HITT 2208 Discussion 1.1
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HITT 2208
Week 1 Discussion
Please address the following:
Sometimes surgeons will use their own procedural language when dictating a procedure. Much like ICD-10-PCS, the coder must be able to translate what the physician is saying to successfully assign a correct code. Discuss what you should and should not do as a coder when encountering this type of scenario.
As a coder, if the surgeon's language is unclear, it is essential to seek clarification. Coders should not hesitate to contact the surgeon or other healthcare providers for additional information to ensure accurate code assignment. Establish open communication with healthcare providers, including surgeons, to develop a collaborative
approach. This can involve attending case conferences or meetings where coders can discuss and clarify coding-related issues.
What Coder should not do is, avoid making assumptions about the meaning of unfamiliar terms or procedures without proper verification. Incorrect assumptions can lead to inaccurate code assignment. Do not deviate from established coding guidelines. Always adhere to the official coding guidelines, such as those provided by the Centers for Medicare and Medicaid Services (CMS) or other relevant coding authorities. Avoid assuming familiarity with the surgeon's unique language. Each physician may have their
own way of describing procedures, and coders should approach each case with a fresh and open mindset.
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