What is an uncertain diagnosis?

A: Uncertain diagnoses are those that at the time of discharge are still being documented as “probable,” “suspected,” “likely,” “questionable,” “possible,” “still to be ruled out,” or other similar terminology.

What is the ICD-10 code for status post cholecystectomy?

Postcholecystectomy syndrome. K91. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is tabular list of diseases?

Tabular List: A chronological list of ICD-10-CM codes divided into chapters based on body system or condition. It is essential to use both the Alphabetic Index and Tabular List when locating and assigning a code.

What does the ICD convention NEC indicate?

What does the ICD convention NEC indicate? This designation is used to indicate there is no separate specific code available to represent the condition documented.

In what setting are uncertain diagnosis reported?

A: The Official Guidelines for Coding and Reporting tells us that a diagnosis documented as being uncertain during an inpatient stay must remain so at the time of discharge. Most people interpret this to mean that the uncertain diagnosis must be documented in the discharge summary and available at the time of coding.

In what setting should uncertain diagnoses not be coded?

Accurate diagnosis coding is crucial for patient care and compliant, optimal reimbursement. In the outpatient setting, you should never assign a diagnosis unless that diagnosis has been confirmed by diagnostic testing, or is otherwise certain.

What is post cholecystectomy?

Post-cholecystectomy syndrome (PCS) is the term used to describe the persistence of biliary colic or right upper quadrant abdominal pain with a variety of gastrointestinal symptoms, which are similar to the features experienced by an individual before cholecystectomy.

What happens to the gallbladder during a cholecystectomy?

During an open cholecystectomy, the surgeon makes a 6-inch (15-centimeter) incision in your abdomen below your ribs on your right side. The muscle and tissue are pulled back to reveal your liver and gallbladder. Your surgeon then removes the gallbladder. The incision is sutured, and you’re taken to a recovery area.

What is a main term?

For ICD-9 your main term is the condition, disease or symptom. For CPT the main term could be the condition, name of procedure or medical service, name of anatomic site or organ, OR synonyms, eponyms or abbreviations.

What is ICD-10 convention?

Conventions for the ICD-10-CM. The conventions for the ICD-10-CM are the general rules for use of the classification independent of the guidelines. These conventions are incorporated within the Alphabetic Index and Tabular List of the ICD-10-CM as instructional notes.

What are code sets?

A code set is a shared list of codes that is used in place of longer names or explanations. Using adopted code sets in standard transactions streamlines the administrative process by reducing time spent translating information into different formats.

What do you need to know about Onychia?

Onychia – Everything You Need To Know. Onychia (pronounced o-nik´e-ah) is a medical term denoting a specific type of infection that affects the fingernails and toenails. According to Foot Vitals, there are two related conditions: onychia and paronychia.(1) The former affects just the nail portion of the fingers and toes.

When was the chemical W-18 first discovered?

W-18 is a compound in a series of 32 substances (named W-1 to W-32) that were first synthesized in academic research on analgesic drug discovery in the 1980s and appeared as a designer drug in the 2010s.

What was the original meaning of the onycha?

What the onycha of antiquity actually was cannot be determined with certainty. The original Hebrew word used for this component of the ketoret was שחלת, shecheleth, which means “to roar; as a lion (from his characteristic roar)” or “peeling off by concussion of sound.”

What kind of drug is W-18 Verywell Mind?

W-18 is a synthetic, opioid drug, also known as 4-chloro-N-[1-[2-(4-nitrophenyl)ethyl]-2piperidinylidene]benzenesulfonamide). Synthetic opioid drugs are man-made copies of naturally occurring painkiller drugs, such as heroin, a drug which is made from certain strains of the poppy plant. Opioid drugs are most…