• Document type, for example:

  • Primary
  • Posttraumatic
  • Other Secondary

• Document site, for example:

  • Hip
  • Knee
  • Shoulder

• Document laterality, for example:

  • Right
  • Left
  • Bilateral

Adult (main)|Pediatrics (main)

Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.

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