ICD 10 Coding Alert

You Be the Coder:

How to Interpret NEC and NOS in ICD-10

Question: I was looking at the ICD-10-CM manual, and I noticed NEC and NOS. I know they stand for Not Elsewhere Classifiable (NEC) and Not Otherwise Specified (NOS), but how should I use them in ICD-10-CM?California SubscriberAnswer: Like ICD-9, the NEC (Not Elsewhere Classifiable) abbreviation contains codes for "other" types of specified conditions that haven't already been classified. An example is H26.8 (Other specified cataract).When your physician doesn't clearly specify the condition, you can use a NOS (Not Otherwise Specified) code -- although payers usually frown upon this process. An example is H40.9 (Unspecified glaucoma).
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

ICD 10 Coding Alert

View All