The document provides information about an ICD-10 coding course that covers chapters IV, VII, and VIII. It discusses the basic structure of chapter modules, including an introduction, overview, coding part, and medical science part. It also lists the specific chapters and categories covered, and provides notes on coding conventions, generic lead terms, and important rules to remember when coding with ICD-10.

2. ICD-10 Course
Chapter IV, VII, VIII

3. Topics
• Lecture’s Chapters
• Chapter Module Basic Structure
• Chapters Specific Notes
• Remember….
• List of Generic Lead Terms
• Glossary
• Learning Tool Icons

4. Lecture’s Chapters
• Chapter IV – Endocrine, nutritional and
metabolic diseases
• Chapter VII – Diseases of the eye and adnexa
• Chapter VIII – Diseases of the ear and mastoid
process

5. Chapter Module Basic Structure
• The basic structure for most chapter modules

6. Chapter Module Basic Structure cont.
• The basic structure for most chapter modules

7. Chapter Module Basic Structure cont.
Introduction and Objectives
• Short section to introduce
the chapter in terms of its
objectives and code blocks

8. Chapter Module Basic Structure cont.
Overview
• Short section that display
code blocks of the chapter
and their categories
• will not teach you how to
code the diseases and
conditions covered.

9. Chapter Module Basic Structure cont.
The coding part of the
module:
• Review of the chapter
(explain the chapter in
details and learn you how
to code
• Self -check test
• Exercises to test yourself
• Summary.

10. Chapter Module Basic Structure cont.
Medical Science part:
• You may or may not need to
complete this part, depending on
your medical background.
• Including a self-check test. (You
can test your knowledge by going
straight to the self-check test, if you
wish.)

11. Chapters Specific Notes
Chapter No. Chapter IV Chapter VII Chapter VIII
Chapter
Name
Endocrine, nutritional and
metabolic diseases
Diseases of the eye and
adnexa
Diseases of the ear and
mastoid process
Chapter
Categories
Range
E00-E90 H00-H59 H60-H95
Specific
Notes
73 of the available 91 categories
have been allocated
Divided into 8 blocks
There are 2 asterisk categories
E00-E35 for disorders of
endocrine glands, E40-E64 for
nutritional disorders and E65-E90
for metabolic disorders
Fourth character is assigned for
complication of diabetes
47 of the available 60
categories have been used
Divided into 11 blocks
There are 12 asterisk
categories
The category H54 for
blindness and low vision has
a table detailing impairment
categories
24 of the available 36
categories have been
used
Divided into 4 blocks
There are 5 asterisk
categories

12. Remember the Golden Rules…
Volumes 1 and 3 must be used together to correctly find codes for each case (e.g.
cause of death or diagnosis).
Golden Coding Rule Number 1
The special disease categories take priority over the body system categories
Golden Coding Rule Number 2
Golden Coding Rule Number 3
The dagger code (†) is used as the underlying cause of death. Never use the asterisk
code (*) alone if the diagnosis being coded uses the dagger and asterisk convention.
Golden Coding Rule Number 4
Be cautious of the spelling of the diseases you are coding since the Tabular List
uses British spelling and the Alphabetical Index uses American spelling. There
are cross-references in the Index to guide you to the American spelling.

13. Remember the Coding Conventions
Volume 1 contains certain abbreviations, punctuations, symbols and instructional terms;
referred to as the coding conventions.
the coding conventions of the ICD-10
• Inclusion term (of unexpected codes) [within chapters, blocks and three- and four-
character rubrics level, different conditions or synonyms, not a sub-classification]
• Exclusion term (of unexpected codes) [within chapters, blocks, three- and four-character
codes level, conditions coded elsewhere]
• NOS and NEC
• Dagger and asterisk
• Other coding conventions

14. Remember the Coding Conventions cont.
Other coding conventions
• Parentheses ( )
– Enclose supplementary words (non essential modifier)
– Enclose code of exclusion
– Enclose 3 character code of categories in a particular block (k65-k67)
– Enclose the dagger code in asterisk category or the asterisk code in a dagger term
• Square brackets [ ]
– Enclose synonyms, alternative words or explanatory phrases e.g. leprosy [Hansen’s disease]
– Referring to note
– Referring to previously stated set of fourth character subdivision common to a number of categories
• Colon : For listing inclusion and exclusion terms when the word require one or more modifying words
• Brace } For listing inclusion and exclusion terms while the term that follow the brace should be part of diagnosis
• “And” in code title stands for and/or
• “With“ in code title stands for and
• Point dash .- (incomplete code)

15. Remember the Basic Coding
Guidelines
From 1 to 5 are related to Vol.3 and from 6 to 7 are related to Vol.1
1. Consult the appropriate section in Vol.3 (index) according to the type of statement to be coded (section I : for
disease, injury or other condition classifiable to chapters I-XIX or XXI) and (section II : for external cause of injury
or other event classifiable to chapter XX)
2. Locate the lead term (noun or adjective of the pathological conditions) [if you cannot identify the lead term in the
index, one of standard ways is to try using generic lead terms such as condition , disease, symptoms,….]
3. Read any note under the lead term
4. Read any terms in parentheses after the lead term (complementary words or non essential modifiers) and any
term indented under the lead term (essential modifiers)
5. Follow cross references (“see” and “see also”)
6. Refer to the Tabular List (Vol. 1) to verify the suitability of code number selected
7. Be guided by any inclusion or exclusion terms at the selected code level, chapter, block or at category level

16. List of Generic Lead Terms
• Disease
• Complication
• Syndrome
• Labour
• Delivery
• Puerperal
• Maternal condition affecting
fetus or newborn
• Injury
• Sequelae
• Suicide
• Assault
• Legal intervention
• War operations
• Counselling
• Observation
• Examination
• History
• Problem
• Screening
• Status
• Vaccination

17. Glossary
Some medical terms related to our chapters:
•Kwashiorkor: sever malnutrition with nutritional oedema with dyspigmentation of skin and hair
•Hyperalimentation: harmful excess of nutrients including vitamins and minerals
•Scintillating scotoma : visual disturbance preceding migraine
•Strabismus (cross-eye or wall-eye) a problems with the eye muscles that make a person can
not align both eyes simultaneously so that one or both of the eyes may turn in, out, up or down.
•Otosclerosis : case in which the ear ossicles have become fused together
•Cauliflower ear an ear that has become thickened or deformed as a result of repeated blows,
typically in boxing.

18. Learning Tool Icons