but provide additional instruction. R14. F43. In the Tabular List, an instructional note may appear under these category codes to “code first condition resulting from (sequela of)” that particular category. In most cases the manifestation codes will have in the code title, "in diseases. " In the "Index to Diseases," the multiple coding requirement is. 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. 13. Whenever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). Instructional notes indicate the proper sequencing order of these conditions-etiology (underlying condition) 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. 0) is reported as the PDX followed by the code for the heart failure (I50. J96. Table of Neoplasms. R29. Preview Terms in this set (21) T/F - The abbreviation of NEC is only used in the Index. There is an instructional note under category code K70 to use additional code to identify alcohol abuse and dependence. , specific ear diseases) may be more extensive, contain additional. ICD-10-CM Instructional Notes, Chapter 3 Two instructional notes appear with a code if the type of anemia is produced by either a poisoning or an adverse effect of a drug, such as-Code first _____ due to drug or toxin, if applicable (T36-T65), with fifth or sixth character 1-4 or 6-Use additional code for adverse effect, if applicable, to. 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 "code first" note is. instructional notes. A 3-year-old patient was brought in to the physician's office by her mother because of fever, fussiness, and tugging at the right ear. About us. 0 in the Tabular. 0 to use an additional code to identify the Infectious organism. 2 also applies to the following:See” and “See Also” “Code also Note” Default codes Code assignment and Clinical Criteria Points to Remember -When selecting codes, the coder must follow all instructional notes present -Instructional notes, abbreviations, and punctuation provide direction to coders -When cross-references are present in the Index, the additional. After work-up it was determined that he has a benign neoplasm of the temporal lobe of his brain. In ICD-10-CM there are no supplementary classifications. 3 is exempt from POA reporting ( Present On Admission). %PDF-1. contains the code that is to be. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. true false Modifiers are used to identify when no procedure is done. instructs the coder to use an additional code to identify the manifestation that is present. The Use additional code note appears at the etiology code and a Code. It is necessary to go to the main term referenced with the "see" note to locate the correct code. ‐) tobacco use (Z72. In the tabular, code G31. The two codes must appear in the correct order. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Tabular List. 110, ASHD, native artery with unstable angina is a ______ code. 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 . Codee F10. This notation indicates that use of an additional. b. ” (See Reference 1) For instance, if a patient has a diabetes, the coder may use the code E11. Additional Instructional Notes Excludes -1 Under a three digit category code, an Excludes 1 designation means that the code is NOT CODED HERE and indicates that two codes are mutually exclusive and therefore cannot be coded as separate codes in same encounter (example E66). use both the code and the excluded code together. There are several organ dysfunctions listed it the ICD-10-CM Index, but this list is not an exhaustive. 9. There are also instructional notes to use additional code to identify specific organ dysfunction. 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 . N30. Use additional code to identify type of heart failure (I50. b. A "use additional code" note will normally be found at the infectious disease code, indicating a need for the organism code to be added as a secondary 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. Includes Note. “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. These instructional notes indicate the proper sequencing order of the codes: etiology, followed by manifestation. 1. 7th Character Certain ICD-10-CM categories have applicable 7th characters. 80 d. The Code First note instructs the coder to select a code to represent the etiology that caused the _____. xxxx Type 1 diabetes mellitus3. – Indicates that code identified in the note and code where the note appears cannot be reported together because the 2 conditions cannot occur together Example:. Codes with this phrase are never used as a first-listed or principal diagnosis. ICD-10-CM;The "See Also" instructional note is a coding guideline that refers the coder to another code or group of codes in the Tabular List of the International Classification of Diseases (ICD). General notes. 23 is a valid billable ICD-10 diagnosis code for Adjustment disorder with mixed anxiety and depressed mood . a. 7, I51. 0. R91. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Brackets An instructional note with code N39. Study with Quizlet and memorize flashcards containing terms like This instructional note in tabular of the 1-10 directs the coder regarding sequence?, If there is 7th characters assign for an 1-10 code, but there are only five characters in the terminal code, the 6th character terminal code, the 6th character would be?, Code if applicable, any causal condition first. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In practice our coders apply this convention only when the infectious agent is known. 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. Code First/Use Additional Code notes (etiology/manifestation paired codes) Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. 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 the Tabular List, the 6th character 2 is selected to specify the left ovary. 65 is a valid billable ICD-10 diagnosis code for Type 1 diabetes mellitus with hyperglycemia . A. The patient is alcohol dependent. ICD-10-CM: type 2 DM with diabetic CKD (E11. 