Health Information Management

Examine postoperative condition coding

Briefings on Coding Compliance Strategies, November 1, 2008

Just because a physician documents a condition during the postoperative period doesn’t mean coders should code this condition as a postoperative complication. Coders need to make this critical distinction to ensure that their coding is precise and accurately reflects a condition that can affect the hospital’s or physician’s quality scores. With the increased focus on quality, it is important to report accurate postoperative complications, understand hospital-acquired conditions, and be as accurate as possible when reporting coded data that affect the quality of care a patient received.

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