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Inclusion Terms coded description when patient record documentation provides detail for which a specific code does not exist in ICD-10-CM.The ICD-10-CM tabular list other and other specified codes often contain a 4th or 5th character of 8 or 9. Excludes2 Notes indicate some of the conditions for which that code may be assigned. It may be acceptable to assign both the code and the excluded code together if supported by the medical documentation. Excludes1 Notes means not included here and indicates that although the excluded condition is not classified as part of the condition it is excluded from, a patient MAY be diagnosed with all conditions at the same time. Includes Notes- this is a pure excludes note which means "not coded here" and indicates mutually exclusive codes or two or more conditions cannot be reported together. (ICD-10-CM uses tables for Neoplasms and Drugs and Chemicals) Tables appears in the ICD-10-CM tabular list below certain categories to further define, clarify, or give examples about the content below a code category. ICD-10-PCS also uses tables, but not in its index instead of a tabular list of codes, ICD-10-PCS uses tables that are used to assign procedure codes. Colon define terms and provide coding instructions Boxed Note organize subterms, 2nd qualifiers, and 3rd qualifiers and their codes in columns and rows to make it easier to select the proper code. Parenthesis is used after an incomplete term or phrase in the ICD-10-CM disease index and tabular list when one or more of the modifiers (additional terms) following the colon is needed to make the conditions assignable to a given category. Manifestation used in ICD-10-CM indexes and tabular list and ICD-10-PCS index to enclose nonessential modifiers which are supplementary words that may be present in or absent from the physicians statement of a disease or procedure without affecting the code to which it is assigned. A condition that occurs as the result of another condition, and is always reported as secondary codes. |
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