Clinical

The date on which an ICD diagnostic or procedure code is no longer valid, active, or applicable to a patient encounter, episode of care, or code set version. Used to define the closure of a diagnosis period, the expiration of a code in an annual ICD update, or the resolution of a clinical condition.

The specific time at which an encounter, procedure, or clinical event associated with an ICD code concluded. Used alongside the end date to provide precise temporal boundaries for ICD-coded procedures or diagnoses, supporting accurate duration calculations and intraday clinical event sequencing in data systems.

The health plan enrollment state of a member at the time an ICD diagnosis or procedure code was recorded on a claim or encounter. Used in eligibility verification, claims adjudication, and population health reporting to confirm active coverage for services associated with specific diagnosis codes.

The identifier of the user, coder, or clinician who entered or assigned an ICD diagnostic or procedure code to an encounter or claim record. Used in audit trails, coding quality reviews, and compliance reporting to track accountability and source of diagnosis code assignments within clinical and billing systems.

The ethnicity classification associated with an ICD diagnosis code record, used in clinical data analysis to identify population health disparities, support epidemiological reporting, and meet federal demographic data collection requirements across disease registries and clinical data warehouses.

The date on which an ICD diagnosis or procedure code becomes invalid for use in medical billing, claims submission, or clinical documentation. Codes are versioned annually by CMS and WHO, and expired codes must be replaced with current equivalents to avoid claim rejections.

A reference identifier assigned by an external system, such as a payer, clearinghouse, or coding vendor, that maps to an ICD diagnosis or procedure code within the source system. Used to reconcile code records across interoperable platforms and health information exchanges.

The facsimile number associated with an entity linked to an ICD code record, such as a referring facility or coding organization. Used in clinical data workflows where fax transmission of diagnosis-related documentation is required for prior authorization or medical record exchange.

The service charge or reimbursement amount associated with an ICD diagnosis or procedure code, used in fee schedule management, claims adjudication, and cost analysis. Reflects payer-specific or contractual payment rates tied to a specific ICD code in billing systems.

The given name of an individual, such as a patient or clinician, associated with an ICD code record in a clinical or administrative workflow. Used to display human-readable identity information alongside diagnosis or procedure code assignments in healthcare data systems.

A binary or categorical status marker applied to an ICD diagnosis or procedure code record to indicate a specific condition such as active or inactive status, exclusion from billing, presence of a coding alert, or applicability to a specific clinical guideline or quality measure.

The frequency attribute associated with an ICD code record, indicating how often a diagnosis or procedure is reported within a defined population or time period. Used in epidemiological analysis, utilization reporting, and clinical decision support systems to assess diagnosis patterns.

The complete, unabbreviated description of an ICD diagnosis or procedure code as defined by the ICD coding classification system. Used in clinical documentation, reporting interfaces, and coding tools to present the full human-readable label for accurate code identification and selection.

The sex or gender classification associated with an ICD code record, used to validate gender-specific diagnosis and procedure codes during claims editing, clinical coding audits, and population health reporting to ensure appropriate code assignment relative to patient demographics.

The blood glucose measurement associated with a patient encounter linked to an ICD diagnosis code, typically relevant to diabetes-related ICD codes such as E11 or E10. Used in chronic disease management systems and clinical data warehouses to track metabolic indicators alongside diagnostic coding.

The insurance group identifier associated with an ICD code record in a claims or enrollment context, used to link diagnosis codes to a specific member benefit group for adjudication, reporting, and population health stratification across payer and employer group health plans.

The hemoglobin measurement recorded in association with an ICD diagnosis code, commonly used for anemia-related codes such as D50-D64 or diabetes management codes. Supports clinical data analysis and chronic condition monitoring in disease management and value-based care programs.

The narrative description of a patient's current medical condition as documented at the time of an encounter and associated with one or more ICD diagnosis codes. Used in clinical coding workflows to support accurate code selection and medical necessity documentation in health records.

The unique primary key value assigned to an ICD diagnosis or procedure code record within a healthcare data system. Used to reference, retrieve, and link ICD code records across clinical, billing, and analytical systems including claims processing platforms and data warehouses.

The positional sequence number assigned to an ICD code within a list of diagnosis or procedure codes on a claim or clinical encounter, such as primary, secondary, or tertiary diagnosis position. Determines code priority in claims adjudication, reimbursement calculations, and DRG assignment.