Vocab
The term used when searching for specific diagnosos code. Usually chief complaint.
Main Term
I10
Hypertension
Sequence codes correctly.
Step 10
Diseases of the Ear and Mastoid Process (H60–H95)
Chapter 8
Adverse Affect
N39.0
UTI
Assign the code.
Step 9
Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99)
Chapter 18
A single code that classifies more than one conditions, such as both the etiology and the manifestations of an illness or injury.
Combination Code
A41.9
Sepsis
Locate the main term entry in the index
Step 3
Diseases of the Nervous System (G00–G99)
Chapter 6
The process of determining by examinations the nature and circumstances of diseased condition.
Diagnosis
I48.91
Unspecified atrial fibrillation
After selecting the reason for the encounter, always consult the Alphabetic Index before verifying the code selection in the Tabular List.
Step 2
Endocrine, Nutritional, and Metabolic Diseases (E00–E89)
Chapter 4
In medical coding, the code next to the main term is called the default.
default code
Z00.00
Well adult; normal results
Identify the reason for the encounter
Step 1
Diseases of the Musculoskeletal System and Connective Tissue (M00–M99)
Chapter 13