Dysphagia, unspecified Billable Code. N52. 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. N30. 16. 9 is a valid billable ICD-10 diagnosis code for Male erectile dysfunction, unspecified . These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. There is an instructional note with I87. F43. It instructs you to code first underlying disease, which in this case, is the cirrhosis of the liver from the alcohol. 0 would be reported in chapter ____ of ICD-10-CM. Manifestations are listed as additional codes. Combination codes would be reported for these. 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). R45. E78. 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. ICD-10-CM: type 2 DM with diabetic CKD (E11. A "use additional code" note will normally be found at the infectious disease code, indicating a need for the organism code to be added as a secondary code. ↓ See below for any exclusions, inclusions or special notations. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will include “in diseases classified elsewhere” in the. 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. -)R45. True. R13. This is where you may see a “Use additional” note, or a note that states “Code first”. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 2. FIGURE 18-5 Example of. They may appear independently of each other or to designate certain etiology/manifestation paired codes. 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. Study with Quizlet and memorize flashcards containing terms like When a code does not exist that accurately describes the procedure/treatement, the coder should report an unlisted code. N30. F33. There is advice at the beginning of this chapter to use an additional code to identify resistance to antimicrobial drugs using. 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. Thromboarteritis - see arteritis. Use additional 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. 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. ↓ See below for any exclusions, inclusions or special notations. In most cases the manifestation codes will have in the code title, "in diseases. xxxx Drug or chemical-induced diabetes mellitus Code first a dx from (T36-T65) Use additional code for adverse effect (T36-T50) E10. You are directed to R11. 22)” applies to. Used to define, give examples, or both, of the content of a category of ICD-10-CM or of a block of category codes. ICD-10-CM Coding Conventions The conventions for ICD-10-CM are the general rules for using the classification independent of the guidelines. 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. What is the instruction provided in the note below code E10. There are multiple additional codes for identified influenza virus infections, including novel A types (avian, swine. The coder must use the main term Infection, bacterial, as cause of disease classified, Klebsiella to locate the additional code of B96. Without further description you are directed to R53. Includes 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. – Indicates that code identified in the note and code where the note appears cannot be reported together because the 2 conditions cannot occur together Example:. A. 1–N18. In most cases the manifestation codes will have in the code title, "in diseases. With: The words "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. Excludes1: irradiation cystitis (N30. …The instructional note “Use additional code” (B95–B97) is found in the Tabular List of ICD- 10-CM under Code N39. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. These instructional notes indicate that the etiology code should be listed first followed by the manifestation code. conventions. I am currently coding. instructional notes, and may also require coding to a higher degree of specificity than indicated here. use additional code for any associated physical or developmental disorders. 0) CONVENTIONS 12 • Instructional Notes •“Code also” ‐alerts coder that more than one code may be required to describe the condition ‐does not provide sequencing directionsmanifestation. heart involvement. 1 is a valid billable ICD-10 diagnosis code for Major depressive disorder, recurrent, moderate . The principal diagnosis for this case is reported with code _____. This code is sequenced second because the reason the patient was admitted was to treat the hepatitis. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. These conventions are. 20 b. Watch the instructional notes carefully. The see also instruction in the ICD-10-CM index follows a subterm and refers the coder to another main term that: a. E86. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Explain two (2) methods you will use to build good coding habits. 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. 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. Code First/Use Additional Code notes (etiology/manifestation paired codes) Certain conditions have both an underlying etiology and multiple body system. Diseases of the Digestive System. -)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. 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. 3. Tabular List. 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 . Correct Answer : Add an additional character to the code . A) when the note appears under a code, it is acceptable to use both the code and the excluded code together when applicable. [Brackets] are an ICD-10-CM convention indicating the enclosed code is. 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. 5, N18. but provide additional instruction. 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 . Study ICD-10-CM Coding chapter 6 flashcards. tracheobronchitis to bronchitis in. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. -) •Tobacco use (Z72. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases. 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. Laterality and 7 thCategory J32. 1. Codes with this phrase are never used as a first-listed or principal diagnosis. 