TruCode

While Fusion CAC is encoder agnostic, some organizations choose to use the TruCode Encoder Essentials embedded in the application.

TruCode Encoder Essentials is comprised of three controls: the CodeBooks control, the Research control, and the References control.

CodeBooks – The CodeBooks control is used to search for ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes. You can search the code books by terms or code.
Research – The Research control is composed of four panes:
- DRG Analysis – This pane suggests alternate DRGs for an encounter based upon the current DRG, codes present in the encounter, and the patient status.
- ICD-10 – This pane lists ICD-10 equivalent codes for ICD-9 codes and ICD-9 equivalent codes for ICD-10 codes for educational purposes.
- Research – This pane lists references for a given code, as well as coding advice, crosswalk (a linking between ICD-9-CM procedure codes and CPT codes), and anesthesia crosswalk (a linking between surgical CPT and anesthesia CPT codes).
- Edits – This pane shows edits for a coded encounter.
References – The References control contains the following references which can be searched, and some of which can also be browsed.
- AHA Coding Handbook
- Coders’ Desk Reference for Procedures
- Coding Clinic® (ICD-9-CM, HCPCS, and ICD-10-CM/PCS)
- CPT® Assistant
- Drug Data (Micromedex)
- Interventional Radiology
- Medical Dictionary (Dorland)
- Merck Manual Professional
- Official Guidelines (ICD-9-CM and ICD-10-CM/PCS)

CodeBooks

The CodeBooks control is used to search for codes by terms or code. You can use the code books to locate codes and post them to encounters, or simply to view a code with its surrounding notes and codes in a code book. The following code books are included in the CodeBooks control:

ICD-10-CM Diagnosis and External Cause – These books consist of an alphabetic index where you can look up terms and a tabular of codes which includes all instructional notes.
ICD-10-PCS Procedure – This book consists of an alphabetic index where you can look up terms and a table where you choose the specifics of the procedure to construct the ICD-10-PCS procedure code.
ICD-9-CM Diagnosis, E Code, and Procedure – These books consist of an alphabetic index where you can look up terms and a tabular of codes including all instructional notes.
CPT and HCPCS – In these books, both the index and tabular are searched simultaneously and tabular results are displayed based upon the search.

About the Indexes

When searching a code book by terms (except for the CPT and HCPCS books), the alphabetic index is searched and appears in the control. The following elements are shown:

Search Results pane – This pane displays all index entries from the alphabetic index that match the search terms.
Context bar – This bar shows the alphabetic index location of the index entry selected in the Detail pane. The Context bar changes when you focus on a different entry in the Detail pane.
Detail pane – This pane displays the alphabetic index for the index entry selected in the Search Results pane.

The display includes the following features:

Backward and forward navigation – Click to move back and to move forward through the codes you have viewed.
Subterm search – A subterm search searches through the subterms of a selected term. This is useful when there is a long list of subterms, you can use the subterm search rather than scrolling through the long list to find the subterm for which you are searching.
Shortcuts – Keyboard shortcuts are available for some actions in the encoder. For example, you can press Ctrl + ↑ and Ctrl + ↓ to move the cursor though the fields and panes. For a complete listing for keyboard shortcuts, see Keyboard Shortcuts on page 23.
Find All search – A Find All search looks for terms outside of the structure of the index. The search results display all occurrences of the terms in the code book that is searched. See Searching for All Occurrences of a Term on page 22 for more information.
Table search – You can search the Hypertension table, Neoplasm table, and the Table of Drugs and Chemicals.
- Hypertension table – In the ICD-9-CM diagnosis code book, this table lists diseases due to hypertension.
- Neoplasm table – In the ICD-9-CM and ICD-10-CM diagnosis code books, this table lists anatomical sites alphabetically, with columns to indicate the code for each behavior type, such as primary, secondary, benign, etc.
- Table of Drugs and Chemicals – In the ICD-9-CM and ICD-10-CM diagnosis code books, this table contains a classification of drugs and chemicals to identify poisoning states and external causes of adverse effects.
See and See Also cross-references – The indexes include See and See also instructions which are cross-references to other areas of the index.
Synonym search – Synonyms are acronyms, abbreviations and shortcuts you can use to search the alphabetic index. Performing a search using a Synonym is the same as a search using terms. The Synonyms list contains a list of Synonyms that can be used in a search.
Custom index lines – Custom index lines are alphabetic index entries that have been added to the official ICD-9-CM indexes. These entries are noted with the symbol before the alphabetic index line.

Note

The source of the custom index line is noted in parentheses.

E code search – The E code index (external cause of injury index) functions the same as the other indexes. Like the other indexes, you access it from the code book drop-down list. Within the structure of ICD-9-CM and ICD-10-CM, there are many E codes with subterms of one or two words, such as by, with, due to, and from. You do not need to enter such terms in the encoder search.

Note

ICD-10-CM external cause of morbidity codes do not begin with an E. They begin with the characters V, W, and X.

- icon – In the ICD-10-CM index, a - follows codes that require additional characters. To view the additional characters, click on the code to proceed to the tabular.

About the Tabulars

The tabulars include all instructional notes, such as Includes, Excludes, Chapter, and Category notes. Codes included in the instructional notes, as well as in the tabular, are links that can be accessed.

The tabulars include the following features:

Instructional notes – If a code has an instructional note, the symbol appears to the left of the code when the code is highlighted. Instructional notes contain Includes, Excludes, and Notes from the chapter, section, and category levels. To view the note, click on the symbol
and – Click to move backward and forward through the codes you have viewed or move back to the index.
Crosswalk – Crosswalk is a mapping between ICD-9-CM procedure codes and associated CPT codes. Using crosswalk you can gather ICD-9-CM and CPT codes simultaneously. For information on using crosswalk, see Using Crosswalk on page 31.
Anesthesia Crosswalk – Anesthesia Crosswalk is a mapping between CPT surgical codes and CPT anesthesia codes. Using anesthesia crosswalk you can gather CPT surgical and anesthesia codes simultaneously. For more information on using anesthesia, see Using Anesthesia Crosswalk on page 32.
Symbols – Symbols are used in the tabular to provide additional information. For most symbols, when you rest your mouse pointer on it, a description of the symbol appears.
- In the ICD-10-CM tabulars, click following a code to expand the seventh character list, or click following a code to collapse the seventh character list.
HCCs – Category numbers (example, ) for Hierarchical Condition Categories (HCCs) are shown by ICD-10-CM codes that are part of the HCC model. HCCs are used to risk-adjust population data for Medicare Managed Care programs. CMS is using two versions of the HCC model, versions 24 and 28. Both versions are in use and appear in the tabular until version 28 is fully implemented in 2026. You can view HCC details and the HCC version by resting your mouse pointer on a category number.
Shortcuts – Keyboard shortcuts are available for some actions in the code books. For example:
- In the ICD-10-CM tabular, you can press the right → key to expand the seventh character list and the ← key to collapse the list.
- Press Ctrl + ↓ to move forwards or press Ctrl + ↑ to move backward through the panes and resizers, and place the focus as appropriate.
Research pane – The Research pane displays information about the selected code.

