Coding Guidelines and Instructional Notes for ICD-10-CM Chapter 1 0 Instructional note appears at beginning of chapter, "when a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site" Use additional codes, where applicable, to identify o Exposure. 89 (other post-procedural complications and disorders of the circulatory system, not elsewhere classified) and I48. 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. When a coder encounters a "Use additional code" note, the coder should NOT assign a code from the list unless it is documented in the record. 9. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. R14. In most cases, the manifestation codes will have in the code title “in. -). 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. The note,. This is where you may see a “Use additional” note, or a note that states “Code first”. The “code first” note appears in the Tabular List under the. If a coder sees the instructional note of "Use an Additional Code" in the ICD 10 CM Code Book in the Tabular List it is indicating to the coder the following instruction: Q&A. Question: The Code First note instructs the coder to select a code to represent the etiology that caused the manifestation. 0 can also apply to. "Code, if applicable, any causal condition first" note OD. d. "Code first" notes are also under certain codes that are not specifically manifestation codes but may be due to an underlying cause. I-8 conventions. coli] since there is a “use additional code” note under code N39. -). 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. When you see a “use additional code” note, followed by a list of codes, in the Alphabetic Index, you know to. Select one: True False. 13. There is no information of the infectious agent and no additional code is reported. "code first" and "use additional code" are examples of A. The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. In the Tabular List, the 6th character 2 is selected to specify the left ovary. Verify code selection in the Tabular List. True The "Excludes 1" note _____. Etiology/manifestation convention (code first, use additional code and in diseases classified elsewhere notes): Certain conditions have both an underlying etiology and. 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 . These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 0 would be reported in chapter ____ 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. The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. Expert tip: “Tab your copy of ICD-10 with reminders. Patient has type 2 DM with diabetes-related CKD stage 3. True The "Excludes 1" note _____. In the following problem, find polar and Cartesian forms for all three cube roots of the complex number. -)" instructional note under category K70. Under the Main Term Diabetes in the Index, first-level subterms identify: The specific complication (s) with each type. Use the primary code and change the number of units to match the number of biopsies taken Use the appropriate add-on code for a different technique Use the appropriate add-on code for the appropriate technique Use the primary code and only bill one unitE66. and more. true false Appendix C contains coding examples to assist in the selection of. 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. R56. ICD-10-CM guideline I. An instructional note will be found at the infection code advising that an additional organism code is required. These conventions are incorporated within the Alphabetic Index and Tabular List of ICD-10-CM as instructional notes. “In diseases classified elsewhere“; never permitted to be used as first-listed/principal diagnosis codes; must be used in conjunction with an underlying condition code and must be listed following the underlying condition 4. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Social phobia, unspecified Billable Code. 22) and CKD, stage 3 (N18. The additions for FY 2021 presently pushing the number of codes to over 70,000. 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 . A “code also” note is an instruction that two codes may be required to. followed by the manifestation. algebra2. 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 . 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 . ) Assign combination codes when available. 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. Largo, FL. All ICD-10-CM Index to Diseases and Injuries subterms associated with an index entry's main term are indented two spaces, with any 2nd and 3rd qualifiers associated with the main term further indented by two and four spaces, respectively. 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. 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. 2. Manifestations are listed as additional codes. ICD-10-CM;The "See Also" instructional note is a coding guideline that refers the coder to another code or group of codes in the Tabular List of the International Classification of Diseases (ICD). Most notable was the escalation of available diagnosis codes from 14,000 to 68,000 when ICD-10-CM was first initiated in 2015 (CMS, 2015). 