Outpatient Coding Process

Description

Conventions, nonessential modifiers, essential modifiers, subterms.
Anna Lopez
Flashcards by Anna Lopez, updated more than 1 year ago
Anna Lopez
Created by Anna Lopez almost 10 years ago
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Resource summary

Question Answer
Conditions are boldface type and are followed by the code number. Main Term
terms for which a more specific code does not exist. Used only when the coder lacks the information necessary to code the term to a more specific category code. NEC
Information in the medical record provides detail for which a specific code does not exist. NEC
Used when the information in the medical record is insufficient to assign a more specific code. NOS
enclose synonyms, alternative wordings, or explanatory phrases. BRACKETS
Enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code assigned (nonessential modifiers). Parentheses
Used for all exclusion note.s. Identify those subcatergories that are not t be used for primary tabulation of diseases Italicized
Conditions are boldface type and are followed by the code number. Main Terms
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