Explain the structure of an ICD-10-CM code.

Quality Thought is the best Medical Coding training institute in Hyderabad, renowned for its comprehensive curriculum and expert trainers. Our institute offers in-depth training on all aspects of medical coding, including ICD-10, CPT, HCPCS, and medical billing, designed to prepare students for global certification exams. With a focus on practical knowledge and industry-relevant skills, Quality Thought ensures students gain hands-on experience through real-time projects and case studies.

Located in the heart of Hyderabad, our state-of-the-art facilities and supportive learning environment make Quality Thought the preferred choice for aspirants aiming to build a successful career in healthcare coding. Our certified trainers bring years of industry experience and personalized attention to help students master the complex coding systems used in hospitals, insurance companies, and healthcare organizations.

We also provide placement assistance, helping students secure jobs with leading medical coding companies. If you’re looking for the best Medical Coding training in Hyderabad, Quality Thought stands out by combining quality education, affordable fees, and excellent career support.

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An ICD-10-CM code (International Classification of Diseases, 10th Revision, Clinical Modification) can be 3 to 7 characters long and is structured to convey detailed information about a diagnosis or condition.

Basic Structure:

1. First Character (Letter)

  • Indicates the chapter or category of disease.

  • Example: E = Endocrine, nutritional, and metabolic diseases.

2. Second and Third Characters (Numbers)

  • Complete the category code, identifying a broad diagnosis group.

  • Example: E11 = Type 2 diabetes mellitus.

3. Fourth to Sixth Characters (Alphanumeric)

  • Provide greater detail such as:

    • Etiology (cause of the disease)

    • Anatomical site (location in the body)

    • Severity or clinical details

  • Example: E11.9 = Type 2 diabetes mellitus without complications

4. Seventh Character (Optional, Letter or Number)

  • Used when needed to specify the encounter type, stage, or episode of care.

  • Common in injury, obstetrics, and fracture codes.

  • Examples:

    • A = Initial encounter

    • D = Subsequent encounter

    • S = Sequela (late effect)

Placeholders:

  • If a code requires a 7th character but has fewer than 6 characters, "X" is used as a placeholder.

  • Example: T81.4XXA

    • "XX" ensures that "A" is correctly placed as the 7th character.

Full Example:

  • S52.521A

    • S52 = Fracture of the forearm

    • .521 = Torus fracture of lower end of right radius

    • A = Initial encounter

This structured format makes ICD-10-CM codes highly specific, enabling more accurate medical documentation and billing.

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