![]() ![]() It is important to pay attention to these, especially the Excludes1 notes. The second problematic convention deals with the Excludes 1 and 2 notes that were new to coders when we switched from ICD-9. For example, “pain in limb.” You would use a NOS code because there are more specific codes available, but your provider did not state them. NOS is the more commonly used and means the provider did not give you the specifics. The first is the alphabetic abbreviations “NEC” and “NOS.” NEC means “Not Elsewhere Classified” while NOS means “Not Otherwise Specified.” Simply put, NEC means the provider gave you a very detailed diagnosis, but the codes do not get that specific. There are a couple conventions here that can trip even the savviest of coders. From this section, it's important to understand the format and structure of the codes, the placeholder “X” along with the 7th characters. These rules and conventions can be found throughout the entire ICD-10-CM codebook. ![]() Today, we'll kick off this new series with Section 1.A. Join us for the next several weeks as we dissect each section of the ICD-10-CM Coding Guidelines. We coders/auditors/billers get in the rut of using the same codes repeatedly, and we forget that there may be guidelines for those codes. You should re-read the coding guidelines each year to refresh your memory. This may seem like a time-consuming task, but it’s a very good review! The second thing I do is to re-read the ICD-10-CM Coding Guidelines. Each year when I receive my new coding books the first thing I do is transfer all my notes from one book to the other. ![]()
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