AHA Coding Clinic® for ICD-9 - 1986 January - February; Coding Guidelines
Use of Both Alphabetic Index and Tabular List
Use both the Alphabetic Index and the Tabular List when locating and assigning a code. Reliance on only the Alphabetic Index or the Tabular List leads to errors in code assignments and less specificity in code selection. Locate each term in the Alphabetic Index and verify the code selected in the Tabular List. Read and be guided by instructional notations that appear in both the Alphabetic Index and the Tabular List. Examples Refer to page 97 in the Alphabetic Index for chronic bronchitis. The code assignment of 491.9 is then verified by reviewing category 491 in the Tabular...
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Article Overview
This article is a coding guidance piece about working with the Alphabetic Index and Tabular List together in ICD-9-CM. It shows, through several diagnosis and procedure examples, how verification in the tabular section supports more accurate and specific code selection. The discussion is aimed at coding professionals who need to understand how index entries, instructional notes, and tabular verification interact during code assignment.
Why This Topic Matters
Using only one part of the classification system can lead to less specific or incorrect code selection. This article matters because it highlights the importance of cross-checking entries and notes to improve coding accuracy in both diagnosis and procedure coding.
Article Sections
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General guidance on using the Alphabetic Index and Tabular List
Introduces the need to consult both parts of the classification system when assigning codes. It emphasizes verification, instructional notes, and specificity in code selection.
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Diagnosis coding examples
Presents multiple diagnosis coding scenarios that illustrate how index entries are confirmed or refined through tabular review. The examples cover respiratory, musculoskeletal, ophthalmic, and hernia-related topics.
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Procedure coding example
Shows how the same general approach applies to procedure coding using the Procedure Alphabetic Index and the Tabular List. The section discusses verification for intestinal resection and related procedural classification considerations.
What You Will Learn
- Why both the Alphabetic Index and Tabular List are used together
- How tabular notes support more accurate code verification
- How diagnosis examples illustrate cross-checking between index and tabular entries
- How procedure coding also requires tabular confirmation
Who Should Read This
- Medical coders
- Coding auditors
- Coding educators
- Health information management professionals
Codes Discussed
Code Ranges Discussed
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