891)The ICD-10-CM is divided into the Alphabetic Index, an alphabetical list of terms and their corresponding code, and the Tabular list, a chronological list of codes divided into chapters based on body system or condition. In most cases the manifestation codes will have in the code title, "in diseases. Study with Quizlet and memorize flashcards containing terms like combination codes for. includes notation C. Use "additional code" note OB. True. Patient is admitted to the hospital with pneumonia due to bacteriodes fragilis, J15. 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. -) and a note to use an additional code to identify: •Exposure to environmental tobacco smoke (Z77. 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 . ”. Question 1. 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. Neither of these two codes are acceptable as the PDX. ↓ See below for any exclusions, inclusions or special notations. Some categories of codes (e. Square brackets are used: In the Alphabetic Index to enclose the manifestation of a disease. ) • Use additional code to identify resistance to antimicrobial drugs (Z16) • New section called infections with a predominantly sexual mode of transmission (A50–A64) • When coding sepsis or AIDS, it is important to review the Coding Guidelines and the notes at the category level of ICD-10-CMThe “use additional code” note appears at the etiology and a “code first” note at the manifestation code. The ICD-10-CM code assigned to this case is:Instructional notes are an important resource for medical coders, as they provide additional guidance and clarification when the code descriptions in the Tabular section of the coding book are not clear or specific enough. ICD-10-CM Official Guidelines for Coding and Reporting FY 2024 Page 8 of 120 5. An ICD-10-CM "other specified" code: a. 2). ) Assign codes to the highest possible level of detail. These instructional notes indicate the proper sequencing order of the codes, etiology flowed by. general notes, inclusion and exclusion notes, code first notes, use additional code notes, and code also notes. 9. 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 the index both conditions are listed together with the. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. the code does not contain additional characters. d. In most cases, the manifestation codes will have in the code title “in diseases classified elsewhere. First notes indicate that this code may be assigned as first-listed diagnosis when the casual condition is? Un known/ Not Applicable. 83) Use additional code to identify: chronic total occlusion of coronary artery (I25. 44- there is an instructional note that states “use additional code to identify the sepsis. 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. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. You must use the applicable 7th character for all ICD-10-CM codes within the category or as notes in the Tabular List instruct. -) and a note to use an additional code to identify: •Exposure to environmental tobacco smoke (Z77. The ICD-10-CM Index does have instructional notes to code first the underlying infection. In most cases the manifestation codes will include “in diseases classified elsewhere” in the. 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 . Tuberculous erythema nodosum is coded to L52. 3 is a valid billable ICD-10 diagnosis code for Pseudocyst of pancreas . "Code, if applicable, any causal condition first" note OD. In most cases the manifestation codes will have in the code title, "in diseases. Combination codes would be reported for these. 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 . A "use additional code" note will normally be found at the infectious disease code, indicating a need for the organism code to be added as a secondary 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. 89 (other post-procedural complications and disorders of the circulatory system, not elsewhere classified) and I48. Index of Diseases and Injury. The underlying disease must be first sequenced, accompanied by the manifestation, according to the ICD-10-CM coding rule. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 3. 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 an etiology and manifestation combination of codes exists, the manifestation code contains an instructional note to: use of an additional 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. BracketsCode Also Instructional Note The Code Also note is used in ICD-10-CM to instruct the coder that two codes may be needed to fully code a diagnostic phrase. 7th Character Certain ICD-10-CM categories have applicable 7th characters. ) Assign combination codes when available. 9. 1 directs to use an additional code to identify pneumonia or other manifestations. ↓ See below for any exclusions, inclusions or special notations. ”Verified questions. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 30 the correct code. Category J05 Use Additional code note and Code Also 9. There is advice at the beginning of this chapter to use an additional code to identify resistance to antimicrobial drugs using. As with all DM categories, an Excludes 1 note excludes all other DM, including gestational, neonatal, and postprocedural. This code is sequenced second because the reason the patient was admitted was to treat the hepatitis. M79. infection. Expert tip: “Tab your copy of ICD-10 with reminders. ” A corresponding instructional note is present at subcategory R50. Code Also –A “code also” note instructs that two codes may be required to fully describe a condition, but the sequencing of the two codes depends on the severity of the conditions and the reason for the encounter. Which of the following is a valid ICD-10-CM code from the Tabular List of Diseases and Injuries?The “use additional code” note appears at the etiology and a “code first” note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. What is the ICD-10-CM code for nausea? R11. This is addressed in guideline 1. There is an instructional note that states to "Use additional code to identify the stage of chronic kidney disease (N18. b. followed by the manifestation. 0-). A postcoordination instructional note labeled “Has manifestation (use additional code, if desired)” is a reminder to the user that, depending on the case being coded, it is allowable to post-coordinate any manifestations with the underlying condition. 