chapter 6 icd coding Flashcards
ADVERSE EFFECT
DEVELOPMENT OF A PATHOLOGIC CONDITION THAT RESULTS FROM A DRUG OR CHEMICAL SUBSTANCE THAT WAS PROPERLY ADMINISTERED OR TAKEN
BENIGN
NOT CANCEROUS
CARCINOMA CA IN SITU
A MALIGNANT TUMOR THAT IS LOCALIZED CIRCUMSCRIBED ENCAPSULATED AND NONINVASIVE
COMORBIDITY
CONCURRENT CONDITIONS THAT COEXISTS WITH THE FIRST LISTED DIAGNOSIS HAS THE POTENTIAL TO AFFECT TREATMENT OF THE FIRST LISTED DIAGNOSIS AND IS AND ACTIVE CONDITION FOR WHICH THE PATIENT IS TREATED AND MONITORED
COMPLICATION
CONDITION THAT DEVELOPS AFTER OUTPATIENTS CARE HAS BEEN PROVIDED OR DURING AN INPATIENT ADMISSION
COMPUTER AIDED CODING CAC
ARE COMPUTER ASSISTED CODING CAC
COMPUTER ASSISTED CODING CAC
USES A NATURAL LANGUAGE PROCESSING ENGINE TO READ PATIENT RECORDS AND GENERATE ICD 10 CM AND HCPS/CPT CODES
CONTIGUOUS SITES
ALSO CALLED OVERLAPPING SITES OCCURS WHEN THE ORIGIN OF THE TUMOR INVOLVES TWO ADJACENT SITES
COOPERATING PARTIES FOR ICD 10 CM/PCS
AHA, AMA,CMS AND NCHS ORGANIZINGTIONS AND AGENCIES THAT APPROVE OFFICIAL GIDELINES FOR CODING AND REPORTING ICD 10 CM
ENCODER
AUTOMATES THE CODING PROCESS USING COMPUTERIZED OR WEDB BASESED SOFTWARE LOOKING UP CONDITIONS USES THE SOFTWARE SEARCH FEATURE TO LOCATE AND VERIFY DIAGNOSIS AND PROCEDURE CODES
ENCOUNTER
FACE-TO-FACE CONTACT BETWEEN A PATIENT AND A HEALTH CARE PROVIDER WHO ASSES AND TREATS THE PATIENT’S CONDITION
ESSENTIAL MODIFIER
SUBTERM
EVIDENCE-BASED CODING
CODING AUDITOR CLICKS ON CODES THAT CAC SOFTWARE GENERATES TO REVIEW ELECTRONIC HEALTH RECORD DOCUMENTATION USED TO GENERATE THE CODE
FIRST LISTED DIAGNOSIS
REPORTED ON OUTPATIENT CLAIMS IT REFKEFCTS THE REASON FOR THE ENCOUNTER AND IT IS OFTEN A SIGN OR SYMPTOM
GENERAL EQUIVALENCE MAPPING GEM
TRANSLATION DICTIONARIES R CROSSWALK OF CODES THAT CAN BE USED TO ROUGHLY IDENTIFY ICD 19 CM CODES FOR THEITH ICD 9 CM EQUIIVALENT CODES
IATROGENIC ILLNESS
ILLNESSS THAT RESULTS FROM MEDICAL INTERVENTION
ICD-10-CM CODING CONVENTIONS
GENERAL CODING RULES THAT APPLY TO THE ASSIGNMENT OF CODES INDEPENDENT OF OFFICIAL CODING GUIDELINES
AND
WHEN TWO DISORDERS ARE SEPARATED BY TEH WORD AND IT IS INTERPRETED AS AND OR AND INDICATES THAT EITHER OF THE TWO DISORDERS IS ASSOCIATED WITH THE CODDE NUMBER
BRACKETS
USED IN THE INDEX TO IDENTIFY MANIFESTATAION CODES AND IN THE INDEX AND TABULAR LIST TO ENCLOSE ABBREVITATIONS SYNONYMS ALTERNATIVE WORDING OR EXPLANATORY PHRASES
CODE ALSO
ICD 10 CM TABULAR LIST INSTRUCTION THAT INDICATES TWO CODES MAY BE REQUIRED TO FULLY DESCRIBE A CONDITION WITH SEQUENCING DEPENDING ON THE CIRCUMSTANCES OF THE ENCOUNTER
CODE FIRST UNDERLYING DISEASE
APPERARS WHEN THE CODE REFERENCED IS TO BE SEQUENCED AS A SECONDARY CODE THE CODE TITLE AND INSTRUCTIONS ARE ITALICIZED
CODE FIRST UNDERLYING DISEASE, SUCH AS
SEE CODE FIRST UNDERLYING DISEASE
CODE IF APPLICABLE ANY CAUSAL CONDITION FIRST
REQUIRES CAUSAL CONDITION TO BE SEQUENCED FIRST IF PRESENTA CAUSAL CONDITION IS A DISEASE THAT MANIFESTS ANOTHER CONDITION
COLON
USED AFTER AN INCOMPLETE TERM AND IS FIOLLOWED BY INE OR MORE MODIFIERS