Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/19/2025

Understanding Parenthetical Terms in the ICD-10-CM Alphabetic Index

Types of Parenthetical Information

  • The American College of Obstetricians and Gynecologists notes that synonyms or alternative terminology in the ICD-10-CM alphabetic index are different terms that refer to the same condition, allowing coders to find the correct code regardless of which term appears in the medical documentation 1
  • The American College of Obstetricians and Gynecologists states that qualifying information in the ICD-10-CM alphabetic index provides additional descriptive details about the hypertensive condition that may affect code selection, which is crucial for accurate reimbursement 1

Coding Implications

  • The American College of Obstetricians and Gynecologists recommends that proper specificity in diagnosis coding is crucial for accurate reimbursement 1