ICD-10 Coding Conventions with Complete Solutions
Convention Types - -Instructional Notes, contain all the necessary information to
Punctuation marks, abbreviations, and Symbols. accurately select a code. i.e. Hypoxia (see also
Anoxia)
Instructional Notes - -- Includes notes are
use to define, give examples, or both. Use Additional Code and Code First Instructional
-Excludes notes are used to signify that the Notes - -Use additional Code note instructs
conditions listed are not assigned to the category the coder to use an additional code to identify the
or block of category codes. manifestation that is present. The code First note
instructs the coder to select a code to represent
the etiology that caused the manifestation.
Include Notes - -When the includes note
appears after the start of a chapter or block title,
the note governs the entire chapter or block ofDiseases Classified Elsewhere Note - -
category codes. Indicates that it is a manifestation code. "In
diseases classified elsewhere" codes are never
permitted to be used as first listed or principal
Excludes Notes - -Type 1- This means diagnosis coeds. They must be used in
NOT CODED HERE! It indicates that the code conjunction with an underlying condition code
excluded should never be used at the same time and they must be listed following the underlying
as the code above. It is used when two condition.
conditions can't occur together such as
congenital form versus an acquired form of the
same condition. CODE ALSO instructional note - -It
Type 2 -It represents NOT INCLUDED HERE. It instructs the coder that two codes may be
indicates that the condition excluded is not part needed to fully code a diagnostic phrase.
of the condition represented by the code, but a
patient may have both conditions at the same
time. If it appears under a code, it is acceptable Default Codes - -When listed next to a
to use both the code and the excluded code main term in the Alphabetic Index, it is known as
together, when appropriate. a default code.
The SEE instructional note - -It is used in PARENTHESES ( ) punctuation mark - -
the alphabetical Index of ICD-10-CM and Used in both the Tabular list and Alphabetic
instructs the coder that another term should be index. It provides additional information about the
referenced. It is necessary to go to the main term main diagnostic term The terms found within the
referenced with the "see" note to locate the parentheses are referred to as nonessential
correct code. modifiers (do not affect the code assignment for
i.e. Thromboarteritis - see arteritis the diagnostic statement being coded).
The SEE ALSO instructional note - -It BRACKETS [ ] punctuation mark - -Used in
refers the coder to another location in the both the Tabular list and Alphabetic index. In the
Alphabetic Index when the initial listing does not Tabular list the brackets enclose synonyms,
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Convention Types - -Instructional Notes, contain all the necessary information to
Punctuation marks, abbreviations, and Symbols. accurately select a code. i.e. Hypoxia (see also
Anoxia)
Instructional Notes - -- Includes notes are
use to define, give examples, or both. Use Additional Code and Code First Instructional
-Excludes notes are used to signify that the Notes - -Use additional Code note instructs
conditions listed are not assigned to the category the coder to use an additional code to identify the
or block of category codes. manifestation that is present. The code First note
instructs the coder to select a code to represent
the etiology that caused the manifestation.
Include Notes - -When the includes note
appears after the start of a chapter or block title,
the note governs the entire chapter or block ofDiseases Classified Elsewhere Note - -
category codes. Indicates that it is a manifestation code. "In
diseases classified elsewhere" codes are never
permitted to be used as first listed or principal
Excludes Notes - -Type 1- This means diagnosis coeds. They must be used in
NOT CODED HERE! It indicates that the code conjunction with an underlying condition code
excluded should never be used at the same time and they must be listed following the underlying
as the code above. It is used when two condition.
conditions can't occur together such as
congenital form versus an acquired form of the
same condition. CODE ALSO instructional note - -It
Type 2 -It represents NOT INCLUDED HERE. It instructs the coder that two codes may be
indicates that the condition excluded is not part needed to fully code a diagnostic phrase.
of the condition represented by the code, but a
patient may have both conditions at the same
time. If it appears under a code, it is acceptable Default Codes - -When listed next to a
to use both the code and the excluded code main term in the Alphabetic Index, it is known as
together, when appropriate. a default code.
The SEE instructional note - -It is used in PARENTHESES ( ) punctuation mark - -
the alphabetical Index of ICD-10-CM and Used in both the Tabular list and Alphabetic
instructs the coder that another term should be index. It provides additional information about the
referenced. It is necessary to go to the main term main diagnostic term The terms found within the
referenced with the "see" note to locate the parentheses are referred to as nonessential
correct code. modifiers (do not affect the code assignment for
i.e. Thromboarteritis - see arteritis the diagnostic statement being coded).
The SEE ALSO instructional note - -It BRACKETS [ ] punctuation mark - -Used in
refers the coder to another location in the both the Tabular list and Alphabetic index. In the
Alphabetic Index when the initial listing does not Tabular list the brackets enclose synonyms,
1/2
