2-15. STEPS IN USING VOLUME 2
Here are the steps for using Volume 2, ICD-9-CM recommended by the IPDS
User's Manual:
a. Locate the condition (main term) in the Alphabetical Index. The main term is
printed in bold face type for ease of reference. Main terms will identify disease
conditions (Aphthae, aphthous) or state the actual problem (Infarction). A main term
may be followed by a series of terms in parentheses and may also be followed by a list
of subterms (modifiers) which are indented two spaces. A main term can never be a
body part or organ such as heart, artery, or stomach. Be sure to start at the main term.
b. Look for eponyms (diseases or operations named after a person, e.g.,
Parkinson's disease) under the person's name or under the main terms "Disease" or
"Syndrome" or "Tremor."
c. Look for conditions expressed as adjectives (e.g., irregular) in the list of main
terms.
d. Be sure to read and follow any "NOTE" listed under the main term. A note is
usually found at the beginning of a main term, but is not repeated on continuing pages.
e. Read terms enclosed in the parentheses following the main term and
modifiers.
f. Be guided by the "see" and "see also" in cross-referencing synonyms and
closely related terms. Remember that "see condition" usually indicates that you have
located the body part in the index rather than the disease or injury of that part.
g. Use E-codes (E930-E949) to identify adverse effects of drugs and chemicals
properly administered. The Army uses only E -codes under the heading "Adverse Effect
In Correct Usage." These E -codes will require a "Cause of Injury" code from the IPDS
User's Manual. This is discussed in greater detail later in this lesson.
h. Use V-codes (V01-V82) when a person who is not currently ill is hospitalized
for some specific purpose such as birth, observation, or to donate an organ. When
some circumstance or problem is present which influences the person's health status
but is not in itself the cause of admission, V-codes are used as supplementary codes.
i. The Hypertension Table is found under the main term "Hypertension." This
table contains a complete listing of all conditions due to or associated with hypertension
and classifies them according to malignant (life-threatening), benign (not life-
threatening), and unspecified condition.
j. Neoplasms are listed in the Alphabetic Index in two ways : anatomic site and
morphology (structure of the organ or part). Morphology codes may be used at the local
MD0753
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