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. combination exists there is a “use additional code” note at the etiology code and a “code first” note at the manifestation 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. In most cases the manifestation codes will have in the code title, 'in diseases. ICD-10-CM;The instructional note: Use additional code (B95–B97) to identify infectious agent appears under several codes in the tabular. CHAPTER NOTES (cont. Diseases of the Eye and Adnexa. These instructional notes indicate the proper sequencing order of the codes: etiology, followed by manifestation. Volume 3 procedure codes have been adopted for inpatient. There are times when a single condition may require multiple coding. 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. "Code first" notes are also under certain codes that are not specifically manifestation codes but may be due to an underlying cause. Z98. ) Courtesy of the Centers for Medicare & Medicaid Services, 3-1d See Also Instructional Note Another cross-reference note used in ICD-10-CM, the See Also note refers the coder to another location in the Alphabetic Index when the initial listing does not contain all the. This convention instructs you to “Code first” the underlying condition, followed by etiology and/or manifestations. Instructional Notes. A postcoordination instructional note labeled “Has manifestation (use additional code, if desired)” is a reminder to the user that, depending on the case being coded, it is allowable to post-coordinate any manifestations with the underlying condition. 20 c. ↓ See below for any exclusions, inclusions or special notations. 4. 890 is a valid billable ICD-10 diagnosis code for Other specified postprocedural states . 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 . The patient is also a type 1 diabetic with diabetic retinopathy and diabetic neuropathy. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. 850. 8x has a “use additional code to identify delirium and dementia w/with behavioral disturbance at the beginning of the G30/Alzheimer’s disease section. Coding Notes for Chapter 10 Chapter Notes: When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. ) • Use additional code to identify resistance to antimicrobial drugs (Z16) • New section called infections with a predominantly sexual mode of transmission (A50–A64) • When coding sepsis or AIDS, it is important to review the Coding Guidelines and the notes at the category level of ICD-10-CMThe “use additional code” note appears at the etiology and a “code first” note at the manifestation code. N30. 65 is a valid billable ICD-10 diagnosis code for Type 1 diabetes mellitus with hyperglycemia . General notes. Under code T81. When there is a "Code first" note and an underlying condition is present the:-instructional note (Code first) should be followed. 3. Similar to ICD-9-CM, "Code first" and "Use additional code" notes are present for some of the diabetes mellitus categories and subcategories that require the underlying condition be sequenced first, followed by the manifestation. Identify the main term below that has an instructional note indicating another main term may need to be referenced providing an additional index entry to report the diagnostic code. 891) •Occupational exposure to environmental tobacco smoke (Z57. Category J05 Use Additional code note and Code Also 9. If this is not the case and coder feels more detail is needed - ask supervisior) 5 very basic (beginning. and more. Z98. False When an "Includes" note appears after. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 8 e additional. 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 . What is the ICD-10-CM code for fatigue? R53. C. The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) is a morbidity classification published by the Centers for Medicare and Medicaid Services. 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. 01 Conn’s syndrome. Z98. These instructional notes indicate the proper. Wherever such a combination exists, a Use additional code note is found with the etiology code, and a Code first note is found with the manifestation code. 9 is a valid billable ICD-10 diagnosis code for Male erectile dysfunction, unspecified . 1. 673 is a valid billable ICD-10 diagnosis code for Pain in unspecified foot . N18. detail to ensure the code assignment is not affected. are designated in the ICD-10-CM index by brackets. 3) Rationale: A note under the code for type 2 DM with diabetic CKD instructs to use an additional code to identify the stage of CKD (N18. Excludes 1: fever and chills. are introduced by the word "includes" when placed at the beginning of a chapter or section. 9. Example: E10. 22) •History of tobacco use (Z87. None of the provided codes (C30. Use additional code for any associated fecal incontinence ( R15 . 3. 22)” applies to. It is necessary to go to the main term referenced with the "see" note to locate the correct code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. The additions. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. code set based on a system maintained by the World Health Organization. 891)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. A use additional code note is present at category D70 which instructs to “Use additional code for any associated: fever (R50. As with all DM categories, an Excludes 1 note excludes all other DM, including gestational, neonatal, and postprocedural. false. When the term “and” is used in a statement, it may be interpreted as, “and/or”. 