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Kindle Edition Of Principles & Practice Of Icd-10 Coding

ICD allows us to allocate or translate the words used in a diagnosis to a specific code. This facilitates the grouping of diseases and conditions for statistical purposes.

PRLog - July 25, 2010 - Entries in Section I and II of the Index are arranged in columns-- two on each page.  In each column the term appearing on the extreme left is known as the "lead term".  These terms are usually nouns indicating the name of a disease or condition.  Before coding a diagnosis you must identify the disease or condition as a noun and use it as the lead term.  If the diagnosis is expressed in the adjective form (i.e. "Dislocated shoulder"), convert it into the noun form (i.e. "Dislocation of shoulder") to obtain the lead term.
When using the Index to code eponymous diseases (diseases named after people, e.g. "Down's Syndrome", "Alzheimer's disease"), the lead term is the name and NOT the condition (i.e. syndrome, disease, etc.)
Exercise 5.1 Put the noun form of the italicized words on the left  in the blank spaces on the right.

       Adjective form                                     Noun (lead term)
    1.  A sick child                                               sickness
    2.  A pregnant lady                                        pregnancy
    3.  Infected tonsils                                          …………
    4.  Fractured leg                                            …………
    5.  Contracted muscle                                    …………
    6.  Defective speech                                       …………
    7.  Transfused blood                                      …………
    8.  Absent ear                                                 …………
    9.  Anemic deficiency                                      …………
   10. Complicated delivery                                 …………
   11. Diabetic coma                                            …………
   12. Allergic medicine                                        …………

After identifying the lead term you must refer to the appropriate section of the Alphabetical Index.  If the diagnostic statement is a disease or injury, consult Section I of the Index.  If the statement is the external cause of an injury, consult Section II.  If the statement relates to poisoning from a drug or chemical, consult Section III.

Once you have identified the appropriate section and the lead term, you must now focus your attention on the modifiers or qualifiers in the diagnosis.  In Section I, these modifiers refer to the variety, (such as "Hepatitis virus, type A"), site ("Fracture of skull"), or circumstance ("Exhaustion due to cold") that further describes the lead term.  In Section III they indicate the various types of accident or occurrence  (such as "burn by hot water", "car accident", etc.).  

In the Index, these modifiers are indented (separated by one or more spaces to the right) under the lead term.  There may be more than one modifier.  Try to find as many of the modifiers as you can in the Index, which match exactly to the diagnosis that the doctor has recorded.  Select that code which does full justice to all modifiers present in the diagnosis.  You should then turn to Volume 1 and confirm that the selected code is the same at both places.


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