the use additional code instructional note _____.. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. the use additional code instructional note _____.

These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Multiple codes are required when two codes, the second in brackets and italics, appear after a main term. Code if applicable, any casual condition. When using code n52. 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. Alphabetic Index. The other instructional note is under category code I85 which says to use an additional code to report alcohol abuse and dependence. Check the solution algebraically . 9, are assigned to a code from category I11, Hypertensive heart disease. 1 is a valid billable ICD-10 diagnosis code for Solitary pulmonary nodule . 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. Use additional code, where applicable, to identify: history of tobacco dependence (Z87. Codee F10. The instructional notes to code first the underlying physiological condition are found at the category level. CODING CONVENTIONS. These instructional notes indicate the proper sequencing order of the codes: etiology, followed by manifestation. Instructional notes include. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. This would code: Fibrillation > atrial > postoperative complication > paroxysmal. 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. R11. The includes note is used to define, give examples, or both, of the content of a category of ICD-10-CM or of a block of category codes. True. Found at the etiology code as a clue to identify the manifestations commonly associated with the disease. Patient is admitted to the hospital with pneumonia due to bacteriodes fragilis, J15. "Code first underlying condition" note OC. Select one: a. 0 is a valid billable ICD-10 diagnosis code for Dehydration . There is no information of the infectious agent and no additional code is reported. Dysphagia, unspecified Billable Code. Excludes 1: fever and chills. The Code First note instructs the coder to select a code to represent the etiology that caused the _____. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). , An additional codes instructional note is listed under code 33881. In most cases the manifestation codes will have in the code title, "in diseases. Similar to ICD-9-CM, "Code first" and "Use additional code" notes are present for some of the diabetes mellitus categories and subcategories that require the underlying condition be sequenced first, followed by the manifestation. The location of the includes note determines the category or block of category codes that the note governs. 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. 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). 0 (paroxysmal atrial fibrillation) based on the instructional note to use an additional code to specify the. 8x has a “use additional code to identify delirium and dementia w/with behavioral disturbance at the beginning of the G30/Alzheimer’s disease section. 9 ) In the example, we see three distinct conditions listed individually in the Assessment and Plan that are all represented in one combination code. In most cases the manifestation codes will have in the code specific eye involved). (Schraffenberger, 2018, 439)referenced with the “see” note to locate the correct 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. 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. Use additional code to identify type of heart failure (I50. 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. There is no mention of vomiting. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Social phobia, unspecified Billable Code. and more. Z98. b. These are in red type and also dictate sequencing of the codes with phrases like, ‘use additional code,’ meaning you will. conventions. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases. use additional code for any associated physical or developmental disorders. ICD-10-CM guideline, I. In most cases the manifestation codes will have in the code title, "in diseases. 83)ICD 10 Code Description Notes E08. , specific ear diseases) may be more extensive, contain additional. 0 to use an additional code to identify the Infectious organism. In most cases the manifestation codes will have in the code title, "in diseases. E10. A) Use "additional code" note. 65 is a valid billable ICD-10 diagnosis code for Type 1 diabetes mellitus with hyperglycemia . The words indicate an instructional note that directs the coder to sequence the underlying condition before the manifestation. Introduction to ICD-10-CM. When there is a "code first" note and an underlying. 6 is a valid billable ICD-10 diagnosis code for Repeated falls . 9. Some people are interpreting a "use additional code" note to mean that the secondary code must always appear in the diagnosis field immediately following the. In ICD coding, the code first is not used. 32. xxxx Type 1 diabetes mellitus3. There are multiple additional codes for identified influenza virus infections, including novel A types (avian, swine. Sam was admitted due to a loss of consciousness. These instructional notes indicate the proper sequencing order of the codes: etiology, followed by manifestation. b. However, if the coder also sees the instructional note of "Use an Additional Code" in the ICD 10 CM Code Book in the Tabular List, the coder would then also provide an additional code to provide. 1. 12. false. 89 (other post-procedural complications and disorders of the circulatory system, not elsewhere classified) and I48. Use the code(s) in brackets in addition to the disease or condition to identity an associated manifestation. View all the articles associated with any code, right from the code page! Study with Quizlet and memorize flashcards containing terms like Four types of conventions: instructional notes, punctuation marks, abbreviations, symbols. In the Tabular List, the 6th character 2 is selected to specify the left ovary. -). “These are the ‘code first,’ ‘use additional code,’ and ‘in diseases classified elsewhere’ notes you see in the Tabular section of ICD-10,” Blanchard. In most cases the manifestation codes will have in the code title, "in diseases. e. 0) is reported as the PDX followed by the code for the heart failure (I50. 