After locating a code in ICD-9-CM Volume II, what should the medical assistant do next?

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The correct sequence of actions after locating a code in ICD-9-CM Volume II is to verify the code in Volume I. This step is essential because Volume II provides the index and descriptors for diagnosis coding; however, Volume I contains the tabular list where codes are defined in detail, along with guidelines for their use.

Verifying the code in Volume I ensures that the assigned code accurately reflects the diagnosis and meets the coding criteria established in the documentation. This step is crucial for maintaining coding compliance and ensuring appropriate reimbursement. It's important to check for any additional details that might affect the coding, such as specifics about the condition and any related guidelines.

Other steps, such as recording the code or including "rule out," may come afterward, but confirming the accuracy of the code in Volume I lays the groundwork for proper documentation and coding practices. This verification process helps avoid errors that could arise from misinterpretation of the index listings or inadequate context.

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