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Why must coders read all associated code descriptions in the Tabular list? - To match details in the physician documentation. To be in compliance with rules and guidelines. What would you find in the front of your code book that defines the rules and directions for accurate coding? - official gui...

In the coding of secondary diagnoses, if the provider has included a diagnosis in the final diagnostic statement, such as the discharge summary or the face sheet, that diagnosis should ordinarily be coded. - True If the diagnosis documented at the time of discharge is qualified with such terms as...

Written report explaining the background and current issues used to make the decision to admit the patient into the hospital - History and Physical (H&P) The ________ list pharmaceuticals and ________ that may cause poisoning or _______ and the human body - Table of drugs and chemicals; chemicals...

Coding professionals use the physicians _________ or _________ to assign ICD-10-CM codes describing why the patient was seen - As a coding specialist, it is your job to translate this explanation and to a diagnosis code so that everyone involved will clearly understand the issues of a particular p...

Mr. Smith was admitted to Sunny Valley Rest Home with a pressure ulcer of the sacral region with full thickness skin loss with damage of the subcutaneous tissue extending to the underlying fascia. This would be reported with code(s) _____. - L89.153 Sally is seen in the office today because of a ...