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Acute
A condition with rapid and short course
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Brackest []
Symbol to enclose synonyms, alternate wording, or explanatory phrases.
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Chronic
A condition that develops slowly and last a long time
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Code first
Note in the tabular list written in italics requring the underlying disease if reported first.
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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.
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Combination code
Single code used to classify two diagnoses
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COPD
Chronic Obstructive Pulmonary Disease
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E Codes
Codes reported to indentify how an injury occurred and the location when it occurred. E codes are never sequenced first.
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Etiology
cause of disease
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Eponym
Disease of syndrome named after a person
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Essential Modifiers
Subterms that are listed below the main term in the alphabetical order, and are indented.
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Excludeds
Noted in the tabular list to indicate the terms listed are to be reported with a code from another category.
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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.
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Index to Diseases
diagnosis codes organized in an alphabetic index
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Late Effect
An inactive, residual effect or condition produced after the acute portion of an injury or illness has passed
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NEC
Not elsewhere classified
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Nonessential Modifiers
Subterms that follow the main term and are enclosed in parentheses; they can clarifiy the diagnosis but are not required
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NOS
not otherwise specified.
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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.
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Rubrics
Three digit categories.
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See also
Note in the alphabetic index that indicates additional information is available that may provide an additional diagnositc code
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See
Note in the aphabetic index that directs you to a more specific term under which the correct code can be found.
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Septicemia
A systemic disease associated with micro organisms or toxins in the blood. these toxins are caused by bacteria, viruses, fungi, or other organisms.
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Sepsis
Whole body inflammatory state. It generally refers to SIRS that is due to an infection
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Severe Sepsis
Sepsis with associated acute organ dysfunction
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Slanted brackets
Symbol to indicate multiple codes are required.
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Tabular list
Diagnosis codes organized in numerical order
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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.
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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.
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V Codes
Codes used to describe circumstances or conditions that could influence patient care.
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Volume 1
Referred to as the Tabular List
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Volume 2
Referred to as the Index to Diseases
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Volume 3
Referred to as the Alphabetic Index and Tabular index of Procedures; used by inpatient coders.
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