Quality clinical documentation is essential for communicating the intent of an encounter, confirming medical necessity, and providing detail to support ICD-10 code selection.

Guide to Clinical Validation and Documentation Improvement for Coding Supporting ICD-10-CM and -PCS code

Jan 1, 2021 · HOLIDAY E/M CODING EXAMPLE HISTORY First visit for 6-year-old male complaining of somatic preoccupation; patient accompanied by obese, older male, wearing red …

Examples include Level of Service (LOS) selection support, a Medical Decision Making (MDM) calculator, and system links or phrases to easily document the amount of time spent on …

JustCoding’s Clinical Scenario Workbook: 2021 CPT® Edition contains 52 sample clinical cement of coding concepts. The cases r nge in difficulty, len and medical specialty. They are designed …

These scenarios cover a range of medical specialties and provide practical examples of coding rules in different clinical situations. By examining these scenarios, coders can gain insights …

Mar 10, 2025 · Given that many of these codes are new and there are several questions about how to use them appropriately, the AMA, with support from Manatt Health, developed this …

Aug 24, 2023 · This guide explains how to build software that deals with clinical coding, classifications and terminology within the NHS in England. It is a non-technical guide, aimed at …

Good quality coding is an essential component of modern healthcare provision. This short guide has been designed to provide insight in to coding ‘best practice’. By working in partnership, …

Dive deeper into these cases and challenge your coding skills with the Winter 2025 issue of Clinical Examples in Radiology. To earn Continuing Education Credits be sure to complete the …