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. Take note of the tabular instructions for code M31. Possible conventions to include with codes include the following: Notes: Extra information to define or clarify code choice. 16. NOS. 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. 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. F40. A list of abbreviations, punctuation, symbols, typefaces, and instructional notes appears at the beginning of the ICD-9. the mainifestaion code will have a "code first" instructional note, and the eitiology code will have a " use additonal code" note in the tabular list. Whenever such a combination exists, there is a use an additional code note at the etiology code, and a code first note at the manifestation code. The “code first” note is an instructional note. 01 Conn’s syndrome. 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. 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. 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 most cases the manifestation codes will have in the code title, "in diseases. These instructional note indicate the proper sequencing order of the codes, etiology followed by manifestation, if applicable Underlying condition. 9. 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 . 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 most cases the manifestation codes will have in the code title, "in diseases. Hint: Locate the instructional notes before CPT 11102. means "not coded here" The "code first" note _____. ” Per the coding guidelines, this instructional note is found in the Tabular List with codes that are not part of an etiology/manifestation pair where a secondary code is useful to fully describe a 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. 0 is a valid billable ICD-10 diagnosis code for Abdominal distension (gaseous) . R91. Fully searchable through Find-A-Code's Comprehensive Search. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 4-I51. d. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Code First :In this scenario the patient has a history of alcohol use making K70. code first underlying disease. Best answers. -) Use additional code to identify stage of chronic kidney disease ( N18. 9 (sepsis, unspecified organism) with T81. In most cases the manifestation codes will have in the. ↓ See below for any exclusions,. 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 most cases the manifestation codes will have in the code title, "in diseases. 10. 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 combination code is used to classify? Two diagnosis, a diagnosis w/ an associated secondary process ( manifestation) , a diagnosis w/ an associated complication. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. ↓ See below for any exclusions, inclusions or special notations. 12. The EXCLUDES 2 note represents all of the following except _____. “Code first” and “Use additional code” notes are also used as sequencing rules in the classification for certain codes that are not part of an etiology/manifestation. What diagnosis code(s) should be reported for acute and chronic cystitis? a. 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. 1 Code First note 8. Coding Guidelines and Instructional Notes for ICD-10-CM Chapter 1 0 Instructional note appears at beginning of chapter, "when a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site" Use additional codes, where applicable, to identify o Exposure. There is an instructional note that states to "Use additional code to identify the stage of chronic kidney disease (N18. 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, an instructional note may appear under these category codes to “code first condition resulting from (sequela of)” that particular category. 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 a valid billable ICD-10 diagnosis code for Celiac disease . sometimes used to inform, describe circumstances or give additional information about a term or. It instructs you to code first underlying disease, which in this case, is the cirrhosis of the liver from the alcohol. The two codes are to be sequenced as listed in the "Index to Diseases. This convention instructs you to “Code first” the underlying condition, followed by etiology and/or manifestations. In practice our coders apply this convention only when the infectious agent is known. are designated in the ICD-10-CM index by brackets. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 891) •Occupational exposure to environmental tobacco smoke (Z57. The additions for FY 2021 presently pushing the number of codes to over 70,000. 23 is a valid billable ICD-10 diagnosis code for Adjustment disorder with mixed anxiety and depressed mood . These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 22)” applies to. 1 is a valid billable ICD-10 diagnosis code for Major depressive disorder, recurrent, moderate . "Code first" notes are also under certain codes that are not specifically manifestation codes but may be due to an underlying cause. This instructional note appears for entities that may develop manifestations, and the. K86. Location. 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. b. 7th Character Certain ICD-10-CM categories have applicable 7th characters. ICD-10-CM;• Read full code descriptors and instructional notes • see, see also, see category • with or without. When an Excludes _____ note appears under a code, it is acceptable to use both the code and the excluded code together. A. These items provide guidelines for using the code set. Is used to define, give examples, or both, of the content of the category of ICD 10 CM or of a block of category codes. In most cases the manifestation codes will include “in diseases classified elsewhere” in the. For instance, if a patient has a diabetes, the coder may use the code E11. