Question

when verifying the selected code in the tabular list, the coder must

multiple choice

always code to the seventh character.
be alert for additional character requirements.
read excludes notes only.
read includes notes only.

Explanation:

Analyze the coding process

In medical coding (specifically ICD-10-CM), the process of assigning a diagnosis code involves two primary steps: locating the term in the Alphabetic Index and then verifying the code in the Tabular List.

Evaluate the Tabular List verification requirements

When a coder references the Tabular List to verify a code, they must review all instructional notes, including "Includes," "Excludes1," "Excludes2," and guidelines regarding code specificity.

Let's evaluate each option:

• "always code to the seventh character.": This is incorrect because not all ICD-10-CM codes require or have seven characters. Codes can range from three to seven characters depending on the category.
• "be alert for additional character requirements.": This is correct. The Tabular List contains symbols, notes, and instructions indicating whether a code requires additional characters (such as a 4th, 5th, 6th, or 7th character) to be valid and complete.
• "read Excludes notes only.": This is incorrect because coders must read all instructional notes (such as "Includes," "Code first," "Use additional code"), not just "Excludes" notes.
• "read Includes notes only.": This is incorrect for the same reason; focusing only on "Includes" notes would cause a coder to miss other vital instructional guidelines.

Therefore, the coder must be alert for additional character requirements to ensure the code is coded to its highest level of specificity.

Answer:

• always code to the seventh character.
• be alert for additional character requirements. (Correct answer)
• read Excludes notes only.
• read Includes notes only.