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. When there is a “code first” note and an underlying condition is present, the underlying condition is sequenced first. J30. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. 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 following are examples of what type of encounter?-Emergency room encounter-First appointment with new physician. 9 is a valid billable ICD-10 diagnosis code for Obesity, unspecified . The instructional notes include terms and diagnoses included and excluded for each code. A "use additional code" note will normally be found at the infectious disease code, indicating a need for the organism code to be added as a secondary code. "Code first" notes are also under certain codes that are not specifically manifestation codes but may be due to an underlying cause. These instructions signal the coder that an additional code should be reported to provide a more complete picture of that diagnosis. 9 is a valid billable ICD-10 diagnosis code for Acute upper respiratory infection, unspecified . The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. Another important instructional note is “Use additional code,” which can lead to querying for clarification of organ dysfunction that may be present, see the. Selected Answer: is not used in ICD coding. 1 states to not assign codes from category Z34 with Chapter 15 codes. defines and or gives examples of the content of a particular category. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Your Answer:true Appendix C contains coding examples to assist in. ↓ See below for any exclusions, inclusions or special notations. 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. In addition,. 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. 111. Fully searchable through Find-A-Code's Comprehensive Search. 96. " d. 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 . Question: The Code First note instructs the coder to select a code to represent the etiology that caused the manifestation. The "Use additional code" _____. In the following problem, find polar and Cartesian forms for all three cube roots of the complex number. Not necessary Use Additional. Explain two (2) methods you will use to build good coding habits. 44 (Sepsis following a procedure). In most cases the manifestation codes will have in the code title, "in diseases. 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. Instructional notes, like Inclusion and Excludes notes, are located in the. Code First/Use Additional Code Notes –Etiology/manifestation paired codes have a specific index entry structure . These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Use additional code *indicates that an additional code should be used, if available *additional code is always listed after the primary code. In this example, assigning. ↓ See below for any exclusions, inclusions or special notations. Verify the codes in the tabular list and assign codes in this order: I87. By understanding how to use instructional notes, coders can ensure that they select the correct codes for a. "Code first". D33. and more. sometimes used to inform, describe circumstances or give additional information about a term or. When a coder encounters a "Use additional code" note, the coder should NOT assign a code from the list unless it is documented in the record. 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. These conventions are incorporated within the Index and Tabular List of the ICD-10-CM as instructional notes. "Code first" notes are also under certain codes that are not specifically manifestation codes but may be due to an underlying cause. Introduction to ICD-10-CM. More Coding Conventions. ↓ 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. A note under category J01 Acute sinusitis states that an additional code (B95-B97) is used to identify the infectious agent, if known. Manifestations are listed as additional codes. 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. These instructional notes indicate the proper sequencing order of the codes, etiology followed by 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. This indicates the sequencing. additional instruction. Watch the instructional notes carefully. In most cases the manifestation codes will have in the code title, "in diseases. 10 is a valid billable ICD-10 diagnosis code for Dysphagia, unspecified . Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and. 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. provide general information on usage in a specific section. must be sequenced second as the underlying condition code. 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. The 7th character must always be the 7th character in the data field. In most cases the manifestation codes will have in the code title, "in diseases. detail to ensure the code assignment is not affected. Correct Answer : Add an additional character to the code . true false Appendix C contains coding examples to assist in the selection of. code set based on a system maintained by the World Health Organization. Inclusion notes. 9. Code N18. R13. 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 are sequencing instructions that must be followed. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. A list of abbreviations, punctuation, symbols, typefaces, and instructional notes appears at the beginning of the ICD-9-CM. 1 states to not assign codes from category Z34 with Chapter 15 codes. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition. There is a "Use Additional Code" notation at the etiology code and a "Code First" note at the manifestation code whenever such a combination exists. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In the following problem, find polar and Cartesian forms for all three cube roots of the complex number. When using code R45. -). Added instructional notes and inclusion terms Code Description G97. 2 is classified says to use additional code to identify resistance to antimicrobial drugs (Z16. Study with Quizlet and memorize flashcards containing terms like List the three diagnoses that are included as described by the "inclusion note" for code R56. 