ICD Coding Conventions
This convention appears after the code number and tells the coder additional characters are needed.
What is a -?
What is a dash?
What is a hyphen?
Beginning part of a medical term
What is a prefix?
What is the structure of our bodies.
What is anatomy?
Pt's name and DOB
What is pt identifiers?
These are coded when they are relevant to the encounter and are not integral to the confirmed diagnosis.
What are signs & symptoms?
This convention identifies nonessential modifiers that describe variations of a main term.
What are ( )?
What are parentheses?
The ending of a medical term.
What is a suffix?
This is the term for the fingers attached to your hand?
What is phalanges.
Monitor, Evaluate, Assess, Treat
What is MEAT?
In an inpatient setting, the _____ diagnosis is the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.
What is principle?
What is the principle diagnosis?
This convention instructs the coder to reference a different Main Term or condition to locate the correct code.
What is see?
To come before.
What does the prefix pre- mean?
This is the term for your arms?
What is extremities.
Lowercase “s” with a line over it means
What is without?
These are symbols, punctuation, font, and layout features used to convey interpretive information.
What are conventions?
This ICD-10-CM Convention indicates that the condition excluded is not part of the condition represented by the code, but the patient may have both conditions at the same time.
What is Excludes2?
This suffix means disease.
What is -pathy.
What is another term for patella?
What is kneecap.
All diagnoses should be coded to the highest level of ________
What is specificity?
A ________ is the first three characters in an ICD-10-CM code.
What is a category?
This convention instructs the coder to sequence the manifestation second.
What are [ ]?
What are square brackets?
This is the term for the middle part of a medical term?
What is root.
What is another term for trunk?
What is chest.
Depending on where the condition is found in the chart note it may need __________ confirming the condition is still present
What is substantiation?
Rule out, suspected, and likely are words physicians use to describe a(an) __________diagnosis.
What is and uncertain diagnosis?