Maternity diagnoses - Age range is 12–55 years inclusive (e. 2 has an Excludes1 note for psychogenic vaginismus (F52. instructional notes. These conventions are incorporated within the Alphabetic Index and Tabular List of the ICD-10-CM as instructional notes. the note represents "not included here. subcategories, and valid codes. Instructional notes Punctuation marks Abbreviations Symbols. An "Excludes1 note" under a code indicates that the terms excluded from the code are to be coded elsewhere. I25. How to locate entry in Alphabetic Index. Code, If Applicable, Any Causal Condition First. In the Alphabetic Index both conditions are listed together with the etiology code first followed by the manifestation codes in brackets. For there is a “code first” note in the task, the coder should follow this instruction and sequence the underlying etiology or. Manifestation code = “code 1st” These instructional notes indicate the proper sequencing order of the codes 3. ' Codes with this title are a component of the etiology/ manifestation. There are also instructional notes to use additional code to identify specific organ dysfunction. Guest Stacey Elliot referred to the Coding Clinic from the third quarter of 2016, which says: “based on the instructional note, the COPD must be sequenced first. Study with Quizlet and memorize flashcards containing terms like Code First, X as a. Question: The Code First note instructs the coder to select a code to represent the etiology that caused the manifestation. ICD-10-CM was developed to replace Volume 3 of the ICD-9-CM. ICD-10-CM Chapter 18, Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, NEC contains ill-defined conditions that do NOT fit anywhere else in ICD-10-CM. R51. A list of abbreviations, punctuation, symbols, typefaces, and instructional notes appears at the beginning of the ICD-9. Wherever such a combination exists, there is a use additional code¨ note at the etiology code, and a, ¨code first¨note at the manifestation code. In most cases the manifestation codes will include “in diseases classified elsewhere” in the. If a causal condition is known, for example, an enlarged prostate, then the code for the enlarged prostate. , When. FALSE. None of these Difficult, abnormal, homogenousStudy with Quizlet and memorize flashcards containing terms like ICD-10-CM codes have more detail than ICD-9-CM codes, The SEE: notes in the Tabular instruct coders to view additional sections of the Tabular. The word “with” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. Chapter 3: (PASSWORD: NOS) ICD-10-CM Coding Conventions Coding conventions are instructional notes, punctuation marks, abbreviations, and symbols that are used throughout ICD-10-CM and ICD-10-PCS to provide direction when selecting codes. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. The Code First approach is a popular way of building applications in the Microsoft . These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These items provide guidelines for using the code set. The abbreviation NEC is only used in the index. These conventions are incorporated within the Alphabetic. Instructional notes Punctuation marks Abbreviations Symbols Instructional Notes In both the index and tabular. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017. subcategory. True The Coder must follow the See note in the Alphabetic Index to review additional entries in the Index. 3. 2. E78. The appropriate 7th character is to be added to each code from category S62: A Initial encounter for closed fracturecoding conventions (rules) usually found at the beginning of CM/PCS coding manuals general rules used in classification, independent of coding guidelines incorporated into CM/PCS instructional notes general coding conventions: + default codes - in CM, a code listed next to a main term in CM indexes; represents that condition is most commonly. Tru/False When seperate codes exist to identify acute & chronic conditions, both conditions are documented, the accurate code is sequenced first? True. 84) G97. 92XB, which instructional notes appear in the ICD-10-CM conventions? Select all that apply. The includes note is used to define, give examples, or both, of the content of a category of ICD-10-CM or of a block of category codes. An "Excludes1 note" under a code indicates that the terms excluded from the code are to be coded elsewhere. D) appears in both the Index and Tabular and instructs the coder to assign a second code. C) appears in the Tabular. 1. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Locate the main term in the alphabetic index. Basic Coding Steps. 13) and for the COPD and asthma (493. Title of the. etiology code, and a “code first” note at the manifestation code. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. instructs the coder to select a code to represent the etiology the caused the manifestation. The "code first" note _____. 5), indicating that the diagnosis psychogenic vaginismus is not reported. 