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The first step to accurate coding is to identify the main term(s) in the diagnostic statement.

A. True
B. False

1 Answer

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Final answer:

The correct answer is True. The first step in medical coding, such as using ICD codes, is to identify the main terms in the diagnostic statement to ensure the selection of the appropriate code.

Step-by-step explanation:

The statement that the first step to accurate coding is to identify the main term(s) in the diagnostic statement is True. In medical coding, specifically when using the International Classification of Diseases (ICD) codes, it is crucial to begin by identifying the main terms in the diagnostic statement provided by the healthcare provider. This allows the coder to locate the appropriate code in the ICD manual.

For example, in the case of a viral infection, the main term would be the specific type of virus if known, or simply 'viral infection' if the virus type is not identified. This term would then guide the coder to the corresponding section of the ICD manual, where they can find the precise code for the condition.

  • Medical laboratories: ICD codes are used to identify tests that must be performed to confirm a diagnosis.
  • Health-care management systems: ICD codes verify that appropriate treatments and laboratory work are performed for the specific virus.

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