6 exists, there is a “use additional code” note at the etiology code and a “code first” note at the manifestation code. 6. Under the Main Term Diabetes in the Index, first-level subterms identify: The specific complication (s) with each type. 1. c. 9) Under the Category I50 in the ICD-10-CM. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. ↓ See below for any exclusions, inclusions or special notations. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 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). requires the reporting of multiple codes for a case. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. When there is a "code first" note and an underlying. The instructional note “Use additional code, where applicable, to identify exposure to environmental tobacco smoke (Z77. 1 directs to use an additional code to identify pneumonia or other manifestations. 8- directing to “Code first underlying disease when associated fever is present such as with: neutropenia (D70. xxx Diabetes mellitus due to underlying condition Include the underlying condition diagnosis E09. When you see a “use additional code” note, followed by a list of codes, in the Alphabetic Index, you know to. %PDF-1. which may or may not be followed by the ICD-9-CM code number, nonessential modifiers, or followed by Instructional Notes. A) a combination code. the use of ICD 9 codes is mandated by HIPAA for. Inclusion notes. In addition, if an index entry requires more than one line. Table of Neoplasms. 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. code set based on a system maintained by the World Health Organization. " Discuss whether or not it is correct to follow the instructional note below as written and assign A41. A note under category J01 Acute sinusitis states that an additional code (B95-B97) is used to identify the infectious agent, if known. 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) the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. This note signals that an additional code is necessary to fully. , 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. These instructional notes indicate that the etiology code should be listed first followed by the manifestation code. The implementation of ICD-10-CM coding brought about significant changes to the world of coding. The additional code is always listed after the primary code. 0 says to use additional code (B95-B97), to identify infectious agent. " In the "Index to Diseases," the multiple coding requirement is. When there is a "code first" note and an underlying. 9. The instructional note “Use additional code” (B95–B97) is found in the Tabular List of ICD- 10-CM under Code N39. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Code First/Use Additional Code Notes –Etiology/manifestation paired codes have a specific index entry structure . Use the code(s) in brackets in addition to the disease or condition to identity an associated manifestation. The etiology code will have a “use additional code” note The manifestation code will have a “code first” note In most cases, “in disease classified elsewhere” will be in the code manifestation title The code title indicates a manifestation code “In diseases classified elsewhere” codes are not to be used as first-listed or. This notation indicates that use of an additional code may provide a more complete picture of the diagnosis or procedure. 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. but provide additional instruction. 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 . 5. 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. " In the "Index to Diseases," the multiple coding requirement is indicated by the use of the slanted brackets. Patient present with anemia and is admitted for transfusion. 9. BracketsCode Also Instructional Note The Code Also note is used in ICD-10-CM to instruct the coder that two codes may be needed to fully code a diagnostic phrase. ) Assign combination codes when available. ICD-10-CM assumes a causal relationship and this is coded as hypertensive heart disease with CHF and an additional code for the specific type of heart failure. 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. 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. ICD 10 CM ___________ include the following: Instructional notes, Abbreviations, Cross-reference notes, Punctuation marks, and Relational terms. Therefore, when a patient presents with an acute manifestation of COVID-19, such as pneumonia, code U07. The other instructional note is under category code I85 which says to use an additional code to report alcohol abuse and dependence. First notes indicate that this code may be assigned as first-listed diagnosis when the casual condition is? Un known/ Not Applicable. but provide additional instruction. 1 should be reported as the principal or first diagnosis, regardless of whether the patient's most recent COVID-19. e. In most cases the manifestation codes will have in the code title, “in. As a result, it is crucial to follow the symbols, conventions, instructional notes, and guidelines mentioned throughout the book. Select one: a. b. Instructs that there is another main term that may also be referenced that may provide additional alphabetic index entries that may be useful. ↓ See below for any exclusions, inclusions or special notations. 3 According to the instructional notes for the category code, are the codes for use on the maternal or fetal record,. 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 in processing claims, check the following: — See additional coding rules. Read and be guided by the instructional notes in both indexes The Alphabetical Index does not always provide the full code. d. Code H27. At the beginning of Chapter 10, Diseases of the Respiratory System (J00-J99) there is an instructional note to Use additional code, where applicable, to identify tobacco dependence (F17. In most cases the manifestation codes will have in the code title, "in diseases. Instructional notes, like Inclusion and Excludes notes, are located in the. Codes mentioned in articles are linked to Code Information pages. 