10 is a valid billable ICD-10 diagnosis code for Social phobia, unspecified . Codes from category 438 may be assigned on a health care record with codes from 430-437, if the patient has a current CVA and deficits from an old CVA. 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 have in the code title, "in diseases. 8- directing to “Code first underlying disease when associated fever is present such as with: neutropenia (D70. There is an instructional note use additional code to identify organism. Inclusion notes. 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. When you look up this code in the Tabular List, you’ll find an instructional note to “Code also” adrenal adenoma (D35. 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. 1. 13. 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. C. Study with Quizlet and memorize flashcards containing terms like combination codes for. 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. 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. 6). 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. 1–N18. 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 . Correctly use instructional terms and symbols as defined in the ICD-9-CM. Create flashcards for FREE and quiz yourself with an interactive flipper. 1R29. 0. The SEE instructional note. ” A corresponding instructional note is present at subcategory R50. Table of Neoplasms. 9. 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 . In most cases the manifestation codes will have in the code title, “in. 4-)Study with Quizlet and memorize flashcards containing terms like These _____ are incorporated within the Alphabetic Index and Tabular List of the ICD--CM as instructional notes, The conventions and instructions of the classification take precedence over _____, The _____ _____ is an alphabetical list of terms and their corresponding code. 6 is assigned. ‐) tobacco use (Z72. Chronic sinusitis (includes abscess, empyema, infection, suppuration) There are several instructional notes you must consider when applying the sinusitis codes. 3 According to the instructional notes for the category code, are the codes for use on the maternal or fetal record,. The other instructional note is under category code I85 which says to use an additional code to report alcohol abuse and dependence. M48. instructional notes. ↓ See below for any exclusions, inclusions or special notations. When using code n52. Abbreviations The "Use additional code" _____. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. sometimes used to inform, describe circumstances or give additional information about a term or. [E. 20 is assigned a tthe direction of the "use additional code to identify alcohol use and dependence (F10. Give an example of a code that contains an instructional note. 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. 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. b. instructional notes. Code First. the note represents "not included here. instructs the coder to select a code to represent the etiology that caused the manifestation. 1 is a valid billable ICD-10 diagnosis code for Major depressive disorder, recurrent, moderate . Appears in the Official Guidelines at I. ICD 10 CM ___________ include the following: Instructional notes, Abbreviations, Cross-reference notes, Punctuation marks, and Relational terms. The location of the includes note determines the category or block of category codes that the note governs. 10. 9. Code First/Use Additional Code notes (etiology/manifestation paired codes) Certain conditions have both an underlying etiology and multiple body system. combination. In most cases the manifestation codes will have in the code title, "in diseases. use additional code for any associated physical or developmental disorders. Introduction ICD-10 was endorsed by the 43rd World Health Assembly in May 1990 and came into use in WHO Member States in 1994 (including US) The classification is the latest in a series, which has its origins in the 1850s The first edition, known as the International List of Causes of. 0 indicates to use additional code to identify the stage of the CKD. g. (See Appendix A, Section I. In disease classified else. 88 Other and unspecified bacterial agents as the cause of diseases classified to other chapters. ↓ See below for any exclusions, inclusions or special notations. ↓ See below for any exclusions, inclusions or special notations. When you look up this code in the Tabular List, you’ll find the instructional note to “Use additional code” to identify any functional activity (this determines the order). and more. – The manifestation codes usually have the phrase “ in diseases classified elsewhere” as part of the code title. A 3-year-old patient was brought in to the physician's office by her mother because of fever, fussiness, and tugging at the right ear. The instructional notation "USE ADDITIONAL CODE" instructs the coder to: Add a second code to fully code the diagnosis. 