4. 22 is a valid billable ICD-10 diagnosis code for Adjustment disorder with anxiety . 0 is a valid billable ICD-10 diagnosis code for First degree perineal laceration during delivery . 759 d. Verified answer. If there is a “code first” note is the tabular, the coder must follow this statement and ordered the underlying etiology or chronic condition beginning tracked by the modifier as an additional diagnosis. Dear; Services. 9. The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. Refer to the Tabular List and identify the code that contains an instructional note that indicates that two related conditions cannot occur together. includes general notes, inclusion and exclusion notes, "code first" notes, "use additional code" notes and "code also" notes. The word “with” or “in” (“in” first appeared in the 2018 Guidelines) should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. ICD-10 new features that differ from ICD-9-CM (locci) 1. ICD 10 Code Description Notes E08. section d. Code only the chronic code 10. 3-1e Use Additional Code and Code First Instructional Notes The Use Additional Code and the Code First notes appear in the Tabular section of ICD-10-CM and must always be followed. The instruction note in the tabular list under code 712. determine if the "omit code" instruction applies. A query may be necessary to clarify if the. 8, B96. 2 Rationale: Code N94. 13. instructional notes. 1 For each of the following items, list the diagnoses that are included as described by the inclusion note. Colon: used in the Tabular listing after a term that is modified by one or more terms following the colon Conventions: a group of instructional notes, punctuation marks, abbreviations, and symbols. The location of the includes note determines the category or block of category codes that the note governs. ”. HIMT 1400. This instructional note instructs the coder to “Code first the _____ condition or disease” GLYNNIEURD . 13 (Etiology/Manifestation Convention) "In addition to the notes in the Tabular List, these conditions also have a specific Alphabetic Index entry structure. Watch the instructional notes carefully. The “ code first ” note instructs the coder to code first any associated intracranial injury ( S06 . 5 is a valid billable ICD-10 diagnosis code for Hyperlipidemia, unspecified . The code. = cause of disease. 9 L50. 9 [ G63]. correct answer: A Assign, in this sequence, G30. Instructional Notes General notes Inclusion and exclusion notes Code first notes Use additional code notes, and Code also notes Wherever such a combination exists there is a "Use Additional Code" note at the etiology code, and a "Code First" note at the manifestation code. Found at the etiology code as a clue to identify the manifestations commonly associated with the disease. The Code First note instructs the coder to select a code to represent the etiology that caused the _____. Identify the first three characters of the code for drainage of right ethmoid. In most cases the manifestation codes will have in the code title, "in diseases. M10. According to ICD-10-CM Guidelines, it is not necessary to identify infections documented as antibiotic resistant. how to identify inclusion note. Study with Quizlet and memorize flashcards containing terms like interpreted as meaning and/or, adverse effect, code first underlying disease and more. 2 has an Excludes1 note for psychogenic vaginismus (F52. Includes Note. Note that in x86-64, first six arguments are passed into registers, where %rdi store the first argument and so on. Codes First and Use Additional Code Notes Coding convention used in ICD-10-CM that directs the coder as to which condition is coded first is known as a “code first” note. List the steps in coding. The code First note instructs the coder to select a code to represent the etiology that caused the manifestation. It is necessary to go to the main term referenced with the "see" note to locate the correct code. followed by a list of codes and descriptions. Editor’s note: This is the second of two articles that address International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) coding conventions and guidelines. Instructional notes in both the Alphabetic Index and the Tabular List of ICD-10-CM provide guidance to coders when selecting. The notation "SEE:" is used: In the Alphabetic Index and instructs the coder to cross-reference the term listed. When we navigate through the ICD-10-CM guidelines, I. 1. a group of instructional notes, punctuation marks, abbreviations, and symbols. l New Code – Mid-year Codes that have been added to the classification effective April 1, 2022. False. About us. appearing. The CODE FIRST note. This instructional note in Tabular of the I10 directs the coder regarding sequencing? X as a placeholder. 