Keyboard Shortcuts

The following shortcuts can be used in the CodeBooks control:

Shortcut	Location	Description
← →	ICD-10-CM Tabulars	With the focus on a code with a seventh character, press to expand or collapse the seventh character list.
← →	ICD-10-PCS index	Press to move between term and code in a see or see also note. Press Enter to then move to the new index location or the table.
← →	ICD-10-PCS table	Press to move between the columns in the table.
← →	ICD-9-CM and ICD-10-CM indexes	With the focus on a row in the Neoplasm table, Hypertension table, or Table of Drugs and Chemicals; press to move through the columns.
← →	Vertical splitter bar	With the focus on the splitter bar, press to resize the panes. Press Enter to confirm the new size.
↑ ↓	Indexes and tabulars	Press to move backwards or forwards through the panes and resizers.
↑ ↓	ICD-10-PCS table	Press to move up and down through the items in a column.
↑ ↓	Horizontal splitter bar	With the focus on the splitter bar, press to resize the panes. Press Enter to confirm the new size.
Ctrl + ↑, Ctrl + ↓	Indexes and tabulars	Press to move backwards or forwards through the panes and resizers.
F	ICD-9 or ICD-10 index	Press to start a subterm search.
Esc	Subterm search field	Press to hide the subterm search field.
Backspace	ICD-10-PCS table	Press to move back a column.
Designated Key	ICD-10-PCS table	Press the letter or number key for the item in the highlighted column that you would like to select.
Enter	Indexes and tabulars	With the focus in the search bar, press to perform a search.
Enter	Tabulars	Press to post the highlighted code.
Enter	ICD-10-PCS table	Press to select the highlighted item in a column and move to the next column, or to post a completed code.
Enter	Splitter bar	When resizing a pane using keyboard shortcuts, press to confirm the change.

Searching for an ICD-10-CM Code

Enter a term, terms, or code in the Search For field

Tip

The terms can be shortened to the first 3 or 4 letters and can be entered in any order. For a code, enter as little as the first 3 digits.

There are many E codes with subterms of 1 or 2 words (by, with, due, to, from, etc.). These terms do not need to be entered in the search.

Choose the Diagnosis, ICD-10-CM or External Cause, ICD-10-CM code book from the code book list.
Click Search to view the search results. The Search Results pane displays the results. Several results may be shown due to the search terms being found in multiple places in the alphabetic index.

Note

If you searched by a code you are taken directly to the tabular

If there are additional secondary results that you want to view, click the Show all x search results link

Tip

The first results are the best results based upon the search terms uses. The secondary results are particularly helpful when you are unsure of the terms to enter for a disease.

To view the detail for a term in the Search Results pane, click on it

If a cross-reference (see or see also note) is listed and you want to view it, click the link to view the related term.

Tip

For conditions that involve more than one code, the additional codes are listed in brackets. To view the first code in the tabular, press Enter. Then press Enter again to view the second code in the tabular. If there is a third code, press Enter again to view the third code. When you press Enter one more time, the codes are posted.

To select a code and open the tabular, click on the code in either the Search Results or the Detail pane.

Note

ICD-10-CM external cause of morbidity codes do not begin with an E. They begin with the characters V,W, or X.

In the tabular, check any instructional notes. To do so, click on the symbol to the left of the code to open the instructional notes.

Perform any needed research.
The code may require a seventh character, a character that provides additional information about the diagnosis and the encounter. If this is the case, a appears to the left of the code. Do the following to select the seventh character for the code:
- Click to expand the list of seventh characters.
Tip
To expand a list of 7th characters, click the arrow to the left of the code, or when the code for which you want to view the 7th characters is highlighted, press the right arrow key.
Note
Some codes that require a 7th character do not contain six characters. When that is the case, an X fills and missing characters.
- Locate the applicable 7th character for the code
If the code book was accessed from an encounter, click on a code to post it

Tip

When the code is highlighted, you can press Enter to post the code.

Searching for an ICD-10-PCS Procedure Code

Enter the term, terms, or code in the Search for field.

Tip

Multiple terms can be entered in the Search for field. Terms can be shortened and entered in any order. For a code, you can enter as little as the first digit of the code.

Choose the Procedure, ICD-10-PCS code book from the code book list.

Tip

With the focus on the code book list, you can press the down arrow to scroll through the list of books.

Click Search or press Enter to view the search results. The Search Results pane displays the results. Several results may be shown due to the search terms being found in multiple places in the alphabetic index.

Note

If you search by a code, you are taken directly to the ICD-10-PCS table. If your search could be the start of either a code or a term, search results appear for both the partial code match and the index entries.

If there are additional secondary results that you want to view, click the Show all x search results link.

Tip

The first results are the best results based upon the search terms used. The secondary results are particularly helpful when you are unsure of the terms to enter.

To view the detail for an index entry in the Search Results pane, click on it.
If a cross-reference (see or see also note) is listed and you want to view it, click the link to view the related term.
To select a code and open the ICD-10-PCS table, click on the code in either the Search Results or the Detail pane.
Perform any needed research.

In the Body Part column of the ICD-10-PCS table, verify that the correct body part on which the procedure was performed is selected. If needed, click on a different body part.

Tip

Notice that the beginning of the code, the part selected in the index, appears in the Search Results pane.

In the Approach column, the procedure approaches for the selected body part, if any, are now listed.

Note

The column headings may be different than the ones listed in this example, depending upon the procedure.

Choose an approach.
- In the Device column, the devices for the selected approach, if any, are now listed.

Tip

To make changes to the Section, Body System, or Operation dor the code click the back arrow in the Body Part column heading or with the Body Part column selected, press the left arrow key. To move back to the last four columns in the table, click on the forward arrow in the Body Part column heading or with the Body Part column selected, press the right arrow key.

Choose a device.
- In the Qualifier column, the qualifiers for the procedure, if any, are now listed.
Choose a qualifier.
When you are finished selecting the aspects of the code, press Enter, or click Add Code in the Code Description pane or the 7th character column to post the code.

Searching for a CPT or HCPCS Code

The CPT and HCPCS index search uses both the index and tabular books simultaneously and displays tabular results based upon that search.

Enter terms or a code in the Search for field

Tip

The terms can be shortened to the first 3 or 4 letters and can be entered in any order. For a code, you can enter as little as the first two digits of the code.

Choose the CPT Tabular or HCPCS Tabular from the list of code books.

Tip

You can tab to the code book field and press C to select the CPT tabular or H to select the HCPCS tabular.

If you want anesthesia codes to be included in the search results, click the Include Anesthesia Codes check box.
Click Search to view the search results in the Search Results pane. The best matches are listed first.

