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in icd-10-cm youll see the abbreviations nos and nec and they seem similar but they actually mean two very different things nos is not otherwise specified meaning that they havent specified it in the documentation it kind of means the same as unspecified a perfect example of this would be asthma if we dont have the specific type of asthma it defaults to j45.909 which is unspecified asthma nec is not elsewhere classified meaning that we know what the specified type is but its not classified it doesnt have a specific code classification in icd if you look up the term diabetes youll see things under there like diabetes with circulatory complication nec not elsewhere classified that means the documentation has a specific type of circulatory complication we just dont have a specific code for that type so it will direct you to e11.59 which is diabetes with other circulatory complications i hope this video helped you out follow me for more medical coding tips tricks and tutorials