AMA CPT® Assistant - 2014 Issue 6 (June)
Conventions of ICD-10-CM (June 2014)
June 2014 pages 12-13 Conventions of ICD-10-CM The conventions of ICD-10-CM are the general rules for use of the classification independent of the chapter-specific guidelines. The conventions are located in both the Tabular List and Alphabetic Index of the ICD-10-CM code set. Coding conventions include: Instructional notes Abbreviations Punctuation Symbols Formatting Typefaces Rules Instructional notes The April 2014 article titled "Comparison of ICD-9-CM and ICD-10-CM" provided some information on the instructional notes, such as "Excludes." This article will provide greater details of these instructional notes, as well as an overview of the other instructional notes used in the...
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Article Overview
This article explains the convention framework that applies across ICD-10-CM, with emphasis on instructional notes and related indexing/tabular guidance. It is aimed at coders and billing professionals who need a broad understanding of how ICD-10-CM presents notes, sequencing prompts, and formatting conventions.
Why This Topic Matters
Understanding ICD-10-CM conventions helps readers interpret the structure of the code set and recognize the kinds of notes and guidance that may affect diagnosis coding workflows.
Article Sections
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June 2014 pages 12-13
Introduces the scope of the article and identifies the ICD-10-CM material being discussed.
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Conventions of ICD-10-CM
Defines ICD-10-CM conventions and summarizes the broad categories of coding guidance covered in the article.
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Instructional notes
Describes the role of instructional notes within the code set and frames the discussion of several note types.
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Excludes
Explains the general purpose of exclusion notes and distinguishes between the two note types discussed in the article.
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Includes
Covers notes that further clarify the content associated with a code area.
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Code Also
Describes guidance indicating that more than one diagnosis code may be needed for a complete record.
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With/Without
Summarizes how with/without wording appears in ICD-10-CM and where it is used.
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Code First
Explains the presence of sequencing prompts tied to underlying conditions in certain categories.
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Use Additional Code
Covers notes that point to additional coding for a fuller diagnosis picture.
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Coding Tip
Highlights a brief reminder about sequencing concepts discussed earlier in the article.
What You Will Learn
- The overall purpose of ICD-10-CM conventions
- The major types of instructional notes used in ICD-10-CM
- How broad sequencing prompts are presented in the code set
- Where convention guidance appears in ICD-10-CM resources
Who Should Read This
- Medical coders
- Coding auditors
- Billing professionals
- Clinical documentation staff
- Coding students
Codes Discussed
Code Ranges Discussed
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