The first step in coding the principal diagnosis is to ____.
A)identify the diagnosis and the principal procedure
B)identify main term(s) in the Alphabetic Index
C)review the medical record
D)review any subterms under the main term in the Index

Question

Quizplus · Accepted Answer

The first step in coding the principal diagnosis involves reviewing the medical record to understand the patient's condition, treatments, and outcomes, which then guides the coder in identifying the correct codes.

The First Step in Coding the Principal Diagnosis Is to ____