Tip

The first results are the best results based upon the search terms used. The secondary results are particularly helpful when you are unsure of the terms to enter for a disease.

To view the CPT and HCPCS modifiers with long descriptions, click the Modifiers link.

Check any instructional notes. To do so, click on the symbol to the left of the code.

Perform any needed research. If there are additional crosswalk results and you want to view them:
- Click the View all crosswalk results link in the Crosswalk section of the Research pane to view all crosswalk results.
- To view a code in the tabular, click on it.

- If you accessed the code book from an encounter, press Enter to post both the CPT code and the ICD-9-CM procedure code.

If you accessed the code book from an encounter, click on a code to post it.

Tip

When the code you want to add is highlighted, you can press Enter to post it.

Searching the Neoplasm, Drug, or Hypertension Table

To access a table, do one of the following:
- To access the Neoplasm table, enter the term Neoplasm or a shortened version of neoplasm, such as Neop, and the site of the neoplasm in the Search for field.
- To access the Table of Drugs and Chemicals, enter the term Table and the drug name or partial name in the Search for field.
- To access the Hypertension table, enter the term hypertension or htn and a term in the Search for field.

Note

The Hypertension table is only in the ICD-9-CM Diagnosis code book

Select Diagnosis, ICD-9-CM or Diagnosis, ICD-10-CM from the code book list.
Click Search to view the search results.
If there are additional secondary results that you want to view, click the Show all x search results link.

Tip

The first results are the best results based upon the search terms used. The secondary results are particularly helpful when you are unsure of the terms to enter.

To view the detail for a term in the Search Results pane, click on it.

Tip

If you scroll through a table, the column headers follow so you always see the description of the columns.

To move through the columns, press → or ← key. The selected code is red.
If a cross-reference (see or see also note) is listed and you want to view it, click the link to view the related term.

Tip

In the ICD-9-CM Table of Drugs and Chemicals, when appropriate, the poisoning code is highlighted in red as well as the external cause code. This indicates that both of the codes are required to fully code the condition. When you press Enter both of these codes are posted. Note that this does not apply to the ICD-10-CM Table of Drugs and Chemicals; only a single code is needed to fully identify both the agent and the circumstances.

To select a code and open the tabular, click on the code in either the Search Results or the detail pane.
In the tabular, check any instructional notes. To do so, click on the symbol to the left of the code to open the instructional notes.

Perform any needed research.
If you accessed the code book from an encounter, click on a code to post it.

Searching for All Occurrences of a Term

The Find All search provides the ability to search for terms outside of the structure of the ICD-9-CM or ICD-10-CM /PCS index. The search results display all occurrences of the terms in the code book that is searched, no matter where in the code book the terms are found.

Enter the term or terms in the Search for field.

Tip

The term can be shortened to the first three or four letters and can be entered in any order.

If you need to change code books, select the book from the list.
Click the Find All check box to select it.
Click Search to view the search results. In the Search Results pane, all index entries containing the terms are shown.

Note

Find All remains active until you remove the check from the Find All check box.

If there are additional secondary results that you want to view, click the Show all x search results link.

Tip

The first results are the best results based upon the search terms used. The secondary results are particularly helpful when you are unsure of the terms to enter.

Proceed with your search as usual. See the steps for the specific code book you are searching for additional information.

Searching for a Subterm

The Subterm search provides the ability to search for the subterm of a selected term in an ICD-9-CM and ICD-10-CM/PCS index (this type of search does not apply to the CPT or HCPCS code books). The subterm search is particularly useful when a term has many subterms.

Click the icon or press the F key.

Enter the subterm in the Search subterms field and press Enter or click the up or down arrow.

To continue searching for the subterm, press Enter or click the up or down arrow again.
Click the x to close the subterm search.
Proceed with your search as usual. See the steps for the specific code book you are searching for additional information.

Codebook Symbols

The following symbols appear in the CodeBooks control. For most symbols, when you rest your mouse pointer on the symbol, a description appears.

Icon	Location	Description
	All tabulars	Click to access Instructional Note
	All tabulars	New code
	All tabulars	Modified code
	All tabulars	Modified note
	ICD Diagnosis tabulars	Major Complication / Comorbid Condition
	ICD Diagnosis tabulars	Complication / Comorbid Condition
	ICD Diagnosis tabulars	Major Complication / Comorbid Condition, Patient Discharged Alive
	ICD-10 Diagnosis tabular	Hierarchical Condition Category (HCC)
	ICD-10-CM tabular	Access the seventh character of a code (click the to expand or collapse the list)
	CPT	Click to view the image
	CPT	Code appearing out of numerical order
	CPT	Modifier 51 exempt
	CPT	Conscious sedation
	CPT	Add-on code
	CPT	Pending FDA Approval
	CPT	Telemedicine Service
	CPT	Proprietary Laboratory Analyses (PLA) code
	CPT	Satisfies Category 1 Criteria
	CPT	Code may be used for reporting audio-only services when appended with modifier 93
	ICD indexes	Custom TruCode content (view the tooltip for details about the type of custom content)
	ICD-10-CM index	Code has a seventh character
	Crosswalk	Best match (most common match or major topic)
	Crosswalk	Other match (less common match or minor topic)

References

The References control contains the following references and features:

Reference	Description
AHA Coding Handbook	AHA ICD-10-CM and ICD-10-PCS Coding Handbook is a guide to ICD-10-CM and ICD-10-PCS coding.
Coders’ Desk Reference	Optum Coders’ Desk Reference for Procedures provides descriptions of CPT codes.
Coding Clinic	American Hospital Association (AHA) Coding Clinic for ICD-9-CM, Coding Clinic for HCPCS, and Coding Clinic for ICD-10-CM / PCS provide coding advice.
CPT Assistant®	AMA CPT Assistant® provides CPT and HCPCS coding guidance.
Drug Data (Micromedex)	Micromedex Drug Database contains brand name and generic drug information.
Official Guidelines	Guidelines for ICD-9-CM and ICD-10 coding approved by the cooperating parties: the American Hospital Association, the American Health Information Management Association, the Centers for Medicare and Medicaid Services, and the National Center for Health Statistics.
Interventional Radiology	MedLearn Interventional Radiology provides CPT and HCPCS procedure coding information.
Medical Dictionary (Dorland)	Dorland Illustrated Medical Dictionary contains definitions of medical terms and illustrations.
Search for field	To perform a new search, enter search terms or a code in this field.
References list	Choose the reference you want to search from this list.
Search	When you are ready to perform a search, click Search.
Browse reference library list	Click to choose a reference to browse in its entirety from the list.
Browse Issue link	Click this link to display the complete list of articles in the same issue as the currently-shown article.
Search Results pane	Lists the matches for your search. Click on a match to view it in the article pane.
	Best match results are identified with a green bullet point. A best match result is an article for which the searched-for code or term is a major topic of the article.
	Other results are identified with a black bullet point. These results are similar to the results of a Find All search; the code or term is found in the article, but is not the major topic of the article.
Article pane	Pane that displays the selected article.
← and →	Click to move backward and forward through the articles you have viewed.
	Click to view the next or previous term or code in the article that matches the search criteria. These buttons are active when the Highlight matched terms check box is selected.
Highlight matched terms check box	Remove the check from this box to view the article without highlighting the terms or code that match the search criteria. Check this box to highlight the terms or code that match the search criteria and to use the Previous Term and Next Term buttons.
Notes pane	Some articles include a Notes pane below the article which contains information about superseded advice, corrected advice, and code updates.

