Question: Does The Order Of Diagnosis Codes Matter?

What is the format of ICD 10 codes?

ICD-10-CM is a seven-character, alphanumeric code.

Each code begins with a letter, and that letter is followed by two numbers.

The first three characters of ICD-10-CM are the “category.” The category describes the general type of the injury or disease.

The category is followed by a decimal point and the subcategory..

What is the difference between primary and secondary diagnosis?

The primary diagnosis is the root cause of the visit. The Secondary diagnosis/diagnoses, are the other conditions that were either present on admission & directly affect the care given for this visit or developed as a direct result of the Primary diagnosis.

What is the proper order in which to select a diagnosis code?

ICD-9-CM coding guidelines state that follow-up codes are listed first unless a condition has recurred on the follow-up visit, then the diagnosis code should be listed first in place of the follow-up code.”

Which code is sequenced first?

Coding conventions require the condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a “code first” note with the manifestation code and a “use additional code” note with the etiology code in ICD-10.

Why is accurate diagnostic coding so important?

Medical coding, closely tied in with the process of medical billing, is an important facet to the health care industry. … Proper medical coding is important on many levels, from ensuring accurate payment for physicians to creating a valid record of patient care history.

What are the six steps to assigning ICD 10 CM diagnosis codes?

The correct procedure for assigning accurate diagnosis codes has six steps: (1) Review complete medical documentation; (2) abstract the medical conditions from the visit documentation; (3) identify the main term for each condition; (4) locate the main term in the Alphabetic Index; (5) verify the code in the Tabular …

How do you code a diagnosis?

Diagnosis CodingSelect the diagnosis code with the highest number of digits available to describe the patient’s condition. … Do not add zeros after the decimal to artificially create up to the fifth or seventh digit. … List a secondary diagnosis only when it has a bearing on the patient’s current medical condition and treatment.More items…

Can V codes be used as primary diagnosis?

ANSWER: Per Coding Clinic, you can report V codes, including code V66. … Report V codes either as primary diagnosis codes in an outpatient setting or as secondary codes in an inpatient setting, depending on the circumstances of the encounter.

What are Z codes?

Z codes are a special group of codes provided in ICD-10-CM for the reporting of factors influencing health status and contact with health services. Z codes are designated as the principal/first listed diagnosis in specific situations such as: … Source: ICD-10-CM Draft Official Guidelines for Coding and Reporting 2015.

How do you determine first listed diagnosis?

If a patient is seen for a procedure/surgery, the reason for the encounter (procedure/surgery) is the first listed diagnosis. If a complication develops during the procedure or surgery, the complications are listed after the first listed diagnosis.

What are the 5 main steps for diagnostic coding?

A Five-Step ProcessStep 1: Search the Alphabetical Index for a diagnostic term. … Step 2: Check the Tabular List. … Step 3: Read the code’s instructions. … Step 4: If it is an injury or trauma, add a seventh character. … Step 5: If glaucoma, you may need to add a seventh character.

What are the three main steps to coding accurately?

Here are three steps to ensure you select the proper ICD-10 codes:Step 1: Find the condition in the alphabetic index. Begin the process by looking for the main term in the alphabetic index. … Step 2: Verify the code and identify the highest specificity. … Step 3: Review the chapter-specific coding guidelines.