1. Alert symbol used in the diagnostic code book titled International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) . It is used to indicate a diagnostic code or line of text that indicates the description is new to that specific annual edition. 2. New code symbol used in the procedure code book titled Current Procedural Terminology (CPT) . It is used to identify a service or procedure code that is new to that specific annual edition. 3. When an audit is taking place, term used to indicate evaluation and management criteria for documenting services rendered. Also known as an element .