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Chapter 4 - Code # Character category

Billing and Coding

AB
three-character categoryCapital letter -> two digits or one digit and one letter ->
four-character categorythree character category-> period or decimal and one number or letter
five-character categorythree-character category -> period or decimal AND two additional characters
six-character categorythree-character category -> period or decimal AND three additional characters
seven-character categoryextension and final character in a code
Placeholder xdummy X is a placeholder x used in conjunction with codes that require a 7th character extension
fourth digit in four-character categoryprovides more information or specific description of the condition.
fourth digit (8) in four-character category.8 means the diagnostic statement may include some specific information and no other code is available
fourth digit (9) in four-character category.9 usually means the diagnostic statement doesn't include enough information to choose a more specific code
five-character category are a subcategorysubdivision of a four-character subcategory code
six-character category are a subcategorysubdivision of a five-character subcategory code


Light Up Literatureā„¢ Curriculum
AL

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