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ICD-10 TIP of the MONTH: The Documentation of Procedures

October 24, 2014

To assist you in understanding the key definitions related to documenting procedures in ICD-10, see below for a list of terms to be used in your documentation. Brought to you by Crozer Keystone ICD-10 tip of the month.

Examples:

Alteration - Modifying the anatomic structure of a body part without affecting the function of the body part

Bypass - Altering the route of passage of the contents of a tubular body

Change - Taking out or off a device from a body part and putting an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucus membrane.

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