the use additional code instructional note _____.. Mar 5, 2021. the use additional code instructional note _____.

 
 Mar 5, 2021the  use additional code  instructional note _____. " In the "Index to Diseases," the multiple coding requirement is indicated by the use of the slanted brackets

“In diseases classified elsewhere“; never permitted to be used as first-listed/principal diagnosis codes; must be used in conjunction with an underlying condition code and must be listed following the underlying condition 4. The notes also remind the code to use an additional (secondary) code to show the dialysis status (Z99. This convention instructs you to “Code first” the underlying condition, followed by etiology and/or manifestations. This is step number __ when coding: Assign the code to the highest level of specificity. You should never use the exculde1 code at the same time as the code above Excludes1 notes. Instructional note under I12. More Coding Conventions. code first underlying disease. followed by the manifestation. In the tabular list, code first and use additional code instructional notes indicate the proper sequencing order of what conditions Certain conditions that have both an underlying etiology and multiple body system manifestations due to the underlying etiology instructional notes indicate a proper sequencing order of these conditions etiology. In most cases the manifestation codes will have in the code title, "in diseases. They may appear independently of each other or to designate certain etiology/manifestation paired codes. 22 ? Type 1 diabetes mellitus with chronic kidney disease due to conditions. 2019. ICD-10-CM Code. 1–N18. Parallel ICD-9-CM Code Guidelines Increased Instruction Notes (Code first; Use Additional Code) Enhanced Combination Codes Updated Terminology to Reflect Current Medical Practices COPD (J44-J45) Acute exacerbation is a worsening or decompensation of a chronic condition An acute exacerbation is NOT equivalent to an infectionin ICD-10-CM/PCS uses an indented arrangement. ↓ See below for any exclusions, inclusions or special notations. 7. A. These instructional notes indicate the proper sequencing order of the codes (etiology followed by manifestation). -underlying condition should be sequenced first. In the ICD-10-CM tabular, the coder will see notes under the Category J91. Use additional code to identify infectious agent (B95-B97) N30. Use additional code. 13. This convention instructs you to “Code first” the underlying condition, followed by etiology and/or manifestations. The definition can be found under number 12A, pg. 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. 3 is a valid billable ICD-10 diagnosis code for Pseudocyst of pancreas . D33. Inclusion notes. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 22, Type 1 diabetes mellitus with diabetic chronic kidney disease. "Code first". Below are just some of the ICD-10-CM guidelines I use and reference on a regular basis: Guideline Section IA:13 – Etiology/Manifestation Convention – Code first and Use additional code notes are sequencing rules in the classification of certain codes that are not part of an. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 0 also applies to the following: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. There is an instructional note use additional code to identify organism. d. When an "Includes" note appears after the start of a chapter, the note governs the entire chapter. Coding Notes for Chapter 10 Chapter Notes: When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e. Use additional code, where applicable, to identify: history of tobacco dependence (Z87. 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. 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. 1 should be reported as the principal or first diagnosis, regardless of whether the patient's most recent COVID-19 test. In most cases the manifestation codes will have in the code title, "in diseases. g. These instructions signal the coder that an additional code should be reported to provide a more complete picture of that diagnosis. ) Only use NEC/NOS codes when no further detail is possible. 20 c. 6). An instructional note in ICD-10-CM for intellectual disabilities (F70 through F79) directs coders to: a. -) Use additional code to identify stage of chronic kidney disease ( N18. #1. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. 850 is a valid billable ICD-10 diagnosis code for Homicidal ideations . View Feedback 1 / 1 point If this were a subsequent encounter for treatment, would the place of injury be reported? Question options: 1 / 1 point What additional code(s) are we advised to use? Question options: e additional code to indicate other abnormalities of forces of labor 062. Largo, FL. What is the ICD-10-CM code for nausea? R11. 1. 4. 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. Hint: Locate the instructional notes before CPT 11102. Take note of the tabular instructions for code M31. R91. general notes, inclusion and exclusion notes, code first notes, use additional code notes, and code also notes. C. 0 in the Tabular. This indicates the sequencing. Question: The Code First note instructs the coder to select a code to represent the etiology that caused the manifestation. The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. In addition, if an index entry requires more than one line. N30. underlying disease, such as: amyloidosis E85Question options: 1 / 1 point What additional code(s) are we advised to use?. Use the code(s) in brackets in addition to the disease or condition to identity an associated manifestation. Cholecystitis would be reported in the ICD-10-CM chapter entitled _____. A commonly missed instructional note under N18. Alphabetic Index. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. (See Appendix A, Section I. Under the Main Term Diabetes in the Index, first-level subterms identify: The specific complication (s) with each type. ↓ See below for any exclusions, inclusions or special notations. 1. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. K90. Use additional code to identify type of heart failure (I50. When you look up this code in the Tabular List, you’ll find an instructional note to “Code also” adrenal adenoma (D35. The anemia is documented to be due to end stage renal disease (ESRD) after workup. 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. Etiology/manifestation convention (code first, use additional code and in diseases classified elsewhere notes): Certain conditions have both an underlying etiology and. In most cases the manifestation codes will have in the. Code N75. 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. Z98. I-8 conventions. There is advice at the beginning of this chapter to use an additional code to identify resistance to antimicrobial drugs using. algebra2. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. The instructional note “Use additional code, where applicable, to identify exposure to environmental tobacco smoke (Z77. 414, Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone. Similar to ICD-9-CM, "Code first" and "Use additional code" notes are present for some of the diabetes mellitus categories and subcategories that require the underlying condition be sequenced first, followed by the manifestation. -). The use of ICD-10 code E86. 6 also applies to the following: Inclusion term. Instructional notes Punctuation marks Abbreviations Symbols Instructional Notes In both the index and tabular. precalculus. 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. 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. 0) is reported as the PDX followed by the code for the heart failure (I50. True. appears in the Tabular NOS means not otherwise specified. 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. Select one: a. 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. 4 , N18. M79. The other instructional note is under category code I85 which says to use an additional code to report alcohol abuse and dependence. "Code first" notes are also under certain codes that are not specifically manifestation codes but may be due to an underlying cause. Indicates that an additional code should be used, if available. The 7th character must always be the 7th character in the data field. It instructs you to code first underlying disease, which in this case, is the cirrhosis of the liver from the alcohol. Code the following diagnosis: Seizure. R50. What is the correct 7th character for single gestation? 0. 0 is a valid billable ICD-10 diagnosis code for Dehydration . 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. 0. “These are the ‘code first,’ ‘use additional code,’ and ‘in diseases classified elsewhere’ notes you see in the Tabular section of ICD-10,” Blanchard. Instructional notes appear in both the Tabular List and Alphabetic Index of ICD-10-CM. The Instructional Note under code U07. , Modifiers are used to identify when no procedure is done. The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 6. There is no mention of vomiting. Sam was admitted due to a loss of consciousness. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. After work-up it was determined that he has a benign neoplasm of the temporal lobe of his brain. 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 (Diabetes mellitus type 2 without complications) to code this diagnosis. such a combination exists there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. Multiple codes are required when two codes, the second in brackets and italics, appear after a main term. 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. These conventions are. The additions. As with all DM categories, an Excludes 1 note excludes all other DM, including gestational, neonatal, and postprocedural. ↓ See below for any exclusions, inclusions or special notations. You must use the applicable 7th character for all ICD-10-CM codes within the category or as notes in the Tabular List instruct. E26. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. This would code: Fibrillation > atrial > postoperative complication > paroxysmal. located below certain codes in the tabular list. 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. They do not assign B96. In most cases the manifestation codes will have in the code title, "in diseases. 9, are assigned to a code from category I11, Hypertensive heart disease. 3 is a valid billable ICD-10 diagnosis code for Dietary counseling and surveillance . NOTES 1. 65 is a valid billable ICD-10 diagnosis code for Type 1 diabetes mellitus with hyperglycemia . " In the "Index to Diseases," the multiple coding requirement is. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. precalculus. In most cases the manifestation codes will have in the code title, "in diseases. -). After looking up a code in the Alphabetic Index it should be verified by checking the __. Best answers. Standard Coding Process (4)A benign neoplasm is a (n): H66. Code if applicable, any casual condition. Excludes2 means that the condition is not a part of the condition that is being represented by the code, but the patient can have both conditions at the same time. that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. Some categories of codes (e. J06. Square brackets are used: In the Alphabetic Index to enclose the manifestation of a disease. If coded incorrectly and missing the instructional notations, it could result in a claim denial or medical record review. 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. M48. means "not coded here" The "code first" note _____. 2 25 Excludes _____ note is used when two conditions cannot be used together. 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. ) 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. 42 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus with diabetic polyneuropathy . 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 . These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. a. The "Use additional code" _____. The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. In most cases the manifestation codes will have in the code title, "in diseases. Preview Terms in this set (21) T/F - The abbreviation of NEC is only used in the Index. Look for Cirrhosis/liver/alcoholic and you are directed to K70. 