Note

The last used reference is remembered. The next time the Reference control is visited the most recently used reference is automatically selected in the references list.

Searching the References

From the References control, enter search terms or a code in the Search for field using the guidelines below:
- For AHA Coding Handbook, Coding Clinic, CPT Assistant, Interventional Radiology, or Official Guidelines, enter terms or a code.
- For the Drug Data reference, enter terms, drug name (generic or brand name), or an indication.
- For the Coders’ Desk Reference, enter a CPT code.
- For the Medical Dictionary, enter terms.

Note

You can also access the References control from the Research control. To do so, click on an article title in the Research control, or click on a reference in the Additional References list.

Choose a reference from the list.

Then click Search. The search results appear with the article for the first result displaying in the Article pane.

Note

If you opened the References control by clicking on an article title in the Research pane, the article you selected displays in the Article pane; you do not need to search for it.

To view a different article, click on the article in the Search Results pane to display it in the Article pane.
In Drug Data, do the following to view a drug listed in the indications:
- Click the next to an indication to expand it.
- Then click on a drug name to view that drug.

In Interventional Radiology, click on an image in an article to view it larger.

In the AHA Coding Handbook, you can show or hide answers to exercises:
- To show a specific answer in the exercise, rest your moue pointer on the ? icon for the question.
- To show all answers for the exercise, click show all.

When viewing an article in the AHA Coding Handbook, Coding Clinic, CPT Assistant, Official Guidelines, or Interventional Radiology reference, you can browse the other articles in the issue:
- Click Browse Issue to display the articles in the issue in the Search Results pane.
- Click on an article title to view it or choose a different year and issue in the Search Results pane.

Note

Browsing an issue is only available when you have searched for a code or term before selecting an article. It is not available when you are already browsing.

To browse the AHA Coding Handbook, Coding Clinic, CPT Assistant, Official Guidelines, or Interventional Radiology reference:
- Click Browse and choose a reference to browse from the list.
- In the Search Results pane, click on the year for the issue you want to browse.
- Then click on the issue you want to browse.
- Click on an article title to view it.

Reference Keyboard Shortcuts and Symbols

The following shortcuts can be used in the References control:

Shortcut	Location	Description
← →	Splitter bar	With the focus on a splitter bar, changes the size of a pane. Press Enter to confirm the size change.
← →	Search Results pane	Expands or collapse Drug Data indications and issues you are browsing.
↑ ↓	Search Results pane	Move up or down through the list of entries. Press Enter to view an entry in the Article pane.
↑ ↓	Article pane	Move up or down through the article.
Enter	Search Results pane	When the focus is on an article title in the Search Results pan, press to view the entry in the Article pane.
Enter	Splitter bar	When resizing a pane using keyboard shortcuts, press to confirm the change.
Ctrl + ↑	References control	Press to move backwards or forwards through the panes and resizers, and place the focus as appropriate.
Ctrl + ↓	References control	Press to move backwards or forwards through the panes and resizers, and place the focus as appropriate.

The following symbols appear in the References control:

Symbol	Location	Description
	Search Results pane	Best match results are identified with a green bullet point. A best match result is an article for which the searched-for code or term is a major topic of the article.
	Search Results pane	Other results are identified with a black bullet point. These results are similar to the results of a find all search; the code or term is found in the article, but is not the major topic of the article.
	Article pane	Rest your mouse pointer on this icon to view an exercise answer.

Research

The Research control consists of the following panes:

DRG Analysis – This pane displays alternate DRGs based upon the current DRG, codes present in the encounter, and the patient status.
ICD-10 –This pane displays equivalent ICD-10-CM / PCS codes for a selected ICD-9-CM code.
Research –This pane contains reference and coding information applicable to a selected code.
Edits – This pane displays edits for an encounter.

Using the DRG Analysis Pane

This tool suggests alternate DRGs based upon the current DRG, codes present in the encounter, and the patient status. The list of possible alternate DRGs includes the requirements that would need to be met and the applicable codes to add to the encounter if the documentation supports these changes.

Code the encounter.
Click on the DRG Analysis tab.

To show all of the applicable codes for the suggested DRG and requirements, click the Show all codes… link at the end of the Codes list.
If you want to view more information about a code, click on the code to view it in the code book.

Using the ICD-10 Pane

The ICD-10 pane displays equivalent ICD-10-CM / PCS codes for a selected ICD-9-CM code, and equivalent ICD-9-CM codes for a selected ICD-10-CM / PCS code. ICD-10-CM / PCS will replace ICD-9-CM under CMS mandate; to help you familiarize yourself with the new ICD-10 codes, you can view code equivalents in the ICD-10 pane. Because of the differences in the ICD-9 and ICD-10 classifications, there are only a few instances where a one-to-one code match occurs. There are also times when there is no code equivalent, and sometimes there is a choice of one of many codes, or one of many of several groups of codes. Read the instructions provided in each message in the ICD-10 pane for detailed information.

Click on a code in an encounter to select it.
Click on the ICD-10 tab to display equivalent codes for the selected code.

Example of ICD-10-CM / PCS equivalents for a selected ICD-9-CM code:

Using the Research Pane

The Research pane contains information applicable to the selected code. The following information is shown in the Research pane as applicable:

AHA Coding Handbook – AHA ICD-10-CM and ICD-10-PCS Coding Handbook is a guide to ICD-10-CM and ICD-10-PCS coding.
Anesthesia Crosswalk – Anesthesia Crosswalk is a mapping between surgical CPT and HCPCS codes and anesthesia CPT and HCPCS codes. Using anesthesia crosswalk you can gather surgical and anesthesia CPT or HCPCS codes simultaneously.
Coders’ Desk Reference – Optum Coders’ Desk Reference for Procedures provides descriptions of CPT codes.
Coding Advice – Coding Advice is additional coding instructions, authored by TruCode and based on official sources.
Coding Clinic – American Hospital Association (AHA) Coding Clinic for ICD-9-CM, Coding Clinic for HCPCS, and Coding Clinic for ICD-10-CM / PCS provide coding advice. The articles related to the selected code appear in reverse chronological order.
CPT Assistant® – American Medical Association (AMA) CPT Assistant® provides CPT and HCPCS coding guidance. The articles related to the selected code appear in reverse chronological order.
Crosswalk – Crosswalk is a mapping between ICD-9-CM procedure codes and associated CPT codes. Using crosswalk you can gather ICD-9-CM and CPT codes simultaneously.
Interventional Radiology – MedLearn Interventional Radiology provides CPT and HCPCS procedure coding information. The articles related to the selected CPT or HCPCS code are shown. The articles related to the selected code appear in reverse chronological order.
Official Guidelines – Guidelines for ICD-9-CM and ICD-10-CM coding approved by the cooperating parties: the American Hospital Association, the American Health Information Management Association, the Centers for Medicare and Medicaid Services, and the National Center for Health Statistics. The articles related to the selected code appear in reverse chronological order.
Merck Manual Professional – Merck Manual Professional provides detailed information to enhance ICD-10-CM and ICD-9-CM coding, including descriptions, etiologies, classifications, signs and symptoms, diagnoses, prognoses, and treatment information. The material is presented in articles, tables, videos, audio, 3D models, calculators, images, lab tests, and sidebars.

Note

Merck Manual Professional opens in the Merck manuals web site.

Additional References – Other references, such as Dorland Medical Dictionary and Micromedex Drug Data. Also, references that do not pertain to the selected code appear here. For example, when an ICD-10-CM code is selected, Coders’ Desk Reference, Coding Clinic for HCPCS, Coding Clinic for ICD-9-CM, CPT Assistant, ICD-9-CM Official Guidelines, and Interventional Radiology appear in the additional references since they do not pertain to an ICD-10-CM code.

Using the References in the Research Pane

In the Research pane, review any reference information that appears for a code.
To read an article, click on the title to open the References control.

Note

Merck Manual Professional opens in the Merck manuals web site.

To view a reference that contains no articles for the selected code (greyed out reference), expand the reference and click the link to open the References control.

To view other reference information, click on the title of the reference in the Additional References section to open the References control and access the reference.

Note

The ICD-10-PCS Definitions, Keys and Tables and ICD-10-PCS Reference Manual are PDF files and open in a browser window rather than in the References control. The MS-DRG Definitions Manuals, Merck Manual Professional, and Reference Library Archive link to websites and also open in your browser.

Using Coding Advice

In the Research pane, review the advice in the Coding Advice section. This advice pertains to the selected code in the code book or an encounter.
If the advice includes links to codes, click on the code to view it in the code book.

From the code book, press Enter to post the code.

Using Crosswalk

With a CPT code or an ICD-9-CM procedure code highlighted in the code book or in an encounter, notice that any potential code matches appear in the Crosswalk section of the Research pane.

Crosswalk for an ICD-9-CM procedure code:

Click on a code in the Crosswalk section of the Research pane to view that code in the tabular. If you accessed the code book from an encounter, press Enter to post both the CPT code and the ICD-9-CM procedure code.
If there are additional crosswalk results and you want to view them, click the View all crosswalk results link in the Crosswalk section of the Research pane to view all of the crosswalk results.

Using Anesthesia Crosswalk

If a surgical CPT code has potential corresponding anesthesia CPT codes, the codes appear in the Anesthesia Crosswalk section of the Research pane.

With a CPT code highlighted in the code book or in an encounter, notice that any potential anesthesia CPT code matches appear in the Anesthesia Crosswalk section of the Research pane.
Click on a code in the Anesthesia Crosswalk section of the Research pane to view that code in the code book. If you accessed the encoder from an encounter, press Enter to post both the surgical CPT code and the anesthesia CPT code.

Using the Edits Pane

Edits for an encounter are shown on the Edits pane and are separated into the following categories:

Medicare code edits – These edits are developed by CMS for inpatient encounters.
Outpatient code edits – These edits are developed by CMS for outpatient encounters. Either the Outpatient Prospective Payment System (OPPS) or non-OPPS version of the Outpatient Code Editor (OCE) is used to generate these edits. By default the OPPS edits display here.
TruCode edits – These edits include proprietary edits developed by TruCode as well as edits provided by regulatory and other agencies.
Medical Necessity Edits – These are LCD / NCD (Local Coverage Determination and National Coverage Determination) edits.
RAC Alert! – Information appears here to alert you that a CMS approved audit issue, in your facility’s recovery audit contractor (RAC) region, has been identified on the patient record. The RAC information shown is based on the facility MPN. The following types of CMS approved RAC targets are included:
- DRG validation
- HCPCS code vulnerability
- Inpatient medical necessity As the RACs expand their targets, the RAC targets will be updated accordingly.
Validation – These are edits related to the general validity of field values in the encounter. This includes edits for invalid and out-of-range numbers and dates.

The following information is included for each edit:

Edit message – A brief description of the edit.
Source – For TruCode edits, the official source of the edit is listed, such as Coding Clinic, the CPT book, etc.
Details link – When clicked, additional information about the edit is shown.

Click on the Edits tab to view the edits for the encounter.
To view edit details, click the details link.
To view a code in the code book, click a code link in an edit message.

If the encounter has Medical Necessity Edits, you can also view the policy by clicking the policy link.

Research Keyboard Shortcuts and Symbols

The following shortcuts can be used in the Research control:

Shortcut	Location	Description
← →	Tabs of Research control	When the focus is on the tabs, press to switch between the tabs (DRG Analysis, ICD-10, Research, and Edits).
Enter	Research pane	Press to collapse or expand a section.
↑ ↓	Research pane	Press to move between sections.

The following symbols appear in the Research control:

Shortcut	Location	Description
	Edits	Recovery audit contractor (RAC) region alert
	Coding Advice, Edits	Custom coding advice or custom edit

TruCode Encoder Synonyms List

The following lists the synonyms that can be used in the CodeBooks control and the index entry to which each synonym is linked.