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. Example: Type 2 diabetes with stage three chronic kidney disease combination exists there is a “use additional code” note at the etiology code and a “code first” note at the manifestation code. 2 is a valid billable ICD-10 diagnosis code for Nausea with vomiting, unspecified . 6). 40 is a valid billable ICD-10 diagnosis code for Major depressive disorder, recurrent, in remission, unspecified . 65 is a valid billable ICD-10 diagnosis code for Type 1 diabetes mellitus with hyperglycemia . M79. R56. Take note of the tabular instructions for code M31. A “code first underlying disease” instructional note will appear with the. Basically stated, ICD-10-CM requires you to sequence the underlying condition first “if applicable, followed by the manifestation. 4 , N18. Correctly use instructional terms and symbols as defined in the ICD-9-CM. 83) Use additional code to identify: chronic total occlusion of coronary artery (I25. subcategory notations D. If the coder sees a "see" note, they should follow the cross-reference to where it tells you to go to review extra entries in the index. Selected Answer : The code should be sequenced first . Instructional Notes General notes Inclusion and exclusion notes Code first notes Use additional code notes, and Etiology/manifestation convention (code first, use additional code and in diseases classified elsewhere notes): Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. Code the following diagnosis: Seizure. When there is a “code first” note and an underlying condition is present, the underlying condition is sequenced first. true false An additional codes instructional note is listed under code 33881. 3 is a valid billable ICD-10 diagnosis code for Dietary counseling and surveillance . 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 . The Instructional Note under code U07. appears in the Tabular NOS means not otherwise specified. For influenza NOS (not otherwise specified), ICD-10 directs you to use J11. 4. 6 End stage renal disease, you will notice a “use additional code” instructional note to identify dialysis status. There is no information of the infectious agent and no additional code is reported. You must use the applicable 7th character for all ICD-10-CM codes within the category or as notes in the Tabular List instruct. 10. is used in the Tabular The note "Includes" _____. 8. In most cases the manifestation codes will have in the code title, "in diseases. K90. Category P00 Code first note and excludes2 note 1. combination exists there is a “use additional code” note at the etiology code and a “code first” note at the manifestation code. C. In most cases the manifestation codes will have in the code title, "in diseases. b. algebra2. 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 instructional note indicate the proper sequencing order of the codes, etiology followed by manifestation, if applicable Underlying condition. Below are general descriptions of these coding conventions. 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. Fully searchable through Find-A-Code's Comprehensive Search. NEC means not elsewhere classifiable 2. Patient has type 2 DM with diabetes-related CKD stage 3. 30. 6). J96. use additional code for. c. 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". The instructional note “Use additional code” (B95–B97) is found in the Tabular List of ICD- 10-CM 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. The instructional notes to code first the underlying physiological condition are found at the category level. must be sequenced second as the underlying condition code. The instructional notes include terms and diagnoses included and excluded for each code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. g. code first any associated physical or developmental disorders. R50. 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. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Diseases of the Eye and Adnexa. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. True B. urinary tract infectious organism of Klebsiella identified, the coder must follow the instructional note under N39. These items provide guidelines for using the code set. In Diseases Classified Elsewhere. The use of ICD-10 code E86. Instructional notes, punctuation marks, abbreviations, and symbols. These instructional notes indicate the proper. What is the instruction provided in the note below code E10. 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 . 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 an "Includes" note appears after the start of a chapter, the note governs the entire chapter. 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. 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 . R29. In most cases the manifestation codes will have in the code title, "in diseases. K62. The other instructional note is under category code I85 which says to use an additional code to report alcohol abuse and dependence. 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. A "use additional code" note will normally be found at the infectious disease code, indicating a need for the organism code to be added as a secondary code. ) Assign multiple codes when required (usually coder will be guided to do this by additional instructional notes in the ICD-9. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Possible conventions to include with codes include the following: Notes: Extra information to define or clarify code choice. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 82) exposure to environmental tobacco smoke (Z77. 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. Use additional code. Largo, FL. Group of answer choices. • 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 . The SEE instructional note. The additional code referenced with the “see” note to locate the correct code. This convention instructs you to “Code first” the underlying condition, followed by etiology and/or manifestations. 