Question

when the affected side of the condition is not known, what type of code is used?

multiple choice

sign or symptom

category

unspecified

unclassified

Explanation:

Identify the core coding guideline

Using the Laterality in Coding knowledge point

In medical coding (specifically ICD-10-CM), laterality refers to specifying whether a condition affects the right side, left side, or is bilateral.

Determine the code type for unknown laterality

According to official ICD-10-CM guidelines, if the affected side (laterality) is not documented or known, the coder must assign an unspecified code (often designated by a specific digit such as '9' at the end of the code block).

Answer:

• sign or symptom
• category
• unspecified (Correct answer)
• unclassified