Specifying anatomical location and laterality

by  Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
September 17th, 2015

Specifying anatomical location and laterality required by ICD-10 is easier than you think. This detail reflects how physicians and clinicians communicate and to what they pay attention - it is a matter of ensuring the information is captured in your documentation. In ICD-10-CM, there are three main categories of changes:

 Definition Changes

 Terminology Differences

 Increased Specificity Over 1/3 of the expansion of ICD-10 codes is due to the addition of laterality (left, right, bilateral).

Physicians and other clinicians likely already note the side when evaluating the clinically pertinent anatomical site(s).

References:

Specifying anatomical location and laterality. (2015, September 17). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/specifying-anatomical-location-and-laterality-27655.html

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