Per the main ICD-10-CM Guidelines for 2022 – Parentheses are utilized in both the Alphabetic Index and Tabular List to confine additional words that might exist or missing in the declaration of an illness or treatment without impacting the code number to which it is designated. The terms within the parentheses are described as excessive modifiers. The unnecessary modifiers in the Alphabetic Index to Diseases use to subterms following a primary term other than when an inessential modifier and a subentry are equally special, the subentry takes precedence. In the ICD-10-CM Alphabetic Index under the primary term Enteritis, “intense” is an excessive modifier and “persistent” is a subentry. In this case, the unnecessary modifier “intense” does not use to the subentry “persistent”.
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