What should you check for under the main term when coding?

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When coding, it is essential to check for subterms under the main term because subterms provide additional specificity that can clarify the diagnosis or procedure being coded. Subterms help to refine the coding process by detailing different aspects such as location, severity, and other relevant factors that distinguish one condition from another. This specificity is crucial for accurate coding, as it directly influences reimbursement, statistical data, and patient care.

Other factors, such as modifiers, insurance details, and patient history, while important in the overall coding and billing process, do not directly pertain to the specific task of ensuring accurate code selection based on the main term. Modifiers add information about how a service was altered, but the subterms govern the primary coding decision. Insurance details and patient history are relevant in broader contexts but do not influence the direct relationship between the main term and its associated subterms during the coding process.

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