Chapter 3

  1. Acute
    A condition with rapid and short course
  2. Anatomical
    Body site
  3. BMI
    Body mass index
  4. Brackest []
    Symbol to enclose synonyms, alternate wording, or explanatory phrases.
  5. Chronic
    A condition that develops slowly and last a long time
  6. Code first
    Note in the tabular list written in italics requring the underlying disease if reported first.
  7. Colon :
    Used in Volume 1 after an incomplete term that needs one or more of the mdifieres that follow to make it assignable to a giving category.
  8. Combination code
    Single code used to classify two diagnoses
  9. COPD
    Chronic Obstructive Pulmonary Disease
  10. E Codes
    Codes reported to indentify how an injury occurred and the location when it occurred. E codes are never sequenced first.
  11. Etiology
    cause of disease
  12. Eponym
    Disease of syndrome named after a person
  13. Essential Modifiers
    Subterms that are listed below the main term in the alphabetical order, and are indented.
  14. Excludeds
    Noted in the tabular list to indicate the terms listed are to be reported with a code from another category.
  15. Includes
    Note in the tabular list under the three digit code title to define further, or to give an example of the contents of the category.
  16. Index to Diseases
    diagnosis codes organized in an alphabetic index
  17. Late Effect
    An inactive, residual effect or condition produced after the acute portion of an injury or illness has passed
  18. NEC
    Not elsewhere classified
  19. Nonessential Modifiers
    Subterms that follow the main term and are enclosed in parentheses; they can clarifiy the diagnosis but are not required
  20. NOS
    not otherwise specified.
  21. Parentheses ()
    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.
  22. Rubrics
    Three digit categories.
  23. See also
    Note in the alphabetic index that indicates additional information is available that may provide an additional diagnositc code
  24. See
    Note in the aphabetic index that directs you to a more specific term under which the correct code can be found.
  25. Septicemia
    A systemic disease associated with micro organisms or toxins in the blood. these toxins are caused by bacteria, viruses, fungi, or other organisms.
  26. Sepsis
    Whole body inflammatory state. It generally refers to SIRS that is due to an infection
  27. Severe Sepsis
    Sepsis with associated acute organ dysfunction
  28. Slanted brackets
    Symbol to indicate multiple codes are required.
  29. Tabular list
    Diagnosis codes organized in numerical order
  30. Unspecified
    Codes (usually with a fourth digit 9 or fith diget 0) are used when the information in the medical record is not available for coding more specifically.
  31. Use additional code
    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.
  32. V Codes
    Codes used to describe circumstances or conditions that could influence patient care.
  33. Volume 1
    Referred to as the Tabular List
  34. Volume 2
    Referred to as the Index to Diseases
  35. Volume 3
    Referred to as the Alphabetic Index and Tabular index of Procedures; used by inpatient coders.
Card Set
Chapter 3
Chapter 3 Glossary