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terms that are enclosed in a box and are printed in italics. these
notation indicates that some code classifications cannot be used with
the code selected
a direction to the coder to look elsewhere if the main term or
subterm(s) for that entry are not sufficient for coding the information
used to define terms and give coding instructions
classifies environmental or external causes injury, poisoning, or other adverse effects on the body
documented at the patient's first visit with a new physician or
provider or upon admission to a hospital and normally includes the CC,
personal and family medical history, a physical examination, an
assessment, and a treatment plan for the patient
Volume 2 of the ICD-9-CM coding manual; it lists conditions, injuries,
illnesses, and diseases in alphabetical order by main terms, modifying
terms, subterms
the manual that establishes the system for classifying diseases to
facilitate collection of uniform and comparable health information, for
statistical purposes, and for indexing medical records for data storage
and retrieval
the physician's determination of what is or may be wrong with the
patient based on findings from the history and physical examination
(H&P) and includes a preliminary, interim, or final diagnosis
in the content of the ICD-9-CM, it should be interpreted as and/or
the concise, technical description of the cause, nature, or manifestations of a condition or problem
adds the highest level of detail to the illness or injury, used to assign a fifth digit when appropriate
broad sections of the ICD-9-CM coding manual grouped by disease or illness
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