Practice Quiz

Medical Coding

Category - ICD-10-CM Volumes 1 and 2

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When can “other” codes be used in the ICD-10-CM?
  1. “Other” and “other specified” are used when the medical record provides enough details that a specific code can be identified
  2. “Other” and “other specified” codes are used when the medical record provides enough details but a specific code is not able to be identified because it does not exist
  3. “Other and “other specified” codes are used when it is too difficult to identify another code that exists
  4. “Other and “other specified” codes can be used for any diagnosis and any patient about which the provider and coder differ on the codes they would choose and decide to use this delineation instead.
Explanation
Answer: B - “Other” and “other specified” codes should only be used when a code does not exist for the detail that is provided in the medical record. “Other” codes can be found in the Tabular list and are listed as “NEC” or “not elsewhere classified” in the Alphabetic Index entry.
“Other” codes should only be used when a code truly does not exist. If another code exists for that particular diagnosis or sign/symptom then that code should be utilized. The Alphabetic Index and Tabular List should both be utilized to identify proper codes or absence of a code.
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