Which of the following is true about the documentation of conditions linked by "with" in ICD-10-CM?

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Prepare for the AAPC CEMC Exam. Utilize flashcards and multiple-choice questions with detailed explanations and hints. Equip yourself for success!

The statement that conditions linked by "with" in ICD-10-CM assumes a causal relationship is accurate because the term "with" is used to indicate that one condition is associated with another condition, suggesting a direct correlation or dependency between the two. In coding terminology, this implies that both conditions are related, and the presence of the first condition affects or is affected by the second one.

For example, if a patient has diabetes and also has diabetic neuropathy, the coding would reflect that these two conditions are connected; the neuropathy is a complication resulting from the diabetes. Therefore, when documentation includes the term "with," it encourages coders to recognize the association and code both conditions in a way that reflects their interrelated nature, typically resulting in an additional code to capture the complication or condition linked to the primary diagnosis.

This understanding is essential for accurate coding, proper claim submissions, and ensuring that the patient's complete health picture is reflected in the medical record.

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