1. Wherever an etiology and manifestation combination of codes exists, the manifestation code contains an instructional note to: use of an additional code The International Classification of Diseases (ICD) is published by the World Health Organization (WHO) and is used to classify: 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. Verify the codes in the tabular list and assign codes in this order: I87. 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. 0. R45. “Code first” and “Use additional code” notes are also used in. 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. . In most cases the manifestation codes will have in the code title, "in diseases. The patient is also a type 1 diabetic with diabetic retinopathy and diabetic neuropathy. What diagnosis code(s) should be reported for acute and chronic cystitis? a. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. -)" instructional note under category K70. e. Instructional notes appear in both the Tabular List and Alphabetic Index of ICD-10-CM. Learn your Medical Coding Conventions and Guidelines. Adherence to these guidelines when assigning -10-CM ICD diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). followed by the manifestation. 22) •History of tobacco use (Z87. In most cases the manifestation codes will have in the code title, "in diseases. In practice our coders apply this convention only when the infectious agent is known. 011, Postthrombotic syndrome with ulcer of right lower extremity, and L97. Use additional Characters (red. ICD-9-CM Conventions NOS . Guideline Section IA:13 – Etiology/Manifestation Convention – Code first and Use additional code notes are sequencing rules in the classification of certain codes that are not part of an etiology/manifestation combination. ICD-10-CM Coding Tips Instructional Notes and Common Coding Mistakes . use additional code for. 4-I51. and more. In most cases the manifestation codes will have in the code specific eye involved). These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. It is used in the alphabetical Index of ICD-10-CM and instructs the coder that another term should be referenced. In most cases the manifestation codes will have in the code title, "in diseases. 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 . 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. 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 notation that appears for the code for a drug induced fever is ________ . Assign code V12. Identify the main term below that has an instructional note indicating another main term may need to be referenced providing an additional index entry to report the diagnostic code. 00, C31. There is an instructional note under category code K70 to use additional code to identify alcohol abuse and dependence. 9. This notation indicates that use of an additional. 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. In most cases the manifestation codes will have in the code title, "in diseases. A “code also” note is an instruction that two codes may be required to. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 22) and CKD, stage 3 (N18. 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. 890 is a valid billable ICD-10 diagnosis code for Other specified postprocedural states . Chronic kidney disease, stage 3b Billable Code. Manifestation code = “code 1st” These instructional notes indicate the proper sequencing order of the codes 3. 9. R14. “Code first” and “Use additional code” notes are also used as sequencing rules in the classification for certain codes that are not part of an etiology/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. initial encounter. These instructional note indicate the proper sequencing order of the codes, etiology followed by manifestation, if applicable Underlying condition. 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. 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. CPC Prep Course Chapter 3 Notes. Give an example of a code that contains an instructional note. ” These scenarios can be confusing. the use of ICD 9 codes is mandated by HIPAA for. 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 . -)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. NOS. means "not coded here" The "code first". These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. J96. Use additional code for any associated fecal incontinence ( R15 . 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. 1 - N18. In most cases the manifestation codes will have in the code title, "in diseases. Z98. View all the articles associated with any code, right from the code page! Study with Quizlet and memorize flashcards containing terms like Four types of conventions: instructional notes, punctuation marks, abbreviations, symbols. F40. True. In most cases the manifestation codes will have in the code title, "in diseases. Select one: True False. These instructional notes indicate the proper sequencing order of the codes: etiology, followed by manifestation. ” Excludes 1 Notes: Indicates that an excluded code should never be used at the same time as the code listed above the Exclude1 note used. Chapter 3: (PASSWORD: NOS) ICD-10-CM Coding Conventions Coding conventions are instructional notes, punctuation marks, abbreviations, and symbols that are used throughout ICD-10-CM and ICD-10-PCS to provide direction when selecting codes. 2. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. - Use additional code notes appear throughout chapter 9 to direct the coder to identify exposure to, history of current use, and dependence of _____. The “Use additional” code. ICD 10 CM ___________ include the following: Instructional notes, Abbreviations, Cross-reference notes, Punctuation marks, and Relational terms. 1 - N18. Laterality and 7 thfollowed by the manifestation. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. code set based on a system maintained by the World Health Organization. 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. 89 is a valid billable ICD-10 diagnosis code for Other specified diseases of anus and rectum . 9. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. xxxx Type 1 diabetes mellitus3. In most cases, the manifestation codes will have in the code title, “in. Excludes 1: fever and chills. 22) history of tobacco use (Z87. 3 is exempt from POA reporting ( Present On Admission). A) a combination 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. ↓ See below for any exclusions,. Basically stated, ICD-10-CM requires you to sequence the underlying condition first “if applicable, followed by the manifestation. F43. 10. Select one: a. tracheobronchitis to bronchitis in. The diagnosis codes (Volumes 1-2) 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. 0 is a valid billable ICD-10 diagnosis code for Celiac disease . Chapter 1 of the ICD-10-CM guidelines provides incredibly detailed instruction on coding for sepsis, severe sepsis, and septic shock infections. 40 is a valid billable ICD-10 diagnosis code for Major depressive disorder, recurrent, in remission, unspecified . 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. The instructional note “Use additional code” (B95–B97) is found in the Tabular List of ICD- 10-CM under Code N39. Instructional notes include. 0 Acute cystitis . ↓ See below for any exclusions, inclusions or special notations. Appears in the Official Guidelines at I. Additional terms found only in the Alphabetic Index may also be assigned to a code. ↓ See below for any exclusions, inclusions or special notations. Chronic sinusitis (includes abscess, empyema, infection, suppuration) There are several instructional notes you must consider when applying the sinusitis codes. Codes with this phrase are never used as a first-listed or principal diagnosis. general notes. A “code first underlying disease” instructional note will appear with the. ICD-10-CM code I25. requires the reporting of multiple codes for a case. 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 . 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. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 0 indicates to use additional code to identify the stage of the CKD. , An additional codes instructional note is listed under code 33881. Wherever such a combination exists, a Use additional code note is found with the etiology code, and a Code first note is found with the manifestation code. Possible conventions to include with codes include the following: Notes: Extra information to define or clarify code choice. 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. 6 %âãÏÓ 72708 0 obj > endobj 72713 0 obj >/Filter/FlateDecode/ID[1436CD2AA15C98D34D807083E14FC741>]/Index[72708 14]/Info 72707 0 R/Length 49/Prev 4862096. These instructional notes indicate the proper sequencing order of the codes, etiology flowed by. Verified answer. 2x-3y=-2 x+y=-6. These instructional notes indicate the proper sequencing order of the codes: etiology, followed by manifestation. The following are examples of what type of encounter?-Emergency room encounter-First appointment with new physician. 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. 890. An instructional note for Chapter 1 where B95. 32 is a valid billable ICD-10 diagnosis code for Chronic kidney disease, stage 3b . The use additional note may need revision to identify the “type” of sepsis (as is seen in the note. Coders will see the same “code first” instruction when looking at malignant ascites. , The instructional note "INCLUDES" ________. The 7 th character must always be the 7 th character in the data field. Added instructional notes and inclusion terms Code Description G97. 1 Code First note 8. An instructional note with category Z16 says to code first the infection. The “Use additional” code note is found below the underlying condition code. -). Laterality and 7 thCategory J32. . A “code also” note alerts the coder that more than. 5. 4. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 7th Character Certain ICD-10-CM categories have applicable 7th characters. b. ICD-10-CM guideline, I. ↓ See below for any exclusions, inclusions or special notations. 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. 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. About us. antonyms of code titles or "unspecified" terms. includes general notes, inclusion and exclusion notes, "code first" notes, "use additional code" notes and "code also" notes. The “code first” note appears in the Tabular List under the. b. Use additional code to indicate outcome of delivery Z37. Use additional code for adverse effect, if applicable, to identify adverse effect of drug (T36-T50 with fifth or six. appearing. When it applies, codes missing this character are. 0 also applies to the following: Inclusion term. 9 is a valid billable ICD-10 diagnosis code for Male erectile dysfunction, unspecified . An ICD-10-CM "other specified" code: a. ‐) tobacco use (Z72. There is an instructional note use additional code to identify organism. R14. *Instructional note in ICD-10-CM indicates to use additional code, if applicable, to identify coronary atherosclerosis due to lipid rich plaque (I25. use additional code for any associated physical or developmental disorders. note is not actually needed under the proposed new code at all, since there is already an instructional note regarding the use of additional codes for associated mani festations at the category level, and additional instructional notes are not generally included under existing syndrome codes in this category. 5 Chronic kidney disease, stage 5 states that this code excludes “chronic kidney disease, stage 5 requiring chronic dialysis (N18. true false An additional codes instructional note is listed under code 33881. 10 is a valid billable ICD-10 diagnosis code for Social phobia, unspecified . code first any associated physical or developmental disorders. The additional code is always listed after the primary code. N52. There is no information of the infectious agent and no additional code is reported. When a code does not exist that accurately describes the procedure/treatement, the coder should report an unlisted code. ↓ See below for any exclusions, inclusions or special notations. In the tabular, code G31.