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AHA Coding Clinic® for ICD-9 - 1990 Second Quarter
Guidelines for Reporting Other (Additional) Diagnoses
Introduction
A joint effort between the attending physician and coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures.
The Cooperating Parties have developed and approved the following guidelines in order to assist both the physician and the coder in identifying those diagnoses that are to be reported in addition to the principal diagnosis. Medical record directors are encouraged to use these guidelines in providing in-service education to both their medical staff and coding staff to ensure that physicians and coders understand and correctly apply the Uniform Hospital Discharge Data Set (UHDDS)...
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