2026 Clinical Documentation Integrity for ICD-10-CM and Procedure Coding Docume

2026 Clinical Documentation Integrity for ICD-10-CM and Procedure Coding
Documentation guidelines supporting ICD-10-CM and CPT® code assignments
Clinical documentation integrity (CDI) is not about how to code in ICD-10-CM or CPT®. CDI is about knowing what to look for in medical records and how to ask for clarification and get ongoing changes to the notes and comments provided by physicians. Clinicians’ documentation, with adequate clinical detail, has never been more important in the correct code selection process. This 2026 edition has been updated with the relevant code changes.