111. -)It is important to use both the Alphabetic Index and the Tabular list when assigning ICD-10-CM codes because we do not code from the Alphabetic Index, the alphabetic index doesn’t provide the full code and you must refer to the Tabular List to get the full code 2 how instructional notes in both the Alphabetic Index and the Tabular List guide. What is the ICD-10-CM code for hay fever?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. ↓ See below for any exclusions, inclusions or special notations. 1 - N18. The "use additional code" note is. According to the instructional notes for the category code, are the codes for use on the maternal or fetal record, or both? Maternal. heart involvement. Introduction to ICD-10-CM. R11. 16. The underlying disease must be first sequenced, accompanied by the manifestation, according to the ICD-10-CM coding rule. 01. What diagnosis code(s) should be reported for acute and chronic cystitis? a. Patient present with anemia and is admitted for transfusion. -). followed by the manifestation. exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the. 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 . Instructional notes, like Inclusion and Excludes notes, are located in the. Indicates that an additional code should be used, if available. Select one: a. 1 also applies to the following:R94. 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 . 42 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus with diabetic polyneuropathy . There is an instructional note to code also the type of asthma, if applicable (J45. instructional notes, and may also require coding to a higher degree of. R50. FIGURE 18-5 Example of. 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. 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 . There is an instructional note use additional code to identify organism. 211 itional code to indicate precipitate labor 062. Possible conventions to include with codes include the following: Notes: Extra information to define or clarify code choice. A commonly missed instructional note under N18. CODING CONVENTIONS. View all the articles associated with any code, right from the code page! Study with Quizlet and memorize flashcards containing terms like Four types of conventions: instructional notes, punctuation marks, abbreviations, symbols. xxxx Drug or chemical-induced diabetes mellitus Code first a dx from (T36-T65) Use additional code for adverse effect (T36-T50) E10. 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 1 of the ICD-10-CM guidelines provides incredibly detailed instruction on coding for sepsis, severe sepsis, and septic shock infections. 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. 32. 01-Use additional code to specify site and severity of ulcer (L97. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Appears in the Official Guidelines at I. 890. 00 is found in the ICD-10-CM chapter entitled _____. Instructional notes in the Alphabetic Index and the Tabular List guide coders when selecting ICD-10-CM codes by providing additional instructions. Instructional notes appear in both the Tabular List and Alphabetic Index of ICD-10-CM. 1. There is an instructional note under category code K70 to use additional code to identify alcohol abuse and dependence. E78. What is the instruction provided in the note below code E10. Instructional notes indicate the proper sequencing order of these conditions-etiology (underlying condition) followed by manifestation. This is step number __ when coding: Assign the code to the highest level of specificity. 0. 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. 22, Type 1 diabetes mellitus with diabetic chronic kidney disease. 414, Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone. but provide additional instruction. 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. 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. The coder must use the main term Infection, bacterial, as cause of disease classified, Klebsiella to locate the additional code of B96. When there is a “code first” note and an underlying condition is present, the underlying condition is sequenced first. The “use additional code” note appears with the code for toxic shock syndrome because it is an infectious disease code that does not identify the specific bacterial or viral organism that caused it,. 83) Use additional code to identify: chronic total occlusion of coronary artery (I25. 30. 00Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. 0. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. -) Use additional code to identify stage of chronic kidney disease ( N18. At the beginning of Chapter 15 there is a note to use an additional code from Category Z3A Weeks of gestation, to identify the weeks of gestation for codes O00-O9A. The instructional note found under L58, Radiodermatitis, instructs coders to use an additional code to identify the: source of the radiation. Code the following diagnosis: Seizure. precalculus. When an Excludes _____ note appears under a code, it is acceptable to use both the code and the excluded code together. - Use additional code notes appear throughout chapter 9 to direct the coder to identify exposure to, history of current use, and dependence of _____. • Read and follow instructions • Includes & Exclude notes • Use additional code • Code first underlying disease • Code also • Character requirements – 4th, 5th, 6th, & 7th • Age and gender 6 . exists, there is a “use additional code” note at the etiology code and a “code first” note at the manifestation code. contains the code that is to be. The applicable 7 th character is required for all codes within the category, or as the notes in the Tabular List instruct. In the ICD-10-CM tabular, the coder will see notes under the Category J91. J96. At the beginning of Chapter 15 there is a note to use an additional code from Category Z3A Weeks of gestation, to identify the weeks of gestation for codes O00-O9A. This note indicates that an additional code should be used, if available. 