AAPC- Medical Coding Training CPC: Chapter 3 with Complete Solutions

Acute - ANS A condition with a rapid onset with a short course. Anatomical - ANS body site And - ANS can mean either or when it is in code description BMI - ANS body mass index Brackets [ ] - ANS Symbol to enclose synonyms, alternate wording, or explanatory phrases in Tabular List; brackets are used in ICD-10-CM Alphabetic Index to identify manifestation codes in which multiple coding and sequencing codes will apply Chronic - ANS a condition that develops slowly and persists over a period of time Code First - ANS Note in the Tabular List written in italics requiring the underlying disease be reported first. Colon: - ANS Used in Tabular List after and incomplete term that needs one or more of the modifiers that follow to make it assignable to a given category Combination Code - ANS Single code used to classify two diagnoses COPD - ANS chronic obstructive pulmonary disease Default Code - ANS The code listed next to the main term and represents the condition most commonly associated with the main term Etiology - ANS cause of disease Eponym - ANS Disease or syndrome named after a person Essential Modifiers - ANS Subterms that are listed below the main term in the alphabetical order, and are indented Excludes 1 - ANS Note in the Tabular List to indicate the terms listed are to be reported with a code from another category and are not to be reported with the current selected code Excludes 2 - ANS Note in the Tabular List to indicate the terms listed are to be reported from another category and may be reported with the current selected code if both conditions exist. Includes - ANS Note in the Tabular List under a three-character code title to define further, or to give an example of the contents of the category Index to Diseases and Injuries - ANS Diagnosis codes organized by main term in an alphabetic index Main Term - ANS The key word to reference the disease, condition, or symptom in the ICD-10-CM Alphabetic Index. Main terms are bolded in the ICD-10-CM Alphabetic Index NEC - ANS Not elsewhere classified Nonessential Modifiers - ANS Subterms that follow the main term and are enclosed in parentheses used to clarify the diagnosis, but are not required NOS - ANS Not otherwise specified Parentheses ( ) - ANS Symbol to enclose supplementary words that may be present or absent in the statement of a disease or procedure, without affecting the code number to which it is assigned. Point Dash .- - ANS This symbol is found in the Tabular List after certain codes. It indicates that the code is incomplete and go to that category or subcategory of codes to complete that code. Rubrics - ANS Three-character categories See also - ANS Note in the ICD-10-CM Alphabetic Index that indicates additional information is available that may provide an additional diagnostic code See - ANS Note in ICD-10-CM Alphabetic Index that directs you to a more specific term under which the correct code can be found Septicemia - ANS systemic disease caused by infection with microorganisms and their toxins in circulating blood Sepsis - ANS Whole body inflammatory state. It generally refers to SIRS that is due to an infection. Sequela (late effect) - ANS An inactive, residual effect or condition produced after the acute portion of an injury or illness has passed. Severe Sepsis - ANS Sepsis with associated acute organ disfunction Subterms - ANS These terms are indented under the main term to describe differences in site, etiology, or clinical type. Subterms add specificity to the main term. Tabular List - ANS Diagnosis codes organized in numerical order Unspecified - ANS Codes are used when the information in the medical record is not available for coding more specificity Use Additional Code - ANS Note in the Tabular List instructing you report a second code, if the information is available, to provide a more complete picture of the diagnosis. Z Codes - ANS Codes used to describe circumstances or conditions that could influence patient care With - ANS means associated with or due to in a code title in the ICD-10-CM Alphabetic Index or instructional note in the Tabular List (ICD) International Classification of Diseases; - ANS -International standard diagnostic classification for all general epidemiological and many health management purposes + clinical use -monitoring incidence + prevalence of disease and other health problems -vital records: death certificates and health records -Storage and retrieval of diagnostic information -Basis for compilation of national mortality + morbidity epidemiological - ANS relating to the branch of medicine which deals with incidence, distribution, control of diseases ICD-10-CM - ANS International Classification of Diseases, 10th Revision, Clinical Modification NCHS - ANS National Center for Health Statistics -Developed: ICD-10-CM in consultation with technical advisory panel, physician group, clinical coders no codes for procedures are found in - ANS ICD-10-CM procedures are coded using - ANS procedure classification appropriate for encounter setting for example: Current Procedural Terminology or (CPT) and ICD-10-PCS)