What is the main term in a diagnostic statement?

What is the main term in a diagnostic statement?

After the diagnosis has been determined, the main term (sometimes referred to as the lead term) in the diagnosis should be identified. For example, if the diagnosis is “breast mass,” the main term is “mass.” (The anatomic site [e.g., “breast”] is not used in the Alphabetic Index to Diseases.)

What does Main term mean in medical coding?

main term. disease, condition, noun, synonym, or eponym that helps the coder find the correct code or range of codes in an index.

What is the main term in the alphabetic index?

Format and Use of Alphabetic Index The first lead term is “Abdomen.” Since there are more than three modifying terms, Abdomen is in bold type. The “NOS” term is always listed first under a heading in the index (rather than in alphabetic order under N).

Is congenital hydronephrosis assigned code N13 30?

2022 ICD-10-CM Diagnosis Code N13. 30: Unspecified hydronephrosis.

What is the main term in the following diagnostic statement essential fatty acid deficiency?

E63. 0 is a billable diagnosis code used to specify a medical diagnosis of essential fatty acid [efa] deficiency. The code E63.

What is a nonessential modifier?

Non-essential modifiers appear in parentheses following the terms they modify and do not affect the target code selection for a given condition, sign or symptom but are considered as alternatives to the expression of the term.

What are the main terms in coding?

Here are some popular coding terms to become familiar with.

• Algorithm. An algorithm is a set of instructions that are followed to solve a problem.
• Argument. An argument is a way to provide more information to a function.
• Arrays.
• Arithmetic operators.
• Assignment operators.
• Augmented reality.
• Autonomous.
• Binary numbers.

What are the CPT classification main terms?

They are divided into six sections: Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine. Each of these sections has its own subdivisions, which correspond to what type of procedure, or what part of the body, that particular procedure relates to.

Is Acute a main term?

For example, in the ICD-10-CM Page 3 ICD-10-CM Official Guidelines for Coding and Reporting 2014 Alphabetic Index under the main term Enteritis, “acute” is a nonessential modifier and “chronic” is a subentry.

What is the main term in ICD-10-CM?

ICD-10-CM stands for the International Classification of Diseases, Tenth Revision, Clinical Modification.

What is bilateral hydronephrosis?

Bilateral hydronephrosis is the enlargement of the parts of the kidney that collect urine. Bilateral means both sides.

What is the ICD-10-CM code for bilateral hydronephrosis?

Hydronephrosis with renal and ureteral calculous obstruction N13. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is hydronephrosis and what causes it?

It happens when urine cannot drain out from the kidney to the bladder from a blockage or obstruction. Hydronephrosis can occur in one or both kidneys. The main function of the urinary tract is to remove wastes and fluid from the body.

What is the difference between kidney swelling and hydronephrosis?

Kidney swelling happens when urine can’t drain from a kidney and builds up in the kidney as a result. This can occur from a blockage in the tubes that drain urine from the kidneys (ureters) or from an anatomical defect that doesn’t allow urine to drain properly. Hydronephrosis can happen at any age.

What is hydhydronephrosis and how is it treated?

Hydronephrosis is a condition in which one or both kidneys become swollen due to the build-up of excess fluid. Each kidney consists of two parts. One part filters blood to remove excess water, salt, and waste products.

How do you diagnose hydronephrosis in primary care?

Your primary care doctor may refer you to a doctor who specializes in conditions affecting the urinary system (urologist) for your diagnosis. Tests for diagnosing hydronephrosis may include: A blood test to evaluate kidney function A urine test to check for signs of infection or urinary stones that could cause a blockage

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