ICD‑10‑CM
This is the minimum number of characters an ICD‑10‑CM code can have.
What is three characters?
Outpatient coding requires this type of diagnosis coding — not ruled‑out or suspected conditions.
What is coding to the highest degree of certainty?
When a code includes laterality, this side is typically represented by the number “1.”
What is the right side?
These codes are used when a patient is not currently sick but receives care for a specific reason.
What are Z codes?
This organization owns and maintains the CPT® code set.
What is the American Medical Association (AMA)?
This character position in ICD‑10‑CM indicates the highest level of specificity
What is the 7th character?
This type of diagnosis is coded first in outpatient encounters.
What is the first‑listed diagnosis?
When laterality is required but not documented, this type of code is used.
What is unspecified?
This Z code category is used for annual physical exams.
What is Z00?
CPT® codes are always this many digits.
What is five digits?
These characters are used as placeholders when a code requires a 7th character but lacks enough characters.
What is the “X” placeholder?
These are coded when the provider documents them as the reason for the visit, even if no definitive diagnosis is made.
What are signs and symptoms?
These codes require the coder to identify the encounter type: initial, subsequent, or sequela.
What are injury codes?
These codes are used when a symptom is not routinely associated with a confirmed diagnosis.
What are additional symptom codes?
These three major components make up a CPT® code description.
What are service/procedure, anatomic site, and approach/technique?
he first character of every ICD‑10‑CM code is always this type of character.
What is a letter?
This term refers to diagnoses documented as “probable,” “suspected,” or “rule out” in outpatient settings.
What are not coded as confirmed conditions?
This term refers to the highest level of detail required for ICD‑10‑CM coding.
What is specificity?
This Z code category is used for immunizations.
What is Z23?
This section of the CPT® book contains Evaluation & Management codes.
What is the E/M section?
These three components make up the structure of an ICD‑10‑CM code
What are category, etiology/anatomic site, and extension?
This guideline states that chronic conditions may be coded when they impact patient care or management.
What is the chronic condition coding guideline?
This documentation element is essential for selecting the correct 7th character for injuries.
What is encounter type?
These codes are used when a patient presents for follow‑up after treatment has been completed.
What are aftercare Z codes?
these codes describe temporary or emerging technology services.
What are Category III CPT® codes?