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 89, I51. 44- there is an instructional note that states “use additional code to identify the sepsis. The International Classification of Diseases (ICD) is published by the World Health Organization (WHO) and is used to classify:In the Tabular List at the beginning of Chapter 1, Certain Infectious and Parasitic Diseases (A00-B99) there is a note to use an additional code. What is the correct 7th character for single gestation? 0. 890 is a valid billable ICD-10 diagnosis code for Other specified postprocedural states . provide general information on usage in a specific section. ICD-10-CM guideline I. N30. Look for Cirrhosis/liver/alcoholic and you are directed to K70. detail to ensure the code assignment is not affected. 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. ICD 10 CM ___________ include the following: Instructional notes, Abbreviations, Cross-reference notes, Punctuation marks, and Relational terms. 10. precalculus. 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. However, if the coder also sees the instructional note of "Use an Additional Code" in the ICD 10 CM Code Book in the Tabular List, the coder would then also provide an additional code to provide. 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. 12. This note is used to provide additional information or clarification on the coding of a specific condition or diagnosis. F10. Give an example of a code that contains an instructional note. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. The code for alcohol dependence is located by indexing the main term "Alcoholism". * Because in ICD-10-CM coding coder first assi. Create flashcards for FREE and quiz yourself with an interactive flipper. These instructions signal the coder that an additional code should be reported to provide a more complete picture of that diagnosis. instructional notes. 1R29. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Pay attention to the instructional notes in the tabular list (see yellow highlighted areas). Therefore, we recommend. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. [E. ) Assign codes to the highest possible level of detail. In most cases the manifestation codes will have in the code title, "in diseases. 9. includes notation C. Largo, FL. Etiology/manifestation convention (code first, use additional code and in diseases classified elsewhere notes): Certain conditions have both an underlying etiology and. 6 also applies to the following: Inclusion term. 0-). In most cases, the manifestation codes will have in the code title, “in. 110, ASHD, native artery with unstable angina is a ______ code. 211 itional code to indicate precipitate labor 062. This notation indicates that use of an additional. 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 . -) and a note to use an additional code to identify: •Exposure to environmental tobacco smoke (Z77. code first any associated physical or developmental disorders. 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 . When it applies, codes missing this character are. a. 6). 22 ? Type 1 diabetes mellitus with chronic kidney disease due to conditions. 0 Acute cystitis . NEC means not elsewhere classifiable 2. This note indicates that an additional code should be used, if available. Examples of these notes include: Use additional code to identify the infectious agent; Use additional code to identify the virus; Code first any associated lung abscessCode First/Use additional code These instructional notes provide sequencing instruction. [Brackets] are an ICD-10-CM convention indicating the enclosed code is. 81). Wherever an etiology and manifestation combination of codes exists, the manifestation code contains an instructional note to: use of an additional code. F33. ICD-9-CM Conventions NOS . 0 Rationale: Look in the ICD-10-CM Alphabetic Index for Nausea. 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 . 0. 6 exists, there is a “use additional code” note at the etiology code and a “code first” note at the manifestation code. 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. Selected Answer : The code should be sequenced first . 6 %âãÏÓ 72708 0 obj > endobj 72713 0 obj >/Filter/FlateDecode/ID[1436CD2AA15C98D34D807083E14FC741>]/Index[72708 14]/Info 72707 0 R/Length 49/Prev 4862096. With: The words "with" or "in" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, either under a main term or subterm, or an instructional note in the Tabular List. b. R91. and more. -)R45. J30. -underlying condition should be sequenced first. M79. 80 d. . 9 is a valid billable ICD-10 diagnosis code for Male erectile dysfunction, unspecified . 7. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Excludes2 means that the condition is not a part of the condition that is being represented by the code, but the patient can have both conditions at the same time. The “Use additional” code note is found below the underlying condition code. In most cases the manifestation codes will have in the code title, “in. 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. The "Excludes 2" note represents all of the following except that _____. In most cases the manifestation codes will have in the codeThe SEE instructional note. infection. Abbreviations The "Use additional code" _____. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 0. Z98. What is the instruction provided in the note below code E10. The two codes must appear in the correct order. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. N52. 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. References 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. “Code first” and “Use additional code” notes are also used in. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. If coded incorrectly and missing the instructional notations, it could result in a claim denial or medical record review. "See" and "See Also": The "see" instruction following a main term in the Alphabetic Index shows that. 