What does the first character of an ICD-10-CM code represent?

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The first character of an ICD-10-CM code is always a letter, and it represents the chapter or category of diseases or conditions to which the code belongs. Each letter corresponds to a specific section of the ICD-10-CM classification system, which helps organize medical diagnoses into broad groups.

Example:

  • E11.9:

    • E indicates it falls under endocrine, nutritional, and metabolic diseases.

    • The full code refers to Type 2 diabetes mellitus without complications.

Understanding the first character helps clinicians, coders, and systems quickly identify the general type of condition being referenced.

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