__________ are indented under the main term and must be included in the diagnostic statement.

__________ are indented under the main term and must be included in the diagnostic statement.

Basic ICD-10-CM

Chapter 1 Introduction to ICD-10-CM

Characteristics of ICD-10-CM

Used for all diagnosis coding and began on October 1, 2015.

All providers use the code set in the United States health care setting

Divided into the Alphabetic Index, which is an alphabetic listing of terms and codes, and

the Tabular List, which is a numerical list of the codes divided by chapters

Conventions for ICD-10-CM

An understanding of the ICD-10-CM conventions is necessary to assign ICD-10-CM codes

accurately

Address’ structure and format of the coding system, including how to use the Alphabetic

Index and the Tabular List

Alphabetic Index

Alphabetic listing of terms and their corresponding codes

Divided into two parts – the Index to Diseases and Injury and the Index to External

Causes of Injury. Within the Index of Diseases and Injury, there is a Neoplasm Table and

a Table of Drugs and Chemicals

Main Terms

Formatted with main terms set in boldface and listed in alphabetical order.

Main terms are entries printed in boldface type and flush with the left margin of

each column in the Alphabetic Index.

oDiseases such as influenza or bronchitis

oConditions such as fatigue, fracture, or injury

oNouns such as disease, disorder, or syndrome

oAdjectives such as double, kink, or large

Many conditions can be found in more than one place in the Alphabetic Index

Alphabetic Index Subterms

Beneath the main term, any applicable subterms (also called essential modifiers)

will be shown in their own alphabetic list.

Indented subterm is always read in combination with the main term

Forms individual line entries arranged in alphabetical order and printed in regular

type beginning with a lowercase letter

Describe essential differences in the site, cause, or the clinical type of the

condition

More specific subterms are indented farther to the right as needed, indented

one standard indentation after the preceding subterm, and listed in alphabetic

order.

Carryover Lines

Needed on occasion in the Alphabetic Index because the number of words can fit

on a single line of print is limited.

Nonessential Modifiers

A term or a series of terms that appear in parentheses following a main term or

subterm are known as nonessential modifiers.

Presence or absence of these parenthetical terms in the diagnosis statement has

no effect on the selection of the codes listed for the main term or subterm

Not considered descriptors of the diagnosis or condition

What are indented under the main term and must be included in the diagnostic statement?

Any relevant subterms or essential modifiers are indented under the main terms. Indented subterms are always used in combination with the main term.

Which are always indented two spaces to the right under main terms?

Modifying terms: These terms are indented two spaces to the right under the main term. They are called essential modifiers, because they change the description of the diagnosis in bold type.

When performing diagnostic coding you should start in looking in the quizlet?

ICD-10-CM uses up to ___ characters to identify a disease or injury. When performing diagnostic coding you should start in looking in the: Alphabetic Index.

What are the first three digits in a diagnosis called?

The first three characters of ICD-10-CM are the “category.” The category describes the general type of the injury or disease. The category is followed by a decimal point and the subcategory.