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All Rights Reserved. Cancel Submit. How was your experience with this page? Needs Improvement Love it! Not all ICD codes require a 7th character, but when they do, the 7th character serves a particular purpose—like signifying laterality or defining whether the code represents an initial encounter for the problem, a subsequent encounter, or a sequela arising from another condition.
Medical Terminology & Anatomy for ICD Coding by Betsy J. Shiland
In the E13 category, codes demonstrating laterality for E Your ICD code book , however, will merely provide instructions to add the 7th character, such as. One of the following 7th characters is to be assigned to codes in subcategory E Because the 7th character is required to correctly code E In other words, the 7th character must always be the 7th character.
Medical coders read clinical documentation to extract diagnoses from patient records and then translate those diagnoses into ICD codes. While many coders use ICD lookup software to help them, referring to an ICD code book is invaluable to build an understanding of the classification system. But whether you use software or a book, coding a medical record correctly requires ICD training to follow the rules governing correct ICD code assignments and to apply conventions like not elsewhere classifiable NEC and not otherwise specified NOS , Excludes1 and Excludes2, and what is meant by code also.
Knowledge in these areas will enable you to interpret medical documentation, locate reporting errors, query providers, and assign accurate ICD codes, which is why studying to become a certified professional coder is vital to preparing for a successful career in medical coding. The demand for medical coders has never been greater, and now is an ideal time to take your career—and pay scale—to the next level.
In just 4 months, you can be quipped to enter the healthcare marketplace as a professional medical coder. And be sure to stay tuned—because ICD is in the works!
Stay informed and keep your coding in tip-top shape! What is ICD?
Get Trained Get Certified. Here are some examples of ICD codes and the conditions they represent. G10 Huntington's disease K Instructions and Conventions The ICD code set includes Section I Conventions, general coding guidelines applicable to the overall classification, and chapter-specific guidelines. Alphabetic Index This four-part index encompasses the Index of Diseases and Injury, the Index of External Causes of Injury, the Table of Neoplasms, and the Table of Drugs and Chemicals, all of which are designed to streamline the process of locating the necessary diagnosis codes and ICD coding instructions.
Index to Diseases and Injuries Arranged alphabetically across hundreds of pages, this index list diseases, injuries, and diagnostic terms, along with their associated codes or code categories. Table of Neoplasms This table enables you to locate codes for neoplasms by anatomical site and then quickly narrow your selection by cross-referencing the anatomical location with 6 traits, depending on whether the diagnosis is malignant primary, malignant secondary, Ca in situ, benign, of uncertain behavior, or of unspecified behavior.
EE07 Disorders of thyroid gland EE13 Diabetes mellitus EE16 Other disorders of glucose regulation and pancreatic internal secretion EE35 Disorders of other endocrine glands E36 Intraoperative complications of endocrine system EE46 Malnutrition EE64 Other nutritional deficiencies EE68 Overweight, obesity and other hyperalimentation EE88 Metabolic disorders E89 Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified Each block contains one or more categories, many of which are divided into subcategories in the ICD Tabular List.
The 7th Character in ICD Coding Not all ICD codes require a 7th character, but when they do, the 7th character serves a particular purpose—like signifying laterality or defining whether the code represents an initial encounter for the problem, a subsequent encounter, or a sequela arising from another condition. Your ICD code book , however, will merely provide instructions to add the 7th character, such as One of the following 7th characters is to be assigned to codes in subcategory E Becoming a Professional Medical Coder.
Looking for Exhibiting Opportunities or Group Discounts? Contact us at ICDCM also documents laterality—which side the injury or infection is on—and substantially increases the amount of information about the diagnosis. Aside from its format and organization, ICDCM makes use of a number of conventions that help guide the coder to correct diagnosis codes. Some of these conventions include:.
Medical Terminology & Anatomy for ICD-10 Coding
For example, you might find something that looks like this:. The conditions listed in an Excludes1 note are mutually exclusive with the main condition the coder is looking up. An Excludes1 note informs the coder that if the code they are looking up is in the Excludes1 note, the coder cannot, under any circumstances, use the code that houses the note. Excludes2 is the other Excludes note. An Excludes2 note indicates that the code above the note does not include the other conditions listed below the note.
Unlike Excludes1, you can code conditions found in an Excludes2 note with the condition above the note. Remember, extensions typically provide information what encounter this is for the healthcare provider with the patient. These are not always included, but in the case that they are, they cannot simply be appended to the end of whatever code is attached.
If a coder has to include an extension for an initial encounter on a code that does not have six characters, they must add placeholder characters. If, for example, a coder needs to code an instance of poisoning by unintentional underdosing of antibiotic penicillin, the coder would use T Most ICD codes do not include an extension for the encounter.
The coding process begins with the analysis and abstraction of a medical report. Using their notes from the report, the coder may go straight to the tabular section or may refer to the alphabetic section to find the correct code, and then confirm it in the tabular.