1. Code G63 is a manifestation code. 111. b. 7th Character Certain ICD-10-CM categories have applicable 7th characters. In Diseases Classified Elsewhere Note. Excludes. Mar 19, 2018. A. (See Appendix A, Section I. A9, Other myocardial infarction type. B) appears in the Index. 9. d. These instructional notes indicate the proper sequencing order of the codes: etiology, followed by manifestation. What does “code first” mean? There are certain conditions that have instructional notes in the ICD-10-CM tabular/coding conventions that guide the coder in. ' Instructional notes include. The underlying disease must be first sequenced, accompanied by the manifestation, according to the ICD-10-CM coding rule. 2x-3y=-2 x+y=-6. Locate the main term in the alphabetic index. 1 2 Code A05. In the ICD-10-CM Alphabetic Index look for Polyneuropathy/in (due to) deficiency (of)/B (-complex) vitamins guiding you to codes E53. However, if the coder also sees the instructional note of "Use an Additional Code" in the ICD 10 CM Code Book in the Tabular List, the coder would then also provide an additional code to provide. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. NOS. 12. the mainifestaion code will have a "code first" instructional note, and the eitiology code will have a " use additonal code" note in the tabular list. True. %PDF-1. d. (See Appendix A, Section I. Now you need to assign a third code for the lifestyle habit you listed in step 5. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. Give an example of a code that contains an instructional note. b. In most cases the manifestation codes will have in the code title, 'in diseases classified elsewhere. Code First/Use Additional Code: Appears where additional codes are needed to give a more complete picture of the diagnosis or procedure (example G06). O70. would code E85. Combination codes are one of those types of codes that identify multiple conditions or diseases but have their own set of special coding guidelines. Exclude 2 means " not included her" the condition excluded is not part of the condition, but the patient may have both conditions at the same time. Check the solution algebraically . Question options: is used in both the Index and Tabular is used in the Index is used in the Tabular List is not used in ICD-10-CM coding Nonessential modifiers appear in the Alphabetical Index: Question options: within brackets [ ] within parentheses ( ) following a colon : following a comma ,. Last option is the right answer. The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. Give an example of a code that contains an instructional note. This indicates the sequencing. These instructional notes indicate the proper sequencing order of the codes, etiology followed by. C) appears in the Tabular. 5. These conventions are. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. A “code also” note is an instruction that two codes may be required to fully describe a condition, but the seque ncing of the two codes depends on the severity of the conditions and the reason for the office visit. exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the manifestation code. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). " This means you need another code, that other code would be sequenced first, so H36 would NOT be the first-listed diagnosis. In ICD coding, the code first is not used. I21. The word “with” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The Code First Instructional Note provides a set of guidelines for developers who want to use this approach. With thousands of new and revised ICD-10 codes implemented with the new coding update on October 1, 2016, reviews and audits are essential to identifying patterns, trends, and best practices that affect documentation, coding, training, education, compliance, query practices, data analysis, and more. 5. True. “See” and “See Also” –The “see” instruction following a main term in thebut provide additional instruction. 0 to code first the underlying neoplasm. The name of a disease, organ, procedure, or body function that is derived from the name of a person, usually a physician or scientist who first identified the condition or devised the object being the name. When you encounter “with” or “in” in a code title (descriptor), the Alphabetic Index, or an instructional note in the tabular list, you’ll treat “with” or “in” as “associated with” or “due to. J06. esmer02. E87. Answer:. The classification presumes a causal relationship between the two conditions linked by these terms in the. ICD-10-CM Code E78. used in the Tabular listing after a term that is modified by one or more terms following the colon. states, “the word “with” or “in” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index (either under a main term or subterm), or an instructional note in the Tabular List. 7th Character Certain ICD-10-CM categories have applicable 7th characters. True. C. combination code. ” Example 2: Parkinson’s disease with dementia, without behavioral disturbance. Section IV. The Alphabetic Index and Tabular List. Notice the instructional note here states code first heart failure due to hypertension. and more. Select one: True False. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. These instructional note indicate the proper sequencing order of the codes, etiology followed by manifestation, if applicable Underlying condition. Instructional Notes Notes are listed throughout Volume II of ICD-10-CM. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. General notes. 9 is a valid billable ICD-10 diagnosis code for Headache, unspecified . Question 2. These instructional notes indicate the proper sequencing order of the codes, etiology followed by. 14. Basically stated, ICD-10-CM requires you to sequence the underlying condition first “if applicable, followed by the manifestation. 9. exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the manifestation code. Technically if there is an underlying condition, then the -underlying condition should be sequenced first. c: Following the late effect guidelines, the code for the residual condition (the scar) is sequenced. . ↓ See below for any exclusions, inclusions or special notations. directs coder to. 2 Rationale: Code N94. References Whenever such a combination exists, there is a use an additional code note at the etiology code, and a code first note at the manifestation code. Step 1. Instructs that there is another main term that may also be referenced that may provide additional alphabetic index entries that may be useful. , ICD-10-CM disease and injury codes describe causes of illnesses or clinical symptoms exhibited by the patient,. Below are just some of the ICD-10-CM guidelines I use and reference on a regular basis: Guideline Section IA:13 – Etiology/Manifestation Convention – Code first and Use additional code notes are sequencing rules in the classification of certain codes that are not part of an. In most cases the manifestation codes will have in the code title, 'in diseases classified elsewhere. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. , Carcinomas in situ are malignant cells that remain within the original site with no spread to or invasion of neighboring tissues. These instructional notes indicate the proper sequencing order of the codes, etiology followed by. In the Tabular List, you will find an instructional note under subcategory R65. , Section I of the ICD-10-CM Official Guidelines for Coding and Reporting provides guidelines only for outpatient services and more. (True/False) Question 2 . 5), indicating that the diagnosis psychogenic vaginismus is not reported with code N94. Code First: notes appearing in the Tabular section of ICD-10-CM and identifying for the coder the sequence of the code assignment. But don’t forget the. Code First. 0 also applies to the following: Inclusion term. Verify the code(s) selected from the Index in the Tabular List 6. This will be the patient's first CABG. Includes – note used to define and/or give examples of the content of a particular category or a block of category codes. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . 3. 2 b. These notes are provided to assist the. A dash (-) at the end of an Index entry indicates additional characters are required. This is where you may see a “Use additional” note, or a note that states “Code first”. University Hospital ICD-10-CM Coding Job Aid Template Part 1: The ICD-10-CM Code Book Part 2: Instructional Notes Instructional Note Type Description Example See also Defines or give examples of the code or category See also neoplasm, by site, benign Code first The ICD-10-CM coding convention requires the underlying condition be sequenced first. There are 2 types of EXCLUDES notes in ICD-10-CM. A combination code is used to classify?Study with Quizlet and memorize flashcards containing terms like Code First, X as a placeholder, Unknown or N/A and more. List the codec. Instructional – appears in both the Tabular List and Alphabetic Index of the ICD-10-CM and provides further instruction for the coder. The abbreviation NEC is only used in the index. ICD 10 CM ___________ include the following: Instructional notes, Abbreviations, Cross-reference notes, Punctuation marks, and Relational terms. FALSE. A template manuscript file, ecrc-template. Question options: oth the Index and Tabular the Index the Tabular List ICD-10-CM coding Nonessential modifiers appear in the Alphabetical Index:. Your exploit code should set the value of %rdi, push the address of fizz() on the stack, and then execute a retq. General Notes. A patient's diagnosis for a visit, as established by the practitioner, describes the primary condition for which the patient is receiving treatment. A combination code is a single code used to classify: Two diagnoses, or A diagnosis with an associated secondary process (manifestation) A diagnosis with an associated complication Combination codes are identified by referring to sub term entries in the Alphabetic Index and by reading the inclusion and exclusion notes in the Tabular List. ICD-10-CM Official Guidelines for Coding and Reporting FY 2024 Page 8 of 120 5. A. Code First Underlying Condition. CSOEDRANY. a group of instructional notes, punctuation marks, abbreviations, and symbols. Selected Answer : code first Question 11 2. The first one is completed for you. Our query relates to the use of the instructional notes in the tabular list of Diseases, (Volume 1) of ICD-10-AM. Once a code number entry has been located in the Alphabetic Index, the code may be assigned without further verification. Laterality (Left, Right, Bilateral) 2. 