ICD-10-CM Structure | Diagnosis Coding: Using the ICD-10-CM (2024)

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ICD-10-CM diagnosis codes:

  • Codes may be 3-7 characters long
  • First character is always alphabetic
  • Second character is always numeric
  • Characters 3-7 are alphabetic or numeric
  • All letters of the alphabet are used. The first character U is reserved for special purposes
  • A decimal point is placed after the third character
  • The first 3 characters make up the code category
  • Code extension for the 7th character offers further specificity and used primarily in the Obstetrics, Injuries, and Poisoning chapters
  • Dummy placeholder (X) is used to fill in any empty characters to make a complete code. assignment and also reserve space for future code expansion
ICD-10-CM Structure | Diagnosis Coding: Using the ICD-10-CM (2024)

FAQs

What is the structure of the ICD-10-CM code? ›

ICD-10-CM is a seven-character, alphanumeric code. Each code begins with a letter, and that letter is followed by two numbers. The first three characters of ICD-10-CM are the “category.” The category describes the general type of the injury or disease. The category is followed by a decimal point and the subcategory.

What is ICD-10-CM used for in coding Quizlet? ›

ICD-10-CM is based upon the International Classification of Diseases, which is published by the World Health Organization (WHO) and which uses unique alphanumeric codes to identify known diseases and other health problems.

What does the CM in ICD-10-CM stand for ______________? ›

ICD-10-CM, which stands for International Classification of Diseases, 10th Revision, contains two code sets. They are ICD-10-CM, Clinical Modification; and ICD-10-PCS, Procedure Coding System.

What do you code using ICD-10-CM? ›

ICD-10-CM (the International Classification of Diseases, Tenth Revision, Clinical Modification) is a standardized system used to code diseases and medical conditions (morbidity) data.

How is ICD-10 structured? ›

Codes may be 3-7 characters long. First character is always alphabetic. Second character is always numeric. Characters 3-7 are alphabetic or numeric.

What is the structure of the ICD-10-CM tabular list? ›

The Tabular List consists of 22 chapters (I to XXII), covering all diseases. The organ-specific chapters III to XIV make up the core. Diseases that cannot be allocated to a specific organ are pooled in the remaining chapters. Each chapter covers a code area designated by one, two (Ch.

What is the first step in assigning an ICD-10-CM code? ›

Step 1: Look up the term for the diagnosis in the Alphabetic Index. The term includes a subterm indicating Type 1 diabetes with specific codes for diabetes-related conditions. ICD-10-CM lists the code for Type 1 diabetes mellitus with diabetic nephropathy as E10.

What are ICD-10-CM primarily used for? ›

The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures related to inpatient and outpatient medical care in the United States.

When coding using the ICD-10-CM, you must pick the most specific.? ›

When coding using the ICD-10-CM, it is important to pick the most specific code possible. This means paying attention to instructions for coding sequence, as well as for additional codes and the need for 6th and 7th digits for placeholders. One must also pay attention to instructions for documenting lab values.

What is the ICD-10-CM code for as? ›

2024 ICD-10-CM Diagnosis Code M45. 9: Ankylosing spondylitis of unspecified sites in spine.

What are the parts of the ICD-10-CM? ›

ICD-10-CM codes consist of three to seven characters. Every code begins with an alphabetical character that corresponds to the chapter the code is classified in. The second and third characters are numbers. The fourth, fifth, sixth, and seventh characters can be numbers or letters.

What does the cm stand for in ICD-10-CM group of answer choices: continuous modification, clinical modification, cpt module, coding manifestation? ›

The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) is divided into an Alphabetic Index and a Tabular List. The correct answer is A. Select the correct answer.

What is the format of an ICD-10-CM code quizlet? ›

ICD-10-CM codes are alphanumeric, with all codes beginning with a number. ICD-10-CM codes have a maximum of five characters. The letter N is assigned as a fifth character placeholder for certain six-character codes. The ICD-10-CM, the WHO version, does not include a procedure classification (Volume 3).

Why are ICD-10-CM codes important? ›

Benefits of ICD-10

The codes have the potential to provide better data for evaluating and improving the quality of patient care. Public health. ICD-10 codes are used globally to track health statistics and causes of death.

What is ICD-10-CM default code? ›

A code listed next to a main term in the ICD-10-CM Alphabetic Index is referred to as a default code, which: Is the condition most commonly associated with the main term or. Shows that it's the unspecified code for the condition.

What is the structure of the ICD-10 CA code? ›

The ICD-10-CA codes have an alphanumeric structure with at least 3 characters and as many as 6 characters. The first character is always an alpha character (A–Z). The remainder of the characters are numeric (0–9) . The alpha character corresponds to the ICD-10-CA chapter headings (see above) .

What is the basic structure and components of the ICD-10-CM coding book? ›

The ICD-10 manual begins with “ICD-10-CM Official Guidelines for Coding and Reporting” and is then divided into two main parts: first, the alphabetic index of terms with corresponding codes (subdivided into an index of diseases and injuries, an index of external causes, and tables of drugs and neoplasms) and second, ...

What is the format and structure of the ICD-10-PCS code? ›

ICD-10-PCS has a seven character alphanumeric code structure. Each character contains up to 34 possible values. Each value represents a specific option for the general character definition (e.g., stomach is one of the values for the body part character).

What is the composition of the ICD-10 code? ›

Codes in the ICD-10-CM code set can have anywhere from three to seven characters. The more characters there are, the more specific the diagnosis. The first character is always alpha (i.e., a letter), but characters two through seven can be either alpha or numeric.

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