![]() ![]() An example would be an “A” in red next to the codes for age related cataract of the eye. Some symbols appear to the right of the code columns and these may include age and/or sex conflict warnings. There can also be a 7 within a blue circle to indicate the final code should include a seventh character following one or more “X” placeholders. This will be a 4, 5, 6, or 7 in a red circle next to the code prompting the coder to read further for a more specific code choice. The symbol seen most often is the ‘additional character required indicator’ placed in front of codes. There are also specific symbols and color-coding located in the tabular list. ![]() There are also instructions for ‘includes’, ‘excludes’, ‘code also’, and ‘code first’ which help guide you through the coding process. “NOTES”, which is located immediately under a code title, is a convention clarifying the content of the category and often providing examples. These include abbreviations such as NEC (not elsewhere classified) and NOS (not otherwise specified), brackets enclosing synonyms or manifestation codes, parentheses enclosing supplemental words, and colons to signify an incomplete term. It is important to understand these conventions because they explain the format and structure of both the index and the tabular list. ![]() The conventions are instructional notes incorporated within the ICD-10-CM codebook. With the additions for FY 2017 now pushing 70,000, it is crucial to follow the conventions, symbols, and guidelines provided throughout the book. Most notable was the increase in available diagnosis codes from 14,000 to 68,000 when ICD-10-CM was first implemented in October 2015. The implementation of ICD-10-CM brought many changes to the world of coding. ![]()
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