12. Graph the system and estimate the solution. In the tabular list, code first and use additional code instructional notes indicate the proper sequencing order of what conditions Certain conditions that have both an underlying etiology and multiple body system manifestations due to the underlying etiology instructional notes indicate a proper sequencing order of these conditions etiology. The list of coded instructions is called Computer program. 0 is a valid billable ICD-10 diagnosis code for Celiac disease . Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. 9 What is the ICD-10-CM code for hives? 4 out of 4 pointsHere are three steps to ensure you select the proper ICD-10 codes: Step 1: Find the condition in the alphabetic index. 1 Lead-induced gout- Code first toxic effect of lead and its compounds (T56. that it is a pure excludes note. Code G63 is a manifestation code. The “code first” note informs us of two things, says Allen Frady, RN, BSN, CCDS, CCS, CDI education specialist at ACDIS. code, and a 'code first' note at the manifestation code. An instructional note in the Tabular List instructs us to use an additional code to identify alcohol and/or tobacco use and/or dependence, history of tobacco dependence, and/or exposure to tobacco smoke. 810 b. followed by a list of codes and descriptions. Watch the instructional notes carefully. - Read and follow any instructional notes. The "Code first underlying disease" instructional note found under certain codes is a sequencing rule. o The underlying condition is sequenced first, Diabetes. Bronchogenic c. The code "L05. Study with Quizlet and memorize flashcards containing terms like Four types of conventions: instructional notes, punctuation marks, abbreviations, symbols. Use additional code, where applicable, to identify: history of tobacco dependence (Z87. 5 points The instructions and conventions of the classification take precedence over _____. Chapter 18 of ICD-10-CM, Symptoms, Signs, and Abnormal Clinical and Laboratory Findings Not Elsewhere Classified (codes R00-R99) contain many, but not all codes for symptoms. 4. Wenn there is an “code first” note at the tabular, of coder should follow this instruction and sequence the underlying etiology or chronic condition first trailed by the enlightenment as in additional diagnosis. The Alphabetic Index does not always provide the full code. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. Refer to the ICD-10-CM Official Guidelines for Coding and Reporting, section I. When there is a “code first” note and an underlying condition is present, the underlying condition should be. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. The term you’re looking for might not be one of the main terms in the index, but it might be listed under one of those main terms. esmer02. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. ‐) tobacco use (Z72. g. A. Learn your Medical Coding Conventions and Guidelines. The patient was diagnosed with small-cell lung carcinoma 3 months ago. 1 (toxic gastroenteritis (drug induced gastroenteritis)) has a code first note stating, "code first T51-T65 to identify the toxic agent and a use additional code for adverse effect, if applicable". Inclusion notes. - ) . Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. From Date should be less than To Date Please select From Date and To Date. See also instructional note Refers the coder to another location in the alphabetic index when the initial listing does not contain all the necessary information to accurately select a code. Excludes 1: fever and chills. - (amyloidosis) first and then code H42 (glau-coma in diseases classified elsewhere) on the claim form. Eponyms. Patient is admitted to the hospital with pneumonia due to bacteriodes fragilis, J15. It is acceptable to use only the alphabetic index to assign I10 codes. These notes are used to signal that, when there is an underlying etiology and multiple body system manifestation due to the underlying etiology, two codes are needed. c. When you look up this code in the Tabular List, you’ll find the instructional note “Code first underlying neoplasm (C00-D49). Instruction c. not provide the full code. algebra2. An excludes2 note The "CODE FIRST" instructional note _____. A code to identify resistance to antimicrobial drugs (Z16. These are sequencing instructions that must be followed. Code Also –A “code also” note instructs that two codes may be required to fully describe a condition, but the sequencing of the two codes depends on the severity of the conditions and the reason for the encounter. Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced . This is especially true when the condition has a common manifestation or underlying conditions of a chronic disease. Adherence to these guidelines when assigning -10-CM ICD diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). These codes may not be used as the first code; they must always be preceded by another code for the primary diagnosis. link the procedure code to a diagnosis code. All codes in ICD-10-CM Chapter 10. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. This issue was raised during discussion regarding the assignment of additional codes ‘to identify the specific condition’ when assigning codes from O98 Maternal infectious and parasitic diseases classifiable elsewhere but. or an instructional note in the Tabular. If a code. 1, Alzheimer's disease with late onset, and F02. An EXCLUDES 2 note indicates that the condition excluded is not part of the condition it is excluded from, but a patient may have both conditions at the same time. According to this guideline that would be correct: Code first” notes are also under certain codes that are not specifically manifestation codes but may be due to an underlying cause. The 7th character must always be the 7th character in the data field. 02 herpes , scrotum Provide : ICD - 10 - CM Code ( s ) and the term ( s ) you referenced to obtain the code ( s ) . S04. See” and “See Also” “Code also Note” Default codes Code assignment and Clinical Criteria Points to Remember -When selecting codes, the coder must follow all instructional notes present -Instructional notes, abbreviations, and punctuation provide direction to coders -When cross-references are present in the Index, the additional. INSTRUCTIONAL NOTES Excludes1&2 Tip: Excludes1: Only 1 code can be used Excludes2: 2 codes can be use if both are appropriate and there is proper documentation for both 11/19/2015 17 INSTRUCTIONAL NOTES • “Code First” & “Use Additional Code” • Used for Sequencing Priority – Found in Tabular What is the intent of the instructional note that appears under the category heading for S04? The “code first” note instructs the coder that the selection of side should be based on the side of the body being affected Codes first any associated intracranial injury. Instructional Notes Appear in both the tabular list and alphabetic index of ICD-10-CM. Study with Quizlet and memorize flashcards containing terms like List the three diagnoses that are included as described by the "inclusion note" for code R56. Review any subterms under the main terms in the Tabular 4. ” Codes with this title are a component of the etiology. J30. In most cases the manifestation codes will have in the code title, “in diseases classified elsewhere. 2. 15. These instructional notes indicate the proper sequencing order of the codes, etiology followed by. “These are the ‘code first,’ ‘use additional code,’ and ‘in diseases classified elsewhere’ notes you see in the Tabular section of ICD-10,” Blanchard. These instructional notes indicate the proper. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. conventions. Hyperlipidemia, unspecified Billable Code. Code First Instructional Note. are introduced by the word "includes" when placed at the beginning of a chapter or section. 1 is only reported when the provider documents the medical condition is not related to the pregnancy. Some payers are denying claims when heart failure or sepsis codes are sequenced as the principal diagnosis because they are misinterpreting the “code first” note at categories I50, Heart failure, and A41, Other sepsis. The ICD-10-CM is divided into the Alphabetic Index, an alphabetical list of terms and their corresponding code, and the Tabular list, a chronological list of codes divided into chapters based on body system or condition. These instructional notes show the proper sequencing. The first diagnosis listed for inpatient claims as the principal. a. Z63. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Step 1: Search the Alphabetical Index for a diagnostic term. For conditions, the ICD-10-CM has a coding convention where the underlying condition be sequenced first, if applicable, followed by the manifestation. The International Classification of Diseases (ICD) is published by the World Health Organization (WHO) and is used to classify:Refer to the Tabular List and identify the code that contains an instructional note that indicates that two related conditions cannot occur together. The classification presumes a causal. The External Cause of Injuries Index is the first index found in the ICD-10-CM code book. Begin the process by looking for the main term in the alphabetic index.