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| Are flush to the left-hand margin. |
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| Are indented- the more specific the subterm the father the indent. |
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| Are two indents from the indent level of the preceding line. |
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| Is the study and cause of diseases. |
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| More than one way to look up a code. |
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Definition
| A group of three digit catogories |
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| Fifth digit sub-classifications |
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| codes used to indicate the external circumstances resposible for injuries |
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| International classification of disease, ninth revision, clinical modification |
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Definition
| a medical classification system used for the collection of information regarding disease and injury. |
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Definition
| codes used to indicate conditions not included in the main classification but that may be recorded as diagnoses. |
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| THE "see" cross reference indicates that the coder must refer to an alternative term. |
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Definition
the
"see catorgory" variation of the see cross reference provides the coder with a category number. |
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Term
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Definition
| occasionally the index advises the coder to refer to the main term of a condition. |
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Term
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Definition
| parentheses are used in icd-9-cm to enclose supplementary words or explanatory information that may be either present or absent in the statement of diagnosis or procedure without affecting the code to which it is assigned. |
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Term
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Definition
| square brackets are often used in the tabular lists to enclose synonyms, alaternative wordings, abbreviations, and explanatory phrase that provide additional information- for example paroxysmal atrial tachycardia (pat) |
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Term
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Definition
| colons are used in both inclusion and exclusion notes to indicate that one of the modifiers from the list indented below the entry must be present in order for the statement to apply. |
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Term
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Definition
| words "such as" and "due to", "with", "associated with", "without," and "in" are used to indicate various types of relationships expressed in icd-9-cm and are used as subterms in the alphabetic indexes. |
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Term
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Definition
| words such as "and", "due to","with", "associated with," "without" and are used as subterms in the alphabetic indexes. |
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Term
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Definition
| the word "and" should be interpreted to mean either "and" or "or" when it appears in a title. |
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Definition
| the word "due to" in either the alphabetic indexes or the tabular lists indicate that a causal relationship between two conditions is present. |
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Term
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Definition
| words such as "with," " with mention of," associated with," and "in" indicate that both elements in the title must be present in the diagnostic or procedural statement. |
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Definition
| medicare severity-adjusted diagnosis-related groups system; a patient classification system used in hospital reimbursement. |
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| other reportable diagnosis |
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Definition
| conditions that coexist at the time of admission, develope subsequently,or affect patient care during the hospital stay. |
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Definition
| the condition established after study that is chiefly responsible for admission of the patient to the hospital, |
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| uniform hospital discharge data set; information used for reporting inpatient data |
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Definition
| present on admission indicator;a data element that applies to diagnosis codes for claims involving inpatient care. |
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Definition
| a physician or any qualified health care practitioner (such as a nurse practitioner or physician assistant) who is legally accountable for establishing the patient's diagnosis. |
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| alphabetic index of diseases and injuries |
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Definition
| volume 2 of the icd-9; includes enteries for main terms (diseases, conditions,or injuries)and subterms (site, type,or etiology) |
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Term
| tabular list and alphabetic index of procedures |
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Definition
| volume 3 of the icd-9; contains both the alphabetic index and the tabular list for surgery and procedures |
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Definition
| procedure performed for definitive treatment (rather than for diagnostic or exploratory purposes) |
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Definition
| in this context, the name of the surgeon or surgeons who developed the proceure |
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| the taking of tissue from a living person for microscopic study |
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Definition
| factors influencing health status and contact with health services |
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