Question

multiple choice question

with what does diagnosis coding begin in outpatient settings?

providers assessment
patients vital signs
results of laboratory findings
patients chief complaint

Explanation:

Identify the starting point of outpatient coding

Using the Outpatient Coding Guidelines and Chief Complaint Coding knowledge points

In outpatient settings, the diagnostic coding process begins with identifying the primary reason the patient sought medical care. This is documented as the patient's chief complaint (CC).

Answer:

• provider's assessment
• patient's vital signs
• results of laboratory findings
• patient's chief complaint (Correct answer)