ICD 10 Coding Flashcards

Questions and Answers

What does NEC mean?

Not Elsewhere Classified

What does NOS mean?

Not Otherwise Specified

What does a colon mean in coding?

It is used to indicate that one or more modifiers are needed to assign a code.

What do parentheses mean in ICD coding?

They enclose non-essential modifiers. Signup and view all the answers

What do brackets mean in ICD coding?

They identify manifestation codes or enclose alternative wording. Signup and view all the answers

What does the includes note mean?

It indicates that additional terms are classified under a category. Signup and view all the answers

What does the Excludes 1 note mean?

It means 'not coded here.' Signup and view all the answers

What does the Excludes 2 note mean?

It means 'not included here.' Signup and view all the answers

What does it mean to trust the index?

It means additional terms may be associated with a code that are not exhaustively listed. Signup and view all the answers

What does 'use additional code' mean?

It instructs to report a second code for a complete diagnosis. Signup and view all the answers

What does 'and' mean in ICD coding?

It means that a code can be assigned for both conditions or either condition. Signup and view all the answers

What does 'due to' signify in the index?

It indicates a causal relationship between two conditions. Signup and view all the answers

What does 'in' mean in coding?

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What does 'with' presume in coding?

It presumes a causal relationship between the linked conditions. Signup and view all the answers

What does 'code also' indicate?

It means more than one code is necessary to identify a condition. Signup and view all the answers

What does 'see' instruct the coder to do?

It directs the coder to refer to another term in the index. Signup and view all the answers

What does 'see also' direct the coder to?

It directs the coder to another main term or subterm for more useful entries. Signup and view all the answers

What does 'see category' mean?

It instructs the coder to refer to the ICD-10-CM tabular list. Signup and view all the answers

What does 'see condition' direct the coder to?

It directs the coder to the main term for a condition in the index. Signup and view all the answers

What are neoplasms?

New growths or tumors with uncontrolled cell reproduction. Signup and view all the answers

What should a coder report if a tumor is malignant?

The coder should report it as either benign or malignant. Signup and view all the answers

How is malignant classification subdivided?

It is divided into primary, secondary, and carcinoma in situ. Signup and view all the answers

What is a primary malignancy?

The original tumor site. Signup and view all the answers

What is a secondary malignancy?

A tumor that has metastasized to a secondary site. Signup and view all the answers

What is carcinoma in situ?

A localized, circumscribed, encapsulated, and noninvasive malignant tumor. Signup and view all the answers

What is meant by benign?

A noninvasive, nonmalignant tumor. Signup and view all the answers

When is a malignancy coded as the primary site?

If documented as metastatic, spread, primary neoplasm, unspecified classification, or as recurrent. Signup and view all the answers

Study Notes

Key ICD 10 Coding Terms and Definitions

NEC (Not Elsewhere Classifiable): Identifies codes when a specific diagnosis cannot be found; used as "other" or "other specified."
NOS (Not Otherwise Specified): Equivalent to "unspecified"; applies when detailed coding information from the provider is missing.
Colon: Indicates that additional modifiers are necessary to assign a specific code in the index or tabular list.
Parentheses: Enclose non-essential modifiers in codes; their inclusion or absence does not affect the assigned code.
Brackets: Used for manifestation codes and alternative terms; denotes conditions resulting from another condition, which are reported as secondary codes.
Includes Note: Clarifies that related terms (e.g., "Ostospongiosis") are included under a specific category (e.g., "H80 Ostosclerosis").
Excludes 1 Note: Indicates mutually exclusive codes; means certain codes cannot be reported together (e.g., Q03 and G91).
Excludes 2 Note: Allows coding of both conditions if documentation supports it; signals conditions that are not mutually exclusive.
Trust the Index: The index may contain additional terms not listed in the tabular list, thus can be associated with codes.
Use Additional Code: A directive to report a second code when appropriate for providing a complete diagnosis.
"And": Indicates both conditions can be coded simultaneously or either one.
"Due to": Signifies a causal relationship; must be documented by the physician to assign the related code.
"In": Typically indicates a specific context or condition relevant for coding.
"With": Presumes a causal connection between two conditions unless stated otherwise.
"Code Also": Indicates that more than one code is needed to fully describe a condition.
"See": Directs coders to another term for locating the correct code in the index.
"See Also": Points to related terms or sub-terms that may provide additional coding options.
"See Category": Directs to the ICD-10-CM tabular list for code selection.
"See Condition": Guides to the main term for a condition listed in the index.

Neoplasms

Neoplasms: Defined as new growths or tumors resulting from unregulated cell reproduction.
Tumor Reporting: Coder must report whether tumors are benign or malignant.
Malignant Classification: Divided into primary, secondary, and carcinoma in situ.
Primary Malignancy: Refers to the original tumor site; all tumors deemed primary unless stated otherwise as metastatic.
Secondary Malignancy: Indicates that the tumor has spread to another site, either nearby or distant from the primary site.
Carcinoma in Situ: Describes a malignant tumor that is localized, encapsulated, and noninvasive.
Benign Tumors: Non-invasive and non-malignant growths.
Primary Site Coding for Malignancy: Coded as primary if the diagnostic statement specifies metastasis or recurrence, and no specific classification is documented.

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Description

Test your knowledge on ICD 10 coding with these flashcards. This quiz focuses on the definitions and abbreviations commonly used in medical coding, including the meaning of NEC. Perfect for anyone studying health information management or coding.