Codes that do not require additional character(s) are considered __________ codes.

Which is an example of a communication method with medical staff about patient record documentation and coding?

To properly assign a code from the neoplasm table when a diagnosis is documented as “neoplasm of the pyloric antrum,” the coder should:

The ICD-10-CM Index to Diseases and Injuries is organized according to:

The table of contents for the problem-oriented record is called the __________, and it is filed at the beginning of the record and contains a numbered list of the patient’s problems, which helps to index documentation throughout the record.

The UB-04 claim is submitted by __________ to health plans for reimbursement purposes.

Patient records that consist of handwritten progress notes and automated laboratory results are an example of __________ records.

Which would qualify as a main term in the ICD-10-CM index by listing alternative sites, etiology, or clinical status?

In a source-oriented record, reports are organized according to __________ in labeled sections.

Diagnostic, therapeutic, and education plans to resolve the problems would be found in the __________ portion of a problem-oriented SOAP note.