0 is a valid billable ICD-10 diagnosis code for Celiac disease . a. In most cases the manifestation codes will include “in diseases classified elsewhere” in the. There are several organ dysfunctions listed it the ICD-10-CM Index, but this list is not an exhaustive. underlying disease, such as: amyloidosis E85Question options: 1 / 1 point What additional code(s) are we advised to use?. 4-I51. The 7th character must always be the 7th character in the data field. What is the correct 7th character for single gestation? 0. A) when the note appears under a code, it is acceptable to use both the code and the excluded code together when applicable. true false An additional codes instructional note is listed under code 33881. The additional code referenced with the “see” note to locate the correct 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. , Modifiers are used to identify when no procedure is done. Codee F10. The following are examples of what type of encounter?-Emergency room encounter-First appointment with new physician. 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 . The implementation of ICD-10-CM coding brought about significant changes to the world of coding. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Whenever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation 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. -) •Tobacco use (Z72. K90. Instructional notes include. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 9 ) In the example, we see three distinct conditions listed individually in the Assessment and Plan that are all represented in one combination code. Use additional Characters (red. N30. Verified answer. ICD-10-CM Coding Conventions The conventions for ICD-10-CM are the general rules for using the classification independent of the guidelines. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. xxx Diabetes mellitus due to underlying condition Include the underlying condition diagnosis E09. These items provide guidelines for using the code set. 8, B96. The Instructional Note under code U07. Verified answer. ↓ See below for any exclusions, inclusions or special notations. Hint: Locate the instructional notes before CPT 11102. ↓ See below for any exclusions,. ICD-10-CM Instructional Notes, Chapter 3 Two instructional notes appear with a code if the type of anemia is produced by either a poisoning or an adverse effect of a drug, such as-Code first _____ due to drug or toxin, if applicable (T36-T65), with fifth or sixth character 1-4 or 6-Use additional code for adverse effect, if applicable, to. ICD-10-CM;• Read full code descriptors and instructional notes • see, see also, see category • with or without. It instructs you to code first underlying disease, which in this case, is the cirrhosis of the liver from the alcohol. Tuberculous erythema nodosum is coded to L52. 4. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Location. Read and be guided by the instructional notes in both indexes The Alphabetical Index does not always provide the full code. the code does not contain additional characters. 44 (Sepsis following a procedure). Explain the use of V and E codes. xxxx Type 1 diabetes mellitus3. b. 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. 6. By understanding how to use instructional notes, coders can ensure that they select the correct codes for a. Combination codes would be reported for these. 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. 1 is a valid billable ICD-10 diagnosis code for Solitary pulmonary nodule . In most cases the manifestation codes will have in the code title, "in diseases. 1 should be reported as the principal or first diagnosis, regardless of whether the patient's most recent COVID-19. Manifestation. ” (See Reference 1) For instance, if a patient has a diabetes, the coder may use the code E11. Use additional code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 31) •Tobacco dependence (F17. The two codes are to be sequenced as listed in the "Index to Diseases. 0-). A. Without further description you are directed to R53. -) Use additional code to identify stage of chronic kidney disease ( N18. Some categories of codes (e. There is a "Use Additional Code" notation at the etiology code and a "Code First" note at the manifestation code whenever such a combination exists. " Discuss whether or not it is correct to follow the instructional note below as written and assign A41. Explain the use of V and E codes. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and. ↓ See below for any exclusions, inclusions or special notations.