ICD-10-CM Diagnosis

Synonym	Index Entry
AAA	Aneurysm, aorta, abdominal
AACG	Glaucoma, angle closure, acute
ABK	Keratopathy, bullous (aphakic), following cataract surgery
ABLA	Anemia, blood loss, acute
ACHD	Arteriosclerosis, coronary
ACJ	Acromioclavicular joint
ACVD	Disease, cardiovascular
ACVRD	Hypertension, cardiorenal
ADA	Deficiency, Adenosine, Deaminase
ADA2	Deficiency, ADA2
ADD	attention deficit disorder without hyperactivity
ADHD	Disorder, attention deficit hyperactivity
ADL	Adrenoleukodystrophy
ADPKD	Disease, polycystic, kidney, autosomal dominant
ADU	Ulcer, duodenal, acute
AEA	Amputation, traumatic, arm
AEP	Pancreatitis, acute
Afib	Fibrillation, atrial
AFL	Flutter, atrial
AFLP	Pregnancy, complicated by, fatty metamorphosis of liver
AFND	Dermatosis, neutrophilic
AGE	Gastroenteritis
AGG	Agammaglobulinemia
AGN	Glomerulonephritis, acute
AHD	Arteriosclerosis, coronary
AHLE	Leukoencephalitis, acute hemorrhagic
AHP	Pancreatitis, acute
AI	Insufficiency, aortic
AIHA	Anemia, autoimmune hemolytic
AION	Neuropathy, optic, ischemic
AKI	Acute Kidney Injury
ALF	Failure, hepatic, acute
ALMI	Infarct, myocardium, ST elevation, anterior
ALTB	Bronchitis, acute
AMI	Infarct, myocardial
AMT	Tuberculosis, miliary, acute
AOM	Otitis, media, acute subacute
ARDS	Syndrome, respiratory distress, adult
ASHD	Arteriosclerosis, coronary
ATN	Necrosis, tubular
ATP	Purpura, thrombocytopenic
AUB	Bleeding, uterus
AVB	Block, atrioventricular
AVF	Fistula, arteriovenous
AVH	Hepatitis, viral, acute
AVM	Arteriovenous malformation
AWO	Obstruction airway
BAV	Bicuspid Aortic Valve
BBB	Block, bundle
BBBB	Block, bundle branch, bilateral
BCLP	Cleft, lip, with cleft palate, bilateral
BGDC	Cyst, Bartholin’s gland
BKA	Amputation, traumatic, leg, between knee and ankle
BMG	Gammopathy, monoclonal
BMI	Body Mass Index
BMR	Basal metabolic rate
BNC	Contraction, bladder, neck
BNO	Obstruction, bladder neck
BPD	Dysplasia, bronchopulmonary
BPH	Enlargement, prostate
BPN	Neuropathy, brachial plexus
BPPN	Nystagmus, benign paroxysmal positional
C-DIFF	Clostridium difficile
CA	Neoplasm
CAD	Disease, artery, coronary
CAIS	Syndrome, androgen insensitivity, complete
Carsickness	Car sickness
CAVB	Block, atrioventricular, complete
CBD	Common bile duct
CCHD	Disease, heart, congenital, cyanotic
CCHS	Hypoventilation, congenital central
CCI	Insufficiency, coronary, chronic
CDIFF	Clostridium difficile
CDILD	Disease, lung, interstitial
CDLE	Lupus, erythematosus
CGH	Headache, cervicogenic
CGL	Leukemia, granulocytic, chronic
CGN	Glomerulonephritis, chronic
CGS	Shock, cardiogenic
CHF	Failure, heart, congestive
CIHD	Disease, heart, ischemic
CJD	Creutzfeldt-Jakob disease or syndrome
CKD	Disease, kidney, chronic
CLAH	Hyperplasia, adrenal, congenital
CNS	Central Nervous System
COPD	chronic obstructive pulmonary disease
COPE	Emphysema
CPID	Disease, pelvis, inflammatory, chronic
CPKD	Disease, polycystic, kidney, childhood
CRF	Failure, renal, chronic
CRNF	Arthropathy, postrheumatic, chronic
CRS	Syndrome, cytokine release
CSLU	Varix, leg, with, ulcer
CSMA	Atrophy, muscle, spinal
CSS	Syndrome, cytokine release
CTS	Syndrome, carpal tunnel
CUC	Colitis, ulcerative
CVA	Accident, cerebrovascular
CVRD	Hypertension, cardiorenal
DCM	Cardiomyopathy, dilated
DDD	Degeneration, intervertebral disc
DEE	Encephalopathy, developmental and epileptic
demise	death
DFM	Pregnancy, complicated by, decreased fetal movement
DGE	Delay, gastric emptying
DIC	Coagulopathy, intravascular
DIFP	Pneumonitis, interstitial
DJD	Osteoarthritis
DKA	Ketoacidosis, diabetic
DM	Diabetes
DM2	Diabetes, type 2
DMD	Dystrophy, muscular, Duchenne’s
DT	Delirium, tremens
DUB	Bleeding, uterus, dysfunctional
DVT	Thrombosis, vein, deep
EBV	Mononucleosis, infectious, Epstein-Barr
ECOLI	Escherichia coli
EDS	Syndrome, Ehlers-Danlos
EGL	Granuloma, lung, eosinophilic
EHH	Hernia, hiatal
EHS	Stroke, Heat, Exertional
EKC	Keratoconjunctivitis, epidemic
EKG	electrocardiogram
EMG	Electromyogram
EOG	electro-oculogram
ESLD	Disease, liver, end stage
ESRD	Disease, renal, end-stage
ETOH	Alcohol
FB	Foreign body
FETE	Encephalitis, Far Eastern
FIRS	Newborn affected by fetal inflammatory response syndrome
FLS	Fatty, liver
FPD	fetopelvic disproportion
FTT	Failure, to thrive
FU	Examination, Follow-up
FUB	Bleeding, uterus, functional
FXP	Fracture, pathological
FXT	Fracture, traumatic
GB	Gallbladder
GCS	Glasgow coma scale
GCU	Urethritis, gonococcal
GI	Gastrointestinal
GIM	Metaplasia, gastric intestinal
GSI	Incontinence, stress
GVHD	Disease, graft-versus-host
HAV	Hepatitis, viral, type A
HBL	Hepatoblastoma
HBP	Blood, pressure, high
HbSC	Sickle-cell, hemoglobin, C disease
HBV	Hepatitis, viral, type B
HCL	Leukemia, hairy cell
HCV	Hepatitis, viral, type C
HCVD	Hypertension, heart
HFPEF	Diastolic heart failure
HFREF	Systolic heart failure
HHD	Hypertension, heart
