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10 Steps to Correct Coding (ICD-9-CM) Flashcards

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747107262Step 1: Identify the reason for the visit( sign, symptom, diagnosis, condition to be coded.If symptoms are present but a definitive diagnosis has not yet been determined, code the symptoms. Do not code conditions that are referred to as "rule out", "suspected" or "questionable"0
747107263Step 2: Always consult the Alphabetic Index, before turning to tabular list.To prevent coding errors, use both the AI and TL when locating and assigning a code.1
747115434Step 3: Locate the main entry term.Main terms are identified using boldface type. sub term and sub term's sub term.2
747115435Step 4: Read and interpret any notes listed with the main term.Notes are identified using italicized type.3
747115436Step 5: Review entries for modifiers.nonessential modifiers are in parenthesis. do not affect code assignment.4
747124541Step 6: interpret abbreviations, cross reference, symbols and brackets.cross references used are "see", "see also", "see category". NEC , NOS, [ ], additional code.5
747124542Step 7: choose a tentative code and locate it in the TLbe guided by any inclusion or exclusion terms, notes or other instructions, such as "code first" and " use additional code"6
747130952Step 8: Determine whether the code is at the highest level of specificity.assign 3 digit code, if there is no 4th digit code. assign 4 digit code if there is no 5th digit code.7
747130953Step 9: consult the color coding and reimbursement prompts, including the age and sex edits.consult official guidlines8
747130954Step 10Assign the code.9

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