Question

multiple choice question

what is the fourth step in outpatient diagnosis coding?

review complete medical documentation.
locate the main term in the alphabetic index.
verify the code in the tabular list.
identify the main term for each condition.

Explanation:

Identify the standard steps in ICD-10-CM diagnostic coding

In medical billing and coding, the standard process for outpatient diagnosis coding (using ICD-10-CM) follows a sequential set of steps to ensure accuracy and compliance:

1. Step 1: Review complete medical documentation (such as the encounter form, progress notes, or discharge summary) to identify the patient's diagnoses.
2. Step 2: Identify the main term for each condition documented.
3. Step 3: Locate the main term in the Alphabetic Index.
4. Step 4: Verify the code in the Tabular List.

Match the fourth step to the options

The question asks specifically for the fourth step in outpatient diagnosis coding.

• "Review complete medical documentation" is Step 1.
• "Identify the main term for each condition" is Step 2.
• "Locate the main term in the Alphabetic Index" is Step 3.
• "Verify the code in the Tabular List" is Step 4.

Therefore, the correct option is "Verify the code in the Tabular List."

Answer:

• Review complete medical documentation.
• Locate the main term in the Alphabetic Index.
• Verify the code in the Tabular List. (Correct answer)
• Identify the main term for each condition.