[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-469604-105":59,"doc-detail-469604-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","icd-10-cm-conventions-guidelines-webinar-handout","ICD-10-CM Conventions & Guidelines - Webinar Handout","","ICD-10-CM coding workshop handout focused on applying ICD-10-CM conventions and guidelines accurately. It covers key convention topics such as placeholder character “X,” seventh character requirements, abbreviation usage with NOS/unspecified, and punctuation rules including parentheses, brackets, and colons. The material also explains instructional notes like Includes/Excludes1 and Excludes2, plus coding sequencing concepts (Code First and Use Additional Code) to support correct code selection and documentation.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/icd-10-cm-conventions-guidelines-webinar-handout/469604/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/icd-10-cm-conventions-guidelines-webinar-handout/469604.png","ImageObject",300,407,{"name":92,"@type":93},"Adam","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-25","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of the ICD-10-CM placeholder character “X”?","Question",{"text":112,"@type":113},"It is used for codes that may require a 6th or 7th character but may not have a 5th or 6th character. The handout includes examples showing how “X” fills the missing position.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"When must a seventh character be used in ICD-10-CM codes?",{"text":117,"@type":113},"Some categories require a seventh character for additional specificity. The handout states it must always be the seventh character and explains injury extension meanings for initial, subsequent, healing, nonunion, malunion, and sequela.",{"name":119,"@type":110,"acceptedAnswer":120},"How do Excludes1 and Excludes2 differ for code assignment?",{"text":121,"@type":113},"Excludes1 means the excluded code cannot be coded at the same time as the code above the Excludes1 note. Excludes2 means the excluded condition is not included in the current code, but both codes may be used if the patient has both conditions and documentation supports them.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},469604,1791504909,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},1374404737137,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","11/19/2015  \nICD-10-CM CODING WORKSHOP  \nCONVENTIONS & GUIDELINES PRESENTED BY:  \nTRISH STONE, RHIA, CPMA, CPC, AHIMA APPROVED ICD-10-CM/PCS TRAINER  \n\n| \u003Cbr>OBJECTIVES |\n| --- |\n| ICD-10-CM Conventions\u003Cbr>• Importance of using ICD-10 Conventions\u003Cbr>• Major Convention changes in ICD-10-CM\u003Cbr>ICD-10-CM Guidelines\u003Cbr>• Importance of using ICD-10 Guidelines\u003Cbr>• Major Guideline changes in ICD-10-CM\u003Cbr>ICD-10-CM Chapter-Specific Guidelines |\n| \u003Cbr>• Major Guideline changes in specific chapters of\u003Cbr>ICD-10-CM\u003Cbr>11/19/2015 2 |\n\n\n| \u003Cbr>ICD-10-CM |\n| --- |\n| ICD-10-CM CONVENTIONS |\n| \u003Cbr>11/19/2015 3 |\n\n11/19/2015  \n\n| \u003Cbr>MAJOR MODIFICATIONS IN ICD-10 CM CONVENTIONS |\n| --- |\n| • Placeholder Character\u003Cbr>• Seventh Character\u003Cbr>• Abbreviations\u003Cbr>• NEC\u003Cbr>• NOS\u003Cbr>• Punctuation\u003Cbr>• Parentheses, Brackets, Colon\u003Cbr>• Instructional Notes\u003Cbr>• Includes/Excludes\u003Cbr>• Code First\u003Cbr>• Use Additional Code\u003Cbr>• Relational Terms |\n| \u003Cbr>• And –\u003Cbr>• With –\u003Cbr>• Changes from ICD-9\u003Cbr>11/19/2015 4 |\n\n\n| \u003Cbr>PLACEHOLDER |  |\n| --- | --- |\n| | • ICD-10-CM utilizes a Placeholder Character – “X” for\u003Cbr>codes that may require a 6th or 7th character, but\u003Cbr>may not have a 5th or 6th character.\u003Cbr>• Example:\u003Cbr>• M80.08XA, Other osteoporosis with current pathological\u003Cbr>fracture, vertebra(e), Initial encounter\u003Cbr>• T56.0X2S, Toxic effect of lead and its compounds,\u003Cbr>intentional self-harm Sequela |\n| \u003Cbr>,\u003Cbr>11/19/2015 5 |  |\n\n\n| \u003Cbr>SEVENTH CHARACTERS |\n| --- |\n| • Some categories require a seventh character to provide further specificity about the condition being coded.