HIVD	Displacement, intervertebral disc
HLHS	Syndrome, hypoplastic left heart
HMD	Disease, hyaline, membrane
HMSAS	Stenosis, subaortic, hypertrophic
HNP	Displacement, intervertebral disc
HSK	Keratitis, herpes
HSL	Herpes, labialis
HSS	Stenosis, subaortic, hypertrophic
HSV	Herpes, simplex
HTN	Hypertension
HUS	Syndrome, hemolytic-uremic
Hx	History
HZ	Herpes, zoster
HZO	Herpes, zoster, ophthalmicus
IADH	Inappropriate, secretion, antidiuretic hormone
IASD	Defect, interatrial septal
IBS	Syndrome, irritable, bowel
ICAO	Occlusion, artery, carotid
ICCM	Cardiomyopathy, congestive
ICH	Hemorrhage, intracranial, intracerebral
ICP	Intracranial pressure
IDA	Anemia, iron deficiency
IDDM	Diabetes
IHHS	Hyperkinesia, heart
IHSS	Stenosis, subaortic, hypertrophic
IK	Keratitis, interstitial
Ileal	Ileum
IOFB	Foreign body, intraocular
IOP	intraocular pressure
IPKD	Polycystic, kidney, infantile type
ITP	Purpura, idiopathic, thrombocytopenic
IUC	Colitis, ulcerative
IUD	Intrauterine contraceptive device
IUFD	Pregnancy, complicated by, intrauterine fetal death
IUGR	Pregnancy, complicated by, fetal, growth retardation
IVDA	Abuse, drug
JC	Creutzfeldt-Jakob disease or syndrome
JRA	Arthritis, rheumatoid, juvenile
Jt	Joint
LBBB	Block, bundle branch, left
LBP	Pain, back, low
LBW	Low, birthweight
LE	Lupus, erythematosus
LGA	Large, for dates, fetus
LHF	Failure, ventricular, left
LIH	Hernia, inguinal, unilateral
LLQ	left lower quadrant
LRQ	right lower quadrant
LTB	Bronchitis
marijuana	cannabis
MD	Dystrophy, muscular
MDD	Disorder, Depressive, major
MGN	Glomerulonephritis, membranous
MI	Infarct, myocardium
MM	Multiple Myeloma
MNG	Goiter, multinodular
MPJ	Metacarpophalangeal Joint
MS	Sclerosis, Multiple
MVP	Prolapse, mitral valve
MVR	Insufficiency, mitral
MVS	Stenosis, mitral
MW	Syndrome, Mallory-Weiss
NAFLD	Disease, liver, fatty, nonalcoholic
NASH	Steatohepatitis
NB	Newborn
NGB	Neurogenic Bladder
NHL	Lymphoma, non-Hodgkin’s
NNE	Enterocolitis, fetus or newborn, necrotizing
NPH	Hydrocephalus, normal pressure
NSHD	Lymphoma, hodgkin, nodular, sclerosis
NSVD	Delivery, normal
NSVT	Tachycardia, ventricular nonsustained
NTMI	Infarct, myocardial, nontransmural
OA	Osteoarthritis
OAG	Glaucoma, open angle
OBD	Disease, brain, organic
OCD	Disorder, obsessive-compulsive
OD	right eye
OE	Otitis, externa
OIC	Osteogenesis imperfecta
OM	Otitis, media
OMI	Infarct, myocardium, past
OS	left eye
OSA	Apnea, sleep, obstructive
OU	both eyes
OVDF	Dysfunction, ovary
PDA	Patent ductus arteriosus
PDB	Paget’s disease, bone
PFD	Disorder, feeding, pediatric
PID	Disease, pelvis, inflammatory
PIH	Hypertension, complicating pregnancy, gestational
PJT	Tachycardia, paroxysmal, junctional
PKD	Disease, kidney, polycystic
PKU	Phenylketonuria
PMB	Bleeding, postmenopausal
pot	cannabis
PROM	Pregnancy, complicated by, premature rupture of membranes
PSC	Primary Sclerosing Cholangitis
PST	Tachycardia, paroxysmal, supraventricular
PSVT	Tachycardia, paroxysmal, supraventricular
PTBS	Syndrome, brain, posttraumatic
PTSD	Disorder, post-traumatic stress
PVC	Premature, contractions, ventricular
PVD	Disease, peripheral, vascular
PVT	Tachycardia, paroxysmal, ventricular
PWS	Syndrome, Prader-Willi
RA	Arthritis, rheumatoid
RBBB	Block, bundle branch, right
RBN	Neuritis, optic, retrobulbar
RCCA	Right Common Carotid Artery
RHF	Failure, heart, right
RIH	Hernia, inguinal, unilateral
ROP	Retinopathy, of prematurity
RSD	Syndrome, pain, complex
RSV	Virus, viral respiratory syncytial
RTN	Necrosis, kidney, tubular
RUQ	right upper quadrant
SBO	Obstruction, intestine
SCID	Immunodeficiency, Severe Combined
SDH	Hematoma, subdural
SEMI	Infarct, subendocardial
SGA	Small, for dates, fetus
SIADH	Syndrome, inappropriate secretion of antidiuretic hormone
SIDS	Crib death
SLE	Lupus, erythematosus, systemic
SOB	Short, breath
SROM	Spontaneous Rupture of Membranes
SSS	Syndrome, sick, sinus
SUI	Incontinence, urine, stress
SVT	Tachycardia, supraventricular
TAPVC	Anomaly, pulmonary, venous, total
TAPVR	Anomaly, pulmonary, venous, total
TB	Tuberculosis
TBE	Encephalitis, tick-borne
TDK	Dyskinesia, tardive
TGV	Transposition, great vessels
THH	Telangiectasia, hereditary, hemorrhagic
TMJ	Temporomandibular joint
TMJS	Syndrome, temporomandibular joint-pain dysfunction
TOS	Syndrome, thoracic outlet
TpD	Torsades de pointes
TR	Insufficiency, tricuspid
TSS	Syndrome, toxic, shock
TTN	Tachypnea, newborn
ULQ	left upper quadrant
UPJ	Ureteropelvic junction
URQ	right upper quadrant
USI	Incontinence, urine, stress
UTI	Infection, urinary
VBAC	vaginal delivery following previous cesarean
VSD	Defect, ventricular septal
VTACH	Tachycardia, ventricular
VV	Varix
VWD	Disease, von Willebrand
WG	weeks of gestation
WM	Macroglobulinemia, Waldenstrom
WNE	Virus, west nile, with encephalitis
WNV	West Nile, virus
WPW	Syndrome, Wolff-Parkinson-White

