Wiki Clarification for Localized, Generalized

deansmommy4

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Obviously as a coder-our priority is to be as precise as possible, but unfortunately I have found that physicians usually aren't.

Its becoming more and more of a gray area for me, so I'm hoping someone can help.
(Localized, Generalized, Primary/Secondary)

I'm trying to make sense out of these, please:

Lets say the physician gives a DX of OA of the acromioclavicular joint.


I feel that the physician is LOCALIZING the OA to a specified part of the shoulder. So, this should be a localized DX. Hence, 715.36.
And IF the physician gave the DX of OA to the shoulder (GENERALIZED), would this still be the same??

I almost feel like there should be a GENERALIZed code for this, like 715.01. (wishful thinking).
I feel like I am looking into the terms Localized and Generalized way too much, or maybe what I think they mean is completely off.

But I feel like for most of the time, i would be using 715.36.

I can be very confusing, I apologize ahead of time, I'm hoping someone can understand my dilemma.

Thank you in advance.
:eek:
YOGIJAC
 
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