Guideline Basics
Excludes 1 means "Not Coded Here." Excludes 2 means
What is "Not Included Here"
Principle Diagnosis Code for an HIV related illness.
What is B20?
If the encounter is for pain control or pain management, assign the code from category
What is G89?
The ICD-10-CM classifies pressure ulcer stages based on.
What is Severity?
Designated by stages 1-4
Congenital malformation or deformity has been corrected is coded.
What is a personal history code?
The use of "AND" in a statement can also mean
What is "Or"?
Minimum number of codes required to code Severe Sepsis
What is 2?
First a code for the underlying systemic infection, followed by a code from subcategory R65.2
If a patient is admitted with glaucoma and the stage progresses during the admission, assign the code for
What is the highest stage documented?
Pathologic Fractures - 7th character is based on whether the patient is undergoing
What is active treatment and not whether the provider is seeing the patient for the first time.
Codes that describe symptoms and signs are acceptable for reporting purposes when a
What is related definitive diagnosis has not been established (confirmed) by the provider?
The place holder for the 6th character when 7 characters are required.
What is "X"?
Code F45.41, is coded for pain exclusively related to.
What is Psychological disorders?
Secondary hypertension is due to an underlying condition. ___ codes are required:
What is 2?
One to identify the underlying etiology and one from category I15 to identify the hypertension
If both a stage of CKD and ESRD are documented, assign code
What is N18.6?
The 7th character values in Chapter 19
What is A, initial encounter, D, subsequent encounter and S, sequela?
This note appears immediately under a 3 character code to further define, or give examples of, the content of the category.
What is Includes Notes?
Default code is the type of diabetes mellitus is not documented.
What is E11.- (Type 2 diabetes mellitus)
Central pain syndrome (G89.0) and chronic pain syndrome (G89.4) are different than
What is Chronic Pain?
Codes should only be used when the provider has specifically documented this condition.
Perinatal period is defined as
What is before birth through the 28th day following birth?
When the reason for the admission or encounter is for treatment of external multiple burns, sequence first
What is the code that reflects the burn of the highest degree?
Note instructs that two codes may be required to fully describe a condition.
What is Code Also?
Code C80.1, Malignant (primary) neoplasm, unspecified, equates to
What is Cancer, Unspecified?
The codes in categories J44 and J45 distinguish between
What is uncomplicated cases and those in acute exacerbation?
When an obstetric patient is admitted and delivers during that admission, the condition that prompted the admission should be
______ codes are intended to provide data for injury research and evaluation of injury prevention strategies.
What is External Cause?