia-.

What is pain?

300

This means NOT CODED HERE.

What is Excludes 1?

400

This 7th character indicates a Sequela.

What is the letter S?

400

This note indicates that if an underlying condition is present, the underlying condition should be sequenced first.

What is "Code First"?

400

In both the Alphabetic Index and the Tabular list, used to show supplementary words or explanatory information that do not affect the code assignment to the condition.

What are Parentheses ( ) ?

400

The meaning of the root: andr/o.

What is male?

400

A term used to describe words that are enclosed in Parentheses ( ).

What are Non-Essential Modifiers?

500

This 7th character indicates a Subsequent Encounter.

What is the letter D?

500

This note indicates that this code may be assigned as a principal diagnosis when the causal condition is unknown or not applicable. If a causal condition is known, then the code for that condition should be sequenced as the principal or first-listed diagnosis. 

What is “Code, if applicable, any causal condition first”?

500

Only in the Tabular List, used after an incomplete term which needs one or more of the modifiers following it to be able to assign a code.

What is a Colon :?

500

The meaning of the suffix: -ase.

What is enzyme?

500

This is the only letter that is not, currently, used in ICD-10-CM; it is reserved for new diseases of uncertain etiology.

What is the letter "U"?

M
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