Per the authorities ICD-10-CM Guidelines for 2022 – Parentheses are utilized in both the Alphabetic Index and Tabular List to confine additional words that might be present or missing in the declaration of a illness or treatment without impacting the code number to which it is designated. The terms within the parentheses are referred to as inessential modifiers. The unnecessary modifiers in the Alphabetic Index to Diseases use to subterms following a primary term otherthan when a inessential modifier and a subentry are equally unique, the subentry takes precedence. For example, in the ICD-10-CM Alphabetic Index under the primary term Enteritis, “acute” is a unnecessary modifier and “chronic” is a subentry. In this case, the excessive modifier “acute” does not use to the subentry “chronic”.
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