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.
identify the main term for each condition.
verify the code in the tabular list.

Explanation:

Identify the standard steps in outpatient diagnosis coding

Using the Outpatient Coding Guidelines knowledge point, we review the standard sequential steps required to accurately assign diagnostic codes (such as ICD-10-CM) in an outpatient setting:

1. Step 1: Review complete medical documentation to identify the diagnoses, conditions, or reasons for the encounter.
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.

Determine the fourth step

The fourth step in this standard medical coding process is verifying the preliminary code found in the Alphabetic Index by cross-referencing it in the Tabular List to ensure accuracy, check for instructional notes, and identify any necessary additional characters.

Answer:

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