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Pediatric reviews: Know the rules before you play the game

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Even experienced and consistently accurate acute care hospital coders may not be familiar with pediatric diseases. Age is not a factor for some conditions (e.g., appendicitis). Others are age-specific or have age-specific diagnosis, healing, and treatment implications. Coders must consider this when assigning codes and querying physicians.

Consider a Colles’ fracture. It occurs in both children and adults, but the healing process is different because of the growth plates in the...

Pediatric reviews: Know the rules before you play the game

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