An ICD code consists of, at a minimum,
a three digit ICD-10 code
(i.e. one upper-case letter followed by
two digits). This may optionally be followed
by a two digit subcode, selected punctuation symbols
(cross "*", dagger "U2020" or
exclamation mark "!"). Both the period
separating the three-digit code from the subcode,
and the hyphen indicating an "incomplete" subcode,
are optional. Finally, in the ambulatory system, an
additional letter G, V, Z or A may be appended to
signify the status ("security") of the diagnosis.