Question

multiple choice question

what is the fifth step in outpatient diagnosis coding?

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

Explanation:

Identify the standard diagnostic coding steps

Using the ICD-10 Coding Steps and ICD-10-CM Coding Process knowledge points, we outline the standard sequential steps for outpatient diagnosis coding:

1. Locate the chief complaint and diagnostic statement in the medical documentation.
2. Identify the main term(s) for each condition.
3. Locate the main term in the Alphabetic Index.
4. Read and follow any instructional notes or cross-references.
5. Verify the code in the Tabular List.
6. Assign the final code to its highest level of specificity.

Determine the fifth step

Using the ICD-10 Coding Steps knowledge point, the fifth step in this sequence is to verify the code in the Tabular List. This step ensures that any instructional notes, conventions, or additional character requirements (such as placeholders or laterality) are properly applied before final code assignment.

Answer:

• (A) Verify the code in the Tabular List. (Correct answer)
• (B) Identify the main term for each condition.
• (C) Verify the code matches the documentation.
• (D) Locate the main term in the Alphabetic Index.