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11 Cards in this Set

  • Front
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Coding Step 1
Locate main term in Alphabetic Index.
Main term is condition that is present.
Coding step 2
Scan main term entry in Alphabetical Index for any instructional notations.
Coding step 3
In diagnostic phrase being coded, identify in terms that modify the main term.
Coding step 4
Follow any cross reference notes found in Alphabetic Index.
Coding step 5
Always verify code in the Tabular List.
Coding step 6
Follow any instructional notes found in Tabular List.
Step 7
Select the code.
Coding Guidelines Section 1
Conventions, general coding, and/or chapter specific guidelines.
Coding guidelines section 2
Includes guidelines for selection of the principal diagnoses for the non-outpatient settings.

Examples: acute care, short term care, long term care, psychiatric hospitals, home health agencies, rehab facilities, nursing homes.
Coding guidelines section 3
Reporting additional diagnoses
Coding guidelines section 4
Diagnostic coding and reporting guidelines for outpatient services.