DISCUSSION ON MEDICAL CODING

The response to this MUST be 250 words, Also please see below TWO response from my classmates that I have to respond using 
125 WORDS EACH 
  1. WHAT IS PLACE HOLDER ‘X’ AND WHY IS IT USED? PLEASE GIVE 2 EXAMPLES OF ICD-10CM CODES WITH ‘X’ AS THE PLACE HOLDER. PLEASE PUT THE FULL DEFINITION OF EACH CODE.
  2. PLEASE DEFINE THE FOLLOWING ABBREVIATIONS: NECAND NOS. PLEASE GIVE 2 EXAMPLES ICD-10CM CODES WHERE BOTH TERMS ARE USED
  3. WHAT IS DEFAULT CODE? PLEASE GIVE ONE ICD-10CM EXAMPLETHAT SUPORTS YOUR EXPLANATION.


RESPONSES FROM CLASEMATES BELOW PLEASE RESPOND USING 125 WORDS 

1.

Place Holder X is used as a placeholder for certain codes to allow further expansion. You use the X for the 7th character when it applies to codes with 6 characters, It also is only applied to certain ICD-10CM codes. For example, T36.0X1 poisoning by penicillin’s, accidental poisoning by penicillin’s NOS. Another example is T36.0X4 poisoning by penicillin’s, undetermined.


NEC is an abbreviation for Not Elsewhere classifiable, when a specific code is not available for a condition. The provider gave a very detailed diagnosis, but the codes do not get that specific. NOS is an abbreviation for Not Otherwise Specified which is more commonly used and means the provider did no give you the specifics. For example ” pain in the arm”, You would not use NOS code because there are more specific codes available, but your provider did not state them.


What is a Default Code? A default code is a code listed next to a main term in the ICD-10-CM Alphabetic. Index is called a default code , which represents the condition most commonly to the main term. For an example, if a condition is documented in a medical record, lets say appendicitis, without any additional information, such as acute or chronic, the default code should be assigned.

2.

  1. The “x” is used as a placeholder at certain codes to allow for future expansion. Certain conditions have both an underlying etiology and multiple body system manifestations due to underlying etiology. Use the X to fill out empty characters when a code contains fewer than six characters and a 7th character applies. Where the placeholder exists, the X must be used to be considered a valid code. S06.0X0A codes concussion without loss of consciousness, initial encounter. T37.5X1 is poisoning by antiviral drug accidental unintentional, and T37.5X2 is poisoning by antiviral drug non accidental, self harm


2 The difference between NEC and NOS is very specific and not to be confused as they are two very different abbreviations.

NEC – When a specific code is not available for a condition, the Index directs the coder to the other specified code in the Tabular List.  NEC is used to indicate the diagnosis is specific; however, the coding system is not specific enough.

Cataract

Specified NEC H26.8 Tabular List

H26.8 – Other specified cataract

 NOS Not otherwise specified This abbreviation is the equivalent of unspecified, indicating the documentation does not provide enough information to assign a more specific code.

Tabular List

I50.9 – Heart failure, unspecified

Biventricular (heart) failure NOS

Cardiac, heart or myocardial failure NOS


3 A code listed next to a main term in the ICD-10-CM Alphabetic Index is called a default code, It Represents the condition most commonly associated with the main term or Indicates that it is the unspecified code for the condition.

J41.0 is chronic bronchitis

J20.9 is acute bronchitis


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