ICD Coding Conventions
This convention instructs the coder to reference a different Main Term or condition to locate the correct code.
What is see?
__________ are instructions that appear at the beginning of each CPT section? |
What are guidelines?
These are coded when they are relevant to the encounter and are not integral to the confirmed diagnosis.
What are signs & symptoms?
This modifier is appended to surgery codes to indicate that a procedure was performed bilaterally.
What is -50?
What is modifier -50?
The 3 KCs of E/M.
What are History, Exam and MDM?
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?
The ________ component modifier of a radiology code is used to cover the cost of staffing and equipment.
What is technical?
What is -TC?
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 modifier is used when the surgeon performs the anesthesia.
What is modifier -47?
What is -47?
BAs and OSs relate to this key component of E/M.
What is the Exam?
What are Exam elements?
This convention identifies nonessential modifiers that describe variations of a main term.
What are ( )?
What are parentheses?
A proper _________ code is required to establish the medical necessity of a procedural code or service.
What are diagnostic codes?
What is diagnostic?
Rule out, suspected, and likely are words physicians use to describe a(an) __________diagnosis.
What is and uncertain diagnosis?
The modifier _______is used when a physician performs multiple procedures during the same operative session.
What is -51?
What is modifier -51?
A (an) ________ is the subjective evidence of a disease or condition, usually reported by the patient.
What is a symptom? |
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?
A standalone or parent code’s description is shared with an indented code that follows by the use of this punctuation.
What is a semicolon?
What is ; ?
These are symbols, punctuation, font, and layout features used to convey interpretive information.
What are conventions?
_____ is the physical status modifier for a moribund patient undergoing anesthesia. |
What is -P5?
A _______ is is an evaluation of a patient requested by another physician to obtain a professional opinion on a specific problem.
What is a consultation?
This convention instructs the coder to sequence the manifestation second.
What are [ ]?
What are square brackets?
Codes that are preceded with a + and that must be reported with an additional procedure code are known as ________ codes.
What is add on?
What is an add on code?
A ________ is the first three characters in an ICD-10-CM code.
What is a category?
Services included in the CPT surgical package include:
What are preop exam, surgical procedure and post-op exam
This contributory factor includes the time spent arranging for referrals and creating orders for patient care.
What is coordination of care?