ICD-10-CM External Cause

Synonym	Index Entry
GSW	Shooting
MVA	Accident, transport
POC	Place of occurrence
Punched	Assault, fight
Slammed	Caught, between, objects
Stubbed	Bumping against, into,
Tidalwave	Tidal wave
Wreck	Accident, transport

ICD-10-PCS Procedure

Synonym	Index Entry
Angiocardiography
ACJ	Acromioclavicular joint
ACL	Anterior Cruciate Ligament
Adrenex	Adrenalectomy
AEA	Detachment, Arm, Upper
AES	Sphenoidectomy
AKA	Detachment, Leg, Upper
AVR	Replacement, valve, aortic
BKA	Detachment, Leg, Lower
BMP	bone morphogenetic protein
BVAD	Supplement, heart
Bx	Biopsy
CABG	Bypass, artery, coronary
CAPD	Dialysis, peritoneal
CBD	Common bile duct
CNP	Continuous Negative Airway Pressure
CS	Extraction, Products of Conception
CTR	Release, Nerve, Median
CXR	Plain radiography, chest
DCR	Bypass, duct, lacrimal
ECG	Measurement, cardiac
ECT	Electroconvulsive Therapy
EFM	Monitor, Products of Conception, Cardiac
ELF	Extraction, Products of Conception, low forceps
ETT	Insertion of device in, Trachea
FEKG	Measurement, Products of Conception, Cardiac
FNA	Fine Needle Aspiration
FTSG	Replacement, skin
Fx	Fracture
GB	Gallbladder
GBS	Bypass, stomach
GI	Gastrointestinal
Gply	Gingivoplasty
HFD	Extraction, Products of Conception, high forceps
ICP	Intracranial pressure
Impella	Impeller
IORT	Intraoperative radiation therapy
IUD	contraceptive device
Jt	Joint
LCCS	Extraction, Products of Conception, Low
LFD	Extraction, Products of Conception, low forceps
LIMA	left internal mammary artery
LP	Drainage, spinal canal
LSCS	Extraction, Products of Conception, Low
LTAF	Transfer, Skin
LTCS	Extraction, Products of Conception, Low
MFD	Extraction, Products of Conception, mid forceps
MLE	Division, perineum, female
MMK	Reposition, Urethra
MRI	Magnetic Resonance Imaging
MT	Drainage, Tympanic
MV	Performance, Respiratory
MVR	Replacement, Valve, Mitral
NGT	Insertion of device in, Stomach
NSVD	Delivery, manually assisted
OD	right eye
ORIF	Reposition
OS	left eye
OT	Activities of Daily Living Treatment
OU	bilateral eye
OWR	Excision, ovary
PK	Keratoplasty
PKP	Keratoplasty
PNLA	Drainage, lung
PT	Motor Treatment
PTA	Dilation, Artery
SGV	Division, nerve, vagus
STG	Replacement, skin
STSG	Replacement, skin
TAH	Hysterectomy, Total
TEE	Ultrasonography, heart
THR	Replacement, joint, hip
TKR	Replacement, joint, knee
TMJ	Temporomandibular joint
TPA	tissue plasminogen activator
TVH	Hysterectomy, Total
USG	Ultrasonography
UVC	Catheterization, umbilical vein
VAD	Vascular Access Device
VE	Extraction, products of conception, vacuum
XCCE	Extraction, lens
SVD	Delivery, manually assisted

CPT

Synonym	Index Entry
AAA	Abdominal Aorta Aneurysm
ACJ	Acromioclavicular joint
ACL	Anterior cruciate ligament
Adrenex	Adrenalectomy
AEP	Auditory evoked potential
AFBG	Bypass Graft, Femoral Artery
AICD	Implantable Defibrillator
APE	Anterior posterior ethmoidectomy
AV	Arteriovenous
AVR	Replacement, Aortic Valve
BAVP	Valvuloplasty, Percutaneous Balloon, Aortic Valve
BDE	Exploration Bile Duct
BE	Barium enema
Billroth	Gastrectomy, partial
Bleeding	Hemorrhage
BMA	Bone marrow aspiration
BMB	Biopsy, bone marrow
BNR	Resection, Bladder Neck, Transurethral
BSO	Bilateral salpingo-oophorectomy
BTL	Ligation, Fallopian Tube, Oviducts
BVL	Ligation, Vas Deferens
Bx	Biopsy
CABG	Bypass Graft, Coronary Artery
calcaneofibular	ankle
CAPD	Dialysis, Peritoneal
CBC	Complete blood count
CBD	Common bile duct
CBT	Cognitive behavioral therapy
CCG	Cholangiography, Intraoperative
CICE	Cataract, removal/extraction, Intracapsular
CKC	Conization, Cervix
CMG	Cystometrogram
Cone	Conization, Cervix
CS	Cesarean Delivery, Delivery Only
CTR	Carpal Tunnel Syndrome, Decompression
CUG	Urethrocystography, Retrograde
CVC	Central venous catheter
CXR	X-ray, chest
DC	Dilation and Curettage, Corpus Uteri
DCR	Dacryocystorhinostomy
DDD	Dual Chamber
DX	Diagnostic
EBV	Epstein-barr virus
ECCE	Cataract, removal/extraction, extracapsular
ECoG	electrocorticogram
ECT	Electroconvulsive therapy
EGD	Esophagogastroduodenoscopy
EKG	Electrocardiography
EP	Electrophysiological
EPS	Electrophysiological
ERS	endoscopic retrograde sphincterotomy
EST	Electroconvulsive therapy
ESVS	Suspension Vaginal
ESWL	Shock wave Lithotripsy
ETBD	Eustachian tube dilation
ETOH	Alcohol, ethyl
ETT	Endotracheal Tube, Intubation
FB	Foreign body
FVL	Ligation, Vein, Femoral
Fx	Fracture
GB	Gallbladder
GI	Gastrointestinal
GIFT	Gamete Intrafallopian transfer
Gply	Gingivoplasty
IABP	Balloon Intra-Aortic
ICCE	Cataract, removal/extraction, Intracapsular
IOCG	Cholangiography, Intraoperative
IOL	Intraocular lens
IOP	intraocular pressure
IPPB	Intermittent positive pressure breathing
IUD	Intrauterine Device
IV	Intravenous
IVP	intravenous pyelography
Jt	Joint
LAVH	Laparoscopy, Vaginal Hysterectomy
LHC	Catheterization, cardiac, left heart
LKP	Keratoplasty, Lamellar
LNB	Lymph Nodes, Biopsy
LP	Lumbar puncture
LPI	laser peripheral iridectomy
LRM	left radical mastectomy
LSO	Salpingo-Oophorectomy
LTL	Laparoscopy, Oviduct Surgery
MMK	Marshall-Marchetti-Krantz Procedure
MRI	Magnetic Resonance Imaging
MRM	Mastectomy, Modified Radical
MVR	Replacement, Mitral Valve
NBP	needle biopsy prostate
NGT	Naso gastric Tube, Placement
NLB	needle liver biopsy
OT	Occupational Therapy
OWR	Ovary, Wedge Resection
PISCES	Percutaneous Neurostimulator Spine
PKP	Keratoplasty, Penetrating
PNLA	Needle Lung Percutaneous
PT	Physical Medicine
PTCA	Angioplasty, Coronary Artery, Percutaneous Transluminal
RHC	Catheterization, cardiac, right heart
RM	Mastectomy, Radical
RPTA	Angioplasty, Renal Vessel, Percutaneous
RSO	Salpingo-Oophorectomy
RXT	Radiation Therapy
SGV	Vagotomy, Selective
SMR	Submucous resection
talofibular	ankle
TAH	Total abdominal hysterectomy
TBLB	Lung Biopsy Transbronchial
TEE	Transesophageal echocardiography
THA	Total Hip Arthroplasty
THR	Hip, total replacement
TKA	Total Knee Arthroplasty
TKR	Arthroplasty Total Knee Replacement
TENS	Application, electrical, stimulation
TURB	Bladder Resection Transurethral
TVH	Hysterectomy, Vaginal
UA	Urinalysis
UAC	Catheterization, umbilical artery
US	Ultrasound
USG	Echography
UVC	Catheterization, umbilical vein
VH	Hysterectomy, Vaginal
vNotes	hysterectomy, vaginal
XCCE	Cataract, removal/extraction, extracapsular
XRT	Radiation Therapy

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ICD-10-CM Diagnosis

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