18 Basics of Diagnostic Coding 2023

diagnosis - ANS-in medical coding, assessment and diagnostic statement are synonyms with encounter - ANS-any contact between a patient and a provider of service assessment - ANS-the physician's determination of what is or may be wrong with the patient based on the findings from the H&P chief complaint - ANS-the abbreviation CC is a statement in the patient's own words that describes why the person sought medical attention manifestation - ANS-the signs and symptoms of a disease alphabetic index - ANS-lists conditions, injuries, and diseases in alphabetical order by main terms, modifying term, and subterms ancillary diagnostic services - ANS-services that support patient diagnoses (e.g., laboratory or radiology services) and/or - ANS-in the context of the ICD-9-CM, the word and should always be interpreted as chapters - ANS-are broad sections of the ICD-9-CM coding manual grouped by disease or illness code also - ANS-is used when one or more codes are necessary to identify a given condition; also know as use additional code coding - ANS-converting verbal or written descriptions into numeric and alphanumeric designations conventions - ANS-the abbreviations, punctuation, symbols, instructional notations, and related entities that provide guidance to the medical assistant or coder in selecting an accurate and specific code diagnosis - ANS-the determination of the nature of a disease, injury, or congenital defect diagnosis statement - ANS-the information about the diagnosis or diagnoses of the patient which have been extracted from the medical documentation etiology - ANS-the cause of the disorder; a claim may be classified according to this Continues...