Outpatient Coding Process

Conditions are boldface type and are followed by the code number.

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.

Information in the medical record provides detail for which a specific code does not exist.

Used when the information in the medical record is insufficient to assign a more specific code.

enclose synonyms, alternative wordings, or explanatory phrases.

Enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code assigned (nonessential modifiers).

Used for all exclusion note.s.
Identify those subcatergories that are not t be used for primary tabulation of diseases

Conditions are boldface type and are followed by the code number.