Knowing where to begin your code search can be a challenge in the beginning. This assignment is meant to direct you to the starting points in the ICD-10-CM manual and to help you develop solid search skills. Don’t forget to use the Official Guidelines at the beginning of the ICD-10-CM as the guidelines will help you with the final code selection.
Basic Steps in ICD-10-CM Coding
To code each disease or condition completely and accurately, the coder should:
Identify all main terms included in the diagnostic statement
Locate each main term in the Alphabetic Index
Refer to any subterms indented under the main term. The subterms form individual line entries and describe essential differences by site, etiology, or clinical type.
Follow the instructions (see, see also, etc.) provided in the Alphabetic Index if the needed code is not located under the first main entry consulted.
Verify the code selected in the Tabular List
Read and be guided by any instructional terms in the Tabular List
Assign codes to their highest level of specificity, up to a total of seven characters, if applicable.
Continue coding the diagnostic statement until all component elements are fully identified.
Reference: Casto, A. B. (2019). ICD-10-CM code book 2020 (Vol. ISBN 9781584267317). American Health Information Management Association.
Using this as a guide, answer the following questions:
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