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. Codes mentioned in articles are linked to Code Information pages. " ICD-10-CM Coding Conventions The conventions for ICD-10-CM are the general rules for using the classification independent of the guidelines. ) Assign combination codes when available. Below are general descriptions of these coding conventions. Your Answer:true Modifiers are used to identify when no procedure is done. use additional code for. The additions. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. True B. requires the reporting of multiple codes for a case. There is no information of the infectious agent and no additional code is reported. 59 (and not a code from category 438) as an additional code for history of cerebrovascular disease when no neurologic deficits are present. 16. When there is a "code first" note and an underlying. xxx Diabetes mellitus due to underlying condition Include the underlying condition diagnosis E09. 9 in processing claims, check the following: — See additional coding rules. These instructional notes indicate that the etiology code should be listed first followed by the manifestation code. Multiple codes are required when two codes, the second in brackets and italics, appear after a main term. Pseudocyst of pancreas Billable Code. Therefore, when a patient presents with an acute manifestation of COVID-19, such as pneumonia, code U07. 1 directs to use an additional code to identify pneumonia or other manifestations. For such codes, there is a “use additional code” note at the etiology code and a “code first” note at the manifestation code and the rules for sequencing apply The Code Also note is used in ICD-10-CM to instruct the coder that two codes may be needed to fully code a diagnostic phrase. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 31) •Tobacco dependence (F17. Standard Coding Process (4)A benign neoplasm is a (n): H66. 00Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. Location. A component of. In most cases the manifestation codes will have in the. R50. False In the ICD-10-CM Index to Diseases and Injuries, with or directly under the main term Pregnancy, there are several notes or instructions. These are in red type and also dictate sequencing of the codes with phrases like, ‘use additional code,’ meaning you will. 00, C31. This indicates the sequencing. appearing. About Quizlet; How Quizlet works; Careers; Advertise with us; Get the app; For students. coli] since there is a “use additional code” note under code N39. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. B) the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. They may appear independently of each other or to designate certain etiology/manifestation paired codes. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Subcategory M10. 00, N30. See Note: an instruction following the main term in the Alphabetic Index that indicates that another term should be referenced - for correct coding it is necessary to go to the main term referenced with this note. There is an instructional note use additional code to identify organism. NEC means not elsewhere classifiable 2. 011, Postthrombotic syndrome with ulcer of right lower extremity, and L97. Use additional code to identify type of heart failure (I50. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 2. Manifestation. i. NOS. In most cases the manifestation codes will have in the code title, "in diseases. Notes provide information on code selection. Often, instructions appear in one place, but aren’t repeated by each code,” said. locate main term in index. Code the following diagnosis: Seizure. 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 additional code referenced with the “see” note to locate the correct code. ” 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. These conventions are. These instructional notes indicate the proper sequencing order of the codes, etiology flowed by manifestation if applicable Use additional code, where applicable, to identify: history of tobacco dependence (Z87. 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. Pelvic and perineal pain Billable Code. The 7th character must always be the 7th character in the data field. Alphabetic Index. These notes are used to signal that, when there is an underlying etiology and multiple body system manifestation due to the underlying etiology, two codes are needed. use additional code for any associated physical or developmental disorders. In most cases the manifestation codes will have in the code title, "in diseases. 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. -)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. 9 (sepsis, unspecified organism) with T81. 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 . located below certain codes in the tabular list. In most cases the manifestation codes will have in the code title, "in diseases. 1. 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 . -) Use additional code to identify stage of chronic kidney disease ( N18. Two “use additional code” notes appear to remind the coder to use an additional code to identify the infectious agent. Look for Cirrhosis/liver/alcoholic and you are directed to K70. (Schraffenberger, 2018, 439)referenced with the “see” note to locate the correct code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. J06. These instructional notes indicate the proper. instructional notes. initial encounter. ICD-9-CM Conventions NOS . Select one: True False. ICD-10-CM code I25. The use additional note may need revision to identify the “type” of sepsis (as is seen in the note. Read and be guided by the instructional notes in both indexes The Alphabetical Index does not always provide the full code. The code for alcohol dependence is located by indexing the main term "Alcoholism". True. , specific ear diseases) may be more extensive, contain additional . Z71. When using code n52. All codes in ICD-10-CM Chapter 10. d. The etiology code will have a “use additional code” note The manifestation code will have a “code first” note In most cases, “in disease classified elsewhere” will be in the code manifestation title The code title indicates a manifestation code “In diseases classified elsewhere” codes are not to be used as first-listed or.