AHA Coding Clinic® for ICD-9 - 2009 Issue 4; Clarifications

Use Additional Code Note

Please provide a clarification regarding the application of a “use additional code” note? Some people are interpreting a “use additional code” note to mean that the secondary code must always appear in the diagnosis field immediately following the primary code. This is causing problems when the secondary code is much less significant than other conditions that need to be reported. ...

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