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. 89 (other post-procedural complications and disorders of the circulatory system, not elsewhere classified) and I48. E10. 13. ↓ See below for any exclusions, inclusions or special notations. Instructional notes also indicate when additional codes are required to fully describe the condition you are coding. 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. 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. When a code does not exist that accurately describes the procedure/treatement, the coder should report an unlisted code. The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. 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. ICD-10-CM Official Guidelines for Coding and Reporting FY 2024 Page 8 of 120 5. 2 is classified says to use additional code to identify resistance to antimicrobial drugs (Z16. Etiology/manifestation convention (code first, use additional code and in diseases classified elsewhere notes): Certain conditions have both an underlying etiology and. contain a use additional code instruction in the ICD-10-CM tabular list. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Instructional notes Punctuation marks Abbreviations Symbols Instructional Notes In both the index and tabular. - or I51. It is necessary to go to the main term referenced with the "see" note to locate the correct code. Adherence to these guidelines when assigning ICD-9-CM diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act (HIPAA). R14. 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. A “code also” note alerts the coder that more than. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Use Addit ional Code and C ode First I nstru ction al Notes The Use Additional Code and the Code First notes appear in the Tabular section of ICD-10-CM and must always be followed. For instance, if a patient has a diabetes, the coder may use the code E11. 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 placement of an Includes note signifies the section of the code book that the note. It is necessary to go to the main term referenced with the "see" note to locate the correct code. A. Use additional code to indicate outcome of delivery Z37. conventions. In addition,. The additions for FY 2021 presently pushing the number of codes to over 70,000. Which is not an instructional note under Transport Accidents? Use additional code to identify: failure to use seatbelt. In the ICD-10-CM tabular, the coder will see notes under the Category J91. In ICD-10-CM there are no supplementary classifications. ICD 10 CM ___________ include the following: Instructional notes, Abbreviations, Cross-reference notes, Punctuation marks, and Relational terms. QUESTION 1 4 points Sa In the ICD 10 CM manual which type of instructional note is used in the Tabular List of Diseases to identify a code for a condition that is a manifestation of an underlying disease? O A. 1 states to not assign codes from category Z34 with Chapter 15 codes. The words indicate an instructional note that directs the coder to sequence the underlying condition before the manifestation. = cause of disease. and more. Instructional notes include. Make sure to review pairs of ‘Use additional code’ notes at the etiology code, and ‘Code first’ notes at the manifestation code to ensure proper sequencing order in the guidance,” Blanchard adds. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. A "use additional code" note will normally be found at the infectious disease code, indicating a need for the organism code to be added as a secondary code. These instructional notes indicate the proper sequencing order of the codes: etiology, followed by manifestation. General notes. A. Pain in unspecified foot Billable Code. 2). - Use additional code notes appear throughout chapter 9 to direct the coder to identify exposure to, history of current use, and dependence of _____. When there is a "Code first" note and an underlying condition is present the:-instructional note (Code first) should be followed. F10. ICD-10-CM code I25. The guidelines in ICD-9-CM include an additional instructional note to “Use an additional code to identify the stage of chronic kidney disease. The instructional notation "USE ADDITIONAL CODE" instructs the coder to: Add a second code to fully code the diagnosis. 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. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. ↓ See below for any exclusions, inclusions or special notations. R91. 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. There is no information of the infectious agent and no additional code is reported. 1 is a valid billable ICD-10 diagnosis code for Postlaminectomy syndrome, not elsewhere classified . 0. An instructional note for Chapter 1 where B95. This is addressed in guideline 1. - Codes also specify the _____ of vessels to identify the specific location of disease. There is a. ↓ See below for any exclusions, inclusions or special notations. 07 is a valid billable ICD-10 diagnosis code for Spinal stenosis, lumbosacral region . 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. A list of abbreviations, punctuation, symbols, typefaces, and instructional notes appears at the beginning of the ICD-9-CM. c. 88 Other and unspecified bacterial agents as the cause of diseases classified to other chapters. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. The underlying disease must be first sequenced, accompanied by the manifestation, according to the ICD-10-CM coding rule. the etiology/ manifestation guideline B. A. Study with Quizlet and memorize flashcards containing terms like This instructional note in tabular of the 1-10 directs the coder regarding sequence?, If there is 7th characters assign for an 1-10 code, but there are only five characters in the terminal code, the 6th character terminal code, the 6th character would be?, Code if applicable, any causal condition first. Use additional code to identify type of heart failure (I50.