\u003Cbr>• May be a number or a letter\u003Cbr>• Must always be the seventh character.\u003Cbr>• Examples:\u003Cbr>• O64.3XX1, Obstructed labor due to brow presentation, fetus 1\u003Cbr>• S02.110B, Type 1 occipital condyle fracture, initial encounter for open fracture |\n| \u003Cbr>• T17.220D, Food in pharynx causing asphyxiation, subsequent encounter\u003Cbr>11/19/2015 6 |\n\n2  \n11/19/2015  \n7TH CHARACTER INJURY EXTENSIONS  \n7  \nCharacter  \nA  \nB  \nD  \nG  \nK  \nP  \nS  \n7th Character Meaning  \nInitial Encounter/Closed Fracture  \nInitial Encounter/Open Fracture Subsequent Encounter/Fracture Routine Healing  \nSubsequent Encounter/Fracture Delayed Healing  \nSubsequent Encounter/Fracture Nonunion  \nSubsequent Encounter/Fracture Malunion Sequela  \nWhen 7th character is applicable, and no 5th/6th character is applicable, placeholder “x” must be assigned  \n11/19/2015  \n\n| \u003Cbr>ABBREVIATIONS – NOS |\n| --- |\n| • Not Otherwise Specified – NOS\u003Cbr>• Unspecified\u003Cbr>• Available for use when the documentation of the condition identified by the provider is insufficient to assign a more specific code.\u003Cbr>• Example:\u003Cbr>• H40.9 Unspecified glaucoma\u003Cbr>• J12.9 Viral pneumonia, unspecified |\n| \u003Cbr>11/19/2015 10 |\n\n\n| \u003Cbr>PUNCTUATION |\n| --- |\n| • ( ) Parentheses – Nonessential Modifiers\u003Cbr>• Supplementary words that may be present or absent in the disease or procedure which do not affect the code assignment\u003Cbr>• Examples: Alphabetic Index\u003Cbr>• Diabetes, diabetic (mellitus) (sugar)\u003Cbr>• Hemophilia (classical) (familial) (hereditary)\u003Cbr>• Examples: Tabular List\u003Cbr>• I10 Essential (primary) hypertension |\n| \u003Cbr>,\u003Cbr>• K51.011 , Ulcerative (chronic) pancolitis with rectal bleeding\u003Cbr>11/19/2015 11 |\n\n\n| \u003Cbr>PUNCTUATION |\n| --- |\n| • [ ] Brackets\u003Cbr>• Alphabetic Index: Identify Manifestation Codes\u003Cbr>• Tabular List: Synonyms\u003Cbr>• Examples: Alphabetic Index\u003Cbr>• Disease, Alzheimer's G30.9 [F02.80]\u003Cbr>• Nephrosis, in amyloidosis E85.4 [N08]\u003Cbr>• Examples: Tabular List |\n| \u003Cbr>• B06 , Rubella [German measles]\u003Cbr>• J00, Acute nasopharyngitis [common cold]\u003Cbr>11/19/2015 12 |\n\n11/19/2015  \n\n| \u003Cbr>PUNCTUATION\u003Cbr>• Colons |\n| --- |\n| :\u003Cbr>• Used in Tabular List after an incomplete term which needs at least one of the modifiers following the code to make it assignable\u003Cbr>• Used with both “Includes” and “Excludes” Notes\u003Cbr>• Example:\u003Cbr>• G73.7 Myopathy in diseases classified elsewhere\u003Cbr>Excludes1: myopathy in:\u003Cbr>rheumatoid arthritis (M05. 32) |\n| \u003Cbr>sa","cbCaibYNyAegEk5I","https://ap.wps.com/l/cbCaibYNyAegEk5I","pdf",174555,17,"English","# Objectives\n## ICD-10-CM Conventions\n## ICD-10-CM Guidelines\n## ICD-10-CM Chapter-Specific Guidelines\n# Major Modifications in ICD-10-CM Conventions\n## Placeholder Character\n## Seventh Characters\n## 7th Character Injury Extensions\n## Abbreviations - NOS\n## Punctuation\n## Instructional Notes\n### Inclusion Notes\n### Exclusion Notes (Excludes1)\n### Exclusion Notes (Excludes2)\n### Excludes1 & Excludes2 Tip\n### Code First & Use Additional Code","[{\"question\":\"What is the purpose of the ICD-10-CM placeholder character “X”?\",\"answer\":\"It is used for codes that may require a 6th or 7th character but may not have a 5th or 6th character. The handout includes examples showing how “X” fills the missing position.\"},{\"question\":\"When must a seventh character be used in ICD-10-CM codes?\",\"answer\":\"Some categories require a seventh character for additional specificity. The handout states it must always be the seventh character and explains injury extension meanings for initial, subsequent, healing, nonunion, malunion, and sequela.\"},{\"question\":\"How do Excludes1 and Excludes2 differ for code assignment?\",\"answer\":\"Excludes1 means the excluded code cannot be coded at the same time as the code above the Excludes1 note. Excludes2 means the excluded condition is not included in the current code, but both codes may be used if the patient has both conditions and documentation supports them.\"}]","ICD-10-CM Conventions & Guidelines - Webinar Handout | PDF",1790775919,43]