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. Learn Test Match Q-Chat Created by chubut Chapter 3 Terms in this set (20) Conventions include: Instructional notes, Abbreviations, Cross-reference notes, Punctuation marks,. 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. Appears in the Official Guidelines at I. The “use additional code” note appears with the code for toxic shock syndrome because it is an infectious disease code that does not identify the specific bacterial or viral organism that caused it,. infection. More Coding Conventions. 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. On the etiology side, the etiology/manifestation combination is signaled by the instructional note “use additional code,” present at the level of the category. This is addressed in guideline 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 . The instructional notation "USE ADDITIONAL CODE" instructs the coder to: Add a second code to fully code the diagnosis. [Brackets] are an ICD-10-CM convention indicating the enclosed code is a manifestation code INSTRUCTIONAL NOTES Excludes1&2 Tip: Excludes1: Only 1 code can be used Excludes2: 2 codes can be use if both are appropriate and there is proper documentation for both 11/19/2015 17 INSTRUCTIONAL NOTES • “Code First” & “Use Additional Code” • Used for Sequencing Priority – Found in Tabular Use of "Code also" or "Use Additional code" Instructions in ICD 10 coding for medical coders. Check the solution algebraically . Use additional Characters (red. You must use the applicable 7th character for all ICD-10-CM codes within the category or as notes in the Tabular List instruct. 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 most cases the manifestation codes will have in the. In the Alphabetic Index both conditions are listed together with the etiology code first followed by the manifestation codes in brackets. Use additional code to identify infectious agent (B95-B97) N30. e. coli] since there is a “use additional code” note under code N39. An instructional note in the Tabular List instructs us to use an additional code to identify alcohol and/or tobacco use and/or dependence, history of tobacco dependence, and/or exposure to tobacco smoke. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In this case the patient has end stage renal disease so N18. ↓ See below for any exclusions, inclusions or special notations. the use of ICD 9 codes is mandated by HIPAA for. general notes. Expert tip: “Tab your copy of ICD-10 with reminders. 8 e additional. E26. 0. are introduced by the word "includes" when placed at the beginning of a chapter or section. Additional terms found only in the Alphabetic Index may also be assigned to a code. F33. 0. 1 should be reported as the principal or first diagnosis, regardless of whether the patient's most recent COVID-19. The see also instruction in the ICD-10-CM index follows a subterm and refers the coder to another main term that: a. 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 appearing int he beginning of ICD-9. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Use additional code. 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. 890 is exempt from POA reporting ( Present On Admission). is used in the Tabular The note "Includes" _____. In the following problem, find polar and Cartesian forms for all three cube roots of the complex number. if instructional phrase or condition is found after main term or anatomical site has been mistakenly referenced instead of disorder or disease documented in diagnostic statement. 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. 9. R13. A “code also” note is an instruction that two codes may be required to. In the ICD-10-CM tabular, the coder will see notes under the Category J91. However, in general, audiology related. These instructional notes indicate the proper. 1. ICD-10-CM guideline I. 1. 0 to code first the underlying neoplasm. The note,. They may appear independently of each other or to designate certain etiology/manifestation paired codes. Z71. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. These conventions are incorporated within the Alphabetic Index and Tabular List of ICD-10-CM as instructional notes. heart involvement. 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. Learn Test Match Q-Chat Created by chubut Chapter 3 Terms in this set (20) Conventions include: Instructional notes, Abbreviations, Cross-reference notes, Punctuation marks, and Relational terms ("and," "with," "without," "due to"). These instructional notes indicate the proper sequencing order of the codes: etiology, followed by manifestation. "Code first". but provide additional instruction. Adherence to these guidelines when assigning -10-CM ICD diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The “Use additional” code. Code the following diagnosis: Seizure. , The "See Also" instructional note refers the coder to another location in the Tabular List. 1 should be reported as the principal or first diagnosis, regardless of whether the patient's most recent COVID-19 test. When an "Includes" note appears after the start of a chapter, the note governs the entire chapter. 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. They may appear independently of each other or to designate certain etiology/manifestation paired codes. Under the Main Term Diabetes in the Index, first-level subterms identify: The specific complication (s) with each type. A list of abbreviations, punctuation, symbols, typefaces, and instructional notes appears at the beginning of the ICD-9-CM. 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 note in ICD-10-CM indicates to use additional code, if applicable, to identify coronary atherosclerosis due to lipid rich plaque (I25. These instructional notes. In most cases, the manifestation codes will have in the code title, “in. Adherence to these guidelines when assigning -10-CM ICD diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). This note signals that an additional code is necessary to fully. Use additional code. -). 0 also applies to the following: Inclusion term. The Instructional Note under code U07. Select one: a. . R45.