General coding standards
Specificity
Always code to the highest level of detail the clinical record supports.
Cosa significa nella pratica
- Unspecified codes are a last resort. Where the record documents laterality, stage, acuity or organism, the specific code must be used.
- Diagnostic imaging, pathology and other test reports may be used to add specificity to a diagnosis the physician has already documented.
- The explorer flags unspecified codes so a coder can see immediately when a more specific alternative exists in the same category.
Dove l'esploratore lo applica
neoplasminflammatorytraumadegenerative
Fonte e licenza.
Summaries below are original text written for this product and point to the named CIHI standard; they are not a reproduction of it. CIHI content may be reproduced unaltered for non-commercial purposes with attribution - commercial reproduction requires CIHI's prior written authorization.
Canadian Institute for Health Information. Canadian Coding Standards for Version 2022 ICD-10-CA and CCI. Ottawa, ON: CIHI; 2022. Codici e classificazioni del CIHI
Canadian Institute for Health Information. Canadian Coding Standards for Version 2022 ICD-10-CA and CCI. Ottawa, ON: CIHI; 2022. Codici e classificazioni del CIHI